“Hi! I will just be drawing some blood from your arm. Do you happen to be on any antithrombotic medications?” *Toddler screams and wails in complete and utter fear.* “Excellent, this concludes venipuncture.”
Great video, doc. Informative and fun as always! As a nurse, I often fold a paper towel to about 1-2 inches thickness and then wrap it around the upper arm like a cuff to act as a barrier between the skin of the patient and the tourniquet. This is useful as it can minimise pinching of the skin and discomfort for the patient. It’s also useful for people who have more fragile, papery skin, such as older adults, who may be more susceptible to skin tears. It generally allows for the tourniquet to be pulled a bit tighter too for those with tricky veins. Just a thought but certainly something that’s helped me over the years!
This was a cool way to switch it up. The best way to truly learn something, is by teaching it to someone else, or communicating it in a way that someone else can understand. Awesome job!!
I think the only time he has been on the video, yes. He was supposed to be for the cannulation one but that ended up not going to plan, so he filmed himself doing the cannulation on the student instead.
a Phlebotomist once poke through my vein and hit the nerve, i felt a lightning bolt charge to my pinky- and ringfinger. took me 2 months to fully recover, but i am still traumatized and very anxious. I'm trying to watch this video a bit by bit untill i can watch it comfortably
I dealt with leukemia in 2022. I have had so many blood draws in the past 2 years that my veins are caput. It weirdly comforting to see done with Dr Gill's calming demeanor.
Well done Megan. Not easy to perform in front of your tutor never mind on camera too. You did a great job and will continually improve with practice 🙏🏻
Would have loved it if the video had started with the tourniquet being out on you before *record scratch* *freeze frame* "Yes, that's me Dr. Gill. I imagine you're probably wondering how I ended up in this situation?"
The most important thing when getting getting lab draws is calling the lab tech, cause we know the doctor isn't drawing blood lol just goofin around but I enjoyed the video! Other good tips for tough veins would be warm towels, using a BP cuff as the tourniquet, sitting instead of standing when sticking, towels under the arm you're sticking and just be confident. Like everything you'll get better with time and practice!
My veins in the crook of my arm are really hard to find. When it suits me, I take part in studies and the negative record for blood collection is 12 stitches and 4 newbies. They were playful when they were allowed on the back of my hand 😅. But I'm not made of sugar and practice makes perfect. I always find it admirable how you medics do it with the blood sampling.🎉
i ve been watching your channel since i was a family medicine professor. Nowadays Im a psychiatry and resident of child and adolescent. Pleane, dr Gill, perform a mental status examination´s clinical skills video.
It's F 06 SEP 2024. We are overdue for another Megan video. Any chance we get another one? This was fun seeing Dr. Gill be the patient for once. And, as someone who is blood-tested at least twice a year, this was informative in a way I really appreciate as a patient. (I love all the other videos too, don't get me wrong...)
Ask them what they feel the issue is. Get them to walk through how they are performing a skill, discuss if we could make any changes, have them run through it again with changes, when they are confident about that, do it - observed - in real life, and repeat
I wish I was more confident with medical procedures, it's just so stressful to perform them when you're in the beginning, because you just think about making no mistakes, and any deviation from what you were taught/read in the books will throw you off
Love it! Great video! But then again I’m the weirdo who loves watching that stuff and has a high pain tolerance so I strangely find it a pleasurable experience for some reason, even with deep veins. But then again I’ve been giving blood for 20 years and have great bleeders with a high platelet count so I know what I’m doing/how to prepare for it so that makes a difference too, granted giving blood is a little different do to the size of the needle used and amount of blood taken but close enough.
I have a request to assist younger doctors and students alike. Have volunteer patients of varying makes, weights and builds be in the chair for a number of different examinations and show differences in perhaps finding certain anatomical structures. For example certain veins may be more difficult to locate in a clinically overweight patient, or the electrodes for an ecg may be more difficult to place on an anorexic patient
You don’t have to be overweight to have ‘difficult veins’ though lol. I’m not overweight, I have blood drawn usually twice a year due to check ups but it’s always a hassle for them to even find a vein, let alone jab it correctly. Some nurses actually get nervous over it. 8 out of 10 times they end up in my hand. I’m used to it by now but it’s still not my hobby..
@YvieT81 This is very true, you do not need to be overweight for veins that are difficult. Wasn't only referring to veins though, this was just in general, finding things in obese patients in general can sometimes be tricky as it can with the opposite
While i do understand the request, it's not very feasible to do (for example) 10 videos of each theme for a different body type. Most people fall into average categories (that's why they are called average) and that's what should be shown. If you require more specific examples, you can ask a specific one, or reach out to a doctor in real life, a professor, etc. Another issue with your request (perhaps a more psychosocial one) is the tendency for nowadays people wanting representation for every single variable (in many situations), which leads to lack of critical reasoning, information adaptation and creativity to grab the information of the "average" and adapt it to your particular specific situation.
THIS. This right here is why I could never go into the medical field; I love learning about the human body and helping people, but needles and blood draws just make me so uneasy and pale
Bro most don’t do blood draws 😂 to become an RN they don’t even teach you how, it’s for geriatrics LPN’s, MA’s, and primarily Phlebotomists (me). Unless you’re doing something like oncology RN.
As a junior doctor you do a lot in the first few years out of medical school, but I problem only do a handful in a month now I actually miss it, because it’s an active part of helping the patient, rather than just saying “get an xray”
@@DrJamesGill ahh I just realized it’s different out of the states, that’s both cool and depressing though, does that mean that there are no phlebotomists at your hospital systems?
Great to see the roles change in this video. Megan deserves her own clinical skills channel 😁
“Hi! I will just be drawing some blood from your arm. Do you happen to be on any antithrombotic medications?”
*Toddler screams and wails in complete and utter fear.*
“Excellent, this concludes venipuncture.”
Great video, doc. Informative and fun as always!
As a nurse, I often fold a paper towel to about 1-2 inches thickness and then wrap it around the upper arm like a cuff to act as a barrier between the skin of the patient and the tourniquet. This is useful as it can minimise pinching of the skin and discomfort for the patient. It’s also useful for people who have more fragile, papery skin, such as older adults, who may be more susceptible to skin tears. It generally allows for the tourniquet to be pulled a bit tighter too for those with tricky veins.
Just a thought but certainly something that’s helped me over the years!
That’s a great idea!
This was a cool way to switch it up. The best way to truly learn something, is by teaching it to someone else, or communicating it in a way that someone else can understand. Awesome job!!
Great job from Megan!
Is this the first time Dr.Gill was in the chair?
We love to see it
Wasn't he in the chair with the tournaquet video and the other insertion in the hand?
@@jarnovanherreweghe218 I don't even remember lol
@@jarnovanherreweghe218yes and no, he was initially but had problems so he had to switch places again.
I think the only time he has been on the video, yes. He was supposed to be for the cannulation one but that ended up not going to plan, so he filmed himself doing the cannulation on the student instead.
Got my venapuncture training tomorrow, and this was so so helpful, thank you for videos like these!!
Good luck!! Hope it goes well!
@@DrJamesGill it went great thanks!!
Wonderful job Megan
a Phlebotomist once poke through my vein and hit the nerve, i felt a lightning bolt charge to my pinky- and ringfinger. took me 2 months to fully recover, but i am still traumatized and very anxious. I'm trying to watch this video a bit by bit untill i can watch it comfortably
I dealt with leukemia in 2022. I have had so many blood draws in the past 2 years that my veins are caput. It weirdly comforting to see done with Dr Gill's calming demeanor.
Well done Megan. Not easy to perform in front of your tutor never mind on camera too. You did a great job and will continually improve with practice 🙏🏻
I had no idea those vials were under vacuum...
I always thought it was my amazing blood pressure.
Would have loved it if the video had started with the tourniquet being out on you before *record scratch* *freeze frame* "Yes, that's me Dr. Gill. I imagine you're probably wondering how I ended up in this situation?"
The most important thing when getting getting lab draws is calling the lab tech, cause we know the doctor isn't drawing blood lol just goofin around but I enjoyed the video! Other good tips for tough veins would be warm towels, using a BP cuff as the tourniquet, sitting instead of standing when sticking, towels under the arm you're sticking and just be confident. Like everything you'll get better with time and practice!
My veins in the crook of my arm are really hard to find. When it suits me, I take part in studies and the negative record for blood collection is 12 stitches and 4 newbies. They were playful when they were allowed on the back of my hand 😅.
But I'm not made of sugar and practice makes perfect. I always find it admirable how you medics do it with the blood sampling.🎉
Dr Gill and I are the same age. Luckily for him, he worked out what he’s doing with his life. 😂
I’ll let you know if the same is ever true for me
"Why does the vial have sandwich breath?"
i ve been watching your channel since i was a family medicine professor. Nowadays Im a psychiatry and resident of child and adolescent. Pleane, dr Gill, perform a mental status examination´s clinical skills video.
It's F 06 SEP 2024. We are overdue for another Megan video. Any chance we get another one?
This was fun seeing Dr. Gill be the patient for once. And, as someone who is blood-tested at least twice a year, this was informative in a way I really appreciate as a patient. (I love all the other videos too, don't get me wrong...)
Now that the chemistry tube has been potentially contaminated with EDTA...
What’s your best approach to helping a student figure out mistakes or improve on something?
Ask them what they feel the issue is. Get them to walk through how they are performing a skill, discuss if we could make any changes, have them run through it again with changes, when they are confident about that, do it - observed - in real life, and repeat
Some day you should do a dental surgery on Dr. Alison! You'll be ready In two-three Dental Discussion videos, I think.
I wish I was more confident with medical procedures, it's just so stressful to perform them when you're in the beginning, because you just think about making no mistakes, and any deviation from what you were taught/read in the books will throw you off
You are Fantastic Dr Gill Also your student ,like Megan a hug from italy 😁
Love it! Great video! But then again I’m the weirdo who loves watching that stuff and has a high pain tolerance so I strangely find it a pleasurable experience for some reason, even with deep veins. But then again I’ve been giving blood for 20 years and have great bleeders with a high platelet count so I know what I’m doing/how to prepare for it so that makes a difference too, granted giving blood is a little different do to the size of the needle used and amount of blood taken but close enough.
I have a request to assist younger doctors and students alike. Have volunteer patients of varying makes, weights and builds be in the chair for a number of different examinations and show differences in perhaps finding certain anatomical structures. For example certain veins may be more difficult to locate in a clinically overweight patient, or the electrodes for an ecg may be more difficult to place on an anorexic patient
You don’t have to be overweight to have ‘difficult veins’ though lol. I’m not overweight, I have blood drawn usually twice a year due to check ups but it’s always a hassle for them to even find a vein, let alone jab it correctly. Some nurses actually get nervous over it. 8 out of 10 times they end up in my hand. I’m used to it by now but it’s still not my hobby..
@YvieT81 This is very true, you do not need to be overweight for veins that are difficult. Wasn't only referring to veins though, this was just in general, finding things in obese patients in general can sometimes be tricky as it can with the opposite
While i do understand the request, it's not very feasible to do (for example) 10 videos of each theme for a different body type.
Most people fall into average categories (that's why they are called average) and that's what should be shown. If you require more specific examples, you can ask a specific one, or reach out to a doctor in real life, a professor, etc.
Another issue with your request (perhaps a more psychosocial one) is the tendency for nowadays people wanting representation for every single variable (in many situations), which leads to lack of critical reasoning, information adaptation and creativity to grab the information of the "average" and adapt it to your particular specific situation.
great experiment
that was an incredible video well done to the both of you, it actually makes me want to donate blood.
Omg Megan is doing so well
I enjoyed this one heaps
owwwwww they grow up so fast 😊 thumbs up for Megan
4:28 freaking out internally and putting the alcohol wipe in the sharps bin lol yeah that was me early on too
I absolutely hate getting blood drawn.. even seeing other people getting it drawn makes me feel shaky
Easy? That's assuming the patient has good veins. Deep or thin veins are tough and you might need to get another nurse to try.
I had it this morning
I wish I had Megan there
1984 here too. Turn 40 in one week!
Time traveller: moves a chair
The timeline : 3:00
How long did you wait for your appointment?
Great job.
much thanks !
THIS. This right here is why I could never go into the medical field; I love learning about the human body and helping people, but needles and blood draws just make me so uneasy and pale
Bro most don’t do blood draws 😂 to become an RN they don’t even teach you how, it’s for geriatrics LPN’s, MA’s, and primarily Phlebotomists (me). Unless you’re doing something like oncology RN.
As a junior doctor you do a lot in the first few years out of medical school, but I problem only do a handful in a month now
I actually miss it, because it’s an active part of helping the patient, rather than just saying “get an xray”
@@DrJamesGill ahh I just realized it’s different out of the states, that’s both cool and depressing though, does that mean that there are no phlebotomists at your hospital systems?
I think this is what Americans call phlebotomy.
That’s I’ll add that to the title!! Might help the almighty algorithm!
Serious character development here
Doctor lore
I just found out that I have the same birthday as him, except for year, I’m only about to be 17
Perfect unintentional asmr
Quite interesting 👌
Megan Struvas innit?
Dr Gill looks 6'4 and 126lb with a 22" waist on camera
We ♥Megan
I had to have blood tests
CONCENTRIC CIRCLES YO!
New video. Let's go
megan got her revenge
Hang on, birthday coming up?
👏
This is the most awkward and uncomfortable video iv ever watched
I have a crush on megan
Great dynamic change with Megan💉🩸
Plot twist 😏
@@LongNailsASMRtist left on a cliffhanger haha