As an NFL fan, you've made probably the best case I've heard of why Damar Hamlin should have won the award. The reasons why he should have won really transcend beyond just level of impact on the field.
I have a tremendous amount of empathy for the issue of being afraid to sleep after a traumatic experience while sleeping. I didn't have a heart attack, but had pretty sudden onset of serious symptoms from congestive heart failure and spent two sleepless nights in the hospital afraid that I would stop breathing immediately if I fell asleep. I finally, decided that if that's the way I was going to die, there are worse ways to go. Obviously I was in a mentally altered state, because if I had rationally analyzed the situation, the monitoring I was on would have provoked immediate intervention. But, the real point is that coming to terms with one's own mortality can be difficult and clarifying. It certainly changed my priorities.
I came here knowing you were going to talk about carotid cavernous fistulas, because I have Vascular Ehlers-Danlos Syndrome (VEDS) and spontaneous CCSFs are very consistently associated with VEDS. I was thrilled when I got the extra bit at the beginning hearing about your cardiac arrest and the mental recovery associated with that. I 100% relate and I’m sorry you went through this. I have not had cardiac arrest, but in 2021 my spleen ruptured spontaneously, my renal artery dissected spontaneously this past November causing me to lose half my kidney, and while I was in the hospital, my iliac artery dissected spontaneously and I still don’t have full blood flow to the leg. In 2016 my carotid artery dissected spontaneously. I’ve had at least 6 TIAs. And above all the mental recovery has been the hardest. Hearing you talking about being afraid to go to sleep was so relatable. THANK YOU for talking about this. Awareness is so important, not only the medical awareness but the mental health recovery awareness as well. Thank you thank you thank you!
"I love having two of the same organ!" just so genuinely said made me laugh because it's just so nice to have people excited about their field like this. I've learned so much from you and your podcast.
I think an interesting idea for a video would be how constant flight effects pilots' eyeballs, and what kind of things you test for in an air crew eye exam.
I'm a medical rarity and yep, i really do enjoy when they bring in the students. Please learn from me so others don't have all the troubles I have had!
When I was young I had a very bad sinus infection. After it cleared, I was actually able to push air from my tear ducts or that area around the eye for at least a year. Because I was young I thought it was cool and loved demonstrating my new super power.
This made me want to know what the weird noise i hear when i close my eyes is. Turns out it's the tensor tympani muscle (in the ear) contacting. Thanks for keeping me curious!
Top 5 most important organs: -The liver (It's in the name, can't live without it) -The brain (I mean) -The kidneys (So important you've got two of them, and unlike the eyes can't live without them both) -The heart -The skin (Extremely important but aside from very rare and very hot circumstances I don' think you can lose a lot of it) Don't @ me
I originally said kidneys but then I remembered dialysis exists and you can live with one. But I do agree with Dr. G. Eyes are top 5. If you don’t have eyes, you need ears and vice versa.
Yeah you don't even need dialysis with a single kidney. In the absence of other problems, one is enough! However, I think you need skin in just about every circumstance, if you want to be able to regulate your body temperature and not lose water precipitously. That honestly sounds harder to live with than ZERO kidneys.
I'm sorry to say people don't last long without being able to process food either. There's nothing we can do if somebody's got stomach cancer bad because you can't just remove the stomach, but I guess small intestine is technically a little bit more important. But the eyes are definitely more important than the colon.
My sister (who is basically my genetic twin) died 2 weeks after a surgery at the age of 56. So every time I have any surgery, I have to face the idea that my chances of dying are much higher. Her body and mine were so alike that we had all the same med issues at the same ages. So the whole idea of not being alone for a good time afterwards really hit home here.
Also, don't drink and park! Accidents may cause children. I'm a heart-attack survivor, too. Happened at work just over 5 years ago, and I still have occasional mental-health issues from it. Suddenly realizing you're mortal and on the edge of death, in and out of consciousness, flashes of things I remember from it, and the most profound... sense of peace... I have ever felt. Sometimes I actually feel sad about having survived... that peacefulness... it's so hard to *not* want to feel that again.
@@mikebarushok5361I have Ehlers Danlos with Marfanoid Features & family history (amongst other Dxs), and historically I either intrigue, or terrify the medical students. Usually the latter lol.
@@mikebarushok5361 lol, I get used to terrify med students (jk, not really). One of my docs likes to use me in a lesson in the unexpected (she asked first). I have PTSD from doctors and students learn not to make assumptions about someone's medical knowledge and ability to answer questions just because they look terrified.
Like a clicking kinda noise, I get that, and you can definitely feel it when it happens, and for me it'll normally happen a few times in a row. Weirds me right out
Really like hearing the way you talk about eye conditions. Gives me ideas of how to better explain things to patients. If you could include more of how you phrase things to patients, that would be real cool. Keep up the good work!
Hi. Love your stuff. Two overlapping topics to suggest: Weiss Ring floaters and Macular Puckers. Both recently encountered given my accumulation of birthdays.
Hey Will, I got the pleasure working with the ophthalmology department on an orbital floor fracture at the U Of I. it’s always cool to see ophthalmology come in and whittle away during surgery . As you know, the departments are separated from the major OR. I was thinking about buying a lottery ticket because we don’t often see ophthalmology in our department but alas, I did not win the lottery. 😎
After having 10 bilateral jaw surgeries, my eyes have been affected in many ways. After one surgery I had bells palsy. It eventually went away. After another surgery my eyes teared for 3 weeks. Still another surgery, my eyes were dry and I received collagen implants so I could have tears again. My eyes are fine now but when I blink, I can feel it in my cheeks and the mandible area. The dentist can feel it when he works on me. My nerves, vessels and muscles have been rearranged from all of the surgeries. It's just a weird feeling whenever I blink. My forehead still doesn't move but at least I don't have wrinkles. Thanks for sharing another interesting talk about eyes!
I’d love to have an episode on ocular migraines. I was freaked out when I had part of my vision get blurry and staticky when I had one. Luckily I lived near an eye clinic and was able to pop in and get reassured that it was nothing to worry about. By the way, love all your knock knock eye episodes! Always very interesting! Eyes are fascinating!
Lol, one of my docs loves using me as a "lesson in the unexpected and not making assumptions" (she asked for permission first). I have PTSD from doctors (in her field no less), and students first reaction to seeing me on the verge of a panic attack is often to way oversimplify their questions and information transfer to the point it can get condescending. I've got PTSD, I'm not three. After I reply to their questions with 10x the medical lingo than they used, they generally learn. I also help them to learn to ask better questions. Because I'll answer the question they asked, not the question I know they thought they were asking. Just because I know doesn't mean everyone else will. I'll give them a few chances to rephrase and then help them out. It's not the easiest thing for me to do given my trauma history, but it helps. Both the students and me. Because it's just talking most of the time, they've never done anything more than use a stethoscope without the doc in the room. So it helps my brain to learn to not freak out.
Oh my gosh! I *HATE IT* when I can hear my eyeballs move!! For me, it usually accompanies migraine or illness. A bit bummed that this video wasn't about the whooshing that I sometimes hear. So, my question is -- how come I can sometimes hear my eyeballs move? ❓
I’m seeing Tabitha in the corner… you might have to pull a Patrick Swayze and pull her forward for a dance: what do you have her do as an ophthalmologist? For a future episode?
Kidneys! I’m not nephrologist but as someone who knows kidney failure, kidneys are definitely up there. Edit: assuming you’re not eligible for a kidney transplant. Now that I think about it, there’s dialysis but apparently you can’t get dialysis if you have CHF.
I would love to get an eye doctor perspective on how frequently mascara should be changed out. I dispose mine every 3 months but would love a professional opinion
I had to click this - it's funny, I was just coming off SNRI cold turkey after getting Serotonin Syndrome (it was an awful experience). One of my symptoms was exactly this.
I see a flicking in my eye here and there, like an old 8mm film flapping at the end. This has been since a macular hole surgery. My eye guy doesn't know what or why.
My son has a steroid cataract caused by long term steroid use when he was a kid. He has lupus. He hasn't had a flare in a really long time.. He was on plaquenil for a long time and had to get an eye exam every 6 months.. Can you talk about the effects of long term steroid use, plaquenil use or lupus on the eyes?
While eyes are vital to us, I would argue that the skin is the most important organ. Most others can be completely replaced/repaired, but not the skin. Large sections can be replaced with extensive months of recovery, but it does not function as it did originally. Obviously eyes are in a tie with the skin for hardest to replace, but you can certainly live as blind.
Brain, skin, heart, liver, and lungs if you count both of them as one. You can live without eyes, you cant live without these other five organs. Eyes are still awesome though
I have neurofibromatosis 1, so I've been the hey can the med student/resident come see you, and I've got a weird (but harmless, I think) related eye thing with lisch nodules...I don't mind helping someone learn, but it does also make me feel like yup, I'm a freak...
A couple times i have had that happen where a doctor calls in other doctors to look at something on me. Ome time it was due to a weird rash on my head, and she wasn't 100% sure herself about it so she called in another doctor to come take a look. Second one was dur to a weird spot on my back that had formed into a legit nesr perfect square. We had absolutely no idea where it came from. When it first started forming it wasn't a square, just oddly shapoed but by the time it actually got checked by a doctor to be removed it had formed a near perfect square. And the doctors and nurses were all pretty amused by it. The doctor himself said he had never seen one turn into a perfect square like that before. And his was an older doctor too.
Pancreas? Plenty of people live without that. I'm going to say stomach or small intestine should have slot number 5 because I know if people lose or would have lost either of those they just die😢 we can't get long-term nutrients into people without the small intestine being able to absorb the nutrients and everyone I've ever known that's been in a situation where the stomach stops working can't get enough nutrition into themselves to stay alive for more than a couple of months.
@@darcieclements4880 the pancreas is where insulin and glycogen are made? You can get by with store bought insulin but I don't know about the glycogen... Plus all the digestive enzymes are made there. People often lose part of the small intestine, some people have bariatric surgery that connects a small part of the stomach to the large bowel and they are fine. Granted having the stomach stop working is usually a bad sign but with feeding tubes it doesn't matter (my nephew and a friend both have stomachs that don't work). Usually getting the feeding tube and bypassing the stomach does wonders for those with severe issues.
@@darcieclements4880 you cannot live without the pancreas. It produces insulin and glucagon, we have man-made insulin but not glucagon that is the hormone that takes sugar it of storage. Also you produce the majority of your digestive enzymes in the pancreas. If you have a condition bad enough that causes your stomach to stop working it can be bypassed with a feeding tube. My nephews, niece and a friend have them and get alone just fine. There is also a bariatric surgery that disconnects the majority of your stomach and most of your small intestine and reconnects the top tiny pouch of the stomach to the large intestine. The remainder of the stomach and intestines are left in place they just don't receive any food. People have lost their stomach completely to cancer and get along fine! They get a pouch made or just connect the small intestine to the esophagus. Same if something goes wrong with the bowel, they bring it to the surface of the skin and make a stoma that empties into a bag. Really take a look at all the things the pancreas produces for us. Definitely need that for digestion.
Question for you…how do eyes and migraines relate? I have migraines and sometimes i get more pain in the right eye, sometimes more in the left. Usually more in the right eye. Is the eye causing the migraine or is the migraine causing the eye pain? Thank you for all of the great stuff you and Lady Glaucomflecken do! I’m a co-survivor too…thank you for that phrase, btw!
You should get that checked because there's different types of migraines and the answer could be either but one of them you definitely want to know if that's the type you have.
I have a bit of a condition that I forgot the name because it doesn't change anything in my life (mostly), but is related to my inferior extremities shaking uncontrollably when I do certain movements (it's not a lot of shaking or something like parkinson, it's a lot more subtle and going back to a normal position makes it stop). A year ago I had a super panick attack that made me end up in the hospital and the doctor saw that my feet were doing this weird thing sometimes and suddenly there's a bunch of med students looking at me and poking my legs and feet because of this somewhat rare condition that I have. It was fun and stressful at the same time, because I had to do a lot of exams to make sure there wasn't anything wrong with my brain and until they were finished I didn't know if it was something serious or not!
Just remembered, the name is myoclonus and it's not a problem UNLESS combined with severe panic or stress attacks, then I'll probably be unable to walk for a day or two.
I've noticed lately that it's a bit harder to see clearly in twilight for driving. Daylight is fine and at night is fine if everyone has their (nonblinding) headlights on, but I think during sunset when most people don't have their headlights on yet because it's not quite dark and everything's a washed out grey of very similar brightness, it's harder to differentiate everything and sometimes I'll have a bit harder time getting my eyes to focus properly then. Is that a normal thing to notice as you get older (mid 30s)? Anyone else experiencing this? I've got a routine eye appointment coming up but I've been avoiding the air thing and dilation because they're really uncomfortable and give me anxiety for a couple years and wonder if I should have them now just in case.. I did notice during the peripheral flash test thing sometimes one eye tries to overpower the other so sometimes it's hard to see the flashes because the dark eye wants to be seen more.
Are eyes part of the brain? Edit: I've had 1 professor at my university tell me yes, 1 tell me no, and 1 tell me that they're part of the peripheral nervous system.
Totally part of the brain. They're literally brain outgrowths. My mom, a doctor, has a brain anatomy poster that includes the eyes! None of the rest of the nervous system below the brainstem though.
It is caused by an abnormal hole (thinning of the lower skull causing sound conduction directly up to the brain) as well as vertigo. Planning a craniotomy to have hole patched due to other noxious neuro symptoms (like eyes vibrate with low loud sounds).
The skin is the most important but largely forgotten organ. The brain is the second most important organ. The eyes are the third most important organ. Without the brain, the eyes wouldn't function...at all. Without the skin, nothing would be on the inside and diseases would destroy all of the other organs in very short order. The heart, while important, can be replaced with artificial heart components and quite a few organs can be transplanted. The skin, brain, and eyes on the other hand are irreplaceable.
I too had strabismus correction surgery at 2 or 3 years old. I recently N Noticed one eye drifting out again. I have been to a couple of appointments with a specialist and it looks like I can have it corrected
