The Jeremy Kyle Emergency Room Series 1 Episode 1
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TVTranscript
00:00on today's show so obviously we can see that it's actually quite extensive isn't it
00:06seven stone in each year I can't do anything and this is the woman that you love when you're with
00:12somebody you want to spend your life with them and you see them in pain it's horrible John right
00:15where's the magic one you haven't actually had this looked at because you're scared it's not
00:19there then it doesn't exist but it is there yeah it is let's be honest with each other right you're
00:23terrified if you get that looked at yeah somebody's gonna give you some devastating news I've been
00:27taking cold cold water 1.30 a day the thing that concerns me about ashes case is the codeine will
00:33give you addiction however the paracetamol can kill you it's got two girls as well if anything does
00:39happen to him hello good afternoon and welcome to the emergency room now I'm gonna be here each and
00:51every day with our team of doctors attempting to address some of the biggest health concerns
00:56affecting Britain today now as you can see very busy already loads going on and there's one
01:00particular case I want to talk to through in the treatment room dr. Rachel's there let's go and
01:04have a look at her very well thank you you're right yeah it's Vicki John John Rachel I'm not the
01:16expert what's going on what we got so Vicki's come in today complain of some leg pain haven't you yeah
01:21I've got lipidemia and lymphedemia which is fat retention and water retention it's now causing a
01:27lot of pain in my joints in my knee and I feel that my knee is going outwards and now happen to use a stick
01:32before we do the medical side just sort of one-to-one personal thing um we'll we'll see and hear more
01:37later as a person as a woman how long has this been going on how does it affect you I was born with
01:43it so I've had it all my life it's just got relatively worse and worse so run how does it
01:48make you feel though yourself some days you get down embarrasses me you know I feel ashamed of what
01:57it's like because of what people do you know you like they look at me and think that I overeat and
02:02it's it's what you know what that's their assumption yeah sorry John and when you see the person you love
02:06in pain and you see people saying things you touched upon that that must be that must be horrible yes
02:12I don't think there's a magic wand to make it go away I wish there was dr. Rachel what is going to
02:19happen today so what we're going to do today we're going to have a little bit more of a chat about the
02:23symptoms you've been having then I'd like to examine Vicki's legs just you you alright for me being here at
02:29this point I mean I don't want to know I'm not the expert she is we'll let you get on do you mind if I have a
02:34yeah I don't okay let's pop this off just pop that inside thanks okay so obviously we can see that it's
02:43actually quite extensive isn't it in terms of about seven stone in each leg yeah yeah how much about seven stone
02:48in each leg approximately show me where you get in the pain with your knees oh dear more than anything you
02:56know it is both knees but this is the worst one that's that's actually seems to be turning round
03:00and the ankle seems to be going as well so obviously with the weight so I mean you can see with see the
03:05angle of your leg there the actual excess kind of fat tissue there is pushing the legs out which which
03:10can happen with lipidemium and actually does happen quite often I suppose the question would be is
03:17whether or not there's something going on inside the knee as well yeah so if you don't mind do you mind if
03:21you know you have a look at the knee certainly just show me how much you can bend the knee
03:24and that and that's pressure to do that right that's difficult it's heavy yeah it's very heavy
03:31if I do it's heavy to do it I see the bruise in there as well yeah just pop your leg down again
03:37for me what I want you to do I want you to do exactly the same but with my hand over the top
03:40okay I apologize I'm a little bit cold pop your leg up for me okay can you get that any further
03:47yeah that's about it just about that okay what are you trying to find out so what I'm doing here
03:52basically is trying to assess the range of motion at the joint and obviously it's difficult especially
03:57with the the fat tissue at the back there just because it stops your joint from moving actually
04:01physically and by putting my hand over it I'm feeling for any kind of creaking or crepitus that
04:06might explain possibly some wear and tear in the joint what I'd like to do now though is have a gentle
04:12feel around the joint itself granted it's a little bit difficult just because of the amount of tissue
04:17around the knee sure but I'm hoping to see whether or not there's a specific area that's causing a
04:21problem okay so if you don't mind I'm just going to have a little bit yes okay no the bottom of the
04:27legs are really retender I don't like being touched but any pain there at all yeah I'm not like yeah
04:33there okay so what we're doing here is basically opening up the joint space so when you bend the knee
04:38there's a space between the thigh bone and the shin bone and if we press in there we can see whether
04:43it's painful I watch you well Vicky's being examined this really affects you doesn't it in what way
04:49you just feel that I can't do anything but that's the point I look at you feel upset and this is the
04:59woman that you love and and I know one of the reasons you came to the emergency room is to try
05:02and get something tangible from from our team and that's the point but you said it just then you know
05:07when you're with somebody want to spend your life with them and you see them in pain it's horrible John
05:11right yes where's the magic wand I think there is one well listen whether there's a magic wand or not
05:21we'll do our very best I know we're waiting for the the x-ray results this is an emergency room
05:25things come and go we're going to try and get them before the end of the show we're going to leave you
05:29to continue the examination Rachel um we will do everything that we can I really appreciate you
05:34coming in you're right John all right well that we'll catch up with you later thank you very much
05:37indeed another question I'd like to ask on the bottom they call it donut yep and it goes underneath
05:43yep right the way up into it um I'm worried about when that goes down too far and that's going to
05:49start dragging on the floor yeah absolutely the shoes go over do you mind now I have a little look
05:54no of course you can so they call it the donut they also call it the bracelet effect yeah and
05:57basically it allows us to differentiate between whether or not this is just fluid or whether it's true
06:02lipoedema yeah because the feet don't swell absolutely so there's a sign called the stem
06:06of sign and if we pinch your toe there yeah the fact that I can pinch the skin
06:10guys John how are you sorry just going to grab a chair I know you're waiting to see the doctor
06:21you are I am indeed yeah Jude yeah I'm turned friend um why in the emergency room stage
06:26well I've got this pain in the ear and so I listen to that it's a bit harsh oh no and she's been on about this
06:33that's a lump there in the neck how long have you had that for look about five years but you joke about that that how long about five years now I read you have been on at your long-term friend for a just will you please go and get this looked at what why haven't you is that I can't see it
06:54um and it so it's not there and it'll go away but it hasn't it's just got bigger you've been in his ear
07:01yeah right for a long time and what's he just say no I'm not doing it I'm pushing away and he turns around
07:06and said yes yes yes I'll go I'll go but he doesn't but I've got a picture there of how it was
07:12probably the size of a pea there right that's right yeah and now that size right man to man answer me this
07:20because this is this will resonate with so many people you haven't actually had this looked at
07:24because you're scared yeah I suppose so yeah if it's not there then it doesn't exist but it is there
07:30yeah it is let's be honest with each other right you're terrified if you get that looked at yeah
07:34somebody's going to give you some devastating news that's right yeah so what if I said to you that
07:38this lovely lady who's been nagging you for two three four years yeah what if you found out that if
07:43you'd done this sooner the situation would be better why wouldn't you go and it looked at
07:48I can't answer that that's your spot on he needs looking at and I just put it off and put it off
07:55so today you'll find out the truth that's how scared right now um a little bit dubious yeah yeah
08:02yeah a little bit twitchy but it's important he does it you look as scared to be fair well it's been
08:10going on a long time now but but also relief that he's finally got here today but this this this is when
08:16you'll find out the truth and it is a lot of men do it enormous couldn't it it could be but but
08:22that's why a lot of people oh the doctor's ready for you thank you all right thank you okay yep yep
08:32hello hello john thank you john thank you hi please thank you i mean take a seat okay
08:37okay okay yes be relaxed be comfortable thank you victoria very simply let's get to it what are
08:48you i mean we've heard this story this is three or four years john has has really pushed this under
08:53the carpet this was the size of a pea now look at it he makes a joke about it but what are you trying
08:58to find out today that's what it's for right i mean i think it's quite important and most important
09:02things that you're here today but um any things with lumps it's really important to establish
09:06exactly what the cause of the lump is and so we can do something about it as soon as possible
09:11what are we attempting to do how are we going to find out what we need to find out so i'm going to
09:14ask you a few questions just kind of get a bit of the story and then i'm going to examine your lump
09:19and then see what we do from there and then afterwards we'll do this now some private as well all right
09:24okay yeah um so i'm just gonna ask you a few questions first okay so tell me when roughly did you
09:29first notice this long four or five years ago okay yeah and how did it start when you first noticed
09:34it well yeah while i'm shaving i see a little sort of pimple pimply thing and i thought oh yeah
09:40nothing it'll go away but it just but it grew okay and um it just got bigger and because you see it
09:49every day you don't notice the growing of it and it's other people um like jude i mean that's quite
09:56substantial let's cut to the chase it's quite obvious i mean you can see it soon as you come
10:00in so it's a sign of a conker now there's no there's no hiding that lump so obviously um
10:04you've obviously left it quite a long time before you just generic question a lot of people will
10:08think this is an obvious question but it's important why should we be concerned when we
10:13find a lump on our body big um the most important thing that everyone worries about is cancer i mean i
10:17know it's not the first thing that we go in for but if you can find the cause of a lump and if it is
10:22cancer as you can treat it much sooner rather than leaving it for a bit longer and obviously there's more
10:26kind of risks with that so that's it that's the scary word yeah yeah the the the cancer word is
10:32a scary word would you fight just very quickly as well would you find that men are more likely to
10:36sweep these sorts of things under the carpet than women 100 percent normally it's so common that you
10:41see and normally the reason why gentlemen will come in is because friends or someone else has come
10:46well this jude's been nagging him quite rightly yeah yeah all yours let's do the examination
10:51all right so i'm just going to come around to this all right i'll pop over here so i'm not in the way
10:54yeah yeah i'm just going to put this should have been done a long time ago but at least he's here
10:58that's the most important thing isn't it that's the most important thing so i want you to relax
11:02and um yeah you can take one button off okay that's perfect and i just want you to turn your
11:09head slightly towards that side and just stay relaxed as you can do you have any paid at the moment
11:13at all no no no it's a pain in the neck but okay let's have a clip so i'm just going to have a feel
11:20just to see i mean body parts can be quite emotional i mean i was thinking about me adam's apple and it
11:26it brought a lump to my throat see even now yeah right you're joking well yeah just go but call me
11:35any name under the sun afterwards but remember what she just said you should have done this four years ago
11:39that could be very serious the jokes don't work yeah seriously yeah i mean let me just have a
11:45closer look so frustrated
11:52do you want me to explain what i'm doing as i go through so one of the first things we look at the
11:56to have a look at the lump just to make sure there's there's no other kind of lumps or bumps
12:00around it we want to make sure whether it's firm whether it's attached to the skin or not
12:05um sometimes we kind of see little kind of dents from the inside where it could be like a cyst where
12:10it might ooze some stuff but i'm not seeing that at the moment but i can see there's a part on top of
12:14it um initial thoughts initial thoughts it is solid anything solid like this and often painless we do
12:22worry about things that can be more sinister but it can be something as simple as a cyst um it can be a
12:28fatty lump those are common things in the neck um we've had these things called derma um sebaceous
12:33system these are kind of lumps which are kind of related to like bits of skin and they produce
12:38as liquid and stuff may discharge um and then obviously the worst case scenario although it can
12:44be managed are cancerous lumps okay we're going to get on with the scan you're going to do an ultrasound
12:48with the sonograph um i'm going to let that happen okay we're going to carry on with what we're
12:53doing in the emergency room and we will do before the end of the show we'll do those results but
12:57listen take it seriously you've got the best treatment here we're going to get on with the test all right
13:01thank you keep an eye on him all right juice thank you all right we'll catch up with you later on good
13:05luck yeah okay i'm just going to put a gentle pressure initially you okay there yeah yeah
13:18and heading to the treatment room dr renand another interesting case let's have a look
13:22dr renand how are you well thank you how are you to see it's ashley yeah nice to meet you sheree um
13:32just briefly for me um why are you here what what's going on um well i've been taking an operation seven
13:40eight years ago and from then i've been taking coke aldermal how many at 1.30 a day
13:47that's a major addiction isn't it it's a significant number because the thing that concerns me about ash's
13:53case is that the codeine will give you addiction however the paracetamol can kill you where are you
13:58getting that number from prescription or or otherwise both i know that you were saying to us sheree that
14:06this really concerns you because you don't know what he's doing to his his body and you don't know where
14:11this ends i don't know what it's going to him inside it's not really affecting him outside
14:17but the inside is the problem how does it make you feel knowing that this is now a major addiction
14:23that's horrible just just layman's terms what can that sort of addiction do to you
14:28physically the codeine itself is turned into morphine in the body so morphine is basically the heroine
14:33split in half so you're giving if you're having 100 milligrams of coding say um and that's equivalent
14:40to 10 milligrams of morphine i mean look i i think i've met quite a few people over the years but
14:44you've just said to me something i didn't know so codeine in effect can be allied allied to heroin
14:49addiction yeah i mean diamorphine is heroin did you know that yeah so you are addicted to a heroin
14:55based substance how old are you 29 does it scare you coming off it yeah it scares me coming off it
15:03because of the withdrawal symptoms it gives me pain it gives me diarrhea it gives me the shakes it gives
15:08me i mean this could be serious so today with the sonograph you could find out that you've damaged
15:13organs yeah you could find out that you've done stuff to your insides that that are irreversible
15:19i guess essentially yeah is that scary yeah of course it is i'm terrified to see what the results are
15:25this is d-day really i mean this is this is where you find that's a big step i want you guys to carry
15:30on i'm going to hop over here you're right for me to be here for this i don't bother can i borrow you for
15:34a second i'm just going to weigh you and the reason i'm weighing you is because of the amount of
15:39medication you're having there is a toxic dose for the body and we can work that out depending on your
15:43weight so if i weigh you then we can try and calculate that for you yeah you look like you're
15:47getting emotional i don't know what it's doing to him good healthy man weight pop yourself off come on
15:53over here sherry anybody can see as he went and did that just that test what what it's doing so i can see
16:00your tummy it's he's got he's got two girls as well i don't want them to be affected by if anything
16:08does happen to him ashley you're saying what this is doing to your girlfriend have a look i know now
16:14have a look at her she's terrified scared about what you're going to find out yeah okay look up for me
16:23just a little feel on your neck okay do you want to have a little tummy no no anywhere sore at the
16:32moment no no you're right i'm just gonna can i just get you to under your top button okay thanks
16:39okay lovely so i'm just going to start pushing your tummy tell me if it's sore
16:42does it get irritable without them it gets a bit it doesn't get um aggressive
16:50tell me if it's painful it just gets a bit down we're going to do an ultrasound now with julie yeah
16:55julie can you just run us through briefly what you're going to do yeah indeed i'm going to just
16:58tuck some paper into the top of your trousers you're right most people think about ultrasound from
17:03pregnancy scans but we look at all different things all right this is called gel and this would show
17:09the organs and whether there's been some damage yeah we're looking at the architecture of the
17:13liver because chronic damage causes scarring and changes in shape sometimes you just get fatty
17:18changes i say just fatty infiltrates is the first sign of something going on i'm just going to slide
17:23this probe around now okay okay take a deep breath in tell us what you what you're looking at and and
17:30where you're at julie as you do it is that okay this is the left lobe of the liver here you can see the
17:34left lobe of the liver and if we just angle it you can actually see the heart beating because i'm
17:38just below the heart so what we look for is the edge of the liver to make sure it's nice and smooth
17:44that's really important when we're looking at the liver so this is the left lobe and then i'm just going
17:50to go 90 degrees to that and here we go just get a little view of the pancreas here could you turn on
17:57your side away from me please ash because what we're looking for it's almost a look at you here and
18:02and i think you know how important this is don't you yeah of course i do you probably want to do
18:08this but you don't want to do it right like i said i'm scared to come off it because of i've tried to
18:14come off it before and what i went through when i when i didn't take him when i got i got rushed into
18:20hospital i was like i'm scared of the pain surely the pain though to be fair is better than destroying
18:25your organs internally that's fair enough but it's it's hard it's hard so it will be for your
18:31family if you kill yourself by taking these drugs to be fair right i mean hopefully i mean i don't
18:37know and then are we is it looking all right could you just take a breath in for me please ash i think
18:42what we're seeing so far is reassuring um unfortunately that's only one part of the investigation for
18:47this i mean ash mentioned that two or three years ago he had a very significant problem when he was
18:52taking about 30 days that writer yeah taking a 30 day he suddenly um passed blood very heavily from
18:59his back passage had huge amount of stomach pain had to go into hospital and was hospitalized for 13
19:03days and i think that was an acute insult to his liver jules good bad what there's a small cyst in
19:11the liver but other than that a small cyst anything this is a very common in some and some body organs
19:18particularly the liver and particularly kidneys they generally have not any great significance
19:22depending on their size shape etc would that cyst be caused by the addiction no no almost certainly
19:29not so it would be fair to say at this point he seems to have dodged a bullet i think so far i'm
19:34really pleased i have to be perfectly honest i'm really really pleased i do think the further um
19:38further referral is required okay um and i think you particularly need support from the substance
19:43misuse team for one part and that's the codeine addiction yeah the other issue is too much
19:48paracetamol and i would like to sort of really focus on the fact that you know more than eight
19:52tablets of paracetamol in a day that's eight is your maximum beyond that you very soon get to a toxic
19:58dose and the reason that we were weighing and ash earlier was to work out whether the amount he's
20:03been having equates to a toxic dose and i have worked it out and it doesn't which is good his previous
20:0830 a day however does if you're having 12 grams which is 24 paracetamol tablets in 24 hours
20:14you are likely to have an almost lethal insult i'm watching you during this i don't know whether
20:20i see complete relief or just this sort of thought that why the hell didn't i do this sooner
20:25so further referral but it looks julie annanand from where we're at he has dodged that bullet but it
20:31needs dealing with now and that needs help for him to stop doing that two separate assessments
20:36i know you're gonna maybe not think this is something you can answer but presumably having
20:46seen that having seen what it's done to your girlfriend today you're going to try with our
20:50help to change yeah you said he has two young kids yeah and a girlfriend that loves you you don't
20:57need any other motivation do you no referral and help come here use today in the right way all right
21:05you okay thank you very much indeed we'll let you carry on julian ann thank you very much indeed
21:19loads and loads of interesting cases i'm heading back to the treatment room dr victoria has another
21:23interesting one for us to find out more about
21:30dr victoria you okay yes it's eileen isn't it yes nice to meet you partner robert um briefly before
21:36victoria does what she does best um why are you in the emergency room well i've got this problem when
21:43i'm having intercourse with bob of making love then it's ended up to feel as if it is not making love
21:49anymore it's actually uh sex really without even looking at each other you know obviously there are
21:57interesting underneath and it's i feel it's in the way when we're you know having making love and having
22:04intercourse basically what we're talking about i know it's difficult for you and i appreciate you
22:07being here is that there's a lump down below which is causing restriction box and that has had a profound
22:14effect on the two of you it has yeah yeah and i'm telling him off and saying he's doing things wrong
22:20and then he's telling me i'm doing it right it's you and then in the end we stop doing it so it's
22:28affecting your sex life yeah and bob is it affecting the relationship because you know it i guess she'll
22:34think things you'll think things i mean we're still a very strong couple in in lots of other ways you
22:40know um obviously intercourse doesn't happen or very rarely happens so how does that make you feel
22:48sad really sad for us because it was always part of our life it was never a real problem for us so
22:56something's missing now from your lives i mean it would over egg the situation because sex isn't
23:00everything but sexual intercourse is a major part of a relationship right that's right and and the two
23:04of you there is this issue but you haven't really been able to resolve it it's i blame him he
23:09blames me we end up kicking off at each other and then the next day comes um so for us today i'm hoping
23:16that we can try and see what what is wrong with me underneath you know emotionally what does this
23:23do to you as a woman well i just mentally say that that part of my body underneath doesn't work anymore
23:30and it just i make sure i'm clean all the time but um i don't have no i don't like watching anything like
23:39loving on the tv and that or anything so there's something missing really yeah because it affects
23:45it affects your everyday life really if you argue we don't argue a lot do we but it it takes aliens
23:52femininity away that i think that's what you're trying to say yeah isn't it yeah you feel like
23:56you're missing something um bringing dr victoria um i know that you want to do an examination and i
24:02just wanted to say at this point are you i'm going to step away but are you happy for me to be in the
24:05room or would you prefer i don't mind okay um the interesting comments there i was taken away of
24:10femininity that the lack of being able to have sex is affecting their relationship so i mean if you're
24:16happy to to do what you will do our best here okay is that all right yeah definitely i think it's really
24:20important for me to have a look and then we can decide um and you're right with me just here yeah
24:25okay so what i will probably do i may need to see at some point what i'm going to do first is actually
24:32do um get you to lie down um a bit more and then i will have a look on the inside just to see where
24:37the problem might be we might need to use one of these have you seen these before especially no
24:44so basically this is what we commonly use in smear tests we put this inside the vagina and open up a
24:49bit with some jelly and we just want to have a look on the inside so first thing will be with
24:53my gloves first and then we'll do that separately okay yeah all right just you carry around is when
24:59did this start is this is this something recent or oh no gosh it's gone on for
25:06um well bob thinks it's 12 years but i'd say it's more like 19. why wouldn't you do something about it
25:11beforehand well i was hoping that it was just maybe something that was happened after the
25:19operation so it was going to go back to normal it was going to sort of move itself out the way and
25:24it would be okay you know but eventually it's just got worse and worse and worse and we did that then
25:30we put stuff under a carpet absolutely please you can didn't mean to interrupt i might actually just
25:37before i start can ask you just a few questions about this lump uh down below um has it ever felt like
25:43it's been a heaviness yeah it did at first um and then i felt like it was um this two these two parts
25:53of me tummy i felt it dropped and i thought and then that felt okay and that went okay and then i got
25:59pains in the lower of me back then i started imagining perhaps my womb had tilted when there was having the
26:04bowel operation but i was i was just trying to guess really because it wasn't medically and then i started
26:12sort of self-medicating like taking brufin and paracetamol together to sort of and that would help
26:17the pain okay so i'm just going to get the bed low with a little bit okay yeah just lean back into the
26:23bed thank you thanks and i'm just going to get to to just give me a bit of this jelly um so you're
26:32all right for me to i'm just going to lift up your uh yeah there we are here what i want you to do is
26:39just flop your knees out a bit these muscles here you want to keep them quite loose and relaxed
26:44if there's any pain at any time just let me know okay so first i'm just going to use a bit of jelly
26:50with my finger and just have a look around that area first okay so so you said it was just a bit on the
26:58inside you're relieved she's doing this today yeah yeah everyone get to some sort of conclusion as
27:07to what is going on you know and then at least they just as she quite rightly said blessing you know
27:13can you feel it'll go away and you hope it'll get better i can feel something i don't want to interrupt
27:19yeah it feels like the the rest of what is left of my back passage okay victoria you're just
27:25investigating seeing if you can find out what the obstruction is right do you mind me asking i was
27:29going to um get you to can you just bear down see if there's any lumps that come out from there yeah
27:36okay okay and relax again have you found anything victoria not yet i'm going to get you to bear down again
27:43my fingers here okay and one more time just do it from the back package here so it's quite narrow in
27:53here um no obvious lumps but i can feel part of i know you said that you had some operations um before
28:01and i just wonder whether there's a bit of scar scarring related to that additions most likely
28:08um no obvious lumps that you can feel from the outside um but it's probably most likely you need
28:15to probably have a closer when you're doing that feels comfortable i feel like you're pushing something
28:20out the way i don't know it sounds stupidly saying it but no because how you describe it
28:24so it could be something left from one of the operations before it could be um one of the other
28:28things that it sounds like your story sounds like a prolapse of some sort so what a prolapse is is when
28:33something comes down that can be the womb or it can be the bladder so anything that's kind of
28:38disturb the weakness of the muscles around it can cause other organs to come down down and it
28:42sounds like that's what might be getting in the way oh well what i want to do is use the speck
28:46now in that in that instance if you're right can surgery correct that oh yes certainly i mean
28:51there's two types of options one which doesn't require any surgery um something called a pessary which
28:56is a plastic ring can't believe it just a relief to know and that's like all those years and you've
29:06come here today and she says that she thinks she can find out what it is and there is an answer and
29:10that yeah because she's so good at saying all the things that's been going in my mind you know
29:14what does that mean fantastic that's what we want to give us a hug i wish i could do you think
29:22do you think from what you've seen already that there is in fact a practical solution to this
29:27be it surgery yeah i'm so glad but it's that old thing as well isn't it about you know um
29:34um why don't we do it you think you're imagining it you sometimes you know when you don't want to be
29:40um doing something that isn't really worth doing you know because you're just making a a drama
29:48else ever do you know what i mean oh certainly no dramas and what you kind of describe and how
29:52it's affecting your relationship is quite significant that's exactly what we came for today how does that
29:57make you feel rob elated absolutely elated you know we can hopefully go on with our life now
30:05and be happy go on a holy man needle oh dear you're jumping ahead quickly you two um so be more of an
30:14examine examination um just to finish because we're going to do whatever we can to advise you and point
30:20in the right direction just sum up the diagnosis if you can so most likely a prolapse could be of
30:25the bladder of the womb um but normally that's due to having a previous surgery that may have weakened
30:31the muscles around there even without surgery this can happen it's very common in women
30:35and most people put it off so they don't know what's happened the corrective surgery
30:38if you're right difficult long term oh usually with great success yeah and quite often you don't
30:44even need surgery it's just something that you can put within the vagina to hold up the walls a bit
30:48more and normally that sorts out the problem isn't it happy you came yeah gonna leave you dr victoria
30:53listen thank you sweetheart i really appreciate you coming in um and um i hope we can sort you out
30:59great and if we can enjoy the honeymoon thank you take care thank you thank you
31:03okay so much okay but it can be slightly uncomfortable but just let me know if there's any pain okay so it's literally a plastic and put a bit of jelly on there put it in
31:15you may have to open it for you guys well it usually isn't too bad just let me know
31:20thank you very much indeed so more from the emergency room heading into cubicle one with dr
31:32anand and a lady in there whose story i think will resonate with many many people watching this
31:42sorry to bother you ayesha hi nice to meet you richard
31:47how do you partner um just before dr nan does um his examination um briefly
31:53because i think a lot of people will be very interested by this story why are you here
31:57here because i had silicone implants and they ruptured in my chest how long ago did you have
32:03silicone implants um early 90s about 94 but they they they ruptured and the silicone they spread all
32:11over my body and caused me now to become very very ill now you interested me as well on this
32:18which because you never wanted a she to have this done originally no i didn't but for her
32:23her own self-confidence i know that she wanted that boost because she's always been very flat
32:28so after seeing having it done i thought great and there was nothing no no nothing in the the
32:34press at that time that would give you a contraindication the silicone into your whole body what
32:40has that done briefly to you medically it's made me very ill you've woken up in the morning in the
32:46middle of the night rather and she's not breathing i went up to check her after my son has said good
32:51night to her and she was completely comatose flat on her back i counted up to 17 seconds no no no
32:58breathing so immediately what does that do seriously it frightens you to death i mean all of the family
33:04were there to try and wake her up she wouldn't respond she didn't wake up till the next afternoon
33:10at half past 12 with her daughter by her side dr nan um why i said i think a lot of people will be
33:15interested that's terrifying it is i think that just needs to be clarified a little bit because
33:20unfortunately i just has actually two different issues going on one is a significant rupture of
33:25the silicon which we you know we know in a recent study that was done that uh after three to ten years
33:31about 15 of of uh breast implants will rupture um the other situation however is that aisha has sle
33:38so systemic lupus erythematosus which is a fancy word of saying that her body attacks itself in such
33:43where it causes great damage to joints and overall your body has a less good ability to heal
33:49unfortunately the treatment for its steroids however steroids hamper healing and aisha's
33:54had multiple operations to try and resolve the silicon situation uh today is about looking at
34:00exactly trying to find an answer to the to the wounds that won't heal i just want to say one thing
34:04because i know dr nan's going to examine you are you happy for me to be in here or do you want me to
34:09are you sure about that i think it's important that you feel comfortable you you definitely get
34:13on with that thank you you have for me to examine you yeah is that right and thanks for coming to
34:16discuss this thank you so if i just slip your arm out of that and your arm out of that side thank
34:24you so much lovely okay so if you can just put your arms behind your head for me i'm just going
34:29to examine your breasts that's right can you pop your arms down for me now just so it's more
34:32comfortable i'm just going to lift them up because i think we can have a look at your scars yeah
34:37you can take the is that's all right thank you tell me if i'm hurting you no no and they should
34:43be pecking in there okay i'm just going to pop that there and you'll smell it as soon as you pull it
34:47out don't don't worry about that i can smell it i must be so upsetting for you it is it's really really
34:56really upsetting take the pecking out i want you to smell it and she puts up that this is like the
35:07fifth year that we've been going through this poor thing the point is that is a wound from an operation
35:1310 years ago that has never healed no this is now five years i've had four operations i have to be honest
35:21this is a very difficult situation i mean i certainly never want to leave anyone without hope
35:25and you know one hopes that advances will be made and there may be other treatments there are available
35:29that what they're trying to do is allow this to grow by what we call secondary intention where the
35:33body just heals itself from the inside out and grows outwards and fingers crossed that will
35:37improve as time passes it's just much more difficult than isha and it's a really different
35:42medication from steroids that she could take to combat the other or keep the other in shape that
35:46would then enable the body to deal with healing this all of them work by reducing your body's
35:50immunity and your body's ability to try and heal itself so it's incredibly difficult i mean that's
35:56why heart goes out to isha here this is so difficult to struggle with and she's being incredibly brave
36:02but you can see why she feels so sad about the situation as it stands bless her the steroids are
36:08needed to combat the sle yep the detrimental facts are that taking those steroids mean that these wounds
36:14from these breast implants 10 years ago remain open and sores i i always said when i did i i feel so
36:23sorry for you i hope that you know medical science will improve and there's a way there's no doubt
36:28you've got a massively important marriage and the two of you are very strong but i just
36:32i feel very sorry we always have yeah and that's what i want to finish with we'll do what we can and
36:38just hope that there is um a chance to move this forward thank you my darling richard thank you yeah
36:45thanks for having not at all dr annan thank you very much indeed
36:48you'll remember earlier on i met john the man who had the lump in his neck that had grown over
36:59five years left him having an ultrasound the results are in john how are you very well hopefully very
37:06well only came here after five long years of pushing this away because of your good friend jude
37:11thank you for that um let's cut to it vix here julie's here what do we find there's a lesion
37:17obviously we can see it we can actually see it here on the ultrasound it's an ovoid
37:21lesion it's solid not a typical sebaceous cyst um so i've discussed it with vick and she knows
37:28what john needs to do yes i mean just as judy said you've got this lump in your neck which is obviously
37:34obvious to see um the scan has shown that it's a solid lesion um but it's most likely to be benign so
37:41therefore it's most likely to be non-cancerous um but the most important thing is actually that lump
37:46still needs to come out so yeah i see you raise your eyes haven't i said it this morning five
37:51years you've swept this under the carpet and and and judas been on and on and you made jokes all
37:56morning yeah but looking at you now that could have been cancerous how do you feel i feel that it's
38:04good job we're here they said it doesn't look cancerous nothing is 100 medically i guess but it's
38:10good news but i think we're sending out an important message you know don't ignore your lumps why did
38:15you do it then i know it's ignorance isn't it it's not there it doesn't exist but yeah you're quite
38:22right what does it feel like knowing that predominantly it looks like it'll be okay uh it's a relief
38:29it is a relief it'll sink in later oh yeah yeah and i'm very grateful i'm glad it's been sorted out
38:37and you can get it cut out now maybe can we get it cut out yes you you're certainly in operations and
38:42we'll refer you to the hospital to have that done and then they can have a closer look at the lump
38:47underneath the microscope but yeah it certainly needs to be removed and big just just to finish it
38:51is as john alluded to an important message from a doctor's point of view for anybody watching this
38:56who's got a lump on any part of their body what's the medical approach please please please get that
39:03lump seen sometimes we put these things off and we worry that they might not be that important but
39:08the risks with anything there is a risk of a cancer i know people don't like to talk about that but
39:12cancers are they can be managed so not all cancers are terminal if you can deal with the problem sooner
39:17then obviously your long-term prospects can be so much better than if you were to ignore them i mean
39:22years of ignoring a lump is actually quite dangerous i think it would be fair to say you're a lucky man
39:26i'm glad you came to the emergency room and you got the result you got lucky didn't you well listen i
39:30think we send out a very very important message and i think it's one that i hope people listen to
39:34and you should thank her massively thank you vicky thank you julie thank you very much indeed
39:42so that was john who received what seems like very positive news and i guess his story is a lesson
39:46we can all learn something from don't believe it get yourself to an emergency room and get some answers
39:51before i finish today you'll remember vicky at the beginning of the show she had problems with
39:54her legs we did some x-rays you got those results now with dr rachel dr rachel vicky your eyes all right
40:01yeah thanks for this you okay my friend all right i want to get to this very quickly you did i know
40:05some x-rays on vicky says you had real pain um we talked about what you've been through in the last
40:09few years but certainly pain in the knees we had some x-rays i believe we did yeah so we were speaking
40:14about the long-term pain that you had with your legs we'd actually had a new pain in the knee yeah so we
40:18decided to do some x-rays to see whether or not there was another condition on top of it causing
40:22any problems um and here are the x-rays now so what we can see here vicky is this is your thigh bone up
40:28here uh-huh this is your shin bone and this is your kneecap just over here now what i can see from this
40:35side view is between your thigh bone and your kneecap you should have a really nice clear space
40:40so on your x-ray anything white is going to be bone and anything black is either going to be fluid
40:47or fat what we can see here is actually there's no gap between the thigh bone and the kneecap what
40:55that means is that every time you're actually moving your knee you're rubbing bone upon bone and that's
40:59why you're getting the pain is that like impingement almost so it's more like osteoarthritis so it's
41:05basically a really good picture in terms of what we can see of wear and tear and if we swap them
41:10around so i think we've got some x-rays that are from the front on as well that's on the other side
41:15so we can see that it's both the right and left side okay and then on the front view this is your
41:21thigh bone there's your kneecap just here and this is your shin bone and you see here how there's a quite
41:27a decent gap there between the two and that gap's filled with fat and fluid every time you take a step
41:32it's basically and the suspension that's buffering the joint and protecting it on this side it's
41:37quite narrow compared to the other side so as the leg has gone outwards because of the fat deposits on
41:44your leg it's almost pushing the bone like that so this pain is is not caused by is it caused by the
41:51problems she has with the legs the weight of the legs is that is is is that doing something to the
41:55bones is that what you're saying i think it will definitely be contributing to it obviously there are
41:59lots of people in the community who have wear and tear osteoarthritis without the condition that you
42:04have but certainly the two combined together are going to mean that you you're in an awful lot of
42:08pain all right dr roach what can be done because the whole idea is to obviously get the diagnosis and
42:12and refer and try and find an answer what can be done so i think the key with this and what we know
42:16from the lipo lymphedema that you have anyway is keeping your your mobility going so anytime when you
42:23don't have mobility the existing condition is going to get worse what we need to do with the arthritis
42:28is try and give you enough pain control and control that enough so that you can continue to do your
42:33swimming and things like that so i think the first step really would be to um potentially think about
42:38i know you're already on lots of medications for pain relief anyway but possibly joint injections and
42:42things into the knee to see whether or not we can help what if vicky didn't come here today didn't get
42:48so that became more and more immobile what happened so not only would the osteoarthritis get worse but the
42:53lipolymphedema would get worse as well so we know from the lymphedema that lack of mobility means that
42:59the fluid can't flow back up the leg so the leg would swell as well as well eventually as we're starting
43:05to see there's a little bit of skin changes down at the bottom i think that would get worse when those
43:09skin changes happen it predisposes you to infections and when those infections become recurrent obviously you
43:15can become very poorly from it so so the key is keep your mobility so in essence look at maybe change
43:22but do something about the pain relief to maintain the mobility which will mean is is is that good
43:28are you pleased to hear that yes yes because my fear was the fact i'd have to be in a wheelchair all
43:32the time and i don't think i'd want that so you've got so much spirit about you um and no no you have and
43:37that that's independence how do you feel about this it's a good result there's a hope that yeah
43:44in a lot of instances i guess with a lot of people sometimes your meds do have to be changed sometimes
43:47your pain relief levels and things that you take have to be changed what we're saying here is is if
43:51the pain relief is is right the mobility will be maintained and that in itself will help the problem
43:56thank you so much for coming in bless your heart thank you thank you dr rachel thank you as well thank
44:00you very much indeed so that is the emergency room for today don't forget if you've got any of the
44:07symptoms you've seen on the show today contact your gp at your earliest convenience thank you for
44:12watching we'll see you very soon take care bye bye for now
44:30you