Good stuff to know as a person who goes outside alot and needs to know wilderness first aid.

Hi, I had an umbilical hernia repair 8 years ago that resulted in some complications that required a further 4 more surgeries in the period of 2 months in total. Three months ago, I started experiencing extreme bloating and trapped wind. When this occurs, I feel strong gnawing pains in my upper abdominal in my stomach area while at the same time I feel wind or movement around the navel area sometimes when this happens. My stomach is very noisy as well, as though there are a family of frogs living inside me. Could this be a partial bowl obstruction? I worry that the hernia is back but it seems the same in appearance. Nothing bulging. Then i thought, could it be from adhesion? I don't even know if I developed those but can they present a problem 8 years after surgery?

Walker Daniel Brown Lisa Hall Edward

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Love your video. Very helpful.

What if i only have the right belly ache with the other symptoms of appendicitis?

Johnson Gary Jackson Lisa Wilson Lisa

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I love your channel doc. Thank you so much for providing more knowledge for new provider like me regarding to wound dressings. Please keep sharing more about wound care in the future. I just subscribed your channel.

Thanks for your videos! 😊 Wonder if can use non-woven gauze as secondary dressing over a primary dressing such as Urgotul, Bactigras or Aquacel Extra or not, and taped over?

Hi, Doctor,I have been following this controversy, and here is a summary of the information I have gathered so far. 1.CAIS patients, even if their testosterone levels reach the range of physiological males, cannot gain any advantage in sports competitions compared to physiological females because the testosterone does not have an effect. 2.CAIS patients do not have menstrual periods. Are they correct?

Fascinating! Do you know of any helpful supplementations if it's been removed? Thank you!

👍🏽thanks doc 😷✌️

Wow did not know that! Can you take tumeric???

OK where are the doctors like you... they rush you through so much... no patience or comfort

Can you pls tell a book which has easy english anatomy

Great books, great guidance! Would you kindly recommend a book on sutures? I am a visual learner, I would love to see the sutures and their logic and the way they can be adapted to various situations/patients/wounds. Thank you for the great information shared! :)

awesome, thanks for the nice video and explanations!

Thank you so much for this video! I pray this condition is more widely studied. I was diagnosed with malrotation/ volvulus at 21 years old. I for about 2 years prior to that, I would randomly experience excruciating, acute pain in my abdomen maybe every 3 or 4 months. Went to emergency room everytime, and they always sent me home and told me that I was constipated. Thank god the hospital that performed my emergency surgery found the true cause of my pain. Before my surgery, they told me that I had 2 hours to live if I didnt go into surgery. Im 31 now, and knock on wood, have had no further issues. That whole experience was excruciating and terrifying. I felt really alone because I was the first person in that hospital to ever have that condition. So doctors really didn't understand it too much..

very insightful

I’ll tell you something. The response that your saying does not compute. Tylenol doesn’t help for a ICU pt with severe or moderate pancreatitis. However. I am finding it hard to find true help with my pancreatitis. I think as you talk about some of the labs you are on the right path. I find the providers are not helping very much. Nutrition has somewhat. I don’t know how to explain but I’ve been caring for patients and managing them for 19 close to my 20 years and even I find the response lacking. They hydrate and stick you in a room for 5 days and say you’re obviously drinking. It’s depleting

Apart from the moisture apparently wound needs to breath so it's to user a layer that keeps moisture but let's some air / moisture to get out

CAIS is an important diagnosis to make for pediatric surgeons

Man, I wish I had heard this before I started university back in 2018.

Very helpful and updated, hope you talk in details about the socioeconomic disparities affecting getting the treatment in time. And management plan.

Hi Doc. 👋 Once again, thanks for an awesome video. I'm just wondering if you could briefly comment in laymen's terms how a suture can stay inside the body for life and not break down or cause any problems? Is it a simple case of the suture being engineered for such conditions? Any information you can provide would be greatly appreciated. Thank you.

This video is not for a laymen

Hella whisky n e pills n being shot or any kind of surgery onn yo stomach go do so do it slow so yu cab do sum moe if yu liven lyfe onn da edge

Top video thank you doc. I really like Vicrly rapid.

This is a great one.

doc..Can you advise how to heal a nail toe surgery wound? Done woth my 1 wk antobiotic...its healing outside but i guess not completely healed inside.. pain is on and off after walking for a day... I dont know if its from nerve in or the wound inside..surgeon only renoved infected ingrown on one side of the nail ..

Thank you for this very valuable information! Looking forward to your next videos on this topic!

Wonderful explanation. Kindly make more videos in this topic ❤😀

This helped me ease my stress to prepare for my trauma lab ! thank you!

What about, “no pain just constant bilious vomiting”?

Do you have the secondary survey or ACLS rhythm video explanations in your trauma series?

Thank you for another essential video

keep posting! these videos are saving me on surgical rotations. - thankful MD student

CRNA student over here. You are such an amazing instructor.. I wish we had passionate teachers like you.

I can't wait to see the video 📸

Your vivid explanations helped me conceptualize my intestines. In my early adult years, I had two open abdominal surgeries [an oophorectomy and, a decade later, a complete hysterectomy]. I had two emergency GI surgeries a decade later, neither of which was the actual problem. The first was an appendectomy. The most prominent finding was severe intestinal necrosis near the appendix. The second surgery was a cholecystectomy. My pain really intensified for months to come after that surgery. I do not know what the underlying problems were, but I do see these surgeries raised the risk of intestinal obstruction. I have been hospitalized 3x for SBO since I was subsequently diagnosed with Crohn's disease (diagnosed in my early 60's). I have never had GI symptoms that are associated with Crohn's disease unless they were acute episodes. Even before diagnosis, once a year or thereabouts, I would have severe abdominal pain with nausea and vomiting, and it was not until I experienced significant weight loss associated with pain that Crohn's disease was considered. Still, I have extensive ulcerations down to the third layer of intestinal mucosa throughout most of my small intestine. I am being treated with the maximum dose and frequency of biological infusions. There has been minimal intestinal healing and some stricture formation near the ileum. When I had these SBO hospitalizations, the symptoms were as you described them, as were the imaging and lab findings. Each of these times, bowel rest and continuous NG suction resolved the obstruction. There were no clearly identified causes, and I was hospitalized outside of my regular physician's hospital. Communication and collaboration are not chief characteristics of the healthcare system - at least where I live. Once discharged, I return to my own physician, who attributes the obstruction as likely due to my prior abdominal surgeries. I am more interested in preventing and managing the occurrences rather than pointing the finger at past surgery vs. Crohn's strictures. I feel fortunate, yet --- SBO - whatever the cause - is exceptionally frightening. After listening to your informative talk, I will ask for a better follow-up examination instead of accepting, "These things happen when you have had surgeries."

QUESTION: How is it possible for intestinal ulcerations associated with Inflammatory Bowel Disease to heal if treatment continues uninterrupted irrespective of inflammatory markers? The insertion of bioactive wound dressings that have been tried for ulceration do not seem to be offered presently (where I live).

Very thoughtfully conveyed!

Top KNIFE 🎉

My Mum currently has a very bad case of pressure wound. The wound area is 30cm x 20cm and 10cm deep. Please can you recommend the best way to treat such wound. Cheers.

Why not albumin supplementation @8:41

❤ baths hosp confirmed bleeding ok

❤ .e ha e a definate obstruction and have carsonoid

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