Without the vest, an ordinary, soft spoken medical practitioner. But when he puts on the vest, he becomes... Putapitapaper Man! Protector against the evils of Double Vision and Lumps and Bumps.
@@DrJamesGill, I quite like the look of the waistcoat you’re wearing as it compliments your physique. I find you to be an extremely handsome man with the perfect body, face, eyes, hair, voice, and temperament. I felt particularly compelled to write this as it is seldom in life we see a person with every feature so matched to our minds ideal.
Highly anticipated and wanted, the Macleod’s Clinical Examination practicals have now entered the 4K region of the Internet. Well done as always, Dr. James Gill. Brilliant!
I was just thinking that. Someone has a lot of experience getting his shirt off quickly. Maybe he should audition for the next Captain Kirk--there's a striking resemblance. :D
I wish doctors in the USA did this. This seems to fall under the preventative medicine category. These type of exams only occur when there is a problem!
“These types of exams only occur when there is a problem.” Umm, duh. Why would a physician waste time examining your respiratory system if you told him your ear ached?
@@lars1296 Medical problems occur with little to no obvious symptoms. Occasional check-ups are done so as to not let them go undetected and worsen, potentially to the point of being untreatable. As an example, one life-threatening illness that should be checked for regularly is cancer, particularly from the 40s onward because that's the age range most cancer occurs in - with a _very_ high prevalence. There's an adage about this - "prevention is better than a cure".
Jaclyn Rachelle if you’re on a desktop computer you can right click on the video and a menu pops up one of them says loop video. And it will loop that video until you click another video or exit the browser.
@@CarlosSilva-zu3zg imagina literalmente usar uma foto do coringa e chamar mulher nos comentario de um video relaxante de exame respiratorio pra tomar cafe achando q isso algum dia daria em alguma coisa
My only recommendation would be to take the extra minute and normalize the audio levels. The transitions will be smoother and the experience even more enjoyable.
"Ninety-Nine" is a mistranslation. Vocal fremitus was discovered by a German Doctor. The sounds transmitted through the lung changes if there is a consolidation (eg infection). The best way to check for vocal fremitus is to ask the patient to say a word which is a diphthong, ie has low tone vowels. In GERMAN, where the discovery was made, "Neunundneunzig" (ie German for ninety-nine was used) is a diphthong. The PROBLEM is the translation, as "ninety-nine" is NOT a diphthong, so technically gives inferior results for the examination, so "one-two", "balloon", or "toy boat" could be used in English This is one of my favourite misnomers in medicine - and YES I am that much of a geek!
This is random but I have really bad health anxiety bc my dad was always super sick but whenever I watch your videos it gives me comfort cause not only do I learn more about the body but it also reminds me of being taken care of by doctors and that’s comforting lol, so thanks :)
The most relevant clinical examination I’ve ever come across….. thumbs up Dr Gill… just never stop making such knowledge full videos for us. Thanx a lot
I enjoy your videos for many reasons,but I have no idea of medicine so I would like to know what are you looking for in each exercise...for example when you look the fingers,what symptoms are you looking for,what answers do you expect...which connetion is there with the respiratory system...Thank you!
I would guess it has to do with the blood vessels under the nails. Blood must replenish the nails quite quikly after you squeeze it out. But I am no doctor.
Aída Pinazo when he looks at the fingers he’s searching for anything out of the ordinary like cyanosis, fingers clubbing; that would say there’s respiratory problems. When he presses the finger he’s checking the capillaries refill
Aída Pinazo no problem! I would love to explain the others as well but I’m kinda busy with college atm, I hope you find more answers and understand more💓
How would you change the examination for a patient with a bra/breasts? Would you position your hands any differently? And would you need extra consent or to give more clarification of what you're doing before examining that area? Thank you for the video!
Now that I am half way through didactic I get everything in the video, other than how this guy takes his shirt off so fast, despite all the guys in my class none of them can do that. Also love your videos, helped solidify my decision to go into medicine
While everything is important, I think new procedures have been put in place to advance the process of the respiratory exam. Perhaps, only using this method for those that exhibit respiratory distress in the non emergency setting.
We have a video to answer that question 😊 The respiratory deep dive, covers all the steps we go into, and crucially why ruclips.net/video/oZR-f5aBS00/видео.html
I must have the laziest Dr's in the world here cause I literally have had no Dr do any of the things I have ever seen on youtube lol. Like ever. I need you as a Dr lol
@@DrJamesGill Oh I understand that, but I never get examined for anything and not cause I shouldn't or don't need it. I could be hacking up blood and its like I might get a blood test done or something that's it. I also either don't get any results back or they are always fine, But I am not fine. I actually recently had surgery and was on medical leave for 23 days because I am perfectly healthy and fine. Saw 3 specialists 6 Dr's in total (2 of the Dr's I saw twice) nobody could tell me what I had, how to solve it, if it could be solved. What caused it. I was told I didn't need surgery, I did need surgery, it was optional if I had surgery. It wouldn't kill me, could kill me in long run. Last Dr said " I wouldn't want to live like that" or "I wouldn't want to live with that" Feb will be 2 years since the beginning of dealing with it all. Oh also I was in so many words told surgery may or may not resolve all my issues lol. I was told after surgery oh you "should" be ok now. SHOULD BE. I guess nothing in life is definite but damn. I am luckily a lot better but as of now its a waiting game to see if I will be good in the long run because I have 0 idea cause they either had 0 idea or didn't care to tell me and they certainly didn't try to figure anything out or do anything. sighs Sorry for the rant. All this was needless to say that you and other Dr's online seem to care more and be much more thorough then any Dr I have EVER come in contact with.
That is percussion of the apex of the lung. If you have a pneumothorax, then the escaped air from the lung would affect the sound heard We did a more in-depth video on that here: ruclips.net/video/oZR-f5aBS00/видео.html
Thanks for this video and the time and effort that went in. But, when you examined the back, you palpated for chest expansion last and tested for vocal fremitus after auscultation for breath sounds. Perhaps after ausc, you might have instead auscultated for whispering pectoriloquy.
How do you do percussion so that you’re able to get a resonant sound? Are you tapping on the fingernail or DIP? When I practice on the lungs I’m unable to get a good sound
I have pulmonary testing coming up for asthma in the cardiopulmonary department of a local hospital in Canada. Should it be expected to get an exam like this?
I know this is an older video (hehe i always go back to it for the epic unintentional asmr :)) )... but i have a question, Dr. Gill: So... i recently did a CT scan and, amongst other things (aka lymphoadenopaties - on my neck, armpit and groin) it said that i ALSO have those bad boys in my lungs (which makes sense with my shortness of breath). My question comes from a place of curiousity. ~ Q ~ Would there be any possibility that a non-invasive respiratory exam (just like this one you just performed) could detect lymphoadenopaties in a patient's lungs? ~ ~ Tyy for taking the time to read this, and thank you for the awesome videos and the awesome vibes :))
Is it weird Im currently watching this as a respiratory inpatient in hospital?😂 Is it weirder that im wondering why I've never had this full exam (severe asthmatic) and only parts of it? Never had the neck thing but pretty much had everything else🤷♀️😂
These examinations are for the gold standard, and the education of students. A little how you learn to drive one way, but often people will end up taking shortcuts as they become more confident driving. I know one doctor - Professor at UHCW - EVERY case is like watching him do formal examinations. He hits every note, every time. Interestingly enough, he’s respiratory too!
@@DrJamesGill OMG thank you so much for replying!!! That's so cool!!! I love watching the videos and seeing how the full examinations would be done its really interesting! :)
I have noticed in these exams that the guys are either skinny or muscular. Do big guys not exist to get a medical exam or is that a different channel. Just curious....
Since I've been watching your examinations, I'm asking myself why you take the blood pressure twice. I was taught to NEVER ever do it a second time at the same arm right after the first time. The second result wouldn't be correct.
The first run of the blood pressure cuff is in order to get a rough estimate of the systolic blood pressure before then using the stethoscope to get the more accurate reading - as detailed in MacLeods Clinical Examination text book
“Any problem with that?”
“Yes actually”
“Splendid”
Imma be that guy
The vest enhances his power.
FANTASICK waist coat
Without the vest, an ordinary, soft spoken medical practitioner. But when he puts on the vest, he becomes... Putapitapaper Man! Protector against the evils of Double Vision and Lumps and Bumps.
Increases his power level to over 9,000!
The clothes don't make the man, he is just really in-vested.
I would like this comment, but I'm not gonna be the one to break the 420..
The Unintentional King of ASMR 👏🏼
I just thought that lol
You mean The King of Unintentional ASMR.
SnorgonOfBorkkad nope... the unintentional king... he never meant to fall down this rabbit hole 😂👏🏼
The unintentional king of unintentional ASMR
Or intentional
That reupload though.
3:38 has gotta be a world record for shirt removal.
The other guy which removed it from the side was very skilled
Gabriele Simionato the shoulders examination lol
Watch shoulder examination guy
he was ready ;)
That was actually his 1st layer of skin.
That Skeleton in the back is like “you guys gonna ignore me the whole time?”
He may actually have a role in a video yet!!
I didn’t even notice it until reading this comment!
He’s like “HEY MY SHIRT IS ALREADY OFF!”
Dr James Gill the skeleton may have an issue with muscle wasting. Has he been examined? 😁😁
All he wanted was a lil attention
Dr. Gill lookin like a snacc in that vest
oO VioLindsey Oo He’s a snacc who prevent heart attacc
Vest wearing snacc, preventing heart attacc, checkin lungs and bacc.
Pardon my vest breath.
oOEarlGreyAllDay Oo it’s a waist coat not a vest 🥴
All I know is I‘d smash
Oh my gosh I can’t believe you are still doing these! I’m so pumped
4k is not to be sniffed at!! Although the grey stands out more!! 😳
Charles V, Holy Roman Emperor Totally agree! Second night in a row watching his videos. I need more videos like this and longer please Dr Gill
@@DrJamesGill, I quite like the look of the waistcoat you’re wearing as it compliments your physique. I find you to be an extremely handsome man with the perfect body, face, eyes, hair, voice, and temperament. I felt particularly compelled to write this as it is seldom in life we see a person with every feature so matched to our minds ideal.
3:39 when you've been training for months and your crush enters the room
I'm upset that he didn't #PutAPitOfPaper on him!
But glad your back with a new video Dr Gill...
Bianca Liddy real talk😂
At 3:35 I like to imagine they cut it off cause he said "thats fucked"🤣
Highly anticipated and wanted, the Macleod’s Clinical Examination practicals have now entered the 4K region of the Internet. Well done as always, Dr. James Gill. Brilliant!
That shirt came off so fast.
The vest makes more than shirts come off.
I was like, how fast for there to be comments. Then I got to that part of the video. Yup, fast. 😂
Nick Allen loool
I was just thinking that. Someone has a lot of experience getting his shirt off quickly. Maybe he should audition for the next Captain Kirk--there's a striking resemblance. :D
Another t-shirt removal world record attempt... where does Gill find these people
This dude stayed up every night for a week leading up to this exam practicing getting his shirt off like that
I wish doctors in the USA did this. This seems to fall under the preventative medicine category. These type of exams only occur when there is a problem!
Actually I remember I used to get very similar exams when I was younger, haven't been to the doctor in a while though so idk.
“These types of exams only occur when there is a problem.”
Umm, duh. Why would a physician waste time examining your respiratory system if you told him your ear ached?
@@lars1296 because both are linked by your sinuses
@@lars1296 Medical problems occur with little to no obvious symptoms.
Occasional check-ups are done so as to not let them go undetected and worsen, potentially to the point of being untreatable.
As an example, one life-threatening illness that should be checked for regularly is cancer, particularly from the 40s onward because that's the age range most cancer occurs in - with a _very_ high prevalence.
There's an adage about this - "prevention is better than a cure".
0:24 "yup, those are definitely hands"
I need this in a 30 minute loop.
Jaclyn Rachelle if you’re on a desktop computer you can right click on the video and a menu pops up one of them says loop video. And it will loop that video until you click another video or exit the browser.
Hey beautiful...
how u doing !!!
Wanna have coffee together
@@gta52010 gadão internacional
@@CarlosSilva-zu3zg imagina literalmente usar uma foto do coringa e chamar mulher nos comentario de um video relaxante de exame respiratorio pra tomar cafe achando q isso algum dia daria em alguma coisa
Classic. Real good routine that ticks all the boxes. Excellent medical performance.
My only recommendation would be to take the extra minute and
normalize the audio levels. The transitions will be smoother and
the experience even more enjoyable.
Arturo Arroyo idk why I find it better when the audio goes up and down lol. But I understand what you mean
Awesome! Could watch a full hour of this!
What’s the difference between medical and clinical? And why would Dr Gill have the patient say “one, two” and not “ninety-nine”?
"Ninety-Nine" is a mistranslation. Vocal fremitus was discovered by a German Doctor. The sounds transmitted through the lung changes if there is a consolidation (eg infection). The best way to check for vocal fremitus is to ask the patient to say a word which is a diphthong, ie has low tone vowels.
In GERMAN, where the discovery was made, "Neunundneunzig" (ie German for ninety-nine was used) is a diphthong.
The PROBLEM is the translation, as "ninety-nine" is NOT a diphthong, so technically gives inferior results for the examination, so "one-two", "balloon", or "toy boat" could be used in English
This is one of my favourite misnomers in medicine
- and YES I am that much of a geek!
Dr James Gill I learned something new today. Thank you
@@DrJamesGill That is why Dr G is the daddy of them all 👍
@@DrJamesGill could you do a video talking about these interesting things we will never know unless you enlighten us? I was amused learning that!
I want to go to a medical school where Dr Gill is the professor and he teaches every class.
3:34 "That's f*ck*d"
Wtf yo tambien lo escuche
Hahahahahaha... I literally just noticed that and I was about to comment that... 😅😅
" Hello, the names Gill, Dr. Gill. "
Guys at warwick are definitely excellent in T shirt removing....
That guy on the right doesn't seem on his best day, though.
underrated comment
Hes looking a little boned.
What happens waiting for doctors appointment
Doutor Gill sempre trazendo felicidade pa nois
bro this guys physique is what i’m aspiring for at the gym
He's a babe
This is random but I have really bad health anxiety bc my dad was always super sick but whenever I watch your videos it gives me comfort cause not only do I learn more about the body but it also reminds me of being taken care of by doctors and that’s comforting lol, so thanks :)
I dunno if its gonna be weird or not but i am proud of You! :DD
@@-_Fawi_- this is why I like the unintentional ASMR community. it's so nontoxic.
THE AD FOR THIS VIDEO WAS ASMR AND I COULDN’T BE HAPPIER
The master is back!
The most relevant clinical examination I’ve ever come across….. thumbs up Dr Gill… just never stop making such knowledge full videos for us. Thanx a lot
Glad it was helpful!
1:10 when you ask a customer service representative to speak with her supervisor .
am the skelton on the back still waiting for her supervisor .
🤣🤣
Bravo questo dottore molto professionale ottimo medico 👍👍👍
I am going to pass medical school without going to a single class because of this channel
I'm calling it, this is gonna reach 1,000,000 views by October 11th.
October 11, 2021
"And can you show me your undertaker eyes?"
3.30
"Splendid"
I enjoy your videos for many reasons,but I have no idea of medicine so I would like to know what are you looking for in each exercise...for example when you look the fingers,what symptoms are you looking for,what answers do you expect...which connetion is there with the respiratory system...Thank you!
We specifically left that out in these videos so they can be used in various teaching settings
I would guess it has to do with the blood vessels under the nails. Blood must replenish the nails quite quikly after you squeeze it out. But I am no doctor.
Aída Pinazo when he looks at the fingers he’s searching for anything out of the ordinary like cyanosis, fingers clubbing; that would say there’s respiratory problems. When he presses the finger he’s checking the capillaries refill
@@EmbeRobin thank you so much!
Aída Pinazo no problem! I would love to explain the others as well but I’m kinda busy with college atm, I hope you find more answers and understand more💓
3:38 - how long do you think he had to practice that?
None of those comments prepared me for how smooth that shirt removal was HAHAHAH
1:00 thought the video was loading. Dr Gill turned full manikan on me🤣
A clean bill of health from Dr. Gill: "perfect."
So amazing, James. So good for ASMR.
I enjoy watching your videos and useful for my work
Thanks. I hope they are helpful
What do your work?
@@DrJamesGill I work in a NHS hospital
When will you make an entire head-to-toe assessment in one video? It would be the best video ever ! 😊🙏
How would you change the examination for a patient with a bra/breasts? Would you position your hands any differently? And would you need extra consent or to give more clarification of what you're doing before examining that area? Thank you for the video!
yes yes and yes. 100% on further consent, and as a chap, I'd get a chaperone in
@@DrJamesGill thank you for your reply! Do you ever plan on doing videos that have these changes? Just curious :) thank you for making these videos!
Nora Popadopalous maybe, but it’s a long way down the job list
Record time, Dr. And classy as always.
Navy Suit for war ✔️
established
Half an inch excess
🤣🤣🤣🤣🤙🏻
So much love for the Dr Gill videos, what a gem you are! I want us to be friends 🤣
I don’t think even dr gill was prepared for the smoothness of the shirt removal
I want a supercut of Dr. Gill checking for lumps and bumps.
Can you make this gang sing with your hands? Terrific! Welcome to the clan!
How elegant is that vest and shirt? Doc always amusing us, be it with knowledge, asmr or style. Hugs from Brazil again!
4:06 Can you explain the purpose of tapping over the chest? 5:10 and again across the back?
Now that I am half way through didactic I get everything in the video, other than how this guy takes his shirt off so fast, despite all the guys in my class none of them can do that.
Also love your videos, helped solidify my decision to go into medicine
i guess it must be hot to watch boys taking their shirts off constantly
Thank u doctor it's useful for me now ❤️
Glad to hear that
Dr Gill: " is there any pain? ".
Me: " not anymore "
Dr Gill: " splendid, now take of your top! ".
Me: * paralysed by sensory overload *
Excellent video
Thanks
👍
I think if you did videos teaching about medicine or medical history or anatomy and physiology it would make amazing asmr!
6:15 hahahaha it sounds like he said "that's fucked"
Recommended during the respiratory illness of COVID-19... hopefully this ASMR will calm any anxieties 😅
Did he say "thats fucked :D" 3:34
While everything is important, I think new procedures have been put in place to advance the process of the respiratory exam. Perhaps, only using this method for those that exhibit respiratory distress in the non emergency setting.
He's perfect...😍
Whats the purpose of looking at the hands and doing the hand movements. I'm curious to see what its for
We have a video to answer that question 😊
The respiratory deep dive, covers all the steps we go into, and crucially why
ruclips.net/video/oZR-f5aBS00/видео.html
0:48 what is the purpose of that... what are you checking with that...
looking for "clubbing"
I must have the laziest Dr's in the world here cause I literally have had no Dr do any of the things I have ever seen on youtube lol. Like ever. I need you as a Dr lol
These are the complete examinations. It’s not often that every part is needed.
@@DrJamesGill Oh I understand that, but I never get examined for anything and not cause I shouldn't or don't need it. I could be hacking up blood and its like I might get a blood test done or something that's it. I also either don't get any results back or they are always fine, But I am not fine. I actually recently had surgery and was on medical leave for 23 days because I am perfectly healthy and fine. Saw 3 specialists 6 Dr's in total (2 of the Dr's I saw twice) nobody could tell me what I had, how to solve it, if it could be solved. What caused it. I was told I didn't need surgery, I did need surgery, it was optional if I had surgery. It wouldn't kill me, could kill me in long run. Last Dr said " I wouldn't want to live like that" or "I wouldn't want to live with that" Feb will be 2 years since the beginning of dealing with it all. Oh also I was in so many words told surgery may or may not resolve all my issues lol. I was told after surgery oh you "should" be ok now. SHOULD BE. I guess nothing in life is definite but damn. I am luckily a lot better but as of now its a waiting game to see if I will be good in the long run because I have 0 idea cause they either had 0 idea or didn't care to tell me and they certainly didn't try to figure anything out or do anything.
sighs
Sorry for the rant. All this was needless to say that you and other Dr's online seem to care more and be much more thorough then any Dr I have EVER come in contact with.
@@DrJamesGill Thank you for the response you really didn't need to take the time to respond to me.
A smart lad is what you are !
terrific
👍
4:10, i'm wondering what's the reason of doing that?
That is percussion of the apex of the lung.
If you have a pneumothorax, then the escaped air from the lung would affect the sound heard
We did a more in-depth video on that here:
ruclips.net/video/oZR-f5aBS00/видео.html
Thanks for this video and the time and effort that went in. But, when you examined the back, you palpated for chest expansion last and tested for vocal fremitus after auscultation for breath sounds. Perhaps after ausc, you might have instead auscultated for whispering pectoriloquy.
Hello Dr Gill. Quick Q....
Is this COVID stuff preventing you from doing more videos for the moment?
Steve Humphreys completely
3:40 did someone pick up the shirt?
How do you do percussion so that you’re able to get a resonant sound? Are you tapping on the fingernail or DIP? When I practice on the lungs I’m unable to get a good sound
We’ve just done a video trying to help answer that question
This might help 😊
ruclips.net/video/vejDpudjaio/видео.html
Dr gill you are soooooo clever loving the waistcoat
Dr Gill! What are those lumps/bumps called in someone’s neck, cheeks, chin and back of their head?
Lymph nodes I think you mean
Legendary
He starts tapping his chest and, for some reason, Ozzy Osborne pops into my head... *Lack of sleep intensifies*
Crazy train.
Maybe you're Flying High Again.
Very useful for med school
Thanks a lot
Dr. Gill to me always sounded like the nemesis of Aquaman
maybe a video about respiratory issues and imv
That is coming.
I suddenly feel sick, I need Dr. Gill 😰
0:47 "Domain Expansion"...
What’s with the tapping on the back of his hand while his hand is on the patient? What is he looking/listening for?
We have a video looking at each stage of the resp exam, and why we are doing it here.
Should help I think 😊
ruclips.net/video/1Lqv2BIJKVE/видео.html
1:05 The moment you realise the patient doesn’t have a pulse
Why is he doing the same examinations for thyroid and respiratory examination?
There are overlaps on many the examinations -see cardio and resp as well
@@DrJamesGill So you can putapithapapah on the hands for all three thyroid, resp and cardio?
I also like you wearing the suit vests.
They become you. 😊
sweet and beautiful guest! 😋😁😘
I have pulmonary testing coming up for asthma in the cardiopulmonary department of a local hospital in Canada. Should it be expected to get an exam like this?
so is this the right way for performing RE.?
Yes 😊
There will always be minor variations between schools, but the core is the same.
I know this is an older video (hehe i always go back to it for the epic unintentional asmr :)) )... but i have a question, Dr. Gill:
So... i recently did a CT scan and, amongst other things (aka lymphoadenopaties - on my neck, armpit and groin) it said that i ALSO have those bad boys in my lungs (which makes sense with my shortness of breath).
My question comes from a place of curiousity.
~ Q ~
Would there be any possibility that a non-invasive respiratory exam (just like this one you just performed) could detect lymphoadenopaties in a patient's lungs?
~ ~
Tyy for taking the time to read this, and thank you for the awesome videos and the awesome vibes :))
Is it weird Im currently watching this as a respiratory inpatient in hospital?😂 Is it weirder that im wondering why I've never had this full exam (severe asthmatic) and only parts of it? Never had the neck thing but pretty much had everything else🤷♀️😂
These examinations are for the gold standard, and the education of students.
A little how you learn to drive one way, but often people will end up taking shortcuts as they become more confident driving.
I know one doctor - Professor at UHCW - EVERY case is like watching him do formal examinations. He hits every note, every time.
Interestingly enough, he’s respiratory too!
@@DrJamesGill OMG thank you so much for replying!!! That's so cool!!! I love watching the videos and seeing how the full examinations would be done its really interesting! :)
I have noticed in these exams that the guys are either skinny or muscular. Do big guys not exist to get a medical exam or is that a different channel. Just curious....
Where can I see the full movie?
Any double vision?
Without reading that book or being a med student, I’d like to know what Dr G is looking for when examining the hands the way he did? And the neck too?
He’s looking for Covid-19.
@@snorgonofborkkad lol.
Why do we need to take the blood pressure twice ... one with stethoscope ?
Since I've been watching your examinations, I'm asking myself why you take the blood pressure twice. I was taught to NEVER ever do it a second time at the same arm right after the first time. The second result wouldn't be correct.
The first run of the blood pressure cuff is in order to get a rough estimate of the systolic blood pressure before then using the stethoscope to get the more accurate reading - as detailed in MacLeods Clinical Examination text book
@@DrJamesGill Thank you!
What's the purpose of taking blood pressure both with and without the stethoscope?
With out to get an idea as to roughly where things are, and then confirm with
Thank you.