Neurology - Topic 14 - Parkinsons disease - examining a patient

[@dr.zahalka8616]

thank you Patrick for helping us to learn more about Parkinson's . we wish you all the best and a better life. and thank you doctor for helping us understand more.

[@AhmedSalimBD]

My father has been diagnosed by Parkinson's plus disease. I know how hard this is for this gentleman here and his family. Much love for you dude.

[@ShouryaMusica]

My grandfather is having parkinsons.

[@warnpassion]

Ahmed Salim My father also has Parkinson's disease. He needs assistance to even perform the basic activity like having food, using the toilet and walking between rooms at home. It's very sad. 😟😞

[@ms.willieosborn214]

My Father was diagnosed with Parkinson's disease in 2008 and he passed on 2/15/18 so I understand what you're going through...May God bless you Patrick and thank you Doctor for educating us on Parkinson's disease.

[@randidossey85]

Thank you, Patrick. Many wouldn't want to do this, but you undoubtedly helped me recognize this in patients so I might help them. Good man.

[@irongate1995]

god be with this guy always.....very hard for him...everbody around him must support this guy....

[@wagakiwakarugi1027]

Thank you to both the doctor and Patrick for this educational video. Don't let negative comments stop your wonderful work :) I'm sure the patient consented to this examination, and they do have a rapport. Thank you, again.

[@channaarnett3444]

Thank you Patrick for being willing to share your experience so others may learn.

[@Elijimenez15651]

Such a great video, thank you Dr Hutchinson and thank you Patrick.

[@MrSpinteractive]

Thank you so much! As a caregiver for an elder family member I have a far greater understanding of her condition now.

[@fungus3688]

Did you watch the whole video? He's polite and well-qualified.

[@katieh3236]

Thank you for posting this! This is exactly what my father with Parkinson's has to a T!!! People need to educate themsevles on this, especially new and young doctors because they only understand one type of Parkinson's associated with resting tremor!

[@stormblessed2321]

My grandfather had this awful disease and my dad's friend has it at well. They weren't diagnosed or showing symptoms until their late 40's. I feel so bad for this man. His case is obviously very aggressive.

[@alarwings8378]

Thanks Patrick. Best of luck to you and hope you're doing better.

[@notlhe81]

so young, so sad, heartbreaking.

[@Abdul-Y]

thank you very much, quite a comprehensive exam, wish the best for both the nice patient and the compassionate physician.

[@larryamigo2526]

What a pair of kind hearted chaps.♥️

[@caddy272]

Poor guy... I get down on myself with yopd but I just need to keep in mind that I could be worse, and I probably will be worse down the road. But I need to keep that in mind today and be thankful for now.

[@daftlove2858]

Poor guy :(

[@teamammcri2224]

Thank you Doctor and thank you Patrik.

[@davidw.9711]

great video thanks! this motivates me to learn the signs and symptoms even more

[@ZiKi.1705]

Thank you professor, very kind of you and the patient.

[@gtb870]

Its near 3am ( I can't sleep) and I have a meeting with a professor of neurology in the morning to find out the results of the tests for my ma... but unfortunately I think I just did. Best of luck to ya Patrick

[@UCDMedicine]

Our sincere best wishes to you too.

[@MABOOM1]

Excellent video thankyou to the Professor and the patient!

[@captainmorgan757]

First and foremost. I am NOT seeking your sympathy. Empathy...perhaps. Late 2016, I was diagnosed with Parkinsonism (Parkinson like symptoms). No current medicine (even Carbidopa Levadopa nor Trihexaphydal) helps much in aiding with my infirmity nor is any operation available to correct my physical condition. Much of what one sees in this video is very similar to what I display too. Gross and fine motor skills are depleting. In addition, I have "freezing episodes", as to where I'm trying to move, but the muscles are not responding to what I'm trying to attempt (i.e. walk). In order for me to move about my house, I have to "furniture walk" (to make use of the furniture, walls, and door frames), in order to move myself from one room to the other. Some days are better than usual days; however, those days are few and far between. Some days, all I can do is simply lie on the floor and then struggle to stand and, on such days, it's nearly impossible for me to dress. During such days, I literally have to think about what it is that I'm trying to do physically and struggle with whichever muscle group it is that I'm trying to make use of in order to perform the most simplest of tasks. Standing in place is not possible, for invariably I will start to do quick short steps backwards or off to one side. I don't display the typical constant hand tremors...yet; however, I do have frequent muscle twitching in the hands, fingers, legs, and feet. All four limbs are stiff, sore, and weak. My posture is now slouching due to the increased weight gain and muscle weakness. My voice is softer and weaker than it was just a few years ago. I often have to repeat myself, so that people can hear what it is that I'm trying to convey to them. Sleeping is laborious, for trying to move is arduous and lying in the same position induces sore spots on the parts of the limbs that are in contact with the mattress. Lower leg twitching is frequent followed by extreme muscle craps of either foot and calve muscles. I am out of bed every hour to two hours due to the need of movement, so I'm sleep deprived making me tired through out the whole next day. Night drooling is sporadic. Memory loss and cognitive skills have been reduced and continue in that direction. What I've just described is a typical twenty-four hour period for me (again, I am NOT looking for sympathy). I know that I will not be able to continue living independently like this, but it's pride of remaining "self sufficient" and the fear of having a stranger in my house to help me with every day tasks. So, as goes the body; the mind goes too. And as the mind goes, the personality changes, as well. Those whom knew me five years ago have remarked how I have changed (mentally). I can see it in myself, as well. An infirmity not only effects the body, but the mind too. God's blessings to all!

[@UCDMedicine]

Really appreciate you taking the time to explain how your condition impacts upon you and your life. It is important that our students understand not only the medicinal and biochemical basis of treatment and disease but also understand the patient experience. Our sincere best wishes to you and our thanks.

[@m.y.mabdulgadir831]

thanks Patrick...... thanks Doc

[@marylamm5543]

Marie osmand

[@savannahNortangle]

Thank you Prof and thank you Patrick :)

[@Book_Bird]

Thank you very much. This was extremely insightful. (Med Student)

[@whitebeardmalay8174]

Thx patrick, and the professor also.

[@ritwikbiswas3635]

Thank you Sir . This video is an absolute beauty .

[@elahesalardini1345]

Thank you Doctor and Patrick.

[@ahmedalbasri7280]

Thanks for patient ..

[@DXenakis]

My true respect for that guy who is facing that kind of shit that life can drop upon you.

[@Phagotz]

Poor guy! Thank you for the well produced video

[@GoProGoalieUzi]

I just turned 40. For about a year my right arm is stationary. It no longer swings when I walk. I have pain in my arm from the shoulder blade to fingers. Pinky and ring finger no longer function 100%. I’m an athlete. Dr. First said arthritis and tennis elbow. X ray and mri were negative. C spine had pressure on 2 disc. Had nerve conduction test done last week. Numbers were fine. Right tip of hand knocks when I move my forearm. Dr. Said possible early stages of Parkinson’s. he prescribed me cinimet to test me. Over 1 week no change in my symptoms. I personal think I have a muscle and bone issue....

[@testu30]

My case is similar to yours, how are you one year later?

[@JK-jd1ir]

Brilliant video thanks

[@Nina_1807]

Thanks a lot for the video, Professor! I would like to ask if this type of Parkinson is the Akinetic-rigid one?

[@coolheavymetal]

Very informative, well produced video.

[@Ph.D.Life_Tilki]

God bless him

[@N11kon]

INCREDIBLE!

[@drnohayaseen]

Thank you...very informative especially for paces exam

[@LegendaryDesi]

Was this a actual encounter of a patient or acting of the scenerio?

[@arifbinsaleh4985]

thanx to professor

[@ferhankaraca9807]

Thank you at all. I Hope all Will be healthy in Future ❤️❤️

[@hamzarayes2010]

THANK SO MUCH FOR THE VIDEO REALLY USEFUL

[@Benjamin_989]

God bless that man...

[@petrafogl1625]

Ä

[@ifrahsohail4298]

Thanks patrick

[@deepajinan238]

Thank you Patrick

[@Humairajabbar]

Thanks really informative!!

[@Apranik882]

Its easer to perform the doll’s eye test with patient laying down when the patient has rigidity due to Parkinson’s

[@yujaimaster]

What is his diagnosis? His gait posture doesnt seem to fit the classical parkinsons disease, as well as the fact that theres no tremor. Is this a of the Parkinson's plus syndrome? Many thanks (med student)

[@cocoisss]

yuji suzuki Your'r quite right, non-tremor presenting in this case, it is atypical parkinsons, but officially presents as parkinsons plus syndrome. Tremor is the classic sign, but not always present. This patient has a less common than normally observed symptomatology distribution. His upper body seems to contain the bulk of his symptoms. Very prominent bradykinesia and rigidity.

[@phoe.tanabe5292]

Not sure but it might be more things (like early onsets)i have lots of these but i have eds too 😧😭

[@officeaddict33]

+yuji suzuki - Parkinson's does not present the same in every person. Some people have more cognitive symptoms than tremors. Just like people with various cancers can have symptoms that differ from one person to another.

[@selinapoochie]

Nope this normal parkinsons, its just that he is showing rarer symptoms.

[@yrkda_1420]

Thank you

[@funkyflights]

Interesting ...

[@MJ-pv1cr]

that was great

[@dunessanful]

OKAY. I understand this is a demonstrative video for medical students about the presentation and examination of a Parkinson's patient not intended to be a real 1-on-1 encounter with a patient. HOWEVER, I can not, not mention my issues with the professors body language during the initial presentation of the patient. Standing over the patient, inside his personal space WHILE leaning into him is exactly the opposite of ideal. There was a chair right behind him even! I realize he was preparing for the physical examination but especially when presenting the information to medical students why not make the small effort to ask those initial questions in the chair in front of the patient making eye contact then transition into the physical assessment.

[@gtb870]

Fair. Seen it done nicer

[@UCDMedicine]

Your points are very well made. However, we should point out that this is merely a extract from a much larger teaching session where the Professor and the Patient would have introduced themselves and the learning objectives to the group of students. It is difficult to capture a clear video recording of a patient examination and still retain the typical Doctor/Patient interaction.

[@bomhayhay]

thanks

[@pankration141]

Thanks!

[@arambedrosian426]

One of the biggest issues with physicians and their bedside manner is not separating the person/patient from the disease. The physician does an excellent job with his explanation of the diagnostic technique/protocol however he never separates Patrick from the disease. Patrick is not a person. His role is simply as a human body displaying symptoms of Parkinson's disease. There is not one mention of the depressive symptoms associated with this disease. In the beginning of the video the physician talks for Patrick and barely allows him to speak. It is helpful to see a talented physician explain how to identify Parkinson's disease, but there is never a discussion about the difficulties of living with this disease. I cannot help feeling sorry for Patrick in this video and think about his life. There is more to this disease than physiological symptoms, there is also a person with emotional needs.

[@westwestwill]

I think you're missing the point. I agree that there are some depressive and other symptoms of Parkinson's but the scope of this video is the EXAM. If we were talking about treatment and other things, then he should mention them. You're spot on in that we need to take other things into account, but, again, this video is not the place for TREATMENT, only EXAMINATION.

[@arambedrosian426]

At all times its a PERSON who is being examined not a disease.

[@TheJazzzilla]

Aram Bedrosian i'd agree. not a great communicator

[@TheJazzzilla]

westwestwill I understand what you are arguing, but contrast this to the other videos in this series, where the primary focus is the patient and their comfort

[@cocoisss]

Aram Bedrosian This wasn't a psychiatry assessment, simply neurobiology, Im sure the patient was well briefed before filming.

[@rekhakadam6393]

PD at this young age...!!! 😳

[@hatirose7503]

I do not understand why he is trying doing OCR on this conscious patient with Parkinson? why he is checking for brainstem and why OCR in conscious patient ?

[@demoxzy0919]

Because like his axial rigidity maybe his eye muscles can show that rigidity to that neck movements too

[@christinescott5853]

They should have this dopamine disease cured by now

[@209Barbas]

Christine Scott help out if you think it’s that simple

[@andrearadighieri6675]

why does he stay with arms crossed?!

[@fatin9621]

Alright, thanks!

[@salchicha78]

It is not a proven fact, it has been suggested that there may be a link. Perhaps look at this "Chlorpyrifos Induces Apoptosis in Rat Cortical Neurons that is Regulated by a Balance Between p38 and ERK/JNK MAP Kinases". The cause of PD is still unknown.

[@rmsrinivasareddy]

my father suffer pd since 2years please help how to save from pd ,symptoms left hand &leg shake

[@charlenerosetes1772]

is the patrick really a patient?

[@younottube9802]

this is what i call , hypophonia !his voice is extremely affected

[@krystalharwood2948]

i knew a woman with parkinson's and one of my friends called her a ''spaz''. not nice

[@fatin9621]

Is memory loss a major sign of PD?

[@leviathan85]

It is only a feature in the late stages of the disease. Early memory issues with findings of Parkinsonism would make you consider something like Lewy body dementia.

[@pondsj01]

Fail.. thats what they would tell me if this was me in my OSCE

[@alma83e]

:(

[@saram9648]

For the next time, you should probably add your medical comments in the video after you examine the patient. I just couldn't concentrate because the patient seemed so sad...

[@ahlemitch1]

Wow, what a bedside manner...For communication skills look elsewhere

[@landofw56]

Chemtrails cause Parkinson.

[@tankerenemy]

Aluminum.

[@tankerenemy]

Fuck off!

[@surindersingh2209]

Tree is no sound in any of the videos

[@fionaerasmuson3274]

Turn up the both the volume on the video, and the volume on your computer?

[@pankajsah8711]

Thanks

[@panchitogomez8280]

:(