- 2 weeks ago
Gps: Behind Closed Doors - Season 9 Episode 13
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Short filmTranscript
00:00Hello surgery last night I probably got up 20 times but I feel like I'm not going to breathe no more scary isn't it
00:17I had an aggressive game of paddle but that shouldn't do too much damage
00:24between having Crohn's acromegaly bilateral glaucoma which is really upsetting and then this to come on top of us everything seems to be going downhill
00:37you know that you had a toe taken off yeah yeah that was because the blood supply to the toe wasn't great
00:47because my toe was black
00:48I just black out and when you wake up I just lie there and I think what in godsend am I doing down here
01:18Hiya morning surgery I can help
01:34Now how can we help today
01:36So I've had a sore hand
01:38Okay yep
01:39When I got it x-rayed last Monday and it came back fine
01:42Okay
01:43It's obviously not okay
01:45Tell me a bit about it
01:46So about a year and a half ago I hurt at travelling
01:51Didn't think anything of it and it's been fine since then
01:55And then last weekend I was gardening
01:58Nothing you know out of the ordinary
02:01But it was really this whole section here was really swollen and this finger
02:06Yeah
02:07So I thought yeah that it would be broken
02:10It hurts a lot along here
02:12Okay
02:13The swelling has gone down but it's still not normal
02:16It's not normal is it
02:17I mean if we put the hands together next to each other
02:19I mean there's definite swelling around here compared to here
02:22Yeah
02:22And we've also got some other changes here haven't we
02:25I know
02:25Would that be arthritis?
02:26But why would I have arthritis?
02:29You're young
02:30Yeah
02:30You're young it is right
02:31Before all of this happened do you ever get sort of joint aches and pains?
02:36Yes
02:36Yes
02:37Okay
02:37Yeah
02:38And is it in different joints or just all the small joints or bigger hips, knees?
02:43I sometimes yes get pain in the shoulder
02:45Okay
02:46And do your hands hurt?
02:48I mean obviously this one hurts
02:49Yes
02:50When you make a fist and things I mean can you do that?
02:52I can but this one was like last week it was really sore
02:56I mean looking at it so these little swellings at the end
02:59Yes
02:59These are called hepatitis nodes
03:01They are part of osteoarthritis
03:04Right
03:04Which is a wear and tear arthritis of the hands
03:06Now you're only 53
03:08Yes
03:09It's miz
03:09I mean that is
03:10I know
03:11It's miserable to have though
03:12But that is a sort of type of arthritis
03:14And it's my right hand which I'm very dominant right handed
03:17Okay
03:17And what do you do for work?
03:18I'm not working now
03:19Okay
03:20Did you used to use your hands a lot?
03:21Yes, typing and stuff
03:22Okay
03:22But I do worry about this a little bit
03:25The problem is that sometimes for women more than men, lucky us
03:28Is that we sometimes get conditions that develop
03:31Yeah
03:32Where almost like our body attacks our joints
03:35Okay
03:35And it's sort of called an autoimmune disease
03:38And it can sometimes present with joint problems
03:40Right
03:40If it is just wear and tear and things
03:42Then we can go to a hand physio
03:43We can try and see someone
03:44Yes
03:44We can get you some help
03:45Yep
03:45But if it is an inflammatory
03:47A sort of what we call an autoimmune disease
03:49Where your body's attacking the joint
03:51We need to stop that from happening
03:53Because otherwise it'll attack more joints
03:55And then it can damage them
03:56Okay
03:56And we don't want that to happen
03:57No
03:57It's better to know about it now
03:58Than further down the track
03:59Definitely
04:00Because then we go and see a rheumatologist
04:02Who's like a joint doctor
04:03You know that we can do to try and stop
04:05If that's happening
04:05Okay
04:05Perfect
04:06If there is just sort of wear and tear
04:07The most important thing you do
04:09Is keep your hands moving
04:10Right
04:10Because if we don't use them
04:11And the muscles waste
04:12And just because you've got it at 50 feet
04:15Doesn't mean everyone automatically
04:17Follows the same path
04:18That's going to get worse and worse and worse
04:19Until your hand's completely unusable
04:20Mm-hmm
04:21Some people it develops
04:22And then it stays quiet the same for years
04:25Okay
04:25I mean hopefully it'll go back to nothing
04:26Yeah
04:26But it might then flare up again
04:28Yeah
04:28In a few years time and things
04:29But if that's the course
04:29Then we'll learn how to manage it
04:31Okay
04:31When it does it
04:31Yep
04:32But we need to be sure
04:33That we're not going to miss something
04:34That we could do something about
04:35Yeah
04:35So it means another blood test
04:37Okay
04:37Sorry
04:38No that's fine
04:39Monday morning nine o'clock
04:40Perfect
04:41Okay
04:41Sounds good
04:42Thank you very much
04:43Okay not at all
04:43Nice to see you
04:44Let me let you out
04:45There we go
04:45Thank you
04:46All right
04:46Take care
04:47All the best
04:47Bye
04:47Bye bye
04:48Mark please
04:51Yes
04:52Hello
04:53Hello
04:53How are you sir
04:54I'm well
04:55How are you doing
04:56Any better
04:57I've been better
04:57Yeah
04:58I've got a student with me
04:59Do you mind if she sits in
05:00No no
05:00Yeah yeah
05:01Come through
05:01You guys can sit on the couch
05:03If you like
05:03Pull it down a bit
05:04For you so you can jump up there
05:05There you go
05:06Real
05:06Take a seat
05:07How's it been since yesterday
05:08We spoke on the phone
05:09Diarrhea
05:10Abdominal cramps
05:11Yeah
05:12Any better
05:12Eased off not as frequent
05:14Still not fully every time I go
05:16Yeah it's been a very old time
05:17Since I felt like I had a proper night's kit
05:19And what's caused all this
05:20Any obvious triggers
05:21Any undercooked foods
05:22Takeaways
05:22Anything like that
05:23That's what I thought it was
05:24I assumed it was food poisoning
05:26Then after a couple of days
05:27Sit up there please baby cakes
05:29As I say after the second or third day
05:31Still weren't easing off
05:33That was when I was maybe looking at other stuff
05:35I wasn't sure whether it was to do with my hernias
05:37Because I've got three hernias
05:38Because I've been going to the gym
05:39Yeah
05:40I wasn't sure whether I've disrupted them
05:42With an illness like this
05:43The most important thing is you're not dehydrated
05:45So we check your blood pressure to make sure
05:47Heart rate etc
05:48Have a feel of your tummy to make sure that's okay as well
05:50Are you going to help?
05:53Do you want to help?
05:54Do you want to pop this on your dad's finger for me?
05:57Yeah
05:57On the other hand there you go
05:58It goes in there
05:59Yeah so I'll open that actually
06:01That's it well done
06:02That's it well done mate
06:03Really good
06:03Well done mate
06:04We'll make a doctor out of you yeah I think
06:06How does that work on you?
06:08So it uses light
06:09It uses infrared light
06:11To measure the heart rate
06:12And how much oxygen is going through the bloodstream
06:15It's very clever
06:15So oxygen level is 98%
06:17Which is really good
06:18Heart rate 76%
06:19Which is really good
06:20So you can take that off
06:21That's it
06:22Thank you mate
06:23Well done
06:23What am I going to do?
06:25What are you going to do?
06:26Nothing
06:26Because you're a terror
06:27Great so your blood pressure is a tiny bit on the high side
06:32But actually I'm not worried about that at all
06:34In an illness like this we worry if it's too low
06:36Would it be okay to have a feel of your tummy on the couch?
06:38Yeah sure
06:39Is it daddy's turn to go on the couch?
06:41It's my turn to go on the couch
06:42You guys sit there
06:43You go over there with a giraffe
06:44Very quick
06:45Any pain at the moment?
06:47It's tender
06:48Not necessarily all the time
06:50I can feel it's tender
06:51So
06:52That's uncomfortable
06:54Good
06:56That's absolutely fine
06:57I'm just going to have a listen to your bowel sounds
06:59I'll be two seconds
07:00Let's get this
07:01Good
07:07Absolutely fine
07:08Thank you
07:08All done
07:09So your bowels are nice and active
07:10That's really good
07:11Tell me about it
07:12Yes
07:13Well yeah
07:14You obviously know that
07:16I think why don't we get a stool sample sent off
07:18Just to make sure
07:19Yeah sure
07:19And then take it from there
07:20And in the meantime just keep doing what you're doing
07:22Hydrating well
07:23Yep
07:23Bland foods for now
07:24Brilliant
07:25Let me see if I got any stickers for you guys
07:27Shall we have a look
07:28You're in luck
07:29I've got four left
07:30Which one would you like?
07:31Oh
07:32What do you want?
07:33Nice
07:33That's a good choice
07:35And what one would you like?
07:37You don't want one?
07:38No he's too old
07:38Are you too old are you?
07:39Too cool for school
07:40He's too cold
07:41That's alright
07:41I don't mind
07:42Right
07:42Thank you very much
07:43Let me give you a poo sample to give us
07:45And then I'll label it for you as well
07:46So that it's all done
07:47Perfect
07:48Appreciate that
07:49This is for daddy to have some tests baby cakes
07:51Because that ain't been well
07:52But where's that?
07:53It's just a pot
07:54To do what?
07:55We won't discuss that
07:57Maybe we'll
07:57Yeah
07:58I'll tell you outside
07:59Tell me
08:00I'll tell you outside
08:01There we go
08:03We'll take it from there
08:04Alright
08:05You're working
08:06You're going to stay here
08:07Oh do you want to stay and help?
08:09That'll make my day much more fun
08:10It'll make my day easier
08:11Yeah I can imagine
08:13Say bye
08:13High five
08:14Say bye please
08:15Bye
08:15Bye
08:16Take care see you later
08:17Bye
08:18I told you
08:19You're nosy little nana
08:21Really say why am I shouting?
08:23Because she can't hear me
08:24Okay shush
08:25Why do you laugh like that?
08:30Sound like the Grinch
08:33The Grinch
08:38What does he say?
08:40I'm going to ruin your Christmas
08:42Nice to see you
08:50And you too
08:51Now you're looking well
08:52Very glamorous
08:52I like your dress
08:53You'd hardly think I would come with a medical complaint
08:55I like your shoes
08:56Matching your handbag
08:57Look at you
08:58I've had them for years
08:59And the dress
09:00Oh you look so lovely
09:01How are you?
09:02I've been very tired and exhausted
09:04And I've been very unhappy with this diagnosis of bulbous pemphoid
09:10Is that what they've said?
09:12A sudden stabbing pain
09:13A prickly pain
09:15And then I get a terrible itch
09:16And I literally have to scratch, scratch, scratch
09:19Just to relieve it
09:20Yes and then it oozes
09:21And then it bleeds
09:23Bullous pemphigoid is a rare skin condition
09:26That can affect people often in the older ages of life
09:29Over 60
09:30And it starts as a sort of flat itchy rash on the skin
09:33That can then develop into blisters
09:35And then these blisters can become really big
09:37Really painful
09:38And can be actually quite dangerous when they burst
09:40Lead to infections and ulcers and other things
09:42And let's have a look at it
09:43Because I can see it quite dramatically on your legs here
09:46Yeah
09:46There
09:47That looks really odd
09:49And all these spots are all over
09:52Okay
09:53And also on my, like here
09:55This, from scratching
09:56And they're coming up in there
09:57Oh I can see them there
09:58Bullous pemphigoid is an autoimmune condition
10:01So normally our body has an immune system
10:03That attacks bugs, viruses, germs
10:06When they come into the body
10:06But sometimes it turns on itself
10:08And it starts to affect the skin
10:10And that's what's happening here
10:11It makes me want to scratch it
10:13It looks so itchy doesn't it
10:15It's horrible
10:15It's been in my mucosal tissues
10:18It's been also my lips
10:20Along here there's bumps
10:21And also on my eyelids
10:23Actually inhibited me from doing the things that I'd like to do
10:26Or going out
10:26Can you think of anything that causes it to get worse?
10:29I think recently a friend of mine died suddenly
10:32And then a few months ago I heard from another brother of a friend who had committed suicide
10:38And that really shocked me
10:40And I'd only heard from him a week before
10:42No inclination
10:43So that really upset me
10:44Of course
10:45And I just thought why is everything so sad around me
10:48Am I allowed to say you look fabulous?
11:10Thank you
11:10That's very kind
11:11Come on through Kate
11:11Come on through
11:12You look nice
11:13So do you
11:14Where are you going?
11:14I'm actually not going anywhere
11:16Jacqueline
11:20You're looking very well today
11:21Am I?
11:22Yeah
11:22I'm not
11:22Come through
11:23Take a seat
11:24You look well
11:25Feeling well actually
11:27Yeah
11:27Good
11:27That's what we like to hear
11:28Better than falling apart
11:30You look very good
11:32Thank you
11:33In your hat that you're wearing
11:34Very chic
11:35Every time I put it on I feel like Frank Spencer
11:38The itch has been aggravated
11:42It's been a lot more prevalent
11:43Since this
11:44Because I'm still trying to get over
11:46The shock of hearing that
11:48I'm so sorry to hear that
11:49That sounds really sad
11:50So I thought you know
11:50Between having Crohn's
11:53Acromegaly
11:54Bilateral glaucoma
11:55Which has really upset me
11:57Because I have very limited vision
11:58On the left eye
11:59And then this to come on top of it
12:00So everything seems to be going downhill
12:02And I'm trying to just keep as healthy as I can
12:04Well you look amazing
12:05When you've got all these conditions
12:07I try
12:07I think the stress
12:08Sort of when you're stressed
12:09The stress has definitely aggravated
12:10The frequency
12:11This last few weeks
12:12It's very very common
12:14I mean almost all skin conditions
12:15Do react to stress
12:16Yes
12:16I'm worried that it's stopping you doing things
12:19Very much so
12:20Very
12:20So I've not been going to stay with anybody
12:22Do you think talking to someone would help?
12:24Some counselling
12:25Where you're talking to a counsellor
12:26Who can sometimes help you
12:28With some of the feelings
12:29Of perhaps not wanting to go out
12:30Or feeling a bit apprehensive
12:32Yes
12:32Or a bit nervous
12:33Lacking in confidence
12:34Because I've always been out
12:35Going a bubbly and positive
12:36But that has waned
12:38You're only 76
12:39Yes
12:40You've got a fair few more years
12:41On this planet
12:42Thank you very much
12:42And we want to enjoy them
12:43And you have a right to enjoy them
12:45And we should try and
12:45See if we can help
12:46Get that back
12:47And I totally hear that the skin
12:49Is a big thing holding you back
12:50Yes it is
12:50So let's deal with that
12:51I think we can get rid of a lot of this
12:53I think if we put the right cream on
12:55I think if we have a really strict regime
12:57Of a certain cream
12:59That has a sort of bit of anti-itch in it
13:00To put on after the shower or bath
13:02Yes
13:02Then we could put on top
13:04A steroidy type cream
13:06And then we target the little bits
13:08And another thing I had
13:09Which helped at the time
13:10It was a tablet
13:12Called Fex or something
13:14Phenidine
13:14It's an anti-itch tablet
13:17That was really good
13:17I really think we should start that again
13:19And I'll refer to the counselling
13:21Thank you
13:22And I think it's a
13:24It's a good thing
13:25And they will contact you
13:27There's always a little bit of a wait
13:28So it won't happen tomorrow
13:29That's okay
13:29I understand
13:30But again it's in the pipeline
13:31And then you can talk about your friend
13:32And what's happened
13:33And the difficult time you've had
13:34Over the last couple of years or so
13:35All right
13:36And then I'll come with you to the desk now
13:38And we'll book a follow-up
13:38Thank you very much
13:40Lovely to see you
13:42How's the lip?
13:43Looking better
13:44But the stitches
13:46As I thought they might not have
13:47Are not dissolving
13:48So we came back
13:50I was wondering if you could have
13:51Just a snip at them
13:52Is that okay with you?
13:53Yeah
13:53It won't be painful I promise
13:55Yeah he wouldn't let me do it
13:56No that's fine
13:57How would you feel about lying on the couch
14:00And then I'll put a bit of
14:01Wet gauze
14:03Just to clean it
14:04And then I'll use a little tweezer
14:06And then we'll just cut it a little bit
14:07So it shouldn't be painful at all
14:08And if you want me to stop
14:09Of course I will
14:10Not a problem
14:10Is that okay?
14:11Yeah
14:11Great let's do it
14:13All right
14:13There you go
14:15So you just need to lie down
14:17And chill
14:18For five minutes
14:20That's quite nice
14:21How's your day been okay?
14:23Yeah
14:23Been up too much?
14:24No
14:25Not really
14:26Just chilling
14:26Yeah
14:26Very good
14:27Right
14:28He was supposed to do cricket
14:29But we went to the dentist
14:30And they said
14:31Oh
14:31While he's still healing
14:33Probably not the best thing
14:34Oh fair enough
14:35As his teeth got a bit of a bash
14:36And did they give you
14:37The all clear?
14:37Your teeth are okay?
14:38They're quite happy?
14:39Yes
14:39Good good
14:40An x-ray
14:41Thank goodness
14:42So it's just going to feel
14:45A little bit cold
14:46This is literally
14:47Just clean
14:48Salty water
14:49Lovely
14:51Good
14:54Tiny bed
14:59But it doesn't touch your skin
15:00So don't worry about it
15:01This is just some tweezers
15:02So I'm going to pull that
15:04Well done
15:12Are you able to turn your head
15:15That way a little bit for me?
15:20Well done
15:21God you're hard as nails
15:22You're very good
15:22You're not even flinching
15:23Look at that
15:27Any advice on scarves?
15:29It'll heal really nicely
15:30Pop a bit of Epimax on it
15:33That just keeps it nice and moisturised
15:34Okay
15:35Prevents it sort of drying out
15:37Okay thank you
15:37And then you'll be absolutely fine
15:38I don't think you'll even notice it
15:39To be honest
15:40Okay perfect
15:40In a few weeks
15:41I've got it all
15:43Good
15:50Absolutely fine
15:51Well that's you done
15:52Let me bring this back down for you
15:53Thank you so much
15:54My pleasure
15:54Any problems
15:55Come back
15:56If it's looking infected or anything
15:57Well done
15:58Thanks so much
15:58You did a great job
15:59Bye
15:59All right
16:00Take care
16:01See you again
16:01Yes likewise
16:02All the best
16:02Take care
16:03Hi Paul
16:06It's Rina from the Fuller Medical Centre
16:08Paul can you hear me
16:14It's Rina from the Surgery
16:17From the Surgery
16:19Paul can you hear me
16:25Hi Paul can you hear me now
16:27It's Rina from the Surgery
16:30Getting more and more wound up
16:33We couldn't hear me
16:34We couldn't hear me
16:34We couldn't hear me
16:34Take a seat
16:40I like your outfit
16:41Oh thank you
16:42Thank you
16:43Take a seat
16:44So any changes in terms of your symptoms
16:48Are you feeling wheezy
16:49Are you feeling wheezy
16:49Are you feeling wheezy
16:49Breathless
16:50Yeah it's been fine this year
16:52I haven't really had the hay fever
16:53Symptoms
16:54As bad as bad as I used to
16:57As bad as I used to
16:57Usually when my hay fever is bad
16:59That's when I get wheezy
17:00And the breathing is bad
17:01Unless I get a chest infection
17:03You know in the winter
17:04Or unless I was running for the bus
17:05But because I've not really been
17:07Getting the bus
17:08So I can give you an inhaler
17:10To keep at home
17:11To use
17:12Just in case
17:13If you then
17:14You know become
17:14You know more wheezy
17:15More breathless
17:16The blue one is not really
17:18Recommended anymore
17:19Because it's not really
17:20Treating asthma
17:21So it is more like
17:23To open up your airway
17:25To help you at that point
17:26To breathe
17:27So it probably works
17:29For about two hours or so
17:30But it wouldn't last
17:31For the whole day
17:32So it would be something
17:33Called a symbicote
17:34It has two ingredients in it
17:36A mild steroid
17:37To help to reduce
17:38The inflammation of your airway
17:39And also something
17:41To open up your airway
17:42Compared to the blue one
17:43It opens up for a bit longer
17:45Why would I not
17:45Just have the blue one?
17:47Because the blue one
17:48Is not treating asthma
17:49It's not really helping
17:50So let's say
17:51If you're feeling wheezy
17:52Likely your airway
17:54Is a bit inflamed
17:55That one wouldn't
17:57Clear the inflammation
17:58It just opens up
17:59To help you to breathe
18:00It's scary when you can't breathe
18:02Or when your chest is tight
18:03So I think like
18:04When I was wheezy
18:05Or if I'd run for the bus
18:06And then it'd be tight
18:08Then I'd take that
18:09And I think sometimes
18:09I used it as like a panic
18:12You know like
18:12It was a panic reliever
18:13More than like anything else
18:15Because I'd like
18:16My chest would be tight
18:17And then I'd take that
18:18And then I'd
18:19You know I'll think
18:19Okay it's okay now
18:20Could be psychological
18:21As well
18:22I think as well
18:23I think as well
18:23If you've got lots of stress
18:25Going on as well
18:26And then you panic
18:27Or you're breathless
18:28I think it's where I've come
18:29I've just become codependent on it
18:31Yeah
18:31Where it's like
18:32You know
18:33I just reach for it
18:35Because I know
18:36Like oh when my chest is tight
18:37Like I
18:37Have a path
18:39If you're happy to
18:40I'll give you a new one
18:42Yeah
18:42As a standby
18:43Inside of the blue one
18:45Like you said
18:45If you're catching a bus
18:46You feel breathless
18:47You can then do one path
18:49And then maybe
18:50Towards the winter time
18:52When you feel okay
18:53You do need that
18:54On a regular basis
18:55Then
18:55Give us a call
18:57Come in
18:58We're gonna refer you
18:59To do another test
19:00That inhaler
19:01How you use it is
19:02You twist the bottom
19:03You'll hear a click
19:05You breathe out
19:06To empty your lung
19:07You then do a quick
19:08And deep breath in
19:09And then hold your breath
19:11For ten seconds
19:12I'll send you a video to watch
19:14But yeah
19:14In the meantime
19:15If you
19:16You know
19:17Symptoms get worse
19:18Any problem
19:18Give us a call
19:19Yeah okay
19:20Okay
19:20Yeah okay
19:21Thank you
19:22No problem
19:22Thank you
19:23Bye
19:24Edward
19:29How's everything
19:37Okay
19:37Good
19:38Come in
19:38Have a seat
19:39I'm Dr. Dutchman
19:40Thanks for seeing me
19:41Not at all
19:42What can I do for you today
19:43So I've been experiencing
19:44Some sort of growing pain
19:46Started off as sharp
19:48And painful
19:48When I stretched
19:49Either backwards
19:51Or when there was
19:52Any pressure exerted
19:53And then that
19:55More focused pain
19:56That's sort of
19:57Around the belt
19:58Like right there
19:59Yeah
20:00Has sort of
20:02Expanded from
20:03Pressure tenderness
20:04To more
20:05Dull
20:06Sort of
20:07Numbing
20:09Kind of pain
20:09Okay
20:10Slightly into the back
20:11Yeah
20:11Slightly down the leg
20:13And sort of around here
20:14It's just so much so
20:15That I feel I had to
20:16Yeah
20:17Come in
20:17Because obviously
20:18It's progressed
20:19Over about a week
20:20And is the pain
20:20There all the time
20:21Yeah
20:22It is there all the time
20:23But mild
20:24And any pain down below
20:26Is there any pain
20:26In the testicles
20:27No
20:28No lumps that you felt
20:29Nothing like that
20:30No
20:31Okay
20:31Do you mind if we have a feel
20:32Of the tummy
20:33Would that be alright
20:33Sure
20:33I'm going to take this jacket off
20:34Alright
20:35Just pop up on the bed
20:36Thank you
20:36I'm just going to have a feel
20:38If that's alright
20:39Yeah see that
20:45See that's a little bit more
20:46Sort of
20:47Yeah around there
20:47Yeah
20:48Here
20:49Yeah I can definitely
20:50Yeah that one's a little bit
20:53This side's fine
20:54No nothing there
20:55Okay
20:56So if it was this side
20:58That's obviously where your appendix is
20:59So unless you're one of those
21:01People that has things
21:02On the opposite side
21:02Which is unlikely
21:03But you are quite tender
21:05Sorry
21:05That's okay
21:06It's sore
21:07Yeah yeah
21:20Okay relax
21:27Keep your hands and feet
21:28Inside the ride
21:29At all times
21:30And down here
21:33Any pains
21:34Yeah it does
21:34Mummy's tummy's lovely and soft
21:36Yeah a few times
21:39I feel like I'm going to
21:40Farm it
21:41And I can hear the bow sounds
21:42I may sound normal
21:43Okay I'm just going to press gently
21:45Let me know if it's painful
21:46No
21:47I can feel it though
21:49But it's not painful
21:50Good
21:50I'm just scared of eating
21:52Because I know if I eat
21:53It will just go right through me
21:54Are there any problems peeing
21:56Going for a wee?
21:57No
21:58Not rushing to the loo
21:59To do lots of wee?
22:00Yeah yeah
22:00That's what we get on the old
22:01So yeah really really good
22:04Perfect
22:05That's absolutely fine
22:06Thank you so much
22:06Really good examination
22:07That's where it is
22:10So it's really really painful
22:11Maybe it's a strain or something
22:13You know I had an aggressive game of paddle
22:17But that shouldn't do too much damage
22:19I mean you can strain a muscle
22:20Do you think you could do a quick urine sample?
22:22Sure
22:22Yeah whatever needs to be done
22:23I think then at least we can rule out any
22:25Urine issue
22:28The toilet is literally just there
22:30If you just do that quick
22:31I'll just dip it
22:32And what about at night?
22:45How's the pain being?
22:46Does it not keep you awake?
22:47No it hasn't kept me awake
22:48So in the urine
22:49We're just looking for things like blood in the urine
22:52Unlikely to be a kidney stone from your symptoms
22:56But just to kind of rule out anything like that
22:59The urine looks completely clear though
23:01So there's no blood
23:02No white cells
23:03So that is good
23:04Have a seat
23:05So where your pain is
23:08If it was on the right hand side
23:09I would be worried about your appendix
23:11Yeah
23:11Because you are in quite a lot of pain
23:13It could be muscle strain
23:15But you are quite tender
23:16I think what we do is
23:18We sit on it for a few days
23:21I'm going to request an ultrasound
23:22Just in case the pain doesn't go
23:25But if over the next few days you think it's worse
23:28Then the next step would really be going to A&E
23:31Where they might do some imaging sooner
23:33You could definitely take some paracetamol or something
23:36Just to try and ease the pain
23:37And hopefully it will just ease off
23:39But there's nothing today that spells something urgent
23:42Does that sound alright?
23:43That sounds like good news
23:44And if it gets worse please come back
23:46Will do
23:47All right
23:47Thank you very much for your help
23:48Not at all
23:48Have a great afternoon
23:50Bye
23:50Let me come round and say bye
24:02When are you going?
24:0320
24:04Where are you going?
24:05To Nepal
24:06To Nepal
24:07Wow
24:07Three months that I'm going silent
24:09Ah
24:09Spiritual journey
24:13Are you going to go bold?
24:15One minute
24:16You should become a monk
24:17Are you going to become a monk?
24:18I'll see you in six months then
24:22Okay good
24:23Pray for us
24:25Pray for us as well
24:26Yeah
24:27Scarlett
24:29Hello
24:30You're falling asleep on me
24:32Oh you've got headphones on
24:34Don't worry
24:36Come on through
24:36Come on in
24:37We've got your injection to do today
24:40Have you got your injection with you?
24:41Yes I have
24:42Brilliant
24:43Brilliant
24:43Okay
24:45Fantastic
24:46So this is it
24:46So this is your injection
24:48Uh huh
24:49To help control the hormones
24:50To keep the hormones in check
24:52Isn't it?
24:52Okay
24:53And how are you feeling in yourself?
24:55Today I'm feeling good
24:57Good
24:57Well look let's do your injection
25:01Let me just get it ready for you
25:02Yeah
25:02And then if we can get some hormones
25:06And your hormones happens
25:07Yeah
25:07Let me just draw it up
25:10I want to make sure we get all of the medicine in here
25:13And how is the family and everything?
25:15Yeah fine
25:16But they're grown up already no?
25:19They are
25:19They're getting bigger and bigger
25:20They change so quickly don't they?
25:22Yeah
25:22And all you ever want for them is them to be happy
25:25You know that's the only
25:27That's the last thing that my mother said
25:29I just want you to be happy
25:30Did she?
25:31And your mother's no longer with us?
25:33No, no
25:33I mean I think that's all most mothers do
25:35And you are happy
25:36You say a lot of times
25:37I think there's bits we can help with
25:39To make things better
25:40But good for you
25:41Well look let's do this
25:43So we need to do it
25:44So we did it on the left last time
25:46So we'll do it on the right hand side
25:47Okay
25:48So the right hand side is this one
25:50Okay
25:50So do you want to lie down
25:52Sit down or do you stand up
25:53How was easier?
25:53You're happy doing standing
25:54Okay
25:55If we lift up that's brilliant
25:57It'll just be a sharp scratch
25:59Straight into the bottom
26:00Nothing at all
26:01Okay
26:02Thank you
26:03I'll put that all on the computer
26:05And do you still see your specialists
26:07At the hospital at all?
26:09Yes of course
26:10And they're happy with everything?
26:11Yeah
26:11Yeah
26:12They're happy with everything
26:13What I can do is
26:14We'll do it again in three months
26:15Are you okay for all your other prescriptions
26:17Or you need some more?
26:18They have the hormones
26:20Yes
26:20So we can do those
26:21I'll send all those down to your pharmacy
26:23So that will be ready straight away
26:26And do you want a prescription for the injection again?
26:29And then you collect it
26:30And you're very good at doing that
26:31And I'll put a reminder on
26:33And you try and remember in between us
26:34We'll make sure we get it done
26:35Don't worry
26:36I do remember
26:37Yeah
26:38Thank you for everything
26:39So that's the prescription
26:40And the other one's gone to your chemist
26:42Thank you
26:43And I'll see you in three months
26:44If not before
26:44Exactly
26:45Thank you
26:45And I want to see you like that
26:47Nice and beautiful
26:48I don't know in November
26:49We'll be in summer dresses
26:50But we can see
26:51Maybe not
26:51No but you don't like
26:53Nice and with a nice figure
26:55You're very sweet
26:55Let's see you take care
26:56Thank you very much
26:58And I'll see you in a few months
26:59And I'll see you in a few months
26:59Any problems you bring us
27:00If you need to
27:01Yes
27:02Thank you
27:03All right
27:03Take care
27:03Bye bye
27:04Nice to see you
27:05Nice to see you
27:06I'm Dr. Dodgian
27:09Nice to meet you
27:10Nice to meet you as well
27:12So last week were you taking your Dosset back to the pharmacy
27:15Yeah
27:16You know the box with your medicines in
27:18And why were you doing that?
27:20Because I didn't need any tablets
27:21Okay
27:22I don't like taking pills if I'm not used to
27:24Okay
27:25And do you know any of the tablets that were in there?
27:28No
27:28I'm not sure
27:29When do you think you last took them?
27:31Okay
27:31When I was in the hospital to take my toes off
27:33Did someone tell you to stop taking them?
27:36No
27:36No
27:37What made you decide to stop?
27:39Because there were tablets everywhere
27:40You felt there were too many?
27:42I'm not used to taking tablets
27:43Okay
27:44But you had been on them a few years, hadn't you?
27:47No
27:47No?
27:48As long as I'm breathing, I don't care
27:50Can I talk through the medicines
27:52And why they wanted you to take them?
27:54Yeah
27:54Okay
27:55So two of them
27:57One called aspirin
27:59And one called clopidogrel
28:01To help your blood
28:02You know that you had a toe taken off
28:05Yeah
28:06Yeah, that was because the blood supply to the toe wasn't great
28:09Not because my toe was black
28:11Exactly
28:12Okay
28:13And so you're on those medications
28:15To try and keep the blood supply good to the rest of your body
28:18And then you're also on a statin
28:21Have you ever heard of statins?
28:23No
28:23So cholesterol can build up fatty deposits in the blood
28:27The statins lowers that
28:29And again, that's part of the trying to keep the blood flowing to all your toes and things
28:34The last one was a tablet called pregabalin
28:38Which must have been for pain
28:40So normally for nerve pain
28:42Do you have any pain?
28:44No
28:45Okay
28:45I mean, I think if you have no pain
28:47Let's stop the pregabalin
28:49And then you've got one less tablet
28:51But I'd ideally like you to take the other four
28:55Four?
28:57So the aspirin and the clopidogrel for the blood
28:59The statin for the cholesterol
29:02And then the lanzoprazole to protect your stomach from the other two
29:06I'd drink plenty of Guinness
29:07That would keep it clear, wouldn't I?
29:10The lanzoprazole be good for the Guinness too
29:13Oh, that's alright
29:14How much Guinness do you drink?
29:17Three or four pints a day
29:18Okay
29:18And have you always drunk that much?
29:20Yeah
29:21I used to drink 14 pints a day
29:23Okay
29:23So you're drinking less
29:24Much less
29:25Yeah
29:25How do you feel your memory is?
29:27It's alright
29:27When I need it
29:29Yeah
29:29How would you feel about coming to see Sam
29:32Next door
29:33Just for some blood tests
29:35And how would you feel if she did a test of the memory as well?
29:39Yeah
29:39Yeah, we could get that all organised
29:41I know Sam well
29:41With the doset
29:43Do you feel now you know what they're for?
29:45Yeah
29:45They definitely want the tablets every day for the rest of your life
29:48To keep that blood flowing
29:50For the rest of my life I won't have my lung left, have I?
29:53Oh, I think you've got a bit
29:54But the tablets will help
29:55Alright
29:56Shall I help you back out?
29:58I'm still alive
29:59Just stand one sec
30:05I'm just going to get the door
30:06You've done this before, haven't you?
30:12Yeah, a few times
30:13That's all booked, Tim
30:21Well, can I take it now?
30:23Yeah, you can
30:24Enjoy
30:25Want it on?
30:26No, thank you
30:27I don't drink
30:28You don't drink?
30:29No
30:29Do fun
30:30I can have fun without a drink
30:32How do you do it?
30:33I just be a jolly person
30:35I don't know what that is
30:36Well, there you go
30:37That's why you have to have a pint and I don't
30:39Thank you very much
30:41Bye-bye
30:41Bye
30:42How can I help today?
30:49I just cannot breathe
30:51Okay
30:52I put my head down on the pillow
30:54And all of a sudden I can't breathe
30:57Right
30:58So I have to get up
30:59So I have to get up
30:59And I do that hour after hour through the night
31:04I was a bit lucky this morning
31:06I put my head down at six o'clock
31:08And I woke up at half past seven
31:10Okay
31:11That was good
31:12But mainly it's a lack of oxygen
31:16Yeah, you're feeling short of breath at night time
31:18Two years ago I didn't have this problem
31:20Last night I probably got up 20 times
31:24Oh no
31:25So sleep's really disrupted
31:26Really disrupted
31:27Absolutely
31:27How long has all this been going on for?
31:30Six months
31:31My body has got no energy
31:34Especially here
31:36Feeling tired
31:38My thighs
31:39And your thighs as well
31:40Yeah
31:40I can hardly get up
31:42But I feel like I'm not going to breathe no more
31:45Well, it's scary, isn't it?
31:47You know
31:47Really gasping for breath
31:49I just felt a bit desperate
31:51So I think, you know
31:51Did you have a sore throat?
32:12Before this cough
32:13I went to AMCM
32:14And went and saw a concert
32:14On the night of the concerts
32:16I got a really, really bad sore throat
32:18To the point where
32:19I couldn't even swallow, like, saliva
32:21Have you had a look at the back of your throat?
32:24Oh, mum has
32:25Yeah, yeah, I did
32:25And it was weird
32:26It looked really weird, you know
32:28Like, like, see-through
32:28Yeah, apparently mum was saying
32:30It looked translucent
32:30Yeah, okay
32:31It was weird
32:32So the mum just freaks you out
32:33Yeah
32:34Your weird throat
32:34She's picked up a sore throat from me
32:37Oh, yeah
32:37Does it feel like you're swallowing
32:38Sharp knives and things like that?
32:41Yeah
32:41Yeah
32:41Open wide and set
32:42R
32:43Black
32:43Okay
32:44Good
32:51It does look very sore back there
32:54It is
32:54So come and have a seat
32:57I'm Dr Pearson
32:57Hello
32:58Hi
32:58How are you doing?
32:59Good, thanks
32:59So I know you spoke to one of the GPs yesterday
33:02But I wondered
33:03Do you mind telling me what's happened
33:04Yeah, of course
33:04And how are you feeling?
33:06So I don't know if it's related to my coil
33:08Yeah
33:08Basically
33:09I had it put in two weeks ago
33:10Two weeks ago
33:11Yeah
33:11So everything was fine
33:13It wasn't
33:13I just had normal symptoms
33:15Yeah
33:15But I've been really ill since
33:17For a week now
33:19Kind of like fluey
33:21And like
33:21Okay
33:21I think maybe
33:22Like throat cold
33:24Yeah
33:25Just feeling like
33:26Okay
33:26Really bad
33:27Like my glands are bad
33:28I've had tonsillitis a few times
33:30Oh dear
33:30Okay
33:31But I have actually had my tonsils taken out
33:33Ah
33:34So it must have been bad for them to take them out
33:35Because I was like five when I had them out
33:37I was always like choking on food and stuff
33:40Because they were so massive
33:41And have you had fevers this time?
33:43I think
33:43I actually don't know
33:44It doesn't matter
33:44But have you got hot and sweating?
33:46Yeah
33:46Like right now I'm literally like sweating
33:48Okay
33:48And at night
33:49And then yesterday
33:51By the afternoon I was like freezing
33:53Okay
33:53And tell me about the coil
33:54So the coil's gone in
33:55Is it your first coil?
33:56Yeah
33:56Have you had the coil before?
33:57Or is it the Mirena
33:58The hormone one?
33:59Okay
33:59Any
34:00People often have bleeding at the beginning
34:02Are you having to bleed?
34:03A little bit
34:03Any discharge or discomfort or anything?
34:05Is it pain anywhere?
34:07So yesterday
34:07There was a bit of pain
34:09Which made me think
34:12So normally with the coil
34:13If two weeks into it
34:14If it was to have introduced infection or say
34:16We'd know about it
34:18Okay good
34:18And we'd have discharge
34:20And bleeding
34:21And lots of cramping
34:22Your womb would be trying to get rid of it
34:24Like womb period pain
34:25Sort of proper cramping pain
34:27If you're not feeling that
34:28No I'm not
34:29It's probably more related to all of this
34:31That we're doing
34:32Or whatever
34:32And I think
34:32Can I just put my hand on your tummy
34:34Just to be 100% sure about your tongue?
34:35I'm always just a bit paranoid with it
34:37Just have a lie down on here
34:38I just want to press really gently
34:40Just tell me if there's any pain
34:41As if I press
34:42No
34:43No
34:44No pain here
34:47No
34:47So normally if there was a thing
34:49That would be really sore there
34:51And it's not
34:52Okay
34:52So your tummy's nice and sore
34:53Sweetheart
34:54That's fine
34:54So let me
34:55Just check your temperature now
34:57Here we go
34:5936.3
35:00Is that okay?
35:01So that's okay
35:01Okay really?
35:02So even though you're feeling sweaty
35:04And things
35:04The temperature is good
35:05Let's have a look in your throat
35:06And see
35:07Can you open wide for me?
35:08And say
35:09Oh it's very red at the back there
35:10Really red
35:11And actually sweetheart
35:14There are some white bits
35:15At the back
35:15At the very back
35:16And the roof of your mouth
35:19Yeah and if you just say
35:20Ah
35:20Yeah
35:21That does look really sore
35:23It looks like someone's been rubbing it
35:24With sandpaper
35:25Can I just have a feel of your glands
35:27In your neck as well?
35:28Let's just have a feel
35:29It just tickles your neck
35:30Yeah you're quite right
35:31Look at that
35:32Great big lymph nodes
35:33Yeah
35:33Isn't that?
35:34Yeah
35:34I think we've got a clear source
35:36Of where this is coming from
35:37Why you're feeling
35:37If it looked all normal
35:39I'd be more worried about the core
35:40But your tummy's soft
35:41It does look really sore
35:42I wonder if antibiotics
35:43Actually might make you feel a bit better
35:45Yes please
35:45I think
35:46I don't know how you feel about them
35:47Some people are really anti
35:48Give them to me
35:48Let me do it
35:50And I'll send them
35:50What I'll do is
35:51I'll send them straight to Pyramid Pharmacy
35:52Lots of vitamin C
35:53Salt water gargles
35:54Anti-paracetamol
35:55And things like that
35:56Just to control any sweating
35:57And it'll make you feel a bit better
35:58And the antibiotics will kill it all off
36:00And any other problems
36:01Or anything weird or wonderful
36:01Come straight back and see us
36:02Perfect
36:03Yeah will do
36:03Thank you so much
36:04Take care
36:05Good luck
36:05All the best
36:06Bye bye
36:07I just felt a bit desperate
36:11Yeah well you've definitely
36:12Done the right thing
36:13So I'm glad you came in
36:14100%
36:15Now obviously
36:16With everything that's going on
36:18With your heart
36:18And all the medications
36:20You're on
36:20So maybe there's a bit
36:21Of a progression
36:22In the heart failure side of things
36:24Oh I see
36:26How are you getting on
36:27With your tablets
36:28I tell you
36:29The one pill that seemed to help me
36:31Yeah
36:32Was feruzumide
36:33Yeah
36:34Some doctor said about it
36:36Clearing me lungs
36:37It does indeed
36:38Yeah
36:38Offload some fluid
36:40Would it be okay to examine you today
36:41To have a listen to your breathing
36:43Oh yes please
36:44John is a lovely 86 year old man
36:46Who I've known for about three and a half years now
36:48I've been involved in his care
36:50Since the time of his diagnosis of heart failure
36:52In heart failure
36:53The effectiveness of the heart
36:55To pump the blood around the body
36:56Is reduced
36:57And get backtracking of the blood
36:58Into the circulation
36:59And a build up of fluid
37:00Around the lungs
37:01Which can cause shortness of breath
37:02Especially at night
37:04And a build up of fluid around the legs
37:05Which can cause leg swelling
37:07And that can be quite painful
37:08And uncomfortable
37:09And what do you think is going on
37:10What do you think is causing all of this
37:12I can only think of the phlegm in my lungs
37:15You know
37:15Yeah
37:16It gets to here
37:17Yeah
37:17And then
37:18It's like it's cutting off the airflow
37:21You know
37:22Yeah I understand
37:23Your oxygen levels are very good
37:2498%
37:25And your heart rate is normal at 62
37:27Are you able just to take your jacket off
37:28Is that alright
37:29Yeah
37:29Thank you
37:31Nice deep breaths if you can
37:34Lovely
37:37Perfect
37:43And I'm just going to listen to your heart now
37:45Lovely
37:48Absolutely fine
37:49Good
37:49Really really good
37:50Your chest sounds really clear
37:51So there's good air entry throughout
37:53No
37:53No
37:53You amazed me
37:54Yeah
37:54Everything you're saying
37:56Sounds like there is
37:57A build up of fluid around there
37:58Yeah
37:59But when I listen in
38:00It's crystal clear
38:01There's no fluid at all
38:02That's good news
38:03It is good news
38:03But it then makes me wonder
38:05What's the best thing to do
38:06Moving forward for you
38:08So I think
38:09What we need to do
38:10Is maybe ask the heart doctors again
38:12For a bit of help
38:13Because I'd be really reluctant
38:15To play around with your meds
38:16And in the meantime
38:17If you're finding that
38:18The higher dose of the furosemide
38:19Is helping
38:20It's perfectly fine to have
38:22One tablet at 8 in the morning
38:23And one at midday
38:24I'll do an urgent referral
38:26Because I want them to see you quickly
38:27The heart doctors
38:28Just to see
38:29I don't want to get slower and slower
38:31Exactly
38:32Exactly
38:32I'd rather be out the game
38:34You know
38:34No I don't mean it from a horrible point
38:37I know what you mean
38:38I know what you mean
38:39I just
38:39You know
38:40Yeah
38:40It's really tough with this condition
38:42It's really difficult
38:43Yeah
38:43As long as I can get on a bus
38:45That's all that matters to me
38:46Yeah
38:46Well let's aim for that
38:47Let's see if we can get you a bit stronger
38:49Okay
38:50Thank you very much
38:51Any questions before we go?
38:53No no
38:53I've got the team
38:54My wife kills me
38:55If I don't ask the right questions
38:57That's good
38:57Absolutely
38:58She keeps you right
38:59That's good
38:59Are you guys managing okay at home?
39:01Yeah
39:01Yeah
39:02You don't need any extra help or anything?
39:04No
39:04But the way I'm going
39:06It won't be long
39:07Well if you do
39:08Let us know
39:09Because there's lots we can do for help
39:10Yeah
39:11Don't suffer in silence
39:13I will remember that
39:14Yeah I do
39:15Let me help with that
39:16There you are
39:16Thank you
39:18Take care
39:18Look after yourself
39:19Thank you
39:19Alright my pleasure
39:20You're very welcome
39:20Take care
39:21Rina
39:27Yes
39:28If you could only eat food
39:30For the rest of your life
39:31If there was a certain colour
39:32What colour would you pick?
39:33Food
39:34One colour for the rest of your life
39:36Yeah but is it like
39:37If I say black
39:37Can I have a black tomato?
39:39Yeah
39:40I don't know that red
39:42What are you eating that's red?
39:46It's a weird
39:47Weird option
39:48Are you just thinking tomatoes?
39:51Afternoon surgery
39:53How are you doing?
39:55I hear you've been in the wars
39:56I keep falling over
39:58I hear
39:58My neighbour
40:00I called for him
40:02I got up
40:03And I was okay
40:04I turned around to do something
40:06I fell over again
40:07And then I just couldn't get up
40:09I just black out
40:10I don't
40:11You don't feel it coming on?
40:13No
40:13No
40:14And when you wake up?
40:16I just lie there
40:17And I think
40:17What in God's name am I doing down here?
40:20It's not always when you're turning
40:21Or anything like that
40:22Yes sometimes that
40:24But last time I actually hurt myself
40:28When I fell
40:29Because I fell over the threshold
40:31Of the house
40:32And the garden
40:33And I had terrific pain down here
40:36They're not always when you get up
40:37Like getting up from the loo
40:38Or getting up from a table
40:41That you might have been sitting at
40:42You don't get that
40:43No I can't say I do
40:45Yes now wait a minute
40:47Somebody was in the house
40:48And I had to speak to them
40:49And I got up
40:51But I got up very quickly
40:53And I think that didn't help
40:55And then I held on to
40:57The side
40:58While I spoke to him
40:59Let me do my blood pressure
41:01Yeah
41:02Not mine but yours
41:03With my machine
41:04And how are you doing otherwise?
41:07I'm fine
41:08Birthday next week?
41:10Yes
41:11I've got my great grandchildren
41:13Coming tomorrow
41:14Lovely
41:15And you cope on your own
41:16You're okay generally don't you?
41:18Yes I do
41:18You're very independent
41:19Yeah
41:19I just want you to
41:24Stand up for me
41:25We're going to do it again
41:25No drop
41:30Sometimes people get a drop
41:32When they stand up
41:33And that can be a cause of falls
41:34And things
41:35So that's important
41:36That there isn't drops
41:38I haven't got that then
41:39No
41:39But we're still going to continue
41:41Because there is a falls clinic
41:43In the hospital
41:44Which investigate
41:45And I think you probably need to
41:47Really get on their list
41:49Because
41:50I know you've had little TIAs
41:52In the past as well
41:53And also they can test
41:54Whether it's your balance
41:55You know when you're turning
41:56Does that do it?
41:58But generally
41:59One doesn't black out completely
42:01If that's happening
42:01No but that
42:02Doesn't frighten me anymore
42:04No
42:04Because I never hurt myself
42:05Except last time
42:07Yeah
42:07And that's when
42:09Somebody said
42:10Oh you ought to get
42:10One of those things
42:11Around your neck
42:12Well you do
42:13Yeah
42:13Do you want me to
42:14No
42:14I don't really want to do that
42:17You know
42:17If you're on your own
42:18And the neighbours
42:19Aren't one side
42:20And you know
42:20When you can't get through
42:21And you're in the house
42:22You're lucky
42:23You're in the garden
42:24And they were around
42:25Well and my grandson
42:27Is coming next to me
42:29It's my birthday
42:30And I want him to fix
42:31A grabber
42:33At the side of my door
42:34So that I can pull myself
42:36And get someone
42:37Who else
42:37Independent
42:38To do things like that
42:39If you want as well
42:40Yeah
42:40Someone to come round
42:42Occupational health type thing
42:44And they'll come and visit
42:45And they'll assess
42:46Oh I need something like that
42:48I'll mention it to them as well
42:50I'm going to do a four-walls referral anyway
42:52It needs investigating
42:54And I will chase up the appointments
42:56Okay
42:57Yes
42:58Thanks very much
42:59Nice to see you
43:00Take care
43:01Thank you
43:02Bye now
43:03Bye
43:04As always
43:05Lovely
43:06So lovely to see you
43:07Likewise
43:07Yes
43:08I'm glad you're doing well
43:09Thank you
43:09Take care
43:10Bye bye
43:10Thank you very much
43:11Perfect
43:12Alright
43:12Well well done
43:12Nice to meet you
43:13Good luck with your AI
43:14Thank you
43:15Thank you very much
43:16Thanks so much
43:17Thanks
43:17Good afternoon
43:18Bye bye
43:19See you tomorrow
43:28Thanks
43:29Bye bye
43:30Bye bye
43:30Bye 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
43:36Bye bye
43:37Bye bye
43:37Bye bye
43:37Bye bye
43:38Bye bye
43:39Bye bye
44:09The pain has been getting so bad that I can hardly get up.
44:22Okay, well that's not acceptable, is it?
44:24The hallucinations must be upsetting, it's horrible.
44:26They don't frighten me that much.
44:27But I remember speaking to you once when the dogs were there and it was horrible and the snakes were even worse.
44:33How have you been?
44:34Terrible.
44:35Oh no.
44:35Well, I must sit on this earth for.
44:39I must sit on this earth for.
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