My professors at uni are some of the most renowned scientist in the world when it comes to GI physiology, and yet here I am appreciating the heck out of Zach and the rest of the NN team. You guys are teaching me so much more than my professors. So thank you immensely
I had total syncope with really frightening black out three times over about 9 days and each time after eating last bite/last spoonful of food. I had had GERD for some years that I know know is CAFFEINE ALLERGY that gave mea stinging pain either side of my throat before the usual acid reflux started. The stinging started immediately after usual light breakfast of slice of bread or toast with butter and usually some jam or marmalade. During rest of day the GERD was slight and if worse I took antacid. Then I started getting a pain at bedtime when lying on left side and had to turn over onto right that made the pain almost disappear. If I turned back left i almost heard and felt a heaviness sort of slopping over as though my esophagus was filled with food or drink that had not progressed down into my stomach over the 1-2 hours since last meal or drink. I wondered if the lower lower esophageal sphincter LES was not opening to allow the last meal to pass into the stomach. This went on for several weeks at the time had first COVID lockdown made it impossible to get doctors appointment. Then I had the first of the three syncopes and finally managed to call a doctor who immediately said it sounded as though I might have a esophageal cancer and arranged an endoscopy. That took a month due to COVID delays. I only had a drink of water several hours before the endoscopy and was surprised to see enting esophagus, stomach and first few inches of small intestine looked healthy and pink and the doctor said no sign of cancer or other problems. Just after the endoscopy I noticed I had the pains in throat and reflux after a breakfast of tea and a rye crispbread. I reasoned that the rye was so innocuous that maybe the tea was the culprit though as I'd been drinking tea for at least 70 years it seemed ridiculous. But I searched the medical literature and found that a caffeine allergy can develop and give reflux. I immediately stopped drinking tea and bought and drank decaf coffee and almost all the gerd has disappeared except for a slight sore throat if I make the coffee a little strong. Therefore I think this is what happens with GERD-SYNCOPE is actually a SPHINCTER PARALYSIS. The caffeine induces GERD. The GERD irritates the esophagus and LES. Eventually the GERD irritation causes the LES to fail to open so that the last meal remains in the esophagus to give that feeling of food at the back of the throat. At some point after this LES paralysis spasm develops a meal will so fill the esophagus that it causes pressure on the adjacent windpipe sufficient enough to starve the lungs of oxygen, The lack of oxygen then starves the brain and causes the SYNCOPE BLACKOUT! The syncope causes a self-preservation reflex of deep swallowing and deep breathing that restores the oxygen supply to the brain. As I now eliminate all caffeine and GERD inducing food from my diet by carefully checking ingredients of all food and drink I have little GERD and no sensation of esophagus being filled with unpassed food.
@@NinjaNerdOfficial hello if you lose the circular muscle Peristalsis in your small and large intestines and still have the latitude contractions are you able to absorb nutrition in the small bowel still Thank you for taking the time to read this
Don´t stop :( You helped me so much,.. You are an amazing teacher, more than that, you care.. Saddens me so much Ninja Nerd is no more :( Will watch all your videos again, so please do not delete them.. This is not right, this kind of education should not just go away, you are needed, and you do really make a difference for medical students all over the world :( Thankyou Ninja Team, and Zach: u are the BEST teacher ever! i wish you all the best in the future, and I still hope you will come back :(
Please don't stop making these, you are such a great teacher! Please keep teaching the world, right now you're not getting a broad audience but it's gonna turn around sometime and you'll get the credit you deserve! Your team is amazing too!
I discovered your lessons during the genesis of COVID and now am enjoying previously recorded lectures. You are a true teacher... I appreciate your fine work!
Zach and all the Ninja Nerd Staff..thank you so much for making these lectures available. I have learned far more from your videos than any formal class I am taking. Please keep at it all of you!!! The nursing videos are the best I have seen. Great team you have. Don't stop !!! Thank you
Hello sir ! I am Kamran khan from Pakistan I am nursing student ,thanks for Ur vedio lecture I watch ur lectures and improve my knowledge , Ur vedio lecture are very helping me to clear my concept on different topic related anatomy physiology ,biochemistry,microbiology .....I am really appreciate u alot ..thanks again .😍
Ur helping many students in the world and ur providing this free of cost . Bro ur going to be a future doctor najeeb .continue this good work from the bottom of my heart I'm thanking u .god will bless u and ur loved ones .
There are a few tips for reducing heartburn at home Make sure you drink plenty of water. Avoid tomatoes cut down on citrus fruit eg lemons, oranges cut down on smoking, drinking alchol or caffeinated drinks (I discovered these and the reasons they work from Alinn Heartburn Relief site ) Thank you very much.
Love the lectures, you're really a lifesaver. I do have one **small** gripe though - there's been a few misspellings and mispronounciations, so for foreign student's it'd be great to adress (in this case, you wrote down achlasia, which is missing an "a" - achAlasia. In other vids the ones I picked up on may be just brit vs american english - you sat muh-doo-lah, Isay muh-dull-ah). Also, I think everyone can agree at least on this one - it would be great if you started revisiting these same lecture topics, considering the research advances we've made in the last 5 or 6 years. Another good thing would be to include figures where sources vary - e.g. the kidney videos where you mentioned they vary in regards to magnesium absorption. I'd love to see how big that difference between the sources is! I don't want the message to seem negative, because it really isn't supposed to be. Again, thank you for all that you do - you've probably saved more med students and therefore doctors from failure than any other singular academic in the world. You don't need me to tell you that, though - the comments prove that point. Just wanted to give feedback, regardless of however little it may (or may not) matter. Again, we love you Zach, you're our saviour!
What a great way of teaching Sir❤️🙏 As medical students, most of us like to be taught like this ❤️ My basics are not much clear but I guess I found a way how to solve this problem ❤️ And that's by watching more videos of this channel ❤️ Earn a subscriber sir ❤️
l can't imaging how much gain of knowledge l get in this video. thank you teacher one day l will meet you and l will give you surprise gift believe that. [somalia]
I really Appreciate what you guys delivering, its beyond amazing, and that's why I did one Year Subscription , and Zach you are such a great Doctor and TEACHER.
@@NinjaNerdOfficial You have all my Support, I am a Junior Doctor living in Germany and doctors that understand English overhere are really loves your work, keep up like that 👍👍👍
I love all videos specially GI physiology, helps me to understand so much better! I will also love if It's possible, put bibliography contents so we also can get through that also.
hello, i really adore your video and how you explaining things. i would like to request for the continuation of this topic. about the GI motility and explain every terms like Mass movement and stuffs. i want to understand it in the way you explain it. please continue about large intestine and rectum part with the "defecation reflex" in the next video. rsvp
I think the resting membrane potential for smooth muscle cells is around -50 to 60 mV as I read in Guyton, otherwise thank you so much for your amazing lecture
Sir at 7:08 u said that The interstitial cells of Cajal can generate action potentials but The South Asian edition of Guyton and Hall Textbook of Medical Physiology says that, "These slow waves are not action potentials." Also it is writtrn that, "The slow waves by themselves usually do not cause muscle contraction in most parts odlf the GIT, except perhaps in the stomach which according to me contradicts your very next line in the video. Please check out and confirm. Thankyou.
Yeah the slow waves are not the actual action potentials but they excite the occurrence of the spike potentials. Indeed there are factors like stretch of the GIT, hormones(ACH, GASTRIN etc) that can bring the slow waves above the threshold then spike potentials occur at the peaks of those slow waves which cause contraction of the GIT.
My professors at uni are some of the most renowned scientist in the world when it comes to GI physiology, and yet here I am appreciating the heck out of Zach and the rest of the NN team. You guys are teaching me so much more than my professors. So thank you immensely
Check out the Discord! We have #gastrointestinal-physiology section which might interest you!
@@NinjaNerdOfficial thank you! Will definitely do!
I had total syncope with really frightening black out three times over about 9 days and each time after eating last bite/last spoonful of food.
I had had GERD for some years that I know know is CAFFEINE ALLERGY that gave mea stinging pain either side of my throat before the usual acid reflux started. The stinging started immediately after usual light breakfast of slice of bread or toast with butter and usually some jam or marmalade.
During rest of day the GERD was slight and if worse I took antacid.
Then I started getting a pain at bedtime when lying on left side and had to turn over onto right that made the pain almost disappear.
If I turned back left i almost heard and felt a heaviness sort of slopping over as though my esophagus was filled with food or drink that had not progressed down into my stomach over the 1-2 hours since last meal or drink. I wondered if the lower lower esophageal sphincter LES was not opening to allow the last meal to pass into the stomach.
This went on for several weeks at the time had first COVID lockdown made it impossible to get doctors appointment.
Then I had the first of the three syncopes and finally managed to call a doctor who immediately said it sounded as though I might have a esophageal cancer and arranged an endoscopy.
That took a month due to COVID delays.
I only had a drink of water several hours before the endoscopy and was surprised to see enting esophagus, stomach and first few inches of small intestine looked healthy and pink and the doctor said no sign of cancer or other problems.
Just after the endoscopy I noticed I had the pains in throat and reflux after a breakfast of tea and a rye crispbread. I reasoned that the rye was so innocuous that maybe the tea was the culprit though as I'd been drinking tea for at least 70 years it seemed ridiculous.
But I searched the medical literature and found that a caffeine allergy can develop and give reflux.
I immediately stopped drinking tea and bought and drank decaf coffee and almost all the gerd has disappeared except for a slight sore throat if I make the coffee a little strong.
Therefore I think this is what happens with GERD-SYNCOPE is actually a SPHINCTER PARALYSIS.
The caffeine induces GERD.
The GERD irritates the esophagus and LES.
Eventually the GERD irritation causes the LES to fail to open so that the last meal remains in the esophagus to give that feeling of food at the back of the throat.
At some point after this LES paralysis spasm develops a meal will so fill the esophagus that it causes pressure on the adjacent windpipe sufficient enough to starve the lungs of oxygen,
The lack of oxygen then starves the brain and causes the SYNCOPE BLACKOUT!
The syncope causes a self-preservation reflex of deep swallowing and deep breathing that restores the oxygen supply to the brain.
As I now eliminate all caffeine and GERD inducing food from my diet by carefully checking ingredients of all food and drink I have little GERD and no sensation of esophagus being filled with unpassed food.
@@NinjaNerdOfficial hello if you lose the circular muscle Peristalsis in your small and large intestines and still have the latitude contractions are you able to absorb nutrition in the small bowel still Thank you for taking the time to read this
I loveeee you man!
Ninja Nerd is literally a life saver for medical students.🥰
He might as well open his own university. He teaches us, and they just test us
Man, Physiology is fun when this man is teaching it.
Don´t stop :( You helped me so much,.. You are an amazing teacher, more than that, you care.. Saddens me so much Ninja Nerd is no more :( Will watch all your videos again, so please do not delete them.. This is not right, this kind of education should not just go away, you are needed, and you do really make a difference for medical students all over the world :( Thankyou Ninja Team, and Zach: u are the BEST teacher ever! i wish you all the best in the future, and I still hope you will come back :(
What happend?
I think he's still uploading videos, right?
@@lakshmisasi7116 he is uploading now every week
His channel is alive thanks to Patreon
👍👌
Please don't stop making these, you are such a great teacher! Please keep teaching the world, right now you're not getting a broad audience but it's gonna turn around sometime and you'll get the credit you deserve! Your team is amazing too!
that smile when he reach the stomach . the guy is in love with the food .. thank you brother i've taught a lot of useful stuff from your toturials
I don"t have words to express how much I love you guys. You really have a big impact in al lot of people. Please don't stop teaching.
This is the first time I have stayed through a whole lecturer video and I actually learnt and enjoyed
My favorite teacher..even better than the ones I have irl. Keep doing what you're doing. You're touching a lot of lives out here. God bless❤❤❤
joan macharia hey i am not getting video on GI motility of small intestine and large intestine by ninja nerd , is it available?
I discovered your lessons during the genesis of COVID and now am enjoying previously recorded lectures. You are a true teacher... I appreciate your fine work!
Who are you and what are you? How can someone be soo knowledgable and such a good teacher?
Zach and all the Ninja Nerd Staff..thank you so much for making these lectures available. I have learned far more from your videos than any formal class I am taking. Please keep at it all of you!!! The nursing videos are the best I have seen. Great team you have. Don't stop !!! Thank you
Hello sir !
I am Kamran khan from Pakistan
I am nursing student ,thanks for Ur vedio lecture I watch ur lectures and improve my knowledge , Ur vedio lecture are very helping me to clear my concept on different topic related anatomy physiology ,biochemistry,microbiology .....I am really appreciate u alot ..thanks again .😍
You guys are awesome and you are making the world's best doctors .
Thank you
when he said fiancée
my heart melted
Ur helping many students in the world and ur providing this free of cost . Bro ur going to be a future doctor najeeb .continue this good work from the bottom of my heart I'm thanking u .god will bless u and ur loved ones .
thank you for sticking through the whole processe of making this video
You are amazing! You have helped me so much in my Anatomy and Physiology classes. Great Job!
Most probably.. sir has started videos all alone...
Thank u sir❤️❤️ u are great
Thank you so much Ninja Nerd! Your videos are my closest friends in the med school. Keep going! Happy Valentine’s Day!😊
You gave a fantastic description. This is what real education should be
I am very impressed with the way you explain the GI Motility of the esophagus & Stomach. Congrats!
Can't believe how helpful this video was and how much you covered! It was all so much clearer. Thank you so much!
That smile when he caught that stomach doll
😍😍😍
There are a few tips for reducing heartburn at home
Make sure you drink plenty of water.
Avoid tomatoes
cut down on citrus fruit eg lemons, oranges
cut down on smoking, drinking alchol or caffeinated drinks
(I discovered these and the reasons they work from Alinn Heartburn Relief site ) Thank you very much.
Sir thank you so much for everything, you really have helped me through a lot... Thank you again and again!!!!!
Love the lectures, you're really a lifesaver.
I do have one **small** gripe though - there's been a few misspellings and mispronounciations, so for foreign student's it'd be great to adress (in this case, you wrote down achlasia, which is missing an "a" - achAlasia. In other vids the ones I picked up on may be just brit vs american english - you sat muh-doo-lah, Isay muh-dull-ah).
Also, I think everyone can agree at least on this one - it would be great if you started revisiting these same lecture topics, considering the research advances we've made in the last 5 or 6 years. Another good thing would be to include figures where sources vary - e.g. the kidney videos where you mentioned they vary in regards to magnesium absorption. I'd love to see how big that difference between the sources is!
I don't want the message to seem negative, because it really isn't supposed to be. Again, thank you for all that you do - you've probably saved more med students and therefore doctors from failure than any other singular academic in the world. You don't need me to tell you that, though - the comments prove that point. Just wanted to give feedback, regardless of however little it may (or may not) matter.
Again, we love you Zach, you're our saviour!
Each of these videos are worth millions of text books.
What a great way of teaching Sir❤️🙏 As medical students, most of us like to be taught like this ❤️
My basics are not much clear but I guess I found a way how to solve this problem ❤️
And that's by watching more videos of this channel ❤️
Earn a subscriber sir ❤️
So late to the party but this is the BEST channel I've learned from
27:16 how much happy he is to teach stomach...😀😀
Excellent.. and ThankYou so much. You are ocean of knowledge. A big fan of you brother.
Thanks a million. Loving all your work, Nija Team ❤
l can't imaging how much gain of knowledge l get in this video. thank you teacher one day l will meet you and l will give you surprise gift believe that. [somalia]
I hope the best and safety to all of you.. thank you so much 👏🏻👏🏻🌸
Thank you very much sir you are helping a lot for my entire learning process 🙏🙏🙏
pls continue doing this ninja nerd. i love you sooooooooooooooooooooo much
We will miss you a lot :'( Thank you for all you've done for us ! ! ! I am super sad :(
What's going on ? Why would u say such a sad thing ?
I really Appreciate what you guys delivering, its beyond amazing, and that's why I did one Year Subscription , and Zach you are such a great Doctor and TEACHER.
We are so lucky to have you as part of the Ninja Nerd community! 🫀🤓
@@NinjaNerdOfficial You have all my Support, I am a Junior Doctor living in Germany and doctors that understand English overhere are really loves your work, keep up like that 👍👍👍
Thanks it was good to watch and understand in 1 sitting.
What an amazing video , thanks a lot for your efforts , you made it super clear and easy to understand
U R the best teacher l had know ❤️ 🌹 thx.
شكرا جزيلا
Best content I've ever watched.
Learning what I'm dealing with
It was awesome really you teach much better than my professors ... thanks for sharing your knowledge freely 🙏🏼🙏🏼🙏🏼
the man the myth the legend. i said it before ill say it again GOAT
I love all videos specially GI physiology, helps me to understand so much better! I will also love if It's possible, put bibliography contents so we also can get through that also.
literally could not find a proper explanation anywhere . thank you
Beyond - Respect - Legends
thank you so much for this, please dont stop making videos you are one amazinggggg teacher!
you deserve a crown worldly✍💯
hello, i really adore your video and how you explaining things. i would like to request for the continuation of this topic. about the GI motility and explain every terms like Mass movement and stuffs. i want to understand it in the way you explain it. please continue about large intestine and rectum part with the "defecation reflex" in the next video. rsvp
Thanks for the information
you are borne to be a teacher, your wondaful
Your lessons are so easy to understand
plz add more lectures, they are really very helpful.
You are a very very rare man. You're very good
🙏 thank you so much mr. Ninja nerd
Your videos are amazing! Best teacher in the world...
Thanks
Better than my professor x100000000000000
I dono your name... but i ll call you Doctor!!! Man your knowledge is insane!!! thank you so much for all these lectures!!!
Zach Murphy :)
i have exam next week and i hope to blow the paper with 100%🥵thanks ninja nerds
You are amazing guys ..you make me love medicine even more
thanks for being so diligent !
Zach it feels like u r my family member✨
I Love You Ninja Nerd!!!!!!!
I take diltiazem (calcium channel blockers) for hypercontractile esophagus
I think the resting membrane potential for smooth muscle cells is around -50 to 60 mV as I read in Guyton, otherwise thank you so much for your amazing lecture
THANK YOU KING
Best dig out before exams 👏 love these videos
Farouk yurt
Passed my physiology with you
Others: thanking him for his efforts
... While Me: just stares at his mustache all the time
Btw he is great❤️
😂😂
TOTALLY LOVED THIS
Keep it up sir
wow thank u so much for this video don t stop teaching
Excellent video! Love the detail and in depth explanation of the physiological mechanisms! very helpful :)
Thank you saviour ❤
you are just amazing!
keep it up, thank you so much for sharing the videos they have actually helped me a lot!
Please upload the video of small intestine and large intestine motility. God bless you.
Thank you so much for this video 🙏
You the best teacher 👍👍
Dude! You are a hero, well done!
I love you content,ts always ingenious,precisely en encompasses all staff,,uu are really the 👌 best
I come to this channal when Idecided to take rest😌💙💙💙💙💙
Amazing nd time conserving.......plzz Upload more vedios on GI physiology.......
Thank you very much.
Thanks for your effort ❤❤❤❤
thanku so much for this vedio !!! plz dont stop teaching :( i am super sad
Until the next time ❤️
Amazing as always !!! Nailed it 😀
Sir at 7:08 u said that The interstitial cells of Cajal can generate action potentials but The South Asian edition of Guyton and Hall Textbook of Medical Physiology says that, "These slow waves are not action potentials." Also it is writtrn that, "The slow waves by themselves usually do not cause muscle contraction in most parts odlf the GIT, except perhaps in the stomach which according to me contradicts your very next line in the video. Please check out and confirm. Thankyou.
Yeah the slow waves are not the actual action potentials but they excite the occurrence of the spike potentials. Indeed there are factors like stretch of the GIT, hormones(ACH, GASTRIN etc) that can bring the slow waves above the threshold then spike potentials occur at the peaks of those slow waves which cause contraction of the GIT.
🙏🏼🙏🏼thank you. I never comment usually.(mostly)
Much love from Sweden :)
That great feeling you have when your brain reports to you that it understands 🤩😂
You're amazing ❤️❤️
Thank you for being thorough❤️
Learning so much! thanks again.
Great video. Thank you so much :)
fantastic video, guys!
Das war wunderbar