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GPs: Behind Closed Doors - Season 9 Episode 8
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00:01Good morning, surgery.
00:02I've got a lump in my armpit that's been growing for like a year and a half.
00:10Ah, yeah, yeah, yeah.
00:11Really soft.
00:12It's gone.
00:13I'm sorry.
00:14Does it help to rub it or anything?
00:15I should leave it coming.
00:16It's hard.
00:17I do rub it, but...
00:18Yeah.
00:19Sorry.
00:21Are you a warrior?
00:23Yes.
00:24Because I always think I'm going to die.
00:30When you feel it, say yes.
00:32Yes.
00:33Yes.
00:34Yes.
00:41You only live up.
00:43It's still there.
00:44It's still there.
00:45It's still there.
01:00Though saying...
01:16It's my name.
01:19Uh, Henry, please.
01:23Mike.
01:24Hello.
01:25Hey very good to see you again.
01:26Yeah likewise.
01:27doing i'm guessing not well otherwise you wouldn't be here i'm so sorry i just think it's getting a
01:32bit bigger isn't it i think it i think it probably got bigger like the couple days after i saw you
01:36and like it um it came to a head over the weekend and then on sunday morning as i was in the hot
01:41compress like i noticed when i took it away there was like yellow stuff on it so then i assumed it
01:45popped but actually i don't think the swelling's gone down at all the pain's gone how's your vision
01:49at the moment is that okay it's actually still a bit blurry like i literally noticed it as i walked
01:53out of the house to come here any other symptoms fever nausea vomiting anything like that going
01:57after next good so you feel otherwise well i'm just going to lift the eyelid and pull the eyelid up
02:04a little bit i just want to have a look on the underside really yeah you can see where it's
02:08scarred over sorry it's uncomfortable a bit good
02:19do you uh do you think the uh ointment helped that i gave you last time did it help a little bit no i
02:29don't know if it did to be honest with you fine i think the infection's gone because it looks very dry
02:33it doesn't look like there's any more sort of pus in it or anything like that which is good yeah but
02:37i think we need to try now and get on top of the inflammation for you i'm just thinking how best to
02:41do that what i could do is give you a very very very weak one so normally the hydrocortisone we use is
02:46one percent but i could try and prescribe you the 0.5 percent which is even weaker and say just use
02:52it for a few days really just to really help get bring that inflammation down and we can give that
02:57a go see how you go with it yeah that's okay yeah yeah any idea on that time frame as to when that's
03:02going to be better it's so variable so some people unfortunately will be troubled with this for months
03:06i don't think that's going to be the case here i hope such words uh but other times you know sort of
03:1010 days two weeks that kind of ballpark figure is is sort of most more common uh from from here
03:16onwards i would hope it wouldn't be as long as that because we've already endured all of that
03:20time before okay perfect yeah here we go any questions at all that's it thank you very much
03:24good okay all right awesome thank you very much thank you no pleasure very welcome take care
03:36right so you're here for your smear test yes they've been trying to do it for about a year because i'm
03:41overdue okay every time they try and do it they can't do it because i've been examined because i was
03:47on this pre-cancer pathway for a while okay okay so you're due so you've had some abnormal smears
03:53before um not for a while i think i think they've been okay for a while but i'm is it every five
04:00years yeah that's right that's right okay so we are a little not long we've had worse but you are you
04:07are we would do it i am i'm usually really efficient we're gonna we'll do it now we'll do it today and
04:11then we can get it because i've got to have another ultrasound on friday for the
04:14pre-cancer pathway so i just thought i can't leave it and tell me what's happening on that
04:19pathway it was a suspected cancer pathway every investigation they tried to do was unsuccessful
04:24so they took me in to give me a hysteroscopy and they didn't do the smear there and then or anything
04:28in the hospital um not that we know of not that we know of sometimes they do but they would have told
04:34us it had we done it um they said it looked normal they have said the good news is that they're not
04:41overly worried and that they've discharged you off the cancer pathway as in they don't think it's
04:46cancer great so i think that's one good news great great but they still want to see you and follow
04:50up and and deal with things because they need to find out what's happening i got another ultra scan
04:53and i thought oh no and i think it was and we referred you was it because of the womb lining well i
04:59kept bleeding yeah but um i just decided to stop taking the hrt because i think that was causing the
05:06problem okay right let's hop up would you like a chaperone no i'm fine someone else in the room
05:13let me close this i've put that there and you can put that across your middle so if you've got a
05:18dress on it's probably just as easy to to either just hitch it up a little bit or whatever exactly
05:23from the waist down and then we all can get the bits ready okay are you ready yes yes i think when you
05:28have bleeding sweetheart and you're you're sort of what we call post-menopausal and we have some
05:32bleeding then we've got to think well why yeah and therefore we've got to go down the route where
05:36we start looking into it because then we can work out exactly exactly so it's really important so it's
05:41great to get the all clear but then we must make sure it stays the all clear and then we can see
05:44so you just be as comfortable as you can you'll feel a little bit of cushion i'm sorry it's a bit
05:48cold it's okay there we go i'm sorry sweetheart it's okay you all right yeah okay there we go it's
05:56okay i did loads of squats at the gym this morning they were hurting they were hurting more than this
06:01will hurt right let me knock those off let me get you some tissues we turn job done well there we go
06:07you can tick that one off your list the results will come back to emily and she will then contact
06:13you and let you know the results okay and as you know it will most of the time comes back normal but
06:18sometimes if they're not a hundred percent happy they come back to us and very occasionally we have to
06:24repeat it hopefully not yeah very occasionally they have to see you in that colposcopy clinic
06:29where they want to have a little closer look at it yeah but they test it all on there and yeah
06:32and as you said it's been normal a few times recently so fingers crossed it'll be all right
06:36thank you very much okay let me let you go anyone good luck with your scan then on friday thank you
06:42thank you thank you take care bye bye open or closed leave it open that's fine thank you
06:47thank you oh simon please
06:58hello good morning how are you uh slightly sore oh sorry to hear that come to take a seat
07:07good to see you how can i help today um what it is i've got um
07:13i'm having a lot of trouble with my back okay because i've got osteoarthritis in the spine anyway
07:21i'm not sleeping very well um sometimes if i lay on my back or i turn the sides i get a sharp pain
07:27down my back and the top of my legs coming numb and it's coming for about half an hour and i don't know
07:32what the problem is it's happening quite regularly how long has the pain been as bad as this for
07:38what would you say roughly every three days i get excruciating pain and i've got a trap nervous
07:42or something like that yeah absolutely sounds like potentially quite frustrating trying to get
07:47up in the morning i can't get up because my legs numb yeah i try and stand on it i'm having trouble
07:52always on the left side it's always on the left side yeah any injuries or trauma recently that might
07:56have set it off or made it worse well not since when i hit by the e-scooter no yeah it's getting worse
08:01worse when i was wearing a tear or yeah also someone helped me uh sleep at night with the
08:06amitriptyline because i haven't got any left is the amitriptyline helping a bit yeah it helps helps
08:11a bit you want two tablets of those 20 milligrams yeah so there is scope for that to go up a little
08:16bit if needed yeah we can always consider that um how else is it affecting your life at the moment
08:22are you used to get out and about well i get out and about i mean i play long green balls but
08:26it's got to a stage where um i can't wind this down as far to roll the ball anymore so it's uh
08:33difficult yeah trying to um have a life
08:56in a time no trees
09:05before you go down
09:13oh i'm so hot
09:16how many weeks are you now first i'll be 32 on friday oh excite i know how's it been second time
09:22around it's i would say very different like i felt i'm way bigger than i was yeah and just
09:32yeah it's just hard with the toddler so wilbur turned two a couple of weeks ago so he's like
09:38really in there yeah you know tell the tantrum very active i bet climbing up everything oh my
09:44god it's really hard either when you look back at when you were pregnant the first time yeah
09:48you think oh that was actually fine when you're looking after another one yeah but yeah so we're
09:55going to do um rsv today and the hoop and cough vaccination did you have rsv for your last one
10:02i don't think it was around with wilbur yeah so rsv is a respiratory virus that is responsible for
10:08sort of common colds and coughs yeah um however it can lead on to pneumonia and bronchiolitis
10:13um which is you know particularly bad for for babies and then the whooping cough is exactly the
10:20same as the one that you have before exactly so protecting them for their eight weeks um first
10:25eight weeks of life before they have their um eight week vaccinations perfect it's very unlikely to get
10:30side effects from these other than um uh sore arms or do them both today if you're happy with that yeah
10:36fine um sore arms um might be a little bit red a little bit achy that should subside within a day
10:41or two yeah there is always a chance with all vaccinations that you might get sort of mild flu
10:47like symptoms a bit of an achy body whatnot but with these two it is unlikely however if you're worried
10:51about anything just just let me know okay perfect are you feeling well today other than yes i'm pregnant
10:57yeah no i'm feeling fine perfect yeah i'm reminding you don't have any allergies do you no i don't know
11:04lovely oh it's very exciting yeah very exciting okay so we will do the rsv in your left arm so we'll
11:15start with this side of that's okay sure so just relax your arms yeah relax it down just like that relax
11:20from your shoulder all right sharp scratch okay sharp scratch perfect
11:44so next time i see you will be for the vaccination that's crazy isn't it
11:50but if you need anything though yeah just um just let me know but yeah so much luck with
11:55everything thank you so much so nice to see you yes i'll be to you too
12:08would it be okay today just to examine you is that all right yeah sure so whenever you're ready if you
12:11stand up for me i'm just going to press down the spine so you can see how there is a bit of asymmetry
12:18there so you know the shoulder is a bit lower than this one because you're compensating because
12:22you're in so much pain yeah that's very common to see that
12:28a bit tender there a bit of spinal tenderness i agree sort of around l23 l4
12:35sorry sorry are you able to bend forward for me stop when it's painful so only go as far as you can
12:42bend forward yeah yeah so it's yeah it's fine stop and then if you bend back for me yeah so
12:47very limited range of motion isn't it yeah okay if you slide one arm down one leg yeah and the other
12:53side for me yeah very very limited we need to get that back really sort of mobilized and moving around
12:59back pain can be really debilitating um it can lead to a lot of sick days a lot of time off work
13:04and can cost the economy you know millions a year so it's really important to um manage it as best as
13:11we possibly can and prevention is obviously far better than cure so having good posture strengthening
13:16core muscles making sure that we're exercising in a safe way and are looking after our bodies is really
13:22really important can i get you on the couch would that be okay in simon's case clearly the pain was
13:27having a very big impact on his quality of life on his abilities to sleep etc if the pain is a bit
13:33more complex if there's pain radiating into the buttocks or into the legs with potential nerve
13:37involvement that then might mean that we refer patients for more specialist intervention at times
13:43a lot of the time we can still manage that in the community as well but really understanding the
13:48impact the patient's pain is having on them is very important and that helps us to determine whether
13:53we need to seek specialist intervention or not how's that pain sorry i'm just gonna lift this leg up
14:06it's okay
14:11tender ouch yeah oh bless you sorry lift this leg up push me up good push me down
14:17good push me up with this one push me down kiss ah yeah yeah yeah it's gone numb really sore
14:23bit gone numb sorry does it help to rub it or anything no i should leave it a couple of minutes
14:28i do rub it but yeah sorry whenever you're ready you can come back round take your time do you need a hand
14:36oh yeah one of the main problems is like when i'm in line back because i learn my life is getting myself up
14:47having to sit on the bed for a while yeah just to get used to it and get the sources
14:54okay what i think we should do is a few things we can increase the amitriptyline if you like just for
15:02a few nights to see how you get on with it you can definitely go up to three quite easily if you want
15:06a little bit of um cocodomol or something like that just to you know for those paroxysms of pain
15:12when it's really really bad you can take a couple of cocodomol not a problem at all to do that
15:17and then i think we should refer you to the musculoskeletal team just to see if there's
15:20anything else that needs to be done um things to look out for if there's any complete loss of sensation
15:26between the legs if the pain is getting worse um if there's any loss of balance that kind of stuff
15:31just let us know as well all right we'll see how you go okay we'll take it from there all right
15:37i'll send the prescription to the pharmacy for you okay thank you very much thank you take care
15:46and here i'll go yep ready
15:52hiya how are you doing good you i'm fine okay i'm sam so i'm gonna do your diabetes
15:59check today so i'm gonna do your bloods give you a urine test check your feet do you know how much
16:04you weigh um 80 kilograms maybe do you smoke nope i mean not regularly social yeah do you drink alcohol
16:15then yeah yeah santiago is a young healthy active guy who came in for his annual diabetic health check
16:24santiago has type 1 diabetes type 1 diabetes is your body doesn't produce insulin it's an autoimmune
16:32condition it's classed as a chronic condition so on average how much do you drink a week no like
16:39maybe two three pints like after a football match yeah do you play football yeah are you good
16:45uh i mean you should ask that that to my friends but i think i think they would say yes
16:52you're decent who do you support who do i support you've got to be very careful now
16:58wrong choice who do you support chelsea yes oh okay well i suppose if you're in full of
17:06i've arrived quite like early or a few years ago here but like where were you from i'm from argentina
17:14do your family live in argentina yeah you can relax sharp scratch do they come here at all
17:22they came once i also went back like twice since i moved okay pop your finger on there for me nice and
17:30hard so do you play any other sport so i'm trying to get into golf but i'm i'm not doing i'm not doing
17:39good my dad's always he says he's at the office which means he's in the golf course but he's rubbish
17:45it still goes
18:03and then you do the one
18:04i can lose my arms in it right so i need to buy some more blue dresses yeah yeah
18:17he's got pockets when she's heavily heavily pregnant every day more enough yeah
18:27shoes off eat up okay don't don't get surprised with my how do you call this the fungal is it
18:34fungal now here here yeah yeah so next time you cut your toes yeah i want you to cut them and put the
18:43nails in here okay and bring it in for me okay but this looks like classic fungal toenail okay right
18:51close your eyes no treating when you feel it say yes yes yes yes yes yes yes
19:04yes during an annual health check we do a foot check where we check for any signs of infection
19:17and we also use a monofilament device which checks for loss of sensation or auto sensation to the feet
19:24we check to make sure there's no open ulcers no wounds and make sure that you've got feeling
19:33because if not then we can action it so it's really important to attend your annual
19:40diabetes check you've got some hard skin to the bottom yeah of your feet
19:46so when you're in bed at night if you put some um moisturizer on the bottom of your feet okay
19:54rub it into your feet both feet and then put cotton socks on okay that's great done liver kidney
20:01fibres cholesterol diabetes iron the whole lot amazing okay okay okay some appreciate thanks so much
20:08take care have a good weekend best wishes for chelsea next season best wishes for philip a lot bye bye bye
20:22come on in take a seat my name is anna mcquill i'm one of the doctors so what's been going on um i
20:30originally just wanted to get um bloods done because okay back home in australia i usually have an iron
20:36infusion but i've noticed that it's not a normal practice here to do iron infusion um so i think
20:42it's worth just getting my bloods done anyway but i've just been like absolutely exhausted all the
20:47time i've got a lump on my armpit that's been growing for like a year and a half okay we'll
20:52definitely take a look at that yeah that's good definitely good to know yeah so um when did you
20:57notice on this occasion that you were feeling a little bit more tired than usual honestly it's been
21:03the last last last maybe a couple of months okay and it's just progressively getting worse like i'm
21:08really struggling to just get through a work day and okay yeah yeah tell me a little bit more about
21:13the lump so is it multiple lumps i'll have i'll examine you in a moment it's just one here okay
21:19anywhere else no it's just this one i noticed it maybe last last february okay and has it changed it's
21:27getting bigger okay um and it's it's becoming sore like even if i'm just like resting it's like this
21:32achy pain and and is it ever red hot or anything no not that i've noticed okay and any lumps or
21:39bumps anywhere else not that i've noticed okay my nan actually died of breast cancer so yeah yeah
21:45is there anyone else in the family with well my mum passed away from melanoma so okay i'm sorry it's
21:50just running right from the females in my family unfortunately i'm sorry to hear that it's okay
22:04good luck with the veins okay like a challenge do you have a good vein i doubt it sorry that's my
22:22blood is solidifying okay so i'm just pressing along the the veins in the back of the leg what you think
22:28it might be deep vein flumbus or something awful because you've had varicose veins for a long long
22:33long time but the pressure's built up so now we've got the sort of discoloration which isn't going to
22:39go away because he did offer to sort out the varicose veins still as well they're painful they
22:43throb they're sensitive to the sun it's quite bad actually edward oh hello hold on i remember the script
22:55oh come in come in have a seat i'm megan how are you oh i'm well a number of years ago i had trouble
23:06with varicose veins they took one out okay doctor said do you want to see i said not bloody likely you
23:11know what i saw the pharmacist today about was should i get a pair they go right up up oh what stockings
23:19like compression stockings yeah yeah i said the pharmacist well are the knee ones okay or can i
23:28get one up the thigh is the main concern here about the stockings or have you had any other symptoms have
23:33you had any swelling any pain along along the veins not really um even though a bit of a pain but nothing
23:41more than the twins but i'm just worried that i don't want to get any worse you know yeah can i have a
23:45a feel is that right yeah yeah i've just had a shower you're safe just clean my hands you're safe as
23:53well warm hands thank god any pain when i press along the vein it's the size of these nodules things
24:00any pain along here oh up here sometimes but not much did they ever get red or hot not really these
24:06look like almost bruises or a bit of blood where it's it's popped it slightly oh right and because i can
24:12touch them it feels different to the vein ah you've not you can get something called phlobitis
24:17which is to do with inflammation in the varicose veins and it can be quite uncomfortable and hot to
24:22touch and and painful now you haven't got any of that which is good but people worry about dvts
24:29yeah yeah yeah yeah yeah um i mean have you had any recent long-haul flights i fly to australia every
24:35year yeah when did you last fly uh it flew back in january in january okay so it's not
24:40relatively recent last six months ago often for a lot of people who travel on long-haul flights
24:46they can buy compression stockings over the counter for this guy he had some varicose veins quite
24:51significant leading all the way up to his groin with his frequent trips abroad his age and the varicose
24:59veins it puts him at a slightly higher risk of getting a dvt because before you we would consider like
25:07um compression stockings really what you should have is a doppler it involves there's two ways you
25:13can do it one way is they put two blood pressure cuffs on each like one on each leg and one on the
25:17arm you lay flat for about 20 minutes and they measure your venous return oh right and they measure
25:24to see if there's any what we call aphalosclerosis in the arteries so like plaque build up but i don't think
25:31they did what we don't want to do is if you've got a big build up is giving you lots of compression
25:39and then there's an issue of you having problems with like venous supply getting blood supply getting
25:43to the legs yeah that's all right that's all your feet are they often purple yes yeah okay i think you'd
25:52benefit from a doppler to check how your venous supply is okay and that she tells me so i'll get
26:01that sorted for you one of the things that concerned me about this patient was that his feet were purple
26:07this suggested to me that he probably had some venous insufficiency which means that his vein
26:13system isn't working properly so then he's getting pooling and discoloration i keep walking everywhere
26:18you're walking everywhere can you feel your toes okay then continue doing what you're doing that's
26:22fantastic and like i said if it starts to get painful along the vein like hot to touch painful
26:28when you're touching it let us know but if it's more deep in the calf then i'll be a bit more concerned
26:34yeah okay but i'll get those all sorts of food look after yourself i'll have a look at referring you on
26:40to um get a doctor yeah okay to check make sure your your blood supply is all good yeah i said there's
26:46no news everywhere i don't know i see my legs coming apart oh my god look after yourself okay bye bye
26:53leave the door open oh yeah leave it open yeah take care of yourself i will i will let you mail
27:01at night time would you notice any kind of drenching night sweats where you would have to change the
27:06sheets or the pajamas or anything no no no nothing like that um have you noticed any change in your
27:11bowel habit no any blood in the poo black tarry stools anything like that no i mean there was um a few
27:19months ago well i noticed it and i was i didn't and then just sort of passed but can you describe that
27:24a little bit more was it red when you're wiping or well both and then like it was you could see that
27:30there was blood in the stool oh for sure and was it painful to pass the poo um not like stomach wise
27:37no i didn't really know what to think of it so i just i was like something might pass through
27:42i'm okay okay that's definitely good to know as well though is it okay if i examine your tummy and
27:46i have a feel of that lump under your armpit yeah no worries
27:53and if you just pop the top up perfect now my hands are freezing that's okay even in this okay just
27:58let me know if you have any discomfort nice any pain they want to present um not really i've been
28:09in there just a little bit yeah okay and you can sit up for me now i'm gonna feel the lymph nodes in
28:16the neck okay yeah they they have been swollen when i've been getting sick like really big yeah but
28:28okay can you put your hand on my elbow and i'm just going to feel under the armpit
28:35can you point to where you can feel
28:39okay and relax again
28:44okay and you can sit back down for me
28:45so the tommy's nice and soft i can feel what you're feeling under the armpit have you noticed
28:58any lumps or bumps in the breasts at all i had i've i had a biopsy in my left breast for i had fiber
29:06genomas and that was maybe like 2021 okay yeah and since then are you good at um checking your
29:15breasts for any i've got breast implants it's really hard okay um but nothing that you've i've not that
29:20i've noticed yeah okay yeah having breast implants doesn't put you at any higher risk of having breast
29:26cancer and there's no particular special or different way where you should be checking your
29:31breast if you do have implants i think you know generally knowing what's normal for you so looking
29:36for any asymmetry pain skin changes or puckering or nipple discharge and obviously relating to this case
29:44lumps under the armpits and those are all things where you absolutely should go to your gp to check
29:50so what i might do is bring you back in another point just to have a full examination of the breasts
29:55because sometimes when we have a lump under the armpit yeah we just want to make sure that there's
30:00nothing else um going on and we can send you through to the to the breast team in that okay in that
30:07context okay yeah yeah um and then uh with regards to the tiredness um there are a few blood tests that
30:14i'm thinking that we should do definitely so i want to look at your iron stores and your um to make sure
30:19that you're not anemic i also will do a celiac screen as well to see if there's an underlying cause for
30:25having had low iron in the past and things like thyroid function as well yeah is that okay does that make
30:30sense perfect it may well be that we then send a referral off to the breast team just to double
30:35check sure because a lump under the armpit we just need to yeah yeah fully examine okay does the same
30:42time next thursday work for you yeah should be fine so we'll do blood tests and then i'll examine you
30:49next week and more than likely send you to the breast team just to make sure that we're covering all our
30:54bases okay okay all right questions for me uh no that's all yeah thank you so much you too cheers
31:05do you mind if i park this in here here we go okay ready how's it going how's this young lady
31:14she's all right she's all right a few complaints yeah yeah yeah have a seat thank you you want to
31:21you want to stand or sit my yeah sit on daddy's knee yeah no standard sit come up okay what's been
31:27happening so she's been complaining from about since maybe friday night when she's peeing that it hurts
31:34okay yeah her pee is quite strong smelling as well yeah yeah okay um so yeah so that's been going on now
31:41since any temperatures does she feel hot no no um and it's also during the night as well where it's
31:47the most strongest for her yeah so she wakes up at maybe two or three o'clock in the morning and
31:51complains that she's out of nappies at night blah blah she doesn't wear a nappy at night she does wear
31:55a nappy at night yeah yeah but she says it hurts yeah and then she does you know the typical crossing of
32:01yeah yeah so it's important that we get a urine test before we start treatment okay if she's unwell we'd say
32:10put her on sort of a general antibiotic amoxicillin it's the usual children's one but uh the result
32:16then may show that it's a different about it might be better okay how easy what do you yeah this is
32:22the next question yeah how easy how easy am i gonna go yeah um yeah the other option is cotton wool you
32:34know put it down there and then when she's gone you just squeeze it out into this okay that thing but
32:39we'll keep you all the same here just by label on it for me we're gonna put your peepee in there
32:47and then someone's gonna look at it and tell me if you have something wrong yeah yeah
32:56trying to choose oh you want a sticker my hair which one what do you want we've got shark starfish
33:01turtle octopus which one do you want you choose you want the octopus oh okay i was in a jellyfish
33:06daddy oh sorry jellyfish sorry not yeah yeah don't know my nose man you want that one you want to put
33:11it on your you want to put it on your uh yeah you can show all your all your friends in becca's you
33:16got a sticker daddy gets these to go yay party bags okay there you go thank you you're welcome any
33:24problems give us a call yes sir and if i see the urine test back early i'll give you a call okay
33:29thanks thank you for coming hi hi do i get a wave hi thanks for coming see you
33:42if i eat anything in the morning i immediately feel bloated and full and if you sort of pass wind and
33:47things does that help i'm not able to very much but i don't usually anyway do you feel like now bloated a
33:52little bit with more wind um yeah maybe a little bit okay and does the pain improve after a bowel
33:58movement or passing wind i feel like i really need to go yeah actually pain
34:07do you think it's because you had the latte you're cramping up because you've mixed the milk and the
34:12chips and then sweets
34:14that's why i'm crawling in again that's all right we're pleased to see you we're in here today
34:30that's why i'm crawling in again yeah so what's happened you know last week i had terrible diarrhea
34:36first okay and then total conservation bloated like this on sunday nothing i didn't so i went to
34:45chelsea in westminster so he was rather a thing this is all painful you couldn't feel a blockage
34:52okay my blood okay and sent me home now it's again it's constant pains here okay it's like this
35:01i sent you a copy of those what i could copy from the tests from the hospital yeah yeah it looks
35:08like my liver and kidney is something because we've had sort of tummy upset and problems for quite a
35:13while haven't we and we sent you to the sort of the urgent clinic to try and get them to find out
35:18what it was didn't we she didn't she run tests and did a lot of tests and they put cameras in and
35:23everything and nothing and then the other day when i was pooping it looked like blood i'm just
35:30thinking of having a whole body scan maybe well you pretty much got a whole body scan before didn't
35:36they just a few weeks ago so they did a whole ct what they call thorax abdomen pelvis they did
35:41all of it from top to bottom and here from here all the way down and here i am again so they didn't
35:46find cancer or anything which is what we all worry about yeah and they've said that everything was
35:51fine the heart the lungs they didn't find any swollen lymph nodes or glands they said the liver
35:57gallbladder pancreas spleen adrenal glands kidneys bladder are all normal even bladder bladder all
36:05normal but they did say that you've got a condition i don't know if you know about it called diverticular
36:10disease your our intestine sort of comes and it looks like this and it's nice and and bobbily like
36:16that and it comes down and out and we go to the loo so that's what it should but with diverticular
36:22disease we end up with these little pockets oh that stick out and the poo comes up and round and
36:28out it can get stuck in these and cause them to be inflamed and bloaty and sore and horrid they said no
36:35other abnormality in the colon nothing else in the pelvis but you do have these and what i wonder happens
36:40is that some days might not be so bad other days might be horrible yeah do you pass a lot of wind
36:47do you find you're quite windy well sometimes i don't i have to take something okay to help it yes
36:52and the problem is that that's what can happen here that sort of gas can build up and then it's stuck
36:57and it can't go around and if gas if the walls get stretched to the colon it's really uncomfortable
37:01and it can be really horrible why don't we start with just seeing if we can get something to help you
37:06with the one thing we know is going on which can cause the bloating until we have a poop test we
37:10can do a poop test and we can just check that there's nothing there yes that there's no blood
37:26we can do a poop test we can do a poop test we can do a poop test we can do a poop test we can do a poop test
37:32are you a warrior yes because i always think i'm going to die and what do you think you're going
37:38to die of something horrible some cancer or something the problem is that we all worry about
37:42this and sometimes that worry just grows a bit doesn't it i think it's getting is sort of because
37:48i've had so many friends i'm sure that's frightening isn't it but that's my age i mean but but that's the
37:55problem that that's going to keep on happening isn't it instead of going forward that's why i
37:58accept it yeah but it's just sad it is yeah you know i said oh can i go on holiday somewhere
38:06who'd you go with yeah i used to always have one or two and they're all sort of dropping off are they
38:13slowly yeah and they're all dropping off but that's okay so the problem being the fittest of a group
38:18because then you're the one that's left standing aren't you i'm about the only one left out of the
38:23lot that we started what about making new friends and different things i have lots of young friends
38:32anyone to go on holiday with any yeah well i am i always do once a year i force them
38:38good i bet you don't force them very much i'm sure if you suggest i'm trying to zanzibar in september oh
38:43my goodness me that's amazing i'd like to go to zanzibar for longer but 10 days that's max because what
38:48you get people to sort of dog sit yes yes and drives my partner crazy he's 80 and on his own with
38:56the three of them can he not travel with you or does he not really like he's autistic he doesn't
39:01move he sits in front of okay the computer all day long it's very difficult but we get on well i've
39:09known him for 65 years and are you married is he your partner no he's my part he was always my best
39:15friend i got married to somebody else and then got divorced and went back now with him but i mean 11
39:21years now oh okay well he does his we're the best friend we knew each other's families we grew up in
39:28harping so we knew each other you know it works it works he has somebody to talk to i have somebody to
39:35talk to good we all do our own thing yeah yeah i mean if they keep you all going i mustn't complain
39:42i'm a bit just of a neurotic but this makes me feel better well i'll tell you what let's do the test
39:47and see but then we'll discuss the result when it comes and then we can make a plan what i'm going to
39:51give you the little sample pot let me get it from the girls at the front then we can get it sorted
39:55out it's all day another uh fit test please bring it back anytime thank you enjoy take care
40:01all the best bye bye how are you well i'm all right i mean because i'm asked to come not because
40:08i want to come but you feel okay yeah yeah i get on with it yeah you know that i know that that's
40:18why i like seeing you because you know me so your sugar's okay your liver
40:23um it's still yes it's still there
40:30got a stroll's good is it good yeah what do you say yours is 4.4 wonderful
40:40there you go i spend my life telling people to take statins and it's great when it works well
40:48it i've been taken for so many years it's unbelievable i started you on them because
40:54i'm on the same ones there's the first of them yeah but you feel okay you don't have achy joints
41:01oh i do have achy joints but i'm 80 years old what do you expect
41:07i mean even the bones here hurt my collar bones hurt
41:10but you know tell me about the bones and aches and pains and things tell me about them
41:19for instance we went to the coast and what should have been an hour and a half journey because half
41:24the motor closed did a detail took us three hours so you know i've got a bad back yeah i've always had
41:32so when you get out of the car over that in the car in the car while you're going and my hips were
41:37hurting yeah yeah i couldn't wait to get out the car so i mean i'm used to back hurts you know it's
41:43all the time yeah yeah it's part of me it's always the left knee yeah yeah yeah yeah and usually the
41:53right hip i say the other day it was both hips but then yeah hey yeah somebody's got to kill me
42:02well your joints are not going to kill you but we want to make we want to make it as joyful
42:08experiences going to the coast as possible i don't really want you in pain your blood pressure is a
42:14wee bit high as well that's probably because i've been sitting out there and you're late and i'm always
42:21early i'm not happy to just leave that blood pressure as well what's it now that every day
42:31so i would like to check your blood pressure again are you going your way or you're here no i'm here
42:40yeah i'm here what i'm going to do is book you in in two weeks time with me and sam if she's around
42:49yes just do a couple more blood tests all right check your blood pressure yeah we'll just send it
42:55to the phone and on yeah okay i'll send it nice to see you anyway and you yeah it's not like coming
43:02to the doctors is it when i come to see you it's just to see him chuck yeah take care yeah all right
43:09take care cheers thank you very much thank you very much i'll see you next week thank you
43:39so
43:47so
43:53You've had a few
44:22of those falls recently, haven't you?
44:24Oh, I've had five of them.
44:25It always happens where you can't get up
44:27because there's nothing to hold on to.
44:29Oh, gosh.
44:30From your, like, perspective, would you think I have ADHD?
44:33It's a spectrum, isn't it?
44:35We're probably all on one part of the spectrum.
44:37He just woke up one morning and wasn't all there.
44:52It's a spectrum, isn't it?
45:09You can only listen.
45:19You're probably going to put out a tract,
45:20you don't have anywhere worldwide.
45:22You's a big one.
45:23You're probably going to live in a Pollock.
45:25Would you like to dance?
45:26I think there was aijke in the filling.
45:27I feel youteriore.
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