Please continue to discuss cases like these! This was extremely helpful as a med student!

Explained to me esophaeal variceal bleeding better than my professor ever did 😂

Very interesting and wonderfully explained for those of us not in a medical profession, thanks

Your patients must love your explanations....you sound like the nurse after the doctor leaves the room and you have to explain what the doctor just said😂

I think this is super interesting on a personal level, because as a late teen I started getting nosebleeds. I'd been a nosebleed kind of kid, so I didn't think too much of it, but in the same year I was diagnosed with autoimmune hepatitis, which had resulted in enough scarring of my liver to be considered cirrhosis. It's interesting that despite being diagnosed it has taken me over a decade to put together the hows and whys of all the symptoms I'd had at the time. Thanks for confirming what at the time felt like wild theories. (tbf, what 17yo actually knows what a liver does, right?)

A great example of the healthcare 'team' approach. Each specialist contributed their own knowledge to the case and helped each other to ultimately save the patient. Very clear explanations also, much better than plenty of doctors I've worked with 🤣🤣 Keep it up doc!

Hey, I'm not even a med student, but this is just very interesting

As a retired M.D. I enjoyed this. I always enjoy reviewing my medical knowledge and dusting the cobwebs off the old little gray cells. Thx!

I have great respect for GI doctors. I have crohns disease and I was very, very sick going into the ER. I found out I had a fistula with a softball sized abscess in my abdomen. I ended up in the ER three more times and each time, my abscess got worse. I ended up seeing a gastro specialist who gave me a drain which came out of my abdomen with a tube and basically a fluid collector. I ended up with three of those, one after the other, then I had surgery, they took over a foot of my intestines out. I'm pretty sure that I wouldn't be here without the awesome Gastroenterologists who were great at what they do....

Fascinating case! Always frustrating when experts in any field explain things in a restrictive way so that people with less training can’t understand.. really appreciate the time you took to explain the pathophysio in a way everyone can understand!

Those nose bleeds can be a nightmare. And the treatment is not fun. I bet he was glad to be sedated for a bit. Great story!

You are a great teacher doctor.

As a nurse, this is refreshing to watch

Fantastic case review! I really enjoy the explaining of the thought process between each procedure! 🙂

Great case review! Really educational for me as an incoming medical student!

Awesome case review, and awesome for the patient as well. Cheers from France ! :D

This is awesome! I hope you do more of these in the future! I’ve been bingeing and loving all of your videos! Short and informative while being easy to understand!

Good stuff- I love this type of video, it definitely helps me review important concepts in a short amount of time! I look forward to the next one!

That was totally awesome. I hope we can hear more of these.

I love this new concept. It’s so interesting! Please do more of these🙌🏻

Impressive how well this complicated health emergency was presented in an interesting and informative manner. Great job!

As a retired RN who worked only in L&D, I really appreciated your clear explanation of how the final diagnosis was reached and it was really interesting to hear how the patient's disease impacted his ability to clot blood and led to esophageal varices. Pathophysiology I had forgotten, since we don't see these things in L&D. I suppose technically we could encounter it if a patient was a longstanding alcoholic.

That was an awesome description of this case. Thank you for sharing it. Hope the patient is ok.

Phenomenal. That’s a really great story that may help someone… Fine job Doc.

This is very interesting. Thank you for sharing it. Please post more cases!

Very interesting! Understandable and yet just complicated enough to be stimulating, well explained and entertaining (you are a good narrator)

Man your everyday videos have made my day and this is one of the first things I watch first after waking up. It's step 1 prep after that. Thanks for making my day for the past couple of weeks.

I would love to see more on call cases like this! Very approachable and informative, both for a student like me and laypeople. Please keep them coming :)

Wow, thanks for your alertness and sharing this with us. Sometimes the body and symptoms present uniquely which makes it difficult to treat for the medical team. Thanks for your coordination with other medical teams to treat the patient

This was really educational, I learned a lot!!thank you!!

Thank for this. I do appreciate learning things like this. A video suggestion I have if you have not done it before is what effective interdisciplinary care looks like for you? I am a hospital chaplain and always appreciate the times when doctors, nurses, social workers, therapists and chaplains can work together to help a patient heal.

Love this style of video!!! Thanks for the education!!

I really enjoyed this video Doc, nice little change.

Thanks for the very clear explanation-I can encourage this video educational purposes when precepting new nurses in our s/p acute care setting. Excellent work.

I hope he had good insurance. Those procedures and three specialties all at the same time wouldn't be cheap...

Wow, you guys (all 3 docs) saved this guy's life! He would have bled to death. My husband had an esophageal ulcer that had been bleeding for 3 or 4 days very slowly. He was telling me he had dark almost black tarry looking stools. I tried to get him into the ER because I was convinced he was bleeding internally. He refused to go until on the 4th day he was very weak and now scared. I barely got him into the car. They found a slow bleeding esophageal ulcer. He was given blood transfusions. Nothing to mess around with.

Man, this tells me that even “simple” problems like nose bleeds can be deadly with the right set of circumstances.

Great explanation and bedside manner. Keep 'em coming!!

Fascinating. Really educational and informative. Thanks!

I love these clinical cases discussions, excellent video. This made me remember a class in med school, about GI bleeding, rectal exam and most common anal and colon diseases. Professor teached us that it was of paramount importance to clearly understand and differentiate the terms "hemoptysis, hematemesis, hematochezia, melena, rectal bleeding and epistaxis", and how of these can mimic each other . He had a odd case in his early career (early 90s ), when a patient consulted him for rectal bleeding, despite not being his area of expertise.

U r solidifying my concepts till the core!!! Love ur videos

Please continue to explain cases and medical scenarios it's going to help me think further in my nursing career. Thanking you.

Love hearing about these cases!! Can we hear more?

Thank you foe all the good information!!

This is an amazing case! Thanks for sharing

DAMN!! This is crazy- love your page, love your humorous posts ( with that wig you remind me of a medical extra from Kids in the Hall lol) but truly the ability to quickly explain a situation is really great - been on both sides in the medical field and you seem like someone not only great to work with but also be treated by- can’t wait for more from you!

That was scary but informative! Thank you Dr. Schmidt

Excellent case description. Just excellent. Thanks so much. Changing our knowledge and experience as patients and caregivers. ✨🤪

Cool case! Thanks for sharing. Nose bleeds remain some of the scariest cases I've seen. I know it'd get fewer views, but I'd love to hear you talk about interesting cases aimed at a medical audience.

So interesting and you explain things very well! Thank you!

Great review of the case. Shout-out to the background team who coordinated this complicated case, and kept the patient alive. 👍

Perfect example of anatomy and physiology!

Omg , I just had same case during my icu rounds today , literally had to call ENT and scope . Great case . We all anchored variceal bleeding however it was epistaxis as in this case. Please share alike cases man, it is awesome. Funny thing is that I always watch you as I am practicing medicine but when I saw this case tonight , your video about this particular on call case popped up it is so hilarious ! Big brother watching and listening us

That was amazing, thanks Dr. Schmidt

This is so good thank you for sharing I wouldn’t mind more of these type of videos

Very useful for someone who is (most likely) going into the medical field either as a paramedic or nurse

Wow! I remember my days as a med student at the VA. We saw lots of bleeds: always dramatic and very poignant. We learned a lot from those patients--God bless!

I love how you’re able to explain things for non-medial folks without making it sound like you’re talking down to them!

This is facinating , thanks for doing this👍

Thanks for the great explanation. Quite educational.

Loving these educational ones!!!

Thank you so much. I learned so much. And you have a fascinating way of telling about it. Please make move videos like this. Love when you make me laugh. Love every more to learn a lot. And a great story

No wigs involved, but I was entertained and educated none the less.

Wonderfully presented video. Helps lay people like me understand things easily. I've had the good fortune of doctors explaining things to me with diagrams whenever I've had to visit one for a serious issue. Helps us get on board with the plans better

Great review, great case.

I'm concerned about his medical bill with 3 different specialists consulting 😂😂

Very interesting story!!! 🙏🙏🙏 thx for posting!!!

Most helpful explanation ever. Thank you

So interesting! My dad had NASH and ended up going to the ER for variceal bleeding prior to his transplant.

Great Video! Thank you!

I liked this! I learned new things today! Thank you!

Very interesting! Would love to hear more about alcohol-related health issues as I have a lot of alcoholics in my family tree.

As a pharmacist, I love these cases. I work in community, so I don’t get to see exciting cases like this. I’d love to hear more case studies!

Such an interesting case. Thank you for sharing.

I always wondered why a relative who had NASH needed their esophagus examined. This was a really good explanation for it.

Wow Doc very informative and thank you for explaining it so well I appreciate it. ❤️

Great video! Should do more cases like this!

Keep these coming please! Love more education content on the KZfaq channel since IG reels isn’t the best platform for it

really love this kind of cases things. it's interesting and also a learning experience.

Even I have read about nose bleed dripping in the gi tract and getting misdiagnosed but I always thought that the amount will be less. But this seems so serious. Really a difficult and Mysterious case. Thanks for explaining.

Wow! What a detective work! Good job to all the different "scopers". Very interesting. I hope patient survived all these manipulations and doesn't remember the pain.

Wow, love the twists and turns! Cool case!

This is a very interesting case. Good example as to why it is important to keep a broad differential.

Oh my gosh!! 😱 Good work in there team! Glad this had a happy ending ☺

Wowza! This guy was one lucky patient!

I loved this educational video! Please do make more

Interesting story. Relentless bleeding noses and tonsils are serious business. Usually these roll into the ER and then subsequently the OR late in the evening and in the middle of the night. Airway management prior in intubation can be tricky.

Fascinating!!! Do more!!

What a great explanation! You definitely explain everything really well! I had a pt similar to this. There was no cirrhosis, so varices were not a concern. But as the nurse I examined the guys mouth and saw the blood dripping down his throat. We knew he'd been on Coumadin and was supertherapeutic. ENT did everything they could at the bedside, rhino rockets, Foley catheters...we gave vitamin K, but nothing worked. We had to transfer him to a larger facility to be coagulated. It was wild!

I love this type of video. That was a very interesting case!

This was a very informative video and I very much liked the diversion from the usual comedy videos

I'm learning so much. My God! What this man went through for a nose bleed!

Really appreciate these info videos too!!! Pam, FNP

Just finished rough consult call on psych, but at least none of my patients were bleeding!

This was so awesome please do more videos like this

Interesting case.. please keep sharing cases like these

I love on call case studies! As doctor of an ER this was really interesting. (Also currently learning medical terms in English) Looking forward to more of those in the future. On a sidenote: I got a bit confused about you being on call for a hospital while sitting in another hospital's office? Is it a group of sister hospitals sharing their on calls during night/weekend shifts? When I am in ER,( I am somewhat equivalent to a resident in second year), we always have a Nose/Ear/Throat doctor available to quickly scope the nose. There is a lot of nose bleed arriving at our ER, and quite often I snatch them away from the Nose/Ear/Throat doctor after he fixed the bleeding because I peeked at their blood pressure and that often is around 220/110mmHg or higher. I am in cardiology 😉(Do you measure blood pressure differently btw? With your weird non metric system?) So nose bleed would be dealed with right away before I would call in my on call senior, in case the bleeding is red and not black of course. "Can you come scope him?" is a sentence I said quite often still ;) What was the weirdest thing you found when you scoped someone? Like, things they swallowed per accident and caused them to call 911?

This was informative 👏 and dr.schmidt story telling is on point 😁

Such a great case study, with amazing explaining skills! This was way better than any of my attendings could do. Pls do more of these videos!

Super helpful for an intern! Thanks!