Asthma Review: Annual Review Of Asthma Control With RCP Three Questions

Asthma Review: Annual Review Of Asthma Control With RCP Three Questions - Dr Gill

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Asthma Review - Annual Review of Asthma Control with RCP three questions - Dr Gill
Poorly managed asthma is a regrettable cause of death. Something that should easily be preventable with regular, annual asthma review, checking a patients inhaler technique, their peak expiratory flow rate, and the effect of asthma on their day to day activities using the RCP Three Questions
Ensuring Adequate asthma control is hugely important, not merely for mortality, but also to improve a patients quality of life. If poor asthma control is affecting sleep, exercise, and causing a strain to the patient, there are things that should be addressed in the annual review.
Similarly, a personal asthma management plan should be agreed upon, allowing the patient to be able to adjust their care and improve their home management
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#DrGill #Asthma #Inhalertechnique
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Some people may experience ASMR sensations from these medical assessments
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...

Пікірлер: 168

@rickyturner223 2 жыл бұрын

Abbey is an absolute inspiration, according to these videos she has every ailment known to medical science but she's battling on, going to work and making more videos.

@DrJamesGill 2 жыл бұрын

Medical marvel

@EmmaT27 2 жыл бұрын

🤣🤣🤣

@liammcgrath4207 2 жыл бұрын

Let’s get Dr Gill and Abby nominated for a BAFTA and an Oscar each

@jbb2009 2 жыл бұрын

The tension, the dialogue, the natural flow. Truly an exceptional performance

@scottpearson6590 2 жыл бұрын

Meryl Streep must be shitting herself

@DrJamesGill 2 жыл бұрын

🤣🤣

@darthmaul408 2 жыл бұрын

It’s like the diner scene in Heat.

@mribassy 2 жыл бұрын

I’d love to see Abby turn around one day and surprise Dr Gill with a fake name to see how he reacts

@mribassy 2 жыл бұрын

“Desmond Tutu, 7th October 1931”

@aidukis8 2 жыл бұрын

😂😂😂😂😂 I wiiiiiish!!!

@YvieT81 2 жыл бұрын

I need this to happen! 😂

@markwhite1213 2 жыл бұрын

One week Diabetes, the next week Asthma: Abbie seamlessly shifts from wees to wheeze...

@DrJamesGill 2 жыл бұрын

🤣🤣🤣

@joreyn7656 2 жыл бұрын

This comment makes me smile.

@markwhite3056 2 жыл бұрын

My work here is done!

@briggle4982 2 жыл бұрын

Wheat next week? Is Abbie sensitive to gluten? Find out next time....

@igormac88 2 жыл бұрын

Her nose also bleeds lol

@Mega_Umbreon 2 жыл бұрын

Dr Gill and Abbie, this was a great video. If Abbie is acting she's doing very well, if not this is a great insight into a "real" appointment where the patient is answering honestly (stumbling a bit, being a bit vague sometimes but with a genuine problem she needs to communicate) which is kind of different to previous examination type videos where the patient always seems OK.

@DrJamesGill 2 жыл бұрын

Those were “process reviews”, no we are trying to do more “condition reviews”

@atticstattic 2 жыл бұрын

"what measures have you taken to treat your asthma?" -- "well, I have tried putting a bit of paper on it..."

@hurricanebtvs 2 жыл бұрын

Dr Gill, I would love to see you deal black jack in a Western themed saloon.

@erenjaeger6125 2 жыл бұрын

We need Dr. Gill to play RDR2 😂

@ThatGuyKal 2 жыл бұрын

I wish my asthma reviews were this in-depth.

@DrJamesGill 2 жыл бұрын

They should contain most of this, but can eb a bit faster

@LeKnightStudios13419 2 жыл бұрын

Tutt and Gill back in action! Love you guys making exam vids!

@sketchlehem 2 жыл бұрын

GOAT’s

@DrJamesGill 2 жыл бұрын

Abbie is a trooper 😊

@sphinx12tt 2 жыл бұрын

I always thought her name was Abbie Tart

@DrJamesGill 2 жыл бұрын

I think you are confusing her with a character from Ted Lasso! 😜

@sirot5561 2 жыл бұрын

2 LEGENDS!

@johnbfilmz8092 2 жыл бұрын

At this point i know abbys birthday by heart Lol

@DrJamesGill 2 жыл бұрын

I think the medical school will have to install Abbie her one post box!!

@benjaylehman 2 жыл бұрын

So not only are these videos relaxing and informing, but they also seem to be an actual doctors appointment for abbie! Love the video as always

@Dakbryant 2 жыл бұрын

Name a more iconic duo than Dr Gill and Abby. Protip: You can’t.

@MarianaFFFernandes 2 жыл бұрын

I love that current patients are not perfect in terms of health, as it's more likely to have these situations is reality. It's very engaging! Both lovely 😘

@darrentomlinson4191 2 жыл бұрын

Loved it from both you, both in asmr terms and in medical terms. Very intriguing and definitely learn a lot from it so thank you Dr Gill. Hope Abbie is well too 🙏 Have yourself a pleasant day.

@sketchlehem 2 жыл бұрын

Video editing was awesome on this Dr. Gill, very nice graphics/text!

@DrJamesGill 2 жыл бұрын

Thanks. I wish I could get the cameras to all have the same colour

@logiberra5317 2 жыл бұрын

Happy to see Abby hasn't been forced to hold a vial of bodily fluid for half the video like last time.

@DrJamesGill 2 жыл бұрын

🤣🤣

@johantenhove7770 2 жыл бұрын

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

@modestwriggles 2 жыл бұрын

I give asthma a 3 out of 10. It's not fun to deal with, but some days it leaves me breathless.

@DrJamesGill 2 жыл бұрын

That might be able to be improved, I’d suggest taking to your medical team

@thelonelyassassin8584 2 жыл бұрын

Looking forward to this

@ragehunter1212 2 жыл бұрын

Dr.gills traits must be such an oasis for people who get anxious when visiting their physician. It Seems that only his calmness and bedside manners exceed his competence and knowledge

@EuanBCFC 2 жыл бұрын

This brought back some weird nostalgia, I use to have these yearly but haven’t had one for about 6 years

@DrJamesGill 2 жыл бұрын

Ok, that’s unusual, why did they stop?

@EuanBCFC 2 жыл бұрын

@@DrJamesGill I just grew out of it, by the last one I don’t think I’d used even a brown inhaler for a couple of years and there wasn’t really much point in carrying on

@Jet166 2 жыл бұрын

Really interesting. I can manage two flights of stairs but can be very breathless after and find speaking difficult for a little while, so perhaps I need to have a review myself.

@DrJamesGill 2 жыл бұрын

If in doubt always get reviewed

@conradbenjamin7739 2 жыл бұрын

Watched this with my Fostair Nexthaler in my hand and indeed did learn quite a lot. Thanks Dr.

@DrJamesGill 2 жыл бұрын

That’s good to hear 😊 what did you learn?

@YvieT81 2 жыл бұрын

Turns out Abbie is not only the perfect patient, but also a great actress! 👏🏼

@gethiggywithit5248 2 жыл бұрын

I’ve had asthma since I was 3, currently 24. It has gotten much better as I’ve gotten older but still comes back under certain circumstances

@DrJamesGill 2 жыл бұрын

Glad that things are improving 😊

@sitarad_ 2 жыл бұрын

Same here! It was really bad when I was a kid but now I'm 23 and it only flares up when I have allergic reactions to dust, car hair and pollen. Really grateful that I don't have asthma attacks in the middle of the night anymore!

@DrJamesGill 2 жыл бұрын

I think the sleep disruptions can often be the worst part for patients as it is unexpected

@msaditu 2 жыл бұрын

Curious, are you preparing and rehearsing the script beforehand? Your conversation is so natural. You both are so good at this.

@DrJamesGill 2 жыл бұрын

Honestly no. We confirm things like drugs, but other than that, just run with it - it’s a well learnt skill at medical school, bring able to be a patient, as it helps you learn the conditions

@MedbeeMedic 2 жыл бұрын

Its my Grade B in GCSE drama 😅

@msaditu 2 жыл бұрын

@@MedbeeMedic Bet you did not know it was going to come in handy one day. 😉

@juniorrantan4559 2 жыл бұрын

This is so informative. I love it.

@N0TSauceyy 2 жыл бұрын

Can’t wait!

@DrJamesGill 2 жыл бұрын

Hope it was useful

@gldf1nch 2 жыл бұрын

Abby seems like such a kind person! I have asthma and it is no fun

@DrJamesGill 2 жыл бұрын

She really is!

@JoaoSilva-on4od 2 жыл бұрын

Confession: first thing I did when I saw Abby and the doctor was to look it there was a piece of paper on that table. I'm still 54 seconds into this, no spoilers please.

@BeeABaw 2 жыл бұрын

Dr Gill, I was curious what are your specialties? As for someone who can relate to the content in this video, I thought for a second this was your specialty until I saw your other videos. Im in awh, wish more doctors especially in the States were like you.

@DrJamesGill 2 жыл бұрын

I’m literally a generalist. A family doctor in the uk From an education perspective my specialty is clinical skills - ie how to examine someone

@rodneyboulton6410 2 жыл бұрын

Another excellent video. I've had asthma since I was a child but I rarely if ever get any attacks now. It was a lot worse when I was younger

@DrJamesGill 2 жыл бұрын

Glad to hear things have improved. Do you still need the inhalers?

@rodneyboulton6410 2 жыл бұрын

@@DrJamesGill I use the brown one daily, but I can't remember the last time I needed to use the blue one

@DrJamesGill 2 жыл бұрын

That’s really positive 😊

@rodneyboulton6410 2 жыл бұрын

@@DrJamesGill It does give hope to people that it can be brought under control. I had it that bad I had to use a nebuliser. I can't remember the last time I had an attack now.

@mattcarter78 2 жыл бұрын

The DGCU returns!

@Morevixxen 2 жыл бұрын

SENDING LOTS OF LOVE TO ABBY ✨✨💕💕

@justahappywelshguy9251 2 жыл бұрын

In the start she said she thinks she manages it well... then turns out that's not really the case... bless her hope she's doing well.

@KuinaDCMA 2 жыл бұрын

I hope this is understood since English is not my mother tongue, I have been using an inhaler called Butocort HFA since I was 11 years old because I suffer from bronchospasm, I never asked my doctor since he was a pediatrician and I haven't seen him in years but I would like to know if it can be completely cured since today I am 29 years old, the internet is a confusing place and since I am a big fan of yours I ask you this question, much love from Argentina!

@DrJamesGill 2 жыл бұрын

People can “grow out” of asthma but a review to make sure can help

@wyboycowboy 2 жыл бұрын

I was diagnosed with chronic asthma in 6th grade, I would think the reason why the doses for asthma medication is so low is because the nature of asthma attacks on a general basis is that they come and go so frequently and the reasons why they happen are often so small in frequency so they wouldn’t do high doses for something that is so fleeting so often.

@DrJamesGill 2 жыл бұрын

The doses of asthma medication are because of that action of the drug on the local surface of the tissue Oral medications have higher doses, as they have to be absorbed in the stomach and moved around the body By targeting a tissue directly you can use a smaller dose of a drug

@DevRSVR 2 жыл бұрын

Night time can be a bitch. It can also be a bit psychological too I find. Especially if you are low on Ventolin. I have also been on becotide 250 for a good few years now and I find it was a game changer for me. Seems to have really boosted my immune system. Made me feel bulletproof for a long time. Exercise does help. Weights and walking.

@Zebulen3 8 ай бұрын

I'm curious why medicine was the only treatment plan discussed, especially with such severe symptoms. Are there no options for breathing exercises to improve lung capacity and function? Should an allergist be consulted to see if there are unknown airborne triggers? Etc.

@johnathanleonardo912 2 жыл бұрын

I dont have asthma but I experienced bronchitis alot throughout my life

@thatguyfromcetialphaV 2 жыл бұрын

I was not diagnosed as asthmatic until I was 22 and was trying to join the RAF. It ruled me out of serving. I didn't start showing symptoms until I was around 13. Please get tested. Uncontrolled asthma is a killer.

@DrJamesGill 2 жыл бұрын

I had the same problem. I’d had childhood asthma, but had kept an inhaler “just in case” and was also ruled out of RAF as a result 😐

@kittybala7951 2 жыл бұрын

Great tips for review. My gp does medicine review and pharmacist does asthma review

@DrJamesGill 2 жыл бұрын

Interesting division there. I know plenty of places where it is the nurse doing the asthma review

@RizbIT 2 жыл бұрын

Been prescribed and taking blue inhalers for asthma, triggered by certain triggers, since childhood for over 20 years. Tried to order a simple repeat prescription for expired inhalers last week. Instead of 2 inhalers was given 1 and then when I asked GP why, they said its because I don't have asthma...? I mean tbh thats good news... But ive had to take my inhaler several nights in a row last month due to having a bad cold and the breathlessness and tight chest meant i could not sleep until i took it. It was definitely needed. So what is the solution here? I mean you go in to the GP when your feeling well... They do a peak flow test or something and they decide your breathing is ok so you're not asthmatic and don't need inhaler. Then what happens two weeks down the line when you catch a flu and it triggers your asthma? Would they take the responsibility for their negligence?

@chuckoneill2023 2 жыл бұрын

Oh dear ---- This nice young lady has so many ailments to deal with....

@DrJamesGill 2 жыл бұрын

We’ll sort them all 👍

@jayjayb89 2 жыл бұрын

10:49 You know the doctor is cool when they say "Not too shabby" 😂

@markmiller8767 2 жыл бұрын

Strange question but one of my tell tale warnings for asthma has always been an itchy chin ( bit daft I know) ...has anyone else experienced this ?

@DrJamesGill 2 жыл бұрын

I’ll be honest, I’ve not heard of that before

@SoberIrishman 2 жыл бұрын

Asthma is a terrible thing....great vids doc. 👍😎

@DrJamesGill 2 жыл бұрын

It can be. But we can also treat it well in many cases. If struggling, ask for an asthma review

@mariajuntunen8494 2 жыл бұрын

"And the BAFTA Award for best actress in a leading role goes to.... Abby Tutt!"

@kittybala7951 2 жыл бұрын

Excellent information. My asthma good

@DrJamesGill 2 жыл бұрын

Asthma can have such an impact. I’m glad yours is well controlled. Do you have any triggers for it?

@kittybala7951 2 жыл бұрын

@@DrJamesGill yes. Fostair excellent

@eternalamos365 2 жыл бұрын

Suffering with asthma sucks. I usually get it around colder or hot seasons, and sometimes when I go for walks. My chest tends to get this sharp pain once in a while.

@DrJamesGill 2 жыл бұрын

Do you still monitor your peak flow?

@eternalamos365 2 жыл бұрын

@@DrJamesGill Not that often.

@omicsonic 2 жыл бұрын

Gill and Tutt 10: Every Breath You Take

@tanyauren7063 2 жыл бұрын

The Lennon and McCartney of the British medical profession

@maddyu536 2 жыл бұрын

I have an asthma ever since I was an infant but I've never had an inhaler and that kind of puff test. I wonder why.

@DrJamesGill 2 жыл бұрын

That seems a little odd. How was the diagnosis made?

@maddyu536 2 жыл бұрын

@@DrJamesGill I don't really know since according to my grandma I was less than 1 yr old when the doctor told them that I have an asthma. I use nebulizer tho. But never an inhaler.

@lauraleeBSc 2 жыл бұрын

I use the fostair inhaler and it gives me really bad shakes. Will this ever subside?

@erenjaeger6125 2 жыл бұрын

I have been using ProAir for years and the hand tremors never stopped for me. I'm not a doctor, so I can't give you a definitive professional answer. This is just my own experience.

@DrJamesGill 2 жыл бұрын

It might be worth while discussing different options with your doctor. It’s more common with some than others

@kittybala7951 2 жыл бұрын

Fostair is excellent

@DrJamesGill 2 жыл бұрын

Certainly is

@darrenhudson5503 2 жыл бұрын

Tell this is a roll play..doctor face 2 face with a patient..unheard off

@DrJamesGill 2 жыл бұрын

Whilst this IS a role play, I’ve been seeing patients face to face throughout the pandemic, and continue to now There are MANY things that can be safely treated on the phone, and there we do so, but there are also MANY things that for safety need to be seen face to face

@darrenhudson5503 2 жыл бұрын

@@DrJamesGill I think you are the exception rather than the rule sir..

@darrenhudson5503 2 жыл бұрын

@@DrJamesGill and.i have unsubscribed...

@DrJamesGill 2 жыл бұрын

Oh… I’m sorry to hear that! If you don’t mind me asking, what was it that lead to the unsubscribe?

@tsvetininova3648 2 жыл бұрын

❤❤❤

@DrJamesGill 2 жыл бұрын

👍

@melissabrown6804 2 жыл бұрын

Out of interest why did you step up to Fostair rather than increase the clenil?

@DrJamesGill 2 жыл бұрын

In the scenario she is already on a steroid inhaler, and the short acting beta blocker, so better to try and move to a MART therapy if the patient is able to follow that protocol

@markmccallum475 2 жыл бұрын

A little late to watching The Queen's Gambit. It's different to what I expected.

@DrJamesGill 2 жыл бұрын

🤣

@markwagner4909 2 жыл бұрын

If be over joyed if my asthma attacks happened only once a week

@DrJamesGill 2 жыл бұрын

I’m sorry to hear that. When did you last have medications checked?

@deborafernandes1026 2 жыл бұрын

What is the relation between them ? Friends ,a couple...?

@DrJamesGill 2 жыл бұрын

Friends, student and educator

@JasonTheOneAndOnly 2 жыл бұрын

That mean I'm gna get a pink one now

@asahk7419 2 жыл бұрын

holly... uh... I didn't think this was at all related to something serious, I just thought I was really out of shape or had to have a window open at night so I could breathe...

@DrJamesGill 2 жыл бұрын

If you are concerned about your breathing, I’d strongly suggest talking to you doctor, and if it is new, getting a PCR test too

@bomberman1012 2 жыл бұрын

Does Abbie come up with her answers for these questions on the fly? Unless she actually has all the illnesses, then I guess she can pull from experience… Also new Halloween ideas: Captain America and Bucky, the Men in Black, half of ABBA

@thelonelyassassin8584 2 жыл бұрын

Yeah I was wondering that too because it seems very realistic and natural. But looks like she is a medic and even has her own channel and Dr. James said in another comment that they don't rehearse it so I imagine she comes up with the answers on the fly based on her knowledge. Very realistic though it had me convinced she had all these ailments.

@DrJamesGill 2 жыл бұрын

As one of the medical students, she’s well versed in “being a patient” and being able to quickly craft a history for practise. It’s a good skill, as you need to KNOW the conditions to role play the patient

@benisaten 2 жыл бұрын

By now there is no excuse to not wish Abby a Happy Birthday.

@AienAristeuein 2 жыл бұрын

We seem to have difficulties remembering the patients name and date of birth. Next week; Dementia =)

@Loonyrabbit-tv 2 жыл бұрын

Diabetes and asthma

@jp5125 2 жыл бұрын

I hope everyone wishes Abby a happy birthday this December in the comments.

@DrJamesGill 2 жыл бұрын

I think she’s getting quite a fan in now

@mikehg7545 2 жыл бұрын

02:24

@smeghead5021 2 жыл бұрын

Can we have an address so we can send Abbie a birthday card? 🥰😂

@Kath_Deutsche 2 жыл бұрын

Yeah, I’m also planning on doing that 😅

@MedbeeMedic 2 жыл бұрын

Just saying Warwick Med school has an address 😂

@smeghead5021 2 жыл бұрын

@@MedbeeMedic I’ll send you a card 🥰😂

@federativerepublicofbrazil5568 2 жыл бұрын

this woman is your wife Dr James Gill?

@DrJamesGill 2 жыл бұрын

No. A friend and med student

@rayw2455 2 жыл бұрын

What an odd way to sit down at 0:17 I thought she was going to kneel.

@DrJamesGill 2 жыл бұрын

She’d had a small injury that day, tis all

@88nikita 2 жыл бұрын

Dr Gill seems you like watchs 🧐

@DrJamesGill 2 жыл бұрын

Not particularly, this is just my triathlon watch

@EGGHEAD47 2 жыл бұрын

This girl has a lot of check ups to go to I feel sorry for her

@stephenphumphreys2108 2 жыл бұрын

Dr Gill forgot her name again....

@topfishing 2 жыл бұрын

Guess I’m the only “yank” nobody is gonna comment about her birthday being Dec. 7th? Really????!!!!!

@DrJamesGill 2 жыл бұрын

Sorry, I don’t understand. Is this in relation to that we use DD/MM/YY in the uk?

@LeKnightStudios13419 2 жыл бұрын

One week she has diabetes and the next she has Asthma, I’m surprised.

@DrJamesGill 2 жыл бұрын

Every week she’s a great sport

@LeKnightStudios13419 2 жыл бұрын

@@DrJamesGill can we get a Q&A with you guys, idk why it just seems interesting lol

@DrJamesGill 2 жыл бұрын

Maybe a q&A with both when we get to 100k 😊

@LeKnightStudios13419 2 жыл бұрын

Yay

@LeKnightStudios13419 2 жыл бұрын

That’s lovely!

@alifragisnick71176 2 жыл бұрын

This could be very interesting for me as an asthmatic but I can't understand a word that girl is saying. Doctor, You should have chosen a person with a clear accent like yours. Pity...