ฝัง
- เผยแพร่เมื่อ 30 มี.ค. 2024
- In this video of a gentleman with significant neurological and psychiatric symptoms, Dr Syl reviews the footage and discusses the different aspects of the review as well as discusses provisional and differential diagnoses. Discussion of Wernicke's encephalopathy & Korsakoff's psychosis is done in depth. Brief discussion of alcohol withdrawals and Delirium Tremens also completed.
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. If anything in this video was distressing please consider calling LifeLine 131114 **
Timestamps
00:00 - Introduction - ภาพยนตร์และแอนิเมชัน
What should I react to next?
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my grandma passed from korsakovs and liver damage from long term drinking. please drink responsibly folks, trust me when i say its no way to go out. she was only 60
My grandma died the same way, from alcoholism and liver failure. She was only 63. My dad was only 35 and I was only 5. Very sad. My dad was also an alcoholic but thankfully stopped drinking completely when I was 14, and has been sober now for 31 years, thank goodness. He's 75 and doing well.
@@ladybaabaa3294 im glad your dad is doing allright now! such a wonderful achievement to be sober that long he should be very proud of himself
Im 46 and have developed class B Cirrhosis. Stopped drinking about 14 months ago (I dont keep track of the days) and now need a transplant, which statistically isnt likely to happen. It can creep up on you. Get regular liver function blood tests people, if you drink a lot. I recognise this guys thiamine deficiency delirium. Had it once before xmas, like a dementia. Its like being in an awake dream.
I'm no doctor, but as an alcoholic myself this man has a quality that is very familiar to me. I'm almost 10 years sober and videos like these remind me to stay the path and that alcohol has nothing to offer those of us who cannot moderate our usage. I really hope this guy got better.
"and you're safe here" - how wonderfully comforting. Excellent.
I poured my drink down the kitchen sink after watching this!
I love the input you are giving. I myself have had multiple psychotic episodes, so hearing what a psychiatrist is thinking is very insightful!
I think this man went to high school with my (now deceased) uncle. His godfather's name is the same as my uncle's step father. He grew up in the area, the accent is dead on, and he went to the same college during the same years... I'm...just wow. Wasn't expecting that from a 5 am youtube rabbit hole.
It's so heartbreaking to watch this man. The pandemic really changed the way I understood the (medical) significance of alcoholism. Was working at the state alcohol control at the time and was classified as essential. I received genuine thanks from (mostly ER) medical providers because as dangerous as alcoholism is, had the spirits dried up overnight the hospitals would have even more critically ill people needing help.
It's interesting how long it often takes for the gentleman to respond to the questions. He doesn't speak overly slowly in general, but he seems to take a while to process the questions before being able to find words to try and answer them.
I hope this man got better. My mom was in her 90's when she started losing her grip on reality. I assume it was dementia. To be this young and to be in this state is sad.
Another thought I had is that it really hits me when he says “yes, sir” it’s just really sad what he’s going through idk
I've missed these types of videos from you! I'm so glad to see you're still making them and hope to see many more! 😊 Thanks for the great content!
Interesting. I heard him mention West Virginia State College, now called West Virginia State University. There’s not much said about West Virginia because we are thought of as a failed state in my respects. Anyway, I thought I’d mention that. I watched some of these videos before I found your channel; it’s nice to have an actual psychiatrist give their feed back to them.
I did the first 2 years of my education there.
I love West VA. My family is all from there. Spent every summer going up from east Tennessee. We have a lot of family history in Williamson. I'm going to move there-abouts some day. It just feels like home.
in past i had osdd(dissociation disorder) due to (c-)ptsd but not anymore because years of therapy, good life balance and ssri(for anxiety) has helped me a lot💜 i still have anxiety but its under control,
years ago when i had a lot of dissociation(depersonalization and derealization) i didnt recognize myself from mirror and i often didnt quite recognize who i was, who people around me were and where and when i was, especially during flashbacks(havent had that in years💜) and when that dude didnt know the time and place it just felt really sad, i hope people treat him well in the hospital, im also surprised how chill he seemed to be, many people would probably get scared and anxious if realizing how they arent aware of their surroundings, maybe he didnt realize how out of touch he was and that abled him to not get very tense? or maybe im just not good at reading peopleXD or maybe he couldnt express himself very clearly due to his current state
I had depersonalized/derealization indirectly due to CPTSD. I was misdiagnosed with Bipolar and pulled cold turkey off my SSRI and I pretty much went insane. They pumped me full of lithium and benzos and refused to put me back on an SSRI. My DP/DR came when they did a rapid (2 week) benzos taper. That symptom was absolutely awful. It felt so scary and I thought I’d never feel like myself again. It was pretty much constant for about 4 months and then slowly I’d get 5-10 minute clarity every few days. Almost two years off of them, I only get that feeling for a brief period and only when I’m very, very stressed.
Perhaps he already knows? I have been diagnosed exactly as you described, dissociative disorder from CPTSD, manic depression, anxiety characterized especially by OCD, and trichotillomania. I don't know if I always recognized my dissociation, but I feel like I did. I definitely have known I do it since my teens, and I'm 37 now. Wasn't diagnosed until a s**cide attempt at 22. I wasn't put off at all when they told me. I'm very glad you're so much better. I am too. I'm an EMT now and can help other people like myself ❤
Just want to send a thank you for your content, Dr Syl. It's some of the most carefully and professionally considered mental illness content I've come across. Also, en écrivant ce message je viens d'entendre ton petit "a bientôt!" Je ne savais pas que tu parles français. J'apprécie cette jolie touche :)
I have discalculi, that means i cant do math so that part i would fail also 😂
Lovely to hear a person in power ( never understood why people having no empathy,study and do jobs where empathy could make such a huge difference ) . I think your compassion is utterly relatable ,people are blessed to have you as a dr.
Speaking as a patient prescribed addictive drugs as a teen,on repeat for years. I should never ever have been prescribed them ,ie methadone for painkiller dependence ,opiate ones and never heroin or anything of the sort. I deal with prejudice and patient generalisation continually,it could have inspired suicide as its horrible stuck on a socially unacceptable drug but without a criminal record,bad character or low iq,all of these are assumed i have as the culture is so negative in Scotland regarding trauma and dependence. Its ignorance,my current dr refused to anything at all to protect his patients from abuse in the pharmacies,community services, etc. ive been accused of being a risk to a child because of a prescription ive had for years that has no effect. Im having to prove im not a threat instead of the other way around and despite raising another child in exactly the same circumstances. Its accepted. Discrimination.very emotionally damaging.
Thank you. I enjoy your content ❤
You're gonna be a talented psychiatrist, dr Syl. Thank you for the explanation about Wernicke - Korsakoff syndrome. In our religion, alcohol is strictly forbidden. So in my 27 years of life I've never once tasted alcohol (foods with rum also forbidden). Now I kinda understand why alcohol is awful.
Is there any chance he thinks he's talking with different people all the time because of his memory problems, instead of a misidentification issue? Very interesting video and points, thank you:)
Love a good reaction video from you from time to time! 🎉👏
My favorite type of videos from you honestly!
Love these vids! I’m in grad school to be an LMFT and these types of videos are so helpful!!!!
Very interesting, i have seen them all but i like to hear you about it. Greetings from the Netherlands
Just came across this and enjoyed watching. Very interesting
Thank you 💛
I am sitting here as a fairly smart, alert person and really struggling to do the numbers backwards test haha
I have never looked people in the eyes ever since I can remember. It makes me uncomfortable. Also, I can process what others say a lit easier when I don't have to deal with people's facial expressions putting me off.
What really got me in the feels w this video was the fact that this man seems so poignantly aware of what’s really going on, but so unable to communicate properly. A profound confusion about his inability to connect the questions being asked to his own functionality. To me, it seems like he knows the answers are wrong, but he can’t understand why. I relate to that, and it’s extremely disorienting and jarring… I felt like I could see it in his eyes, idk.
Very interesting video.
I love your channel Dr Syl . super Interesting , love your analysis. I wish I was even half as smart as you lol ❤
Do you think alcohol/drug problems need to be addressed before mental health problems?
The number thing, I can't do it, because of work memory deficit. I'm autistic, so there's that. What I want to say is that it is really exhausting to try to do this kind of task when you have a deficit of work memory. When the guy says it's too much, he's tired of doing this test, he really means it.
I would be very interested to see more of those assessments on your channel. Can you also make a video on it?
Its funny Dr Syl, when you take a sup from your blue cup with the flavour tag sitting out on the side, I recognise how some people working from home a few years back myself included would have wine in that cup and tape the tag string to the inside of the cup for when in the many zoom meetings.
An old/new trick.
I got the DDTs. The good news is I fixed my flea problem
This man makes me feel so sad 😢
Thak you.
Dr Syl, love your videos. Have you ever posted a video on exploding head syndrome? It really can interfere with people's life. I actually called the police bc I thought someone was trying to break in.
Oh man, when he was talking about getting sick with a certain substance. I can’t stop gagging it has been like 30 mins what the heck do I do lol 🤢😳
nice
Those silly fazes , can be interpreted in lots of ways.. i think but Im dyslexia.
Yes its vey sad, 😢 as you do wonder why someone drinks alcohol to excess.
Yes depression, lots of reasons.
So sad. Is this sort of thing reversible in any aspect? If they stop drinking and take any medication or vitamin?
So this poor man who looks quite young would have had to live the rest of his life in this state?
Very sad,its a very fascinating organ the brain,it essentially deals with perceptions and motor functions. Most terrifying thing you could suffer but im interested because of my fathers condition he had and the genetic component. Id like to study it properly,maybe..i never ever touch alcohol. I remember too many dark and sad things.
You didn't mention how he did well at saying numbers backwards
Dr Syl, my name is Michalina and I greet you warmly. I have BD for many years and have been treating it for four years. Not once in my entire life and illness have I been depressed and have depression. Over the following years, I have at least 1-2 (once 3) episodes of mania with hospitalization per year, I have mania with delusions and psychoses, but not always. Between manic episodes, I still have recurring hypomania (light and medium) very often and it's hard to count. My first episode of the disease was a huge, spectacular "happy" mania with delusions of grandeur and acute psychosis. I wonder why this is happening to me? Drug therapy was very long and difficult to establish, I had to gain 146 kg and suffer a lot of side effects. It's very hard for me because I take large doses of medications and do everything as prescribed. What could be wrong with me? < I am pasting the corrected version of the questions again> sorry
Sounds like the drugs you are taking might not be effective either by dosage or all together. Are you sure you do have BP? Seek perhaps another assessment or second opinion…
Have you taken a generic test to see what medications might be the most helpful. I tried dozens of meds and none helped with my depression and insomnia- turns out, these medications were highlighted to likely be not effective. Once they switched me to medications that were indicated to be most likely to work- my world changed completely and I’m finally able to function again.
I thought this was an Andy Kaufman reaction video.
WAIT A MINUTE. I’m 39 and I think you just made me realise I’ve misunderstood the people in glass houses saying this whole time 😂 I thought kind of like he said - it would be a stupid thing to do in the circumstances. But you’re saying it’s because then other people might throw stones BACK and break your house? 🤯
Not delirious as far as I know but I have a high degree of ADHD and don’t ever do the “white lie” thing and cannot for the life of me explain the concept of a double bluff because it involves knowing how people will respond to lying (I think?!) so I guess that also applies to doing mean things on purpose like throwing stones 😂
You've got it, don't give people a hard time for something you're guilty of yourself is how I read that saying.
The make your own bed comment was somehow higher level thinking in my opinion. He knew they were talking about sayings at least and it somehow connected to the glass houses saying. I know information is limited but would there be a reason for him to be faking some of this?
Plus Thorazine
That`s sad to see for sure. All the potential that this man had has been squandered because of alcohol. And yet we see all of the TH-cam videos of all of those drug addicted people all over America (and Canada) - all wasted humanity. It`s just so NOT the reason we are here, that`s what I keep thinking, anyways.
But like you say, they have their own reasons for slowly destroying themselves.
Dr Snippi?
Seventeenth!!!
Well, I tried to comment seventeenth but it didn’t go through so I guess, eighteenth.
That "patient" is an actor. He's a very bad liar, and anyone who can discern will see that clearly. This doctor must surely know fake from reality, right?
The person has pharma chemicals in his body, or not?
You keep stopping and interrupting the video too much. We can tell when he's got things wrong without you telling us.
Eh, that's the whole point of the video though, if you want to watch the original version I believe it's on youtube without commentary.
Bruh the whole point is for him to explain what’s happening 💀
That's what makes the video interesting.
that bothered me too, and as i was skipping ahead i noticed the sign wasn't blinking. thanks for 'fixing' it!
There is a good documentary called Drunk In Public about a California man who got arrested over 500 times for being drunk in public. Nobody thought he would survive that long but he did and he got wet brain and eventually died. I think it is scary that I am still addicted to alcohol after seeing that and going through it myself but I am on vivotrol shots now which are supposed to help so I hope that works.
And its not easy to just quit when you get seizures and shakes and all that. Often times it is safer to keep drinking.
Keep going! Honestly life is so much better and simpler when alcohol isn’t even an option anymore. A hard decision, but best one I’ve ever made. All the best to you ✌️
If someone has a hallucination of an animal bite, would they also see an animal bite on their body?
It looks like My mother and her son from her husband have it
Very interesting video.