- 2 days ago
Category
📺
TVTranscript
00:00Afternoon surgery so all I can remember is just lying in bed on my phone and then all of a sudden
00:12I just woke up to three paramedics so you'd had a seizure yeah I'm scared to go on my bed
00:22and they said enough is enough and so it's having a big impact on your quality of life
00:27because it's disturbing your sleep it sounds like last week this was red raw so I thought if you had
00:37one of the biggest blisters I've ever seen I'm sort of worried about it you are worried okay
00:45you know could it be some sort of throat cancer or whatever
00:57morning surgery
01:24should we go through yes hello nice to meet you I'm George how are you doing you okay yeah good
01:33thanks so tell me what's been going on I'm a scaffolder for my job so my arms are constantly
01:38especially this one constantly above my head lifting and stretching so but yesterday morning
01:45I woke up in agony and I couldn't lift this arm above my head yeah fair enough and how do you
01:50describe the pain if you had is it sharp stabbing dollar you key the pin it is like a sharp shooting
01:55pain yeah does the pain radiate down into the arm it did yesterday and last night I was lifting my arm
02:01up in my sleeve and it was waking me up but no obvious injuries that you know I know nothing like that
02:05would it be okay to have a look is that all right yeah lovely so if I get you to stand up just so you're
02:13really having to adjust yeah even when I'm eating I'm not moving my head near my hand yeah so I'm gonna
02:19just have a feel around the joint we'll try and move it this way yeah really tender that we can't go
02:27any further fair enough okay and then can you put your arm behind your back yeah so if you can you pop your
02:37arm around here for me next one yeah good good and then if you stick your arms out a little bit and
02:42turn them around good and push me away really tender there yeah it's a super spenitis tendinitis
02:48I think so you've got a tendinopathy there that one of the tendons that the muscle attaches to the
02:53bone with is really inflamed and angry well done thank you so much good so yeah I think you just need
02:59some good pain relief and physiotherapy and you should be absolutely fine in terms of work it's gonna be a bit
03:06tricky so I think I'm probably gonna need a bit of time off how long drinking it'll be I mean these
03:11types of injuries tendinopathies can sort of take six to eight weeks to get better but certainly some
03:16really good physiotherapy will will really help and I can refer you for that sometimes there are cases
03:22when patients do need to have a break and take some time off for their health and this is a perfect
03:28example of where that's the case and so if he was to continue using the shoulder with his very sort
03:34of manual job that could potentially put a lot more strain and cause a lot more damage which
03:39would necessitate an even longer period of time off in the future for ongoing treatment I think
03:45naproxen is good to use you can if it's not enough you can add in a bit of paracetamol with it so two
03:49paracetamol tablets four times a day and obviously if symptoms are getting worse or changing in any way if
03:55the pain is getting worse there's any numbness tingling loss of strength so weakness that kind of
04:00stuff yeah just tell us straight away or if you feel unwell with it okay thank you pleasure you're
04:06very welcome thanks for your time take care get well soon have a good day thank you thank you
04:19have a seat in the driving seat really the rookers or on the figures and and also on on the feet so
04:27yeah I mean they're viruses we try and give them like extremes of temperature so it's well I'll do as
04:34much as you can tolerate yeah I got two right next to each other here okay on my left foot yep and then I
04:43I got one here oh and I've got another one on the heel okay are you feeling brave ready for good good
04:52yeah this is a birdie one some people don't like to look because then they flinch you know anyway
05:06if you can tolerate it I'll continue until you say ah three times a week mum will get a pumice stone
05:18oh okay oh yes okay you get the dead skin off because they live in the dead skin they love it
05:25all right okay and when you want to make lots of money you invent a tablet that you can take to get
05:30ridden yeah when you're older and you make lots and lots of money there is no magic cure so you'd be
05:36an inventor very brave today definitely deserve an ice cream or something you're doing well
05:48he's a strong boy I'm kind of getting used to it still it hurts quite a bit
05:55so why don't you put your shoes and socks on and then they'll do your finger I'll prescribe
06:05some salicylic acid that's the strongest you can get really okay is it just this one it's a funny one
06:11there are small ones it's funny how some people get them and some people don't my brother had loads I
06:16remember really it's gonna sting in a minute oh that's it it's a frostbite for a good cause oh can you bear it
06:28you've done very well lots of people would have stood this
06:43I think you've suffered enough
06:52good lovely okay well thank you very much take care thank you you're welcome I will in
07:11Abigail
07:12thank you have a seat here sweetheart thank you so much for coming in you're welcome of course
07:21what happened so all I can remember is just lying in bed on my phone and then all of a sudden I
07:29just woke up to three paramedics looking over me and I couldn't I was mute for 15 minutes couldn't
07:36speak so you'd had a seat yes I was super rigid so I was like that I had started shaking and hit my
07:42head it's still there from Monday yeah that's from Monday so last week so it's still there bit my tongue
07:49so that was yeah and I'd shaken so much that I'd obviously fallen off the bed and whacked my head
07:55head on the table three four-minute seizure
07:58then we went to hospital good got all of the CT results yeah and it all came back normal so they
08:23were pleased in your blood test you know everything was normal they've looked at the CT scan again
08:27they've had a look at it they're not worried they needed to scan your brain check or brain damage or
08:32anything like that yeah yeah yeah horrible like that none of that so they've said there's not an
08:36urgency to see you immediately okay but they have got the referral it is worrying and I think yeah you
08:43were questioning whether there was another cause for it that might be causing it right my friend made a
08:48comment she went are you sure it's not your endometriosis that's doing it and I went well I
08:53don't know if it would cause seizures I'll look it up so I looked up and lo and behold Abigail was
08:58able to explain to us that she's had these horrible seizures which are really quite frightening and she
09:02had some ideas as to what might be behind the cause of her seizures patients often come in and
09:07they've done some research and it's important to to listen to what they have to say I don't know if
09:11she's right or wrong but it was something that we needed to explore because we do need to get to the
09:15bottom of why this is happening we know you've definitely got endometriosis we know that we
09:19know we've definitely got some sort of seizure disorder we don't know quite what's causing it
09:23and we're wondering now if the two are connected exactly and of course as you know you know it's
09:27not common apparently what it does is it causes inflammation in the brain which then can trigger it
09:33so it's not that you're having epilepsy it's just that it's triggered so endometriosis is a
09:37condition where the cells that normally just lie in the womb have spilt out into other parts of the
09:42pelvis and growing on other pieces like the ovaries the bladder and other parts of the pelvic wall
09:47rarely the cells can spread outside of the pelvis and sit in other parts of the body including the
09:53brain and Abigail was rightly worried that maybe this is what it caused a seizure so it's something
09:58that we needed to go and address I think any new episodes it's really important you let us know
10:03okay okay absolutely you had a CT scan yes so we know there's nothing big nasty going on in your
10:09brain you're okay yeah yeah so yes I'm not really a hypochondriac about that it's more just about the
10:14factor of that it's like I if I it's a funny feeling isn't it yeah yeah we need the neurologist
10:19involved we'll get the gynecologist involved as well let's get you well yeah let's make sure that
10:23we stop the epilepsy and let's try and get this endometriosis absolutely I actually run in my
10:38sleep so it is early we actually run in our sleep we run our feet keep moving oh god I don't want to
10:44sleep but cool no not a kicking goes Jeremy yeah Dr Prestwich hi Jerry Isaac hi nice to meet you
10:58thank you no problem how can I help the last couple of weeks I've had this weird sort of pain in my
11:07throat top of my chest but it sort of feels like it sort of could be a chest infection or something
11:13like that don't know it's not something I've experienced before I'm obviously hoping it's
11:17nothing terribly sinister can you think of anything that might have triggered it in the first place I
11:22had a bit of a cough a couple of weeks ago so I don't know whether it could be a sort of muscular
11:29type thing yeah okay is it affecting you a lot I'm sort of worried about you are worried just obviously
11:37in the you know could it be some sort of throat cancer or whatever but yeah thinking about cancer
11:44and any possible risk factors is there any family history my my father died of bowel cancer quite
11:52young my mum my mum has actually just died that was kidney cancer actually but nothing chesty and
11:59whatever I did used to smoke but I gave up 10 years ago yeah when did you start smoking I've got
12:05you know when I was a teenager okay and how many would you smoke today 10 well but you this is kind
12:12of the first you know symptoms yeah it's made you worry about you know is there anything serious
12:17going on yeah yeah exactly can I just examine you now I'm just of course listen to your chest I want
12:21to feel in your neck yeah and can you just breathe in and out for me okay
12:38okay so yeah just lift it in for me it's going to feel around the neck there can you show me kind
12:52of exactly where you feel the pain so down in the lower neck down in the lower neck and the very top
13:00yeah yeah okay could you just um put your hands above your head for now yeah okay is that bringing on
13:07any pain right now a little bit sort of there yeah okay okay so here's what I suspect um is that
13:16you know this coffee you've had recently yeah and has kind of caused a little bit of inflammation in
13:20the chest wall yeah and from that violent kind of contracting right and yeah the joints there between
13:27the ribs and the sternum they can just become a little bit inflamed and a little bit sore and that
13:32can give you the symptoms that you're having now yeah I think the timeline follows quite nicely
13:37there I think that there aren't any other kind of worrying symptoms that I'm hearing now um but as
13:45an ex-smoker I know that there is a screening program like a lung health check okay um which I think is
13:53better than me just sending you for an x-ray yeah um x-rays are quite good um but they can but they
14:00can't fully exclude any kind of small changes in the lungs anyway okay is that something you'd be
14:04interested in yeah yeah I can send you the link to your phone now as to how you can book an appointment
14:09brilliant great and uh in terms of how I would manage this pain I would use anti-inflammatory
14:17medication so either ibuprofen tablets yeah or you could even get the gel and just put it on the area
14:24that's a bit sore okay great are you happy with that very happy with that thank you very much yeah
14:29brilliant I think it's a good idea thank you very much indeed really appreciate it nice to meet you
14:33thanks nice to meet you too and uh thanks so much for being so helpful Ted that's better ready yeah
14:45we're around the corner today Ted all right sir I try to be all right dear good well you shut the door
14:59all right park your trolley over here for me yeah Edward is 97 years old he's probably our oldest patient
15:09patient and I've been seeing him ever since I've been there so 22 years and over the years obviously
15:16you build up a rapport with your patients you've got your um diary out got me what diary I've got the
15:25lot you can leave that with me I'll pull it in for you you can hear me okay today yeah all right
15:33right let's put this down yeah pop that there yeah how is it getting a bit better much better it
15:42looks a bit better last week this was red raw that's what I thought if you had one of the biggest
15:50blisters I've ever seen well it was and that's what caused this here Edward sees me because his legs
15:57break down quite a bit we've referred him to dermatology because we think he has an autoimmune
16:03condition called bull eye pemphigoid which is quite a rare condition the red plaques that was left over
16:11your leg was not normal so we got dr. dudgeon to refer you to dermatology because I want them to say
16:23exactly what the treatment is well because that's a natural thing you want to do but over the years how
16:31many times have I dressed your legs I don't know and I've never seen it as bad as that I'm hoping the
16:39hospital can say yes it is this and then they give you a special treatment whether it's steroids it
16:48might be a cream it might be steroid tablets okay done all right you okay have it down ready
17:01pull it down thank you very much you're very welcome hopefully his legs will not keep breaking
17:09down into massive blisters anymore because he's going to be under derm and he'll get treated properly for
17:15them all right yeah all right sir done all right thank you very much dear you are very welcome thank
17:23you for your help bye
17:29it's on you please i'm coming coming how are you doctor good to see you it's been a while how are you
17:34it's a good question how am i i know it's a bit of a loaded question isn't it always always the way
17:39i'm 81 i was 81. oh happy birthday yes of course happy birthday 81 i didn't think i'd get to 81. incredible
17:45you're doing really well whoa it's like it's my foot i've forgotten which one it is now no it's the left
17:52one it's got infected on the heel oh okay should we have a look yeah absolutely i do tend to walk
17:57around barefooted and it's not very good i know well yeah lovely so if you extend it out yeah so it's
18:05definitely not infected which is great oh it's not just lots of dead hard skin a pumice stone works
18:10really well just to really scrub it or i could give you a little bit of salicylic acid oh that'll
18:14help strip the top layers off yeah absolutely fine to do that why is that happening just because i do
18:20barefooted and most likely yeah and sometimes the way that we walk it's on that is really got
18:26yes and on a heel it's sore yeah it can be it can be you know good so i'm not concerned it doesn't
18:32oh you're not concerned and these varicose veins are vile they're very superficial which is great
18:36so they're just i know what you mean it's sort of you're probably not happy with it they're not
18:39horrible at all they're absolutely fine it's just normal normal for that to happen so i would leave
18:43them well alone yeah they don't need anything doing isn't it funny how we got all these weird stuff i
18:48know well this is it it's the beauty of aging isn't it i'll send the salicylic acid uh to the
18:54pharmacy and you can pop that on a little bit see if it helps thank you so much thank you thank you
19:08have a seat here that's okay i'm megan how are you been better oh let's move to the chair there we go
19:15okay so what's been going on regarding the cough my dad has a since one week he's coughing and he
19:30feel pain like this area and he say i can't breathe properly okay are you bringing up any phlegm with the
19:40cough no and is the pain there tight it's tough it's tough yeah is the pain there when he's not
19:47coughing as well without coughing okay so neck down yeah okay um what i'll do in there i'll have a little
19:57listen to the chest have a feel of it and i'll do blood pressure and a few other things okay
20:01it's always the worst one the one at the top would you like it oh perfect okay breathe in and out for me
20:21okay i was listening to the heart as well pop a finger in there for me
20:26how do you feel any pain here oh this yeah there
20:40um i'd like to do an ecg his heart rate's quite low it's sitting about 38 beats per minute
20:48which is quite low okay
21:05so we're doing an ecg for you today that's right yeah lovely have you had an ecg before i think so
21:09but not for a while how are you doctor yeah yeah okay yeah all right with your heart you okay uh
21:16yeah ticking along
21:23the thing we need to rule out is is it something to do with the heart is the heart pumping effectively
21:27and efficiently still right i keep feeling like my heart's really racing i'm a bit concerned now that
21:33i'm gonna end up having a heart attack when i try and do housework i find that hard now
21:38yeah changing the bed i could have my heart cells pounding and pounding you said you had some chest pains
21:44yeah just scared i'm just scared yeah how's the pain in the chest you just chuck smash the other
21:55you say it it's like a short pain coming it's like coming and go comes and goes yeah right he just
22:10needs to relax nice and still no talking
22:18is he getting any palpitations feeling like his heart skipping a beat
22:22so like um like a bubble in his chest yes and he's getting what we call an ectopic beat
22:31my concern is this pain he's getting in his chest if he sits up with his legs at the edge of the bed
22:40how is he feeling at the moment totally gonna die yeah i feel dizzy and did you walk here today or did
22:47you guys drive walked is whether we call an ambulance to take him in he has to go in here
22:57my worry is with his heart rate that low he could collapse and we need to figure out why his heart
23:04rate is so low he has a heart problem as well i think with how his heart rate is i think it'd be
23:09safer to go via ambulance just to monitor the heart rate okay i'll be back in two seconds okay
23:17could you call an ambulance uh yep is it for muhammad yes ambulance please so i'm calling from the
23:29fuller medical center i'm just gonna pass you over to one of my clinicians sorry hello i'm one of the
23:35paramedics i've got muhammad he's time critical because his heart rate is very low uh chelsea
23:41westminster no worries thank you very much all right all right so i called an ambulance it shouldn't
23:50be too long for the time being i think i'll just lay him flat i was a bit surprised because he'd come
23:54in with just a cough and slight chest pain his heartbeat was sitting about 30 to 34. normal heart
24:01rate should be between 60 and 100. this man had a long and significant history of heart failure my main
24:07concern was that he was not safe be sent home and that he needed more life saving treatment
24:19hello hi how are you guys i saw muhammad today because he's had a week
24:23worth of the cough this is his ecg laying flat he's getting the occasional ectopic beat blood pressure's
24:28low as well when his heart rate's low he's getting dizzy short breath of it as well so yeah that's basically
24:34yeah so whenever you're ready pop on there thank you very much there we go thank you that's all right
24:46i hope you feel better soon okay thank you
24:47andrew
25:01come on through good morning thanks come and have a seat hello i'm dr pierson hi nice to meet you
25:07how are you uh i'm a hundred percent it's just uh i've got a bursitis oh you do way and it's becoming
25:13unsightly in summer and it's an irritation yeah absolutely i want it drained or removed also
25:18okay this has been a long time that i've had it so tell me a bit about it so how long sort of and
25:22when did it uh probably about four weeks ago uh it just it literally just suddenly appeared okay
25:30it's probably got bigger and it's just there all the time and i'm just like it's quite a blob isn't
25:34it it is a bit of a blob and it's quite noticeable have you had an infection or anything
25:39you know have you been unwell any fevers any sort of i'm 100 100 100 so obviously with bursitis i
25:45mean it definitely looks like it doesn't it so if we compare the other elbow as well so that's got
25:49your normal knobbly bone and then there's this big blob here isn't there so it's quite different
25:53can i just touch it gently yeah is it painful not at all okay and it's a little bit in here where
26:00but again i don't like to prod it too hard because it's when you press it it's full of fluid isn't
26:05it i mean it's very sort of fluid like and and if you straighten your arm it's just it looks ugly
26:11and there and then actually it's sort of the fluid's a bit less a bit more loose yeah but it's
26:15definitely a nice big bursitis which is just a fluid full sac i mean the only thing we really get
26:20concerned about with bursitis is if it's infected if it's a septic bursitis when you've got fevers
26:26there's often a graze or a cut on the skin it's not hot or warm or anything which is good so it
26:30doesn't look like anything at all to worry about i can see that it's uncomfortable it's it's annoying
26:35it's it's it's it's a bit of a blob isn't it so it's nice to get rid of it so what we could do is
26:40potentially drain it now we'll have to so so we don't do that here but i can refer you and get that
26:45done quite quickly i think so i could we can organize a referral so i'll do it as quick as we
26:49can and we'll let you know okay all right well done all right well listen look after it try not to
26:53bang it or anything and if ever you do get high fevers or it goes hot and red with that's different comes
26:59straight in give us a shout i don't think it will but if it did come straight in all right all right
27:03all right nice to see you bye bye bye bye probably i'll probably go back to hoxton the next day too
27:08i've got to go okay see you all right all right how you doing thank you so much for watching dr
27:13festwich hi i've got some students in with me is that okay sorry the medical students oh yeah yeah no
27:18problem yeah they're gonna have a field day this is uh pretty intense
27:23uh come on hey guys hey how are you all right so yeah nice to meet you nice to meet you um so we
27:32spoke on the phone earlier and i was just having a read of your letters yes really quite a nasty
27:38yeah no i mean it's happened in a sort of innocuous way really i just went up for a smash and paddle
27:45and then i sort of fell and i think what happened is when i fell down on my left arm
27:51the arm broke but backwards so when i fell on the arm it sort of dislocated it and like
27:57turned it around so it was pretty gory when it happened oh gosh yeah i guess i just never really
28:02had a serious injury before so i sort of slightly surprised at how difficult it's been to just snap
28:09back from the surgery yes you know a week later now and it's still like really keeping me up at night
28:17it's sort of the pain is quite severe i would say yeah of course i think my problem was i've been
28:22trying to just like effectively live a normal life yeah i think your expectations on how quickly your
28:28body can heal might need to be adjusted slightly i definitely realized that even if it was just soft
28:33tissue damage like ligaments sprain like they can take eight weeks more just until they feel normal
28:39again yeah you've had an operation major major stuff yeah it's normal for there to be you know
28:45pain at the moment um but yeah if it's keeping you up at night um there may be more that we can do for
28:50you yeah one of the problems as well is that i i tried to come off the pain medication maybe a little
28:56too early because i had the impression that codeine was very very addictive so when you take the codeine
29:02is the pain much more manageable uh yeah definitely it's sort of it's pretty unmanageable at night
29:08to be honest just like when it's still it just starts like really throbbing a lot and especially
29:14in my hand i i don't mean my hands really bruised and sore okay i can have a look at that for you
29:20um but the hands got more and more bruised yeah and that's gravity okay so um yeah all of the
29:30blood and swelling from up here um yeah some of it is going to drift down a little bit yeah so the
29:36wrist yeah okay let's just press around and tell me if it's any of the bones are sore yeah that one's
29:45quite sore there and down there that one's sore oh sorry where sorry ah wow that was really sore here
29:52okay i mean that one's actually really sore now yeah okay did you want to take off the dressing
29:59yeah that's actually looking way better than it was that's clean and yeah there's no bruising or
30:08swelling greater than what i would expect of of what you've had what's happened okay i'm not going
30:13to take that off at all and you're seeing the surgeons again on friday aren't you yeah yeah okay
30:18yeah i think also it would be great if and i don't know what sort of um sleeping pill i could take
30:26but i think that's been a real struggle for me since this yeah um just trying to go to sleep
30:33basically yeah so i think pain management is going to help you the most um i think if we're um
30:41uh giving you too many things that kind of affect your brain like codeine and sleeping pills yeah um
30:47especially things you're worried about addictive properties that might not be the best thing to do for
30:53you and then yeah i would say take your codeine what what strength is it that you're having at the
30:57moment um 30 milligrams so it might be worth taking a higher dose at night yeah yeah you could try that
31:04i'd take 30 to get you through the day try an extra extra one at night cool and is sleeping pills bad
31:10idea i i think we treat the pain right yeah rather than knocking you out we'll see how things go okay you
31:16can always pick up the phone and call us if you if you just haven't slept okay perfect all right thank you so
31:21much no worries nice for you guys thank you thank you so much bye cheers
31:30i love this i play battles on the hands
31:36i had the weirdest dream about you last night how strange you came in crying because you found out
31:43you were pregnant and i was actually crying last night how weird you literally came up to me like
31:49george i've been in tears and you were in tears yeah i'm pregnant i don't know what to do and that's
31:53all i remember if ever does happen i would come to you george thank you so hello i'm dr peace and we've
31:59met before haven't we now how's your little one he's good he's good look at you you're lovely and he's 36
32:05week so not yet one so what are we up to today so he's got um he's just had this red eye um for
32:13a week now okay um i imagine he's rubbed something in it okay probably done okay yeah because he's
32:19touching everything and exploring aren't you and a little bit feral but i just wanted to get it checked
32:23just in case it didn't you do you think it's upsetting him and sort of it does grab it okay okay
32:28what about in the mornings when you wake up or after a snooze is it all sticky and horrible is
32:33there lots of gum coming out there's no there's no okay and anything you can see now is actually
32:36porridge okay fine so there's only porridge let's just see if you can see hello how are you so he's
32:42fixing and following nicely isn't he yeah what's going on over here if we go all the way over here
32:46yeah you're looking at me all the way over there so his eyes are following equally and seem quite happy
32:51aren't they oh look at you and he doesn't feel warm at all he's not good and he's eating and drinking
32:56and sleeping okay yeah everything the same yeah it's only because it's been a week and it won't
33:00be away no absolutely so we order and i can see it's just a pinky in the corner there isn't it
33:04and the most likely thing is you're quite right that he's rubbed it something into it
33:08if it was a you want to cuddle if it was a sort of bacterial conjunctivitis then it would be waking
33:13up in the morning with all that gunky sticky horrid snot in his eyes yeah none of that none of that
33:18so what we can do we just take a swab of it which is basically a cotton wool bud that we just put in
33:23because it's been a week but why don't we just double check that there's nothing in there just
33:27to make sure and do it and he's well mind and peace of mind exactly you've got the smiliest face
33:32right let me just grab a swab and all i'm going to do is get the cotton wool bud and very gently
33:37just put it and roll it just into the corner of the eye a little bit but when we send it to the lab
33:40they grow it and they look and if there's anything on it then they write back and let us know
33:43good boy well done sweetheart welder so just very gently just gonna rub it and i know sweetheart i know
33:50i know and just across there there we go done finished finished finished oh oh finished
33:58there we go you've forgiven me look you've forgotten already so i will send this straight
34:02off straight away and get this done and we all see what this shows okay the the worst case now
34:08really is is a sort of conjunctivitis thing so if he gets really sticky or horrible eye over the weekend
34:13then just phone one one one but if he's well and happy and no temperature and he seems well looks
34:17it and smiling like he is now then i wouldn't worry at all all right my friend well done say thanks so
34:23much all right lovely i could play with you all day look at his hair you love your hair i know okay
34:30thank you so much we'll call you if there's anything on it or we're worried or anything at all
34:34then we'll give you a ring straight away lovely thank you so much all right amazing manage yeah i got it
34:39there we go yeah all right bye bye bye bye bye thanks say bye
34:49now they've got you smiling didn't i yeah
34:50thank you so come on in take a seat so i think i came in last at the sky and then it sort of
35:13popped and then um i got this other thing but i'm a bit run down so it's been a bit
35:17uh of a traumatic week and i don't think that's helped with the eyes yeah and then you gave me
35:22i got some cream and stuff but then it popped and and anyway this other thing started which is
35:28i think different from the sky okay okay i think i think the style is pretty much cleared up i'm not
35:33sure okay so that was a large lump in it yeah yeah yeah when did that pop four or five days ago four or
35:39five days ago and when did the eye get much more red overnight tonight last night actually it was quite
35:45bad yesterday but it's got worse overnight i've been having this recurring infection with the eye
36:04it came to a head over the weekend as i was in the hot compressor like i noticed when i took it away
36:08there was like yellow stuff on it you just look straight at me look to your left oh my back are
36:19you all right my left you're right i'm just gonna lift the eyelid and pull the eyelid up a little bit
36:24i just want to have a look on the underside really sorry it's uncomfortable so it's gotten significantly
36:30worse and more red and painful yeah so what what have we given you in the past i was on a
36:35um five day antibiotic thing okay okay and has it changed your vision is it impacted it can be a
36:42bit cloudy and misty sometimes yeah yeah okay and has it moved from one eye to the other yes well look
36:47yes i think it has this eye was clear i don't know if that's i think it has that's got a minor version
36:52of this eye yeah okay is it okay if i have a look at the eye i'm going to just put on a pair of gloves okay
36:58and did you have anything go into the eye any foreign body or anything well my finger yeah it is
37:04incredible it is very angry isn't it yeah and look down for me down yeah well done on this side
37:16okay and if you're looking at me as my is there anywhere that's blacked out in the vision okay can
37:22you follow my finger and just tell me if there's any double vision or pain keep your head nice and still
37:28so just okay so there's no pain when you're moving no it's a bit achy this eye's a bit achy behind it
37:37yeah i wonder what your thoughts would be about going to the western eye hospital just to double
37:42check is there anything else we can try first yeah so what we would do is give topical drops so
37:47that ointment and the drops and but we're you've been on that already and it's been getting worse well
37:53look just well i'd rather just try that would you yeah i'd rather just try and will we try that for
37:5924 48 hours and if it gets and you give me drops and the ointment and then you go straight to the
38:04western eye hospital yeah all right let's do it that way let's do that i'd rather get this cleared up
38:08without okay as i said a very low threshold if things are getting worse yeah yeah yeah yeah yes
38:14absolutely i think it's important to kind of act quickly if you do notice any changes okay
38:19okay remind yourself okay nice to look and thanks thanks all right bye bye now
38:32how are you pretty grim at the moment are you sweetheart my legs are problem again it's extremely painful
38:39but it's so sore that when i sort of turn to get out of bed i go ow absolute agony yesterday and then
38:46last night i could hardly sleep it's so uncomfortable that they do keep me awake it's painful enough
38:52that it brings tears to my eyes i've been like since a month even more yeah uh this sciatic nerves
39:03you know the problem is you start to cry when you go to bed so and you know it's till 4 a.m
39:09is taking you from here to here to here to here to here and this is every night and every night six
39:19seven hour of i'm scared to go on my bed and i said enough is enough i need to come yeah so low back
39:27pain radiating into the legs either side worse at night knees knees knees yeah and how long has this
39:34all been going on for you i went if you can see my record she told me make exercise they gave me naproxen
39:40which was good naproxen for me because it removed it for three months four months i was at least
39:47sleeping yeah and then i did exercise like this stretching but you know when i have so much pain
39:56it just go five minutes and come back and so it's having a big impact on your quality of life because
40:00it's disturbing your sleep it sounds like absolutely yeah so just to be safe i'm going to ask you a
40:05few questions just yes no questions to make sure that we're not missing anything serious in our
40:08minds any loss of sensation anywhere where you can't feel anything i don't think so no good and
40:14any weakness in the legs where they feel like the muscles are not working properly i also don't
40:19think so fine lovely and any numbness in between your legs around the anus loss of sensation
40:24completely nothing like that good brilliant do you smoke at all i do and how many might you have
40:28in it i might have 20 20 a day of those have you thought about stopping is that something you'd like
40:33to i like to but i don't want to stop it with any medical things well have a thing if there's something
40:38anything we can do to help with that do you drink at all alcohol i am i drink yeah how often uh a day
40:45a beer one one beers one time a week yeah and it's two or three pints fine okay that's fine so if you
40:51could have a couple of days off in the week that would be really good without drinking yeah without drinking
40:55without just even one beer even one day yeah exactly okay you know two ideally um don't drink
41:01on consecutive days okay let me let me try to but i think in terms of quantity you probably you'll be
41:07probably just a little bit above but not too bad can i examine your back is that okay lovely so i'm
41:12going to stand behind you and then i'm going to press down the spine and get you to do a few movements
41:18so i'm just having a look at the normal alignment of the back so your shoulders are pretty symmetrical this
41:23one's probably a bit higher than this one so it looks like you're compensating for the pain and
41:26i'm going to press down the spine for you as i'm pressing is that painful for you no no good can i
41:35get you to lie on the couch for me on your back yes on my bike yeah if you want to put anything there
41:40no you can keep them on absolutely fine
41:45is it comfortable for you it's fine we'll be very quick anyway i'm going to lift this leg up
41:50is that painful yeah here yeah so sciatic nerve is being irritated so you do have sciatica yeah
41:59yeah sorry oh yeah yeah all the way down yeah okay lovely all done whenever you're ready you can
42:06take a seat so i agree i think there is a degree of sciatica there on both sides unfortunately um
42:13i think we need to get you seen by the musculoskeletal team there's the specialists yeah so that they can
42:18decide if you need any imaging any scans or anything like that in the meantime medication wise we've got
42:24a few options as to what we can use yeah if you got on okay with the naproxen i can give it to you
42:30with a stomach protector omeprazole yes to protect the lining of the stomach absolutely fine yeah is that
42:35fantastic easy on the drink easy on this on the smoking yeah i know and we'll get you to 97. you get me
42:42tonight that's my that's my aim in 10 years time you think you 30 years time i hope hopefully you'll
42:48be the last patient i see before i retire yeah maybe i hope that'll be good all right take care any
42:56problems just come back thank you so much you're a lovely person oh you're very kind yeah thank you
43:01very much thank you all the best bye bye bye perfect good all right thank you very much thanks good to
43:13see you thank you so much anyway all the best for listening no my pleasure always because i like
43:17talking as you guess thank you so so much thanks have a good day then bye-bye
43:36you
43:47so
44:08Oh, wait, this is freaking me out.
44:25Yeah.
44:26Pulse is really low.
44:28Well, I'm a bit of a guinea pig at the moment.
44:30They're testing me out with chemo tablets, and that's daily.
44:34I have a lot of ulcers, and my mum counted 13 by now.
44:3713 ulcers.
44:40Can surgeons bring an end to horrendous nerve pain and in a risky location?
44:45It's a matter of life or death.
44:47The new series continues at nine.
44:48Next, ambulances from across Barnsley make a beeline for casualty 24-7.
44:54But who will transfer patients with a lack of porters when every second counts?
44:58In just a moment.
44:59Next, Mos K.
45:01We'll get instant.
45:01The End
45:03The End
45:05Amen.
Comments