28 YEAR OLD PARALYZED IN HIS SLEEP!! Real Medical Case

Meet Alex, a 28 year old previously healthy man who woke up paralyzed for a very unexpected reason! Learn how real doctors think and solve problems! What do doctors do when they don’t have the answer? How do we solve mystery medical cases?
📚 This video is based on a real case published in the Canadian Medical Association Journal. Find the original paper here: www.cmaj.ca/con...
This video is intended for educational purses only and not as medical advice. Please see your doctor for any medical issues you may be having.
TELL ME WHAT YOU THINK!! Did you guess the diagnosis? Had you ever heard of it before?
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COMMENT to say hi or ask a question!
LIKE if you want to see more like this!
See you in the next video!
~ Siobhan (Violin MD) ~
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📸 Attributions:
Na-K pump source: Medical gallery of Blausen Medical 2014". WikiJournal of Medicine
Thyroid: By CFCF - Own work, CC BY-SA 3.0, commons.wikime...
ECG: By Jer5150 - Own work, CC BY-SA 3.0, commons.wikime...

[@edoomumowlood7773]

Never heard of this at all. I have never seen a doctor who harbor this investigative mind and curiosity. Kudos to you !

[@TruthfulInfoIsPowerful]

She is going places!!!!

[@eponawarrior7492]

Currently pursuing the reasoning behind my periodic paralysis. The only thing we've found so far is that my potassium was a bit low. IV fluids seem to be the only thing that help me move again, even though I drink electrolyte formulas daily just to function. It's really fascinating to hear about people going through similar. I know this video is a couple years old, but thank you for sharing stuff like this, it really helps me understand in layman's terms things that could be at play.

[@grandma460]

Potts?

[@eponawarrior7492]

​@@grandma460 not sure if you meant Postural Orthostatic Tachycardia Syndrome, but yes, I have that diagnosis. They found that my potassium was low in my paralysis episodes. I started incorporating sources of potassium in my weekly intake and have seen a reduction in paralysis episodes.

[@sassafrass241]

This happened to me too! But we knew I was having potassium problems for awhile. Eek!

[@joevaghn457]

@repentandbelieveinJesusChrist9no

[@ashercd6487]

​@repentandbelieveinJesusChrist9no

[@MichelWingArtist]

i have hypokalemic periodic paralysis and wasn’t diagnosed until i was almost 50, even though i had my first episode of paralysis at 22. i wish more doctors looked for rare diseases instead of telling patients they had psych problems when the docs couldn’t figure it out... P.S. great video, really enjoyed it!

[@jmodified]

@pdxcarlyk The trouble with rare diseases is that they are so common, because there are so many of them. About 1 in 10 people in the US have a known disease that affects less than 1 in 10,000. There are about 7,000 recognized rare diseases by that same 1 in 10,000 standard. I'm guessing most doctors would not know the names of most of those, much less the symptoms. And I wouldn't expect them to. If you spent an hour learning about each one, that would take 3 1/2 years of 40 hour weeks, and by the time you got to the last one, you wouldn't remember the first. Even within a single specialty, it would not be realistic to know about most of them. And that 1 in 10 is only for the conditions that are known and understood, troublesome enough to be diagnosed, and have been diagnosed. There are probably far more with unknown, undiagnosed, or merely annoying rare diseases. Most people probably have or will have at least one. The future, I believe, is in AI diagnosis.

[@pixality7902]

​@pdxcarlykthere's a difference between saying idk and choosing to believe the patient is lying, exaggerating, or its caused by anxiety rather than the other way around.

[@chicken29843]

​@pdxcarlykrespected Doctor who is so educated to not be fooled by the dunning-kruger effect and would consider the idea that it would be something they don't know about. That would be my expectation

[@ladeek35]

@pdxcarlykexcellent point. You are spot on.

[@zalaynaanderson4051]

fr its always "your young" BS

[@Mattipedersen]

Just love how pumped you get, when describing the symptoms and diagnosis. Can definitely tell that you have a passion for medicine. If only all doctors were this passionate.

[@jennifermurrell9756]

I have hypokalemic periodic paralysis. My son has it too. It took forever to find out what was going on with us. It is rare but we have some good docs now. Thanks for the video.

[@pandaicebear8601]

Gosh, this doctor should have a TV show. The way she undertakes the cases of most of her patients is very articulate and intrinsic. I really salute all the doctors who are battling on the frontline. Somehow, this had really got me into some minor realizations. Why not the government give aid/stipend/subsidiary to med students in achieving their dreams toward becoming a healthcare experts and not creating a huge monetary debts on their pockets. Same to soldiers, doctors and other healthcare experts are working their way up to save lives and potentially alleviate the living of the people. So far, Violin M.D taught me how to be more open to decisions and be more decisive on alot of things. Oral communication also really takes part of becoming a doctor. I really find myself readily available to cast and voice my words out and that hopefully i could use these skills when I become one, a doctor, someday.💙

[@chavale2]

Let be more realistic: Recruit Engineers to become Drs: will take one year; they will have the Skills to analyze and make decisions. Period CHEAPPAA way Dude BJ

[@dshe8637]

We need fewer soldiers and more doctors

[@parisinthe30sx]

​@@dshe8637lol. Those soldiers are the reason you're still free. Every country needs a defense system

[@happyliving1922]

@@parisinthe30sx Are we really free? Women have the same reproductive rights in red states as they have in Afghanistan.

[@dshe8637]

@@parisinthe30sx soldiers are the reason we have wars

[@sabrinalake8803]

I'm a student nurse and find these videos so interesting. I love how enthusiastic and informative you are!

[@kerismith8004]

Good luck with your schooling and your studies Sabrina! Lord knows how much the medical field can benefit from lots of caring & compassionate nurses especially ones fresh out of nursing school or students like yourself. Thank you for wanting to help patients get well or stay well!

[@TAILSORANGEs]

all the best in your studies.

[@SB-fz4ys]

I’m a MA student and hoping to start nursing soon

[@harunana1793]

First year of nurse university here! And so excited about everything I'm learning

[@shiningstar3312]

@@harunana1793 ...careful.....keep an open mind......Universities are being run by Pharmaciea...........teach others to optimise maintain and sustain health.

[@DavieLall]

Love the simplicity of these stories and the way they’re put over. The best communicators use stories to put over messages, which helps them to stick. Looking at this as a final year Medical Student and wondering why this method isn’t utilized in Medical Schools. It would go a long way in helping future doctors to recall materials. Also, forming differentials in my mind as we go through the videos, and it’s doing great for my confidence lol (much needed with exams approaching) Great job! 💕

[@xBPM]

Pfft. Medical schools are over rated. Im going to graduate from the University of Violin MD 😂

[@claxiiii]

OnlyLeprechaun Lmao I agree what Ya!

[@lillily6570]

OnlyLeprechaun i would love to have her as a teacher she makes it so intresting and i love the way she explains everything😊

[@keditsyoutube]

LMAOOO YES!!

[@todaytraining5671]

She is detailed and gets to the root cause of the problems. Bravo.

[@dee4amma]

@@claxiiii 1pih

[@marylovesss]

There’s a reason why I found you, I started watching your videos today! I was checking my RHT and I heard you say “hyperthyroidism”, I looked up and started the video all over again! In April, I was diagnosed with hyperthyroidism, with absolutely no family history thyroid issues. I remember complaining about ALL of those symptoms, it was pretty bad. I thought I was stressing due to a new job at a women’s clinic. I’m glad that one of the doctors recommended I have my thyroid levels checked. Then, in May I was diagnosed with Graves Disease, by my now endocrinologist. It’s been a horrible roller coaster of doctors visits, medications going up/down, cancer scares/clearings, I’ve had 2 ultrasounds, 1 CAT Scan and what feels like 100 lab test. I feel so alone with this disease, I want to feel normal again and I just hope that it goes away.💔

[@jessicapaz95]

I’d love to be this confident in my own knowledge

[@C.O._Jones]

Fascinating case! Thank you for sharing it, and telling the tale in such a gripping manner! I tend to get electrolyte imbalances, usually hypokalemia and occasionally hyponatremia. The first time it happened, I had no idea what was going on. I had been having the most terrible muscle cramps for weeks. One day while I was at work, I could feel my heart begin to beat irregularly. It was painless, but naturally it freaked me out. I was unsure what to do - clearly something was wrong, but I had no way to assess the urgency of the situation. I didn’t want to panic and overreact over what might be trivial, but I also didn’t want to ignore what might be life-threatening, either. I worked at a medical insurance company as a computer programmer, and I recalled that hey, we have a bunch of doctors up on the next floor (they reviewed medical necessity to pre-approve procedures). They were all older and retired from practice, but still wanted to work part-time, so this was an ideal job for them. Among them was a fellow who drove a Rolls Royce and wore interesting hats, and most notably looked impossibly old. In my head, I always called him “Dr. Methuselah.” I made for Dr. Methuselah’s office, found him therein, and explained the situation, asking if I should seek medical attention immediately or just call and make an appointment. Instead of receiving the expected recommendation, instantly I was surrounded by a sea of elderly men wielding stethoscopes and sphygmomanometers. Yes, they all still carried their gear with them, ready to spring into heroic medical action at a moment’s notice. I don’t know how Dr. Methuselah’s nearby colleagues knew that doctoring was afoot, but they all somehow did and simply materialized out of thin air. My blood pressure was on the low side (unusual because I had been diagnosed with mild hypertension) and my heartbeat was indeed irregular. After conferring briefly, they determined that an immediate trip to the ER was in order. 911 was called, and I was promptly whisked away in an ambulance, feeling a little silly because the hospital was just two blocks away and I could have easily just walked over there. The paramedics didn’t think I was having a heart attack, but gave me prophylactic sublingual nitroglycerin anyway, just in case. At the ER, blood tests revealed hypokalemia, and I confirmed their inquiries about the other symptoms I was experiencing, mainly fatigue and those godawful muscle cramps all over my body. They wanted to increase my blood potassium level as quickly as possible, so they added a tiny bag of potassium solution to my IV and set it to a rather brisk drip. Within a few minutes, though, I had to call the nurse and beg her to reduce the rate because it felt like the needle and the area of the vein where it was inserted was on fire. My God, that stuff burns! With the doctor’s concurrence, the dear lady kindly diluted it to a mixture that was no longer tantamount to torture. After that, voilà! I felt orders of magnitude better, saved by modern medicine from what actually was a potentially life-threatening situation. After all this, what was the cause of the hypokalemia, you may be wondering. It was - and I’m still irritated by this to this very day - an idiot doctor. The nitwit prescribed me hydrochlorothiazide, but failed to give me any supplemental potassium, and didn’t even ever bother to check it. I fired her immediately. Medical incompetence in such an obvious and predictable thing is inexcusable. Fortunately, there are so many capable and compassionate doctors available so that we do not have to suffer fools. I was also a bit annoyed with myself for having put up with Dr. Dimwit so long, despite having seen previous red flags (those are another story). In the end, though, all worked out, because I found the most incredible family doctor who ever lived. And that, too, is another story. A good one. 😊

[@vinewoodk1]

Talk about a terrifying way to wake up!

[@ellenevans1884]

vinewoodk1 I’ve never had this particular problem but I have once had sleep paralysis where my mind was awake but I couldn’t move anything or even open my eyes and I can confirm it is horrific

[@jacintarene_]

I couldn’t imagine even having sleep paralysis! I only slept with my arm above my head so that the nerves were pinched and I woke up with it completely numb and I could not move it at all, and I was terrified! Had to pull it with my other hand and wait until everything returned hahahaha

[@nickcastaneda203]

vinewoodk1 I would’ve shit my pants

[@shiningstar3312]

Vinewood........that's what happens when u live on coffee and almost nothing much else.......he is fortunate he did not have a cardiac arrest with such a low potassium.

[@hillorykays4873]

It sucked!

[@Staronqueen]

I love the way you explained things by delivering your message in a story format. I was diagnosed with Graves disease a month before my 70 birthday. I was a healthy senior up to the day I was diagnosed with Graves. I was fortunate that a doctor was quick to suggest a thyroid test and started the treatment with both medications you mentioned in the video. Off the meds for now, except for my blood pressure, the numbers are very irregular.

[@oussamak7747]

I am very happy for Alex ! I also want to mention how great you are at telling the story and explaining very complex medical case in plain words for us to understand. i really understood everything you explained and I am not a medical professional. Thank you and keep informing and educating us.

[@Faintingbabymountaingoat13]

Off topic but how come everyone always talks about how hot Dr. Mike is but never about how pretty she is?

[@chaoticyank5772]

I would rather talk about how smart and passionate both are. Although I agree they both are attractive.

[@Nan-59]

Chaotic Yank I very much agree!!

[@orangeradios]

Neither is really appropriate. Focus on intelligence instead.

[@kikko422]

I feel as though it’s a good thing. She’s a medical professional, not an object.

[@saraha9964]

Chaotic Yank well said

[@dreamincolor14]

This one hits close to home. I too had hypokalemia and lost feeling from my hands to my elbows until I went to the ER and had potassium and magnesium given through IV and really gross tasting liquid mixed with Apple juice. My underlying cause was due to an incredibly fast increase in the way my body handled anxiety. I was diagnosed with a nervous disorder that causes me to get physically ill. I had just started college, got my first job and started dating someone new within the course of a couple weeks, and my brain got overloaded and I started having anxiety and panic attacks. I was bedridden for multiple months, sleeping all day and throwing up everything I ate for some reason. Eventually I had an anxiety attack that lasted 3 hours because my hands and elbows were feeling weak. Well, I ended up losing feeling altogether, having a panic attack where I hyperventilate and made my whole body numb and purple, got rushed to the ER for the first time ever and by ambulance, which scared me more. Turns out my potassium and magnesium were low, but my potassium was 2.3. 15 hours, lots of IVs, gross juices with potassium liquid and pills later, I was feeling better, but the damage from sleeping all day and being horizontal for months, loaing 60 pounds from not being able to eat and throwing up whatever I forced down my throat, made it really hard to get used to sitting up and standing and walking. Took another 2 months to fully recover. That was in 2013 when I was 18.

[@chaoticyank5772]

I have Graves Disease, too. My hyperthyroidism led me to have a thyroid storm. So hearing about other thyroid related issues is quite interesting. I never knew about my Graves Disease, until I was literally knocking on death's door. I really love that you are informing us of a rare case. It's crazy that something so small, like your thyroid and it's hormones have such a huge impact.

[@eternalwhispersofthewind5714]

When u have just learned about cells in school and a bunch of this stuff is fresh in your mind

[@brandonquinn5806]

I was watching this as a third year medical student and was fascinated with this case! I was thinking more along the lines of a pontine stroke or syringomyelia until you started listing some of the physical exam findings and labs. Especially the proximal nature of the patient’s neurologic deficits. I’ve never heard of this before! For endocrine issues I briefly considered thyrotoxicosis, but hadn’t considered it as high on my DDx after the BP and temp were normal! Thank you for sharing this! I really enjoy this style of video!

[@breakmylegs7294]

He was cured when poked with a tac

[@janeshipley6993]

the key - one at least - was his proximal deficit. this is why it’s not too great that doctors largely test muscle strength only distally.

[@vocasoti]

Imagine Siobhan, Chubby Emu, and Dr.Mike It would be absolutely **chefs kiss**

[@l4mb_ch0p]

Ikr I just found chubbyemu a couple days ago

[@bmarkx2595]

@@l4mb_ch0p a man just found chubbyemu a couple days ago, this is how his organ shut down.

[@DoctorBleach]

@@bmarkx2595 HT is a KZbin viewer, presenting to the emergency room unconscious.

[@bskull3232]

hypo means low, kal means sodium, emia means presence in blood, low potassium presence in blood.

[@zero66616]

And this is why we should all take advantage of bananas being in season.

[@margueriterappoport4410]

All of the bananas in the world would not have helped this guy. He needed treatment for the hyperthyroidism.

[@zero66616]

@@margueriterappoport4410 yeah, I commented prematurely it seems. Lol

[@MysticalAmberMC]

i hate bananas they are gross *yuck*

[@holyknight9507]

@@MysticalAmberMC Gurl would you like my banana UwU

[@kariskan8225]

I just don’t like bananas because they make me fart haha first world problems

[@donnabors2782]

Wow, glad Alex got the right medical doctors to figure out his issue. Stay healthy Alex. As far as this young doctor, may God continue to pour out his grace and wisdom in you. You have a real passion and it's seen in your eyes and the way you look at things. Just heard you for the first time a few days ago. Again, you are a real blessing to the medical community.

[@TaylorSwifty131313]

I'm in my first semester of nursing school, and it can get so stressful sometimes!! But watching your videos reminds me why I want to go into this field and all the awesome things you can experience. Thank you so much for these!!

[@GEOMETRICINK]

How’d you do in nursing school?

[@koolinegipulan7060]

I feel like she use her husband for demonstrating alex which is so cute!

[@actual______criminal]

i really feel like you’re going to make a wonderful doctor. the way you break things down, and genuinely are committed to the patient and getting to the bottom of their problem. it took me 18 years of constant doctors visits mistreatment and wrong diagnoses to finally correctly diagnose me with my condition. i mean this whole heartedly, we desperately need more doctors and people like you. 💗

[@StarrlaRo]

She IS a wonderful doctor

[@AlyssaCaputo]

I went to the hospital with extremely low potassium a few months ago and I just wanna put it out there that having pure potassium pumped through my veins was one of the most painful things to have ever happened to me

[@jenniferwilson9579]

It is painful if done incorrectly, it has to be very diluted. You had a bad nurse/doctor, so sorry.

[@TORITHEGUMMYBEAR]

I really relate with this story. My uncle was finally diagnosed last year with Grave's disease after months of drastically losing weight and having no energy whatsoever. He would eat a whole container of ice cream each night to try to gain some weight but nothing helped him. Luckily he is doing better now and he has gained weight all the while not having to eat a gallon of ice cream every night.

[@qroo550]

I got nausea and chills just watching this video. I may not be an Asian male, but I was in thyrotoxicosis for quite a while and the idea that this was even possible horrifies me. This series is amazing please keep going forever

[@Megha486]

That's what I LOVE about medicine, there's always something new to learn! Your passion for medicine is what motivates me to do well in Med school ♥️

[@jennifferguyton6028]

You are so awesome, and I was right there in the moments when you were describing his symptoms. For my sister has thyroid eye disease, and I have potassium imbalances due to hearing loss. Had a little bit of a feeling that his condition was somewhere in-between, and I am so very Grateful for you; for you are a great teacher and I always learn so much from your videos. ❤️ Prayers of Love, Peace, and Blessings of Abundance to you.🙏 🌍 👼

[@DanielDolphinMuncher]

Hey, new viewer from the UK here! Your insights into the medical system in Canada is so interesting and I’m so happy to see someone so kind and knowledgeable in the field of medicine. As an aspiring banking and finance graduate, having kindness and compassion is something I want to have and you’re a great example!

[@michaelsadams524]

You are such a breath of fresh air! You are not only very knowledgable; you have such an engaging attitude and bring us into your conversation! I never had heard of this condition. But you made it all make so much sense! I have only been subscribed to you for about a week or two. I just happened to be scrolling when I saw your channel. After watching you, I subscribed immediately! I am so glad I found your channel! God bless you!

[@jenniferblasdale1352]

I had hyperthyroidism and greaves disease and never knew about this! I suppose like you said it’s super rare! I did the radioiodine treatment and it has fixed most if not all of my symptoms (sweating, tremors, anxiety etc). It’s amazing that such a little gland in your body controls so much ! Love your videos! 🇦🇺

[@miguelc2840]

Does that treatment really help? I too have hyperthyroidism and I've heard about that treatment but I'm just too afraid of having hypothyroidism...

[@Tonedog88]

One of the best youTube videos I've seen in months. Kept me fascinated 'till the end. Thanks!

[@erinelizabeth7480]

Wow, I have never heard of this! Imagine if he didn’t have a roommate living with him..how scary! I would love to see more videos like this, it was super interesting 😊

[@Cloudsurfer69]

This lady has enough enthusiasm for all of us and I am 1000% here for it! Awesome episode, I absolutely adore these kinds of videos!! Cubbyemu aka Dr Bernard will always have a special place in my heart lol

[@mmcase11]

I have never heard of this but I love the way you explained it all. Love your enthusiasm too

[@dj_performance]

I had sleep paralysis a few times so I know exactly how it feels like waking up without the ability to move. The worst thing about sleep paralysis is that you can't even scream. The good thing is it goes away after a few minutes. Hopefully I never actually get paralyzed in my sleep and hopefully I never actually get paralyzed in my sleep thinking it's a sleep paralysis again and waiting for it to go away xd

[@gwendolina24]

Look up cataplexy?

[@kristyn8864]

I was diagnosed with Graves Disease when I was 16. Holy crap, I am SO thankful I never had to experience paralysis! I am 25 now and the hardest part for me is the temperature regulation. I live in Southern California, so the summers come close to killing me lol. The human body is so interesting and complex, its amazing! I am currently taking anatomy with hopes of entering the medical field, and its a lot to take in. Last Monday, we skinned cats. This upcoming Monday, we're going to be dissecting the cat's muscles. There's so much to learn!

[@fmt_Guåhan]

Hello lovely lady! I came across your channel whilst perusing "paralyzed". My adult son awoke paralyzed from a coma after suffering bilateral pneumonia. I had to push the doctors here to find out what's causing the paralysis. I had met with a CDC doctor who had thought my son had Guillain-Barre, since his attending physicians couldn't figure out *"why"* the paralysis occurred, other than telling me "he was fat, he awoke and just needs to move"...which blows my mind til this day! Really?... being fat causes paralysis?! An off island Neurologist was scheduled to arrive to see patients on island for neurological symptoms since we had no specialists on island at the time. He determined that my son's spinal cord became lodged on his T6, was held in place by spinal bone spurs/stenosis hence causing paralysis. Sadly, we do not have a rehab in physical/occupational therapy here on island with respect to *Spinal Cord Injuries* aka SCI. When I had posed the question to the physical therapist on how they will address his "SCI" without causing further harm, they replied "What's an SCI?" Since that reply...no fault on their part...I had to literally research the internet and KZbin to find more info on paralysis in order to provide care for the magnitude of many medical issues associated with paralysis, such as stage IV ulcers, bowel and urine dysfunctions, ostomy, penile catheters, suprapubic, bathing, fistulas, kidney issues etc... that ultimately has affected my son. It's video such as yours, that explains in real depth the many trials, diagnosis and treatments that people who suffers(ed) paralysis are dealt with. *Thank you* for sharing your knowledge with so much exuberance and vigor! *You are truly a beautiful and talented woman with brains indeed!!*

[@LoveCoffee123]

Thank you. I got my "House fix". I have been having House MD withdrawal since watching the series twice. Please, more like this!

[@BrazenNL]

Third year resident, huh? You have two years to attend scribe classes. Your handwriting is dangerously legible for a physician.

[@stephaniesanchez2057]

Never heard of it , I wish all the doctors would be as passionate! Caring for people is a big responsibility

[@ceciliamartinez3974]

Yay another video! I was just looking for a distraction and this is the perfect one. My mom just passed away 3 days ago and this is the perfect thing to help.💕

[@Luke-gw1zt]

Bless your heart

[@meowlissaschwartz5393]

Sorry for your loss 💗

[@crystalemeralddiamond9571]

Love this girl! Shes so interested in everything its infectious!

[@gryffynda1]

Fascinating! Due to being a medical transcriptionist for many years, classwork and working in hospital settings I'm often able to guess diagnoses, but I'd never heard of this one.

[@katodan0611]

This reminds me of when I was having issues and had “thyroid storming”. It was a mystery that needed solving. My doctor called the thyroid the conductor of the orchestra . 😂

[@chaoticyank5772]

This is so true. Never knew about the thyroid until I ended up in the ER with a Thyroid Storm. The orchestra analogy is perfect.

[@shiningstar3312]

@@chaoticyank5772 So how did u heal ur thyroid?.

[@chaoticyank5772]

shiningstar I ended up having my thyroid ablated with radio iodine. I now take levothyroxine everyday to ensure my thyroid levels stay at a good level.

[@shiningstar3312]

@@chaoticyank5772 kzbin.info/www/bejne/mafWgGBjosqUmrM

[@NanT.00]

I'm just seeing this 3 years later and enjoyed this. I'm going to check to see if you did more of these medical stories.

[@Bulldog75stp]

Love the video. Like how you walked through the process from diagnosis to treatment.

[@BOBLAF88]

Wonderful story of an eclectic problem with happy results 😬

[@Nan-59]

Side note 📝: You have great handwriting and I love how you color code and lay out your notes! So much easier to read!!

[@Jeff_Lichtman]

This was really great! I loved seeing how a doctor works through all the possibilities in a medical mystery. I would like to see more like this. Thank you!

[@Anaonfire]

Doctors are really such heroes. You are so smart. Thank you for using your love and smarts in medicine to help others.

[@farah_lynn]

I'm sure you've heard this before, but a collab between you and Dr Mike would be everything!

[@meplayz6097]

All my friends are watching your videos,we love them.Thanks

[@serviceace22]

Hyperkalemic periodic paralysis is actually unfortunately common in Quarter Horses as well! It's all due to a genetic defect that arose in a single Quarter Horse named Impressive. People were so amazed by his muscle condition (due to the HYPP, though not known at the time) that he ended up siring a HUGE amount of foals. It's estimated that he sired about 10% of the Quarter Horses living today!

[@jlbarrera]

Doctor, I have to tell you that I’m a huge fan of you I’ve been through a lot for the past 11 years, form a Brain Aneurysm (that I’m so lucky to be alive) with now a hemiparisis, seizures (under control since 2013), in another occasion I became septic, bowel perforation and a huge hernia, then at hernia repair, At hernia repair, another aneurysm now in the aorta, and 3 years of trying to repair the now new hernia and finally repaired in 2020 (and a million things in the middle of those, of course with consequences like fibromyalgia and others). To say the least, it hasn’t been a fun time I currently live in Los Angeles, but I spend a year in Montréal when I was 18 (pretending…) to try to learn French, I respect the culture, the people of Canada!! Which lead me to start watching your channel First, congratulations for your channel, besides to be an angel by being a Dr (and Mark too!), your channel brings a lot of clarity to all of your viewer (I’m sure of that), and brings a lot of clarity to me too! You are giving an Above & Beyond service to me and all of your viewers, and I thank you for that, yes, you may be making money out of your channel (and I hope is a lot!!), but the type of videos you make, goes a long way to people like me (I’m a businessman, a Civil Engineer and an Architect with a master’s in Fine Art, so when it comes to Medicine, I’m a total ignorant, but thanks to you and my Doctors I have a decent understanding of more things as you and my Doctors do an excellent job explaining me all this! I’m a greatful and appreciative to people like you, that makes things easy and understandable, besides the most important reason, which is giving us knowledge I hope you keep posting more often and never stop! (You should consider teaching! You’re great to explain what you say!!) and the will you have to share knowledge makes you a natural in teaching future Doctors to do a great job!! (Mark as well, he’s the luckiest man in the world for being your husband! And he’s also a great guy and Doctor) Sorry this went a little long, but the level of admiration and appreciation is way up there with me. I wish you well and please, keep your channel up! You give knowledge and life changing (not exaggerating a bit!!) advice to your viewers like me. Again, congratulations and thank you for making a big difference to me and your viewers!! I would love to meet you and Mark one of this days, good people with great heart have been always my favorites and you two are right up there, at the top!! Keep it going and please (I don’t have to tell you, of course) you two keep being the great people you’ve always been and don’t forget little people like me and others, keep your channel up!! My very best for the two Doctors in the household, be good and every day better! Thank you!!

[@lauracooper-hastings5032]

I had Graves’ Disease as well, luckily discovered on routine physical instead of like this! I was treated with Radioactive Iodine and now I’m good as new.

[@marylovesss]

I was just diagnosed with Graves’ disease in April, but I still feel horrible.... I’ve been taking the medications and I’m even trying to eat healthier but my symptoms are slowly coming back. I’ll have my levels rechecked at the end of the month, hopefully we can try something different because this is not working. With that said, I’m so glad that you’re doing better! Makes me happy that there’s hope for me! 🤞🏼🤞🏼🤞🏼

[@aehsino9377]

Mary La Gorda has anything changed?

[@marylovesss]

Aehsino Everything’s still the same. I’ll be following up with my endocrinologist this week.

[@pauljackson4075]

Hey Doc, I’m having a lot of fun watching your video case studies! Even with my very limited medical knowledge, I am sometimes able to guess the correct advancement of the diagnosis.

[@conlon4332]

She definitely has that enthusiasm I've heard doctors on here talking about med students having, but I must say it's quite fun. I definitely enjoyed this video, and enjoyed the mystery format. I must say, way more fun than murder mysteries, I don't really get why they're so popular.

[@ashleymartinez3394]

I love watching your videos! It definitely gives an inside perspective on what medical professionals go through! It’s like every patient is a jigsaw puzzle, and you have to do all theses tests to figure out how to put them back together lol

[@sunriselotus]

Does Shioban I love you so so much you have instilled again my love for medicine. I am an MD in US suffered from burn out depression and anxiety for past two years and I quit my job in medicine due to increasing work toxicity and mental health damage secondary to my work. I love you and your content it really helps me explain how to be a good teacher and doctor of medicine. I love you!!! Take care and please give us more of your knowledge!!!!!

[@johntello8904]

I was diagnosed with Grave's disease recently, thank god I haven't had any paralysis symptoms :O

[@tiff2106]

Piero Tello graves is very much manageable. But for me the best step was having my thyroid removed completely. It has been at years and I still feel so much better. Noted I had a very severe case.

[@neen42]

It"a incredibly, incredibly rare

[@chaoticyank5772]

I had radio iodine treatment to get rid of my thyroid. It took two rounds and they were horse pills. Now I take levothyroxine everyday to manage my hypothyroidism.

[@theroadtocosplayandcomicco5840]

What is Grave's Disease ?

[@brittanymatter5436]

I have graves as well, although my Dr overdosed me on tapazole and then left the office. I ended up in the ER and then admitted to the hospital for 2 days suffering from toxosis. Now I need thyroidectomy and it also caused sinus tachycardia as well and SVT. Once the thyroid finally comes out I will need to undergo ablation surgery on my heart which they are almost 100% sure it won't work and I will need a pacemaker. I was suffering similar symptoms although I had severe nausea, head ache, light headed, Shakey, foggy mind ect. 2 weeks after I ended up back in ER with severe muscle pain I my abdomen! Everything was related to the thyroid medication overdose! It is not fun!

[@realsabrina9362]

I like the way you break things down. I'm glad for medicine and dr's and that the young man was quickly moving again. I also like the shade of your lipstick. God bless .

[@rekhakadam6393]

Thank you for briefing such an interesting case.... I’m a practising doctor but even I hv not. come across such a unique presentation of Graves’ disease.... Do continue posting such interesting cases... thank you U r sooo fulllll of life.... like ur spirit... God bless u...!!! ... love from INDIA 😊

[@kaylacote5376]

Okay you’re literally a compassionate version of Dr. House 🤯 In other words, best. doctor. ever!!

[@schatzi333221]

I love the expert violin opening

[@CanadianMum444]

How have you not been offered a contract on a TLC medical ed show? 😉 really, as I just commented on a vid from a yr ago on a woman with stroke that needed reversing etc, i had mentioned my health. A week ago was four yrs since my stroke and in 2 weeks it will be 4 1/2 yrs since my cardiac arrest. We may have “special” healthcare in this country I live in that DOESNT bankrupt you after one bad health event but it’s super hard to find good care where I am specifically. Your patients are blessed to have such a smart, kind, and hardworking healthcare provider. You truly give me hope. 💜

[@Rollwithit699]

I like the way this brilliant young lady lists possible broad causes and rules them in or out. 👍

[@ertanararat2046]

I am an emergency medical specialist and I think that you deserve appreciation...Good job!.

[@breakmylegs7294]

What cured the man was when the nurse said Donald Trump wanted to spoon with him without his diaper on, he jumped up and was cured

[@hangersrus]

I think I would almost always absorb information taught in my classes if they were taught by you!

[@judischarns4509]

Several years ago I was diagnosed with hyperthyroidism. I had the tremor, fatigue, and heart palpitations. I was originally treated with the methimozole but it was quite toxic to my liver. Then I was then treated with low dose naloxone. That caused extreme stomach pain. My primary care doctor added a second blood pressure medication Altenolol and that brought my thyroid number under control. I dropped my first blood pressure med and now both BP and thyroid are under control. 10 mg Atenolol daily.

[@honeybrilove2411]

this is like a series you need to start a show im so tuned in from the USA

[@loki_cane_corso_italiano7825]

I love residents! Always so thorough and excited to learn! I'm an old MD 43 i love residents and still use a residency clinic for my PC Doc!

[@myalaynaangel]

I wish I had people like you on my medical team precancer diagnosis, I would be in a must better shape today.

[@vanhalenbr]

I always find this medicine topics amazing and I keep watching this videos, it’s so interesting and I love the passion investigating this.

[@DrAdnan]

I’m around the same age. Now I’m scared 😂

[@MsStina84]

Siobhan is too, could've been her as well as anyone else.

[@yourfuturedermatologist..8244]

I see your comments on every medico vid Haha.

[@Pathologymadesimple]

Intermittent fasting will help

[@Nan-59]

Hi there Adnan A!! Please don’t be too concerned. I believe she said this is extremely rare!

[@km-kl3lg]

Don't worry. Get your blood work checked out regularly for any levels and it's fine.

[@angietorres9961]

your videos are so educating! I'm from USA Southern California. I'm a 20 year old MA and can't wait to move up the ladder and learn so much just like you

[@ramblingmillennial1560]

Waking up like that would be terrifying. Glad he hasn't experienced it again.

[@jeanpierre9539]

We need more doctors like you, Siobhan! ❤🩺

[@sarahs.9678]

Fascinating. I’ve never heard of this but I had a few random episodes of hypokalemia almost 10 years ago that the doctors were never able to fully explain. To this day it still bothers me that there was no answer besides possibly dehydration from too much caffeine and exercise, even though it happened during cool months when I wasn’t sweating too much. I stopped drinking excessive amounts of caffeine and haven’t had the same issues since. 🤷🏻‍♀️

[@colonbrd761]

HELLO.I ALWAYS ENJOY WATCHING YOUR VIDEOS YOU ARE ALWAYS VERY FRIENDLY AND POLITE.YOUR VIDEOS ALSO PROVIDE A LOT OF IMFORMATION ABOUT HEALTH.

[@ria.vida_]

I swear i’ve been watching your vlogs eversince i started medschool and it only gets interesting each upload. Not just the usual vlogs but i feel like im watching an oral revalida and i learned a lot from it. Bc of you i kind of want to be an internist like u 🥰

[@emmatarsii]

Holy cow. Should I see a doctor?! I just showed this to my fiancé who for 5 years thought I was prancing him about waking up paralyzed when trekking together in Peru. I have hyperthyroidism and no one has ever told me about this syndrome. I didn’t even tell my doctor because everyone said I was crazy so I believed it too.

[@schaea]

I love her passion for medicine and understanding the human body. I wish she was my doctor!

[@Stomper1337]

i live alone. so the idea of being paralyzed in my sleep is terrifying. days just laying there stuck in bed screaming for help and nobody comes to help me. hoping to get saved and scared of dying from dehydration. what a nightmare.

[@therealcfiddy592]

I have night terrors sometimes and 2 weeks ago I must have knocked myself out cold by hitting my head climbing out a tiny window to make sure there wasn't a car on top of my roof waiting to crush me I'm scared. I've given myself 2 concussions. Idk what to do I pray I never hurt myself in my sleep again. Hell, I hope I don't kill myself in my sleep

[@UconnHuskieees]

@@therealcfiddy592 sleep paralysis is terrifying but thankful doesn’t last long

[@therealcfiddy592]

@@UconnHuskieees I don't have sleep paralysis I have night terrors / sleepwalking

[@annikadenney7559]

I want to be a NICU Nurse when I’m older

[@googie5528]

oh, taking care of infants are nice and fun! I wish you well on your dream ☺

[@sarielel5041]

I LOVE THE WAY YOU EXPLAIN AS IF I UNDERSTAND EVERYTHING OF HOW ENTHUSING YOU ARE AND HOW CLEARLY YOU EXPLAIN THINGS IN A WAY CONFUSION DON'T COME IN, A THUMBS UP

[@HS-jz4op]

It's scary when my parents have hyperthyroidism and ur talking about this omg lol

[@gingerellacookie5641]

H S I have somewhat high thyroid should I be worried?

[@HS-jz4op]

@@gingerellacookie5641 I don't think it is necessary but if u notice something out of the norm go to ur doctor as soon as u can

[@kelseyj9813]

You explain things so well! You are also fun to listen to!!

[@elijahsdad]

Did you write a paper on this guy?? So rare and so puzzling - what a read this would be!

[@patticarey9016]

After giving birth to my daughter almost 24 years ago, I developed post partum hyperthyroidism. I was treated with methimazole. I then started to develop severe polyarthralgia, went back to my physician who ran some tests including ANA titer and was found to have lupus! I was shocked! They made an appointment with rheumatology but before that appointment, i went back to see my doctor because i was feeling so poorly. Because she was out of town, I saw the medical director instead. When i told him what i was there for and my current lupus diagnosis, he was shocked to learn i was on methimazole. He left the room briefly, returned with the Merck Index and right there in the description for methimazole ( which he showed me) was a very rare reaction of "drug induced lupus.". He immediately took me off the methimazole and simply treated my symptoms of hyperthyroidism which eventually resolved as my body slowly returned to normal post partum. Haven't had an issue since then.

[@serenegeeks]

It's incredible!!!! Our body never stops us from wondering about the way it functions 😍

[@charis5258]

I love Siobhan! You inspire me to love what I do! I am about to start my Undergrad and hopefully make it to Medical School in the future!

[@teropiispala2576]

Interesting video. One of my friend had same kind of paralysis and low potassium level was told to be the cause, but we never knew why. He was around 30, athletic, with very low body fat. We were in a rented cabin, celebrating one other guy’s birthday. We were in sauna long time and went swimming on icy lake about 20 times during the evening. Everything was OK, but in a next morning he wasn’t up from the bed even at noon. We went to look at him and he was laying on his bed with his eyes open, but couldn’t move or didn’t respond when we spoke to him. He did follow us with his eyes. We called an ambulance and he was taken into hospital and later on we heard it was low potassium. I gues this one had gone much further.

[@ellemclee8800]

❤❤❤❤❤❤❤❤ hi I’m a follower from Sweden 🇸🇪 and I must say I and so thankful for all the amazing videos you have made and posted Your awesome 👏 and I want to thank you so much

[@jamessimmons7480]

She is a fantastic and very much dedicated medical professional!!

[@flappy7373]

i woke up almost paralyzed once.. for a very different reason though. i was in a car accident one night. i walked away from it with just a few bumps and bruises, nothing serious (was wearing a seatbelt!). a few days later, i fell asleep while sitting on the couch. i woke up a couple hours later feeling a little stiff and some moderate pain. "i just slept at a bad angle" i thought. so i went to stand up. and was hit by the most incredible pain i've ever felt. my entire body felt like it was dipped into an icy bath of razorblades. my legs totally gave out and i slumped back into the couch, seeing stars dance before my eyes. it's hard to describe. but the worst of it was from my lower back. i was unable to stand up on my own due to the absolutely incredible pain. afterwards, i was bedridden for weeks. to the point where i couldn't even roll over in bed due to the mind bending pain. it took months until i was able to stand up, but i needed crutches. it took about 6 months for me to be able to move around with just one crutch, and about a year for me to be able to move around without them. what happened? i got an MRI which showed 4 damaged vertebrae, 3 of which were severely crushed (75%, 40%, 40%). i used to be 6'5" tall, now i'm 6'1.5" tall ;D the real mystery is, why was i totally fine for a few days following the crash? was it just pure luck, and sleeping at a bad angle just happened to shift some of the pulverized bone fragments into contact with my spinal cord? i wonder.. maybe.. if i never slept on that couch, the bone would've healed such that i wouldn't have to live with this permanent pain?

[@matronista]

(1) I was already in the operating room when the doc stopped it before it started. I had low potassium because of a diuretic. The doc was furious that they hadn’t stopped the surgery before he got there and it seemingly took forever to get the new results back that okayed the surgery. (2) Another time I was having knee surgery and just as they were putting me under, I heard the surgeon say “These instruments aren’t sterilized”. (3) But that wasn’t the scariest one as they were putting me under. The paralyzingly drug hit just right before the anesthetizing one. My panic level went from 0 to 100 in two seconds. I guess that isn’t too bad since I’ve had about 30 surgeries. Lol