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00:00I ended up in A&E on Saturday with the pain. I could barely, like, even talk.
00:18You've had a few of those falls recently, haven't you?
00:20Oh, I've had five of them. It always happens when you can't get up because there's nothing to hold on to.
00:26Oh, gosh.
00:27From your, like, perspective, would you think I have ADHD?
00:33You know, it's a spectrum, isn't it? We're probably all on one part of the spectrum.
00:40She was so determined to see her first grandchild.
00:45Well, she certainly was looking to make the most of whatever time she had.
00:51He just woke up one morning and wasn't all there.
00:57Haha.
00:58Yeah.
00:59She was so measures Whoo!
01:11Yeah!
01:13Hello, come on Jim. Thank you. How are you? Sick. Sick, oh dear. Right, come and have
01:35a seat. Do you want to tell me what's happened? I had this pretty much when I came in and I
01:40had it for five days. Okay, it was a sore throat and... Yeah, just aching all over. Okay. It's a hot
01:45temperature, feeling just generally rough. Horrible. Yep. Started the antibiotics on a Friday, by
01:51Saturday I could feel it coming down. Okay. Saturday night, Sunday, it's like shingles came out, so
01:58various different spots, a few on my face, about six, seven, either side of my stomach and a few on
02:04my legs. Okay. Really itchy. Sort of blistery spots? Yes. And did they all then scab over,
02:10sort of thing? Then Monday I woke up and I felt a tingle in my throat again and it's just started
02:17and I thought, oh, not another sore throat, but it's just gone back to what I had previously. Back to
02:21square one again? And now it's... And you took the antibiotics for... A week. A week. I'm interested
02:26in the spots because it's interesting, you felt grotty and you had all of this. It's just,
02:30there aren't very many things that cause blisters to sort of pop up at various places all over the
02:35body. Okay. And you mentioned shingles that it could be, and the shingles is only in one place.
02:40Right. So it's in one strip or one part of your arm or just one side of the face. It's never both
02:44sides. But the virus, the sort of, the bug that causes shingles is chickenpox virus. Yes. And do you
02:52think this was chickenpox? I mean, you said you've got children. Have you seen chickenpox in the kids
02:55recently? The kids had chickenpox both about two years ago. I've had chickenpox as a kid. You did
03:00or you didn't? I did. You did? Yeah. Okay. Did this look anything like chickenpox? Yeah. So I wonder
03:05if it was, I mean, sometimes you can get chickenpox again, but it's just, it's one of the few rashes
03:09that causes blisters and they come up both sides of the body and it can make you feel awful, especially
03:14as an adult. Yeah. But then you stop the endoparticles and your throat's come back. Yes. Yeah. My throat
03:19has really swelled up again. I can't eat. At the moment I'm taking cocodermol, paracetamol,
03:26ibuprofen. And is there anything else going on at the moment or mostly just the throat? Yeah,
03:31just, yeah, just the throat. I mean, I ache and musket, I feel really sort of tender. Any
03:35temperatures and fevers like today? I'm 38 when I just left the house. Horrible. So it's definitely
03:41come back, hasn't it? With a vengeance. It's just strange. Horrible. Right. Let's have a look. Oh,
03:45yes. Right. Let's have a look first of all in the back of the throat. If you don't mind opening
03:48something really wide and say, ah. Ah. Ah. Ah. There is quite a lot of white stuff all over your
03:57tonsils, sweetheart. Can I just feel your neck? I mean, this is swollen, isn't it? Yes. I mean,
04:04I don't know what your neck normally looks like, but it looks quite puffy. It's all very puffy. Is that
04:07very tender? Yes. I think there's a couple of things we could do, Dominic. One thing I'm wondering
04:11is, can I take a swab? We need to know what the germ is, because at the moment when we see common
04:16things, we throw the commonest antibiotics at it, but sometimes if it doesn't work, is
04:20it the right antibiotic? And were we on it for long enough is the other question. So if
04:24you don't mind just opening wide, I'm just going to tickle back of the throat. Okay, well
04:28done. One. And the other side, I'm just going to do that side. Sorry. Perfect. So the lab
04:35will tell me what it is and what's the best antibiotic to get rid of it. I mean, last week with the
04:39antibiotics, the next day I started to feel better. Annoyingly, I think it's just broken
04:45back through, hasn't it? I mean, it's a raging tonsillitis is what you've got. We need 10
04:50days of antibiotics. Okay, let's get rid of it, sweetheart. Let's get rid of it. The surgery
04:54will contact you as soon as this comes back if there's anything we need to do. Yeah, fantastic.
04:58Are you taking some time off work? Not causing me too much stress. I mean, I think with a fever
05:03you should... I'm a three-year-old or a four-year-old. It's much more stressful than work.
05:06They're probably the reason you've got this in the first place, isn't it? They bring
05:09everything home, don't they? Thank you. All right, take care of it. Bye-bye.
05:14Hi, come on through. How are you? Good, thanks. Have a seat. Congratulations. I haven't met
05:20Artie yet. He looks really well. What can I do for you today? So Artie is four months
05:26corrected now because he was six weeks premature. So he's four weeks corrected, five and a half
05:31months actual, something like that. And developmentally, no concerns with him, fixing and following
05:38really well. I don't think he's got any issues with his actual vision because, you know, he
05:42plays with his toys, he grabs his toys, he smiles at us, etc. But what I have noticed is that when
05:48you're looking at him normally, his eyes are fine. Yeah. But when he is playing with his toys and
05:53anything that's up close to his face, he goes really quite cross-eyed and has a squint, which
05:59I know in newborns isn't a concern. Yeah. But I did read that if that's still happening quite
06:05consistently after four months, it might be, is it strabismus or could be? Yeah. So sometimes
06:11we do get ophthalmology to have a little look. Yeah. Yeah. Strabismus is an eye condition commonly
06:16known as a squint. An intermittent squint is normal in newborns. And this is as the brain learns
06:21to coordinate the eyes. We do expect, though, that squints resolve around three to six months
06:26of age. If a squint persists, we want to get ophthalmology to assess it to see if it's either
06:31an underlying condition or something called amblyopia, which is basically a lazy eye and
06:35does require treatment. But I, yeah, I don't know if I'm being too premature with this. And
06:40actually, he's only four months, so there could still be time. Yeah. It's only when he's playing
06:45with it. Right. Like, when you look at him normally, it's not there. If he plays with things
06:50like here, like when he's playing midline and then he brings things to his mouth, for example.
06:55Yeah. What's this, mister? There, can you see a little bit there? Yeah, very slight. But
07:01sometimes it's a lot more noticeable. Do they ever go in opposite directions? Not that I think
07:06I've seen. Okay. Like, can you see a little bit? Yeah, it's just the left one does move further
07:12in, doesn't it? Yeah, that's it. And the left even more so. Yeah, so there, that's it. Yeah.
07:17Yeah. So they will both go in. Obviously, you know, if I did it to you and we, or finger
07:21to your nose, your eyes would go in. Yeah. But yeah, the left definitely does it more
07:26than the right. But I think it might be worth us just asking Ophthalmology to have a look.
07:32Yeah. Because I feel like he's had so many things. I know. Otherwise. Yeah. And we don't
07:37want to completely ignore it. You know, yes, it can be normal to begin with, but normally
07:40we expect squints to improve a bit. Yeah. And I think realistically, it's not going to
07:46be a big deal. Okay. Amazing. A referral would be really helpful. Yeah. So I'll get that done.
07:49Yeah. Okay, then, mister. But nice to see you. And I'll do the Ophthalmology referral.
07:54Thank you. Right. Come on then, mister. Let's go. Thank you so much. Not at all. You should
08:01hear from them. If you don't hear anything in the next three or four weeks, let us know.
08:04Okay, will do. All right. Thank you. Take care. Bye. Bye. Just in case you get
08:11more, just in case you get thirsty. I'm not drinking that. It's from yesterday. You got
08:15thrown in a bin? Yeah. Well, I'll water the plant for it. Such a waste of water. What are
08:21you doing? What? Do you need a tap? Do you need a tap? I'm just having a slow day. I've been
08:26having a slow day for like a month now. It needs more plants. I don't have... That's
08:32what it needs. What do you think? I just sit in with blood foods.
08:45How can I help today? You want to tell doctors? Can I tell the doctor? I think you better
08:50because I can't remember what it is. Okay. At the beginning of the year, Colin started
08:54getting forgetful. But it sort of deteriorated very fast. We were put in touch with the memory
09:02clinic and an assessor came round and he thinks it's not the normal sort of dementia. He thinks
09:11he may have had some mini strokes. Okay. That would have caused it. And he was going to book
09:17an MRI. But I think these days, MRIs are very difficult things. And then he discharged
09:23him. Hmm. So since then, we're just... A bit in limbo. We don't really know what's going on.
09:29Yeah, exactly. In limbo. Oh, no. That's not good. And how's your memory been since then?
09:33I don't think I've used it. Ah, fair enough. Have you noticed that there's been a decline since
09:40that assessment? Um, it's not too bad some days. Some days are not as good. And it's the funny
09:48thing. It's a very, very short memory. You can ask me a few times a day, you know, how old am I?
09:55And then you say, what? That old? Do you not feel, do you not feel 89? Me? Yeah. No, not at all.
10:04How old do you feel? I feel younger than 89. Yeah, good. How's your mood? Good. Good spirits?
10:14Yeah. Is it okay most of the time? Yes. Yeah. And are you sleeping well? Yes. Yeah. Some nights,
10:20some nights, yes, not as good. Ah. Yeah.
10:34Any questions? Any questions, Annabelle? My wife has always had questions. Not too personal.
10:49Everyone over the age of 50 now should have it done. Okay. Because you're getting old.
10:54Not as old as you. My little action man. Any questions before we go? My wife kills me if
11:00I don't ask the right questions. That is good. Absolutely. She keeps you right. You're going shopping?
11:05Oh, do you want to think we're going to shop? Come on, Annabelle. Love you.
11:15Any changes in behaviour or personality? No. Nothing like that? No. Good.
11:20It's the same naughty. Same old you? Yeah. Yeah. Good. Excellent. Really good. See, I think we need to get
11:26that ball rolling again for you because it would be good to get some investigations and see what we can
11:31do to help. Is there any point in taking a scan to see what's happening in there? Any lesions or?
11:37A hundred percent. Yeah. I think there is. Yeah. We can definitely do that. Now, as GPs, we're very
11:42limited. They only let us do so many things. But the good news is, for MRI scans of the brain, if we're
11:49querying dementia, they do actually allow us to request those scans. And the reason I asked about the
11:54personality change is because in frontotemporal dementia, people often who are normally very
11:59placid and nice can become very, very violent and really change in their behaviour. So, again,
12:04I'm not hearing that. So, if anything, it might very well be a vascular type of dementia because
12:09of the damage to the blood vessels over the years and stuff. The scans will be really good. That'll
12:14sort of tell us one way or another. And then we can put steps in place to help and to help sort of
12:18slow down that progression, potentially. There are medications available. What sort of help do
12:24you feel you need at the moment? Do you feel like you need carers to come and help or someone to come
12:28in and make sure it's safe for you at home? You know, put grab rails if you need them. I would like
12:34a grab rail in the bathroom, by the way. Yeah. Let's do that. We can refer you then to adult social care.
12:38Not a problem at all. OK, lovely. Thanks. My pleasure. Thanks for coming in and sharing all this
12:44with us because I know it's a really difficult thing to talk about. Don't think blah blah happened
12:48to you. It's true. It's just so funny. He just woke up one morning and it wasn't all there. Yeah,
12:55absolutely. Leave it with me. I'll be in touch and I'll do all the referrals and stuff for you.
13:00Any problems, just come back. Don't hesitate. Thank you. Come take care.
13:12I want to show you this. Look, do you think this will look good on me for my birthday?
13:19Oh, hello. Yeah, that's lovely. I want to show you.
13:26This is a dress I might wear for my birthday.
13:28Surgery. Oh. Where are you going again? For brunch. You're going to wear that to brunch?
13:34What club after? Brunch is at lunchtime, you know. Well, not really a brunch. It's like a
13:38school to restrooms eat. Not brunch. Yeah, an evening. It's not brunch.
13:41Fine. OK, that's nice. I look forward to the pictures. Hello.
13:46Hi, how are you? So, come on in, take a seat. Thank you very much. My name is Anna McHugh.
13:50That's very nice to meet you. So, tell me, Craig, what's been going on for you?
13:54I've got a rash that's been under my arm for ages. So, how long has it been going on for?
14:00Probably had it eight months, nine months. It doesn't itch. It just, it's sort of blotchy.
14:06I've heard it a few times. They thought it might be stress-related because my previous job,
14:11I was a bit stressed, but now I've moved, happier job, happier setup.
14:14Well, that's good. Obviously, I've still got the remnants.
14:16OK. GPs, they gave me cream. Cream did nothing.
14:20What brings it on? Is there anything? I have no idea.
14:22Do you find that it's hot weather or if you were... No, it doesn't seem to be related
14:27to a deodorant or anything, to be honest. OK, well, we have a little look.
14:31That's absolutely fine. So, you've tried a few antifungal creams.
14:36Yes, and I found none of them actually. Sorry. Oh, yeah. And have you been in the sun or anything like that?
14:43I haven't, to be honest. I actually haven't done much in the sun.
14:46It looks like something called Petriasis Versicolor. OK.
14:50So, it is fungal. Yes. And I'm going to give you, it's actually a shampoo.
14:53I've just started noticing I've got one or two spots that are stored on the side,
14:56but I never used to have on the side, so I thought I'd rather get it sorted.
14:59Yeah, absolutely. I'll give you a, it's actually a shampoo that you use.
15:04Oh, OK. And you leave it on for five minutes and then wash it off.
15:06And I think because it's been going on for nearly eight months now, you know, we can try this.
15:12And if you've found that it isn't fully resolved, just come back and see us.
15:17So, where is the best place to send the antifungal treatment?
15:20Possibly to Boots, if possible, yes. I'll send them there.
15:23That's perfect. And just come back and see us if anything's getting worse or not improving.
15:27Perfect. No, thank you very much. I do appreciate it.
15:29Yeah, no, it's all good.
15:29Jane. Thank you.
15:36How was the holiday? Beautiful.
15:38The holiday was marvellous.
15:40Almost reached the end of it without any injuries.
15:43Nearly. I think next time you go away, I'm going to pack bubble wrap.
15:47So you can wrap over your legs.
15:50I can show you where it happened.
15:52That was the plane we were getting onto. And you can see that lady is stepping up that big step.
15:57Is that where you bashed it? Yes.
15:59It does look like a bit of a lethal step, in all fairness.
16:01Yeah. Luckily, my daughter was with me and able to salvage the awful mess.
16:08It's always a mess and blood pouring down.
16:11Are you okay putting your leg up?
16:12Yep, that's fine.
16:14Okay, let's see the damage.
16:17They've layered it up here.
16:19Oh, you've had a nasty laceration.
16:22Sorry.
16:23Oh, dear. What a mess. My legs are never a thing of beauty.
16:28It doesn't look like there's any infection there. So the steristrips, we are leaving on.
16:35Right.
16:35Because if I take them off...
16:36It'll burst apart.
16:38Yes.
16:38Exactly that.
16:40So we can keep them on because they're keeping this dead skin...
16:43Yes, yes.
16:44...in place.
16:45Well, we're trying to sort of move the skin up to try and close the gap a bit.
16:48You can see where you've pushed it up. So you've done it that way, haven't you?
16:53No, no, no.
16:53If you pull it down, you're going to pull that flap.
16:56So whoever dresses this from now on, you need to lift every dressing this way.
17:02Right.
17:02Yeah?
17:02Right.
17:04At least it was at the end of the holiday and not the beginning.
17:06Well, it was.
17:07If you start finding it sore and it's red and it's tracking, that's when you need the antibiotics.
17:13Try and keep this leg as dry as possible and try and book in GP.
17:19Surgery for about Wednesday.
17:20Yeah.
17:22Okay.
17:22But there's no signs of infection.
17:24It looks good.
17:25Oh, that's very reassuring.
17:27Your daughter's done a wonderful job.
17:30Well, keep her up to date.
17:31I need to be a current treatment.
17:34Remember, the most important rule is lift up with that dressing.
17:38From the bottom, from the foot.
17:39Yes.
17:39Yep.
17:40Because you don't want to reopen that.
17:42No.
17:42Ooh, makes you go funnier.
17:44Yeah, exactly.
17:46All done.
17:47Marvellous.
17:47Well, thank you very much indeed for seeing me today.
17:49That was a pleasure.
17:51Thanks very much.
17:52Take care.
17:52Thanks a lot.
17:57Yeah, but just let me know when you've done it.
17:59That dress is really nice.
18:01Oh, actually, Miss Honey's always got nice dresses, don't you?
18:05Love you.
18:05Katie.
18:06I said, Miss Honey always got nice dresses.
18:08Miss Honey.
18:09Oh, yes.
18:11She resemblance with Honey.
18:13Are you a tilda?
18:16Are you Miss Trunchbull?
18:18You are wanting surgery.
18:26Hello, Sophia.
18:26I'm Dr Pearson.
18:27Hello.
18:28Thanks for coming down.
18:29Come and have a seat.
18:30Now, how are you?
18:31I'm okay.
18:33So you've come in to talk about this gynaecological problem that you've been having.
18:37Do you mind saying what are the symptoms and what you've been experiencing?
18:40Yeah, so I've just had like a lot of pain for over like a few years now.
18:45I was diagnosed with PCOS a couple of years ago.
18:48I had my bloods tested and there was quite a lot of imbalances, apparently, according to them.
18:54But over the past six months or so, I've been having extra symptoms.
18:59So kind of extra pains, but specifically in like the left ovary kind of region.
19:04I kind of ignored it initially because I thought it could be a cyst or something like that.
19:09But over time, it just progressively got worse and worse and worse.
19:12And I ended up in A&E on Saturday with the pain.
19:17And then I kind of have pain between my periods.
19:20And I had a really heavy period and really long period last time.
19:24It was like 10 days, which again is quite long.
19:27That is long. That's miserable.
19:28The next one starts again virtually.
19:29I know.
19:30So that's miserable, isn't it?
19:31So heavy periods, long periods, you've got different, and this pain that's all over.
19:36And your bowels, any change in your bowel habit at all?
19:38I have noticed a little bit of a change, yeah.
19:40So like when I'd have the pain or what I'd call the flare-ups,
19:44say I would tend to want to go to the toilet all the time.
19:47So I kind of felt like that might be connected.
19:50Yeah.
19:50And your sort of general well-being in yourself?
19:53I feel exhausted.
19:54All the time?
19:55Like the energy levels are just really bad.
19:56And how do you manage that then?
19:57Are you able to cope?
19:58I mean, working and things?
19:59Are you working?
20:00I am working, yeah.
20:02And it's kind of difficult for me to like stay energised and focused and motivated.
20:07Just because I'm also in pain all the time, it does cause quite a bit of issues.
20:11It sounds like it's interfering with a lot of your days in a month.
20:15It does, exactly.
20:15Yeah.
20:20I had a pain up here.
20:33Oh, okay.
20:34I ate some meat.
20:35My son cut it up in a long pleases and I think I ate that and it was quite painful up here.
20:40It's terribly painful.
20:41It does look a bit swollen, doesn't it?
20:43It does look very swollen, yeah.
20:45Yeah, it's absolutely agony.
20:47Well last night it's causing a lot of pain.
20:50Yeah.
20:50Any pain during that?
20:51Yeah.
20:52That's a bit sore.
20:53Yeah, okay.
20:54Every now and again when I move my arm, I get sharp pains come down my arm to my elbow.
20:59Ongoing infection there.
21:00You can see it.
21:02Oh, bless you.
21:02Poor thing.
21:03I get a pain shooting here and here.
21:05Yeah.
21:06It was hurting like hell.
21:14Now how do you feel now with that pain?
21:16It's not obviously as bad now as it was on Saturday because on Saturday I could barely like even talk.
21:20And is there anything you're worried about that this could be?
21:23The one thing that it sounded a lot like was endometriosis.
21:26Yeah, I mean that's what I'm thinking as well along the same lines.
21:29I think it does sound like it could be you've got so many symptoms don't you of that?
21:33Yeah.
21:34I suppose one thing that we need to be careful of is that there isn't a cyst or something
21:37because when you have polycystic ovaries sometimes one cyst does grow and then that in itself can
21:40spit out some hormones and make you feel horrible and everything else so we ought to do an ultrasound
21:44scan to make sure there isn't anything new acutely that's happened that there isn't a sort of
21:48four centimetre cyst sitting there or something. But of course the way sometimes to really diagnose
21:53endometriosis is partly through the history and sometimes then we go to the gynaecologist,
21:57they can look into the pelvis and have a look at where the the womb lining that should be staying
22:02in the womb and only bleeding in the womb but endometriosis as you know probably is the womb
22:06lining spilling out to other parts of the pelvis so when you're on your period and it's bleeding
22:10and it's responding to all the hormones so is the cells on your rectum that's making you feel like
22:14you need to poo all the time or on your bladder or on your ligaments that pull so you've got the side
22:19left or right-sided pain so it could well fit with this picture. Did you read anything about the
22:23treatment for endometriosis? I think a lot of people I know who are on it are on birth control
22:28to kind of maintain and manage it. I've been on a couple bits of birth control that hadn't really
22:33responded well. I mean I'd be open to trying again to see but obviously it's not like the preferable
22:40route. I think let's do the test perhaps and find out what's going on and then that is an option
22:45but there are other things and sometimes the gynaecologists can do the camera in and they can
22:49literally treat the little bits they can zap the cells that are in there if they see a little patch
22:53of endometriosis they can sort of burn it it sounds horrible but they get rid of it. It isn't a
22:58necessarily a long long long term fix but it does help for a bit. Have you ever tried any of the sort
23:03of they're slightly more specific painkillers that sometimes we use around period people take naproxen
23:09I don't know if you've ever tried that. I've not tried naproxen. They're anti-inflammatories and actually
23:14they sort of help with the condition now they're not treating endometriosis they're not going to stop it
23:18coming if you feel a little bit less pain and things it's not going to solve it but I think
23:22it might help a little bit. If I send it through it'll explain it all on there just take it with
23:26some food when you next have your period or period pains and let's see if this helps a bit and I'll
23:30get a scan and the referral and things all sorted out from here. Yeah thank you. All right well it's
23:34nice to see you good luck with things and then let's speak when we get all the results. Yes thank you so
23:38all right all the best bye-bye bye-bye. Hello. Hi come on in. Thank you. Have a seat I'm Dr. Dudgeon we've
23:49met before. Yes yeah the reason I've come now you know my right eye has gone sort of smaller okay and
23:57some friend of mine said you know you better have it checked you never know is this a normal old age or
24:03is there something odd it it sort of feels as if it's drooping and I can feel it sometimes almost
24:10sort of on the eyelid yeah closing and how's your vision well I I need glasses but I don't think it
24:18has affected that when did you last have an eye test can you remember yes last june july so I'm due
24:24for one again soon or august yeah okay and when you last went for an eye test was it a problem then no
24:29would you say it's no they didn't even say anything but I know now looking back even at photographs you
24:36know it sort of you know but is it anything to worry about we'll have a look if that's okay and then
24:41we'll talk about it just look straight at me oh and no dry eyes nothing like that they feel okay otherwise
24:51well at one period it was you know sort of uh uh bothering me a bit of spurning but actually both
24:59eyes I think it was pollution because I went to the boots chemist and they gave me some drops and
25:04it was okay yes okay I just want you to follow my finger
25:14good and can you screw your eyes up really tight perfect don't and then just keep them shut for a
25:19minute I'm going to try and open them so if you screw them up really tight
25:26that's fine okay and puff your cheeks out good and can you lift your eyebrows up
25:34that's fine and you can feel me touching your face yes that feels the same on both sides yeah okay
25:39so it does look like you've got we call it ptosis it's just when the the eyelid droops a little bit
25:44oh and you can see on the right it's kind of drooped further than on the left yeah and it is covering
25:51a bit of your pupil would you say affects your vision no no I don't think it does no so the reason
25:58I'm making you smile and puff your cheeks out and raise your eyebrows is I'm just testing the rest of
26:02the muscles on your face but they all look fine so you can lift your eyebrows up equally when you smile
26:08your cheeks both puff out so that's good so I think it is just the eye that's affected I think you should go
26:14for the eye test just so that the um optician can have a look at your eye have a look at the back of
26:19your eye we will ask ophthalmology to have a little look at you what we don't want to do is it to start
26:24to affect your your vision yeah it's nothing serious anyway I don't think so because it is it's just that
26:30one that's affected okay all right thank you very much okay that's like a picture of our feet should
26:45I post it on my story look how cringy we are we're both wearing the same shoes today because I never
26:50wear dunks we would never be foot models do you know that come ready ready one two three
27:02well we could be feet model because our feet are quite cute actually but not with shoes
27:07it's not looking good bro
27:11uh alexander please hey there
27:15okay I have a student with me is that okay that's absolutely fine lovely I'm George one of the
27:18doctors good to meet you very nice to meet you George how can I help today I mean I came in a
27:23few weeks ago because I had a um a radial head replacement yes I was told to sort of come in if
27:31any of the screws were looking like they were going to come through yeah apparently I'm a little bit
27:36skinnier than most patients yeah because they said that if these come through and there's an open
27:41fracture then they have to repeat the whole surgery all over again and take out the elbow and it'd be a
27:46nightmare so but I was just wondering if you could recommend anything basically is it causing any
27:51problems at all not really I mean it's like the pain is way better than it was obviously because
27:56I've gone through a month the pain's been so intense I just really don't have to repeat that again
28:01yeah of course and what's the range of motion like is it yeah it's a really really good
28:06I was told if you get 50 range of motion after this surgery yeah you're doing well so I was pretty
28:12happy with that okay brilliant and how did you do this again like the most innocuous way I was
28:18playing paddle and I sort of like I think it's like basically I jumped up and as I fell I think
28:23I dislocated it and then broke my humerus bone but then because of that my body fell on my arm and it
28:30broke all of this so it was uh yeah it was pretty intense I'd never broken a bone before
28:36I broke every bone in my arm is that painful if I press a little bit it's okay I'm very used to it
28:43by now so I think like the screws back on the other side I think are okay yeah I agree um but I think
28:50it's just this one here that like I agree I'm a little worried that it's going to come through and
28:56then I'd be very any sort of pain shooting down the arm at all yes I think um so a bit of bone chipped
29:03off during the surgery and then nestled in between my nerves so I get a bit of shooting pain down my
29:08arm yeah but uh I think they're going to remove that in the next surgery I think what we should
29:12do maybe I'm wondering if we should get an x-ray for you just to see how things are yeah yeah yeah
29:18sure so that when you see them they'll sort of have that and yeah I think we just write to orthopedics
29:22again and just say look this is starting to come through a little bit sorry cool no that's totally fine
29:27more insanely than I can possibly imagine oh they do say breaking of bones is horrendous
29:36I think it's because the elbow all the nerves are there but I think like because you normally
29:40associate pain with being like a zero to a ten I thought I'd reach like a seven before this but
29:45I think I'd only reach like a four oh gosh good luck so much more all right thank you so much
29:53very much appreciate it so you can ask me cheers how can I help I don't know how to start like well my
30:05mum told me that like I should come in for like an appointment to talk about if I have any mental
30:11health issues or like ADHD why do you think she's suggested that well like since I was like young
30:18I've always like struggled with like I don't know like example for subjects that I really enjoy
30:23yeah like maths but to me it requires like less thinking I was always like able to like study for
30:30it but subjects like English and like history and all those subjects when it involves writing
30:36it's so much more difficult yeah have you ever had that assessed with at school you're writing now
30:42because it sounds like you're really good at numbers and it's the writing bit that you're having a
30:46problem with do you think that's how it feels that's how it feels a lot tell me more about
30:51why you think it's mental health issue rather than sort of you know concentrating or problem with
31:00letters and numbers if I would be in like a conversation with someone yeah I'll be talking
31:06to them and then I'll just stop hearing what they say like like my mind will be onto something else over
31:11time and then obviously the person will find it rude and I would just be I'm very sorry I didn't
31:16mean to yeah over the last like two three months I've been working now as a barista so like I'll be
31:23making for coffee and they would talk to me yeah and then I would begin like the conversation when they
31:28speak to me I would hear it yeah and then for every reason I would either forget or I just wouldn't
31:34hear it yeah even my manager went up to me and they're like feel like you should really work time
31:37skills yeah and I was like yeah I'm sorry I'm trying the best I can and your mood do you get
31:44tearful on your own you know do you ever get really sad is that do you ever get like that when I'm alone
31:51and I just like me and my thoughts I feel like I'm constantly overthinking have you ever felt low
31:56that you wanted to harm yourself or anything like that do you I wouldn't say harm myself but there'll be
32:02time where I'll be like I might just be in bed for like hours and hours of a day even though I have
32:07stuff to do and I'll just not want to do anything I just wanted to be like stay in my room and do nothing
32:13yeah
32:27it's quite an impressive brace in it just it's like another trouser leg isn't it i mean goodness me
32:34my poor knee i don't normally wear this it's just if i'm under good going bursitis well that's huge
32:41now this knee sounds like there's crinkle paper in it every time i try to get up
32:46you can see the difference yes in the knee very arthritic but it'd be okay to have a little feel of
32:51that yeah i'd love you to i started to get a pain in my knee here and then over the weekend it blew up
32:58i'm still getting trouble with my knee it just goes you know i wish it would go to cyprus with
33:03me attached to it but no anyway
33:11okay doris come through we're ready
33:13i have a student with me do you mind if you sit in you have because i saw the feet
33:19oh very good lovely to see you how it's lovely to see you because it's good days and bad
33:27and i've got soaking wet as you can see that's horrible out there how are you all right good i
33:33have an ear i've got two two i hope but one of them's been playing me up for a little while and i've
33:39also got i think porosis of the knee that's killing me but there you are that's right and how long has
33:46the year been bothering you for well it's crusty yeah so the only way i can describe it it doesn't
33:54hurt but it itches it drives me mad yeah fair enough any discharge from anything coming out of it not
33:59really that comes with if if i do scratch it yeah and as i've got long nails yeah i couldn't hopefully
34:07not doing too much damage when you're doing that i hope i hope no but i mean it seems such a silly
34:12thing no not at all it's going on and on and on it's not silly at all i'm glad you came in um any
34:18dizziness rotational vertigo type of symptoms not at the moment good i think that's coming
34:24hopefully not i hope not i will fall i don't know why i know you've had a few of those falls recently
34:31oh i've had five of them oh dear point is with a fall it always happens where you can't get up
34:38because there's nothing to hold on to oh gosh even at home if you know i mean i'm not near a chair or
34:44anything so i have to you know sashay along so if somebody doesn't come and help you up i think
34:52you'll be there till nine o'clock at night and you have everything you need at home like walking aids oh
34:56yeah have you seen the guys at the falls clinic the specialists have you seen them no no are you
35:03happy to go and see them oh yeah yeah can i look in your ears you can can i look in your good one first
35:09just to see what normal's like for you thank you perfect textbook ears i love it amazing really pristine
35:19oh well done well done you well done you've got loads going on right that's brilliant really good
35:28yeah you can see the eardrums bulging out towards me ever so slightly it's nothing to worry about
35:33and the canal looks a bit inflamed and angry so yeah i'm going to give you a little spray for it
35:38that's just going to help calm down that inflammation and then what's going on with this knee i feel
35:43it's osteoporosis osteoporosis or osteoarthritis oh ah well how would i know well i suppose that's
35:50well it looks it looks osteoarthritic to me it looks like osteoarthritis yeah but let's have a
35:56little closer is that better than the other one yeah infinitely 100 yeah oh thank you i live on my own
36:03and i say i'm walking around the flat saying to yourself why are you doing this to me are you managing
36:09okay at home yeah yeah yeah yeah did you get any help um i don't know i'm used to being on my own
36:16yeah it's my son could you just something with my son he's driving me mad what have you got in mind
36:23oh oh i love it thank you you've given me a good laugh there thank you he's all right don't
36:34this understand me it's not that i mean if i didn't have him i don't oh now i can feel all that
36:39tender isn't it um he says the neighbors are complaining my television is too loud now i can't
36:46either hear it so what's the point of having a celly with your hearing aids in do you still need to turn
36:51the volume up quite high no no well then that's fine put your hearing aids in and watch the telly not
36:56a problem at all yeah well i didn't put them in because in case yeah just have a look absolutely no
37:01it's looking good i'll give you a spray for it like i said i think the knee there's a bit of wear
37:05and tear there and that's what's causing all the pain if you want we can use a bit of ibuprofen gel
37:10to rub into it i think that'll really help yeah and then we'll refer you to the falls clinic again
37:14i'll chase it up for you because i don't think they've seen you it looks like wonderful and then
37:18we'll see how we go is that all right lovely that's fine very helpful good take care of yourself
37:25have a lovely weekend my son as well lovely to see you likewise all the best bye now i hope you're
37:33learning something even if it's only from us i hope so too thank you thanks bye now
37:43i can't believe it he's not worried i'm spending my life writing you don't need to worry in one ear
37:51dr horch will sort you out don't worry he will he will he's an expert isn't he he's lovely yeah
37:58i know in actual fact i'm thinking of getting him cloned i was just thinking i haven't seen you for
38:03ages i know i know it's been busy but you haven't changed a bit well you're in good hands you see you
38:08don't need to see me anymore but it's nice to see you you're looking very well keep my fingers crossed
38:13good for you keep your fingers crossed it's nice to see you again bye bye bye bye bye
38:21you know i've known you for a long time actually
38:24since you're a baby and um it's great that you've come and i think we we can help you
38:28i think some talking therapy is going to help you but how do you feel about medication to help
38:33lift your mood a bit for me i would i would want to learn as much like information about medication
38:39before i take it because you're an intelligent person you want to know everything about it and
38:43why take a chemical if you don't have to so i am going to refer you they should contact you within
38:50two weeks or they'll assess you on the phone and then decide which direction they want to direct you
38:56to and there's talking therapy there's individuals this group all those sorts of things it's really
39:02brave of you to come and talk about it um have you got any questions well i would like to know have
39:08some like clarity like so i could stop thinking about do you from your like perspective yeah would
39:14you think i have adhd i think you know it's a spectrum isn't it of course and you know we're
39:20probably all on one part of the spectrum i think yes you probably are on one part of it but i think
39:25there might be other issues with that as far as numbers and letters but you're very intelligent
39:32you've got good insight and you know i'm here and you know where i am and feel free to
39:38come and see me um i'll be i'll be seeing you in again and i'll do a phone call review
39:43anyway uh to make sure you get the appointment okay okay so i'll put you down for telephone call
39:48in two weeks yeah to see how things go if in the meantime you feel bad about worse or anything like
39:53that you know just come and see me of course i will thank you all right okay yeah all the best have a
40:00good day and uh we'll be in touch of course see you
40:05so this is a question do you keep your eggs in the fridge yeah do you keep your ketchup in the
40:19fridge yeah you put your ketchup in the fridge do you keep fruit in the fridge depends what fruit
40:24it is it's a bananas no they go brown quickly not apples though or anything no i don't put apples in
40:30fridge it's too hard when you buy it come on man even you know that
40:34how are you oh i'm not too bad i'm so sorry to hear about that i'll pop it up him if you want
40:47are you managing okay yes so it's a cure it's egg isn't it it sort of hits you when you least expect
40:53it and when you sort of think it's going to be tough is actually when you're you're ready for it and
40:59it doesn't affect you so badly and then when it's sort of uh i don't know so something happens you
41:04aren't expecting it and then it sort of hits you you can't sort of function for a bit but uh she set
41:11such a strong example i can't really i'm not allowed she was amazing she really was she was an amazing
41:16woman yeah no absolutely 45 years 45 years yeah yeah yeah but you've got the
41:23you've got 45 years 45 years but your family you doing okay well yeah yeah yeah we're very much
41:32together yeah exactly it's it's been sort of gonna go on holiday or anything uh we haven't well yes we
41:40are planning to go with christmas because christmas we can't do christmas at home that's going to be
41:44too much so yeah so we'll go with christmas and i bet yvette gave you a list of yeah well that's the
41:51problem is she she was she was mrs christmas she'd think about christmas 364 other days of the year as
41:57well yeah a standard i cannot achieve myself i'm afraid so sharp scratch mums we go overboard don't
42:08we uh yes if it had got so many canyons fitted in her time she don't she'd come to me how's your
42:18granddaughter uh she's great she's coming on a pace now she's really developing how old is she now
42:2416 months that was so happy that she well she ate got to see got to see her and then she attended
42:30her first birthday as well so that was extraordinary and got a nickname so she became goo did she become
42:36goo she became goo so she got she's got she got the nickname in she was so determined to see her first
42:44grandchild well she certainly was looking to make the most of whatever time she had
42:50all done sir okay thanks very much well you're very welcome and it's nice to see you you too you're
42:56looking well you you keeping well yeah yeah not bad just you know getting on my life yes quite
43:03grandkids keep me busy that'll do it you take care thanks very much bye john bye thank you so much
43:12for your help all right not at all i'll speak to you next week all right then thank you bye remember
43:16it's fasting from midnight hey nothing to eat from midnight when you come yeah i've got to remember
43:21well this was on the afterwards thanks very much bye brilliant okay thanks very much pleasure take
43:27care all the best youtube bye
43:51bye
44:03bye
44:05bye
44:07bye
44:11bye
44:13bye
44:15bye
44:17you told somebody that you're starting to struggle at home really i think people put
44:34things in my mouth at times do you feel okay in yourself i'm sweating my hell on sunday
44:40all of a sudden i had this blackout of the faded it just happened just just just like that
45:10you
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