Clinical Skills: Cervical Spine Assessment - Dr Gill's Neck Examination

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  • Опубліковано 24 лис 2024

КОМЕНТАРІ • 210

  • @nnhk0056
    @nnhk0056 Рік тому +886

    We were so close to getting a "lovely and floppy" out of Dr. Gill. Maybe next time.

    • @user-wf2wi5wc2k
      @user-wf2wi5wc2k Рік тому +51

      He is getting older. These things happen.

    • @johnnyboyy5175
      @johnnyboyy5175 Рік тому +55

      Haha lovely and floppy . That’s what this one blonde lady I like watching says

    • @vijaysaradhy12
      @vijaysaradhy12 Рік тому +22

      If your neck is floppy, may be it's not good? 😂

    • @user-wf2wi5wc2k
      @user-wf2wi5wc2k Рік тому +52

      @@johnnyboyy5175 That's "Dr Berry" to you! 🤣

    • @foxyartz8778
      @foxyartz8778 Рік тому +7

      Yes but we've got a '' little little pressure ''

  • @AramilsMusic
    @AramilsMusic Рік тому +337

    I just love how descriptive, respectful and friendly you communicate with every patient in your videos.
    A real gentleman and professional.
    Would love to be examined by you one day, Dr. Gill!

    • @DrJamesGill
      @DrJamesGill  Рік тому +88

      It’s important we treat our patients are we’d like to be treated 😊

    • @KH-nt7ej
      @KH-nt7ej Рік тому +10

      ​@@DrJamesGill As a nurse. I couldn't agree more. We are all going to age. God willing. I would like to think I would get the same medical care I strive to give to my patients.

    • @Carolina-gz8ug
      @Carolina-gz8ug 10 місяців тому +1

      I find it off-putting honestly, I would not go to this doctor

  • @gimo80
    @gimo80 9 місяців тому +48

    ‘Alittlepitofpressure’ is nearly the sequel we need

  • @Kay-yu2zd
    @Kay-yu2zd Рік тому +43

    1:03 It's so interesting to observe Dr.Gill making extra sure that he telegraphs touching the patient from behind.
    So respectful and thoughtful, I love to see that!

    • @DrJamesGill
      @DrJamesGill  Рік тому +17

      It’s highly important, as the patient can’t see you when you step behind them 😊

    • @powderandpaint14
      @powderandpaint14 10 місяців тому +6

      So important, particularly for women I would say as a man touching them unexpectedly from behind can be quite alarming, even when it's a doctor!

  • @MihailMahov
    @MihailMahov Рік тому +153

    Considering the large number of the ASMR community that watches Dr. Gill's videos, I would say that the ASMR phenomenon deserves far more serious research than it currently receives.
    Formally, Dr. James Gill performs routine medical procedures. But the manner in which these procedures are performed, the mesmerizing voice of the doctor, and the kind/attentive attitude towards the patient is what causes a surge of pleasure waves in many people who watch the videos, incl. me too.
    So it seems that Dr. Gill heals more with his voice and his attentiveness to the patient than by performing routine procedures. In this case, the performance of routine medical procedures is just the framework through which Dr. Gill displays his enormous ASMR talent.
    I will say something that has been well known for a long time, but is often forgotten - people get sick first mentally, and only then physically. First the soul suffers, first the mind suffers, and only then the body begins to suffer - this is what medical science calls ''psychosomatics''.
    And when a person goes to his doctor for treatment, he (the patient) often needs a conversation with a friend more than a medication. A person needs to be listened to with empathy, to be treated as a close person, not as a product that has health insurance.
    In fact, Dr. Gill (knowingly or not) is giving us a glimpse of a future medicine that will not rely so much on strict medical treatment of the patient and on drug therapies, as it will have a beneficial effect on the human soul and psyche. And the doctor will treat his patient like a close friend.

    • @DrJamesGill
      @DrJamesGill  Рік тому +72

      It’s one of the reasons I feel the 10 minute consultation in the NHS is bad for both the patient and me

    • @Carolina-gz8ug
      @Carolina-gz8ug 10 місяців тому

      The voice is frankly a little bit annoying

    • @db7610
      @db7610 6 місяців тому +12

      ​@@Carolina-gz8ug get lost

  • @theoneandonlyYouTuber
    @theoneandonlyYouTuber Рік тому +52

    Just as I thought you would have run out of clinical skills ideas, you deliver again with a authentic and interesting clinical skills video. Thanks doc, may God bless you and your family. Take care now, bye bye then.

    • @DrJamesGill
      @DrJamesGill  Рік тому +22

      Honestly we’re getting close, but that’s why we’re looking at responsive tests now, rather than generic examinations 😊

  • @NetherlandsFirst
    @NetherlandsFirst Рік тому +11

    Megan always seems so composed yet flexible. Always a great erm... subject? Patient? Great work as always from both of you.

  • @MrZomg17
    @MrZomg17 Рік тому +7

    I am Impressed and astounded as to the amount of information Dr. Gill has memorized and his memory

  • @Crumpy87
    @Crumpy87 Рік тому +73

    My favourite pairing 👌🏻

  • @Charlotte-wx4jz
    @Charlotte-wx4jz 27 днів тому +1

    As someone who has had 14 brain surgeries and 5 spinal surgeries I find this fascinating. I don’t think I’ve ever had an assessment that is this in-depth. You would probably find my spine quite interesting with everything that is wrong with it.

  • @danielnanton8581
    @danielnanton8581 2 місяці тому +1

    I come for the asmr but I’m glad he’s actually teaching the next generation of medical professionals

  • @starfishgurl1984
    @starfishgurl1984 Рік тому +13

    Seeing this video suddenly reminded me of when I was in sixth grade and experienced neck pain that kept me out of school because I couldn’t turn my head sideways at all and had to rest it in a recliner with ibuprofen. It turned out that the pain was caused by bad posture in my sleep from being a stomach sleeper and sleeping with two pillows and as soon as I stopped sleeping with a second pillow it restored my posture and cleared up the pain and my neck returned to a normal range of motion. Even though it’s been nearly 27 years since I experienced that I still remember how awful it felt and have done everything I can to try and prevent it from ever happening again.

  • @keithlivingstone2525
    @keithlivingstone2525 Рік тому +78

    My poor wife couldn’t do any of those movements as she broke her neck in a car accident 30yrs ago and it’s fused, wired and plated. Still, we’ve cycled over 50k this week none of which was on tarmac so it isn’t all bad. 😁

    • @DrJamesGill
      @DrJamesGill  Рік тому +49

      I’m sorry to hear about the accident, but clearly you are both keeping fit. 50km is a great distance

    • @keithlivingstone2525
      @keithlivingstone2525 Рік тому +23

      @@DrJamesGill Thank you Dr Gill. Yes, not bad I guess. I had a 12hr cancer op this time last year to remove a huge facial melanoma so my recovery is still ongoing.....oh, and we were 34yrs married yesterday (12th) 😁

    • @DrJamesGill
      @DrJamesGill  Рік тому +22

      Congratulations for yesterday

    • @kohinarec6580
      @kohinarec6580 Рік тому +6

      Medicine evolves and has evolved. To think, say 70 years ago, I doubt there was much that could've been done to bad neck injuries.
      Congrats on your wedding day :)

  • @summatim
    @summatim Рік тому +49

    Summary was generated by Summatim, let us know if there are any inaccuracies! 🤖
    0:13: Introduction
    0:24: Symptoms
    0:41: Physical Examination
    3:34: Nerve Test
    5:17: Strength Test
    6:02: Conclusion

  • @Alex_dlc
    @Alex_dlc Рік тому +29

    Great video just wish it was longer

  • @PeruLover
    @PeruLover Рік тому +66

    This is a good one. More Dr Gill, there’s never enough.

    • @DrJamesGill
      @DrJamesGill  Рік тому +14

      Examinations take as long as they take

    • @PeruLover
      @PeruLover Рік тому +8

      @@DrJamesGill Of course, but.. you would probably 10x your GP salary if you just focused on UA-cam ASMR full time.

    • @StevoPvP
      @StevoPvP Рік тому

      @@PeruLover I really don’t think you understand how much doctors make…

    • @WishMount
      @WishMount Рік тому +2

      @@StevoPvP not as much as they should be for the amount of time spent at uni

  • @george-w7h
    @george-w7h Рік тому +8

    You're voice is really relaxing to listen to

  • @ほーちん-h2b
    @ほーちん-h2b Рік тому +51

    My safe place whenever I feel anxiety or panicking

  • @Burger-h1j
    @Burger-h1j 7 місяців тому +6

    I'm pretty sure a orthopaedic surgeon did damage to my neck. In the way he examined me. He put a hell of a lot of crazy pressure on my head. I didn't have neck pain. But since he did it. My neck is hurting like crazy. The pain is so unbearable I'm afraid to move my neck and it makes noises 😢😢😢😢😢😢

    • @allealexandra4486
      @allealexandra4486 3 місяці тому

      damn that's so fucked up. did you recover from it?

  • @josemerino7894
    @josemerino7894 Рік тому +7

    Salute to dr gill,,respect from NYC WASHINGTON HEIGHTS🔥💪

  • @cocktailhotel
    @cocktailhotel 4 місяці тому

    Love your warm and comforting videos, Dr. James Until next time, Cheerio !

  • @scullykelly5885
    @scullykelly5885 Рік тому +7

    Thanks for the vid dr! Have a good weekend

  • @dannygaskin5806
    @dannygaskin5806 Рік тому +16

    Cannot wait to fall asleep to this latest bad boy.

  • @marshallnewman6405
    @marshallnewman6405 Рік тому +16

    Ok but she said there was pain in her neck. Whats with the cliff hanger I need a diagnosis on my favorite hospital drama

  • @Echo-yk1id
    @Echo-yk1id Місяць тому

    As someone with Fibromyalgia and Kyphosis this examination would've had a very different effect on me lol. Megan seems to be handling it like a champ.

  • @malteschaper3782
    @malteschaper3782 Рік тому +11

    5:15
    Dr. Gill: "Now we need to have a look at your strength."
    Patient : "Have you witnessed my fitness?"

  • @dannysanchez2740
    @dannysanchez2740 7 місяців тому +2

    Hey DR GIL I send my hellos from Mexico I’m a big fan !!!!

  • @octopus2846
    @octopus2846 Рік тому +17

    I don't know much about medicine, but after watching many of your videos I have a question - is it normal that there is so little movement when checking reflexes? TIA

    • @DrJamesGill
      @DrJamesGill  Рік тому +15

      Can be. Reflexes are a challenging one. Is the reflex truly reduces, or is it just that clinical setting

  • @thisbirdhasflown2554
    @thisbirdhasflown2554 Рік тому +11

    Another great video, Dr Gill! Informative and relaxing

  • @DrFrogglePhD
    @DrFrogglePhD Рік тому +1

    These videos are always wonderful. Also your assistant has those Billie Piper genetics.

  • @synaesthesian
    @synaesthesian Рік тому +24

    She just needs to PUTTAPITTAPAPER on her neck and that'll resolve the issue.

  • @simondb99
    @simondb99 Рік тому +3

    Ya boi missed the chance to say "lovely and floppy" twice!😂

  • @diyeana
    @diyeana Рік тому +12

    So that's how I get a massage out of my doctor. Only problem is, they aren't free that way, here in the US.

    • @DrJamesGill
      @DrJamesGill  Рік тому +6

      I’m not sure I’d describe that as a massage!

    • @diyeana
      @diyeana Рік тому +1

      @@DrJamesGill a light shoulder dusting, perhaps?

  • @MrAllen-fv9cj
    @MrAllen-fv9cj Рік тому +1

    A doctor I know can actually diagnose and treat a patient by sensing energy fields, checking leg length, and waving his hands by making the sign of the cross.

    • @gabrielesimionato1210
      @gabrielesimionato1210 Рік тому +1

      Replace "can actually" with "claims", and your description will be accurate.

  • @btsboys2564
    @btsboys2564 Рік тому

    I want that Dr. Gill to make my examination too. He so soft .
    Many doctors are in hurry when they doing this tests and is painful

  • @mattb9057
    @mattb9057 Рік тому

    Need to book with this am in pain for over a year

  • @anim8rjb
    @anim8rjb Рік тому +14

    It would be more interesting if in one of these, there was an issue. It’s always ‘any pain?’ ‘no’. I’d want to see how you address pain or numbness.

    • @DrJamesGill
      @DrJamesGill  Рік тому +18

      Unfortunately these are teaching demos. But I’ll look at adding management to future deep dives

    • @sentiment3
      @sentiment3 Рік тому +4

      @@DrJamesGill i thought there are 2 video's where david has issues with his shoulders and back

    • @DrJamesGill
      @DrJamesGill  Рік тому +9

      That was the shoulder exam deep dive… and it wasn’t part of the script 😅

  • @gldf1nch
    @gldf1nch Рік тому +1

    Wish doctors in the U.S. were this through

  • @sethhellinga740
    @sethhellinga740 10 місяців тому

    does it not hurt your thumb when checking for reflexes? that object seems quite blunt

  • @packopocky
    @packopocky Рік тому +2

    these are relaxing

  • @ppablooo9471
    @ppablooo9471 Рік тому +2

    Brlliant video!!

  • @MrAuriga67
    @MrAuriga67 Рік тому +1

    Dr. Gill - I am not a medical person, but I have a question. When you are doing the reflex test, why do you strike your thumb, when testing at the elbow joint ?

    • @DrJamesGill
      @DrJamesGill  Рік тому +1

      To ensure we don’t hurt the patient

    • @namethatisnottakenyo
      @namethatisnottakenyo Рік тому +1

      I don't have a medical background either, but dr. Martin Samuels taught in a similar asmr exam video that hitting the muscle directly gives a different reflex (aka direct muscle excitability) than the tendon reflex that you're trying to test. So in the arms where the muscle and tendons you're testing are close to each other you have to put your thumb there to make sure you're actually testing the tendon reflex. In the legs it doesn't matter since the tendons being tested are further away from the relevant muscles and there's no risk of hitting them directly. He also said that direct muscle response is important, but for a different reason than tendon reflexes.

  • @Caltash
    @Caltash Рік тому +19

    4:31 I thought the industry standard phrasing was "lovely and floppy"
    :(

  • @pdog109
    @pdog109 Рік тому +3

    Dr. Gill "PROTECK YA NECK"

  • @themediumfromage
    @themediumfromage 24 дні тому

    she's at it mate

  • @richierich8334
    @richierich8334 Рік тому +1

    What is your take on Chiropractors? Even though I disagree with them being called "Doctor," do you think their occupation is quackery??

    • @DrJamesGill
      @DrJamesGill  Рік тому

      I trust physiotherapist, and their science based approach to treating MSK related issues.

  • @matthewwilliams3789
    @matthewwilliams3789 Рік тому +1

    I always wince when you hit your finger testing reflexes. Does it not hurt?

    • @DrJamesGill
      @DrJamesGill  Рік тому

      When we do a day teaching how to do reflexes it certainly can!

  • @d.r.preparedness6427
    @d.r.preparedness6427 Рік тому +1

    So would that suggest that it was muscilar? BTW, I am not a medical persona oitside of BLS. Kist like learning.

  • @fabiot241
    @fabiot241 Рік тому +4

    Thanks Doc, I really want to ask you what do you think about chiropractors?

    • @DrJamesGill
      @DrJamesGill  Рік тому +9

      I think physios are fantastic, and when it comes to rehabilitation and addressing MSK issues I don’t think you can get finer evidenced bases practice
      That’s the key, if there is no evidence, then I would avoid

  • @kevingalbraitb1037
    @kevingalbraitb1037 2 місяці тому

    Is she actually in need of these examinations or is this just for the craic

  • @longjohndelaney6183
    @longjohndelaney6183 Рік тому +4

    So relaxing I fell asleep watching this.

  • @MrZomg17
    @MrZomg17 Рік тому

    What i gather from Doctor Gill's finger movements it is almost like a Typewriter or Piano type finger pressing movement along the shoulders .

  • @49ers_red_and_gold2
    @49ers_red_and_gold2 Рік тому +3

    Doctor is your new volunteer taking over Abbys stop?

    • @DrJamesGill
      @DrJamesGill  Рік тому +7

      No, I still hope Abbie might be able to help out in future, but we’re all so busy atm

  • @brandonstapleton1350
    @brandonstapleton1350 Рік тому +1

    Obviously I don't wish for anything on anyone but genuinely curious have you ever examined someone for a video and noticed a genuine issue?

  • @Ricodon2121
    @Ricodon2121 5 місяців тому

    Very professional

  • @MrZomg17
    @MrZomg17 Рік тому

    I was wholey waiting for a 3 Stooges Moment where Dr Gill tests a reflex and Meghan's reflex hits or kicks Dr. Gill

  • @Reda2k23
    @Reda2k23 Рік тому +4

    My neck started aching because of me using the computer for longer sessions. I need a massage soon.

    • @DrJamesGill
      @DrJamesGill  Рік тому +4

      A lot of the time I really think messages help

    • @moos3
      @moos3 Рік тому

      ​@@DrJamesGill The relief scales with character count.

  • @unleashthecarnage5813
    @unleashthecarnage5813 Рік тому +3

    Can someone explain to me why it's called the cervical spine and then cancer of the cervix is also called cervical cancer is there a reason why they share the same name?

    • @DrJamesGill
      @DrJamesGill  Рік тому +8

      Cervix is Latin for neck, and we have many “neck like” structures in the body, the two most people talk about at the neck at the top of the spine, and also the neck of the womb.
      Both of which are termed cervix

    • @unleashthecarnage5813
      @unleashthecarnage5813 Рік тому +1

      @@DrJamesGill omg thank you that makes so much sense now

  • @freakywrithe7790
    @freakywrithe7790 Рік тому

    Too quality videos, still the best unintentional asmr. Best regards Doc

  • @rojayreid908
    @rojayreid908 5 місяців тому

    My favourite client❤

  • @Nightwolf3536
    @Nightwolf3536 Рік тому

    My neck muscles spasm force it to lean down sideways and it does that constantly. If anyone has had that or known anyone with that let me know.

  • @ihartrose
    @ihartrose Рік тому +1

    I have been having some pain in my left ilium crest when I walk and it has been occurring for roughly a week now. Do you suggest seeking medical attention?

    • @DrJamesGill
      @DrJamesGill  Рік тому +1

      If you are concerned then stop risk to your doctor

  • @zeefly226
    @zeefly226 Рік тому +1

    Says she's been experiencing neck pain for two weeks.
    Doesn't experience any pain during examination.

  • @Arttekot
    @Arttekot Рік тому +6

    No giggles from Megan this time?!

    • @DrJamesGill
      @DrJamesGill  Рік тому +18

      One day I’ll do a blooper reel!

    • @crittertracker
      @crittertracker Рік тому

      @ Dr James Gill
      That would be a lot of fun to watch!

  • @edjohnpowell
    @edjohnpowell Рік тому

    'Tell me if there's any problems here.'
    'Nope.'
    'FINE DONT, THEN. SHEESH'

  • @BlueCarpet23
    @BlueCarpet23 Рік тому +2

    The jealousy I feel that she answers no to feeling any pain in the beginning of the exam.

  • @juliaesposito7359
    @juliaesposito7359 9 місяців тому

    Love it

  • @T1ttyLedz
    @T1ttyLedz Рік тому

    I know DrG is all about the correct way to do things, but i find the idea of doctors asking if touchung mr is ok as weird depending on the issue sire they have to ask. But fpr the kost part never been asked.. amd saying no would be going ahainst me wanting help with something

  • @furdterguson6987
    @furdterguson6987 Рік тому

    "I'm just going to touch your chest if I can"
    How dare you steal my line..

  • @vjr4763
    @vjr4763 9 місяців тому +1

    Happy 26th Birthday to "Megan Struthers, the 22nd of February, 1998".

  • @kohinarec6580
    @kohinarec6580 Рік тому

    I once had problems with the left side of my neck. I had torticollis.

  • @mintberrycrunch980
    @mintberrycrunch980 Рік тому

    This guy is 100% just making AMSR videos now lmao

  • @theninjascientist689
    @theninjascientist689 Рік тому

    "Yeah sorry I think I blinked, we'll have to do the shoulder section again..."

  • @svenskanorsk
    @svenskanorsk Рік тому

    I have pain in all those spots…

  • @Julief4417
    @Julief4417 Рік тому +4

    I love how he always asks for consent before touching.

    • @lorandbalint8557
      @lorandbalint8557 Рік тому

      Its the most decent and professional thing to do, and it also calms the patient. I am a nurse, i dont do anything with my patients without asking them if i can touch them, and then telling them what i am about to do

  • @gb9023
    @gb9023 Рік тому +2

    Let the neck b free

  • @danniie2298
    @danniie2298 2 місяці тому

    It's kinda insane she has the exact same birthday as me and I've never seen anyone with my birthday!!

  • @beltanetrex
    @beltanetrex Рік тому

    Man, i wish i had the amount of neck pain she's having whenever i have neck pain.

  • @Blakesneezes
    @Blakesneezes Рік тому +1

    I would love a whole video dedicated to the reflexes and hammer uses 4:34

    • @DrJamesGill
      @DrJamesGill  Рік тому +2

      Here is a starter for you 😊
      What is a reflex arc? - Understanding the Clinical Skills - Neurology - Dr Gill
      ua-cam.com/video/tl7EZydFQ9s/v-deo.html

    • @Blakesneezes
      @Blakesneezes Рік тому

      You are the best sir!

  • @rojayreid908
    @rojayreid908 Місяць тому

    Get more of her

  • @halyard9966
    @halyard9966 Рік тому

    What’s your birthday? 22nd February. What year? Every year!

  • @LordRedfern
    @LordRedfern 9 місяців тому

    To test the neck you should really putabitofpaper on it

  • @thecrowfliescrooked
    @thecrowfliescrooked Місяць тому

    You people do realize this is a training video so he's doing the best acting he's capable of. I'm sure he's a right devil going through people like most doctors do like cattle 😅😅😅

  • @runescaperyans
    @runescaperyans Рік тому +1

    Holy fuck it's Abby Anderson

  • @PlantisHere1
    @PlantisHere1 Рік тому +3

    What is the patient’s instagram 👀👀👀

  • @brianbrinkman7964
    @brianbrinkman7964 Рік тому

    I would have to eat maybe 1000 calories a day for quite a while to fit into Dr. Gill's clothes.

  • @aprillake3912
    @aprillake3912 Рік тому

    Lovely and floppy sir

  • @gijsv8419
    @gijsv8419 Рік тому

    She is as healthy as a fish

  • @georgepierson4920
    @georgepierson4920 5 місяців тому

    hello

  • @mattbackupchannel8085
    @mattbackupchannel8085 Рік тому

    😍Megan..

  • @상상-j9k
    @상상-j9k Рік тому

    3:11 え!? I don't think she is ok.

  • @MacS34
    @MacS34 Рік тому

    Dr Gill was on bear grills the island show

  • @markh7304
    @markh7304 Рік тому

    She still looks a bit scared.

  • @philfmiller
    @philfmiller Рік тому

    Dr. Gill: Does your neck even hurt or are you just here for clout??

  • @Matkupit
    @Matkupit Рік тому

    She remind me about gareth bale 😭

  • @alanbarretocuejarbarretoro8741

    Amo asmr

  • @Rambo9700
    @Rambo9700 Рік тому

    So she complains of a neck problem, he does everything to see the neck problem and she just goes no no no no and has zero questions at the end. She’s a fraud.

  • @garrygadget
    @garrygadget Рік тому

    she requires immediate covering in bits o paper

  • @aikalabe7719
    @aikalabe7719 Рік тому

    Bro she comes in complaining of neck pain, he does a few tests, determines it is not related to the nerve, then tells her to leave.
    Now all thats left is to mail her a 300 dollar bill and youve got a bona fide american medical experience.

  • @markmccallum475
    @markmccallum475 Рік тому +1

    So there wasn't anything wrong with you. When you came to me to complain , I guess you just needed a shoulder to cry on.
    *looks at camera which doesn't fade away*
    *Patient in the background passes looks at Dr. Gill and the camera*