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Dr. Chad Board Certified ER Doctor👨🏻‍⚕️🩺💊🥼
Medical stories & education🏥📚🩻🧬🦠
TikTok: 250k 👥
Matthew 9:12 📖

10/18/2026

Alternating Esotropia 👀

What causes alternating esotropia, and how is it treated?

🔎 What is it? Alternating esotropia is a type of strabismus in which either eye can turn inward toward the nose. The person can switch fixation between the right and left eye, rather than consistently using one eye.

🧬 What causes it?
• Refractive errors: Significant farsightedness (hyperopia) can cause the eyes to turn inward as they accommodate to focus.
• Abnormal eye muscle control: Disruption in the coordination of the extraocular muscles can lead to misalignment.
• Genetic factors: A family history of strabismus may increase the risk.
• Neurologic or developmental conditions: Abnormalities affecting visual development or eye movement control can contribute.
• Unknown causes: In many children, no single underlying cause is identified.

🏥 How is it treated?
• Corrective glasses: Can correct refractive errors, particularly accommodative esotropia associated with farsightedness.
• Amblyopia treatment: Patching or atropine drops may be used if one eye develops reduced visual acuity.
• Prism lenses: May help manage certain forms of double vision.
• Strabismus surgery: Adjusts the position or tension of the extraocular muscles to improve eye alignment when needed.
• Treatment of underlying conditions: Necessary when an identifiable neurologic or other medical cause is present.

⚠️ Why does early treatment matter? Persistent eye misalignment during childhood can interfere with normal visual development and contribute to amblyopia, commonly known as lazy eye. Early evaluation by an ophthalmologist, ideally one specializing in pediatric eye conditions, can help prevent long-term visual complications.

🩺 New-onset esotropia, particularly when accompanied by double vision, severe headache, or other neurologic symptoms, warrants prompt medical evaluation.

10/15/2026

How to actually cut your toe nails 👀

10/13/2026

Macrodactyly: When a Finger or Toe Grows Abnormally Large 🖐️

Macrodactyly is a rare congenital condition in which one or more fingers or toes grow significantly larger than the surrounding digits. This happens because the tissues within the affected digit—including bone, fat, skin, and nerves—grow excessively.

The condition can be present at birth or become more noticeable as a child grows. In some cases, macrodactyly is associated with overgrowth of peripheral nerves or genetic mutations that affect cell growth.

Treatment depends on the severity and may include surgery to reduce the size of the digit, improve function, or address deformities. In more severe cases, multiple procedures may be necessary as the child grows.

Although macrodactyly is benign, it can affect hand function, mobility, and quality of life.

10/06/2026

An ankle dislocation is a true orthopedic emergency. 🚨

When the ankle is severely displaced, urgent reduction is needed to restore alignment, relieve pressure on surrounding tissues, and protect blood flow to the foot. After reduction, the ankle is immobilized and imaging is obtained to evaluate for associated fractures and determine the next steps.

This is one of those moments where **time, technique, and neurovascular assessment matter.**

09/25/2026

Wait for it 🫣.. Can you watch this without wincing??

09/15/2026

🦴 Pseudoarthrosis (Nonunion): When a Broken Bone Doesn’t Heal

Pseudoarthrosis is a condition where a fracture fails to heal properly, creating a persistent “false joint” at the fracture site. Instead of the bone becoming solid again, abnormal movement can continue between the two ends.

Common causes & risk factors include:
• Poor blood supply to the fracture
• Severe or complicated fractures
• Infection
• Smoking/nicotine use
• Inadequate immobilization or excessive movement
• Certain medications and medical conditions that impair bone healing
• Significant bone loss or a large gap between fracture fragments

Symptoms can include persistent pain, instability, swelling, and difficulty using the affected limb long after a fracture would normally be expected to heal.

Treatment depends on the cause and may involve prolonged immobilization, bone stimulation, bone grafting, or surgical fixation/revision.

09/13/2026

Schizophrenia is a complex psychiatric disorder that affects how a person thinks, perceives reality, and processes information. But what causes it?

🧠 There isn’t one single cause. Schizophrenia likely results from a combination of genetic, brain, and environmental factors.

Major risk factors include:
• 🧬 Genetics: Having a close relative with schizophrenia increases risk, although most people with a family history do not develop it.
• 🧠 Brain development: Differences in brain structure, connectivity, and neurotransmitter signaling—particularly dopamine—have been associated with schizophrenia.
• 🤰 Prenatal/perinatal factors: Certain infections, malnutrition, complications during pregnancy or birth, and other developmental factors may increase risk.
• 🌎 Environmental stressors: Childhood trauma, chronic stress, social adversity, and other significant environmental exposures may contribute.
• 🍃 Substance use: Cannabis, particularly frequent or high-potency use during adolescence, is associated with an increased risk of psychosis and schizophrenia.
• 👨‍🦱 Age and s*x: Schizophrenia typically emerges in late adolescence or early adulthood, with differences in typical age of onset between males and females.

Importantly, having a risk factor does not mean someone will develop schizophrenia, and schizophrenia is not caused by a lack of willpower, poor parenting, or a personal failure.

09/11/2026

Seriously so cool to see this 👀

09/10/2026

Has anyone tried this before??

09/02/2026

🗣️ How do your vocal cords actually create your voice?

Speech starts with airflow from your lungs. As air travels upward through the trachea, it reaches the larynx, where the vocal folds (often called vocal cords) sit.

When you speak, the vocal folds are brought close together and rapidly vibrate as air passes between them. This vibration creates the sound source for your voice. Your brain and nervous system precisely control the tension and position of the vocal folds, which helps determine the pitch.

But the vocal folds don’t create your entire voice on their own. That sound is then shaped by the throat, mouth, tongue, lips, and nasal cavity, which act like a resonating and filtering system to produce the specific sounds that make up speech.

So essentially:

🫁 Lungs → provide airflow
🎙️ Vocal folds → create vibration
👄 Mouth & throat → shape the sound
🧠 Brain → coordinates the entire process

Pretty incredible that every word you say is the result of precisely coordinated respiratory, neurological, and muscular physiology!

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