I can’t imagine what is feels like to have to weigh up your health against the ability to afford it. I genuinely feel for anyone who has to do arithmetic to decide if they can see the doctor. Our system is far from perfect, but I think care at the point of need - it’s such a saving grace for patients and an honour to work in the system (That doesn’t mean I don’t hate the system some days when I REALLY get tired / grumpy though 🤣)
We admire the NHS from afar I assure you... Also, thanks for the Cinqro recommendation a while back, you may not recall- but it’s been wonderful for keeping my cycling in a urban setting where I used to literally taste the fumes from passing trucks.
Brazil has public health care. Right now, I've been waiting 18 months for a rheumatologist appointment and over 2 years for the dermatologist. My mom couldn't afford the wait to the neurologist because her aneurysms would probably wreck her brain, so she paid for private health service. Problem is we pay such high taxes to have a free public health care that we end up with no money to pay for private care, and the public one is either slow or lacking stuff (I got a cornea transplant, but the public system lacks the medicine to follow the procedure, and again, you pay taxes for that). I'd rather we paid less taxes and had that money to pay for services when we need them. Also, people who care for their health pay for treatment for people who just don't care, and they are not called out. We feel we are always "investing" in taxes and getting nothing in return, because if you need fast and good care, you are left with little money to pay for private service after the taxes, that supposedly grant you free care. Not disagreeing with other views, just leaving real experience here.
This is very interesting! My mum lives with AF so it is helpful to understand the condition from clear speakers like yourselves. I look forward to learning more! Thank you.
This awoke a flashbulb memory. When I was in junior high, I was sick with the flu and stayed home alone (my mom worked 1 min away). I had the gas log fireplace on because I was so cold and felt like shit. Next thing I know, it's like 10pm and I wake up freaked out and frantic and very very very groggy and unwell. My mom had turned off the fireplace hours ago, but I was still asleep in that room. Then I got FUCKING SICK and it was determined I may have gotten CO2 poisoning, and they needed to draw my arterial blood. It was the day after Janet Jackson's boob came out at the superbowl. The nurse drawing the blood was just like NOT getting that vein, and I could feel the needle moving in my skin and she's trying to distract me with the super bowl story while I'm starting to get a little panicky. Finally I literally was like "I DONT GIVE A DAMN AVOUT THE SUPERBOWL FIND THE VEIN!!!" So anyways I was sick for awhile AND I got grounded
I study biomedical science so although my clinical modules come more from a pathology view point, your videos really do help me understand things better when I'm writing reports on certain pathologies and medications so please keep these videos up, this one was very interesting and I hope you carry on through the alphabet :)))
@@DrJamesGill The benefits!? You can interact with your Community on a Discord Server way better then in a Premier or Live stream If you want a Server I can make you one, I have experience in creating Discord Servers^^
@@DrJamesGill Just keep doing what you're doing! Although I would love to see you do a video surrounding acquired brain injuries and co-morbidities relating too brain injuries.. (:
“In fact, that stroke could be devastating to the point of causing your death, which is generally a bad thing.” - Dr. Andrew Stein on AFib. I think most of us would agree with the good doctor. 😁
I have lupus and rheumatoid I take hydroxychloroquine but I suffer with chronic pain and fatigue, people talk about flares but I feel crappy all the time 😟
I only have one kidney, it was removed due to hydronephrosis when I was very very young, which I’m sure Dr Andy would love to talk about! Additionally, I’ve been struggling with IBS for years but unbeknownst to most, IBS is just a term used when doctors can’t see any visible issues, as far as I know! Would be interesting if there was a link between the two!
Ah, IBS *used* to be a diagnosis of exclusion without a clear cause. We have much better understanding now about possible issues with stretch receptors, bowel gas, and increased sensitivity Unfortunately treatments are still evolving. I could do an AGE on IBS, but certain We’ll have a chat about it 😊
Informative and funny! I laughed, I learned, I can't wait for more. Understanding a little more about some of these things is helpful from a patient perspective, since we don't usually have the technical knowledge to know what's being looked for or why, or what certain findings mean. Not knowing what's going on can be incredibly scary, so demystifying the basics is a big help. On that note, would you consider doing some sort of series on topics you think it's important for the general public to understand a little better, whether that's particular illnesses/symptoms to be aware of, the nature of/reason for common tests a person might expect to undergo during various routine medical screens throughout their life, or even when and how to advocate for yourself in situations where a doctor might be dismissing your concerns a bit too quickly, or in situations where what you're experiencing doesn't have a quick, easily diagnosable answer and might need to be tackled by several different types of doctors? I'm actually about to go see an endo for the first time after years of tracking various symptoms that didn't initially seem related, but it turns out are all present in the case of one or two less common illnesses, and I'd like to be able to discuss the possibility with the doctor without them thinking I'm self diagnosing or a hypochondriac. Also, I would love to know your thoughts on patients--particularly those with less common conditions--having to become lay experts on their own healthy, and sometimes having to educate their own doctors about what's wrong with them, the latest treatments for their conditions, etc.
Great Idea James. Clearly this guest is well learned and experienced. I am not in the field, but have had some training. I love to learn everyday. Keep up the great videos my friend. Love and respect from Niagara 🇨🇦
@@DrJamesGill very informative even for people like me, who have no education in the area. If people had more knowledge, they could spot problems themselves and look for help early.
YOU'RE A SAINT ( actually two saints here ) and coming from me , that's a major compliment , as I usually hate doctors , as most I've encountered have been greedy , blood-sucking monsters ! and then I found you on RU-vid ! IT'S A MIRACLE ! please move to New York ! if it's possible , can you speak about ( usual ) low body temperature , 94 , 95 , 96 , 97 etc. ! ?
American here. Had to start by googling NHS lol. I'm a dyslexic sponge for videos like these. If med school was all on RU-vid in 2002 I might have studied medicine. 33:00 I thought Dr House's favorite diagnosis was sarcoidosis for everyone lol. I loved that series.
Auto immune disease Dr gill - sounds good to me. Me- erm, sounds abit shit tbh. Im taking things out of contexts to fit my immature sense of humour. Which is rather disrespectful towards a man that’s helped me sleep for 4 years now. Dr gill, forgive me?
@@DrJamesGill Gotta go back in a few months to see the neurologist, but I don’t think it’s anything overly concerning! A little raised pressure around the brain, a thickened blind spot in the left eye- the latter they’re unsure if it’s new development or a birth defect (of sorts) as it came as a finding from my very first “proper” eye exam the other week. My village opticians are pretty... barebones, when it comes to tech and equipment; I switched to contact lenses thus opted to move to my local Specsavers- many different persuading factors- but now I’m very glad I did. I reckon it’s just a thing they’re going to keep tabs on overtime! Fingers crossed it’s just migraines.
I did, very much, enjoy this educational lesson. With the way it is set up you are able to cover a small group of topics that can/tend to interrelate to each other. For myself I can easily make more connections, which makes the comprehension of the material easier and allows for more memory retention. Can't wait to learn more, Thank You.
I have lupus so it’s nice to hear it mentioned -less nice to hear the House punchline repeated! Especially because misdiagnosis in lupus is usually when lupus is *missed*. I went seven years until diagnosis and that is quite average for SLE patients often including a lot of outright dismissal from all sorts of medics. Also if you do go to say the quote I assure you a lupus patient has heard it before lol
Could you please do a video on how to get work experience in a hospital. I am a biomedical science student and would to apply for medicine next year. However, it almost feel impossible to get work experience in a hospital.
@@DrJamesGill that’s nothing compared to what I have I was born with a hole in my heart and transposition of the great arteries tetralogy of fallot I’ve had 5 open heart surgery’s 4 lots of endocarditis blood clot on lung I’ve got tacacardia and aortic stenosis and I’m going in for surgery soon all that and I’m only 42 😂what doesn’t kill u makes u stronger keep up the good work doctor gill 👍
Love the videos. Wish we could see some patients with actual maladies during testing. I would imagine that getting willing patients might be more difficult to acquire.
This was very informative! If anything, maybe regulate and normalize the volume of the audio a bit more. Hope when you get to M, you can cover multiple sclerosis
I'm very hard to prescribe antibiotics for. I'm allergic to penicillin and hideously ill (vomit) with lots of others. Took one pill once and was sick for 12 hours! 🤦♀️
Sorry to hear that. DEFINITELY have him have a chat with his GP. It might be connected to the Ramipril - it might not - but definitely worth discussing
@@DrJamesGill Give knowledge about COVID-19 outbreak sir. Go to aktüel psikoloji Website. I can't give you link or attachment but write to google: aktuelpsikoloji.com/koronavirus-kalici-izler-birakabilir-mi-21175h.htm
Add 2: sozcu.com.tr/2020/dunya/corona-virusu-supermarketler-ne-kadar-guvenli-5707213 I give 2 sources for you sir. One of is a normal blog site but this is turkeys most popular newspaper.
My autoimmune disease was spotted by a locum who asked in passing ‘are your knuckles always that colour?’ I’d been going to my doctor complaining of fatigue for years so when my rheumatoid factor came back at over 800 it all sort of made sense. Now I’m on old fashioned methotrexate I can go about my life fairly normally. A very interesting video - thank you!
This is one of the things I like about being a locum - a fresh viewpoint. I don’t often get to see the larger pattern that a persons regular doctor does, but that is where both ha w benefits. 😊 I’m glad you’re had the diagnosis confirmed
Just a quick bit of feedback, and I hope I don't sound too rude in saying this, but I would cut back on all the talk about your plans for this video series and over explaining the concept. I think its pretty self explanatory and when people watch these videos in 5/10/15 years all the talk about asking for feedback will be redundant. People WILL give you feedback on their own lol Fantastic video though and I look forward to watching the rest. Good work mate.
Thanks. Very fair. I felt that was warranted in this one, as I genuinely don’t know if we’ll do further. When it’s just me, it’s easier to do things, but lining up with another doctors diary - especially one at the level of Andy Stein - can be tricky