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

Поделиться
HTML-код
  • Опубликовано: 14 май 2024
  • Cranial Nerve Examination - Deep Dive - Clinical Skills - Dr Gill
    The cranial nerve deep dive obviously starts with cranial nerve I. The olfactory nerve is your sense of smell, over this series of videos I'll be covering what most people have asked for, additional information on:
    - The normal function of each cranial nerve
    - How / why any special tests are performed
    - crucially what is being looked at during each step of the examination.
    *****
    For other cranial nerve examination explanation videos please look here:
    Cranial Nerve Examination Demonstration:
    • Cranial Nerve Examinat...
    Cranial Nerve I - Olfactory Nerve:
    • How to Examine Cranial...
    Cranial Nerve II - Optic Nerve
    • How To Perform Optic N...
    Cranial Nerves III, IV & VI
    • Cranial Nerves III, IV...
    Cranial Nerve V - Trigeminal Nerve
    • Cranial Nerve V: The T...
    Cranial Nerve VII - The Facial Nerve
    • Cranial Nerve VII - Th...
    Cranial Nerve VIII - The Vestibulocochlear Nerve
    • Cranial Nerve VIII - T...
    Cranial Nerve IX & X - Glossopharyngeal & Vagus Nerve
    • Glossopharyngeal & Vag...
    Cranial Nerve XI & XII - Accessory & Hypoglossal Nerve
    • Cranial Nerve XI & XII...
    I'm hoping to have this whole series finished this week - it was previously going to be delivered as a single video, but I think it would be more useful for people to be able to jump in and out to the various nerves they are wanting extra information on
    Keep dropping the comments, and I'm really grateful for all the improvements people are suggesting, which is helping this channel to evolve - THANK YOU
    ---------------
    Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
    Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
    Some people watching this video may experience an ASMR effect
    #CranialNerves #ClinicalSkills #DrGill #asmr
    You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
    00:00 - Introduction
    00:41 - Patient Information
    01:10 - Cranial Nerve I: Olfactory Nerve Examination
    04:11 - Cranial Nerve II: Optic Nerve Examination
    10:20 - Checking the Red Reflex and Fundoscopy
    14:20 - Visual Fields Testing
    17:20 - Cranial Nerve III, IV, VI: Eye Movements and Pupillary Responses
    22:40 - Cranial Nerve V: Trigeminal Nerve Sensation and Motor Function
    29:14 - Cranial Nerve VII: Facial Nerve Examination
    32:50 - Cranial Nerve VIII: Auditory Nerve and Hearing Tests
    35:48 - Cranial Nerve IX: Glossopharyngeal
    36:54 - Cranial Nerve X: Vagus Nerves
    37:45 - Cranial Nerve XI: Accessory Nerve Function
    38:33 - Cranial Nerve XII: Hypoglossal Nerve Examination
    39:42 - Summary and Conclusion

Комментарии • 408

  • @anthonymcneil1542
    @anthonymcneil1542 Год назад +1146

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

    • @DrJamesGill
      @DrJamesGill  Год назад +153

      🤣

    • @xaeo
      @xaeo Год назад +60

      LONG LIVE THE KING

    • @thekow3273
      @thekow3273 Год назад +28

      He watches it before he uploads and approves of his own work.

    • @omaradorno4189
      @omaradorno4189 Год назад +1

      @@DrJamesGill en donde donde se está está escribiendo

    • @njb1126
      @njb1126 Год назад +4

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

  • @ProperSauce
    @ProperSauce Год назад +405

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

    • @DrJamesGill
      @DrJamesGill  Год назад +153

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

    • @henrywhite58
      @henrywhite58 Год назад

      @@DrJamesGill 9kmkkkkkkkkkkkkmkkmkkkmkkmkmmkmkmkkkkkkmkkkkkkkmkkmkkmkmkkkkkkkkkkkkkkkkkmkkmkmkkmkkkkkmkkkkkkkkkkkmkmkkkkmkkkkkkkkmmkkmkkmkkkmkmkmikmkkkkkkmmkmkmkkkkkmmmmkkmkkmkkkmmimmmkmkkmmimmmikmmkkmkkkmkmkmmiimkkkkkmiijkimmmkmmmkmmimkkmmiiimikikkkkkmmmkkkkmkmikmkm8imkkmkm8jmimkmkmk8mmm8mmiiimimkmimmmmjkkmimim88iimmkmmmimmmm mmm kmkmiimmmii.muimiiimkiikmimiimmkkmikmii kk mm8immm8jikkiim8umikmikmimiiimmmikmmiiimmmmimikiiimikiki8mkmmkikmkiimi8m

    • @learicist
      @learicist Год назад +1

      @@DrJamesGillwell said. Almost always true

    • @WishMount
      @WishMount 11 месяцев назад +8

      he didn't apologise for his sandwich breath

    • @novemberoscar98
      @novemberoscar98 9 месяцев назад

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

  • @veras0208
    @veras0208 Год назад +450

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

    • @stonehousetales6954
      @stonehousetales6954 Год назад +27

      i use him for asmr to go to sleep sometimes

    • @antusgabor
      @antusgabor Год назад +10

      *soothing

    • @chirujagarel6735
      @chirujagarel6735 Год назад +1

      Ce faci 11:00 bună 100 1

    • @AquilaTheHun
      @AquilaTheHun Год назад +2

      @@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 Год назад +1

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

  • @AL-jo2vp
    @AL-jo2vp Год назад +75

    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..

  • @liz3355
    @liz3355 Год назад +35

    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 😚

  • @earlprinsloo9632
    @earlprinsloo9632 Год назад +170

    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 Год назад +5

      Is your father Clark Griswold?

    • @MorrisseyMuse
      @MorrisseyMuse 7 месяцев назад

      ​@@greglinski2208it can be, yes..

    • @patricklopes-vtec
      @patricklopes-vtec 3 месяца назад +1

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

    • @quark1
      @quark1 Месяц назад

      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!!

  • @eriklunden5218
    @eriklunden5218 Год назад +100

    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.

  • @Fotini13
    @Fotini13 Год назад +52

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

  • @dianaMD994
    @dianaMD994 Год назад +176

    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! 😇

  • @KeeliaSilvis
    @KeeliaSilvis Год назад +24

    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. 😊

  • @Myxril
    @Myxril Год назад +72

    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 Год назад +2

      Yes!

    • @gabrielesimionato1210
      @gabrielesimionato1210 Год назад +2

      I second this

    • @xantrospl
      @xantrospl Год назад +2

      I hope so!

    • @Denisontherun
      @Denisontherun Год назад +4

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

    • @AL-jo2vp
      @AL-jo2vp Год назад +4

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

  • @evanpitchers584
    @evanpitchers584 Год назад +12

    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

  • @mathewpryor82
    @mathewpryor82 Год назад +3

    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 🙏

  • @carlabach9567
    @carlabach9567 Год назад +32

    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  Год назад +20

      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 😊

  • @joanneclark8533
    @joanneclark8533 Год назад +2

    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!

  • @jeremiasdeleon5007
    @jeremiasdeleon5007 Год назад +8

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

  • @lenzi1982
    @lenzi1982 Год назад +1

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

  • @0verWay
    @0verWay Год назад +12

    Return of the King

  • @nightone9720
    @nightone9720 Год назад +4

    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.

  • @DABIGGGDIPPA
    @DABIGGGDIPPA 2 месяца назад

    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.

  • @-a-strikelures1212
    @-a-strikelures1212 6 месяцев назад +5

    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.

    • @DrJamesGill
      @DrJamesGill  6 месяцев назад

      Thank you for joining us 😊

  • @deezelkane
    @deezelkane Год назад +75

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

  • @ddal3998
    @ddal3998 Год назад +1

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

  • @mhalbae
    @mhalbae Год назад +14

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

  • @b4d69
    @b4d69 Год назад

    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.

  • @TrueSlayer150
    @TrueSlayer150 9 месяцев назад +1

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

  • @balaam_7087
    @balaam_7087 Год назад +17

    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  Год назад +4

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

  • @Ruffman
    @Ruffman Год назад +15

    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!

  • @peetkoolstra3891
    @peetkoolstra3891 Год назад +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.

  • @anthonyreynolds9300
    @anthonyreynolds9300 Год назад +10

    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  Год назад +5

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

    • @anthonyreynolds9300
      @anthonyreynolds9300 Год назад +2

      @@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!

  • @steamcloudcave5034
    @steamcloudcave5034 Год назад +3

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

    • @youseeit916
      @youseeit916 Год назад +1

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

  • @aldmjr
    @aldmjr 2 месяца назад

    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

  • @chrisbergin390
    @chrisbergin390 Год назад +2

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

  • @mo793
    @mo793 Год назад +1

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

  • @mahaggett2659
    @mahaggett2659 Год назад +9

    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 Год назад +5

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

  • @JKelly756
    @JKelly756 3 месяца назад

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

  • @masterlcpl3736
    @masterlcpl3736 Год назад +3

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

  • @Splurge24
    @Splurge24 Год назад +2

    Dr Gill, you are such an exceptional educator

  • @RingoMandingo
    @RingoMandingo Год назад

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

  • @Derokas
    @Derokas Год назад

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

  • @angelabernhardt6761
    @angelabernhardt6761 Год назад +10

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

    • @DrJamesGill
      @DrJamesGill  Год назад +2

      Slowly getting better with the edit !

  • @mariomario6393
    @mariomario6393 Год назад

    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 Год назад

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

  • @chadster69
    @chadster69 Год назад

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

  • @chanda6641
    @chanda6641 Год назад +9

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

    • @DrJamesGill
      @DrJamesGill  Год назад +5

      Learning is always good ! 👍

  • @pamw565
    @pamw565 Год назад +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.

  • @grf15
    @grf15 Год назад +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.

  • @mwanichi
    @mwanichi Год назад

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

  • @Denepwe
    @Denepwe Год назад +4

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

  • @vicklemiss
    @vicklemiss Год назад +5

    Amazingly in-depth! Great video 🙏🏻

    • @DrJamesGill
      @DrJamesGill  Год назад +1

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

  • @pablofodor3300
    @pablofodor3300 6 месяцев назад

    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.

  • @OG.WILLY.SANTOS
    @OG.WILLY.SANTOS Год назад

    My favourite deep dive yet good job dr gill

  • @NewCandyCane
    @NewCandyCane 7 месяцев назад +1

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

    • @DrJamesGill
      @DrJamesGill  7 месяцев назад +1

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

  • @Josh-dm5eq
    @Josh-dm5eq Год назад +26

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

    • @snowyowl6892
      @snowyowl6892 Год назад +1

      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 Год назад

      @@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 Год назад

      @@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 …
      🤗

  • @stephanies.9786
    @stephanies.9786 Год назад +2

    I always learn something from your videos, Doc. Thank you for making these!

  • @deweyhall712
    @deweyhall712 Год назад +2

    I love how informative your videos are.

    • @DrJamesGill
      @DrJamesGill  Год назад

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

  • @brianlarson9544
    @brianlarson9544 Год назад

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

  • @Caltash
    @Caltash Год назад +2

    Cranial nerve examination AND it is featuring Megan?
    yaaaaasssssss 😍

  • @wrtko2
    @wrtko2 6 месяцев назад

    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

  • @starfishgurl1984
    @starfishgurl1984 Год назад +3

    Great video! My problem with hearing is a result of auditory processing disorder so it’s my brain that has the trouble processing and interpreting the sounds in a timely manner, especially in noisy environments, because I hear everything and don’t filter out background noise so my hearing is actually too good almost if that makes sense, lol. So even though I have trouble processing speech I usually pass tests like these with flying colors, fascinating stuff!

  • @rikkilumsden2655
    @rikkilumsden2655 Год назад

    Excellent video as always. I enjoy these on different levels, I like the asmr aspect but as a first aider I’ve found I’ve picked up a multitude of things I’ve picked up along the way to help me

  • @bigstinky2246
    @bigstinky2246 Год назад

    Asmr king I love these videos. I learn something and I fall asleep

  • @brent6518
    @brent6518 6 месяцев назад

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

  • @timangus7021
    @timangus7021 2 месяца назад

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

  • @meagangilley154
    @meagangilley154 Год назад

    Absolutely loved it! Thank you so much doctor. ❤

  • @HazardXXI
    @HazardXXI 3 месяца назад +5

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

    • @DrJamesGill
      @DrJamesGill  3 месяца назад +2

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

  • @personalinjuryshow
    @personalinjuryshow Год назад

    Very helpful information, thanks for sharing.

  • @andrewdieter9180
    @andrewdieter9180 Год назад

    Thank you for this Doctor House

  • @nicholasfarrell6092
    @nicholasfarrell6092 Год назад

    This is brill for my osces thankyou so much 👍

  • @leonoflynn
    @leonoflynn Год назад +1

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

    • @DrJamesGill
      @DrJamesGill  Год назад

      Some parts of clinical skills are lovely simplicity 😊

  • @gmc9451
    @gmc9451 7 месяцев назад +2

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

    • @DrJamesGill
      @DrJamesGill  7 месяцев назад +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

  • @mattcarter78
    @mattcarter78 Год назад

    The Doctor has a new companion! The lovely Megan 🎉

  • @djack6318
    @djack6318 Год назад +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  Год назад +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 Год назад

      @@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.

  • @UCONN_HUSKIES
    @UCONN_HUSKIES Год назад +3

    Dr Gill 🤩

  • @UKVoodooUK
    @UKVoodooUK Год назад +2

    Her eyes are bloody amazing 🤗

  • @MrZomg17
    @MrZomg17 8 месяцев назад

    @Dr James Gill, can Eye Floaters be seen with this test?

  • @MrZomg17
    @MrZomg17 8 месяцев назад

    Amazing ,looking inside someone's eye with your own eye

  • @kazuhiramiller1996
    @kazuhiramiller1996 Год назад +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  Год назад +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 Год назад +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 11 месяцев назад

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

    • @mironbashelutskov5116
      @mironbashelutskov5116 11 месяцев назад

      congratulations, stay strong

  • @mattyj39_
    @mattyj39_ Год назад +2

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

  • @brittanykeyser1283
    @brittanykeyser1283 Год назад +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  Год назад +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 Год назад

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

  • @dd11111
    @dd11111 Год назад

    Huh, I always thought thay wiggling the finger was INTENTIONALLY to draw the pacients gaze once said finger entered the pacients peripheral vison.
    Learn sometjing new every day, especially around Dr. Gill.

  • @L555HEP
    @L555HEP Год назад +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  Год назад

      You’ll still be active on their system 😊

  • @omarmartinezolvera8405
    @omarmartinezolvera8405 Год назад

    thanks for the amazing video!

  • @Coalch13
    @Coalch13 Год назад +1

    Big ups to Dr. Gill

  • @NimpanZ
    @NimpanZ Год назад

    Hi Doc, is there any chance you can help us to understand a typical blood/lipid panel result. Never know how to read those things.

  • @silverbayonett
    @silverbayonett Год назад +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  Год назад +2

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

  • @Android.Paranormal
    @Android.Paranormal Год назад +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  Год назад +5

      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!

  • @markmccallum475
    @markmccallum475 Год назад +1

    I have a deviated septum and my nostrils are rarely both patent . It also affects my sinuses and makes my face feel heavy.

  • @harryjamessmithmusic7762
    @harryjamessmithmusic7762 Год назад +1

    This is fantastic!

  • @alexmitchell5339
    @alexmitchell5339 Год назад +1

    Is there an age limit on training to become a doctor? I've always wondered if you get mature students on your courses.

  • @thomasskeffington4539
    @thomasskeffington4539 Год назад

    The blind spot test is very intriguing.

  • @vjr4763
    @vjr4763 3 месяца назад

    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?

  • @enriqueviveros7200
    @enriqueviveros7200 Год назад

    Nah, this is just wonderful in all aspects.

  • @alexdcruz3682
    @alexdcruz3682 Год назад +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  Год назад +1

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

  • @MihailMahov
    @MihailMahov 11 месяцев назад +3

    Megan Struthers is very pretty

  • @annalielove2407
    @annalielove2407 Год назад +1

    Dear dr Gill..for us asmr lovers, the longer the video the better

  • @alvaroramiz3585
    @alvaroramiz3585 Год назад

    Cheers to you Doctor! For keeping your focus that woman is a total knockout 🤯. Great video I've learned quite a bit.

  • @lekoman
    @lekoman Год назад +1

    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.

  • @spinousprocess7109
    @spinousprocess7109 Год назад

    Great Work!!!

  • @coldturkey5333
    @coldturkey5333 Год назад +3

    Where is the navy suit for war ?