Gout Management
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- Опубликовано: 20 апр 2020
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I am Egyptian , and I started your videos from hematology you are the best from all Arabic and English videos , now I already have seen hematology , rheumatology , nephrology and I will see more and more , you deserve all the best , God bless you 🙏🏻
I'm a 5th year medical student, and since 1st year I never watched a video more than 15 minutes and now I've watched the whole 3 Gout videos on your channel which equal about 57 minutes! it was AMAZING clear, funny and easy to remember.
I can't find appropriate words to thank you. You're a gift, Thank you :)
Thank you so much 😊, dear!
Same thank you so much ♥️
I never expected to find videos on gout that were actually entertaining as well as informative, bravo! I suffer from gout and find your videos extremely informative, clear and useful. I won't pretend to understand everything but I feel I have a much better understanding of why I suffer from gout and how best to tackle it. So much more helpful than simply being handed a list of high purine foods to avoid! Thank you so much
I think! Allopurinol and Febuxostat used to decreases production of uric acid not increases excretion
Excellent...Thank you so much...I corrected it in recent videos...Thanks a lot!
Also uricosuric drugs are C/I in overproducers due to risk of urolithiasis
Im binge watching your videos before my exam. Damn ! I feel more confident
You make my hardest subjects easy, thanks a lot
My pleasure 😇
Thanks!
My pleasure 😇
WOW. I can't imagine drinking four liters of water every day. Thanks again.
You’re welcome!
I can’t imagine that either.
TBH I drink around 5-7 litres on an average day, on days which I work out it may be upwards of 7 Litres.
Anything wrong with me 😅😂😅?
excellent video👌👌👌
like it
Please make a video on Interleukin, cytokine and Interferon
Really I learned more from your vedios thank you very much
My pleasure 😇
Amazing teacher!
Thank you 🙏
Best as always ! ! !
Thank you 🙏
Whaw! What an explanation.. thank u sir
My pleasure 😇
best channel ever
Thank you so much 😊
Very useful video. Subscribed.
Thank you so much 😊
Dr medicosis, Febuxostat is no more used no..?
Below GFR of 30ml/hr we don’t exceed the dose of febuxostat above 40mg/D
Truly enjoy touching on your channel from time to time, although I am retired now. Many patients eating low carb high fat (or even carnivore) diets report cessation of gout symptoms. Is it possible that the other mentioned risk factors for gout (soft drinks, hyperglycemia, alcohol, high triglycerides) are the most important risk factors? Thank you.
Thank you so much for your comment.
Do you have any reference to a scientific paper were these results were published?
@@MedicosisPerfectionalis Thank you. One paper that expresses some congruency with this notion is "Hyperuricemia and Insulin Resistance" DOI: 10.1210/jcem.78.1.8288709 I have no academic or clinical research on red meat, only anecdotes.
@@2almar2 what are you noticing now? The trend seems to have been moved to meats and fruits, seen any flare ups?
My anecdote:
SAD - acute gout flare up and elevated uric acid
Keto - no gout same uric acid
1yr Carnivore, high purines - no gout, lower uric acid (wtf?)
8mo High carb tubers and fruits, less meat- just had a gout flare up. No uric acid measurement.
So my n of 1 is not correlating with this information. They said 20% of uric acid is added by diet though so my issue may not be food related.
@@shawnmclean7707 Hi Shawn. I’ve been fairly consistent with my low carb, mostly protein diet. I don’t measure uric acid. A few months ago my cholesterol panel was as one might expect: normal HDL, high LDL, super low triglycerides, super low CRP. I almost never eat green vegetable because of the oxalates. I’ve not been bothered with kidney stones for about seven years (since I went keto).
But, when I fall off the low carb wagon I usually fall pretty hard. Only for a day or two, but the effects are nearly immediate: muscle cramps from hell, headache, and later, nausea. And yet I continue….wtf anyway. Why do it? I believe it is a sugar addiction.
What does colchicine
I love your videos
Thank you 😊
Love you sir 🥰♥️
Thank you so much 😊
Nice videos sir .could u please xplain y allo or febuxi use not in acute attack..thnx
We usually don’t use them in acute attacks! When the patient has acute pain, we manage the pain!
According to the latest international guidelines for managing chronic you can start ULTs during an acute attack after two episodes.
Thankssss
My pleasure 😇
always the best ❤ when will you make amazing videos about SLE ? i hope that as soon as possible great doctor
Thank you so much 😊
I will try my best!
Feeling so sad that this came in the OSCE and i did not do very well so here i am to full the gap 😢
I wish you success!
whats the app that use in making videos
It's a secret :)
@@MedicosisPerfectionalis 🙄
Sorry 😐
Doctor can you send this pdf please😳
It’s on my website (part of Rheumatology PDF notes): www.medicosisperfectionalis.com/products/p/rheumatology-illustrated-notes-part-1/
egyptian bro ...... i love you ( from your egyptian sis)
Thank you!
OMG so good!!! AKF --> AKI in a world of snowflakes! hahah I died thanks for the laugh in the midst of gout
Haha 😂
Thank you so much 😊
Stay safe!
One cheap and effective remedy for gout is Potassium Citrate. Very strange its not mentioned as therapy
What hard evidence do you have?
@@MedicosisPerfectionalis
pubmed.ncbi.nlm.nih.gov/19911683/ufhealth.org/potassium-citrate-improves-uric-acid-stones
pubmed.ncbi.nlm.nih.gov/3784284/
I had very effective and fast results with it myself
I am glad it worked for you.
But the sample size of the study was just 8!
Moreover, they gave potassium citrate to all of them, and they didn’t divide the patients into 2 groups, so we have no idea what would have happened to them had they not received the potassium citrate.
The data is not reliable enough to reach any meaningful conclusion.
Thank you so much for your comment!
Stay healthy!
@@MedicosisPerfectionalis It definitely works and very effectively thats all I can say
Agree. I think it is reasonable to conclude that if you increase renal excretion of UA significantly that you are going to reverse Hyperuricemia and in turn Gout. It took me 14 weeks, but I was able to correct my non gouty hyperuricemia by alkalizing my Urine to an average pH of 6.75 using 80 milliequivalents/day of alkalizing agent (and supplementing VitC a uricosuric and Quercetin an XOI). There are studies out of Japan showing the relationship between urine pH and UA excretion. My personal experience was that I increased my renal excretion of UA from 500mg/day to 1,000mg/day.
"No correlation between uric acid levels and gouty arthritis"
Sure, unless you also consider a patient's hydration, diet, and kidney function.
The greatest doctor I have ever listened to.
Are you really Egyptian?
Yes!
Thank you so much 😊
@@MedicosisPerfectionalis
I am proud of you.
Best wishes from Mansoura.
Thank you 🙏
The nuts joke 😂😂😂😂😂😂😂😂
😂
Hasbunallahu wanemal wakeel
عجبا لكم أيها المصريون :D :D >> بتسافروا بره وبتسيبولنا الدكاترة الديناصورات يعذبونا هنا :D :D
وفيم العجب يا أختي الفاضلة؟ 😂😂
@@MedicosisPerfectionalis 😂😂😂
لا أنا قصدي إن الناس اللي دماغها عالية زي حضرتك يدرسولنا بالبساطة والجمال ده بدل الديناصورات😂😂😂
الأسلوب عظيم بجد 👍
I was joking 🙃 with you!
Thank you so much for your kind words!
Are you really an egyptian
Yes
@@MedicosisPerfectionalis والله اتبسطت جدا ربنا يوفقك انا طالب ف سنه رابعه ف القاهره
How are you Egyptian guy😅 ?
You are egyptian for real or it is a usual joke ?
Slow down.