Thank you all for 500k!! And just so you know, I also don’t totally understand the content of this video.
@mr.truffles92942 жыл бұрын
Did Jonathan made the script for this one?
@marzipanmerci10682 жыл бұрын
This video made me learn a lot about my antibiotics and now I am contemplating whether I should be concerned about my frequent antibiotic prescription given for my almost monthly swollen&bleeding gum, or the fact that I need second root canal treatment asap
@Erik-yk3yb2 жыл бұрын
You mean when I send a patient to ophth you guys don't treat a stye with meropenem?
@lovedfriend20202 жыл бұрын
You can thank Rena Malik, M.D. :) She told us about you :)
@HisameArtwork2 жыл бұрын
Bill seems so incompetent that it makes me feel like I could take his job as long as I have internet connection to google. Like I diagnosed my cat with laryngitis 2 weeks ago using google, she seems fine now. Guess I saved a checkup to the vet. Last year my husband thought the cat was just molting but I suspected she had an allergy or mites. Took her to the vet, and he suspected flea allergy. Vet gave the cat some injections daily for a week and she's been on hypersensitive food diet ever since. Her belly is still kinda bald, but that I suspect is because she keeps stealing food. She's very stealthy and committed to her non-wellbeing. Croissants, toast and chips are her fave and raw meats of course. Her creativity in stealing and tricking us is amazing, such a small brain but so sneaky, she may actually be a raccoon trapped in cat's body.
@seeyouchump2 жыл бұрын
Remember kids: The doctor with one sunglass is the infectious disease specialist. The doctor with 2 sunglasses is the radiologist. The doctor wearing a sunglass with flowers on them is the dermatologist arriving from his third vacation in a single month.
@sajdasaioda46572 жыл бұрын
The one with the oblique is the family medicine doctor
@marzipanmerci10682 жыл бұрын
I forgot what doctor is the one with bicycle helmet,
@Axqu72272 жыл бұрын
@@marzipanmerci1068 Emergency
@avirajsinghmehta18572 жыл бұрын
The one with just perfect glasses is Admin looking for their 5th Pay rise
@vanntooot2 жыл бұрын
Dude that derma you're talking about must be busy af. Usually they already live in a beachfront in Malta sipping coconuts all day in their bikinis (and SPF 6250 sunscreen of course) and get consults over the internet.
@Chaosonic Жыл бұрын
Y'know, as a tech who takes inventory management very seriously, "Your bottles are nice and organized today" is incredibly high praise.
@Nika-cp9np Жыл бұрын
Used to be a tech working reconditioning, repairing, and building RF linacs and I was the first dedicated tech that shop had gotten since the late 90s, cleaning up over a decade of scientist clutter was a seriously important part of that job! Keeping any lab running smoothly and safely is an unending battle, and when radiation is involved it all gets so much worse. Respect over to you folks doing that work over in medicine directly!
@MsSHINeeTVXQSuju Жыл бұрын
Indeed it is 😭 if only people would KEEP IT THAT WAY 💀
@juliawikaryasz94309 ай бұрын
I KNOW, RIGHT?!
@Flixy2828 ай бұрын
Girl same
@slemnegiFirstofall2 жыл бұрын
I just showed this to my infectious disease professor I wanted her to laugh but now she's rambling about the topic of resistance lmao
@DrDeusExMachina2 жыл бұрын
Your first mistake was assuming a personality existed
@anthonycekic45092 жыл бұрын
Well now you know she's an antibiotics steward
@pownder2 жыл бұрын
I hope you get a 5 hour seminar
@MrsKatB2 жыл бұрын
Soak in all that knowledge!! SOAK IT IN
@marzipanmerci10682 жыл бұрын
@@pownder _free_ seminar, I would love it tho, because it's free 😂
@LedHabel2 жыл бұрын
That antibiotic stewardship is true af. The infectious diseases professor who taught us microbiology used to get personally offended when my dentist ass answered all treatment questions with amoxicillin or ceftriaxone. Dude's face would start twitching lol
@Rakkeyal2 жыл бұрын
i was given amoxicillin for strep throat - was that wrong?
@jimyeats2 жыл бұрын
@@Rakkeyal lol no, as long as it was actually tested as strep throat. Currently there is still way too much, “oh, you have a sore throat? Antibiotics for you!”. Even strep throat may eventually be managed without antibiotics, except in very specific cases, as the evidence for their use and their effectiveness in actually preventing long term complications from strep throat is coming into question.
@Rakkeyal2 жыл бұрын
@@jimyeats it was certainly strep - had a swab and everything. very flaky.
@bisma13522 жыл бұрын
shhh don't expose the dentists, we come here to laugh at the MD/MBBS
@jimyeats2 жыл бұрын
@@Rakkeyal thats not flaky at all. Amoxicillin is an appropriate choice for strep throat. The standard of care is still to treat strep with antibiotics. I was just noting that eventually we may come to a time where we dont.
@BrockMDol2 жыл бұрын
"I suggest you order ceftriaxone and stop trying to destroy the human race!" No joke, we have that quote hanging in the ER now!
@user-fj6xl8rw8j2 жыл бұрын
Every time an order for a broad-spectrum antibiotic comes in that is EXACTLY what we think 😂 Congrats on the 500k, doc!
@phoenixfire89782 жыл бұрын
How do you react whenever you remember that antibiotics get routinely added to animal feed?
@llab39032 жыл бұрын
@@phoenixfire8978 sleep like baby
@possibly_a_retard2 жыл бұрын
Reminder: I can buy Metronidozole (for fish) in any quantities and it sure sounds like a great thing to stock up on. I think I'll hand it out like candy for people with sniffles. Just in case. You can't stop me. But hey... listen... you prescribe me a variety of human grade stuff on the DL that I can't get my hands on outside of a trip to Tiajuanna and I'll promise to start at the bottom of the ladder with those. I wonder who might be ready to bend the law to be a good steward
@peto70202 жыл бұрын
Also, how do you feel about hospitals doctors and more or less everyone just ignoring the superfungus they created themselves?
@phoenixfire89782 жыл бұрын
@@peto7020 I think the comments kind of getting away from the video. I’m curious about how pharmacists feel about antibiotics in the Agriculture industry because they are one of the largest global consumers of antibiotics. When we talk about superbugs and antibiotic resistance, human medical practices come to mind. But other industries like the Animal Agriculture industry also exasperate the problem.
@m136dalie2 жыл бұрын
"Do you even know what you're treating?" "Yeah it's a... fever" Love it
@alexmarian46422 жыл бұрын
My mother hoards “left-over” (aka, she didn’t finish her course) penicillin, and forces people to take one if they have a sore throat because “colds are viral but coughs are bacterial”
@alexmarian46422 жыл бұрын
@@Svenne-man-1880 I’ve tried, she won’t listen to me. Or to any of the sources I’ve shown her, including all of the NHS posters about antibiotic resistance she sees in the A&E waiting room to pick up some more penicillin for a high-fever cold.
@possibly_a_retard2 жыл бұрын
@@alexmarian4642 Get her prescribed some placebos already. And by Placebos I mean Penicillin. Zing.
@deproissant2 жыл бұрын
Could be neutropenic fever, you never know
@iwatchwithnoads7480 Жыл бұрын
@@alexmarian4642 as a person with penicillin allergy, you comment gave me rashes
@sonRa592 жыл бұрын
To all the people who are confused about Flagyl/metronidazole for anaerobic cover joke; when the term "anaerobe cover" comes up, it generally mean we are treating multiple bug infections and you want to cover the anaerobes as well as the gram pos/neg. It also mean the patient is already on ANOTHER antibiotic and doctor wants to ADD metronidazole to an existing antibiotic/s regiment. In most cases, that other antibiotic/s ALREADY has anti- anaerobic properties! You DO NOT need double anaerobic cover unless you're treating c.diff or necrotizing fasciitis. A lot of doctors seem to think that anaerobes must be treated with metronidazole, which to be honest, just goes to show how well Pfizer had done in promoting Flagyl.
@paulshuttleworth62612 жыл бұрын
The main thing I took from this video is confusion over prescribing metronidazole… Tried flicking through the comments rather than publicly displaying my ignorance m.
@falconerd3432 жыл бұрын
Pfizer is half drug company, half ad agency. Fun fact I learned from the book Empire of Pain, Pfizer was one of the first customers of Arthur Sackler's ad agency, promoting a new antibiotic to "doctors" by taking out a full page ad in the New York Times. The antibiotic turned out to be mediocre, but sales were still through the roof. I strongly dislike Pfizer.
@paulshuttleworth62612 жыл бұрын
@@falconerd343 IS there a drug company significantly more ethical than others? At the end of the day they are profit making company. They take on the risk and investment of generating new medicines and need to be able to charge for them and advertise them. The system itself is broken. In the UK we have a nationalised health service working in silos with individual deals with various firms. It needs centralising and a nationalised drug and research service. We could lead the world, and cut back on masses of duplication across the industry.
@rienjen2 жыл бұрын
Considering that metronidazole is a thiazole and destroys thiamine throughout the body, and 1 in 400 people deal with serious adverse reactions resulting is dysfunction and/or damage to the brain and/or nerves due to its toxicity...maybe don't prescribe it for every damn thing.
@lutzalve2 жыл бұрын
Thanks captain. I'm getting tired of reading metro reviews thinking metro doesn't cover anaerobic germs lol. Still sad how many times I see tazocin clyndamicin on patients Oo
@mayonaissse2 жыл бұрын
As a former inpatient pharmacist this got me laughing way too hard.
@DrBilly4122 жыл бұрын
As a current inpatient pharmacist I laughed way too hard as well
@vojacked3052 жыл бұрын
Uhh so are you like patient now?
@nooneyouknow48292 жыл бұрын
it's funny cuz it's true.
@kibbo862 жыл бұрын
So what should you order for anaerobic coverage?
@dn80892 жыл бұрын
"Wait, there's stuff other than metronidazole for anaerobic coverage?" - every med student
@ersatzlord2 жыл бұрын
It’s really nice to hear someone call Bill, Dr.
@soumaya49602 жыл бұрын
YES
@mr.truffles92942 жыл бұрын
Yep
@Fatgirlslim892 жыл бұрын
YES
@did41962 жыл бұрын
Yes!
@KansaSCaymanS2 жыл бұрын
We recently learned in another video (Doctors Day gift) that his name is Dr. Bill Bill. 😆
@nicolemascarenhas79732 жыл бұрын
Why do I feel that the attending was the one who wanted Mero but sent Bill to do the dirty work because he didn't have any proof to back up the need for Meropenem?
@katalystkatapatheticalyssa59872 жыл бұрын
I 100% agree with you. Bill should say something. We would totally back him up.
@ada58512 жыл бұрын
Patients play a role in antibiotic stewardship too. Everyone please take your medication(s) as prescribed, do not miss a dose because you will need to be treated longer than necessary. And never increase your dose without a doctor's order - the antibiotic will not "work better" if you take more of it at once. There's a lot of consideration that doctors take when deciding the dosage and timing for medications, please ask them questions so you can understand their reasoning.
@AT-il2ej2 жыл бұрын
Whatever I was told on facebook that drinking bleach will cure my infection you stupid "professionals" are hiding the real information WAKE UP SHEEPLE
@mixiearmadillo74522 жыл бұрын
Found the pharmacist
@alexmarian46422 жыл бұрын
Meanwhile my mum will not finish her course, hoard half-filled boxes of penicillin, and force people to take one if they have a sore throat because “colds are viral but coughs are bacterial”.
@mixiearmadillo74522 жыл бұрын
@@alexmarian4642 oh no 😢😢😢
@mokko7592 жыл бұрын
Same logic applies to animals. Give your pet it's medication as prescribed, the full treatment. Don't change the dosing without consulting your veterinarian. You would not believe the number of animals we'd see with wounds and infections that "just won't heal" because the owner would stop giving the meds after a week since 'they got better" then be back three weeks later because the infection never truly cleared and we have to start all over again.
@thegreatwal12242 жыл бұрын
I’m a second year pharmacy student currently taking infectious disease. This skit made me laugh and gave me anxiety all at the same time.
@marzipanmerci10682 жыл бұрын
As someone who is frequently given antibiotic prescription for bacterial infections, this skit also pokes on my anxiety 😂 The ever growing abscess in my gum is not helping either
@shadow04162 жыл бұрын
As a 4th year pharmacy student who recently completed a rotation in the ICU, this skit made me laugh and gave me anxiety all at the same time. I can still hear my preceptor asking the resident why they wanted Mero when Erta and PipTazo hadn't even been considered yet.
@General12th2 жыл бұрын
@@marzipanmerci1068 Just squeeze the abscess with some pliers until it explodes and starts draining. :)
@AlwaysWright422 жыл бұрын
Recent pharmacy grad. Same.
@marzipanmerci10682 жыл бұрын
@@General12th but it's within the triangle zone tho, right under my nose 🥲 is it really safe to squeeze them?
@shrirammahabal89002 жыл бұрын
Bill sounds like he has just walked into a fast food restaurant and is just ordering the fanciest thing he sees
@melaninmonroe0072 жыл бұрын
Then he should’ve gone for the Linezolid.
@romulus77392 жыл бұрын
@@melaninmonroe007 Gotta do that + zosyn.
@narre712 жыл бұрын
I become inordinately proud when I consult ID and I can hear the silent (non-existant?) approval I get when I ask if I can change a broad spectrum to a combo of several narrow spectrums... it's better than sex lmao. "We taught you well my child" vibes.
@M1ke101912 жыл бұрын
Can we put this on loop on the TV in the lobby of my urgent care so Karens with their 2-day sinus infections stop yelling when I don't give them Augmentin?
@lilbatz2 жыл бұрын
This post needs to be sticky-ed to the top of the comments. Doc: Z-Paks don't help viral infections Karen: Don't care. Want now.
@escha_b2 жыл бұрын
I feel this on a spiritual level
@CoronaryArteryDisease.2 жыл бұрын
This was so funny my stomach hurts from laughing
@josephvictory95362 жыл бұрын
Just give em unmarked ibuprofen and lie.
@mckenna86632 жыл бұрын
You have folks who come in after 2 days? That would be a dream. We're starting to get people saying I've had a cough for.... and then even they catch themselves in embarrassment and admit it started a couple of hours ago. Seriously?!?!?!?!
@dominic50652 жыл бұрын
As an ID reg i salute you Dr Glaucomflecken this is accurate hah...im on call tonight and will scold inappropriate antimicrobial use
@kosalseng2 жыл бұрын
This is literally the first time I've ever posted a comment on youtube. As an intensivist, the last few years have been awful to say the least. But you have been a consistent source of comedic relief in an otherwise ridiculous world. Thank you for what you do. Next time I need mero maybe I'll put on some sunglasses and pretend to be ID.
@dr.floridamanphd2 жыл бұрын
Don’t forget the three day beard.
@SraTacoMal2 жыл бұрын
I'm floored that your account is 12 years old and you've never commented. That's some discipline, right there.
@Darasin20112 жыл бұрын
sunglasses won't cut.. mayb in your note you say ID recommends bla bla.. then..oh ok..make sense. lol 🤣
@elyisus81452 жыл бұрын
please do
@JoshWitte2 жыл бұрын
I read that as "an insensivist" and I was like, but he looks so nice 😅
@marthawall33187 ай бұрын
I am a retired pharmacist, 30+ years in retail/community pharmacy and I too, appreciate the antibiotic stewards out there! And thanks Dr. G for including pharmacists in the fun!
@phuminseeyong93322 жыл бұрын
for a second, I though ID was radiology and came for antibiotics, which make no sense at all cause we would never order any medication 😂
@aja631332 жыл бұрын
That's not true, we use buscopan sometimes to make our pictures prettier 😜
@robinpohl27022 жыл бұрын
Yeah the characters look kind of similar for some reason.
@did41962 жыл бұрын
Radiology’s glasses are different.
@jaegrant64412 жыл бұрын
I thought that too, then thought maybe because the ID doc is a version of rock star in a pharmacy
@lbwhip72002 жыл бұрын
Only time I've actually seen the radiologist as a patient was when I had an adverse reaction to contrast dye... He seemed freaked out. Meds and fur a-flying!
@JoyfulMD2 жыл бұрын
The way he says “Well, I can be a steward” like a little kid saying he IS a big boy!
@berraaysan45482 жыл бұрын
Hello Dr. Glaucomflecken, I will call you as Dr. Glaucomflecken because i recognized you with that name first. I am Berra and i am a 3rd year medical student. I am just the person who is on the other end of the world. I have never met with you, i have never seen you in real life. But i explored your very cleverly prepared videos and i had fun a lot. Even if i am not in the same country with you but i understand jokes, i laugh at them. And this emotions made me feel that i am a part of medical community. And that sense of belonging, connected me to my job again. So you just didn't make me laugh with your videos, you created a big awareness that i am really lucky to be a part of medicine. I can't thank you enough for this emotional support. I wish you and your family a happy and healthy life. Yours sincerely.
@acsproule2 жыл бұрын
This one hits home. Had a hospitalist or at least I thought it was a hospitalist, order remdesivir for a patient that didn’t meat criteria. Told him we couldn’t approve without ID approval. I kid you not his response was, “I am ID.” Order was verified.
@KABNeenan2 жыл бұрын
As a sterile compounding pharmacy tech, when ID said "all the meropenem" I felt it in my hands.
@1habiit2 жыл бұрын
I'll take meropenem any day 😍 easiest antibiotic to reconstitute
@KABNeenan2 жыл бұрын
@@1habiit you're right, it goes into solution really quickly, but our hospital prefers us to draw diluent out of the bag equivalent to the reconstituted volume. It's fine if you're doing a bag or two, but we get like, 20 orders at a time lol.
@dfeuer2 жыл бұрын
@@KABNeenan can you explain this for a lay person?
@KABNeenan2 жыл бұрын
@@dfeuer Sure! Pharmacy technicians working in inpatient pharmacy prepare the intravenous medications that go to the nursing units. It's technical work we do with our hands using needles and syringes. The repetitive motions of drawing and pushing fluids in and out of saline bags can strain our hands and wrists. I'd say most of us have some degree of carpal tunnel syndrome lol. Meropenem is especially a pain, at least in the hospital I work at, because we have to draw saline solution out of the bags before injecting the drug in order to prepare the correct concentration. A one gram dose requires me to draw 20ml of saline out of the bag first, then reconstitute the vial with 20ml of sterile water, then mix until it is in solution, then draw the meropenem out of the vial and inject it into the bag. A two gram dose is 40ml, so larger, more cumbersome syringes are used. Like I said in another comment, this isn't so bad if you're only preparing one dose, but I work in a very large hospital so we get around 20 orders per batch (two batches per shift, so ~40 doses going out a shift). This is only for one drug too. There is a _lot_ more we dispense of course, meropenem is just especially tedious and straining on the hands.
@calliebates3066 Жыл бұрын
(Fellow CSP tech here) we have the luxury of mini-plus bags for 500mg and 1g meropenem orders, and honestly I’d never considered how lucky I am to not have to compound those every cart fill 👀
@omarkg20072 жыл бұрын
Great and funny way to raise antibiotic resistance awareness though.
@Iluvpie62 жыл бұрын
Who isn’t aware of this?
@omarkg20072 жыл бұрын
@@Iluvpie6 Tons of people, who you seemingly don't have many In your life.
@ntabocal17382 жыл бұрын
Good one Dr. Glaucomflecken.!! As a pharmacy student in Kenya it got me laughing hard. More like these ones please♥️
@blarue12 жыл бұрын
Greetings fellow Kenyan!
@ntabocal17382 жыл бұрын
From one patriot, to another
@andishae26992 жыл бұрын
I used to think doctors and medical students around the world are different. But the more I see you the more I realize that we all are studying an universal subject. We face the same difficulty and problems around the world.
@desdenova12 жыл бұрын
The clear potency of the scientific method.
@KNJpd11 ай бұрын
Except that asia (except japan and korea) do not care at all about antibiotic resistance.
@D4n1t0o2 жыл бұрын
I don't entirely understand what I just saw... But I'm very entertained 😊
@LuisXGP2 жыл бұрын
Me too, we need answers
@hx55252 жыл бұрын
@@LuisXGP When using antibiotics,there’s a chance that due to low dosage, failure to complete the full course or otherwise that a bacteria develops resistance to said antibiotics. Bacterias can spread the resistance easily by producing more of itself or spreading the resistance gene with other bacteria. A super bacteria is resistant to most of our antibiotics, so if u get sick because of them we can no longer use antibiotics to beat the illness, which is really bad
@maxinecalyptus16392 жыл бұрын
Same
@LuisXGP2 жыл бұрын
@@hx5525 That part I already knew, but what I don't know is how potent are the antibiotics that are mentioned in the video. Although by your explanation I may believe that meropenem is very weak, but in my experience the broader the antibiotics, the more potent they are, so that's mostly what I'm confused about it. And why dissease doctor can play with antibiotics is the other thing that needs explanation.
@hx55252 жыл бұрын
@@LuisXGP Perhaps the boarder the antibiotics the greater the number of types of bacteria targeted and hence the greater the chances of one of them developing the resistance? So it’s best to use more limited/specific antibiotics because the risk is smaller? Idk,not a med student
@Rachel-tg8wl2 жыл бұрын
"are you willing to stop ordering flagyl for anaerobic coverage??" me quietly and ashamedly to myself: "no"
@TXandUK2 жыл бұрын
Cries in thailand being able to buy antibiotics over the counter for a viral cough
@Griever782 жыл бұрын
Congrats on 500k, Dr. Glauc!!
@log5kill2 жыл бұрын
Good one! I die inside when family members save some of their prescribed antibiotic treatment because "then they have some for the next time they feel sick" 😭
@escha_b2 жыл бұрын
Ohhh that shit makes me want to strangle people but also let out a long defeated sigh and lie on the floor
@monarchbitterfly42732 жыл бұрын
I work in a pediatrician's office. We had a mom bring her kid in for suspected strep, but she'd already given him a couple doses of some random amoxicillin prescription she had lying around 😫 so not only was it impossible to find out if it was actually strep, but her children are probably carrying superbugs around wherever they go...
@log5kill2 жыл бұрын
@@monarchbitterfly4273 oh god ☹️
@CoronaryArteryDisease.2 жыл бұрын
Yikes. Just yikes.
@dfeuer2 жыл бұрын
I'll keep unused meds around till they expire, but won't use them unless a doctor tells me to. Potentially saves a trip to the pharmacy when sick as a dog. (I only have unused antibiotics if a doc prescribes them but tells me to wait and see X time before using them.)
@samven5822 жыл бұрын
As an inpatient pharmacist, I can't stop laughing. Everything is true in this video
@laurenfarns2 жыл бұрын
Love the pharmacy inclusion in your content!! Everyone forgets we’re health care professionals too!! Would have any medications without us!!! Also yes meropenem is only for the most dedicated antibiotic stewards 😂
@pauletteraspberry2923 Жыл бұрын
I trust my pharmacist way more than I trust my MD.
@knkn60752 жыл бұрын
Omyyyy we finally got Pharmacy representation!!!!
@mandelbrotr2 жыл бұрын
kzbin.info5j_wjlfJ65U
@killuaxkillua23842 жыл бұрын
As a medical lab technician, I can definitely say your infectious disease doctors are the most communicative about antibiotic sensitivity and resistance. A part of our job is the actually growing, identifying, and then sensi testing to tell your doctors how to go about treating your infection! And there’s definitely a growing issue with the bacteria becoming resistant and then it literally shares its resistance with other like bacteria :’)
@kimeverhart62532 жыл бұрын
As an RN of over 40 years.. I’ve seen IT ALL!! You make me laugh so hard!! I love you to pieces Dr.G!!
@johngross83002 жыл бұрын
God Bless You and your vocation. My daughter just begins her service, 10 months a Goldfarb Graduate and an RN in the step down ICU.
@muhammad20862 жыл бұрын
Congratulations on 500k subscribers, Dr G. 🎉🎉
@muhammad20862 жыл бұрын
Ayyy. He saw it. 🙂
@darkgreyantagonist2 жыл бұрын
HaHAhaHA!!! This is sooo our pharmacology professor, every time we showed her a drugs chart.
@Hayato-DeL2 жыл бұрын
Omg as a hospital pharmacist, I absolutely love this 😂
@williamhrivnak73452 жыл бұрын
I’m a pharmacy student who had to do an internship with a hospital pharmacist with an infectious disease residency and this was basically it. Dr’s pretty much let him write the antibiotic orders 🤣
@melcee222 жыл бұрын
Infectious Disease is my favourite character. He’s such a badass. 😎😎😎
@PhoenixRoseYT2 жыл бұрын
Mine too cuz I wanna be an ID doctor!
@mdml02 жыл бұрын
My pet peeve when I was practicing was doctors who ordered medications to patients without explaining clearly the possible side effects. And adult medicine doctors not knowing how to compute the dose for pediatric patients and simply guessing or passing on to Pedia.
@sharonrichy7772 жыл бұрын
Duh. There are different dosages to each drug. Ofc they'd take some help online
@noellelavenza4942 жыл бұрын
@@sharonrichy777 Pediatrics, not Wikipedia.
@ClearlyPixelated2 жыл бұрын
Geez really?! Use Epocrates! It's not that hard. The dosage calc is RIGHT THERE.
@nilanjasa0072 жыл бұрын
@@noellelavenza494 yeah 😂 According to all prof in universities, wiki is a bad source of information. If Dr's start using wiki to decide dosage for baby patients, that could be risky 😐
@Uhlbelk2 жыл бұрын
@@ClearlyPixelated Yea, but who has the patients weight in kilograms at their fingertip, then you get some crazy number that isn't anywhere near the dosing available or the teenager is over the "max dose" per day and then you are thinking....am I supposed to be giving this kid the maximum dose of an antibiotic for this infection? So you look at specific infections with simple dosing, and say ok lets just give them 3 of this dose per day.
@ryankaiser6112 жыл бұрын
This is one of your most hilariously hard hitting videos. I'm from Calcutta, India where pan resistant Gram Negs have taken over over our Nicu.
@MB-ol4xc2 жыл бұрын
This is probably the first and last time infectious disease was and will ever be this cool
@Professionalasshole2 жыл бұрын
I love your therapy sessions. The way you only call them by their profession is hilarious!
@juliehoward1556 Жыл бұрын
I love how Bill tries to butter him up first with a compliment.
@RyanAmplification2 жыл бұрын
Hahaha finally getting ID in the lineup. Love it.
@adityajadhao71372 жыл бұрын
“Willling to stop ordering Flagyl for anaerobic coverage?” Genius!! Had me in splits😂😂
@lionelubc2 жыл бұрын
... I don't get it
@jtkane3172 жыл бұрын
As a med tech turned PA-C, this was fantastic. I talk people down from antibiotics for about 50 percent of my patient interactions. Suddenly everyone is an ID specialist when they come to UC. And why does everyone want azithromycin? It's a Z in the word right? Sounds "sciency"?
@dawnbailey92412 жыл бұрын
Nah, it's because it's the shortest course/least amt of pills antibiotic
@EkonEzg2 жыл бұрын
M currently using that for my urinary tract infection
@crash.override2 жыл бұрын
As a child, Amoxicillin tasted *dreadful*. The Zith was very tolerable.
@katiedid78002 жыл бұрын
Congratulations! Well deserved for opening the door to the medical world to give the public a glimpse, and for making the facts funny.
@stanisawwojtowicz11022 жыл бұрын
Yay, finally we pharmacists get our faithful representation
@CrimsonCat872 жыл бұрын
Antibiotic stewards keep us slightly safer in the long run! Now if only each AS had the ability to long-distance mind-slap any doctor who blindly prescribes antibiotics...
@minvagtilluska48352 жыл бұрын
Of course ID got what he wanted. He's the specialist when it comes to bacteria. 😁
@wolly-lovely51982 жыл бұрын
So funny and interesting to read reactions from all over the world from people who recognize so much from this video! (I'm a pediatric resident in a european country) I wouldnt dare to prescribe meropenem unless it was adviced by ID or microbiology lol
@clickymcclick7924 Жыл бұрын
It’s true talent that i don’t know half the words in most of these skits but they’re still hilarious to me
@thomashartmann56252 жыл бұрын
I knew he would say Meropenem the moment he looked guilty, it‘s the lazy docs first choice
@rumpocalypse2 жыл бұрын
Starting my PGY2 ID Pharmacy training soon. I feel so seen. Thank you.
@FilmsByDan2 жыл бұрын
Your ability to combine comedy and medical acumen in ways that a layman understands is excellent. Well done, and funny!
@TheRayfield772 жыл бұрын
As soon as Dr. Bill quietly said "meropenem...." I started laughing.
@prblackhawk Жыл бұрын
As a pharmacist who nervously approved an order for Avycaz today, I appreciate this.
@davidbingham43482 жыл бұрын
Question: what’s wrong with Flagyl for anaerobic coverage? Context: I’m an orthopod who hasn’t ordered Flagyl since internship, so this is a genuine question.
@android199ios252 жыл бұрын
Wouldn’t mind knowing that myself, maybe we should use carbapenems?
@NormanMang2 жыл бұрын
Nothing wrong with flagyl for anaerobic coverage. He is likely referring to common over prescribing of flagyl for ‘empiric anaerobic coverage’ in all kinds of infections where it doesn’t clinically make sense that gram negative anaerobes would be the culprit.
@heathergraham67312 жыл бұрын
Pharmacist here. Nothing wrong with it! Skit is a bit short. It’s a Zosyn + Flagyl combo therapy reference that drives pharmacists and ID docs crazy. Zosyn already covers anaerobes. 99% of the time this drug combination is inappropriate, but even after explaining the anaerobes are already covered by Zosyn, you can’t talk the ordering doc out of the Flagyl. Patient is now nauseated. Doesn’t want to eat bc everything tastes gross, and the nurse is tired. Carbapenem+Flagyl, also not necessary. Unasyn+Flagyl super dumb bc now you’re prob not covering EColi due to wide spread resistance and you’re double covering anaerobes.
@TheRayfield772 жыл бұрын
I think it's because the primary antibiotic like Zosyn or Carbapenem already covers anaerobes. So it's duplicate therapy essentially. In fact, it's probably easier to list the common antibiotics that do not cover anaerobes. Quinolones and cephalosporins are kind of suspect to rely on. Aztreonam too.
@Cabbage-dk6nu Жыл бұрын
@@TheRayfield77 ^^^This. In most situations, there's no need for additional coverage. Occasionally, there's a good reason to do it, but it shouldn't be an ass-coverer
@retired52182 жыл бұрын
I remember years ago I was prescribed a new antibiotic specifically for UTIs. Didn't do a darn thing and the doctor changed me to Amoxicillin which worked like a charm. Amoxicillin was given for everything back then lol. Congrats on 500,000! Knew your channel would take off because it's too good not to!!
@user-tb5fc6yr7o2 жыл бұрын
@@FirstLast-pt7bm Outdated advice. Longer courses are almost always unnecessary and promote resistance. We're past that advice nowadays. Also, UTIs in women generally shouldnt be treated with antibiotics. Only if they are considered a risk. Antibiotics are extremely overprescribed for infections that dont require treatment
@nilanjasa0072 жыл бұрын
@@user-tb5fc6yr7o The general physician in my locality prescribes me antibiotics for each and everything like viral fever , cough and cold, bad bug bite. I hate going to that Dr 😑
@user-tb5fc6yr7o2 жыл бұрын
@@nilanjasa007 Punch him in the face from me tbh.
@rwalden002 жыл бұрын
@@user-tb5fc6yr7o I'm only seeing that in guidelines for asymptomatic UTIs.
@elliotmydude2 жыл бұрын
@@user-tb5fc6yr7o ok but that's a doctor's decision, not a patient. The doctor is gonna know more than the patient about the specifics of their infection. Stop giving medical advice in youtube comments discouraging taking antibiotics as prescribed.
@markuhler2664 Жыл бұрын
Love every ID doc I've worked with. Eager to help the patient and happy to teach this nurse.
@NinjaGrrrl77342 жыл бұрын
You're one of the few channels I upvote before watching.
@floffy26952 жыл бұрын
When the pharmacist guy said "Really?" he suddenly sounded like the therapist. It's amazing how a single word said in a specific tone by the same person makes it seem like a different character entirely.
@nonya77552 жыл бұрын
LMAOOO!!! i died. I remember an ortho resident trying to order meropenem. Let's just say, it didn't end well. 😂
@sborrelli75 ай бұрын
I'm cracking up! As a manager for the ID dept..this is accurate 🤣🤣🤣
@bianca_1005 Жыл бұрын
As a nurse, I would have loved the pharmacists in the hospitals I worked in to react like that 😂
@conqueringthelabyrinth2 жыл бұрын
As someone who works in a hospital pharmacy. This is true.
@shannonjackson74382 жыл бұрын
As a Med 1 student currently studying for my infectious diseases final… this is literal gold 😂😂
@JustAStranger22222 жыл бұрын
I had to show this to my in-law who’s a pharmacist, and he said he’s past the antibiotics stewardship 😂 I wouldn’t doubt him, he’s a very wise and smart man. And he agreed to this 100000000%, he’s 60+ but he laughed so hard watching your video 😂
@Flow-no4kq2 жыл бұрын
Infectious disease is the MI6 of the microbe world lmao
@grayg51242 жыл бұрын
Congratulations Dr. G!! on gathering almost 1 million eye balls 🥰🥳
@greyhndz2 жыл бұрын
Priceless. ID needs a copy of Sanford's to whip around.
@JAAAY622 жыл бұрын
I want to see more of infectious disease!
@Colourless42 жыл бұрын
As a pharmacy technician, I'm dying of laughter. One of the first pharmacists I worked with was like The Pharmacist. 🤣
@RosaryOfSpies Жыл бұрын
"Have you consulted your antibiogram?" "I..." *searches inside own shirt* "...don't have one" the judgmental head turn at 1:19, "stop trying to destroy the human race", and the swagger of Infectious Disease and Pharmacy's hero worship 😂 Your facial expressions are top tier comedy
@brenorocha6687 Жыл бұрын
For exact 12 seconds I had hope I could be an Antibiotics Steward.
@am64122 жыл бұрын
I love your content, it never fails to brighten my day and make me laugh.
@kaet83332 жыл бұрын
God this is relatable. I was put on some new (and hella expensive) antibiotics that had like 30 possible side effects (i got at least 4 and later dropped out because of them). I even heard that one of my mom's friends had to go to the hospital because of that antibiotic. Bless those who keep a watchful eye, makes our lives so much more safe
@KingPriestMinistries2 жыл бұрын
Congratulations on 500k. We should celebrate with Jonathan!
@leoncosgames Жыл бұрын
I've worked in pharmacy before plus I'm attending an MLA course (and ADORE microbiology) so it always delights me when those different things cross paths, and i love being able to understand tons of more med stuff through my course so i absolutely adore these videos - and i have no idea if you would, but a video talking about MLAs and MLTs would be cool! (cause you know, the ppl actually doing the sample analyses are kind of important too lol)
@anatomyofastudent37352 жыл бұрын
Big 500k! Congratulations Dr. G! 🎉🎉🎉
@johnswanson26002 жыл бұрын
Me; a Paramedic in rural America: "Hey we're here for the transfer." Community Hospital ED Nurse: "Oh hey, yeah they're septic going to St Elsewhere's ICU with an antibiotic and fluids running." Me: "What antibiotic?" Nurse: "Vanco." Me: "Why Vanco?" Nurse: "The doctor ordered it because they're from a nursing home." Me: Nurse: Me: "I'm going to spend the trip hoping this finishes before we get to Big City so the ICU nurse doesn't yell at me about superbugs."
@j_skye72912 жыл бұрын
If someone's septic and needing fluids to maintain BP, I'm surprised anyone's yelling at you for having them on empiric Vanc until cultures come back, especially an elderly patient from a nursing home. There are cases when you hold back, then there are cases when you'd rather the patient live than worry about resistance.
@johnswanson26002 жыл бұрын
@@j_skye7291 No lie, ICU nurses have expressed their frustration to me numerous times about our community hospital sending “everybody” to them on Vanco. End of the day, doctor orders it, I take it.
@michellec60342 жыл бұрын
This is pretty accurate. Sometimes at work, we cackle when the prescriber orders the broadest abx and they don’t even know what they’re treating.
@Deba77772 жыл бұрын
You are absolutely gifted, LOL!
@somethingsafoot2 жыл бұрын
That's right! Meropenem goes in the squaaareeee hole!
@GaidokuHishu2 жыл бұрын
We have an "old school" urologist who will collect and plate cultures in his office (most of the time they are contaminated with oral flora), try and order exclusively Ciprofloxacin, and wants staph epi worked up Every. Single. Time. He also drives a Corvette with "doc" on the license plate and treats anyone without a doctorate like crap.Beleive it or not He is the most hated doc at our hospital, but hey he is a major foundation donor so...
@kingofallworlds2 жыл бұрын
Oh no.. Not the fluoroquinalones! Bad for more than just abx resistance
@saraithegeek2 жыл бұрын
sorry... you have urine specimens that are contaminated with oral flora?
@EmmaGS2 жыл бұрын
@@kingofallworlds The worst episode of agitation I've ever seen was an elderly man admitted after starting Levaquin. Agitation is putting it mildly. He was out for blood; it took 6 nurses to hold him down so he could be restrained. Three lying on top of him -- upper, mid and lower body -- all of whom he kept bucking off into the floor. To their credit they kept climbing back aboard. It was brutal Biting, hitting, kicking, screaming. I always wince whenever I see that ordered in older folks.
@resourceress72 жыл бұрын
How do you routinely get oral flora in urology samples? (I mean, I guess unless the patients were up to some specific activities directly before he took this specimen....?)
@EmmaGS2 жыл бұрын
@@resourceress7 they were set up in his office
@sagbutt2 жыл бұрын
I had to consult ID every time I wanted meropenem in residency. I got it exactly once.
@Foxman_Noir2 жыл бұрын
The first mentioning of meropenem triggered an angina I didn't even know I had. I shame every other doctor for using broad spectrum antibiotics (always amoxiclav 2id) to treat pulpitis on young healthy patients with no cardiac pathologies on a regular basis, can I be a steward as well?
@shewolf512 жыл бұрын
Oh man, Flagyl. I remember when I had to take that. I think the only other oral medication I've had to take that I hated more was Prednisone.
@SatumainenOlento2 жыл бұрын
I love taking prednisole, because all my symptoms go away in a few hours 😊 But obviously then I start having anxiety about the side-effects of course. Double ended sword if there ever was one.
@grumbles2 жыл бұрын
Why, what did flagyl do to you?
@sunshinegirl19672 жыл бұрын
Dexamethasone is much worse. I hate it. Didn't sleep for six nights.
@kathrinsides28382 жыл бұрын
Thank you SO MUCH for this!!! My nephew was absolutely ruined by over-prescription of antibiotics. His grandmother got doctors to prescribe them every time he had the sniffles or had a fever or wasn’t feeling well. His teeth were ruined in the process, and he ended up with allergies as a result of his mother using antibacterial everything. It was infuriating to watch & not be able to do or say anything to stop it.
@user-tb5fc6yr7o2 жыл бұрын
Its also promoting apocalyptic level resistant bugs. Doctors shouldnt be pushed around by patients for antibiotics.
@daskaffeetschal86352 жыл бұрын
did he get a form of tetracyclins, like minocyclin or doxycyclin? I feel with you, ppl should be educate about antibiotics more...Like really hammer it in their heads
@sanjaymishra87442 жыл бұрын
I love the comic relief in these trying times. So on spot.
@charesepelham76822 жыл бұрын
Spot on! As always!
@guiltofaphelion63762 жыл бұрын
As someone who runs the C&S when it's ordered, why am I not surprised haha
@MrsKatB2 жыл бұрын
*waves in micro*
@kieranmp41432 жыл бұрын
I was once a junior on an ortho rotation and we treated a patient for an asymptomatic UTI post-op with Tazocin for 28 days. The microbiologist was consulted only after the patient became neutropenic and feverish and the ortho consultant wanted something stronger. We stopped all antibiotics and they got better. Micro was livid!
@daskaffeetschal86352 жыл бұрын
i am a medical student just went through pharmacology and microbiology..... Shit what did your collegues think!! thats such a potent antibiotic for something asymptomatic!! That ortho consultant needs some basic pharmacology retraining!!
@kieranmp41432 жыл бұрын
@@daskaffeetschal8635 In his defence, there aren't any bones in the renal tract so how would he know?
@deannemakellky2832 жыл бұрын
I definitely don’t understand a lot of the words in your videos but I enjoy them so much it doesn’t even matter 😂
@povilzem2 жыл бұрын
I trust Dr. Bill not to order meropenem without sufficient reason. The patient surely must be suffering from a recurring hospital-acquired infection that has been unsuccessfully treated with several antibiotics already. Poor Bill is just too depressed to even begin explaining his reasoning when asked. Must be.
@MegaHydrocarbon2 жыл бұрын
Thank you for explaining bill...
@lionkingistheshit2 жыл бұрын
Honestly, no. I work as a vet and a standard workup to a fever on an animal is bloods, urinalysis including culture, abdominal USG and chest x-rays. We do synovial, gall etc sampling and cultures if need be. And our most potent antibiotic is enrofloxacin, with ampicillin/amoxy + cefalosporins of 1st & 2nd gen being the go-to's. And because of the strictness of antibiotic use, these meds are working. It is very similar in human medicine. Welcome to the Nordic countries of Europe, the last bastion of antibiotic resistance -resistance.
@lionkingistheshit2 жыл бұрын
My point being that he should at least have a blood culture going with a positive growth before going in for the super-ab!