Halloween with the Nephrologist

[@funnyteacherman]

I love the way Nephrology gasps whispers "cardiology". Something about it always cracks me up, no matter how many times I hear it.

[@RequiemRelentless]

I knew he was going to say cardiology the instant he did that distinctive frustrated exhale. It's great how memorable the Doc can make all of these characters.

[@eilisnugent]

It’s always cardiology

[@SAmaryllis]

I was about to write the same thing 😂

[@ericaclare4362]

It's the "my old arch nemesis cardiology" whispered cadence.

[@magnushultgrenhtc]

Every good character needs a nemesis. 😄

[@harnutvlad7662]

I bet ortho bros house is the spookiest decorated one this season

[@frankwest5388]

His skeleton props are made out of real shards he removed from broken arms

[@SMTRodent]

Bat bros and spider bros on the outside of the wooden haunted house he built expertly by hand because he's great at carpentry. For some reason the entire thing is built out of dowels and pinned together.

[@trellises]

We wanna see Ortho bro's Halloween! 🎃 👻

[@larskjar]

Nah orthos Halloween doesn't have a single bone, bones are for happy things not scary ones.

[@fobinc]

​@larskjar so just femurs then

[@thomas.02]

“What’s thrilling? An AV fistula” is so underrated The joke being, in med school the profs teach you that if you feel a kind of vibration (like your phone does when it rings) on an AV fistula it’s called a “thrill” and that means blood is flowing through the fistula as intended

[@taliag09]

Omg I just got that😂

[@AmyKozerski]

Ok but what is an audio visual fistula

[@thomas.02]

@@AmyKozerski AV fistula stands for arteriovenous fistula, which is medical speak for a connection between an artery and a vein in your body. If your kidneys are no longer working, the docs may create such a connection (typically on your arm) so a machine could, through the fistula, take your blood, filter it of muck and put the ‘clean’ blood back in you, replacing your kidneys function (this is hemodialysis).

[@salehjanjuaful]

feel the "thrill", hear the "bruie"

[@VirSingh-cu1ls]

Check for the bruit

[@lynnhenry9998]

As a kidney transplant patient and an old RN, I was rolling over in laughter!!! Love everything you do! ( I'm very blessed to have the same transplanted kidney since 1998! My precious daughter was the donor. Tragically she passed away this July 13, 2023 from Pancreatic Cancer. But I am very blessed to have a part of her with me.)

[@lizard3755]

I'm so sorry for your loss

[@davidkumar191]

My condolences for you loss

[@jayATUK]

My condolences. It's awesome to think you still have a part of her in you, and not only in the metaphorical sense.

[@HelenCamile63]

I’m so sorry for your loss. You gave her life and she gave you life. ❤

[@AyahuascaSage]

Sorry for your loss.

[@khadijaakther4405]

I thought the worst Halloween would be with the Neurologist but now I think it's the Nephrologist giving us the worst nightmares.

[@niyatipatel-ks5bn]

I know.i stopped watching half way.i am too scared .

[@judew.5872]

I never saw the neurologist's Halloween so I went looking and watched it. Ha, he went easy on the kids compared to the nephrologist! How many of these Halloween skits are there? I can imagine if the pediatrician or pathologist did these, the nephrologist would put up detour signs all around their places to stop kids from getting candy from them.

[@karamoretti5944]

As a person who has kidney problems this is so good! Lol 😂

[@riverstyx7251]

Neurology may talk down to me like a child but Nephrology made me revert to childhood with that lecture about how everything I consider fun is bad

[@patrickcarrick4048]

Infectious Disease should have the creepiest Halloween and also the best documented.

[@rxanime535]

As soon as he said cardiology I was hoping for a camera shift to next door where the cardiologist has a smirk on his face.

[@dianamahan9417]

Me too!😂

[@aojhone5915]

😂😂😂

[@bobbysuede4059]

Everyday that passed that I didn’t see a new nephrologist video my creatinine elevated by 0.0001

[@punterjac8695]

The Nephrologist cannot stop ranting about the effects of candy on the kidneys and ultimately the heart. The Nephrologist's passion gets misinterpreted by the kids as him being a sicko when all he wanted to do was to teach the uniqueness of a normal, healthy kidney and the awesome fluid it produces, urine. Loved it at the end when he has to blame the Cardiologist. 😀

[@OzeFlipper]

It was cardiology the whole time.

[@flossenking]

​@@OzeFlipperit's always cardiology.

[@williamhrivnak7345]

I’m glad I’m not the only weirdo who spontaneously draws a nephron on white boards to teach about kidney stuff

[@ARedFeather]

I do this a lot with organic molecules

[@GaryBleck]

The loop of henly broke me 🤣

[@harlekingnapmaster3986]

I love that "Cardiology..." Same vibes as DINKLEBERG

[@Joy21090]

And Newman from Seinfeld

[@Safearion]

I'm an RN and when he said "An internist trying to correct hyponatremia" I actually recoiled in horror at the thought.

[@ADKEMT]

Same… the horrors of sodium chloride tabs, fluid restrictions that every patient hates, ACTH stimulation test with those 3 very specifically timed lab draws in 1 hour. Though, I always have to put it into perspective. At least I’m not giving serial lactulose enemas to a belligerent drunk and disoriented liver failure patient with hepatic encephalopathy. Oh, and don’t forget the hemorrhoids… because at that point, why not.

[@DrEsky914]

@@ADKEMT And everyone always forgets post obstructive hyponatremia! LOL. I actually am the weird internist trying to decipher the cause of hyponatremia! Haha

[@ADKEMT]

@@DrEsky914 well I hope you figure it out soon, because I’m the nurse trying to keep up with the trial and error treatment plan du jour. Ah yes, post obstructive, when you straight cath that new admission for 1.5L and are just waiting for the other shoe to drop.

[@DrEsky914]

@@ADKEMT Or the other penny to drop! LOL, its common and often forgotten. Love that we can do bedside bladder scans now (ala Emergency doc!)

[@jayATUK]

I lost it at the urine jar 😂😂😂 Also really loved the bit where he suddenly brought out a whiteboard 😂 What a hero. Who knows how many kidneys he saved that day

[@Phosphoenol_pyruvate_CK]

"The internist correcting hyponatraemia" got me 😆

[@ethanrauch8333]

Same, he should add a pharmacist looking horrified for good measure, 😂

[@cymtastique]

As a kid, I would have been fascinated by this guy until he started dragging almond joys into the conversation.😂

[@Scavenger82]

Right? That's where he lost me too. 😆

[@PvtPartzz]

Just imagining the neighbors watching to him talk to himself on the porch 😂

[@markgodish1347]

They're probably used to him by now, but I had the same thought!

[@Scavenger82]

I'd always have a bag of popcorn on standby. "Honey, he's at it again."😂

[@dianamahan9417]

Probably normal for him

[@BonJoviBeatlesLedZep]

Trying to protect my single kidney while undergoing cancer treatments... it's rough out here 😭

[@aidanhancock2117]

I hope everything goes well. We all know how much those nephrons want to produce urine

[@HisameArtwork]

oof good luck, hang in there lil buddy

[@TiffMarche]

I hope your treatments go well, and that your side effects are minimal. 🤞🏻 -from a fellow cancer survivor (tongue cancer, 2 years ago)

[@mousymeh]

Make sure you are in regular contact with your nephrologist for routine blood works❤️

[@IronFistGamingCSGO]

I hope its all okay now

[@keithmichael112]

nuts remove calcium from your bones? this is too scary for me, I'm going to go back to watching the latest Saw movie

[@bigswank4380]

This is not a concern when your kidneys are functional.

[@keithmichael112]

@@bigswank4380 good to know, thanks

[@kimberadisme]

The issue comes in when there is impaired kidney function and kidneys are not able to filter out phosphorus. Elevated blood phosphorus levels can lead to calcium being drawn out of the bones (causing bone disease and blood vessel calcification). Naturally occurring phosphorus from nuts should not be a major issue for those without kidney disease. Kidneys should be able to filter out the excess phosphorus. But phosphate additives in processed foods like colas, processed meats, etc would be beneficial for everyone to reduce! (I work as a renal dietitian. Sorry if that's more than people want to know, but felt obligated to write since a good portion of my job seems to surround this topic!)

[@suzannenapier4564]

Me biting into the Reese's cup: Mmmmm! You can really taste the phosphorus!

[@Raminator243]

I was just WAITING for him to bring up cardiology. Your skits never disappoint, Dr. G 🤣

[@judew.5872]

"...look like a little glomerulus" What? It's a compliment. Don't cry.

[@KansaSCaymanS]

I’m kind of surprised he wasn’t handing out little packets of salt as treats. 😎

[@Stephen-Fox]

Or salty liquorice/salmiak liquorice. Intense flavour. Most people _hate_ it but it's absolutely delicious if you don't.

[@chri-k]

@@Stephen-Foxthat's the wrong salt

[@shgstewart4674]

​@@Stephen-FoxMmmm, zoute lakrits... Dubbel Zoute!

[@SpamLamb1]

No licorice for kidney patients, I'm afraid. It can cause spikes in blood pressure resulting in acute kidney injury. My nephrologist was adamant. Easiest to comply with dietary restriction I've ever received.

[@sophierobinson2738]

I would have loved that. As a kid, I ate salt whenever someone turned their back.

[@existentialguy21]

This is amazing, we need to have the immunlogist as a character soon as well!

[@tamarinmangold1414]

Agreed! 💯

[@jonathanseto1827]

That thrill joke is def getting overlooked. Props 👏

[@Brian.2332]

The second I saw the stethoscope, I knew cardiology was behind it. 😂

[@SurvivorNVL]

"There's an internist trying to correct hyponatremia." Died at that. Wife spent two weeks in the hospital with it back in 2020 pre-pandemic and they over-corrected with a half dozen too many saline bags within 72 hours. Wife has had end stage renal disease from GIN and man, the last week was the second hyponatremic episode since 2020 - Nephrologist in a panic at DaVita. "Your Sodium is 110, how do you feel, we want you to go to the hospital?" "I'm fine. I don't need to go." "You're not fine, are you okay?" "I'm... fine? I feel fine. I'll just stop drinking two liters of water a day." Seven days of twice a day blood work at the hospital, heavy water restrictions literally switched back to ice chips, one glass of milk a day and without hospitalization we're back to 135 sodium with no side-effects. But boy howdy do they panic when you're in that danger territory.

[@CarlosMendez-tn5zi]

I... don't understand, is your wife OK? I would like to know if end stage renal disease is something treatable or terminal, I think that is my missing link. I hope you two are alright, thanks for sharing 😊

[@SurvivorNVL]

She is about as okay as she can be. She's on dialysis and as her husband I actually ended up becoming her nurse at home to care for her. So I do her dialysis every 12 hours, twice a day. She's much, much better with replacement therapy than she was with a half dozen immunosuppressants. If she doesn't do dialysis, she will die. Only treatment is a replacement kidney. She's got a unique situation as GIN isn't very common and because of the pandemic in our neck of the woods, testing was put on hold and the transition to telehealth meant she got thrown on 60mg+ of Steroids for a couple of years which caused a whole SLEW of other problems. 29 and she ended up with a double hip replacement, nerve damage in her arms, gained 150lbs, lost 100lbs in two years and then all the issues from renal failure, electrolyte imbalances, dietary restrictions on top of her celiacs disease. And because they never could determine what disease she had in the first two years she was treated randomly for Sjogren's, TINU, IGG4 Nephropathy, and even a Mycotoxin fungal disease caused by Bats(Which was a freaky coincidence at the same time as COVID). But despite it all she's in good spirits. Worst part about kidney failure is the limit on how much cheese she can eat. Phosphorous is a pain in the ass. @@CarlosMendez-tn5zi

[@sheslikeheroin93]

Was it 2020 or was it pre-pandemic? Can't be both. It started in 2019

[@SurvivorNVL]

It was January of 2020, two months before the pandemic kicked off and lockdowns began to take effect.@@sheslikeheroin93

[@Starguardianbard]

​@Burnt_Nipple the pandemic didn't become widespread until around February/March of 2020. The CDC didn't even start talking about it until the end of January

[@timothy4664]

My favorite second only to the neurologist. The bottle of red wine for Bill's "traumatic tap" is classic.

[@evenlyanxious]

DO ORTHO!!! He's gotta have a skeletons hanging in trees everywhere LOL Man, I love your videos.

[@legibletiger839]

Saw a skeleton of a scorpion recently, it had ribs. It hurt my poor brain. Such a bad design.

[@theyoftheravens]

I one the other day that had a bird where it looked like they imagined every feather in the wings has a bone. I've had a bird for like 14 years now, I nearly lost my shit laughing right there in the Target aisle. 😂

[@Pangetmaggitara]

When the kid dressed as a doctor appeared, I immediately knew that there will be a Cardiologist involved 😂

[@bosstowndynamics5488]

Does he not trust their kidneys? Funny as always, but I can't get past the fact that he'd probably be angrier about the sugar since diabetes kills so many kidneys. Although the AV fistula joke was next level lol

[@dropapebble]

Accurate bro, what I was thinking too

[@sileatwood2980]

all of the words Nephro uses are scary, he doesn't need Halloween to scare the s*** ot of everyone

[@firasayadi6951]

-starts talking about hypoCa symptoms -me : write that down, write that down learning stuff in a funny way is great

[@gelu_4499]

Wouldn't a Nephrologie haunted house be a normal house but it has slides from Cardiology lectures plastered all over the walls?

[@DaniotheManio5]

I have my renal midterm Monday and this turned into a study session video 😭😭 can't escape.

[@dea9273]

How did it go?

[@joshuaKF0QHA]

Cardiology... I know it's coming, but it gets me every time.

[@SVD_NL]

You need to make a hospital haunted house, filled with the greatest fears of all specialties!

[@laurenmcalpine5567]

“But your small…we could probably fit you in” 😂😂

[@namantherockstar]

Glau inspires me.. My parents said if i get 70K followers They'd buy me a professional camera for recording..begging u guys , literally Begging..

[@ankavoskuilen1725]

​@@namantherockstarIf you are that repetitive, you'll never get those 70K followers. You better get a job to earn that camera.

[@Alice-lx4ml]

Lmao now I wanna find my doctor's house and instead of trick or treating I'll just sit on the doorstep eating salt out of my hand while maintaining eye contact

[@Radiodragonofdoom]

As someone who enjoys peanut butter and roasted mixed nuts on a regular basis, this has officially made me concerned. (Still very funny though!)

[@SummerSwan50]

Same!

[@CD_RN_Independent_Voter]

😂🤣 *Nephro* 🥇🏆is by far my favorite, and *Ortho* 🥈is hilarious too. I’m definitely getting your Nephro water bottle for myself and other RNs for holiday laughs. It’s so funny, and it will remind us to drink water. *Thank you for the laughs, Doc!! We need it!!*

[@AlbertaGeek]

As a kid I would have loved to have gotten a little carton of milk from a house. Old man now, and I still love milk.

[@bluestarr2009]

I love how he clutches his salt while giving college level A&P lectures on kindeys and their disorders to children.

[@yorgunsamuray]

To be fair, this sketch could apply to cardiology, only using different problems involving candy consumption.

[@ethanc2280]

The fistula thrill got me 😂

[@mafiacat88]

I mean I'm on board with the ginger ale. As a kid we had a neighbor who gave out cans of that stuff and they were actually really popular

[@moongoddess1978]

Oh man! Yes when my daughter was on dialysis, Halloween was a nightmare. She dressed up and went out with friends, but she was really limited on the candy she could eat because of the potassium and phosphorus. She could eat lollipops, gum, fruity gummy candies, popcorn, hard candy. It was really sad. Post transplant, she definitely made up for it!

[@saphiriathebluedragonknight375]

As a dialysis patient this made my day!

[@meghanm.6231]

As a dialysis patient this made my Halloween 🤣 Those Reeces will get ya!

[@cav89-]

The little white board with the glomerulus har me laughing so hard! Also gave me goosebumps from nostalgia and relief. Mostly relief.

[@jamiebagley8020]

My Renal Unit final exam is just a few days after Halloween, so this video is perfection.

[@Sweets77]

I met a resident a few weeks ago who said he wanted to be an internist and I immediately thought of your skits and had to bite my tongue so I didn’t say “why? Do you like crying and feeling defeated all the time?” 🤣

[@dianamahan9417]

😂

[@veronicamg8354]

Why do I feel cardiology is his neighbor? Great vid doc! ❤

[@cottoncobbler499]

God, nephrologist and crunchy mom will be the most insufferable best friend during Halloween

[@katherineg9396]

Ha! Good one.

[@decussatio]

I broke down when he said "theres an Internist in there, trying to correct hyponatremia" 😂😂

[@dfeuer]

I don't really get it. Isn't correction hyponatremia pretty simple as medical treatments go? Not enough sodium in blood -> give hypertonic saline

[@caffienatedtactician]

Hopefully there was a nutritionist next door giving out cartons of milk, since he's so worried about the phosphorous :p

[@heathercollier3491]

As a pediatric dialysis nurse - absolutely loved it ❤

[@babzcovington492]

thank you doctor, you were used to today in our homeschool curriculum.

[@ShravanPrasad]

As an ICU PharmD, "an internist trying to correct hyponatremia" as an exhibit of a haunted house ABSOLUTELY SENT ME LMAOOOOOO

[@kathrinefrosted876]

Oh these videos are always a highlight for me! The last sentence in this video made me laugh! 😂❤

[@msshellm8154]

I mean, seriously, kudos for the sheer amount of effort/homework 😅 And to Cardiology for being the _real_ trickster lmao 🎃🎃🎃🎃🎃

[@lisar7385]

How about licorice and metabolic alkalosis/hypertension? Love this, thank you !

[@lukefisher8257]

As a med student who just finished his Renal final exam this was absolute gold 😂

[@juliejanesmith57]

I have wondered what I would like done with my body when I’m gone and I would LOVE to be a Halloween decoration!😂

[@redpilledbachelor7776]

1:15 Wait, nwphrologist trying to protect the heart? I'm speechless 😃

[@abemarvellous298]

“Halloween treats that are safe for the kidney” Nephrologist then goes on to list ingredients to make food for ghost.

[@TheBT]

It's weird that with water it's 'Trust your kidneys' but for sweets it's 'Your kidney's need to be protected at all costs'

[@cymtastique]

Makes sense, imo. You just pee out the extra water. The other stuff has to be processed and filtered by your body. ...but also you die if you drink too much water.😅

[@saturnstorm85]

Dialysis social worker here- obviously I can't go into the scientific details but a lot of those diet rules apply to those who already have kidney disease and/or are on dialysis. Healthy kidneys can remove the phosphorus from those peanuts. Best ways to protect your kidneys is to manage hypertension and diabetes if you have it as those are the biggest cause of kidney disease.

[@scrollcaps]

You'll remove almond joys from my cold, dead, calcium deficient hands.

[@lcolsen22]

I would love to see Ortho with the 12 foot skeletons everyone has.

[@NerdyNephron]

I NEED to show this to my nephrologist on Thursday!

[@anthonytalerico3485]

I’ve been going back this video and skipping to the end just to hear what I waited for my first time watching it. The face, the underbite - “cardiology”

[@jenniferbratton4396]

I am an M2 who has her renal block exam tomorrow morning. Thanks for helping me review!!!

[@BrockMDol]

Of course, it can't be a nephrology video without his arch nemesis, cardiology, making his presence known! 😂

[@markallman418]

Nephrologists man. Their only true enemy is cardiology. Even on Halloween their eternal battle continues.

[@wrexvincent]

As someone who has a chronic issue with retaining potassium I got so excited to hear that about dark chocolate! Anything to not have to get burny potassium IVs or *ick* drink the gross orange potassium supplements

[@SamlSchulze1104]

I love the channel cultural build up to "Cardiology". Learning about the effects of sugar and phosphorus is mildly terrifying. Great job!

[@jayroutson7271]

Internist trying to correct hyponatremia 😂😂😂

[@rowanmarlow7402]

I love how every character is sometimes a little bit of a menace except rural medicine and Bill.

[@WannaBeHocker]

The closing line! 😂😂😂😂😂

[@not_your_average_old_lady]

I was waiting for cardiology 🤣🤣🤣

[@ryanmaher3512]

Lost it at "Wanna know what's "thrilling?" .... an AV fistula"

[@Emillly3]

The “thrilling” joke……. Gold.

[@talithasuya8908]

Response to the officer made me choke with laughter.

[@Khannesjo]

Damn, I was expectiong him to at least mention the potentail effects of liquorice. Still laughed hard though.

[@JensenPalmer]

Cream soup must be made with water, but milk is the next thing on the list.

[@suss6385]

Ha! Ancient dialysis nurse here. Cardiology and nephrology tennis match. Cardiology-start meds, nephrology-d/c meds. Back and forth. Rinse (spin-no pun intended) repeat

[@captainsavem]

"you know what else is thrilling? AV fistula" LOL thank you for the chuckle

[@Punz18]

This was surprisingly informative about how phosphorus affects kidney's

[@kerasrc6230]

Good Lawd!!! Way to ruin Halloween for the next generation Nephrologist (as I sit in my car eating gummies). 0:57 onwards, BAWLING! 😂 Was wondering when the officer would arrive. And I'm curious as to whose "real" skeleton he borrowed for a Halloween prop... 🤔

[@whynotjustmyusername]

And here I sit in the background, thinking how the most threatening aspect of those candy bags is diabetic nephropathy....

[@patrickhaarhues2870]

I’m excited for Halloween this year. I’m handing out all of the extra spike protein i spontaneously keep making. Good stuff!

[@lance862]

I'm always having trouble keeping up with potassium intake... I never realized all I needed was some dark chocolate... great tip.

[@JDH324]

I like when the sketches are also educational

[@ferretyluv]

The nephrologist needs to fight with the dietician at some point. Telling kids not to eat nuts and dark chocolate but consume lots of salt.

[@annieh1315]

Ooooh…interesting!

[@saturnstorm85]

Tbf he's giving advice on the specialized diet that dialysis patients follow. The dieticians would probably have to remind him that the kids aren't all headed to their dialysis treatments lol

[@legibletiger839]

Yo, I saw an ultrasound of my kidneys last week. The Dr was checking for something else, but I saw my little kidney and knew what it was (I should say normal sized kidney)

[@kumoriko]

What I'm hearing is that I need eat MORE candy so the electrolytes balance themselves out. Got any salted caramels?

[@Sully5443]

Holy crap, that thrill joke is just top friggin’ tier.

[@andreasviken2949]

"Look at these little kidneys" Something said by nephrologists and Hannibal Lecter when opening the door.

[@taliag09]

This is great omg nephrology has to be my favorite. And also a nice window as to why i have to do kidney ultrasounds for AKI...

[@reireij4618]

Wow, the timing of the nephrologist talking about the negative effects of peanuts while I'm actively getting a spoonful of peanut butter was too much. It was like he was calling me out! 😂

[@dfeuer]

I'm pretty sure it's fine if you don't have kidney disease.

[@sanachanto]

I don’t know if anything can top Halloween with the Neurologist, but this is a very close second 🤣

[@exploringlife738]

Oh the nightmares are real! Spooky Potassium and Ghostly Phosphorous!! I'm too afraid to knock on that door and hear more, for real. And, yet, you do make a MKD curious enough to think they might learn enough from your vids to help their struggling kidneys...