Central Pontine Myelinolysis | Osmotic Demyelination Syndrome

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  • Опубликовано: 14 окт 2024

Комментарии • 71

  • @gabriellemoraes2254
    @gabriellemoraes2254 3 года назад +9

    My mother tongue is portuguese and I watch your videos in English... And I manage to understand better than the lectures in my own language hahahaha thank you so much for your effort and passion, you have no idea of how much you are helping so many students who don't have enough money to pay for a course, thank you from the bottom of my heart

  • @SahilKhan-444
    @SahilKhan-444 9 месяцев назад

    I don’t know how to appreciate . The way you helping us Med students. Thank you so much professor Zack ❤

  • @gerardsims2980
    @gerardsims2980 3 года назад +6

    Amazing work. Succint without sacrificing accuracy and such a fantastic logical presentation. Thanks for these.

  • @trlanhuseyn741
    @trlanhuseyn741 3 года назад +13

    Zach, can you do some Histology lectures, thanks beforehand

  • @nyananguei1928
    @nyananguei1928 3 года назад +6

    I'm always glad seeing your videos because you're my legend.
    Please!
    My people let us never forget to like!

  • @Hlea613
    @Hlea613 Год назад

    I'm not a medical professional, nor do I have any advanced science knowledge. I'm a big fan of your youtube channel, however, and love to learn.
    I watched this video with rapt attention. I have CKD 3b-4, and relatively stable. My nephrologist is super, a combination of angel and genius IMHO. I have had CKD since 2018, and have chronic anemia unresponsive to oral iron supplementation nor iron transfusions. I've had more packed red blood cell transfusions than I can count in 5 years, and realize they can be problematic when repeated too much.
    In October 2021, my sodium dropped from around 138 to 119. My nephrologist called me , and I had never heard her so frantic. With sodium chloride 1g b.i.d., it has improved to about 132-136.
    In November 2021, I had a kidney biopsy showing my kidneys were about 33% functional, and was diagnosed with glomerosclerosis likely due to a ton of NSAIDS over decades for knee surgeries, a laminectomy, and recently, a hip replacement to correct developmental R hip dysplasia that I never knew I had until I had severe pain.
    Returning to the chronic hyponatremia, my doctor diagnosed it as SIADH. I didn't see that as an etiology in the above lecture. I would like to learn more about CKD and NSAIDS role in the development of CKD, as well as hyponatremia, hyperkalemia, anemia, and I've watched all of your videos on these subjects. Acetominophen has little to no effect for treating my pain, unless I take it with ibuprofen, and I don't want to damage my renal function any more. I've asked my PCP, nephrologist, orthopod, etc, for a better alternative, but they say ice and Tylenol, and both have been disappointing and impractical, for example: icing both knees, lumbar spine, and hip while working is unacceptable in my field for continuous at least partial relief, and I thought: I'll ask Ninja Nerd!
    Thank you so much for sharing your knowledge with the world, and bring us all more please!

  • @dr.ajayverma1978
    @dr.ajayverma1978 3 года назад +2

    Nicely explained ,subscribed the channel, thankyou, love from india..

  • @juliatran3538
    @juliatran3538 3 года назад

    what perfect timing! just learnt about this condition and you already uploaded a video that explains it better than my textbook! thanks zach!

  • @jenjabba6210
    @jenjabba6210 Год назад

    I've got this on my MRI with no symptoms. And no idea how it happened. Sooooooo. Excellent presentation.

  • @stillfindingmyself6869
    @stillfindingmyself6869 2 года назад

    How do I thank you nerd. Short of words

  • @amiref9178
    @amiref9178 Год назад

    amazing comprehensive video. Thank you

  • @sandraosetek4774
    @sandraosetek4774 2 года назад

    I’m addicted to these videos! 😅🙌 Please could you make a CSF video?

  • @sasharemo5705
    @sasharemo5705 Год назад

    Thank you for such a clear explanation!

  • @Tom-si1tv
    @Tom-si1tv 3 года назад

    Ur video save many students. Love u so much!!
    Can you make the recording a bit louder? I have to turn my volume to max. Thank you!

  • @GirlMomma
    @GirlMomma 2 года назад

    I have CPM and a lesion on the.ponsfrom overcorrecting of sodium. Raised 22 points in 11 hours.I'm on a feeding tube because I aspirate. I had to learn how to walk,talk and write again. I also have parkinsonian tremors. Bulbar palsy. I can walk with a walker I just get weak so fast.i tend to stutter or say my words backwards or I don't make sense. I go to physical therapy 2xs week and speech and occupational therapy. My brain just isn't normal anymore.inhave a 8nto 10nsexond delay. I am college educated but not smart at all anymore.my arms and legs always feel like hundreds of butcher knives are in them. im Trying to think of what else. It's been so hard I am 42 with young kids. But I'm so blessed to be alive. So blessed to not have locked in syndrome.Thank you so much for this video. Is hard to find any information.

    • @TheRekall
      @TheRekall 2 года назад

      How have you been since? Did you start walking and eating again?

  • @MarioSDyni
    @MarioSDyni 3 года назад +2

    Love the job you’re doing

  • @lee-z5b
    @lee-z5b 3 года назад +1

    thanks so much! I've got a lot of help from your videos! thanks again! love from Korea :-) ♡

  • @xyzxyzuvwuvw7633
    @xyzxyzuvwuvw7633 3 года назад

    thank you for high quality education as always, youre the best, i really appreciate these videos

  • @kevsonkeyboard
    @kevsonkeyboard 3 года назад +7

    For a condition with devastating results like this...I'd imagine there may be a malpractice suit on the way...please correct me if I'm mistaken.

  • @jaylove2322
    @jaylove2322 Год назад

    Very informative. Thank you.

  • @barbie4820
    @barbie4820 3 года назад

    Hi, amazing work I love your videos. Would you please make a video on how to study?? You seem to get everything right every time

  • @Shuvra161
    @Shuvra161 3 года назад +1

    Please make a video on tension headache.

  • @sakanderalimirza8777
    @sakanderalimirza8777 3 года назад +2

    Please make videos on Molecular biology lec also In Deep detail like That others videos

  • @MedSurvival
    @MedSurvival 3 года назад

    Amazing work.

  • @Leonfromre4and2
    @Leonfromre4and2 3 года назад

    excellent as always! many thanks zach

  • @shahnawazrahmani5331
    @shahnawazrahmani5331 2 года назад

    thanks for such explanation

  • @abdussamad644
    @abdussamad644 3 года назад

    Sir also delivered a lecture that can help me in 1st year and 2nd year biology. This is the so difficult tast for me b/s I am a bs students

  • @luckyboy8848
    @luckyboy8848 3 года назад

    Very thankful . . . Our medical lessons teacher . . . I wanna see and learn radiology lessons by the version of you . . . Sir . . . With much Respects 😇

  • @ntm0272PoPs
    @ntm0272PoPs 2 года назад +3

    I am a survivor of CPM. Was a beer alci for 30+ years. I quit drinking for a year, then relapsed. I tried to requit, but got sick. Went to ER where a Neuro Doc raised my sodium too fast. (His words). I was in coma for a month. Asked to ''donate'' my organs. Well, I woke, could only move my eyes. Spent 8 months in rehab. Went ER Jan.28, 2017. Currently listed as; semi-paraplegic, can't speak, walk, or even breath coorrrectly. I have one hand with 2 fingers I'm able to use. My family was/is slow to get my med records and a lawyer told them they were altered, so no case. There was nothing out in 17 about CPM! Sadly it appears, not much ''good'' news still.

    • @israelrehmel6511
      @israelrehmel6511 Год назад +2

      Hey. I’m a survivor too. I’m at least a year behind you. But still trying to figure things out. I’ve been out of the hospital almost a year, but I’m still healing. And I guess that’s positive. But a long road of recovery. Still a ways away. It’s been…it’s been something. How are you doing?

    • @ntm0272PoPs
      @ntm0272PoPs Год назад +1

      @@israelrehmel6511 We are alive!! I am hoping 2024 will be the year. GLTU

  • @sadafparvin9876
    @sadafparvin9876 2 года назад

    great video, thank you so much

  • @videoaulasdeenfermagem
    @videoaulasdeenfermagem Год назад

    Nossa, amei sua aula, foi sensacional! Muito obrigada pelo conteúdo

  • @anisali9331
    @anisali9331 3 года назад +1

    Sir great Job love from Pakistan

  • @hosseinnikbakht7732
    @hosseinnikbakht7732 3 года назад

    Hi. thanks for this lecture. can you do lecture about central venous thrombosis.

  • @江冠霖-s2y
    @江冠霖-s2y Год назад

    thank you so so much

  • @beverlywade7943
    @beverlywade7943 10 дней назад

    My low salt issue was caused by my kidney disease which is from having Diabetes Insipidis and now I have pontine myelinolysis from my ER trip after the seizure the low sodium Caused 😢

  • @dannyoh5219
    @dannyoh5219 3 года назад +2

    I'm an engineer and have no idea about biology, but I'll keep watching these till you stop making them!

  • @diemgiangvothuy7735
    @diemgiangvothuy7735 3 года назад +1

    PLEASE ADD ENGLISH SUBTITLES FOR YOUR VIDEOS so that people who don’t have english as main language (like me) can easier to understand ❤️❤️❤️

  • @cane523
    @cane523 2 года назад

    THANK YOU!!!!!!!!!!!!!!!!!!!!!!!!

  • @liiilooo
    @liiilooo 3 года назад

    Thank you so much!!! ❤

  • @alinathomas2352
    @alinathomas2352 3 года назад

    Could you do more pharmacology Lectures 🙏

  • @dekabraham6660
    @dekabraham6660 3 года назад

    Thanks Dr

  • @drabdirahmanibrahin6021
    @drabdirahmanibrahin6021 3 года назад

    Thanks

  • @wassimzurba3254
    @wassimzurba3254 3 года назад

    Thank you 🙏

  • @josipavlahovic2503
    @josipavlahovic2503 3 года назад

    Can you do a video about buffer systems plss

  • @hiradvl174
    @hiradvl174 3 года назад

    love you zach

  • @aaronjacobshibijo7268
    @aaronjacobshibijo7268 3 года назад

    Happy onam sir ❤️🌼🌼🌼🌼🌼

  • @vineetanvekar8115
    @vineetanvekar8115 Месяц назад

    Hey I had one doubt, so you said apoptosis happens right, but inflammatory cytokines shouldn’t be released then 11:40

  • @alialsalami7934
    @alialsalami7934 3 года назад

    Thank you alot

  • @faizajilani993
    @faizajilani993 3 года назад

    LEGEND❣️

  • @raheelmd
    @raheelmd Год назад

    Great ❤

  • @AyanKhan-zg9jn
    @AyanKhan-zg9jn 3 года назад +1

    Sir its a humble request to youbplease teach plant physiology (photosynthesis,respiration,
    tranport etc)Thanks

  • @jackob423
    @jackob423 3 года назад

    can you Please tell us how do we revise Subjects Because rewatching Lectures take time and For most of Us revision is more harder than learning. can you suggest from where can we revise faster and effectively?

  • @gaffs82
    @gaffs82 Год назад

    My mum had flu and fell into a DKA coma. She also has actuate renal failure. She was in a coma for 10 days. For a week she was recovering and starting to communicate. She has slipped back though and doctor says she may have Central pontine myelinolysis, even though that doesn’t show on mri. It’s NHS in Uk so the level or care is not great. Currently she’s is no longer taking and potentially delirious, just sitting up and down in bed. Do you think this could be Central pontine myelinolysis ?

  • @drmnik3767
    @drmnik3767 2 года назад

    29.55 In treatment: slowly recorrection of Na is it no more than 16 ??? Bcos I have read no more than 12mEq/L over 24 hour

  • @indikabandaramudiyanselage7774
    @indikabandaramudiyanselage7774 2 года назад

    Handsome man

  • @davidngugi861
    @davidngugi861 2 года назад

    Who comes here after repeatedly reading the textbooks/online without understanding

  • @edris.alkozi
    @edris.alkozi 6 месяцев назад

    🎉🎉🎉🎉🎉🎉🎉😊

  • @dahianaberges8233
    @dahianaberges8233 3 года назад

    This suckers die! XD XD XD
    I love this man, his videos are really on point

  • @sandeepshankar3254
    @sandeepshankar3254 Год назад

    Osum

  • @Gabriel-yb5wr
    @Gabriel-yb5wr 3 года назад

    Put traduccion ma boy

  • @relaxingsoundsofnature2022
    @relaxingsoundsofnature2022 Месяц назад

    What's the latest cure 5 years later? Stemcells?

  • @eroschew7510
    @eroschew7510 2 года назад

    My like was no. 666

  • @tankiecell671
    @tankiecell671 3 года назад

    hey zack. why is your neck so thick??? like im not hating but it makes you look like a thumb tbh,,, i thought thick neck can cause sleep apnea.... no hate man just saying... i learn....

  • @cindygreen9110
    @cindygreen9110 Год назад

    NinjaNerds!!! 🌍💜🌠🙏🌿👁️✍️🍄🍄🌈💫🏫⚖️📚📝✏️📖📘📗📓📕📱🖥️📐📏♻️🎼⏸️🆕🔠🆒⚛️⚛️⚛️🔯🔯🔯☯️☯️☯️🆔🆔🆔

  • @treasure7250
    @treasure7250 3 года назад

    Please make video on hyper and hypokalemia management

  • @227RM
    @227RM 3 года назад

    Thanks