Na0s/Medical-Whisper-Large-v3
Automatic Speech Recognition • 2B • Updated • 577 • 10
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day1_consultation01_chunk_0.wav | Hello? Hi. Um should we start? Yeah okay. Hello how um. Good morning sir how can I help you this morning? Hello how are you? Oh hey um I've just had some diarrhea for the last three days um and it's been affecting me I need to stay close to the toilet. And um yeah it's been affecting my day-to-day activities. Sorry to ... | |
day1_consultation01_chunk_1.wav | diarrhea? Do you mean you're going to the toilet more often? Or are your stools more loose? Yeah so it's like loose and watery stool going to the toilet quite often uh and like some pain in my like lower stomach? Okay. And how many times a day are you going let's say in the last couple of days? Um probably like six or ... | |
day1_consultation01_chunk_2.wav | And you mentioned you've had some pain in your tummy as well. Whereabouts is the pain exactly? Yep. So in my lower abdomen so uh like um...yeah just to one side. One side. And what side is that? Uh on the left side. Left side. Okay and can you describe the pain to me? Yeah it feels um like a cramp like a muscular cramp... | |
day1_consultation01_chunk_3.wav | come and go? Uh it comes and goes. Come and go. Does the pain move anywhere else for example towards your back? Uh...no just mainly my stomach. Okay fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having uh have you been feeling feverish for e... | |
day1_consultation01_chunk_4.wav | four days ago. You measure your temperature then? Yeah I uh I didn't measure my temperature no but I felt um just a bit hot. And y'know. Okay. Okay. Any other symptoms like sweating or um night sweats? No? And uh any vomiting at all? Yeah so um I vomited at the start of the symptoms but now um I've stopped vomiting. Yo... | |
day1_consultation01_chunk_5.wav | And there was no blood in your vomit is that right? Yeah yeah just normal vomit yeah. No no blood no. Yeah. No okay. Um and um any any other symptoms at all? So you mentioned tummy pain you mentioned diarrhea you mentioned your vomiting uh anything else that comes to mind? Yep. Um I had a loss of appetite um so I haven... | |
day1_consultation01_chunk_6.wav | and uh yeah light foods. Like smoothies and yeah liquid foods mainly. Okay. Fine. Um and sir these started three days ago the symptoms. Are you aware of any triggers which may have caused the symptoms uh to kick on. So for example think like takeaway foods or eating out or being around other people with similar symptom... | |
day1_consultation01_chunk_7.wav | uh eating normally. Okay. Nothing unusual here. Do you remember where you ate? Um yeah I ate at a Chinese restaurant with friends. Yeah. Okay. Anyone else unwell with similar symptoms? Um so no one else in the family so a wife and two kids and one um child was vomiting but they haven't got diarrhea. There's no one with... | |
day1_consultation01_chunk_8.wav | overall health are you normally fit and well? Or uh Um yeah I mean other than um athsma um I use an inhaler everything uh else is fine. Okay. And is your asthma well-controlled? Uh yeah that's fine. I just yeah use an inhaler and uh that's under control. Fine. And you don't have any other tummy problem bowel problems I... | |
day1_consultation01_chunk_9.wav | other medications. Okay fine. And in terms of just your day to day life you said it's been affecting your life. Yeah. um in what way has it been affecting your life? Uh so I need to stay close to the toilet 'cause I go quite frequently during the these past three days. Um yeah other than that it's uh yeah the main conc... | |
day1_consultation01_chunk_10.wav | three days or have you been at home? Uh yeah I've been going to work. Yeah. That must be difficult for you then. Yeah it's been quite difficult. okay. fine. And you said you mentioned you live with your wife and two children is that right? Yes yeah. Right alright. Um just a couple of other question we need to ask sir. ... | |
day1_consultation01_chunk_11.wav | Yeah. but but having listened to your story sir I think uh um just to recap for the last three days you've been having loose stool diarrhea a bit of tummy pain uh mainly on the left-hand side um and vomiting and fever and you're quite weak and lethargic um you mentioned you had this Chinese takeaway as little as three ... | |
day1_consultation01_chunk_12.wav | Uh mainly caused by viruses but there can be a possibility of bacteria uh causing its symptoms. Um. Yeah. At this stage uh what what we'd recommend is just what we say conservative management. So um I don't think you need anything like antibiotics. It's really just um making sure you're well hydrated so drinking fluids... | |
day1_consultation01_chunk_13.wav | your minerals and vitamins. Okay. Um and if you are having vomiting diarrhea I would say recommend that in the first you know first couple of days. Yep. If you are feeling feverish and weak eh taking some paracetamol Yep. uh two tablets up to four times a day for the first few days can also help. I will certainly advis... | |
day1_consultation01_chunk_14.wav | symptoms haven't got better you know in in three to four days I'd like to come and see you again. Okay sure. Because if it is ongoing then we have to wonder whether something else caused your symptoms. Yep. Uh and we may need to do further tests like um taking a sample of your stool so we can test that. Um etcetera etc... | |
day1_consultation01_chunk_15.wav | yes yeah that's that's very clear. Thank you. Great. Well I wish you all the best. Okay thank you. Bye. Thank you. Bye bye. | |
day1_consultation02_chunk_0.wav | Hello? Hello. Can you hear me well? Uh uh yes. I think. It's a bit better. It's a bit it's a bit it's not very clear. But let's continue anyway. OK. Uh OK. Let's start again. So how can I help you sir? Yes. So it's been a few days now. I have like a sore and a red skin. It's kind of it's really itchy and it's like supe... | |
day1_consultation02_chunk_1.wav | whereabouts in your skin is it affected? Uh mostly like my chest my my hands my arms. Like like really it's it's super annoying. Like it's itching a lot like all the time. And I can't even sleep at night. I really need something quickly to to solve it. Because even at work I I can when I'm in a meeting and I have to li... | |
day1_consultation02_chunk_2.wav | this disease. No no OK. I'm certain this is obviously affecting you. And uh we'll try our very best to get get this sorted out for you. Um have you had anything like this before in the past? Um so yes. Uh earlier I was like prescribed for my eczema. OK. And they gave me like some cream and something to uh when I like s... | |
day1_consultation02_chunk_3.wav | mean at that time yes. That's those symptoms like these symptoms appear like when the symptoms appeared again I tried those and it didn't work. I've tried a few things. Like I bought a a steroid cream at the pharmacy last night. But it apparently didn't help because it's still itching a lot today. OK. Uh yeah. OK. Do y... | |
day1_consultation02_chunk_4.wav | Um it's much more like itchy. And my eczema was more like only in the arm. But now it's also on the chest. And in the on the on the hands as well. OK. Like pretty yeah when like I like for instance hiking during the weekend. And I am I can't really do it anymore because it's like very like I wanted to do that last week... | |
day1_consultation02_chunk_5.wav | which is very very annoying. No. Well OK. That's so you mentioned the itchiness. Um you also mentioned it's been quite sore. Um have you have you noticed any uh bleeding or discharge from your skins? No. Um so my skin is a bit cracked in some parts like kind of cracked if you see what I mean. OK. But uh yeah. You've no... | |
day1_consultation02_chunk_6.wav | four days ago. Are you aware of any triggers or anything that you may have done that may have caused your symptoms to start? So for example have you changed your uh shower gel any clothing? Have you been around anyone else? No I It's actually like it's really annoying because I'm thinking about maybe I should change so... | |
day1_consultation02_chunk_7.wav | comfortable asking about these questions. It's kind of intimate that. So I need your help now. Mm. No no OK. That's OK. Um Fine so just to resummarize. For the last four days you've had very itchy skin very sore skin all over your body mainly your chest. And did you also mention your arms and legs as well? Uh no. Just ... | |
day1_consultation02_chunk_8.wav | On my face? No. No OK. And apart from this any other symptoms have you noticed? For example have you noticed any temperature or fevers? No. just very itchy. Itchy. Nothing else. OK. So your your bowels are working OK? Your chest is OK? No cough no breathing difficulties? No. You're passing urine OK. I I think so. OK al... | |
day1_consultation02_chunk_9.wav | So I mean do you have any ideas as to what could be causing your symptoms? Any what? Any ideas as to what could be causing your symptoms? Um so I had eczema before. So maybe it's disease but it seems like more uh like uh my eczema was only on the arms. So I'm I'm not sure. I I really have no idea. OK. That's OK. So um ... | |
day1_consultation02_chunk_10.wav | it's you've got some dry skin and some uh cracked skin as well. Uh and has been very itchy. And so would your um Uh your your background of eczema. Um Sorry to say there's a couple of questions I wanted to ask you which I completely forgot my apologies. Um apart from the eczema do you have any other medical problems I ... | |
day1_consultation02_chunk_11.wav | Uh no. No OK. Do you have any allergies to anything? I like some sorry? Yeah? sorry I said do you have any allergies to anything? Hello? Hello? Yes. can you hear me? That's alright I think it . Uh do you have any allergies at all? Ohh allergies. Uh no. No OK. Um and tell me about your um uh your | |
day1_consultation02_chunk_12.wav | situation at home. Who do you live with? Uh so I live with a few flatmates. I'm a so you know I'm thirty one. Uh I yeah I'm I have a full time job. And so I'm living with a few people to save money. OK. And what do you do for work? Uh I work uh at a pharmaceutical company. So it's been a it's been a few years now. Uh i... | |
day1_consultation02_chunk_13.wav | I mean do you want to to know more about it? OK. Uh no no no that's that's absolutely fine. Um just a couple of questions I want to ask you which can sometimes affect your symptoms is do you smoke at all? No. No. And do you drink much in the way of alcohol? Uh you know once in a while I can I like hanging out with peo... | |
day1_consultation02_chunk_14.wav | OK I've got to say at this stage I've got to say this sound quality is not uh great. But I will continue because we've come this far. Um So um based on everything you mentioned sir I do wonder whether this is a flare-up of your eczema. Um The reason being that you said it was quite itchy. Um it's mainly affecting your... | |
day1_consultation02_chunk_15.wav | terday. Um from the pharmacy. I wonder whether giving you a stronger prescription of a of a steroid may be beneficial. OK. Uh which I'm happy to prescribe to you today. OK. As well as I'm going to give you something some emollients which helps to moisturize the skin. OK. Um which use in the bath and shower. And it's de... | |
day1_consultation02_chunk_16.wav | antihistamines which you can sometimes buy over counter. Things like Loratadine or Piriton which can help the itchiness of your skin. OK. And uh um it's also worth keeping a diary of any triggers which are affecting your symptoms anything you wear or anything you use in terms of shower gels or soap. Because if that's c... | |
day1_consultation02_chunk_17.wav | Ohh could you say that again sorry? I have tried uh antihistamines but uh but it didn't really help. OK. OK. So it's something for you to think about. you can get different types of antihistamines. I can give you something a little bit stronger today as well. OK. Um something like Fexofenadine which I can give to you t... | |
day1_consultation02_chunk_18.wav | But do come back and see me next week if things don't get better. That sounds good. OK? Um do you have any questions for me? Uh no that's it. Thank you very much. Bye. Thank you as well. Bye. OK. Well I wish you all the best. Thank you. Have a good day. | |
day1_consultation03_chunk_0.wav | Hello? Hello. Hello there. It's uh Doctor here. How can I help you this afternoon? Ohh I just got a terrible headache since mid-day. Um on the left side. It's just making me feel so ill. I just feel like I need to vomit. I'm sorry to hear that. Um can you tell me a bit more about the headache? Well you know I noticed s... | |
day1_consultation03_chunk_1.wav | you know it just I yeah. Pain's just horrible. Just making me feel so unwell. Um Mm OK. And just want you to do something. Well let's try our best. Let's try and get you let's try and get you well soon. Um you mentioned it's on your left hand side. Is that right? And it started at mid-day a few hours ago. Yeah. OK. Um ... | |
day1_consultation03_chunk_2.wav | OK. And are you able to describe what kind of headache it was? For example was it throbbing or was it more of a sharp pain? Yeah I guess it's yeah I guess it's throbbing um on that left side. And is it moving anywhere else at all? No but it's worse when I move. Uh OK. Is that when you move your neck? Well like if I lea... | |
day1_consultation03_chunk_3.wav | I'm just really worried. Like I've just been googling and like I've read you know if your headache gets worse if you move it could be a sign of brain cancer. OK. Is that all you're worried about? Is that is that all your main worries today? Ohh yeah yeah and I'd like you know My my friend's mum she she recently died of... | |
day1_consultation03_chunk_4.wav | why it's affecting you. Um But why don't we why don't we take a good history first and let me examine you. And then we can have a little chat afterwards and see what's going on here. Um so you mentioned a few things. You mentioned a headache. You also mentioned some zigzag lines uh before the headaches came on. And you... | |
day1_consultation03_chunk_5.wav | right now. It's just you know the light's really hurting my eyes. Ohh I see OK. Um and you mentioned that you felt quite nauseous. Have you vomited at all? Yeah. I vomited twice. Twice OK. Um earlier today OK. Um any temperatures or fevers? Um no I don't feel feverish. OK. Um any other funny skin rashes that you may ha... | |
day1_consultation03_chunk_6.wav | OK. Um fine. Um and do you normally get headaches? Um I'm not really prone to them no. No but I did I did have a similar headache a few weeks ago. OK. And what happened then? Just similar. How long did it last for? Couple of days. Did you do anything that made it better? Um yeah I had to take painkillers and had to go ... | |
day1_consultation03_chunk_7.wav | Yeah. couple days off work and I work in the fashion industry. And you know they're wondering what's going on like I have to take sick days. Yeah. Yeah. I need to get back to work today. But you know what if it is a brain tumour? What's gonna happen with my future and my career? Yeah. Yeah. You know really about this. ... | |
day1_consultation03_chunk_8.wav | by step um to see exactly what the cause of these headaches are first. Um I'm just going to ask you some um very uh yes no questions if that's OK ma'am. Um Um have you noticed any problems with your speech at all any difficulties with your words? No. Any problems with your arms and legs? For example numbness or weaknes... | |
day1_consultation03_chunk_9.wav | alright. Um and and you're feeling otherwise OK. So for example your um Uh your your breathing's OK? You're not feeling breathless or No OK. Um do you have any other medical history I should be aware of? No nothing. No. So for example have you had has anyone told you you've had migraines in the past? No. No OK. Do you ... | |
day1_consultation03_chunk_10.wav | Go on. I've not been diagnosed. Right my next question was that of family history. Is there anything in the family? So apart from migraines is there anything else? Is there anything related to brain for example? as well. What was that sorry? My mom has an underactive thyroid as well. underactive thyroid as well. OK. Um... | |
day1_consultation03_chunk_11.wav | the pill Microgynon. OK. And how long have you been on that for? three months. Three months OK. And is that mainly for contraception or is that for something else? it's for contraception. OK alright. That's something you meant to have a little discussion about today as well. Um Uh well my next question was about um you... | |
day1_consultation03_chunk_12.wav | actually. Have you been having problems at like work you know managers like putting a lot of pressure on me to deliver and uh yeah it's not a good time. Is it getting you down? I don't feel down just a little bit stressed. OK alright. And what kind of things do you do to alleviate your stress normally? Nothing really. ... | |
day1_consultation03_chunk_13.wav | Um I live on my own. OK. Um are you coping OK at the moment? Fine. Yeah? OK. Um do you smoke at all? No. and do you drink much in the way of alcohol? No. OK alright. Um so normally at this I'd like to kind of proceed to examination. Um That's um based on your story um I wonder whether you may uh may have a migraine uh | |
day1_consultation03_chunk_14.wav | migraine type headache. Uh it sounds Um very classical of that of that nature the the the headache on one side throbbing nature the nausea vomiting um sensitivity to bright lights. Uh I'm reassured that you don't have anything more serious such as meningitis or indeed Brain cancer I know that was a big worry of yours i... | |
day1_consultation03_chunk_15.wav | I had cancer. And ohh now you say migraine. Yeah I guess my mum has similar symptoms to me and yeah it does make sense. yeah. Yeah. Well I hope that puts your you know mind at ease. Um certainly this is the second migraine you've had in the space of a month. Um So I think moving forwards there's a couple of options. I ... | |
day1_consultation03_chunk_16.wav | So think about Paracetamol or even Co-codamol. Um and some anti-inflammatories such as Ibuprofen and Naproxen. How's that sound to you? OK that sounds good. Um and uh you know if your headaches were to become more persistent then we could maybe think about giving you some medications that will stop your headaches from ... | |
day1_consultation03_chunk_17.wav | a couple of things I want you to think about is you know if your symptoms aren't getting better next two three days or indeed they're getting worse. I'd like you to come back and see me um straight away if possible. So if your headache's getting worse not responding to medications Or your um neck pain is getting worse ... | |
day1_consultation03_chunk_18.wav | day! OK thanks. Bye! Right. | |
day1_consultation04_chunk_0.wav | Alex. Ohh. Hello? Hi can you hear me? Yeah. OK great. Um how can I help you this morning sir? Alright so I've been feeling I've been feeling kind of uh under the weather for the past four days. Um it started with the um uh sore throat and runny nose and It's sort of um it's sort of going into a cough now. Um the sore t... | |
day1_consultation04_chunk_1.wav | is kind of going away but um I'm starting to cough. Mm-hmm. OK. Sorry to hear that. And uh kind of uh bad and tired. Mm. OK. I'm sorry to hear that. Seems like there's a lot going on there. Um so let's start with your your sore throat first. Um tell me a bit more about that if you can. Um so I I you know I think I it ... | |
day1_consultation04_chunk_2.wav | next to me all the time. I think her kids are catching something from the uh from their kindergarten or something. And uh you know the it it started as normal sore throat and uh was quite painful for a couple days but then it was past. OK. OK. And did you have any uh difficulty or pain on swallowing? Um yeah. Yeah it ... | |
day1_consultation04_chunk_3.wav | You did you manage to have a look at the back of your throat in the mirror? Um no not really. No. OK you didn't you didn't notice any abnormals white spots redness at the back of your throat? Um No. Um I I didn't think about uh looking. that's OK. That's OK. And you mentioned a runny nose. Um again what kind of discha... | |
day1_consultation04_chunk_4.wav | clearing up. Sort of um sort of getting my nose stuffed all the time. It's very hard to uh to get it free. OK. You feel quite congested do you? Yeah quite congested. OK alright. Um you also mentioned a cough as well. Can you tell me a bit more about that? Um yeah that started recently like just uh um maybe yesterday. A... | |
day1_consultation04_chunk_5.wav | all the time. OK. And is it worse any particular time of the day? Sorry? Is it is it worse any particular time of the day? For example in the evenings night time mornings? Um or is it throughout the day? No it's it's um it's sort of it's sort of constant. Um I forgot to mention that um I'm also having uh night sweats. ... | |
day1_consultation04_chunk_6.wav | makes me a bit tired mm um makes my uneasy. I can imagine yes. Uh and this has again been going on for last uh three four days has it? Yeah yes. OK. Um right OK. Have you noticed any fevers or temperatures at all? Um I I had some some fever in the beginning but it's now sort of uh going down. I I've been taking some Pa... | |
day1_consultation04_chunk_7.wav | and uh they they help. That's very sensible. Um very good. Um in terms of your chest otherwise have you any difficulty breathing or any pain in your chest? Um so no pain in chest but uh I noticed that I um um so I feel a bit winded on exertion. So if I I I haven't been going going to the gym thus uh because of that. W... | |
day1_consultation04_chunk_8.wav | feel more short of breath would you say on exertion? Yeah OK. Um and and that's mainly on exercise. But when you're resting there's no problem. Yeah yeah. When when when I'm resting it's OK. So I've been actually going to work um sort of managing. OK fine. Just a couple other questions sir if you don't mind. Any pain i... | |
day1_consultation04_chunk_9.wav | No I don't think so. OK fine. Um what I'm gonna do I'm just gonna run through a few uh yes no questions if you if you don't mind just a review of your systems. Any any headaches at all? Um yeah yeah. That that's still that's still there. Whereabouts are the head headaches? Um just sort of general. Uh and uh they're not... | |
day1_consultation04_chunk_10.wav | then they will come and go. OK. And with those headaches have you had any problems with your with your eyesight your vision? Um no. Uh any difficulty with seeing bright lights? No I don't think so. No OK. Um and just moving down now in terms of any any feeling nausea or any vomiting? No none of that. OK. Tell me about ... | |
day1_consultation04_chunk_11.wav | You're passing urine OK? Yeah yeah. How's your appetite sir? Yeah I've been I've been drinking a lot more than the usual. But uh so other than that OK. Um and you're eating and drinking uh you're eating OK otherwise. Um maybe a bit less than uh than what I I would usually have. OK. Um have you noticed any any funny ras... | |
day1_consultation04_chunk_12.wav | And any general muscle pain or aches joint pain? Yeah yeah. Yeah that's that sort of started in the past couple days. Yeah OK. Alright um and uh just having a look at the rest of your history are you otherwise fit and well? Or do you have any other medical problems I should be aware of? Um so otherwise that uh I'm I'm ... | |
day1_consultation04_chunk_13.wav | So you are otherwise fit and well. Uh any any allergies at all to any medications I should be aware of? Um no No OK. Um Any family history at all? So anything relevant in the family that I should be aware of? Anything like diabetes high blood pressure? Um yeah my grandma has diabetes. Um Your brother? you said grandma ... | |
day1_consultation04_chunk_14.wav | of diabetes it is? Is it type one? I think I think it's type two. OK. Um anything else which you think is significant? Yeah I I think um one of my uh great grandads had an eczema. Excellent OK. OK. Um just moving on to what we say social history just to get to know you a bit more as a person. Tell me who do you live w... | |
day1_consultation04_chunk_15.wav | at the moment? Yeah yeah. What do you do for work? I'm an I'm an accountant. OK and how's your work going at the moment? Uh over the last has it has it been affecting your work? Um a little bit. I've been a bit slower. And you know it's uh it's it's a bit of a stressful period just around the um end of the year. Mm OK.... | |
day1_consultation04_chunk_16.wav | I think I think it's it's the you know it's the good kind of stress. OK. It's um it's good work. Well if there's anything you want to talk to me about you can always come see me about your mood um stress anxiety. happy to help. I don't know. I I like my job. It's just you know it's a bit more work than usual. OK. OK. A... | |
day1_consultation04_chunk_17.wav | alcohol? Um occasionally yeah I would have some. I'm I'm not a very big drinker. Again socially with work. Yeah. Um OK. Um so um sir just having listened to your story um uh really just to summarize you know since the last four days you've been feeling generally quite unwell sore throat runny nose bit of a dry cough bi... | |
day1_consultation04_chunk_18.wav | think there's a lot to worry about. I think you probably have you know a bit of a viral what we say viral illness maybe a viral upper respiratory tract infection or maybe early signs of a flu. Um these normally last about seven to ten days and just gets better really um over time. But things you can do to really help ... | |
day1_consultation04_chunk_19.wav | Paracetamol Ibuprofen. Um and and you should see how things go really. Um if next week you're still not better I'd like you to come back and see me. Um is that clear? Does that does that make does that make Yeah yeah that's that's it makes sense. Uh I think I'll take a couple days off yeah yeah and see how it goes. an... | |
day1_consultation04_chunk_20.wav | much sooner give me a call. Um and we can help you out. OK? Yeah. Yeah yeah I understand. Uh I'll uh I'll take care. Great. Have a great day. Good luck with your work. Thank you. Bye bye. Bye bye. Thank you. Thank you. You too. Bye bye. | |
day1_consultation05_chunk_0.wav | Hello? Hi Hi doc. Good morning Tim. Um how can I help you this morning? Um so I'm Having some some pain uh in my tummy like the lower part of my tummy. Okay. Um and I've just been feeling quite hot and sweaty. Right I'm sorry to hear that. When when did your symptoms all start? About two days | |
day1_consultation05_chunk_1.wav | days ago. OK. And whereabouts in your tummy is the pain exactly? Uh like below my belly button it's like quite sore when I press on it. OK. Did the pain come on quite suddenly or was it more gradual? it's just it hasn't been it's more gradual and it's just it is getting a bit worse now. OK OK. And can you describe the ... | |
day1_consultation05_chunk_2.wav | like a a I guess a burning pain. Uh and it's just right there in that spot like uh that's mostly where I'm feeling it. It hasn't spread anywhere else. Just in just below your belly button you uh mentioned. Yeah. OK. Um and is the pain constant or does it come and go? It's pretty constant it's like getting worse. Um it'... | |
day1_consultation05_chunk_3.wav | I'm aware of it time. Mm-hmm. OK. Um and with the pain have you noticed any other symptoms at all? So for example let's let's focus first on your bowels. Are your bowels working OK? Yeah I had a bit of constipation but that's better now. That was like since last week. OK. So you've got no other symptoms like diarrhea o... | |
day1_consultation05_chunk_4.wav | was a little the urine was a little pink in colour. But I haven't like it hasn't really been burning specifically or hurting when I pee and uh. And I did notice I was going to the I was peeing more regularly but I have been drinking lots of fluids. So I wasn't sure um I wasn't sure um like you know if that was related ... | |
day1_consultation05_chunk_5.wav | maybe. OK alright. But otherwise it doesn't hurt uh or or or sting when you pass urine? And I haven't noticed that it really burns or anything like that. Um just that I'm peeing more than more regularly. OK. Um OK. And um moving on to other symptoms have you noticed any vomiting or feeling nauseous at all? Just a litt... | |
day1_consultation05_chunk_6.wav | I haven't really I felt a bit hot and sweaty but I haven't really measured it so I can't really say. OK fine. Um uh uh and Kim have to ask um uh all all all female patients. This this question is about your cycle if you don't mind me asking. Um are you currently um are you currently sexually active? Uh yeah I've I have... | |
day1_consultation05_chunk_7.wav | was about six months ago. OK. So you've had no other partner since then. No other partner since then. OK. Um uh and do you use any contraception at all? Uh I'm on the Implanon. I had the Implanon inserted about a year ago. Implanon OK fine. Um are you still having periods? Yes. When was your last period? Uh my last per... | |
day1_consultation05_chunk_8.wav | So is there any chance you could be pregnant? I know you've got an implanon in there but is there any chance you could potentially be pregnant? It's something for us to think about potentially Well we don't use any other barrier method so we just use the I just have the Implanon and the same partner. Um. Theoretically... | |
day1_consultation05_chunk_9.wav | couple of days it's tummy pain that's really affected you mainly lower down towards your belly button. It's quite burning you said. It's getting worse. Um you noticed some pink urine. Um but no burning or stinging pain when you pass urine. Your bowels are working OK. You've felt a little bit nauseous um and feeling hot... | |
day1_consultation05_chunk_10.wav | covered everything that's really bothering me. Yeah OK. Um tell me tell me a bit more about your um medical history otherwise. Are you normally fit and well? Yeah well I haven't had any surgical I don't have any surgical history. I don't have any previous I haven't had any operations before or and I'm not on any other ... | |
day1_consultation05_chunk_11.wav | had these symptoms before. No OK. Um Fine. Um any other family history I should be aware of? Anything relevant family uh related to bowels maybe related to history? No not that not that I'm aware of no. OK. Alright. Um and socially just tell me a bit more about your home situation. Who's at home with you? Uh I live in... | |
day1_consultation05_chunk_12.wav | OK. Um and uh are you currently working? Yeah I currently I am currently working. What do you do for work? I am an accountant. OK. Um Great ok Do you smoke at all Kim? No. No. And do you drink much in the way of alcohol? Uh socially I drink but uh I don't think more more than normal. No | |
day1_consultation05_chunk_13.wav | OK. OK. Um just before I go to the examination I just want to go through just some few screening questions if that's OK yes or no. All right Uh we've we've covered the majority of them already. Uh but I just want to make sure I'm not missing anything else. Um how's your how's your chest? How's your breathing? Um any I ... | |
day1_consultation05_chunk_14.wav | Not that no. OK. Any headaches? Any problems with your vision? No. No OK. Alright. Um Fine OK. Um So really just uh moving on um And so based based on your story really uh uh Kim it's it's it's difficult. it's it's um you know you've got some tummy pain. You don't exactly know what's causing it. It could be a few diffe... | |
day1_consultation05_chunk_15.wav | Could just be a you know could just be a urine infection for example. Could just be something related to your gut. Um could just be something related to your you know a pregnancy-related cause. Um and so it's probably worth doing some tests initially. to try and rule out um what's going on here. Um which I can organize... | |
day1_consultation05_chunk_16.wav | been going on for the last couple of days um Uh you know it's probably maybe worth empirically treating you for a maybe urine infection. And so it's an Yeah I can we do that instead of me going for tests and then seeing how that goes? Yeah absolutely. So um I think it's certainly worth you know covering you with some ... | |
day1_consultation05_chunk_17.wav | And um and I want you to kind of really come back and see me in a few days time if your symptoms are not getting any better or indeed if they're getting worse. So things to look out for would be you know worsening tummy pain um if you're feeling really hot or sweaty your temperature's not coming down um vomiting et cet... | |
day1_consultation05_chunk_18.wav | make sure you drink plenty of fluids. You can try some cranberry juice as well which uh can sometimes help with your urine symptoms. Um take the antibiotics uh and give me a call you know if you are worried about anything else. Uh sure. That sounds great. Thank you very much. Um should I just collect the script at my p... | |
day1_consultation05_chunk_19.wav | Uh let's see how you get on. OK. Thank you very much. Great. All the best! Bye. Bye bye. | |
day1_consultation06_chunk_0.wav | Hello? Hello there. Uh hello. Can you hear me OK? Yes I can hear you. OK great. Are you the doctor? I am yes. Nice to see you here Oscar. Um how can I help you this afternoon? Um I'm contacting you because I've been quite short of breath lately. OK. Do you want to tell me a bit more about it? When did it all start? | |
day1_consultation06_chunk_1.wav | Uh well it seems to have been slowly getting worse over the last couple of weeks. Um now it's become quite troublesome in the last few days. Uh I kind of normally I can walk to the shops without a problem but now I'm having to sort of sit down and catch my breath. And I'm really starting to get a bit breathless just ab... | |
day1_consultation06_chunk_2.wav | Um well I've I've uh I've got um heart failure. OK. Uh I was told that uh a while ago. Um and I got a bit breathless when I was first diagnosed and put on some medicine that that um that helped but I'm a bit worried it's just getting worse. Right OK. So you mentioned you're feeling uh short of breath for the last coupl... | |
day1_consultation06_chunk_3.wav | on kind of minimal minimal exertion you mentioned. Um have you noticed any other symptoms at all uh uh with your breath? So for example any pain in your chest? No pain in my chest. OK. And have you found yourself cough coughing coughing at all? Uh I've got a bit of a dry cough but it's not too troublesome. OK. OK. And ... | |
day1_consultation06_chunk_4.wav | little run-down um but otherwise otherwise pretty normal. OK. I've noticed my ankles have got a bit bigger. OK. And what do you mean by that? Uh it's just like it's sort of swollen up a bit. OK. Um is that is that both ? both ankles? Um yeah both ankles. Yeah it's a bit embarrassing. OK. Uh I can imagine yeah. Um and a... |
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