Approach to the Exam for Parkinson's Disease

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  • เผยแพร่เมื่อ 22 ธ.ค. 2024

ความคิดเห็น • 584

  • @dge.
    @dge. 4 ปีที่แล้ว +316

    It’s so immensely inspiring to see an actual patient in videos like these. It reminds me why I’m bending over my books all day. Thank you Larry and thank you, Stanford Med!

    • @jamesalipio1631
      @jamesalipio1631 2 ปีที่แล้ว +3

      hi fellow doge, parkinsonism interests me as well

    • @mikejennings5961
      @mikejennings5961 8 หลายเดือนก่อน +2

      Goge

    • @mikejennings5961
      @mikejennings5961 8 หลายเดือนก่อน

      Hello

    • @vvvdog200
      @vvvdog200 5 หลายเดือนก่อน

      Did not say what's normal and what's not normal?This is terrible

    • @Photo_doctor
      @Photo_doctor 5 หลายเดือนก่อน +1

      I am a biology student, want to become a Med student

  • @heatherk.906
    @heatherk.906 ปีที่แล้ว +101

    Way to go, Larry! I hope he's still going strong, now four years later. I always appreciate folks who are willing to let the rest of us learn "off" of them and their troubles.

  • @skylerjames3276
    @skylerjames3276 2 ปีที่แล้ว +88

    Thank you Larry!! I hope you know how many medical schools your video is used at all over the country, and thus how many students you have helped learn. Getting to learn from real patients makes all the difference in the world and reminds me what all this work is for. Excellent video.

  • @joshyantony1932
    @joshyantony1932 6 ปีที่แล้ว +214

    Please tell Larry he has good wishes from all over the world!!
    Thank you doctor for this wonderful presentation!
    I still can't stop thanking Larry enough :)

    • @StanfordMedicine25
      @StanfordMedicine25  6 ปีที่แล้ว +24

      Joshy, thank you for the message. I will make sure Larry see yours and others. - Errol Ozdalga

    • @shamchandgautam8510
      @shamchandgautam8510 6 ปีที่แล้ว +1

      I8

  • @manikandansrt
    @manikandansrt ปีที่แล้ว +11

    Thank you Larry and Dr.Poston. Wish you all good things.

  • @TheUnderclocked
    @TheUnderclocked 8 หลายเดือนก่อน +4

    I just came back from an initial exam for Parkinson's tremor. I believe the nurse practitioner that examined me must have just watched this video beforehand. My responses very closely resemble Larry's to even include the predominance of symptoms on the left side.
    Best wishes to Larry!

  • @hunkaboomer
    @hunkaboomer ปีที่แล้ว +26

    I have essential tremors that are a reflection of my anxiety. Sometimes I think, “Do I have Parkinson’s?” because I shake so bad, but this TH-cam instructional helps me know that I don’t have anything more than tremors

    • @Epiphalactic
      @Epiphalactic 8 หลายเดือนก่อน +1

      essential tremor is different than anxiety tremor.

    • @exosproudmamabear558
      @exosproudmamabear558 8 หลายเดือนก่อน +3

      You have risk of having Parkinson (long term stress can effect essential tremors but it isnt direct cause. Essential tremors doesnt mean you are parkinson tho)so I suggest you to get your anxiety in check and stay away from antipsychotics. Go yo doctor to see if you need medication for it. Try to sleep enough.

    • @carriebaker5161
      @carriebaker5161 8 หลายเดือนก่อน

      Talk to your PCP about Lorazepam or Flexiril for your anxiety and spasticity. I'm on both. A genetic condition I have leaves me an high risk for MS or Parkinson's.

    • @zareshawilliams1624
      @zareshawilliams1624 12 วันที่ผ่านมา

      Me too

  • @maryherron3970
    @maryherron3970 5 ปีที่แล้ว +88

    Thank you Dr. Posten and Larry. Now I'm not so scared when I go to have mine done. I certainly appreciate how well you explained everything.

  • @siddharthchikhalkar4615
    @siddharthchikhalkar4615 ปีที่แล้ว +4

    Thank you so much Larry Sir for teaching us! I hope you're doing just fine after 5 years! Also Thanking Dr. Kathleen for teaching us and being such gentle towards Larry. God bless!!

  • @hatirose7503
    @hatirose7503 6 ปีที่แล้ว +82

    Thank you Larry, that was very helpful, and thanks to standford medicine 25 for uploading great videos.

    • @valnaples
      @valnaples 5 ปีที่แล้ว +10

      wasn't that good of him to participate like this? WOW..eye-opening and YES, GOOD health to you Larry!

  • @BM-ke6yn
    @BM-ke6yn 3 ปีที่แล้ว +36

    Larry is so CUTE! WE LOVE YOU LARRY

  • @tanny2482
    @tanny2482 5 ปีที่แล้ว +38

    Thanks Larry! Though you may not see the message, but thanks a lot! You are the greatest teacher to us!

  • @albertdesalvo7273
    @albertdesalvo7273 5 ปีที่แล้ว +3

    Dr. Kathleen Poston has ample charms. All the best for Larry.

  • @olaflai2136
    @olaflai2136 5 ปีที่แล้ว +311

    THANK YOU!!
    Amazing video. Please tell Larry that we all wish him good health and happiness. :)

    • @StanfordMedicine25
      @StanfordMedicine25  5 ปีที่แล้ว +43

      Believe me, we make sure he see's all the comments. Thank you for yours.

    • @IIDraithII
      @IIDraithII 4 ปีที่แล้ว +10

      You said what I wanted to say, thank you Larry!

    • @cozzball
      @cozzball 4 ปีที่แล้ว +3

      +1 hereu, greetings from Barcelona to all of you, and for Larry of course!

    • @ginb1598
      @ginb1598 4 ปีที่แล้ว +2

      This was great, I have been researching "what are the warning signs of parkinson disease?" for a while now, and I think this has helped. Have you heard people talk about - Piyaliyah Prominent Prepotence - (search on google ) ? It is a smashing exclusive product for discovering how to reverse Parkinsons disease minus the headache. Ive heard some interesting things about it and my mate got excellent success with it.

    • @arturogoleman5221
      @arturogoleman5221 4 ปีที่แล้ว

      Just wonderful, I've been looking for "what is the drug of choice for parkinson's?" for a while now, and I think this has helped. You ever tried - Piyaliyah Prominent Prepotence - (do a google search ) ? It is a good exclusive product for discovering how to reverse Parkinsons disease without the hard work. Ive heard some super things about it and my friend got excellent success with it.

  • @ifuadkhan
    @ifuadkhan ปีที่แล้ว +2

    Thank you for your contribution to medicine Larry. Stay blessed and wishing you the best of health!

  • @MuhammadAli-ml9bt
    @MuhammadAli-ml9bt 6 ปีที่แล้ว +11

    Dr. Kathleen Poston. thanky so much and thank you LARRY

  • @leeandrewcowles
    @leeandrewcowles ปีที่แล้ว +2

    Thank you Larry, as others have said it makes a world of difference seeing a real person rather than another page or PowerPoint slide! So good of you to take part.

  • @josephinemacken4391
    @josephinemacken4391 9 หลายเดือนก่อน +5

    What a fantastic teacher and educator you are, Dr. Poston! You are also a compassionate and thoughtful doctor!

  • @KingCamisback
    @KingCamisback 5 ปีที่แล้ว +5

    Thank you mister Larry and Dr Poston for helping us in our education about PD. All the best to the greatest volunteer patient Larry!

  • @pkneeno
    @pkneeno 5 ปีที่แล้ว +474

    Larry: here's an internet hug!

  • @esi8747
    @esi8747 2 ปีที่แล้ว +1

    Thank you Larry for your participation. Thank you Dr. Poston for sharing your knowledge

  • @rolandpochet8418
    @rolandpochet8418 2 ปีที่แล้ว +3

    This is an excellent video in which not only students and MDs can learn but also the patients themselves and caregivers. This video open to everyone is in the line of the consept of patient centricity. Thank you Dr. Posten and Larry

  • @donnarick7700
    @donnarick7700 3 ปีที่แล้ว +4

    Thank you, Larry & Doctor.
    God bless you both!

  • @patnewman1
    @patnewman1 6 ปีที่แล้ว +4

    Prior to my diagnosis of PD three years ago I noticed a tremor in my left hand. Because I am a Vietnam Veteran my primary care Doctor scheduled an appointment with a Neurologist. Before I met with the Neurologist I looked at a lot of videos which discussed PD symptoms, but this is by far the best video for PD that I have seen. Thank you for posting it.

    • @saiyogesh4606
      @saiyogesh4606 5 ปีที่แล้ว

      Im observing slight trembling im my right finger..especially after using phone ..can u pls help me

  • @jislam3702
    @jislam3702 3 ปีที่แล้ว +2

    Dr. Kathleen... the way you explain & do exam, as a young doc, I am mersmerised! Amazing skill. Stanford Medicine. 👌

  • @ssbmouse6471
    @ssbmouse6471 2 ปีที่แล้ว +2

    Thank you Larry for volunteering!

  • @annaalexandratou5593
    @annaalexandratou5593 5 ปีที่แล้ว +27

    This was amazing and very educational. Thank you so much for uploading and thank you Larry for the cooperation and demonstration!!

  • @amitmor392
    @amitmor392 6 หลายเดือนก่อน +1

    I am a medical doctor and every time I watch the Stanford Medicine videos I am overwhelmed by the clarity and methodology. Thank you Dr. Poston, this was a excellent video

  • @rosieweasley5865
    @rosieweasley5865 3 ปีที่แล้ว +10

    Thank you so much Dr Poston and Larry, and everyone involved in producing this very helpful video. I wish everyone great health

  • @troyhagen587
    @troyhagen587 5 ปีที่แล้ว +11

    Just Thank You, GREAT INFORMATION AND VIDEO THANKS. I'm 62 and fighting Parkinson's, walking and have a part time job. Great Information, Happy Easter. THANKS

  • @dennismarble3591
    @dennismarble3591 6 ปีที่แล้ว +20

    Thank You Dr. Poston and Larry. Excellent demonstrations and very helpful.

  • @VivekSingh-kc5kw
    @VivekSingh-kc5kw 5 ปีที่แล้ว +70

    Best explanation ever in my whole medical life

  • @Veraa54621
    @Veraa54621 3 ปีที่แล้ว +1

    Awesome video. I'm a family medicine junior doctor in Portugal and I watch this video each time I want to review Parkison Disease examination. I've already recomend it to several students that I couched, Thank you so much

  • @CorkyDaCat
    @CorkyDaCat 6 ปีที่แล้ว +11

    I under went most of those examinations and was given a preliminary diagnosis of PD just before Xmas. We thought my Tremors was due to my Extreme Anxiety and PTSD (both diagnosed). But watching YT videos such as this (& MJ Fox) is helping me understand my situation. The buttoning up process is a real challenge for me, same with shoe laces but it's all making sense to me and my Doctor now. Thank you.

    •  ปีที่แล้ว

      You have it

  • @dharghamalturaihi3511
    @dharghamalturaihi3511 4 ปีที่แล้ว +2

    Thanks a lot for your continuous honorable contribution to International education .
    From Iraq

  • @camillecruxinger9368
    @camillecruxinger9368 4 ปีที่แล้ว +3

    Bless your heart Larry! We love you!

  • @OkanVKILIC
    @OkanVKILIC 4 ปีที่แล้ว +2

    thank you so much Larry, i am a physician from Turkey, and thanks to you and your great doctor, i understood Parkinson's disease better. i wish you good health and happiness in your life.

  • @ZapperJohn
    @ZapperJohn 2 หลายเดือนก่อน

    Larry was a rock star in this video. Thank you! I'll be using some of these tests on my mom tomorrow because of what she is experiencing.

  • @drmanangupta
    @drmanangupta 5 ปีที่แล้ว +11

    What an excellent video on examination of a patient with Parkinson's Disease. Simple yet detailed. Organized and easy to learn. Will share with my residents and medical students. Keep it coming!

  • @miared2059
    @miared2059 5 ปีที่แล้ว +2

    Thank you Larry and Dr. Posten

  • @karenwisusa6258
    @karenwisusa6258 ปีที่แล้ว +1

    Thank you Larry for helping the team get information out! Glad your medication is helping you have a better quality of life!
    I have a neurology exam in less than two weeks and I’m glad I watched this video! My resting head tremors/shaking 24/7 seriously worsened after trying the exercises in the beginning of this video. Now I may need to walk around awhile to try to see if I can settle them down! Good to be aware that during my exam my tremors may get worse for awhile if these exercises are done!

  • @muhammadelgazar7303
    @muhammadelgazar7303 6 ปีที่แล้ว +3

    Many thanks for Dr. Kathleen and Larry.

  • @pranavireddy1605
    @pranavireddy1605 2 ปีที่แล้ว +1

    Thank you Larry and Stanford med

  • @fotballdude16
    @fotballdude16 ปีที่แล้ว

    Thank you so much Larry for teaching us!! I´m writing this as a physician here in Norway. Thank you to Stanford Med, for making this great video! Much appreciated!

  • @marymcnally4852
    @marymcnally4852 5 ปีที่แล้ว +2

    Thank you for your clarity and compassion.

  • @marielkraus649
    @marielkraus649 6 ปีที่แล้ว +17

    After years of testing my patients for rigidity for the UPDRS for establishing my therapy POC, I have not challenged rigidity using activation maneuver so I've learned something new and very useful in this video! Thank you, Dr. Kathleen!

    •  ปีที่แล้ว

      My hands hurt while doing the first hand testing

  • @shilpakumar1217
    @shilpakumar1217 9 วันที่ผ่านมา +1

    If anyone noticed; Larry takes Pride in his improvement. We are very Proud of you, Larry 😅

  • @alouise3557
    @alouise3557 2 ปีที่แล้ว +51

    Over 700,000 of us probably did the first few exercises "just to see".

    • @brentbarajas
      @brentbarajas 8 หลายเดือนก่อน +6

      Yup lol

    • @MommeeMadre1
      @MommeeMadre1 5 หลายเดือนก่อน +1

      You know that's right!

  • @alihadimajeed3372
    @alihadimajeed3372 2 ปีที่แล้ว

    i don’t know why, but out of no were, I just love this guy (Larry). wish u all the best sir.

  • @amazinggrace5692
    @amazinggrace5692 3 ปีที่แล้ว +1

    Thank you! My husband was diagnosed recently.

  • @tolgakartal5029
    @tolgakartal5029 ปีที่แล้ว

    Thank you so much Larry for your kindness and let this video produced!

  • @scores718
    @scores718 8 หลายเดือนก่อน

    Mr. LARRY. Happy Spring. You are impressive in your calm manner

  • @EvangelineMunda
    @EvangelineMunda 6 ปีที่แล้ว +6

    This video is very helpful. Thanks Dr. Kathleen and Larry.

  • @RikkeS87
    @RikkeS87 2 ปีที่แล้ว +1

    This video has been so helpful for me as a student of speech therapy to understand more about the exam for Parkinson's Disease. Thank you so much Larry, for demonstrating, it means a lot. I hope you're doing well!

  • @noellealissa2206
    @noellealissa2206 2 ปีที่แล้ว +1

    Thanks Doc. Your physical presentation of Parkinson's Disease was bar none!

  • @suryakantpandit8431
    @suryakantpandit8431 4 ปีที่แล้ว +1

    Excellent Madam ,one of the best video to evaluate the symptoms of PD.Regards.

  • @btu59
    @btu59 3 หลายเดือนก่อน

    Excellent thank you ❤ and Larry too..Books are tools and education, but actually watching is this is such a great learning experience …

  • @DoctorGeri
    @DoctorGeri 6 ปีที่แล้ว +24

    I would like to see a video demonstrating the exam process for differential diagnosis between Parkinson's Disease and PSP (Progressive Supranuclear Palsy).
    A number of PSP patients have been misdiagnosed with Parkinson's.

  • @sunving
    @sunving 4 ปีที่แล้ว +2

    Thank you Doctor, Poston and Larry. it is a wonderful video.

  • @umerbinshabir6561
    @umerbinshabir6561 5 ปีที่แล้ว +58

    Way she explains it....amazing dr

  • @maralynsmith2276
    @maralynsmith2276 4 ปีที่แล้ว +2

    A very good video. I now know what to expect when I have my video appointment in October. Thank you so much l

  • @jenniealkawari2731
    @jenniealkawari2731 4 ปีที่แล้ว +1

    Love you Larry. Going for a PD assessment next Monday. Only tremor so far. Thank you Dr and dear Larry

  • @sophia66723
    @sophia66723 ปีที่แล้ว

    This was very helpful. Big thanks to both the doctor and the patient!

  • @AngeredYeti
    @AngeredYeti ปีที่แล้ว

    Thank you very much! Thanks very much Larry too! Love from Alberta, Canada.

  • @sandracora7788
    @sandracora7788 9 หลายเดือนก่อน

    Excellent video! Very informative! Best video I've see on parkinsons and symptoms! Thank you!

  • @antartistube
    @antartistube 3 ปีที่แล้ว +3

    Thank you, Dr. Poston and Larry! Many blessings

  • @rinkles25
    @rinkles25 3 หลายเดือนก่อน

    Thank you so much for the detailed knowledge.
    Thank you so much Larry . Hugs to you !

  • @C_Chord_Piano
    @C_Chord_Piano 6 ปีที่แล้ว +9

    I was able to get a clear picture of what I knew vaguely. Thank you.

  • @alexandrecac
    @alexandrecac 4 ปีที่แล้ว +1

    Thank you os much! Very nice video! Really helped a medical student! Thanks Larry for his kindness!

  • @thantzinaung5680
    @thantzinaung5680 5 ปีที่แล้ว +3

    Thank you teacher for your very informative and nice clinical examination video about Parkinson disease and also million thank to Larry !!!

  • @maherarabi7054
    @maherarabi7054 ปีที่แล้ว +1

    This is a great video. Thank you it is so clear and systematic.

  • @Unlucky403
    @Unlucky403 3 ปีที่แล้ว +4

    i had an anxiety freakout about having PD but this calmed me down a lot. i’m only 26 but have a tic where i flex my thighs and it sometimes gives me anxiety thinking about neuro issues .

    • @prxdaryxn4695
      @prxdaryxn4695 3 ปีที่แล้ว

      It happened with me aswell! Thank god it's not PD 🙏

    • @bishalkhadka6482
      @bishalkhadka6482 2 ปีที่แล้ว

      I am just 20 and have hand tremors

  • @gauthamjeyakumar
    @gauthamjeyakumar ปีที่แล้ว

    Thanks Larry ,and thanks to the doctor for teaching so easily and clearly😊

  • @docbull8404
    @docbull8404 5 ปีที่แล้ว +4

    As many have already said, Thank You Larry for working with the Doctor to make an incredible video and learning tool. Thank you both.

  • @nouraayed
    @nouraayed 4 ปีที่แล้ว +3

    she’s such an amazing tutor and warm hearted too thanks a lot I hope one day I become as kind and amazing doctor as she is❤️

  • @ramadevikandukur3085
    @ramadevikandukur3085 4 ปีที่แล้ว +5

    Thank you Dr.Kathleen. Special thanks for Larry for participation. I wish him good health. I have little clarification, stiff neck, stiffness on back, frozen shoulder is also a symptom?

  • @barwaaqo9644
    @barwaaqo9644 2 ปีที่แล้ว

    Thank you Larry and Dr Poston! :)

  • @aasthagupta1160
    @aasthagupta1160 6 ปีที่แล้ว +1

    Thank you so much Larry and thanks to everyone involved in making this video

  • @theresamcevoy3039
    @theresamcevoy3039 3 ปีที่แล้ว

    Thank you Dr. Poston and Larry! Excellent video!

  • @abdoelghrio9202
    @abdoelghrio9202 11 หลายเดือนก่อน

    Great video. Thank you, Dr and big thanks to Larry!!

  • @samdunbar577
    @samdunbar577 2 ปีที่แล้ว +1

    Thank you so much Larry!

  • @vonshango6311
    @vonshango6311 3 ปีที่แล้ว

    2:08 bradykenesia. 7:54 rigidity: resistance to movement. 12:30 gait & balance: shuffling? arm swing? 13:55 pull test for balance.

  • @akhahmad7455
    @akhahmad7455 9 หลายเดือนก่อน

    Larry You are such a gem and a very graceful lady....Great explanation👏

  • @premiummedicinegaming5073
    @premiummedicinegaming5073 3 ปีที่แล้ว

    beautiful doc with excellent clinical skills. wish you goodluck larry

  • @sushinyan5220
    @sushinyan5220 6 ปีที่แล้ว +1

    I took a k/c/o PD today and your video helps me a lot! Thank you Dr.Kathleen and Larry !

  • @aprildahlberg6615
    @aprildahlberg6615 3 ปีที่แล้ว

    Thank you for this information. Larry was a very good patient. I wish him the best. I haven't been diagnosed yet but this give me the idea of what to expect. Thank you all.

  • @drmadhurireddy
    @drmadhurireddy 6 ปีที่แล้ว +12

    Exceptionally well demonstrated!!

  • @Dosindapendence
    @Dosindapendence 5 ปีที่แล้ว +1

    I wish i could get help.Im in santa clara county and i cant get a diagnoses! Im 49 and im alot worse then larry its seems shes a very good doctor and shes very caring unlike the doctors at velley medical witch i hear are also Stanford doctors! Im in pain and have major stiffness on every joint in my body but these doctors dont care..I wish you great health larry much respect for this video! Thank you!

  • @alyssecharlesworth2934
    @alyssecharlesworth2934 5 ปีที่แล้ว

    Thank you Larry, this PT student appreciated your time to make this video!!

  • @stevenreichertart
    @stevenreichertart 5 ปีที่แล้ว +2

    Thank you all for an excellent and detailed demonstration.

  • @GoNewHorizon
    @GoNewHorizon 5 ปีที่แล้ว +2

    Very good examination Dr. Poston; it would be great if you could add a video on non motor signs and symptoms for PD patients or something to raise awareness on non-motor symptoms of PD and its management. This's often not commonly talked about and affect a lot on patient's quality of life.

    • @priyamdalmia5499
      @priyamdalmia5499 5 ปีที่แล้ว +1

      Was there brady kinesia , if yes in what movement , i couldn't appreciate???

    • @lovesarita
      @lovesarita ปีที่แล้ว

      Yes, you can see a decrease in the amplitude especially in the finger-thumb and the toe-tapping (and maybe others; that's just from memory)@@priyamdalmia5499

  • @caesarahad7706
    @caesarahad7706 4 ปีที่แล้ว +1

    Respect for Dr.Poston mam!
    This will be helpful in exam.

  • @eletro_doc9529
    @eletro_doc9529 4 ปีที่แล้ว +2

    I'm from Brazil. Thank you very much, it really added to my neurology lecture.

  • @INSHERRYSOPINION
    @INSHERRYSOPINION 4 ปีที่แล้ว

    When I was in my 20’s my doctor ask me how long I have had my tremors? I didn’t realize I had them . When I turned 50 it got bad walking I got off balance and could no longer write or put my mascara on. I went to my doctor they gave me a prescription and told me it was Parkinson’s. Looking back at some family members who were no longer alive. I realized they had it too. If I miss a pill it’s torture. Now even on medication I fall a lot. So getting on a ladder with no one around me is a no no. Thanks for this video.

  • @NoorAli-lt5ky
    @NoorAli-lt5ky 5 ปีที่แล้ว +1

    Thanks Dr , awesome..all my best wishes for Mr Larry for sharing this really helpful

  • @241girlz
    @241girlz 5 ปีที่แล้ว +5

    My question is whether this wolf differentiate between PD and essential Tremor? What would I look for that would not be in the other disorder?

    • @debrab7240
      @debrab7240 3 ปีที่แล้ว

      Bradykinesia

  • @tizziejames9040
    @tizziejames9040 10 หลายเดือนก่อน +1

    Very helpful. Thank you both so much.

  • @marirchaves
    @marirchaves 2 ปีที่แล้ว

    Thank you very much for this video. It's very clear, direct and informative.

  • @TheKareba1
    @TheKareba1 5 ปีที่แล้ว +6

    Thank you Mr. Larry :) such a nice man.

  • @barbshubert9667
    @barbshubert9667 2 ปีที่แล้ว

    Excellent. Thank you for all of this wonderful information