Dr Gill you would be a good teacher or speaker at symposium. I have followed quite a few for animals in Utrecht but also had some teachers who are very boring to listen to. which is not the case with you. you explain it well so that it is easy to understand!
Thank you so much for this video. I’m a professional cardiologist, and I’m impressed by how you made it so easy to understand. I’m going to use you as a reference for my trainees.
Currently studying for clinical skills, and this video has really helped me understand what sounds I'm listening for , and also the corresponding history and presentation that goes with it. Your videos are the best learning tools I've found so far Thanks Dr Gill😊
This lecture is not only geared for medical students but I find it perfect for Emergency Medical Technician and paramedic students . This is also a good review for those active in the EMS profession .
I've been struggling with heart murmurs for a while now and this video has absolutely helped me in my understanding. Silliness and all, I don't think I'll forget. I'll be sure to share with my clinical group. Thank you!
@@DrJamesGill Would love an ECG interpretation video! Possible topics to cover; opthalmoscopy/fundoscopy, abg/vbg interpretation, how to choose the correct fluid and maybe even Covid-19 vaccine myths debunked. But loving your content. Thank you!
I find myself enjoying these videos more and more. The knowledge i gain from them, even tho i may not be a medical student, is wonderful! I'm a firm believer of the phrase "Knowledge is power", and you never know when info like this could be useful. Fantastic work as always, Doc!
Just started my advanced practice masters and you are fascinating! I literally have learned so much, easy to understand. I love how you use basic terminology to explain as it really helps me keep the info in! Thank you and keep them coming!!!
Bless you Dr Gill, you give me more confidence in my theory with these outstanding videos. I hope the good that you bring to the world is granted to you back (+more) in this life and the next. I can only wonder how many people you have helped through sharing your knowledge and gift of teaching. Warm and kind regards.
Excellent video! Just what I needed to clear murmurs in my head in time for end of year OSCEs next week. Minor correction to offer, where I think you meant mitral stenosis but said mitral regurgitation during the summary segment. It’s the generosity and wisdom of experienced clinicians like you that make learning medicine such a joy. Thank you for all you do! Please include me in the raffle, as I could really do with that book!
I go for echocardiogram (due to a "slight woosh" sound Dr. described) tomorrow, and I watched this video to get a better understanding. You are a magnificient teacher. Love the engaging style of learning you offer! (my masters is in edu/building elearning courses).
I’ve been interested in medicine and the human anatomy since I was a kid. That knowledge really helped me when I had to take care of my grandad. It’s made me want to pursue an actual career in the medical field. I would love a copy of that book 🙏🏻
Thank you Dr Gill for your honesty and your commitment of teaching something that's very very important I had to jump on this you to be reminded now yes I do have a very very bad heart murmur and I'm still here thank you Jesus I count my blessings every day but you have a blessed day Dr Gill
Thank you. That was very informative. I think explaining the theory in succinct way was really great and that went well. I wonder if it might have been possible to play an audio for these sounds ? Although your simulation was great I think hearing the real sound would also have been great!
Thank you thank you! You're the best at explaining this. The examples and noises, it really made it easy for me to remember. I had a very hard time understanding all that info in the book, so glad I came across your video!!! Shared with my classmates as well.
Great video as always, really enjoyed the depth you went into. As another said, would have been great to hear the sound itself - I'm sure there must be recordings, especially for the rarer conditions. Keep up the great work!
I LOVE IT !!! I LOVE IT!!! I once struggled with some of the theory myself however I now can vision action potential blood flow and what ever cardiac complex question that arise I can somehow envision it now- especially your period of instruction of cardiac murmurs or some turbulence of some sort.
I love you videos on heart issues. I have a heart condition called Tetralogy of Fallot (TOF) and it helps me understand alot of what's going on with me. It can get overwhelming when there's alot of information
@@DrJamesGill yes I had my open heart surgery when i was 3 years old. I went to great ormond Street Hospital. I have regular check ups and I will have to have more surgery as I get older (I'm 34 now)
"A Simon and Garfunkel murmur" was quite humorous. Certainly do understand the concept of the sound of silence with a murmur. Also, I never knew nor heard of Abraham Lincoln having a suspected murmur. Very excellent lecture and video!
Isn't the theory that Abraham Lincoln may have had Marfans, Ehlors-Danlos or another connective tissue problem? That could have bearing on a possible heart murmur; those days they didn't know quite what to call it.
What went well: you explained everything to a guy(me) who has little understanding of the topic at hand and now I’d be able to regurgitate the information to friends / family. What could be changed: perhaps giving Bob a rest and introducing his identical twin brother Rob for future videos
Dr. Gill, I totally enjoyed your excellent video. It truly made me understand so many concepts of auscultation much more clearer. Thank you. Blessings.
what i loved most about the video was how informative each of the 4 murmurs was and how we can distinguish them with the sounds you demonstrated. My improvement suggestion is maybe inserting clips of real life sounds of each of these mumurs because as I was watching the video i found myself kept going to check for real life stethescope sounds from other reputable channels on UA-cam. But overall you are really doing the Lord's work! We love you
I'm not a medical student, but my brother is. He just recently heard a murmur in his own heart and now it's being under examination to clarify the diagnosis. Educating the patient is important and that's what this type of video does.
@@DrJamesGill thanks. Yeah, he has a problem with the valves... A calcification. I guess he heard an aortic murmur... A top-wooosh top-wooosh I guess 😅
Greetings, Dr. Gill. Third year Indian med student here. Glad to see you again, sir. Saw you first in the Elsevier lecture " Succeeding in medicine in your first year and beyond, what they don't tell you in lectures.. ". It really helped me a lot. And now, this is going to help me in my clinics. Thank you for posting this awesome content. Always had a hard time with murmurs and their pathophysiology. Thank you once again, sir.
Thank you so much for all of your videos!!! They are so helpful and informative. All of my clinical examination training was cancelled due to covid so these videos have made me a lot more confident when carrying out these examinations when at placement!
Great video! Now being treated for stage 2 CHF causing SOB. I was surprised my cardiologist said she would like to see me a year from now. With known aortic artery dilatation, aortic calcification; and, my frequent complaint of SOB upon minimal exertion I decided to look for another cardiologist who will see me at least every 6 months. Why? Because I feel I need to be monitored more frequently need to know if I should wait for my symptoms to get worse before I undergoing surgery I hope to find one who will have manners as good as yours and will become attuned to my age 77 heart sounds. And that he or she will move their stethoscope around my chest and neck as you described. And finally to listen for these various sounds astutely as you so brilliantly demonstrated. Cheers
Great one! I found its hard to get my heart around murmurs. This made it very clear for me as a visual learner, and I want to take a chance on the concised book hahaha
What I liked - How you likened the sounds of normal blood flow to that of a car passing by. I find analogies like that really useful! What could be improved - Inserting the sounds of actual heart murmurs would also be beneficial. Thanks for the video, always nice to be able to brush up on some skills and I will be sure to integrate some of the knowledge I have gained into my practice! Keep up the good work! 👍
Excellent video! Your vocal representations and memory aids really helped me to understand and remember the heart murmurs. The only improvement I could suggest is maybe adding a knowledge check/self test part at the end, e.g. sounding out a murmur and asking us what it is before giving us the answer.
As someone who struggles with murmurs, I loved the analogies you use to explain them. This is what feels like a fair few lectures of content compressed into half an hour, terrific!
@@DrJamesGill Well this is definitely striking that balance very well. It gives all the necessary information without waffle. At least for us, there's a lot of unnecessary knowledge passed down in lectures, but you manage to cut it out and give me what feels like the most clinically relevant content. Thank you, it's great!
so at last i found a video that can help me understand these ever confusing murmurs....that was helpful...thanks... ooh btw...is the giveaway still open ?🤣
Hi, I absolutely love your videos, I am so glad I came across them, they are legit saving my life. Could you please check one thing, at 26:45 you mention that Valsalva will increase intra thoracic pressure, and increase cardiac output, I find the opposite to be true. Valsalva increases the pressure yes and hence, VALSALVA DECREASES CARDIAC OUTPUT and hence decreases the sound of most murmurs (including MS) and only increases MVP and HCM sounds. Source: NCBI, physiology cardiovascular murmurs, scroll down to Maneuvers >Valsalva. Thank you so much for your work, you are an absolute godsend.
Your method of the lecture is great and easy to understand. However, I would have loved it if you used animated sounds to actually depicts the different types of murmurs. Thank you very much, Dr. Gill. I have watched many of your lectures and they have been very helpful to me.
@@DrJamesGill Oh Okay. Thank you very much for the tutorials. They have been very helpful to me. Hope you will make more tutorials in which you will use simulators to demonstrate the clinical skills. Thank you very much, Dr. Gill
Very informative and enjoyable, even for the laymen . As a visual learner also myself, in terms of suggestions that you asked for; perhaps simple graphics( like a chart) at the end, summarising the key points, might also be helpful . This could then be screen shot as a further aide memoir.
Ahhhh my little cardiology researcher brain is geeking out!! This is definitely one of my favourite specialties, although I agree, it's difficult. Ok, what went well: You made many complicated facts seem easy, and maybe this is just me, but I learn SO WELL with mnemonics so thank you for including those! Here's one for you (slightly naughty): Side Effects of Amiodarone (I work for a rhythm guy :)): Bradycardia Interstitial lung disease Thyroid Dysfunction Corneal/cutaneous Hepatic dysfunction What could go better: I honestly had trouble coming up with this one, but I'd say that it would be useful to actually include recordings of the different murmurs compared to a normal S1, S2. Although I have to admit, your sound effects were charming. Keep educating, doc!
Good part: Well spoken and explained. Easy to understand. What could be better? Longer videos with more information and medical treatments. Why and how are you looking for this signs? :) best regards from Sweden!
I was diagnosed with one it is unknown if I still have them. My heart is surely different my doctor said for this it goes beating quick than stops goes back to beating and repeats this process and sounds like some thump and than a low pitch siren from how he said and it had a whooshing noise going on so he figured the heart beat was different, also thanks for helping me learn more about my conditions and disorders you help me learn the meaning behind them and if they are needed for special caring or not. Like the vision tests those help cause I get black confused with purple and blue, or for something what happens a lot is numbers swap places so the higher number is lower and lower is higher, and book pages seem to be crooked. So, thank you, Dr. James Gill.
Grazie mille! this was indeed very helpful as I am also a visual person. Please it would be great if you can also tell what happens on the right side with the pulmonary and tricuspid valves. Thanks once again
Another excellent video: What went well: very good use of mnemonics eg SAD,HAS and CHAPS. Humour is always a winner too. Raptors and Simon & Garfunkel lol. What could be improved: I wonder if simple images of S1 and S2 and where the murmurs sit in the scheme of things might also help visual learners. Like the diamond shape of AS between S1 and S2 in a way helps to visualise the sound. The Brrrr of the pan systolic Mitral regurgitation can be seen in its image. Just a thought definitely not a criticism. Grateful for everything you do Dr Gill. I recommend you to everyone!
Drum roll please - the winner of the Clinical Examination Textbook is… - Clair Sparkes Clair if you’d be kind enough to DM me via Twitter. We’ll sort out the win - if the prize is not claimed by 2000 GMT 12/6/21 we’ll re-draw Thanks all for entering 😊
I will take any extra ways of remembering cardio facts Dr Gill! Here's hoping I'll be lucky enough to nab the giveaway for my future in med school. I really think you excel with the use of Bob, diagrams and the models which really connects what you say. I think most people are visual learners and benefit from stories rather than facts. What I think you could do better is have some timestamps in your description as I would love to come back to this video and quickly navigate to the spot of interest. I know it's ridiculous to ask this, but as an Anki disciple it would be amazing if you had some cards that corresponded to the video such as the acronym SAD for remembering the causes of aortic stenosis. Thanks a ton!
Hello Dr. Gill, Long time fan and viewer of your amazing videos. I was hoping to maybe ask you about a medical issue that I have and what you might recommend someone in my position to do? I have idiopathic membranous nephropathy - I am 28 years old - male - was diagnosed at 24. I have been in remission and relapse about 3 times since my diagnosis. I understand that I need to watch my sodium intake, and I have been doing my absolute best in that area. Admittedly I have had some bad months with my diet restrictions, however I do tend to have a good understanding on what and what not to eat. You seem to explain things in very precise and easily understanding ways and I was hoping you could explain to me what is happening to my body and what I could do to help reduce the risk of relapsing again. I swell up a lot in my bad days, and I use diuretics to help, however I wonder if there are things that I haven't figured out about my body that I can do to help me with this issue. Hopefully you see this and can put your two cents in to help me out. Thank you. Keep pumping out these amazing videos!
I'm not even a medical student and I am fascinated by how much I enjoy/learn by following these videos. Thank you Dr. James Gill. :-)
Thanks. That’s a big compliment given how difficult I found this one!
Dr Gill you would be a good teacher or speaker at symposium. I have followed quite a few for animals in Utrecht but also had some teachers who are very boring to listen to. which is not the case with you. you explain it well so that it is easy to understand!
Thank you so much for this video. I’m a professional cardiologist, and I’m impressed by how you made it so easy to understand. I’m going to use you as a reference for my trainees.
Thank you. That’s genuinely made my day to hear - especially as I found cardiology a challenge at uni!
Currently studying for clinical skills, and this video has really helped me understand what sounds I'm listening for , and also the corresponding history and presentation that goes with it. Your videos are the best learning tools I've found so far Thanks Dr Gill😊
That’s really positive feedback. Thank you. Any other areas I could help withV
This lecture is not only geared for medical students but I find it perfect for Emergency Medical Technician and paramedic students . This is also a good review for those active in the EMS profession .
How can i click on the lick burton more than 10000000.... Thanks Dog
I've been struggling with heart murmurs for a while now and this video has absolutely helped me in my understanding. Silliness and all, I don't think I'll forget. I'll be sure to share with my clinical group. Thank you!
Thanks Robyn
This was one area I struggle with too
We’re going to be doing ECG as well as spirometry soon
Any topics that you’d like us to cover?
@@DrJamesGill Would love an ECG interpretation video! Possible topics to cover; opthalmoscopy/fundoscopy, abg/vbg interpretation, how to choose the correct fluid and maybe even Covid-19 vaccine myths debunked. But loving your content. Thank you!
This is the most helpful murmur video I've ever seen, I finally get it
I find myself enjoying these videos more and more. The knowledge i gain from them, even tho i may not be a medical student, is wonderful! I'm a firm believer of the phrase "Knowledge is power", and you never know when info like this could be useful. Fantastic work as always, Doc!
Just started my advanced practice masters and you are fascinating! I literally have learned so much, easy to understand. I love how you use basic terminology to explain as it really helps me keep the info in! Thank you and keep them coming!!!
Perfect timing for my cardiovascular weeks in my clinical assessment module. Heard my first murmur today and this helps me understand it!
Which murmur was it?
Explained very simply, it seems like it's a video series for dummies. Great Job Dr. Gill.
I rally helps me to consolidate my knowledge doing this anyway 😊
Bless you Dr Gill, you give me more confidence in my theory with these outstanding videos. I hope the good that you bring to the world is granted to you back (+more) in this life and the next. I can only wonder how many people you have helped through sharing your knowledge and gift of teaching. Warm and kind regards.
I enjoyed the fact that Dr Gill used various learning techniques here !
We are really lucky to have content of such high quality on youtube for free. Thank you Doctor. Love from India
Glad it helped 😊
Excellent video! Just what I needed to clear murmurs in my head in time for end of year OSCEs next week. Minor correction to offer, where I think you meant mitral stenosis but said mitral regurgitation during the summary segment. It’s the generosity and wisdom of experienced clinicians like you that make learning medicine such a joy. Thank you for all you do! Please include me in the raffle, as I could really do with that book!
I go for echocardiogram (due to a "slight woosh" sound Dr. described) tomorrow, and I watched this video to get a better understanding. You are a magnificient teacher. Love the engaging style of learning you offer! (my masters is in edu/building elearning courses).
I’ve been interested in medicine and the human anatomy since I was a kid. That knowledge really helped me when I had to take care of my grandad. It’s made me want to pursue an actual career in the medical field. I would love a copy of that book 🙏🏻
Good luck with your journey 😊
@@DrJamesGill Thank you! 😊
Thank you Dr Gill for your honesty and your commitment of teaching something that's very very important I had to jump on this you to be reminded now yes I do have a very very bad heart murmur and I'm still here thank you Jesus I count my blessings every day but you have a blessed day Dr Gill
Text book draw will be NEXT Friday at 2000 to allow those who want a chance :)
Thank you. That was very informative. I think explaining the theory in succinct way was really great and that went well. I wonder if it might have been possible to play an audio for these sounds ? Although your simulation was great I think hearing the real sound would also have been great!
That will be in the follow up
@@DrJamesGill Great , thank you !
Thank you thank you! You're the best at explaining this. The examples and noises, it really made it easy for me to remember. I had a very hard time understanding all that info in the book, so glad I came across your video!!! Shared with my classmates as well.
I love how you explained this in terms of physics. I understand that more than medical info.
Great video as always, really enjoyed the depth you went into. As another said, would have been great to hear the sound itself - I'm sure there must be recordings, especially for the rarer conditions. Keep up the great work!
They will be in the next video 😊
Watch every video you’ve uploaded and all the Warwick ones that you are in, I’m not a medical person but find you fascinating as a person 👍🏻
I'm an FNP student and I love the creative ways to remember the murmurs that helped me so much!
I LOVE IT !!! I LOVE IT!!! I once struggled with some of the theory myself however I now can vision action potential blood flow and what ever cardiac complex question that arise I can somehow envision it now- especially your period of instruction of cardiac murmurs or some turbulence of some sort.
Thank u thank u thank u doctor!! Il be watching this video over and over....you are a hidden gem❤
You are very welcome!!
I love you videos on heart issues. I have a heart condition called Tetralogy of Fallot (TOF) and it helps me understand alot of what's going on with me. It can get overwhelming when there's alot of information
That’s a major point we teach, but rarely see it. Hope you are doing well with it?
@@DrJamesGill yes I had my open heart surgery when i was 3 years old. I went to great ormond Street Hospital. I have regular check ups and I will have to have more surgery as I get older (I'm 34 now)
"A Simon and Garfunkel murmur" was quite humorous. Certainly do understand the concept of the sound of silence with a murmur. Also, I never knew nor heard of Abraham Lincoln having a suspected murmur. Very excellent lecture and video!
My brain works on strange ways
Isn't the theory that Abraham Lincoln may have had Marfans, Ehlors-Danlos or another connective tissue problem? That could have bearing on a possible heart murmur; those days they didn't know quite what to call it.
I’ve heard the Marfans as a possible theory, which would also connect with a mitral regurgitation
Dr. Gill Why have I only just found you now!! you're amazing thank you for the great content!!! ;)
You're very welcome!
What went well: you explained everything to a guy(me) who has little understanding of the topic at hand and now I’d be able to regurgitate the information to friends / family. What could be changed: perhaps giving Bob a rest and introducing his identical twin brother Rob for future videos
Nah, Rob’s really irritating, I don’t get on with him
@@DrJamesGill 😂
ASMR and medicine all in one video love it!
Dr. Gill, I totally enjoyed your excellent video. It truly made me understand so many concepts of auscultation much more clearer. Thank you.
Blessings.
Excellent. Easy to follow. Very useful pointers to remember the various hear sounds and murmurs.
👍
what i loved most about the video was how informative each of the 4 murmurs was and how we can distinguish them with the sounds you demonstrated. My improvement suggestion is maybe inserting clips of real life sounds of each of these mumurs because as I was watching the video i found myself kept going to check for real life stethescope sounds from other reputable channels on UA-cam. But overall you are really doing the Lord's work! We love you
👍
Very helpful, thank you! I love the weird and wonderful things that people use to remember things. Your analogies are great, thanks again!
Well, certainly weird lol!
I'm not a medical student, but my brother is. He just recently heard a murmur in his own heart and now it's being under examination to clarify the diagnosis. Educating the patient is important and that's what this type of video does.
I hope he is ok
@@DrJamesGill thanks. Yeah, he has a problem with the valves... A calcification. I guess he heard an aortic murmur... A top-wooosh top-wooosh I guess 😅
Thanks for your video! It's amazing how well, and easy, you made this topic. Totally recomended
Thank you. That’s really positive 😊
Greeting from an Italian med student doc, keep up with the great work!
👍
Greetings, Dr. Gill. Third year Indian med student here. Glad to see you again, sir. Saw you first in the Elsevier lecture " Succeeding in medicine in your first year and beyond, what they don't tell you in lectures.. ". It really helped me a lot. And now, this is going to help me in my clinics. Thank you for posting this awesome content. Always had a hard time with murmurs and their pathophysiology. Thank you once again, sir.
Thank Stephen. That was a while ago now, but there is so much that seems “hidden” about going to and surviving med school
Hope you Are doing well!
Thank you so much for all of your videos!!! They are so helpful and informative. All of my clinical examination training was cancelled due to covid so these videos have made me a lot more confident when carrying out these examinations when at placement!
Covid has really hit students.
Is there anything else you feel we can record to help you?
Great.....hats off for your best and deep explanation sir.... wonderful way of explanation.
Thanks a ton
I like the sounds that you are making to explain murmurs.
🤣🤣🤣 they always stuck in my head that way!
Great video!
Now being treated for stage 2 CHF causing SOB. I was surprised my cardiologist said she would like to see me a year from now.
With known aortic artery dilatation, aortic calcification; and, my frequent complaint of SOB upon minimal exertion I decided to look for another cardiologist who will see me at least every 6 months. Why? Because I feel I need to be monitored more frequently need to know if I should wait for my symptoms to get worse before I undergoing surgery
I hope to find one who will have manners as good as yours and will become attuned to my age 77 heart sounds. And that he or she will move their stethoscope around my chest and neck as you described. And finally to listen for these various sounds astutely as you so brilliantly demonstrated. Cheers
Great one! I found its hard to get my heart around murmurs. This made it very clear for me as a visual learner, and I want to take a chance on the concised book hahaha
Well, you are certainly in the draw 😊
Doctor Gill is a gift to humanity ❤️
Love the way you remember issues! As an Civil Engineer I could relate! I have a Cardiology Appointment soon and your video was very helpful!
What I liked - How you likened the sounds of normal blood flow to that of a car passing by. I find analogies like that really useful!
What could be improved - Inserting the sounds of actual heart murmurs would also be beneficial.
Thanks for the video, always nice to be able to brush up on some skills and I will be sure to integrate some of the knowledge I have gained into my practice!
Keep up the good work! 👍
Thanks. Yes I’m going to apply the actual heart sounds in the next cardiology video
This video is impressive! I learned so much from your video. Thank you!
Glad it was helpful! Any other areas we could help with?
I have a Cardiology Mini on Monday so I greatly appreciated this video. Hopefully it helps!
Good luck!!
men this dude is awesome at doing what he does .... hes interesting and flawless
Excellent video! Your vocal representations and memory aids really helped me to understand and remember the heart murmurs. The only improvement I could suggest is maybe adding a knowledge check/self test part at the end, e.g. sounding out a murmur and asking us what it is before giving us the answer.
Interesting. A knowledge test would be a really simple thing to add - definitely will be included from now on 😊 thanks
Excellent presentation as always @Dr Gill
Thanks
This was amazing! The different sounds helped me understand so much for my Physical Diagnosis class thank you!
Thank you. These videos are great. The way you described the sounds makes it simple to understand and remember.
Excellent doctor a perfect explanation. Thanks
Thank you ! This Video helped me learn Many Concepts i have struggled with
I struggled with it, hence why I teach it every year, as I have to “get it”
That's the video we're waiting for! Well done! Thank's doc! Would love to see one about lung's auscultation too!
Thank you, Dr Gill! You're a genius! Love your explanations, very very helpful!!!
Excellent lecture,keep it Doc.
Learnt alot.
Thanks Dr.Gill. These videos are awesome! Very helpful!
👍
Liking the new hair! Very streamlined and aerodynamic. Like a Velociraptor.
As someone who struggles with murmurs, I loved the analogies you use to explain them. This is what feels like a fair few lectures of content compressed into half an hour, terrific!
Thanks. When I lecture it’s always a balance between too much and too little, so that you think it’s well compressed is great to hear 😊
@@DrJamesGill Well this is definitely striking that balance very well. It gives all the necessary information without waffle.
At least for us, there's a lot of unnecessary knowledge passed down in lectures, but you manage to cut it out and give me what feels like the most clinically relevant content. Thank you, it's great!
so at last i found a video that can help me understand these ever confusing murmurs....that was helpful...thanks...
ooh btw...is the giveaway still open ?🤣
Sorry, just missed it!!
Always good to hear a bedtime story about murmurs :)
Excellent lecture and learning it was fun.
Thanks 😊
Hi, I absolutely love your videos, I am so glad I came across them, they are legit saving my life. Could you please check one thing, at 26:45 you mention that Valsalva will increase intra thoracic pressure, and increase cardiac output, I find the opposite to be true. Valsalva increases the pressure yes and hence, VALSALVA DECREASES CARDIAC OUTPUT and hence decreases the sound of most murmurs (including MS) and only increases MVP and HCM sounds. Source: NCBI, physiology cardiovascular murmurs, scroll down to Maneuvers >Valsalva. Thank you so much for your work, you are an absolute godsend.
Yes, but caught an error there. Thank you so much. I’ll pin this in the comments. I WIsh we could put text edits on existing videos
Your method of the lecture is great and easy to understand. However, I would have loved it if you used animated sounds to actually depicts the different types of murmurs.
Thank you very much, Dr. Gill. I have watched many of your lectures and they have been very helpful to me.
That is one of my skill limitations, I can’t do animations
@@DrJamesGill Oh Okay. Thank you very much for the tutorials. They have been very helpful to me. Hope you will make more tutorials in which you will use simulators to demonstrate the clinical skills. Thank you very much, Dr. Gill
That is the plan for one of the next videos
I just hope by any chance get the book so I can learn some more hehe.
Also hearing your voice is soothing
We’ll be doing the draw later today 😊
I’m a 30 YO engineer, I love your videos!
I’ve struggled with murmurs this year due to reduced patient contact but this should help going forward!
I REALLY feel for the last two years of students about this
Very informative and enjoyable, even for the laymen . As a visual learner also myself, in terms of suggestions that you asked for; perhaps simple graphics( like a chart) at the end, summarising the key points, might also be helpful . This could then be screen shot as a further aide memoir.
That’s a good idea. The end point - esp as I could actually create a downloadable pdf 😊
ANP in training here...This is brilliant, thanks👍
Glad it was helpful!
Ahhhh my little cardiology researcher brain is geeking out!! This is definitely one of my favourite specialties, although I agree, it's difficult.
Ok, what went well: You made many complicated facts seem easy, and maybe this is just me, but I learn SO WELL with mnemonics so thank you for including those! Here's one for you (slightly naughty):
Side Effects of Amiodarone (I work for a rhythm guy :)):
Bradycardia
Interstitial lung disease
Thyroid Dysfunction
Corneal/cutaneous
Hepatic dysfunction
What could go better: I honestly had trouble coming up with this one, but I'd say that it would be useful to actually include recordings of the different murmurs compared to a normal S1, S2. Although I have to admit, your sound effects were charming.
Keep educating, doc!
Thanks. That’s great feedback. I’ll be putting both the visual diagrams and the sound recordings in the next cardiology video.
Well explained! Also, nice haircut, I know you were wanting a trim for a while 😊
👍
Need to learn more about this and what to do to heal it.
I also like computers and your videos are very informative and good to listen to
Glad to hear that
Good part: Well spoken and explained. Easy to understand. What could be better? Longer videos with more information and medical treatments. Why and how are you looking for this signs? :) best regards from Sweden!
Murmurs are so confusing 😫 trying to get to grips with them before starting back at med school in September - thank you for clearing things up!!!
Hope it helped 😊
Thanks for the informational videos!
👍
Excellent thank you so much for sharing your knowledge
Hope it was useful
Such a helpful video! Thank you very very much!
@👍
Great video, thank you!
Glad you liked it!
I was diagnosed with one it is unknown if I still have them. My heart is surely different my doctor said for this it goes beating quick than stops goes back to beating and repeats this process and sounds like some thump and than a low pitch siren from how he said and it had a whooshing noise going on so he figured the heart beat was different, also thanks for helping me learn more about my conditions and disorders you help me learn the meaning behind them and if they are needed for special caring or not. Like the vision tests those help cause I get black confused with purple and blue, or for something what happens a lot is numbers swap places so the higher number is lower and lower is higher, and book pages seem to be crooked. So, thank you, Dr. James Gill.
Absolutely brilliant! Thank you so much for these videos!
I can't wait to join medical school and learn more about these fascinating topics.
Where are you going?
Grazie mille! this was indeed very helpful as I am also a visual person. Please it would be great if you can also tell what happens on the right side with the pulmonary and tricuspid valves. Thanks once again
Oh boy I can't wait to learn
Another excellent video:
What went well: very good use of mnemonics eg SAD,HAS and CHAPS. Humour is always a winner too. Raptors and Simon & Garfunkel lol.
What could be improved: I wonder if simple images of S1 and S2 and where the murmurs sit in the scheme of things might also help visual learners. Like the diamond shape of AS between S1 and S2 in a way helps to visualise the sound. The Brrrr of the pan systolic Mitral regurgitation can be seen in its image. Just a thought definitely not a criticism. Grateful for everything you do Dr Gill. I recommend you to everyone!
I’m going to add the visual and the audio in the next cardiology video 😊
@@DrJamesGill aw thank you!
Hi I am a big fan of ur doctoring!
Drum roll please - the winner of the Clinical Examination Textbook is… - Clair Sparkes
Clair if you’d be kind enough to DM me via Twitter. We’ll sort out the win
- if the prize is not claimed by 2000 GMT 12/6/21 we’ll re-draw
Thanks all for entering 😊
Hope to see "Dr. Gills Book of Physical Examinations" soon.😊👍
Thanks for another great video🙏
I will take any extra ways of remembering cardio facts Dr Gill! Here's hoping I'll be lucky enough to nab the giveaway for my future in med school.
I really think you excel with the use of Bob, diagrams and the models which really connects what you say. I think most people are visual learners and benefit from stories rather than facts.
What I think you could do better is have some timestamps in your description as I would love to come back to this video and quickly navigate to the spot of interest. I know it's ridiculous to ask this, but as an Anki disciple it would be amazing if you had some cards that corresponded to the video such as the acronym SAD for remembering the causes of aortic stenosis. Thanks a ton!
Maybe Anki cards could be a future project? 🤔
Great video Dr James!
Yeah, all checks out. I agree with DR Gill on this
So useful for upcoming exams!
Good luck!! When are they?
@@DrJamesGill Next month 😨
Shout if we can help 😊
This vid was amazing 👍.
Thanks 😊
Great video! Thank you for making and sharing it ❤️
Hello Dr. Gill,
Long time fan and viewer of your amazing videos. I was hoping to maybe ask you about a medical issue that I have and what you might recommend someone in my position to do?
I have idiopathic membranous nephropathy - I am 28 years old - male - was diagnosed at 24. I have been in remission and relapse about 3 times since my diagnosis.
I understand that I need to watch my sodium intake, and I have been doing my absolute best in that area. Admittedly I have had some bad months with my diet restrictions, however I do tend to have a good understanding on what and what not to eat.
You seem to explain things in very precise and easily understanding ways and I was hoping you could explain to me what is happening to my body and what I could do to help reduce the risk of relapsing again.
I swell up a lot in my bad days, and I use diuretics to help, however I wonder if there are things that I haven't figured out about my body that I can do to help me with this issue.
Hopefully you see this and can put your two cents in to help me out.
Thank you. Keep pumping out these amazing videos!
Yay! Nice video
👍
Fantastic!