May I know why in China doctors always give Cephalosporines for different kinds of inflammations? is it ok? They prescribe it as much as hot water, in my experience, for me and the people around me. Sometimes you can even get it as OTC at the pharmacy, lol. Saline solution , instead, can't be bought at pharmacy( the half liter bottles, sprays are ok), you need to take it from hospital stock after approval!
I was once offered antibiotics for a lingering cough when all I wanted was to know if it was alright for me to return to work. The cough went away on it's own a few days later
Whenever you put out a new video, I always think to myself: he's set an impossible standard for himself, yet here we are again... exceeding expectations. Brilliant.
The pan-resistant pseudomonas made me gasp out loud. Found one last year. My boss was super excited, we now show it to every new doc who'll listen long enough as a cautionary tale. That and the Gonorrhoea we somehow managed to culture and keep alive for half a year now. Also RIP Bill, next time ask someone from the lab for food, we always have a (still sealed) granola bar for you. We can even warm it up in the incubator if you ask nicely :)
This is like a trip down memory lane through microbiology. Also, the “pan-resistant to change” killed me. This and the neurosurgery ones are my favorites yet
Rip Bill dude. But you know what? That 2 hour warning is worth every penny. This man now has time to properly prepare: toilet paper, comfortable toilet, comfort materials like headphones, speakers, a fully charged phone, a phone charger (long haul case), a healthy amount of water and crackers, and a disproportionately comfortable living space. Prepare for the worse Bill. The next 24-72 hours are gonna suck my guy. 😂😂😂
Last year mom in law had MRSA septicemia and the ER doctor initially gave her Ceftriazone. After the consult, the ID doctor quickly changed her antibiotics and found out that the cause of her infection was her ingrown toenail. I was so amazed!! ID med are like the Sherlock Holmes of medicine. 👏🏻👏🏻👏🏻
Curious to know whether your MIL lives independently, lives in a facility, or lives independently but had just recently been hospitalized or something? Interested both 1. as a person who has had an ingrown toenail and (decades ago) at least twice developed cellulitis from a really tiny heel blister she didn't cover properly, and is thus hyperaware of how quickly little-bitty foot issues can become big freakin' deals and 2. as the daughter of an elderly lady who wants to make sure she does everything she can to keep her mama healthy and aging in place.
Feeling seen, crop scientist here who started out in pest management (dealing w pesticide-resistant insects & fungal diseases) & moved on to food safety (RIP Bill). This whole series is A+ but am feeling this one on a deep level. :_)
As a molecular biologist, I felt every bit of the fear of antibiotic resistance and frustration at antibiotic misuse. Bonus fact: Most antibiotic resistance is found in plasmids, and not as part of bacteria's central chromosome (They do sometimes incorporate, but then also transpose back into plasmids). Given that such plasmids tend to have a fairly short generational half-life, if we could get every country on board, we could take select antibiotics completely out of circulation for a number of years. Those resistance plasmids would all but disappear in that time, allowing us to bring back those antibiotics into use at much greater efficacy and then take another set of antibiotics out of circulation, and repeat this cycle to keep our existing antibiotics viable for potentially decades or centuries.
@@juliamavroidi8601 near impossible to coordinate and many antibiotics are used for very specific cases: either out of habit or because it is backed by research
I thought we're doing something kinda like this with MRSA? Since it's a never ending cat and mouse game of outsmarting each other which I believe is why we have VRSA and VRE now
Yes! Please shame doctors for poor antibiotic choices and prescription errors. Like that time I found that a patient had been prescribed amoxycillin continuously for over six months, two weeks at a time, for some kind of foot ulcer by a succession of different doctors in the outpatient department who probably hadn't felt the need to check the patient history. Though self-prescribing patients are equally to blame, the number of times a patient has come to the pharmacy requesting 'just one amoxycillin capsule' for a sore throat, I swear... When infections become resistant to the last resort antibiotics, I'm telling the whole world I told you so. Sincerely, An exasperated pharmacist.
I'm a doctor, and that "one amoxycillin capsule for a sore throat" is the bane of my existence!!! I try to be understanding and not too judgemental, but when I hear that, makes me wanna scream... and don't get me started with moms or supervising doctors asking for me to prescribe antibiotics for what's clearly a viral infection, ugh...
Being aware of the antibiotic problem, I try to always ask if it is absolutely necessary when I am prescribed antibiotics, but it really feels like sometimes they just don't have any alternative answers :(
My doctor asked at an appt recently whether I wanted to try antibiotics for an ongoing issue, and I said "not yet. I'll just end up treated for a yeast infection or UTI". We're friends now. 🙃
Patients aren't "equally to blame" only one of those two groups went to med school and is expected to know what they're talking about and to be listened too the other is just grasping at straws to make the problem go away.
@@cyberninjazero5659 Nobody expects patients "to know what they are talking about". What they are, however, expected to do is to listen when medical professionals explain that what they are trying to do is a bad idea. Patients who think they know better and insist on using antibiotics as a magic pill for anything and everything that ails them do so despite repeated advice from medical professionals against it. At that point you can't exactly claim ignorance. Yes, malpractice occurs and better internal policing is necessary to reduce unauthorised access to antibiotics in the pharmacy system by self-prescribing patients. But however much you regulate it, that access will always be there as long as such people continue to ignore medical advice and create a demand. And seeing as antibiotics are not addictive in any traditional sense of the word, that portion of blame does fall squarely on the shoulders of those who self-prescribe.
as a Jonathan to clinical pharmacist-ICU consultant this hits too close to home. Pan- resistants are true fear. I just finished making report on 6 months antibiotic usage on those nasty pan-resistants and so many inappropriate/too late prescription. The biggest heartbreak was all these babies passed away without fighting chance 😭
Thanks for your work, really! May I know why in China doctors always give Cephalosporines for different kinds of inflammations? is it ok? They prescribe it as much as hot water, in my experience, for me and the people around me. Sometimes you can even get it as OTC at the pharmacy, lol. Saline solution , instead, can't be bought at pharmacy( the half liter bottles, sprays are ok), you need to take it from hospital stock after approval!
@@ayishaks6510 I thought about this possibility, like a percentage of sales as "commission" to them :( Many Chinese are weaker against common small diseases because of too much Cephalosporines. However, I'm not a doctor, just my father ，who is a retired nurse, so...just non professional hypotheses of mine.
As a nurse I love this channel, the stereotypes are so true. I love especially that this is the one specialty that he makes looks incredibly competent and noble. Its fun to make fun of so many of the other specialties but I like that he has given credit where it is due to these docs.
"shaming doctors for their antibiotic choices is one of the CORE competences of our fellowship program" Your accuracy and conciseness is unbelievable!!! Once one of my pregnant patients were criticaly ill and it was very likley that she would lose the baby within two days. But I was suggested to get blood cultures and wait for the antibiogram and to stop any antibiotic therapy till then which takes usually 2 to 5 days. Well, he had the bic picture of antibiotic resistency and I the small picture of this woman and her too small baby. Who is to blame?
As someone who reads medical records for a living, I love these videos because when I see these different specialties in the records, I have the various characters now playing in my head as I read their notes.
Hey Doctor! I loved your infectious disease clip so much!!! I'm a veterinarian, and very oft I battle infectious diseases by animals, always in regard to safekeeping the health of humans. Infections are really sometime a big challenge. Keep up the good work! (Sometimes it feels like the world has forgotten us veterinarians)
You're not forgotten, precious selfless humans like you are the ones who take care of our furry and not furry babies. I thank God every time I can find a good vet, because trusting my babies to someone wrecks me. When I was moving with my hubby to our house, just days before the wedding, I was so concerned about a having a veterinarian close to us, and a good one. There's one right at the corner and another a little bit further but is close too. I went once to the vet that is closer to my house to buy food for my doggie, in a matter of 15 minutes and just looking how she talked to her assistant, how the assistant handled the customers at the checkout and how the vet was holding the poor dog being checked by her... That was enough for me. We glance at each other knowing that our thoughts were exactly the same, that vet wouldn't put a finger on my babies so I told my husband "let's get out of here now, I mean NOW." We asked the electric door to be opened and it took 20 minutes to get out of that place. Now I take my babies to the other vet, she's amazing! And I feel so blessed because a good person, professional enough can take care of my babies. Thank you for your service to our loved onces.
There was actually a great TED talk awhile back about how human doctors and animal doctors should talk more because they could learn a lot from each other...well, mostly human doctors learning from animal doctors. It's hard to learn much about treating a dozen different species based on the knowledge of one, but much easier to learn how to treat one based on the knowledge of dozens.
One of my worst experiences: doing a PR exam (DRE) on a patient with diarrhea, and infectious disease call seconds later to say he's C. difficile positive 😭 probably because of the antibiotics we'd given him 😭😭😭 (I took a looong shower that day)
I am a clinical psychologist appointed to work with around 800 undergrad medical students and 300 specialising doctors and Dr Glaucomflecken is my and many of my patients' happy place. PS ...I felt seen with your sketch on luring doctors to the yoga session.
The more I see you the more fascinated I become by you. Your depth of knowledge combined with present them with humour does not make you an extraordinary doctor, or comedian or anything else. You are an international asset for a very long time and I pray for you always for a long healthy life ❤️
I once also was a MRSA patient that received penicillin. It took only a day until it got so serious that the doctor wanted to put me into hospital. Luckily the broad spectrum antibiotics I received did their job until the lab results were back and I got the correct antibiotic. Still, having a highly infectious disease while backpacking in Australia meant that for 4 weeks I had to move out of the hostel to a tent and wash my clothes and bedding daily, as well as desinfecting everything I touched more or less. Plus I also had to learn how to dress my own bandages which wasn't easy because I had open wounds all over. The wounds were from skin cuts from work or mosquito bites that I scratched open, every cut in my skin was leaking golden yellow pus for nearly 2 weeks. It didn't make me want to become an infectious disease doctor but it did raise my awareness for antibiotic resistant bacteria more than any news report ever could.
I was till now able to resist eating patients left over food although I was tempted many times. Therefore I assume that the work conditions might be better over here in my hospital (in Germany). My colleagues and I were able to introduce shift times not longer than 13 hours 18 years ago - in our department of OG. And: the director of the hospital was very eager to implement that!!!! He is a good human. All the people in our hospital are lucky.
I told an infectious disease doctor that I put myself on a course of horse antibiotics (tmps) - just to see his reaction. Best I could describe it was - think of when your PC crashed and displayed that blue screen of death, and now imagine that instead of the PC it's a human face. Worth it.
[waves] Infectious disease epidemiologist here. The medicine vs. public health mentality is real. We're all dreading the day that pan-resistant bacteria emerge, but at least we'll get to tell the doctors we told them so.
🤣🤣🤣 oh no Bill!! Everyone knows to only eat the *untouched* food left on the tray; not the half eaten stuff! Bill must have been *REALLY* hungry hahaha
@@nickcarroll8565 I mean… it’s basically just a protein shake? It would of got thrown away anyway! What a waste that would be… My saying is: “if it’s not isolation, it’s good for the takin’”
You are my favorite internet comedian! As a CRNA having gone to Anesthesia school at Baylor, I saw all of your memes played out over the years. You are spot on!! Thanks for all the laughs🤣
Throwback to 6 years ago when I caught something during the flu season and kept going back to the doctors because I was getting worse and got everything from a cold to flu, to bronchitis, to walking pneumonia as my diagnosis. Never did find out what the hell I had because the docs kept changing their minds and didn’t bother running the more extensive labs and cultures for whatever reason. 🤷♀️ My manager from at the time still forced me to come to work regardless of the diagnosis, which… I sure hope isn’t something he’s still doing. 🙃
It's very funny but at the same time very alarming even for us biologists that doctors are ordering antibiotics like sweets, causing more and more resistant strains to emerge. Keep entertaining us doc
@@RT710. we should use antibiotics but we should determine the right dose first, would you use a canon to kill a mosquito. It is not totally doctors fault, people these days are so impatient that they use strong antibiotics to recover quickly
@@anindyasil3 yes I agree totally. We do have guidelines and protocols for how much to give and when- they probably need to be amended though with our growing knowledge. I also agree that the animal farming industry is very culpable in this situation and should take much more responsibility for it
Yay! Finally an infectious disease one! I’m still in med school but I’ve already started prepping for fellowship by writing prose-like SOAP notes and roasting doctors giving out antibiotics inappropriately. A friend of my got doxy for his asthma and I was like ??? tf kinda doctor would give you DOXYCYCLINE for asthma and allergies??
The doctor gives out two pills. Antibiotics and or opium. A patient may get more than one pill name, but once they sift through the technobabble they will see they are getting either of those two things.
I love how they say the line of resistance to change and the guy for the interview was crying. I already knew Dr. G was a great actor but my lord, he is just too good!
Yep, had Vancomycin resistant C Diff for almost 4 months last year. Because of oral surgery twice with 10 days of augmentin plus prednisolone each time. Thanks to insurance I couldn't get a prescription approved for Dificid until the second time that Vancomycin had no effect. Ended up costing the insurance company about $40,000 more than if they would have approved the fidaxomycin the first time my primary provider wrote the Rx. Probably.
I live in Northern Florida in the USA. I went to the ER for pneumonia, I caught necrotizing fasciitis on my right leg from an improperly cleaned emergency room gurney railing, and the infectious disease doctor misdiagnosed me initially. (Necrotizing fasciitis was "epidemic" where I live when this happened. I am told it was due to people swimming in several infected water run off ponds.) Rather than changing his diagnosis he insisted he was right, and after 8 days the Doctor who oversaw my case had me smuggled out to another hospital at 2am. When I got to the other hospital, the staff there took one look at my leg and said, "She's got necrotizing fasciitis. Schedule her for surgery." I owe that Doctor who arranged for my transport to another hospital at 2am my life. The Infectious disease doctor had told a loved one that he thought he should "take me off the antibiotics and let's see what happens" and she spoke to the Doctor overseeing my case, which is probably why he acted when he did. What would have happened was that I would have died. That infectious disease doctor no longer works at that hospital, btw. Anyway, the surgeon removed all of the fascia and some of the muscle bed from my leg from the knee down, replaced the lost muscle with corpse muscle, and took skin from my shoulders for a skin graft. They did a great job. I'm alive and I can move my leg and my foot! However, I have been trying to heal this leg for over FOUR YEARS NOW! I caught pseudomonas - probably from a home care nurse because it showed the first signs the day after her first visit and by the time she had been here three times (over a week's period) my leg was horribly infected. (No one touches my leg, which is completely bandaged in multiple layers of various items and covered at all times with a clean disposable chuck, except for doctors and nurses.) Apparently I wasn't the only one, because she was fired shortly after my wound care doctor contacted the home health company. They keep putting me on antibiotics and sometimes it seems to clear up mostly, and then the prescription runs out and It keeps coming back. (drainage the color of a pool table - green with a bit of blue to it.) Any suggestions on what to say to the Doctor to get them to keep me on antibiotics long enough to get rid of ALL of the infection? Or do I have this pan-resistant pseudomonas that they talk about in this video?
I’m having actual flashbacks to “Superbugs” by Matt McCarthy, but as he points out, antibiotic stewardship is more about picking /appropriate/ antibiotics (not limiting them) and all antibiotics probably already have natural resistance at some level. Anyway… great video! I loved it.
It's also about *patients* actually taking their full course of antibiotics, even if they feel fine halfway through it. You have to kill *all* of the bacteria, or the ones you didn't get will repopulate with the added benefit of that strong selection pressure towards antibiotic resistance.
Triaging a patient the orher day, she said she recently had a cold but had just finished her antibiotics for it. I told her she REALLY shouldn't get antibiotics for a cold, and her response was "oh, I know, but my doctor prescribed them 🤷🏻♀️". I wanted to scream at her "if you know better, then just don't accept them! If your doctor prescribed dog poop would you eat it?!?"
I'm starting to feel smart cause of this channel. I love learning but everything is self taught. Realizing I understand what he's talking about is 🤯🥳 I always say I'm stupid but maybe not as stupid as i thought.
I had MRSA in a surgical wound last century; I recovered by doing all my own wound care, because it quickly became apparent that scientists have much better aseptic technique than the medicos who were treating me (Exhibit A: the surgeon who didn't like to wash his hands between patients, because it dried out his skin and wasted his time). I can keep keratinocytes alive in culture without antibiotics, so dressings changes were a doddle. Lots of irrigation, lots of povidone iodine, and lots of sunlight. Exhibit A wanted to write me up in a journal article; sure I said, so long as I get authorship and final approval of the manuscript because I devised the treatment regime. Oh no, he said, you're a PATIENT. Well then, far cough, I said, and no, you can't have the pictures of the wound closing, no matter how much you cry. Poor ortho bro, he was so annoyed I bet he had to go and kick a kettle bell after that. Pan-resistant TB is what keeps me awake at night. It's rampant in PNG, and the islands that are just a short ride in a small tin boat north of Australia. And it responds to NOTHING. And I don't understand why more people aren't terrified.
TB is a horrible disease, and even the course of antibiotic treatment for them takes months to complete (IZ, RIF, ETH and PZ). MDR TB... The Horror, the horror.
Some people have a medical history, you have seem to have medical adventures. Kudos on the self wound care and on standing your ground on that manuscript. The nerve of that "Exhibit A" wanting to get a scientific paper out of your work...
People forgot what disease was like before so they take modern medicine for granted and even bash (look at the anti-vax movement) we have no one too blame but our own stupidity and ego
@@ApparentlyGoogledislikesmyname Adventures in motorcycling, with some taking on a medical flavour. 😁 Exhibit A was later replaced by an actually cool ortho bro, he who couldn't stand the sight of puke, but did wash his hands before and after each consult.
@@chickennoodle6620 I will never understand how anybody could think that there was anything romantic and ethereally beautiful about dying of pulmonary TB.
As a patient that has antibiotic resistant problems. THANK YOU! (At least some of my other meds still work. I heard that there is no money in grahm negative antibiotics for the pharm companies. Which sucks.)
As soon as they mentioned the mustard, i knew exactly where this was going. Incredible fucking continuity between skits. Also, painful and hilarious accuracy. That patient to staff e.coli infection is exactly why dietary stopped bringing up boiled eggs for the breakfast trays in my ER. That cheap, stolen protein was too tempting a threat to my broke, depression-addled residents.
As a patient who has had to do IV Vancomycin at home for 8 weeks while still working a fulltime job and having an external fixator on my right arm due to being given 2, YES TWO staph infections during surgery to fix my broken bones in my right arm this is great comedy! I've also dealt with my 2nd husband being on Vancomycin for 8 weeks for MRSA which ate a hole behind his right eye the size of a walnut according to the ENT doc who gave him the disease while using a new flexible scope between patients which he thought was disinfected enough. No it wasn't. He also got Pseudomonas Aureganoses from the ICU when in for aspirated double pneumonia. He finally passed 7 years later after the MRSA episode from COPD while smoking 3 packs a day and being on oxygen. You only get one body, take good care of yourself as enough weird stuff will happen anyway and the healthier you are, the better chance you have to survive. Modern medicine is AWESOME but get your vaccinations like me and stay boosted. I have 2 autoimmune diseases and your help in getting us to 90% Vaccinated in the USA is greatly appreciated and Many Blessings!!! Love this channel
I don't remember how I found these videos as I am not even doctor adjacent, but some of these lines could be complete gibberish, and I wouldn't know the difference. The humor transcends total understanding though. Doc is always good for a laugh.
Are Johnathans allowed to provide quickly consumable nutrition to put into the break rooms? As a future Johnathan, I would like to prevent low-glucose and fluid levels for the organic members of staff by supplying Boost Meal Replacement drinks and/or Core Power protein drinks.
I want to give Bill a hug, I am Bill at work coworkers will be like did you eat lunch today it’s 6 PM and you’ve been here since 7 AM and I’ll be like does chugging hot coffee and burning my mouth in the process count cuz if so, you bet!
Bill deserves a hug, for real. And I totally understand and feel you at the coffee part. Good God... But let's give that hug after the diarrhea episodes or at least until he doesn't need to go to the bathroom 4 times every hour, oh and a dewormer pill and a thoroughly shower.
That was a personal attack at Bill. We stan in solidarity with Bill :')
It's his own fault, down with Bill, feed him antiBillotics
I see what you did there ;-)
"Which means in roughly 2 hours Bill will be overcome with E Coli induced explosive diarrhoea " I think I'll just support him from here. Go Bill.
Actually, I think we have to be sitting down in solidarity with Bill … in about two hours that is
Bill violated the unspoken rule of leftover trays… “if it’s not isolation, it’s good for the takin’”
as an Infectious Disease Fellow, we basically spend all day fixing all the other doctors’ antibiotic mistakes.
We take it personally.
My Father (Infectious Disease Expert) scolds Me (Emergency Med Resident) Quite Everyday.
Damn Me
May I know why in China doctors always give Cephalosporines for different kinds of inflammations? is it ok? They prescribe it as much as hot water, in my experience, for me and the people around me. Sometimes you can even get it as OTC at the pharmacy, lol. Saline solution , instead, can't be bought at pharmacy( the half liter bottles, sprays are ok), you need to take it from hospital stock after approval!
@@theowleyes07 Do you be giving out the vancomycin too soon?
I was once offered antibiotics for a lingering cough when all I wanted was to know if it was alright for me to return to work.
The cough went away on it's own a few days later
@@youreworthyourweightinavoc7189 well My Father Scolds Me For Every Patient History i Have Ever Written
When he asked "What is your greatest fear?", I thought he'd answer: "Character limits in free text fields"
Whenever you put out a new video, I always think to myself: he's set an impossible standard for himself, yet here we are again... exceeding expectations. Brilliant.
So true
"Billiant"
@@Listrynne stole it >:(
@@hgfkowgxnfkpeosuvjgosa4431 Thanks. 😁
💯💯💯
The pan-resistant pseudomonas made me gasp out loud. Found one last year. My boss was super excited, we now show it to every new doc who'll listen long enough as a cautionary tale. That and the Gonorrhoea we somehow managed to culture and keep alive for half a year now. Also RIP Bill, next time ask someone from the lab for food, we always have a (still sealed) granola bar for you. We can even warm it up in the incubator if you ask nicely :)
How dare you fascinate me with long term pet gonorrhea.
I've finally found my people..
We need a six months update, is the Gonorrhoea culture still alive after a year?
@@FirstDagger it is! and we still show it to everyone who stands still long enough.
@@caella.v ; Nice.
@@caella.v 😂
This is like a trip down memory lane through microbiology. Also, the “pan-resistant to change” killed me. This and the neurosurgery ones are my favorites yet
Neurosurgery is my fav too😂💀
I hope he does psychiatric.
Well it could literally kill you
Rip Bill dude. But you know what? That 2 hour warning is worth every penny. This man now has time to properly prepare: toilet paper, comfortable toilet, comfort materials like headphones, speakers, a fully charged phone, a phone charger (long haul case), a healthy amount of water and crackers, and a disproportionately comfortable living space. Prepare for the worse Bill. The next 24-72 hours are gonna suck my guy. 😂😂😂
Oh, he’ll need electrolyte replacement too. Helloooo Gatorade. 😉
Last but not least be close enough to the toilet to make it in time
(Long haul case) 🤣🤣🤣 oh no at least he can prepare hahaha
@Steven Monserrate. Sounds like you been there, mate.
@@ajessm not personally, but I've helped people recover from the struggle lol. That's part of the reason why I make my own food like 99% of the time 😅
Last year mom in law had MRSA septicemia and the ER doctor initially gave her Ceftriazone. After the consult, the ID doctor quickly changed her antibiotics and found out that the cause of her infection was her ingrown toenail. I was so amazed!!
ID med are like the Sherlock Holmes of medicine. 👏🏻👏🏻👏🏻
Which Antibiotic did she ultimately get?
@@2Bad4YOUuu most surely doxyciclin, its very good at getting to skin
Curious to know whether your MIL lives independently, lives in a facility, or lives independently but had just recently been hospitalized or something? Interested both
1. as a person who has had an ingrown toenail and (decades ago) at least twice developed cellulitis from a really tiny heel blister she didn't cover properly, and is thus hyperaware of how quickly little-bitty foot issues can become big freakin' deals
and
2. as the daughter of an elderly lady who wants to make sure she does everything she can to keep her mama healthy and aging in place.
Feeling seen, crop scientist here who started out in pest management (dealing w pesticide-resistant insects & fungal diseases) & moved on to food safety (RIP Bill). This whole series is A+ but am feeling this one on a deep level. :_)
As a molecular biologist, I felt every bit of the fear of antibiotic resistance and frustration at antibiotic misuse.
Bonus fact: Most antibiotic resistance is found in plasmids, and not as part of bacteria's central chromosome (They do sometimes incorporate, but then also transpose back into plasmids). Given that such plasmids tend to have a fairly short generational half-life, if we could get every country on board, we could take select antibiotics completely out of circulation for a number of years. Those resistance plasmids would all but disappear in that time, allowing us to bring back those antibiotics into use at much greater efficacy and then take another set of antibiotics out of circulation, and repeat this cycle to keep our existing antibiotics viable for potentially decades or centuries.
That's cool! It's like crop rotation for antibiotics.
why don't we do that then?
@@juliamavroidi8601 near impossible to coordinate and many antibiotics are used for very specific cases: either out of habit or because it is backed by research
Please listen to this person- lifelong vur-uti-Ic patient.
I thought we're doing something kinda like this with MRSA? Since it's a never ending cat and mouse game of outsmarting each other which I believe is why we have VRSA and VRE now
Yes! Please shame doctors for poor antibiotic choices and prescription errors. Like that time I found that a patient had been prescribed amoxycillin continuously for over six months, two weeks at a time, for some kind of foot ulcer by a succession of different doctors in the outpatient department who probably hadn't felt the need to check the patient history.
Though self-prescribing patients are equally to blame, the number of times a patient has come to the pharmacy requesting 'just one amoxycillin capsule' for a sore throat, I swear...
When infections become resistant to the last resort antibiotics, I'm telling the whole world I told you so.
Sincerely,
An exasperated pharmacist.
I'm a doctor, and that "one amoxycillin capsule for a sore throat" is the bane of my existence!!! I try to be understanding and not too judgemental, but when I hear that, makes me wanna scream... and don't get me started with moms or supervising doctors asking for me to prescribe antibiotics for what's clearly a viral infection, ugh...
Being aware of the antibiotic problem, I try to always ask if it is absolutely necessary when I am prescribed antibiotics, but it really feels like sometimes they just don't have any alternative answers :(
My doctor asked at an appt recently whether I wanted to try antibiotics for an ongoing issue, and I said "not yet. I'll just end up treated for a yeast infection or UTI". We're friends now. 🙃
Patients aren't "equally to blame" only one of those two groups went to med school and is expected to know what they're talking about and to be listened too the other is just grasping at straws to make the problem go away.
@@cyberninjazero5659 Nobody expects patients "to know what they are talking about". What they are, however, expected to do is to listen when medical professionals explain that what they are trying to do is a bad idea. Patients who think they know better and insist on using antibiotics as a magic pill for anything and everything that ails them do so despite repeated advice from medical professionals against it. At that point you can't exactly claim ignorance.
Yes, malpractice occurs and better internal policing is necessary to reduce unauthorised access to antibiotics in the pharmacy system by self-prescribing patients. But however much you regulate it, that access will always be there as long as such people continue to ignore medical advice and create a demand. And seeing as antibiotics are not addictive in any traditional sense of the word, that portion of blame does fall squarely on the shoulders of those who self-prescribe.
as a Jonathan to clinical pharmacist-ICU consultant this hits too close to home. Pan- resistants are true fear. I just finished making report on 6 months antibiotic usage on those nasty pan-resistants and so many inappropriate/too late prescription. The biggest heartbreak was all these babies passed away without fighting chance 😭
Thanks for your work.
even UV lamp aint killin' those? welp, my hazmat is ordered then.
Thanks for your work, really!
May I know why in China doctors always give Cephalosporines for different kinds of inflammations? is it ok? They prescribe it as much as hot water, in my experience, for me and the people around me. Sometimes you can even get it as OTC at the pharmacy, lol. Saline solution , instead, can't be bought at pharmacy( the half liter bottles, sprays are ok), you need to take it from hospital stock after approval!
@@lucabuzzotta2303 they are making money. Tbh, just make saline yourself. Salt and boiled water.
@@ayishaks6510 I thought about this possibility, like a percentage of sales as "commission" to them :(
Many Chinese are weaker against common small diseases because of too much Cephalosporines. However, I'm not a doctor, just my father ，who is a retired nurse, so...just non professional hypotheses of mine.
Platinum, wrapped in gold, with caviar on top, with a side of satire.
As a nurse I love this channel, the stereotypes are so true. I love especially that this is the one specialty that he makes looks incredibly competent and noble. Its fun to make fun of so many of the other specialties but I like that he has given credit where it is due to these docs.
"shaming doctors for their antibiotic choices is one of the CORE competences of our fellowship program"
Your accuracy and conciseness is unbelievable!!!
Once one of my pregnant patients were criticaly ill and it was very likley that she would lose the baby within two days. But I was suggested to get blood cultures and wait for the antibiogram and to stop any antibiotic therapy till then which takes usually 2 to 5 days.
Well, he had the bic picture of antibiotic resistency and I the small picture of this woman and her too small baby. Who is to blame?
As someone who reads medical records for a living, I love these videos because when I see these different specialties in the records, I have the various characters now playing in my head as I read their notes.
Yes!!! Wicked funny!
I did have to look up A LOT of the terms in this video which only made it funnier!
Hey Doctor!
I loved your infectious disease clip so much!!! I'm a veterinarian, and very oft I battle infectious diseases by animals, always in regard to safekeeping the health of humans.
Infections are really sometime a big challenge.
Keep up the good work!
(Sometimes it feels like the world has forgotten us veterinarians)
💞💞💞💞
You're not forgotten, precious selfless humans like you are the ones who take care of our furry and not furry babies. I thank God every time I can find a good vet, because trusting my babies to someone wrecks me. When I was moving with my hubby to our house, just days before the wedding, I was so concerned about a having a veterinarian close to us, and a good one. There's one right at the corner and another a little bit further but is close too.
I went once to the vet that is closer to my house to buy food for my doggie, in a matter of 15 minutes and just looking how she talked to her assistant, how the assistant handled the customers at the checkout and how the vet was holding the poor dog being checked by her... That was enough for me.
We glance at each other knowing that our thoughts were exactly the same, that vet wouldn't put a finger on my babies so I told my husband "let's get out of here now, I mean NOW."
We asked the electric door to be opened and it took 20 minutes to get out of that place.
Now I take my babies to the other vet, she's amazing! And I feel so blessed because a good person, professional enough can take care of my babies.
Thank you for your service to our loved onces.
You're not forgotten. I admire veterinarians greatly.
Especially post covid
There was actually a great TED talk awhile back about how human doctors and animal doctors should talk more because they could learn a lot from each other...well, mostly human doctors learning from animal doctors. It's hard to learn much about treating a dozen different species based on the knowledge of one, but much easier to learn how to treat one based on the knowledge of dozens.
@@Trevor21230 that's a lovely idea. I think that exchange of experiences must be an enrichment activity
One of my worst experiences: doing a PR exam (DRE) on a patient with diarrhea, and infectious disease call seconds later to say he's C. difficile positive 😭 probably because of the antibiotics we'd given him 😭😭😭 (I took a looong shower that day)
Just one?
@@pembrokelove he's a doctor. Wouldn't have time to take more than one shower a day
@@ChageeyaSarang you’d be surprised what you can make time for when you’re covered in C diff matter. 😂😂😂
Why though? What were you looking for down there?
@@fatemehhajizadehsaffar6882 yeah, I’m pretty sure a dre can wait until diarrhea is resolved 99/100 times.
As a student studying antibiotic resistance, I loled extra and loved this so much. Thanks for adding a laugh to our days!
We finally discovered doctor bills real problem… He’s participating in every single fellowship at once.
Glad I'm not the only one who recognizes the insane quality here! Fantastic job Doc 👏
I just took microbiology for pre-nursing and I feel so proud that I understood all of this :')
I am a clinical psychologist appointed to work with around 800 undergrad medical students and 300 specialising doctors and Dr Glaucomflecken is my and many of my patients' happy place. PS ...I felt seen with your sketch on luring doctors to the yoga session.
"pan-resistant to change" love it! And poor Bill.
You, sir, are a treasure to us all. Bravo 👏
Poor Bill!! Hugs from your fans here in Argentina ♥️
The more I see you the more fascinated I become by you. Your depth of knowledge combined with present them with humour does not make you an extraordinary doctor, or comedian or anything else. You are an international asset for a very long time and I pray for you always for a long healthy life ❤️
I understand literally zero of the things you said and still found it hilarious. Love this channel ❤️
I once also was a MRSA patient that received penicillin. It took only a day until it got so serious that the doctor wanted to put me into hospital.
Luckily the broad spectrum antibiotics I received did their job until the lab results were back and I got the correct antibiotic.
Still, having a highly infectious disease while backpacking in Australia meant that for 4 weeks I had to move out of the hostel to a tent and wash my clothes and bedding daily, as well as desinfecting everything I touched more or less.
Plus I also had to learn how to dress my own bandages which wasn't easy because I had open wounds all over. The wounds were from skin cuts from work or mosquito bites that I scratched open, every cut in my skin was leaking golden yellow pus for nearly 2 weeks.
It didn't make me want to become an infectious disease doctor but it did raise my awareness for antibiotic resistant bacteria more than any news report ever could.
I was till now able to resist eating patients left over food although I was tempted many times.
Therefore I assume that the work conditions might be better over here in my hospital (in Germany).
My colleagues and I were able to introduce shift times not longer than 13 hours 18 years ago - in our department of OG. And: the director of the hospital was very eager to implement that!!!! He is a good human. All the people in our hospital are lucky.
I told an infectious disease doctor that I put myself on a course of horse antibiotics (tmps) - just to see his reaction. Best I could describe it was - think of when your PC crashed and displayed that blue screen of death, and now imagine that instead of the PC it's a human face. Worth it.
Hahaha I can only imagine their look when I told them I was blasting 15 grams a day of amoxicillin and 6 grams of cephalexin
And it was for real. I had misdiagnosed tuberculosis and I knew I had an infection I just didn't know what kind lol
[waves] Infectious disease epidemiologist here. The medicine vs. public health mentality is real. We're all dreading the day that pan-resistant bacteria emerge, but at least we'll get to tell the doctors we told them so.
Brilliant! They just keep getting better & better.
Get Bill an IV and start fluids. He’s going to need them. Poor Bill
🤣🤣🤣 oh no Bill!! Everyone knows to only eat the *untouched* food left on the tray; not the half eaten stuff! Bill must have been *REALLY* hungry hahaha
As an intern of culture, I only helped myself to the unopened tube feeds.
@@nickcarroll8565 I mean… it’s basically just a protein shake? It would of got thrown away anyway! What a waste that would be… My saying is: “if it’s not isolation, it’s good for the takin’”
You are my favorite internet comedian! As a CRNA having gone to Anesthesia school at Baylor, I saw all of your memes played out over the years. You are spot on!! Thanks for all the laughs🤣
THE TEAR.
Throwback to 6 years ago when I caught something during the flu season and kept going back to the doctors because I was getting worse and got everything from a cold to flu, to bronchitis, to walking pneumonia as my diagnosis. Never did find out what the hell I had because the docs kept changing their minds and didn’t bother running the more extensive labs and cultures for whatever reason. 🤷♀️ My manager from at the time still forced me to come to work regardless of the diagnosis, which… I sure hope isn’t something he’s still doing. 🙃
You are in charge of your own care. Insist on more testing or change doctors. It's your life not theirs, plus you are paying.
Narrator: he is (Still doing.)
That is an absolute shame. Both parts of your story. 😠
@@coffeecake8835 pp I'm
@@LydJaGillers #UnexpectedRonHoward
Watching these videos are what I do with my free time in PA school. Fingers crossed to work with an awesome doctor & mentor like Dr. G!
Chapter 3 of his personal statement had me rolling
That's when we lost it here...
Infectious disease doctor here, this was all SPOT ON!
The subtle "chapter 3" reference on his personal statement hinting at how long ID notes are... genius.
It's very funny but at the same time very alarming even for us biologists that doctors are ordering antibiotics like sweets, causing more and more resistant strains to emerge.
Keep entertaining us doc
Should we only use antibiotics in septic patients then?? Are prophylactic antibiotics a bad idea??
You think that’s bad, look at the meat industry and what they do in industrial farms.
@@nickcarroll8565 I know, I said that on an overall basis
@@RT710. we should use antibiotics but we should determine the right dose first, would you use a canon to kill a mosquito. It is not totally doctors fault, people these days are so impatient that they use strong antibiotics to recover quickly
@@anindyasil3 yes I agree totally. We do have guidelines and protocols for how much to give and when- they probably need to be amended though with our growing knowledge. I also agree that the animal farming industry is very culpable in this situation and should take much more responsibility for it
Every second is a joke and would be a fine end to any video but it doesn't stop and just keeps coming with the jokes!! You're a comedic genius!
The pride on his face at the end... ❤️ I wish someone was as proud of me 🙈🥺
As much as I love pathology, infectious disease for the win! Hahaha but on another note, no bill doesn't deserve the E.coli!
🎉 awesome! I learn a lot from your vids. Ty for doing lots of resesrcnh on different tópics!!!👍👍👍👍
Yay! Finally an infectious disease one! I’m still in med school but I’ve already started prepping for fellowship by writing prose-like SOAP notes and roasting doctors giving out antibiotics inappropriately. A friend of my got doxy for his asthma and I was like ??? tf kinda doctor would give you DOXYCYCLINE for asthma and allergies??
The doctor gives out two pills. Antibiotics and or opium. A patient may get more than one pill name, but once they sift through the technobabble they will see they are getting either of those two things.
plot twist....your friend actually has alpha-1-anti trypsin deficiency and was having an acute COPD exacerbation.
@@mr.sirhoffer5553 or it was two-for visit and was getting their acne treated too lmao
Once a patient came in with encephalitis, and a doc ordered cefuroxime, and the attending was howling because that doesnt cross the BBB :p
@@nickcarroll8565 he doesn’t have acne 😋
I love how they say the line of resistance to change and the guy for the interview was crying. I already knew Dr. G was a great actor but my lord, he is just too good!
That was well done.
... Possibly unlike the chicken in Bill's scavenged sandwich.💩
I can't XDXDXD
As a Med Tech turned PA, this one really speaks to me
New favorite channel i think.
Funny as always. Always happy to see you post something new!
Yep, had Vancomycin resistant C Diff for almost 4 months last year. Because of oral surgery twice with 10 days of augmentin plus prednisolone each time. Thanks to insurance I couldn't get a prescription approved for Dificid until the second time that Vancomycin had no effect. Ended up costing the insurance company about $40,000 more than if they would have approved the fidaxomycin the first time my primary provider wrote the Rx. Probably.
I respect Bill's resilience
He must have done all his modules.
The amount of research and time you would have put in to make every single video, impressive!
I live in Northern Florida in the USA. I went to the ER for pneumonia, I caught necrotizing fasciitis on my right leg from an improperly cleaned emergency room gurney railing, and the infectious disease doctor misdiagnosed me initially. (Necrotizing fasciitis was "epidemic" where I live when this happened. I am told it was due to people swimming in several infected water run off ponds.) Rather than changing his diagnosis he insisted he was right, and after 8 days the Doctor who oversaw my case had me smuggled out to another hospital at 2am. When I got to the other hospital, the staff there took one look at my leg and said, "She's got necrotizing fasciitis. Schedule her for surgery." I owe that Doctor who arranged for my transport to another hospital at 2am my life. The Infectious disease doctor had told a loved one that he thought he should "take me off the antibiotics and let's see what happens" and she spoke to the Doctor overseeing my case, which is probably why he acted when he did. What would have happened was that I would have died. That infectious disease doctor no longer works at that hospital, btw. Anyway, the surgeon removed all of the fascia and some of the muscle bed from my leg from the knee down, replaced the lost muscle with corpse muscle, and took skin from my shoulders for a skin graft. They did a great job. I'm alive and I can move my leg and my foot!
However, I have been trying to heal this leg for over FOUR YEARS NOW! I caught pseudomonas - probably from a home care nurse because it showed the first signs the day after her first visit and by the time she had been here three times (over a week's period) my leg was horribly infected. (No one touches my leg, which is completely bandaged in multiple layers of various items and covered at all times with a clean disposable chuck, except for doctors and nurses.) Apparently I wasn't the only one, because she was fired shortly after my wound care doctor contacted the home health company. They keep putting me on antibiotics and sometimes it seems to clear up mostly, and then the prescription runs out and It keeps coming back. (drainage the color of a pool table - green with a bit of blue to it.) Any suggestions on what to say to the Doctor to get them to keep me on antibiotics long enough to get rid of ALL of the infection? Or do I have this pan-resistant pseudomonas that they talk about in this video?
These skits seriously help me after a long shift, thank you!
🤦🏼♂️ Bill, Bill, Bill.... might I recommend Quilted Northern, extra strength. It's a small comfort, but, sometimes that's all we have. 😏
And steal some A&D ointment from the supply room.
I absolutley enjoy watching these videos. Truly makes me laugh and feel good! Thank you for posting.
As someone investigating antibiotic use in hospital settings I thank you for bringing attention to how we are pan resistant to change😂
My daily three minutes of serotonin. Thank you for this.
That’s ok Bill; every customer of Taco Bell has been there. We stand with you!
What? You ate their salad?
I’m having actual flashbacks to “Superbugs” by Matt McCarthy, but as he points out, antibiotic stewardship is more about picking /appropriate/ antibiotics (not limiting them) and all antibiotics probably already have natural resistance at some level.
Anyway… great video! I loved it.
It's also about *patients* actually taking their full course of antibiotics, even if they feel fine halfway through it. You have to kill *all* of the bacteria, or the ones you didn't get will repopulate with the added benefit of that strong selection pressure towards antibiotic resistance.
Triaging a patient the orher day, she said she recently had a cold but had just finished her antibiotics for it. I told her she REALLY shouldn't get antibiotics for a cold, and her response was "oh, I know, but my doctor prescribed them 🤷🏻♀️". I wanted to scream at her "if you know better, then just don't accept them! If your doctor prescribed dog poop would you eat it?!?"
This one of your best videos to date, well done man
One of the best ones so far
I'm learning medical microbiology right now, and this hits so many targets of things I've learned! It's so cool :)
You know doc, you sure know a lot of body medicine words for an ophthalmologist
I suspect that the reason for that is that he actually did go to a medical school.
Your best so far! My favourite 😁😁😁
Poor Bill 😂 Also, "we're the ones resistant to change," hits way too hard right now 😫
Incredible work doctor, I really appreciate all your contents
Bill needs a redemption arc. This is gut-wrenching.
I'm starting to feel smart cause of this channel. I love learning but everything is self taught. Realizing I understand what he's talking about is 🤯🥳 I always say I'm stupid but maybe not as stupid as i thought.
OMG Bill! Won’t somebody please help this man?! Please let’s get together and save Bill!🥺
When Bill finally breaks, nero will turn him into a Jonathan.
I was hoping that the applicant's HPI would be long, so was quite pleased to hear his personal statement had several chapters. Did not disappoint.
I had MRSA in a surgical wound last century; I recovered by doing all my own wound care, because it quickly became apparent that scientists have much better aseptic technique than the medicos who were treating me (Exhibit A: the surgeon who didn't like to wash his hands between patients, because it dried out his skin and wasted his time). I can keep keratinocytes alive in culture without antibiotics, so dressings changes were a doddle. Lots of irrigation, lots of povidone iodine, and lots of sunlight. Exhibit A wanted to write me up in a journal article; sure I said, so long as I get authorship and final approval of the manuscript because I devised the treatment regime. Oh no, he said, you're a PATIENT. Well then, far cough, I said, and no, you can't have the pictures of the wound closing, no matter how much you cry. Poor ortho bro, he was so annoyed I bet he had to go and kick a kettle bell after that.
Pan-resistant TB is what keeps me awake at night. It's rampant in PNG, and the islands that are just a short ride in a small tin boat north of Australia. And it responds to NOTHING. And I don't understand why more people aren't terrified.
TB is a horrible disease, and even the course of antibiotic treatment for them takes months to complete (IZ, RIF, ETH and PZ). MDR TB... The Horror, the horror.
Some people have a medical history, you have seem to have medical adventures. Kudos on the self wound care and on standing your ground on that manuscript. The nerve of that "Exhibit A" wanting to get a scientific paper out of your work...
People forgot what disease was like before so they take modern medicine for granted and even bash (look at the anti-vax movement) we have no one too blame but our own stupidity and ego
@@ApparentlyGoogledislikesmyname Adventures in motorcycling, with some taking on a medical flavour. 😁 Exhibit A was later replaced by an actually cool ortho bro, he who couldn't stand the sight of puke, but did wash his hands before and after each consult.
@@chickennoodle6620 I will never understand how anybody could think that there was anything romantic and ethereally beautiful about dying of pulmonary TB.
As a patient that has antibiotic resistant problems. THANK YOU! (At least some of my other meds still work. I heard that there is no money in grahm negative antibiotics for the pharm companies. Which sucks.)
As soon as they mentioned the mustard, i knew exactly where this was going.
Incredible fucking continuity between skits. Also, painful and hilarious accuracy. That patient to staff e.coli infection is exactly why dietary stopped bringing up boiled eggs for the breakfast trays in my ER. That cheap, stolen protein was too tempting a threat to my broke, depression-addled residents.
comedy and Storytelling talent. Love your work.
I have never felt this bad for a character
Ohh, new glasses! And their mechanism looks so avant garde
As a patient who has had to do IV Vancomycin at home for 8 weeks while still working a fulltime job and having an external fixator on my right arm due to being given 2, YES TWO staph infections during surgery to fix my broken bones in my right arm this is great comedy! I've also dealt with my 2nd husband being on Vancomycin for 8 weeks for MRSA which ate a hole behind his right eye the size of a walnut according to the ENT doc who gave him the disease while using a new flexible scope between patients which he thought was disinfected enough. No it wasn't. He also got Pseudomonas Aureganoses from the ICU when in for aspirated double pneumonia. He finally passed 7 years later after the MRSA episode from COPD while smoking 3 packs a day and being on oxygen. You only get one body, take good care of yourself as enough weird stuff will happen anyway and the healthier you are, the better chance you have to survive. Modern medicine is AWESOME but get your vaccinations like me and stay boosted. I have 2 autoimmune diseases and your help in getting us to 90% Vaccinated in the USA is greatly appreciated and Many Blessings!!! Love this channel
I don't remember how I found these videos as I am not even doctor adjacent, but some of these lines could be complete gibberish, and I wouldn't know the difference. The humor transcends total understanding though. Doc is always good for a laugh.
I demand more infectious disease related stuff!
This just might be the best one so far
Are Johnathans allowed to provide quickly consumable nutrition to put into the break rooms? As a future Johnathan, I would like to prevent low-glucose and fluid levels for the organic members of staff by supplying Boost Meal Replacement drinks and/or Core Power protein drinks.
Ohhhhhhhh!!!!Hitting them with the sweet smell of grapes of the pan resistant aruginosa is definitely getting you in the infectious disease posse
"personal statement"
"In chapter 3"
Amazing comedic skill
This makes me excited for going into Infectious Disease Epidemiology
I hate when my patients come to me for follow-up after some Doc-it-a-box has treated their skin boil with Keflex. "But it's worse? You don't say..."
Does keflex have a habbit of making it worse??
the production value of these videos is improving with each release, HOW?!
"We're pan-resistant to change" is an amazing line
Brilliant. Absolutely brilliant.
I want to give Bill a hug, I am Bill at work coworkers will be like did you eat lunch today it’s 6 PM and you’ve been here since 7 AM and I’ll be like does chugging hot coffee and burning my mouth in the process count cuz if so, you bet!
Bill deserves a hug, for real. And I totally understand and feel you at the coffee part. Good God... But let's give that hug after the diarrhea episodes or at least until he doesn't need to go to the bathroom 4 times every hour, oh and a dewormer pill and a thoroughly shower.
Why can’t I like this multiple times??? It’s gold! ❤️1 like per watch should be possible 😩
Loved it! Bye the way I'm visiting an ENT for the first time tomorrow. Have I missed your ENT sketch or is it in the making? Hoping to see it 😊.
I am again reminded of the glorious Dr. Mark Crislip and his advice that the only safe food is deep fried.
Poor Bill. I'd Door Dash him a sandwich but who has time to run down to the after hours ER entrance to get it for him 😭
I loved the favorite culture medium question. Im taking biotech classes right now and we just started talking about organotypic culturing