How to Perform A Thyroid Exam - Clinical Skills - Dr Gill

[@mariap3617]

Putapitopaper feels like an old friend you haven't seen in years when social media didn't exist yet

[@DrJamesGill]

🤣🤣 honestly, I have no idea why people notice it. In my head I have so many verbal quirks, that isn’t one!

[@mariap3617]

@@DrJamesGill it's all part of the legend of unintentional asmr, embrace it!

[@deodivvi862]

I miss the "any double vision" family though, just one of them this time

[@Berengier817]

@@DrJamesGill I never heard someone refer to a piece of paper as pit of paper. American here. So I think it's the way you say it quickly without enunciation. If I said "put a piece of paper" there would be more enunciation in "piece of paper" than "pit of paper" That's my interpretation of why everyone loves it.

[@KSakamoto]

@@Berengier817 he’s saying “bit of paper,” people are saying “pit” as kind of a cutesy way of phonetically spelling what it sounds like.

[@thegirlwiththatface]

I’m convinced Dr Gill is the Bob Ross of medicine

[@Extaco]

True! 😅

[@TheGreenDee]

Definitely!

[@raiynen]

and right over here we have a happy little spleen

[@thoughtsurferzone5012]

I was thinking a new Dr. Who.

[@simondb99]

Happy little examinations.

[@katelund4152]

This is actually such an informative video. Came for the asmr, stayed for the info.

[@MrHardGod]

I'm no expert in medicine but i always liked when doctors explained me what they were doing, not in a technical way but just so we can understand what they were searching for, you doc are a perfect example of this, i believe it's a good thing, just like when I'm taking my car to the mechanic, i really don't understand what they did to the car but at least they try to get some sort of basic knowledge to the basic client

[@albertofernandez6062]

I cant believe today i was able to listen a new putabitopaper. I feel like today is Christmas Day. Thanks Doc

[@rageagainstthebath]

I absolutely admire this new format of explaining what is going on during the examination. Thank you again!

[@DrJamesGill]

It seems to be working well 😊

[@rageagainstthebath]

@@DrJamesGill Indeed it is way more interesting when the audience knows what is going on!

[@benwing19877]

“Abby Tutt, 7th December 1996” I feel like that sentence is branded onto my brain and I announce it out loud every time I see her in a video. True star if the show

[@fabriziopomponi5394]

Video really starts at 1:13

[@thrasius8856]

Word to the wise: Remember Pearl Harbor!

[@kiely4561]

Just don’t accidentally say it to your GP if they ask that question, you may get a strange look

[@tressacaperton8051]

Abby always has the most infectious smile! Good to see her and the doctor again!

[@starfishgurl1984]

As someone with anxiety from sensory issues I totally appreciate this video 1,000%! I need to be aware of when/where and how deep I’ll be touched by others because although I have a high pain tolerance I’m also very sensitive to certain types of touches so I love that you warn her that you’re about to touch her from behind, great job!

[@IgnoranceIsNotCute]

I feel like I'm half way to my Md watching Dr Gill's detailed and relaxing videos

[@spencerbrice5483]

“I’m the bearer of a very small brain so I like to work in straight lines” 😂 don’t we all doc

[@rangerjaython21]

i thought i had misheard him when he first said that! it definitely got me to giggle

[@user-xt6fh3fr8y]

abby, your shirt is delightful! dr. gill, this is my favorite format for these videos by far. i wonder if you’ll ever do one with an SP that is trained to “have” certain symptoms that will indicate some diagnosis? i do realize that’s not possible with more “visible” signs and symptoms, but it would be an interesting exercise to “test” the viewers’ knowledge as you go about the exam.

[@seang2012]

I thought I was literally loosing my mind before they diagnosed my thyroid wasn't working. raging panic attack/anxiety, weight gain, not sleeping, etc. Synthroid is a hell of a drug!

[@EughhBrothereughh]

Sounds super scary , thank god at least you were diagnosed. In my country doctors would tell you it's menopause

[@genericwhitemale5616]

@@EughhBrothereughh Russia?

[@the_vuke]

it took me almost a decade to be diagnosed with Hashimoto's disease. My thyroid has been through the ringer.

[@simplychaotic1029]

I love this way of explaining the examination. The why and how in the same video with a demonstration. Brilliant!

[@starbw1]

i will never EVER get tired of watching dr full content

[@jamesfearn7757]

Worked with this young lass when she was a second year? med student at the George Eliot Nuneaton a few years ago. Hope she's doing well

[@DrJamesGill]

Honestly she has done so well. She’ll be an exceptionally good doctor

[@MedbeeMedic]

No Way !! Hello again ! Small world !

[@charjabugman]

The Return of the Jedi of Thyroid Exams

[@matthewgilster4035]

Wonderfully well done in depth exam

[@DrJamesGill]

👍 hopefully it helps people understand what is going on 😊

[@gregsmith4817]

Saw the piece of paper on the examination table and knew what was coming 🤣

[@rouzegb917]

Fantastic duo is back! Thanks for these didactic and relaxing videos.

[@DrJamesGill]

Hope they help 😊

[@bomjur]

The most useful asmr on KZbin as always) I'm very interested in medicine, as someone who is not related to it can be. And it's kinda sad that my level of English do not allow me to easily understand all the content of the video, so I might both relax and learn simultaneously. I'm definitely can relax to these videos and hope I can have some bits of useful information while doing so) p.s. a bit of paper returned!

[@michaelhagler7381]

Been watching these looking for unintentional ASMR, but I have to say I have learned quite a bit along the way.

[@stacyedelprete5477]

I have hypothyroidism, but my doctor has only ever checked my TSH so all of this examination was fascinating.

[@deancox8634]

Why am I happier with Dr. Gill and Abby in my you tube world? don't know and don't care. Just am.

[@ursus878]

Abby is my favorite patient. Great partner of doctor Gill.

[@erethjallsen8819]

100 thousand Doctor Gill! Congrats, thanks for being such a fantastic educator!

[@wildcat9090]

Yes! Putapitopaper! I saw the paper sitting there but had doubts he’d do a callback to the old video. I shouldn’t have doubted.

[@monorailsystem]

Abby is in immaculate condition he never finds a single thing wrong

[@IronDragon1337]

Mint condition

[@alejandrocastillo5771]

Thank you for the great video, Dr. Gill. Who would of thought that my best professor is across the pond and my class is at home. Very grateful to your knowledge, explanation, demeanor, and hard work. I've become a better RN for it 👍 grateful from Texas.

[@DrJamesGill]

👍

[@sensudubs4421]

It always makes me more comfortable to know what the doctor is doing to me. I'd love to have this person as my doctor.

[@TrialsFox]

Revising for my final year isce atm. It is in a months and I’m panicking but your videos are really good and helpful. Very clear and you explain why you’re doing each part of the examination. Thank you so much

[@eveninglyric687]

idk if you've done your tests yet but if so I hope it went well ♡ if not best of luck and good vibes babe

[@nickmitchell5150]

Brilliant stuff, all in one take too!

[@DrJamesGill]

🤣🤣🤣 I wish

[@sweettea4192]

@@DrJamesGill I imagine there was a lot of giggling here. She has a cute shy smile that suggests a bit of giggling from just having a good time and like you mentioned a bit of anxiety. Fantastic video as always the both of you.

[@carolinagilniebla4705]

I was diagnosed with hyperthyroidism almost 3 years ago and I’ve been in treatment since then. This medical exam is what my doctor does in my periodic check ups, I wasn’t sure what she was checking in my hands but now I know 🤓 The only part of the exam my doctor does not check is the part of the tongue. This video is very informative, I had almost all of the symptoms mentioned for hyperthyroidism, we found out about it because I got tired real quick with just some steps, my vision used to numb black and started to have tachycardia, at first I went to a cardiologist think I had heart issues and he diagnosed me with hyperthyroidism. While in treatment I had just one eyeball with back inflammation, it was really tough because my face looked really asymmetrical, I went trough a 10 week treatment and got a little chubby but then I lost the weight. I’ve been weighting 36-38 kg since I was 15 and I got to 40 kgs for the first time last year with almost 2 years in treatment and I’m 25 years old now. I’m not a doctor but I really enjoy these videos as they help me to understand a lot of exams and get to know what symptoms can show through these conditions. Thank you!!

[@DrJamesGill]

I’m really glad you’ve had good care! Where were you looked after?

[@carolinagilniebla4705]

@@DrJamesGill Thank you so much, I’m from México, I was treated here by a really good cardiologist Dr Luis Eng, and he sent me with an also really good endocrinologist Dr Verna Mendez. Since I was a teen I went through a lot of medical appointments for years because of my very low weight and they used to tell me it was hereditary because of my parents weight until I was 23 and was properly diagnosed. My thyroid was really inflamed and sometimes it hurt. I started taking 4 and 1/2 pills of 10mg thiamazole daily, now I take 1/2 of 5mg 1 day and 1 day not, and my thyroid is not swollen anymore, I’m gaining weight, I don’t have heart/pressure issues anymore, and I sleep really well now, I have a little of double vision, I take a daily pill of selenium (my doctor says it’ll help) but my double vision was worse so I think I’m getting better 😎👍🏻

[@KingGoose117]

The thoroughness of this is wonderful…if only American doctors could pick up the hint

[@TheOriginalMaudlin]

This is very timely for me since I'll be going for a CT scan of my chest on Thursday since a cyst was discovered near my thyroid during an unrelated MRI scan of my spine

[@latinocreamking9125]

Thank you Dr. Gill, you put me at ease when going to my regular medical checkups.

[@DrJamesGill]

That’s very positive to hear. Is there any other ways we can help?

[@snorgonofborkkad]

The bumblebee socks are FIRE.

[@BubaShrilanki]

Man like James Gill. Pure relaxation in your voice, man was fuming until I listened to it. I’m a big fan, keep doing these videos it stops me from having Psychotic Episodes

[@gabrielesimionato1210]

14:20 many years ago, in 1998 or so, we were hanging out in a pub and we started talking about this reflex. Each one wanted to try on his own, so we ordered like fifteen glass bottles of coke, which we drank in a gulp. When the waitress returned at our table she found fifteen people quietly hitting their knees with empty bottles. We explained why, and she joined.

[@MATSULEIGO]

Well, u all could order 1 bottle and take turns

[@eznf98]

@@MATSULEIGO where is fun with that

[@seanmahoney7722]

I love fictional stories.

[@1984margolcia]

Feel proud to be a part of this family 🤗

[@orlanskimer]

Good luck on your exams, Abby!

[@darrentomlinson4191]

Much appreciation for Abbie as well as Dr Gill for these vids , good luck for the future 😊

[@neptunepirate1981]

Thyroid disease is common in my family. Have an unrelated appointment next week but I’m going to ask some more questions about a goiter that was found. All because I watched this video!

[@MallorieMooney]

Number one, as an aspiring PA, I love your videos. They're really going to help me out in the future. Number two, I've been concerned about my thyroid and when I went to the doctor, she wasn't nearly as thorough as this. That's concerning, I kinda want a second opinion now.

[@DrJamesGill]

Did they do any bloods? That would be an effective second

[@MallorieMooney]

@@DrJamesGill yes they did do some blood work

[@Ahmett2000]

As Dr Gill pointed out you get the diagnosis from thyroid function tests/history. You'd be hard pressed to find a doctor that examined for every rare extra thyroid sign

[@Cypppp]

More jokes this time... I like the laid back Dr. G! Great and informative (and funny) video!

[@ML-jk4dg]

The good 3:43 Putapitopaper, but what about Loose and Floppy 14:15 ❤️

[@vicklemiss]

Abbie’s shirt is really very wonderful 😍

[@davidrhysroberts3641]

Putabit of papers back. Woop woop 🥳

[@NickzAndMikz]

3:43 Dr. Gill, do you practice saying "putabittapaper" or do you just let it come out?

[@DrJamesGill]

Honestly, just a verbal quirk.

[@Zanyotaku]

Clicked for curiosity and got info and asmr, your soft voice is perfect to relax to and what you’re saying and showing is interesting. Congrats on your possibly unexpected fandom sir if the asmr is unintentional 🤣

[@DrJamesGill]

If you benefited, learned something, and perhaps understand a little more about your own body, I’m over the moon!

[@marcocasalbore]

Godlike quality, as always.

[@Baphomet-J.-Moon-Fetus]

If you notice any 'Lid Lag', it is customary to apologise for your 'sandwich breath'.

[@undertaker11ism]

Chevrolete, zebra, honesty

[@kiarona.]

@@undertaker11ism the stopwatch, the TV, and this particular book

[@thatabu]

Set the hands at ten past eleven

[@undertaker11ism]

@@thatabu Fight fight fight fight fight

[@patrickansell4533]

@@undertaker11ism the doctor patient are supposed to get red in the face

[@lindyscotland]

Dr Gill, is this the norm protocol for gp's? I was diagnosed with hypothyroidism 2 years ago, the only tests my gp did was blood tests. No-one has even touched my neck nevermind anything else. I'm in Ayrshire, Scotland. 🙂

[@kittymonkey705]

I just had my annual gynecologist appointment and he checked my thyroid. Perhaps because it’s hormone related? I had a physical with my GP the week before and he did not check my thyroid.

[@julesm9498]

Same, blood test and tablets and that was it.

[@MedbeeMedic]

I like this idea about swapping places 👀👀👀

[@DrJamesGill]

You are busy… with finals for like… ever now

[@MedbeeMedic]

If abbie passes her finals bonus episode 👀 😅

[@nickmitchell5150]

Or Derek? 🤔

[@DrJamesGill]

We’ll certainly do something !

[@gabrielesimionato1210]

That would be fun 😊

[@Draedaja]

I cannot tell you how many times I've watched this video already (don't ask why), but I JUST noticed that Abbie magically puts on shoes and a different pair of socks there for a few seconds ;D

[@DrJamesGill]

🤫

[@mryan1114]

Looks like you're killing it as always.

[@josemerino7894]

Dr gills,The Jay z of doctors🙌🔥💯🙏💪

[@daviddunn4922]

I have Graves and still found this very informative

[@DrJamesGill]

glad it was helpful, hopefully your symptoms are well controlled?

[@daviddunn4922]

@@DrJamesGill on and off with plenty of blood test and a course of propranolol and carbimazole . Will see if I need further treatment after a 12 month period . Did lose a lot of weight very quickly and had heart palpitations and sweats

[@kiwipics]

Well, Dr. Gill I need to book you for a thyroid examination, as I haven't had one as thorough as you did in this video.

[@burorak]

I wonder if we could say mild cutis marmorata for the palmar view of the hand at 2:44

[@Asummersdaydreamer14]

Calm and informative video; thanks, you two!

[@dewanhassan7320]

Crazy how this is an actual medical informative video. But I'm always here for the ASMR. 😅

[@Lucas.Oliveira98]

Would It be so nice If you bring an pharmacist friend to talk about some cool stuff about the drugs used on the treatment of the conditions you talk about in your videos. Keep doing this amazing work 👊

[@noreenhill5826]

Thank you sooo much!!!! Fabulous video!!!

[@darrentomlinson4191]

Spiffing job sir , bravo , very well done video , be having a pleasant day now 😀

[@JointSnipe]

Could practically see her holding her giggles in at some points, made me laugh! :D

[@AndrewsBob]

Putapitofpaper and and Abby smiles mischievously. I think she knows exactly why 🤗🤗❤️😀😘😎

[@MedbeeMedic]

I genuinely have to bite the inside of my lip because I will laugh

[@AndrewsBob]

@@MedbeeMedic 🤗🤗❤️

[@kiely4561]

She knows what up lol

[@raising.my.miraclesandrea5578]

Hope you're feeling better Abby.

[@johantenhove7770]

Question: in an earlier video Dr. Gill held the arm up and tapped with the tendant. One arm moved to her body while her other arm moved outwards. Why is that? The place where one strikes?

[@DrJamesGill]

Honestly just minor personal variations.

[@fpereira77]

Dr Gill, could you please explain how a doctor would generally distinguish tremors related to anxiety, the way you did at 3:46, from tremors caused by any other underlying condition? I present tremors that are largely caused by anxiety issues I have, but sometimes I wonder if I may not have any other underlying condition. I get anxious frequently and going to the doctor is an anxiety-inducing situation for me. My anxiety symptoms have always manifested through exaggerated tremors, so I often wonder how a doctor would go about examining my tremors and attributing them to anything other than anxiety.

[@DrJamesGill]

Biological tremors would TEND to be constant, or reproducible in specific situations We get most of our information from the history rather than the examination 😊

[@fpereira77]

@@DrJamesGill I see! Thank you very much for your very prompt response 😊 Indeed that is something you frequently tell us, that most of the information comes from the history of the patient! It's been a few months since I've started my treatment for anxiety and depression followed by a psychiatrist. I feel immensely better in all aspects, and my biggest regret is not having gone to the doctor earlier. Nowadays I barely have any tremors, which seems to prove the point that they were psychosomatic.

[@huseyinkayar3593]

his accent is like as if he is reading a posh play, so sophisticated

[@jp5125]

He said the thing!

[@omicsonic]

Gill and Tutt 12: Thyroid Rage Against The Machine

[@sebastianradkowski2035]

When doing the examination of the lymph nodes could would a scooping motion with your hand be appropriate to see if you can trap any inflamed nodes

[@mallekadalov7276]

So good to see abbey and doctor Gil 🥰

[@brittanykeyser1283]

Hi Dr. Gill, just wondering why we are checking for anaemia (koilonychia etc) thank you!

[@DrJamesGill]

Anaemaia can be caused in hypothyroidism by bone marrow suppression and suppression of erythropoietin Also we have have reduced iron uptake leading to reduced body stores

[@brittanykeyser1283]

@@DrJamesGill Ah, wonderful! I figured there was a brilliant answer. My classmate and I were practicing for our OSCEs tomorrow hoping we could incorporate that into our examination- but wanted to be clear on why. Thanks, as always! You have helped make clinical skills my top mark. :)

[@craigsykes6199]

Welcome Back Abby!

[@jordanrowell7315]

Just out of curiosity can you determine a hypothyroid just by doing blood work? I was diagnosed with that after a brief amount of blood work. My doctors didn't do anything else thyroid related.

[@DrJamesGill]

You can do, but it’s important to be able to diagnose something clinically, rather than merely from a blood test. Blood tests should be used to confirm your thinking not the other way round

[@jordanrowell7315]

@@DrJamesGill Thank you for the reply. I'm just very curious because I've heard that a hypothyroid shares similar symptoms to Diabetes which runs in my family.

[@nabimanya-d6s]

Thanks 👍👍.. very helpful 🎉🎉🎉...

[@fatimabuhari7251]

How to check for Hashimoto’s?

[@misswilde3054]

Oh, poor Abby! My hands would shake for sure because I get anxious 😂

[@michaelw2263]

I guess EMT school wasn't enough cuz here I am binge watching all of these medical videos from Dr. Gill

[@poet279]

The trilogy is complete.

[@Fraser142]

i know these videos arent for medical use(real life situations) but i keep it in mind just incase awesome channel and digestible information keep these going!

[@babarilyas6296]

Must check for proximal myopathy too.

[@seyara1]

I'm especially interested in this as I'm having bother with my thyroid at the minute... There is a nodule on it that my specialist wants to biopsy so I'm heading off to get a needle stuck into my throat in a few days. Good times 🙄 Honestly most health issues I've had over the years have all come back to my hypothyroidism...hormone issues, bowel problems, weight gain etc etc

[@pasda98]

Good luck with the results!

[@seyara1]

@@pasda98 Thanks

[@anabotero9427]

Oof! I hope everything goes well! (both the biopsy and results.)

[@jessicadonohue3460]

Now I'm going to want an update! Ciara don't leave me hanging. I'm so sorry you've had some many issues. You're going to be in my thoughts.

[@seyara1]

Update...its been quite the year! They did the biobsy, then 'lost' me in the system and I got a phone call out of the blue recently to book me in for an urgent repeat biobsy as there were abnormal cells. It got sorted and I went in today for results and it turns out the abnormal cells are TH3 (scale of 1 to 5) but within that there is a '3a' or a '3f', I'm 3f and there is a 15% chance the nodule is already cancerous. So, the right lobe needs to be removed and they'll check it, if there's cancer then the left side comes out and I go for radiation therapy. Fun times ahead!

[@Alibrahimelaf]

Well demonstrated thank you

[@brandyyolidio4213]

Incredibly relaxing, helped me sleep, thanks Doc 😴😴

[@sketchlehem]

Legendary duo!

[@chemicalX1977]

I wonder if there will be a thyroid exam 4?The return of Lucy Brown!

[@Macanese]

My thyroid has left me for a week now. I kinda miss it. Right now I am kinda suffer from Calcium insufficiency after my thyroid surgery.

[@nickmitchell5150]

Also, wishing Abbie every success, wear the bee socks, you'll bee 😎 reet!

[@MedbeeMedic]

Thank youuuu !!!

[@ED-yz6jn]

Littlebitofpaper is back !!!

[@finssonicclash8564]

James “ the voice “ Gill

[@liammcgrath2306]

Dr Gill, as I suffer from hypothyroidism. Would I be able to volunteer to help teach your students

[@The_Immortal_L3X]

1st comment once video was uploaded 🤟

[@DrJamesGill]

👍

[@Dr..90]

Exellent explaint and practice thank you

[@DrJamesGill]

👍👍 Any other areas you’d like us to cover?

[@49ers_red_and_gold2]

Best volunteer and doctor 😂❤

[@arwua]

ASMR is like exploding with this one

[@cdlvl487]

I got diagnosed for my hyperthyroidism by... an aesthetician, noticing bald patches in my eyebrows. So... There's that. :p (well when I say "diagnosed" I mean they encouraged me to get tested, which I did, and the blood test confirmed their suspicion)

[@DrJamesGill]

it’s often surprising where the impetus to get checked comes from. you were clearly very lucky 😊