As a veteran who is 100% disabled due to service connected PTSD, I see a lot of myself in Joel. From his anxiety/panic attacks, to his grief for having done things to survive. His hyper-vigilance and instant aggression/combat Stress Reactions are all hallmarks of PTSD.
Did you notice, when Joel is in the town trying to fix his old shoes, (right before Tommy gives him new boots) he's having trouble using tools because of his "hairline fracture" that's still bothering him. Showing that indeed, as you said in the second episode, that doesn't just heal in days.
He is finally thinking smart though, he should pull it out. He was climbing up onto a horse and riding fast, the amount of damage leaving that thing in would cause as he bounced around on a horse is worse then bleeding. He can and does apply pressure to stop the bleeding. He can't fix internal damage leaving it in would cause.
@@SohiHien No, because bleeding out will kill you first (and nearly did). In fact, removing the object could cause worse structural damage. This is why when someone has an impalement injury the first aid response is to create a bulky dressing that will prevent the object from moving around and causing worse injury. Obviously, in the show it wasn't reasonable for Ellie to perform first aid but if he hadn't pulled it out he probably would not have bled out and fallen off the horse (which in turn could have caused a head injury, and only through the magic of tv was she able to somehow drag him to the suburbs). If he had in fact stopped the bleeding using external pressure, he wouldn't have collapsed. In the real world, removing an impaled object is never recommended outside of a surgery unless it's obstructing an airway or is preventing you from performing CPR on an unconscious person. In this scenario, given that there was no way to have it treated properly, he probably would have been better off waiting to take it out until they found somewhere to hunker down and aggressively pack the wound once removing it and HOPEFULLY he wouldn't bleed out.
@@meganh7526 bleeding can be helped by pressure. Removing an object if done cleanly won't cause extra damage. I mean it has to come out at some point, you can't leave it in forever lol. Objects should stay inside IF and only IF they can be immobilized in the wound and the patient limits movement. If they are doing shit like Joel needed to do they you pull it out as smooth as you can and apply pressure to stop bleeding. The internal damage and enlarging of the wound by having it bounce around while still imbedded in him will just cause even more bleeding, especially internal bleeding and damage to organs which can't be fixed without a hospital or trained people.
I think what is really interesting with the timing of Joel's heart issues and anxiety attacks is when you remember what came the episode before. Sam and Henry reflect Joels relationship with Ellies in more ways than one, and along with the previous trauma of losing is only daughter, he knows that if he lost Ellie, he would end up exactly the same way as Henry. He simply wouldn't be able to survive the anguish and he knows it. He's been ready to die for decades and now that he has something to live for, its killing him.
FINALLY someone doesn't just yell about not pulling out the bat. People don't seem to consider the situation or the world then live in. In our world? yes don't pull it out in most cases and the other rule to not pulling it out is to NOT MOVE to avoid causing more damage. In the world of this show and their situation? Pulling it out was the smart choice. The internal damage that the bat would cause moving around inside him as he climbed on a horse, bounced around riding away and then fell back off would cause unfixable internal damage which is worse then more bleeding (which applying pressure can help stop).
I love that you didn't critique much in this episode, just explained what's going on. Love it, love watching someone watch my favourite show from a professional standpoint without making me feel bad for watching it 😅
I really wish I'd meet a doctor like you. Not jumping to the first & seemingly obvious conclusion, but questioning & exploring alternatives, considering a person's life story & giving them the benefit of the doubt.
I have had one panic attack in my life, and it was absolutely horrible. I really feel for people who suffer them regularly because it feels so helpless.
It's good to see you back! From our side of things, it can be easy to forget that you do actual important things with your life and this channel is just a side gig for you. :)
I am really glad you mentioned the likelihood (or lack thereof) of an immune person being able to be used for making a vaccine. I was hoping someone would point that out!
As a recovering addict I feel for him. I was being assaulted by an ex while he was attempting to drive and was thrown 50 Ft when he flipped the car on the highway. I spent a week in a coma and months in the hospital relearning everything. Then was given pain pills, til my doctor gave everyone a month of meds and a shrug. The next two years just got progressively worse with me getting stabbed by a man luring women to off the beaten path places, got lucky someone was walking by. Then lost everyone I was close with including my little brother and best friend. I couldn’t sleep without drugs and would wake up bawling and feeling like I was having a heart attack but couldn’t remember why. I think Joel would have been raised like me where showing emotions was looked down on causing you to bury and consciously block it out but it always comes back to haunt you. At a certain point it’s easier to not let yourself feel.
Thank you so so much for continuing this series! I truly hope you get all the way to the end. The last episode has some interesting discussion points regarding the viability of a vaccine that I really want to see you breakdown. I can’t wait :)
YAY! I also really appreciated the highlight of the menstrual cup. To me it speaks to a creative emphasis on the realities of survival from a female perspective beyond how these experiences relate to men, ie pregnancy.
Welcome back, I've missed these videos a bunch! It was so interesting to hear your take on Joel's chest pain possibly being related to an underlying heart condition, I never would've thought of it being anything beyond anxiety! Great video, I can't wait to get your perspective on the last three episodes, especially episode 9!! 😊
Great to have you back! Can’t wait to see this series wrapped up! I wondered if you’d ever seen the Netflix film Extraction? I saw a trailer for the new one and would love to hear you view given what happens in the first film!
Charles Joughin the baker on the titanic apparently survived the cold Water for a full 2 hours with only swollen feet. All he had in his system was alcohol. I just find that a fascinating story.
In the video game, SPOILERS . . . . . the injury that led to this plot sequence was even worse. Pushed off a high wall, onto a piece of iron rebar, which went completely through his entire body. Guess they thought that people would think it was too unrealistic for him to survive that in the "real" world.
Don’t forget it’s probably old and rusty rebar vs a newly broken bat made from assumedly treated wood (though if splinters were left that wouldn’t be good either) is just the icing on the cake. The bat is thicker but having something go all the way through would definitely be harder to stitch up and deal with in general. Oof… it’s hard to watch every time I see it
Don't know if you'll see this, but it immediately popped into my head with the "just bc someone's immune, you can't create a cure stuff" you might wanna react to The Maze Runner. It's a trilogy, another "zombie" Apocalypse movie type
I think it's more likely that Joel is having panic attacks in his "funny turns" rather than any sort of heart disease or heart attack or what not. Now I'm neither a doctor or a psychologist but to my understanding while there's not necessarily anything wrong with the heart because it's pounding so fast and so hard during these attacks it still becomes sort of overwhelming.
Glad to see you back!!❤ and I loved the games storyline to peices and these actors are portraying the story beautifully! Love seeing a breakdown of the medical stuff and you just overall proving yet again why the fireflies are so wrong about ellie being the saviour to them all. Keep up the great work
Gadz man..i live alone and am 40 and have felt a ton of odd sensations inside of myself.. had a bad childhood so am prime candidate for ptsd etc... scares me..don't wanna end up dead in my house for a year before anycnt finds me... thats my biggest fear. My point here i guess is no matter how strong you are..... you're still vulnerable..
In the game Joel actually got fully impaled by an iron rod (he fell on it), so I am glad they changed it to something a bit more "realistic", regardless of it still being a very luck-based thing.
Yay finally, you’re the first man to actually know what the menstrual cup is. I like to watch a lot of reactors and all the men always say “what’s that?” Lol
I have a lot of experience with agoraphobia, as I suffer from a severe case of it. It was my first thought was that was his issue at the start. It's understandable given the circumstances.
Hey Dr. Hope! Just started watching. I finished a lot of your vids. There is a movie that might be cool. I know I would love to see you break it down. It’s a Donnie Yen movie called Dragon. Just dragon but they show some 3D, X-ray shots. So cool and would love to see it. Keep it up. Love it all.
Regarding Joel kliing the guy, I wondered - is it really possible to break a human's neck this way? It's been done in TV and movies so often. Strangling, choking, okay but breaking the neckbone?
Ok, hear me out. I studied film & once researched this for a paper on a Clint Eastwood movie 🤣 It's a bit unclear what Joel does there exactly. There is a military technique which basically involves putting insane pressure on the upper vertebrae from the back. Likewise, a lot of "incorrect" chokeholds result in an accidentally broken neck, as do car accidents - the movement being either front to back or back to front. But the classic movie neck twist to the side thing is rather unlikely. The spinal column is incredibly flexible & just violently jerking the head isn't going to do much unless the head is a) completely relaxed (allowing deliberate overrotation) or b) at a large angle (looking up/down). But even then there's a likelihood the person wouldn't die instantly if the spinal cord isn't fully severed (something akin to internal decapitation). They'd be paralysed though & likely suffocate in minutes. But TV really likes that trope anyway 🤷♀️
It's hard to tell, but Joel may have crushed the attacker's windpipe rather than breaking his neck. Not instantly fatal, but I expect it'd immediately - and permanently - take him out of the fight.
I think they changed it to Joel being stabbed with a baseball bat because in the game he falls over a balcony and gets impaled on rebar and manages to pull himself off of it while bleeding everywhere 😂 This is a LITTLE more survivable I guess haha
Hi mate, I'm curious regarding the fact that Joel pulled out the baselball bat stump from his body, isn't that supposeldly a bad idea to do? The edges are so ragged. What do you thinK?
One question I hope you can answer, when Joel fights the bat guy and chockes into "snapping" his neck, thats not really realistic is it? I mean if the guy was nearing unconsciousness after getting chocked maybe he would be limp in the neck, but even then...
The next two episodes feature moments where Ellie has to try her hand at administering medicine. I’m very interested to hear what a physician has to say about the efforts of a fourteen-year-old in this kind of situation.
Dont be offended, those were probably all that was on the packing list because that was all they had. The fireflys are notorious for not being very good at what they are trying to do. ^.^
3:16 While it will increase the risk of hypothermia, it COULD buy you some time and loosen up those fingers to give you a little more time to make a fire?
No comment on the dog scene? Would’ve like to have known his thoughts on dogs smelling illness especially on someone “immune”. Also no “monkey” comments? Though they explore that less in the show I suppose lol
People always comment on Joel taking out the baseball bat, but what else was he supposed to do? It's not like he could call 911 and get airlifted to the nearest trauma center.
@@saraquill it won't matter though. First aid won't cure this. If it's plugging a big vessel, without surgery he's going to die from bleeding out whether he removes it now or later. The longer he leaves it in, the more infection he's going to develop.
Dude WTH!? Where have you been? And I don't want to hear that you have been busy saving lives doing your doctor job. Get back to The Last of Us videos. LOL.
Welcome back. I hope you had a great time travelling. I’d love to see your reaction to the similar but different injury Joel suffered at the same point in the game. It makes the old broken baseball bat to the gut look like a paper cut.
Looking forward to the rest of the season reactions. I have recently been diagnosed with a low burden of PVCs (ectopic beats) as you mentioned and I can relate to that gulp punch breathlessness for a second during the compensatory pause.