0:09 Hello.
0:11 >> It is. Yes.
0:14 >> Morgan here from
0:18 >> Yes, it is at the moment.
0:20 >> Well, hang on. I will I will say I am
0:22 expecting a call from a doctor for
0:25 myself. Uh and if that comes in, I'll
0:28 have to uh >> Yeah,
0:28 >> Yeah,
0:30 >> I understand. No problem. I'll try and
0:33 keep it brief. Um, but I've looked into
0:35 the conversation we had last week. Um,
0:38 I've looked into the issues that we were
0:41 discussing. Um, so one in terms of the
0:44 the record of the urine sample for the
0:46 16th of September and I can assure you
0:50 that is on on your wife's record. Um, it
0:52 might not be visible to yourself because
0:55 it's actually it's not on the homepage.
0:57 Um, so it is behind the scenes, but that
0:59 record is actually still there. is on
1:01 her record, but I also talked to you
1:04 about us looking into access and I
1:06 explained a little bit about proxy
1:09 access. Um, and I need to let you know
1:11 that unfortunately we've made an
1:14 administrative error when your wife's
1:17 records came back to us from the care
1:20 home. Um, and her online access, her
1:24 full access um, automatically uh, gets
1:28 removed. um we in error shouldn't have
1:31 released that back to her for full
1:34 access um until it had been reviewed by
1:36 a GP because there's a there's a flag on
1:39 the system which naturally happens um
1:42 for it to be reviewed by a GP first
1:44 before that process can be released
1:47 before that access can be released. So
1:48 we haven't unfortunately followed that
1:50 process and that is an error on our
1:54 behalf. So I apologize um DY for for
1:57 that error. So we have removed access
1:58 for the moment because we need to follow
2:01 those processes.
2:03 >> Yeah, I'm listening.
2:06 >> Okay. So if your wife wants to have
2:10 access to her records, um then she would
2:13 need to to request that from us. If
2:16 she's not able to do that, then you
2:18 would need to put in a request yourself
2:21 in terms of a proxy request and then
2:24 would go through those processes for you
2:27 to have a proxy access.
2:29 So that would be the next step. your
2:32 wife would need to to request access
2:33 again and we'd go through the necessary
2:36 processes and our GPS would need to
2:38 review that and we go through that
2:41 process and if she if she's not able to
2:43 do that and and you wish to to put in a
2:45 proxy request because you want to access
2:47 it on her behalf
2:50 then you need to to request that from
2:52 the surgery a proxy request.
2:55 >> So that explains why I've got an email
2:58 here. Dear Mrs. Farwell your online
3:01 service account has been closed as requested
3:03 requested
3:07 uh which I haven't requested. Uh if you
3:10 did not request this closure please
3:12 contact the practice immediately which
3:14 is what I'm doing now.
3:17 >> Yes. Yes. So unfortunately you you
3:19 called me before I've managed to call
3:22 you. Um so so yes so that that's why
3:25 that accent has been closed currently.
3:27 right now. Do you know the consequences
3:30 of what your actions?
3:33 >> I'm I'm aware of of the processes that
3:35 we've taken and we've taken advice from
3:37 our data protection officer.
3:40 >> You uh the doctors there prescri uh
3:43 diagnosed my wife with Alzheimer's 5
3:46 years ago. I've got a call waiting. Can
3:47 you hold on a minute, please? Just a minute.
3:49 minute. >> Hello.
3:51 >> Hello. Hello.
3:52 Hello.
3:54 >> Hello. Good morning.
3:57 Who am I talking to?
3:59 >> Who am I talking to? >> Hello.
4:00 >> Hello.
4:02 >> Who am I talking to?
4:04 >> Uh, I'm one of the doctors calling from
4:06 Russell Hall Hospital.
4:09 >> Uh, oh dear. Um,
4:10 >> Mr. Robert.
4:12 >> Yes. Can you please hold the line for a
4:15 second? I'm sorry about this. I'll call
4:18 you back. Uh, Kerry. >> Hello,
4:18 >> Hello,
4:20 >> Kerry. I've got the uh I've got
4:22 something. It's very important. Could
4:25 you please ring me back in 10 minutes?
4:27 >> Yes, of course. No problem. I'll call
4:27 you back.
4:28 >> Thank you.
4:29 >> All right. Thank you. Bye.
4:31 >> Hello there.
4:33 Hello. I'm back again. >> Hello.
4:34 >> Hello.
4:34 >> Hello. Yes.
4:36 >> A good time to speak.
4:38 >> Yes, I'm all right now.
4:40 >> Okay, that's fine. I'm one of the
4:41 doctors calling from Russell's call
4:44 hospital regarding Mrs. Farwell.
4:45 >> Yes, my wife.
4:48 >> Yeah. Can you please confirm her date of
4:51 birth and first line address? 30 30th of
4:57 the 4th 1940 one Parkfield Road DYA1HD
5:00 >> right so I'm just following about um
5:04 advanced care planning um it's part of
5:09 the routine hospital policy um so um so
5:14 during this admission um in case of um
5:17 her heart were just to stop the medical
5:20 team agrees that it's not in her best
5:24 interest uh to start chest compression.
5:27 >> You're talking about you want to have a DNR?
5:29 DNR? >> Yep.
5:30 >> Yep.
5:33 >> Um well, I agree with you,
5:36 >> right? So, do you understand what does
5:38 it involve and why we've came to that conclusion?
5:40 conclusion?
5:43 >> Uh I can I can assume yes.
5:46 >> Okay. I assume that uh the reason I was
5:51 told last night my wife was um uh put on
5:53 her gurnie to be taken down to have a
5:55 doppul scan of her neck. >> Mhm.
5:56 >> Mhm.
6:00 >> Uh and because of her frailty and everything.
6:01 everything. >> Um
6:03 >> Um
6:05 this is what I assume. I'm guessing
6:08 because of her frailty you then decided
6:12 uh it's not in Mary's best interest. If
6:13 there happens to be because if you find
6:18 a clot, you'd have to have a procedure
6:21 uh which might itself be more dangerous.
6:27 >> Uh and because of um uh uh observations
6:30 and the like and her age and having
6:34 dementia, uh the best thing to do is uh
6:36 uh put on a DNR,
6:38 >> right? Yeah, that's absolutely correct. Yeah.
6:39 Yeah.
6:41 >> Is that correct? But have I assumed
6:42 things right?
6:44 >> Yeah, exactly.
6:46 >> Yeah, I understand.
6:49 >> Yep, that's fine. Um, so this is just to
6:52 update you. Do you have any questions at
6:54 the moment about what's been going on?
6:57 >> No. Uh, except Can you You're a doctor,
6:58 are you? >> Yeah.
6:59 >> Yeah.
7:02 >> Uh, how likely is it? Because I I
7:04 noticed you've got compress is it
7:06 compression leg things on the legs?
7:10 >> Mhm. Um, that's to stop DVTs, >> right?
7:11 >> right?
7:13 >> And I presume, >> yeah,
7:13 >> yeah,
7:16 >> if I bring Margaret home, >> um,
7:18 >> um,
7:21 uh, will she be having the DVTs or is it
7:24 the case now that, um, what will be will be.
7:26 be.
7:28 >> Well, at the moment while she's in
7:30 hospital, we put her on the leg
7:34 compression to prevent DVT. But after
7:36 discharge, we'll make sure that she has
7:42 a care plan in place so she can move. Um
7:44 but I don't think we can prescribe
7:49 anything for um DVT after uh discharge
7:53 but we she will be on um uh
7:56 antiplatelets which are basically to
8:02 >> So that's a medication.
8:04 >> A medication. Exactly.
8:08 >> Uh which I presume you will or um
8:10 >> yes we will prescribe the medication
8:12 after discharge. >> Um
8:14 >> Um
8:16 I fully understand it's a bit of a
8:20 bugger but it's about the most sensible
8:27 >> U so when are we talking about discharge?
8:28 discharge? >> Yeah.
8:29 >> Yeah.
8:33 >> When are when? Well, I'm not sure. I
8:35 can't say at the moment because uh we
8:37 need to make sure she needs to be seen
8:42 by physios first. Physiootherapy. >> Yeah.
8:42 >> Yeah.
8:45 >> Right. So from the medical point of
8:47 view, she's optimized for discharge, but
8:50 she needs to be seen by physotherapy
8:52 first to make sure that there's a care
8:56 plan in place if she needs carers or so. >> Yeah.
8:57 >> Yeah. >> Yeah.
8:58 >> Yeah. >> Understand?
8:59 >> Understand? >> Yeah.
9:01 >> Yeah.
9:03 Okay. Is that it? >> Yes.
9:05 >> Yes.
9:08 >> Okay. Um, and who am I talking to? Your name?
9:09 name? >> Sorry.
9:10 >> Sorry.
9:11 >> What's your name?
9:15 >> My name is Dr. Shad. S H A HD. >> Um,
9:16 >> Um,
9:19 okay. I understand. >> Yeah.
9:20 >> Yeah.
9:22 >> Um, anything else?
9:25 >> Not really. Do you have any questions? >> Um,
9:30 uh, let me think.
9:32 No, not really.
9:33 >> Okay, that's fine.
9:38 >> Have you got any uh um here's a question
9:42 any how how bad is she?
9:44 >> She's doing basically she's doing the
9:49 same. She's on baseline, I guess. Um but
9:52 um at the moment we we're not actively
9:56 treating um she's on antibiotics for the
9:57 urine infection.
9:58 >> Yes, I know that. >> Yeah.
9:59 >> Yeah.
10:01 I've been I've been going through that
10:03 for years. Uh have you got any time
10:05 scale of when you expect something to
10:07 happen or I don't suppose there is is there
10:08 there
10:09 >> sorry say it again
10:13 >> a time scale for
10:16 um she could still go on for a long long time.
10:18 time.
10:20 >> Do you mean ina in terms of her recovery?
10:20 recovery? >> Yes.
10:21 >> Yes.
10:24 >> Right. So it's it's difficult to say
10:27 because it's different from uh from
10:31 patient to another. Uh but um I can see
10:35 that she had a an eskeemic stroke. So
10:38 that the the stroke itself the the
10:40 tissue damage to the brain does not resolve
10:43 resolve
10:46 but the healthy brain tissue tries to
10:50 sort of recover. Um this can take time.
10:54 Um and we cannot say for sure that we
10:57 she will make a complete recovery out of
11:00 it given her age and the the the
11:04 coorbidities she had. >> Okay.
11:05 >> Okay. >> Yeah,
11:06 >> Yeah,
11:08 >> I do fully understand. >> Yeah,
11:10 >> Yeah,
11:13 >> thank you for uh phoning and talking to me.
11:13 me.
11:15 >> No worries.
11:16 >> Okay, thank you.
11:18 >> Thank you very much. Take care. Bye.
11:20 Bye. Bye. [Music]
11:38 wind it up a bit. B the doctors up a
11:42 bit. Hopefully Kerry will found back.
