Never heard of this at all. I have never seen a doctor who harbor this investigative mind and curiosity. Kudos to you !

Talk about a terrifying way to wake up!

i hope if i ever need a doctor for real then i get a doc like you, you're exactly what a doc should be

So glad that young man got the help he needed, starting with his roommate. One more reason why it’s not great to be alone all the time. Great diagnostics and treatment.

i have hypokalemic periodic paralysis and wasn’t diagnosed until i was almost 50, even though i had my first episode of paralysis at 22. i wish more doctors looked for rare diseases instead of telling patients they had psych problems when the docs couldn’t figure it out... P.S. great video, really enjoyed it!

Pfft. Medical schools are over rated. Im going to graduate from the University of Violin MD 😂

Currently pursuing the reasoning behind my periodic paralysis. The only thing we've found so far is that my potassium was a bit low. IV fluids seem to be the only thing that help me move again, even though I drink electrolyte formulas daily just to function. It's really fascinating to hear about people going through similar. I know this video is a couple years old, but thank you for sharing stuff like this, it really helps me understand in layman's terms things that could be at play.

Just love how pumped you get, when describing the symptoms and diagnosis. Can definitely tell that you have a passion for medicine. If only all doctors were this passionate.

Things like this prove to me more and more that medicine is the right career for me. I'm supposed to hear from the first medical school I interviewed at this week and this video made me even more excited. Keep up the good work!

I have hypokalemic periodic paralysis. My son has it too. It took forever to find out what was going on with us. It is rare but we have some good docs now. Thanks for the video.

Only reason I recognized it as hkpp before she said what it was, I’d because of a KZfaqr, Chronically Amy, who had it. She tells a story of going paralyzed after getting served a drink at McDonald’s, because she asked for diet and got regular, which caused her insulin to spike, and her hkpp to trigger. This is a very interesting case! Thanks for sharing!

Fascinating! I wish the doctors near me were so interested in really sitting down and figuring things out instead of shrugging things off all the time😔 I love these vids!

I'm a student nurse and find these videos so interesting. I love how enthusiastic and informative you are!

I LOVEE these medical case reports! You have found an excellent way of displaying your medical expertise while also making the viewer feel like they are part of the investigative process too. I adore the day in the life videos but these are stellar. Lets be honest, all your videos rock! Thank you from all the medical enthusiasts on youtube.

I wish i knew more doctors like her, so it's enthusiastic to actually get to the root cause. It's interesting how nutrients play a role in these videos. ❤

New fear unlocked.

I’d love to be this confident in my own knowledge

So happy you are bringing awareness to periodic paralysis syndromes!! Awareness is vital. it can be deadly, and when it’s not, it’s often labeled conversion disorder- making the situation so much worse for the patient.

I have Grave's Disease too, and have always thought that it's quite rare for it to be passed onto boys. I have two young boys myself so I'll definitely be making sure to keep them in check once they get a little older. Thank you Voilin MD!

I'm glad that this guy received help very quickly and was brought back to health. This is why it's good to have somebody living with you.

Off topic but how come everyone always talks about how hot Dr. Mike is but never about how pretty she is?

i woke up paralyzed when i was 10, and they misdiagnosed me with guilian barre syndrome and then a couple days later i got rediagnosed with transverse myelitis and now i’m a paraplegic.

Gosh, this doctor should have a TV show. The way she undertakes the cases of most of her patients is very articulate and intrinsic. I really salute all the doctors who are battling on the frontline. Somehow, this had really got me into some minor realizations. Why not the government give aid/stipend/subsidiary to med students in achieving their dreams toward becoming a healthcare experts and not creating a huge monetary debts on their pockets. Same to soldiers, doctors and other healthcare experts are working their way up to save lives and potentially alleviate the living of the people. So far, Violin M.D taught me how to be more open to decisions and be more decisive on alot of things. Oral communication also really takes part of becoming a doctor. I really find myself readily available to cast and voice my words out and that hopefully i could use these skills when I become one, a doctor, someday.💙

Love the simplicity of these stories and the way they’re put over. The best communicators use stories to put over messages, which helps them to stick. Looking at this as a final year Medical Student and wondering why this method isn’t utilized in Medical Schools. It would go a long way in helping future doctors to recall materials. Also, forming differentials in my mind as we go through the videos, and it’s doing great for my confidence lol (much needed with exams approaching) Great job! 💕

I have Graves Disease, too. My hyperthyroidism led me to have a thyroid storm. So hearing about other thyroid related issues is quite interesting. I never knew about my Graves Disease, until I was literally knocking on death's door. I really love that you are informing us of a rare case. It's crazy that something so small, like your thyroid and it's hormones have such a huge impact.

Absolutely love how you break everything down and show your love for medicine!

Fascinating case! Thank you for sharing it, and telling the tale in such a gripping manner! I tend to get electrolyte imbalances, usually hypokalemia and occasionally hyponatremia. The first time it happened, I had no idea what was going on. I had been having the most terrible muscle cramps for weeks. One day while I was at work, I could feel my heart begin to beat irregularly. It was painless, but naturally it freaked me out. I was unsure what to do - clearly something was wrong, but I had no way to assess the urgency of the situation. I didn’t want to panic and overreact over what might be trivial, but I also didn’t want to ignore what might be life-threatening, either. I worked at a medical insurance company as a computer programmer, and I recalled that hey, we have a bunch of doctors up on the next floor (they reviewed medical necessity to pre-approve procedures). They were all older and retired from practice, but still wanted to work part-time, so this was an ideal job for them. Among them was a fellow who drove a Rolls Royce and wore interesting hats, and most notably looked impossibly old. In my head, I always called him “Dr. Methuselah.” I made for Dr. Methuselah’s office, found him therein, and explained the situation, asking if I should seek medical attention immediately or just call and make an appointment. Instead of receiving the expected recommendation, instantly I was surrounded by a sea of elderly men wielding stethoscopes and sphygmomanometers. Yes, they all still carried their gear with them, ready to spring into heroic medical action at a moment’s notice. I don’t know how Dr. Methuselah’s nearby colleagues knew that doctoring was afoot, but they all somehow did and simply materialized out of thin air. My blood pressure was on the low side (unusual because I had been diagnosed with mild hypertension) and my heartbeat was indeed irregular. After conferring briefly, they determined that an immediate trip to the ER was in order. 911 was called, and I was promptly whisked away in an ambulance, feeling a little silly because the hospital was just two blocks away and I could have easily just walked over there. The paramedics didn’t think I was having a heart attack, but gave me prophylactic sublingual nitroglycerin anyway, just in case. At the ER, blood tests revealed hypokalemia, and I confirmed their inquiries about the other symptoms I was experiencing, mainly fatigue and those godawful muscle cramps all over my body. They wanted to increase my blood potassium level as quickly as possible, so they added a tiny bag of potassium solution to my IV and set it to a rather brisk drip. Within a few minutes, though, I had to call the nurse and beg her to reduce the rate because it felt like the needle and the area of the vein where it was inserted was on fire. My God, that stuff burns! With the doctor’s concurrence, the dear lady kindly diluted it to a mixture that was no longer tantamount to torture. After that, voilà! I felt orders of magnitude better, saved by modern medicine from what actually was a potentially life-threatening situation. After all this, what was the cause of the hypokalemia, you may be wondering. It was - and I’m still irritated by this to this very day - an idiot doctor. The nitwit prescribed me hydrochlorothiazide, but failed to give me any supplemental potassium, and didn’t even ever bother to check it. I fired her immediately. Medical incompetence in such an obvious and predictable thing is inexcusable. Fortunately, there are so many capable and compassionate doctors available so that we do not have to suffer fools. I was also a bit annoyed with myself for having put up with Dr. Dimwit so long, despite having seen previous red flags (those are another story). In the end, though, all worked out, because I found the most incredible family doctor who ever lived. And that, too, is another story. A good one. 😊

There’s a reason why I found you, I started watching your videos today! I was checking my RHT and I heard you say “hyperthyroidism”, I looked up and started the video all over again! In April, I was diagnosed with hyperthyroidism, with absolutely no family history thyroid issues. I remember complaining about ALL of those symptoms, it was pretty bad. I thought I was stressing due to a new job at a women’s clinic. I’m glad that one of the doctors recommended I have my thyroid levels checked. Then, in May I was diagnosed with Graves Disease, by my now endocrinologist. It’s been a horrible roller coaster of doctors visits, medications going up/down, cancer scares/clearings, I’ve had 2 ultrasounds, 1 CAT Scan and what feels like 100 lab test. I feel so alone with this disease, I want to feel normal again and I just hope that it goes away.💔

When u have just learned about cells in school and a bunch of this stuff is fresh in your mind

I'm in my first semester of nursing school, and it can get so stressful sometimes!! But watching your videos reminds me why I want to go into this field and all the awesome things you can experience. Thank you so much for these!!

I am very happy for Alex ! I also want to mention how great you are at telling the story and explaining very complex medical case in plain words for us to understand. i really understood everything you explained and I am not a medical professional. Thank you and keep informing and educating us.

I love the way you explained things by delivering your message in a story format. I was diagnosed with Graves disease a month before my 70 birthday. I was a healthy senior up to the day I was diagnosed with Graves. I was fortunate that a doctor was quick to suggest a thyroid test and started the treatment with both medications you mentioned in the video. Off the meds for now, except for my blood pressure, the numbers are very irregular.

i really feel like you’re going to make a wonderful doctor. the way you break things down, and genuinely are committed to the patient and getting to the bottom of their problem. it took me 18 years of constant doctors visits mistreatment and wrong diagnoses to finally correctly diagnose me with my condition. i mean this whole heartedly, we desperately need more doctors and people like you. 💗

And this is why we should all take advantage of bananas being in season.

This one hits close to home. I too had hypokalemia and lost feeling from my hands to my elbows until I went to the ER and had potassium and magnesium given through IV and really gross tasting liquid mixed with Apple juice. My underlying cause was due to an incredibly fast increase in the way my body handled anxiety. I was diagnosed with a nervous disorder that causes me to get physically ill. I had just started college, got my first job and started dating someone new within the course of a couple weeks, and my brain got overloaded and I started having anxiety and panic attacks. I was bedridden for multiple months, sleeping all day and throwing up everything I ate for some reason. Eventually I had an anxiety attack that lasted 3 hours because my hands and elbows were feeling weak. Well, I ended up losing feeling altogether, having a panic attack where I hyperventilate and made my whole body numb and purple, got rushed to the ER for the first time ever and by ambulance, which scared me more. Turns out my potassium and magnesium were low, but my potassium was 2.3. 15 hours, lots of IVs, gross juices with potassium liquid and pills later, I was feeling better, but the damage from sleeping all day and being horizontal for months, loaing 60 pounds from not being able to eat and throwing up whatever I forced down my throat, made it really hard to get used to sitting up and standing and walking. Took another 2 months to fully recover. That was in 2013 when I was 18.

I was watching this as a third year medical student and was fascinated with this case! I was thinking more along the lines of a pontine stroke or syringomyelia until you started listing some of the physical exam findings and labs. Especially the proximal nature of the patient’s neurologic deficits. I’ve never heard of this before! For endocrine issues I briefly considered thyrotoxicosis, but hadn’t considered it as high on my DDx after the BP and temp were normal! Thank you for sharing this! I really enjoy this style of video!

This was really enlightening - not just an explanation of the particular medical phenomena, but also a deeper look into medical problem-solving strategy! Love this, keep up the great content.

Third year resident, huh? You have two years to attend scribe classes. Your handwriting is dangerously legible for a physician.

"Right now, you've got thyroid hormone running through your body!" Me, a person with hypothyroidism: 😔

Like how you use the scientific method, common sense, and the observed facts from the tests to find out the patient's problems. Also, good to see you are listening and observing instead of guessing what the problem is. Good job!

Imagine Siobhan, Chubby Emu, and Dr.Mike It would be absolutely **chefs kiss**

I really relate with this story. My uncle was finally diagnosed last year with Grave's disease after months of drastically losing weight and having no energy whatsoever. He would eat a whole container of ice cream each night to try to gain some weight but nothing helped him. Luckily he is doing better now and he has gained weight all the while not having to eat a gallon of ice cream every night.

Hello , I am a medicine student in Turkey.I watched this video tonight and I really love it !!! Because it is really good to remember informations and diagnosing and also it is a big opportunity to improve my English.I wanted thank you for these all videos.You are so lovely !!!

I feel like she use her husband for demonstrating alex which is so cute!

You are truly awesome for taking time out of your insanely busy schedule to record for us, edit, and upload these AMAZING videos!!!! Kudos to you girl you're awesome!!! Btw nope, never heard of this periodic paralysis for hyperthyroidism

That's what I LOVE about medicine, there's always something new to learn! Your passion for medicine is what motivates me to do well in Med school ♥️

I went to the hospital with extremely low potassium a few months ago and I just wanna put it out there that having pure potassium pumped through my veins was one of the most painful things to have ever happened to me

I don't really know about what she's talking about. But when I listen to the whole thing, it all comes together. Makes sense at the end, this girl is really smart. She's the kind of doctor that will think outside the box and save your life.

Love your enthusiasm Siobhan! You make medicine interesting to the layperson. Hamilton is lucky to have you on duty. Keep up the great work. And odd side note, you have awesome hair :)

I have never heard of this but I love the way you explained it all. Love your enthusiasm too

I believe that videos like these, not really classes, but these videos from a real doctor can help educate everyone around the world. Thanks and God bless Doc!

I had sleep paralysis a few times so I know exactly how it feels like waking up without the ability to move. The worst thing about sleep paralysis is that you can't even scream. The good thing is it goes away after a few minutes. Hopefully I never actually get paralyzed in my sleep and hopefully I never actually get paralyzed in my sleep thinking it's a sleep paralysis again and waiting for it to go away xd

Hey, new viewer from the UK here! Your insights into the medical system in Canada is so interesting and I’m so happy to see someone so kind and knowledgeable in the field of medicine. As an aspiring banking and finance graduate, having kindness and compassion is something I want to have and you’re a great example!

Wow, I have never heard of this! Imagine if he didn’t have a roommate living with him..how scary! I would love to see more videos like this, it was super interesting 😊

Your videos really rock. You put in so much effort in bringing the case to life. Thank you. Do you sometimes also find real cases from your work, or are you not allowed to ask patients whether they would mind getting shown on KZfaq?

You are such a breath of fresh air! You are not only very knowledgable; you have such an engaging attitude and bring us into your conversation! I never had heard of this condition. But you made it all make so much sense! I have only been subscribed to you for about a week or two. I just happened to be scrolling when I saw your channel. After watching you, I subscribed immediately! I am so glad I found your channel! God bless you!

I had hyperthyroidism and greaves disease and never knew about this! I suppose like you said it’s super rare! I did the radioiodine treatment and it has fixed most if not all of my symptoms (sweating, tremors, anxiety etc). It’s amazing that such a little gland in your body controls so much ! Love your videos! 🇦🇺

This was really great! I loved seeing how a doctor works through all the possibilities in a medical mystery. I would like to see more like this. Thank you!

Wonderful story of an eclectic problem with happy results 😬

Love this girl! Shes so interested in everything its infectious!

Two questions! 1. Would we ever worry about replacing a patient’s potassium too quickly (EKG wise)? 2. Should people with sleep paralysis look into getting bloodwork in case this is their issue?

This is so great! I used to live for this show called “Mystery Diagnosis” and this was like that. This is helpful for nursing school 😉

Wow, glad Alex got the right medical doctors to figure out his issue. Stay healthy Alex. As far as this young doctor, may God continue to pour out his grace and wisdom in you. You have a real passion and it's seen in your eyes and the way you look at things. Just heard you for the first time a few days ago. Again, you are a real blessing to the medical community.

I got nausea and chills just watching this video. I may not be an Asian male, but I was in thyrotoxicosis for quite a while and the idea that this was even possible horrifies me. This series is amazing please keep going forever

Love the video. Like how you walked through the process from diagnosis to treatment.

I was diagnosed with Graves Disease when I was 16. Holy crap, I am SO thankful I never had to experience paralysis! I am 25 now and the hardest part for me is the temperature regulation. I live in Southern California, so the summers come close to killing me lol. The human body is so interesting and complex, its amazing! I am currently taking anatomy with hopes of entering the medical field, and its a lot to take in. Last Monday, we skinned cats. This upcoming Monday, we're going to be dissecting the cat's muscles. There's so much to learn!

I love how passionate you are about this stuff. Love watching your videos

Doctors are really such heroes. You are so smart. Thank you for using your love and smarts in medicine to help others.

Yay another video! I was just looking for a distraction and this is the perfect one. My mom just passed away 3 days ago and this is the perfect thing to help.💕

Fascinating! Due to being a medical transcriptionist for many years, classwork and working in hospital settings I'm often able to guess diagnoses, but I'd never heard of this one.

This lady has enough enthusiasm for all of us and I am 1000% here for it! Awesome episode, I absolutely adore these kinds of videos!! Cubbyemu aka Dr Bernard will always have a special place in my heart lol

i live alone. so the idea of being paralyzed in my sleep is terrifying. days just laying there stuck in bed screaming for help and nobody comes to help me. hoping to get saved and scared of dying from dehydration. what a nightmare.

0:45 'It is intended for educational purses only'. Guess I can't watch this video as a human then.

Wonderful case presentation! I suspected that there would be some sort of deficiency present. Excellent job pinning it down to graves disease in the end and straightening Alex out. I really find medicine to be such a beautiful way to address problems. Thank you for sharing this case and thank you for your passionate explanations! I look forward to more content and cases!

Never heard of it , I wish all the doctors would be as passionate! Caring for people is a big responsibility

I love to see these kind of medical cases (based on true journals) ! It just intrigues me so much !! Thankyou for doing this ❤️

Side note 📝: You have great handwriting and I love how you color code and lay out your notes! So much easier to read!!

I'm sure you've heard this before, but a collab between you and Dr Mike would be everything!

One of the best youTube videos I've seen in months. Kept me fascinated 'till the end. Thanks!

Wow. That was a tough case to solve. I love how you break everything down for us, and classify everything. You make a great teacher

❤️I love watching you and you are an inspiration because when I grow up to be older I’m gonna be a nurse and help people in need❤️

Well damn I didn’t know potassium was so important I’m going to go eat a banana right now

I'm just seeing this 3 years later and enjoyed this. I'm going to check to see if you did more of these medical stories.

So interesting! My doctor's checked me for HPP when I came in to the ER with a Potassium level of 2 and full body spasms. Turns out it was Renal Tubular Acidosis and I got diagnosed with Sjögren's after it hit my kidneys (I had no idea how important Potassium was before!) So proud to see a really caring doctor like you going into Rheumatology, as these autoimmune conditions are so scary and confusing for patients to navigate. I would love to see you a do a video on Sjögren's one day, as no one knows what it is, and I hate that all you can find online is that it means dry mouth, dry eyes and feeling tired (not to downplay these crappy symptoms!) but it can effect the body in so many other ways. I developed numb arms & legs on and off, muscle problems due to the Acidosis, had a TIA, and had horrible stomach issues and acid reflux.

This reminds me of when I was having issues and had “thyroid storming”. It was a mystery that needed solving. My doctor called the thyroid the conductor of the orchestra . 😂

Hyperkalemic periodic paralysis is actually unfortunately common in Quarter Horses as well! It's all due to a genetic defect that arose in a single Quarter Horse named Impressive. People were so amazed by his muscle condition (due to the HYPP, though not known at the time) that he ended up siring a HUGE amount of foals. It's estimated that he sired about 10% of the Quarter Horses living today!

Hey Doc, I’m having a lot of fun watching your video case studies! Even with my very limited medical knowledge, I am sometimes able to guess the correct advancement of the diagnosis.

Thank you. I got my "House fix". I have been having House MD withdrawal since watching the series twice. Please, more like this!

I love watching your videos! It definitely gives an inside perspective on what medical professionals go through! It’s like every patient is a jigsaw puzzle, and you have to do all theses tests to figure out how to put them back together lol

awesome vid! would love to see more like this - very educational for a medical student

All my friends are watching your videos,we love them.Thanks

This is like a sleep paralysis nightmare I can't imagine if alex lived alone what would have happened

Thank you for briefing such an interesting case.... I’m a practising doctor but even I hv not. come across such a unique presentation of Graves’ disease.... Do continue posting such interesting cases... thank you U r sooo fulllll of life.... like ur spirit... God bless u...!!! ... love from INDIA 😊

I had Graves’ Disease as well, luckily discovered on routine physical instead of like this! I was treated with Radioactive Iodine and now I’m good as new.

Iv never been interested in the medical sides of things ect but OMG Iv been non stop watching your videos, I’m so genuinely interested it’s awesome

I was diagnosed with Graves and hyperthyroidism in dec 2019. It is some scary stuff!!! One horrible thyroid storm and ER trip later I am finally on the mend. Thanks for brining attention to this disease!!! Interesting story!

I love how you tell this like a story（even more interesting than a story lol）

I was diagnosed with Grave's disease recently, thank god I haven't had any paralysis symptoms :O

You are so awesome, and I was right there in the moments when you were describing his symptoms. For my sister has thyroid eye disease, and I have potassium imbalances due to hearing loss. Had a little bit of a feeling that his condition was somewhere in-between, and I am so very Grateful for you; for you are a great teacher and I always learn so much from your videos. ❤️ Prayers of Love, Peace, and Blessings of Abundance to you.🙏 🌍 👼

I love residents! Always so thorough and excited to learn! I'm an old MD 43 i love residents and still use a residency clinic for my PC Doc!