Parkinson's Disease | Clinical Presentation | Part 1

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  • เผยแพร่เมื่อ 21 ก.ย. 2024
  • Ninja Nerds!
    Join us in this video where we discuss the clinical presentation of Parkinson's disease and compare it to the normal neurologic physiology of the body.
    **PLEASE SUPPORT US**
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ความคิดเห็น • 267

  • @SJ-ki5je
    @SJ-ki5je 4 ปีที่แล้ว +94

    You're an angel in disguise for all the medical students out here. Many thanks for your service 🥺❤

  • @fruityterezia
    @fruityterezia 5 ปีที่แล้ว +114

    I literally want to cry from happiness because YOU HAVE EXPLAINED IT ABSOLUTELY BRILLIANTLY and I am so glad I understand it now! THANK YOU THANK YOU THANK YOU

  • @amyrn3428
    @amyrn3428 6 ปีที่แล้ว +26

    I was a cardiac nurse but left the profession for twelve years and I am taking a refresher course to regain my license! Unfortunately just reading textbook doesn't work, thank you so very much for your help in getting another nurse, me!, back to what I love..my patients and caring for them! I am blown away by your videos! Again can't say enough, ty ty THANK YOU! I am recommending you to my course director!

  • @mohamedorayith4626
    @mohamedorayith4626 3 ปีที่แล้ว +4

    WTAF I wasted 2 days trying to get my hear round this for my exam and you just did it in 30 minutes.
    Genius. God bless you!

  • @jituchowdhury1744
    @jituchowdhury1744 4 ปีที่แล้ว +36

    Ur existance is blessing for us God make u beautiful no need designer clothing to enhance your beauty

  • @sandradelgadillo2345
    @sandradelgadillo2345 5 ปีที่แล้ว +16

    Is this guy a doctor? I'm just really grateful for his THOROUGH explanations!

    • @mtmanaa700
      @mtmanaa700 4 ปีที่แล้ว +1

      He is a med student i believe ...

    • @kimloanslossnp2719
      @kimloanslossnp2719 4 ปีที่แล้ว +1

      His name is Zach Murphy. He is a PA. he was tutoring ppl on science and such and he decided to dev this Chanel to help ppl like you and me trying to understand w/o pulling our hairs out

  • @gracecook5605
    @gracecook5605 3 ปีที่แล้ว +4

    Every time I watch ninja nerd it makes me sad that I haven't watched more ninja nerd sooner. Everything clicks! You are literally the best teacher ever!

  • @cerchian4160
    @cerchian4160 4 ปีที่แล้ว +6

    bruh the level of detail you go into is insane, so helpful, you a major G

  • @jassummy
    @jassummy 4 ปีที่แล้ว +10

    Your explanations are the best thing one medical student can find on youtube..!! Thank you for making lifes of a medical student like me easy ...!

  • @rohitroll2119
    @rohitroll2119 6 ปีที่แล้ว +134

    Your's is the best on TH-cam..Can you make a video on basal ganglia connections?

    • @dranshul9276
      @dranshul9276 3 ปีที่แล้ว +1

      This is basal ganglia only , Parkinson's affects the basal ganglia

    • @rohitroll2119
      @rohitroll2119 3 ปีที่แล้ว +1

      Guys, these are bots and it's a scam. Do NOT fall for it.

  • @dim3nsions410
    @dim3nsions410 2 ปีที่แล้ว +18

    That was intense !!! Like a good movie ! You take the time to develop each protagonist and each time a new one comes it adds suspense and interest. The end of this video... JUST EPIC ! the paradox being resolved and the synopsis for the part 2 ! Brilliant !

  • @tsohonkundi313
    @tsohonkundi313 6 ปีที่แล้ว +109

    Best medical tutor on earth🤜

    • @amanrathore923
      @amanrathore923 4 ปีที่แล้ว +1

      Do you know about MS Dhoni ?

    • @PavanPavan-go2ui
      @PavanPavan-go2ui 3 ปีที่แล้ว

      Do u know zack? he is greater than msd for me😋

    • @PavanPavan-go2ui
      @PavanPavan-go2ui 3 ปีที่แล้ว

      Do u know zack? he is greater than msd for me😋

    • @growandglow1099
      @growandglow1099 3 ปีที่แล้ว

      Yes

    • @Studycwnt
      @Studycwnt 4 หลายเดือนก่อน

      Poor captaincy by Rohit Sharma ​@@amanrathore923

  • @robinhorst706
    @robinhorst706 3 ปีที่แล้ว +1

    22:50: MIND BLOWN. Literally hours of studying in and this was the moment it all fit.

  • @sophiechamaa1081
    @sophiechamaa1081 2 ปีที่แล้ว +1

    5 years later and this video is saving PT students lives on the daily. Thank you!!!

  • @SidAmadeusRyan
    @SidAmadeusRyan 2 หลายเดือนก่อน

    Everyone should see all his videos and understand thoroughly before getting admitted as medical student. He is an awsome teacher and an awsome person.

  • @maryallouche9490
    @maryallouche9490 3 หลายเดือนก่อน +1

    Thank you ! It’s crazy how you can explain all of these in a simple manner.

  • @Daisygerman95
    @Daisygerman95 4 ปีที่แล้ว +1

    Just submitted my neurological disease research paper and you honestly saved my life.

  • @queteimporta7049
    @queteimporta7049 ปีที่แล้ว +3

    You just the best in all internet. What you do is something beautiful. You deserve the best

  • @WasabiSniffer
    @WasabiSniffer 3 หลายเดือนก่อน

    as much as Zach and the team blow my mind with how well they're able to explain these concepts, it's still amazing researchers were even able to work all this out in the first place

  • @malariamosquitp
    @malariamosquitp 5 ปีที่แล้ว +1

    This guy is amazing. I never had a professor like him. Total Nerd crush

  • @ashlialee872
    @ashlialee872 2 หลายเดือนก่อน

    It took watching this twice for me to finally, properly understand the basal ganglia pathways. Amazing. Your lessons are seriously helping me.

  • @janechora1905
    @janechora1905 หลายเดือนก่อน

    Watching this, after my mom succumbed last month to complications from this disease, really hits hard. Softens the blow a bit, to understand the process more. Heartbreaking and hideous disease process💔

  • @AmeliaFiend
    @AmeliaFiend 5 ปีที่แล้ว +6

    Your explanation was the best, and I've seen Khanacadamy and other big names where they used a chart-like explanation. Yours was exceptional. Thank you!

  • @Frisson391
    @Frisson391 5 หลายเดือนก่อน

    WHERE AND THE HELL WERE YOU, WHEN WE WERE IN MEDICAL SCHOOL. ONE OF THE PREMIUM TEACHERS OF SO MANY DIFFERENT TOPICS. LOVE HOW YOU GROUNDED THE MAJOR STRUCTURES EARLY IN VIDEO, BY FAR ONE OF THE BEST

  • @danielnovella1472
    @danielnovella1472 5 ปีที่แล้ว +10

    Perfect summary! maybe rename this video to Basal Ganglion overview or something because it took me forever to come across this gold! Thanks for This vid!

  • @Rammahavirramjai
    @Rammahavirramjai 5 ปีที่แล้ว +10

    Just remember..stimulation of direct pathway cause stimulation of cortex..while stimulation of indirect causes inhibition of the cortex

    • @h.m.irtaza2146
      @h.m.irtaza2146 4 ปีที่แล้ว +1

      *Motor Cortex or CorticoSpinal Tract

  • @sayedaquil8574
    @sayedaquil8574 2 ปีที่แล้ว +2

    Best professor I have ever seen in my life, love youuu sir

  • @baesuzy4601
    @baesuzy4601 2 ปีที่แล้ว

    Sometimes I wonder what I should’ve done if your videos don’t exist I appreciate your hard-working

  • @evabarvitskiemarshall7999
    @evabarvitskiemarshall7999 2 ปีที่แล้ว +4

    You are a gifted teacher. Neuropsychiatry is my focus of study and I plan to watch any videos pertaining to this topic. Will support you on patreon. Thank you for your excellent comprehensive lectures.

  • @hamadkadventures5358
    @hamadkadventures5358 5 ปีที่แล้ว +12

    This video was exceptional! Thank you very much! Can you please do a video for multiple sclerosis like the ones for PD? It would really help...thank you!!

  • @rehababdelbagi
    @rehababdelbagi 6 หลายเดือนก่อน

    your level of knowledge and the obvious love of what u do is truly inspiring ..thank u from the deepest bottom of my heart

  • @HafizahHoshni
    @HafizahHoshni 5 ปีที่แล้ว +5

    Very beautifully and clearly explained presentation! Thank you for making me understand better! Thank you so much from Malaysia 🇲🇾 4/8/2019

  • @62sushilkarad2
    @62sushilkarad2 3 ปีที่แล้ว

    Basal ganglia /nuclei starts from 5:25.
    .
    Thanks a ton doctor !!!

  • @197sma
    @197sma 3 ปีที่แล้ว +1

    One of the best video ever. You are the best teacher I have ever seen

  • @sreeshailnivas6913
    @sreeshailnivas6913 2 ปีที่แล้ว

    Shoutout to those extremely beautiful drawings on the board just complementing to what he is teaching!!!

  • @jae3966
    @jae3966 3 ปีที่แล้ว +1

    You're saving my neuroscience degree not even kidding 😂😂 thank you so much💜

  • @abdullakurdi8303
    @abdullakurdi8303 3 ปีที่แล้ว +3

    I am not a medical student but i love this guy a lot.
    My father has PD and i’d like to find info about his disease.
    Thank you a bunch ❤️

  • @raghadajlouni5592
    @raghadajlouni5592 ปีที่แล้ว

    THERE ARE NO WORDS THAT CAN DESCRIBE HOW AMAZING YOU ARE! We need a video about Alzheimer Disease ASAP PLZ1

  • @danielcollado5357
    @danielcollado5357 3 ปีที่แล้ว +2

    Best explanation ever!! You’ve saved me of got a D in college 😂 hi from DR 🇩🇴

  • @ullianove151
    @ullianove151 4 ปีที่แล้ว +2

    Sir.. can u do a video on latest information about PARKINSON'S DISEASE. Please..

  • @shalinichatterjee204
    @shalinichatterjee204 4 ปีที่แล้ว +3

    Excellent explanation, thank you so much for making it so accessible.

  • @bardeeaaaa
    @bardeeaaaa 4 ปีที่แล้ว +3

    Summary
    Direct:
    Cortex (glu) + SubNigra (D1)→ ↑striatum (↑Gaba) → ↓globus pallidus internus (↓Gaba) → ↑thalamus → ↑motor cortex
    Note how the increase in gaba at the first step decreases gaba at the second step, effectively cancelling each other out.
    Indirect pathways:
    Cortex (glu) + SubNigra (D2)→ ↑striatum (↑Gaba) → ↓globus pallidus externus (↓Gaba) → ↑subthalamus (↑glu)→ ↑globus pallidus internus (↑Gaba) → ↓thalamus → ↓motor cortex

  • @mister_suraz
    @mister_suraz 5 ปีที่แล้ว +1

    Bestest lecture For the students. One an only video from where I acquire the knowledge on parkinson's disease. Great job thank you sir

  • @chaithraa9079
    @chaithraa9079 3 ปีที่แล้ว

    Am crying with joy 😭😭😭 no words for your amazing work

  • @brayan9645
    @brayan9645 4 ปีที่แล้ว +2

    This is such an incredible explanation of this complex disease. Thank you so much

  • @duncanv5537
    @duncanv5537 4 ปีที่แล้ว +1

    👍🏼👍🏼 I am a Pk patient . 🤔Too much info for my brain to process and retain 🤯🗣But your presentation is amazing 👏🏽👏🏽and also good source of reference that I will frequently go back to👏🏽. 👍🏼👍🏼👍🏼🙏🙏🙏🙏

    • @ratheeshmanoharan2987
      @ratheeshmanoharan2987 4 ปีที่แล้ว

      Not Just Parkinson's Most the Neurodegenerative disease can be controlled through Ayurveda Treatment
      I have been to VIAMS, an Ayurveda Hospital in Kerala, India
      Their approach is integrated Ayurveda with Physiotherapy, Psychology, Dietetics and Speech Therapy
      Find Them
      Dr. K.V. VIJAYAN INSTITUTE OF AYURVEDA
      MEDICAL SCIENCE PVT. LTD.
      Mezhathur P.O.
      Palakkad, Kerala,
      India - 679534
      India Toll Free : 1800 123 00 2442
      Direct : +91 9846362442
      : + 91 466 2270142
      Email : info@viams.in
      www.viams.in

  • @seamonislam193
    @seamonislam193 4 ปีที่แล้ว +1

    Would you any plan to give a lecture on Motor Neuron Disease and Multiple Sclerosis.Thanks in advance

  • @billiegallagher8401
    @billiegallagher8401 4 ปีที่แล้ว +1

    Thank you so much, you break it down so easily. You are so Great !

  • @rinisilviamalau1829
    @rinisilviamalau1829 4 ปีที่แล้ว +1

    please explain about inhibitor acetylcholinesterase

  • @ashokematharu5025
    @ashokematharu5025 2 ปีที่แล้ว

    You are a total genius. I cannot thank you enough. What a fantastic overview of PD. Than you, thank you.

  • @chailatte2160
    @chailatte2160 4 ปีที่แล้ว +1

    I'm so thankful for this research!! How do you erase the past of all the people that rejected you and treated you like dirt out of sheer ignorance?

    • @ratheeshmanoharan2987
      @ratheeshmanoharan2987 4 ปีที่แล้ว

      Not Just Parkinson's Most the Neurodegenerative disease can be controlled through Ayurveda Treatment
      I have been to VIAMS, an Ayurveda Hospital in Kerala, India
      Their approach is integrated Ayurveda with Physiotherapy, Psychology, Dietetics and Speech Therapy
      Find Them
      Dr. K.V. VIJAYAN INSTITUTE OF AYURVEDA
      MEDICAL SCIENCE PVT. LTD.
      Mezhathur P.O.
      Palakkad, Kerala,
      India - 679534
      India Toll Free : 1800 123 00 2442
      Direct : +91 9846362442
      : + 91 466 2270142
      Email : info@viams.in
      www.viams.in

  • @alexandreserainshuvaloff6640
    @alexandreserainshuvaloff6640 2 ปีที่แล้ว +2

    Hello, Excellent teaching here! All my compliments. I would like to ask about ACh releasing striatal interneuron effects. The D1 sensitives neurons are sensitive to mostly M4r and D2 sensitive neurons possess M1 & M4 in my knowledge. I'll appreciate very much your explanation about this contradictory effects of ACh-Interneurons on D1 sensitive or D2 sensitive striatal neurons. Greetings

  • @dineshgupta1553
    @dineshgupta1553 4 ปีที่แล้ว +2

    Can u make a video of epilepsy

  • @daniloschillaci4621
    @daniloschillaci4621 6 ปีที่แล้ว +2

    I saw that in some videos you can use subtitles. Why in other like this is not possible? Meanwhile, Thank you very much for your efforts

  • @Emadagban777
    @Emadagban777 5 ปีที่แล้ว +2

    Perfect explanation. Thank you so much.
    Could you please make up a video on the pathopgysiology of restless leg syndrome and why dopaminergic drugs work for it? Thank you.

  • @ChelsRN
    @ChelsRN 3 ปีที่แล้ว

    You are AMAZING. I hope you continue making videos. There’s nobody like you. I’m going to donate to your Patreon right now.
    Quick question. With the neurons dying off, how would adding dopamine help? Without the transport vehicle, where does the dopamine go and how is it used? Is it flooding the neurons that are still “good”? Is that why carb/levo eventually stops working - bc all of the transport vehicles are gone?

  • @mohamedeid3277
    @mohamedeid3277 4 ปีที่แล้ว

    I'm very thankful for your videos, Dr Murphy.

  • @gege-i9f
    @gege-i9f 6 ปีที่แล้ว +2

    Your explanation made it all understandable. Thank you!!!

  • @navaneeth6744
    @navaneeth6744 5 ปีที่แล้ว +1

    You said direct pathway stimulates agonist and indirect pathway inhibits antagonist. Dopamine by it's action stimulates direct pathway inturn stimulating and intensifying agonist and inhibits indirect pathway and inturn antagonist are stimulated. Isn't it? Then what is the use of activating both agonist and antagonist simultaneously

  • @vicino.
    @vicino. 2 ปีที่แล้ว

    I didn't personally like how you changed the example from the first case (without dopamin) to the second case (with contribution from dopaminergic neurons).. makes me kinda feel like those examples aren't correct since they can't function coherently. As for everything else, very good video, so useful, thanks :)

  • @ullianove151
    @ullianove151 5 ปีที่แล้ว

    I think.....I got it....now I can start my journey......about Parkinson's disease...thank u sir.

  • @martaboros524
    @martaboros524 ปีที่แล้ว

    Wow!!! Wow!!!! Thank You, Ninja Nerd!!! ❤️🙏🤗

  • @МаргуланОтанулы
    @МаргуланОтанулы 2 ปีที่แล้ว +4

    As always very nice and informative content from you!! Can you also do the clinical presentation about alzheimers and other neurodegenerative diseases?

  • @AnuragTyagi-yz8nf
    @AnuragTyagi-yz8nf 2 หลายเดือนก่อน

    Please Make Video on Alzheimer's disease pathophysiology, cause, cure symptoms and new research in this area

  • @mimmaahan7694
    @mimmaahan7694 3 ปีที่แล้ว +1

    pleeeeaaaase we need videos about Epilepsy😓😓😓😓

  • @yasirhussain3821
    @yasirhussain3821 12 วันที่ผ่านมา

    You are a very good teacher... I've a request...can you just speak a little slower it's difficult for me to get you some times ... other wise I have a great respect for you sir

  • @saadathullahkhan3939
    @saadathullahkhan3939 ปีที่แล้ว

    How can someone even dislike these videos!!!

  • @k.a2110
    @k.a2110 7 หลายเดือนก่อน +1

    Thank you so much

  • @bhawnakathurria4066
    @bhawnakathurria4066 ปีที่แล้ว

    Best medical teacher

  • @theresabarker3614
    @theresabarker3614 2 ปีที่แล้ว +1

    Love everything you do. I learn so much from you. Zac your my hero!

  • @renanterobles2942
    @renanterobles2942 3 ปีที่แล้ว

    Black Hoodies like scub neck accent and a big ninja at the back and NERD NINJA SCIENCE at the front

  • @barelhadad5627
    @barelhadad5627 2 ปีที่แล้ว +2

    why there is no subtitle?

  • @levongabrielian6430
    @levongabrielian6430 5 หลายเดือนก่อน

    Excellent! one small detail: it would be even better if you would give a little notion or formulation about striatum. Otherwise very good presentation.

  • @symohkaraniofficial4167
    @symohkaraniofficial4167 2 ปีที่แล้ว +1

    I suggest one on Alzheimer's disease

  • @bethenucleus1207
    @bethenucleus1207 3 ปีที่แล้ว +1

    Thank you sir for all these amazing videos you have been making for us. I'll request you to make a video on Alzheimer's disease. Thanks 😊

  • @gabrielefilosofi9228
    @gabrielefilosofi9228 หลายเดือนก่อน

    bradikinesia, from greek, is slow movements, akinesia is difficulty to initiate movements

  • @malinyamato2291
    @malinyamato2291 4 ปีที่แล้ว

    as always, great for my med studies...confused, when you want a strong contraction of biceps you increase the signal to its corresponding cortex area, but at the same time you increase the signal to the corresponding triceps area, which as a result contract as well, which works against the movement of the arm.

    • @offthedome785
      @offthedome785 4 ปีที่แล้ว

      Dr Noah holistic healing herbal medicine is the best to treat Parkinson disease, i have been batheling this deadly disease for years now knowing full well my days are numbered. My Doctor prescribed some medication for me (Levodopa) which I was taking to help subdue the disease, at a point I was off my meds and the disease started to kick in.
      I decided to do research for an alternative cure which leads me to a blog where a patient was testifying about Dr Noah herbs, i was overwhelmed and ought to give it a try. To my greatest surprise i am free from parkinson with no much talk get in touch with Dr Noah via:
      Email: dr.noahmedicalcenter@gmail.com
      Call +1 310 982-4670
      Visit website: noahmedicalcentre.webs.com/

  • @munirdarya1333
    @munirdarya1333 7 หลายเดือนก่อน

    You are the best ever ❤️👍

  • @khouloudazzaoui7186
    @khouloudazzaoui7186 2 ปีที่แล้ว

    youuuuuuuuuuuuu are my all time fav teacherrr

  • @yanethcastillo349
    @yanethcastillo349 2 ปีที่แล้ว

    you are the best tacher

  • @williammanning7072
    @williammanning7072 6 หลายเดือนก่อน

    Seems like a gentleman on the way to a medical professorship

  • @latifabouabdallah6746
    @latifabouabdallah6746 3 ปีที่แล้ว

    the best teacher ever

  • @EZ4U2SA.007
    @EZ4U2SA.007 ปีที่แล้ว

    Nimja Nerd,
    I have a neurodegenerative condition Superficial Siderosis. It shares symptoms with PD and MS. It would great to see a video done by you discussing Superficial Siderosis. Thank you!
    Your videos are outstanding. 🎯

  • @mariyamwaseem7885
    @mariyamwaseem7885 2 ปีที่แล้ว

    You are an amazing teacher! Your channel is one in a million 👍👏👏👏👌👌👌👌👌

  • @cleocarter
    @cleocarter 3 ปีที่แล้ว

    Video just started and so adorable already.

  • @mokhles703
    @mokhles703 2 ปีที่แล้ว

    lmao at the cliff hanger at the end, so enjoyable

  • @etheldeitz3392
    @etheldeitz3392 ปีที่แล้ว

    Correct me if this is wrong but another source says striatum releases gaba in the indirect pathway that inhibits globus pallidus. In reverse of what you say that stratum releases glutamate. Confused

  • @lindboknifeandtool
    @lindboknifeandtool ปีที่แล้ว

    Medicine is the most complex field of study. Insane stuff. To have the hormones and neurotransmitters isolated themselves would be a feat to me, to know their individual biological actions is just so cool.
    What are your thoughts on SSRIs?

  • @mhammedayaz2776
    @mhammedayaz2776 2 ปีที่แล้ว

    Beautiful style

  • @sitthiwachpanuruttananunt1423
    @sitthiwachpanuruttananunt1423 5 ปีที่แล้ว +3

    I NEED ENGLISH SUBTITLE TT
    I can't understand all of your words in one time .
    edit : I love your clips and channel anyway.

  • @kerrico1
    @kerrico1 2 ปีที่แล้ว

    Amazing 🤯🔍✅ Thanks for SHARING

  • @beltriategamer29
    @beltriategamer29 ปีที่แล้ว

    Sir I literally love your all lectures 🥺
    I have a request, please make a lecture on guillain barre syndrome

  • @pivotauh9197
    @pivotauh9197 ปีที่แล้ว

    Excellent x100

  • @perrytheplatypus699
    @perrytheplatypus699 2 ปีที่แล้ว

    Thank you so much 🧠🧠🧠

  • @kimk.9454
    @kimk.9454 4 ปีที่แล้ว

    Love your melon allows you to design your own patch on their hoodies and half the money goes to pediatric cancer. You should get those made.

  • @tolika7979
    @tolika7979 ปีที่แล้ว

    Hello! Congratulations on your work, very clear and well explained! But I can't play the subtitles for this clip! Thanks:)

  • @er8017
    @er8017 7 หลายเดือนก่อน

    Why are tremors classified as resting tremors not intentional tremors if it's related to a pathway starting with "intention or thought"??

  • @koukizsana7135
    @koukizsana7135 2 ปีที่แล้ว

    I want to know how did you understand all of this.. And memorize it 🥺 you are amazing
    I understood the explanation but i couldn't focus more to memorize it

  • @patrickopio9496
    @patrickopio9496 4 ปีที่แล้ว

    a very good approach . easy to comprehend

  • @imane2952
    @imane2952 3 ปีที่แล้ว

    Thank you so much....You are such a great teacher