How to Use a Medical Tuning Fork - Assessing Vibration Sense - Clinical Skills - Dr Gill

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Dr James Gill

Dr James Gill

Күн бұрын

How to Use a Medical Tuning Fork - Assessing Vibration Sense - Clinical Skills - Dr Gill
Perhaps the most scarce tool on the medical wards, after the tendon hammer, is the medical tuning fork. Often sat in the bottom of a draw until it is needed, I find the tuning fork a core part of my medical kit
I will regularly use a medical tuning fork to assess a patient's cranial nerves, check peripheral nerves, examining neurological cases, there are even ways that the humble tuning fork can be used in expedition medicine
In this video, we will compare the 128 Hz tuning with the 512 Hz tuning fork and look at the scenarios where you would want to pick one over the other for your clinical examinations
Here is the BMJ open link to using a tuning fork to assess a fracture
bmjopen.bmj.com/content/4/8/e...
#Neurology #ClinicalSkills #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...

Пікірлер: 105
@bluerazzbery
@bluerazzbery 2 жыл бұрын
I always liked the tendon hammer. watching my leg kick out when the hammer hit my knee amazed me as a kid
@DrJamesGill
@DrJamesGill 2 жыл бұрын
It’s like seeing science happen, rather than just reading about it 😊
@GeorgeKarolemeas369
@GeorgeKarolemeas369 3 ай бұрын
This is me right now. How I’m feeling in this exact moment in time. My cup is overflowing 😅 I didn’t realize I was such a visual learner. But here is the thing doc…I seem to have stumbled upon this by complete accident. Which is what brought me to your video. Mind you I am not the most smartest person I know. Even though my ego tells me differently. I’m quite humbled because of my circumstances. Ontop I have severe ADHD all my life… or it’s just another by oroduct from head trauma from when I was an infant. anyhow regardless I can explain myself another time. I’ve seen these in doctors offices before. and if not for accidental dropping it and hearing i just a few moments ago I very well would absolutely never would have experimented with the vibration it created. As soon as i touched it on my body I knew I was into something and having a hunch is one thing. But how did I know some of the things you spoke of without ever learning it.?? Subconsciously? Ok maybe some of it but not at this level! I feel tho as if I were a chimpanzee that had an apple fall on my head instead of Newton that’s how I feel right now. To add I have a bad problem retaining information. I forget most of what I learn in a day. So if I’m not making sense trust me I am trying to while maintaining this train of thought. Im speaking in real time in the desperate hopesis hearing this before it’s too late. I tire of not contributing. How many times have I woken up to a messy board, filled with things i don’t remember. I’ve been keeping some journals apparently and a lot of it’s been incoherent up until now. (I believe I’ve made an error. And hastily tried another attempt but in doing so causing more harm so I’m going to step away. Be mindful if you have to sort some of this. I have keys and legends in my entries that may make more sense to some else right now. End edit)I may only have a few hours. . I am now recording myself as I finish thisjust in case I wake up oblivious maybe some can be salvaged. like that it carried a consistent frequency, hertz)again I thought I knew some basic facts but of what I supposedly knew, but the visualization it added multi layers of understanding and somehow even carried over to other areas of things I thought I knew and unlocked their true selves to me… have mathematical equations spilling out of my head right now. Doctor im a 46 year old male with head trauma when I was an infant. I’m smart for someone in my predicament and I always knew there was much more but I feel like a rip tide just sucked me in. Can I apply this to other areas of science? Im only asking because this revaluation may be over exaggerated and a result of my brains chemistry…I could accept that. Quite modestly and satisfactory come to the conclusion if not I am trying to fit a square into a circle hole. But if I’m right!! I may need to talk to someone that may be interested in the things I have to say. Particularly a very big misunderstanding in ways the majority of the world has seemed to have accepted in their understandings. Even I feel like I’m still missing part of the equation. About as drastic as a freshman would be looking at a senior and trying to fill in 4 years of experience with his imagination, and actually settling on that assumption. I guess I will wait for a response.
@GeorgeKarolemeas369
@GeorgeKarolemeas369 3 ай бұрын
Re: misconceptions of space & time : Stop looking at the darkness expecting to see lit up arrows pointing in that direction, because it’s not, it’s a cold desolate wasteland. The door is within us not outside. A perpetual vortex of energy The key is part “of the key” visualization is the command/ Cast They are afraid of us knowing this information. And they are suppressing it
@billgreen1861
@billgreen1861 2 жыл бұрын
I'll never laugh again when I see Dr. Bombay, (from the 'Bewitched' TV series) using a tuning fork. He used to say it was for " Atmospheric alignment". Now I believe!!! 😊
@Xanderviceory
@Xanderviceory 2 жыл бұрын
I was gifted a set of madly oversized tuning forks the person said was for some type of "energy alignment" I dont think that's how they work lol but the very powerful vibrations did relax muscles and cause a general sense of relaxation like you fell into instant meditation. It was fantastic to learn just now however what theyre supposed to be used for. As always thanks Dr. Gill
@DrJamesGill
@DrJamesGill 2 жыл бұрын
👍
@TheRivieraKid
@TheRivieraKid 2 жыл бұрын
What about the tuning knife, and tuning spoon?
@DrJamesGill
@DrJamesGill 2 жыл бұрын
They stay in the medical bag until lunch
@gingercat9837
@gingercat9837 2 жыл бұрын
Burn🔥🔥
@finnmeister
@finnmeister 2 жыл бұрын
You don't need either if you have the tuning balloon whisk.
@1nickdaora
@1nickdaora 2 жыл бұрын
Dr. Gill seems like such a nice person!
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Nah he’s ‘orrid!
@jorgecardoso5863
@jorgecardoso5863 2 жыл бұрын
Tuning fork inventor: "This device will help tune many instruments!" Medical cummunity: "Nah fam"
@DrJamesGill
@DrJamesGill 2 жыл бұрын
🤣🤣 Truth be told, I’ve love to know how all the connections happened!
@markpedersen9506
@markpedersen9506 2 жыл бұрын
@@DrJamesGill In the 1800's doctors decided getting a grand piano behind the ear was just a tad to cumbersome. At least thats what I choose to believe 😂
@youboob1996
@youboob1996 2 жыл бұрын
Tuning forks are fascinating
@DrJamesGill
@DrJamesGill 2 жыл бұрын
It love how we’ve been able to repurpose things like tuning forks from entirely different areas of life to help people I know an AMAZING consultant who has a really difficult case with bowel failure. They saved the guys life through buying kit from B&Q and making a temporary (sterile) bodge job whilst he healed
@leonstevens1382
@leonstevens1382 2 жыл бұрын
There is nobody I would I would trust more or invest in more than doctor gill.
@staryeeter
@staryeeter 7 ай бұрын
Why? What's his success in healing people?
@dwellerboi3661
@dwellerboi3661 2 жыл бұрын
one of my favourite channels :)
@misslady2802
@misslady2802 Жыл бұрын
Blessings for your work to Humanity!
@imanuxd2709
@imanuxd2709 2 жыл бұрын
Good nashe anashe alto vídeo pa saludos desde ARGENTINA
@jg8263
@jg8263 2 жыл бұрын
Ha, I too wore a dark blue shirt and brown herringbone tweed waist-coat, yesterday. My waist-coat was a darker shade of brown, but still.
@Farsightful
@Farsightful 2 жыл бұрын
- you can now hear a noise in your head. -i always do. and when I don’t I hear my pulse. Muscles and bones screeching.
@MrBlocky00
@MrBlocky00 4 ай бұрын
ASMR GOLD!
@autotopnig1400
@autotopnig1400 2 жыл бұрын
Love the content
@DrJamesGill
@DrJamesGill 2 жыл бұрын
👍
@epicdimples1235
@epicdimples1235 2 жыл бұрын
When a patient is going through a test where you say something along the lines of "tell me when you see/hear x at a certain time", do you ever have to account for the reaction time of the patient? Always wondered this.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Sometimes you’ll do the test and know something has gone wrong, so you’ll re do it
@Dragon-Slay3r
@Dragon-Slay3r Жыл бұрын
Aka broken cocoon
@emzzzz905
@emzzzz905 2 жыл бұрын
Fab video, fab voice, extremely interesting thanks Dr G 😀
@DrJamesGill
@DrJamesGill 2 жыл бұрын
👍 honestly I think the tuning fork is my favourite medical device
@emzzzz905
@emzzzz905 2 жыл бұрын
I've never seen a doctor use one in real life though. I feel I have missed out!
@UTAUloidUsaKokoro
@UTAUloidUsaKokoro Жыл бұрын
I have a question! I'm having a hard time finding the answer for it. There was one neurologist I went to who used a tuning fork in his examination. When he put the vibrating fork up to my head, it caused this really intense shaking/tremor/vibration on my entire head. I wanna say it made my neck do the weird thing that happens when something cold touches the back of it. Why did it do that? ?.? The neurologist didn't seem to know - at least, he didn't explain it to me.
@Dragon-Slay3r
@Dragon-Slay3r Жыл бұрын
Once the bent tuning fork was seen then it became a butterfly cocoon which was deeply troubling because it was broken, that's how it was changed from a tuning fork to a cocoon
@user-ry7wf4hi9w
@user-ry7wf4hi9w 2 жыл бұрын
I find the ms part interesting, are you saying something can be done to fix ms?
@kittybala7951
@kittybala7951 2 жыл бұрын
Interesting video. Never heard of it
@DrJamesGill
@DrJamesGill 2 жыл бұрын
👍
@MsThirtythree
@MsThirtythree Жыл бұрын
When I placed the fork on the centre of my forehead, I heard the sound only in my right ear. What does this signify, please?
@keithlivingstone2525
@keithlivingstone2525 2 жыл бұрын
The tuning fork is used for assessing Musical knees 😁
@Ultravonder
@Ultravonder 2 жыл бұрын
What’s the significance of using 512 Hz and 128 Hz? Would other vibration frequencies yield different results/why?
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Because of how they are used on different body parts and the sensitivity 512hz is a very “fine” vibration, whereas 128hz Is quite coarse might be a better way of viewing it
@matteosartori3582
@matteosartori3582 2 жыл бұрын
Are the ones you use for medical purpose good for tuning instruments. I mean, do they produce an A note?
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Honestly I don’t know. I know the 256hz is C1
@k.cxsmic
@k.cxsmic 2 жыл бұрын
I knew these were used in a lot asmr videos but I didn't think they had a medical purpose
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Yup, an important part of the toolkit
@d4slaimless
@d4slaimless Жыл бұрын
If you could hear sound of tuning fork better in this video I bet it would make for a great ASMR video. Dr James Gill has a really nice voice for this and sounds of tuning fork would add to the effect.
@MrZomg17
@MrZomg17 9 ай бұрын
@Dr James GilI my question is if their is any reduction in tuning vibration when you hold the gripping plate of the tuning fork?
@DrJamesGill
@DrJamesGill 9 ай бұрын
Not significantly with regard to the clinical utility
@liamschulzrules
@liamschulzrules 2 жыл бұрын
Is there a reason for the random seeming values of the forks rather than base 10 values?
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Sorry I don’t understand The numbers are the vibration frequencies
@markpedersen9506
@markpedersen9506 2 жыл бұрын
I did some digging on Wikipedia, the short answer (assuming I understand correctly) is that those frequencies are chosen so that the fork produces a correctly tuned note. If we went by base ten you'd likely get weird out of tune noises, that probably would sound unpleasant. The long answer is: Commercial tuning forks are tuned to the correct pitch at the factory, and the pitch and frequency in hertz is stamped on them. They can be retuned by filing material off the prongs. Filing the ends of the prongs raises the pitch, while filing the inside of the base of the prongs lowers it. Currently, the most common tuning fork sounds the note of A = 440 Hz, the standard concert pitch that many orchestras use. That A is the pitch of the violin's second string, the first string of the viola, and an octave above the first string of the cello. Orchestras between 1750 and 1820 mostly used A = 423.5 Hz, though there were many forks and many slightly different pitches.[5] Standard tuning forks are available that vibrate at all the pitches within the central octave of the piano, and also other pitches.
@gregorywagnew4087
@gregorywagnew4087 2 жыл бұрын
Any particular recommendations on a brand of tuining forks?
@Dragon-Slay3r
@Dragon-Slay3r Жыл бұрын
Yeah they're bent forks so that makes them wiggly forks 👽🤣👁️
@jojojacques810
@jojojacques810 Жыл бұрын
Hi I have suffered several nervous breakdowns over a period of years due to quite serious emotional traumas and witnessing a very serious disaster. As a result I have developed tinnitus, at least that is what I believe. My CPTSD fluctuates and when it’s bad, the tinnitus is physically painful. Would you have any advice for this? Is this something that someone like yourself could help with. I really don’t know where to begin. Thank you.
@vishvarupa7948
@vishvarupa7948 Жыл бұрын
You really should see a doctor.
@debsalady2
@debsalady2 Күн бұрын
I'd like to know also plz
@denni5aur282
@denni5aur282 2 жыл бұрын
I loooove Megan
@gabrielesimionato1210
@gabrielesimionato1210 2 жыл бұрын
Any double hearing?
@DrJamesGill
@DrJamesGill 2 жыл бұрын
🤣
@mysurrealsynapse
@mysurrealsynapse 2 жыл бұрын
Which regional accent is this? Reminds me so much of OwnOrDisown channel
@DrJamesGill
@DrJamesGill 2 жыл бұрын
I’m from the Midlands, but I don’t really feel have a particular accent (but many seem to disagree)
@johnathanleonardo912
@johnathanleonardo912 2 жыл бұрын
I'm assuming Abby's taking tests or she graduated
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Revising hard
@ronaldoknights1087
@ronaldoknights1087 2 жыл бұрын
How long did you study medicine and where
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Warwick, started 2006
@blueomega2853
@blueomega2853 2 жыл бұрын
How'd the Warhammer Sunday go
@I_will_pet_your_dogs
@I_will_pet_your_dogs 2 жыл бұрын
I'm interested in hearing about this too.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Van Saar kicked BUTT! 😊
@BradLad56
@BradLad56 2 жыл бұрын
Hey Doc, quick question: Do you think ASMR has any medical benefits?
@DrJamesGill
@DrJamesGill 2 жыл бұрын
That’s a huge question Especially as the research is in it’s infancy The shorter answer - anything that helps anxiety, improves sleep, or helps someone relax in a safe manner has to be useful I know patients who state certain medical treatments don’t work for them - putting the prescribed management to the side for a moment - belief in a treatment, the placebo effect is ~20%, so if someone DOES believe something works and has no harm to them, we should embrace it
@DrJamesGill
@DrJamesGill 2 жыл бұрын
I can’t stress this enough, patients have said they can’t take X and instead have purchased Y. If it isn’t clinically validated, I’m always concerned patients are being fleeced, and highlight this - BUT if it helps them - all power to the patient Conversely if the same patients has purchased the same product, even if they fee is helps them, but I have evidence highlighting negative health effects of that product, I WONT support and and attempt to highlight the risks People should make their own decisions, but my role is to help them make their best decisions
@BradLad56
@BradLad56 2 жыл бұрын
@@DrJamesGill Thanks for the answer Doc. You sound like a man of principle.
@Dragon-Slay3r
@Dragon-Slay3r Жыл бұрын
Yeah it can because it can be easily turned into a broken cocoon 👽🤣👁️
@Dragon-Slay3r
@Dragon-Slay3r Жыл бұрын
@@DrJamesGill yeah that's a huge eagle from Los Angeles aka L O S Angel es
@ihave_ajob
@ihave_ajob 2 жыл бұрын
British Jim Halpert
@ryxarkhalyx
@ryxarkhalyx 2 жыл бұрын
i use this for eat
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Hopefully not these ones!
@mmapsycho5843
@mmapsycho5843 2 жыл бұрын
🤣🤣🤣🤣
@yaboyj2191
@yaboyj2191 11 ай бұрын
Always a bonus when the patient's super cute
@mabodamacawalkingtours1886
@mabodamacawalkingtours1886 2 жыл бұрын
Where is Abby!
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Revising. I think she’s a week away from first big one
@dwellerboi3661
@dwellerboi3661 2 жыл бұрын
@@DrJamesGill good luck to her!
@Dragon-Slay3r
@Dragon-Slay3r Жыл бұрын
@@DrJamesGill thanks thats where we build the home
@Bobge-gl7yo
@Bobge-gl7yo 2 жыл бұрын
🇩🇿❤️✅
@georgelouis6515
@georgelouis6515 2 ай бұрын
This is just a test. It’s not healing.
@DrJamesGill
@DrJamesGill 2 ай бұрын
It’s certainly a good examination skill for students to master
@discounttyres8744
@discounttyres8744 2 жыл бұрын
40 seconds of advert's !
@DrJamesGill
@DrJamesGill 2 жыл бұрын
I’ve not control over that. YT set that i’m afraid
@brandonmoucatel9630
@brandonmoucatel9630 2 жыл бұрын
G
@markmccallum475
@markmccallum475 2 жыл бұрын
Your wolverine cosplay needs a bit of work.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
I’m NOT having lock down hair again!
@kiarona.
@kiarona. 2 жыл бұрын
@@DrJamesGill oh I liked your lockdown hair!
@mossss11
@mossss11 5 ай бұрын
ariana grande brought me here
@pururajagopal1929
@pururajagopal1929 2 жыл бұрын
P
@ghostofyou6468
@ghostofyou6468 2 жыл бұрын
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