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I have Chronic GERD and gastroparesis. Nothing the doctors give me works. I have been a heavy cannabis smoker for years and noticed that when i smoke it it gave me abdomen burning. I am thinking that I damaged my LES to the point of irreversible damage. Don't smoke! You never know how sensitive your body is to carninogens and HEAT!

Oui tres interessent aussi les inconveniens de la positive mechanical ventilation et que au delas de 5 jours d'intubation il y'a risque de tracheomalacie et donc on est contraint de faire une tracheotamie autre inconvanient la sonde d'intubation se bouche souvent et la surinfection des poumons

There are courses for WCG interpretation that are expensive. This is free and far more comprehensive. Thanks for your educational service

With Atelectasis, can it last for years following a surgery? And only be felt in morning when first waking? Ex: since c-section in 2018, periodically when first waking, I feel vibrating/cracking at the end of deep breath. Gone after one or two deep breathes. Then clear. Doctors just say atelecstasis but do no tests. It is very hard to research wheezing that makes no noise but you feel it. Like fluid or mucus that goes away. Very deep.

Oui c'etait tres interessent mais j'`ais trois question pour permessive hypercapnie j'usqua a quel limite je peux autoriser l'hyprcapnie c'est dire combien par exemple 60 mmhg ou plus deusieme question la peep dans L'ARDS SI elle depasse 20 ce n'est pas barotraumatique et risk de pneumothorax? Et troisieme questions si ARDS severe et le patient est tres hypoxique j'usqua combien de temps je dois garder le patient sous une FIO2 a 100%parceque c'est trops nocifs pour le cervau et les tissue?

Et un patient qui depasse 3 jours d'intubation il se surinfecte

Wallah il fait Exploser le patient

Oui mais ou est la sonde d'intubation? Vous etes sure que ce patient est sous ventilation artificielle?

Oui quand le patient est difficile a ventiller comme ARDS

Why

Thank you

Good

When Lyme the block occur sometimes I had Lyme, but not block, I have etopics, still have, but less.

Got all if the questions right. I’m ready for my first day of EMT school

I have had this for almost 20 yrs... had to go through desensitization therapy, I no longer could stand my husband holding my hand.

EXCELLENT 💯

😘✌🏾

Hmm

Dr eric why didn't you calculate delta ratio in example 4? If we calculate delta ratio it would be nagma + hagma and not at all metabolic alkalosis

Thanks a lot dr for this video 🙏🏽

I searched this because I've been drinking everyday now for almost 3 years, it's mostly vodka and beer I usually drink either a pint of vodka and 6 to 8 beers or just a fifth of vodka. I was at a Job interview today and doing an on boarding process after hired and out of no where I started sweating crazy and my hands couldn't stay still, shaking and all I wanted to do is go to the bathroom and vomit along with pure anxiety and my head hurt so bad. The second I got home I took 3 shots and I leveled out. I have struggled with bad anxiety for as long as I can remember, that's a big reason I drink and I've never experienced anything like this. That's why I searched this. I think it's time to quit.

I was diagnosed early last year (2023), I had the worst flags for chronic disease, and still to have many symtoms despite over a year having passed and the condition being as controlled as it can be for me. I have shoulders/hips involvment, and had lots of heart inflammation along with the distinct rash, and was almost killed by MAS via heart attack, my ferritin was in the 4k range. I am a lot better now, pain free, fever free, rash free, my joints barely hurt and aren't stiff, barely swollen on occasion after GREAT physical exertion. I feel good. I tried Kineret, Amjevita, and was on 60mg Prednisone, (4mg currently, will be on 0 come August!), now I am just taking a simple Rinvoq pill daily, and that seems to have done the trick. Anyone (even with how infrequent) with AOSD is more than welcome to chat with me about it. I've learned all the tricks and ways to get through it, I've had the worst complications it can have. I'm here for you, we're in this together. Videos like this give me some satisfaction in knowing that what I have is atleast noted by some, even with how rare it is. I hope someday it isn't ideopathic anymore. Maybe someday it can be helped more than it is right now but for now it is what it is. Thank you for this video. I feel represented.

Thanks Dr. Strong. This was the first video for my cardiology class i'm teaching in Eldoret, Kenya

Thank you so very much. I am very familiar with AIP (the rarest form of IgG4-RD). This presentation was perfctly done, and 100% accrurate!

Good for you, Dr. Strong. I admire your sense of ethics and your tenacity. I came here from Ann Reardon's channel. Anyone she recommends, I'm going to check out, lol. Here's the thing: I am not a doctor, or a medical professional of any kind. However, as an amateur artist, I do have a good sense of spatial orientation. At the very first glance of the scans, I "noped". Brain tumors do NOT move around in the same set of MRI scans. How did someone, anyone, even just one person, in the DA's office not see that the tumor changed position from one image to the next??????? Even given that the orientation of the images were different, the movement is obvious.

Dr. Strong: AI LLMs are now widely regarded as powerful tools with potentials for medical applications. You did research work and some videos about some Stanford research work using AI. Do you plan to do more videos about AI in medicine? It seems AI predictions for sepsis in hospitals, AI for transcriptions, and AI for pre authorization, etc., have gained quite a bit practical uses. It’d be great if you could cover these in a Strong video 😊

I've heard that food neophobia (fear of eating new, unfamiliar foods), can also cause emesis and nausea.

Dr. Strong: could you do a video about being a hospitalist? You are probably in the best position for such a video, and I’m sure it’ll benefit to many. 😊

I have pruritus in my entire body I take antihistamines everyday. Do you think it can be related to my anxiety disorder ? Ps I take fluoexetine 20 MG daily !

My daughter is 16 and was just diagnosed with POTS. Ty first this video

IM CRYINF ITS SO PAINFUL BRU I THINK IM DYING

damn, i wish i found your channel earlier😢 my medical clerkship would be wonderful

Thank youu

How does nervousness cause vomiting 🤔

Why is it difficult to breathe during vomiting? 🤔

Thanks for sharing your knowledge!

As a Euro this is pretty interesting to see how this works in the US. There are a lot of steps here that we just don't do in my country and some of our notes can be quite short for uncomplicated patients. Usually the problem list is kept very up-to-date and it is seen as a given for the problem list to be known to understand the progress note. Even the "A" is often omitted unless something changes. So for example the entire progress note for a stable patient with pneumonia + decompensated heart failure might look something like this. S: - Pt feels better, Dyspnea improving, cough improving O: - Vitals okay, weight -1.0kg - Edema 2+ improving P: - CoAmoxi planned till 17.06.2024 - Torasemid reduced to 10mg 2-1-0-0 - Discharge planned early next week

My mother died recently and I think, instead of a doctor telling us when they thought we should visit, all the relatives would have appreciated a better sense of what to expect and when (to the extent that doctors and nurses could determine that--I know it's not always easy.) If you're a relative coming from thousands of miles away, you might want to come to visit before your sister-in-law passes away (for example)... or you might want to be there for your sibling during and after the death itself, if that's your closer relationship and if you can only visit once. Having information lets families and friends make their own decisions about what's right for them.

In all these months, I never caught the Brian Maass/Brain Mass irony.

Looking forward for more content like this! Thanks Dr Strong

6:15 Seeing this photo made me shutter, the thought of holes in a brain is very offputting

I am now 71 years old. I've had all the major symptoms you've described here since I WENT THROUGH MENOPAUSE. I'm convinced that what I need is HRT. Estradiol patches are available by prescription, so I'll try it.

I'll echo Dr. Adam Rodman's view that ROS has outlived it's usefulness (and initial intent) and should not be included in notes, along with the recommendation to not say "PMHX of" or "HX of" if a condition is chronic (which is more anamnesis-like). The 2023 update to the billing rules for CMS validate this, as ROS is no longer a component, and by-the-book coders will not code a condition that is "HX of", as it is presumably resolved.

A couple of thoughts. 1. Regarding the events of hospitalization model, certain services that I have been on utilize a separate hospital course section in the EMR for this, which can allow for the progress note to be shorter and only include true "overnight" events. 2. I still subscribe to the model of only documenting what you are billing for, which includes relevant labs. Having all labs that were ordered in the last 24 hours documented in the note and not interpreted to me seems medicolegally risky. Also, very interested in the EAP model of progress notes, which is something that I have not heard of either. Looking forward to that video when it comes out!

With all respect to Professor strong, there is nothing wrong with Dr. Huberman's second tweet. The man wrote his own opinion, not your opinion or clinical recommendations. There is absolutely no need to pick a bone with that. 😅 You are free to tweet your own list, and I am sure every medical colleague would have a different list.

Very interesting subject. Important information can be surprisingly hard to find. Sometimes because it isn't documented, but surprisingly often because the important information drowns in a sea of irrelevant things. This leads to a lot of unnecessary work and effort at best, and in the worst cases to patient harm. On another topic: I've been watching the series on mechanical ventilation. As always, great lectures! Though I couldn't find the twelfth lecture, which is supposed to cover troubleshooting vents, and how to approach the ventilated patient in acute respiratory distress. Is this lecture missing?

عيد مبااارك عل الاقل حاجة نعقب بها عشوة العيد الثقيلة ❤

Keep up the Strong work

Wake up babe new Dr. Strong Venn diagrams

Woohoooo new video ✨✨✨