Anyone dealing with/ PD, please find the UA-cam interview w/ the older guy, in his kitchen, who was declining badly, and he tried a keto diet, and has had HUGE success healing and reversing the disease, by 90 or 95%. It is incredibly hopeful what he accomplished.
I am 48 and had a datscan last year that reveled abnormalities. I was having issues with stiffness (particularly on my right side) at work. I was a painter and decorator so I would often get a little pain due to the nature of the work and I also have a bit of arthritis in my spine. Just before lockdown for covid I had a melanoma removed from my leg. About two months after the melanoma removal i went back to the doc complaining of crazy levels of stress. The doc naturally put this down to the cancer and gave me some duloxetine tables. I said I had been experiencing almost hysterical levels of stress at work for the last couple of years and would regularly have meltdowns where even small problems would seem like mountains to climb. I started on the duloxetine and it felt great for the first 2 or 3 weeks, at about the 4 week mark I felt like I'd fallen off a cliff. I was shaking uncontrollably, I was having problems walking and initiating movement as it felt like my leg was stuck. I did a little research and thought perhaps I had Parkinson's and the tables had just exasperated some mirror conditions. I stopped the duloxetine tables and it took months to return to a somewhat normal state prior to the tables. I convinced the doctor to send me to a neurologist and he said on examination I had a bit of mild dystonia, little right arm swing, and some mild cogwheeling. Eventually I had the datscan and he said it looks like very early stage Parkinson's. My melanoma returned with a vengeance at the beginning of this year and i received a full right leg lymph node removal, stage 3c. I'm on target therapy now for the cancer and I have since greatly improved my diet. The Parkinson's symptom's have improved greatly with the change in diet but they do come and go like the changing of the wind. Some times I still wonder if I even have Parkinson's because I feel no different and then other days I shake a little, or I get that ratchet like feeling thought my movement, partially in my left arm. Or the other big effect is extreme fatigue. The symptom's can change thought-out the day but i do get overall weeks that are bad and over all weeks that are good. I guess what I'm questioning is if this coming and going of symptom's is normal in the early days of Parkinson's. Thank you John
I agree with you. You need to reevaluate your diagnosis. Things change, and what seems to be "parkinson disease" it is something else. As a matter of fact, DAT Scan can be false positive. There are some medications that might affect the visual interpretation of the test. also inclination of the head might affect the visual interpretation is some cases. Nuclear medicine fellowship trained radiologist should be reading those tests as well. Try to get a second opinion from a movements disorder fellowship trained neurologist with at least 5 years of experience after training.
@@luisezayasmdpt4397 thanks for responding I was not on any medications at the time of the scan (or had been on any meds for about 6 month prior.) Radiographer to neurologist in correspondence after findings. Datscan reported to show mild to moderate reduction in uptake within the right corpus striatum and left putamen. And mild elevation in background activity. Appearances are suggestive of dopaminergic degeneration. I believe my neurologist has been at the hospital for many years dealing with Parkinson's and other movement disorders but yes it would be interesting to get a second opinion. Thank you
I have seen changes with my wife in a years time. She saw a neurologist on Monday and she said she had symptoms of Parkinson’s. Is having another nerve test next week and then a punch test. I think that’s what is called. Thank you for the information videos.
One day after menopause I had reached to grab a plate my whole arm was in tremor Lifted other arm and same happened , I sat down closed my eyes had wave lines ( they happen quite often now) but these were different I have had a resting tremor for 10 years with lots of odd symptoms. Examples Like you said severe anxiety out of nowhere panic Sleeping I ended up feeling paralyzed finally swung arm to call 911 My legs were so heavy quick sand Arms heavy Right shoulder pain for 15 years. Severe pain n weakness both arms legs Incontinence Back n forth with constipation I wear diaper can’t hold urine in Eyes heavy pain when moving them I get a jolting feeling in head like a quick pulse felt in body Tremors worse. Gait has been bad since menopause FM CFS diagnosed after daughter Complete placenta previa With a near bleed out ( platlettes used rare blood not on hand ) I have a mask like face staring spells DX with EDS they say Hypermobile Hyperreflexia horners syndrome RLS biopsied for neuropathy ( no high or low sugar) My neck has been so bad Pain n arm right to fingers With numb tingling feet n legs as well Dystonia My spinal tap shows elevated albumin elevated protein N rare WBC No answers for that test I found on my own in MyChart My mother had Parkinson’s same conditions as me What should my next step be? I’m in nh on Medicaid, feels like I can never get back or walk without my wheelchair. Movement causes worsening burning grinding more tremors n pain The list goes on Thank you for this video
Have you noticed if you have any blurry or double vision?... I have similar symptoms and ended up going to eye doctor because I have pain in my eyes when moving them and then noticed blurry/double vision and tremors and I'm now being tested for Multiple Sclerosis
I have had tremor in my left hand for about 3 years and never thought of as symptoms of parkinson until I read some of the comments and watching your video. Thanks.😊
I have every symtom mentioned in this video, plus Sjögren’s Syndrome which is very closely connected to a lot of individuals with Parkinson's Disease. I would not be surprised if I really do have this. 😮 My mouth dropped when he mentioned shoulder pain because I have been dealing with Shoulder pain for several months and I was recently diagnosed with Rhumatoid Arthritis. I still think I have Parkinson's Disease though.
Thank you for this presentation, Dr. Zayas. I can usually recognize the slight signs and symptoms of Parkinson disease (PD) well before other medically-trained or specialized diagnosticians/clinicians because I've had experience working with patients for many years with varying neurological and cognitive disorders, including PD. If caught early enough, progression can be slowed. There are multiple things a patient can do to slow the effects of this disabling disease: ROM exercises to prevent contractures, exercising in general, eating neuro-protective and neuro-regenerative foods like adaptogens and functional mushrooms (nootropics) and with cognitive stimulation. Pharmaceutical companies should produce better medication that affects M1 muscarinic receptors. A huge pathognomonic sign of PD very early on are violent or restless dreams. Resting tremors can occur in childhood and throughout adulthood and into the senior years, where they become much more pronounced. That's when you can also start to see the uncontrollable jerking movements due to the effects of demyelination. Shaky voice and vocal cord issues, as well as swallowing issues commonly occur first, as will the "masking" face of PD, where the patient's lack of expression becomes evident. There is a definite cognitive decline, with signs of dementia and almost mutism that can occur early on in PD. Behavioral changes also occur, such as hypersexuality or other pathological impulse control disorders (binge eating, compulsive shopping, gambling, etc.). It's my belief that demyelination diseases like this may be due to genetics; however, like many disorders and diseases, neurological insult can occur due to environmental factors like metallotoxins (like with deodorants which contain aluminum, or by the cumulative effects of vaccinations with metals in the adjuvants), viruses that invade and hijack and dismantle the nervous system (such as alpha viruses like herpes or coronaviruses), as well as bacterial infection (spirochetes, etc.) or post-infectious states secondary to such viruses or bacteria. Providers should prescribe neuroregenerative and neuroprotective supplements which affect M1 muscarinic receptors in the early stages of this disease, before radical demyelination. That's why it's important to recognize the signs and symptoms of Parkinson's disease early!❤
I'm 49 and started getting a jaw tremor in my mid 30's. (I have Tourette and I'm autistic) Then, after a terrible infection in my bone marrow 9 years ago, that ate its way through my bones into my tissue. , I started having issues with muscle weakness and gait.. my gait has changed gradually over the years and I started falling a lot more , about 8 years ago, losing my balance, shake weak legs , to the point I walk with a stick due to falls. In the last three years , my gait has slowed, and I'm now shuffling a lot more . Both feet often turn in the way, and I often place the ball of my feet first. I get intermittent feelings like my face , arms, and legs don't belong to me, like a weird numb feeling.. Tremors have gradually worsened to hips, legs, hands, and fingers intermittently, almost aleays during resting.., I've also been having vision problems with partial hallucinations, like a slight distortion of peripheral vision , which is frightening and distance vision, slight hallucinations. I have moments where I lose sense of reality and can't tell the time and loss of long-term memory. (My G.P thinks the confusion is caused by meds I take for herniated discs, and tremors are possibly tourette related) which I don't think they are tourette related other than its the same arrangement of brain affected and dopamine in tourette and parkinsons. My doctor has referred me to a falls clinic at a local hospital, which is frustrating as I really felt i need to see a neurologist, as I'm pretty certain I have parkinsons.
WOW I HAVE EVERYTHING YOU SPOKE OF. OMG. DONT BE EMBARRASED BUT I THINK YOU SHOULD BE A MODEL OR ACTOR !!! YOUR PERFECT !!! ALL THE GOOD ONES ARE ALWAYS TAKEN !!!
Hello sir, As a part of routine check up My father had a health checkup and got multivitamin medicines. The doctor's suspected parkisons as he was having some tremors in hand . We frequently observed him showing tremors while resting like during meditation, holding phone...what should be our next step to get him better as of now he's all healthy
Good gosh my mom has every one of these except pain in shoulder (at least not that she’s told me). I’m obviously here trying to figure out what’s going on with her because I can’t get her to a doctor because she refuses to believe something is wrong. Her tremor is severe in her left hand. And she does this weird one with her right. Almost on purpose. But I don’t think she can help it. It starts out as a mild shake of her forearm, then it goes to a violent shake and lasts about 30 seconds. She can stop it if she puts her hand under her leg or grabs it with her other hand. But her legs and feet do a very rapid, tremor. And she doesn’t even know. I asked her about the one on the right arm and she said that it’s just something she started doing and to leave her alone (she’s very very cranky to me). I’m just trying to help her but gosh she’s so mean sometimes. And her constipation is Sooooooo bad that I have to intervene. She walks hunched over with her walker, shuffles, all the symptoms. Does Parkinson’s cause irritability? Does it also cause hallucinations? Or hearing things? She is hearing impaired. We’re trying to get aids for her but it takes a while. I’m not sure if she has Parkinson’s, I’m not sure if she has some form of Dementia, I’m not sure if she has both. But I’m seeking answers so I know how hard I need to push her to go to the doctor. But you see, the doctors do these stupid tests that don’t show anything. Like for dementia. They ask all the memory questions and that’s it. She passes that every single time. I know there has to be more to that testing. That can’t be all there is. She has a lot of memory issues. Doctor just doesn’t see it like I do. Oh goodness. This is soo frustrating.
Sounds like Lewy body dementia. Need to be evaluated by a movement disorders neurologist. www.movementdisorders.org/MDS/Resources/Patient-Resources/Movement-Disorders-Specialist-Directory-Listing.htm
I have had some symptoms for 4 years: cold extremities, tremor in my thumb and index finger on my left hand, problems sleeping with night sweats, shingles, and frozen shoulder, fatigue easily. I was forced to retire due to covid. I have no insurance. Do you have any suggestions?
What about for early onset? I’m 36 and in July, I started developing a tremor in my left hand. It happens if my muscles are contracted (I THINK) and it’s not resting. Let me explain…. If I position my hand in supination, it tremors. If I hold my phone in my left hand, it tremors. If I lay on my stomach and lean into my left elbow, my hand tremors or at least feels like it’s going to tremor. If I stand and let my arm/hand dangle (no weight bearing and no isometric contractions), it doesn’t shake. It almost feels like I have a fight or flight sensation in my entire left arm. I do NOT have any tremors in my right arm or legs. Again, I’m 36 and this started in July. It is a DAILY occurrence.
If the tremor occurs only during specific positions (positional tremor), it is most likely to be a dystonic tremor and not a Parkinsonian tremor. You need to be seen by a movement disorder doc, the diagnosis is very easy when correctly evaluated. The treatment for dystonic tremor is different.
@@sandibiagi2962 I’m going to a movement specialist in November. Have you been examined yet? I’m curious WTH it is. Started in July for me! If I totally relax my hand, it doesn’t tremor. But if I contract my muscle or hold my hand in whatever position, it shakes.
Most likely is dystonia-->dystonic tremors (position-specific jerky tremor). Differential diagnosis is essential tremor. It is very easy to differentiate clinically. I have a video about how to differentiate ET from PD tremor. @@iMaGiNaTiOnWpAsSiOn
@@luisezayasmdpt4397The problem with relying on Resting tremors as the determining factor is, there has been research that found in persons with early onset Parkinson's up to about 26% will present with intention tremors first. Developing resting tremors later in the disease progression. This can happen in normal age related Parkinson's as well (~ 60 - 65 years of age) but is seen in a smaller number in this group. So it's important to find a movement disorder doctor that is very thorough & and doesn't rely on the old generalities for diagnosis, like developing resting tremor first & intention tremor later in disease progression. Sometimes it's the opposite. It all depends on which sub structure is damaged first, or damaged more. It's why Parkinson's presentation is unique to each person. Unfortunately we (doctors & scientists) don't truely know what symptoms will be caused by damage to, or more severe damage will correlate to which symptoms. We know some generalities, but there is still a lot to learn!
So someone in my family was diagnosed with Parkinson's and dementia years ago and one question I've always wondered is have they ever looked into chemical or environmental exposure being the root cause? I remember hearing when it comes to certain illnesses certain diets are life-changing and even reversing of certain conditions.. but this gentleman was in his 70s and lived by a paper mill so you can just imagine, also lived maybe a block away from a quarry pit.... and when he was younger he worked in Mills where I'm sure Asbestos and other hazardous chemicals were likely around.. I guess my point is other than paraquat or commercials you hear about that stuff, do you think diet has something to do with it? With all the herbicides and pesticides and things they do to fruits and vegetables unless you buy organic and even then it's still questionable, do you think a lot of that might have anything to do with it? I'm just curious about your opinion on the topic. Thanks in advance!
Yes, the cause of Parkinson's disease is believed to be a combination of environmental factors and genetic predisposition. I make an effort to avoid exposure to toxins such as pesticides, herbicides, and growth-enhancing chemicals used in animal farming, as these factors are likely contributing to the development of this disease. However, Parkinson's disease is complex and may actually encompass multiple diseases. Despite our limited understanding, we still refer to it as Parkinson's disease due to a lack of a more precise classification. Neurology has many unknowns, and this is why medical students do not like it. We have fewer medical students interested in neurology. Adopting an organic diet is a key aspect of my lifestyle. I find it beneficial to avoid eating out and instead focus on preparing my meals at home. This dietary choice has been instrumental in maintaining my health and well-being.
I have noticed that fine motor movements are hard to control like brushing teeth , writing text, feels like scribble somewhat looks like scribble as well . The gait problems for me just don't feel fluid almost like a start and stop feeling . I used to enjoy running but I noticed in my late thirties that I would fall if I tried to run at or near full speed . Left shoulder pain both arm weakness .
I have tremor in my left thumb & after 6 months or so, I noticed it's in thumb & forefinger. Happens usually while I'm resting, watching TV. I also have just recently started getting what may be Seborrheic dermatitis. I have a doctor appointment in about a week. The scalp condition is brand new & I also (not sure if it's related) started getting sores inside my nose which leaked clear liquid then they go away but return & now only seem to bleed, make that part of the nose feel stiff & very sore. Also, extreme fatigue. I was diagnosed with fibromyalgia over 10 years ago but the fatigue is much worse lately. Also, having more frequent urgency to urinate without full bladder & trouble with small leaks especially when sneezing. I'm 53 yrs old. Does this sound like early signs of PD?
Yes. Unilateral resting tremor of the finger is very characteristic of Parkinson's disease. Resting tremors are sometimes difficult to evaluate. You need to make sure that you are really resting. One way is to observe you while walking or standing to see if you have the same tremor or lying down supine with the arm completely resting. You need to be seen by a neurologist, preferably with a fellowship training in movement disorders, to confirm the findings.
I have a lot of these symptoms I'm very slow at doing everything I have the pain in the shoulder my mom was recently diagnosed with this. I can't remember anything.
I have severe constipation and lately my anxiety has gone through the roof for no reason. I also sometimes get fast pain shooting through my arms and legs like lightning bolts. I have arthritis in my AC joint on my top right shoulder and so I think most of my pain in my right shoulder comes from that. My doctor already ruled out PD even though I wasn't tested. I do have stiffness in my legs when I walk. Some mornings I wake up with stiff fingers and hands, so hoping this is not a symptom. I don't have tremors. Since I only have 3 or 4 of the symptoms, I'm hoping I don't have. PD.
If any doubt, it is better to be evaluated by a movement disorder neurologist in the same way that if you have a chronic joint issue to be seen by a rheumatologist. Medicine is getting more complex every day, and require a multidisciplinary approach.
Parkinson’s disease is not classified as an autoimmune disease. However, immune system dysfunction and inflammation appear to play a role in its progression. More research is needed to understand the relationship entirely. No evidence that having lupus increases the risk of PD.
I'm 56 yrs old. My father and another family member, both have tremors in the left hand. I have developed sporadic tremors in my left hand while resting. I also have developed bad hand writing. Its starts off great but by the end of the sentence, its hard to read. I also get stiff in the elbows while not moving the joint. for example, walking. Thoughts?
It could be dystonia, especially the fact that it gets worse with action (end of the sentence). If this is the case, Botox/Xeomin, Dysport might help. Try to get an appointment with a movement disorder neurologist in your area. www.movementdisorders.org/MDS/Resources/Patient-Resources/Movement-Disorders-Specialist-Directory-Listing.htm
My left thumb is trembling in mid December, for almost 4 months now. Only a few days at the start and non-stop since February. I went to two general doctors, one neurologist and 3 physiotherapist. They all completed ignored it and dismissed as 'nothing to worry about'. I even asked if it could be an early sign of PD and they said NO. I'm so frustrated and scared. I dont have the other symptoms yet. What should I do, please?
If the left thumb ~4 hz tremor occurs during resting ( muscles are completely relax) or when standing or walking, then it is a Parkinsonian tremor. If this is the only symptom, then no need treatment since it is not affecting your function. Most important right now if to follow a good exercise program, at least moderate intensity, better high intensity. This is the only thing you can have control besides what you eat. Try to follow MIND diet.
Resting tremors may occur intermittently. Rigidity can worsen when you are ill or experiencing any type of stress, whether physical or emotional. In some cases, symptoms of Parkinsonism may become more apparent when you are hospitalized and unwell, as your brain is unable to compensate effectively. Some non-motor symptoms also fluctuate over time.
Are you anxious? Pinched nerve? Any head/neck injuries?Too much coffee? Too many mushroom supplements? Repetitive Strain injury? Torn tendon in elbow? These can all cause non-essential tremor in the fingers. The treatment for non-essential tremor is propranolol 20mg twice daily and 2.5mg prednisolone incase there is inflammation pressing on a nerve. I would still have yourself checked out. You are very young. You want to rule out the more serious conditions like MS, etc. Medical professional in Australia.
Hello. I'm not sure if you are going to see this, hoping to get a reply. I've been experiencing widespread twitching and feels shaky on my legs (occurs at rest). I'm not sure if I twitch or tremor on hands/fingers but I experience it more when using my phone. I don't have other symptoms for now aside from feeling shaky on leg and arm after feeling a tightening or heavy sensation lasting for few seconds. My muscles aren't rigid. I can still move and do tasks without issues. Is this "POSSIBLY" enough to get diagnosed with PD if I only have these symptoms? I'm thinking that the other symptoms might appear later in life.
Everybody has a physiologic tremor, which can be exacerbated by anxiety, medications, lack of good sleep, caffeine, or any stimulant. It is also normal to have occasional muscle twitching, especially when we are fatigued. If you are concerned, see a neuromuscular or a movement disorder doctor to personally evaluate you. This will give you peace of mind.
@@goodvibrations528 My choral teacher had benign essential tremor in her right hand only. She is now 94 years old. She treated it with propranolol 20mg twice daily. Her only health "complaint" today is frailty. No age-related diseases.
I have a sleeping problem, tension and anxiety disorder... Also some types of doubts.. I am 41 year old female... Is it symptoms of pd? I have no walking problems, shivering etc.... Sir, kindly reply...
Not necessarily. You need to have bradykinesia to diagnose PD. Sleeping issues and anxiety are very common problems in the general population. Mild anxiety and sleeping problems are normal in life; we are humans. A little anxiety is good for performing well in life. The problem is when it is severe and affects your function.
Im 30 year old. Im a nurse, im scared im having tremors on my left index finger. I feel tingling on that arm too. But i work nights, and my carreer is stressful. Not sure if I should worry since it can be so many things.
Yes. It can be many things. However, try to see a movement disorder specialist. Nothing better than seeing an expert. Sometimes, you need 2 or 3 expert opinions. www.movementdisorders.org/MDS/Resources/Patient-Resources/Movement-Disorders-Specialist-Directory-Listing.htm
I'm sorry to read your comment. I'm 6 years post diagnosis and I can tell you the most important thing you can do to slow progression is EXERCISE...BOTH BODY AND MIND! Good luck, you are about to take the "ride" of your life.
Dyskinesias (abnormal movements) are involuntary movements that occur after years of taking levodopa in the setting of Parkinson's disease. You can see dyskinesia in other conditions similar to Parkinson's disease, such as MSA, but they are different and less common. Tardive dyskinesias (tardive syndromes) are a side effect of medications affecting dopamine receptors. We are seeing more tardive dyskinesias because of the increasing use of dopamine blockers to treat depression, even though we are using more atypical neuroleptics, which are less likely to cause tardive syndromes. I will post a video of tardive dyskinesia soon. This is a very important topic to discuss because if more common than what we think.
@@luisezayasmdpt4397 Thanks, Gracias Dr. Yo la padezco. Pero por uno Neuroleptic medications por Error del un sólo Dr q vi sólo 1 vez. Luego, otro Dr siguió con esa, .. y a la larga en 2 1/2 años, comencé a unos tips nerviosos en mi boca hacia la izquierda. Ya es todo y mucho más mi cuerpo. YO, Al pedir cambio de Dr., SUGERI A LA NUEVA DRA. LIMPIAR MI CUERPO DE TODAS LAS MEDICINAS ya que mi primer diagnóstico ERA PÁNICO y Angustia, como se llama acá en SWEDEN , Suecia. BUENO limpie MI CUERPO DE MEDICINAS, muy bien planeado CON LA DRA. HOY en día..( Historia larga, sólo RESUMO) , estoy EN ESTOCOLMO, HOSPITAL ÚNICO AQUÍ: KAROLINSKA SJUKHUSET HUDDINGE ESTOCOLMO. Allí estoy como EN BUSCA DE UNA 2da. Opinion. ESTOY en lista de espera.. para otra prueba más UNA resonancia magnética de espalda... MUY LARGA MI HISTORIA. GRACIAS MUCHAS GRACIAS THANKS DR.
Hey doc. Question im 34 years old. For the last month, I have been having the feeling like I'm weak and shakey but nothing is actually shaking. My blood sugar is within normal range just had labs last week.
Great things Dr Madida on UA-cam has being doing for mankind, I undergo his Parkinson disease treatment plan for weeks and my Parkinson Disease was completely reversed💫.
Great things Dr Madida on UA-cam has being doing for mankind, I undergo his Parkinson disease treatment plan for weeks and my Parkinson Disease was completely reversed...💫
Hello doctor , recently I found out that my boyfriend was diagnosed with 1st stage of PD. He is 38 years of age. I'm so worried about our future. What shall i do😢
Anyone dealing with/ PD, please find the UA-cam interview w/ the older guy, in his kitchen, who was declining badly, and he tried a keto diet, and has had HUGE success healing and reversing the disease, by 90 or 95%. It is incredibly hopeful what he accomplished.
This video? ua-cam.com/video/5sYClVQyMLM/v-deo.html
Please i need gelp for my dad he has parkinson
Can we have the link please
Im really sorry for everyone commenting on here whom has PD. I hope you all get to manage your symptoms as you get to grips with the awful disease
❤
I am 48 and had a datscan last year that reveled abnormalities.
I was having issues with stiffness (particularly on my right side) at work. I was a painter and decorator so I would often get a little pain due to the nature of the work and I also have a bit of arthritis in my spine. Just before lockdown for covid I had a melanoma removed from my leg.
About two months after the melanoma removal i went back to the doc complaining of crazy levels of stress. The doc naturally put this down to the cancer and gave me some duloxetine tables.
I said I had been experiencing almost hysterical levels of stress at work for the last couple of years and would regularly have meltdowns where even small problems would seem like mountains to climb. I started on the duloxetine and it felt great for the first 2 or 3 weeks, at about the 4 week mark I felt like I'd fallen off a cliff. I was shaking uncontrollably, I was having problems walking and initiating movement as it felt like my leg was stuck.
I did a little research and thought perhaps I had Parkinson's and the tables had just exasperated some mirror conditions.
I stopped the duloxetine tables and it took months to return to a somewhat normal state prior to the tables. I convinced the doctor to send me to a neurologist and he said on examination I had a bit of mild dystonia, little right arm swing, and some mild cogwheeling. Eventually I had the datscan and he said it looks like very early stage Parkinson's.
My melanoma returned with a vengeance at the beginning of this year and i received a full right leg lymph node removal, stage 3c. I'm on target therapy now for the cancer and I have since greatly improved my diet. The Parkinson's symptom's have improved greatly with the change in diet but they do come and go like the changing of the wind.
Some times I still wonder if I even have Parkinson's because I feel no different and then other days I shake a little, or I get that ratchet like feeling thought my movement, partially in my left arm. Or the other big effect is extreme fatigue. The symptom's can change thought-out the day but i do get overall weeks that are bad and over all weeks that are good.
I guess what I'm questioning is if this coming and going of symptom's is normal in the early days of Parkinson's. Thank you John
I agree with you. You need to reevaluate your diagnosis. Things change, and what seems to be "parkinson disease" it is something else. As a matter of fact, DAT Scan can be false positive. There are some medications that might affect the visual interpretation of the test. also inclination of the head might affect the visual interpretation is some cases. Nuclear medicine fellowship trained radiologist should be reading those tests as well. Try to get a second opinion from a movements disorder fellowship trained neurologist with at least 5 years of experience after training.
@@luisezayasmdpt4397 thanks for responding
I was not on any medications at the time of the scan (or had been on any meds for about 6 month prior.)
Radiographer to neurologist in correspondence after findings. Datscan reported to show mild to moderate reduction in uptake within the right corpus striatum and left putamen. And mild elevation in background activity. Appearances are suggestive of dopaminergic degeneration.
I believe my neurologist has been at the hospital for many years dealing with Parkinson's and other movement disorders but yes it would be interesting to get a second opinion.
Thank you
also to add I'm in the UK so things may be slightly different here with regards to been fellowship trained.
😊😊😊😊 4:58 4:58 😊😊😊😊
😊😊😊😊😊😊😊😊😊😊
I have seen changes with my wife in a years time. She saw a neurologist on Monday and she said she had symptoms of Parkinson’s. Is having another nerve test next week and then a punch test. I think that’s what is called. Thank you for the information videos.
I hope you get the answers you looking for.
Hi I hope you and your wife doing well.Can you plz provide me the finger tapping video of your wife as I have project to do on PD.
One day after menopause
I had reached to grab a plate my whole arm was in tremor
Lifted other arm and same happened , I sat down closed my eyes had wave lines ( they happen quite often now) but these were different
I have had a resting tremor for 10 years with lots of odd symptoms.
Examples
Like you said severe anxiety out of nowhere panic
Sleeping I ended up feeling paralyzed finally swung arm to call 911
My legs were so heavy quick sand
Arms heavy
Right shoulder pain for 15 years.
Severe pain n weakness both arms legs
Incontinence
Back n forth with constipation
I wear diaper can’t hold urine in
Eyes heavy pain when moving them
I get a jolting feeling in head like a quick pulse felt in body
Tremors worse.
Gait has been bad since menopause
FM CFS diagnosed after daughter
Complete placenta previa
With a near bleed out ( platlettes used rare blood not on hand )
I have a mask like face staring spells
DX with EDS they say Hypermobile
Hyperreflexia horners syndrome
RLS biopsied for neuropathy ( no high or low sugar)
My neck has been so bad
Pain n arm right to fingers
With numb tingling feet n legs as well
Dystonia
My spinal tap shows elevated albumin elevated protein
N rare WBC
No answers for that test I found on my own in MyChart
My mother had Parkinson’s same conditions as me
What should my next step be?
I’m in nh on Medicaid, feels like I can never get back or walk without my wheelchair.
Movement causes worsening burning grinding more tremors n pain
The list goes on
Thank you for this video
Have you noticed if you have any blurry or double vision?... I have similar symptoms and ended up going to eye doctor because I have pain in my eyes when moving them and then noticed blurry/double vision and tremors and I'm now being tested for Multiple Sclerosis
Thank you for explaining your symptoms
I have had tremor in my left hand for about 3 years and never thought of as symptoms of parkinson until I read some of the comments and watching your video. Thanks.😊
You’re very brave wishing you all the best from the bottom of my heart. ❤
I have every symtom mentioned in this video, plus Sjögren’s Syndrome which is very closely connected to a lot of individuals with Parkinson's Disease. I would not be surprised if I really do have this. 😮 My mouth dropped when he mentioned shoulder pain because I have been dealing with Shoulder pain for several months and I was recently diagnosed with Rhumatoid Arthritis. I still think I have Parkinson's Disease though.
Read my comment above about the carnivore diet, and youtube video with Dr. Ken Berry interviewing Dr. Georgia Ede, MD.
Thank you for this presentation, Dr. Zayas.
I can usually recognize the slight signs and symptoms of Parkinson disease (PD) well before other medically-trained or specialized diagnosticians/clinicians because I've had experience working with patients for many years with varying neurological and cognitive disorders, including PD.
If caught early enough, progression can be slowed. There are multiple things a patient can do to slow the effects of this disabling disease: ROM exercises to prevent contractures, exercising in general, eating neuro-protective and neuro-regenerative foods like adaptogens and functional mushrooms (nootropics) and with cognitive stimulation.
Pharmaceutical companies should produce better medication that affects M1 muscarinic receptors.
A huge pathognomonic sign of PD very early on are violent or restless dreams.
Resting tremors can occur in childhood and throughout adulthood and into the senior years, where they become much more pronounced. That's when you can also start to see the uncontrollable jerking movements due to the effects of demyelination.
Shaky voice and vocal cord issues, as well as swallowing issues commonly occur first, as will the "masking" face of PD, where the patient's lack of expression becomes evident.
There is a definite cognitive decline, with signs of dementia and almost mutism that can occur early on in PD. Behavioral changes also occur, such as hypersexuality or other pathological impulse control disorders (binge eating, compulsive shopping, gambling, etc.).
It's my belief that demyelination diseases like this may be due to genetics; however, like many disorders and diseases, neurological insult can occur due to environmental factors like metallotoxins (like with deodorants which contain aluminum, or by the cumulative effects of vaccinations with metals in the adjuvants), viruses that invade and hijack and dismantle the nervous system (such as alpha viruses like herpes or coronaviruses), as well as bacterial infection (spirochetes, etc.) or post-infectious states secondary to such viruses or bacteria.
Providers should prescribe neuroregenerative and neuroprotective supplements which affect M1 muscarinic receptors in the early stages of this disease, before radical demyelination.
That's why it's important to recognize the signs and symptoms of Parkinson's disease early!❤
I'm 49 and started getting a jaw tremor in my mid 30's. (I have Tourette and I'm autistic) Then, after a terrible infection in my bone marrow 9 years ago, that ate its way through my bones into my tissue. , I started having issues with muscle weakness and gait.. my gait has changed gradually over the years and I started falling a lot more , about 8 years ago, losing my balance, shake weak legs , to the point I walk with a stick due to falls. In the last three years , my gait has slowed, and I'm now shuffling a lot more . Both feet often turn in the way, and I often place the ball of my feet first. I get intermittent feelings like my face , arms, and legs don't belong to me, like a weird numb feeling.. Tremors have gradually worsened to hips, legs, hands, and fingers intermittently, almost aleays during resting.., I've also been having vision problems with partial hallucinations, like a slight distortion of peripheral vision , which is frightening and distance vision, slight hallucinations. I have moments where I lose sense of reality and can't tell the time and loss of long-term memory. (My G.P thinks the confusion is caused by meds I take for herniated discs, and tremors are possibly tourette related) which I don't think they are tourette related other than its the same arrangement of brain affected and dopamine in tourette and parkinsons. My doctor has referred me to a falls clinic at a local hospital, which is frustrating as I really felt i need to see a neurologist, as I'm pretty certain I have parkinsons.
❤️🔥THANK YOU🇺🇸 your explanation and description of what we need to look for is perfect thank you once again❤️🔥🇺🇸
After tons of research, this is the best explanation I've seen of these concepts. This info is greatly appreciated. Thank you Doctor Zayas!
I do deal with constipation I've been living with Parkinson's for 22 years
WOW I HAVE EVERYTHING YOU SPOKE OF. OMG. DONT BE EMBARRASED BUT I THINK YOU SHOULD BE A MODEL OR ACTOR !!! YOUR PERFECT !!! ALL THE GOOD ONES ARE ALWAYS TAKEN !!!
What a creepy guy
I started getting anxiety watching videos like this thinking I might have all of these diseases😆
God bless you
Thank you.
Thank you, very interesting video.
Learnt alot....thank you Dr
Nice Video Thanks
Hello sir, As a part of routine check up My father had a health checkup and got multivitamin medicines. The doctor's suspected parkisons as he was having some tremors in hand . We frequently observed him showing tremors while resting like during meditation, holding phone...what should be our next step to get him better as of now he's all healthy
Good gosh my mom has every one of these except pain in shoulder (at least not that she’s told me). I’m obviously here trying to figure out what’s going on with her because I can’t get her to a doctor because she refuses to believe something is wrong. Her tremor is severe in her left hand. And she does this weird one with her right. Almost on purpose. But I don’t think she can help it. It starts out as a mild shake of her forearm, then it goes to a violent shake and lasts about 30 seconds. She can stop it if she puts her hand under her leg or grabs it with her other hand. But her legs and feet do a very rapid, tremor. And she doesn’t even know. I asked her about the one on the right arm and she said that it’s just something she started doing and to leave her alone (she’s very very cranky to me). I’m just trying to help her but gosh she’s so mean sometimes. And her constipation is Sooooooo bad that I have to intervene. She walks hunched over with her walker, shuffles, all the symptoms.
Does Parkinson’s cause irritability? Does it also cause hallucinations? Or hearing things? She is hearing impaired. We’re trying to get aids for her but it takes a while.
I’m not sure if she has Parkinson’s, I’m not sure if she has some form of Dementia, I’m not sure if she has both. But I’m seeking answers so I know how hard I need to push her to go to the doctor. But you see, the doctors do these stupid tests that don’t show anything. Like for dementia. They ask all the memory questions and that’s it. She passes that every single time. I know there has to be more to that testing. That can’t be all there is. She has a lot of memory issues. Doctor just doesn’t see it like I do. Oh goodness. This is soo frustrating.
Sounds like Lewy body dementia. Need to be evaluated by a movement disorders neurologist.
www.movementdisorders.org/MDS/Resources/Patient-Resources/Movement-Disorders-Specialist-Directory-Listing.htm
I have had some symptoms for 4 years: cold extremities, tremor in my thumb and index finger on my left hand, problems sleeping with night sweats, shingles, and frozen shoulder, fatigue easily. I was forced to retire due to covid. I have no insurance. Do you have any suggestions?
What about for early onset? I’m 36 and in July, I started developing a tremor in my left hand. It happens if my muscles are contracted (I THINK) and it’s not resting. Let me explain….
If I position my hand in supination, it tremors. If I hold my phone in my left hand, it tremors. If I lay on my stomach and lean into my left elbow, my hand tremors or at least feels like it’s going to tremor.
If I stand and let my arm/hand dangle (no weight bearing and no isometric contractions), it doesn’t shake. It almost feels like I have a fight or flight sensation in my entire left arm.
I do NOT have any tremors in my right arm or legs. Again, I’m 36 and this started in July. It is a DAILY occurrence.
If the tremor occurs only during specific positions (positional tremor), it is most likely to be a dystonic tremor and not a Parkinsonian tremor. You need to be seen by a movement disorder doc, the diagnosis is very easy when correctly evaluated. The treatment for dystonic tremor is different.
I have this EXACT problem in my left hand.
@@sandibiagi2962 I’m going to a movement specialist in November. Have you been examined yet? I’m curious WTH it is. Started in July for me! If I totally relax my hand, it doesn’t tremor. But if I contract my muscle or hold my hand in whatever position, it shakes.
Most likely is dystonia-->dystonic tremors (position-specific jerky tremor). Differential diagnosis is essential tremor. It is very easy to differentiate clinically. I have a video about how to differentiate ET from PD tremor. @@iMaGiNaTiOnWpAsSiOn
@@luisezayasmdpt4397The problem with relying on Resting tremors as the determining factor is, there has been research that found in persons with early onset Parkinson's up to about 26% will present with intention tremors first. Developing resting tremors later in the disease progression. This can happen in normal age related Parkinson's as well (~ 60 - 65 years of age) but is seen in a smaller number in this group. So it's important to find a movement disorder doctor that is very thorough & and doesn't rely on the old generalities for diagnosis, like developing resting tremor first & intention tremor later in disease progression. Sometimes it's the opposite. It all depends on which sub structure is damaged first, or damaged more. It's why Parkinson's presentation is unique to each person. Unfortunately we (doctors & scientists) don't truely know what symptoms will be caused by damage to, or more severe damage will correlate to which symptoms. We know some generalities, but there is still a lot to learn!
Could we just do a DATscan to rule out Parkinson’s?
Looks like you spoke my case 😂 ,I have been fighting this since last 8 years
Hlw ...how are you.
Can i chat with you privately please...my brother is fighting the same thing too
I have multiple symptoms. But no motor symptoms. I’m just an anxious person with sleep disturbances after a brain injury.
So someone in my family was diagnosed with Parkinson's and dementia years ago and one question I've always wondered is have they ever looked into chemical or environmental exposure being the root cause? I remember hearing when it comes to certain illnesses certain diets are life-changing and even reversing of certain conditions.. but this gentleman was in his 70s and lived by a paper mill so you can just imagine, also lived maybe a block away from a quarry pit.... and when he was younger he worked in Mills where I'm sure Asbestos and other hazardous chemicals were likely around.. I guess my point is other than paraquat or commercials you hear about that stuff, do you think diet has something to do with it? With all the herbicides and pesticides and things they do to fruits and vegetables unless you buy organic and even then it's still questionable, do you think a lot of that might have anything to do with it? I'm just curious about your opinion on the topic. Thanks in advance!
Yes, the cause of Parkinson's disease is believed to be a combination of environmental factors and genetic predisposition. I make an effort to avoid exposure to toxins such as pesticides, herbicides, and growth-enhancing chemicals used in animal farming, as these factors are likely contributing to the development of this disease. However, Parkinson's disease is complex and may actually encompass multiple diseases. Despite our limited understanding, we still refer to it as Parkinson's disease due to a lack of a more precise classification. Neurology has many unknowns, and this is why medical students do not like it. We have fewer medical students interested in neurology.
Adopting an organic diet is a key aspect of my lifestyle. I find it beneficial to avoid eating out and instead focus on preparing my meals at home. This dietary choice has been instrumental in maintaining my health and well-being.
This video is makes me sad. Now, I'm worried.
I have noticed that fine motor movements are hard to control like brushing teeth , writing text, feels like scribble somewhat looks like scribble as well . The gait problems for me just don't feel fluid almost like a start and stop feeling . I used to enjoy running but I noticed in my late thirties that I would fall if I tried to run at or near full speed . Left shoulder pain both arm weakness .
My grandfather had this
I have tremor in my left thumb & after 6 months or so, I noticed it's in thumb & forefinger. Happens usually while I'm resting, watching TV. I also have just recently started getting what may be Seborrheic dermatitis. I have a doctor appointment in about a week. The scalp condition is brand new & I also (not sure if it's related) started getting sores inside my nose which leaked clear liquid then they go away but return & now only seem to bleed, make that part of the nose feel stiff & very sore. Also, extreme fatigue. I was diagnosed with fibromyalgia over 10 years ago but the fatigue is much worse lately. Also, having more frequent urgency to urinate without full bladder & trouble with small leaks especially when sneezing. I'm 53 yrs old. Does this sound like early signs of PD?
Yes. Unilateral resting tremor of the finger is very characteristic of Parkinson's disease. Resting tremors are sometimes difficult to evaluate. You need to make sure that you are really resting. One way is to observe you while walking or standing to see if you have the same tremor or lying down supine with the arm completely resting. You need to be seen by a neurologist, preferably with a fellowship training in movement disorders, to confirm the findings.
I have a lot of these symptoms I'm very slow at doing everything I have the pain in the shoulder my mom was recently diagnosed with this. I can't remember anything.
I guess the tremors are usually resting and not when moving or under load? Also what about talking in the sleep.
I had the protein biopsy test on 3 spots and get the results November 1.
I will be talking about SYN-ONE-TEST soon. I use this test in the clinic as well. It is good in the appropriate setting when positive.
ua-cam.com/video/MYBCXtu00BY/v-deo.html
I have severe constipation and lately my anxiety has gone through the roof for no reason. I also sometimes get fast pain shooting through my arms and legs like lightning bolts. I have arthritis in my AC joint on my top right shoulder and so I think most of my pain in my right shoulder comes from that. My doctor already ruled out PD even though I wasn't tested. I do have stiffness in my legs when I walk. Some mornings I wake up with stiff fingers and hands, so hoping this is not a symptom. I don't have tremors. Since I only have 3 or 4 of the symptoms, I'm hoping I don't have. PD.
If any doubt, it is better to be evaluated by a movement disorder neurologist in the same way that if you have a chronic joint issue to be seen by a rheumatologist. Medicine is getting more complex every day, and require a multidisciplinary approach.
Talk with your primary and go from there. Don't assume. Good educational material here, though.
How about autoimmune disease? Lupus, uveitis, vitiligo?
Parkinson’s disease is not classified as an autoimmune disease. However, immune system dysfunction and inflammation appear to play a role in its progression. More research is needed to understand the relationship entirely. No evidence that having lupus increases the risk of PD.
I was told i had essential tremors. Not sure what is so essential about them. I have had this for years. I was told i walk likè ì am drunk
I'm 56 yrs old. My father and another family member, both have tremors in the left hand. I have developed sporadic tremors in my left hand while resting. I also have developed bad hand writing. Its starts off great but by the end of the sentence, its hard to read. I also get stiff in the elbows while not moving the joint. for example, walking. Thoughts?
It could be dystonia, especially the fact that it gets worse with action (end of the sentence). If this is the case, Botox/Xeomin, Dysport might help. Try to get an appointment with a movement disorder neurologist in your area.
www.movementdisorders.org/MDS/Resources/Patient-Resources/Movement-Disorders-Specialist-Directory-Listing.htm
@@luisezayasmdpt4397 Thank you for the reply and info!
My left thumb is trembling in mid December, for almost 4 months now. Only a few days at the start and non-stop since February. I went to two general doctors, one neurologist and 3 physiotherapist. They all completed ignored it and dismissed as 'nothing to worry about'. I even asked if it could be an early sign of PD and they said NO. I'm so frustrated and scared. I dont have the other symptoms yet. What should I do, please?
If the left thumb ~4 hz tremor occurs during resting ( muscles are completely relax) or when standing or walking, then it is a Parkinsonian tremor. If this is the only symptom, then no need treatment since it is not affecting your function. Most important right now if to follow a good exercise program, at least moderate intensity, better high intensity. This is the only thing you can have control besides what you eat. Try to follow MIND diet.
Sorry if this is a silly question but do these symptoms be constant and consistent when Parkinson's first start or do these symptoms come and go?
TIA
Resting tremors may occur intermittently. Rigidity can worsen when you are ill or experiencing any type of stress, whether physical or emotional. In some cases, symptoms of Parkinsonism may become more apparent when you are hospitalized and unwell, as your brain is unable to compensate effectively. Some non-motor symptoms also fluctuate over time.
Hi, I am 29 years old and lately my fingers are shaking but I do not have any other symptoms mentioned. Should I be worried?
Are you anxious? Pinched nerve? Any head/neck injuries?Too much coffee? Too many mushroom supplements? Repetitive Strain injury? Torn tendon in elbow? These can all cause non-essential tremor in the fingers. The treatment for non-essential tremor is propranolol 20mg twice daily and 2.5mg prednisolone incase there is inflammation pressing on a nerve. I would still have yourself checked out. You are very young. You want to rule out the more serious conditions like MS, etc. Medical professional in Australia.
Hello. I'm not sure if you are going to see this, hoping to get a reply. I've been experiencing widespread twitching and feels shaky on my legs (occurs at rest). I'm not sure if I twitch or tremor on hands/fingers but I experience it more when using my phone. I don't have other symptoms for now aside from feeling shaky on leg and arm after feeling a tightening or heavy sensation lasting for few seconds. My muscles aren't rigid. I can still move and do tasks without issues. Is this "POSSIBLY" enough to get diagnosed with PD if I only have these symptoms? I'm thinking that the other symptoms might appear later in life.
Everybody has a physiologic tremor, which can be exacerbated by anxiety, medications, lack of good sleep, caffeine, or any stimulant. It is also normal to have occasional muscle twitching, especially when we are fatigued. If you are concerned, see a neuromuscular or a movement disorder doctor to personally evaluate you. This will give you peace of mind.
I’m 25 years old and I also have benign familial essential tremor since my granny had it and now it is genetically inherited to me I suppose.
Parkinson tremor is usually most on one side. Benign essential tremor will effect both
@@goodvibrations528 My choral teacher had benign essential tremor in her right hand only. She is now 94 years old. She treated it with propranolol 20mg twice daily. Her only health "complaint" today is frailty. No age-related diseases.
I have a sleeping problem, tension and anxiety disorder... Also some types of doubts.. I am 41 year old female... Is it symptoms of pd? I have no walking problems, shivering etc.... Sir, kindly reply...
Not necessarily. You need to have bradykinesia to diagnose PD. Sleeping issues and anxiety are very common problems in the general population. Mild anxiety and sleeping problems are normal in life; we are humans. A little anxiety is good for performing well in life. The problem is when it is severe and affects your function.
Im 30 year old. Im a nurse, im scared im having tremors on my left index finger. I feel tingling on that arm too. But i work nights, and my carreer is stressful. Not sure if I should worry since it can be so many things.
Yes. It can be many things. However, try to see a movement disorder specialist. Nothing better than seeing an expert. Sometimes, you need 2 or 3 expert opinions. www.movementdisorders.org/MDS/Resources/Patient-Resources/Movement-Disorders-Specialist-Directory-Listing.htm
Iam suffering one side head body hand shaking is it parkinson dease ha sir my age 30
I'm 26 years old and i was diagnosed a week ago
That’s awful. I’m at risk for huntingtons disease and showing symptoms of JHD as I’m only 17.
God bless you.
My heart goes out to you Amira.
I can only imagine. I have to ask, was there any history of essential tremors in family or yourself?
I'm sorry to read your comment. I'm 6 years post diagnosis and I can tell you the most important thing you can do to slow progression is EXERCISE...BOTH BODY AND MIND!
Good luck, you are about to take the "ride" of your life.
Why a person says my name is doctor?
Just say Neurologist and your real name.
I'm scared
Voice change, also.
I have #discinesiastardias #movimientosinvoluntarios 😔😔
Dyskinesias (abnormal movements) are involuntary movements that occur after years of taking levodopa in the setting of Parkinson's disease. You can see dyskinesia in other conditions similar to Parkinson's disease, such as MSA, but they are different and less common. Tardive dyskinesias (tardive syndromes) are a side effect of medications affecting dopamine receptors. We are seeing more tardive dyskinesias because of the increasing use of dopamine blockers to treat depression, even though we are using more atypical neuroleptics, which are less likely to cause tardive syndromes. I will post a video of tardive dyskinesia soon. This is a very important topic to discuss because if more common than what we think.
@@luisezayasmdpt4397 Thanks, Gracias Dr. Yo la padezco. Pero por uno Neuroleptic medications por Error del un sólo Dr q vi sólo 1 vez. Luego, otro Dr siguió con esa, .. y a la larga en 2 1/2 años, comencé a unos tips nerviosos en mi boca hacia la izquierda. Ya es todo y mucho más mi cuerpo. YO, Al pedir cambio de Dr., SUGERI A LA NUEVA DRA. LIMPIAR MI CUERPO DE TODAS LAS MEDICINAS ya que mi primer diagnóstico ERA PÁNICO y Angustia, como se llama acá en SWEDEN , Suecia. BUENO limpie MI CUERPO DE MEDICINAS, muy bien planeado CON LA DRA. HOY en día..( Historia larga, sólo RESUMO) , estoy EN ESTOCOLMO, HOSPITAL ÚNICO AQUÍ: KAROLINSKA SJUKHUSET HUDDINGE ESTOCOLMO. Allí estoy como EN BUSCA DE UNA 2da. Opinion. ESTOY en lista de espera.. para otra prueba más UNA resonancia magnética de espalda... MUY LARGA MI HISTORIA. GRACIAS MUCHAS GRACIAS THANKS DR.
Hey doc. Question im 34 years old. For the last month, I have been having the feeling like I'm weak and shakey but nothing is actually shaking. My blood sugar is within normal range just had labs last week.
It is hard to tell. If symptoms do not go away try to see a neurologist for a face-to-face evaluation.
Great things Dr Madida on UA-cam has being doing for mankind, I undergo his Parkinson disease treatment plan for weeks and my Parkinson Disease was completely reversed💫.
Interesting. I'll leave it at that.
Great things Dr Madida on UA-cam has being doing for mankind, I undergo his Parkinson disease treatment plan for weeks and my Parkinson Disease was completely reversed...💫
Hello doctor , recently I found out that my boyfriend was diagnosed with 1st stage of PD. He is 38 years of age. I'm so worried about our future. What shall i do😢
Watch this video
ua-cam.com/video/iofQHMGQ_hU/v-deo.html
@@luisezayasmdpt4397Thanks doctor
@@luisezayasmdpt43976:36
No está en español
ua-cam.com/video/q1DHoncT-GU/v-deo.html
Hell...
😢😢😢😢😢😢😢😢😢😢
.😮
My anxeity brought me here
Goodbye
Just watch Joe Biden!
Yuuuup. Why do you think he has so many views?!?
Biden?