Approach to the Exam for Parkinson's Disease

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  • Опубліковано 21 лис 2024

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  • @dge.
    @dge. 4 роки тому +306

    It’s so immensely inspiring to see an actual patient in videos like these. It reminds me why I’m bending over my books all day. Thank you Larry and thank you, Stanford Med!

    • @jamesalipio1631
      @jamesalipio1631 2 роки тому +3

      hi fellow doge, parkinsonism interests me as well

    • @mikejennings5961
      @mikejennings5961 7 місяців тому +2

      Goge

    • @mikejennings5961
      @mikejennings5961 7 місяців тому

      Hello

    • @vvvdog200
      @vvvdog200 4 місяці тому

      Did not say what's normal and what's not normal?This is terrible

    • @Photo_doctor
      @Photo_doctor 4 місяці тому +1

      I am a biology student, want to become a Med student

  • @heatherk.906
    @heatherk.906 Рік тому +91

    Way to go, Larry! I hope he's still going strong, now four years later. I always appreciate folks who are willing to let the rest of us learn "off" of them and their troubles.

  • @joshyantony1932
    @joshyantony1932 6 років тому +208

    Please tell Larry he has good wishes from all over the world!!
    Thank you doctor for this wonderful presentation!
    I still can't stop thanking Larry enough :)

  • @skylerjames3276
    @skylerjames3276 2 роки тому +82

    Thank you Larry!! I hope you know how many medical schools your video is used at all over the country, and thus how many students you have helped learn. Getting to learn from real patients makes all the difference in the world and reminds me what all this work is for. Excellent video.

  • @manikandansrt
    @manikandansrt Рік тому +9

    Thank you Larry and Dr.Poston. Wish you all good things.

  • @TheUnderclocked
    @TheUnderclocked 7 місяців тому +2

    I just came back from an initial exam for Parkinson's tremor. I believe the nurse practitioner that examined me must have just watched this video beforehand. My responses very closely resemble Larry's to even include the predominance of symptoms on the left side.
    Best wishes to Larry!

  • @hunkaboomer
    @hunkaboomer Рік тому +22

    I have essential tremors that are a reflection of my anxiety. Sometimes I think, “Do I have Parkinson’s?” because I shake so bad, but this UA-cam instructional helps me know that I don’t have anything more than tremors

    • @Epiphalactic
      @Epiphalactic 7 місяців тому +1

      essential tremor is different than anxiety tremor.

    • @exosproudmamabear558
      @exosproudmamabear558 7 місяців тому +3

      You have risk of having Parkinson (long term stress can effect essential tremors but it isnt direct cause. Essential tremors doesnt mean you are parkinson tho)so I suggest you to get your anxiety in check and stay away from antipsychotics. Go yo doctor to see if you need medication for it. Try to sleep enough.

    • @carriebaker5161
      @carriebaker5161 6 місяців тому

      Talk to your PCP about Lorazepam or Flexiril for your anxiety and spasticity. I'm on both. A genetic condition I have leaves me an high risk for MS or Parkinson's.

  • @maryherron3970
    @maryherron3970 5 років тому +85

    Thank you Dr. Posten and Larry. Now I'm not so scared when I go to have mine done. I certainly appreciate how well you explained everything.

  • @siddharthchikhalkar4615
    @siddharthchikhalkar4615 Рік тому +4

    Thank you so much Larry Sir for teaching us! I hope you're doing just fine after 5 years! Also Thanking Dr. Kathleen for teaching us and being such gentle towards Larry. God bless!!

  • @olaflai2136
    @olaflai2136 5 років тому +308

    THANK YOU!!
    Amazing video. Please tell Larry that we all wish him good health and happiness. :)

    • @StanfordMedicine25
      @StanfordMedicine25  5 років тому +42

      Believe me, we make sure he see's all the comments. Thank you for yours.

    • @IIDraithII
      @IIDraithII 4 роки тому +10

      You said what I wanted to say, thank you Larry!

    • @cozzball
      @cozzball 4 роки тому +3

      +1 hereu, greetings from Barcelona to all of you, and for Larry of course!

    • @ginb1598
      @ginb1598 4 роки тому +2

      This was great, I have been researching "what are the warning signs of parkinson disease?" for a while now, and I think this has helped. Have you heard people talk about - Piyaliyah Prominent Prepotence - (search on google ) ? It is a smashing exclusive product for discovering how to reverse Parkinsons disease minus the headache. Ive heard some interesting things about it and my mate got excellent success with it.

    • @arturogoleman5221
      @arturogoleman5221 4 роки тому

      Just wonderful, I've been looking for "what is the drug of choice for parkinson's?" for a while now, and I think this has helped. You ever tried - Piyaliyah Prominent Prepotence - (do a google search ) ? It is a good exclusive product for discovering how to reverse Parkinsons disease without the hard work. Ive heard some super things about it and my friend got excellent success with it.

  • @albertdesalvo7273
    @albertdesalvo7273 5 років тому +3

    Dr. Kathleen Poston has ample charms. All the best for Larry.

  • @tanny2482
    @tanny2482 5 років тому +36

    Thanks Larry! Though you may not see the message, but thanks a lot! You are the greatest teacher to us!

  • @hatirose7503
    @hatirose7503 5 років тому +79

    Thank you Larry, that was very helpful, and thanks to standford medicine 25 for uploading great videos.

    • @valnaples
      @valnaples 5 років тому +10

      wasn't that good of him to participate like this? WOW..eye-opening and YES, GOOD health to you Larry!

  • @BM-ke6yn
    @BM-ke6yn 3 роки тому +34

    Larry is so CUTE! WE LOVE YOU LARRY

  • @leeandrewcowles
    @leeandrewcowles Рік тому +2

    Thank you Larry, as others have said it makes a world of difference seeing a real person rather than another page or PowerPoint slide! So good of you to take part.

  • @momtazularefin
    @momtazularefin 2 роки тому +52

    Bradykinesia 1:38
    Rigidity 5:03
    Tremor 8:07
    Gait & Balance 11:00

  • @pkneeno
    @pkneeno 5 років тому +469

    Larry: here's an internet hug!

  • @esi8747
    @esi8747 2 роки тому +1

    Thank you Larry for your participation. Thank you Dr. Poston for sharing your knowledge

  • @KingCamisback
    @KingCamisback 5 років тому +5

    Thank you mister Larry and Dr Poston for helping us in our education about PD. All the best to the greatest volunteer patient Larry!

  • @josephinemacken4391
    @josephinemacken4391 8 місяців тому +5

    What a fantastic teacher and educator you are, Dr. Poston! You are also a compassionate and thoughtful doctor!

  • @patnewman1
    @patnewman1 5 років тому +4

    Prior to my diagnosis of PD three years ago I noticed a tremor in my left hand. Because I am a Vietnam Veteran my primary care Doctor scheduled an appointment with a Neurologist. Before I met with the Neurologist I looked at a lot of videos which discussed PD symptoms, but this is by far the best video for PD that I have seen. Thank you for posting it.

    • @saiyogesh4606
      @saiyogesh4606 5 років тому

      Im observing slight trembling im my right finger..especially after using phone ..can u pls help me

  • @ssbmouse6471
    @ssbmouse6471 2 роки тому +2

    Thank you Larry for volunteering!

  • @troyhagen587
    @troyhagen587 5 років тому +11

    Just Thank You, GREAT INFORMATION AND VIDEO THANKS. I'm 62 and fighting Parkinson's, walking and have a part time job. Great Information, Happy Easter. THANKS

  • @ifuadkhan
    @ifuadkhan Рік тому +1

    Thank you for your contribution to medicine Larry. Stay blessed and wishing you the best of health!

  • @MuhammadAli-ml9bt
    @MuhammadAli-ml9bt 6 років тому +10

    Dr. Kathleen Poston. thanky so much and thank you LARRY

  • @rolandpochet8418
    @rolandpochet8418 2 роки тому +2

    This is an excellent video in which not only students and MDs can learn but also the patients themselves and caregivers. This video open to everyone is in the line of the consept of patient centricity. Thank you Dr. Posten and Larry

  • @jislam3702
    @jislam3702 3 роки тому +1

    Dr. Kathleen... the way you explain & do exam, as a young doc, I am mersmerised! Amazing skill. Stanford Medicine. 👌

  • @ZapperJohn
    @ZapperJohn Місяць тому

    Larry was a rock star in this video. Thank you! I'll be using some of these tests on my mom tomorrow because of what she is experiencing.

  • @donnarick7700
    @donnarick7700 3 роки тому +4

    Thank you, Larry & Doctor.
    God bless you both!

  • @Veraa54621
    @Veraa54621 2 роки тому +1

    Awesome video. I'm a family medicine junior doctor in Portugal and I watch this video each time I want to review Parkison Disease examination. I've already recomend it to several students that I couched, Thank you so much

  • @CorkyDaCat
    @CorkyDaCat 5 років тому +11

    I under went most of those examinations and was given a preliminary diagnosis of PD just before Xmas. We thought my Tremors was due to my Extreme Anxiety and PTSD (both diagnosed). But watching YT videos such as this (& MJ Fox) is helping me understand my situation. The buttoning up process is a real challenge for me, same with shoe laces but it's all making sense to me and my Doctor now. Thank you.

    •  11 місяців тому

      You have it

  • @VivekSingh-kc5kw
    @VivekSingh-kc5kw 5 років тому +69

    Best explanation ever in my whole medical life

  • @OkanVKILIC
    @OkanVKILIC 4 роки тому +2

    thank you so much Larry, i am a physician from Turkey, and thanks to you and your great doctor, i understood Parkinson's disease better. i wish you good health and happiness in your life.

  • @marielkraus649
    @marielkraus649 5 років тому +17

    After years of testing my patients for rigidity for the UPDRS for establishing my therapy POC, I have not challenged rigidity using activation maneuver so I've learned something new and very useful in this video! Thank you, Dr. Kathleen!

    •  11 місяців тому

      My hands hurt while doing the first hand testing

  • @dennismarble3591
    @dennismarble3591 6 років тому +20

    Thank You Dr. Poston and Larry. Excellent demonstrations and very helpful.

  • @rosieweasley5865
    @rosieweasley5865 3 роки тому +10

    Thank you so much Dr Poston and Larry, and everyone involved in producing this very helpful video. I wish everyone great health

  • @alouise3557
    @alouise3557 2 роки тому +49

    Over 700,000 of us probably did the first few exercises "just to see".

  • @amitmor392
    @amitmor392 5 місяців тому

    I am a medical doctor and every time I watch the Stanford Medicine videos I am overwhelmed by the clarity and methodology. Thank you Dr. Poston, this was a excellent video

  • @karenwisusa6258
    @karenwisusa6258 Рік тому +1

    Thank you Larry for helping the team get information out! Glad your medication is helping you have a better quality of life!
    I have a neurology exam in less than two weeks and I’m glad I watched this video! My resting head tremors/shaking 24/7 seriously worsened after trying the exercises in the beginning of this video. Now I may need to walk around awhile to try to see if I can settle them down! Good to be aware that during my exam my tremors may get worse for awhile if these exercises are done!

  • @annaalexandratou5593
    @annaalexandratou5593 5 років тому +27

    This was amazing and very educational. Thank you so much for uploading and thank you Larry for the cooperation and demonstration!!

  • @drmanangupta
    @drmanangupta 5 років тому +11

    What an excellent video on examination of a patient with Parkinson's Disease. Simple yet detailed. Organized and easy to learn. Will share with my residents and medical students. Keep it coming!

  • @alihadimajeed3372
    @alihadimajeed3372 2 роки тому

    i don’t know why, but out of no were, I just love this guy (Larry). wish u all the best sir.

  • @dharghamalturaihi3511
    @dharghamalturaihi3511 4 роки тому +2

    Thanks a lot for your continuous honorable contribution to International education .
    From Iraq

  • @fotballdude16
    @fotballdude16 Рік тому

    Thank you so much Larry for teaching us!! I´m writing this as a physician here in Norway. Thank you to Stanford Med, for making this great video! Much appreciated!

  • @tolgakartal5029
    @tolgakartal5029 Рік тому

    Thank you so much Larry for your kindness and let this video produced!

  • @muhammadelgazar7303
    @muhammadelgazar7303 6 років тому +3

    Many thanks for Dr. Kathleen and Larry.

  • @miared2059
    @miared2059 5 років тому +2

    Thank you Larry and Dr. Posten

  • @RikkeS87
    @RikkeS87 2 роки тому +1

    This video has been so helpful for me as a student of speech therapy to understand more about the exam for Parkinson's Disease. Thank you so much Larry, for demonstrating, it means a lot. I hope you're doing well!

  • @pranavireddy1605
    @pranavireddy1605 2 роки тому +1

    Thank you Larry and Stanford med

  • @camillecruxinger9368
    @camillecruxinger9368 4 роки тому +3

    Bless your heart Larry! We love you!

  • @suryakantpandit8431
    @suryakantpandit8431 4 роки тому +1

    Excellent Madam ,one of the best video to evaluate the symptoms of PD.Regards.

  • @noellealissa2206
    @noellealissa2206 2 роки тому +1

    Thanks Doc. Your physical presentation of Parkinson's Disease was bar none!

  • @scores718
    @scores718 7 місяців тому

    Mr. LARRY. Happy Spring. You are impressive in your calm manner

  • @jenniealkawari2731
    @jenniealkawari2731 4 роки тому +1

    Love you Larry. Going for a PD assessment next Monday. Only tremor so far. Thank you Dr and dear Larry

  • @marymcnally4852
    @marymcnally4852 5 років тому +2

    Thank you for your clarity and compassion.

  • @amazinggrace5692
    @amazinggrace5692 3 роки тому +1

    Thank you! My husband was diagnosed recently.

  • @EvangelineMunda
    @EvangelineMunda 6 років тому +6

    This video is very helpful. Thanks Dr. Kathleen and Larry.

  • @btu59
    @btu59 2 місяці тому

    Excellent thank you ❤ and Larry too..Books are tools and education, but actually watching is this is such a great learning experience …

  • @docbull8404
    @docbull8404 5 років тому +4

    As many have already said, Thank You Larry for working with the Doctor to make an incredible video and learning tool. Thank you both.

  • @C_Chord_Piano
    @C_Chord_Piano 6 років тому +9

    I was able to get a clear picture of what I knew vaguely. Thank you.

  • @DoctorGeri
    @DoctorGeri 5 років тому +24

    I would like to see a video demonstrating the exam process for differential diagnosis between Parkinson's Disease and PSP (Progressive Supranuclear Palsy).
    A number of PSP patients have been misdiagnosed with Parkinson's.

  • @vlogfromtheheart9705
    @vlogfromtheheart9705 10 місяців тому

    Now that I see someone else with these symptoms it makes me think about how my dad progressed. RIP Dad 08/1957 to 05/2016. I remember him doing all of these things.

  • @nouraayed
    @nouraayed 4 роки тому +3

    she’s such an amazing tutor and warm hearted too thanks a lot I hope one day I become as kind and amazing doctor as she is❤️

  • @umerbinshabir6561
    @umerbinshabir6561 5 років тому +58

    Way she explains it....amazing dr

  • @maralynsmith2276
    @maralynsmith2276 4 роки тому +2

    A very good video. I now know what to expect when I have my video appointment in October. Thank you so much l

  • @Unlucky403
    @Unlucky403 3 роки тому +4

    i had an anxiety freakout about having PD but this calmed me down a lot. i’m only 26 but have a tic where i flex my thighs and it sometimes gives me anxiety thinking about neuro issues .

    • @prxdaryxn4695
      @prxdaryxn4695 3 роки тому

      It happened with me aswell! Thank god it's not PD 🙏

    • @bishalkhadka6482
      @bishalkhadka6482 2 роки тому

      I am just 20 and have hand tremors

  • @thantzinaung5680
    @thantzinaung5680 5 років тому +3

    Thank you teacher for your very informative and nice clinical examination video about Parkinson disease and also million thank to Larry !!!

  • @rinkles25
    @rinkles25 2 місяці тому

    Thank you so much for the detailed knowledge.
    Thank you so much Larry . Hugs to you !

  • @tizziejames9040
    @tizziejames9040 9 місяців тому +1

    Very helpful. Thank you both so much.

  • @gauthamjeyakumar
    @gauthamjeyakumar Рік тому

    Thanks Larry ,and thanks to the doctor for teaching so easily and clearly😊

  • @sophia66723
    @sophia66723 11 місяців тому

    This was very helpful. Big thanks to both the doctor and the patient!

  • @sandracora7788
    @sandracora7788 8 місяців тому

    Excellent video! Very informative! Best video I've see on parkinsons and symptoms! Thank you!

  • @sunving
    @sunving 4 роки тому +2

    Thank you Doctor, Poston and Larry. it is a wonderful video.

  • @INSHERRYSOPINION
    @INSHERRYSOPINION 4 роки тому

    When I was in my 20’s my doctor ask me how long I have had my tremors? I didn’t realize I had them . When I turned 50 it got bad walking I got off balance and could no longer write or put my mascara on. I went to my doctor they gave me a prescription and told me it was Parkinson’s. Looking back at some family members who were no longer alive. I realized they had it too. If I miss a pill it’s torture. Now even on medication I fall a lot. So getting on a ladder with no one around me is a no no. Thanks for this video.

  • @akhahmad7455
    @akhahmad7455 8 місяців тому

    Larry You are such a gem and a very graceful lady....Great explanation👏

  • @alexandrecac
    @alexandrecac 3 роки тому +1

    Thank you os much! Very nice video! Really helped a medical student! Thanks Larry for his kindness!

  • @antartistube
    @antartistube 3 роки тому +3

    Thank you, Dr. Poston and Larry! Many blessings

  • @maherarabi7054
    @maherarabi7054 Рік тому +1

    This is a great video. Thank you it is so clear and systematic.

  • @AngeredYeti
    @AngeredYeti Рік тому

    Thank you very much! Thanks very much Larry too! Love from Alberta, Canada.

  • @drmadhurireddy9474
    @drmadhurireddy9474 5 років тому +12

    Exceptionally well demonstrated!!

  • @sharonsue441
    @sharonsue441 5 років тому +2

    Very good video,,Best to you Larry...

  • @theresamcevoy3039
    @theresamcevoy3039 3 роки тому

    Thank you Dr. Poston and Larry! Excellent video!

  • @samanthageraghty4505
    @samanthageraghty4505 2 роки тому

    I looked this video up because I'm 45 and recently noticed my thumb on my left hand twitching. Nothing else at the moment but I am worried. Thank you larry and Dr for this very informative video

  • @barwaaqo9644
    @barwaaqo9644 2 роки тому

    Thank you Larry and Dr Poston! :)

  • @samdunbar577
    @samdunbar577 2 роки тому +1

    Thank you so much Larry!

  • @premiummedicinegaming5073
    @premiummedicinegaming5073 3 роки тому

    beautiful doc with excellent clinical skills. wish you goodluck larry

  • @abdoelghrio9202
    @abdoelghrio9202 10 місяців тому

    Great video. Thank you, Dr and big thanks to Larry!!

  • @Dosindapendence
    @Dosindapendence 5 років тому +1

    I wish i could get help.Im in santa clara county and i cant get a diagnoses! Im 49 and im alot worse then larry its seems shes a very good doctor and shes very caring unlike the doctors at velley medical witch i hear are also Stanford doctors! Im in pain and have major stiffness on every joint in my body but these doctors dont care..I wish you great health larry much respect for this video! Thank you!

  • @magedabuldahab7481
    @magedabuldahab7481 4 роки тому +1

    All lecture is important but few take home message for Gps and other specialities,
    1.bradykinesia is the cardinal character
    2.the hardest thing to differentiate is the essential tremors vs parkinsonian tremors
    Note: it should have part 2 including non motor examination of PD and dysautonomia as this beautifully illustrated lecture has motor examination only for time concerns

  • @aprildahlberg6615
    @aprildahlberg6615 3 роки тому

    Thank you for this information. Larry was a very good patient. I wish him the best. I haven't been diagnosed yet but this give me the idea of what to expect. Thank you all.

  • @sushinyan5220
    @sushinyan5220 6 років тому +1

    I took a k/c/o PD today and your video helps me a lot! Thank you Dr.Kathleen and Larry !

  • @aasthagupta1160
    @aasthagupta1160 5 років тому +1

    Thank you so much Larry and thanks to everyone involved in making this video

  • @caesarahad7706
    @caesarahad7706 4 роки тому +1

    Respect for Dr.Poston mam!
    This will be helpful in exam.

  • @GoNewHorizon
    @GoNewHorizon 5 років тому +2

    Very good examination Dr. Poston; it would be great if you could add a video on non motor signs and symptoms for PD patients or something to raise awareness on non-motor symptoms of PD and its management. This's often not commonly talked about and affect a lot on patient's quality of life.

    • @priyamdalmia5499
      @priyamdalmia5499 5 років тому +1

      Was there brady kinesia , if yes in what movement , i couldn't appreciate???

    • @lovesarita
      @lovesarita Рік тому

      Yes, you can see a decrease in the amplitude especially in the finger-thumb and the toe-tapping (and maybe others; that's just from memory)@@priyamdalmia5499

  • @Meducation101
    @Meducation101 3 роки тому +2

    This is an outstanding video, thank you for sharing. 👍🏼

  • @eletro_doc9529
    @eletro_doc9529 4 роки тому +2

    I'm from Brazil. Thank you very much, it really added to my neurology lecture.

  • @stevenreichertart
    @stevenreichertart 5 років тому +2

    Thank you all for an excellent and detailed demonstration.

  • @karenhutchinson1330
    @karenhutchinson1330 3 роки тому +1

    Amazing video. Very informative. Thank you

  • @HaleyMary
    @HaleyMary 3 роки тому +2

    Thank you for this video! It was very educational! I've had symptoms of blepharospasm since 2013 and was concerned if I had symptoms that would point to possibly Parkinson's, but following along with the exercises in the video, I think all I have is a benign belpharospasm by itself. I hope Larry is doing well today. :)

  • @Cleopatra-en4ye
    @Cleopatra-en4ye Рік тому +1

    You are a great teacher❤