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Yeah.
8op
Hi, dog
2gt
Have a seat. Yeah. Hi. And so we just talked on the phone.
2gt
Right.
7ack
Yes, yes. I saw Joe Dr. Donovan. Yeah. And he did that scan for gall stones.
0id
Okay. And so what happened from there then just tell me a little bit about what's happened so that I'm up to speed.
1irq
I went for that scan and then I was a bit surprised actually, they actually rang me up and a few days afterwards and said that I needed another scan to check things out. Okay, so I was there. It was on Monday this week. Don't let anything then.
0id
Okay. So in between the scan happening and the second scan happening Was it the department?
5yq
No, no, it was the it was a nice old sound girl who rang me saying they were booking this disappointments for this extra scan.
9on
And did they give you an idea why they needed to do extra?
1irq
No, they didn't actually I mean, I try to ask you always do and play sweet talk lady, but she was not pretending.
9on
Okay. And I do have any thoughts yourself or any worries about why they were calling back?
1irq
I guess it was gallstones.
0id
So just tell me a little bit about what symptoms you've been having them but we do have a scan result here today and there's some scuffs on it.
1irq
Right.
7ack
I just like to make sure that I know what's been happening to you first of all, and then we'll go into detail
0id
all started a few months ago Ray with his tummy pain.
0id
Yeah.
7ack
And then I saw your colleague, and he said we better get a scan. Yeah, I went for that scan. It was only about two weeks ago. And I got literally four or five days later. got the phone call? I needed this additional scan. So I went on Monday.
0id
Okay. Okay. And so do you still have pain at the abdomen?
1irq
Yes. Yeah, it's just there all the time.
0id
Okay. Well, as I said, you scan result has come through to me today.
0id
Yes
7ack
I'm afraid I'm afraid there is something that's potentially a little bit worrying on it.
0id
Really?
4crq
Yeah.
8op
So what's what's the worrying thing that you found?
1irq
Well, if I take you back to the first scan first. So what it appears that that showed is that there was something suspicious on what we call the pancreas gland
0id
suspicious?
4crq
Yeah. So there is a gland that sort of the top of your abdomen, which is quite closely evolved, right, and called the pancreas. And when they did the ultrasound scan, which is a good scan, but isn't particularly detailed, right, there was something on it that they saw that they wanted a bit more info
6cd
All right.
7ack
So that's why they called you back for the second scan
6cd
That doesn't sound good, does they?
1irq
which was a CT scan, which is a detail that we're likely to be talking about.
0id
Right.
7ack
So the second scan, I showed that there definitely is something on your pancreas.
0id
Really?
4crq
When I say something, what we worry about is whether or not this could be a cancer
6cd
god. I didn't expect that. God, I am only 47 cancer.
0id
I'm really sorry to have to break it to you like this, but I felt that it was important that as soon as I knew that I communicated that to you. So, I mean, I know that I've just dropped a big bombshell on you.
0id
Oh, yes. God
3gc
Have you got any Any questions in a minute? Have you got anything that you can query?
5yq
What's the pancreas and I have got cancer. What can I can make can they cut it out?
1irq
And it depends. And basically a pancreas is a brand that sort of sits at the top of the abdomen, as I said, and it controls some of the sort of the hormones, the fluids that your body prefers the body. Because it's at the back of the abdomen, often we don't know very much about it until it starts causing a bit of a problem, like your pain that you've been getting. So that probably explains why you've not had many other symptoms.
0id
Right
7ack
And the answer is, I don't know what could be done about it. But we need to ask a specialist what we usually do. This situation is asked especially today to see what has happened, think about what was cooking. Right? Do they agree that it could be potentially cancer and how do we find out what it definitely is
0id
Okay. Okay.
7ack
So I understand that I've just thrown a whole lot of information at you and
0id
I just hasn't expected that so.
0id
I mean, is there is there anybody that you could that you could bring in with them? Oh, quit I went on a bit of a chat maybe tomorrow when you've had a bit. Bit more time.
1irq
I suppose I could love myself. No doubt come by myself actually. Yeah, okay. It will just be easier. Feel Sure.
0id
I mean, I think it's important to say that we don't know for definite what this is. We have to imagine that it is something like a cancer until we can prove what is right. So we do everything very quickly. Yeah, try and get some answers. Right. But we don't know any definite nothing certain in a minute. But I do appreciate that. I've just given you a little bit of time. So my door is open and yes. Okay. Have you got any questions?
5yq
No.
9on
I've taken the liberty of printing off a little bit of something about pancreatic cancer, if that's what it is.
0id
Okay,
7ack
some of it's a little bit a little bit scary. And as I said, we don't know, nothing certain yet. I wonder if you might want to come back to see me. So what this does is it just explains a little bit about what the pancreas is right?
0id
Okay.
7ack
And it talks about cancer in general. The types of ways in which you can affect the pancreas
0id
okay. Okay.
7ack
How we do it and how we work out what we do about it talks about the different types of scans that you've had and this one is CTS.
5yq
Yes. Okay.
8op
And then depending on what they find, yeah, it gives you a brief run through of the different types of treatment.
0id
Okay
7ack
did you want to have a read through this and then Maybe tomorrow.
5yq
Yeah, we like tomorrow. Yeah. Okay. I like this.
0id
I'll see you tomorrow.
0id
Yeah. So he, he actually see me because you went to him for increased stress. And he's concerned that your alcohol consumption may be a part of that increase And prior to prescribing anything, you want to make sure that you at least had someone to talk to that
3gc
I suppose.
3gc
Okay. So you filled in one of the Pink Sheets and I take a look at that.
4crq
He told me to fill that out and bring it with me.
6cd
Okay, thank you. So, you say here that you have four or more drinks in one week, you mentioned that you may be increasing that a little bit as well. And that you have one or two drinks in one setting
1irq
typically, yeah.
0id
And maybe monthly you have more than that. What what's what kind of drinks do you have? What do you do when you typically drink
1irq
wine with my meals? You know, again, one or two, typically and more frequently, three or four. My stress is increased.
0id
So it's time to increase your strength a little more. Well, based on what you put here, you get it gives you six points on this scale scale ranging from zero to 46 points will put you in what we would consider an at risk zone. So if it's okay with you to talk a little bit about that,
0id
okay
7ack
okay. So that was sunset run zero to 40. It's not a sort of super high risk, but it certainly could be a risk for maybe increasing stress might be some physical ailments related to alcohol as well could could start to show up if you were to increase your drinking from there, or even stay there. This is a typical standard drink size over here, I'm not sure whether that fits your description of a glass of wine or not,
1irq
I feel the glass up so maybe a little more than that
0id
maybe the little space it's upset, perhaps a drink drink and a half each one. So that also increased a little bit more. So perhaps maybe drinking more than you indicated on here. And for women, healthy woman your age, no more than three drinks in one setting is considered to be low or no risk and one seven in one week, seven total in total a week and what you say here is that even on this sheet, you're perhaps already drinking more than that. So what do you make of all that?
1irq
That news to me, you know, I thought red wine with your meals is supposed to be healthy. You know, no more than seven in a week? That seems kind of prohibitive?
0id
Yeah, it seems seems a little less than perhaps you've been drinking or what you consider to be healthy drinking. And certainly there's there's conflicting information out there about what's healthy and what's not healthy. Imagine the increased stress work because we're concerned doctor seal as your stress increases, and if you were to describe you anything, maybe some interaction between the two, that would also be a concern for him. I would, I would think, so if you would, what is it that you like about alcohol?
1irq
Well, you know, it does, at least in the moment, temporarily reduce my stress. And I you know, like a good glass of wine. I don't don't drink the cheap stuff. I like the expensive.
0id
See, like the taste of it. And it does help to lower the stress, even if it's just for the fun of me drinking. What's not so good things about alcohol for you.
4crq
your financial stress may be increased by the fact that you're drinking.
6cd
Yeah, kind of defeating the purpose they're
3gc
the drink introduce stress and increasing stress at the same time. So on the one hand, it low is it on the other hand, it's increasing kind of the seesaw teeter totter effect. What do you make of that, given that on one hand, it lowers on the other hand, it increases and and now it's increasing even more?
1irq
And maybe I need to find some other way to deal with my stress. Yeah.
0id
Imagine investment thoughts so that what have you thought of trying?
1irq
Well, I've exercised in the past and that helps. Right now. My schedule is kind of out of whack and I just really don't know what to do. That's why I came to see Dr. seal. I thought maybe he can prescribe me something that would help. You know, when I'm feeling overwhelmed,
0id
And he may be able to I'm not saying that he cannot just imagine that he's concerned that if you continue to drink, the level that you are drinking, that whatever he prescribes you, there may be an interaction with it to mention that he's concerned. I'm not completely sure. So you've had some success in the past of changing behaviors. And if you were to decide to make any changes here that sounds like you could draw upon that to make those changes. How important would it be for you on a scale of zero to 10? I have a low visual hero that if zero is not important, ten is very important to do something about your drinking wine.
1irq
Well, I mean, if if it means that it's increasing my stress and or he's not going to prescribe me anything because of my drinking, then it's fairly important, maybe about seven.
0id
It's it's pretty up there. What do you choose a seven out of five or four?
11orq
Well, again, I got to get things under control. You know, My kids are dependent on me and I've got to go to work to help ease this financial stress. And so, you know, all those responsibilities
10od
there's a lot riding on your decision on what to do with this. What if anything would bring up to an eight or nine on that scale?
11orq
Well, the you know, the risk that you mentioned about the drug interaction, I certainly can't afford to, you know, have any more stress. So, yeah,
10od
so so you you choose to lower your stress rather than increase it. And if lowering your drinking would have that effect that something be willing to do.
5yq
hmmm
7ack
How confident are you that you could do something about your drinking?
1irq
I'm pretty confident and you know, probably about a seven or an eight
0id
Okay, so it's pretty high up there again, and what if, what if anything, would you choose to do would it be to cut down would it be to quit? I'm just curious about that
1irq