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yeah well im wearing sunglasses right now its just you know the lights really hurting my eyes | yeah well im wearing im wearing sunglasses right now it just you know lights really hurting my eyes |
um on the left side its just making me feel so ill i just feel like i need to vomit | um on the left side its just making me feel so ill i just feel like i need to vomit |
yeah | yeah |
i vomited twice | i vomited twice |
um no i dont feel feverish | um no i dont feel feverish |
no i havent noticed anything like that | no i havent noticed anything like that |
um im not really prone to them no no but i did i did have a similar headache a few weeks ago | um not really prone to them no no but i did i did have a similar headache a few weeks ago |
just similar | just similar |
couple of days | couple of days |
um yeah i had to take painkillers and had to go go to bed and rest and | um yeah i had to take painkillers and had to go go to bed and rest and |
couple days off work and i work in the fashion industry and you know theyre wondering whats going on like i have to take sick days | had a couple of days off work and i work in the fashion industry and you know theyre wondering whats going on like having to take sick days |
i need to get back to work today but you know what if it is a brain tumour whats gonna happen with my future and my career | i need to get back to work today but you know what if it is a brain tumor whats gonna happen with my future and my career |
well you know i noticed some zig zag lines in my vision a few minutes before the headache started | well you know i i noticed some zigzag lines in my vision a few minutes before the headache started |
you know really about this never had headaches like this before like why should i get them now | you know uh yeah im really worried about this i never had headaches like this before like why should i get now |
no | no |
no | no |
no | bye |
no nothing | no nothing |
no | no |
no my mum my mum has has migraines but ive ive not been diagnosed | no my mom my mom has has migraines but ive ive not been diagnosed |
as well | thyroid as well |
my mom has an underactive thyroid as well | my mom has an underactive thyroid as well |
my vision blurred um you know it just | my vision is blurred um you know it just |
no | no |
um i take the pill microgynon | um i take the pill micro going on |
three months | uh three months |
its for contraception | ok its for contraception |
yeah its really stressful actually | yeah its really stressful actually |
having problems at like work you know managers like putting a lot of pressure on me to deliver and uh yeah its not a good time | having problems with like people at work you know managers like putting a lot of pressure on me to deliver and uh yeah its not a good time |
i dont feel down just a little bit stressed | i dont feel down just feel a bit stressed |
nothing really | nothing really |
no | no |
i yeah pains just horrible just making me feel so unwell um | i yeah pain is just horrible its just making me feel so unwell um |
um i live on my own | um i live on my own |
fine | fine |
no | no |
thank you uh thanks so much i was so worried that i had cancer and ohh now you say migraine yeah i guess my mum has similar symptoms to me and yeah it does make sense | oh thank you i uh thanks so much i was so worried that had cancer and oh now you say migraine yeah i guess my mom had similar symptoms to me and yeah that makes sense |
k that sounds good | ok that sounds good |
ok | ok |
ok | ok |
ok | ok |
doctor thats great | doctor thats great |
just want you to do something | and i just want you to do something |
no thank you | no thank you |
k thanks bye | ok thanks bye |
yeah | yeah |
dont know really it just happened | uh no really it just happened |
yeah i guess its yeah i guess its throbbing um on that left side | yeah i guess its yeah i guess its throbbing um on that left side |
alex ohh hello hi can you hear me | alex oh hello how can you hear me |
ok great um how can i help you this morning sir | ok great um how can i help you this morning sir |
no ok you didnt you didnt notice any abnormal white spots redness at the back of your throat | no ok you didnt you didnt notice any abnormal white spots redness at the back of your throat |
thats ok thats ok and you mentioned a runny nose um again what kind of discharge is coming out is it clear or is it a bit more coloured | no thats ok thats ok and you mentioned the runny nose um again what kind of discharge is coming out is it clear or is it bit more colored |
ok you feel quite congested do you | ok do you feel quite congested to you |
ok fine um you also mentioned a cough as well can you tell me a bit more about that | ok fine um you also mentioned a cough as well can you tell me more about that |
ok | ok |
ok and is it worse any particular time of the day | ok and is it worse any particular time of the day |
is it is it worse any particular time of the day for example in the evenings night time mornings | is it is it worse at any particular time of the day for example in the evenings nighttime mornings |
throughout the day | or just throughout the day |
ok | ok |
night first ok | night sweats ok |
mm | hm |
i can imagine yes uh and this has again been going on for last uh three four days has it | i can imagine yes uh and this is again been going on for the last uh 34 days has it |
ok um right ok have you noticed any fevers or temperatures at all | ok um right ok have you noticed any fevers or temperatures at all |
ok | ok |
thats very sensible um very good um in terms of your chest otherwise have you any difficulty breathing or any pain in your chest | thats very sensible um very good um in terms of your chest otherwise have you had any difficulty breathing or any pain in your chest |
when you say winded do you feel uh do you feel more short of breath would you say on exertion is that when you ok um and and thats mainly on exercise but when youre resting theres no problem | when you say winded do you feel uh do you feel more short of breath would you say on exertion is that what you ok um and and uh thats mainly on exercise but when youre resting theres no problems |
ok | ok |
ok fine just a couple other questions if you dont mind any pain in in your ears at all | ok right just a couple of other questions so far if you dont mind any pain in your e in your ears at all |
mm hmm ok | mhm ok |
no you dont feel blocked or any discharge coming out of your ears | you know you dont feel blocked or any discharge coming out of your ears |
ok fine um what im gonna do im just gonna run through a few uh yes no questions if you if you dont mind just a review of your systems any any headaches at all | ok fine um what im gonna do im gonna run through a few uh yes no questions if you if you dont mind just a review of your systems any any headaches at all |
whereabouts are the head headaches | where about other the head headaches |
ok and with those headaches have you had any problems with your with your eyesight your vision | ok and with these headaches have you had any problems with your with your eyesight your vision |
uh any difficulty with seeing bright lights | any difficulty with seeing bright lights |
no ok um and just moving down now in terms of any any feeling nausea or any vomiting | no ok um and just moving down now uh in terms of any any feeling nausea or any vomiting |
ok tell me about your bowels are your bowels working ok | ok tell me about your bowels are your bowels working ok |
youre passing urine ok | passing urine ok |
hows your appetite sir | hows your appetite sir |
ok um and youre eating and drinking uh youre eating ok otherwise | ok um and youre eating and drinking uh are youre eating ok otherwise |
sorry to hear that | so its here i think |
ok um have you noticed any any funny rashes at all on your skin | ok um have you noticed any any funny rashes at all on your skin |
no and any general muscle pain or aches joint pain | ok and any general muscle pain or aches joint pain or muscle pain |
yeah ok alright um and uh just having a look at the rest of your history are you otherwise fit and well or do you have any other medical problems i should be aware of | yeah ok all right um and uh just having a look at the rest of your history are you otherwise fit and well or do you have any other medical problems i should be aware of |
ok um | ok um |
so you are otherwise fit and well uh any any allergies at all to any medications i should be aware of | so youre otherwise getting well uh any any allergies at all to any medication i should be aware of |
no ok um | no ok um |
any family history at all so anything relevant in the family that i should be aware of anything like diabetes high blood pressure | any family history at all sir anything relevant in the family that i should be aware of anything like diabetes high bp |
your brother | your brother |
you say grandma sorry my apologies grandma ok uh do you know what type of diabetes it is is it type one type two | oh you say grandma sorry my apologies grandma ok uh do you know what type of diabetes it is is it type one type two |
mm ok im sorry to hear that seems like theres a lot going on there um so lets start with your your sore throat first um tell me a bit more about that if you can | mm ok im sorry to hear i see that theres a lot going on there um so lets start with your your sore throat first um uh tell me a bit more about that if you can |
ok | ok |
um anything else which you think is significant | um anything else which you think is significant |
excellent ok ok um just moving on to what we social history just to get to know you a bit more as a person tell me who do you live with at home | excellent ok ok um just moving on to what we say so social history just to get to know you a bit more as a person tell me who do you live with at home |
ok and you said youre working at the moment | ok and uh you said youre working at the moment is that right |
what do you do for work | what do you do for work |
ok and hows your work going at the moment uh over the last has it has it been affecting your work | ok and hows your work going at the moment uh in the last time has it has it been affecting your work |
mm ok is that stress is that affecting your um your mood at all any in any way | mm ok is that stress affecting your um your mood at all in any in any way |
ok | ok |
well if theres anything you want to talk to me about you can always come see me about your mood um stress anxiety happy to help | well if theres anything you ever want to talk to me about you can always come and see me about your mood and stress anxiety were happy to help |
ok ok and just very briefly just in terms of smoking uh do you smoke at all | ok ok and just very briefly in terms of smoking uh do you smoke at all |