Cranial Nerve Examination - Deep Dive - Clinical Skills - Dr Gill

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  • เผยแพร่เมื่อ 21 ธ.ค. 2024

ความคิดเห็น • 450

  • @anthonymcneil1542
    @anthonymcneil1542 2 ปีที่แล้ว +1453

    Dr James Gill is such a legend that his videos get likes and comments before they've even been watched

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +198

      🤣

    • @xaeo
      @xaeo 2 ปีที่แล้ว +72

      LONG LIVE THE KING

    • @omaradorno4189
      @omaradorno4189 2 ปีที่แล้ว +3

      @@DrJamesGill en donde donde se está está escribiendo

    • @njb1126
      @njb1126 2 ปีที่แล้ว +7

      James gill is to medicine as what James bissinette is to history

    • @Bevzthejcs
      @Bevzthejcs 2 ปีที่แล้ว +6

      Im Guilty as charged 😂

  • @earlprinsloo9632
    @earlprinsloo9632 2 ปีที่แล้ว +239

    My father had a severe head injury in 2018 after falling off a roof head first. Luckily he survived but completely lost his sense of smell. Since watching your initial video on this test it all finally made sense. Thanks Dr Gill!

    • @patrickqin
      @patrickqin 2 ปีที่แล้ว +10

      Is your father Clark Griswold?

    • @MorrisseyMuse
      @MorrisseyMuse ปีที่แล้ว

      ​@greglinski2208it can be, yes..

    • @patricklopes-vtec
      @patricklopes-vtec 11 หลายเดือนก่อน +3

      But he can still differentiate taste between sweet, salt, bitter...?

    • @quark1
      @quark1 8 หลายเดือนก่อน +2

      My dad also had a head injury after being knocked down by a car. Totally lost the sense of smell.
      He couldn't taste his food properly, didn't like it. He'd literally have a conversation whilst adding salt n pepper to his food. It would be a layer of salt n pepper you could barely see food underneath. Couldn't really identify sour. Hadn't liked spicy food but would add chilli flakes in a layer too. Said he could barely taste it with that much salt/pepper/chilli on there.
      I'd never quite understood how he'd lost the entire sense....but now I get it!!

    • @sarahnadeofpoetry
      @sarahnadeofpoetry 11 วันที่ผ่านมา +1

      Wait... so no one bothered to explain it to you? Even though you're his immediate family member, and that's a permanent consequence of his accident? Wow...

  • @ProperSauce
    @ProperSauce 2 ปีที่แล้ว +521

    Congrats you've made the BEST cranial nerve examination on TH-cam. No one so far has been able to actually show CLEARLY the pupil constricting and demonstrated it so simply.

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +189

      Honestly I wasn’t too happy with that demo, but perfection can be the enemy of completion at times.

    • @henrywhite58
      @henrywhite58 ปีที่แล้ว

      @@DrJamesGill 9kmkkkkkkkkkkkkmkkmkkkmkkmkmmkmkmkkkkkkmkkkkkkkmkkmkkmkmkkkkkkkkkkkkkkkkkmkkmkmkkmkkkkkmkkkkkkkkkkkmkmkkkkmkkkkkkkkmmkkmkkmkkkmkmkmikmkkkkkkmmkmkmkkkkkmmmmkkmkkmkkkmmimmmkmkkmmimmmikmmkkmkkkmkmkmmiimkkkkkmiijkimmmkmmmkmmimkkmmiiimikikkkkkmmmkkkkmkmikmkm8imkkmkm8jmimkmkmk8mmm8mmiiimimkmimmmmjkkmimim88iimmkmmmimmmm mmm kmkmiimmmii.muimiiimkiikmimiimmkkmikmii kk mm8immm8jikkiim8umikmikmimiiimmmikmmiiimmmmimikiiimikiki8mkmmkikmkiimi8m

    • @thelearicist
      @thelearicist ปีที่แล้ว +7

      @@DrJamesGillwell said. Almost always true

    • @WishMount
      @WishMount ปีที่แล้ว +13

      he didn't apologise for his sandwich breath

    • @novemberoscar98
      @novemberoscar98 ปีที่แล้ว +1

      ​@DrJamesGill Don't let perfect be the enemy of Good.

  • @veras0208
    @veras0208 2 ปีที่แล้ว +591

    I'm not a med student, but I can just listen him all day😊 what a smoothing sound😊

    • @stonehousetales6954
      @stonehousetales6954 2 ปีที่แล้ว +38

      i use him for asmr to go to sleep sometimes

    • @antusgabor
      @antusgabor 2 ปีที่แล้ว +15

      *soothing

    • @chirujagarel6735
      @chirujagarel6735 2 ปีที่แล้ว +1

      Ce faci 11:00 bună 100 1

    • @AquilaTheHun
      @AquilaTheHun 2 ปีที่แล้ว +3

      @@antusgabor Don't be that strict, wo/man.
      Soothing and smoothing.
      smooth verb (REMOVE PROBLEMS)
      [ T ]
      to remove difficulties and make something easier to do or achieve
      (Cambridge dictionary)

    • @AquilaTheHun
      @AquilaTheHun 2 ปีที่แล้ว +2

      @@antusgabor You forgot to correct 'listen TO' 😉😝

  • @liz3355
    @liz3355 2 ปีที่แล้ว +77

    Doctor Gill drops a 40min long cranial nerve examination and I'm excited because my amsr addicted brain will be able to sleep easy tonight 😚

  • @nightone9720
    @nightone9720 2 ปีที่แล้ว +20

    She is so lucky. I wish I could get a cranial nerve exam done by Dr. Gill. I think I would fall asleep during the test though. His voice is heaven.

  • @eriklunden5218
    @eriklunden5218 2 ปีที่แล้ว +120

    I actually get much from these videos. I'm not in the medical field, but I love learning. I've also noticed the manner in which I speak with people has started to sound reminiscent of Dr Gill. It puts people at ease when they know you are interested in their comfort and well being by your tone, mannerisms, and clear communication.

  • @AL-jo2vp
    @AL-jo2vp 2 ปีที่แล้ว +104

    It's 1.15am
    I cannot sleep
    But Dr Gills vids
    Are like counting sheep
    Or back from one hundred
    With a face full of gas
    Soothing smooth voices
    Help one to relax..

  • @KeeliaSilvis
    @KeeliaSilvis 2 ปีที่แล้ว +49

    7:46 "Your hand stops you banging foreheads!"
    ^Funny, but also a super practical pro-tip! Attention to little details like that really makes this channel special. 😊

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +5

      👍

    • @ECM-2011
      @ECM-2011 3 หลายเดือนก่อน

      @@DrJamesGillyou forgot to apologies fr your sandwich breath lol.

  • @antreyno92
    @antreyno92 ปีที่แล้ว +21

    I'm in engineering rather than the medical field, but I've always found these videos incredibly interesting, especially around neurological exams and the cranial nerves.
    My partner has recently been diagnosed with MS so it has been really useful to have watched such fantastic teaching over time, and at least had some awareness of what her neurologist was looking out for whilst examining my partner. Thank you!

    • @DrJamesGill
      @DrJamesGill  ปีที่แล้ว +7

      I’m sorry to hear that. Hopefully they will be able to give some good news about the type

    • @antreyno92
      @antreyno92 ปีที่แล้ว +4

      @@DrJamesGill thank you, thankfully it's been caught quite early on (only early twenties!) and is relapsing-remitting, so we're hopeful that treatments can negate any future relapses. Just awaiting the next appointment to discuss and decide upon said treatments!

  • @Fotini13
    @Fotini13 ปีที่แล้ว +63

    An absolute LEGEND! …for those of us with insomnia & need good quality ASMR 😂🙌

  • @-a-strikelures1212
    @-a-strikelures1212 ปีที่แล้ว +8

    Dude gets millions of views per video and only has 166k subscribers.
    Just goes to show how many people don't care about actually "supporting" a channel they enjoy.
    Well I just subscribed good sir.
    Great content. I thoroughly enjoyed the video.

  • @aldmjr
    @aldmjr 10 หลายเดือนก่อน +1

    One of the best parts of this video is just how fun the both of you seem to have at examples such as “spin around your chair for a while”. It’s contagious smiling, really lmao

  • @dianaMD994
    @dianaMD994 2 ปีที่แล้ว +192

    I'm currently in my neurology rotation and I'll have the practical exam in less than 2 weeks so you couldn't be more precise with this video.
    Mulțumesc, dr. Gill! That means 'thank you' in my language! 😇

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +63

      Good luck! Please drop back and tell us how it goes after 😊

    • @henrychanner4032
      @henrychanner4032 2 ปีที่แล้ว +12

      So wholesome 😭

    • @dianaMD994
      @dianaMD994 2 ปีที่แล้ว +8

      @@DrJamesGill Thank you so much! I will! 😇

    • @DJCoachCookie68
      @DJCoachCookie68 2 ปีที่แล้ว +3

      Good luck Dr Jones

    • @dianaMD994
      @dianaMD994 2 ปีที่แล้ว +2

      @@DJCoachCookie68 thank you!

  • @joanneclark8533
    @joanneclark8533 ปีที่แล้ว +3

    I’m a nurse studying clinical examination skills, all of Dr Gill’s videos give great understanding behind each system. Especially the cranial nerves. Thank you!

  • @evanpitchers584
    @evanpitchers584 2 ปีที่แล้ว +18

    With all these different videos that Dr. Gil is putting out, I’m set to graduate with a full doctorate degree in the Spring of 2023

  • @JKelly756
    @JKelly756 10 หลายเดือนก่อน +3

    Dr Gill is like my fav Indian place… I just can’t stop coming back for the GOAT

  • @DABIGGGDIPPA
    @DABIGGGDIPPA 9 หลายเดือนก่อน +1

    I love when these videos have open comment sections! I cannot tell you how many times I have fallen to sleep listening to this one.

  • @0verWay
    @0verWay 2 ปีที่แล้ว +14

    Return of the King

  • @lenzi1982
    @lenzi1982 2 ปีที่แล้ว +2

    i love how the edit doesnt take away from the video or bother the viewer, its quite natural

  • @carlabach9567
    @carlabach9567 2 ปีที่แล้ว +36

    Med student here! I’m so thankful for your videos Dr Gill!!! You explain it wonderfully, oftentimes i Find myself searching for your videos to study for tests!! Thanks so much for this awesome work!

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +21

      That’s a brilliant compliment- thank you
      If you have found it useful, if you could consider sharing it on one of the social platforms I’d really be grateful- plus it might help someone else 😊

  • @NewCandyCane
    @NewCandyCane ปีที่แล้ว +3

    The man, The Legend! Hope you never stop uploading these videos.

    • @DrJamesGill
      @DrJamesGill  ปีที่แล้ว +3

      I’m actually thinking of changing some of my working week when the baby arrives, which might mean more

  • @Myxril
    @Myxril 2 ปีที่แล้ว +77

    Not just another banger. A wonderfully long one.
    Maybe Aidan Blunt will bring Dr Hollie Berry out of hiding to respond with an EVEN LONGER exam video.

    • @ohemptysad
      @ohemptysad 2 ปีที่แล้ว +4

      Yes!

    • @gabrielesimionato1210
      @gabrielesimionato1210 2 ปีที่แล้ว +4

      I second this

    • @xantrospl
      @xantrospl 2 ปีที่แล้ว +3

      I hope so!

    • @Denisontherun
      @Denisontherun 2 ปีที่แล้ว +5

      And maybe we can all get red in the face with a good old sandwich breath

    • @AL-jo2vp
      @AL-jo2vp 2 ปีที่แล้ว +6

      It's been 10 years since Hollie Berry (alias?) did those vids, time flies

  • @chanda6641
    @chanda6641 2 ปีที่แล้ว +11

    I’m not a doctor or anything, but I always finds these video very interesting - Excellent 😊

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +6

      Learning is always good ! 👍

  • @ddal3998
    @ddal3998 ปีที่แล้ว +3

    Dr Gill, I'm in love with you! Your charisma, gentleness, and the most calming voice of all are out-of-this-world!

  • @Chance11235
    @Chance11235 ปีที่แล้ว +2

    Very professional, educational, and very calming. A medical professional should always be calming and friendly towards his/her patients.

  • @deezelkane
    @deezelkane 2 ปีที่แล้ว +77

    Great video as usual, and also, please do not ever worry about the videos being too long lol... this is what we want !

  • @Ruffman
    @Ruffman 2 ปีที่แล้ว +18

    Came for the ASMR but I have to say every video I watch I learn something new as a result. Keep it up Doc your voice is divine!

  • @mahaggett2659
    @mahaggett2659 2 ปีที่แล้ว +11

    honestly, I'm a high school student who is going into engineering, but this stuff is so interesting and I have learned so much I am very appreciative of Dr James.

    • @huntmich
      @huntmich 2 ปีที่แล้ว +6

      Engineering and medicine are overlapping fields. Look into medical device engineering or Biomedical engineering. Good luck with your studies.
      - a med device engineer

  • @emilyburton9346
    @emilyburton9346 6 หลายเดือนก่อน +83

    me here for asmr when everyone else is actually a med student 😂🧍🏼‍♀️

    • @sebimmbasti
      @sebimmbasti 6 หลายเดือนก่อน +6

      Missing the sandwich breath 😅

    • @JuiceTV87
      @JuiceTV87 6 หลายเดือนก่อน +2

      Haaaaaa me too!!!!

    • @weirdbeard1980
      @weirdbeard1980 5 หลายเดือนก่อน

      Intentional asmr is so contrived, I can'tstand it. It's nails on a chalk board for me.

    • @JewishBettorMMA
      @JewishBettorMMA 3 หลายเดือนก่อน

      These comments are so annoying. Nobody cares why you are here.

  • @mathewpryor82
    @mathewpryor82 ปีที่แล้ว +2

    Having watched many different CN examinations this is the most in-depth and best explained I’ve seen.
    With my dad having had 3 TIAs and people I know suffering MND it makes understanding how the medical professionals identify and diagnose.
    Also extremely relaxing viewing. Well done Dr James Gill. Thank you 🙏

  • @Caltash
    @Caltash 2 ปีที่แล้ว +4

    Cranial nerve examination AND it is featuring Megan?
    yaaaaasssssss 😍

  • @gr-gx4zy
    @gr-gx4zy 5 หลายเดือนก่อน

    Thanks!

  • @Josh-dm5eq
    @Josh-dm5eq 2 ปีที่แล้ว +27

    Without having seen it yet, brilliant video as always
    Edit: And indeed it was, thank you Dr. Gill!

    • @snowyowl6892
      @snowyowl6892 2 ปีที่แล้ว +2

      Fyi Josh - you can edit by tapping the 3 dots.
      You can even edit this way *after* you have sent it -
      no time limit that I have experienced …

    • @Travis-guy-247
      @Travis-guy-247 2 ปีที่แล้ว

      @@snowyowl6892 There actually is a time limit. I don't know what it is for sure, but it's a good number of years, around 5 or 6 I think. In the past I've found comments that I made say 12 years ago, and when I try and edit it it doesn't let me.

    • @snowyowl6892
      @snowyowl6892 2 ปีที่แล้ว

      @@Travis-guy-247 thanks for the info …
      Btw … in numerology, the name Travis is 44. This is huge. This 3D space we inhabit has two master numbers attributed to it.
      (11 & 22… k & v)
      33 is more “evolved” … and 44, even more so.
      “Travis” has an embedded “22” (v)
      Do you know numerology ?
      If not -check it out
      your DOB is even more indicative …
      🤗

  • @jeremiasdeleon5007
    @jeremiasdeleon5007 2 ปีที่แล้ว +10

    I appreciate the work you put into making this video Dr Gill. I can imagine how long it took to edit

  • @mhalbae
    @mhalbae 2 ปีที่แล้ว +17

    I had my practical exam a few days ago and your video helped me a lot! Thank u so much doc, greetings from Mexico ❤️

  • @DerrickW8762
    @DerrickW8762 6 วันที่ผ่านมา

    Every year , I must go to my personal doctor for a wellness examination . My doctor does a neurological examination but Dr . Gill explains in plain English why my doctor does this and what he is looking for .

  • @steamcloudcave5034
    @steamcloudcave5034 2 ปีที่แล้ว +6

    Dr Gill once again teaching us all and I’ve never been more intrigued until now

    • @youseeit916
      @youseeit916 2 ปีที่แล้ว +1

      Now every time I get a runny nose I'll be convinced it's CSF because I'm weird like that

  • @Splurge24
    @Splurge24 2 ปีที่แล้ว +3

    Dr Gill, you are such an exceptional educator

  • @mariomario6393
    @mariomario6393 2 ปีที่แล้ว +1

    I love it when in this videos something funny happens and both the doctor and the patient break out of character for a second and have a giggle

  • @soyunbonus
    @soyunbonus 2 ปีที่แล้ว +1

    And thanks to the lovely lady acting as the patient. Super interesting video!

  • @pamw565
    @pamw565 2 ปีที่แล้ว +5

    Could you do an examination/explanation for myasthenia gravis. My father had this and not a lot of Doctors knew or understood what it is. It is a question that is always asked at our local hospital because of my dad.

  • @Rodeoge
    @Rodeoge หลายเดือนก่อน

    Dr Gill to the rescue 🎉 i have my exam tomorrow. But a quick correction if required in the table of rinne and weber combined interpretations.
    When Both ears have BC> AC and if weber lateralizes to the left then its probably right ear has both problems and left ear has only conductive and similar correction when weber lateralizes to the rightear then combined loss in the left and conductive loss in the left.
    Thanks a lot for this video Loved it.

  • @CaptainSweatpants90
    @CaptainSweatpants90 6 หลายเดือนก่อน +2

    38:19 "She's not been able to push our hand away, we got good strength of the muscles there"
    The patient, however, is a weakling who I've put in her place with this amazing show of dominance.

  • @KeeliaSilvis
    @KeeliaSilvis 2 ปีที่แล้ว +5

    *Question:* At ~7:30 during the eye check, why is it important to look with opposite eyes? And what work-arounds does Dr. Gill use for this type of exam since he has the issues with his right eye?

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +8

      By looking directly in the patients opposite eye - so RIGHT eye to RIGHT eye - if means your face does not overlap with the patients, so you can encroach less on their personal space
      As for myself, I merely highlight it to the patient that I’ll have to come in very closely, but briefly

    • @KeeliaSilvis
      @KeeliaSilvis 2 ปีที่แล้ว +1

      @@DrJamesGill OH! That makes sense! Thank you for explaining 😊

  • @angelabernhardt6761
    @angelabernhardt6761 2 ปีที่แล้ว +11

    Great video! Excellent delve. Great job with editing and visuals. Also, love the vest! Very slick. 🖤

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +3

      Slowly getting better with the edit !

  • @mwanichi
    @mwanichi 2 ปีที่แล้ว +1

    This will actually help me handle bodily injury claims at work.

  • @Denepwe
    @Denepwe 2 ปีที่แล้ว +4

    Incredible work. Wonderfully explained and executed! I've learned a lot!

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +3

      Glad it was helpful!

  • @chrisbergin390
    @chrisbergin390 2 ปีที่แล้ว +3

    Always makes my day when a new vid from the doc comes out. Happy monday everybody ❤

  • @mattyj39_
    @mattyj39_ 2 ปีที่แล้ว +2

    Dr Gill: *asks a question*
    Patient: *answers the question*
    Dr Gill: SUPER

  • @deweyhall712
    @deweyhall712 2 ปีที่แล้ว +3

    I love how informative your videos are.

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +1

      Thank you. I always needed to know WHY before I could understand things. - still do

  • @brianlarson9544
    @brianlarson9544 2 ปีที่แล้ว +1

    Been watching your videos for years now. I don't really know what to say..except thanks.

  • @balaam_7087
    @balaam_7087 2 ปีที่แล้ว +20

    You’re always immaculately dressed Dr Gil, I’m surprised you haven’t made a guest appearance on the Gentleman’s Gazette channel.

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +4

      hahaha - whilst I'm not sure I'd agree, I'm not familiar with that channel

  • @b4d69
    @b4d69 2 ปีที่แล้ว +2

    top work as always doc. you do your field justice with your passion, like so many of your fellow colleagues around the UK and the world.

  • @brittanykeyser1283
    @brittanykeyser1283 2 ปีที่แล้ว +5

    Hi Dr. Gill, thank you for, as always, a fabulous video. You make the best "deep dive" videos, and have the best examination techniques. Just a question- would you test the gag reflex and taste during the glossopharyngeal nerve exam?

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +5

      Not routinely no - in as OSCE you’d offer it. But we’ve asked if that patient has an issue with taste, and no issues swallowing
      Don’t forget the examination is the confirm our suspicions from the history. So we’d know if we needed to test gag reflex - and as it is an unpleasant test, we don’t routinely

    • @brittanykeyser1283
      @brittanykeyser1283 2 ปีที่แล้ว

      @@DrJamesGill fantastic. Thanks for clarifying! (Osces tomorrow) thank you so much for your amazing videos!

  • @gregh378
    @gregh378 2 หลายเดือนก่อน

    I used to live in a hoise of med students when i was at university. I used to love it when they practiced cranial nerve exams on me.

  • @L555HEP
    @L555HEP ปีที่แล้ว +1

    Haven't been to the docs since 1998, don't even know if they realise I'm still alive but when I go I hope he/she is like you mate.

    • @DrJamesGill
      @DrJamesGill  ปีที่แล้ว

      You’ll still be active on their system 😊

  • @yuri.koliveira
    @yuri.koliveira 4 หลายเดือนก่อน

    I slept on asmr and now have 8 hours of medicine study information from multiple videos in the subconcious of my brain

  • @grf15
    @grf15 2 ปีที่แล้ว +7

    An interesting presentation, as always. I couldn't stop myself from laughing when he asked the patient to make faces. I would hate that part of the exam; I'd be too self-conscious. Then again, I'd have problems with many parts of the exam. I dislike being touched. Fortunately, I've never had and cannot believe that I'd never need to take this type of test.

  • @vicklemiss
    @vicklemiss 2 ปีที่แล้ว +6

    Amazingly in-depth! Great video 🙏🏻

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +2

      If it’s been useful, I’d be grateful if you would consider sharing it 😊

  • @Android.Paranormal
    @Android.Paranormal ปีที่แล้ว +3

    I went to a neurologist for facial issues and they did not even do 10% of what you tested. So many doctors are rip offs & and it is so hard to find someone like Dr Gill.

    • @DrJamesGill
      @DrJamesGill  ปีที่แล้ว +4

      It’s possible they focused on the specific issue. And to be fair, I don’t know many medics who routinely carry three different tuning forks in their bag!! I’m just a bit odd like that!

  • @mo793
    @mo793 2 ปีที่แล้ว +2

    Thank you! I am on placement in the stroke unit and this is very useful!

  • @silverbayonett
    @silverbayonett 2 ปีที่แล้ว +3

    have wondered about those colour plates - the ishi haras are really cool. but i know there are a lot of others ones doctors have used through the years - are those ones now standard use by medical professionals? great video

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +2

      Pretty much. Ophthalmology clinics will have even more Specialized bits though

  • @P_Rex66
    @P_Rex66 ปีที่แล้ว

    As someone just watching with no real medical drive I find these quite meditative. If you did a few LONGER videos, pending need of course, I would be greateful.

  • @djack6318
    @djack6318 ปีที่แล้ว +1

    I like how he address that someone can fake the reactions and all. Some thing others dont mention much. Things Ive thought about when being tested.

    • @DrJamesGill
      @DrJamesGill  ปีที่แล้ว +1

      It’s less that patients fake things, but more that patients want to try and help, and can lead to false positive positives

    • @djack6318
      @djack6318 ปีที่แล้ว

      @@DrJamesGill Right. Ive done that. As I got older I learned to just give a first to mind honest reactions. Trying to be helpful I can see leading to confusion for the doctor.

  • @Derokas
    @Derokas 2 ปีที่แล้ว +1

    I always want this kind of video from you. Showing and explain why. Thank you ❤❤❤

  • @wrtko2
    @wrtko2 ปีที่แล้ว

    Thank you Dr.Gill. I would be very interested in continuing these BP series.Also what now is considered a normal blood pressure? Thank you

  • @RingoMandingo
    @RingoMandingo 2 ปีที่แล้ว +1

    loe how informativev these deep dives are its so great knowing the why and not just the routine

  • @alexdcruz3682
    @alexdcruz3682 2 ปีที่แล้ว +3

    Neurologic field defects respect the vertical meridian dont they? For instance a chiasmal compressive lesion will cause a bitemporal defect that will first be detected by checking the visual field on either side of the vertical , and will be missed by checking way out in the periphery. Similarly with an early hemianopia , the first defect will be noted by checking the visual fields next to the vertical meridian .
    Sparing of the temporal crescent also complicates visual field testing, the way you do it. Also, small hemianopic defects caused by small infarcts in the ooccipital lobe will be missed if you test the visual fields the way you do. Therefore visual field testing should begin by checking on either side of the vertical meridian. rather than testing far out in the periphery.

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +1

      That is very interesting. I’ll take this back for discussion with regard to when we review the approach to clinical skills

  • @gmc9451
    @gmc9451 ปีที่แล้ว +1

    It's all very well performing these neurological tests and establishing abnormalities but I would imagine treatment options are somewhat limited.

    • @DrJamesGill
      @DrJamesGill  ปีที่แล้ว +1

      Not really. It depends on the problem, for example a pituitary tumour will cause loss of the visual fields, whip it out, and in many causes will resolve once pressure is removed

  • @kazuhiramiller1996
    @kazuhiramiller1996 2 ปีที่แล้ว +5

    Maybe you are happy to hear that I have reached 2 years of being clean from opiates today!
    Maybe you remember that I told you about my addiction under one of your older videos!

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +2

      Hi Kazuhira
      I remember is well. As I’m sure do many other people who saw and responded to the original comments
      2 years is such a huge achievement! You should be so proud
      What has worked for you? Any suggestions you’d give to others in a similar place?

    • @kazuhiramiller1996
      @kazuhiramiller1996 2 ปีที่แล้ว +4

      @@DrJamesGill Fight through the bad days, embrace the good ones. And don't set your goals to high. What really works for me, is not to think in huge terms like forever, never or always. I wake up in the morning with the mindset, that I will stay clean for the day and at the end of the day be proud of what you have achieved. And this is what I do for every new day.

    • @mironbashelutskov5116
      @mironbashelutskov5116 ปีที่แล้ว

      ​@@kazuhiramiller1996 cold sweats and restless leg syndrome is terrible, asmr always helped me to try and sleep

    • @mironbashelutskov5116
      @mironbashelutskov5116 ปีที่แล้ว

      congratulations, stay strong

  • @HazardXXI
    @HazardXXI 10 หลายเดือนก่อน +8

    So that's what happened to my grandfather. He lost his sense of smell after a car crash.

    • @DrJamesGill
      @DrJamesGill  10 หลายเดือนก่อน +2

      I’m sorry to hear that. I hope he was ok otherwise?

  • @masterlcpl3736
    @masterlcpl3736 2 ปีที่แล้ว +4

    dr gill you are the gift that keeps on giving to us. never stop making videos especially these educational videos 😁😁

  • @timangus7021
    @timangus7021 10 หลายเดือนก่อน

    There's something so interesting and calming about James 😌💓

  • @sparkidee
    @sparkidee 6 หลายเดือนก่อน +2

    8:56 leaning in for a snog with sandwich breath 😁
    Joking aside... I know I'll sleep well tonight with this asmr fest!

  • @OG.WILLY.SANTOS
    @OG.WILLY.SANTOS 2 ปีที่แล้ว +1

    My favourite deep dive yet good job dr gill

  • @mattcarter78
    @mattcarter78 2 ปีที่แล้ว

    The Doctor has a new companion! The lovely Megan 🎉

  • @personalinjuryshow
    @personalinjuryshow 2 ปีที่แล้ว +1

    Very helpful information, thanks for sharing.

  • @cariad81
    @cariad81 2 ปีที่แล้ว +3

    @DrJamesGill can you do one on the Menopause please.

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +5

      Less clinical examination, but we could look at doing a menopause review

  • @brent6518
    @brent6518 ปีที่แล้ว

    Great video Dr Gill...if someone has nerve damage that causes lose of smell, do those nerves ever regenerate?

  • @CalvinHikes
    @CalvinHikes 4 หลายเดือนก่อน

    Who knew that cranial nerve examinations would become somewhat common knowledge through ASMR videos.

  • @UKVoodooUK
    @UKVoodooUK 2 ปีที่แล้ว +2

    Her eyes are bloody amazing 🤗

  • @peglerbc
    @peglerbc 8 หลายเดือนก่อน +16

    missed oppertunity to be a marine biologist.

  • @chadster69
    @chadster69 2 ปีที่แล้ว +1

    This is very interesting, i am fascinated by clinical examinations, especially the ones from your channel

  • @Scottyd21UK
    @Scottyd21UK 4 หลายเดือนก่อน

    Dr Gill is great but Megan is absolutely fabulous too x

  • @Tyina
    @Tyina 2 หลายเดือนก่อน

    This helped me lots for exams

  • @MrZomg17
    @MrZomg17 ปีที่แล้ว +1

    As a reaction will the opposite eye not recieving light dialate as well?

    • @DrJamesGill
      @DrJamesGill  ปีที่แล้ว

      It should do, this is the consensual reflex. We are the opposite in things like a relative afferent pupillary defect

  • @jonathanmccartney5809
    @jonathanmccartney5809 2 ปีที่แล้ว +1

    TH-cam needs a superlike button.

  • @harryjamessmithmusic7762
    @harryjamessmithmusic7762 2 ปีที่แล้ว +2

    This is fantastic!

  • @leonoflynn
    @leonoflynn ปีที่แล้ว +1

    Love the title, the hand stops banging heads- such a simple reason when you think about it

    • @DrJamesGill
      @DrJamesGill  ปีที่แล้ว

      Some parts of clinical skills are lovely simplicity 😊

  • @nightone9720
    @nightone9720 2 ปีที่แล้ว +2

    She has the cutest smile ever! ☺️

  • @bananaboy1100
    @bananaboy1100 2 ปีที่แล้ว +1

    Are you mixing the lapel and on camera microphone audio when we see the wide shot of you two? And just the lapel for the other angles? Can’t help but notice a subtle strangeness to your voice when on the wide angle shots.

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +2

      No. All one mic, I want happy with the audio here. There was an odd scratching occasionally.
      I think it is possible the mic didn’t survive the trip from Samoa well!

  • @vjr4763
    @vjr4763 10 หลายเดือนก่อน

    About "nasal patency", what would the physician do in the case of the patient having nasal cycling (like I do)? Would you be splitting the test only testing each individual nostril as it becomes patent and then collectively assess given the information from both nostril tests?

  • @lekoman
    @lekoman 2 ปีที่แล้ว +2

    Always important to make sure, during the neurological exam, that the patient is not an android by checking for any copper wiring inside their eye.

  • @TWHowl
    @TWHowl 3 หลายเดือนก่อน +3

    26:42 what to do when she sends the 3am “you up” text

  • @NakhtiGaming
    @NakhtiGaming 2 ปีที่แล้ว +1

    Ah. Brand new. Audio improved. Level up.

  • @peetkoolstra3891
    @peetkoolstra3891 2 ปีที่แล้ว +1

    And yes, also this time it was very good to follow what you were explaining. And because the way of talking about handling and points to look for it's, even for someone with little Englisch background, a great video to watch. And no, not to long.

  • @omarmartinezolvera8405
    @omarmartinezolvera8405 2 ปีที่แล้ว +1

    thanks for the amazing video!

  • @SirJustinTheLion
    @SirJustinTheLion 2 ปีที่แล้ว +3

    During the eye exam, am I hearing him correctly when he says that he's s looking for copper wires, is that short hand for a condition or is he joking that she may be a robot?

    • @DrJamesGill
      @DrJamesGill  2 ปีที่แล้ว +6

      Copper wiring is a visual change seen to vessels in the eye associated with hypertension
      The arterioles appear yellowy/orange instead of the normal red
      If they become blocked, then turn white - which we refer to as “silver wiring”

  • @andrewdieter9180
    @andrewdieter9180 2 ปีที่แล้ว

    Thank you for this Doctor House