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have you had it checked when youve had the repeat prescription done
have you had it checked when youve had the repeat prescription done
do you know if theres been any problems with it
do you know if theres been any problems with it
ok um and whereabouts whereabouts do you live at the moment youve given me your address do who do you live with at home
ok um and whereabouts whereabouts do you live at the moment you give me your address to who do you live with at home
ok and do you drink much alcohol day to day
ok do you drink much alcohol day to day
ok and do you smoke
ok do you smoke
do you take any other drugs of any sort
do you take any other drugs of any sort
um so what what tablets did you say youve been taking already yeah
um so see what what tablets did you say youve been taking already
what tablets have you been taking already for it
what tablets have you been taking already for it
what happens when you get a when you take aspirin
what happens when you get uh when you take aspirin
ok and have you ever taken any non steroidal anti inflammatories like ibuprofen naproxen anything like that
ok and have you ever taken any nonsteroidal antiinflammatories like ibuprofen naproxen anything like that
ok um so this headache is new to you and youve youve not had regular headaches before
ok um so this headache is new to you and youve youve not had regular headaches before
what i would suggest is taking uh um some anti inflammatories along with the paracetamol
what i would suggest is taking um some antiinflammatories along with the paracetamol
um as a uh you said youre eating ok
um as uh you said youre eating ok
i mean it from the sounds of it it does sound quite like a migraine but obviously if you had no history of that in the past
i mean it from the sounds of it it does sound quite like a migraine but obviously youve had no history of that in the past
um and is anything changed recently or any anything youve done recently mightve triggered it
um and has anything changed recently or any anything youve done recently might triggered it
ok and are you in a private place you can have a confidential consultation today
ok and are you in a private place so you can have a confidential consultation today
yeah um well that would be the first thing to do is to take some anti inflammatories along with the paracetamol make sure youre really well hydrated
yeah um well that would be the first thing to do is to take some antiinflammatories along with the paracetamol make sure youre really well hydrated
um and see how that goes and if it if it isnt settling or its getting worse or you get any other change in your headache um or youre unwell with it with a high temperature then we would certainly need to speak to you
um and see how that goes and if it if it isnt settling or its getting worse or you get any other change in your headache um or youre unwell with it with a high temperature then we would certainly need to speak to you
straight away about that the other thing is if you if youre getting persistent um headaches or headaches associated with your menstrual cycle or certain things seem to trigger these headaches
straight away about that the other thing is if you if youre getting persistent um headaches or headaches associated with your menstrual cycle or certain things seem to trigger these headaches
then it it would be worth having a further discussion about it to see whether we can work out if we can help the that longer term
then it it would be worth having a further discussion about it to see whether we can work out if we can help that that longer term
um i would try and arrange to get your blood pressure checked if you havent had it checked for a while
um i would try and manage to get your bp checked if you havent had it checked for a while
uh and thing to do is to have a thermometer at home so you can make sure that your temperatures ok
um and the thing to do is to have a thermometer at home so you can make sure that your temperature is ok
if you have a raised temperature or your headaches just getting worse or you develop any rashes or anything like that then wed need to speak to you straight away
if you have a raised temperature or your headache is just getting worse or you develop any rashes or anything like that then wed need to speak to you straight away
ok so have you got any other questions
ok so have you got any other questions
ok ok then well well well um speak to you again
ok ok then well well well um speak to you again
what can i do for you today
what can i do for you today
very much bye
thank you very much bye
ok and can you just tell me about how it started what were you doing when it came on
ok and can you just tell me about how it started what were you doing when it came on
ok and whereabouts in your head is the pain
ok and whereabouts in your head is the pain
ok what does it feel like
ok and what does it feel like
uh yeah its uh um and five um kings place
uh yeah its uh um and five kings place
no
no
uh no no been feeling fine actually
uh no no ive been feeling fine actually
yeah yeah
yeah yeah same to normal
uh no not really its not something ive ever had before
uh no not really its not something i ever had before
um no not particularly and my period was about a week ago
um no not particularly say my period was about a week ago
no not really any sort of cold symptoms i seemed ok the day before
no not really any sort of cold symptoms i was doing ok the day before
um its still pretty bad um yeah still the kind of throbbing yeah
um its still pretty bad um yeah still just kind of throbbing yeah
no skin feeling fine
no it been fine
um i havent um i dont feel like im feverish but i havent checked
um i havent um i dont feel like im feverish but i havent checked
no not at all
no not at all
uh its the twentieth of the fourth nineteen ninety
uh its the 20th of the 4th 1990
um taken some painkillers mainly been at home um yeah just kind of kind of seems to be worse when im in a light room or like sunlight so ive kind of just been staying in as much as possible
um taking some painkillers main been at home um yeah just kind of kind of seems to be worse when im in a light room or like sunlight so ive kind of just been staying in as much as possible
um no think ive generally been lying down seems to be better that way
um no i think ive generally been lying down it better that way
uh no but i havent really got a cough or anything
uh no i havent really got a cough or anything
uh no not recently nothing
uh no not recently nothing
uh no just contraception
uh no just contraception
uh microgynon pill
uh my going on
uh about six years ago
uh about six years ago
um not really um no not too much
um not really um no not too much
uh my mum had uh high blood pressure and shes got a history of migraines um but its not really affected me before
uh my mom had uh high bp and shes got a history of migraines um affected me before
yes i am
yes i am
uh i havent actually no
uh i havent actually no
yeah yeah so uh probably about six months ago
uh yeah so uh probably about six months ago
um its always been fine i think
um its always been fine i think
uh just with housemates um just friends
uh just with housemates um just one
um id say a normal amount um probably you know a few drinks at the weekend
um id say a normal amount um probably you know a few drinks at the weekend
no
bye
no
got it
sorry
sorry
uh just paracetamol um im allergic to aspirin so i havent been taking that
uh just paracetamol um im allergic to aspirin so i havent been taking that
um i just feel really sick
um i just feel really sick
um ive got a really bad headache had it for about a day now
um ive got a really bad headache had it for about a day now
um i have in the past i havent been taking it last few days
um i have in the past i havent been taking it last few days
yeah
yeah
ok
ok
yeah yeah fine
yeah youre fine
uh not that i can think of um may have been a bit stressed out at work that kind of thing but
uh not that i can think of um ive been a bit stressed out of work that kind of thing
ok brilliant thank you
ok brilliant thank you
ok sure
ok sure
yep
yup
yep ok thats brilliant ok so ill take some ibuprofen and ill um hopefully be a bit better in a day or two then so yeah
yup ok thats brill ok so ill take some ibuprofen and ill um hopefully feel a bit better in a day or two then but yeah
uh no that was it today
uh no that was it today
um yeah just ever since yesterday morning since i woke up really um just yeah kind of throbbing headache havent really wanted to leave the house much since then
um yeah just um since yesterday morning since i woke up really um just yeah kind of throbbing headache i havent really wanted to leave the house much since then
ok brilliant thanks so much
ok brilliant thank you so much
bye
bye
uh mainly on the left side
uh mainly on the left side
um it just kind of feels like its throbbing its quite intense sort of comes and goes um yeah quite sensitive to light um but yeah quite painful
um it just kind of feels like its throbbing its quite intense or comes and goes um yeah quite sensitive to light um but yeah quite painful
uh just kind of fades so its still there a little bit but it kind of gets more or less severe
uh just kind of fades so its still there a little bit but it kind of gets more or less severe
uh no not at all
uh no not at all
good morning im doctor smith from babylon can you just confirm your name date of birth and the first line of your address please
good morning im doctor smith from babylon can you just confirm your name date of birth and the first line of your address please
hello
uh
uh whereabouts
whereabouts
ok is it one sided or in the middle
ok is it one sided or in the middle
and how bad would you say that is on a scale of one to ten with ten being the worst pain
and how bad would you say that is on a scale of 1 to 10 with 10 being the worst pain
and is it constant or does it come and go
and is it constant or does it come and go
ok and have you actually been able to pass water ok
ok and have you actually been able to pass water ok
ok and is that just over the last six days
ok and is that just over the last six days
right and have you been able to eat and drink ok
right and have you been able to eat and drink ok
um and have you had a temperature do you feel like youve been feverish or had a temperature with this
um and have you had a temperature do you feel like youve been feverish or had a temperature with this
um and any did you you said you didnt have any lower back pain
um and then did you you said you didnt have any low back pain
ok and have you had these symptoms before
ok and have you had these symptoms before
and your date of birth
and your date of birth