I have seen his videos for too long and this is the first time i see him making such a mistake. Anyway we were able to catch it and could use the rest of the class
he was keep saying diaphragm diaphragm diaphragm , didn't you all hear that ? he also writed "diaphragm " multiple times . you guys need to focus while studying . Good luck
I was diagnosed with HL last week. I’ve watched this 3 times, and it is so well done! I have a really good handle on what’s happening in my body thanks to this. Really educational stuff
6 years in remission over here. You're going to get through this, you wont know how you'll get through it, but you will. Good luck to you, you've got this
@@chloeclo7 thank you very much. PET results came this morning: stage 1A. About as good a starting place as could be… I mean as the video states any stage is curable, but the lesser the better
@@Miyanazuki so far so good. 1 cycle of chemo so far with one to go. My neck lymph nodes are completely shrank down to normal looking at this point. I’m feeling good
recently just finished my treatment for hodgkins lymphoma stage 2 and ever since i finished treatment i have been so incredibly curious of how it works, so thank you so much for this video!!
@@junefreeman7955 so essentially it was entirely chemo since radiotherapy was too dangerous long term due to the locations of my cancer, i initially had 2 courses of ABVD with no unexpected side effects, a pet scan after those courses showed that only a small amount of cancer remained and in turn i had 2 courses of BEACOPP with a PICC insertion, thankfully after that i was cancer free, fortunately i was just young enough to be in a children’s hospital (the food is immaculate)
Hello from Brazil , I just wanted to say that I really like your classes they are very detailed and very well explained , whenever I have to remember some basic concept I go back to one of your videos and suddenly everything makes sense , yours enthusiasm for teaching is contagious and on top of that you make it all available for free on youtube and on your website it seems almost too good to be true, and I just wanted to thank you and your team.
Thumbs up team!!! Thought very necessary to add that the Ann Arbor staging got muddled along the way viz: * ' On either side of the diaphragm ' refers to grom chest upwards and abdomen below as opposed to on either side of the chest. "A single extra nodal involvement is still stage 1 in the absence of a lymphadenopathy .
Kindly help me in this disease bcoz my uncle has thi Hodgkin's lymphoma and we are worried that whether we should go for chemo we don't know what to do and uncle is becoming weaker n weaker day by day ...
This is probably the most advanced lecture i saw about Hodgkings. I really love the way you lecture,and with all the stuff writen and showned. I just wanted to tell you that you should add on this video about 5 minutes about radiation therapy in treating Hodgins. I am medical physicist and we radiate lot of patient with Hodgins, cervical , clavicular, axilary, mediastinum, and nodes bellow diaphragm. Keep doing i really loved your work
Great video. The description of stage III CHL was stated correctly, but I think the drawing for stage III is slightly incorrect. While it includes both sides of the mid-line (which is shown in the diagram), it also includes both sides of the diaphragm, which was clearly stated, but not draw on the diagram.
Thank you my dad has been diagnosed iv started a channel vlog about looking after him. So thank you for helping me understand what's going on inside his body helps understand how to help or atleast have knowledge when I speak with Dr's so thank you
General lover of science here, sister just got her initial HL diagnosis and she's being scheduled for her pet CT asap. This lecture is extremely useful in giving me somewhere to start with research. Tysm 🙏
Dear zach please rectify ann harbor staging , if H.L is present on both sides of diaphragm above and below not side by side it is stage 3 and if on same side it will be either stage one or two
That's not quite right. Just the neck (one side or both) is stage 1. Neck and chest is stage 2. Neck, chest and abdominal area is stage 3. Neck, chest, abdomin and groin is stage 4. Speaking as a stage 3 HL survivour
@@chloeclo7 Stage I: involvement of single lymph node region or single extralymphatic site Stage II: involvement of two or more lymph node regions on same side of diaphragm; may include localized extralymphatic Stage III: involvement of lymph node regions on both sides of the diaphragm; may include spleen (Ills) or localized Stage IV: diffuse extralymphatic disease (e.g. in liver, bone marrow, lung, skin) Hodgkin's Disease
50:44 i thought same side meant lymph nodes were grouped together superiorly vs inferiorly (as in the cutoff is the horizontal line that demarcates above vs below diaphragm) not left vs right (hemidiaphragm) can somone confirm?
yes, the classification shown in the video is wrong. If you do a google search of ann arbor classification (Lugano's revision) you'll find the right one.
I hit the like button before I even start lol really I can’t thank you enough And the way that you teach and simplify things is just amazing it makes me want to learn more Thanks a lot 🙏
Dear Dr. Zack, I am very grateful for all your amazing videos. They are of a great help. But Regarding the Staging of Hodgkins lymphoma, it is determined according to the presence of lymphadenopathy above or below the diaphragm. not the right or the left sides of the body Stage I: Either of the following means that the HL is stage I: HL is found in only 1 lymph node area or lymphoid organ such as the thymus (I). The cancer is found only in 1 part of 1 organ outside the lymph system (IE). Stage II: Either of the following means that the HL is stage II: HL is found in 2 or more lymph node areas on the same side of (above or below) the diaphragm, which is the thin muscle beneath the lungs that separates the chest and abdomen (II). The cancer extends locally from one lymph node area into a nearby organ (IIE). Stage III: Either of the following means that the HL is stage III: HL is found in lymph node areas on both sides of (above and below) the diaphragm (III). HL is in lymph nodes above the diaphragm and in the spleen. Stage IV: HL has spread widely into at least one organ outside of the lymph system, such as the liver, bone marrow, or lungs. Thank You.
Fantastic Very clear and pleasant way But in staging in min 52 (both sides of diaphragm means above and below diaphragm not to the right or left ) thanks for the magnificent lecture
❤❤❤❤❤ We can see the dedication of your loving parents through your emence knowledge and way of educating this world with your amazing presentations. Love you little boy and your kind parents
Just diagnosed with non Hodgkins lymphoma. So I'm watching this first and then the non Hodgkins video. I love how you explain with you drawings and knowledge. 2024. I'm getting monoclonal antibodies. Gazyva and Venclexta!! newest rx
Zack you're wonderful!!! this video make my information go high in Hodgkin's Lymphoma and that's because of your very good tutoring. best luck for you man.
I don't ever drink, and the main reason is that for a few years I experienced pain in the back of my head everytime I drank alcohol. Thanks to this video I now know why. Very common in people with HL
Great lecture, really helpful - just provinding feedback regarding lymphoma staging - Stage 3 is both sides of the diaphragm whereas your illustration has an ipsilateral/contralateral depiction.
Thank you so much ❤this is exactly what I am going through mind boggling 4th doctor playing games with my life waiting for referral for treatment to oncology hematology
Great video, I was diagnosed with classical hodgkin lymphoma stage 2b. Had 2x cycles of abvd but moved onto escalated beacopp-dac. Had 4 cycles and got me into remission, but now having radiotherapy to the mediastinal. Currently 6 sessions done and 9 left. Thanks for the video 😊
@rociolahere6637 yes thanks i have completed all the treatments, and now I will be seen every 3 months for checkups and a blood test. It's been a hard 9 months, that's for sure.
My cousin has just been diagnosed with T cell rich B cell lymphoma She originally went to her Dr 15 months ago with Autoimmune hemolytic anemia that was treated with Rituxinab and Prednizone. After getting her Hemoglobin up within a normal range they attempted a sample from the bone marrow with no success and decided to wait and see how her response was. About two months later anemia was back so they added a drug used in transplant patients along with more Rituxan infusions. They made note her spleen was enlarged but thought possibly due to Covid. ( she did contract Covid two weeks prior to this second bout with anemia) She just continued to improve a bit only to have her hemoglobin dip, seemingly faster each time. About 6 weeks ago she collapsed, they put her in the hospital and decided her spleen has to go. It was 5-7 times the normal size loaded with cancer. She became very confused. Very anemic and on top of that they found hypercalcenia. Her result of Bone marrow sample said 95% cancer. Not sure what they mean by that. They’ve recently said she has T-cell rich Bcell lymphoma. Help!! I’m guessing this is really bad!
Dude!! Mozart of immunology. I am a practicing hematopathologist and you reminded and educated me!! Small feedback..include some CD markers in this..CD20 is a well known one (Rituxumab) and CD30 (Brentuximab)
Hi just after my first chemo shoot for Stage 1 classical Hodgkin's lymphoma multicellular. Looking for some understanding. Can only say finally found. Thank you.
In 10:31, shouldn't the B-cells be the ones that express the antigen on their MHC class 2 molecules, not the T-cell? And that the B-cell activate T-cells, and let them produce specific cytokines, such as IL-4 and IL-5, which will induce the class switching?
loved this but isnt there a mistake for the ann arbor classification ? like for stage III, both sides of the diaphragm means both under and above the diaphragm i think
hello professor Zach, good job keep it up, my comment is on the staging " on both sides of the diaphragm" is to mean above and below the diaphragm, not right and left sides
Correct. Good lecture, but I think the Ann Arbor staging was mistaken here. It’s based on whether the LNs or above/below the diaphragm, not based on which side of the body (left vs right).
![Felix "Unfair" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/Oswujxm2Ag0/mqdefault.jpg)
I think you made a mistake on staging HL. Both side of diaphragm in stage 3 is above and below, not left and right based on spine.
You are so right ✅️ 👏
T as raison
I have seen his videos for too long and this is the first time i see him making such a mistake. Anyway we were able to catch it and could use the rest of the class
This is right btw, I got a question wrong on a test because of it 😭 (still love u ninja nerd)
he was keep saying diaphragm diaphragm diaphragm , didn't you all hear that ? he also writed "diaphragm " multiple times . you guys need to focus while studying . Good luck
I was diagnosed with HL last week. I’ve watched this 3 times, and it is so well done! I have a really good handle on what’s happening in my body thanks to this. Really educational stuff
6 years in remission over here. You're going to get through this, you wont know how you'll get through it, but you will. Good luck to you, you've got this
@@chloeclo7 thank you very much. PET results came this morning: stage 1A. About as good a starting place as could be… I mean as the video states any stage is curable, but the lesser the better
I was also diagnosed with this type of cancer during pandemic. Thankfully, I've fully recovered. Hope for your fast recovery!
@@Miyanazuki so far so good. 1 cycle of chemo so far with one to go. My neck lymph nodes are completely shrank down to normal looking at this point. I’m feeling good
I've been in remission for 9 years. Glad to hear you caught it early Daniel! Stay strong Brother
This dude single handedly makes medicine easy for me
If there was no ninja nerd 1 would have dropped out longtime
You can say that again
recently just finished my treatment for hodgkins lymphoma stage 2 and ever since i finished treatment i have been so incredibly curious of how it works, so thank you so much for this video!!
What was your treatment?
@@junefreeman7955 so essentially it was entirely chemo since radiotherapy was too dangerous long term due to the locations of my cancer, i initially had 2 courses of ABVD with no unexpected side effects, a pet scan after those courses showed that only a small amount of cancer remained and in turn i had 2 courses of BEACOPP with a PICC insertion, thankfully after that i was cancer free, fortunately i was just young enough to be in a children’s hospital (the food is immaculate)
My guy Zach here is making my hematology rotation so much easier. Thanks a lot bro
Do you have any suggestion where to watch surgery lectures?
Hello from Brazil , I just wanted to say that I really like your classes they are very detailed and very well explained , whenever I have to remember some basic concept I go back to one of your videos and suddenly everything makes sense , yours enthusiasm for teaching is contagious and on top of that you make it all available for free on youtube and on your website it seems almost too good to be true, and I just wanted to thank you and your team.
I'm a physical therapist,so this is not even something i need to study but i started watching your videos a while ago and i just can't stop
65+ retired Parmacist here just keeping up. So much advanced biochemistry and pharmacokinetics here. Thanks so much. 😊
65+ retired Peds ER Doc. Watching this too! 👍
Nursing school student here, the deep dive really helps me understand and remember symptoms and treatments. Thank you!
Thumbs up team!!!
Thought very necessary to add that the Ann Arbor staging got muddled along the way viz:
* ' On either side of the diaphragm ' refers to grom chest upwards and abdomen below as opposed to on either side of the chest.
"A single extra nodal involvement is still stage 1 in the absence of a lymphadenopathy .
I was looking for this comment
As a hodgkin's lymphoma survivor of 30+ years will be cool to see a deep dive into the mechanisms involved!
What's cool?? It's a disease
@@dustlessbard007 did you have Hodgkin's?
@@wsclesky chill bro. So you mean this video is perfect for seeing a deep dive into the mechanisms?
Glad You're alive!
Kindly help me in this disease bcoz my uncle has thi Hodgkin's lymphoma and we are worried that whether we should go for chemo we don't know what to do and uncle is becoming weaker n weaker day by day ...
This is probably the most advanced lecture i saw about Hodgkings. I really love the way you lecture,and with all the stuff writen and showned. I just wanted to tell you that you should add on this video about 5 minutes about radiation therapy in treating Hodgins. I am medical physicist and we radiate lot of patient with Hodgins, cervical , clavicular, axilary, mediastinum, and nodes bellow diaphragm. Keep doing i really loved your work
much love to all of your team. but you especially zach have a special place in my heart.
Don’t know what to say, more than that I am Sao impressed over your teachings skills. Keep it up! Regards from Sweden
Great video. The description of stage III CHL was stated correctly, but I think the drawing for stage III is slightly incorrect. While it includes both sides of the mid-line (which is shown in the diagram), it also includes both sides of the diaphragm, which was clearly stated, but not draw on the diagram.
Thank you my dad has been diagnosed iv started a channel vlog about looking after him. So thank you for helping me understand what's going on inside his body helps understand how to help or atleast have knowledge when I speak with Dr's so thank you
Perfect dear teacher you are an international teacher I follow your videos from Afghanistan .
General lover of science here, sister just got her initial HL diagnosis and she's being scheduled for her pet CT asap. This lecture is extremely useful in giving me somewhere to start with research. Tysm 🙏
Thanks Zack, consider doing an immunology playlist in your future plans, it will be awesome
Dear zach please rectify ann harbor staging , if H.L is present on both sides of diaphragm above and below not side by side it is stage 3 and if on same side it will be either stage one or two
That's not quite right. Just the neck (one side or both) is stage 1. Neck and chest is stage 2. Neck, chest and abdominal area is stage 3. Neck, chest, abdomin and groin is stage 4. Speaking as a stage 3 HL survivour
@@chloeclo7 Stage I:
involvement of single lymph node region or single extralymphatic site
Stage II:
involvement of two or more lymph node regions on same side of diaphragm; may include localized extralymphatic
Stage III: involvement of lymph node regions on both sides of the diaphragm; may include spleen (Ills) or localized
Stage IV: diffuse extralymphatic disease (e.g. in liver, bone marrow, lung, skin)
Hodgkin's Disease
You have made a subject that can be so difficult to learn, so much easier. Thank you!
great as always!! Just one observation: one side of diaphragm or both sides of diaphragm means above or below the diaphragm, not left or right.
Thank you
for using your gift of teaching!
I am the mother of a son Dx with stage 4 HL ...
recurrent.
You are 'THE BEST ' 👍👌 no extra words are needed !
these 'funny-looking' doodles actually pack more knowledge than what I've accummulated through my 2-month course
I’m crazy about your videos! Thank you, each member of the team!!
You have really really helped us so much by making it crystal clear, very easy to understand, very easy to memorise!! Thanks a tonn!!!❤❤❤
This is soo supercool, the illustrations, the methodology the sync of the topic is bang on
Thank you for the great lecture, your lectures are totally useful for my hospital rotations, you're awesome!
You are the best
I smashed my seminar today all thanks to your notes prof.Zach
50:44 i thought same side meant lymph nodes were grouped together superiorly vs inferiorly (as in the cutoff is the horizontal line that demarcates above vs below diaphragm) not left vs right (hemidiaphragm) can somone confirm?
yes, the classification shown in the video is wrong. If you do a google search of ann arbor classification (Lugano's revision) you'll find the right one.
Yes, absolutly right!
You’re an artist for real 😂❤ amazing
I hit the like button before I even start lol really I can’t thank you enough
And the way that you teach and simplify things is just amazing it makes me want to learn more
Thanks a lot 🙏
Dear Dr. Zack,
I am very grateful for all your amazing videos. They are of a great help.
But Regarding the Staging of Hodgkins lymphoma, it is determined according to the presence of lymphadenopathy above or below the diaphragm. not the right or the left sides of the body
Stage I: Either of the following means that the HL is stage I:
HL is found in only 1 lymph node area or lymphoid organ such as the thymus (I).
The cancer is found only in 1 part of 1 organ outside the lymph system (IE).
Stage II: Either of the following means that the HL is stage II:
HL is found in 2 or more lymph node areas on the same side of (above or below) the diaphragm, which is the thin muscle beneath the lungs that separates the chest and abdomen (II).
The cancer extends locally from one lymph node area into a nearby organ (IIE).
Stage III: Either of the following means that the HL is stage III:
HL is found in lymph node areas on both sides of (above and below) the diaphragm (III).
HL is in lymph nodes above the diaphragm and in the spleen.
Stage IV: HL has spread widely into at least one organ outside of the lymph system, such as the liver, bone marrow, or lungs.
Thank You.
no words could ever express my gratitude for u , YHANK U ♥
You are the best ninja nerd
The best way to teach medicine is your way👌🏻👌🏻👌🏻
THAT WAS REALLY IMPRESSIVE WAY OF TEACHING, AND KNOWLEGABLE
THANK YOU VERY MUCH
Fantastic
Very clear and pleasant way
But in staging in min 52 (both sides of diaphragm means above and below diaphragm not to the right or left ) thanks for the magnificent lecture
❤❤❤❤❤ We can see the dedication of your loving parents through your emence knowledge and way of educating this world with your amazing presentations.
Love you little boy and your kind parents
Just diagnosed with non Hodgkins lymphoma. So I'm watching this first and then the non Hodgkins video. I love how you explain with you drawings and knowledge. 2024. I'm getting monoclonal antibodies. Gazyva and Venclexta!! newest rx
Bro is a legend for making these videos
What a video. Thank you so much for this presentation. May God bless you
Top notch as always
Hello from India, your lecture are very helpful, thanks 🙏
Can i get the written note
Watching sir Ninja lecture exactly after three years.
Zack you're wonderful!!! this video make my information go high in Hodgkin's Lymphoma and that's because of your very good tutoring. best luck for you man.
god bless u doctor zac i hope every medical student gets to see your videos once in theyr years of studying . hyped to see non hodgkin lymphoma next 🙏
I don't ever drink, and the main reason is that for a few years I experienced pain in the back of my head everytime I drank alcohol. Thanks to this video I now know why. Very common in people with HL
I was waiting for this for long time😢😢😢
God bless you guys ❤
Great presentation and structure
Great lecture, really helpful - just provinding feedback regarding lymphoma staging - Stage 3 is both sides of the diaphragm whereas your illustration has an ipsilateral/contralateral depiction.
Thank you so much ❤this is exactly what I am going through mind boggling 4th doctor playing games with my life waiting for referral for treatment to oncology hematology
Excellent. Kindly recheck the stage II
Thank you Zach
We all love this guy , its just what it is .
Thanks a lot , your lessons are just amaizing and organised please continue
Great video, I was diagnosed with classical hodgkin lymphoma stage 2b.
Had 2x cycles of abvd but moved onto escalated beacopp-dac.
Had 4 cycles and got me into remission, but now having radiotherapy to the mediastinal.
Currently 6 sessions done and 9 left. Thanks for the video 😊
are you feelin better
@rociolahere6637 yes thanks i have completed all the treatments, and now I will be seen every 3 months for checkups and a blood test. It's been a hard 9 months, that's for sure.
Thank you for all the videos! They really help a lot!
Great video
Makes understanding easier
I love your classes. Thank you 😊
Very well done. I am a trainee in radiation oncology and found this so useful!
My cousin has just been diagnosed with T cell rich B cell lymphoma
She originally went to her Dr 15 months ago with Autoimmune hemolytic anemia that was treated with Rituxinab and Prednizone.
After getting her Hemoglobin up within a normal range they attempted a sample from the bone marrow with no success and decided to wait and see how her response was.
About two months later anemia was back so they added a drug used in transplant patients along with more Rituxan infusions. They made note her spleen was enlarged but thought possibly due to Covid. ( she did contract Covid two weeks prior to this second bout with anemia)
She just continued to improve a bit only to have her hemoglobin dip, seemingly faster each time.
About 6 weeks ago she collapsed, they put her in the hospital and decided her spleen has to go. It was 5-7 times the normal size loaded with cancer.
She became very confused. Very anemic and on top of that they found hypercalcenia.
Her result of Bone marrow sample said 95% cancer. Not sure what they mean by that.
They’ve recently said she has T-cell rich Bcell lymphoma.
Help!! I’m guessing this is really bad!
THANK YOU.. such a huge effort
This talk is so good, thank you for sharing!
Thanks Zach 🎉🎉
amazing video! thank you from a pharmacy PGY2
Zach in my soul❤
May Allah bless you for this extraordinary lecture thank❤❤❤ you
Dude!! Mozart of immunology. I am a practicing hematopathologist and you reminded and educated me!! Small feedback..include some CD markers in this..CD20 is a well known one (Rituxumab) and CD30 (Brentuximab)
oops NM..watching later you talked about it. Great job!!
Hi just after my first chemo shoot for Stage 1 classical Hodgkin's lymphoma multicellular. Looking for some understanding. Can only say finally found. Thank you.
Please make videos on other hematological diseases like multiple myeloma
In 10:31, shouldn't the B-cells be the ones that express the antigen on their MHC class 2 molecules, not the T-cell? And that the B-cell activate T-cells, and let them produce specific cytokines, such as IL-4 and IL-5, which will induce the class switching?
A Kenyan medical students. You really help me out
Zach ,thank u so much
that's soooooooooooooooooooooooooooooo exceptional explanation , oh god you are a genius !!
Have been in remission 3 years now with hodgkin’s lymphoma. Pretty interesting to see how it all goes about within this video.
Congratulations on your current and continued remission status! - TG
World class tutorial ❤️
You're simply amazing teaching, congrats, keet it up, from Brazil!
Awesome lecture 🤍
loved this but isnt there a mistake for the ann arbor classification ?
like for stage III, both sides of the diaphragm means both under and above the diaphragm i think
can we do a CBC to see if WBC increased? why do we go straight to biopsy
Thanks. Waiting for non hodgkin lymphoma.
Thank you for clear explanation and elaboration.
Love how detailed this is, have my radiation therapy board exam coming up, than you!!!!!
wonderful teacher
really very grateful for the video 😇😇
love your work sir
Amazing lecture prof 👏🏻
Amazing video. I hope they will ask about hodgkin’s lymphoma on exams for my English Language and Literature degree :)
hello professor Zach, good job keep it up, my comment is on the staging " on both sides of the diaphragm" is to mean above and below the diaphragm, not right and left sides
For staging sides of diaphragm means -upper side from the diaphragm and lower side from diaphragm
This guy z heaven sent💯
Thank you P Zac. You're amazing❤️
Really great presentation
Amazing lecture 👌👌👌
Please make a video about Osteonecrosis, it's causes and treatments.
mashallah doctor I really appreciate what u do 💘✨✨
Thank you! 🤍
Thanks Zach.
In staging, we should consider lymph nodes up and down the diaphragm (not right and left), shouldn't we?
Correct. Good lecture, but I think the Ann Arbor staging was mistaken here. It’s based on whether the LNs or above/below the diaphragm, not based on which side of the body (left vs right).
Yes, caught that mistake as well. Otherwise spot on!
hello , i am from india. lovely video . hats off .