We Need To Talk About Syphilis | Warning Signs, Symptoms, & Treatment

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  • เผยแพร่เมื่อ 24 ธ.ค. 2024

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  • @nikiTricoteuse
    @nikiTricoteuse 11 หลายเดือนก่อน +450

    Don't let the multiple sexual partners thing fool you. YOU only need to have had sex with ONE person, if that person has had sex with multiple partners! Stay careful out there people.

    • @Nettsinthewoods
      @Nettsinthewoods 11 หลายเดือนก่อน

      Whoever you have sex with, you have sex with everyone they have had sex with

    • @johannarivera4856
      @johannarivera4856 11 หลายเดือนก่อน +12

      Exactly 💯 true

    • @unjelli
      @unjelli 11 หลายเดือนก่อน +10

      Get tested, and use protection!

    • @iancaldeian
      @iancaldeian 11 หลายเดือนก่อน

      Agreed. Homosexuals aren't at more risk than anybody else either. Once you have sexual intercourse, it just takes one encounter with someone else - kissing for example - to get you infected.

    • @catsupchutney
      @catsupchutney 11 หลายเดือนก่อน +3

      Good luck with that strategy in a major metropolitan center. Get tested regularly and play safe.

  • @EmilyZapotocny
    @EmilyZapotocny 11 หลายเดือนก่อน +749

    The number of men I meet thru dating apps who genuinely do not believe in condoms or safe sex is APPALLING. So concerning... syphilis is on the rise!! 🙅🏼‍♀️🚫

    • @QuietlyCurious
      @QuietlyCurious 11 หลายเดือนก่อน +66

      There's an amazing interview here on YT with a sex worker and she confirms this. Literally they dgaf.

    • @india1422
      @india1422 11 หลายเดือนก่อน

      I hope you give them the go by. They sure are going to be a rush to fit even if you do India on a condom.

    • @05danmea
      @05danmea 11 หลายเดือนก่อน +6

      ​@@QuietlyCuriouswhat's the name of the video?

    • @carolinelaronda4523
      @carolinelaronda4523 11 หลายเดือนก่อน +1

      Get off dating apps . It’s a breeding ground for narcissistic men who just want cheap easy access to you. They are all trash on there with cluster B disorders.

    • @SuperDrLisa
      @SuperDrLisa 11 หลายเดือนก่อน +3

      😮

  • @hiannahgus574
    @hiannahgus574 11 หลายเดือนก่อน +300

    I remember seeing a patient many years ago with tertiary syphilis who had been raped by her father who had the disease and transmitted it to her as a child. To see what that disease had done to that woman’s brain impacted me so much.
    Thank you so much for all of your videos, but especially this one, as so many people are so cavalier about unprotected sex now. Now with such effective AIDS cocktails, there is far less awareness of the dangers of unprotected sex and the STI’s that can occur.

    • @cc1k435
      @cc1k435 11 หลายเดือนก่อน +31

      Seriously, safer sex needs to continue to be talked about. HIV is not at all a fun disease to have, even if it doesn't automatically end people in droves anymore. Other diseases we used to say more about are also undesirable for very good reasons.

    • @Caligirl-1111
      @Caligirl-1111 11 หลายเดือนก่อน +35

      Hopefully he’s in jail

    • @T_r0525
      @T_r0525 11 หลายเดือนก่อน +41

      I am so heartbroken by this story. Poor little girl!!

    • @lisae6725
      @lisae6725 11 หลายเดือนก่อน +18

      I used to see Tertiary Syphillis when I first started my nursing career in the early 1990's, we'd see a few women whose husbands brought home Syphillis in WWII and they all were not caught until it was too late. They were in the end stages of the spirochete infection destroying their neurological symptom.

    • @hiannahgus574
      @hiannahgus574 11 หลายเดือนก่อน +14

      @@Caligirl-1111 I am sure that he and she are long dead, as it was many years ago. I know that hurt people hurt people, and that most people who sexually abuse others were sexually abused themselves, but that case hit me so hard that I still remember that unfortunate patient so many years later.

  • @4everyoung24
    @4everyoung24 11 หลายเดือนก่อน +377

    I’m a nurse practitioner and work at a wound care clinic. I got a hospital consult for someone with “cellulitis” but turned out he had a bad rash that was also on his palms and feet. I included syphilis as part of my workup and sure enough that’s what it was! He was there for a whole other reason and just happened to be “lucky” enough to have a rash while there.

    • @traceykoontz2868
      @traceykoontz2868 11 หลายเดือนก่อน +11

      I remember learning about it in sex education and our school nurse filled in the gaps from it can also affect your brain, and I thought you were usually sick with it too.

    • @HoneyHoneyBaby
      @HoneyHoneyBaby 11 หลายเดือนก่อน +8

      ​@@traceykoontz2868That's true, it can affect your brain 💯 That's what happened to Al Capone 😬

    • @katiejo1095
      @katiejo1095 11 หลายเดือนก่อน +7

      He was "lucky" that you examined him! ❤

    • @BehindTheBush96
      @BehindTheBush96 11 หลายเดือนก่อน

      @@HoneyHoneyBabyMarilyn Monroe’s grandfather also died from Syphilis that damaged his brain and killed his over time.
      These men don’t even care about risk of DYING and just have no interest in protecting themselves or considering other people 🤢

    • @mongrelbitchband
      @mongrelbitchband 11 หลายเดือนก่อน +1

      @@HoneyHoneyBabyHard core Chicagoans have told me he was really killed with a bat… who knows

  • @annm7153
    @annm7153 11 หลายเดือนก่อน +232

    Testing for syphilis was required before a marriage license would be issued in Florida until the late 1980’s.

    • @bellyjewel
      @bellyjewel 11 หลายเดือนก่อน +24

      I think that was true in many states. I got married in Missouri in the ‘70s and it was a given that you would have to get your blood tests before getting a marriage license.

    • @Stormstorm1
      @Stormstorm1 11 หลายเดือนก่อน +12

      There was a time when Florida was actually useful.

    • @xmx005
      @xmx005 11 หลายเดือนก่อน +18

      @@Stormstorm1For good faithful couples it’s useful, sadly according to my nurse friends the unfaithful spouses are often the leading cause of spreading stds.

    • @retro000
      @retro000 11 หลายเดือนก่อน +1

      Brilliant idea.

    • @TheePrincessBrat
      @TheePrincessBrat 11 หลายเดือนก่อน

      @@xmx005 it’s so selfish! Even in couples who have an agreed upon “arrangement.” I know a couple where one partner wasn’t using protection 100% of the time and also had wayy more sexual partners. Now they both have herpes. Luckily, it’s type 1 so not as severe.
      This is why therapy needs to be normalized and easily accessible too, because that behavior was driven by underlying issues. However, they refused to seek help and just wanted to push it down and “power through.”

  • @lauracuevas8948
    @lauracuevas8948 11 หลายเดือนก่อน +207

    I'm happy you're talking about this. I'm a retired reproductive health nurse and syphilis is definitely on the rise in California. We treated average 15 clients per day for different stages of syphilis.

    • @pamelarodriguez5674
      @pamelarodriguez5674 11 หลายเดือนก่อน +11

      That's unbelievable! Wow.

    • @lauraoliver525
      @lauraoliver525 11 หลายเดือนก่อน +10

      Oh wow that's scary!

    • @deborahnelson4608
      @deborahnelson4608 11 หลายเดือนก่อน

      Illegals bringing it in???

    • @GetWellSoonR.E.M.
      @GetWellSoonR.E.M. 11 หลายเดือนก่อน +13

      Holy crap, that’s absolutely frightening! I do wish people would stop carrying so much shame around STDs and STD testing, along with having easily accessible care.

    • @SoundofSilence492
      @SoundofSilence492 11 หลายเดือนก่อน +5

      @@GetWellSoonR.E.M.And birth control. Easily accessible birth control doesn’t exist in many places.

  • @kimmyers9170
    @kimmyers9170 11 หลายเดือนก่อน +83

    Retired Labor & Delivery RN here. Just want to tell you this was the best description and discussion of syphilis I've ever seen. Much better than nursing school. Thanks for covering it and spreading awareness!

  • @MsAlonzo26
    @MsAlonzo26 11 หลายเดือนก่อน +359

    I recently attended a county meeting regarding the rise of syphilis and HIV infections, especially among women. If you are sexually active, please get tested. Thank you Dr. Dray for spreading awareness. ❤

    • @StallionFernando
      @StallionFernando 11 หลายเดือนก่อน +6

      No concern if you're in a long term monogamous relationship.

    • @cherb3145
      @cherb3145 11 หลายเดือนก่อน +94

      @@StallionFernando Are you kidding? There are such things as cheaters and adulterers you do know that.

    • @xty070
      @xty070 11 หลายเดือนก่อน +5

      ​@@StallionFernando you think ?

    • @qingdaogrrl
      @qingdaogrrl 11 หลายเดือนก่อน +35

      @@StallionFernando you have never been cheated on. What a blessing!

    • @qingdaogrrl
      @qingdaogrrl 11 หลายเดือนก่อน

      And advocate for expansion of the ACA and funding Planned Parenthood. People can't get tested if there is no clinic to go to because Republican politicians shut them down

  • @chasingsunsets87
    @chasingsunsets87 11 หลายเดือนก่อน +48

    Thank you! I contracted syphillis in 2016. I was also a meth addict. It is very big with users even there are in denial.
    I blame the "sexual freedom" culture. That straightened me up real quick.

    • @nstark1066
      @nstark1066 11 หลายเดือนก่อน +6

      Just don't blame yourself.. we all have urges, and nature makes certain we act on those, via our homones. In a perfect world STD's would not exist, nor any diseases.

    • @UmarFarooq-gt2so
      @UmarFarooq-gt2so 10 หลายเดือนก่อน

      We’re you able to cure it

  • @jameshardensfatsuit5726
    @jameshardensfatsuit5726 11 หลายเดือนก่อน +87

    You hit the nail on the head about letting up on education. Over a decade ago in health class, we were told not to worry about syphilis. Education is key for preventation.

    • @beautybonvoyage8624
      @beautybonvoyage8624 11 หลายเดือนก่อน +2

      Yup, society has taken it easy with the std/I education as well as drug education.

  • @TheSkinnyZ
    @TheSkinnyZ 11 หลายเดือนก่อน +145

    I’ve often wondered why Dermatologists in my area often declare sexual health as their secondary field of expertise. Now I know.

    • @tdgdbs1
      @tdgdbs1 11 หลายเดือนก่อน +5

      Most derm specialists I know are too busy fattening their cash cows; not sexual health.

  • @beans1170
    @beans1170 11 หลายเดือนก่อน +588

    I thought Syphyllis wasn't even a thing anymore. Thank you for the educating us on this

    • @DrDrayzday
      @DrDrayzday  11 หลายเดือนก่อน +101

      it is a serious issue, and sad to see it having a come back

    • @qingdaogrrl
      @qingdaogrrl 11 หลายเดือนก่อน

      It wasn't! But all these politicians are defending reproductive health clinics such as Planned Parenthood so people aren't getting affordable preventative care anymore. The rest of the health care systems can't manage the influx of that many patients and also patients are too ashamed to go to places not Planned Parenthood where they treat patients without shame.

    • @slgogo594
      @slgogo594 11 หลายเดือนก่อน +22

      Practically no disease is truly irradicated. There is almost some very minute, geospecific place that harbors these often thought irradicated diseases.
      The data is there, you just have to look for it.

    • @qingdaogrrl
      @qingdaogrrl 11 หลายเดือนก่อน

      Syphilis was never eradicated. It was managed by people going to planned Parenthood. Those are now closed in red states. Red states now seeing resurgence and at later stages and tragically hurting children.

    • @AutumnElaine
      @AutumnElaine 11 หลายเดือนก่อน +16

      ​@slgogo594 It's true. There's so much "information overload" in our culture nowadays, that people rarely seek out additional information on something that they don't think is directly impacting them. I love biology, so I'm a nerd for this kind of information. . but I had no idea it was making a comeback.
      Very cool of Dr Dray to make a video on a less than desirable topic- just to get the word out to us! Probably doesn't benefit her channel, but she acknowledges that the information needs to be passed on, because she genuinely wants us to have the information we need in order to be healthy. Mad respect. That's love, if you ask me! Always looking out!

  • @ilikeaioli
    @ilikeaioli 11 หลายเดือนก่อน +72

    You should do more videos on STIs and their skin concerns!

  • @amyshew1151
    @amyshew1151 11 หลายเดือนก่อน +6

    My friends son died of syphillus , TN , 15 years ago. He kept being misdiagnosed as schizophrenic and wouldn’t take the prescribed meds because they didn’t help his brain that was eaten away like Swiss cheese by the time he was seeking medical help. All mental health hospitals should test for this and hopefully prevent , or at least track and trace an infected persons partners and get them medical intervention. I didn’t know that syphyllis was still a problem in our country or anywhere . Thanks for educating everyone as most don’t realize it’s out there and can damage and kill you .

  • @cdow9032
    @cdow9032 11 หลายเดือนก่อน +171

    As a nurse I worked on several dementia units. We had a new resident come in, very sweet, but in time she started having behaviors that we were having difficulty dealing with. Eventually her blood work showed she had Syphilis. This was so tragic because it meant 2 things- for it to eat away at her brain and cause her dementia, she had to have had it for many years. Number 2- she most likely got it from her husband ,and he never told her he had it. Men usually have symptoms. Of course there could have been other scenarios, but the family thought them unlikely. So tragic. My other experience with Syphillis was on Career day in High School. I had chosen to tour the State Hospital- our local mental institution- where one of the female patients was admitted with it. I wasn't allowed to know her story, but she was totally out of touch with reality and unable to care for herself. This is from having sex people, and not disclosing your indiscretions to your current, or future partner. It's tragic.

    • @charlottecoolik9872
      @charlottecoolik9872 11 หลายเดือนก่อน +5

      I know a guy and his x gf told me about her grey discharge in 2021, I warned him but he continued all over the place and with his new gf who I believe and have been telling them both that they have syphilis......... she's turning into Howard Hughes crazeeeeeeeeeeeee behavior and their skin stuffffffff.

    • @friendofvinnie
      @friendofvinnie 11 หลายเดือนก่อน +3

      Yeah because women never cheat lolol 😂

    • @SewardWriter
      @SewardWriter 11 หลายเดือนก่อน +7

      ​@@friendofvinnie If that's where you immediately go during a discussion about a specific person, I can see why you'll remain single.

    • @FloRiDaNication
      @FloRiDaNication 11 หลายเดือนก่อน +1

      @@friendofvinnieit’s not about that. It’s about being aware of what could happen if someone has symptoms and doesn’t tell another person they had had sex with.

    • @friendofvinnie
      @friendofvinnie 11 หลายเดือนก่อน +2

      @@FloRiDaNication how do you know that granny wasn't hiding the fact that she slept around or maybe she forgot in her dementia 😧

  • @KraftyScorpio
    @KraftyScorpio 11 หลายเดือนก่อน +95

    A swinger couple I know was recently diagnosed, and have decided to end their swinger lifestyle as a result. Thank you for the education, Dr. Dray.

    • @amandamccallum6796
      @amandamccallum6796 11 หลายเดือนก่อน +2

      I am a swinger in Canada and you would be blown away by the health precautions we take. The difference probably being free Healthcare for everyone.

    • @scottverge938
      @scottverge938 11 หลายเดือนก่อน +9

      ​@@amandamccallum6796what kind of precautions?
      For instance if a man is having sex with two women, how are you going to have safe sex? How often is that guy going to wear a condom and switch it between parters so the two women aren't passing something back and forth?

    • @psalmingit
      @psalmingit 11 หลายเดือนก่อน +5

      ​@@amandamccallum6796 I live in British Columbia, Canada and there is no precautions. Our little town has this pandemic right now, 2 of my friend's doctor's told her it is spreading. Stay single and wrap it or get them tested before you get into a relationship.

    • @lilacscoffee9360
      @lilacscoffee9360 11 หลายเดือนก่อน

      ​@@amandamccallum6796Please turn away from that sinful lifestyle. The Lord is returning soon for the Rapture of the Church! Please accept Jesus as your Lord and Savior while there is still time!!!

    • @Queen_EL11
      @Queen_EL11 11 หลายเดือนก่อน +2

      @@scottverge938 Exactly! Waiting to see if they respond to you!

  • @standdownrobots_ihaveoldglory
    @standdownrobots_ihaveoldglory 11 หลายเดือนก่อน +60

    Bless you for doing this outreach education!! I used to be trained in AIDS street outreach in the 90s, it's soooo important to talk about this directly and factually. On a personal note, this makes me think I dont want to get back in the dating pool...

    • @SewardWriter
      @SewardWriter 11 หลายเดือนก่อน

      I can recommend some hobbies that are infinitely more fun and enriching than dating, if you'd like. :) Mind, I've given up on partners.

    • @scottverge938
      @scottverge938 11 หลายเดือนก่อน

      Yep. I had zero interest in ever dating again but here I am. And I've always been somewhat of a hypochondriac.

  • @dennyborosch5156
    @dennyborosch5156 11 หลายเดือนก่อน +52

    A final note for the end of this wonderfully informative video...
    If you do ever contract syphilis and are successfully treated, you will from that moment on always test positive for it however it doesn't mean you still have the infection. As I understand it, it is measured in something called titres. Basically you're blood remembers that you have had the infection and when the titres are measured at a low level it means the infection is no longer present. However if it rises again it means you have been exposed to a new infection.

    • @Novemberrain111
      @Novemberrain111 11 หลายเดือนก่อน +8

      Yes correct thats what I was commenting on also. Thx

    • @SewardWriter
      @SewardWriter 11 หลายเดือนก่อน +1

      Yep, those antibodies like to stick around.

  • @Sunshinesue4444
    @Sunshinesue4444 11 หลายเดือนก่อน +75

    Many people with end stage disease without a diagnosis. tertiary syphilis is long term syphilis, as a Registered Nurse in Florida, seeing more and more in elderly and immigrants.
    Thank you for sharing this important information Dr Gray.

  • @DeniseHlavaty
    @DeniseHlavaty 11 หลายเดือนก่อน +64

    People are not practicing safe sex. That's Dr .Dray for spreading awareness. Great video.

  • @melp8175
    @melp8175 11 หลายเดือนก่อน +138

    Dr dray, thank you. A friend of mine was recently accidentally diagnosed in the er. Without the ER, he would not have been treated. Very dangerous and no one talks about it. Very important topic, thanks for educating the followers ❤❤❤

    • @DrDrayzday
      @DrDrayzday  11 หลายเดือนก่อน +24

      So glad to hear they were able to get it diagnosed and treated

    • @SewardWriter
      @SewardWriter 11 หลายเดือนก่อน +1

      I hope he's doing better! 💖

    • @carrieduvall4579
      @carrieduvall4579 11 หลายเดือนก่อน +1

      My ex went to the ER because he had a rash on his foot and they told him it was syphilis he jumped my butt when he got home thinking I gave him syphilis. I stopped and asked him, did they do any blood work or tests of any kind? No. Guess what?!? It was an allergic reaction to the laundry detergent!

  • @lexilei9950
    @lexilei9950 11 หลายเดือนก่อน +16

    I was dating somebody last summer and we always use protection and he kept on going on and on about not wanting to use protection anymore and promised he was clean. I finally convinced him to go and get tested and lo and behold he had syphilis. I went and got tested as soon as I found out and even though the test came back negative I still asked to go on the treatment regimen just in case. Can't be too careful out there

    • @marenhumblebee2736
      @marenhumblebee2736 11 หลายเดือนก่อน +3

      Wow... that just shows you that you never know what you get... you could have married that person and been all "no sex before marriage" (with them), but then they still could have given you syphilis in the marriage bed

    • @Queen_EL11
      @Queen_EL11 11 หลายเดือนก่อน +2

      Omg!

    • @sheraydunbar729
      @sheraydunbar729 7 หลายเดือนก่อน

      ​@@marenhumblebee2736 so scary......

  • @ashleylala4293
    @ashleylala4293 11 หลายเดือนก่อน +18

    I have a friend who used to work in public health and she said that syphillis is becoming antibiotic resistant. It is wise for you and your partner to get STD tests before sexual activity.

  • @karinhuyett6108
    @karinhuyett6108 11 หลายเดือนก่อน +28

    Retired nurse here. Years ago (60’s - ?). Every hospital patient had syphilis test as part of routine admission. Had a male patient about 10 yrs ago who was 101 yrs old. Tested positive - got a huge dose of penicillin in the nursing home.

    • @OnlyTheBest345
      @OnlyTheBest345 5 หลายเดือนก่อน

      Wow 101?! Was he retested to confirm it wasn't a false positive?

  • @n3r0n3
    @n3r0n3 11 หลายเดือนก่อน +88

    I have the impression a few years back HIV served as a driver to catalyse everybody's attention around safer sex practices and testing. Unfortunately in recent times HIV is not a focus anymore in the public debate and other infections such as syphilis - which as u say is a bacterial infection and not a virus - tend to go unnoticed.

    • @pamelarodriguez5674
      @pamelarodriguez5674 11 หลายเดือนก่อน +11

      People are much less alarmed by HIV these days, and I don't know why. I just heard someone say this past weekend... nowadays HIV+ just take a few pills per day and they live a good long life. 😮

    • @themiasmastream
      @themiasmastream 11 หลายเดือนก่อน +6

      The attitudes around HIV softened because of improved treatment, PeP, and PrEP. Not saying it's right, mind you.

    • @n3r0n3
      @n3r0n3 11 หลายเดือนก่อน

      @@pamelarodriguez5674 yes there are multiple reasons in fact that span from the absence of campaigns (and related budget), sexual education in schools, under financing of health services (in the countries where welfare provides for your health needs such as in my country)... also the way some concepts have been mainstreamed. See post exposure prophylaxis for example: an infected person with undetectable viral load is not infective in terms of the hit virus but could still be a vehicle of any other bacterial infection. It is a natural relapse from the years of terror in the 80s and 90s but at the same time this natural relapse should be managed properly while people have largely been abandoned to themselves or to some opinionated TH-camr with no medical background. Especially in countries like the USA where the costs of testing and therapy are super high this is quite dangerous.

    • @n3r0n3
      @n3r0n3 11 หลายเดือนก่อน +8

      @@themiasmastream I believe it is right and desirable to finally dismantle the association between sex and disease in terms of principles.. it's the way we are doing it that is a little sloppy: we are not going towards sexual education investing money in preventions, schooling, free healthcare for all but we are in fact regressing to pre HIV silence. Also the state invites people to test but at the same time, once you test and you happen to infect anyone, treats you like a serial killer on a killing spree while nobody ever questions the "victim" or the state itself that is ultimately - at least in most cases - the one that failed both parties not providing proper education and tools/free and equitable medical assistance etc etc. This is very contradictory and does not help in my opinion.

  • @lasantuzza777
    @lasantuzza777 11 หลายเดือนก่อน +51

    this is a great PSA. it’s sad to see so many of my peers engaging in such frequent unsafe sex, often out of feeling pressured. your health and wellbeing (both mental and physical) are nothing to play with. in addition, anyone who doesn’t want to practice safe sex clearly doesn’t value you or have your best interests in mind- so you should probably rethink letting them gamble with your health. it’s also important to get tested if you are sexually active even if you are in a relationship or married. many people believe testing is only for those engaging in high risk behaviors but unfortunately there are rising cases of women being infected with syphilis and hiv from their SOs. i wish everyone reading this good health and ability to advocate for your wellbeing and boundaries surrounding safe sex 💪🏼

    • @CookieDr007
      @CookieDr007 11 หลายเดือนก่อน +2

      Amen! You have to put your own health first 👌🏼 I'm 15+ years married and I have to demand my STI screening at the obgyn and they say but you're monogamous and I'm like sure I am but I'm not willing to gamble my own health on another person's behavior 🤷🏼‍♀️

  • @eflo8264
    @eflo8264 11 หลายเดือนก่อน +23

    I’m an HIV Specialist nurse practitioner and I treat STIs everyday. This is one of the best videos on Syphilis I’ve seen! Thank you for disseminating information on this important topic! What are your thoughts on DoxyPEP to help prevent syphilis?

  • @trishemerald2487
    @trishemerald2487 11 หลายเดือนก่อน +275

    Finally, being a single lady in her 50's doesn't seem so bad!

    • @DJRenee
      @DJRenee 11 หลายเดือนก่อน +12

      RIGHT 👍🏾

    • @nicsxnin6786
      @nicsxnin6786 11 หลายเดือนก่อน +23

      I’ve never thought of it as bad, that’s society’s problem 😊

    • @marjoriemorse9229
      @marjoriemorse9229 11 หลายเดือนก่อน +4

      Hear hear

    • @JJJJJJ5076
      @JJJJJJ5076 11 หลายเดือนก่อน +2

      😂😂😂

    • @Nettsinthewoods
      @Nettsinthewoods 11 หลายเดือนก่อน

      @@nicsxnin6786 absolutely !!!

  • @dizzylizzy7582
    @dizzylizzy7582 11 หลายเดือนก่อน +50

    Great job Dr Dray. So many young people are unaware of this horrible disease. It's so sad to see it on the rise again. Anyone can get this disease. Diseases don't care about socio-economic groups, age, race, etc. etc. Thanks for taking the time to make this video.

    • @TheePrincessBrat
      @TheePrincessBrat 11 หลายเดือนก่อน

      I think people see syphilis as rare and uncommon. I know I did, until watching this. I only think about it in connection with the Tuskegee Study.

  • @waleskagracia4891
    @waleskagracia4891 11 หลายเดือนก่อน +35

    Great information here, thank you Dr. Dray. Also, I’ve been coming across quiet a few videos by tiktokers and influencers regarding “Sephora kids”. These are the preteen and younger children buying skincare and cosmetics at Sephora. When I was growing up my mother taught me about appropriate skincare at the appropriate age. She explained why some products could actually harm my skin if I used them on my little girl face and body. Could you make a video on this. Some of these kids are buying retinols, chemical exfoliates, etc… very little supervision from their parents. Basically they let the child pop whatever they want in their basket, hand over a card at the register and let these kids go to town. Some parents need to learn ignorance is NOT bliss when it comes to unhealthy skincare habits that are forming very early.

  • @ShellyDoss-xm1wx
    @ShellyDoss-xm1wx 11 หลายเดือนก่อน +23

    Thank you for this post . I’m an infectious disease nurse in St. Louis and we have definitely seen an uptick in primary syphilis since the pandemic ended.

    • @cadaverdog1424
      @cadaverdog1424 11 หลายเดือนก่อน

      Let’s go Cardinals 2024!! ⚾️⚾️⚾️⚾️⚾️⚾️⚾️⚾️

  • @mizrelmizrel
    @mizrelmizrel 11 หลายเดือนก่อน +2

    What a Great PSA. As someone who worked in public health clinic it's Unbelievable how reckless people are with sex, and Truly ignorant of the dangers.

  • @allanneedham1943
    @allanneedham1943 11 หลายเดือนก่อน +17

    "fun fact" & "syphilis" . . . now that's not easy to put into a sentence. Thank you Dr Dray for the video.

  • @sueinraleigh3091
    @sueinraleigh3091 11 หลายเดือนก่อน +4

    I’m a traveling cytotech and I was shocked by the number of patients with Syphilis. I’ve mentioned it to a few peers and they didn’t seem as surprised or concerned. Thank you for speaking on this.

  • @prettyguyd138
    @prettyguyd138 11 หลายเดือนก่อน +18

    Thank you for speaking on this . Because alot of people that do online dating are not always honest and alot of people dont like having these conversations.

    • @TheePrincessBrat
      @TheePrincessBrat 11 หลายเดือนก่อน

      Guys are very lax about protection and most girls know this. So im always shocked when I hear someone say they had unprotected sex with a dating app match. Like 😳 you realize if they did that with you…they’ve prob done that with a bunch of other girls too??… (all my friends are straight women so that’s the only perspective I can speak on).
      But a lot of that behavior also stems from low self-esteem and being self-destructive.

  • @danielegagnon7920
    @danielegagnon7920 11 หลายเดือนก่อน +27

    Happy Tuesday! The trend in congenital syphilis in Quebec has been clearly upward in recent years! 13 cases of congenital syphilis were reported in 2022, an increase of 0.7%. Thank you for sharing!

    • @abcxyz-e4c
      @abcxyz-e4c 11 หลายเดือนก่อน +3

      😮😮😮 it is terrible for the kids with permanent bones deformations and brain consequences, like in the 17th century? or the kds are ok?

  • @bubblesamin
    @bubblesamin 11 หลายเดือนก่อน +30

    As a seggs educator- thanks so much for bringing awareness to this! It’s easily treatable. It’s not shameful to get an STI. Over 60% of the population will get an STI at some point in their lives.

    • @debrucey
      @debrucey 11 หลายเดือนก่อน +10

      Thank you for providing a little counterbalance to the shaming and fearmongering ❤

    • @bethc6742
      @bethc6742 11 หลายเดือนก่อน +6

      And many will be in what they think is a monogamous relationship. So it’s always important to know signs and symptoms.

  • @fullnewsky
    @fullnewsky 11 หลายเดือนก่อน +22

    FYI Neurosyphilis can happen at any stage, as well as syphilis of the eye. So def be aware of that, as I had it even tho was at secondary syphilis stage. Now treated and fully recovered

    • @rebeka145
      @rebeka145 11 หลายเดือนก่อน

      symptoms ? how to test it, just blood ?

    • @OnlyTheBest345
      @OnlyTheBest345 5 หลายเดือนก่อน

      @@rebeka145 you can be symptom-free and still have it. Get a blood test.

  • @Lorenzogiacani
    @Lorenzogiacani 11 หลายเดือนก่อน +28

    Thanks for this important video. I am a syphilis investigator at the University of Washington. This infection is far from being a disease of the past, but it is on the rise in high-income countries and still endemic in low- and middle-income countries. If left untreated, syphilis can progress to affect a patient`s cardiovascular and central nervous systems, potentially leading to death. The most significant death toll due to syphilis, however, is due to the ability of its causative agent, the spirochete Treponema pallidum subsp. pallidum, to cross the placenta and infect the fetus. Congenital syphilis is the most common infection associated with fetal loss or stillbirth in low-income settings, with an estimated ~1.4 million pregnant women infected every year in the world, resulting in 305,000 cases of fetal loss or stillbirth, and 215,000 infants born prematurely and/or with clinical syphilis. In the US, syphilis still affects primarily men who have sex with men, but the recent increase in cases among women of reproductive age has resulted in 2,855 cases of congenital syphilis in 2021 versus the 334 reported in 2012. Lastly, there is evidence that symptomatic syphilis increases 2- to 5-fold the risk of HIV acquisition and transmission. A great sexual life is a must-have, but be safe everyone!

    • @msthang5366
      @msthang5366 11 หลายเดือนก่อน +5

      What type of education is needed for your job?
      I have been celibate going on 21 years. I live in San Francisco and sex just really isn’t worth me risking my life.

  • @cameronshea01
    @cameronshea01 11 หลายเดือนก่อน +11

    CAN CONFIRM! Literally so many of my patients have late latent syphilis this year

  • @SuperDrLisa
    @SuperDrLisa 11 หลายเดือนก่อน +21

    Back in the 90s i had a bout of vertigo. My PCP told me all the lab work he was going to do, then apologized he was testing for syphilis. I had no problem with it. Don't be ashamed or be in denial.

  • @emii3299
    @emii3299 11 หลายเดือนก่อน +17

    I have so much respect for you, Dr. Dray. ❤️ A lot of younger people do not think to get tested, or think it is important to. Thank you so much for talking about this. Not enough people do!

    • @r8chlletters
      @r8chlletters 11 หลายเดือนก่อน +2

      This is actually an epidemic among older people as well-because pregnancy is not longer a concern they are less likely to use prophylactics.

  • @PRIYA-ic4yd
    @PRIYA-ic4yd 11 หลายเดือนก่อน +26

    Thank you sooooo much beautiful for talking about Syphillis and bringing it to the forefront. I live in Alberta, Canada and STI’s/STD’s have been increasing quite rapidly. We need to always be aware, talk always and share because it saves lives. Thanks again 🤗🤗🤗

    • @amyg4549
      @amyg4549 11 หลายเดือนก่อน +1

      I grew up in Alberta. I remember going to several remote towns for field trips and seeing community health warnings everywhere for Syphilis. Fort Macmurray, slave lake, high level….it blew my mind. Remote areas seem to be the most hard hit.

    • @PRIYA-ic4yd
      @PRIYA-ic4yd 11 หลายเดือนก่อน +2

      @@amyg4549 that’s crazy!!! I remember that but it’s now everywhere sadly. I’m fearful to meet and marry so I just may stay single.

    • @marie84qt
      @marie84qt 11 หลายเดือนก่อน

      Seasonal workers in Banff, AB had a very severe outbreak a few years ago.

    • @truthinthefaceoftyranny
      @truthinthefaceoftyranny 11 หลายเดือนก่อน

      not surprising it is on the rise when we have a girl and 2 guys going at it at the Stampede some years back.

  • @rwyldrm
    @rwyldrm 7 หลายเดือนก่อน +1

    As a public health worker in communicable disease, I SO appreciate this! Especially with congenital syphilis on the rise in pregnant women. Women are often not routinely screened for syphilis until pregnant or at delivery. If you’re sexually actively at all, get tested 💜

    • @NimatuKabiru-r2t
      @NimatuKabiru-r2t 3 หลายเดือนก่อน

      OMG 😊, *MR OBALAR* ON TH-cam CURED ME TOTALLY ❤🇺🇸

  • @chateau7
    @chateau7 11 หลายเดือนก่อน +10

    Yes, this is why screening is important. I hope you do one on gonorrhea as well, which, as Dan Savage's podcast pointed out recently, needs to be tested in various places of the body.

    • @shiny2423
      @shiny2423 11 หลายเดือนก่อน

      Back in 1982 my then husband had Gonorrhea. He had difficulty urinating and I sent him to the doctor. Turned out he had Gonorrhea! I was 8.months pregnant at the time and they tested me but thankfully I didn't have it. He tried to gaslight me into thinking I gave it to him! Dude! I'm 8 months pregnant with your baby! I divorced him and never remarried.

  • @cori_in_the_pnw
    @cori_in_the_pnw 11 หลายเดือนก่อน +10

    From a public health standpoint this is such important information. Thank you Dr Dray for taking the time to educate your viewers about this.

  • @marylawman8603
    @marylawman8603 11 หลายเดือนก่อน +20

    I didn't really this disease was even much of an issue anymore. Appreciate the detailed explanation of the disease. You are an awesome educator and I know this will be helpful to so many. Happy Tuesday, Dr Dray! I hope you have a peaceful evening. 💙

    • @jackiemarsh2470
      @jackiemarsh2470 11 หลายเดือนก่อน

      🙏💕💕💕🐈🐈🫖☕️☕️🍰🙏

  • @leonora8998
    @leonora8998 11 หลายเดือนก่อน +15

    My mum works at a small gynecology practitioner in Southern Germany and more and more cases with Syphilis come in.
    It is mandatory to test for all the sexually transmitted diseases in Germany when you’re pregnant. They diagnosed a young women who just got married and must have gotten it from her husband.
    So it’s not just in the US, it’s a similar rise in Europe.

  • @ericawentz2734
    @ericawentz2734 11 หลายเดือนก่อน +19

    Thank you, Dr. Dray, for this MASTER CLASS on syphilis. I so appreciate your detailed and frank discussion of this and other STI’s. I’m sharing this with my teenage children!

  • @jenessastrickland1555
    @jenessastrickland1555 11 หลายเดือนก่อน +9

    Thank you so much for addressing the fact that it may not be safe to contact previous sexual partners! And for educating people about this disease that probably most of us never thought we needed to think about!

  • @robertwhitman756
    @robertwhitman756 11 หลายเดือนก่อน +19

    Thank you for your unbiased education. Please be safe and get tested.

  • @minchoi6535
    @minchoi6535 หลายเดือนก่อน

    This is the best syphilis video I ever watched....as a Public health nurse, I notice syphilis cases are rising dramatically. Thank you for sharing your knowledge.

  • @humblebeginnings5131
    @humblebeginnings5131 11 หลายเดือนก่อน +4

    I remember seeing the pictures of syphilis for the first time during biomedical lectures and was horrified! You just never forget the damage it does. It’s forever etched in my brain. Thank god we have treatments for it now.

  • @hiannahgus574
    @hiannahgus574 11 หลายเดือนก่อน +23

    A friend of mine, a prosthodontal professor, told me that he recently saw a bad case of oral syphilis in a patient who came in for dental work. I would hope that dentists, as well as dermatologists and FMP’s/GP’s , would be very cognizant of the symptoms and stages.

    • @bethpemberton7980
      @bethpemberton7980 11 หลายเดือนก่อน +8

      U.S. dentist here. Yes, we are trained to include in our tentative diagnosis and frequent c.e. courses in oral pathology keeps my skills honed. Have seen two cases in the past year and I'm a pediatric dentist on call to an urgent care clinic. And recently syphilis was the answer to a case study in JADA. Oh yeah, we are looking!

    • @hiannahgus574
      @hiannahgus574 11 หลายเดือนก่อน

      @@bethpemberton7980 Good to know, thank you for your reply.

    • @rebeka145
      @rebeka145 11 หลายเดือนก่อน

      how does it look like ???when in throat or oral@@bethpemberton7980

  • @BlackSeranna
    @BlackSeranna 11 หลายเดือนก่อน +5

    Great video! Good job on educating people. One of my favorite pianists died of syphilis and I’m pretty sure he caught it from his mother (during birth), who worked in a brothel in the early 1900’s.
    Scott Joplin was his name. We still have his music but he was taken way too soon.

  • @rythebookguy
    @rythebookguy 11 หลายเดือนก่อน +9

    You’re truly amazing in spreading this kind of awareness. I’ve watched your videos for YEARS, and I’m completely amazed how comfortable you’ve grown in producing information and breaking it down for viewers to easily comprehend. You have been my saving grace when it comes to skincare and well-being, and because of you I now know more about potential STI’s that are on the rise. I’m so appreciative!!

  • @taintedlife2618
    @taintedlife2618 11 หลายเดือนก่อน +8

    It’s very sad we have enough to stress about. Thank goodness it’s treatable. Thanks Dr Dray for talking about things that can help people and reduce shame which hopefully reduces stigma and which reduced infection. In general we don’t see the education and outreach isn’t there like it was in the 1990s/early 2000s

  • @alyshal417
    @alyshal417 11 หลายเดือนก่อน +28

    Thank you as always for all your hard work for us. Loving your lip colour! Have a great day! 💕

    • @DrDrayzday
      @DrDrayzday  11 หลายเดือนก่อน +2

      Thank you!

  • @bichinbeanie
    @bichinbeanie 11 หลายเดือนก่อน +9

    ❤Such a SMART and COMMON SENSE approach to produce a VIDEO like this. THANK YOU! Dr. Dray for keeping it REAL!!😊

  • @plvt0n1vm
    @plvt0n1vm 11 หลายเดือนก่อน +9

    I had it before. Only reaction was throat issues that felt like the flu, and an ear infection. I'm sure you can deduce how I got it in my throat. Treatment was 3 shots of bicillin over 3 weeks.

  • @GeorgianaMicu-c6x
    @GeorgianaMicu-c6x 11 หลายเดือนก่อน +9

    Please, yes, more content on dermato-venerology!

  • @saylorsoul
    @saylorsoul 11 หลายเดือนก่อน +11

    Lots of cases of syphilis in California right now. Thank you for this video!

  • @heatherstephens9295
    @heatherstephens9295 11 หลายเดือนก่อน +5

    Gosh this is a shock. I haven’t heard of it for years & years. Thank you so much for educating us all 👍👍👍

  • @lindawilson795
    @lindawilson795 11 หลายเดือนก่อน +8

    We are fortunate that Dr. Dray shares her knowledge with us.💖

  • @TheBeluga2805
    @TheBeluga2805 11 หลายเดือนก่อน +6

    I love that Dr Dray addresses various medical topics, not just aesthetic concerns. Another very informative video!

  • @LauraLVTGW
    @LauraLVTGW 11 หลายเดือนก่อน +3

    While I'm not saying everyone should have the same morals and values, at least love yourself enough to protect yourself.
    We have drifted so far from religion, family and good neighbor practices. It is a true shame.
    God loves you, love yourself.
    Many blessings to all💖💖💖

  • @maddiemalacopa
    @maddiemalacopa 11 หลายเดือนก่อน +1

    Thanks sm Andrea! You inspired me to get a full blood panel appointment. Thanks also for mentioning that it could be unsafe to contact a past partner and resources for that AND that lack of access is part of the problem. I’m in california and IEHP is a great service, but getting it, was a super difficult process, and I’m about to lose it. Before I qualified I had private insurance through my job, but it was so expensive I couldn’t even afford to use it. I hope one day we can all just have universal health care without worrying about losing it or not being able to afford it. Appreciate you.

  • @seanstoutgamer
    @seanstoutgamer 11 หลายเดือนก่อน +14

    Happy Tuesday, Dr Dray!! Thanks for the education as always...

    • @DrDrayzday
      @DrDrayzday  11 หลายเดือนก่อน +2

      Morning!

  • @patwagner9308
    @patwagner9308 11 หลายเดือนก่อน +9

    I shared it to FaceBook. We need to get this information out there. Thank you, Andrea !!

  • @user-qb8qm4mp5n
    @user-qb8qm4mp5n 11 หลายเดือนก่อน +35

    Something to think about when you find out your partner has been cheating on you when you're supposed to be in a monogamous relationship. Not only is it emotional abuse, but you could get a deadly disease.

    • @r8chlletters
      @r8chlletters 11 หลายเดือนก่อน +4

      They may have contracted syphilis before they even met you and not know it. Always ask a new sexual partner to do a full panel STI test and show you the results on paper. That’s the loving and romantic thing to do.

    • @tenabarnes3269
      @tenabarnes3269 11 หลายเดือนก่อน

      I married my husband in Georgia in 1999 and we had to have a blood test then, but later on Georgia stopped requiring the tests.

  • @flappininthewind1
    @flappininthewind1 11 หลายเดือนก่อน +12

    This is fascinating to learn! Thank you for covering this.

  • @jeannegeusz2837
    @jeannegeusz2837 11 หลายเดือนก่อน +9

    Dr. Dray, You are an excellent teacher! Thank you 💕!

  • @SB-ht8uo
    @SB-ht8uo 11 หลายเดือนก่อน +2

    I love you so much. We are learning about syphilis in nursing school right now and we talked about the increasing rates of congenital and how detrimental it can be to the fetus/newborn.

  • @thanosfield2642
    @thanosfield2642 11 หลายเดือนก่อน +3

    It is really important to talk and aware everyone about such crucial matters such as syphilis. It is no shame by all means doctors are here to diagnose and treat. Also there is no fear or any sort of negative emotions about such matters our health comes first and bypasses these meaningless obstacles of fear and criticism. We should enjoy every bit of our lives and be sad (of course some moments are dark and depressing but as i always say the sun will rise again tomorrow bringing a new fresh day full with endless possibilities and if they is not a sun tomorrow remember it's still there behind the clouds so do let your hopes fall down 😊❤) stand up and cease the opportunities that are given to you. Thank you so much Doctor Andrea for enlightening us on such serious matters. As i know the full title is board certified dermatologist and venereologist 👍.

  • @megalopolis2015
    @megalopolis2015 11 หลายเดือนก่อน +2

    This is tragic, but the news doesn't surprise me st all. People are so focused on the abortion debate, they forget about AIDS, herpes, Chlamydia and syphilis, all of which can also occur with sex, especially unprotected by condoms (although herpes and HPV are small enough to swim through condoms at times). Thank you for bringing this awareness back to the forefront.

  • @diannstover9165
    @diannstover9165 11 หลายเดือนก่อน +4

    Thank you for spreading this awareness. I never thought it would be on the rise again

  • @annerebber2869
    @annerebber2869 11 หลายเดือนก่อน +1

    Kudos to you for using your platform to bring light to an important subject.

  • @jeni2974
    @jeni2974 11 หลายเดือนก่อน +3

    As a nursing student, I love this. Thank you!

  • @PamperedWife
    @PamperedWife 11 หลายเดือนก่อน +3

    I sure appreciate this video, as the mother of an 18-year-old headed off to college.

  • @kjfields6072
    @kjfields6072 11 หลายเดือนก่อน +3

    i was explained that most RPR tests are going to remain positive for life once contracting syphilis. the titer numbers might decrease and establish a baseline but if the number goes up then that will suggest reinfection. thank you for the video Dr. Dray.

  • @MyCleverHandle
    @MyCleverHandle 11 หลายเดือนก่อน +2

    Thank you for the PSA! Nice to see you haven't gone celebrity and ignored your medical training and mission!

  • @davidshabas3839
    @davidshabas3839 11 หลายเดือนก่อน +9

    Happy Tuesday Dr Dray so excited to be here I live for this ❤️

    • @DrDrayzday
      @DrDrayzday  11 หลายเดือนก่อน +3

      Morning!

    • @davidshabas9280
      @davidshabas9280 11 หลายเดือนก่อน +3

      @@DrDrayzday ❤

    • @whitneybrown4067
      @whitneybrown4067 11 หลายเดือนก่อน +3

      Greetings David Shabas hope u r well n Happy Tuesday😀👍💜….

    • @davidshabas9280
      @davidshabas9280 11 หลายเดือนก่อน +1

      @@whitneybrown4067 Happy Tuesday Whitney😀👍

  • @mylifewithmarmalade4624
    @mylifewithmarmalade4624 11 หลายเดือนก่อน

    Ex long term care worker here, one of the ladies I helped care for at a nursing home I worked for had been forced into the worlds oldest profession as a young single mom to make ends meet (this would have been back in the 60s). Most likely contracted syphilis during those years. Later when her kids were older and in school she found stable employment as a house keeper and never thought much about all her nagging health issues. Figured doctors were expensive and she was getting by. Even decades later her family cared for her and figured mom was just “getting old.” Didn’t get a proper diagnosis and treatment until the disease had rotted much of her brain and her eyes leaving her almost completely blind and with very severe dementia. They treated it and “cured” it, but the damage was already done.

  • @Annhienmoingay3333
    @Annhienmoingay3333 11 หลายเดือนก่อน +3

    To be successful you need a strong enough foundation. Please keep your health to progress to success.

  • @correaplayz01nunya93
    @correaplayz01nunya93 4 หลายเดือนก่อน

    Mine started out as a sore throat that was NOT normal, a month after my bf had the sore throat. I knew he cheated and it was related and researched. I made my doc test me- he thought i was being paranoid but it was positive! Always advocate for yourself and research symptoms

  • @evebrown7977
    @evebrown7977 11 หลายเดือนก่อน +5

    Now I got my answer why my DERM is also specialized in Syphilis. I was wondering, tho.
    And now I know why we call it Schanker because of the sore.
    I'm just blown away!
    Thanks for the video!

  • @Naturechild.x
    @Naturechild.x 11 หลายเดือนก่อน

    I've missed you so much. My life has completely changed in the past 4 years. I'm so glad to see you again!!!

    • @kita3256
      @kita3256 11 หลายเดือนก่อน

      What do you mean? Was she gone or something?

  • @anitaevans2432
    @anitaevans2432 11 หลายเดือนก่อน +5

    I'm shocked to see so many comments from people who are unaware of the risk of syphilis!

  • @mistyf219
    @mistyf219 11 หลายเดือนก่อน +1

    This detailed education needs to be in our schools!

  • @catherinelynnfraser2001
    @catherinelynnfraser2001 11 หลายเดือนก่อน +3

    Thank you Dr Dray. Awareness is key. I was fascinated by the early history of dermatology.

  • @lauras627
    @lauras627 11 หลายเดือนก่อน +2

    I think HOUSTON, TX is leading the nation with # of cases

  • @melodyblackhall6702
    @melodyblackhall6702 11 หลายเดือนก่อน +3

    Fascinating and informative video thankyou Dr. Dray. Not awesome that syphilis exists but pretty awesome that it helped advance the field of dermatology.

  • @markadams8041
    @markadams8041 11 หลายเดือนก่อน

    I used to be a paramedic. I did love playing doctor, especially using 12 and 15 leads. I have a book by an ER doctor and he talks about how recognizing WPW in cardiology is equivalent to recognizing syphilis without testing. Get tested!!

  • @dianelee6434
    @dianelee6434 11 หลายเดือนก่อน +8

    I remember when you were tested for syphilis before you could get married. Stay safe and warm. ❤

    • @sincerelystaceykaren
      @sincerelystaceykaren 11 หลายเดือนก่อน +3

      I remember that, too! Funny how times have changed, so much!

  • @Hello-ie2nr
    @Hello-ie2nr 11 หลายเดือนก่อน +1

    I am a primary care provider and have found 2 cases in 3 months.. deff out there

  • @SmirkInvestigator
    @SmirkInvestigator 11 หลายเดือนก่อน +6

    I never have had a textbook symptom or positive bloodwork for STDs. But for some reason I always have a suspicion and fear I might have syphillis. Considering this is in my algorithm feed it makes me think it knows something I don't. Or my roommates have it and the algos can't discern between our web activity.

  • @Fstop313
    @Fstop313 11 หลายเดือนก่อน +2

    I love how passionate you are about this!

  • @IanM2698
    @IanM2698 11 หลายเดือนก่อน +4

    Very interesting and straight to the point

  • @unjelli
    @unjelli 11 หลายเดือนก่อน +1

    This is great info! Consider doing more content on illness prevention, or dermatology history. It's cool to know about!

  • @amygalvin1799
    @amygalvin1799 11 หลายเดือนก่อน +3

    Thank you for educating. Ignorance is not bliss!