- 3 hours ago
Category
📺
TVTranscript
00:09Hello surgery I woke up and just the pain was just like no I can't I like I can't just
00:15keep
00:15ignoring it anymore the hallucinations must be upsetting it's horrible it's not that much
00:22I remember speaking to you once when the dogs were there and it was horrible and they were
00:25snakes were even worse
00:29for some parts I can control it but on some parts I can't control it oh dear that's horrible
00:38how have you been terrible oh no well I must have on this hurt
00:41the pain has been getting so bad I can hardly get up okay well that's not acceptable
01:23for like yep hold on
01:25I'll leave him behind all right stay there stay there sit coming back sorry no worries
01:33at all but you know if I'm walking here it's doing two things yes absolutely absolutely you've got to
01:37get the dog walk sorry I look so awful I've just been at my daughter's house watering her garden
01:42and looking after her dog yeah so you've had a very active day oh I'm always active right now hold
01:49on
01:49so do you know why I'm here they prescribed me some cream yep because I came to the doctor last
01:56week and I got this funny thing here and the pharmacy rang me to say they can't get that particular
02:02cream okay so I need another cream fine so tell me a little bit about the little skin lesion how
02:09long
02:09has it been there for not very long okay is it itchy no is it leading no but it's come
02:16up before yes okay
02:18would you have had a lot of sun exposure yes I have recently I have a very odd skin okay
02:23very brown
02:24very quick mm-hmm it's quite crusty and scaly yeah so what I do think that is something called an
02:32actinic
02:32keratosis okay English oh yes I know I'm going to translate to English it's actually a pre-cancerous
02:39so it is um needs to be watched it needs to be watched and if the cream that I give
02:45you in
02:45replacement for the other cream doesn't work yes in kind of four to six weeks yes come back yes and
02:51we
02:51can send you through to dermatology so this cream sort of burns it does it yes okay yeah but it's
02:57a
02:57different option than the one that has given that you've been given before it thanks very much no
03:02worries and so we're in good shape okay okay so okay so I'll sign that through you're going to send
03:09the cream now to boots yes enjoy the rest of the day with your dog yeah he's exhausting thanks a
03:16lot
03:16bye-bye I know I hope not to see you soon okie dokie bye guys see you soon bye see
03:23you soon okay come on dog
03:29bye guys happy chap yes yeah good what are we looking at today he has been coughing okay over a
03:43month
03:43now it's usually when he is on his bed like sleeping but that obviously like wakes him up and wakes
03:52you up
03:52yeah yeah but sometimes it can go on for it's not like one cough it can be consistent but I
03:59had
03:59asthma as well myself as a child so just wanted to check his chest and lungs so a family history
04:07of
04:07asthma childhood asthma for you did you say yeah okay has he had all of his vaccines yeah yeah good
04:12all right
04:13so let's have a look okay yeah and we feel a bit warm but no temperature that's fine all right
04:22and let's
04:22have a look at his breathing okay can I have a look he's giving me a funny look okay and
04:31I'm just
04:31going to do the same at your back okay okay he's trying which is usually unlike him okay so his
04:42chest
04:43sounds nice and clear does he get much of a snotty nose in the day yeah yeah we'll just go
04:48look behind
04:49the curtain just sit here for me yeah chatty boy so his breathing isn't fast he's not working hard
05:03with it yeah you agree he seems to be pretty happy doesn't he yeah should we go back yeah before
05:12you
05:12uh before you fly off my couch so I think what we're seeing is a post-viral cough I can't
05:27hear
05:27any unusual sounds on his lungs it would sound like there's an infection in the lungs and there's no
05:32wheeze or anything like that what tends to happen especially in kids this age um you know they can't
05:36blow their nose so even once the chest is clear there's still a bit of gunk up there when they're
05:42lying down at night that can come back down into the throats and trigger a cough it's not worrying
05:49it's irritating um there's one thing you could try and that is um sterimar spray he might not like you
05:55for it but yeah you can spray it into the nose and that could just loosen the secretions for him
06:00and because he's not blowing them out himself they're just sitting there that might help things
06:05speed things along thank you very much all right very good nice to see you yeah thank you um obviously
06:11if anything's getting worse come back to us we're always happy to uh to review okay
06:15thank you thank you nice to see you nice to see you too yeah
06:21thank you doctor thank you thank you bye
06:32hello peter hello come on in
06:41now how have you been why that's getting worse oh no so when we met up last time it was
06:49all about
06:49your shoulder and the back and the pain wasn't it pain is starting to get bad and the shoulders are
06:56still so we were worried that you maybe you've just done something to the back and harmed it
07:01they saw you and they wrote here that they were going to do an mri of your shoulder they were
07:05going
07:06to do an mri of your back so they did take it seriously they wanted to follow all this up
07:09but
07:10then we've had letters saying that they couldn't get a hold of you oh well i'm glad you've come in
07:15today because i think sometimes this happens that we have communication and sometimes with pay-as-you-go
07:19phones they don't really take messages the reason why i'm coming today because like the pain is
07:23being getting so bad when i'm trying to get up sometimes i can hardly get up okay well that's
07:27not acceptable is it we need to get so we today can look at the painkillers and try and work
07:31out
07:31how we can help you with that that's let you and i try and do that the pain is all
07:35around here
07:35right now the pain is all around here yeah at the lower back and and painkiller wise peter what are
07:41you taking at the moment i will try now and again i will try to tell that you gave me
07:47the
07:47ibuprofen but they only last for a certain amount of time okay and ibuprofen pills sometimes
07:54so i don't like the ibuprofen pills oh i'm always nervous with those only because because you're on the
08:01blood thinner tablet one big side effect of ibuprofen is that it thins the lining of the
08:06stomach all right and then if you if that bleeds a little bit if you're on a blood thinner which
08:11you're on because you have to be on it i've got no antidote for it and you've got no antidote
08:16for
08:16it and then we have a massive bleed and you've bled before
08:44with your past and with the blood clots and being on the blood thinner and everything
08:48and the indigestion i really think peter we ought to avoid the ibuprofen medicine right okay well
08:54the gel is okay the gel i don't mind because it's not going into your stomach directly even just
08:59morning and night time every day it will ease a bit but that's where then paracetamol or
09:07cocodamol would help a little bit i would give you the cocodamol then i think that the side effect
09:13we sometimes see with it is is constipation but not in everyone and we've given you not a huge dose
09:18of
09:18it it's quite a low dose so hopefully it wouldn't cause that but if you take it with lots of
09:22water
09:22to drink and and how good is your diet the rest of the time it's um okay yeah i mean
09:29like in the
09:30morning i'll get up and i'll have i don't have a bowl of cereal or i don't okay what sort
09:36of breakfast
09:37cereal do you like just cornflakes cornflakes okay what about switching those to bran flakes do you
09:42ever have the brown bran flakes i used to they look like cornflakes but brown ones yeah yeah brilliant
09:47they're the ones and put some raisins in them or sultana banana banana with it something like
09:54oh dear all right well just stick with the brown flakes i just stick with the brown flakes but
09:57i think having the fiber is going to be there's more fiber in those than there is in cornflakes
10:01so i think the brown ones are better and what about things like bread do you eat much bread
10:06white bread yeah but i might have a bit of half and half okay what what how do you feel
10:12about
10:12switching to brown bread well what's wrong with brown bread no you don't like it no the trouble
10:19is white bread it just bungs you up there's nothing much in white bread it's not very good
10:22for you whereas brown bread no half and half and brown flakes and things and lots of water to drink
10:28and i that will help you don't like water so what do you drink you know fizzy or beer okay
10:35okay do you
10:36never just have a glass of water no so how many pints or cans of beer might you drink in
10:42a day
10:42one two or four it might increase to four okay do you ever want to give up i've tried seven
10:50times out
10:51of 49 months but that's brilliant that you've so you've successfully stopped seven times
10:56and went to rehab couple a few times and um well yeah just done it on my own indoors and
11:05i just
11:05give it up for a few months and do you want any help with it at the moment that's what
11:11i've done i've
11:11gone gone for help i've done it myself but yeah do you ever go to the aa meetings anything like
11:17that
11:19why not they want to pray i'm not into that what about if you've got a one-to-one somebody
11:24to help
11:25you done it done it done it been there done it you know i mean from our point of view
11:31we never give
11:31up it doesn't matter how many times we have to go back we're still happy to help and we're still
11:35happy to help you go back it's not that you've had your quota and you can't have any more when
11:39someone has an alcohol dependent syndrome they have to want to get help or you can tell them
11:44until you're blue in the face that they should try and cut down now until somebody is really ready
11:48to make that step it's not going to work but what is important is not to shame the patient and
11:53actually it's really important to always have the door open and to not criticize or judge them
11:57while we work through it together well maybe let's think about it let's perhaps meet up in a couple
12:01of weeks and i will chase chase this mri and try to really get it done and i'll ask them
12:05to cc me
12:06and say and i'll know when the appointments are so then we can bring you up and and you try
12:10the
12:10painkiller just in the meantime to see if it gives you relief and then we can always catch up if
12:14you
12:14are having any side effects or any problems with it yeah okay so at least then we're moving things
12:18forward a bit all right and think about the alcohol oh all right yeah all right it's a nice
12:23to see you thanks for coming in you're always very good and honest all right well i hope the
12:28painkillers help a bit sweet up thank you all right take care be nice to see you sweet all the
12:32best
12:32bye-bye bye-bye
12:39any holidays planned going to italy and caravan park i would never do camping myself
12:45yeah i'll rather just go to the beach on a date yeah we're off to marrakesh for a week
12:50oh that's excellent i cannot wait did you get any holiday off to spain in a couple of weeks
12:58just to uh vigo uh top left i'm debating greece or turkey or maybe canary islands yeah
13:06probably costa del fulham yeah
13:12how can i help today uh so i've just come back from vietnam this morning when i was there i
13:18fell
13:18so i felt i really hurt my ribs yeah quite badly i can't lean or turn or do anything and
13:25this they
13:26told me in this hospital i've got x-rays here they advised me to have an operation and to have
13:31a
13:31a pin put in my wrist wow which would mean that i'd have to have stayed in that town for
13:37five days
13:37i went no don't do that just give me a car so i just carry on but that's been about
13:41eight nine days
13:42so i just thought i need to see someone in the uk how did it happen what did you ask
13:45it literally it
13:46sounds so boring obviously it's on a motorbike or something fine it wasn't i literally just fell
13:49but i fell really hard no that's not good yeah yeah how's the pain at the moment in my chest
13:55and that
13:56which isn't the problem they haven't done anything about that yeah i would say that's quite bad so i'm
13:59taking a lot of neurofen this seems okay okay good brilliant and how's your breathing any
14:03shortness of no absolutely fine good and if you take a sharp deep breath in does that cause any
14:07chest pain no it's a bit bone pain but yeah no no no chest perfect that's really good do you
14:13have
14:13the report of the x-ray can i just quickly see that that's all i've been given yeah oh grand
14:18okay that's
14:18fine let's see it's been a while since i've looked at any of these oh yeah so you can see
14:22the fracture
14:23there can't you okay that's your radius that's the big bone and you can see it's fractured there
14:29and looks like there maybe as well it's tricky because you weren't seen by a and e or medical
14:35services here normally what would happen if you were they would refer you directly into the fracture
14:40clinic okay i'm gonna do that for you but often they don't accept gp referrals but we'll figure it
14:45out don't worry is it okay to just to take photocopies whatever you want and then i can attach
14:49them to referrals and then we give obviously give you the originals that's not a problem at all
14:52do you need anything stronger for the pain relief yeah we could maybe think about giving you some
14:58naproxen which is a stronger anti-inflammatory but as well as that maybe a bit of cocodermol
15:03make sure you're taking a few deep breaths every couple of breaths because you don't want the bases
15:08of the lungs to collapse if they do they become a really good breeding ground for bacteria so you
15:12might get a secondary infection as a result of that but as long as every you know hour or so
15:17you're
15:17taking a few really deep breaths to help the lungs fully expand and contract yeah absolutely fine
15:22brilliant any questions before we go no you've been amazing thank you so much pleasure very welcome
15:33uh suffer do you mind just taking photocopies of these and giving them back to the patient please
15:37is that okay can i see something quick for you yeah i can see it yeah yeah very good we've
15:43still got it matt
15:44we've still got it
15:48zoe
15:51hi come on through i've got a medical student with me today is that all right she's just sitting in
15:56come on in have a seat i'm dr dudgeon nice to meet you what can we do for you today
16:02well if i go back to the beginning it started like two years ago i was getting these pains sort
16:08of
16:08here yeah in my back as well feeling sick i came in and i had a stool sample blood tests
16:15okay stool
16:16sample was fine bloods had raised levels of um i actually can't remember now that's okay we can have
16:25a look back i had a scan and i had kidney stones okay that was kind of it was kind
16:30of left and then
16:32last year it came back again yeah had a scan no kidney stones okay but the bloods were still
16:39whatever it was was still raised yeah um but then i ended up in parsons green because i was having
16:44really bad pain and i was throwing up okay and i had a urine infection but she was like i
16:48think it's
16:48going to your kidneys okay every month i've had some sort of a little bit of pain but it's been
16:53bearable
16:54but since monday i've had it quite bad again and i was throwing up on monday okay so i'm just
17:00like i just
17:00i don't know what's going on a few years with it all yeah it's been it's just been strange because
17:05i feel like there's not really been like a clear oh this is why it's happening it's like oh we
17:10had
17:11kidney stones but they weren't like too bad and they passed okay so tell us about your symptoms
17:16so i woke up monday and instantly i just felt sick and yeah so i threw up i think three
17:22times but i
17:23felt sick all day and today i woke up and just the pain was just like no i can't i
17:27like i can't just
17:28keep ignoring it anymore okay and that's still this pain yeah yeah but it's my back is really
17:33like sore okay and when you had the kidney stones where was the pain similar okay so it was central
17:38because typically kidney stones pain is kind of like loin to go in here in my back i would feel
17:44like
17:45it's both like in the middle of my back but the sides of my back yeah okay and any urinary
17:50symptoms
17:50this week i've noticed my wee is a bit cloudy okay but like no pain it looks different yeah okay
17:57do you mind if we have a feel of your tummy would that be all right i'm just gonna put
18:01this bed up
18:02perfect if you just lie down
18:08i'm just gonna start feeling down here first if that's okay any pain here at the back not right now
18:14but that is right there was is where i would get it plus sort of like where here is but
18:19on my back
18:19yeah and right here as in you've had it there the last two days or in previous episodes in previous
18:23episodes okay that's okay today yeah
18:33that's fine and just sit forward for me let's just have a look at where in the back you feel
18:38it's
18:38okay so you've had back pain the last couple of days as well so like here yeah and if i
18:44press that
18:44area nothing you feel it's more from the front coming through yeah yeah okay you can pop your
18:52cardigan on do you think you might be able to do a urine yeah sample for us quickly i think
18:59it would
18:59just be quite good to dip it and then we can also send it just to make sure there's no
19:03infection
19:05there's a toilet literally just there because that would be all right
19:15do you guys drive in london do you i don't know how to drive i haven't got my license
19:21reena have you got your license really yeah i haven't even started now where we do mine next
19:28year i want to start learning to drive i'm not being funny i would not get in your car
19:33reena i think that's that's not very that's very not nice isn't it that's very not nice yeah
19:41i had a fall about six months ago okay and uh i've iced it riced it rested
19:48yeah i went to physio my friends luckily a physio for afc wimbledon okay fantastic and he said you may
19:54have a fracture because it keeps swelling up and it won't heal it's just not going and i'm going
20:00down the stairs like a crab i drive a van i get out the van like this foot foot like
20:05i'm doing
20:06all and i'm really active like it's it's now doing what 53 that's crazy isn't it you can't be like
20:12hobbling around like a crab because you've just got on with it i just thought it'd go away and you
20:16haven't x-rayed it or had a no okay and tell me what happened so you said six months what
20:20happened at
20:21the beginning you knew i was going to ask so it was my sister-in-law's 50th birthday party and
20:28i
20:28decided that i could cossack dance okay okay i can't come and have a seat on here let's have a
20:34look at
20:35it so can you manage yeah yeah so yes so is it limiting what you can do definitely so if
20:41i start
20:41with your good knee okay just twist the knee a bit no problem you're going to do the same to
20:45the other
20:45one now aren't you well i'm going to try but i don't want to hurt you sweetheart that's the problem
20:48i might put that leg down can you bend that one up and if i just bend it and yes
20:52if you try and
20:53bend it more that hurts there okay it's actually very restricted i can't even get that in can i but
20:58i'm also probably trying to resist you a little bit because it hurts part of it it's all around here
21:02yeah if you push your knee into the bed yeah that's that's as far as it's going to go okay
21:06and if we just
21:07bend it up again and see if there's so it's not too crackly now no i'm just going to press
21:11along the
21:12joint line yeah any pain no and if i press in here yes that's uncomfortable and it's down this
21:21side here an x-ray is quite sensible to start it especially if maybe you were cossack dancing or
21:27whatever it was stupid i couldn't sleep because it was and it's the pain goes all the way up yeah
21:32so i don't i don't know i've probably waited too long and probably damaged it more no i mean i
21:36think
21:36when you've been trying to get on with it and do it so you've done you've done the best you
21:39can
21:39okay let's get an x-ray then we can look at it and you can just go in there i'll
21:42send a form through
21:42and then yeah so don't get away and wait for hours no can you manage yes yes yes what i'm
21:47also worried
21:48is that an x-ray only really shows us the bones and we need to be careful that it's not
21:52ligaments
21:52and other things that's a damage and therefore we might need to move it on to get mris or something
21:58else done but the x-ray is number one so let's do that all you need to do is go
22:02in give them your name
22:03and they'll take the picture it takes 10 minutes literally done the results come back to us here
22:06i would like to refer for physio here my end yes yes yes is that okay the results will come
22:11back we
22:11can then have a chat about it but i'll still do a referral anyway thank you and we'll get that
22:15sorted out so everyone's now saying to me hey so you still hobbling i'm like yeah it is and you're
22:20not old you shouldn't be hobbling no i definitely can't get in and out of your van and everything
22:23else i mean that's rubbish isn't it thank you so much for your time good luck and just go along
22:27on thursday i will thank you thank you bye-bye bye-bye perfect
22:39and have you ever had these episodes and they've just kind of gone yeah yeah i mean i've had so
22:44many i couldn't count how many over the last two years i've had okay so there were loads and loads
22:50of white cells um and loads of blood
23:08how are you i'm reasonably good yeah yeah oh a urine perfect i'm feeling uh some irritation to urinate
23:18okay so you're gonna manage to do us a sample now i hope so my weed's dribbling a bit and
23:25it doesn't smell right sorry i need to say but the yesterday i was peeing on myself okay so my
23:32bladder was not called which is we are disgusting success yeah perfect thank you
23:41the green one is blood so that is the maximum blood so loads and loads of blood
23:47and also loads of white cells so that can indicate infection yeah um could also indicate
23:55a kidney stone i think what we do today is um i'm going to send the urine off to the
24:01lab and the
24:01benefit of that is that we'll see if it grows something so if it grows a bug then we can
24:05say yes
24:06it's a uti if it doesn't grow anything then the question is is it a kidney stone or is it
24:12you know
24:13something else um but likelihood is it probably is a uti but your pain is quite high up for
24:20uti pain it's like not classic uti pain but your urine definitely suggests that this is
24:27a kind of urinary tract problem i'll give you some antibiotics today and we'll send this off for
24:31culture what else is i'll keep an eye on the result and if it's a classic uti that's fine if
24:37it comes back
24:38as not a uti then yeah i might give you a call next week and whether we do some bloods
24:44or whether
24:44we repeat the scan or whether we go down possibly more the the stone route yeah just with you getting
24:50all these episodes and just with a not kind of completely clear history does that sound all right
24:56yeah keep an eye on your symptoms the next few days if the pain becomes really really really severe
25:00the best place to go for possible kidney stones is a and e the reason for that is what they
25:05will do is
25:05they tend to bring you back the next day and do a ct um which is the best form of
25:10imaging for
25:10picking up kidney stones hopefully though you'll feel better in 48 hours all right all right all
25:16right great thank you all right not at all and hopefully we'll get to the bottom of it all for
25:19you
25:33all right
25:37tomislav yeah
25:40hey come on then hello i'm dr pearson yep nice to meet you because everybody say you're the best oh
25:47well oh god that's a nightmare big shoes to live up to now expectations now how are you uh i
25:54have a nasty
25:55problem okay last week i have a diarrhea all of the sudden oh no okay uh on some parts i
26:02can control it
26:03but on some parts i can't control oh dear that's horrible i have really nasty pain from because i
26:09have sciatica okay i have nasty back pain yeah and pain on other opening okay when you go to the
26:17toilet and after the toilet and afterwards it's like burning okay especially when i'm sitting because
26:24i'm a driver and when you say you have pain is it at your bottom exactly where you do the
26:28poo from
26:28or is it up into your tummy in my on my upper uh sort of the anus as we as
26:33where you come from
26:34the poo okay okay and that's the sore bit yeah is there anything that caused the diarrhea suddenly
26:39to happen do you think no because i'm on a healthy diet okay no alcohol no cigarettes no drugs
26:46nothing very good excellent okay and any blood coming out or when you wipe is there any red blood
26:52that you see my wife she's she thinks she saw it but i i know that we have on sunday
26:58for lunch uh tomato soup so it can be that okay okay because i check every time and my wife
27:06your wife was checking your poo as well she's a good wife checking your poo she's above and beyond the
27:11call of duty so your bowels over the last few months have they been generally softer and a bit more
27:17loose normal i have always go when i wake up in the morning yep and that's and that's you done
27:25that's
27:25normal and has that been the same then at the moment now now i have i go four four times
27:32okay
27:33i think can i have a feel of your tummy but we also want to have a look at your
27:36bottom and check
27:37come and have a seat on here sweet and i'll pull the curtain across let me grab some things let's
27:42have
27:42a look um what about generally how's your you mentioned you're on a healthy diet has your weight
27:47changed up or down yeah lows around four kilos okay and is that because you're trying with your
27:52healthy eating yeah okay okay and you mentioned you're driving yeah so it must be difficult if
27:58you need to go to the toilet a lot i eat only in the evening because if you eat during
28:02the day um i'm
28:04dead yeah yeah yeah definitely i'm just going to check your pulse so you've had a blood test today
28:08which is good can i have a feel of your tummy yeah okay is there any pain in your tummy
28:13now no nothing at
28:14all just tell me if any place is that okay nothing nothing i'm just going to feel a little bit
28:20deeper nothing just up here no nothing different so it feels nice and soft you've got a nice soft
28:30tummy i certainly can't feel anything in there that's making me worry okay but we we need to find
28:35out what's causing this okay shall we do you mind if we have a look at them at the other
28:39side at your
28:40bottom just so that i can see what we can do the easiest way is if we slip the trousers
28:43down a bit and
28:44turn onto your side let me draw the curtain a bit is that all right i can leave you a
28:48bit of privacy
28:50okie dokie manage and if you lie on your side facing the wall that's it perfect yeah it's really red
28:57sweetheart it's really sore and if i just press in here does that is that sore at all sorry no
29:02no it's
29:04all right it's okay i don't feel nothing you feel nothing okay i think that's okay let me pull that
29:08up a bit up a bit for you all right yeah yeah yeah well done let me get you off
29:11this funny bed it's
29:12a bit narrow isn't it right let me leave you to get get yourself dressed
29:22here we go and just a last question has anyone changed your medication recently
29:27now i'm only taking uh we're taking ramipril pro ramipril and no one's changed that at all
29:33no no so we need to do some checks here to make sure that we work out how to investigate
29:38this how
29:38to to make it better uh there's a couple of stool samples we can send off we can have a
29:43look and see
29:43if we can see any blood in there because if there is a bit of blood it can happen but
29:47then it tells them
29:48that they need to perhaps put a camera and have a look and work out what's happening yeah okay it's
29:52a very
29:53simple test and what we do yeah i know what you have for the bottle so it's the same what
29:59you just
29:59basically do a stool some and it tells you on the instructions here this will help us work out if
30:04we
30:04need to do anything urgently and i think that's important that we make sure everything's okay
30:08but nobody has a change in bowel habit for no reason as soon as you can bring this back then
30:13i'll give
30:14you a shout with the results and we'll make a plan okay i can bring it today if you can
30:19brilliant the
30:20quicker the better the quicker the better i'll label it all and then you can just bring it back
30:24for us okay okay i'll send a cream toss for your bottom down to chemist i'll do that now so
30:29you can
30:29pick it up on your way home now okay all right let me just get this for you and then
30:33we'll work out
30:33what's going on all right thank you
30:39shall do you have siblings yeah what do you have i've got an older brother you've got an older brother
30:45oh my god i could see that that's so good and the funny thing is i boss him around
30:51yeah he's 32. it would have been nice to have a sister i would it really would have been nice
30:56all right
30:56babies you've got me that's it i got you
31:02kishiran hi
31:06good morning hi how are you good have a seat i'm dr mcnicholas nice to meet you good to meet
31:11you
31:11thank you so yeah tell me what's been happening so on this island of mine i'm told consistently
31:18my partner that it's getting bigger and bigger every day because she's one looking at me i can't look at
31:22myself okay i use a mirror that much as you can clearly see some days when i wake up in
31:27the morning
31:27it feels like the eyelids are heavy right over the little yeah bulge cystic cystic thing so she's like
31:34should be ever bigger than that was it did you ever have an infection or anything like that no
31:38it used to be very small so i've never considered but in the last few weeks it's definitely gotten
31:42bigger and bigger yeah you probably feel as though it's like massive do you but it's not if you close
31:49your eye now keep your eyes closed as you are look to the left with your eyes closed look to
31:55the
31:55right look down again with your eyes closed that's it does it hurt when i press no no no so
32:05yeah there's
32:06a little blip there and it i can see there's like a little bit of redness okay where it is
32:10like a small
32:11ulcer type thing so i'm going to give you some drops and some ointment okay i would use the drops
32:17four times a day okay and i'd use the ointment at night and i want you to put it on
32:21the upper and
32:22lower lid at night and the drops gonna use four times a day upper and lower lid too yeah yeah
32:28yeah
32:28because this could spread as well yeah do you reckon it's on the eyelid it's on the upper eyelid and
32:34it's on the inside okay and then i can see there's inflammation there's like a cyst type thing and
32:40it probably started as an infection that you might not have even been aware of but okay we need to
32:45treat it for a couple of weeks okay then give it time to rest and then i'll speak to you
32:50if it's not
32:51better i'll refer you yes you're going to see something about it um okay thank you so much no
32:55really appreciate it yeah all right thank you so see you in a couple of weeks cheers have a good
32:59day
32:59take care cheers thank you
33:10now how have you been um very up and down this was very very frustrating for me
33:17in the in this thing yeah and um so yeah frustrated with a wheelchair we went to queue yesterday because
33:24sort of we're trying to do like these day trips like month like how lovely it does mean a lot
33:27of
33:27time in the wheelchair is that a problem being in the wheelchair for a long time do you find it
33:32difficult i i just would prefer to be able to get up and actually walk around and nearer to these
33:38things but it's such a balance isn't it with keeping you safe and making sure that because it
33:42would be you know a nightmare to have a fall somewhere like that where you're quite a long way
33:46from anywhere something a queue is massive isn't it but it's so lovely sadly last october lisa had a fall
33:51and fractured her hip the surgeons then gave her a new hip which was great but unfortunately
33:55with parkinson's where the muscles get affected and they're not receiving all quite the right
33:59messages it can make rehabilitation and getting up back on your feet again quite slow and quite
34:03difficult and do you think you've been out more and been able to do and go to more places like
34:08q since
34:08you've had the wheelchair do you think well you can you can go out with wheelchair if you say in
34:13without a wheelchair forever it's it's frustrating and i think nobody in a wheelchair really wants to be in a
34:19wheelchair but it gives us that freedom of going outside safely parkinson's is a really difficult
34:25condition to manage because it affects so many parts of the body from mobility and walking hallucinations
34:30in the brain to bowel constipation bladder so everything can get affected one of the things
34:35i was going to ask you about we put a uti sampling on tuesday do you have anything it's it's
34:41not back
34:41further report to culture there was a very small amount of white blood cells in it so it wasn't raging
34:47it may be borderline how does it feel are you do you feel any discomfort or anything she never
34:53gets that it's always the hallucinations we notice more hallucinations or more uh well it's more
34:59intense even the carers have said intense i think they came up with this week well there's some times
35:05when she when she's okay she'll be like oh there's a thing over there but i mean i know it's
35:08hallucinations
35:09i'm just gonna you know but when when she's really sort of wants to know that you know the uti
35:13and
35:13whatnot and it feels really real like she's i will not sit on that bed there's a snake there we
35:18know
35:18that utis have been such a trigger for that haven't they yeah make it more confused that's obviously how
35:22they manifest will people show it in different ways the hallucinations must be upsetting they don't
35:28frighten me that much well i know but i remember not at the moment when the dogs were there and
35:32it was
35:32horrible and they were harming you even where she's tried to leave the house at 4am before because of
35:36snakes it's frightening and if it's making you not want to sit or not wanting to do things or trying
35:40to leave the house then she'll be telling she'll be shouting at the empty chair yeah
36:03you mentioned you were seeing people that you know or people from the past
36:06one of the flompson passes someone who's now a hallucination okay but you know what i
36:12might okay my theory is you know we tried the melatonin yes so that was what we did last time
36:16we tried the melatonin to see if a good night's sleep yeah would help we did it for two weeks
36:20straight for the melatonin brilliant she's both of us didn't really see much of a change over the
36:24night time what we all noticed was that she was sleepier during the day which meant that she wasn't
36:29drinking which mentioned she wasn't weeing which meant that i think she may have actually caused the uti
36:35oh maybe so did you stop it we didn't purposely stop it but the chemist didn't have it for three
36:40days that we needed it and mom actually slept better for two nights of those three so we said
36:45okay let's just stop it i had one beautiful sleep one night and i spoke to him about maybe increasing
36:50the fatigue instead yes and were they quite were they willing yes you should have a letter okay
36:55fine so now so if we can action that as soon as possible yeah absolutely let's try that this month
37:00as a as an increase and see any long-term condition is frustrating and it's difficult and one where
37:06mobility is yeah and this mobility because i don't have any pain no which is good which is very happy
37:12about that we want to keep it that way without you falling and i think i mean you know it
37:16doesn't mean i
37:16have to it doesn't mean i have to spend my life in this in this chair i know our biggest
37:22fear and
37:22i think from sophie's point of view and from my point of view our biggest number one fear is a
37:26fall
37:26yeah and unfortunately now we'd rake a bone and a broken bone we're in hospital for weeks and
37:31well the surgical doctor at the hospital did say another bad fall she could be bed bound and we
37:37don't want that because then you can't even do the days out that we're doing like
37:41could you give me a call tomorrow to see about those uti results yes of course i can yes of
37:46course i can see if we need to get any antibiotics it was just strange how we did the melatonin
37:52she
37:52wasn't drinking as much oh and then she starts hallucinating well no the day i didn't drink much
37:57of that i will um have a look and if it's not in i'll send you a text message we'll
38:01get things sorted
38:02but could we book in for another sort of four weeks or something like that and then we can just
38:06check
38:06is that all right well it's a nice to see you and i hope that helps the the slight change
38:10in
38:10medicine great all right okay take care nice to see you can you manage nice to see you to see
38:15who was it who said that brucey brucey oh we always loved him everybody's loved him okay
38:22now can you do it backwards look she's an expert at this i wouldn't say expert don't say that
38:28look at that she's a brilliant parallel parker yeah well you should be all right take care guys nice to
38:35see you bye-bye should we have a look at your legs you can have a look oh it's quite
38:45squidgy isn't
38:45it yeah and if i press does it hurt just to press them no both feet they've been tingling all
38:52over
38:52it's like pins and needles oh i see it swells up a bit the sensation would be a sudden cramp
38:59and trapped
38:59nerve it's painful enough that it brings tears to my eyes can i look at this one as well yeah
39:04yeah we're
39:04very simple doctors we like to compare left with right oh how have you been terrible oh no what i
39:13must alone this earth for well many reasons i'm sure well i seem to get everything going i don't seem
39:21to be getting anywhere it's always my legs yeah even when i was going you know look at the size
39:26of it
39:26yeah that is the wound that's looking so much better yeah and look at the size of it well it's
39:34not too
39:34bad but we'll measure both and compare the two not recording at all i mean your mobility is great
39:39you're still up and about which is brilliant any falls recently any accidents recently no not since
39:44that last time yeah whoever's in charge wants to keep me around just from a safety point of view any
39:53pain
39:53in your chest at all that you've noticed touchwood no good i was asked if i wanted to have an
39:59operation
39:59yes on my heart yeah because they said it's not really a bad thing my heart isn't that bad and
40:07i
40:07said well what else you know and they said we can go on a tablet for a year because there's
40:13no guarantee
40:13i'm going to get through the operation if you know what i mean so i thought i might as well
40:19take the
40:19tablet the reason you're on this particular one is to take a bit of the pressure off the heart
40:23any dizziness when you stand up really quickly good as you get up yeah well that's all really
40:31promising would it be okay just to check your blood pressure yeah and maybe check your pulse yeah
40:38yeah really good nice and regular nice and regular that's the most important thing yeah that's brilliant
40:42let's check your blood pressure never take pills i know yeah i don't i don't blame you if you can
40:48avoid them they're best avoided but sometimes they are needed i'm not saying they can help but i know
40:53what you mean yeah i don't i'm not an aspirin no well you don't get to 93 by taking lots
40:59and lots
40:59of tablets every day oh no no i'll just check this i won't talk to you while we check it
41:03because it
41:03might be really elevated okay good so your blood pressure is okay for for your age it's absolutely
41:14fine i'm not too worried about that thank you lovely thank you and now let's i'm going to look at
41:19your
41:19legs in a bit more detail so what i'd like to do is just measure them if that's all right
41:23good
41:25yeah sorry love no no you're fine you're absolutely fine okay that's fine and then on this side
41:34there's only a one centimeter difference between the two so that's okay that's not that doesn't
41:38worry me at all there is a lot of fluid built up there that's right and so if it's if
41:43it starts
41:43to cause you problems and it starts to sort of become really uncomfortable we can give you some
41:48water tablets to offload some of that fluid you don't need to be on them for life or long
41:53term but every now and then you might need a course i'm not too worried at all see how you
41:59go with these if you want me to give you a short course of water tablets i can is that
42:03all right
42:04so i'll give you a two-week course now and give you another appointment in about two weeks just to
42:09check is that wonderful well good any questions just a layer you haven't gone to pass with no no
42:15absolutely i find you so easy to talk to oh you're very kind and you also look as though you
42:22care i
42:23do that's why i do the job that i do i love right yeah absolutely it's a real privilege to
42:28be able to
42:28help people and to look after them and i'll send the prescription to the chemist now for you see how
42:34you go any problems just come straight back oh you're wonderful many times when i leave here i
42:39think i'm gonna get him cloned take care of yourself all the best okay honestly it's lovely to see you
42:47likewise bye-bye bye now oh i've got to book an appointment haven't i i've booked it for you i've
42:54done it oh have you done it yeah wonderful thank you very much pleasure oh well i don't need you
42:59then thank you dear thank you very much thanks a lot thank you bye-bye thank you very much for
43:15your
43:15time you're very welcome take care have a wonderful day you too all the best all right all right you
43:20take care it's been nice to see you sweetheart bye-bye take care bye bye
43:27you
43:50you
44:24Dementia, we used to think there's nothing I can do about it, and that is not true.
44:28Would it be easy for me to just go off to sleep?
44:31No, it won't.
44:32This morning, my son, I accidentally just knocked my nuts, and I was like, I thought I was going to
44:38explode.
45:04This morning, my son, I accidentally just knocked my nuts.
45:06This morning, my son, I accidentally knocked my nuts.
Comments