Understanding Blood Pressure - A-Z of the NHS - Dr Gill

[@antm2296]

Dr Gill, I’m not a medical student but I have watched your videos for such a long time and I want to thank you for your recent uploads including the story narrations. They’ve honestly helped me relax and sleep. Spent many nights awake worrying about an illness my mum is battling but your uploads have helped me at least sleep. Have a wonderful Christmas and thank you!

[@DrJamesGill]

I’m sorry to hear about your mum? Hopefully she is improving?

[@antm2296]

@@DrJamesGill cheers for your reply , it’s been a long year to say the least for her. She’s continuing treatment and we are hoping for the best. But no definitive answers yet. You guys in the NHS have been totally fantastic and knowing your videos are helping new entrants into the NHS who will eventually be treating us all at some point is brill and that’s why I watch your uploads with pleasure.

[@DrJamesGill]

👍 thank you for that positivity. I’m sure that it is a great asset in your family! Take care and Merry Christmas

[@sheryleez]

Very informative but too much bias towards men being checked and can you get the other doctor a better chair as he doesn't appear comfortable and it's off-putting to watch

[@vsboy2577]

Nothing is more complex and fascinating than the human body.

[@Ben-rq5re]

Black holes: am I a joke to you

[@vsboy2577]

@@Ben-rq5re I meant on Earth .

[@DrJamesGill]

No idea why, for some reason the premier didn’t work

[@DrJamesGill]

Ok. I’ll engage - briefly. But if you want a reasoned, rational discussed, there may be better approaches than opening with suggesting I’m a liar

[@CommanderBalok]

I can corroborate this. Developed high blood pressure in middle 50s. Was substantially overweight and out of shape. I cut the calories, added exercise, and dropped about 140 - I am now the correct (per WHO) weight for my height, and my blood pressure came down, allowing my internist to end my prescription pills. So far, so good. For a long time, my overweight condition caused me no problems. But it started to as I aged. Don't make my mistake and wait as long as I did. Get outside, exercise, and ask your doctor how many calories you really need, in order to lose. I won't lie - some days, it wasn't easy. But it is possible. You can do it.

[@DrJamesGill]

That is a tremendous thing to hear! I’m so glad!! Is there ONE change you found particularly helpful?

[@CommanderBalok]

@@DrJamesGill Probably the single biggest lesson was, "you can't out-exercise a bad diet". I didn't start to really lose weight until I cut back on junk food and total calories and added healthier choices. I still enjoy treats, just not as many and not as often.

[@DrJamesGill]

That is so true. We also can get away with things when younger than set ourselves up for bad habits. I’m trying to improve my diet currently

[@Dausuul]

@@CommanderBalok I'll second that. I used to be 270 pounds (120 kilos), and cutting out sugar and controlling calories was what let me get down below 200. Exercise has a lot of benefits, but managing what you eat is more effective for weight loss (at least in my experience).

[@570nicnacboi]

Hey Dr. Gill! I noticed this series would lend itself well to a podcast medium. Have you thought about uploading these videos to podcast services like Apple podcast or spotify? It would be wonderful to listen to these on the bus or in the car!

[@DrJamesGill]

Yes, very actively planning to do that, but looking to get the format right first 😊 I think we’re getting there, but feedback always welcome

[@DrJamesGill]

and we've made it happen! It will take a while to transfer over the audio that would be appropriate but the #PutABitOfPaper podcast is now a thing!! feed.podbean.com/drjamesgill/feed.xml

[@starfishgurl1984]

High blood pressure runs in my family but thankfully I haven’t been effected by it yet, at least according to my records as a blood donor. I keep track of it every time they take mine before donating and with the exception of one time it’s always been perfectly healthy which I attribute to my active lifestyle as a cyclist and mostly healthy diet as a donor. I’m determined to do what I can to avoid it as long as possible!

[@DrJamesGill]

It’s all about self monitoring, I think that is a huge area of potentially growth over the coming years

[@aura6095]

Thank you again for continuing and again this has been very informative, I'm not a student but I still appreciate the learning.

[@DrJamesGill]

Your welcome. If it’s interesting and people are learning it’s all worth it! 😊

[@tonyn9858]

BOY, you guys cheer me up. i was only looking for heartbeat with green grass/ no wonder i can't get to see the doctor. you're so busy on the telly tone Leics UK

[@DrJamesGill]

Wow, Greengrass is a character I haven’t thought about in a LONG time!

[@ryanlewis5845]

I’ll be a Dr by this time next year.

[@Thecrystalchakra]

My mum had blood pressure of 280/190 in her early 40s now 20 years later is on kidney dialysis. I now have high blood pressure in my early 40s, it sometimes goes up to 200 usually about 180/100 and I'm worried about kidney failure

[@DrJamesGill]

PLEASE ensure your doctor is aware of this. It needs to be addressed if it is not already being managed 😊

[@NickzAndMikz]

Yeah you should see a physician

[@Beverley617]

very useful information there thankyou doctors!

[@DrJamesGill]

👍

[@quantumwealth8262]

Dr Gill, through my research on FY1/FY2 roles, I've been told bloods, cannulation, and catherisation are often performed procedures for junior doctors, and quite often in the A&E. I do lack competence and confidence in these areas due to lack of practice in med school due to covid this year, our practical studies have moved online. I'd highly appreciate it if you could make a detailed video on the important practical procedures for to be fy1 fy2 foctors

[@DrJamesGill]

Hmm. We could certainly look at trying something. I’ll contact the hospital clinical skills lab and see when they are open 😊

[@rodneyboulton6410]

Congratulations. You're now my fourth most watched channel on KZbin

[@DrJamesGill]

👍 thanks Rodney. Any feedback on how we could improve?

[@rodneyboulton6410]

@@DrJamesGill Not really. You pretty much cover everything in the medical side of things. Always very interesting to watch

[@DrJamesGill]

😊

[@vicklemiss]

I’ve always had really low blood pressure, lower than the usual boundaries. But I’ve never found much information about this, I’m generally healthy and have no health conditions, I just get light headed easily. I’ve always wondered if it’s anything to worry about?

[@DrJamesGill]

It might be worth while to get checked - there is something called POTS where healthy people can have lower BP, and we’re learning more about it

[@vicklemiss]

@@DrJamesGill will do - thanks for replying DrG !

[@DrJamesGill]

👍

[@andrewstein5593]

Sorry re late reply. Low blood pressure (90-110/50-60) is often normal in slim younger people (esp females), and not a disease. When we all stand up, both numbers fall by 10ish, which can make people light-headed. Again not a disease. Just get up slower. Andy

[@vicklemiss]

@@andrewstein5593 Hi Andrew thank you so much for this reply. I guess I do fall within that category so I'm guessing it's just the way I'm made! I actually quite enjoy the light-headedness anyway.... :-)

[@logiberra5317]

These are great videos.

[@DrJamesGill]

Thanks! Any comments on where we could improve?

[@chrisd530]

Over the past year I have lost 45 pounds from diet and exercise, my high blood pressure has dropped to the point where my doctor removed one medication and cut the other to a low maintenance dose. All it took was just getting off my ass and taking control of my health.

[@PooLadyx]

This video couldn't have popped up at a better time. I'm currently 39 weeks pregnant and my blood pressure has been reading high. Heading for an induction on Monday so fingers crossed I get back to normal. Didn't realise the severity of high BP.. oops😳

[@dailydoseofmedicinee]

Good summary👍

[@EppingForest304]

Excellent info 👍

[@DrJamesGill]

👍

[@MisterTipp]

Are heart palpitations a result of blood pressure or is it usually psychological, like stress

[@DrJamesGill]

Possibly There can be lots of causes and really should be investigated

[@caryljoyerolan]

This is really helpful Dr. Gill. I have spikes in my blood pressure, sometimes reaching 160/100. My GP says it is not alarming. But it causes me to be exhausted and lightheaded. Should I be worried?

[@DrJamesGill]

That can depend on various factors. If you are concerned it would be worth while discussing further with your GP

[@lillyxoxo4303]

Hey is a blood pressure 114/56 normal when you are laying down ? I feel light headed and when I go to my dokter she takes my blood pressure but it's always normal But I feel ligt headed when I lie down and sometimes in the day too I just checked my bloodpresure and I don't know..

[@talpizanti9003]

❤❤❤

[@stefanop2951]

Please keep it going with medical sessions on real ppl 😊😊😊

[@RuvicGamers]

Hello James, I have 114/54 of blood pressure with a heart rate of 54... is this Hypotension? Thank you James.

[@joreyn7656]

My blood pressure has always been kind of low, typically 90something over 60something. I used to worry about it, but it's just always been that way and my doctor has never seemed terribly troubled by it. One doctor told me once to add some salty snacks to my diet to try and raise it just a bit. Is that a typical solution?

[@DrJamesGill]

90/60 is basically the bottom end of normal / the very bottom end. We appreciate that people sometimes are normal, yet fall out of the values we expect. If it isn’t causing you issues, and your doctor has given an all clear, I wouldn’t be too concerned Yes, people are often advised to increase salt intake, as that may increase BP. But I don’t actually know the strength of that evidence base

[@alansmith2925]

I was admitted to hospital with a blood pressure of 300/110.

[@brytanniparrett]

Hi Dr Him. I havebeen listening to you before you made your own youtube. I know you're a nan of science and I know this channel is menat to relax people but can you discuss Tiffany Dover and the vaccine in general. I heard that this is the first vaccine using mRNA and that it changes your DNA forever. Please talk about the vaccine.

[@DrJamesGill]

Ok. We are going to be discussing vaccines. BUT let’s just get one thing straight - DNA is used to make mRNA which then is used to make proteins. This vaccine doesn’t change your DNA forever The analogy is a chef (DNA) writes a recipe (mRNA) and makes a meal (The protein) So IF the vaccine changes your DNA - which it doesn’t, then that would be akin to me drawing a beard on Jamie Oliver in my cook book, and him waking up to find that same beard had grown on his face over night. Obviously this is a gross over simplification of the science but this isn’t editing the human genome.

[@medecinturc]

Sir, Imagine. If he or she be ill( not UK citizen) what should he or she do? Are they go nhs hospitals?( Emergency) Or they must go GP or pharmacists? I apologise for my bad english.

[@SimonLant]

Call 999 (free) or go to A&E emergency room (free), likely 999 will dispatch ambulance (free) to take you to A&E (still free). One the initial emergency is addressed if longer care as an in-patient is needed they would say in the hospital (free) under care until discharged. If needed to be seen for follow up appointments with Specialist or Consultant (free) then this would be treated as out-patient (still free) but some times a long wait time (weeks/months) is experienced depending on severity/backlog. Also might be referred to GP community doctor for those out-patient services (still free) :) in the case you went to GP first they would assess and then follow the above. Hope this helps for understanding the UK system?

[@medecinturc]

@@SimonLant thanks a lot. You are very helpful

[@DrJamesGill]

Great overview. As a small clarification, whilst the NHS is free at point of need, there may be a charge depending if a patient is not British / EU national. I'll be honest, as a doctor in A&E it is never something I have looked at, however if someone is admitted to hospital as an example, and is not eligible for free NHS care, then the cost is billed to that person subsequently. However I'm really not familiar with how charges are imposed, and on who, as it is not something I come across.

[@SimonLant]

@@DrJamesGill Thats a really interesting consideration. I assume for (current EU country members) the EHIC scheme covers that aspect. For those in the rest of the world, then it would be down to travel insurance coverage? The next spin would be for those on working visa status, do they get classed as 'nationalised' for the aspects of healthcare? This is really into the woods though... Maybe if you are short for something to cover in the 'Z episode' if shy on content? 😂

[@DrJamesGill]

Hahaha. That might be a very good idea! I *think* if you are on visa, you are covered, as you do have to pay for the visa Similarly I think visa workers (some, all, not sure) have to pay and NHS levy as well when they get the visa

[@jayne5971]

Suffered with blood pressure from age 16. The bugger still won't go down. 🙄

[@solemnsilence3650]

My blood pressure is at 185/115 😢

[@set3777]

The NORMAL blood pressure of the giraffe is 280/180 but the NORMAL blood pressure of the mouse is 120/80. If you want less blood to reach the higher up giraffe's brain, you can reduce it's blood pressure to 120/80 with medicine. AHA BP guidelines is stupid.

[@jonnyboy31A]

Please please please do another cranial nerve examination and say phrases like the Cranial nerve test with Pat Lafontaine Dr. James Kelly: Example..... I apologize for my sandwich breath (eyes) If done correctly The doctor and the patient are supposed to get red in the face but I suspect only I got red in the face. (Visual fields) any double vision?? x 5 times Whisper - Chevrolet zebra and honesty (ears)

[@jillianhelding]

I hope the BMI video will be a rigorous look at all the literature and studies that have debunked it as a meaningful indicator of health.

[@DrJamesGill]

It’s has it’s value as a broad brush tool. But i do raise the issue it is a flawed metric in some cases

[@MrAllen-fv9cj]

@@DrJamesGill I had a doctor tell me I had the heart of an athlete, and told me to keep doing what I was doing a few years back, but the BMI on the sheet was still in the "cautionary" zone. I wish they could re-examine the BMI.

[@DrJamesGill]

A good example is Schwarzenegger- when doing Mr Universe was technically obese, yet had a body fat