Hearted Youtube comments on Chubbyemu (@chubbyemu) channel.
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In the beginning, when you said there was a three-year-old and the mom was into essential oils, I knew immediately that it was wintergreen poisoning. People don't know that wintergreen (as in the flavor) is essentially aspirin, and pure wintergreen oil (methyl salicylate, really) doesn't taste nearly as strong as you would expect. In fact, it doesn't taste much more wintergreeny than a wintergreen gumdrop does, even fully concentrated. This makes it extra dangerous, since it never tastes like too much. It's totally different than menthol (aka peppermint oil, basically) which tastes like concentrated minty ice with fire and burning. I feel like this should be something we teach people. And, yes, methyl salicylate is (a/the) flavoring that wintergreen candies and gum use (there are others, but the original is still fairly common). They're flavored with aspirin. It doesn't take much to give you the flavor, but adding more doesn't increase the flavor anything like what you'd expect, which is a big part of the danger. You can't tell how much you've gotten by taste, and the pure flavor doesn't taste particularly bad by itself, which is a bad combo when kids get into it.
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ER doc here. I can attest that stomachache cases because of indigestion/heartburn are some of the most routine (non-emergency) complaints we get at the ER, but stomach ulcers are no joke; not only do they make stomachaches a common daily occurrence, but they run the risk of getting bacterial infections (specifically, Helicobacter pylori infections, which Dr. Bernard alluded to earlier in the video).
H. pylori infections not only aggravate the pain caused by existing stomach ulcers, but if left untreated, can worsen it, making the inflammation of the stomach wall even worse, and in certain cases, result in a cancerous tumor growing in the stomach.
The one proven treatment for such an infection is antibiotics (the specific course usually takes around 6 weeks to complete). As the case with JT's parents show, some people might not be aware of that fact and try to pin the blame on the ulcer entirely. Prematurely stopping the antibiotics while it hasn't entirely run it's course runs the risk of the bacteria not only surviving, but also developing antibiotic resistance against future treatment courses.
Hot, spicy and sour foods can aggravate existing ulcers, and so does coffee (and to a lesser extent, tea). Skipping meals or erratic mealtimes are triggering factors for heartburn attacks.
Overall, another excellent video by Dr. Bernard. And as always, take care, and be well.
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Honestly, I have learned so much about when to advocate for myself from chubbyemu videos. I’ve finally learned when something is “wrong.” Which sounds stupid, but in 2016, a doctor told me I just had a head cold and gave me amoxicillin and sent me home. But I’d had pneumonia, and went septic, and only went to the ER after a week, when the pain had become so bad that I was only sleeping two hours at a time after taking a powerful muscle relaxer. I nearly died because a doctor had downplayed my pain and I trusted them because I didn’t know better—I just assumed I was being dramatic.
Cut to now, when I finally got a rare diagnosis of Exocrine Pancreatic Insufficiency after demanding multiple referrals and second opinions and tests. (Lmao still fighting the insurance to cover my enzymes, but so it goes.)
It’s honestly ridiculous how many times doctors go for the quick diagnosis, but on the other hand, I get it—doctors are incredibly overworked, which is its own big problem. It’s what makes it so important that patients learn how to advocate for themselves. I ended up putting together a huge health record document of all my symptoms and my history of medications and diagnoses—all so that I could ensure every doctor who worked with me had all the information that I have.
I’m so glad it’s a skill I picked up. I’m well on my way to treatment for a relatively rare condition, and all because I finally learned how and when to put my foot down.
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As someone with PCOS, it was really interesting to learn so much about my condition. This was definitely an extreme case of PCOS though, it’s actually a pretty common condition affecting 1 in 10 women. The most common symptoms of PCOS is acne, irregular menstruation cycle, excessive hair growth and weight gain, all of which I experienced. I was always overweight, my menstruation was irregular and extremely painful and I struggled with severe acne. Even my parents did not bother about my weight gain saying that I was at a growing stage of my life and that I needed to eat in order to grow. They brushed off my irregular periods and extreme cramps, I would literally be crying and rolling on the bed because of my pain but my mum said it was normal and that she had painful and irregular periods at the start too. I also had my first period when I was just 10 years old. At 14 my acne became so severe, it pushed me to clinical depression. I didn’t want to leave my room, let alone the house. Broke all the mirrors at my home because I didn’t want to look at my face, to me my face was completely ruined and couldn’t be healed, I wanted to burn my face off with acid. My parents still forced me to go to school and I was extremely bullied for it. My self confidence was completely ruined. I went to a dermatologist and I was on antibiotics for almost a year using other acne topical creams and face washes, with no improvement. My dermatologist at first said it was normal because of hormonal changes as I going through puberty, but as my acne got worse he just kept increasing the dosage and giving me more powerful antibiotics. I then decided to go to a new dermatologist and he was shocked on how long I was taking such a high dosage of a powerful antibiotic, he told me if this didn’t work my last resort was Accutane which has a really long list of side effects. He asked me to take some blood tests and get a Ultrasonogram of my reproductive organs and that’s when we found that I had PCOS. Ge referred me to a gynecologist and I was asked to lose weight because that was the most effective way to keep PCOS in control. I was given birth control pills to regulate my period and to help my acne as well. I lost 30 pounds after that and I’m at a healthy weight now. My acne cleared up after I was done with my Accutane treatment, but sadly the medication spiked up my cholesterol and triglyceride levels. My depression also worsened while I was on the medication and my eyesight deteriorated really fast as well. I’m off from all medications now and I’m at a much healthier place, my period became completely regular and they are less painful now. My skin cleared up and I’m also much more fit.
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This video is so scary. It reminds me of when I was hospitalised with starvation ketoacidosis, plus hyponatraemia and hypokalaemia.
I had a lot of trouble eating after major GI surgery. I did go to both my surgeon and a dietician, but they completely dismissed my concerns (and I ended up reporting them to the health practitioner registry agency in my country). I don't remember a lot from that time, but I do remember that the effects on my cognitive function were terrifying. They were the first sign, to me, that I was seriously ill. They made it a lot more difficult to advocate for myself, and after my surgeon and dietician both failed me, I couldn't co-ordinate myself enough to find new specialists to see. I quickly became too sick to think straight or care for myself at all.
I've been through some really awful things, but that was the worst time in my life. The muscle cramps were unreal, and they progressed to seizures. I also kept constantly gagging and retching, but I didn't have anything to bring up. Eventually, the gagging actually made it impossible for me to even drink water. I also had this awful sense of impending doom. That's what I remember most vividly.
Thankfully I'm okay now. It wasn't a complicated case like the one in the video. I still have some trouble eating, and I'm still struggling to recover from the muscle wasting it caused, but I'm alright.
I guess the moral of the story is, don't starve yourself for six weeks. Or maybe don't drink fifty beers a day. This is not something you want to experience.
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Hey Emu, quick question: how old are the reports of Xylazine abuse first recorded? I may not be from the US, but a pharmaceutical company sure does export Xylazine to the US, so that really peaked my interest. I personally worked with Xylazine for over 2 years, assuring quality of product every step of the production. It's a helluva drug, I mean, when I worked with it, even with a respirator, gloves and standard PPE, I still would be feeling off at the end of the workday. I have read that there were reported cases of Xylazine use in the Carribean, but man, that really breaks my heart.
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I just realized this video is about two months old but at the same time, I had to comment and tell of my hellish experience I found myself having suffered this exact same ER visit almost to the T but from using Aleve. My entire hellish journey began back when I had my first GI bleed back in June of 2022 all the way up til my latest GI bleed on March 2, 2023 or of this month and year. I literally just got released from spending almost two weeks in the hospital in St Louis, MO, to which my partner of 17 years and our 16 year old son actually live in Jefferson City, MO. I never took a whole bottle of Aleve, I only took it when I needed it but I found I'd start depending on it more and more. I went from taking a couple for pain to waking up first thing and taking them BEFORE I even had any pain. Needless to say, I had my first GI bleed on June 1st of 2022 and my hemoglobin level was at 2.7. I was later told a normal hemoglobin is anywhere from 11.9 to 13.7 up to 16. something or other. But my latest and hopefully last visit to the ER for any kind of upper GI bleed concerning me ended up turning into some kind of arterial bleed in my neck because they had to intubate me to see what was causing the bleed I had just went in for. The next thing I knew I woke up and I was in a hospital in St Louis, Missouri. I was just recently released but im not yet able to stay alone by myself just yet so I currently have had to move back home temporarily with my parents because my partner works overnights. But before I could leave the hospital, I had to basically re-learn simple human basics like feeding myself, bathing, or even just getting a drink of water. I'm a fall risk, as well.
These rules and warnings printed on these medication bottles are not just put there because they're different for everyone or they're a simple suggestion. They are actual serious rules to follow! When they say not to take so many in a certain amount of time, or if they say to not take them if you're on any blood thinners, PLEASE, listen to them...please. I would HATE for anyone to go through anything like I just went through. I used to be a straight A student back in HS and College, I used to work in the HR Dept of a hospital...Now it seems all my time spent in any hospital setting is far from the HR Dept and most likely spent waiting for test results in the ER Dept.😢😢😢
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So I LIVE for these monthly videos. I tell everyone to watch them, and some people actually do! I've noticed that it seems like a lot of these subjects have the initials "JC" - I noticed because those are MY initials!
So if you ever want to hear about my presenting to the emergency room 3 times for botched diagnosis at ER visit #1 (blocked kidney coming in and going out), botched lithotripsy, second botched diagnosis at ER visit #2 (said I just needed to eat and drink water), started puking and had very hot dark red urine, went in for ER visit #3 and had DKA so severe the endocrinologist was impressed that I knew my name, dob, address, and what day it was. He said I was "Surprisingly lucid." Then I was admitted for 10 days because I needed insulin for the DKA and also I couldn't keep anything down. Yay! But my kidney function eventually went back to normal, so there's that. Oh yeah and I got shingles about a week after I got out of the hospital. I was 30. Sadly, this happened before Chubbyemu videos existed, so no one learned of my plight.
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Bernard, you really blew me out of the water in my attempts to correct false information given out on a popular TV show regarding Stein-Leventhal Syndrome (P.C.O.S. nowadays, as you know). It's called, "Whitney, Fat Girl Dancing", as far as I know. I don't watch the show but as both a clinician & a patient have watched some of the vlogs gleaned from the show on YT & am trying desperately to rectify some of the nonsense that this woman is spreading about the condition. Whitney's main symptoms are, slight alopecia, a little hirsutism but, as the title would suggest, mainly morbid obesity, which, when one watches what she eats & how much, it is obvious that it's the old story of too many calories consumed & not enough burned. She leads a "dance class" which sounds good but is not a group of obese people really having a good cardiovascular workout but rather music playing whilst they"jiggle" in place. The misinformation arises if Whitney thinks anyone dare think that being so obese is not good for her in the short or long term. She declares to anyone who will listen, "I can't help it, I have P.C.O.S., which means the three 'b's', : balding, bearding & being fat." Since my menarche, I have had just a few menstrual cycles & a transvaginal CT scan revealed, at the time 9 cysts on my right ovary &, too many to count, on my left ovary I have repeatedly explained that, thanks to advances in endocrinology & laser therapy, the "bearded lady" of Victorian circuses & "freak shows" are mainly a thing of the past. In my case, my test results puzzled me as my testosterone levels were "normal". I had an idea: one more test revealed that my "free testosterone levels" were higher, a lot higher than normal!! After a lot of hard work, my BMI is within the "normal" range.
The opening statement was a poor attempt at comedy, btw. Thank you again, for another case study :-).
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Just wanted you to know, you saved my life man!! I started a work out schedule about 3 weeks ago that involved a lot of vigorous weight lifting, which my body was never really accustomed to. About 4-5 days in, i started to notice my urine was a bit darker, my range of movement was a little lacking, as well as my soreness that was not subsiding. I remembered from this channel, there was a condition that this correlated pretty well to, so i looked it up. Sure enough, I had rhabdomyolysis, and a pretty nasty case of it at that. Doctors said my CK (creatine kinase) levels were so high, the machines couldn't read it. After a few days of constant IV and vigorous urination, i was able to make a FULL recovery! You're my hero bro.
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This is such an enlightening presentation. It is very thorough and simply explained. Her zebra condition is becoming more recognized as we continue to advance. I have heard on 2-3 occasions the overlap of oncocytoma and chromophobe renal tumors. With that said, I think the hindsight of this presentation overshadows how difficult a diagnosis this clearly was to make. Multiple physicians, generalist and subspecialty, did not find her tumors. Why is an interesting question. I think it's easy to think they just "ignored her," but the reality is likely something pertinent to a morbidity/ mortality conference.
Of note regarding imaging to those that think imaging should have happened sooner: Over-imaging is a real consequence. In her case, imaging was definitely valid. However, she had such a rare condition, hitting the lottery has more favorable odds. The only large red flag to me was the very abnormal resting heart rate. That concerned me for auto-immune or tumor. Then again, someone else might say infection. Still, simply imaging without localizing implies there was an obvious place to image. If this was sarcoidosis or lupus, we may consider lung. Carcinoid could be lung or abdomen. Thyroid would be neck. Neurologic masses would be neuro-axis (likely brain). Leukemia would be marrow, which labs would be the initial tip-off before you see abnormal bone findings. The point is, saying "image" without target does no good. If you image the wrong spot, you might be less inclined to image another later. These things always seem easy when all the details are known/ laid out, but hindsight is 20/20.
I encourage any thoughtful discussion below, even if in disagreement. This is a good case, and I am glad she is on the positive side of it.
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Yea, I love the videos too, but I'm not sure you understand what it means to have a "high" production value. Rather, these videos seem made with mostly stock footage, in conjuction with simple animation, and a few recreations using actors/friends. What production value is here, is quite tasteful, no doubt, and drives the point right home, yet lets not confuse it with things such as Marvel movies or the like, which actually do have a "high" production value.
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Thanks for making this video. I'm on the registry. Spent almost 5 months downwind of a massive burn pit in Bagram, Afghanistan, and another tour in Balad, Iraq. Not directly downwind that time, but the dust was definitely a thing. My docs say I definitely have asthma now, but that there's also something like asthma, or COPD, but not either one of those. Got a broken rib that just will not heal. Not sure if that's related. And the joke with my docs is that I'm 42, with the body of a 52 year old, but still have the mind of a 22 year old. I am painfully aware of the VA's resistance to awarding benefits. Especially on "Not enough research" cases, and illnesses that appear after separation. I was discharged for lung issues, and it still took almost 5 years for the VA to properly duty connect my issues. Burn pits are the new Agent Orange.
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