Ear Examination - Using an Otoscope - Ear Anatomy - Clinical Skills - Dr Gill

[@amaterasu_xo]

Subscribed for the asmr and stayed for the education lol

[@DrJamesGill]

Welcome regardless😊

[@skibalovesya]

I actually appreciate these videos as a patient, even though I watch mainly for the ASMR component. Knowing why a doctor asks certain questions and what to expect from certain procedures is very useful. Also Dr. Gill is just a very knowledgeable and thoughtful doctor -- if only they all had the same rapport.

[@DrJamesGill]

Helping patients understand themselves and to empower themselves is one of the core concepts we teach at Warwick

[@vicklemiss]

SAME 😆

[@deemcdaniel9150]

I agree! It was really interesting and informative learning about how blood pressure readings work. It explains so much, and I've actually shared it with friends so they can understand their blood pressure as well.

[@1nickdaora]

I'm not even at medical school (i'm a philosophy major), but somehow I still keep watching your videos because you explain things so well

[@DrJamesGill]

Thanks. That’s really positive feedback 😊

[@ASoundMostRelaxing]

I LOVE that you don't cut after every sentence. Just take a breath and continues. Excellent

[@Teddy98]

I had the same thought!!

[@gabrielesimionato1210]

Ah, yes, there's people pausing after every two words, doctor Gill also has this talent of speaking in a very pleasant manner

[@aiden1453]

Excellent job here! I am an audiology doctoral student and find your videos to be especially helpful in getting me to relax before bed. It is so relaxing to hear someone explain a concept you are very familiar with in such a clear and instructional way. Thank you for your work and comforting demeanor.

[@DrJamesGill]

👍

[@stickstories2750]

I'm just some a high schooler who wanted to listen to ASMR and is now seriously considering becoming a doctor

[@sonofliberty1]

I'm not a medical student (I'm a pharmacy dispenser) but I always find these videos useful and/or interesting. Thank you.

[@DrJamesGill]

Thanks Benjamin. Pharmacists are offering minor ailment programs round here - ear wax etc, so it might actually be needed at some point for you 😊

[@sonofliberty1]

Yes, we provide a minor ailment service at our pharmacy but it has become more limited recently. I think we still offer olive oil drops for ear wax though. I'll have a look later.

[@AwakenToReality]

This makes sense to me to why I used to always fall asleep in class. Some teachers were doing asmr without noticing.

[@Dilladoc25]

I enjoy the blend videos much more than the “deep dives” as it gives me reference points to understand a/p prior to performing a clinical exam. Thanks so much for all that you do, Dr Gill!

[@DrJamesGill]

I think I’m going to try and do more of these

[@deafrage]

Is the white stick skewering the dummy head for stimulating different diseases inside the ear by sliding the dark blue part?

[@DrJamesGill]

Absolutely😊

[@ElizaBeet3129]

Imagine my surprise when I found out these weren't for the ASMR community.

[@printeh]

He still leans heavily into the ASMR aspect, which I appreciate :)

[@despinabiri8908]

Medical student here - I like this blended approach, but I think a straight-up demonstration is also useful for osces - in any case, keep up the good work!

[@DrJamesGill]

The demo was filmed yesterday 😊 this is to stand as a third part

[@ChevrlleRacer71]

I’m liking this blended approach, but I also really like the deep dives and the examination videos. I imagine different topics would lend themselves to different formats. I’m not a med student at all, but I’m the engineer type and love learning from an expert whose able to explain the subject matter very well such as yourself.

[@smeghead5021]

I’ve been looking forward to this! 🙌🏻 Had glue ear 30 years ago when I was 4 and had to have grommets put in and went to the specialist quite often, so this is great to have some inside knowledge so to speak! May I also recommend Audiology Associates on here, they do ear wax and skin removals from the ear but he also gives some really useful information about the inner ear etc and shorts as well 😊

[@sorou]

Yes! I love AA’s videos. Showing their channel to my parents finally convinced them (read: grossed them out enough, lol) to go to the ear doc and get any impactions cleared!

[@cooper2973]

Can’t watch an online lecture related to my major. But I sure can watch this!

[@DrJamesGill]

What’s your major?

[@aaustinhh3097]

For real. Communication studies is a bit different than this 😂

[@DrJamesGill]

Actually I’m sure there is plenty you could tell me to improve my comms skills

[@aaustinhh3097]

@@DrJamesGill good point!

[@Teddy98]

@@DrJamesGill You already have awesomeee communication skills I think!

[@vicklemiss]

Super interesting, thank you 🙏🏻 from someone who has watched COUNTLESS asmr versions of ear exam videos, it’s really good to see the official medical version 🙂 And always great, of course, to hear there’s more Abbey Tutt in the pipeline!

[@DrJamesGill]

I’m sure there are plenty of ENT consultants would do a far superior job. But I think I’m passable 😊

[@henrikbjork5975]

Love this. So i work as a floornurse medicalward on a middel size hopsital. And on of my standard questions when i get report on a patient that they say have bad hearing is ”have you looked in the ear?” And manny times the answer is ”no” its just a accepted fact that old ppl have bad hearing. Just a week ago i got a report from the admiting docktor. -The patient have some troubel Taking direktions due to bad hearing. -Have you looked in the ears? -No the patient have bilateral hearingaid. -.... its common whit wax plugs due to hearing aid.. When the patient arrived to the floor and i checked the earcanals they Wher bouth filled whit Wax. Also if a patient have hearing aid and still hear bad. Dont forget to check the batteries.

[@DrJamesGill]

And also when did they last have the hearing aid serviced. Often the aid can get blocked with wax too

[@JessConger]

I had vertigo a few years ago and it's really interesting to learn about equilibrium. And, you know, ASMR-y and all that.

[@DrJamesGill]

I had it once during the London Triathlon coming out of the swim... very unpleasant

[@mekmekare]

Always so informative, nowhere else can we get asmr and this kind of knowledge, precious. Hugs from Brazil, and thanks, Doc.

[@lifeofaboxbot]

Would you be able to do a video surrounding allergy tests? I love your content. It’s very easy to digest - short but informative.

[@DrJamesGill]

When we do sinuses yes 😊

[@lifeofaboxbot]

@@DrJamesGill Looking forward to it!

[@brandonmoucatel9630]

Dr. G is the 🐐

[@joshgill1701]

Great video. I was following your instructions as I performed an assessment on my wife, and @4:22 when I removed her tympanic membrane to observe it, it caused her great discomfort. I also had difficulty putting the tympanic membrane back into her ear.

[@nlarralde]

I'm so happy I found your channel Dr. Gill, you have a wonderful voice and your explanations are great even for a non-medical person like myself. Looking forward to the digital rectal exam deep dive video

[@kutanra]

Had a hearing test a while ago struggling so much with hearing people. Passed with flying colours, nothing visible, beep test not a problem. Not even excess wax. Ten years later, it's finally diagnosed as auditory processing issues! Now I'm medically clear to say "Speak up sonny!"

[@omicsonic]

The hair. The beautiful beautiful hair.

[@jo85858]

I am not a medical student or expert in any way, just enjoy learning about stuff. I do like the regular exam videos as they show the whole process including the interaction with the patient, building and keeping rapport while performing the exam. On the other hand videos like this one are also great because I actually learn about the details on how things work on the inside. This one hit even closer to home because I've suffered through 2 months of recurring ear infection last year before christmas, took 6 weeks of increasingly strong and sophisticated antibiotics before it finally stopped, and yet i still occasionally feel some pressure inside the ear, even though a full ENT examination can no longer find any issues in there. So to get all this information presented in a very simple way that even a non-medical person can understand how it all works together is really great. Long story short, to answer your question in a lame way - please keep doing both of the video types, they both have their value :)

[@DrJamesGill]

I think this type seems to have resonances well with people.

[@Rubzu]

I really like your explanations, I'm a medical assistant and this is very helpful in knowing what is taking place as I see the medical providers do their work! I've liked and subscribed.

[@DrJamesGill]

Thanks Ruby. Hopefully you find some other things here useful. We’re slowly expanding the areas we cover, hence the spirometry recently. Are there are topics that would help yourself?

[@hasfabahar9945]

Hi Dr Gill, I really like these mixed learning videos - helps me understand why i'm doing what i am for my osce

[@DrJamesGill]

Great to hear!

[@itajno8985]

Great explanation and information. Thank you Dr. Gill

[@DrJamesGill]

Glad you found it useful 😊 Any suggestions as to similar areas you’d like to see us eventually cover?

[@mustafasaed7766]

I am a gp who always felt he was a bit of a buffer when it comes to ear exam. I loved the lucidity of this video. It has given me a lot more confidence

[@leanncollier9948]

I actually really appreciate the anatomy review! But I still struggle with getting a good view in peds. Perhaps some tips on improving my visualization!

[@calvinbealer7264]

Thank You Very Much Dr Gill.

[@DrJamesGill]

Hope it was helpful

[@olumayowamustapha918]

Great voice you have. Wonderful video content 🎉

[@DrJamesGill]

👍 hope it was useful

[@ahmetaksoy1683]

thanks for sharing ,very nice explanation

[@XX-gy7ue]

more information is always best , of course with sufficient explanation ! YOU ARE THE BEST ! ALWAYS A JOY TO WATCH AND SO INTERESTING !

[@stefanies569]

*7:34* I love how he inculded a picture of him diving, just in case someone does not know what it looks like. Or maybe just to show us what he looks like under water...

[@DrJamesGill]

😂 more just that to maintain attention the screen needs to change regularly.

[@stefanies569]

@@DrJamesGill Well that worked. They definitely got my attention 😂

[@escargot1886]

Not a medical student or practitioner, but I really enjoyed this video. I felt like you explained things clearly and highlighted what things where important. I learned some things that I probably wouldn't have otherwise. Also, like a lot of folks have mentioned, I think the narration was very tranquil :D

[@jakholl]

I'm not in medical school or anything but I do enjoy knowing at least a little bit of what the doctor is looking at, even if I don't understand everything about it.

[@DrJamesGill]

Knowledge is always good

[@claytonparfumorse3101]

so i know exactly what it feels like to have your inner ear blocked and unable to equalize. roomate got a pair of ferrets without warning me at all, and didnt care for them properly. they created so much ammonia it blocked up my left canal and left me with a splitting headache for a solid month before a nurse at a local clinic figured it out. gods, the relief was amazing.

[@DrJamesGill]

Ferrets???

[@claytonparfumorse3101]

@@DrJamesGill in a tiny apartment. two of them. i didnt know they were being bought, until they arrived. thankfully, all four issues are now gone! the ear canal issue, the two ferrets, and the roomate!

[@DrJamesGill]

One of my friends at uni did the same with a chinchilla

[@claytonparfumorse3101]

@@DrJamesGill chinchillas are a much cuter pet, gotta say. and actually, if im remembering right, it wasnt a headache, it was just the entire left half of my head. the right side was perfectly fine. apparently it was all the muscles on that side just freaking out because something was wrong? (apologies if this seems badly explained, this was a while ago

[@maleascott8199]

Blended by far! Thank you🙌

[@LeKnightStudios13419]

So doc, what happens if a patient comes to you with ear aches, and say they may have gotten it from headphone/air-pod usage. What changes would you observe in the ear? Would it be affected mainly in the canal, or would it affect the inner, more delicate parts of the ear?

[@erenjaeger6125]

Dr. Gill, I have had a persistent problem with my ears for at least 16 years and still do not know exactly what it is or how to fix it. Every time I mention it to a doctor they kind of just brush it off. I always feel like my ears are clogged/muffled and I have to do that thing where I move my jaw or blow air out of my nose to relieve the pressure. It may be worth mentioning that I frequently got ear infections as a child and had to get ear tubes (they were eventually removed). Also, in my teenage years, I got a sinus infection literally every 4-6 seeks. And I had a few very bad spells of vertigo in my late teens. Any ideas and/or advice? I would very much appreciate it. Love your videos!!

[@lpgrulez]

I love your hair lol

[@DrJamesGill]

The novelty has worn off now. Can’t wait to go back to “normal” on Tuesday

[@Simone-qc2qm]

Love it too ! So cute

[@sitedrm]

The hair looks fantastic, you should keep it!

[@alisonrayner2772]

so well explained.. thank you !

[@VioletWisteria287]

My goodness, I always love watching your videos for the education (I started out as an ASMR only viewer and now I'm here for the education lmao) but tonight I put on theater mode - your eyes are so striking! I'm jealous!

[@alexcameron_]

Great video I am learning so much, many thanks. 👍

[@vinceturner5956]

Love this video,

[@thelemon0001]

I have hyperacousis (environmental stress, not physical pain variety) and I developed the habit of not cleaning my ears because the wax buildup blocking the canal was the only relief I could get. I don't do it anymore now that I've moved out of the city and there isn't as much noise.

[@suzantibbitts7928]

Such a thorough explanation!

[@3DGvisuals]

Excellent and informative, pitched at just the right level too. Thanks

[@DrJamesGill]

Thanks. I think we’re finding the level for these now 😊

[@medecinturc]

The best English accent I have ever heard...

[@prabhaunadkat6918]

Blended approach

[@Vincebae00]

Hi Dr. Gill! I had tubes in my ears as a child. My allergist was very surprised to see scarring on my eardrums from these tubes. She said the scarring was white! How often do you see scarring on eardrums?

[@DrJamesGill]

Quite often. Scaring isn’t really a problem, just indicated that the ear drum has had a hole and healed

[@Lars_Maassen]

At the start of the video it is mentioned that ear problems are a large peoportion of a GP's work load. Is there any explanation behind that? Why are ear problems such a large part of the problems that you deal with as a GP?

[@DrJamesGill]

Honestly not sure. Perhaps as a classic ear infection comes on quite quickly and is rather painful. Meaning people seek care sooner

[@adrianchorolez5013]

In my country yóu can get a physical once a year from your doctor. They usually check blood, urine, blood pressure, heart rate, and listen to your heart and lungs. When you get older they also do things like prostate examination and a colonoscopy. For anything additional you either have to ask or have a specific issue with. Do you have any suggestions for which other things I should ask or do the things I have listed already cover the most important things? Thanks.

[@MATSULEIGO]

Loved it..hope to see more contents like this, doc! Cheers

[@DrJamesGill]

👍

[@jacobgraham6314]

Thank you for another wonderful video, Dr. Gill. I'm a big fan, btw! Hello from the States! In regards to your question at the end, I think a "blended" approach would be cool to see for future videos 😁

[@DrJamesGill]

Ok. We’ll see what we can come up with

[@jacobgraham6314]

@@DrJamesGill Awesome! I'm sure it'll be great

[@georgepierson4920]

What is that white thing going through the head?

[@Sooz3112]

Very helpful, thank you x

[@UnViaje]

More examination please. And a compilation vídeo

[@laserpanda9553]

I wish my lecturers presented their lecture videos like this

[@DrJamesGill]

You’d be surprised how little time we have to prepare a lecture. I’ve adjusted my work week to try to put more time here

[@changoelchango]

Its so trippy to know Im using this weird thing which Im learning now in detail how it works to hear dr gill

[@MoroccoGamer]

nice video

[@DrJamesGill]

Thanks for the visit

[@thoughtsurferzone5012]

The evolution of the mammalian ear from the reptiles is an amazing story in itself.

[@SoberIrishman]

The safest way to help clear the eustachian tubes, saline nasal spray. I used this to help clear mine after cortisone shots to the inner ear to treat sshl and it still works for allergies. 😎👍

[@DrJamesGill]

I’m a big fan of the nasal douche - but I’m not sure it would be able to directly clear there.

[@khia555]

Amazing timing for you to post this! For only the second time in my life (first being when I was 8) I had a bad ear problem (something in my ear sitting right on my ear drum causing a lot of pain) and I had to go to the dr and An ent to get help for it! It’s nice to see the exam procedure explained here :)

[@DrJamesGill]

We often pull things out of ears, but more often in children

[@khia555]

@@DrJamesGill ahaha, my ent said the exact same thing :) In my defence! I didn't put it there, I swear!

[@DrJamesGill]

🤣🤣

[@DrJamesGill]

I think the commonest is seeds and beeds in children’s ears. But I did once have a lady with a fly in there 🪰

[@khia555]

@@DrJamesGill they originally thought it was a bug in my ear, to which I subsequently freaked out and told them to just take off the whole ear if that was the case. It wasn't though, it was actually a piece of debris the blew into my ear from a fan that I had on next to me. Who knew that could even happen, but here we are!

[@jonylawson73]

Have I been waiting for this !! Thanks

[@DrJamesGill]

Hope you like it!

[@astro.lewennhart6452]

nature is just a genius designing all this stuff

[@DrJamesGill]

👍

[@Peter-mn8rr]

Thank you ⭐👍

[@mohammedhashi9327]

Amazing vid 👍.

[@momtomtse]

We've a patient who gets fungal infections in his ear, few things look stranger then a white and grey fuzzy ear drum!

[@DrJamesGill]

They are so much harder to clear than bacterial

[@anshumanchaudhary3636]

Great👍👍👍👍👍

[@tmowasright]

I have an issue with the otoscope going into my ear canal. I hate to have to have it done. I involuntarily tense up my muscles when it goes in. It’s agony

[@lifespanofafry1534]

😔 Hope you NEVER have to get a nose swap.

[@nym5156]

With Otoscopy, I think my biggest fear is of damaging the patient's eardrum by mistake so I never really do it properly out of fear... Is there any chance we can perforate the patient's eardrum if we go too deep with the Otoscope? (In a normal ear exam as opposed to say otitis media when the eardrum may be bulging)

[@DrJamesGill]

I don’t think a normal speculum would even reach. But the patient would CERTAINLY stop you before you got that close

[@TheFyrewire]

Isn't it crazy that's he describing the exact thing we're using to listen to this video in the first place? 🤯

[@BeetaroniPizza]

Absorbing knowledge. 🤖

[@yuul9904]

What happened to that glossy head

[@alistairmcelwee7467]

RN here: as an oncology nurse I did not do this examination. But I've needed to do be able to do this in my current practice (not oncology 🫤 which is my love due to patients). This video was so helpful in showing me the anatomy I need to study up on, the physiology I need to review, and the observations I need to report up to the physician. Just wondering, how much time would this normally take? Patients should not be expected to undergo this examination for long as in many cases they won't tolerate it beyond a certain time limit. Also, if the patient is lying down, is that a good position for the exam or do they need to sit up?

[@gareth9917]

So Where's the collaboration with Dr Hollie Berry? 😍😻❤️ Please!

[@kohinarec6580]

All very interesting, but for some reason the anatomy of the inner ear makes me nauseous. All those creepy tubes and membranes and canals. My joints are all wobbly now.

[@MrAndrewwarrenau]

I'm not familiar with this "estucian tube" you refer to... all humans I have examined have eustachian tubes (i.e. pronounced "yoo-STAY-shun").

[@hugheszie]

I'm not worried about that kids ear @ 9:40 - I'm more concerned with the object that's passed through it's skull. Ha!

[@DrJamesGill]

🤣🤣

[@roquefortfiles]

Looks like the kid in the lake from Friday the 13th

[@deezelkane]

The only upload in the ASMR community that matters 🐐

[@senesterium]

I have the totally useless ability to contract(?) my middle ear at will. Hear, that weird lousy "sound" you can perceive when yawning ? Well I can produce it at will. The only useful side it has is that I don't need to yawn or pinch my nose and blow to equilibrate my ear pressure. I just do that.

[@SoberIrishman]

Have we checked for the protruding beam that seems to have pierced the head? 😎

[@DrJamesGill]

Normal variant. Of no concern 😜

[@SoberIrishman]

@@DrJamesGill 😁, great videos as usual doc. 😇

[@ars4455]

I have dizziness, tinnitus and hearing loss... the doctor said it's bppd... I tried many treatments with different specialists in the Netherlands for 14 years... none of them worked for me...So I gave up on doctors and decided to live...

[@gabrielesimionato1210]

1:15 Small correction, doctor Gill: what you really wanted to do was to put A LITTLE BIT OF PAPER

[@ChrisStumer]

I had an ear infection once as a kid, it wasn't pleasant.

[@TheMeyersHouse]

Richard Ashcroft has changed his occupation!

[@graz-e.m.s]

Love your videos. I find them to be a great ASMR... But I do hope Jimmy Somerville got paid well for the imitation head 😁

[@bend6292]

Also the dummy got a rod thru his head like phineas gauge

[@DrJamesGill]

I didn’t really think of the railway worker until people mentioned it lol

[@annid.newman]

Am I crazy for liking the examination of my ear?

[@gemmasalmon9667]

Speculum. What a satisfying word.

[@atticstattic]

Just go lovely and flappy...

[@DJ-xu1qo]

i think most people like it when you do an exam with a patient

[@seyara1]

That poor mannequin head has some serious hair envy going on by the way he's looking at your beautiful locks at 00:05

[@DrJamesGill]

😂😂 at least the mannequin is low maintenance

[@seyara1]

@@DrJamesGill this is very true...the grass isnt always greener on the other side 😂

[@jo85858]

@@DrJamesGill barbershops still not open in the UK? :D

[@johnathanleonardo912]

Dr. Gil is having that George Harrison hair style

[@DrJamesGill]

Not for long 😊

[@johnathanleonardo912]

Great informational video as always. As a kid I always got many middle ear infections

[@greasydad]

7:53 that cut though

[@DrJamesGill]

Yes, didn’t edit that quite tightly enough. Still Learning

[@Allegedly_Me]

Move over Derek Shepherd we have a new Dr Dreamy😌

[@traviscarlson6718]

You forgot to ask that Dummy if it had ANY DOUBLE VISION🤣🤣🤣🤣🤣 great video tho doc learnt alot

[@Edmund._.Dantes]

My gf gets frequent middle ear infections... so much so she has a standing prescription for antibacterial drops. I'm going yo show her this so we could understand more about the issues

[@DrJamesGill]

glad it helps