File size: 12,083 Bytes
1e8fc75 |
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 |
{
"version": "0.0.2+b7c0458e63faab58bab172e6f7831d94465d87c3",
"timestamp": "2025-07-03T13:34:51Z",
"model": null,
"seed": null,
"id": "4363e7ee-cdff-4f11-85e2-644146603100",
"parentId": null,
"complete": null,
"personas": null,
"scenario": null,
"turns": [
{
"speaker": "PATIENT",
"text": "Hello."
},
{
"speaker": "DOCTOR",
"text": "Hello. Hi, I'm Doctor Jacob and welcome to Babylon. How are you doing?"
},
{
"speaker": "PATIENT",
"text": "I'm OK, thank you. Um, not feeling that great actually."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/> Good. <INAUDIBLE_SPEECH/>"
},
{
"speaker": "DOCTOR",
"text": "Alright. I can't see your face properly <UNIN/>, just, yeah that's it. That's good. Thank you. So, I'm sorry to hear that. But just before we start, is it alright if you could confirm your name for me please?"
},
{
"speaker": "PATIENT",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "PATIENT",
"text": "I'm Mary Jane Grey, um."
},
{
"speaker": "DOCTOR",
"text": "<UNIN/> Date of birth?"
},
{
"speaker": "PATIENT",
"text": "Date of birth, um nineteen eighty."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "DOCTOR",
"text": "OK. And your address for me please?"
},
{
"speaker": "PATIENT",
"text": "Um, I live <UNIN/> on SW four zero NG."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "DOCTOR",
"text": "That's correct. And just to confirm that you're in a secure location, and we can have a confidential conversation."
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "DOCTOR",
"text": "OK. So you've mentioned that you're feeling dizzy. <INAUDIBLE_SPEECH/>, yes."
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "PATIENT",
"text": "Yeah, I'm feeling I'm, I'm yeah, I'm feeling very sick. It's probably because i'm feeling dizzy, um the the room is sort of spinning, um."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "PATIENT",
"text": "And I, I can't, I can't walk properly. Uh, well I can walk properly but not straight, um."
},
{
"speaker": "PATIENT",
"text": "and my ears are buzzing a bit. I'm just, they're feeling a bit off."
},
{
"speaker": "DOCTOR",
"text": "<UNSURE>Mm-hmm</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "OK, <UNSURE>ear's buzzing</UNSURE>. So when did it all start?"
},
{
"speaker": "PATIENT",
"text": "Started probably about two hours ago maybe. but I, I, um, I had a a similar sort of thing about a month ago, um"
},
{
"speaker": "PATIENT",
"text": "But I didn't really think anything of it, 'cause it <UNIN/> it settled quite quickly. Um, but this has been going for a bit more now."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "DOCTOR",
"text": "OK. So you <UNSURE>said</UNSURE>, you mentioned it started a few hours ago. So <UNIN/> did it start? What were you doing?"
},
{
"speaker": "PATIENT",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "PATIENT",
"text": "Um, I was just actually making my husband some breakfast, um."
},
{
"speaker": "PATIENT",
"text": "And I, yeah, I just suddenly felt very fuzzy and dizzy, um, and a bit shaky."
},
{
"speaker": "DOCTOR",
"text": "OK. So <UNIN/> you <UNSURE>mentioned</UNSURE>, like the room spinning around?"
},
{
"speaker": "PATIENT",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "PATIENT",
"text": "Yep."
},
{
"speaker": "DOCTOR",
"text": "OK. And is, how long does it last for? Or is it there now, continuously now?"
},
{
"speaker": "PATIENT",
"text": "Yeah it's, it's there, the whole time."
},
{
"speaker": "DOCTOR",
"text": "So it's there now for the past two hours you'd say, yeah?"
},
{
"speaker": "PATIENT",
"text": "Yep."
},
{
"speaker": "DOCTOR",
"text": "OK. Did you have any kind of viral illness in the recent past, past couple of weeks?"
},
{
"speaker": "PATIENT",
"text": "<UNIN/>"
},
{
"speaker": "PATIENT",
"text": "No."
},
{
"speaker": "DOCTOR",
"text": "No cold, cough, nothing."
},
{
"speaker": "PATIENT",
"text": "No, I've been pretty healthy I think, um, yeah."
},
{
"speaker": "DOCTOR",
"text": "Yeah, OK. Um, you've mentioned that you have a, some ear buzzing kind of thing. Any kind of ear pain or ear discharge, anything like that?"
},
{
"speaker": "PATIENT",
"text": "No, nothing."
},
{
"speaker": "DOCTOR",
"text": "OK. Do you have a temperature at all?"
},
{
"speaker": "PATIENT",
"text": "I don't think so, um."
},
{
"speaker": "DOCTOR",
"text": "OK, right. You also mentioned that you can walk, but you're not walking straight. Why is that? Is it because"
},
{
"speaker": "PATIENT",
"text": "I think just 'cause the room feels like it's moving a bit. Um"
},
{
"speaker": "DOCTOR",
"text": "<UNSURE>Feels like to move</UNSURE> <UNIN/>. That's why you're feeling like you're a bit unsteady, yeah?"
},
{
"speaker": "PATIENT",
"text": "<UNSURE>I'll look</UNSURE> <INAUDIBLE_SPEECH/>."
},
{
"speaker": "PATIENT",
"text": "<INAUDIBLE_SPEECH/> My, my legs and arms and everything are working fine I just, I don't feel like I'm <UNIN/> stable. My, the room is <UNIN/> spinning."
},
{
"speaker": "DOCTOR",
"text": "So there's no weakness of your arms and legs. OK."
},
{
"speaker": "PATIENT",
"text": "No."
},
{
"speaker": "DOCTOR",
"text": "K. Right. Um, so you mentioned you had something like this a month ago. So how, how, how long did that episode last for?"
},
{
"speaker": "PATIENT",
"text": "Probably only about five, ten minutes."
},
{
"speaker": "DOCTOR",
"text": "OK, right. And do you have any problems hearing at the moment? Like, is it <UNIN/> muffled or something?"
},
{
"speaker": "PATIENT",
"text": "No."
},
{
"speaker": "PATIENT",
"text": "It's just a bit of a buzzy noise in my ears, but otherwise I can hear everything."
},
{
"speaker": "DOCTOR",
"text": "OK. <UNSURE>Righty-ho</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "OK. So, have you been physically sick?"
},
{
"speaker": "PATIENT",
"text": "No, but now I'm feeling very sick."
},
{
"speaker": "DOCTOR",
"text": "Nausea, OK."
},
{
"speaker": "DOCTOR",
"text": "Righty-ho. And, I don't have much information of your past medical history. So is there any medical conditions you'd like to <UNIN/> tell me, surgical, medical conditions?"
},
{
"speaker": "PATIENT",
"text": "Um, I've had premature ovarian failure, um, and I've taken HRT."
},
{
"speaker": "DOCTOR",
"text": "OK <UNSURE>charting premature hearing failure</UNSURE>. OK, and um any other medications at all?"
},
{
"speaker": "PATIENT",
"text": "No."
},
{
"speaker": "DOCTOR",
"text": "OK, do you have any allergies at all?"
},
{
"speaker": "PATIENT",
"text": "No."
},
{
"speaker": "DOCTOR",
"text": "<UNIN/>"
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "DOCTOR",
"text": "OK. Right. OK so <UNIN/>, talking to you today, um, in the <UNIN/>, the most common um, you know, diagnosis we would <UNIN/> you're suffering from at the moment is something called labyrinthitis. Yeah?"
},
{
"speaker": "DOCTOR",
"text": "OK, that's when your middle ear...there is something um, some inflammation going on there, and there is some imbalances in the crystals there in your middle ear."
},
{
"speaker": "DOCTOR",
"text": "OK, so what the most important treatment is actually giving you some kind of middle ear <UNSURE>stability </UNSURE> so that you won't feel as if you're going around in a boat, kind of feeling."
},
{
"speaker": "DOCTOR",
"text": "OK? So that's what we need to <UNIN/>. Because to actually make you <INAUDIBLE_SPEECH/> function a bit more, we'll start you on certain medications."
},
{
"speaker": "DOCTOR",
"text": "I would still like you to be seen by one of our doctors to take a look inside your ears to just make sure. So this is like just symptomatic relief like you have a fever we just give paracetamol. So just to, you know, make you able to come and see one of the doctors and things like that."
},
{
"speaker": "DOCTOR",
"text": "<UNIN/> while you're with the doctors, we'd like to do your blood pressure, just examine your, you know, you know, how your walking and everything is."
},
{
"speaker": "DOCTOR",
"text": "OK, while we're waiting, while you're waiting on seeing the doctor if you double up any weakness of your legs or arms or, or, you know, a sudden headache."
},
{
"speaker": "PATIENT",
"text": "OK."
},
{
"speaker": "DOCTOR",
"text": "Any of those symptoms, or you start being violently sick with it, then you know, you would need to take your <UNIN/> to A and E."
},
{
"speaker": "PATIENT",
"text": "OK."
},
{
"speaker": "DOCTOR",
"text": "But if not, wait for the appointment <UNIN/> for the doctor to examine you um and we'll take it from there."
},
{
"speaker": "DOCTOR",
"text": "So i'll, i'll send the a prescription at cross <UNIN/> pharmacy looks like it's the Lloyd pharmacy on our system. Is that correct?"
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "DOCTOR",
"text": "Yeah. So we'll send you across that prescription. Um, it's called <UNIN/> , yeah? It's one tablet three times a day. So I'll give you <UNIN/> about ten days worth."
},
{
"speaker": "DOCTOR",
"text": "In the interim, obviously in the next few days, you'll get to see one of my doctors and we'll have to just take it from there."
},
{
"speaker": "PATIENT",
"text": "OK, thank you so much."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/> Any questions at all?"
},
{
"speaker": "PATIENT",
"text": "Um, can you take, do you need to take those tablets with food? Or can you just take them any time?"
},
{
"speaker": "DOCTOR",
"text": "It doesn't really matter, you can take it, because sometimes, you know, you get the symptoms as soon as you wake up, so probably you'll feel a bit sick to eat anything so might as well just take the tablets."
},
{
"speaker": "PATIENT",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "PATIENT",
"text": "OK, that's great. Thank you so much, that's so helpful."
},
{
"speaker": "DOCTOR",
"text": "Just make sure you call support to book that appointment, OK?"
},
{
"speaker": "PATIENT",
"text": "I will, thank you very much."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/> Bye bye now. Bye"
},
{
"speaker": "PATIENT",
"text": "<INAUDIBLE_SPEECH/>"
}
],
"events": null,
"notes": null
} |