Help me make more videos on topics like this in two ways: Sign up for my newsletter where you'll find out what's on the agenda, and go get yourself a Skillshare account to learn something cool. Links above! I really appreciate it, ya bunch of stoners.

@Sinnistering

2 жыл бұрын

Is this not on Nebula? I always try to watch there since I _think_ you benefit more from it, but I couldn't find it.

@MedlifeCrisis

2 жыл бұрын

@@Sinnistering The upload process just takes longer there as it's still human-dependent. For Nebula-sponsored videos I always put them up a day earlier, but others I do simultaneously...which sometimes leads to a delay. Thank you for making that effort, really appreciate it!

@Alexis84DE

2 жыл бұрын

I would make a great test subject, especially considering your area of expertise; cardiology. I have been smoking at least a gram of marijuana a day for the past 10 years and I think I’m starting to show some long term effects on my heart. I’ve seen studies where long term use increases the risk of cardiovascular issues 😬 not to mention the toll on my memory it’s taken and other factors like increased paranoia due to long term exposure. I actually get a prescription for it because here in Germany it is currently still illegal, but my doctor doesn’t monitor the effects or anything. I just get a prescription every month, no questions asked. Missed opportunity for him to get some hard data on real life subjects, wish the system would be used to do more research

@tm4609

2 жыл бұрын

@@Alexis84DE great! Come on down to our shady back alley research center this weekend!

@YounesLayachi

2 жыл бұрын

I've reluctantly avoided newsletters so far but yours might be a first :D

"Homeopathy is here in spirit" genius

@Argosh

2 жыл бұрын

Homeopathy diluted to spiritual presence must kick like a mule.

@elainelouve

2 жыл бұрын

Yes xD

@DirtyPoul

2 жыл бұрын

I thought it could have been even better. Like if he said that there was one earlier, but they left, so they're now all homeopaths because of the low concentration.

@abdulshukoor

2 жыл бұрын

He was here last year. So his memory is present in this room.

@LiveFreeOrDieDH

2 жыл бұрын

I'm pretty sure that, statistically, at least one in every 12.6 trillion attendees was a homeopathist.

I died when I realized the mic was an HDMI cable taped to your face. 😂

@adrianteri

2 жыл бұрын

Are there such short HDMI cables?

@kionnakelly2918

2 жыл бұрын

@@adrianteri yes.

@bewareoftheginge

2 жыл бұрын

I hope using props like this is what his Skillshare course will be about

@JoelKalich

2 жыл бұрын

@@adrianteri There's always a cable of the right length for any situation. I have way too many cables for way too many situations.

@fmiqbal

2 жыл бұрын

@@JoelKalich well, "I might need it in the future"

"Cardiologists don't even know what happen outside the heart" Right before I went under for a fasciotomy I asked the surgeon to please not take my kidneys but he assured me that as an orthopod he had no idea where they were.

@OrWhatWeHave

2 жыл бұрын

What a legend!

@TheRaulmt

2 жыл бұрын

Hahahahaha i love those jokes , and sometimes they are more than true

@Jessica-wn6xn

2 жыл бұрын

🤣🤣

@ginnyjollykidd

2 жыл бұрын

Orthopod! I love it!

@DemstarAus

Жыл бұрын

He has straight feet? Like no bends?

The best line about the war on drugs was a headline from The Onion - "Drugs Win War On Drugs".

@armadillito

2 жыл бұрын

Like the Emus.

@nenmaster5218

2 жыл бұрын

@@armadillito Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking... Especially the KZreadr Hbomberguy really advacates this; just so you know.

@nenmaster5218

2 жыл бұрын

@Chad Rosswick Re-read.

@Jyoumon

2 жыл бұрын

@Chad Rosswick "Emus win the war on Emus" there I made it clear for ya buddy

@tsfbaf303

2 жыл бұрын

@Chad Rosswick Just stop

Regarding alcohol studies, I’ve also been told that many researchers don’t differentiate between people who generally have never drunk alcohol and former alcoholics, so there may be further confounding factors.

@mozismobile

2 жыл бұрын

Does the BMJ allow doctors to encourage use of legal recreational drugs? Surely that has to influence whether studies can be done, regardless of any ethical issues. (like, say, asking non-drinking alcoholoics to drink "to see what happens")

@Cin9999

2 жыл бұрын

They do as much as they can but if you have to fill out a form that just says "how many drinks do you have a week" ...well

@Cin9999

2 жыл бұрын

@@mozismobile No

@Robert399

2 жыл бұрын

And also medical conditions where you're required (or encouraged) not to drink - big surprise: drinking no alcohol is correlated with those conditions.

@sertu1462

2 жыл бұрын

@@Robert399 Yes, or people who have to take medication that requires you not to drink.

I'm from Canada where cannabis is fully legal and regulated by the government just like alcohol and tobacco. I work as a firefighter/medic for the second largest department in the country and the rules for pot are the same as for alcohol: Consume what you want on your own time, zero tolerance while on duty. Personally I occasionally use cannabis edibles in very low doses to help with insomnia caused by PTSD (my family doctor suggested I try this before we try sleeping pills).

@MedlifeCrisis

2 жыл бұрын

Sounds very sensible

@Rumprullarn

2 жыл бұрын

@@MedlifeCrisis Fully agree. /First year ortho resident from Sweden. But what do I know, we are smart as tractors. Weed should be legal!

@mccreeper03

2 жыл бұрын

@@Rumprullarn As a swede I also agree

@LadyPelikan

2 жыл бұрын

Shouldn't just all Swedes gather in this thread, and make a revolution? / Svensk nummer tre

@ian1352

2 жыл бұрын

@@Rumprullarn The strange thing is that Sweden was very liberal in regard to recreational drugs at one time, then went to the other extreme and stayed there.

UK is really behind the times on weed legalisation. Here in Canada recreational marijuana was legalised a couple of years ago and the weed shops now look like hipster cafes where a barista-like person will try find the perfect pairing for your day. It's so weird.

@domainofscience

2 жыл бұрын

Allegedly.

@MedlifeCrisis

2 жыл бұрын

I, too, have alleged accounts of the scene in Amsterdam, which sounds rather similar. I did mention Canada but edited that bit out, just in passing as an example of more progressive legislation. Also, I never knew you were in Canada!

@domainofscience

2 жыл бұрын

@@MedlifeCrisis Yes I moved over to Vancouver for a quantum computer job, and then quit my job and have been hanging around ever since. Drugs were not involved, just to be clear. Unless you count KZread as a drug.

@monad_tcp

2 жыл бұрын

Is there already bar for shrooms ? something like The Delphi Oracle ? or something for magic mushrooms.

@monad_tcp

2 жыл бұрын

who cares about marijuana, we want mushrooms !

Orthopaedic Surgeon: as strong as an ox, and almost as smart. 😉

Shillscare :'''''''') This is now the official best sponsored ad. You've beat Shadiversity hunting down a hellous freshicus with a boomerang.

@chrisogrady28

2 жыл бұрын

I don't think you can beat Internet Historian's Nord VPN 'lose a sponsor speedrun'

@Reddles37

2 жыл бұрын

@@chrisogrady28 LOL, don't they still sponsor him though?

@chrisogrady28

2 жыл бұрын

@@Reddles37 yep, speedrun any% failed

holy fuck. "focusing exclusively on the spine" is the best phrase to ever come out of your mouth.

Best Olympic sport would be dressage, except it's the horses that are high.

@ergotoxicosis

2 жыл бұрын

ahahahahahahaha lmfao

@piranha031091

2 жыл бұрын

Get off your high horse!

@tavshedfjols

2 жыл бұрын

It used to be pretty common for people to dope horses with massive amounts of heroin or cocaine before races, 1800s/early 1900s period.

@MikeJohnson-wc2rn

2 жыл бұрын

Ahhhhhaahahahh! Prancing Equine Pothead Ponies! I lol’d hard from this. Thank you. Congrats on 420k Doctor!

@bagniacz3264

2 жыл бұрын

@@tavshedfjols I guess that cocaine makes some sense in the context, but why would anyone give their horse heroin before the race? Wouldn't it be counterproductive?

Currently watching the video. I wish there was an chapter about ADHD/ADD drugs. Effects on heart and abuse and such. I’ll continue to watch it if it’s in here somewhere, much love 💕

@MedlifeCrisis

2 жыл бұрын

Sorry not in this one, but thanks for mentioning. I'd need to do some research, it's a good topic.

@mdlouie

2 жыл бұрын

There's plenty of research out there, and also plenty of misinformation. One retrospective analysis of over 150,000 adults with prescriptions "demonstrated a lack of association between stimulant use and incidence of MI, sudden cardiac death (SCD), and stroke. Individuals with cardiovascular disease were included and potential confounding variables were adjusted..." The question of abuse is more difficult, because so much misinformation comes from people who believe treating ADHD is akin to giving kids meth... but if you're critical, you can find good resources; it's one of the most well-researched conditions in existence.

@designtechdk

2 жыл бұрын

Also because those drug have seen massive abuse by students...

@isupportthecurrentthing.1514

2 жыл бұрын

@@mdlouie Do you take them ? You sound biased .

@LittleBallOfPurr

2 жыл бұрын

Caffeine

I like how you acknowledged that "drug" has two meanings. The USFDA forgot that little issue when they translated the name of the agency into Spanish and used "droga" instead of "medicamento." Oops.

40:17 As someone with ADHD who absolutely would not have gotten through my undergrad without prescribed stimulants, I really take issue with this question. I won't deny the prevalence of people abusing the drug for study purposes, but as Rohin said, people who abuse drugs like that will just use other stimulants like caffeine, or cocaine, or whatever else. Banning stimulants and treating them like athletes on steroids would just fuck things up immensely for people like me who require these medications. It's already hard enough to get accommodations from schools for things like ADHD and depression. You don't need to make life harder for us. 😜

@ian1352

2 жыл бұрын

One of the clear lessons from drug prohibition is that if you block access to one drug the best case outcome is that people switch to something equivalent and the worst case is that you create an opening for something higher risk and help it become the dominant drug.

@Communist-Doge

2 жыл бұрын

Likewise. I don't function well without my Vyvanse (stimulant). It improves my quality of life enormously.

@Spills51

2 жыл бұрын

AMEN....I was diagnosed in my thirties and them finally nailing it on the head after years...and years....and years....of absolute torture. Not being diagnosed with ADHD earlier has caused me so much trauma and loss. YES....WE ALL KNOW THEY ARE OVER PRESCRIBED. But can we not forget there are legitimate reasons these drugs are a TREATMENT for a MENTAL ILLNESS. Ill say this....the first time I took the medication for ADHD I CRIED.....I will always remember that day and telling myself "ITS FINALLY OVER". YEARS OF AN ABSOLUTE UNENDING NIGHTMARE.....Effrectively BANASHED WITH ONE LITTLE PILL. It is so disheartening to hear people who dont get that.....They dont always realize they could never be against or as angry as I am when seeing people abuse these medications. YOU THINK ITS EASY HAVING THE STIGMA ON THAT DRUG AND YOUR TAKING THEM??? Of having knuckleheads try and say Adderall is the same as Meth??? Or how bout those amazing people who only know the "ADHD FOR DUMMIES" definition of cant focus, hyperactive.....That is such a shallow knowledge of what Add or adhd puts a person through its utter stupidity. Last I heard Adderall doesnt have Gasoline and battery acid mixed up in a soda bottle listed on the ingredients.....And that is the big issue....general ignorance. Rant over....Im glad you were diagnosed early enough for your schooling and life in general....I didnt have that sadly....But at the same time I shudder knowing before stimulants became a treatment there were far too many who lived their entire lives in the nightmare I lived for 30 some years and never had any chance of relief beside drugging themselves stupid. I am grateful in the end to still of made it out the other side....A real love/hate relationship when I look back haha.

@brodie6468

2 жыл бұрын

@@Spills51 lol

@Thumper68

10 ай бұрын

@@Spills51one of my best friends growing up had ADHD his doctor told him Adderall is just legally prescribed speed😂.. You seem to know a lot about making meth 🤔🤣

Really loved this video! I remember my dad falling deeply in love with Professor Nutt. Dad was an ecstasy user in the 90s and always had a "pillhead" vibe. He was massively into harm reduction and taught me and my sister thing like "dont do drugs but ESPECIALLY dont snort anything or inject anything. If you do happen to do any drugs here are some ways to stay safe. Here is a way to test your drugs. Here is advice for an OD situation". I've never done any kind of hard drugs at all. Harm reduction is super important! I know a lot of kids whose parents took a prohibition approach and they grew up thinking smoking a joint was as bad as shooting up heroin. So once they inevitably tried a bit of weed they were like "ahh what the hell guess I'm a druggy now, I'm gonna go get some crack" Also, I want to say that addiction is a disease and being poorly with a disease should NOT be a criminal offense. Great video Doctor!

Hearing a professional medical doctor speak on these issues with an open mind is really refreshing. My doctor is extremely conservative and I just don't even ask these questions, it's not worth it. Thank you so much for what you do.

@putraduha3176

2 жыл бұрын

You lesiurely chat with your doctor?

Rohan, you're slipping. This video has been very helpful - far from the "unhelpful doctor".

@hollanderson

2 жыл бұрын

Exactly! I came here to waste my time goddammit, not be productive >:0

@alexrogers777

2 жыл бұрын

Its spelled Rohin!

@someonesomewhere1240

2 жыл бұрын

Yeah, I want a refund.

@ninadgadre3934

4 ай бұрын

Time to unsubscribe! I want my hour wasted gosh darn it

I am an economics student at the University of Cape Town, and I just wrote my research paper on the benefits of decriminalising illicit substances. Using empirical research and data from all over South Africa to examine health problems relating to different drug use, from alcohol to crack cocaine and heroin. I found that overall, alcohol is far more dangerous than almost any other substance when it comes to physical and mental health-related problems. My only wish is for the misunderstanding of drug use, criminality, and stigma to be corrected by implementing public health, evidence-based drug policies.

(In reference to @2:30) Oh the irony of how the COVID pandemic got so many laypersons interested in evidence-based medicine, while the pandemic simultaneously so profoundly damaged evidence-based medicine.

@loturzelrestaurant

2 жыл бұрын

Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking. Especially the KZreadr Hbomberguy really advacates this, as he ALWAYS links his Sources and himself never 'assumes around' but instead sits down and informs himself. He has over 900k Subs not for no Reason, duh. Check him out. Him and also many who cover 'Facebook Knowledge'!!

It's very welcome to see a doctor publicly advocating for a harm-reduction approach to the public policy of drugs.

As soon as I saw that HDMI cable, I nearly spit out my burrito with laughter. By the end of that bit, I wish I could subscribe twice.

Re: medical professionals and substance abuse. Some factors I don't think you mentioned: * the abusive work schedules cause immense stress (on top of the inescapable stress of being in charge of life and limb etc.) and generate pressure for an upper-downer cycle to keep up, especially if a person's prone to sleep disturbances when stressed out * having training in toxicology and biochemistry lowers the inhibition to self-medicate due to the "I know what I'm doing" phenomenon.

@vittocrazi

2 жыл бұрын

Medics: Rest is key for health and performance when people's lives are in line. Also medics: The most insane workshifts ever

@geddon436

Жыл бұрын

@@vittocrazi Same as military? military is to protect democracy, NOT practice it.

@vittocrazi

Жыл бұрын

@@geddon436 the thing IS those workshifts affecting the performance of health workers and thus endangering other people too. Also, military IS to protect the interests of the government, not democracy. So bad comparison even on that regard

@geddon436

Жыл бұрын

@@vittocrazi so, in both situations, weither medical worker or solider, they are being abused

@vittocrazi

Жыл бұрын

@@geddon436 yes. But one bears more irony than the other

Re methadone, etc. A hypothetical person was coincidentally a stock broker in the city - probably not far from where you practiced, and started abusing hard opiates in part because of the stress. When finally seeing a psychiatrist to seek treatment, they prescribed buprenorphine, which frankly saved this persons life over the subsequent months and year. This same hypothetical person, when moving back to a European country, found it extremely difficult to find a program/doctor that would even entertain it. Person was surprised at the seemingly contradictory treatment of being complexly lax on marijuana etc, but buprenorphine being a big no-no. In any case, our protagonist was able to get over it in the subsequent years, although it was the hardest period of their life.

@Fragrantbeard

2 жыл бұрын

Our protagonist gets mad props from me for muddling through all that.

@vivianloney8826

2 жыл бұрын

I find it bizarre how amphetamine is a huge no-no in Europe but methylphenidate is completely fine. I'm sorry, but how is that different?

@gesamtszenario

Жыл бұрын

@@vivianloney8826 I wouldn't say that's it is an absolute no. This depends entirely on country. In Germany, Dexamphetamine is a third-line treatment for ADHD, after non-stimulant medication and methylphenidate fail. They are legally in the same category, as a prescribable narcotic. Other places just stuff it into the same non-prescibable category as they do coke and heroin.

@vivianloney8826

Жыл бұрын

@@gesamtszenario Even in the German case, why is it third line? In the US the gold standard is behavioral therapy with any stimulant medication being second line treatment. Neither type of stimulant is particularly more effective than the other in medical literature and they carry similar risks. What I mean is, what's the medical justification for amphetamine class being ranked as less favorable treatment then methylphenidate class?

I think one of the hardest things with Alcohol is that in ancient times it was the most efficient way to make large amounts of water safe to drink. It was literally safer to drink all day than to drink water that might have microbes and other things which you didn't know existed before microscopes.

@protocj3735

2 жыл бұрын

Historically, the alcohol content in everyday beer was much lower than we usually drink today (0.5 to 2 percent). You're not able to get drunk with 1% beer, no matter how hard you try.

@jubuttib

2 жыл бұрын

Not sure if it was "the most efficient way", but they had noticed that it certainly worked, even if they didn't know why. If only they had realized that with beer the most important bit was the boiling of the water (the fermentation process does affect things, as does the mashing, but the boiling is the single biggest contributor), they could have saved a lot of effort by just doing that if all they wanted was drinkable water. =)

@IMBlakeley

2 жыл бұрын

@@protocj3735 Known as small beer IIRC

@adityapathak5761

2 жыл бұрын

@@protocj3735 so 1% beer is basically water with a small amount of purifier lol

@brendaleelydon

2 жыл бұрын

As protoCJ mentioned, the traditional beer of yore was more akin to the modern idea of 'non-alcoholic beer' (0.5% ABV or less) or 'low-alcohol beer' (1.2% ABV or less); I've always been curious about how similar in taste they would be? I'm guessing not very much, since much of the low-alcohol beers are made the same way as 'regular' beer, then diluted to the proper ABV (with some added CO2 to bring back the bubbles). I would think 'beer of yore' was made in such a way that it just had a lower ABV naturally? Interestingly, these days you can get just about any type of alcohol in a no/low ABV version.

Me “maybe I should go to university” Also me “let’s spend 2 hours reading about the pharmacology of cocaine”

@vittocrazi

2 жыл бұрын

well... its actually university worthy! on both the studious and cocaine part

Don't take this the wrong way, but I've been using this video to fall asleep for a couple nights now. I just turn it on, go to where I last remember what you said (to where I last fell asleep at) and then the next night I repeat. It works like a charm. I watch all of your other videos and love them, so I'm not saying you're boring, I'm just saying I use these super long videos to help when I can't sleep.

@johansjournal

Жыл бұрын

same

Best 54min video ever.... I think the question about 'harsh treatment by nurses and doctors' is a serious one, even in areas of 'normal' medicine. Take mental health, sadly you end up seeing a lot of people for all sorts of related stuff, be it self harming that needs cleaning up and tidying, or emergency treatment for more serious harm, or even just multiple locum GPs (they tend to be the worst). Some of those inevitably will judge and be rude, or think 'tough love' helps.... and IT DOESN'T. If a patient leaves their care feeling worse as a direct result of the bedside manner then that helps no one. It doesn't help the patient, it doesn't help society, it doesn't help with long term medical costs etc.. There are so many SIMPLE things that nurses and doctors (and GPs) can do that make a huge difference to outcome - smiling, listening, being gentle and understanding. Someone who's just arrived in the emergency room in crisis having ingested 70+ paracetamol in the last 5hrs does NOT need to have a random triage nurse tell them they have "been stupid" (direct quote.... it was 8 - 9yrs ago and I STILL remember the feeling and the damage that single nurse had on me during that time) I think all health systems need to better understand the psychology of bedside manner and have proper training and guidance.

@bobman929

2 жыл бұрын

Hope life is better for you now mate

@Thats_Mr_Random_Person_to_you

2 жыл бұрын

@@bobman929 as anyone whos been in similar places would attest, its always a slow road to getting better. I'm not where I was 8-9yrs ago so lots of progress, but always more to be had. As a 'casual' watcher of various A&E programme and the BBC 'Junior Doctors' its clear they do have a focus on bedside manner when they are doing their first hospital work, but it comes across as informal (ie their senior supervisor watching them interact and give tips etc..)... I just wonder if a short, but formal understanding of the psychology of putting people at ease would help? Counsellors are very good at making someone feel comfortable so there is clearly a technique to it. And equally, are these lessons applied up and down the chain? I also totally appreciate that these professionals are seeing hundreds of people a day, and its very very hard to be consistent with everyone. But everyone I know who's had serious MH issues has had at least 1, in most cases multiple, occurrences where their interaction with a health professional has been bad and had a negative impact. Even consultant psychiatrists. Maybe its just me, but I am fully aware that when writing documentation about you they have to be cold, concise, and accurate about the facts, but when they are doing the same when talking to you during consultation, its not helpful.... I mean, they aren't wrong.... its just the way they talk to patients has to be very very different to the way they talk to each other about patients. I also appreciate MH issues are much more like walking on egg shells as the person is likely already in crisis and it can be very hard not to say something totally innocuous and innocently that makes things worse... but a small sympathetic smile, a gentle holding onto the wrist and saying 'we are here to help you' can make the patients immediate situation improve significantly. Paramedics are good at this in my experience, maybe its because they see more vulnerable people more often?

@Thats_Mr_Random_Person_to_you

2 жыл бұрын

@@OzzieOzzieOzzieOyOyOy I'm glad you're still here. The power of being able to break through to the other side and get better is being able to truely make connections to those in the middle of their ordeals and give them help and support in a way no one else can.

@brongulus2617

2 жыл бұрын

It's a very serious question, yeah. And you're right to point out that this extends beyond questions of drug use. I've had a terrible time getting taken seriously by doctors, because my list of medical conditions includes generalized anxiety disorder... and they all seem to assume, whether from that or my anxious manner i don't know? But unless something is visibly wrong like a cut or a lump, they assume I'm being a hypochondriac, usually without bothering to check anything, and I get put off. It took nine years, almost a DECADE, before they finally figured out that the recurring chest pain i've been complaining about since 2011 isn't all in my head, it's a f**king hiatal hernia. Relatively benign, but it's real, common enough, and treatable... and I had to live with it undetected and untreated for nine years, all while worrying it was something worse, because no doctor wanted to lift one f**king finger to help an anxiety patient. And they didn't figure it out by changing their minds or anything, lol. They figured it out because they did a chest CT scan for different reasons (covid) and - surprise! - it found the hernia.

@lynxaway

2 жыл бұрын

@@brongulus2617 that’s so infuriating‚ I’ve heard countless such stories :-/ it’s incredible how reluctant most doctors are to actually listen to their patients.

Dear Rohin, as a young MD with a great interest in addiction I was very resistant to watch this video due to previous experiences with medical professionals trying to communicate this very stigmatized area. So, I have to applaud you for an amazing job presenting the facts and I'm looking very much forward to your conversation with David Nutt. And, if you want further book recommendations I recommend both books by Carl Hart!

I love the unhelpful answers series. I’m sure a great listen awaits

I've had a legitimately traumatic last few days and can't sleep. your voice is really soothing so I'm hoping this video gives me enough psychological relief to fall asleep. thanks for these longer videos.

Patient concious during cpr is one of the more unsettling medical stories I've heard in a long while, and I've been lurking r/nursing

That HDMI wired-wireless microphone is just 👌

Dr Rohin really amping up his game with an HOUR LONG video. We're well fed (and pumped with the drug called medlifecrisis videos). Thank you ;)

@nenmaster5218

2 жыл бұрын

The Learning never ends, so call it silly, but i do have the hobby of asking people if i an recommend them science-chanenl or just education-channel in general to them! Mind if i do?

wow, the way my jaw dropped at the "shill scare" pun. so so good

I'd love a Skillshare course on how to properly educate yourself on conditions you've been diagnosed with, without winding up in dumb inter rabbit holes or getting migraines trying to read studies meant for people with PhDs.

@sheilathepotter6636

2 жыл бұрын

When I was diagnosed with Multiple Sclerosis my neurology department did a month long course (1 evening a week) for newly diagnosed patients to learn about MS, progression, medications, etc. It was fantastic. The consultant and nurse specialist gave a presentation one of the weeks with brain scan examples and all sorts of science and recent studies. Learnt so much about MS that month. I believe it was funded by our local MS society.

@classicambo9781

2 жыл бұрын

Usually by finding the peak disease body and reading their consumer resources (and even the health professional packages as well if you have a bit of biology/A&P background). For example COPD and the Lung Foundation Australia, or STEMI and the Heart Foundation.

@alicianoriegavelasco6114

2 жыл бұрын

A decent place to start is your country's public information site, or if it doesn't exist, one from a different country. The UK has a pretty solid patient information site under the NHS, and if you would like to read further, it usually has links to other reputable sources. Mayo clinic and Hopkins in the US also have massive libraries.

@barrishautomotive

2 жыл бұрын

University: "Am I a joke to you?"

@Saezimmerman

2 жыл бұрын

I think this a great idea. In the US, it can be extremely difficult to get clear defined answers from specialists, and there is a shortage of general practitioners. I've seen/lived what happens when a person does not clearly understand the impacts of their chronic medical condition and how to manage it.

Out of the decade and more that i've watched YT, you are by far my favourite channel. Shillscare is possibly the best thing ive ever seen, with particular enthusiasm for the state and sudden decline of functional medicine's validity.

@nenmaster5218

2 жыл бұрын

I would love to recommend you more Education-Channel of all kinds though. Mind if i do?

Shillshare - comedy gold - not the first occurence on the Internet but possibly the first deliberate occurence. 14:15 - "try to remove the criminal element" - that would be the tobacco companies that suppressed evidence and therefore caused more disease and death. Excellent video - enjoyed - thanks

I agree that decriminilisation is a good step but I honestly think the vast majority of recreational drugs should be legalised and regulated. Decriminilisation does not solve the problem of supply, a huge amount of violent crime only exists because of the legal status of drugs. If you could get these drugs from safe places where you know what you are getting and you know that you are not funding gangs that may be involved in much worse things like human trafficking I think we would all be much better off.

@luizmatthew1019

Жыл бұрын

Hi, I'm actually in Portugal, the country everyone talks about decriminalization. We had a massive drug issue before decriminalization, and legalization absolutely, would not have been good for us. The entire point of decriminalization is that it's a two pronged approach. You attack the demand, by treating consumers of drugs with the public health system. You don't send them to prison, because that tends to just make things worse. But selling drugs is still illegal, so you still put pressure on the supply. And guess what? The two pronged approach worked amazingly. Legalization would've done nothing for us except make the treatment part much more difficult and far more expensive. There is a reason no country has seriously considered legalizing everything as a public health measure. Having bath salts and meth over the counter would do no one good.

@popefacto5945

Жыл бұрын

@@luizmatthew1019 I find what Portugal has done interesting. That said, nobody would do "bath salts" if they had access to "better" drugs and amphetamines are already basically available over-the-counter for ADHD. My take is that every plant-based "drug" (and single-step extract) should be completely legal to grow, process, and sell. So things like cannabis and psilocybe mushrooms would be legal along with hashish, opium, cocaine, and DMT. The only criminal drugs offenses should be related to misrepresentation (as to content and purity).

Today I had an echocardiogram and the sonographer was taken aback that I wasn't asking the usual questions like 'what's that noise?' and 'is that my heart on the screen?' I don't like asking boring questions so I had a debate with him about how to pronounce purkinje. Gotta represent

@themykeshow9027

2 жыл бұрын

per-KEN-jee is roughly how my profs usually said it, however some also had a bit more "i" like "inside" and pronounced it closer to "per-KIN-jee. Other than minor variations on that vowel, I've never heard it said any other way. Perhaps there could be regional differences, I'm from Detroit, graduated from WSU, and did my student clinical rotations at the DMC downtown. The topic hasn't come up since. How else have people said it?

@hadassahm3016

2 жыл бұрын

@@themykeshow9027 I've heard all sorts of variations. I personally pronounce it per-kin-jee because that's how my teachers pronounced it but I've heard per-kin-yee, per-kinge, per-kine, per-ken-jee etc. I find it interesting to see the different variations and clusters of dialects with terminology but one that irks me is when people pronounce seratonin as seh-rot-oh-nin

@angelikaskoroszyn8495

2 жыл бұрын

Everyone knows it should be pronounced ˈpurkɪɲɛ

@Markle2k

2 жыл бұрын

@@themykeshow9027 Wikipedia has a native Czech speaker pronouncing his name on HIS page. It sounds to me like Poor (trilled R) keen ya.

@tommybazar

2 жыл бұрын

​@@Markle2k pour-kin-ya is I guess the closest you could get with an "english" spelling. With "a" in "ya" going more towards "ye". Both "poor" and "keen" have the vowels too long for how Czech uses vowels that don't have the ´ mark on them ("keen" woul be "kín" in Czech).

Really looking forward to the day we look back on drug prohibition in the same way we look back on alcohol prohibition It's honestly silly how long we've gone on letting addicts of other drugs suffer and treating them like animals while people being addicted to alcohol/nicotine/caffeine is totally OK

I am an emergency physician myself. I am also a subscriber to Skillshare. I would love to take a course from you, but the kind of course that would benefit me may not be the same as your general audience. Maybe a comedy class!

The hot cupping treatment I received last week really helped me enjoy that fantastic Shillshare ad-read you did. I had residual stagnant energy clogging up my humor and sarcasm chakras which are placed surprisingly far from each other. Well actually that’s not entirely true, don’t want to spread misinformation. The location of your chakras depend on the feng shui of the current room you’re in. I once almost hot cupped my perineum before realizing the acupuncture facility I was in at the time had a mirror hanging over a west facing doorway! Imagine my embarrassment. Luckily a quick standing sage-smoke spirit bath by a Native American shaman fixed that right up.

@JG-xm5bd

2 жыл бұрын

That's bullshit the only real medice is cocain

I attended a lecture of Professor Nutt this year, a truly interesting man to listen to, I look forward to your interview with him!

@PKWeaver74

2 жыл бұрын

He's the man.

@rivkahlevi6117

2 жыл бұрын

His Drug Science podcast is well worth a listen

@payrimdwein9082

2 жыл бұрын

oh god I'm sorry...... i thought he's continuing his joke and sarcasm (taking all the A's he can (maybe my brain is dirty?), the show, and now professor nut) i was actually eating pistachios. god i thought he's playing it so perfectly..... I'm sorry Dr Francis

@TheCzarsoham

2 жыл бұрын

Hehe. Prof Nutt.

the hypothesis i've seen that i liked (in psychology) is the alcohol thing is related to drinking socially social drinking --> more social support (you're hanging out with your friends and drinking a little) --> lower cardiovascular disease etc.

Winston Churchill and lithium! Many historians and doctors agree that he likely was bypolar, he talked often of his "black dog" who walked beside him, sometimes close sometimes far, referring to him depression coming and going and there is also reference to hypomaniac episodes

That amber nectar joke will go past firangis' head 🥴

@farhanyousaf5616

2 жыл бұрын

I think I got it. Not sure. Yellow cow variant. I bet.

I love that everyone like I'm doing shorts now and you're like my people here's a whole ass HOUR 😂 Half way and fascinating!! LOVE your Q&A's!

@nenmaster5218

2 жыл бұрын

The Learning never ends, so call it silly, but i do have the hobby of asking people if i an recommend them science-chanenl or just education-channel in general to them! Mind if i do?

@mackieincsouthsea

2 жыл бұрын

@@nenmaster5218 missed this Nen! Go ahead!

Related to the journals problem, specifically the requirement of citations, it would be useful to make a team with medical librarians. It's librarians' job to determine which publications are the best to have subscriptions for, recommend them to users, etc. If people like you establish a channel to communicate these practices to librarians, there is a definite possibility of them flagging such journals as unreliable, and that could shake academia's walls.

I grew up in Greece, we did drink since around age 14 but we didn't have more than 1-2 glasses, and no more than once a week. If someone got carried away, the rest of us made sure to stop them before they got drunk. If someone didn't want alcohol, they just got a soft drink and nobody thought less of them. Legal drinking age was 17, but nobody cared :P It's countries with stricter (or more heavily enforced) age restrictions on alcohol that tend to have a binge-drinking culture. It may be a chicken-and-egg problem, but I think it's mostly the allure of the forbidden that leads to exaggeration.

"Why do surgeons exist?" - because there is little training in DIY heart surgery?

21:58 As soon as he mentioned the Khmer Rouge, I knew what was coming lol

4:47 *"We'll even convince people this whole pandemic was engineered by medical professionals"* "Biotechnologists looking for grants from defence departments: _Nervous laughter_

Could you do an episode looking at chronic lyme disease thru the lens of long-haul covid-19? I'm wondering if chronic lyme disease (or, maybe, long-haul lyme disease?) might be more real than previously thought

@test74088

2 жыл бұрын

I thought the dig at chronic Lyme as being made up by alternative medicine at the beginning of the video was at the very least in poor taste if not categorically wrong. I was particularly surprised since Lyme affects the heart, including potentially long term damage, so I'd expect him to have some familiarity with it. Maybe it's splitting hairs to differentiate "chronic Lyme" from "Post-Treatment Lyme Disease"? The later is a documented and studied phenomena so any difference seems largely semantic. There are measurable blood markers associated with PTLD, there are known auto-antigens that coincide with Lyme antigens (that was one of the concerns with early Lyme vaccines, though it remains controversial.) And there is ongoing medical research exploring it. I think the comparison to long Covid is interesting, similar mechanisms might be involved. I've seen speculation by immunologists that mast cell disorders might be triggered by infections like that. Of course for an immunologist that could be an "if all you have is a hammer all your problems look like nails" effect. Covid can damage a lot of different tissues so there could be all sorts of lasting effects and same for Lyme regardless of whether the mechanism is the same.

Really enjoyed this video. Thanks for answering my question. I'm looking forward to the next video!

one of the few channel i genuinely get excited to see a new upload. thanks

You had me at "decriminalize most drugs." Thank you. That's the humane thing to do.

@kericlapboards7737

2 жыл бұрын

Wrong, the humane thing to do is to legalize *all* drugs. The government has no business telling me what I can or can't put in my body.

@humblecatpie4512

2 жыл бұрын

@@kericlapboards7737 Wrong. The ultimate humane thing to do would be to abolish government completely, but people aren't ready for that. So, let's start with decriminalization and work towards anarchy.

@batukhan1

2 жыл бұрын

@@humblecatpie4512 Bro government isn't something people made out of whime. Its inevitable for a given level of technology. You will basically need a government to abolish a government.

@humblecatpie4512

2 жыл бұрын

@@batukhan1 I'm familiar with government and how it works, bro. All you need to abolish government is for people to stop participating. You need government to abolish government sounds like you need warlords to stop warlords or you need murderers to stop murderers. None of that is absolute or true.

@humblecatpie4512

2 жыл бұрын

@@batukhan1 here are some fun facts: the US government takes more property from citizens through civil asset forfeiture than all private criminals combined. A lot more. Wanna learn more? Look up democide. You think people didn't make government on a whim. I didn't accept anarchy on a whim either, BRO.

Nice questions. Personally, I would like to somehow introduce a third type of olympics. The goal wouldn't be "no doping" but you get disqualified if you don't disclose what kind of doping you do. That way, the teams would be saying "we are doping this person with their own blood concentrate and a mild blood thinner to run this 12k" or "this sprinter got this cocktail of drugs to enhance the reaction speed of their muscles". It might have some positive side effects too as these teams might come up with a solution to a problem that doctors don't know how to treat effectively and with minimal side effects yet.

I thoroughly enjoyed your perspective. Thanks for the video

Splendid video Boss! ... The harm reduction approach is almost certainly the way to deal with the "problem"

Really loving your recent videos on the variety of topics. Keep 'em coming. Also Chubbyemu colab when?

@chuang4254

2 жыл бұрын

They've done one already in case you may have missed it

@loturzelrestaurant

2 жыл бұрын

Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking. Especially the KZreadr Hbomberguy really advacates this, as he ALWAYS links his Sources and himself never 'assumes around' but instead sits down and informs himself. He has over 900k Subs not for no Reason, duh. Check him out.

Quite some years back, I was at a nightclub that didn't serve rum. When I asked why that was, they said that rum made patrons more prone to violence. I've also heard that gin makes people more depressed than other types of alcohol.

@KonradTheWizzard

2 жыл бұрын

There may be a confounding factor here: a correlation between an already existing mood and the drink you chose. At least for me - I chose something very sweet if I want to chill and relieve stress, something more dry if I want to be productive, something smoky if I'm in a really creative mood. The alcohol always has the same effect: it relaxes and reduces inhibitions. Maybe the taste or cliché (think "pirates") of cheap rum is particularly compatible with a general mood for violence and the alcohol simply allows the patrons to "let it out"... and maybe people tend to chose gin when they are already depressed because it is associated with "drowning your sorrows" in many films - the alcohol then makes the condition surface.

@ian1352

2 жыл бұрын

I've never experienced any differences. Perhaps I should feel like a spy when I drink vodka?

@Thecrazymonkey49

2 жыл бұрын

Tbh there isn't really a difference in effect between different alcoholic drinks, they all contain exactly the same compound, ethanol. The only real difference is the percentage of alcohol.

@Quintesca

2 жыл бұрын

@@Thecrazymonkey49 they contain other things tho. It’s not just ethanol and water. The interactions with other compounds in the drinks are probably the cause

I really enjoyed listening to this while I unwound after a long day of work. Thanks.

You need to do a part 2 (3?) of this. As a pharmacist I'd love to ask some questions. Great video!

Thank you. I have been waiting for this video since your yt post. I can sleep now.

YAAAAAAS!! these video are fucking awesome. I'm always happy to see one posted, especially when they're about the length of my cycle home. Put this shit on in the background and laugh my way home

Love your content Rohin

This cracked me up! Keep up the good work.

Please rant more about cardiology and medicine overall, you're a fanscinating explainer. Great video!

Shillscare - superbe - your best yet (along with the taped on ‘mic’)!

I just knew you were a true comedian at HEART......

u hit the nail on the head with this video love it good work

OMG the David Nutt???? He’s one of the reasons I got into psychedelic medicine!

@arthurreis1906

2 жыл бұрын

I have no idea what you study exactly, but for some reason I imagined someone in a tie-dyed labcoat

@jobbylickenbob7817

2 жыл бұрын

@@arthurreis1906 spot on!

@chriswalford4161

2 жыл бұрын

@@jobbylickenbob7817 : and patchouli, obvs.

Talking about alcohol studies my household has a number of my family members either on anti-psychotics or heavily controlled drug prescriptions. These prescriptions all interact terribly with alcohol, causing terribly side effects and are very dangerous to mix. And none of these family members are what I'd call the ideal image of health. When you have people who cannot drink alcohol due to drug reactions and it's presumable a survey so those who are mixing medication with alcohol not willing to admit it, I wonder how it could possibly show that no drinks is better than next-to-no drinks. Alcohol is an unnecessary and dangerous drug... in the modern era, I'm not talking about its use to clean water supplies or preserve nutrients. There's no chance it has a positive health benefit nowadays.

It happened when my grandfather died. My mother was a nurse, she gave him manual cpr for 40 minutes due to a lost ambulance. He came around for a few seconds and then died. I flagged the ambulance down they came in and took over and then he died on the floor of my parents house.

I actually experienced someone waking up during CPR. However it wasn’t a young person nor a drug user. During compressions, the patient was perfusing & was moving around, attempted to remove the BVM & opened their eyes. But during pulse check, all activity of theirs stopped along with the compressions. A weird phenomenon

"And of course, homeopathy is here. . . in spirit." *DEAD* *DEADER THAN A DOORNAIL* 😂

@LongshanMusic

2 жыл бұрын

"Shillscare" *BURIED* 😂

@unreal-the-ethan

2 жыл бұрын

HERE LIES @@LongshanMusic He was deader than a door nail. RIP

@nenmaster5218

2 жыл бұрын

Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking...

I always take my advice from a man with an HDMI cable taped to his face.

Yes! Love these

"I don't have any desperately strong feelings about legalisation" (9:51)... I do have strong feelings about legalisation. The problem with decriminalisation is that the supply of the drugs remains (at least largely) illegal, and hence unregulated. If we really want to reduce harm, then drugs need to fall within the sort of trading standards regulations which apply to other similar products (e.g. alcoholic beverages). As Justin Davis says (32:09), someone using a drug should be able to know what they are getting, in terms of what it is, how strong it is, etc. Also, the supply chain should be taken out of the hands of gangs, and within the remit of employment laws.

"Joint" care, nice one.

When I spotted the HDMI cable I Loled.

God, I actually work translating a "medical" course that focuses on alternative medicine and... so much of that bit at the start rings true from what I've heard all year. I feel bad working that job, but I can't be picky when it comes to paying the bills.

Yesss this video is a perfect length for a student who reaaaally wants to procrastinate doing schoolwork. Thanks!

@loturzelrestaurant

2 жыл бұрын

Fun-Fact 1: Putin build the Pyramids to supress Chinas Healthcare-Program. Fun Fact 2: Everyone can write everything on the internet, so please do never trust stuff without fact-checking. Especially the KZreadr Hbomberguy really advacates this, as he ALWAYS links his Sources and himself never 'assumes around' but instead sits down and informs himself. He has over 900k Subs not for no Reason, duh. Check him out. Him and also many who cover 'Facebook Knowledge'!!

"Doctor it really hurts when I move my arm like this" "Don't move your arm like that then"

Steve isn't the reason you're moving, is it? "I swear, if I hear one more falling chain today..."

Love your HDMI mic already xD need to use it more often hahaha

definitely my favourite series on this channel 💯

Love that shillscare bit!

That former world leaders joke made me cringe until I thought I'd turn inside-out... Your timing is fantastic; you dragged it out absolutely perfectly.

Good luck with the move. Please keep the decor similar in your new pads backdrops. Your Guybrush poster cheers me up!

Congrats, man

Another point on people living slightly less if they don't drink at all is, this also includes ex alcoholics that no longer drink. So some damage maybe irreversible, they do live significantly longer than if they still drunk but not as long as if they had never drank.

The Chinese medicine joke 💀

Interesting stuff! Love learning more anything, really, so I'm not sure as to my question to that last answer, but you certainly seem to be amazing at getting fifty different things done while resting enough to survive so that would probably be an interesting one!

Thank you for the HDMI cable mic, that made my day much happier!

I would love a Skillshare (but not a Shillscare) video by you on common medical misconceptions, and how they affect the ways that patients do or do not seek treatment

Brilliant ripping apart of the snake oil salesman… I love the “practitioners”telling us we have 5 lbs of undigested goop in our guts, and the ones who constantly warn us about the dangers of inflammation!! 🤣🤣. So much BS out there and it’s terrifying how many people believe it.

Congrats on consultancy!

The shade on top of shade! Lol loved it