- 2 weeks ago
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00:00You
00:05Nought's feeling completely normal and ten is feeling like a death at all
00:10How do you feel?
00:11About nine
00:15And there's all these bloody hallucinations around me
00:20There's one who's always sitting in my place
00:22That's horrible
00:24How long was that?
00:25Has it been there for?
00:26A long time
00:27More than a month
00:28Oh yes
00:29We've got leave
00:30That's a long time for it to be there
00:35I was up a ladder
00:36I was fitting a window and the expanding foam tin
00:40Exploded in my face
00:41It just went off
00:45I want to change my life
00:48Because I'm 20 years old
00:49I want to stop
00:50Like the drugs and everything
00:52The main thing is you're motivated to change
00:55You
01:00Transcribed by ESO, translated by —
01:05I'll see you next time.
01:10We'll see you next time.
01:15Bye-bye.
01:20You
01:25We'll see you next time.
01:30Good morning, surgery.
01:35Hello, hi.
01:37Hello.
01:39Come on in.
01:40Come and have a seat.
01:44How are you?
01:45What are you doing?
01:46Well, look, I'm at the moment, I'm a bus driver.
01:49All right.
01:50And I'm just getting this pain on my feet.
01:53Okay.
01:54I don't understand.
01:55It's not swollen or anything.
01:56No, but it hurts.
01:57It hurts, yeah.
01:58And how long has it been doing that for?
02:00The last couple of days.
02:01Okay.
02:02Now, my foot pedal, because I'm driving a different...
02:05I'm on bus now.
02:06Okay.
02:07It's higher.
02:08So I've got to push a bit more pressure on it.
02:10Okay.
02:11And how long have you been driving the different bus?
02:12Since the 24th.
02:13Okay.
02:14So just a few weeks.
02:15And have you banged your foot or any trauma to your foot?
02:18Anything that you can think of?
02:19Not one.
02:20Anyone trodden on your foot?
02:20No, no.
02:21Well, I'm too old to go to a party.
02:22Oh, I don't believe that.
02:23Yeah.
02:24I'm too old to go to a party.
02:25Yeah.
02:26I'm too old to go...
02:25I'm too old to go to one of them now.
02:26Do you know what I'm saying?
02:27Let's have a look at it.
02:28Let's have a look at it.
02:29Where exactly does it hurt?
02:30When I put pressure on it.
02:32Okay.
02:33So when you're taking a step and sort of bend...
02:35Yeah.
02:36Okay.
02:37And I'm going to press along the bones here.
02:38Nothing there.
02:39No.
02:40Nothing.
02:40No.
02:41But when you try and take a step and bend...
02:42Yeah.
02:43Then it starts.
02:44And it's across here.
02:45Yeah.
02:45Okay.
02:46Have you done any massive walking or anything like that?
02:48I walked from...
02:50Fulham to Clapham Junction.
02:52I've been doing it for the last few nights.
02:54I'm trying to get...
02:55You know what I mean?
02:56Lose the stomach and all that.
02:57Lose a bit...
02:58Yeah.
02:59Lose a bit...
03:00EDS.
03:01Do you normally walk quite a bit?
03:02Not really.
03:03Not really.
03:04Not that distance.
03:05No.
03:05Because there is a condition called a march fracture.
03:08Because it's what soldiers used to get when they march.
03:10Because if you march a long way and use your...
03:13Because you bend your foot every step you take...
03:15Yeah.
03:16Sometimes you can inflame.
03:17It's not necessarily fractured.
03:18Like we have to go to a fracture clinic or have operations or anything.
03:20But you can damage the bone inside.
03:22Yes.
03:23And are you wearing these shoes or trainers?
03:25No.
03:25No.
03:26I'm wearing shoes.
03:27But my shoes is not flat.
03:28It's kind of...
03:29Okay.
03:30It's a bit of...
03:30There.
03:31Yeah.
03:32The heels.
03:33You know what I mean?
03:34So I wonder actually if that's what's causing it.
03:35Yeah.
03:36It's really important what shoes we walk in.
03:38We need the best supportive...
03:40The best thing to do when a muscle and joint and things like this get inflamed is a little
03:45bit...
03:45To rest it.
03:46And try not to walk quite so much on it.
03:48Well I'm working tomorrow but I'm not working...
03:50It's Saturday.
03:51I can give you some anti-inflammatory medicine just for a short time.
03:53Yeah.
03:54That will really help take away...
03:55The inflammation and make it feel so much better.
03:57But I'll rest it on Saturday.
03:59So Saturday...
04:00I was gonna...
04:01I'm gonna stay at home.
04:02There must be some sport on...
04:03Nah I just watch a bit of DVD.
04:04You're not a big sport fan.
04:05Yeah I am.
04:06I'm a Tottenham fan.
04:07So I love me Tottenham and that.
04:09Do you know what I mean?
04:10They won their Europe.
04:11They did.
04:12They did amazingly well didn't they?
04:13Yeah.
04:14My son's an Arsenal fan.
04:15Oh well me and him wouldn't get on then.
04:17No you wouldn't.
04:18No you wouldn't.
04:19He was most cross about that.
04:20I bet he was.
04:21Well look let's do that sweetheart.
04:23I'm gonna send both prescriptions just through.
04:25Yeah thank you very much.
04:26Alright.
04:27Hello.
04:28Hi.
04:30No smiles today.
04:31You got a nice smile.
04:33No smiles today.
04:34You got a nice smile.
04:35today he wants to smile they got the girls in the room is it coming I can see
04:40slowly coming yep yep it's going up it's going up I can see it
04:45you
04:50hello hi Hopi I'm Dr Crestowicz nice to meet you
04:55great yeah how can I help
04:57um obviously hope
05:00she's got a bit of a complex background with her epilepsy and her autism but
05:05um she's had a cough and cold for the last six days she's had fevers reaching 39
05:10point eight and she's just overall said that she feels funny
05:15she's now complaining again of headaches
05:17I want to be a doctor and I will
05:20you want to be a doctor when you grow up do you that's good that's really good
05:24do you want to show
05:25the doctor where it hurts
05:26yeah
05:27yeah
05:28my neck is
05:29just there
05:30yeah
05:30yeah
05:30and headache
05:31where's your headache
05:32where's your headache
05:35you said it's at the back isn't it like before
05:37tummy pain
05:38no it makes me nervous about
05:40her when she's like then complaining about her headaches and stuff and like saying she
05:43feels funny because I know
05:45obviously illness lowers her seizure threshold
05:47you don't want her to yeah exactly how are her seizures generally
05:50controlled at the moment
05:51mmm
05:52the
05:53okay
05:54yeah
05:55she had three
05:55in May
05:56so so so whatever it is at the moment it hasn't triggered anything
05:59yeah but
06:00but we do
06:00want to keep it yeah
06:01um right so hope um are you okay just to come and sit down whilst I do things like check
06:05your temperature this goes in your ear is that okay
06:08yeah
06:09okay
06:10okay so temperature is normal at the moment
06:13perfect
06:14that's nice to see
06:15okay
06:16okay
06:17okay
06:18okay
06:19that's perfect
06:20yeah
06:210
06:220
06:230
06:240
06:250
06:260
06:270
06:280
06:290
06:300
06:310
06:320
06:330
06:340
06:350
06:360
06:370
06:380
06:390
06:400
06:410
06:420
06:430
06:440
06:20So good oxygen levels, there's the heartbeats.
06:25Now it's helpful to see you breathing, shall we go do that back?
06:30Behind the curtain, so I can actually see the chest, okay?
06:33Yeah.
06:34Shall we lift you up?
06:35Good job.
06:36There you go.
06:37You won't be alone.
06:38Debbie's with you!
06:40You're a prayer.
06:43Okay.
06:44Can you do a-
06:45Big cough?
06:46Big one.
06:47Really good.
06:48Okay.
06:49Okay.
06:50Her chest is clear.
06:51Okay, perfect.
06:52I asked her to cough because there were some sounds that were not cleared.
06:54Rattling, yeah.
06:55Okay.
06:56Okay.
06:57And last but not least, I just want to have a little peek in your ears.
07:00See if that's okay.
07:01Which one should we do first?
07:02Ready?
07:03One, two, three.
07:04Lie on mummy.
07:05Okay.
07:06Okay.
07:07Okay.
07:08Okay.
07:09Okay.
07:10Okay.
07:10All right.
07:11All right.
07:12All done.
07:13All done.
07:14What's your favourite colour?
07:15Okay.
07:16Oh, do you want to go for the animal?
07:18That's a very good choice.
07:19Please?
07:20Okay.
07:20Good girly.
07:21Based on what I'm seeing, I think that we don't need to give an-
07:25any antibiotics at the moment.
07:26Okay.
07:27Perfect.
07:28Okay.
07:29The weekend is coming up, and yeah, you've got valid concerns.
07:30About if she deteriorates, and yeah, the risk of that inducing a seizure for her.
07:33Yeah.
07:34So I'm-
07:35I'm happy to send a prescription to the pharmacy so that if anything happens over the weekend.
07:40Sure.
07:40Is there a change in how she looks?
07:41Is she no longer well enough to go and play new-
07:45symptoms like vomiting, drowsiness, rash.
07:47Sure.
07:48You can start taking it.
07:49Okay.
07:50Brilliant.
07:50Wonderful.
07:51Okay.
07:52Perfect.
07:53Thank you so much.
07:54Can you say thank you to the doctor?
07:55High five.
07:56High five.
07:57Thanks very much.
08:00Thanks for seeing us.
08:01Bye.
08:03Bye.
08:04Lisa.
08:05Hello.
08:06Hi.
08:07Come on through.
08:05Nice to see you.
08:06Nice to see you.
08:07I haven't seen you for ages.
08:08I know.
08:09You're looking really well.
08:10Like-
08:10Let me-
08:11Are you coming in?
08:12Do you want me to wheel this in?
08:13Right.
08:14We're in room four.
08:15So we're not-
08:15Not very far to go.
08:16Okay.
08:17It's slightly cooler the further this way down the corridor as well which makes-
08:20it a little bit easier.
08:21So how have you been?
08:23Well I've not been-
08:24Well I've not been-
08:25I've been brilliant really.
08:26Okay.
08:27Oh I fell didn't I?
08:28That was the first thing that happened.
08:29Yeah.
08:30So you had the-
08:30fall and we've had the urine infections haven't we?
08:32Yeah.
08:33That's been the big problem.
08:34And how's your mood?
08:35How are you feeling?
08:36Not- not just too good.
08:37It's been- it's been better than it was though.
08:40It's been very bad because of all the fact that I, you know, don't want to be sort of like-
08:45uh, don't want to get into the whole thing.
08:48I know.
08:49I know.
08:50And that's the problem with Parkinson's.
08:51It's such a-
08:52It is, isn't it?
08:53Horrible disease isn't it?
08:54And it sort of progressed-
08:55and you've been so good.
08:56I mean how many years ago have you had it?
08:57I can't even remember now but-
08:582012.
08:592012.
09:002005 from the frozen shoulder.
09:02Yeah.
09:032012 officially.
09:04Parkinson's is a tricky one because-
09:05it's not- you don't wake up one morning and suddenly we've got it.
09:07It creeps in sort of slowly.
09:08Oh yes.
09:09And I think looking back-
09:10It's-
09:11It's-
09:12It's-
09:13It's-
09:14It's-
09:15It's-
09:16It's-
09:17It's-
09:18It's-
09:19It's-
09:20It's-
09:21It's-
09:22It's-
09:23It's-
09:24It's-
09:25It's-
09:26It's-
09:27It's-
09:28It's-
09:29It's-
09:30It's-
09:31It's-
09:32It's-
09:33So obviously with all the involuntary movements you struggle to sleep.
09:36Melatonin, two milligrams, yeah.
09:37Melatonin, two milligrams, yeah.
09:38Melatonin, two milligrams, yeah.
09:38It is the two, yeah.
09:39You can pick it up literally now on the way home because they'll have it, I'm sure, in stock.
09:42Have you experienced people having-
09:43hallucinations and stuff like mum's had? Like is there anything that you know of that could
09:47help?
09:48The problem is-
09:49affect so many bits and part of it is-
09:51is, you know, the way our brain connects. So hallucinations and-
09:54people are seeing things or being worried about things. People often become quite paranoid.
09:58Parkinson's disease.
09:59Parkinson's disease is a global degenerative brain disease that's caused by a lack of dopamine
10:03in the brain, a chemical-
10:04that allows our nerves and muscles and things to work properly.
10:07Parkinson's disease is well known for its-
10:09motor effects, which are the muscle, the movement problems that it causes, but it also causes
10:13multiple other problems in-
10:14including dizziness, constipation, loss of smell, nerve pain, bowel problems-
10:19to the hallucinations that Lisa's experiencing.
10:22Well, you know what's horrible- what's horrible for me is-
10:24walk into my lounge. That's my lounge. I'm supposed to be sitting there, quietly, watching television.
10:29What are you doing?
10:29or whatever.
10:30And there's all these bloody hallucinations around me. There's one that's always sitting in my place.
10:34Is it-
10:35Is it a person that's sitting in it? People, animals, it changes.
10:38It's a person, yeah.
10:39I used to-
10:39No.
10:40But the worst, there was like- the house was full of snakes, you know, and she was terrified.
10:43I remember you saying there was-
10:44Spiders or a dog was biting and there was-
10:46Yeah, cats biting on feet and she asked, you know, is it legal?
10:49for people to be doing- setting up these experiments in my front room.
10:52You know, that kind of-
10:53That's horrible.
10:54I have to say, every time-
10:55You're going to have to go. You're sitting in my place. This is my bed.
10:59One person bed, one person. It's not going to take five.
11:02Every day? All day, every day?
11:03It's every day.
11:04It is.
11:05It is still every day.
11:06It is.
11:07It is still every day.
11:09A review.
11:14But then atハj medicine, WAJNZ, it was up pitYlegal Seite.
11:16By the way with Stallion, it will have a doctorобurte here.
11:18And their situation is very frustrated.
11:19It talks in a speech, boys, and girls.
11:20That's the thing, boys.
11:21That day, people, who got added on the road.
11:22If Linda wasn't even Googling around the road inals.
11:23That's theinalowing arena.
11:24That p relongatal way, even放置ly.
11:26We're with them.
11:27Coming up серьез,수�arted 4th.
11:31Then he wants to walk through envisioned.
11:36real animals and real things.
11:38At the worst, at the worst, she really believes it.
11:39She's woken me up at 1am in the...
11:41in the morning because she's trying to get dogs to leave the front room.
11:44That was only a week ago.
11:46When was the last time you slept eight hours through the night?
11:48Oh my goodness.
11:49Years.
11:51Yeah.
11:52Same for me.
11:53Long time...
11:54I don't think I've got eight hours sleep in years either.
11:56I had to get up because we got up at half past five.
11:59We always get up at half past five.
12:01Sophie starts her work as well.
12:02I mean, it's a full-time job, isn't it?
12:03It's a military operation in our house.
12:06Thank God for the, you know, social services carers that we get as well.
12:09And thank God for you as well.
12:11It's a life-saver for me.
12:12I wouldn't be able to do it otherwise.
12:14Sophie is registered as a carer for...
12:16..for her mother and plays an absolute key role in Lisa's care.
12:20And without Sophie...
12:21I don't know quite really where we'd be.
12:23She has put her own career on hold.
12:25She's had lots of...
12:26..challenges in her own life.
12:27But she's totally stepped up to help her mother.
12:29And we try and support her as much as we can.
12:31What's interesting, Lisa, is actually a really good night's sleep.
12:34Oh, yeah.
12:35That's what...
12:36..may help.
12:37I do wonder actually whether...
12:38We try the melatonin as the change this...
12:41..this time, this month maybe, and to see.
12:43And if she's still getting them.
12:44And if you're still getting them, then we look...
12:46..you're other medicines.
12:47So the sooner we can get on...
12:48..so I would go to Ozit now.
12:50He'll have it in stock.
12:51We can literally have it tonight.
12:52We can start it tonight.
12:53Yeah.
12:54That's another thing actually.
12:55You've asked if you could speak to someone like...
12:56..the talking therapy counsellor.
12:57I was wondering about that.
12:58Yeah.
12:59Yeah.
13:00I can try it.
13:01Lisa, I think your mood does get affected,
13:03and I would be surprised if you'd said it hadn't,
13:05because I think living with this sort of...
13:06..thing is never easy.
13:07The quickest way to do it is to self-refer on the...
13:10..the web...
13:11..the website, and you can do it for your mum.
13:13Yeah.
13:14I wonder whether we'd pencil in again for four weeks' time.
13:16..to come back.
13:17We review.
13:18We see where we're at.
13:19How the sleep has been.
13:20Has that worked?
13:21Okay.
13:21We'll do.
13:22We'll do, yeah.
13:23Okay, sweetheart.
13:24Well, look, lovely to see you, sweetheart,
13:25and I'll see you in a few weeks.
13:26And let's hope a good night's sleep makes a bit of a difference,
13:28and we can see.
13:29Thanks a lot.
13:30Okay, take care.
13:31Nice.
13:32All the best.
13:31Take care, Safi.
13:32Thank you so much.
13:33Thanks.
13:34Bye-bye.
13:35What we do to check this is just ask for a...
13:36urine sample.
13:37Is that something that you'd be able to do?
13:39No.
13:40Can I give you a...
13:41No, I won't do.
13:41When I get up in the morning, it's the first thing I have to do.
13:44Literally.
13:46He's gonna come back and give us something to collect your pee-pee with.
13:48Okay?
13:49Yeah!
13:50Yeah!
13:51Yeah.
13:52I've been peeing, peeing, peeing, peeing.
13:55Diabetics...
13:56Not every six, seven minutes.
13:57We also need a urine sample from you as well.
13:58You're very soft and do pee a bit more and when you are peeing more.
13:59Not every six, seven minutes.
14:00We also need a urine sample from you as well.
14:01Just check your just check kidney function. We do that today
14:06Would you have to do that today or do you want to come back for it?
14:08Oh, I might try and do it today. Okay, fine
14:11Do you think you'll be able to go to the loo while you're here?
14:13Yeah, I could do it now, sure. You're always bringing it in, aren't you?
14:15I know
14:16I know
14:17I have the brother of an 80 year old woman at the moment
14:21Okay, thank you. How are you?
14:26Oh, I'm not too clever to be honest. I feel tired all the time
14:31Oh, I'm Dr Prestovic. Nice to meet you. Nice to meet you.
14:35So, um
14:36As you said on the phone to me, you're used to getting up a couple of times in the night
14:40Well...
14:41Occasionally
14:42Yeah, but did it increase?
14:43Especially if I drank a lot
14:45Mmm
14:46Yeah, because you have a couple of pints in the evening, don't you?
14:48Yeah, yeah. If I drank a lot, I would get up once maybe
14:51in the night and go to the toilet. Now, I'm waking up at two o'clock, half two.
14:56I have to go to the toilet again. And then I'll go back to bed. Three hours or two hours later...
15:01You know, I have to get up again. So it's starting to affect your quality of life. Yeah, yeah.
15:06So what we need to work out is, yeah, are you getting these symptoms because your bladder, when it...
15:11It gets a little bit of urine in there, it's sending a signal to your brain saying, I need to go.
15:15And...
15:16That's something that we call overactive bladder. And it can be influenced by, you know, how much you drink.
15:21What you drink as well. So, you know, alcohol and caffeine can be...
15:25The alcohol.
15:26The alcohol was the one that worried me. I thought, could it be affecting my kidneys or...
15:30Or whatever.
15:31Saturdays, I'll meet friends. And the most I have is three pints.
15:35Yeah, three pints...
15:36Every night would be excessive.
15:37What I tend to do is, I go home and I have some Baileys.
15:41OK.
15:42I like sweet stuff.
15:43And is it most days you're on the Baileys then?
15:45Yes, yes.
15:46Yeah.
15:46OK.
15:47I'll have a good glass of Baileys then.
15:48OK.
15:49So, it's likely that you are going over...
15:5114 units.
15:52And long term, yeah, that's... that will be damaging for...
15:56For your health.
15:57Do have a...
15:58Think about...
15:59Are there ways that you can...
16:01Let that down.
16:02Having some dry days as well in between.
16:03It's very hard.
16:04It's very boring.
16:05Yeah.
16:06To break a habit.
16:07Watching that television drives me mad.
16:10So, we've done...
16:11progressed a little bit.
16:12So, we talked about potentially overactive bladder.
16:15The other thing we need to think about...
16:16Is the prostate.
16:17So, if the prostate is enlarged, that can...
16:21Make it difficult for you to empty your bladder.
16:23Oh.
16:24Because of where it sits.
16:25It sits around...
16:26And the urethra, or whatever urine comes out of.
16:28If the prostate is enlarged.
16:29Which doesn't mean cancer.
16:31Yeah.
16:32But if it's enlarged.
16:33Then it can cause problems of straining.
16:35Having to go off there.
16:36And getting up at night.
16:37I can understand that.
16:38Yeah.
16:39I think that it would be a good idea to...
16:40To examine the...
16:41The prostate today.
16:42Which doesn't include...
16:43A rectal examination.
16:44Oh.
16:45If that's so good.
16:46Yeah.
16:46We should also test your urine as well.
16:47I did fetch a little drop.
16:48I thought...
16:49Have you got a sample here?
16:50Yeah.
16:51That's brilliant.
16:53Emily.
16:54Yes.
16:55Okay.
16:56I thought...
16:59I thought my baby is actually asleep.
17:00Ah.
17:01Aww, it's gorgeous.
17:03Thanks.
17:04Well, hopefully, chubby little boy.
17:06Have a seat.
17:07I'm Dr. Dutton.
17:08Where am I?
17:09Yeah, you can just pop in there.
17:11What can we do for you today?
17:12So, I've had a rash on the back of my...
17:16Okay.
17:17For...
17:18I actually don't know how long it is because obviously I can't...
17:21see the back of my neck, but I've been aware of it being itchy for...
17:26quite a long time.
17:27Is it months or...?
17:28I would say probably more like years.
17:30Years.
17:31Okay.
17:32Yeah, which I know isn't great.
17:33I should have had it looked at, but every time I see...
17:36like my mum is constantly saying like, stop itching.
17:39Okay.
17:40I need to go have it looked at.
17:41Sometimes it gets quite like, if I itch it too much, like scabby.
17:45Yeah.
17:46Okay.
17:46When did someone first say, oh there's a rash there or there's...
17:49I think it's actually probably since...
17:51I have my baby because I never used to wear my hair up.
17:54Yeah.
17:55And now I always...
17:56I always have to because it's always pulling my hair.
17:57Okay.
17:58So I don't think anyone would have seen it before.
17:59Yeah.
18:00And any rashes anyone...
18:01anything else on your body?
18:02I know.
18:05And you've never suffered...
18:06from anything like psoriasis or a family history of psoriasis.
18:09Um...
18:10No.
18:12So it's quite a well-defined area.
18:14I don't know if you've seen a photo.
18:15Yeah.
18:16I don't know if you've seen a photo.
18:16Yeah.
18:17It's like a sort of...
18:18Yeah.
18:19...circle.
18:20So sometimes that suggests a slight fungal and...
18:21perfection because it's so perfectly marked from the skin to your...
18:26normal skin to where the rash is.
18:27Right.
18:28And there are definitely areas...
18:31which you can see you've scratched and it's a bit inflamed.
18:33Mm.
18:34Sometimes psoriasis on the scalp can present...
18:36a bit like that with these kind of plaques.
18:38Okay.
18:39But it is just one area.
18:40Yeah.
18:41The rest of your scalp looks...
18:41totally fine.
18:42Yeah.
18:43You've never had similar...
18:44areas on the rest of your body?
18:45No.
18:46I don't think so.
18:46Yeah.
18:47Okay.
18:48I think today let's treat it as a possible area of kind of fungal and...
18:51perfection.
18:52Okay.
18:53But we're also going to give it a mild steroid which...
18:54will settle down the redness and things anyway.
18:56it could be psoriasis and you've just got this one bit there.
18:59Mm-hmm.
19:00In which case the fungal cream is not going to...
19:01anything.
19:02Right.
19:03But just because it is that one area...
19:04Yeah.
19:05I think we should at least try it.
19:06If there's bits that...
19:06start to weep or anything when you're on the treatment...
19:08we might need to give some antibiotic cream...
19:09Okay.
19:10...for that.
19:11I can give you...
19:11like the steroid in a shampoo.
19:12Okay.
19:13It's a little bit stronger but at least then you could just put it on...
19:17that bit in the hair as well.
19:18Yeah.
19:19And then I'll give you the antifungal...
19:20I'll give that in a cream.
19:21Okay.
19:22Yeah.
19:23And then try that and then we'll review maybe in three weeks...
19:25Okay.
19:26...and see how you're going to...
19:26have been on.
19:27Cool.
19:28If it's not with antifungal then we'll take a photo and ask dermatology.
19:30All right.
19:31All right.
19:31Both are fine though...
19:32breastfeeding so that's not a problem.
19:33Okay.
19:34Great.
19:35Obviously if anything flares it up...
19:36then just let us know.
19:37Perfect.
19:38All right.
19:39Cool.
19:40Thank you so much.
19:41Not at all.
19:41Let me get the door for you.
19:42Thanks.
19:43Trouser.
19:46Can I even bend the ankles?
19:47Yes please.
19:47Yep.
19:51All right, so just bring your-
19:56Put your knees up to your chest a bit more, both of them please.
19:59Okay. Any point you're uncomfortable and want me to stop?
20:01Please say, okay? We'll stop straight away.
20:03Okay.
20:04All right, so take some deep breaths for me.
20:06Yeah. Keep breathing.
20:10Oh.
20:11Okay.
20:12We're done now, and I'm just gonna-
20:16I'm just gonna dip that urine sample.
20:17Did you say it was here in the bag? Am I okay to grab it?
20:20Yeah.
20:21There's two bottles in here, one with a drink.
20:24Oh, that's a urine sample.
20:26Right, okay.
20:27That's what I managed to do.
20:28Okay, so I'm gonna have to give you a sterile container for that.
20:31I did make sure I gave it all clean and all that.
20:34Yeah, I'm sure you did, but-
20:36The front desk can give you a sterile pot and you can provide a sample.
20:41So, in terms of the examination, so I was able to feel the process-
20:46it doesn't feel like it's enlarged or irregular at all, which is reassuring.
20:49Because there's a lot of people there.
20:51I snuffed it, however it is.
20:53Yeah.
20:54And nothing else-
20:56I don't have normal on the examination.
20:57Wow.
20:58Okay.
20:59Oh, that's good, isn't it?
21:00So that is reassuring.
21:01In a couple of weeks' time, there is a blood test as well, which is called PSA.
21:05PSA is used.
21:06It's used as screening for prostate cancer, but it's not a perfect test.
21:11But it's not a good idea to do it when you've just had the prostate exam done.
21:16Because it can be elevated.
21:17I think what I'd like to focus on at the moment, based on-
21:21the urine that I've just seen, I think that you probably are not drinking enough.
21:26Yeah, water during the day.
21:27Water.
21:28We aim for between two to three litres of fluid in the day.
21:30As much as-
21:31Yeah.
21:32Yeah.
21:33Because when the urine is very concentrated as well, that can irritate the bladder.
21:36It doesn't make you need to pee because of that irritation, not because the bladder is full.
21:41And then let's have a follow-up after you've had this blood test in a couple of weeks.
21:46See how your symptoms are.
21:47Okay?
21:48Okay.
21:49If they haven't improved with these measures-
21:51then maybe there are some medications that we can try.
21:54Oh, thank you very much.
21:58Thank you very much.
22:01When I was taking people's blood, they kept saying to me, you are so good.
22:03One patient walked into my room, she was like, you are so good.
22:06You are so pretty.
22:07I was like, thank you.
22:11And when I was in Libby's room, the fish tank went and she goes, what's that?
22:15I said there was a fish tank.
22:16She goes, go save the fish then.
22:18I was like, it's not real fishes.
22:21I found a fish tank.
22:22I found a fish tank.
22:23I found a fish tank.
22:24I found a fish tank.
22:25I found a fish tank.
22:26I found a fish tank.
22:27I found a fish tank tank.
22:28I found a fish tank tank.
22:29I found a fish tank tank.
22:30I found a fish tank tank.
22:31I found a fish tank tank tank.
22:32I found a fish tank tank tank.
22:33I found a fish tank tank tank tank tank.
22:34I miss you all right you're right yeah come on through
22:39so what can I do for you I see the
22:44chest is hurting like I still feel cold inside you get me I can't breathe okay
22:49I was with the judge last time he gave me a paper yeah and I drop it
22:54in a wallet okay I can't take it go so you've not had the chest x-ray yet no I
22:58did
22:59and did it yeah that's fine okay when George saw you a week ago and you were
23:03coughing up some blood
23:04yeah how's that been in the last week is it the same I cough a lot
23:09but like once of like off the 10 you get me
23:14time in 10 there's some blood when I cough cough cough cough now I see a little
23:17bit of blood and you
23:19asthma I'm not of course I have asthma you've always had asthma and I want to
23:22stop smoking I want to stop
23:24you get me okay and is it cigarettes you're smoking cigarette weed and I want
23:28to
23:29stop like the medication the bad medication for outside you get me because
23:33like
23:34I'm gonna be crazy or something girl like that I want to
23:39stop like the drugs and everything okay and I can't like
23:44stop like how can I do and you get any help with that at the moment no yeah but
23:47now I'm addicted
23:49and what what is it that you're taking at the moment
23:50Briga Balin
23:51yeah
23:52Tramador
23:54okay
23:54and weed
23:55okay and every day
23:56every day every day
23:59you
24:01you
24:01you
24:02you
24:04you
24:06you
24:09you
24:10you
24:11you
24:11you
24:12you
24:14You
24:19How is your mood? How is your mood at the moment?
24:21My mood? Bad, bad, bad, bad.
24:23I'm born here, my family
24:24They took me to Algeria, then I came back
24:26The mistake, I came without them
24:28Because, you know
24:29Someone like, he lived without his family
24:31His mom, his dad, his day
24:33In another country
24:34You live alone, then you lost your house
24:36Then you live like a homeless
24:38Then you live from France
24:39When like, your friends, they give you
24:41They say like, they make you happy
24:43Like you
24:44Like, you go in the way with your friends
24:46Then, after that
24:48I was
24:49Addiction
24:51So for the, the drugs
24:53The medications you're taking
24:54Have you been taking those ones for a while?
24:56For a while, yeah
24:57Yeah, and you're buying those?
24:59I buy them because like, they help me for depression
25:01And a lot of things, so
25:03So I'm an
25:04He is a very vulnerable patient
25:06So he's currently homeless
25:08And really doesn't have much support
25:09In the UK since he moved here
25:11Unfortunately, he has got himself addicted to
25:14Prescription drugs that he's buying elsewhere
25:16Tramadol is an opiate painkiller
25:18And
25:19So from the same family as kind of morphine and things
25:21Pregabalin is a neuropathic
25:24Painkiller, so he tends to treat nerve pain
25:26And have you ever received any help with them?
25:29Drugs, alcohol services
25:31Never been to Turning Point
25:33Okay, and if I gave you a number, would you call
25:34Them?
25:35To try and get some help?
25:36I wish
25:37If you'd give me
25:38They help me
25:39They will help with the drugs
25:41But they also have some talking therapy and things available
25:43I was like
25:44When I was in Nigeria
25:45I was like footballer
25:46You know that
25:47I was playing under 16
25:48Amazing
25:49And the national
25:50Do you play any football here?
25:51I wish to find
25:52But now I can't like
25:53I play
25:54For five minutes
25:55Then
25:56Okay, so you really noticed it
25:57I died
25:58Like, when I played football
25:59I forget everything
26:00I forget everything
26:01Okay, well we need
26:02I mean we need to get the test sorted for you
26:03Okay, because we
26:04You need to, you know
26:05Especially if football is something you really enjoy playing
26:07Let me have a look at the chest
26:08So what I
26:09I want you to do is just deep breaths through your mouth for me
26:13One big deep breath
26:14Okay
26:15Okay
26:16I mean listening to your chest it mainly sounds clear
26:19There is the odd little crackle
26:20I think it's probably worth us covering with you some antibiotics for a chest
26:24Infection
26:25These are the blood forms that I want you to go and get done at Chelsea for a chest infection
26:29Thank you
26:30Okay, so you just walk in
26:31You need to call Turning Point
26:32Because what we need to do
26:34Is get you the help
26:35I want to change my life
26:36Okay
26:37Because I'm 20 years old
26:38I mean you're so young
26:39And
26:39You know
26:40The main thing is you're motivated to change
26:41Yes
26:42I'll also refer but let's book you some
26:44Follow up to come back
26:45Alright
26:46And then we'll have the chest
26:47Excerning the blood results
26:48And we can go through them
26:49Alright
26:49Thank you
26:50Thank you
26:51Alright
26:52Bye I mean
26:53Who's buying
26:54Sweets than in your house
26:55Me
26:56Ha ha ha ha ha ha
26:57Ha ha ha ha ha ha
26:58I saw
26:59tired or stressed out then I'll go and buy yes because I can feel my brain go and give me chocolate
27:04okay sometimes my diet's not that good because I'm addicted to kind of like
27:09the chip cookies I try to eat them not too often but you know if you if you're in the shop buying
27:14other things are they better than the orange ones
27:19oh wow of course now they've got blue in it
27:24mmm the dark pink ones are nice that was one in my mouth right now
27:29I mean I do my child is some shortbread man again yeah
27:34I'm feeling tired
27:39or stressed out I'll eat snacks all day long from when I get up to when I go to bed so
27:44I can eat three Snickers bars in a day easy and a family-sized bag of wine gums
27:49Giovanna
27:54thank you thank you very much
27:59uh what come and take a seat thank you how are you
28:04today yeah we're stuck it's much it's my charger
28:09fine fine okay I thought I'd love to prevent my mouth yeah it's like it's like an addiction
28:13um okay
28:14okay great so we're doing all of your routine bloods today um including your eight
28:19HbA1c which is your pre-diabetes markers yeah what we need to try and
28:24do to stop you getting to that diabetes category um is really have
28:29a look at your sugar sugar intake okay yeah would you say that you eat um
28:34quite a bit of sugar so cakes or juice or
28:39cereal cereal yes cereal can be quite sugary
28:42first day I shouldn't eat it first day should I
28:43no
28:44first I like frosty frosties is a frosties is a really sugary one
28:49so is there anything that you think that you can replace it with that you would that
28:52you like that's less
28:53maybe the
28:54point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point point
28:59Why is it good sugar?
29:01Things like porridge or oats.
29:04Toast?
29:05Toast bit.
29:06So, bread's fine.
29:07But when you're getting your bread, have a...
29:09Look for some whole grain bread.
29:11Whole grain bread.
29:12Rather than white bread.
29:13Oh, yeah, bread.
29:14Oh, yeah, yeah.
29:15Erm, and what are you putting on them?
29:17Butter.
29:18Butter and jam.
29:19OK.
29:19So, jam, jam isn't a good one.
29:22But we, we, but when you...
29:24When you were in hospital and you had cereal, they, they sort of used to cereal.
29:29And toast at the side.
29:30And they used to give you little, little jam, little jam things.
29:34I know.
29:35Oh, so they're misleading.
29:36They're, they're misleading.
29:37Yeah.
29:38So, you know, it's...
29:39It's just because you're, you're in that zone of being, you know...
29:43Well, in the...
29:44High risk.
29:45When they took all the irrelevant tests when I was in hospital for diabetes, I was...
29:49I was OK.
29:50Brilliant.
29:51We are nearly done.
29:52Could you press down there for me, please?
29:53Well done.
29:54That's great.
29:56Great.
29:59OK.
30:00And do you drink alcohol?
30:02No.
30:03No.
30:04OK.
30:05No, I don't smoke.
30:06I don't drink.
30:07I think my only advice is sweets, but no one's perfect.
30:09OK.
30:10How would you feel about speaking to our dietician?
30:12Yeah.
30:13Do you think we can organise that for you?
30:14Yeah.
30:14That'd be fine.
30:15Fine.
30:16What I'm going to do is speak to reception and get them to book you an appointment.
30:19for that and then give you a call.
30:20Yep.
30:22Oh, good.
30:23Can I help you?
30:24I think you've got two jackets there, haven't you?
30:26I know.
30:27I know.
30:28I know.
30:29I can't...
30:30I've got to let...
30:29I've got to learn how to dress.
30:30I know.
30:31You're doing very well.
30:34Brilliant.
30:35Well done.
30:36I suppose I shouldn't have this...
30:37Oh!
30:38Oh!
30:39Probably.
30:40Probably not.
30:41I'm sorry.
30:42You can have coffee and you can have tea.
30:44But just without the sugaring.
30:45Without the sugar.
30:46Yeah.
30:47Right.
30:48Thank you very much.
30:49Bye-bye.
30:52Bye-bye.
30:54Bye-bye.
30:59Bye-bye.
31:00I fell on the train.
31:01The train braked.
31:02Me and another kid went flying down the...
31:04Even though the train was packed...
31:06The train was packed, but somehow everyone...
31:09moved to the side like this.
31:10And me and this kid went flying all the way down to the end.
31:14You know, everything seems...
31:15Yes!
31:16Yes!
31:17Yes!
31:18Yes!
31:19Yes!
31:19Sid, did I tell you?
31:20I need to have run over outside here.
31:21Yeah, I don't know what's going on.
31:23All the...
31:24Bad luck is coming.
31:25It's just...
31:26Something's wrong happening.
31:29Hello, surgery.
31:30So, you're a new...
31:31Hello, surgery.
31:32So, you're a new...
31:33So, you're a new...
31:34To the practice.
31:35I am.
31:36Yes.
31:37What can I do for you today?
31:38Well, I've just moved...
31:39Back to London.
31:40Okay.
31:41For sort of family support network with the...
31:43Up and coming...
31:44treatment which I'm about to have soon.
31:45What's the...
31:46What's the treatment that you've moved here for?
31:48Um...
31:49It's for...
31:49It's a normal cataract.
31:50And I need to be near my sister who's been sort of driving me around.
31:54But at the same time, I need to, you know, bring all the information over from my past history and...
31:59What's happened and also with my shoulder injury from the same...
32:04Uh...
32:05Accident.
32:06For the eye side of things, what I'll do is I'll refer you to ophthalmology here.
32:08They will reassess you.
32:09Before...
32:10Um...
32:11Surgery anyways.
32:12Tell me about the shoulder.
32:13So the shoulder was all...
32:14Part of the same incident.
32:15When I was up a ladder...
32:16Yeah.
32:17I was fitting a window and the expanding phone...
32:19Tin...
32:20Exploded in my face.
32:21It just went off.
32:22You're not supposed to do that.
32:23Uh...
32:24And...
32:24And I sort of pulled back on the ladder and...
32:26Yeah.
32:27And obviously if I'd have let go of the ladder, I would have gone.
32:29Um...
32:29But it wrenched the muscles in my shoulder because I held on so tightly, it closed my eyes.
32:34But that caused the, um, trauma in the eye.
32:37Yeah.
32:38The onset of the cataract.
32:39It's dead.
32:39Yeah.
32:40And...
32:41And sort of tore ligaments in my shoulder.
32:42And when was that?
32:43It was about two...
32:44A few years ago now.
32:45You've had some physio on the shoulder.
32:46I have, yeah.
32:47Yeah.
32:48And that's helped a lot.
32:49But it's not...
32:49I just cleaned it up and I was due to have another scan.
32:51And have you had some imaging on it in the past?
32:53No.
32:54No.
32:55Okay.
32:56Yeah.
32:57So it was going to be the first?
32:58Yeah.
32:59Yeah.
33:00Are you still working?
33:01No.
33:02Nope.
32:59Okay.
33:00And have you had to stop that because of the injuries?
33:02Because of everything.
33:03Yeah.
33:04I tried to go back to...
33:04Yeah.
33:05This year.
33:06And I dropped a box on my hand and now I can't...
33:09make a fist with this finger.
33:10Okay.
33:11So they said it's called trigger finger.
33:13Yeah.
33:14And so I've been doing the tests but I still can't completely fully close it.
33:19I can't...
33:19I can't...
33:20I've just no strength in that.
33:21We can get hand therapy to have a look.
33:22I'll have a quick look at the shoulder.
33:23Okay.
33:24You want to just stand up for a second?
33:26Sure.
33:27Um...
33:28Any pain down here?
33:29No.
33:30It's sort of...
33:31I'd have to identify where the pain is for you.
33:32It's sort of...
33:33Sort of in there.
33:34Yeah.
33:35It's really deep.
33:34In there.
33:35And if I press very hard it's very painful.
33:37Okay.
33:38And can you lift the arm?
33:39Up.
33:40Above the head.
33:41That hurts.
33:42Okay.
33:43Just pop both arms up like this for me.
33:44I'm gonna push down and just push up.
33:45Push down.
33:46Good.
33:47Any pain there?
33:48Yeah.
33:49Yeah.
33:50That's painful.
33:49Okay.
33:50And then just put your hand behind your back.
33:51Okay.
33:52I can't.
33:53Push me away.
33:54No.
33:54That's Daphne.
33:55Yeah.
33:56Okay.
33:57And have a seat.
33:58Sure.
33:59Okay.
34:00The shoulder, it might be something to do with the...
33:59Rotated cuff.
34:00That's what they said before.
34:01Yeah.
34:02I definitely think there's some damage there.
34:03And if you were gonna have a scan...
34:04Maybe that the next step is a scan.
34:05Yeah.
34:06So instead of just referring you to physio, I'll refer you to our kind of muscular...
34:09discletal specialist team who have access to imaging.
34:11That's great.
34:12All right.
34:13And then you should hear from hand therapy about the hand...
34:14Just to kind of continue the therapy.
34:15Okay.
34:16And then they just wait for the letter for the...
34:17Yeah.
34:18So there will be a bit of a...
34:19Wait for the eyes.
34:20I know.
34:21I'll obviously put that you've moved area and that you were on the wait list for surgery.
34:23Oh, that's so good.
34:24Yeah.
34:25I feel confident.
34:26All right.
34:27Thanks doctor.
34:28Have a good afternoon.
34:29You too.
34:30Take care.
34:29I'm Dr Pearson.
34:30We've met before but not for a while.
34:31We have, yes.
34:32Not for a while.
34:33Now, how are you?
34:34Terrible.
34:35Yeah.
34:36So, because you were in on Friday was it and saw the...
34:39doctor and you've been to hospital and all sorts.
34:41So, just before the bank holiday weekend I was...
34:44Fine.
34:45Yeah.
34:46And then in the middle of the night I started throwing up and...
34:49ended up in A&E.
34:50Mm-hmm.
34:51And they were...
34:52And they were...
34:54worried about a blockage.
34:55Mm-hmm.
34:56Did an x-ray.
34:57Decided it was just constipation.
34:58Okay.
34:59Gave me some lexatives, went home and nothing happened for a day or two.
35:04And then somewhere between then and now it's just got worse again.
35:09Okay.
35:09And he hasn't eaten anything for basically a fortnight.
35:11So, literally not eating and drinking anything very much.
35:13I'm drinking...
35:14I'm drinking water and sweet tea and sweet coffee.
35:17That's about it.
35:18So, the main symptoms you've got...
35:19left with at the moment are what exactly?
35:21The thing that's developed is I have a cough.
35:23I have a...
35:24Okay.
35:24A very simple sort of tickle at the back of the throat.
35:27But when I cough, you know, I've taken...
35:29some water and coughed and all the water's come out.
35:32And I've just been getting weaker and weaker.
35:34for the last few days.
35:35Can I have a feel of your tummy?
35:36And then listen to your chest.
35:37Would that be okay?
35:38Yeah.
35:39If you lie down on there, child.
35:40I'll pull this curtain around a little bit.
35:42And on a scale of nought...
35:44to ten, Charles.
35:45If nought's feeling completely normal and everything, and ten is feeling like...
35:49left at all.
35:50How do you feel?
35:51About nine.
35:52Okay.
35:54So, that's not great, is it?
35:55Right.
35:56You ready?
35:57Okay.
35:58Just a couple of deep breaths in for me, Charles.
35:59Can I manage it?
36:00Don't wipe your coat.
36:01I know.
36:02I know.
36:03I know.
36:04You alright?
36:04I know.
36:05I know.
36:06I know.
36:07I know.
36:08I know.
36:09I know.
36:10I know.
36:11I know.
36:12I know.
36:13I know.
36:14I know.
36:15I know.
36:17I know.
36:18I know.
36:19I know.
36:20I know.
36:21I know.
36:22I know.
36:24I know.
36:25I know.
36:26I know.
36:27I know.
36:28I know.
36:29What happened?
36:30I know.
36:31I know.
36:32I know.
36:33Internet event the event.
36:35Mirror.
36:36Free frames.
36:38вер slap wear wear wear print.
36:41feathers are privately thrown takeaways.
36:42Those thoughts look like they should be different from planet.
36:45The배 flag wasn't here.
36:47There are the stars at the time lidt teem filled with randos.
36:50and I take a, like, thank you.
36:52That's when I press, yeah.
36:54Sorry.
36:55Yeah.
36:56Yeah.
36:58How does that feel?
36:59It's a bit, it's uncomfortable.
37:00Mm.
37:02I'll just examine the whole abdomen for you,
37:04just to make sure.
37:05Oh, yeah.
37:05Oh, so you're sore there?
37:06Yeah.
37:07Oh, you're very tender, eh?
37:08Yeah.
37:09I wouldn't expect it to be as painful.
37:10I'm just going to press very gently.
37:13Any pain now?
37:14No.
37:15OK.
37:15I've got one other symptom I need to show you.
37:18Yeah, yeah, yeah.
37:19I think mine.
37:20My penis is infected.
37:22OK.
37:23OK.
37:23Well, that can sometimes perhaps continue.
37:25Oh, I don't know.
37:26It's just...
37:27Oh, it looks really red and sore sweetheart, doesn't it?
37:30Oh, you poor thing.
37:31That looks so sore.
37:32OK.
37:33And does it hurt when you pee?
37:34Any...
37:35Not too much, actually.
37:36I mean, I can just feel it peeing, but that's all.
37:38OK.
37:39Are you having to go for a pee more often than...
37:40normal or anything?
37:41Any sort of...
37:42Going about every couple of hours.
37:43OK.
37:44We can certainly give you some cream.
37:45I mean, that definitely looks a bit...
37:45perfected and things sweet.
37:46Let's sit you up.
37:47Well done.
37:48And what I'll do is I'm just going to have a listen at the back.
37:50So there's good air going in and out there, Joel.
37:54Yeah, so the lungs...
37:55The lungs don't sound too bad.
37:56Come and have a seat.
37:57So we did...
37:58So Dr. Presswitch did some blood tests on Friday.
38:00Yeah.
38:00Yeah, yeah, yeah.
38:01But we were a little bit worried about your blood tests, Joel.
38:03Because they've come back and they're...
38:05They're OK, but they're not great.
38:06And the one that we're most worried about, really, is the kidneys.
38:10So the kidney blood test has changed slightly.
38:13We can just put that on one finger.
38:15Just for a minute.
38:16So what it tells us is, well, first of all, one of the infection blood tests is...
38:20So it says that you have got an infection somewhere on board.
38:23The second one shows that...
38:25The kidneys...
38:26You're very dehydrated.
38:27The kidneys are not working great at the moment.
38:30And we like it normally to be about, say, 70-ish.
38:33The last one we did in January was 76.
38:35And it's dropped right down to 25.
38:37Oh, my God.
38:38We need to check it today.
38:39So I'm going to ask one of my nurses...
38:40to do a blood test a day now before you leave.
38:42So then we can decide whether we can manage this with...
38:45in the community or whether actually we need to perhaps be in hospital.
38:47Can I just check your blood pressure as well, Charles?
38:49Would you...
38:50Do you mind?
38:51No.
38:52So I think we need to put you on some antibiotics straight away.
38:53OK?
38:54To try and get things better.
38:55We can also give you some cream as well to put on down below that will help.
38:59If at any point...
39:00If at any point, Charles, you feel worse.
39:01Or you, you know, feel confused.
39:02You feel dizzy.
39:03You feel real well.
39:05We go to hospital.
39:06Yeah.
39:07So the blood pressure, 13987.
39:08That's fine.
39:10Thank you, Elizabeth.
39:11We'll get there, all right?
39:12Right, come and have a seat.
39:13I'll let the nurse know you're ready and then she'll give you...
39:15a shout and we'll get all these tests and things sorted out and the prescription will
39:18be straight over there.
39:20All right, not at all.
39:21Just give...
39:20Give us a shout if you're worried.
39:21Yeah, great, we'll do.
39:22And I'll definitely ring you later on today and or tomorrow.
39:23Yeah, because we were...
39:24I couldn't decide.
39:25What is there whether to take him up to A&E?
39:26And in the end, I thought, what would they have done?
39:28Well, let's try and dodge it, but if...
39:30If we have to, I'll phone you and let you know.
39:31All right.
39:32Great, thank you.
39:33Thank you so much.
39:34No problem.
39:35No, thank you.
39:35How's it going?
39:36I have a sort of rash inside my lip.
39:40Found your lip?
39:41Yeah.
39:42I don't know if you can see anything, because I can't see it.
39:45Mm-hmm.
39:46And it comes and goes.
39:49I've been putting some...
39:50I have long on it.
39:51Is it between the teeth and the...
39:52Yeah.
39:53Yeah.
39:54Yeah.
39:55Little alt-three type thing.
39:56Not bearish.
39:57All the...
39:58All the way along.
40:00I can see a little ulcer.
40:02You know, like a little...
40:03It goes along there as well.
40:05You see.
40:06Yeah.
40:07Are you eating well?
40:09Yes, I...
40:10I do eat very well.
40:11Mm-hmm.
40:12Not as...
40:13Not so much as I used to, but...
40:14Yeah.
40:15I've been...
40:15I've been pushing this on it.
40:16Mm-hmm.
40:17And it is very, very painful.
40:18How long has it been there for?
40:20A long time.
40:21What?
40:22More than a month?
40:23Oh, yes.
40:24Because...
40:25Some days it sort of subsides for no reason.
40:27Yes.
40:28Are you good at vitamin C and citrus?
40:30And...
40:31Those sorts of things.
40:32Can be a sign of vitamin C.
40:34Like...
40:35I don't know.
40:36I don't know.
40:37What is vitamin C?
40:38I'm not good at...
40:39Is it trusty things like...
40:40Lemons.
40:41Oranges and lemons and...
40:42No, I don't like...
40:43It's like...
40:44The sign of scurvy.
40:45I've never eaten them all my life.
40:46So...
40:47I'm not going to start now.
40:48Really, I'm not.
40:49I feel...
40:50Anything I can put on it?
40:51Er...
40:52I think you probably need to...
40:54Just filling your glass...
40:55Ooh.
40:56Got a big gland there as well.
40:58No pain, no?
40:59No.
41:00If it's been there that long...
41:02I'm going to get you to see somebody...
41:04Pfff...
41:05Pfff...
41:05Fairly quickly in the hospital.
41:06I know you don't want to.
41:08You can't leave that.
41:09That's a long time.
41:10For it to be there.
41:11And why is it not healing?
41:12Have you seen a dentist?
41:13No.
41:14Frequently.
41:15You do?
41:16Mmm.
41:17Good.
41:18I'm going to refer you anyway.
41:19I've never mentioned it to them.
41:20I've got you so you go pretty quick.
41:22Even by the next time I see you, you should have heard...
41:25from them.
41:26Oh yeah, that's good.
41:27That quick.
41:28Just to make sure.
41:30I don't like going to hospital.
41:31I know.
41:32But...
41:33And...
41:34Because they don't...
41:35know me and they ask me so many questions...
41:38Yeah, yeah.
41:39From ground level...
41:40all upwards.
41:41Do I do this?
41:42Do I do that?
41:43No, no, no, no.
41:44The answer's always no.
41:45I'm going to Bristol on Wednesday.
41:49Oh wow.
41:50Okay.
41:51See, an old school friend of mine, who's not yet 90...
41:55but...
41:56Yeah.
41:57We'll be 90 in a couple of months' time.
41:58Okay.
41:59Yeah.
42:00Nice birthday.
42:00That's a great thing to do.
42:01Yeah.
42:02Yeah.
42:03Yeah.
42:04Yeah.
42:05Yes.
42:06I had a quiet birthday too.
42:07I'm actually what, 61?
42:09Shh.
42:10You will have heard from the hospital by the time I see...
42:15you then about your inner lip.
42:17Yeah.
42:18Can you manage?
42:20I've found you.
42:23There we go.
42:24Yeah.
42:25Well, thank you for seeing me.
42:26Nice to see you.
42:27You take care.
42:28I will.
42:29Bye-bye.
42:30Bye.
42:31Well, it's a nice...
42:30Oh, you're so lovely.
42:31You see, now you're waving at me.
42:33Bye-bye.
42:34Bye-bye.
42:35Bye-bye.
42:36Bye-bye, our friend.
42:37Bye.
42:38All right.
42:39Perfect.
42:40Not at all.
42:41Have a great...
42:40Have a great afternoon.
42:41Yeah, you too.
42:42Bye.
42:43Yeah, lovely.
42:44Thank you very much.
42:45Okay.
42:45Bye.
42:46Have a good one.
42:47Have a good one.
42:49Bye-bye.
42:50See you.
42:51Thank you very much.
42:50Bye-bye.
42:51Bye-bye.
42:52Bye-bye.
42:53Bye.
42:54Bye-bye.
42:55Bye-bye.
43:00Bye-bye.
43:05Bye-bye.
43:10Bye-bye.
43:11Bye-bye.
43:15Bye-bye.
43:16Bye-bye.
43:20Bye-bye.
43:25Bye-bye.
43:30Bye-bye.
43:31Bye-bye.
43:32Bye-bye.
43:33Bye-bye.
43:35Bye-bye.
43:40Bye-bye.
43:45Bye-bye.
43:50Bye-bye.
43:55Bye-bye.
43:56Bye-bye.
44:00Bye-bye.
44:01Bye-bye.
44:02Bye-bye.
44:03Bye-bye.
44:04Bye-bye.
44:05Bye-bye.
44:06Bye-bye.
44:07Bye-bye.
44:08Bye-bye.
44:09Bye-bye.
44:10Bye-bye.
44:11Bye-bye.
44:12Bye-bye.
44:13Bye-bye.
44:14Bye-bye.
44:15Bye-bye.
44:16Bye-bye.
44:17Bye-bye.
44:18Bye-bye.
44:19Bye-bye.
44:20Bye-bye.
44:21Bye-bye.
44:22Bye-bye.
44:23Bye-bye.
44:24Bye-bye.
44:25Bye-bye.
44:26Bye-bye.
44:27Bye-bye.
44:28Bye-bye.
44:29Bye-bye.
44:05Sometimes this foot is normal. Yes, this foot looks like Cornish pasty
44:10I got out of bed and all of a sudden my nose poured with blood on my nose.
44:15This was full of blood.
44:18It's good, John. It's really...
44:20It's really good.
44:23Catch all that new next Wednesday.
44:25And if you or someone you know has been affected by any of the issues raised...
44:30...in tonight's program, please go to channel5.com slash helplines for information.
44:35And support what's causing a patient's irregular heartbeats every second.
44:40Counts to save lives in Casualty 24-7, new next.
44:45Captions by Red Bee Media
44:51Video by Red Bee Media
44:54Captions by Red Bee Media
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