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00:05Good morning surgery.
00:07I've got a lump in my armpit that's been growing for like a year and a half.
00:14Yeah, yeah, yeah.
00:15Really soft.
00:16I'm sorry.
00:18Does it help to rub it or anything?
00:20I should leave it calm and it's hurt.
00:22I do rub it, but...
00:23Yeah.
00:24Sorry.
00:26Are you a warrior?
00:27Yes.
00:28Because I always think I'm going to die.
00:35When you feel it, say yes.
00:37Yes.
00:39Yes.
00:46You live up.
00:48It's still there.
00:49It's still there.
00:49You live up.
01:03SoAccess.
01:08Yes.
01:09Sorry.
01:11Maybe.
01:13Maybe.
01:14Maybe.
01:15Maybe.
01:15Maybe.
01:15Maybe.
01:16Maybe.
01:18Maybe.
01:26uh henry please mike hello hey how are you good to see you again yeah likewise how are you doing
01:33i'm guessing not well otherwise you wouldn't be here i'm so sorry i just think it's getting a bit
01:37bigger isn't it i think it i think it probably got bigger like a couple days after i saw you
01:41and like it um it came to a head over the weekend and then on sunday morning as i was
01:45in the hot
01:46compressed like i noticed when i took it away there was like yellow stuff on it so then i assumed
01:50it popped but actually i don't think the swelling's gone down at all the pain's gone how's your vision
01:54at the moment is that okay it's actually still a bit blurry like i literally noticed it as i walked
01:58out of the house to come here any other symptoms fever nausea vomiting and i'm not that going off
02:02next good so you feel otherwise well i'm just going to lift the eyelid and pull the eyelid up a
02:09little
02:09bit i just want to have a look on the underside really yeah you can see where it's scarred over
02:16sorry this is uncomfortable a bit all right good
02:29do you uh do you think the uh ointment helped that i gave you last time did it help a
02:33little bit
02:33no i don't know if it did to be honest with you fine i think the infection's gone because it
02:37looks
02:38very dry it doesn't look like there's any more sort of pus in it or anything like that which is
02:41good
02:41yeah but i think we need to try now and get on top of the inflammation for you i'm just
02:45thinking
02:46how best to do that what i could do is give you a very very very weak one so normally
02:50the hydrocortisone
02:51we use is one percent but i could try and prescribe you the 0.5 percent which is even weaker
02:55and say just use it for a few days really just to really help get bring that inflammation down
03:00and we can give that a go see how you go with it yeah that sound okay yeah yeah any
03:05idea on that
03:06time frame so when that's going to be better it's so variable so some people unfortunately will be
03:10troubled with this for months i don't think that's going to be the case here i hope such
03:13would uh but other times you know sort of 10 days two weeks that kind of ballpark figure
03:17is is sort of most more common uh from from here onwards i would hope it wouldn't be as long
03:22as
03:23that because you've already endured all of that time before okay perfect yeah here we go any
03:27questions at all that's it thank you very much yeah okay all right awesome thank you very much
03:41right so you're here for your smear test yes they've been trying to do it for about a year
03:46because i'm overdue okay every time they try and do it they can't do it because i've been examined
03:51because i was on this pre-cancer pathway for a while okay okay so you're due so you've had
03:57some abnormal smears before um not for a while i think i think they've been okay for a while but
04:03i'm it's is it every five years yeah that's right that's right okay so we are a little not long
04:10we've
04:10had worse but you are you are we would you me i am i'm usually really efficient well we're gonna
04:15we'll
04:15do it now we'll do it today and then we can get it because i've got to have another ultrasound
04:18on
04:18friday for the pre-cancer pathway so i just thought i can't leave it and tell me what's happening on
04:23that pathway it was a suspected cancer pathway every investigation they tried to do was unsuccessful
04:29so they took me in to give me a hysteroscopy and they didn't do the smear there and then or
04:33anything
04:33in the hospital um not that we know of not that we know of sometimes they do but they would
04:38have
04:38told us it had we done it um they said it looked normal they have said the good news is
04:44that they're
04:45not overly worried and that they've discharged you off the cancer pathway as in they don't think it's
04:51cancer great so i think that's one good news great great but they still want to see you and
04:55follow up and deal with things because they need to find out what's happening i got another ultra
04:58scans and i thought oh no and i think it was and we referred you was it because of the
05:03wound lining
05:03well i kept bleeding yeah but um i just decided to stop taking the hrt because i think that was
05:10causing the problem okay right let's hop up would you like a chaperone no i'm fine someone else in
05:15the room just to be here let me close this i've put that there and you can put that across
05:21your
05:22middle so if you've got a dress on it's probably just as easy to to either just hitch it up
05:26a little
05:26bit or whatever exactly take off from the waist down and then we all can get the bits ready okay
05:31are you ready yes yes i think when you have bleeding sweetheart and you're sort of what we
05:35call post-menopausal and we have some bleeding then we've got to think well why yeah and therefore
05:40we've got to go down the route where we start looking into it because then we can work out
05:43exactly exactly so it's really important so it's great to get the all clear but then we must make
05:47sure it stays the all clear and then we can see so you just be as comfortable as you can
05:51you'll feel
05:52a little bit of cushioning i'm sorry it's a bit cold it's okay there we go i'm sorry sweetheart it's
05:58okay you all right yeah okay there we go it's okay i did loads of squats at the gym this
06:03morning
06:03they were hurting they were hurting more than this will hurt right let me knock those off let me get
06:08you some tissues we turn job done well there we go you can tick that one off your list
06:15the results will come back to emily and she will then contact you and let you know the results okay
06:19and as you know it will most of the time comes back normal but sometimes if they're not a hundred
06:25percent happy they come back to us and very occasionally we have to repeat it hopefully not
06:30yeah very occasionally they have to see you in that colposcopy clinic where they want to have a
06:34little closer look at it yeah but they test it all on there and as you said it's been normal
06:38a few times recently so fingers crossed it'll be all right thank you very much thanks elizabeth
06:42let me let you go any bottom good luck with your scan then on friday thank you and any other
06:46problems as always thank you thank you all right take care all the best bye bye bye bye
06:49door open or closed leave it open that's fine thank you thank you
07:03hello good morning how are you uh slightly slow no sorry to hear that come through take a seat
07:12good to see you how can i help today um what it is i've got um i'm having a lot
07:20of trouble with my
07:21back okay because i've got osteoarthritis and spine anyway i'm not sleeping very well um
07:29sometimes if i lay on my back or i turn or sides i get a sharp pain down my back
07:33the top of my legs going numb and it's gone for about half an hour and i don't know what
07:38the
07:38problem is it's happening quite regularly how long has the pain been as bad as this for
07:43roughly every three days i get excruciating pain and got a trap nervous or something like that
07:48yeah absolutely sounds like potentially quite frustrating trying to get up in the morning i can't
07:52get up because my legs numb and every time i try and stand on it i'm having trouble always on
07:57the
07:57left side it's always on the left side yeah any injuries or trauma recently that might have set it
08:02off or made it worse um well not since i was hit by the e-scooter no yeah it's getting
08:06worse and worse
08:06than when i was more irritated or yeah also someone helped me uh sleep at night with the amitripline
08:12because i haven't got any left is the amitripline helping a bit yeah it helps helps a bit
08:16are you on two tablets of those 20 milligrams yeah so there is scope for that to go up a
08:21little bit if
08:22if needed yeah we can always consider that um how else is it affecting your life at the moment
08:27are you still able to get out and about well getting out and about i mean i'm playing longer
08:31in bowls but uh it's got to the stage where um i can't wind this down as far to roll
08:36the ball
08:37anymore so it's uh difficult yeah trying to um have a life
09:06francesca hi hi how are you i'm good thank you come and take a seat
09:15how are you oh i'm so hot oh i bet you are how many weeks are you now i'll be
09:2332 on friday
09:24oh exciting how's it been second time around it's i would say very different like i felt
09:33i'm way bigger than i was yeah and just yeah it's just hard with the toddler so wilbur turned two
09:40a couple of weeks ago so he's like really in the yeah you know toddler tantrum very active i bet
09:47climbing up everything oh my god it's really hard and when you look back at when you were pregnant the
09:52first time yeah you think oh that was actually fine absolutely when you're looking after another
09:58one yeah but yeah so we're going to do um rsv today and the hoop and cough vaccination did you
10:05have rsv for your last one i don't think it was around with wilbur yeah so rsv is a respiratory
10:11virus
10:11that is responsible for sort of common colds and coughs yeah um however it can lead on to pneumonia
10:17and bronchiolitis um which is you know particularly bad for for babies and then the hoop and cough is
10:24exactly the same as the one that you have before exactly so protecting them for their eight weeks
10:30um first eight weeks of life before they have their um eight week vaccinations perfect it's very
10:34unlikely to get side effects from these other than um uh sore arms or do them both today if you're
10:40happy with that yeah fine um sore arms um might be a little bit red a little bit achy that
10:45should
10:46subside within a day or two yeah there is always a chance with all vaccinations that you might get
10:51sort of mild flu like symptoms a bit of an achy body whatnot but with these two it is unlikely
10:55however
10:56if you're worried about anything just just let me know okay perfect are you feeling well today
11:00other than yes and pregnant yeah no i'm feeling fine perfect perfect yeah and remind me you don't
11:06have any allergies do you no i don't know lovely oh it's very exciting yeah very exciting
11:13okay so we will do the rsd in your left arm so we'll start with this side of that's okay
11:21sure so just relax your arms yeah relax it down just like that relax from your shoulder
11:26all right sharp scratch
11:34one done
11:40okay so next time i see you will be for the vaccination that's crazy isn't it um but if you
11:55need anything though in the long time just um just let me know but yeah so much luck with everything
12:01thank you so much so nice to see you yes i'll be to you too thank you take care bye
12:12would it be okay today just to examine you is that all right yeah sure so whenever you're
12:16ready if you stand up for me i'm just going to press down the spine so you can see how
12:22there is a bit
12:23of asymmetry there so you know this shoulder is a bit lower than this one because you're compensating
12:27because you're in so much pain that's very common to see that
12:33a bit tender there so a bit of spinal tenderness i agree sort of around l2 3 l4
12:41sorry sorry are you able to bend forward for me stop when it's painful so only go as far as
12:46you can
12:47and forward yeah yeah so it's yes stop and then if you bend back for me
12:51yeah so it's a very limited range of motion isn't it yeah okay if you slide one arm down one
12:56leg
12:57yeah and the other side for me yeah very very limited we need to get that back really sort of
13:02mobilized and moving around back pain can be really debilitating um it can lead to a lot of
13:07sick days a lot of time off work and can cost the economy you know millions a year so it's
13:12really
13:12important to um manage it as best as we possibly can and prevention is obviously far better than cure
13:19so having good posture strengthening core muscles making sure that we're exercising in a safe way
13:24and are looking after our bodies is really really important can i get you on the couch would that
13:29be okay in simon's case clearly the pain was having a very big impact on his quality of life on
13:35his
13:35abilities to sleep etc if the pain is a bit more complex if there's pain radiating into the buttocks
13:40or into the legs with potential nerve involvement that then might mean that we refer patients for
13:45more specialist intervention at times um a lot of the time we can still manage that in the community
13:50as well but um really understanding the impact the patient's uh pain is having on them is very
13:56important and that helps us to determine whether we need to seek specialist intervention or not
14:03how's that painful sorry just gonna lift this leg up
14:20push me up good to push me down good to push me out with this one push me down
14:26good yeah yeah yeah it's gone i'm really sorry it's all right does it help to rub it or anything
14:32i should leave it a couple of minutes i'll do rub it but yeah sorry whenever you're ready you can
14:39come back round take your time do you need a hand oh yeah one of the main problems is like
14:47when i'm in lying back because i like my life is getting myself up having to sit on the bed
14:53for a while
14:53yeah just to get used to it get sources
15:00okay what i think we should do is a few things we can increase the amitriptyline if you like
15:06just for a few nights to see how you get on with it you can definitely go up to three
15:09quite easily
15:10if you want a little bit of um cocodomol or something like that just to you know for those
15:17paroxysms of pain when it's really really bad you can take a couple of cocodomol not a problem at all
15:21to do that um and then i think we should refer you to the musculoskeletal team just to see if
15:25there's anything else that needs to be done um things to look out for if there's any complete
15:30loss of sensation between the legs if the pain is getting worse um if there's any loss of balance
15:35that kind of stuff just let us know as well all right we'll see how you go okay we'll take
15:40it from
15:40there all right i'll send the prescription to the pharmacy for you okay thank you very much thank you
15:51thank you thank you thank you thank you thank you thank you thank you thank you thank you i'm fine
16:01okay i'm sam so i'm gonna do your diabetes check today so i'm gonna do your bloods give you a
16:07urine
16:07test check your feet do you know how much you weigh um 80 kilograms maybe do you smoke no
16:16i mean not regularly social yeah do you drink alcohol then yeah yeah santiago is a young healthy
16:24active guy who came in for his annual diabetic health check santiago has type 1 diabetes type 1
16:32diabetes is your body doesn't produce insulin it's a autoimmune condition it's classed as a chronic
16:39condition so on average how much do you drink a week no like maybe two three pints like after a
16:46football match yeah do you play football yeah are you good i mean you should ask that that to my
16:53but i think i think they would say yes you're decent who do you support who do i support you've
17:01got to be
17:01very careful now wrong choice who do you support chelsea yes oh okay well i suppose if you're in
17:11fulham i've arrived quite like early or a few years ago here but like i was i'm from argentina
17:19do your family live in argentina yeah you can relax sharp scratch do they come here at all
17:26uh they came once i also went back like twice since i moved okay pop your finger on there for
17:35me nice
17:35and hard so do you play any other sport so i'm trying to get into golf but i'm i'm not
17:42doing i'm not
17:43doing good my dad's always he says he's at the office which means he's in the golf course but he's
17:49rubbish he still goes
17:57oh god
18:08and then you do the one
18:09i can lose my arms in it
18:19right so i need to buy some more blue dresses yeah
18:21oh god he's got pockets when she's heavily heavily pregnant everyday mona yeah
18:31shoes off feet up okay don't don't get surprised with my how do you call this the fungal is it
18:39fungal now
18:40yeah yeah yeah so next time you cut your toes yeah i want you to cut them and put the
18:47nails in here
18:49okay and bring it in for me okay but this looks like classic fungal toenail okay right close your eyes
18:56eyes no treating when you feel it say yes yes yes yes yes yes yes yes yes
19:14during an annual health check we do a foot check where we check for any signs of infection and we
19:22also
19:23use a monofilament device which checks for loss of sensation or auto sensation to the feet
19:29we check to make sure there's no open ulcers no wounds and make sure that you've got feeling
19:38because if not then we can action it so it's really important to attend your annual diabetes check
19:46you've got some hard skin to the bottom yeah of your feet so when you're in bed at night
19:54if you put some um moisturizer on the bottom of your feet okay rub it into the your feet both
20:01feet
20:01and then put cotton socks on okay that's great you've done liver kidney thyroid cholesterol diabetes
20:08iron the whole lot amazing okay okay okay some appreciate thanks so much take care have a good
20:14weekend best wishes for chelsea next season best wishes for fulham a lot bye bye
20:27come on in take a seat my name is anna mccue i'm one of the doctors so what's been going
20:34on um i
20:35originally just wanted to get um bloods done because okay back home in australia i usually
20:41have an iron infusion but i've noticed that it's not a normal practice here yeah iron infusion um so
20:47i think it's worth just getting my bloods done anyway but i've just been like absolutely exhausted
20:51all the time i've got a lump on my armpit that's been growing for like a year and a half
20:56okay we'll
20:57definitely take a look at that yeah that's good definitely good to know yeah so um when did you notice
21:02on this occasion that you were feeling a little bit more tired than usual um honestly it's been
21:08the last last maybe a couple of months okay and it's just progressively getting worse like i'm really
21:13struggling to just get through a work day and okay yeah yeah tell me a little bit more about the
21:18lump
21:19so is it multiple lumps i'll have i'll examine you in a moment it's just one here okay anywhere else
21:25no it's just this one i noticed it maybe last last february okay and has it changed it's getting
21:32bigger okay um and it's it's becoming sore like even if i'm just like resting it's like this achy
21:38pain and and is it ever red hot or anything no that i've noticed okay and any lumpster ball bumps
21:44anywhere else not that i've noticed okay my nan actually died of breast cancer so yeah yeah is there
21:50anyone else in the family with well my mum passed away from melanoma so okay i'm sorry cancer's just
21:55running right from the females in my family unfortunately i'm sorry to hear that that's okay
22:17good luck with the veins okay like a challenge do you have a good vein i doubt it sorry that's
22:27my
22:27blood is solidifying okay so i'm just pressing along the veins in the back of the leg what you
22:33think it might be deep vein flumbus or something awful because you've had varicose veins for a long
22:38long long long time but the pressure's built up so now we've got the sort of discoloration which
22:43isn't going to go away because he did offer to sort out the varicose veins still as well
22:47they're painful they throb they're sensitive to the sun it's quite bad actually who did
22:57edward oh hello hold on i remember the script oh
23:04come in come in have a seat i'm megan how are you oh i i'm well a number of years
23:10ago i had trouble
23:11with varicose veins i took one out okay doctor said you want to see i said not bloody likely you
23:16know
23:17what i saw the pharmacist today about was should i get a pair they go right up up oh what
23:23stockings
23:24like compression stockings yeah yeah i said the pharmacist well are the knee ones okay
23:32or can i get one up the thigh is the main concern here about the stockings or have you had
23:37any other
23:38symptoms have you had any swelling any pain along along the veins not really um even though you had a
23:45bit of
23:45pain but nothing more than the twins but i'm just worried that i don't want to get any worse you
23:49know yeah yeah can i have a feel is that right yeah yeah just have a shower you're safe
23:56just clean my hands you're safe as well warm hands thank god any pain when i press along the
24:02vein it's the size of these nodule things pain along here oh up here sometimes but not much did they
24:08ever
24:08get red or hot not really these look like almost bruises or a bit of blood where it's
24:14popped it slightly oh right and because i can touch them it feels different to the vein ah you've not
24:20you can get something called phlebitis which is to do with inflammation in the varicose veins and it
24:25can be quite uncomfortable and hot to touch and painful now you haven't got any of that which is good
24:31but people worry about dvts yeah yeah yeah yeah yeah um i mean have you had any recent long-haul
24:38flights
24:39i fly to australia every year yeah when did you last fly uh it flew back in january in january
24:44okay so
24:44it's not relatively recent last six months ago often for a lot of people who travel on long-haul flights
24:51they can buy compression stockings over the counter for this guy he had some varicose veins quite
24:56significant leading all the way up to his groin uh with his frequent trips abroad his age and the
25:04barricose veins it puts him at a slightly higher risk of getting a dbt because before you we would
25:11consider like um compression stockings really what you should have is a doppler it involves there's two
25:18ways you can do it one way is they put two blood pressure cuffs on each one on each leg
25:21and one on the
25:22arm you lay flat for about 20 minutes and they measure your venous return oh right and they measure to
25:29see if there's any what we call aphalosclerosis in the arteries so like plaque build up but i don't
25:36think they did well i mean i can't remember so long ago now what we don't want to do is
25:40if you've got a
25:41big build-up is giving you lots of compression and then there's an issue of you having problems with
25:46like venous supply getting blood supply getting to the legs yeah that's all right that's all your feet
25:52are they often purple yes yeah okay i think you'd benefit from a doppler to check how your venous supply
26:00is okay um no she tells me so i'll get that sorted for you one of the things that concerned
26:09me about
26:09this patient was that his feet were purple this suggested to me that he probably had some venous
26:15insufficiency which means that his vein system isn't working properly so then he's getting pooling
26:20discoloration i keep walking everywhere you're walking everywhere can you feel your toes okay
26:25then continue doing what you're doing because that's fantastic and like i said if it starts
26:30to get painful along the vein like hot to touch painful when you're touching it let us know but
26:35if it's more deep in the calf then i'll be a bit more concerned yeah okay but i'll get those
26:41all sorts
26:41of food look after yourself i'll have a look at referring you on to um get a doctor yeah okay
26:48to check
26:48make sure your your blood supply is all good yeah i said there's no news everywhere i don't know
26:52i see me late coming apart oh my god look after yourself okay bye bye this door open oh yeah
27:00leave
27:00it open yeah take care of yourself i will i will leave you mail at night time would you notice
27:08any kind
27:08of drenching night sweats where you would have to change the sheets or the pajamas or anything no no no
27:14nothing like that um have you noticed any change in your bowel habit no any blood in the poo black
27:20tarry steels anything like that no i mean there was um a few months ago well i noticed it and
27:26i was
27:26i didn't and then just sort of passed but can you describe that a little bit more was it red
27:31when you're
27:31wiping or well both and then like it was you could see that there was blood in the stool for
27:37sure and was
27:38it painful to pass a poo um not like stomach wise no i didn't really know what to think of
27:44it so i
27:45just i was like something might pass through okay okay that's definitely good to know as well though
27:49is it okay if i examine your tummy and i have a feel of that lump under your armpit yeah
27:53no worries
27:58and if you just pop the top up perfect now my hands are freezing that's okay even in this
28:02okay just let me know if you have any discomfort nice any pain there when i'm present um not really
28:13i've been there just a little bit yeah okay and you can sit up for me now i'm gonna feel
28:21the lymph nodes
28:21in the neck okay yeah they they have been swollen when i've been getting sick like really big yeah but
28:33okay can you put your hand on my elbow and i'm just going to feel under the armpit
28:40can you point to where you can feel
28:44okay and relax again
28:48okay and you can sit back down for me
28:57so the tummy's nice and soft i can feel what you're feeling under the armpit have you noticed
29:03any lumps or bumps in the breasts at all i had i've i had a biopsy in my left breast
29:10for i had fibrodinomas
29:11and that was maybe like 2021 okay yeah and since then are you good at um checking your breasts for
29:20any longer i've got breast implants it's really hard okay um but nothing that you've i've not that i've
29:26noticed yeah okay yeah having breast implants doesn't put you at any higher risk of having
29:31breast cancer and there's no particular special or different way where you should be checking your
29:36breast if you do have implants i think you know generally knowing what's normal for you so looking
29:41for any asymmetry pain skin changes or puckering or nipple discharge and obviously relating to this
29:49case lumps under the armpits and those are all things where you absolutely should go to your gp to
29:54check so what i might do is bring you back in at another point just to have a full examination
29:59of
30:00the breasts because sometimes when we have a lump under the armpit yeah we just want to make sure
30:05that there's nothing else um going on and we can send you through to the to the breast team in
30:11that
30:11okay in that context okay um and then uh with regards to the tiredness um there are a few blood
30:19tests
30:19that i'm thinking that we should do definitely so i want to look at your iron stores and your um
30:23to make
30:24sure that you're not anemic i also will do a celiac screen as well to see if there's an underlying
30:29cause for
30:29having had low iron in the past and things like thyroid function as well yeah is that okay does
30:34that make sense perfect it may well be that we then send a referral off to the breast team just
30:40to double check sure because a lump under the armpit we just need to yeah yeah fully examine yeah
30:46does the same time next thursday work for you yeah should be fine so we'll do blood tests and then
30:53i'll examine you next week and more than likely send you to the breast team just to make sure that
30:58recovering all our bases okay okay all right questions for me uh no that's all yeah thank
31:03you so much you too cheers do you mind if i park this in here yeah there we go okay
31:15ready
31:17how's it going how's this young lady she's all right she's all right a few complaints but
31:22okay yeah yeah have a seat thank you you want to sit you want to stand or sit my yeah
31:27sit on daddy's
31:28knee yeah no stand or sit come up okay what's been happening so she's been complaining from about
31:35since maybe friday night when she's peeing that it hurts okay yeah her pee is quite strong smelly as
31:42well yeah yeah okay um so yeah so that's been going on now since any temperatures does she feel
31:47hot no no um and it's also during the night as well where it's the most strongest for her yeah
31:53so she
31:54wakes up at maybe two or three o'clock in the morning and complains that she's out of nappies at
31:57night
31:58blah blah blah she doesn't wear a nappy at night she does wear a nappy yeah yeah but she says
32:02it hurts
32:02yeah she says and then she does you know the typical crossing of yeah yeah so it's important that we
32:09get
32:09a urine test before we start treatment okay if she's unwell we'd say put her on sort of a general
32:16antibiotic amoxicillin it's the usual children's one but uh the result then may show that it's a
32:22different about it might be better okay how easy what do you yeah this is the next question yeah how
32:28easy how easy am i going to go yeah um yeah my my other option is cotton wool
32:39you know put it down there and then when she's gone you just squeeze it out into this okay right
32:43thing but we'll give you all the same
32:47i'll just put a label on it for you we're going to put your pp in there
32:52and then someone's going to look at it and tell me if you have something wrong yeah yeah
33:00do you want to choose oh you want a sticker my hair which one what do you want we've got
33:05shark
33:06starfish turtle octopus which one do you want you choose you want the octopus oh it was a jellyfish
33:12daddy oh sorry jellyfish sorry not there yeah don't know my nose man you want that one you want
33:16to put it on your you want to put it on your uh yeah you can show all your all
33:21your friends and
33:21becca's you got a sticker daddy gets these to go yay party bags okay there you go thank you you
33:29well many problems give us a call yes and if i see the urine test back earlier i'll give you
33:33a call
33:34okay thanks thank you for coming hi hi do i get a wave hi thanks for coming see you
33:47if i eat anything in the morning i immediately feel bloated and full and if you sort of pass wind
33:52and these does that help i'm not able to very much but i don't usually anyway do you feel like
33:56now
33:56bloated a little bit with more wind um yeah maybe a little bit okay um does the pain improve after
34:03a
34:03bowel movement or passing wind i feel like i really need to go yeah what's your pain
34:12do you think it's because you have the latte why don't you just be crumping up because you've
34:16mixed the milk and the chips and then sweets
34:22maria hello come on in how are you not good not good oh dear that's all right pleased to see
34:31you
34:32we're in here today that's why i'm crawling in again yeah so what's happened you know last week i had
34:40terrible diarrhea first okay and then total conservation bloated like this on sunday nothing
34:47and i didn't so i went to chelsea in westminster so he was rather a thing this is all painful
34:55he couldn't feel a blockage okay took my blood okay and sent me home now it's again it's constant
35:03pains here okay it's like this i sent you a copy of those what i could copy from the test
35:10from the
35:11hospital yeah yeah it looks like my liver and kidneys something because we've had sort of tummy
35:17upset and problems for quite a while haven't we we sent you to the sort of the urgent clinic to
35:21try
35:21and get them to find out what it was didn't we she didn't she run tests and she did a
35:26lot of tests and
35:27they put cameras in and everything didn't they nothing and then the other day when i was pooping
35:33it looked like blood i'm just thinking of having a whole body scan maybe well you pretty much got a
35:39whole body scan before didn't they just a few weeks ago so they did a whole ct what they call
35:43thorax
35:44abdomen pelvis they did all of it from top to bottom and here from here all the way down and
35:49here i am
35:50again so they didn't find cancer or anything horrible which is what we all worry about yeah and they've
35:55said that everything was fine the heart the lungs they didn't find any swollen lymph nodes or glands
36:01they said the liver gallbladder pancreas spleen adrenal glands kidneys bladder are all normal even
36:09bladder bladder all normal but they did say that you've got a condition i don't know if you know about
36:14it called diverticular disease your our intestine sort of comes and it looks like this and it's nice and
36:20and bobbily like that and it comes down and out and we go to the loo so that's what it
36:26should but
36:26with diverticular disease we end up with these little pockets oh that stick out and the poo comes
36:32up and round and out it can get stuck in these and cause them to be inflamed and bloaty and
36:38sore and
36:38horrid they said no other abnormality in the colon nothing else in the pelvis but you do have these and
36:44what i wonder happens is that some days might not be so bad other days might be horrible yeah do
36:51you
36:51pass a lot of wind do you find you're quite windy well sometimes i don't have to take something okay
36:56to help it yes and the problem is that that's what can happen here the sort of gas can build
37:00up and then
37:01it's stuck and it can't go around and if gas if the walls get stretched to the colon it's really
37:05uncomfortable and it can be really horrible why don't we start with just seeing if we can get something
37:11to help you with the one thing you know is going on which can cause the bloating and can we
37:14have a
37:14poop test we can do a poop test and we can just check that there's nothing there yes that there's
37:19no blood
37:22you
37:37are you a warrior yes because i always think i'm going to die and what do you think you're going
37:43to die of something horrible some cancer or something the problem is that we all worry about
37:47things and sometimes that worry just grows a bit doesn't it i think it's getting is sort of
37:52because i've had so many friends i'm sure that's frightening isn't it but that's my age i mean but
37:59but that's the problem that that's going to keep on happening isn't it instead of going forward that's
38:03why i accept it yeah but it's just sad it is sad yeah you know i said oh can i
38:10go on holiday somewhere
38:11who'd you go with yeah i used to always have one or two and they're all sort of dropping off
38:17are they
38:18slowly yeah and they're all dropping off i mean but that's okay it's the problem being the fittest of
38:23a group because then you're the one that's left standing on you i'm about the only one left out of
38:27them a lot that we started what about making new friends and different things i have lots of young
38:36friends anyone to go on holiday with any of yeah well i am i always do once a year i
38:41force them
38:42good i bet you don't force them very much i'm sure i'm trying to zanzibar in september oh my goodness
38:48me that's amazing i'd like to go to zanzibar for longer but 10 days that's max because what you get
38:54people to sort of dog sit yes yes and drives my partner crazy he's 80 and uh on his own
39:01with the
39:01three of them can he not travel with you or does he not really like he's autistic he doesn't move
39:06he sits in front of okay the computer all day long it's very difficult but we get on well i've
39:14known
39:14him for 65 years and are you married is he your partner no he's my part he was always my
39:20best friend
39:21i got married to somebody else and then got divorced and went back now within 11 years now oh okay
39:28well he
39:28is his we're the best friend we knew each other's families we grew up in harping so we knew each
39:35other you know it works it works he has somebody to talk to i have somebody to talk to good
39:41we all
39:42do our own thing yeah yeah i mean they keep you all going i mustn't complain i'm a bit just
39:48of a
39:48neurotic but this makes me feel better well i'll tell you what let's do the test and see but then
39:52we'll discuss the result when it comes and then we can make a plan right i'm going to give you
39:56the
39:56little sample pot let me get it from the girls at the front then we can get it sorted out
40:00it's all
40:00day another uh fit test please bring it back anytime thank you enjoy take care all the best bye bye
40:08how are you well i'm all right i mean because i'm asked to come not because i want to come
40:15but you feel okay yeah i get on with it yeah you know that i know that that's why i
40:23like seeing you
40:24because you know me so your sugar's okay your liver is still there yes it's still there
40:34but a strong's good is it good yeah what is it yours is a 4.4 wonderful
40:42i've never had that there you go i spend my life telling people to take statins and it's great when
40:52it works well i've been taken for so many years it's unbelievable i started you on them
40:58because i'm on the same ones that's first of them yeah but you feel okay you don't have achy joints
41:06i do have achy joints but i'm 80 years old what do you expect i mean even the bones here
41:14hurt my
41:14collar bones hurt but you know tell me about the bones and aches and pains and things tell me about
41:22them for instance we went to the coast and what should have been an hour and a half journey because
41:29half the motor closed did a detour took us three hours so you know i've got yeah yeah i've always
41:36had so when you get out of the car oh not in the car in the car while you're going
41:41and my hips were
41:42hurting yeah yeah okay wait to get out the car so i mean i'm used to back hurts you know
41:48it's all the
41:49time yeah yeah yeah it's part of me it's always the left knee yeah yeah yeah yeah and usually the
41:58right
41:58hip and i say the other day it was both hips but then yeah hey yeah something's got to kill
42:07me
42:08well your joints are not going to kill you but we want to make we want to make it as
42:12joyful
42:13experiences going to the coast as possible i don't really want you in pain
42:18blood pressure's a wee bit high as well that's not because i've been sitting out there and you're late
42:28i'm not happy to just leave that blood pressure as well well that's it now that you're in
42:37so i would like to check your blood pressure again are you going away or you're here no i'm here
42:45yeah
42:46i'm here what i'm going to do is book you in in two weeks time with me and sam if
42:53she's around
42:54yes just do a couple more blood tests all right check your blood pressure yeah we just send it to
43:00the phone and off yeah okay i'll send it nice to see you anyway and you yeah it's not like
43:07going to the
43:08doctors is it when i come to see you yeah it's just to see him chuck yeah take care yeah
43:13all right
43:14take care cheers thank you very much thank you very much thank you bye bye emily i'll see you next
43:28week
43:28thank you
43:29you
44:26You've had a few of those falls recently.
44:29It always happens where you can't get up because there's nothing to hold on to.
44:34Oh, gosh.
44:35From your perspective, would you think I have ADHD?
44:38It's a spectrum, isn't it?
44:39We're probably all on one part of the spectrum.
44:42He just woke up one morning and wasn't all there.
45:08We'll see you next time.
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