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100
ok
ok
101
do you remember the name of the cream you bought
do you remember the name of cream you bought
102
ok
ok
103
yes
yes
104
no well ok thats so you mentioned the itchiness um you also mentioned its been quite sore
no well ok thats so you mentioned the itchiness you also mentioned its been quite sore
105
um have you have you noticed any uh bleeding or discharge from your skins
um have you have noticed any bleeding discharge skins
106
uh ok lets start again so how can i help you sir
uh ok lets start again so how can i help you sir
107
ok
ok
108
youve not havent uh seen any other uh pus or blood coming out of your skin
youve not havent uh any other uh pus or blood coming out of your skin
109
no and you mentioned it all started three days ago
no and you mentioned it all started three ago
110
are you four days ago are you aware of any triggers or anything that you may have done that may have caused your symptoms to start
are you four ago are you aware of any triggers or anything that you may have done that may your symptoms to start
111
so for example have you changed your uh shower gel any clothing
so for example have you changed your uh shower gel any clothing
112
have you been around anyone else
have you been around anyone else
113
mm
mm
114
mm no no ok thats ok um
mm no no ok thats um
115
fine so just to resummarize for the last four days youve had very itchy skin very sore skin all over your body mainly your chest and did you also mention your arms and legs as well
fine so just to resummarize for the last four days youve had very itchy skin very sore skin over your mainly chest and did you also mention your arms and legs as well
116
ok
ok
117
ok anything on your face at all
ok anything on your face at all
118
no ok and apart from this any other symptoms have you noticed for example have you noticed any temperature or fevers
ok and apart from this any other symptoms have for example have you noticed any temperature or fevers
119
itchy ok so your your bowels are working ok
itchy ok so your your bowels are working ok
120
your chest is ok no cough no breathing difficulties
your chest is ok no cough no breathing difficulties
121
youre passing urine ok
youre passing urine ok
122
ok alright um
ok alright um
123
its always good to know so i mean do you have any ideas as to what could be causing your symptoms
its always to know so i mean do you have any ideas as to what could causing your symptoms
124
any ideas as to what could be causing your symptoms
any ideas as to what could be causing your symptoms
125
no no problem im happy to help um whereabouts in your skin is it affected
no problem im happy to help um whereabouts in your skin is it affected
126
ok thats ok so um normally at this stage i like to examine you um
ok thats ok um normally at this stage i like to examine you um
127
to see the rash itself to see exactly what type of rash it is but from what youve told me you mentioned its youve got some dry skin and some uh cracked skin as well
to see the rash itself to see exactly type of rash it is but from what told me you mentioned its youve got dry skin and some uh cracked skin as well
128
uh and has been very itchy and so would your um
uh and has been very itchy and so would um
129
uh your your background of eczema um
uh your background of eczema um
130
sorry to say theres a couple of questions i wanted to ask you which i completely forgot my apologies um apart from the eczema do you have any other medical problems i should be aware of
sorry to say theres couple of questions i wanted to ask you which i completely forgot my apologies um apart from the eczema do have any other medical problems should be aware of
131
ok not anymore ok and do you take any regular medications at the moment
not anymore ok and do any at the moment
132
no ok do you have any allergies to anything
no ok do you have allergies to anything
133
sorry i said do you have any allergies to anything
sorry i said you have any allergies to anything
134
yeah
yeah
135
hello
hello
136
can you hear me thats alright i think it uh do you have any allergies at all
can you hear thats alright i think it uh you have any allergies at all
137
no ok um and tell me about your um uh your situation at home who do you live with
no ok um tell me about your um uh your at home who do you live with
138
ok and what do you do for work
ok and what you do for work
139
ok uh no no no thats thats absolutely fine um just a couple of questions i want to ask you which can sometimes affect your symptoms is do you smoke at all
ok uh no no thats thats absolutely fine um just a couple of questions i want to you which can sometimes affect your symptoms is do you smoke all
140
no and do you drink much in the way of alcohol
no do you drink much the way of
141
ok ok ok ive got to say at this stage ive got to say this sound quality is not uh great but i will continue because weve come this far um
ok ok got to say at this stage ive got say this sound quality is not uh great but i will because weve come this far um
142
so um based on everything you mentioned sarah i do wonder whether this is a flare up of your eczema um
so um based on everything you mentioned i do whether this is of your eczema um
143
the reason being that you said it was quite itchy um its mainly affecting your chest and your back
the reason being that you it was quite itchy um its mainly affecting your chest and your back
144
um and uh having looked at your skin uh the the the rash does appear quite familiar um you mentioned using steroid creams yesterday
um uh having looked at your skin uh the the the rash does appear quite familiar um you mentioned using yesterday
145
um from the pharmacy i wonder whether giving you a stronger prescription of a of a steroid may be beneficial
um from pharmacy i wonder whether giving you stronger prescription of a of a steroid may be beneficial
146
uh which im happy to prescribe to you today as well as im going to give you something some emollients which helps to moisturize the skin
uh which im happy to prescribe to you today as well as im going to give you something some emollients which helps the skin
147
um which use in the bath and shower and its definitely worth um using that for the first seven to ten days
um which use in the bath and shower its definitely worth um using for first seven to ten days
148
uh before we make the decision on whether its working or not
uh before we make the decision on whether its working not
149
um its also worth um using antihistamines which you can sometimes buy over counter
um its also worth um using which you can sometimes buy over counter
150
things like loratadine or piriton which can help the itchiness of your skin
things like loratadine or piriton which can help the itchiness of your
151
and uh um its also worth keeping a diary of any triggers which are affecting your symptoms anything you wear or anything you use in terms of shower gels or soap
and uh um also keeping a of any triggers which are affecting your symptoms anything you wear or anything you use in terms shower gels or soap
152
because if thats causing your symptoms then we need to have a discussion about an eczema cu
because if thats causing your symptoms then we need to have a discussion about eczema cu
153
ohh could you say that again sorry
ohh could you say that again sorry
154
ok
ok
155
no no ok im certain this is obviously affecting you and uh well try our very best to get get this sorted out for you um have you had anything like this before in the past
no no ok certain this is obviously affecting you and uh well try our very best to get get this sorted out for you um have you had anything like this before in the past
156
ok so its something for you to think about you can get different types of antihistamines i can give you something a little bit stronger today as well
ok so its for you to about you can get different types of i can give you something a little bit stronger today well
157
um something like fexofenadine which i can give to you today its definitely worth trying and its not going to do you any harm
something like fexofenadine which i can give to you today definitely worth trying and its not going to you any
158
um but i think using the steroids and the emollients um on a regular basis
um but think using steroids and the emollients um on a regular basis
159
uh over the next week to ten days should hopefully control your symptoms but do come back and see me next week if things dont get better
uh over the next week to ten days should hopefully control your symptoms but do come back and see me next week if things dont get better
160
ok um do you have any questions for me
ok um do you have questions me
161
ok well i wish you all the best
well i wish you all the best
162
thank you have a good day
thank you have a good
163
ok
ok
164
ok
ok
165
hello can you hear me well
hello hear me well
166
ok
ok
167
um
um
168
its much more like itchy and my eczema was more like only in the arm but now its also on the chest and in the on the on the hands as well
its much more like itchy and my was more like only in the arm but now its also on the chest and in the on the on the as well
169
like pretty yeah when like i like for instance hiking during the weekend and
like pretty yeah when like i like for hiking during the weekend and
170
i am i cant really do it anymore because its like very like i wanted to do that last weekend and because super painful and i i have to take like showers every day to be able to cannot uh ease this itching part which is very very annoying
i am cant really do it anymore because its like very like i wanted to do that last weekend because super painful i have to take like showers every day to be able to cannot ease this itching which is very very annoying
171
yeah
yeah
172
ok
ok
173
no um so my skin is a bit cracked in some parts like kind of cracked if you see what i mean but uh yeah
no um so my skin a bit cracked in some parts like kind cracked if see what i mean but uh
174
no
no
175
four days ago
four days ago
176
no i its actually like its really annoying because im thinking about maybe i should change something because i i havent and i dont understand i cannot um afraid of asking people around me because its cannot you know um i dont feel really comfortable asking about these questions its kind of intimate that so i your help now
no i its actually like its really annoying because im thinking about maybe i should change something because i i and i dont understand i cannot um afraid of asking people around me because you know i feel really comfortable asking about these questions its of intimate that so i your now
177
yes so its been a few days now i have like a sore and a red skin its kind of its really itchy and its like super annoying so id like to find something quick to solve it
yes so its been days now i have like a sore and a red skin its kind of its itchy and its super annoying id like to find something quick solve it
178
uh no just the chest hands and like like inside the elbows yeah
uh no just the chest hands and like like inside the elbows yeah
179
am i what
am i what
180
on my face no
on my face no
181
no just very itchy nothing else
no just very itchy nothing
182
no
no
183
i i think so
i think
184
any what
any what
185
um so i had eczema before so maybe its disease but it seems like more uh like uh my eczema was only on the arms so im im not sure i i really have no idea
um so i had eczema before so maybe its disease but it seems like uh like uh my eczema was only the arms so im im not sure i i really have no idea
186
yeah
yeah
187
uh mostly like my chest my my hands my arms like like really its its super annoying like its itching a lot like all the time and
uh my chest my my hands my like really its super annoying like its itching a lot like all the and
188
uh no i just had asthma in the past but not anymore
uh no i just had asthma in the past but not anymore
189
uh no
uh no
190
i like some sorry yeah
i like some sorry yeah
191
hello yes
hello yes
192
ohh allergies uh no
ohh allergies uh no
193
uh so i live with a few flatmates im a so you know im thirty one uh i yeah im i have a full time job and so im living with a few people to save money
i live with a flatmates im a so you im thirty uh i yeah im i have a time job and so im living with a few to save money
194
uh i work uh at a pharmaceutical company
uh i at pharmaceutical company
195
so its been a its been a few years now uh its uh its kind of interesting were working im a like a kind of project manager uh i mean do you want to to know more about it
so its been a its a few years now uh its uh its kind of were working im a a kind of manager uh i mean do you want to to more about it
196
no
no
197
i cant even sleep at night i really need something quickly to to solve it because even at work i i can when im in a meeting and i have to like uh think about my work i cant focus i cant actually focus on my work its really annoying because i cant actually think about uh what i have to say im always like uh disturbed by this disease
i cant even sleep at night i really need something quickly to solve it even at work i can when im in a meeting i have to like uh think about my work i cant focus i cant actually focus on my work its really annoying because i cant actually think about uh what i have to say im always like uh this disease
198
uh you know once in a while i can i like hanging out with people once in a while so yeah id say a few a few beers per week something like this nothing nothing crazy i used to drink a lot more when i was younger but its been its been a while
uh you know once in a while i can i like hanging out with people once in a while yeah id say a few a few beers per week something like this nothing nothing i used drink a lot more i younger but its been its been a while
199
ok
ok