This Medical Condition Got Him ARRESTED!: Medical Mystery Solved

Meet Luke, a talented jazz pianist. He had built a reputation not only for his musical talent, but also for his inspiring story of sobriety, having overcome an alcohol addiction 25 years ago. But then, out of the blue, he got a DUI despite claiming that he hadn’t had a drop of alcohol. Afterwards, he started showing up to the emergency department with obvious signs of alcohol intoxication… still claiming he hadn’t been drinking. So was he lying? Or was something else going on?
Join me as we unravel this medical mystery to learn about the microbiome and gut health.
This video is made for educational purposes only and should not be viewed as medical advice. Speak to your doctor if you have any concerns about your health.
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🙋‍♀️ Let’s stay connected!
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See you in the next video!
~ Siobhan (Violin MD) ~
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📚 References:
- Fecal transplant case: doi.org/10.7326/L20-0341
- Auto-brewery case report: doi.org/10.1503/cmaj.231319
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📸 Image Credits:
- By SxSchroeder - Vectorized version of File:Symptoms of BAC, 0.02% to 0.50% concentration.png, CC BY-SA 4.0, commons.wikimedia.org/w/index.php?curid=109845429

[@ViolinMD]

Love medical mysteries? I've got a whole playlist for you! kzbin.info/aero/PLbkdRr5gLuLQY6GMY3ixGmj5kg3LDMfgz&si=rl8ex8JXOrBAX4Y1

[@ASMRFAMILIA]

Thank you for doing this series! I have a ton of usual health issues that most doctors are confused by anc I've already learned so much from your videos. 🙏

[@salvadoroliveira6632]

Thank you, I'm going to click on it now!

[@maletero9888]

I have one for you. 3 years ago I got sick to my stomach in the morning hours of a string of 12 hours shifts. I thought maybe an undercooked sausage wrap, After a couple days of intractable vomiting, I went to the ER.In the months preceding this, My right leg had swollen substantially but I managed to live and it went down. It was better before I reached the er so it was never considered. They gave me fluid replacement and sent me home with anti-emettics, (Flagyl) some prophylactic antibiotics (Cipro) to recover. After a couple more days I returned to the ER because I was insane, I could not think and worse, I was vomiting medicine as well as failing to hold down even water. With Diabetes, I was in bad shape. I would stop vomiting but I would NEVER recover. I quit a 30 year beer drinking habit because I felt drunk all the time. Over the next 2 years, I was tested for everything from lyme disease to Chagras. My doctor finally noting SFN and Gastroparesis, blamed on my 'uncontrolled" diabetes. (A1C 7.7). I continue to complain , every few month the cycle started again, this time i would end up i with a metabolic syndrome diagnosis, Keto Alkalosis as I would find. Now 3 years in I convinced a cardiologist to really go deep, Still, NOTHING. i BEGGED HIM TO LOOK FURTHER AND A CALCIUM SCORE WOULD FIND 3 BLOCKS IN MY LAD.of 50 to 70 %. Certainly a problem, but not THE problem. . Once my stents were placed, my vomiting began, almost immediately, I would spend the next 5 days taking fluids through an IV and vomiting as my blood pressure screamed 200/100 my glucose, despite not eating 300+.. UNLESS i STOOD UP. uPON STANDING MY BLOOD PRESSURE SLAMMED BACK TO 97/65 AS MY HEARTRATE SPIKEDFOM 75 TO 140 BPM. i AM STILL WAITING TO BE SEEN AS TO WHETHER MY KIDNEYS ARE GONE But i believe I developed PoTs What do you think? did I have it all along?

[@bonniexwony]

I absolutely LOVE your medical mystery videos - amazing as always 💕

[@Hepzibahlee8440]

Dudley Moore of the movie Arthur 1980s had PSP rare brain disease

[@AnnikasASMR]

God bless that doctor for doing his job and not basing his work off of biases, but actually investigating symptoms. Our medical system is in need of desperate help.

[@LadyLithias]

for five years I had intermittent-but-severe gut pain. For unrelated reasons, I was on a pain contract and took pain meds regularly. When the gut pain started, I first just lay down and waited for the pain to pass, but then it got worse, and worse until I finally had hubby take me to the ER. The ER diagnosed me as being literally full of s**t - the worst case of constipation they'd ever seen. Told me to do a purge, and all would be well. I followed their directions, but felt that the output seemed rather less impressive than prior bowel preps I'd had. If I was so FOS, shouldn't I have produced a lot of stuff? A month or two later, same thing, same diagnosis, same results. Three weeks later, same thing. Then came the day when the pain was so extreme, hubby called an ambulance. I couldn't talk, as breathing hurt. I'd taken my normal pain meds, and then doubled it, no effect. The ambulance men were horrible. They almost refused to take me because I was having trouble speaking. I did my best to explain my pain, and they transported me. By the time we got to the hospital, I was screaming in agony. As the ambulance crew pushed the gurney into the ER, one of the nurses came up to me and scratched my arm, telling me to shut, that there were legitimate patients I was scaring with my theatrics. I was shocked by the way they treated me. Once back in an exam room, the male nurse came up to me and said, "I'm here to set up an IV," and then he brutalized my arm, telling me to not worry, I'd soon get the 'good stuff' so I should just buck it up and not complain." and it became obvious they didn't want to hear what I was there for. They considered me a drug seeker. Gave me IV pain meds, and told me to take tylenol if I had more pain. I was mortified to be labeled a drug seeker. Thought it was ironic that I had access to pain meds, and took them as prescribed. My big lesson was to not go to the ER for that pain. Or any pain. Fast forward two years, and multiple additional episodes of debilitating pain, and during that time I moved to a new state. When the pain wouldn't subside with one of those episodes, hubby begged me to get seen by the doctors. I decided to just lie on the floor, as that always seemed to calm the gut pain. But that time it did NOT work. The pain, instead of dropping to manageable levels, skyrocketed off the charts. So I had hubby drive me to the ER. I didn't want to wait 20 minutes for an ambulance to arrive, and then be forced to lie down for the half hour drive. I told the dr. (Dr. Lepard) about my pain, and about my suspicion that it was a specific issue that can crop up in people who have had weight loss surgery. I then told him explicitly that I did NOT want pain medicine. I wanted to find out WHY I had pain. Doc ordered several tests and once it was clear I didn't have elevated counts indicating infection (infection free) he got me on some IV pain meds. Then the other tests came back. Turns out that 85% of my small intestine was herniated, and being strangled - a process that took years to get that extreme. But it had reached crisis point. My intestines were swollen to 8 times their normal diameter, leaking chyme everyhwere, swollen, constricted, fixing to die.... and take me with it. Dr. Lepard - Listening to me - saved my life. They put me on a life-flight, got me care, and my intestines got restored blood flow before they died. listening to the patient can, easily, be a life-or-death situation. So thank you, Dr. Lepard, for listening.

[@MMng411]

Violin MD posts, I click with the speed of light.

[@ViolinMD]

Aww love to hear that! Thanks!

[@zamorvex]

@@ViolinMD so fun fact, i have mutated white blood cells that fused with my cancer cells. a long time ago my body basically gave the cancer cells an ultimatum (this is how the doctors explained it to me as a kid) "either help the body or we are shutting things down." during this time i fell into a coma and my body functions ground to the bare minimum. and during this time, the cancer cells merged with my white blood cells. (0-0)

[@alyseandrews1066]

I cannot imagine how terrifying of an experience this was for him

[@mangantasy289]

my thought too. Poor guy. Not only must this have been very scary, but it was only made worse by not being believed. It's never nice not being taken for granted, and in his case, rightfully so being proud of being sober for so long, only must be more hurtful. And its almost understandable that this happened. Many eople are especially dishonest to their doctors when it comes to alcohol or drugs (and not understanding they only put themselves to risk). The odds are simply against him. The doc's likely have seen it all, people visibly drunk pretending not to be and not having touched any booze (in a slurred voice). So yes, big kudos to the docs who offered him trust.

[@SamanthaDiane]

I can only imagine how challenging this must've been for him considering his sobriety.

[@eph2vv89only1way]

I thought the same thing

[@UltravioletKnights]

Ive had severe recurrent SIBO for almost 11 years now, took 9 for a doctor to take me seriously through all the pain and being labelled a drug seeker and so on and do more than just do basic blood tests. Doctors who are willing to look deeper save lives, bless every one who who does.

[@cckayymayy]

What did they do for you. My mom has had this for years and they all think she’s the same way you were! This would be super helpful for me to help my mom!

[@MaverickRam]

@@cckayymayy have you tried seeing a naturopath?

[@laurakuhlmann1626]

​@cckayymayy I developed SIBO 3 years ago and now I have it under control. First of all find a good nutritionist. I've ran into quacks (including naturopaths) promoting garbage diets. A diet that may work is the lowFODMAP diet. It restricts the number of fermentable carbohydrates that only our gut micribiome digests. If the illness doesn't subside with diet alone (for me it didn't) you may need to go on an antibiotic. Rifaximin worked for me, sometimes they need to add a second one (I didn't tolerate that one). If the two versions I mentioned don't work find a nutritionist that can help you go on a liquid diet for a few weeks. It's been clinically tested to help by starving out the gut bacteria. And remember that for most people SIBO is chronic. Like all chronic conditions you will have relapses. Don't despair, you'll have more tool in your treatment arsenal with each one. You can lead a productive active life with SIBO, but you will be more restricted when eating out. I have a few safe restaurants I go to and often cook my own meals for a trip. But it's worth it. Other things that worked for me: Peppermint oil supplements (help slow down gut hypermotility and gas production) and (prescription only) a cholestyramine--which is a cationic resin you can drink as a suspension to help trap excess bile salta that may sometimes ferment in your gut. Hope this helps. And keep looking for a good GI or internal medicine specialist. Otherwise there are a ton of quacks that will make you sicker and miserable because they know you're desperate for a solution

[@leslie281]

As a dietitian I love this message! Gut health is so important !

[@juliemcgugan1244]

It is incomprehensible for me how many doctors tell their patients that holistic medicine is 'woo-woo' science. You'd think they'd have a basic understanding how the human body works; they study it for so long.

[@sincerely-b]

When my kids were growing up, the minute they'd have a stomach bug or were taking antibiotics, I was feeding them probiotics. They grew up with it and now think about it when they're sick as adults. It definitely helps. It's not woo-woo science, but it's definitely uncommon knowledge.

[@Dedded404]

Love listening/watching your medical mysteries!! Have a great weekend, Dr. Siobhan

[@ViolinMD]

Thank you! hope you have a great weekend too!

[@cathylaycock5598]

A friend had the fecal transplant a number of times that unfortunately failed for her. Hers was definitely from far too many antibiotics, mostly given for colds of all the stupid things to get! Every time she got a cold, her family dr would prescribe them. This went on for years. I’d argue with her while we were working. And said do you not see the ads for not taking antibiotics for viruses. She ignored me and now her health is really bad. I’m sure all her issues are not from overuse of antibiotics, but still. Thank you very much for great info. 😊❤️🇨🇦

[@chloecrawford5426]

I appreciate that my GPs always refuse antibiotics unless it's actually necessary. For a cold, my GP gives me a certificate for time off work and orders to rest, drink hot tea/lots of water and take ibuprofen or paracetamol as needed.

[@sincerely-b]

Every time I take antibiotics, I immediately take probiotics along with them. My kids grew up with this. I'd give them Bio-K if they were on antibiotics or if they had a stomach issue to protect their stomach microbiome. It's a little known fact, but an important one.

[@freebirdk8]

This video 😮 this is happening to me! I keep fainting and feeling like I’m hung over after. And sometimes a big meal will affect me like I drank a bottle of rum or something! Thank you for this video I’m going to show my doctor!

[@Norm475]

Several years ago, I read a story about a mother-daughter fecal transplant. The stool was taken from the obese person and transplanted into the skinny person for a C diff infection. It did not take long for the skinny recipient to become obese. I had C diff one time, and it wasn't very pleasant, I took Flagyl and that did the trick. As much as we know about the gut bacteria, we have a lot more to learn.

[@janetraona9071]

What an amazing case. I’ve never heard of that syndrome. I’m hoping he continues to stay healthy.

[@8xpdhpckkg]

I love these videos. I learn something every time. I knew about the fecal transplant being a thing, but brewing your own alcohol? That's a new one.

[@pamelajaye]

I knew about the fecal transplant but it didn't occur to me to use it to treat this because I had forgotten about it and I didn't know this could be so intractable. I haven't watched all of the mysteries because I don't want to run out of them so quickly. I really miss Mystery Diagnosis.

[@pattiprosperoella3244]

If it weren't you telling this story, I'd NEVVVER BELIEVE IT. WHOA! INCREDIBLE! ❤❤❤ Your channel! Always amazed.

[@annawell2517]

It’s why you should always take a good probiotic at the same time as and antibiotic. Take it a few hrs after the meds

[@jh26pt2]

I'm not a doctor or medical professional, and my musical "talent" peaked at seventh grade choir ... and yet Violin MD is one of my favorite KZbinrs. Love these videos.

[@lvzane]

I love these series. It's like watching Doctor House but without the drama :D

[@syzygy4365]

Yeeeeesss!!! 😍

[@vermontvoice13]

Wow that’s scary to think our own body can betray us so badly like that

[@ratsalad178]

but it didn't - in Luke's case at least the issue was manmade (overprescription of antibiotics)

[@vermontvoice13]

@@ratsalad178 ok, true. But it’s still the body’s doing at the end of it all

[@Lark81]

Woah, this is so interesting. I would have never thought this was possible. Thanks Dr. Siobhan 😮

[@bluejedi723]

as soon as you said DUI and he was adamant he was sober/not drinking, I knew what it was going to be

[@nosnah227]

I knew almost immediately from Grey's Anatomy 🥴I guess there's sometimes accurate medical things on there

[@karynstouffer3562]

I've seen this condition on a few TV shows. I recognized the symptoms immediately as well.

[@user-rd6rg7mp7h]

Thank you for this post. I have had this issue for nearly 50 years it started in my childhood

[@paulabraden974]

This video reminded me of similar happened to a cow. The cow (reason I can't recall) had no bacteria in their gut, thus couldn't process the grass and became malnourished (cows get nutrients from the bacteria, not the grass. Grass is for the bacteria to grow, feast and die). The cow got given gut juices from another cow and made a full recovery.

[@user-xj8wy4uu1q]

Wow

[@BabyT709]

They do the same thing in humans for certain medical conditions implanting poop from a healthy person in their intestines

[@BabyT709]

Nvm, I should have watched the whole video before commenting, she covered it 😂

[@salvadoroliveira6632]

Hi Dr. Siobhan, it would be great if police officers watch this video to learn about that! I'm going to watch the rest of it; have a blessed weekend!😊

[@ViolinMD]

Good point!

[@jeanetteraichel8299]

Whoa, that is freaky! I certainly hope that he got off the DUI with the doctor's diagnosis. It sometimes takes a young, new doctor to know something is wrong and take action.

[@keiraferrari7764]

Thank you for reminding me to keep auto-brewery syndrome in the differential.

[@AutobotSimmer]

A lot of Violen MD's videos show how complicated medicine is rather than doctors not caring. Yeah, unfortunately those doctors still exist. Add rare conditions. I've never heard of this being possible for a former alcoholic, add how this came about.

[@mellie4174]

Not even rare conditions. IBS is a common condition but if you're a woman you will absolutely not get help. They will tell you you're stressed and to meditate or take an antidepressant....

[@LSP1988]

Siobhan, I am still waiting for the golden remote video 😂

[@ViolinMD]

Me tooooo!! Haha i actually JUST got it yesterday - so that’ll be the next video!! Finally!

[@LSP1988]

@@ViolinMD I can’t for the 10 million subscribers video 😁

[@karynstouffer3562]

This has been represented on several TV shows. I couldn't remember what the name was, but I recognized the symptoms immediately.

[@user-mi1jw5hj7g]

WOW !!! Amazing story ,I could not ever imagine such a thing happening . Thank you for sharing

[@nathantilly3539]

ABS is such a fascinating condition, it's one of those Zebra cases. Ahh The stomach microbiome..... the gift that keeps on giving.

[@zanleuxs]

I've had GI issues for a very long time, since a major bowel surgery, it goes without saying that I was pumped full of antibiotics since I went into septic shock at some point, this was after 2 years of intermittent severe abdominal pain that doctors ignored, every time I go to a GI specialist about it, and I've been to quite a few, they just want to do very basic tests and then throw laxatives at me, so I've been experimenting with probiotics on my own, why don't I get the same thorough investigations Violin MD always narrates, it doesn't make sense, I'm in the same country

[@olivia6619]

Omg I relate to this so much! I’ve been struggling with frequent abdominal pain for the past 5 years, I stopped going to the doctor about it 4 years ago because they all ignored me and thought I was faking it. It’s really unfortunate that this is a common thing that happens for those with gi problems

[@UltravioletKnights]

If you are experiencing constipation or diarrhea with the pain then it's worth getting checked for SIBO. It's a simple breath test so there is no real reason for your doctor to refuse you, you can pay for it yourself and get the results sent to them if they are being difficult. 9 years unexplained constant severe pain suddenly had a reason, overgrowth of a bunch of different bacteria in the guts. It doesn't show up on blood tests, only signs of it there might be elevated inflammation markers and that's super non specific. Hope you all get some relief soon either way!

[@zanleuxs]

@@olivia6619 5 years is so long, I'm so sorry, there's all this new research with the GI system and microbiome but it never seems to reach general practitioners or even GI specialists, it's so frustrating, I hope you feel better and get to the bottom of it 💙

[@zanleuxs]

@@UltravioletKnights Thank you so much for the advice, I did a SIBO test with a nutritionist a while back, they did find I had SIBO but treatment didn't seem to help with my symptoms, I was dealing with other health issues at the same time though so it might be worth trying again 💙

[@sdzielinski]

When MDs fail, patients do the research looking for explanations and solutions.

[@GinaR21212]

I had a doctor treat me for a little growth hormone and low cortisol, when I was only anemic, because anemia causes low cortisol and causes low growth hormone. I've been on disability for 5 years, I've lost my life because of this.

[@TheTfroggy912]

Thank you for sharing this! My friend received this diagnosis after getting a DUI. It’s been a lot for him. Glad this is getting more awareness.

[@sunnymountainhoneyfountain]

I’m so tired of doctors labeling people as neurotics because their tests didn’t turn up anything. As this story demonstrates, the human body is far too complex for such simplistic thinking. It took me a decade of talking to disinterested doctors before I found one that actually referred me to specialists and got me real medical care. Ten years of hiding my pain and feeling shamed if I tried to find help. Then, my partner went to a doctor for stomach pain and was sent home twice without care. It turned out to be terminal appendix cancer. I’ll never know if the love of my life would be alive today if that doctor had cared instead of wasting so much vital time needed to fight an extremely aggressive cancer.

[@maryreinhardt2120]

I'm SO happy when I see you have posted a new video 🎉🎉

[@dalilaserrato6112]

That’s a amazing story to hear God bless you always posting 😍

[@miadeckler8896]

This made me smile! So glad a doctor thought of this! Love your Day in the Life videos. I have a bunch of them saved! 🙂

[@LucidDreamer54321]

“His blood alcohol level was over three times the legal limit.” Actually, there was no legal limit because he was not driving.

[@kinpatu]

I’m not a medical professional, and I had already heard of this syndrome. I’m surprised he had to go through so many doctors to find one who recognized it.

[@UltravioletKnights]

Pretty common in Canada, out medical system is swamped so when it's something that isn't obvious you get swept under the rug a lot.

[@jojogreen_mua]

I’ve heard of this before. But it’s really nice to have someone like urself explain it to me and the world of KZbin ❤ love these videos please do more xx

[@anthonyhoffmann543]

House and Violin MD are my two favorite medical shows!

[@raybod1775]

Except House is totally fake!

[@ChrisRRT]

Crazy case thanks Siobhan for sharing!

[@itzsusanx3]

This was one of my favorite things to see you teach and learn. I remember watching shows on this issue and it’s so mind blogging. Good job

[@QwinnieLu56]

Amazing! Had never heard of it before - must have been really scary for him. I love these mysteries 🔬🔎

[@sincerely-b]

I hope that following his diagnosis, he was able to contest the DUIs and get his car back. He now knows how to avoid a dangerous situation.

[@royc2390]

Your medical mystery videos are fascinating.

[@BasicDrumming]

I appreciate you and thank you for making content.

[@klmjtr]

Another good one! 🙌🏼🙏🏼😃👍🏼

[@StephSancia]

I absolutely love your confident vibrant connection with the viewers it made this medical mystery and absolute delight to watch so much so I was going to subscribe but then noticed I was already subscribed but thank you for your vibrancy and your medical mystery. I have major issues as I've had most of my sigmoid colon removed not all of it there's about 2 in left and I lost my left kidney to cancer as well so I find it difficult to keep hydrated difficult to just keep on top of everything but I have severe PTSD and when I get too stressed it literally puts me into a stress coma I immediately fall into a deep slump of asleep that is deeper than deep and if it is really bad I just have to lay down where I am wherever and sometimes it lasts 15 hours and on the worst occasion was over 30 hours I was unconscious and one doctor suggested that it was my body's way of protecting itself and it all started when I lost all of my family and daughter and partner etc but it's pretty full-on when I do experience it and I always wake up feeling confused and dehydrated and everything. But anyway happy Tuesday

[@princegabriel2379]

This is mind blowing Thanks alot for making videos like this It opens my eyes to alot of things

[@matt2515]

I enjoy watching your videos, they are informative and interesting, thank you for all that you do to do your job and record these videos.

[@TheStuport]

What an incredible video Siobhan! I learn so much watching your tutorials and I'm equally entertained! I remember telling my Biology Teacher one time that "Fecal Matter REALLY Does Matter"! My classmates laughed and my Teacher smirked a bit but I suspect it wasn't because of what I said, it was because he knew I was gonna pay dearly after class! He was right! 🤣 Like many of your Fans, WE ALL look forward to seeing your name in out Saturday YT Mailbox! Stay Healthily and Keeps Smiling and Strutting! MOO From COW-lumbus, Ohio 👋

[@GiuliasCookbook]

Interesting coincidence I heard about this syndrome on our local news yesterday. Originally I heard about this on Dr.Phill. Im glad a doctor believed him. Education and awareness is important!

[@rogercabrera9741]

I love your story telling Dr. Siobhan !! As a Nutrition and Dietetics student on a pre-med track, this makes me so excited to pursue medicine! I love your videos!

[@rozadrbartok434]

Thank you for the interesting cases!😃

[@mellie4174]

Such a sad story. Incredible thr vast majority of doctors prefer to label people as drug addicts rather than actually find out what's wrong with them. So typical!

[@juliemcgugan1244]

Right? And attention seekers, when these poor people desperate for help turn down painkillers and just ask to be believed. They get labelled attention seekers and when they next show up, the entire nursing and medical staff are giving them funny looks, dismissing their requests and trying to ignore them. Surely that kind of slander must fall into Hipaa violation? It is clear they talk amongst themselves about their patient's private info? Or is it only 'diagnosed' info that is sacred?

[@topeycasanova4003]

Thank you for this very informative topic, this is new for me.

[@JenJen0582]

I really enjoy watching your videos. I have learned so much!

[@BeckRD1]

Wow, that is SO interesting!

[@eqbalmaher4577]

Thank you so much. and thank you for transcripts. I 'm an arab doctor and I voice m happy to follow you.

[@sulaimanaljabari]

Fascinating case! Well spotted!

[@whrider]

A few times I have gone way overboard on carbohydrates and the next morning I wake up and I feel hungover. There's no other way to describe it. And I've only been alcohol hungover a couple of times in my life and that was in my late teens early twenties and I am far beyond that now. I always blamed it on the carbohydrates.

[@eugeniabuitron172]

Very interesting video! I never heard of this condition before. BTW, I love your hair with the highlights! I learn so much from you and am very grateful

[@YTuser35790]

Siobhan coming back with even better videos as usual ❤

[@meaganmcgrath7556]

I love your hair. Glad to see your videos again!🙂

[@jimbennett3785]

I have watched people come in with assorted maladies and it always seems to come back to what they have been eating and it always seems that that is the last question a doctor asks.

[@maamtoyou7063]

I love your videos! Also, I love how nice your hair looks.

[@abqmalenurse]

This can also happen because of Candidiasis. I have heard of this in cases where the alcohol production was lower but relatively constant and the patient wound up with cirrhosis as a result.

[@mattfake8634]

Just got into medicine in Australia. Your videos inspired me.

[@ViolinMD]

Congratulations!! I’m so happy for you!!

[@darlenedunn5693]

Love❤ your videos .. short informative and provides critical information for a normal person to be aware of .. ❤❤❤

[@eph2vv89only1way]

I thought it was going to turn out to be diabetes. I am diabetic and once made myself seem drunk. I had recently left an abusive marriage and was feeling depressed. I ate some sugarry comfort food and began to feel and talk like I was drunk. I googled symptoms of high blood sugar and one was cognitive disturbance but if it got that bad you need immediate medical attention. I reasoned that feeling drunk was a cognitive disturbance. But, not thinking clearly, I didn't bother getting medical attention and since I live alone, no one was there to push me. I am just glad I didn't go into a coma that night.

[@LVCKN-]

Only with my general knowledge in medicine I pridicted the problem and suggested the fecal transplant Thank you for helping me build that knowledge ❤❤❤

[@emmas1082]

You are brilliant!!!

[@joubess]

I love your medical mystery videos! And I love that doctors take the time to figure out what is happening when a patient has strange symptoms and the solution requires digging into the science and beyond the surface presentation of symptoms. Also, I've been wondering what the health system in Canada is like. How are patient bills paid? Is everyone covered? Can people afford medical care in Canada? Do Canadians go broke because of a serious medical diagnosis?

[@billybeane8130]

Very interesting case!!

[@sinatouati1108]

i loved the video and the today's medical mystery but also your hair it looks so beautiful

[@TruckFan542]

Onboard alcohol refinery 😂 i didn’t even know this could occur

[@zohalarbabzada9654]

What a fascinating case! I knew it was some sort of metabolism problem but couldn't narrow it any further

[@ReflectedMiles]

Great story! And an important story in many respects. We live in a world where just writing off what someone says, or adopting conspiracy theories as likely explanations, is so routine, and social media has exacerbated this exponentially. The temptation is to go post-truth (the facts are unknowable or don't even exist) as millions have, rather than digging for all forms of credible evidence without bias, but without the latter, this man's life might have been over.

[@MMrunner2]

An amazing case. I’ve never heard of that syndrome.

[@kirstinmorrell]

I was reading an article in CMAJ from June 3 entitled "Auto-brewery syndrome in a 50-year-old woman," and I said to my partner, "Violin MD will definitely do a video on this!" But then you did a video on a different case... total mixed feelings, haha!

[@MelissaAHargraves-bz3ky]

This story was awesome. I loved pathogenic microbiology. Keep these stories coming. Have a great day

[@ksailer517]

I love your videos!

[@marinakiell1069]

I vaguely remember hearing about this before you posted this

[@ON-YT]

Can't wait for the 1M sub video!

[@neuropilot7310]

Dr. Siobhan I love the medical mysteries! I thought I'd heard of Auto-Brewery Syndrome from a House MD episode, but there apparently is an even rarer genetic conditions involved.

[@pympton]

That's a beautiful home.

[@pamelajaye]

Best one ever! I was asking about this recently I'm sure because I watch too many medical dramas and it was popping up everywhere. Perhaps it was those news articles. Because apparently it wasn't a new thing. The first time I saw it on a medical drama, I saw it again within a week. It's remotely possible that I saw it again recently on something old. I've only been watching Northern Exposure. The thing was that they never explained... They explained in some places not at all, in some places a little bit, in some places a little bit more. And I don't remember any of them trying to treat it. It's good to know that there can be a treatment (I was lying here trying to remember whether yeast was a fungus). Thank you for telling the whole story. Did I ever mention the woman who had endometriosis in her knee for 20 years? I might be conflating two stories. It might not have been 20 years. But it was another one of those conditions that took a long time to diagnose. Recently someone on KZbin was finally diagnosed with epilepsy After a number of years. Maybe just five or eight. I was reading some of the comments and there was one from a doctor who said that as a physician the story reminded her to pay more attention to her patients. I thought that was awesome. And also it seems the woman is doing well on medication. (Although after finally having a seizure and going to the ER it took her two weeks to get a regular doctor and 4 months to get an appointment with a neurologist. The neurologist, being a neurologist didn't even let her get to the end of her history, I believe. But yes they did get through the history and I assume the physical and various required tests.)

[@mat1500]

Whoever decided to take this report beyond the simple fluconazole therapy treatment and failure of such to the fecal transplant solution that is relatively thorough reporting, which earns my kudos, wonderfully done video, Bravo!

[@ely-daughteroftheking77]

So interesting!!!!! Wow 🤯

[@Bluemoonfarm17]

Poor guy gets sober and then his own body betrays him! How extraordinary!

[@CJRuden]

Interesting 🤨 Thanks for sharing

[@danmarquez3971]

GREAT medical mystery! I love pretending I'm a doctor to see if I would also get stumped. One test I would have given at the beginning was the GI 360, a stool test that reveals concentrations of microflora of all kinds. That would have caught it.

[@rnw4468]

such a rare thing that comes with many controversies. one of which is doubtfully the microbial can stay in bowel long enough to ferment.

[@lindabrown545]

Wow what an interesting story I have never heard of this before

[@Simbacu]

love it Siobhan ❤❤💯💯

[@mangantasy289]

As soon as it was clear there was a severe and consequence-heavy imbalance of his microbiom, I was pretty sure this video would lead to fecal transplant. (I'm not a doctor, but a biologist, and very interested) It's baffling how the patient had too many/the "wrong" yeast in his microbiom while sometimes yeast (S. boulardii for example) is included in probiotic treatments. I guess it will take many more years of research in that incredibly complex field. Thanks for your video. Fascinating as usual.

[@adamcheaney7185]

Awesome! 😁

[@SamiraReddyMS]

This is pure medical mystery disclosed

[@LaraA55]

I absolutely enjoyed this video and learned something new. I am a big believer in a diet with probiotic rich foods, fibre and probiotic supplements. The gut microbiome is what keeps up healthy.