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macabdul9

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Primock57

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good morning

day2_consultation06_doctor_u2

ok alright are you having anything to eat or drink have you i can see you're drinking a coffee but are you keeping it down are you keeping your fluids down

day1_consultation11_doctor_u27

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

day5_consultation09_doctor_u49

ok alright and what kind of things do you do to alleviate your stress normally

day1_consultation03_doctor_u55

yeah well maybe i remember like a year ago

day3_consultation01_patient_u21

bye bye

day4_consultation09_doctor_u62

is it is this pain as in making you double over is it ten is it ten out of ten the worst pain you ever had or is it more of a kind of a mild pain like a three out of ten

day1_consultation11_doctor_u17

no

day5_consultation02_patient_u21

uh they may be minutes' drive away

day4_consultation04_patient_u34

mm hmm

day3_consultation10_doctor_u9

that's great thank you for that um are you in a private place where you're ok to speak at the moment

day2_consultation09_doctor_u5

and um that would involve someone listening to your chest with a stethoscope and you may need um an antibiotic uh there's one thing i need to ask you have you been on any long haul flight recently

day2_consultation04_doctor_u67

my my friend's mum she she recently died of a brain tumor so it's really concerning me actually

day1_consultation03_patient_u15

thank you

day3_consultation09_patient_u74

ok

day4_consultation03_patient_u47

uh pints

day1_consultation07_patient_u64

uh yes i have um i've got shortness of breath and i feel slightly light headed

day4_consultation01_patient_u33

um it's the the left elbow

day2_consultation02_patient_u8

yeah yeah yeah that's that sort of started in the past couple days

day1_consultation04_patient_u38

uh yes

day5_consultation05_patient_u51

and who do you live with at home

day5_consultation06_doctor_u49

yeah

day1_consultation15_patient_u39

uh well my next question was about um your social your situation at home you mentioned you work in the fashion industry

day1_consultation03_doctor_u51

yeah so um at the moment you are having shortness of breath so are you using it every day at the moment

day3_consultation04_doctor_u7

ok and did that make any difference

day5_consultation12_doctor_u21

what what do you do at work

day1_consultation07_doctor_u72

um i would give it longer than that give it a an hour or so

day5_consultation02_doctor_u63

um no it's it seems to be ok it it's fine

day3_consultation02_patient_u15

but it's also because when i leave i just when i've left work i just feel so stressed and so worried about everything i've done i can't get to sleep for hours and hours and hours so i

day5_consultation03_patient_u12

um i kind of noticed it the last few days

day1_consultation06_patient_u18

ok is there anything i should be doing now

day2_consultation09_patient_u44

and have you are you currently working at the moment

day1_consultation01_doctor_u29

it's a tough one isn't it because we don't want to actually say

day3_consultation03_doctor_u11

um and i got a bit breathless when i was first diagnosed and put on some medicine that that um that helped but i'm a bit worried it's just getting worse

day1_consultation06_patient_u10

um and and you've taken paracetamol and it hasn't helped is that all ok

day4_consultation06_doctor_u45

ok that's great thank you so much that's so helpful

day3_consultation05_patient_u42

uh ninth of may two thousand and sixteen

day4_consultation07_patient_u3

and your date of birth

day4_consultation06_doctor_u6

and we and we need to look after your heart before anything else

day4_consultation01_doctor_u35

ok and um you living alone

day2_consultation06_doctor_u44

um so in the past um i have a a history of hypothyroidism um

day4_consultation08_patient_u44

switching my kilometres and miles i'm not sure all right

day5_consultation11_patient_u20

no no allergies

day5_consultation08_patient_u38

uh no no dizziness uh none of that

day4_consultation04_patient_u21

yes yes

day4_consultation05_patient_u17

do i need like a prescription for that

day1_consultation11_patient_u79

but i also think that it's just been i just really dread going there i just hate speaking to her i hate like seeing everyone and really worried about whether i'm doing well or not

day5_consultation03_patient_u8

ok great

day1_consultation12_doctor_u5

hi

day5_consultation11_patient_u0

ok when you say you can't drink too much why is that

day1_consultation12_doctor_u16

and what's your job

day5_consultation09_doctor_u27

um no they're still present

day2_consultation07_patient_u10

while you're with the doctors we'd like to do your blood pressure just examine your you know you know how your walking and everything is

day3_consultation05_doctor_u39

ok all right um and um so you're having periods of when you're feeling hot and also periods when you're feeling cold as well

day2_consultation08_doctor_u8

great ok thank you so much for your time thank you

day3_consultation04_patient_u41

yeah yeah urinating yeah any and what sort of color is the urine

day5_consultation06_doctor_u16

ohh hello

day5_consultation01_doctor_u0

yes i am yeah

day2_consultation07_patient_u6

yep

day5_consultation01_patient_u47

um no well i i do well i think i think i have something like uh osteoarthritis um

day2_consultation02_patient_u12

all right are you worried about lung cancer

day2_consultation04_doctor_u81

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

day5_consultation06_patient_u34

yeah

day4_consultation01_patient_u67

um i'd say that i'm aching all over really my muscles are really aching i'm feeling quite nauseous uh so i've not been able to eat very much and i have been drinking but it's been quite a small amount

day2_consultation08_patient_u5

good morning tim um how can i help you this morning

day1_consultation05_doctor_u1

so you are otherwise fit and well uh any any allergies at all to any medications i should be aware of

day1_consultation04_doctor_u44

nope

day5_consultation07_patient_u14

yeah

day1_consultation01_patient_u11

ok and uh sorry

day5_consultation12_doctor_u11

when did you start that one

day5_consultation01_doctor_u30

ok so um that's something that can be dealt with but it needs to be dealt with as an emergency in a hospital

day2_consultation09_doctor_u25

yep

day4_consultation10_patient_u36

er cetraben and hydrocortisone

day3_consultation04_patient_u11

okay so um er normally at this stage i like to um examine you if that's okay but um um but but having listened to your story sir i think uh um just to recap for the last three days you've been having loose stool diarrhea a bit of tummy pain uh mainly on the left hand side um and vomiting and fever and you're quite weak and lethargic um you mentioned you had this chinese takeaway as little as three days ago and i wondered whether that might be the cause of your problems

day1_consultation01_doctor_u36

a graphics designer

day5_consultation06_patient_u44

it's not like unbearable but uh it's it's definitely uh it definitely bothers me when i pee um

day1_consultation09_patient_u6

ok and have you noticed yourself feeling dizzy or the rooms spinning more than normal

day4_consultation04_doctor_u17

yeah so i take um uh what's it called it's like metformin i'm a diabetic so and um i also like have uh lisinopril

day3_consultation08_patient_u17

um

day5_consultation02_doctor_u51

hmm no i don't think so nothing unusual

day1_consultation10_patient_u25

ok so what time what time do you go to bed at night time

day5_consultation03_doctor_u9

yeah i eat well normally

day5_consultation06_patient_u36

described them like palpitations to me yeah so that's what you're you're feeling your own heartbeat

day3_consultation03_doctor_u40

say about say seven out of ten

day4_consultation01_patient_u16

um

day3_consultation03_patient_u14

ok

day1_consultation03_patient_u57

all right take care

day5_consultation03_doctor_u53

you are short of breath and uh do you have any wheeze or chest pain

day4_consultation07_doctor_u14

right do you smoke or drink alcohol

day5_consultation06_doctor_u40

more like two months i would say yeah

day4_consultation08_patient_u16

right ok ok and how long has this been going on for

day2_consultation03_doctor_u6

i'm just so worried about everything um and i find that even when i'm not like even at the weekends and stuff it's just the kind of like constant feeling of just being a bit down a bit unhappy

day5_consultation03_patient_u42

ok and do you have any fever

day2_consultation10_doctor_u12

yeah that'd be

day2_consultation10_patient_u53

ok and can i just double check um are you feeling nauseous at all

day2_consultation10_doctor_u14

ok have you been abroad recently at all

day5_consultation10_doctor_u28

cough was saturday or sunday so the so the shortness of breath was i think shortly after the cough so maybe a day or two later so three four days ago

day4_consultation07_patient_u24

uh no i was a lawyer at previous job as well

day4_consultation02_patient_u39

but make sure that with food ultimately we probably need to examine the knee

day5_consultation11_doctor_u47

yes

day2_consultation04_patient_u5