3 months ago
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A Dad Drank 50 Beers Everyday For 6 Weeks. This Is What Happened To His Brain.

#emia #salt #chemistry #emia meaning presence in blood #Education
Patient JW portrayed by Justin Whang
Subscribe to his YouTube Channel Whang!
Patient JW was someone who presented to an ER in Chicago, early 2013, not Whang.
A really good video, more in depth, on hypotonic hyponatremia (aka beer potomania, or tea and toast syndrome) ► https://www.youtube.com/watch?v=CAQvH...
Music by Lifeformed ► https://www.youtube.com/watch?v=dq2AE...
Medicine (full playlist) ► https://www.youtube.com/playlist?list...
Other cases of natremia, A Mom Drank 3 Gallons Water In 2 Hours. This is What Happened to Her Brain. ► https://youtu.be/J3HivpHP-5I
A Woman Drank 1 Liter Soy Sauce In 2 Hours. This Is What Happened To Her Brain. ► https://youtu.be/QiBpKuTrFrw
This is a case of beer potomania, which is a very specific case of hypotonic hyponatremia. Humans need solute in order to produce urine. These solutes are predominantly sodium, potassium and urea, along with others..
Beer contains little to no sodium or potassium. Drinking only 50 beers daily for weeks causes solute loss, on top of vitamin deficiency and poor nutrition.
Slowly as sodium is depleted, more volume from beer is accumulated in the body.
Beer contains water, alcohol and carbohydrates, the latter which induces an insulin response in the body to prevent muscle catabolism.
Muscle catabolism could count as protein that would produce urea, but because of insulin response, it doesn't happen, further exacerbating solute loss.
The accumulation of water in the body and depletion of solute leads to chronic hyponatremia. This is because the kidneys need solute exchange in the process of urine production. If these solutes are absent, minimal urine is produced, and the urine that is produced is maximally dilute (eg low specific gravity) Neurologic sequelae from low sodium presence in blood include seizures and is an emergency.
In this patient, it wasn't clear whether he was suffering withdrawal syndrome, chronic hyponatremia, or both. In the case as it happened, the hospital ran out of medicines for the SE because it was so frequent, and needed to borrow twice from neighboring hospitals.
Osmotic demyelination syndrome appears to have a higher risk in patients who have more electrolyte abnormalities and metabolic derangements. Please see references for more information.
These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet, see your own physician in person for that.
Additional radiology images provided by Radiopaedia and Wellcome Collection
[0] An experimental study of the etiology of rum fits and delirium tremens. Q J Stud Alcohol. 1955;16(1):1..
[1] Sites of alcohol and volatile anaesthetic action on GABA(A) and glycine receptors. Nature. 1997;389(6649):385..
[2] Chronic ethanol administration alters gamma-aminobutyric acid, pentobarbital and ethanol-mediated 36Cl- uptake in cerebral cortical synaptoneurosomes. J Pharmacol Exp Ther. 1988;246(1):158..
[3] Electrolyte disturbances in beer drinkers. A specific "hypo-osmolality syndrome". Lancet. 1975;2(7928):245..
[4] "Beer potomania" in non-beer drinkers: effect of low dietary solute intake. Am J Kidney Dis. 1998;31(6):1028..
[5] Lancet. 2002;359(9310):942..
[6] NMDA receptors: role in ethanol withdrawal seizures. Ann N Y Acad Sci. 1992 Jun 28;654:52-60.
[7] Central pontine myelinolysis induced by hypophosphatemia following Wernicke’s encephalopathy. Neurol Sci (2003) 24:407–410

#doctor #biology #beer drinkers potomania #hyponatremia #hyponaetremia #liquor #sodium #beer #health #ethanol #osmol #aemia #medicine #salty #potomania #science #healthcare #hospital

Chubbyemu photo 1 A Dad Drank 50 Beers... Chubbyemu photo 2 A Dad Drank 50 Beers... Chubbyemu photo 3 A Dad Drank 50 Beers... Chubbyemu photo 4 A Dad Drank 50 Beers...

Wait you were filming that?

by Whang! 3 months ago

I'm actually extremely impressed that he could drink 50 beers a day without his stomach exploding.

by Void 1 month ago

A man was rejected from art school.

This is what happened to Germany’s
global reputation for the next 80 years.

by CrispTomato94 2 months ago

A brain drank 6 dads every day for 50 days. This is what happened to his beers.

by firecracker576 1 month ago

So remember kids, put some salt in your daily 50 beers.

by polycrase 1 month ago

I can't believe how far whang has fallen, he used to be a successful youtuber, now 42 and 50 beers every day.

by Celine Robin 3 months ago

Good Lord, I'm an alcoholic that hit my bottom and quit almost 5 years ago, 5 years on May 14. I was a beer guzzler too. I feel awful for this guy. I guess I got lucky. My health is good and I have no desire to ever drink again.

by Erwin Rommel 1 month ago

Aight guys the limit is 49 cans of beer.

by Mixxy Jackson 2 weeks ago

If I see Chubbyemu talk about the *osmotic gradient* one more time, I'm going to sit and play video games for 72 hours and then stand up.

by Esper 1 month ago

A 19 year old college student watched medical stories instead of doing his homework, this is what happened to his anxiety.

by Jeredan Surgeon 3 months ago

"JW" = Justin Whang

Head blown

by Abi Faiq 2 months ago

A foot had lettuce for two weeks. Here’s how his local burger king shut down.

by Minty Prion 2 months ago

My uncle was drunk 24 hours a day for most of his 63 year life. I can't remember ever seeing him not drunk.

by Dix Hadley 1 month ago

Alcohol ain’t no joke kids. I’ve been in the ICU twice for DT’s and I wouldn’t wish it on my worst enemy. At my worst I was drinking a liter to a liter and a half of vodka a day. Alcohol hepatitis, alcoholic pancreatitis, 2 Mallory-Weiss tears, once you get to a certain point not having alcohol will literally kill you. It’s one of the most dangerous drugs to withdraw from just like benzos.

by Jeremy Shipp 3 weeks ago

Bernard: starts talking about hyponatremia
Me: Ah yes, in this experiment I take a tube of water and submerge it in a bowl of salt water

by Kiwi Chicc 3 months ago

You know it's bad when replacing half his daily beer with a liter of vodka would keep him from getting overhydrated, and actually improve his health

by Richard A 1 month ago

Drink a can of beer every time he says "50 beers every day" and you too can end up in an emergency room.

by Chakster 1 month ago

A man drank 50 beers every day. This is what happened to his wallet.

by Julian Quah 4 weeks ago

How the hell do you drink 50 beers any day...let alone every day?!

by Chuck Balkin 1 month ago

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