Gout Management

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Gout Management

Рет қаралды 32,550

4 жыл бұрын

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Пікірлер: 87

@melav9951 3 жыл бұрын

I'm a 5th year medical student, and since 1st year I never watched a video more than 15 minutes and now I've watched the whole 3 Gout videos on your channel which equal about 57 minutes! it was AMAZING clear, funny and easy to remember. I can't find appropriate words to thank you. You're a gift, Thank you :)

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊, dear!

@syedafatimanaz2501 2 жыл бұрын

Same thank you so much ♥️

@mariama.sgodhelpme2264 5 ай бұрын

I am Egyptian , and I started your videos from hematology you are the best from all Arabic and English videos , now I already have seen hematology , rheumatology , nephrology and I will see more and more , you deserve all the best , God bless you 🙏🏻

@Andy-vi1yt 3 жыл бұрын

I never expected to find videos on gout that were actually entertaining as well as informative, bravo! I suffer from gout and find your videos extremely informative, clear and useful. I won't pretend to understand everything but I feel I have a much better understanding of why I suffer from gout and how best to tackle it. So much more helpful than simply being handed a list of high purine foods to avoid! Thank you so much

@mahmoodwajeeh8282 4 жыл бұрын

I think! Allopurinol and Febuxostat used to decreases production of uric acid not increases excretion

@MedicosisPerfectionalis 4 жыл бұрын

Excellent...Thank you so much...I corrected it in recent videos...Thanks a lot!

@abhikhalder7351 3 жыл бұрын

Also uricosuric drugs are C/I in overproducers due to risk of urolithiasis

@tanayraj7800 2 жыл бұрын

Thanks!

@MedicosisPerfectionalis 2 жыл бұрын

My pleasure 😇

@hannahrosa5485 4 жыл бұрын

WOW. I can't imagine drinking four liters of water every day. Thanks again.

@MedicosisPerfectionalis 4 жыл бұрын

You’re welcome! I can’t imagine that either.

@AbhijeetSingh-nm2ll 3 жыл бұрын

TBH I drink around 5-7 litres on an average day, on days which I work out it may be upwards of 7 Litres. Anything wrong with me 😅😂😅?

@bencyber8595 2 жыл бұрын

excellent video👌👌👌 like it

@ireneroselleroldan-degroot5989 4 жыл бұрын

You make my hardest subjects easy, thanks a lot

@MedicosisPerfectionalis 4 жыл бұрын

My pleasure 😇

@karunam2294 3 жыл бұрын

Im binge watching your videos before my exam. Damn ! I feel more confident

@marwamohareb3895 3 жыл бұрын

Really I learned more from your vedios thank you very much

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@abcgames4454 3 жыл бұрын

Please make a video on Interleukin, cytokine and Interferon

@irvandrafhael3614 2 жыл бұрын

Whaw! What an explanation.. thank u sir

@MedicosisPerfectionalis 2 жыл бұрын

My pleasure 😇

@evahalimy3978 4 жыл бұрын

best channel ever

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@user-tq5zu9em9v 16 күн бұрын

Why is decreasing UA during acute attack not reccomended?

@DoctorsHub 4 жыл бұрын

Very useful video. Subscribed.

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@litanysttar4653 Жыл бұрын

egyptian bro ...... i love you ( from your egyptian sis)

@MedicosisPerfectionalis Жыл бұрын

Thank you!

@heliagolestani Жыл бұрын

Thankssss

@MedicosisPerfectionalis Жыл бұрын

My pleasure 😇

@vabbbb8308 2 жыл бұрын

Below GFR of 30ml/hr we don’t exceed the dose of febuxostat above 40mg/D

@saraisa633 7 ай бұрын

Feeling so sad that this came in the OSCE and i did not do very well so here i am to full the gap 😢

@MedicosisPerfectionalis 7 ай бұрын

I wish you success!

@amaturrahman7750 Жыл бұрын

Hasbunallahu wanemal wakeel

@codrut913 2 жыл бұрын

Best as always ! ! !

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 🙏

@elizabethv7411 3 жыл бұрын

Amazing teacher!

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏

@user-lm6hj7mk5v 4 ай бұрын

What does colchicine

@doman1795 2 жыл бұрын

According to the latest international guidelines for managing chronic you can start ULTs during an acute attack after two episodes.

@mubassirkhan3997 4 жыл бұрын

Love you sir 🥰♥️

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@bendagnadra2016 Жыл бұрын

I love your videos

@MedicosisPerfectionalis Жыл бұрын

Thank you 😊

@ericm1839 Жыл бұрын

"No correlation between uric acid levels and gouty arthritis" Sure, unless you also consider a patient's hydration, diet, and kidney function.

@rajajibran2695 2 жыл бұрын

Nice videos sir .could u please xplain y allo or febuxi use not in acute attack..thnx

@MedicosisPerfectionalis 2 жыл бұрын

We usually don’t use them in acute attacks! When the patient has acute pain, we manage the pain!

@ItsMe-jr6kd 4 жыл бұрын

always the best ❤ when will you make amazing videos about SLE ? i hope that as soon as possible great doctor

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊 I will try my best!

@vsrockpatil7155 Жыл бұрын

Dr medicosis, Febuxostat is no more used no..?

@2almar2 3 жыл бұрын

Truly enjoy touching on your channel from time to time, although I am retired now. Many patients eating low carb high fat (or even carnivore) diets report cessation of gout symptoms. Is it possible that the other mentioned risk factors for gout (soft drinks, hyperglycemia, alcohol, high triglycerides) are the most important risk factors? Thank you.

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much for your comment. Do you have any reference to a scientific paper were these results were published?

@2almar2 3 жыл бұрын

@@MedicosisPerfectionalis Thank you. One paper that expresses some congruency with this notion is "Hyperuricemia and Insulin Resistance" DOI: 10.1210/jcem.78.1.8288709 I have no academic or clinical research on red meat, only anecdotes.

@shawnmclean7707 2 жыл бұрын

@@2almar2 what are you noticing now? The trend seems to have been moved to meats and fruits, seen any flare ups? My anecdote: SAD - acute gout flare up and elevated uric acid Keto - no gout same uric acid 1yr Carnivore, high purines - no gout, lower uric acid (wtf?) 8mo High carb tubers and fruits, less meat- just had a gout flare up. No uric acid measurement. So my n of 1 is not correlating with this information. They said 20% of uric acid is added by diet though so my issue may not be food related.

@2almar2 2 жыл бұрын

@@shawnmclean7707 Hi Shawn. I’ve been fairly consistent with my low carb, mostly protein diet. I don’t measure uric acid. A few months ago my cholesterol panel was as one might expect: normal HDL, high LDL, super low triglycerides, super low CRP. I almost never eat green vegetable because of the oxalates. I’ve not been bothered with kidney stones for about seven years (since I went keto). But, when I fall off the low carb wagon I usually fall pretty hard. Only for a day or two, but the effects are nearly immediate: muscle cramps from hell, headache, and later, nausea. And yet I continue….wtf anyway. Why do it? I believe it is a sugar addiction.

@adoniswadi7111 Жыл бұрын

The nuts joke 😂😂😂😂😂😂😂😂

@MedicosisPerfectionalis Жыл бұрын

😂

@NoOne-uh9vu 3 жыл бұрын

One cheap and effective remedy for gout is Potassium Citrate. Very strange its not mentioned as therapy

@MedicosisPerfectionalis 3 жыл бұрын

What hard evidence do you have?

@NoOne-uh9vu 3 жыл бұрын

@@MedicosisPerfectionalis pubmed.ncbi.nlm.nih.gov/19911683/ufhealth.org/potassium-citrate-improves-uric-acid-stones pubmed.ncbi.nlm.nih.gov/3784284/ I had very effective and fast results with it myself

@MedicosisPerfectionalis 3 жыл бұрын

I am glad it worked for you. But the sample size of the study was just 8! Moreover, they gave potassium citrate to all of them, and they didn’t divide the patients into 2 groups, so we have no idea what would have happened to them had they not received the potassium citrate. The data is not reliable enough to reach any meaningful conclusion. Thank you so much for your comment! Stay healthy!

@NoOne-uh9vu 3 жыл бұрын

@@MedicosisPerfectionalis It definitely works and very effectively thats all I can say

@robertdaymouse3784 2 жыл бұрын

Agree. I think it is reasonable to conclude that if you increase renal excretion of UA significantly that you are going to reverse Hyperuricemia and in turn Gout. It took me 14 weeks, but I was able to correct my non gouty hyperuricemia by alkalizing my Urine to an average pH of 6.75 using 80 milliequivalents/day of alkalizing agent (and supplementing VitC a uricosuric and Quercetin an XOI). There are studies out of Japan showing the relationship between urine pH and UA excretion. My personal experience was that I increased my renal excretion of UA from 500mg/day to 1,000mg/day.

@amiraemam4802 4 жыл бұрын

عجبا لكم أيها المصريون :D :D >> بتسافروا بره وبتسيبولنا الدكاترة الديناصورات يعذبونا هنا :D :D

@MedicosisPerfectionalis 4 жыл бұрын

وفيم العجب يا أختي الفاضلة؟ 😂😂

@amiraemam4802 4 жыл бұрын

@@MedicosisPerfectionalis 😂😂😂 لا أنا قصدي إن الناس اللي دماغها عالية زي حضرتك يدرسولنا بالبساطة والجمال ده بدل الديناصورات😂😂😂 الأسلوب عظيم بجد 👍

@MedicosisPerfectionalis 4 жыл бұрын

I was joking 🙃 with you! Thank you so much for your kind words!

@nshab09 4 жыл бұрын

OMG so good!!! AKF --> AKI in a world of snowflakes! hahah I died thanks for the laugh in the midst of gout

@MedicosisPerfectionalis 4 жыл бұрын

Haha 😂 Thank you so much 😊 Stay safe!

@user-mu1vt7cy5u Жыл бұрын

Doctor can you send this pdf please😳

@MedicosisPerfectionalis Жыл бұрын

It’s on my website (part of Rheumatology PDF notes): www.medicosisperfectionalis.com/products/p/rheumatology-illustrated-notes-part-1/

@internalmedicinemadeeasy1591 4 жыл бұрын

The greatest doctor I have ever listened to. Are you really Egyptian?

@MedicosisPerfectionalis 4 жыл бұрын

Yes! Thank you so much 😊

@internalmedicinemadeeasy1591 4 жыл бұрын

@@MedicosisPerfectionalis I am proud of you. Best wishes from Mansoura.

@MedicosisPerfectionalis 4 жыл бұрын

Thank you 🙏

@haneenzayed8529 4 жыл бұрын

whats the app that use in making videos

@MedicosisPerfectionalis 4 жыл бұрын

It's a secret :)

@haneenzayed8529 4 жыл бұрын

@@MedicosisPerfectionalis 🙄

@MedicosisPerfectionalis 4 жыл бұрын

Sorry 😐

@ahmedosama5279 4 жыл бұрын

Are you really an egyptian

@MedicosisPerfectionalis 4 жыл бұрын

Yes

@ahmedosama5279 4 жыл бұрын

@@MedicosisPerfectionalis والله اتبسطت جدا ربنا يوفقك انا طالب ف سنه رابعه ف القاهره

@mariama.sgodhelpme2264 5 ай бұрын

How are you Egyptian guy😅 ?

@AhmedKhaled-zy6er 3 ай бұрын

You are egyptian for real or it is a usual joke ?

@Pedro-hk9ng 4 жыл бұрын

Slow down.