MedStar Georgetown Department of Medicine

MedStar Georgetown Department of Medicine

Novel Diuretic Strategies

Novel Diuretic Strategies

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  • @commodityjane
    @commodityjane11 сағат бұрын

    My GP started with 60 mg/dly, then 40 mg for a couple days and then 20 mg for three more days for a total of 15 days starting out. I have to wonder whether the dosages are too high.

  • @rajdas6742
    @rajdas67424 күн бұрын

    Great presentation

  • @husamsalim7143
    @husamsalim71436 күн бұрын

    Thank you all

  • @Geronimo2u
    @Geronimo2u11 күн бұрын

    I had PMR and sadly I dx myself after an elderly person recognized my symptoms, sadly all the doctors and specialists who I went to just looked at my markers, blood work and labs and could not even help me. By coincidence I had prednisone for hammer toe about same time and that’s what stopped all the aches.. I was very disgusted with lack of care , interest and compassion of doctors

  • @zootybeano
    @zootybeanoКүн бұрын

    Are you able to get enough then to treat yourself? I'm accused of diagnosing myself too but hubby is a semi retird internist, so we muddle through. My PCP refuses to believe I have PMR, lol. Changed to Direct Primary car.e

  • @mikem8246
    @mikem824620 күн бұрын

    Excellent presentation. I am a case of "refractory PMR" treated with prednisone initially with the subsequent introduction of methotrexate and later on leflunomide -- both were discontinued due to side effects or infections. My lowest effective dose of prednisone was 10 mg which was only achieved after 12 years of treatment with prednisone. Many relapses occurred during my 12 years on prednisone. Actemra (tocilizumab) was initiated on January 1st, 2019 and prednisone was discontinued one year later. PMR is in remission except for a relapse when Actemra wasn't available during Covid. I have minimal side effects from Actemra in 5+ years of treatment with Actemra. Attempts at decreasing my exposure to Actemra have been unsuccessful. I would like to stop Actemra but I never want to take prednisone again.

  • @Violet-nn1rm
    @Violet-nn1rm13 күн бұрын

    I was recently diagnosed and gave myself first injection of Actemra a few hours ago. I am grateful for your comment about your experience, I am a bit of a wreck. lol. Wishing you the best outcome, Mike.

  • @bbdh1875
    @bbdh187520 күн бұрын

    Excellent video, thank you! I learned a lot. I feel seen.

  • @clettomaravanyika4651
    @clettomaravanyika465124 күн бұрын

    Excellent presentation

  • @abdellatifmeiz7401
    @abdellatifmeiz740129 күн бұрын

    Very useful video. I am on TMS now. The week 4. I can feel much better and my depression symptoms is disappearing 🙂

  • @elainemcnabb2587
    @elainemcnabb2587Ай бұрын

    I have APS, was shocked when I found out in 2023 , I'm 68yrs old

  • @Academia-EPI-ILD
    @Academia-EPI-ILDАй бұрын

    Excellent video. I leave you to complement a list of diseases that can cause Usual Interstitial Pneumonia that I think may be useful to you. Greetings !! kzread.info/dash/bejne/gqWFq49xitfLmZM.html

  • @shamimaathinabhuiyan2589
    @shamimaathinabhuiyan2589Ай бұрын

    Great lecture. Thankyou.

  • @jdawg553
    @jdawg553Ай бұрын

    Does this video have no volume

  • @Wimsa43
    @Wimsa43Ай бұрын

    NO WEAKNESS ????? Hahahaaa

  • @RobertWicks-xg4vs
    @RobertWicks-xg4vsАй бұрын

    I walked 18 holes of golf on Tuseday, felt great. Teo days later I couldn't get out of bed. Dx PMR.

  • @KimDsmom
    @KimDsmomАй бұрын

    Will be 59 this year… and self-diagnosing with hEDS (also have been diagnosed by physicians with MCAS, CFS, FM, Hypothyroidism, TMJD, Tinnitus, Burning Mouth Syndrome, and have a slew of symptoms, sensitivities and triggers. I had Mono at 18, and everything went downhill from there. Have had to be my own “doctor”, as I have never gotten much help or treatment; though I have been to countless doctors and specialists throughout my life. Helpful and informative video. I definitely see myself in the description. Wish doctors knew more about autoimmune and supposedly “rare” conditions, that aren’t truly rare… it’s just that many people go undiagnosed. 🙏🏼🙏🏼

  • @TheIslandGirl63
    @TheIslandGirl63Ай бұрын

    I have a similar story. Years of being discounted!

  • @kimgardiner390
    @kimgardiner390Ай бұрын

    Thank you so much for explaining the whole procedure in an easy precise way it has helped me to understand everything clearly

  • @ABC-fv7ow
    @ABC-fv7owАй бұрын

    Superb presentation ❤🎉

  • @zootybeano
    @zootybeano2 ай бұрын

    One study: pubmed.ncbi.nlm.nih.gov/28704600/ retrospective, "There were no differences in rates of AEs between patients with PMR and comparators for diabetes mellitus, hypertension, hyperlipidemia, or hip, vertebral, or Colles fractures (P > 0.2 for all). Cataracts were more common in patients with PMR than comparators (hazard ratio 1.72 [95% CI 1.23-2.41]).

  • @CarlosMartinez-qf3ei
    @CarlosMartinez-qf3ei2 ай бұрын

    Great talk Sir! I had to prepare a similar thing, a gentle intro to IA and was facing serious "powerpoint block" until I found your video.

  • @terrybooth4730
    @terrybooth47302 ай бұрын

    Thank you very much for a fascinating presentation. I was diagnosed with pmr in November 2021 and have spent time on the 'steroid flare rollercoaster'. Luckily I have since learned how to decrease steroids slowly without flaring and am down to 3mg per day of prednisolone (I am in the UK). I would like to include a link to this presentation on a website I am currently building. Thank you again for the presentation.

  • @zootybeano
    @zootybeano2 ай бұрын

    16 months in with no formal diagnosis, I'm down to 4 from 20. A rheum mocked me for my taper , seeing 13.25! I learn more on Facebook and Mayo PMR page. Hubby is a retired internist so I'm forced to use him as my RX doc. Just like he said, I fell off a cliff, playing pickleball one day and couldnt roll over in bed a few days later.

  • @heyalexiajanee
    @heyalexiajanee2 ай бұрын

    Very informative!! Now I'm wondering if I need to be evaluated. I think this is the root of so many of my struggles in life 19:00

  • @dr.dhirajsinha6878
    @dr.dhirajsinha68782 ай бұрын

    Clear and concise. Thanks

  • @OliverlifestyleJa
    @OliverlifestyleJa2 ай бұрын

    ❤❤❤

  • @pegzoconnor7205
    @pegzoconnor72052 ай бұрын

    Thank you for this excellent well presented informative video. I have just been diagnosed with this and I'm awaiting tests to check the artery involvement which I believe is there. I have been searching the Internet all morning and have not come across a video that can compare to yours. Thank you so much for taking the time and effort to offer this. I have made documentation of it I find it that informative and I am saving it for future reference. Forgive the people who complain the video isn't up to their quality standards. You have already given them a gift with this great information.how ungrateful they are. Shameful. I thank you.

  • @combatmedic91-b76
    @combatmedic91-b762 ай бұрын

    The medication is garbage bup is puke & an awful NIGHTMARE. First how do you treat addicted doctors who work in health CARE? HOW DO YOU TREAT ADDICTED SURGEONS OR ANESTHESIOLOGISTS OR HOW DO HIDE THESE ADDICTED DOCTORS IN THE HOSPITALS? 😆 LOL THESE ARE THE MOST DANGEROUS ADDICTS. BUP IS DANGEROUS IT CAUSES SUCIDE BUT YOU REFUSE TO ADMIT IT! ITS NOT SAFE! WHY DO YOU KEEP SAYING ITS SAFE?? BC THIS DRUG MAKES PEOPLE HIGH EVEN WHEN ITS TAKEN AS PRESCRIBED ITS A POSION YOUR SADLY MISTAKEN! MUCH SAFER YOU REPEAT IT LIKE A BROKEN RECORD! Your brainwashed when it comes to this dangerous drug which has law suits IT ROTS TEETH & CAUSES SUCIDE! Try it, see how high it makes you for hours that is why the ADDICTED like taking it, but this drug gets pushed on patients in pain management at UW as all doctors in pain management treat all patients as oud nuts! You doctors push bup bc your brainwashed its sad that health care providers are now to woke & programed by big pharma. God save us 🙏 from this madness as younger generation of health care have no clue just robots repeating big pharma or what your professors are blabbing or what commie hospitas expect. What was once a wonderful health care in puget sound has fallen to nonsense in last 10 to 15 years due to woke universities. Iam glad i worked in the beautiful health care we had until you people came along brainwashed by government admin & their craziness by giving your brain over to madness of US gov CDC FDA NONSENSE. Health care is not supposed to be political doctors are supposed to think for yourself & patients. Bup is given as a punishment to the addicted or forced on patients in pain management & many doctors in western WA go to UW for advice concerning addiction or pain management the nuts AT UW WANT TO RAM IT DOWN EVERY PATIENTS THROAT TAKE BUP FOR A FEW DAYS YOU WILL CHANGE YOUR MIND ABOUT BUP POSION. Those with oud should realize what a dangerous drug this is as doctors want to force it on every one at pain clinics & ER & every where very sad. WAKE-UP!

  • @beludaniela4585
    @beludaniela45852 ай бұрын

    Great ! I wish more echocardiography for beginer and breast if it is posible, thanks in advance.👏👏👏🙏🙏

  • @JeanaAlbert
    @JeanaAlbert3 ай бұрын

    Oh my, I sure wish this was more out there in the medical community earlier. I am in my mid-60s and didn't get diagnosed until then... It was a fluke that I even heard the name when I found out my dad was not my dad and a new half-sister asked me if I had it. I called my Dr and she got me a Geneticist immediately (the next day) for over an hour by phone as it was during COVID. Also probably have POTS MCAS and Dysautonomia. I was already disabled by then. All the suffering and all the meds and MRI with contrast dyes that ruined my kidneys which are now failing and on dialysis... My mom might have also had this interestingly enough! She knew something was wrong with me and took me to so many Drs. I used to sprain my ankles every weekend while running and playing. Had to buy crutches as it got so expensive to rent them! I blame the Medical Doctors for being taught that when you see Zebras, think horses because it's more probable. Guess what? There are SO MANY MORE OF US THANK THEY THOUGHT!!

  • @milliepineapple1227
    @milliepineapple12273 ай бұрын

    Wow, he has just described my posture in every single detail. I also have hyper mobility in some joints, but not all of them. The problem I am struggling last couple of years is neck shoulder pains. Am I the only one who sleeps ON their shoulders? I mean that I just bend it towards my chest and put my cheek right on it. Waking up in morning is totally not cool! I hope I will get my diagnosis one day:( I am just 29.

  • @danplugaru8187
    @danplugaru81873 ай бұрын

    Still making big errors...between AS ankylosing and others forms of spondylarthrities..spondylit ankilosing radiographic visibile radiographic and în young men...with fusing spine... and manifest different în women...

  • @mandimoo87
    @mandimoo873 ай бұрын

    Im really interested in the link between hypermobility and ADHD, fibromyalgia and PCOS. As someone who has all of these, i see a lot of people who share these comorbidities (and usually bariatric patients too). It makes me wonder if dopamine sensors or production (secretion?) is affected by the changes in soft tissues present in EDS or hypermobility.

  • @BethanySchwarz5678
    @BethanySchwarz56783 ай бұрын

    I have EDS and I suspect a lot of my dad's side does. I "hang on" my joints and wonder if my grandma did too, as she has had her knees hips and shoulders all replaced.

  • @sncnutrition7118
    @sncnutrition71183 ай бұрын

    Bpc-157 can help this health condition

  • @jerrysizzler44
    @jerrysizzler443 ай бұрын

    My GP has been seeing me for hypermobile joint injuries and instability for 4+ years and still won't write down "hypermobile" in my notes. All other healthcare professionals (physio, chiro, RMT, joint specialist) have noted me as hypermobile. I am currently on medical leave from work because I wasn't able to manage my symptoms (yet) and so I'm losing income while my doctor just keeps asking me to lift my arm (range of motion test) and earning his full income. It is so. frustrating.

  • @kathleentucker1238
    @kathleentucker12383 ай бұрын

    Yes! The whole functionality thing is the most important thing to me! I'm 70, still very hypermobile, and movement and pain management is the key for my EDS pain control!

  • @jguitar23
    @jguitar233 ай бұрын

    I think it's good to orient hypermobile people to careers sustainable for them + tneir employers. (Some joint injuries can be very long-lasting.) There's not much reason why hypermobile folks can't do pretty much any type of public service admin or other jobs with lower physical demand.

  • @oneset6545
    @oneset65454 ай бұрын

    ❤🎉 this video is the best

  • @jodylwallace
    @jodylwallace4 ай бұрын

    68 and just got assessed this year. Now so much makes sense, but I am going to PT all the time. Finding a PT who is hypermobile savy is so important.

  • @margiecallahan3009
    @margiecallahan30094 ай бұрын

    I'm 71 and on a waitlist for genetic testing, but at this point it's nice to know my pain and chronic fatigue is not "in my head" as so many old school doctors told me.

  • @user-un3qp4lo4e
    @user-un3qp4lo4e4 ай бұрын

    my daughter has hypermobility, PCOS, soft teeth, migraines, lipedemma, only recently have I heard of EDS, it seems likely she has it

  • @shehryar-khann
    @shehryar-khann4 ай бұрын

    this video should have million views

  • @IanRios-wc7lr
    @IanRios-wc7lr5 ай бұрын

    Can you provide bibliographical references please?

  • @sefikayarar982
    @sefikayarar9825 ай бұрын

    Thank u 🎉🎉🎉🎉

  • @Medhammers
    @Medhammers5 ай бұрын

    Great lecture, thank you

  • @mainecool6756
    @mainecool67565 ай бұрын

    "Joint Hypermobility and It's Co-Morbidities" video. The word "IT"S" is a shortened form of "IT IS" or "IT WAS". No hyphen. Did you not learn proper grammar before getting your PHD? I stopped reading after that and questioned your credentials. Get a proof reader or go back to school and learn basic grammar.

  • @jphanks
    @jphanks4 ай бұрын

    Perhaps you may want to retract your statement and apply a little grace. The punctuation you call a hyphen is actually called an apostrophe. None of us are perfect.

  • @ArrestYourAddiction
    @ArrestYourAddiction5 ай бұрын

    Hi y'all! I explain TMS and nuerofeedback in laymen's terms on my channel! I will be offering free counseling and motivation too as well as following my life working at a healing center! Sub and share! Bless y'all!

  • @georgiamoyse1857
    @georgiamoyse18575 ай бұрын

    Sadly because of stage 4 cirrhosis of the liver I cannot be helped. I am hoping better news on pulmonary fibrosis.

  • @metalpractor5150
    @metalpractor51506 ай бұрын

    I use Aplys test. Also I screen aorta via US rather than rely on family hx

  • @Starboard528
    @Starboard5286 ай бұрын

    I CANNOT UNDERSTAND YOUR WAY OF SPEECH. HARD TO UNDERSTAND ACCENT.

  • @andreamontefusco177
    @andreamontefusco1776 ай бұрын

    I can understand her perfectly and English is not even my first language... go and read a book!

  • @weaverdreams
    @weaverdreams4 ай бұрын

    she has no accent, so, where are you from?

  • @DallasTeagueSnider
    @DallasTeagueSnider6 ай бұрын

    I have joint hyper-mobility and have had dynamic movement in my shoulders, ankles and throughout my spine- causing wide spread pain,

  • @Truerealism747
    @Truerealism7474 ай бұрын

    Have you found anything that works has it got worse with age does your muscle pain deal Luke migraine

  • @NNCCCC63
    @NNCCCC636 ай бұрын

    Webinar audio quality strikes me as a scandulously under-appreciated argument, which moon landing conspiracy theorists could exploit... listen to some Apollo landing tapes. Sixty some years ago we had more intelligible speech from the surface of the moon than what we're subjected to today.

  • @scottslomka240
    @scottslomka2406 ай бұрын

    Good to know