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Transcript
00:00We looked at injuries at almost every sporting league you requested UFC. Let's get started.
00:10Now, this is the shot that gave her the swelling. And right after that, right above the eyebrow,
00:16her forehead immediately started swelling up. Oh, look at that. Oh,
00:22that's a hematoma. And while that looks terrible, it's not as dangerous had that hematoma formed
00:28inside her skull. Because remember, inside the skull, there's no place for it to go. So
00:33pressure builds up, and then that pressure is dangerous for the neurologic tissues, the brain
00:38itself. If there's no fracture and it's just superficial bleeding, it looks worse than it
00:42is in many instances. Oh, this is the same person? Wow, pretty incredible.
00:47More busy with the left. Oh, good right hand by Barboza. Oh, no. Oh, my goodness.
01:00Stop the fight.
01:03He hits him. Oh, my goodness. Wow. Most commonly, when you see a strike,
01:09it right away incapacitates a fighter. But in this situation, there was a delayed response,
01:13which could be that the muscles were still, they're firing. And then only after the brain
01:18recognized what's going on, it completely shut down and went into a prone position.
01:31That looked like it was to the frontal bone, the top portion of the skull there.
01:35Oh, right on the nose. Oh, my God. Look at the nose. It's like completely sideways. No,
01:45don't fix it. Just wait for the doctor. I mean, the nasal bones are so tricky. There's a lot of
01:50cartilage there. And one of the most worrisome things is that you can get a nasal septal
01:56hematoma there. And that type of bleeding into that section is dangerous and problematic and
02:01requires urgent attention. The blow was so bad that Perry started having trouble breathing and
02:05ended up being hospitalized. Perry underwent successful nose surgery in Uruguay. Mike,
02:09it's good to see you and your new nose. It's looking great. Can you do this, Eric? My dear.
02:14Can you do that? Here we go. Heavy low kick.
02:25He kicked me right here. There's a nerve, a perennial nerve that will shut your foot off.
02:35His toe, his big ass Ecuadorian toe hit my perennial nerve right here. It shut my foot off.
02:43My foot was completely numb, went to step back on my foot, but my foot didn't work. I fell down.
02:48So you roll your ankle. The perennial nerve or the common fibular nerve is a branch off the sciatic
02:53nerve. Most people heard of sciatica. If you get hit there, it actually can paralyze the nerve.
02:58Paralyzing that nerve, at least temporarily, what can happen is you develop foot drop where you
03:02don't have the muscle called the tibialis anterior on the foot to actually raise up your foot. So the
03:07foot drops. And then there's also some weakness in the muscle on the outside of the foot. So your
03:12foot basically falls inward. And obviously you can't step on a foot that's flailing. You lose
03:17your base. All other issues occur.
03:19Oh, huge elbow from Shield.
03:23Without a good base, it's near impossible to have a good fight.
03:48Oh, my God.
04:01Wow.
04:01Day after the big fight, dude.
04:03Leg kicks are deceiving, man. It feels like I was getting hit with a bat. That's the first
04:06time I've really been punished with those. You can kind of see here.
04:10Oh, so much swelling.
04:13Oh, my God. Look at that. Oh, Jesus. Look at that.
04:16That's a serious hematoma there. Remember, when you hit muscle, muscle bleeds. That's what bruises
04:21come from. And if you hit the muscle enough, you could actually have electrolyte disturbances and
04:28neurologic disturbances where the muscle starts firing, not firing, shutting down, being slow to
04:32react, cramping. So that's what's happening every time you're getting kicked.
04:37They kind of have to wait for the swelling to go down and stuff before they MRI or anything, right?
04:41Well, first we get x-rays to make sure bones aren't broken. And what's interesting about x-rays
04:45is they're not incredibly sensitive. They don't catch all stress fractures, for example, or really
04:50small fractures. So in that instance, we do get MRIs. You would prefer swelling to go down. Now,
04:56on the other hand, if you wait two weeks and the swelling goes down and the patient's fine
05:00clinically, there's no issue, getting an MRI might be overkill.
05:08Belfort very fluid and relaxed here in the early going.
05:12When was your vision first compromised? It was after the Vitor fight, right?
05:17It was the Vitor fight that did it. And I slowly started getting my symptoms. I was
05:23doing this a lot in restaurants. You know, in restaurants, it's dark, some of them.
05:27I was doing this, you know. He wants to see if he has peripheral vision.
05:30My friends will be like, oh, he's doing that thing again with his hands. I'm like, can you see your
05:33hands? And I'm like, no, I can't. I can't see my hands. I can't see my hands. I can't see my hands.
05:38And my friends will be like, oh, he's doing that thing again with his hands. I'm like,
05:40can you see your hand there if you do that? By the end, it was like right in front of me there
05:44and I couldn't see. I called the doctor and he said, yeah, you got a detached retina.
05:47Interesting because a detached retina happens quite suddenly and there's three different
05:52signs that we look for or symptoms that we look for in patients. One is like the quick
05:57loss of vision. Some people describe it as a curtain going over the eye,
06:01new floaters in the eye, like happening very quickly. And then also flashing lights.
06:06This is a surgical emergency that we are taught to refer and get them treatment within 24 hours.
06:12It's just a bump in the road, hopefully.
06:15The surgery lasted over an hour. They injected oil in my eye. They used a laser.
06:20They put a silicone sponge around the outside and eventually reattached my retina.
06:26It redetached. I got glaucoma. It was just bad luck. One thing after the other. Anything that
06:31could go wrong with an eye. The thing was with the eye, when you start performing surgeries on
06:36the eye and then still continuing combat sports, it creates all sorts of different risk factors.
06:42That's why when I was talking to some of my ophthalmology colleagues about getting
06:46LASIK before my boxing match, they were telling me the different options, some of which carried
06:50a higher risk given the fact that I was going to experience head trauma as a fighter.
06:55How did you pass those tests? With great difficulty. Lying, cheating,
07:00bullshit codes. I've lied to so many doctors. It's pretty sad to hear that he had to do that
07:07because it put his life in jeopardy. And I'll show you right now.
07:12So as we see, there is the prosthetic lens. So I definitely can't live without this thing.
07:18That's really cool. I have no idea about prosthetic lenses. That's above my pay grade.
07:23There's no point of comparison for Ferguson. I don't know who you'd compare him to.
07:29Oh, that elbow. I felt the elbow. The olecranon.
07:34It looks like Cerrone maybe blew his nose and that right eye now is almost completely and not closed.
07:38Oh, no.
07:39You can't close your nose.
07:41Doctors said you can't fight.
07:42I think I watched this fight.
07:44You can't fight.
07:45Doctors told him he can't fight.
07:46The doctor's protecting him.
07:47Yeah, I mean, his eye is absolutely terrible. There's probably a fracture,
07:51and there's somewhere that's causing air pockets to go into his eye,
07:54making it completely swollen shut. And that's dangerous, not just for the eye itself,
07:59but also for the fighter because they're not going to be able to see a fight come from,
08:02a punch come from that direction.
08:04You blew your nose, which is something you're never supposed to do. And your eyes swoll up.
08:08I also used to see, I think this was in a Rocky movie where they would
08:11cut the eye that is really swollen and allow it to bleed.
08:14I can't see nothing. Gotta open my eye. Come here, man.
08:17We don't do this. This is highly illegal and dangerous for so many reasons.
08:22A lot of vital structures there that if you damage, that could be permanent.
08:32Tomorrow, I gotta go to you, man.
08:33What does Jorgen DiCastro need to do right now, man, to get back in this fight?
08:38Oh, his shoulder's out.
08:39Wow.
08:41Talk about sportsmanship.
08:44But the ref has to see it.
08:46Oh my God. He's trying to put it in himself. That's bone on bone grinding there.
08:50Remember, bones have articular cartilage.
08:53So it's cartilage that rubs over the head of the bone that allows it to move smoothly
08:57within that joint. Then there's the labrum that keeps it in place.
09:01And if you have issues with your labrum or ligamentous laxity or weak tendons in that area,
09:08you can be more prone to developing a dislocation.
09:10If they put it back in the socket, could you restart?
09:13Of course.
09:14Medically, yeah.
09:15If they were able to reduce his shoulder really quickly, again, I don't know the rules here,
09:19but he might be completely fine.
09:20There's instances where someone has a very loose shoulder,
09:23so much so to the point where it comes out frequently,
09:26they're able to pop it back in themselves and continue fighting or doing whatever it is.
09:37Oh, that's when his leg give out.
09:43Oh, it's like, oh, look at what he's done.
09:54It's not a dislocation, that's a displaced fracture.
09:59Oh, stop showing it.
10:00You can't watch it, none of us stand a chance.
10:02No, I can't watch it.
10:04I mean, I'm still a human.
10:05I was injured going into the fight.
10:07People are asking me, when was the leg broke?
10:11At what point did the leg break?
10:13Ask Dana White, ask the UFC, ask Dr. Davidson, the head doctor of the UFC.
10:17They knew I was, my leg, I had a stress fracture of my leg going into that cage.
10:21Stress fractures certainly put you at risk for a complete fracture.
10:25This is why I frequently have patients who are drastically increasing their
10:30mileage training for a marathon or something.
10:32And I see a stress fracture, they have pain in their bone.
10:35I diagnose them and I tell them, don't run the marathon because you could snap your leg.
10:38And they say, no, no, no, I'm good.
10:39And then things like this happen, and that's the risk.
10:43That's the risk of continuing to train under stress.
10:46Fracture.
10:46There's actually some unique tools that exist through sound.
10:49They can speed up healing.
10:50It's pretty interesting.
10:52I've seen some preliminary research on them being beneficial.
10:55I haven't checked in on the research over the last few years, but they look like this.
10:58And they're pretty cool in that they could potentially speed up healing of fractures,
11:02which is great for professional athletes.
11:03So now I've got a titanium rod going down the knee, from the knee to my ankle.
11:08And the doctor said it's unbreakable.
11:09I wonder if he didn't have his accent, would we find this message equally as charming?
11:15If you didn't know, I fought Nate Diaz's boy, Chris Avila.
11:17Click here to check it out.
11:18Really interesting synopsis.
11:20As always, stay happy and healthy.