Acute Leukemia - ALL and AML - Hematology and Oncology Series

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  • เผยแพร่เมื่อ 22 ธ.ค. 2024

ความคิดเห็น • 267

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  3 ปีที่แล้ว +4

    📝 Download Notes: www.medicosisperfectionalis.com/

    • @بيناتالموصلي
      @بيناتالموصلي ปีที่แล้ว +1

      Thank u very much. I get 18from 20 in med exam of hematology🎉

    • @abinet060
      @abinet060 ปีที่แล้ว

      amazing

    • @dodokpop5175
      @dodokpop5175 3 หลายเดือนก่อน +1

      The link doesn't work 🙂

  • @matsblindheim6039
    @matsblindheim6039 ปีที่แล้ว +16

    Love the dry humor and super casual attitude

  • @AA-vh1vr
    @AA-vh1vr ปีที่แล้ว +9

    قناتك كنز أنا محظوظ لأني وجدتها ،بالاضافة إلى ذالك لقد درست عليك في مادة الانيميا وامتحنتها وقد صادفت سؤال لم يستطيع اغلب الطلاب حله الا انا حللته لأنك ذكرته في الشرح شكراً جزيلاً لك

  • @abrahammatar1671
    @abrahammatar1671 4 ปีที่แล้ว +138

    You are changing the history of medicine, dude!

  • @cello9877
    @cello9877 3 ปีที่แล้ว +59

    I'm on my third year of being a pre-med student and whenever I can't absorb the information on the books anymore, I just go to your channel. More like I like how you approach the lessons! Just wanna say thanks!

  • @Mariabarlow3
    @Mariabarlow3 3 ปีที่แล้ว +9

    Some people just have the gift of getting through and communicating well. You have that gift. Thankful for videos like these!!!

  • @runescaeper78
    @runescaeper78 6 ปีที่แล้ว +24

    I watched most of your hematology videos, awesome fun and simple way of explaining things that are over-complicated by books! Thank you !

  • @BlehMehe
    @BlehMehe 10 หลายเดือนก่อน +3

    Even after 5 years you are my teacher thank you

  • @martinezbiz
    @martinezbiz 3 ปีที่แล้ว +15

    My wife and I lost our just turned 2 year old son 7 months ago to Aml. He had MLL gene rearrangement or subtype KMT2A or 11q23. He had a translocation between chromosomes 6 and 11, t(6;11). He received cytarabine, daunorubicin, etoposide, gemtuzumab ozagamicin then mitoxNtrone and cytarabine. He relapsed after the second chemo which signified refractory Aml which had a poor prognosis. Decitabine with mylotarg was then used. He died shortly after from within 4 months of treatment. Some side effects he had were bloody nausea and diahrea. Horrible bloody mouth sores. He was in pain all over. His right eye was covered by a leukemia pool that ended up bleeding.He had a lot of liquid in his lungs which they thought was pnemonia. He ultimately died from a brain bleed within 24 hours caused we think by the chemo.

    • @AK-zw3yz
      @AK-zw3yz 2 ปีที่แล้ว +4

      Oh!
      I am so happy for u.
      I am an elder sister. I have a younger sister. She has some weird symptoms. Idk what doest it mean.
      1) light headed
      2) tired & weakness
      3) coughs and flu
      4) nose bleed 1 time (gum bleeds)
      just a little bit
      5) today she has a unbearable pain on her teeth,ear & arms.
      But I said my mom about it & she doesn’t care about it. She wanted to say I am much hypochondriac.
      Basically I am so much obsessed with my sister. Maybe I love her a lot

  • @benzaboyplayz7296
    @benzaboyplayz7296 3 ปีที่แล้ว +16

    On my second relapse of ALL, now I finally understand what’s happening. Great video

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 ปีที่แล้ว +1

      Thank you!
      I wish you a speedy recovery!

    • @redactedpizza2278
      @redactedpizza2278 3 ปีที่แล้ว +2

      I hope everything goes well this time around. Stay strong 💕

    • @hiimdominic3780
      @hiimdominic3780 3 ปีที่แล้ว +2

      You got this. What hospital are you going to?

    • @leoniegray6404
      @leoniegray6404 2 ปีที่แล้ว

      My son has been diagnosed recently , my heart goes out to you . Horrible illness and aggressive treatments. Stay strong .

    • @nsudatta-roy8154
      @nsudatta-roy8154 ปีที่แล้ว

      Have you considered "intracellular" glutathione therapy? There is a whey protein that has a precursor that raises glutathione inside the cell. That glutathione is now able to promote "monoclonal expansion" of T-cells (cd4/cd8) which places cancer cells into "negative feedback inhibition." It works amazingly will in leukemias and many other cancers.

  • @syedmohammadaanasfarukh890
    @syedmohammadaanasfarukh890 หลายเดือนก่อน +1

    Thanks dude 🙏🙏🙏

  • @Nour-uo1tb
    @Nour-uo1tb 4 ปีที่แล้ว +6

    well, this is the first time i comment on a video on youtube, you're amazing! thank you so much, and keep going sir.

  • @shahdismailalqatu9711
    @shahdismailalqatu9711 5 ปีที่แล้ว +17

    keep going sir :)) this is so helpful, and like I spent 20 hours trying to understand this yesterday but you made it so clear for me in less than 15 mins .. awesome content too .

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 ปีที่แล้ว

      So happy that I was able to help...How did you find my videos?

    • @merhaba961
      @merhaba961 3 ปีที่แล้ว

      th-cam.com/video/BO_dU1KtFhE/w-d-xo.html

  • @AdianA-jv4ix
    @AdianA-jv4ix 9 หลายเดือนก่อน +1

    It’s amazing how you explain this you make it easy to understand

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  ปีที่แล้ว +2

    📝 Download my handwritten notes: www.medicosisperfectionalis.com/

  • @rajkanyapatil5097
    @rajkanyapatil5097 8 หลายเดือนก่อน

    So simple to understand
    Your way of explaining things is great .. finally found the best u tuber for pathology lecture ..keep it up bro

  • @nourhanfetian7783
    @nourhanfetian7783 21 วันที่ผ่านมา +1

    Thank you for your time and effort
    I've never seen an explanation like this before❤

  • @yuiyui3331
    @yuiyui3331 ปีที่แล้ว +3

    You know what is attractive, its your voice😁😁

  • @baslksa6
    @baslksa6 6 ปีที่แล้ว +8

    You are literally amazing thank you so much I'm studying my lab module right now !🙂

  • @MuWiStudio
    @MuWiStudio 2 ปีที่แล้ว +2

    I honestly like the way you make life easier

  • @necipfazlay4059
    @necipfazlay4059 2 ปีที่แล้ว +1

    1:07 Hey! Don't neutrophiles stem from the same cells that make up monocytes, rather than other granulocytes?

  • @MadihaAnwar-n1q
    @MadihaAnwar-n1q 10 หลายเดือนก่อน +1

    youre the best teacher ever!!!

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  5 ปีที่แล้ว +9

    50 hematology 💉 *cases* - written by me - are NOW available on www.patreon.com/medicosis/

  • @drpsyco6584
    @drpsyco6584 2 ปีที่แล้ว

    I told everyone
    Be drunk and then study you will know medicine easily
    You are donerrrreerrrr♥️

  • @LS-hb2ze
    @LS-hb2ze 5 ปีที่แล้ว +2

    Hi
    You the best,you taught easily and what’s necessary.Thank you God bless you.👌🏻🙏

  • @malazsaadkambal3988
    @malazsaadkambal3988 3 ปีที่แล้ว +2

    Oh I can't explain how these videos are amazing thank u♥️🌸

  • @muhammadaarif9894
    @muhammadaarif9894 ปีที่แล้ว +1

    Thanks a lot man
    this helped a lot for my FINALS!

  • @Ra-ko1yo
    @Ra-ko1yo 3 ปีที่แล้ว +2

    Thank you ,, your videos are so informative and cool .. this helped me in my study leave alot

  • @stephaniepresley6581
    @stephaniepresley6581 5 ปีที่แล้ว +2

    Hi
    I’m a retired HemOnc RN who has recently beenndiagnosed with LCH, aka:
    Langerhans Cell Histiocytosis
    Can you address a segment to this chameleon like disease?
    TIA

  • @malakalotaifi1681
    @malakalotaifi1681 4 ปีที่แล้ว +2

    Thanks a lot for making my life easier!

  • @ahmedrahman7019
    @ahmedrahman7019 6 ปีที่แล้ว +21

    you're the best keep going🔥🔥🔥🔥

  • @Ivedivealive
    @Ivedivealive 3 ปีที่แล้ว +1

    thank you for this thorough video! excellent visuals!

  • @hral-aeen4206
    @hral-aeen4206 4 ปีที่แล้ว +1

    Why does infection increase in leukemia (high WBC)? Due to dysfunction of WBC

  • @angelebeh3036
    @angelebeh3036 4 ปีที่แล้ว +15

    "Crazy, useless, immature cancer cells" 😂

  • @samet3359
    @samet3359 ปีที่แล้ว

    that ALL drawing at testicles at 7:33 is perfect 😂

  • @amineaboutalib
    @amineaboutalib 3 ปีที่แล้ว

    one question tho, why doesn't it matter where wo do the biopsy? if the clonal cells haven't metastisized yet, they should be limited to one bone and only one bone no?

  • @cerenfenerci2788
    @cerenfenerci2788 4 ปีที่แล้ว +2

    BEST explanation ever! Thank you so much!

  • @gemmarium4337
    @gemmarium4337 3 ปีที่แล้ว +3

    I had a friend get diagnosed with AML in November 2010 and pass away from it in January 2011. It is so rapid and aggressive.

    • @maryjohns7968
      @maryjohns7968 2 ปีที่แล้ว

      Was it caught late?

    • @gemmarium4337
      @gemmarium4337 2 ปีที่แล้ว

      @@maryjohns7968 no she only began showing “mild” symptoms maybe 3 months(?) prior to diagnosis. At the time of diagnosis however her condition was bad. Very high relentless fever, very pale, weight loss, no energy, bruises everywhere… I’ve never seen a disease like this.

  • @diwasdiwas9790
    @diwasdiwas9790 5 ปีที่แล้ว +1

    you are the best. i cant believe u dont have many views yet.

  • @viper3636dr
    @viper3636dr 4 ปีที่แล้ว +1

    Wow great overview. Very pleasant to watch too and informative. Thank you!!!

  • @asifshahriar9685
    @asifshahriar9685 16 วันที่ผ่านมา

    Thank you ❤

  • @way2happiness400
    @way2happiness400 3 ปีที่แล้ว

    Hello! I'd like to thank you for this vedio .
    I want to ask , do you allow to take a screenshot of the vedio?!
    Thanks alot.

  • @kadyalthunayan4264
    @kadyalthunayan4264 3 ปีที่แล้ว +2

    Thank you very much doctor

  • @rawyaretha9448
    @rawyaretha9448 6 ปีที่แล้ว +3

    Thank you for make it so simple

  • @raveenakandera3699
    @raveenakandera3699 ปีที่แล้ว +2

    Very nice explanation ....

  • @Innerdiamond
    @Innerdiamond 3 ปีที่แล้ว

    Friend diagnosed with AML and he is almost 61. Was low in ferritin for a while. Anemic. Pretty healthy guy.. except I guess not.

  • @marcusgoh8491
    @marcusgoh8491 5 ปีที่แล้ว +1

    I have a question, in acute leukemias, there are high number of blasts but does that translate to a high total white count? or leukopenia?
    and in chronic leukemia, I assume that it would be leucocytosis?

    • @abhikhalder7351
      @abhikhalder7351 4 ปีที่แล้ว

      In acute leukemias there is neutropenia but WBC count is high due to blasts(as they enter blood stream).And in chronic leukemias there would be leukocytosis.

  • @bbaker904baker7
    @bbaker904baker7 3 ปีที่แล้ว +1

    I wish I could better understand what is going on with me. They found out I had MDS for years that was masked by me having colitis for years. Some of the same in CBC tests are the same. Then suddenly after my colon was removed I came down with AML. All bone marrow biopsy showed I had MDS that progressed to AML. Lone of the mutations were bad. Chemo bought me all the way to cytogentic remission last Sept. Things went great until an adrenal test when I had to stop anything steroid for 5 full days. I started feeling sick, it didn't do away. In hospital the bone marrow showed my AML back with one catch. I have isolated 20q12. Percentage of bone marrow is 86%. Red cells, platelets, and B cells are low. Everything else is normal. Whites are slightly low but not dangerous. Doctors have never seen this. Nothing is documented. They gave me 6 to 8 weeks to live. Now that is up in the air when CBC just before giving me blood showed my platelets went from 30 to 70, Now the doctor doesn't know what will happen other than it will kill me. blast levels in marrow are 20%. Peripheral bone smear marrow smear show 5%. Blasts in blood 0.5%. Blasts in marrow are atypical with slight left shift. What is the world is this and how long do you think I will have to live.

  • @hardik7942
    @hardik7942 5 ปีที่แล้ว +1

    If continuous cell division exposes the folate deficiency Anemia than there should B12 deficiency Anemia and Iron deficiency Anemia too right ?? Or is there any other mechanisms in it, plz explain if you know

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 ปีที่แล้ว +1

      Sorry, I didn’t understand the question...Can you phrase it in other words, please?

    • @hardik7942
      @hardik7942 5 ปีที่แล้ว +1

      @@MedicosisPerfectionalis At 8:17 you were explaining about Lab in Acute lukemia. Due to rapid cell turnover nd continuous cell division, sometimes there can be Folate deficiency causing Macrocytic Anemia......so my question is B12 or Iron deficiency Anemia can also occur right ? Bcuz those things are important in cell division or is there something else causing only folate deficiency Anemia.... hope you got my question 😅

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 ปีที่แล้ว +2

      Yes! You’re absolutely correct! B12 deficiency will be the last to appear because the liver store it for years.

    • @hardik7942
      @hardik7942 5 ปีที่แล้ว

      @@MedicosisPerfectionalis these things are easy to discuss on paper but in clinical diagnosis it must be hard to determine specific pathology 😐😓😕

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 ปีที่แล้ว

      Yup

  • @nooneoneno5387
    @nooneoneno5387 5 ปีที่แล้ว +3

    excellent video....
    great explanation..!!

  • @dewiarianna
    @dewiarianna 6 ปีที่แล้ว +1

    actually, how its become thrombocytopenia when ALL occurs? i thought it only influence lymphopoiesis lineage so it will never disrupt any platelet count.. please explain me doc :(

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 ปีที่แล้ว +4

      Hyper-production of WBC lineage will "crowd out" other cell lines such as platelets and RBCs leading to thrombocytopenia and anemia respectively.

  • @mariaestrellitagonzales-me9798
    @mariaestrellitagonzales-me9798 3 ปีที่แล้ว

    THANK YOU 🙏 MORE POWER❣️GOOD LUCK 🍀

  • @abdulraheemyounas6940
    @abdulraheemyounas6940 5 ปีที่แล้ว +2

    Hi! i am studying in (Medical Laboratory Technology 4years program) currently i am in 2nd year
    Hematology is include in my subjects, next month my annual exam will be start
    i watch the Leukemia videos
    there are a lot concepts are missing which i need
    i need your help

  • @amiraelsayed84
    @amiraelsayed84 3 ปีที่แล้ว +1

    What an amazing effort..👏👏

  • @shackblack2903
    @shackblack2903 3 ปีที่แล้ว

    can you recap the video content? I need it for the upcoming lesson

  • @97footballplayer
    @97footballplayer ปีที่แล้ว

    This is a very good explanation. It is my assessment that your presentation covers the symptomology of the disease process and current medical practices to correct the symptoms.
    I am intrigued to understand the actual disease process occurring in/at the bone marrow level. Some questions I have are what hormone cascades/signaling hormones are involved in the negative feedback loop of the bone marrow. Is there pathology in the negative feedback loop?
    What is actually occurring in the marrow to produce these immature blast cells? We understand the presentation of the disease well but with is the pathology as it relates to the bone marrow? Heavy metal deposition causing ROS and altering mitochondrial function? Are “forever chemical” depositing in the marrow and cause risk for cellular disfunction. Perhaps a severe acute stress response or chronic stress due to interpersonal relationships, or work could leave someone particularly vulnerable to relapse? I have so many questions.
    Blood cancers don’t start a tumor growths/mass development. What is occurring in the marrow? Is there tumor development in the marrow of dysfunctional marrow cells?
    Does the diseased marrow spread to other marrow containing bones?

  • @sunjokong6323
    @sunjokong6323 ปีที่แล้ว +1

    You are awesome🥺. Thank you so much

  • @rukiee.b.ovwigho5709
    @rukiee.b.ovwigho5709 2 ปีที่แล้ว

    Medicosis perfectionalis. 👏👏👏❤️❤️❤️❤️❤️

  • @garwingchan3053
    @garwingchan3053 3 ปีที่แล้ว

    Thank you for your very good presentation.

  • @afiqdanial2838
    @afiqdanial2838 4 ปีที่แล้ว

    best explaination so far

  • @nour5459
    @nour5459 3 ปีที่แล้ว +1

    Can you please explain the mechanism of Dic in acute leukemia :")

  • @GarnettSypher
    @GarnettSypher 2 หลายเดือนก่อน

    Great content, as always! I need some advice: I have a SafePal wallet with USDT, and I have the seed phrase. (behave today finger ski upon boy assault summer exhaust beauty stereo over). How can I transfer them to Binance?

  • @ahmedaliisak1657
    @ahmedaliisak1657 4 ปีที่แล้ว +4

    Thank you sir.
    my teacher ileen😂 watches your video's No more headaches.
    var caught😁

  • @ayass2598
    @ayass2598 6 ปีที่แล้ว +1

    can you please just give me the definition of monoclonal?? you are the best ..

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  6 ปีที่แล้ว +8

      Monoclonal: Originating from one entity (from one cell)...Think of it as plants originating from a common root.

  • @doctorv851
    @doctorv851 6 ปีที่แล้ว +1

    Based on physical examination that include age etc
    How can u differentiate
    AML & ALL

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 ปีที่แล้ว +4

      It's very difficult to differentiate between them based on the physical exam alone, we almost always need a bone marrow biopsy, peripheral smear, immunohistochemistry and flow cytometry. Based on age, ALL patients are usually (not always) younger. ALL is associated with Down syndrome, so you will see clinical features of Down's. AML-M3 subtypes has some specific characteristics such as DIC, AML-M5 has oral mucosa involvement.

  • @simpenny8142
    @simpenny8142 3 ปีที่แล้ว +1

    oh gosh!!! really like your presentation!! It's interesting & funny at some points! Thank you so much ^^
    Btw, may I know which software/app did you use to write these notes??

  • @bhaveshgarg8142
    @bhaveshgarg8142 3 ปีที่แล้ว

    when lukemia metastasize into the lymphnodes will it be called lymphoma?

  • @PoojaSingh-id2ic
    @PoojaSingh-id2ic 2 ปีที่แล้ว +2

    O my God dude! You are awesome!!!!!! 😃😍

  • @sara-we9ut
    @sara-we9ut 4 ปีที่แล้ว +2

    Your absolutely the best I like ur videossss

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 ปีที่แล้ว +1

      Thank you so much 😊
      Can you please help me by sharing?

    • @sara-we9ut
      @sara-we9ut 4 ปีที่แล้ว +1

      Medicosis Perfectionalis yeah sure I’ll, any other thing u want me help u in?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 ปีที่แล้ว

      That’s more than enough...Thank you so much!
      Now, do you want any help from me?

  • @abishek485
    @abishek485 5 ปีที่แล้ว +2

    Fantastic videos sir. Thank you for these. Really really helpful. ♥️♥️♥️♥️♥️♥️

  • @basilsheikhahmad1499
    @basilsheikhahmad1499 2 ปีที่แล้ว

    hello, first i would like to say thankyou for your amazing videos. second i would like to ask regarding wbc count, i dont understand how it can be increased wbc or decreased

  • @ulfatgul868
    @ulfatgul868 3 ปีที่แล้ว

    Amazing explanation👌thank you so much

  • @PetracharlesAkashi92
    @PetracharlesAkashi92 4 ปีที่แล้ว

    I have a question, why is the WBC count can be low in AML (

  • @vdoubleu-o4u
    @vdoubleu-o4u 5 ปีที่แล้ว +1

    The auer rods in AML are in the cytoplasm right?

  • @fatemaatia4385
    @fatemaatia4385 5 ปีที่แล้ว +1

    @medicosis perfectionalis
    Thank you for this amazing illustration ;keep on 👌👏

  • @shimom5724
    @shimom5724 5 ปีที่แล้ว +1

    Your videos are fantastic, thanks 💜

  • @emmanmudassar2063
    @emmanmudassar2063 11 หลายเดือนก่อน +1

    Very helpfull👌

  • @user-sm9tg4rc1n
    @user-sm9tg4rc1n 3 ปีที่แล้ว

    Thank you so much for these videos!

    • @markahesabi3171
      @markahesabi3171 3 ปีที่แล้ว

      th-cam.com/video/4TmGXQjPIEM/w-d-xo.html

  • @MD946
    @MD946 4 ปีที่แล้ว +1

    informative video. Loved it

  • @dominicmendoza6662
    @dominicmendoza6662 2 ปีที่แล้ว

    Hi, I have a question, even if I'm awake or I don't always get enough sleep, can I have leukemia?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  2 ปีที่แล้ว

      Leukemia cannot be ruled out or ruled in based on your sleep status alone!

  • @mathelasmr6528
    @mathelasmr6528 3 ปีที่แล้ว

    Bro do a picture lecture of aml classification I got confused

  • @bibeksharma1767
    @bibeksharma1767 3 ปีที่แล้ว

    can AML spread to lymph node and cause lymphadenopathy?

  • @mayzingasmr3145
    @mayzingasmr3145 3 ปีที่แล้ว

    Thank you very much for all amazing infos. Can you please make more lecture about immunohematology ( blood bank) please!

  • @user-vn8ro9iz5x
    @user-vn8ro9iz5x 3 ปีที่แล้ว

    Thank you Very much that was very helpful!!! I’m just abit confused about whether WBCs are raised or low in acute leukaemia?
    If they are raised then why are they more susceptible to infections?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 ปีที่แล้ว +2

      WBCs could be any number in case of leukemia...They could be less than 10,000, more than 100,000 or anything in between.
      The reason why there could be infections is that these WBCs are malfunctioning, even though they might have a high number.
      Number and function are 2 different things!

    • @user-vn8ro9iz5x
      @user-vn8ro9iz5x 3 ปีที่แล้ว +1

      @@MedicosisPerfectionalis perfect this makes sense thank you !!

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 ปีที่แล้ว

      My pleasure 😇

  • @sobster123
    @sobster123 3 ปีที่แล้ว

    there is squeaky weird noises in the background when I play this. strange.. nevertheless great vid as always!!! Thank you so much Medicosis i love you!

  • @سارةطارق-م2ي
    @سارةطارق-م2ي 6 ปีที่แล้ว +3

    you are great thank u so much

  • @MrNaal5
    @MrNaal5 3 ปีที่แล้ว

    This was really good

  • @maryfawzi6308
    @maryfawzi6308 6 ปีที่แล้ว +2

    That was so helpful

  • @pashteen8348
    @pashteen8348 6 ปีที่แล้ว +4

    Simplified greatly

  • @ivanpuente5169
    @ivanpuente5169 2 ปีที่แล้ว +1

    Thank you, sincerely.

  • @simajameeljameel5011
    @simajameeljameel5011 3 ปีที่แล้ว

    Thank you 👌👍

  • @samarmohameed5557
    @samarmohameed5557 3 ปีที่แล้ว

    ThanQ man ,l luv u💜

  • @areejzedan5034
    @areejzedan5034 3 ปีที่แล้ว +1

    you are the best,,, keep going

  • @BobprestesBR
    @BobprestesBR 4 ปีที่แล้ว +1

    very good video

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 ปีที่แล้ว

      Thank you so much 😊
      Can you please help me by sharing?

    • @BobprestesBR
      @BobprestesBR 4 ปีที่แล้ว

      @@MedicosisPerfectionalis i shared your videos to all my classmates !!

  • @user-hf4sr5jr2d
    @user-hf4sr5jr2d 4 ปีที่แล้ว

    awesomeeee explanation

  • @thokomasango2294
    @thokomasango2294 ปีที่แล้ว +1

    FINALLY MEDICINE MAKES SENSE 👌🙌😅

  • @yashvisethia9056
    @yashvisethia9056 2 ปีที่แล้ว +1

    You are amazing

  • @alinzavada8566
    @alinzavada8566 4 ปีที่แล้ว

    Hey! What does monoclonal mean?

  • @mahiehussein
    @mahiehussein 4 ปีที่แล้ว +1

    Thanks!

  • @glisteningsky7251
    @glisteningsky7251 2 ปีที่แล้ว

    Every time I study these topics I end with forgetting them all in the early morning hope this time is different