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