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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 address please? Uh date of birth twenty second of december nineteen ninety. Uh address uh sixteen avenue. OK that's fine. Are you in a private place so you can have a consultation? Yeah sure. What can I do for you today? So um recently I'm wheezy. Uh I have feel like kind of short of breath. OK and how long has that been going on for? Mmm two three days. Yeah quite recently. And have you ever had similar symptoms in the past? Um I think so. It was a while before yeah but I can't remember. As was that as an adult or as a child? Sorry? Oh as a as a adult yeah. How long ago was that? Sorry? How long ago was that that you had similar symptoms? I can't remember sorry. And any problems with wheezing when you were a child or any asthma? Uh yes I had asthma. I also had uh hay fever and eczema sorry. OK and when you were a child how bad was your asthma? Uh it's quite bad. Did you have to take medication? Yeah I take the asthma inhaler. Do you know which ones you took? No I can't remember. And did you ever have to go to hospital with it? Yeah sometimes. Did you ever get severely unwell have to be on intensive care unit or anything like that? No not that bad but still sometimes need to go to hospital to check if it goes well. Did you have to miss school? Uh yeah occasionally. OK. And when do you think it last when do you think that asthma stopped? At what age did you get to a point where you weren't taking medication anymore? Mmm. Few years ago like three or four years ago I think? Yeah. And so this time how did it start? Did you have any other symptoms? Any chest pain temperature cold symptoms anything like that? Yeah so I have I have cough and cough a lot and I have a fever. Um I also used to walk to work but recently I can't because it's I I feel like very short of breath and sometimes I feel like I can't even finish sentence is quite difficult to to complete the the the talking sometimes yeah. Occasionally. Right. Have you coughed any phlegm up or anything like that? No. Any any um blood in there when you cough? No I don't think so. OK. And any chest pain? No chest pain no. Have you been woken up at night time at all? No just daytime working yeah. Have you been able to do any exercise? No I can't. OK and do you have a peak flow meter at home where you measure your breathing? Sorry? You have what's called a peak flow meter which you breathe into to get a score on your breathing? No no. And do you normally take any asthma inhalers over the last few years? Yes yeah. You do? So you said you stopped them three to four years ago? Ohh um when I had asthma I used to take this inhaler yeah. OK. How about over the last three to four years? Yeah. Have you taken any medication? Um I took salbutamol? Salbutamol? Yeah. OK so you you normally take that do you? Or is that just recently? Normally yeah. OK and how often do you normally need it? Every every few weeks? I'm not sure. OK. What about when you exercise normally do you have to use medication? Uh inhalers? Yeah yeah a bit. Pardon? Yeah. OK um and do you take any other medications? No nothing else. Any other medical problems? Uh I have uh hay fever as well. OK do you take anything for that? No. And any allergies to medications? No no allergies. Do you smoke? No I don't smoke. Do you drink any alcohol regularly? Yeah one glass. How often? Have a glass of what? Today yeah. Uh one glass of wine. Every how often did you say? Every two or three days? Depends yeah. And who do you live with at home? Yeah. Who do you live with at home? Yeah . Who do you live with do you live on your own or do you live with I live with my partner. OK and what's your job day-to-day? Uh I'm engineer. And have you been at work in the last few days? No I can't because I used to walk walk to work but recently I I work from home or sometimes I take sick leave yeah. OK and when at the moment are you um feeling short of breath when you're sitting still? Or just when you walk? No. Just walk or sometimes but currently I feel I feel well. Are you able to get up and down the stairs OK? Yeah. Right OK. Um and did you say you were finding it hard to complete your sentences? Yeah sometimes. OK um. Yeah days yeah. Right OK. Um I mean it sounds like you've had a flare up of your asthma. It could be um triggered by if there's more pollen around or there may be you may have a viral infection causing it to get worse. Mm-hmm. Mm-hmm. Did you say you checked your temperature already? Yes I checked I have fever . Was it normal? Yeah yeah. What was your temperature? Uh thirty seven yeah. OK that's fine. Um have you got an asthma inhaler at home? Yeah. OK. So what I would suggest is you take it more regularly than you are doing at the moment. Have you got um a spacer at home? Mm-hmm. Um do you want to show me how to do it or somehow? Um do you have a spacer at home? No. OK. Um what I can do is I can prescribe you a peak flow meter so we can check your breathing level and a spacer to use your inhaler a bit more efficiently which the pharmacist can show you how you use that when you pick it up. Yeah sure. Um and if you increase it so you're taking it two to four puffs like every four hours? Mm-hmm. Initially um if you get a high temperature or your wheezing is getting worse you need to call us back straightaway so we can just advise you further with that. OK. And it will be a good idea when you're feeling better if we can arrange just a review just to see how your asthma is because we may need to start some other medication for you. OK sounds good yeah. You could arrange a review in a week or so um but but before that and if you're if you're feeling worse. In a week right? OK. OK and the other thing to do would be to take a regular antihistamine. Mm-hmm. Which you can get from the pharmacy I can put a on your notes about what to take. Yeah. Yeah they'll be helpful. And then if you when you get the peak flow meter if you can take the pharmacist can show you how to use it and if you can record a value first thing when you wake up. Mm-hmm. And in the evening over the next week and then we can discuss that over the phone when we look at the figures and see whether you need to go on another inhaler as well. Oh awesome thank you. Have you got any questions? Um no that's fine yeah thank you very much. Thanks a lot bye.

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Na0s/Primock_med

default

test

Hi there it's Doctor Smith from Babylon. Hello. Hi there. Hi can you confirm your name date of birth and your home address please? Yeah it's Matt Carter and it's fourteenth of August nineteen eighty nine and what was the last bit? Your address. And it's one Babylon Avenue. And are you in a private place where you can have a consultation today? What can I do for you? Yes. Um coming I I don't really know what's been going on but it's just aching all over but definitely the last six weeks it might have been slightly longer than that but it's just sort of that feeling really tired run down. OK um so when do you think you were last well? Uh where are we now we've just started April. I definitely Christmas New Year I felt relatively well I think. Um so since then. Actually yeah I I was on holiday in um in the States. And yeah it probably coincided with some time around then. End of January start of Feb. So do you think it started when you were on holiday or after you got back? Uh probably a couple of weeks after I got back. Were you well when you were on holiday? Yeah had a had a great time very active uh. Did you get any infections chest infections diarrhoea vomiting anything like that? Um no not that I recall. Um yeah not. No the symptoms sort of all started afterwards. OK. So just tell me what symptoms you've been having in terms of just your general health. Any persistent cold symptoms or earaches sore throat chest cough shortness of breath phlegm anything like that? Uh no. Any change in your weight at all? Uh I don't think so. Like I'm probably less hungry but no no weight change just a bit. OK and are you eating different amounts? Uh yeah probably slightly smaller portions or it yeah more of an effort to to actually eat everything that's in front of me. Any difficulty swallowing or acid in your throat or abdominal pain? No. Any change in your bowel habit diarrhoea vomiting or blood in the stool? Uh no. Any difficulty passing urine or blood in the urine? No that's all fine. OK and any other general symptoms like rashes? Or. Um I don't have any rashes now but there was uh in fact I've got a photo um on my phone if if that's helpful. I can try and show you hang on. Um because this yeah this was weird this sort of came up and then uh. OK. OK. Disappeared after a couple of weeks where's the light that you see that? OK right yeah whereabouts was it? Uh I think sort of calf back of my calf because I didn't notice it my wife noticed it actually. When did you first notice it? Um probably uh around the end of February the middle to end of Feb. And then it like it didn't actually cause too much itching or anything at the time. And I it faded over a couple of weeks I guess. Did you have any fevers at that time? Um I to be honest that actually turns out it was a bit of a sore throat I had um so possibly a little bit feverish but I I sort of put it down to that. Do you know where you got that when it started? Had you been walking did you get any bites that you noticed? Uh I like I do quite a lot of walking and we did um quite a lot while we were out in the on holiday as well but definitely um. Yeah I mean I don't I don't recall any bugs I don't remember seeing anything bitten but you often like yeah as you're walking through I was in shorts and and boots but / OK. Whereabouts were you in the States? Um just sort of um he examined me so. OK and any headaches blurred vision tingling numbness? Um no. But it's the sort of headache maybe in just generally feeling a bit crappy. And have you been able to go to work as usual? Um I've been going to work. I don't know how effective it's been. But yeah been been. And what's your job? Um I work for a health technology company actually. OK and has your concentration been affected or your tiredness levels in the daytime at work? Yeah definitely sort of tired and um yeah less energy sort of probably than I I would normally be. Have you been able to exercise OK? Um. Not as much. I I don't know if it's I haven't been able to or I've just been a bit lazy with it. I I'm not exercising as I would normally. OK fine and um how's your mental health your stress levels all that? Hey. Pretty good at the moment actually. Like it previously that has been an issue but um. Other than sort of physically feeling a bit. Uh crappy I've. Yeah in a pretty good place. OK. Apart from that rash any other rashes on your skin or swelling of your joints or pain in your joints? Uh yeah sort of aching shoulders back the hips knees but sort of yeah. Not Any swelling that you've noticed? No . Your hands wrists ankles toes. Uh no. OK um and any other significant medical problems in the past? Uh I mean. Pardon? Asthma and hay fever if they can help. OK. Any flare-ups of your asthma recently? Uh no pretty well I think. Do you take your regular inhalers or other medication? Uh yeah. I've got one of those um preventative I think. Yeah but I've not used one. You haven't been using it you said? I I have it. I've been using the everyday for the morning and night but not the uh . OK. And any erm do you take any other medications? Um I take um one of the antihistamines it might be can I get that from just from the pharmacy. Yeah that's fine. Um and do you smoke? uh . Drink any alcohol? No. Sorry occasionally that was. OK and who do you live with at home? Uh just my wife. Um. Sorry um so with this rash we would need to investigate whether this has been a contributing factor to your symptoms. And just because of your symptoms which have been ongoing for six weeks that's obviously quite a long time to notice a change in your energy levels. Um I think it's important to get some blood tests checking all the normal things like liver kidneys blood count etc. But also some more specific things like um a bacterial infection you can sometimes get uh including one which you can get which can produce a rash like that. So that would involve blood tests. Are you happy to do that? Uh yeah I but uh what what's the infection? Well you can get uh you can get a bacterial infection caused which is called um it's called lyme disease that you can get a rash like that from a tick bite. So that's something we would do a test for as well. Um and if that comes back positive then there are specific antibiotics that we would give you to treat it. OK. OK. So it's definitely worth checking for but we would also check just for which can cause reduced energy tiredness and aching for persistent over six weeks. OK. So if you're happy to do that if you book that through the support line and then when you've had the test arrange a follow up about a week after after you've had the test done. OK so do the test first and then and that follow up we can just do over the phone again? Or yeah. Um yeah we can do that over the phone to start with. All right. Excellent. OK? That that's really helpful thank you very much. Oops sorry you broke up a bit there. Any other questions? Ohh no not no. OK that's great. Take care. OK take care thank you bye. Sorry

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Na0s/Primock_med

default

test

Hi there. It's Doctor Smith from Babylon. Can you confirm your name date of birth and your home address please? Um it's . . Um I can't hear you at the moment actually. Could you turn it up the volume up? Uh can you hear me better now? . Yeah that's better. Thank you. Um OK. Sorry about that. Are you in a private place you can have a consultation? Uh yes. What can I do for you today? Um I've been having this blinding headache for a few days. Um and it's like really bothering me and I find it very hard to focus or like I can't even go to work. OK and any headaches in the past before this? Not really just they're on and off. Um I recently had a a one for like two days um but it just went away with Ibuprofen so nothing like more longer than two days before. So how did this start? Um it just started all of a sudden. I woke up one morning with a headache and that was three days ago and I just keep having it. Doesn't really go away with Ibuprofen either I try that but it just. It gets a little bit better but like doesn't go away. OK and whereabouts in your head is the pain? Um it's kind of all over but I feel like over my right eye it's um bit stronger. OK. Any problems with your vision? Or any problems tolerating the light? Um lights definitely make me more sensitive. Like um I don't really like strong lights. Um and um yeah vision I think I get this shooting light sometimes. Um not sure how to explain it. Just a bit of um weird kind of vision. OK and um any any nausea or vomiting? Uh no feeling a bit sick but no vomiting. Any tingling? Or numbness? Or weakness anywhere? Um no. Any change in your smell or taste? No none at all. Um and in the past when you've had headaches what have they been like? Um I was sick but I had no more headache it's just um a bit of a pressure in between my eyes um. But nothing major. OK and with with this has it been there all the time? Or is it coming and going? Kinda all the time. Um so when I take Ibuprofen it gets a bit better so it's a bit like less um it it bothered me less but then I still have it it's still there. Um and what would you say the severity is? If if ten is the worst pain you've ever had and zero is nothing what would you say the pain is like? I guess it's mostly eight and then it kinda comes down to maybe a five. OK and what about at night-time are you able to fall asleep? Um yeah I'm sleeping well. Is it waking you up in the night-time? No no no. But I can wake up with it in the morning. OK. Any worse when you change position or bend over or cough or anything like that? Mmm. Sometimes when I stand up quickly I get a bit of a stabbing pain. Um or if I throw my head like it I kind of feel like something is moving inside. OK. And have you had any uh eye checks recently? Um yeah actually had one recently and nothing changed my vision. OK. And have you had any cold symptoms sore throat sore ears or pain over the sinuses? Any cough or flem? No no. No. Any any nose bleeds or coughing up any blood or anything? No. And just recently have you been well or have you had any general problems? Any change in your weight? Or tiredness lack of energy anything like that? Um no change of weight maybe um lack of energy but it might be because I'm just having these headaches. so I'm find it quite difficult to go through my daily activities you know when you have this constant headache. Have you been at work recently? Um I work from home but couldn't really manage to do it all the time. So sometimes I just took a day off. So you've been you've had a headache for three days. how many days have you missed off work? Um so I worked from home all these three days and um. First day I worked from home and then um the second I just took the whole day off. And today I just tried to work from home the first half of the day but I I just stopped in the morning 'cause I couldn't focus. OK. And any other medical problems in the past? Um I think I only had a a pain um when I was younger but no causes found and that went away but that's the only thing I know of. OK. Have you been abroad recently at all? No. Do you take any medications? Um just the pill. Which one? Um . And when did you start that? Um about a year ago. Any side effects with that? Uh no I don't think so. Have you noticed any any um increased frequency of headaches since you started that? Um no these headaches just very recently but nothing um but nothing really changes. OK. And when you'd when you've had when you described your headaches in the past you said they were just general. Did you have any visual symptoms? Flashing lights? Nausea vomiting with them? No. No no. No nothing none of those. Have you had your blood pressure checked recently with your pill? Um yeah I had it checked in the pharmacy when I got the pill and they say it was normal. And when was that? Uh a year ago. OK. Um and any allergies to anything? No. And who do you live with at home? Sorry? Who do you live with at home? Uh just by myself. OK. And do you smoke? Uh no. Do you drink any alcohol regularly? Yeah. How much in a normal week do you think? Um probably like three once a week. . OK. And do you take any other drugs at all? Um no apart from the Ibuprofen that I take sometimes when the headache gets really bad nothing else. OK. Um. So uh I mean it's obviously the first time you've had such a bad headache. And you said you'd had some altered light in front of your eyes as well? Yeah. But you haven't had a high temperature. Have you checked your temperature? Uh no I didn't I don't really feel feverish or anything. OK. Um I mean it it it could possibly be a migraine type headache. But the fact it's still ongoing for three days we probably should book you into an appointment to get an examination. Um obviously if it settles in the meantime then we can cancel that. But we should do a neurological examination look at the back of your eyes as well. OK. Um in terms of medication I can prescribe you something similar to Ibuprofen but a bit stronger which you can take instead of Ibuprofen. And you can also take Paracetamol at the same time. OK. So if you're happy to book a appointment with us with the support line for us to do a full examination. And start the medication which I prescribe to you take it with food. If if you're you said that when you go to bed your headache's OK and not waking you up in the night-time. Yeah it's not um but you mentioned migraine and that um reminded that my mum suffers from like she has migraines um. OK. Any other family history of medical problems? Um no I think that's it but I know that my mum like she has quite bad migraines she's like has the vomiting and everything . OK that's fine. Um I mean if if in the meantime before your appointment your headache is getting unbearable getting worse or changing. Then um if it's that bad then you should go to A and E and have an examination. Um you can call us for further advice on that. OK. Mm-hmm OK. And when when you have a an examination with us we'll check your blood pressure as well. Just to make sure your pill's still appropriate for you because sometimes if we if we do think it's a migraine then you would have to change your pill. If you've had these flashing lights and things like that. OK . Is there anything in the pill that can cause it? Or is it? Well some so that pill if you were having regular migraines with um flashing lights or other symptoms. It wouldn't be suitable to stay on that pill particularly we'd have to change it to something else. All right. But you can carry on with that for the moment. OK. Have you got any other questions? Um so will you like um send me a referral to a specialist or do I have to to confirm? Uh. Yeah if you book an appointment with the support team then we can do a full examination then. OK. Perfect. All right then. Take care. Thank you very much. Bye.

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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. Can you confirm your name date of birth and your home address please? Um yes I can. Uh it's Mary Smith. Um I'm twenty eight and I live at apartment four oh five nine C Clerkenwell Road. OK that's fine. Are you in a private place so you can have a consultation today? Yes I am. What can I do for you? Um I keep having a headache. OK and when did it start? It started yesterday um. Uh it's unusual for me to have a headache. OK. Can you just tell me whereabouts in your head it is? It's on the left side at the back sort of here. . OK. Just on the left side. Yes. And when did it start? What time of day did it start yesterday? About mid-morning. And how did it feel when it first started? Um just quite intense and kinda quite throbbing. It kind of built up gradually after over. A short period of time. OK. And did you get uh have you got any other symptoms along with that? Any nausea vomiting tingling numbness weakness anywhere? No nothing. OK and uh. Sorry . Um any blurred vision or any pain over your eyes? Um. No. Any any funny lights or anything like that in your vision area? Any problems when you look into the light? No . No. Um and have you been eating and drinking OK? Yes yes like normal. . Are you feeling sick or vomiting or anything? No nothing like that . Any high fevers? Are you feeling shivery? Sweaty? No no fever no . Any any rashes at all? No. And in the past have you had any headache before? Not really. OK. How bad would you say the headache is from zero to ten if ten is the worst pain that you could have and zero is nothing? I'd say about eight. OK. And have you taken any pain killers? Um I took some um um Nurofen yesterday. OK and did that make any difference? Not really. And last night did you manage to sleep through the night OK? Uh yes I did. Has it been worse at any particular time of the day? No it hasn't made any difference the time of the day. Any difference if you lie down stand up bend over cough or sneeze or anything like that? Um no. And have you got any other medical problems? Um no I haven't. Anything you take medication for? No I don't. Um any over-the-counter medications or allergies? No only the Nurofen I took yesterday Ibuprofen. That's fine. And any stomach problems or asthma at all? No. Anyone in your family got any medical problems? Uh my mother's had hypertension and she does get migraines. . And have you had your blood pressure checked ? Um no not recently. And who do you live with at home? Sorry? Who do you live with at home? My partner. And what's your job day-to-day? I'm a designer. Have you had to miss any work at all? Uh no but I don't feel that I'm finding it really hard to to do any of my work or normal things. OK. Um and do you smoke at all normally? No I don't. Do you drink any alcohol regularly? No. Um and any other drugs? No. No OK. Um I mean the fact that you haven't had headaches before um is is unusual the fact that they've developed. Is there anything you think's changed? Any increased stress change in your diet or lifestyle? Not that I can not that I can think of. OK. So what we would suggest is trying a slightly stronger pain relief. Uh so similar to Ibuprofen but taking instead of Ibuprofen not at the same time and taking that regularly with food. OK. Um hopefully that will settle it down. You can take Paracetamol along with that. Yes. Try and um take rest have lots of good hydration.Um but if the pain's getting worse or you get new symptoms fever rash vomiting neck stiffness. Um or you keep getting episodes of the same type of thing then we need to speak to you and and make a plan for for what we can do next. OK. Thank you. Have you got any other questions? How long do you think it will last for? Well I should think it should down if it's getting worse or not settling in the next day or two. Then certainly give us a call back if when you've tried the medication that I've prescribed from the pharmacy. OK. OK? Thank you. All right then. Thanks a lot. Bye. bye.

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