Essential tremor - Dr. George Plotkin

Presented by Dr. George Plotkin
ETMC Neurological Institute
ETMC Knowledge First
October 6, 2015

[@Redundant_underscore]

I have ET. I avoid nearly all social interactions because I'm so tired of the looks and whispered comments. Or even the direct questions: "why are you so nervous?" "Do you know that you're shaking?"

[@drsuessl]

Ignorant people

[@780special]

Excellent presentation. Thank you. I have struggled with ET for over 50 years. People can be rather cruel to those of us who shake.

[@780special]

@@przeba I was on beta blockers at one stage which helped, but not now as they would interfere with my heart meds.

[@BudderB0y2222]

I appreciate this dude's presentation of the causes and research for ET, the fact that he actually cares. My doctor screened me for anxiety and told me it was probably nothing, extremely frustrating.

[@Redundant_underscore]

Been there. I wonder how many general practitioners even know what ET is.

[@drsuessl]

I’m sorry

[@gregrogers6886]

I'm 71 and my ET slowly started 5 years ago. I read that Magnesium helps the conductivity in the brain and it helped steady my hands for a long time. Now my ET has started progressing, and the doctor gave me Primidone, which helped at first but, now, has little effect. Thank you for the vid, looking forward to a better solution.

[@DC-jb7oz]

I have Essential Tremors. They started 30 years ago. I started with 50mg of Primidone per day and 20 years later was up to 1500mg per day and the tremors kept getting worse. I had DBS Surgery 5 years ago. Nobody can see any tremors - when I turn the device on. It was a life saver for me and would have it done again, in a heart beat. That surgeon gave me my life back and I am eternally grateful.

[@joker-vj4dk]

7025598579 plz whtsapp me

[@snrnsjd]

DBS ? Dragon Balls Surgery?

[@whakabuti]

I’m 24 and have ET and it can be upsetting when I’m on the keyboard sometimes though that’s on a really really bad day. This video gives me a lot of hope for the future of treatment. Thanks doctors for all the time you guys spend

[@junaidamin5137]

How bad do you tremor? Like do u hands move alot? My fingers shake very slightly in certain positions but im not sure if im being a bitch or if it’s something i should see a dr about

[@loganhayes878]

Very helpful and enjoyable video, thanks!

[@juney18]

Thank you for explaining this.

[@MissaLifeStyle]

Thank you!

[@timk.3866]

My shaking would start a hour before job interviews. Topomax made me walk out of a job interview. I was half way home before I realized they didn't ask me to leave.

[@paulmarquis114]

Thank you all for this quality info. I have an appt at UVA 10/4 with Dr Elias. I have had ET fpr 24 yrs now. I am so happy that this procedure has been found, and I am hoping that I will be able to heve this done. My lifestyle has changed drastically since I was diagnosed. Please Jesus, help me to have this done soon

[@ameritas2]

Good luck Paul, I wish you well (ET here also)

[@paulmarquis114]

+ameritas2 thank you dear and good luck to you also

[@Kadirhair]

Paul Marquis hi did it help to you?

[@alexandrawhitelock6195]

Fascinating!

[@audjunemom6217]

I am definitely interested in this MrI guided Focus ultrasound treatment

[@tankjones513]

I have had tremors since I was a young child, probably 7 or 8 years old. It seems to have gotten much worse over the years. So much so to the point that when I saw a Neurosurgeon for an unrelated condition, I inquired about possible treatments for my disorder. He basically said beta blockers or deep brain stimulation are the best treatments. I started taking a beta blocker sometime later and it barely took the edge off so I gave up. My symptoms generally stay the same all the time, just progressively gotten worse over the years (I'm 34). It gets worse when I do any kind of fine motor tasks, when I get nervous, when I consume stimulants like caffeine (obviously), or during any kind of exercise. It affects my hands mostly, but when it gets really bad, it affects my entire body. But the worst part is my voice, jaw and neck. If I get even the slightest bit nervous my voice trembles. I've had so many bad job interviews and have missed out on excellent opportunities. It's the most embarrassing thing in my life and I wish I could make it go away. I need to see a specialist that KNOWS essential tremor...

[@bellamae3911]

Ive had this since I was 18, I'm 27 and knowing it gets worse with age is so scary. The tremor is bad now, what will it be like in 20 years!? Fuck my life!!!!!

[@margaretjolly6375]

Hi Bella iv had head tremor for over 20 years and it's affected my life for in plots of different ways but check out this amazing treatment in London it's almost a cure it's on U TUBE , TYPE IN , PROFESSOR WADY GEDROYC AT ST, MARY'S HOSPITAL WITH PATIENT DINESH KOTECHAS , ITS AMAZING hope it helps take care

[@bellamae3911]

Margaret Jolly Thank-you for this suggestion. I am patiently waiting to ask my neurologist about this procedure. I'm from Australia and I'm not sure if we do focus ultrasound for ET here and if its covered. Fingers crossed as I'm 100% for it.

[@bigbirb1679]

Bella Mae Hey, no worries. You’re young. By the time you get older and the tremor gets bad (if it worsens - hopefully it doesn’t) there will be various treatments to help you out.

[@denismfluker8745]

This is inherited so I have had it all my life...got bad around 16 years of age but I could hide it until I was in my twenties and am now 74. No meds helped. it feels like I have a motor in my body.

[@diannerobins2398]

I had the Deep Brain Stimulation surgery 3 years ago and I could not be happier!! Stopped my hands and head from shaking!! I totally recommend DBS!

[@robinhanning4345]

Wow! I really enjoyed this. I am curious though and will have to pay more attention and see if my tremor is side to side or up and down. I hit my head on ice when I was 6 and still have a nasty bump and scar. In my late 20's I would get squiggly lines in my eyes, then tunnel vision, then sometimes a migraine. They went away after a while. My voice and head shake. I live near Huntsville, TX I think maybe I should make an appointment.

[@ju7062]

Dr. Plotkin, I have tremors in both of my thumbs all day off and on for 4 months now and I'm Eplileptic. I have been on Keppra for 4 years now, epilepsy was new onset 5 years ago. I'm 50. Could my tremors be due to my epilepsy? Thank you

[@duanegroomes5103]

40 years of shaking and I'm so sick of it, tired of throwing food when I eat, dumping drinks on me, lord forbid if I try to go to a food bar.

[@ramoncf7]

I've gone through everything you say and it sucks, the worst part is that once you have gone through one of these situations it sticks in your brain, and before you even experience it again you get anxious and it gets worse. Good luck, hope one day there's a cure for it.

[@bellamae3911]

Please please please please please find a cure for it.

[@kaigeddes]

While there is no cure, you can try to ask your doctor for beta-blockers based on your symptoms for a one month trial to see if they will help with your tremors.. Beta-blockers worked for me; while my tremors were not completely removed, no one in my family or friends even could see them see them anymore. I wish you the best of luck! I hope this helps you Bella! Kai :)

[@teddyfield2164]

I'm 14 there so mild atm but I now have a head shake and I think it will get worse but I don't want to be seen different by my friends and family and I don't want a tremor I just want to be normal but its not bad at the moment idk

[@Chupria]

Ultrasound therapy helps. I think it's new.

[@scotthusar761]

I don't really agree that it is uniaxial. I have all symptoms correlated to essential tremor, but my hand shakes horizontally. unless you're saying it can shake side to side as well, but only one direction at a time.

[@bacontasteslikedogz1046]

It seems that I have shakiness in both of my hands however it seems to affect my left hand more and my right hand is very minimal to the point I wouldn't even say it shakes. The shakiness only occurs when I do certain actions, however, I have no shakiness when they at rest. Also sometimes when I drink something sometimes my lips will tremble but other than that it seem fine. I don't have any problems with balance, and I am not rigid at all. The trembles do get worse if I get very nervous or if I get a adrenaline rush. Also on my mother's side of the family, it is known that there is some anxiety problems, with me being always anxious about health and minor social anxiety. Does this look to be Parkinson's, or some other condition? Or could it just be essential tremors caused by health anxiety? Edit: I'd also like to add that the tremors are so minimal its like they dont exist at some points but my health anxiety makes me obsessed with it.

[@Drstrange221]

Same problem with me .

[@Matt-og9uz]

Sounds like ET to me. I'm not a neurologist nor a doctor, but I have a mild form of ET. It's a little in my hands and mostly in my arms. They only shake when the muscles are "called into action", so to speak. I also have slight balance problems, and a awkward gait. People have commented that I walk crooked. My tremors are noticeable to others when I have to exert my arms, like lifting weights (my arms shake really bad when doing a bench press, for example). When my kids were younger and I would hold them, my arms would shake. They could feel it and thought I was either nervous or would drop them. Also, adrenaline makes my arms and hands shake more. I remember one of the arguments I got into with my wife back when we were dating. My arms and hands started shaking pretty bad and she asked me why I was so scared. I didn't know it was ET back then, I simply said "I don't know. My arms shake when I get worked up". Anyway, I suggest seeing a neurologist. Once I got my diagnosis, everything made sense.

[@aguafria9565]

I experience shaking of my head in an up and down movement, mostly when I'm socially anxious. It tends to happen when my muscle transitions from a holding movement to a releasing movement, such as when you voluntarily nod in agreement. I can sort of voluntarily put my neck muscles into an involuntary twitching at will. Do you think this is ET? It affects my work life, mostly in meetings.

[@ramialkhoury5916]

Yes. This is an Essential Tremor. Treatable.

[@JaneSmith-dj5dl]

Rami Alkhoury what is a good head tremor treatment? Thanks

[@mipmipmipmipmip]

Rest in Peace, Gene Wilder!

[@ILuvRocknRoll67]

Grow up!

[@mystified2356]

Punky Brewster fuck off!

[@lou1292]

Hi can a essential tremor affect hips when walking ?

[@yamatoshiraishi9665]

Many people give me funny look or laugh at me, and say "Are you a alcohol or drug addiction? ". I've always explained about ET, but ... I wish there was a cure or everyone had ET( ￣▽￣)

[@cryptoworld8554]

same here brother

[@jennp1737]

everyone says that to me too!

[@arymhansie]

Me too

[@fzproject6462]

same😭

[@walterpalmer3175]

CAN I BE SENT MORE INFO ABOUT THIS PROCEDURE TO WALTER F PALMER, 12253 EVANTIDE AVE, BROOKSVILLE, FL 34613

[@NoName-ql3eu]

Why is it most of the insurance companys do not cover, if you say you have , any one. of the tremors. Mentioned here. One wants to get covered in their Health plans. Please suggest ways to get covered.

[@familyoftwo7441]

what starts E.T off in the first place?i didn't have it then had it bad the next day,and had it ever since?i went to bed and woke up with it.its eased off now over the last 37 years but I find just taking a drink stops it.the red flag,number 2.sudden onset that's what happened to me.

[@tylerpool5464]

Same here. I noticed it one day at work when I was 20. I genuinely think it happened over night.

[@youmuqututube4248]

The GAPS protocol!!!!

[@NirmohiHindu]

Hi doctor. I want to discuss the case of my father. Can I have your email please?

[@sharonb.campbell2934]

what is "essential" about any tremor?

[@VIProach]

One of the meanings - (of a disease) with no known external stimulus or cause; idiopathic.

[@markarmstrong1588]

Why did you not mention focused ultrasound. Living in the caveman days. Dbs... very archaic. I am a retired physician. Don't know when you produce this video. Please do an update. I had focused ultrasound down on me at the University of Utah. I am completely 100% trimmer free. On my right side only. Prior to that my Tremors were on a scale of 10. Please make this more aware to the general public they are on the verge of curing Parkinson's and brain tumors with this procedure.

[@ajaypal7967]

Please tell me about Botox injections in treatment of assencial tremor and writing cramps.

[@francoisrobillard3164]

I have tremors with no known cause , not pd ,not et. I sometimes have full tilt of my head, big yes. The only relieve i found is pot. since dr, dropped my case, three puff and my shakes stop for 16 hrs. Legs and arms can shake from hand mouvement to full bend of the elbow. Depending on the day .anti histamine would make things really bad, since i drop that med. i put the cane away ,

[@flamelessdragon]

That background is really nauseating like some optical illusions ! Otherwise good video

[@trilabradorable]

DBS scares me… CVA.

[@gestaoemacao]

Doctor i drink some drops of copaíba oil and have excelente results. No medicine os effective to me. I would like more see e study about this tree. Here in Brazil copaíba oil is a powerful popular medicine.

[@saikiran3190]

Valter Porto does that really work completely

[@shivaprasad-vd7qf]

I have writers cramp/ essential tremor will it help me sir.

[@alexandrawhitelock6195]

Wish he'd learn to stand UP when he talks vs leaning on his elbow..🤷‍♀️

[@bellamae3911]

If its not a disease then why can't it be cured?

[@rebekahaustin1028]

Has tremors been linked to Alzheimer, or something else.

[@mariadecker375]

The camera man needs fired

[@tberrardy]

17:16 “Gabapaten doesn’t really seem to do much, but....”. Gabapeten is working well for me and does not cause me the side effects of beta blockers, ie zombified lethargy. A disappointing and misleading statement on the part of the presenter. Overall the presentation is interesting, howbeit poorly presented.

[@vonshango6311]

waco kid blazing saddles tremors 6:11 if it starts in the leg i think it might be something else, if its sudden it may be something else. 15:15 ET or PD? 26:25 ET is a trait not a disease. 10% have it whether they know it or not.

[@stevestephens8925]

good info but horribly delivered. random noise, poor video's, unwanted delays....