Thank you so much again Kyle! We really appreciate your support!
@marykas7630
Жыл бұрын
I’m 11 and really wanting to be a neonatologist when I grow up so I am getting a head start on it now. Let me just say that usually when I’m studying jaundice or anemia or ect. I get very confused. I am sooo grateful for this video and how it explains things. This was great. Tysm 😅 It really helped with my studies! ❤
@TalaTalksNICU
Жыл бұрын
Mary! That is amazing!! 11! Definitely our youngest viewer (apart from when we've forced our kids to watch! ha!) We are SO impressed you are watching any medical videos let alone about jaundice!!! We think it is the BEST field in the world-so I think you're making a great decision. The babies will be so lucky to have you take care of them! We wish you luck and perseverance :)
@marykas7630
Жыл бұрын
@@TalaTalksNICU thank you so much!!
@tobyrichards9181
6 ай бұрын
That's impressive that you already have an idea of what your journey in life.
@Spicytots5
Жыл бұрын
Thank you SO MUCH for clarifying in 15 minutes what my professor couldn't convey in an entire semester. Wish I would have found your channel earlier!!
@TalaTalksNICU
Жыл бұрын
Oh wow! That could be one of our favorite comments ever!! Thanks so much- so happy you're here!
@JamesonMJr
2 жыл бұрын
I tell everyone about your channel. I'm a new NNP student and your videos are helping me tremendously. THANK YOU.
@TalaTalksNICU
2 жыл бұрын
That's so kind of you- thank you for advertising for us!!! ha! We're SO happy that these are helpful to you. It also all takes a lot more time than we had initially thought these videos would (ha!) and so I can't even tell you how motivating comments like yours are. They really keep us going! Thanks again for watching :)
@shahmirkhan5411
Жыл бұрын
Have my finals in a month. These videos made this topic so easy to understand. Thanks !
@TalaTalksNICU
Жыл бұрын
Oh we're SO glad they helped! Thanks for commenting and GOOD LUCK in your finals :)
@RY-zs6jx
2 жыл бұрын
Thanks u so much Doctor Tala. This video helped me understand 100 percent the difference between direct and indirect bilirubin. I love your videos and I love the way you teach.
@TalaTalksNICU
2 жыл бұрын
Oh Yay! That makes us so happy! Thanks so much for watching and for taking the time to comment :)
@Jo-mp3qo
3 жыл бұрын
Yes!! I have been too excited for this topic 🤗 Thank you
@TalaTalksNICU
3 жыл бұрын
Thank you so much Jo for subscribing and for continuing to watch!
@thejoyrandolphshow
2 жыл бұрын
As a mum, I found this really really helpful
@TalaTalksNICU
2 жыл бұрын
Congratulations on being a mum- and thanks for letting us know :)
@osamaalagamawy3891
2 жыл бұрын
محاضرة ممتازة ...حضرتك رائعة فى الشرح والتبسيط...بارك اللة فيكى
@TalaTalksNICU
2 жыл бұрын
I asked my father to translate -(myArabic is pretty shaky!) thank you so much Osama - we are so thankful you think that )
@mazeraj5
3 жыл бұрын
Thank you so Much Tala , can you make them Out of 10. 😍😍😍🔥🔥🔥...With Love from Tanzania, 🇹🇿
@TalaTalksNICU
3 жыл бұрын
Hello Mazera! Thanks so much for being here! We're so happy you're watching all the way from Tanzania :)
@samp3257
3 жыл бұрын
Wow excellent explanation. Starting from the basics really helped me understand a 100x better.
@TalaTalksNICU
3 жыл бұрын
Thank you so much for letting us know, Sam. To explain everything from the basics is really why we started this channel- so your comment was very validating! Thank you!
@sagarbadarkhe5506
Ай бұрын
Thank you Dr. Tala ❤
@TalaTalksNICU
Ай бұрын
Thank you for being here :)
@mragehemedi5328
Жыл бұрын
This so amazing,,Very nice presentation 👏 today i have gone beyond understanding 🔥
@TalaTalksNICU
Жыл бұрын
Oh yay! That's our goal- so happy that this helps :)
@hraqhraq
2 жыл бұрын
4:25 RBCs when it breaks down it will not release Bilirubin as you said; it will release Hemoglobin which then Macrophages line cells will pick up and start breaking it down to Heme and Globins. Heme is then further broken down to Iron and Bilivirdin; Bilivirdin then will be converted to Bilirubin by these cells, and the story does not end there
@TalaTalksNICU
2 жыл бұрын
Hello! Again- you're absolutely right. We missed out many, many steps in the bilirubin metabolism, and even more with what happens in the gut with bilirubin. So even though those steps are important for exams, research, future meds etc- clinically they're not as relevant. And here we're really trying to emphasize what needs to be known for better bedside care!
@wparsa
2 жыл бұрын
I really enjoy learning from your great doctor. Thank you so much.
@TalaTalksNICU
2 жыл бұрын
Thank you so much Dr. Mazhary for your lovely compliment!! Thanks for watching too :)
@ReemaAman-qh9wj
23 күн бұрын
Outstanding mam
@TalaTalksNICU
23 күн бұрын
Wow! That’s a lovely comment! Thank you!
@TS-kl8zg
3 жыл бұрын
Fun. Passionate. And greatly helpful! THANK YOU so much Dr. Tala for these amazing Videos. Would you please give a talk on fluid, nutrition, and growth? Thank you:)
@TalaTalksNICU
3 жыл бұрын
Thank you so much for your lovely words! Talk on fluid and nutrition is coming soon- after the NEC lectures :) Thanks!!
@123zuhhra6
Жыл бұрын
thanks. new nicu doctor here.
@TalaTalksNICU
Жыл бұрын
Congratulations! Enjoy your role!!!
@sonyamelzer
24 күн бұрын
Very helpful!
@TalaTalksNICU
23 күн бұрын
So happy!! Thank you!!
@hossamyasser8651
Жыл бұрын
Thanks, Dr. Tala.
@TalaTalksNICU
Жыл бұрын
Thank you for watching :)
@chineduokafor6763
Жыл бұрын
Crystal clear concepts 😔 where were this videos when I was in med school?!
@TalaTalksNICU
Жыл бұрын
So glad they're helpful now at allDr. Okafor! Thanks for writing :)
@thembiq6598
3 жыл бұрын
Thanks Tala. That was one of my requests, thank you so so much 💕
@TalaTalksNICU
3 жыл бұрын
Absolutely Themby! We're happy you're still here. More jaundice episodes to come too...
@lalohernandez5582
3 жыл бұрын
Does increased bilirubin negatively impact oxygenation by breakdown of the RBCs?
@TalaTalksNICU
3 жыл бұрын
When RBCs breakdown, bilirubin is released. (So a very elevated indirect bilirubin could imply that many RBCs have broken down and the patient is anemic. If the patient is anemic this could affect the body's oxygenation). Hope this helps??
@shinysamson8575
11 ай бұрын
lots of love from India ❤
@TalaTalksNICU
11 ай бұрын
THANK YOU! Thanks for subscribing and for taking the time to comment!
@elizabethmaejalbuna-arias4802
Жыл бұрын
Great Explanation Dr. Tala!!
@TalaTalksNICU
Жыл бұрын
Thank you! Thanks for taking the time to comment too :)
@teneshamoody8133
2 жыл бұрын
Thank you! You really made a complicated topic simple!
@TalaTalksNICU
2 жыл бұрын
Oh that makes us so happy Tenesha- literally our goal! Thanks so much for watching and commenting :)
@sagalahmed8374
Жыл бұрын
Thank you! Very clear and informative!
@TalaTalksNICU
Жыл бұрын
So glad you think so- thank you!!!
@UnisaAKanu
Жыл бұрын
Thank you Dr Tala, this is really educative
@TalaTalksNICU
Жыл бұрын
You are very welcome, thanks for being here!
@kebedealemu8859
Жыл бұрын
Excellent neonatologist.
@TalaTalksNICU
Жыл бұрын
Thank you so much for the lovely compliment!
@docammar8156
3 жыл бұрын
Thanks Dr tala.. cleared concept
@TalaTalksNICU
3 жыл бұрын
Thank you so much Doc! Appreciate you watching and commenting :)
@ZULFIQARALI-fe7zk
Жыл бұрын
The best lecture
@TalaTalksNICU
Жыл бұрын
Thank you! And thank you for taking time to write!
@ochiengjoseph8225
Жыл бұрын
Thanks so much doctor Tala
@TalaTalksNICU
Жыл бұрын
Thank you for being here!
@stillbreathing100
2 жыл бұрын
Your videos are awesome! Teaches me as to how to teach!
@TalaTalksNICU
2 жыл бұрын
That's SO great!! We love your comments. I think teaching, like everything else, is mostly a skill. The more we do, the better we are. But I agree, I've definitely had a few teachers that I'm like- I want to present the information more like her or him!
@drliaqatalishah
3 жыл бұрын
Handsome lecture by beautiful icon
@TalaTalksNICU
3 жыл бұрын
Ha! I took a screen shot of your lovely comment and sent it to Arianna saying 'we can quit now'! Ha! Thank you :)
@drazam325
3 жыл бұрын
Great feeling to hear
@TalaTalksNICU
3 жыл бұрын
Thanks so much Azam! We love seeing your comments :)
@patohchicha5273
2 жыл бұрын
Wow,was a good one,,thank you so much Doc
@TalaTalksNICU
2 жыл бұрын
Thank you so much for watching and for taking the time to comment
@MaryNyathi-g6h
Жыл бұрын
Great
@TalaTalksNICU
Жыл бұрын
Thanks for taking the time to comment!
@toady1up
3 жыл бұрын
FANTASTIC TEACHING!!!!
@TalaTalksNICU
3 жыл бұрын
Thank you so much for watching and for taking time to comment Robin :)
@toady1up
3 жыл бұрын
@@TalaTalksNICU As a new NICU nurse (coming from adult ED and oncology), your vids are critical to my personal learning! I cannot thank you enough for your depth and enthusiastic presentation!
@TalaTalksNICU
3 жыл бұрын
Thank you so much Robin! We really appreciate you taking the time to comment! And congratulations on your new role- you're going to LOVE it here!
@naseembaloch1359
2 жыл бұрын
Awsme lecture
@TalaTalksNICU
Жыл бұрын
Thank you so much Naseem :)
@lisarochester2978
Жыл бұрын
thank you, very helpful
@TalaTalksNICU
Жыл бұрын
So glad you found it helpful! Thanks for letting us know!
@UnisaAKanu
Жыл бұрын
Good
@TalaTalksNICU
Жыл бұрын
Thanks!
@AshishPriyadarshi-jj4ib
7 ай бұрын
Can you please cover congenital hypothyroidism?
@TalaTalksNICU
7 ай бұрын
Yes! This is a great video idea- straight forward too- we really need to cover this soon!!
@bwalyatubi6814
3 жыл бұрын
May you please discuss electrolyte imbalance too? And approach to dehydration in neonates....hypoglycemia and hyperglycemia
@TalaTalksNICU
3 жыл бұрын
Hello again! Yes! That is definitely high up on our list. Electrolytes/ fluids/ TPN is such a massive topic that we have been a little hesitant to start! We promise we'll get there!
@monjidibrahim1168
3 жыл бұрын
Big like 👍
@TalaTalksNICU
3 жыл бұрын
Thanks so much Monjid!
@FarahFarah02
2 ай бұрын
How does the conjugated bilirubin bind to albumin ? it is water soluble!
@TalaTalksNICU
2 ай бұрын
Albumin is apparently a genius molecule! I'm reading up on this but apparently it has different binding areas it can bind water soluble and fat soluble molecules. (Thanks for the question- I wasn't sure!)
@tamateyophelia9399
2 жыл бұрын
Thanks
@TalaTalksNICU
2 жыл бұрын
Thank you so much for watching!
@tobyrichards9181
6 ай бұрын
Tala can I use your video for teaching some nurses about Jaundice
@TalaTalksNICU
6 ай бұрын
YES! Hi Toby! Literally what they're made for :)
@ngawanajerydel8571
2 жыл бұрын
thank you
@TalaTalksNICU
2 жыл бұрын
Thank you for watching and for subscribing!
@christoph7817
10 ай бұрын
Do I „freeze“ the gestational age at birth or do I let it mature postnatally when calculating fototherapy threshol? I mean: if a baby is born at 34+6 days and is now 9 days old and has jaundice, do I use the fototherapy theeshold for 34 gestational age or the one for 36 weeks, since the baby has technically reached that age outside the womb?
@TalaTalksNICU
9 ай бұрын
Great question- we still use gestational age at birth (otherwise counting the '9' days old twice). I thin we should do an updated hyperbili video with the guidelines that came out since we made the initial series of videos. Thanks so much for being here Christoph!
@marionparsons2292
2 жыл бұрын
Thanks for the video! I have a question about interpreting lab values - we send them blood and they send us back three numbers, the total, indirect, and direct bilirubin. Does the indirect bilirubin value include only unbound bilirubin molecules, or is it a sum of the unbound and albumin-bound? For example, if the albumin is low, does that mean that a given high indirect bili is more alarming (i.e., more unbound and able to cross into brain) than the same number would be if the albumin was normal?
@TalaTalksNICU
2 жыл бұрын
Hello Marion! This is SUCH a great question and I wish I'd covered it better in the video! The indirect value includes both the bound and unbound values. So you're right- when the albumin is low we should be a lot more worried. (Especially since albumin is often low in setting of 'leaky' capillaries scenarios like in sepsis- which in itself would mean the blood brain barrier isn't as strong so same level of indirect bilirubin more likely to get into brain). There has been ongoing research to try to find a commercially available lab value that will only measure the unbound fraction.... Hope this helps! Thanks again for being here :)
@elizabethbenway5725
3 жыл бұрын
Does the lab value for indirect bilirubin include the bound indirect bilirubin? Bound bilirubin is not conjugated, correct? So is there a way to account for how much bound indirect bilirubin there is? Or does that not matter because it is bound and so not a threat?
@TalaTalksNICU
3 жыл бұрын
This is such a great question Elizabeth. Nearly every lab counts the total bilirubin (includes conjugated=direct, as well as unconjugated=indirect- everything that is bound and free). We don't have easy consistent ways to measure the free, unconjugated (indirect) bilirubin. As you said, this is what we really care about. So we have to make conclusions and guesses based on other values. So if the direct bilirubin is high- we are more concerned. (Not because it crosses the BBB, but because it will displace unconjugated bilirubin from albumin and increase how much free bilirubin there is). If the albumin is low, we are also more worried about how much free bilirubin there will be. Honestly though- even if we knew the exact number for 'free indirect bilirubin'- it still wouldn't give the full story. Each infant's BBB (blood brain barrier) would be different from others. If an infant is premature or has sepsis, they would have a weaker BBB, and so it would be more likely free bilirubin would get through. Does this all make sense??
@aishaahmedmaxamuud2926
Жыл бұрын
dr waxan ku su'aala maxa sababa biyaha raga soo daaha?
@TalaTalksNICU
Жыл бұрын
I’m so sorry- not sure what language so don’t know how to translate?!
@R999soup
3 жыл бұрын
amazing mam.can u make a video on bronchopulmonary dysplasia?
@TalaTalksNICU
3 жыл бұрын
Yes Riya! That is on our list! We'll get to it- we promise! Thanks for watching and commenting :)
@margaretgicheru-dh1ee
Жыл бұрын
Mum told me I had it
@TalaTalksNICU
Жыл бұрын
Lots of babies do!! I’m sure all is great with you now :)
@margaretgicheru-dh1ee
Жыл бұрын
@@TalaTalksNICU Yes,am now 36years.Glory to almighty God.
@reneswartz8916
3 жыл бұрын
Wow awesom refresher and well explained. Listening in all the way from South Africa
@TalaTalksNICU
3 жыл бұрын
Hi Rene! That's so great you're watching! SA is a bucket-list country for us :) Thanks for your comments!
@enesyldrm1431
3 жыл бұрын
Thank you for doing this!
@TalaTalksNICU
3 жыл бұрын
Thank you for watching and subscribing Enes! We appreciate this community so much!
@cynthiapridham2885
2 жыл бұрын
Thankyou
@TalaTalksNICU
2 жыл бұрын
Thank you for watching! And taking the time to comment :)
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