- 2 days ago
Gps: Behind Closed Doors - Season 9 Episode 16
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00:00Last week, it was a really bad smell coming from right here, like really, really bad.
00:14We have cockroaches, we have mice, sewage coming out, bathrooms coming up in the kitchen, these things, and it's constant.
00:25It moves around, doesn't it?
00:27It's like water inside the surface.
00:29Yeah, it does. It feels quite squishy, doesn't it?
00:33If you're going to die, you're going to die. Get out and enjoy yourself. Don't go and wait for death. Get out and enjoy it. That's the way I look at it.
00:42Very positive, I like it.
00:46One of the biggest things that predict outcome is often motivation, but you're the most motivated person I know.
00:52It's really frustrating.
00:53It is, isn't it?
00:55Yeah.
00:59Morning.
01:11Morning.
01:12Morning.
01:12Good morning, Sergei.
01:33Claire, please.
01:37Hi.
01:37Hello. I don't think we've... Have I seen you before?
01:40Dr Prestwich. You look familiar.
01:42Have you seen my... Maybe my children.
01:44Perhaps, yes.
01:45They're usually the ones who...
01:47The main ones to worry about.
01:49Exactly.
01:50How can I help?
01:51I've had this weird lightning pain, sort of across here.
01:57I saw my cousin, she does some therapies, and she said to me,
02:01oh, yeah, that's that.
02:03And I can't remember what she said.
02:05But combined with the headache, and then I had it this morning,
02:08and it sort of comes, and then it goes.
02:10If you feel my head, this side is a bit swollen.
02:14Okay, so the headache started...
02:17This morning.
02:18This morning.
02:19I took some Nurofen, and I've taken Paracetamol,
02:21and it's still... I can feel it's still there.
02:25If I had just had the headache, I wouldn't be so worried.
02:28But it was this electrical thing.
02:30I get it about twice a week.
02:32So, like a zapping kind of sensation.
02:34Yeah, exactly.
02:35Does that feel deep or superficial?
02:37Deep.
02:38Deep, yeah.
02:39Okay.
02:40Any sensitivity to light or sound?
02:41I mean, I live with three children,
02:43so I think I've got sort of noise PTSD, but not particularly.
02:48Okay, all right.
02:49Let's examine you now, do some observations.
02:51Just keep your head still, and try and follow the shiny bit of my pen, please.
02:55Any double vision?
02:58No.
02:59The eye movement's a bit normal to me, so...
03:03Right, now you're going to look at me again, cover that eye.
03:07Great, looking here.
03:08Tell me when you see my fingers moving.
03:10My cheating.
03:11Looking at my nose?
03:12Great.
03:13No.
03:14Okay.
03:15Yeah.
03:16Yeah.
03:17Yeah.
03:18Okay, all right.
03:19So just close your eyes to me.
03:20Can you feel that touch on your forehead?
03:22Mm-hmm.
03:23Does it feel the same on both sides?
03:24Yeah.
03:25Mm-hmm.
03:26And here?
03:27Yeah.
03:28Okay, you can open them now.
03:29So we've just tested cranial nerves.
03:31The only thing I haven't done is looked in the back of the eye,
03:33which I would like you to get done with an optometrist for an eye check
03:37and an eye health check.
03:38Mm-hmm.
03:39This is the most thorough exam I've ever had.
03:42Yeah.
03:43Usually it's, can you take two paracetamol?
03:46Well, that's probably going to be the advice, but let's see.
03:48I'm just going to pull on you.
03:50Does that feel okay?
03:51That feels nice.
03:52Yes.
03:53It improves your headache?
03:55I like that.
03:56Yeah.
03:57Can I just check the other side for comparison?
03:59Yeah.
04:02And that all looks fine too.
04:04I mean...
04:05Yeah.
04:06Okay.
04:07I don't think there's anything worrying going on.
04:10So, yeah, sometimes when a headache comes on really, really suddenly,
04:14we think, is there something going on in the brain?
04:16Mm-hmm.
04:17It doesn't sound like that kind of headache and there's no neurology to go with it.
04:20So I think the most likely headache that you're experiencing at the moment
04:22is a tension headache, which is where the head is essentially being squeezed
04:26by the muscles and soft tissue around the head because they're being pulled on by muscles
04:31in the neck, shoulder, and back.
04:33Mm-hmm.
04:34So that squeezing pressure, as well as being painful, can give some other symptoms as well.
04:41Yeah, this is day one of this headache.
04:43There might not even be a day two, but if there is, I'm going to give you a headache diary
04:46and we can start logging things.
04:48If anything changes, we can, you know, we can review it.
04:50Is that okay?
04:51Yeah, that's great.
04:52And, yeah, do come back to us.
04:55If these headaches don't settle down or get worse.
04:57Yeah.
04:58Thank you so much.
04:59Pleasure.
05:00Take care.
05:01Bye.
05:06Sophia?
05:07Hi.
05:09Come on through.
05:11Hi.
05:12Come and take a seat.
05:13My name's Emily.
05:14Nice to meet you.
05:15Nice to meet you.
05:16How are you today?
05:17Very good, thank you.
05:18How are you?
05:19Good, thank you.
05:20How can I help you?
05:22So I've come in, I think, for a swab test.
05:24Yeah.
05:25For an endometriosis diagnosis.
05:27So you've spoken to the doctor about this?
05:29Yes, yes.
05:30This is kind of the preliminary part of it.
05:32So I've already been in for an ultrasound as well.
05:36Perfect.
05:38Are you currently using any form of contraception or hormonal pills to try and regulate everything?
05:43No.
05:44Great.
05:45So what we would normally do for this is two types of swabs.
05:49We'll do a swab to check for unthrush and bacterial vaginosis, just to see if there's
05:53any infections there.
05:54And then also a swab for STIs, so we look at chlamydia and gonorrhea specifically.
05:59Is that okay?
06:00Brilliant.
06:01So if I could ask you please just to remove everything and then head on the pillow and paper towel over your waist.
06:08Are you ready?
06:09Yes.
06:10Perfect.
06:11What have you got planned for the rest of your day today?
06:14I'm actually going into work.
06:16What do you do?
06:17Marketing.
06:18So, yeah.
06:19So is that all on social media?
06:21Yes.
06:22So it's like Instagram, TikTok.
06:23Well, it goes over my head.
06:26I know it's such a great sort of use of like pre-advertising and things like that, but I...
06:32It's got a good mix of different things in it.
06:34Always good to hear when people enjoy their jobs.
06:36Yeah.
06:37Okay.
06:38So if I can get you just to drop your knees outwards to whatever feels like a comfortable
06:42position for you.
06:43That's brilliant.
06:44Just opening up the speculum.
06:47Doing really well.
06:48Are you okay?
06:49Yeah.
06:50Okay.
06:51First swab.
06:52Done.
06:55And then last swab.
06:58All done.
06:59Well done.
07:00Perfect.
07:01You did so well.
07:02Are you okay?
07:03Yeah.
07:09Well done.
07:12Brilliant.
07:13Well, give us a call on Monday.
07:17We will go through your results.
07:19Any issues, just let me know.
07:20My name's Emily.
07:21Perfect.
07:22Thank you so much, Emily.
07:24Good luck with everything.
07:26Have a good day.
07:27You too.
07:31I'm always getting some weird stuff sent to my email.
07:33Every time I open my emails, I've always seen cats and dogs.
07:36I don't know what it is.
07:37Now I've got a horse.
07:38I've got a horse.
07:39Oh my God.
07:40Yeah.
07:41I've got a fudge.
07:42Must be some group thing.
07:43I'm going to reply to one of these.
07:44I'm going to go, that's a cute cat.
07:47No, they are so cute.
07:50Come and have a seat.
07:51Thanks for coming down.
07:52Thanks for seeing me.
07:53Right, there we go.
07:54Now, how are you?
07:55Um, not great to be honest.
07:57No.
07:58Um, yeah.
07:59I'm going to try not to cry, but I feel like I'm already starting.
08:02Just take your time.
08:03Don't worry.
08:04I know you've had a really tough time, haven't you?
08:09Let me say what you have a minute, that you've had the horrible long COVID, haven't you?
08:38And you had COVID, I think, was it July or something, 2021?
08:42It was a while ago, wasn't it?
08:43Yeah.
08:44And it really knocked you for sick, didn't it?
08:45And then you were under all these sort of specialists and it's affected all sorts, isn't it?
08:49Yeah.
08:50Over the course of three years, built up to working 30 hours.
08:54And then I sort of burnt out, which just wasn't functioning well.
08:58And I decided I needed to go on sick leave.
09:01Yeah.
09:02But it's been really hard and I got COVID again.
09:04Can't believe this.
09:05That's the second week.
09:06You are the most unlucky person.
09:08I know.
09:09And I didn't even go anywhere.
09:10Where did you get COVID?
09:11My boyfriend.
09:12So he's going into the office every day and poor thing, he came home with it.
09:16I mean, it's easily done, isn't it?
09:18It just shows it doesn't matter how many people you see, you only see one.
09:20Exactly.
09:21But you can't put yourself in a rubber ball and never see anybody ever, can you?
09:25Yeah.
09:26That would be ridiculous.
09:27I think that's the fourth time.
09:28And so it's been, instead of sort of recovering from the burnout, I've been recovering from COVID because it hits me really hard and I get all of the symptoms.
09:40So each time you get COVID, it sort of brings you back to square one again.
09:44Yeah.
09:45So I've got stomach problems from COVID, which I've seen a consultant about and that was sort of, you know, I was tapering off the medication.
09:52I'm now back on the full medication.
09:54So poor Emma had COVID quite badly early on in the pandemic and it resulted in leaving her with some huge amount of symptoms of long COVID.
10:02She's fatigued.
10:03She's dizzy.
10:04She just feels really unwell.
10:05And it's required her, she hasn't been able to work.
10:07She was just getting everything back on track and getting back into work.
10:10And then she got COVID again.
10:11And unfortunately, that's been a bit of a setback.
10:14I'm hopeful that it's not going to be as big a setback as perhaps it was first time and that she's got the support from the long COVID clinic who are really helping her.
10:21And hopefully with the support from us and from them, we can get Emma back on track and back into work, which she's desperate to do as soon as possible.
10:28Yeah, it's been really hard.
10:29And I'm just sort of a bit scared of going back to work, actually, because it was really hard when I stopped sort of being able to function properly.
10:42And I'm just, yeah, and it's also a lot to sort of accept that.
10:48I don't think I'm going to be able to work full time.
10:52I mean, the good thing, Emma, is that you have got better.
10:55You know, you were functioning, working 30 hours a week, you know, really picking up.
10:58And then it's gutting that it's happened.
11:01And maybe we can learn something from that.
11:03And if you say you've got burnout, well, what maybe caused that?
11:06Can we look back and think, well, how can we prevent that coming?
11:08Did we go up too quickly?
11:09Did we, were you doing too much outside of work?
11:12Was it, you know, were you not doing enough outside of work?
11:14You know, we can look at that and try and perhaps explore.
11:16And I remember someone once describing COVID, long COVID to me that most of us wake up in the morning with our battery full and we're ready to go for the day.
11:22And you're waking up and you haven't been charged all night.
11:24So you've only got that little bit.
11:26And if you do too much, you're out, you're drained and you can't.
11:30So it's just sneaking in while you slowly build it back up.
11:33But you did build it back up last time.
11:35So it does work.
11:36Yeah.
11:37The one thing is that if you're not ready, you're not ready.
11:42And if you go back too soon, it won't work.
11:45Yeah.
11:46If you'd broken your leg and it was a physical injury and you had a physical job, you'd be like, well, I can't work.
11:51And because we can't see it and you look lovely and healthy, you sort of look in the mirror and think, well, I should be OK.
11:57But it's not.
11:58It's a problem.
11:59One of the biggest things that predicts outcome is often motivation.
12:03And if someone's not motivated to do something, it's really hard to get better.
12:06But you're the most motivated person I know.
12:08So I honestly think we'll get there.
12:10It's just a slow, ploddy road.
12:13Frustrating.
12:14It is, isn't it?
12:15Yeah.
12:16But you've done it before.
12:17I've done it before.
12:18And you've got up to 30 hours a week and you're brilliant.
12:20And your employer, I can tell you now, they would have booted you out if they didn't think you were worth having back.
12:23So the fact they're being so supportive means they want you to come back.
12:26It's just we have to do it carefully.
12:28OK.
12:29Yeah.
12:30All right.
12:31Well done, sweetheart.
12:32Well, listen, good luck with everything.
12:33Don't forget your brolly.
12:34I think you might need it.
12:35Thank you so much.
12:36Not at all.
12:37It's nice to see you.
12:38Take care.
12:39All the best.
12:40Bye-bye.
12:41Bye-bye.
12:42So my name's Safa.
12:44I am doing your blood test today.
12:46And it's just all routine bloods for you today.
12:48So we're doing like your full blood count, your diabetes, cholesterol, liver, kidneys, thyroid.
12:53We've got your vitamin D in there and your B12 as well.
12:56Amazing.
12:57OK.
12:58And also your ferritin.
13:00That's also added.
13:01OK.
13:02So which arm is usually best for bloods?
13:04You've got lovely veins.
13:06Whichever one you would prefer me to go into.
13:08I mean, this is my mousing hand, so maybe that one.
13:10Yeah, that's fine.
13:11I cycled over, so everything should be like ready to pump out.
13:16That's good.
13:19Does Sam still work here?
13:21Yeah, she does.
13:22She's actually on leave at the moment.
13:23Yeah.
13:24Slight scratch.
13:25I only actually became a HCA just one year ago.
13:31Before that, I was a phlebotomist as well.
13:33I can do bloods, blood pressure, ECGs, vaccinations, diabetes checks.
13:40I think when you work as a receptionist, obviously you do get that one-to-one, but I think it's
13:45just that one-to-one in the room.
13:48I love my role as a HCA.
13:50I remember coming here when I turned 40 MOT.
13:54OK.
13:55Because Sam gave it to me.
13:57She was so funny.
13:58Because I got like an A-plus on my report.
14:01That's good.
14:02And she was really impressed.
14:04And I was like, OK.
14:07That's so funny.
14:09So if everything went fine with it, then it's usually every five years that you're called in for another check.
14:14That's all done.
14:15I'll just take the needle out.
14:23So with the results, they should be back maybe by Wednesday or Thursday.
14:28We say give us a call.
14:29Anything urgent, a doctor will be in contact straight away.
14:34OK.
14:35All done.
14:36Beautiful.
14:37Thank you so much for your time.
14:38You're welcome.
14:39That's OK.
14:40Have a super day.
14:41You too.
14:43Oh, it's our delivery.
14:44Oh, yes.
14:45It's been delivered.
14:46Yeah.
14:47What is it?
14:48Let me have a look.
14:49It's so cute.
14:50That.
14:51I like it.
14:52I've got my heels as well.
14:53I'm wearing a lot of my thick black heels.
14:54Oh, my God.
14:55Why are you considering buying stuff?
14:56It's been delivered.
14:57I'm so happy.
14:58Hi, Ho.
14:59Hello.
15:00Come on through.
15:01Good morning.
15:02Maybe good.
15:03Maybe good.
15:04I like London weather.
15:05Come and have a seat.
15:06How are you?
15:07I'm more happy to visit the museum than GP.
15:08OK.
15:09Well, tell me what's brought you in, though, to see us today.
15:11Sorry, I used Google Translate a little bit.
15:12That's OK.
15:13Let's have a look.
15:14Let's have a look.
15:15Swelling on the neck that appeared a month ago.
15:16OK.
15:17Painful?
15:18It's not painful like cutting.
15:20OK.
15:21Like you burn your skin.
15:22Yep, yep.
15:23And when I put my neck like that...
15:24Then you can feel it.
15:25It looks like I have a ping-pong ball inside.
15:26And anything like that?
15:27It looks like I have a ping-pong ball inside.
15:29And anything like that?
15:30Yes.
15:31Yes.
15:32Yes.
15:33Yes.
15:34Yes.
15:35Yes.
15:36Yes.
15:37Yes.
15:38Yes.
15:39Yes.
15:40It looks like I have a ping-pong ball inside.
15:43And any problem swallowing?
15:44Little bit.
15:45And food?
15:46You can eat food, OK?
15:47No, food is OK.
15:48OK.
15:49But it's happened no long time ago.
15:50It's six, seven...
15:51Six, seven...
15:52Weeks.
15:53Weeks.
15:54Come and have a seat on here.
15:55Let's just have a look at it.
15:56OK.
15:57We can have a look and compare left and right.
15:58So that side is quite flat.
16:00And that side, there's quite a bulge, isn't there?
16:02Can I press it very gently?
16:03Yeah, yeah, yeah.
16:04That's OK?
16:05You can press more, don't worry.
16:06OK.
16:07And it moves around, doesn't it?
16:09It's like water inside or something else.
16:10Yeah, it does.
16:11It feels quite squishy, doesn't it?
16:12Mm-hmm.
16:13And if you turn and look your head that way a little bit...
16:16OK, then it's...
16:17It's pulling.
16:18It's pulling.
16:19Because it's attaching to the muscle, perhaps, and pulling a little bit.
16:22Let me just have a listen.
16:24I don't think it's got any blood in it, but let me just check.
16:28No, it's fine.
16:31No.
16:32I can't hear anything in there, which is good.
16:35And it's funny.
16:36And it's been there so many...
16:37And it's growing.
16:38OK.
16:39Come and have a seat.
16:40Come and have a seat.
16:41Let's just have a chat.
16:42Is it lymph or not?
16:44It...
16:45So a lymph node...
16:46Because you know why I'm afraid?
16:47My wife have cancer.
16:48Oh, dear.
16:49Yes, I'm sorry.
16:50And she have...
16:51And she have operation the same.
16:52OK.
16:53And doctor check under and there as well.
16:54Yeah.
16:55And I'm in panic.
16:56Maybe I have the same problem.
16:57OK.
16:58How is your wife?
16:59You mentioned your wife is pulley.
17:00The doctor guarantee five years life.
17:02Mm-hmm.
17:03No more.
17:04But if lucky, it will be more.
17:05OK.
17:06But five years gone.
17:07Wow.
17:08And she's still OK?
17:09Yeah, yeah.
17:10Because you have a lot of chemical and radiation.
17:12OK.
17:13And she lose her immunity.
17:16OK.
17:17But it doesn't matter.
17:18This is life.
17:19Well, it's difficult, though.
17:20But I can understand why then you'd worry if lumps and things come up.
17:22We need to check.
17:23So it doesn't feel like a lymph node.
17:25Mm-hmm.
17:26Because normally a lymph node is a bit firmer and is smaller.
17:29Mm-hmm.
17:30This feels more like a sort of what we call a fatty lump, perhaps a lipoma.
17:33Yeah.
17:34Before it starts, this one starts growing as well.
17:37Maybe it's going there.
17:38No, you see this one.
17:39Let's have a look.
17:40So this is a small cyst here as well, isn't it?
17:42It starts from there.
17:43After that, going there.
17:44Oh, great.
17:45So this one first and then this one.
17:46Yeah.
17:47That's interesting.
17:48But this one going up when I have blood pressure 200.
17:51OK.
17:52And after that, it starts going, like, pain a little bit later.
17:55OK.
17:56I don't know.
17:57It's together or separate.
17:58How long do you think the lump at the back of the head?
17:59How many weeks?
18:00Well, it's...
18:01Is it months?
18:02No.
18:03It's years.
18:04Years?
18:05OK.
18:06Because first time, you know, when this problem starts, you start scratch like a mosquito bite
18:10you.
18:11OK.
18:12After that, you start questioning, oi, what is it?
18:13What is it?
18:14Because I don't like hospital, you know, and I come in to you because wife tells me, get
18:18out.
18:19Yeah, yeah.
18:20Good.
18:21I genuinely don't think this is anything cancer-y or horrible.
18:24Mm-hmm.
18:25But I think we should do a scan, an ultrasound scan, and check both the lump on the back of
18:28the head and the big one here, and just make sure what's going on.
18:31OK?
18:32The important thing is, when lumps come, you come see us.
18:35We'll make sure it's all right.
18:36OK, thank you.
18:37OK, don't you worry.
18:38We'll do the scan.
18:39We'll get an appointment and check.
18:40OK?
18:41Thanks.
18:42Nice to see you.
18:43Was it done?
18:44No, no, it's fine.
18:46Oh, well.
18:47Should I just turn it off and on again?
18:51Yesterday was your printer.
18:52I know.
18:53And the paper.
18:54Replace drum.
18:55I've done all that.
18:56Oh.
18:57Everything is brand new in here, so this should not be.
19:00So maybe we need to just turn it off and...
19:02Right.
19:03I'll turn everything off and on.
19:04How do I do that?
19:05Is this it?
19:06No.
19:07Yeah, let's see.
19:08Oh, you're a lifesaver.
19:09Thank you so much.
19:10That's perfect.
19:11I've put all the others away.
19:12Hello.
19:13Good morning.
19:14Hi.
19:15How are you?
19:16All right, thank you.
19:17A seat.
19:18Yeah.
19:19How's it going?
19:20What's been happening?
19:21Yeah, I just recently I feel dizzy.
19:22Yeah.
19:23And the last time, last Thursday.
19:24Yeah.
19:25Yeah.
19:26Yeah.
19:27Yeah.
19:28Yeah.
19:29Yeah.
19:30Yeah.
19:31Yeah.
19:32Yeah.
19:33Yeah.
19:34Yeah.
19:36Yeah.
19:37Yeah.
19:38Yeah.
19:39Yeah.
19:40Yeah.
19:41Yeah.
19:42Yeah.
19:43Yeah.
19:44Yeah.
19:45Yeah.
19:46Yeah.
19:47Yeah.
19:48Yeah.
19:49So after that, I just lie down in bed.
19:51Yeah.
19:52And when I lie down, I feel, oh, it's worse.
19:55Yeah.
19:56The room is spinning.
19:57Yeah.
19:58Yeah.
19:59Yeah.
20:00Next day, I feel, oh, it's gone.
20:01Okay.
20:02So I'm lazy and also I'm working.
20:03Yeah.
20:04Yeah.
20:05What work do you do?
20:06Barista.
20:07Okay.
20:08Yeah.
20:09Yeah.
20:10This is why sometimes I'm worried.
20:11I think I will have problem because it happened maybe about more than one month ago.
20:15Same thing.
20:16Yeah.
20:17The same feeling.
20:18You have no symptoms otherwise your, well, your toilet is okay.
20:22Yeah.
20:23Your appetite.
20:24No, no problems.
20:25You have no ear issues.
20:26I don't have.
20:27Any sore throat, ears.
20:28No.
20:29All okay.
20:30No.
20:31I'm thinking maybe high blood pressure.
20:33We can check.
20:34Take your jacket off.
20:35Perfect.
20:36My, my mother had, had the, these problems.
20:38Yeah.
20:39High blood pressure.
20:40And after that she had stoop.
20:41Yeah.
20:42Yeah.
20:43Yeah.
20:44Yeah.
20:45Yeah.
20:46Yeah.
20:47Yeah.
20:48Yeah.
20:49Yeah.
20:50I, I couldn't remember anything.
20:51This was in February.
21:00February.
21:01February, my first day went out celebrate and I lost my memory.
21:05We can't say for sure that it isn't a vascular event,
21:10something to do with the brain and the vessels.
21:13So if it is happening acutely, go to hospital, get seen that day.
21:35If this keeps happening, it's not a good thing.
21:39And it may be something benign, something called benign positional vertigo.
21:45Or it could be something else, vascular, which needs investigation.
21:49I'm going to get you to lie on here with your head,
21:53just your head really high up, over the edge.
21:57And keep your eyes open.
22:00OK.
22:01I did an examination called the Hall-Pike Maneuver and Treatment,
22:06which is Epides' Maneuver.
22:08And the Hall-Pike Maneuver is to look for benign paroxysmal positional vertigo.
22:14Fairly quickly, we're going to sit on the end of the bed,
22:18keeping your eyes open the whole time.
22:20Keep your eyes open.
22:22The idea of the manoeuvres are to realign the crystals in the middle ear
22:28and therefore realign the brain to think that you are now not dizzy.
22:34Any different?
22:36Still feel this side is heavier than this side.
22:40Yeah.
22:41I'm going to check your ears out.
22:45So, feeling thick at all and dizziness right now?
22:49No.
22:50Your ears are mildly inflamed, that side.
22:52No.
22:53That ear is...
22:54Did it tickle?
22:55Yeah.
22:56That ear is a little bit inflamed, and it could be destabling your balance control.
23:10Yeah?
23:11Come and have a...
23:12Just be careful in case you do.
23:15And you said you'd maybe had a memory loss that was in February, briefly.
23:20Yeah.
23:21Yeah.
23:22I don't know why.
23:23And you didn't do anything about it?
23:26The same, I'm lazy.
23:30Because with vertigo, it can sometimes be a tiny little vascular event,
23:35and what you're describing, where you've lost your memory, that can be a vascular event too.
23:40Yeah.
23:41What's that mean?
23:42Vascular is to do with your vessels inside your head, brain, you know, arteries, veins, that sort of thing.
23:50Yeah.
23:51And if there was a small little clot or something, tiny, tiny, it can affect your balance.
23:57I can give you tablets, which can help, but they're kind of masking the symptoms.
24:02If it was me, I'd probably want to have scans and things like that.
24:06So I'd refer you.
24:07Yeah?
24:08Yeah.
24:09There is something called a dizzy clinic, which is very good.
24:11We'll do blood tests, general ones, anyway.
24:14So they're going to give you a form for the blood test at reception,
24:17and we should talk when we've got the bloods.
24:20So if you go today, I'll have them next week.
24:22I'll give you a call next week, and we can discuss.
24:24Yeah?
24:25We're going to do the referral anyway.
24:27If you get the vertigo again, badly, where you're vomiting, you should go to hospital for it.
24:33Okay.
24:34You know, you've had it three episodes so far, which I can't really explain.
24:39I've tried to treat you today for this vertigo.
24:42Has it made any difference?
24:44Do you feel any different from when you came in or not?
24:46Not really.
24:47Not really.
24:48Yeah, fine.
24:49Then it needs investigating.
24:50Thank you so much.
24:51All right, you're welcome.
24:52Have a good day.
24:53I really appreciate it.
24:54Take care, and...
24:55Get to the phone.
25:00Harry, please.
25:01Yeah?
25:02Hello.
25:03Sorry for the wait.
25:04Don't worry about that.
25:05Calm through.
25:06How are you doing?
25:08Oh, painful at the moment, Doc.
25:11Take a seat.
25:15Right, what are we doing today?
25:16It seems to have happened this morning.
25:18Yeah.
25:19But at the end of it, sore.
25:21Okay.
25:22That's it.
25:23There's nothing else.
25:24There's soreness on the tip of the penis?
25:25Yeah.
25:26Yeah, fair enough.
25:27Just since this morning?
25:28Yeah.
25:29Fine, okay.
25:30Take a seat.
25:31Yeah, make yourself comfortable.
25:32Have a bit of a chat first.
25:33Any pain in your tummy or around the bladder area?
25:36No pain in the stomach.
25:37No round there at all.
25:39Good.
25:40Nothing.
25:41And any skin changes anywhere on the body other than on the tip of the penis?
25:44Just on the end.
25:45Yeah.
25:46When I'm walking, that's the trouble with this.
25:48I just wonder if you have any...
25:50We'll have a look and see what we can do for it.
25:52Can I get you on the couch?
25:53I'll close the curtain and I'll come in.
25:55Is that all right?
25:56Yeah.
25:57Leave me out of here.
25:58Yeah, please.
25:59That'd be great.
26:02Right, take your time.
26:03If you lie on your back and then just lower your bottom things and let me know when you're
26:07ready and I'll come through.
26:12Are you comfy like that?
26:13Lovely.
26:14Right, let's have a little look now then.
26:15So all you need to do is just lower this.
26:16Is that okay if I help?
26:17Yeah, better help.
26:22It's full.
26:23Oh dear, that is a bit red isn't it?
26:24Yeah.
26:25It's inflamed.
26:26I think it's just a bit of a fungal infection.
26:28Is it?
26:29Yeah.
26:30I'm going to give you a cream for that and that should settle it.
26:32You apply it twice a day for two weeks and that should sort it out.
26:36Just on the end.
26:37Exactly.
26:38Just on the...
26:39Where it's sore.
26:40Pull the skin on the back.
26:41Yeah, exactly that.
26:42All right.
26:43You're sorted.
26:44All right.
26:45You done?
26:46Lovely.
26:47Great.
26:48Come through.
26:49So it's a skin condition called Balanitis.
26:50Yeah.
26:51It's just a very little infection which we can easily treat.
26:53Yeah.
26:54Really good to keep hygiene standards high.
26:56So make sure you're cleaning everything, changing your underwear, all that kind of stuff every day.
27:00Yeah.
27:01And that should really help as well.
27:02But I'll give you the cream.
27:03I'll send it to the pharmacy and you can collect it today.
27:06Okay.
27:07All right.
27:08Any questions for me?
27:09No.
27:10No.
27:11As long as I can get that stuff this afternoon.
27:12Yep.
27:13Absolutely.
27:14Start with that on the end.
27:15Yep.
27:16Give it a go.
27:17If it gets worse or it's not helping.
27:18Is it two or three times a day you do it?
27:19Twice a day for two weeks.
27:20Morning.
27:21Morning and evening.
27:22Evening.
27:23Exactly.
27:24Don't forget your stick.
27:25Oh, I need my stick.
27:26Yep.
27:27Can't go far.
27:28Can't go far without doing it.
27:29Nope.
27:30I'm really getting out of the pub though.
27:31Oh no.
27:32Well how often are you going to the pub?
27:34It's very rare now.
27:35So you're drinking less?
27:36Like I used to go out at dinner times and nights and now.
27:39I might just go out in the afternoon for a couple and then stay in the afternoon.
27:42It's good to keep active though.
27:43Well done.
27:44I always see you up and about so that's good.
27:45Yeah.
27:46Got to keep on the move.
27:47Don't fancy dying too soon.
27:48Nope.
27:49You've got many years ahead of you.
27:50Don't you worry about that.
27:51I've still got people to annoy.
27:52Yeah.
27:53I love it.
27:54What do you think I come back in here for every other day, Doc?
27:56Wait.
27:57That's what we're here for.
27:58You're more than welcome.
27:59I'm only joking, Doc.
28:00All right.
28:01Take care.
28:02Take care.
28:03Thank you, Don.
28:04You too.
28:05Bye now.
28:06Want to take a jacket off any more?
28:09Hm?
28:10Come on.
28:11Come on.
28:12Come on.
28:13Yeah.
28:17Amelia.
28:18Hi.
28:19Hiya.
28:20You okay?
28:21Come on in.
28:22We're in here today.
28:23Hello.
28:24How are you?
28:25I'm good.
28:26How are you doing?
28:27I'm not bad.
28:28Thank you very much.
28:29Now, which seat do you want?
28:30You get a choice of these two.
28:31Which one would you like?
28:32Why don't you sit on that one?
28:33Because then if we need to have a look at anything, it's easier, isn't it?
28:35Maybe that's more sensible.
28:36So tell me.
28:37All right.
28:38Why are we in today?
28:39What's happened?
28:40Three weeks ago?
28:41Three weeks ago or four weeks ago, we were here as well.
28:42Yeah.
28:43She had grommets placed like last February.
28:45So grommets last February.
28:46Like two to twenty, twenty, three.
28:47Okay, so about eighteen months.
28:48Twenty, twenty-four.
28:49So Amelia's had grommets put in, which we often use when a patient has glue ear, which
28:53is when fluid builds up in the middle part of the ear.
28:55That can stop sound transmitting clearly through, so the hearing isn't so good.
28:59And for a child, that's really important at these really formative learning years.
29:03So what the ENT doctors do is put a little grommet, which is a tiny piece of plastic, just
29:07to make a sort of almost like a vent in the eardrum to allow some fluid to come out, to
29:12allow the pressures to equalise, to sort out this middle ear problem.
29:15The problem with these types of things and having any intervention and grommets, foreign
29:19bodies, as we call them, in the ear, is that sometimes it's slightly prone to infection.
29:23So four weeks ago, her ears started bleeding.
29:26Oh.
29:27From the inside.
29:28We got here.
29:29Yeah.
29:30And the guy says, oh, it's probably falling out.
29:31Yeah.
29:32That's why it's bleeding.
29:33So I said, okay, fine.
29:34And the bleeding stopped after like a week.
29:35Okay.
29:36It was fine.
29:37Okay.
29:38But then since last week, it was a really bad smell coming from my ear.
29:41Okay.
29:42Like really, really bad.
29:43Okay.
29:44And the smell hasn't gone away.
29:46Still exactly the same.
29:47Okay.
29:48This morning, it was like, there was something going, but I cleaned out lightly.
29:51Okay.
29:52And then.
29:53Sort of crusting and like dry.
29:54Yes.
29:55Was it dry coming out overnight?
29:56Very dry.
29:57And then, but I got a phone come from school.
29:59It started bleeding again.
30:00Any temperature?
30:01I mean, is she unwell?
30:02I mean, obviously you sent her to school today and things.
30:03No.
30:04So she's well and happy.
30:05There's nothing wrong.
30:06As far as hearing, you think we're listening and doing things?
30:09It's okay.
30:10She said to walk here and there.
30:11Okay.
30:12But I'm not sure if that's, I don't know.
30:13Okay.
30:14But overall.
30:15So come over here because you're so tall.
30:16Look how tall you come.
30:17I know.
30:18I think that's over the summer holiday.
30:19You're five now.
30:20And what year are you in at school?
30:21One.
30:22You're in year one.
30:23Have you started reading yet?
30:25I bet you have.
30:26You're a Clever Claus.
30:27She can read already.
30:28I knew you would, you see, Clever Claus.
30:30Now, what we need to do is have a look inside of your ear.
30:32It tickles a little bit, so you're a good girl staying still.
30:35Okay.
30:36And do we have any follow-up with the ENT for the grommets?
30:38Or they just said they'll fall out?
30:39No, we've been discharged now.
30:40Yeah.
30:41Do you want to see the grommets?
30:42Look at that.
30:43A little white tube.
30:44It looks like a hammer bead.
30:45Oh, yeah.
30:46It looks like a little bead.
30:47Okay.
30:48But it's good.
30:49So that's coming out and it will fall out on its own.
30:50Yeah.
30:51We don't need to do anything.
30:52Yeah, exactly.
30:53Let's have a look.
30:54There's been a bit of blood on your ear.
30:55Look, there's a bit of blood around the outside of your ear just there.
30:58Yeah.
30:59That's okay.
31:00It doesn't make me worry, but I'm just going to have a look inside, okay?
31:02And you try and stay still.
31:03We'll have a look really gently.
31:05There's quite a lot of blood in there to see past.
31:08Okay.
31:09And the grommet, let me see if I can see it.
31:12I can't see it.
31:13Yeah.
31:14I think it's come out on this side, but it's definitely still in on the other side.
31:18Yeah.
31:19The canal is a little bit wet and sticky, and that's what you're seeing coming out.
31:23Yeah.
31:24And sometimes what can happen, I can't smell it now, but sometimes it can.
31:27We can get a bit of an infection in the ear canal.
31:30Yeah.
31:31So rather than inside the ear, it looks like it's the canal that's a bit wet.
31:34Do you ever put your finger in your ear and wiggle your ear?
31:37We do sometimes, do we?
31:38Okay.
31:39That's okay.
31:40But sometimes when you do that, it causes a little bit of damage and that could have caused
31:43a little bit of bleeding and a little bit of thing.
31:44Okay.
31:45But there's no grommet in there.
31:46So it's not your thoughts.
31:47It doesn't matter.
31:48But I wonder whether rather than just throwing, I don't want to throw antibiotics at it and
31:52things like that.
31:53Can I take a swab of it, which is just like a cotton wool, but let's find out what it really
31:56is.
31:57Yeah.
31:58Because if there's a smell, a smell normally means infection.
32:00Yeah.
32:01Now it could be fungal, it could be bacterial, it could be viral.
32:03So there's lots of different things that can cause funny smells.
32:05Let's find out what it is.
32:06Yes.
32:07Then when we find out what it is, the lab will then tell us it's X, Y, Z and this is how
32:11we treat it.
32:12Yeah.
32:13And then we actually know we can do it.
32:14Because I didn't want to buy anything over the counter because I didn't know the grommets
32:15were still in there and all.
32:16No.
32:17So the grommets aren't, I can't see the grommets.
32:18Okay.
32:19The ear drum looks good.
32:20Yeah.
32:21Which is why she's not got a temperature, she's well, she's happy.
32:22Yeah.
32:23I think this is an outer ear problem.
32:24Okay.
32:25So I think, so all I need to do, I'm going to show you what I'm going to do and I'll talk you
32:28through it.
32:29And it doesn't hurt, it's quite fun, but you must never do this at home.
32:33This is only something for the doctor to do.
32:35Okay.
32:36You stand up for me, really tall.
32:37I can stand on my tickles.
32:38Right.
32:39Well I want you to stand, let me see.
32:40Very good.
32:41Now if you stand like that, and you're just feeling funny, like I'm scratching the inside
32:45of your ear, aren't I?
32:46Isn't that funny?
32:47Can you feel it tickles a bit, doesn't it?
32:49Mm-hmm.
32:50Okay.
32:51So we'll get a good sample, then we can work out actually what the bug is.
32:54Well done, sweetheart.
32:55What we're going to do is let's, if she's not unwell.
32:57Yeah, I know she's fine.
32:58Don't worry.
32:59Let's find out what it is.
33:00Mm-hmm.
33:01This will come back quite quickly and then we deal with it.
33:02Right.
33:03Okay.
33:04Right.
33:05We've got that.
33:06So I've got mummy's number so I know how to call you.
33:07Thank you so much.
33:08So, but obviously if anything changes, blood's coming out a lot.
33:09Yeah.
33:10Anything different, bring her straight back in.
33:11But no fingers in the ears.
33:12Common is cool.
33:13I appreciate it.
33:14Thank you so much.
33:15Bye-bye.
33:16Bye.
33:25Horrible weather.
33:27Horrible weather.
33:28Yeah.
33:29Help me.
33:30Yeah.
33:31Hello, Vin.
33:32Hello.
33:33Hello.
33:34Hello.
33:35Hello.
33:36Hello, Vin.
33:37Hello.
33:38Hello, Vin.
33:39Hi.
33:40Hello.
33:41Tarnam?
33:42Yeah.
33:43Morning.
33:44Morning.
33:45Morning.
33:47Morning. Morning, thank you. How are you doing? Good, now I'm here. Yeah. I'm going to barrage you for a lot of questions and answers. Yeah. How are things? I've had ongoing problems with my flat. Right. Sewage coming out, bathrooms coming up in the kitchen. What, through the pipes? Yeah, the door, the cupboard, the cooker. Yeah, yeah. Now I'm suffering with these little like fruit flies and things. Oh, yeah, yeah. So my daughter loves her to go.
34:16She's told me what to do, like, vinegar, this, that, and then the sink, hot water. Yeah. Nesting in the drainage. Done all that. And then my hands. Yeah. I mean, I love my own home. Super dry. I have got a barrage of all different kinds of creams. Yeah. I put the rubber gloves on. Yeah, yeah. For a little while. Yeah. Because of the Raynaud's. Yeah. And I had to chip this down myself. It grows in men. Yeah. Raynaud's disease is a vascular
34:46problem and can predispose you to having problems in your extremities. Your hands may feel cold. They may feel painful. They change colour. Easily an infection can get hold because of the lack of circulation.
34:59I've been to Nigeria. Yeah. You've been to Nigeria? Yeah. Yeah, okay. Never come home with nothing. Yeah, yeah. This is London, England. Yeah, I know. In my home. Probably because, yeah, because of what's gone on and the smell. I feel horrible within myself. In and out. Yeah. I don't even cook in my house. Yeah. I thought it was both of them. They bring me this for the oven oven. Yeah. This for the microwave. And then, I mean, with a fan. Yeah.
35:29It's constant. Yeah, yeah.
35:30We have cockroaches. Yeah. We have mice.
36:00You're cleaning and that. It's alright. Take your time. I'm just going over to the shop. And then the mice. I'm OCD now because. Yeah. Stress is in. Yeah. We need to treat it. Itch. Yeah. Does itch wake you up? It's annoying. Hmm. And then my nails, I've had to trim it down because it's scratched my arm. And the histamines? You're trying anything for it? I do take the hay fever one because I feel like I've come out in like. Yeah. Which one? Itch is for purity.
36:30Purity. Purity. Yeah. Okay. Yeah. But this, this is a contact dermatitis. Contact dermatitis. And it's due to many different things. And all the, all the things you've been talking about can cause this.
36:42The stress, the fact that the moisture, rubber gloves, you said travel, dehydration can cause it. So if you're on long flights, this can all affect it. And the more moisture you put on, the better.
36:58And it's due to all those different things. Sharon's clearly got a number of issues and a lot going on with her housing. And that really needs to be sorted out. Skin issues can be a sign of stress, understandably.
37:12And that doesn't help. But she's itching. So histamines being produced. She needs to have antihistamines. Some of the spots looked infected. So she really needs to use the moisturisers and steroids to promote that healing process.
37:29And I know you've got loads of potions and stuff. Wherever you wash your hands the most, you keep this cream I'm going to give you. And you use it as a soap. Yeah. Then you dry your hands. And then you put more as a moisturiser. Same cream.
37:43Okay. As a soap and a moisturiser. And then I'm going to give you another cream, which is a steroid type cream. Don't be scared about the word steroid. No.
37:53You're going to use that separately twice a day. Use that for 10 days, twice a day. It'll all be written on it. After you've put the steroid cream on, when it's dry, you put more of the moisture cream on. It's going to make a big difference.
38:07But if it hasn't made a difference in a good 10 days, come and see me again. So have you got an appointment for them to come or not? Council? No?
38:16Oh, I kind of give up. It's been so long.
38:20As they said, when are they coming? No. Unless somebody cancels. It's a three week in between each of each other.
38:28Do you need any help with contacting the council? No, they know me. Okay.
38:32Okay, fine. I was going to say, we have link workers who can liaise between you and the council.
38:37No, I do myself. Okay. Okay, fine. Thank you. All right.
38:41Well, I thank you for seeing me. You're welcome. Good luck with the...
38:44Well, thank you. You're welcome. Take care. Thank you.
38:48How are you feeling about your asthma? It's been very bad lately.
38:52Very bad. Okay. Very bad. I've been using my inhaler most days.
38:57Oh, it's not bad.
39:02When to add the... to blow in the... Oh, yeah, the breathing test.
39:06Yeah. When I blew in, see, I went a bit giddy and my body started shaping.
39:11You should never think you're quite all right with asthma because you're not.
39:14You think you've got everything's fine and then the spanner gets thrown in the works.
39:18Mr. Who's? Yeah.
39:31Take a seat.
39:35How are you today?
39:35Yeah, yeah. Same as ever.
39:37Good. My name is Tracy. I'm a pharmacist here.
39:40So, you're coming for an asthma COPD review today, yeah?
39:44You're going me up for it. I didn't ask for it.
39:46Oh, gosh. You always need to come in.
39:48Sure. How are you feeling about your breathing then?
39:51I know I've got problems, but it doesn't really affect me, so...
39:55Sure. Are you...
39:56A little bit of a breath, that's all.
39:58Do you get out of breath?
39:59Oh, yeah.
40:00Is it on a daily basis or...?
40:02On a permanent basis.
40:03On a permanent basis, sort of, I mean, expect it because, obviously, you've got COPD.
40:09I was a 60-day smoker. I mean, come on, you can't expect any other.
40:12But you stopped smoking now, so...
40:14I'm trying to see some what you heard about, yeah.
40:15So, that's a good thing, yeah, exactly.
40:18Are you okay walking on a flat surface?
40:21Yeah. If it's a rise, it can be a small rise.
40:24I normally don't have to be a big one.
40:25So, uphill or stairs.
40:27I'm out of breath, I'm out of breath.
40:28But otherwise, I can just get on with it.
40:31I take my inhalers every morning.
40:32And I keep my blue one on me all the time, so...
40:36As I am now, I'm happy.
40:38Okay, fine.
40:39This is why I'm looking at this something.
40:42I always believe this.
40:44If I get ill, get to see a doctor.
40:46Yeah.
40:47I've never been ill since I had corona.
40:49For that, I was hospitalised every year with my chest problem.
40:53Right.
40:54Since I had that, I haven't nothing.
40:57In that case, if you're happy with it, let's just keep it as a case.
41:01I'm happy with everything.
41:01See, I'm only here because you people rang me, and if I said no, then they'll be ringing
41:06me every...
41:07Every Tuesday.
41:08Yeah, so...
41:09I come in, so I thought...
41:11No problem.
41:12Okay.
41:12The way I'm looking at it is this way.
41:15I'm 83 years of age.
41:17And you're still doing...
41:18I've got 10 years to live, if I pass over tomorrow.
41:22Don't say that.
41:23Don't say that.
41:23That's the way I...
41:24No, no.
41:25The way you're going to look at it is logically.
41:27Yeah.
41:27Never say you're going to die tomorrow.
41:30You're going to die in 10 years' time.
41:32Yeah.
41:33But I can't...
41:34I don't even know I'm going to bloody...
41:3583 years of age.
41:36I could just go to my sleep tonight.
41:38Don't worry about it.
41:39Get on with it.
41:40Get on with it and enjoy every day.
41:43You've got 10 years to live.
41:45And you'll always have 10.
41:46And when I'm 100, I say, I've got 10 years to live.
41:49But you know you're not going to get that.
41:50I've got a friend who claps in the street.
41:52Yeah.
41:53He's 72 years of age.
41:55Yeah.
41:56He won't come outside the door now.
41:58I said, why not?
42:00He said, well, I'll collapse.
42:01He said, if I collapse, I want to collapse.
42:03But if he claps alone, nobody's going to find you.
42:05He said, get out.
42:07If you're going to die, you're going to die.
42:09Get out and enjoy yourself.
42:11Don't call me and wait for death.
42:13Get out and enjoy it.
42:14That's the way I look at it.
42:15Very positive.
42:17I like it.
42:17That's how it used to be.
42:19Okay.
42:20I think I'm happy with it.
42:22And you are happy with it.
42:23Yes.
42:24So let's just keep it as it is.
42:26When I see you next year, you still get 10 years to live.
42:29That's it.
42:30If you look at it any other way, you're just giving up on life.
42:33That's the way I look at life.
42:35That's the way I look at it.
42:36But you're happy with it, though?
42:37I'm happy with it.
42:38If you're happy with it, I'm happy with it.
42:40I'm happy with it.
42:41You take care, okay?
42:42Get in the gas of yourself, man.
42:44Bye-bye, my good.
42:46Thanks, I appreciate it.
42:47And I'll see you in a few weeks.
42:48That rain's calm down a bit.
42:50Yeah, hope it's silly.
42:51Thank you very much.
42:53See you.
42:55Thank you very much, doctor.
42:56Hello, don't forget your diet coat.
42:57No, thank you.
42:58Bye-bye.
42:58You're going to cut down on those, remember.
43:00Yes.
43:00See you later.
43:01Bye-bye.
43:01Bye now.
43:02All right.
43:03Well, look, any problems, give us a shout, and I'll send you all the information.
43:06All right.
43:08Bye-bye.
43:38Bye-bye.
44:08When I had my blackout faceplant, I'd just go boom.
44:19Okay.
44:20I've had 38 surgeries in 25 years.
44:24I haven't had my period in seven months.
44:26Okay.
44:27That's a whole other story.
44:29I'm not liking the look of this.
44:34I'm a little bit worried.
44:36Oh, I'm a little bit.
44:39That's a whole other story.
44:41Bye-bye.
44:45Bye-bye.
44:51Transcription by CastingWords
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