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00:06afternoon surgery so all I can remember is just lying in bed on my phone and then all of a
00:12sudden
00:12I just woke up to three paramedics so you'd had a seizure yeah I'm scared to go on my bed
00:22as I said enough is enough and so it's having a big impact on your quality of life because
00:27it's just having your sleep it sounds like last week this was red war sure I thought you had one
00:38of the biggest blisters I've ever seen I'm sort of worried about it you are worried okay you know
00:46could it be some sort of throat cancer or whatever
01:22morning surgery
01:27should we go through yes hello nice to meet you I'm George one of the doctors how are you doing
01:32okay yeah good thanks so tell me what's been going on I'm a scaffolder for my job so my arms
01:38are
01:38constantly especially this one constantly above my head lifting and stretching so but yesterday
01:44morning I woke up in agony and I couldn't lift this arm above my head yeah fair enough and how
01:50would you describe the pain if you had is it sharp stabbing dull achy the pain it is like a
01:54sharp
01:55shooting pain yeah um does the pain radiate down into the arm it did yesterday and last night I was
02:01lifting my arm up in my sleeve and it was waking me up but no obvious injuries that you know
02:05no nothing
02:05like that would it be okay to have a look is that all right lovely so if I can get
02:08you to stand up
02:12yeah so you're really having to adjust yeah even when I'm eating I'm not moving my head near my
02:17hand yeah so I'm gonna just have a feel around the joint we'll try and move it this way yeah
02:25really
02:26tender that we can't go any further fair enough okay and then can you put your arm behind your back
02:32like that yeah so if you can you pop your arm around here for me next one yeah good good
02:40and
02:41then if you stick your arms out a little bit and turn them around good and push me away really
02:46tender
02:46there yeah so super spiny it's tender mantis I think so you've got a tendinopathy there that one
02:50of the tendons that the muscle attaches to the bone with is really inflamed and angry all done thank you
02:57so much good so yeah I think you just need some good pain relief and physiotherapy and you should
03:02be absolutely fine in terms of work it's gonna be a bit tricky so I think you're probably gonna need
03:08a bit of time off how long drinking it'll be I mean these types of injuries tendinopathies can sort of
03:13take six to eight weeks to get better but certainly some really good physiotherapy will will really help
03:18and I can refer you for that sometimes there are cases when patients do need to have a break and
03:24take some time off for their health and this is a perfect example of where that's the case and so
03:30if he was to continue using the shoulder with his very sort of manual job that could potentially put a
03:37lot more strain and cause a lot more damage which would necessitate an even longer period of time off
03:42in the future for ongoing treatment I think naproxen is good to use you can if it's not enough you
03:47can
03:48add in a bit of paracetamol with it so two paracetamol tablets four times a day and obviously if
03:53symptoms are getting worse or changing in any way if the pain is getting worse there's any numbness
03:58tingling loss of strength so weakness that kind of stuff yeah just tell us straight away or if you
04:03feel unwell with it okay thank you pleasure you're very welcome thanks for your time take care get well
04:08soon have a good day thank you thank you thank you I have a seat in the driving seat really
04:24Veruca's or on the figures and and also on the feet so yeah I mean they're viruses we try and
04:29give them
04:30like extremes of temperature so it's well I'll do as much as you can tolerate yeah I got two right
04:37next to each other here okay on my left foot yep and then I got one here oh and I
04:45got another one
04:45one on the hill okay are you feeling brave ready for good good good
04:59yeah this is a birdie one some people don't like to look because then they flinch you know anyway if
05:06you can tolerate it I'll continue until you say ah three times a week mum will get a pumice stone
05:17oh
05:18okay oh yes okay you get the dead skin off because they live in the dead skin they love it
05:25oh right
05:25okay and when you want to make lots of money you invent a tablet that you can take to get
05:30rid of them
05:30yeah when you're older you make lots and lots of money there is no magic cure so you'd be an
05:36inventor
05:37very brave today definitely deserve an ice cream or something
05:47you're doing well it burns he's a strong boy I'm kind of getting used to it
05:52you're getting used to it still it hurts quite a bit
06:00so why don't you put your shoes and socks on and then they'll do your finger I'll prescribe some
06:05salicylic 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 how's it you frostbite for a good cause oh can you
06:27bear it
06:38you've done very well lots of people wouldn't have stood this
06:50I think you've suffered enough
06:53good lovely okay well thank you very much take care bye bye thank you you're welcome bye
06:59bye william
07:12abigail come on thank you have a seat here sweetheart thank you so much for coming in you're welcome of
07:21course
07:22what happened so all I can remember is just lying in bed on my phone and then all of a
07:29sudden I just woke up to three paramedics looking over me and I couldn't I was mute
07:34for 15 minutes couldn't speak so you'd had a seizure yes I was super rigid so I was like that
07:39I had
07:40started shaking and hit my head it's still there from Monday yeah that's from Monday so last week so
07:47it's still there bit my tongue so that was yeah and I'd shaken so much that I'd obviously fallen off
07:54the bed and whacked my head on the table three four minutes Asia I'd say so I'm like what is
08:00going on
08:20then we went to hospital good got all of the CT results and it all came back normal so they
08:26were
08:26pleased in your blood tests you know everything was normal they've looked at the CT scan again
08:30they've had a look at it they're not worried they needed to scan your brain check it was a brain
08:35tumour or a bleed or stroke or anything horrible like that none of that so they've said there's not
08:40an urgency to see you immediately okay but they have got the referral it is worrying and I think
08:45yeah you were questioning whether there was another cause for it that might be causing it
08:50right my friend made a comment she went are you sure it's not your endometriosis that's doing it
08:56and I went well I don't know if it would cause seizures and I went you know what I'll look
08:59it up
08:59so I looked up and lo and behold Abigail was able to explain to us that she's had these horrible
09:05seizures which are really quite frightening and she had some ideas as to what might be behind the
09:09cause of her seizures patients often come in and they've done some research and it's important to
09:13to listen to what they have to say I don't know if she's right or wrong but it was something
09:17that
09:17we needed to explore because we do need to get to the bottom of why this is happening
09:20we know you've definitely got endometriosis we know that we know we've definitely got some sort
09:25of seizure disorder we just don't know quite what's causing it and we're wondering now if the two are
09:29connected and of course as you know you know it's not common apparently what it does is it causes
09:34inflammation in the brain which then can trigger it so it's not that you're having epilepsy it's just
09:39that it's triggered so endometriosis is a condition where the cells that normally just lie in the womb
09:44have spilt out into other parts of the pelvis and growing on other pieces like the ovaries
09:49the bladder and other parts of the pelvic wall rarely the cells can spread outside of the pelvis
09:55and sit in other parts of the body including the brain and Abigail was rightly worried that maybe this
10:01is what had caused the seizure so it's something that we needed to go and address I think any new
10:06episodes it's really important you let us know okay absolutely you've had a CT scan yes so we know
10:11there's nothing big nasty going on in your brain you're okay yeah yeah yeah so yes I'm not really
10:16a hypochondriac about that it's more just about the fact of that it's like I if I it's a funny
10:21feeling isn't it yeah so we need the neurologist involved we'll get the gynecologist involved as
10:25well let's get you well yeah let's make sure that we stop the epilepsy and let's try and get this
10:29endometriosis absolutely lots of love have a lovely day take care bye bye I actually run in my sleep so
10:43it is early we actually run in our sleep you run our feet keep moving oh god I don't want
10:48to see the
10:49you know not a kick and goes on Jeremy yeah Dr Prestwich hi Jerry Isaac hi nice to meet you
11:03thank you no problem
11:07how can I help the last couple of weeks I've had this weird sort of pain in my throat top
11:12of my chest
11:14but it sort of feels like it sort of could be a chest infection or something like that so I
11:18know
11:19it's not something I've experienced before I'm obviously hoping it's nothing terribly sinister can
11:23you think of anything that might have triggered it in the first place I had a bit of a cough
11:28a couple of
11:29weeks ago so I don't know whether it could be a sort of muscular type thing yeah okay is it
11:35affecting
11:36you a lot I'm sort of worried about you are worried okay just obviously in the unit could it be
11:42some
11:43sort of throat cancer or whatever but yeah thinking about cancer and any possible risk factors is there any
11:51family history my my father died of bowel cancer quite young my mum my mum has actually just died
11:58that was kidney cancer actually but nothing chesty and whatever I did used to smoke but I gave up 10
12:06years ago yeah when did you start smoking I've got you know when I was a teenager okay and how
12:12many
12:12would you smoke today 10 well but you this is kind of the first symptom yeah yeah yeah made you
12:19worry
12:19about you know is there anything serious yeah yeah exactly can I just examine you now of course listen to
12:25your chest I want to feel in your neck yeah okay okay and can you just breathe in and out
12:38for me
12:49okay okay so yeah just lift it in for me just want to feel around the neck there can you
12:55show me kind of
12:57exactly where you feel the pain so down in the lower neck down in the lower neck and the very
13:04top yeah yeah
13:05okay could you just um put your hands above your head for me now yeah okay is that bringing on
13:12any
13:12pain right now a little bit sort of there yeah okay okay great so here's what I suspect and is
13:20that you
13:20know this coffee you've had recently yeah and has kind of caused a little bit of inflammation in the
13:25chest wall yeah and from that violent kind of contracting right and yeah the joints there between the ribs and
13:32the sternum they can just become a little bit inflamed and a little bit sore and that can give you
13:38the
13:38symptoms that you're having now yeah I think the timeline follows quite nicely there I think that
13:44there aren't any other kind of worrying symptoms that I'm hearing now um but as an ex-smoker I know
13:52that
13:52there is a screening program like a lung health check okay um which I think is better than me just
13:58sending you
13:59for an x-ray yeah and x-rays are quite good um but they can but they can't fully exclude
14:06any kind of
14:06small changes in the lungs anyway okay is that something you'd be interested in yeah yeah I can
14:11send you the link to your phone now as to how you can book an appointment brilliant great and in
14:18terms of
14:18how I would manage this pain I would use anti-inflammatory medication so either ibuprofen tablets yeah or you
14:26could even get the gel and just put it on the area that's a bit sore okay great are you
14:30happy with
14:31that very happy with that thank you very much yeah brilliant I think it's a good idea thank you very
14:35much indeed really appreciate it nice to meet you thanks nice to meet you too and uh thanks so much
14:40for being so helpful Ted that's better ready yeah we're around the corner today's head
14:58all right sir I try to be all right dear good well you shut the door right park your trolley
15:05over here for
15:06me yeah Edward is 97 years old he's probably our oldest patient and I've been seeing him ever since
15:16I've been there so 22 years and over the years obviously you build up a rapport with your patients
15:25you got your diary out got me what diary I got the lot you can leave that with me I'll
15:33pull it in for
15:34you you can hear me okay today yeah all right all right let's put this down yeah pop that there
15:41yeah
15:43how is it getting a bit better much better it looks a bit better last week this was red raw
15:50that's what I
15:51thought you had one of the biggest blisters I've ever seen well it was and that's what caused this here
16:00Edward sees me because his legs break down quite a bit we've referred him to dermatology because we
16:06think he has an autoimmune condition called bull eye pemphigoid which is quite a rare condition
16:13the red plaques that was left over your leg was not normal so we got dr dudgeon to refer you
16:22to
16:22dermatology because I want them to say exactly what the treatment is well because that's a natural thing
16:32you want to do but over the years how many times have I dressed your legs I don't know and
16:40I've never seen
16:40it as bad as that I'm hoping the hospital can say yes it is this and then they give you
16:48a special
16:49treatment whether it's steroids it might be a cream it might be steroid tablets okay done all right
16:59you okay have it down ready that's it pull it down thank you very much you're very welcome
17:11hopefully his legs will not keep breaking down into massive blisters anymore because he's going to be
17:17under derm and he'll get treated properly for them right yeah all right sir done all right thank you very
17:25much dear you are very welcome thank you for your help bye
17:33hey sonia please i'm coming coming how are you doctor good to see you it's been a while how are
17:38you it's a good question how am i i know it's a bit of a loaded question isn't it always
17:42always the way
17:43i'm 81 i was 81 oh happy birthday yes of course happy birthday 81 i didn't think i'd get to
17:4981 incredible
17:50they're doing really whoa it's like it's my foot i've forgotten which one it is now no it's the left
17:56one it's got infected on the heel oh okay should we have a look yeah absolutely i do tend to
18:01walk
18:01around barefooted and it's not very good i know well yeah lovely so if you extend it out yeah so
18:10it's
18:10definitely not infected which is great oh it's not just lots of dead hard skin a pumice stone works
18:15really well just to really scrub it or i could give you a little bit of salicylic acid which will
18:19help to strip the top layers off yeah absolutely fine to do that why is that happening just because
18:24i do barefooted and most likely yeah and sometimes the way that we walk is on that isn't that fresh
18:30really got yes and on a heel it's sore yeah it can be it can be you know good so
18:35i'm not concerned
18:36it doesn't oh you're not concerned and these varicose veins are vile they're very superficial
18:40which is great so they're just i know what you mean it's sort of you're probably not happy with it
18:44they're not horrible at all they're absolutely fine it's just normal normal for that to happen
18:47so i would leave them well alone yeah they don't need anything doing isn't it funny how we got all
18:51these weird stuff i know well this is the beauty of aging isn't it beauty of aging i'll send the
18:57salicylic acid uh to the pharmacy and you can pop that on a little bit see if it helps thank
19:02you so
19:02much thank you all right thank you pleasure have a seat here that's okay i'm megan how are you
19:16doing better i want to move the chair there we go okay so what's been going on regarding cough
19:30is my dad has a since one week he's coughing and he feel pain like this area and he say
19:39i can't breathe
19:40properly okay are you bringing up any phlegm with the cough no and is the pain there tight itself yeah
19:49is the pain there when he's not coughing as well without coughing okay so neck down yeah okay um what
20:00i'll do in there i'll have a little listen to the chest have a feel of it and i'll do
20:04blood pressure and
20:05a few other things okay it's always the worst one the one at the top would you like it oh
20:17perfect
20:17okay breathe in and out for me
20:27okay i was listening to the heart as well pop a finger in there for me
20:44okay i'd like to do an ecg his heart rate's quite low it's sitting about 38 beats per minute which
20:53is
21:08quite low so we're doing an ecg for you today that's right yeah lovely have you had an ecg before
21:13i think so but not for a while how are you doctor yeah yeah i'm okay yeah all right with
21:19your heart
21:19you okay uh yeah ticking along
21:27the thing we need to rule out is is it something to do with the heart is the heart pumping
21:31effectively
21:31and efficiently still right i keep feeling like my heart's really racing i'm a bit concerned now that
21:38i'm going to end up having a heart attack when i have to try and do housework i find that
21:41hard now
21:42like changing the bed my heart's pounding and pounding you said you had some chest pains yeah
21:50just scared i'm just scared yeah
21:54how's the pain in the chest how's the pain in the chest it's like a short pain coming it's like
22:11coming and go comes and goes yeah right he just needs to relax nice and still no talking
22:22is he getting any palpitations feeling like his heart skipping a beat so like um like a in his chest
22:32yes and he's getting what we call an ectopic beat my concern is this pain he's getting in his chest
22:40if he sits up with his legs at the edge of the bed how is he feeling at the moment
22:46totally i feel dizzy and did you walk here today or did you guys drive walked
22:54is whether we call an ambulance to take him in he has to go in here
23:02my worry is with his heart rate that low
23:04mm-hmm he could collapse and we need to figure out why his heart rate is so low he has
23:10a heart
23:10problem as well i think with how his heart rate is i think it'd be safer to go via ambulance
23:16just to monitor the heart rate okay i'll be back in two seconds okay
23:25could you call an ambulance uh yep is it for muhammad yes
23:31uh ambulance please so i'm calling from the fuller medical center i'm just going to pass you over to
23:36one of my clinicians sorry hello i'm one of the paramedics i've got muhammad
23:42he's time critical because his heart rate is very low uh chelsea in westminster no worries thank you
23:48very much all right all right so i called an ambulance it shouldn't be too long for the time
23:55being i think i'll just lay him flat i was a bit surprised because he'd come in with just a
23:59cough and slight chest pain his heartbeat was sitting about 30 to 34. normal heart rate should
24:06be between 60 and 100. this man had a long and significant history of heart failure my main concern
24:12was that he was not safe be sent home and that he needed more life-saving treatment
24:23okay hello hi hi how are you guys i saw muhammad today because he's had a week worth of a
24:29cough this
24:30is his ecg laying flat he's getting the occasional ectopic beat blood pressure's low as well when his
24:34heart rate's low he's getting dizzy short breath of it as well so yeah that's basically it so whenever
24:40you're ready pop on there thank you very much there we go thank you that's all right i hope you
24:51feel
25:02better soon okay andrew hello hello hi come on through good morning thanks come and have a seat
25:09hello i'm dr pierson hi nice to meet you how are you uh i'm 100 it's just uh i've got
25:14a bursitis
25:15here that's not getting away and it's becoming unsightly in summer and it's an irritation yeah
25:20absolutely i want it drained or removed or okay this has been a long time that i've had it so
25:25tell
25:25me a bit about it so how long sort of and when did it start uh probably about four weeks
25:29ago uh
25:31it just it literally just suddenly appeared okay it's probably got bigger and it's just there all
25:37the time and i'm just like it's quite a blob isn't it it is a bit of a blob and
25:40it's quite noticeable
25:42have you had an infection or anything have you been unwell any fevers any sort of i'm 100 100
25:48percent so obviously with bursitis i mean it definitely looks like it doesn't it so if we
25:51compare the other elbow as well so that's got your normal knobbly bone and then there's this big blob
25:56here isn't there so it's quite different can i just touch it gently is it painful not at all
26:01okay and it's a little bit in here where but again i don't like to prod it too hard because
26:07it's you when you press it it's full of fluid isn't it i mean it's very sort of fluid like
26:12and and if you straighten your arm it's just it looks ugly and there and then actually it's sort
26:17of the fluid's a bit less a bit more loose yeah but it's definitely a nice big bursitis which is
26:23just a fluid full sac i mean the only thing we really get concerned about with bursitis
26:27is if it's infected if it's a septic bursitis when you've got fevers there's often a graze or a cut
26:32on the skin it's not hot or warm or anything which is good so it doesn't look like
26:36anything at all to worry about i can see that it's uncomfortable it's it's annoying it's it's
26:41it's it's a bit of a blob isn't it so it's nice to get rid of it so what we
26:44could do is potentially
26:45drain it now we'll have to so so we don't do that here but i can refer you and get
26:49that done quite
26:49quickly i think so i could we can organize a referral so i'll do it as quick as we can
26:54and we'll let you
26:54know okay all right well done all right well listen look after it try not to bang it or anything
26:59and if ever you do get high fevers or it goes hot and red with that's different come straight in
27:04give us a
27:05shout out so i don't think it will but if it did come straight in all right all right nice
27:08to see
27:08you bye bye bye bye probably i'll probably get back to hoxon the next day too i've got to go
27:13okay see you all right all right how you doing thank you so much for watching
27:17hey i've got some students in with me is that okay so the medical students oh yeah yeah no problem
27:23yeah they're gonna have a field day this is uh pretty intense uh come on hey guys hey how are
27:31you
27:33all right so yeah nice to meet you nice to meet you um so we spoke on the phone earlier
27:38and i was
27:39just having a read of your letters yes really quite a nasty yeah no i mean it's happened in a
27:45sort of
27:45innocuous way really i just went up for a smash and paddle and then i i sort of fell and
27:51i think
27:52what happened is when i fell down on my left arm the arm broke but backwards so when i fell
27:58on the arm
27:59it sort of dislocated it and like turned it around so it was pretty gory when it happened oh gosh
28:06yeah
28:06i guess i just never really had a serious injury before so i sort of slightly surprised at how
28:12difficult it's been to just snap back from the surgery yes you know a week later now and it's
28:19still like really keeping me up at night it's sort of the pain is quite severe i would say yeah
28:24of
28:24course i think my problem was i've been trying to just like effectively live a normal life
28:30yeah i think your expectations on how quickly your body can heal might need to be adjusted slightly i
28:35i definitely realized that even if it was just soft tissue damage like ligament sprain like they
28:40can take eight weeks more just until they feel normal again yeah you've had an operation major
28:46major stuff yeah it's normal for there to be you know pain at the moment um but yeah if it's
28:52keeping
28:52you up at night and there may be more that we can do for you yeah one of the problems
28:55as well is that i i
28:57tried to come off the pain medication maybe a little too early because i had the impression that codeine
29:04was very very addictive so when you take the codeine is the pain much more manageable uh yeah
29:09definitely it's sort of it's pretty unmanageable at night to be honest it's just like when it's still
29:14it just starts like really throbbing a lot and especially in my hand i i don't mean my hands really
29:21bruised and sore okay i can have a look at that for you um but the hands got more and
29:26more bruised
29:27yeah and that's gravity okay so um yeah yeah all of the blood and swelling from up here um you
29:37know
29:37some of it is going to drift down a little bit yeah so the rest yeah okay let's just press
29:45around
29:45and tell me if it's any of the bones are sore yeah that one's quite sore there and down there
29:52ah that one's sore oh sorry where sorry ah wow it's really sore yeah okay i mean that one's actually
29:59really sore now yeah okay did you want to take off the dressing yeah that's actually looking way
30:07better than it was that's clean and yeah there's no bruising or swelling greater than what i would
30:14expect of of what you've had what's happened okay i'm not going to take that off at all and you're
30:19seeing the surgeons again on friday aren't you yeah yeah okay yeah i think also it would be great
30:25if and i don't know what sort of um sleeping pill i could take but i think that's been a
30:32real
30:32struggle for me since this yeah um just trying to go to sleep basically yeah so i think pain management
30:40is going to help you the most um i think if we're um uh giving you too many things that
30:47kind of affect
30:48your brain like codeine and sleeping pills yeah um especially things you're worried about addictive
30:53properties that might not be the best the best thing to do for you and then yeah i would say
30:59take
30:59your codeine what what strength is it you're having at the moment um 30 milligrams so it might be worth
31:04taking your higher dose at night yeah yeah you could try that i take 30 to get you through the
31:09day
31:10try an extra extra one at night cool and it's sleeping pills bad idea i i think we treat the
31:17pain
31:17right okay yeah rather than knocking you out we'll see how things go okay you can always pick up the
31:21phone and call us if you if you just haven't slept okay perfect all right thank you so much nice
31:27that's for you guys thank you thank you so much bye cheers
31:34i love this i have like bottles on my hands
31:41i had the weirdest dream about you last night how strange you came in crying because you found
31:47that you're pregnant and i was actually crying last night how weird you literally come up to me like
31:53george and you were in tears yeah i'm pregnant i don't know what to do and that's all i remember
31:59if ever it does happen i would come to you george thank you so hello i'm dr peason we've met
32:04before
32:04haven't we now how's your little one he's good he's good look at you you're lovely and he's 36 weeks
32:10so not yet one so what are we up to today so he's got um he's just had this red
32:16eye um for a week now
32:19okay um i imagine he's rubbed something in it okay probably does okay yeah because he's touching
32:24everything and exploring aren't you and a little bit feral but i just wanted to get it checked just
32:27in case it did need any do you think it's upsetting him and sort of he does grab it okay
32:32okay what about
32:33in the mornings when you wake up or after a snooze is it all sticky and horrible is there lots
32:37of
32:37blood coming out there's no there's no okay and anything you can see now is actually porridge okay fine so
32:42there's only porridge let's just see if you can see hello how are you so he's fixing and following nicely
32:48isn't he yeah what's going on over here if we go all the way over here yep you're looking at
32:52me all
32:52the way over there so his eyes are following equally and seem quite happy aren't they oh look at you
32:58and
32:58he doesn't feel warm at all he's not good and he's eating and drinking and sleeping okay yeah everything
33:03the same yeah it's only because it's been a week and it won't be away no absolutely so we ought
33:06and i can
33:06see it's just a pinky in the corner there isn't it and the most likely thing is you're quite right
33:10that
33:10he's rubbed it something into it if it was a you want to cut off if it was a sort
33:15of bacterial conjunctivitis
33:17then it would be waking up in the morning with all that gunky sticky horrid snot in his eyes yeah
33:21none of that none of that so what we can do we just take a swab of it which is
33:26basically a cotton
33:26wool bud that we just put in because it's been a week but why don't we just double check that
33:31there's
33:31nothing in there just to make sure and do it and he's well mind and peace of mind exactly you've
33:35got
33:35the smiliest face right let me just grab a swab and all i'm going to do is get the cotton
33:40wool bud and
33:41very gently just put it and roll it just into the corner of the eye a little bit but when
33:44we send it to
33:44the lab they grow it and they look and if there's anything on it then they write back and let
33:47us
33:47know good boy well done sweetheart welder so just very gently just gonna rub it and i know sweetheart
33:53i know i know and just across there there we go done finished finished finished oh oh finished
34:02there we go you've forgiven me look you've forgotten already so i will send this straight
34:06off straight away and get this done and we all see what this shows okay the the worst case
34:12now really is is a sort of conjunctivitis thing yeah so if he gets really sticky or horrible eye
34:17over the weekend then just phone one one one but if he's well and happy and no temperature and he
34:21seems well looks it and smiling like he is now then i wouldn't worry at all all right my friend
34:26well done say thanks so much all right lovely i could play with you all day look at his hair
34:32you
34:32love your hair i know okay thank you so much we'll call you if there's anything on it or we're
34:37worried or
34:38anything at all then we'll give you a ring straight away lovely thank you so much all right amazing
34:42manage yeah i got it there we go yeah all right bye bye bye bye thanks say bye
34:53i thought you got you smiling didn't i yeah
35:08i think i came in last as a sky and then it sort of oh it popped and then um
35:18i got this other
35:19thing but i'm a bit run down so it's been a bit of a traumatic week and i don't think
35:24that's helped
35:24with the eyes yeah and then now you gave me i got some cream and stuff but then it popped
35:29and and
35:30anyway this other thing started which is i think different from the sty okay okay i think i think
35:36the style is pretty much cleared up i'm not sure okay so that was a large lump in it yeah
35:40yeah when did
35:42that pop four or five days ago four or five days ago and when did the eye get much more
35:46red
35:46it was overnight tonight last night actually it was quite bad yesterday but it got worse overnight
36:05i've been having this recurring infection with the eye it came to a head over the weekend as i was
36:11in
36:11the hot compress like i noticed when i took it away there was like yellow stuff on it you just
36:15look
36:15straight at me look to your left on my back are you all right my left you're right i'm just
36:26going
36:26to lift the eyelid and pull the other back a little bit i just want to have a look on
36:29the underside really
36:33so it's gotten significantly worse and more red and painful the last couple of nights yeah so what
36:37what have we given you in the past i was on a five-day antibiotic thing okay okay and has
36:43it changed
36:44your vision is it impacted it can be a bit cloudy and misty sometimes yeah yeah okay and has it
36:50moved
36:50from one eye to the other yes well look yes i think it has this eye was clear i don't
36:54know if that's
36:54i think it has that's got a minor version of this eye yeah okay is it okay if i have
36:59a look at the eye i'm
37:00going to just put on a pair of gloves okay and did you have anything go into the eye any
37:04foreign body or
37:05anything i don't think well my finger yeah it is incredible it is very angry isn't it yeah and look
37:12down for me oh down yeah well done on this side okay and if you're looking at me as my
37:23is there anywhere
37:24that's blacked out in the vision okay can you follow my finger and just tell me if there's any double
37:28vision or pain keep your head nice and still so just okay so there's no pain when you're moving
37:38no it's a bit achy this eye is a bit achy behind it yeah i wonder what your thoughts would
37:43be about
37:44going to the western eye hospital just to double check is there anything else we can try first
37:49yeah so what we would do is give topical drops so that ointment and the drops and but we're you've
37:55been on that already and it's been getting worse well i'd rather just try that would you yeah i'd
38:01rather just try and will we try that for 24 48 hours and if it gets and you give me
38:06drops and the
38:07ointment and then you go straight to the western eye hospital yeah all right let's do it that way
38:10let's do that i'd rather get this cleared up without okay as i said a very low threshold if things
38:16are
38:16getting worse yeah yeah yeah yeah yes absolutely i think it's important to kind of act quickly if you
38:22do notice any changes okay remind yourself okay nice to look and thanks thanks all right
38:30bye bye now
38:36how are you pretty grim at the moment i used to tell me legs a problem again it's extremely painful
38:43but it's
38:44so sore that when i sort of turn to get out of bed i go owl absolute agony yesterday and
38:51then last night i
38:52i can hardly sleep i'm so comfortable that they do keep me awake it's painful enough that it brings tears
38:57to my eyes
39:02i've been like since a month even more yeah uh the sciatic nerves you know the problem is you start
39:09to cry when you go to bed and you know it's till 4am is taking you from here to here
39:17to here to here to
39:20and this is every night and every night six seven hours i'm scared to go on my bed and i
39:28said enough
39:28is enough i need to come yeah so low back pain radiating into the legs either side worse at night
39:35knees knees knees yeah and how long has this all been going on for you i want if you can
39:40see my record she
39:42told me to make exercise they gave me naproxen which was good naproxen for me because it removed
39:47it for three months four months i was at least sleeping yeah and then i did exercise like this
39:55stretching like this but you know when i have so much pain it just go five minutes and come back
40:02and
40:03so it's having a big impact on your quality of life because it's disturbing your sleep it sounds like
40:07absolutely yeah so just to be safe i'm going to ask you a few questions just yes or no questions
40:11to make sure that we're not missing anything serious in our minds any loss of sensation anywhere
40:15where you can't feel anything i don't think so no good and any weakness in the legs where they feel
40:20like the muscles are not working properly i also don't think so fine lovely and any numbness in
40:26between your legs around the anus loss of sensation completely nothing like that good brilliant
40:30do you smoke at all i do and how many might you have in it i might have 20 20
40:35a day of those have
40:35you thought about stopping is that something you'd like to i like to but i don't want to stop it
40:40with
40:40any medical things well have a thing if there's something anything we can do to help with that
40:43do you drink at all alcohol i am i drink yeah how often oh a day a beer one one
40:51beers one time a week
40:52yeah it's two or three pint fine okay okay that's fine so if you could have a couple of days
40:57off in
40:57the week that would be really good without drinking without this even one beer even one beer yeah
41:02exactly okay you know two ideally um don't drink on consecutive days okay let me let me try to but
41:09i think in terms of quantity you probably you'll be probably just a little bit above but not too bad
41:14can i examine your back is that okay lovely so i'm gonna stand behind you and then i'm gonna press
41:19down the spine and get you to do a few movements so i'm just having a look at the normal
41:23alignment of
41:24the back so your shoulders are pretty symmetrical this one's probably a bit higher than this one so
41:29it looks like you're compensating for the pain and i'm going to press down the spine for you
41:36as i'm pressing is that painful for you no no good can i get you to lie on the couch
41:41for me on your
41:41back yes on my back yeah if you want to put anything there no you can keep them on absolutely
41:46fine
41:49lovely okay is it comfortable for you it's fine we'll be very quick anyway i'm gonna lift this leg
41:54up is that painful yeah here yeah so sciatic nerve is being irritated so you do have sciatica oh yeah
42:04yeah sorry oh yeah yeah yeah all the way down yeah okay lovely all done whenever you're ready you can
42:11uh take a seat so i agree i think there is a degree of sciatica there on both sides unfortunately
42:16um
42:18i think we need to get you seen by the musculoskeletal team the the specialists yeah so that they can
42:23decide if you need any imaging any scans or anything like that in the meantime medication wise we've got
42:29a few options as to what we can use yeah if you got on okay with the naproxen i can
42:33give it to you
42:34yes with a stomach protector omeprazole yes to protect the lining of the stomach absolutely fine
42:39yeah is that fantastic easy on the drink easy on this on the smoking yeah i know and we'll get
42:44you
42:45to 97. you get me tonight that's my that's my aim in 10 years time you think you 30 years
42:51time i hope
42:52hopefully you'll be the last patient i see before i retire yeah maybe that'll be good that'll be good
42:57all right take care any problems just come back thank you so much you're a lovely person oh you're
43:04very kind thank you very much thank you all the best bye bye bye perfect good all right thank you
43:16very much thanks for to see you thank you so much anyway all the best for listening no my pleasure
43:21always because i like talking as you guess thank you so so much thanks have a good day then bye
43:39so
43:45so
44:28Oh, wait, this is freaking me out.
44:30Yeah.
44:31Pulse is really low.
44:32Well, I'm a bit of a guinea pig at the moment.
44:35They're testing me out with chemo tablets, and that's daily.
44:38I have a lot of ulcers, and my mum counted 13 by now.
44:4213 ulcers!
45:10I'm a bit of a guinea pig at the moment.
45:11I'm a bit of a guinea pig at the moment.
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