Doctor Reacts to THE LAST OF US // Episode 7 

Ironically, I actually saw this in practice. In college, during fall ball, (off season) we used wooden bats, one splintered and a segment embedded itself in the pitcher. ( A LOT smaller than the whole handle Joel takes.) Anyway, of course we all rushed to him and our first impulse was to pull it out and our athletic trainer literally started shoving people away and told them not to touch it. Paramedics arrived quickly and essentially said if we had removed the piece he more than likely would have died from blood loss.

In the previous episode they "made it in 5 days."

​@@Laurel_Ellenstreetyou dont move full speed in hostile territory

😮

He was also wearing his plot armor, which absorbed most of the lethal damage. What was left was but a scratch.

EXCELLENT! It's just too bad Ellie isn't a cleric!

What's the anatomy of that?

It depends on place size and direction, btw i don't think horse riding recomended after being stabbed

It really depends on the object. Rule of thumb is that you would like to try and secure anything that's sticking out before getting on your horse. Like, wrap a ton of gauze, a t-shirt, other fabric around the object and gently (!) try to somewhat limit movement of it. With a dagger for example, this would work reasonably well. It has a hilt, so technically it can't go in further unless you apply blunt force. Same with an arrow or anything that has a curved/flat bit on top. More difficult with splinters or the piece of the baseball bat here. Depending on how much is sticking out and where, there's a sheer likelihood you would hit the horse with it (not even the bouncy movement itself), so pulling it out, stuffing it/wrapping it up and applying pressure would probably be the better option (in a "no medical help anywhere near" setting that is!). With smaller penetrating objects (think blade broken off like Frodo in LotR, minus the ringwraith bit), it's a lucky guess without having medical imaging. There's loads of bullets or shrapnel bits being left in people even these days when there's no immediate danger to blood vessels/organs and the piece is somewhat blunt. Human tissue is super dense and the likelihood of it moving (let alone at a deadly pace) small. If the piece is small, the bouncy movement alone would probably not do much (unless it was already lodged in or very close to a blood vessel/organ). If it's larger or sticking out slightly, you would want to try and secure it/immobilise/isolate that area to your best ability and definitely avoid ANY further blunt force/pressure/jerking movements at all costs (so careful when dis-mounting a horse, leaning over, turning around... that sort of thing). In terms of bleeding, that would entirely depend on the wound itself. Major blood vessel/organ hit... we don't need to talk about that. In general, your heart would of course pump faster, thus speeding up blood loss if you are exerting yourself. But whether that would really that much of an impact in this situation is questionable. Also... unless you were trying to still win the Olympics in that state, you wouldn't really use your muscles THAT much if just escaping. Like... skip the standing up in stirrups bit, moving your body with the horse... just hold onto dear life and get out of there!

@@vipvip-tf9rw Yeah. If it's anywhere near a major artery or vein, leaving it in would be a *very bad thing.*

Something as jagged as that broken bat, and with the amount jostling that horseback riding causes, it could absolutely cause more damage after the original injury. What’s unclear is whether it would cause more damage than pulling it out.

The fungus needs a living body to control, if the body dies, then it cannot control. So I’d say it depends on how far the infection gets in the blood or tissue before the amputation, time is key.

I think it's heavily implied that it worked but he died of blood loss, or his body would have had spores around it.

In the first episode we see several amputees in the Boston QZ, which I took to imply that they had been bitten but were saved by a quick amputation. Of course it could have been for lots of other reasons. I didn't see a bone saw anywhere in that mall though, so that probably wasn't an option for Ellie and Riley. Though maybe a tourniquet could have bought enough time to get to surgery?

@@iwikal I think you’re right, and maybe a tourniquet would work, but I’m skeptical as it seems to also move through tissue, as you can see in an infected persons skin. But a tourniquet might squeeze hard enough to keep it from moving through the skin but I don’t know.

Wish I could like this twice. Couldn't agree more

Lmao all I'm thinking abt is Dr.Mike. I'm so glad Dr.Hope is seeing this from different angles too, it's much better that he's weighing the options of 'absolute vs likely' instead of jumping to everything being bad or futile. Bc yeah, this is literally an apocalypse situation and these characters don't have any other choices to survive.

@@beccazach Exactly

​@@beccazach it is why Dr. Hope is miles better than Dr. Mike. That guy is just 😒

Even though he said he watched the show, I’m pretty sure one of Dr. Mike’s people saw it for him, clipped out the relevant bits, gave him the cliff notes on the show, and then had him react, cause half the things he said made very little sense to what was happening on the screen.

5 day hike I think they said

​@@n8roland 5 day hike for their Horse?

@@lgoamity no not for the horse. But remember that they traveled quite a lot. They moved out of the vicinity of the settlement (remember it had a reputation that would keep outsiders away). Then Ellie had some shooting lessons. Then they went to the university. Then they fled and rode to what looks like a suburb or at least less urban part of the city away from university. So yea Tommy had to be at least a day's ride away if not more. She may run into the attackers. She's not used to traveling long distance alone. Nightfall would soon come. The horse is also tired and needs rest.

@@iwatchwithnoads7480 ??!! Are we watching the same show/timeline? The University wasn't 5 days ride by Horse from Jackson? They weren't able to do everything we saw of that trip TO University in those 5 days? OK yes they had to "run" after the Attack... We don't have exact details if they "escaped" toward Jackson or not... But can we agree it certainly didn't seem like it was days on the run? With his injury, and horse vs people on foot... I'd suspect it could have been just minutes (lets just assume 1 hour to be "safe" that no one was following)... After falling off the horse we jump to them already "safe" in the suburbs. We don't see how she rigged up (I assume) a sled/stretch for Joel but again I don't see how they'd have shaved days or even hours off a normally 5 day (by Horse) trek? With the signs of blood loss to the house could she have afforded to have spent even 30 minutes travel time to shelter? I haven't played the game but starting with this episode I was "recommended" a RU-vid movie compilation of the Game's "Left Behind"... Which I watched before the HBO Episode aired. Was looking forward to seeing Ellie's adventures to a local mall for supplies. That didn't happen in the show but IMO could have... Basically they wouldn't have needed to ride too long to get into the "suburbs" and still be relatively near the University (and a Mall if Ellie or the Show wanted to explore the option).

@@lgoamity idk if we're watching the same one but you sure aren't reading what I wrote before replying

It's a memory limit for the early arcade machines and consoles. They couldn't add a bunch of different bones without removing other graphics. Duplicating the image however is basically free. So adding a well recognised bone a bunch of times gives the effect they were going for without costing too much in memory space.

Honestly, I just figured it was an animation limitation -- a ton of different bones would have been difficult and expensive to render (versus multiple standard "femur bone" shapes).

He was 5 days away or more. They mention in episode 6 when arriving at the University that it had taken them 5 days to get there from Jackson.

In the bar scene in ep 6, Tommy said the University of Colorado was a 'week's ride south', so that would be close to 2 weeks round trip.

I'm no expert, so this is pure speculation, but I think his injury in the game might've been easier to treat in some ways. The rebar had a much smaller and more even diameter, making the entry wound easier to close, though of course there's also an exit wound to contend with too. The baseball bat handle was sharp, but assuming the tip of the rebar was blunt or rounded, then it might've had a better chance of simply pushing between Joel's intestines, rather than cutting into them. And finally, a piece of inorganic iron might potentially have fewer dangerous bacteria than a bit of old wood that's been handled by unwashed human hands. Tetanus is often cited as a risk with rusty metal, but I recall that tetanus is anaerobic, so it's mainly a threat if the metal has been buried underground rather than exposed to the air. It's entirely possible I'm wrong, though, and I'd be happy to hear it from anyone better informed.

The problem with the game scene is that he fell from upper floor into a rebar and managed to survive... without even sustaining head injury from the fall lol...

Why thank you

Me too!

Also in the first episode of the tv series we briefly see two men lacking limbs. I wonder if that's due to the amputation to prevent infection.

Probably- seeing an object in you that's not supposed to be there isn't normal, so our brain will naturally make us remove it. With Joel, his adrenaline rush from the fight likely made him not feel the pain of the bat in his body. And realizing he couldn't mount a horse with it still inside he took it out, probably realizing too late just how deep it really was.

@@beccazach One thing's for sure, whether in fiction or real life, there's no drug stronger than adrenaline. (And yes, before everyone swoops in to correct me, I k.ow it's actually a hormone.😉😄)

Just excited that the Mario movie is out

​@@DrHopeSickNotes thought you were cosplaying as Biggs Darklighter at the Star Wars Celebration 😂

Oh that's what it is! I thought he had been drinking hot chocolate. 😊

Does this mean there's a Mario video coming on the effect of eating mushrooms?🙂

Hahaha yes. I’m gonna use that next time!

It just pools there. So if the bleeding continues you’d die from blood loss. If the bleeding somehow stopped the blood could be a source of infection particularly in this instance from that open wound. Otherwise the best scenario would be the bleeding is stopped and the blood that has collected there is probably reabsorbed over weeks

It's just like with a bruise. A bruise is bleeding too and the body flushes it out over time.

It’s such a mess right now. I fully support the strikes but trying mainly just rely on the BMA representatives to do the media talking, I wouldn’t want to say something wrong that is used against us. Good luck with your finals, message me on Instagram if you have any questions about F1.

Yeah this reminds me, I'd love to see Dr Hope react to medical scenes from the Outlander series. Claire is a trained surgeon albeit from the 40's to 70's and timetravels back 200 years, and struggles to help save lives, and continue practicing medicine.

Not a lot of options in this scenario, but in some other survival movies I've seen them cauterized the bleeding with hot metal. Without medical experience and tools though it would still be super risky and might even do some more harm.

@@lkf8799 Burning is more versus infections and can stop small blood vessels from bleeding. But against bigger bleedings it is useless. Especially as the wound is quite deep and you have no clue what has been damaged....I don't see that this would be helpful.

@@silverfox9267 Exactly. Only works great in action movies 😉

Ideally you’d have imaging to see if there is internal bleeding. If so you’d get a trauma surgeon to open you up, find the source of the bleeding and cauterise the blood vessel with diathermy.

@@DrHopeSickNotes Love you. And your beard is a banger. Greetings from Germany. 👍

He would have bled out so fast in reality though with his wound from the game. Bleeding from both sides like that after ripping it out of him at that horrible angle? Yeah his insides are shredded he probably wouldn't have even made it to the horse let alone the basement.

I mean, in the most technical terms sure. But we already know that people can be infected, then lay motionless and seem to be "dead" for days, months, or years before reawakening. They can easily lay dormant for long stretches at a time. It does make sense that Ellie specifically, as a young person with no direct experience, doesn't totally grasp the concept yet, but there's a reason that they burn bodies and that later Ellie stabs the zombie in the cellar to make 100% certain it's dead (in addition to just plain old vengeance/anger). Any reasonable, experienced person in this world that sees a seemingly dead but fully intact body would want to stay well out of arm's reach, for good reason.

@@houktg They burn bodies because its easier than having mass graves, and less risk of any infection. Ellie kills the infected in the cellar that is STILL ALIVE because other than her one encounter with Riley she's never got to study and look at one up close. A

@@bakdpotato143 In your first comment you specifically said no one should have any worries about the dead infecting them, now you're saying they burn bodies because there's less risk of infection. You're contradicting yourself and agreeing with my point, my man.

@@houktg I.e DISEASES DEAD BODIES CARRY. Have some comprehension.