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right ok so just tell me about the last did you say five days
day5_consultation07_doctor_u8
yes
day3_consultation07_patient_u7
yeah
day5_consultation06_doctor_u32
right
day1_consultation07_doctor_u65
uh well i haven't been able to work in the past few days but yes like given uh my uh
day1_consultation12_patient_u34
left side okay and can you describe the pain to me
day1_consultation01_doctor_u7
got it ok
day4_consultation01_patient_u58
hi
day4_consultation04_doctor_u0
ok all right so you just to sort of confirm your symptoms um you're feeling sort of sick nauseous with tummy pain which is fairly constant
day4_consultation10_doctor_u34
hey
day4_consultation03_patient_u0
yeah yeah i am
day5_consultation07_patient_u3
no
day2_consultation01_patient_u24
um how do you feel about that are you happy to take a course of antibiotics
day5_consultation02_doctor_u49
ok that's fine um have you got an asthma inhaler at home
day5_consultation08_doctor_u55
do you take any medications
day5_consultation10_doctor_u29
mm hmm
day4_consultation07_patient_u54
uh over the next week to ten days should hopefully control your symptoms but do come back and see me next week if things don't get better
day1_consultation02_doctor_u73
uh socially i drink but uh i don't think more more than normal
day1_consultation05_patient_u35
ok and have you found yourself coughing coughing at all
day1_consultation06_doctor_u14
um they've said that it's uh related to long periods of time sitting at a desk and just uh bad posture so mainly the exercises are focused on improving posture and and to strengthen the muscles in the back
day2_consultation08_patient_u37
and is it there all the time or does it come and go
day5_consultation04_doctor_u18
mmm moderate alcohol intake yeah i don't drink too much
day2_consultation08_patient_u49
yeah thank you
day2_consultation07_patient_u64
um have you noticed any problems with your speech at all any difficulties with your words
day1_consultation03_doctor_u33
ok
day2_consultation08_doctor_u50
uh not to my head no
day4_consultation01_patient_u49
um that's the first thing that comes to my mind um now there's a couple of options move forward um
day1_consultation06_doctor_u75
and any problems with weakness tingling numbness in your arms or legs
day5_consultation01_doctor_u22
ok i'm sorry to hear that so you've had a cough and a sore throat for about a week
day4_consultation07_doctor_u6
ok have you got any blood in your stools
day1_consultation11_doctor_u10
ok
day1_consultation04_doctor_u19
but you don't see your doctor regularly for asthma
day4_consultation04_doctor_u25
ok um any allergies at all
day3_consultation02_doctor_u25
ok
day2_consultation07_patient_u46
hello
day1_consultation03_patient_u0
or your um neck pain is getting worse or you develop any weakness in your arms and legs or your vision then i want you to come back and see me straight away ok
day1_consultation03_doctor_u74
and uh aye when i was speaking to uh it was this it was other another doctor i spoke to a while ago but aye when he took the when he was telling me this as well he took my blood pressure and that said that was that was high uh high higher than it should be
day1_consultation07_patient_u48
okay thank you bye
day1_consultation01_patient_u55
and your address for me please
day3_consultation06_doctor_u4
uh fit and well so do you have any other medical history
day1_consultation14_doctor_u41
but other than that i think no like uh real serious medical problems that seem yeah
day1_consultation09_patient_u32
you know i just like fell on the ice and and you know had a huge bruise but i think that's about it
day5_consultation11_patient_u11
uh no back pain no i typically don't suffer from back pain so no
day5_consultation05_patient_u37
yes
day5_consultation04_patient_u50
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
day1_consultation03_doctor_u43
so you're forty eight and are you able to talk at the moment
day4_consultation05_doctor_u6
ok
day2_consultation05_doctor_u14
no no antihistamines ok
day3_consultation07_doctor_u33
so sorry your name is
day4_consultation08_doctor_u4
uh ok all right um and amanda sometimes we have to ask quite sensitive questions as you can imagine um uh can i ask are you currently uh are you currently sexually active at the moment
day1_consultation10_doctor_u22
ok that's fine so the antibiotics that i'm gonna prescribe um will go through to that pharmacy
day5_consultation02_doctor_u61
ok
day4_consultation01_patient_u66
um yeah i had to take painkillers and had to go go to bed and rest and
day1_consultation03_patient_u27
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 super annoying so i'd like to find something quick to solve it
day1_consultation02_patient_u2
and have you had your blood pressure checked recently
day5_consultation01_doctor_u34
yes yeah
day1_consultation01_patient_u32
not not any weakness but where you couldn't you know hold a cup or anything like that that's what i mean
day3_consultation02_doctor_u18
why is that
day3_consultation03_doctor_u48
yeah
day1_consultation13_patient_u9
ok so you've still got the chest discomfort right now
day2_consultation07_doctor_u11
great well i'm glad i could help
day1_consultation07_doctor_u92
yeah
day2_consultation02_patient_u24
and then they'll do that assessment and then we'll take it from there ok
day2_consultation04_doctor_u77
yeah yeah that's that's that's that's definitely something i've noticed like you know in in bed with the wife and having to you know get out and get the blanket off and put it back on again it's it's not it's not pleasant i mean i'm keeping her up at night as well which is a bloody nightmare but i mean you know how the...
day1_consultation07_patient_u25
ok all right
day1_consultation07_doctor_u9
yeah yeah
day5_consultation01_patient_u12
i don't think so i think i've you we've covered everything that's really bothering me
day1_consultation05_patient_u26
ok and uh uh can you tell me i know it's not nice to talk about but is it quite watery your stools loose
day1_consultation12_doctor_u11
any swelling that you've noticed
day5_consultation09_doctor_u33
mm hmm
day3_consultation01_doctor_u11
sorry
day5_consultation08_patient_u7
hi hi
day4_consultation05_patient_u1
yeah i can hear you hi
day1_consultation10_patient_u1
do you smoke
day5_consultation08_doctor_u38
uh yes
day1_consultation08_patient_u17
um there are things like dioralyte you can get from the pharmacy which uh it's um it helps helps replenish your minerals and vitamins
day1_consultation01_doctor_u40
and does it hurt uh how far into the run does it generally hurt
day5_consultation11_doctor_u12
um but right now right now it's not swollen and right now it doesn't hurt you know
day5_consultation11_patient_u30
uh no
day2_consultation09_patient_u24
uh uh no it's the first time
day4_consultation06_patient_u52
yeah
day4_consultation08_patient_u23
pardon no birth
day5_consultation02_doctor_u32
yeah
day3_consultation01_doctor_u16
yeah
day3_consultation04_patient_u37
so do you get these headaches on your commute in to work
day4_consultation02_doctor_u28
mm hmm
day3_consultation01_doctor_u28
uh just
day5_consultation07_patient_u15
three months
day1_consultation03_patient_u43
uh i try and walk to the shops at least once a day
day1_consultation06_patient_u57
ah ok um so it's three
day4_consultation10_doctor_u26
ok ok fine um moving down to your chest um how's your breathing been
day1_consultation07_doctor_u21
i'm currently taking
day1_consultation08_patient_u25
yeah
day1_consultation14_doctor_u54
yeah so um i vomited at the start of the symptoms but now um i've stopped vomiting
day1_consultation01_patient_u15
if in the meantime um between now and and me sort or a gp seeing you you feel worse in any way you get light headed
day4_consultation10_doctor_u69
mmm not really i mean i i often have problems with back pain but not really any other joints
day2_consultation08_patient_u21
no pain no discharge coming from your ears
day1_consultation14_doctor_u9
right ok and your face feeling numb where exactly is that which part of your face can you can you show me with your finger
day2_consultation03_doctor_u8
ok and apart from the c section and the shortness of breath have you got any other medical problems i should know about
day4_consultation03_doctor_u29
and it's really impacting on like on the rest of my life like my sleep and stuff like that
day5_consultation03_patient_u9