| PS2BW | Ag3 | m | (No name, age 35, general practitioner) unspecified |
| PS2BX | X | m | (No name, age unknown) unspecified |
| G5TPSUNK (respondent W0000) | X | u | (Unknown speaker, age unknown) other |
| G5TPSUGP (respondent W000M) | X | u | (Group of unknown speakers, age unknown) other |
| (PS2BW) |
[1] What can I do for you this morning? |
| (PS2BX) |
[2] Well I'm still getting myself in a tangle, like I was when I came. |
| (PS2BW) |
[3] Right. |
| (PS2BX) |
[4] But I didn't take those tablets, I tried not to do. |
| (PS2BW) |
[5] That's the low dose Dizapac |
| (PS2BX) |
[6] Yeah, whatever it is. |
| (PS2BW) |
[7] Yeah. |
| (PS2BX) |
[8] And also I keep getting a pain in my arm just here, it's a |
| (PS2BW) |
[9] Mm. |
| (PS2BX) |
[10] bit of a |
| (PS2BW) |
[11] Right in there. |
| (PS2BX) |
[12] As if If I press it, |
| (PS2BW) |
[13] Yeah. |
| (PS2BX) |
[14] and if I put any weight on it. |
| (PS2BW) |
[15] Aha. [16] Any idea what's brought that on? |
| (PS2BX) |
[17] I don't really know, I've had it for about three week. [18] I keep trying one of those lamps. |
| (PS2BW) |
[19] Yeah. [20] Okay, let's have a closer look at that arm. |
| (PS2BX) |
[21] But it's er It's noting You know I can move it alright, there's |
| (PS2BW) |
[22] Yeah. |
| (PS2BX) |
[23] no problem [beeping] [...] want to go. [...] |
| (PS2BW) |
[24] Ah. |
| (PS2BX) |
[25] Are you jogging? |
| (PS2BW) |
[26] No no. [27] Just normal summer ware. |
| (PS2BX) |
[28] I'd thought you'd been getting exercise in. |
| (PS2BW) |
[29] No no no no no no no, no just casual ware this summer. [30] It's too hot otherwise. [31] It's hot enough as it is in this place. [32] I've got three internal walls and the wall's about eighteen inches thick with a double glazed window. [33] I mean there's You know what [...] |
| (PS2BX) | [laugh] |
| (PS2BW) |
[34] What's it like up the fore arm? [35] Is that er |
| (PS2BX) |
[36] I it's alright, but it seems if I if I press in there |
| (PS2BW) |
[37] Yeah. |
| (PS2BX) |
[38] somewhere. |
| (PS2BW) |
[39] Okay. [40] you okay in this area here? |
| (PS2BX) |
[41] Yeah. |
| (PS2BW) |
[42] No problems there ? |
| (PS2BX) |
[43] Nothing at all. |
| (PS2BW) |
[44] Nothing on the |
| (PS2BX) |
[45] No. |
| (PS2BW) |
[46] backside of the elbow. [47] You're okay there. [48] Now let me just [...] Is that okay? |
| (PS2BX) |
[49] Mm. |
| (PS2BW) |
[50] Okay, just pull your hand in towards your face a bit. [51] Okay, you haven't ruptured the tendon. [52] Is that tender? |
| (PS2BX) |
[53] Not really no. |
| (PS2BW) |
[54] In there. [55] Under there? |
| (PS2BX) |
[56] No. |
| (PS2BW) |
[57] So it is Really is on and off cos there's nothing much there now, is there ? |
| (PS2BX) |
[58] No , no. |
| (PS2BW) |
[59] It's funny that isn't it? |
| (PS2BX) |
[60] I don't know It's |
| (PS2BW) |
[61] Okay. |
| (PS2BX) |
[62] comes on and it |
| (PS2BW) |
[63] Push out for me, push that [...] . |
| (PS2BX) |
[64] To you? |
| (PS2BW) |
[65] Yeah. [66] Well that's okay when you do that? [67] Nothing [...] |
| (PS2BX) |
[68] Hmm, feel a little bit, nothing at the back. |
| (PS2BW) |
[69] Yeah. [...] |
| (PS2BX) |
[70] It seems if it's |
| (PS2BW) |
[71] [...] okay. [72] Just hold my hand and turn as if you were turning a door handle. [73] Okay. [74] And the other way. [75] Does that hurt there? |
| (PS2BX) |
[76] No. |
| (PS2BW) |
[77] Er ... not sure what's causing that [...] |
| (PS2BX) |
[78] But i mean it's |
| (PS2BW) |
[79] Well yes I mean it's it's it's more likely to have been a muscle than anything else, with pain that comes and goes. [80] Certainly won't be a bone that's causing it. [81] But what's irritated the muscle in the first place is Your guess is as good as mine, cos it all works perfectly. [82] Now. |
| (PS2BX) |
[83] Is it stress related? |
| (PS2BW) |
[84] Well can make anything worse and will often make a lot of things carry on longer than they otherwise would normally. [85] I don't think stress would cause this sort of pain but it'll certainly make it feel worse, there's no doubt about that. ... |
| Unknown speaker (G5TPSUNK) | [...] |
| (PS2BX) |
[86] what I'm think if I do get |
| (PS2BW) |
[87] Yeah. |
| (PS2BX) |
[88] a little bit up tight, it |
| (PS2BW) |
[89] Yeah. |
| (PS2BX) |
[90] seems as if that. |
| (PS2BW) |
[91] Yeah. [92] Oh it'll make it worse. |
| (PS2BX) |
[93] So I don't know but er |
| (PS2BW) |
[94] Mm. [95] How are you managing er things when you get up tight? |
| (PS2BX) |
[96] Well I'm doing things, you know [...] I'm not ... |
| (PS2BW) |
[97] Yeah. [98] So you're keeping yourself occupied ? |
| (PS2BX) |
[99] avoiding th I've never had I mean [...] me I'm [...] |
| (PS2BW) |
[100] But if you I mean if you do get very anxious what do you do? |
| (PS2BX) |
[101] I just carry on. |
| (PS2BW) |
[102] You just carry on. [103] And it wears off? |
| (PS2BX) |
[104] Mm. |
| (PS2BW) |
[105] Well that's probably a good a way of managing it as anything really. |
| (PS2BX) |
[106] I mean I'm not the sort of person who can sit down and watch telly all day, you know [...] |
| (PS2BW) |
[107] [laugh] I didn't think so. |
| (PS2BX) |
[108] Erm |
| (PS2BW) |
[109] Er and you haven't been taking any of those Diazepam at all? |
| (PS2BX) |
[110] I didn't take them because |
| (PS2BW) |
[111] No. |
| (PS2BX) |
[112] I I know |
| (PS2BW) |
[113] Well |
| (PS2BX) |
[114] I tried to I probably made myself a bit of a nuisance when I came in last time but , |
| (PS2BW) |
[115] No. |
| (PS2BX) |
[116] as I told you before I'd been like it before and it |
| (PS2BW) |
[117] Yeah. |
| (PS2BX) |
[118] it's er |
| (PS2BW) |
[119] The advantage of those Diazepam is, they're there if you need them. [120] You've still got them there if you need them. [121] Er it's a very low dose, if you just take them every now and again you'll have no problems with them at all. [122] And if you do feel things are overwhelming you then they may just help to bring you down again. |
| (PS2BX) |
[123] Yeah. |
| (PS2BW) |
[124] And that's what they're there for. [125] Sometimes, just knowing you've got something else you can turn to is all you need cos you don't need |
| (PS2BX) |
[126] Yeah. |
| (PS2BW) |
[127] to take to anything, |
| (PS2BX) |
[128] Mm. |
| (PS2BW) |
[129] you just know they're there. [...] |
| (PS2BX) |
[130] I mean i it's it's it's funny thing this i It's a thing what seems to creep up on you isn't it ? |
| (PS2BW) |
[131] Yeah. [132] Yeah. [133] It's very common. |
| (PS2BX) |
[134] [...] I I really know I mean it it's not that I'm I'm no where near like I was before, I know because I was You know reservoir treatment before, but er |
| (PS2BW) |
[135] Yeah. ... |
| (PS2BX) |
[136] Doc er Dr , Colin , he |
| (PS2BW) |
[137] Yeah. |
| (PS2BX) |
[138] would call men a silly bugger he did. [laugh] |
| (PS2BW) |
[139] I know him, I know him well, yeah. |
| (PS2BX) | [laugh] |
| (PS2BW) |
[140] Well he would say that yes. [laugh] |
| (PS2BX) |
[141] He's alright though, I mean [...] |
| (PS2BW) |
[142] Oh yes, yes he was a |
| (PS2BX) |
[143] Not meant offensive or anything like that. |
| (PS2BW) |
[144] Yeah, he were a great bloke. |
| (PS2BX) | [...] |
| (PS2BW) |
[145] Yeah. [146] [...] not taking Diazepam. [147] Well I th I sus I suspect you will ma co continue to manage yourself. [148] And I think for you that may be the best way of doing things. |
| (PS2BX) |
[149] Mm. [150] And I've got |
| (PS2BW) | [...] |
| (PS2BX) | [...] [break in recording] |
| Unknown speaker (G5TPSUNK) | [...] |
| (PS2BX) |
[151] This one [...] |
| (PS2BW) |
[152] Yeah. |
| (PS2BX) |
[153] Ta. |
| (PS2BW) |
[154] But this pain, I'm not sure what that is, I mean your arm seems to be in perfect working order, so |
| (PS2BX) |
[155] Er |
| (PS2BW) |
[156] keep an open mind on that. [157] It'll probably go now I've had a look at it. [158] Like it does. |
| Unknown speaker (G5TPSUNK) | [laugh] |
| (PS2BW) |
[159] This'll squeeze your arm a bit, okay? [160] [pumping up blood pressure armband] Still smoking? |
| (PS2BX) |
[161] Mm. |
| (PS2BW) |
[162] Drinking? |
| (PS2BX) |
[163] No. ... |
| (PS2BW) |
[164] Smoking's bad for you of course but I mean [...] |
| (PS2BX) |
[165] You r you really think I ought to stop? [166] Be honest, give me a real |
| (PS2BW) |
[167] Well, |
| (PS2BX) |
[168] professional. |
| (PS2BW) |
[169] smoking will help stress ... but smoking is much more likely to cause serious physical problems, than stress is. [170] That's the catch. [171] Er And it it's reckoned a hundred and sixty thousand people die a year, of smoking related diseases. [172] Er I don't know how many people die of stress related diseases but it's probably under a hundredth. [173] Er And I think that puts it into context. [174] Overall your health would be a lot better off your cigarette. [175] And if you find then things like stress and anxiety come through, there are other ways of treating that and sorting that out. [176] I can't think of any case where people are better off smoking than none smoking, |
| Unknown speaker (G5TPSUNK) |
[177] really |
| (PS2BX) |
[178] what about a pipe? |
| (PS2BW) |
[179] Well pipes are better than cigarettes because you don't inhale so much. |
| (PS2BX) |
[180] Mm. |
| (PS2BW) |
[181] [...] fact if you don't inhale at all you're doing yourself a big favour, but you nearly always get some down ion to the system and really the o the only thing I could ethically recommend as a doctor, is stopping. [182] Difficult to be ethically safe, this is safer than that, you know. [183] [...] I mean the decision is yours and you may find You may wish to sort of take take things very slowly and very gradually. ... |
| (PS2BX) |
[184] Mm. |
| (PS2BW) |
[185] I'm not going to tell you to do anything, that's not what I'm here for, but er |
| (PS2BX) |
[186] Well I mean er we have to take notice of you don't we? |
| (PS2BW) |
[187] Yeah. [188] Well no you don't actually, I mean y you are free to [laughing] ignore our advice and [] Yeah I I know that , |
| (PS2BX) |
[189] Yeah, but I mean |
| (PS2BW) |
[190] but I mean that would be my advice as a doctor, to stop smoking, in the long term. |
| (PS2BX) |
[191] Mm. |
| (PS2BW) |
[192] Certainly. [193] Your blood pressure's absolutely fine. [194] Impressive, it's better than mine. |
| (PS2BX) |
[195] Bet you tell everybody. |
| (PS2BW) |
[196] No it's true. [197] It's true. [198] Mine is er It's not high but it's higher than I would like but er [...] |
| (PS2BX) |
[199] So what am I going to do? [200] Just carry on? |
| (PS2BW) |
[201] Yes I think so . |
| (PS2BX) |
[202] Do you think I ought to take anything or? |
| (PS2BW) |
[203] No I don't think you need to take anything at all. [204] You've got the Diazepam if you need them [...] |
| (PS2BX) |
[205] No, I haven't got it. |
| (PS2BW) |
[206] Oh you haven't Oh Oh |
| (PS2BX) | [...] |
| (PS2BW) |
[207] Oh you never got it. [208] Oh, well the p Oh yes well it's now seven months old that prescription so that that'll now be invalid so ache in left arm [...] |
| (PS2BX) |
[209] I don't know what this is, whether it's something with work or |
| (PS2BW) |
[210] Yeah. |
| (PS2BX) |
[211] Comes and goes,y y y and sometimes |
| (PS2BW) |
[212] [...] wait and see would be the right approach for that. [213] Cos it certainly isn't anything obviously serious, so I think we'll just see how things go, [...] |
| (PS2BX) |
[214] Yeah, [...] prescription [...] ? |
| (PS2BW) |
[215] No, not unless you want one. |
| (PS2BX) | [laughing] [...] [] [laugh] |
| (PS2BW) |
[216] I think that's the answer to that one isn't it? [217] You don't really want I'm certainly not going to give you something you don't want, so |
| (PS2BX) |
[218] Well let me put it to you like this, I feel sometimes that I need something, |
| (PS2BW) |
[219] Yeah. |
| (PS2BX) |
[220] ... to settle me down. |
| (PS2BW) |
[221] Yeah. |
| (PS2BX) |
[222] Er but sometimes I'm alright. |
| (PS2BW) |
[223] Right, well what I could do is I could give you another prescription now, that you can go and get if you feel you are going to need something . |
| (PS2BX) |
[224] L let me let me do that. |
| (PS2BW) |
[225] Yeah, |
| (PS2BX) |
[226] Let me let me do that [...] |
| (PS2BW) |
[227] And if it expires |
| (PS2BX) |
[228] that's alright. |
| (PS2BW) |
[229] Yeah, if it expires like the last one, that's okay, just chuck it on the fire. |
| (PS2BX) |
[230] I think what I'll do I'll er I'll get the prescription. |
| (PS2BW) |
[231] Okay. [232] ... You can have one up to three times a day, er you're never going to take that I'm sure. [233] As required. |
| (PS2BX) |
[234] Yeah. |
| (PS2BW) |
[235] [...] okay? [236] And I think what you'll find is you just need one you know, perhaps even one every three or four months, that's okay. [237] It's just there to take the edge off things when it's not settling on it's own. [238] And that is entirely the appropriate way to use these and they really can make a huge difference like that. |
| (PS2BX) |
[239] Okay, thank you for your time . |
| (PS2BW) |
[240] There you go. [241] That's okay. [242] Nice to see you again. |
| (PS2BX) |
[243] Well it's nice to see you but I hate It's not personal but I |
| (PS2BW) |
[244] I know I know I know. |
| (PS2BX) |
[245] I really do it [...] |
| (PS2BW) |
[246] You don't like coming to doctors. [tape change] |