A Mom Ate Chicken Burrito From A Suspicious Restaurant. This Is What Happened To Her Gut.
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- Опубликовано: 15 май 2024
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Patient DC by Kazia Steele, PA Tristyn Smith and Mike Burling
In-depth channel: @HemeReview
Secret Channel: @BigEmus
Music by @Lifeformed ► lifeformed.bandcamp.com
Medicine ► • Medicine
Some images by Getty Images
Timestamps:
0:00 Good 🌯 Burrito
0:31 Gotta 😳 go 😳 fast
1:30 Where did it 🦷 go?
2:24 Bacteria 🦠 good?
3:42 Bacteria 🦠 good.
4:47 The right bacteria 🦠 rly good
5:46 What if the wrong species 😳 is growing?
6:33 A wild headache 😩 appears
7:16 Something was 🚽 different
7:51 Bacteria 🦠 coulda been good, but now what?
9:42 Not the species 😨 you want...
11:58 Banana 🍌 good
13:43 A medicolegal 🩺 rationale
16:26 The Swiss Cheese 🧀 Model (of errors like this one)
16:56 I thought I was ok 😃 but now ???
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.
References:
Clostridium difficile Toxins A and B: Insights into Pathogenic Properties and Extraintestinal Effects. www.ncbi.nlm.nih.gov/pmc/arti...
C. diff survivor and advocate shares her story. blogs.cdc.gov/safehealthcare/...
Aetiology of antimicrobial-agent-associated colitis pubmed.ncbi.nlm.nih.gov/85818/
Colitis associated with clindamycin therapy pubmed.ncbi.nlm.nih.gov/1202637/
Clostridioides difficile infection in adults: Treatment and prevention. UpToDate. Accessed 25 Oct 2023.
Clostridioides difficile infection in adults: Clinical manifestations and diagnosis. UpToDate. Accessed 25 Oct 2023.
Gut microbiome modulates response to anti-PD-1 immunotherapy in melanoma patients. www.science.org/doi/10.1126/s...
Intestinal microbiota signatures of clinical response and immune-related adverse events in melanoma patients treated with anti-PD-1 www.nature.com/articles/s4159....
Gut microbiome is associated with the clinical response to anti-PD-1 based immunotherapy in hepatobiliary cancers. jitc.bmj.com/content/9/12/e00...
Gut Microbiota in Anxiety and Depression: Unveiling the Relationships and Management Options. www.mdpi.com/1424-8247/16/4/565
Clostridium difficile colitis following treatment with metronidazole and vancomycin. www.ncbi.nlm.nih.gov/pmc/arti...
Durham Humphrey Amendment of 1951: www.gpo.gov/fdsys/pkg/STATUTE...
IDSA Guidelines C Diff journals.lww.com/ajg/fulltext... 
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burrito 🌯 good
damnit, you stole the first!
Was it though?
swagalicious
mm burito
Suspicious burrito 😳
Man, C. diff. is no joke. When my son was 3 he nearly died from it. He was so dehydrated that the paramedics were scared he wasn't going to make it to the hospital. He'd already been to the ER two days before, but they just gave him an Rx, fluids, and discharged him. This time, at a different hospital, they admitted him. Our insurance kept pressuring the hospital to discharge him, but they refused. Thank god they didn't. I will never ever forget that rotting smell.
rotting smell ? worst than dead rats ?
Wtf insurance company...
this is why you constantly change insurances, they aren't loyal and caring about their recipients
@@YamiHoOuthe grand ol' US of A
@@YamiHoOu based on Dr Glackinflecken, probably United Health Care...or Aetna
I'm a stool donor, although I prefer the term fecal philanthropist. I was selected based on my medical history and overall good health/diet. I donate to a nonprofit stool bank that is precisely the sort of place from which DC got her fecal transplant. I encourage any other healthy individuals out there to look into donating stool. You can really help people out there who are suffering from C. difficile, as well as contribute to burgeoning research areas such as the gut microbiome and autoimmune diseases (like Crohn's). And if that hasn't convinced you, I'm paid $50 per poop--excuse me, stool sample.
hmm interesting
I can't believe how you twisted being paid for shit, into something based
That's some good shit ! Literally...
my poos are like cottage cheese, but stick to the toilet like napalm. You think they would give me 50$ for that?
Dr poop what do you think of Kefir?
Can we give this actor an Oscar? Or some RUclips version of it? Phenomenal. She managed to convey sooo much without being goofy or corny at all. Please put her in movies, someone.
Actress
Her name is Kazia Steele. She has an IMDB page.
I would have over acted this role. 💩💩💩🤣🤣🤣
I am not here for non-goofy or non-corny acting.
She had me feeling so sorry for her predicament!
The actor was too good and gave me massive empathy. The ones who overexaggerate are funny to watch and you forget how horrific the scenario is 😂
I agree
I recently watched the one with the guy wiggling like he’s having a seizure while a pile of empty cup’o noodles containers are on his chest. It made me lol.
babe, wake up, it's chubbyemu.
@customizablebunny I WAS LITERALLY ABOUT TO LEAVE A COMMENT SAYING THAT 😂
Love it
what is it babe- oh hell yeah chubbyemu 😍
just got out of work and watched this
who actually does this though
I love it when a video has the "made a FULL recovery" ending. Its always so sad when patients only have partial recoveries, or worse.
Bro is a 5+ cartoon character
“At autopsy” 😔
Pesticide farmer 😢
Eventually we all going to die. The "happy ending" is temporarily.
what@@rigcun
Wish I could like this video more than once. You covered antibiotic misuse, the gut microbiome, the gut-brain link, and fecal transplants in a simple and understandable manner, and within 20 minutes - all of these are extremely important and in some cases, relatively cutting-edge pieces of information that far too many ordinary people are unaware of. You should be proud of the fact that you are doing such good work in spreading medical knowledge!
Only missed probiotics as preventive measure against antibiotic associated diarrhea.
And prebiotics to feed the good gut bacteria❣️
This channel is reminder that only well inspected home cooked food will do.
I think the biggest frustration I've ever had on internet discourse was when someone claiming to be a doctor tried to disprove the gut-brain link and everyone just assumed she was correct. SO many times my anxiety makes me sick or having a stomach issue causes a panic attack
@@kayskreed Absolutely. I’ve only had food poisoning once, and it was from a restaurant. I haven’t eaten food that I haven’t prepared myself since. Knowledge of safe food handling and preparation and preparing your own food are key.
C. Diff is no joke. I worked as a patient-care helper for a bit in a ward with older people who had mental decline (alzheimers, dementia, etc). The cases I really didn't look forward to were the C. Diff patients. You're already working with groups of people who have trouble getting out of bed, with the added problem of explosive diarrhea. Lots of changed bedsheets, lots of walking people to the bathroom, lots of cleaning floors and toilets when they didn't quite make it...and the smell is definitely different. Had to be very patient. Some of those people were so far gone, they really didn't even know what was happening to them, just that it was bad, it hurt (nothing like watching a WWII veteran cry because of the pain...terrible), and they were so confused...heartbreaking.
I was let go after about two months after having a flashback and started cursing like the Sailor I was; turns out hearing people yelling, "Help me!", the smell of urine, feces, blood, vomit, and other bodily functions...all I'd need is the smell of cordite and overturned earth and I could be back on a battlefield...yeah, not good. I have nothing but respect for the doctors and nurses who do that work.
I was always told to finish antibiotics no matter how you feel. Now I see what can happen if you don’t. I’m glad the lady recovered in the story but that’s scary.
Yeah.. ahe might have sensitive gut microbiome effect feeling.. but she shouldn't stop just because that feeling
Yeah, I have always finished my antibiotics when I have been sick. With the preventative antibiotics after wisdom tooth removal I did manage to take only 2 out of 3 doses a day, but luckily everything was ok. The nerve pain messed up my sleep schedule completely, I was only sleeping 2-4 hours at random times of the day...
It really shocks me when you hear about people who stop because they suddenly feel better. Hopefully the information that you have to do the whole course becomes more public knowledge since it's so important for public health
This is why I always ask the doctor if it's possible not to take antibiotics.
@@ImTheMasterInMotion You risk creating antibiotic resistant bacteria which you won't notice until they start multiplying out of control. The chance is always slim, but when it does happen you will suffer for it.
As a Pharmacy student, the speed at which I click on your videos with pure eagerness to learn should be illegal, Thank you for the effort you put into every second, really.
It's illegal, you're fired, no degree for you.
I’m a pharm tech and I jump on these videos.
@@therabbithat Please...anything but my degree😅😶
Quick question: does the opposite of pain killers exist? Like a drug that you take and it makes everything hurt 2x more.
inflammation usually causes elevated sensitivity to pain, I won't give you more than that cuz I read the question in an evil tone😐@@LightPink
My dad is a PA and has patients get upset regularly over him not handing out antibiotics for their colds. It's concerning that not only will people not finish the course of antibiotics, they'll hold on to the leftovers and use them whenever they think they need them.
Well, the big concern is that people are asking for antibiotics.... for a viral infection. Surely everyone that graduated high school was taught that antibiotics only impact bacteria, and don't do anything for viral or fungal infections. And we all know that flus and colds are viral, right?
Caught a cold in mexico during vacation, had antiobiotics prescribed before leaving canada but in case I get diarhea: husband's parents wanted me to take them for the cold.
Why??? They're not candies, I know there they get prescribed anti so easily, but it can lead to problems plus create more problems with genitals if you're a woman....
They kept asking and I kept telling them why.
I swear people...
Common cold is caused by viruses anyway. Antibiotics don't do anything against them. Same as the flu and corona.
Why would a personal assistant be prescribing drugs?
@@Systematicsphere physician's assistant lol.
I work as a EVS Discharge cleaner in a hospital, and CDif rooms scare the crap out of me. I hate having to glove, gown, and mask up.
Like… people doubt my position, but it’s genuinely one of the most important jobs in the hospital. Because if that room isn’t clean, then the risk of other people getting sick is very, very high.
Sympathy and admiration. As with sewage work, it is an underappreciated, underpaid, and vital job which should be paid more than investment brokers.
@@old_grey_cat And yet those who sit in the office looking at the screen get paid well
Appreciate your work❤
@@CelestialPo Eh.
They also have bills to pay, mouths to feed. We don’t know what goes on in their lives to judge them. Sure, they sit all day, but looking at a screen for 12+ hours strains the eyes, and spread sheets and management is no joke. Because with out them, I don’t get rooms to clean, patients don’t get admitted, and the hospital just doesn’t function.
We all have a part to play in these things. Even the top dogs who seemingly make more for little work. They own the place, and so responsibility falls on them in the end.
I do also appreciate your comment! My job isn’t easy in the slightest, but it is rewarding 3+ months in.
@@LinkiePup Well I was being ambiguous in my previous comment. In my opinion the people who I referred to as sitting in the office are typically managers, CEOs, mostly bourgeois. Their primary responsibility is to keep their business ongoing and profiting within the bounds of the law and that's all. Those workers are deserving of respect.
My dad had C Diff at the height of the pandemic. If you thought people masking and gowning up because of the virus was bad, you've seen nothing until you've seen how nurses and doctors gown up for C Diff patients. My poor dad. He didn't understand and all anyone could do was just keep telling him he was really sick and needed to get better.
Bedbugs and scabies also has that effect on us 😂😂
Just saying, C. diff is kinda one of the scariest organisms out there. To be fair, it isn't easy to get infected by it if you're not taking antibiotics, but still, the way it can survive pretty much anything in spore form is frankly terrifying.
It's also arguably the most annoying isolation precautions, as you have to actually find a sink with soap and water after exposure. Pretty much everything else you can rip the isolation gown/gloves/mask off and just use hand sanitizer and you're fine, but C. diff, well...
You've gotta take everything off, then wander through the ward looking for a working sink that actually has a soap dispenser with soap in it. Oh, and you've gotta be super careful not to touch anything between removing the isolation get-up and washing your hands, as that would pretty much defeat the purpose of washing your hands (as you've already transferred the spores to a surface)
Seriously, I'd take tuberculosis isolation over C. diff any day. TB is simple; keep person in negative pressure room, use n95 mask (or PAPR) with good seal (plus isolation gown) and you don't really have to worry about surface contamination. TB is extremely simple since it doesn't survive long on surfaces, so, as long as you protect your airway while in the room with the patient, you'll be fine. But C. diff...
With C. diff, if you touch your equipment after exposure and before washing your hands, even briefly, you're screwed. And the thing that really terrifies me is the hand sanitizer dispensers outside the C. diff rooms. See, you'll often reflexively go for the hand sanitizer when exiting a C. diff room, but remember, spores survive alcohol, so...
Inevitably those dispensers have to be contaminated with C. diff spores. It's inevitable, the way I see it...
And that makes it so much scarier!
@@ryanc473Just curious, why don’t you have fume hoods and a decon chamber?
It’s standard at the nuclear plants I have to service, so it blows my mind that infectious wings don’t have the same protections.
@@maxwellhesher1790 better patient outcomes aren't worth it if they don't make some rich guy richer
I would assume that's the reason, anyways
@@ryanc473 very insightful and terrifying!
I nearly died from c diff when I was 22. It caused toxic megacolon and septic shock, and I went from being perfectly fine, shopping for mascara, to in a coma and having a colectomy within 6 hours. Truly terrifying.
Hope you're doing ok now ❤
You vs c diff
*No diff*
I had a coloctemy due to FAP Gardner’s syndrome and now have a j-pouch. My first j-pouch fell apart and I went into septic shock as fecal matter spilled into my abdominal cavity. Went into emergency surgery and woke up with an ileostomy. I had many complications and have been in comas. I’m so glad you’re alive and just know you’re not alone and someone’s praying for you ❤🙏🏽 what a survivor
how was it caused? and how many hours later was the colectomy?
@@Lmomjian My c-diff was caused by antibiotics, but it doesn't usually cause toxic megacolon and septic shock - turns out I have a really low immune system and can't fight off bugs. I then had my colon out the next day and woke up 9 days later 🥲
As someone not from the US, I'm additionally horrified every time I hear that someone in live-threatened condition (acute poisoning, severe inflammation, etc) had to drive themselves to the hospital.
I can struggle during driving lesson if I had a little too difficult workday, I can't imagine driving myself somewhere being ill.
In turn, we can't imagine living in a society where a government controls all aspects of daily life. Socialism, Communism, Theocratic or Dictatorship = all pale compared to the indivisible individual liberty and freedoms we hold dear in America. 🇺🇸💯
@@PalmBeachFlorida24 Availability of emergency services does not mean control over all aspects of daily life. At least if you life is not 24/7 emergency :D
Sorry, if you felt personally attacked, that was not my intention.
A couple of reasons not to be horrified. Driving is easy. So that mostly sounds like a you problem. Another is your country may be much more densely packed than the US is. Often times people are 40 minutes from a hospital. And there’s plenty of his stories where people call an ambulance, most even.
@@PalmBeachFlorida24Speak for yourself. Affordable services would be great. All that “freedom” shit is just bs they fed to you.
@@stuffylamb3420 "Driving is easy"
Sure. But driving isn't easy when you're grievously ill and therefore distracted and not in any condition to drive. Let's think about this for a second.
This happened to me literally 6 months after having my first child. I didn’t know what was happening to me I nearly died. I couldn’t walk , stand up , or keep any food down. I thought it was just food poisoning for a while. Until I collapsed at work. One I got to the hospital I was septic an they rushed me to the back in a quarantine room isolated from everyone. I don’t wish this on my worst enemy
I had c diff May of this year, had it for 2 weeks without knowing, the mental fog and exhaustion was terrible! I'd only have occasional diarrhea and thought it was just a side affect of the antibiotics I was on. But the abdominal cramps were horrible. I was so out of it I side swiped my car on one of those barriers in the McDonald's drive thru because I was so tired. I also lost 10 lbs in 2 weeks. Thank goodness nothing worse happened and I was able to get treatment once I went back to the doctor. All from getting routine antibiotics for a sinus infection. More people need to be aware of what to watch for and to take probiotics while on them.
@@Blueleaf11what probiotics you recommend?
@@mallmax8015 I used Culturelle but I think any would work.
@@Blueleaf11 You need to stay away from McDonald's, as they serve toxic (food), if you can even call it food.
you couldn't walk, stand up or keep food down and you still went to work?! that's some dedication right there lol
I can't imagine being an actor and having to film closeup shots of my face depicting "intense watery bowel movements". Props to her and to Dr. Bernard for keeping it classy but with an impressive amount of detail and realism.
yeah this is the role of a nightmare to play
A crazy enough Method Actor would probably down a whole bag of Sugar Free Gummies or some sort of hard candy like Peppermint or Spearmint and then do it live.
Honestly, that would be terrible but if someone did that I would not be surprised.
Toe curling diarrhea 😂👍🏻
Every time a doctor has prescribed antibiotics for me and I followed all instructions it has fixed whatever infection I had. 10/10 would recommend following doctor's orders.
The big issue in this country is there is no dental coverage for most people. I'm on medicare and chippled my tooth due to bruxism from an antipsychotic I was on, but I can't afford to get it looked at. :(
Anytime I hear you say "[Name] was able to make a full recovery." I get such a big smile on my face. It's so relieving and they way you say it just fills me with joy idk why. Absolutely love the work you do to bring this to people en masse. Thank you.
Me, too. But "[name] mad A recovery." scares the hit out of me.
Yeah, so much better than that "at autopsy" gut-punch he gave us the other time!
Yeah, it's an instant relief!
Sure a full medical recovery, but I always think of the financial damage these cases could cause the patients if their insurance decides to deny coverage.
@@Crazy___Ginger Bro not everyone lives in the USA. Other countries have free healthcare
These videos never fail to refuel my hypochondria, even though I don't suffer from it.
true, well i’m more of a mitochondriac
@sylv256 it's the powerhouse of the worry.
Hypo meaning low, chondriac meaning worrying about (of) something; low fear of something... wait a sec
Hypochondria is for everyone
@Geewip9999 Just looked up the actual roots. "Hypo" meaning low and "Chondria" referring to cartilage. Hypochondria meaning "below the cartilage." When medicine was more primitive and patients would come in with non-specific complaints (like stomach pain) the physician was unaware of the cause and would blame it on something "below the cartilage" (referring to the ribs). Now it refers to an illness the doctor believes is entirely in the patient's mind.
Today I finally understood that I had a c.diff infection 2 decades ago. At that time it was diagnosed as just "colitis" and I do remember having a chicken meal before the first symptoms, which I believe may have been the direct cause.
India is a country with major antibiotics misuse. And after watching this video I finally understood why antibiotics should NOT be dispensed OTC.
Thank you, Chubby Emu. BTW I have been a subscriber of your RUclips channel since many years now.
When I had several bouts of C Diff, my depression would be the first sign that it was about to come back. Taking the first pill of a round of vancomycin was like taking a happy pill every time. It also gave me severe eczema. Doctors were very reluctant to attribute either to C Diff, but the correlation was 100%.
I really appreciate you mentioning the feeling of dread. It was very difficult talking to doctors who wouldn’t take that part seriously.
My father died from c diff after taking antibiotics for a uti. We told medical professionals repeatedly about his watery persistant diarrhea and we were just told he should take probiotics. Finally he asked me to take him to the er and he never came home. Edit: oh and he was exhibiting dementia-like symptoms, this was blamed on his diabetes
I love these kinds of cases where the triggering action (eating a suspicious burrito) has almost nothing to do with the resulting problem (recurring Cdiff infection).
I'm always relieved, because banning possibly sketchy restaurants and taco trucks would be a sad fate for a diner.
But it did. It started the ball rolling..
@@dixiewade8373 no, her being born got the ball rolling. when does the causal chain end?
@@dixiewade8373it could have been literally anything else chipping her tooth. The burrito was not the cause. Her tooth chipping was the cause.
@@JustinKoenigSilica It was the cause, did you skip the video and forgot how the chicken bone in it crack her tooth? This is why even food truck need license, just like the pork episode before
Thank you for making this video and highlighting the gut-brain connection. As many people as possible need to know about this. It changed my life when I started taking probiotics after a long course of pantoprazole, which ruins the gut microbiome. I very much recognize the mental "side-effects" of having an out of balance gut. These days my anxiety and depression are so much more manageable!
Many years ago I cracked a back molar for no apparent reason. It didn't hurt, and it took me _three years_ to get around to having it fixed. I'm feeling like the luckiest bugger out there right now that nothing happened other than the dentist giving me the side eye for not dealing with it sooner. Thanks for the video. Love your content!!
This case is so scary because at every point, it really appeared like she acted in a pretty rational way, besides maybe not getting her tooth checked out right away, but if I’m being honest, if I chipped a tooth and it wasn’t immediately bothering me, I might not go immediately to the dentist either.
you should definitely get a chipped tooth checked out because an infected tooth can lead to infective endocarditis (bacterial infection of the heart), which can quickly lead to bacteremia (bacteria flowing through your blood), which can lead to death
@@IWantToStayAtYourHouseif i was in this patient's situation i would have probably passed it off as me breaking the chicken bone if it didn't cause me agonizing pain
Except for when she stopped the antibiotics partway through- always, always finish them!
@@gblikestosew sure, a lot of people know that but if I had to guess, I would say far fewer know that there may be a link between gut biome health and depression, so “my tooth feels better and these antibiotics make me depressed, so I’ll stop taking it” looks like a natural response, even if it is incorrect
Not to mention dental work is expensive and dental insurance is trash, and honestly if I found the chicken bone I would have thought that would have been the end of it.
Of course she definitely should have called her dentist/doctor instead of stopping the antibiotics, but I could understand wnating to immediately stop meds that gave her scary thoughts for what appears to be no reason, and I can also understand being afraid that you'd get blown off by the dentist because why would antibiotics do that (especially if you're already having anxiety).
Scared me good with the broken tooth, felt relieved to learn it was actually only related by coincidence, and that the culprit really was a misused antibiotic.
He did mention the danger of blood from infected teeth seeping into the main blood stream... scared me good!
I have a friend who passed out at his sister's house about 7 years ago. He'd had a chipped tooth that was infected and he put off treating it because we're all relatively poor and dentistry wasn't covered by medicaid here (I don't know if it is now) so he couldn't afford treatment. It went into his blood. If his sister hadn't gotten him to the ER quickly he could have died.
While it isn't the case in this video don't think that it's nothing to worry about, please take care of your teeth and don't let gums get infected.
@@Avrysatoswhere are u guys from? Where there no relatively cheap clinics? Or a community where you can ask for money as a donation from generous people? 😭
@@fay4967 The last dental clinic in this area closed in 2004.
One of my favourite episodes recently, not only because the patient is fully recovered, but also everything here can happen to anyone, eating burritos, tooth infections, not following doctor’s order, try otc from nowhere. It could all happen to anyone watching this and anyone in the world. Very informative about antibiotic abuse history, especially in post-covid era.
I love these videos. So informative. I had a roommate/friend for many years from Panama. He told me they took antibiotics with every cold/flu/unwell feeling. I told him time and time again this was not a good thing to do as it could end up really bad for his immunity to disease. This just further re-affirms what I knew.
Dr. Bernard is probably the most comforting Doctor I've ever seen. He gives you a terrifying story and explains to you why you shouldn't be scared in a way that makes you feel confident and better equipped to deal with these situations should they arise.
He's a professor
hes not a medical doctor like a MD or DO. He is a pharmacy pHD doctor
@@IWantToStayAtYourHouse I'm confused everyone seems to be commenting this but I never said otherwise. He's still a Doctor. I know a Doctor of History who keeps telling me how history is repeating itself and soon the entire civilized world will collapse. You don't have to be a medical doctor to terrify people.
He's not actually a doctor, he sells tacos out of a truck for a living.
This video definitely has provided comfort to me when I need to find my dinner in the nearest dumpster
Thanks for covering this! C Diff was the sickest I've ever been. I was on antibiotics for mono my senior year of high school. I went from 125lb at 5'4" with an athletic build to 99 pounds. My insurance wouldn't cover vancomycin so the Flagyl I had to take for the C Diff wrecked my digestive system. I have terrible stomach issues as well as IBS now
US medical system is so horrific at every level. The more you know, the more you want to go use other countries systems.
Insurance companies need to be held liable.
Everytime I hear stories like this I'm just in shock that beaurocracy can just tell a dr straight up, no you can't treat this patient correctly, and they're not held liable for all of the morbidities and mortalities that causes in the name of money?
I am so sorry that happened to you.
I see it trying to happen here in Australia where I rely on Medicare as I am poor and can't afford insurance and it scares me.
My insurance (technically a betting firm) can dictate my treatment.
I'm sorry to hear this. I had IBS since I was 13 years old when I accidentally drank contaminated water on a trip to Central America... 2 years ago I started bodybuilding and eating a high protein diet and I haven't had anymore IBS. It saved my life. I seriously considered suicide before. My entire life was a living hell. I hope you don't feel that way and can find some relief. ❤
Thanks for sharing this with us, Chubbyemu.
More than that, thank you for your talk at the end about the importance of following Medical Professionals' directions to the letter.
It's important!
I always learn so much from these videos, the cases are presented very well. Thank you Dr Bernard for putting in the time to do these.👍
As soon as you mentioned a horrible smell I immediately knew it was Cdiff. I had it after I was given an antibiotic for a persistent sinus infection and it was indescribably horrible and painful. Oh and disgusting
I'm sorry you had to go through that! C. diff is one of my worst nightmares, it sounds truly miserable. You're all better now though?
It only takes a couple of times experiencing a patient with C. diff. to be able to immediately recognize the smell of someone with C. diff. It's very unique and telling.
@@cinnamoslut Oh yeah this was 10 years ago when I was 19 and I never had a recurring infection. But within the next couple years I developed IBS-D, Celiac and multiple food allergies that I never had before. I swear that the Cdiff permanently changed my gut
I had it too! Nearly died from waiting too long to go to the hospital. It got to the point where I couldn't eat, couldn't sleep, and could barely walk, so I had no choice but to go.
@@Sang15Mitang That's terrifying! I had it for a few days and have an Auntie who is a nurse and knew what was happening. She basically told me to go to my primary and ask for a Cdiff test that week
My dad nearly died from C. Diff when he was 46. He had just gotten both hips replaced and got C. Diff in the hospital. He went from 145 lbs to 112 lbs. I couldn't see him for a bit, and it sucked. He had just received a diagnosis for lupus at that time too.
Lupus, hip replacement AND C.diff? Oof. i hope he used up all the bad luck in his life with that lol
Another well researched and presented educational piece. Keep up this great work. I have lerned so much from you over time. Thank you so much.
Round of applause to the actress for taking this role. 👏 👏 👏 👏
Okay, but who is this woman??? She’s a fantastic actress! I can’t imagine how difficult it is to effectively convey these thoughts and feelings through facial expressions alone, but she is absolutely nailing it. 👏🏽👏🏽👏🏽
Edit: omg DC has really been THROUGH IT. 😫
they should have hired her instead of the actress who played reeva in obi wan kenobi. that woman had absolutely no range.
Best comment😊
I thought the same thing
Kazia Steele, actress. She’s really good, isn’t she?
@@sunshine2528 oh wow, thanks so much! She’s wonderful!
Have you considered doing an episode on Zei Uwadia? She was a teenager who was prescribed Bactrim and her lungs ended up failing. She spent nearly a year on ECMO, doing things others had never done on ECMO before passing away. The story hits very close to home for me because not only was Zei from Wichita, Kansas but I went to high school with her mother, in a very very small town in Kansas.
I just spent hours crying and reading her mother's blog via her Go Fund Me. Wow. What a beautiful soul. Her whole family, really. Thank you for mentioning her here so that one more person could hear her story. Sending much love to Zei, her mother Bri, and her entire family and community who loved her so fiercely. ❤️ Rest easy, beautiful Zei.
☹️ sorry for the mom
This was such an interesting case study! From the gut microbiome to the resistant C.diff strain and a fecal transplant, I’m amazed at what medicine can do ( and sometimes accidentally undo)
Actress made me feel so much empathy, amazing acting.
Gotta share my story since this one resonnated with me. When I was around age 6 I started waking up every morning with abdominal pain that faded away by 1pm. This happened for years. When I was 15 it got really bad. I was vomiting and couldnt keep anything down besides water and jello. I went from doctor to doctor doing all kinds of tests. It was hell. Eventually after 6 months and deathly underweight I was given a bacterial breath test. I had severe gastrointestinal bacterial overgrowth. Took a full round antibiotics, after I finished I was told to take probiotics, full round. I havent woken up with stomach pain since, 11 years later.
If you have an unknown stomach illness and tried the standard tests with no help, try a breath test. It saved my life, literally.
Scary how many docs wont know to first do these simple tests...
My mom got that exact same bacteria issue last years (caused by medications she took to treats infections caused by a lung cancer). It really wasn't an easy time for her and was quite in danger but fortunately, it never came back (tho we suspected it did once).
I can't imagine how hard it must be for someone like DC to have it coming back. It's good that she finally done a full recovery but it must be a really unpleasant things
As a nursing student we spend lots of time learning about C-diff. Without treatment it will kill you due to the loss of fluids.
Glad to know you (& your folks) are eating well, & safely 👑
Plan on looking into Factor myself, soon 🍣
This is such great content. Thank you for your work
I had C.Diff in 2019 I was on no antibiotics at the time nor in hospital setting, so I’m unsure where I picked up it up. It was the most brutal months of my life. I already had stomach issues due to my gallbladder being removed months prior, but this was different than those issues. I was so sick I was overweight at the time and was 165 lbs and went down to 115lbs in 2 months. I had a hard time eating and drinking. Was in and out of the hospital due to severe dehydration. I did two rounds of vancomycin and it didn’t work, then a round of dificid, also didn’t work. My GI doctor was able to get me a FMT and it truly saved my life. I cried so much the first time I had a normal BM.
I’m glad you are okay. Same experience. Fecal transplant saved my life. The pain is indescribable and terrifying. Still have some residual issues.
... I felt that...
I'm a Canadian living in France, and something they do differently here is that doctors who prescribe antibiotics usually prescribe probiotics. When I got an infection in my finger (while working with MRSA in my lab), they gave me a horrible course of antibiotics for like three weeks. But honestly, since I had the probiotics, I never felt any of the usual GI changes.
Did they tell you to alternate taking them or did you take at the same time?
@@keard558 They told me to take the antibiotics with food, and then, a few hours later, to take the probiotic.
Same in Russia.
I honestly have never taken antibiotics without probiotics. It's something my mom had me do, so now it's ingrained in me. I didn't know others didn't do it tbh
you'd be better off eating fermented food
This has so many important topics - from the gut-brain link to the importance of finishing abx in their entirety. 10/10
I'm sitting here eating my factor meal watching this and wishing I had used your code when I got started with it lmao
Glad she made a full recovery!
the main takeaways: when your doctor says 5 days, do 5 days. don't self medicate if you haven't researched/been informed on the interactions and risks. and always check to make sure your food is safe
it's a shame the doctors don't tell their patients of the potential consequences if they quit the antibiotics too soon
@@mgntstrthat’s something I’ve never thought about
And if there is a bad interaction with the antibiotic halfway in, there is no shame in returning to the doctor to see what they can do about this. They can change antibiotic or make a calculated decision to cut short treatment, but let a medical professional make that decision.
@@mgntstr It's probably one of those things that most doctors believe is common sense and don't have to mention it.
@@mgntstrBecause it should be part of common sense, taught by parents and elementary biology. But I get your point, people are forgetful to think about something they learned years ago.
I had c. Diff recently, after visiting hospital for a broken hand and using a contaminated toilet (I noticed the smear on the wall as I left, having thoroughly washed my hands - which hurt like hell of course - but it didn't occur to me that whoever had contaminated the wall would've been touching other surfaces in the unit). I'm also pregnant so that was super scary! Luckily the vancomycin worked and both baby and I are doing really well!
Smear on the wall? Gross.. Some people are really unspeakable
1st time I seen you smile! Ty for the super informative content
these chapter icons and texts are killing me softly I love it, 10/10
The start of this sounds so similar to my experience except it was from Taco Bell (which I guess would fall under suspicious restaurant status). I bit into a one inch bone shard that broke my tooth so badly that when the oral surgeon removed it part of the bone came with it. I needed a bone graft, sinus lift and then implant so my surrounding teeth wouldn't also start to fall out. It took over a year of dealing with Taco Bell's parent company, their insurer, the meat supplier, and then their insurer. Eventually they did pay my medical costs but it was an exhausting process documenting it.
I'm so sorry you had to go through all that, but I'm glad you were able to go through it with the peace of mind that eventually the medical costs would be taken care of by those responsible for that incident. Righteous justice prevailed in this situation, which is something I hope to see or hear about more often.
omg that sounds awfull
Yeah, Taco Bell is kinda a messed up company. I worked there as a shift supervisor for a few months when I was in college. One of my coworkers was slashed across her back with a box cutter BY OUR DISTRICT MANAGER. I mean, it was an accident, of course, but a really dumb and careless accident on the part of the DM. Taco Bell and YUM Brands did everything they could to not pay this woman or her hospital bills. Ultimately, they decided to drug test her, and because it was positive (idk what for), they basically said it was her fault she was cut. This woman was working on the line preparing food, doing her job. The DM was behind her in the doorway of the office working on signage or something, but she was distracted with the box cutter in her hand, and flailing her arms wildly while standing behind this woman. The victim was very obviously at no fault, and she was not visibly impaired in any way, but she got nothing, and that DM kept her job. Scummy behavior from a scummy company.
@@dewilew2137don’t do drugs kids
I worked at Tacoo Bell for 2 weeks in 2013 and it was not a good experience. Plus preparing the food was really gross, and made me not want to eat there ever again...
I really don't think I would have had the wherewithal to document and then go after Taco Bell for something like that. I definitely wouldn't bother if it happened at a local taqueria, except maybe to notify the health inspector. Not like they have insurance or money to cover medical liability. It's really a freak accident. Most people get tons of insignificant tooth chips over the years without complications. Your teeth aren't really "designed" to last longer than the natural human lifespan, and sometimes they don't even last THAT long if you have bad genetics or drink too much soda.
I genuinely want to give the actor props 👏 I am assuming that she was not suffering and yet it looked totally believable! Good job!
Imagine, you're an actress and this is the acting job the agency give you, though I guess it does test your acting ability and commitment. A job's a job. All helps the résumé.
Do not disrespect her work like that
She clearly infected herself with c diff to make her acting all the more realistic
@@lorenzoniccoli99lndirected by Stephen Spielberg 😂
I've never even heard of this. Thanks for such good, educational and entertaining videos.
I love how every video from you is because either the patient is completely clueless on how to stay alive or the doctors are so deep in malpractice they are drowning.
It's never X had an accident and Y used his medical knowledge and fixed him
Restaurant was probably owned by that doctor who owned the shady food truck.
😂😂😂
The pork tapeworm eggs:
🤗🤗🤗👋👋👋
Such a beautiful callback 🖤
Swapped out the pork for chicken
Man. I'm a pharmacy student and this is horrifying to me. I hope this knowledge will be pasted on to future doctors to be careful with antibiotics, and the fact that treating C. diff can be better done with a Fecal Microbiota Transplant (sure a very new treatment but found to be successful) compared to an alternative antibiotic that could do more damage. Thank you for the work you do Doc, spreading the good word of knowledge.
As someone who has ulcerative colitis, medical doctors have no clue about this nor do they care
Several years ago., I read a fascinating science article. The author suggested that stomach ulcers - and possibly colitis as well - might have
Untreated water sources, as well as limited public health measures in the past. This undoubtedly resulted in higher parasitic loads in humans.
Certain parasitic worm/nematode strains inhibit the Inflammation responses within the GI tract. Therefore, ulcers and colitis might have occurred less frequently in humans prior to the advent of antibiotics.
I wonder whether any future medical treatments or therapies could be developed as a result?
Why not use bacteriofages?
I got C-Diff over a decade ago from antibiotics prescribed for some prostate issues. The memories still haunt me to this day, the pain is unbelievably horrendous and the bathroom visits are awful both in terms of frequency and smell and offer no relief. Eventually I was put on a medication called Difficid which thank god was covered by insurance as it was something like 10k per pill at that time. Even that failed to fully resolve the issue though, I ended up having to get a fecal transplant which you can have fun looking up. All these years later my system works well, but it's nothing like it was before I got C-Diff.
This is a great video about antibiotic misuse. (I also appreciated hearing "The Five Rights"!) Your videos are very informative; too bad we couldn't get the world to watch them!!!
I'm in a support group for "IBS" patients and a HUGE number of them are eventually told they have Cdiff. Some struggle for YEARS with loose stool and depression before finally figuring out the problem.
They're gonna love this video...
😮 what is there a test😅
It's very likely not c diff, c diff is way more serious than IBS
@Chiz1992 If the persons immune system can give it a good fight then the infection won’t progress in the manner you refer to. While there’s no peer reveiwed papers online; there’s a lot of ppl on Reddit & such saying their years long ibs was actually c.diff.
IBS is usually just a “we don’t want to figure out the cause because that’ll take to much time & thinking” . I know guy whose kid was getting treated for ibs then after a couple years passed out and ended up in ER. Turned out he was diabetic and not ibs.
C diff is pure misery. I've had it 3x and had about 9 abdominal surgeries since.
Idk WHY they don't tell you to take probiotics when they prescribe Clindamycin, it's notorious for causing C Diff to overgrow and make you sick asf. It feels like your insides are dying because in some cases, they are. I lost 2 sections of my large intestines as a result of scarring from C diff x3.
It is pure misery, avoid it and ask if you are prescribed an antibiotic, if you should be taking probiotics too.
I would anytime they give Clindamycin/Cleocin.
My grandma unfortunately passed from sepsis caused by C.Diff. She was 91, so due to her age she didn't have much of a chance of fighting it.
Also, as someone with a bunch of fucked up teeth and missing fillings, I'm terrified of getting an abscessed tooth 😱
Surely you should get those missing fillings replaced?😮
I had a similar issue but I used a homemade tooth cleaner made of baking soda, use peroxide to make it into a paste and you will feel dentist cleaned every time, I do this every night and have not needed a dentist since I started, yes it tastes bad but that’s a small sacrifice for perfect white smile and healthy gums. Also clean any cavities/sensitive spots with a water pick that is half warm water and half peroxide and you will not have an issue with your oral health. Good luck hope this helps!
I know this isnt what you want to hear, but please please get these problems fixed at the dentist.
Think about it: You're terrified of what might happen to your teeth. You might be scared of what will happen at the dentist. But if you go now, you'll cut short your fears and the news you get at the dentist will be less bad than if you wait.
I'm the kind of person who worries about going to the dentist (sometimes I cant sleep well the night before a dentist appointment), but also about dental pain. Get it checked out and dealt with, you'll be so much happier in the long run.
To everyone concerned about my dental health: yeah, it's not great at the moment, but I only just now *finally* have dental insurance. For years I haven't had insurance or money to go. Like I just simply could not afford it. I do plan on seeing a dentist very soon, though.
@@FailSafe161 i'm so glad you finally have insurance. I understand what it is to simply not be able to afford work on your teeth, and the fears that go with that.
I'm so sorry about yout grandmother :( I know she was 91, but still, that's awful.
Very interesting story ,I learned a lot from this. Thank you Doctor
😁👌What an informative video🙌 I love how you share all your knowledge.
And, entertaining as always!😃
Amazing timing. Sent this on to my friend who has been dealing with c diff and a mood change. I knew depression can cause physical effects, I didn't know infections themselves can cause mental issues
Yeah, the gut produces the majority of serotonin in the body!
It's good to remember that our brain is an organ like any other.
Your digestive system has braincells in the lining too, kind of like a gpu for your cpu
The smell is something I will never forget... My girlfriend got C. Diff 2 years ago which quickly developed into Ulcerative Colitis which is a life long condition and both are 100% no joke. Hopefully this video helps people look out for symptoms of C. Diff after taking anti-biotics.
On a good note though, after managing her UC her stool is back to normal both in form and smell :)
I like hiw this RUclipsr explained clearly and describes about DC's story in a long way.
That "full recovery" at the end... Beautiful
fecal transplants really is such a bizarre, revolutionary treatment. I remember being in college, seeing flyers around saying "give us your poop and we'll give you money!" Obviously a funny attention grabbing thing, but after looking into it I learned how unique and important our microbiome is.
I like to treat it like starting up a fish tank lol
To note on the Vagus nerve and connection between the brain and gut; it can flow in the reverse direction as well. I had recurring bouts of urgent diarrhea (probably going 5-7 times a day during the worst spans) that would last about a week and then stop, only to return. Stool samples taken and nothing was found to be wrong. I also was dealing with severe anxiety which only became worse as I was constantly afraid of losing control over my bowels.
Finally I was medicated for the anxiety (along with taking fiber supplements), and the stomach issues were resolved.
Yep. Whenever i have a panic attack or am overly stressed i have awful diarrhea.
scary and interesting. thanks chubbyemu.
also chapter titles still on point!
Dear Dr. Bernard,
Could you please make a video about the differences, pro's and con's between Lorazepam, Temazepam, Oxazepam, Diazepam and Lormetazepam.
What are the differences, what are the use-cases, what is best for which case, what are the right doses for different cases, etc etc.
Thank you so much in advance. Love your video's!
Really shows how important gut health is when it's something a lot of people (and even some doctors) overlook!
you thought food poisoning was a myth you thought wrong
I had a burrito with a chicken bone in it. I brought it back and told them what happened they said "we don't have chicken bones in our chicken"
Hahahaha, how dumb could they be? 😂
Technically speaking, our chicken is categorised as cake
Went to inn and out and said, "my fries are frozen" and they said, "our fries our fresh and not frozen" I hate it when ppl gaslight me.
I often find bone pieces on boneless thigh cuts.
If they use these, there will be bones.
I knew early in the video this would be a case of C. diff. I got it after an appendectomy including "preventative" antibiotics that cleared out my guts. Turned out, I also had a lipoma in my colon. The C. diff killed the lipoma, resulting in an intestinal blockage that nearly killed me. I cannot describe the level of pain I experienced over that month. After the final surgery, I was given probiotics and told to eat some yogurt to help restore my natural gut bacteria. Good think I love yogurt. 8)
Even when it comes to over-the-counter drugs, I always consult my doctor for her opinion, first.
Fantastic acting in this episode. Really got the severity across.
I received too-powerful antibiotics once for a strep throat infection. Three days later I was barely able to get up off the toilet. Went back to the doctor, got prescribed probiotics, but my gut has never been the same.
Time for a poop transplant
I have strep throat rn and have been prescribed amoxycillin... should I be alright?
I@@jl4260 I'm sorry, this is 10 years ago, and I live in Spain. Even if I remembered what name was on that box, it probably wouldn't have the same name in the States.
@@jl4260please take probiotics 4-6 hours after each dose of antibiotics. Get the kind that are in capsules that need to be refrigerated (not pressed tablets off the shelf). Get one with as many different strains in it as possible. Some pharmacies carry them, you just have to ask since they’re behind the counter
@@jl4260I just got over what I believe was strep, I did not go to the doctor b/c by the time I realized I had white patches on the back of my throat I could tell I was healing, and I read online that strep can heal on its own. By week 3 I was on my way to recovery, I'm on week 4 right now since getting sick and I feel nearly 100% better. I'm no doctor, but maybe try holding off on those antibiotics...? Ofc, if you choose to not take them you will need to get plenty of rest, gargle 2-3 times per day with salt water, get plenty of fluids and eat healthy, and monitor your symptoms b/c strep can progress into worse illnesses. Or maybe you should talk with your doctor about the situation. I try to encourage folks to not take antibiotics if at all possible, but it's always best to get a doctor's opinion on the matter.
When you said watery stools, I clenched and immediately smelled what was brewing. I'm so glad she made a full recovery.
Thanks for story about food poisoning, or several stories. Its an ongoing topic here in rural north Queensland Australia as weather is tropical, we have electricity blackouts, and the supermarket can be along way and the only food on offer. Lots of bowel cancer here too.
Antibiotic resistance is no small problem! I'm a scientist working on a big genomics project in a bacteria called Pseudomonas Aeruginosa. We sampled over 1000 colonies from 184 clinical trial patient's lungs and every single bacteria already had genes that cause resistance to our antibiotic BEFORE we even started the trial. Makes me very, very worried.
NEW CHUBBYEMU VIDEO DROPPED LETS GOOO
On a serious note, thank you so much for providing the world with amazing, high-quality, CAPTIONED, and highly-informative medical videos! The work you do is amazing.
Sheesh.... When the vetrinarian put my cat on antibiotics for her diarrhea, they at least had the decency to also put her on a probiotic.
Man, i learn various medical treatment method that unknown to me in span of 3 hours, it so fascinating
Another excellent case study from the emu
I recently (and hopefully permanently) recovered from a C. diff infection. The scary part is that my case could not be attributed to antibiotic use, as I didn't have any in the past year. The mental health impact was very real, and I still feel like it still affects me today, even 2 months later.
Feels the same😢 And something I noticed is that when I get nervous my gut starts to get upset. Human body is amazing
I can relate, I had C diff x3, suffered several surgeries and it was pure misery.
I had to wear a bag for over a year while my insides healed, the parts they didn't take out anyhow.
I've been reconnected now for years and no more C diff 🤞🙏 I'm also very cautious about using antibiotics and I tell the Dr right away my history of C. Diff.
I truly wouldn't wish it on anyone.
My sister is going through this right now. She had an ear infection and the nurse practitioner gave her a wide spectrum antibiotic for it. She's on her 3rd round of antibiotics trying to treat the cdiff. We are all very worried about her. She is a med student. She's on the last on her rotations and she starts her residency next year in May and will offitjave MD next to her name.
Could she do a fecal transplant if antibiotics don’t work
@@stonecake313yeah I believe that's going to be the next step.
Have her try Saccharomyces Boulardii - Florastor is a brand name.
Yahoo!! Another video from our favorite doctor
having been on a doxycycline script for bacterial folliculitis , i hve experienced just how important the gut microbiome is . when i was on the script i had a hard time maintaining my weight , my activity levels are still the same and my food consumption is lower but im putting on weight still . i was eating fibrous meals and taking probiotics during this time period
Man, the moment he mentioned the smell I instantly thought of C diff. Stools with c diff are no joke. I would set them up under the biohazard hood (it normally ventilates out smells) but c diff stools never fail to bypass that and stink up the entire lab
Chubbyemu is educational for med students because he teaches them mechanisms of injury and infection. Chubbyemu is education for creative writing students because he teaches us how to punish our characters.
Broke a tooth recently and made an immediate appointment to get it fixed - very glad I got to it before an infection formed
Hey, unrelated to the video but I told my English teacher abt you and sent her a link to your channel, and she sounded interested, so I'm excited for her to enjoy your content, too!
You said foul smelling stool and antibiotic use and I knew you were talking about C. diff. It is one of my biggest fears after doing a paper on it in college.
What a nightmare. I can't even imagine how bad losing your mind would be, ever afraid of being stuck on the toilet and having to go into a hospital to be quarantined. As always, props to the actors. These are always so well done.
That was my experience. It was terrifying. Some days I am still stuck next to a bathroom, even after the fecal transplant. The smell is still there, thus I live in isolation. I wish more people knew about this. It took months for someone to believe me, and by then it was too late for conventional treatments even though they tried.
I wish this channel had been around whenI was in high school. I probably would have gone into medicine. I hope it inspires people. it's a wonderful channel. thanks @chubbyemu!
I have an almost identical story. Prescribed augmenten for a tooth infection. A week later , c diff infection. Lasted a year. Severe case! I had to see an infectious disease specialist who prescribed a $7,000 per 10 pill medication called Dificid after vancomycin didn’t work. A year of my life spent in the bathroom