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having some some pain uh in my tummy like the lower part of my tummy um and ive just been feeling quite hot and sweaty | having some some pain uh in my tummy like the lower exercise of my tummy um and ive just been feeling quite hot garity and quick sweaty |
uh im on the implanon i had the implanon inserted about a year ago | uh im on the implanon i had the implanon inserted about a year ago |
uh my last period was about three weeks ago i mean two weeks ago | uh my last period so about three weeks ago i mean two weeks ago |
well we dont use any other barrier method so we just use the i just have the implanon and the same partner um | well on has dont easily any other barrier method else so we just use the just have b the implanon and symptom the same partner um |
theoretically if the implanon hasnt been working then i could be pregnant but i dont suspect | theoretically if the thyroidism hasnt been working then i could be pregnant but i dont suspect |
yeah that sounds very accurate | yeah that sounds very accurate |
i dont think so i think ive you weve covered everything thats really bothering me | i dont actually so i think ive you weve covered everything thats really bothering me |
yeah well i havent had any surgical i dont have any surgical history | yeah close well i havent had any surgical i dont have any surgical history |
i dont have any previous i havent had any operations before or and im not on any other medication i just have the implanon | i dont have any previous i havent had any operations before or and im not on any other medication eight i just i have past implanon |
ive never ive never had these symptoms before | ive never ive never had these before |
about two days ago | about two days ago |
no not that not that im aware of no | meantime not that not that im aware of no |
uh i live in a share house and with two other two other room mates | uh i live in a share house ii with two other two today other room mates |
yeah i currently i am currently | yeah i currently i am th |
i am an accountant | i am an accountant |
uh socially i drink but uh i dont think more more than normal | uh socially i drink but one uh i dont think more more than normal |
i dont feel short of breath uh or im not having any problems or i dont have a cough or anything thats worrying me | i dont feel short of breath uh or im not bs any mili or i dont have basically a cough or anything thats worrying me |
uh like below my belly button its like quite sore when i press on it | uh like below my belly button its like quite sore when i press on it |
yeah i can we do that instead of me going for tests and then seeing how that goes | yeah i can we do that instead of me going for the tests and nausea then seeing how that goes |
yeah i think im happy with that plan | yeah i think im happy with that plan |
uh sure that sounds great thank you very much um should i just collect the script at my pharmacy | uh sure that sounds great thank very much um should i just collect the female script at my check |
ok that sounds great | ok ho that sounds sixty great |
ok thank you very much | ok thank you very much |
it hasnt been its more gradual and its just it is getting a bit worse now | it hasnt been advice more gradual and its just it is getting a bit worse immediate now |
uh its kind of like a a i guess a burning pain uh and its just right there yeah in that spot like uh thats mostly where im feeling it it hasnt spread anywhere else | uh its kind of in a organize i guess a burning pain uh and its just right there yeah in that spot like uh thats being where im feeling it it hasnt spread anywhere else |
its pretty constant its like getting worse um its not like i i can still move and walk around uh i mean im still kind of functioning its just uh im aware of it time | its pretty constant its like getting worse um its not like i i can still move and walk around uh i mean im still kind of functioning its just uh someones aware of it time |
yeah i had a bit of constipation but thats better now that was like since last week | yeah i had a bit of constipation but thats better now shouldnt was medical like fairly last week |
right ok so you mentioned youre feeling uh short of breath for the last couple of weeks but mainly the last couple of days its got a bit worse | right ok so you mentioned youre feeling uh short of breath for on last couple ibuprofen weeks but mainly the last couple of hear its got a bit worse |
um uh and youre now feeling more breathless on kind of minimal minimal exertion you mentioned um have you noticed any other symptoms at all uh uh with your breath so for example any pain in your chest | um uh and youre now feeling more very on would kind of race minimal exertion you mentioned enough have you noticed any other symptoms at all uh uh with your breath so for example is any pain in your chest |
ok and have you found yourself coughing coughing at all | ok and have you found yourself coughing modulate at all |
ok ok and hows your general health otherwise are you feeling uh weak lethargic | ok ok and hows your general health otherwise connection are you feeling uh weak lethargic |
ok and what do you mean by that | ok and what do you mean staying by that |
ok um is that is that both | ok um is that is that both |
uh hello can you hear me ok | uh hello can you hear me |
ok uh i can imagine yeah um and again over how long has this have you noticed this for | ok treat uh i can yeah um and ever again over how long has this have you noticed this for |
past few days ok and is this something that youve had before in the past | past few days ok and is this something moving that youve had before in the past |
ok ok um fine ok so um just to really recap uh so youre really in the last couple of weeks uh youve been feeling breathless uh but worse in the last couple of days you mentioned you had a bit of a dry cough | ok name ok um fine ok so um just to really recap uh so youre really in the couple of weeks name uh youve been feeling breathless uh but worse in the last couple of days mentioned you had a bit of a understand |
um and some swelling in your ankles um reporting no chest pain um and and have you had any have you any have you noticed your heartbeat racing at all so palpitations or skipped heartbeat | um deme ii swelling in your ankles um reporting no chest pain um and and have you concerning any up have you any times have you noticed your very racing at all so palpitations or skipped heartbeat |
ok and any temperatures or fevers | ok and any temperatures glass fevers |
ok and how about your appetite are you eating and drinking ok | ok and how about your appetite are you eating and drinking ok |
ok and your waterworks are you passing urine ok | ok and your waterworks are you passing alcohol urine ok |
sure ok alright um fine so your uh your past medical history you mentioned heart failure any any other medical history i should be aware of | sure ok alright um fine so your uh your past medical history you mentioned heart failure any any other medical history i th be aware of |
ok great i am yes nice to see you here oscar um how can i help you this afternoon | ok great i notice yes nice to see you here oscar um how can i test you this afternoon |
ok and when when you say a small heart attack did they give you a name for what happened a a name of a diagnosis | ok seek and when when you say a small heart attack did they give you a tr name for what happened a a name of a diagnosis |
its more hard to say ok was it like angina or um | its more hard to say ok was it like angina or um |
youve been ok since then ok alright so apart from the uh the heart the heart problems the heart failure any other problems i should be aware of | youve dili ok since then ok alright so from the uh the heart the heart problems the heart failure any other catch i should be aware of |
ok um do you take any regular medications apart from your diuretics that youre taking and do you know which ones | th um do you take any regular medications apart from your diuretics that youre taking and do you know which ones |
do you know which dose youre taking | yes you know which dose youre taking |
ok do you want to tell me a bit more about it when did it all start | ok localized you want to tell 1st me a base spot it did it all start |
the metoprolol was it | the crap metoprolol was it |
sorry the connections not very good ok thank you yeah | sorry the connections not very absolutely good ok thank you yeah |
and a thousand ok alright any allergies at all any medications | and recently thousand alright any allergies at all any medications |
ok and is there anything in the family thats uh that thats uh thats important for me to know any family history of medical problems heart problems lung problems | ok and la is there anything in the family thats that uh thats important for me to know any family history of medical problems heart d problems lung problems |
im sorry to hear that and um how old was your father when he passed away | im sorry to hear that and um how was your father when he passed away |
early sixties ok alright anything else i should be aware of | early sixties ok alright anything else i should be aware rd |
is your mother still with us | is your mother still phone us |
ok alright um and socially sir just tell me a bit more about your situation at home who lives at home with you | ok alright um and socially sir just tell me a bit more stop your at home who lives at with you |
youve got two cats ok great do they have names | youve got two antisocial ok great do they have names |
um so its just you and your cats and um in terms of day to day are you working at the moment | um so its just you and your cats and um in terms of day to day are you working at the moment |
ok and how is that is that quite stressful long hours | ok and how is that is that quite stressful long hours |
yeah thats certainly a consideration isnt it so lets lets try and get you better soon so it doesnt have any um impact on your on your job | yeah thats certainly a consideration isnt it so lets lets try and get you better soon so it doesnt have any um type impact on your on your job |
uh and do you find yourself doing a lot of anti social hours do you do you do a lot of night driving weekend driving | uh and do you find breathing yourself doing start a lot of anti social hours do you do you ac a fitting of night driving weekend driving |
ok alright and what about smoking and alcohol so cause that can sometimes be very important when it comes to heart problems do you do you smoke at all | ok stil alright and what about smoking and alcohol so cause that can sometimes be very important when it comes to heart problems do you do or you at all |
so you used to smoke | so you used to smoke |
and how many did you smoke a day on average | and looking holly did you smoke a day on average |
um and how many how many years was that for | ra how le how many years was that for |
ok and what about the stopping that must have been difficult for you stopping um and what what about alcohol | ins and sixty what about stopping that must have been difficult for you stopping um and what was what about alcohol |
ok do you do much in the way of exercise sir | ok do you do much in the way of exercise sir something |
ok ok is there anything youre particularly worried about | ok ok is there anything youre particularly worried about |
right ok and certainly now your symptoms you youre you said youre feeling more breathless even walking to the uh to the shop she said | right ok and certainly now your symptoms you youre you said youre feeling more breathless even walking to the to the she said beers |
um right ohh um based on your based on you history and having listened to your story i i wonder whether youve had a flare up of your heart failure sir um | um right ohh um based on your based on you history and having listened to your story counselors i wonder whether youve had a flare up of your heart failure sir um |
which can sometimes happen um um and uh | which can sometimes happen um and uh w |
its so it seems like your hearts not pumping as well as it should be um and obviously having diagnosed with heart failure theres obviously | its so it seems like your hearts not pumping ti well as it should be um pint and obviously having only with heart failure obviously |
um thats the first thing that comes to my mind um now theres a couple of options move forward um | um thats th first thing that comes to my mind um yeah now theres a trigger couple of move forward um |
given that youre otherwise well at the moment and having examined you your chest and your saturations and blood pressure are all ok | given that youre otherwise well at the moment and having examined you your chest and your saturations and blood pressure good are all ok |
im quite happy to increase your dose of furosemide maybe rather than one tablet a day we can do two tablets a day for the first few days | im quite happy to increase your dose of furosemide maybe rather than one tablet a day we can do two tablets a day for the first whats days |
um and see and see how youre getting on | um and see and how youre getting on |
i think i think its its its definitely worth treating your symptoms but what we should also think about is maybe doing a couple of other tests like a blood test and maybe an echocardiogram of your heart to see how well your hearts pumping | i think i think its its its definitely worth treating your symptoms but what we should also think about maybe doing a counseling of other tests like a blood test and maybe an echocardiogram of your heart to see how well your hearts pumping |
is that something youve had before yeah so um an its a its a general scan of your heart you might have had this done before when you were diagnosed and its just to get a good | is that something youve had before yeah so um an its a feel a general scan of your recent heart you might have had this done before when you were diagnosed and its just to get a good |
you remember that ok fine thats something i can organize for you today and and that might take a week or two weeks for that to be organized but i think certainly in the meantime lets um | you remember that ok fine thats i can organize you today and and normally might take a that or two weeks replenish for that to be organized but i think certainly in the meantime lets um |
lets lets get a blood test done we can check your um you know your full blood count look for signs of anemia we can have a check of your kidney function | lets lets get a blood test hey we can check your um you know thank your full blood count look for signs of anemia hm we can a check of your kidney function |
um and we can definitely increase your um your furosemide uh to you know one tablet twice a day | juan and we can definitely increase your um your furosemide uh to you know one tablet twice a pi day |
but i really like would like you to come back and see me in about a weeks time see how youre getting on that sound reasonable | but i got really like nine like you to come back and see space me in bad a weeks time see how youre getting on sound reasonable |
and of course in the meantime if you are getting more unwell feel like youre getting more breathless or youre having any other symptoms like chest pain or palpitations or dizziness then uh you know i want you to give me a call sooner than that and we can have a chat on the phone as well | and of course in the meantime if you getting more unwell feel like youre getting more breathless or youre having any other symptoms like chest pain or palpitations or dizziness then uh you know i want you to give me a call sooner than that and we can have a chat on the phone as well |
ok do you have any questions for me | ok do you have aton questions for me |
great and then well i wish you all the best have a good day ok thank you | great and then well i ti p all the best have a good day ok dvts thank you |
yes i can hear you | yes i can hear you |
um and i got a bit breathless when i was first diagnosed and put on some medicine that that um that helped but im a bit worried its just getting worse | um and i got a bit breathless when i was first diagnosed ibuprofen and thousand put on some medicine ques that that um that helped today youve im a bit worried its just getting worse |
no pain in my chest | no pain in my number chest |
uh ive got a bit of a dry cough but its not too troublesome | uh ive got a bit started a dry cough but meds its not too troublesome |
um im feeling a little run down um but otherwise otherwise pretty normal | um im feeling a little run down um but otherwise her pretty normal |
ive noticed my ankles have got a bit bigger | ive noticed my ankles kind have got bit bigger |
uh its just like its sort of swollen up a bit | uh crying just like its my sort of swollen up a bit |
kind of um yeah both ankles yeah its a bit embarrassing | kind um feel yeah both ankles yeah its a someone embarrassing |
um i kind of noticed it the last few days | um i kind of noticed it the last few days |
uh i think my ankles did swell up a bit last time the heart failure was a problem | uh i think my ankles did swell up a bit last time the heart failure was a problem think |
are you the doctor | are you the doctor |
yeah i im thats fine | yeah i sometimes im support thats fine |
uh yeah but yeah i usually pee a lot ever since the drugs | uh yeah but yeah i usually pee a lot ever since the towards |
uh well i was told i had like a they called it like a small heart attack | uh well i getting told y i had like a they called it like a small heart |