Treating Alcohol Withdrawal | The Advanced EM Boot Camp

Treating Alcohol Withdrawal by Aaron Skolnik, MD
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#alcoholwithdrawal #emergencymedicine #advancedembootcamp

[@christiannmarino3721]

One week sober from no alcohol and I feel great. Pray for me

[@ricocaddo4813]

Here I am drinking again 😢 watching alcohol withdrawal videos keep me in prayer

[@Psychemelt]

“Again” meaning you kicked the habit once and you can do it again. I believe in you. I started drinking everyday 3 years ago and I want to stop now.

[@AD-cx2mw]

I am doing the same you are not alone and I pray for us going through this. Just please remember once we overcome this we win ❤ take good care of yourself

[@NylonStrings83]

I have quit it 4 times once for 7 years once for 1 year once for 2 months and now again I am sober for a month it’s just about mentally being strong

[@stevecooper6515]

Research "The Sinclair Method ". Abstinence is NOT the only way.

[@Livemusic1800]

Same

[@spk7816]

I'm home in my 7th day of no alcohol...OMG...today i feel better...never knew how severe withdraw could be...i hit a lot of the makers mentioned...keep this old war horse (soldier) and surfcaster in your prayers...thank you God bless

[@joekraft5913]

How are you doing now war horse?! I hope all is well with you I am 4 days sober having a hard time. Hanging in there

[@toypianos469]

The first time I tried to get clean in 2016 the nurse I was asking about said "what you are going through is more dangerous than heroin." I was blown away, but she was correct.

[@ambercharlton2454]

Good for you!! I'm on day 4 and struggling

[@monstermind4286]

Hope you are still kicking butt! I did want to ask if you had bad sweats daily and especially night sweats? Thank you

[@spk7816]

@@monstermind4286 I had bad sweats and shaking the first 3-4 days. I stopped drinking altogether. Changed my diet, work out at the gym and drew closer to God. Now I have lost 50 lbs in 4.5 months. PTL

[@christian2854]

From someone battling with this addiction, I appreciate your lecture. It is a serious battle.

[@thatothergirl1111]

I find this man to be very condescending and not compassionate towards people who have an issue with alcohol issues

[@thespaatreynolda2921]

@@thatothergirl1111 I agree. I appreciate the information but he is clearly condescending and you can tell he lacks empathy for people struggling with the addiction which can unfortunately be triggering for alcoholics.

[@rawdonwaller]

@@thespaatreynolda2921 in his defence, it's a lecture for other ED docs.

[@flowerfarmerscott]

@@thatothergirl1111 Try Dr. Andrew Kim and/or Dr. Anna Lemke. Both good clinicians and more compassionate.

[@stephenyoung9964]

Over one year no drink! Sometimes I like to watch these kinds of videos to remember how bad my DTs were

[@boriqualove5568]

The hallucinations and nightmares are insane!!

[@grahamherbert3612]

I had 21 clinical detoxes over 25 years of alcoholic drinking. Many of the visual hallucinations I experienced were horrifying. Vikings with axes and swords both at windows, and trying to climb through a TV screen to get me, Steel bars appearing at windows, My dead Maternal Grandmother on the bedroom ceiling, An SS Officer standing at the end of my bed, with my Fathers head on a silver serving platter, and Auditory, Voices coming from radiators, road noise on a hot night, becoming a Rock concert, and my Cat speaking in French. I'm currently 9 years clean and sober.

[@DoperSober]

How many days would you stay drunk?

[@grahamherbert3612]

@@DoperSober Anything up two weeks, around 1.5 litres of 40% Vodka a day.

[@DoperSober]

@@grahamherbert3612 did you end up getting cirrhosis? I’ve been abusing it for about 6 years I’m 26 years old but the most I’ll stay drunk is for about 4 days at most then I’ll stop for a few weeks then end up relapsing. Making progress tho

[@grahamherbert3612]

@@DoperSober Not cirrhosis, but significant liver function issues. If you're not an AA 12 Steps kind of person, I'd suggest searching 'Rational Recovery', I've used this 'responsible to self' method.

[@lorenzovillegas2457]

My son, 26 had 2 days of hallucinations. Thinking people were messing with him, people hiding in the bushes, threatening him… he said he went to the neighbors house because he thought “those people” were guests of the neighbor. I’m not sure if he actually went to the neighbors house, or if that was an illusion. That scared me because we live pretty deep in the country and everyone out here has guns, and it’s rare to have someone just knock on your door. He said that he left some cigarettes and money out for “the people” so that they would leave him alone. The next day when he saw the cigarettes on the stump he finally realized that he was hallucinating for the past 2 days. Scary stuff! I wish he would go to treatment. I’m already prepared for the worst. As I heard one time… “forget about jails and institutions.. it’s just death. Death is the outcome!” For some jails and institutions are far safer than freedom + alcohol.

[@Brick_Steve]

Tried to go without as long as i could today. Shakes are so bad i can't pick anything up. I've decided I'm going to tell my parents. I need help

[@Zadir09]

I did it, you can too. Tell your parents, your life and health is important. take care of yourself

[@Brick_Steve]

@Zadir09 3 weeks away from it now. The video and all these comments from this video to friends and family may have saved my life. Telling everyone in my life was huge. Held me accountable. They cared more about me than I cared about myself. Still learning to love myself, but it is a lot easier now than it was 3 weeks ago.

[@BabyAstrotheking]

@@Brick_SteveI’m going through what you are going through right now, I’m venting to my brother about my problem with alcohol, right now I’m having withdrawal and just trying not to drink

[@Brick_Steve]

@BabyAstrotheking I recommend medical attention honestly. If you think you are at risk of seizures. That's about 5ish-7ish days in from what I've been told. Telling my friends/family/boss and coworkers helped a lot. It's keeping me accountable. You can do this. The grass is green on the other side I promise you this. Fill your time with anything other than being alone in the fortress of solitude. I was running from something, idk what it was/is. But face that shit. You're worth it.

[@mattlawson714]

@@Brick_Steve I’m trying to figure out if I should be going to the emergency room, I haven’t had any alcohol in 24 hours and my doctor has been prescribed me Ativan and it’s helping but boy I feel so bad. Just shaky and weird and irritating but I also this song when I sober or drunk. things names

[@jasmanbirsingh9037]

best presentation so far on KZbin so far on Alcohol Withdrawal

[@Alfred-z3n]

I'm so sick everyday... and i can't stop... please god help me 😢

[@SCO7777]

Me too I stop and go back to it the best thing to do is to just stop forever and the first few day are terrible feeling that were am at in this moment

[@ken1102]

Ok here's mine Day 1 I was sweating really badly and randomly getting dizzy Day 2 my fever started during the night Day 3 was scary cause I was skipping a heart beat in the morning and my fever was high and I felt so weak Day 4 I still had fever and during the night I was breaking in cold sweat Day 5 my fever was gone but I couldn't sleep at night Day 6 Im fully fine everything is gone and I can sleep properly Day 7 I don't even crave for alcohol anymore and I've been eating healthy PS I was drinking for 5 months straight 6 to 8 king sized beer a night nothing is impossible in Jesus name and I did the withrawal alone 😊

[@Livemusic1800]

Congrats. I'm on day 1. 😔 I need to quit completely. I can't control it. I relapsed several times. Now I really need to quit. Last I was withdrawing bad. I couldn't sleep for 3 days. No appetite and night sweats with shivers. Not a good feeling. Wish me luck 🙏🏼

[@ken1102]

@@Livemusic1800 wishing you the best just always think possitive and don't let any negativity get into you during withrawal and you'll beat it!

[@MrROTD]

I am an alcoholic, I quit ciggarettes, cannibis and cafiene but I can't seem to shake alcohol, going to a treatment center because I can't get a handle on it.

[@rawdonwaller]

Can't think of a better talk I've seen in the last couple of years. Succinct but comprehensive, touched on the nuances of diagnosis (Mayo clinic data), and a very comfortable, relaxed speaker.

[@sunving]

Thank you very much Doctor. Good lecture and practical.

[@sammy2840]

Quit 15 years ago. Was unable to read for 3 weeks! Managed huge IT Programs! Didn’t know if I could work! Went away as I left treatment! Scary stuff!

[@johnslugger]

My wife was diagnosed with stage 3 liver failure and she started having seizures with her DT's when she cold Turkey-ed her drinking. They put her on 30 MG Valium per-day and she's fine now. The transplant committee says they are OK with Valium but if she takes ONE DRINK she will NEVER get a liver! ASK YOUR DR. FOR VALIUM (30mg PD) if your having uncontrollable withdrawals!

[@sitflyer2661]

Cirrhosis patient with ETOH dependance here, just doing some research. Was admitted to the ER today and got IV fluids and released, had positive ETOH in blood work and it seemed like they just didn't want to deal with me. Wasting away but the PA did order some Librium for me to detox at home, so I am guessing I am somewhere in the middle of the scale. Thanks for the info.

[@TINKYSTEELE]

That’s messed up hospitals treat people like this

[@riogc3257]

They do that to my uncle.. I think it’s because they look down on ppl with this problem so they let them suffer to teach them a lesson. That’s what it seems to be because I seen my uncle shake, cry and ask for help at the emergency room and they just keep him waiting. I now also am struggling with alcohol just got a bad panic attack but don’t want to go to the hospital due to how ppl treat ppl suffering from this. It’s very scary but I will not drink ever again.. I’m done with this shit!!!

[@gunnipanik]

One of the better lectures

[@franktremblay4860]

Am so tired

[@donnabelitz3105]

Almost 2 years ago I had D Ts horrific to suffer alone I was hearing rock bands in my head, delerium,, cramps hallucinations, so uncomfortable and No sleep, didn't eat, it was about 8 days, my heater was playing music, was sick to my stomach, thankfully I didn't have a heart attack I had heart palpations, prolly AFib, oh my I'm glad I made it the Dr didn't give me a med for the symptoms. oh I forgot the diaphoresis. I was alone with my dogs I think my dog was worried when I had a seizure. I've hit my head hard while drinking and falling. I wish I had more help but I haven't touched the demon fluid in almost 2 years!!!😅😅my liver function was off the charts so I couldn't take the med that makes you sick if you drink.

[@richevans609]

Hopefully you heard some Van Halen... 😂❤

[@kitsand]

Excellent talk. Thanks for sharing

[@kingstalker]

delirium tremors is no joke if you never had it you never know how bad it is you almost go insane

[@ripboogie24]

Omg I woke up with an anxiety attack and sweats 😤😤😤😤

[@SilverDustCD]

Great video... but one thing it does not cover is energetic attachments. Most addictions come with energy attachments. I have worked in a spiritual hospital in Brazil for 10 years. Have seen addicts healed in one visit by removing the energy attachment. If you believe in 'ghosts', then you know, drunks/addicts that die, sometimes do no move on into the Light, they stick around to hang out with a physical incarnate human that drinks/drugs to continue their addiction until they are ready to be healed.

[@lorenzovillegas2457]

Interesting… it’s like a co-morbidity. I’ve experienced and heard other Natives talk about spirits in relation to alcohol/drug use and depression. I went to a ceremony and saw 3 parasitic entities (scary). I had the feeling like they detached from me. I started praying for everyone in the room, thinking that these entities were looking for someone else to attach to. I didn’t tell anyone what I had seen, but a woman in the ceremony had complained and described something similar to what I had seen.

[@davepoulton7530]

I get the occasional Night terror, i am an alcoholic

[@David-xl9uv]

Dave how much do you drink and for how long ?

[@greensombrero3641]

excellent presentation - well done

[@BlazerDuck07]

This is the dude you don’t want when presenting at the ER. Someone that is more concerned with the etymology of his practice than the actual condition of his patients. I had an ED physician prescribe me a short taper of Librium to take home and it was not nearly enough to keep me out of the woods as I had a major tonic-clonic seizure two days out of the hospital. The protocol was severely mismanaged and it led to me almost dying. I followed their direction to the T and all I got for it was a seizure, trip back to the hospital and a huge hematoma on my head from flapping around while seizing up. Dudes like this are part of the problem. They care more about being right than being kind.

[@Linuleum]

Common problem

[@CallowMethuselah]

Could just as well be that he's more inclined to play the odds (e.g., not being "wrong"). Tort reform? Lots of scared medicine out there.

[@aroguereptilian]

How many days were u drinking? If u dont mind me asking

[@CallowMethuselah]

@@aroguereptilian That's a fair question and one that I hope the ER doc took into account when he prescribed to OP. You were asking the Q to OP, right? I've had struggles in this area but wanted to make sure you were asking blazerduck. B/c I've never had any sort of DTs but I hope to avoid them, and so I'd also like to know the answer to your question.

[@aroguereptilian]

@@CallowMethuselah oh my bad, yes i was wondering about blazerduck. Im coming down from a week long bender rn, about to go back to rehab. In always curious how long ppl are drinking that gets them to the point of dt's. Ive only experienced hallucinations once thank god, but times like right now i get so spooked from all the hangover anxiety etc

[@rodrickyt7132]

I think it's only me. I'm on my 3rd night and didn't get normal sleep, but when i look at my phone to pass the time it's like i passed out. I hold my phone and always dropped it like I'm falling asleep, but when i look at the time it's the exact minutes. And that happened several times now. It's like a blackout, but for a second

[@umbermuhammad-olstad5418]

Prepared for topic discussion tomorrow thanks!

[@MCLDPlumbing]

I am in this situation, but I can't get proper help from the UK. Takes too long to get help, and I am afraid I will lose it.

[@becky2235]

How much are you drinking? Im in the same boat yes the u.k. is useless

[@mildrednovales7656]

Thank you so much Doc. It was well explained.

[@aricstroop4388]

Anyone's heart rate spike from alcohol withdrawal? I quit 3 weeks ago and I'll have random spikes to 160

[@TINKYSTEELE]

Yup , it will pass. Lower your sugar intake

[@jaydunstall4641]

Yup can't get mine under 100bpm been there for 2 days...I need sleep...anything I can do

[@AD-cx2mw]

Thank you for this video ❤ it takes alot to care and you definately do. That was great information and we appreciate you

[@designwithdaniel]

Can someone please clarify the quote by Pliny the Elder? A few words are unclear to me and I want to be able to print it.

[@olaelkebbi9769]

great talk! Thank you!

[@howardsix9708]

i LEARNED A LOT. tHANK YOU FOR THE UPLOAD..................

[@m.whetstone881]

My son 43 called me Sunday night around midnight saying he was checking in Detox. Said they were taking his ph for four day’s He tells me he’s been getting sick for the last five Or six years if he didn’t drink. He said he has to have Twenty beers to keep the sickness away. So this also comes at a point that he’s had to drive himself to the ER a week ago. And after tell the ER doctor that he was having severe pain in his left arm and in his neck. Sunday night he’s telling me he had to return to the ER Friday night with severe pain again in his chest with high blood pressure also. My thoughts that possibly this might be a little too much after having his heart problems. Questionable thoughts about his health while starting DETOX after a possible heart attack?????

[@debbiesessin4360]

Thank You!

[@ken1102]

7th day for me and I'm as good as normal with no insomia and stuffs PS I was drinking 8 cans of beers 5 months straight

[@dx42]

You should explain what "bolus dose" means.

[@petermorrissey8497]

I unfortunately suffer seizures 2 hours after reducing alcohol.

[@williamblankenship6501]

I thought it was the siezers that was deadly. I didn't realize DT's are deadly

[@Yellowlabratory]

Like Jack in the movie The SHINING at the bar

[@ddtt958]

I've heard that people going through moderate and severe withdrawls get prescribed benzo's sometimes. Wouldn't benzo's just prolong the alchol withdrawls since they both have an effect on Gaba?

[@dustins_gram]

But it's easier to lower the dose rather give them 7 drinks a day and then 6, 5,4... Pills are easier to measure

[@gunnipanik]

the alchohol withdrawal is DEADLY, can't stress that enough. benzo's can put a cushion on it. They are long acting. your point stands yes the patient will withdraw from "whatever" for longer, but if it's serious alcohol withdrawal you're saving a life.

[@MarkSmith-tp6zc]

Poor delivery from this man, right, right etc. Until you've done a bottle of spirits a day you shouldn't be condescending in this manner.

[@shinetale3374]

Guilty conscience - he his a doctor not here to appease you

[@teokastelan2930]

Yeah. I know all about not all but most alcohol withdrawal. Rather as anex alcoholic and then the doctor. Dr has written some textbook what is happening… That is insanity ! People that came of the addiction. You should ask them for advice.

[@savingpeace8452]

This is interesting I was trying to firgure out why I didn’t get withdrawal from alcoholism now that I’m on lamotragine which is a calcium channel blocker I wonder if this has caused the difference as it’s the only thing that’s changed between the drinking and quitting before and the drinking and quitting now maybe a link there? I know I’m in withdrawal because I have the same stomach issues as I usually do and nausea and dehydration but not the shakes or extreme anxiety I always get and the flu symptoms it’s just the stomach pain like a sudden increase in stomach acid and gastritis type symptoms but not psych symptoms or flu symptoms shakes or severe anxiety and mood changes

[@savingpeace8452]

Also on qutiapine which effects dopamine but that never seemed to help before it’s only being on lamotragine that has changed been on 100mg for a year 100mg qutiapine for years the lamotragine didn’t seem to change the feeling of being drunk or my tolerance that I noticed just the withdrawal seems to have very few of the usual symptoms I’m wondering if being on it while I was drinking was somehow protective of my brains calcium and gaba pathways I’ve never had seizures I take the medication for bipolar so I was expecting to be more susceptible to mental health effects of withdrawal

[@RoRo-bg1qe]

Alcohol is the fucking devil.

[@ericrollings]

Could someone please make a video that speaks to the average person. This jargon is absolutely ridiculous and helps very few people.

[@franktremblay4860]

Been drinking since 9 it's brutal

[@labortechs5661]

This is the dont get used course

[@bluejay0895]

Okay great, we get the science… but what is it actually like?? Is what we’re looking for…

[@CopycatStudiosLA]

This guy talks like doctors write

[@rumit9946]

Coffee withdrawal is much worse

[@somexp12]

Are you serious?

[@rumit9946]

@@somexp12 nah just kidding

[@Keithzzzzt]

Coffee withdrawal does not kill you.

[@bruno12_3]

Let’s get the true facts in to schools but no cos it makes people very rich so it’s hid away 😢😢😢😢😢

[@the.trollgubbe2642]

This is scare propaganda for the rehab industry. It has the opposite effect, makes people be afraid of stopping

[@billcrawford5672]

They should be afraid. Quitting cold turkey with no help can be extremely dangerous.

[@the.trollgubbe2642]

​@@billcrawford5672 If I am addicted to drinking a six pack or a bottle of wine a day it's not dangerous to quit cold turkey. on the other hand of I drink liters of vodka a day, yes then it might be dangerous to quit cold turkey.

[@rawdonwaller]

I think it's a lecture for continuing professional development. Hence, it's a bit 'clinical' by nature. I do, however, get that it might not be pleasant for patients who have a problematic relationship with alcohol to view

[@chrisjohnson4272]

@@the.trollgubbe2642 Yeah that's what i believe i drink about a pint of vodka a day trying to get down to a half pint then soon quit for good

[@the.trollgubbe2642]

@@chrisjohnson4272 do it, you don't need rehab, just taper down slowly

[@great-garden-watch]

This guy is way too snarky and non compassionate

[@TaraCharlotte-me3sb]

his giving a lecture to med students. not patient. that’s probably why.

[@barbarabaumgartner1972]

Anyone that listens to this that was forced along others is sick!

[@suzannedarmiento8376]

How does someone do it with no insurance

[@ЮліяБомпа]

U r fucked

[@ЮліяБомпа]

As was i