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Treating Alcohol Withdrawal | The Advanced EM Boot Camp
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- เผยแพร่เมื่อ 20 ก.ย. 2021
- Treating Alcohol Withdrawal by Aaron Skolnik, MD
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#alcoholwithdrawal #emergencymedicine #advancedembootcamp
I'm home in my 7th day of no alcohol...OMG...today i feel better...never knew how severe withdraw could be...i hit a lot of the makers mentioned...keep this old war horse (soldier) and surfcaster in your prayers...thank you God bless
How are you doing now war horse?! I hope all is well with you I am 4 days sober having a hard time. Hanging in there
The first time I tried to get clean in 2016 the nurse I was asking about said "what you are going through is more dangerous than heroin." I was blown away, but she was correct.
Good for you!! I'm on day 4 and struggling
Hope you are still kicking butt! I did want to ask if you had bad sweats daily and especially night sweats? Thank you
@@monstermind4286 I had bad sweats and shaking the first 3-4 days. I stopped drinking altogether. Changed my diet, work out at the gym and drew closer to God. Now I have lost 50 lbs in 4.5 months. PTL
Here I am drinking again 😢 watching alcohol withdrawal videos keep me in prayer
“Again” meaning you kicked the habit once and you can do it again. I believe in you. I started drinking everyday 3 years ago and I want to stop now.
I am doing the same you are not alone and I pray for us going through this. Just please remember once we overcome this we win ❤ take good care of yourself
I have quit it 4 times once for 7 years once for 1 year once for 2 months and now again I am sober for a month it’s just about mentally being strong
Research "The Sinclair Method ". Abstinence is NOT the only way.
Same
Over one year no drink! Sometimes I like to watch these kinds of videos to remember how bad my DTs were
The hallucinations and nightmares are insane!!
From someone battling with this addiction, I appreciate your lecture. It is a serious battle.
I find this man to be very condescending and not compassionate towards people who have an issue with alcohol issues
@@thatothergirl1111 I agree. I appreciate the information but he is clearly condescending and you can tell he lacks empathy for people struggling with the addiction which can unfortunately be triggering for alcoholics.
@@thespaatreynolda2921 in his defence, it's a lecture for other ED docs.
@@thatothergirl1111 Try Dr. Andrew Kim and/or Dr. Anna Lemke. Both good clinicians and more compassionate.
best presentation so far on TH-cam so far on Alcohol Withdrawal
Can't think of a better talk I've seen in the last couple of years. Succinct but comprehensive, touched on the nuances of diagnosis (Mayo clinic data), and a very comfortable, relaxed speaker.
Tried to go without as long as i could today. Shakes are so bad i can't pick anything up. I've decided I'm going to tell my parents. I need help
I did it, you can too. Tell your parents, your life and health is important. take care of yourself
@Zadir09 3 weeks away from it now. The video and all these comments from this video to friends and family may have saved my life.
Telling everyone in my life was huge. Held me accountable. They cared more about me than I cared about myself. Still learning to love myself, but it is a lot easier now than it was 3 weeks ago.
@@Brick_SteveI’m going through what you are going through right now, I’m venting to my brother about my problem with alcohol, right now I’m having withdrawal and just trying not to drink
@BabyAstrotheking I recommend medical attention honestly. If you think you are at risk of seizures. That's about 5ish-7ish days in from what I've been told.
Telling my friends/family/boss and coworkers helped a lot. It's keeping me accountable.
You can do this. The grass is green on the other side I promise you this. Fill your time with anything other than being alone in the fortress of solitude. I was running from something, idk what it was/is. But face that shit. You're worth it.
@@Brick_Steve I’m trying to figure out if I should be going to the emergency room, I haven’t had any alcohol in 24 hours and my doctor has been prescribed me Ativan and it’s helping but boy I feel so bad. Just shaky and weird and irritating but I also this song when I sober or drunk. things names
I had 21 clinical detoxes over 25 years of alcoholic drinking. Many of the visual hallucinations I experienced were horrifying. Vikings with axes and swords both at windows, and trying to climb through a TV screen to get me, Steel bars appearing at windows, My dead Maternal Grandmother on the bedroom ceiling, An SS Officer standing at the end of my bed, with my Fathers head on a silver serving platter, and Auditory, Voices coming from radiators, road noise on a hot night, becoming a Rock concert, and my Cat speaking in French. I'm currently 9 years clean and sober.
How many days would you stay drunk?
@@DoperSober Anything up two weeks, around 1.5 litres of 40% Vodka a day.
@@grahamherbert3612 did you end up getting cirrhosis? I’ve been abusing it for about 6 years I’m 26 years old but the most I’ll stay drunk is for about 4 days at most then I’ll stop for a few weeks then end up relapsing. Making progress tho
@@DoperSober Not cirrhosis, but significant liver function issues. If you're not an AA 12 Steps kind of person, I'd suggest searching 'Rational Recovery', I've used this 'responsible to self' method.
Thank you so much Doc. It was well explained.
Excellent talk. Thanks for sharing
Thank you very much Doctor. Good lecture and practical.
Prepared for topic discussion tomorrow thanks!
Thank you for this video ❤ it takes alot to care and you definately do. That was great information and we appreciate you
Omg I woke up with an anxiety attack and sweats 😤😤😤😤
Thank You!
excellent presentation - well done
great talk! Thank you!
One of the better lectures
I think it's only me. I'm on my 3rd night and didn't get normal sleep, but when i look at my phone to pass the time it's like i passed out. I hold my phone and always dropped it like I'm falling asleep, but when i look at the time it's the exact minutes. And that happened several times now. It's like a blackout, but for a second
My wife was diagnosed with stage 3 liver failure and she started having seizures with her DT's when she cold Turkey-ed her drinking. They put her on 30 MG Valium per-day and she's fine now. The transplant committee says they are OK with Valium but if she takes ONE DRINK she will NEVER get a liver! ASK YOUR DR. FOR VALIUM (30mg PD) if your having uncontrollable withdrawals!
Quit 15 years ago. Was unable to read for 3 weeks! Managed huge IT Programs! Didn’t know if I could work! Went away as I left treatment! Scary stuff!
Great video... but one thing it does not cover is energetic attachments. Most addictions come with energy attachments. I have worked in a spiritual hospital in Brazil for 10 years. Have seen addicts healed in one visit by removing the energy attachment. If you believe in 'ghosts', then you know, drunks/addicts that die, sometimes do no move on into the Light, they stick around to hang out with a physical incarnate human that drinks/drugs to continue their addiction until they are ready to be healed.
Almost 2 years ago I had D Ts horrific to suffer alone I was hearing rock bands in my head, delerium,, cramps hallucinations, so uncomfortable and No sleep, didn't eat, it was about 8 days, my heater was playing music, was sick to my stomach, thankfully I didn't have a heart attack I had heart palpations, prolly AFib, oh my I'm glad I made it the Dr didn't give me a med for the symptoms. oh I forgot the diaphoresis. I was alone with my dogs I think my dog was worried when I had a seizure. I've hit my head hard while drinking and falling. I wish I had more help but I haven't touched the demon fluid in almost 2 years!!!😅😅my liver function was off the charts so I couldn't take the med that makes you sick if you drink.
Hopefully you heard some Van Halen... 😂❤
Cirrhosis patient with ETOH dependance here, just doing some research. Was admitted to the ER today and got IV fluids and released, had positive ETOH in blood work and it seemed like they just didn't want to deal with me. Wasting away but the PA did order some Librium for me to detox at home, so I am guessing I am somewhere in the middle of the scale. Thanks for the info.
That’s messed up hospitals treat people like this
They do that to my uncle.. I think it’s because they look down on ppl with this problem so they let them suffer to teach them a lesson. That’s what it seems to be because I seen my uncle shake, cry and ask for help at the emergency room and they just keep him waiting. I now also am struggling with alcohol just got a bad panic attack but don’t want to go to the hospital due to how ppl treat ppl suffering from this. It’s very scary but I will not drink ever again.. I’m done with this shit!!!
Ok here's mine
Day 1 I was sweating really badly and randomly getting dizzy
Day 2 my fever started during the night
Day 3 was scary cause I was skipping a heart beat in the morning and my fever was high and I felt so weak
Day 4 I still had fever and during the night I was breaking in cold sweat
Day 5 my fever was gone but I couldn't sleep at night
Day 6 Im fully fine everything is gone and I can sleep properly
Day 7 I don't even crave for alcohol anymore and I've been eating healthy
PS I was drinking for 5 months straight 6 to 8 king sized beer a night nothing is impossible in Jesus name and I did the withrawal alone 😊
Congrats. I'm on day 1. 😔 I need to quit completely. I can't control it. I relapsed several times. Now I really need to quit. Last I was withdrawing bad. I couldn't sleep for 3 days. No appetite and night sweats with shivers. Not a good feeling. Wish me luck 🙏🏼
@@Livemusic1800 wishing you the best just always think possitive and don't let any negativity get into you during withrawal and you'll beat it!
My son 43 called me Sunday night around midnight saying he was checking in Detox. Said they were taking his ph for four day’s He tells me he’s been getting sick for the last five Or six years if he didn’t drink. He said he has to have Twenty beers to keep the sickness away. So this also comes at a point that he’s had to drive himself to the ER a week ago. And after tell the ER doctor that he was having severe pain in his left arm and in his neck. Sunday night he’s telling me he had to return to the ER Friday night with severe pain again in his chest with high blood pressure also.
My thoughts that possibly this might be a little too much after having his heart problems.
Questionable thoughts about his health while starting DETOX after a possible heart attack?????
i LEARNED A LOT. tHANK YOU FOR THE UPLOAD..................
I get the occasional Night terror, i am an alcoholic
Dave how much do you drink and for how long ?
delirium tremors is no joke if you never had it you never know how bad it is you almost go insane
Can someone please clarify the quote by Pliny the Elder? A few words are unclear to me and I want to be able to print it.
I am an alcoholic, I quit ciggarettes, cannibis and cafiene but I can't seem to shake alcohol, going to a treatment center because I can't get a handle on it.
You should explain what "bolus dose" means.
Like Jack in the movie The SHINING at the bar
7th day for me and I'm as good as normal with no insomia and stuffs PS I was drinking 8 cans of beers 5 months straight
Anyone's heart rate spike from alcohol withdrawal? I quit 3 weeks ago and I'll have random spikes to 160
Yup , it will pass. Lower your sugar intake
Yup can't get mine under 100bpm been there for 2 days...I need sleep...anything I can do
I thought it was the siezers that was deadly. I didn't realize DT's are deadly
This is interesting I was trying to firgure out why I didn’t get withdrawal from alcoholism now that I’m on lamotragine which is a calcium channel blocker I wonder if this has caused the difference as it’s the only thing that’s changed between the drinking and quitting before and the drinking and quitting now maybe a link there? I know I’m in withdrawal because I have the same stomach issues as I usually do and nausea and dehydration but not the shakes or extreme anxiety I always get and the flu symptoms it’s just the stomach pain like a sudden increase in stomach acid and gastritis type symptoms but not psych symptoms or flu symptoms shakes or severe anxiety and mood changes
Also on qutiapine which effects dopamine but that never seemed to help before it’s only being on lamotragine that has changed been on 100mg for a year 100mg qutiapine for years the lamotragine didn’t seem to change the feeling of being drunk or my tolerance that I noticed just the withdrawal seems to have very few of the usual symptoms I’m wondering if being on it while I was drinking was somehow protective of my brains calcium and gaba pathways I’ve never had seizures I take the medication for bipolar so I was expecting to be more susceptible to mental health effects of withdrawal
I've heard that people going through moderate and severe withdrawls get prescribed benzo's sometimes.
Wouldn't benzo's just prolong the alchol withdrawls since they both have an effect on Gaba?
But it's easier to lower the dose rather give them 7 drinks a day and then 6, 5,4... Pills are easier to measure
the alchohol withdrawal is DEADLY, can't stress that enough. benzo's can put a cushion on it. They are long acting.
your point stands yes the patient will withdraw from "whatever" for longer, but if it's serious alcohol withdrawal you're saving a life.
I unfortunately suffer seizures 2 hours after reducing alcohol.
This is the dude you don’t want when presenting at the ER. Someone that is more concerned with the etymology of his practice than the actual condition of his patients. I had an ED physician prescribe me a short taper of Librium to take home and it was not nearly enough to keep me out of the woods as I had a major tonic-clonic seizure two days out of the hospital. The protocol was severely mismanaged and it led to me almost dying. I followed their direction to the T and all I got for it was a seizure, trip back to the hospital and a huge hematoma on my head from flapping around while seizing up. Dudes like this are part of the problem. They care more about being right than being kind.
Common problem
Could just as well be that he's more inclined to play the odds (e.g., not being "wrong"). Tort reform? Lots of scared medicine out there.
How many days were u drinking? If u dont mind me asking
@@aroguereptilian That's a fair question and one that I hope the ER doc took into account when he prescribed to OP. You were asking the Q to OP, right? I've had struggles in this area but wanted to make sure you were asking blazerduck. B/c I've never had any sort of DTs but I hope to avoid them, and so I'd also like to know the answer to your question.
@@CallowMethuselah oh my bad, yes i was wondering about blazerduck. Im coming down from a week long bender rn, about to go back to rehab. In always curious how long ppl are drinking that gets them to the point of dt's. Ive only experienced hallucinations once thank god, but times like right now i get so spooked from all the hangover anxiety etc
I am in this situation, but I can't get proper help from the UK. Takes too long to get help, and I am afraid I will lose it.
How much are you drinking? Im in the same boat yes the u.k. is useless
I'm so sick everyday... and i can't stop... please god help me 😢
Me too I stop and go back to it the best thing to do is to just stop forever and the first few day are terrible feeling that were am at in this moment
Been drinking since 9 it's brutal
This is the dont get used course
Am so tired
Could someone please make a video that speaks to the average person. This jargon is absolutely ridiculous and helps very few people.
Okay great, we get the science… but what is it actually like?? Is what we’re looking for…
Let’s get the true facts in to schools but no cos it makes people very rich so it’s hid away 😢😢😢😢😢
Coffee withdrawal is much worse
Are you serious?
@@somexp12 nah just kidding
Coffee withdrawal does not kill you.
Poor delivery from this man, right, right etc. Until you've done a bottle of spirits a day you shouldn't be condescending in this manner.
This guy talks like doctors write
Anyone that listens to this that was forced along others is sick!
This is scare propaganda for the rehab industry. It has the opposite effect, makes people be afraid of stopping
They should be afraid. Quitting cold turkey with no help can be extremely dangerous.
@@billcrawford5672 If I am addicted to drinking a six pack or a bottle of wine a day it's not dangerous to quit cold turkey. on the other hand of I drink liters of vodka a day, yes then it might be dangerous to quit cold turkey.
I think it's a lecture for continuing professional development. Hence, it's a bit 'clinical' by nature. I do, however, get that it might not be pleasant for patients who have a problematic relationship with alcohol to view
@@the.trollgubbe2642 Yeah that's what i believe i drink about a pint of vodka a day trying to get down to a half pint then soon quit for good
@@chrisjohnson4272 do it, you don't need rehab, just taper down slowly
This guy is way too snarky and non compassionate
How does someone do it with no insurance
U r fucked
As was i