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Lactulose at the end of the shift is a priceless tip. 😂😂😂 I remember being new giving Lactulose and 💩 ran like the might rivers on a bedbound obese patient. Literal tears came to my eyes after the 2nd cleanup.

gotta laugh at yourself, as a patient and provider, thank you for bringing a smile to my face this morning

my friend just had a liver transplant. I watched the first video and will watch the others this week! I thank you for your lectures as I had no knowledge of the functions of the liver. very interesting! thanks again!

You really got a talent, glad you are sharing it with the world!

i liked this because of the sheer creativity that went into this!

Thank you very much!!! I really love your videos, they help me prepare for my patient assignment in my acute placement. I've used you for the past 2 weeks, and I just wanna say I appreciate the way you explain things in such an understandable and memorable way.

Really great video, broke it down really nicely and easy to understand. Thanks!!

This was so so much helpful for my next GI accessory exam. Thanks

You're best lecture yet man. Really well explained.

Mike you are such a wonderful nurse and instructor!!! Thank you always ☺👍👍👍👍

Omg thank you so much! I learned more in 30 min than I have all session lol I hope you continue to share your knowledge with the world!

Dietary protein restriction is rarely needed and no longer recommend as first-line treatment because it can lead to a worsening nutritional state in malnourished patients.......-Davidson's textbook of medicine

OMG!!! this is excellent!!! you are a life saver!!! i really appreciate you!!!

I love you! Looking forward to passing my test. Thanks!

Great intro and very easy to follow style of presenting! Very cool.

wow!Just a genius can convert a boring subject to an intersting one!!!You are seriously gifted at this!!I could also buy your songs :-) you are talented!

I just love the song, I have to tell my GI. I just had a liver transplant on March 24, 2016 and I really know what HE is , not fun Great video, love the lyrics and vocals

the first time I watch the video ...the beginning part annoyed me...but now I love it

2 hours of studying pathophysiology on my own and I still had no clue BUT within 5 mins I understand and was also able to link intervention to patho. thank you SOOOO much

this made me come back to life after studying for so long

best so far. thanks

You are awesome, thanks for sharing. Stay blessed!!

thanks for the vid, really helped for my upcoming medsurg2 exam!! excited for graduation next year :D

I would also like to see the Hepatitis lecture thanks......YOUR LECTURE ARE AWESOME!!!! wish you were my teacher when they discussed those topics

Cool song! Love it!!!

No neomycin with renal impaired patients. Thanks for the videos!!

Thank you so so much! Regards from Turkey

Great from Sudan thank you

so helpful and funny! i love these old videos.

Your awesome! Thank you!

I wonder about cortrak feeding of something of the simple carb variety to prevent the patient from metabolizing muscle tissue in the absence of other energy sources?

Thanks heaps :) You are reaching pharmacists too

whats out dated? Is it my hair cut? i know :-/ but i just recently got it cut :P lol

Thank you

I love your song, helps me remember well, lol

You are awesome!

superb.......

Awesome Video ! :D Thank you Sir :D

very helpful

I'm not a visual learner But I must admit he is amazing.

What's the safest pain medication for the liver? Thanks :)

thnk u very understandable.

Thanks dude! :D

Thank you for great lecture ☺️

I was a daily drinker for ten years. I also don't know how long I've had hep c. I was diagnosed this, based off bloodwork, during a hospital visit, for an unrelated injury. They said advanced liver disease. If I had cirrhosis, they would of told me, right? And can I repair my liver?

Quick question: 1. Once the patient is treated for cirrhosis , does the ammonia that is already produced during the liver dysfunctional period still preside in the body and not excreted out in the form of stool or urine? 2) can 97 umol/L be considered to be high ammonia level for a female patient of 55 years of age? Thanks a lot in advance

Pov: it’s christmas and you still have finals

Wthell! Brilliant man 😍

You should update this video pertaining to protein intake...

Does anyone know where the bit on hepatitis is?

You're the bomb.

If you don't mind me asking, what's outdated? This is a pretty similar to what I learned in lecture the last 5 weeks, so I'm curious.

Too funny! Yes end of the shift!!🤣

great

how does alkalosis exacerbate hepatic encephalopathy ??

I have HE and take Lactulose and Rafaxamin. No neomycin. I think Rafaxamin is also an antibiotic. Nobody told me to cut back on protein either. 🤨? Do you guys know when you're going to have an HE overt episode?

How can be see normal symptoms of hepatic encephalopathy in patient ?

How does one get better

Your amazing

Do you work in ICU? You are brilliant!

Mike put up some pancreatitis vids. Thanks.

At the end of Part 3, you stated the next segment was going to be hepatitis....am I missing something here or is my brian just fried/stressed?

I think I'm recovering from a medium amount of HE, but it's been over a year since I had it pretty bad. I've changed my diet, and done a lot of other things to get rid of 80% of it. I never got tested specifically for this, though. Would just a regular test detect it? Especially now that I'm a lot better? Is there even a point to going to the doctor?

Lol loved the intro....

supergrover808 is right i purchased vip but i don't see hepatitis

i love this,,,omg...oh btw wanna know what happens to the human liver and kidneys when you take accutane for 10 years cycling off twice....and creatine for twenty year...cycling off 5 times for no more than two weeks a time? come on down,*Decard cain voice* stay a while and listen.

Two minor issues: 1) protein restriction is only recommended now for acute HE or intractable HE; restriction used to be routine but hepatologists now are more concerned about malnutrition so many times they are encouraging moderately high protein diets. However, restriction is appropriate for acute cases. 2) Lactulose doesn't exactly draw ammonia from the blood. Rather, it binds to it in the gut and prevents it from entering the bloodstream, and it speeds transit time, reducing absorption.

haa lol yes lactulose at the end of the shift. I love ur teaching!

THIS IS GREAT 🤣🤣🤣🤣😭

I posted a comment that I barely remember making. The comment was unfair so I removed it. I suffer from minimal HE and this was outside the scope of this video, but it is an important topic since it seriously affects quality of life. For instance, we may make unfair comments on youtube videos and start unnecessary controversy :)

Hahahhaaaaa!🤣😂🤣😂🤣 Who knew cirrhosis could be so funny?

82% guaranteed? Yikes😫 My school drops us if we don't get 90% on a test. .

ok, I laughed.....

hahahha! oh yeaah we do that.. give lactulose near end of shift hahaha

I suffer with " he " had varciecies bleeds, had shunts and coils fitted. I'm yet to have fluid problems. this disease is Shit and causes so much problems yet all you ever here about is cancer. I don't get the protein aspect, you loose alot of weight with this disease and are advised to eat alot of protein to maintain muscles mass. I'm confused

If you're deaf, this video would be the most confusing thing in the world. The CC's on this video is hilarious.

already DONE :) on my VIP Video VAULT @ simpleNursing, com

Lactulose ... not lactalose .

On behalf of everyone we want the lyrics 😂😂😂

Too funny give lactulose at the end of the shift lmbo got it! just kidding!

❤😂

😂😂😂

Awful

This illness is not at all funny. I have no idea what you are trying to do....... but ..... NO.

Your presentation was ridiculous. How unprofessional.

😂😂😂