refs
stringlengths 11
466
| trans
stringlengths 5
418
|
|---|---|
um yeah that started recently like just uh um maybe yesterday and um its uh its dry for now its its not very painful but its sort of there all the time | um yeah that started recently like just maybe yesterday and um its uh its dry for its very but its sort of there all the time |
no its its um its sort of its sort of constant um i forgot to mention that um im also having uh night sweats | no its its um its sort of its sort of constant um i forgot mention that um im also having uh sweats |
thats thats very odd actually makes me a bit tired um makes my uneasy | thats thats very odd actually makes me a bit tired um makes my uneasy |
alright so ive been feeling ive been feeling kind of uh under the weather for the past four days | alright ive been feeling feeling kind of uh under the for the past four days |
um i i had some some fever in the beginning but its now sort of uh going down i ive been taking some paracetamol and ibuprofen for that and uh they they help | um i i some some fever in the beginning but its now sort of uh going down i ive been taking some paracetamol and ibuprofen that and uh they help |
um so no pain in chest but uh i noticed that i um um so i feel a bit winded on exertion so if i i i havent been going going to the gym thus uh because of that | um so no pain in chest but uh i noticed that i um um i a bit winded on exertion so if i i i havent been going going to the gym thus uh because of |
yeah yeah when when when im resting its ok so ive been actually going to work um sort of managing | yeah yeah when when when im resting its ok so ive been going to um sort of managing |
no i dont think so | i dont think so |
um yeah yeah that thats still thats still there | um yeah yeah that thats still thats still |
um its sort of general uh and uh theyre not theyre not always there but you know every now and then they will come and go | um its sort of general uh uh theyre not theyre not there but you know every now and then they will come go |
um it started with the um uh sore throat and runny nose and | um it started with the um uh sore throat and runny nose and |
no i dont think so | i dont think so |
no none of that | no none of |
uh yeah yeah think so | uh yeah yeah think so |
yeah ive been ive been drinking a lot more than the usual but uh so other than that so | ive been ive been drinking a lot more than usual but uh other than so |
um maybe a bit less than uh than what i i would usually have | maybe a bit less than uh than what i i would usually have |
yeah yeah yeah thats that sort of started in the past couple days | yeah yeah yeah thats that started in the past couple days |
um so otherwise that uh im im fine theres um there isnt anything that im taking or im being treated for | otherwise that uh im im theres um there isnt anything that im taking or im being treated for |
its sort of um its sort of going into a cough now um the sort throat is kind of going away but um im starting to cough | its sort um its sort of going into a cough now um the sort throat is kind of away but im starting to cough |
um yeah my grandma has diabetes um and my grandma | um yeah has diabetes and my grandma |
i think i think its type two | i think i think its type two |
yeah i i think um one of my uh great grandads had an eczema | yeah i i think um one of my uh great grandads had eczema |
ohh um i live alone | ohh um live alone |
im an im an accountant | im an im an accountant |
um a little bit ive been a bit slower and you know its uh its its a bit of a stressful period just around the um end of the year right | um a little bit ive been a bit and you know its uh its its a bit of stressful period just around the um end the year right |
and uh kind of uh bad and tired | and uh of uh bad and tired |
um no i think i think its its the you know its the good kind of stress its um its good work | um no i think i think its its the you know its the kind of stress its um its good work |
i dont know i i like my job its just you know its a bit more work than usual | dont know i i like job its just you know its a more usual |
um yeah occasionally you know cigars and things on company parties | um yeah occasionally know cigars and things on company parties |
um occasionally yeah i would have some im im not a very big drinker | um yeah i would have some im not a very big drinker |
yeah yeah thats thats it makes sense uh i think ill take a couple days off and see how it goes | yeah yeah thats it makes sense uh i think ill take a couple days off and see how it goes |
yeah yeah i understand uh ill uh ill take care | yeah yeah uh ill uh ill take care |
thank you thank you you too bye bye | thank you thank you you too bye bye |
um so i i you know i think i it all started with uh this colleague of mine she just kept sneezing next to me all the time i think her kids are catching something from the | um so i you know i think i it all started uh this colleague mine she just sneezing next to me all the time think her kids are catching from the |
uh from their kindergarten or something and uh you know the it it started as normal sore throat and uh was quite painful for a couple days but then it was past | uh from their or something and uh you the it it started as normal sore throat and uh quite painful for a couple days then it past |
um yeah yeah it was uh it was quite painful to swallow for one or two days | um yeah yeah it was uh was quite painful to for one or two days |
um no not really | um no |
good morning tim um how can i help you this morning | good morning tim um how can i you this morning |
mm hmm ok um and with the pain have you noticed any other symptoms at all so for example lets lets focus first on your bowels are your bowels working ok | hmm um and with the pain have noticed any other symptoms at all so for example lets lets focus on your bowels are your bowels working ok |
ok so youve got no other symptoms like diarrhea or loose stools | ok so youve other symptoms like diarrhea or loose stools |
ok and what about your waterworks are you passing urine ok | and what about your waterworks are you passing urine ok |
and when you mentioned pink urine do you was there any blood at all in your urine or was it difficult to say | and when you mentioned pink urine do you was there any at all in your urine or was it difficult say |
ok alright but otherwise it doesnt hurt uh or or or sting when you pass urine | alright but it doesnt hurt uh or or or sting when you pass urine |
ok um ok and um moving on to other symptoms have you noticed any vomiting or feeling nauseous at all | ok um ok and um moving on to other symptoms have you noticed any vomiting or nauseous all |
no vomiting any temperatures or fevers | no vomiting any temperatures fevers |
ok fine um uh uh and kim have to ask um uh all all all patients this this question is about your cycle if you dont mind me asking um are you currently um are you currently sexually active | ok um uh uh and kim have um all all patients this this question about your cycle you dont mind me asking um you currently um are you currently active |
ok so youve had no other partner since then | ok so had no other since then |
ok um uh and do you use any contraception at all | ok um uh and do you use any contraception at all |
at the moment ok fine um are you still having periods | at the moment ok fine um are you still having periods |
when was your last period | when was your last period |
two week scare ok so is there any chance you could be pregnant i know youve got an implement in there but is there any chance you could potentially be pregnant its something for us to think about | two week scare ok so is there any chance you could be pregnant know youve got an implement in there but there any chance you could potentially be pregnant its something for us to think about |
yeah ok well its something for us to think about um uh maybe worth taking a pregnancy test later on just to confirm that um | yeah ok well its something for us to think about um uh maybe worth taking a pregnancy later on just to confirm that um |
ok and and so just to summarize so far if you dont mind its really for the last couple of days its tummy pain thats really affected you mainly lower down towards your belly button its quite burning you said its getting worse um you noticed some pink urine | ok and and so just to summarize so far you dont mind its really for the last couple its pain thats really you mainly lower towards your belly button its quite burning you said its getting worse um you noticed urine |
um but no burning or stinging pain when you pass urine your bowels are working ok | um but no burning stinging pain when you pass urine your bowels are working ok |
right im sorry to hear that when when did your symptoms all start | right im sorry to hear that when when did symptoms all start |
youve felt a little bit nauseous um and feeling hot and sweaty have i got that all right | youve felt a little bit nauseous um and feeling hot and sweaty have i got that all right |
is there anything else perhaps that you feel like you should share with me at this stage anything that might be important | is there anything else perhaps that you feel like you share with me at this stage that might be important |
yeah ok um tell me tell me a bit more about your um medical history otherwise are you normally fit and well | yeah ok um tell me tell me a bit more about your um medical history otherwise are you normally fit and well |
ok um have you had anything like this before in the past any similar symptoms | ok um you had anything like in the past any similar symptoms |
fine um any other family history i should be aware of anything relevant family uh related to bowels maybe related to history | fine um any other family history i be of anything relevant family uh related bowels maybe related history |
ok alright um and socially just tell me a bit more about your home situation whos at home with you | ok alright um and socially just tell me a bit about your home situation at home with you |
ok um and uh are you currently working | ok um and uh are currently working |
what do you do for work | what do you do for work |
ok and whereabouts in your tummy is the pain exactly | ok whereabouts in your tummy is the exactly |
ok um do you smoke at all kim | ok um do you smoke at all kim |
no and do you drink much in the way of alcohol | no and do you drink in the way of alcohol |
ok um just before i go to the examination i just want to go through just some few screening questions if thats ok yes or no | ok um just before i go to the examination i want to go through just some few screening questions if thats ok yes or no |
uh weve weve covered the majority of them already uh but i just want to make sure im not missing anything else | uh weve weve covered of them already uh just want to make sure im not missing anything else |
um hows your hows your chest hows your breathing um any | your hows chest hows your breathing um any |
ok any uh funny heartbeats or rhythms palpitations | ok any uh funny heartbeats or rhythms palpitations |
ok any headaches any problems with your vision | any headaches problems with your vision |
no ok alright um | no ok alright um |
ok did the pain come on quite suddenly or was it more gradual | ok did the pain come on quite suddenly or was more gradual |
fine ok um so really just uh moving on um | fine so really just uh moving on um |
and so based based on your story really uh uh kim its its its difficult its its um you know youve got some tummy pain you dont exactly know whats causing it it could be a few different things that could be causing your pain | and so based based on your story really uh uh kim its its its difficult its its you know youve got some tummy pain you dont exactly know whats causing it it could be few different things that could causing your pain |
could just be a you know could just be a urine infection for example could just be something related to your gut um could just be something related to your you know a pregnancy related cause um and so its probably worth doing some tests initially | could just be a you know could just be a urine infection for example could just be something related to your gut um could just be something related to your you a pregnancy related cause um so its probably worth doing some tests initially |
to try and rule out um whats going on here um which i can organize for you today | to out um whats going on here um which i can organize for you today |
um and basically those tests we well have a better idea in terms of how we should proceed but certainly it if its been going on for the last couple of days um | um and basically those tests we well have a better idea in terms of how we should proceed but certainly it if its been going on for the last couple of days |
uh you know its probably maybe worth empirically treating you for a maybe urine infection and so its an | uh you know its maybe empirically treating you for a maybe urine infection and so its an |
yeah absolutely so um i think its certainly worth you know covering you with some antibiotics today | absolutely so um i think its certainly worth you know covering you with some antibiotics today |
uh but i still want you to bear in mind you know have a pregnancy test done to make sure were not missing anything else here | uh but i still want you to bear in mind you have a pregnancy test done to make sure were not missing anything else here |
and um and i want you to kind of really come back and see me in a few days time if your symptoms are not getting any better or indeed if theyre getting worse | and um and i want you to kind of really come back and see me in a days time if your symptoms are not getting any better or indeed if theyre getting |
so things to look out for would be you know worsening tummy pain um if youre feeling really hot or sweaty your temperatures not coming down um vomiting et cetera does that make sense | so things to look out for would know worsening tummy pain um youre feeling really hot or sweaty your temperatures not coming down um vomiting et cetera does that make |
ok ok and can you describe the pain to me | ok ok and can you describe the pain |
ok um you can try just regular painkillers uh paracetamol would be advisable um make sure you drink plenty of fluids | ok um you can try just painkillers uh paracetamol would be advisable um make sure you drink of |
you can try some cranberry juice as well which uh can sometimes help with your urine symptoms | you can try some cranberry juice as well which uh can sometimes help your urine |
um take the antibiotics uh and give me a call you know if you are worried about anything else | um take the antibiotics uh and give me a call you know you are worried about anything else |
yeah if i send it straight to your pharmacy start the antibiotics today something called trimethoprim um you can take two tablets uh one tablet twice a day for three days | yeah if i send it straight to your pharmacy start the antibiotics something trimethoprim um you can two tablets uh one tablet twice a day for three days |
uh lets see how you get on | lets see how get on |
great all the best | great all the |
just in just below your belly button you uh mentioned | just in just below your belly button uh mentioned |
ok um and is the pain constant or does it come and go | ok um and is the pain or does it and go |
no im im my bowel movements are normal now | im im my bowel movements are normal now |
yeah im fine thats fine thats i did notice that i was a little the urine was a little pink in colour but i havent like it hasnt really been burning specifically or hurting when i pee and uh | yeah im fine thats i did notice that i was a little the urine was a little pink in colour but i havent like it hasnt really been burning specifically or hurting when pee and uh |
and i did notice i was going to the i was peeing more regularly but i have been drinking lots of fluids so i wasnt sure um i wasnt sure um like you know if that was related to the pain | did notice i was going to the i was peeing more regularly but i been drinking lots of fluids so i wasnt sure um i wasnt sure um like you know if that related to the pain |
i cant say i mean maybe | i cant say mean maybe |
and i havent noticed that it really burns or anything like that um just that im peeing more than more regularly | and i havent noticed that it really burns or anything that just that im peeing more than more regularly |
just a little nauseous um but no vomiting | just little nauseous um but no vomiting |
i havent i felt a bit hot and sweaty but i havent really measured it so i cant really say | i havent i felt a bit hot sweaty but i havent really it so i cant really say |
uh yeah ive i have had the same partner i am we were last sexually active about four days ago um my last std screen was normal which was about six months ago | uh yeah ive i have had the same partner i am we were last sexually active about days ago um my last std screen was was about six months ago |