I don't understand any of this, but I send these videos to my Mom. She's a retired nurse of over 40 years, and she laughs and says some things I don't understand in a foreign medical language. Thanks for making her laugh doc!

@Doc_Schmidt

2 жыл бұрын

Thank you!

@theflowerhead

2 жыл бұрын

That's sweet honestly.

@valleygirlz4491

2 жыл бұрын

That is super sweet @M.

@crazybanananananaja948

2 жыл бұрын

So many words jn this video that I never heard of

@maddydavidsdottir9862

2 жыл бұрын

As a former nurse, I do that to my husband lol he just laughs and nods as if he understands 😄🤦🏼‍♀️

I will say this as always… YOU NEVER WANT TO EXCITE DOCTOR WITH YOUR SYMPTOMS ITS NEVER GOOD. - someone who got adult meningitis.

@shayelea

Жыл бұрын

Yep I spent 6 days in the hospital because they couldn’t figure out what was wrong. Everyone on the team kept telling me how interesting I was. Could have stood to be a little LESS interesting.

@R.KingSpade

Жыл бұрын

As someone who got gout, fibromyalgia, and Pernicious anemia at the tender age of 22... Yeah, it's not fun to be your doctor's most interesting patient

@starrystarrynight52

Жыл бұрын

I know this was a while ago. But I once had a doctor get excited over the type of seizures I have. He made me do these little tests to see what triggers it. I felt like a guinea pig. Turns out it was my hormones that trigger my seizures. He didn't even ask how my periods effect my seizures.

@blowingbubbles5554

Жыл бұрын

Yeah you know it’s not great when you are in the hospital and the doctor keeps coming back with other doctors who aren’t even consulting on your case because they heard about you and “want to take a look” since your symptoms are “fascinating”

@turtle4llama

Жыл бұрын

I once had a doctor shout, "Facinating!" while reading a liver scan. I nearly died.

A sincere "thank you for the interesting consult"... warms my heart

@darcyjeanske821

2 жыл бұрын

Especially since it's in person(over the phone) rather than a closing comment that the doctor dictated in a consult note.💕

It's always steroids

@Doc_Schmidt

2 жыл бұрын

always

@Helen3691

2 жыл бұрын

But it’s never lupus.

@aeri_taylors-version

2 жыл бұрын

@@Helen3691 never indeed

@willowtree6487

2 жыл бұрын

F-ck steroids. I was on them for a good 18mths and my Rheumatologist thought I had seron-negative Lupus, and when I read thank you for the interesting consult, I thought what the hell, this is my life (that incidentally is ruined - lost my job through this illness) and it's just a good day for you?! I'm on a biologic now thankfully and off steroids.

@KagamineNachy

2 жыл бұрын

I’m so sorry for your experience, sadly, some autoimmune diseases are more aggressive and need biologics, but rheumatologic diagnosis is hard, since a lot of diseases overlap and what might seem like one thing, evolves and shows its true colors and it turns out you’ve been treating a lupus like a RA!

Pure art. Stand back and admire. You touched souls. Lucky patient.

Didn’t even have to give the name, age, gender, PMH, reason for admission, or clinical question. That’s how you know you’re the alpha (attending physician).

@angelr9096

2 жыл бұрын

Gender? But these are doctors, not biologists! 😆🤦‍♀️🤷‍♂️

@Lleifr

2 жыл бұрын

@@angelr9096 ????????????

@icarus6492

2 жыл бұрын

@@angelr9096 umm, its common to introduce a patient by sex. Because men and women have different risks for different diseases. Just like age, and even race. That’s why we say things like “this is Jake, a 70 year old, gentleman with underlying hypertension” before proceeding to say he has abdominal pain.

@angelr9096

2 жыл бұрын

@@icarus6492 I know LOL I was just kidding because of the Democrat nominee who didn't even know the definition of a woman. She was directly asked, can you define what a woman is? She actually laughed and said, I'm not a biologist.

@EyeonthePrize247

2 жыл бұрын

@@angelr9096 Oh Christ

The real miracles are the initial physician running those tests 1) while the patient still had those symptoms, and 2) before contacting rheumatology

@domvasta

2 жыл бұрын

Well ANA would be a standard test for those symptoms and if positive, you'd order the others. Why waste time with a consult when you've got nothing but a rash?

@arianedealswithsocialanxie8170

2 жыл бұрын

@@domvasta and 3) not sending the patient home before confirming results and doing follow-up tests in order to clear up the ER

@laurendenson5904

2 жыл бұрын

@@domvasta absolutely would not be a standard test. I have a lot of the lupus symptoms but nobody has tested me for it.

@Willow_fish

2 жыл бұрын

Agreed. I had to tell my doctor "Hey. This is my laundry list of symptoms what fits all of them?" And she narrowed it down to two and referred me to a rheumatologist. Turns out it was non-factor RA.

@Fizzypopization

Жыл бұрын

@@laurendenson5904 yeah you literally have to beg to get tested for markers.

As the patient, this seems accurate. I have Crohn's and psoriasis, and my rheumatologist was super excited to figure our which was causing the inflammatory arthritis, even though the treatment for both was the same - steroids new biologic and methotrexate...

@wierdalien1

2 жыл бұрын

It does make a difference prognosticly

@marlenegold280

2 жыл бұрын

What was the cause? My mum has RA.

@KagamineNachy

2 жыл бұрын

@@wierdalien1 I mean, They both can fuck up your back, psoriasis just does it in a way more unfun way I think. But not if it’s treated.

@wierdalien1

2 жыл бұрын

@@KagamineNachy Wrong way round, crohns can often been comorbid with Ank spond. Well techincally it can be an component of Ank spond

@vikab8929

2 жыл бұрын

@@KagamineNachy I don't know. I have had lots of sections of my intestines removed and have almost died from Crohn's disease a few times and been hospitalized for long periods... psoriasis is just... ugly and a little itchy

My mother was diagnosed with Lupus (both types) when I was born 49 years ago. They gave her 10 years to live, unfortunately that turned into vasculitis and started attacking her kidneys and her brain. Vasculitis is main and vicious and I wouldn’t wish it on my worst enemy! She found an extremely hard fight as they gave her 10 years to live and she lived for over 38 years… Autoimmune diseases are so hard to diagnose and people do not understand them and they don’t understand the pain that people are actually in. There were days you could not touch my mom or hug her, but she wouldn’t tell her grandkids that! I admire her strength and Saturday and she fought a damn good fight to the bitter end! If I’m an 1/8 of the woman she was then I made something of myself.❤️

I’m no doctor, but I’ve had arthritis since I was 3 and can’t get over the “Steroids. High dose steroids.” So true!

@KatieCottingham

2 жыл бұрын

Arthritis since 3? So you mean Lyme Disease? 🤔

@anitastafford6617

2 жыл бұрын

The only thing that makes them happier is when they can show med students the moon-face and Cushing's results from those high dose steroids! I was actually stopped in the hallway on the way to renal clinic (systemic lupus) I went from Rheumatology to Renal and was stopped on the way! The professor was almost on his knees begging me to stop so his students could actually see in real life the results of high dose steroids. It was dehumanizing, but he was so caught up in actually see it in a child that he didn't realize he was treating me like a thing instead of a person.

@sjb4280

2 жыл бұрын

@@KatieCottingham 😂☠ Not Lyme Disease!!

@anomalily

2 жыл бұрын

@@KatieCottingham Juvenile arthritis can occur that young

@anitastafford6617

2 жыл бұрын

@@anomalily That was my first diagnosis. I was symptomatic by age 2, but doctors weren't checking for pediatric systemic Lupus back then. Full on sore joints and muscles, photosensitivity, rashes, hair loss, lesions (that they kept calling ringworm), anemia and digestive issues. They even went so far as to call it middle child syndrome. I was in active renal failure before before my rheumatologist went to continuing education and found out about childhood lupus. Suddenly the question patient had an answer.

Just about everybody: I like you funny words magic man

That's how I feel as an ID physician if I get consulted when all work up had been completed...surgery done, blood/ tissue/bone/ drainage cultures etc obtained. Feels so good.

@grantmegan91

2 жыл бұрын

@Jason Walter because literally every single patient will need something different and having a checklist of procedures wanted done on every patient before knowing anything about them is super irresponsible

My rheumatologist is both fascinated and stressed out by me. “Kat, why do you have so much going on with your body?!”😂 (He’s a fantastic doctor and I’m so grateful for him.)

The excitement in the rheumatologist’s face is so pure!

This is so funny and accurate! Every rheumatological disease, regardless the diagnosis, has the same treatment guideline, steroids and immunosuppressants! 😆

@caitlinengland682

2 жыл бұрын

Yup lol

@marcilk7534

Жыл бұрын

Except scleroderma. Steroids sometimes are used, but with caution because they can cause renal crisis.

@phillyphakename1255

Жыл бұрын

And don't forget biologics! And sometimes immunosuppressant biologics too, just for good measure!

@sayurimei

9 ай бұрын

yes and no. In Ehlers-Danlos Syndrome steroids are to be used with caution since they weaken even more the collagen and connective tissue that is already crap on us lol

Ohhhhh I feel this gave a Rheumatologist wings

This made me so very, very happy to see other people find ultimate satisfaction when they finally encounter a unicorn.

As a rheumatology patient, I love this. I’ve traveled through Hashimoto’s, celiac disease, and my UCTD progressed to RA. The first two were straight forward, but the last is much more squishy.

I love when specialist finally get a case “worth” their consult time. 🤣

I'm a software engineer. Now I know what we sound like to other people when we talk about our technobabble

Reminds me of the last time I saw my nurse practitioner. She literally said, "hm, you've got a bunch of weird rare things don't you!". Yes, I do 😂

@phillyphakename1255

Жыл бұрын

My family's favorite is being called "medically interesting". There was that one time when I had a weird allergic reaction to a supposedly hypoallergenic drug, and so they went from the resident to the attending, and then they brought in another doctor. And another doctor, and another doctor. Then like the 10th best specialist in the country drove in to see this patient with the weird reaction and said "huh. That's weird." I had never felt so validated with my health struggles.

@TheLittlestViking

9 ай бұрын

I know that feeling. I've got so many "rare conditions" and "unusual allergies" that surgery on me is both a normal occurrence and difficult. I'm allergic to every kind of adhesive on the planet, I even react to tegaderm, I'm allergic to freaking KOBAN, and I'm allergic to medical/surgical cyanoacrylate/superglue. My body also has of history of rejecting the dissolving sutures. So it's essentially normal sutures and pressure bandages for me. I've got hEDS, POTS, Tachy-Brady Syndrome, and Erythromelalgia, among other things. Life is fuuuuun.

@notanotherfuckingnikki

7 ай бұрын

clEDS here and my username was bestowed upon me by my former PCP after watching my BP swing from 70/56 to 250/200 in a day's time and HR was 180 only to drop to 16 whilst sleeping in the same day.

"I probably won't be able to understand it." The smile on the rheumatologist's face while responding "Agreed" made my whole week, Doc. You're getting too good at this!

lols it reminds me of a 1st visit with a surgeon and I literally saw his eyes light up just like that when he realised the work I needed.

@S_Carol

2 жыл бұрын

Same. An orthopaedist. It's not often that they get a young, otherwise healthy, but severe enough case of degenerative osteoarthritis to qualify for preventive hip surgery.

@totallybionic123

2 жыл бұрын

@@S_Carol same here! I’m a gold mine for orthopedics from a degenerative bone disease where I have little to no cartilage and what I have is like incredibly thin lace. To compensate for the lack of cartilage, my body tries to fuse all of my joints. I had bilateral total hip and knee replacements when I was 13 and I’m about to hit 15 years on that. I had my thirteenth surgery two weeks ago where I had elbow surgery to reduce pain and increase range of motion (I had about 30 degrees of motion prior to surgery). All of the bone that the surgeon removed was well over six inches, all spread out. Surgeons are either really excited to get me as a patient or really scared because I’m such a rare and complex case. I prefer the ones who are excited to take on the challenge and get creative with their approach lol

Saying “they have to wait until it progresses” is their favorite statement. “Let’s wait until they are dead or in a wheelchair to make a diagnosis. Man we are such good people”

Part of my clinical placement as a student studying paramedicine earlier this year was in a GP. At one point a patient came in with unusual symptoms and I could *see* the interest grown in his eyes as he asked questions and performed some physical exams, even as he did his best to show concern for the patient. After he’d done an initial diagnosis and treatment and the patient had left, he turned to me and said “I’ve never seen a case of that in 30 years as a doctor, *never*.” He was also probably the nicest guy I’ve ever met, constantly saying I’m gonna be great, I’m gonna be amazing, over and over. Genuinely makes me want to live up to those expectations and make him proud, such a great guy. He also walked me through a few procedures that were definitely out of my scope of practice, pretty sure you’re not supposed to have a paramedic student do cortisone knee injections, but hey, I did them perfectly, it was a learning experience, and it was good fun!

It reminds me of a joke a veterinarian told me once: "Diagnosis? I don't know Treatment? Steroids" 😂

LOL this reminded me to my former rheumatologist. I am a very interesting patient due to my multiple rare diseases and whenever I presented a symptom or something new, His eyes glowed. He told me that He was sorry to appear so excited due to my health declining but He knew I understand since I'm a research clinical register dietitian specializing (Thanks to his mentorship) in rare diseases (the only one currently specializing in this area on my country), so despite I knew that meant my life was going to get harder, He made me feel so validated and that my case could help so many people and impact the level of care that I didn't mind. He unfortunately lost his life almost a year ago (just 52 years old, fatal sudden M.I.) and I haven't been able to find a doctor as amazing and excited to help others like he was, I miss him dearly, what helps me keep going is helping others the same way he helped me when I had lost hope I could ever practice and help patients. He impacted my life in a way I can't ever thank him enough, so now as long as I can, I will help others like he helped his patients.

And then there’s me “Positive ANA, multi system symptoms…it’s gotta be lupus!” *gets every single test rheumatology can do* “well it’s not lupus. Or anything else. You’re not ok but I have no clue how. Here go see a pulmonologist”

I always wonder if they really mean that “thank you for the interesting consult “at the bottom of their notes

@trailrider2571

2 жыл бұрын

Not always. It's just considered customary to do it. To omit it would be a breach of etiquette. No logic to this.

I wish my rheumatologist was that excited 😂 I've had arthritis for decades, but I've been recently hospitalized with weird symptoms a couple times. They called my rheumy and the answer was always "No need for any tests, it's just arthritis". Soo.. a migraine headache that lasts 2 months is arthritis? Okay then 😳

@merillo5

2 жыл бұрын

I was told it was fluid in my ears & turned out after months I said I want to see an ENT Dr & it was a brain aneurysm not fluid

Oh the non bleaching rash and doctors going “oh…uh, well, definitely something with your immune system” I know that well

@BriJBo

2 жыл бұрын

Good evening Dorissa, you've got a typo in your comment. He mentioned a non-blanching rash, not non-bleaching.

@lolitaalmostgrown

2 жыл бұрын

Non blanching rash

Me poor economics student trying to understand 90% of what you said

@sjtv6565

2 жыл бұрын

Lady doctor do strange medicine. Man doctor helping patient with strange sickness. Lady doctor fascinated.

@melaninmonroe007

2 жыл бұрын

cANCA is an antibody found in patients with autoimmune vasculitis (like Wegener’s granulomatosis = ears, nose, kidney, and lungs don’t get proper blood flow). Scl-70 is an antibody found in patients with CREST or systemic sclerosis, where the skin gets really thickened, etc Anti-Jo is with stuff like polymyositis (inflammation of muscles and lungs) or Raynaud’s (my friend has this; not enough blood to the tips of her fingers and ears.. and they start to rot off). There’s a whole lot more. But they’re all really painful autoimmune diseases and usually the best treatment is steroids lol

@jessicaroseelizabethp.7911

2 жыл бұрын

@@melaninmonroe007 Yes! You shared a very good description!!

@normalchannel2185

2 жыл бұрын

@@melaninmonroe007 thnx

@anomalily

2 жыл бұрын

@normal channel I’m an economics grad with RA so most of it made sense to me 😂

AS a pharmacist, i question the choice of meds for now, but I love this

@Redorgreenful

2 жыл бұрын

😆 I’m guessing you have suggestions other than good-old steroids

@Katie-vy5rd

Жыл бұрын

Right as asymptomatic!

I don’t work in the medical field. But this gives huge “holy SHIT, coworker I HAVE to tell you what just happened” vibes and I can definitely relate to that.

As someone with an autoimmune disease, I found this AWESOME

The Rheumatologist just experienced pure joy.

This is me when I'm asked to check over a complex case that is actually complex and not just a colleague not knowing what they're doing 😂

I had a feeling an ANCA positive lab was coming. Lol. My mom has P ANCA vasculitis. It's fascinating stuff.

"non blanching rash? you better believe they do!" ROFL 🤣 😂 🤣 😂

I knew it right away. Prednisone 50mg and taper off gradually. Keep lowest effective dose possible preferably 10 or 15mg DIE. 🤣

@shamelesshussy

2 жыл бұрын

High dose steroids! 1g daily iv infusion of methylprednisolone, five days, discharged, no taper. MS goes hard.

@phillyphakename1255

Жыл бұрын

Prednisone. Its always Prednisone.

My favorite part is him agreeing that no one would understand his assessment note 😁

I can imagine this is how my drs acted when I was dx with ehlers danlos lol

@ylenagreen4084

Жыл бұрын

Oh I’ve seen my rheumy make that face of absolute confusion and excitement when I describe my new zebra symptoms and it’s so hard not to start laughing 😂

My daughter is going through a rheumatoid diagnosis now. I actually understood about half of that. Love it! Of course, I am expecting about a dozen alternate endings to this.

I wanted to be a rheumatologist I loved reading rheumat I was gasping with joy in this video 😂

Professional rheumatology pt here - I’m dying of laughter - STEROIDS.

as an internest i love this!

When the doc tells me - “I gotta say, I’ve never seen this before, and I’ve been working for years. You’re pretty unique.”

17 different diagnosis then steroids ☠☠☠

@jessicaroseelizabethp.7911

2 жыл бұрын

Reminds me when I had been referred to rheumatology and he told me, I could add a diagnosis, but it is not going to help you, so I am not going to do it. Follow up with your referring doctor. You do not need a follow up here.

Please I would love to write a book here but basically please keep addressing autoimmune diseases.

Your dream diagnostic specimen is someone else's nightmare. Dont forget that part of the conversation.

Reminds me of derm. “If it’s dry, wet it. If it’s wet, dry it”

Love love love. Always appreciate the compelling review.

My boss is a nurse, she worked in the ICU for 25 years, then as a visiting home nurse, and now my boss!! She's on vacation right now, but I wanna show her your vids when she comes back!!

Many of scenarios are so similar in India..nice to know the med students are grilled the same way elsewhere too..n dermat n rheumat scenarios were bang on.. please do one for IR or radiology. P.S. IR attending consultant myself

My neurologist said he really wanted to study my DNA because of my high pain tolerance. He sounded really excited about it, so I was like, "Hey, as long as my insurance company covers it, go for it. I'd be interested to see what you find." Then I went home and found the paper about the study that compares different DNA types and people with very high or low pain sensitivity who seem to develop certain chronic pain related health conditions. It was fascinating! Now I REALLY want him to study me!

As a person who went through YEARS of no diagnosis.. omg, I wished that someone would have sent me to RA doc sooner, BUT my ANA was always negative! I’m like yea BUT I have 2 million symptoms. Took 8 years to get my RA diagnosis. 😩 I suffered through numerous surgeries, thousands in med bills, a subarachnoid brain hemorrhage.. until I reached the verge of suicide. It was a VERY incredible neurologist that finally sent me to rheumatology. It only took 2 weeks to find an RA factor OFF THE CHARTS. Rheumatology is a godsend. ❤️ Just wish I had been sent sooner. 😢

Loved this one :)

Wish my Doctors were happy about all my weird chronic diseases.

No idea what any of that jargon means, but I recognize the excitement of someone getting a case that isn't just the same old same old. 🤣

It feels good that after 3 years of school so far I can understand and make up a differential of my own with your ticktoks lol, used to watch them as an m1 and had no idea

Lol, this reminds me so much of the awesome paediatric rheumatologist who diagnosed my Ehlers-Danlos Syndrome when I was 17yo -- Dr Kevin Murray in Perth, Western Australia. He specialises in hypermobility disorders and his EDS patients call him "The Wizard", lol. It's because along with being a wonderfully eccentric person who cares deeply about his patients, all of our lives magically improved under his care, after many years of only getting worse. The man knows his stuff when it comes to us bendy, achey-breaky folks! Seeing his face light up when discussing the many bizarre things EDS bodies do and go through always made it less awful to deal with (I aged out of his clinic, but he kept treating me until my mid-20s, bless him). If he's still taking new patients, I absolutely cannot recommend him highly enough! 💜

This is the most satisfying video on the internet

Brilliant. I adore this . I have not a clue but it is super amusing. What a fantastic doctor. A good laugh is medicine itself.So good and helping to lighten up everyone. Must send this to my son . Thank you so very much. Kindest regards from England. A tonic for sure.

Love how often you mention Vasculitis! I have Polyarteritis Nodosa with CNS vasculitis- most drs never even heard of it lol (I’m ANCA negative tho😜)

This sounds kind of like when I got diagnosed with auto immune pancreatitis, renal tubular acidosis, and an auto immune vitamin b 12 deficiency. I was almost dead. Literally. Not an exaggeration. I was also having to have insulin even though I wasn’t diabetic. They ultimately diagnosed me a year later with lupus (SLE) but for months I was in the hospital with my body pretty much just trying to kill itself. Plaquinil, cellcept, and a lot of prednisone (off and on as needed) I’m here and mostly ok. That was 9 years ago. I am now actually diabetic though but only for this past year. it was a gastroenterologist that ultimately put it all together and figured out it was autoimmune pancreatitis after a biopsy and a couple months in icu. So thanks for the work you do! Dr Stephan Lambert in Mississippi is who figured it out. After me being sick for 9 months and icu for 2 months. And one doctor even accusing me of possibly poisoning myself(???🤨) and another thinking I had methane poisoning (I don’t remember why he thought that I was extremely ill) and even one accusing me of drug seeking (I was in a lot of pain but I had pain meds in my purse and showed them to her. I wasn’t there for pain meds I was there for save my life meds!). I’m not even a huge feminist or anything but I will tell you women are not taken seriously at all when we are ill. But even by other women. Eventually it got so bad I was giving up and trying to set up long term care for my 3 young kids as I was only 32 but already a widow so I was thinking I was going to leave them orphans.I don’t even remember much the last couple months but being in so much pain that the IV meds didn’t help anymore and so being very sick and too weak to talk. I don’t think I’d be here if he hadn’t figured it out. I have a great rheumatologist now but I will forever remember my gastro doc as the one who saved my life and kept my kids from being orphans.

@marcilk7534

Жыл бұрын

Wow, that must have been scary. It sounds like an episode of House though, minus someone breaking into your house trying to find clues.

Boy I wish my healthcare providers had anywhere this level of enthusiasm for my condition

Rheumatology might be my calling because I absolutely love this one!

I don't know how many times I've thought, "Wow. This would all be incredibly fascinating if it weren't happening to an actual person."

My fave consults to read are immunology and rheumatology. Yes, vast and detailed!

an endocrinologist's dream consult: "consult for insulin pump", but actually, it's just a continuous glucose monitor that the team thought was an insulin pump. and the patient is only on metformin and the A1c is 7%. :D

@marlenegold280

2 жыл бұрын

I wish all patients with Type 1 Diabetes could get access to a Dexcom CGM. It would make life easier. Diagnosis was missed, in DKA, in hospital 6 weeks, nearly died, and they actual assumed I had T2D; they didn’t check antibodies. 🙄 After essentially all the beta cell function was gone, and me questioning the diagnosis, the endo I finally got, acknowledged I needed basal/bolus insulin. If I hadn’t brought it up, I likely would have gone into DKA again. [Fun with LADA]

I love how many specialties have their "candies." Gyn? OCPs. Psych? SSRI. Rheum? Steroids! The genuine consult thanks was beautiful!

@chiedzawith2ds

Жыл бұрын

It be the things that treat a lot of things. Like ssris do depression and anxiety and that kinda covers just a lot of psychological problems.

My Mom has psoriasis when she moved into assisted living I had to tell her new PA when her psoriasis breaks out two weeks topical steroidal cream if that doesn't work oral steroid two weeks lowest dose it'll clear up. PA doesn't believe me calls her supervising internal medicine doctor who happens to work with my mom's dermatologist at the hospital says yeah that's exactly the usual course of treatment for her psoriasis. Lol.

Ooh! Us lab peeps have a similarly exciting conversation when we find Listeria. Gpb? Bile esculin pos? Tumbling motility?? Noice.

Seeing this in real life would be miraculous.

CNS vasculitis here , rheumatology love this stuff on paper , but they never seem as excited meeting the patient... My neurologist on the other hand was delighted to meet me and called me a "medical unicorn" to my face , in fact most other docs didn't believe I met him because "he never leaves his office and just spends his day looking at scans" , usually he just sends his team, felt very special :)

Biopsy? Kidney. Skin. Muscle. That is what dedication sounds like.

This is awesome! Great example overlapping antibodies…

The delight! It’s nice to see.

Fun times for Dr when another Dr knows what to look for but has no idea what to do other than consular with the proper Specialist! Love this one!!! Super helpful info for work!❤️‍🔥

Steroids. I'm dead.

@Lucky9_9

2 жыл бұрын

No no, steroids are so that doesn't happen you see.

My rheumatology diagnosis is about as fun as it can get including nearly 10 hospitalization in a 1 year period. Lupus, basically every test positive, gout, seizures and everything. Let’s just say it’s been an eventful past few years for my doctors. Always fun looking threw my extensive list of lab tests.

My doctors react this way all the time 😂 I'm kind of a big deal (as their guinea pig and ideal patient for interesting diagnoses and weird test results)

@deeceepnw

Жыл бұрын

I feel this wholeheartedly. After being misdiagnosed with RA and treated with Steroids and MTX for 7 months, Rheum decided it might be Lupus, Sjogrens or 🤷‍♀️. They never followed up. After symptoms developed, more specialties tried their luck (Neurosurgery, GI, ENT, OPHTHALMOLOGY, ID, ) it was finally my Wizard neuro who dx’d me with Stiff Person Syndrome. No more steroids! 😂😂😂

@doru2013

10 күн бұрын

I feel this lol After decades of going to just about every *other* specialist, I finally got in with a Rheum and I don't think he was prepared for me to be so happy to be told I have an immune disorder. My PCP was as thrilled as I was though because it finally meant I'd get treatment and the experience will help her help others, in the long run.

Hahaha!!!! Thank you so much for this one. Almost 20yrs with rare autoimmune disease and this is hilarious

"I probably won't be able to understand it." - "Agreed."

Absolutely love this!

My mom has a autoimmune that only like 7,000 other people have. And I imagine the doctors reacted like this when they finally figured it out after her going to different specialists for like 5 years or so.

THIS. IS. AMAZING!!

One of my attending once said "If you don't understand, call internal medecine. If they don't understand, call the rheumatologist".

Yeah, I was this patient. Got everything from "I didn't even know those two test results could be high at the same time" to nurses giggling about their "Dr. House episode." The doctors hid it pretty well, but they were definitely excited.

Thank you an interesting consult. ☺️

The end made me go "awww~". Out loud. I'm not kidding.

I don't know what tests they ran but I bet this is what happened when my best friend presented to the ER as an otherwise healthy 37 year old man who just had a stroke out of nowhere. After a couple weeks of tests and a whole slew of specialists he was diagnosed with a really rare form of vasculitis with an even more exceedingly rare presentation.

Former nurse here. Love these videos! So funny!

I had a very acute lupus onset and high dose steroids were a miracle. But it took forever to taper off them so once the other meds started to kick in, the side effects became burdensome. Not to mention the withdrawal symptoms with each taper. I was very happy the day I got to stop them entirely.

Had to do this with the genetist. All relevant teams had seen and no linked diagnosis, several dimorphic features that were separately linked with different conditions but not going together. All bloods and labs done and absolutely no family history. It was pretty much have at it boys, pull all your toys out

I had a leg amputation many years back and I remember that I thought the surgeon should not look like we're about to DO IT sooooo damn much

Although it's kinda wrong but I also do get excited when there's such complicated patients. Like wow and how interesting that these kind of conditions still exist in our generation.

The level of love and appreciation for the consult 😍🥰😍🥰😍🥰😍🥰🥹😘

Watched this while sitting at my Rheumy doc's office getting an infusion for my RA.

Yep, time for that solu-medrol. I can't count that number of times I've had that. It's so strong you can taste it!