At the Limits - Leading Medical Education

At the Limits - Leading Medical Education

‘At the Limits’ has been leading medical education for over 25 years with events in multiple disease areas across the globe.

See all the upcoming events here:
eu.eventscloud.com/website/7176/

The full multimedia of selected presentations is available on Open Dialogue, med-ed hub from At the Limits. Featuring live webcasts, interviews, and presentations from a host of the world’s leading researchers, scientists and clinicians, the hub includes hundreds of hours of archive material alongside the newest and most recent content.

opendialogue.health/

Professor Theresa McDonagh

Professor Theresa McDonagh

Professor Peter Libby

Professor Peter Libby

Professor Carel le Roux

Professor Carel le Roux

Professor Aruna Pradhan

Professor Aruna Pradhan

Professor Peter Stenvinkel

Professor Peter Stenvinkel

Professor Melanie Davies

Professor Melanie Davies

Professor Richard Schilling

Professor Richard Schilling

Professor Simon Griffin

Professor Simon Griffin

Professor May Ng

Professor May Ng

Dr Lucy Mackillop

Dr Lucy Mackillop

Dr Ian Prenelle

Dr Ian Prenelle

Пікірлер

  • @kevinwellwrought2024
    @kevinwellwrought20242 күн бұрын

    Farxiga also increases ketones which is very bad for kidneys and can also cause ostheoporosis!

  • @billyhw5492
    @billyhw549210 күн бұрын

    There's a bit of incongruence in this video. At the end he says that diet and exercise "alone" don't work. But his earlier slides on the biggest loser studies show that diet and exercise are positively harmful and just make the problem worse in the long run.

  • @user-zt1rv5ye5e
    @user-zt1rv5ye5e15 күн бұрын

    if diet and lifestyle have no effect I should stop exercising and eat what I want this doctor is a nutjob

  • @user-zt1rv5ye5e
    @user-zt1rv5ye5e16 күн бұрын

    they wont be happy till everyone is on statins all doctors are is drug pushers

  • @lindasmith8771
    @lindasmith877117 күн бұрын

    If the patients prefer the title FND rather than Conversion Disorder but both mean the same why does no one ever mention the MIND/BODY connection?

  • @mashelly1000
    @mashelly100022 күн бұрын

    This was an excellent presentation. I learned a great deal!

  • @Roberto-cg2gr
    @Roberto-cg2gr24 күн бұрын

    Any research on fasting and SGLT2 Inhibitor?

  • @Roberto-cg2gr
    @Roberto-cg2gr24 күн бұрын

    Any research on zero carb with SGLT2 Inhibitor?

  • @NoPronoun224
    @NoPronoun224Ай бұрын

    Good to hear your comment.

  • @thepolypharmacist
    @thepolypharmacistАй бұрын

    This is an excellent discussion. I wish economist, administrators and policy makers would listen carefully to professor Leary. Frontline healthcare providers are increasingly forced to check boxes to support billing (isn't that what the EHR is designed for?) rather than being supported and recognized for the humanistic care we are ethically compelled to provide, the best we can under the limitations of case load and that 15 minute office visit (care episode). Professor Leary articulates what's important clearly and succinctly in ways that the legions of health administration experts do not. Excellent.

  • @missyfrey5033
    @missyfrey5033Ай бұрын

    I want cardiac arrest...so I can die ..thank you I love you Jesus 🎉❤😊

  • @Zero-Cool_
    @Zero-Cool_Ай бұрын

    My diagnosis came after failed spinal fusion and the shock that came with increased chronic pain and disability leading top drop foot twitcing sensory pain and overload. My treatment was a website and cbt I try everything medication for pain and depression got me out of bed with some ability to face being like this but nothing to really help me and its cost me everything I have a 7 year old son so i continue to fight for him. i cant imagine this going on much longer its been 5 years now and im giving up.

  • @pininfarinarossa8112
    @pininfarinarossa81122 ай бұрын

    Strange! Why statins raise lipprot*a? Mine goes down- 10 points in one year.

  • @sandicacroitoru2620
    @sandicacroitoru26203 ай бұрын

    😢

  • @dionysusapollo
    @dionysusapollo3 ай бұрын

    I wish all doctors had his pleasant manner

  • @UpInTheSky2025
    @UpInTheSky20254 ай бұрын

    Alot of woman have been sexually abused and DONT HAVE FND, most people have gone through trauma at one point in their life AND DONT HAVE FND. Of course if you gather fnd patients and RESEARCH them that they have had trauma and or sexual abuse, why? because you will find this with ANY group of people! Yes trauma can trigger it but it has nothing to do with fnd. I wish they would go beyond talking about this as mental health problems, its so repetitive and going around in circles. So many research papers with 'fluff' and the same information. It's like a dog vomiting and eating his own vomit again and again. Yes, I have FND.

  • @heathersoper6923
    @heathersoper69234 ай бұрын

    Everyone Lied, Organisations let me down, I panicked and got FMD, I was, and still am fighting dental fraud

  • @Terrybear27
    @Terrybear274 ай бұрын

    GABA increases Klotho production at a very low dose 6mg/kg mice, human equivalent dose is .48mg/kg mixed with water and drunk throughout the day.

  • @lenaalmqvist5157
    @lenaalmqvist51574 ай бұрын

    ❤ Love you, Fredrik ! ❤ Tank you !

  • @rameshb9525
    @rameshb95254 ай бұрын

    You mention relative risk reduction, but not absolute risk reduction. Why?. Also, this all asumes that all Ldl is bad. If it is that bad, then why do we have it in the first place?

  • @pasta_heals
    @pasta_heals2 ай бұрын

    RRR is reported bc ARR is capped by the control group event rate, which can vary widely based on the sample and duration. Nobody said all LDL is bad.

  • @carajones6378
    @carajones63784 ай бұрын

    I was diagnosed with FND on Wednesday, this video has been so helpful. Thank you

  • @veronn80
    @veronn804 ай бұрын

    very informative sir. Thank you!

  • @andrewm514
    @andrewm5144 ай бұрын

    And then theirs me! Diagnosed with FND and yet over ten years later diagnosed with PSP! Thank you!

  • @tomgoff7887
    @tomgoff78874 ай бұрын

    Fascinating. Thank you for uploading this. I found Professor Raal's presentation very compelling.

  • @cardamon_co
    @cardamon_co4 ай бұрын

    This video was quite helpful and informative however functional symptoms don't always require attention. Especially considering the fact functional symptoms can impact a person 24/7. A functional symptom has no known physical cause and refers to abnormal functioning of the body. Functional symptoms also aren't caused by physical and/or psychological risk factors, those risk factors simply increase the chances of you developing a functional disorder. If those physical and psychological risk factors were truly the "cause" everyone would have functional symptoms. "Psychological trauma is to FND what smoking is to stroke, a risk factor but not the cause." - Professor Jon Stone, Consultant Neurologist and Honorary Senior Lecturer at the dept. of Clinical Neurosciences, University of Edinburgh

  • @lisastonehouse923
    @lisastonehouse9235 ай бұрын

    My hand shake alot

  • @TerryMoore420
    @TerryMoore4205 ай бұрын

    I'm 69, became disabled from FND at age 62 but it took years to figure out this diagnosis. My symptoms are textbook FND. The more I've learned, the more I've been able to improve my quality of life. I'm a veteran so I've had access to lots of programs and services, mostly focused on PTSD. I wish we had FND informed providers near me like you do in UK. Throughout my ordeal I refused opiates and benzo medications, thankfully. My best results have been from Biofeedback and gentle yoga. Especially the yoga. It was a big leap forward when I realized my body can operate well when controlled by habit thinking, just not with conscious focus of thoughts. Frankly, i thought I was nuts untill I saw some wonderful videos like this one to enlighten my point of view. The more I've learned and thus acquired more of a sense of control, my anxiety levels decreased which lessen the conscious focus. When I can stay calm, my habit thinking controls my movements, at times surprising me. :) It may be controversial but I think cannabis helps because it calms me and distracts my conscious focus. Thank you for this video and reading my comments.

  • @pascaleweber7206
    @pascaleweber72063 ай бұрын

    hello, have you already come across with ''the body keeps the score'' bestselling ptsd-book of Bessel Van Der Kolk. A shrink who started of working with veterans. I thought I must mention it to you, he says some people are massively helped with yoga, acting/singing and some with certain drugs. cannabis is controversial. I believe it can really help some people. but other people might get serious issues when trying cannabis even once, myself included./ I wish you best of luck.

  • @maddycorper4893
    @maddycorper48935 ай бұрын

    Chronic fatigue syndrome/ME is not a psychiatric illness, it is a complex neuro-immune disorder! Chronic fatigue might be a symptom of a psychiatric illness. Please make this difference in your next lecture? Thanks

  • @rorytaylor9598
    @rorytaylor95985 ай бұрын

    incredible talk, wow

  • @ThrowawayJ-qc1xk
    @ThrowawayJ-qc1xk5 ай бұрын

    Wow, what an amazing presentation!

  • @petertownsend252
    @petertownsend2526 ай бұрын

    How do I find out if I am Lp(a) null? I have done a DNA test through 23 and me. Is the data already in there to be found? In my case I have good reason to doubt my non-detect Lp(a) level is genetic as the literature states. I am wondering if my non-detectable level Lp(a) might be an epi-genetic effect of my rare combination of diet (low carb/carnivore and OMAD) and exercise metabolic regime (long distance thru-hiker who spends months on-trail hiking 10 to 12 hours per day). None of my 3 siblings have Lp(a) levels that are non-detect. With respect to Lp(a), the literature does not speak to the effects of a zero carb/carnivore diet or daily high intensity long duration exercise. From what I have been able to discern, my combination of diet and exercise constitute a metabolic regime for which there is no published data or research. My Lp(a) is non-detect (<8.4 nmol/L). The lab flagged the non-detect result with an * asterisk footnote stating "Results verified by repeat testing". Small LDL-P is also non-detect (<90 nmol/L). Large HDL-P = 14.5 umol/L HDL-P = 36.9 nmol/L LDL-C = 126 mg/dL HDL-C = 90 mg/dL Triglycerides = 37 mg/dL Cholesterol (Total) = 222 mg/dL Fasting Insulin = 2.6 uIU/mL C-Peptide = 1.5 ng/mL In my case, I am 59 with a history of insulin resistance and a host of associated metabolic problems. I now live on a zero carb/carnivore diet and eat on a One Meal A Day (OMAD) intermittent fasting schedule. I am now insulin sensitive and all metabolic problems have been reversed. No medical problems. No medications. Blood work and vitals are all very good. I had my blood work done after 3 months on-trail hiking the Appalachian Trail (2,200 miles) from Georgia to Maine. I maintained my zero carb/carnivore diet and OMAD eating schedule (with no snacks) on-trail. I hike 10-12 hours per day covering 12 to 15 miles carrying a 35 lb pack over hilly steep mountainous terrain. Heart rate is near maximum for several hours a day during ascents. My resting heart rate is in the 40s.

  • @Lillymae-gq4oe
    @Lillymae-gq4oe6 ай бұрын

    This is very helpful, I’ve been diagnosed with fibromyalgia and I have spinal cord injury, thats more than 20yrs old. I often wondered if some of my fibro symptoms were FND related. I get sudden headaches that trigger bad shaking of my body, I loose control of body function of my legs to the point of falling down, and sometimes bladder. MS and epilepsy have been ruled out. And talking at times I trip over my words, my fibro fog gets extremely bad. My whole body gets shuts down. Full total system overload. And stress is a huge trigger for the tremors I experience. I’d like to make comments on the Australian FND Hope, but they’ve disabled their comments. Can a GP diagnose FND, or does a Neurologist need to. Our hospitals are back logged with a 18mth to 2yr wait to see a specialist. You’ve provided a plethora of crucial information on this vlog. Thank you.

  • @Sumeria_9
    @Sumeria_93 ай бұрын

    Sounds like stiff person syndrome

  • @whazzat8015
    @whazzat80157 ай бұрын

    Very good talk.

  • @lynnehodgkinson6650
    @lynnehodgkinson66507 ай бұрын

    Very interesting, and as someone who is still waiting to see cardiology, reassuring. Thank you

  • @GlobalDrifter1000
    @GlobalDrifter10007 ай бұрын

    He is lip smacking.😟

  • @frankgradus9474
    @frankgradus94747 ай бұрын

    Thanks awfully.

  • @marinasaif2306
    @marinasaif23067 ай бұрын

    excellent lecture Thank You..

  • @simcoe75
    @simcoe757 ай бұрын

    Thank you for this video and to Dr Glenn Nielsen particularly. I have diagnosed FND for 14 years and as with most with FND my symptoms have progressed and evolved. I started with paralysis (waist down), and gait issues. This has evolved to less of these symptoms but, more to speech, tremor and facial paralysis. Both before and current problems also affect excretory systems too. Given that I know is that flickering lights and bright white car headlights (or bright white lights in general), trigger my facial paralysis, cognitive reasoning and the closing of my left eye; I have often wondered if a clinically introducing a flickering or white light whilst undergoing a fMRI may help to distinguish what is going on neurologically in greater detail. I also know that heat, inability to take breaks when needed and high stress affects my gait and speech and cognition. I am sure these have already been extensively studied explored but, I am very interested in helping others with FND and helping the advancement of treatment and education. Best wishes and once again, thank you. Dan

  • @pascaleweber7206
    @pascaleweber72063 ай бұрын

    hello, I have similar symtoms and questions as you too./ untilli now I heard it's just my autism getting worse. which doesnt make much sense

  • @renus6015
    @renus60158 ай бұрын

    My mother's lp(a) done after she got MI(2006).. Was17mg/dl!

  • @rainu7043
    @rainu70438 ай бұрын

    There is no mention of severe and enduring mental illness and the risks of CVD. This is shocking considering those with SMI have a reduced lifesoan of 10 to 20 years.

  • @ambroseokello3824
    @ambroseokello38248 ай бұрын

    Slides are not clear

  • @zack_120
    @zack_1208 ай бұрын

    No question exercises are the gold standard of promoting health- and life span that nothing else can replace as effectively as well as safely as far as known so far.

  • @rajaamiekhon123
    @rajaamiekhon1238 ай бұрын

    It was great working for Dr. Baranzini's Lab

  • @dawnkos4691
    @dawnkos46919 ай бұрын

    What are all the exact tests that need to be performed to diagnose FMD and by who? I had a diagnosis of MS when I was 17 and now I’m 47. I’m still walking around the house with with walker but use electric wheelchair to go out. I Have the same issue with my hip abductors, and a few other things that were mentioned. Over the years I was also diagnosed with Raynauds disease.

  • @debholliday1743
    @debholliday17439 ай бұрын

    I have neglogical movements disorder i need helo understanding dont know enough

  • @rohinihyde4766
    @rohinihyde47669 ай бұрын

    My FND symptoms started a few weeks after my first and only Astrazeneca jab which was mandated for over 60s in Australia. I was walking 7000 steps a day until then that was 2 years ago. Still looking for answers which I may never get. Thank you for this very interesting and informative video.

  • @kathywatt7555
    @kathywatt755510 ай бұрын

    I’m a CHF patient. This drug class is miraculous!!! I couldn’t complete a stress test. I could nearly walk due to shortness of breath. I had many thousands of PVC’s a day. My BNP was abnormal. 3 months into this treatment, my BNP is normal. My Holter is normal. I can walk over 10,000 steps. I could barely across my suite. These drugs reverse heart failure!

  • @ernietollar407
    @ernietollar40710 ай бұрын

    4:43 compares Ocrevus to a known less effective drug Interferon Beta 1 A to make it look good.

  • @ernietollar407
    @ernietollar40710 ай бұрын

    Ocrevus didn't help my PPMS so I'm in Mexico for HSCT in 5 days (a treatment which is effective in rebooting the faulty immune system of many with MS with cyclophosphide. Rituxan is used after the chemo.)

  • @yasminsoliman9160
    @yasminsoliman916010 ай бұрын

    HSCT is not beneficial in PPMS, unfortunate

  • @jopeacock1424
    @jopeacock142411 ай бұрын

    Invaluable