Unhelpful Doctor Answers Your DRUG Questions for 55 Straight Minutes - 420k Special 

Is this not on Nebula? I always try to watch there since I _think_ you benefit more from it, but I couldn't find it.

@@Sinnistering The upload process just takes longer there as it's still human-dependent. For Nebula-sponsored videos I always put them up a day earlier, but others I do simultaneously...which sometimes leads to a delay. Thank you for making that effort, really appreciate it!

I would make a great test subject, especially considering your area of expertise; cardiology. I have been smoking at least a gram of marijuana a day for the past 10 years and I think I’m starting to show some long term effects on my heart. I’ve seen studies where long term use increases the risk of cardiovascular issues 😬 not to mention the toll on my memory it’s taken and other factors like increased paranoia due to long term exposure. I actually get a prescription for it because here in Germany it is currently still illegal, but my doctor doesn’t monitor the effects or anything. I just get a prescription every month, no questions asked. Missed opportunity for him to get some hard data on real life subjects, wish the system would be used to do more research

@@Alexis84DE great! Come on down to our shady back alley research center this weekend!

I've reluctantly avoided newsletters so far but yours might be a first :D

Homeopathy diluted to spiritual presence must kick like a mule.

Yes xD

I thought it could have been even better. Like if he said that there was one earlier, but they left, so they're now all homeopaths because of the low concentration.

He was here last year. So his memory is present in this room.

I'm pretty sure that, statistically, at least one in every 12.6 trillion attendees was a homeopathist.

What a legend!

Hahahahaha i love those jokes , and sometimes they are more than true

🤣🤣

Orthopod! I love it!

He has straight feet? Like no bends?

Are there such short HDMI cables?

@@adrianteri yes.

I hope using props like this is what his Skillshare course will be about

@@adrianteri There's always a cable of the right length for any situation. I have way too many cables for way too many situations.

@@JoelKalich well, "I might need it in the future"

Like the Emus.

@@armadillito Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking... Especially the RU-vidr Hbomberguy really advacates this; just so you know.

@Chad Rosswick Re-read.

@Chad Rosswick "Emus win the war on Emus" there I made it clear for ya buddy

@Chad Rosswick Just stop

Does the BMJ allow doctors to encourage use of legal recreational drugs? Surely that has to influence whether studies can be done, regardless of any ethical issues. (like, say, asking non-drinking alcoholoics to drink "to see what happens")

They do as much as they can but if you have to fill out a form that just says "how many drinks do you have a week" ...well

@@mozismobile No

And also medical conditions where you're required (or encouraged) not to drink - big surprise: drinking no alcohol is correlated with those conditions.

@@Robert399 Yes, or people who have to take medication that requires you not to drink.

Allegedly.

I, too, have alleged accounts of the scene in Amsterdam, which sounds rather similar. I did mention Canada but edited that bit out, just in passing as an example of more progressive legislation. Also, I never knew you were in Canada!

@@MedlifeCrisis Yes I moved over to Vancouver for a quantum computer job, and then quit my job and have been hanging around ever since. Drugs were not involved, just to be clear. Unless you count RU-vid as a drug.

Is there already bar for shrooms ? something like The Delphi Oracle ? or something for magic mushrooms.

who cares about marijuana, we want mushrooms !

Sounds very sensible

@@MedlifeCrisis Fully agree. /First year ortho resident from Sweden. But what do I know, we are smart as tractors. Weed should be legal!

@@Rumprullarn As a swede I also agree

Shouldn't just all Swedes gather in this thread, and make a revolution? / Svensk nummer tre

@@Rumprullarn The strange thing is that Sweden was very liberal in regard to recreational drugs at one time, then went to the other extreme and stayed there.

ahahahahahahaha lmfao

Get off your high horse!

It used to be pretty common for people to dope horses with massive amounts of heroin or cocaine before races, 1800s/early 1900s period.

Ahhhhhaahahahh! Prancing Equine Pothead Ponies! I lol’d hard from this. Thank you. Congrats on 420k Doctor!

@@tavshedfjols I guess that cocaine makes some sense in the context, but why would anyone give their horse heroin before the race? Wouldn't it be counterproductive?

I don't think you can beat Internet Historian's Nord VPN 'lose a sponsor speedrun'

@@chrisogrady28 LOL, don't they still sponsor him though?

@@Reddles37 yep, speedrun any% failed

One of the clear lessons from drug prohibition is that if you block access to one drug the best case outcome is that people switch to something equivalent and the worst case is that you create an opening for something higher risk and help it become the dominant drug.

Likewise. I don't function well without my Vyvanse (stimulant). It improves my quality of life enormously.

AMEN....I was diagnosed in my thirties and them finally nailing it on the head after years...and years....and years....of absolute torture. Not being diagnosed with ADHD earlier has caused me so much trauma and loss. YES....WE ALL KNOW THEY ARE OVER PRESCRIBED. But can we not forget there are legitimate reasons these drugs are a TREATMENT for a MENTAL ILLNESS. Ill say this....the first time I took the medication for ADHD I CRIED.....I will always remember that day and telling myself "ITS FINALLY OVER". YEARS OF AN ABSOLUTE UNENDING NIGHTMARE.....Effrectively BANASHED WITH ONE LITTLE PILL. It is so disheartening to hear people who dont get that.....They dont always realize they could never be against or as angry as I am when seeing people abuse these medications. YOU THINK ITS EASY HAVING THE STIGMA ON THAT DRUG AND YOUR TAKING THEM??? Of having knuckleheads try and say Adderall is the same as Meth??? Or how bout those amazing people who only know the "ADHD FOR DUMMIES" definition of cant focus, hyperactive.....That is such a shallow knowledge of what Add or adhd puts a person through its utter stupidity. Last I heard Adderall doesnt have Gasoline and battery acid mixed up in a soda bottle listed on the ingredients.....And that is the big issue....general ignorance. Rant over....Im glad you were diagnosed early enough for your schooling and life in general....I didnt have that sadly....But at the same time I shudder knowing before stimulants became a treatment there were far too many who lived their entire lives in the nightmare I lived for 30 some years and never had any chance of relief beside drugging themselves stupid. I am grateful in the end to still of made it out the other side....A real love/hate relationship when I look back haha.

@@Spills51 lol

@@Spills51one of my best friends growing up had ADHD his doctor told him Adderall is just legally prescribed speed😂.. You seem to know a lot about making meth 🤔🤣

Sorry not in this one, but thanks for mentioning. I'd need to do some research, it's a good topic.

There's plenty of research out there, and also plenty of misinformation. One retrospective analysis of over 150,000 adults with prescriptions "demonstrated a lack of association between stimulant use and incidence of MI, sudden cardiac death (SCD), and stroke. Individuals with cardiovascular disease were included and potential confounding variables were adjusted..." The question of abuse is more difficult, because so much misinformation comes from people who believe treating ADHD is akin to giving kids meth... but if you're critical, you can find good resources; it's one of the most well-researched conditions in existence.

Also because those drug have seen massive abuse by students...

@@mdlouie Do you take them ? You sound biased .

Caffeine

You lesiurely chat with your doctor?

Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking. Especially the RU-vidr Hbomberguy really advacates this, as he ALWAYS links his Sources and himself never 'assumes around' but instead sits down and informs himself. He has over 900k Subs not for no Reason, duh. Check him out. Him and also many who cover 'Facebook Knowledge'!!

Medics: Rest is key for health and performance when people's lives are in line. Also medics: The most insane workshifts ever

@@vittocrazi Same as military? military is to protect democracy, NOT practice it.

@@geddon436 the thing IS those workshifts affecting the performance of health workers and thus endangering other people too. Also, military IS to protect the interests of the government, not democracy. So bad comparison even on that regard

@@vittocrazi so, in both situations, weither medical worker or solider, they are being abused

@@geddon436 yes. But one bears more irony than the other

Historically, the alcohol content in everyday beer was much lower than we usually drink today (0.5 to 2 percent). You're not able to get drunk with 1% beer, no matter how hard you try.

Not sure if it was "the most efficient way", but they had noticed that it certainly worked, even if they didn't know why. If only they had realized that with beer the most important bit was the boiling of the water (the fermentation process does affect things, as does the mashing, but the boiling is the single biggest contributor), they could have saved a lot of effort by just doing that if all they wanted was drinkable water. =)

@@protocj3735 Known as small beer IIRC

@@protocj3735 so 1% beer is basically water with a small amount of purifier lol

As protoCJ mentioned, the traditional beer of yore was more akin to the modern idea of 'non-alcoholic beer' (0.5% ABV or less) or 'low-alcohol beer' (1.2% ABV or less); I've always been curious about how similar in taste they would be? I'm guessing not very much, since much of the low-alcohol beers are made the same way as 'regular' beer, then diluted to the proper ABV (with some added CO2 to bring back the bubbles). I would think 'beer of yore' was made in such a way that it just had a lower ABV naturally? Interestingly, these days you can get just about any type of alcohol in a no/low ABV version.

Exactly! I came here to waste my time goddammit, not be productive >:0

Its spelled Rohin!

Yeah, I want a refund.

Time to unsubscribe! I want my hour wasted gosh darn it

Hope life is better for you now mate

@@bobman929 as anyone whos been in similar places would attest, its always a slow road to getting better. I'm not where I was 8-9yrs ago so lots of progress, but always more to be had. As a 'casual' watcher of various A&E programme and the BBC 'Junior Doctors' its clear they do have a focus on bedside manner when they are doing their first hospital work, but it comes across as informal (ie their senior supervisor watching them interact and give tips etc..)... I just wonder if a short, but formal understanding of the psychology of putting people at ease would help? Counsellors are very good at making someone feel comfortable so there is clearly a technique to it. And equally, are these lessons applied up and down the chain? I also totally appreciate that these professionals are seeing hundreds of people a day, and its very very hard to be consistent with everyone. But everyone I know who's had serious MH issues has had at least 1, in most cases multiple, occurrences where their interaction with a health professional has been bad and had a negative impact. Even consultant psychiatrists. Maybe its just me, but I am fully aware that when writing documentation about you they have to be cold, concise, and accurate about the facts, but when they are doing the same when talking to you during consultation, its not helpful.... I mean, they aren't wrong.... its just the way they talk to patients has to be very very different to the way they talk to each other about patients. I also appreciate MH issues are much more like walking on egg shells as the person is likely already in crisis and it can be very hard not to say something totally innocuous and innocently that makes things worse... but a small sympathetic smile, a gentle holding onto the wrist and saying 'we are here to help you' can make the patients immediate situation improve significantly. Paramedics are good at this in my experience, maybe its because they see more vulnerable people more often?

@@OzzieOzzieOzzieOyOyOy I'm glad you're still here. The power of being able to break through to the other side and get better is being able to truely make connections to those in the middle of their ordeals and give them help and support in a way no one else can.

It's a very serious question, yeah. And you're right to point out that this extends beyond questions of drug use. I've had a terrible time getting taken seriously by doctors, because my list of medical conditions includes generalized anxiety disorder... and they all seem to assume, whether from that or my anxious manner i don't know? But unless something is visibly wrong like a cut or a lump, they assume I'm being a hypochondriac, usually without bothering to check anything, and I get put off. It took nine years, almost a DECADE, before they finally figured out that the recurring chest pain i've been complaining about since 2011 isn't all in my head, it's a f**king hiatal hernia. Relatively benign, but it's real, common enough, and treatable... and I had to live with it undetected and untreated for nine years, all while worrying it was something worse, because no doctor wanted to lift one f**king finger to help an anxiety patient. And they didn't figure it out by changing their minds or anything, lol. They figured it out because they did a chest CT scan for different reasons (covid) and - surprise! - it found the hernia.

@@brongulus2617 that’s so infuriating‚ I’ve heard countless such stories :-/ it’s incredible how reluctant most doctors are to actually listen to their patients.

Our protagonist gets mad props from me for muddling through all that.

I find it bizarre how amphetamine is a huge no-no in Europe but methylphenidate is completely fine. I'm sorry, but how is that different?

@@vivianloney8826 I wouldn't say that's it is an absolute no. This depends entirely on country. In Germany, Dexamphetamine is a third-line treatment for ADHD, after non-stimulant medication and methylphenidate fail. They are legally in the same category, as a prescribable narcotic. Other places just stuff it into the same non-prescibable category as they do coke and heroin.

@@gesamtszenario Even in the German case, why is it third line? In the US the gold standard is behavioral therapy with any stimulant medication being second line treatment. Neither type of stimulant is particularly more effective than the other in medical literature and they carry similar risks. What I mean is, what's the medical justification for amphetamine class being ranked as less favorable treatment then methylphenidate class?

The Learning never ends, so call it silly, but i do have the hobby of asking people if i an recommend them science-chanenl or just education-channel in general to them! Mind if i do?

When I was diagnosed with Multiple Sclerosis my neurology department did a month long course (1 evening a week) for newly diagnosed patients to learn about MS, progression, medications, etc. It was fantastic. The consultant and nurse specialist gave a presentation one of the weeks with brain scan examples and all sorts of science and recent studies. Learnt so much about MS that month. I believe it was funded by our local MS society.

Usually by finding the peak disease body and reading their consumer resources (and even the health professional packages as well if you have a bit of biology/A&P background). For example COPD and the Lung Foundation Australia, or STEMI and the Heart Foundation.

A decent place to start is your country's public information site, or if it doesn't exist, one from a different country. The UK has a pretty solid patient information site under the NHS, and if you would like to read further, it usually has links to other reputable sources. Mayo clinic and Hopkins in the US also have massive libraries.

University: "Am I a joke to you?"

I think this a great idea. In the US, it can be extremely difficult to get clear defined answers from specialists, and there is a shortage of general practitioners. I've seen/lived what happens when a person does not clearly understand the impacts of their chronic medical condition and how to manage it.

same

per-KEN-jee is roughly how my profs usually said it, however some also had a bit more "i" like "inside" and pronounced it closer to "per-KIN-jee. Other than minor variations on that vowel, I've never heard it said any other way. Perhaps there could be regional differences, I'm from Detroit, graduated from WSU, and did my student clinical rotations at the DMC downtown. The topic hasn't come up since. How else have people said it?

@@themykeshow9027 I've heard all sorts of variations. I personally pronounce it per-kin-jee because that's how my teachers pronounced it but I've heard per-kin-yee, per-kinge, per-kine, per-ken-jee etc. I find it interesting to see the different variations and clusters of dialects with terminology but one that irks me is when people pronounce seratonin as seh-rot-oh-nin

Everyone knows it should be pronounced ˈpurkɪɲɛ

@@themykeshow9027 Wikipedia has a native Czech speaker pronouncing his name on HIS page. It sounds to me like Poor (trilled R) keen ya.

​@@Markle2k pour-kin-ya is I guess the closest you could get with an "english" spelling. With "a" in "ya" going more towards "ye". Both "poor" and "keen" have the vowels too long for how Czech uses vowels that don't have the ´ mark on them ("keen" woul be "kín" in Czech).

I would love to recommend you more Education-Channel of all kinds though. Mind if i do?

well... its actually university worthy! on both the studious and cocaine part

He's the man.

His Drug Science podcast is well worth a listen

oh god I'm sorry...... i thought he's continuing his joke and sarcasm (taking all the A's he can (maybe my brain is dirty?), the show, and now professor nut) i was actually eating pistachios. god i thought he's playing it so perfectly..... I'm sorry Dr Francis

Hehe. Prof Nutt.

That's bullshit the only real medice is cocain

Hi, I'm actually in Portugal, the country everyone talks about decriminalization. We had a massive drug issue before decriminalization, and legalization absolutely, would not have been good for us. The entire point of decriminalization is that it's a two pronged approach. You attack the demand, by treating consumers of drugs with the public health system. You don't send them to prison, because that tends to just make things worse. But selling drugs is still illegal, so you still put pressure on the supply. And guess what? The two pronged approach worked amazingly. Legalization would've done nothing for us except make the treatment part much more difficult and far more expensive. There is a reason no country has seriously considered legalizing everything as a public health measure. Having bath salts and meth over the counter would do no one good.

@@luizmatthew1019 I find what Portugal has done interesting. That said, nobody would do "bath salts" if they had access to "better" drugs and amphetamines are already basically available over-the-counter for ADHD. My take is that every plant-based "drug" (and single-step extract) should be completely legal to grow, process, and sell. So things like cannabis and psilocybe mushrooms would be legal along with hashish, opium, cocaine, and DMT. The only criminal drugs offenses should be related to misrepresentation (as to content and purity).

The Learning never ends, so call it silly, but i do have the hobby of asking people if i an recommend them science-chanenl or just education-channel in general to them! Mind if i do?

@@nenmaster5218 missed this Nen! Go ahead!

Wrong, the humane thing to do is to legalize *all* drugs. The government has no business telling me what I can or can't put in my body.

@@kericlapboards7737 Wrong. The ultimate humane thing to do would be to abolish government completely, but people aren't ready for that. So, let's start with decriminalization and work towards anarchy.

@@humblecatpie4512 Bro government isn't something people made out of whime. Its inevitable for a given level of technology. You will basically need a government to abolish a government.

@@batukhan1 I'm familiar with government and how it works, bro. All you need to abolish government is for people to stop participating. You need government to abolish government sounds like you need warlords to stop warlords or you need murderers to stop murderers. None of that is absolute or true.

@@batukhan1 here are some fun facts: the US government takes more property from citizens through civil asset forfeiture than all private criminals combined. A lot more. Wanna learn more? Look up democide. You think people didn't make government on a whim. I didn't accept anarchy on a whim either, BRO.

They've done one already in case you may have missed it

Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking. Especially the RU-vidr Hbomberguy really advacates this, as he ALWAYS links his Sources and himself never 'assumes around' but instead sits down and informs himself. He has over 900k Subs not for no Reason, duh. Check him out.

There may be a confounding factor here: a correlation between an already existing mood and the drink you chose. At least for me - I chose something very sweet if I want to chill and relieve stress, something more dry if I want to be productive, something smoky if I'm in a really creative mood. The alcohol always has the same effect: it relaxes and reduces inhibitions. Maybe the taste or cliché (think "pirates") of cheap rum is particularly compatible with a general mood for violence and the alcohol simply allows the patrons to "let it out"... and maybe people tend to chose gin when they are already depressed because it is associated with "drowning your sorrows" in many films - the alcohol then makes the condition surface.

I've never experienced any differences. Perhaps I should feel like a spy when I drink vodka?

Tbh there isn't really a difference in effect between different alcoholic drinks, they all contain exactly the same compound, ethanol. The only real difference is the percentage of alcohol.

@@Thecrazymonkey49 they contain other things tho. It’s not just ethanol and water. The interactions with other compounds in the drinks are probably the cause

Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking. Especially the RU-vidr Hbomberguy really advacates this, as he ALWAYS links his Sources and himself never 'assumes around' but instead sits down and informs himself. He has over 900k Subs not for no Reason, duh. Check him out. Him and also many who cover 'Facebook Knowledge'!!

I think I got it. Not sure. Yellow cow variant. I bet.

I thought the dig at chronic Lyme as being made up by alternative medicine at the beginning of the video was at the very least in poor taste if not categorically wrong. I was particularly surprised since Lyme affects the heart, including potentially long term damage, so I'd expect him to have some familiarity with it. Maybe it's splitting hairs to differentiate "chronic Lyme" from "Post-Treatment Lyme Disease"? The later is a documented and studied phenomena so any difference seems largely semantic. There are measurable blood markers associated with PTLD, there are known auto-antigens that coincide with Lyme antigens (that was one of the concerns with early Lyme vaccines, though it remains controversial.) And there is ongoing medical research exploring it. I think the comparison to long Covid is interesting, similar mechanisms might be involved. I've seen speculation by immunologists that mast cell disorders might be triggered by infections like that. Of course for an immunologist that could be an "if all you have is a hammer all your problems look like nails" effect. Covid can damage a lot of different tissues so there could be all sorts of lasting effects and same for Lyme regardless of whether the mechanism is the same.

I have no idea what you study exactly, but for some reason I imagined someone in a tie-dyed labcoat

@@arthurreis1906 spot on!

@@jobbylickenbob7817 : and patchouli, obvs.

"Shillscare" *BURIED* 😂

HERE LIES @@LongshanMusic He was deader than a door nail. RIP

Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking...

(for the record, i do get why it is, it just strikes me as somewhat ironic in a way that i can't quite put my finger on...)