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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