ฝัง
- เผยแพร่เมื่อ 14 มิ.ย. 2024
- Click my trainwell (formerly CoPilot) link go.trainwell.net/chubbyemu-cp to get 14 days FREE with your own personal trainer!
In-depth channel: @HemeReview
Secret channel: @BigEmus
IG me: / chubbyemus
Tweet me: / chubbyemu
Music by @Lifeformed ► lifeformed.bandcamp.com
Other music inspired by R Prince, Performed by Chubbyemu
Medicine ► • Medicine
Timestamp
0:00 A Man Squatted 500 Pounds After Chugging 3 Energy Drinks
0:24 Introducing 👨⚕️ LF
0:56 Big Lifts
1:28 LF has seen this before? But in others
3:36 Thoughts about what could have happened
7:44 Surgical 🔪 evaluation, and it was done...
8:35 ...but something's wrong
11:36 What risk factors predisposed LF to this?
15:49 A proposal for the final treatment?
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Patient LF's vascular surgery is described in here: Open aortic septectomy for complicated type B aortic dissection. www.ncbi.nlm.nih.gov/pmc/arti...
Acute Type A Aortic Dissection in a Young Weightlifter: A Case Study with an In-Depth Literature Review. www.swjpcc.com/critical-care/...
Aortic Dissection in a Healthy Male Athlete: A Unique Case with Comprehensive Literature Review.
pubmed.ncbi.nlm.nih.gov/27738...
Management strategy for lower extremity malperfusion due to acute aortic dissection. www.sciencedirect.com/science...
Aortic dissection is a disease of the vasa vasorum. www.ncbi.nlm.nih.gov/pmc/arti...
Energy Drinks and the Risk of Cardiovascular Disease: A Review of Current Literature. www.ncbi.nlm.nih.gov/pmc/arti...
The Valsalva And Stroke startingstrength.com/article/...
Acute Vascular Endothelial Changes Associated with Increased Blood Velocity Gradients.
www.ahajournals.org/doi/10.11...
Turbulent Blood Flow in the Ascending Aorta of Humans with Normal and Diseased Aortic Valves. www.ahajournals.org/doi/pdf/1...
Turbulent Intensity of Blood Flow in the Healthy Aorta Increases With Dobutamine Stress and is Related to Cardiac Output. www.frontiersin.org/journals/...
Blood flow analysis of the aortic arch using computational fluid dynamics. academic.oup.com/ejcts/articl...
Caffeine for the Sustainment of Mental Task Performance: Formulations for Military Operations. www.ncbi.nlm.nih.gov/books/NB... - วิทยาศาสตร์และเทคโนโลยี
Just want to echo advocating for yourself. I diagnosed myself with acute appendicitis and drove myself to the hospital in the wee hours of the morning a few years back. I was told I was not exhibiting enough pain for it to be a big deal, even though i checked all the other physical exam boxes for acute appendicitis. I told them i have a high pain tolerance from dealing with chronic pain for decades and I fought to get a CT scan. When i was back in my room immediately after the scan talking to nurses and heard someone running down the hallway. It was my physician. I had acute appendicitis and they were scared that bursting was imminent. I was in the OR in like 15 minutes. Had I listened to the white coats I would be dead and my children would no longer have their father. Just because they have MD by their name and a white coat doesn't make them infallible.
I read about a guy who explained how he lost his testicle because they did not think he was having an acute torsion. The nurse just won't believe him.
lol i went through the exact opposite ; at 12 i got pain flares in my belly, my mom who's a nurse touches it and concludes it might be appendicitis. By the time i went to my doctor the pain's gone. Fearing of making a fool of myself for coming without being sick i pretend it hurt like hell ; got sent to the hospital. At the hospital it still doesn't hurt and i fear even more to look like an idiot ; i keep faking pain every step along the way until i'm admitted to surgery. Turns out i actually had appendicitis, my organ was bloated and purple and it was beginning to turn into a peritonitis.
I'm very grateful to myself for listening to my own stupidity lmao
Chronic pain patient here since 2006. I FEEL YOU❤ And I'm SUPER GLAD your babies have their Daddy!!🥹🫶
Honestly, I can relate to this. I do have chronic pain, but I have no idea how bad it is because I'm very weird about pain. In my experience minor bumps and serious injury have presented with very similar pain levels. Like, stubbing my toe and breaking my toe felt the same to me, as an example.
I'm always worried about the possibility of being in a situation where I should be experiencing a level of pain that lets me and everyone else know something is really wrong, but actually feeling only what could be described as 'significant discomfort'.
My doctor was the opposite. When I told him I had lower right abdominal pain he had me come in that day. He gave me a classic manual test that was symptomatic for appendicitis. He had me go in for a CT scan with a blood dye and barium drink. They had me go in for surgery immediately because my appendix was ready to burst.
Paramedic here. Don't let EMS elicit a refusal. There are lots of things we can assess for and treat, but there are also a lot of things we can't do. Yeah, a 28 year old is not likely to have a heart attack. Most EMS systems can't do tests to completely rule that out. More crucially, a 28 year old shouldn't be having unexplainable chest pain either! Get that checked out!
I went to urgent care once because I was coming off a 2 day bout of norovirus and had severe acid reflux, I said the magic words "chest pain" and they immediately put me in a room and rolled in the portable EKG which of course showed nothing (then I fell asleep for 2 hours until someone came back and gave me some antacid and a saline IV)
Same holds truth with a triage nurse. I once was almost turned away when I had a deadly infection. Woke up middle of the night with pain in my underarm, thought I slept wrong and went back to sleep. Pain was worse in the morning and on the bus ride to work every bump caused shooting pain in my under arm. I noticed that one side of my finger where I tore a hangnail was red and started to check it out The whole side of my finger was red, warm and tender and the red streak was traveling up my forearm. Knew it was lymphangitis and headed to emergency. Triage nurse took my vitals and said nothing was wrong and tried to send me off. I told her firmly that I have a serious infection and she was not a doctor, and is not qualified to make a diagnosis, and that if she wouldn't let me see a doctor she would be looking for a job tomorrow. She admitted me, doctor took one look at my arm and said you need antibiotics. He drew a line on my arm with a pen where the infection was and went off to get antibiotics. He came back and looked at it, redness had progressed further up my arm. He gave me the antibiotics and said if I had waited another 24hrs it could have been critical, he said give the antibiotics 12hrs and if you dont see it stop progressing or its getting worse come back immediately. I then told him about the triage and his only response was in shock and disgust "Oh! Really?!" Dont know what happened to that nurse, honestly dont care. Thankfully antibiotics took effect quickly, and in a few hours it had already started receding. Was some strong cocktail, only 3 doses a day for 2 days. For almost 10 years after that the lymph nodes in my left armpit would flare up at the most mundane of infections and ache. If you know somethin is wrong, stand your ground.
Well now after the covid jabs young kids are having them! Heart attacks! Lot's of young people teens, 20 somethings and 30 year olds. Things are different now after the people were told to take the jabs.
Not that i recommend it, but i've had intense chest pain after an excessive amount of caffeine before. I was an uninsured college student on minimum wage so i made the strategic gamble i'd be fine and lucked out. I figured if i wasn't fine it wasn't like i could afford to not be at work for even the briefest periods of time and that if they health issues didn't get me the financial ones would. Faced with a literal "pick your poison" i made my choice and thankfully won that bet. Had i gone in to the hospital for a false alarm i would have ended my education and what ended up turning into my career due to the financial strain of a medical bill.
Precordial catch syndrome totally fits the description "unexplainable chest pain" and is harmless as far as anyone knows. If you know you're experiencing precordial catch syndrome, probably not worth panicking even if it's chest pain that no one understands the cause of.
seeing the real patient gave me chills. Huge difference seeinng the actual person.
Keep it up!
Ditto!! Take my money!!
I think there was another episode, except the patient played out the whole thing throughout the video, if I'm right and didn't misinterpret/misremember it please do point to it, but I think it's a great tendency. Chubby Emu is growing, as his channel should be, it's both really entertaining and incredibly useful.
Seeinng
Yes, there was one abòut a lady who had been in the military and the burn pile (can't remember exactly what it's called) resulted in her and fellow service women getting advanced stage breast cancer. We saw the real life patient diagnosis@just_peace
God did not do this to you. You did this to you. Mysterious ways is used as excuse so you won’t take responsibility.
I assume a lot of these cases are from medical journals and the patients are mostly anonymous but I loved seeing the patient at the end of this. It is probably a good thing for doctors to approach treatment in an impersonal manner so that they can maintain the same standard of care for every patient, but for educating the general public on medical science and procedure putting a face to the patient adds a certain depth to the case to make it far more memorable.
I think he has said in the past, these cases are either from his or his friends' experiences, so probably a bit more personal than a medical journal.
Actually I disagree that it’s good for a doctor to be impersonal and then can give each patient a good standard of care
ALL the doctors I’ve met who have been friendly, down to earth and just normal have been exceptionally brilliant doctors . They really care about their patients .
The doctors who are impersonal are usually mediocre doctors. They are often very arrogant . They have no connection with their patients . It’s more about the status of being a doctor rather than wanting to treat a patient. I’ve met doctors who have a
‘God Complex ‘
Vaxxed?
Almost died once myself from food posioning. When I called the ambulance I told them what was going on. They told me to go and sleep it off. I insisted they take me to the hospital. They told the nurse I wasnt all that bad off. When the nurse did get to me she immediately put me in a room. I had two ivs put in for fluid intake and was given a large dose of morphine because I was in a lot of pain because my kidneys were shutting down and other organs were feeling it. I was in the hospital for a week. In the end no permanent damage done byt my doctor told me had I gone home by morning I would have been either in a coma or dead. Glad I stuck up for myself.
I am someone who will lose a lot of fluid easily with gastroenteritis. Everyone laughs at people with it going at two ends. Twice have I been hospitalized overnight for gastroenteritis and I have landed in the ER several times. It's not a joke nor is it a matter of willpower. When you are that sick from a virus, sometimes it is better to get medical attention. 440k of people alone last year went to the ER bc of Norovirus. 110k-ish were hospitalized. So yeah. I can understand how people can die from it. Recovery from a stomach virus is absolute hell. I would rather recover in the hospital than take 3-4 days to get bsck on my feet.
1st responders are not as caring as their job title suggests.
What was the cause of food poisoning??
What was the cause?
Very similar for me, except for me it was Methylmercury poisoning from consuming commercial morning glory seeds. I was young, dumb and poor and just trying to get high for cheap. They told me I was "'probably just having an anxiety attack". They tried to discourage me from getting in the ambulance and going to the hospital because it would be "very expensive".
I was an EMT for 7 years. The crew that convinced him he didn’t have to go to the ER were exactly the type of coworkers I left EMS because of. I witnessed so many EMS personnel gaslight, invalidate and even falsify patient vitals, just to avoid doing more work. Left such a bad taste in my mouth. Always felt like my coworkers had forgotten that they were dealing with peoples’ lives. I feel so unbelievably infuriated hearing about this story, and how this guy could have gotten sooner treatment if he just hadn’t been invalidated by the EMS crew that responded to his call.
Yeah this was so strange, usually here when you get a sudden chest pain they send you to hospital just in case. It also doesn't take long to get the stickies on and do a read.
@@Iflie In this case, didn't they do just that. And the read didn't fit with a heart attack. And since that wasn't it: nah, probably no problem here...
@@Asptuber Even so, I would be looking at getting the medical director on the phone before I made the decision to leave a chest pain at home, especially with mid sternal radiating into the neck and fingers. That’s a blaring red flag that I would never be so arrogant to think my little pre-hospital BLS knowledge would cover the entire scope of what could be happening internally, even with a normal read. Chest pain can of course be pulmonary, gastrointestinal, musculoskeletal, but dead center cp with a recent hx of 3 energy drinks and lifting 500lbs? Yeah, you’re going to the hospital buddy. I don’t care what my lifepak says lol I would never feel comfortable making the call that nothing serious was happening with that hx. And regardless, if a pt wants to go to the hospital, who am I to convince them not to? What is it really taking away from to bring them to the hospital? An hour of my life? Some paperwork?
@@Asptuber Not sure if they did that or did a bloodpressure cuff and listened to the heart. I only got stickies myself when in an ambulance with the monitor above my head.
@@rmatt816Well said~
One of my college professors was an elderly blind man with an assistant. He told us on the first day to keep an eye on your blood pressure, especially if you lift heavy things. Apparently, he was a body builder decades ago and destroyed his eyes when the vessels all burst at the same time, making him blind.
That’s probably the craziest way to go blind ill ever hear of in my life
I used to be a body builder. Then gave it up but still went to the gym a lot . My muscles expanded and my nerves got trapped . My Median Nerve was totally severed . I was totally paralysed in my right hand for two years and was in excruciating pain 24/7.
My Neurologist believed it was through lifting weights . An Orthopaedic Surgeon explained to me in detail why lifting weights was bad for the body Anyway I had two operations to relieve the paralyses . One Op was 8 hours long . And after the op It was rather painful !
@@cherrymetha3185what are the ways bodybuilders can prevent this nerve blockage?
I really really hope he said keep an eye on it, because that would be extremely hilarious. Love a good professor with humor.
When he says "made incisions to relieve the pressure in his leg" it sounds pretty benign. But he's referring to as procedure called a fasciotomy, which is pretty gnarly. Usually two incisions along the entire length of both sides of the leg. If you've ever seen it then you know. Pretty crazy wounds, but that procedure has saved many a limb.
My sister had to have This surgery. She never has overcome the horrible scarring on her leg She was quite vain. But it saved her leg and her life. They removed 38 lb of fluid, & blood clots etc. from her leg! The first ER wouldn't do it. She's been in a car accident so she had a bruise but they said she self-inflicted the wounds that she was a malingerer or seeking medication. That her husband helped her.
Well I knew she had problems Yes she was addicted to morphine for migraines, was narcissistic, was extremely self-centered, had severe control issues over her marriage but she would never do anything that would cause her death as she had four children at home she adored & worshiped. Everything was for them. The world revolved around them as it had for her mother for her. If you didn't worship her & her children you just weren't a part of her life.
NO nobody with 4 children at home is going to do this to themselves. After 8 hours in that ER yeah hubby was finally able to reach her PC DR who said get her to this ER where I am associated I'll get her taken care. They had to drive an hour over to the other hospital.
As stated the news was bad. This massive blood clot that had stopped the flow of blood in her leg. I'm adopted no blood relation to her but I thought this sounds kind of weird. She was only in her mid thirties. Extremely healthy she had overcome anorexia through blackmail I threatened to tell her parents and ate a very good diet exercised constantly kept her weight up but also made sure it stayed down because she'd gotten overweight on her first pregnancy to the point that oh gee you look like me haha It was a faux paw but she never let that happen again. Why would she suddenly start having blood clots? I'd been doing some family genealogical research. I knew her maternal grandfather died in 1948 of heart failure but it was sudden & had left devastation behind. Her mom was only 20 & grandmother had died emotionally. Both women became alcoholics for the rest of their lives. He was an amazing man from what I understand. He was only 60. Yes he was older when he married. My adoptive mother was his only child. He left behind a young wife she was only 48, with him being the love of her life. I then went on a trip to where grandfather came from found out they hadn't even known he'd died. They didn't know what happened all they knew was he dropped off the face of the Earth and they thought that with the war etc at the time maybe he had been sent out to work for the government & didn't come back because of what he worked on.
I learned her great grandmother had a stroke at 32! Having had 6 children she's bedridden for 2 years. With love & care her children & husband were able to rehabilitate her.
She went on to have six more children so they had the older 6 boys & the younger 6 kids.
As a nurse I knew that eclampsia etc could lead to a stroke but this sounded more like something more dangerous The son has a heart attack at a relatively middle age. The great granddaughter has a blood clot at a young age and constant headaches. It also appeared that the great grandmother had continued to have a few strokes but no sign of diabetes. Odd, my birth mother had been a diabetic so she had strokes most of her life. Also I'm thinking okay something's not right here as a former nurse I'm always watching & reading up on research as the world around us becomes more knowledgeable.
One day I'm reading about the fact researchers had figured out a few years before there is a gene that creates blood clotting problems. You can be tested for it to show whether you are a carrier. You can also have it recessively but if you marry someone who also has the gene recessively your children will have a 50/50 chance of carrying the gene actively.
Finally I get Gramps death certificate. That's when I read it was thrombosis (blood clot) interesting. Then it states he had survived a blood clot 2yrs before his death! The answer! Hereditary gene.
I called sis right away. Told her my theory & begged her to get tested. I was correct. All her kids were negative for the active gene. Yay.
Protection has been placed at all major arteries in her body. She's had no further incident of major clots causing such horrendous damage. She had a few small ones but after being tested the DRs had to admit there was a real problem not in her head but in her body itself.
Any kind of medical procedure that involves drains/relieving pressure is usually gnarly af imo
Really cool to see chubby’s old weightlifting videos, his dad exercising with him, and put a face on a patient.
Probably my favorite episode.
Damn that's real?? I thought he was messing with us lmao crazy
@@joshuathomas512nope, long time viewers know he was very into bodybuilding/weightlifting and knows what he’s talking about :) i assume its been a long time since he’s been active though
Plot twist: A real patient was revealed in a Chubbyemu TH-cam video and later sued Chubbyemu for violating HIPAA laws. This is what happened to his bank account.
Nice to see him even trying to get back in shape to at least some extent, after letting it off to this level.
I discovered this channel just a few years ago and could never imagine he was once a power lifter, haha - until I got curious and checked out his channel, scrolled a looong way down and found the really old videos.
I have never competed my self, but do lift as a hobby. If those plates on the bar that he deadlifted, was 45 lbs / 20 kg ones, I was at about the same level when I peaked 9 years ago. Now I have been lazy for some years and was on my way back, but recently got a knee injury (not when lifting - but caused by slipping down an icy hill and wearing bad work shoes, that were unstable and caused the leg to twist when they lost traction).
So right now I have maybe just 70-75% of the strength compared to when I peaked, and it still feels so demotivating and like there is such a long way back (even though I hope to be at least back to where I peaked again).
Now I can think about having to start all over again like if I have never lifted before (because that's probably pretty much how it is for him - judging by how it looks, I wouldn't be surpriced if he only have 40% of his strength now, compared to those old videos).
If that was the case, I would probably never find the motivation again and join all those ridiculous people who lifted when they were young and is now happy with being the typical weak, average couch potatoe, for the rest of their lives, haha
I used to be a pro athlete and loved to lift after I retired from full time sport, though work and life eventually gets in the way.
I'm now old and though I hate knowing realistically I'll never be strong again (unless I juiced myself to the max - I never did before and won't now though I can understand the temptation), to an extent you get used to it.
I'm still competitive and compete in the sport of IGP - something with a high degree of skill, but you don't need to be physically very fit and strong, and I aim to compete at world championship level within the next couple of years. Even when we get old we don't really change who we are, and the effects of hard exercise can be lifelong. I'm still able to train reasonably hard, and am far stronger and fitter than other women my age.
This is a great video and I really enjoyed the old training videos. It's great he's ok and living his life.
I really like when the actual patient comes on and speaks. It adds emotional impact to the case.
Agree, it certainly beats the old "they made _A_ recovery" line where you end up having no idea how much of a recovery that implies.
Yeah it's very ambiguous. Full recovery gives u a sense of relief. While some cases are very unfortunate where the patient did not survive. @@kerravon4159
It's the first time I think I've ever seen it.
“Adds emotional impact” is an understatement. The moment he appeared, I burst into tears. I am glad he made a recovery and has some extensive life goals to pursue.
i think what really adds to this statement is as louis said, he has been on both sides of that fence as patient and provider. the fact that he admits that adjusting to his new lifestyle is difficult but shows that it can be done.
truly touching story
26 year old into heavy weightlifting. and yes, caffeine. this was definitely a good wake up call to keep my caffeine tolerance in check. Only in moderation. thank you so much for the inspiring story, much respect for luis for pushing through and sharing his story with the world 💪
Or just avoid caffeine atall
I really, really don't get why caffeine is ever considered for working out. caffeine is a stimulant and causes both heart rate increases AND vasoconstriction (narrowing of the blood vessels), taking caffeine and working out is basically guaranteed to cause serious cramping because you're actively lowering the amount of oxygen that gets to your muscles WHILE increasing your heart rate. I've asked doctors about this and they all say "yea technically you're completely right but people do it all the time so it's whatever". I don't understand why anyone ever gets told it's even remotely accetable to take caffeine before a workout. It's a medical danger that should be avoided at all costs, there is no acceptable amount. If you want your heart rate to go up before working out.....thats what warm-ups are for
@@nomorenames5568 yea just avoid caffeine completely. caffeine is an addicting drug that does more harm than good
@@nomorenames5568 There are hundreds of studies indicating that caffeine improves performance metrics in everything from cardio to 1 Rep max. Remember to have some academic humility and speak less definitive on complex topics.
@@nomorenames5568 Caffeine increases the metabolism, the very method that creates vasoconstriction is also the same thing for anything that gives you a rush of catecholamine like epinephrine, and in any case, a Coke is safer than folks using bottles of ephedrine for the same thing.
You have no idea how happy I am to see Luis has not only survived this ordeal but is THRIVING! Good luck on your future studies, Luis!
Want to take this moment to remind you all that TikTokers are the WORST people to EVER take medical advice from. (or any advice for that matter)
Want to take this moment to remind you all that TikTokers are the WORST people.*
Fixed it.
Its sucha cesspool.
Except Dr. Idz
@@s133p3r0Reddit moment
What? I thought everyone goes to tik Tok for medical advice, where else would you go???
Your dad looks like the coolest grandpa you could ever wish for
As a 1st Year Medical student in his Cardiology block who just learned about Aortic dissections last week, this was amazing. Thank you !!
To go from "a recovery" to an actual testimony of the patient and their story from that point on was amazing
This sounds exactly like what happened to my older brother two years ago. Even the initials are the same!
coincidentally today is exactly 2 years to the day. i didnt plan it that way, it just turned out this way
@@chubbyemu i give it a 5% chance this comment is telling the truth
Maybe watch the video until the end ...
@@chubbyemuHey wait a second...
This case is about you/your family isn't it? LF being a doctor, recognizing what was happening with him, the caffeine addiction...
Edit: Oh wow LF at the end! Glad to see he pulled through! And that it wasn't you, even you recognizing that it could have been you
Glad that your brother pulled through!
How great is it to see the patient alive and doing so well.
And his future... 🎉
praise be
This hits close to home, I also developed a caffeine addiction during covid…used to be every gym sesh then it became every 12 hrs and it was only drinks that included 300mg 🤢 I understand I messed up…you can only be aware of what you decide to understand and that thing was me turning a blind eye to all the side effects as a dumb teenager….i seen other people down TWO ghosts 🤢
tough sucka, bless that guy
Mysterious ways, got it? Thought so. Good.
Luis is a beast. Keep on living brother
How beautiful hearing from the patient himself. Thank you for this Chubbyemu, this made my day👍❤️🏴
"Life goes on and I gotta just adapt with what I can and can't do." Wiser words have never been spoken
They have been, tons of them. But I get the meme commentary
I do in fact speak
He in fact, was NOT Mahoraga
@@siinxx7656 Wise is a subjective term so your comment is actually annoying and pedantic. I wasn't referring to any meme.
@@m.streicher8286 bro just said wisdom is subjective, that alone just told me you might not be even in college, so I dont see why to discuss semantics of something that you already have no clue, still.. I got the meme comentary, thought was a bit funny
Almost went from Valsalva to Valhalla
I don't think dying in a hospital after exercise gets you a Valhalla pass
@@rokkraljkolesa9317 what does the hospital have to do with it?
@@fulconandroadcone9488 you're not dying a warrior's death in battle
@@rokkraljkolesa9317 so if you get shot dying on the battle field, someone scoops you up and takes you to the hospital you don't get to go to Valhalla? That sounds disappointing.
@@fulconandroadcone9488 from what I understand, yeah you'd go to Hel instead
so pray you make it to the next battle
Every now and then your videos feature the real patient. I really appreciate these people being willing to step up and talk about their problem(s). Nothing is quite as impactful as hearing from the original source. It's understandable that many people would prefer to keep their privacy so seeing the actual patients really makes me appreciate them giving of their own experience.
Much love to LF. Very Happy you are still here with us!
I am a type A aortic dissection survivor and nurse. I had my dissection at age 27. Thank you for bringing awareness to aortic dissection❤
Seen this in a couple of young patients too - one doing pull-ups in the gym, the other person on the toilet. Both very lucky to be alive
What was it like? Im worried about it. My heartbeat is extremely apparent in my stomach if my blood pressure rises at all and I used to abuse stimulants for 3 ish years and I feel like I'll never be the same. Its my neck and my stomach where I can't even do activity without feeling how I use to where my heart beat used to be more actually in my chest. My resting heart rate is anywhere from 60-100 just depends. My HRV & more via Welltory was exceptional
Have you been checked for Marfan syndrome? My father's aortic arch and descending aorta dissected. My brother has the same problem. I do not.
Oh my gosh so young 😨
How terrifying! I am so glad you’re ok ❤❤
I am a registered nurse. I always learn so much from your videos. In fact, I relearn what I have forgotten about physiology, biochemistry, pathology, etc..
Please don’t stop describing things correctly even if a lot of your audience doesn’t understand the terms and the processes of bodily function. I love the refresher course in all your videos.
i love the way he explains everything in a way that even though you dont understand every words exact meaning you still understand what he is talking about in a general sense
I think after a couple of episodes even the most dense among us know that -emia means presence in blood 🤣 It's a start!
@@Cthultystkaamong us??? IS THAT AN AMONG US IMPOSTER SUSSY BAKA OHIO SKIBIDI RIZZ REFERENCE
bro@@RonnieMcNutt_Mindblowing
RN here as well. I love his videos that got me through school
Powerful episode...and yet another reminder that moderation is key in all things. It was cool af to see the actual patient and hear the lessons learned straight from his mouth. Best of luck in medical school ♥
Great presentation and analysis as always dr Bernard !! So happy to see your sweet Dad in the Video
In my medical school, they say Aortic dissection is almost a "death sentence". I am so happy LF pulled through. Those doctors that saved him were really talented professionals.
Must admit, I wondered why they didnt stent to give them time to do surgery, but then, Im no vascular expert. I hope Chubbyemu does a second-channel breakdown...
@@RICDirector I'm no medical expert either, but I know sometimes removing the clot can bring lots of dead tissue from the leg to the kidneys and do more harm than good. Could be lots of other reasons too tho
I think he was lucky in that it didn't fully rip through all the layers of his aorta and instead kind of formed a pocket around it. Prevented him from having a massive hemorrhage and literally dying in minutes at home (considering he didn't get medical care immediately too!).
As someone with familial aortic aneurysms, that has to work out to maintain my mobility due to marfans, what can I do to prevent this really
@@ThermsFriendcoming from a paramedic perspective, it is probably as you say. In the worst case cardiac arrest can happen due to electrolyte/ph imbalances from sudden removal of compartment/crush syndrome (we are supposed to give massive volumes of saline prior to removal of the "obstruction" in the prehospital setting to counter this, since we cant really do surgery)
My dad passed away suddenly in January 2018 from a spontaneous coronary artery dissection (SCAD), he thought it was just heartburn and then hours later he collapsed and passed away. The paramedics said there was basically nothing that could be done unless he was in the hospital as it was happening, and even then chances of survival were slim. Don't shrug off chest pain, it can kill you in a matter of hours.
I am so sorry for your loss.
Did he do anything to increase his risk?
Yeah this why I got me one of those apple watches that can call an ambulance automatically if you have a heart attack or collapse. Far too many people die who could have been saved by a prompt ride to the hospitlal.
@@shayneoneill1506 Unfortunately not in his case, he should've been in the hospital hours before he collapsed. When he collapsed he died within a few seconds.
I think the only people shrugging off chest pain are Emergency Room staff!
It hits a lot harder when you see the actual patient, this was a really interesting one
I've been watching for years and this was certainly my favorite episode. I enjoyed how personal it was allowed to be; from dad to Luis and the suspense was the most intense its ever been! There were multiple treatments approached and problems kept arising. I loved the public messaging of it as well, great job you all!
Such a sad story but I was relieved at the end. I loved the statement you made that “…Fitness is a celebration of the movement we have” That’s a beautiful idea!
Wow, this was probably the best video you've ever put out. I was rooting for Luis the whole video and was so happy to hear he recovered. Then seeing him recap his own story at the end and provide his insight was the cherry on top.
Thank you and your team so much for putting together these videos.
Spoiler :/
@@drez1274 who reads the comments first?
@@captainkail A degenerate but we are legion.
@@drez1274😂😂😂
😂😂? i do the same thing?@@drez1274
Omg, thank you Luis. I always deeply appreciated the nurses who have chronic illnesses especially. There was a unique level of connection I found as someone who had only recently been diagnosed with a severe condition, and it’s so sad what happened. I am so grateful you’re here and keep going.
Those weightlifting videos of Chubby are insane!
My heart broke when the patient was giving his mother his passwords and last wishes. Imagine that moment. I love hearing from the patients afterwards. Luis, I'm glad you're here and still making a difference in patients' lives!
I did the same thing when I went into the ER with a heart attack after working out. I gave my brother a call and gave him my bank info and my last wishes. Being young doesn't mean you won't get a heart attack. Luis was young at 28 compared to me at 34, when I had my heart attack. I never felt any chest pain or arm numbles, but I had one crazy headache after lifting some weight. Drove myself to ER like an idiot, should call EMS but lucky made it to hospital in time and no accident driving there with a heart attack. Made into ER with BP of 250/160 and troponin level 480. If you feel something is off always go in, it could save your life.
Gotta change my passwords from "80085" to "studyinghard13"
Tip: Life’s a lot easier when you have that planned-out in advance. My family uses a password manager and if one is incapacitated or dies, the others can get emergency access to everything needed.
Vaxxed?
@@thenoticer9054 nope, never vax
When you want to be the most energetic person in the graveyard
I had to have a chuckle... 😅
👑👽🙏
Ha ha well put
under the graveyard
That and you don't know your body's limitations.
Hahah yesss! 😆
As a high school student who just finished my cardiovascular unit - I felt so cool knowing all these terms in time for this video !
as a fifth grader ,this guy makes me learn more stuff than what I do at school
@@rts6829 what youre learning in school is probably more important than knowing a bunch of medical terms
@@gwennnnnnnnnnnn bro I just had a science competition about the digestive system
Luis! It's so wonderful that you came on for us to meet you, and hear your advice about getting quick medical care when something goes wrong. I'm so glad you are okay and still able to work in your field. You'll make a great NP!
you know you crushed the leg workout when you cannot walk afterwards
edit: that was a gruesome case and I'm glad he pulled through
You know you crushed a leg, when you cannot walk afterwards
So, you crushed the leg workout when you crushed the legs?
The one time he should have skipped leg day
That ad segment where your dad helps you with the workout and where you return the favor is so wholesome! Dads and sons working out together is such a good vibe
4 minutes in: Doom OST - E1M5 - Suspense playing in a different tone.
how humanizing it is to put a face to the whole story. he has such a blessed outlook and spirit
This was such a great one. We See Chubby in the gym, we see the real sick person, he is a going on to help a lot of people, I might try co--pilot .
Thanks to Luis for sharing his story so openly! this story helps raise awareness on the risks of lifting heavy weights and what can happen especially if not properly supervised and trained. Louis here helping to potentially save lives outside of the hospital as well as in it
Not really he probably had a very rare event, which is why the first set of EMT's though it was an aberration.
If weight lifters were keeling over from this constantly it would be better known.
Not to mention the dangers of going crazy on supplements, legal or not. There's a reason why doctors nag patients about blood pressure (when it is an issue, of course).
Very little risk to lifting heavy weights actually. It’s called progressive loading. You get stronger, you lift heavier
@@Jared-Kreate There's no point lifting stupidly heavy weights regardless of whether your goal is to get strong, aesthetic, or just healthy - or at least I struggle to see the benefit relative to the cost.
@@rutvin8763 it’s only stupid if your not strong enough to lift that weight. But there’s no higher risk with training for strength than there is training any other way
OMG... Chubbyemu squatted at least 220kg!!! I knew he's a powerlifter before, but no idea he's this strong. My gross estimates put him around ~82 to 98kg. That's easily around ~2 - 2.5x his bodyweight. It's advance to elite powerlifter levels! Outstanding!
I don't think you listened to anything in this story 🤣🤣🤣
lol wut?
@@destructorzz7197you didn’t watch the video ?
@@destructorzz7197 🤣🤣🤣
Asian ✔️, skinny ✔️, professional ✔️. Of course he's a powerlifter. They don't care about muscle. How is this surprising?
BEST Chubby Emu so far! Loved the interview of the patient , and sooo glad he survived. subscribed
Great episode! I loved the weightlifting clips and I really enjoyed LF explaining things at the end.
Love a chubbyemu video where the patient survived and gets interviewed.
14:00 The reason why more aortic dissections happen in the winter and in the morning is from people shoveling snow. People fail to realize how heavy snow is and how strenuous this particular activity can be, which is why it's so common to happen during this season and timeframe. Please Google it yourself to confirm this.
That’s interesting thanks. I was curious why it was higher on winter mornings when that came up in the vid
is it only common in areas with a lot of snow then? cause they are less and less with each year
this is why I shovel in layers. I realized as a kid that shit is heavy so I shovel about 4 inches each time.
Google Scholar instead of just 'Google' as a search engine when looking at medicine and biology things
Yeah if your out of shape and don't exercise I shovel snow all the time and exercise alot especially cardio so im probably more then fine
Honestly what a great and informative video. I loved where you and your dad were doing the workouts together, I know being a military veteran myself that us veterans just seek to start exercising with people again- and it looks like you've got your dad goin at it! Aside from that, the video was informative and im glad we got an insider of what Luis felt after everything had happened. Im glad he's furthering his education and using this entire thing as an opportunity to learn more and help others. Thank you for another great video!
Stopped alcohol and caffeine 4 month ago. Never going back. Happy to see LF recovered, medical personal can do amazing things.
i found your channel when i was in high school 6 years ago and i sometimes have struggled to understand the mechanisms behind all those acute and surprising ilnesses, sometimes rewinding 10-20 secs just to listen again and understand
and now here i am, a 3rd year med student, making guesses as i'm watching🥲🥲 at some place in my mind, this channel is linked with my med journey i think.. thats y i love your videos so much
You’ve got an amazing future ahead to be that self aware and attentive to the things younger people overlook. And I’ve never really understood why adolescents are extremely reckless? Like I look back and I’m surprised I’m still alive from all of the things that we had done. Both drug, and just absolutely neglected Situations.
Best advice I can ever give for work, never take ANYTHING at work personally. NOBODY is your friend. It maybe hard to believe because you have to work together. Do not trust nor talk about anyone else at work with another good or bad. It never works out. If you react to someone as well makes you a part of their problem. I’ve learned to listen to everyone and move on. In the end I’m way more stable of a person, and a lot happier knowing I don’t and didn’t contribute to someone else’s problems or anything at that matter. Sometimes I would find myself like working for everyone? Or looking out…. Pffft. All BS.
And AVOID ANY OLACE THAT SAYS “we treat ya like family” ummm who the fuck wants that? I don’t know how everyone else’s family is so in my eyes that’s a predatory behavior. Trying to make an un the wiser person feel comfy for the wrong reasons? Sure want to comfy at work but you’re not cleaning your room and moms not cooking dinner and dad Still is out getting smokes and milk? Sure… but not at work.
If ya knew all this, good on you! But it took me a few years to gather no one knows what they’re really doing, they’ve might of just done it a couple of times before so they think they know it all… literally the answer to every cocky aspect. I’m done
It's so satisfying when your medical predictions become more and more accurate, right?
@@neotronextrem YES!!! even being able to make predictions is making me happy🥹
Man, that is so awesome to hear, good luck to you and may you save many lives with actual physical diagnosis, and not just throwing a pill at a patient.
6 years aho in highschool , now already a 3 year medical student lol . Maths not mathing.
2:25 love the gym bro that added the 2.5x2 to each side for a true 500lbs on the bar. The attention to detail on these videos is amazing.
That was ChubbyEmu himself in those shorts.
Such an amazing story, praise the Lord for allowing him to make a full recovery and praise the knowledge given to the medical team to help him make his recovery
I like that you played the actor in this episode 🎉
It is a crucial reminder that we need to listen to our bodies and not underestimate any symptoms. It shows how quickly situations can become life-threatening even when leading a seemingly healthy lifestyle. Best wishes to LF for his future endeavors in the medical field, his personal experience and insight will undoubtedly be tremendously beneficial to his patients.
Drugs and caffeine can mask symptoms or alter your ability to understand/care for it. WFPB
And a reminder that if you feel something is wrong you should push the medical professionals to double check. Too often cases go from bad to worse because a doctor or nurse brushes it off as every day pains. They just assume people are wrong
@@levimathens9092 Blame the overpriced medical system. It surely kills a LOT of people in the USA.
I was already so relieved to hear he recovered but having him come on screen and speak for the closing segment left me nearly crying.
Videos like these make me so grateful for the amazing doctors we have. Thank you so much for sharing these stories.
Not Luis apparently, it was God that did the heavy lifting...
@hipsable You should rewatch this segment 17:13
He was referring to being able to call the second ambulance.
Thing is we would not need doctors or science if we live in nature and eat Natural food that Nature provide and not destroy our body with chemicals that corporations and insane food safety inspections approve to be safe when all food is full of not safe chemicals that destroy us ?? and these doctors and science do not fight for better future do not protest to destroy these psychopathic corporations who make our food and drinks and everything that is in stores on shelf's is full of chemicals that destroy our body and make our life worse and in need of doctors like this young man that is insane and crazy in this lunatic insane world system we live in ???? :(((((
crying? dude...
@@Cheepchipsable Atheists going out of their way to make a point about literally anything
Glad you’re still making current videos. I’m sure a lot of work goes into them but the first few I watched were at least 3 years old. The poor decisions people make are difficultt to comprehend, but I’m glad they give you more content!
Thank you Dr. Bernard and thank you Luis! It was amazing to be able to hear first hand from the patient that was the subject of the video. So glad you are still with us today and for the incredible medical intervention capabilities of modern medicine. Keep on rollin' we're never out of the fight.
A very close family member in his low 20s had an aortic dissection after he got the flu and vomited too hard. Luckily he made it, and in this case it turns out to be related to a genetic disease and weakened connective tissue. We're grateful he made it, but it was terrifying.
My grandmother who lived alone had one while on the phone to one her grand daughter.
Luckily the GD called an ambulance which got to her in time.
Is it Ehlers Danlos Syndrome? I was diagnosed after my splenic artery randomly ruptured.
@@Valve8806 I was thinking of that as well. autistic people tend to have an above average chance of having it for some reason so I was wondering if I could get myself checked for it (my body is very wacky in general, a lot of chronic stuff).
@@Valve8806 It’s either the vascular variant of Ehlers-Danlos syndrome (rare) or Marfan syndrome. Both affect connective tissues.
@@Valve8806typically aortic dissection you think Marfan syndrome.
So great that Luis was willing to give an interview. It helps us all to realise we need to take care of ourselves. I have a caffeine addiction and needed to hear this. Both Chubby Emu and Luis are an inspiration! ❤
Luis looks like a very humble guy thankful to be alive. I trust he's putting more care and understanding into patient care from his experience. He'll be who patients look forward to seeing simply from the good energy he puts forth. Good wishes, Luis, that you have the best time in your career and satisfaction at the end of every day. 💖
It's beyond cool to see the patient show up at the end and give a few words.
LB, I'm glad you not only pulled through, but you keep trooping on and moving forward. We don't know each other, but if we did... I'd be proud of ya.
Honey wake up, chubbyemu posted
Let me sleep
Lol we all know you are single now
@@JacobCzxD438After you watch, you can sleep.
Isn’t it “babe”?🤔
Babe I'm up
The chubbiest emo returns
Emu.
Seriously? @@samiraperi467Another epic video drops and your only concern is a spelling error? Go have a few prime
Yeah, there's something familiar about that heavy lifting actor.
Doctors in Utah saved my right arm and most likely my life from a 2”x4” subclavian vein blood clot. I was so lucky to come across the doctors that I did.
You go Luis! So happy to hear that he's doing well and has such a positive attitude toward life and it's challenges. Definitely an inspiration!
0:24 "LF was a nurse working in the hospital. During the events of 2020 while taking care of the sudden influx of patients, he developed..." OOO I KNOW THIS ONE! PTSD? Long covid? Severe caregiver burnout? "...a caffeine habit"
WHHHAAAATTTT. Didn't see that coming lol.
I didn't know there were any nurses who DIDN'T have a caffeine habit 😂
My mom would give out 3-in-one instant thai or viet coffee during night shifts and her coworkers drank that shit up and went back for seconds. Especially pcts
@@jessefanshaw8948 Those 3 in 1s are bomb. Those Filipinas on the floor could probably snort it. (Don't do that, it tastes too good lol.)
Are you guys not questioning that he could have gotten the jab. I literally drink 700-800 mg of caffeine and never had heart problems. Smth tells me it's the experimental jab that was the cause especially if the dude had a caffeine tolerance before
@@jessefanshaw8948I drink freshly brewed Viet coffee every morning.
I had a stroke at 24. Still not sure what caused it. I want to reiterate what LF said at the end: YOU know your body.
The paramedics originally convinced me I was just having a headache or was dehydrated and left. Luckily my sister, who is a nurse, was living with us at the time and convinced me to go to the hospital anyway.
She and my wife drive me to the hospital and I was in and out of consciousness at this point so I don't remember much. From what they said, the staff were incredibly rude, literally refused to have someone help me get into a wheelchair, or from the wheelchair into the ER bed.
My wife and sister overheard the nurses complaining about me "acting out for meds" despite the fact I was young, healthy, with zero drug use history.
It wasn't until my sister chewed one of them out and told them she was a nurse that they finally agreed to check me out (I'd been in the hospital 1-2 hours at this point).
Low and behold, I had three blood clots in different spots in my brain and was having a stroke.
So, moral of the story is, YOU know your body and YOU know what's normal and what's not. If you feel something is seriously off, don't be ashamed to insist on being seen and checked out.
I was lucky my sister was able to speak for me when I was unconscious, but had I advocated for myself when I was more alert with the paramedics, she may not have had to.
And had I been alone, advocating for myself might have been the difference between literal life and death.
Be well, folks.
How can people go into the medical field and still let their own biases decide who lives and who doesn't.... I know nursing is a very demanding profession but some people shouldn't be nurses acting like that. Wouldn't it be better to treat one first and ask the questions later?
I can only wish you the best, that what you went through is one scary story
@@Hecker9974 A lot if nurses are psychopaths and like control. Its the female equivalent of male cops that abuse their power.
-An EMT
Yes unfortunately I see many nurses like that, it happens more than it should.
@@Hecker9974 cheers 🙂
As a nurse who worked in the ER for 30 years, stories like yours horrify me. Get the full story & treat the symptoms, it ain't rocket science! Though I've worked with some that are too quick to assume the patient is a malingerer
I love how we can see the actual patient at the end. Please do more of this!
Wow! What a great episode! Seeing old Chubbyemu weightlifting vids is great. Also, getting to see and hear from the actual patient the episode was about was really interesting as well!
Such a great episode! Keep up the great work Doc! Thanks so much for this great episode!
Glad Luis is OK, and LOVED all the CE and Dad stuff! 😍👍
Good luck to you Luis. Glad you are still around to help others. Hopefully over time you will make a full recovery.
I'm loving the interview from the real patient 💯. I love your videos period. Keep up the great work!
I just noticed your little medical pin and it's honestly really cool. I love it.
It's crazy that the government doesn't *require* companies to put the exact amount of caffeine contained in each drink, as well as warnings for heart conditions.
As someone from the eu i would be scared to drink and eat stuff in the us. Shit doesnt need to be labeled + tons of chemicals in the food isnt a good combination.
Hey chubbyemu! It's been a long time since I watched your videos. I just randomly remembered you the other day and now I saw your video in recommendation. it's so nice to see that you are still uploading.
EDIT: Holy crap, this became recommended at a perfect time for me. I recently began consuming about 600 milligrams of caffeine on my workout days and while the results are great and I feel fine, this convinced me to cut it down a bit. Potential long-term consequences are not worth it and I can already tell that that much caffeine affect my sleep, which cannot be good. You even mentioned in your video how long it takes for body to break down caffeine and it is scary, it looks like my body is "high" on caffeine most of the time. And despite having a soft addiction before (on my vacations I could go for days without coffee), my addiction could have easily become a real problem with the amount I have been consuming. Oh, and last week I had a funny incident when my pre-workout kicked-in (tons of caffeine) and I almost knocked down the air bike while getting off it (warming up), I was so high on caffeine then... I hit my leg really hard, so much it was bruised pretty badly the following morning.
Oh well, it was fun while it lasted. I felt like I could do anything....
Doesn't matter. I already made a huge progress in the gym without these caffeine-heavy supplements, I can do it again.
You might have saved my health with this video.
Homie, you absolutely do not need caffeine if you eat and rest properly
if you need preworkout to lift heavy properly than something is going wrong with diet and recovery or you are competing at the highest level. No normal person needs preworkout shits a scam
@@ayanaalemayehu2998
I stopped using pre-workout and all caffeine supplements except for ordinary morning coffee with milk. It's been two days since my last dose and I can already see that if I kept consuming that much caffeine, my body would have suffered.
On one hand, my performance was indeed better than ever, on the other hand, I could have seriously injured myself.
Yesterday my workout was slower than normal, my group and I were doing mostly legs but they felt kinda sore so I was taking it slow. Today is my rest day and my shoulders, wrists and arms are little bit sore, despite not doing anything too demanding yesterday. I am convinced it's a symptom of overworking myself for weeks and forcing my body over natural limits, which I could not feel because I was so high on caffeine all the time. Thanks to chubbyemu, I realized that my body couldn't have digested such high doses of caffeine completely before a new dose arrived. I slept less than normal, which is a bad sign on its own.
But I am going to slightly miss it, my performance at the gym and (not too demanding) physical work felt like it was 200% better, faster....
Maybe that would continue to be a case until my body gave in. Nope. Never again.
Why would you need to consume that much caffeine?
Your way of presentation is refreshing. Thank you, it was a treat.
Glad to hear Luis is okay and best of luck with your studies!
I'm glad to hear from him and know he's doing okay. Thanks for including that.
14:07 “yo dawg I heard you like blood vessels so I put some blood vessels on your blood vessels so you can pump blood while you pump blood”
So do those blood vessels also need blood vessels?
I love seeing the real patient and the fact he was able to continue being a health care provider is amazing.
God bless you Luis for making people aware. And good luck with your future brother.
I was truly moved by this video. Thank you for making this 👍
4:15 I remember watching your videos when I was around 15 years old (now I'm 23), I was a huge fan of your Nuclear throne gameplays and I remember when you shared your experience as a powerlifter. Watching you again at that minute gave me a lot of good nostalgia :')
you are the best chubbyemu, still my favorite new video notification all these years later!
His statement of being a provider and a patient gives him a stronger ability to care for patients gave me a ton of encouragement.
It is my brother! Luis! Omfg
That's crazy. I hope he's alright. Take care.
What doesn't kills you makes you stronger, Luis Flores came back to learn more and share that knownledge. Awesome
LB great to see you at the end of the video! What an ordeal, it’s incredible you made it through. Praying for your success in all future endeavors.
Love this channel! I can't tell you how many times i've said "I eat/drink that!" Not to the excess that some of these people do, but it sure makes me take a second and even a third look at my diet and what I am doing to my body. It also astonishes me that our bodies are so resilient and can recover from what seems like game over.
Thank you for making and sharing these videos! 👍
Take care of yourself! You only have one body and if you push it too far, there will be no do-overs.
1:57 04/20 spotted on the aspirin bottle :D
How old are you, 15?
Nice😏
That's the Austrian failed painters birthday too lol
@@irfuel Almost, I'm 51.
The details on what the body is going through during lifting in the 'Thoughts about what could have happened' segment are incredibly informative.
I want more patient interviews! Super cool he decided to talk to us at the end. Also super cool watching you lift :)
Thank you Luis and Chubby. There is most definitely truth to having a patient turned provider, then provider turned patient. I was a spine/ortho patient turned provider until a recent neck injury in the OR derailed my new career. Now I am in orthopedics helping many people a day as opposed to in the OR helping one. You have a much different, more caring approach when you know what your patients are going through. Many trainers have told me, you can’t teach compassion.
Guy is drinking prime energy
Gross
That explains why his heart popped
7:45 More DOOM soundtrack.
Really appreciate the actual patient coming forward. Brings the reality home.
I have to give it to you! Your soundtracks makes the videos flow smooth! Carry on sir!