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Neither of you included hydration?

Thank you Dr. Strong for this wonderful lecturer,it is top notch❤

I’m a new nurse. And find myself struggling a bit, but this helps! Thanks

Impressed and equally felt happy that you people cares so much about ethics 😊

Love your vids but the intro music u use makes me anxious

As always, thank you for the videos you produce. They are always so helpful and insightful.

Ive passed out maybe 10 times unexpectedly in my lifetime Not sure if that meams I have very mild POTS or what

thank you very much for this elegant lecture ma i have the slids please?

I know this is a 9 year old video, but as a Pathology resident studying coagulation testing, this video is gold.

Amazing lecture. Thanks a lot

From a humble distant student : Dr strong please🙏🏻 🙏🏻 just continue with this 🌾🌾

You’re a real internist. Love your work.

Really well done

Nice video. House of God, good book. Don't forget the bed height index... LOL social admits --> treat'em, (feed 'em) and street'em "GI Rounds"--> time to eat!!! we also used to keep track of patients on index cards (3x5's) and trade patients depending on complexity and difficulty. This was in the late 90's.

14:12 slow code 🙈 can’t they just have a DNAR, tbh I’ve not heard of most of these slangs but the word “precious” was definitely used a lot on the wards with demanding patients 😂

Very well explained. Thank you.

I am a Spanish speaking MD. The ones we that we use: -> Supratentorial -> Zebra -> Incidentaloma

You are great 😃😃

Fantastic explanation sir!!

I presented with an incidentaloma and a fascinoma one time! CC was severe R side pain and they found a 13mm kidney stone on my left side. I was damn near handing out autographs.

More slang: FLKs (flecks) - funny little kids High Five - HIV "Did it for the 'gram" - When your teenage/young adult patient just needs GC prophylaxis and discharge (probably deprecated now that the guidelines changed) Status Hispanicus - Either a large, panicked family, or an overanxious, typically Latina mother accompanying a patient with an innocuous problem that is easily defused despite the drama and cacophony of despair surrounding it. The Bakery - the area of your ER holding all the baker acts because inpatient psych is full and transfer/transport is taking forever. Basically, the psych rock garden.

Lol... Some of these are actually new to me. Pop drop, wall/sieve.

Dr. Strong, thank you for this video and I love how understanding, accepting and respectful you are in this video when discussing what intrsex is (which is a sex as sex is a bimodal and infinite [in its own ways] spectrum of its own), what transgender is, and what sexuality and gender expression are. This is helping me with unpacking my internalised transphobia (as I'm a transmasculine man of his own genders who's struggling with himself).

Adding to the “cloud” nomenclature, I’d like to add “purple”, i.e. gets all the weird admissions (i.e. case report worthy)…which can mix with black and white clouds

Imagine in Algeria i can do all this for free 😂😂😂

Thank you

I work in Internal Med in Canada and have never heard most of these slang terms. Wild.

You mean the secret language of AMERICAN and Western doctors.

Thankfully U.K. slang is slightly different to yours so you haven’t outed us yet 😎 Interestingly the equivalent to “pop drop” in the U.K. is termed “granny dumping” 😂

Why are you making our lingo public? Isn’t anything sacred anymore?

Sam Shem's House of God was introduced to me by an MD I worked with who had it as required reading in Med School. Such a great book.

there were a couple here I'd never heard, and I laughed so loud at your straight-face description of "Code Brown" Bravo, Sir.

I have to take matoparal and fludrocortisone for my pots.Does anybody else ?

Fun watch coming from a prehospital medicine setting. Heard some of these but bot most of them Dumping i have definitely heard as frequently directed towards EMS. At least in the US it's tricky. Many of our patients do not warrant an ER visit, but medicare and medicaid generally as of yet do not pay iut for treatment in place by paramedics or transport to alternative destinations like urgent care/FSED, pt's PCP office, acute mentalmealrh or addiction crisis centers, etc, when many of our patients would benefit significantly more from these services than being "dumped" on emergency. Zebras, especially "Horses not Zebras" is one we get told about, mainly in the context of prioritizing looking for immediate life threats in medical patients before considering non-emergent causes of their symptoms. As with all good things, it can be misused though, and medics who have what i like to call a "knowledge defecit awareness defecit" could very well write off a patient's symptoms, simply because a paramedic's education is so heavily skewed toward acute care

In our hospital, we said "P cubed" for "piss poor protoplasm"

@7:00 it's metabolic acidosis alright, but not due to pCO2 though. Rather it's cuz of HCO3.

Now with all the upcoming chatbots and Ai systems like " Claude " which can analyze pictures now and even ECGs ( and I'm talking about the free version not even the paid one - now there's Claude -haiku and other versions) … it's developing too rapidly right now and with the right prompting you really can specialize the chatbot and get it to solve clinical cases efficiently. so GPT 3.5 is something from the past now compared to recent more sophisticated AI. - Now medical students can even use this to not only solve cases but to make the AI come up with cases so it's a sort of a training for them - Would be great to see a comparison between gpt 3.5, 4, and Claude using the same clinical cases !

"Supratentorium" can be ruled out because it's probably not technically correct (the worst kind of correct). Cerebellar lesions have increasingly been correlated with obsession, anxiety, and illogical thought processes-Schmahmann 2010 has a great review. Everyone thinks of it as a motor structure, but its functions are pretty diverse, and motor symptoms are merely especially conspicuous. So since it's one of the perhaps minorly offensive or dismissive ones, maybe it can be reappropriated for an opportunity to lecture about cerebrocerebellar connectivity and all its subtlety.

I’ve spent a lot of time in hospitals in the last 5 years because of the need to bring my elderly parents in for care. This video explained some of the (I thought non-medical) questions we would hear during triage in the ER. I was lucky to have lots of siblings and my parents had good insurance. I cannot imagine how hard it would be if I were alone. Elder care at home is physically and mentally demanding and a 24-hour job. The people doing it are often, themselves, over 60 and chronically sleep deprived. The “dad dump” is absolutely understandable as something someone driven by exhaustion might feel they have to do. I’m grateful I never had to do it, but now I see that, at times when I had to send one parent to the ER in an ambulance but stay home to care for the other-who could not be left alone-while I arranged care so I could go to the hospital, that ER visit might look like dumping. COVID also changed our sense of urgency about accompanying our parents to the ER. For at least a year, and then during surges, we simply were not allowed to stay with them. I do believe, because of hearing difficulties and my mom’s positive attitude (that is, she’d answer medical questions based on what she wished was true rather than what was actually true) they both got better care when they were accompanied. Sorry for the novel! Thanks for the video!

This reminds me of something funny I read recently. In the 13th century, Arnaldus de Villa Nova wrote “On the Precautions that Physicians Must Observe” treatise, where he discusses how physicians should BS their patients to increase their own prestige.

There is a joke among auto mechanics about doctors. Doctors get to bury their mistakes, mechanics have to fix their mistakes for free. 😂

This GOMER really mailed it in today.

Next ...the secret writing of doctors

I was a fascinoma once. It was fun! I had severe reactions to poison ivy as a kid. Age 18, I was having one. My whole face was swollen and bloody. In admitting, the nurse asked what the other guy looked like. I said it wasn’t a fight, it’s poison ivy. While in ER, everyone on the floor came by to see such a violent presentation. I explained to like two dozen students that this was the worst reaction I’d ever had, but not uncommon.

Dang. Now it is not a Secret anymore 😱 What am I gonna do now? 😱 How could you.... 🫣

I’m in uk 🇬🇧 at my wits end ! Had explosive uncontrolled loose stools for a year now! With episodes of incontinence! It’s horrific it’s like a complete blow out! Seems mucus to me is present. I just have lost about 2 litres in volume over 1.5 hours on my last attack. I was shaking and cold. It’s horrific I’m worried about going out or doing anything I’m 34 and brought nappies ! The healthier I eat the worse it seems to be! I’m not lactose intolerant- had tests. Not under any more stress than usual! I’ve been more stressed and had no symptoms. It is utterly miserable 😭

This is wild. If I watched this as a movie, I'd be enraged by the over the top, unrealistic turns off events. And a sexual predator working for child protection services. What a heinous crime this lady committed and tried to get away from with this lie. And what was the endgame plan? Faking her own death?

That was just wonderful!

Thank you so much for helping me understand this better. I found it very educational.

Loved it!!! Very useful thank u !