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Thanks for the kind words. It's so unfortunate when our colleagues assume that we have negative intentions or, worse, that we are not credible to give medical education. I'm glad you've paved a path for the rest of us phyaicians on social media. It's certainly not easy, and you're doing a great service!
agreed 😃
I commend you for taking your concerns for Dr Mike to private, and not putting him on blast. Praise in public, criticize in private. Really cool what you did.
What is nuanced?
And I find it interesting that the assumption is that Doctor Mike doesn't make referrals. And you can tell this guy treats a different class of people because the assumption is that all of the patients can (and therefore will) follow up with a specialist. This guy doesn't have to deal with insurance companies, prior authorization, copays larger than your food budget for the week, deductibles which are 50% of your take home pay, etc. The lanes they should focus on is the class of patient they have and seek to get the best for them within the realistic financial boundaries given their necessary--not idealistic--outcomes.
What is a phyaicians
It shouldn’t be controversial to suggest that our mental health is tied to our physical health. It absolutely is and always will be
Did you not know that the skeletal system exists outside of the human body? Of course it is not related to mental health! Edit: Wow! Did I make a grammatical error in my statement above that people are missing the sarcasm particularly targeted at the "Orthopedic expert" that commented on Dr. Mike's video? I must not be good at it yet. Or is it that people who respond weirdly have not watched the video? Hmm...
Well you heard it here, from an orthopedic surgeon, the brain doesn't control anything! 🤣
All I say is, if you don’t take care of your mental health you also might neglect your physical. But idk, I’m not a doctor.
yeah.. Placebo and nocebo have been recognized as a real thing for years now. The epitome of something created in the brain
@@rbr1170yes it is, if something bad happens in your life like depression, your body will be affected because you could eat less or abuse drugs. And if you get your physical health in check and workout, get fit, then you will probably get a lot happier in life.
I always find it funny when someone tries to give toxic criticism, but then their tone COMPLETELY changes when they get a polite response.
Social media just seems to condition people to assume the worst of others, make you put your guard up, and assume aggression is the only way you'll get your point across and to never ever try to see the other side.
I didn’t see it as toxic criticism. I think neurotypicals tend to over react to someone giving reasonable criticism. The surgeon was very polite and O actually agree with them. They explains the mselves after Dr Mike misperceived their criticism and it was cleared up. People need to stop assuming the worst and taking everything personally. Neurotypicals especially like to argue and make things gossipy when they’re not. It’s a valid point. Dr Mike missed a step in the process. They communicate differently.
@@JDMimeTHEFIRSTyou realize there is no way a public comment calling your content "clickbait" and questioning whether you're competent enough to have an opinion on a subject, while getting your profession wrong as well, is in *no way* classifiable as "constructive/reasonable criticism", right? And I frankly don't get why you make it about neurotypicals, as a neurodivergent individual, it seems rather proposterous.
OK. But that's a good thing.
@@JDMimeTHEFIRSTsending this message in case you didn't see his reply
The mentality of "I welcome criticism because it makes us all better at our jobs" is a mindset I wish more people adopted.
Too many people's ego's can't tolerate that sometimes they're not accurate, and block both ears and shout, the world would be much more flawed without criticism
@@adammaine1313 you sound like the type of bad faith toxic critic this video is actively advising against.
@@chimeragenesis361 that doesn't make any sense, he just said cognitive dissonance exists, and it does. Some people can't handle being wrong and choose to be stubborn instead of learning something new.
Criticism isn’t helpful. A real desire to make things better comes from people that can have ideas to help
@debbylou5729 constructive criticism in a decent manner is though. By pointing out an objectively wrong statement or action while being polite in your approach with evidence is probably the best way to resolve a mistake.
Jealousy is such an unattractive emotion.
Jealous of what?
@@palerider955he is assuming that the trolling from the other doctor comes from a place of jealousy. I don't know about that, but it's possible. Dr Mike is a rather big person online. Maybe the other doctor wanted to throw some shade on Mike to get some clout himself.
@@palerider955 Of Dr. Mike's success? Of Dr. Mike not contacting them when they offered to help?
When I saw that he had sent a fan comment to Dr Mike’s dms it made me wonder if the other doc started hating on him cause he didn’t get a dm back 😬🫣😂
@@LillerThatIsMeSame thoughts. I feel like he's having a tantrum because Dr. Mike did not ever respond to him or asked him for information despite him offering it.
"Getting your heart broken by someone will make you feel terrible" Cardiologist: YOU KNOW NOTHING OF THIS MATTER
😂
So it's true then, Padme died of a broken heart
@@rileybirkett3644 Are you a cardiologist? If not, you shouldn't speculate about padme's demise.
LMAOOOO
People are allowed to speculate about what they want Stop gatekeeping other Oh and before you say you aren’t You are
Someone close in my life was a victim of sexual trauma. She then a few months later started having pelvic pain. She went to her gynecologist several times trying to find the source. Pelvic exam, x-ray, and MRI found nothing wrong. She broke up with the boyfriend, and a couple months later, the pain decreased and eventually went away. The patient came to the conclusion with her psychiatrist that the pain was largely psychosomatic and she has since come to terms with it. Real pain can definitely come from psychiatric causes.
Possibly, or maybe she has Endometriosis and it’s gone undetected. It commonly ignored. If she works on her mental strength and continues to have pain during sex, she should see another specialist.
@@xxxxSOSEXYxxxx Absolutely. Thankfully, the pain subsided almost immediately when she got away from the guy. ❤️❤️❤️
I dont know how Doctor Mike feels about this, but i think family physicians are uniquely positioned to be able to comment on a broad range of topics because of their "jack of all trades" nature. My parents are family physicians and note having general knowledge of various systems (and even some psychiatric issues) is vital because the family doctor is usually the first person a patient goes to for help. Just my two cents.
I agree. I am also not sure why physical and psychological possibilities can't be explored concurrently. Why does a patient need to wait (in Pain) for all the expensive tests and specialist appointments to be concluded before some one asks about their mental wellbeing? Even if the cause is physical there may be some interventions that could help build a patient's psychological resilience and ability to cope with the stress of experiencing pain
The Doctor Mike team got balls of steel for doing this. I respect them.
For one sec i thought u respected their balls💀💀😭
@@akaValeria7I do.
No respect from me. This is exactly what trolls want. Just ignore them.
@@NebulaDarkthat is true
The video says he's responding to a troll, but the entire video is of him responding to a fellow medical professional that had a bad take. That's not trolling
"My colleague treats pro athletes, I treat REAL PEOPLE" 🤣🤣🤣the subtle shade of this sentence made me chuckle.
Oh yes 😂😂😂
Servicing high end cars is difficult, but it takes a different breed of medical professional to service normal, average cars on a daily basis by the hundreds, if you catch my drift
the funny is as a former competitive runner, I never wanted to see a doc who treated real patients... cause my problems weren't normal problems. Like "yes I can walk fine... but I'm racing against other fast people, so no this isn't good enough and this barometer for health is not useful to me".
🤣😂🤣😂
I think he meant "average" and not "real". Unless he thinks all athletes are fake people, like how the moon landing is fake according to some? 🤔🤔
You're laying a healthy blueprint for the rest of us doctors on KZhead. I appreciate that.
A family medecine doctor saved my mothers life. She had a brain aneurysm that ruptured. When she went to the ER, they didn’t scan her or anything, and just gave her pain medecin. During the night, she was in so much pain that she couldn’t turn her head, and was vomiting. She called her family doctor, and that doctor recognized the symptoms, and immediately sent her to an other hospital. My mother survived, and a few years later she gave birth to me. Family doctors are important, because they have a broad and general knowledge of symptoms, to understand were to send you and if your life is in danger.
Rena is incredible - she’s truly the best! I think a lot of the ego slinging so common in the culture of US medicine becomes much more obvious when some of these doctors engage online.
Hi Doctor Jones! You’re such an inspiration in the online medical community! Thank you for spreading your content. 😃
Love you mama doctor Jones! Thank you for your safe community in all cases :))
You are so sweet and smart and are also hilarious
mama doctor politics!
Mama Dr Jones for president 2024... lol. You're amazing!! You are too, Dr Mike. You can be her VP! 😅
What happened here is a prime example of someone who felt confident and tough behind a screen, and then switched up immediately after being called out. Way to stand up for yourself and call them out Dr Mike well done.
Meh your attitude is also Internet tough guy and toxic. Dude might just have had a bad day.
@@usernaamesliterally in what way is op acting tough or toxic lmao?
I can't see how your comment is relevant, or accurate. His comment was on point with the case presented...@@usernaames
YUP. Exactly what happened. He forgot Dr Mike is actually Mikhail Varshavski a real person with real feelings and decided to spew nonsense because he thought there were no consequences. And when confronted on it, he made it WORSE by not just admitting that he was wrong, instead he tried to talk in circles
@@usernaames I was going to respond but it appears others decided to take care of that for me
The worst thing a doctor can do, is to not open up in any directions. Actually I have a doctor, she's not listening and she's just focused on "her lane". But diagnostic can't be "in one lane", you HAVE to inform yourself beyond your comfort zone. The worst nightmare as patient is to feel unwell and your doc says "nah, don't know. It is what it is" and they're not taking your problem seriously. I really appreciate your point of view. You're really a great person and don't let anyone change that ^_^
My doctor was much the same. You could almost hear a timer start when she rushed in with her laptop. She did not listen and sometimes gave untruthful advice. Ten minutes or so seemed to be the time allotted per patient.
When i was 14 i had stress-induced gastritis - throwing up blood, couldn't keep solid foods down, etc, but my bloodwork was fine. The first doctor i saw in urgent care said it couldn't possibly be stress because i was 14 and had nothing in my life that could be that serious, then he said i was probably faking it to get out of school, then saying i was probably bulimic. 15 minutes with my family doctor and he correctly identified the cause, gave me medication and directions on how to keep my stress levels down. I had lost 10 pounds in a week, and was a few days away from an ulcer. At 14. He literally saved my life. So much respect for family doctors ❤
"I want colleagues to criticize me" appreciate Dr. Mike for wanting to receive constructive criticism to be better
HeinsenbergFam!!!
If only “scientists” like Peter would do the same….
Wow a breaking bad fan never seen one
Oh hey again HeisenbergFam
If I see you again I swear to god
As a clinical psychologist, it’s very frustrating to see the negative reaction from health professionals to Dr. Mike’s attempt to talk about mental health. This physical-mental health divide is a barrier that we are still trying to get over, and continues to negatively affect the care we give to all of our patients. Keep up the good work Dr. Mike!
My local university's med school is building a new campus focused on "brain health" which is really cool because they're trying to really increase collaboration between psychology, psychiatry, and neurology. The compartmentalization of mental health and physical health has definitely been a barrier to positive outcomes, but the growing movement to fix that is super exciting to see
So let me ask you this question how do you approach a colleague whose bedside manner isn't really good? Like years ago there was an incident where I was in the hospital and they told me they wanted to amputate my leg. I told him I was not ready. They were more focused on the physical aspect of it but disregarded the mental part of it and I kept trying to explain to them that well yes something that needs to be done but I'm not ready to do it and it's like they didn't get it except maybe one doctor and the problem was they kept sending in other doctors to try to convince me to do it. I was just not ready because the mental side of it would have been more hard for me to recover from in the physical. So how do you approach a colleague and tell them that even though they're not paying attention to the patient when they're saying they're not mentally ready but from a colleague what can you say to them to make them understand that they shouldn't push it on a patient like that?
@@allysonchen2097 that’s where the interdisciplinary aspect of the health professions (in all aspects) comes into play. There are specialties in psychology (such as health psychology) that are specifically designed to help patients prepare for and recover mentally after medical procedures. Of course there’s a lot more to be researched and implemented but at least it’s a start and a step in the right direction.
I kinda get the backlash tho, but it was very unproffessional. Rather as insulting him he should have calrified that you should not always assume it is mental health related. I have experienced myself that some doctors treat a mental health condition without letting the patient being checked out throughly, just some multiple choice papers are not enough! What Dr. Mike could have done better is to clarify that the patient may be checked out in EVERY aspect throughly. In my opinion people could get a wrong idea with DR Mike's video and jump conclusions.
I've had physical pain as a symptom of mental illness, and it's so frustrating when people are willing to go to scammy "doctors" and give all their money to grifters rather be open minded to the idea that physical pain can be a symptom of mental illness. By saying they think it means "it's all in your head," they are the ones perpetuating stigma against mental illness. Dr. Mike even specifically said it's real and not just in your head. So frustrating.
As a Doctorate in Psych and 40 years as a Physician Asst. You are 100 percent on target. Actually to catch a mental health issue we often drive in and out of lanes. Great video. Always will have the reactionary comment . Keep it up Dr Mike.
Right. Telling another doctor to "stay in their lane" screams insecurity to me. Any doctor with confidence in their skills will want to focus on collaboration in such a scenario, not getting defensive over absolutely nothing (and factually accurate information, too).
I can safely say that neglecting my mental health drilled my physical health INTO THE GROUND. Doctor's refused to even consider anything was wrong, mentally. I was doped up on meds, being talked into surgeries I "might" need, etc. So cool when you get your official ADHD, depression, and autism diagnosis in your mid twenties, after two surgeries put me in so much debt and didn't even fix the issue I was having. It broke my trust in doctors, of any type. And thanks that THAT new trauma, it's harder than pulling teeth to get me to even consider seeing medical professionals for my still existing and constantly worsening physical issues.
I hope watching doctor Mike can help you to know there is better doctors there. Maybe if you can do a thorough research and them through comments online ect you can find some doctord you can trust!
I 100% feel this my friend. I've been going to doctors for 20 years, put in dangerous medications, and gaslighted into believing I was making up my symptoms. I just found a doctor who finally placed all my symptoms into the box of hypermobile ehlers-danlos and I still don't feel like I trust her yet, even though she's done more for me than any other doctor I've seen. Hopefully, with time and trial/error, we can both be comfortable with doctors.
As a psychologist, I applaud you for this video.
I’m In Neuropsych and I was thinking the same thing. That is why I was petitioning for hybrid PCP/Psych practices as things like Dysthymia can affect the overall physical state of a person. That Ortho doc was way out of line.
I’m a new PT and was recently taught about pain caused by Psychological factors , the Ortho doc was absolutely ridiculous Dr. Mike clearly said if all anatomical signs were ruled out then it could be from Psychological factors that caused the physical pain and it’s absolutely real
@@JustaNightOwl pain is always real, regardless of cause. It can be physiological or psychological, it's still processed by the same brain. One of my grandchildren suffered from clinical depression, recalcitrant to treatment. Due to some missteps, what was missed was Hashimoto's. Autoimmune disease of the thyroid, destroying the thyroid and depressing thyroid hormone production, causing the depression. With a history of grandfather having the opposite, Grave's disease, autoimmune thyroid disease stimulating the thyroid.
@@spvillano 100% agree , pain is complex especially if it was caused by the brain But I wanted to correct myself there, I meant Psychological factors but I didn’t realize I typed physiological sorry English isn’t my first language and typing fast is bad sometimes hahaha 😅 Im sad to hear about your grandchild I hope they’re doing well and I wish them the best treatment, bless you !
I'll say this. I spent several weeks going back and forth to my GP, complaining of stomach issues, which have been ongoing for some time. She did a million tests, and at one point said "I think the source is coming from your anxiety, would you like to be set up with a therapist?" Then she went on to say "but I'm not going to rule out other issues just yet either." So she continued to do some more tests, and we decided together that yes, it's stemming from my anxiety, after some sessions with my therapist seemed to alleviate some of the symptoms I was having. That said, each time I go back she still asks me how my stomachs doing, any new issues with it, any ongoing issues, if I want to see a GI, etc. She still checks my stomach when I'm there, but she did great in ruling out things and then suggested that it's linked to my mental health, but tells me not to ignore any new or worsening symptoms.
That's a great doctor who understands the importance of the mental physical duality of the body. and props to you for following the doctor advice and trusting their competence.
The EXACT same happened to me. Noticed that my stomach aches got worse as turmoil entered my life. Eventually I got diagnosed with IBS and that’s known to flair up when you’re anxious or under stress or pressure.
@@c.d.2313 Me too! I was diagnosed with IBS when I was around 16, and I've noticed that when I'm in situations where I am extremely anxious it flares up to extreme levels. And as I have always been an anxious person even as a kid, it may well have been that kind of prolonged anxious state that made me get IBS/made it more severe. Now that I don't put myself in those triggering situations nearly as often, my IBS is a lot more manageable.
Oh I am so glad to hear I am not the only one. I also experienced terrible stomach pains many years back. I had so much anxiety back then. My doctor also tested my blood and everything else to rule other things out. She also mentioned stomach pains could be due to anxiety and stress. That's when I started to play the piano and play woodwind instruments to get my mind distracted and calmed. It took a bit for my body to get back into balance but all my symptoms were relieved when my stress was gone. Our minds can do crazy things truthfully speaking.
I'm a licensed therapist, and I've definitely had clients who had headaches & stomachaches as anxiety symptoms. Even panic attacks can be mistaken for heart attacks because of how severe the body's response can be. It sounds like your doctor handled your situation so perfectly, and I'm glad they were open to referring you for therapy services. And I'm glad you were open to going :)
As a mental health therapist trained in trauma, I loved your clip & was so thankful for a medical doctor saying mental health & trauma is important!
Also a family physician (GP in my country). I'm with you. Mental Health being a contributing factor isn't controversial. You only have to look at the "Yellow Flags" with Low Back Pain, that we all learn in Medical School. Negative views about the patients' pain is considered a LBP yellow flag. I see a lot of patients with Fibromyalgia, CFS, POTS, Chronic Pain as well and mental health definitely plays a role.
You respectfully called the other doctor out without putting him down. Good for you.
You and Jordan Peterson would be an interesting conversation
He's made videos before about other doctors raging over stuff he says or does. He wants doctors to be united in medicine for the betterment of society. Being divisive is like taking two steps back (for a lack of a better analogy).
@@TheMrCC21 diversity is OK, diverging from evidence based medicine is not. But worse is, demanding a specialist for everything. If one is bleeding to death, do you honestly want to keep on dying while a vascular surgeon is called?
@@mikeycarbis6536Jordan Peterson: The perpetual professional victim
yes This! Would be a fantastic collab@@mikeycarbis6536
That is so fucked up that a qualified doctor would go and throw shade on another colleague like that. Good on you, Doctor Mike, for standing up against that.
Mike inspires me.. My parents said if i get 50K followers They'd buy me a professional camera for recording..begging u guys , literally Begging...
that's hard to believe, man. A lot of you accounts keep saying stuff like that. We'd like if you stop or just get out of here with that. We only talk about Mike or the topic at hand. @@namantherockstar Thank you for listening to my TedTalk.
Its jealousy, He wants to have the same fame dr mike has
@@namantherockstarjust get a job and buy your own camera
The hospital I work at is practically a war zone from doctors against nurses to nurses and doctors against cnas and God forbid anyone else. It is BAD in break rooms. I am in the float pool so I see everything. The amount of disrespect is insane and of course they aren't getting fired when it's actually impacting patients.
Dr. Mike During my 13+ year career in the ER, I have seen many patients who could benefit from a mental health approach for their pain. If I were to even mention that I would get eviscerated by hospital management and probably CMS for that matter. Part of the problem is that in the ER we simply don't have the time to approach a conversation like that, many other issues like this have lead me to schedule my departure from hospital work into private practice. I love your channel, keep making great content!
As a chronic pain patient with multiple illnesses, including mental health ones that stem from childhood trauma, I appreciate and agree with your message Dr Mike. Thank you for putting this out there because I believe that more people need to know about the link between trauma/mental health issues and physical symptoms. As long as it is addressed in the way that you spoke of, with such care and detail.. because I have had bad experiences where a doctor just tells me nothing is wrong and let’s me walk out the door without addressing my real physical pain and symptoms or looking deeper. Although doctors are only human too and can only treat how they are taught and I also can see that this is becoming more widespread information in the medical community and I really couldn’t be happier for it. It’s changed my life in big, big ways. I got your message loud and clear and unfortunately there will always be some who disagree, criticize, or just don’t get it. But don’t let them ruin your shine ♥️ you’ve done so much for so many people in your life. Thank you for continuing to give!
Dr. Mike, as someone who likely deals with chronic pain solely due to stress and anxiety, I appreciate you so much for voicing that your mental health can contribute to pain. So many doctors I’ve been in contact with don’t even acknowledge the connection and don’t have many solutions for us who don’t have a diagnosis or injury. THANK YOU for speaking for everyone who suffers from this and don’t let those misinformed bother you.
it's crazy cause I've experienced the exact opposite in my own life! doctors blaming ALL my physical symptoms on my mental health, even though I know something else is going on. well I finally got diagnosed with a type of heart disease... which took years because doctors kept saying "it's depression and anxiety". not at all trying to discount what you're saying, don't get me wrong. I just find it so interesting how so many people have very unique experiences.
And on the other other side, I've had doctors insist I couldn't possibly have depression because I was "too young" and it must be a solely physical condition causing my feelings. Then when they didn't find anything in my blood tests they finally sent me to a psychiatrist, and would you look at that starting high school as an autistic kid fucked me up.
@@fluffyphoenix8082 same here - and ive slammed him for his message....that original video bite was just plain offensive and only re-inforces drs who treat us pain patients as psych cot cases!
I've experienced the opposite of these replies.... what I gathered from what Mike said, doctors should do a proper exam and investigation into the physiological issues going on and once those are ruled out, investigate the mental side of it. I actually have a deformation in my back that basically gave me old man back in my teens but I've noticed my back feeling much better in recent years as I've worked through my mental health issues without even really doing anything specifically for my spine. I get the impression that these doctors you're speaking of are mediocre doctors (sadly common among all professions) not doing a thorough investigation or admitting when the scope of the problem is outside what they're familiar with.
This is why when people are given certain antidepressants they don't hurt as much because they're not as tensed up in their muscles
As a victim of horrific childhood trauma, I SO APPRECIATED your insight! Most doc just shrug me off as lying.
Exactly
I’m sorry, I hope a doctor near you can help. :(
What happend 😂😂
@@jayus2033 your comment is very insensitive and inappropriate. Learn and grow as a person, do better
@@lapisangstylazuli Go back to Elder Scrolls Online you nerd
It's so important that people, especially doctors, can admit when they may have been misguided and correct themselves. Ego shouldn't get in the way of factual information. Thank you for this; it makes people trust you more, which is essential with medical care! Doctor's are human too.
Registered Dietitian Nutritionist here in KS 🌻👋🏻 Just wanted to say I can only hope to one day work with a doc like you, Dr. Mike! Appreciate all the medical content you produce and the empathy, intellect, and genuine curiosity you approach so many situations with.
I am an ortho nurse and I was talking with my dad about how mental health is a huge contributor to how people feel and manage their pain. I could have two patients who are the same age and had gotten the same surgery and they will experience completely different levels of pain. The patient with a good support system, few mental health complications, and a higher socioeconomic status is most likely going to feel less pain and manage it better than someone who has a poor support system, poor mental health, and a lower socioeconomic status.
How does socioeconomic status affect the perception of pain?
This is quite a statement to make. Are there any studies to support this? Pain tolerance is a personal thing, in my experience. Also the more pain you have dealt with, the better equipped you are at handling it.
I have chronic back pain and am so sick of *stress* coming up in the DD. Fine bring it up once or twice but when a patient pushes back because it doesn't sound right in their case docs shouldnt brush them off.
@@Babalutu573 It can have many different effects but the basics are that the poorer you are the more bs you have to deal with in life. rich people have house-keepers, poor people have to mop their own floors. Rich people can order in or eat out, poor poeple have to go grocery shopping and cook. Rich people have paid time off, poor people have unpaid sick leave. Rich people have savings to support them when they can't work, poor people have debt and medical bills to bankrupt them. So lets say you have a slipped disk in your back, if you're rich you can take as much time off as you need, you can get help in to do your chores, you can get food delivered to you instead of cooking or starving, you don't have to worry about bills and bailiffs, you can get a taxi or uber to medical appointments, you can afford to see the best physicians, you can focus solely on recovery. You won't be constantly reinjuring yourself or preventing healing, you won't have to engage in tasks that hurt and you won't have the heightened cortisol and adrenaline from worrying about bills hampering your recovery.
@@mikacakes in terms of recovery yes, but the question still is unanswered, how does socioeconomic status affect the perception of pain is what I want to know. If both have same age, same gender, have same surgery or injury, how does socioeconomic status affect how one perceives pain as oppose to the other?
As a Neuropsychologist, I can fully agree with all of this, and wish more people understood it
I, too, am in Neuropsych and was astonished by the Ortho doctor. I have no idea why someone would even think such a thing.
@@CrystaJoy excuse me,i have been thinking if being neurologist,do you think it is worth it.
I have had an ortho who dissed physiotherapy for a trimalleolar fracture. I could imagine his take on brain, mind, and body connection to healing!
I have a neurological condition called Functional Neurological Disorder so I live with stuff that is related to what Dr. Mike said. I'm so happy Dr. Mike addresses this!!
@@hulda4everplease i hope this doesn't offend you but how does it affect you
I really love that you own up to any mistakes and correct yourself and actually get the facts! I also love that you genuinely care for the well being of your patients and others.. I’ve been blessed to find a family physician who is like you. He’s the best! I wish everyone could have a doctor like y’all.
I happened to see your video yesterday. I have a psychosomatic pain disorder. I suffer from severe anxiety. I’ve had shoulder surgery &spine surgery that did nothing. I was so happy to see that mental health can cause physical pain to be turned up. I’m in therapy with the LA Pain Psychology Center. I say kudos to you!
As a physiotherapist, I can only say thank you! Mental health is a HUGE factor in rehabilitation. The state of mind can have so many effects on engaging in the process, managing pain, setting goals, etc. Psychosomatic pain is a real thing!
It reminds me of my childhood and how my mother would take me to the seaside(beach) for a couple of days before I had to go in for surgery (I had at least 2 a year throughout). I look back now and even though it wasnt prescribed or identified back in the mid 70s, I can look back and see how it made me in a better frame of mind going into hospital both mentally as well as physically. Although I cannot state any empirical evidence per se, I believe it helped my healing post surgery.
I’ve always thought this and wanted to schedule a lecture discussing the mental health issues of being chronically ill.
I work in physical therapy too and also see this all the time. I was very glad when he brought it up in his initial video.
I get migraines when my PTSD is triggered. I PROMISE you that somatic pain can be caused by mental illness. Thanks for what you do, Dr. Mike.
Yikes, hope it gets better for you some day.
Same!
can agree. I have chronic pain and when i'm more stressed, anxious or panic. It is worse in pain severity. As well as having a hyperactive nervous system due to PTSD, so the threshold to where the nervous system signals pain is much easier to pass compared to someone with a more normal behaving nervous system.
Migraines are triggered when brain wave patterns are disrupted. Stress, lack of sleep make this happen. That also happens with PTSD.
It’s just such a pointless argument to say it’s not relate, since it’s obvious that the psychological state of a person can affect their physical health, even if it’s as simple as going to the bathroom more often due to stress. Nearly everyone I know who has had IBS was also having a tough time with their mental health. High stress can also cause hyperventilation without knowing it, then also causing headaches and shoulder pain. Someone I know was prescribed tai chi for that and it worked. Additionally, this link between mental and physical health is why placebos work.
Aaaaah Dr Mike, I love how gracious you're being by not at all touching on the fact that he's just so completely jealous of your online success, and frustrated that you didn't respond to him. (I never use to get sick, for the past year I've been getting sick none-stop, the GP I saw asked if I'd had recent emotional trauma, I did, a year ago...)
I love the way you handled that. Toxic criticism isn’t very productive but to be truly helpful to patients criticism and continual education/improvement is a must.
Hey Dr Mike, I am a critical care doctor from Australia training to be a pain specialist. This IS your lane. I WISH we had more primary care doctors who understand the biopsychosocial model of pain instead of jumping on biomechanical explanations and leading patients down a path of endless tests and procedures that do more harm than good. Keep doing what you are doing.
@Snagrit Sounds like you too are staying in your lane 😉 So glad your patients have you ❤ Bravo!
Chronic pain patient in Australia 🙋🏼♀️ we need more drs like Dr Mike and yourself who actually believe us and understand what's going on with the body and brain together.
so yes
The value of generalists is that they are not a hammer that sees everything as a nail.
Chronic illness/chronic pain patient here in Australia as well. I've been having a hard time having diagnosis but I'm happy with the medical care here compared to what I experienced in the US but it's so difficult finding doctors to finally be diagnosed. I have been seeking a 2nd opinion on a diagnosis it's been a difficult journey because I keep getting worse we even looked into autoimmune 😭 my numbers were borderline positive so my GP said he can't diagnose me so I'm at a loss... neurologist appointment in April meanwhile I feel like a literal skeleton 😅
Dr Mike you have earned my utmost respect. The fact that you hid the name of the troll to not destroy his living is extremely appreciable.
the fact that made this video instead of treating the matter private is a flavor of hyprocrital.
Having an open mind is super important. I don’t care who you are, being able to listen to someone’s perspective is so important. I loved this video so much. I never ever liked doctors but every time I watch your videos I know you genuinely care about humanity and health in general and it’s beautiful. I wish modern medicine could be more accessible and talked about in a less judgmental way. Btw I don’t currently have a primary physician but am working on it because of you. It’s hard to find someone who actually cares vs writing it off as something simple and trying to medicate the symptom instead of medicating the source of the symptom
Mental health professional here of 17 years who continues to see patients daily...love to see doctors admit that mental health concerns and trauma physically hurt. And LOVE that you've read The Body Keeps the Score...a book Ive read, use and recommend.
As a person who was told by a doctor that I “should see psychiatrist” for the gi pain and discomfort I was in that turned out to be physical in nature I 100% agreed with your information on mental health and pain. After I had my first child I was experiencing some pain and neurological issues. I was referred to a neurologist and he did a complete work up including scans. He gently brought up postpartum anxiety/depression. He validated me and explained that he thought my pain and discomfort was from untreated anxiety. I was grateful it was treatable and I took medication and saw a therapist. All of those issues were resolved. So I’ve seen both sides. The point is one doctor did a full work up and the other did not. We need less shame surrounding physical pain.
Right. And that was Mike's big point: It should only be brought up AFTER a full workup, when all other potential causes have been exhausted. And that not only makes a HUGE difference in regards to patient trust, but also in patient receptivity to the possibility, too; if my doctor had told me my Fibro pain was "all in my head" BEFORE any of our tests, I'd've straight up just found a new Doctor ... But her suggestion that my stress was causing a worsening of my Fibro AFTER my diagnosis, when I had been stable for a year and suddenly tanked, AFTER we ruled out potential new conditions and causes? Big freaking difference.
@@yeshummingbird - right, it seems to me that Dr Mike implied that every method for identifying the cause of pain (and my initial thought was even from other providers) would be taken before he would suggest mental health treatment, and that the other doctor didn't catch it or ignored it.
My mother and sister was kinda distraught that the nurses and the one delivering the baby gave no information of post birth problems. Which in my mind is baffeling as why would people in the medical field NOT actually educate their patients in symptoms etc. And this is in the ''perfect'' country of Norway. The fact that my mother had to explain stuff that she didn't necessarily had any education in, but she had experience in the same stuff that happened to my sister. Just kinda sad really. I am sorry if some of this is unreadable.
I love how humble Doctor Mike is. He never is TOO proud of himself, although he deserves it
He is so proud of himself that he calls anyone who disagrees with him or dislikes him “trolls” to suggest their words aren’t serious
@@bornstar481He calls them trolls because that’s what they are.🤦🏻♀️
@@bornstar481 did you watch the video bruh? he called him a troll because he was toxic, he didnt approach it well and he was simply putting out misinformation about mike. he literally said multiple times that he is open and wants criticism, if its presented in the correct form(no, commenting on some1's video is not the correct form to do so.) and he showed an example where he exercised this principle.
@@FallenAngel9979to play devil's advocate he explains in the video that he believes the orthopedic did not understand what he meant to say, yet he still calls him a troll which he totally did not have to do. However the other people probably were soo, in the end, idk.
He put a completely legitimate criticism in the thumbnail though
As someone with fibromyalgia and a related condition- neuro plasticity and emotional related pain responses are SO REAL. I will have the worst flare ups of my life if I get stressed or upset- even if I sit down and think “oh right, I’m in pain.” The pain will get so much worse. Our brains are so powerful- I know that!!! From experience and other doctors!! Infact the doctor who told me abt it wasn’t a muscular skeletal doctor!!! It’s insane how some doctors get so caught up in the specialist expert mindset and brush off everyone else. I really appreciate you talking about nuanced and less talked about things Dr Mike, don’t ever stop!!!! It educates me and others!
I'm struggling with chronic illness, and have a handful of diagnoses. I see SO MANY SPECIALISTS! I feel like my GP is just sending me from specialist to specialist, and because out how our insurance reimbursement works in this country, my GP is not reimbursed enough to spend time figuring out what's wrong with me and putting the pieces together. Instead, I bounce from specialist to specialist, costing my insurance company way more money than if they paid my GP to spend more time trying to see the big picture. The body is a permeable system, and everything affects everything else. I love your message, and I say good job for being a good doctor!
My paediatrician has been in the field for 35+ years and I showed this to him for his opinions as A well experienced doctor, He replied to me “I wish there were more doctors like this that were open about speaking into other fields of medicine that correlate with their field in even the slightest manner and speaking about the general population over just their patients” From the perspective of some random 14 year old boy (Me), I am proud you are willing to provide factual information to keep your viewers informed and healthy, Thank you!!
You are one smart kid! I'm glad you are watching social media for positive and information purposes. Advocating for yourself especially when it comes to your health is something that many, many adults never learn to do. Or even try to learn about their health conditions. Good job 👍!
You are very well spoken..I love it! Have a wonderful life
Wow!!! 14?!?! You must have wonderful parents/guardians/teachers! You mannerism in speaking is remarkable at your young age. Keep it up and you'll have a very bright future 😊❤
And this is pretty much why Dr. Mike is the only online doctor I take seriously nowadays, he's open to debate and explain everything and also often corrects himself when he's wrong about something.
I don't think that's fair. There are so many medics on youtube who put out excellent, scientific and educational content. Medlife Crisis comes to mind, for example.
@@Benedoctayes, BUT there are also real charlatans here on KZhead who make money off selling us stuff. Sometimes quite insidiously.
@@BenedoctaDr. Siobhan Deshauer, ( violin MD) makes really good videos too. More of a blog than in depth topics, but still really informative, and honest.
@@Benedoctayes but,it’s not like their like doctor mike, their not putting themselves out their to different experiences that even doctor mike has, each is different yes,but doctor mike focuses on what he brings to the table but has a side of joy like attraction to enjoying what he puts out their, compared to regular doctors or few doctors online they don’t potentially portray what everybody wants, for instance I want something that he has that some doctors tend to fail to have what he has, you might like someone else and yes theirs better out there,just in a different way they put themselves out and about, what they say, what advice. Doctor mike does that but he tends to invite other people who know nothing about being a doctor, like callmekris where she jokes around with mike and talk about less doctor things and he does the same, mike also does boxing and he shows that in his videos that he puts out if you find them,where could you see a doctor video like that rarely any doctor in KZhead does that specially show it on KZhead or the whole internet itself , doctor mike nephews who he teaches one of the nephews who wants to be like him some import things. The list goes on, this is how I see it.
@@Benedocta wasn't meant to discredit EVERY other doctor, I know there are many good ones, like MamaDoctorJones, but it's not the type of content I usually look for. More like Dr. Mike is the only one among the ones I've been watching recently*
I've suffered with pretty severe seasonal depression and general anxiety for years, and had no idea my mental health could contribute to my physical health in these ways. I always knew that it could affect my health, but this genuinely answers so many questions I've had about my physical pain that I've been trying to find for years, so knowing this is practically life changing for me
I appreciate doctors that are willing to consider the mental aspect, my son went to a doctor with stomach problems and other issues, doctor told him to eat more lettuce and gave him medicine for his stomach, a couple weeks later we are in the ER because he was suicidal, thank goodness he came to me so i could get him help, he was later diagnosed with depression and anxiety, he focused on just the stomach and didn’t listen to the other concerns, this could have ended so badly
As someone who’s struggled with mental health, I can’t believe that’s controversial
It's really depressing that mental health, after all the proof, the years, the literature, is still pushed to the side by so much of society that even doctors warn not to think of mental health.
I've never struggled with mental health, as such, I can't relate to you, how you feel, how you think, or the struggles you've had to deal with. BECAUSE I understand all of this, I try to keep an open mind to try and understand your position on a given topic. And a lot of people who are like me do this. The problem is we have an ever increasing number of people who don't understand because they can't relate, so their stance on the subject is screw you. And that's why it's controversial. A lot of people don't care to understand.
@@gastonborda5607a lot of my mental health problems caused physical pain. I slept worse, I started to feel sick, stomachaches and such. so it's a wild thing to say that mental health and physical health can't be related (not aimed as an attack as you, just generally baffled that people, especially doctors, say these kind of things)
@@artemis754 Yeah, I've learned that now a days, you can't blindly trust even experts XD everyone's got an agenda or simply refuses to update their views as new information comes out. It's sad really, and it's that same close mindedness that propagates these problems and leads to the average man claiming that mental health is a myth. You and I may not see a world where mental health awareness is universal, but I'm hopeful that we'll get there as a country some day
@@gastonborda5607 i do hope mental health will be seen as more important globally. it is actually very important
Orthopedic Surgeon seemed to misconstrue what Dr. Mike was saying and tried to piggy back on Dr. Mike's popularity to troll and make a name for himself. He tried to flex and it didn't work. I applaud Dr. Mike for clarifying and bringing this troll up in this video.
that`s a very good thought -
Didn’t work as Dr Mike didn’t name him! Hahahah Good for him!
@@tightropewalkergirl6485yep and then he highlighted Dr. Rita who went about things in a professional manner
Your channel is one of my favorites. We need more open conversation about mental health in general and your large audience helps to educate and amplify these important issues. Love your open style.
Thank you so much for being humble and level headed. The world needs mire Dr's like you. ❤
I’ve spent a lot of years in neuropsychological research and met one 14-year-old girl with conversion disorder so severe that she was unable to walk for months. No underlying physical causes whatsoever. After inpatient treatment and working through her trauma intensively, she slowly recovered. Even though I’d been studying the brain for years, it was really eye-opening to see. We even wrote up a case study on her with her permission.
My friends grandma has this when she was a child too!! So interesting.
i had this at this exact age but i hadn't no significant trauma just my brain shutting down
Please use the proper term, FND. - Functional Neurological Disorder. Based on current research and use of fMRI, the understanding of the disorder has changed, the cause is not always related to past trauma ("conversion") or mental health. People can have a migraine, an illness, an injury, or a surgery that sets off FND. My episode that landed me in the ER was likely from a migraine and sensitivity to a medication. I had a mild flare up directly after a (non related) surgery months later. The positive side of FND, it's reversible with a team approach that includes education/awareness of FND, PT, OT, vestibular rehab, some medication, mindfulness, lifestyle changes, rest/pacing of activity, and possibly CBT.
@@bmg9136 I was speaking about one specific patient that I encountered a few years ago. This girl’s symptoms appeared following severe psychological trauma and so she specifically was diagnosed with conversion disorder by her psychiatrist and neurologist.
The exception does not make the rule!! So MUCH BS!! The problem isn't with an "anxiety" DX, but that it is used for everything!!! Literally means: "We are too lazy to figure out what is wromg with you"; To the point that people dont bother with Dr's anymore...They have no choice but to self medicate...Seriously, get F'd!!!
Props to doctor mike for realizing that the other side might have good points and that they should work together for the best outcome
Props to doctor Mike indeed 👍
Yes exactly!
Im actually so happy that someone like you exist bc no one ever belived me im siffering from young age and i never knew whats the feeling was and then as an adult they told me i have anxiety and depression but till now its hard to find someone who belive you who understand you
I saw this from the other doctor's perspective for sure. The video starts off as if mental health issues can straight up cause pain and other problems directly, but then it feels like halfway through there's a retcon to where they're only exacerbating underlying issues. It really did come off at first like "There's nothing to find, so the pain is all in their head," which really did come off like pseudoscience. Glad you clarified.
As a disabled vet I think I can see this being true. When I have my spells of depression, it’s like the ankles, knees, migraines, and shoulder are way worse than ever. But when I’m having a PTSD moment there is no pain. At all. I feel 19 again. Like invincible. And full of rage. Like a Pitbull on crack. Just ready to get violent.
Not the same but as an SA victim i get the same pattern! Just wanted to validate. Pure rage/indestructible body versus migraines/sore body and fainting spells, it makes me insane lol but Botox for the migraines and neck pain was a huge help!
Wow. Thanks for the epiphany. I'd never picked up before that when I'm in a rage I feel no pain. My head is spinning right now.
I couldn’t agree more!!! My chronic Illness symptoms are ALWAYS worse when I’m depressed or anxious.
Thank you for your service
i'm studying physical therapy and we're literally taught that emotions play a huge role in how bad the pain feels
Makes it easier for you guys to gaslight your patients.
💯 🎯
I am so glad to have come across you, Dr. Mike. I have lost faith in the medical profession due to some experiences. You are amazing!
As a person with a mental illness, I appreciate the fact that you treat both the body and the mind, and when you do suggest that it's a mental illness, you acknowledge that. Yes, the symptoms are real butt, it may be a mental cause and not a physical calls. A lot of us with mental illness feel like we are either brushed off like everything's in our mind. Or the mind is completely ignored and I appreciate what you do and you make people like us feel very validated. Thank you, keep up the good work.
It just happened that you didn't call him for a collab or info as he asked. So he needed his moment of "fame" by turning himself against you. Easy and clear! On the other side, it's scary how a doctor can misunderstand what another doctor says. So I can't imagine how they can misunderstand their patients.... keep up the great work, Doctor Mike, and proud of your honesty and how humble you are!
Who's the doctor he's talking about
@solihin9018 Actually, I don't know. To be correct as usual Mike covered his name. But I am curious too
I came to that same conclusion... He never reached out to him so he got testy! 🙄
Right ! By the logic of the other doctor I should only refer to specialists for any ailments I might have.
Anyone figure out who it was?
I was misdiagnosed for 12 years with endometriosis. I considered removing my ovaries the pain was so bad. My specialist sent me to the er and after running every test (blood urine mri ct scam and neuro exam) I was properly diagnosed with CPTSD with psychosomatic and executive dysfunction. This message is important and could’ve saved me years of pain so thank you for opening this conversation Dr. Mike ❤
If you don’t mind me asking, what were the physical effects that the cptsd had on your body? I know you said you were misdiagnosed with endometriosis so I know where that pain would but has a doctor explained to you how the cptsd was affecting you physically? If so, what was there explanation of it? I was just curious, if you don’t mind explaining it?
I'm very chronicly ill and have been gaslight, and told by some doctors (and other people in my life) that its all in my head, because of that am very critical of people who say stuff like that, no matter who they are and if they are a dr or not. Despite that, I can step back and see that you are absolutely not saying that someone's pain isn't real, and I actually really appreciate your take on this. The way you describe that your mental health can influence the "volume" of your pain is a very good way of communicating such a complex topic in a short and simple video so a lot of people can understand. I interpret your original video as you comparing the connection between (chronic) pain and mental health to a radio and a hand that can change the volume. A radio (pain) can be on and the volume (influenced by mental health) can be all the way down so it sounds like the radio is off even though is not, and the volume can be really high at other times making it impossible to ignore, mental health has a big influence on the pain but none of that means the radio is off or doesn't exist. As people work on their mental health the volume can slowly ho down, it may never be all the way down but i count and reduction in pain as a win. I'm really sorry that the first dr. in the comments was so disrespectful, toxic, and really confusing. I think its wonderful that you are not defensive when someone respectfully corrects you and you see it as an opportunity to improve and correct your content to help others. I hope others can learn from your response to criticism, and i hope the first dr. sees this and changes his ways. Your videos are very educational, entertaining, and you show that the health care system can get better, thank you for being amazing and giving me hope 💜
Mental health absolutely causes physical pain. I have chronic joint and muscle pain, and my pain is the worst whenever I'm stressed out or upset. Whenever I'm feeling good and happy and having fun, my pain is mild. Even subluxes get a quick "ouch," and then the pain goes away.
Psychosomatic illnesses are definitely a thing. People can even have pseudo seizures. Which are very real seizures but not caused by electrical activity in the brain ie. Epilepsy. Keep educating Dr Mike! Ignore the haters!
Yep, I have NEAD. Mental health is something I have to take seriously because it manifests very real problems.
They are no longer called pseudo seizures. They’re called non epileptic seizures. They decided pseudo seizures sounded like the person was faking and they can’t actually help them at all. I have both epileptic and non epileptic seizures after having brain cancer twice.
Yeah. The illness may not be "real", but the pain & symptoms are 100% real.
@@MichelleMacAuley are you talking about non epileptic seizures? The only way to tell the difference is with an EEG so they feel real and your body hurts just like having an epileptic seizure afterwards.
yep! I have PNES (psychogenic non epileptic seizures) stemming from my C-PTSD. They are real seizures, not pseudo seizures, but the cause is mental/trauma-related in nature, not electrical as in typical epilepsy. I feel so seen by this video!! :) Edited to add: when I say "real seizures", you can identify if someone has had a tonic clonic seizure by doing bloodwork after the episode, and my post-seizure bloodwork looks just like someone with electrical epilepsy!
General anxiety disorder comes with ALL kinds of physical problems in your body alone 😒
Couldn’t agree more 👌🏼
@readtheroom831 my first panic attack was at 12 years old. I thought I was dying and it was terrifying. Stomach aches, diarrhea, vomiting, shaking, cold sweats, passing out....and this is just what anxiety will do. To say none of it is connected is totally inaccurate and a slap in the face to those who have to live with this pain daily 💔
@@xandra_5099 I absolutely agree. I suffer from anxiety but most of my attacks are related to my C-PTSD. I will smell something or hear a sound and immediately go into a panic attack. It’s horrible and is definitely a physical reaction to past experiences I’m subconsciously aware of. And having doctors or people act like the mind and body aren’t connected and don’t affect each other is wild to me.
I work with kids/teens that often come from traumatic backgrounds and many of them have anxiety and/or depression resulting from their home lives or previous living situations. They're the ones that constantly have GI issues, headaches, and medical issues that usually pop up on a test day especially or before they have to go to a class they don't like, etc. Is it avoidance? Yes. Are the symptoms real? Also yes
The moment you engage with the toxicity you lose. There is no need to respond these people. People who are toxic online are just feeling low or jealous themselves, it is not you.
Really good video. Very respectful but sincere. Not only pointed out the issues and their significance, but engaged in a highly thoughtful manner and even showed how medical community can be doing better. Great editing too. Just overall quality content and social media presence. We're lucky to have you Dr. Mike and his crew!
I'm so happy you mentioned 'the Body Keeps Score'. As a counselor I was so pleased to see you offer patients psycho-somatic help. I feel like not enough doctors recognize that past difficulties can impact how a person heals or feels pain. The brain is part of the body and its still not completely understood, helping an individual recognize that they *might* have a past issue impacting them today can be a huge aid in getting them better.
My therapist loves that book, when I first started seeing her it never occurred to me that a past trauma was affecting me physically. After working through it I've improved so so much
Gabor Mate MD also has impresive books on the subject, i am sure you know him also.
Van Der Kolk has been debunked. He still believes in the recovered memory movement and got fired from Harvard. I really wish the mental health field would stop pushing this book as scientific.
As someone with an autoimmune disorder, I can absolutely tell you that the more stressed out I am, the worse I feel. I can even trigger a flare-up of my disorder purely by my stress level and that plays into my mental health and how I am coping with what is happening in my life at that time. Also, as someone who saw specialists trying to get a diagnosis, it was my LPN who actually figured out the problem. Specialists aren't special in the sense that they are the only ones with that particular knowledge, clearly.
As an LPN, I appreciate this comment ❤
Same here! I also work with an organisation dedicated to help patients with musculoskeletal disorders (rheumatoid patients most of us), and it's even proved that people with those conditions that live in places with moody weather (always rainy, cloudy, etc) PERCEIVE more pain that the ones with sunny weather. So, yes, there's a lot of factors that doctors have to take into consideration when talking about pain....
For real! I have many autoimmune conditions and my alopecia flares when I’ve had a stressful time in my life
This is exactly why I don’t like social media such as TikTok, people on there just say thing for the pure purpose to say them and be mean. Thank you so much for still going even though all this backlash is happening ❤
Throughout this video I just kept thinking about a book that we’re reading in my DNP-FNP program right now and then you brought it up! The body keeps the score! Great read for all practitioners!❤
"This person treats pro athletes, I treat real people" I don't know why I felt a HUGE amount of shade there lol
I was looking for this coment, as a pretty high level athlete (not professional by any means) it gave me a good laugh thinking of athletes as superhumans and not real people.
I wonder if he meant something like "everyday people" or the average citizen, but the wrong words were used 😂
Pro athletes definitely have different diets and live differently than regular people do. They have their own injuries and pain tolerances have figured out different ways to deal with mental illness and have a more determined mind that seeks constant improvement. This means that it is likely that all pain they have stemmed from actual injuries and rarely is mental especially if they belong to a supportive non-judgmental team. However, real people suffer from more external criticism, more insecurities, more interaction with other regular citizens, more hardships and are more likely to deal with illegal substances... making real/regular people more likely that their pain be attributed to mental issues than athletes who are almost indeed superhumans as they skip ahead from the normal misfits and misfortunes of being a regular citizen via sheer dedication and support that they're offered and due to them not having actual interactions that would build disdain/hatred. Have you heard of athletes killing each other, shooting each other, attacking each other, or harassing each other(other than WWE and such which are mostly scripted)? No, but normal regular people do face these, and that results in mental issues that manifest as physical symptoms. That is why most probably that orthopedic said that 0.5% of his patients actually had pains attributed to psychiatry, which makes sense. But, he is stupid to not realize the distinction between real people and the people he treats, and that's what I think Doctor Mike was pointing to. It may be shade, but it is also constructive criticism on how to better your thoughts and think before you attack.
@@josephdahdouh2725 I completely disagree that athetes do not go through immense mental struggles that average people go through. These athletes are under mass amount of scrutiny by millions of people everyday causing them to feel a rediculous amount of pressure. The affects caused by this pressure can show physically like being unable to throw a ball or do something they are regularly able to do extreemly easily. This complete generalisation and denial of athletes mental struggle is seriously harmful and the reason its taken so long for professions like sports psychologists to become industry standard. everybody struggles with mental issues including professional athletes, they are human just like everyone else.
@@RoChuFTW14 mhm definitely meant average citizen but real people is such a funny way to put it
DOCTOR MIKE! You are so right. I am a healthy 23 year old. I have a history in powerlifting and weightlifting and am active duty military so when I randomly lost all feeling in my hands and arms I felt it must be nerve related. I initially go to the doctor and they ran blood tests and referred me to a neurologist. My blood work came back normal and so we did nerve testing, muscle testing, and a brain scan mri. After all of this, the neurologist called me back in and sat me down and said hey everything is physically healthy but I have seen this in people who have suffered severe PTSD would you like to talk about it? This as an absolute shock to me but I received mental health help and now have full feelings back in my arms, hands, and body. To this day i notice the numbness only returns when I am very stressed or anxious and I am able to calm myself down and work on it. So as someone who went through this I absolutely believe you are so right and am grateful for your approach !
That was definitely one symptom I would not have associated with PTSD. Thank you for sharing.
Dr. Mike, thank you for displaying the difference to a hater and a critic. Sadly, the two are conflated as the same, but that is so far off. Ultimately, thank you for taking accountability for when you were wrong or misinformed.
🎉this is great advice for all people not just doctors. Thanks for being open, honest, and putting it out there!!!
Doctor Mike does not deserve all this hate he is so humble
Nice pp
@@tyrians6376 yeah
@@tyrians6376 bro.. i think u forgot the f.. 💀💀
@@currencyballsbro knew what he was doing 💀
@@currencyballs💀💀
Dr Rena Malik took the professional approach while the orthopedic doctor in question took the arrogant approach.
Exactly! I think he was upset Mike didn't DM him back. I liken hus response to that phrase doctors use " when you hear hoofbeats think horses not zebras." To extend the metaphor, he lives in Africa, hears hoofbeats and thinks zebras because he's where zebras live then got arrogant with Doctor Mike for thinking the hoofbeats were horses bevause Doctor Mike lives where zebras are uncommon and horses are everywhere.
Indeed, they would be an Ortho that I would never want.
@@TheHrb1234do we know who the orthopaedic surgeon was?
Your videos are what the world and everyone needs: educational, honest, transparent, respectful, allowing for introspection and astute judgment as a medical consumer. Thank you! PS. To “stay in your lane”attitude in one of the major things that are wrong in our medical system. Collaboration gets us ahead. Our body (+ our environment) is ONE interconnected system.
As someone who suffers from the condition Doctor Rena Malik described, I saw the clip and was concerned about taking trt and have since stayed away from treatment in fear of fixing one problem and creating another. Thank you for correcting this, it alleviates some of my fears going into TRT treatment.
As someone diagnosed with conversion disorder, I appreciate you talking about these aspects of pain. My MRI were clean, brain scan too, they did a lot of tests and couldn’t pin point what was going on. I’ve been having motor tics, aphasia, PNES, paralysis etc. I had to stop college, work, my social life was non existent, and because my tests were clear, lots of doctors have been dismissing it under “you’re faking it”. Later on, after being misdiagnosed with Tourette’s, epilepsy, schizophrenia (??), a neurologist told me it’s a functional neurological disorder, coming from unresolved CPTSD.. I was finally seen as valid in my problems and not someone faking a disorder, and realising how hard trauma can alter my body’s function was mind opening. I’ve been through therapy, seen psychiatrist and change my lifestyle to match my body needs and I’ve been doing way better. I still have PNES, but a few times a month, instead of dozens a day. I can walk and talk as before and it’s been a huge improvement. I was so depressed by my physical state and my life being turned upside down that I didn’t see a way out and was considering the worst. I’m so glad I met doctors that are educated about these disorders and wanted to thank you for bringing awareness about them, it means a lot ❤
A close friend of mine also has FND and it was HELL for her to get her diagnosis. It's truly a difficult one to get.
It took almost ten years of MRI’s EEG’s and seizure studies to get diagnosed with conversion disorder. After my first seizure study the doctor told me that since I was a 16 year old girl that it was probably me being dramatic and to go home. I had unresolved PTSD from several things from my childhood and was diagnosed with PNES by my psychologist years later. I totally understand the struggle to get a proper diagnosis when you have been told you are faking it or being dramatic. Hope all is well and stays that way!
As someone with fibromyalgia - pain all over my body every single day - which was triggered by a period of major mental health problems and stresses - I actually found your OG video perfect! And it’s exactly when my doctors did, we rules out many many physical problems first, before coming to the diagnosis of fibromyalgia
@@gwennyrjthat is also not what they said..
@@gwennyrjit isn’t, however, depression, anxiety, stress, and other brain disorders heavily affect fibro symptoms. There are also studies out there that link brain chemical imbalances to fibro. So while it’s not psychosomatic, it is very linked to the brain and is very hard to diagnose because the symptoms can come and go and because it’s a checklist rather than something that can be definitively diagnosed through blood work, X-ray, MRI, etc. (I have fibro and have been diagnosed for nearly ten years). Everything is connected in the body. If your foot is hurt and you don’t do anything about it, it’s going to affect your knees, hips, and back; treat the foot and the pain up the leg and to the back will go away. Treat the brain, and some of the symptoms from fibro will go away. It’s why people with fibro are often on antidepressants like cymbalta or amitriptlyne. My doctor increased my antidepressant to help with my severe fatigue and guess what, I can actually wake up in the morning and get stuff done. Everything is connected.
@@gwennyrjMan ur a real brainiac huh?
@evanc5656 what are you talking about? He is talking about how mental trauma is causing physical symptoms. Fine. But that's not what fibromyalgia is. It is caused by neuro inflammation, latest research shows possibly autoimmune, and has a physical cause. It isn't what he is talking about in this video. I'm guessing the person I responded to was misdiagnosed.
@@gwennyrj I know two people who worked on their trauma and had dramatic improvements in their fibro symptoms. Chronic stress leads to chronic inflammation in the body. Stay open minded. It improves your chance of healing.
Dr Mike I've seen many of your videos now. My doc of 30 years switched to a concierge practice which doesn't work for me. I'm having trouble finding someone new. The first 3 I've been to say they want a relationship but don't demonstrate that. I wish your practice was closer to me. Thanks for being out there doing great work!
THANK YOU. Keep preaching this and deflecting the colleagues who detract from the message. The physical realities of trauma are now known. The medical professions need to educate themselves and allow this new knowledge to transform their work and how they treat their hard cases.
The fact that you have this goal, are open about making mistakes, and discuss it publicly is one of the many reasons you are so trusted by so many. Thank you for everything you do.
you’re a family medicine doctor, ofc you’re going to explore more options outside of physical ailments. thats what makes you a great doctor.
I am extremely glad to hear Dr Mike speak about this, we need to be able to treat our patients as whole human beings, not just bodies with symptoms
Wow, this is so spot on , on so many levels. As a psychologist, as well as a person who appreciates nuance and civility (but who has succumbed to yuckiness online herself), I really appreciate all of this.
I respect how dr Mike didn't reveal who that doctor was. Also its wonderful that you're looking for constructive criticism to grow. That's the mature thing to do. There's a fine line between constructive criticism and negative criticism or trolling.
I've had neurodermatitis, vomiting and diarrhea from stress and going to a psychiatrist and working on my mental health helped me with all of it, no not everything is perfect but it went back by 98%
I hope you’re doing good or okay now 🤍
@@SxnnyNevaeh yeah im doing great not perfect but so much better than before
My daughter suffered from cyclical vomiting syndrome . It was heartbreaking to see her go through this. Stress and anxiety did make flares much worse, but her physical reactions were , like you, very very real and unsettling. I’m glad you are getting treatment .💜
The fact that Dr. Mike literally says in the mentioned video that "that doesn't mean its not real--" yet the commenter/colleague speaks as though he said otherwise goes to show how quickly they assumed things about the situation.
It happened to my mother... She had back pain for more than a year and after several doctors and no improvement she ended with a psychiatrist and now she is much better with a good treatment for her anxiety and no back pain.
i respect you for not calling out the first doctor when you very well could have. tact and professionalism
Dr. Mike, you are doing the OPPOSITE of gaslighting! Your channel has made me feel empowered and informed, and I wish every doctor took the same approach that you do to patient care!
Exactly 💯
When I was going through my divorce and the trauma and stress during and afterwards, I would wake up in the morning with physical pain (all over) and I'm a very healthy person. I called it 'stress-sleeping.' I read The Body Keeps the Score. It's a fantastic book about this subject. I'm so glad you mentioned it. Once I read it, I realized that my 'stress-sleeping' was not only in my head. The pain was real because I agree that the body knows and stores the stress. I'm now 2+ years post divorce, trained for a 1/2 marathon (which I ran a few weeks ago) and am no longer in pain when I wake up in the morning. I no longer stress-sleep.
I literally have psychosomatic pain, so I know very well how anxiety and stress and fear can induce physical, debilitating sensations - that - have corporeal manifestations. Thank you for talking about it. No one "owns" these subjects, and you don't have to be a specialist to talk about it.