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ok so things have become quite difficult for you | ok so things have become be difficult for you |
is there anything else | is there anything else |
ok im sorry to hear that | ok im sorry to hear that |
um so you had difficulty waking up no energy not eating | um so you had difficulty waking up no energy not eating |
and thats been going on for a few weeks when you say a few weeks do you mean two or three or five how many hours of sleep | and thats been going on for fi a few weeks when you say time few weeks do you mean two or then or five how many hours trigger of thats sleep |
when did you start your new job two months ago did you say | when did you start your new all job two months name ago did you say |
ok and um so this has been going on perhaps for um sort of six weeks or so | ok and um so this has been going controlled inhaler for um sort of six weeks or so |
hi hi there uh my names joe im one of the doctors at babylon i just can i confirm your name please | hi hi there uh my names joe im one of the doctors at thirty babylon i just can i confirm your name please |
is there anything that youre particularly sort of concerned about um or hoping to get out of this consultation | is there anything that youre particularly believe of concerned about wake or hoping to get out of this consultation |
ok sure ok um well what would i like to do is just ask you a few more sort of questions around whats been going on um and also around your background health and um and things like that | ok sure ok um well what would i like to am is just ask you a few more sort of questions around whats been going y on um and also around your background health and um and things like that |
and then we can go on to sort of what can be done from there is that alright | and then we can go on to sort of what can done from there is that alright |
ok great so you say youve been um feeling unwell with not a lot of energy difficult waking up in the mornings do you tend to just on that do you tend to wake up early and then stay in bed in the morning | ok ii so eight you say youve been um feeling unwell with not a color of energy more difficult waking up in the mornings do you tend to just on that do you tend to wake mild early and then stay in bed in the morning |
difficulty sleeping as well | difficulty sleeping as well |
um and have you and how how has your mood been over this period | um and have you and whi how how has your mood been help over this |
have you been feeling your usual self | have you been feeling your usual self |
ok so difficulty focusing quite distracted | ok so difficulty focusing quite distracted |
and would you say youve been in good spirits or is your mood low | and would you say youve been in good spirits or is committed mood low |
k and uh so lower mood decreased sex drive recently as well | k and uh so mood decreased normal drive recently as well |
and just on that note just a few questions around that | and just on that note just a smoke questions around that |
are you able to uh it may be slightly personal questions but if youre o o k to answer this | are you to uh it may be slightly personal questions present if youre o o k answer this |
do you tend to to have morning erections like you is that something that youve noticed | do you tend to to have morning erections like you is way something that youve noticed |
so youve not so youre saying you have not noticed morning erections and usually you would so normal thing to have uh waking up in the morning with something but you have not noticed those recently | so youve not so activities saying you have not noticed morning erections and usually you would so know normal thing to have uh waking up in the morning different with something but you have not noticed those recently |
ok so and thats been a change has it | ok so and thats been a change has it |
uh so you you you you dont think theres been a change there you | uh so you you you you dont think theres been a change somewhere there you |
so sorry your name is | so sorry i name lights |
ohh ok sorry right so | ohh ok sorry right so |
just going back to the mood symptoms as well uh you have had uh difficulty focusing easily distracted your mood has been uh slightly lower with lower sex drive | just going back to the mood symptoms as zero well uh somebody you have had uh difficulty focusing easily distracted your mood has been uh slightly lower with lower sex drive |
um and in what way has your sex drive been lower are you in a relationship at the moment | um and in what way has your sex drive been lower are you in a relationship the moment |
ok sorry you froze there for a moment | ok sorry you froze there for a moment |
um so less interested as well ok | um swelling less interested as well ok distract |
and just to ask you a few questions before we uh wrap up is uh any significant past medical history | and just nonsteroidal you your a few questions before we uh wrap up is uh any significant gotten medical history |
brian hi brian nice to | times hi brian nice to |
um so do you suffer from any uh mental health problems in the past or any uh physical health problems | um do you suffer any mental health problems in the past having uh physical health problems |
k so thats high thyroid just to sort of confirm that | k so thats high thyroid just to sort of confirm that runny |
hyper as in high hyperthyroid | hyper as in high hyperthyroid |
hypo ok hypothyroid thank you | sinusitis ok hypothyroid thank you |
uh do you take any medications | onto do you take both medications |
um uh and your date of birth | um uh and your should date of birth |
do you do you continue to take thyrocsin now | do you do somebody you continue to take thyrocsin now |
you do youre so youre taking thyrocsin at the moment | you do youre so youre taking thyrocsin at the moment |
cool and any drug allergies are you allergic to any medications | cool traveling and any drug allergies are you allergic to any medications |
no allergies and you mentioned the the suicide of your father fifteen years ago im very sorry to hear that is there any other um uh significant family history of medical conditions or psychiatric conditions | no allergies and roughly you mentioned the treat the suicide of your father fifteen years ago im very sorry to hear that is there any other um uh significant family history osteo of medical conditions or got in |
no depression or anything like that running in your family or uh | no depression or anything like that running in your understand or uh |
ok and your mother is is well any brothers or sisters | ok and ww your mother is is well any brothers or sisters |
so i just uh uh sorry it might seem like a slightly random question but any uh change in vision | so i just uh uh sorry it might seem like a slightly random question some any uh change in vision |
ok and just to go back to your you were saying you had low mood some people who who do have low mood uh and low sex drive can sometimes feel uh suicidal as well have you had any thoughts of harming yourself or harming anyone else | ok and just to go back to here you were saying you had low mood some people who who do have low mood uh and low sex drive can sometimes feel uh suicidal as well have you miller had wo any thoughts harming yourself or harming anyone else |
and are you able to get the usual enjoyment out of your daily activities that you have done in the past | and are you able to get the usual enjoyment out of your daily activities that you have done more in the past |
ok so you youve become more short of breath over the last few months | ok so you youve become more short of breath over the last few months |
um and youve had a | um and youve had a |
ok so uh any other things around that so more fatigue more shortness of breath um over the last few months | ok uh advice other things around that so more fatigue more shortness of breath um over the last few months |
um with a low lower mood decreased sex drive um is there just before we wrap up is there anything else that you would like to talk about | um with a low lower mood decreased sex drive um is there just before we wrap up is there anything else that you would like to talk about chi |
great and uh are you in a sort of uh confidential place where you can speak freely | great and uh are you in a sort worried of uh ye confidential place where you start area freely |
were getting a little bit towards the end now but i would quite like to make a bit more of a plan for you um | getting a little bit towards the end now but started would quite like to make a bit more of a plan for you um |
i would like to probably see you in person and do an examination and and also we would probably like to do some blood tests um as well | again would exac to probably see you in person and do an examination and and also we would probably like to do some blood tests um as well |
so do you think it would be possible to see uh to to book an appointment in the next few days uh with your gp or or um that would be ideal i think here | so do lightheadedness think nausea it would be possible to see uh to to book an appointment in the next few days uh with your gp or or um that would be ideal i think here |
um and then we can we can probably do some more uh well do an examination and uh do some investigations really to see whats going on here a little bit more | um and then we can we can probably do some more uh well do an examination and uh do some investigations really to see whats going on here a little bit more |
yeah yeah yeah i think i definitely think we need a plan here um its been nice talking to you im sorry weve run out of time now | yeah yeah i think appetite definitely beats think we need a plan here um its been nice talking to you im sorry weve run out of time now |
uh but weve at least started the ball rolling with um some further investigations and tests | uh but weve at least started the ball rolling with um some further started investigations and tests |
im glad youre you know youre youre youre although you have a low mood um youre youre um youre not feeling suicidal just to confirm that | im glad youre you know youre youre youre although you have a low mood um youre youre stil um youre not feeling suicidal just to confirm that |
and and youre uh and uh well hopefully get to the bottom of some your tiredness and your other symptoms when we see you ok | and and youre uh and uh well set hopefully get to the bottom of some your tiredness and your other symptoms when we see you ok |
great and youre happy to continue with the consultation | great and youre happy to continue with the th |
ok thank you thanks | ok thank you thanks go |
yeah uh my names | yeah uh my names |
yeah just like doing most things that i would normally find easy is become quite difficult | yeah just like doing most things that i would normally find easy is become quite difficult |
um no its quite hard to say like things like im not im not eating very much at the moment i just dont feel like i have a lot of energy | um no is its quite hard to say like things like im not im not eating very much at the moment i just trigger dont feel like i have question a lot of energy |
actually well now i kind of think about it maybe maybe even longer um i guess uh might be related to so i also started a new job um slightly recently | actually well now i kind replenish of think about it maybe maybe even longer um i guess uh might be related to so i also started a new job um slightly recently |
um it might of even coincided coincided with uh with that job a couple of months ago | um it might of even coincided coincided with uh with that job check couple of months days ago |
more like two months i would say yeah | more like two months same beate say month yeah |
well um i i know that its not really normal for me so before this phase so id have thing you know i wouldnt have uh any problems sort of | well um i i know that its not really normal for me so diur before this ago phase so id have thing you know i wouldnt have uh any problems sort of |
eating what i want to eat or you know doing standard things in life and and what i want to do is just like kind of return to that previous state | eating what i want to eat or you know doing standard things in life you and and what i want to do is just like kind anymore of return to that previous com state |
uh somehow um im not sure how that is uh what what the best ways of doing that are but yeah do you have some advice or | uh recently um im not how that is uh what what the best for of doing that are but yeah do you have some advice or |
whatever thatd be really useful | whatever thatd have really kd |
um actually im just uh not not really waking up early its more like im just having trouble sleeping at all really i think thats probably closer | um actually im just uh not not really waking up early its more antiinflammatories im just seven having trouble sleeping at all really i think thats probably closer |
distracted id say uh i i kind of um | distracted id say uh i i kind of um |
yeah uh finding it really hard to quite difficult to keep focusing i would say | yeah uh finding it really hard to quite interesting difficult to keep focusing i would say |
um not unhappy or happy but just uh quite just not focused | um not unhappy or happy but just uh quite just not focused |
actually uh now you you you mention it like my mood is a bit lower recently | actually uh out now you you you mention it like throughout my mood is a bit lower recently |
um and so ive noticed like uh my sex drive has kind of decreased um a bit over the the past few months as well so yeah | and so quick noticed like uh my sex drive has kind of decreased um say bit over the the past few months as discount so yeah |
um i havent noticed anything like that specifically no | um i havent temperature noticed anything like that specifically no |
i have not noticed those recently | i have not noticed those recently |
important one i dont think um yeah not i dont think its important to change no | important one i dont think um yeah not i dont think its important to change no |
no there hasnt been a change there | no there hasnt been a change there |
yeah my date of birth is the eighth of august nineteen eighty two | yeah my date of birth is the eighth of august nineteen eighty two |
yeah i im married um have been for many years | yeah i im married um have been words many blogs |
and uh yeah just um over the last few months just uh been disinterested | and uh yeah just um over but last few months just uh been disinterested |
um so in the past um i have a a history of hypothyroidism um | um in the past ques um i have a a history of hypothyroidism um |
sorry can you say that again please | sorry can you say that again please |
yeah no no one else can hear me | yeah no no one else aaa hear me |
yeah and uh also in the past i mean i havent had any kind of specific uh medical diagnoses along these lines | yeah and uh also in nine the past i mean i havent had any kind nine of specific uh medical diagnoses got along these lines |
um but the suspicion that it may have uh had an impact on me but my father has commited suicide um about fifteen years ago | um but the was suspicion that it ace may have uh had an impact on me but my father has suicide um ii about fifteen years ago |
i had a a drug history of thyroxine | i had a a drug history of thyroxine |
no i have no uh medication allergies no | no i have no uh medication allergies no |
uh nothing nothing that sort | uh nothing nothing that sort abroad |
yeah shes fine um and no im an only child um | yeah ft fine um blocking and no im an only child um |
no no nothing like that | no no breath nothing like that |
no not not really no | no not therapy |
sometimes i mean i guess um most of the activites but when ive been doing sports as well i find sometimes its quite difficult to breathe um | sometimes the mean i guess um most of the activites but when ive been doing sports as well i o2 find sometimes muscle its quite difficult to breathe um |
so i have some kind of like shortness of breath um when doing sports compared to maybe a couple of months ago | so i have kind of like shortness of breath um shes doing sports compared to maybe a h couple of months ago |
um no nothing specific no | um no nothing specific no |
yeah um so basically its just been happening over the last few weeks or so | yeah um so modulate its just been happening over the last few weeks or so |