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00:04Good morning, surgery.
00:06Everybody tells me it's not cancer, it's not cancer, but it does continue to grow.
00:16I'm really sorry, I did apologise. Well done.
00:191, 2, 3, 4, 5, 6, 7, 8, 9, 10, coming out.
00:25It'll heal really nicely.
00:27Famous last words. I lose my foot.
00:30I come in here all gangrene.
00:35Is it sore? It is a bit sore, yeah. It's funny.
00:38I do have to dig it, so I do apologise.
00:44The last six months for me have been at night 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?
01:01I almost do.
01:13¿T הי sleeping.
01:15I mean, personallyравля.
01:17I look like we're 46.
01:18Maybe you arehhhhhhh x2
01:24Maybe you're two bullet proters?"
01:26Maybe not.
01:30Good morning, Sergei.
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.
01:46So 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.
02:03But before it was like all over my chest for like two weeks.
02:07So I went to the pharmacy.
02:09They gave me like a steroid cream.
02:11Used that for like a week and antihistamines.
02:13And they were 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.
02:19And now it's kind of gone.
02:22And have you noticed it spread maybe?
02:24Yeah, like on my legs.
02:26It's the only other place it's gone to.
02:27But like only on the front of my legs.
02:29Again, weird.
02:30And is it itchy at all?
02:31No.
02:32Now what do you think it is?
02:33I think it's stress.
02:35Okay.
02:36Work'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.
02:41So 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, posh word for red.
02:52But there's these little whitey bits on the top, aren't there?
02:54Yes.
02:55So this one for example is red, but it's got some white sort of almost flaky bits of skin.
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 there.
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.
03:18Yes.
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 work long hours?
03:27Yeah, like 12 hours a day.
03:29It's sometimes six days a week.
03:31It's just like, I think I haven't, so I live in Cornwall.
03:34Okay.
03:34And I haven't been home since Christmas.
03:36And 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.
03:49I 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.
04:12Sorry.
04:13So she's gone on holiday.
04:14So interestingly, you need to go to Spain for a week.
04:17Can you prescribe that?
04:19I would.
04:20But I do think it's the UV light that helps a bit.
04:23For psoriasis, salt water is fantastic.
04:27I know.
04:27And sunlight and reduced stress.
04:29So actually, call more.
04:30Call more.
04:31At 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 little
04:40bit better.
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.
04:49Go to Boots anytime.
04:50It's just once a day.
04:51Yeah.
04:51And then you can put normal moisturiser, clean whatever on top if you want to.
04:54Easy peasy.
04:55Thank you so much.
04:56Thank you guys.
04:57All right.
04:58Take care.
04:58All the best.
04:58Bye-bye.
04:59Bye-bye.
05:00Bye-bye.
05:04Bye-bye.
05:05Bye-bye.
05:05Bye-bye.
05:07Bye-bye.
05:08Bye-bye.
05:09How are you doing?
05:09Long time no see.
05:11Still here.
05:12How are you?
05:13I'm recovering.
05:15Good sat.
05:15They dropped me in hospital, didn't they?
05:17Why?
05:18I broke my hip.
05:20I went in with a broken elbow.
05:22Yeah.
05:22Came 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.
05:52What, 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.
06:10I think we might have a spare wheelchair.
06:13Until you get, you know.
06:14Yeah.
06:14Your 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 when he...
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 alright.
06:27Shall I take it now?
06:29Are you going to be able to though?
06:31In the cab?
06:32Because you 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?
06:45The last few years.
06:47I need to get right up here.
06:49Right.
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.
06:57Don't look.
06:58I've got a phobia about needles.
06:59Just think of what you think.
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.
07:12The muscle, that, wasn't it?
07:14Yeah.
07:14Don't want to stick it anywhere else.
07:17Stop it.
07:18OK.
07:19Right.
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.
07:29You'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 pubs.
07:42Yeah, I know.
07:42See you, baby.
07:43Take care.
07:43Thank you, Sam.
07:44Bye.
07:47Barbara.
07:48Hello.
07:50It does something to my back.
07:52Oh, dear.
07:52Come on in.
07:53Come and have a seat.
07:53It's nice to see you.
07:55So, what's happened?
07:56I don't know.
07:57I think it's muscular.
07:59OK.
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.
08:06OK.
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.
08:14OK.
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.
08:26OK.
08:26You mentioned it's in your lower back.
08:28Yeah, it'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, at the top of my left leg.
08:36OK.
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.
08:52I'd like to pick something up.
08:53OK.
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,
08:59all your vertebrae.
09:00But what happens is the nerves come out and down.
09:02It might be that we've moved a disc slightly.
09:05Right.
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.
09:18I mean, the last six months for me have been a nightmare because of my foot and then my
09:21ear.
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, yeah.
09:26You'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.
09:35What can I do?
09:37Anyway, that's where we are.
09:54I was a little bit concerned initially because I had that pain and I know you shouldn't consult
09:59Dr. Google, but you know, naturally it's kind of the quickest way to get a sense 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 say maybe I should do like a, I won't study.
10:17I'm not sure what that means.
10:18Who says that?
10:19Shut your pity.
10:21Right.
10:21I don't think that's going to be helpful.
10:29Charlie.
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?
10:37Well, no, I'm sure they'll be.
10:38Are you sure?
10:39Yep.
10:39As you said, give a queen a stage.
10:42Hello.
10:42Hello.
10:43Take a seat.
10:44Good to see you.
10:45It's been a while.
10:46How can I help today?
10:48Um, I'll tell you what it is.
10:50Is that, you know, this problem with the arms that we went through.
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,
11:05you know, it's obscure this.
11:07So I thought I'd look everywhere.
11:09Long-term use of omeprazole.
11:12Yep.
11:13Can cause this and copper shortage or whatever it is.
11:17Okay.
11:17Yep.
11:18Because it stops you, um, your gut.
11:20It's absorbing.
11:21You've got it.
11:23Charlie has got a few chronic health conditions.
11:25Um, he recently came in with, uh, 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 you, I don't know if you remember, I saw a very nice gastroenterologist
11:37and he's just, I tried esopromo.
11:41Isomeprazole.
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.
11:47Well, 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.
11:57No.
11:57Because then if you, if you've got too much copper on board, that causes more problems
12:00than it's solved.
12:01We see more and more patients, uh, that, uh, have consulted with, uh, artificial intelligence
12:06or have Googled their symptoms.
12:09Uh, whilst I'm not completely averse to that, it's really important for them to make sure
12:13they're getting the right advice and are 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, uh, because we have a wealth
12:26of experience and 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,
12:43basically.
12:43So let's say, let's, yeah, I agree.
12:45Let's stop the omeprazole.
12:46Try the iso instead.
12:48Isomeprazole.
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 we 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.
12:59Oh, have you?
12:59Oh, very good.
13:00Oh, I love it.
13:02It suits you.
13:03Let's go 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.
13:14And 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.
13:18If not, it's just six.
13:19He's a genius.
13:21Oh, I don't know about that.
13:22Blimey.
13:22You're far too kind.
13:23Far too kind.
13:24Great.
13:24Brilliant.
13:25Thanks for your time.
13:25Thanks for seeing me.
13:27Thanks.
13:27You're very welcome.
13:28Bye.
13:31I do hear you about your mood.
13:33That's really hard though.
13:34I know, but what can I do?
13:35Sad, Baba, because you're so stoical.
13:38You're always just getting the one that's holding everyone together in your family, aren't you?
13:41I saw someone with a cast on.
13:44Everyone 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?
13:57It'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.
14:06There'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.
14:17Then 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
14:24and it's actually treating the problem as well.
14:26So I think if we can do one in morning, one at night, and we just need one omeprazil,
14:30a stomach 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 co-codamol on top of the baseline that we're giving.
14:39Anyone's mood is totally zonked when you haven't had any sleep and everything else.
14:44I 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.
14:51Don't do any lifting.
14:52You're not washing up.
14:52You're not gardening.
14:53You're not shopping.
14:55Just pottering around at home.
14:56Just keep walking and moving a bit and the back will settle with all of this.
15:00Okay.
15:01And that perhaps we'll give you a ring perhaps later on in the week and just see how you're
15:04doing.
15:04Okay.
15:05So, but I'll get that all sent through.
15:06And I'll go now to Boots and sit in there.
15:08Absolutely.
15:09And 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.
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.
15:22And what's been happening?
15:24Tell me.
15:24I've always had varicose veins on this thing.
15:26Yeah.
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.
15:39Probably get a bit bigger when you've been standing up for a while.
15:43Yes.
15:44Never happened before.
15:45No.
15:46Okay.
15:47Because 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.
16:14Yeah.
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, that would be like wood.
16:26It would feel like wood, both sides.
16:27And you've got none of that, but you have got this tenderness, infection, start some antibiotics.
16:34I walk very badly and everything hurts.
16:38Mm.
16:38I thought I'd try a personal trainer to 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, because the circulation is good.
16:47I want the circulation moving around and dispersing the infection, that together, the antibiotics.
16:54But when you are resting afterwards, elevate it higher than your hip.
16:58Yeah.
16:59So it's moving around and the infection's going back towards the body.
17:02Right.
17:02And 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.
17:11Right.
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.
17:19Right.
17:20Because 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.
17:42OK.
17:42Thanks so much.
17:43You're welcome.
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.
17:53I used to like Sex and the Beat.
17:55Huh?
17:55It's like Sex and the Beatty.
17:57Yeah.
17:58Oh, I used to love Sex and the Beatty.
18:00I love it.
18:00I was watching it with my mum last time.
18:02Oh.
18:02Did you?
18:04I used to love that.
18:05Oh.
18:06I like margaritas.
18:07They're my favourite.
18:08I love margaritas.
18:08Oh, I love margaritas.
18:10One margarita, two margaritas.
18:12What are you singing?
18:15I just made it up.
18:17Hi.
18:22Mirella.
18:23Hi.
18:25Are you OK?
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 wanted to ask you...
18:36I'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.
18:56I 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?
19:13Oh, yes.
19:13And he said, no, it's OK.
19:15It's not OK, because it's growing.
19:17Is the growing worrying you because you're associating that with cancer?
19:22I'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.
19:50And you say it's increasing in size.
19:53Is it bothering you in any other way?
19:55No, no, nothing.
19:56Nothing.
19:57Just size.
19:58I see it every morning when I do my hair.
20:00And I say, oh, my God, it's starting to show.
20:03Which it is.
20:04Well, let's have a look.
20:05Yeah, yeah, yeah.
20:06Can I feel it?
20:06Yeah, yeah, yeah.
20:07Don't worry.
20:08So, I'm just going to have a gentle feel, OK?
20:10It's quite big, isn't it?
20:11It's coming from...
20:14Yeah, 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.
20:35But, you know, it gives me another five years of growth.
20:39The dimensions on the scan there were two and a half centimetres.
20:44And now?
20:45It's about five centimetres.
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 OK?
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.
21:21Yeah.
21:23My husband said there's a funny-shaped one here.
21:25It's getting bigger.
21:27I've just got a few marks.
21:28I just want to make sure...
21:29I used to get so sunburnt as a child.
21:31I had to kind of peel before you...
21:33to get your base properly sorted out.
21:35Yeah, I know, I know.
21:35I mean, we know a lot more now, don't we?
21:36Can we 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.
21:45I've convinced myself of something that's not there.
21:47It looks okay.
21:52Lauren.
21:53Hiya.
21:54Hiya.
21:55Oh, we've got the whole clown 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.
22:11Okay, okay.
22:12It doesn't look awful, but it has changed.
22:13Okay.
22:14Before it was just a dot, so my mum was like, yeah, I should come and get a chance.
22:17Let's have a look at it.
22:17Let's have a look at it.
22:18Have you ever had any dodgy moles before?
22:20Anything 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.
22:25She, okay.
22:26Okay, okay.
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?
22:33No, I just noticed it had changed.
22:35Okay.
22:36So it was just like a pale brown, 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, brilliant.
22:47Okay, well done, well done.
22:48And what about when you were younger in a childhood?
22:50Do you used to sunbathe and sunburn a bit sometimes?
22:53Yeah.
22:53Ever sunbeds?
22:55Yeah.
22:55Yeah.
22:56Okay.
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 I could just see.
23:04Yeah.
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.
23:08That's the thing, a 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
23:16one?
23:16Having had a bit of sun exposure and a bit of sunbeds, a bit of UV light, and it is
23:20a mole
23:20that's changed on that area with a little bit of redness.
23:23I think we probably ought to get the dermatologist to look at it for us.
23:26Okay.
23:26So what we'll do, can we take a photograph of it?
23:29If we take it with your phone, then we can upload it onto the system.
23:33Right, Taylor, I need you to help me.
23:34Can you hold that like that?
23:37One.
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
23:44really good photos of it.
23:47One.
23:48One.
23:48And 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.
23:55And then if you can 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.
24:02But I think a mole that's changed, it's really important just to have a look at it.
24:06And then we can be sure.
24:07Right.
24:07Okay, so don't forget those photographs.
24:09Just send it straight through, and then I'll get it organised.
24:11Brilliant.
24:12Okay.
24:12All right, guys.
24:13Okay, take care.
24:14Bye-bye.
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.
24:38And they've written here that at the time you wanted it to be removed.
24:43But they were not keen because of your age and because of your other health conditions.
24:50The risk of having an operation being weighed up against the benefits.
24:55Right, right, right.
24:55Which at the time you were reporting to be cosmetic of the appearance was troublesome to you.
25:02Okay.
25:02So the surgery wouldn't be to save your life.
25:06It would be to kind of improve your confidence in how 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.
25:22And very rarely they can become cancerous.
25:25Mirella was very concerned that this could be happening,
25:28that having lost her husband tragically to cancer.
25:30So, of course, 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,
26:24anything that isn't kosher immediately goes out of proportion.
26:30Worrying.
26:31Of course. Yeah, of course.
26:33Anyway, so nice to meet you. What's your name?
26:36Dr Prestwich.
26:38Yeah, we've met before.
26:40We have? Yeah.
26:41Oh, you see, that is something, that 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. Bye-bye.
26:57Do you want animal or animal?
26:59I would definitely be a panda, not a panda.
27:03A panda?
27:03I look cute.
27:04They just sit down and 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.
27:13They're just pairing everywhere.
27:14And I love cats.
27:15They're just so cute.
27:16Yeah, I love cats too.
27:18Finally, someone like cats.
27:19Everyone else don't like them.
27:20George hates them.
27:21Really?
27:21Yeah.
27:22I said George, they're lovely.
27:23Absolutely.
27:29Hello.
27:29How are you?
27:30Hi.
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 chicken pox since last Thursday, but she hasn't gone to the toilet.
27:47Like, she's constipated.
27:48Okay.
27:49For like three days.
27:49Yesterday, I took her to a hospital and they gave her some lecturers.
27:54Yep.
27:54And they helped her pass the stuff.
27:57But they said, you know, take her to the GP because she might have.
28:00Might have.
28:00Like, it might happen again.
28:02It might happen again.
28:02Yeah, it might do.
28:03Absolutely.
28:03So the chicken pox started last Thursday.
28:05Have all the lesions scabbed over now?
28:08Are there any more heart ones popping up that you can see?
28:10No.
28:10They look like they're all scabbed, don't they?
28:12So she's not infectious anymore, which is great.
28:14Yeah.
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.
28:26Doing so well.
28:28Lovely.
28:29Temperature 36.9, so completely normal.
28:31Would it be okay to examine her tummy?
28:32Yeah.
28:33Just on the couch?
28:34Is that all right?
28:35Yeah.
28:36Good.
28:37Any other concerns that you have?
28:38Just the constipation.
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, did she have a good bowel motion?
28:50Did she have sort of a good amount of poo?
28:51Yeah.
28:51Brilliant.
28:51Really good.
28:52So absolutely fine to keep using that for a few days just 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 or if you can see pus coming out of them
29:02or redness spreading around any particular ones, please 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 when the last spot on the skin is scabbed over, then
29:19she's absolutely fine and she can go back.
29:21High five?
29:22Do a high five?
29:23Yay.
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.
29:34Great.
29:34I'll send a prescription to the pharmacy for you.
29:36Great.
29:37Any problems just come straight back.
29:39No.
29:39All right.
29:39Well done.
29:40You did such a good job.
29:41Bye.
29:42See you later.
29:43See you.
29:46Say bye-bye.
29:47Bye-bye, doctor.
29:53Eddie.
29:54Yeah.
29:58Hello.
29:59How are you?
29:59Yeah, good, thanks.
30:00Just a seat here, please.
30:03Okay, so I'm new to this surgery.
30:04How are you?
30:05Okay, well, welcome.
30:06And I'm here because I needed a medical certificate
30:10due to a condition I suffered from since the 14th.
30:14Mm-hmm.
30:14Diplopia.
30:16Right.
30:16And I am employed as a bus driver.
30:20Yeah.
30:20So, obviously, I couldn't carry on driving.
30:23Right.
30:24Seeing levels.
30:25No, of course.
30:25You know, I did have an MRI scan.
30:28The MRI revealed that I have a...
30:31I had a mini-stroke.
30:32That's the cause of your double vision.
30:35That's right, yeah.
30:36That could be it, yeah.
30:37Right.
30:37In the eye, although this is the eye that gives me trouble,
30:41but this eye's 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
30:48and it's affected the nerves that control eye movements,
30:51the issue is that one eye's looking over here
30:53and one eye's 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,
31:07it'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?
31:17Yeah.
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
31:30until that appointment.
31:32Yeah, yeah.
31:32I agree that, you know, if you're still having symptoms,
31:36it's not safe for you to be driving at the moment.
31:38If things get better, and DVLA say, yeah, you can go back,
31:41I should be able to go back to work, you know, this year.
31:46Yeah, yeah.
31:46What have you been doing with yourself then?
31:48I do about four or five miles a day walking, so, yeah,
31:52which helped me a lot, to be honest.
31:54Especially if your occupation requires you to be sitting for a long time.
31:57Yeah, yeah.
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, good.
32:04Exactly, yeah.
32:05Nice to meet you.
32:08Oh, yes.
32:11Take care.
32:12Bye.
32:12It's all for what the shots are sticking in there.
32:15You know, it's normal.
32:19Yoshi, come on through.
32:22Good morning.
32:23Hello.
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.
32:30Nice to see you.
32:32Nice to see you.
32:33My dad has been asking the cancer doctor for the skin.
32:37Ah, yes, for 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, you've got the cancer of the skin on the leg and they've removed that.
32:53Yes, yes, 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
33:00to be sure.
33:01But the skin doctors seem quite happy in the letters.
33:04Yes.
33:04Like they're removing things, but they've got it under control.
33:06Yes, I think so.
33:06So hopefully the skin is okay.
33:08Yeah, okay, yeah.
33:09Tell me about your stomach.
33:11Upset.
33:11Upset.
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?
33:25Do you swallow?
33:26Yes, yes, it's okay.
33:27No problem.
33:29No problem.
33:30And do you know how much weight you've lost?
33:32We don't measure.
33:32We don't measure, 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.
33:41Okay.
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.
33:57A few months.
33:58A few months.
33:59And it's just persistent, is it, this new cough?
34:01Yes, I think so, yeah.
34:02Okay.
34:03And is there anything maybe that you're worried about that could be causing this, the weight loss?
34:07I think my dad is quite sensitive if there's a cancer.
34:12Okay.
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.
34:27But he was 72.
34:31That's it.
34:32Okay.
34:32So he was quite young.
34:34He was young.
34:34Yeah, yeah, yeah.
34:35And that's it.
35:05I tripped over the stool. It was probably like a cartoon a TN
35:10Then I was electrocuted. Oh, I worked for the dentist health and safety wasn't quite what it was now
35:17What about the other one? I was doing some repairs at home and I fell off my steps
35:21Honestly, DIY should be banned. I had a fall about six months ago knew I was gonna
35:26All so it was my sister-in-law's 50th birthday party, and I decided I could Cossack dance
35:32Okay, I can't okay
35:36Thank you
35:37Bang the elbow off of that to make a wish if you do that, you know, really? Yeah, I need
35:42to make about
35:42Five million then I don't really all time. See, 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 up with a big blister?
35:54No, it just was like brown and I keep knocking it now and this morning it was really weepy
36:00Yeah, it looks a bit oozy doesn't it?
36:02Yeah, but then you've got new skin already, which I can see under the womb bed
36:07Yeah, I was just a bit concerned it's gonna get infected
36:11A million percent I will get one of the doctors to prescribe you
36:15Fluoxicillin because you need them because you're oozing and I'm gonna take a swab if that's all right
36:20Okay, because then that will tell us when it comes back if the fluoxicillin is the right antibiotic for it
36:27Put your hand up pop it on
36:30Most of the accidents you see in here
36:32Are in the kitchen?
36:33Are in the kitchen
36:34Yeah, I'm sure
36:34Like 75% easily, people walking into dishwashers, people catching their arm on a
36:42kitchen rack or on a worktop that's got a very jagged edge or of course burns
36:47And my broken little toe from the kitchen cabinet
36:51See, so I'm gonna swab it
36:53Send it to the lab, probably be back Friday
36:57Ready?
36:58Yes
36:58Sorry
37:00Is it sore?
37:01It is a bit sore
37:03It is a bit sore, yeah
37:03Sorry, I do have to dig it so I do apologise
37:08Right, we're gonna send you off and then today you're not working are you?
37:13No
37:14Why is that?
37:15Because I'm retired
37:16Very jammy
37:17Do I have to remind you every time I come in?
37:21No, but I like you to say it because you're newly retired
37:25There was a blister there, I can see the remnants of a blister
37:29It wasn't raised, it was really weird, it was just brown
37:32But when you said it goes brown, that's blistering
37:34So I'm gonna put some silicone on it because it replicates your skin
37:38I've gotta go up to St Pancras today so I was just a bit concerned the tubes are so mucky
37:43I've gotta go change a ticket
37:45Are you gonna go France or?
37:47Yeah, we're going to Paris
37:48Lovely
37:49To see the David Hockney exhibition
37:51Amazing
37:52I love David Hockney and it's the biggest exhibition of his works ever
37:56I had some points on my Eurostar card so we're going
38:01Beautiful
38:02How long are you going for?
38:03Two nights
38:04Have some bread and cheese and wine
38:07Oh, 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
38:17So we're gonna cover it now
38:19Mmm
38:20When you're at home, obviously wear marigolds to clean, okay?
38:27I'm gonna get one of the doctors to prescribe as well
38:30We'll send the flu clocks
38:31Okay, yes
38:32So it'll be there later today
38:33Thank you
38:34And it should, hopefully, be a lot better
38:38Alright then, thanks a lot
38:39You are very welcome
38:40Okay, Sam
38:41Thanks a lot
38:41Take care
38:42Bye
38:42Bye
38:47Any pain in your tummy now?
38:50No
38:50No? Just the funny feeling here?
38:52Yeah
38:52And is the feeling here now? The funny feeling now in your tummy?
38:55Yes, yes
38:55Okay, I'm just gonna feel very gently, okay?
38:57And tell me if it's sore
38:59Is that okay?
39:00Yeah
39:00Okay, I'll just feel a little bit deeper
39:02Nothing at all?
39:03No, no
39:07Nice and hollow
39:07Okay
39:08So that all feels fine, sweetheart
39:10Let's just sit you up for a second
39:12Are you alright?
39:13Can I just have a listen to your lungs at the back?
39:14Are you okay just sitting like that for a minute?
39:16Okay, yeah
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
39:26And we can get some tests done
39:27Just to make sure that everything's okay
39:29Um
39:30I wonder if perhaps the best thing that we do
39:33Yeah
39:33Is we try and work out where the problem is
39:35Something is causing these symptoms, isn't it?
39:37Maybe there's nothing to worry about at all
39:39Okay
39:40But 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
39:49Just to look at the general stomach
39:50The bowel
39:51The inflammation
39:51And then I wonder
39:53Because you've got this funny feeling in the stomach
39:54There's a few tests we can do
39:56Which is actually done on the poo test
39:58So we check a poo sample
39:59Okay
40:00But we check for maybe there's a bug
40:01It's called helicobacter
40:03H. pylori
40:04You might have heard of it
40:04But we can check for that
40:06Okay
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
40:16Okay
40:16I'll give you some of the pots now
40:18So one, two
40:19Thank you very much
40:20The x-ray
40:21You're going to go when you've got time
40:23Okay
40:23And the blood test if you book with the girls now at the desk
40:26Okay
40:26Thank you so much
40:27All right
40:27Okay
40:28Thank you very much
40:29We'll catch up with all the results
40:30I'll keep an eye out for them
40:31Thank you
40:32All right
40:32Okay
40:33Not at all
40:33Nice to see you
40:34Bye bye sir
40:35Bye bye
40:35Take care sweetheart
40:43Charlie
40:43Yes
40:44Hello
40:45How are you
40:46All right mate
40:47Yeah not too bad
40:48Any question
40:48Well I'm all right
40:49Come through
40:51These are some medical students
40:52Is it okay if they sit in
40:53Yeah
40:54You all right guys
40:55Good
40:55So tell me what's happened
40:56How can we help today
40:58On Monday
40:58I slid on some glass
41:00Or quite a big bit I guess
41:02Like a sort of a penny
41:03Went to work
41:04This morning
41:05I can't really walk on it so much
41:07And where
41:07So was this outside
41:08Was this inside
41:09This was at home the glass was
41:11I dropped it on the weekend
41:12I 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
41:17I hope so
41:19It doesn't feel like it
41:20My wife got it out with tweezers
41:22And it was like a
41:22You know quite
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
41:32Some sterile water
41:34And rinse it out
41:36Perfect
41:37Okay
41:38So it's going to feel a bit cold
41:40It might sting a little bit
41:41But it shouldn't be too bad
41:42Sure, go for it
41:43Can you feel anything?
41:44Is that a bit tender when I do that?
41:46Yeah
41:46Yeah
41:46Sorry
41:47Yeah
41:47So you don't think that's really bad or anything?
41:50Thanks, absolutely fine
41:50The skin on the sole of the throat is so thick
41:52There's so many layers
41:53Yeah
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
42:02Good
42:02Just in case
42:03Good
42:04Yeah, it'll heal really nicely
42:05Famous last words
42:07Yeah
42:08Watch this space
42:09You're never 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
42:20So 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
42:24Yeah, 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, you're good to go really
42:32Cool
42:32Alright
42:33Good
42:34I'm trying to figure out if I can go to work
42:36But I suppose probably not
42:37I think, yeah
42:38Maybe just not
42:39Leave it today
42:40Leave it for a little bit if you can
42:41Medication I'll send to the ozochemist for you
42:43Any problems let us know if you feel unwell with it
42:46So fever, nausea, vomiting
42:47Or if there's any discharge like pus from it coming out of it
42:50Yeah
42:50Do let us know
42:51All the best
42:51Take care
42:52Thanks mate
42:53Nice one
42:54Cheers guys
42:55See you later
42:56Wicked
42:59Enjoy the rest of your day
43:00Not long now
43:01Nope
43:02See you later
43:03Bye
43:03Thanks Sam
43:04It's always good seeing you
43:06All the best
43:07Take care
43:08You take care
43:09Carry on with everything
43:10And good luck with the job hunt
43:11I hope that goes alright
43:12Yeah
43:13Me too
43:14Cheers, see you later
43:15Bye bye
43:15I'll send it back
43:17Thanks
43:17Take care
43:18Thank you
43:19So it's the 15th of February
43:30microscopy
43:31I will visit
43:31I've been eating
43:33Until then
43:38Americas
43:38After reporting
43:39And now
43:51To my husband
44:26My BMI is 42 and I'm at high risk. Even nine months pregnant, I wasn't this heavy.
44:32There's a smell to this. There is, yeah. And it's got a green tinge to it.
44:37I think sometimes I might die and I've got to get out. I've got to see people. I feel closed
44:43in, so closed in.
44:52I feel closed in, so closed in.
44:54I feel closed in.
45:09I feel closed in.
45:10I feel closed in.
45:11I feel closed in.
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