What your HANDS say about your HEALTH: Doctor Explains
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- čas přidán 12. 06. 2024
- Get ready to do some tests on your hands right now, and learn something new about your health! As a rheumatologist, I'm constantly examining people's hands and looking for clues about their health - it's incredible to discover things that are easily overlooked!
0:00 Intro
0:32 'Spider-fingers'
2:14 Ehlers-Danlos Syndrome
3:35 Red Palm
4:19 Orange Palm
4:42 Finger Length
5:44 Fingerprint
6:16 Diabetes
6:57 Carpal Tunnel Syndrome
8:12 Raynaud Phenomenon
9:18 Hand Joints
This video is made for educational purposes only and should not be viewed as medical advice. Speak to your doctor if you have any concerns about your health.
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Instagram: Violin.MD
Facebook: @realviolinmd
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Mail: PO Box 1, 119 Spadina Ave, Toronto ON, Canada, M5T2T2
See you in the next video!
~ Siobhan (Violin MD) ~
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📚 References and Image Attributions:
Marfan syndrome
- www.ncbi.nlm.nih.gov/pmc/articles/PMC5165130/
- Blausen.com staff (2014). "Medical gallery of Blausen Medical 2014". WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010.
Ehlers Danlos Syndrome
- www.ncbi.nlm.nih.gov/pmc/articles/PMC3204294/
- pubmed.ncbi.nlm.nih.gov/22943506/
Palmar Erythema (red palm)
- dermnetnz.org/topics/palmar-erythema
Lycopenemia (orange palm)
- www.cmaj.ca/content/cmaj/180/8/895.full.pdf
Finger Length
- www.ncbi.nlm.nih.gov/pmc/articles/PMC3039824/pdf/6605986a.pdf
- www.ncbi.nlm.nih.gov/pmc/articles/PMC3493764/pdf/bjc2012418a.pdf Fingerprint pattern
- www.ncbi.nlm.nih.gov/pmc/arti...
Prayer Sign
- pubmed.ncbi.nlm.nih.gov/23984257/
Scleroderma
- www.ncbi.nlm.nih.gov/pmc/articles/PMC2935167/
- pubmed.ncbi.nlm.nih.gov/19900936/
What do your NAILS say about your health? czcams.com/video/ZXLMnRtrjuU/video.html
Is KNUCKLE CRACKING good or bad? czcams.com/video/5O4qXQj-o9o/video.html
What about traumatic arthritis in the fingers?
I’d be interested in a video about what your face says about your health and include rosacea. A lot of people have it, and I’m curious what you think of it as a rheumatologist. Thanks!
good stuff thank you
Please address fibromyalgia and best treatment for it. Thanks
As you only have one ring on your finger, I assume that I still have some small chance... Which is your closest international airport.?
As someone with multiple types of arthritis, who has had not so positive interactions with rheumatologists, you must be such a ray of sunshine for your patients. Never lose your passion and kindness, it is sorely lacking in medicine and in rheumatology in particular.
change your diet to Keto...no carbs. Intermittently fast. Move into longer fasting sessions to reset your immune system. Google: Autophagy.
Carbs = sugar = inflammation. The American diet cripples and kills people.
It's an act to draw you in... arthritis is caused by eating a crap diet. She won't tell you that.
Ignore the pain-shamer. Arthritis has many causes in millions of different cases. I hope you find better health professionals to help.
Agreed.
@@kwimmsit was not the topic and there are other reasons. Be nice.
My neurologist wrote a referral letter to an ENT doctor. The ENT doctor casually mentions he notes I have Ehler Danlos. My college roommate and best friend had Ehler Danlos, so I know what it is. I'm like, "No, I don’t.. why do you say that?"
He shows me the letter from the neurologist. Turns out he was talking about my excessive daytime somnolence (EDS). Having educated, trained, edited and transcribed myself for 23 years, I recognized the error that both the neurologist and his transcriptionist made. If the dictator doesn't expand the word he is expressing as an acronym, and there is no absolute reference to the actual word(s) in the report, it is up to the transcriptionist to clarify and spell the words out completely with the acronym in parentheses following it. Then the acronym can be used throughout the rest of the report.
This, among many errors between dictator and transcriptionist, can cause medical errors.
Just a boring comment, but I have seen way too many errors on my own medical records, and edited many that were wrong. It's a complicated relationship that creates an accurate medical report.
You are absolutely right there!!
Excellent point, and well made!
I am a nurse and I LOVE your videos! They are educational, engaging, informative, and creative. You have a gift!
As card carrying hypochondriac, I am somewhat disappointed that I have none of those issues you mentioned 😂
🤣🤣🤣
😅
😂
😂
Yep.. nothing to panic about here.. move along 😂
I love your passion for what you do! It doesn’t matter what a person’s profession, if they are passionate and fascinated by it, the excitement is contagious and it’s really a beautiful thing to see.
I have EDS that has caused an aortic aneurysm. Thank you for mentioning it! Doctors so often know nothing about it at all or they think it is *only* "loose joints" (oof, I wish).
Thank you for spreading a little awareness of Ehlers Danlos Syndrome. So many people don’t know about it and it’s really frustrating as a person who has the hyper mobility type.
Yes I totally agree, I have hypermobile eds and it took 10 years to get diagnosed with countless dislocations, I also have marfans syndrome that was ignored because I did not have a mitral valve abnomaly.
My auntie has Ehlers Danilo’s, it’s not nice at all and I agree that more awareness needs to be spread. All her joints came out a lot. Her shoulders were always dislocating. I had to go take her to a&e once when I visited with my mum, you could see the difference and it’s crazy how one minute all was okay and then had to get in the car and peg it. She now has two shoulder replacements and no issues with that since luckily but it was so worrying watching her in pain even now so I have sympathy from a different point of view but I see it all the time and have done all my life. ❤
Yes, agreed! I was FINALLY diagnosed with h-EDS at age 58 after many surgeries for joint problems. Even my rheumatologist dismissed my symptoms, so it’s a huge relief to see this discussed. Siobhan, now that you’re finished with your residency, can you play us a song on your violin every now and then?
Dr Dawn Leighton, has suffered from Ehlers Danlos Syndrome, her whole life-This has meant waking up ever day with multiple joints dislocated and in pain! That all went away after she adopted a carnivore diet.
🎉🎉🎉🎉 I have it! C type!
I have EDS! It’s wonderful that as a Dr. You have knowledge of it. It’s a 50-50 chance a Dr. In the USA will know about EDS.
You are an excellent educator. Thank you.
I love seeing people so passionate about their jobs. You are clearly very passionate about all medicine but the way you lit up when talking about joint inflammation was just so beautiful. I honestly could watch or listen to anyone talk for hours about anything when they have that passion. I just love to see it.
You are the type of Dr. That everyone needs. You obviously love what you do and educating others. Thank you. I can share these gems 💎 with my family. :)
I have RA and I feel like I have learned more about it form you than form almost 20 years of treatment. Thank you.
Me too! ( :
About 40 years ago, in my late twenties I lost one of my best friends to Marfan's syndrome. His aorta blew out. I went to visit him shortly thereafter...he didn't die initially but suffered horribly and then died a couple of months later after being badly debilitated.
He had a master's degree, newly married and had his whole life in front of him but was born in the wrong time prior to genetic screening. We are still living in the stone age of medicine 40 years later with countless medical misdiagnoses and inability to cure maladies like tinnitus as just an example.
I remember his body shape which was kind of like gumby. His hands were like rubber bands...and fingers were hyper flexible which is the polar opposite of my rigid digits which hardly bend at all.
I remember at this funeral, the look on his parent's face as they looked around the room and thought, why wasn't it one of us who came to celebrate his short life and not their special son who was such a good person. It could have been other than for fate.
I empathise with you because a good friend of mine had asked his SO to marry him which, then, they were engaged for a few years, and then he was diagnosed with cancer. They sped the timing of the ceremony because the were both catholic and anyone who knows those weddings will tell you, theyre LONG, not to mention difficult to schedule at a time they could both do it with their jobs. My buddy....his cancer became stage 4 months before their wedding day. They asked their jobs to be able to move it up because they just wanted to be married when he passed. Both jobs accepted! so it was moved up I believe 3 months. I was to attend this wedding, yet....I got the horrible news that he had died literally the DAY BEFORE his wedding. .....not a day goes by where I dont feel the exact same way "WHY ME!? WHY DO I GET TO LIVE!?" It is hard, but with the right people, we both can learn to reminisce rather than be debilitated by it. :) feel free to PM me. :)
@@Atixtasy Survivor remorse is a terrible burden to bare. I beg you to try and find a different way to reframe those thoughts. You are here because you are purposefully here and you will be off to the next world when it is your time, not sooner, not later. This life is so short...live each moment being the best you that you can be. There will be hard times, and great times...it is all part of the process. I find at my saddest and hardest times in life...I learn the most and can use those skills to help others. And turning attention to helping others is really what makes the most difference and brings a ton of value. God Bless.
@@c.m.303Thank you; what you have said is so very very true!
@@user-dw3sf5qz1q Thanks for your kind reply!
You're passion and excitement for what you do is infectious!
Would love to see a collab with you and Dr Mike!
My college boyfriend had Marfan syndrome. We were hanging out on my bed one day and he suddenly had a really sharp pain in his chest that wouldn't go away. We went to the ER and it turned out his lung had collapsed and the doctor at the ER diagnosed him with Marfan's. Didn't even know it existed until then!
How is he now is he ok
Wow! You are amazing and you're giving me hope for the future of having quality doctors who don't seem to be connecting any dots and looking deeper . Big hugs! Thank you!!!
Thank you for being so clear about rheumatology
I have ankylosing spondylitis and osteoarthritis. I feel like my hands are exactly like the grapes! I love to hear other rheumatologist thoughts on this subject. Especially that neither one of my doctors ever looked at my hands.
love your content and me and my mom absolutely adore your vlogs in the hospital. whenever my mom catches me watching you she's like "oh, it's siobhan!" and sits down and watches whatever it is with me. 💕
aw that makes me so happy to hear! i'm planning to film in the hospital next week if i'm not too swamped - looking forward to getting back to the vlogs, I've missed it!
A pt who has you to receive care, is a lucky one! Your thoroughness and positive attitude is wonderful. You will have a very successful career in this field!
I have Raynaud syndrome. I lived in the northeast and it used to happen all the time. I’ve found cashmere lined leather gloves were my best defense. I’ve moved south 2 years ago but sometimes it still happens when it’s cold and I am taking a delivery (I’m an operations supervisor)and it takes a while to come back to normal especially when I can’t get to warm water. I sometimes shock people with my corpse fingers. And it does hurt.
Me too. I live in Northern Ontario, and have electric handwaemers that fit into my alpaca wool mitts. The pain that follows the burning as the circulation resumes is debilitating at times
Yes-my zombie fingers 😂
They don’t like to come back to life-definitely hurts
Does it happen when your in the a/c?
No air conditioning isn’t cold enough. It has to be really really cold. I depend on my gloves.
I have Reynaud's every day. Yes, air conditioning is a problem. It could be 100degrees outside and I will have it happen in a place with really cold air conditioning.
I have Marfan Syndrome! My hands are HUGE for a girl lol. I used to photoshop them as a kid when I took mirror selfies bc I was self concious. I NEVERRR hear bigger channels talk on my condition! Thank you!! I almost died from it since it is so rare.
Loved how this one was interactive!
It's so cool seeing your intros evolve over the years from a medical resident to what you are now. Well done to everything.
Thanks for a concise, clear explanation in layman's terms.
I’ve been recently diagnosed with EDS after two years of symptoms (joint issues, migraines, POTS, gi dysmotility, and a condition called SMAS) and they did lots of tests on my hands! So facinating!
Hullo, welcome fellow zebra 🦓 👋 I have EDS too
I'm similar. I have arachnodactyly, wider joints than the rest of my finger (think of a ring being loose, but not falling off because the knuckle is too big, it made it hard to size, and other joints are similar), was diagnosed with POTS, hypermobility, hereditary gluten intolerance, multiple chemical sensitivity, and now I'm waiting for testing for EDS, reynaud's, and a type of pollen allergy that makes certain fruit hurt my mouth. I've been complaining for 11 years now about migraines and pain, 8 years about fatigue and dizziness, and I've been on the wait list for a connective specialist for over a year. It sure is a pain waiting, and all I can say is I'm glad I can afford to go to physio as often as I do. I subluxed a rib because I sneezed too hard, and that sure makes it hard to breathe.
I complained about issues for more than 25 years before I was diagnosed, the doctors kept telling me that I was exaggerating, making things up or the symptoms I were describing didn't exist. Or that I was too young to have health issues 🙄
this video really further confirms my suspicions… i’ve been dealing with raynauds and also symptoms of EDS for as long as i can remember but anytime i bring up EDS to my doctors they excuse it as something else. i was a gymnast for many many years which somewhat explains the mobility i still have, but i’ve always had freakishly flexible and hyper mobile joints which has always been dismissed. i don’t do gymnastics anymore, i haven’t for a couple years now, and i still have the same hyper mobility issues and a lot of pain along with it.
Same with EDS suspicions. My joint are not dislocating all the time, but I've been flexible all of my life too (I did ballet in childhood but my flexibility is still there after 12 years). I can bend elbow joints in opposite direction, kinda do this fingers twisting and stuff, and I am scared now if it turns out as it is some form of EDS 😭😭, bc I was experiencing some knee problems and I don't remember hurting it at the gym (like it just randomly and gradually got to the point that it is hurting all the time), so I just sit there hoping that it is some usual ligament injury and not EDS. Will have my MRI soon tho 🤞
@@x.5364 How did it turn out, have you found out if you have EDS?
If your doctor won't take you seriously, fire him/her and find a better one. EDS and Marfan's have some issues that need to be paid attention to before it goes south.
Wonderful vidoes. A suggestion to you from a Certified Hand Therapist. If you teach Phalen's test for carpal tunnel to residents/ med students, I would NOT suggest doing it this way. When you press backs of hands together, especially if you have stiffer wrists, you will raise your shoulders way up, flex the elbows a lot which could provoke numbness from TOS or cubital tunnel syndrome that also cause numbness - and confuse your results. Recommend passive wrist flexion with arms relaxed to sides, elbows at 90 degrees or more. Keep up the great information videos!
Please do one on feet, I have seen so many patients with diabetic neuropathy, unfortunately it affects First Nations 5x more than other groups of people. I’m a nurse so I see it lots. Thanks Siobhan for your consideration of my topic.
In fall 2019 I was referred to a rheumatologist and got my Raynaud's phenomenon diagnosis confirmed. It was interesting.
Love this one, I was having numbness in my hands and my GP sent me to a Neurologist. The Neurologist did an EMG and noticed something so he referred me to another specialist. This specialist did more test and did a DNA test and I have CMT type 1A disease. I still have carpal tunnel and am dealing with the CMT as well.
Thank you for taking the time to share this great information! Loved it!
You have the most positive, energetic, fun personality/temperament.😊😊😊
I love your excitement, thank you for sharing your experiences and knowledge!! ❤️
For years I suffered with pain and disability and all the doctors just said, it’s not RA. I finally got into a specialist and he diagnosed me in minutes. Psoriatic arthritis. I’ve been treated for the past couple years, use nothing for pain as I don’t have any more serious plain and I got my like back!
Hand therapist (OT) here ✋ Love this video, there were even some things mentioned here that I had never heard of. Thanks for always making your content so informative and interesting!! 👍
What a delight to have this channel pop up in recommendations again after some years!
I love these interesting medical videos. Thank you and keep it up, Dr.
Thanks so much for your info on EDS. I was diagnosed almost 2 years ago along with POTS. It has been a very rough ride and miserable ride for sure!! Love your videos.
Super interesting! I have to say though, that the arthritis in my hands prevented me from doing some of these tasks.
I have swirls in my fingerprints. I did have hypertension on the past. Now I have type 1 diabetes but I'm very healthy now. 4 years ago I was almost dead. I am clear of all the other tests you shared. Thank you for sharing. Your super cute too . 😁👍
Great, fun video and of course the learning is always a plus! Thank you
Perhaps you can explain this: When I was 29 I was put on a drug that caused my joints to flare up, all but the tiny ones above the nails and my mid spine. Every other one in my body including my jaw suffered miserably and I was diagnosed with arthritis. I was practically crippled for over thirteen years, the medication was changed but the arthritis stayed.
Then, when I was forty one I was sent to an immunologist who put me on an almost complete tasteless carnivore diet. No, additives, colours, flavours, preservatives and almost every vegetable was removed from my diet. In a week, all my joints were perfect again. I was in no pain at all. I suffered all those years it seems for nothing. I'm seventy-two now and still eat the same foods.
Just found you on my feed...always glad to add doctors, such as yourself, to my subscription's. Needless to say, I just subscribed. Looking forward to your videos!
I only learnt about ED because Martina from Eat Your Kimchi has it. I have Raynauds but all doctors say in the UK is there is nothing to worry about.
So nice to see a happy Doc….
I’ve always loved your videos and am even more stoked to see you bring awareness to EDS thank you! 💕
Lol looks 😂at ✋ oh I need lotion 🧴 🎉🐸
I’d love more content about psoriatic arthritis. I think, out of what I know as someone who has psoriatic arthritis, the enthesitis is particularly important to talk about and so often overlooked. Many informational resources identify the dactylitis, DIP joint involvement, and nail abnormalities, but enthesitis is something I had to find in medical journals and it’s apparently quite indicative of PsA.
Loved this video. It was by far the best I've watched of yours and I learnt (learned - I'm old English) so much. Thank you.
I appreciate you, thank you for making content.
Very interesting and informative. My background’s in pathology, and there’s a lot of new information in here for me. Thanks for posting this - I’m looking forward to learning more!
I have always been impressed by people who can put their back of the wrists together WHEN holding elbows lower than horizontal to the wrists. I actually had something akin to the carpal tunnel resulting withering away of the thumb muscle, but my issue was that in fact that hand's thumb root area was bigger than the other, slightly swollen, yet it had zero strength. I couldn't hold an exercise band under my left thumb for more than 1-3 seconds. I think it had something to do with passivity for years, playing guitar which demanded stretch and tension, and then going to play ice hockey where the stick slams your palm hard repetitively for an hour or couple. Now it's much better after exercising the thumb muscles and going to the gym regularly.
I'm finally happy to see a Canadian doctor on YT.
You'll get to a million! Love your vids so much! Been watching since the beginning
Thank you!
Thank you! ❤
Thank you so much 😊
I find your cheerfulness very comforting and even with Boris images they seem not to be so bad !!
Thank you ! That was really informative !
Love the info and the freckles 🙂
This is the first video I've seen of yours and I actually thought you were going to be a quack. I've known someone who had Ehlers Danlos Syndrome and another person who had osteoarthritis and you were spot on about their conditions! I'm definitely going to start watching some of your other videos. Thank you for your youtube public service!
I love your enthusiasm. Your channel just popped up. Very interesting.
Love your freckles.
I would love to learn more about Ankylosing Spondylitis and how it’s becoming more commonly diagnosed in women now then it was before!
Your voice is so soothing! ♥️♥️♥️
Really enjoy your channel. Learned so much. Thank you for sharing 🌞
Very informative. THANK YOU
I love that you love your work 🌈😘
I have Ehlers Danlos Syndrome! Yay to see it being talked about in this video.
these videos are so informative and interactive!
Fascinating.
Glad I am so happy....this was fun,
No numbness or tingling, i could feel a slight pulse (just barely there) in my index and pointer finger. And a little pain in my right wrist from bending my hand in the position you described to us and holding it till you told us to stop. Love your vides. I love anything when it comes to medical topics. Thank you!
Good job, doctor. Thank you.
Thanks for this vid!❤
Really interesting, knowledge is power 💯❤️
Very interesting. Fantastic doctor . Always good humour. Lovely video's. Thank you.
Thank you for the video! Very informative 😊
She gets so excited about her work, that's so cool 😎
Very interesting! Thank you for being so passionate about educating others. You make it interesting to learn.
This is very knowledgeable
Please keep learning and making content about EDS! My first rheumatologist was excellent except he had obviously not kept up to date on EDS and even told me I didn’t have it. He said there were three kinds (there are thirteen!) and said because my skin wasn’t super elastic and I was overweight that I couldn’t have it. I do have hEDS, POTS, and MCAS, which are a classic triad. I also have psoriatic arthritis, fibromyalgia, Reynaud’s, and a lot of related issues. Did you know that dystonia and small fiber neuropathy are common comorbidities of EDS? We are also at higher risk of getting autoimmune conditions. It sucks because by the time we see a rheumatologist, likely due to a positive ANA or high inflammatory markers, some of our hypermobility may be hidden by arthritis thanks to autoimmune issues or due to the hypermobility causing permanent damage. It sucks that the diagnostic criteria is so dependent on hand mobility!
Anyway, please watch out for my zebra family. It’s such a long road to diagnosis and we very much need your help.
Thank you for this post. You always have great content. I have diffuse systemic scleroderma. Yes, Raynaud's is usually an early sign for this autoimmune. Also, Sjogren's is also an early sign. I was dx by an arthritis panel (blood test) that showed the scleroderma. I was also dealing w/ SOB just trying to walk a few 100 ft and I never smoked so I knew something wasn't right. I have a host of specialists following me and my care. This is quiet the journey from being healthy until the age of 63 and then this dx. Rheumatologists are helping me a great deal with what this autoimmune does to you. Thanks again, Dr.
It is a shock!I'm 55 I've got a slew of specialist too started when I was 50. It's hard but keep your chin up and your fighting spirit! I'll keep you in my thoughts and prayers !!
Me too and I'm 60
@@suzanne296 You were dx w/ the same thing? If so, how are you doing?
Great videos. I love your energy!
20+ years in the medical field, and I learned a lot of cool things here 😯😊
The health things you learn. Very interesting!
Thanks Siobhan! Missed your videos!!
Omg how did I miss your channel??...love, love, LOVE your contents ❤❤❤
You're amazing!
TY for your videos
wow that was so interesting and what I enjoyed most was doing the hand tests as you said them and pausing the video without knowing why, I have psoriatic arthritis and raynauds and my dad had ehrlos danlos, and I have very , very stretchy skin. Then when each one was explained I was rather wowed! it took many many years to have my diagnosis, I should have just watched you🤣
I am just amazed how cool it was to watch you excitedly explained it all.
Love The FUN Facts ((❤️)) Thanx 4 Sharing.
I like your laugh and positivty :)
I have scleroderma and rheumatoid arthritis. I really enjoyed this and learned a few things too!
One of my first symptoms was excruciating carpal tunnel syndrome. I also had Raynauds for several years prior to the onset of other symptoms. I also have contractures in my hands that happened very quickly.
Great to see educational stuff out there!
EDS PATIENT HERE. Thanks for addressing the disoder Beighton critria info was useful. Just one item: stretchy skin is found mostly in Classical EDS, not hypermobile.
Very interesting, thank you
Hi Miss Siobhan thanks for very informative tips about health.
Where does one find a rheumatologist as good as you are at differential diagnosis? Seriously, I love your videos -❤
Had metacarpal swelling for over 10 years to the point where closing the hand was difficult and that was gone after 6 months avoiding Ω6 oils and limiting carbs to 20g/day. My T2D officially went into remission as well
Love your videos!!! Great job! 🤗
Thanks Erminia!
I learned a lot from your video . Thanks.