I Hate Hepatitis B
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- Опубликовано: 30 июл 2024
- Hepatitis B is one of the most complicated infections to diagnose.
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the sarcastic “oh of course how could i have been so stupid” is just so perfect
😂😂
it was the best line, it reached across my screen and touched me in places.
@@poofer7600 bro what
@@poofer7600 😯📸
A
I thought I was getting my Hep vaccines for my own peace of mind.
Turns out it was for my doctors'.
LMFAOO
🤣🤣🤣🤣
Underrated
888 likes
😂😂😂😂😂😂😂
Sounds like you need a flow chart for all the conditions. Respect for remembering all this.
does something similar to a calculator for doctors exist? like not the math ones, but more specialized. I have an app that has a datasheet of main circuits of diodes, current dividers with load/without load, Amps and more. It shows a schematic of the circuits, most important equations and you can make your own inputs for different parts and it calculates every variable for you.
like an app with interactive flow-charts following the best-practices, with a feature where you can just open your phone camera and scan the lab values (my banking app allows me to do something similar where I don't have to type in banking information manually. It's not always perfect but usually gets at least the bank acc number right), which can get important to the flow chart and depending on the lab values the software searches through a data-bank for most probable causes ... idk, something like this.
I am an EE student, I share a lot of courses with medical equipment engineers, I might gonna ask them what is actually out there on diagnosing tools out there :D
@@iramage2235i… feel like you might be onto do some sort of million dollar idea…
That sounds like a brilliant idea! Those things are awesome, we should all be using them for all kinds of things. For example, online quizzes would be far more accurate if they used flow charts. I once did one that said my ideal dog was a husky, even though I said I wanted a small dog...
@@conlon4332 Did you end up getting the husky?
@@conlon4332No problem, that just means your perfect dog is half husky and half toy poodle!
As a lab tech I have had to try to explain this to multiple doctors with varying levels of success. 😂
You now have a video to share
I can’t even get them to stop ordering a BMP, CMP, and potassium all on the same specimen 😭
Shouldn't have to, it's taught in medical school.
@emilywatson4906 why would anyone order that??? Where do you work??? That's concerning.
This is taught in year 1 of med school and heavily tested so all physicians learned it. but sure you are teaching it to docs
Me in the lab “why do they keep adding on individual hep tests one at a time!?”
Omg this! Like why did you send 2 separate tubes on 2 separate days 😅
It's the worst when they add the Hep add-ons to a tube that was used for other tests that cannot allow hep test on afterwards.
Why do they keep trying to add on lactate?
@@Pokarotbecause they forgot to take a bloodgas test (or whatever you call it in english) :p
Oh god, I just had a sudden memory of my father (a lab tech turned Systems Analyst for the lab) yelling about this.
Me being a layman: I like your words magic man.
Wow, that's a lotta doctor stuff. Too bad I'm not learning em
"First of all, you throwin' too many big words at me, and because I don't understand them, I'm gonna take 'em as disrespect." - Kevin Hart
@@frickfrack7075 feels just like being home for the holidays :') no uncle, a catalyst isn't the stuff in your cat-a-lick-tit converter
@@CalebBohanon I like that, but i was also quoting Kevin Hart from The 40 Year Old Virgin lol
I should probably edit quotations lol
@@frickfrack7075 that does explain the "-Kevin Hart" bit. Good movie
He said all that without stuttering.
That's the most incredible part.
Sadly as a resident in a busy city hospital, you have to say it a lot
You realize this isn’t one take right
@@DBasedAlexright! Poor fella doesn’t realize this was a HIGHLYYYYYY edited video which was filmed small take by small take! 😂
That's nothing compared to Hollywood, they do this for hours without stuttering
In the lab, I had a slide rule device with all the antigens a antibodies to help determine what stage of the disease the patient was in. Very useful.
You need to be selling those to medical students. 😂
Is it bad that I find it kinda reassuring that even a GI fellow finds Hep B serology interpretation to be annoying?
That’s the goal!
THANK YOU
@@Doc_Schmidt I still remember when this was written on forms instead of on Citrix/Epic etc. So many boxes and if you missed one ........
So ours come with interpretations, cuz otherwise it's just too complex
Studying for it right now and still confused 😐
I didn’t know diagnosing hepatitis was so complicated!
I'm an Acupuncturist and it's best to be vaccinated against Hep B for us in case of needle sticks tho rare. Most types of Hepatitis don't have vaccines.
@@junglegymcircusmonke I think I’m vaccinated for A & B…I know there’s a C, are there more types?
@Kranky. K! oh no! What are those?
@nachtegael W there's D and E but you have to have Hep B to get Hep D so if you are vaccinated for Hep B you are protected against both and Hep E is transmitted via stool. There's no vaccine for it and it's not common in the US and developed countries. It's more common in undeveloped countries. www.cdc.gov/hepatitis/hev/index.htm
@@nachtegaelw5389 D and E as well
I can confirm. It sounds like a joke, but that's what I encounter with almost all family/generic doctors. I have been a Hep B carrier since childhood (thanks, doctors). And its embarrassing how many time my doctors tried to push me to get vaccinated because they didn't know how to read all the combinations on the blood panel. I even once went to a specialty clinic; they weren't even surprised that my doctor was so confused
So why you werent on vaccination ? You are a living threat for ill people in your proximity to a degree
Can confirm, had the same experience... mostly
People in the medical world need more support, i couldnt even watch this whole short without getting a headache
It's actually worse than that.
Hep B: NOOOO you cant just start antivirals without HbAgs, HbAbs, HbAc…viral load, AST/ALT, VHD..
Hep C: haha sofosbuvir goes burrrrrr
😂
🤣
Can we just conmbine AST/ALT into SALT? I feel like that would make it easier
@@airbots4789 AS and AL are the abbreviated forms of the amino acids involved, Aspartate and Alanine respectively
I don't know what any of this means but it made me laugh 😆
Wait I just watched a lecture on this, and I totally get it!
HONESTLY same. We had to memorize like 5 different tables of hepatitis antibodies and antigens and had to correlate which ones indicated which types of infections
@@thespqrguy I remember an antivax guy once going isn't how does hep antibody prove both protection from hepatis or show prior infection and I was like other than your stupid comment , here's the full complicated story of HbS antigen, antibody, IgG and etcetc for a doctor to determine hepatitis.
Now grow a brain and get vaccinated.
Subscribe this channel for Latest Medical Lectures.
Come back tomorrow and see if you still remember it.
Congratulations!
This was us in the lunch room this week trying to figure out how to screen our patients for Hep.B, who to test, what tests to order, and what the results meant...😂
As a nurse only, not a lab tech, I have NO IDEA what they are speaking of! Of course, I’m retired now and did my nursing in the dark ages (1970’s-1990’s), before a lot of this researched and known! 😮😅
"Of course how could I have been so stupid" that's a line you have said in your head so many times that when you said it it was so natural and relieving
Was that a "who's on 1st?" bit for hepatitis???? That's different. Well done!!!
That's exactly what I was thinking!
no, that’s strange
All dialysis nurse just thumbed up this video.
My brain had a meltdown when it read "thumbed up."
Thumbs upped?
Thumbsed up?
Thumbed up.
Hmph. I'd never have thought.
Lol
All the lab techs too! 😂
Not me that used to have hepatitis c almost screaming “JUST CHECK THE VIRAL LOAD”
Thank God you *used to have* Hep C! I remember when people couldn't say that.
Hepatitis B took my Dad when I was just 17 years old and left my Mum a carrier of the disease. The doctors were slow to diagnose properly because they considered it near impossible to catch in modern day. Plus my Dad was one of those stubborn guys that prefer to just walk stuff off. He only allowed us to take him to seek medical help when he became like a corn fed chicken overnight. I remember they released him home from the hospital only for him to start heavy haemorrhaging from his nose and we had to rush him back and they put him on vitamin K IV.
It’s a nasty way to go, caused him much suffering over a period of a few months. It’s a hateful infection that needs permanent eradication.
This is like when a kid just keeps asking you “why”
I got hep b at birth. Had it until I was 6-7 years old. Chronic infection is super dangerous for a kid that young, like my parents (who didn't find out about this until after they finalized my adoption) thought I might die from this one day. Thankfully I recovered. But yeah I too hate Hep B, but for different reasons 😂
Good for you to have recovered and get to live a life!
How did you recover from hep B?
That is fkn crazy! You are so strong 💪🏼
Bless your parents. I'm glad you were adopted by decent people. You hear so many horror stories these days. 🌹
@@na.4198The body can clear it, sometimes even after years of having it.
My GI block exam is tomorrow and this will haunt my dreams 😅. Really though, your shorts have been unexpectedly a great help. Thank you for the 100 on my esophageal pathology quiz!
This needs to be a flowchart. The senior doctor is just a confused mess and won’t admit it.
I already made a comment about this on your last video before you posted this short, but I was one of your Spanish interpreters today and i was so hyped to see you, I wanted to tell you what a big fan of yours I am but I can't while interpreting. I hope I get another call from you soon
That's so awesome :) also good job being professional. I would also find it super hard not saying anything! Lol i only speak 1 language (i also find it super cool you speak 2 languages!)
Eyy that's awesome cheers to yalls endeavors and good luck!
@@urielgrey I didn't say anything but my facial expressions were giving me away lol. I was too excited and my face didn't know how to hide it.
@@Nicole-oz9sc lol i would be the same way!!!
Would it really have hurt anything to take a minute or two to say something?
"I thought you said that doesn't matter"
I rofled here 😂😂
“Who’s on first? What’s on second? I don’t know who’s on third?!!”
Exactly 👍🏼
I'm not in the medical field but I felt this in my soul.
It’s like a choose your own adventure story without any of the fun!
choose your own adventure but the book lies to you about what choice you're actually making
I just want you to know that this one genuinely made me upset for a second. I know I was just watching a video but that last little bit the end got me
“Oh of course, how could I have been so stupid?” The sarcastic tone RIGHT ON POINT 😂
I just started my career as a medic in the army and all the new things I need to learn make me feel like the stupidest person in the room. Despite what I know and what I’m learning I feel so lost. Love medicine and those that practice. Genuinely warms my heart to know that I’ll never know everything and even the best are still learning. Great job on the videos!
The human body is so beautifully complex, it's such an extraordinary machine. It really feels like a lootttt when you're reading, learning, and doing labs and simulation, though (I'm an RN.) Thank you for your service!
Someone needs to make a flowchart for this. Would make things much easier.
i remember doing a monmnec for this in med school
HBV s ag: acute infection (surface)
HBV s ab: infection or vaccine or immunity
HBV c Ag: infection usualy associated with liver cirrhosis (core(
HBv c ab: chronic infection good immunity
HBV e ag: acute active infective
HBV e ab: acute not infective
i remember this i hope it helps understand more
Oh god I hope I get smarter once I am in Med school
@@christinamansen8636 you dont. You will go down a hole of realizing how stupid you are, and theres no way out
@@christinamansen8636 you don't have to be smart to do well in med school, you just have to have a good memory and study more than everyone else
This is not a mnemonic btw. Mnemonics involve a phrase or jingle that somehow stands for the information.
This is just a chart
What does acute active infective mean for a lay person understand? Thank you for this chart :)
I’m just a preventive medicine technician and my first week in epidemiology I ran into this. I was so confused, and the doctor trying to explain this to me pretty much melted my brain.
The amounts of times I got lost during that exchange makes Sarah from the Labyrinth seem like a pro navigator
Yeah hep b makes me sad. We spent like 2 hours in lecture on this and I still didn't get it for weeks lol
Ah you liked my comment! (Stay cool stay cool) I’m an Np and professor of nursing program. I show your videos to my Pharmacology class before every lecture! Thank you for your content!
Thank you for being multi-faceted in your teaching! You’re a gift to your students. 😊
Surface = vaccinated
Core = currently has it
Nah , we almost never get positive on core cuz core antigens stay in livercells and dont have enough half life to stay detectable in lab tests so nope
As an ID doctor who gets asked these questions ALL the time! There's a beautiful flow chart for diagnosis I share with everyone (and use myself) as Hep B is confusing!
Learning this as a Pharmacy student, I feel seen 😅
wow future pharmacy student was just smilling at his misery now this lol
@@ranika3995 actually it all makes sense when you understand the process, so it's not that bad 😁
Good luck with Pharmacy!
I hope there is good chart for this!
@@soumaya4960 lol ok thank you 💖 you do well also
Omg I thought it was just me not getting it!
This is why being a doctor is hard. Props to the thorough medical professionals. When selecting a care provider, remember, 50% of doctors graduated in the bottom 50% of their class.
and all of those doctors graduated medical school, one of the hardest schools to get into, with hundreds of applicants denied entry.
I was in the top 5% of a great school and still find keeping up challenging. The school studied graduates after 5 yrs. and were unable to distinguish those who graduated in the top half from those who graduated in the bottom half.
It's like someone removed the page numbers off a Choose Your Own Adventure book.
This conversation makes me feel like they can turn her questions into a questionarie and they can do that before coming up with plans to avoid these convos haha
As someone with Hep B, I thoroughly enjoyed this.
Is there a cure for it?
@Wise Teacher While research is being done to find a cure, unfortunately, there is no cure currently available.
Just got diagnosed today with blood work the RUclips algorithm already got me and I haven’t even looked it up yet :(
I’m in NP school and we just covered hepatitis serology. This bc made me laugh my ass off! I went through this exact conversation with a physician recently and It’s spot on!
This reminds me of a Doctor I had a while back. FIRST time I met him I walk in and state that I have lupus, and point out my very obvious butterfly rash on my face. I then go for multiple tests every two weeks for 14 months. All coming back with mostly nominal results that don't explain symptoms. Finally I go in and he comes into the room looking very serious and telling me "OK don't panic, this isn't conclusive but your test results came back positive for this one marker that can sometimes be indicative of something called lupus but it's not definitive so I want to send you for more tests to rule it out."
I blew up at the man because he had wasted a year of my life trying to look for every possible answer to explain away a genetic condition I was born with and had diagnosed almost 40 years ago when All I needed was treatment for some of the symptoms. He did irreversible harm to me by not treating the flares I was having or giving me any access to meds at all.
I reported him to the medical board.
I feel this on a lab tech level.
Me and you fam, except am in belize and we use it a lot when screening blood donors
DeadassLMAO
hi fellow lab tech in the wild!!! I hope you enjoy a great lab week next week!
Finally someone who understands 😭😭 I lose brain cells every time I try to comprehend hep B
Imagine going to school and having to learn this and a thousand other things like it, unreal. Hats off to you doctor and nurse folk, pretty crazy job you do
I just took a virology course and we had a short hepatitis unit. Having to learn this while prepping for the exam was infuriating.
I'm a phlebotomist and now I understand why infection control doctor checks all his pts with a full hepatitis panel
Poor Jones, he’s been through A LOT!
right!?
A friend of mine got positive for hep B. They told him the news, then sent him home.
Poland, wonderful country for any medical issue 🙃
I'm glad there are doctors who know so much about every single aspect of these things.
Wait until you hear about how most of the monitoring in mental health is just patient self report…and you never have all the data, and some of the data is lies (of omission and commission)
This comment is so pertinent to the state of our mental health system. Its pathetic how bad it is in 2022!!!
Also each persons own interpretation of each of the questions:
“Do you hear voices?”
“Yes”
“What do they say?”
“They ask me if I hear voices, so yes cuz I don’t have any hearing impairments”
“?”
@@colourfulsouls My favorite is helping to educate non psychotic people about “internal dialogue” and that it is in fact a normalish thing.
@@JamesDecker7 i only found out a few years ago I have aphantasia (so no minds eye). I always thought it was like a metaphor about visualizing things in your mind.
I have great inner dialogue, and can recall songs in my mind, love reading books (though I didn’t know others visualize the stories as they read them)
I do have visual dreams but if I don’t write down describing words for it when I first wake up I completely forget it. I’m a visual artist as well, so I just make things up as I draw/paint/sculpt. Or I’ll have to look at a reference image to replicate it.
It’s really interesting how everyone’s minds work differently.
@@colourfulsouls have actually had almost exactly that conversation. 🤡
me, the lab tech, resulting out "equivocal" for HbsAg, anti-Hbs, and anti-Hbc: 😬 lol imma send this to quest
This was actually my fav part of my pathogens test. straight forward if you can memorize the diff components.
Thank You! Yes, there's lots, but it's simple enough to remember each... Or the graphs of titers for acute and chronic infections
I got lost very quickly and yet I was able to follow this whole thing at the same time....
🤣perfect. It confused us just like this remembering all the types of antigens and antibodies for hep B. Why does it has to be so complicated!!!
I had hep B when working in a dialysis unit in 1977. Now there are many types of hepatitis and it is so confusing!
Exactly. It’s like a logic puzzle, like a Rubik’s cube. But when you solve it, it is SO satisfying!
Thank you for letting people know what doctors go through and how they are learn how to be better to they're patients. Love your videos.❤
Had to watch it twice to get everything
This is amazing. No wonder the doctors couldnt find my acute mononucleosis
Science is still learning so much about Epstein-Barr virus (which causes mononucleosis). Just during Covid they learned it’s likely a leading cause of Multiple Sclerosis (or at least the trigger). Don’t worry, you’re still at super low risk of actually *getting* MS, more that if you do get MS it’s caused/triggered by EBV.
Most people get Epstein Barr in their lifetime.
Funnily enough, my Mom had both Hep C & EBV 🤷🏻
As someone not in the medical field, i enjoyed watching this on a loop on my phone while eating lunch and completely zoning out because i did not understand a word
PhD studying hep B here. This is the convo that my brain goes through every time with itself...and when you start adding in more biomarkers...even more confusing!
"i'll have what she's having"
As a dialysis nurse I feel this 😔
First tine i watched this i was completely lost, now after my first semester of nursing school I can actually follow this
This sounds like a flow chart situation. Perfect for a Dx tool that tracks diagnostic criteria, prompts for missing data, and then recommends a treatment plan.
Why I would never be a doctor or nurse and why I have so much respect for them
"And next time try to wait till you have all the data before coming up with a plan". Why didn't someone say this two years ago?
As a nurse, I definitely appreciate this one
I can't wait to get insurance again and share these with my doctor.
Gonna be learning about liver dz next semester in nursing school… sounds like it’s gonna be a blast 😄
This is why my husbands hep B post infection diagnosis was so GD confusing.
Oh so this is why I get so many doctors calling the lab not understanding the results
Beyond the blood, and guts, and icky bits of medicine, this skit is another major reason why I never wanted to be a doctor. I can barely remember what I had for breakfast this morning, but you all have to keep that endless amount of information straight every day for who knows how many patients. No, thank you. But, thank you!!
I love how the doctor is getting schooled by the nurse.
What nurse?
We need doctors like that “lady”
I'm actually in Hospital right now watching this and many others I had downloaded. They aren't so far off!
I work in infectious diseases clinic, we have had to do those tests before. This is great.
I’m crying rn. I just came back from a major test for a medical Microbio class and the fact that I can actually semi follow what your saying?
I thought I was done for the day 😭
All this work for 1 disease, & patients complaining about "What's taking them so long to get my test results??" God help us. It's hard work, man.
"So doc, what is it?"
"Hold on sir, i need to consult a flip-book and three different mnemonic devices"
I thought I’m watching House for a sec. Lots of medical jargon flying past my head, but still had a chuckle 😅
Need to ask if the patient got a vaccination also, that can cause a false positive. 🤔😂😒
Nope that's antibody titre
@@baraitalo what about those of us who have had 3 series of Hep b vaccine and still don't sero convert?
@@cherylcarlson3315 vanishingly unlikely not to seroconvert. The antibody titre is just a proxy. www.gov.uk/government/publications/hepatitis-b-the-green-book-chapter-18 page 13
Its not so much a false positive, more a misleading positive and evidence that the vaccine resulted in successful seroconversion.
@@cherylcarlson3315How is it that you have no antibodies or no long-term cell mediated immunity after 3 shots? Are you immunocompromised? Do you have a low B or T cell count?
When the nurse has 30y of experience and knows better than the doctor
Usually the case when alot of fresh doctors come through, even some who've been there for several years tend to know less than the 30yrs veteran who's been through it all 😂
I’m literally only an instructor for EMT and nurses and haven’t done any field work. But omg talking to them about their day to day is literally like being this guy
“Oh of course how silly of me to think you meant what you said instead of ANOTHER HECKING ACRONYM!!!”
My dad (indirectly) died when I was 9, due to a chronic hepatitis B infection that he had been unaware of. He had developed cirrhosis, and during his liver transplant, they realized that he had cancer and it had spread in such a way that it was inoperable.
I'm wondering if the blonde character is a representation of you real superior resident 😮
Preventing Hep B is no fun, either. 3 shots, perfectly timed...then hope you seroconvert (got two Hep B series here before it actually took).
Aren't they usually done in childhood?
@@Matthew-yc6nx Mine were as an adult - I'm old :-P
@tejoned Naww shh you're a spring chicken ☺️
Yeah, but if you aren't at risk, it's not necessary. It's passed by sharing needles or promiscuous sex, but even if you catch it via sex it's asymptomatic in 5 out of 6 people, and only resolves to a chronic infection in 1 of 1500 whites and 5% of Asians, so it's not really something to worry about unless you're an urban gay man, prostitute, or unhygenic heroin addict.
E is not envelope FYI. Common misconception even amongst internal medicine folks.
The one time I thought the supervisor actually was making sense lol 😆
I didn't understand a word of any of this and yet understood everything perfectly.
I can't claim to know everything that just happened. But it was oddly enough easy enough to follow. Very well done.
This is pure gold..love it . brilliant delivery doc!
So true the algorithm for this is nuts. Don’t even get me started with chronic occult disease
The primary symptoms are your patient discussing crystals as a part of their treatment plan and mumbling new age incantations.
@@lizmullaney305 😂 I see what you did there