Lewis waller 081549 89 year old gentleman hi lewis waller I'm rob I'm 1 of the medical restaurants pleasure to meet you how are you good I'm prepared thank you good the a and e doctors have seen you briefly possibly and then brought you into this resuscitation area to keep a close eye on you because of the result of a couple of your blood tests alright the some of the blood tests have come back now and they show raised levels of potassium in the blood mhmm and that's 1 of the electrolytes in the blood and it can affect the heart sometimes which is why you've got to be on this cardiac monitor right it also shows some slight damage to the kidneys in some sort of kidney impairment and that's probably why the potassium's still going up it's unclear as to what's causing that problem with the kidneys you're passing a bit of water through our catheter so we know a bit of wheeze coming out not too much all things considered have you been feeling well lately no I've been terrible in what way have you been terrible lethargic mhmm no interest in anything I'm sorry physically well I know I'm 90 years of age you're young 89 you're doing fine well I expect more of age you know at that age mhmm but there were parents around the house I've got my daughter and my son that helps out oh things I used to do I and I say to my wife in the morning feel like a shock really just every morning for how long now have you felt like a shock I feel so bad about about 4 months 3 years mhmm and anything else you felt other than feeling shy no no any cough or cold e g k pain in the tummy no I no pain at all have you been passing much water been going for a week no I I have not not very much wheezing at all have you been wheezing at all or not really yeah how often would you go for a week well I eat a pencil although I drink of course I don't drink I'm not a big believer yeah but if I have a cup of coffee let's say you know within an hour I've gotta go full of it okay and what how much will come out well not the total amount some will be stuck inside you for your life then I gotta go back in 10 minutes to finish it all you know and then does that happen throughout the day small volumes little wheeze never feeling like you're completely empty and has that changed over the last few weeks or not really has that been the case for a long time I've got prostate cancer I know I read about that and I know you were having some hormonal treatment previously and then previously there was some sign of it being advanced in your pelvis the prostate cancer but you're not on any treatment now is that right no no that's right they said that but they couldn't do any more for me right so here I am here you are right and any pain in the tummy no fevers or feeling hot and cold or shivering shoes nothing like that fine I got a dry mouth and sheets yeah you're feeling a dry cough calls me to vomit some mornings I see I'm sorry to hear that when I clean my teeth mhmm okay it causes me to cough can I see your tongue well it's quite dry isn't it certainly yeah but it's a then a loss of energy yeah okay and the weariness you know mhmm like they give on telling me at my age like where is if you don't use it you'll lose it mhmm you know that's a if you get that I live always a live park lovely park nice nice that's nice but how often do you get out in the park well when the weather's nice mhmm well every day afternoon nice we go balcony here at home that sounds nice and you live in a flat is that with a balcony or is it a house it's a house lovely in torquay in paintance in paintance with your wife youngest part rose yeah and how old's your wife she's 19 she's 19 so you're both spring chickens she's a year older than I am and how is she is she what yeah she is actually and she know you're here and stuff yes yeah it's not that's fine well they would woke me up this morning about I don't know what time it was but I really assume it was a manufacturer oh I thought oh really yeah I don't know why I was supposed be because of the result of your blood tests I'm just gonna pop a little drip in if that's okay because you're gonna need 2 drips is that alright because got a lot of things planned for you lucky thing I used to work in the hospital in the hospital did you what did you do I was a wayfarer really like patient welfare is that right no wayfarer what's a wayfarer I should show them the wayfarer oh I see that's nice just relax your arm if you can I'll just put this in here that's nice we still have volunteers doing that now ready they didn't make hospitals so damn complicated with signs that maybe you can read I'm back working and I'd be yeah we'd love to have you and once we get you sorted you'll know the hospital a bit better I did ask a long time I was here for about 7 months I had get a look and you just hold the hearing when you were working yes I was working when you were working I was the hearing yes and how do you move around do you use a stick or anything like that or do you walk by yourself you look very robust I I walk around the house the I walk I hope you don't want I do walk around my house for that yesterday mhmm but once I'm on the road once you're out of the house you use a stick see the the roads are still uneven they are indeed and how about your wife how does she get around drives car oh she drives she drives car do you both drive or does she do the driving it does it okay fair enough so it's mostly her she's a chauffeur it's just a little connector onto the cannula I just put in so we've got a couple of things we can give you some meds am I here or in the icu they'll try and get you on to a ward but this is the right place for you at the moment because you've got some excellent nurses best nurses in the hospital looking after you she's the best place to be I mean it's falling so we've got a couple of drips now so we can give you some good medicine you need to have a couple of drips some medicine to bring the potassium down medicine to protect the heart when the potassium is high and a few bits of fluid to try and wash this stuff through I suggest we do a ct scan of your tummy and look at what's going on with the prostate and the kidneys and make sure they're not obstructed by anything related to the prostate cancer because sometimes that can cause a very high level of kidney impairment if that's not the case then fantastic we can give you lots of medicine and fluid and let that wash the kidneys through if that is the case then we can talk about what we do if there's something blocking the tubes joining the kidneys whether that's going in to do a small operation to unblock the kidneys or something like that and we can talk about all that across those bridges when we come to that sound alright well thank you doctor it's a pleasure I'll get this blood test now and I can just I'll come back and examine you properly be back in a sec