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Ohh hello. Hello. I'm Doctor Geraghty. Ohh sorry. . Can I take your full name date of birth and your home address please? Uh yeah it's uh . Um and five um Kings Place. And are you in a uh and your date of birth? Uh it's the twentieth of the fourth nineteen ninety. OK. And are you in a private place you can have a confidential consultation today? Yes I am. What can I do for you today? Um I've got a really bad headache had it for about a day now. OK and can you just tell me about how it started? What were you doing when it came on? Um yeah just ever since yesterday morning since I woke up really. Um just yeah kind of throbbing headache haven't really wanted to leave the house much since then. OK and whereabouts in your head is the pain? Uh mainly on the left side. OK. What does it feel like? Um it just kind of feels like it's throbbing it's quite intense sort of comes and goes. Um yeah quite sensitive to light um but yeah quite painful. K and . When when you say it comes and goes does it completely go away? Uh just kind of fades so it's still there a little bit but it kind of gets more or less severe. OK. And any any other symptoms that you've had any problems with your eyes or your eyesight? Uh no not at all. Any abnormal smells or tastes? No. Any any nausea vomiting? Uh no no been feeling fine actually. And have you been eating and drinking OK? Yeah yeah . OK. And normally do you get any headaches? Uh no not really it's not something I've ever had before. OK. And has it occurred at a particular term in your menstrual cycle? Um no not particularly and my period was about a week ago. Right OK. And how we're you the before it came on? Have you had any other symptoms like feeling feverish runny nose sore ears? No not really any sort of cold symptoms I seemed OK the day before. OK. And at the moment how are you feeling? Um it's still pretty bad. Um yeah still the kind of throbbing yeah. Have you had any changes in your skin? No skin feeling fine. Have you checked your temperature at all? Have you got a thermometer at home? Um I haven't. Um I don't feel like I'm feverish but I haven't checked. And any problems with weakness tingling numbness in your arms or legs? No not at all. And what have you been doing since it came on? Have you been able to go to work or have you been at home? Um taken some painkillers mainly been at home. Um yeah just kind of kind of seems to be worse when I'm in a light room or like sunlight. So I've kind of just been staying in as much as possible. OK. Does it get worse with any position that you're on? Is it worse when you lie flat or when you bend forward? Um no think I've generally been lying down seems to be better that way. Any problems if you cough or sneeze? Uh no but I haven't really got a cough or anything. OK. And can you just tell me a bit about your medical history in the past? Have you had any significant medical problems? Any hospital admissions operations something like that? Uh no not recently nothing. Do you take any medication? Uh no just contraception. And which contraception do you take? Uh Microgynon pill. When did you start that one? Uh about six years ago. Do you get any side effects from it? Um not really um no not too much. OK. And anyone in your family had any medical problems? Uh my mum had uh high blood pressure and she's got a history of migraines. Um but it's not really affected me before. OK. And have you had your blood pressure checked recently? Uh I haven't actually no. Have you had it checked when you've had the repeat prescription done? Yeah yeah so uh probably about six months ago. Do you know if there's been any problems with it? Um it's always been fine I think. OK. Um and whereabouts whereabouts do you live at the moment? You've given me your address. Do who do you live with at home? Uh just with housemates um just friends. OK. And do you drink much alcohol day-to-day? Um I'd say a normal amount um probably you know a few drinks at the weekend. OK. And do you smoke? No. Do you take any other drugs of any sort? No. Um. So what what tablets did you say you've been taking already? Yeah. Sorry? What tablets have you been taking already for it? Uh just Paracetamol. Um I'm allergic to Aspirin so I haven't been taking that. What happens when you get a when you take Aspirin? Um I just feel really sick. OK. And have you ever taken any non-steroidal anti-inflammatories like Ibuprofen Naproxen anything like that? Um I have in the past I haven't been taking it last few days. OK. Um so this headache is new to you and you've you've not had regular headaches before? Yeah. What I would suggest is taking uh um some anti-inflammatories along with the Paracetamol. OK. Um as a. Uh you said you're eating OK? Yeah yeah fine. 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. Um and is anything changed recently or any anything you've done recently might've triggered it? Uh not that I can think of um may have been a bit stressed out at work that kind of thing but . Yeah. Um well that would be the first thing to do is to take some anti-inflammatories along with the Paracetamol. Make sure you're really well hydrated. Um and see how that goes and if it if it isn't settling or it's getting worse or you get any other change in your headache. Um or you're 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 you're 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. OK brilliant thank you. Um I would try and arrange to get your blood pressure checked if you haven't 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 temperature's OK. OK sure. Yep. If you have a raised temperature or your headache's just getting worse or you develop any rashes or anything like that. Then we'd need to speak to you straight away. Yep OK that's brilliant. OK so I'll take some Ibuprofen and I'll um hopefully be a bit better in a day or two then so yeah. OK so have you got any other questions? Uh no that was it today. OK. OK then we'll we'll we'll um speak to you again. OK brilliant. Thanks so much. very much. Bye. Bye.

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Na0s/Primock_med

default

test

Good morning. I'm Doctor Smith from Babylon. Can you just confirm your name date of birth and the first line of your address please? Hi. My name is Susan. Um thirty Redbridge Street SW two two HZ. Hello. And your date of birth? forty oh two nineteen seventy four. OK. Are you in a private place so you can have a consultation today? Yes I am. OK. What can I do for you? It hurts when I pee. OK and how long has that been going on for? It stays now. Pardon? Uh six days. Six days OK. And just tell me a bit more about that. How did it start? Um I've got this thing when I pee and it hurts when I go to the loo and I've got this very unpleasant smell that comes out. OK. And have you had any other symptoms along with that? Have you had any abdominal pain or back lower back pain at all? I've got pain in my tummy. Uh whereabouts? In my lower tummy. OK. Is it one-sided or in the middle? In the middle. And how bad would you say that is on a scale of one to ten? With ten being the worst pain. Seven. Seven. And is it constant or does it come and go? Comes and goes. OK. And have you actually been able to pass water OK? Yes but I've had spotted uh blood in my urine. Spots. OK. And is that just over the last six days? Yes. Right. And have you been able to eat and drink OK? Yes. Um and have you had a temperature? Do you feel like you've been feverish or had a temperature with this? No not at all. Um and any did you you said you didn't have any lower back pain? No I've got. Um and no loin pain as well. OK. And have you had these symptoms before? No. Never. No. And was there anything you were doing recently which you think may have contributed to it? Have you have you been doing lots of exercise been dehydrated um been having regular sexual intercourse or anything? No. No OK. And any any other symptoms any vaginal discharge or anything like that? No just the blood spot in my. No. Do you have regular periods? Yes I do. OK. Um and in the past have you had any medical problems at all? No medical no. Have you had any problems with your kidneys or any urine infections? I had IBS before. OK. And how's that been recently? Any change in your bowel habit? Any blood when you pass stool? Yeah I've had spotting in my urine. In your OK. Um any change in your bowel habit? Any weight loss or anything? No. No. Any other medical problems or surgery in the past? No. Do you take regular medications? I've had Mebeverine Mebeverine. I've had Mebeverine. Pardon? No birth . Do you take that regularly? Yes. OK. And it do you take it three times a day? Yes I do. Two hundred milligrams? Yes. Any allergies? Any allergies? Clindamycin. You're allergic to Clindamycin OK. And anyone in your family had any medical problems? No. That's fine. And whereabouts do you live? Do you live with friends family? I live with friends. OK. And where do you work? What's your job? I'm a support worker. OK. Do you drink alcohol at all? Occasionally. So how much in a average week? One glass of wine a week. OK. And do you smoke? No. OK. Um it sounds very much like you might have an infection in your urine. Did you say you haven't felt feverish? No fever at all. Have you got a thermometer at home? No. OK. It would be helpful if you could get a thermometer from the pharmacy and do check your temperature just to make sure that it isn't going up and down. OK. Um normally we can treat this infection without having to test your urine. Uh with with a course of antibiotics. OK. Um how do you feel about that? Are you happy to take a course of antibiotics? Yes I would be. It would just be for three days. OK. Um. get my prescription. Yes so I can send a prescription through to your requested pharmacy for that. If you take them as soon as you can get them pick them up as soon as you can and start taking them. The other thing which is important to do is to drink lots of water. So two and a half to three litres a day. Um you can get some cranberry juice and take drink that as well that sometimes helps. And also some sachets um which you can get from the chemist some sachets which just help change the acidity of your urine. So I I can put the details of that on your notes. Yeah. OK then. Um if you feel like your pain is getting worse or not settling you get lower back pain um or you're getting a high temperature or you have any problems actually passing urine. Then it's very important that we speak to you again. OK. Um the other thing is that if it becomes a common thing or a recurrent problem. Then we need to talk to you again about it. So do I have to call after I finish my course of antibiotics. No not if you're better. If you're if you feel like your symptoms get worse at any point or they're not resolving with the treatment. Or you keep getting a similar um you keep getting a similar problem reccurently. Then it's important for us to talk talk to you in more detail about that. OK. Yeah. OK then. Um have you got any other questions? Uh no. Uh where will be the pharmacy I'll be picking up my medication from? Um so have you already requested a pharmacy through Babylon? Yes I did. Can I just check that with you? Knightsbridge Practice. OK that's fine. So the antibiotics that I'm gonna prescribe um will go through to that pharmacy. How soon? And then you'll be able to pick them up from there. How soon is that gonna be at the practice? In five minutes? Um I would give it longer than that. Give it a an hour or so. All right then. Thank you I'll pick that at lunchtime. OK. All right then. Take care. Bye. Thank you. . Bye. Sorry I .

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Na0s/Primock_med

default

test

Hello. Hello I'm Doctor Smith from Babylon. Hello. Hello I'm . Hi there. Can you confirm your full name date of birth and the first line of your address please? Okay. My my name is and I'm twenty twenty three years old. Can you confirm your date of birth and first line nineteen ninety-six. OK. And your address? And my address is um sixty . Yep. OK. And are you in a are you in a private place where you can have a consultation? Yes definitely. Yes. OK. What can I do for you today? yeah. Sorry I I I can't hear you. What can I do for you today? Um I'm having really bad tummy ache. Like at the bottom. At the lower bottom of my belly. Right OK. And when did it start? Few days ago I was all well was being well. Everything was O. K. Kind of really getting worse big time. OK. And whereabouts in your in your abdomen do you think it is? Can you just explain to me whereabouts it is? Yeah. It's like lower. In my lower abdomen. Yeah. OK. And is it in the middle or to one side? No. It's It's in the middle. Yeah. And is it around your belly button or above or below that? Below. Mainly below. And is it there all the time or does it come and go? It's there all the time. OK. And what would you say it is on a scale of one to ten with ten being the worst pain you've ever had? It may be a eight. OK. Um and have you are you having any other symptoms with it? Yeah like. As in like. I have like vaginal sometime bleeding. But it's like light colour and sometimes I'm constipated. Like K. So when when was your last period? My um last month two weeks ago. I'm sorry. About two weeks two or three weeks ago. OK. And are you having sexual intercourse regularly? Yes. Yes I do. Four weeks ago. four days ago sorry. I just had OK. Are you using any contraception? Yes I am. I usuallycome last one year. And it's called implant. OK. And do you have your do you have your periods when you since you've been using the Implanon? Do you have periods? regularly or are they sporadic? Yes I do. Close they they are spreading like not the time. It changes. Yeah. Right. OK. And was your last period normal? Yeah. And any problems with nausea or vomiting? Yeah I feel like I feel like vomiting but I I get nauseated but I don't vomit. Right. And have you been eating and drinking OK? Yeah. Yeah my regular activities OK yeah but it's just very uncomfortable at times and . OK. And have you opened your bowels normally? Have you opened your bowels normally? Um yeah last week last week I had problems but this week it seems to be. You've been to the toilet? What problems did you have last week? Like I was constipated for a week. Like I was having problem. OK. And what about this week? Yeah that seems to be OK. It's it's fine now yeah. Are you going to the toilet every day? Um is the stool normal or diarrhea or hard stool? Yeah. It's . No it's it's. now yeah not like . Um and you said you'd had some vaginal bleeding? Yes yes I did. Is that is your period stopped? Yeah. My period stopped like last two weeks ago but and this is different I can I can see because it's not really like dark it's just light pink colour. So I don't know what is it I cannot say what exactly what it is but I . OK. Any abnormal discharge other discharge or just the slight bleeding? Just very small extra like a vaginal discharge just. OK. Any difficulty breathing or pain in your shoulders or anything like that? No. And have you had a high temperature? Have you got a thermometer? No I don't. I I should be OK . Do you feel feverish? No. And do you feel faint when you stand up? No. What have you been doing for the last few days? Have you been at work as normal or have to stay at home? Yes I have . I'm doing I work regular other activities like cooking and stuff everything but it seems OK when I get the pain. It's just very bad. OK. But you said the pain's constant there all the time? Or is it getting worse from time to time? It is getting worse. OK. Um have you had any other um medical problems in the past? Yeah I have allergy I have amoxicillin . Amoxicillin allergy. Pardon? OK. Anything else? Have you had any operations? No. Have you had any pregnancies? No. Have you taken a pregnancy test this time? when was that? Yeah I did. Yeah. Yeah around like a month ago yeah. OK. But not since you've had the abdominal pain? OK. And any surgery in the past? Um and what's your job day to day? Yeah I'm a teacher. School teacher. OK. And who do you live with at home? My husband and my husband's family. OK. And do you smoke or drink alcohol? I don't know. You take any other drugs? No. Have you been abroad recently? Yes. Whereabouts to? Out in the air. Pardon? A year ago not recently. No. Um and any problems passing water? No. Any pain or strong smell or having to go more often than normal? So I I I don't really I have noticed that I don't really go up that high before so yeah I do drink a lot though. Right OK. And any any weight loss or blood in the stool or urine? Yes. I have . As I said I have some I guess discharge and pain. But then I there's isn't a lot of discharge. . OK. Fine. Um I think with the abdominal pain as it's getting worse and it's been going on for the last few days um it would be very helpful to be able to examine you properly. Would you be happy to have an examination with a doctor? Yes . OK. Um so what we can do is we can arrange a face to face examination where they can um see you in a clinic and do a abdominal examination and advise further from there when we got more of an idea what's causing the problem. Um would you be happy to call the support line and arrange that appointment? Yes. OK. That's fine. So we'll we'll do that. In the meantime if it gets a lot worse um or you you're not holding any fluids down um then we should see you before then. Um did you say your pregnancy test was a month ago? Yes. OK. Um um your Implanon was just put in a year ago? Yes. The other thing we would need to do is to to do a pregnancy test today if possible. I will do it. So if you can do that today and if it's positive we need to see you straight away so give us a call back. Yes. OK? Have you got any other questions? Right OK. So if you call the support line and make an appointment we'll go from there. Thank you thank you thank you very. Thanks. Bye.

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Na0s/Primock_med

default

test

Hi there I'm Doctor Smith from Babylon. Hi. Can you just confirm your name date of birth and your address please? Yes. Italy. And I see sounds a bit . Um. Are you in a private place so you can have a consultation today? Sorry? Are you in a private place so you can have a consultation today? Uh yes. What can I do for you? So I have had a pain in my lower tummy the last two days. I feel kind of hot and sweaty. OK. And any pain like this in the past? Uh not yet no. OK can you just describe to me whereabouts it is? Um so I don't what sorry? Can you describe to me whereabouts the pain is? Is it is it. So it's my lower tummy. Yeah. Is it in the middle or to one side? Uh not um with a needle. In the middle OK. And any other symptoms along that with that? Have you had any nausea or any vomiting? Uh no. I'm just a bit nausea but no vomiting. OK. Any change in your bowel habit recently or any diarrhoea? Constipation? Uh I had been constipated in like in the last um last week but now it's fine. And yeah like to the toilet? Sorry? When did you last go to the toilet? Uh like two hours ago. And was it normal? Yeah. Any blood in the stool? Um so there was some like slight uh blood in the urine but like it was a little bit pink but. OK. And has this ever happened in the past before? Um no. Right. Any pain when you pass water? Uh no that's fine. Are you having to go more often than normal? Uh yeah a little bit but I wasn't drinking a lot in these days. Are you more thirsty than normal? Uh yeah. And you said you felt hot and cold. Have you measured your temperature? Uh yes I measured it but it's fine like around thirty seven. What was it? Thirty seven. Have you measured it at any other time when it's been raised? Yeah. Sorry? Have you measured it at any other time when it's been raised? Um no no I just measured like one hour ago. OK that's fine. And are you getting any pain higher up in your stomach? Any acid coming up into your throat or anything like that? No no but like just a bit of nausea but not vomiting. OK. And any other discharge below? Uh no. OK. Um and have you been abroad recently? Um no no. No. And no similar problems to this before? No. Have you had any other medical problems in the past? Um no no nothing sore. I mean depends what like normal stuff like cold flu. OK nothing significant. Any allergies to medications? Uh yes amoxycillin. OK. Do you take any regular medications? Uh no. Any over the counter medications? No. I have had the just the uh internal uh contraceptive implant but like for one year now no more. OK. Um and do you have regular periods? Uh yeah. Any bleeding in between periods or after intercourse? Um no no no. OK. Just like Right. Um and you haven't felt shivery or sweaty? You said you had felt a bit sweaty. Yeah. yeah. OK. And any any back pain or strong smell to the urine? Uh no back pain. No I typically don't suffer from back pain so no. Right OK. Anyone in your family had any medical problems before? Uh so actually my mom had the breast cancer. Uh but again not so important. I mean just like the beginning it was uh cured in time. OK. OK. And who do you live with at home? Um sorry? Who do you live with at home? Uh with my parents. And do you smoke or drink alcohol regularly? Uh yes. How much in a normal week? Uh so I don't smoke. I drink I . Four times per week. And how much? Uh yeah a beer like per time let's say. . What per time? Uh let's say a beer. OK. Four times a week on average yeah. Right OK. Um so it it may be possible that you might be having an infection in the urine. Uh-huh. If you feel like you're you're going you're having a little bit of difficulty when you're passing urine. Yeah. Um it might be worth taking a three day course of antibiotics. To clear that. Um but if the pain is getting worse or you have a high temperature or back pain or develop any new symptoms we feel like it's not getting better then um we should speak to you again because we might need to see you face-to-face for an examination. Uh-huh. Uh-huh OK. Um have you allocated a pharmacy with Babylon? Uh yes. OK. So are you happy to take a course of antibiotics if I send it through to the pharmacy? Uh yeah that's fine. If it helps yeah. OK. OK so I can do that for you. Start taking them as soon as you get them it's just twice a day for three days. Um if your pain's getting worse OK. um or you've got new symptoms just contact us straightaway or if you're getting a recurrence of the same problem again. Uh-huh OK. Sure. OK. OK? Alright then have you got any other questions? Uh no that's fine. Yeah. Thank you. Thank you. Bye. OK thanks a lot. Bye.

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Na0s/Primock_med

default

test

Hello? Hi there it's Doctor Smith from Babylon. Uh hi Doctor Smith. Hi there. Could you give me your full name date of birth and your the first line of your address please? Um I. Your full name date of birth and your address please? Yeah OK. Yeah my name is Barbara . Um and my date of birth fourth October nineteen eighty four. OK. And address fifty Avenue. OK. Are you in a private place so you can have a confidential consultation today? Yes I am. What can I do for you? Um I've just been for the past couple of days. I've been having this serious diarrhoea and this really Giving me trouble. OK. So when did it start? It was three days ago. Now. OK. And when you say diarrhoea what do you mean by that? Is it watery or just loose? It's it's it's very loose but it started as being very watery. OK. And how many times are you going to the toilet? I lost count um. Today alone I've been at least four time. OK. And any any high temperatures? Are you feeling feverish? Yes I've been running a serious temperature. I'm literally boiling. Have you checked your temperature with a thermometer? No 'cause I've not got one but like to the touch I'm like literally roasting. OK. Um and any nausea or vomiting? Yes I've been throwing up. I can't keep to uh I can't seem to be able to keep anything in me. Not even water not even my tea not even any liquid stuff. I've just been throwing up everything. OK. And when when were you last sick? Um I was sick just after trying uh trying to have breakfast this morning so maybe about two hours ago. OK. And have you been passing water OK? Yeah I've been I've been yeah urinating OK. Is that what you mean like? Yeah yeah urinating yeah. Any and what sort of color is the urine? To be honest I have a look so I really couldn't say. OK. OK. And when did you last pass urine do you think? Um. an hour ago. OK. And any blood in the stool or in the urine that you've noticed? No blood. OK. Any episodes like this before? How's your bowels normally? Sorry I didn't catch that. How is your bowels normally? Ah ah my my bowels is normally fine. I would normally go to the toilet every day. You know in the morning just once yeah and that's fine. OK. Any episodes of diarrhoea or constipation normally? No. And is there anything you think might have triggered this off? Have you been abroad anywhere? No but then um my um my brother um has actually been having similar symptoms um for the past um few days as well and he does say like everyone in school's got this so I I don't know that might that might be something. So you've been in contact with him have you? Yes. OK. Um and any other medical problems? Have you had any other symptoms at the moment like rash? No no rash no nothing that um. No. OK. Um any surgery before or abdominal problems or any other medical issues? Well apart from the fact that this one is giving me abdominal pains no previous abdominal pains before. Obviously I get the odd um you know menstrual cramps and all that but you know that's you know that comes and goes. Yeah. OK. And whereabouts is the pain that you're getting? Um it's kind of like towards my navel area like I can't touch my navel area. It's just so sore. And it gets yeah it's almost like the center of my navel. Um and does the pain come and go? Yes it does come. When it comes I feel this strong urge to go to the to the loo and then and sort of like comes again it comes and. OK. Um and do you take any medication regularly? Well I I take my my vitamins vitamin D every day. That's about that's about all that I regularly take. OK. And have you got a normal diet? Yeah I eat well normally. Right. Do you smoke or drink alcohol? Well I don't smoke but you know I have a pint from time to time. And do you take any other drugs? No. Like I said I only take um vitamins. And for my menstrual cramps when they come maybe I might take a a an ibuprofen just to ease the pain but. And when was when was your last period? Um two weeks ago. OK. Are you on any contraception? No. Are you having regular sexual intercourse? No. OK. Um and what's your job? Um um uh. Um uh. A graphics designer. Have you had to miss work because of this problem? Well yes I've had to actually work from home today. I'm working from home today because I can't I can't be out for work. OK. And who do you live with at home? I live with my brother and my mum. OK. OK. And um have you tried anything yourself for this problem? Well I've tried a home remedy. Um I've tried the the uh ORS you know thing I bought from my my local my local uh. Um. What? Could you just repeat that? The ORS the the salt sugar ORS um um mix the salt sugar mix. OK. And how often have you been taking that? Yeah. I've taken that I've taken that like um three times a day for the past two days. OK. Um and do you feel like your symptoms are easing off or getting worse or ? I I I they're not getting any better 'cause like I said I've been I've been vomiting literally everything I take so so I doubt that even that had had the chance to work. Yeah. OK. Um. I mean it sounds like because your brother's had a similar thing it sounds like it might be some an infectious gastroenteritis that you've got which is usually caused by a virus. But it can be from something you've eaten as well. Um. If the symptoms they do normally start to settle by themselves with the oral rehydration salts. Um if the symptoms are continuing to get worse the key thing is that we want to make sure that you're hydrated enough. Um sometimes you do require certain medication to help this if it's sometimes if it's caused by a bacteria. Um what I would say probably worth as it's been going on for a few days and you feel like it's not starting to ease off. I think it's probably important to get a sample of the stool so we can make sure that you haven't got a nasty bacterial infection which needs specific treatment. OK. Um and we should also check that you're not getting dehydrated because if you're if you're not keeping fluid down then you can get dehydrated. Um so. So how how do I how do I get myself hydrated when I'm not able to even like drink water? I'm throwing up everything. Yeah. So you need to carry on with your rehydration salts and just have very small amounts. It's a positive sign that you passed urine an hour ago. So you're obviously still um hydrated enough to pass urine. OK. But we um we should see you so that we can check your hydration and um get that sample sent off as soon as possible. 'cause if if if you come into the clinic you can send that sample off straightaway. Otherwise we would have to post it out to you which would take time. OK. Ohh OK. So when can I come to the clinic to have this done? Um so we can we can make you an urgent appointment um and then you can you can get the sample sent off and we can check your hydration. Um but if in the meantime you're feeling more unwell then we would get you seen urgently in A and E. OK. So you can call us back in the meantime. OK. So what I'll do is yeah. If you could please book me the appointment and um yeah I'll see how I feel um for the end of the day. Hopefully I don't need to go to the A and E and um . Yeah. If you keep drinking keep going with the rehydration salts. Just tiny sips constantly to so that your stomach doesn't get overfilled and and you vomit so just tiny tiny sips but just keep going with it. Um and just have very simple food if you're gonna have anything like toast or biscuit or something really light like that. Avoid um fruit vegetables uh milk anything like that which might just make it worse. Mm-hmm. OK. OK. So you'll have to book an appointment through the support line. OK. Yes please. Right OK. We'll do that for you. OK take care. Thank you. Thanks bye.

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Na0s/Primock_med

default

test

Hi there it's Doctor Smith from Babylon. Hi. Hi. Can you confirm you name date of birth and your home address please? Uh Sandra Bullock uh twentieth of February nineteen fifty eight. Hello. And your home address? Uh seven three four court in St. . OK that's fine. Uh are you in a private place that you can have a consultation at the moment? Yeah yeah I am. OK what can I do for you today? Um well like five days ago I started having problems like a cough and my nose is just constantly streaming. OK. And and are you normally fit and well? Yeah normally I'm diabetic but other than that like generally pretty good. Right OK. So just tell me about the last did you say five days? Yeah five days or so ago. OK. How about your cough at the moment? Uh it's quite bad. It's kind of quite dry um. I'm coughing maybe every twenty thirty minutes or so. OK you bringing up any phlegm at all? No. No. Any chest pain? No. Chest what sorry? Any pain in your chest? Uh no. Any difficulty breathing feeling short of breath or any pain when you take a deep breath? No that's all fine. Have you coughed up any blood or anything like that? Nope. And what about your nose symptoms? Are you front of your sinuses or anything? Uh just . Uh nothing up in here but just constant streaming like using a million tissues. OK. And any blood coming from the nose? No it's pretty green. Right OK. Any other symptoms like sore ears? Sore throat? 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. Have you checked your temperature with a thermometer? Uhh no I haven't. OK. Um and are you eating and drinking normally? Uhh yes. Um kind of around when it started I had some diarrhoea but I don't know if that was associated. But since then it's all been pretty fine. OK. So you're drinking well holding down fluids OK? Yeah. And passing water OK? Yeah that's fine. No vomiting diarrhoea now? No. OK that's fine. Um any rashes that you've noticed? Rashes? Uhh no nothing like that. Yeah. Any headaches or change in your vision? No um I've had quite achy muscles but that's pretty much it. OK. And normally do you have any chest problems? Uh no. Do you ever get wheezing short of breath? Uh I mean like if I do intense exercise then yes. But not . . And do you regularly have any infections in your chest or anything that needs treatment normally? No uh I've got hypertension um so I'm on some drugs for that um but that's it really. OK. Um any other medical problems? Uh just the hypertension and the diabetes. OK and what type of drugs are you on? Uh I think something called metformin and lisinopril I think is the other one. OK and when did you last have your blood pressure checked? Uh ooh uh a while ago. Um . Do you know if it do you know if it's been stable? Uh I can't remember. OK. And with your blood with your diabetes have you had a blood test recently? Um yeah. Like. Yeah it was normal. It was around three weeks ago. OK and do you know what dose of the lisinopril you're taking? Uh two hundred. OK. Have you been able to pass water normally? Any increase in in frequency that you're passing water or any increased thirst? Uh no not particularly. And has your weight been stable? Yeah. What is your weight and height? Uh my height is five foot five and my weight is sixty five kilograms. OK. And do you smoke at all? You drink any alcohol? Yes the odd cherry. OK.Um who do you live with at home? Uh my partner and my dog. And do you work? Uh yes. I'm an office manager. OK. And have you been doing anything yourself to help with the symptoms? Anything that you've bought in the chemist? Um uh a quite a few lemon sips. Um they seems to be helping. Do you what what do you mean by quite a few? How many in in a day do you normally take? Uh maybe two or three. Maybe like at the start of the day and at the end of the day. OK. Have you noticed any improvement in that? Yeah. It tends to soothe my throat a bit for when I'm going to sleep. OK. Um do you have any allergies to anything? Uh I sometimes suffer from some like hay fever. But um but it's not bad Any . Any allergies to any medications at all? Not that I'm aware of no. OK. So what you've described to me it sounds like you you probably have got an infection in the chest um because it's it you know you're obviously getting symptoms of from your nose and your chest. Um it sounds like you might have a high temperature it's definitely worth getting a thermometer and checking your temperature. OK. I can just get one of those at a pharmacy or something? Yeah and most of the time these infections are caused by viruses so they do normally settle by themselves. But it can take you know a week or two um and you can persistently have the cough ongoing longer than that. Um the important thing to do would be to take your temperature. Um and if you feel like if the temperature's ongoing above thirty seven point five thirty eight um and you keep spiking temperatures and that's not settling down or your cough's getting worse you're coughing up lots of nasty phlegm or you cough up any blood or get blood coming out your nose um or any shortness of breath chest pain then we certainly would need to speak to you again. With the diabetes you are a bit more likely to get a bacterial infection than if you didn't have the diabetes so it's something we do need to be careful of. OK. OK. So then we would at potentially antibiotics at that time perhaps? Yeah potentially. If it is if it's not settling or the temperature's ongoing getting worse then we definitely need to talk to you again. OK. Um have you got any other questions? Um no that's all fine. It's fine to carry on what you're doing at the moment with the lemsip. I wouldn't take and that that contains paracetamol so don't take any other paracetamol containing products um with that at the same time. Yeah. Um the cough syrup isn't advisable in the daytime because it's best for your body if you just keep coughing. But if you're kept up all night and you can't sleep at all then it it's OK to have a little bit of cough syrup just to settle that down. OK. Cool. OK? Do you have blood sugar checking equipment? Do you check? No OK. Well if you make sure that you have the regular diabetes and blood pressure checkups that your GP has asked you for? Yep. I'm not at home. Yeah. OK great. Alright then take care. Bye. Alright. Thanks so much. Bye.

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Na0s/Primock_med

default

test

"Hello. Hi there it's Doctor Smith from Babylon. Can you confirm your name date of birth and your ad(...TRUNCATED)

"[-0.009036700241267681, 0.003537792479619384, -0.01863774284720421, -0.0029057760257273912, 0.00133(...TRUNCATED)

Na0s/Primock_med

default

test

"Hi there it's Doctor Smith from Babylon. Hello. Hi there. Hi can you confirm your name date of birt(...TRUNCATED)

"[-0.007932526990771294, 0.005331928841769695, -0.02108529582619667, 0.005324443336576223, 0.0035486(...TRUNCATED)

Na0s/Primock_med

default

test

"Hi there. It's Doctor Smith from Babylon. Can you confirm your name date of birth and your home add(...TRUNCATED)

"[-0.007968256250023842, -0.0001068685669451952, -0.012752934359014034, 0.006663776934146881, 0.0031(...TRUNCATED)

Na0s/Primock_med

default

test

"Hi. Hi there. It's Doctor Smith from Babylon. Hey. How are you? How are you doing? . Good thank you(...TRUNCATED)

"[-0.020145956426858902, 0.0028831844683736563, -0.022547902539372444, 0.006365678738802671, 0.00128(...TRUNCATED)