Excellent explanation! Thanks Dr. Tala!

@TalaTalksNICU

3 жыл бұрын

Thank you so much again Kyle! We really appreciate your support!

I’m 11 and really wanting to be a neonatologist when I grow up so I am getting a head start on it now. Let me just say that usually when I’m studying jaundice or anemia or ect. I get very confused. I am sooo grateful for this video and how it explains things. This was great. Tysm 😅 It really helped with my studies! ❤

@TalaTalksNICU

Жыл бұрын

Mary! That is amazing!! 11! Definitely our youngest viewer (apart from when we've forced our kids to watch! ha!) We are SO impressed you are watching any medical videos let alone about jaundice!!! We think it is the BEST field in the world-so I think you're making a great decision. The babies will be so lucky to have you take care of them! We wish you luck and perseverance :)

@marykas7630

Жыл бұрын

@@TalaTalksNICU thank you so much!!

@tobyrichards9181

3 ай бұрын

That's impressive that you already have an idea of what your journey in life.

Yes!! I have been too excited for this topic 🤗 Thank you

@TalaTalksNICU

3 жыл бұрын

Thank you so much Jo for subscribing and for continuing to watch!

I tell everyone about your channel. I'm a new NNP student and your videos are helping me tremendously. THANK YOU.

@TalaTalksNICU

2 жыл бұрын

That's so kind of you- thank you for advertising for us!!! ha! We're SO happy that these are helpful to you. It also all takes a lot more time than we had initially thought these videos would (ha!) and so I can't even tell you how motivating comments like yours are. They really keep us going! Thanks again for watching :)

I really enjoy learning from your great doctor. Thank you so much.

@TalaTalksNICU

2 жыл бұрын

Thank you so much Dr. Mazhary for your lovely compliment!! Thanks for watching too :)

Thank you SO MUCH for clarifying in 15 minutes what my professor couldn't convey in an entire semester. Wish I would have found your channel earlier!!

@TalaTalksNICU

Жыл бұрын

Oh wow! That could be one of our favorite comments ever!! Thanks so much- so happy you're here!

Wow excellent explanation. Starting from the basics really helped me understand a 100x better.

@TalaTalksNICU

2 жыл бұрын

Thank you so much for letting us know, Sam. To explain everything from the basics is really why we started this channel- so your comment was very validating! Thank you!

Thanks u so much Doctor Tala. This video helped me understand 100 percent the difference between direct and indirect bilirubin. I love your videos and I love the way you teach.

@TalaTalksNICU

Жыл бұрын

Oh Yay! That makes us so happy! Thanks so much for watching and for taking the time to comment :)

Have my finals in a month. These videos made this topic so easy to understand. Thanks !

@TalaTalksNICU

Жыл бұрын

Oh we're SO glad they helped! Thanks for commenting and GOOD LUCK in your finals :)

Thanks Tala. That was one of my requests, thank you so so much 💕

@TalaTalksNICU

3 жыл бұрын

Absolutely Themby! We're happy you're still here. More jaundice episodes to come too...

@lalohernandez5582

3 жыл бұрын

Does increased bilirubin negatively impact oxygenation by breakdown of the RBCs?

@TalaTalksNICU

3 жыл бұрын

When RBCs breakdown, bilirubin is released. (So a very elevated indirect bilirubin could imply that many RBCs have broken down and the patient is anemic. If the patient is anemic this could affect the body's oxygenation). Hope this helps??

Thank you! You really made a complicated topic simple!

@TalaTalksNICU

2 жыл бұрын

Oh that makes us so happy Tenesha- literally our goal! Thanks so much for watching and commenting :)

Thank you! Very clear and informative!

@TalaTalksNICU

11 ай бұрын

So glad you think so- thank you!!!

Great Explanation Dr. Tala!!

@TalaTalksNICU

Жыл бұрын

Thank you! Thanks for taking the time to comment too :)

Thank you Dr Tala, this is really educative

@TalaTalksNICU

Жыл бұрын

You are very welcome, thanks for being here!

Thank you for doing this!

@TalaTalksNICU

3 жыл бұрын

Thank you for watching and subscribing Enes! We appreciate this community so much!

Your videos are awesome! Teaches me as to how to teach!

@TalaTalksNICU

2 жыл бұрын

That's SO great!! We love your comments. I think teaching, like everything else, is mostly a skill. The more we do, the better we are. But I agree, I've definitely had a few teachers that I'm like- I want to present the information more like her or him!

Thank you so Much Tala , can you make them Out of 10. 😍😍😍🔥🔥🔥...With Love from Tanzania, 🇹🇿

@TalaTalksNICU

3 жыл бұрын

Hello Mazera! Thanks so much for being here! We're so happy you're watching all the way from Tanzania :)

Great feeling to hear

@TalaTalksNICU

3 жыл бұрын

Thanks so much Azam! We love seeing your comments :)

Thanks so much doctor Tala

@TalaTalksNICU

11 ай бұрын

Thank you for being here!

Thanks, Dr. Tala.

@TalaTalksNICU

Жыл бұрын

Thank you for watching :)

This so amazing,,Very nice presentation 👏 today i have gone beyond understanding 🔥

@TalaTalksNICU

Жыл бұрын

Oh yay! That's our goal- so happy that this helps :)

Wow awesom refresher and well explained. Listening in all the way from South Africa

@TalaTalksNICU

3 жыл бұрын

Hi Rene! That's so great you're watching! SA is a bucket-list country for us :) Thanks for your comments!

Thanks Dr tala.. cleared concept

@TalaTalksNICU

2 жыл бұрын

Thank you so much Doc! Appreciate you watching and commenting :)

Wow,was a good one,,thank you so much Doc

@TalaTalksNICU

Жыл бұрын

Thank you so much for watching and for taking the time to comment

Excellent neonatologist.

@TalaTalksNICU

Жыл бұрын

Thank you so much for the lovely compliment!

The best lecture

@TalaTalksNICU

10 ай бұрын

Thank you! And thank you for taking time to write!

محاضرة ممتازة ...حضرتك رائعة فى الشرح والتبسيط...بارك اللة فيكى

@TalaTalksNICU

Жыл бұрын

I asked my father to translate -(myArabic is pretty shaky!) thank you so much Osama - we are so thankful you think that )

Fun. Passionate. And greatly helpful! THANK YOU so much Dr. Tala for these amazing Videos. Would you please give a talk on fluid, nutrition, and growth? Thank you:)

@TalaTalksNICU

2 жыл бұрын

Thank you so much for your lovely words! Talk on fluid and nutrition is coming soon- after the NEC lectures :) Thanks!!

FANTASTIC TEACHING!!!!

@TalaTalksNICU

2 жыл бұрын

Thank you so much for watching and for taking time to comment Robin :)

@toady1up

2 жыл бұрын

@@TalaTalksNICU As a new NICU nurse (coming from adult ED and oncology), your vids are critical to my personal learning! I cannot thank you enough for your depth and enthusiastic presentation!

@TalaTalksNICU

2 жыл бұрын

Thank you so much Robin! We really appreciate you taking the time to comment! And congratulations on your new role- you're going to LOVE it here!

lots of love from India ❤

@TalaTalksNICU

8 ай бұрын

THANK YOU! Thanks for subscribing and for taking the time to comment!

thanks. new nicu doctor here.

@TalaTalksNICU

11 ай бұрын

Congratulations! Enjoy your role!!!

thank you, very helpful

@TalaTalksNICU

Жыл бұрын

So glad you found it helpful! Thanks for letting us know!

Awsme lecture

@TalaTalksNICU

Жыл бұрын

Thank you so much Naseem :)

Handsome lecture by beautiful icon

@TalaTalksNICU

2 жыл бұрын

Ha! I took a screen shot of your lovely comment and sent it to Arianna saying 'we can quit now'! Ha! Thank you :)

As a mum, I found this really really helpful

@TalaTalksNICU

2 жыл бұрын

Congratulations on being a mum- and thanks for letting us know :)

Big like 👍

@TalaTalksNICU

2 жыл бұрын

Thanks so much Monjid!

Crystal clear concepts 😔 where were this videos when I was in med school?!

@TalaTalksNICU

Жыл бұрын

So glad they're helpful now at allDr. Okafor! Thanks for writing :)

Great

@TalaTalksNICU

9 ай бұрын

Thanks for taking the time to comment!

4:25 RBCs when it breaks down it will not release Bilirubin as you said; it will release Hemoglobin which then Macrophages line cells will pick up and start breaking it down to Heme and Globins. Heme is then further broken down to Iron and Bilivirdin; Bilivirdin then will be converted to Bilirubin by these cells, and the story does not end there

@TalaTalksNICU

2 жыл бұрын

Hello! Again- you're absolutely right. We missed out many, many steps in the bilirubin metabolism, and even more with what happens in the gut with bilirubin. So even though those steps are important for exams, research, future meds etc- clinically they're not as relevant. And here we're really trying to emphasize what needs to be known for better bedside care!

Thanks

@TalaTalksNICU

2 жыл бұрын

Thank you so much for watching!

thank you

@TalaTalksNICU

2 жыл бұрын

Thank you for watching and for subscribing!

Thanks for the video! I have a question about interpreting lab values - we send them blood and they send us back three numbers, the total, indirect, and direct bilirubin. Does the indirect bilirubin value include only unbound bilirubin molecules, or is it a sum of the unbound and albumin-bound? For example, if the albumin is low, does that mean that a given high indirect bili is more alarming (i.e., more unbound and able to cross into brain) than the same number would be if the albumin was normal?

@TalaTalksNICU

2 жыл бұрын

Hello Marion! This is SUCH a great question and I wish I'd covered it better in the video! The indirect value includes both the bound and unbound values. So you're right- when the albumin is low we should be a lot more worried. (Especially since albumin is often low in setting of 'leaky' capillaries scenarios like in sepsis- which in itself would mean the blood brain barrier isn't as strong so same level of indirect bilirubin more likely to get into brain). There has been ongoing research to try to find a commercially available lab value that will only measure the unbound fraction.... Hope this helps! Thanks again for being here :)

Good

@TalaTalksNICU

Жыл бұрын

Thanks!

May you please discuss electrolyte imbalance too? And approach to dehydration in neonates....hypoglycemia and hyperglycemia

@TalaTalksNICU

2 жыл бұрын

Hello again! Yes! That is definitely high up on our list. Electrolytes/ fluids/ TPN is such a massive topic that we have been a little hesitant to start! We promise we'll get there!

Thankyou

@TalaTalksNICU

Жыл бұрын

Thank you for watching! And taking the time to comment :)

Can you please cover congenital hypothyroidism?

@TalaTalksNICU

4 ай бұрын

Yes! This is a great video idea- straight forward too- we really need to cover this soon!!

Does the lab value for indirect bilirubin include the bound indirect bilirubin? Bound bilirubin is not conjugated, correct? So is there a way to account for how much bound indirect bilirubin there is? Or does that not matter because it is bound and so not a threat?

@TalaTalksNICU

2 жыл бұрын

This is such a great question Elizabeth. Nearly every lab counts the total bilirubin (includes conjugated=direct, as well as unconjugated=indirect- everything that is bound and free). We don't have easy consistent ways to measure the free, unconjugated (indirect) bilirubin. As you said, this is what we really care about. So we have to make conclusions and guesses based on other values. So if the direct bilirubin is high- we are more concerned. (Not because it crosses the BBB, but because it will displace unconjugated bilirubin from albumin and increase how much free bilirubin there is). If the albumin is low, we are also more worried about how much free bilirubin there will be. Honestly though- even if we knew the exact number for 'free indirect bilirubin'- it still wouldn't give the full story. Each infant's BBB (blood brain barrier) would be different from others. If an infant is premature or has sepsis, they would have a weaker BBB, and so it would be more likely free bilirubin would get through. Does this all make sense??

Do I „freeze“ the gestational age at birth or do I let it mature postnatally when calculating fototherapy threshol? I mean: if a baby is born at 34+6 days and is now 9 days old and has jaundice, do I use the fototherapy theeshold for 34 gestational age or the one for 36 weeks, since the baby has technically reached that age outside the womb?

@TalaTalksNICU

7 ай бұрын

Great question- we still use gestational age at birth (otherwise counting the '9' days old twice). I thin we should do an updated hyperbili video with the guidelines that came out since we made the initial series of videos. Thanks so much for being here Christoph!

Tala can I use your video for teaching some nurses about Jaundice

@TalaTalksNICU

3 ай бұрын

YES! Hi Toby! Literally what they're made for :)

amazing mam.can u make a video on bronchopulmonary dysplasia?

@TalaTalksNICU

3 жыл бұрын

Yes Riya! That is on our list! We'll get to it- we promise! Thanks for watching and commenting :)

dr waxan ku su'aala maxa sababa biyaha raga soo daaha?

@TalaTalksNICU

11 ай бұрын

I’m so sorry- not sure what language so don’t know how to translate?!

Mum told me I had it

@TalaTalksNICU

9 ай бұрын

Lots of babies do!! I’m sure all is great with you now :)

@margaretgicheru-dh1ee

9 ай бұрын

@@TalaTalksNICU Yes,am now 36years.Glory to almighty God.