Approach to the Exam for Parkinson's Disease

[@dge.]

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]

hi fellow doge, parkinsonism interests me as well

[@mikejennings5961]

Goge

[@mikejennings5961]

Hello

[@vvvdog200]

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

[@Photo_doctor]

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

[@heatherk.906]

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]

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]

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]

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

[@shamchandgautam8510]

I8

[@TheUnderclocked]

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]

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 KZbin instructional helps me know that I don’t have anything more than tremors

[@Epiphalactic]

essential tremor is different than anxiety tremor.

[@exosproudmamabear558]

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]

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.

[@momtazularefin]

Bradykinesia 1:38 Rigidity 5:03 Tremor 8:07 Gait & Balance 11:00

[@ra-m]

Postural instabilities instead

[@siddharthchikhalkar4615]

Thank you!

[@manikandansrt]

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

[@maryherron3970]

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]

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!!

[@tanny2482]

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

[@pkneeno]

Larry: here's an internet hug!

[@HeeBGBz]

Thanks Larry

[@elizabethengelbrecht3376]

9

[@denisecarr5821]

🙌🏼

[@rahulsainathvhanalwad3966]

❤

[@olaflai2136]

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

[@StanfordMedicine25]

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

[@IIDraithII]

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

[@cozzball]

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

[@ginb1598]

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]

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.

[@hatirose7503]

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

[@valnaples]

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

[@albertdesalvo7273]

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

[@leeandrewcowles]

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.

[@patnewman1]

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]

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

[@troyhagen587]

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

[@josephinemacken4391]

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

[@CorkyDaCat]

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.

You have it

[@KingCamisback]

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

[@rolandpochet8418]

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

[@BM-ke6yn]

Larry is so CUTE! WE LOVE YOU LARRY

[@MuhammadAli-ml9bt]

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

[@esi8747]

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

[@OkanVKILIC]

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.

[@Veraa54621]

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

[@marielkraus649]

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!

My hands hurt while doing the first hand testing

[@ZapperJohn]

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.

[@VivekSingh-kc5kw]

Best explanation ever in my whole medical life

[@ifuadkhan]

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

[@jislam3702]

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

[@dharghamalturaihi3511]

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

[@rosieweasley5865]

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

[@alouise3557]

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

[@brentbarajas]

Yup lol

[@MommeeMadre1]

You know that's right!

[@karenwisusa6258]

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!

[@dennismarble3591]

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

[@alihadimajeed3372]

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

[@drmanangupta]

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!

[@annaalexandratou5593]

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

[@ssbmouse6471]

Thank you Larry for volunteering!

[@donnarick7700]

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

[@fotballdude16]

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!

[@RikkeS87]

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!

[@DoctorGeri]

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.

[@nouraayed]

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❤️

[@amitmor392]

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

[@pranavireddy1605]

Thank you Larry and Stanford med

[@camillecruxinger9368]

Bless your heart Larry! We love you!

[@muhammadelgazar7303]

Many thanks for Dr. Kathleen and Larry.

[@EvangelineMunda]

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

[@Unlucky403]

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]

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

[@bishalkhadka6482]

I am just 20 and have hand tremors

[@jenniealkawari2731]

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

[@umerbinshabir6561]

Way she explains it....amazing dr

[@dennisdubin7120]

To

[@suryakantpandit8431]

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

[@btu59]

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

[@miared2059]

Thank you Larry and Dr. Posten

[@tolgakartal5029]

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

[@marymcnally4852]

Thank you for your clarity and compassion.

[@vlogfromtheheart9705]

Now that I see someone else with these symptoms it makes me think about how my dad progressed. RIP Dad 08/1957 to 05/2016. I remember him doing all of these things.

[@INSHERRYSOPINION]

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.

[@noellealissa2206]

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

[@C_Chord_Piano]

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

[@StanfordMedicine25]

Thanks for the comment!

[@thantzinaung5680]

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

[@sophia66723]

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

[@maralynsmith2276]

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

[@amazinggrace5692]

Thank you! My husband was diagnosed recently.

[@gauthamjeyakumar]

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

[@sushinyan5220]

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

[@alexandrecac]

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

[@samanthageraghty4505]

I looked this video up because I'm 45 and recently noticed my thumb on my left hand twitching. Nothing else at the moment but I am worried. Thank you larry and Dr for this very informative video

[@maherarabi7054]

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

[@scores718]

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

[@drmadhurireddy9474]

Exceptionally well demonstrated!!

[@sunving]

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

[@docbull8404]

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

[@ramadevikandukur3085]

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?

[@Dosindapendence]

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!

[@sandracora7788]

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

[@aprildahlberg6615]

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.

[@magedabuldahab7481]

All lecture is important but few take home message for Gps and other specialities, 1.bradykinesia is the cardinal character 2.the hardest thing to differentiate is the essential tremors vs parkinsonian tremors Note: it should have part 2 including non motor examination of PD and dysautonomia as this beautifully illustrated lecture has motor examination only for time concerns

[@tizziejames9040]

Very helpful. Thank you both so much.

[@AngeredYeti]

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

[@samdunbar577]

Thank you so much Larry!

[@rinkles25]

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

[@akhahmad7455]

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

[@HaleyMary]

Thank you for this video! It was very educational! I've had symptoms of blepharospasm since 2013 and was concerned if I had symptoms that would point to possibly Parkinson's, but following along with the exercises in the video, I think all I have is a benign belpharospasm by itself. I hope Larry is doing well today. :)

[@zoekohler-boland4864]

Thank you, Larry!

[@antartistube]

Thank you, Dr. Poston and Larry! Many blessings

[@eletro_doc9529]

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

[@caesarahad7706]

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

[@GoNewHorizon]

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]

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

[@lovesarita]

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

[@aasthagupta1160]

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

[@Cleopatra-en4ye]

You are a great teacher❤

[@barwaaqo9644]

Thank you Larry and Dr Poston! :)

[@stevenreichertart]

Thank you all for an excellent and detailed demonstration.

[@theresamcevoy3039]

Thank you Dr. Poston and Larry! Excellent video!

[@randomfza]

Thank you so much Doctor Kathleen

[@mohammadabdelnabi6632]

During supination and pronation test of bradykinesia ,the client was doing internal/external rotation of the shoulder joint. Therefore ,to obtain a correct test,he should stabilize his shoulder and make his elbow in 90 degree of flexion.

[@Xonera]

We don't say client out of middle east, we say patient 0:)

[@anjanaiyer6120]

awesome , the USA really has mastered health sciences. really helpful video