Thank you Dr. Neil. It was an easy way to learn one of the most difficult subjects! One point I would like to add is that in First Aid 2020, the timing for "Acute hemolytic transfusion reaction" is changed to "During transfusion or within 24 hours(due to preformed antibodies)". Also, "Delayed hemolytic transfusion reaction" is added which has the onset of over 24 hours within 1-2 weeks, with symptoms like mild fever and hyperbilirubinemia.
Trying to make videos more concise and under 15 minutes. We will try and be more efficient and save you time when studying. Hope this is helpful. Keep Moving Forward...!!
We need more videos Dr. Neil! We're lost without you! You don't know just how many questions you got me through on my exam! Life saver!! Please add more subjects, more videos soon!!
@RandyNeilMD Can you make a complete usmle review? And yes, I've been watching all of your videos for years! I absolutely love them! When i was taking my exam, I was like, "Are you a question writer??? It seems to me that they're pulling questions from your videos!! Also, do you have glycogen storage diseases videos?? At least 10 questions were directly from your videos!
@@RandyNeilMD i do apologize for my spelling mistake, I already have updated my comment. Thank you so much your videos always very helpful, plz keep it up
All your videos are the best videos out there specially with the questions which reinforces by 100! Very grateful for your videos I’ve seen that i retain more with questions right after the topic
Thank you for the comment... I'll have to look at the milestones...my initial thought is that its memorization and I am not sure there are any tricks...but I will look at it. Keep studying hard!!
Thanks so much again Dr. Neil. You've been such immense help. Funny enough, I thought I was the only one in my study group that knew about you, until my colleagues began referring to your videos. Just a kind request Dr. Anyway you can do a video on Androgen Insensitivity Syndrome vs 5 alpha-reductase, and other DSDs. Will be much appreciated. Thanks.
Ladies and Gents, boys and girls, I give you The Randy Neil, 11th Hour Samaritan Extraordinaire, the hero we do not deserve but undeniably the hero we most definitely need.
Thanks Doc . I find your videos really helpful and precise. Please can you make videos on respiratory and cardiac graphs from first aid. Really appreciate your efforts.
Thank you Dr. Neil you are like a blessing for me these days. and luckily you are making videos on those topic which I always get wrong , but now my questions are getting better . thankyou again for your time and giving us free videos.
You need to add some neurology pathway videos along with their lesions and some cardio stuff please! You're doing awesome with these uploads and just in time. I'm literally burning out, been over a year and I've just been putting my exam date off and procrastinating, having study spells and off days where I just fall out of routine, and your videos are helping me a LOT!
😊 thank u so much.. can u make a video on Michael menten kinetics , lineweaver Burke plot , competitive non competitive inhibitors 0 order and 1st order elimination and their graphs.... it will be really helpful. It’s kind of confusing with graphs...
I do have some stuff on pharmacokinetics/Pharmacodynamics... Honestly, its mostly stuff I got from other people...but I guess most everything is. Let me work on that.
"Okay Randy Neil, Randy Neil okay, I see your blood transfusion reactions and I raise you transplant rejections. Whatchu gonna do now, Randy Neil?" Lol, great way to teach an overwhelming topic, keeping it simple by timing it just right. Absolute Awesomeness!
I"m confused about the one where it say the 28yr male involved in a MVA has symptoms immediately after receiving 2 points/pints...... he wouldn't have received 2 pints of blood but if he did it would take hours so if he had a reactions hours after the transfusion begins it would be febrile non haemolytic instead of anaphylaxis. Righhhhtt??
Thank you Doc for crystal clear concept. I have a doubt regarding one of the practice questions in this video related to Febrile Non Hemolytic Reaction... If we transfuse packed RBC ..how can we get this presentation ? WBC are not even present in the transfusion .. so what will be the benefit of Leukoreduction?
Hey.randy can you make videos on bacteria and virus genetics like recombination reassotment complementation phenotypic mixing and bacterial transformation conjugation transduction(generalized and specialized) and transposition.these are all very difficult and 5 to 6 questions come from thesr topics.
The 28 year old with history of CAD was in two severe mother vehicle accidents? Lol, must be accident prone. Anyways, thank you Dr. Neil, this was very helpful.
So I just saw this question in an NBMEabout a patient who develops flank pain, hypotension WHILE receiving a blood transfusion. Then they stated that her urine is wine-colored. So...because it was WHILE receiving the blood I thought it was anaphylactic reaction. Wrong :( ABO incompatibility.
No worries... we can make all our mistakes and 'learning moments' now ...before our exam. It's all a learning process... Thank you for sharing and feedback. Keep studying HARD!!
The last question said the reaction was immediately "after" receiving two pints of blood - not while receiving the blood - so how can this be an anaphylactic reaction? Finishing a two pint transfusion must have taken around 1hr right?
Hey Dr.Neil loved your video but a small doubt, in the last question where the patient has chills and shortness of breath immediately then why can’t it be acute hemolytic anemia? Because in acute hemolytic anemia the patient has chills,tachypnea - time: during transfusion or within 24hours according to FA2020. And anaphylactic means usually they have wheezing,urticaria right.. so please can u explain
Maybe my question wasn't written as good as it should have been... I'm not that much of an expert to question your source. Perhaps you could make a video explaining... I based most of my stuff on timing... If you make a video we can incorporate into a future video.
Hello, Thanks for the video. very educational and you have made the reaction process so simple to understand. Thanks heaps. I have one concern though, could you please clarify the answer for the question at 10:00 - 10:30min. I understand as, pt reacted AFTER receiving 2 PINTS of blood. this is where I am confuse. Because, 1). its After the second pint before the reaction, 2). to receive 2 pints would have fall in the 6 hours window. could that be right or I am missing it??? thanks in advance
I followed that rule in NBME 24 and I got the question wrong 😅 The question said the patient had respiratory issues after 45 min I disregarded TRLI and chose hemolytic reaction (wrong ) What did I do incorrectly?
I do have material on that ... That should be easy. I will see what I have in terms of questions. That was mainly on my radar for STEP 3, but I will put something together.
"immediately afytrr erecieving 2 pints" your anser is wrong.think about 2 pints.base on the history 2 pints already consumed so it has tobe feb non hem
