i have hypokalemic periodic paralysis and wasn’t diagnosed until i was almost 50, even though i had my first episode of paralysis at 22. i wish more doctors looked for rare diseases instead of telling patients they had psych problems when the docs couldn’t figure it out... P.S. great video, really enjoyed it!
@pdxcarlyk The trouble with rare diseases is that they are so common, because there are so many of them. About 1 in 10 people in the US have a known disease that affects less than 1 in 10,000. There are about 7,000 recognized rare diseases by that same 1 in 10,000 standard. I'm guessing most doctors would not know the names of most of those, much less the symptoms. And I wouldn't expect them to. If you spent an hour learning about each one, that would take 3 1/2 years of 40 hour weeks, and by the time you got to the last one, you wouldn't remember the first. Even within a single specialty, it would not be realistic to know about most of them. And that 1 in 10 is only for the conditions that are known and understood, troublesome enough to be diagnosed, and have been diagnosed. There are probably far more with unknown, undiagnosed, or merely annoying rare diseases. Most people probably have or will have at least one. The future, I believe, is in AI diagnosis.
@pdxcarlykthere's a difference between saying idk and choosing to believe the patient is lying, exaggerating, or its caused by anxiety rather than the other way around.
@pdxcarlykrespected Doctor who is so educated to not be fooled by the dunning-kruger effect and would consider the idea that it would be something they don't know about. That would be my expectation
So glad that young man got the help he needed, starting with his roommate. One more reason why it’s not great to be alone all the time. Great diagnostics and treatment.
Well thanks for that. If this ever happens to me I'll die of thirst. Or choke on a spider that crawls into my mouth while I scream in terror. Ah the joys of loneliness.
Death with take you anytime and unexpectedly, mate. You can literally go about your day riding your bike to work on a farm road where no one ever goes, then all of a sudden you drop paralyzed or dead. You can prevent this, but how, when all your appointments are delayed and you're being seen by foreign uninterested medics who superficially say that you're being anxious about your health.
Just love how pumped you get, when describing the symptoms and diagnosis. Can definitely tell that you have a passion for medicine. If only all doctors were this passionate.
vinewoodk1 I’ve never had this particular problem but I have once had sleep paralysis where my mind was awake but I couldn’t move anything or even open my eyes and I can confirm it is horrific
I couldn’t imagine even having sleep paralysis! I only slept with my arm above my head so that the nerves were pinched and I woke up with it completely numb and I could not move it at all, and I was terrified! Had to pull it with my other hand and wait until everything returned hahahaha
Vinewood........that's what happens when u live on coffee and almost nothing much else.......he is fortunate he did not have a cardiac arrest with such a low potassium.
Only reason I recognized it as hkpp before she said what it was, I’d because of a TH-camr, Chronically Amy, who had it. She tells a story of going paralyzed after getting served a drink at McDonald’s, because she asked for diet and got regular, which caused her insulin to spike, and her hkpp to trigger. This is a very interesting case! Thanks for sharing!
Things like this prove to me more and more that medicine is the right career for me. I'm supposed to hear from the first medical school I interviewed at this week and this video made me even more excited. Keep up the good work!
I have hypokalemic periodic paralysis. My son has it too. It took forever to find out what was going on with us. It is rare but we have some good docs now. Thanks for the video.
Currently pursuing the reasoning behind my periodic paralysis. The only thing we've found so far is that my potassium was a bit low. IV fluids seem to be the only thing that help me move again, even though I drink electrolyte formulas daily just to function. It's really fascinating to hear about people going through similar. I know this video is a couple years old, but thank you for sharing stuff like this, it really helps me understand in layman's terms things that could be at play.
@@grandma460 not sure if you meant Postural Orthostatic Tachycardia Syndrome, but yes, I have that diagnosis. They found that my potassium was low in my paralysis episodes. I started incorporating sources of potassium in my weekly intake and have seen a reduction in paralysis episodes.
Good luck with your schooling and your studies Sabrina! Lord knows how much the medical field can benefit from lots of caring & compassionate nurses especially ones fresh out of nursing school or students like yourself. Thank you for wanting to help patients get well or stay well!
@@harunana1793 ...careful.....keep an open mind......Universities are being run by Pharmaciea...........teach others to optimise maintain and sustain health.
Fascinating! I wish the doctors near me were so interested in really sitting down and figuring things out instead of shrugging things off all the time😔 I love these vids!
I LOVEE these medical case reports! You have found an excellent way of displaying your medical expertise while also making the viewer feel like they are part of the investigative process too. I adore the day in the life videos but these are stellar. Lets be honest, all your videos rock! Thank you from all the medical enthusiasts on youtube.
I think she got the idea from Chubbyemu (you should watch his case study videos) I'm totally okay with that though, I'm not hating on her for it, I love these, and have already watched all of Chubbyemu's so more is good.
Nice story. And they all lived happily ever after !! I have yet to have even one experience where doctors got to the root of the problem. WITH A DRAMA WRITER LIKE YOU HAVE. IT WOULD MAKE A GREAT T. V. SERIES. OF COURSE EVERYONE WOULD KNOW IT'S. FICTION.
@@PBMS123i personally like her videos more than chubbyemu. I really appreciate how she walks through thought processes of diagnosis in more detailed steps. But ditto, I love these kinds of videos!
I wish i knew more doctors like her, so it's enthusiastic to actually get to the root cause. It's interesting how nutrients play a role in these videos. ❤
So happy you are bringing awareness to periodic paralysis syndromes!! Awareness is vital. it can be deadly, and when it’s not, it’s often labeled conversion disorder- making the situation so much worse for the patient.
But there is one thing the video does not adress properly: Why did the patient suddenly recover from the paralysis, even before he was put on medications? Did thyroid levels drop or what happened?
@@ingvaraberge7037 I surmise that while they waited for results he might not have eaten or at least not carbs. He was not active, thus the last of movement and the fall in the insulin levels helped to correct the problem temporarily?
I have Grave's Disease too, and have always thought that it's quite rare for it to be passed onto boys. I have two young boys myself so I'll definitely be making sure to keep them in check once they get a little older. Thank you Voilin MD!
@@allkindz6792 Yes you can have what ever healthy life style you want. I have had Graves disease since I was 25 and I am 65 year old now and Have been active and healthy otherwise than the first year after my Graves was found. Unfortunately my Graves disease would not moderate and I had to have my thyroid removed and use thyroid replacement therapy daily. Every three months it is a blood draw to make sure my thyroid levels are where they are suppose to be. I am a male and the disease is fairly common in my family in both genders.
@@allkindz6792 I've gone into quite intense physical activities after diagnosis and treatment. For Grave's disease, it's usually either I-131 treatment to destroy part of the thyroid or one goes with thyroid suppressant drugs, in my case, methimazole to block a conversion enzyme that converts iodine to thyroid hormone (OK, massively Goobered down there, but that's the net effect). Just had the methimazole dosage adjusted, as my TSH was rising, but T4 hormone wasn't rising. I'm watching that one, as I'm on a steroid for newly diagnosed Crohn's, which can also throw off conversion of T4 to the active T3 thyroid hormone...
I love the way you explained things by delivering your message in a story format. I was diagnosed with Graves disease a month before my 70 birthday. I was a healthy senior up to the day I was diagnosed with Graves. I was fortunate that a doctor was quick to suggest a thyroid test and started the treatment with both medications you mentioned in the video. Off the meds for now, except for my blood pressure, the numbers are very irregular.
Love the simplicity of these stories and the way they’re put over. The best communicators use stories to put over messages, which helps them to stick. Looking at this as a final year Medical Student and wondering why this method isn’t utilized in Medical Schools. It would go a long way in helping future doctors to recall materials. Also, forming differentials in my mind as we go through the videos, and it’s doing great for my confidence lol (much needed with exams approaching) Great job! 💕
There’s a reason why I found you, I started watching your videos today! I was checking my RHT and I heard you say “hyperthyroidism”, I looked up and started the video all over again! In April, I was diagnosed with hyperthyroidism, with absolutely no family history thyroid issues. I remember complaining about ALL of those symptoms, it was pretty bad. I thought I was stressing due to a new job at a women’s clinic. I’m glad that one of the doctors recommended I have my thyroid levels checked. Then, in May I was diagnosed with Graves Disease, by my now endocrinologist. It’s been a horrible roller coaster of doctors visits, medications going up/down, cancer scares/clearings, I’ve had 2 ultrasounds, 1 CAT Scan and what feels like 100 lab test. I feel so alone with this disease, I want to feel normal again and I just hope that it goes away.💔
I have Graves Disease, too. My hyperthyroidism led me to have a thyroid storm. So hearing about other thyroid related issues is quite interesting. I never knew about my Graves Disease, until I was literally knocking on death's door. I really love that you are informing us of a rare case. It's crazy that something so small, like your thyroid and it's hormones have such a huge impact.
I am very happy for Alex ! I also want to mention how great you are at telling the story and explaining very complex medical case in plain words for us to understand. i really understood everything you explained and I am not a medical professional. Thank you and keep informing and educating us.
i really feel like you’re going to make a wonderful doctor. the way you break things down, and genuinely are committed to the patient and getting to the bottom of their problem. it took me 18 years of constant doctors visits mistreatment and wrong diagnoses to finally correctly diagnose me with my condition. i mean this whole heartedly, we desperately need more doctors and people like you. 💗
Fascinating case! Thank you for sharing it, and telling the tale in such a gripping manner! I tend to get electrolyte imbalances, usually hypokalemia and occasionally hyponatremia. The first time it happened, I had no idea what was going on. I had been having the most terrible muscle cramps for weeks. One day while I was at work, I could feel my heart begin to beat irregularly. It was painless, but naturally it freaked me out. I was unsure what to do - clearly something was wrong, but I had no way to assess the urgency of the situation. I didn’t want to panic and overreact over what might be trivial, but I also didn’t want to ignore what might be life-threatening, either. I worked at a medical insurance company as a computer programmer, and I recalled that hey, we have a bunch of doctors up on the next floor (they reviewed medical necessity to pre-approve procedures). They were all older and retired from practice, but still wanted to work part-time, so this was an ideal job for them. Among them was a fellow who drove a Rolls Royce and wore interesting hats, and most notably looked impossibly old. In my head, I always called him “Dr. Methuselah.” I made for Dr. Methuselah’s office, found him therein, and explained the situation, asking if I should seek medical attention immediately or just call and make an appointment. Instead of receiving the expected recommendation, instantly I was surrounded by a sea of elderly men wielding stethoscopes and sphygmomanometers. Yes, they all still carried their gear with them, ready to spring into heroic medical action at a moment’s notice. I don’t know how Dr. Methuselah’s nearby colleagues knew that doctoring was afoot, but they all somehow did and simply materialized out of thin air. My blood pressure was on the low side (unusual because I had been diagnosed with mild hypertension) and my heartbeat was indeed irregular. After conferring briefly, they determined that an immediate trip to the ER was in order. 911 was called, and I was promptly whisked away in an ambulance, feeling a little silly because the hospital was just two blocks away and I could have easily just walked over there. The paramedics didn’t think I was having a heart attack, but gave me prophylactic sublingual nitroglycerin anyway, just in case. At the ER, blood tests revealed hypokalemia, and I confirmed their inquiries about the other symptoms I was experiencing, mainly fatigue and those godawful muscle cramps all over my body. They wanted to increase my blood potassium level as quickly as possible, so they added a tiny bag of potassium solution to my IV and set it to a rather brisk drip. Within a few minutes, though, I had to call the nurse and beg her to reduce the rate because it felt like the needle and the area of the vein where it was inserted was on fire. My God, that stuff burns! With the doctor’s concurrence, the dear lady kindly diluted it to a mixture that was no longer tantamount to torture. After that, voilà! I felt orders of magnitude better, saved by modern medicine from what actually was a potentially life-threatening situation. After all this, what was the cause of the hypokalemia, you may be wondering. It was - and I’m still irritated by this to this very day - an idiot doctor. The nitwit prescribed me hydrochlorothiazide, but failed to give me any supplemental potassium, and didn’t even ever bother to check it. I fired her immediately. Medical incompetence in such an obvious and predictable thing is inexcusable. Fortunately, there are so many capable and compassionate doctors available so that we do not have to suffer fools. I was also a bit annoyed with myself for having put up with Dr. Dimwit so long, despite having seen previous red flags (those are another story). In the end, though, all worked out, because I found the most incredible family doctor who ever lived. And that, too, is another story. A good one. 😊
I'm in my first semester of nursing school, and it can get so stressful sometimes!! But watching your videos reminds me why I want to go into this field and all the awesome things you can experience. Thank you so much for these!!
Like how you use the scientific method, common sense, and the observed facts from the tests to find out the patient's problems. Also, good to see you are listening and observing instead of guessing what the problem is. Good job!
I believe that videos like these, not really classes, but these videos from a real doctor can help educate everyone around the world. Thanks and God bless Doc!
Wow, glad Alex got the right medical doctors to figure out his issue. Stay healthy Alex. As far as this young doctor, may God continue to pour out his grace and wisdom in you. You have a real passion and it's seen in your eyes and the way you look at things. Just heard you for the first time a few days ago. Again, you are a real blessing to the medical community.
This was really enlightening - not just an explanation of the particular medical phenomena, but also a deeper look into medical problem-solving strategy! Love this, keep up the great content.
Hello , I am a medicine student in Turkey.I watched this video tonight and I really love it !!! Because it is really good to remember informations and diagnosing and also it is a big opportunity to improve my English.I wanted thank you for these all videos.You are so lovely !!!
Hey Doc, I’m having a lot of fun watching your video case studies! Even with my very limited medical knowledge, I am sometimes able to guess the correct advancement of the diagnosis.
i woke up paralyzed when i was 10, and they misdiagnosed me with guilian barre syndrome and then a couple days later i got rediagnosed with transverse myelitis and now i’m a paraplegic.
Annie Nickerson I’m so sorry to hear. That must have been so terrifying. One day you were fine and the next you were paralyzed? I have 3 kids and I can’t imagine, that is so horrible
Natalie Vasquez yes, the day before i thought my leg was asleep, then i went to bed and woke up paralyzed. but it’s alright. everything happens for a reason
Robyn Boudreaux 80% can walk after 6 months if they’re diagnosed with Guilain Barre syndrome. with Transverse myelitis, it’s a 50/50 chance you could walk again it just depends on the level of paralysis and surgeries you get afterwards. your comment did not come off rude at all!!😊
Gosh, this doctor should have a TV show. The way she undertakes the cases of most of her patients is very articulate and intrinsic. I really salute all the doctors who are battling on the frontline. Somehow, this had really got me into some minor realizations. Why not the government give aid/stipend/subsidiary to med students in achieving their dreams toward becoming a healthcare experts and not creating a huge monetary debts on their pockets. Same to soldiers, doctors and other healthcare experts are working their way up to save lives and potentially alleviate the living of the people. So far, Violin M.D taught me how to be more open to decisions and be more decisive on alot of things. Oral communication also really takes part of becoming a doctor. I really find myself readily available to cast and voice my words out and that hopefully i could use these skills when I become one, a doctor, someday.💙
Let be more realistic: Recruit Engineers to become Drs: will take one year; they will have the Skills to analyze and make decisions. Period CHEAPPAA way Dude BJ
Hey, new viewer from the UK here! Your insights into the medical system in Canada is so interesting and I’m so happy to see someone so kind and knowledgeable in the field of medicine. As an aspiring banking and finance graduate, having kindness and compassion is something I want to have and you’re a great example!
I really relate with this story. My uncle was finally diagnosed last year with Grave's disease after months of drastically losing weight and having no energy whatsoever. He would eat a whole container of ice cream each night to try to gain some weight but nothing helped him. Luckily he is doing better now and he has gained weight all the while not having to eat a gallon of ice cream every night.
I had hyperthyroidism and greaves disease and never knew about this! I suppose like you said it’s super rare! I did the radioiodine treatment and it has fixed most if not all of my symptoms (sweating, tremors, anxiety etc). It’s amazing that such a little gland in your body controls so much ! Love your videos! 🇦🇺
I don't really know about what she's talking about. But when I listen to the whole thing, it all comes together. Makes sense at the end, this girl is really smart. She's the kind of doctor that will think outside the box and save your life.
You are truly awesome for taking time out of your insanely busy schedule to record for us, edit, and upload these AMAZING videos!!!! Kudos to you girl you're awesome!!! Btw nope, never heard of this periodic paralysis for hyperthyroidism
Wow, I have never heard of this! Imagine if he didn’t have a roommate living with him..how scary! I would love to see more videos like this, it was super interesting 😊
Yay another video! I was just looking for a distraction and this is the perfect one. My mom just passed away 3 days ago and this is the perfect thing to help.💕
I was diagnosed with Graves Disease when I was 16. Holy crap, I am SO thankful I never had to experience paralysis! I am 25 now and the hardest part for me is the temperature regulation. I live in Southern California, so the summers come close to killing me lol. The human body is so interesting and complex, its amazing! I am currently taking anatomy with hopes of entering the medical field, and its a lot to take in. Last Monday, we skinned cats. This upcoming Monday, we're going to be dissecting the cat's muscles. There's so much to learn!
I was diagnosed with Graves and hyperthyroidism in dec 2019. It is some scary stuff!!! One horrible thyroid storm and ER trip later I am finally on the mend. Thanks for brining attention to this disease!!! Interesting story!
This was really great! I loved seeing how a doctor works through all the possibilities in a medical mystery. I would like to see more like this. Thank you!
You are so awesome, and I was right there in the moments when you were describing his symptoms. For my sister has thyroid eye disease, and I have potassium imbalances due to hearing loss. Had a little bit of a feeling that his condition was somewhere in-between, and I am so very Grateful for you; for you are a great teacher and I always learn so much from your videos. ❤️ Prayers of Love, Peace, and Blessings of Abundance to you.🙏 🌍 👼
I got nausea and chills just watching this video. I may not be an Asian male, but I was in thyrotoxicosis for quite a while and the idea that this was even possible horrifies me. This series is amazing please keep going forever
I was watching this as a third year medical student and was fascinated with this case! I was thinking more along the lines of a pontine stroke or syringomyelia until you started listing some of the physical exam findings and labs. Especially the proximal nature of the patient’s neurologic deficits. I’ve never heard of this before! For endocrine issues I briefly considered thyrotoxicosis, but hadn’t considered it as high on my DDx after the BP and temp were normal! Thank you for sharing this! I really enjoy this style of video!
You are such a breath of fresh air! You are not only very knowledgable; you have such an engaging attitude and bring us into your conversation! I never had heard of this condition. But you made it all make so much sense! I have only been subscribed to you for about a week or two. I just happened to be scrolling when I saw your channel. After watching you, I subscribed immediately! I am so glad I found your channel! God bless you!
Learning about how your body works is ALWAYS good, no matter what you decide to study. I went to nursing school & while I didn't practice very long, I have been able to help many people understand themselves. My grown daughter had college level knowledge of anatomy & physiology before high school. My grandson & I have done anatomy studies on road kill animals. It's like having a care manual for your most important asset, your body. Happy learning!
So interesting! My doctor's checked me for HPP when I came in to the ER with a Potassium level of 2 and full body spasms. Turns out it was Renal Tubular Acidosis and I got diagnosed with Sjögren's after it hit my kidneys (I had no idea how important Potassium was before!) So proud to see a really caring doctor like you going into Rheumatology, as these autoimmune conditions are so scary and confusing for patients to navigate. I would love to see you a do a video on Sjögren's one day, as no one knows what it is, and I hate that all you can find online is that it means dry mouth, dry eyes and feeling tired (not to downplay these crappy symptoms!) but it can effect the body in so many other ways. I developed numb arms & legs on and off, muscle problems due to the Acidosis, had a TIA, and had horrible stomach issues and acid reflux.
Wonderful case presentation! I suspected that there would be some sort of deficiency present. Excellent job pinning it down to graves disease in the end and straightening Alex out. I really find medicine to be such a beautiful way to address problems. Thank you for sharing this case and thank you for your passionate explanations! I look forward to more content and cases!
This lady has enough enthusiasm for all of us and I am 1000% here for it! Awesome episode, I absolutely adore these kinds of videos!! Cubbyemu aka Dr Bernard will always have a special place in my heart lol
Two questions! 1. Would we ever worry about replacing a patient’s potassium too quickly (EKG wise)? 2. Should people with sleep paralysis look into getting bloodwork in case this is their issue?
Potassium is very irritating to the veins and will also stop your heart if given too fast. Interesting factoid the way I learned it in school was potassium IV push is what's used in lethal injection so never push potassium, ever...
Yes good question. Caution is advised as the total amount of potassium in the body is not decreased, and it is possible for potassium levels to overshoot ("rebound hyperkalemia"); slow infusions of potassium chloride are therefore recommended while other treatment is commenced.
Love your enthusiasm Siobhan! You make medicine interesting to the layperson. Hamilton is lucky to have you on duty. Keep up the great work. And odd side note, you have awesome hair :)
Fascinating! Due to being a medical transcriptionist for many years, classwork and working in hospital settings I'm often able to guess diagnoses, but I'd never heard of this one.
This one hits close to home. I too had hypokalemia and lost feeling from my hands to my elbows until I went to the ER and had potassium and magnesium given through IV and really gross tasting liquid mixed with Apple juice. My underlying cause was due to an incredibly fast increase in the way my body handled anxiety. I was diagnosed with a nervous disorder that causes me to get physically ill. I had just started college, got my first job and started dating someone new within the course of a couple weeks, and my brain got overloaded and I started having anxiety and panic attacks. I was bedridden for multiple months, sleeping all day and throwing up everything I ate for some reason. Eventually I had an anxiety attack that lasted 3 hours because my hands and elbows were feeling weak. Well, I ended up losing feeling altogether, having a panic attack where I hyperventilate and made my whole body numb and purple, got rushed to the ER for the first time ever and by ambulance, which scared me more. Turns out my potassium and magnesium were low, but my potassium was 2.3. 15 hours, lots of IVs, gross juices with potassium liquid and pills later, I was feeling better, but the damage from sleeping all day and being horizontal for months, loaing 60 pounds from not being able to eat and throwing up whatever I forced down my throat, made it really hard to get used to sitting up and standing and walking. Took another 2 months to fully recover. That was in 2013 when I was 18.
Does Shioban I love you so so much you have instilled again my love for medicine. I am an MD in US suffered from burn out depression and anxiety for past two years and I quit my job in medicine due to increasing work toxicity and mental health damage secondary to my work. I love you and your content it really helps me explain how to be a good teacher and doctor of medicine. I love you!!! Take care and please give us more of your knowledge!!!!!
I have hypothyroidism. Cold all the time, brittle nails, loosing my hair and don't want to move. Skin is dry as the Mohave desert. Not enough hormones.
Your videos really rock. You put in so much effort in bringing the case to life. Thank you. Do you sometimes also find real cases from your work, or are you not allowed to ask patients whether they would mind getting shown on TH-cam?
I like the way you break things down. I'm glad for medicine and dr's and that the young man was quickly moving again. I also like the shade of your lipstick. God bless .
I love watching your videos! It definitely gives an inside perspective on what medical professionals go through! It’s like every patient is a jigsaw puzzle, and you have to do all theses tests to figure out how to put them back together lol
Holy cow. Should I see a doctor?! I just showed this to my fiancé who for 5 years thought I was prancing him about waking up paralyzed when trekking together in Peru. I have hyperthyroidism and no one has ever told me about this syndrome. I didn’t even tell my doctor because everyone said I was crazy so I believed it too.
I LOVE THE WAY YOU EXPLAIN AS IF I UNDERSTAND EVERYTHING OF HOW ENTHUSING YOU ARE AND HOW CLEARLY YOU EXPLAIN THINGS IN A WAY CONFUSION DON'T COME IN, A THUMBS UP
Never heard of this at all. I have never seen a doctor who harbor this investigative mind and curiosity. Kudos to you !
She is going places!!!!
i hope if i ever need a doctor for real then i get a doc like you, you're exactly what a doc should be
i have hypokalemic periodic paralysis and wasn’t diagnosed until i was almost 50, even though i had my first episode of paralysis at 22. i wish more doctors looked for rare diseases instead of telling patients they had psych problems when the docs couldn’t figure it out... P.S. great video, really enjoyed it!
@pdxcarlyk The trouble with rare diseases is that they are so common, because there are so many of them. About 1 in 10 people in the US have a known disease that affects less than 1 in 10,000. There are about 7,000 recognized rare diseases by that same 1 in 10,000 standard. I'm guessing most doctors would not know the names of most of those, much less the symptoms. And I wouldn't expect them to. If you spent an hour learning about each one, that would take 3 1/2 years of 40 hour weeks, and by the time you got to the last one, you wouldn't remember the first. Even within a single specialty, it would not be realistic to know about most of them.
And that 1 in 10 is only for the conditions that are known and understood, troublesome enough to be diagnosed, and have been diagnosed. There are probably far more with unknown, undiagnosed, or merely annoying rare diseases. Most people probably have or will have at least one.
The future, I believe, is in AI diagnosis.
@pdxcarlykthere's a difference between saying idk and choosing to believe the patient is lying, exaggerating, or its caused by anxiety rather than the other way around.
@pdxcarlykrespected Doctor who is so educated to not be fooled by the dunning-kruger effect and would consider the idea that it would be something they don't know about. That would be my expectation
@pdxcarlykexcellent point.
You are spot on.
fr its always "your young" BS
So glad that young man got the help he needed, starting with his roommate. One more reason why it’s not great to be alone all the time. Great diagnostics and treatment.
Well thanks for that. If this ever happens to me I'll die of thirst. Or choke on a spider that crawls into my mouth while I scream in terror. Ah the joys of loneliness.
Can someone summarize the video? For some reason it’s not playing. What happened
Death with take you anytime and unexpectedly, mate. You can literally go about your day riding your bike to work on a farm road where no one ever goes, then all of a sudden you drop paralyzed or dead.
You can prevent this, but how, when all your appointments are delayed and you're being seen by foreign uninterested medics who superficially say that you're being anxious about your health.
He would have been fine either way. He just got back to normal faster at the hospital.
@@NeyooxetuseiDreamerThink I'll trust the science on this one 👍😂
Pfft. Medical schools are over rated. Im going to graduate from the University of Violin MD 😂
OnlyLeprechaun Lmao I agree what Ya!
OnlyLeprechaun i would love to have her as a teacher she makes it so intresting and i love the way she explains everything😊
LMAOOO YES!!
She is detailed and gets to the root cause of the problems. Bravo.
@@claxiiii 1pih
Just love how pumped you get, when describing the symptoms and diagnosis. Can definitely tell that you have a passion for medicine. If only all doctors were this passionate.
Talk about a terrifying way to wake up!
vinewoodk1 I’ve never had this particular problem but I have once had sleep paralysis where my mind was awake but I couldn’t move anything or even open my eyes and I can confirm it is horrific
I couldn’t imagine even having sleep paralysis! I only slept with my arm above my head so that the nerves were pinched and I woke up with it completely numb and I could not move it at all, and I was terrified! Had to pull it with my other hand and wait until everything returned hahahaha
vinewoodk1 I would’ve shit my pants
Vinewood........that's what happens when u live on coffee and almost nothing much else.......he is fortunate he did not have a cardiac arrest with such a low potassium.
It sucked!
Only reason I recognized it as hkpp before she said what it was, I’d because of a TH-camr, Chronically Amy, who had it. She tells a story of going paralyzed after getting served a drink at McDonald’s, because she asked for diet and got regular, which caused her insulin to spike, and her hkpp to trigger. This is a very interesting case! Thanks for sharing!
Things like this prove to me more and more that medicine is the right career for me. I'm supposed to hear from the first medical school I interviewed at this week and this video made me even more excited. Keep up the good work!
Good luck Michael and prayers that all will go as planned!!
ahhh good luck!!!!!!
Good luck
Good luck, I hope all works out for you! Keep your head and persevere!!
medicine interests me a lot but i'm no where near "smart" enough for it.
I'm glad that this guy received help very quickly and was brought back to health. This is why it's good to have somebody living with you.
I have hypokalemic periodic paralysis. My son has it too. It took forever to find out what was going on with us. It is rare but we have some good docs now. Thanks for the video.
Currently pursuing the reasoning behind my periodic paralysis. The only thing we've found so far is that my potassium was a bit low. IV fluids seem to be the only thing that help me move again, even though I drink electrolyte formulas daily just to function. It's really fascinating to hear about people going through similar. I know this video is a couple years old, but thank you for sharing stuff like this, it really helps me understand in layman's terms things that could be at play.
Potts?
@@grandma460 not sure if you meant Postural Orthostatic Tachycardia Syndrome, but yes, I have that diagnosis. They found that my potassium was low in my paralysis episodes. I started incorporating sources of potassium in my weekly intake and have seen a reduction in paralysis episodes.
This happened to me too! But we knew I was having potassium problems for awhile. Eek!
@repentandbelieveinJesusChrist9no
@repentandbelieveinJesusChrist9no
I'm a student nurse and find these videos so interesting. I love how enthusiastic and informative you are!
Good luck with your schooling and your studies Sabrina! Lord knows how much the medical field can benefit from lots of caring & compassionate nurses especially ones fresh out of nursing school or students like yourself. Thank you for wanting to help patients get well or stay well!
all the best in your studies.
I’m a MA student and hoping to start nursing soon
First year of nurse university here! And so excited about everything I'm learning
@@harunana1793 ...careful.....keep an open mind......Universities are being run by Pharmaciea...........teach others to optimise maintain and sustain health.
Fascinating! I wish the doctors near me were so interested in really sitting down and figuring things out instead of shrugging things off all the time😔 I love these vids!
I LOVEE these medical case reports! You have found an excellent way of displaying your medical expertise while also making the viewer feel like they are part of the investigative process too. I adore the day in the life videos but these are stellar. Lets be honest, all your videos rock! Thank you from all the medical enthusiasts on youtube.
ditto
I think she got the idea from Chubbyemu (you should watch his case study videos)
I'm totally okay with that though, I'm not hating on her for it, I love these, and have already watched all of Chubbyemu's so more is good.
Right. I love ut.
Nice story. And they all lived happily ever after !!
I have yet to have even one experience where doctors got to the root of the problem.
WITH A DRAMA WRITER LIKE YOU HAVE. IT WOULD MAKE A GREAT T. V. SERIES.
OF COURSE EVERYONE WOULD KNOW IT'S. FICTION.
@@PBMS123i personally like her videos more than chubbyemu. I really appreciate how she walks through thought processes of diagnosis in more detailed steps. But ditto, I love these kinds of videos!
I wish i knew more doctors like her, so it's enthusiastic to actually get to the root cause. It's interesting how nutrients play a role in these videos. ❤
So happy you are bringing awareness to periodic paralysis syndromes!! Awareness is vital. it can be deadly, and when it’s not, it’s often labeled conversion disorder- making the situation so much worse for the patient.
But there is one thing the video does not adress properly: Why did the patient suddenly recover from the paralysis, even before he was put on medications? Did thyroid levels drop or what happened?
@@ingvaraberge7037 I surmise that while they waited for results he might not have eaten or at least not carbs. He was not active, thus the last of movement and the fall in the insulin levels helped to correct the problem temporarily?
I have Grave's Disease too, and have always thought that it's quite rare for it to be passed onto boys. I have two young boys myself so I'll definitely be making sure to keep them in check once they get a little older. Thank you Voilin MD!
I'm curious, can you go back into intense workout after being diagnosed?
@@allkindz6792 Yes you can have what ever healthy life style you want. I have had Graves disease since I was 25 and I am 65 year old now and Have been active and healthy otherwise than the first year after my Graves was found. Unfortunately my Graves disease would not moderate and I had to have my thyroid removed and use thyroid replacement therapy daily. Every three months it is a blood draw to make sure my thyroid levels are where they are suppose to be. I am a male and the disease is fairly common in my family in both genders.
@@allkindz6792 I've gone into quite intense physical activities after diagnosis and treatment.
For Grave's disease, it's usually either I-131 treatment to destroy part of the thyroid or one goes with thyroid suppressant drugs, in my case, methimazole to block a conversion enzyme that converts iodine to thyroid hormone (OK, massively Goobered down there, but that's the net effect). Just had the methimazole dosage adjusted, as my TSH was rising, but T4 hormone wasn't rising. I'm watching that one, as I'm on a steroid for newly diagnosed Crohn's, which can also throw off conversion of T4 to the active T3 thyroid hormone...
Off topic but how come everyone always talks about how hot Dr. Mike is but never about how pretty she is?
I would rather talk about how smart and passionate both are. Although I agree they both are attractive.
Chaotic Yank I very much agree!!
Neither is really appropriate.
Focus on intelligence instead.
I feel as though it’s a good thing. She’s a medical professional, not an object.
Chaotic Yank well said
I love the way you explained things by delivering your message in a story format.
I was diagnosed with Graves disease a month before my 70 birthday. I was a healthy senior up to the day I was diagnosed with Graves. I was fortunate that a doctor was quick to suggest a thyroid test and started the treatment with both medications you mentioned in the video. Off the meds for now, except for my blood pressure, the numbers are very irregular.
I’d love to be this confident in my own knowledge
Love the simplicity of these stories and the way they’re put over. The best communicators use stories to put over messages, which helps them to stick.
Looking at this as a final year Medical Student and wondering why this method isn’t utilized in Medical Schools. It would go a long way in helping future doctors to recall materials.
Also, forming differentials in my mind as we go through the videos, and it’s doing great for my confidence lol (much needed with exams approaching)
Great job! 💕
Absolutely love how you break everything down and show your love for medicine!
There’s a reason why I found you, I started watching your videos today! I was checking my RHT and I heard you say “hyperthyroidism”, I looked up and started the video all over again!
In April, I was diagnosed with hyperthyroidism, with absolutely no family history thyroid issues. I remember complaining about ALL of those symptoms, it was pretty bad. I thought I was stressing due to a new job at a women’s clinic. I’m glad that one of the doctors recommended I have my thyroid levels checked.
Then, in May I was diagnosed with Graves Disease, by my now endocrinologist. It’s been a horrible roller coaster of doctors visits, medications going up/down, cancer scares/clearings, I’ve had 2 ultrasounds, 1 CAT Scan and what feels like 100 lab test.
I feel so alone with this disease, I want to feel normal again and I just hope that it goes away.💔
I have Graves Disease, too. My hyperthyroidism led me to have a thyroid storm. So hearing about other thyroid related issues is quite interesting. I never knew about my Graves Disease, until I was literally knocking on death's door. I really love that you are informing us of a rare case. It's crazy that something so small, like your thyroid and it's hormones have such a huge impact.
I am very happy for Alex ! I also want to mention how great you are at telling the story and explaining very complex medical case in plain words for us to understand. i really understood everything you explained and I am not a medical professional. Thank you and keep informing and educating us.
i really feel like you’re going to make a wonderful doctor. the way you break things down, and genuinely are committed to the patient and getting to the bottom of their problem. it took me 18 years of constant doctors visits mistreatment and wrong diagnoses to finally correctly diagnose me with my condition. i mean this whole heartedly, we desperately need more doctors and people like you. 💗
She IS a wonderful doctor
Fascinating case! Thank you for sharing it, and telling the tale in such a gripping manner! I tend to get electrolyte imbalances, usually hypokalemia and occasionally hyponatremia. The first time it happened, I had no idea what was going on.
I had been having the most terrible muscle cramps for weeks. One day while I was at work, I could feel my heart begin to beat irregularly. It was painless, but naturally it freaked me out. I was unsure what to do - clearly something was wrong, but I had no way to assess the urgency of the situation. I didn’t want to panic and overreact over what might be trivial, but I also didn’t want to ignore what might be life-threatening, either.
I worked at a medical insurance company as a computer programmer, and I recalled that hey, we have a bunch of doctors up on the next floor (they reviewed medical necessity to pre-approve procedures). They were all older and retired from practice, but still wanted to work part-time, so this was an ideal job for them. Among them was a fellow who drove a Rolls Royce and wore interesting hats, and most notably looked impossibly old. In my head, I always called him “Dr. Methuselah.”
I made for Dr. Methuselah’s office, found him therein, and explained the situation, asking if I should seek medical attention immediately or just call and make an appointment. Instead of receiving the expected recommendation, instantly I was surrounded by a sea of elderly men wielding stethoscopes and sphygmomanometers. Yes, they all still carried their gear with them, ready to spring into heroic medical action at a moment’s notice. I don’t know how Dr. Methuselah’s nearby colleagues knew that doctoring was afoot, but they all somehow did and simply materialized out of thin air.
My blood pressure was on the low side (unusual because I had been diagnosed with mild hypertension) and my heartbeat was indeed irregular. After conferring briefly, they determined that an immediate trip to the ER was in order. 911 was called, and I was promptly whisked away in an ambulance, feeling a little silly because the hospital was just two blocks away and I could have easily just walked over there. The paramedics didn’t think I was having a heart attack, but gave me prophylactic sublingual nitroglycerin anyway, just in case.
At the ER, blood tests revealed hypokalemia, and I confirmed their inquiries about the other symptoms I was experiencing, mainly fatigue and those godawful muscle cramps all over my body. They wanted to increase my blood potassium level as quickly as possible, so they added a tiny bag of potassium solution to my IV and set it to a rather brisk drip. Within a few minutes, though, I had to call the nurse and beg her to reduce the rate because it felt like the needle and the area of the vein where it was inserted was on fire. My God, that stuff burns! With the doctor’s concurrence, the dear lady kindly diluted it to a mixture that was no longer tantamount to torture.
After that, voilà! I felt orders of magnitude better, saved by modern medicine from what actually was a potentially life-threatening situation.
After all this, what was the cause of the hypokalemia, you may be wondering. It was - and I’m still irritated by this to this very day - an idiot doctor. The nitwit prescribed me hydrochlorothiazide, but failed to give me any supplemental potassium, and didn’t even ever bother to check it. I fired her immediately. Medical incompetence in such an obvious and predictable thing is inexcusable. Fortunately, there are so many capable and compassionate doctors available so that we do not have to suffer fools. I was also a bit annoyed with myself for having put up with Dr. Dimwit so long, despite having seen previous red flags (those are another story). In the end, though, all worked out, because I found the most incredible family doctor who ever lived. And that, too, is another story. A good one. 😊
I'm in my first semester of nursing school, and it can get so stressful sometimes!! But watching your videos reminds me why I want to go into this field and all the awesome things you can experience. Thank you so much for these!!
How’d you do in nursing school?
Like how you use the scientific method, common sense, and the observed facts from the tests to find out the patient's problems. Also, good to see you are listening and observing instead of guessing what the problem is. Good job!
Third year resident, huh? You have two years to attend scribe classes. Your handwriting is dangerously legible for a physician.
I believe that videos like these, not really classes, but these videos from a real doctor can help educate everyone around the world. Thanks and God bless Doc!
When u have just learned about cells in school and a bunch of this stuff is fresh in your mind
Wow, glad Alex got the right medical doctors to figure out his issue. Stay healthy Alex. As far as this young doctor, may God continue to pour out his grace and wisdom in you. You have a real passion and it's seen in your eyes and the way you look at things. Just heard you for the first time a few days ago. Again, you are a real blessing to the medical community.
This was really enlightening - not just an explanation of the particular medical phenomena, but also a deeper look into medical problem-solving strategy! Love this, keep up the great content.
Hello , I am a medicine student in Turkey.I watched this video tonight and I really love it !!! Because it is really good to remember informations and diagnosing and also it is a big opportunity to improve my English.I wanted thank you for these all videos.You are so lovely !!!
That's what I LOVE about medicine, there's always something new to learn! Your passion for medicine is what motivates me to do well in Med school ♥️
Hey Doc, I’m having a lot of fun watching your video case studies! Even with my very limited medical knowledge, I am sometimes able to guess the correct advancement of the diagnosis.
i woke up paralyzed when i was 10, and they misdiagnosed me with guilian barre syndrome and then a couple days later i got rediagnosed with transverse myelitis and now i’m a paraplegic.
Annie Nickerson I’m so sorry to hear. That must have been so terrifying. One day you were fine and the next you were paralyzed? I have 3 kids and I can’t imagine, that is so horrible
If they would have diagnosed you correctly the 1st time, would you be able to walk? (I hope this isn't coming off rude. Just curious)
Natalie Vasquez yes, the day before i thought my leg was asleep, then i went to bed and woke up paralyzed.
but it’s alright. everything happens for a reason
Robyn Boudreaux 80% can walk after 6 months if they’re diagnosed with Guilain Barre syndrome.
with Transverse myelitis, it’s a 50/50 chance you could walk again it just depends on the level of paralysis and surgeries you get afterwards. your comment did not come off rude at all!!😊
I was diagnosed with TM when I was 10 months old!
Gosh, this doctor should have a TV show. The way she undertakes the cases of most of her patients is very articulate and intrinsic. I really salute all the doctors who are battling on the frontline. Somehow, this had really got me into some minor realizations. Why not the government give aid/stipend/subsidiary to med students in achieving their dreams toward becoming a healthcare experts and not creating a huge monetary debts on their pockets. Same to soldiers, doctors and other healthcare experts are working their way up to save lives and potentially alleviate the living of the people. So far, Violin M.D taught me how to be more open to decisions and be more decisive on alot of things. Oral communication also really takes part of becoming a doctor. I really find myself readily available to cast and voice my words out and that hopefully i could use these skills when I become one, a doctor, someday.💙
Let be more realistic: Recruit Engineers to become Drs: will take one year; they will have the Skills to analyze and make decisions. Period CHEAPPAA way Dude BJ
We need fewer soldiers and more doctors
@@dshe8637lol. Those soldiers are the reason you're still free. Every country needs a defense system
@@parisinthe30sx Are we really free? Women have the same reproductive rights in red states as they have in Afghanistan.
@@parisinthe30sx soldiers are the reason we have wars
Hey, new viewer from the UK here! Your insights into the medical system in Canada is so interesting and I’m so happy to see someone so kind and knowledgeable in the field of medicine. As an aspiring banking and finance graduate, having kindness and compassion is something I want to have and you’re a great example!
Doctors are really such heroes. You are so smart. Thank you for using your love and smarts in medicine to help others.
I really relate with this story. My uncle was finally diagnosed last year with Grave's disease after months of drastically losing weight and having no energy whatsoever. He would eat a whole container of ice cream each night to try to gain some weight but nothing helped him. Luckily he is doing better now and he has gained weight all the while not having to eat a gallon of ice cream every night.
I am an emergency medical specialist and I think that you deserve appreciation...Good job!.
What cured the man was when the nurse said Donald Trump wanted to spoon with him without his diaper on, he jumped up and was cured
I had hyperthyroidism and greaves disease and never knew about this! I suppose like you said it’s super rare! I did the radioiodine treatment and it has fixed most if not all of my symptoms (sweating, tremors, anxiety etc). It’s amazing that such a little gland in your body controls so much !
Love your videos! 🇦🇺
Does that treatment really help? I too have hyperthyroidism and I've heard about that treatment but I'm just too afraid of having hypothyroidism...
I don't really know about what she's talking about. But when I listen to the whole thing, it all comes together. Makes sense at the end, this girl is really smart. She's the kind of doctor that will think outside the box and save your life.
Imagine Siobhan, Chubby Emu, and Dr.Mike
It would be absolutely **chefs kiss**
Ikr I just found chubbyemu a couple days ago
@@l4mb_ch0p a man just found chubbyemu a couple days ago, this is how his organ shut down.
@@bmarkx2595 HT is a TH-cam viewer, presenting to the emergency room unconscious.
hypo means low, kal means sodium, emia means presence in blood, low potassium presence in blood.
Thank you. I got my "House fix". I have been having House MD withdrawal since watching the series twice. Please, more like this!
You are truly awesome for taking time out of your insanely busy schedule to record for us, edit, and upload these AMAZING videos!!!! Kudos to you girl you're awesome!!!
Btw nope, never heard of this periodic paralysis for hyperthyroidism
Ο υπερθυρεοειδισμός φέρνει ζαλάδες, μέχρι λιποθυμία ..
Iv never been interested in the medical sides of things ect but OMG Iv been non stop watching your videos, I’m so genuinely interested it’s awesome
I have never heard of this but I love the way you explained it all. Love your enthusiasm too
Never heard of it , I wish all the doctors would be as passionate! Caring for people is a big responsibility
Wow, I have never heard of this! Imagine if he didn’t have a roommate living with him..how scary! I would love to see more videos like this, it was super interesting 😊
I love residents! Always so thorough and excited to learn! I'm an old MD 43 i love residents and still use a residency clinic for my PC Doc!
Yay another video! I was just looking for a distraction and this is the perfect one. My mom just passed away 3 days ago and this is the perfect thing to help.💕
Bless your heart
Sorry for your loss 💗
Wonderful story of an eclectic problem with happy results 😬
I was diagnosed with Graves Disease when I was 16. Holy crap, I am SO thankful I never had to experience paralysis! I am 25 now and the hardest part for me is the temperature regulation. I live in Southern California, so the summers come close to killing me lol. The human body is so interesting and complex, its amazing! I am currently taking anatomy with hopes of entering the medical field, and its a lot to take in. Last Monday, we skinned cats. This upcoming Monday, we're going to be dissecting the cat's muscles. There's so much to learn!
I was diagnosed with Graves and hyperthyroidism in dec 2019. It is some scary stuff!!! One horrible thyroid storm and ER trip later I am finally on the mend. Thanks for brining attention to this disease!!! Interesting story!
This was really great! I loved seeing how a doctor works through all the possibilities in a medical mystery. I would like to see more like this.
Thank you!
You are so awesome, and I was right there in the moments when you were describing his symptoms. For my sister has thyroid eye disease, and I have potassium imbalances due to hearing loss. Had a little bit of a feeling that his condition was somewhere in-between, and I am so very Grateful for you; for you are a great teacher and I always learn so much from your videos. ❤️ Prayers of Love, Peace, and Blessings of Abundance to you.🙏 🌍 👼
And this is why we should all take advantage of bananas being in season.
All of the bananas in the world would not have helped this guy. He needed treatment for the hyperthyroidism.
@@margueriterappoport4410 yeah, I commented prematurely it seems. Lol
i hate bananas they are gross *yuck*
@@MysticalAmberMC Gurl would you like my banana UwU
I just don’t like bananas because they make me fart haha first world problems
I got nausea and chills just watching this video. I may not be an Asian male, but I was in thyrotoxicosis for quite a while and the idea that this was even possible horrifies me. This series is amazing please keep going forever
I'm sure you've heard this before, but a collab between you and Dr Mike would be everything!
I was watching this as a third year medical student and was fascinated with this case! I was thinking more along the lines of a pontine stroke or syringomyelia until you started listing some of the physical exam findings and labs. Especially the proximal nature of the patient’s neurologic deficits. I’ve never heard of this before! For endocrine issues I briefly considered thyrotoxicosis, but hadn’t considered it as high on my DDx after the BP and temp were normal! Thank you for sharing this! I really enjoy this style of video!
He was cured when poked with a tac
the key - one at least - was his proximal deficit. this is why it’s not too great that doctors largely test muscle strength only distally.
Side note 📝: You have great handwriting and I love how you color code and lay out your notes! So much easier to read!!
You are such a breath of fresh air! You are not only very knowledgable; you have such an engaging attitude and bring us into your conversation! I never had heard of this condition. But you made it all make so much sense!
I have only been subscribed to you for about a week or two. I just happened to be scrolling when I saw your channel. After watching you, I subscribed immediately! I am so glad I found your channel! God bless you!
❤️I love watching you and you are an inspiration because when I grow up to be older I’m gonna be a nurse and help people in need❤️
I’m only in middle school thinking about pages and all this , at least I’m learning young
Learning about how your body works is ALWAYS good, no matter what you decide to study. I went to nursing school & while I didn't practice very long, I have been able to help many people understand themselves. My grown daughter had college level knowledge of anatomy & physiology before high school. My grandson & I have done anatomy studies on road kill animals. It's like having a care manual for your most important asset, your body. Happy learning!
So interesting! My doctor's checked me for HPP when I came in to the ER with a Potassium level of 2 and full body spasms. Turns out it was Renal Tubular Acidosis and I got diagnosed with Sjögren's after it hit my kidneys (I had no idea how important Potassium was before!) So proud to see a really caring doctor like you going into Rheumatology, as these autoimmune conditions are so scary and confusing for patients to navigate. I would love to see you a do a video on Sjögren's one day, as no one knows what it is, and I hate that all you can find online is that it means dry mouth, dry eyes and feeling tired (not to downplay these crappy symptoms!) but it can effect the body in so many other ways. I developed numb arms & legs on and off, muscle problems due to the Acidosis, had a TIA, and had horrible stomach issues and acid reflux.
Wonderful case presentation! I suspected that there would be some sort of deficiency present. Excellent job pinning it down to graves disease in the end and straightening Alex out. I really find medicine to be such a beautiful way to address problems. Thank you for sharing this case and thank you for your passionate explanations! I look forward to more content and cases!
This lady has enough enthusiasm for all of us and I am 1000% here for it! Awesome episode, I absolutely adore these kinds of videos!! Cubbyemu aka Dr Bernard will always have a special place in my heart lol
Love the video. Like how you walked through the process from diagnosis to treatment.
Okay you’re literally a compassionate version of Dr. House 🤯 In other words, best. doctor. ever!!
This is so great! I used to live for this show called “Mystery Diagnosis” and this was like that. This is helpful for nursing school 😉
I love the expert violin opening
Two questions! 1. Would we ever worry about replacing a patient’s potassium too quickly (EKG wise)? 2. Should people with sleep paralysis look into getting bloodwork in case this is their issue?
Potassium is very irritating to the veins and will also stop your heart if given too fast. Interesting factoid the way I learned it in school was potassium IV push is what's used in lethal injection so never push potassium, ever...
Yes good question. Caution is advised as the total amount of potassium in the body is not decreased, and it is possible for potassium levels to overshoot ("rebound hyperkalemia"); slow infusions of potassium chloride are therefore recommended while other treatment is commenced.
In this case the potassium level was calculated to rise to 5.2 , safe normal limits.
@@lauren6705 yes it is irritating. Thats why it is mixed in IV fluid and regulated.
Ahh it was graves disease... Hypokalemia would also cause from other types of hyperthyroidism?
I love how passionate you are about this stuff. Love watching your videos
Love this girl! Shes so interested in everything its infectious!
glad we have smart people like you saving our lives
New fear unlocked.
I'm just seeing this 3 years later and enjoyed this. I'm going to check to see if you did more of these medical stories.
Love your enthusiasm Siobhan! You make medicine interesting to the layperson. Hamilton is lucky to have you on duty. Keep up the great work. And odd side note, you have awesome hair :)
All my friends are watching your videos,we love them.Thanks
Fascinating! Due to being a medical transcriptionist for many years, classwork and working in hospital settings I'm often able to guess diagnoses, but I'd never heard of this one.
I love her passion for medicine and understanding the human body. I wish she was my doctor!
This one hits close to home. I too had hypokalemia and lost feeling from my hands to my elbows until I went to the ER and had potassium and magnesium given through IV and really gross tasting liquid mixed with Apple juice. My underlying cause was due to an incredibly fast increase in the way my body handled anxiety. I was diagnosed with a nervous disorder that causes me to get physically ill. I had just started college, got my first job and started dating someone new within the course of a couple weeks, and my brain got overloaded and I started having anxiety and panic attacks. I was bedridden for multiple months, sleeping all day and throwing up everything I ate for some reason. Eventually I had an anxiety attack that lasted 3 hours because my hands and elbows were feeling weak. Well, I ended up losing feeling altogether, having a panic attack where I hyperventilate and made my whole body numb and purple, got rushed to the ER for the first time ever and by ambulance, which scared me more. Turns out my potassium and magnesium were low, but my potassium was 2.3. 15 hours, lots of IVs, gross juices with potassium liquid and pills later, I was feeling better, but the damage from sleeping all day and being horizontal for months, loaing 60 pounds from not being able to eat and throwing up whatever I forced down my throat, made it really hard to get used to sitting up and standing and walking. Took another 2 months to fully recover. That was in 2013 when I was 18.
Does Shioban I love you so so much you have instilled again my love for medicine. I am an MD in US suffered from burn out depression and anxiety for past two years and I quit my job in medicine due to increasing work toxicity and mental health damage secondary to my work. I love you and your content it really helps me explain how to be a good teacher and doctor of medicine. I love you!!! Take care and please give us more of your knowledge!!!!!
Wow. That was a tough case to solve. I love how you break everything down for us, and classify everything. You make a great teacher
You are amazing! I wish you were my doctor.
"Right now, you've got thyroid hormone running through your body!" Me, a person with hypothyroidism: 😔
Tk cr
Same! I’ve been diagnosed with thyperthyroism when I was young in 5th grade and some how it flipped and I’ve been with hypothyroidism for years now
I have hypothyroidism. Cold all the time, brittle nails, loosing my hair and don't want to move. Skin is dry as the Mohave desert. Not enough hormones.
Same here I was diagnosed in 4 grade and it flipped so suddenly it’s sucks having to take a pill every day for the rest of our lives
you have some but not enough
I love your enthusiasm!
Your videos really rock. You put in so much effort in bringing the case to life. Thank you. Do you sometimes also find real cases from your work, or are you not allowed to ask patients whether they would mind getting shown on TH-cam?
I like the way you break things down. I'm glad for medicine and dr's and that the young man was quickly moving again. I also like the shade of your lipstick. God bless .
0:45 'It is intended for educational purses only'. Guess I can't watch this video as a human then.
She always writes that in real patient cases, not to make anyone self diagnose and do stupid things after watching the videos.
hahaha
I think he was pointing out it says purses!
Stina Palm he meant it as a joke because she misspelled ‘purpose’ to ‘purses’
Haha😅
One of the best youTube videos I've seen in months. Kept me fascinated 'till the end. Thanks!
I feel like she use her husband for demonstrating alex which is so cute!
you are so amazing a doctor with a good heart its so obvious you loved what you're doing and loved the patients God Bless you!!
I love watching your videos! It definitely gives an inside perspective on what medical professionals go through! It’s like every patient is a jigsaw puzzle, and you have to do all theses tests to figure out how to put them back together lol
Holy cow. Should I see a doctor?! I just showed this to my fiancé who for 5 years thought I was prancing him about waking up paralyzed when trekking together in Peru. I have hyperthyroidism and no one has ever told me about this syndrome. I didn’t even tell my doctor because everyone said I was crazy so I believed it too.
Well damn I didn’t know potassium was so important
I’m going to go eat a banana right now
@@ad.6472 Yeah, bananas aren't even that healthy tbh.
I hate bannanas never had one
hi Emily Koval! You don’t like the smell of them??
@@Nan-59 yes and the texture of them i can't stand it
Emily Koval how do you know the texture of a banana if you never had one?
I LOVE THE WAY YOU EXPLAIN AS IF I UNDERSTAND EVERYTHING OF HOW ENTHUSING YOU ARE AND HOW CLEARLY YOU EXPLAIN THINGS IN A WAY CONFUSION DON'T COME IN, A THUMBS UP