GI Doctor: Question + Answer. I answer YOUR burning questions 

I had no idea that the details we find obscure like 'daughter's wedding is soon' could become important like that lol. If the previous doctor hadn't wrote that down you wouldn't have found out that the patient was probably lying. Thank you for the video and your insight!

In regards to the last story: I know that as a chronic pain patient myself, I tend to be incredibly honest with doctors. One of the worst things for us is to get labeled with “drug seeking behavior” (especially if you’re in a city that only has one hospital system) and thus lose access to meds that you not only need to function, but also to stronger meds you might need in the future if you get a bad case of kidney stones or a bad broken bone. I’ve found the best way to do this is just to be exceedingly honest about everything. Sometimes you’ll still run in to docs (especially in the ER) that seem to want to label *everyone* that’s in pain as “drug-seeking”, but it’s less often if you share everything, including the embarrassing stuff or stuff you might not otherwise want to admit to (example: admitting to marijuana use or taking “too many” Tylenol or ibuprofen out of desperation). The other way I avoid it is to not complain about pain at all, especially not go to an ER, unless it’s BAD. Like, life-threatening bad. Like, contemplating knocking myself out with a hammer, bad. If you don’t go to the doctor/ER often, they’re more likely to take you seriously when you *do* go. It’s a sucky situation because those of us with chronic pain often wait until we’re in dire straits get help for new pain.

Enjoyed this with my morning coffee. These are like new age lectures. This blend of information makes such high quality, wholesome and useful content. The story telling and editing is on another tract. ✌ Just keep at it.

You are so kind and genuine that this video made me cry. Admittedly I'm very sleep deprived. You're a very nice man Ben

@Doc Schmidt I'm sure I'm not the only one that can tell you go the extra mile in your skits. I love them all!

I found your channel while I was hospitalized for the last 2 months trying to get a stent for a biliary stricture. It's such a funny coincidence to be admitted in the Hepatology ward and then RU-vid recommends a GI doctor's RU-vid page. 😂 P.S. if you could do something on PSC, it'd be great. I had no clue about the disease untill I got diagnosed with it. Thanks for brightening my days during the time I got the diagnosis and was spiralling. You touch more lives than you know. Thank you Doc Schmidt.

“To you it may be sh*t, but to me it’s gold” -Some old GI attending

Your vids are great! Thanks for the time you take to make them, your insights, and your humor! My favs are when you play the smart nurse who’s had it with the doc!

I love your videos they make my day! I want to be a doctor after high school and you inspire me!!

Thank you so much for answering my question! Your answer was super informative and I really enjoyed the whole video! Keep up the great work and congratulations on 100k!

Thanks for doing this doc Schmidt, you deserve the success you’ve been having, hope you get many more well deserved followers! As someone who wants to become a GI doc I find your vids both informative and humorous even if I don’t understand them all

The way you describe the breadth of pathology in gastroenterology almost makes me forget that the GI tract is a hollow tube filled with poop. Love, - Your friendly neighborhood hospitalist

How much coffee do you drink before doing these videos? I wish I had even half of your energy.

As a GI-specialist, how common is GERD?, and what exactly is the corelation between it and H.Pylori infection? and thank you so much for the amazing content

1-I love the fast pace and editing of all your videos. 2- Did I see “wig tours” at the top of your list?! 3- “Liver, because you can’t Live without it” haha I never heard that but it’s so clever. Maybe you should copyright that? 😊 Thank you for making awesome content for us!

Are you currently pursuing any clinical research? If so, what is it? Thank you for the humorous and educational content Doc! Please make one on the GI microbiome.

Great video! 🙌❤️ Brilliant explanations of complex procedures! 💯🔥 I love hearing about your video making process and your experiences as a GI doctor. I've come across one "foreign body" while on surgery 🙈 not sure they're the specialties for me 😂

I had a patient many years ago that called 911 because he “sat” on a gun at home. He said he didn’t know there was a loaded gun between the cushions and his male friend took off before we got there. No way I could figure out how he didn’t shoot his butt cheeks if his story was true. The gun shot completely missed his cheeks and started right at his anus. Needless to say, we drove really fast to the nearest trauma center with him. He was looking super shocky when we got there, but he was still conscious and talking.

Thx for including my question!!! I hope the rest of your day is AMAZING😊

The last 10 seconds of posing for video thumbnails have become your signature video ending 😂

Hey Dr Schmidt! Few questions for next videos - 1. Do you plan to further specialize within a specific population in GI (Liver, IBD, IBS and motility clinics, clost.diff and fecal transplantation etc) or do you plan to practice as a General GI? 2. How common do you have a shared clinics with Clinical Immunologists/Rheumatologists for patients who’s IBD is clearly on the background of a more systemic immune tolerance failure (like primary immunodeficiencies)? What are other specialties you work closely with (Infectious diseases? General Surgery?) 3. Do you plan on having an Academic career in Medicine? How much interest do you find in the preclinical sciences? 4. What disease is the most interesting in your eyes (GI or generally) 5. How much do you appreciate the liver from 1 to 10 (I personally think it’s the most amazing organ in the body)? Thank you for an amazing content🙏🏻

Yay! I got my question answered, and as a bonus as that! Thank you, this really made my day.

PROTIP: Play Doc back at .75 speed. You’re welcome. 😎😁

Omg he put my comment in the video 🥺🥺

Dietitian from Australia watching :) really enjoy the mix of educational and comedic content

I’m a nurse from Australia I Love your content and comedic way of delivery I have one question, do you talk fast always in day to day life,or just in the videos ? My guess is just in the videos due to time restraints please settle this debate between my husband and I cheers from down under ☺️pardon the pun 😬😂

Yes, I've ended up in a doc Schmidt video. My life is now complete. 😁 Thanks for the answer!

Thank you for answering my question!. Keep up the great videos.

Would you be willingly to co-host a youtube segment with Doctor Mike? Love you both and seeing you together would be the bomb!

Is that a Clostridium difficile plushie I spot behind you. 😂😂

I love the thumbnail posing at the end. So wholesome 🤣

its strange how none of them are about the infamous jones 😂

Watching this with my morning tea

I have to say you talk super fast and clear. Watching your videos trains my ears to listen to auctioneers. 😂

I know GERD creates a problem in my field of Respiratory Therapy, but I’m wondering if there is anything you can add in as a GI Doc that RTs should be on the lookout for when doing rounds, assessing, and precautions we can take in regards to respiratory care?

Thank you from a fellow gastroenterologist. year 3 out of training

You don't talk you rap doc, and it still makes sense 😂

GI is a pretty competitive IM fellowship like cards. Was there ever a worry that you would fall back on general IM, especially since you wanted to specialize? Or did you feel like a pretty competitive applicant by the time you applied?

It would be cool to see a video on how narcotics affect the GI tract, on the back what you were talking about RE Chron's. How it would or would not help, what conditions it worsens and how, etc.

Could you at some point do a video about your path in medicine- why you went into medical school, etc? Third year medical student here, always nice to hear physician's path into medicine

It’s the emergency doctors/staff who see the most “objects in the rectum”…

Any info you want laypatients to know? General info? Procedures- besides a colonoscopy once 50+, are there any routine tests we should have done? Are there any things we should watch out for? Like how a woman should come in to an OBGYN or cancer doc if there's hard lumps inside her boobs, is there an equivalent for a GI doc? Also how do you deal with patients on their period? How do you know that the blood on their poo isn't from their period? Do periods complicate your job?

Please do more longer videos! So interesting!! Here are my questions (reposting my two comments from your community post cos u probably didn't see them idk): Two random questions: Why is PicoPrep actually Satan incarnate? What are your thoughts on "leaky gut"? (because it sounds like bollocks to me but I'm not a gastroenterologist 😉 ) How do you approach that age-old "non-specific abdo pain" conundrum, especially when patients aren't satisfied with "we don't know exactly what it is"? I'm theatre RN but happen to be currently lying in bed healing from my own gastro surgery (an open laparotomy due to a bowel psuedo-obstruction caused endo adhesions on the left colic flexure, I was throwing up poop but I kept all my bowels and my colleagues know what my intestines look like now, yay!!!) but I know it's a cause of a lot of distress when people don't get clear answers, especially with acute pain that is sufficient to take someone to the ED.

Can you do a video on your best advice for acid reflux? So many of us struggle with it!

Your videos are great! I just recently found out about you and your RU-vid channel by watching the 73 question video. I have a rare illness called Cyclic Vomiting Syndrome. I would love to know how much you learn about Cyclic Vomiting Syndrome during med school, residency, as a GI fellow.

1st month of ER work. Had the rectal foreign body situation.

Your videos do make me laugh.

That last second has me thrown.

I can only follow you at 3/4 speed. I think you have great content and I say that at normal speed.

I had no idea you talked so fast, even though I think I've watched all of your shorts. Lol

Do you order the Bravo capsule often? Why or why not? Thank you

Ex-Epic here, glad you mentioned care everywhere :)

Have you done a video on C. Diff? I was looking for a good one to send a family member who recently had an infection after a diabetic foot infection in hospital. He also has an autoimmune disease. I worry about reinfection. The videos I did see are great for insomnia. Emphasize handwashing and sanitation, please!

I just found you, so I missed the opportunity to ask on the appropriate video... If a person is (long) diagnosed with a serious GI issue that’s also rare and without a lot of research, studies, treatments, etc., where should that patient go for help determining the best treatment (asking about specific hospitals or specialists)? After bouncing from GI to GI, the current said that it’s too advanced for a regional hospital GI and that I need to see someone at a large city hospital.

How would someone as a nurse get into a specialty of GI? I don't want to do wound care, but want to help others with ostomies like I have or folks with IBD or IBS. Are there specific nurses in GI clinics?

DR. Schmidt would also make a very fine movie director or producer.. .

I feel like as common as an appendectomy is there would be something you could do with that... or funny things patients say when waking up from anesthesia.

What is more rewarding for you, an acute condition that can be cured or a longterm relationship with a patient who's got a chronic condition that you can manage together?

Can you talk about the BMI criteria and how malnourished patients have a normal BMI but severe weight loss and malnutrition (it happened to me)

Another question. Is it worth us getting the pill swallow test for gastroparesis if you already has GES and endoscopy? If u can do a video on gastroparesis that’ll be great because I’m exhausted

For your closed caption download live transcript you'll be able to play your video and it will record everything you say

When do you need to go to the doctor for bleeding & blood in the stool? I have been bleeding on & off for months now & I have severe abdominal pain when this occurs. Part of me is really scared to go to the doctors office because I definitely don't want bad news. Also, my father & brother both did the same thing for years. Please help, I am really nervous about the whole situation... Thank you so very much 😉

I have Crohn’s and get treatment via a six weekly IV drip (inflectra) as previous aziothioprine was effecting my white blood count and it’s like I don’t have anything wrong with me. Im 25 and I know this medicine is “high risk”, is it worth it? (Also have you ever seen crohns just… go away?).

Can you do a video on median arcuate ligament syndrome (MALS)

Please find and answer this! I have an MS in Sci Ed but I still cannot understand this. I had an emergency hepatojujenostomy due to an iatrogenic biliary injury. I don't know what is connected to what anymore and what to expect as far as lifetime repair. Happened at Duke. Major FU to say the least. Thank you.

Is it now standard practice to use disposable scopes for coloniscopies or are doctors still autoclaving etc?

I don't know if you're even allowed to answer this, but I figure it's worth a shot. What course of action would you recommend for a 24yr old female that constantly has stomach issues, including frequent blood in her stool, but has already had crohn's and colitis ruled out by a colonoscopy? This is something that my daughter has been struggling with for about 3yrs. They did the colonoscopy just before covid blew up, then they basically just said "no crohn's, no colitis, must be your diet" and left her to deal with it on her own. For the record, it does not seem to be her diet, as she eats fairly healthily, and has done several elimination tests. We're not sure where to proceed from here, and could really use some guidance.

Are there any other common uses for the pill camera besides trying to find bleeding? Also can blood get mixed into your stool, can you talk more about bloody stools please?

There are several medications that need to be titrated based on a patient’s weight/size, or other factors. So why in God’s name do you GI docs think that EVERYONE can consume the gallon of liquid required for the colonoscopy prep? I have to get yearly or every other year colonoscopies and I end up vomiting every time during the later stages of the prep. Not because the prep tastes bad but simply because my stomach is so full I cannot get another drop in. Why would you think that someone under 5 feet tall and weighing less than 110 lbs can consume as much as someone over 6 feet tall and 200+ lbs?

Please mention more how Hepatology is linked to GI.

Burning questions are frequent GI issues or something serious as opposed to crushing questions cardiac chest lung issues can you make video to differntiate the issues if just pain or emergency

I know it’s probably not as simple as what I think. But why don’t the manufacturers just make the scope longer so EGD+colonoscopy can cover the whole GI tract

Do one on painkillers and gi

I only have one Story involving an GI Doc. That would be my very first visit there. Told him that. Do i want anesthesia ... nope, need to drive home. Got told it wont hurt, it didnt. He found something .. got told it wont hurt to get rid of it. It didnt. But there was a thing he didnt tell me. A very simple thing. Go for a walk for 10 15 minutes afterwards. Dont ge tin the car immediatly. On the drive home i got massive pain. Thought that something was wrong. Thought he damaged something. Crawled up the stairs to my living room (yes crawled, on all 4s). Called my Partner back then (Nurse). Well .. during the call i passed gas. She heard it. She laughed. She asked if i went for a walk. Since then ... i always walk a bit and get some gas out. Never had that pain again. I do have a new GI doc. The old one retired. He told me immediatly that i should take a walk afterwards. That was the day i learned that there are 2 Types of GI docs. The ones that do tell you the secret of an walk, and the ones that dont. But to be honest. Still a better experience then the first Visit at my "second" Dentist. And for those wondering how often i have to go since im already on my "second" GI Doc. Thre is a Family history of Cancer so im told its best to go every 3-5 Years.

Best question is what the drainage pipe doing out the window

Can you talk about fecal transplantb(swallowing poop pills) for treatment of cdiff? Miracle treatment or too gross for people to consider?

When you buy your wigs, did you mention they were for role playing? And did you further expand not that kind of role playing? Lol, thanks for the laughs and content.

So Mrs. Frizzle is a capsule endoscopy..that's what I'm hearing.

I don’t think I’ve heard you take a deep breath this entire video😭

What GI issues/conditions do you see most often?

💩Are mail in poop tests a viable alternative to a colonoscopy for us 'fraidy cats?

Has your repeated interaction with pt's GI tracts caused some awkwardness in relationships? Just broadly asking haha

Doctors also communicate thru the nurses, which is super annoying. 😬😬😬

I’m a little wigged out

Now I'm curious how huge is that capsule to swallow😧

You should be in contact precautions for your cute little C diff. 😉

I would imagine (and hope) that ER docs and pediatricians are quicker to suspect lies when a parent’s explanation of cause of injury to a child doesn’t match the injury.

I can't be the only person to wonder this: Do you talk that fast IRL?

Whoa you talk fast! Had to slow down the playback speed to keep up!

Because Drs just don't have the time to dig, think or care, I stopped going to the Dr to find out what my long term chronic issues are, yes I'm undiagnosed, have been for 20-25 maybe more years, they don't care to hear me out and I don't care to pay them for guessing, condescension and patronization. No need to pay for health insurance when they are gonna let you die anyway

Having a vibrator stuck is extremely embarrassing . Having suck while it’s ON is a whole other level of embarrassment

Your videos and shorts are amazing, but please slow down your speech. You talk so fast I constantly find myself going back to make sure I heard something correctly.

You talk really fast. Is it possible to slow down a bit?

After following Dr. Schmidt on RU-vid, it would be so awkward to go into the hospital and he show up. I'd ask him to please not put this on RU-vid.