Pancreatitis | Clinical Medicine

[@cliffcolter9161]

Pancreatitis I know you well. Life long tea-toddler (Glass of Wine at dinner, Beer at a barbecue maybe 12 times a year) I spent 256 days in the hospital over 18 months. First Pancreatitis, then Chronic Pancreatitis, then Pancreatic Cysts. The cysts were so large that they collapsed my stomach and partially obstructed my bowels. Had to be tube fed special mixtures that were pumped directly into intestines and bypassed my stomach. The first time they they drained the Pancreatic Cyst it released almost 2 litres of liquid in the first five minutes. Even my Internal Medicine Specialist ran out of options. They installed a semi-permanent drain because it did make me feel better. The fluid just would never stop. Every day 300ml to 400ml of fluid. The pain was crazy throughout. These drains were only a temporary solution, the body would push them out after 4 to 6 weeks (but at least I was out of the hospital). They never did figure out what caused any of this to start... like I said not a drinker, no high blood pressure, no heart problems and no prescription or illicit drugs. Doctors were stumped. I had two operations to remove scar tissue from my Pancreas. Coded twice (once when a nurse pushed morphine to quickly and once during the second operation) Entered the hospital at 195lb. Left the hospital at 130lb. It was a nightmare! Still dealing with the aftermath.

[@yujirohanma203]

Holy yapper alert

[@letmedream111]

Sounds awful!

[@KThom-vq9du]

Tea toddler lol its teetotaler 😂

[@DJLCCH]

how are you doing now?

[@cliffcolter9161]

@@DJLCCH No to bad considering. I have chronic pain which has put me on Hydromorphone. The pain has gotten better. The constant stream of lower dose opiods has help stop the really bad pain episodes. I no longer have to go to the emergency department 4 times a week for pain control. Doctors think this is probably from nerve damage from all of the attacks. After the two operations I got diabetes which was not unexpected by the doctors. They were surprised that it took two years after the operations The only other two symptoms that have really affect my day to day life. Eating is like playing roulette, it may not cause pain but crazy discomfort. My waist line can grow by 4 inches in under 15 minutes as my abdomen swells. I wear pants with an extra 6 inches at the waist with suspenders or very roomy coveralls. Years of food diaries and dietitians did nothing to help this problem because it is so random. I have tried digestive enzymes to supplement, but stopped because the results were even worse and they were causing more pain. The second problem is more psychological. I now have a wicked eating disorder that doesn't help with diabetes management. Food is my enemy. If I know that I have to do something I will not eat. I usually eat only once a day at night when everything that I need to do is done. My newest symptom that has just appeared in the last 6 months is I can no longer eat anything raw. Eating a raw carrot will send me to bed in massive amounts of pain.

[@somavegh8488]

Just so you know, you are the reason that I'll be able to graduate from med school. Love you man

[@iagom12]

I have always struggled to pass exams at university until I found this channel and realized I am a visual learner. The way Zac teaches always makes sense, helping me truly understand the material instead of just memorizing information I'll forget a few hours later. Thanks to Ninja Nerd, I am now on the verge of earning my bachelor's degree in Nursing. Thank you so much for making such a significant difference in my education!

[@bonnieromick9397]

Never wrote so fast in 15 years of school. Probably watching this twice to digest he he. Your a brilliant man

[@Redrobot3k]

Literally the best KZbin channel for anything to do with medicine/healthcare! I recommend it to everyone in the industry. Thank you Zac! You are a godsend!

[@xuanthanh1073]

Is there anybody watching the old ninja nerd acute pancreatitis video? . In my point of view, it is more interesting than this version. But ninja nerd is always the best. Love ❤️

[@mukeshmali6064]

Where is old video of pancreatitis??.. it's way more better then this one...muje mil hi nhi Raha hai woh video..pls let me know if aapko mile toh

[@a.t1113]

@@mukeshmali6064 it's under a playlist called "retired"

[@christianmorrison9287]

Came here to learn about my pancreatitis and got excited when he mentioned cystic fibrosis. Got diagnosed at age 4 and didn't know I'd be having pancreatitis because of it

[@osaidbashar3388]

The clearest explanation of pancreatitis I've ever seen! Thank you!

[@sekondwon7481]

Amazing. I don’t have to memorize anything after watching your videos because I understand the conditions that makes it more intuitive. Thanks!

[@zahraheydariyan6276]

After 2 weeks studying at GI ward in hospital now I undrestand this condition. Thanks !

[@blessingvincent2440]

Best teacher for medicine ever!!!! 🔥

[@mariama.sgodhelpme2264]

I missed your videos so much since I started clinical studying of internal medicine 😢 but okay now I found this great video 😊

[@Katie-honey]

Thank you for helping me understand better my issues and pain from my pancreas. It has been a journey to say the least. ❤

[@hebajamal6404]

the reason of my survival in med school is you man thank you so much

[@shmebyulock4838]

Thank you a lot , you help to thousands of students , it is amazing , you make our lives better

[@dariuszmajcherczyk9773]

I am so amazed with this channel. With your hollistic approach of teaching I can learn almost all of the important aspects of medicine needed to be a proficient doctor from one youtube channel. Have you ever considered doing series in radiology?

[@sanemiivykapoor9896]

Literally thank you!! Reading and then seeing these videos really helps with advance patho. You're the best 👌🏾

[@sanjith1179]

I'm pratheesh from India (Tamil Nadu).big fan of you sir.say one hii sir.

[@julydamongilon4010]

Thank you. This helps me better understand pancreatitis. :)

[@YaiBolAyuelDeng]

Hi Ninja nerd, I'm a big fan of you from South Sudan currently studying pharmacy in Cairo. Thanks for your support!

[@sarvarbekkabulov3159]

it was an amazing lecture doc, u have done really great job!!! thank u so much and keep up good work!

[@YEISONRENDON]

Another amazing video, as always, thanks again!

[@sanjarbekkarimov764]

Thank you. Very useful content.

[@janineclemons746]

Excellent presentation. I seem to have had chronic pancreatitis since childhood. I now struggle with malabsorption and diarrhea. I'm wanting to try rapamycin to eliminate senescent cells and increase anti-inflammatory immune cells.

[@bunkashi1912]

Amazing teaching! Thanks a bunch!

[@witekchojnacki9080]

My favorite University

[@IMChessMD]

Hey Professor Zach, big fan. I wanted to know if you will be posting any updated Neurology videos. Thank you and amazing work!

[@perishing]

This doctor is Golden❤

[@samanjalali3321]

Just commenting to support the channel

[@firdawsomar9602]

Your lectures is always helpful thank you

[@YEISONRENDON]

Thanks for these amazing videos!

[@ashikhossain6535]

The best. Thank you very much. Please do some videos on rheumatology

[@spectre-24J]

such a great video, thank you very much Sensei.

[@nsas955]

Really you are genius and very much helpful to all your followers. Meanwhile I would be more interested if you elaborate more on the exact doses of fluid infusion and whether to give 1.5 ml/kg over first hour or 10ml/kg and so on. Again thank you very very much.

[@humanbeing3177]

This is gold

[@mohammadrezaraeisi6137]

thank You NN. big Fan of you

[@fatine8370]

Amazing video thank you SO MUCH

[@DrDreamer-n5g]

Great teacher ❤❤

[@jessy_matador]

Amazing lecture!! Thank you!! I only have 2 questions 1.If the kidneys have low perfusion, they increase the blood pressure, but you didn't mention it. Is it because the heart is working too bad and its hypotension outweighs the kidney's hypertension, so the result is hypotension? 2. What would the situation be so the pseudoaneurysms form? I heard about them and thought that blood erosion could lead to that, but if all the possible blood vessels to erode are outside of the pancreas, I'm not sure how they can form

[@chibanicherifa4298]

Formidable 🔥🔥🔥🔥

[@princenebert3142]

Thank you 😊🎉🎉🎉🎉❤❤❤❤❤.Such a wonderful lecture

[@RabiaBasri-d2b]

Best ever🎉

[@AhmedAli-zw3ri]

Glad to see you dear 😊❤

[@quanvoinh7712]

Amazing.Thankiu veryyyy much

[@may-lynn8092]

I have a lifetime history of pancreatitis. It wasn’t until 4 years ago (at the age of 52) that I was diagnosed with CF and a SPINK1 mutation. It has been mentioned to me several times to have a TPAIT (removal of pancreas) but it still produces good insulin and I’m only in the hospital occasionally. I do have malabsorption issues and take enzymes for that. I have daily pain so I know it’s always in an inflamed state. I don’t take medication basically because I really try to stay healthy with natural alternatives, a plant-based diet and lots of exercise. I hate this is out of my control because I swear I’d do whatever it takes. My biggest issue lately is the pancreatic cancer. I was never told my risk could be high for it. That alone has me revisiting the transplant surgery idea. I’m really scared.

[@reyazfarooq3005]

Hey Lynnn ! Can I talk to you about it. I'm from India.

[@reyazfarooq3005]

I am undergoing a similar issue

[@mohd2412]

Great video sir !

[@Dr.Number01]

wonderful lecture!

[@sajiruddinsk8129]

Thank you so much, Jarur, Murshidabad, WB, India.

[@garamabe6891]

I wish I could get this guy to treat me 😢 I have most of the things he pointed out in the complications

[@zozoabdulkadir9642]

Thank you so much ❤

[@user-uk1xq1bg2f]

Amazing 🎉

[@TheKingsGarden-eq5it]

As always, great!!!!

[@dereksniper]

Pen catching still on point Spidy

[@wiamzaghzagh]

Hey thanks for this explanation ! PLease why are NSAID an contraindication for acute pancreatitis ??

[@noorbadran5563]

maybe because of the risk of hypovolemia, NSAIDs decrease kidney perfusion even further by constricting afferent arterioles

[@aquariusp1331]

Can you please reupload congenital heart disease

[@UmmerumanMehvish]

Thank you soooo muchhh

[@NguyenTrung-gk9mi]

Thank you teacher

[@robinace5212]

❤❤❤❤❤❤❤❤❤❤ thank you so much

[@shubhamjarange4457]

At last of lecture can you take some case studies related to lecture it will helpful 😊

[@nothing00164]

Yeah boi helping dude

[@sajiruddinsk8129]

Thank you very much.

[@Fightingbear-yj3is]

Thank you for the lecture! Could anyone explain for me how the pancreatitis causes hypocalcemia ?

[@HarpreetKaur-ti2xp]

Hi doctor it’s a wonderful video , I had life taking pains after taking a very strong cough medication When I went through MRCP scans it shows Mildly enlarged pancreas showing loss of normal pancreatic lobulations with normal signal intensity noted. No peripancreatic fat stranding/collection noted. No focal lesion seen . MPD is not dilated what does it say about pano

[@pharmacybyasim]

*Pancreatitis* is the inflammation of the pancreas, *caused by* gallstones, alcohol, or other factors. *Symptoms include* severe abdominal pain, nausea, and vomiting. *Treatment involves* hospitalization, pain management, and addressing underlying causes. *_Chronic cases can lead to diabetes._*

[@Asmaamohamed-lb1nw]

Amazing

[@aleksandarkozokic]

Hello. What’s the importance of serum Calcium in an episode of acute pankreatitis ?

[@dereksniper]

Maybe not the answer you want but Ca super important in cell signalling in general so having an extreme level at either end definitely disrupts many cell signalling and cascading event in the body in general

[@aleksandarkozokic]

@@dereksniper Found out it is actually an indicator of severity, where hypocalcemia is associated with more severe pancreatitis. When fat necrosis occurs during pancreatitis, fatty acids released from the pancreas can bind to calcium, leading to the formation of insoluble calcium soaps, which lowers the levels of calcium in the blood.

[@DICTHORYIMBIK]

You You are best ❤

[@DarkMagician544]

I love you zac ❤️

[@superhama8018]

Too much love ❤

[@benisalarroo-lewis4309]

Thank you

[@anitaarinze1842]

Thanks 😊

[@codeblack6099]

Would grey’s turners sign show on both on potentially one side?

[@hibaabusalim6044]

Your the bomb ❤

[@ab-mi4nw]

Nice❤

[@stoezzyard5610]

i love you zack

[@sinyingkueh]

15/12 - thank u

[@Mariammoho]

Thanks

[@michellevalenzuela9135]

Perfect

[@sadmanrafi2947]

Hey zach does hypercalcemia causes pancreatitis? I found that pancreatitis leads to hypocalcemia

[@aammiirramir1183]

Thanks ❤️‍🔥

[@hamsah9479]

the best

[@MohamedAhmedBowba]

Who I can acceded to ninja nerd ressources ?

[@mohammadsaad539]

Thank you……………

[@aquariusp1331]

I have been studying from here and now not able to find it

[@costantinoguava5700]

What about antiinflammatory drugs

[@Vaishnavigangane23]

Is there chronic pancreatitis video ?

[@m7md2-]

This video involve both Acute & chronic

[@mayacarmi3071]

Top !!

[@MalekAbdou-e8i]

ty

[@judysims4298]

How long does acute pancreatitis last and How do you keep it from not becoming chronic.

[@MSRedgirl]

Great question…I’d love to know the answer 😩😭

[@AyushLodhi-r3c]

thanks a lot bro, helped a lot.

[@asmaameen7084]

Where can I find gi cancer?

[@abrahamvos1477]

I'm also searching for it hahah.

[@abrahamvos1477]

thank you btw Zach and the rest of the team! it should be you who should receive my degree!!

[@its_me_im_cathi]

Why didn't you talk about autoimmune pancreatitis? I have that type and you didn't even mention it!!! I was told over and over my severe acute pancreatitis was most likely from alcohol, even though I have never used alcohol in my entire life plus the fact that I have Sjogren's Syndrome. My original doctor blew me off when I told him about AI pancreatitis being linked to my Sjogren's Syndrome. I finally convinced another gastro dr to do further testing and my IgG4 test was 305. Only then did I have an ERCP with a core biopsy that proved for sure I have AIP. Doctors need to stop having tunnel vision, they need to LISTEN to their patients and STOP gaslighting and ignoring them. I know my body, I know my lifestyle and doctors need to stop assuming their patients lie to them. I was totally honest, told my dr about AIP being linked to Sjogren's and he blew me off - it literally almost cost me my life.

[@salifusadat3002]

😂

[@greatnessgezo5409]

I'm not going to lie, I kept on getting distracted by Zack's monstrous back, I mean look at the size of that thing!!!! I assume you lift right? because there's no way that that's just what your mama gave you. Oh and awesome lecture too💥

[@beastmode7107]

nice

[@hammbaby]

niuuuce

[@雅子人見]

Looks like an handsome actors!!

[@Fit_devu108]

[@dharanivasan7891]

God 🙏

[@alfredo_alc]

Amen

[@HussainA-qm3hn]

👏👏👏