Acute Lymphoblastic Leukemia (ALL)

[@ER-xl6cs]

Thank you for sharing this info. My husband died of acute leukemia but I never got an explanation from a doctor. The illness was very fast (12 weeks, 5 days). Your videos (certain ones) are helping me make sense of the medical records I requested. I realize your audience is likely mostly medical students, but there may be people like me just trying to understand medical matters because sometimes patients and caregivers work with doctors who are too busy. I only learned what his dx was after his death from the dc. So thanks again for your videos and clear explanation.

[@ibieneallison8000]

It’s well

[@RaviShankar-gw7id]

God bless you

[@nidhisrivastava6214]

❤

[@Leegendari]

Acute Lymphoblastic Leukemia (ALL) is a cancer of the blood and bone marrow that affects the white blood cells. White blood cells fight infection and help protect the body against disease. Bone marrow is the spongy tissue inside bones where blood cells are made. Acute Lymphoblastic Leukemia (ALL) is the most common type of childhood cancer, however it also occurs in adults. It is more common for children to have ALL than adults, however the survival chance is less in adults then in children. The word “Acute” means that the disease usually gets worse quickly if not treated. Acute Lymphoblastic Leukemia (ALL) affects a type of white blood cell called Lymphocytes, which come in 2 main types: B Lymphocytes and T Lymphocytes. ALL may arise from either type of Lymphocyte. Cases of ALL are either known as B Cell or T Cell ALL. B Cell ALL is the most common. Acute Lymphoblastic Leukemia (ALL) causes people to produce too many immature white blood cells. Eventually, these cells crowd out normal white blood cells. Without enough proper white blood cells, the body has a harder time fighting infections. Acute Lymphoblastic Leukemia (ALL) most often occurs in children aged 3-5 and affects slightly more boys than girls. ALL is most common in Hispanic children, followed by those of white and African-American descent. About 3000 people are found to have ALL each year in the United States. Siblings of children with Leukemia have a slightly higher risk of developing ALL, but the rate is still quite low: no more than 1 in 500. Symptoms of Acute Lymphoblastic Leukemia (ALL) Include: -Frequent Infections -Fever -Easy bruising -Bleeding that is hard to stop (Nosebleeds or heavy menstrual periods) -Flat, dark-red skin spots (Petechiae) due to bleeding under the skin -Pain in the bones or joints -Lumps in the neck, underarm, stomach, or groin (These are swollen Lymph Nodes) -Pain or fullness below the ribs -Weakness, fatigue -Paleness -Loss of appetite -Shortness of Breath -Dizziness -Night Sweats -Unexplained weight loss -Anemia Causes of Acute Lymphoblastic Leukemia (ALL): In most cases, the cause of ALL is unknown. Certain inherited syndromes are linked to an increase of ALL, including Down’s Syndrome, Neurofibromatosis Type 1, Bloom Syndrome, Ataxia-telangiectasia, Li-Fraumeni Syndrome, certain forms of Fanconi anemia, Constitutional mismatch repair deficiency, Diamond-blackfan anemia, Familial PAX5 Syndrome, Familial ETV6 Syndrome, and Familial SH2B3 Syndrome. Acute Lymphoblastic Leukemia (ALL) occurs when a bone marrow cell develops changes (mutations) in its genetic material or DNA. Normally, the DNA tells the cell to grow at a set rate and to die at a set time. In Acute Lymphoblastic Leukemia, the mutations tell the bone marrow cell to continue growing and dividing. When this happens, blood cell production becomes out of control. The bone marrow produces immature cells that develop into Leukemic white blood cells called Lymphoblasts. These abnormal cells are unable to function properly, and they can build up and crown out healthy cells. It’s not clear what causes the DNA mutations that can lead to Acute Lymphoblastic Leukemia (ALL). Young children with ALL may have had genetic changes that happened before they were born. ALL in adults is linked to some carcinogens, including tobacco. Environmental risk factors include significant radiation exposure or prior Chemotherapy. Some hypothesize that an abnormal immune response to a common infection may be a trigger.

[@tamilared4399]

So sorry for your loss.

[@PristineGraphic]

Its 20-3-23 1am In the hospital just been diagnosed with this trying find some comfort and figure out what im about to have on my plate thanks for explaining it i lost you fiew timez but i think i got it cheers

[@irynanaumenko8068]

Hope you are ok! God bless you

[@toriespeaks]

I hope you’re okay

[@jujubeans7428]

Ninja nerd is the best! I'm a student in the Medical Laboratory Scientist program, and this the best explanation I have ever experienced. You guys has taught me a lot especially when it's time for exams. Continue lecturing us and teaching us how to be better healthcare professionals. Thank you!

[@liatelejnikova2057]

Dear doctor, I have been watching your videos for arounf 4 years now, and today I would like to thank you, kindly, for everything you have helped me understand, for everything you have teached me.... thank you, so much, for everything. I love you

[@MAla-zt7gn]

Please continue the hematology Videos, You explain it so clearly. i will always be grateful and thankful to you ❤.

[@EShadow]

My college roommate passed away due complications while battling (ALL) 4 years ago. He was a 29 year old profession game developer (Married). Thank you for spreading awareness and I hope one day it can be more effectively treated. R.I.P. Chris I miss you friend

[@florencia2771]

My 17 yo was diagnosed last week, we’re now in st Jude. He has the ALL -B cell😭

[@andleebraja5678]

My bro diagnose this. Can u tell me the treatment process

[@EShadow]

@@andleebraja5678 Bone Marrow Transplant. He was in Texas undergoing other experimental treatment

[@benzeboy5]

I'm a new Onc nurse and this saved me probably 2 weeks of studying with half the results and understanding. thank you so much, you're saving lives!

[@danideboe]

I am 25 yrs old and have B-ALL myself. At the moment I am in the maintanance part of the treatment. All I can say is that it is such a horrible journey but there is no choice. The video is really in-depth and helps to understand in a lot of detail

[@Namarik]

I hope you heal well ❤️❤️❤️❤️ thank you for sharing your experience

[@tamilared4399]

God bless you! Get well soon! ❤

[@StickOnHair]

My mum has it too. I hope you get well soon

[@JamieAllen-ij7tw]

I am 39 and have B-ALL. Been good since stem cell transplant since 2021. Keep strong and I will be praying for you!

[@otuokwulillian9092]

Speedy recovery

[@taoficmakaya1727]

I've been waiting for this topic for a long moment thanks from the bottom of my heart Zach, we need more from Lymphoma. Thanks again for your work we love you 💖💖💖

[@StickOnHair]

My mum has it, aged 74. She was in hospital for a month, then stayed at my sisters place for a couple of days and yesterday was readmitted due to high temperature and fever. I visited her today and she was exhausted and unable to concentrate. Her temperature has lowered towards normal. She is in a study program instead of receiving regular chemo. She is pumped with a chemical 24 hours a day via a pick in her arm. She is in the hospital where she began nursing and says she finds it interesting to be a patient there. She is the only human in the world who matters to me. Overpopulation of immature white blood cells is something I never imagined would be something I cared about. The medical expertise displayed by the video maker here is staggering. Unbelievable brain power to remember and understand all that.

[@realreal5745]

Sorry to hear that. The doctors could be giving her Blinatumomab?

[@StickOnHair]

@@realreal5745 I think she and my sister use the term ‘bling’. In the last few days she’s found it very hard to construct a sentence and she was eating pills from the wrong days of the week when she was staying at my sisters house. She’s been readmitted to hospital where the night staff are apparently mean. She had already been in a ward for a whole month before she was discharged so I think she liked being at my sister’s house. They have emergency stopped giving her 24 hour bling. I don’t know what the next step is. Hopefully this chemobrain will reduce. I’ve never seen her like this before. Despite the MRI coffins, the lumbar punctures and the marrow biopsies, she has not experienced pain or complained (except about the hospital night staff). When I visited her ward, the endless beeping and people coming in and out all the time seemed infuriating. It appeared that hospital schedules are non existent and no departments speak to one another. Also the alarms going off all over the place seem to beep right beside the patient’s face when a fluid runs out, and it can take an hour or more before a nurse checks it. I pressed the call button once and it took an hour for them to arrive. This seems en par with waiting rooms in emergency, where there is no screen telling the patients what order they are in, despite it clearly being presented on a screen to the triage nurse. Do I really need to conduct a study on the psychological effects of being forced to wait to get laws put in place to punish organisations who keep customers and patients in the dark about how long they have to sit there? It’s just common sense, as is making alerts appear clearly for nurses and admin without disturbing sick patients. As well as bling medication, she’s had some transfusions, and is also being pumped with sodium chloride all the time. She can no longer hold her bladder at all.

[@ssanimess]

I love this! I had ALL as a teen 20 years ago, and it's so awesome to learn about what I went through. Thank you for this!!

[@Jakamollo]

Wow

[@user-yw4si9kq8x]

Now you recovered right?

[@chauncey5962]

Plz update us if you don’t mind How old was you when diagnosed

[@ShrutiGharapurkar]

We need your videos on pharmacology , pathology , microbiology for dental students , you're explanation are such saviours during exam preparation . 100%worth watching . I am glad I found you

[@ghostDr]

You all are doing an amaizing job with this channel. Please never stop. Patiently waiting for multiple Myeloma, myelodisplastic and myeloproliferative syndroms videos as well as hodgking lymphoma ❤❤❤

[@vinishap222]

Such a good summarization of a mountain of information in a very clear and coherent way. You're such a good teacher and your videos are super useful to anyone in the medical field or even patients who want to understand what is happening to them. Thank you!

[@hannahleannwhiting4780]

I have also watched the videos for Hodgkin’s lymphoma and non-Hodgkins lymphoma today and I just can’t express how much I appreciate you walking through the lymphoblast lines every single time. 😍

[@Kainat_Timeline]

Hey zack, love your videos really helped me and my fiancé Dr.Mudaser Amir. Sadly my baby passed way 2 months ago in June due to B-ALL, he really admired you and watched your lectures day and night, he was a really good and kind doctor. I just wanna say thank you on behalf of him. He really enjoyed watching your videos, he often says this zack guy really enjoy learning and teaching others. Kindly pray for him and remember him.

[@darenkest2485]

Fantastic. My son was just diagnosed with ALL. This was very help to help me understand and communicate with his doctor.

[@florencia2771]

My 17 was diagnosed last week. How’s your son doing??

[@venkatasaisathvikagollu2880]

Finally!!! The same topics are going on for me in my med school so I know I'm good cuz Zach is there to save the day Lots of love from India❤

[@stellawolf8278]

I am à student nurse in France .... and I couldnt thankyou enough for your amazing tutos .. they are so easy to understand and retain !

[@rakanoff854]

You guys study medicine/ nursing in English ?

[@beagatiru7811]

I am so glad I found these videos. You are a very talented educator!

[@ahmedturki495]

The best tutor ever

[@pankajgayki]

Fantastic! Feels great watching a ninja nerd video after ages.

[@gabriellamari9906]

I’m a PA student in my second trimester. This video helped me so much for my clinical medicine and pathophysiology hematology/oncology section! Thank you! Have used your videos before and will continue to use them :)

[@babuvijayarathinam883]

Explanations was really great. But i think you missed other advanced treatment for ALL like T.cell theraphy. It would be great if you could mention the success rates of these treatment types.

[@Gst.Academy101]

Exactly at 35:25 you can see him starring at who ever knocked on his door like” I’m 35 mins in ain’t no way we stopping now”lol

[@carissacornelia97]

i cant thank you guys enough for this channel. This channel is everything for my studies. You helped me understand the most complicated topics that i cant seem to understand before. Big kudos to ninjanerd team! God bless

[@EvinToomey]

You're a great educator! Thanks for this video (and all the others), please keep it up!

[@rawanalmansouri]

Hematology yeeessssssssss!!!!!!!!!!!!!!!!!!!!!!!!!!

[@MoustafaA26]

Nooo

[@fanzone59]

I hate hematology

[@sieunhau1]

@@fanzone59 why???

[@kkjay3064]

Yeeeeeeess!!!! You make things make sense 😭 I had the hardest time in heme class. This is great to review for my final semester!

[@Leegendari]

Acute Lymphoblastic Leukemia (ALL) is a cancer of the blood and bone marrow that affects the white blood cells. White blood cells fight infection and help protect the body against disease. Bone marrow is the spongy tissue inside bones where blood cells are made. Acute Lymphoblastic Leukemia (ALL) is the most common type of childhood cancer, however it also occurs in adults. It is more common for children to have ALL than adults, however the survival chance is less in adults then in children. The word “Acute” means that the disease usually gets worse quickly if not treated. Acute Lymphoblastic Leukemia (ALL) affects a type of white blood cell called Lymphocytes, which come in 2 main types: B Lymphocytes and T Lymphocytes. ALL may arise from either type of Lymphocyte. Cases of ALL are either known as B Cell or T Cell ALL. B Cell ALL is the most common. Acute Lymphoblastic Leukemia (ALL) causes people to produce too many immature white blood cells. Eventually, these cells crowd out normal white blood cells. Without enough proper white blood cells, the body has a harder time fighting infections. Acute Lymphoblastic Leukemia (ALL) most often occurs in children aged 3-5 and affects slightly more boys than girls. ALL is most common in Hispanic children, followed by those of white and African-American descent. About 3000 people are found to have ALL each year in the United States. Siblings of children with Leukemia have a slightly higher risk of developing ALL, but the rate is still quite low: no more than 1 in 500. Symptoms of Acute Lymphoblastic Leukemia (ALL) Include: -Frequent Infections -Fever -Easy bruising -Bleeding that is hard to stop (Nosebleeds or heavy menstrual periods) -Flat, dark-red skin spots (Petechiae) due to bleeding under the skin -Pain in the bones or joints -Lumps in the neck, underarm, stomach, or groin (These are swollen Lymph Nodes) -Pain or fullness below the ribs -Weakness, fatigue -Paleness -Loss of appetite -Shortness of Breath -Dizziness -Night Sweats -Unexplained weight loss -Anemia Causes of Acute Lymphoblastic Leukemia (ALL): In most cases, the cause of ALL is unknown. Certain inherited syndromes are linked to an increase of ALL, including Down’s Syndrome, Neurofibromatosis Type 1, Bloom Syndrome, Ataxia-telangiectasia, Li-Fraumeni Syndrome, certain forms of Fanconi anemia, Constitutional mismatch repair deficiency, Diamond-blackfan anemia, Familial PAX5 Syndrome, Familial ETV6 Syndrome, and Familial SH2B3 Syndrome. Acute Lymphoblastic Leukemia (ALL) occurs when a bone marrow cell develops changes (mutations) in its genetic material or DNA. Normally, the DNA tells the cell to grow at a set rate and to die at a set time. In Acute Lymphoblastic Leukemia, the mutations tell the bone marrow cell to continue growing and dividing. When this happens, blood cell production becomes out of control. The bone marrow produces immature cells that develop into Leukemic white blood cells called Lymphoblasts. These abnormal cells are unable to function properly, and they can build up and crown out healthy cells. It’s not clear what causes the DNA mutations that can lead to Acute Lymphoblastic Leukemia (ALL). Young children with ALL may have had genetic changes that happened before they were born. ALL in adults is linked to some carcinogens, including tobacco. Environmental risk factors include significant radiation exposure or prior Chemotherapy. Some hypothesize that an abnormal immune response to a common infection may be a trigger. How Acute Lymphoblastic Leukemia is treated: The most common type of treatment for ALL is Chemotherapy, which uses powerful medicines to kill cancer cells or stop them from growing and making more cancer cells. Chemo may be injected into the bloodstream, so that it can travel throughout the body. Some Chemo may be given by mouth. Combination therapy uses more than one type of Chemo at a time. This may be combined with a Stem Cell Transplant, which includes replacing blood-forming cells in the bone marrow that have been killed by Chemo and/or radiation therapy. A Stem Cell Transplant gives the patient new blood cells from a Donor’s blood or bone marrow. These cells grow into healthy cells to replace the ones the patient lost. Some types of Stem Cell transplants may be called “Bone Marrow Transplants” because the cells come from the Donor’s Bone Marrow. Another way Acute Lymphoblastic Leukemia (ALL) is treated is through Radiation Therapy, which uses high-energy X-rays or other types of radiation to kill cancer cells or stop them from growing. Essentially, it is an alternative to Chemotherapy. Acute Lymphoblastic Leukemia (ALL) can also be treated through Targeted Therapy, which uses medicines or other treatments that attack specific cancer cells without harming normal cells. Normally, ALL treatment is typically divided into 3 phrases: Induction, Consolidation/Intensification, and Maintenance. The goal of Induction is to kill the Leukemia cells in the blood and bone marrow and put the disease into remission (A return to normal blood cells count). Consolidation/Intensification aims to rid the body of any remaining cells that could begin to grow and cause the Leukemia to return (relapse). Finally, Maintenance has the aim to destroy any cancer cells that may have survived the first 2 phases. Survival Rates for Acute Lymphoblastic Leukemia (ALL): In the United States, about 98% of children with ALL go into remission within weeks after starting treatment, and more than 90% of children with ALL in the US can be cured. Patients are considered cured after about 5 years in remission, however this number can go up to 10 years. Diagnosing Acute Lymphoblastic Leukemia: Doctors may suspect Acute Lymphoblastic Leukemia (ALL) after doing a physical exam, or looking at the results of blood tests. During an exam, a Doctor will usually: -check general signs of health, including signs of disease, such as lumps or other unusual symptoms -Examine the eyes, mouth, skin, and ears. They may feel the belly for signs of an enlarged spleen or liver. In males, the Doctor may also examine the Testicles. -Ask about other health conditions, including illnesses that relatives such as parents, siblings, and grandparents have had. If ALL is suspected, a Medical Provider will draw blood to run tests. These tests include: -A Complete blood count. This test checks the counts of different types of blood cells. -Blood Chemistry Studies. This test checks the amount of certain substances in the blood. -Liver Function Tests. Keep in mind that the liver is the largest solid organ in the body and a major metabolic organ only found in vertebrate animals. It performs many essential bodily functions such as detoxification of the organism, and the synthesis of proteins and biochemicals necessary for digestion and growth. In humans, it is usually located in the upper right quadrant of the abdomen, below the Diaphragm and mostly shielded by the lower right rib cage. Its other metabolic roles include Carbohydrate Metabolism, the production of hormones, conversion and storage of nutrients such as glucose and glycogen, and the decomposition of red blood cells. -Coagulation tests. These tests measure the blood’s ability to clot. Bone Marrow Aspiration and Biopsy are 2 tests that will usually confirm a diagnosis of cancer. Patients usually have these procedures at the same time. They will either be sedated or receive pain medicine. If Leukemia is found, the care team will run more tests. These include lab tests to identify specific genes, proteins, and other factors involved in the Leukemia. This is important because cancer is caused by mistakes (Mutations) in the cell’s genes. Identifying these mistakes may help diagnose the specific subtype of Leukemia. A Lumbar Puncture will show if Leukemia has spread to the brain or spinal cord. This test is also called an LP or Spinal Tap. Patients may get Chemotherapy at the same time this is done. This is called prophylactic intrathecal chemotherapy. It is conducted to prevent ALL from spreading to the Cerebrospinal Fluid, which is the fluid that flows in and around the hollow spaces of the brain and spinal cord, and between 2 of the meninges (The thin layers of tissue that cover and protect the brain and spinal cord). Cerebrospinal Fluid is made by tissue called the Choroid Plexus in the ventricles (hollow spaces) in the brain. A Chest X-ray will show if Leukemia cells have formed a mass in the middle of a chest.

[@AbdulkerimKibret]

Make it pdf please

[@mawejjejosephat7377]

Thanks so much professor,you interestingly make things so cheap

[@1111111111355]

I respect you for giving your precious time to the viewers, your colleague with regards from Ukraine

[@cassybmc7751]

Your courses are excellent, and they have helped me significantly in my advanced pathophysiology course. Thank you so much!!

[@5602KK]

Doing my masters on T-ALL! Thank you for the vid as always sir!

[@tarikbaykara]

That’s what i was looking for, brilliant work !

[@patriciabrazil9927]

You saved my hematology exam my dude

[@aminalamoudi6614]

Thanks for this illustration we really need it 😍

[@ZairaShoaib-x1t]

marvelous as usual. thanks for keeping it free, tons of prayers

[@Gst.Academy101]

Thank you for this video my dad was diagnosed last month with B-cell lymphoblastic leukemia (Philly negative-)watching this video helped me understand what was going on with his body and what type of chemotherapy they were going to do on him.He went in with pain in his hip,couldn’t walk on it or even lift it up and no one knew why,after watching this video I learned it was from all the extra b-cells overproducing and crowding the bone marrow in his hip once they did the chemotherapy he was in no more pain and is able to walk now ,your video really did help explain what’s going I appreciate you from the bottom of my heart , I know we still got a long road ahead of us and I still need to do more research 🔬 but this vid game me a great heard start 👍

[@AbdulkerimKibret]

Still need some deep explanation for some sub type. Of each leukemia.great job.thank you sir

[@medforyou7567]

And Finally Leukemia ❤❤ More Hematology lectures Please Sir .

[@abdoarafa915]

The long waited lectures. 🎉🎉🎉 Ty ma Zack 💓 ❤🎉 The best prof 🎉🎉

[@udaykiran8061]

Sir , please do videos of remaining hematological diseases like myeloproliferative disorders,myelodysplastic syndrome

[@rezhna.1525]

Thank you very much! Very informative and nicely explained.

[@Mix_videos12392]

Hi sir ,I am watching your lectures more than anyone in the entire world,plz upload pathology notes and illustrations

[@Laurelozi]

Thanks so much.....just when I needed it ❤

[@tarankhangura1627]

Thank you making this video. I have bettered my understanding so much through using your videos.

[@brzus]

I love the channel, your drawings help me understand the topic in a second!

[@MusicLyrics-gf8oy]

You always make things easy to understand buddy, thanks

[@annikuni943]

writing my masters thesis about T-ALL, so glad to see you make a vid about this. You also carried me through my bachelors in biomedicine xD

[@helinabdulla1743]

Thank you for sharing this topic , I searched for this I didn’t found anything useful for me , I hope you continuing all lectures

[@adbalkareemalabdo8587]

Are you a doctor?

[@adityagiri353]

Thanks for these incredible lectures ❤

[@alialmakuoor4012]

I have been waiting for this so long

[@daacadyare7791]

Please more hematology lectures please Dr zack

[@harryali1929]

Amazing content and thank you so much for putting in the hours and effort.Stay blessed.

[@nurlandav6356]

best lectures in my life.

[@asilmustafa8509]

awesome explanation

[@youmnamahmoud4117]

the best doctor in the whole world

[@likuna293]

Please continue hematology videos.

[@pedromaciel3058]

Thank you! I think that you are one of the professors that made me like medicine by understanding it

[@shianabansal3251]

Thankyou so much. It’s a great help to understand the disease and the treatment. God bless you

[@zeeshanahamed4602]

Thank you for the lecture🎉🎉 In the lecture you made reference to AML lecture,but I didn't find any

[@Borkstar7]

This is excellent pathophysiology explanation !!

[@mariakara4848]

you are an amazing teacher.thnx for all the hard work u put to help us ✌❤️

[@nazmulhassan4468]

Excellent lecture. Please upload more video about leukemia and anemia. This is really helpful. Thanks a lot.

[@prihchaves1]

Much appreciation from Brazil! Thank you for your amazing work!

[@jenniferettinger4943]

I freaking love you and your videos. You make it so much easier to understand. I don´t know why, but thank you so much!

[@bdebs6796]

I just got diagnosed with LVH, and I'd like to learn a bit more about it if you have a video on it, or I'd appreciate a video on it. 😊 Thank you for your videos so far.

[@katalexandria2184]

Yay just in time for my rotation! Truly a lifesaver

[@NomaMPride]

Thank you for making medical school more bearable 😭

[@DorothyMachiridza]

Thank you my guy for all the videos

[@imanekaddouri8241]

Finally some hematology😍😍

[@safiyatafida9687]

Thank you ninja nerd. Your lectures are very helpful

[@sneh4191]

Enjoy your teaching style, all things to the point , Great content . Thank you . NINJA NERDS🤟

[@nadahossam3711]

can always depend on u in making me understand something complex

[@franciscotatis1]

Great Teacher. Love it.

[@udaykiran8061]

Wow. Thank you sir❤.I have never understood "ALL "clearly like this

[@elodin5689]

I've been looking forward to this.

[@tarjastepanovna]

Thanks to your videos my teachers love me 😂❤ Thank you!!!

[@munchyghecho1329]

someone very close to me is going through B-ALL treatment. I was very surprised and very happy to find out what the cure rate is for this type of ALL. When I was a child growing up, if you had any type of leukemia your chances were very very slim. But now for children that get B-ALL - 90%. And the child is in the low risk group.....its just a matter of going through 2 years of treatment and the child is being seen at Boston Childrens hospital under one of the best known B-ALL doctors.

[@cleiti1062]

damnit so helpful, perfect amount of detail and speed (on 1.25). thanks dude

[@zeinabalaylimedlife3456]

Amazing explanation as usual, thank you

[@rehababdelbagi]

thank u so much for all of your great helpful content ❤

[@safartowardsallah3198]

You made hematology so easy to understsnd.Thank you sir

[@ritjmo]

God, I love hematology/oncology 🎉 this was excellent!

[@adbalkareemalabdo8587]

Are you a doctor?

[@АртемийСавин-ф6в]

You are cool. Helped me to organize all data in my head for my PhD research:)

[@camillavieira6616]

Amazing as always ❤

[@alicefinet]

You such an incredible teacher I feel like you could run a medical school by yourself

[@ralucan8975]

LOVE THIS!!! YOU THE BEST!

[@anshulverma3125]

Thankyou for these videos ✨

[@samuelkuseka]

I'm Printing your logo on my shirt and wearing it upon graduation 💀🔥

[@alanwaterman1328]

Great revision and summary as always. Thanks.

[@foodsprinkles]

Thank you so much for your efforts, really appreciate it

[@dereksniper]

Great presentation

[@Abbas-88]

U are amazing I’m in love with your videos and the ways to explain anything ♥️♥️♥️

[@Jakoclubs]

Wow, quite impressive! Thank you!

[@rozhika8746]

you are perfect, thank you for these amazing videos. medical school a way easier with these videos.

[@mirandanunez4292]

Thanks for the information!!!

[@lightyagami5367]

Amazing work as always sir Ninja, I have a question, can you teach us how to make a full objective structured clinical exam ?

[@LaibaRaza-o9d]

Amazing teacher