Love the clear explanation as always! Questions: 1. Is there a diagnostic test to determine the type of gallstone someone has? 2. For females, could elevated estrogen levels be a risk factor for gallstones? 3. Is sonic therapy real to crush gallstones? 4. Do apples help in softening gallstones to help them pass? Thanks so much!
Great questions! I guess type of gallstone is less important to determine than location, size and effect on the body. If gallstones (or even whole gallbladder) are surgically removed I guess the type is determined by the colour (yellow/black/brown).I don't think an ultrasound gives colour images. Sonic therapy to crush gallstones into tiny particles would be fantastic, I need to look into that. More info on foods/drinks to dissolve existing gallstones would be useful, but wasn't mentioned in this video. I guess that drinking plenty of water between meals is an effective way of reducing the build-up of gallstones in the first place. I've not heard of the apples solution.
Hey Zach! Awesome video! I learn visually so this video helps tremendously. One question: For patients with cholecystitis, is it better not to treat the pain with meds? I would assume this is beneficial in cases where you want to make sure the patient doesn't get perforation?
I have the pain. I have the swollen liver that forcefully drains and enters intestines and stomach. My gall bladder was removed because of it being solid scar tissue from food poisoning at age 5 (not the duct to help prevent dumping syndrome. I am Ana positive ( nuclear homogeneous), not ama+, normal phosphate and normal bilirubin. Crazy high absolute neutrophils (8844, it mentions it too high and indicates sepsis….fun) I’m being tested for pic, but negative ama normal alkaline phosphate and normal bilirubin. It’s been going on for 10+ years. I was even sent to oncologist/hematologist to see why wire cells so elevated. They couldn’t find a cause. I believe the duct that was left has scarred over and it has even closed over and bled and was extremely painful when it Burt open and shot into stomach and intestines. Food passes through very fast, loads of goldenrod colored feces, frequent vomiting bile. I’ve been saying it for over a decade. Doctor ignored me for the whole time. I’ve been sent to a liver specialist now that I switched doctors. She’s testing for PBC as I have most symptoms. I do have multiple autoimmune diseases including RA, psoriasis, fibromyalgia, reynauds, miofacia pain syndrome,. I only run sporadic low grade fevers. I’ve had numerous bouts of pancreatitis. I often don’t have enough enzymes to digest food. I do not have jaundice. . For over a decade! I’m getting sicker and sicker. I’m so tired. What is going on!
I was born without a gallbladder. They said I had a collapsed gallbladder with multiple gallstones. They were going to take it out through the belly button. When they got in there, there was no gallbladder, I looked everywhere, no gallbladder. They filed the surgery and I had to sign papers to be shown in teaching. The doctor said he will probably never see another case. What I’m wondering since there is no bile duct for the bile to come from liver, how does your body break down fats and other things in your digestion system?
Absolutely! We corrected some known errors and misinformation in some of the older lectures. We have also updated our style to include more information with a shorter video duration. We hope you are enjoying them!
I’m really enjoying the new series, thank you!
Zach not only saves patient’s lives but ours as well
I love this guy. He is a genius at teaching and his enthusiasm traverse through.
loving those new lectures, hands down the best internal medicine video lectures
I like your videos before watching them >_< because I'm sure the quality of the content is amazing as always !
Sir u are best teacher i have ever got
May allah bless u
So far the best internal medecine videos
I couldnt understand how do you know all of those topics thank you man youre great
The best teacher ever
The new Father of medicine
best teacher ever!
Love all your vids, guided me thru med school like no other tutes
man i swear I love you, you make everything so comprehensible
Thank you for the great videos and all the notes in your website. Much Love ❤
Thank you zach...Love from India❤❤
Such a relief by watching ur lectures explained everything soo clear thankuu so muchhhhhh
Love the clear explanation as always! Questions: 1. Is there a diagnostic test to determine the type of gallstone someone has? 2. For females, could elevated estrogen levels be a risk factor for gallstones? 3. Is sonic therapy real to crush gallstones? 4. Do apples help in softening gallstones to help them pass?
Thanks so much!
Great questions! I guess type of gallstone is less important to determine than location, size and effect on the body. If gallstones (or even whole gallbladder) are surgically removed I guess the type is determined by the colour (yellow/black/brown).I don't think an ultrasound gives colour images. Sonic therapy to crush gallstones into tiny particles would be fantastic, I need to look into that. More info on foods/drinks to dissolve existing gallstones would be useful, but wasn't mentioned in this video. I guess that drinking plenty of water between meals is an effective way of reducing the build-up of gallstones in the first place. I've not heard of the apples solution.
Watching you from Ethiopia, thank you sooo much,
Great video, thank you!!
Amazing videos
Literally every single video is beyond excellent
This is goodcontent thanks prof. Am in uganda and medicine is now easy.
I'm pratheesh from india (tamilnadu).big fan of you sir.say one hii sir.
Much love from Uganda ❤
Thank you so much for this brilliant explanation 🔥🔥
Love it. Great explanation💪
Hey Zach! Awesome video! I learn visually so this video helps tremendously. One question: For patients with cholecystitis, is it better not to treat the pain with meds? I would assume this is beneficial in cases where you want to make sure the patient doesn't get perforation?
The best of all time
You are a great teacher
New series are awesome❤️
Incredible zack
Thank you so much ❤
What an amazing video ❤
god of medicine 🙇♂️
Thank you soo much 🥺❤️❤️❤️❤️
Thank you so much 😊
Thanks for the help
Big thanks sir 🙏for your work
Your again back l like your lectures. Sir
A lot of love from mine for professor zach 🥰💯💕...
Amazing teaching,
Omg this is a great lecture thanks ❤❤
Thanks A LOT man
I have the pain. I have the swollen liver that forcefully drains and enters intestines and stomach. My gall bladder was removed because of it being solid scar tissue from food poisoning at age 5 (not the duct to help prevent dumping syndrome. I am Ana positive ( nuclear homogeneous), not ama+, normal phosphate and normal bilirubin. Crazy high absolute neutrophils (8844, it mentions it too high and indicates sepsis….fun) I’m being tested for pic, but negative ama normal alkaline phosphate and normal bilirubin. It’s been going on for 10+ years. I was even sent to oncologist/hematologist to see why wire cells so elevated. They couldn’t find a cause.
I believe the duct that was left has scarred over and it has even closed over and bled and was extremely painful when it Burt open and shot into stomach and intestines. Food passes through very fast, loads of goldenrod colored feces, frequent vomiting bile. I’ve been saying it for over a decade. Doctor ignored me for the whole time. I’ve been sent to a liver specialist now that I switched doctors. She’s testing for PBC as I have most symptoms. I do have multiple autoimmune diseases including RA, psoriasis, fibromyalgia, reynauds, miofacia pain syndrome,. I only run sporadic low grade fevers. I’ve had numerous bouts of pancreatitis. I often don’t have enough enzymes to digest food. I do not have jaundice. . For over a decade! I’m getting sicker and sicker. I’m so tired. What is going on!
sorry to hear what u're going through, did you in those 5 months get definitive diagnosis ? i would ask if you have IBD ?
Father of medicine ohh h r such a life saviour
Good lesson, thax man
This series is amazing 🥹🥹🤍
You are the best❤🙏
thank u so much
Thank you sooooo much❤
enjoying your vedios,you are super star
thank you
Great❤❤
Very good and outstanding presentation Dr Agrawal Akshay Kumar MD MEDICINE DIPLOMET MEDICINE
Perfection
you're amazing!!!
Thank you
I was born without a gallbladder. They said I had a collapsed gallbladder with multiple gallstones. They were going to take it out through the belly button. When they got in there, there was no gallbladder, I looked everywhere, no gallbladder. They filed the surgery and I had to sign papers to be shown in teaching. The doctor said he will probably never see another case. What I’m wondering since there is no bile duct for the bile to come from liver, how does your body break down fats and other things in your digestion system?
U won’t be having cystic duct or COMMON bile duct but surely a bile duct
Could someone explain to me
Why gallbladder is inflammed in cholecystitis?
I didn't get it how the bacteria will colonize it
Sir can u help me plz i am send the my new burn baby report it has lever problem so tell tell me what he do
Sir I know that we still have access to the old videos, but may I know it was taken down?
Absolutely! We corrected some known errors and misinformation in some of the older lectures. We have also updated our style to include more information with a shorter video duration. We hope you are enjoying them!
I get more information about your vedio lacture thank you
nice
beast
thaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaanks
🔥
27/11/2024 thank u
❤❤❤
👏🏻👏🏻
Like before watching 🦦🧋
King
❤❤
You didn’t cover primary sclerosiing cholangitis primary biliary cholangitis 😢
Look at the cholangitis video
There already is a video about it look at the list
There is a video for that
Plus primary biliary cirrhosis
🙏
💯🥷💯🥷💯🥷💯
✌️
Bot
Plz send the email id sir
Best teacher ever!❤
King