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gayanin

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babylon-noised

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ok

ok

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ok

ok yes i have tried antihistamines uh lately but it didnt really help

ok yes i have tried antihistamines lately it didnt really help

i have tried uh antihistamines but uh but it didnt really help

i have tried uh antihistamines uh but didnt really help

um so yes uh earlier i was like prescribed for my eczema

um so yes uh earlier was like prescribed for my eczema

ok

ok

that sounds good

sounds good

uh no thats it thank you very much bye thank you as well bye

uh no thats it thank you very much bye you as well bye

and they gave me like some cream and something to uh when i like shower when i was in the shower had to put something but um

they gave me like some cream and something to uh when i like shower i was in the shower to put something but um

um i mean at that time yes thats those symptoms like these symptoms appear like when the symptoms appeared again i tried those and it didnt work

um i mean at that time yes thats those symptoms like these symptoms like when the symptoms appeared again i tried those and it work

ive tried a few things like i bought a a steroid cream at the pharmacy last night but it apparently didnt help because its still itching a lot today uh yeah

few like i bought a a cream at the pharmacy last but it apparently didnt help because still a lot today uh yeah

a steroid cream

a steroid cream

hello

hello

hello there its uh doctor here how can i help you this afternoon

hello there its uh doctor here can you this afternoon

uh ok is that when you move your neck

uh ok is that when you move your neck

ok um

ok um

ok is that all youre worried about

ok is that all youre worried about

is that is that all your main worries today

is that is that all your main worries today

oh dear im sorry to hear that i can i can understand why its affecting you um

oh dear im sorry to that i can i can understand why its affecting you um

but why dont we why dont we take a good history first and let me examine you and then we can have a little chat afterwards and see whats going on here

but why dont we why dont we a good history first and let me examine you and then we can have little chat afterwards and see whats on here

um so you mentioned a few things you mentioned a headache you also mentioned some disease like lymes uh before the headaches came on

um so you mentioned a few things you mentioned headache you also mentioned some disease like lymes uh before the headaches came

and your vision has been blurry as well is that right is that is that on both eyes or just in left left eye

and vision has been blurry as well is that right is that is that on both or just in left eye

both eyes ok have you any difficulty with seeing bright lights at all

both eyes ok have you any difficulty seeing lights at all

ohh i see ok um and you mentioned that you felt quite nauseous have you vomited at all

i see ok um and you mentioned that you felt nauseous have you vomited all

im sorry to hear that um can you tell me a bit more about the headache

to hear that um can you tell me a bit more about the headache

twice ok um earlier today ok um any temperatures or fevers

twice um earlier ok um any temperatures or fevers

ok um any other funny skin rashes that you may have noticed

ok um any other funny skin rashes that you may have noticed

ok um fine um and do you normally get headaches

ok um fine um and do you normally get headaches

ok and what happened then

and what happened then

how long did it last for

how long did it last for

did you do anything that made it better

did you do anything that made it better

yeah

yeah

yeah yeah

yeah yeah

yeah yeah

yeah yeah

yeah sure i mean i can see your concern obviously is a lot theres a lot of worry there

yeah sure i mean i can see your concern obviously is a lot theres of worry there

um but you know let let let as i said lets take it step by step um to see exactly what the cause of these headaches are first um im just going to ask you some um very uh yes no questions if thats ok maam um

um but you know let as i said lets take it step by step um to see exactly the cause these headaches are first um im just going to ask you some um very uh yes no questions if thats ok maam um

um have you noticed any problems with your speech at all any difficulties with your words

um you noticed any problems with your speech at any difficulties with your words

any problems with your arms and legs for example numbness or weakness

problems with your arms and legs for example or weakness

any difficulty with balance your balance or coordination

any difficulty balance your balance or coordination

ok and have you had any injuries to your head have you had a fall recently or been knocked on the head

ok and you had any injuries to your head you had a fall recently or been knocked on the head

ok alright um and and youre feeling otherwise ok so for example your um

ok um and feeling otherwise ok for example your um

uh your your breathings ok youre not feeling breathless or

your your breathings ok youre not feeling breathless or

no ok um do you have any other medical history i should be aware of

no ok um have any medical history i should be of

mm hmm

mm hmm

no so for example have you had has anyone told you youve had migraines in the past

no have you had has anyone told you youve had migraines in

no ok do you

no ok do you

ok

ok

right my next question was that of family history is there anything in the family so apart from migraines is there anything else is there anything related to brain for example

right my next question that of family history is there anything in family so apart from there anything else is there anything to brain for example

what was that sorry

was that sorry

thyroid as well ok um ok any other problems with for example the brain or um you mentioned brain cancer any other family history of

thyroid as well ok um any other problems with example the brain or um you mentioned brain cancer any other family history of

no ok um in terms of medications do you take anything on a regular basis

ok um in terms of medications do you take anything on a regular basis

ok and how long have you been on that for

ok and long have you been on that for

three months ok and is that mainly for contraception or is that for something else

three months ok and is that mainly for contraception or is for something else

ok alright

ok alright

mm ok and

mm ok and

thats something you meant to have a little discussion about today as well um

thats something you to have a little discussion about today as well um

uh well my next question was about um your social your situation at home you mentioned you work in the fashion industry

uh well my next question about um your social your situation at home you mentioned you work in fashion industry

and your work is your job quite stressful at the moment

and your work is your quite stressful at the moment

have you been

have you been

is it getting you down

is it getting you down

ok alright and what kind of things do you do to alleviate your stress normally

ok alright and what kind of things do do to alleviate your stress

ok do you do much in the way of exercise

do you do much in the way

no ok um whos at home with you

no ok um whos at with you

ok um are you coping ok at the moment

ok um are you coping ok at the moment

yeah ok um do you smoke at all and do you drink much in the way of alcohol

yeah ok do you smoke you drink much in the way of

well lets try our best lets try and get you lets try and get you well soon um you mentioned its on your left hand side is that right and it started at mid day a few hours ago

well lets try our best lets try and get you lets try and you well soon um you mentioned on your left hand side is that right and it started at mid day a few hours ago

ok alright um so normally at this id like to kind of proceed to examination um

ok um so normally at this like to kind of to examination um

thats um based on your story um i wonder whether you may uh may have a migraine uh migraine type headache uh it sounds

thats based on your story um i wonder whether you may uh may have a migraine uh migraine type headache uh it

um very classical of that of that nature the the the headache on one side throbbing nature the nausea vomiting um sensitivity to bright lights

um very classical of that of that nature the the headache on one side nature the nausea vomiting um sensitivity to bright lights

uh im reassured that you dont have anything more serious such as meningitis or indeed

uh im reassured that you dont have anything more serious such as meningitis or indeed

brain cancer i know that was a big worry of yours initially um

brain cancer i know was a worry of yours initially um

yeah yeah

yeah yeah

well i hope that puts your you know mind at ease um certainly this is the second migraine youve had in the space of a month um

well i hope that puts you know mind at ease um certainly this is the second migraine youve had in the space of a month um

so i think moving forwards theres a couple of options i think keeping a headache diary would be quite important uh to see exactly whats triggering these headaches

so i think forwards theres a of options i think keeping a would be quite important to see exactly whats triggering these headaches

and in terms of trying to treat your headaches today some strong painkillers would be advisable so think about paracetamol or even co codamol

and in terms of trying to treat your headaches today some painkillers would be advisable so think about paracetamol or even co codamol

um and some anti inflammatories such as ibuprofen and naproxen hows that sound to you

um and some inflammatories such as ibuprofen and naproxen hows that sound to you

ok um did the pain come on quite suddenly or was it more of a gradual build up

ok um did the pain come on quite suddenly or was more of a gradual build up

um and uh you know if your headaches were to become more persistent then we could maybe think about giving you some medications that will stop your headaches from happening in the first place something prophylactic medicines

um and you know if your headaches were become more persistent then we could maybe think about giving you medications that will stop your headaches from happening in the first place something prophylactic medicines

then we could have a discussion next time i see you next week perhaps

then have a discussion next time see you next week perhaps

ok um now a couple of things i want you to think about is you know if your symptoms arent getting better next two three days or indeed theyre getting worse

ok um now a couple of things i want you to think about is you know if your symptoms arent getting better next two three days or theyre worse

id like you to come back and see me um straight away if possible so if your headaches getting worse not responding to medications

like you to come back and see me um straight away if possible so if your headaches getting worse not responding medications

or your um neck pain is getting worse or you develop any weakness in your arms and legs or your vision then i want you to come back and see me straight away ok

your um neck pain is getting worse or develop any in arms and legs or your vision then i want you to back and see me straight away ok

does that sound all ok

does that sound all ok

great any questions for me

great any questions for me

ok have a good day

ok have good

right

right

ok and are you able to describe what kind of headache it was for example was it throbbing or was it more of a sharp pain

ok and are able to describe what kind of headache for example was it throbbing or was it more a sharp pain

and is it moving anywhere else at all

and is it moving anywhere else at all

hello

hello

ohh i just got a terrible headache since mid day

ohh i got a terrible headache since mid day

no but its worse when i move

its worse when i move

well like if i lean forward or like move my head or neck yeah headache gets worse

well like if i lean forward or like move my head or neck headache gets worse

im just really worried like ive just been googling and like ive read you know if your headache gets worse if you move it could be a sign of brain cancer

im just worried like just googling and like ive read you know if your headache gets worse if you move it could be a sign of brain cancer

cancer

cancer

ohh yeah yeah and id like you know

yeah yeah and id like you know

my my friends mum she she recently died of a brain tumor so its really concerning me actually

my my friends mum she she recently died of a brain tumor really concerning me actually

yeah

yeah

eh feels like it some days

eh feels like it some