Basically, the patient passed out because he doesn't have enough sugar in his body, a condition known as hypo (not enough) glycemia (glucose). The simplest explanation is just that; he doesn't have enough sugar, maybe he hasn't eaten in awhile (which is why the flight attendant correctly just wanted to give him some juice, which would more than likely be enough to get him back on his feet and feeling fine). All the other stuff the student is talking about is real, just much more rare and probably not what's going on. He just learned about it in med school though, so it's fresh in his mind. He's essentially jumping to conclusions.
As a MD and former medicine student, this is 200% accurate. You always think about the rare disease and forget about the most common ones which make up for 95% of patients. XD
During my earlier medical student years during oral examinations, when our examiners would give us a scenario and ask for a diagnosis, most of the students would go like "oh its gonna end up in coma and then death". And the examiners would just sit there like thats the rare end result, tell me of the commonest thing that could happen 😂
We where sitting in Amsterdam smoking a lot of weed when one of my friends couldn't take it. He was feeling dizzy, was pale af and thought he might puke. Of course we all freaked out due to our inexperience and state of mind. A rastafarian gentleman walked by, took one look at him and pulled out chocolate bar with the words "feed that n**** and give him some water". He left and my friend was feeling better 5 minutes later. We all need that person in our life's.
Super late reply, but my husband is a medic. One day he was telling me about a diabetic patient they were running on several times a week. He mentioned in passing that the home smelled heavily of cannabis smoke, though the patient denied smoking. (Thc can make blood sugar drop big time). I told him next time he ran that address to advise the patient to have a snack with his smoke. Hasn't run on him since.
Reminds me of the words of my daughter’s former pediatrician: “When you hear something galloping in the woods, you don’t assume it’s a zebra 🦓.” Great words to live by..great doctor, he was! ❤ Also a great vid! 😂
I remember when my cousin was in med school and a military buddy of mine was suffering from a very weird set of symptoms and not receiving helpful treatment for his situation. I called my cousin and described the symptoms. He automatically said "Rocky mountain spotted fever", which, for both of us coming from a Caribbean island sounded really out of left field. I mentioned it to my friend and while not exactly the same condition it helped his doctor find the actual treatment for his condition. 😅 To this day I'm so happy my cousin is not afraid of thinking outside of the box.
This is because medical students learn so much of the rare stuff, a lot of their training during/after is actually focused on getting them to think in terms of most likely first.
Not only in medicine I am in electrical engineering and we are learning a lot of shit that is approximately as rare to come up as all the diagnosis he made in the base level for the case you specialize in that direction but the prof pretends its totally normal to see that in the real world and the stuff you gonna run into 5 times a day on the low end we are pretending is a theoretical concept like the fucking string theory, heck even quantum mechanics has more weight to it than that in any semester I have been in so far
I just graduated as a nurse and this was my first simulation. It actually was hypoglycemia 😭 but I thought in my head, "OH MY GOSH, WHAT IF IT ISN'T HYPOGLYCEMIA AND THEYRE BEING TRICKY!? OH MY GOSH, WHAT WOULD I DO IF IT WAS A REAL PATIENT? OH MY GOSH, THIS SYMPTOM COULD BE X Y OR Z". Then I took a breath and got the patient some juice.
As an insulin dependent nurse, whatever else you might think it could be, hypoglycemia is immediately life threatening, so you address anything else after you get some carbs in him. I've passed out in public and EMTs were called. They gave me dextrose first, because they didn't want me to die.
@@bootycrack4460 mine was 22. You can decide if that's "low" or " super low." Even if it's like the post in the 40s, the first concern is getting carbs in.
As a patient, hypoglycemic "crashes" are SO damned scary. My worst was at work; I couldn't process anything being said or asked. When the paramedics arrived, I literally _couldn't_ say my name. I _knew_ my name, I just couldn't form words. My glucose was 19. I was transported via ambulance & spent several hours being treated & monitored in an ER exam room. After I was discharged, I slept for almost 14 hours. Btw, about a month later, I received several invoices. I personally owed over $200 in co-pays. The year? 1993. Edit: I'm an American. I had what was considered 'very good' insurance coverage with a national health insurance company, which was part of my compensation package (benefits) at a big box home improvement store. I worked 50+ hours/week in management.
When I was 12, I went into the doctor for just a yearly checkup. While there the doctor noticed I had lost quite a bit of weight (I was going through puberty so nobody really noticed) and that I had a very healthy (looking) tan. She decided to run a test to check for a rare autoimmune disorder on the off chance it was causing those things, and it turns out I had it. So grateful to her!
@@aswa121235 If you don't mind me asking, what GSDs do your children have. Because you're right, meeting doctors that actually know about it is rare, but stumbling upon fellow patients is even rarer.
@@gabrielagonzalez593 idk why but youtube keeps removing my comments, this is my fourth try so far... They got GSD type 1b, one of the more severe and rarer types. Less than 200 diagnosed patients world wide as far as I'm aware.
@@aswa121235 That's weird RU-vid is doing that. I have type 3B, which is also pretty rare. I really hope your children and your family have a great doctor team and a strong support system. It makes such a big difference.
@@gabrielagonzalez593 I tried to mention one of the other platforms (social media) where there are groups for people with gsd if you are interested in speaking with others. Of course if you don't know about it already. I think that's triggered something on youtube and it kept removing my comment. They are both doing well, thank you. I think the first 2 years were the toughest to get through especially with the first born. We already had hands-on experience when my daughter was born and that made everything a hell lot easier. Our medical team is very supportive and helpful but because of the nature of the condition considering how rare it is I often notice they have a lack of understanding why certain things happen or how to treat them. I did a lot of research in the past, read a hell lot of studies to understand it better and know about all the treatment options. We are working closely together with the team to come up with the best possible treatment and keep them stable and healthy in the long term.
I have had to respond to multiple medical emergencies on airplanes as the only person who would admit to being a doc or nurse on board. Thankfully they were due to dehydration/anxiety/and a mild food allergy. But it gives me chills when I hear the announcement as I am a pathologist!!
@Kathy Brady Pathologists rock. They shouldn’t keep you away from the rest of the hospital. I imagine a large room with a glass wall along a main corridor lol. So people can see the important work you do helping diagnose us. Cheers!😎🇨🇦
Literally rewatching Doc Hollywood after I saw this lol 😂 “Nice work, Hollywood. You were just about to crack open the chest of a 6 year-old boy to cure a case of diarrhea.”
It actually was a pheochromocytoma and he collaborated with an organic chemist on the flight on a total synthesis of phenoxybenzamine using jet fuel and toothpaste and saved the patients life.
I love your channel. I've spent a fair amount of time in hospital settings as a patient of course. And I'm autistic and psychiatry (plus some neurology And other medical stuff) is my special interest. Medical content like this is comforting for me, even if I sometimes don't understand all the references meant for the doctors and nurses etc watching. I'm going through some mysterious medical issues and my mom had liver failure and has cirrhosis,, and the medical setting can be both alarming and comforting. It's alarming in the sense that everyone's there because they're not ok, but that everyone's there to make sure you're ok. Though I've met medical staff (ambulance guys who had to take on the role of nurses + some nurses in tiring positions) that were down right abusive physically and mentally (in psych wards), I've met many more nice and kniwledgable, sweet nurses and scary but wise doctors. I hope my mom gets to be treated by empathetic doctors like you, who see every patient as a human being, and i hope the doctors I'll deal with for the rest of my life share your attitude as well, and i wish the same for anyone who needs help and needs to be taken seriously and heard out about their pain and discomfort. You're a role model for medical staff everywhere with your strong and empathetic attitude. Thanks!
Ah the good old classic phrases every doctor has heard of. “Occam’s Razor” and “when you hear hoof beats, think horses not zebras.” In essence, the most likely situation is what you should go with first. In this case, this guy is probably hypoglycaemic. Meaning, give the damn guy an orange juice and a meal. Also fun fact, if you have somebody who is diabetic, and you not know whether they are hypoglycaemic or hyperglycaemic (you don’t know if their blood sugar is high or low), you can always give them sugar. Even if their sugar levels are high, you can still give them sugar.
@@ATemplarIGuess I'd hate to see a horse sized duck. Ducks are jerks. Horses are too, but a ducks sized horse is cute. The teeth are smaller so the bite force would go down with I pet him. The kick wouldn't be a lethal blow. Probably still a little pain but at least not a bone shattering, lung collapsing, or a sterilizing kick to the boys down under. Sorry, I'm not a big fan of horses. They are HUGE.
😅He needs the juice, or even a candy bar, man!😳I’m havin House flashbacks where House’s med team reaches for the most complicated and deadly diseases as the answer for a patient’s symptoms....only to realize a patient only had something that could’ve been resolved with antibiotics🤦🏾♀️
Cause House's team usually only gets cases that were consulted to him after no one else could diagnose the patient. So there's a minimum assumption that the doctors who were treating the patient before it got to House already ruled out the common ones.
I remember when I was waking up from anesthesia, first surgery I had when I was 10. I had the oxygen mask on, but as soon as I gained consciousness I started feeling like I couldn't breathe. So I tried to take of my mask, kinda desperate to be able to breathe again. And this dude saw me, I think he was a medical student because he approached me super concerned, asking me why I did that. I told him I felt I was drowning and I couldn't breathe with the oxygen mask on. He then proceed to explain to me in a lot of detail that (I did not understood) the medical reasons why i needed it XD Another doctor came in soon after and asked what was going on, and he had like, no problem on letting me taking of my mask, since I was breathing for myself and all that, but man. The first doctor... When I remember it now is funny, but at that moment I was super scared, since I genuinely couldn't breathe with the oxygen mask on.
where I live we normally measure blood glucose in mmol/l, not mg/dl, so the normal is about 3,5 - 5,5. That made the "42 - that's low, right?// definitely low!" extra hillarious, though a bit concerning :D
@@BlackBird447 that's what some books say, others have it at 4-6 mmol and I also think it varies a little bit by country. From what I've seen (surgical ICU), anything between 4 and 10 mmol is fine, but I have a feeling that might be unacceptable to an endocrinologist for example :D
Thank god its not just me who was like 👁👄👁 cause i remember the stories of a great uncle (defied the doctors saying he was gonna die that night, about every few months for like 20 years) when he went to his funeral and was allowed to eat whatever he wanted, and they said they would fix his blood sugar when he got back.... his was 36 mg/dl 💀💀💀 he spent every second of his celebration of life stuffing his face with 20 years worth of desserts he wanted to eat 🤣🤣🤣🤣 so to me, thats hella high and when he said 42 was low i was like.... so why was the nurses freaking out at my gt uncles 36 then (ahh the american medical system vs the world)
Hahaha this brought me serious flashbacks when I was on my hospital internship (I'm a register dietitian) and the multiple times I ended up being a patient myself. On my internship, we had to make rounds with medical students and interns and the random resident (so we didn't had to chase them down to get the patients reports, since they never updated the charts on time for us to make decisions) and the attendings just rolled their eyes with the suggestions some students gave... And sometimes he loved to just tell them that probably we knew more than them and ask us directly for the answers... And yes, I did knew the answers multiple times; but on the students defense, my hospital internship was my last one before graduating grad school not part of my beginning to learn about it
Doctors would hate me. “Oh you’re feeling nauseous? It could be-“ “It’s anxiety” “Headache..? Well we should-“ “Dehydration. Anxiety.” “Stomach ache..? Is it..?” “Yes it’s anxiety”
As an RN I once responded to a medical emergency on a plane along with a doctor. After a few minutes of him just standing there I found out he was a psychiatrist. Scary thought as we were halfway between Honolulu and Seattle.
@@jacob476 I was responding to the context of the video. And yes in the hospital in emergency situations, especially dealing with residents who don't know what they're doing RNs have gone ahead and done the correct order why they are dragging their feet. By the time the attending gets there he/she is like "good call, also get XYZ ordered". Most experienced RNs know the proper orders, provide treatment & could save patients lives on our own, it's just the law that says we cant. And yes paramedics are amazing too
Don't forget the real estate rules too: Location Location Location. Depending on where you are it could just as easily be a Donkey or a goat, still probably not a Zebra 😂 aka: Use common sense, but don't be a simplistic dingleberry about it.
@@ReynaldoRivera What is a dingleberry?? Is it like a boysenberry, a cranberry, elderberry, lingonberry, huckleberry, bilberry, gojiberry, wolfberry, mulberry, gooseberry, salmonberry, juneberry, cloudberry, bearberry, casperberry, chokeberry, dewberry. I've tried lots of berries, blackberries, strawberries, hollyberries, blueberries, and raspberries.
Glad I got my EMT certification - even if I actually get into medical school, the skills I have now will be much more practical in some ways than what I'll be doing for four years of my life!
I personally hate juice or any sugary liquid because if I need more it might cause me to puke from so much fluid. I stick to straight up sugar or fruit snacks/fruit roll ups. It’s different for everyone but thats just my opinion!
@@23V33 Eh it’s more of what is it that your body needs or can handle. It’s not opinion it’s just what your body needs/is comfortable with. Except energy drinks like Monster. Not a good ideas especially if one of your symptoms is rapid heartbea.
Once, our director and lead attending CCM told me, “the people’s opinions I respect the most depends on my own ranking scale. It goes as follows: 1. Other Attendings 2. MY RNs 3. Other RNs 4. MY fellows 3. Other fellows 4. LPNs and PCTs 5. Interns 6. Housekeepers 7. The gum on the bottom of my shoe 8. Med students” Wonder why??
As a doctor (and obviously former med student) I agree. However, I got major brownie points on my Gyn Onc rotation by sparing a patient a risky and painful staging procedure. The whole team was gathered in radiology, discussing a CT-guided, posterior approach needle biopsy of some para-aortic lymph nodes. I piped up and asked why they didn't just sample the Sister Mary Joseph node. The fellow looked at me like I had three heads while the radiologist scrolled up several slices, and there was the node. Turns out I was the only person on the team who had noticed it on physical exam. They biopsied the node, confirmed staging, and never had to do the other procedure.
A common phrase in the medical world is "When you hear hooves, think horse, not zebra." I actually heard this quote on "House" as well as "Law and Order: Special Victims Unit."
Lol. I'm a baker, and I feel this way about bread. I've spent most of my career with pastries, custards, caramels... actually mostly in fine dining as a line (dessert) cook. Now when I face artisan bread I'm just like.... Idk, is it mad at me? Did I not... fulfill it's kneads?
