Ophthalmoscopy - Eye Clinical Examination - OSCE - Dr Gill

Ophthalmoscopy - Eye Clinical Examination - OSCE - Dr Gill
Direct Ophthalmoscopy use of the eyes is a very challenging clinical skill, incorporating both the examiner's knowledge of the retina, but also understanding the use of the ophthalmoscope
In this clinical skills tutorial, we look at the use of the direct ophthalmoscope as part of an ophthalmic examination
it should be noted that in the ideal circumstances, the room lights will be dimmed during the examination, and dilating eye drops used to improve the visualisation of the fundus
Some people may notice an ASMR effect from this clinical examination
#DrGill #Ophthalmoscopy #ClinicalSkills #EyeExam
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 - Pre-examination Consent and Procedure Overview
00:45 - Patient Identification and Vision Check
01:01 - Ophthalmoscopy on the Left Eye
02:33 - Transition to the Right Eye
03:38 - Conclusion and Health Assurance

[@alextanner3865]

At this point I almost feel qualified to stand up if anyone asks if there's a doctor on the plane

[@kiely4561]

Just make sure you don’t have any sandwich breath before proceeding

[@BadlyDubbed]

@@kiely4561 that would certainly make him red in the face

[@Deflepps]

Fight, fight, fight

[@shamanazakura]

@@Deflepps It was his face!

[@vicklemiss]

Thank you for writing such a relatable comment 😆 I’m not sure I feel quite ready for a plane emergency, but if anyone needs a cranial nerve exam - I. WILL . BE . THERE

[@willwalk2000]

Not sure if the ASMR community has found this, but this doctors, gentle, hush, tones during an actual exam is ASMR gold!

[@ASMR1]

we have been a fan of mr gill for some time

[@willwalk2000]

@@ASMR1 That’s awesome! Please let us (me!!) know if you find anything thing else as good! Good luck!

[@astridwarrior9558]

Theres one other doctor I know of who does these sort of things but with intention of making asmr, cant recall his name atm. But yes, as part of the asmr community, I just discovered this man ❤

[@AbeLuvsTheatres]

@@willwalk2000SRP sounds right up your alley. He’s an optometrist who does intentional ASMR, but also speaks in a way that makes it sound unintentional so it’s that perfect mixture of the two.

[@WannieStouters]

Okay, I know we all love Dr. Gill. But can we all appreciate Abby for a moment, how great she is in every single video

[@vicklemiss]

I feel like we should all sign a birthday card for her next week …

[@mohammed_the_train_spotter]

@@vicklemiss I want to, but shipping fees expensive af. (I live in North Africa)

[@DrJamesGill]

Drop me a message on her Twitter. It will make her day 😊

[@jhandle900]

@@DrJamesGill I love this community lol. I don't have Twitter but Happy Birthday Abby! I wish you good health 😊🎉

[@igormac88]

And also a medical miracle to survive all her clinical conditions addressed in the videos LOL

[@ellenmellon9701]

As an autistic person I really appreciate the fact that you explain in detail what the examination will be like before carrying it out. I know I would feel much more at ease during medical appointments if more doctors did this

[@DrJamesGill]

This is how you do informed consent 😊 it’s the way we teach it, so it’s the way we should do it

[@arieldacruz2044]

Same here! :)

[@lylavati]

I ask every doctor, if they could explain or tell, what they are going to do. Most of them did.

[@Triattt]

@@lylavati Setting aside that it should do it by default, what the hell was wrong with the ones that didn't when you explicitly asked them to explain?

[@lylavati]

@@Triattt I couldn't figure that out, because I left. 😄 Maybe they are tired of listening to problems 🤷🏼‍♀️ or annoyed by Doctor Internet (what is understandable in some point) or just hate to explain.

[@gunnerstar99]

This video was also a reminder to get Abby a present 🎁 for the 7th of December 🎂

[@Jctheap]

Happy 27th birthday to Abby

[@pocketcucco9979]

I'm not sure why but I've always loved eye exams - I'm always so fascinated by anything outside of my own research field (English Literature) so I'm that one annoying patient that will ask you a million questions about how it works, what you're looking for, etc. These videos definitely help to satiate that curiosity and, hopefully, make me a better patient! Thank you Dr Gill :)

[@DrJamesGill]

Trust me. It’s never annoying having a patient engaged with their health

[@HFStuart]

@@DrJamesGill I fear there are some GPs that don't share your point of view. I knew one who's take on it was 'What's it got to do with you'?

[@DrJamesGill]

I think there is a difference between the patient being engaged with their health, and turning a discussion of two experts - the patient in how their body feels and the doctor in their area of medicine, into a two person discussion with commentary from Dr Google on the side. Dr G is a problem

[@HFStuart]

@@DrJamesGill I can see how that could be frustrating, especially if you then have to find a diplomatic way to say they're wrong and should have consulted an expert a month ago.

[@RafaelW8]

I've watched this like 50 times. Gives me incredible ASMR tingles.

[@clownbaby8347]

@@skittypuffy your comment history is incredibly cringe. maybe YOU should be the one touching grass. grow up

[@westcogdill6919]

@@clownbaby8347 why d so mean

[@westcogdill6919]

It does

[@mindzombie1176]

@@clownbaby8347 Sorry but how do you check comment history? Never realised you could do it on KZbin and would love to find out, thank you!

[@lindar5413]

Ditto

[@mrd989]

I have zero experience in the medical field, but I’ve actually learnt a fair amount just from watching Dr. Gill for the last handful of years. It’s all so fascinating. Not to mention, these two make such a great pair.

[@DrJamesGill]

That truly is a wonderful thing to hear. Thank you!

[@mrd989]

@@DrJamesGill you’re welcome, thank you!

[@OpenGateSchool]

I know we all have our different triggers, but this extreme proximity combined with soft speaking is wildly intense. You could do hours if this and I wouldn’t tire of it.

[@amuthealmighty]

I wish local doctors were that gentle and polite.

[@DrJamesGill]

Honestly we try to be gentle and calm but sometimes events with another patient can be difficult to clear in the few moments between patients

[@hugheszie]

I wish I could… just get hold of mine?! They’ve vanished.

[@DrJamesGill]

We’re all still working. Just there isn’t enough capacity. I was talking to someone today, that technically a GP surgery has to see ALL patients who request an appointment The problem is there are not enough doctors to meet that need. I don’t know about you, but lasts time I was seen (I needed an MRI as part of a possible cancer work up - it was negative) I don’t want the doctor who is doing that work up to have seen 60 people that morning, and is utterly shattered for the afternoon

[@elliottmellor4459]

When you've watched so many videos that you know Abby's birthday before she even answers it.

[@DrJamesGill]

🤣

[@chrisstevens3567]

😭😭😭😭😭😭😭

[@AndresMorenov]

The iconic duo is back

[@stephanies.9786]

I haven't felt the scalp tingles in a long time but this did it! ASMR effect indeed.

[@xTOXIC_HARIBOx]

@@samconstantinou2335 you've made my day

[@michaelcunis8329]

As an American I appreciate the Dr’s vocabulary such as “brilliant” and “grand” and “are you happy to proceed”

[@raptus9115]

Is it strange I was thoroughly excited when I saw this was a new eye exam?

[@aneris5999]

I don’t know why i’ve always loved the closeness of an eye exam

[@KasusEpykMusykII]

*Dr. Gill, the Bob Ross of medical examinations.* *_There... superb, lovely..._*

[@kianhunt1740]

The girlboss, the queen, the owner of the word “yep!” Abby tutt is back guys

[@ashnam4547]

The great duo is back ! Though I started watching these videos for the asmr purposes but now I am actually learning quite a bit from all these ! Happy Birthday in advance Abby 🥳

[@marvinfatale]

This is my absolute favourite video! It could be much longer. Just love the soft spoken voice very close to the patient! It feels so real and sometimes i get goosebumps! Thank you Dr. James Gill! Greetings from Germany

[@starfishgurl1984]

In watching all of the eye exam videos you remind me so much of my life long eye doctor who retired a few years ago because he had a very similar voice and it’s so calming/nostalgic to me that it always leaves me with a happy feeling after the video ends! Hopefully the new eye doctor I’m trying to set up an appointment with will have the same caring effect on me, I’m badly in need of a new prescription, lol…

[@Fielder5]

Wow. Having been to the eye doc for annual exam just this past week, this feels like a trip back the 1970s technology-wise.

[@PaulCanningMusicPage]

Weirdest Speed Date ever.

[@annehabeck223]

😂😂😂

[@brightfox4647]

The most polite doctor ever + ASMR artist

[@dzero0145]

This should have been posted this video December 7th so everyone can say happy birthday to abby

[@echaliterim]

Don't forget: it's Abby's birthday next month!

[@sanaebs]

7 December is coming happy birthday to her

[@KarmaticExperience]

This guy is so calm and his videos talking about things helps me learn. I love it.

[@melindataylor2124]

I was diagnosed with Papilledema related intercranial hypertension. It wasn’t until getting my eye exam after almost a complete month of being ignored by general practitioners about my symptoms did I get told to see my Optometrist and I am so thankful for her every day because she kept me from losing my vision completely!

[@DrJamesGill]

Hence why ALL patients which blurred vision need to be seen. Plus I always advise patients with blurred vision to see the ophthalmologist. Many don’t like being told that, as it’s an extra step for them, but the retinal photography is much better, and thus safer, than just using the ophthalmoscope

[@DrJamesGill]

I’ll be doing another video on hypertension related changes, as they are a little different

[@malakmuayad2056]

I love the smiley face on your wrist, doc ☺️. Thank you both for yet another soothing informative video

[@henryesp9284]

Sandwich breath anyone?

[@MarkGarza94]

Hey James, just want to say the sound of your voice helps me go to sleep. The best thing to watch to help you fall asleep.

[@Ful-OGold]

I’m glad dr Gill is making videos. He is probably there definition of unintentional asmr

[@SoberIrishman]

The HD quality of these is fantastic. Thanks Dr. G and Abbey. 😎👍

[@mach5jeep]

I'm not a doctor but the one thing I've learned from Dr. Gill is that my current doctor isn't much of doctor either.

[@DrJamesGill]

These demos are very much driving standard in terms of “mirror, signal, manoeuvre” so in the real world things can be a bit faste r

[@kevincolombo7845]

Thanks God my favorite doctor is back!

[@MilanousMedia]

I'm not a young lad anymore but watching these videos makes me want to study to become a doctor

[@DrJamesGill]

Warwick takes people of all age ranges. I think the oldest student we had was ~50

[@mariaalicedesouza3546]

I sadly had to quit med school due to monetary issues, but when I was there I had classmates above the age of 50! According to my professors, it is not uncommon to see people becoming MDs after their 60’s, they have a good decade of practice and fulfill the dream they couldn’t during younger ages. Go for it!!!

[@fluff6811]

Abby is an immortal being with the ability to transfer from one timeline to the next in the search for the key to becoming the ultimate life form, in hopes of doing so, most of her experiments into the timeline bring her back to Dr Gill, as examination demonstrations may very well be the key to unlocking her hidden potential and ascending into omnipotence. This concludes this chapter of the lore.

[@DrJamesGill]

🤣🤣🤣 sounds like a deleted medical episode from quantum leap!

[@loadventureslife5090]

Nailed it. Lol

[@CallMeJ.]

I'm not sure how the auto-focus works on your camera, but when it's angled so that you're the one facing the camera you should try to switch the setting to "eye-tracking." It'll help to keep you in focus as you move around the frame. Love the videos, and I love that you care enough to put in quality and effort with them!

[@DrJamesGill]

I’m not sure mine has eye tracking. I’ll take a look

[@jamiemorris3995]

Another very detailed video I hope your all keeping safe happy well and covid free

[@exos1bnetworth409]

I just stumbled across your video and I have to say this was really good! I listen to a lot of asmr but it's hard to find real medical professionals who have channels that do these examinations that have asmr feel to it, you're voice is very soothing as well so I subscribed and will watch more of your videos and stick around :)

[@DrJamesGill]

Welcome regardless. I hope you find the videos useful, and maybe get a benefit for your heath too 😊

[@a.m.9474]

Same

[@emmythebun]

This is my favorite part of an eye exam.

[@johantenhove7770]

* sudden realization * Hey! Her birthday is coming up. Where do we party? :D

[@chuckoneill2023]

So, who else looked up, down, right etc. following Dr. Gill's instructions to Abby?

[@user-jl6cg5vc9n]

Откуда взялся такой толковый доктор . Я в шоке . Смотрю ваши видео и просто не знаю как быть если не получится попасть к вам на приём . Очень толково и понятно . Спасибо вам за видео.

[@shacxly]

The day has come! Happy birthday Abbie!! 🥳🎈

[@erikarodriguez588]

I really love your work doc, but I'm here for your sweet voice that makes me relax and enjoy ASMR haha🤭! You are amazing, great job! 💜

[@anthonygoldsby87]

Great voice, asmr...

[@demainzer]

You have such a soothing voice!!

[@os-qt1hc]

this is my go to video when i can't fall asleep. helps me every time. thanks

[@kayleighmcdonald1449]

Where you have taken your watch off looks like there is a smiley, happy face. I enjoy that and always enjoy the videos. Thank you

[@mischalecterTV]

I would feel so lucky if Dr. Gill was my doctor. He loves his career.

[@ronaldxd1250]

0:14 0:44 0:59 1:10 2:34 3:41 4:00 the cutest thing I've seen in a while

[@darrentomlinson4191]

Great vid James and Abbie , good job and thank you very much. Have a lovely day 😊

[@DrJamesGill]

👍

[@ZennonTheOne]

Dr. Gill should start a 2nd channel where he explains a lot of this medical stuff WITH his quiet voice. It's so mesmerizing.

[@robkennedy3000]

The day we've been waiting for. Happy Birthday Abby!

[@onplay1471]

Why do I like so much this kind of videos?

[@jayjayb89]

3:42 After all that it would of been funny if Dr Gill said "Everything looks normal, you have 2 eyes" 😂

[@avoccado9753]

He’s the best doctor ever

[@TheMeyersHouse]

“Are you happy to proceed with that?” “No..” End Of Video 😆

[@edema.3418]

Doc’s voice is so soothing.

[@kathycasso993]

Do more videos like this this is amazing

[@seang2012]

"look deep into my eyes" - fantasy version of Dr. Gill

[@jacktailorpatirzon6306]

Ya extraño videos como este,exelente asmr

[@mangotangochick]

Dr Gill your channel is an OSCE goldmine! Thank you so much for doing these videos. I have one of my 4th year OSCEs next week and these are great since we have gotten a lot less face-to-face teaching and practice opportunities due to coronavirus disruptions. I love that these are also relaxing so I can watch them after a day's revision to review things.

[@DrJamesGill]

I’m glad that they have helped Please drop back and tell us how things went 😊 Are there any other topics which would help if we covered. I’ve got a list of future ones myself, but always good to get suggestions 😊

[@shanveniot8162]

the classic ASMR scenario, done by the pro.

[@gizzems-2903]

Not long till Abby’s birthday Gil, hope you’re getting her a prezzie for all the videos she’s helped with. At this point I feel like I should as well.

[@Dubstep4Jason]

Best of luck for the upcoming Exam abbie! I'm sure you will rock it perfectly, so that you can celebrate your Birthday in a few days.

[@pag1413]

The coolest Doc on screen! cheers Doc Gill!

[@DrJamesGill]

I think Dr Strange probably has that mantle

[@jacktailorpatirzon6306]

Exelente ASMR,me encanta,1000000 te doy todo esto te lo mereces 🤩

[@lukesexton8194]

Name a more iconic duo.. I’ll wait.

[@liammcgrath4207]

Woo, Abby’s back

[@lamecasuelas2]

Woah! Dr. Hollie, It looks like you have some competition

[@ewanmacdonald7201]

Gutted he didn’t ask her to excuse his ‘sandwich breath’ before he started 🤣

[@calebsiebenaler7087]

"Do you have any problems with your vision?" Me: i see dead people...

[@DrJamesGill]

🤣🤣

[@LeKnightStudios13419]

Ayyyyyye Dr Gill and Abby Tutt back again with another video!

[@AlbithJoelColon]

Another great video. Thanks for the caption’s

[@DrJamesGill]

👍

[@pitongus]

Abby is very responsible with her health. She checks herself in every way possible.

[@blurryox1802]

hey doc! i love your job! helps me to sleep, idk why but it makes me so tingly lol. kisses from Brazil! 🇧🇷

[@shanghigh4008]

Dr Gill you've age so much since the last time I watch one of your videos.....oh you are a good ASMRtist whether intentionally or not....

[@DrJamesGill]

🤣🤣 thanks 🤣🤣 covid has been a bit stressful for everyone I think that has been the trigger

[@brandonford5993]

Happy Birthday Abby, love this lady

[@tzeshiongtay3967]

After watching the clips recorded I feel more confident to go for it again

[@ladiesman1ate7]

Abby’s got birthday coming up. Happy birthday from across the pond!!

[@bobopatchnosuke229]

Don't stop these videos, very informative

[@DrJamesGill]

We don’t plan to. they do take a lot of time to put together, but I think it’s worth it for the students

[@waldfink_]

„Some people may notice an ASMR effect from this clinical examination“ Oh yeah!

[@Kornet2416]

great video 🎉

[@kittybala7951]

Useful information

[@mcd736]

Hey Dr G. Thanks for all your content. Hugely informative and really well presented. Is there any chance you'd do a full body check up on someone?

[@DrJamesGill]

There isn’t really a “full body check” We start in the first week of term by teaching the “general examination” but that really is a crutch to get the students to understand how to start examining the body. My response to why I don’t like it is I’ve never had a patient come to me an say “doctor, my generally feels a bit sore, could you examine it” Yes that is hyperbole, but we should be able to narrow down what we need to be looking for from the history. Keeping in mind, 70-80% of our differentials should come from the history, and realistically the examination should be used to try and refute those differentials 😊

[@mcd736]

@@DrJamesGill thanks very much for your detailed response. Upon reflection 'full body check' sounds like airport security language! What I was more angling towards was something along the lines of the examinations where almost all aspects of your makeup are checked but I suppose if one was to amalgamate all the videos you have done into one, all those fields would be covered! Again, thanks for taking the time to reply and for your informative videos 👍

[@brandonmoucatel9630]

Abbey and gill

[@MedicalBroadcast]

Very well performed.

[@johantenhove7770]

Happy Birthday, Abby. Wishing you many more years in good health

[@johantenhove7770]

.... or have yourself checked occassionally by the doctor :P

[@kristeandreatujague7016]

Aaaaah. Time to relax. 💕

[@LeauxNBehold]

Nice watch tan, doctor. This was very interesting and wonderful to listen to, as usual.

[@DrJamesGill]

I think it’s part of having the sports watch. It needs to be tight enough to block lighting to the heart rate sensor

[@FaLaN69]

I knew this would have some asmr vibes.

[@ivantorres6146]

Dr, shes your all the time model. Quite nice. Regards!

[@pauloeduardorosa9171]

Best unintentional asmr video

[@QuiaNeHia]

This is so soothing

[@rfmzn3303]

I'm waiting for my sandwich breath

[@shamanazakura]

Fight, fight, fight, fight

[@Gbari7]

@@shamanazakura How can you fight without a suit for war?

[@ML-jk4dg]

We need red on the face for that

[@AquilaTheHun]

I was scrolling down all the way here to find the first sandwich breath comment :)

[@MH-oi8ic]

Looks like he has a smiley face on his wrist 🙂

[@Compound7]

Had to come back to this absolute banger after Abbie’s graduation video