Hi doctor I really love your channel and your content ❤ I just want to ask you what is best book to read to teach me how to deal with surgerical emergencies?
This may sound crazy but the best way to learn about surgical emergencies is being around when they happen! You can read how to do an emergent thoracotomy but when you’re there seeing and helping it will stick with you forever, same for emergent airways and almost anything else. Find yourself a solid atlas like zollinger and a solid textbook like Sabiston and then experience as much as you can.
This is an awesome video! I have a couple of questions. I have both Tylenol and ibuprofen in my cabinet and take very little of either and it would usually be for a headache. I have always just reached for one or the other and didn’t think it made much difference so it is good to have this information. I have also used one that is a combination of 250 mg of ibuprofen and 125 mg of acetaminophen that is available on the shelf in the pharmacy. That is pretty effective but is it advisable to take a mix of the two? And then there is Tylenol with 8mg of codeine which we can buy over the counter. Is that to be avoided? And what about naproxen? Is that in the same category as ibuprofen?
Thanks Nora…first reaction is to avoid the codeine, certainly dont want to start pain control with a narcotic…second is that Tylenol can be excellent for a headache and help avoid the stomach issue that can happen with ibuprofen. Naproxen is also an NSAID and like ibuprofen can be very effective for pain and inflammation but over the long term can cause stomach issues like gastritis, ulcers and gi bleeding. Combining the two is fine and I’ll often alternate between Tylenol and ibuprofen with my patients every other dose rather than a combination pill. Does that help?
@@citizensurgeon Thank you! Yes very helpful! I thought you might say that about the codeine which I know is an opioid. But I have quite the story of the very easy accessibility of it here. I am extremely cautious about taking anything unless I really need it. However, I have always kept a small amount of Tylenol with codeine in the house in case I wake up with a bad headache on a day when I need it gone quickly. The last time I asked for it at the pharmacy, the pharmacist asked for my health card number and told me that it is a monitored substance. That is a good thing! He entered my number in the system to ensure I had not made any recent purchases and he told me that the record would show up if I tried to buy it again too soon at any store in the Province. So after doing this, he asked me how many I wanted and I said the smallest he could give me. Ten would have been plenty. He came back with a bottle of 200! I was completely stunned. When there is concern about over use why on earth would they sell that large a quantity. I do find the combo Tylenol/ibuprophen effective. Thankfully I don’t have any chronic pain and only need some relief occasionally. Thank you so much for continuing to educate not just the students but the general public!
Thanks; I have been afraid of kidney-hostile ibuprofen, but now might try it alternating with tylenol every few hours. It seems with modern lifestyles and extended lifespan, kidneys are most folks weak points and need precautions or else be useless by your 90s. I don't know my liver status, but would guess it can handle more than the 6 tylenol/day limit due to my size (about a foot taller and double the weight of many adult neighbors).
Welcome back! Havn’t been seeing your videos in my feed lately
Thank you! Good to be back!
Fantastic information! You are a true teacher that makes a true healer.
Absolutely thank you for the kind comment
love your videos😄
Thanks so much I very much appreciate that!
Thank you. Please do ERAS video.
Will do!!
Can I take acetaminophen on if I take blood pressure medicine.i have a fever.i never take any pain medication.
Hi doctor
I really love your channel and your content ❤
I just want to ask you what is best book to read to teach me how to deal with surgerical emergencies?
This may sound crazy but the best way to learn about surgical emergencies is being around when they happen! You can read how to do an emergent thoracotomy but when you’re there seeing and helping it will stick with you forever, same for emergent airways and almost anything else. Find yourself a solid atlas like zollinger and a solid textbook like Sabiston and then experience as much as you can.
@@citizensurgeon thank you so much I really appreciate it❤️
This is an awesome video! I have a couple of questions. I have both Tylenol and ibuprofen in my cabinet and take very little of either and it would usually be for a headache. I have always just reached for one or the other and didn’t think it made much difference so it is good to have this information. I have also used one that is a combination of 250 mg of ibuprofen and 125 mg of acetaminophen that is available on the shelf in the pharmacy. That is pretty effective but is it advisable to take a mix of the two? And then there is Tylenol with 8mg of codeine which we can buy over the counter. Is that to be avoided? And what about naproxen? Is that in the same category as ibuprofen?
Thanks Nora…first reaction is to avoid the codeine, certainly dont want to start pain control with a narcotic…second is that Tylenol can be excellent for a headache and help avoid the stomach issue that can happen with ibuprofen. Naproxen is also an NSAID and like ibuprofen can be very effective for pain and inflammation but over the long term can cause stomach issues like gastritis, ulcers and gi bleeding. Combining the two is fine and I’ll often alternate between Tylenol and ibuprofen with my patients every other dose rather than a combination pill. Does that help?
@@citizensurgeon Thank you! Yes very helpful! I thought you might say that about the codeine which I know is an opioid. But I have quite the story of the very easy accessibility of it here. I am extremely cautious about taking anything unless I really need it. However, I have always kept a small amount of Tylenol with codeine in the house in case I wake up with a bad headache on a day when I need it gone quickly. The last time I asked for it at the pharmacy, the pharmacist asked for my health card number and told me that it is a monitored substance. That is a good thing! He entered my number in the system to ensure I had not made any recent purchases and he told me that the record would show up if I tried to buy it again too soon at any store in the Province. So after doing this, he asked me how many I wanted and I said the smallest he could give me. Ten would have been plenty. He came back with a bottle of 200! I was completely stunned. When there is concern about over use why on earth would they sell that large a quantity. I do find the combo Tylenol/ibuprophen effective. Thankfully I don’t have any chronic pain and only need some relief occasionally. Thank you so much for continuing to educate not just the students but the general public!
Thanks; I have been afraid of kidney-hostile ibuprofen, but now might try it alternating with tylenol every few hours. It seems with modern lifestyles and extended lifespan, kidneys are most folks weak points and need precautions or else be useless by your 90s. I don't know my liver status, but would guess it can handle more than the 6 tylenol/day limit due to my size (about a foot taller and double the weight of many adult neighbors).
Would definitely stay below the upper threshold no matter what…alternating is a great strategy when needed