- 4 hours ago
Gps: Behind Closed Doors - Season 9 Episode 14
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Short filmTranscript
00:00Hello, Sudri.
00:12I woke up and just the pain was just like, no, I can't, I can't just keep ignoring it anymore.
00:18The hallucinations must be upsetting, it's horrible, it's...
00:21They've been frightened that much.
00:22I remember speaking to you once when the dogs were there and it was horrible and they were...
00:26The snakes were even worse.
00:30For some parts, I can control it, but for some parts, I can't control it.
00:34Oh dear, that's horrible.
00:38How have you been?
00:39Terrible.
00:40Oh no, sorry.
00:40Well, I must sit on this hurtful.
00:45The pain has been getting so bad, I can hardly get up.
00:48Okay, well that's not acceptable.
01:00Paul.
01:06Yep.
01:06Hold on, I'll leave him behind.
01:12All right, stay there, stay there.
01:29Sit.
01:30Coming back.
01:32Sorry.
01:32No worries at all.
01:33But, you know, if I'm walking here, it's doing two things.
01:35Yes, absolutely, absolutely.
01:37You've got to get the dog walking.
01:38Sorry, I look so awful.
01:40I've just been at my daughter's house watering her garden and looking after her dog.
01:45Yeah, so you've had a very active day.
01:47Oh, I'm always active.
01:48Absolutely.
01:49Right, now hold on.
01:49So, do you know why I'm here?
01:52They prescribed me some cream.
01:54Yep.
01:55Because I came to the doctor last week and I got this funny thing here and the pharmacy
02:00rang me to say they can't get that particular cream anymore.
02:03Okay.
02:04So, I need another cream.
02:05Fine.
02:06So, tell me a little bit about the little skin lesion.
02:09How long has it been there for?
02:11Not very long.
02:12Okay.
02:13Is it itchy?
02:14No.
02:14Is it bleeding?
02:15No.
02:15But it's come up before?
02:17Yes.
02:18Okay.
02:18Would you have had a lot of sun exposure?
02:20Yes, I have recently.
02:21I have a very odd skin.
02:23Okay.
02:23I go very brown, very quickly.
02:26Mm-hmm.
02:27It's quite crusty and scaly.
02:29Yeah.
02:30So, what I do think that is is something called an actinic keratosis.
02:33Okay, English?
02:34Oh, yes.
02:35I know I'm going to translate to English.
02:37It's actually a pre-cancerous.
02:39Yes.
02:39So, it is...
02:40It needs to be watched.
02:41It needs to be watched.
02:43Okay.
02:43And if the cream that I give you in replacement for the other cream doesn't work...
02:47Yes.
02:48...in kind of four to six weeks...
02:49Yes.
02:50...come back...
02:51Yes.
02:51...and we can send you through to Dermatology.
02:53So, this cream sort of burns it, does it?
02:56Yes.
02:56Okie dokie.
02:57Yeah, but it's a different option than the one that you've been given before.
03:01Okay.
03:01Thank you very much.
03:02No worries.
03:02And so, we're in good shape.
03:04Okay.
03:06Okay.
03:06So, we're good and I'll send that through.
03:08You're going to send the cream now to Boots.
03:11Yes.
03:11Okie dokie.
03:11And enjoy the rest of the day with your dog.
03:13Yeah.
03:14He's exhausting.
03:15Thanks a lot.
03:16Bye-bye.
03:16See you soon.
03:17Bye-bye.
03:17Or hope not to see you soon.
03:20Okie dokie.
03:21Bye, guys.
03:22Bye.
03:22See you soon.
03:23Bye.
03:23See you soon.
03:24Okay, come on, dog.
03:28All right.
03:29Come on, Roger.
03:30Bye, guys.
03:31Bye.
03:31Bye.
03:37Happy chap?
03:38Yes.
03:39Yeah, good.
03:40What are we looking at today?
03:41He's been coughing for over a month now.
03:44It's usually when he is on his bed, like, sleeping, but that obviously, like, wakes him up.
03:52And wakes you up.
03:53Yeah.
03:53Yeah.
03:54But sometimes it can go on for, it's not like one cough, it can be consistent.
03:58But I had asthma as well myself as a child, so just wanted to check his chest and lungs.
04:06So a family history of asthma, childhood asthma for you, did you say?
04:09Yeah.
04:09Yeah, okay.
04:10Has he had all of his vaccines?
04:11Yeah.
04:12Yeah, good.
04:12All right, so let's have a look, okay?
04:15Yeah.
04:15Okay, well, you feel a bit warm, but no temperature.
04:20That's fine.
04:21All right, and let's have a look at his breathing.
04:23Okay, okay, can I have a look?
04:25Mm-hmm.
04:28He's giving me a funny look.
04:29Okay.
04:30Okay, and I'm just going to do the same at your back, okay?
04:35Okay?
04:36He's shy.
04:39Which is usually unlike him.
04:42Okay, so his chest sounds nice and clear.
04:44Did he get much of a snotty nose in the day?
04:47Yeah.
04:47Yeah, we'll just go look behind the curtain and just sit here for me.
04:57Yeah, you're a chatty boy.
05:00So his breathing isn't fast, he's not working hard with it.
05:06Yeah, you agree?
05:07He seems to be pretty happy, doesn't he?
05:10Shall we go back?
05:12Yeah, before you fly off my couch.
05:17I saw a little blueberry.
05:21Blueberry, yeah.
05:23So I think what we're seeing is a post-viral cough.
05:27I can't hear any unusual sounds on his lungs.
05:29It would sound like there's an infection in the lungs,
05:31that there's no wheeze or anything like that.
05:33What tends to happen, especially in kids this age,
05:36they can't blow their nose.
05:37So even once the chest is clear,
05:39there's still a bit of gunk up there.
05:41When they're lying down at night,
05:43that can come back down into the throats and trigger a cough.
05:47It's not worrying.
05:49It's irritating.
05:51There's one thing you could try,
05:52and that is Steromar spray.
05:55He might not like you for it.
05:56In his nose, right?
05:57Yeah, you can spray it into the nose,
05:58and that could just loosen the secretions for him,
06:01because he's not blowing them out himself.
06:03They're just sitting there.
06:04That might help things, speed things along.
06:07Thank you very much.
06:08All right, no, good.
06:09Nice to see you.
06:10Yeah, thank you.
06:11Obviously, if anything's getting worse,
06:13come back to us.
06:13We're always happy to review, okay?
06:18Nice to see you.
06:19Nice to see you, too.
06:20Yeah.
06:21I'll break this.
06:22Thank you, doctor.
06:23Thank you, bye.
06:24Bye.
06:25All right.
06:32Hello, Peter.
06:33Hiya.
06:34Come on in.
06:36Now, how have you been?
06:43Boy, it's getting worse.
06:46Oh, no.
06:47So, when we met up last time,
06:48it was all about your shoulder and the back and the pain,
06:51wasn't it?
06:52Yeah, the pain, yes.
06:53It's starting to get bad.
06:55And the shoulders are still...
06:56And the shoulders are bad.
06:57So, we were worried that maybe you've just done something
07:00to the back and harmed it.
07:01They saw you, and they wrote here that they were going to do
07:04an MRI of your shoulder.
07:05They were going to do an MRI of your back.
07:07So, they did take it seriously.
07:08They wanted to follow all this up.
07:10But then we've had letters saying that they couldn't get a hold of you.
07:14Oh.
07:14Well, then I'm glad you've come in today.
07:16Because I think sometimes this happens, that we have communication.
07:18And sometimes with pay-as-you-go phones,
07:19they don't really take messages.
07:20The reason why I'm coming today is because, like,
07:22the pain has been getting so bad.
07:24When I'm trying to get up, sometimes I can hardly get up.
07:27Okay.
07:27Well, that's not acceptable, is it?
07:28We need to get...
07:29So, we today can look at the painkillers and try and work out
07:31how we can help you with that.
07:32That's...
07:33Let's you and I try and do that.
07:34The pain is all around here right now.
07:36Yeah.
07:36The pain is all around here.
07:38Yeah.
07:38At the lower back.
07:39And painkiller-wise, Peter, what are you taking at the moment?
07:43I will try...
07:44Now and again, I will try the gel that you gave me the ibuprofen.
07:48Brilliant.
07:48But they only last for a certain amount of time.
07:51Okay.
07:52And ibuprofen pills sometimes.
07:55So, I don't like the ibuprofen pills.
07:57Oh.
07:57I'm always nervous with those.
07:59Only because, Peter, because you're on the blood thinner tablet.
08:02One big side effect of ibuprofen is that it thins the lining of the stomach.
08:06All right.
08:07And then if that bleeds a little bit, if you're on a blood thinner, which you're on,
08:12because you have to be on it...
08:13I've got no antidote for it.
08:15And you've got no antidote for it.
08:17And then we have a massive bleed.
08:18And you've bled before.
08:19Oh.
08:37With your past and with the blood clots and being on the blood thinner and everything
08:48and the indigestion, I really think, Peter, we ought to avoid the ibuprofen medicine.
08:53Right.
08:53But the gel is okay.
08:55The gel, I don't mind, because it's not going into your stomach directly.
08:58Even just morning and night time, every day, it will ease a bit.
09:02But that's where then paracetamol or cocodamol would help a little bit.
09:09I think the side effect we sometimes see with it is constipation, but not in everyone.
09:16And we've given you not a huge dose of it.
09:18It's quite a low dose, so hopefully it wouldn't cause that.
09:21But if you take it with lots of water to drink, and how good is your diet the rest of the time?
09:26It's okay.
09:28It's okay.
09:28Yeah, I mean, like, in the morning I'll get up and I'll have a bowl of cereal or I don't.
09:36Okay.
09:36What sort of breakfast cereal do you like?
09:37Just cornflakes.
09:38Cornflakes, okay.
09:39What about switching those to bran flakes?
09:42Do you ever have the brown bran flakes?
09:43I used to.
09:45They look like cornflakes but brown ones?
09:46Yeah, yeah, yeah.
09:47Brilliant.
09:47They're the ones.
09:48And put some raisins in them or sultanas or something.
09:50No, no, no.
09:50Banana?
09:52Banana with it?
09:52Something like that?
09:53It makes me feel ill.
09:54All right.
09:55Well, just stick with the brown flakes.
09:56Just stick with the brown flakes.
09:57But I think having the fibre is going to be, there's more fibre in those than there is
10:01in cornflakes.
10:01So I think the brown ones are better.
10:03And what about things like bread?
10:04Do you eat much bread?
10:06White bread.
10:07Yeah.
10:07But I might have a bit of half and half.
10:10Okay.
10:11How do you feel about switching to brown bread?
10:14Half and half.
10:15Well, what's wrong with brown bread?
10:16No.
10:17You don't like it?
10:18No.
10:18The trouble is, white bread, it just bungs you up.
10:20There's nothing much in white bread.
10:21It's not very good for you.
10:22Whereas brown bread...
10:23No.
10:24Half and half and brown flakes and things and lots of water to drink.
10:28I don't like water.
10:28And that will help.
10:30I don't like water.
10:31You don't like water.
10:32So what do you drink?
10:33You know, fizzy or beer.
10:35Okay.
10:35Okay.
10:36Do you never just have a glass of water?
10:38No.
10:38So how many pints or cans of beer might you drink in a day?
10:43One, two or four.
10:45It might increase to four.
10:46Okay.
10:47Do you ever want to give up?
10:49I've tried seven times out of 49 months.
10:53But that's brilliant that you've...
10:54So you've successfully stopped seven times?
10:56Yeah, I went to rehab a couple of a few times and, well, yeah, just done it on my own indoors and I just give it up for a few months.
11:08Do you want any help with it at the moment?
11:10That's what I've done.
11:11I've gone for help.
11:13I've done it myself.
11:14Yeah.
11:15Do you ever go to the AA meetings, anything like that?
11:17Yeah.
11:19Why not?
11:20They want to pray on that intellect.
11:22What about if you've got a one-to-one somebody to help you?
11:25Done it.
11:26Done it.
11:27Done it.
11:27Been there, done it.
11:28You know what I mean?
11:30From our point of view, we never give up.
11:32It doesn't matter how many times we have to go back.
11:34We're still happy to help and we're still happy to help you go back.
11:36It's not that you've had your quota and you can't have any more.
11:39When someone has an alcohol-dependent syndrome, they have to want to get help or you can tell them,
11:44until you're blue in the face, that they should try and cut down an alcohol,
11:47but until somebody is really ready to make that step, it's not going to work.
11:50But what is important is not to shame the patient.
11:53And actually, it's really important to always have the door open
11:55and to not criticise or judge them while we work through it together.
11:59Well, maybe let's think about it.
12:00Let's perhaps meet up in a couple of weeks and I will chase, chase this MRI
12:04and try and really get it done.
12:05And I'll ask them to CC me and say, and I'll know when the appointments are,
12:08so then we can ring you up and you try the painkiller just in the meantime
12:12to see if it gives you relief.
12:13And then we can always catch up if you are having any side effects or any problems with it.
12:16Yeah.
12:17Okay, so at least then we're moving things forward a bit.
12:19All right.
12:20And think about the alcohol.
12:21All right?
12:22Yeah.
12:22All right, sweet help.
12:23It's nice to see you.
12:24Thanks for coming in.
12:25You're always very good and honest.
12:27All right, well, I hope the painkillers help a bit, sweet help.
12:30All right.
12:30Take care.
12:31You too.
12:31Nice to see you, sweet help.
12:32All the best.
12:33Bye-bye.
12:33Bye-bye.
12:34Any holidays planned?
12:41Going to Italy and a caravan park.
12:44I would never do camping myself.
12:46Yeah.
12:46I'd rather just go to the beach holidays.
12:48Yeah.
12:49We're off to Marrakesh for a week.
12:51Oh, that's excellent.
12:52I cannot wait.
12:54Did you get any holiday?
12:56Off to Spain in a couple of weeks.
12:58Just to Vigo, top left.
13:02I'm debating Greece or Turkey or maybe Canary Islands.
13:05Yeah.
13:05It's a sport of a choice.
13:07Probably Costa del Fulham.
13:08Yeah.
13:12How can I help today?
13:14So I've just come back from Vietnam this morning.
13:17When I was there, I fell.
13:19So I felt I really hurt my ribs quite badly.
13:23I can't lean or turn or do anything.
13:25And this, they told me in this hospital, I've got x-rays here.
13:29They advised me to have an operation and to have a pin put in my wrist.
13:33Wow.
13:34Which would mean that I'd have to have stayed in that town for five days.
13:37I went, no, don't do that.
13:38Just give me a car so I can just carry on.
13:40But that's been about eight, nine days.
13:42So I just thought I need to see someone in the UK.
13:44How did it happen?
13:44What did you ask?
13:45Literally, it sounds so boring.
13:47I'd have said it's on a motorbike or something.
13:48Finally it wasn't.
13:49I literally just fell.
13:50But I fell really hard.
13:51Oh, no.
13:52That's not good.
13:52Yeah.
13:53Yeah.
13:53How's the pain at the moment?
13:55In my chest and that, which isn't the problem.
13:56They haven't done anything about that.
13:57Yeah.
13:58I would say that's quite bad.
13:59So I'm taking a lot of neurofen.
14:00This seems okay.
14:01Okay, good.
14:02Brilliant.
14:02And how's your breathing?
14:03Any shortness of breath?
14:04No, absolutely fine.
14:05Good.
14:05And if you take a sharp, deep breath in, does that cause any chest pain?
14:09No.
14:09It's a bit of bone pain, but yeah, no chest pain.
14:12Perfect.
14:12That's really good.
14:13Do you have the report of the x-ray?
14:14Can I just quickly see that?
14:16That's all I've been given, yeah.
14:17Oh, grand.
14:18Okay, that's fine.
14:18Let's see.
14:19It's been a while since I've looked at any of these.
14:22Ah, yeah.
14:22So you can see the fracture there, can't you?
14:24Okay.
14:25That's your radius, that's the big bone.
14:27And you can see it's fractured there.
14:30It looks like there maybe as well.
14:32It's tricky because you weren't seen by A&E or acute medical services here.
14:37Normally what would happen if you were, they would refer you directly into the fracture clinic.
14:40Okay.
14:41I'm going to do that for you, but often they don't accept GP referrals, but we'll figure it out.
14:45Okay.
14:45Don't worry.
14:46Is it okay just to take photocopies of these?
14:47Whatever you want.
14:48And then I can attach them to referrals and then obviously give you the originals.
14:52That's not a problem at all.
14:52Do you need anything stronger for the pain relief?
14:56Yeah.
14:57We could maybe think about giving you some naproxen, which is a stronger anti-inflammatory,
15:01but as well as that, maybe a bit of cocodermol.
15:04Make sure you're taking a few deep breaths every couple of breaths because you don't want
15:08the bases of the lungs to collapse.
15:10If they do, they become a really good breeding ground for bacteria, so you might get a secondary
15:13infection as a result of that.
15:15Go for it.
15:15But as long as every hour or so you're taking a few really deep breaths to help the lungs
15:19fully expand and contract, you're absolutely fine.
15:22Brilliant.
15:22Any questions before we go?
15:24No, you've been amazing.
15:25Thank you so much.
15:25Pleasure.
15:26You're very welcome.
15:34Safa, do you mind just taking photocopies of these and giving them back to the patient,
15:37please?
15:38Is that okay?
15:39Can I see something quick to you?
15:40Yeah, I can see it there.
15:41Yeah.
15:42Very good.
15:43We've still got it, Matt.
15:44We've still got it.
15:48Zoe?
15:48Hi, come on through.
15:52I've got a medical student with me today.
15:54Is that all right?
15:54She's just sitting in.
15:57Come on in, have a seat.
15:58I'm Dr. Dudgeon.
16:00Nice to meet you.
16:01What can we do for you today?
16:03Well, if I go back to the beginning, it started like two years ago.
16:06Okay.
16:07I was getting these pains sort of here in my back as well, feeling sick.
16:12I came in and I had a stool sample, blood test.
16:15Okay.
16:16Stool sample was fine.
16:18Bloods had raised levels of, I actually can't remember now.
16:24That's okay.
16:24We can have a look back.
16:26I had a scan and I had kidney stones.
16:28Okay.
16:29That was kind of it.
16:30It was kind of left.
16:31And then last year it came back again.
16:35Yeah.
16:35Had a scan, no kidney stones.
16:37Okay.
16:38But the bloods were still, whatever it was, were still raised.
16:40Yeah.
16:41But then I ended up in Parsons Green because I was having really bad pain and I was thrown up.
16:46Okay.
16:46And I had a urine infection, but she was like, I think it's going to your kidneys.
16:50Okay.
16:50Every month I've had some sort of a little bit of pain, but it's been bearable.
16:53But since Monday I've had it quite bad again and I was throwing up on Monday.
16:59Okay.
16:59So I'm just like, I don't know what's going on.
17:02A rough few years with it all.
17:03Yeah.
17:04It's just been strange because I feel like there's not really been like a clear, oh, this
17:09is why it's happening.
17:10It's like, oh, you had kidney stones, but they weren't like too bad and they passed.
17:15Okay.
17:15So tell us about your symptoms this week.
17:17So I woke up Monday and instantly I just felt sick.
17:20And yeah, so I threw up, I think three times, but I felt sick all day.
17:24And today I woke up and just the pain was just like, no, I can't, I can't just keep ignoring
17:28it anymore.
17:29Okay.
17:29And that's still this pain.
17:30Yeah.
17:31Yeah.
17:31But it's, my back is really like sore.
17:34Okay.
17:34And when you had the kidney stones, where was the pain?
17:36Similar.
17:37Okay.
17:37So it was central.
17:38Because typically kidney stones, pain is kind of, like, loin to go in.
17:43Yeah.
17:43In my back, I would feel like it's both, like, in the middle of my back, but the sides of
17:48my back as well.
17:48Yeah.
17:48Okay.
17:49And any urinary symptoms this week?
17:51I've noticed my wee is a bit cloudy.
17:54Okay.
17:54But like, no pain.
17:55It looks different.
17:57Yeah.
17:57Okay.
17:57Do you mind if we have a feel of your tummy?
17:59Would that be all right?
18:00I'm just going to put this bed up so it's really low.
18:02Perfect.
18:03Can you just lie down?
18:04I'm just going to start feeling down here first, if that's okay.
18:11Any pain here at the back?
18:13Not right now, but that is, right there is where I would get it.
18:18Okay.
18:18Plus, sort of, like, where here is, but on my back.
18:20Yeah.
18:20And right here, as in, you've had it there the last two days or in previous episodes?
18:23In previous episodes.
18:24Okay.
18:25That's okay today.
18:27Yeah.
18:27That's fine.
18:34And just sit forward for me.
18:35Let's just have a look at where in the back you feel it's...
18:39So you've had back pain the last couple of days as well?
18:41Yeah.
18:42So, like, here.
18:43Yeah.
18:44And if I press that area, nothing...
18:46You feel it's more from the front coming through?
18:48Yeah.
18:49Yeah.
18:51Okay.
18:52You can pop your cardigan on.
18:53Do you think you might be able to do a urine?
18:55Yeah.
18:55Sample for us quickly.
18:56I think it would just be quite good to dip it, and then we can also send it just to
19:03make sure there's no infection.
19:06There's a toilet literally just there, because that would be all right.
19:16Do you guys drive in London?
19:17Do you?
19:18I don't know how to drive.
19:19I haven't got my license.
19:21Rina, have you got your license?
19:23No.
19:23Really?
19:23Yeah, I haven't even started.
19:27Now, when we do my next year, I want to start learning to drive.
19:30I'm not being funny.
19:31I would not get in your car.
19:33Rina, I think that's not very...
19:35That's very not nice, isn't it?
19:37That's very not nice, yeah.
19:38I had a fall about six months ago.
19:44Okay, okay.
19:45And I've iced it, iced it, rested it, I went to physio.
19:50My friend's luckily a physio for AFC Wimbledon.
19:53Okay, fantastic.
19:53And he said, you may have a fracture, because it keeps swelling up, and it won't heal.
19:58It's just not going.
20:00And I'm going down the stairs like a crab.
20:02I drive a van, I get out the van, like, this foot, foot, like, I'm doing all, and I'm
20:06really active, like, it's now doing...
20:08And you're only, what, 53?
20:10I know.
20:10It's crazy, isn't it?
20:11You can't be, like, hobbling around like a crab, because you've just got on with it.
20:14I just thought it'd go away.
20:16And you haven't x-rayed it, or hadn't...
20:17No.
20:18...luched it, okay.
20:19And tell me what happened.
20:20So, you said six months.
20:20What happened at the beginning?
20:22Oh, God.
20:23You knew I was going to ask.
20:25So, it was my sister-in-law's 50th birthday party, and I decided that I could Cossack dance.
20:30Okay.
20:31Okay.
20:32I can't.
20:33Come and have a seat on here.
20:34Let's have a look at it, so, can you manage?
20:36Yeah, yeah.
20:37So, is it limiting what you can do?
20:40Yes, definitely.
20:40So, if I start with your good knee, okay, just twist the knee a bit.
20:44No problem.
20:45You're going to do the same to the other one now, aren't you?
20:46Yeah, well, I'm going to try, but I don't want to hurt you, sweetheart.
20:48That's the problem.
20:49Put that leg down.
20:49Can you bend that one up?
20:51And if I just bend it and straighten it a bit.
20:53Yes, if you try and bend it more, that hurts there.
20:55Okay, it's actually very restricted.
20:57I can't even push that in, can I?
20:58But I'm also probably trying to resist you a little bit, because it hurts.
21:00Well, that's part of it.
21:01It's all around here.
21:02Yeah.
21:03If you push your knee into the bed, can you do that?
21:04Yeah, that's as far as you're just going to go.
21:06Okay, okay.
21:07And if we just bend it up again and see if there's...
21:09So, it's not too crackly.
21:10Now, I'm just going to press along the joint line.
21:13Yep.
21:13Any pain?
21:16No.
21:17And if I press in here...
21:19Yes, you know.
21:19...is that uncomfortable?
21:20And it's down this side here.
21:22An x-ray is quite sensible to start it,
21:24especially if maybe you were Cossack dancing or whatever it was.
21:28Stupid.
21:28I couldn't sleep, because it was...
21:30And the pain goes all the way up.
21:32Yeah, yeah.
21:32So, I don't know.
21:33I've probably waited too long and probably damaged it more.
21:35No, I mean, I think...
21:36Well, you've been trying to get on with it and do it,
21:38so you've done the best you can.
21:39Let's get an x-ray.
21:40Yeah.
21:40Then we can look at it.
21:41And you can just go in there.
21:42I'll send a form through.
21:43Right, yeah, yeah.
21:43And then, yeah, so don't get away any and wait for hours.
21:45No.
21:45Can you manage?
21:46Yes, yes, yes.
21:47What I'm also worried is that an x-ray only really shows us the bones,
21:50and we need to be careful that it's not ligaments and other things that are damaged,
21:54and therefore we might need to move it on to get MRIs or something else done,
21:58but the x-ray is number one, so let's do that.
22:01All you need to do is go in, give them your name, and they'll take the picture.
22:04It takes ten minutes.
22:05Wow.
22:05Literally done.
22:05The results come back to us here.
22:07I would like to refer for physio here, Maya, as well.
22:09Yes, yes, yes, yes.
22:10Is that okay?
22:11The results will come back.
22:11We can then have a chat about it, but I'll still do a referral anyway.
22:14And we'll get that sorted out.
22:15Because everyone's now saying to me,
22:17H, are you still hobbling?
22:19I'm like...
22:19It is, and you're not old.
22:20You shouldn't be hobbling.
22:21No, I definitely shouldn't.
22:21I'll get in and out of your van and everything else.
22:23I mean, that's rubbish, isn't it?
22:24Thank you so much for your time.
22:25Good luck, sweetheart.
22:26And just go along on Thursday.
22:27I will.
22:28Bye-bye.
22:28Bye-bye.
22:34Perfect.
22:39And have you ever had these episodes and they've just kind of gone?
22:43Yeah.
22:43Yeah.
22:44I mean, I've had so many,
22:45I couldn't count how many over the last two years I've had.
22:48Okay.
22:48So, there were loads and loads of white cells.
22:51Um, and loads of blood.
23:09How are you?
23:10I'm reasonably good, yeah?
23:13Yeah.
23:13Oh, a urine.
23:14Perfect.
23:14I'm feeling, uh, some irritation to urinate.
23:18Okay.
23:19So, you're going to manage to do us a sample now?
23:21I hope so.
23:23My weed's dribbling a bit and it doesn't smell right.
23:28Sorry, I need to say, but yesterday I was peeing on myself.
23:31Okay.
23:32So, my bladder was not cold, which is, yeah, disgusting.
23:37Success?
23:38Yeah.
23:38Perfect.
23:42The green one is blood.
23:44So, that is the maximum blood.
23:46So, loads and loads of blood and also loads of white cells.
23:49So, that can indicate infection.
23:52Yeah.
23:53Um, could also indicate a kidney stone.
23:57I think what we do today is, um, I'm going to send the urine off to the lab.
24:01And the benefit of that is that we'll see if it grows something.
24:03So, if it grows a bug, then we can say, yes, it's a UTI.
24:07If it doesn't grow anything, then the question is, is it a kidney stone or is it, you know,
24:13something else?
24:14Um, but the likelihood is it probably is a UTI.
24:17Yeah.
24:17But your pain is quite high up for UTI pain.
24:22It's like not classic UTI pain.
24:24But your urine definitely suggests that this is a kind of urinary tract problem.
24:30I'll give you some antibiotics today and we'll send this off for culture.
24:32What else is, I'll keep an eye on the result.
24:35And if it's a classic UTI, that's fine.
24:37If it comes back as not a UTI, then, yeah, I might give you a call next week.
24:42And whether we do some bloods or whether we repeat the scan or whether we go down possibly
24:47more the stone route.
24:49Yeah.
24:50Just with you getting all these episodes and just with a not kind of completely clear history.
24:55Does that sound all right?
24:56Yeah.
24:56Keep an eye on your symptoms the next few days.
24:58If the pain becomes really, really, really severe, the best place to go for possible
25:02kidney stones is A&E.
25:03The reason for that is what they will do is they tend to bring you back the next day and
25:07do a CT, which is the best form of imaging for picking up kidney stones.
25:12Hopefully, though, you'll feel better in 48 hours.
25:14All right.
25:15All right.
25:16All right.
25:17Great.
25:17All right.
25:17Not at all.
25:18And hopefully we'll get to the bottom of it all for you.
25:20All right.
25:20Bye.
25:20Tomislav.
25:38Yeah.
25:38Yay.
25:41Come on in.
25:42Hello.
25:42I'm Dr. Pearson.
25:43Yep.
25:43Come and have a seat.
25:44Come and have a seat.
25:44Because everybody say you're the best.
25:46Oh, well.
25:47Oh, God.
25:48That's a nightmare.
25:49I have big shoes to live up to now, expectations.
25:52Now, how are you?
25:54I have a nasty problem.
25:56Okay.
25:56Last week, I have a diarrhea all of a sudden.
25:59Oh, no.
26:00Okay.
26:01On some parts, I can control it.
26:03But on some parts, I can't control it.
26:05Oh, dear.
26:05That's horrible.
26:06I have really nasty pain because I have sciatica.
26:10Okay.
26:11I have nasty back pain.
26:13Yeah.
26:13And pain on anal opening.
26:16Okay.
26:16When you go to the toilet.
26:17And after the toilet.
26:19And afterwards.
26:20It's like burning.
26:21Okay.
26:22Especially when I'm sitting because I'm a driver.
26:25And when you say you have pain, is it at your bottom, exactly where you do the poo from,
26:29or is it up into your tummy?
26:30In my, on my, how do you call it?
26:32Sort of the anus, as we, where you come from the poo.
26:35Okay.
26:35Yeah.
26:35Okay.
26:35And that's the sore bit.
26:36Yeah.
26:37Is there anything that caused the diarrhea suddenly to happen, do you think?
26:41No, because I'm on a healthy diet.
26:43Okay.
26:44No alcohol, no cigarettes, no drugs, nothing.
26:46Oh, you're good.
26:47Very good.
26:47Excellent.
26:47Okay.
26:48And any blood coming out?
26:50Or when you wipe, is there any red blood that you see?
26:52My wife, she, she thinks she's sore, but I, I know that we have on Sunday for lunch, tomato
27:01soup.
27:02So it can be bad.
27:04Okay.
27:04Okay.
27:04Because I check every time.
27:06And the wife, my wife.
27:07So your wife was checking your poo as well.
27:09She's a good wife checking your poo.
27:10She's above and beyond the call of duty.
27:12So your bowels over the last few months, have they been generally softer and a bit more loose
27:17than normal?
27:18Normal, I have always go when I wake up in the morning.
27:22Yep.
27:23And that's it.
27:24And that's you done.
27:25That's your normal.
27:26And has that been the same then at the moment?
27:28Now, now I have, I go four, four times.
27:32Okay.
27:33I think, can I have a feel of your tummy, but we also want to have a look at your bottom
27:36and check.
27:37Come and have a seat on here, sweetheart.
27:38And I'll pull the curtain across.
27:40Let me grab something.
27:41Let's have a look.
27:43What about generally?
27:45How's your, you mentioned you're on a healthy diet.
27:47Has your weight changed up or down?
27:48Yeah, I was around four kilos.
27:51Okay.
27:51And is that because you're trying with your healthy eating?
27:53Yeah.
27:54Okay.
27:54Okay.
27:55And you mentioned you're driving?
27:56Yeah.
27:57So it must be difficult if you need to go to the toilet a lot.
28:00I eat only in the evening.
28:01Because if you eat during the day.
28:03I'm dead.
28:05Yeah, yeah, yeah.
28:05Definitely.
28:06I'm just going to check your pulse.
28:07So you've had a blood test today, which is good.
28:09Can I have a feel of your tummy?
28:11Yeah.
28:11Okay.
28:11Is there any pain in your tummy now?
28:13No.
28:14Nothing at all.
28:14Just tell me if any place.
28:17Is that okay?
28:18Nothing.
28:19Nothing.
28:19I'm just going to feel a little bit deeper.
28:22Nothing.
28:23Just up here.
28:24No.
28:24Nothing different.
28:26So it feels nice and soft.
28:28You've got a nice, soft tummy.
28:30I certainly can't feel anything in there that's making me worry.
28:33Okay.
28:34But we need to find out what's causing this.
28:36Okay.
28:37Shall we, do you mind if we have a look at the other side, at your bottom?
28:40Yeah.
28:41So then I can see what we can do.
28:42The easiest way is if we slip the trousers down a bit and turn onto your side.
28:46Let me draw the curtain a bit.
28:47Is that all right?
28:48I can leave you a bit of privacy at the bottom.
28:50Okie dokie.
28:51Can you manage?
28:52And if you lie on your side facing the wall, that's it.
28:54Yep.
28:55Perfect.
28:56Yeah, it's really red, sweetheart.
28:58It's really sore.
28:59And if I just press in here, is that sore at all?
29:02Sorry.
29:02No.
29:03No, it's all right.
29:04It's okay.
29:04I don't feel nothing.
29:05You feel nothing.
29:06Okay.
29:06I think that's okay.
29:07Let me pull that up a bit for you.
29:09Are you all right?
29:09Yeah, yeah, yeah.
29:10Well done.
29:11Let me get you off this funny bed.
29:12It's a bit narrow, isn't it?
29:13You.
29:14Right.
29:14Let me leave you to get yourself dressed.
29:22Here we go.
29:23And just a last question.
29:24Has anyone changed your medication recently?
29:27No.
29:27No, I'm only taking, we're taking Ramacryl Pro.
29:31Ramacryl.
29:32And no one's changed that at all?
29:34No.
29:34No.
29:35So we need to do some checks here to make sure that we work out how to investigate this,
29:38how to make it better.
29:40There's a couple of stool samples we can send off.
29:42We can have a look and see if we can see any blood in there, because if there is a bit
29:45of blood, it can happen, but then it tells them that they need to perhaps put a camera
29:49and have a look and work out what's happening.
29:51Yeah.
29:51Okay.
29:52It's a very simple test, and what we do is...
29:56Yeah, I know what you have for the bowel.
29:58So it's the same one, you just basically do a stool sample, and it tells you on the instructions
30:02here, this will help us work out if we need to do anything urgently.
30:06And I think that's important, that we make sure everything's okay, but nobody has a change
30:10in bowel habit for no reason.
30:12As soon as you can bring this back, then I'll give you a shout with the results, and we'll
30:15make a plan.
30:16Okay?
30:16I can bring it today.
30:18If you can, brilliant.
30:20The quicker, the better.
30:20The quicker, the better.
30:22I'll label it all, and then you can just bring it back for us.
30:25Okay?
30:25Okay, okay.
30:26I'll send a cream to us for your bottom down to a chemist.
30:28I'll do that now, so you can pick it up on your way home now.
30:30Okay, okay.
30:30All right?
30:31Let me just get this for you, and then we'll work out what's going on.
30:34All right?
30:34Okay, thank you.
30:39Sheldon, you have siblings?
30:41Yeah.
30:42What do you have?
30:43I've got an older brother.
30:44You've got an older brother?
30:45Oh my God, I can see that.
30:46That's so good.
30:48And the funny thing is, I boss him around.
30:49Yeah, he's 32.
30:53It would have been nice to have a sister.
30:54It really would have been nice.
30:56It's all right, Babes.
30:56You've got me.
30:57That's it.
30:59I've got you.
31:00Kishiran.
31:03Hi.
31:06Good morning.
31:07Hi.
31:07How are you?
31:08Good.
31:08Have a seat.
31:09I'm Dr. McNicholas.
31:10Nice to meet you.
31:10Good to meet you, too.
31:12So, yeah, tell me what's been happening.
31:13So, on this eyelid of mine, I'm told consistently by my partner that it's getting bigger and bigger
31:20every day because she's the one looking at me.
31:22I can't look at myself.
31:23Okay.
31:23I use a mirror that much, as you can clearly see.
31:26Some days when I wake up in the morning, it feels like the eyelids are heavy.
31:29Right.
31:30Oh, there's a little, yeah.
31:31Bulge.
31:32Cysty.
31:32Cysty thing.
31:33So, she's like, she'll be reaching.
31:34Was it ever bigger than that?
31:35Did you ever have an infection or anything like that?
31:38No.
31:38It used to be very small, so I've never considered, but in the last few weeks, it's definitely gotten
31:42bigger and bigger.
31:43Okay, yeah.
31:43You probably feel as though it's like massive, do you?
31:45But it's not.
31:46If you close your eye.
31:50Now, keep your eyes closed as you are.
31:52Look to the left with your eyes closed.
31:55Look to the right.
31:57Look down again with your eyes closed.
31:59That's it.
32:00Does it hurt when I press?
32:03No.
32:03No.
32:05So, yeah, there's a little blip there, and I can see there's like a little bit of redness
32:09where it is, like a small ulcer type thing.
32:12So, I'm going to give you some drops and some ointment.
32:15Okay.
32:15I would use the drops four times a day.
32:18Okay.
32:18And I'd use the ointment at night, and I want you to put it on the upper and lower lid at
32:23night, and the drops I'm going to use four times a day.
32:26Upper and lower lid too?
32:27Yeah.
32:28Yeah, yeah.
32:28Because this could spread as well.
32:31Yeah.
32:31Do you reckon it's on the eyelid?
32:32It's on the upper eyelid, and it's on the inside.
32:35Okay.
32:36And then I can see there's inflammation, there's like a cyst type thing, and it probably started
32:41as an infection that you might not have even been aware of.
32:44But we need to treat it for a couple of weeks.
32:47Okay.
32:47Then give it time to rest, and then I'll speak to you.
32:51If it's not better, I'll refer you.
32:52Yes.
32:52You're going to see something about it.
32:54Okay?
32:55Thank you so much, John.
32:55I really appreciate it.
32:56Yeah.
32:56All right.
32:57So, I'll see you in a couple of weeks.
32:58Cheers.
32:59Have a good day.
32:59Take care.
33:00Cheers.
33:10Now, how have you been?
33:12I'm very up and down.
33:14This was very, very frustrating for me.
33:16So, yeah, frustrated with the wheelchair.
33:23We went to Kew yesterday, because we're trying to do these day trips.
33:26How lovely.
33:27It does mean a lot of time in the wheelchair.
33:29Is that a problem, being in the wheelchair for a long time?
33:31Do you find it difficult?
33:33I just would prefer to be able to get up and actually walk around and nearer to these things.
33:38But it's such a balance, isn't it?
33:39With keeping you safe and making sure that, because it would be a nightmare to have a fall
33:44somewhere like that, where you're quite a long way from anywhere sort of thing.
33:47And Kew is massive, isn't it?
33:48But it's so lovely.
33:49Sadly, last October, Lisa had a fall and fractured her hip.
33:53The surgeons then gave her a new hip, which was great.
33:55But unfortunately, with Parkinson's, where the muscles get affected and they're not receiving
33:58all quite the right messages, it can make rehabilitation and getting up back on your
34:02feet again quite slow and quite difficult.
34:04And do you think you've been out more and been able to do and go to more places like Kew
34:08since you've had the wheelchair, do you think?
34:10Well, you can go out of the wheelchair.
34:12You can say, in without a wheelchair, forever and ever.
34:15It's frustrating and I think nobody in a wheelchair really wants to be in a wheelchair, but it
34:19gives us that freedom of going out safely.
34:24Parkinson's is a really difficult condition to manage because it affects so many parts
34:27of the body, from mobility and walking, hallucinations in the brain, to bowel, constipation, bladder,
34:33so everything can get affected.
34:35One of the things I was going to ask you about, we put a UTI sample in on Tuesday.
34:38Do you have anything on that?
34:40It's not back further report to culture.
34:43There was a very small amount of white blood cells in it, so it wasn't raging.
34:47It may be borderline.
34:49How does it feel?
34:50Do you feel any discomfort or anything?
34:53She never gets that.
34:54It's always the hallucinations and confusion.
34:56Is it just more hallucinations or more...
34:58Oh, well, it's more intense.
34:59Even the carers have said.
35:01Intense, I think, they came up with this week.
35:04Well, sometimes when she's okay, she'll be like, oh, there's a thing over there, but
35:08I mean, I know it's hallucinations, so I'm just going to...
35:09Okay.
35:10You know, but when she's really sort of...
35:11Might be wanting to know that.
35:12...the UTI and whatnot, it feels really real.
35:15Like, she's, I will not sit on that bed, there's a snake there.
35:17And we know that UTIs have been such a trigger for that, haven't they?
35:20Yeah.
35:20To make it more confused.
35:22That's obviously how they manifest.
35:23People show it in different ways.
35:25The hallucinations must be upsetting.
35:27It's horrible.
35:27They don't frighten me that much.
35:29Well, I know, but I remember speaking to you once when the dogs were there, and it was
35:32horrible, and they were harming you.
35:34Snakes were even worse.
35:34She's tried to leave the house at 4am before because of snakes.
35:37It's frightening, and if it's making you not want to sit or not wanting to do things or
35:40trying to leave the house, then...
35:41Well, she'll be telling, she'll be shouting at the empty chair.
35:44Yeah.
35:47You mentioned you were seeing people that you know, or people from the past.
36:06One of the, as long as in the past, is someone who's now a hallucination.
36:10Okay.
36:11But you know what I...
36:12Okay, my theory is, you know, we tried the melatonin.
36:15Yes, so that was what we did last time.
36:16We tried the melatonin to see if a good night's sleep would help.
36:19We did it for two weeks straight with the melatonin.
36:22Brilliant.
36:22She's...
36:23Both of us didn't really see much of a change over the night time.
36:25What we all noticed was that she was sleepier during the day, which meant that she wasn't
36:30drinking, which meant that she wasn't weeing, which meant that I think she may have actually
36:34caused a UTI.
36:35Oh, maybe.
36:36So did you stop it?
36:37We didn't purposely stop it, but the chemist didn't have it for three days that we needed
36:41it, and mum actually slept better for two nights of those three.
36:44So we said, okay, let's just stop it.
36:46I had one beautiful sleep one night.
36:48And I spoke to them about maybe increasing lift to I've been instead.
36:51Yes.
36:52And were they quite...
36:52Were they willing...
36:53Yes, you should have a letter.
36:55Okay, fine.
36:56So if we can action that as soon as possible.
36:58Yeah, absolutely.
36:59Let's try that this month as an increase and see any long-term condition is frustrating
37:04and is difficult, and one where mobility is...
37:07Yeah, and this is my mobility one, because I don't have any pain.
37:10No, which is good.
37:11Which is great.
37:11We're very happy about that, actually.
37:12We want to keep it that way without you falling.
37:14And I think, I mean, you know, it doesn't mean I have to...
37:17It doesn't mean I have to spend my life in this chair.
37:20I know.
37:21Our biggest fear, and I think from Sophie's point of view and from my point of view,
37:24our biggest number one fear is a fall.
37:26Yeah.
37:26And unfortunately now, we'd rake a bone and a broken bone.
37:30We're in hospital for weeks, and that's so awful.
37:31Well, the surgical doctor at the hospital did say another bad fall.
37:36She could be bedbound, and we don't want that.
37:38Because then you can't even do the days out that we're doing.
37:40Like...
37:40Could you give me a call tomorrow to see about those UTI results?
37:45Yes, of course I can.
37:46Yes, of course I can.
37:47I'll chase that.
37:47And see if we need to get any antibiotics.
37:50It was just strange how we did the melatonin.
37:52She wasn't drinking as much.
37:53Oh, and then she starts hallucinating.
37:55Well, no, the day I didn't drink much of that.
37:57I will have a look, and if it's not in, I'll send you a text message.
38:01We'll get things sorted.
38:02But could we book in for another sort of four weeks or something like that,
38:05and then we can just check?
38:06Is that all right?
38:07Well, it's nice to see you, and I hope that helps the slight change in medicine.
38:10Great.
38:10All right, OK, take this.
38:12Nice to see you.
38:13Can you manage?
38:14Nice to see you, to see you.
38:16Who was it who said that?
38:18Brucey.
38:18Brucey.
38:19Oh, we always loved him.
38:21Everybody's loved him, didn't they?
38:22Now, can you do it backwards?
38:23Look, she's an expert at this.
38:25She's getting very good at it.
38:26I wouldn't say expert.
38:26Don't say that.
38:28Look at that.
38:29The corner is tricky.
38:30She's a brilliant parallel parker.
38:31Marlowe is quite a driver, though.
38:33Yeah, well, you should be.
38:34All right, take care, guys.
38:35Nice to see you.
38:36Bye-bye.
38:37Bye-bye.
38:41Shall we have a look at your legs?
38:43You can have a look at them.
38:44Oh, it's quite squidgy, isn't it?
38:46Yeah.
38:46And if I press, does it hurt just to press them?
38:48No.
38:49Both feet, they've been tingling all over.
38:53It's like pins and needles.
38:55Oh, I see.
38:55It swells up a bit.
38:57The sensation would be a sudden cramp and trapped nerve.
39:00It's painful enough that it brings tears to my eyes.
39:03Can I look at this one as well?
39:04Yeah, yeah.
39:04We're very simple, doctors.
39:05We like to compare left with right.
39:07Oh.
39:08How have you been?
39:12Terrible.
39:12Oh, no, sorry to hear that.
39:14What I must have learned this earth for.
39:16Well, many reasons, I'm sure.
39:17Well, I seem to get everything going.
39:20I don't seem to be getting anywhere.
39:22It's always my legs.
39:23Yeah.
39:24Even when I was going, you know, look at the size of it.
39:27Yeah.
39:28That is the wound.
39:29Do you know what?
39:29That's looking so much better.
39:30That's healed.
39:31Better, yeah.
39:32And look at the size of it.
39:34Well, it's not too bad, but we'll measure both and compare the two.
39:37Not recover at all.
39:38I mean, your mobility is great.
39:39You're still up and about, which is brilliant.
39:41And any falls recently?
39:42Any accidents recently?
39:44No.
39:44Not since that last time.
39:45Yeah, touch wood.
39:46Whoever's in charge wants to keep me around.
39:49Who he is.
39:50I'm here.
39:51Yeah, fair enough.
39:52Just from a safety point of view, any pain in your chest at all that you've noticed?
39:55Touch wood, no.
39:56Good.
39:56I was asked if I wanted to have an operation on my heart.
40:01Yeah.
40:01Because they said it's not really a bad thing.
40:04My heart isn't that bad.
40:07And I said, well, what else?
40:08And they said, well, we can go on a tablet for a year because there's no guarantee I'm
40:14going to get through the operation, if you know what I mean.
40:17Yeah.
40:17So I thought I might as well take the tablet.
40:20The reason you're on this particular one is to take a bit of the pressure off the heart.
40:23Any dizziness when you stand up really quickly?
40:26Good.
40:26As you get up.
40:27Yeah.
40:28As you get up.
40:29Oh, yeah.
40:30Well, that's all really promising.
40:32Would it be okay just to check your blood pressure and maybe check your pulse?
40:35Yeah.
40:38Yeah, really good.
40:39Nice and regular.
40:40Nice and regular.
40:41That's the most important thing.
40:42Yeah, that's brilliant.
40:42And then let's check your blood pressure.
40:44Never take pills.
40:46I know.
40:47Yeah, I don't blame you.
40:48If you can avoid them, they're best avoided.
40:50But sometimes they are needed.
40:51I'm not saying they're not.
40:53But I know what you mean.
40:54I know what you mean.
40:54Yeah, I don't.
40:55I'm not an aspirin.
40:56No, well, you don't get to 93 by taking lots and lots of tablets every day.
41:00Oh, no, no.
41:01I'll just check this.
41:02I won't talk to you while we check it because it might be really elevated.
41:10Okay, good.
41:11So your blood pressure is okay for your age.
41:13It's absolutely fine.
41:15I'm not too worried about that.
41:17Lovely, thank you.
41:17And now let's, I'm going to look at your legs in a bit more detail.
41:20So what I'd like to do is just measure them, if that's all right.
41:23Good.
41:25Sorry, love.
41:26No, no, you're fine.
41:27You're absolutely fine.
41:28Okay, thank you.
41:29It's fine.
41:30And then on this side.
41:34There's only a one centimeter difference between the two.
41:37So that's okay.
41:38Is it?
41:38That doesn't worry me at all.
41:39There is a lot of fluid built up there, though.
41:41That's right.
41:42And so if it starts to cause you problems and it starts to sort of become really uncomfortable,
41:47we can give you some water tablets to offload some of that fluid.
41:52You don't need to be on them for life or long term, but every now and then you might need a course.
41:56I'm not too worried at all.
41:58See how you go with these.
41:59If you want me to give you a short course of water tablets, I can.
42:03Is that all right?
42:04Wonderful.
42:04Yeah.
42:04So I'll give you a two-week course now and give you another appointment in about two weeks just to check.
42:10Wonderful.
42:10Wonderful.
42:11Well, good.
42:12Any questions?
42:12No, just an ear.
42:13You haven't gone to pass this, no.
42:15No, absolutely not.
42:18I find you so easy to talk to.
42:20Oh, you're very kind.
42:21And you also look as though you care.
42:23I do.
42:24That's why I do the job that I do.
42:25I love what I do.
42:26That's right.
42:26Yeah, but...
42:26Absolutely.
42:26It's a real privilege to be able to help people and to look after them.
42:30That's your appointment with an ear.
42:31And I'll send the prescription to the chemist now for you.
42:34See how you go.
42:35Any problems, just come straight back.
42:37Let us know.
42:37Oh, you're wonderful.
42:38Many times when I leave here, I think I'm going to get him cloned.
42:41Take care of yourself.
42:44All the best, okay?
42:45And you, lovely.
42:46Honestly, it's lovely to see you.
42:48Likewise.
42:48Bye-bye.
42:48Bye, love.
42:49Bye now.
42:51Oh, I've got to book an appointment, haven't I?
42:52I've booked it for you.
42:53I've done it.
42:54Oh, have you done it?
42:55Yeah.
42:56Wonderful.
42:57Thank you very much.
42:58Pleasure.
42:58Oh, well, I don't need you then.
43:02Thank you, dear.
43:10Thank you very much.
43:11All right, yeah.
43:12Thanks a lot.
43:13Bye-bye.
43:13Bye.
43:14Thank you very much for your time.
43:16You're very welcome.
43:16Take care.
43:17Have a wonderful day.
43:18You, too.
43:18All the best.
43:19All right.
43:19All right.
43:20You take care.
43:20It's got nice to see you, sweetheart.
43:21Bye-bye.
43:22Take care.
43:24Bye.
43:25Bye.
43:26Bye-bye.
43:26Bye-bye.
43:27Bye-bye.
43:27Bye-bye.
43:27Bye-bye.
43:28Bye-bye.
43:28Bye-bye.
43:29Bye-bye.
43:29Bye-bye.
43:30Bye-bye.
43:30Bye-bye.
43:30Bye-bye.
43:31Bye-bye.
43:31Bye-bye.
43:31Bye-bye.
43:31Bye-bye.
43:32Bye-bye.
43:32Bye-bye.
43:33Bye-bye.
43:33Bye-bye.
43:34Bye-bye.
43:34Bye-bye.
43:35Bye-bye.
43:35Bye-bye.
43:35Bye-bye.
43:36Bye-bye.
43:36Bye-bye.
43:37Bye-bye.
43:38Bye-bye.
43:39Bye-bye.
43:40Bye-bye.
43:40Bye-bye.
43:41Bye-bye.
43:41Bye-bye.
43:41Bye-bye.
43:42Bye-bye.
43:42Bye-bye.
43:56Dementia
44:25We used to think there's nothing I can do about it and that is not true.
44:28Would it be really easy for me to just go off to sleep?
44:31No it won't.
44:32This morning my son accidentally just knocked my nuts and I was like, I thought I was going to explode.
44:55We used to think there's nothing I can do about it and that is not true.
45:07We used to think there's nothing I can do about it and that is not true.
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