Medium shot of small group of trainee doctors. One of them speaks (male): | We are doctors in training at the University of the West Indies Trinidad. |
Medium shot of small group of trainee doctors. One of them speaks (female): | Soon you will see us when you come to the various hospitals, clinics and doctors’ offices for treatment. |
Medium shot of small group of trainee doctors. One of them speaks (male): | Everyday we see people who could be living healthier happier lives if only they paid little more attention to their health … |
Medium shot of small group of trainee doctors. One of them speaks (female): | We would truly prefer that you avoid coming to see us by: |
Entire group on camera | Taking better care of yourself. |
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Title graphic: Taking Better Care of Yourself | |
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We see a series of feet all types walking, entering doors, going up stairs, entering cars, kicking a ball, climbing a ladder, walking on pavements, asphalt, dirt and grass, wooden and concrete floors. Male feet female feet in shoes, slippers, sandals, high heels, flat shoes and bare feet walking. Some of the same feet standing in various poses. Graphic: The Slipping Slipper | Music: quick, lively. Up & Under Announcer: Your feet. The part of your body that makes contact with the earth. The nerves in our feet sense the ground and tell us how to adjust as we move to ensure that we stay upright and move in a smooth efficient manner. … But this is not the case for all of us; some people experience what is called the slipping slipper. |
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Various shots of people walking and the slippers come off and they continue walking, oblivious of the loss. | |
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Shot of feet at side of bed. Person attempts to shake slippers off but only one side comes off and person lies down and covers up as if going to sleep oblivious of the other slipper still on foot. | |
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Professor Teelucksingh on camera | Prof. Teelucksingh: What you have just seen is called the slipping slipper sign. If this happens to you or anyone you know it may be a sign of an important medical condition called severe peripheral diabetic neuropathy. |
On a faded background of the slipper slipping off Graphic: the slipping slipper sign indicates severe peripheral diabetic neuropathy | Prof. Teelucksingh: Peripheral diabetic neuropathy is a disorder affecting the nerves and in this case in the feet. |
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Repeat shot with slippers in bed | Prof. Teelucksingh: It occurs when the feet loose sensation and cannot realize whether the slippers are on or off. This is what happened to the person going to bed with slippers on. |
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| Prof. Teelucksingh: If this is happening to you or someone, you know they are probably diabetic and suffering from peripheral diabetic neuropathy. This means that there are specific things that they must do to protect and safeguard their feet. |
Various images of people walking with crutches, single legs, walking struggling on all types of floors and surfaces, in wheel chairs. Various c lose shots of the amputated stumps. Images of ulceration, sepsis and limb loss Surgery of amputation? | Prof. Teelucksingh: If left unchecked the effect on mobility and quality of life can be devastating … contribute to diabetic foot complications including ulceration, sepsis and limb loss resulting in amputation. |
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Medium shot of feet | Student 1: In addition to the slipping slipper another sign to look for is hair loss on the feet |
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Closer shot showing hairless areas | Student 2: Hair loss on the feet in this area usually indicates a loss of sensitivity that afflicts many diabetics. |
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Blood glucose machine in use. Brand prominently displayed | Student 3: If you are diabetic, check your blood sugar regularly. |
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Insulin pen, pump, needles. Brand prominently displayed | Student 4: Ensure that you take your insulin and all other medicines as prescribed and on time |
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Brief repeat of slipper slipping off and on in bed | Student 5: So now, you know how to recognize it look for the slipping slipper sign. |
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| Student 6: Look out for these signs in yourself and in the people around you |
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Blood glucose machine in use. Brand prominently displayed | Student 7: Get your blood glucose levels tested: |
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Blood glucose machine in use. Indicate levels Brand prominently displayed | Student 8: Normal levels are between 80 and 120 milligrams per deciliter (mg/dL) |
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| Student 9: We hope that this information was helpful. |
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| Student 10: We look forward to seeing you next time with some more information… |
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| Student 11: … to ensure that you are … |
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Entire group on camera | Taking better care of yourself. |
Title graphic: Taking Better Care of Yourself | |
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