Multiple Myeloma - signs and symptoms, pathophysiology, treatment

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  • čas přidán 25. 07. 2015
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Komentáře • 420

  • @bilalkurishinkal6459
    @bilalkurishinkal6459 Před rokem +160

    My father was diagnosed with MM 2.5 years ago and doctors said its already in an advanced stage. We did treatments to slower the progression but he grew weaker and weaker. He had extreme water retention and fluid tapping had to be done every 2 weeks with continuous doses of albumin. His pottasium levels showed sudden spikes and was admitted in the hospital a lot of times. Lately he was not responding to treatments. Unfortunately he passed away in his sleep a few days ago. He was the only person in my family who used to support me all the time. I miss him so much.

  • @LiveringhouseCL
    @LiveringhouseCL Před 7 lety +430

    Great explanation of the pathophysiology. It's a shame most medical school professors never reach anywhere near this level of clarity or integration in their lectures.

    • @haibo2499
      @haibo2499 Před 6 lety +5

      you can say that again

    • @sheenamarietubiano317
      @sheenamarietubiano317 Před 6 lety +10

      yeah i was wondering if we were taught this way, i would have been a little smarter in shorter period of time

    • @mucahitekici9852
      @mucahitekici9852 Před 6 lety +2

      Which university do you study?

    • @arjunathwik9198
      @arjunathwik9198 Před 6 lety +1

      True🤐

    • @ria8240
      @ria8240 Před 4 lety

      Casey Liveringhouse Yes you are right....they should watch such vedios and change there pattrn of teaching

  • @MaskeJ
    @MaskeJ Před 5 lety +188

    The easiest way to remember symptoms: CRAB (hyperCalcemia, Renal failure, Anaemia, Bone lesions) :)

  • @Aaron_Orion
    @Aaron_Orion Před 3 lety +60

    I honestly could not study for hematology without all these youtubers resuming and clarifying the info. My professor sadly has the information so jumbled up and goes back and forth so often I can't make sense of what is going on. This video however is so well explained! I owe you for helping me understand this class!

    • @medschool7425
      @medschool7425 Před 6 měsíci +1

      i swear its the same....the big issue nowadays is that even teachers know the infos most of them doesnt know how to deliver them especialy when it comes to mecanisms of certain diseases which is crucial btw....they just dont put their mind and soul into it sadely

  • @haibo2499
    @haibo2499 Před 6 lety +195

    Armando Hasudungan deserves a Nobel Peace Prize.

  • @MEDSimplified
    @MEDSimplified Před 6 lety +17

    Thisss video helped me so much Armando
    Thank u

  • @orion5564
    @orion5564 Před 6 lety +9

    You have explained the entire concept in the best possible way.It was crisp, clear and simple .I am thankful to you for this .

  • @eXtremeFX2010
    @eXtremeFX2010 Před rokem +9

    Lost a friend to this earlier this week. He was only in his 50s. There was no cure and chemo didn't help but prolong his suffering.😪

  • @evanofelipe
    @evanofelipe Před rokem +9

    Thanks Armando for your skilled pictorial explanations of this very complex condition. I have a friend who has been diagnosed with MM and he quite understandably struggles to fully grasp its various possible symptoms. Your artistic talent helps tremendously.

  • @bluewave7120
    @bluewave7120 Před rokem +5

    The best channel and dare I say..learning tool for us medical students that I have ever seen!

  • @hemmamistry6563
    @hemmamistry6563 Před 3 lety +3

    Thankyou for this Armando, so much easier to understand with your pictures and explanation rather than reading a text book!

  • @arthurhunt642
    @arthurhunt642 Před 3 lety +4

    This video is way beyond me and I'm only a retired house painter. Very precise artwork and the Doctor's ability to explain this is awesome... I will look for a few more.

  • @emvee9328
    @emvee9328 Před 2 lety +4

    6 years on this is still the best video, thanks

  • @YelloMellowMarshmalo
    @YelloMellowMarshmalo Před 5 lety +2

    Love your videos!! Thank you! I'm going through PA school rn and it's kicking my butt! These videos really help put everything together in a full picture kind of way.

  • @selrahc8172
    @selrahc8172 Před 7 lety +3

    Thank from France! As a student nurse in the last year (third year) Your video help me alot to understand the multiple myeloma

  • @simonaliolyte126
    @simonaliolyte126 Před 5 lety +29

    Genetic tests could actually reveal some mutations like: t(4;14) t(14;16), del (17p), del (13). Thanks for the great work ! Also, it would be great if you could provide the final picture access for download :))

  • @hardz2110
    @hardz2110 Před 5 lety +16

    Remember CRABI - hyperCalcaemia, renal failure, anaemia, bone lesions, infection

  • @victorl8365
    @victorl8365 Před 5 lety +3

    Everything seems so simple with you ! Thank you so much ! :)

  • @MichaelsUgly
    @MichaelsUgly Před 7 lety +41

    paraprotein -> increased plasma protein -> rbcs stick together -> rouleaux formation on blood smear.
    Waldenstrom and MM both cause:
    infection(monoclonal expansion -> dec Ab diversity -> infection)
    DM
    connective tissue disorders(increase light chain -> AL amyloidosis)

  • @Mwah5800
    @Mwah5800 Před rokem

    I always come back to this video whenever this topic comes up in whilst I'm studying, such a great video! Thank you!

  • @lucytulip2
    @lucytulip2 Před 5 lety +4

    Super detailed and great explanation! Thank you!

  • @ashish_br
    @ashish_br Před 5 lety +2

    Great job! Love your videos. They make learning so easy. Keep it up😊❤🙌🏻

  • @linach2086
    @linach2086 Před 4 lety +13

    i'm a medical student i'm studying with tears mt bestfreind's mum has died last year by multip myeloma i just can't imagen her feeling when she was taking this cours hope one day we can beat cancer

    • @finnorir5709
      @finnorir5709 Před 3 lety

      My grandpa died this night bc of it

    • @amm_09
      @amm_09 Před 3 lety

      my father passed away 2016 b/c of this as well

  • @scoobyking555cm
    @scoobyking555cm Před 5 lety +17

    Thank you so much for this explanation, I am currently having tests done for multiple myeloma and this is the most thorough explanation of what it is. 👍

    • @ew6778
      @ew6778 Před 4 lety +4

      How did the outcome of your test come out?

    • @warwickmilne3149
      @warwickmilne3149 Před rokem +1

      @@ew6778 guess you got your answer...

  • @andymg1321
    @andymg1321 Před 5 lety +4

    Great content as always!! hope you realise how much life you are saving among pharma students here in france lol

  • @kylejohnson1154
    @kylejohnson1154 Před 8 lety +5

    Excellent video! Thank you so much.

  • @rustyfo1
    @rustyfo1 Před 9 lety +5

    Great overview. The patophysiology part really tied things together :)

  • @stojcecitkuseva3255
    @stojcecitkuseva3255 Před 3 lety +6

    this explanation is so good that it makes me wanna cry

  • @Sas0a0k
    @Sas0a0k Před 8 lety +9

    I struggled so hard to get my head round some of these concepts this video is excellent!

  • @melydee7830
    @melydee7830 Před 3 lety +1

    Thank you so so much for this tutorial. This helped me alot recently for an assigntment I had to do. Thanks again. You're awesome

  • @parinithamaben4141
    @parinithamaben4141 Před 8 lety +6

    Great video and a wonderful explanation!!

  • @paulnitz8368
    @paulnitz8368 Před 2 lety +1

    Bravo. Clear and organized. Refreshing change.

  • @emilyjacobson8869
    @emilyjacobson8869 Před 6 lety +2

    Thank you so much for this video from a grateful med student!

  • @dr.sushilmatang3341
    @dr.sushilmatang3341 Před 5 lety

    I can't explain how much helpful for me this video....keep it up sir...never stop please...

  • @mosaleeuw759
    @mosaleeuw759 Před 6 lety +2

    Thank you for the help sir, people in South Africa are benefiting from your videos.

  • @sachinibhagya6861
    @sachinibhagya6861 Před 10 měsíci +2

    Very clear and well explained ❤️

  • @sapnaalee3849
    @sapnaalee3849 Před rokem +1

    Thank you Sir for giving us a crastal crystal clear concept 💗💗

  • @vigneshnaik7507
    @vigneshnaik7507 Před 4 lety

    Your explanation is on the point sir. Thanks for the beautiful video. 🙏

  • @haidernisar7340
    @haidernisar7340 Před 2 lety +2

    Sir you are a great help
    May God give you more respect,honour and success
    Regards

  • @nater88dawg
    @nater88dawg Před 7 lety +2

    Thank you. This was well done.

  • @kamalarao5146
    @kamalarao5146 Před 4 měsíci +2

    I am a healer and i have a patient suffering from mm..this video helped me a lot to treat my patient.. thank you so much

    • @kamalarao5146
      @kamalarao5146 Před 4 měsíci +1

      My patient is improving and responding for the treatment 🙏

    • @ellennaj3382
      @ellennaj3382 Před 2 měsíci

      @@kamalarao5146what treatment are you using?

    • @drs2994
      @drs2994 Před dnem

      ​@@kamalarao5146so glad to hear that. God bless you both. My mom jist had a biopsy some, as her doctos are suspecting she may have MM. I am scared & worried.

  • @Jyp850
    @Jyp850 Před 7 lety +2

    Great video! it is much easier for me to understand than digging patho books.

  • @neoworld2
    @neoworld2 Před 7 lety +2

    this is brilliant. thank you very much!

  • @dr.derbyallen7063
    @dr.derbyallen7063 Před 3 lety

    Nicely explained,great job

  • @banuibrahim8676
    @banuibrahim8676 Před 6 lety +1

    This is just wow.. I really enjoyed the video.. Thanks a lot.. do more

  • @aparguello
    @aparguello Před 6 lety

    Great video!!! Super helpful! Thanks so much!

  • @obasi-ezemary6977
    @obasi-ezemary6977 Před 5 lety

    Thanks for coming through today

  • @santoshkumar-gp7fg
    @santoshkumar-gp7fg Před 8 lety +2

    speechless sir....thank you so much...

  • @aamirjamal7962
    @aamirjamal7962 Před 7 lety

    Beautiful illustrations!

  • @arjunathwik9198
    @arjunathwik9198 Před 6 lety +3

    I did my seminar well today with this video 😍😍it was very useful 😎😎😎TK u so much 😊😊u r awesome

    • @mavurusowjanya1950
      @mavurusowjanya1950 Před 5 lety

      Arjun Athwik can u please suggest how to control multiple myeloma back pain early??

  • @jacquelinegregoire3995
    @jacquelinegregoire3995 Před 2 lety +1

    fantastic explanation! thank you!

  • @aesthetics7052
    @aesthetics7052 Před 2 lety +1

    Extraordinary explanation ❤

  • @drkumar3637
    @drkumar3637 Před 5 lety +8

    can you do more videos on rheumatology topics like SLE, Scleroderma, Osteoporosis, Vasculitis, Anklosing Spondylitis etc..I would be happy to buy them :) thanks for your hard work!

  • @anwarpadhani
    @anwarpadhani Před 7 lety

    You are a star! Great Introduction.

  • @StLProgressive
    @StLProgressive Před rokem +7

    Thanks so much for this. I had MRIs of my lumbar & thoracic spine earlier this week, found lesions at L-1 & T-4. This really helped me understand what multiple myeloma is and the tests that have been ordered.

    • @mmustapicst
      @mmustapicst Před 7 měsíci +1

      Was it multiple myeloma or something else? They found three lesions and fractures in my father's spine and we are waiting for what will be the diagnose :/

    • @drs2994
      @drs2994 Před dnem

      ​@@mmustapicsthow is your father doing? They suspect my mom may have this and just did a biopsy. Waiting for results is the hardest part.

    • @mmustapicst
      @mmustapicst Před dnem

      @@drs2994 He is doing great. Basic therapy made him go from 20% to 2% malignant cells. He is going soon for autolog cell transplant and one month in sterile room. Aftet recovery, I hope he will be great. He was diagnosed pretty soon and is overall healthy so he has that going for him :)
      I hope for a similiar story for you mother if she gets diagnosed with it.

  • @Sheya404
    @Sheya404 Před 6 lety +3

    Great job!!!

  • @reyneraureliopumaquehuaruc2766

    It's amazing material !! thanks so much

  • @hemamotiani2038
    @hemamotiani2038 Před 3 lety

    Brilliant,, keep up the good work🙂

  • @milk99shake
    @milk99shake Před 5 lety +1

    Armando my time saver 😍😍😍 thanks a million

  • @mascilinaaduful7006
    @mascilinaaduful7006 Před 4 lety

    Thank you! Provided a lot of information

  • @bentaylor1255
    @bentaylor1255 Před 2 měsíci

    absolutely wonderful explanation! Thank you!

  • @gonzaloveizagadelgadillo6704

    Thank you very much your information it’s so good keep doing this videos.

  • @user-ft8uk3ll7v
    @user-ft8uk3ll7v Před 7 lety +2

    Great job and informative

  • @BallyBoy95
    @BallyBoy95 Před 7 lety +11

    That went terrifyingly in-depth, great work, I learned a lot, and now know exactly where to research for further studies. Thanks.

  • @knocknockify
    @knocknockify Před 7 lety +1

    Immensely helpful. Thanks!

  • @jalalshehzad1895
    @jalalshehzad1895 Před 4 lety +1

    i fall loving in your beautiful teaching methodology and i give bless from the cure of my heart ❤️ lub you sir g❤️❤️❤️❤️

  • @VaibhavYawalkar
    @VaibhavYawalkar Před 8 lety +1

    Thank you so much Sir !

  • @meridiary5046
    @meridiary5046 Před rokem

    Drawings and explaination is so satisfying

  • @dr-maq
    @dr-maq Před 5 lety +1

    Undoubtedly great tutorial.

  • @swarajkharat875
    @swarajkharat875 Před 4 lety

    One of the best lecture ❤️

  • @Kimberly57698
    @Kimberly57698 Před 7 lety

    Good Job! Great Video!

  • @naderanoori373
    @naderanoori373 Před 5 lety

    Very good explaination. Thank you so much

  • @fariyamajid5573
    @fariyamajid5573 Před 4 lety +1

    Thank you so much... explained very well 👍

  • @r.d8897
    @r.d8897 Před rokem

    Thank you for the wonderful explanation

  • @sadziikhokriibve610
    @sadziikhokriibve610 Před 7 lety

    you made it so easy. thank you!

  • @TheAvibhatia1
    @TheAvibhatia1 Před rokem +19

    My dad is undergoing blood and imaging tests and biopsies to determine whether the plasmacytoma tumor in his t11 vertebrae is local or if it is multiple myeloma. Your presentation helped me understand the physiological processes going on so I could explain it better to him.
    Invaluable service you provided me and my family…thank you.

    • @deepakostwal2905
      @deepakostwal2905 Před rokem +2

      How is your father?

    • @Melissaxorenee
      @Melissaxorenee Před 7 měsíci +1

      My mom is currently in this situation right now and this video helped me very much

    • @drs2994
      @drs2994 Před dnem

      ​@Melissaxorenee my mom is also possibly in this situation. They suspect she may have this and they just did a biopsy to test for this. I pray she doesn't have it, I'm so scared and feel like the world is closing in on me. I hear people can live with this for years. May I ask, how is your mom doing? I wish you peace & comfort in this nightmare. You are not alone.

    • @newshot_
      @newshot_ Před 15 hodinami +1

      @@drs2994hi how are you, my mum has this but it's not multiple it's in a stable level rn and hasn't caused any damage, but the doctors said they will monitor her in case it becomes active. how are you coping?? we're in this together ❤️ wish you the best

    • @drs2994
      @drs2994 Před 14 hodinami

      @newshot_ your message means more to me then you know. Because it makes you feel alone. My only siblings g passed away when I was 25, so I've been my mom's caretaker for 17 years, since jer stroke not losing after losing my sister. But she is a high functioning stroke survivor, at least in my eyes compared to how other stroke survivors are left after a stroke. We are still waiting for biopsy results to see if she has MM so it is the longest wait of my life. I hope your mom continues to do well 🙏

  • @mucahitekici9852
    @mucahitekici9852 Před 6 lety +1

    Perfect! Thank you!

  • @seva00793
    @seva00793 Před 6 lety

    armando you the best... thank you for the vid.

  • @xrayperson5431
    @xrayperson5431 Před 2 lety +4

    Excellent video. I fully understand what Myeloma is. Thank you for sharing your knowledge on this horrible disease.

    • @charleswest6372
      @charleswest6372 Před rokem +1

      Hopefully a cure will come soon. I was diagnosed a yr ago. Sucks at 60.

    • @drs2994
      @drs2994 Před dnem

      ​@@charleswest6372may I ask? How are you doing? My mom is suspected of having this and we are awaiting biopsy results. Waiting is the worst part. I hope you are doing well I hear people.can live years even decades with this. My mother-in-law's hair dressed has had and been living with it over 15 years.

  • @bakirashanu
    @bakirashanu Před 6 lety +1

    Good job.👍 please upload more haematology and histopathology related vdios..

  • @soukaynajibai4874
    @soukaynajibai4874 Před 6 lety

    Useful video . Thank you

  • @anta2205
    @anta2205 Před 4 lety +1

    Next level explanation

  • @carlitoxjojojo89
    @carlitoxjojojo89 Před 6 lety

    Vielen dank! Ausgezeichnet!! Es hat mir viel geholfen, liebe gruesse aus Deutschland!!

  • @jenniferbutler7904
    @jenniferbutler7904 Před 7 lety +10

    Wonderful presentation that even non-medical patients can understand. Too bad every M.D. who diagnoses a patient with MGUS or MM doesn't use this site for education!

  • @katherinehunter9526
    @katherinehunter9526 Před 5 lety +3

    Very informative, thank you.
    Can you explain why there is so much deep bone pain?
    What are some other symptoms of MGUS ,SMM, and MM to look for in the patient?

    • @suriknc21
      @suriknc21 Před 4 lety +1

      katherine hunter due to formation of lytic lesions there will be of more bone pain which is the most common symptom of MM

  • @ayushbhardwaj9733
    @ayushbhardwaj9733 Před 7 lety

    awesome drawing n explanation

  • @honeydz5137
    @honeydz5137 Před 3 lety

    Thank you DOC!

  • @user-jz2nx6xt3t
    @user-jz2nx6xt3t Před 3 lety

    You are a savior man
    Thank you very much

  • @victoritopp1
    @victoritopp1 Před 6 lety +3

    Please keep on doing the good work, you are helping way too many people this way. Can you tell me if and how this disease would affect plaquets and/or coagulation, by increasing the risk of trombosis?

    • @mosaedalwan4938
      @mosaedalwan4938 Před 6 lety

      Victor Perrotta the increase amount of immunoglobin ( IGg. IGm) lead to hyperviscity syndrome that lead to thrombosis and couglation

  • @georgiaboniface6135
    @georgiaboniface6135 Před 4 lety

    Great video!

  • @tanimadhar4280
    @tanimadhar4280 Před 3 lety

    God bless you... Helped me like anything !

  • @dannynichols7693
    @dannynichols7693 Před 6 lety +8

    Thankyou so very much for this brilliant explanation of my condition, I was diagnosed with MM in early 2016 and my prognosis wasn't all that promising and as a Nurse, I needed to stop work immediately and begin 18 months of Chemotherapy which left me with several side effects, the worst being Peripheral Neuropathy in both feet and my lower legs, hands and my entire skin has a strange numbness sensation to it.
    Im a 53 year old male, so I was only 51 when diagnosed.
    It was only by sheer accident that I was diagnosed, for no reason, or so I thought, I kept breaking ribs ? Plus I had no energy what so ever so my GP sent me for CT Scan which showed the several broken ribs and said they will heal over time, then he sent me for a General FBC etc blood test, unrelated, he wanted it when I turned 50 to have base line bloods.
    It was the Pathologist that detected the Paraprotiens etc and then I was seen by a Hematologist to begin treatment plus support from the Leukaemia Foundation and MM Support Nurses but none of them explained the MM like you did in that video, I think it should be seen by every MM patient and I intend on showing it to Anne from the Leukaemia Foundation and the MM Nurses because its factual but more importantly it puts the disease into its sequence, I got explanations that jumoed all over the place making it almost impossible to get a handle on the sequence of events.
    So again,
    Thankyou so very much.
    Yours. Danny.

    • @laffyzon3
      @laffyzon3 Před 3 lety +1

      How are you holding up now

    • @dannynichols7693
      @dannynichols7693 Před 3 lety +4

      @@laffyzon3 Currently responding well to the second round, relapsed, treatment with only Lenolidomide.
      Thanks for asking, cheers.

    • @laffyzon3
      @laffyzon3 Před 3 lety +1

      Danny Nichols wish you more success im just looking for answers towards treatment and how to move forward any tips or suggestions would really help and i really hope you beat this man !

    • @dannynichols7693
      @dannynichols7693 Před 3 lety +4

      @@laffyzon3
      Im in Australia, so the treatment protocol is basically the same for each MM patient, except, when I was treated (chemo) in 2016, the next step was to have Stem Cell Therapy, which I refused, its dangerous and makes you extremely unwell and I was already unwell, I just didn't need that as well. I wasn't dying from treamtent. Mr Dr was angry because I didnt follow protocol but its my body etc so he put me on Thalidomide which caused the Peripheral Neuropathy but kept the MM at bay to the point I had no treatment for 18 months. Then it returned and once the FLC or Free Light Chain blood tests came back greater than 15, I was put on Lenalidomide, which is like the smarter relative to Thalidomide.
      I live with lots of constant pain from the bone cysts, lots of fractures in my ribs, hip, knee and rib pain.
      So its not nice but I dont look at the bigger picture which is that MM is a terminal diagnosis because no one knows when they'll die. I was living like a patient for the first year but since then I live like everyone else, I even brought another pupppy last year. Hahahahaha
      I have no idea how long the Lenalidomide will keep the MM at bay but my treating Haematologist has said that there is other drugs plus newer drugs coming along all the time, so I just take it one day at a time.
      Can I ask if you have MM or is it a relative ?
      You don't need to tell me, I'll respect your privacy, Im an open book, I dont mind who knows. Hahahaha
      Cheers.

    • @laffyzon3
      @laffyzon3 Před 3 lety +1

      Danny Nichols no thats the thing nobody in my family has this but then again i did have a younger cousin who died from cancer but not multiple myeloma plus im only 25 i dont know how this happened to me

  • @kevinslivemusic1020
    @kevinslivemusic1020 Před 5 lety

    Excellent
    Thank you very much sir ❤💯🙌

  • @ohmeowzer1
    @ohmeowzer1 Před 3 lety

    You are a genius, and I wish I could draw like you

  • @lourias
    @lourias Před 4 lety +12

    Though I am no longer in med school, please continue to make great audio-visual presentations.
    I look forward to your in depth discussion about Mast Cell Activation Disorder.

  • @MrGODINTHEMAKING
    @MrGODINTHEMAKING Před 26 dny

    Got to take this test tomorrow.

  • @asterakh8217
    @asterakh8217 Před 5 lety

    Thank you Armando ,great

  • @supravomandal515
    @supravomandal515 Před 4 lety

    Sir this video is excellent

  • @miguelquiroz4635
    @miguelquiroz4635 Před 4 lety

    Amazing video man thnx

  • @11Garrett11
    @11Garrett11 Před 6 lety

    Great video!!!!!