File size: 20,029 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 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 |
{
"version": "0.0.2+b7c0458e63faab58bab172e6f7831d94465d87c3",
"timestamp": "2025-07-03T13:34:52Z",
"model": null,
"seed": null,
"id": "6335a855-b354-4c75-971a-61c7093bd067",
"parentId": null,
"complete": null,
"personas": null,
"scenario": null,
"turns": [
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "DOCTOR",
"text": "Hello."
},
{
"speaker": "PATIENT",
"text": "<UNSURE>Hi there</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "Hi! Hi there. Uh, my name's Joe. I'm one of the doctors at Babylon. I, just, can I confirm your name please?"
},
{
"speaker": "PATIENT",
"text": "<UNIN/>, yeah. Uh, my name's <INAUDIBLE_SPEECH/>."
},
{
"speaker": "DOCTOR",
"text": "<UNSURE>Makes sense. Yeah.</UNSURE>"
},
{
"speaker": "DOCTOR",
"text": "So, <UNIN/>. Sorry, your name is?"
},
{
"speaker": "PATIENT",
"text": "Name was Brian."
},
{
"speaker": "DOCTOR",
"text": "Brian. Hi Brian. Nice to <UNIN/>"
},
{
"speaker": "PATIENT",
"text": "<UNSURE>Hi</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "Um, uh, and your date of birth."
},
{
"speaker": "PATIENT",
"text": "Yeah, my date of birth is the eighth of August, nineteen eighty two."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "DOCTOR",
"text": "Great. And uh, are you in a sort of, uh, confidential place where you can speak freely?"
},
{
"speaker": "PATIENT",
"text": "Yeah. No, no one else can hear me."
},
{
"speaker": "DOCTOR",
"text": "Great. And you're happy to continue with the consultation."
},
{
"speaker": "PATIENT",
"text": "Yes."
},
{
"speaker": "DOCTOR",
"text": "Marvelous. OK. So, um, how can i help today?"
},
{
"speaker": "PATIENT",
"text": "Yeah, um. So basically it's, just been happening over the last few weeks or so."
},
{
"speaker": "PATIENT",
"text": "But I don't really feel like um, like, getting up in the morning's really difficult, and I don't have much energy at all, during the day, um."
},
{
"speaker": "PATIENT",
"text": "Often."
},
{
"speaker": "PATIENT",
"text": "Yeah just like, doing most things that I would normally find, easy <UNIN/>, is become quite difficult."
},
{
"speaker": "DOCTOR",
"text": "<UNIN/> OK. So, things have become quite difficult for you."
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "DOCTOR",
"text": "Is there anything else?"
},
{
"speaker": "PATIENT",
"text": "Um, <UNIN/> <UNSURE>no it's</UNSURE> quite hard to say like. Things like, I'm not, <UNSURE>I'm</UNSURE> not eating very much at the moment. I just don't feel like I have a lot of energy."
},
{
"speaker": "DOCTOR",
"text": "OK. I'm sorry to hear that."
},
{
"speaker": "DOCTOR",
"text": "Um, so you had difficulty waking up. No energy, not eating."
},
{
"speaker": "DOCTOR",
"text": "And that's been going on for a few weeks. When you say a few weeks, do you mean two or three or five? <UNIN/> <UNSURE>how many </UNSURE> hours of sleep? <UNIN/>"
},
{
"speaker": "PATIENT",
"text": "<UNSURE>Actually, well</UNSURE>, now I <UNSURE>kind</UNSURE> of think about it maybe, maybe even longer, um. I guess uh, <UNIN/>, might be related <UNSURE>to</UNSURE>, so I also started a new job, um, slightly recently."
},
{
"speaker": "PATIENT",
"text": "Um. It might of even <UNSURE>coincided</UNSURE>, coincided with uh, with that, job, a couple of months ago."
},
{
"speaker": "DOCTOR",
"text": "When did you start your new job? Two months ago, did you say?"
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "DOCTOR",
"text": "OK. And, um, so this has been going on perhaps for um, sort of, six weeks or so?"
},
{
"speaker": "PATIENT",
"text": "More like, <UNIN/>, two months, I would say, yeah."
},
{
"speaker": "DOCTOR",
"text": "OK."
},
{
"speaker": "DOCTOR",
"text": "Alright. So, um,"
},
{
"speaker": "DOCTOR",
"text": "Is there anything that you're particularly, sort of concerned about, um, or hoping to get out of this consultation?"
},
{
"speaker": "PATIENT",
"text": "Well, um, I, I know that it's not really normal for me, so, before this phase. So I'd <UNSURE>have thing</UNSURE>, you know I wouldn't have, uh, any problems sort of."
},
{
"speaker": "PATIENT",
"text": "<UNIN/>, eating, what I want to eat, or you know, doing standard things in life, and, and, what I want, to do is just like, kind of return to that previous state."
},
{
"speaker": "PATIENT",
"text": "Uh, somehow. Um, I'm not sure how that is. Uh, what, what the best ways of doing that are, but, yeah. <UNSURE>Do you have</UNSURE> some advice or?"
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "PATIENT",
"text": "Whatever, that'd be really useful."
},
{
"speaker": "DOCTOR",
"text": "OK. Sure. OK. Um, well what would I like to do is just ask you a few more, sort of questions around what's been going on, um, and also around your background health and um, and things like that."
},
{
"speaker": "DOCTOR",
"text": "And then we can go on to sort of <UNIN/> what can be done from there. Is that alright?"
},
{
"speaker": "PATIENT",
"text": "<UNSURE>OK</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "OK, great. <UNIN/> so you say you've been, um, feeling unwell with not a lot of energy, difficult waking up in the mornings. Do you tend to just on that <UNIN/>, do you tend to wake up early, and then stay in bed in the morning?"
},
{
"speaker": "PATIENT",
"text": "Um, actually I'm, just uh, not, not really waking up early. It's more like I'm just having trouble sleeping at all, <UNSURE>really</UNSURE>. I think that's probably closer."
},
{
"speaker": "DOCTOR",
"text": "<UNIN/>, difficulty sleeping as well."
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "DOCTOR",
"text": "Um, and have you, and, how, how has your mood been over this period?"
},
{
"speaker": "DOCTOR",
"text": "Have you been feeling your usual <UNSURE>self</UNSURE>?"
},
{
"speaker": "PATIENT",
"text": "Um."
},
{
"speaker": "PATIENT",
"text": "<UNSURE>Distracted</UNSURE>, <UNIN/>, I'd say. Uh, I, I kind of, um."
},
{
"speaker": "PATIENT",
"text": "Yeah, uh, finding it really hard to, quite, difficult to keep focusing, I would say."
},
{
"speaker": "PATIENT",
"text": "Um, not unhappy or, happy, but just uh, quite, just <UNIN/>, not focused."
},
{
"speaker": "DOCTOR",
"text": "OK. So difficulty focusing, quite distracted."
},
{
"speaker": "DOCTOR",
"text": "And, would you say you've <UNIN/> been in good spirits? Or is your mood low?"
},
{
"speaker": "PATIENT",
"text": "Um."
},
{
"speaker": "PATIENT",
"text": "Actually uh, now <UNSURE>you, you</UNSURE>, you mention it like, my, mood is a bit lower recently."
},
{
"speaker": "PATIENT",
"text": "Um, and so I've <UNSURE>noticed</UNSURE> like, uh, my sex drive <UNSURE>has</UNSURE> kind of decreased, um, a bit over the, the past few months as well, so, yeah."
},
{
"speaker": "DOCTOR",
"text": "Right."
},
{
"speaker": "DOCTOR",
"text": "<UNSURE>K</UNSURE>. And uh, so lower mood, decreased sex drive recently as well."
},
{
"speaker": "DOCTOR",
"text": "And, just on that note, just a few questions around that."
},
{
"speaker": "DOCTOR",
"text": "Are you able to, uh, it may be slightly personal questions, but if you're O. O. K. to answer this,"
},
{
"speaker": "DOCTOR",
"text": "Do you tend to, to have morning erections like you, is that something that you've noticed, <INAUDIBLE_SPEECH/>?"
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "PATIENT",
"text": "Um, I <UNSURE>haven't</UNSURE> noticed anything like that, specifically, no."
},
{
"speaker": "DOCTOR",
"text": "So, you've not, so you're saying you have not noticed morning erections, and usually you would. So, <UNIN/> normal thing to have, uh, waking up in the morning with something. But you have not noticed those recently."
},
{
"speaker": "PATIENT",
"text": "Yes."
},
{
"speaker": "PATIENT",
"text": "I have not noticed those recently."
},
{
"speaker": "DOCTOR",
"text": "OK. So, and that's been a change, has it?"
},
{
"speaker": "PATIENT",
"text": "Um."
},
{
"speaker": "PATIENT",
"text": "Important one I don't think, um, yeah. Not, I don't think it's important to change, no."
},
{
"speaker": "DOCTOR",
"text": "Sorry?"
},
{
"speaker": "DOCTOR",
"text": "Uh, so you, you, you, you don't think there's been a change there. You"
},
{
"speaker": "PATIENT",
"text": "No, there hasn't been a change <UNSURE>there</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "Ohh OK, sorry. Right, so"
},
{
"speaker": "DOCTOR",
"text": "OK. So, um,"
},
{
"speaker": "DOCTOR",
"text": "Just going back to the mood symptoms as well. Uh, you <UNIN/> have had uh, difficulty focusing, easily distracted. Your mood has been uh, slightly lower, with lower sex drive."
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "DOCTOR",
"text": "Um, and in what way has your sex drive been lower? <UNIN/> are you in a relationship at the moment?"
},
{
"speaker": "PATIENT",
"text": "Yeah, I, I'm married, um, have been for, many years."
},
{
"speaker": "DOCTOR",
"text": "Mm-hmm."
},
{
"speaker": "PATIENT",
"text": "And, <UNSURE>uh</UNSURE>, yeah just, um. Over the last few months, just uh, been <UNSURE>disinterested</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "Disinterested."
},
{
"speaker": "DOCTOR",
"text": "<UNSURE>OK</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "OK. Sorry, you froze there for a moment."
},
{
"speaker": "DOCTOR",
"text": "Um, <UNIN/>. So less interested as well, OK."
},
{
"speaker": "PATIENT",
"text": "<INAUDIBLE_SPEECH/>"
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "DOCTOR",
"text": "And, just to ask you a few questions before we <INAUDIBLE_SPEECH/> uh, wrap up is, uh, any significant past medical history?"
},
{
"speaker": "DOCTOR",
"text": "Um, so do you suffer from any, uh, mental health problems in the past, or any, uh, physical health problems? <UNIN/>"
},
{
"speaker": "PATIENT",
"text": "Um, so, in the past, um, I have a, a history of, hypothyroidism, um."
},
{
"speaker": "DOCTOR",
"text": "Hypo?"
},
{
"speaker": "PATIENT",
"text": "Hypothyroidism."
},
{
"speaker": "DOCTOR",
"text": "Hyperthyroid."
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "DOCTOR",
"text": "K, so that's high thyroid, just to sort of confirm that."
},
{
"speaker": "PATIENT",
"text": "Um."
},
{
"speaker": "PATIENT",
"text": "Sorry, can you say that again please?"
},
{
"speaker": "DOCTOR",
"text": "<UNIN/> hyper, as in high, hyperthyroid."
},
{
"speaker": "PATIENT",
"text": "Hypo."
},
{
"speaker": "DOCTOR",
"text": "Hypo, OK. Hypothyroid. Thank you."
},
{
"speaker": "PATIENT",
"text": "Thank you. Um."
},
{
"speaker": "PATIENT",
"text": "Yeah, and uh, also in the past, I mean, I haven't had any kind of specific, uh, medical diagnoses, along these lines."
},
{
"speaker": "DOCTOR",
"text": "OK."
},
{
"speaker": "PATIENT",
"text": "Um, but <UNSURE>the</UNSURE> suspicion, that it may have uh, had an impact on me, <UNSURE>but</UNSURE> my father has commited suicide, um, about fifteen years ago."
},
{
"speaker": "DOCTOR",
"text": "OK."
},
{
"speaker": "DOCTOR",
"text": "OK. And um,"
},
{
"speaker": "DOCTOR",
"text": "Uh, do you take any medications?"
},
{
"speaker": "PATIENT",
"text": "I had a, a, drug history of Thyroxine."
},
{
"speaker": "DOCTOR",
"text": "Mm-hmm."
},
{
"speaker": "PATIENT",
"text": "So, maybe, yes."
},
{
"speaker": "DOCTOR",
"text": "Do you, do you continue to take Thyrocsin now?"
},
{
"speaker": "PATIENT",
"text": "Yes."
},
{
"speaker": "DOCTOR",
"text": "You do. You're, so you're taking Thyrocsin at the moment?"
},
{
"speaker": "PATIENT",
"text": "Um."
},
{
"speaker": "PATIENT",
"text": "Yes."
},
{
"speaker": "DOCTOR",
"text": "Cool. And any drug allergies? Are you allergic to any medications?"
},
{
"speaker": "PATIENT",
"text": "No, I have no uh, medication allergies, no."
},
{
"speaker": "DOCTOR",
"text": "<UNSURE>No</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "No allergies. And you mentioned the <UNIN/>, the suicide of your father fifteen years ago. I'm very sorry to hear that. Is there any other, um, uh, <UNIN/> significant family history of medical conditions, or psychiatric conditions?"
},
{
"speaker": "PATIENT",
"text": "No."
},
{
"speaker": "DOCTOR",
"text": "No depression or anything like that running in your family, or uh, <UNIN/>"
},
{
"speaker": "PATIENT",
"text": "<UNSURE>Uh</UNSURE>, nothing, nothing, that sort."
},
{
"speaker": "DOCTOR",
"text": "OK. And your mother is, is well? Any brothers or sisters?"
},
{
"speaker": "PATIENT",
"text": "Yeah she's fine, um, and no, I'm an only child. <UNSURE>Um</UNSURE>."
},
{
"speaker": "DOCTOR",
"text": "Um,"
},
{
"speaker": "DOCTOR",
"text": "OK."
},
{
"speaker": "DOCTOR",
"text": "So, I just uh, uh, sorry it might seem like a slightly random question, but any uh, change in vision?"
},
{
"speaker": "DOCTOR",
"text": "<UNSURE>No </UNSURE> <UNIN/>"
},
{
"speaker": "PATIENT",
"text": "No, no, nothing like that."
},
{
"speaker": "DOCTOR",
"text": "<INAUDIBLE_SPEECH/>. OK. And, just to go back to your, you were saying you had low mood. Some people who <UNIN/>, who do have low mood, uh, and low sex drive can sometimes feel uh, suicidal as well. Have you had any thoughts of harming yourself or harming anyone else?"
},
{
"speaker": "PATIENT",
"text": "No."
},
{
"speaker": "DOCTOR",
"text": "No."
},
{
"speaker": "PATIENT",
"text": "No, not <UNIN/>, not really, no."
},
{
"speaker": "DOCTOR",
"text": "<UNIN/> and are you able to get the usual enjoyment out of your daily activities, that you have done in the past?"
},
{
"speaker": "PATIENT",
"text": "Sometimes, I mean, I guess, um, most of the activites, but, when I've been doing sports as well, <INAUDIBLE_SPEECH/>, I find sometimes it's quite difficult to breathe, um."
},
{
"speaker": "PATIENT",
"text": "So, I have some kind of like, shortness of breath um, when doing, sports, compared to maybe a couple of months ago."
},
{
"speaker": "DOCTOR",
"text": "OK. So you, you've become more short of breath over the last few months."
},
{
"speaker": "PATIENT",
"text": "Yeah."
},
{
"speaker": "DOCTOR",
"text": "Um, and you've had a"
},
{
"speaker": "DOCTOR",
"text": "OK. So uh, any other things around that? So, more fatigue, more shortness of breath, um, over the last few months?"
},
{
"speaker": "PATIENT",
"text": "Mmm."
},
{
"speaker": "DOCTOR",
"text": "Um, with a <UNIN/> low, lower mood, decreased sex drive. Um, is there, just before we wrap up, is there anything else that you would like to talk about?"
},
{
"speaker": "PATIENT",
"text": "Um, no, nothing specific, no."
},
{
"speaker": "DOCTOR",
"text": "So, um,"
},
{
"speaker": "DOCTOR",
"text": "We're getting a little bit towards the end now, but I would quite like to make a bit more of a plan for you. Um,"
},
{
"speaker": "DOCTOR",
"text": "I would like to, probably see you in person, and do an examination. And, and also, we would probably like to do some blood tests um, as well."
},
{
"speaker": "DOCTOR",
"text": "So, do you think it would be possible to see uh, to to book an appointment in the next few days uh, with your GP? Or, or um, that would be ideal, I think here."
},
{
"speaker": "DOCTOR",
"text": "Um, and then we can, we can probably do some more uh, we'll do an examination and uh, do some investigations really, to see what's going on here a little bit more."
},
{
"speaker": "PATIENT",
"text": "<UNIN/>, yes."
},
{
"speaker": "PATIENT",
"text": "That <UNSURE>makes</UNSURE> sense, yeah."
},
{
"speaker": "DOCTOR",
"text": "Is that alright?"
},
{
"speaker": "PATIENT",
"text": "Yeah, that's very useful, thank you, um."
},
{
"speaker": "DOCTOR",
"text": "OK."
},
{
"speaker": "PATIENT",
"text": "Yeah, <UNSURE>it feels</UNSURE>, better to have some kind of plan, uh."
},
{
"speaker": "DOCTOR",
"text": "Yeah. Yeah, yeah. I think <UNIN/>, I definitely think we need a plan here. Um, it's been nice talking to you. I'm sorry, we've run out of time now."
},
{
"speaker": "DOCTOR",
"text": "Uh, but we've at least started the ball rolling with um, some further investigations and tests."
},
{
"speaker": "DOCTOR",
"text": "I'm glad you're, you know, you're, you're <UNIN/>, you're, although you have a low mood, um, you're, you're, um, you're not <UNIN/> feeling suicidal, just to confirm that."
},
{
"speaker": "PATIENT",
"text": "<UNSURE>Mm-hmm</UNSURE>, yes."
},
{
"speaker": "DOCTOR",
"text": "And, and you're, uh, and uh, we'll hopefully get to the bottom of some your tiredness, and your other symptoms, when we see you. OK?"
},
{
"speaker": "PATIENT",
"text": "Thank you very much, for taking the time. Thank you."
},
{
"speaker": "DOCTOR",
"text": "OK. Thank you. Thanks."
}
],
"events": null,
"notes": null
} |