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ok so you didn't have any oral steroids or antibiotics
day3_consultation04_doctor_u22
no ok well you're right you should you shouldn't be doing that doesn't clean up wax it pushes it back in alright um the first thing that we need to do is we need to get someone to have a look inside your ear
day2_consultation01_doctor_u17
i wouldn't even know what to take then
day3_consultation06_patient_u17
um
day1_consultation06_patient_u29
yeah
day4_consultation01_patient_u31
so there's different there's different ways you can get migraines uh and the reason why this sounds like migraines is because it's on one side of the head
day4_consultation06_doctor_u50
so you think the headache is getting worse over the last three days
day1_consultation13_doctor_u11
how much do you drink
day4_consultation02_doctor_u62
but i generally have asthma so i took i i take ohh what's it called salbutamol inhalers
day3_consultation01_patient_u26
and have you lost any weight
day3_consultation03_doctor_u14
did that help
day1_consultation13_doctor_u13
you've felt a little bit nauseous um and feeling hot and sweaty have i got that all right
day1_consultation05_doctor_u30
yeah yeah
day2_consultation07_patient_u28
nothing yet ok anything for the abdominal pain
day3_consultation10_doctor_u28
ok ok alright um any other symptoms like fevers or temperatures
day1_consultation11_doctor_u22
yeah i can certainly hear you've got the sniffles so bit of a runny bit of a runny nose you mentioned
day1_consultation07_doctor_u11
and what what were you thinking might be going on i know you seemed quite worried about it was there anything in particular you were worried about
day4_consultation06_doctor_u34
ok and when it started how would you rate it out out of ten
day4_consultation01_doctor_u14
once a week
day1_consultation15_doctor_u51
great thank you laura thank you
day1_consultation15_doctor_u72
so example any problems your eyesight or your vision
day1_consultation13_doctor_u15
how would you say your mood is
day2_consultation10_doctor_u18
yeah is it in the middle or to one side
day5_consultation05_doctor_u12
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
day1_consultation04_doctor_u5
any episodes of diarrhoea or constipation normally
day5_consultation06_doctor_u25
uh give me i'm just gonna check it's it's let me know if i'm pronouncing this correctly 'cause i haven't got i haven't got my glasses with me so it's metformin
day1_consultation07_patient_u50
yeah well i haven't had any surgical i don't have any surgical history
day1_consultation05_patient_u27
right ok and um has this happened before
day2_consultation02_doctor_u10
well my mother had lung cancer
day4_consultation07_patient_u31
no i live with my wife
day2_consultation05_patient_u48
um do you have a spacer at home
day5_consultation08_doctor_u57
uh crappy i've
day5_consultation09_patient_u37
and usually if you're gonna have the reaction it will happen straight away
day2_consultation06_doctor_u58
ok and do you smoke
day5_consultation02_doctor_u44
so yeah this is kind of uh
day4_consultation05_patient_u13
pardon ohh no no no don't use cottons buds like that
day2_consultation03_patient_u22
great so how can i help
day4_consultation07_doctor_u5
hey ohh somebody just came somebody just came yes i'm not alone any more thank
day3_consultation01_patient_u38
yeah
day4_consultation02_patient_u54
ok and how have they been doing at the moment
day3_consultation08_doctor_u27
ok so is that so all these things are since you've stopped taking the thyroxine
day3_consultation03_doctor_u49
good afternoon
day2_consultation09_doctor_u1
right alright um just a couple of other question we need to ask sir um do you smoke at all
day1_consultation01_doctor_u34
mm not that i know of
day1_consultation13_patient_u30
yes yes i've been having shortness of yeah i've been having shortness of breath yeah
day4_consultation07_patient_u20
but you haven't had a high temperature have you checked your temperature
day5_consultation10_doctor_u47
ok before we start your appointment could you please tell me your first name and your date of birth
day2_consultation02_doctor_u2
any high fevers are you feeling shivery sweaty
day5_consultation12_doctor_u16
ok and any any back pain or strong smell to the urine
day5_consultation05_doctor_u38
no ok um do you have any other medical history i should be aware of
day1_consultation03_doctor_u39
uh yeah i've i have had the same partner i am we were last sexually active about four days ago um my last std screen was normal which was about six months ago
day1_consultation05_patient_u18
i'm just kind of getting a little worried
day3_consultation09_patient_u18
and uh that should just dampen down your asthmatic response ok
day4_consultation09_doctor_u44
and who do you live with at home
day5_consultation10_doctor_u39
no no it's it's it's weird it's it's just you know it's just a wee bit it's just a wee bit shortness of breath but it's not it's it's not it's not pain you know as such
day1_consultation07_patient_u24
any change in colour or temperature of your lower legs
day5_consultation11_doctor_u34
but the next thing i'd like you to try and do is just to get you to squeeze the tip of your finger
day2_consultation04_doctor_u43
no
day5_consultation06_patient_u40
yeah yeah
day1_consultation07_patient_u49
yeah yeah
day5_consultation05_patient_u36
ok
day3_consultation02_patient_u27
ok so you're feeling hoarse ok and in terms of your waterworks are you passing urine ok
day1_consultation11_doctor_u24
yeah sure um my name is john doe um and i am twenty seven years old
day2_consultation06_patient_u2
yes
day2_consultation05_patient_u21
hi
day5_consultation03_patient_u0
yeah
day5_consultation07_patient_u37
yeah it was normal it was around three weeks ago
day5_consultation07_patient_u34
bye
day3_consultation02_patient_u40
but in the meantime i think we should stay on the phone so i can gather some more information that we can give to the paramedics is that ok
day4_consultation01_doctor_u33
and it's more it feels like it's pressure discomfort than more than a pain
day4_consultation01_patient_u10
it's just a bit of a buzzy noise in my ears but otherwise i can hear everything
day3_consultation05_patient_u31
yes of course i like i like
day3_consultation03_patient_u20
no 'cause i think that would just add to the tension but i do like pretty much every morning i think ohh i should call in sick or like just not go
day5_consultation03_patient_u33
ohh ok
day4_consultation01_patient_u38
do you know which dose you're taking
day1_consultation06_doctor_u37
um only penicillin i believe
day2_consultation09_patient_u34
thanks bye
day5_consultation04_doctor_u82
excellent ok ok um just moving on to what we social history just to get to know you a bit more as a person tell me who do you live with at home
day1_consultation04_doctor_u52
no no
day3_consultation08_doctor_u35
uh i i've been feeling really hot um i don't know if it's fever as such but like to touch i'm quite hot but sometimes i'm feeling really chilly needing to be under a blanket that sort of thing
day5_consultation07_patient_u18
oh dear i'm sorry to hear that i can i can understand why it's affecting you um
day1_consultation03_doctor_u14
asthma and hay fever if they can help
day5_consultation09_patient_u44
who do you live with at home
day5_consultation03_doctor_u36
ok and your address
day5_consultation04_doctor_u7
no
day5_consultation09_doctor_u44
yes
day5_consultation04_patient_u61
yeah just for the last couple of days um i've been feeling um really sick in my lower tummy
day4_consultation10_patient_u5
mm hmm
day3_consultation09_doctor_u27
just similar
day1_consultation03_patient_u25
ok and so tight chest three hours um and so you're born in ninety two so that makes you twenty six
day4_consultation09_doctor_u6
um you can also try antihistamines so you can get things over the counter piriton loratadine they can sometimes help with the itchiness
day1_consultation08_doctor_u59
yeah
day1_consultation07_patient_u32
all right then ok nice to see you take care
day2_consultation03_doctor_u52
sure
day2_consultation09_patient_u30
yes the odd cherry
day5_consultation07_patient_u40
thanks bye
day4_consultation10_doctor_u76
uh
day5_consultation10_doctor_u63
my partner
day5_consultation12_patient_u36
alright i mean you know to be honest i'm just doing this to establish whether i should go to the hospital
day3_consultation06_patient_u11
yeah i mean i find public transport really stressful anyway especially being on the tube it's 'cause it's quite getting warmer so it's just really airless
day5_consultation03_patient_u37