I went through medical school in late 1980's through early 1990's and the Internet was in its infancy. These types of excellent summaries were nonexistent. What a boon for current MD😷, PA, NP students. Dr Morton, you teach like a clinical MD even though you are a PhD anatomist (a BIG complement 🙂). Your presentations are clear, concise, and clinically relevant. Teaching is an art and you have this science down to an art! If you UNDERSTAND what you have presented you can easily relate to Pts you see in the clinic and on the wards. You can even simplify this for your patients to help them understand what's going on inside (IF they are interested)! Thank you as I am attempting to help a friend pass her nursing exams for licensure. Thanks again.
that's why we don't need doctors these days. yes, diagnosis and ER is still very important but the rest is about preventive (e.g. diet). if doctors didn't have such conflicts of interest with greed, it'll be all fine and swell but that's usually not the case. for starters, they need to pay back their student loans.
@@samsun01 sorry but watching a hand full of videos on youtube a doctor does not make.... Just because you can google things doesn't mean you know how to put them together or even what to google for that matter.
@@samsun01 “virgin imbecile?” You suggested that your ability to look up information on internet trumps years of training and experience.... lol and I’m projecting? Do you even know what it means to “project” I’m a medical student I have at least a semblance of familiarity with the topic and i wouldn’t even suggest that I could out google-doc a 30yr experienced attending physician.
These are the best videos I have ever seen teaching Anatomy. I'm an aspiring surgeon but I am also totally watching these for fun. They explain so well what medical school has tried for years. I am literally choosing to watch this over Netflix right now.
Absolutely superb! I first studied the Hepatic Portal System two years ago and did not - until now - ever fully feel that I had a grasp on what was going on and what was happening... Discussions by textbooks and colleagues were continually obscure, confusing, and perplexing -- until now! Thanks so much again for your extraordinary clarity and precision in elucidating the big -- and small - picture of what is going on!
That's good presentation and educational one. I went to medical college and I worked with pts with all type of chronic health problems. I was sitting with them to educate them about their health and their medication. But, these presentation refreshes my mind... Thank you so much Doctor.
I'm an M1, and I just have to tell you that I LOVE your videos. They provide the perfect amount of detail and make everything so much clearer. I honestly learn way more from these videos than I do in class. Thank you so much for taking the time to make these quality videos! :)
school is about knowing the questions the instructor will test. if you don't know the questions you really have to understand the material, which is good, but takes much longer and if you're not a fast reader you're going to be hurting.
I just can't believe how easy you explaining things. I am looking at all these atlases, slides, textbooks and I am like whatttt?? Then I come here and watch you. That is it, yes that's all. You are perfect, you cannot even imagine how much you helped me and make me love anatomy. Thank you a lot 💕💕
holy smokes this is a VERY well made video. Thank you so much. As someone who knows very little about this area, I found I was able to follow and it put many pieces together for me. Referencing particular conditions (varices, hemorrhoids) really helped as well, thank you!
Amazing video, so helpful! The pathophysiological information along with the normal physiology is going to make remembering it way easier. Double thumbs up!!
thank you for explaining this concept so well and making it very interesting rather than dry and boring like most anatomy classes. Anatomy is not an easy subject to teach, so you definitely have a talent!!
You are a gift and a blessing. I've been subscribed for a while but never really gave these videos a chance due to having resources from class/lectures. I honestly have made a mistake because you would have made these last 3 years of medical school MUCH easier. Please keep going. You deserve a zero on the end of your subscriber count.
Thank you ...your way of explanation was really amazing..!! It was so easy to follow , right to the point, good illustration .. I love this video ... absolutely helpful... :-)
One of the cool things you can take advantage of in rectal-caval circulation is the ability to bypass the first-pass metabolism of the liver (that is seen when you take medicine orally). Orally taken, the medicine is circulated through the liver and metabolized, but rectally taken the medicine is directly carried to the inferior VC and sent through the circulation system of the body, avoiding the liver. I take advantage of this with post-op patients and rectal acetaminophen suppositories. Much faster, much better, and safer pain management is achieved. Invariably I don't need to prescribe opioids as much or not at all. I've also recommended this for outpatient chronic pain management successfully.
Thanks for the great tutorial! I am not a student, but a patient with cirrhosis and end stage renal disease (all due to high dose chemo with tandem autologous stem cell transplant). I used to have significant ascites, but it went away on its own. However, it turned into hepatic encepelopathy. Before losing my kidneys and liver cirrhosis, I had my IVC dissected below the kidneys. So, I now have collaterals from the legs and new collaterals for the portal vein. I just had an endoscopy. No varices. I have hemorrhoids but that it likely from the phosphate binders. I had some activity in the rectum in a PET scan a few years ago, but a sigmoidoscopy did not show anything. That was a time when constipation was the worst as well. I do have an enlarged spleen (17 cm). I was wondering where else or what else portal vein hypertension might be causing. What is the mechanism of ascites or developing collaterals? How does the body know how and when to by pass things? Thanks!!!
TheMounthood first let me say I’m sorry for all the morbidity that Cancer and its’ treatment has caused you. For your questions go to 5:00 in the video where he tells you that hepatic portal system has NO Valves. The other veins in your body have one-way valves like an upside down V so that when the blood flows up above the valve it doesn’t travel further (unfortunately the valves become “leaky” and blood does flow back down but that’s another story!). So watch the video and see where he places the blockage (from high pressure or a clot or whatever) and you can see how the blood takes the caval route to get back to the heart causing esophageal varices (dilated veins at the distal esophagus), internal hemorrhoids in the rectum, and caput Medusa in the anterior abdomen. That’s the “Gut”, “Butt” and “Caput”. Hope this helps a little. I’m sure your treating physicians would explain it to you if you asked!
I practice visceral osteopathy and have helped many people w rectal prolapse and varicosity by releasing tension in the hepatic hilum. Most notably a 2 yo girl w chronic repeating rectal prolapse and constipation. She was better in one treatment and prolapse has never come back, she also feels more thirsty and is drinking more, i think because of the afferent information from the nodos ganglion in the area is finally regulating w the hypothalamus and making her sense that she is thirsty. She was never drinking water before, only “banana milk” lol.. immediately after the treatment she downed a whole glass of water (lil girl sized) and her father confirms she’s never drank as much water in her life probably before the treatment as she did within the first few weeks post intervention. Manually releasing tension in the hepatic hilum is life changing for people
Never seen someone teaching such a complex topic with ease.
I went through medical school in late 1980's through early 1990's and the Internet was in its infancy. These types of excellent summaries were nonexistent. What a boon for current MD😷, PA, NP students. Dr Morton, you teach like a clinical MD even though you are a PhD anatomist (a BIG complement 🙂). Your presentations are clear, concise, and clinically relevant. Teaching is an art and you have this science down to an art! If you UNDERSTAND what you have presented you can easily relate to Pts you see in the clinic and on the wards. You can even simplify this for your patients to help them understand what's going on inside (IF they are interested)! Thank you as I am attempting to help a friend pass her nursing exams for licensure. Thanks again.
That is very kind of you Kelly ... thank-you so much for your kind words.
that's why we don't need doctors these days. yes, diagnosis and ER is still very important but the rest is about preventive (e.g. diet).
if doctors didn't have such conflicts of interest with greed, it'll be all fine and swell but that's usually not the case. for starters, they need to pay back their student loans.
@@samsun01 sorry but watching a hand full of videos on youtube a doctor does not make.... Just because you can google things doesn't mean you know how to put them together or even what to google for that matter.
@@chad872 you're projecting yourself, son. "google-fu" (google it, son) has been irrelevant for almost 10 years. you virgin imbecile.
@@samsun01 “virgin imbecile?” You suggested that your ability to look up information on internet trumps years of training and experience.... lol and I’m projecting? Do you even know what it means to “project” I’m a medical student I have at least a semblance of familiarity with the topic and i wouldn’t even suggest that I could out google-doc a 30yr experienced attending physician.
These are the best videos I have ever seen teaching Anatomy.
I'm an aspiring surgeon but I am also totally watching these for fun.
They explain so well what medical school has tried for years.
I am literally choosing to watch this over Netflix right now.
Thanks for your kind words
Very nice lecture... ever heard
D. Khalid chaudhary
Awwww, I understood veinous drainage and the portal-caval system. thanks to you Sir. God bless you. Very helpful lecture.
Absolutely superb! I first studied the Hepatic Portal System two years ago and did not - until now - ever fully feel that I had a grasp on what was going on and what was happening... Discussions by textbooks and colleagues were continually obscure, confusing, and perplexing -- until now! Thanks so much again for your extraordinary clarity and precision in elucidating the big -- and small - picture of what is going on!
Hello Carlos, thank-you for watching my videos! And thanks for your kind words. They made my Monday morning :)
That's good presentation and educational one.
I went to medical college and I worked with pts with all type of chronic health problems.
I was sitting with them to educate them about their health and their medication.
But, these presentation refreshes my mind...
Thank you so much Doctor.
I DONT HAVE ENOUGH WORDS TO THANK YOU.
I'm an M1, and I just have to tell you that I LOVE your videos. They provide the perfect amount of detail and make everything so much clearer. I honestly learn way more from these videos than I do in class. Thank you so much for taking the time to make these quality videos! :)
school is about knowing the questions the instructor will test. if you don't know the questions you really have to understand the material, which is good, but takes much longer and if you're not a fast reader you're going to be hurting.
I just can't believe how easy you explaining things. I am looking at all these atlases, slides, textbooks and I am like whatttt?? Then I come here and watch you. That is it, yes that's all. You are perfect, you cannot even imagine how much you helped me and make me love anatomy. Thank you a lot 💕💕
thank you, Dr. Morton! you teaches much, much better than our lecturers!! wish we can have you in our school. Thanks a lot!!
You are a highly skilled anatomy teacher, thank you.
YOU ARE MY HERO. Your videos are a godsend. Thanks for helping me through this first sem of PA school :D PLEASE POST MORE!
holy smokes this is a VERY well made video. Thank you so much. As someone who knows very little about this area, I found I was able to follow and it put many pieces together for me. Referencing particular conditions (varices, hemorrhoids) really helped as well, thank you!
Wow .. am I dreaming or there is really who can make this topic super easy to be understood !!
Thanks sir you are the best
That is such an amazing explanation, finally understand why you get esophageal varices, haemorrhoids and caput medusae with portal hypertension.
Amazing video, so helpful! The pathophysiological information along with the normal physiology is going to make remembering it way easier. Double thumbs up!!
Wow! One of the best explanations/illustrations I've seen of... well... anything.
Incredibly helpful and concise. Thank you for doing what you're doing.
Sir the way you interpreted it is absolutely phenomenal ❤
thank you for explaining this concept so well and making it very interesting rather than dry and boring like most anatomy classes. Anatomy is not an easy subject to teach, so you definitely have a talent!!
Best anatomy channel ever
My favorite online professor ever!! Thanks!!
ok.. after pulling my hairs for long i get the perfect lecture.. I will cry...
These videos are beautiful!! They are very clear and to the point! Thank you so much!
This is the best video on this topic. I've looked high and low and finally found this😊😊😊😊
Glad it was helpful!
You are a gift and a blessing. I've been subscribed for a while but never really gave these videos a chance due to having resources from class/lectures. I honestly have made a mistake because you would have made these last 3 years of medical school MUCH easier. Please keep going. You deserve a zero on the end of your subscriber count.
I wish there are more people like you, thank you for teaching us these.
Thanks again for all of these awesome videos. I love you forever.
this is one of the best videos for portal system
You made it so simple. I hope i have it printed in my brain forever now thankyou so much
THANK YOU SO SO SO MUCH THANK YOU!!!!!!!!!!!! THIS IS THE BEST EXPLANATION ANYONE CAN GIVE!
When I find a complex anatomy topic,if i see ur video it is my heaven thankyou sir❤
I have no. words to thank you
for this Best lecture❤️
saving my life one video at a time THANK YOU
This was very well done. I liked your summary. It was very helpful. Thank you very much.
You are an amazing teacher .
Best vedio yet seen about portal circulation. Have been searching for a while.. Thanks a lot.
Awesome .Finally I got to understand this without chewing and pouring
ua-cam.com/video/XTqgFklg-H4/v-deo.html
Best best best portal system explanation ever!!!
Very helpful, especially the porto-caval anastomoses, i finally understood it, thank you very much :)
+stella lalrinmawii I am very glad ... thank-you Stella.
Excellent video: really clear and a good pace. Thank you!
Clear and sweet! Love the material you are presenting..
Thanks a lot doc! :D
THANK YOU THANK YOU!!! Simple and straight to the point. THANK YOU!!!!!!!
Thank you ...your way of explanation was really amazing..!! It was so easy to follow , right to the point, good illustration .. I love this video ... absolutely helpful... :-)
That was incrediblllllle!! I'm speachless❤ Thanks alot sir i really enjoyed every second of that video.
So nice of you ... thank-you. I am glad it was helpful.
The best hepatic-portal system explanation I have seen so far. It’s a lot clearer to me now. Can you do a video of TIPS. Thank you!
Thanks Silver Light... I use TIPS as a vehicle to reinforce the HPS but I don’t feel qualified enough to produce a video on the technique ...sorry :(
God bless ya sir for making this so simple and stick!!
Explanation is so good everytime i listen it dont need to read from text👍👍👍👍
This was a beautiful illustration. Thank you so much❤️❤️
Love your lectures Dr. Morton!!!
Glad you like them!
Brilliant sir....just brilliant!
One of the cool things you can take advantage of in rectal-caval circulation is the ability to bypass the first-pass metabolism of the liver (that is seen when you take medicine orally). Orally taken, the medicine is circulated through the liver and metabolized, but rectally taken the medicine is directly carried to the inferior VC and sent through the circulation system of the body, avoiding the liver. I take advantage of this with post-op patients and rectal acetaminophen suppositories. Much faster, much better, and safer pain management is achieved. Invariably I don't need to prescribe opioids as much or not at all. I've also recommended this for outpatient chronic pain management successfully.
The best explanation ever 😊 thank you Sir 😊
U r Making MBBS easy sir!
So thankful to you!
Are you gonna make me cry?? Thank you!!!!!
The hepatic portal system always gets me misty eyed. ... and the movie steel magnolias. It would take a robot not to cry at that one.
Super educational no matter how old it is.
I never understood this before watching ur video. Thanks!
This is exactly what I need, i could not understand it the way present it is so logical nad easy thx
love the fun memo-technique added touch!
This was extremely helpful!Thank you so much for making this video!🙏
you are a life saver , thank u from egyptian med stud
this was a life saver .thank you so much
Really awesome video. I wish the Carver College of Medicine would recruit you, Sir.
Awesome work. Everything clearly explained. Thank You
Thank you thank you thank you Dr. Morton !!
You are very welcome
Nice video! I love the clinical application
Thank you!!
Thank you. You make amazing videos.
Thank you so much, if it wasn't for your videos I would have wasted hours on the subject.
Beautifully made. Thank you sooooooo much.
Thats exactly what i needed thanks a million you saved time
This is very helpful for me you teach very well excellent thank you very much.....
After all this time this is still useful to today's syllabus
We will serve you in the next life Dr. Morton.
Julian Mayfield Ha ha :)
oh my god i have been sooooooo lost on this in med school. this made it so easy
God bless you maestro
Thanks for the great tutorial! I am not a student, but a patient with cirrhosis and end stage renal disease (all due to high dose chemo with tandem autologous stem cell transplant). I used to have significant ascites, but it went away on its own. However, it turned into hepatic encepelopathy. Before losing my kidneys and liver cirrhosis, I had my IVC dissected below the kidneys. So, I now have collaterals from the legs and new collaterals for the portal vein. I just had an endoscopy. No varices. I have hemorrhoids but that it likely from the phosphate binders. I had some activity in the rectum in a PET scan a few years ago, but a sigmoidoscopy did not show anything. That was a time when constipation was the worst as well. I do have an enlarged spleen (17 cm). I was wondering where else or what else portal vein hypertension might be causing. What is the mechanism of ascites or developing collaterals? How does the body know how and when to by pass things? Thanks!!!
TheMounthood first let me say I’m sorry for all the morbidity that Cancer and its’ treatment has caused you. For your questions go to 5:00 in the video where he tells you that hepatic portal system has NO Valves. The other veins in your body have one-way valves like an upside down V so that when the blood flows up above the valve it doesn’t travel further (unfortunately the valves become “leaky” and blood does flow back down but that’s another story!). So watch the video and see where he places the blockage (from high pressure or a clot or whatever) and you can see how the blood takes the caval route to get back to the heart causing esophageal varices (dilated veins at the distal esophagus), internal hemorrhoids in the rectum, and caput Medusa in the anterior abdomen. That’s the “Gut”, “Butt” and “Caput”. Hope this helps a little. I’m sure your treating physicians would explain it to you if you asked!
Wow, this is so well done. Thank you
Glad you liked it!
This was awesome. Thank you!
Amazing video! Thank you so much!!
you are amazing doc!
you are really noted! should be phenomenal!
Best explanation ever!
You made it so understanding. thank you
Very helpful lecture. Thanks dr morton
Best explanation!👏👏
I finally understand this topic! Thank you so much 👍👍👍👍👍👍👍👍👍👍
I practice visceral osteopathy and have helped many people w rectal prolapse and varicosity by releasing tension in the hepatic hilum. Most notably a 2 yo girl w chronic repeating rectal prolapse and constipation. She was better in one treatment and prolapse has never come back, she also feels more thirsty and is drinking more, i think because of the afferent information from the nodos ganglion in the area is finally regulating w the hypothalamus and making her sense that she is thirsty. She was never drinking water before, only “banana milk” lol.. immediately after the treatment she downed a whole glass of water (lil girl sized) and her father confirms she’s never drank as much water in her life probably before the treatment as she did within the first few weeks post intervention. Manually releasing tension in the hepatic hilum is life changing for people
Outstanding explanation! Really helpfull..
It really helped me! Thank you
This is amazing srsly! Thank you alot for sharing!❤
My pleasure 😊
I finally understand caput Medusa thank you!
Hands down to you Sir!
Thank you so so much ,! Its crystal clear now .😀😃
Thank you because of you I understood it so good thanks thanks a lot
Sir thank you so much ❤😇 what an explanation just amazing 💯
So nice of you
thank you it was really very easy to understand thank you soo much
Very helpful, clearly explained ❤️🙏
AMAZING!!!! THANK YOU SOOO MUCH, YOU HAVE SAVE ME SOOOO MUCH TIME.
this cleared up so much. thanks!
Simple yet Brilliant!!