Guillain Barre Syndrome (GBS) Treatment, Pathophysiology, Symptoms, Neurology Medicine Lecture USMLE

Guillain Barre Syndrome (GBS) Treatment, Pathophysiology, Symptoms, Neurology Medicine Lecture USMLE
In this video on Guillain barre syndrome and variants(Miller Fischer, AMAN) i have discussed treatment management and prognosis as well as clinical presentation of patients with Guillain barre syndrome. Plasma exchange and IVIG treatment as well as indications of intubation and ICU admission have been discussed in detail. This neurology medicine lecture ois based on courses and exma usmle step 2 ck and nclex.
Chapters
0:00 Intro
0:09 What is Guillain Barre Syndrome (GBS)
2:22 Causative Pathogens
3:10 Pathophysiology
4:31 Clinical Presentation
7:35 Cranial Nerve Involvement
8:08 Subtypes/ GBS Variants (Miller Fischer)
10:14 Diagnosis/Investigations
14:00 Treatment
15:39 Indications of Intubation
18:24 Immunomodulatory Therapy (IVIG, Plasmapheresis)
21:41 How to give IVIG?
22:42 Plasmapharesis
23:19 Prognosis
24:35 Transverse Myelitis vs Guillain Barre syndrome
25:59 Summary
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Пікірлер: 131

  • @MedNerdDrWaqasFazal
    @MedNerdDrWaqasFazal Жыл бұрын

    FOLLOW ME ON :) Instagram: instagram.com/docwaqasfazal/ Facebook: facebook.com/Drwaqasfazal

  • @foodfashion8574

    @foodfashion8574

    6 ай бұрын

    Assalamualaikum Dr want to talk with U.. Plz let me know wer can i call U.. It's urgent😢

  • @mariebekker949

    @mariebekker949

    2 ай бұрын

    My son had G B S very bad took over 2 years plus Miller fisher i dont think that you recover in full

  • @Mamta9
    @Mamta9 Жыл бұрын

    Sir ....I always skip ads but in your videos I let them go on so that your channel earns some much deserved gain...😊👍..Thanks so much for the informative videos Sir 🙏🏻

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    Hahaha so nice of you. Kind comments like these are enough gains for me. 😊

  • @SwamiKripananda
    @SwamiKripananda Жыл бұрын

    I have Guillaine Barre Syndrome. On 2 occasions I had to be taken to a hospital with Paralysis. Your video gave me so much understanding of this illness. I can never be fully grateful. Thank you.

  • @user-ni5uq3dx3i
    @user-ni5uq3dx3i3 ай бұрын

    Sir u bring so much of grace and positivity in ur videos respect it

  • @patishaclaudious9634
    @patishaclaudious96342 ай бұрын

    I am Working as a staff nurse in a Government sector..and I am preparing for my NCLEX exam for Canada..I must say you are one of the best teacher I have came across so far..ur way of teaching,explanations they all are next level..it’s so easy to understand the concepts it’s just because they are so easy to understand..really u r a great mentor..I wish you all the best for the upcoming years👍🏻🙏🏻

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    2 ай бұрын

    So nice of you 😊

  • @yibeltalseyid1633
    @yibeltalseyid1633 Жыл бұрын

    Thank you dr for ur continues effort to make us better emergency physicians.

  • @muhammadsaeedakbar8059
    @muhammadsaeedakbar80597 ай бұрын

    Jazak Allah Dr Waqas this video is the complete pack of information regarding GBS a few weeks back my younger bro got this probs n we suffered with all these probs now after watching Ur video each n everything beside future caring n precautions I m got to learn from this video. Jazak Allah bro u r doing a good job.

  • @DomSamui
    @DomSamui4 ай бұрын

    Thank you for the video, I am 11 and have GBS since I was 9. Good luck on everyone’s recovery, I will walk again soon

  • @heong5202
    @heong52023 ай бұрын

    thanks for educating me, omg i've read lot of books and journal abt GBS for my assignment, but watching this video hits different, i got more and more info and it's very easy to understand

  • @ipadfamily9135
    @ipadfamily9135 Жыл бұрын

    All your lectures are very elaborative;easy to understand;comprehensive. Well done 👍. I am Dr. Nazir Ch. Paediatrician Faisalabad

  • @ruhulhaidar949
    @ruhulhaidar949 Жыл бұрын

    I am so lucky to find u in youtube.Thank u so much

  • @theavisdreamer
    @theavisdreamer Жыл бұрын

    Thank u so much sir for all your videos, I can't be grateful enough for the information you give to doctors❤

  • @user-ly2bh3nn6p
    @user-ly2bh3nn6p5 ай бұрын

    Short and Sweet. Keep uploading more. You will reach 1M soon. Thank You Sir

  • @dr.biplabkumardas3023
    @dr.biplabkumardas30238 ай бұрын

    Sir Very nice presentation & we can easily grasp the mechanism from your technique of lecture

  • @dr.sumanjaiswar6995
    @dr.sumanjaiswar699511 ай бұрын

    Thank you so much sir this video..🙏 2 days ago one patient admitted with same complaints..and diagosed as GB syndrome..its very scary disease.😢

  • @yaa531
    @yaa5314 ай бұрын

    Thank you so much for the information, is my first to work with a learner with this ailment your info just empower me so much

  • @HalftoneHareem
    @HalftoneHareem6 ай бұрын

    My father had GBS. He was paralyzed for months and the doctor didn’t know what to do and did many tests. He later passed away

  • @shabanakhalid6839
    @shabanakhalid6839 Жыл бұрын

    I like your step wise concept amazing

  • @khanjay5189
    @khanjay5189 Жыл бұрын

    So good nd precise lectures. Why I found them late... Just 15days n my exams left. But Thanks for them sir...

  • @godfreychisanga7677
    @godfreychisanga7677 Жыл бұрын

    I'm trying to watch all your videos You are awesome 💪🏾👏🏾👏🏾 I'm a final year medical student From ZAMBIA and these videos are simply amazing

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    So Nice of you 😊

  • @Khaled-gv4nz
    @Khaled-gv4nz Жыл бұрын

    What a great explanation 🤩, Thank you so much 🤎

  • @DrBikram
    @DrBikram Жыл бұрын

    As a medico...I subscribed the all channels of medicine in KZread... but this is the special n best of mine... Thank you Sir😊🔥for the lucid n concise explanation.

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    I am very glad to hear that 😊

  • @DrBikram

    @DrBikram

    Жыл бұрын

    @@MedNerdDrWaqasFazal ❣️

  • @haleemjaan6005
    @haleemjaan6005 Жыл бұрын

    Great Information Sir

  • @user-cx9db7rt8b
    @user-cx9db7rt8b7 ай бұрын

    Interesting thanks for sharing. My twin sister has this today almost 2 years she gets strong everyday. Wish they never had this

  • @BonJunCuevas
    @BonJunCuevasАй бұрын

    Thank you doc, Informative and well explained.

  • @holyearth
    @holyearth5 ай бұрын

    Your videos are highly educational. Please keep contributing!!

  • @eshiunduishmail1915
    @eshiunduishmail1915Күн бұрын

    Good explanation of GBS.

  • @andyroid5028
    @andyroid5028 Жыл бұрын

    *_A great video explaining GBS & its variants. Thanks for sharing your vast knowledge, Doctor! 👍👏_* *I do have just one question for you (or anyone else reading this): What are the chances of someone unlucky enough to become afflicted with GBS TWICE? And by TWICE, I am referring to a possible scenario such as the following:* _A 35yo male patient presents with GBS symptoms to the hospital & is later confirmed to be suffering from GBS. Several months later, all indications seem to confirm that this patient has made a complete recovery. Fast forward 10 years... the same scenario occurs to this same patient (now 45yo) and luckily, he again makes a full recovery._ _So again, has anyone ever heard of 'lightning striking twice' re: GBS? And if so, how rare is that? I assume it is QUITE rare._ *As a non-Doctor (I am completely unassociated with the medical field), one takeaway I get from this video & many others is this: the sheath that covers the nerves called the **_MYELIN SHEATH_** is one of the most (or maybe THE most) vulnerable pathology targets of these diseases/conditions.* _It would be great if there was something/someone in the medical field that could somehow fortify (make stronger/make 'less impenetrable') the MYELIN SHEATH. If there were a way to make the MYELIN SHEATH 'undamageable' (or much more resistive to damage), perhaps a lot of these conditions/diseases (multiple sclerosis, Guillan-Barre, etc) could be avoided or made way less severe?_ *Anyway, that's just an honest observation from a non-medical guy just simply observing & commenting. : ) Thanks for reading my long comment! 👍* PS: So glad to hear about the high rate of full (and to 'near full') recovery in GBS patients. Thankfully, I personally haven't experienced having GBS, but know of a couple of people who were unlucky enough to be inflicted with it (but they made full/nearly 100% recoveries).

  • @shayanazizkhattak5776
    @shayanazizkhattak5776 Жыл бұрын

    Amazing. I'm going to show this to my junior doctors in Australia. 👍

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    So Nice of you 😊

  • @ankush9985

    @ankush9985

    Жыл бұрын

    ​@@MedNerdDrWaqasFazalIs all patients having Serious complications in GBS ???

  • @alisha7739
    @alisha77393 ай бұрын

    Awesome lecture sir pls upload all medicine lectures which is important ug mbbs

  • @drkalmeshpatil2327
    @drkalmeshpatil2327 Жыл бұрын

    Great information sir 👍

  • @dr.maheshnirban3605
    @dr.maheshnirban360511 ай бұрын

    Very beautiful pictures of GBS sir❤❤❤

  • @allaboutfashion1780
    @allaboutfashion1780 Жыл бұрын

    thanku for sharing uhr knowledge.

  • @kuldeepsingh-cq9ci
    @kuldeepsingh-cq9ci Жыл бұрын

    Thank you so much sir. Your explanations are very clear n I find it very easy to follow your thought process. Thank you for selflessly helping so many across the country

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    I am very happy to hear that 😊

  • @sambhajigavande5010
    @sambhajigavande5010 Жыл бұрын

    Nice explaination

  • @rajeevranjansingh4210
    @rajeevranjansingh4210 Жыл бұрын

    Sir please make the video on fungal infection on skin how can treat this type of disease please sir your concept is too much clear

  • @crazygair4278
    @crazygair4278 Жыл бұрын

    My girlfriend is 67 years old and is suffering with GBS for 1 week in the hospital and is in the paralyzed state. She has a Pneumonia now and is being treated with the plasma exchange. She can move her lips a little bit and that is it. Wondering if she can come out of this? What is the best IV given for food for GBS? Would shots of B12 help? She was sick with the flu for about a week and this was four weeks ago. She got better but did not eat very much for three weeks and could not hold food down both ways. She was drinking a lot of water. If their are Any more Info on how to treat her weakness now would be very appreciated. Dr. Fazal, Thanks for you video

  • @azimrashidkhan
    @azimrashidkhan Жыл бұрын

    Thanking you for this Informative video.... Me also suffered from GBS last year post covid vaccination... Was totally paralyzed, but there was no respiratory issues... Now recovered.... 👍

  • @genuineselection5635

    @genuineselection5635

    Жыл бұрын

    I just need your help man. My father is suffering from GBS. He is unable to walk or in simple words i can say he is bedridden. I don't know what to do. Is their any hope that he would walk again ? Plz do me a favour.

  • @azimrashidkhan

    @azimrashidkhan

    Жыл бұрын

    @@genuineselection5635 get him to a hospital with Neurology department immediately..

  • @genuineselection5635

    @genuineselection5635

    Жыл бұрын

    @@azimrashidkhan sure bhai. Thank you for the concern.

  • @skhan8397

    @skhan8397

    10 ай бұрын

    Hello Kia ap ki tingling or numbness ty hands or feet may plz ye kb tak hoti hai or kb tek hoge

  • @Doctor_sonam.
    @Doctor_sonam.10 ай бұрын

    I couldn't t understand befor watching this Tq so much sir ji

  • @sahilshrivastava3911
    @sahilshrivastava3911Ай бұрын

    Every time when i see ur video After completing when u ask do you like my video Its always Wow that comes of my mouth

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Ай бұрын

    So nice of you dear

  • @shamimkhan-tp8xq
    @shamimkhan-tp8xq7 ай бұрын

    Sir i am nursing student nice explanation every topic

  • @christopheranuligo1389
    @christopheranuligo1389 Жыл бұрын

    Good morning sir,... excellent presentation.. thank you so much for the insight,.. Pls why are steroids not used in the Rx of GBS, infact you said they're useless. Pls why?

  • @Ann-ne1fu
    @Ann-ne1fu Жыл бұрын

    Awesome! Thank you.

  • @user-js3ng7ug2f
    @user-js3ng7ug2f11 ай бұрын

    Can gbs progression be delayed by cortisone intake ? Especially when patient was taking cortisone for another reason

  • @navdeepkaur4135
    @navdeepkaur41352 ай бұрын

    Thank you sir . Can you please make video on HEPATORENAL SYNDROME and MANAGEMENT 🙇‍♀️

  • @joesfu
    @joesfu Жыл бұрын

    Sir I have a question I have all the symptoms for Guillain-Barré. However, my my CSF did not show high-protein levels. does GBS always have to have high levels of protein in the CSF? Thank you in advance.

  • @appleidea2762
    @appleidea27626 ай бұрын

    you got this keep it going

  • @epeyserah6727
    @epeyserah6727Ай бұрын

    Thanks for the video Sir, Please can someone fully recovered through kinesitherapy? But he in niclobion, nicleogil

  • @harsiddhrajvanshi4307
    @harsiddhrajvanshi4307 Жыл бұрын

    Nicely done sir Respect from India

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    Thank you 😊

  • @nurdewan4962
    @nurdewan496211 ай бұрын

    Sir in GBS there is diaphragmatic muscle paralysis so how can RR is high.?

  • @BekindbyRukshan
    @BekindbyRukshan10 ай бұрын

    My mother 84 years , who was healthy doing her daily chores on her self, brief exercise in the mornings..She complained of sudden electric shock when walking towards the wash room, next day she felt uneasy and unable to stand straight...sudden loss of numbness of ankle and knee within 1 hour..rushed to hospital, diagnosed GBS on admission to ER. Immediate 5 course of IVIG didnt provide any recovery..2 days at ICU Of which 1st day she was able to speak ..next day she passed away peacefully...If the patient is young go for respirator (but recovering will take months and lots of money) or if they have lived their ripeful age, dont go for respirator (it will be more painful and follow up with be a nightmare/suffering ...may no one contract GBS.....

  • @MaGoSaNx
    @MaGoSaNx9 ай бұрын

    I have a family member who’s diagnosed with this disease, sadly, it started in both legs and went all the way up to his lungs were he’s on a constant oxygen mask, it stared 7 month ago, so far doctors had given up on treatment, not fully sure why! Are you in the USA? If so, I can arrange for him to see you.

  • @kuntalsarkar971
    @kuntalsarkar971 Жыл бұрын

    Sir expecting one lecture on autoimmune diseases, if possible. Thank you, Sir.

  • @skhan8397
    @skhan839710 ай бұрын

    Hello kia hands or feet may jo tingling and numbness hoty hai wo tek ho jati hai... or agar han tho kitnay time may plz reply i am very worried

  • @skhan8397
    @skhan839710 ай бұрын

    Hello sir i am suffering from GBS diseases its has been 7 months i still have tingling and numbness in my hands and feet. Plz reply me tell me when it will go away any treatment for tingling and numbness 😢

  • @dr.suchetayadav2986
    @dr.suchetayadav2986 Жыл бұрын

    Excellent

  • @syednajmuddin4860
    @syednajmuddin4860 Жыл бұрын

    Sir,My best friend's daughter is suffering with GBS ..she is jst a year old....my friend already suffered loss of her eĺder son due to the same disease..please suggest what could be done in this case...

  • @sudheerbabu2952
    @sudheerbabu2952 Жыл бұрын

    Sir my bro also suffer GBS unfortunately loss finger flexaction and extension .nice explanation sir 👍 👏 👌

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    Sorry to hear that. I wish he gets speedy recovery.

  • @Informatio367
    @Informatio3675 ай бұрын

    It is really amazing

  • @nature-travel-foodie
    @nature-travel-foodie10 ай бұрын

    Im dealing with GBS Amman subtype im on my 6months recovery period I've experienced all that you discussed

  • @sonalibhattacharya5575

    @sonalibhattacharya5575

    4 ай бұрын

    U have given Plasma transplant?

  • @rahulbhiungade9623
    @rahulbhiungade9623 Жыл бұрын

    Thank you sir

  • @mks1892
    @mks1892 Жыл бұрын

    Sir Kindly consider request of ECG lectures thanku

  • @anwarqureshi1674
    @anwarqureshi1674 Жыл бұрын

    Can it be termed as MND

  • @garybrown9576
    @garybrown9576 Жыл бұрын

    Dr. that was great info. Healthy my whole life, 57, pretty sure i have GBS, seems not to be progressing, but how can i know for sure. Had spinal tap, had full MRI and CAT scan. Spinal shows slight elevation in protein. Just looking for options to reduce or determine if the GBS is on the decline and not to get too worried about the worst.

  • @andyroid5028

    @andyroid5028

    Жыл бұрын

    *_Good luck Gary. Hey, if you don't mind sharing... just curious as to what your 'triggering event' was before your GBS diagnosis? Thanks!_*

  • @AliAli-mi2lx
    @AliAli-mi2lx3 ай бұрын

    Sir I have GBS patent 2 year ago I am recover but My leg muscular pain you advise me how to recover

  • @sangeetaparmar1194
    @sangeetaparmar1194 Жыл бұрын

    Sir Please make a video on anemia and scorpion bite

  • @mythreyeec6853
    @mythreyeec68533 ай бұрын

    Thank u sir, is it expected to get fits in GBS

  • @dr.biplabkumardas3023
    @dr.biplabkumardas302310 ай бұрын

    Fine sir But pl make a vedio on Anaemia, Thalassemia with management

  • @kumudekka2493
    @kumudekka24939 ай бұрын

    Sir please tell me surgical treatment of g b syndrome

  • @sangeetaparmar1194
    @sangeetaparmar1194 Жыл бұрын

    Please give lecture video on cough treatment sir 😃

  • @ARFANMOVIES
    @ARFANMOVIES Жыл бұрын

    Sir I m Gbs survivor I'm not fully recovered can you help me

  • @Manny_Fr3sh
    @Manny_Fr3sh9 ай бұрын

    Laying here in bed at 5am unable to sleep because tingling and numbness in extremities, 1 week after the "jab" that my college program forced me to get 😡. Now researching and deciding if i should go in to the ER.

  • @RRJFamily23

    @RRJFamily23

    2 ай бұрын

    Did you checked

  • @manishamalhotra6832
    @manishamalhotra6832 Жыл бұрын

    pls reply my question as my son having this problem

  • @tanzeelaakram
    @tanzeelaakram Жыл бұрын

    Sir u are amazing ❤

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    I am humbled 😊

  • @UmarKhan-kpk23
    @UmarKhan-kpk23 Жыл бұрын

    Sir make a video about food poisoning treatment

  • @Mimi-fw4bb
    @Mimi-fw4bb Жыл бұрын

    My mother woke up with muscle weakness in hands and feet. We got her to the hospital, next day she couldn t move them at all. She felt the touches but could not move, no pain. The 3 day she was on imunoglobulin therapy for 5 days. A few days since the therapy started she could move a little the feet and hands. She doesn t feel when she urinates. She was diagnosed with AMAN. Do you think it s AMAN or simple GBS? If it s AMAN what is the recovery prognossis? We are from Bucharest, Romania. Now at 2 weeks from the debut she has been transfered on recovery department and will begin physiotherapy.

  • @talkwithsuyog2607

    @talkwithsuyog2607

    11 ай бұрын

    Now what's condition? Your mother recovered?

  • @Kotrica

    @Kotrica

    10 ай бұрын

    Hello

  • @sangeetaparmar1194
    @sangeetaparmar1194 Жыл бұрын

    Sir please make a video on jaundice

  • @VoughtX
    @VoughtX Жыл бұрын

    🙌🙌

  • @abidin2011
    @abidin20118 ай бұрын

    Hello sir how can i talk to you live

  • @igbinosuniriafaith4445
    @igbinosuniriafaith444511 ай бұрын

    You are a great teacher sir 😮 I just found your channel, I am definitely subscribing

  • @mtmadv7872
    @mtmadv7872 Жыл бұрын

    Multiple sclerosis and mysthenia gravis pe bhi video banaiye, taki compare karke study krne mein asani rahe.... Cz these ol cause a lot of confusion in diagnosis

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    Sure I will 😊

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    Video on multiple sclerosis has been uploaded 😊

  • @nisekkhatiwada1303
    @nisekkhatiwada1303 Жыл бұрын

    Sir please make a KZread short video on,"How to calculate eGFR?".

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    Sure I will. Stay tuned 😊

  • @ravikanttyagi180
    @ravikanttyagi180 Жыл бұрын

    Respected sir my mother is on ventilator for last 20 days..but ventilator is almost on lowest mode..she is 68..after no recovery from IVIG..Dr. now has started plasma therapy..Sir..what do you think..will she be able to recover

  • @babitanarula7965

    @babitanarula7965

    10 ай бұрын

    Brother aab apki mother kaisay hai my mother passed away this June due to GBS

  • @shezk2950
    @shezk2950 Жыл бұрын

    Dear Sir, my grandson who's five years of age has been admitted showing signs of GBS syndrome, they are also doing an MRI scan as his right eye is going inwards. We are very concerned

  • @simonmeja

    @simonmeja

    8 ай бұрын

    A quick check up... How's your grandson fairing on?

  • @drsohailzahir2837
    @drsohailzahir28374 ай бұрын

    ❤❤❤

  • @camrank3334
    @camrank3334 Жыл бұрын

    Amazing💯

  • @misbahumar4577
    @misbahumar4577 Жыл бұрын

    👍👍👍👍

  • @router8352
    @router83526 ай бұрын

    I was not having any infection previously but still attacked by GBS.

  • @JunaidAshrafLone
    @JunaidAshrafLoneАй бұрын

    Dear Doc Iike your few videos and liked hence subscribed the Chennal hoping you may provide alike videos henceforth******From ,,,,,,,KUPWARA (J & K.,)

  • @drkalmeshpatil2327
    @drkalmeshpatil2327 Жыл бұрын

    Make a video on ECG sir please 🙏 sir

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    Will upload it for you 😊

  • @Simplensweett
    @Simplensweett5 ай бұрын

    😊👌

  • @sabarivspoojappura2250
    @sabarivspoojappura2250 Жыл бұрын

    Dear sir... My mom suffering from this disease for a long time... Can i have ur number to get more information sir ..

  • @ahmedshafa30
    @ahmedshafa305 ай бұрын

    My patient presented with decending type of paralysis

  • @krunalbhatt001
    @krunalbhatt001 Жыл бұрын

    Bladder is never involved in GBS... why u r telling voiding dysfunctions?

  • @tanzeelaakram

    @tanzeelaakram

    Жыл бұрын

    He said bladder may or may not involved not never involved

  • @AhmedAli-vs9of
    @AhmedAli-vs9of4 ай бұрын

    I would like you to make tetanus lucter as well as soon as possible. Thanks

  • @medicomahendra3749
    @medicomahendra374910 ай бұрын

    Tick bite causes GB syndrome

  • @skhan8397
    @skhan83979 ай бұрын

    Hello sir plz reply me

  • @rishikreddy2946
    @rishikreddy2946 Жыл бұрын

    ᵇᵃᵍᵍⁱⁿᵍ ᶜˡᵒˢᵉʳ ᵃᵖᵖˡᵃᵘˢᵉ ᵗᵒ ᵈʳ ⁿᵃᶻᵉᵉᵇ ,ˡⁱᵗᵉʳᵃˡˡʸ ˢᵒᵒ ʰᵃᵖᵖʸ ᵗᵒ ˢᵉᵉ ᵘ ᵗʰᵉʳᵉ ˢⁱʳ...,,🙏🏻🏹

  • @MedNerdDrWaqasFazal

    @MedNerdDrWaqasFazal

    Жыл бұрын

    So Nice of you 😊

  • @shantanuranjan8598
    @shantanuranjan8598 Жыл бұрын

    Stop giving this much ads

  • @prasannaamusicals4220
    @prasannaamusicals4220 Жыл бұрын

    Thanks a lot sir

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