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00:10I ended up in A&E on Saturday with the pain.
00:13I could barely, like, even talk.
00:18You've had a few of those falls recently, haven't you?
00:20Oh, I've had five of them.
00:21It always happens when you can't get up
00:24because there's nothing to hold on to.
00:26Oh, of course.
00:28From your, like, perspective, would you think I have ADHD?
00:32You know, it's a spectrum, isn't it?
00:34We're probably all on one part of the spectrum.
00:40She was so determined to see her first grandchild.
00:45Well, she certainly was looking to make the most of whatever time she had.
00:51He just woke up one morning and wasn't all there.
00:57Yeah.
01:09Hey, look forward to her.
01:29Hello, how are you?
01:31Come on Jim.
01:32How are you?
01:33Sick.
01:34Sick, oh dear.
01:35Right, come and have a seat.
01:36Do you want to tell me what's happened?
01:37I had this pretty much when I came in and I had it for five days.
01:41Okay, it was a sore throat and...
01:42Yeah, just aching all over.
01:44Okay.
01:45It was hot temperature, feeling just generally rough.
01:47Horrible.
01:48Yep.
01:48Started the antibiotics on the Friday, by Saturday I could feel it coming down.
01:53Okay.
01:54Saturday night, Sunday, it was like shingles came out, so various different spots.
02:00A few on my face, about six, seven, either side of my stomach and a few on my legs.
02:05Okay.
02:05Really itchy.
02:06Sort of blistery spots?
02:08Yes.
02:08And did they all then scab over, sort of thing?
02:11Then, Monday, I woke up and I felt a tingle in my throat again.
02:15Mm-hm.
02:16And it just started, and I thought, oh God, not another sore throat, but it's just gone
02:19back to what I had previously.
02:21Back to square one again.
02:22And now it's...
02:23And you took the antibiotics for...
02:24A week.
02:25A week.
02:25I'm interested in the spots, because it's interesting, you felt grotty and you had all of this.
02:30It's just, there aren't very many things that cause blisters to sort of pop up at various
02:34places all over the body.
02:35Okay.
02:35And you mentioned shingles that it could be, and the shingles is only in one place.
02:40So it's in one strip, or one part of your arm, or just one side of the face.
02:44It's never both sides.
02:46But the virus, the sort of, the bug that causes shingles is chickenpox virus.
02:51Yes.
02:51And do you don't think this was chickenpox?
02:53I mean, you said you've got children.
02:54Have you seen chickenpox in the kids recently?
02:56The kids had chickenpox, about two years ago.
02:58Okay.
02:59I had chickenpox as a kid.
03:00You did, or you didn't?
03:01I did.
03:01You did?
03:02Okay.
03:02Did this look anything like chickenpox?
03:04Yeah.
03:04So I wonder if it was, I mean, sometimes you can get chickenpox again, but it's just,
03:08it's one of the few rashes that causes blisters, and they come up both sides of the body,
03:12and it can make you feel awful, especially as an adult.
03:15Yeah.
03:15But then you stop the endopause, and your throat's come back.
03:18Yes.
03:19Yeah.
03:19My throat has really swelled up again.
03:21I can't eat.
03:23At the moment I'm taking Cocodamol, Paracetamol, Ibuprofen.
03:27And is there anything else going on at the moment, or mostly just the throat?
03:30Yeah, just the throat.
03:32Right.
03:32I mean, I ache and musk it.
03:34I feel really sort of tender.
03:35Any temperatures and fevers like today?
03:38I'm 38 when I just left the house.
03:40Horrible.
03:41So it's definitely come back, hasn't it, with a vengeance, and it sounds...
03:43No, it's just strange that it's...
03:44Horrible.
03:44Right, let's have a look.
03:45Oh, yes, it's in it.
03:46Right, let's have a look, first of all, in the back of the throat.
03:48If you don't mind opening really wide, and say, ah...
03:54There is quite a lot of white stuff all over your tonsils, sweetheart.
03:59Can I just feel your neck?
04:01I mean, this is swollen, isn't it?
04:03Yes.
04:03I mean, I don't know what your neck normally looks like, but it looks quite puffy.
04:06It's all very puffy.
04:07Is that very tender?
04:08Yes.
04:09I think there's a couple of things we could do, Dominic.
04:10One thing I'm wondering is, can I take a swab?
04:12We need to know what the germ is, because at the moment when we see common things,
04:16we throw the commonest antibiotics at it, but sometimes if it doesn't work, is it the right antibiotic?
04:21And were we on it for long enough is the other question.
04:24So, if you don't mind just opening wide, I'm just going to tickle back of the throat.
04:28Okay, well done.
04:29One.
04:30And the other side, I'm just going to do that side.
04:32Sorry.
04:33Perfect.
04:34So, the lab will tell me what it is and what's the best antibiotic to get rid of it.
04:38I mean, last week, with the antibiotics, the next day, I started to feel better.
04:43Annoyingly, I think it's just broken back through, hasn't it?
04:46I mean, it's a raging tonsillitis is what you've got.
04:49Yeah.
04:49We need ten days of antibiotics.
04:51Okay, let's get rid of it, sweetheart.
04:53Let's get rid of it.
04:53The surgery will contact you as soon as this comes back if there's anything we need to do.
04:57Yeah, fantastic.
04:58Are you taking some time off work?
05:00Not causing me too much stress.
05:02I mean, I think with a fever you should...
05:03Having a three-year-old or a four-year-old is much more stressful than mine.
05:06They're probably the reason you got this in the first place, isn't they?
05:09They bring everything home, don't they?
05:11They do.
05:11All right, take care of it.
05:12Bye-bye.
05:14Hi, come on through.
05:16How are you?
05:16Good, thanks.
05:17Have a seat.
05:19Congratulations, I haven't met Artie yet.
05:21He looks really well.
05:22Yeah.
05:22What can I do for you today?
05:24So, Artie is four months corrected.
05:26Corrected.
05:27Corrected, yeah.
05:27Because he was six weeks premature.
05:29So he's four weeks corrected, five and a half months actual, something like that.
05:34And developmentally, no concerns with him.
05:37Fixing and following really well.
05:39I don't think he's got any issues with his actual vision because, you know, he plays with
05:43his toys, he grabs his toys, he smiles at us, etc.
05:45But what I have noticed is that when you're looking at him normally, his eyes are fine.
05:50Yeah.
05:50But when he is playing with his toys and anything that's up close to his face, he goes really
05:56quite cross-eyed.
05:57And has a squint.
05:59Which I know in newborns isn't a concern.
06:02Yeah.
06:02But I did read that if that's still happening quite consistently after four months, it might
06:08be, is it strabismus or could be?
06:10Yeah, so sometimes we do get ophthalmology to have a little look.
06:14Yeah.
06:14Strabismus is an eye condition commonly known as a squint.
06:17An intermittent squint is normal in newborns and this is as the brain learns to coordinate
06:22the eyes.
06:23We do expect though that squints resolve around three to six months of age.
06:26If a squint persists, we want to get ophthalmology to assess it to see if it's either an underlying
06:31condition or something called amblyopia, which is basically a lazy eye and does require treatment.
06:37But I, I, yeah, I didn't, I don't know if I'm being too premature with this and actually
06:40he's only four months so there could still be time.
06:42Yeah.
06:43It's only when he's playing with it.
06:46Like when you look at him normally, it's not there.
06:49If he plays with things like here, like when he's playing midline and then he brings things
06:54to his mouth for example.
06:55What's this mister?
06:58There, can you see a little bit there?
06:59Yeah, very slight.
07:01But sometimes it's a lot more noticeable.
07:04Do they ever go in opposite directions?
07:05Not that I think I've seen.
07:07Okay.
07:07Like, can you see a little bit?
07:09Yeah, it's just the, the left one does move further in, doesn't it?
07:12Yeah.
07:13That's it.
07:14And the left even more so.
07:15Yeah, so there, that's it.
07:16Yeah.
07:17Yeah.
07:17So they will both go in, obviously, you know, if I did it to you and we, or finger to
07:21your
07:21nose, your eyes would, would go in.
07:23Yeah.
07:24But yeah, the left definitely does it more than the, the right.
07:28But I think it might be worth us just asking ophthalmology to have a look.
07:32Yeah.
07:32Because I feel like he's had so many things.
07:35I know.
07:35Otherwise.
07:36We don't want to completely ignore it.
07:38You know, yes, it can be normal to begin with, but normally we expect squints to improve
07:42a bit.
07:43Yeah.
07:43And I think realistically, it's not going to be a big deal.
07:46Okay.
07:47Amazing.
07:47A referral would be really helpful.
07:49So I'll get that done.
07:50Okay then, mister.
07:52But nice to see you.
07:52And I'll do the ophthalmology referral.
07:56Right.
07:56Come on then, mister.
07:58Let's go.
07:59Thank you so much.
08:00Not at all.
08:01You should hear from them.
08:02If you don't hear anything in the next three or four weeks, let us know.
08:04Okay.
08:04Will do.
08:04All right.
08:05Take care.
08:05Bye.
08:06Bye.
08:10Just in case you get more, just in case you get thirsty.
08:12I'm not drinking that.
08:13It's from yesterday.
08:14You got thrown a bin?
08:15Yeah.
08:16Or I'll water the plant for it.
08:19Such a waste of water.
08:21What are you doing?
08:22What?
08:22You need to tap.
08:23You need to tap.
08:24I'm just having a slow day.
08:26I've been having a slow day for like a month now.
08:29It needs more plant food.
08:30I don't...
08:31That's what it needs.
08:34What do you think I just sit here with plant food?
08:45How can I help today?
08:46You want to tell the doctor?
08:48Can I tell the doctor?
08:49I think you better, because I can't remember what it is.
08:52At the beginning of the year, Colin started getting forgetful.
08:55Hmm.
08:56But it sort of deteriorated very fast.
08:59Hmm.
09:00We were put in touch with the memory clinic.
09:03Hmm.
09:03And an assessor came round.
09:05Hmm.
09:06And he thinks it's not the normal sort of dementia.
09:10Hmm.
09:11He thinks he may have had some mini strokes.
09:13Ah, okay.
09:14That would have caused it.
09:15Hmm.
09:16And he was going to book an MRI.
09:18But I think these days MRIs are very difficult things.
09:22And then he discharged him.
09:24Hmm.
09:25So since then, we're just...
09:27A bit in limbo.
09:28We don't really know what's going on.
09:29Yeah, exactly.
09:30In limbo.
09:30Oh, no.
09:30That's not good.
09:31And how's your memory been since then?
09:34I don't think I've used it.
09:37Ah, fair enough.
09:38Have you noticed that there's been a decline since that assessment?
09:41Yes.
09:41It's not too bad some days.
09:44Hmm.
09:44Some days are better than others.
09:45And other days are not as good.
09:47Hmm.
09:47And it's the funny thing.
09:48It's a very, very short memory.
09:50Hmm.
09:51You can ask me a few times a day, you know, how old am I?
09:55And then I say, what?
09:56That old?
09:58Do you not feel...
09:59Do you not feel 89?
10:01Me?
10:02Yeah.
10:03No.
10:03Not at all.
10:05How old do you feel?
10:06I feel younger than 89.
10:09Yeah.
10:10Good.
10:10How's your mood?
10:13Good.
10:13Good spirits?
10:14Yes.
10:14You feel okay most of the time?
10:16Yes.
10:16And are you sleeping well?
10:18Yes.
10:18Yeah.
10:19Some nights, some nights, yes.
10:21Better than others.
10:22Some nights, yes.
10:22Not as good at all.
10:23Yeah.
10:41Any questions?
10:43Any questions, Annabel?
10:44My wife has always heard questions.
10:46Not too personal.
10:48One is the...
10:49Everyone over the age of 50 now should have it done.
10:52Okay.
10:53Because you're getting old.
10:54Not as old as you.
10:55My little action man.
10:57Any questions before we go?
10:59My wife kills me if I don't ask the right questions.
11:01That is good.
11:02Absolutely.
11:02She keeps you right.
11:03Are you going shopping?
11:05Oh.
11:06Do you want anything from the shop?
11:07Come on out.
11:09Love ya.
11:15Yeah.
11:16Yeah.
11:16Any changes in behaviour or personality?
11:18No.
11:18Nothing like that?
11:19No.
11:19Good.
11:20It's the same naughty...
11:22Same old you.
11:23Yeah.
11:24Good.
11:24Excellent.
11:25Really good.
11:25So yeah, I think we need to get that ball rolling again for you because it would be
11:28good to get some investigations and see what we can do to help.
11:32Is there any point in taking a scan to see what's happening in there?
11:36Any lesions or...?
11:37100%.
11:38Yeah.
11:38I think there is.
11:39Yeah.
11:39We can definitely do that.
11:40Now, as GPs, we're very limited.
11:42They only let us do so many things.
11:44But the good news is, for MRI scans of the brain, if we're querying dementia, they do actually
11:51allow us to request those scans.
11:52And the reason I asked about the personality change is because in frontotemporal dementia,
11:57people often who are normally very placid and nice can become very, very violent and
12:02really change in their behaviour.
12:03Yeah.
12:03So again, I'm not hearing that.
12:05So if anything, it might very well be a vascular type of dementia because of the damage
12:10to the blood vessels over the years and stuff.
12:12The scans will be really good.
12:14That will sort of tell us one way or another.
12:16And then we can put steps in place to help and to help sort of slow down that progression
12:20potentially.
12:20There are, there are medications available.
12:23What sort of help do you feel you need at the moment?
12:25Do you feel like you need carers to come and help or someone to come in and make sure
12:29it's safe for you at home?
12:31You know, put grab rails if you need them.
12:33I would like a grab rail in the bathroom by the bath.
12:36Let's do that.
12:36We can refer you then to adult social care.
12:38Not a problem at all.
12:39Okay.
12:40Lovely.
12:40Thanks.
12:41My pleasure.
12:42Thanks for coming in and sharing all this with us.
12:45Thanks for your time.
12:45Because I know it's a really difficult thing to talk about.
12:47Don't think what happened to you.
12:49It's true.
12:50It's just so funny.
12:50He just woke up one morning and it wasn't all there.
12:55Yeah, absolutely.
12:56Leave it with me.
12:57I'll be in touch and I'll do all the referrals and stuff for you.
13:00Any problems, just come back.
13:02Don't hesitate.
13:05I'm going to take you.
13:11I want to show you this.
13:13Look.
13:14Do you think this would look good on me for my birthday?
13:18Oh.
13:19Oh.
13:20Hello.
13:21Yeah.
13:22That's lovely.
13:23I want to show you.
13:26This is a dress I might wear for my birthday.
13:28Surgery.
13:30Where are you going again?
13:31For brunch?
13:32You're going to wear that to brunch?
13:34What club after?
13:35Brunch is at lunchtime, you know?
13:37Well, not really a brunch.
13:37It's like a school to restaurants eat.
13:39Not brunch.
13:40Yeah, an evening.
13:41It's not brunch.
13:42Fine.
13:42Okay.
13:43That's nice.
13:44I look forward to the pictures.
13:45Hello.
13:46Hi.
13:47How are you?
13:47So come on in, take a seat.
13:49Thank you very much.
13:49My name is Anna McHugh.
13:51It's very nice to meet you.
13:52So tell me, Craig, what's been going on for you?
13:54I've got a rash that's been under my arm for ages.
13:58So how long has it been going on for...?
14:00I've probably had it eight months, nine months.
14:03It doesn't itch.
14:04It just, it's sort of blotchy.
14:06I've heard it a few times.
14:08They thought it might be stress related because my previous job, I was a bit stressed, but
14:12now I've moved happier job, happier setup, but obviously still got the remnants.
14:16Okay.
14:17GPs, they gave me cream.
14:19Cream did nothing.
14:20What brings it on?
14:21Is there anything...
14:22I have no idea because...
14:23Do you find that it's hot weather or if you were...?
14:25No.
14:25It doesn't seem to be related to a deodorant or anything, to be honest.
14:30Okay.
14:30Well, we have a little look.
14:31That's absolutely fine.
14:33So you've tried a few anti-fungal creams, is it?
14:36Yes, and I found none of them actually.
14:38Sorry.
14:39Oh, yeah.
14:40Yeah.
14:41And have you been in the sun or anything like that?
14:43I haven't, to be honest.
14:44I actually haven't done much in the sun.
14:46It looks like something called Petriasis Versicolor.
14:49Oh, okay.
14:50So it is fungal.
14:51Yes.
14:51And I'm going to give you...
14:52It's actually a shampoo.
14:53I've just started noticing that I've got one or two spots that have started on the
14:56side.
14:56But I never used herb on the side, so I thought...
14:58Yeah.
14:58Rather get it sorted.
14:59Yeah, absolutely.
15:00I'll give you a...
15:01It's actually a shampoo that you use.
15:04Oh, okay.
15:04And you leave it on for five minutes and then wash it off.
15:06And I think...
15:07Because it's been going on for nearly eight months now.
15:10Yes.
15:10You know, we can try this and if you've found that it isn't fully resolved, just come back and
15:15see us.
15:17So, where is the best place to send the antifundal treatment?
15:20Possibly to Boots, if possible, yes.
15:22I'll send them there.
15:23That's perfect.
15:23And just come back and see us if anything's getting worse or not improving.
15:27Perfect.
15:27No, thank you very much.
15:28I do appreciate it.
15:29All good.
15:32Jane.
15:36How was the holiday?
15:38Beautiful.
15:38The holiday was marvellous.
15:40Almost reached the end of it without any injuries.
15:43Nearly.
15:43I think next time you go away, I'm going to pack bubble wrap.
15:47So you can wrap over your legs.
15:50I can show you where it happened.
15:52That was the plane we were getting onto.
15:54And you can see that lady is stepping up that big step.
15:57Is that where you bashed her?
15:59It does look like a bit of a lethal step in all fairness.
16:02Yeah.
16:02Luckily, my daughter was with me and able to salvage the awful mess.
16:08It's always a mess and blood pouring down.
16:11Are you okay putting your leg up?
16:13Yep.
16:13That's fine.
16:15Okay.
16:15Let's see the damage.
16:17They've layered it up here.
16:19Oh, you've had a nasty laceration.
16:22Sorry.
16:23Oh, dear.
16:24What a mess.
16:25My legs are never a thing of beauty.
16:28It doesn't look like there's any infection there.
16:31So the steristrips, we are leaving on.
16:35Right.
16:35Because if I take them off...
16:37It'll burst apart.
16:38Yes.
16:39Exactly that.
16:39So we can keep them on because they're keeping this dead skin...
16:43Yes, yes.
16:45...in place.
16:45We're trying to sort of move the skin up to try and close the gap a bit.
16:48Yeah, you can see where you've pushed it up.
16:50So you've done it that way, haven't you?
16:53No, no, no.
16:53If you pull it down, you're going to pull that flap.
16:56So whoever dresses this from now on, you need to lift every dressing this way.
17:02Right.
17:02Yeah?
17:03Right.
17:03At least it was at the end of the holiday and not the beginning.
17:07Well, it was.
17:07If you start finding it sore and it's red and it's tracking...
17:10No.
17:11...that's when you need the antibiotics.
17:13No.
17:13Try and keep this leg as dry as possible and try and book in GP.
17:19Surgery for about Wednesday.
17:20Yeah.
17:22Okay.
17:22But there's no signs of infection.
17:24It looks good.
17:25Oh, that's very reassuring.
17:27Your daughter's done a wonderful job.
17:30Well, keep her up to date.
17:31I need to be a current treatment.
17:34Remember, the most important rule is lift up with that dressing.
17:38From the bottom, from the foot.
17:40Yes.
17:40Because you don't want to reopen that.
17:42No.
17:43Ooh.
17:43Makes you go funny.
17:44Exactly.
17:46All done.
17:47Marvellous.
17:47Well, thank you very much indeed for seeing me today.
17:50Pleasure.
17:51Thanks very much.
17:52Take care.
17:53Thanks a lot.
17:57Yeah.
17:58But just let me know when you've done it.
18:00This is really nice.
18:01Oh, actually, Miss Honey's always got nice dresses.
18:04Don't you?
18:05Love you too.
18:07I said Miss Honey always got nice dresses.
18:09Miss Honey.
18:09Oh, yeah.
18:11She resemblance to Miss Honey.
18:13Are you a tilda?
18:15Are you Miss Trunchbull?
18:17Oh my God.
18:18You are...
18:19I'm wanting surgery.
18:26Hello, Sophia.
18:26I'm Dr Pearson.
18:27Hello.
18:28Hi.
18:28Thanks for coming down.
18:29Come and have a seat.
18:30Now, how are you?
18:31I'm okay.
18:33So you've come in to talk about this gynaecological problem that you've been having.
18:38Mind saying what are the symptoms and what you've been experiencing?
18:41Yeah, so I've just had like a lot of pain for over like a few years now.
18:45Yeah.
18:45I was diagnosed with PCOS.
18:47Yeah.
18:47A couple of years ago.
18:49I had my bloods tested and there was quite a lot of imbalances apparently according to
18:54them.
18:54But over the past six months or so, I've been having extra symptoms.
18:59Okay.
18:59So kind of extra pains but specifically in like the left ovary kind of region.
19:04I kind of ignored it initially because I thought it could be a cyst or something like that.
19:09But over time it just progressively got worse and worse and worse.
19:12And I ended up in A&E on Saturday with the pain.
19:17And I kind of have pain between my periods and I had a really heavy period and really long period
19:22last time.
19:23It was like ten days which again is quite long.
19:27That is long.
19:28That's miserable.
19:28The next one starts again virtually.
19:30So that's miserable isn't it?
19:31So heavy periods, long periods, you've got different, and this pain that's all over.
19:36And your bowels, any change in your bowel habit at all?
19:38I have noticed a little bit of a change.
19:40Yeah.
19:41So like when I'd have the pain or what I'd call the flare-ups, say I would tend to want
19:46to go to the toilet all the time.
19:48Okay.
19:48So I kind of felt like that might be connected.
19:50And your sort of general well-being in yourself?
19:53I feel exhausted.
19:54All the time?
19:55Like the energy levels are just...
19:56And how do you manage that then?
19:58Are you able to...
19:58I mean working and things?
19:59Are you working?
20:00I am working, yeah.
20:02And it's kind of difficult for me to like stay energised and focused and motivated.
20:07Just because I'm also in pain all the time.
20:10It does cause quite a bit of issues.
20:11It sounds like it's interfering with a lot of your days in a month.
20:15Yeah.
20:31I had a pain up here.
20:33Oh, okay.
20:34I ate some meat.
20:35My son cut it up in a long pleases and I think I ate that and it was quite painful
20:39up here.
20:40It's terribly painful.
20:41It does look a bit swollen.
20:44It does look a bit swollen, doesn't it?
20:44It does look very swollen, yeah.
20:45Yeah.
20:45It's absolutely agony.
20:47Last night it's...
20:49Causing a lot of pain.
20:50Yeah.
20:51Any pain during that?
20:52Yeah.
20:52That's a bit sore.
20:54Yeah, okay.
20:55Every now and again when I move my arm I get sharp pains come down my arm to my elbow.
20:59Ongoing infection there.
21:01You can see it.
21:02Oh, bless you.
21:03Poor thing.
21:03I get a pain shooting here and here.
21:06It was hurting like hell.
21:13Now how do you feel now with that pain?
21:16It's not obviously as bad now as it was on Saturday.
21:18Because on Saturday I could barely like even talk.
21:20And is there anything you're worried about that this could be?
21:23The one thing that it sounded a lot like was endometriosis.
21:26Yeah.
21:27I mean that's what I'm thinking as well along the same lines.
21:29I think it does sound like it could be.
21:31You've got so many symptoms, don't you, of that?
21:34I suppose one thing that we need to be careful of is that there isn't a cyst or something.
21:37Because when you have polycystic ovaries sometimes one cyst does grow and then that
21:40in itself can spit out some hormones and make you feel horrible and everything else.
21:43So we ought to do an ultrasound scan to make sure there isn't anything new acutely
21:47that's happened.
21:47That there isn't a sort of four centimetre cyst sitting there or something.
21:50But of course the way sometimes to really diagnose endometriosis is partly through the history.
21:55And sometimes then we go to the gynaecologist.
21:57They can look into the pelvis and have a look at where the womb lining that should be staying in
22:02the womb
22:03and only bleeding in the womb.
22:04But endometriosis as you know probably is the womb lining spilling out to other parts of the pelvis.
22:08So when you're on your period and it's bleeding and it's responding to all the hormones,
22:11so is the cells on your rectum that's making you feel like you need to poo all the time
22:15or on your bladder or on your ligaments that pull.
22:18So you've got the left or right sided pain.
22:20So it could well fit with this picture.
22:22Did you read anything about the treatment for endometriosis?
22:25I think a lot of people I know who are on it are on birth control to kind of maintain
22:29and manage it.
22:30I've been on a couple bits of birth control that hadn't really responded well.
22:35I mean I'd be open to trying again to see but obviously it's not like the preferable route.
22:41I think let's do the test perhaps and find out what's going on and then that is an option.
22:45But there are other things and sometimes the gynaecologist can do the camera in and they can literally treat the
22:50little bits.
22:51They can zap the cells that are in there. If they see a little patch of endometriosis they can sort
22:54of burn it.
22:55It sounds horrible but they get rid of it.
22:57It isn't necessarily a long long long term fix but it does help for a bit.
23:02Have you ever tried any of the sort of the slightly more specific painkillers that sometimes we use around period?
23:08People take naproxen. I don't know if you've ever tried that.
23:11I've not tried naproxen.
23:12They're anti-inflammatories and actually they sort of help with the condition.
23:16Now they're not treating endometriosis. They're not going to stop it coming.
23:18You feel a little bit less pain and things.
23:21It's not going to solve it but I think it might help a little bit.
23:23If I send it through it'll explain it all on there.
23:26Just take it with some food when you next have your period or period pains and let's see if this
23:29helps a bit.
23:30And I'll get a scan and the referral and things will sort it out from here.
23:33Yeah, thank you.
23:34Alright, well nice to see you. Good luck with things.
23:36Let's speak when we get all the results.
23:38Thank you so much.
23:39Alright, all the best. Bye bye.
23:40Bye bye.
23:43Hello.
23:43Hi, come on in.
23:45Hi.
23:45How are you?
23:47Have a seat. I'm Dr Dudgeon. We've met before.
23:50Yes, yeah. The reason I've come now, you know, my right eye has gone sort of smaller.
23:56Okay.
23:56And some friend of mine said, you know, you better have it checked. You never know.
24:01Is this a normal old age or is there something odd?
24:05Let's have a look.
24:06It sort of feels as if it's drooping and I can feel it sometimes almost sort of...
24:11on the eyelid.
24:12Yeah.
24:12Closing.
24:13And how's your vision?
24:14Well, I need glasses but I don't think it has affected that.
24:19When did you last have an eye test? Can you remember?
24:21Yeah.
24:21Yes, last June, July. So I'm due for one again soon or August, yeah.
24:27Okay. And when you last went for an eye test, was it a problem then or would you say it's...
24:30No, no. They didn't even say anything. But I know now looking back even at photographs,
24:36you know, it sort of, you know, but is it anything to worry about?
24:40Yeah.
24:40We'll have a look if that's okay and then we'll talk about it.
24:43Just look straight at me.
24:44Oh, at you. Hmm.
24:47And no dry eyes, nothing like that? They feel okay otherwise?
24:51Well, at one period it was, you know, sort of bothering me, a bit of spurning, but actually
24:58both eyes. I think it was pollution because I went to the Boots chemist and they gave me
25:03some drops and it was okay.
25:05Then it settled. Yeah.
25:05Okay. I just want you to follow my finger. Good. And can you screw your eyes up really
25:16tight? Perfect. Don't, and then just keep them shut for a minute. I'm going to try and
25:21open them. So if you screw them up really tight. That's fine. Okay. And puff your cheeks
25:28out. Good. And can you lift your eyebrows up?
25:34That's fine. And you can feel me touching your face?
25:36Yes. That feels the same on both sides?
25:38Yeah. Yeah. Okay. So it does look like you've got, we call it ptosis. It's just when the eyelid
25:43droops a little bit. Oh. Okay.
25:45And you can see on the right it's kind of drooped further than on the left. Yeah.
25:50And it is covering a bit of your pupil. Would you say it affects your vision?
25:54No. I don't think it does. No.
25:57So the reason I'm making you smile and puff your cheeks out and raise your eyebrows is
26:01I'm just testing the rest of the muscles on your face. Yeah. But they all look fine.
26:05Okay. So you can lift your eyebrows up equally. When you smile your cheeks both puff out.
26:09So that's good. Okay. So I think it is just the eye that's affected. I think you should
26:14go for the eye test just so that the optician can have a look at your eye, have a look
26:18at the
26:18back of your eye. We will ask ophthalmology to have a little look at you. What we don't want
26:23to do is it to start to affect your, your vision. Yeah. It's nothing serious anyway.
26:28I don't think so. No. Because it is, it's just that one that's affected. Okay.
26:32All right. Thank you very much. Not at all. Okay. Bye. Nice to see you.
26:43I'll take a picture of our feet. Should I post it on my story? Look how cringy we are. We're
26:48both wearing the same shoes today because I never wear dunks. We would never be foot models.
26:54Do you know that? Come. Ready? Ready? One, two, three. It's really. Well, we could be feet models
27:03because our feet are quite cute actually, but not with shoes on. It's not looking good, bro.
27:11Alexander, please. Hey there.
27:15I have a student with me. Is that okay? That's absolutely fine. Lovely. I'm George, one of the
27:19doctors. Good to meet you. Very nice to meet you, George. Take a seat. How can I help today?
27:22I mean, I came in a few weeks ago because I had a, um, a radial head replacement. Yes.
27:28I was told to sort of come in if any of the screws were looking like they were going to
27:33come through. Yeah, yeah, yeah. Apparently I'm a little bit skinnier than most patients. Yeah.
27:38Because they said that if these come through and there's an open fracture, then they have to repeat
27:43the whole surgery all over again. God, I hope not. And take out the elbow and it would be a
27:47nightmare.
27:47Oh, no. But I was just wondering if you could recommend anything, basically.
27:50Is it causing any problems at all? Not really. I mean, it's like, the pain is way better than it
27:55was.
27:55Obviously, because I've gone through a month, the pain's been so intense. I just don't really
28:00don't want to have to repeat that again. Yeah, of course. And what's the range of motion like?
28:04Yeah, it's a really, really good. I was told if you get 50% range of motion after this surgery,
28:10you're doing well. So I was pretty happy with that. Okay, brilliant. And how did you do this again?
28:16Like the most innocuous way, I was playing paddle. And I sort of like, I think it was like,
28:21basically, I jumped up and as I fell, I think I dislocated it and then broke my humerus bone.
28:27But then because of that, my body fell on my arm and it broke all of this.
28:33That's horrendous. Yeah, it was pretty intense. I'd never broken a bone before.
28:37I broke every bone in my arm. Is that painful if I press?
28:41A little bit. I'm very used to it by now. So I think like the screws back on the other
28:47side, I think are okay.
28:48Yeah, I agree. But I think it's just this one here that like, I'm a little worried that it's going
28:55to come through.
28:57Any sort of pain shooting down the arm at all?
29:00Yes, I think, so a bit of bone chipped off during the surgery and then nestled in between my nerves.
29:06So I get a bit of shooting pain down my arm. But I think they're going to remove that in
29:10the next surgery.
29:11I think what we should do, maybe, I'm wondering if we should get an x-ray for you, just to
29:15see how things are working.
29:17Yeah, yeah, yeah, sure.
29:18So that when you see them, they'll sort of have that. And yeah, I think we just write to orthopedics
29:22again and just say,
29:23look, this is starting to come through a little bit. Sorry.
29:26Cool. No, that's totally fine.
29:27That's fine.
29:30More insanely than I can possibly imagine.
29:33They do say breaking of bones is horrendous.
29:35I think it's because the elbow, all the nerves are there.
29:38But I think like, because you normally associate pain with being like a zero to a 10,
29:42I thought I'd reached like a seven before this, but I think I'd only reached like a four.
29:47Oh, gosh. Good luck.
29:49So much more. I'm all done.
29:51Thank you so much.
29:52All right. Thank you so much.
29:54Really appreciate it.
29:54Take care to me.
29:55Cheers.
29:56Take care.
30:01How can I help?
30:03I don't know how to start.
30:04Well, my mom told me that like I should come in for like an appointment to talk about if I
30:10have any mental health issues or like ADHD.
30:14Why do you think she's suggested that?
30:16Well, like since I was like young, I've always like struggled with like, I don't know, like example for subjects
30:22that I really enjoy.
30:23Yeah.
30:23Like maths, but to me it requires like less thinking.
30:26I was always like able to like study for it.
30:31Mm.
30:31But subjects like English and like history and all those subjects, when it involves writing, it's so much more difficult.
30:38Have you ever had that assessed at school, your writing?
30:42Because it sounds like you're really good at numbers and it's the writing bit that you're having a problem with.
30:47Do you think that's how it feels?
30:49That's how it feels a lot.
30:50Tell me more about why you think it's mental health issue rather than sort of, you know, concentrating or problem
30:59with letters and numbers.
31:02If I would be in like a conversation with someone.
31:05Yeah.
31:05I'll be talking to them and then I'll just stop hearing what they say.
31:08Like, like my mind will be onto something else all the time.
31:11And then obviously the person will find it rude and I would just be like, I'm very sorry. I didn't
31:16mean to.
31:17Yeah.
31:17Yeah.
31:18Over the last like two, three months, I've been working now as a barista.
31:23So like I'll be making for coffee and then they would talk to me.
31:26Yeah.
31:26And then I would begin like the conversation when they speak to me, I would hear it.
31:30Yeah.
31:30And then for whatever reason, I would either forget or I just wouldn't hear it.
31:34Yeah.
31:35Even my manager went up to me and they're like, I feel like you should really work time skills.
31:38And I was like, yeah, I'm sorry. I'm trying the best I can.
31:42Yeah.
31:42And your mood, do you get tearful on your own?
31:45You know, do you ever get really sad? Is that, do you ever get like that?
31:49When I'm alone and I just like me and my thoughts, I feel like I'm constantly overthinking.
31:55Have you ever felt low that you wanted to harm yourself or anything like that?
31:59Have you?
32:00I wouldn't say harm myself, but there'll be times where I'll be like, I might just be in bed for
32:05like hours and hours of a day,
32:06even though I have stuff to do and I'll just not want to do anything.
32:10I'll just want to be like, stay in my room and do nothing.
32:13Yeah.
32:27It's quite an impressive brace, isn't it just?
32:31It's like another trouser leg, isn't it? I mean, goodness me.
32:34My poor knee.
32:35I don't normally wear this.
32:37It's just if I'm under.
32:38Oh, wow.
32:38Good going bursitis, haven't you?
32:40Well, that's huge.
32:41Now this knee sounds like there's crinkle paper in it every time I try to get up.
32:46You can see the difference in the knees.
32:48Yes, definitely.
32:49It's very arthritic.
32:50But it'd be okay to have a little feel of that.
32:51Yeah, I'd love you to.
32:52I started to get a pain in my knee here.
32:55Yep.
32:55And then over the weekend, it blew up.
32:58I'm still getting trouble with my knee.
33:00It just goes, you know.
33:02I wish it would go to Cyprus with me attached to it, but no, anyway.
33:11Okay, Doris.
33:12Come through.
33:13We're ready.
33:15I have a student with me.
33:17Do you mind if he sits in?
33:18I knew you had because I saw the feet.
33:19Oh, very good.
33:21Lovely to see you.
33:22It's lovely to see you because it's good days and bad.
33:27And I've got soaking wet, as you can see.
33:30That's horrible out there.
33:31How are you?
33:31All right?
33:32Good.
33:33I have an ear.
33:34I've got two.
33:35Two, I hope.
33:36But one of them's been playing me up for a little while.
33:39And I've also got, I think, porosis of the knee.
33:43That knee is killing me.
33:44But there you are.
33:45That's right.
33:46And how long has the year been bothering you for?
33:48Well, it's crusty.
33:50Yeah.
33:51It's the only way I can describe it.
33:53It doesn't hurt, but it itches.
33:55It drives me mad.
33:56Yeah, fair enough.
33:57Any discharge from it?
33:58Anything coming out of it?
33:59Not really.
34:00That comes with, if I do scratch it, and as I've got long nails, I can...
34:06Hopefully you're not doing too much damage when you're doing that, I hope.
34:09I hope not.
34:10Yeah, fair enough.
34:10But, I mean, it seems such a silly thing.
34:13No, not at all.
34:13But it's going on and on and on.
34:15Yeah, absolutely.
34:16It's not silly at all.
34:16I'm glad you came in.
34:18Any dizziness, rotational vertigo type of symptoms?
34:21Not at the moment.
34:22Good.
34:22Good.
34:22I think that's coming.
34:24Well, I mean, hopefully not.
34:25I hope not.
34:26Hopefully not.
34:27I will fall.
34:28I don't know why.
34:29I know you've had a few of those falls recently, haven't you?
34:31Oh, I've had five of them.
34:32Oh dear.
34:33The point is with a fall, it always happens where you can't get up because there's nothing
34:38to hold on to.
34:39Oh gosh.
34:40Even at home, if you know, I mean, I'm not near a chair or anything.
34:44Mm.
34:45So I have to, you know, sashe along.
34:49Yeah.
34:49So if somebody doesn't come and help you up, I think you'll be there till nine o'clock
34:53at night.
34:54And do you have everything you need at home, like walking aids and grab rails?
34:56Oh yeah, I've got all of them.
34:58Have you seen the guys at the falls clinic, the specialists?
35:01Have you seen them?
35:02No.
35:03No.
35:03Are you happy to go and see them?
35:05Oh yeah.
35:06Can I look in your ears?
35:07You can.
35:08And I look in your good one first, just to see what normal's like for you.
35:14Perfect.
35:15Textbook ears.
35:16I love it.
35:16Amazing.
35:17Really?
35:18Pristine.
35:19Oh, well done.
35:21Well done you.
35:22I've got something right.
35:23Well done you.
35:23You've got loads going on right.
35:26That's brilliant.
35:27Really good.
35:28Yeah, you can see the eardrums bulging out towards me ever so slightly.
35:32It's nothing to worry about.
35:33And the canal looks a bit inflamed and angry.
35:35So yeah, I'm going to give you a little spray for it that's just going to help calm down
35:39that inflammation.
35:40And then what's going on with this knee?
35:43I feel it's osteoporosis.
35:45Osteoporosis or osteoarthritis?
35:47Oh, well how would I know?
35:49Well, I suppose that's...
35:51Look at the size of it.
35:52It looks osteoarthritic to me.
35:54Does it?
35:54Osteoporosis.
35:55Yeah, but let's have a little closer look.
35:57Is that better than the other one?
35:58Yeah, infinitely.
35:59Is it?
35:59100%.
35:59Oh, thank you.
36:01I live on my own.
36:03Yeah.
36:03And I say, I'm walking around the flat saying to myself, why are you doing this to me?
36:09Are you managing okay at home?
36:10Yeah.
36:11Yeah.
36:12Do you need any help?
36:14I don't mind.
36:15I'm used to being on my own.
36:17Yeah.
36:17It's my son.
36:18Could you do something with my son?
36:20He's driving me mad.
36:22What have you got in mind?
36:23Oh.
36:25Oh, I love it.
36:28Oh, my pleasure.
36:29You've given me a good laugh there.
36:31Let's have a little laugh.
36:33He's all right.
36:34Yeah.
36:34Don't just understand me.
36:35No, of course not.
36:36I mean, if I didn't have him, I don't...
36:38Oh, now I can feel all that.
36:39Tender, isn't it?
36:40Yeah.
36:42He says the neighbours are complaining, my television's too loud.
36:46Now I can't either hear it.
36:47So what's the point of having a celly?
36:49With your hearing aids in, do you still need to turn the volume up quite high?
36:53No.
36:53No.
36:54Well, then that's fine.
36:55Put your hearing aids in and watch the telly.
36:56Not a problem at all.
36:57Yeah.
36:58Well, I didn't put them in because of the case of the garden.
37:00Yeah, just to have a look.
37:01Absolutely.
37:01No, it's looking good.
37:02I'll give you a spray for it, like I said.
37:03I think the knee, there's a bit of wear and tear there.
37:06And that's what's causing all the pain.
37:07If you want, we can use a bit of ibuprofen gel to rub into it.
37:11I think that'll really help.
37:12Yeah.
37:12And then we'll refer you to the Falls Clinic again.
37:14I'll chase it up for you because I don't think they've seen you, it looks like.
37:18Wonderful.
37:18And then we'll see how we go.
37:19Is that all right?
37:20Lovely.
37:21That's fine.
37:22Very helpful.
37:23Good.
37:25Take care of yourself.
37:26Have a lovely weekend.
37:27My son as well.
37:27All the best.
37:28Lovely to see you again.
37:30Likewise.
37:31All the best.
37:32Bye now.
37:32I hope you're learning something.
37:34I hope so.
37:35Even if it's only from us.
37:36I hope so too.
37:38Thanks.
37:39Bye now.
37:43I can't believe it.
37:45He's not worried.
37:47I'm spending my life worrying.
37:49You don't need to worry, do I?
37:50I've got gummies in one ear.
37:52Dr Horch will sort you out, don't worry.
37:54He will.
37:55He will.
37:55He's an expert.
37:56Isn't he?
37:57He's lovely.
37:58I know.
37:58In actual fact, I'm thinking of getting him cloned.
38:01I was just thinking I haven't seen you for ages.
38:04I know.
38:05I know.
38:05It's been busy.
38:06But you haven't changed a bit.
38:07Well, you're in good hands, you see.
38:08You don't need to see me anymore.
38:10But it's nice to see you.
38:10You're looking very well.
38:12Keep my fingers crossed.
38:14Good for you.
38:14Keep your fingers crossed.
38:15But it's nice to see you again.
38:17Bye lovely.
38:21You know, I've known you for a long time actually.
38:23Since you're a baby.
38:25And it's great that you've come.
38:27And I think we can help you.
38:28I think some talking therapy is going to help you.
38:31But how do you feel about medication to help lift your mood a bit?
38:35For me, I would want to learn as much information about medication before I take it.
38:41Sure.
38:41Because you're an intelligent person and you want to know everything about it.
38:43And why take a chemical if you don't have to?
38:45So I am going to refer you.
38:47They should contact you within two weeks.
38:51Or they'll assess you on the phone and then decide which direction they want to direct you to.
38:57There's talking therapy.
38:58There's individuals.
39:00There's group.
39:00All those sorts of things.
39:01It's really brave of you to come and talk about it.
39:03So, have you got any questions?
39:06Well, I would like to have some clarity.
39:09Mm-hmm.
39:09So I could stop thinking about it.
39:11From your perspective, would you think I have ADHD?
39:15I think, you know, it's a spectrum, isn't it?
39:18Of course, yeah.
39:18And, you know, we're probably all on one part of the spectrum.
39:22I think, yes, you probably are on one part of it.
39:24But I think there might be other issues with that as far as numbers and letters.
39:30But you're very intelligent.
39:32You've got good insight.
39:34And you know I'm here.
39:35And you know where I am.
39:37And feel free to come and see me.
39:39I'll be seeing you again and I'll do a phone call review anyway to make sure you get the appointment.
39:45Okay?
39:46Okay.
39:46So I'll put you down for a telephone call in two weeks.
39:49Yeah?
39:50To see how things go.
39:50If, in the meantime, you feel bad about or worse or anything like that, you know, just come and see
39:55me.
39:55All right?
39:55Of course.
39:56I will.
39:56Okay.
39:57Yeah.
39:59All the best.
40:00Have a good day and we'll be in touch.
40:02Of course.
40:03See you.
40:14So this is a question.
40:16Do you keep your eggs in the fridge?
40:17Yeah.
40:18Do you keep your ketchup in the fridge?
40:19Yeah.
40:20You put your ketchup in the fridge?
40:21Do you keep fruit in the fridge?
40:23Depends what fruit it is.
40:25So bananas?
40:25No.
40:26They go brown quickly.
40:27Not apples though or anything.
40:29No, I don't put apples in the fridge.
40:31It's too hard when you bite it.
40:32Come on, man.
40:33Even you know that.
40:39How are you?
40:40How are you?
40:40Oh, I'm not too bad.
40:42I'm so sorry to hear about a vet.
40:44Oh, yeah.
40:44I'll pop it up him if you want.
40:46Yeah.
40:47Are you managing okay?
40:48Yes.
40:49It's a cure it's egg, isn't it?
40:50It hits you when you least expect it and when you think it's going to be tough is actually
40:56when you're ready for it and it doesn't affect you so badly.
41:00Yeah.
41:00And then when it's sort of, I don't know, something happens, you aren't expecting it and then it
41:06sort of hits you and you can't sort of function for a bit.
41:09But she sets such a strong example I can't really, I'm not allowed.
41:14She was amazing.
41:14She was amazing.
41:15She really was.
41:16She was an amazing woman.
41:17Yeah.
41:18Yeah, absolutely.
41:1845 years.
41:2045 years?
41:21Yeah.
41:21Yeah.
41:22But you've got the...
41:24I've got 45 years.
41:25You've got 45 years.
41:26I've got 45 years.
41:27But your family, are you doing okay together?
41:30Well, yeah, we're very much together.
41:33Yeah, exactly.
41:34It's been sort of...
41:35Are you going to go on holiday or anything?
41:38We haven't...
41:39Well, yes, we are planning to go with Christmas because Christmas, we can't do Christmas at
41:43home.
41:44That's going to be too much.
41:45Yeah.
41:45So we'll go with Christmas.
41:46And I bet Yvette gave you a list of...
41:51Yeah, well, that's the problem.
41:52She was Mrs Christmas.
41:54She'd think about Christmas 364 other days of the year as well.
41:58Yeah.
41:59A standard I cannot achieve myself, I'm afraid.
42:03So...
42:03Sharp scratch.
42:05Mums, we go overboard, don't we?
42:08Yes.
42:10Yvette had got so many canyons fitted in her time that I just...
42:15She'd come to me.
42:17How's your granddaughter?
42:19She's great.
42:20She's coming on a pace now.
42:21She's really developing.
42:23How old is she now?
42:2416 months.
42:25I felt so happy that she...
42:27Well, she ate.
42:28Got to see.
42:29Got to see her.
42:30And then she attended her first birthday as well.
42:32Yeah, it's amazing.
42:32That was extraordinary.
42:33And got a nickname.
42:34So she became Goo.
42:36Did she become Goo?
42:37She became Goo.
42:38So she got...
42:38Incredible.
42:39She got the nickname in.
42:41She was so determined to see her first grandchild.
42:46Well, she certainly was looking to make the most of whatever time she had.
42:50All done, sir.
42:51Okay.
42:52Thanks very much.
42:53Well, you're very welcome.
42:54And it's nice to see you.
42:55You too.
42:56You're looking well.
42:57Thanks.
42:57You keeping well?
42:58Yeah, yeah.
42:59Not bad.
43:00Just, you know, getting on with life.
43:02Yes, quite.
43:03Grandkids, keep me busy.
43:05That'll do it.
43:06Yeah.
43:06You take care.
43:07Thanks very much.
43:09Bye, John.
43:09Bye.
43:11Thank you so much for your help.
43:12Right, not at all.
43:13I'll speak to you next week.
43:14All right then, thank you.
43:15Bye.
43:16Remember it's fasting from midnight.
43:18Eh?
43:18Nothing to eat from midnight when you come.
43:20Yeah, I've got to remember it.
43:21Whether it's food's on afterwards.
43:23Thanks very much.
43:24Bye.
43:25Brilliant.
43:26Okay, thanks very much.
43:26Pleasure.
43:27Take care.
43:27All the best, you too.
43:28Bye now.
43:28Bye.
43:36Bye.
43:37Bye.
43:39Bye.
44:27You told somebody that you're starting to struggle at home.
44:31Really? I think people put things in my mouth at times.
44:36Do you feel okay in yourself?
44:38I'm sweating my hell.
44:39On Sunday, all of a sudden, I had this blood cut off. I fainted.
44:44It just happened?
44:45Just like that.
45:10I think people put things in my mouth at times.
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