I just want to say that I got to medical school (UK College of Medicine), and today we had a Halloween party, and about 10 of my classmates dressed up as you (one classmates who wants to become a neurologist dressed up as your version of a neurologist, another who wants to go into EM wore a bike helmet, etc). They all took a group picture with their costumes, and I think they won the costume contest. Also, our professors regularly show your videos in class because they’re just THAT good
This is the most most accurate. There needs to be a double blind randomized control study on the perfection of this skit in relation to both the knowledge of rheumatology and the age old question: are we sure it is not lupus? And every journal club will rejoice in analysis and critique.
How do you do a double blind trial of a video? "These people will watch a video by Dr. Glaucomflecken, while the control group will just _think_ they're watching a video."
As someone who has been to the rheumatologist many times with RA and been tested over and over for Lupus... I can safely say that it's not Lupus and please stop trying to find Lupus in me... I don't need a longer chart.
@@anisatajy9445 links T cell activation to neutrophil mobilization and activation as a part of innate immunity. IL-17 has been shown to contribute to the pathogenesis of inflammatory diseases, such as psoriasis and rheumatoid arthritis.
I'm used to watching Dr. Glaucomflecken videos and being left confused yet entertained. For once I have the upper hand, as an Immunologist I can finally scoff and go IL-12, a basic choice, might as well be IL-10. IL-2 now that is spicy stuff, Immune regulation by T cells for T cells. (This comment is a joke, the Drs video is amazing, just finally a subject matter I can nerd out and joke about)
Here I am as a non-doctor with an interest in funny internet videos and military history wondering what the heck all these comments are talking about. IL-2? Did someone swallow a Soviet ground attack aircraft? :P
I was diagnosed at 17 with Systemic Lupus and when I told people they would always roll their eyes and jokingly say "Oh, it's never Lupus" but I had never seen a House episode before and so I thought everyone was just so dang rude! Now I can have a good laugh over it. 15 years later and it's still Lupus for me... darn.
It seems to work that way Cardiologists have had broken hearts Surgeons have been cut up emotionally Nephrologists have kidney issues Neurologists are a bit mental Pediatrics are kids at heart ;)
Well, maybe if someone startled a pot smoker, and they gasped and aspirated their joint… though RA would be the least of their worries if that happened.
As someone who lives with multiple autoimmune conditions, the part where they say "there's a thousand diseases, and they can do anything, at any time"....I laughed, and then wanted to cry. It's so true. And sadly, without something hugely telltale like sausage digits, you may not get referred until your PCP has gone through a phase of thinking you're a tiring hypochondriac...
I wish he would have talked about the average of 7 YEARS before doctors (including rheumatologists) FINALLY take a potential autoimmune patient seriously, stop accusing them of merely feeding an opiate addiction, stop accusing them of merely being anxious, and actually BELIEVES them enough to do anything other than tell them to exercise and lose weight. Also, discussing how female autoimmune patients get treated WAY differently than male ones would be an AMAZING way to raise awareness about gender based medical care among docs young and old.
Yeah, I have Hashimoto's and all my female family members have various autoimmune conditions. For the past ~9 months I've been having some really life-disrupting new symptoms and my doctor hasn't been able to figure out anything and I'm starting to feel like a hypochondriac noticing stuff going wrong with my body but I can't help but think this is a co-existing autoimmune thing. I'm not giving up trying to find an answer but it's been disheartening at times. (I'm seeing a neurologist soon and really hoping it's going to be another dead end though; really don't want this to be anything affecting my nerves but none of the eye doctors I saw could figure out what's going on with my vision. I have good health insurance though so no matter what happens I'll be able to deal with it)
This! I've had lupus symptoms since childhood. Finally diagnosed at age FIFTY-FUCKIN-SEVEN. Also have MS, Hashimotos, and Psoriatic Arthritis along for the ride.
My brother was diagnosed with rheumatoid arthritis at the age of 3! We've been seeing the one Rheumatologist in our state for literal years. He was a 1 in a million case, because he was allergic to the most popular arthritis injection at the time, and became immune to the alternative after 5 years. He's in remission now in his 20s, but we had doctors telling us they'd be shocked if he made it past his 16th birthday. Growing up surrounded by the medical field on a daily basis is why I understand your shorts! I'll have to ask my brother how accurate this is. Most Rheumatologists I've met are really kind doctors who are often stuck being the only one in their field for literal states around. We had to drive hours for his appointments! And we would often be on a months-long waiting list to even see them!
As an adult rheumatology patient (in my case, it IS lupus), this video is rather accurate, at least from the patient side, lol. Like your brother, my first cousin was also diagnosed with JRA at age 3 (I have an extensive family history of a large number of rheumatological diseases, unfortunately), and I also married someone who had it. I’m glad your brother is in remission now, and I hope he has a good rheumatologist these days! I’m lucky enough to live in a major medical hub, where I have my pick of hundreds of rheumatologists (we have I think 4 or 5 different major hospital systems with dozens of hospitals between them in just my city; I live 10 minutes from one of the premier medical schools/teaching hospitals in the US). However, I only “lucked” into that by moving states explicitly so that I could access the medical care I need (so less luck, more intention). I wish everywhere in the world had the kind of access I do now; maybe someday! I’m really glad your parents were able to find someone to treat your brother and that he’s doing okay now.
@@mossaalzaher4615 while it was juvenile arthritis, he continued to have it even into his adult life. At that point, continuing to call his specific case juvenile arthritis was unhelpful. He has a very serious and rare version of the condition and he has cycled through multiple rheumatologists in his lifetime. Please refrain from correcting strangers on the internet when you don't know the specifics of their journey with the illness or their life experiences.I chose not to call it JRA for a reason.
As a rheumatology patient, I love that my doctor sends me heaps of peer-reviewed links when I asked questions like "can I go to Kenya without getting on antimalarials?". When I ask questions like "which second vaccine shot should I get after J&J?", she surveys her colleagues and tells me their responses and sends me pre-print studies with the caution they aren't peer-reviewed yet.
@@stanamilanovich3956 this was prior to novavax being approved! I ended up getting Moderna for 2nd shot and Pfizer for 3rd because there was slightly better data on the mixing effects. But there was almost no data for immunosuppressed patients and Jansenn unfortunately !
@@tscimb I prefer not to take them if I can take other precautions (especially since i have already had to malaria), due to side effects, but if you are on an immunosuppressant you are not supposed to travel to regions with it endemic without taking them. Immunosuppressed people are more likely to die from contracting malaria and more likely to catch it, even with bug spray and bug net precautions.
@@tscimb I really don’t like the side effects of most of them, and they are expensive and not covered by insurance for travel! You should see how many studies she pulled out when I needed to go to a country with mandatory yellow fever vaccines (live vaccine, contraindicated for biologicals)
As a rheumatologist I’m so happy we finally got another video! From the favorite dilution to wanting to fix the antibodies to the diseases doing anything at any time for any reason this was great all around. And yes, rheumatoid arthritis can manifests itself in the lungs and also the eyes! Maybe Rheum and Optho need to have their own skit?
As a gal with Lupus every time I go to the rheum I always ask them if they think it could be anything else. And my daughter was diagnosed with lupus that turned out to be rheumatoid arthritis! Great video!
To this day I am convinced rheumatologists are some kind of wizards. I'd had chronic body pain for years, he pokes me in a few places I didn't even know hurt, and goes "Yup, that's fibromyalgia.' YEARS. Lovely man. That answered a lot of questions.
@@munroegarrett fibromyalgia is a disease of pain perception, its mechanisms have been researches and there is quite a bit of research published on the subject... Please don't spread misinformation
"Never leave home without a journal." There are no truer words that have ever been spoken!! If I could tell you how many times I've said those very words, it would be never. Nevertheless, these shorts never fail to amuse and entertain. More excellent work by Dr. G!! Thank you, well done!!
You can use it to start fire, fend off small aggressive animals, stuff in clothing as insulation, as an emergency shelter or even in dire straits read it... second in usefulness only to a towel.
I love it how the most seemingly obscure medical tidbits are tossed in. The eye dentist who eschews body medicine knows so much more. Love ya, Glauc. (Also love it that the YT comments are not nearly as brutal as other platforms.)
I barely have any idea what’s happening why are these still so funny 😂 But honestly it’s hard to say how much respect and appreciation I’ve gained for all the different branches of medicine from Dr. G’s vids. Not to mention all the amazing info to be found in the comments. Practically every one sends me to google out of curiosity. (And this is coming from someone who has only recently begun to use their healthcare after avoiding it for nearly a decade out of fear and anxiety.) Give me all the specialties! I want to know what you guys do!
I work in haematology these days, and sometimes I fear I've forgotten so much from other disciplines since graduation...but then I get all/most of the jokes in these skits and feel better about it. Also, immunolgy is great and I take complement cascade over the coagulation cascade any day.
After sending tests for lupus who knows how many times I thought I had finally done it - the history fit, the examination fit, the tests all fit. I went to the patient and said I had unifying diagnosis that explained everything. Then her partner said yes they already knew she had lupus, she had just forgotten to tell us. 😖
My family has multiple autoimmune diseases, and I have to say their love of journals is valid. The leaps and bounds in the improvement of treatments over the past few decades is insane. The only problem is my mom, on disability, will spend 2,200 on one medication in the first month every year before insurance will pay for it. (Just 4 shots for 2200)
It's improved sure, but to my mind still pretty unsophisticated. Still usually just involves some type of immunosuppressant that leaves the patient more vulnerable to infections, while ignoring big-picture questions about root cause
Many of the drug companies now offer co-pay cards to people taking their medication. My rheumatology doctor had that info ready for me when he wrote my script. It's worth looking into for your mom!
Ouch, I feel her pain. I am also on disability but the same thing for me but just a little different. Two doses is 999.98, which I almost wish was just 999.99 because then all the numbers would match and 0.01 cent is not a big difference. I need to pay twice so 1999.96 before it is mostly covered, then it is 58.98 for every two doses the rest of the year instead. I unfortunately have to do 1 dose every week so it really does add up in a year. I hope your mom can find a way to somehow get it cheaper like someone else suggested and is doing well, both of you.
@@johannakeller7209 That one sucks but each test is under 1 mL, so you can check for false positives easily. An elevated SED rate can have 10,000 causes (Rheumatology diseases are exactly as described in video), so the nurse will be in to draw more blood than the Red Cross to run the first panel.
The repaired glasses indicate that Rheumatology was a family medicine doctor in a former life...Or he took them off familiy medicine after they ordered ANAs again without knowing how to intepret them.
Dr.G your videos are so funny & awesome. Thanks for shout out for lupus. It doesn’t get talk about as much as should. I have Lupus SLE & Lupus Nephritis. Lupus is a great imitator that why sometimes it take long time to find it & cause other disease & condition to come out. my sister in medical school and she said they always pass your videos around because it makes them laugh and make medical school not so intense all the time & you know exactly how they feel. On my bad lupus flare ups laughing at your videos make sick day better. Dr.G you was blessed with a gift & it honor you share with the world.😊 Stay Safe & Healthy & days fill with laughter. Laughter is one of best medicine & don’t even have go pick it up at the pharmacy lol.
Lol, the “is it lupus”, I related hard to that. I’m currently diagnosed with RA (rheumatoid arthritis- an aggressive and whole body wide type of arthritis), but when I first got symptoms at 17 they were guessing several other things and Lupus was a big one on the list. They initially thought I had Lupus because of my age but later decided my symptoms more fit toward RA. I always have a small part of my brain that wonders what if it isn’t RA and one of the hundreds of autoimmune disorders as my RA treatments help some but not as much as it should as as well as the do for the majority of patients. What if I’ve been treating the wrong autoimmune issue and have caused damage/delayed symptom relief and mobility/independence because my symptoms looked a lot like RA but we’re actually part of something else. Many autoimmune disorders display several common symptoms/presentations that make them hard to distinguish!
I'm another person who got the "is it lupus?" question when I presented with symptoms at 18 - 15 years into my RA diagnosis, they actually did a gene test and switched my Dx to "peripheral seronegative spondolyarthritis" which is an unusual enough diagnosis it isn't even on formularies lol.
I don't know if you've seen Alex Rochester's channel but she's a chemisty professor with RA who's found really good ways of coping with it. Chemistry cachet.
It DOES happen, but random symptoms in a 30-45 yo woman that could be Lupus... it most likely isn't Lupus. It totally can be though!! But it can also be soooooo many other things that can present similarly (and still need to see a rheumatologist for lol). Examples: other autoimmune issues like Rheumatoid arthritis, scleroderma, sjogrens, mixed connective tissue disease, dermatomyositis/polymyositis, antisynthetase syndrome, etc... Others such as lymphoma (night sweats), an endocrine issue (night sweats), a thyroid issue (night sweats), hypoglycemia (night sweats), etc...
Tons of people actually do have Lupus... but being tired, with joint discomfort, raynauds, a malar rash, sun sensitivity, etc... it doesn't always mean Lupus. It DOES mean you need to go see a physician (preferably a rheumatologist and/or immunologist) to get assessments though!
@@mrsamandabernier then the ANA, anti-dsDNA, and proteinuria with chronic infections and low WBCs rolls out of the minivan to the soccer game of symptoms. The rheumatologists just have to shake their fists at these weirdos that keep turning up way too late to the party and causing everyone grief. (It's me, I'm the minivan. Beep beep.)
There was a case of Lupus in hospital i worked shortly. Everyone was so excited about it. I remember a guy asked me out after saying with puffed chest he could get me to see the patient.
I had a similar experience as a patient at the ER once. history of EDS, labs showed severe neutrophilia with no fever (doc said he'd have suspected sepsis, if I hadn't been surprisingly lucid), and symptoms of paraparesis. they kept me for 12 hours, and at one point a hospital neurologist popped in with a gaggle of residents in tow. they ended up suspecting an autoimmune reaction like a mild form of GBS or TM but the episode resolved so I got discharged.
Sometimes the arthritis gets confused and makes the insides of the lungs super thick. That's called rheumatoid arthritis interstitial lung disease (RA-ILD). Breathing through thick lungs is hard, so RA-ILD is a bad thing. Why it's there is still not 100% known, but we can discuss in... surprise journal club!!! Pathogenesis, clinical features, and treatment strategy for rheumatoid arthritis-associated interstitial lung disease by Akiyama, published in Autoimmunity Reviews, vol 21, Issue 5, May 2022
I laughed so hard at the disheveled, low effort picture of the Rheumatologist's wife. It just caught me off guard. Your humor is so good Thanks for all the great videos you put out! Helps alot!! :D
You DO KNOW that every single time you post one of this videos I forward them to my colleagues right? You are REALLY funny! (And this is coming from a pediatric neurosurgeon). Ty very much!
Never have I clicked on an alert so fast. Hey, Dr. G, I know this is a tough subject, but is there any way to make oncology funny? I have CLL, and it would really make my year to see an oncologist character
Great idea! Oncology is like an in vivo crime fighting sleuth. Step 1: 1 part Detective (follow the clues) / 1 part analyst (what do the clues mean? What do they rule out?) / 1 part immunology master / 1 part physics and math (think of it like a game of mousetrap meets dominoes) Step 2: 1 part super human strength (inside and out), 1 part super human empathy, 1 part super human patience, 1 part immunology, and 1 part super human communication. Step 3: 1 part army General (plan the attack), 1 part project manager, 1 part immunology, and obviously 1 part wizardry lol. Step 4: 1 part magic, 1 part love, 1 part courage and 1 part immunology lol.
Sorry to hear about CLL. I hope your oncologist is amazing. Wishing you nothing but the best now and in the future. Glad Dr. G's humour is uplifting for you :)
Maybe the oncologist can be pouring over the CLL literature and try explaining it to someone in a way that helps everyone appreciate the ironic humour in some of these unfortunate situations. Example: explaining to the lymphocytes what they SHOULD be doing compared to what they ARE doing. Although... that might actually make for a very humorous pathologist video lol. Picture them looking into the microscope, then a cut scene to Dr. G DRESSED UP AS a lymphocyte in CLL (while the pathologist voice-over talks to it). Could be entertaining and educational lol. I'm picturing a view where there's 100 Dr G lymphocytes in the shot, while the pathologist provides commentary. It could be done in multiple ways too... example 1: sports broadcast commentary on the play-by-play, or example 2: more like a parent encouraging a 1 year old learning to walk, or even coach on the sidelines trying to direct the play and getting frustrated when the lymphocytes aren't following the play that they've practiced for years and should be following lol.
@@mrsamandabernier Thank you so much! So far, so good. 🤞And yes, my oncologist is excellent, and very involved in research, so I have a lot of faith in him!
I found these videos last night and haven’t been able to stop watching them 😂 My sister is an Opthamology tech in the military and I keep sending her all the Opthamology videos and she loves them. This is my new favorite channel EVERRRRR!!!
There's something about this sketch that I love a LOT! ❤ It might be the interplay between the two with no snotty arrogant attitude on the interviewing doctor, the rather obscure references (unless you're a rheumatologist) and definitely that photo of his lovely wife and how they met. Dr. Glaucomflecken squeezed plenty into this short video!
Interest piqued... What do you advocate for? I'm interested in neuroimmune issues and am curious to learn more about the psychiatric impact and overlap.
Do it! You could have a lot of fun with it. Free defender (I am not a lawyer, not sure the term) is like family medicine I would guess. Under paid, burnt out, but passionate about making sure everyone has representation.
This one made me laugh like crazy. I'm being tested for lupus for the second time; it's fun to imagine a potential negative and him just going "damn...! Really thought I had it this time." 🤭
I'm not an MD but I am a research fellow working in virology, and I love all your videos. My favourite question here was, what is you favourite antibody dilution haha. Mine is 1:1000 :)
My rheumatologist told me that fibromyalgia is a "diagnosis of exclusion," meaning one has to be tested for a number of other things before they're convinced that's what it is. And even then, it could change! There's so little that's known about fibro and what causes it.
Always fun and accurate esp that ‘anything can happen at any times’ part :)) In Myanmar, we do have several advanced lupus cases. Ethnic people have it more and it’s sad that many people do not have much idea about Rheumatological diseases and never seeks treatments in early days. So when we see them, many of them are always with activities, neurologic, hematologic, cardiac manifestations etc. Plus because the biologic drugs and lifelong medicine are expensive and little budget in the health care system, many cannot afford the medicine and the travel to tertiary healthcare centers. And things got infinity times worse after the military coup because of the inhumane things inflicted by the junta. Even healthy people are suffering mentally and physically a lot these days. I can only imagine the struggles and pain these lupus and SS patients are going through.
I actually knew a guy for a few years ago had lupus. He was on some serious pain medication as all his joints where in serious pain constantly, and his eyes where so sensitive to light, he had to dim his PC monitor and anything that had a white background was like looking at the sun. Really nice guy tho, one of the best Warhammer minis painters I have seen.
I've had all kinds of weird little autoimmune diseases and I started to think that it must be Lupus, but my ANA has always been negative...Finally my nephrologist, on a whim with some deficiency tests I asked for ran an ANCA panel. It was positive. Same results a week and 3 mos later. I have ANCA vasculitis. Kidneys, sinuses, lungs, gums, skin...it finally all makes sense. Not Lupus, not current treatment besides watch it because I have type 2 diabetes, but I got my answer dang it!
One of our school faculties (an old rheumatologist) said: “A rheumatologist lies about 2 things: his salary and how much prednisone he has prescribed.”
As someone who suffers from at least 2 complex autoimmune disorders that find brand new ways to try and kill me everyday, I actually understood most of this lol🤓
@@DGlaucomflecken next you’ll have Family Medicine getting addicted to Vicodin! Although… if _one_ character of yours deserves a bit of shady opioid-based relief… it’s poor old Fam Med.
@@DGlaucomflecken Best, in my opinion, was when he carved out the whole Lupus chapter from a thick book in order to hide drugs inside the book. Who needs a chapter on Lupus when it's never lupus?
The only experience I’ve had with rheumatology was being referred there to see if they could diagnose whatever it was that I had (turned out to be hEDS) and the doctor said, and I quote, “I…don’t know why you were sent to us.”
Haaaa, amazing. I myself was disgnose with rheumatoid arthritis at the age of 6, as well as hypermobility.... on top of all that, recently got diagnosed for pericarditis too! All in all I love my rheumatologist, she's super sweet and amazing at her job! Seeing these skits are amazing, I've been waiting for a rheumatology episode... thank you!!!
@@mrsamandabernier im not entirely sure! Its been 12 years since I was diagnosed and I've been through hundreds of different exams and surgeries... but not that I specifically am aware of...
@@epsicron9209 when you can't connect the issues, think connective tissues lol. Rheumatic issues, hypermobility, and heart inflammation made my EDS spidey- senses tingle lol.
As an MLT with a background in cell therapy manufacturing, I feel like I've just missed my calling. 😂 He spoke English to me. Edit: Immunology is my favorite subject too. 😊
As someone who has needed a rheumatologist, this is a comforting stereotype. I feel like barely anyone I know ever got a solid diagnosis from a rheumatologist. I know some do! It's just... Complicated. So it's comforting to hear they're known for staying on top of research. I know so many people in the "it hurts, but the doc doesn't know why" bucket. I appreciate the doctors sticking it out and trying to learn more.
Lol. Every doctor I meet wants to test me for Lupus. I have other autoimmune diseases but thankfully Lupus is not on my list. I really enjoy your videos. Thanks for the laugh.
A Rheumatologist is what I'm going to be! I want to specialize in Connective Tissue Disorders not caused by autoimmune disorders. I have a Connective Tissue Disorder and the joint pain is terrible and there's no way to manage it besides painkillers that don't do anything. And the way it destroys the body. 😔 My story is I started getting joint pain when I was 7 years old. A few years later, I was diagnosed with Ehlers-Danlos Syndrome. In 2021, I went to get retested to find out what type I have and I was told that I don't have EDS. I don't have any autoimmune disorders either. They tested my DNA and my B4GALT7 gene is mutated but it's an uncertain significance so they "don't know" if it's causing my Connective Tissue Disorder. They said there's a ton of Connective Tissue Disorders with unknown information that are unique with each case. I want to research and find treatments for those unknown CTDs. I want to be able to exist without feeling so much pain. Honestly I want to make these unknown CTDs an official diagnosis if I can so that way it can at least have an official name. I do love the immune system as well and was considering pathology or immunology.
Ooh, yes please! We can be Zebra-Detective Buddies!! CT disorders (autoimmune and otherwise) are what got me into medical school (I was originally going for Research but decided that took too long), and it's still the patient group I'm most passionate about. Could you be EDS-hypermobile subtype? It's not as widely recognized as classic EDS, but I know the national EDS society has a section on it on their website
I have EDS. It's impossible to find a rheum willing to treat us anymore. Most treat us as drug addicts, even when we cannot tolerate opiates. I was lucky to have an autoimmune disease on top of EDS, one that somewhat responds to treatment, and a rheum willing to treat at least that much. I never bring up the EDS to her though--too much risk of being fired as a patient.
@@TN-rf7nt Would you mind elaborating? Why is EDS prompting this kind of response from medical professionals? I've recently (fiiiinally) been diagnosed with HEDS, so my interest is vested. The private Rheumatologist who diagnosed me was just wonderful, but the one I saw previously in the public system was one of the most incompetent, dismissive & rude medical professionals I've ever had the displeasure of interacting with. He refused to diagnose me because I can't access my family medical history.
Sweet I got an interview today and this is gonna help alot! I am really nervous an out the interview and... altough I have never studied roomatology, I have run a vaccum a few times and am certain I can clean up this mess, Wish me luck!!!
Felt more like they were flirting with each other than an interview, which is even funnier when they’re both played by the same man! 😂 I loved this skit! My mom has lupus but half the time we aren’t even sure of what’s going on with her body. Everything is out of whack!
My mom used to get gold injections for her RA. We joked that she should get an advertising discount from Continental Airlines (slogan: "The Proud Bird with the Golden Tail")
Rheuma has some of the craziest diseases... It will sound like a joke but you have dermatomyositis, which is dermatitis and myositis, but then you can have dermatomyositis sine myositis, which one would think is just dermatitis, but it's not! And weirdly, dermatomyositis sine dermatitis, which again is not just myositis... Rheuma defies the laws of logic...
I have peripheral seronegative spondyloarthritis which is like axial seronegative spondyloarthritis except it affects the small joins instead of the spine but it is not ankylosing spondylitis because...the name is different? It is like rheumatoid arthritis except it's seronegative, but sometimes rheumatoid arthritis is seronegative so...fun.
During middle school, I spent quite some time with rheumatologists since I had a lot of arthritis symptoms (and it's in the family) although I never was diagnosed. They were always very nice but I rarely understood what they said or did. They went through all of my joints every few months and every single time they praised my joints for moving so beautifully. Until that one time when my wrist no longer moved beautifully but that's not relevant
Why aren't we 1 million subscribers already??? Lol, I have an AWESOME rheumatologist. I think specialists I go rheumatologist, general practitioner, neurosurgeon and cause I've no choice, neurologist.. Sigh I see too many doctors. #rarediseases Love love glauc and his floc and can we get to 1M already!!??💕
Except that one time House discovered it was Lupus… incredible episode
do you have the season and episode number please?
@@Sarah-oj7bh -episode 8 season 4
I remembered the exact same thing
Aaaaaaand Cameron wasn't there to say it. They did her dirty
hahaha
I just want to say that I got to medical school (UK College of Medicine), and today we had a Halloween party, and about 10 of my classmates dressed up as you (one classmates who wants to become a neurologist dressed up as your version of a neurologist, another who wants to go into EM wore a bike helmet, etc). They all took a group picture with their costumes, and I think they won the costume contest.
Also, our professors regularly show your videos in class because they’re just THAT good
I genuinely love this so much
Damn! This comment is so wholesome! Dr Glauc is a medical phenomenon now! Sort of. Haha!
I wanna see!
😂
That’s amazing lol
I know absolutely nothing about medicine, I miss half the jokes, and yet these skits are so good
SAME! I'm so glad there are other non medical people like me watching these. 😀
@@chanticleer0714 there's dozens of us hidden in the shadows!
* peeks out of the shadows*
I am a doctor, yet I had to see the video twice to understand all the punch line.
@@kilith I am the shadow.
This is the most most accurate. There needs to be a double blind randomized control study on the perfection of this skit in relation to both the knowledge of rheumatology and the age old question: are we sure it is not lupus? And every journal club will rejoice in analysis and critique.
Surely a gem for the journals!!
How do you do a double blind trial of a video?
"These people will watch a video by Dr. Glaucomflecken, while the control group will just _think_ they're watching a video."
@@onyxtay7246 that about seems lil right, just need tad bit changes
It's never. Lupus.
As someone who has been to the rheumatologist many times with RA and been tested over and over for Lupus... I can safely say that it's not Lupus and please stop trying to find Lupus in me... I don't need a longer chart.
Thank you for reminding me that IL-12 stimulates Th1 cells. That should come in handy for my immunology test.
My favourite is IL17
For obvious reasons
@@glaucomflecken Elaborate the obvious reasons please. I bury my knowledge in the exam I give, never to remember it again.
@@anisatajy9445 links T cell activation to neutrophil mobilization and activation as a part of innate immunity. IL-17 has been shown to contribute to the pathogenesis of inflammatory diseases, such as psoriasis and rheumatoid arthritis.
Unfortunately this video was released the day after my immunology midterm
I'm used to watching Dr. Glaucomflecken videos and being left confused yet entertained. For once I have the upper hand, as an Immunologist I can finally scoff and go IL-12, a basic choice, might as well be IL-10. IL-2 now that is spicy stuff, Immune regulation by T cells for T cells.
(This comment is a joke, the Drs video is amazing, just finally a subject matter I can nerd out and joke about)
Here I am as a non-doctor with an interest in funny internet videos and military history wondering what the heck all these comments are talking about. IL-2? Did someone swallow a Soviet ground attack aircraft? :P
@@TerLoki Dude that's oddly specific "Soviet ground attack aircraft" - are you ok? 😀
@@krithikasaikrishnan622 I thought he said that because the Soviet aircraft might have them same name
@@kayelle8005 Exactly. The Ilyushin Il-2 "Sturmovik": en.wikipedia.org/wiki/Ilyushin_Il-2
Please, please, tell me why my neutrophils keep crapping out on me!
I was diagnosed at 17 with Systemic Lupus and when I told people they would always roll their eyes and jokingly say "Oh, it's never Lupus" but I had never seen a House episode before and so I thought everyone was just so dang rude! Now I can have a good laugh over it. 15 years later and it's still Lupus for me... darn.
My mother had lupus. She was also a rheumatologist, so the irony was strong.
@purplerains She got lupus after she retired at 70 so it had nothing to do with her choosing her profession.
@purplerains I am actually going into medicine for exactly that reason, actually. And funnily enough, for my mom it actually _was_ Lupus! 😄
It seems to work that way
Cardiologists have had broken hearts
Surgeons have been cut up emotionally
Nephrologists have kidney issues
Neurologists are a bit mental
Pediatrics are kids at heart
;)
House quote. HE MADE THE HOUSE QUOTE🎉😂
Yea, our two worlds finally collided
Its not a House reference, in real life its also never lupus
"there are no joints in the lungs... as far as we know" got me
Someone founds a joint in the lung
::Ortho intensifies::
Well, maybe if someone startled a pot smoker, and they gasped and aspirated their joint… though RA would be the least of their worries if that happened.
As someone who lives with multiple autoimmune conditions, the part where they say "there's a thousand diseases, and they can do anything, at any time"....I laughed, and then wanted to cry. It's so true.
And sadly, without something hugely telltale like sausage digits, you may not get referred until your PCP has gone through a phase of thinking you're a tiring hypochondriac...
I wish he would have talked about the average of 7 YEARS before doctors (including rheumatologists) FINALLY take a potential autoimmune patient seriously, stop accusing them of merely feeding an opiate addiction, stop accusing them of merely being anxious, and actually BELIEVES them enough to do anything other than tell them to exercise and lose weight. Also, discussing how female autoimmune patients get treated WAY differently than male ones would be an AMAZING way to raise awareness about gender based medical care among docs young and old.
Yeah, I have Hashimoto's and all my female family members have various autoimmune conditions. For the past ~9 months I've been having some really life-disrupting new symptoms and my doctor hasn't been able to figure out anything and I'm starting to feel like a hypochondriac noticing stuff going wrong with my body but I can't help but think this is a co-existing autoimmune thing. I'm not giving up trying to find an answer but it's been disheartening at times.
(I'm seeing a neurologist soon and really hoping it's going to be another dead end though; really don't want this to be anything affecting my nerves but none of the eye doctors I saw could figure out what's going on with my vision. I have good health insurance though so no matter what happens I'll be able to deal with it)
@@watsonwrote Can I ask about the symptoms?
@@TN-rf7nt I wonder if a patient ever got so tired of being blown off by doctors they became an internist and diagnosed themselves.
This! I've had lupus symptoms since childhood. Finally diagnosed at age FIFTY-FUCKIN-SEVEN.
Also have MS, Hashimotos, and Psoriatic Arthritis along for the ride.
As a med student, not crying that much while learning the complement pathways is a huge flex
My brother was diagnosed with rheumatoid arthritis at the age of 3! We've been seeing the one Rheumatologist in our state for literal years. He was a 1 in a million case, because he was allergic to the most popular arthritis injection at the time, and became immune to the alternative after 5 years. He's in remission now in his 20s, but we had doctors telling us they'd be shocked if he made it past his 16th birthday. Growing up surrounded by the medical field on a daily basis is why I understand your shorts! I'll have to ask my brother how accurate this is. Most Rheumatologists I've met are really kind doctors who are often stuck being the only one in their field for literal states around. We had to drive hours for his appointments! And we would often be on a months-long waiting list to even see them!
Pediatric rheumatologist here! You speak truth and I hope your brother is doing well! 🫶🏾
As an adult rheumatology patient (in my case, it IS lupus), this video is rather accurate, at least from the patient side, lol. Like your brother, my first cousin was also diagnosed with JRA at age 3 (I have an extensive family history of a large number of rheumatological diseases, unfortunately), and I also married someone who had it. I’m glad your brother is in remission now, and I hope he has a good rheumatologist these days! I’m lucky enough to live in a major medical hub, where I have my pick of hundreds of rheumatologists (we have I think 4 or 5 different major hospital systems with dozens of hospitals between them in just my city; I live 10 minutes from one of the premier medical schools/teaching hospitals in the US). However, I only “lucked” into that by moving states explicitly so that I could access the medical care I need (so less luck, more intention). I wish everywhere in the world had the kind of access I do now; maybe someday! I’m really glad your parents were able to find someone to treat your brother and that he’s doing okay now.
It's called Juvenile Arthritis
@@mossaalzaher4615 you are right! In fact, juvenile idiopathic arthritis (JIA) if we're being sticklers for the nomenclature. 🙂
@@mossaalzaher4615 while it was juvenile arthritis, he continued to have it even into his adult life. At that point, continuing to call his specific case juvenile arthritis was unhelpful. He has a very serious and rare version of the condition and he has cycled through multiple rheumatologists in his lifetime. Please refrain from correcting strangers on the internet when you don't know the specifics of their journey with the illness or their life experiences.I chose not to call it JRA for a reason.
As a rheumatology patient, I love that my doctor sends me heaps of peer-reviewed links when I asked questions like "can I go to Kenya without getting on antimalarials?". When I ask questions like "which second vaccine shot should I get after J&J?", she surveys her colleagues and tells me their responses and sends me pre-print studies with the caution they aren't peer-reviewed yet.
Oh gosh, what was the answer?! Which one did you go with? Did she and her fellows include Novavax?
@@stanamilanovich3956 this was prior to novavax being approved! I ended up getting Moderna for 2nd shot and Pfizer for 3rd because there was slightly better data on the mixing effects. But there was almost no data for immunosuppressed patients and Jansenn unfortunately !
I'm curious:
What is the worry about antimalarials?
Does it make RA worse? Or is it side effects? (Or something else?)
@@tscimb I prefer not to take them if I can take other precautions (especially since i have already had to malaria), due to side effects, but if you are on an immunosuppressant you are not supposed to travel to regions with it endemic without taking them. Immunosuppressed people are more likely to die from contracting malaria and more likely to catch it, even with bug spray and bug net precautions.
@@tscimb I really don’t like the side effects of most of them, and they are expensive and not covered by insurance for travel! You should see how many studies she pulled out when I needed to go to a country with mandatory yellow fever vaccines (live vaccine, contraindicated for biologicals)
As a rheumatologist I’m so happy we finally got another video! From the favorite dilution to wanting to fix the antibodies to the diseases doing anything at any time for any reason this was great all around. And yes, rheumatoid arthritis can manifests itself in the lungs and also the eyes! Maybe Rheum and Optho need to have their own skit?
Wait...the eyes???
@@tscimb yep.. certain types of Uveitis is attributed to RA
Have we even figured out what RA is yet? Last I checked, all the blood indications we know of can also appear in healthy people ☠️
PEDS rheum here ! I support a rheum / ophthalmology skit! Might as well at Nephrology too while we’re at it!
Sounds like an IM problem. Lol
As a gal with Lupus every time I go to the rheum I always ask them if they think it could be anything else. And my daughter was diagnosed with lupus that turned out to be rheumatoid arthritis! Great video!
i was diagnosed with SLE after my twenty first birthday but now my neurologist is thinking it's MS! we gotta hang in there ❤
I love how warm the energy between these 2 is; like, they just met, but they're already just vibing on a personal level.
It's beautiful to see.
They have so much in common, it's almost like they're the same person
To this day I am convinced rheumatologists are some kind of wizards. I'd had chronic body pain for years, he pokes me in a few places I didn't even know hurt, and goes "Yup, that's fibromyalgia.' YEARS.
Lovely man. That answered a lot of questions.
Fibromyalgia is not an illness. It is medicine saying that the pain is real but they have no idea why.
@@munroegarrett fibromyalgia is a disease of pain perception, its mechanisms have been researches and there is quite a bit of research published on the subject... Please don't spread misinformation
what treatment did they give and did it work?
@@munroegarrett Incomplete knowledge of the pathophysiology doesn't delegitimize a diagnosis.
@@Gragon a lot of illnesses are an umbrella diagnosis, that doesn't mean they're not an actual valid diagnosis
"Never leave home without a journal." There are no truer words that have ever been spoken!! If I could tell you how many times I've said those very words, it would be never. Nevertheless, these shorts never fail to amuse and entertain. More excellent work by Dr. G!! Thank you, well done!!
You can use it to start fire, fend off small aggressive animals, stuff in clothing as insulation, as an emergency shelter or even in dire straits read it... second in usefulness only to a towel.
@@noneofyourbusiness5134 Excellent points!! I’m now going to reform and change my ways. Thank you very much for that fine bit of wisdom.
@@noneofyourbusiness5134 NEVER leave home without a towel!
If I had a nickel for everytime I'd said it I would have two nickels, which isn't a lot, but it's weird it happened twice.
As a rheumatology resident this is 100% accurate
Man journal club is just pure joy and fun.
what is your favourite Interleukin though???
I love it how the most seemingly obscure medical tidbits are tossed in. The eye dentist who eschews body medicine knows so much more. Love ya, Glauc. (Also love it that the YT comments are not nearly as brutal as other platforms.)
I barely have any idea what’s happening why are these still so funny 😂
But honestly it’s hard to say how much respect and appreciation I’ve gained for all the different branches of medicine from Dr. G’s vids. Not to mention all the amazing info to be found in the comments. Practically every one sends me to google out of curiosity. (And this is coming from someone who has only recently begun to use their healthcare after avoiding it for nearly a decade out of fear and anxiety.) Give me all the specialties! I want to know what you guys do!
It's understandable though with the fears and anxieties.
Great as always!
Missed an opportunity for ortho to barge in happy that they found new joints in the lungs
I work in haematology these days, and sometimes I fear I've forgotten so much from other disciplines since graduation...but then I get all/most of the jokes in these skits and feel better about it. Also, immunolgy is great and I take complement cascade over the coagulation cascade any day.
For sure.
complement initiates zero crying compared to coag
Surprise journal club at the DMV? The epitome of romance for Rheumatology!
We need a Harlequin novel with this as the meet cute on the cover, STAT!
“Learning the complement pathways didn’t make me cry that much”-a true rheum in the making 😂😂😂
After sending tests for lupus who knows how many times I thought I had finally done it - the history fit, the examination fit, the tests all fit. I went to the patient and said I had unifying diagnosis that explained everything. Then her partner said yes they already knew she had lupus, she had just forgotten to tell us. 😖
Hahaha omg HOW!? How does someone forget to mention that!?
Wow... Did she end up having to pay for the tests?
My family has multiple autoimmune diseases, and I have to say their love of journals is valid.
The leaps and bounds in the improvement of treatments over the past few decades is insane.
The only problem is my mom, on disability, will spend 2,200 on one medication in the first month every year before insurance will pay for it. (Just 4 shots for 2200)
It's improved sure, but to my mind still pretty unsophisticated. Still usually just involves some type of immunosuppressant that leaves the patient more vulnerable to infections, while ignoring big-picture questions about root cause
Many of the drug companies now offer co-pay cards to people taking their medication. My rheumatology doctor had that info ready for me when he wrote my script. It's worth looking into for your mom!
Ouch, I feel her pain. I am also on disability but the same thing for me but just a little different. Two doses is 999.98, which I almost wish was just 999.99 because then all the numbers would match and 0.01 cent is not a big difference. I need to pay twice so 1999.96 before it is mostly covered, then it is 58.98 for every two doses the rest of the year instead. I unfortunately have to do 1 dose every week so it really does add up in a year. I hope your mom can find a way to somehow get it cheaper like someone else suggested and is doing well, both of you.
As soon as I got the alert, I pulled over on the side of the empty highway I'm on just to watch. Fantastic as always.
I usually click "watch later" but I also stopped dead in my tracks to watch this one lol
Was recently diagnosed with rheumatoid arthritis and am in nursing school. Went down a massive rheumatology hole and am rolling. This is so perfect
I have a severe RA and love my rheumatologist and I think this is my favorite Dr G video ever!
Nothing but the best of wishes to you. I’m glad you have such a good rheum. They aren’t easy to come by.
Also good single questions include "Why is the SED rate elevated?" and "Why was the ANA positive?" Both of which require 300 ccs of MORE blood.
Oh god, not the positive ANA... What a Nightmare! 🥲
@@johannakeller7209 That one sucks but each test is under 1 mL, so you can check for false positives easily.
An elevated SED rate can have 10,000 causes (Rheumatology diseases are exactly as described in video), so the nurse will be in to draw more blood than the Red Cross to run the first panel.
Even more horrifying: we ordered an ANA just to order it and we can't tell if it means anything or it's just a false positive.
I think the rheumatologists are in league with the vampires.
@@matthewhall5571 YES.
I love how with all these videos I understand most of the words, almost none of the sentences, none of the references, and yet enjoy all of the video.
It's actually fun knowing more and more of the context of these videos as I progress through med school.
Same with nursing school.
The repaired glasses indicate that Rheumatology was a family medicine doctor in a former life...Or he took them off familiy medicine after they ordered ANAs again without knowing how to intepret them.
Dr.G your videos are so funny & awesome. Thanks for shout out for lupus. It doesn’t get talk about as much as should. I have Lupus SLE & Lupus Nephritis. Lupus is a great imitator that why sometimes it take long time to find it & cause other disease & condition to come out. my sister in medical school and she said they always pass your videos around because it makes them laugh and make medical school not so intense all the time & you know exactly how they feel. On my bad lupus flare ups laughing at your videos make sick day better. Dr.G you was blessed with a gift & it honor you share with the world.😊 Stay Safe & Healthy & days fill with laughter. Laughter is one of best medicine & don’t even have go pick it up at the pharmacy lol.
Lol, the “is it lupus”, I related hard to that. I’m currently diagnosed with RA (rheumatoid arthritis- an aggressive and whole body wide type of arthritis), but when I first got symptoms at 17 they were guessing several other things and Lupus was a big one on the list. They initially thought I had Lupus because of my age but later decided my symptoms more fit toward RA. I always have a small part of my brain that wonders what if it isn’t RA and one of the hundreds of autoimmune disorders as my RA treatments help some but not as much as it should as as well as the do for the majority of patients. What if I’ve been treating the wrong autoimmune issue and have caused damage/delayed symptom relief and mobility/independence because my symptoms looked a lot like RA but we’re actually part of something else. Many autoimmune disorders display several common symptoms/presentations that make them hard to distinguish!
I'm another person who got the "is it lupus?" question when I presented with symptoms at 18 - 15 years into my RA diagnosis, they actually did a gene test and switched my Dx to "peripheral seronegative spondolyarthritis" which is an unusual enough diagnosis it isn't even on formularies lol.
The good news for us Rheumatology patients is that steroids work on everything!
I don't know if you've seen Alex Rochester's channel but she's a chemisty professor with RA who's found really good ways of coping with it. Chemistry cachet.
Jokes on you, in my first rheumatology rotation we met a patient who REALLY had lupus!
It DOES happen, but random symptoms in a 30-45 yo woman that could be Lupus... it most likely isn't Lupus. It totally can be though!! But it can also be soooooo many other things that can present similarly (and still need to see a rheumatologist for lol). Examples: other autoimmune issues like Rheumatoid arthritis, scleroderma, sjogrens, mixed connective tissue disease, dermatomyositis/polymyositis, antisynthetase syndrome, etc...
Others such as lymphoma (night sweats), an endocrine issue (night sweats), a thyroid issue (night sweats), hypoglycemia (night sweats), etc...
Tons of people actually do have Lupus... but being tired, with joint discomfort, raynauds, a malar rash, sun sensitivity, etc... it doesn't always mean Lupus. It DOES mean you need to go see a physician (preferably a rheumatologist and/or immunologist) to get assessments though!
@@mrsamandabernier then the ANA, anti-dsDNA, and proteinuria with chronic infections and low WBCs rolls out of the minivan to the soccer game of symptoms. The rheumatologists just have to shake their fists at these weirdos that keep turning up way too late to the party and causing everyone grief. (It's me, I'm the minivan. Beep beep.)
@@justloadalready8839 and/or normal wbc but ratio of neutrophils either too high or too low.
@@mrsamandabernier Rheumatologist: *Shrugs*
There was a case of Lupus in hospital i worked shortly. Everyone was so excited about it. I remember a guy asked me out after saying with puffed chest he could get me to see the patient.
I had a similar experience as a patient at the ER once. history of EDS, labs showed severe neutrophilia with no fever (doc said he'd have suspected sepsis, if I hadn't been surprisingly lucid), and symptoms of paraparesis. they kept me for 12 hours, and at one point a hospital neurologist popped in with a gaggle of residents in tow. they ended up suspecting an autoimmune reaction like a mild form of GBS or TM but the episode resolved so I got discharged.
I just completed my first course in med school, and this is the first of your videos I completely understood. 😭
Congratulations and best of luck!!!
As someone having generalized autoimmune issues I find this spot on.
Wait, what the hell *is* rheumatoid arthritis doing in the lungs!?
Sometimes the arthritis gets confused and makes the insides of the lungs super thick. That's called rheumatoid arthritis interstitial lung disease (RA-ILD). Breathing through thick lungs is hard, so RA-ILD is a bad thing. Why it's there is still not 100% known, but we can discuss in... surprise journal club!!!
Pathogenesis, clinical features, and treatment strategy for rheumatoid arthritis-associated interstitial lung disease
by Akiyama, published in Autoimmunity Reviews, vol 21, Issue 5, May 2022
@@mitacekr hah! Even replied with a citation. Glorious!
Well, I don't know what mine is doing in my eyes either.
I don't think eyes are joints.
Unless...?
@@xaylon7293 same, it is like WTF RA?
@@xaylon7293 Psoriatic Arthritis? Sjogren's?
The pulmonologist at my school made an SLE diagnosis once... Was very proud of himself when he was telling us about it
I laughed so hard at the disheveled, low effort picture of the Rheumatologist's wife. It just caught me off guard. Your humor is so good
Thanks for all the great videos you put out! Helps alot!! :D
😂
Oh my gosh me too. I didn't hear anything after seeing that picture because I was laughing.
You DO KNOW that every single time you post one of this videos I forward them to my colleagues right? You are REALLY funny! (And this is coming from a pediatric neurosurgeon). Ty very much!
Never have I clicked on an alert so fast. Hey, Dr. G, I know this is a tough subject, but is there any way to make oncology funny? I have CLL, and it would really make my year to see an oncologist character
Great idea!
Oncology is like an in vivo crime fighting sleuth.
Step 1: 1 part Detective (follow the clues) / 1 part analyst (what do the clues mean? What do they rule out?) / 1 part immunology master / 1 part physics and math (think of it like a game of mousetrap meets dominoes)
Step 2: 1 part super human strength (inside and out), 1 part super human empathy, 1 part super human patience, 1 part immunology, and 1 part super human communication.
Step 3: 1 part army General (plan the attack), 1 part project manager, 1 part immunology, and obviously 1 part wizardry lol.
Step 4: 1 part magic, 1 part love, 1 part courage and 1 part immunology lol.
Sorry to hear about CLL.
I hope your oncologist is amazing. Wishing you nothing but the best now and in the future.
Glad Dr. G's humour is uplifting for you :)
Maybe the oncologist can be pouring over the CLL literature and try explaining it to someone in a way that helps everyone appreciate the ironic humour in some of these unfortunate situations.
Example: explaining to the lymphocytes what they SHOULD be doing compared to what they ARE doing. Although... that might actually make for a very humorous pathologist video lol. Picture them looking into the microscope, then a cut scene to Dr. G DRESSED UP AS a lymphocyte in CLL (while the pathologist voice-over talks to it). Could be entertaining and educational lol.
I'm picturing a view where there's 100 Dr G lymphocytes in the shot, while the pathologist provides commentary. It could be done in multiple ways too... example 1: sports broadcast commentary on the play-by-play, or example 2: more like a parent encouraging a 1 year old learning to walk, or even coach on the sidelines trying to direct the play and getting frustrated when the lymphocytes aren't following the play that they've practiced for years and should be following lol.
@@mrsamandabernier Thank you so much! So far, so good. 🤞And yes, my oncologist is excellent, and very involved in research, so I have a lot of faith in him!
@@mrsamandabernier Honestly, it doesn't even have to be about CLL. I'd just love to see a stereotypical oncologist/hematologist :)
I found these videos last night and haven’t been able to stop watching them 😂 My sister is an Opthamology tech in the military and I keep sending her all the Opthamology videos and she loves them. This is my new favorite channel EVERRRRR!!!
As a person who has lupus, this is all too relatable lmao! 😂 love it! Rheumatology is so complicated but I love it!
I hope he can find success with fixing autoantibodies, my Crohns could use a course correction.
Another non-doctor, but I love learning in-jokes like this and then learning why they're funny-- love your channel!
Am I the only one that doesn't understand most of it but still finds it funny? lol
Yes, all the other non-medicals who see all of this understand everything. ;)
You had me with the pic of your wife, but throwing in reading journals at the DMV was perfection.
There's something about this sketch that I love a LOT! ❤ It might be the interplay between the two with no snotty arrogant attitude on the interviewing doctor, the rather obscure references (unless you're a rheumatologist) and definitely that photo of his lovely wife and how they met. Dr. Glaucomflecken squeezed plenty into this short video!
absolutely totally adore this. I am a patient advocate for neuroimmunopsychiatric diseases and ….this is GOSPEL!!!
Interest piqued...
What do you advocate for?
I'm interested in neuroimmune issues and am curious to learn more about the psychiatric impact and overlap.
Your channel is one of my favorites. And, as a law professor, I like to imagine this concept applied to different areas of the law.
Do it! You could have a lot of fun with it. Free defender (I am not a lawyer, not sure the term) is like family medicine I would guess. Under paid, burnt out, but passionate about making sure everyone has representation.
That would be so much fun to see!!!
I have three autoimmune disorders and this video is my favorite of the interview series.
Sorry about that @demZetri.
3? Wow.
What are these if you don't mind.
@@olaitanogunbodede1519 it's alright. I've got medication for it!
Ankylosing Spondylitis
Hashimoto's
Sjogren's
This one made me laugh like crazy. I'm being tested for lupus for the second time; it's fun to imagine a potential negative and him just going "damn...! Really thought I had it this time." 🤭
But the thing about Lupus is that you can test negative and still have it! 🤯
@@snowwhite7341 ... Wait, what? That's a thing?
@@stardropsetter Yep.
I'm not an MD but I am a research fellow working in virology, and I love all your videos. My favourite question here was, what is you favourite antibody dilution haha. Mine is 1:1000 :)
laughed so hard my sides hurt and I don't understand half the jargon...the acting is just that good!
Rheumatologists seem to be the most common place where people finally get diagnosed.
My rheumatologist told me that fibromyalgia is a "diagnosis of exclusion," meaning one has to be tested for a number of other things before they're convinced that's what it is. And even then, it could change! There's so little that's known about fibro and what causes it.
Always fun and accurate esp that ‘anything can happen at any times’ part :)) In Myanmar, we do have several advanced lupus cases. Ethnic people have it more and it’s sad that many people do not have much idea about Rheumatological diseases and never seeks treatments in early days. So when we see them, many of them are always with activities, neurologic, hematologic, cardiac manifestations etc. Plus because the biologic drugs and lifelong medicine are expensive and little budget in the health care system, many cannot afford the medicine and the travel to tertiary healthcare centers. And things got infinity times worse after the military coup because of the inhumane things inflicted by the junta. Even healthy people are suffering mentally and physically a lot these days. I can only imagine the struggles and pain these lupus and SS patients are going through.
I actually knew a guy for a few years ago had lupus.
He was on some serious pain medication as all his joints where in serious pain constantly, and his eyes where so sensitive to light, he had to dim his PC monitor and anything that had a white background was like looking at the sun.
Really nice guy tho, one of the best Warhammer minis painters I have seen.
I've had all kinds of weird little autoimmune diseases and I started to think that it must be Lupus, but my ANA has always been negative...Finally my nephrologist, on a whim with some deficiency tests I asked for ran an ANCA panel.
It was positive. Same results a week and 3 mos later. I have ANCA vasculitis. Kidneys, sinuses, lungs, gums, skin...it finally all makes sense.
Not Lupus, not current treatment besides watch it because I have type 2 diabetes, but I got my answer dang it!
When he said he tried to answer one question i honestly tought he is gonna say: Why was ANA positive ?
One of our school faculties (an old rheumatologist) said: “A rheumatologist lies about 2 things: his salary and how much prednisone he has prescribed.”
As someone who suffers from at least 2 complex autoimmune disorders that find brand new ways to try and kill me everyday, I actually understood most of this lol🤓
Good to see Dr. Glaucomflecken respecting the greats, like Dr. House.
Of course, it’s the greatest lupus joke of all time
@@DGlaucomflecken next you’ll have Family Medicine getting addicted to Vicodin! Although… if _one_ character of yours deserves a bit of shady opioid-based relief… it’s poor old Fam Med.
@@DGlaucomflecken Best, in my opinion, was when he carved out the whole Lupus chapter from a thick book in order to hide drugs inside the book. Who needs a chapter on Lupus when it's never lupus?
The only experience I’ve had with rheumatology was being referred there to see if they could diagnose whatever it was that I had (turned out to be hEDS) and the doctor said, and I quote, “I…don’t know why you were sent to us.”
I'm laughing way to hard - you are always spot on. :D Lots of love to all you reumatologists out there. /Specialist in family medicine
Haaaa, amazing. I myself was disgnose with rheumatoid arthritis at the age of 6, as well as hypermobility.... on top of all that, recently got diagnosed for pericarditis too! All in all I love my rheumatologist, she's super sweet and amazing at her job! Seeing these skits are amazing, I've been waiting for a rheumatology episode... thank you!!!
Ever been tested for other connective tissue disorders? (E.g., Ehlers danlos syndrome)
@@mrsamandabernier im not entirely sure! Its been 12 years since I was diagnosed and I've been through hundreds of different exams and surgeries... but not that I specifically am aware of...
@@epsicron9209 when you can't connect the issues, think connective tissues lol.
Rheumatic issues, hypermobility, and heart inflammation made my EDS spidey- senses tingle lol.
They were so cute together. Hanging on every word.
As an MLT with a background in cell therapy manufacturing, I feel like I've just missed my calling. 😂 He spoke English to me.
Edit: Immunology is my favorite subject too. 😊
As someone who has needed a rheumatologist, this is a comforting stereotype. I feel like barely anyone I know ever got a solid diagnosis from a rheumatologist. I know some do! It's just... Complicated.
So it's comforting to hear they're known for staying on top of research. I know so many people in the "it hurts, but the doc doesn't know why" bucket. I appreciate the doctors sticking it out and trying to learn more.
Oooooh as an "unspecified autoimmune patient," I laughed WAY too hard at this.
Even if I don't understand the medical stuff, this made me laugh so much! The wife is great and the ending...I loved it! Thanks
I relate deeply to "lazy" natural killer immune cells
Lol. Every doctor I meet wants to test me for Lupus. I have other autoimmune diseases but thankfully Lupus is not on my list. I really enjoy your videos. Thanks for the laugh.
Please do a pharmacy residency video great vid as always
I have rheumatoid arthritis. This is fascinating.
A Rheumatologist is what I'm going to be! I want to specialize in Connective Tissue Disorders not caused by autoimmune disorders.
I have a Connective Tissue Disorder and the joint pain is terrible and there's no way to manage it besides painkillers that don't do anything. And the way it destroys the body. 😔
My story is I started getting joint pain when I was 7 years old. A few years later, I was diagnosed with Ehlers-Danlos Syndrome. In 2021, I went to get retested to find out what type I have and I was told that I don't have EDS. I don't have any autoimmune disorders either. They tested my DNA and my B4GALT7 gene is mutated but it's an uncertain significance so they "don't know" if it's causing my Connective Tissue Disorder. They said there's a ton of Connective Tissue Disorders with unknown information that are unique with each case. I want to research and find treatments for those unknown CTDs. I want to be able to exist without feeling so much pain.
Honestly I want to make these unknown CTDs an official diagnosis if I can so that way it can at least have an official name.
I do love the immune system as well and was considering pathology or immunology.
Ooh, yes please! We can be Zebra-Detective Buddies!!
CT disorders (autoimmune and otherwise) are what got me into medical school (I was originally going for Research but decided that took too long), and it's still the patient group I'm most passionate about.
Could you be EDS-hypermobile subtype? It's not as widely recognized as classic EDS, but I know the national EDS society has a section on it on their website
I have EDS. It's impossible to find a rheum willing to treat us anymore. Most treat us as drug addicts, even when we cannot tolerate opiates. I was lucky to have an autoimmune disease on top of EDS, one that somewhat responds to treatment, and a rheum willing to treat at least that much. I never bring up the EDS to her though--too much risk of being fired as a patient.
@@TN-rf7nt what effects do you get from opiates? Cause I can't tolerate them either. They make me sick and feel like I'm going to die.
@@TN-rf7nt Would you mind elaborating? Why is EDS prompting this kind of response from medical professionals?
I've recently (fiiiinally) been diagnosed with HEDS, so my interest is vested.
The private Rheumatologist who diagnosed me was just wonderful, but the one I saw previously in the public system was one of the most incompetent, dismissive & rude medical professionals I've ever had the displeasure of interacting with. He refused to diagnose me because I can't access my family medical history.
As a Rheumatologist I couldn't agree more with the final question. Cracked me up real hard. 😂
More rheum please!! Love it. ❤️
Medical technologist and RA patient here loving this. I my new PA would’ve been sooooo happy if I had had a rash 🐺😆💉
Sweet I got an interview today and this is gonna help alot! I am really nervous an out the interview and... altough I have never studied roomatology, I have run a vaccum a few times and am certain I can clean up this mess, Wish me luck!!!
Good luck
As someone with seronegative spondyloarthritis, I agree with the "anything, any time, any reason".
Felt more like they were flirting with each other than an interview, which is even funnier when they’re both played by the same man! 😂
I loved this skit! My mom has lupus but half the time we aren’t even sure of what’s going on with her body. Everything is out of whack!
This episode is as good as gold (as in injection I used to have to administer in the 80’s)!
My mom used to get gold injections for her RA. We joked that she should get an advertising discount from Continental Airlines (slogan: "The Proud Bird with the Golden Tail")
@deadrose23 😂🤣 perfect!
Did you ever think you would get all that mileage out of that wig? Also, mad respect to your commitment to characters ✌️🏾
Rhuematology patient getting links to new discoveries about my conditions is my fav thing about my visits.
0:24 The physical therapist will be devastated to know the occupational therapist is already married to the rheumatologist
I know, right!! My heart is breaking for PT-bro. Is OT-sis really taken?
You are just wonderful people loving & kind & ❤❤❤wanting to know everything in that mind
Rheuma has some of the craziest diseases... It will sound like a joke but you have dermatomyositis, which is dermatitis and myositis, but then you can have dermatomyositis sine myositis, which one would think is just dermatitis, but it's not! And weirdly, dermatomyositis sine dermatitis, which again is not just myositis... Rheuma defies the laws of logic...
It's a confused science from my confused understanding.
I have peripheral seronegative spondyloarthritis which is like axial seronegative spondyloarthritis except it affects the small joins instead of the spine but it is not ankylosing spondylitis because...the name is different? It is like rheumatoid arthritis except it's seronegative, but sometimes rheumatoid arthritis is seronegative so...fun.
During middle school, I spent quite some time with rheumatologists since I had a lot of arthritis symptoms (and it's in the family) although I never was diagnosed. They were always very nice but I rarely understood what they said or did. They went through all of my joints every few months and every single time they praised my joints for moving so beautifully. Until that one time when my wrist no longer moved beautifully but that's not relevant
Journal clubs are easy to host when you’ve always got a spare rheum on hand
Jey, Lupus! For me the answer was actually yes, it is Lupus. So I am always excited to see it mentioned. 🦋
Why aren't we 1 million subscribers already???
Lol, I have an AWESOME rheumatologist. I think specialists I go rheumatologist, general practitioner, neurosurgeon and cause I've no choice, neurologist..
Sigh I see too many doctors. #rarediseases
Love love glauc and his floc and can we get to 1M already!!??💕
I wonder if this is how people feel when I talk about Grammar. Complex and fascinating.
His natural killer cells are lazy, he had testicular cancer 2X in real life
Makes it even darker and oddly funnier
Jesus Christ this is way more precise than any panel of rheumatological tests I've ever seen.
This. Is. Brilliant 🙌🙌🙌