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00:06Everybody tells me, it's not cancer, it's not cancer, but it does continue to grow.
00:16I'm really sorry, I do apologise, well done.
00:191, 2, 3, 4, 5, 6, 7, 8, 9, 10, coming out.
00:25It'll heal really nicely.
00:27Femmes last words.
00:28I'm about to lose my foot.
00:30I come in here all gangrene.
00:35Is it sore?
00:36It is a bit sore, yeah.
00:38It's funny, I do have to dig it, so I do apologise.
00:44The last six months for me have been a nightmare because of my foot and then my ear.
00:48I mean, I'm getting older now, I feel like I'm finished.
00:50You're not old, yeah, you're only 67.
00:52What can I do?
00:59I mean, I don't know.
01:05It can get older now, I feel like I'm out of access.
01:13I don't know.
01:14I am going in here.
01:17I will be making it.
01:18I will be making it.
01:20I don't know.
01:21I will be making it anymore.
01:22I don't know.
01:23I will be making it.
01:25I will be making it.
01:30Good morning, Sergio.
01:34Olivia.
01:35Hi.
01:36I'm Dr Pearson, the GP today.
01:37Nice to meet you.
01:38Hello, nice to meet you too.
01:39I've got a couple of medical students who are helping me.
01:41Is that all right?
01:42Come on through.
01:43I love it.
01:43We need lots of doctors for when I'm old, so we need to train them up.
01:47So come and have a look.
01:48So these are my lovely, lovely fifth years.
01:50So this is Olivia.
01:51Hello.
01:51And do you mind if they ask a few questions?
01:54Sounds good.
01:55So over to you.
01:56My name's Sarah.
01:57I'm one of the medical students.
01:58I was just wondering what's brought you in today.
02:00I have a rash here that you can kind of see, but before it was like all over my chest
02:06for
02:06like two weeks.
02:07So I went to the pharmacy.
02:09They gave me like a steroid cream, used that for like a week, and antihistamines, and they
02:13were like, if it's not gone for a week, then go to the GP.
02:16And then on Sunday, I went and sat in the sun for an hour, and now it's kind of gone.
02:22And have you noticed it spread maybe?
02:24Yeah, like on my legs, it's the only other place it's gone to, but like only on the front
02:28of my legs.
02:29Again, weird.
02:30And is it itchy at all?
02:31No.
02:32Now what do you think it is?
02:34I think it's stress.
02:35Okay.
02:35Well, it's been really stressful.
02:37Okay.
02:38So I was like, maybe it's like a stress rash.
02:40My body's like overtired or something.
02:42So what do you want to do?
02:43I think maybe examine the rash.
02:44Yeah.
02:45Let's have a look.
02:45So we can have a look at it a bit closer up here.
02:47So you can see there are little bits, aren't they?
02:49And they're quite erythematous.
02:51Posh word for red.
02:51But there's these little whitey bits on the top, aren't there?
02:55So this one, for example, is red, but it's got some white, sort of almost flaky bits of
02:59skin.
02:59And there's another little one there.
03:00There's another little one there.
03:01And are there any on the chest at all?
03:02So my chest is kind of gone.
03:04It's gone.
03:04Okay.
03:05You can see it was there.
03:06Yeah.
03:07And you mentioned stress.
03:08Yeah.
03:08What do you think about stress?
03:09Can stress bring out skin conditions?
03:11Sometimes you can get the stress.
03:12Very, very common.
03:13Our skin is absolutely representing often what's going on inside.
03:16And you mentioned, is it work stress?
03:18Work stress.
03:19So I work on property.
03:20And right now it's super busy.
03:22Okay.
03:22And that's just a lot.
03:23And I had, like, the last two weeks, like, a lot of deals have fallen through.
03:26So you wait long hours?
03:27Yeah, like 12 hours a day.
03:29And it's sometimes six days a week.
03:31And it's just, like, I think I haven't...
03:33So I live in Cornwall.
03:34And I haven't been home since Christmas.
03:37And my mum was like, I really think you need to come home.
03:39Stress normally doesn't so much actually necessarily cause a skin problem, but it can exacerbate
03:43a bit worse.
03:45Sometimes psoriasis, if you look it up on the internet, it's great.
03:47Big clacks of big red.
03:49Yeah.
03:49Well, I haven't got that.
03:50No.
03:50But there's another type called guttate psoriasis, where we get little spots of psoriasis all
03:55over, where there are little red patches with silvery bits on the top.
03:58And if we think of that and then come back to the rash and have a look at it, here
04:01we've
04:01got little patches with these white, silvery little bits of skin on them.
04:05So I think it could be, yeah.
04:06What was the one thing she said made it a bit better?
04:08The sun.
04:09What's the one thing that makes psoriasis better?
04:12The sun.
04:13So I actually need to go on holiday.
04:15So interestingly, you need to go to Spain for a week.
04:17Can you prescribe that?
04:19Yeah, I would.
04:20But I do think it's the UV light that helps a bit.
04:23For psoriasis, salt water is fantastic.
04:27And sunlight and reduced stress.
04:29So actually, cornwall at home, being looked after again by mum and dad a little bit.
04:33See the dog.
04:34See the dog.
04:35Get some fresh air.
04:36I know.
04:37There's also some cream I can give you that will also help it repair and make it a bit
04:40better.
04:40And then obviously, if in the meantime, if it changes, it becomes blistering or something
04:44weird or wonderful, it's not following the pattern we expect to do, just come straight
04:46back to us.
04:47All right.
04:47Thank you so much.
04:48I really appreciate that.
04:49You go to Boots anytime.
04:50It's just once a day.
04:51And then you can put normal moisturiser cream, whatever, on top if you want to.
04:54Easy peasy.
04:54Thank you so much.
04:56Thank you, guys.
04:57All right.
04:58Take care.
04:58All the best.
04:58Bye-bye.
05:04Seth?
05:08Hiya.
05:08How are you doing?
05:09Long time no see.
05:11Still here.
05:12How are you?
05:14Recovering.
05:15Just that.
05:15They dropped me in hospital, didn't they?
05:17Why?
05:18Broke my hip.
05:20I went in with a broken elbow.
05:22Yeah.
05:22I came out six months later with a broken elbow.
05:25Jeff!
05:25And I still can't walk properly.
05:28I'm so sorry that happened to you.
05:29That's all right.
05:30What's done is done.
05:32It's a bit rubbish, though, isn't it?
05:33Yeah.
05:33So how long were you in there for?
05:37Five and a half months.
05:38You weren't?
05:39Yeah.
05:39Sorry, Jeff.
05:40I know you don't like it and you've got the tiniest veins in the world.
05:43Got ya.
05:45So you ain't been out in your garden for the whole summer?
05:48No.
05:48This is the furthest I've been since February.
05:51What, you walked here?
05:53Get out.
05:54I had to get a cab.
05:55So your mobility is gone, kind of?
05:58Yeah.
05:59What, with my COPD?
06:00Yeah.
06:02I can't even walk 50 yards, I don't think, no.
06:05Does your son take you out?
06:07Well, I haven't had a chair or anything.
06:09I've only just got on the stick.
06:11I think we might have a spare wheelchair.
06:12Until you get, you know, your mobility back a bit better.
06:17See?
06:18Come in here.
06:18We might even get a wheelchair out of it.
06:21Ask my boy.
06:22Ask your boy to come in and he...
06:24And he could fold it up and put it in the cab?
06:26Yeah, of course he can.
06:27It's all right.
06:27So I'll take it now?
06:29Are you going to be able to, though?
06:31In the cab?
06:32You might put strain on your lungs.
06:34That's the other thing I was going to ask about.
06:36Is there some respiratory vaccine or something?
06:40There is.
06:40The RSV vaccine.
06:42You've not had any vaccines in the last few weeks?
06:45In the last few years?
06:47I need to get right up here.
06:49All right.
06:50You might have to pull your arm out.
06:52Let's do it.
06:53Ready?
06:54Yeah.
06:55Yeah, I know what you're like.
06:57Go look.
06:58I've got a phobia about needles.
06:59Just think of what you've been...
07:00Well, you asked for this.
07:02Yeah, I know.
07:03Sharp scratch.
07:05Sorry, sorry, sorry.
07:07I do apologise.
07:08Well done.
07:09Oh, God.
07:101, 2, 3, 4, 5, 6, 7, 8, 9, 10.
07:11Coming out.
07:12Right in the muscle, that, wasn't it?
07:14Yeah.
07:14Don't want to stick it anywhere else.
07:17Stop it.
07:18Okay?
07:19All right.
07:19You are covered.
07:21Cheers, Mum.
07:23You're very welcome, son.
07:25There you go.
07:27Oh.
07:27What?
07:28I was meant to give you this.
07:30You've got to do that.
07:31It's a wee.
07:31Oh, I won't be able to do it now.
07:33I'll have to do it tomorrow.
07:34Just bring it in and say, give that to Sam.
07:36See if your boy can come with you to get the wheelchair tomorrow.
07:38He can push you down the shops and down the pub.
07:41Yeah, I know.
07:42See you, baby.
07:43Take care.
07:43Thank you, Sam.
07:44Bye.
07:47Barbara.
07:48Hello.
07:50I've done something to my back.
07:52Oh, dear.
07:52Come on in.
07:53Come and have a seat.
07:54It's nice to see you.
07:55So, what's happened?
07:56I don't know.
07:57I think it's muscular.
07:59Okay.
07:59I mean, it's been like it since Friday.
08:01I feel quite emotional, actually.
08:02Oh.
08:03And if you feel it, it's much harder on the left-hand side.
08:06I just can't.
08:07And I can see you're walking differently.
08:09I can't.
08:09I've really struggled to get here.
08:11Yeah.
08:11So, tell me.
08:12And it started on Friday?
08:13I don't know how.
08:14Okay.
08:14I mean, it could have been a garden pot.
08:16I don't know.
08:17So, were you doing some lifting or something?
08:18Well, I was putting a tray under a pot, yeah.
08:21I can't sleep.
08:23No.
08:23So, I can't get comfortable at night.
08:25So, I'm all over the place.
08:26Okay.
08:26You mentioned it's in your lower back.
08:28Yeah.
08:28It's there.
08:29And it's sort of all going down to my hip.
08:31And you mentioned it comes down to the...
08:32Well, this is all very numb, this now.
08:34At the top of my left leg.
08:36Okay.
08:36Let's stand you up for a minute and have a look at your back.
08:39I'm just going to press down the middle of your back.
08:40Just tell me if any one place I press hurts.
08:43The left side.
08:43So, this side's soft and squishy.
08:45This side's solid.
08:46Yeah.
08:46So, all the muscles here are just in complete spasm.
08:49And are you able to bend at all, Barbara?
08:51I can bend.
08:51I'd like to pick something up.
08:52Okay.
08:53It's standing up straight.
08:54I can't do it.
08:55The problem is, sweetheart, is that you've got your backbone is all down the middle, all your vertebrae.
09:00But what happens is the nerves come out and down.
09:02Might be that we've moved a disc slightly.
09:05We're pressing on the nerve and the muscles that are all here go into complete spasm.
09:10Right.
09:10Which is why they're rock solid on that side.
09:12So, then it causes all these symptoms that you're getting.
09:15Right.
09:15I'm not a happy chappy.
09:17I bet you're not.
09:17I mean, the last six months for me have been a nightmare because of my foot and then my ear.
09:21And I don't even know if that's resolved.
09:23I mean, I'm getting older now.
09:24I feel like I'm finished.
09:25I'm knackered.
09:25You're not old.
09:26Yeah, you're only 67.
09:27But I'm knackered.
09:28Do you feel knackered?
09:30Yeah, I feel all around.
09:31I'm quite a little bit suicidal, really.
09:33Do you?
09:34Yeah, I do.
09:34I feel, what can I do?
09:37Anyway, that's where we are.
09:54I was a little bit concerned initially because I had that pain.
09:58And I know you shouldn't consult Dr. Google, but, you know, it's kind of the quickest way to get a
10:02sense of things.
10:03Thanks to Dr. Google, like, I have read so much about what to eat to lower cholesterol.
10:08And those are the things I eat.
10:10I looked at the results and, like you said, nothing really explained chronic fatigue.
10:13So they said maybe I should do like a, I won't study.
10:17I'm not sure what that means.
10:18Who says that?
10:19Sorry.
10:19Shut your pity.
10:21Right.
10:21I don't think that's going to be helpful.
10:29Charlie, please.
10:29Hello.
10:30Hello.
10:31How are you?
10:32Oh, I'm still alive.
10:34Good.
10:34I have some students with you.
10:35Do you mind if they sit in?
10:36Well, no, I'm sure they'll be.
10:38Are you sure?
10:39Yep.
10:39As you said, give a queen a stage.
10:42Hello.
10:43Hello.
10:43Take a seat.
10:44Good to see you.
10:45It's been a while.
10:46How can I help today?
10:48I'll tell you what it is, I'll think, is that, you know, this problem with the arms that we went
10:53through.
10:54Yes.
10:54Then it got worse again.
10:56Oh, really?
10:57No, no, no.
10:57It's all right.
10:57I've got a solution.
10:59Okay.
10:59I know every doctor sighs with horror when the word AI comes up, but I have had to look, you
11:06know, it's obscure this, so I thought I'd look everywhere.
11:09Long-term use of omeprazole can cause this and copper shortage or whatever it is.
11:17Okay.
11:17Yep.
11:18Because it stops you, you've got it.
11:23Charlie has got a few chronic health conditions.
11:26He recently came in with some shoulder pain.
11:29Initially, he felt it may have been due to some of the medications he was taking.
11:32So what I've done is, I don't know if you remember, I saw a very nice gastroenterologist, and he suggests
11:38I tried esopromo.
11:41Esomeprazole.
11:42So I've tried that.
11:43Yeah.
11:43I started five days ago.
11:45Yeah.
11:45And I actually feel better.
11:46Do you?
11:47Yeah.
11:47Okay, well, that's good.
11:48So, and I've ordered today on Amazon, I've ordered some copper.
11:53Copper.
11:54Copper.
11:54Okay.
11:55I would just be careful with copper, because you don't want to take too much.
11:57Because then if you've got too much copper on board, that causes more problems than it's
12:00solved.
12:01We see more and more patients that have consulted with artificial intelligence or have googled
12:08their symptoms.
12:09Whilst I'm not completely averse to that, it's really important for them to make sure they're
12:13getting the right advice and not being led down a certain path.
12:17AI won't put the problem into the context of the individual patient and won't know anything
12:22about the individual.
12:23I would always urge patients to see their doctor first, because we have a wealth of experience
12:27and knowledge.
12:28If you wanted to check your copper levels, we could.
12:31We can't do them in the surgery, because we don't have the test tubes that we need.
12:35But we could give you a form.
12:36We could have it done at the hospital.
12:37Would you mind?
12:37If you're interested.
12:38No, not at all.
12:38We could then, in that case, just have a low threshold for coming back for you, basically.
12:43So, let's say, yeah, I agree.
12:45Let's stop the omeprazole.
12:46Try the iso instead, isomeprazole.
12:48Check the bloods.
12:49Make sure they're okay.
12:50But if that's not helping, or it's not getting rid of the symptoms, do come back.
12:54And then you need to sort of have a wider think about things.
12:56Is that all right?
12:57And look, I've got a gold tooth now.
12:59How have you?
12:59Oh, very good.
13:00Oh, I love it.
13:02Well, I thought, let's get mad.
13:04Why not, eh?
13:05Hey, you only live once.
13:07Well, that's what I said to the dentist.
13:12Lovely.
13:12So, that's gone across the isomeprazole, and I'll keep an eye out for the results.
13:15If they are low, obviously, I'll let you know, and then you can start your copper, if not 56.
13:19He's a genius.
13:21Oh, I don't know about that.
13:22Blimey, you're far too kind.
13:23Far too kind.
13:24Great.
13:24Brilliant.
13:25Thanks for your time.
13:25As always, no, thanks for seeing me.
13:27Pleasure.
13:27Very welcome.
13:28Bye.
13:29Bye.
13:31I do hear you about your mood.
13:33That's really hard, though.
13:34I know, but what can I do?
13:35It's sad, Barbara, because you're so stoical.
13:38You're always just getting the other one that's holding everyone together in your family, aren't you?
13:41I saw someone with a cast on, everyone fussing around in one of those boots.
13:45Nobody fusses around me, you know?
13:47I know.
13:47You just have to get on with it.
13:49I mean, I do get on with it, and I'm strong.
13:51But sometimes a little bit of TLC will be quite nice, you know?
13:55I think you're allowed to say, you know, what about me a little bit?
13:57And it's not self-indulgent and not strong.
14:00I think all of us need looking after a little bit sometimes.
14:03And when you have had your fair share of difficult times...
14:06There's six months.
14:07It's been a nightmare.
14:08You need to be resting up your back because the whole thing's in spasm.
14:13So we need a muscle relaxant.
14:14Right.
14:15We need a strong anti-inflammatory.
14:18Then the strong anti-inflammatory is called naproxen.
14:21Right.
14:21It's not going to get rid of all your pain, but it'll take a baseline, and it's actually treating the
14:25problem as well.
14:26So I think if we can do one in morning, one at night, and we just need one omeprazole, a
14:30stomach protector while you're on them, just to make sure your stomach doesn't get irritated.
14:34So then you can also take a stronger painkiller like cocodermol on top of the baseline that we're giving.
14:40Anyone's mood is totally zonked when you haven't had any sleep and everything else.
14:45I think, Barbara, it's probably all confounding.
14:46If we can get you a good night's sleep, get you pain-free, get the back improving.
14:50Don't do any lifting.
14:52You're not washing up.
14:52You're not gardening.
14:53You're not shopping.
14:54Just pottering around at home.
14:56Just keep walking and moving a bit, and the back will settle with all of this.
15:00And that perhaps we'll give you a ring perhaps later on in the week and just see how you're doing.
15:04Okay.
15:05But I'll get that all sent through.
15:06I'll go now to Boots and sit in there.
15:08Absolutely, and it should be ready straight away.
15:10Thank you for your time.
15:11All right, sweetheart.
15:11Well, listen, you just take care and look after it.
15:13And I'll give you a ring later in the week just to make sure you're improving.
15:15Thank you very much.
15:16All right.
15:16Sorry.
15:16Thanks.
15:17No, not at all.
15:17Nice to see you, Barbara.
15:18Bye-bye, sweetheart.
15:23And what's been happening?
15:24Tell me.
15:24I've always had varicose veins on this day.
15:27Yeah.
15:27And now this has got a rather sore lump on it.
15:30Sore.
15:30Okay.
15:31Let's have a look.
15:35Sore.
15:35Yes.
15:36So you've got these varicose veins here.
15:39They probably get a bit bigger when you've been standing up for a while.
15:43Yes.
15:43Yes.
15:44Never happened before?
15:45No.
15:45No?
15:46Okay.
15:46Because they're dilated, these veins, they can sometimes just get a wee bit infected.
15:54And we call it phlebitis, PH phlebitis.
15:57The veins there, because they're dilated, the blood just stays in there, stays there for
16:03a while, can get painful and infected, which is what this has done.
16:07There's a bit of heat.
16:08Oof, yes.
16:09You can feel the heat.
16:11Let me just compare it to this side.
16:12I've never done it before.
16:13No.
16:13Like the prover.
16:14Yeah.
16:15You've got these great big ones.
16:17The main thing to rule out is that it's not a deep vein thrombosis, which is, you know,
16:22this would be...
16:22That would be like wood.
16:26It would feel like wood both sides.
16:27And you've got none of that.
16:29But you have got this tenderness, infection, start some antibiotics.
16:35I walk very badly and everything hurts.
16:38I thought I'd try a personal trainer, see if that helps.
16:41I was going to do it tomorrow morning.
16:43Is that a bad idea?
16:44You can still do it.
16:45Because the circulation is good.
16:47I want the circulation moving around and dispersing the infection.
16:52That together, the antibiotics.
16:54But when you are resting afterwards, elevate it higher than your hip.
16:58Yeah, so it's moving around and the infection is going back towards the body.
17:02Right.
17:03And you're drinking plenty of fluid to keep you hydrated.
17:05And it should, you know, start improving within a good sort of 24, 48 hours.
17:11If it's getting worse, if it's getting hotter.
17:14So at the moment, it's superficial.
17:17And I don't want it to become deep.
17:19Because that's much more serious.
17:22Oh, well, there we go.
17:23There we go.
17:24You're going to start some antibiotics.
17:26Maybe get one when you get them.
17:27Yep.
17:28Another tonight.
17:29Yep.
17:29Continue it three times a day.
17:31Yes.
17:33So that's already gone.
17:35The receipt's there.
17:36Thank you very much indeed.
17:36And if it's not improving or it's getting worse, then let us know that it should be much improved.
17:42Okay, thank you so much.
17:43Thanks, Robin.
17:44Bye-bye.
17:44Have a good afternoon.
17:44Bye.
17:47If you were a cocktail, what cocktail would you be?
17:50Cosmopolitan.
17:51Really?
17:51I love a Cosmo.
17:52I love them.
17:53Are you still, like, sex on the beach?
17:55Huh?
17:55It's like Sex and the City.
17:57Oh, I used to love Sex and the City.
18:00I love it.
18:00I was watching it with my mum last time.
18:02Oh, did you?
18:04I used to love that.
18:05Oh.
18:06I like margaritas.
18:07They're my favourite.
18:08I love margaritas.
18:08I love margaritas.
18:10One margarita, two...
18:12What are you singing?
18:15I just made it up.
18:17Hi.
18:18Hi.
18:22Mirella.
18:23Hi.
18:25Are you okay?
18:26Hello.
18:27Hello, Mirella.
18:27How are you?
18:28I'm here.
18:29I'm still here.
18:30I just wanted to ask you...
18:32Come and have a seat.
18:33We've got plenty of time.
18:35I'm talking about this.
18:37Look.
18:38Yeah.
18:39I noticed that.
18:40You noticed it.
18:41Yeah.
18:41What is it?
18:42Nobody knows.
18:43I've had it for a long time, but it's growing.
18:47And that is why I'm here.
18:49Because everybody tells me, it's not cancer, it's not cancer.
18:53But it does continue to grow.
18:57I even saw someone who is a sort of specialist for this sort of thing.
19:02And he said, it's not cancer.
19:05And now, several years later, it's still growing.
19:10And you had all of these conversations several years ago.
19:13Yes.
19:13And he said, no, it's okay.
19:15It's not okay because it's growing.
19:17Is the growing worrying you because you're associating that with cancer?
19:21I've always got cancer in the back of my mind.
19:25Yeah.
19:26Because I lost my husband and my daughter to cancer.
19:29And when I start seeing a, you know, a swelling...
19:34Yeah.
19:35If you were 100% reassured that it wasn't cancer, would you be able to live with it?
19:40Well, yeah, I don't have any option, do I?
19:44Because everybody tells me we can't do anything.
19:47I'm just going on what you're telling me.
19:49Yes.
19:50Mirella, and you say it's increasing in size.
19:53Is it bothering you in any other way?
19:55No, no, nothing, nothing.
19:57Just size.
19:58I see it every morning when I do my hair.
20:00And I said, oh, my God, it's starting to show, which it is.
20:04Well, let's have a look.
20:05Yeah, yeah, yeah.
20:06Can I feel it?
20:06Yeah, yeah, yeah, don't worry.
20:08So, I'm just going to have a gentle feel, okay?
20:10It's quite big, isn't it?
20:11It's coming from, yeah, just around the angle of the jaw.
20:18If I just measure it and see if we can compare it to previous.
20:24It might be that someone else has done this before, and then we can compare.
20:28I'm trying to live to 100.
20:31I'm almost 95 now.
20:34But, you know, it gives me another five years of growth.
20:39The dimensions on the scan there were two and a half centimeters.
20:44And now?
20:45It's about five centimeters.
20:47Oh, you see, double.
20:49It's scary.
21:05I have had one removed before.
21:07And was it dodgy mole, or when they took it off, it was okay?
21:10It was a bit dodgy.
21:11Also, do you know about moles?
21:13Yeah, a little bit, yeah.
21:14Because I've got a weird mole back here.
21:16Oh, just there, yeah?
21:17Yeah, and it's like sort of...
21:18It's raised.
21:19It moves.
21:20I'll show you our friend.
21:21Oh, yeah.
21:23My husband said there's a funny-shaped one here.
21:26It's getting bigger.
21:27I've just got a few marks.
21:28I just want to make sure.
21:29Because I used to get so sunburned as a child.
21:31I had to kind of peel before you...
21:33To get your base properly sorted out.
21:35I mean, we know a lot more now, don't we?
21:36Sorry, comment.
21:37Can you have a little look?
21:38Sure.
21:40Oh, yeah.
21:40That's not working at all.
21:42Oh, thank God.
21:45I'm looking at it if I convinced myself of something that's not there.
21:48It looks okay.
21:49It looks great.
21:52Lauren?
21:53Hiya.
21:54Hiya.
21:55Oh, we've got the whole clam today.
21:57Right, guys.
21:58Look.
21:59Hello.
21:59How are you?
22:01Now, one there.
22:02Are you going to sit with mum or you can sit up on there if you want?
22:05Oh, God, no, no.
22:05No, no, all right, okay.
22:07Now, how are you doing?
22:08I'm all right.
22:09I had a mole on my arm that doesn't look awful but has changed before it was just a dot.
22:15So my mum was like, yeah, I should come and get a chance.
22:17Okay, let's have a look at it.
22:18Have you ever had any dodgy moles before or anything removed?
22:21No, no, nothing.
22:22Does anything run in the family or anything?
22:24My mum's had quite a few removed, I think.
22:26Okay.
22:26So they're almost like this and now it's like that.
22:29Yeah.
22:30Let's have a look.
22:31Is it sore or painful at all or anything?
22:34No, I just noticed it had changed.
22:36Okay.
22:36So it was just like a pale brown, just a dot.
22:39It was just a dot.
22:39And you've got quite a tan.
22:41Yes.
22:41And do you like the sun?
22:43Do you sunbathe?
22:44Yes.
22:44I do wear sun cream.
22:46I do wear Factor 30.
22:47Okay, well done.
22:48Well done.
22:48And what about when you were younger in a childhood?
22:50You used to sunbathe and sunburn a bit sometimes?
22:53Ever sunbeds?
22:54Yeah.
22:55Yeah.
22:56It does just look, I mean, it's dark, isn't it?
22:59Yeah.
22:59It's quite dark.
23:00You can just see there's just a little bit of redness around the edge.
23:02Yeah, that's what I thought.
23:03I could just see.
23:04It kind of wasn't like a, almost looked a bit not a solid edge.
23:07I thought it was a bit.
23:08Yeah, that's the thing.
23:08A little bit irregular.
23:09Yeah.
23:10The thing is, is that lots of these moles are nothing to worry about.
23:12So we look, you know, how are we ever going to tell which mole is dodgy and which one?
23:16Having had a bit of sun exposure and a bit of sunbeds, a bit of UV light, and it is
23:20a mole that's changed on that area with a little bit of redness, I think we probably ought to get
23:24the dermatologist to look at it for us.
23:26Okay.
23:26So what we'll do is, can we take a photograph of it?
23:29If we take it with your phone, then we can upload it onto the, to the system.
23:33Right, Tilly, I need you to help me.
23:34Can you hold that like that?
23:37Okay.
23:38And there.
23:39So you put two fingers there.
23:40Then with mum's phone, what we're going to do is we're just going to take a couple of really good
23:45photos of it.
23:48And I'm going to take one, and I'm going to take one.
23:51Okay.
23:51So what we will do is that I will send you a message to your phone, and then if you
23:55can just attach those photographs, and then I will send them to the hospital.
23:59Then I will send off a dermatology referral so they can have a look.
24:03But I think a mole that's changed, it's really important just to have a look at it, and then we
24:06can be sure.
24:06Right, okay, so I will, don't forget those photographs, just send it straight through, and then I'll get it organised.
24:11Brilliant.
24:12All right.
24:12All right, guys.
24:13Okay, take care.
24:14Nice to see you.
24:14Bye-bye.
24:17I live under the shadow of cancer.
24:19When you've had that experience, it never goes away.
24:23So you had a scan done in 2022.
24:26So the diagnosis was something called a pleomorphic adenoma.
24:32If that was a malignant cancer, they would have taken it away.
24:37Okay, and they've written here that at the time you wanted it to be removed, but they were not keen
24:45because of your age and because of your other health conditions.
24:49The risk of having an operation being weighed up against the benefits, which at the time you were reporting to
24:58be cosmetic of the appearance was troublesome to you.
25:01Okay, so the surgery wouldn't be to save your life, it would be to kind of improve your confidence in
25:08how you're looking.
25:09So you're just saying what everybody else is saying.
25:13So.
25:14It's worrying me.
25:16Yeah.
25:17Pleomorphic adenomas are a benign tumour.
25:20They can grow very, very slowly, and very rarely they can become cancerous.
25:25Mirella was very concerned that this could be happening, that having lost her husband tragically to cancer.
25:30So, of course, you know, high on her priority list is having that reassurance.
25:34And how much more is it going to grow before I die?
25:40I was expecting this kind of response from you anyway.
25:44What response is that?
25:46That there's nothing you can suggest because you're not the right person.
25:51I would very much like to meet somebody who is a specialist.
25:55That's one of our jobs is to connect patients to specialists.
25:59Yeah, yeah, yeah.
25:59Maybe we'll arrange another scan of the neck to compare it with the previous one.
26:04Mirella had already been referred to secondary care some years before for this problem.
26:07If nothing had changed in that time period, then it wouldn't really be appropriate to refer again.
26:13In this case, the growth had grown slightly, and it's bothering her a lot.
26:16So I think it's worth giving her the opportunity to discuss surgery again with that surgeon.
26:21You know, when you're faced with the end of your life, anything that isn't kosher immediately goes out of proportion,
26:30worrying.
26:31Of course.
26:32Yeah, of course.
26:33Anyway, so nice to meet you.
26:35What's your name?
26:36Dr Prestwich.
26:38Yeah, we've met before.
26:40We have?
26:41Yeah.
26:41Oh, you see, that is something.
26:43That is something that has happened with my age.
26:46It was a long time ago.
26:47It was over a year ago.
26:48Don't worry about it.
26:49Thank you so much.
26:50Thanks.
26:50Bye-bye.
26:57Do you want animal or animal age of it?
26:59I would definitely be a panda.
27:01No, a panda.
27:03A panda?
27:04I feel cute.
27:04Just sit down, just munch on leaves.
27:06Yeah.
27:07What about you?
27:08You'd be like a little cat.
27:10Oh my god, that's just so cute.
27:13You're just pairing everywhere.
27:14And I love cats.
27:15They're just so cute.
27:16Yeah, I love cats.
27:17Oh, finally, someone like cats.
27:19Everyone else don't like them.
27:20George hates them.
27:21Really?
27:21Yeah, I said, George, they're lovely.
27:23Absolutely.
27:29Hello.
27:29How are you?
27:31Hi.
27:31Hi, Philomena.
27:32How are you?
27:34Oh, dearie me.
27:35She's here.
27:36I have some students with me.
27:37Do you mind if they sit in?
27:38Lovely.
27:38Thank you so much.
27:39Take a seat.
27:40How can I help today?
27:42Philomena's had chickenpox since last Thursday,
27:44but she hasn't gone to the toilet.
27:47Like, she's constipated.
27:48Okay.
27:49For like three days yesterday.
27:49Yesterday, I took her to a hospital
27:52and they gave her some lecturers
27:54and they helped her pass stuff,
27:57but they said, you know,
27:58take her to the GP
27:58because she might have,
28:00like, it might happen again.
28:02It might happen again.
28:02Yeah, it might.
28:03Absolutely.
28:03So the chickenpox started last Thursday.
28:05Have all the lesions scabbed over now?
28:07Are there any more part ones popping up
28:09that you can see?
28:10No.
28:10They look like they're all scabbed,
28:11don't they?
28:12So she's not infectious anymore,
28:13which is great.
28:14So that's all looking brilliant.
28:15I think it's okay now.
28:17Good.
28:17Can I check your temperature?
28:19Is that okay?
28:20Yeah.
28:20Are these really itchy?
28:21Oh, you poor thing.
28:23There we are.
28:23I'm just going to pop that in your ear.
28:25Well done.
28:25Good girl.
28:26You're doing so well.
28:28Lovely.
28:28Temperature's 36.9,
28:30so completely normal.
28:31Would it be okay to examine her tummy?
28:33Yeah.
28:33Just on the couch?
28:34Is that all right?
28:35Yeah.
28:36Any other concerns that you have?
28:38Just the constipation.
28:39Yeah.
28:40Tummy's lovely and soft.
28:42Okay.
28:42That's good.
28:43No rebound.
28:44No abnormal masses.
28:46Everything's feeling really good.
28:47And with the lactulose yesterday,
28:48did she have a good bowel motion?
28:50Did she have sort of a good amount of poo?
28:51Brilliant.
28:51Really good.
28:52So absolutely fine to keep using that for a few days
28:54just to help flush everything through.
28:55Can I get a prescription?
28:56Yeah, of course I'll prescribe it.
28:57Things to look out for if the rash gets worse
28:59or if you can see pus coming out of them
29:02or redness spreading around any particular ones,
29:04please let us know.
29:06Otherwise, I think she's absolutely fine.
29:08Yeah.
29:08Well done.
29:09And these will all go soon, I promise you.
29:11Oh, sweetheart.
29:12So when can she start going back to nursery?
29:14So normally the advice we give is
29:16when the last spot on the skin is scabbed over,
29:19then she's absolutely fine and she can go back.
29:21High five?
29:22Do a high five?
29:22Yay.
29:23She can jump off now if you like.
29:25Oh, there we go.
29:26Well done.
29:27Three, two, one.
29:28Jump.
29:28Lovely.
29:29Excellent.
29:30Really good.
29:31Any questions?
29:32No, no, I'm happy.
29:33All right, great.
29:34I'll send a prescription to the pharmacy for you.
29:36Great, thank you.
29:37And it'll say any problems just come straight back.
29:39All right.
29:39Well done.
29:40You did such a good job.
29:41Bye-bye.
29:41Bye.
29:42See you later.
29:43See you later.
29:44Take care.
29:44Bye.
29:46Say bye-bye.
29:47Bye-bye, doctor.
29:53Eddie.
29:54Yeah.
29:58Hello.
29:59Hi.
29:59Yeah, good, thanks.
30:00Just a seat here, please.
30:03Okay, so I'm new to this surgery.
30:05Oh, are you?
30:05Okay, well, welcome.
30:06And I'm here because I needed a medical certificate due to a condition I suffered from since the
30:1314th.
30:14Mm-hmm.
30:14Diplopia.
30:16Right.
30:16And I'm employed as a bus driver.
30:20Yeah.
30:20So obviously I couldn't carry on driving.
30:23Right.
30:23Seeing bubbles.
30:25No, of course.
30:25You know, I did have an MRI scan.
30:28The MRI revealed that I have a, I had a mini stroke.
30:33That's the cause of your double vision.
30:35That's right.
30:36Yeah.
30:36That could be it.
30:37Right.
30:37In the eye.
30:38Although this is the eye that gives me trouble, but this eye is fine.
30:43But the problem is in the eye.
30:45I don't know how it works, but that's how it works.
30:47So if there has been a mini stroke and it's affected the nerves that control eye movements,
30:51the issue is that one eye is looking over here and one eye is looking somewhere else.
30:54That's correct, yeah.
30:55And your brain's trying to put the two images together.
30:58Yeah, yeah.
30:58It's not that one eye is good and the other one's bad.
31:01It's that you're just getting two different images.
31:02That's exactly it.
31:04The condition was so bad, but gradually it's actually improving.
31:09And I'm fine now 95% of the time, I would say.
31:13But when I get tired, it starts happening again, you know.
31:17So these are my situations as they're occurring.
31:23So you're under the ophthalmology team.
31:25You have an appointment with them in just over a month's time.
31:27So I think it's very reasonable to extend your sick note until that appointment.
31:32Yeah, yeah.
31:32I agree that if you're still having symptoms, it's not safe for you to be driving at the moment.
31:38If things get better and DVLA say, yeah, you can go back, I should be able to go back to
31:43work, you know, this year.
31:46Yeah.
31:46What have you been doing with yourself then?
31:48I do about four or five miles a day walking, so, yeah, which helped me a lot, to be honest.
31:54Especially if your occupation requires you to be sitting for a long time.
31:57Yeah.
31:57What a great opportunity to kind of be more active as well.
32:01In all honesty, that was the case.
32:02Yeah, it starts a new habit.
32:04Yeah.
32:04Good.
32:04Exactly.
32:05Nice to meet you.
32:08Oh, yes.
32:11Take care.
32:12Bye.
32:12It's all for what the写真 is beginning to do now.
32:15You know, it's true.
32:16That's right.
32:19Yeah.
32:20Joshi, come on through.
32:22Good morning.
32:22Hello.
32:23Thank you so much.
32:23Come on through.
32:24We're in here today, actually.
32:26Come and have a seat.
32:27If you sit here, Megumi, perhaps, and your dad sits there.
32:29Hello.
32:30Hi.
32:30Nice to see you.
32:32Nice to see you.
32:33My dad has been asking the cancer doctor for his skin.
32:37Ah, yes, for his skin.
32:38And he lost an appetite for quite a few months.
32:40Okay.
32:41And he has lost quite lots of weight.
32:42I feel the stomach is a bit heavy or upset.
32:47The stomach?
32:48The stomach, yeah.
32:49So just back to it, so you've got the cancer of the skin on the leg and they've removed that?
32:53Yes, already.
32:54And they're going to remove another one.
32:56They've got another one.
32:56I saw that.
32:57They're planning to remove another one that they're not sure about, but they just want to be sure.
33:01But the skin doctors seem quite happy in the letters.
33:03Like they're removing things, but they've got it under control.
33:06Yes, I think so.
33:06Hopefully the skin is okay.
33:08Yeah, okay, yeah.
33:09Tell me about your stomach.
33:10Upset?
33:11Okay.
33:12Do you feel it moving around a lot, gurgling?
33:14No.
33:15Not too much?
33:16Just feeling the stomach is a bit heavy, always, yes.
33:20In particular, when I'm hungry.
33:24Does the food go down okay?
33:26Do you swallow?
33:26Yes, yes, it's okay.
33:27No problem swallowing?
33:28No, no problem.
33:29And do you know how much weight you've lost?
33:32We don't measure.
33:32Probably we should, yeah.
33:34But you're feeling your trousers are looser and...
33:36Yes, a bit, yes.
33:37What about your energy levels?
33:39She naps more than before.
33:40Okay.
33:41We're allowed to nap a bit when we're 72, but we don't want you napping too much, do we?
33:45We're 71.
33:46Do you feel 71?
33:47Do you just feel more tired than perhaps normal?
33:50I think so.
33:51I think so, yeah.
33:52Okay.
33:52You've got a bit of a cough, I notice.
33:54How long have you had that cough for?
33:56A few months.
33:58And it's just persistent, is it, this new cough?
34:01Yes, I think so, yeah.
34:03Okay.
34:03And is there anything maybe that you're worried about that could be causing this, the weight loss?
34:08I think my dad is quite sensitive if there's a cancer.
34:11Okay.
34:12So we're worried about that a bit.
34:14And does anything run in your family?
34:17Any stomach problems or bowel problems, anything like that?
34:21His dad, intestine cancer.
34:23Okay.
34:24And how old was he when he had that?
34:26I'm sorry to hear that.
34:27He was 72.
34:31Okay, so he was quite young.
34:34He was young.
34:34Yeah, yeah, yeah.
34:51When I was in primary school, I fell off a bridge.
34:53Oh my gosh, you fell off a bridge?
34:55Yeah, I have a scar on this knee.
34:58I fell off my bike onto this massive rock.
35:00I was wheelbarrowing mulch into a flower bed and then reversing out with the wheelbarrow.
35:05It tripped over the stool.
35:07It was probably like a cartoon.
35:09A tea urn fell on me there.
35:12Then I was electrocuted.
35:13I worked for the dentists.
35:15Health and safety wasn't quite what it was, no.
35:18What about the other one?
35:19I was doing some repairs at home and I fell off my steps.
35:21Honestly, DIY.
35:22It should be banned.
35:23I had a fall about six months ago.
35:26Knew I was going to ask.
35:27So it was my sister-in-law's 50th birthday party and I decided that I could Cossack dance.
35:32Okay.
35:33I can't.
35:34Okay.
35:37Bang the elbow off of that.
35:39You have to make a wish if you do that, you know.
35:41Really?
35:41Yeah.
35:41I need to make about five million then.
35:44I'll do it at the old time.
35:45So, ow.
35:47I was cooking some potatoes and I decided to wipe the glass behind and I caught it in the steam.
35:52Did it come out with a big blister?
35:54No.
35:55It just was like brown and I keep knocking it now.
35:58And this morning it was really weepy.
36:00Yeah, it looks a bit oozy, doesn't it?
36:03But then you've got new skin already, which I can see under the womb bed.
36:07Yeah.
36:09That's a new skin.
36:10I'm concerned it's going to get infected.
36:11A million percent I will get one of the doctors to prescribe you.
36:15Flu coxacillin, because you need them, because you're oozing and I'm going to take a swab,
36:19if that's all right.
36:20Okay.
36:21Because then that will tell us when it comes back if the flu coxacillin is the right antibiotic
36:27for it, put your hand up, pop it on.
36:30Most of the accidents you see in here are in the kitchen.
36:33Oh, in the kitchen.
36:34Yeah, I'm sure.
36:34Like 75% easily.
36:36People walking into dishwashers, people catching their arm on a kitchen rack on a worktop that's
36:44got a very jagged edge or, of course, burns.
36:48And my broken little toe from the kitchen cabinet.
36:51See?
36:51So I'm going to swab it, send it to the lab, probably be back Friday.
36:57Ready?
36:58Yes.
36:58Sorry.
37:00Is it sore?
37:02It is a bit sore, yeah.
37:03Sorry, I do have to dig it, so I do apologise.
37:08Right, we're going to send you off, and then today, you're not working, are you?
37:13No.
37:14Why is that?
37:15Because I'm retired.
37:17Very jambly.
37:18Do I have to remind you every time I come in?
37:21No, but I'd like you to say it, because you're newly retired.
37:25There was a blister there.
37:26Yeah, I can see the remnants of a blister.
37:28But it wasn't raised, it was really weird, it was just brown.
37:32But when you said it goes brown, that's blistering.
37:35So I'm going to put some silicone on it, because it replicates your skin.
37:39I've got to go up to St Pancras today, so I was just a bit concerned, the tubes are so
37:43mucky.
37:44I've got to go change a ticket.
37:45Are you going to go France?
37:47Yeah, we're going to Paris.
37:49Lovely.
37:49To see the David Hockney exhibition.
37:52Amazing.
37:52I love David Hockney, and it's the biggest exhibition of his works ever.
37:57I had some points on my Eurostar card, so we're going.
38:01Beautiful.
38:02How long are you going for?
38:03Two nights.
38:05Have some bread and cheese and wine?
38:08Oh, I couldn't possibly have wine, Sam.
38:10Of course not.
38:11It's not good for you, you know.
38:12No alcohol is good for us.
38:14But when in France, do as the French do.
38:18So we're going to cover it now.
38:20When you're at home, obviously, wear marigolds to clean, OK?
38:27I'm going to get one of the doctors to prescribe as well.
38:30We'll send the flu clocks.
38:31OK.
38:32So it'll be there later today.
38:34And it should, hopefully, be a lot better.
38:38All right then, thanks a lot.
38:39You are very welcome.
38:40OK, Sam.
38:41Thanks a lot.
38:41Take care.
38:42Bye.
38:42Bye.
38:47Any pain in your tummy now?
38:49No.
38:50No?
38:50Just the funny feeling here?
38:52Yeah.
38:52And is the feeling here now the funny feeling now in your tummy?
38:55Yes, yes.
38:55OK.
38:55I'm just going to feel very gently, OK?
38:57And tell me if it's sore.
38:59Is that OK?
39:00Yeah.
39:00OK, I'll just feel a little bit deeper.
39:02Nothing at all?
39:03No, no.
39:07Nice and hollow.
39:08OK.
39:08So that all feels fine, sweetheart.
39:10Let's just sit you up for a second.
39:12Are you all right?
39:12Can I just have a listen to your lungs at the back?
39:14Are you OK just sitting like that for a minute?
39:16And we can just have a listen.
39:19Lovely.
39:20Lovely.
39:22Sounds good.
39:23Sounds good.
39:24Tummy feels soft.
39:24Come and have a seat.
39:25Let's make a plan and we can get some tests done just to make sure that everything's OK.
39:28OK, I wonder if perhaps the best thing that we do is we try and work out where the problem
39:35is.
39:36Something is causing these symptoms, isn't it?
39:37Maybe there's nothing to worry about at all, but the tests would show us that.
39:41So we can look for any problem in the lungs.
39:43You've got the cough.
39:44The easiest way to do that is a chest X-ray.
39:46So that checks the lungs.
39:47I think the blood test, just to look at the general stomach, the bowel, the inflammation.
39:52And then I wonder, because you've got this funny feeling in the stomach, there's a few tests we can do
39:56which is actually done on the poo test.
39:58So we check a poo sample.
39:59OK.
40:00But we check for maybe there's a bug called helicobacter, H. pylori.
40:04You might have heard of it, but we can check for that.
40:06Maybe we need to have a camera to go down or up to check.
40:09I know.
40:10We don't want to do that.
40:11So we'll do the test and see if we can rule that out.
40:13But in a way, this will all help us try and identify.
40:16I'll give you some of the pots now.
40:18So one, two.
40:19Thank you very much.
40:20The X-ray, you're going to go when you've got time.
40:23And the blood test, if you book with the girls now at the desk.
40:26OK.
40:26Thank you so much.
40:27All right.
40:28Thank you very much.
40:29We'll catch up with all the results.
40:30I'll keep an eye out for them.
40:32All right.
40:33OK.
40:33Not at all.
40:33Nice to see you.
40:34Bye-bye, sir.
40:35Bye-bye.
40:35Take care, sweetheart.
40:43Charlie?
40:44Yes.
40:44Hello.
40:44You ready?
40:45How are you?
40:46All right, mate.
40:47Yeah, not too bad.
40:48Any questions?
40:49Well, I'm all right.
40:50Coming through.
40:51These are some medical students.
40:52Is it OK if they sit in?
40:54Yeah.
40:54Hi.
40:54All right, guys?
40:55Good.
40:55So tell me what's happened.
40:56How can we help today?
40:58On Monday, I slid on some glass, or quite a big bit, I guess, like a sort of a penny.
41:03Went to work.
41:04This morning, I can't really walk on it so much.
41:07And so was this outside?
41:08Was this inside?
41:09This was at home, the glass was.
41:11I dropped it on the weekend.
41:13I swept it all up.
41:13And then I hoovered it all.
41:14I thought I got it all.
41:15And do you think all the glass is out from the foot?
41:17There's no...
41:18I hope so.
41:18There's any foreign body in there?
41:19It doesn't feel like it.
41:20My wife got it out with tweezers.
41:22Oh, good.
41:22And it was like a, you know, quite like...
41:23Good size.
41:23Yeah, yeah.
41:24And do you feel well in yourself?
41:25Any fever, nausea, vomiting?
41:27No, none of that.
41:28Are you able to lie on the couch for me?
41:29Yeah.
41:29I just want to have a closer look a little bit.
41:31I'm just going to get some sterile water and rinse it out.
41:36Perfect.
41:37OK.
41:38So it's going to feel a bit cold.
41:40It might sting a little bit, but it shouldn't be too bad.
41:42Sure.
41:42Go for it.
41:43Do you feel anything?
41:44Is that a bit tender when I do that?
41:46Yeah.
41:47So you don't think that's, you know, really bad or anything?
41:50It's absolutely fine.
41:51The skin on the sole of the throat is so thick.
41:53There's so many layers.
41:54So actually, I don't think it's gotten any deeper.
41:56And it's healing really nicely already.
41:57You can see, like, a really nice scar being formed,
41:59a nice blood clot that's formed, which is great.
42:01I might give you some antibiotics just in case.
42:04Good.
42:04But, yeah, it'll heal really nicely.
42:06Famous last words.
42:07Yeah.
42:08Watch this face.
42:10You're definitely going to lose your foot.
42:11Absolutely not.
42:12I come in here all gangrene.
42:13No, no.
42:14I'll try and put something quite padded on there
42:16so that when you are walking, it's a bit more comfortable.
42:18This is just a very thick silicon dressing.
42:21So hopefully that should take a little bit of the pressure off.
42:23Yeah, because I'm sort of walking on my tiptoes at the minute.
42:25Yeah, I'm all for it.
42:26I'll give you some antibiotics just as a precaution really more than anything else.
42:29Cool.
42:30That's it.
42:31You're good to go really.
42:32Cool.
42:33All right.
42:34Good.
42:34I'm trying to figure out if I can go to work, but I suppose probably not.
42:37I think, yeah, maybe just not.
42:39Leave it for a little bit if you can.
42:41Medication I'll send to the ozochemist for you.
42:44Any problems, let us know if you feel unwell with it.
42:46So fever, nausea, vomiting, or if there's any discharge like pus from it coming out of it.
42:50Yeah.
42:50Do let us know.
42:51All the best.
42:52Take care.
42:52Thanks, mate.
42:53My pleasure.
42:54You're very welcome.
42:54Cheers, guys.
42:55See you later.
42:56Wicked.
42:59Enjoy the rest of your day.
43:01Not long now.
43:02Nope.
43:02See you later.
43:03Bye.
43:03Thanks, Sam.
43:05It's always good seeing you.
43:06Yep, yep.
43:06All the best.
43:07All right, David.
43:08Take care.
43:08You take care.
43:09Carry on with everything and good luck with the job hunt.
43:11I hope that goes all right.
43:13Yeah, me too.
43:14Cheers.
43:15See you later.
43:15Bye-bye.
43:16Bye-bye.
43:16I'll send it back.
43:17All right.
43:17Thanks.
43:17Take care.
43:20So it's a 15-hour heavy.
43:30Bye-bye.
43:59Bye-bye.
44:26My BMI is 42, and I'm at high risk.
44:29Even nine months pregnant, I wasn't this heavy.
44:32There's a smell to this.
44:33There is, yeah.
44:34And it's got a green tinge to it.
44:37I think sometimes I might die, and I've got to get out.
44:40I've got to see people.
44:41I feel closed in, so closed in.
44:44I feel closed in.
44:49I know.
45:00I know.
45:02I know.
45:05I know.
45:09Transcription by CastingWords
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