How To Help Our Colleagues With Mental Illness | Incident Report 156

How To Help Our Colleagues With Mental Illness | Incident Report 156


– [Logan] One second. All
right, I think we’re live, Z. – Don’t make me get in my zone. Don’t make me check on my phone. Ball so hard ZPAC wanna find me. I don’t know where we are
right now, Tom Hinueber. We’re talking about mental illness and I already feel unwell, mentally. – Well, yeah – [Z] You know. – Yeah. – [Z] You know. Guys, guys, today’s
show is real important. I’ll tell you why. Margot Kidder died. Margot Kidder, for those who
don’t know, was Lois Lane in the classic Superman series.
The first Superman series, I think the first three or
four, she was Lois Lane. And she was a big part of
my childhood, Tom Hinueber. She was beautiful. She
was smart. She was strong. Even though Superman was a
douche, she kinda kept up, and did her thing. She was a reporter. She was a feminist before
being a feminist was a thing. – How are those Superman
movies still so much better than the ones they made with all the CGI? – Dude, I’m tellin’ you,
it’s just like the original Star Wars episodes are better,
you start throwing CGI, it doesn’t feel right. It’s just like health 2.0,
it doesn’t feel right to us, clickin’ the boxes and
staring at the computer. It’s not medicine anymore, right? So, Margot Kidder got rather
more famous for something that went wrong with her. And that was a mental
breakdown that she had in 1996, where she was found in the
backyard in a house in Glendale, which we all know is the Armenian
capital of the free world. – It’s Little Armenia, Z. – Lil’, Lil’ Armenia, and
by the way, everyone thinks that I’m Armenian ‘cuz
my last name’s Damania. They wanna add an “n” onto
to it, so I’m “Damanian,” and I grew up in Central
Valley of California, which was Little Armenia, and
so I feel like an honorary Armenian. – You know, it’s funny,
I have an Armenian aunt. So, little white privilege
Tom Hinueber actually grew up eating [Phonetic Zahk Tar
Za] and stuff like that. – That’s amazing. You can finally assign
yourself to an actual, legitimate genocide. That’s amazing. – (laughs) – Um, so, which, by the way
that was a real genocide. I don’t care what you say,
Turkish people. You’re liars. – Turkish people are dicks, Z. – [Z] They kind of are. – They really are. – They really are. I
have no idea if they are. I know Dr. Oz is Turkish,
and I hate Dr. Oz so maybe that’s a thing. Anyway, so, Margot
Kidder, speaking of ADHD and metal illness, Margot
Kidder famously had that breakdown in ’96 and they way
that the press treated her at that time was
absolutely unconscionable. They literally made her out
to be this crazy, ex, has-been star who had hit rock-bottom,
was found in this backyard with the caps missing from
her teeth, totally disheveled, wearing rags. And what
came out later is that she’d been suffering with
mental illness for a long time, was diagnosed with what they
were calling manic depression, or bi-polar and had multiple,
sort of mini-breakdowns over the course of her
career, even at the peak of her powers, but no one knew about this. And the stigma of mental illness
was applied to this lady, who had, again, this amazing acting career and she was treated like crap. In fact, one of my favorite
shows, “The Family Guy” actually did something
really horrible to her. Can we roll that clip Logan?
Do you have that clip? – Of course. – Margot Kidder was here. – Oh, we loved you in the Superman movies. You were just wonderful. – (Screams) – I mean, so, look, I
love “The Family Guy” as much as the next
guy, but that sort of… Okay, imagine this, Tom,
like what if Freddie Mercury is dying of AIDS, and
they do the similar clip where it’s Freddie
Mercury writhing in pain from an opportunistic
infection in a hospital bed, and “The Family Guy” does that clip. Would that not have generated outrage of an order of magnitude that
would’ve wrecked the show? – Yeah. It definitely would’ve. I hate that clip. It’s
just, that’s mean, man. And it’s like, where’s
the joke? There’s no joke. – Here’s the thing, Tom
Hinueber is one of the meanest people I know, and that’s why I love him. For him to say that, means that this is a particularly mean clip. And again, you have
family members who suffer from mental illness. My
mother is a psychiatrist. I treat a lot of patients
and have that suffer from mental illness. The
stigma is huge, but part of the reason we wanna talk about
this today in particular, apart from the Margot Kidder
story, which, I think in later life she became an
advocate for mental health. Which is why we have a link
at the bottom here to donate to the National Alliance on Mental Illness ’cause we want to support
people who are supporting destigmatizing mental illness. This idea that we in healthcare
suffer disproportionately from mental illness, including
PTSD, suicidality, burnout, emotional detachment, and
then other mental illness, and the stigma in healthcare
is so strong that we can’t talk about it for fear of being fired. We can’t talk about it as
physicians for fear of licensure renewal. They ask you specific
questions in certain states. Are you diagnosed with a mental illness? Have you been on medications? These kind of things are …
what they do is set up a stigma so that people don’t seek help. Then we have higher than
the normal population levels of suicide, of… – [Tom] Z, fix your mic. – What’s wrong with my mic? – [Tom] It turns into
your beautiful chest. – It’s not easy having
world-class chesticles. – [Logan] It’s not. – It really isn’t. And, you know what? My fans appreciate
that. All three of them. So, this idea then, that
we’re so stigmatized that we can’t even seek
help has been huge. Now, this came to a head actually, ZPAC. So, I did a little
experiment on Mother’s Day. Apart from posting the
interview I did with my wife about the biases against and challenges of mothers in medicine,
I did a “Ask Me Anything” on Reddit, and for some
reason it went super viral and had over 270,000
interactions and views, and went to the top of the Reddit AMA. And that’s weird. I had
all these friends of mine, I haven’t talked to in
years who were texting me, “Hey, you’re Reddit famous.” I’m like, we have a million
followers on Facebook, but we do a Reddit AMA
and suddenly we’re famous? But, this idea, I think at
the top of the Reddit AMA was a comment about burnout, suicidality in medical professions and
that got the most up votes and generated a discussion. And people were tweeting, “Hey, ZDogg’s doing this AMA
on Reddit and you guys should check it out.” But I actually read it
and got very depressed because I realize how deep
the struggle is for frontline clinicians in the country
struggling with burnout, suicidality, mental illness
and completely stigmatized. And that made me think
we should really talk about this today. – [Tom] Like you said, I
grew up with a mother who’s severely mentally ill.
And I’ll tell you this, there’s no casserole coming to your house when your mother is mentally ill. But when your mother
has cancer or something, you are getting love and
support from the community. And it’s always this, like
weird thought of like, well, those people are mentally weak. It’s like, well, should I
call your genetic lineage biologically weak? Because
that’s what it seems like to me, if we’re gonna use the same logic. – You’re spot on. I
mean, this is a disease of an organ in the body … the mind. If you have heart disease,
they do GoFundMe campaigns. They do telethons. Jerry Lewis does telethons for kids with developmentally delay. Do you get the same
destigmatization with mental health? No, because people think
it’s a moral failing. It is not. And the truth is, look,
I’ve talked about this idea, because we’ve talked about meditation, we’ve talked about
mindfulness on the show before and my own sort journey down that path and how hard it is, and how
training your mind is hard. Now, imagine, we’ve talked
about these little sub-minds that process data and do emotions,
and have hopes and fears, and dreams. And the elephant
and the rider and all that. Imagine if you have a
sub-mind, or two, or three that don’t give up. They’re
constantly ruminating on horrible thoughts. They constantly are
projecting a self-image that is inaccurate, bad, hateful,
hurtful, filled with guilt and regret, and this is constantly on loop all the time. Then you put that person
in a healthcare environment where they’re getting
stimulus of the worst kind. Things that would give
a normal person PTSD, we see every single day,
including all the pressures from our colleagues,
administrators, and patients, and each other, and ourselves to perform better,
faster, more efficiently. And you put that kind of mind
that’s already struggling in that situation and it
is going to be a disaster. We have huge levels of
suicide and burnout. I re-posted an episode with
my mom, who is a psychiatrist talking about patients she’s
lost to suicide, to homicide, and how difficult that is. And, I’m telling you, she was
holding back on that episode. When she talks to me about
it, it’s even more candid and it’s so hard, right?
But we stigmatize all of it. If we treated the mind as
an organ, and as a disease process, but also, be
careful of over-medicalizing. So, we don’t want to throw
medications at everything. Sometimes really good
cognitive behavioral therapy, really good psychotherapy,
and just changing our environment, changing our
own personal way that we deal with things, that takes work. And it’s not necessarily a medication. It’s not drugging someone to death. And sometimes drugs are very important. We can’t lessen the importance of that, but this idea that we’re just
over-medicating everyone, that’s not the idea here. The idea is that we
destigmatize the disease. We find the best way to treat
that particular patient. For me, being a Type A neurotic
with OCD, I found meditation has been a tremendous thing
because I’m not severe enough to require medications. My own ADHD is mild enough
that, if I meditate I’m able to focus and practice attention
and peripheral awareness in a balance. And that works
for me, but it’s hard work, and I need support, and I need resources and that kind of thing. Now, imagine you’re working 12-hour shifts again and again and again. There’s no support.
There’s stigma everywhere. Everyone’s telling you to suck it up. And then you have the public stigma, where people like Margot
Kidder are treated as crazy. It’s a no-win situation. The title of this is “What We Can Do to Help Our Colleagues.” Step one is listen to them.
Destigmatize it. Make it okay to say I have a problem and I need help. Change our licensing stuff. Allow for support from
employment assistance programs, our employers, et cetera, to
have time to actually treat, manage, and prevent mental illness. And then start early, like
pre-meds for doctor types in nursing school and all
that to say that this is not something you’re alone. You can have support and we’re
gonna change our culture. But it’s gonna take a
lot of us to do that. – There was a book I read
awhile back, and it was called, “A First-rate Madness,” and
sort of the thesis of the book was that the best leaders
are somewhere on the spectrum of mental illness because
they have higher levels of empathy or caring and understanding because they themselves have suffered. – [Z] Right. And then it’s often when you find mentally healthy leaders are leaders – [Tom] who do the most
harm in a population. Think of somebody like a George Bush. – [Z] (laughs) – You know what I mean? Or a Donald Trump, who’s mentally healthy, – [Z] Right. at least at his own diagnosis. – Well and then that’s right,
the intersection of art, creativity and mental illness. – [Tom] Right. – The people who go into healthcare are pretty creative types. Like, I’ll tell you, our
second year class play was… The amount of creativity
that came out of this group of UCSF medical students,
who, by the way, listen, these are not balanced people. These are not people who are
coming in this with a high degree of mental stability. These are the cream of the
crop of gifted students who are neurotic. They are
driven. They are pushed. All these other things. Then you throw’em in a room. My first year at UCSF,
I remember thinking, am I back in high school? These crazy, intense cliques would form. Everybody’s hyper-competitive,
but pretending not to be hyper-competitive. There’s a big, sort of performance anxiety and posture syndrome and all those things. It’s enough to break the
healthiest person’s mind. Now, you take people who
are already at the edge of creativity, intelligence… We did a show with Blair
Duddy on gifted kids… These guys are already
right at the edge, right, they’re pushing the limits. And you can easily push
them over the edge. Now, we have two people at
NYU, two medical people, a student, I think, and a
resident who died by suicide in the last couple months,
and everyone’s acting like this is such a surprise. This is exactly the
system that we’ve built that’s gonna generate this. And the fact that we don’t talk about it. One of our goals here on this
platform is to give a platform to these topics that no
one wants to talk about, that we all know is happening,
but we need to put it out to the world so that muggles,
non-medical people see it. Our policy-makers see it,
and our academics and people on the front lines see
it and go, you know what, tomorrow I’m gonna do something different. Or at least, it’s in my sub-mind now, I’m gonna ruminate on this and we’re gonna come up with something. – I guess something that I’ve
though about, reflected on for a long time is, and
I’ve admitted to myself, is that I’m not in control of my thoughts, like you were saying. You
know, like, these thoughts just arise like something
would arise in my body if there was a physical
problem with my body. If there were mentally
unhealthy thoughts that were, maybe societally we viewed
them as mentally unhealthy, right, that wouldn’t be my
fault, that would just be something that was arising for me. – That’s a huge step towards
understanding the stigma of mental illness, that thoughts arise. And not only that, but
loops of thoughts arise. And anybody who meditates
at all can see this. You’re quiet, you quiet
your mind and you see them just arising, like, just
clouds across the sky. And that’s why there’s been
a lot of research, actually lately on psychedelics going
back to psilocybin, LSD, high dose psychedelics,
MDMA, which isn’t technically a psychedelic, but it’s
close, under guided conditions people can actually
almost reboot their mind. And these ruminatory
patterns of unbidden thoughts and ruminations can actually
be broken and you actually get a thirty-thousand-foot
view for the first time. It’s equivalent to meditating
in a cave for 30 years, you know, having a guided
psilocybin experience at high dose, at least to hear people who’ve done it’s explanation. – [Tom] It’s so interesting,
too, because it is cultural. We put them in a box as mentally ill. This is just, sort of, their
reality, and their experience as a human being and we’re
putting them over here in the box as like, no, you’re malfunctioning. There’s this shamanic tribe,
and I forget where it is, like Papua New Guinea, or
something, and their name for somebody who’s
schizophrenic is, “one who walks with the dolphins.” And it’s
like, what does that mean? I don’t know, but they’re a
society that takes a lot of psychedelic drugs. So they’re
like, this dude’s having visions, he must be touched by the gods. He must know something we don’t know. Let’s listen to him. And he’s
revered in their society. You know what I mean? – It’s a whole different framing. It’s a whole different framing. And you know, somewhere in the
West we lost a bit of touch with that sort of aspect of
the spiritual, creative aspect of what we’re calling mental illness. Now that doesn’t mean that… So if you have that mindset
it’s very hard to function in our current society. ‘Cause you can’t get things done. You can’t organize your
thoughts, and of course there’s the extreme. Margot Kidder said that
when she had this break she was wandering. She wandered
into Downtown Los Angeles and was taken in by a
couple of homeless people who recognized her as someone
who’s fellow mental illness, and took care of her and protected her. And it goes to show that
sometimes game recognize game. If you suffer yourself, your
level of empathy and acceptance of others who suffer may be higher. So we could all do a little bit with that. Now, I’m not a big fan of empathy because feeling someone’s pain… If you felt a schizophrenic’s
mind, you would not tolerate it for long, and it would
actually lead to yourself you would burn out. You would
make incorrect decisions. You would believe some of the delusions. That’s why family members
with high empathy of people with mental illness can
suffer something called folie a deux, where they
share some of the delusions of the mentally ill family member because the empathy is tight. – [Tom] There’s a condition
tied to schizophrenia called allophrenia, where
you can actually start to hallucinate, yourself. – [Z] Ah. Interesting. And the idea, again is that
we are very suggestible, and that our mind is complex, and it is consisted of sub-minds
that are always feeding our awareness this data. We can improve those things. Medications, therapy, cognitive
therapy, talk therapy, just getting out of certain environments, set and setting. That’s why people who used
to drop acid in the 60’s sometimes would just have
horrible things happen because their set and setting was bad. In other words, their
mindset was bad going in, so now they’re open to
all this crazy stuff, and their setting, where they
were was not a non-paranoid inducing sort of setting. But in guided settings
with the right mindset, these might, we’re seeing
evidence that these drugs might help us understand even
the nature of mental illness and how the mind works. There’s a lot to do. So, Tom Hinueber, other thoughts? – Well, taking it back
to medical practitioners, there’s a lot of things that
are considered mentally healthy or normal, like staying up all night, – [Z] (laughs) – Or just clicking through
these boxes, never asking why you’re doing any of it. Shoving your own compassion,
empathy deep within yourself to just do the thing you need
to do to get through your day. And then we’re surprised when
people burn out and break. These are not normal behaviors. – [Z] We’ve set people
up in healthcare to fail. You know, there was a guy on Rogan, the sleep specialist from Berkeley, – [Tom] Right. Yeah, and he talked
about the origins of why residents stay up all night
can be traced to a doctor in the 1800’s who was a
cocaine addict and expected all his residents to keep pace with him. So he would stay up for 36 hours
’cause he was high on coke, and he expected his residents
to keep up with him. So the culture was set then
by a cocaine-addicted doctor, which is a mental illness in itself. Cocaine dependency is in the
DSM-5, right, as a disease. You’re now expecting
medical students to behave in this model, and it
persists to this day. Things are slowly changing, but we have to change them faster. Uh, what do you think, Tom Hinueber? – Cocaine’s a helluva drug. – It’s a helluva drug. – [Z] Cocaine is a helluva
drug. Charlie Murphy. So, guys, this is what you can
do to help raise awareness. First of all, people
who’ve donated to NAMI, the National Alliance on
Mental Illness, $230 raised from eight people. Thank you. Keep clickin’ that box. Do me a favor, hit “Share” on this thing. Share it with someone you care about. Frame it a certain way, like, “We need to destigmatize this.” That will go a long way. It also helps Facebook’s
algorithm to realize that our content is good and
just and needs to be shared, and helps it disseminate. I don’t know, ZPAC, we love you. Thank you for supporting
our AMA on Reddit, everything we do on Facebook, and for being a part of the tribe. Also, Logan just created a
“Make Medicine Great Again” line of merchandise. So, if you want to support our videos, go to shop.ZDogg.MD.com and
make medicine great again. I don’t know, Tom Hinueber,
what do you think? – There isn’t a single mental
illness that’s a weakness. They’re just a condition
in the human experience. – Normally the show ends with, “I hate you so much, Tom Hinueber,” but it’s hard to hate
you for saying something that actually makes sense, for a change. I hate Logan so much. – [Tom] He walks with the dolphins. – You dance with chickens, Logan Stewart. – [Logan] I do. I do, Z. – I love you, ZPAC. We out. (hi hop music) – What? Dancing with
chickens isn’t like, a thing? – [Logan] Gotta dance with chickens, Z. – I’d dance with… I’d
do the chicken dance. (hip hop music) – [Z] By the way, have you seen my… – Have you seen these? I walk around talking to
myself, wearing these, talking to Steve Jobs’ ghost. – [Tom] That’s a behavior
that’s considered normal that may not be.

Head, Neck, and Back Injuries

Head, Neck, and Back Injuries


“Elizabeth, are you okay?” “Elizabeth…” “…are you alright?” “Maria, go call 911 and then come back, okay?” “I might need your help.” “Elizabeth, are you okay?” “She must have fallen.” “That arm feels okay.” “She’s breathing.” “And she’s got a pulse.” “Elizabeth, can you hear me?” “Can you hear me?” “Maria, are they on the way?” “Okay, good, good.” So in this scenario, we had about a 12 year old female who fell at a height above her head, and she landed on a somewhat soft, but firm ground. This is gonna be something that’s gonna lead us to think about head, neck or back injury as we begin our assessment. I place a hand on the forehead, to make sure that I’m not moving the neck excessively. We’re making sure to check for the airway, breathing and circulation. In this case she was breathing, she did have a pulse. So we knew she was stable with airway, breathing and circulation. Skin color is good. Now we’re going to make sure that we’re checking the arms for obvious fractures and deformity. We’re feeling one side of the chest, and then the other. One side of the ribs, and then the other. Abdomen and then the other. Pelvis, hips, legs. And we see that there is no crepitus, which is crunching noises, and we also realize that there is no real deformity there, which tells me, probably she got knocked out when she fell, but we want to take precautions. We activated EMS and sent a reliable runner to call 911, and then to come back and let us know they’re on the way. And then in the mean time, as long as their airway, breathing and circulation is within a stable spot, we can then hold the head still, monitor the patient frequently, and wait for EMS to arrive.

Brain Injury: Intro to TBI Information and Crashing Minds

Brain Injury: Intro to TBI Information and Crashing Minds


Hello, my name is Gordon Johnson. You are
now on tbilaw.com, which is a webpage that I have had on the Internet since 1996. This
video is now being shot at a time that I have changed the title of tbilaw.com from the Brain
Injury Information page to Crashing Minds. Why the title Crashing Minds? Well Crashing
Minds is a book that I have been writing for the last couple years and it seemed like it
was time to incorporate some of the themes of that book in TBILaw.com which has hundreds
and hundreds of pages of information on it since I put it up in the mid 1990s. I use
the term crashing minds because the brain in a brain injury does crash in similar ways
to what your computer might do if you in fact overload it and/or did something to make it
crash. Now there’s no comparison to the devastation of a brain injury to a computer crash, but
as we begin to understand the way in which computers work, the average person now knows
what RAM is and a hard drive is, it becomes easier for me to explain similar processes
that happen inside the brain when there’s a brain injury. I’m not a doctor, I’m a lawyer. I’ve been
writing about brain injury virtually my entire career as a personal injury lawyer. These
pages have information I’ve learned on them , both when undertook the massive undertaking
to really understand brain injury when I became a brain injury specialist, but also what I’ve
learned from listening to you, the people with brain injury, my clients, loved ones,
family members of my clients, and the things that I’ve learned in the years of doing battle
with doctors who were hired by defense and insurance companies to basically deny that
anything we know to be true could be true. Tbilaw.com is really not like anything you’re
going to read in a medical book. It does have medical science as its primary basis, but
it’s not written like a doctor would write for another doctor, and it’s not written like
a brain injury survivor would write for another brain injury survivor. The goal is to combine
a technical understanding of brain injury with the communication skills both written
and verbal that I have developed in my career as both a journalist and a writer and also
as a lawyer, but to combine those things in a way where I can teach, I can inform, and
I can advocate. We hope that these pages are self-accrediting
to you that you will see yourselves, you will see your loved ones in these pages and through
them you will in fact get a better sense of what is ahead and what it is that you need
to learn, you need to do, to ensure the best recovery for you or your loved one. Throughout our web advocacy we have seen three
basic themes that come up. The questions come up over and over again. The first is someone
is in a coma, their loved one is in a coma, and the doctors are all saying, the only information
the doctors are giving is that you will just have to wait and see. Well predicting the
outcome of a coma while someone is still in a coma is a very very difficult thing to do,
there is legitimate information, and it’s a very important time for the family member
to learn as much as possible about brain injury. The second theme is that you suffered a concussion,
your family member had suffered a concussion, and the doctors are saying everything’s going
to be better, and when you are a week after the concussion, a month after the concussion,
that’s what you want to hear, and it may in fact be the case, but for a significant minority
of people, 10 to 15 percent of the people, that may not be the case, and the doctor’s
advice that everything will go away, don’t worry, you’ll be fine in six months, isn’t
always true, and for the significant subset, the significant minority of people, there
needs to be more information, there needs to be more assistance and more focus has to
be beyond long-term recovery and we’ve tried to address that issue. The third major issue is what is almost a
complete devoid of information about the long-term potential disability that can come either
after a severe brain injury or after concussion. In the concussion cases it is obvious why
that information isn’t given; because in concussion cases the doctors don’t think there could
be any disability, but remarkably there’s still very little information given about
the long-term consequences, long-term behavioral changes after a severe brain injury. In the
severe brain injury case there is this huge focus of care and attention in the first 90
days; hopefully it extends out for a year, but once you’ve gotten away from the neurosurgeon’s
care, once you’re outside of the requisite number of speech pathology visits or physical
therapy visits, then there’s very very little done given information provided and focus
on long-term recovery. We started a project called TBI Voices a little over two years
ago and we’ve offered almost daily installments of the voices of people who survived injury,
primarily severe injury, and what their life was like as they went through it and what’s
it’s like now. We are creating new pages as we go that incorporates what we’ve learned
from listening to the TBI stories on TBI voices to help people understand the future impact
of brain injury. To help them understand the long-term symptoms that they may suffer. We hope that you click on it. We hope that
you find what you need here. We hope that you will come back. We hope that you will
use tbilaw.com, crashing minds, as your troubleshooting guide for the challenges that are ahead for
those with brain injury.

How did Alma use a Chiasmus to focus on Christ’s Atonement? (Knowhy #323)

How did Alma use a Chiasmus to focus on Christ’s Atonement? (Knowhy #323)


In the Book of Mormon, the prophet Alma taught
the people of Gideon some important truths about the Saviors atoning sacrifice. To help make his point, Alma used a chiasm. This is a literary pattern where key words,
phrases, or ideas are repeated in reverse order. The center is typically the most important part. And at the center of Alma’s chiasm, he places emphasis on the truth that the Savior would suffer all of this “according to the flesh”. Alma described the Atonement in intensely
physical terms. His comprehensive list of things Christ would
take upon himself is comprised largely of physical suffering: pains, sicknesses, infirmities,
and death. But Alma also included the crucial, spiritual forms of suffering: temptations, sins, and transgressions. Alma’s use of chiasmus makes it clear that
Christ’s mortal nature the “flesh” was an essential part of His Atonement. It was His mortal nature that enabled Him
to suffer in Gethsemane, and to endure death at Golgotha. But Alma also taught that Christ’s mortal
experience itself His “going forth” and experiencing the “pains, afflictions,
and temptations” of mortality was a vital aspect of His atoning sacrifice. And now you know why

Ready to Race Series: Stress Fracture

Ready to Race Series: Stress Fracture


If you suddenly change your training volume, in particular you are really changing the type of surface you are running on, those things can create some really significant consequences. So stress fractures are really an overuse injury now involving the bone. And the bone, once it accumulates a certain amount of stress it has a hard time healing itself in some cases. Essentially what happens is as your muscles fatigue and they can’t absorb the force that they need to during running that stress gets transmitted to your bone. And bone is made of protein, to some extent, but also a lot of calcium, which is hard. And so, once it starts to break, if it keeps on getting stressed in the wrong way, it has a very hard time healing itself. There’s often focal tenderness, Sharp pain that’s often much more focal than I mentioned in the shin, at least. Having swelling is common. And then some of the things you can do are things like what’s called “Hop Test” so you can kind of hop up and down on that one leg, and typically that won’t be painful. But if you are getting that sharp, typical pain when you’re hitting the ground, that’s not a good sign. There’s been studies that look when you are under tremendous psychological stress, changes in cortisol levels, or your ability to heal and all this kind of stuff. But more so it’s important for you to just keep in mind that you need to maintain adequate nutrition, make sure that you are getting a good amount of protein, and just overall calories to allow your body to heal itself. Key with this is making sure that if you do start to feel anything that sounds like this you really need to stop your training and not joke around with it. Because it can progress and cause major problems. If you do have a stress fracture and you’re in that case where walking isn’t painful and the only thing that you have trouble with is running, we can get you in an AlterG and take up to 70 percent of your body weight off so that you can still run and train as your tissues heal in a pain-free fashion so you don’t have to take time off from this.

PoTS Explained & Chronic Illness Tips [CC]

PoTS Explained & Chronic Illness Tips [CC]


OMG, Ok… We are gonna have such double chin in this video… Oh dear… Hello lovelies! Welcome to my living room floor, it’s very attractive Also hilarious because my brother and I bought exactly the same rug without realising Point to you if you can guess where this rug is from I used to spend a lot of time on the floor- about 60% of the time. The other 40% was lying down in bed. My mother and I used to joke that I could recognise a place by its ceilings and it’s kind of true… I still spend a lot of time lying down but I’m a lot better now. I can sit up in the car rather than lying down on the back seat and I can actually hold my own head up Excellent! Also being able to hold my head up is quite a change… Also I can stand up for more than 2 minutes at a time without fainting. Genuinely, my life is amazing compared to what it once was and I still only leave the house twice a week! Normally when I’m stuck on the floor I don’t film because I can’t exactly set things up around myself I just generally feel pretty pants. Kind of hard for me to follow my train of thoughts I wanted to talk to you about why I’m on the floor so often since I know I’m not the only one and I hope it will help you explain to other people . what’s happening to you. So you can send it to them and be like Look! not just me! I am not the only one who lies down all the time I have a condition called PoTS, which is For some reason I can never remember that It’s related to my connective tissue disorder, which I’ve explained before, card above When a healthy person stands up their blood vessels contract and their heart rate increases slightly to maintain the blood supply to their heart and brain. My blood vessels can’t be arsed with that This is what happens to me Instead, all of my blood rushes down to my feet, turning them purple My heart races, my face goes white and- whomp!- I’m gone. Fainted on the floor. It takes about three seconds. If I stand up to quickly, obviously, not like every time If I stand up slowly we are ok Other symptoms include: I’m saying this so cheerly! “Other symptoms include…” I mean It’s not always that bad, things that can make it worse include being tired or ill If I have my period… The whole week on the floor And I can’t definitely not film in that week because lights Light kills me Even on days when I’m feeling at my tip-top best, I have to be very careful when I stand up If I do it to quickly, then whoosh I hit the floor Fortunately my wife has the world’s best reaction speed and she tends to just grab me very quickly Which is good otherwise there’d be blood and brains Even if is a really bad, lying down does help Specially for some reason, the floor A hard floor vs a soft bed Idon’t know why it just really helps me Sorry I’m blinking so much from these lights As do things like… Making sure I don’t get dehydrated because wow that’s bad Dehydration murders my brain If I could avoid my period I really would Actually it’s never even a week, it’s like 9 days. Who else has a 9 day period? Women’s issues… I can’t even have children so it’s a bit unfari They also exacerbate symptoms But fortunately I can’t eat them So I don’t, there you go I know the Chronic conditions may be all very different and have symptoms that are in no way similar it’s a whole spectrum as well But I think the life advice is generally the same Whatever kind of chronic illness or conditon you have Or even if you are someone who is suffering for something short term If it’s just an illness you are getting right now so Here are my tips, my 5 tips for living with a bad illness If you have a goal make sure it’s achievable. I’m not saying ‘make enough money to be entirely self sufficient and payed a maid’ isn’t possible It’s not, however ‘tango on the moon’ that might be I mean obviously please if that happens film it I need that footage That would make my year My life maybe Someone should do that No something that would make my life would be Fast and Furious I want to go to a Fast & Furious premiere Try not to fit too much into one day- don’t rush, there is always tomorrow. and if not tomorrow then next week looks pretty free. I talked about this in my spoons video. Learn to live within your limits and save some of yourself for later. No pushing. Save yourself, you don’t have to go all out If there’s a date in your diary that can’t be moved then resting beforehand is actually an active doing Equally, resting afterwards is doing because it’s recovering. No need to feel guilty. So technically you’re achieving things left, right and centre. I don’t care what you think you have to do. Drop it ok? You definitely won’t be able to do it when you’re too ill to form thoughts Stop now and you have a chance of recovering in good time. Do I follow my own recommendations? No Do I overwork myself and push for things that aren’t possible? Yes Yes Ido But I’m a work in progress. I’m just trying to get on with my life like everyone else Just got a few challanges But hey we all do! Just different, we’ll all get there in the end If you’re looking for more information then there is an amazing website called that has a ‘living with pots’ section and some really great suggestions and ideas of things! Also, ice cubes! I live in England and Istill get overheated and fail to maintain a normal body temperature I hope you enjoyed this video, hope you can take something from it Share it with a friend If you feel they needed Specially if they feel like they are all alone, and they are the one who just needs to lay down on the floor alone It’s not true, I am lying on the floor too Studying the celling… I should get more interesting lights in my house…

Your Illness is Not Your Fault

Your Illness is Not Your Fault


good morning John I’m still sick this is annoying the thing that I’ve noticed now that I’ve had this happening for like two weeks is that when you are sick people give you advice I’ve actually noticed this for years when it comes to my ulcerative colitis a lot of people seem to have a cure in their back pocket if only I’d go gluten free or stop eating grains or palio or vegan or stop eating short train carbohydrates or fast for three days and then eat an apple seriously it was a whole thing and it took like half the party for him to explain it to me and over the years I’ve tried a lot of those things and none of them worked what worked was taking the medicine that my doctor gave to me and then over the past week people have been saying completely normal things to me like get some rest man or take it easy stop stressing sleep more and I’ve been a little bit shocked by how annoying this is not because it is annoying like its fine It’s a totally fine thing for somebody to say but it’s tapping into this thing that I have with my ulcerative colitis after years of dealing with my chronic illness that I can not cure and having people tell me ways that I should be able to cure it what I’m hearing is not, you know ‘take it easy, we support you’ instead I’m hearing: ‘I have the secret to your wellness and If only ‘you had the courage and fortitude to implement it, you would no longer be sick’ and one step further from that whats tickling by subconscious here is this idea that my illness is my fault I know that my chronic illness is pretty insignificant compared with what a lot of other people are dealing with but I think this is probably an experience that a lot of people have when you tell me, a person who has lived with ulcerative colitis for more than a decade that you have the secret to my wellness I can not help but dislike you like if that’s my first impression, and sometimes it is I’m like ‘I’m out’ and look maybe this is the one weird instance in which you are the one who was right and maybe I’m missing that opportunity to finally make myself better but I’ve heard this line so many times with so many different facts and so many different pieces of anecdotal evidence that all I can hear when people say this to me is ‘your illness is your fault’ because we want it to be somethings fault, right? because if its not the fault of anything, then it has to be just weird random chance and that’s what chronic illness is it just freaking happens to good people and bad people and champion athletes and people who drink to much I’ve dealt with my illness by allowing myself to accept it by admitting to myself and accepting that my life is different now and my body is different now and I have to live inside of this body that sometimes hurts itself science will keep marching forward and someday maybe there will be a medicine that I can take that will control this disease without making me sick in other ways and yes, science shows that my behaviour does influence the expression of my disease and so does my experience of my disease and so I do need support from people that help me make the decisions that my doctor says that I should make and that I have decided for myself that I want to make but I also can’t avoid the truth that this is the body that I’m in and I have to accept that like among the many probabilities that were cast, that mostly came up in my favour I rolled bad on auto-immune diseases my brain tried to tell me over and over again that this is my fault I have searched for every possible way subconsciously and consciously that this is a thing that I did to myself and that’s a crappy feeling and its re-emphasized every time someone tells me that there’s a simple thing that I can do to make myself well I want to say here at the end of this video I’m doing fine, I’m not angry or frustrated at my friends or at you I have a loving and supportive group of people who are fantastic in my life and I do my best to understand that when people are saying these things they’re not trying to make me feel what I’m feeling so I just try and accept that support for what it is rather than how it’s being expressed specifically but if you want to be supportive of someone who’s sick in your life make sure that you recognise that it’s very possible that they are struggling right now with this feeling that they did something to cause or to deserve the illness they have even if objectively they understand that that’s completely untrue when we say there is an easy way out of this and there’s not what we’re making people feel is that ‘this is your fault’ when it’s not. John, I’ll see you on tuesday