Can a Tight Necktie Increase Glaucoma Risk?

Can a Tight Necktie Increase Glaucoma Risk?


Sometimes it’s real hard to break those old habits. You find yourself asking, “Is it really that bad for me?” Well, take neckties for one thing. You want them nice and tight, looking right, high and tight. But could your tie be too tight? There’s an internet rumor that a tight tie could increase a man’s risk of glaucoma. Ophthalmologist and eye surgeon Dr. Brian is back and he’s going to help us answer the question. So Brian, is it really that bad for you? Could be. (laughter) So there was a study in New York that tested eye pressure in men before and after they put on a neck tie and what they found was that when you put the necktie on, the pressure in the eye actual went up. When they took the necktie off, it came back down. And the reason that this can occur is because the pressure of the necktie can start to cut off some of the veins that drain out of the head and the eye, so it can raise the pressure and as a result I recommend now that all neckties have a warning for glaucoma. (laughter) Just kidding, just kidding. Well, we have a little test and you know your necktie does as your shirt collar does. You only get it as tight as the shirt, so it’s the finger test. If you can get one finger inside your shirt, Michael, can you get a finger in there? That a boy. Yeah Looking good. Then than means it’s not too tight. But conversely, and I have had this happen to me, that you put on a shirt, it is clearly too tight around the collar and you tighten your tie, you start to feeling a little constricted there, so you don’t want to feel that. And I like to call it the lollypop test, so if you’re in the mirror and you’re putting on your tie and you look like a cherry flavored lollypop. (laughter) It’s probably too tight. Good time to loosen up a little. Well, I have some male patients and female patients both, that come into my office and the way that they get their shirt size is based on the circumference around their neck. So they’ll have a 16.5″ neck, 17″ neck, what have you. And they’ll say randomly, “Doctor, you know, my shirt size now doesn’t fit well”, and that’s a really good sign to say, “Hey, I need to see the doctor”, because it could be a sign for some early thyroid disease, some lymph node issues, even some tumors that secrete growth hormone. So the neck is really a good place to look for that if you have something unusual going on that should trigger you to go see a doctor. And so just to be clear, so there are a lot of neckties out there in the world, so do you think that this is a real culprit? Because glaucoma is one of the leading causes of blindness in the United States. So are neckties partially to blame, like really, should we be worried? I don’t think we could say neckties cause glaucoma. If it’s too tight. Right, but I think it someone has glaucoma and you increase that pressure you’re counteracting all the other things that are happening with the eye doctor to lower the pressure. Okay. Thank you Dr. Brian.
(applause) Alright, another question. Maybe you’ve done it, but sometimes you just gotta go and you urinate in the shower.
(laughter) It may sound gross, but is it really that bad for you? I mean, urine is sterile, unless you’re actively having an infection, so I don’t see it being bad for you. Now that being said, there’s something that makes us different from animals, right? And that’s that we take care of ourselves. When we go use a restroom, we do it in a clean way, in a sanitary way. So I can shower with my partner in the same room, but now if I’m going to start peeing in the shower they’re not going to want to be in the same room as me. I think it’s really personal preference, I’ll pass on that one.
(laughter) All of you are shaking their heads. What’s the big deal? The water’s flowing, it’s being flushed right then and there, I mean, it goes down the… So it’s a yes for you? It’s a yes for me. I mean, was there any doubt? You know, The Huffington Post said 61% of Americans pee in the shower.
I know, so it’s shameless shower squirters.
Well, that’s Huffington Post we did our own poll too, Dr. B. We asked our viewers if they’ve ever urinated in the shower and guess what? 89% admit they have. (audience groans) So I’m not alone. You are not alone, I don’t know. I get it Dr. Batra, I love the environment, and I respect your way of life Dr. Ordon, but I don’t want to pee in the shower. I’ll recycle, I’ll do other things for the environment. And the one time never pee in the shower is if you have a urinary tract infection, don’t spread that bacteria, definitely pee in the toilet. And if you’re sharing the shower with someone, as Mike alluded to, maybe ask first before you do it. Make sure, “Hey, like are you okay if I pee in the shower? This is normally the way I roll, but it is okay with you?”

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