Chubbyemu
THIS KID THINKS HE KNOWS EVERYTHING
updated
Patient MC by Alice Cai
Patient BC by June Zhou (MS3 Shanghai Jiaotong University Medical School)
Patient SC by Ivy Zhao
Ace by Ace
Physician by Dr. Yuqin Cao
Physician by Jason Wong
Coworker in shorts by Jason Whang
Grip and Electric: David Zhang
Casting: Q Chen
Filmed at Xingxi Studios, Shanghai
Music by @Lifeformed
Additional music inspired by R Prince
In-depth channel @HemeReview
Secret channel @BigEmus
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
A Foodborne Bongkrekic Acid Poisoning Incident — Heilongjiang Province, 2020.
ncbi.nlm.nih.gov/pmc/articles/PMC8393157
Bongkrekic Acid—a Review of a Lesser-Known Mitochondrial Toxin.
ncbi.nlm.nih.gov/pmc/articles/PMC5440313
Description of a Mass Poisoning in a Rural District in Mozambique: The First Documented Bongkrekic Acid Poisoning in Africa.
pubmed.ncbi.nlm.nih.gov/29155976
Bongkrekic acid poisoning: Severe liver function damage combined with multiple organ failure caused by eating spoiled food.
sciencedirect.com/science/article/abs/pii/S1344622319302834
CT diagnosis of toxic brain injury in cyanide poisoning: considerations for forensic medicine.
ncbi.nlm.nih.gov/pmc/articles/PMC8332338
Bongkrekic Acid and Burkholderia gladioli pathovar cocovenenans: Formidable Foe and Ascending Threat to Food Safety.
ncbi.nlm.nih.gov/pmc/articles/PMC10648470
Burkholderia gladioli and bongkrekic acid: An under-recognized foodborne poisoning outbreak.
journalofinfection.com/article/S0163-4453(24)00116-6/fulltext
ATRACTYLOSIDE AND BONGKREKIC ACID SITES IN THE MITOCHONDRIAL ADP/ATP CARRIER PROTEIN.
febs.onlinelibrary.wiley.com/doi/pdf/10.1016/0014-5793(81)80370-5
The effect of lipids on bongkrekic (Bongkrek) acid toxin production by Burkholderia cocovenenans in coconut media.
pubmed.ncbi.nlm.nih.gov/10435074
Bongkrekic Acid – Uncommon but Fatal Toxin in Certain Foods.
https://www.cfs.gov.hk/english/multimedia/multimedia_pub/multimedia_pub_fsf_214_02.html
Burkholderia gladioli and bongkrekic acid: An under-recognized foodborne poisoning outbreak.
journalofinfection.com/article/S0163-4453(24)00116-6/fulltext
CT Scan courtesy of David Puyó, Radiopaedia.org, rID: 22276
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
Watch my exclusive video on Nebula: nebula.tv/videos/chubbyemu-a-man-inhaled-white-rocks-from-a-glass-pipe-this-is-what-happened-to-his-colon
Patient DB by Dawn Bradley
Producer: Dr Katherine Johns
In-depth channel: @HemeReview
Secret channel: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Mercury and Minamata Disease: a Lesson from Japan | United Nations | UN in Action ► youtube.com/watch?v=80KJ9gqHrYo
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
MMWR 2019: Methylmercury Toxicity from a Skin Lightening Cream. cdc.gov/mmwr/volumes/68/wr/mm6850a4.htm
Mercury Poisoning Linked to Skin Products. fda.gov/consumers/consumer-updates/mercury-poisoning-linked-skin-products
Clinical management of chronic mercury intoxication secondary to skin lightening products: A proposed algorithm. ncbi.nlm.nih.gov/pmc/articles/PMC8112557
Minamata Disease The History and Measures. env.go.jp/en/chemi/hs/minamata2002/ch3.html
Methylmercury poisoning: Long-term clinical, radiological, toxicological, and pathological studies of an affected family. psycnet.apa.org/record/1994-41898-001
This case series in link below
Patient PD by Wolfgang Nelson
Master Brewer Inmate by Bryan Assata
Production Assistant: Tristyn Smith
Director of Photography: John Myung
Producer: Dr Katherine Johns
In-depth channel: @HemeReview
Secret channel: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
Other music inspired by R Prince, performed by Chubbyemu
me on @DaisyFoko's podcast youtu.be/1xrIF_wRRl4
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Timestamp:
0:00 A Prisoner Consumed 2 Week Old Baked Potato 🥔 For Dinner
0:24 Introducing PD
0:54 Good 🍊 fruit
1:09 Getting 🤔 an idea
1:45 haha juice go glug glug
2:35 what's wrong sweaty, got a little 🤧 sneeze ?
3:01 Guy: "Doc, can you take a closer look?" Doc: "no."
3:26 Doc takes a closer look
3:50 braaap
4:25 pay attention to the symptoms together
5:26 This is called Pace, the speed of onset and evolution of symptoms
6:00 This is called Localization. Where are things going wrong?
7:27 Too slow to be vascular etiology, too fast to be genetic or neoplastic
8:34 Factor
9:43 Eat potato🥔, brain 🧠 becomes potato. i dont make the rules around 🤷♂️ here
11:00 Drink good
12:21 mmm 😋 delicious
13:23 Pace + Localization = Syndrome
14:52 What do you think of this?
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
CDC. Botulism from drinking prison-made illicit alcohol—Utah, 2011. MMWR 2012;61:782–4. cdc.gov/mmwr/preview/mmwrhtml/mm6139a2.htm
Williams BT et. al. Emergency department identification and critical care management of a Utah
prison botulism outbreak. Ann Emerg Med. 2014 Jul;64(1):26-31. pubmed.ncbi.nlm.nih.gov/24331717
Botulinum Toxin: Mechanism of Action and Clinical Use. openanesthesia.org/keywords/botulinum-toxin-mechanism-of-action-and-clinical-use
In-depth Channel: @HemeReview
Secret Channel: @BigEmus
Gummy dosage forms are a nice innovation that can help with adherence, however should be approached with caution as the downside risk can be substantial
Music by @Lifeformed ► lifeformed.bandcamp.com
Additional Music by @T4N3
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
My videos are on Nebula! Sign up to see extended cuts and exclusive videos: nebula.tv/chubbyemu
Timestamp:
0:00 A Man Ate 120 Gummy Probiotics 🦠 For Lunch
0:29 29 seconds in and we're already 😏 here
1:52 haha gummy probiotic 😋 go nom nom
2:50 stomach 😞 hurt (but is it the stomach?)
3:25 What's happening 😳 in 😳 his 😳 abdomen?
4:51 There's a country of more than 1 billion people where dentistry is not separate from medicine. As insurance spirals out of control here, separating them makes us even less healthy.
5:39 Another important clue
7:04 Despite any memes, we've told you many details of this case to give you an idea of what's happening
8:10 What 😳 is 😳 that??
10:38 Sorry Bacteria 🦠 u can't 😩 be 😖 here
11:24 So what 😲 exactly 😲 happened?
11:58 I'm definitely not wearing a different suit than earlier in the video
12:18 These are scarier than BC's case, but very rare and not likely to happen to you
13:05 Greek Yogurt good
13:19 The answer to this question might be yes. But ask your dentist for your particular case.
14:08 Take only as directed. Do not exceed suggested dosage. That's the takeaway from this video. Take care of yourself 🙏 and be well.
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. We do not give medical advice over the internet.
References:
Infective endocarditis and oral health—a Narrative Review. ncbi.nlm.nih.gov/pmc/articles/PMC8748486
Lactobacillus Bacteremia and Probiotics: A Review. ncbi.nlm.nih.gov/pmc/articles/PMC10145752
How safe is safe?--a case of Lactobacillus paracasei ssp. paracasei endocarditis and discussion of the safety of lactic acid bacteria.
pubmed.ncbi.nlm.nih.gov/14606618
Endocarditis by Lactobacillus rhamnosus due to yogurt ingestion? pubmed.ncbi.nlm.nih.gov/11669233
Infective Endocarditis by Lactobacillus Species-A Narrative Review
pubmed.ncbi.nlm.nih.gov/38247612
Endocarditis Caused by Bacillus subtilis. academic.oup.com/ajcp/article-abstract/60/5/714/1770854?redirectedFrom=PDF
FINAL RISK ASSESSMENT OF BACILLUS SUBTILIS. epa.gov/sites/default/files/2015-09/documents/fra009.pdf
Medication Adherence: The Elephant in the Room. uspharmacist.com/article/medication-adherence-the-elephant-in-the-room
Defining “Candy-Like” Nonprescription Drug Products. fda.gov/media/172272/download
Native Valve Endocarditis Secondary to Lactobacillus paracasei Bacteremia. consultant360.com/article/consultant360/native-valve-endocarditis-secondary-lactobacillus-paracasei-bacteremia
Surgical Treatment of Infective Endocarditis: When to Repair, When to Replace?
consultqd.clevelandclinic.org/surgical-treatment-of-infective-endocarditis-when-to-repair-when-to-replace
Initial Presentation of Brucella Endocarditis in a Previously Healthy Eighteen-Year-Old Young Man. karger.com/crd/article-abstract/125/3/170/80052/Initial-Presentation-of-Brucella-Endocarditis-in-a?redirectedFrom=PDF
In-depth channel: @HemeReview
Secret channel: @BigEmus
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Music by @Lifeformed ► lifeformed.bandcamp.com
Other music inspired by R Prince, Performed by Chubbyemu
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Timestamp
0:00 A Man Squatted 500 Pounds After Chugging 3 Energy Drinks
0:24 Introducing 👨⚕️ LF
0:56 Big Lifts
1:28 LF has seen this before? But in others
3:36 Thoughts about what could have happened
7:44 Surgical 🔪 evaluation, and it was done...
8:35 ...but something's wrong
11:36 What risk factors predisposed LF to this?
15:49 A proposal for the final treatment?
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Patient LF's vascular surgery is described in here: Open aortic septectomy for complicated type B aortic dissection. ncbi.nlm.nih.gov/pmc/articles/PMC9958067
Acute Type A Aortic Dissection in a Young Weightlifter: A Case Study with an In-Depth Literature Review. swjpcc.com/critical-care/2020/8/7/acute-type-a-aortic-dissection-in-a-young-weightlifter-a-cas.html
Aortic Dissection in a Healthy Male Athlete: A Unique Case with Comprehensive Literature Review.
pubmed.ncbi.nlm.nih.gov/27738530
Management strategy for lower extremity malperfusion due to acute aortic dissection. sciencedirect.com/science/article/pii/S0741521421006728
Aortic dissection is a disease of the vasa vasorum. ncbi.nlm.nih.gov/pmc/articles/PMC9390580
Energy Drinks and the Risk of Cardiovascular Disease: A Review of Current Literature. ncbi.nlm.nih.gov/pmc/articles/PMC5501707
The Valsalva And Stroke startingstrength.com/article/the_valsalva_and_stroke
Acute Vascular Endothelial Changes Associated with Increased Blood Velocity Gradients.
ahajournals.org/doi/10.1161/01.RES.22.2.165
Turbulent Blood Flow in the Ascending Aorta of Humans with Normal and Diseased Aortic Valves. ahajournals.org/doi/pdf/10.1161/01.RES.39.1.58
Turbulent Intensity of Blood Flow in the Healthy Aorta Increases With Dobutamine Stress and is Related to Cardiac Output. frontiersin.org/journals/physiology/articles/10.3389/fphys.2022.869701/full
Blood flow analysis of the aortic arch using computational fluid dynamics. academic.oup.com/ejcts/article/49/6/1578/2197449
Caffeine for the Sustainment of Mental Task Performance: Formulations for Military Operations. ncbi.nlm.nih.gov/books/NBK223808
Patient PT by Wolfgang Nelson, PA Desiree Troy, Review Dr Katherine Johns
In-depth channel: @HemeReview
Secret channel: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
Music by @T4N3 ► soundcloud.com/t4n3
Timestamps:
0:00 A Farmer 👩🌾 Sprayed 1 Liter Pesticide Between His Legs
0:30 A secret 🥶 encounter
1:25 A wild idea 💡 appears
3:10 Please 👩⚕️ stop 🛑 spraying this there
4:27 A lab 🧪 test reveals 😲 something
5:14 Good 🌱 plants
6:03 It was never 🤨 inside so what 😳 happened?
7:05 Hard to breathe.. but why?
9:32 How did it get in?
11:30 It's circulating in his body, but where is it accumulating?
Additional references:
Based on publication [warning: explicit and difficult topics are discussed in the paper]: The toxicokinetics of acute paraquat poisoning in specific patients: a case series. journals.sagepub.com/doi/full/10.1177/03000605221122745
Tox and Hound – Fellow Friday – Bipyridyl Herbicide Poisonings: Diquat and Paraquat. toxandhound.com/toxhound/ff-di-paraquat
Regional variation in percutaneous penetration of 14C cortisol in man. pubmed.ncbi.nlm.nih.gov/6020682
Polyamines in the lung: polyamine uptake and polyamine-linked pathological or toxicological conditions. journals.physiology.org/doi/full/10.1152/ajplung.2000.278.3.L417
Prediction of outcome after paraquat poisoning by measurement of the plasma paraquat concentration. pubmed.ncbi.nlm.nih.gov/19228776/T
EPA Finalizes New, Stronger Safety Measures for Pesticide Paraquat. epa.gov/pesticides/epa-finalizes-new-stronger-safety-measures-pesticide-paraquat
Biochemical Mechanisms of Paraquat Toxicity. Anne P Autor. 1978.
Vaginally Applied Diquat Intoxication. tandfonline.com/doi/abs/10.1081/CLT-100102470.
Paraquat Poisoning. UpToDate.
Paraquat and Diquat. Michael Eddleston. Critical Care Toxicology. 2017.
Goldfrank's Toxicology.
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
In order of appearance: RB by Wolfgang Nelson, Neighbor by Tristyn Smith, Woman by Star M, Zoe by Dawn Bradley, PA Tristyn Smith
Reviewer: Dr Katherine Johns
Watch this video ad-free on Nebula (40% off with my link!): go.nebula.tv/chubbyemu
In-depth channel: @HemeReview
Secret channel: @BigEmus
Music inspired by R. Prince. Arranged and performed by Chubbyemu
Other Music by @Lifeformed ► lifeformed.bandcamp.com
CT Head Case courtesy of Mohd Radhwan Bin Abidin, Radiopaedia.org, rID: 156961
Timestamps:
0:00 RB is a 42 year old man ☝️ presenting to the emergency room
0:18 A history ⏰ of the history
1:05 A wild thief 🥷 appears
1:22 "I'll take care of u bebe"
1:50 The only real way to butter 🧈 your bread
2:18 Where we are 🚑 now
3:37 "Not life threatening..." but is it really?
4:11 This rapid pace becomes 🤨 concerning
5:48 Something is very 😩 heavy
6:44 A solid foundation 🌎 of understanding nature (as seen on Earth)
9:01 An imposter 🥸 appears and the body cant discern 😳 the difference
10:15 The mitochondria is no longer 😞 the powerhouse of the cell
11:39 A connection to 😳 ancient esoteric 😳 knowledge
12:44 Can iron and cyanide 😲 be involved in the help?
13:54 Speaking of "life-threatening" and "energy" and "nerves," it brings us here now
14:27 An incorrect assumption
15:24 Enclosed herein is a case preserved into the written record
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References, starting with the case this video is based off of:
Cerebrospinal fluid analysis in fatal thallium poisoning: evidence for delayed distribution into the central nervous system. pubmed.ncbi.nlm.nih.gov/15166769
nytimes.com/2000/11/25/nyregion/police-charge-li-woman-in-poisoning.html
Acute thallium poisoning: series of ten cases. pubmed.ncbi.nlm.nih.gov/21735311
Case Files of the Medical Toxicology Fellowship at the Oregon Poison Center: Thallotoxicosis. ncbi.nlm.nih.gov/pmc/aRticles/PMC9198136
Thallium toxicity and the role of Prussian blue in therapy. pubmed.ncbi.nlm.nih.gov/14579545
Kinetic analysis of enzyme reactions. II. The potassium activation and calcium inhibition of pyruvic phosphoferase. pubmed.ncbi.nlm.nih.gov/13034826
Pyruvate kinase revisited: the activating effect of K+. pubmed.ncbi.nlm.nih.gov/16147999
Revised effective ionic radii and systematic studies of interatomic distances in halides and chalcogenides. scripts.iucr.org/cgi-bin/paper?S0567739476001551
Francis Bacon - Experiments touching Sulphur and Mercury alchemywebsite.com/baconsul.html
Structures of pyruvate kinases display evolutionarily divergent allosteric strategies. royalsocietypublishing.org/doi/10.1098/rsos.140120
Sulfur mediated heavy metal biogeochemical cycles in coastal wetlands: From sediments, rhizosphere to vegetation. link.springer.com/article/10.1007/s11783-022-1523-x
Patient GN by Wolfgang Nelson, Sarah by Joanna Ferbrache, PA Tristyn Smith
Watch this video ad-free on Nebula (40% off with my link!): go.nebula.tv/chubbyemu
In-depth channel: @HemeReview
Secret channel: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
Additional Music by @T4N3 ► soundcloud.com/T4N3
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Some images by Getty Images
Timestamp:
0:00 A Man Ate 600 Pounds Ramen Over 6 Months
0:18 He isn't pregnant, but he's here 😳 to deliver
0:32 An important 🥶 history
1:16 Noodle 🍜 Good
2:10 Is this stress 😳 or is something else 🤔 going on here
3:06 I'd have my wife to drive me too instead of getting charged $9000 for 🚑 ambulance via high deductible unsurance
3:39 Gut health 😌 very important
5:06 Have you ever eaten noodles 🍜 so good that you look like this?
6:35 haha water go 😳 glug glug
8:00 What if we 😳 deamidated our glutamine residues 😳 after lunch
9:28 Pack it up boys 👨⚕️ everything's cured
10:00 noooo u cant just eat 4 pounds of instant noodles everyday
10:45 I have no idea what my husband is doing but I think he's smuggling forbidden noodles into his workplace
11:24 What 😲 are 😲 those
12:54 New Oma
13:41 U think 🤔 it's refractory but how can we be sure?
14:43 This is what the noodles revealed was happening in his gut
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Overview and pathogenesis of celiac disease. gastrojournal.org/article/S0016-5085(05)00177-0
Celiac disease: a comprehensive current review. ncbi.nlm.nih.gov/pmc/articles/PMC6647104
A case of celiac disease with hallucinations. ncbi.nlm.nih.gov/pmc/articles/PMC5765830
Update on the Pathogenesis of Enteropathy-Associated T-Cell Lymphoma. ncbi.nlm.nih.gov/pmc/articles/PMC10453492
Recent advances upper gastrointestinal lymphomas: molecular updates and diagnostic implications. pubmed.ncbi.nlm.nih.gov/33382495
Hemophagocytic Lymphohistiocytosis in Refractory Celiac Disease Type II Transformed into Enteropathy-Associated T-Cell Lymphoma. acpjournals.org/doi/10.7326/aimcc.2022.0155#F1
Enteropathy-type intestinal T-cell lymphoma: clinical features and treatment of 31 patients in a single center. pubmed.ncbi.nlm.nih.gov/10673521
How I treat enteropathy-associated T-cell lymphoma. ashpublications.org/blood/article/119/11/2458/29625/How-I-treat-enteropathy-associated-T-cell-lymphoma
Treatment response in enteropathy associated T-cell lymphoma; survival in a large multicenter cohort. pubmed.ncbi.nlm.nih.gov/25716069
Enteropathy Associated T Cell Lymphoma – A Case Report of An Uncommon Extranodal T Cell Lymphoma. ncbi.nlm.nih.gov/pmc/articles/PMC4253173
Patient JC by Chad Collins, PA Tristyn Smith, Special Thanks to Jena Marx
Music by @Lifeformed ► lifeformed.bandcamp.com
More music by T4N3 ► soundcloud.com/t4n3
Good Playlist ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Timestamps:
0:00 A Bodybuilder 💪 Mistook An Aphrodisiac 😳 for Pre-Workout Supplement
0:22 JC was getting ready 🏋️ for a show
0:55 A wild 😲 supplement appears
1:35 Hey IRS 💵 we doing research 👨🔬 and development
1:50 Good ☁️ powder
2:16 haha preworkout 💪 go glug 😳 glug
3:13 The emergency 🚑 room where we are now
4:07 How does 🌳 do all of these??
4:50 Rumors of this toxicity... are not exaggerated at all. It's not good.
5:50 Neuro 🧠 transmitters gotta 😳 go 😲 fast
6:48 Inside you(r autonomic nervous system) are 2 wolves (just kidding, they're more nervous systems)
7:27 What happens 😳 here?
8:16 Alpha vs beta (not alpha male vs beta male)
9:11 In the central nervous system
9:47 Feedback 🛑 mechanism (in normal function)
10:51 The CEO of systemic... response to adrenergic agents
11:35 Multiple reports in existence
12:02 "Just pull it out of his body bro"
12:23 An Antidote 🐴 But How 🤔 Did We Find It?
14:45 Yea lets not use that here, but we could use something else
15:15 It takes 5 half lives to reach steady state, but Half Life 3 still isn't 😞 here
I don't think anyone reads anything that's written here. But here's for the metadata: this video is explicitly about adrenergic receptors. More specifically, the Alpha subtype, and even more specifically, Alpha 2 Adrenergic Receptors. This thing throws a massive curveball to learners in all medical disciplines because Alpha 2 agonism / antagonism are opposite of Alpha 1. The topic of these receptors can be a few weeks long in a Pharm course in Medical and Pharmacy schools, and that course would be dedicated specifically to cardiac pharmacology, so this is as much I can cover in an 18 minute video. There might be people who will go "nooooo u cant just say that about my tree bark supplement" but the point is and has always been to teach about the pharmacology, its mechanism and how the setting of excess changes the pharmacokinetics-- the agent serves as a means for me to teach that because it has that activity. If it didn't have that activity, I'd talk about something else that does in this setting. It's a fascinating molecule, like all natural products. If you don't need to ingest it, don't ingest it, but I trust you are well in your best capacity to make decisions for yourself.
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Acute neurotoxicity after yohimbine ingestion by a bodybuilder. pubmed.ncbi.nlm.nih.gov/19640235
Yohimbine: a clinical review. pubmed.ncbi.nlm.nih.gov/11744068
Alpha-2 Adrenoreceptor Antagonist Yohimbine Potentiates Consolidation of Conditioned Fear. academic.oup.com/ijnp/article/25/9/759/6617231
Adrenergic receptors: structure and function. pubmed.ncbi.nlm.nih.gov/2164898
Biopharmaceutics and metabolism of yohimbine in humans. pubmed.ncbi.nlm.nih.gov/10494000
Yohimbe bark extract. ntp.niehs.nih.gov/sites/default/files/ntp/htdocs/chem_background/exsumpdf/yohimbe_508.pdf
Yohimbine or NO-himbine? A Potentially Fatal Over-the-Counter Supplement. vumc.org/poison-control/toxicology-question-week/feb-15-2022-yohimbine-or-no-himbine-potentially-fatal-over-counter
[PREPRINT] Xylazine is an agonist at kappa opioid receptors and exhibits sex-specific responses to naloxone administration. biorxiv.org/content/10.1101/2023.09.08.556914v1
Xylazine, an Emerging Adulterant. acep.org/talem/newsroom/oct-2021/xylazine-an-emerging-adulterant
Yohimbine. pubmed.ncbi.nlm.nih.gov/4037464
Patient DC by Kazia Steele, PA Tristyn Smith and Mike Burling
In-depth channel: @HemeReview
Secret Channel: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Some images by Getty Images
Timestamps:
0:00 Good 🌯 Burrito
0:31 Gotta 😳 go 😳 fast
1:30 Where did it 🦷 go?
2:24 Bacteria 🦠 good?
3:42 Bacteria 🦠 good.
4:47 The right bacteria 🦠 rly good
5:46 What if the wrong species 😳 is growing?
6:33 A wild headache 😩 appears
7:16 Something was 🚽 different
7:51 Bacteria 🦠 coulda been good, but now what?
9:42 Not the species 😨 you want...
11:58 Banana 🍌 good
13:43 A medicolegal 🩺 rationale
16:26 The Swiss Cheese 🧀 Model (of errors like this one)
16:56 I thought I was ok 😃 but now ???
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Clostridium difficile Toxins A and B: Insights into Pathogenic Properties and Extraintestinal Effects. ncbi.nlm.nih.gov/pmc/articles/PMC4885049
C. diff survivor and advocate shares her story. blogs.cdc.gov/safehealthcare/c-diff-survivor-and-advocate-shares-her-story-2
Aetiology of antimicrobial-agent-associated colitis pubmed.ncbi.nlm.nih.gov/85818
Colitis associated with clindamycin therapy pubmed.ncbi.nlm.nih.gov/1202637
Clostridioides difficile infection in adults: Treatment and prevention. UpToDate. Accessed 25 Oct 2023.
Clostridioides difficile infection in adults: Clinical manifestations and diagnosis. UpToDate. Accessed 25 Oct 2023.
Gut microbiome modulates response to anti–PD-1 immunotherapy in melanoma patients. science.org/doi/10.1126/science.aan4236
Intestinal microbiota signatures of clinical response and immune-related adverse events in melanoma patients treated with anti-PD-1 nature.com/articles/s41591-022-01698-2.
Gut microbiome is associated with the clinical response to anti-PD-1 based immunotherapy in hepatobiliary cancers. jitc.bmj.com/content/9/12/e003334
Gut Microbiota in Anxiety and Depression: Unveiling the Relationships and Management Options. mdpi.com/1424-8247/16/4/565
Clostridium difficile colitis following treatment with metronidazole and vancomycin. ncbi.nlm.nih.gov/pmc/articles/PMC2428710
Durham Humphrey Amendment of 1951: gpo.gov/fdsys/pkg/STATUTE-65/pdf/STATUTE-65-Pg648.pdf
IDSA Guidelines C Diff journals.lww.com/ajg/fulltext/2021/06000/acg_clinical_guidelines__prevention,_diagnosis,.12.aspx
Also Me: 🐟Scombroid 🐟 Poisoning 🐟
Patient BA by Bryan Assata; Hospitalist by Eric Nelson; Student by Dustin Petrillo; PA Desiree Troy
In-depth channel @HemeReview
Secret channel @BigEmus
Timestamps:
0:00 Soda 🥤 good
1:06 Past medical 🩻 history
2:26 Haha soda go glug glug
2:49 One day he wasn't 😳 feeling well
3:18 Chief 😩 complaint
4:46 Human body ⚡️ electricity
7:00 The P in SOAP (click like if you get this reference 👹)
8:14 Haha soda go glug glug
8:54 3 Gallons of WHAT is in his body??
9:28 Haha urine 🤨 go glug glug
10:45 The student 👨⚕️ sees 👀 something
13:00 Soda 🥤 good, small science experiment better
14:09 Stimulating by blocking inhibition
16:21 Things we're actually concerned with in this setting
19:22 Reasonably and sparingly is probably fine
A Man Ate 8 Pound Hamburger in 30 Minutes. This Is How His Organs Shut Down. ► youtu.be/inXkUvHjhek
Music by @Lifeformed ► lifeformed.bandcamp.com
More music by T4N3 ► soundcloud.com/t4n3
Medicine (Playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Some images by Getty Images
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Chronic hypokalemia due to excessive cola consumption: a case report. ncbi.nlm.nih.gov/pmc/articles/PMC2481241
Caffeine-induced hypokalemia: a case report. bmcnephrol.biomedcentral.com/articles/10.1186/s12882-021-02465-0
A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report. pubmed.ncbi.nlm.nih.gov/28321307
Paroxysmal Paralytic Attacks Secondary to Excessive Cola Consumption. ncbi.nlm.nih.gov/pmc/articles/PMC4453309
On the mechanism of rhabdomyolysis in potassium depletion. ncbi.nlm.nih.gov/pmc/articles/PMC292322
Adenosine Receptors and the Kidney. ncbi.nlm.nih.gov/pmc/articles/PMC6027627
Theophyllin As A Diuretic. pubmed.ncbi.nlm.nih.gov/18734158
Comparative natriuretic and diuretic efficacy of theophylline ethylenediamine and of bendroflumethiazide during long-term treatment with the potent diuretic bumetanide. Permutation trial tests in patients with congestive heart failure. pubmed.ncbi.nlm.nih.gov/343509
Soda and Other Beverages and the Risk of Kidney Stones. ncbi.nlm.nih.gov/pmc/articles/PMC3731916
Changes in beverage intake between 1977 and 2001. pubmed.ncbi.nlm.nih.gov/15450632
#science #burger
Patient GF by @GugaFoods (see our collab! youtu.be/lsQzxB2mvbw)
Cashier by Angel, Chef by Chef Howard (IG howardwight), Crowd by Team Guga
The case in publication: gastrojournal.org/article/S0016-5085(17)36093-6/fulltext
In-depth channel @HemeReview
Secret channel @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
Medicine (playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
0:00 Good 🍔 Burger
0:23 8 Hours ⏰ Earlier... (a history)
1:57 At home now (review of symptoms)
2:47 The emergency 🏥 room where we are now
7:19 Competitive Eating
8:55 An imaging study of top-level competitive eater
9:42 Are there long-term consequences of competitive eating?
11:39 What is clear, is....
These cases are usually patients who I, or my colleagues have seen but this one was published in literature. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
The Perils of Competitive Speed Eating! gastrojournal.org/article/S0016-5085(17)36093-6/fulltext
Don’t test for amylase in cases of suspected acute pancreatitis. Instead, test for lipase. aafp.org/pubs/afp/collections/choosing-wisely/317.html
Competitive consumption: Ten minutes. 20,000 calories. Long-term trouble? ncbi.nlm.nih.gov/pmc/articles/PMC3589306
Competitive Speed Eating: Truth and Consequences. ajronline.org/doi/10.2214/AJR.07.2342
They took blockbuster drugs for weight loss and diabetes. Now their stomachs are paralyzed. cnn.com/2023/07/25/health/weight-loss-diabetes-drugs-gastroparesis/index.html
See the secret herbicide video on Nebula first here: nebula.tv/videos/chubbyemu-a-farmer-sprayed-1-liter-herbicide-between-his-legs-this-is-what-happened-to-his-organs
Patient PT by Wolfgang Nelson, PA Desiree Troy, Review Dr Yue Wu
Behind the scenes: @BigEmus ► youtu.be/-cL7UkKkH1I
In-depth channel: @HemeReview
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Music inspired by R Price, Performed by Chubbyemu
Music by @Lifeformed ► lifeformed.bandcamp.com
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Tox and Hound – Fellow Friday – Bipyridyl Herbicide Poisonings: Diquat and Paraquat. toxandhound.com/toxhound/ff-di-paraquat
High-dose diquat poisoning: a case report. ncbi.nlm.nih.gov/pmc/articles/PMC8246526
Urine sodium dithionite test: a useful clinical test for paraquat poisoning. journals.lww.com/jcsr/fulltext/2020/09030/urine_sodium_dithionite_test__a_useful_clinical.11.aspx
Human and experimental toxicology of diquat poisoning: Toxicokinetics, mechanisms of toxicity, clinical features, and treatment. pubmed.ncbi.nlm.nih.gov/29569487
Case series: Diquat poisoning with acute kidney failure, myocardial damage, and rhabdomyolysis. frontiersin.org/articles/10.3389/fpubh.2022.991587/full
Diquat causes caspase-independent cell death in SH-SY5Y cells by production of ROS independently of mitochondria. ncbi.nlm.nih.gov/pmc/articles/PMC4572080
Human and experimental toxicology of diquat poisoning: Toxicokinetics, mechanisms of toxicity, clinical features, and treatment. journals.sagepub.com/doi/10.1177/0960327118765330
Ferroptosis: past, present and future. nature.com/articles/s41419-020-2298-2
Where ferroptosis inhibitors and paraquat detoxification mechanisms intersect, exploring possible treatment strategies. pubmed.ncbi.nlm.nih.gov/32061663
Methylene blue attenuates acute liver injury induced by paraquat in rats. sciencedirect.com/science/article/abs/pii/S1567576915002088
Case report: Successful outcome of a young patient with rhabdomyolysis and shock caused by diquat poisoning. frontiersin.org/articles/10.3389/fmed.2023.1116912/full
Bright Red Nuclei. https://n.neurology.org/content/62/4/619
Biochemical Mechanisms of Paraquat Toxicity. Anne P Autor. 1978.
Paraquat Poisoning. UpToDate.
Paraquat and Diquat. Michael Eddleston. Critical Care Toxicology. 2017. doi.org/10.1007/978-3-319-17900-1_10
Goldfrank's Toxicology.
In-depth channel: @HemeReview
Secret channel: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
More music by T4N3 ►soundcloud.com/t4n3
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
One should always approach calcium with caution in the hospital
Timestamps:
0:00 Important ⚠️ Notice
0:13 A Man Put Cheese 🧀 Making Ingredient In-between His Legs
1:40 Doing his own 🤔 research
2:43 Symptoms
3:01 The emergency room 🚑 where we are now
3:41 The cheese 🧀 and milk 🥛 saga
4:13 A mineral that can be an electrolyte
5:12 This is called second messenger
6:54 But this wouldn't be his only problem..
8:18 A blood 🩸 test finds...
10:33 A dearth of information
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Evaluation of single ... injection of calcium chloride for nonsurgical sterilization in adult albino rats. pubmed.ncbi.nlm.nih.gov/16472573
Evaluation of single ... injection of calcium chloride for nonsurgical sterilization of male Black Bengal goats (Capra hircus): a dose-dependent study. pubmed.ncbi.nlm.nih.gov/157216611
Regulation of cell death: the calcium–apoptosis link. nature.com/articles/nrm1150
Intracellular Ca2+ sensing: role in calcium homeostasis and signaling. ncbi.nlm.nih.gov/pmc/articles/PMC5657234
Skin and soft tissue necrosis from calcium chloride in a deicer jem-journal.com/article/S0736-4679(06)00633-0/fulltext
Regulation of cell death: the calcium–apoptosis link. nature.com/articles/nrm1150
Calcium Gluconate ncbi.nlm.nih.gov/books/NBK557463
Calcium Chloride extravasation injury emergencymedicalminute.org/calcium-burns
Muscle cells need calcium ions. https://www.mpg.de/14590554/muscle-cells-need-calcium-ions
Calcium, mitochondria and cell metabolism: A functional triangle in bioenergetics. sciencedirect.com/science/article/pii/S0167488918304798
Imaging of ... Masses: The Essentials. ncbi.nlm.nih.gov/books/NBK543804
Severe Iatrogenic Calcinosis Cutis From Extravasated Calcium Gluconate. ncbi.nlm.nih.gov/pmc/articles/PMC7489317
Music by @Lifeformed ► lifeformed.bandcamp.com
Music by T4N3 ► soundcloud.com/T4N3
Some images by Getty Images
Vietnamese translation by Cao Nguyên
Chinese translation by Jason Wong, 2BB, Marlon Xu
Medicine (playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Timestamps:
0:00 Taco 🌮 good
0:25 A Man Ate Pork Tacos 😳 From An Illegal Food Truck
2:42 A regular health 👨🏻⚕️ checkup
3:12 Suspicious rumors of a 🚚 truck
4:37 The emergency room 🚑 where we are now
5:18 What can we rule out?
6:31 Pigs 🐷 and humans 👨👩👧👦 throughout history
7:37 Clean 😌 hygiene
8:15 Factor
9:17 An image 🧠 appears (with 4 stages)
11:00 An important distinction
13:55 Where did the meat 😳 come from?
14:46 Food Truck 🚚 good
15:20 Options
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
... from Cysticercosis, United States ncbi.nlm.nih.gov/pmc/articles/PMC2725874
Parasites- Taeniasis. cdc.gov/parasites/taeniasis/biology.html#
Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New Onset of Seizures nejm.org/doi/full/10.1056/NEJMcpc2027080
Imaging spectrum of neurocysticercosis. sciencedirect.com/science/article/pii/S2352621115000030
Cysticercosis of the eye. ncbi.nlm.nih.gov/pmc/articles/PMC5554854
Neurocysticercosis. radiopaedia.org/cases/neurocysticercosis-34
Neurocysticercosis- Nodular Calcified. radiopaedia.org/cases/neurocysticercosis-nodular-calcified
Under seize: neurocysticercosis in an immigrant woman and review of a growing neglected disease. ncbi.nlm.nih.gov/pmc/articles/PMC4691866
Diagnosis and Treatment of Neurocysticercosis: 2017 Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). ncbi.nlm.nih.gov/pmc/articles/PMC5928844
Disseminated cysticercosis in a child: whole-body MR diagnosis with the use of parallel imaging.
link.springer.com/article/10.1007/s00247-009-1438-8
Pseudomuscular male with seizures: disseminated cysticercosis. semanticscholar.org/paper/Pseudomuscular-male-with-seizures%3A-disseminated-Goenka-Garg/3c547cf40956c0eff14217a576e74fc970221442
Neurocysticercosis. medlink.com/articles/neurocysticercosis
abqjournal.com/2543999/700-pounds-of-illegal-meat-cheese-seized-at-el-paso-border.html
dairyherd.com/news/education/meat-smuggling-threatens-us-livestock-biosecurity
insider.com/man-tried-smuggle-more-than-300-meat-across-us-border-2021-9
businessinsider.com/us-customs-found-194-pounds-of-illegal-bologna-in-mans-car-2021-2
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
In-depth channel ► @HemeReview
Secret channel ► @BigEmus
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
In-depth channel @HemeReview
Behind the Scenes @BigEmus
References:
Toluene Related Leukoencephalopathy radiopaedia.org/cases/toluene-related-leukoencephalopathy-1
Cranial MR Findings in Chronic Toluene ncbi.nlm.nih.gov/pmc/articles/PMC8185739
Neurotoxicity of solvents in brain pubmed.ncbi.nlm.nih.gov/21783541
Emergency Physician by Kazia Steele, Medical Oncologist by Eric Wolfgang Nelson
Review (and KC's medical oncologist): Dr Pavlos Msaouel
Production Assistants: Erin Goodenough, Nick Brown
KC's YouTube Channel ► @katiekickscancer_kidney
Chromophobe and Oncocytic Tumor Alliance: kidneycoa.org
National Institute of Health, Katie Coleman: ccr.cancer.gov/news/article/all-about-the-drive-a-rare-kidney-cancer-meets-its-match-at-nih
Katie received her second opinion and treatment at MD Anderson Cancer Center and her surgery was done at the National Cancer Institute, where 2 other confirmed metastatic oncocytoma cases are documented. Her case report to publish in a medical journal is currently pending.
Big Data Paradox
@HemeReview in-depth with Dr Msaouel ► youtu.be/fuFzv1AwBKQ
Cancer Patient Speaks Candidly With Her Physician ► youtu.be/Nddft_nc3Yc
@BigEmus Behind The Scenes ► youtu.be/vdyP0YtGfTA
Katie's Story (playlist) ► youtube.com/playlist?list=PL26HeTCO57qcQzfyqkC6RG2ECAxQgAjCl
Japanese Translation and Dub: Chihaya Hanai @rasha1m833
Japanese Voice KC: Kasumi Seki
Spanish Translation and Dub: Cenzontle Voices, Inc CDMX
Spanish Narration: Jerry Meza
Spanish Voice KC: Jahel Morga
Spanish Review: Dr Araceli Morga Vera
Portuguese Translation and Dub: Cenzontle Voices, Inc CDMX
Portuguese Translation: Zyanya Ponce
Portuguese Narration: Santiago Álvarez
Portuguese Voice KC: Gabriela Pellicia
Portuguese Review: Lenin Sagrero
Vietnamese translation and subtitles by Cao Nguyên
Music by R Prince, performed by Chubbyemu
Additional Music by @Lifeformed ► lifeformed.bandcamp.com
Some Images by Getty Images
Timestamps:
0:00 A Woman 💁♀️ Had A Headache Lasting 3 Days
0:05 KC is a 28 year old woman ☝️ presenting 🚑 to the emergency room
0:30 At the Urgent Care
0:58 Over the next few months
1:18 Abdominal pain
2:06 The anticipation of an imaging 👀 modality
3:03 Back in the 🚑 emergency room
4:12 A phenomenon of nature
5:06 An implication of heterogeneity
5:43 The mitochondria is the powerhouse of the cell, but something's 😳 wrong
6:41 Searching online cannot give you important contextual metadata
7:59 How do you know your plan is the one for you?
9:14 A powerful clinical reasoning tool
10:53 If you hear hooves think horses 🐴 not 🦓 zebras, but play telephone and people may hear ????
12:32 Presenting☝️ to the emergency 🚑 room
13:04 This is called 'treatment resistance'
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Metastatic renal oncocytoma. ncbi.nlm.nih.gov/pmc/articles/PMC1955059
Renal oncocytoma, yet another tumour that does not fit in the dualistic benign/malignant paradigm? ncbi.nlm.nih.gov/pmc/articles/PMC1955085
Oncocytoma and metastatic potential: myth or reality? link.springer.com/article/10.1007/BF00327061
Renal oncocytoma: clinicopathological study of 166 patients. J Urogenital Pathol 1991141–52.
Classification of tumours. Pathology and genetics of tumours of the urinary system and male genital organs. Lyon: IARC Press, 2004
Oncocytoma. pathologyoutlines.com/topic/kidneytumoroncocytoma.html
Chromophobe Kidney Cancer. pathologyoutlines.com/topic/kidneytumormalignantrccchromo.html
Immunohistochemical analysis for cytokeratin 7, KIT, and PAX2: value in the differential diagnosis of chromophobe cell carcinoma.
pubmed.ncbi.nlm.nih.gov/17210525
The Big Data Paradox in Clinical Practice. tandfonline.com/doi/full/10.1080/07357907.2022.2084621
A Causal Framework for Making Individualized Treatment Decisions in Oncology. mdpi.com/2072-6694/14/16/3923
There is Individualized Treatment. Why Not Individualized Inference? arxiv.org/abs/1510.08539
Causal inference and the data-fusion problem. pnas.org/doi/10.1073/pnas.1510507113
Patient HB portrayed by Eric Wolfgang Nelson. PA Erin Goodenough
United States has a Button Battery Ingestion Hotline poison.org/battery
Spanish translation and dub by Cenzontle Voices, Inc CDMX
Spanish Medical Advisor: Dr Araceli Morga Vera
Music by R Price, rearranged and performed by me
Other Music by @Lifeformed ► lifeformed.bandcamp.com
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Some images by Getty Images
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Battery Ingestion Hotline (USA Poison Centers) batteryingestionhotline.com
Mechanism of Battery-Induced Injury. rmpds.org/mechanism-of-battery-induced-injury.html
Vascular Complications in Children Following Button Battery Ingestions: A Systematic Review.
pubmed.ncbi.nlm.nih.gov/36032017
Button battery ingestion: a review. pubmed.ncbi.nlm.nih.gov/2278232
Obstruction of the GI tract. pubmed.ncbi.nlm.nih.gov/1718351
Mechanical bowel obstruction: a tale of 2 eras. pubmed.ncbi.nlm.nih.gov/22351916
Mechanical obstruction of the small bowel and colon. pubmed.ncbi.nlm.nih.gov/18387377
Severe esophageal injuries caused by accidental button battery ingestion in children. pubmed.ncbi.nlm.nih.gov/25400396
References:
4-year-old daughter admitted to ICU after parents wiped alcohol to reduce fever Report: b23.tv/pmqQjOr
Fever And Your Child, National Center on Early Childhood Health And Wellness. downloads.aap.org/DOCHW/FeverAndYourChild.pdf
Alcohol-induced hypoglycemia and coma caused by alcohol sponging. pubmed.ncbi.nlm.nih.gov/5454799
The Use of Folk Remedies Among Children in an Urban Black Community: Remedies for Fever, Colic, and Teething. web.archive.org/web/20070105020218/http://pediatrics.aappublications.org/cgi/content/full/115/3/e297
Music by @Lifeformed ► lifeformed.bandcamp.com
More music by T4N3 ► soundcloud.com/t4n3
More music inspired by R Prince
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Some images by Getty Images
Toluene Toxic Leukoencephalopathy Image case courtesy of Dr Chee Kok Yoon, Radiopaedia.org, rID: 17082
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Syndromes of toluene sniffing in adults. Ann Intern Med. 1981;94:758-762.
Glue-sniffing and distal renal tubular acidosis: sticking to the facts. pubmed.ncbi.nlm.nih.gov/1912400
Laboratory approach for diagnosis of toluene-based inhalant abuse in a clinical setting.
ncbi.nlm.nih.gov/pmc/articles/PMC4766772
Neurotoxicity of solvents in brain of glue abusers. pubmed.ncbi.nlm.nih.gov/21783541
Neural basis of inhalant abuse. pubmed.ncbi.nlm.nih.gov/9716942
A rare but serious case of toluene-induced sudden sniffing death. sciencedirect.com/science/article/pii/S2211558715000953
Hydrocarbon toxicity: A review. tandfonline.com/doi/full/10.3109/15563650.2014.923904
Inhalant Misuse in children and adolescents. UpToDate. Accessed 28 Mar 2023.
Effect of benzene, toluene, xylene on the .. quality of exposed workers. pubmed.ncbi.nlm.nih.gov/11601277
Effects of pH on Potassium: New Explanations for Old Observations. ncbi.nlm.nih.gov/pmc/articles/PMC3231780
THE EFFECT IN HUMANS OF EXTRACELLULAR pH CHANGE ON THE RELATIONSHIP BETWEEN SERUM POTASSIUM CONCENTRATION AND INTRACELLULAR POTASSIUM. ncbi.nlm.nih.gov/pmc/articles/PMC441665
MR Imaging of "Spray Heads": Toluene Abuse via Aerosol Paint Inhalation ncbi.nlm.nih.gov/pmc/articles/PMC8332768/pdf/8237703.pdf
Review of toluene action: clinical evidence, animal studies and molecular targets. ncbi.nlm.nih.gov/pmc/articles/PMC4211428
On the mechanism of rhabdomyolysis in potassium depletion. ncbi.nlm.nih.gov/pmc/articles/PMC292322
The Effects of Toluene on the Central Nervous System academic.oup.com/jnen/article/63/1/1/2916394
Goldfrank’s Toxicologic Emergencies. 11th ed.
NIOSH Case report cdc.gov/niosh/face/stateface/ne/03ne004.html
In-depth Channel: @HemeReview
Secret Channel: @BigEmus
References:
michiganmedicine.org/health-lab/why-daylight-saving-time-could-increase-your-heart-attack-risk
Circadian clocks and insulin resistance. Nat Rev Endocrinol. 2019 Feb;15(2):75-89. pubmed.ncbi.nlm.nih.gov/30531917
Surgery: Circadian rhythms influence surgical outcomes. Nat Rev Cardiol. 2018 Jan;15(1):5.
pubmed.ncbi.nlm.nih.gov/29143811
A Review of Data of Findings on Night Shift Work and the Development of DM and CVD Events: a Synthesis of the Proposed Molecular Mechanisms. Curr Diab Rep. 2018; 18(12): 132. pubmed.ncbi.nlm.nih.gov/30343445
Effects of season and climate on the first manic episode of bipolar affective disorder in Korea. Psychiatry Res . 2002 Dec 15;113(1-2):151-9. pubmed.ncbi.nlm.nih.gov/12467954
washingtonian.com/2022/03/15/the-us-tried-permanent-daylight-saving-time-in-the-70s-people-hated-it
smithsonianmag.com/smart-news/what-happened-the-last-time-the-us-tried-to-make-daylight-saving-time-permanent-180979742
References:
Treatment of Achalasia — From Whalebone to Botulinum Toxin. nejm.org/doi/full/10.1056/NEJM199503233321211
Treating achalasia: from whalebone to laparoscope. pubmed.ncbi.nlm.nih.gov/9718057
Patient JC by Eric Wolfgang Nelson, some minor details of case changed due to logistics
Thanks to the Bouckaert Family Farm
Music by R. Prince, rearranged
Some music by @Lifeformed ► lifeformed.bandcamp.com
Spanish Translation and Dub: Cenzontle Voices Inc, CDMX
Medical Reviewer: Dr Araceli Morga Vera
Portuguese Translation and Dub: George Frederico
Chinese Translation and Subtitling: Jason Wong, Marlon X, Kaya
Japanese Translation and Dub: Chihaya Hanai @rasha1m833
In-depth channel: @HemeReview
Secret channel: @BigEmus
Medicine (playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Second Case Report: cdc.gov/niosh/face/stateface/ne/04ne099.html
Macrolide Antibiotics and the Risk of Cardiac Arrhythmias. ncbi.nlm.nih.gov/pmc/articles/PMC4061901
Toxicity of macrolide antibiotics on isolated heart mitochondria: a justification for their cardiotoxic adverse effect. tandfonline.com/doi/abs/10.3109/00498254.2015.1046975
Cardiotoxicity of macrolides, ketolides and fluoroquinolones that prolong the QTc interval. pubmed.ncbi.nlm.nih.gov/12904146
Micotil Injection. journals.lww.com/em-news/fulltext/2005/08000/micotil_injection.40.aspx
American Association of Poison Control Centers database characterization of human tilmicosin exposures, 2001–2005. ncbi.nlm.nih.gov/pmc/articles/PMC3550109
Analysis of reports of human exposure to Micotil 300 (tilmicosin injection). avmajournals.avma.org/view/journals/javma/229/11/javma.229.11.1737.xml
Micotil Injection. content.elanco.com/en-us/product/beef/micotil/micotil-tilmicosin-injection
Another tilmicosin case report: journals.lww.com/em-news/fulltext/2005/08000/micotil_injection.40.aspx
ILE Failure in CCB Toxicity. casereports.bmj.com/content/15/1/e245711
Simplified Heart Muscle Cell Diagramkids.frontiersin.org/articles/10.3389/frym.2019.00065
Tutorial on Electrophysiology of the Heart. https://icerm.brown.edu/materials/Slides/tw-14-1/Tutorial_on_Electrophysiology_of_the_Heart_]_Sam_Dudley,_Brown_University.pdf
Macrolides. https://tmedweb.tulane.edu/pharmwiki/doku.php/macrolides
16S Ribosomal RNA Methylation: Emerging Resistance Mechanism against Aminoglycosides. academic.oup.com/cid/article/45/1/88/481913
References (there's way too many for a 53 second video)
The diuretic action of alcohol and its relation to pituitrin. pubmed.ncbi.nlm.nih.gov/16994356
MECHANISM OF DEHYDRATION FOLLOWING ALCOHOL INGESTION. pubmed.ncbi.nlm.nih.gov/14044808
Alcohol diuresis. pubmed.ncbi.nlm.nih.gov/14894109
The effect of alcohol on the renal excretion of water and electrolyte. pubmed.ncbi.nlm.nih.gov/15436874
Effect of ethanol ingestion on plasma vasopressin and water balance in humans. pubmed.ncbi.nlm.nih.gov/7081477
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
#shorts
Mark Rober Hot Ones: youtube.com/watch?v=CJbP71RI-V4
Peer Review: Dr Araceli Morga Vera, Dr Yue Wu, Dr Katherine Johns
Spanish translation and dub: Cenzontle Voices Inc, CDMX
Portugese translation and dub: George Frederico
Music by @Lifeformed ► lifeformed.bandcamp.com
In-depth (podcast) channel @HemeReview
Secret Channel @BigEmus
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
There's a secret version of this video in 8k: youtu.be/EA4y7gzbog0 the music levels were out of whack on that one so I elected to publish this one instead
0:00 Throat Numbing Spray Label
0:14 A Man Swallowed 1 Bottle Throat Numbing Spray While Eating Spicy Food
2:00 haha spray go glug 😳 glug
3:29 The emergency room 🚑 where we are now
4:10 Cyanosis and oxygen saturation
5:05 Arterial blood gas vs oxygen saturation
5:58 ...but something's wrong
6:38 This brings us back to the spray...
7:16 I promise you that stuff you learned in high school chemistry was worth it because it applies here
10:07 What does the throat numbing spray have to do with this?
12:10 ONOO😞- (Biochemical breakdown)
14:49 Throat numbing spray misuse isn't new
15:52 When you misuse the antidote and it becomes a poison itself
Some images by Getty Images
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Benzocaine-induced Methemoglobinemia. ncbi.nlm.nih.gov/pmc/articles/PMC1586795
Reported Adverse Event Cases of Methemoglobinemia Associated With Benzocaine Products. jamanetwork.com/journals/jamainternalmedicine/fullarticle/217060
Safety Information on Benzocaine-Containing Products. fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/safety-information-benzocaine-containing-products
Benzocaine. cureus.com/articles/68795-a-rare-case-of-benzocaine-induced-methemoglobinemia
Continuous Methylene Blue Infusions for Treating Recurrent Methemoglobinemia. toxandhound.com/toxhound/refractory-methemoglobinemia
Methemoglobinemia emcrit.org/ibcc/methemoglobinemia
Pulse Oximetry emcrit.org/pulmcrit/pulse-oximetry
Characterization of the methemoglobin forming metabolites of benzocaine and lidocaine. tandfonline.com/doi/abs/10.1080/00498254.2016.1196402
Identification of N-Hydroxy-para-aminobenzoic acid in a cyanotic child after benzocaine exposure. pubmed.ncbi.nlm.nih.gov/25211007
A mitochondrial superoxide theory for oxidative stress diseases and aging. ncbi.nlm.nih.gov/pmc/articles/PMC4306659
4.2 Oxygen Binding: chem.libretexts.org/Bookshelves/General_Chemistry/Book%3A_Structure_and_Reactivity_in_Organic_Biological_and_Inorganic_Chemistry_(Schaller)/V%3A__Reactivity_in_Organic_Biological_and_Inorganic_Chemistry_3/04%3A_Oxygen_Binding_and_Reduction/4.02%3A_Oxygen_Binding
Benzocaine Label without Methemoglobinemia warning: https://fda.report/DailyMed/29890aa7-915a-46db-943d-a041d42f3637
Acute Phenol Poisoning: jstor.org/stable/27720955
Goldfrank's Toxicologic Emergencies 11th Edition Text
Methemoglobinemia. UpToDate. Accessed 01 Feb 2023.
Portuguese translation and dub: George Frederico
Spanish translation and dub: Cenzontle Voices, Inc. CDMX
Spanish Medical Review: Dr Araceli Morga Vera
Music by R. Prince, rearranged
Music by @Lifeformed lifeformed.bandcamp.com
Music by T4N3 soundcloud.com/t4n3
Some images by Getty Images
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Gastrointestinal injury associated with NSAID use: a case study and review of risk factors and preventative strategies. dovepress.com/gastrointestinal-injury-associated-with-nsaid-use-a-case-study-and-rev-peer-reviewed-fulltext-article-DHPS
Oesophageal perforation following ingestion of over-the-counter ibuprofen capsules.
cambridge.org/core/journals/journal-of-laryngology-and-otology/article/abs/oesophageal-perforation-following-ingestion-of-overthecounter-ibuprofen-capsules/C46DB13A1F2DDAFD9073D8A6BB863691
Esophageal ulcer induced by ibuprofen tablets. ncbi.nlm.nih.gov/pmc/articles/PMC5643597
Kidney damage from non steroidal anti-inflammatory.. bpspubs.onlinelibrary.wiley.com/doi/epdf/10.1002/prp2.817
Gastrointestinal injury associated with NSAID use: a case study and review of risk factors and preventative strategies. pubmed.ncbi.nlm.nih.gov/25653559
Nonsteroidal antiinflammatory and acute renal failure in elderly persons. pubmed.ncbi.nlm.nih.gov/10707917
Many People Take Dangerously High Amounts of Ibuprofen. reuters.com/article/us-health-nsaids-overdosing/many-people-take-dangerously-high-amounts-of-ibuprofen-idUSKBN1FS336
Does Ibuprofen Come in 1000 Tablet Bottles in America? Can the buyer finish it? zhihu.com/question/573412407
NSAIDS: Acute Kidney Injury in UpToDate. Retrieved January 2023.
References:
Role of potassium in acid secretion ncbi.nlm.nih.gov/pmc/articles/PMC4622792
Gastric acid level of humans must decrease in the future
ncbi.nlm.nih.gov/pmc/articles/PMC7684463
The impact of proton pump inhibitors on the human gastrointestinal microbiome. ncbi.nlm.nih.gov/pmc/articles/PMC4254461
Diet and Gastroesophageal Reflux Disease asge.org/docs/default-source/about-asge/newsroom/doc-gerd_infographic_final.pdf
The effect and mechanism of action of capsaicin on gastric acid output.
pubmed.ncbi.nlm.nih.gov/19296048
The Physiology of the Gastric Parietal Cell. ncbi.nlm.nih.gov/pmc/articles/PMC7327232
Substituted benzimidazoles inhibit gastric acid secretion by blocking (H+ + K+) ATPase.
nature.com/articles/290159a0
Priming the (Proton) Pump. ncbi.nlm.nih.gov/pmc/articles/PMC4844173
A nonelectrogenic H+ pump in plasma membranes of hog stomach. jbc.org/article/S0021-9258(17)32907-1/pdf
#shorts #stomach #gas #candy
Music by R. Prince, rearranged; References below
In-depth channel: @HemeReview
Secret channel: @BigEmus
A Scientist Huffed Gas In A Balloon. ► youtu.be/LnkwxKHVLeU
A Boy Ate 180 Gummy Melatonins For Lunch. ► youtu.be/nJR8Nfi8wg8
A Man Dry Scooped 35000 Milligrams Caffeine. ► youtu.be/sylqJ0NEVJw
Medicine (playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
References:
Fatal 3-Nitropropionic Acid Poisoning after Consuming Coconut Water. ncbi.nlm.nih.gov/pmc/articles/PMC7774558
Structural Basis for Malfunction in Complex II. ncbi.nlm.nih.gov/pmc/articles/PMC3471735
A pioneer study on human 3-nitropropionic acid intoxication: Contributions from metabolomics. analyticalsciencejournals.onlinelibrary.wiley.com/doi/10.1002/jat.4259
3-Nitropropionic acid-exogenous animal neurotoxin and possible human striatal toxin. pubmed.ncbi.nlm.nih.gov/1782616
3-Nitropropionic Acid - Exogenous Animal Neurotoxin and Possible Human Striatal Toxin. web.archive.org/web/20180728043418id_/cambridge.org/core/services/aop-cambridge-core/content/view/0F665A46A822D5149FDA63A410C448AE/S0317167100032212a.pdf/div-class-title-3-nitropropionic-acid-exogenous-animal-neurotoxin-and-possible-human-striatal-toxin-div.pdf
3-nitropropionic acid is a suicide inhibitor of mitochondrial respiration that, upon oxidation by complex II, forms a covalent adduct with a catalytic base arginine in the active site of the enzyme ncbi.nlm.nih.gov/pmc/articles/PMC1482830
3-Nitropropionic acid animal model and Huntington' s disease. sciencedirect.com/science/article/abs/pii/S0149763496000279
A phylogenetic re-evaluation of Arthrinium. doi:10.5598/imafungus.2013.04.01.13
“Dazed and diffused”: making sense of diffusion abnormalities in neurologic pathologies ncbi.nlm.nih.gov/pmc/articles/PMC3856542
Change in the Brain’s White Matter. ncbi.nlm.nih.gov/pmc/articles/PMC3201847
Bongkrekic Acid—a Review of a Lesser-Known Mitochondrial Toxin
ncbi.nlm.nih.gov/pmc/articles/PMC5440313
Burkholderia gladioli causes bacterial internal browning in sweetpotato of China. link.springer.com/article/10.1007/s13313-020-00691-y
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
Patient NP by Ceci, Tony by Wolfgang Nelson, Rebecca by Dawn Bradley, PA Erin Goodenough
US FDA Alert: fda.gov/food/alerts-advisories-safety-information/fda-warns-consumers-about-accidental-ingestion-children-food-products-containing-thc
Music by @Lifeformed ► lifeformed.bandcamp.com
In-depth channel: @HemeReview
Secret channel: @BigEmus
This video was recorded and produced in English, and has been dubbed using an artificial voice via aloud.area120.google.com to increase accessibility. You can change the audio track language in the Settings menu.
A Man Dry Scooped 35000 Milligrams Caffeine. This Is What Happened To His Organs: youtu.be/sylqJ0NEVJw
A Boy Ate 180 Gummy Melatonins For Lunch. This Is What Happened To His Brain: youtu.be/nJR8Nfi8wg8
Medicine (Playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Cannabis Edibles and Pediatric Toxicity Risk.
uspharmacist.com/article/cannabis-edibles-and-pediatric-toxicity-risk
Pediatric Concerns Due to Expanded Cannabis Use: Unintended Consequences of Legalization.
pubmed.ncbi.nlm.nih.gov/27139708
Implications of Plasma Δ9-Tetrahydrocannabinol, 11-Hydroxy-THC, and 11-nor-9-Carboxy-THC Concentrations in Chronic. ncbi.nlm.nih.gov/pmc/articles/PMC3159863
Promises and Challenges of Edibles. ncbi.nlm.nih.gov/pmc/articles/PMC5260817
Innovative Therapeutics or Designer ncbi.nlm.nih.gov/pmc/articles/PMC3139381
Trial of Cannabidiol for Drug-Resistant Seizures in the Dravet Syndrome. nejm.org/doi/10.1056/NEJMoa1611618
Marijuana Equivalency in Portion and Dosage. researchgate.net/publication/316977045_Marijuana_Equivalency_in_Portion_and_Dosage
Review of delta-8-tetrahydrocannabinol (Δ8-THC): Comparative pharmacology with Δ9-THC
bpspubs.onlinelibrary.wiley.com/doi/10.1111/bph.15865
Sedation and Acute Encephalopathy in a Pediatric Patient Following Ingestion of Delta-8-Tetrahydrocannabinol Gummies.
ncbi.nlm.nih.gov/pmc/articles/PMC8594112
Delta-8- and delta-9-tetrahydrocannabinol comparison in man by oral and intravenous administration
pubmed.ncbi.nlm.nih.gov/4698563
An efficient new cannabinoid antiemetic in pediatric oncology pubmed.ncbi.nlm.nih.gov/7776837
Cannabinoid Receptors in the Central Nervous System: Their Signaling and Roles in Disease. frontiersin.org/articles/10.3389/fncel.2016.00294/full
This Is What Happened merch ► crowdmade.com/collections/chubbyemu
Patient ET by Eric Wolfgang Nelson, PA Erin Goodenough
Special thanks to Jena Partida at The Training Ground and Steve Connelly
Another caffeine approach ► youtu.be/wj_AOzSSDMM
Second channel: @HemeReview
Secret channel: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
Music by @T4N3 ► soundcloud.com/t4n3
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
IG me: instagram.com/chubbyemus
FB me: facebook.com/chubbyemu
Tweet me: twitter.com/chubbyemu
Some Images by Getty Images
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Geib, AJ. (2016). Methylxanthines. In: Brent, J., Burkhart, K., Dargan, P., Hatten, B., Megarbane, B., Palmer, R. (eds) Critical Care Toxicology. Springer, Cham. doi.org/10.1007/978-3-319-20790-2_30-1. link.springer.com/referenceworkentry/10.1007/978-3-319-20790-2_30-1
Ciszowski K, Biedron W, Gomolka E. Acute caffeine poisoning resulting in atrial fibrillation after guarana extract OD. Przegl Lek. 2014;71:495–8. pubmed.ncbi.nlm.nih.gov/25632790
Wang HR, Woo YS, Bahk WM. Caffeine-induced psychiatric manifestations: a review. Int Clin Psychopharmacol. 2015;4:179–82. pubmed.ncbi.nlm.nih.gov/25856116
Jabbar SB, Hanly MG. Fatal caffeine OD: a case report and review of literature. Am J Forensic Med Pathol. 2013;34:321–4. pubmed.ncbi.nlm.nih.gov/24196726
McCleave DJ, Phillips PJ, Vedig AE. Compartmental shift of potassium – a result of sympathomimetic OD. Aust N Z J Med. 1978;8:180–3. pubmed.ncbi.nlm.nih.gov/277167
Amitai Y, Lovejoy Jr FJ. Hypokalemia in acute theophylline poisoning. Am J Emerg Med. 1988;6:214–8. pubmed.ncbi.nlm.nih.gov/3370094
Holstege CP, Hunter Y, Baer AB, et al. Massive caffeine OD requiring vasopressin infusion and hemodialysis. J Toxicol Clin Toxicol. 2003;41:1003–7. pubmed.ncbi.nlm.nih.gov/14705850
High-Dose Insulin Euglycemic Therapy in the Treatment of a Massive Caffeine Overdose. pubmed.ncbi.nlm.nih.gov/32386647
EAPCCT/AACT position paper: single-dose activated charcoal. Clin Toxicol. 2005;43:61–87. pubmed.ncbi.nlm.nih.gov/15822758
Volume of Distribution. ncbi.nlm.nih.gov/books/NBK545280
Intralipid and haemodialysis in caffeine overdose. pubmed.ncbi.nlm.nih.gov/32414776
My secret channel ► @BigEmus
References in description below
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Search for Chubbyemu on Snapchat, I have videos there 😌
Some images by Getty Images
Music by @Lifeformed ► lifeformed.bandcamp.com
Additional music by T4N3 ► soundcloud.com/t4n3
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet. No nighttime cold and flu medicine chicken 🙅♂️🙅♂️🙅♂️
References:
FDA Consumer Update A Recipe For Danger: Social Media Challenges Involving Medicines fda.gov/consumers/consumer-updates/recipe-danger-social-media-challenges-involving-medicines
Acetaminophen-Induced Hepatotoxicity: a Comprehensive Update pubmed.ncbi.nlm.nih.gov/27350943
Acetaminophen-related hepatotoxicity. pubmed.ncbi.nlm.nih.gov/24099020
Patient perception and knowledge of acetaminophen in a large family medicine service. pubmed.ncbi.nlm.nih.gov/24813653
Acetaminophen (APAP) hepatotoxicity-Isn't it time for APAP to go away? pubmed.ncbi.nlm.nih.gov/28734939
Acute acetaminophen toxicity in adults. pubmed.ncbi.nlm.nih.gov/31651762
Acetaminophen (Paracetamol). D Nicholas Bateman. in Critical Care Toxicology. link.springer.com/referenceworkentry/10.1007/978-3-319-20790-2_108-2
Acute liver necrosis following overdose of paracetamol. ncbi.nlm.nih.gov/pmc/articles/PMC1943529
Acetaminophen and acetylcysteine dose and duration: past, present and future. pubmed.ncbi.nlm.nih.gov/22320209
Management of paracetamol poisoning. doi.org/10.1136/bmj.d2218
In-depth channel: @HemeReview
Secret third channel: @BigEmus
Follow Wolfgang on IG instagram.com/wolfgangnelson
Follow Amanda on IG instagram.com/adtheg
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Search for Chubbyemu on Snapchat, I have videos there 😌
Music by @Lifeformed ► lifeformed.bandcamp.com
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
CT Esophagography for Evaluation of Esophageal Perforation. pubs.rsna.org/doi/full/10.1148/rg.2021200132
Caustic ingestion: CT findings of esophageal injuries and thoracic complications. link.springer.com/article/10.1007/s10140-021-01918-1
A case of severe corrosive esophagitis, gastritis, and liver necrosis caused by ingestion of methyl ethyl ketone peroxide. pdfs.semanticscholar.org/f87a/50e556d7b0bd7b412b00743ff60d6ad3e803.pdf
Catastrophic Caustic Ingestion: A Case Report. sciendo.com/article/10.2478/jccm-2020-0017
pubs.rsna.org/doi/10.1148/rg.327125035
Caustic Ingestions. ncbi.nlm.nih.gov/books/NBK557442
Calello, D.P. (2017). Caustics. In: , et al. Critical Care Toxicology. Springer, Cham. doi.org/10.1007/978-3-319-17900-1_90
Patient MB portrayed by Abram Cutshall, Toast Scientist by Jake Rattan
Special thanks Westminster Christian Academy
Production Assistant Jake Rattan
In-depth channel @HemeReview
Secret channel @BigEmus
This video has been dubbed using an artificial voice via aloud.area120.google.com to increase accessibility. You can change the audio track language in the Settings menu.
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Music by @Lifeformed_ ► lifeformed.bandcamp.com
Music by T4N3 ► soundcloud.com/t4n3
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Poisoning by arseniuretted hydrogen of hydrogen arsenide, its properties, sources, relations to scientific and industrial operations, symptoms, post-mortem appearances, treatment, and prevention. John Glaister. 1908. archive.org/details/poisoningbyarsen00glaiuoft
Tox and Hound Fellow Friday- Metal Hydries I. toxandhound.com/toxhound/ff-metal-hydrides
Sun HD, Ma L, Hu XC, Zhang TD. Treatment of acute promyelocytic leukemia by Ailing-1 therapy with use of syndrome differentiation of traditional Chinese medicine. Chin J Comb Trad Chin Med West Med 1992;12:170-171
Complete Remission after Treatment of Acute Promyelocytic Leukemia with Arsenic Trioxide. nejm.org/doi/full/10.1056/NEJM199811053391901
Acute on Chronic Arsenic Poisoning nejm.org/doi/full/10.1056/NEJMcps1716775
Mechanisms of arsenic: https://sites.dartmouth.edu/toxmetal/arsenic/the-facts-on-arsenic/
Severe acute arsine poisoning treated by plasma exchange. tandfonline.com/doi/full/10.1080/15563650701502675
Interaction of Arsine with Hemoglobin in Arsine-Induced Hemolysis. academic.oup.com/toxsci/article/90/1/142/1692217
Arsine toxicity: Chemical and mechanistic implications tandfonline.com/doi/abs/10.1080/15287399509532045
Arsenate replacing phosphate - alternative life chemistries and ion. ncbi.nlm.nih.gov/pmc/articles/PMC3070116
Arsenic Binding to Proteins. ncbi.nlm.nih.gov/pmc/articles/PMC3797521
A biography of arsenic and medicine hkmj.org/system/files/hkm1112p507.pdf
Memorial Sloan Kettering Image by Kenneth C. Zirkel
Chubbyemu's in-depth channel: @HemeReview
References below
A Woman ate 23 Bananas After Fasting 7 Days: youtu.be/nQC_GDTNkQQ
My third secret BTS channel @BigEmus
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Music by @Lifeformed ► lifeformed.bandcamp.com
More music by @T4N3 ► soundclound.com/t4n3
Some images by Getty Images
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Pediatric Melatonin Ingestions — United States, 2012–2021. CDC Morbidity and Mortality Weekly Report / June 3, 2022 / 71(22);725–729.
cdc.gov/mmwr/volumes/71/wr/mm7122a1.htm
The Importance of Melatonin Detection in Pediatric D ncbi.nlm.nih.gov/pmc/articles/PMC8351052
Isolation of melatonin and 5-methoxyindole-3-acetic acid from bovine pineal glands. J Biol Chem. 1960 Jul;235:1992-7. pubmed.ncbi.nlm.nih.gov/14415935
Physiology of the Pineal Gland and Melatonin. ncbi.nlm.nih.gov/books/NBK550972
Total and Cause-Specific Mortality of U.S. Nurses Working Rotating Night Shifts. ajpmonline.org/article/S0749-3797%2814%2900623-0/fulltext
Tennessee Daycare Shut Down For Dosing Kids With Melatonin. crimeonline.com/2022/05/08/tennessee-daycare-shut-down-over-dosing-kids-with-melatonin
Pineal Calcification, Melatonin Production, Aging, Associated Health Consequences and Rejuvenation of the Pineal Gland. ncbi.nlm.nih.gov/pmc/articles/PMC6017004
Annual reproductive rhythms in mammals: mechanisms of light synchronization. pubmed.ncbi.nlm.nih.gov/2934016
NTP Nonneoplastic Lesion Atlas. ntp.niehs.nih.gov/nnl/endocrine/adrenal/cxatrophy/adrenal-gland-cortex-atrophy-pdf_508.pdf
Chubbyemu behind the scenes channel: @BigEmus
These spiders are synanthropic so they live among us 😳
Assistant camera: Jake Rattan
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Music by @Lifeformed ► lifeformed.bandcamp.com
Additional music by @T4N3 ► soundcloud.com/t4n3
Medicine (playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Daddy Longlegs by Vengolis
Loxosceles gaucho by Halies
Some images by Getty Images
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
CMS Malaque, RS Vetter, M Entres. Loxosceles spiders. Critical Care toxicology. link.springer.com/referenceworkentry/10.1007/978-3-319-17900-1_119
Brown recluse spider (Loxosceles reclusa) envenomation leading to acute hemolytic anemia in six adolescents. ncbi.nlm.nih.gov/pmc/articles/PMC4902007
Acute kidney injury and dermonecrosis after Loxosceles reclusa envenomation. ncbi.nlm.nih.gov/pmc/articles/PMC4119339
Spider Bites: Part 1. lacerationrepair.com/wound-blog/spider-bites
Bites of Brown Recluse Spiders and Suspected Necrotic Arachnidism. nejm.org/doi/full/10.1056/NEJMra041184
CASE OF ARACHNOIDISM (SPIDER BITE). jamanetwork.com/journals/jama/article-abstract/265718
Detection of Loxosceles species venom in dermal lesions: A comparison of 4 venom recovery methods.
annemergmed.com/article/S0196-0644(02)04713-3/fulltext
Brown spider (Loxosceles sp.) bite and COVID-19: A case report. sciencedirect.com/science/article/pii/S0041010122000861
Loxosceles intermedia spider envenomation induces activation of an endogenous metalloproteinase, resulting in cleavage of glycophorins from the erythrocyte surface and facilitating complement-mediated lysis. sciencedirect.com/science/article/pii/S000649712036568X?via%3Dihub
Necrotic arachnidism. pubmed.ncbi.nlm.nih.gov/11260528
Brown Recluse Michigan. ncbi.nlm.nih.gov/pmc/articles/PMC8384389
Myth: Idiopathic wounds are often due to brown recluse or other spider bites throughout the United States ncbi.nlm.nih.gov/pmc/articles/PMC1071166
Correspondance: Bites of the Brown Recluse Spider. nejm.org/doi/full/10.1056/nejm200505123521922
Brown Recluse Pest Management Tips for The Spider That's Not As Common As You Think. entomologytoday.org/2018/01/29/brown-recluse-pest-management-tips-for-the-spider-thats-not-as-common-as-you-think/brown-recluse-range-map
The Chilean Recluse. fdacs.gov/content/download/68159/file/Pest_Alert_-_Loxosceles_laeta,_The_Chilean_Recluse.pdf
An Infestation of 2,055 Brown Recluse Spiders (Araneae: Sicariidae) and No Envenomations in a Kansas Home: Implications for Bite Diagnoses in Nonendemic Areas. academic.oup.com/jme/article/39/6/948/862215
In-depth Channel @HemeReview
Chubbyemu mug: http://crowdmade.com/collections/chubbyemu
Chubbyemu behind the scenes: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
Additional Music by T4N3 ► soundcloud.com/t4n3
Medicine (playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Secret Video 1 youtu.be/bq1kwlGhPyE
Secret Video 2 youtu.be/gBJiq3tMeBo
US CDC Presentation on the 1993 E coli O157:H7 Outbreak: youtube.com/watch?v=Ull53xGkRT4
Patient KC portrayed by Joanna Ferbrache
Dad by Keith Nussbaum
Young KC by Olivia Walsh
Some images by Getty Images
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
A new route of transmission for Escherichia coli: infection from dry fermented salami. pubmed.ncbi.nlm.nih.gov/8712275
Ricin and Shiga Toxins: Effects on Host Cell Signal Transduction ncbi.nlm.nih.gov/pmc/articles/PMC7120278
Hemorrhagic colitis associated with a rare Escherichia coli serotype. pubmed.ncbi.nlm.nih.gov/6338386
Isolation of Escherichia coli O157:H7 from dairy cattle associated with two cases of haemolytic uraemic syndrome. pubmed.ncbi.nlm.nih.gov/2877210
Administration of Ricin Induces a Severe Inflammatory Response via Nonredundant Stimulation of ERK, JNK, and P38 MAPK and Provides a Mouse Model of Hemolytic Uremic Syndrome ncbi.nlm.nih.gov/pmc/articles/PMC1602309
Entry of ricin and shiga toxin into cells: molecular mechanisms and medical perspectives. ncbi.nlm.nih.gov/pmc/articles/PMC305844
Crystallographic refinement of ricin to 2.5. pubmed.ncbi.nlm.nih.gov/1881880
Crystal structure of the holotoxin from Shigella dysenteriae at 2.5 A resolution. pubmed.ncbi.nlm.nih.gov/7656009
Pathogenesis of Shiga Toxin-Associated Hemolytic Uremic Syndrome. nature.com/articles/pr2001160
US Centers For Disease Control: cdc.gov/ecoli/outbreaks.html
Patient CG portrayed by Abram Cutshall, Jake by Matt Hernandez, Pizza Friend Isaah Williams, Friend 4 Jake Rattan
Production Assistant: Jake Rattan
Second in-depth channel: @HemeReview
Third behind the scenes channel: @BigEmus
A Student Ate Suspicious Leftovers ► youtu.be/EqHpnoV00j4
A Boy Ate 25 Brownies in 1 Hour ► youtu.be/TMy0vJfKvzI
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Search for Chubbyemu on Snapchat, I have videos there 😌
Music by @Lifeformed ► lifeformed.bandcamp.com
Music by @T4N3 ► soundcloud.com/t4n3
Some images by Getty.
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Salicylate Toxicity from Exposure to a Methylsalicylate-Containing Rubefacient. ncbi.nlm.nih.gov/pmc/articles/PMC4786239
Regional variation in percutaneous penetration of 14C cortisol in man. jidonline.org/article/S0022-202X(15)47268-9/pdf
Anatomy and physiology of chronic s pain ncbi.nlm.nih.gov/pmc/articles/PMC5503924
Ketone bodies: a review of physiology, pathophysiology and application of monitoring to diabetes. pubmed.ncbi.nlm.nih.gov/10634967 In DKA: acetoacetate (AcAc) and 3-beta-hydroxybutyrate (3HB), while acetone is the third
ISPAD Clinical Practice Consensus Guidelines 2018: DKA and the hyperglycemic hyperosmolar state. pubmed.ncbi.nlm.nih.gov/29900641
Salicylates. Goldfrank, Lewis R, and Neal Flomenbaum. Goldfrank's Toxicologic Emergencies. New York: McGraw-Hill, 2006.
Unconscious Uncoupling – Managing pH in Salicylate. Tox and Hound. toxandhound.com/toxhound/phinasa
Counterproductive effects of sodium bicarbonate in DKA. pubmed.ncbi.nlm.nih.gov/8550770
Roomate portrayed by Brandon Guzman
This video is based on a case published in New England Journal of Medicine 2021 link below
My second in-depth channel: @HemeReview
My secret third behind the scenes channel: @BigEmus
A Toddler Drank His Mom's Essential Oils. ► youtu.be/TZr0nt2hxbs
A Woman Drank "35% Food Grade Hydrogen Peroxide." ► youtu.be/Eec98ie0Plg
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Search for Chubbyemu on Snapchat, I have videos there 😌
Music by @Lifeformed ► lifeformed.bandcamp.com
Additional music by T4N3 ► soundcloud.com/t4n3
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Some images by Getty
Photo from: doi.org/10.1038/s41467-018-06948-x
Meningococcemia can be a life-threatening problem
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Case 7-2021: A 19-Year-Old Man with Shock, Multiple Organ Failure, and Rash. nejm.org/doi/full/10.1056/NEJMcpc2027093
Pathogenesis of meningococcal purpura fulminans academic.oup.com/femspd/article/75/3/ftx027/3064884
Sepsis-associated disseminated intravascular coagulation and its differential diagnoses. jintensivecare.biomedcentral.com/articles/10.1186/s40560-019-0387-z
Purpura fulminans: mechanism and management of dysregulated hemostasis. pubmed.ncbi.nlm.nih.gov/29157918
Persistence of endothelial thrombomodulin in a patient with infectious purpura fulminans treated with protein C concentrate. pubmed.ncbi.nlm.nih.gov/30396911
Megan and Patient BB portrayed by Megan Pulley and her son
References to subject matter and related cases below
A Woman Drank "35% Food Grade Hydrogen Peroxide." ► youtu.be/Eec98ie0Plg
A Toddler Chewed Lead Paint Off His Toys. ► youtu.be/5qHxEjINCAg
Second Channel: @HemeReview
Secret Channel: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Search for Chubbyemu on Snapchat, I have videos there 😌
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Regulation of Cell Volume in Health and Disease nejm.org/doi/full/10.1056/NEJM199511093331906
Molecular Mechanisms of Ischemic Cerebral Edema: Role of Electroneutral Ion Transport journals.physiology.org/doi/pdf/10.1152/physiol.00015.2009
Laryngeal oedema caused by accidental ingestion of Oil of Wintergreen. pubmed.ncbi.nlm.nih.gov/11335011
Oil of Wintergreen. Annals of Emergency Medicine, Volume 31, Issue 6, 793 - 794.
Measuring a toddler's mouthful. Annals of Emergency Medicine, Vol. 43, Issue 6, 792.
Accidental Ingestion of Oil Of Wintergreen. The Journal of Family Practice, Vol 29, No 6, 1989.
Managing pH in Salicylate. toxandhound.com/toxhound/phinasa
Adult Patient KJ portrayed by Jennifer Wryn, PA Ben Anthony
References to subject matter and related cases below
A Student Ate 108 Gummy Antacids For Breakfast. ► youtu.be/sx93aUj4A_o
A Mukbanger Ate 1 Gallon Pickles. ► youtu.be/gF69voHU_ys
A Gamer Drank 12 Energy Drinks In 10 Minutes. ► youtu.be/tAtaIZD0Ebs
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Search for Chubbyemu on Snapchat, I have videos there 😌
Music by @Lifeformed ► lifeformed.bandcamp.com
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Some images by Getty
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Outcomes After High-Concentration Peroxide Ingestions. annemergmed.com/article/S0196-0644(16)31389-0/fulltext
Hydrogen Peroxide Poisoning—A Rare Cause of Portal Venous Gas
ncbi.nlm.nih.gov/pmc/articles/PMC8448209
Hydrogen peroxide poisoning pubmed.ncbi.nlm.nih.gov/15298493
Massive hepatic gas embolism from a health food additive pubmed.ncbi.nlm.nih.gov/14980354
Cerebral air gas embolism from concentrated hydrogen peroxide ingestion. tandfonline.com/doi/full/10.1080/15563650701725136
Iatrogenic gas embolism following surgical lavage of a wound with hydrogen peroxide. pubmed.ncbi.nlm.nih.gov/10730173
Be Careful With Psyllium Husk ▶️ youtu.be/mPHXldh4_H4
Chubbyemu shorts ▶️ youtu.be/fOPP9Qe10Rg
Check out my other channels: @HemeReview @BigEmus
References:
Lessons Learned From a Rare Type of Gastric Bezoar somatopublications.com/lessons-learned-from-a-rare-type-of-gastric-bezoar.pdf
Chewing Gum Bezoars of the Gastrointestinal Tract publications.aap.org/pediatrics/article-abstract/102/2/e22/65601/Chewing-Gum-Bezoars-of-the-Gastrointestinal-Tract
#shorts
Mug is here 😉 ► crowdmade.com/collections/chubbyemu
Case from 2019 seen by a colleague of mine on US east coast. See references below for more information on the disease state.
My second channel where I go more in-depth ► @HemeReview
Secret third channel ► @BigEmus
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Music by @Lifeformed ► lifeformed.bandcamp.com
Additional Music by T4N3 ► soundcloud.com/t4n3
A Mukbanger Ate 1 Gallon Pickles. This Is What Happened To Her Brain. ► youtu.be/gF69voHU_ys
A Gamer Drank 12 Energy Drinks In 10 Minutes. This Is What Happened To His Organs. ► youtu.be/tAtaIZD0Ebs
A Man Ate 100 Zinc Vitamin C Gummies Everyday. This Is What Happened To His Spinal Cord. ► youtu.be/oeyt2zVqCG8
Flamin Hot Cheetos Pizza by Bianca Taylor
Flamin Hot Cheetos Pizza by Kari Steele
Fatimas Grill Flamin Hot Cheetos Quesadilla
Some images licensed by Getty Images, Adobe Stock
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
Peptic Ulcers need to be diagnosed by a clinician and appropriate treatment needs to be monitored. Psychiatric signs and symptoms from antibiotics are a rare reaction and should be monitored by a physician. This does not mean to avoid antibiotics, the benefit in the face of a bacterial infection generally outweighs the risk, at the discretion of the prescribing physician for the specific patient's illness. Milk Alkali Syndrome has been increasing in incidence over the last decade, despite H2 Antagonist and Proton Pump Inhibitor over-the-counter availability in the United States. This could be due to the common use of over-the-counter preparations of calcium for the prevention and treatment of osteoporosis in post-menopausal women. Calcium carbonate is also frequently prescribed to patients with chronic kidney disease for the prevention of secondary hyperparathyroidism. Milk-alkali syndrome now accounts for more than 10% of the cases of hypercalcemia and is the third most common cause of hypercalcemia in hospitalized patients. See references below for more information.
References:
Rare Causes of Hypercalcemia: 2021 Update. academic.oup.com/jcem/advance-article-abstract/doi/10.1210/clinem/dgab504/6317644?redirectedFrom=fulltext
A review of antibiotics, d and the gut microbiome. sciencedirect.com/science/article/abs/pii/S0165178119303701
Milk-Alkali Syndrome. ncbi.nlm.nih.gov/pmc/articles/PMC2664604/#R7
Extreme metabolic alkalosis in intensive care. ncbi.nlm.nih.gov/pmc/articles/PMC2856150
Second Messengers. ncbi.nlm.nih.gov/pmc/articles/PMC4968160
Hypercalcemia. physio-pedia.com/Hypercalcemia#cite_note-p2-2
Effects of Ca2+ and Mg2+ on Neuronal Excitability. http://pittmedneuro.com/ions.html
Calcium block of Na+ channels and its effect on closing rate. ncbi.nlm.nih.gov/pmc/articles/PMC22436/#B6
The dual role of calcium: Pore blocker and modulator of gating. ncbi.nlm.nih.gov/pmc/articles/PMC34267
Nephrolithiasis secondary to inherited defects in the thick ascending loop of henle and connecting tubules. researchgate.net/figure/Schematic-representation-of-a-TALH-cell-NKCC2-Na-K-2Cl-cotransporter-ROMK-renal-outer_fig1_329073769
International Poison Centers contact https://apps.who.int/poisoncentres/
Patient AC portrayed by Oscar Mansky and thanks to my friends at Nyoka Design Labs for the video suggestion!
Get Chubbyemu Merch: crowdmade.com/collections/chubbyemu
My 2nd, in-depth YouTube Channel 👉 @HemeReview
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IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Search for Chubbyemu on Snapchat, I have videos there 😌
Music by @Lifeformed ► lifeformed.bandcamp.com
Eating 1 Gallon Pickles ► youtu.be/gF69voHU_ys
Medicine (playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
Some images by Getty Images
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet. In context of this video, call the poison center if you have any doubts!!
References:
https://www.chop.edu/centers-programs/poison-control-center/glow-sticks
illinoispoisoncenter.org/my-child-ate/glow-stick
jamanetwork.com/journals/jamapediatrics/fullarticle/203843
ncpoisoncontrol.org/types-of-poisons/common-poisons-at-home-and-work/glow-sticks
Patient BT portrayed by Sheena Laird
💜💕❤️🫀💋😌 Live, laugh, love 😌💋🫀❤️💕💜
See my second channel @HemeReview for more in depth videos
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Search for Chubbyemu on Snapchat, I have videos there 😌
1 Galllon Dill Pickle Jar (Inspired by Matt Stonie) ► youtu.be/SlXTNSAoSsA
1 GALLON JAR of PICKLES ► youtu.be/yXVXgswb3qE
A Woman Ate 23 Bananas After Fasting 7 Days ► youtu.be/nQC_GDTNkQQ
A Gamer Drank 12 Energy Drinks In 10 Minutes. ► youtu.be/tAtaIZD0Ebs
Music by @Lifeformed ► lifeformed.bandcamp.com
More music by T4N3 ► soundcloud.com/t4n3
Medicine (playlist) ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Fatal Hypernatremia From Exogenous Salt Intake: Report of a Case and Review of the Literature. mayoclinicproceedings.org/article/S0025-6196(12)62194-6/fulltext this is not the case from this video. it's a review for students to understand the nature of hypernatremia, and how both excess exogenous sodium intake coupled with severe water loss contributes to symptomatic hypernatremia.
Physiology, Gastrocolic Reflex ncbi.nlm.nih.gov/books/NBK549888
Extra pickle reference health.clevelandclinic.org/6-health-benefits-of-drinking-pickle-juice
@HemeReview Weird Time When Energy Drinks Cured My Insomnia ► youtu.be/d_qKA6KTvs8
Patient JS by Justin Silverman https://linktr.ee/justysilverman
@MedlifeCrisis Energy Drink Video: youtu.be/na6tkBVVHCQ
Spanish Translation and dub: Cenzontle Voices, Inc. CDMX
Spanish Medical Translation Reviewer: Dr Araceli Morga Vera
Music by @Lifeformed ► lifeformed.bandcamp.com
Additional Music by T4N3 ► soundcloud.com/t4n3
Medicine ► youtube.com/playlist?list=PL26HeTCO57qcMQB6CrU6QRzEi9tt9l1FI
IG me: instagram.com/chubbyemus
Tweet me: twitter.com/chubbyemu
Search for Chubbyemu on Snapchat, I have videos there 😌
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Energetic etiologies of acute pancreatitis: A report of five cases. ncbi.nlm.nih.gov/pmc/articles/PMC4644889
Recurrent Acute Pancreatitis With Energy Drinks Consumption: Rare but Definite Association. eventscribe.com/2018/ACG/ajaxcalls/PosterInfo.asp?efp=RFNSWFFHSFY2NDI0&PosterID=162352&rnd=0.2438452
A Rare Cause of Acute Pancreatitis. journals.lww.com/ajg/fulltext/2018/10001/a_rare_cause_of_acute_pancreatitis__1328.1328.aspx
Energy drink-induced cardiomyopathy casereports.bmj.com/content/14/4/e239370