- 3 hours ago
- #realityrealmus
#RealityRealmUS
Reality Realm US
🎞 Please subscribe to our official channel to watch the full movie for free, as soon as possible. ❤️Reality Insight Hub❤️
👉 Official Channel: />👉 THANK YOU ❤️❤️❤️❤️❤️
Category
🎥
Short filmTranscript
00:00Money surgery. I ended up in A&E on Saturday with the peens. I could barely like even talk.
00:13You've had a few of those falls recently. Oh, I've had five of them. It always happens where
00:18you can't get up because there's nothing to hold on to. Oh, God.
00:24From your like perspective, would you think I have ADHD? You know, it's a spectrum, isn't it?
00:29We're probably all on one part of the spectrum.
00:35She was so determined to see her first grandchild.
00:40Well, she certainly was looking to make the most of whatever time she had.
00:46He just woke up one morning and wasn't all there.
00:59Good morning.
01:06Hello. How are you? Come on, Jim.
01:27How are you?
01:28Sick.
01:29Sick? Oh, dear. Right, come and have a seat. Do you want to tell me what's happened?
01:32I had this pretty much when I came in and I had it for five days.
01:36OK, because of a sore throat and...?
01:38Yeah, just aching all over.
01:39OK.
01:40It's a hot temperature. I'm feeling just generally rough.
01:42Horrible.
01:43Yep.
01:44I started the antibiotics on a Friday. By Saturday, I could feel it coming down.
01:48OK.
01:49Saturday night, Sunday, it was like shingles came out.
01:52So, various different spots. A few on my face, about six, seven, even so on my stomach
01:59and a few on my legs.
02:00OK.
02:00Really itchy.
02:01Sort of blistery spots?
02:03Yes.
02:03And did they all then scab over sort of thing?
02:06Yeah.
02:07Then, Monday, I woke up and I felt a tingle in my throat again, and it's just started,
02:12and I thought, oh, God, not another sore throat, but it's just gone back to what I had previously.
02:16Back to square one again.
02:17And now it's...
02:18And you took the antibiotics for...?
02:19A week.
02:20A week.
02:21I'm interested in the spots, because it's interesting, you felt grotty and you had all
02:24of this.
02:25It's just, there aren't very many things that cause blisters to sort of pop up at various
02:29places all over the body, and you mentioned shingles that it could be, and the shingles
02:33is only in one place, so it's in one strip, or one part of your arm, or just one side
02:38of the face, it's never both sides.
02:41But the virus, the sort of, the bug that causes shingles is chicken pox virus, and do you don't
02:47think this was chicken pox?
02:48I mean, you said you've got children.
02:49Have you seen chicken pox in the kids recently?
02:51The kids had chicken pox about two years ago, I had chicken pox as a kid.
02:55You did or you didn't?
02:56I did.
02:57You did?
02:58Yeah.
02:59Okay.
03:00Did this look anything like chicken pox?
03:01Yeah.
03:02It's just, it's one of the few rashes that causes blisters, and they come up both sides
03:07of the body, and it can make you feel awful, especially as an adult.
03:10Yeah.
03:11But then you stop the antibiotics and your throat's come back.
03:13Yes.
03:14Yeah.
03:15My throat has really swelled up again.
03:16Yeah.
03:17I can't eat.
03:18At the moment I'm taking Coca-Cola more paracetamol and ibuprofen.
03:22And is there anything else going on at the moment, or mostly just the throat?
03:25Yeah, just the throat.
03:27Yeah.
03:28I ache a musket.
03:29I feel really sort of tender.
03:30Any temperatures and fevers like today?
03:32I'm 38 when I just left the house.
03:35Horrible.
03:36So it's definitely come back, hasn't it, with a vengeance, and it sounds horrible.
03:39Right, let's have a look.
03:40Oh, yes.
03:41It's in it.
03:42Right, let's have a look, first of all, in the back of the throat.
03:43If you don't mind opening really wide, and say, ah, there is quite a lot of white stuff
03:51all over your tonsils, sweetheart.
03:53Can I just feel your neck?
03:54I mean, this is swollen, isn't it?
03:55Yes.
03:56I mean, I don't know what your neck normally looks like, but it looks quite puffy, and
04:00it's all very puffy.
04:01Is that very tender?
04:02Yes.
04:03I think there's a couple of things we could do, Dominic.
04:05One thing I'm wondering is, can I take a swab?
04:07We need to know what the germ is, because at the moment when we see common things, we
04:11throw the commonest antibiotics at it, but sometimes if it doesn't work, is it the right
04:15antibiotic?
04:16And were we on it for long enough, is the other question.
04:18So, if you don't mind just opening wide, I'm just going to tickle back of the throat.
04:22OK, well done.
04:23One.
04:24And the other side, I'm just going to do that side.
04:27Sorry.
04:28Perfect.
04:29So, the lab will tell me what it is, and what's the best antibiotic to get rid of it.
04:33I mean, last week, with the antibiotics, the next day, I started to feel better.
04:38Annoyingly, I think it's just broken back through, hasn't it?
04:41I mean, it's a raging tonsillitis, is what you've got.
04:44We need ten days of antibiotics.
04:46OK, let's get rid of it, sweetheart, let's get rid of it.
04:48The surgery will contact you as soon as this comes back, if there's anything we need to
04:51do.
04:52Yeah, fantastic.
04:53Are you taking some time off work?
04:54Not causing me too much stress or too much...
04:56I mean, I think with a fever you should...
04:57Having a three-year-old and a four-year-old is much more stressful than work.
05:00They're probably the reason you got this in the first place, isn't they?
05:03They bring everything home, don't they?
05:05They do.
05:07All right, take care.
05:08Bye-bye.
05:09Hi, come on through.
05:10How are you?
05:11Hi, good, thanks.
05:12Have a seat.
05:13Congratulations, I haven't met Artie yet.
05:15He looks really well.
05:16Yeah.
05:17What can I do for you today?
05:18So, Artie is four months corrected now.
05:21Corrected, yeah.
05:22Because he was six weeks premature, so he's four weeks corrected, five and a half months
05:26actual, something like that.
05:28And developmentally, no concerns with him, fixing and following really well.
05:33Yeah.
05:34I don't think he's got any issues with his actual vision because, you know, he plays with
05:37his toys, he grabs his toys, he smiles at us, etc.
05:40But what I have noticed is that when you're looking at him normally, his eyes are fine.
05:45Yeah.
05:46But when he is playing with his toys and anything that's up close to his face, he goes really
05:51quite cross-eyed.
05:52Yeah.
05:53And has a squint, which I know in newborns isn't a concern.
05:56Yeah.
05:57But I did read that if that's still happening quite consistently after four months, it might
06:02be, is it strabismus or could be?
06:05Yeah, so sometimes we do get ophthalmology to have a little look.
06:08Yeah.
06:09Strabismus is an eye condition commonly known as a squint.
06:12An intermittent squint is normal in newborns, and this is as the brain learns to coordinate
06:16the eyes.
06:17We do expect, though, that squints resolve around three to six months of age.
06:21If a squint persists, we want to get ophthalmology to assess it to see if it's either an underlying
06:26condition or something called amblyopia, which is basically a lazy eye and does require treatment.
06:31But I, yeah, I don't know if I'm being too premature with this, and actually he's only
06:35four months, so there could still be time.
06:37Yeah.
06:38It's only when he's playing with it right now.
06:41Like, when you look at him normally, it's not there.
06:44If he plays with things like here, like when he's playing midline, and then he brings things
06:48to his mouth, for example.
06:49Yeah.
06:50What's this, mister?
06:52There, can you see a little bit there?
06:54Yeah, very slight.
06:55But sometimes it's a lot more noticeable.
06:58Do they ever go in opposite directions?
07:00Not that I think I've seen.
07:01Okay.
07:02Like, can you see a little bit?
07:03Yeah, it's just the left one does move further in, doesn't it?
07:07Hello.
07:08Yeah, that's it.
07:09And the left even more so.
07:10Yeah, so there, that's it.
07:11Yeah.
07:12Yeah.
07:13So they will both go in, obviously, you know, if I did it to you and we, all finger to
07:16your nose, your eyes would go in.
07:18Yeah.
07:19But yeah, the left definitely does it more than the right.
07:22Yeah.
07:23But I think it might be worth us just asking ophthalmology to have a look.
07:26Yeah.
07:27Because I feel like he's had so many things otherwise.
07:30Yeah.
07:31We don't want to completely ignore it.
07:32You know, yes, it can be normal to begin with, but normally we expect squints to improve
07:36a bit.
07:37Yeah.
07:38And I think realistically it's not going to be a big deal.
07:41Okay.
07:42Amazing.
07:43A referral would be really helpful.
07:44Yeah.
07:45So I'll get that done.
07:46Okay then, mister.
07:47But nice to see you.
07:48And I'll do the ophthalmology referral.
07:50Right.
07:51Come on then, mister.
07:52Let's go.
07:53Thank you so much.
07:55Not at all.
07:56You should hear from them.
07:57If you don't hear anything in the next three or four weeks, let us know.
07:59Okay.
08:00Will do.
08:01All right.
08:03Take care.
08:04Bye.
08:05Just in case you get more, just in case you get thirsty.
08:07I'm not drinking that.
08:08It's from yesterday.
08:09You've got fur in a bin?
08:10Yeah.
08:11Well, I'll water the plants with it.
08:14Such a waste of water.
08:15What are you doing?
08:16What?
08:17Do you need to tap?
08:18Do you need to tap?
08:19I'm just having a slow day.
08:20I've been having a slow day for like a month now.
08:24It needs more plant food.
08:25I don't...
08:26That's what it needs.
08:27What do you think I just sit here with plant food?
08:37How can I help today?
08:41Do you want to tell doctors?
08:42Can I tell the doctor?
08:43I think you better because I can't remember what it is.
08:46Okay.
08:47At the beginning of the year, Colin started getting forgetful.
08:50Hmm.
08:51But it sort of deteriorated very fast.
08:53Hmm.
08:54We were put in touch with the memory clinic.
08:57Hmm.
08:58And an assessor came round.
09:00Hmm.
09:01And he thinks it's not the normal sort of dementia.
09:04Hmm.
09:05He thinks he may have had some mini strokes.
09:07Ah, okay.
09:08That would have caused it.
09:10Hmm.
09:11And he was going to book an MRI.
09:13But I think these days MRIs are very difficult things.
09:16And then he discharged him.
09:18Hmm.
09:19So since then we're just...
09:21A bit in limbo.
09:22We don't really know what's going on.
09:23Yeah.
09:24Exactly.
09:25That's not good.
09:26And how's your memory been since then?
09:28I don't think I've used it.
09:30Hmm.
09:31Fair enough.
09:32Have you noticed that there's been a decline since that assessment?
09:35Yes.
09:36It's not too bad some days.
09:38Hmm.
09:39Some days are better than others.
09:40And other days are not as good.
09:41Hmm.
09:42And it's the funny thing.
09:43It's a very, very short memory.
09:45Hmm.
09:46You can ask me a few times a day, you know, how old am I?
09:50And then I say, what?
09:51That old?
09:52Hmm.
09:53Do you not feel...
09:54Do you not feel 89?
09:55Me?
09:56Yeah.
09:57No.
09:58Not at all.
09:59How old do you feel?
10:01I feel younger than 89.
10:03Yeah.
10:04Good.
10:05How's your mood?
10:07Good.
10:08Good spirits?
10:09Yes.
10:10Is it okay most of the time?
10:11Yes.
10:12And are you sleeping well?
10:13Yes.
10:14Some nights.
10:15Some nights, yes.
10:16A couple of others.
10:17Not as good at all.
10:18Wow.
10:19Yeah.
10:20Any questions?
10:21Any questions, Annabelle?
10:22My wife has always had questions.
10:23Not too personal.
10:24Everyone over the age of 50 now should have it done.
10:25Okay.
10:26Because you're getting old.
10:27Not as old as you.
10:28My little action man.
10:29Any questions before we go?
10:30My wife kills me if I don't ask the right questions.
10:31That is good.
10:32Absolutely.
10:33She keeps you right.
10:34She keeps you right.
10:35You're going shopping?
10:36Oh, so why do you think we're in the shop?
10:37Come on out.
10:38Love ya.
10:39Love ya.
10:40Love ya.
10:41Love ya.
10:42Any changes in behaviour?
10:43No.
10:44No.
10:45No.
10:46No.
10:47No.
10:48Good.
10:49It's the same naughty.
10:50Same old you.
10:51Yeah.
10:52Yeah.
10:53Good.
10:54You're not as old as you.
10:55I'm not as old as you.
10:56My little action man.
10:57Any questions before we go?
10:58My wife kills me if I don't ask the right questions.
11:00That is good.
11:01Absolutely.
11:02She keeps you right.
11:03You're going shopping?
11:04Oh, so why do you think we're in the shop?
11:05Come on out.
11:06Love ya.
11:08Any changes in behaviour or personality?
11:12No.
11:13Nothing like that.
11:14No.
11:15Good.
11:16It's the same naughty.
11:17Same old you.
11:18Yeah.
11:19Good.
11:20Excellent.
11:21Really good.
11:22So yeah, I think we need to get that ball rolling again for you because it would be
11:23good to get some investigations and see what we can do.
11:26Is there any point in taking a scan to see what's happening in there?
11:31Any lesions or?
11:32100% yeah.
11:33I think there is.
11:34Yeah.
11:35We can definitely do that.
11:36Now as GPs we're very limited.
11:37They only let us do so many things but the good news is for MRI scans of the brain
11:43if we're querying dementia they do actually allow us to request those scans.
11:48The reason I asked about the personality change is because in frontotemporal dementia people
11:52often who are normally very placid and nice can become very very violent and really change
11:57in their behaviour.
11:58Yeah.
11:59So again I'm not hearing that.
12:00If anything it might very well be a vascular type of dementia because of the damage to
12:04the blood vessels over the ears and stuff.
12:07The scans will be really good.
12:09That will sort of tell us one way or another.
12:11And then we can put steps in place to help and to help sort of slow down that progression
12:14potentially.
12:15There are there are medications available.
12:17What sort of help do you feel you need at the moment?
12:19Do you feel like you need carers to come and help or someone to come in and make sure
12:24it's safe for you at home.
12:25You know put grab rails if you need them.
12:27I would like a grab rail in the bathroom by the bath yes.
12:30Yeah.
12:31Let's do that we can refer you then to adult social care not a problem at all.
12:34Okay lovely.
12:35Thanks.
12:36My pleasure.
12:37Thanks for coming in and sharing all this with us because I know it's a really difficult
12:40thing to talk about.
12:41Don't think blah blah into you.
12:43It's true.
12:44It's just so funny he just woke up one morning and wasn't all there.
12:49Yeah absolutely.
12:50Leave it with me.
12:51I'll be in touch and I'll do all the referrals and stuff for you.
12:55Any problems just come back.
12:56Don't hesitate.
12:58Take care.
13:02I want to show you this.
13:07Look.
13:08Do you think this will look good on me for my birthday?
13:12Oh hello.
13:15Yeah that's lovely.
13:18I want to show you.
13:21This is a dress I might wear for my birthday.
13:23Surgery.
13:24Oh.
13:25Where are you going again?
13:26For brunch.
13:27You gonna wear that to brunch?
13:29What club after?
13:30Brunch is at lunch time isn't it?
13:31Well not really a brunch.
13:32It's like a school to restaurants eat.
13:33Not a brunch.
13:34Yeah an evening.
13:35It's not a brunch.
13:36Fine.
13:37Okay that's nice.
13:38I look forward to the pictures.
13:39Hello.
13:40Hi.
13:41How are you?
13:42So come on in take a seat.
13:43Thank you very much.
13:44My name is Anna McHugh.
13:45That's very nice to meet you.
13:47So tell me Craig what's been going on for you?
13:49I've got a rash that's been under my arm for ages.
13:52So how long has it been going on for?
13:54Probably had it eight months, nine months.
13:57It doesn't itch.
13:58It just it's sort of blotchy.
14:00I've heard it a few times.
14:02They thought it might be stress related because my previous job, I was a bit stressed but
14:07now I've moved happier job, happier setup but obviously still got the remnants.
14:11Okay.
14:12GPs they gave me cream, cream did nothing.
14:14What brings it on?
14:15Is there anything?
14:16I have no idea.
14:17Do you find that it's hot weather or if you were?
14:20No, it doesn't seem to be related to a deodorant or anything to be honest.
14:24Okay.
14:25Will we have a little look?
14:26That's absolutely fine.
14:27So you've tried a few anti-fungal creams?
14:30Yes, and I found none of them actually.
14:32Sorry.
14:33Oh yeah.
14:34And have you been in the sun or anything like that?
14:37I haven't to be honest.
14:38I actually haven't done much in the sun.
14:41It looks like something called Petriasis Versicolor.
14:43Okay.
14:44So it is fungal.
14:45Yes.
14:46And I'm going to give you, it's actually a shampoo.
14:48I've got one or two spots that are stored on the side but I never used to have on the
14:52side so I thought I'd rather get it sorted.
14:54Yeah, absolutely.
14:55I'll give you a, it's actually a shampoo that you use and you leave it on for five minutes
15:00and then wash it off.
15:01And I think because it's been going on for nearly eight months now, you know, we can try
15:06this and if you've found that it isn't fully resolved, just come back and see us.
15:11So where is the best place to send the anti-fungal treatment?
15:15Possibly to Boots if it's possible, yes.
15:16I'll send them there.
15:17That's perfect.
15:18And just come back and see us if anything's getting worse or not improving.
15:21Perfect.
15:22No, thank you very much.
15:23I do appreciate it.
15:24All good.
15:26Jane.
15:30How was the holiday?
15:32Beautiful.
15:33The holiday was marvellous.
15:35Almost reached the end of it without any injuries.
15:37Yeah, nearly.
15:38I think next time you go away I'm going to pack bubble wrap so you can wrap both of your
15:43legs.
15:45I can show you where it happened.
15:47That was the plane we were getting onto and you can see that lady is stepping up that big
15:51step.
15:52Is that where you bashed it?
15:53Yes.
15:54It does look like a bit of a lethal step in all fairness.
15:56Yeah.
15:57Luckily my daughter was with me and able to salvage the awful mess.
16:03It's always a mess and blood pouring down.
16:06Are you okay putting your leg up?
16:07Yep.
16:08That's fine.
16:09Okay.
16:10Let's see the damage.
16:11They've layered it up here.
16:14Oh, you've had a nasty laceration.
16:17Sorry.
16:18Oh dear.
16:19What a mess.
16:20My legs are never a thing of beauty.
16:22It doesn't look like there's any infection there.
16:25So the stery strips we are leaving on.
16:29Right.
16:30Because if I take them off.
16:32It'll burst apart.
16:33Yes.
16:34Exactly that.
16:35So we can keep them on because they're keeping this dead skin.
16:38Yes.
16:39Yes.
16:40In place.
16:41We're trying to sort of move the skin up.
16:43Yeah, you can see where you've pushed it up.
16:44So you've done it that way, haven't you?
16:47No.
16:48If you pull it down, you're going to pull that flap.
16:50Yes.
16:51So whoever dresses this, from now on, you need to lift every dressing this way.
16:56Right.
16:57Yeah?
16:58Right.
16:59At least it was at the end of the holiday and not the beginning.
17:01Well it was.
17:02If you start finding it sore and it's red and it's tracking, that's when you need the antibiotics.
17:07Try and keep this leg as dry as possible and try and book in GP.
17:13Surgery for about Wednesday.
17:15Yeah.
17:16Okay.
17:17Well do.
17:18But there's no signs of infection.
17:19It looks good.
17:20Oh, that's very reassuring.
17:22Your daughter's done a wonderful job.
17:24Well, keep her up to date.
17:26I need to be a current treatment.
17:28I will.
17:29Remember the most important rule is lift up with that dressing.
17:32From the bottom.
17:33From the foot.
17:34Yep.
17:35Because you don't want to reopen that.
17:36No.
17:37Ooh.
17:38Makes you go funny.
17:39Exactly.
17:40Um, all done.
17:41Marvellous.
17:42Well thank you very much indeed for seeing me today.
17:44Pleasure.
17:45Thanks very much.
17:46Take care.
17:47Thanks a lot.
17:52Yeah.
17:53But just let me know when you've done it.
17:54Her dress is really nice.
17:56Oh, Miss Honey's always got nice dresses, don't you?
17:59Lovely.
18:00Katie.
18:01I said Miss Honey always got nice dresses.
18:03Miss Honey!
18:04Oh yes!
18:05She resemblance with Honey.
18:06Are you Matilda?
18:07Are you Miss Trunchbull?
18:08Oh my gosh.
18:09You are...
18:10I'm wanting surgery.
18:11Hello Sophia, I'm Dr Pearson.
18:12Hello.
18:14Thanks for coming down.
18:15Come and have a seat.
18:16Now, how are you?
18:17I'm okay.
18:18So you've come in to talk about this gynaecological problem that you've been having.
18:32Mind saying what are the symptoms and what you've been experiencing?
18:35Yeah, so I've just had like a lot of pain for over like a few years now.
18:39Yeah.
18:40I was diagnosed with PCOS.
18:41Yeah.
18:42A couple of years ago.
18:43I had my bloods tested and there was quite a lot of imbalances apparently according to
18:48them.
18:49But over the past six months or so, I've been having extra symptoms.
18:53Okay.
18:54So kind of extra pains but specifically in like the left ovary kind of region.
18:59I kind of ignored it initially because I thought it could be a cyst or something like
19:03that.
19:04But over time, it just progressively got worse and worse and worse.
19:07And I ended up in A&E on Saturday with the pain.
19:12And I kind of have pain between my periods and I had a really heavy period and really
19:16long period last time.
19:18It was like 10 days, which again is quite long.
19:21That is long.
19:22That's miserable.
19:23The next one starts again virtually.
19:24I know.
19:25So that's miserable, isn't it?
19:26So heavy periods, long periods, you've got different and this pain that's all over.
19:30And your bowels, any change in your bowel habit at all?
19:33I have noticed a little bit of a change.
19:35Yeah.
19:36So like when I'd have the pain or what I'd call the flare ups, say I would tend to want
19:41to go to the toilet all the time.
19:42Okay.
19:43So I kind of felt like that might be connected.
19:44Yeah.
19:45And your sort of general wellbeing in yourself.
19:47I feel exhausted all the time.
19:49Like the energy levels just.
19:51How do you manage that then?
19:52Are you able to, I mean working and things, are you working?
19:55I am working.
19:56Yeah.
19:57And it's kind of difficult for me to like stay energised and focused and motivated.
20:01Um, just cause I'm also in pain all the time.
20:04It does cause quite a bit of issues.
20:06It sounds like it's interfering with a lot of your days in a month.
20:09It does.
20:10It does look a bit swollen.
20:11It does look very swollen.
20:12Yeah.
20:13Yeah.
20:14Yeah.
20:15It does look very swollen.
20:16Yeah.
20:17Yeah.
20:18Yeah.
20:19It's absolute agony.
20:20i had a pain up here okay i ate some meat my son cut it up in the longer pleases and i think i ate
20:33that and it was quite painful up here terribly painful it does look a bit swollen it's very
20:39swollen yeah yeah it's absolute agony last night is causing a lot of pain yeah any pain doing that
20:47yeah that's a bit sore yeah okay every now i'm gonna want to move my arm i get shot pains come
20:52down my arm to my elbow ongoing infection there you can see it oh bless you poor thing i guess a
20:59pain shooting clear in here it was hurting like hell
21:03now how do you feel now with that pain it's not obviously as bad now as it was on saturday because
21:14on saturday i could barely like even talk and is there anything you're worried about that this
21:17could be the one thing that it sounded a lot like was endometriosis yeah i mean that's what i'm
21:23thinking as well along the same lines i think it does sound like it could be you've got so many
21:27symptoms don't you of that i suppose one thing that we need to be careful of is that there isn't a
21:31cyst or something because when you have polycystic ovaries sometimes one cyst does grow and then that
21:35in itself can spit out some hormones and make you feel horrible and everything else so we we ought to
21:39do an ultrasound scan to make sure there isn't anything new acutely that's happened that there
21:43isn't a sort of four centimeter cyst sitting there or something but of course the way sometimes to
21:47really diagnose endometriosis is partly through the history and sometimes then we go to the
21:51gynecologist they can look into the pelvis and have a look at where the the womb lining that should
21:57be staying in the womb and only bleeding in the womb but endometriosis as you know probably is the
22:00womb lining spilling out to other parts of the pelvis so when you're on your period and it's bleeding
22:05and it's responding to all the hormones so is the cells on your rectum that's making you feel
22:09that you need to poo all the time or on your bladder or on your ligaments that pull so you've
22:13got the side left or right sided pain so it could well fit with this picture did you read anything
22:18about the treatment for endometriosis i think a lot of people i know who are on it are on birth control
22:23to kind of maintain and manage it i've been on a couple bits of birth control that hadn't really
22:28responded well i mean i'd be open to trying again to see but obviously it's not like the preferable route
22:36i think let's do the test perhaps and find out what's going on and then that is an option but
22:40there are other things and sometimes the gynecologist can do the camera in and they can
22:44literally treat the little bits they can zap the cells that are in there if they see a little patch
22:48of endometriosis they can sort of burn it it sounds horrible but they get rid of it it's it isn't a
22:53necessarily a long long long term fix but it does help for a bit have you ever tried any of the sort
22:59of the slightly more specific painkillers that sometimes we use around period people take naproxen i don't
23:04know if you've ever tried that i've not tried naproxen they're anti-inflammatories and actually
23:09they sort of help with the condition and they're not treating endometriosis they're not going to
23:13stop it coming you feel a little bit less pain and things it's not going to solve it but i think it
23:17might help a little bit if i send it through it'll explain it all on there just take it with some food
23:22when you next have your period or period pains and let's see if this helps a bit yeah and i'll get a
23:26scan and the referral and things all sorted out from here yeah thank you all right well nice to see you
23:30good luck with things which i and then let's speak when we get all the results yes thank you so all right all the
23:34best bye-bye bye-bye hello hi thank you have a seat i'm dr dudgeon we've met before yes yeah the
23:46reason i've come now you know my right eye it's gone sort of smaller okay and some friend of mine said
23:53you know you better have it checked you never know is this a normal old age or is there something odd
24:00it it sort of feels as if it's drooping and i can feel it sometimes almost sort of on the eyelid
24:06yeah closing and how's your vision well i i need glasses but i don't think it has affected that when
24:14did you last have an eye test can you remember yes last june july so i'm due for one again soon or august
24:21yeah okay and when you last went for an eye test was it a problem then no no they didn't even say anything
24:27but i know now looking back even at photographs you know it sort of you know but is it anything to
24:34worry about we'll have a look if that's okay and then we'll talk about it just look straight at me
24:42and no dry eyes nothing like that they feel okay otherwise well at one period it was you know sort of
24:51bothering me a bit of spurning but actually both eyes i think it was pollution because i went to
24:56the boots chemist and they gave me some drops and it was okay okay i just want you to follow my finger
25:09good and can you screw your eyes up really tight perfect don't and then just keep them
25:14shut for a minute i'm going to try and open them so if you screw them up really tight
25:18that's fine okay and puff your cheeks out good and can you lift your eyebrows up
25:29that's fine and you can feel me touching your face yes that feels the same on both sides yeah okay
25:34so it does look like you've got we call it ptosis it's just when the the eyelid droops a little bit
25:39oh and you can see on the right it's kind of drooped further than on the left yeah i mean it is
25:46covering a bit of your pupil would you say affects your vision no no i don't think it does no so the
25:53reason i'm making you smile and puff your cheeks out and raise your eyebrows is i'm just testing the
25:57rest of the muscles on your face but they all look fine so you can lift your eyebrows up equally when you
26:03smile your cheeks both puff out so that's good so i think it is just the eye that's affected i think
26:08you should go for the eye test just so that the um optician can have a look at your eye have a look at
26:13the back of your eye we will ask ophthalmology to have a little look at you what we don't want to
26:18do is it to start to affect your your vision yeah it's nothing serious anyway i don't think so because
26:24it is it's just that one that's affected okay all right thank you very much okay bye
26:30bye bye
26:38i'll take a picture of our feet should i post it on my story look how cringed we are we're both wearing
26:43the same shoes today because i never wear dunks we would never be foot models you know that come
26:51ready ready one two three three well we could be feet model because our feet are quite cute actually
27:00but not with shoes on it's not looking good bro uh alexander please hey there
27:10can't do i have a student with me is that okay that's absolutely fine lovely i'm george one of
27:13the doctors good to meet you very nice to meet you george how can i help today i mean i came in a few
27:18weeks ago because i had a um a radial head replacement yes i was told to sort of come in
27:26if any of the screws were looking like they were going to come through yeah apparently i'm a little
27:31bit skinnier than most patients yeah because they said that if these come through and there's an open
27:36fracture then they have to repeat the whole surgery all over again and take out the elbow and it'd be
27:41a nightmare so but i was just wondering if you could recommend anything basically is it causing any
27:46problems at all not really i mean it's like the pain is way better than it was obviously because
27:51i've gone through a month the pain's been so intense i just really don't have to repeat that
27:56again yeah of course and what's the range of motion like is it yeah it's a really really good
28:01i was told if you get 50 range of motion after this surgery yeah you're doing well so i was pretty
28:08happy with that okay brilliant and how did you do this again like the most innocuous way i was playing
28:13paddle and i sort of like i think it was like basically i jumped up and as i fell i think i
28:18dislocated it and then broke my humerus bone but then because of that my body fell on my arm and it
28:25broke all of this so it was uh yeah it was pretty intense i'd never broken a bone before i broke every
28:33bone in my arm is that painful if i press a little bit it's okay i'm very used to it by now so i think like
28:40the screws back on the other side i think are okay yeah i agree um but i think it's just this one here
28:46that like i agree i'm a little worried that it's going to come through and then i'll be free any sort
28:53of pain shooting down the arm at all yes i think um so a bit of bone chipped off during the surgery
28:59and then nestled in between my nerves so i get a bit of shooting pain down my arm yeah but uh i think
29:05they're going to remove that in the next surgery i think what we should do maybe i'm wondering if we
29:08should get an x-ray for you just to see how things are yeah yeah yeah sure so that when you see them
29:14they'll sort of have that and yeah i think we just write to orthopedics again and just say look this is
29:18starting to come through a little bit sorry cool no that's totally fine more insanely than i can
29:26possibly imagine oh they do say breaking of bones horrendous i think it's because the elbow
29:32because all the nerves are there but i think like because you normally associate pain with being like a zero
29:36to a 10. i thought i'd reached like a seven before this but i think i'd only reached like a four oh
29:43gosh good luck so much more all right thank you so much all right thank you so much all the very best
29:49appreciate it take care
29:51how can i help i don't know how to start like well my mom told me that like i should come in for
30:02like an appointment to talk about if i have any mental health issues or like adhd why do you think
30:09she's suggested that well like since i was like young i've always like struggled with like i don't know
30:15like example for subjects that i really enjoy yeah like maths but to me it requires like less thinking
30:22i was always like able to like study for it but subjects like english and like history and all those
30:29subjects when it involves writing it's so much more difficult yeah have you ever had that assessed
30:35with at school you're writing no because it sounds like you're really good at numbers and it's the
30:39writing bit that you're having a problem with do you think that's how it feels that's how it feels a
30:45lot tell me more about why you think it's mental health issue rather than sort of you know concentrating
30:53or problem with letters and numbers if i would be in like a conversation with someone yeah i'll be
31:00talking to them and then i'll just stop hearing what they say like like my mind will be onto something
31:05else all the time and then obviously the person will find it rude and i would just be i'm very
31:11sorry i didn't mean to yeah over the last like two three months i've been working now as a barista so
31:18like i'll be making for coffee and they would talk to me yeah and then i would begin like the conversation
31:23when they speak to me i would hear it yeah and then for every reason i would either forget or i just
31:29wouldn't hear it yeah even my manager went up to me and they're like i feel like you should really work
31:32time skills yeah and i was like yeah i'm sorry i'm trying the best as i can and your mood do you
31:38get tearful on your own you know do you ever get really sad is that do you ever get like that when
31:44i'm alone and i just like me and my thoughts i feel like i'm constantly overthinking have you ever felt
31:51low that you wanted to harm yourself or anything like that have you i wouldn't say harm myself but
31:57there'll be time where i'll be like i might just be in bed for like hours and hours of a day even
32:01though i have stuff to do and i'll just not want to do anything i just want to be like yeah stay in
32:07my room and do nothing yeah it's quite an impressive brace isn't it just it's like another trouser leg
32:27isn't it i mean goodness me my poor knee i don't normally wear this it's just if i'm under good
32:33going bursitis isn't it well that's huge now this knee sounds like there's crinkle paper in it every
32:40time i try to get up you can see the difference yes in the knees very arthritic but it'd be okay to have
32:45a little feel of that yeah i'd love you to i started to get a pain in my knee here and then over the weekend
32:51it blew up i'm still getting trouble with my knee it just goes you know i wish it'd go to cyprus with
32:58me attached to it but no anyway okay doris come through we're ready
33:08i have a student with me do you mind i knew you had because i saw the feet oh very good lovely to see
33:17you how it's lovely to see you because it's good days and bad and i got soaking wet as you can see
33:25it's horrible out there how are you all right good i have an ear i've got two two i hope one of them's
33:32been playing me up for a little while and i've also got i think porosis of the knee that's killing
33:39me but there you are that's right and how long has the year been bothering you for well it's
33:45crusty yeah so the only way i can describe it it doesn't hurt but it itches it drives me mad yeah fair
33:51enough any discharge from anything coming out of it not really that comes with if if i do scratch it
33:58and as i've got long nails yeah i couldn't hopefully not doing too much damage when you're
34:03doing that i hope i hope no but i mean it seems such a silly thing no it's going on and on and on
34:10it's not silly at all i'm glad you came in um any dizziness rotational vertigo type of symptoms
34:16not at the moment good i think that's coming well i mean hopefully not i hope not i will fall i
34:23don't know why i know you've had a few of those falls recently oh i've had five of them
34:28the point is with a fall it always happens where you can't get up because there's nothing to hold
34:34on to oh gosh even at home if you know i mean i'm not near a chair or anything so i have to
34:42you know sashay along so if somebody doesn't come and help you up i think you'll be there till nine
34:48o'clock at night and you have everything you need at home like walking aids oh yeah have you seen the
34:54guys at the falls clinic the specialists have you seen them no no are you happy to go and see them
35:00oh yeah yeah can i look in your ears you can and i look in your good one first just to see what normal
35:05is like for you thank you perfect textbook ears i love it amazing really pristine oh well done well done
35:17you something well done you you've got loads going on right that's brilliant really good yeah you can
35:23see the eardrums bulging out towards me ever so slightly it's nothing to worry about and the canal
35:29looks a bit inflamed and angry so yeah i'm going to give you a little spray for it that's just going
35:33to help calm down that inflammation and then what's going on with this knee i feel it's osteoporosis
35:40osteoporosis or osteoarthritis oh ah well how would i know well i suppose that's well it looks
35:47osteoarthritic to me it looks like osteoarthritis yeah but let's have a little closer than the other
35:52one yeah infinitely hundred percent yeah oh thank you i live on my own yeah and i say i'm walking
35:59around the flat saying to yourself why are you doing this to me are you managing okay at home yeah yeah
36:06yeah yeah did you get any help um i don't know i'm used to being on my own yeah it's my son
36:13could you just something with my son he's driving me mad what have you got in mind oh
36:20oh i love it thank you you've given me a good laugh there let's have a little thank you
36:28he's all right don't you understand me it's not bad i mean if i didn't have him i don't oh now i can
36:33feel all that tender isn't it um he says the neighbors are complaining my television's too
36:40loud now i can't have the area so what's the point of having a celly with your hearing aids in do you
36:46still need to turn the volume up quite high no no well then that's fine put your hearing aids in and
36:51watch the telly not a problem at all yeah well i didn't put them in because of in case yeah just
36:55have a look absolutely no it's looking good i'll give you a spray for it like i said i think the knee
36:59there's a bit of wear and tear there and that's what's causing all the pain if you want we can use
37:03a bit of ibuprofen gel to rub into it i think that'll really help yeah and then we'll refer
37:08you to the falls clinic again i'll chase it up for you because i don't think they've seen you it looks
37:12like wonderful and then we'll see how we go is that all right lovely that's fine very helpful good
37:20take care of yourself have a lovely weekend my son as well lovely to see you likewise all the best
37:27bye now i hope you're learning something even if it's only from us i hope so too thank you thanks
37:33i can't believe it he's not worried i'm spending my life riding you don't need to worry in one ear
37:46dr hawk will sort you out don't worry he will he will he's an expert isn't he he's lovely yeah i know
37:53in actual fact i'm thinking of getting him cloned i was just thinking i haven't seen you for ages i know
37:59i know it's been busy but you haven't changed a bit well you're in good hands you see you don't
38:03need to see me anymore but it's nice to see you you're looking very well keep my fingers crossed
38:09good for you keep your fingers costly but it's nice to see you again bye bye bye bye bye
38:16you know i've known you for a long time actually uh since you're a baby and um it's great that you've
38:21come and i think we can help you i think some talking therapy is going to help you but how do you
38:26feel about medication to help lift your mood a bit for me i would i would want to learn as much like
38:33information about medication before i take it because you're an intelligent person you want to
38:37know everything about it and why take a chemical if you don't have to so i am going to refer you they
38:43should contact you within two weeks or they'll assess you on the phone and then decide which direction
38:50they want to direct you to this talking therapy there's individuals this group all those sorts of
38:56things it's really brave of you to come and talk about it um have you got any questions well i would
39:02like to know have some like clarity like so i could stop thinking about do you from your like perspective
39:08yeah would you think i have adhd i think you know it's a spectrum isn't it of course and you know
39:14we're probably all on one part of the spectrum i think yes you probably are on one part of it but i
39:20think that might be other issues with that as far as numbers and letters but you're very intelligent
39:27you've got good insight and you know i'm here and you know where i am and feel free to come and see me
39:34um i'll be i'll be seeing you again and i'll do a phone call review anyway uh to make sure you get the
39:40appointment okay okay so i'll put you down for telephone call in two weeks yeah to see how things go if
39:46in the meantime you feel bad about or worse or anything like that you know just come and see
39:50me all right of course i will thank you all right okay yeah all the best have a good day and uh we'll
39:56be in touch of course see you so this is a question do you keep your eggs in the fridge yeah
40:13do you keep your ketchup in the fridge yeah you put your ketchup in the fridge do you keep fruit in
40:18the fridge depends what fruit it is it's a bananas no they go brown quickly not apples though or anything
40:24no i don't put apples in the fridge it's too hard when you buy it come on man even you know that
40:35how 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
40:42are you managing okay yes it's a cure it's egg isn't it it sort of hits you when you least expect it and
40:48when you're sort of think it's going to be tough is actually when you're you're ready for it and it
40:54doesn't affect you so badly and then when it's sort of i don't know so something happens you don't
41:00expecting it and then it sort of hits you can't sort of function for a bit but she set such a strong
41:07example i can't really i'm not allowed she was amazing she really was she was amazing woman yeah
41:13no absolutely 45 years 45 years yeah yeah yeah but you've got the you know you've got 45 years
41:23but your family are you doing okay well yeah yeah yeah we're very much together yeah exactly it's
41:29it's been sort of gonna go on holiday or anything uh we haven't well yes we are planning to go with
41:36christmas because christmas we can't do christmas at home that's going to be too much so yeah so we'll go
41:40away for christmas and i bet yvette gave you a list of yeah well that's the problem she she was mrs
41:48christmas she'd think about christmas 364 other days of the year as well a standard i cannot achieve
41:56myself i'm afraid so sharp scratch mums we go overboard don't we uh yes if it had got so many canyons
42:08fitted in her time she don't she'd come to me how's your granddaughter uh she's great she's coming on a
42:16pace now she's really developing how old is she now 16 months if i was so happy that she well she ate
42:23got to see got to see her and then she attended her first birthday as well so that's amazing and got a
42:29nickname so she became goo did she become goo she became goo so she got she's incredible she got the
42:34nickname in she was so determined to see her first grandchild well she certainly was looking to make
42:42the most of whatever time she had all done sir okay thanks very much you're very welcome and it's nice to
42:50see you you too you're looking well you're keeping well yeah yeah not bad just you know getting on my
42:57life yes quite grandkids keep me busy that'll do it you take care thanks very much bye john bye
43:06thank you so much for your help yeah i'll speak to you next week all right then bye remember it's fasting
43:12from midnight hey nothing to eat from midnight when you come yeah i've got to remember that one
43:16when it's been on afterwards thanks very much bye brilliant okay thanks very much pleasure take
43:22care all the best youtube bye
43:46bye
43:54how are you
43:56oh
43:56yeah
43:58yeah
44:00yeah
44:04yeah
44:08yeah
44:10yeah
44:12you told somebody that you're starting to struggle at home really i think people put
44:29things in my mouth at times do you feel okay in yourself i'm sweating my hell on sunday
44:35all of a sudden i had this black out of the face it just happened just just just like that
45:05you
Be the first to comment