A Farmer Injected Cow Antibiotic Into His Leg. This Is What Happened To His Organs.
2,684,219
Published 2023-03-04
Patient JC by Eric Wolfgang Nelson, some minor details of case changed due to logistics
Thanks to the Bouckaert Family Farm
Music by R. Prince, rearranged
Some music by @Lifeformed ► lifeformed.bandcamp.com/
Spanish Translation and Dub: Cenzontle Voices Inc, CDMX
Medical Reviewer: Dr Araceli Morga Vera
Portuguese Translation and Dub: George Frederico
Chinese Translation and Subtitling: Jason Wong, Marlon X, Kaya
Japanese Translation and Dub: Chihaya Hanai @rasha1m833
In-depth channel: @HemeReview
Secret channel: @BigEmus
Medicine (playlist) ► • Medicine
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.
References:
Second Case Report: www.cdc.gov/niosh/face/stateface/ne/04ne099.html
Macrolide Antibiotics and the Risk of Cardiac Arrhythmias. www.ncbi.nlm.nih.gov/pmc/articles/PMC4061901/
Toxicity of macrolide antibiotics on isolated heart mitochondria: a justification for their cardiotoxic adverse effect. www.tandfonline.com/doi/abs/10.3109/00498254.2015.…
Cardiotoxicity of macrolides, ketolides and fluoroquinolones that prolong the QTc interval. pubmed.ncbi.nlm.nih.gov/12904146/
Micotil Injection. journals.lww.com/em-news/fulltext/2005/08000/micot…
American Association of Poison Control Centers database characterization of human tilmicosin exposures, 2001–2005. www.ncbi.nlm.nih.gov/pmc/articles/PMC3550109/
Analysis of reports of human exposure to Micotil 300 (tilmicosin injection). avmajournals.avma.org/view/journals/javma/229/11/j…
Micotil Injection. content.elanco.com/en-us/product/beef/micotil/mico…
Another tilmicosin case report: journals.lww.com/em-news/fulltext/2005/08000/micot…
ILE Failure in CCB Toxicity. casereports.bmj.com/content/15/1/e245711
Simplified Heart Muscle Cell Diagramkids.frontiersin.org/articles/10.3389/frym.2019.00…
Tutorial on Electrophysiology of the Heart. icerm.brown.edu/materials/Slides/tw-14-1/Tutorial_…]_Sam_Dudley,_Brown_University.pdf
Macrolides. tmedweb.tulane.edu/pharmwiki/doku.php/macrolides
16S Ribosomal RNA Methylation: Emerging Resistance Mechanism against Aminoglycosides. academic.oup.com/cid/article/45/1/88/481913
All Comments (21)
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English, Spanish, Portuguese and Chinese subtitles available (click the Settings cogwheel or the 3 dot button on mobile to select) Spanish and Portuguese Audio dubs available in the same menu 8K resolution available in, you guessed it, the same menu 😏
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A full recovery = 😁 A recovery = 😔 At autopsy = 😭
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You know if a farmer shows up to the emergency room, they are at death's door.
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Cases like these make me extra sad because this was an honest accident. He wasn't being dumb and fooling around with medicine, taking 10 times the normal dose on purpose for a joke or to impress someone. He knew what he was doing and it went wrong because of something outside of his control.
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Reminds me of something that happened to an old chef I worked for. He was a cattle farmer and also used chewing tabacco (this will become relevant) and had a similar experience with one of his cows. He got kicked in the chest so hard that he went into cardiac arrest and was barely able to call his then girlfriend to get on the phone and call 911. He ended up in a coma and seemingly made a full recovery. Fast forward a week after he wakes from his coma, and he gets a lung infection. This was from the chewing tabacco he had in his mouth, which he swallowed during the kick and some got lodged in his lungs and created the infection. He went septic and was put in a medically induced coma. This time when he woke he had some sort of brain damage and couldn’t read, walk, talk, or anything. He had to relearn how to do all of that. After hearing that I was very surprised that the man is even alive today.
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My dad got bumped when trying to give a cow an injection, and instead, he got the full dose. Fortunately, it was for tetanus. When he went to emerge, the doctors chuckled and told him he now has lifetime immunity. Watching this was horrifying, because it could have been my dad.
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My wife knew this family and is familiar with the accident. Micotel has no antidote and NIOSHA recommends using other much safer antibiotics. They also recommend single dose loading of the hypodermic injector......one dose, for one animal at a time. Also recommended is a hardened carrying case to transfer the injector to the stall where it will be used. All stalls should be solid built and if possible the ones next to the working stall vacated. Lots of ways to die out here in the country!
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It's rare to see a video on this channel in which the poisoning isn't caused by someone's sheer stupidity and is simply an accident.
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There's not much that's as heartbreaking as hearing Emu say the words "at autopsy".
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At least JC didn't do this on purpose, and told the doctors what happened. Edit* jfc 7.6k likes? Don't think I've ever had so many people agree with me on anything lol
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My heart sank when he said ‘at autopsy’. What a terrible freak accident. I hope he at least got a glimpse of his family before passing. Just a working man doing his job.
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Oh his poor family. JC worked a hard honest job to provide for his family and they all suffered from this terrible accident. Much love to him and his family <3 I hope his family is doing okay and JC is in a good place <3
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I remember when this happened. What a great father, husband, son, brother, uncle, friend.... RIP RJH 1979-2016
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This may explain why my grandfather, a cattle farmer, had his chutes set up so the side you climbed up on and worked on the cattle was outside the field with the other animals. Until this video, it never occurred to me that one of the other cattle might get persnickety when your focus was on the cow in the chute. Gramps always had a lot of common sense. Wish more had rubbed off on me.
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One of the rare cases you've covered where the patient not only could tell the Doctors what happened, but was actually truthful about it too.
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Hats off for the farmers and ranchers who risk it all to bring us wholesome food. 💜 RIP JC
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The shot of the farmer waving and walking away made me cry. How horrible and sad. His poor family, too.
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For once, here's a patient who did everything right and it still wasn't enough. How heartbreaking that he didn't even get to see his family again. As someone currently doing their nursing degree, one of my biggest fears is definitely accidentally injecting myself of someone else with the wrong medicine or a wrong dose. There's no room for error doing this type of stuff, and there's good reasons for any and all regulation of the process.
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Everytime he says autopsy instead of recovery, my heart drops a little. I feel for JC and his family.
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Aww, normally there's a more positive outlook to these stories, either a partial, a somewhat or a full recovery, it's rare to hear a story on this channel of a death. I'd like to thank the family of the farmer for giving permission for this story to be published, and thank you to our host for dealing with this subject so sensitively.