I knew he was going to say cardiology the instant he did that distinctive frustrated exhale. It's great how memorable the Doc can make all of these characters.
Bat bros and spider bros on the outside of the wooden haunted house he built expertly by hand because he's great at carpentry. For some reason the entire thing is built out of dowels and pinned together.
“What’s thrilling? An AV fistula” is so underrated The joke being, in med school the profs teach you that if you feel a kind of vibration (like your phone does when it rings) on an AV fistula it’s called a “thrill” and that means blood is flowing through the fistula as intended
@@AmyKozerski AV fistula stands for arteriovenous fistula, which is medical speak for a connection between an artery and a vein in your body. If your kidneys are no longer working, the docs may create such a connection (typically on your arm) so a machine could, through the fistula, take your blood, filter it of muck and put the ‘clean’ blood back in you, replacing your kidneys function (this is hemodialysis).
I never saw the neurologist's Halloween so I went looking and watched it. Ha, he went easy on the kids compared to the nephrologist! How many of these Halloween skits are there? I can imagine if the pediatrician or pathologist did these, the nephrologist would put up detour signs all around their places to stop kids from getting candy from them.
As a kidney transplant patient and an old RN, I was rolling over in laughter!!! Love everything you do! ( I'm very blessed to have the same transplanted kidney since 1998! My precious daughter was the donor. Tragically she passed away this July 13, 2023 from Pancreatic Cancer. But I am very blessed to have a part of her with me.)
The Nephrologist cannot stop ranting about the effects of candy on the kidneys and ultimately the heart. The Nephrologist's passion gets misinterpreted by the kids as him being a sicko when all he wanted to do was to teach the uniqueness of a normal, healthy kidney and the awesome fluid it produces, urine. Loved it at the end when he has to blame the Cardiologist. 😀
Same… the horrors of sodium chloride tabs, fluid restrictions that every patient hates, ACTH stimulation test with those 3 very specifically timed lab draws in 1 hour. Though, I always have to put it into perspective. At least I’m not giving serial lactulose enemas to a belligerent drunk and disoriented liver failure patient with hepatic encephalopathy. Oh, and don’t forget the hemorrhoids… because at that point, why not.
@@ADKEMT And everyone always forgets post obstructive hyponatremia! LOL. I actually am the weird internist trying to decipher the cause of hyponatremia! Haha
@@DrEsky914 well I hope you figure it out soon, because I’m the nurse trying to keep up with the trial and error treatment plan du jour. Ah yes, post obstructive, when you straight cath that new admission for 1.5L and are just waiting for the other shoe to drop.
I lost it at the urine jar 😂😂😂 Also really loved the bit where he suddenly brought out a whiteboard 😂 What a hero. Who knows how many kidneys he saved that day
The issue comes in when there is impaired kidney function and kidneys are not able to filter out phosphorus. Elevated blood phosphorus levels can lead to calcium being drawn out of the bones (causing bone disease and blood vessel calcification). Naturally occurring phosphorus from nuts should not be a major issue for those without kidney disease. Kidneys should be able to filter out the excess phosphorus. But phosphate additives in processed foods like colas, processed meats, etc would be beneficial for everyone to reduce! (I work as a renal dietitian. Sorry if that's more than people want to know, but felt obligated to write since a good portion of my job seems to surround this topic!)
No licorice for kidney patients, I'm afraid. It can cause spikes in blood pressure resulting in acute kidney injury. My nephrologist was adamant. Easiest to comply with dietary restriction I've ever received.
"There's an internist trying to correct hyponatremia." Died at that. Wife spent two weeks in the hospital with it back in 2020 pre-pandemic and they over-corrected with a half dozen too many saline bags within 72 hours. Wife has had end stage renal disease from GIN and man, the last week was the second hyponatremic episode since 2020 - Nephrologist in a panic at DaVita. "Your Sodium is 110, how do you feel, we want you to go to the hospital?" "I'm fine. I don't need to go." "You're not fine, are you okay?" "I'm... fine? I feel fine. I'll just stop drinking two liters of water a day." Seven days of twice a day blood work at the hospital, heavy water restrictions literally switched back to ice chips, one glass of milk a day and without hospitalization we're back to 135 sodium with no side-effects. But boy howdy do they panic when you're in that danger territory.
I... don't understand, is your wife OK? I would like to know if end stage renal disease is something treatable or terminal, I think that is my missing link. I hope you two are alright, thanks for sharing 😊
She is about as okay as she can be. She's on dialysis and as her husband I actually ended up becoming her nurse at home to care for her. So I do her dialysis every 12 hours, twice a day. She's much, much better with replacement therapy than she was with a half dozen immunosuppressants. If she doesn't do dialysis, she will die. Only treatment is a replacement kidney. She's got a unique situation as GIN isn't very common and because of the pandemic in our neck of the woods, testing was put on hold and the transition to telehealth meant she got thrown on 60mg+ of Steroids for a couple of years which caused a whole SLEW of other problems. 29 and she ended up with a double hip replacement, nerve damage in her arms, gained 150lbs, lost 100lbs in two years and then all the issues from renal failure, electrolyte imbalances, dietary restrictions on top of her celiacs disease. And because they never could determine what disease she had in the first two years she was treated randomly for Sjogren's, TINU, IGG4 Nephropathy, and even a Mycotoxin fungal disease caused by Bats(Which was a freaky coincidence at the same time as COVID). But despite it all she's in good spirits. Worst part about kidney failure is the limit on how much cheese she can eat. Phosphorous is a pain in the ass. @@CarlosMendez-tn5zi
@Burnt_Nipple the pandemic didn't become widespread until around February/March of 2020. The CDC didn't even start talking about it until the end of January
I one the other day that had a bird where it looked like they imagined every feather in the wings has a bone. I've had a bird for like 14 years now, I nearly lost my shit laughing right there in the Target aisle. 😂
Does he not trust their kidneys? Funny as always, but I can't get past the fact that he'd probably be angrier about the sugar since diabetes kills so many kidneys. Although the AV fistula joke was next level lol
😂🤣 *Nephro* 🥇🏆is by far my favorite, and *Ortho* 🥈is hilarious too. I’m definitely getting your Nephro water bottle for myself and other RNs for holiday laughs. It’s so funny, and it will remind us to drink water. *Thank you for the laughs, Doc!! We need it!!*
Lmao now I wanna find my doctor's house and instead of trick or treating I'll just sit on the doorstep eating salt out of my hand while maintaining eye contact
Oh man! Yes when my daughter was on dialysis, Halloween was a nightmare. She dressed up and went out with friends, but she was really limited on the candy she could eat because of the potassium and phosphorus. She could eat lollipops, gum, fruity gummy candies, popcorn, hard candy. It was really sad. Post transplant, she definitely made up for it!
I met a resident a few weeks ago who said he wanted to be an internist and I immediately thought of your skits and had to bite my tongue so I didn’t say “why? Do you like crying and feeling defeated all the time?” 🤣
I’ve been going back this video and skipping to the end just to hear what I waited for my first time watching it. The face, the underbite - “cardiology”
Makes sense, imo. You just pee out the extra water. The other stuff has to be processed and filtered by your body. ...but also you die if you drink too much water.😅
Dialysis social worker here- obviously I can't go into the scientific details but a lot of those diet rules apply to those who already have kidney disease and/or are on dialysis. Healthy kidneys can remove the phosphorus from those peanuts. Best ways to protect your kidneys is to manage hypertension and diabetes if you have it as those are the biggest cause of kidney disease.
Tbf he's giving advice on the specialized diet that dialysis patients follow. The dieticians would probably have to remind him that the kids aren't all headed to their dialysis treatments lol
