How Do You Test Your Home Blood Pressure? - Hypertension Assessment - Dr James Gill

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  • Опубліковано 31 тра 2024
  • Home Blood Pressure Testing Consultation - Dr James Gill
    A crucial part of treating raised blood pressure is actually determining a patient's true blood pressure. The easiest way to do that is with effective home Blood pressure monitoring.
    A patient is asked to test their blood pressure in the morning and in the evening three times, selecting the lowest readings. This is done for five days, and the average is calculated.
    Some people will be lucky enough to have a family member, or a partner, who is able to use a manual sigma monitor in order to check the blood pressure. However, even in this situation, many people find using an automated blood pressure monitor, makes the process much easier.
    In this clinical examination, we set out the steps for home, blood pressure monitoring
    #DrGill #BloodPressure #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 - Patient Identification and Reason for Visit
    00:40 - Symptoms and Family History
    01:36 - Manual Blood Pressure Measurement
    03:10 - Factors Affecting Blood Pressure
    03:24 - Home Blood Pressure Monitoring
    05:51 - Recap and Next Steps

КОМЕНТАРІ • 62

  • @seang2012
    @seang2012 7 місяців тому +5

    Life lesson of this video: if you star in too many Dr Gill videos you will end up checking you BP 4 times a day. Deep.

    • @DrJamesGill
      @DrJamesGill  7 місяців тому

      😂😂 Atharva is pretty confident in his health at the moment it’s fair to say!

  • @starfishgurl1984
    @starfishgurl1984 6 місяців тому

    High blood pressure runs in my family, and both of my parents who take medication for theirs frequently monitor their high blood pressure at home for any changes that might need to be made by their doctors so I really appreciate this video! As someone who works retail unloading trucks and restocking the sales floor I have often wondered if I would eventually end up falling victim to my family history as a result of working in a fast paced environment but thankfully so far I have yet to do so. Additionally I’ve been tracking my pulse and blood pressure etc. from every blood donation appointment over the last 19 years as a backup extra measure on top of everything else just to keep consistent and that’s been a huge comfort for my anxiety.

  • @stuart9237
    @stuart9237 7 місяців тому +1

    Started watching the island on Netflix and found the James chap very familiar. It was only when he got his cut away background story that I finally pieced it together 😂.

  • @Enoch-Root
    @Enoch-Root 7 місяців тому +9

    Excellent video there. Hope that guy will be okay, his blood pressure surprised me, you really can't tell just from looking at a person it seems. As you've said in other videos, high blood pressure can be a silent killer, so it's a good idea to check it occasionally.

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +1

      My BP is good. I still check once a month.

    • @Enoch-Root
      @Enoch-Root 7 місяців тому

      @@DrJamesGill I foolishly check my BP most mornings and enter it into the Garmin connect app, unfortunately it doesn't seem to give an average, though does give a weekly range, which for me this week has been between 99-116 systolic and 63-76 diastolic, so that's pretty good.
      Once a week I also check my blood sugar. My father has been diagnosed with diabetes, though I don't have it as far as I know. During the pandemic though I had one instance though where I fainted multiple times after feeling miserable and staying in bed all day, not eating anything and when I eventually got up and went out to get some food I felt dizzy and the next moment I was being picked up by two people, then I fainted again two or three times after that, and experienced sudden temporary blindness. I assume that I was hypoglycemic and that's what caused it, but it was a bit worrying, still is slightly worrying not knowing what the cause was. I'm still not even sure if it was hypoglycemia since it was only for about 24 hours that I didn't eat...

  • @ljd825
    @ljd825 7 місяців тому +7

    Thank you for these videos, they are always so educational and relaxing❤😴

  • @DGMouro
    @DGMouro 7 місяців тому +2

    Hi Dr. Gill. Greetings from Argentina. I always find your videos very relaxing and educational. Thanks. Great content. 🤙🏽

  • @jasondikes5144
    @jasondikes5144 7 місяців тому

    for people with anemia, is there a way to monitor at home?

  • @Hell-oh
    @Hell-oh 7 місяців тому +1

    Dr. Gill is a fashion star at this point

    • @gb9023
      @gb9023 7 місяців тому

      Pero no puedo usar chaleco por panzón! 😅

    • @Hell-oh
      @Hell-oh 7 місяців тому

      ¡Hay chalecos para todas las tallas! En una época en la que era normal usarlos, tener barriga incluso estaba de moda (de ahí el principio de estilo de mantener abierto al menos el último botón)

  • @cleocatra9324
    @cleocatra9324 7 місяців тому +1

    My mom had mostly normal blood pressure but spikes if high blood pressure when she gets very upset. Idk if she should be on meds for this she doesn’t communicate much with her doctors.

  • @Wintersky136
    @Wintersky136 7 місяців тому +2

    I‘m actually waiting for an exam where Dr. Gill actually finds something abnormal…

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +1

      Your wish and all that…
      Ankle Pain - Anterior Impingement - Dr Gill
      ua-cam.com/video/vldPfN5M0wk/v-deo.html

  • @TEAMCHOPPER666
    @TEAMCHOPPER666 3 місяці тому

    This man is my hero.. best Doctor iv ever had the pleasure to meet caring and kind and very very professional.... was amazing seeing him on bears grills Island... did himself proud 👏 🥲

  • @romanticfilth
    @romanticfilth 7 місяців тому +4

    I had postpartum hypertension just after my baby was born this year, my BP was much higher than this. It was terrifying, especially having a newborn. I really wish I’d been given this much advice & information when I was being treated (as an outpatient & inpatient).

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +5

      I’m sorry you went through that, hopefully all settled now?

    • @romanticfilth
      @romanticfilth 7 місяців тому +3

      @@DrJamesGill thankfully yes! :)

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +2

      @romanticfilth 👍

    • @khaleesisnow1683
      @khaleesisnow1683 7 місяців тому

      🙏❤️🙏

  • @AnthonyIs
    @AnthonyIs 7 місяців тому +3

    I’ve recently been offered blood pressure medication from my gcp and was given one of those at home kits! Any advice on ways to keep blood pressure down? I’ve adjusted my diet to watch my sodium intake but are there any other suggestions? Thanks for the videos!

    • @Enoch-Root
      @Enoch-Root 7 місяців тому +1

      Exercise if there's nothing stopping you.
      You might not want to because exercise is hard, exhausting and can even be painful. But the way I look at it is you can either pay that price of sweat and effort now, and get what you paid back later with better health, or you can choose the easy route of avoiding the effort and pay for it later.

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +4

      One of the simple gains for patients with slightly raised blood pressure is adding beetroot into the diet.
      There are several, good studies, showing about 5% reduction in BP due to the nitrates in beetroot
      Personally I’m skeptical about recommended salt reduction. We USED to recommended it, but last evidence hasn’t suggested it is really impactful, and some some patients might cause harm

  • @peetkoolstra3891
    @peetkoolstra3891 7 місяців тому +1

    I had an home set for a few weeks, but that was an automatic reader. And than it was a two in the morning and two in the afternoon. I must say that it was for diabetes.

    • @DrJamesGill
      @DrJamesGill  7 місяців тому

      They are the gold standard, but quite costly

  • @AshleyAmber
    @AshleyAmber 7 місяців тому +1

    Hey James ! Do you think it would be possible to film in 60fps? I feel that would be cool

    • @DrJamesGill
      @DrJamesGill  7 місяців тому

      I’m sure the camera has that setting, how would it change things?

  • @UCONN_HUSKIES
    @UCONN_HUSKIES 7 місяців тому +5

    I'm taking amlodipine with valsartan for my high blood pressure.
    Why does it attack us black Americans the most 😢

    • @DrJamesGill
      @DrJamesGill  7 місяців тому

      I don’t have a good answer to that I’m afraid

    • @Aileen461
      @Aileen461 7 місяців тому

      I think we might have genetic predisposition.

  • @notthatsandraoh
    @notthatsandraoh 7 місяців тому +3

    I've had a sphygmomanometer for years, but the readings have been vastly different from what they read at the doctor's office.... Couldn't figure out why. Apparently it wasn't calibrated correctly 🤦🏻‍♀️

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +1

      At least you've got that sorted! How long did that take to sort? Often Miscalibrated equipment is the most difficult to address

    • @notthatsandraoh
      @notthatsandraoh 7 місяців тому

      @@DrJamesGill Fortunately not long. I had started nursing school so had to practice in labs with classmates with school supplied equipment. My instructor asked me if I felt ok because it wasin the area of 170/90s. oopsie. 🙈

  • @michael5089
    @michael5089 6 місяців тому +1

    What was the update on patient taking his blood pressure for a week? The next video with him doesn't really say and it appeared to have gone down?

    • @DrJamesGill
      @DrJamesGill  6 місяців тому +1

      Hi, Atharva is being a simulated patient here

    • @michael5089
      @michael5089 6 місяців тому

      @@DrJamesGill thank you

  • @poopsled
    @poopsled 7 місяців тому +1

    Thanks for the reminder I didn't log my BP yet today

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +1

      No worries - I hope the levels are good?

    • @poopsled
      @poopsled 7 місяців тому +1

      @DrJamesGill 139/96, high but I haven't taken my meds yet today and a far cry from the 212/148 it got up to in June. 😅

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +1

      Wow! That was quite high! Glad things are better!

  • @chuckoneill2023
    @chuckoneill2023 7 місяців тому +1

    All my local health shops carry the home tests for blood pressure. I get the feeling that, for some people, this might only serve to increase anxiety --- especially if they aren't operating it properly?

    • @allaniain
      @allaniain 7 місяців тому +3

      GP practices now encourage you to do your BP at home and submit readings because people's levels seem elevated more than normal when done in the practice due to the anxiety/pressure of being in the GP surgery to begin with. As Dr Gill mentions, White Coat Syndrome.

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +1

      There will always be people with health anxiety, if I felt that was an active part of high reasons we can try to I’ve come it by using ambulatory home blood pressure minoring - the patient wears a monitor for 24hrs, much less intrusive and it inflates randomly

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +1

      Home blood pressure monitoring is more specific, ie is more “true” than practice monitoring when it comes to high BP

    • @chuckoneill2023
      @chuckoneill2023 7 місяців тому

      ​@@DrJamesGill I like the phrase health anxiety. Much less judgemental than other terms that have been used.❤

  • @Just_Samael
    @Just_Samael 7 місяців тому

    Does having a high blood pressure history in your family means that you automatically risk having high blood pressure?

    • @NewEnglandPatriotsfan
      @NewEnglandPatriotsfan 4 місяці тому

      It is possible, it’s curable though. A cardiologist can give blood pressure meds if it’s high and give you salt tablets if low

    • @DrJamesGill
      @DrJamesGill  4 місяці тому

      @NewEnglandPatriotsfan actually there is information is SUGGEST the low salt diet might not quite be as clear cut as thought

  • @johnathanleonardo912
    @johnathanleonardo912 7 місяців тому +1

    Definitely a promotional video lol

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +5

      I often decline videos for equipment and things, however in this case it did seem to align well with the channel and generate two good videos 😊

  • @nicktsanga616
    @nicktsanga616 7 місяців тому

    Remember the Aidan Cross and Abby Tutt days. I'll never forget those 2.
    NEVER!

  • @mindofbeasts
    @mindofbeasts 7 місяців тому

    Hey chat! Are there more of you who like to take ya blood pressure cause the tight squeeze makes you feel funny and gives good goosebumps😅

  • @snipersas
    @snipersas 7 місяців тому +3

    have you ever considered becoming a gynecologist?

    • @DrJamesGill
      @DrJamesGill  7 місяців тому +2

      Actually yes. I worked in O&G during my training. There is a lovely balance between surgery and medicine in the job. However it is a very emotional job, and quite prone to complaints

    • @Peoples_Republic_of_Devonshire
      @Peoples_Republic_of_Devonshire 7 місяців тому +1

      Ultimately care stands for cover arse remain employed, and in male gynecological doctors are extremely vulnerable to complaints

  • @FlickYourBic
    @FlickYourBic 2 місяці тому +1

    Hey Dr.Gill What’s your opinion on the accuracy of Wrist monitors? Should I spend a little extra and get an arm cuff?

    • @DrJamesGill
      @DrJamesGill  2 місяці тому

      The evidence suggests less accuracy. We are advised to use arm ones - keeping in mind the issue with a BP cuff needing to be correctly sized anyway