love it, i also love writing my own notes in the illustrations, so i can literally refresh this whole condition in like 3 minutes instead of having to watch the whole video again, it saves so much time.
hi! you explained at 30:30 that the phosphate is high with the tertiary hyperparathyroidism, but at around 52:00 in the picture it says low phosphorus. Are these the same thing that is measured in the blood? because wouldn't it be high phosphate in the blood instead of low phosphorus?
The first explanation is correct, the second updated scheme however is not. both secondary and teritary should have higher amount of phosphate in case of damage to kidneys. @NinjaNerdOfficial made a huge mistake in this case.
at 56:00 he also demonstrated that if you have high phosphate and low calcium, you would suspect vit D deficiency along with CKD, however he should have emphasized on the fact that vit D deficiency will mostly result in low phospherus and low calcium rather than high phosporus and low calcium in the blood.
I joined in order to help myself. I track everything about what is happening with my body as of June 2024. I had covid for the 5th time. At the same time, I had reactivated EBV and my Hashimoto's went from hypo to hyper. I have tiny calcium oxalate every day in my urine, bone pain, fatigue, and apparently bone "islands" in my hips and femur. I went from running 10 miles a day, having the time of my life at age 48 to feeling almost dead. Then I had a dental procedure that put me in the hospital for 4 days. My face swelled up HUGE. They said it was cellulitis and I was on IV Augmentin. Sheesh. My mom doesn't remember the details from 1998 but she had a partial thyroidectomy. She doesn't know if it was parathyroid or thyroid. She basically just takes every medication given to her and eats whatever she wants. She also takes Ozempic. I'm trying to avoid potential genetics. I eat vegetables every day and starch. No dairy, no meat. That was 8 years ago, and that is when I started feeling amazing. Like I said, until June. I'm waiting on an appointment with an endocrinologist. It looks like 4 to 5 months. In the mean time, trying to figure out wtf is going on and make modifications as needed. This channel is my favorite, and I am a youtube junkie. 😂 I am very thankful for this.
As you mentioned in case of primary hyperparath....dism there is high calcium level but low phosphate level and in case of tertiary the clacium is buildup and phosphate also why did you diagnosed primary with tertiray? They are different with their criteria.
I have a small question I would be grateful if anyone knows the answer .. how does high levels of calcium in blood cause constipation and at the same time calcium channel blockers also can cause constipation?
I was gonna die from a heartache when I didn't find the old playlist "endo pathology" but found they put some new video... thank you sooo much
Same 😅
love it, i also love writing my own notes in the illustrations, so i can literally refresh this whole condition in like 3 minutes instead of having to watch the whole video again, it saves so much time.
Whenever i miss a lecture, i just type the topic on your channel and you never disappoint. Thanks
This was extremely helpful. It took an hour and 25 seconds more than my doctor spent but I also got an hour and 25 seconds more information.
PTH = Phosphate Trashing Hormone.
Thank you always.
I could never understand this topic no matter how hard I tried, thank you for such a brilliant video!
Splendid as always
Thank you so much Prof for this excellent lecture ❤
Thanks!
Oh My God!!!!! The diagnosis and treatment were like icing on the cake......👍👍
hi! you explained at 30:30 that the phosphate is high with the tertiary hyperparathyroidism, but at around 52:00 in the picture it says low phosphorus. Are these the same thing that is measured in the blood? because wouldn't it be high phosphate in the blood instead of low phosphorus?
I was also wondering the same thing, hopefully there's an explanation before my exam :]!
The first explanation is correct, the second updated scheme however is not. both secondary and teritary should have higher amount of phosphate in case of damage to kidneys. @NinjaNerdOfficial made a huge mistake in this case.
at 56:00 he also demonstrated that if you have high phosphate and low calcium, you would suspect vit D deficiency along with CKD, however he should have emphasized on the fact that vit D deficiency will mostly result in low phospherus and low calcium rather than high phosporus and low calcium in the blood.
Thanks a lot, every seconds in this video worth it 💯
You rock!!!!!!!!! You made it so easy and I finally understood!!! Congrats from Brazil!
Excellent as usual!
Thank you very much Prof Zach for such awesome explanation on this topic
Sir, your teaching is just 🔥
Thank you ninja, you are the best teacher ever ❤️
Thank you for helping me gain a better understanding of my recent dx! ❤❤❤
wonderful lecture as always!!
I joined in order to help myself. I track everything about what is happening with my body as of June 2024. I had covid for the 5th time. At the same time, I had reactivated EBV and my Hashimoto's went from hypo to hyper. I have tiny calcium oxalate every day in my urine, bone pain, fatigue, and apparently bone "islands" in my hips and femur. I went from running 10 miles a day, having the time of my life at age 48 to feeling almost dead. Then I had a dental procedure that put me in the hospital for 4 days. My face swelled up HUGE. They said it was cellulitis and I was on IV Augmentin. Sheesh. My mom doesn't remember the details from 1998 but she had a partial thyroidectomy. She doesn't know if it was parathyroid or thyroid. She basically just takes every medication given to her and eats whatever she wants. She also takes Ozempic. I'm trying to avoid potential genetics. I eat vegetables every day and starch. No dairy, no meat. That was 8 years ago, and that is when I started feeling amazing. Like I said, until June. I'm waiting on an appointment with an endocrinologist. It looks like 4 to 5 months. In the mean time, trying to figure out wtf is going on and make modifications as needed. This channel is my favorite, and I am a youtube junkie. 😂 I am very thankful for this.
my exam is tomorrow and I'm more then happy bc i found your video
Good luck on the exam! - TG
Very well explained... ❤❤❤
Amazing videos as usual thank you much for the efforts this helps me a lot with my exam preparation ❤
U r the best dude big respect to you
Great video, thanks Ninja Nerd!
Thank you
You are a great man
What a hero!
Thank you so much,
You are the best
thx very useful for complex briefing before seminars
Concept cleared 💯❤
amazing ❤
As you mentioned in case of primary hyperparath....dism there is high calcium level but low phosphate level and in case of tertiary the clacium is buildup and phosphate also why did you diagnosed primary with tertiray? They are different with their criteria.
super work
Zack is the best
at 47:35 decrease QT interval can cause bradycardia or it will cause tachycardia?
usually associated with tachycardia
Great video❤
Thank you so much 😊
Thanks a lot .. u are the best ❤
Great 🔥
You are reallythe best
May God guide you to the right ways ( islam)
Does a patient need parathormone after parathyroidectomy?
I have a small question I would be grateful if anyone knows the answer .. how does high levels of calcium in blood cause constipation and at the same time calcium channel blockers also can cause constipation?
Good knowledge
THANK YOU!!
you are amazing
Thank you
Hi can this also cause Afib ? Thank you
Thankyou
If kidney is damaged in ESRD, how is there active vitamin d
Is MEN explained in this video?
U r amazingggggggggg how do u do that
High cal low PTH .???
Thats a muy bueno
👏🏻👏🏻👏🏻
Thanks professor 🙏🙏...why don't you exercise in gym ninja you have to think about your body
Bro the man is literally built like a tank what are you saying
❤❤
❤
Now throw xlh into the mix!…😂…
Surg comp.
Med
🤩🤩🤩🤩
🙏🏿
💯🥷💯🥷💯🥷💯
❤❤❤❤
Amazing🥹🤍🤍