I got called about one of my patients bleeding overnight. But where was the bleeding coming from?? This story is for education purposes and does not contain medical advice. Details of the story have been changed to main anonymity
Is it surprising that a practicing GI specialist can explain a condition treated by their specialty better than an academic delivering content on a range of topics?
I remember that it is constantly repeated on harrisons or other sources that oesophageal variceal bleeding is so threatening, esp in liver cirrhosis, but liver cirrhosis itself has a LOT of things to remember and study, it just became trivial 😂 bad way of studying but im not a superman who can remember everything 🥲
Your patients must love your explanations....you sound like the nurse after the doctor leaves the room and you have to explain what the doctor just said😂
I think this is super interesting on a personal level, because as a late teen I started getting nosebleeds. I'd been a nosebleed kind of kid, so I didn't think too much of it, but in the same year I was diagnosed with autoimmune hepatitis, which had resulted in enough scarring of my liver to be considered cirrhosis. It's interesting that despite being diagnosed it has taken me over a decade to put together the hows and whys of all the symptoms I'd had at the time. Thanks for confirming what at the time felt like wild theories. (tbf, what 17yo actually knows what a liver does, right?)
A great example of the healthcare 'team' approach. Each specialist contributed their own knowledge to the case and helped each other to ultimately save the patient. Very clear explanations also, much better than plenty of doctors I've worked with 🤣🤣 Keep it up doc!
I have great respect for GI doctors. I have crohns disease and I was very, very sick going into the ER. I found out I had a fistula with a softball sized abscess in my abdomen. I ended up in the ER three more times and each time, my abscess got worse. I ended up seeing a gastro specialist who gave me a drain which came out of my abdomen with a tube and basically a fluid collector. I ended up with three of those, one after the other, then I had surgery, they took over a foot of my intestines out. I'm pretty sure that I wouldn't be here without the awesome Gastroenterologists who were great at what they do....
Fascinating case! Always frustrating when experts in any field explain things in a restrictive way so that people with less training can’t understand.. really appreciate the time you took to explain the pathophysio in a way everyone can understand!
Wow! I remember my days as a med student at the VA. We saw lots of bleeds: always dramatic and very poignant. We learned a lot from those patients--God bless!
This is awesome! I hope you do more of these in the future! I’ve been bingeing and loving all of your videos! Short and informative while being easy to understand!
Omg , I just had same case during my icu rounds today , literally had to call ENT and scope . Great case . We all anchored variceal bleeding however it was epistaxis as in this case. Please share alike cases man, it is awesome. Funny thing is that I always watch you as I am practicing medicine but when I saw this case tonight , your video about this particular on call case popped up it is so hilarious ! Big brother watching and listening us
I would love to see more on call cases like this! Very approachable and informative, both for a student like me and laypeople. Please keep them coming :)
Wow, thanks for your alertness and sharing this with us. Sometimes the body and symptoms present uniquely which makes it difficult to treat for the medical team. Thanks for your coordination with other medical teams to treat the patient
@@lachyt5247 nah. In the US, they can survive for long. The liver is an excellent organ. It can come back from almost anything. And if it's too far gone and cirrhotic, there is always transplant.
Thanks for the very clear explanation-I can encourage this video educational purposes when precepting new nurses in our s/p acute care setting. Excellent work.
Thank for this. I do appreciate learning things like this. A video suggestion I have if you have not done it before is what effective interdisciplinary care looks like for you? I am a hospital chaplain and always appreciate the times when doctors, nurses, social workers, therapists and chaplains can work together to help a patient heal.
Man your everyday videos have made my day and this is one of the first things I watch first after waking up. It's step 1 prep after that. Thanks for making my day for the past couple of weeks.
I love these clinical cases discussions, excellent video. This made me remember a class in med school, about GI bleeding, rectal exam and most common anal and colon diseases. Professor teached us that it was of paramount importance to clearly understand and differentiate the terms "hemoptysis, hematemesis, hematochezia, melena, rectal bleeding and epistaxis", and how of these can mimic each other . He had a odd case in his early career (early 90s ), when a patient consulted him for rectal bleeding, despite not being his area of expertise.
DAMN!! This is crazy- love your page, love your humorous posts ( with that wig you remind me of a medical extra from Kids in the Hall lol) but truly the ability to quickly explain a situation is really great - been on both sides in the medical field and you seem like someone not only great to work with but also be treated by- can’t wait for more from you!
Cool case! Thanks for sharing. Nose bleeds remain some of the scariest cases I've seen. I know it'd get fewer views, but I'd love to hear you talk about interesting cases aimed at a medical audience.
Wow, you guys (all 3 docs) saved this guy's life! He would have bled to death. My husband had an esophageal ulcer that had been bleeding for 3 or 4 days very slowly. He was telling me he had dark almost black tarry looking stools. I tried to get him into the ER because I was convinced he was bleeding internally. He refused to go until on the 4th day he was very weak and now scared. I barely got him into the car. They found a slow bleeding esophageal ulcer. He was given blood transfusions. Nothing to mess around with.
Wonderfully presented video. Helps lay people like me understand things easily. I've had the good fortune of doctors explaining things to me with diagrams whenever I've had to visit one for a serious issue. Helps us get on board with the plans better
Even I have read about nose bleed dripping in the gi tract and getting misdiagnosed but I always thought that the amount will be less. But this seems so serious. Really a difficult and Mysterious case. Thanks for explaining.
Interesting story. Relentless bleeding noses and tonsils are serious business. Usually these roll into the ER and then subsequently the OR late in the evening and in the middle of the night. Airway management prior in intubation can be tricky.
Thank you so much. I learned so much. And you have a fascinating way of telling about it. Please make move videos like this. Love when you make me laugh. Love every more to learn a lot. And a great story
Wow! What a detective work! Good job to all the different "scopers". Very interesting. I hope patient survived all these manipulations and doesn't remember the pain.
What a great explanation! You definitely explain everything really well! I had a pt similar to this. There was no cirrhosis, so varices were not a concern. But as the nurse I examined the guys mouth and saw the blood dripping down his throat. We knew he'd been on Coumadin and was supertherapeutic. ENT did everything they could at the bedside, rhino rockets, Foley catheters...we gave vitamin K, but nothing worked. We had to transfer him to a larger facility to be coagulated. It was wild!
