gayanin/gcd-noised · Datasets at Hugging Face

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0	hello my names amy kousha im one of the gastroenterology doctors at the clinic today can you tell me your name and date of birth please	hello my amy kousha one of the gastroenterology doctors at the clinic today can you tell me your name and date of birth please
1	my name is bide and my date of birth is first of january of 1990	my is bide and my date of first of january of 1990
2	so bide i understand that you went to see your gp with some changes in your bowel habit can you tell me some more about those symptoms	so bide understand that you went to see your gp with changes in your bowel habit can you tell me some more about those symptoms
3	ive been having loose stools diarrhoea for the past few months and i went to my gp	ive been loose stools diarrhoea for the past few and went to my gp
4	okay so prior to three months would you say that your bowel habit was normal	okay so prior three months would you say that your bowel habit was normal
5	and have you being passing any blood in your bowel motions	and have you being passing any blood in your
6	yeah i do i do get blood in my bowel and my stool and its kind of mixed with the stool	yeah i do i do get blood in my bowel and my stool and its kind of mixed the stool
7	and has the blood passage of blood being going on for a few months as well or has that been a more recent change	and has the of blood on for a few months as has that been a more recent change
8	um that has been happening more recently	um that has been happening more
9	okay and have you noticed any mucus as so that white stringy substance being passed in your stool	okay and have you noticed mucus so that white stringy substance being in your stool
10	yeah now that you mention it yeah i do i do noticed that	yeah now you mention it yeah i i do noticed that
11	and what about your weight	and what about weight
12	so yes it seems like ive lost a little bit of weight simply because my clothes are loosened i havent actually measured it but i people do tell me that ive lost weight	yes it seems like ive lost a little bit simply because my clothes loosened havent measured it but people do tell me that ive lost
13	okay and have you noticed any abdominal pain	have you noticed any abdominal pain
14	yeah i do get a lot of abdominal cramps stomach cramps and thats been also getting worse recently	yeah i do get a lot of abdominal cramps stomach cramps and thats been also getting worse
15	and can you tell me when your abdominal pain is worse	and can you tell me when abdominal pain is
16	it seems like its worse just before going to the toilet and then once i opened my bowels its better	it seems like its worse before going to the toilet and then i opened my bowels its better
17	okay and is it very severe or is it just mild cramping	okay and is it very severe or is it just
18	i wouldnt say its severe that i have to be bend double but it is not mild it is moderate perhaps	i say its severe that i have to bend double but it is not mild it is moderate perhaps
19	okay and have have you had any episodes like this before of diarrhoea and blood being passed	okay and you had any episodes like this before of diarrhoea and blood being passed
20	no i think its been all in the past few months before that i had no problems with my bowel motion	no i think its been all in the past months before i had no problems with my bowel motion
21	okay and have you noticed any joint pains	okay and have you noticed any joint pains
22	maybe some pain in my knees especially my right knee	maybe some pain in my knees especially my right
23	but no not anywhere else	but no not anywhere else
24	any rashes or skin changes that youve noticed	any rashes or changes that noticed
25	and any problems with nausea or vomiting or swallowing	any problems with nausea or vomiting or swallowing
26	okay so i understand that your gp started you on some steroids is that right	okay so i understand that your gp started you on some is that
27	yeah so thats correct my gp started me on some steroid tablets which made me feel better initially but its not completely back to normal	yeah so thats correct my gp started me on some steroid tablets which me feel better initially but its not completely back to normal
28	okay and do you have any other medical conditions	okay and do you any other medical conditions
29	um i suffer from asthma for which id taken inhalers okay nothing else	um i suffer asthma for which id inhalers nothing else
30	and do you smoke	and do you smoke
31	uh yeah i do	uh yeah i do
32	how many do you smoke a day	how many do you smoke a day
33	perhaps about 10 a day	perhaps about 10 a day
34	and do you drink alcohol	and do you drink alcohol
35	only socially	only socially
36	okay and is there any family history that you feel might be important and significant medical problems in your family	okay and is there any family history that you feel might be important significant medical problems in your family
37	uh my my mom had bowel problems but she died a few years ago of a heart attack	uh my my mom had bowel but she died a few years ago of a heart attack
38	okay and any allergies	okay and any allergies
39	no i do not have any allergies	no i do not have any allergies
40	and are you working at the moment	and are you working the moment
41	yeah i actually work in university	yeah i actually work in university
42	okay so do you have any ideas as to what might be the cause of your symptoms at the moment	okay so do you have any ideas as to what might be the cause of your symptoms at the
43	not really i dont know what may be happening but whether its even related to my moms condition but i dont know exactly what she had	not dont what may be happening whether its even related to my moms condition but i dont know exactly what she had
44	so its from the history that youve given me it sounds like you might have a condition called inflammatory bowel disease which your gp may have mentioned but in order to diagnose you with this we will need to do some further tests and investigations to confirm that diagnosis	so its from the history that given me it sounds like you might have condition called inflammatory bowel disease gp may have mentioned but in order to you with this will need to do some further and investigations to confirm that diagnosis
45	so to start rest id like to examine you today and do some basic measurements like blood pressure and heart rate and temperature and i would also like to get some routine blood test and arrange some stool tests as well to send off to the labs does that sound okay to you	so to start rest id to examine you today and do some basic measurements like blood pressure and rate and temperature and i would like to get some routine blood and arrange some stool tests as well to send off to the labs does that sound okay to you
46	yeah could you tell me a little bit more about inflammatory bowel disease is it something that i could be treated and cured off or	could you tell me little bit more about inflammatory bowel disease is it something that i could be and cured off or
47	so there are two main types of inflammatory bowel disease both types are chronic which means that you know you will have them lifelong but we can use medications to improve the symptoms and to try and normalise your bowel habit as much as possible	so there two main types of inflammatory bowel disease both types chronic which means that you know you will have them lifelong but we can use medications improve the symptoms and to try and normalise your bowel habit as much as
48	i dont know at the moment which type of inflammatory bowel disease you have whether its ulcerative colitis or crohns disease and thats why well require a colonoscopy which is a camera test it goes up the tail end and we take some photographs on some biopsies to look at the lining of the bowel to try and decide which type of inflammatory bowel disease you have okay does that sound okay to you	i dont know at the moment which type of inflammatory bowel disease you have whether its ulcerative colitis or crohns disease and thats why well require a colonoscopy which is a camera test it goes up the tail and we take some photographs on some biopsies to look at the lining of the bowel to try and decide which type inflammatory bowel disease you have okay does that okay to you
49	okay so ill arrange those those tests for you and then well see you back in clinic in around eight weeks time	okay ill arrange those those tests for you and then well see you back in clinic in around eight weeks time
50	okay thank you	okay thank you
51	hello my name is amy im one of the gastroenterology doctors can i take your name please	hello my name is amy im one of the gastroenterology doctors can i take your name please
52	sure its ally cotter	sure its ally cotter
53	and so youre youve come to the ibd clinic today and you want to tell me what kind of symptoms youve been having	and so youre youve come to ibd clinic today and you want to tell me what kind symptoms youve been having
54	um for the last few months probably three months ive been having quite a lot of bloody diarrhoea um and i think ive noticed some weight loss as well	um for the last few months probably three months been having quite a lot of diarrhoea um and i think ive noticed some weight loss as well
55	okay and when youve noticed the blood has it been mixed in with your stool or has it been just wiping or	okay and when youve noticed the blood it been mixed in with your stool or has it been just wiping
56	mixed in yeah	mixed in yeah
57	yeah okay and how much weight do you think youve lost	yeah okay and how weight do think youve lost
58	im not sure probably four or five kilograms as well its also the diarrhoea i also get some pain as well	im sure probably four or five kilograms as well its also the diarrhoea i also get some pain as well
59	okay and is the pain just there when youre moving your bowels or is it there all the time	okay and is pain just there youre moving your bowels is there all the time
60	um no its just kind of cramping comes and goes	um no its just of cramping comes and goes
61	okay and hows your appetite been	okay and hows your appetite been
62	um not great actually yeah its been reduced	um not great yeah its been
63	yeah any problem with swallowing or mouth ulcers or anything like that	yeah any problem with swallowing or ulcers or anything like that
64	okay and is there any family history of anything	okay and is there any family history of anything
65	um my moms dads my grandfather has ulcerative colitis	um my moms dads my grandfather has ulcerative colitis
66	so i think hes had some problems with his bowels	so i think hes some problems with bowels
67	okay and have you ever had bowel problems before this has happened	okay and have you ever had bowel problems before this has happened
68	no okay and are you working at the moment or	okay and are you working at the moment or
69	um im a student	um im a student
70	youre a student okay and i know you havent had any bowel problems in the past have you had any other medical conditions	youre a student okay and know you havent had any bowel problems the past have you had any other medical conditions
71	um no im just asthmatic	um no im just asthmatic
72	and have you noticed any skin changes or joint pains	have you noticed any skin changes or joint pains
73	ive had some rashes on my shins but theyre theyre not itchy or anything they didnt bother me	ive had rashes on my shins but theyre not or they didnt bother me
74	okay okay and have they sort of come and gone a bit or have they	okay okay and have sort of come and gone a or have they
75	yeah okay and whats your understanding so far of what investigations youve had	yeah and whats your so far of investigations youve had
76	um well ive had the camera test and i think theyve done some tests on my stool as well and im just kind of in the dark waiting to hear kind of whats been happening	well ive had the camera test and theyve done some tests on my stool as well and im kind of in dark waiting to hear kind of whats been happening
77	okay so your stool cultures have been negative so thats the exclude any infective cause of your diarrhoea and obviously youve had your colonoscopy and we took some biopsy results and so that sort of confirms the diagnosis of something something called ulcerative colitis which is a type of inflammatory bowel disease i dont know if youve heard of those terms before	okay so your stool cultures have been negative so thats the exclude any infective cause of your diarrhoea and obviously youve had your colonoscopy and we some biopsy results and so that sort of confirms the of something something called ulcerative colitis which is a type of inflammatory bowel disease i know if youve heard of those terms before
78	ive heard my granddad having it but i havent i dont know much about it	ive heard my granddad but i dont know much about it
79	okay so its sort of chronic inflammatory disease affecting predominantly the bowel but it can affect other parts of the body like skin joints sometimes even the eyes um but thats more unusual um so we were planned to start you on some steroids initially to try and reduce the inflammation down and also medication called pentasa which is a maintenance therapy um so have you had any steroids at all yet from your gp or	so its sort chronic inflammatory disease predominantly the but it affect other parts of the body like skin joints sometimes even the um but thats more unusual um so were planned to start you on some steroids initially to try and the inflammation down and also medication pentasa which a maintenance therapy so have had any steroids at all yet from your gp or
80	no okay so well get you started on those and then arrange to see you back in clinic in a couple of weeks time to see how youre getting on okay have you got any questions youd like to ask about that or	no okay so well get you started on those and then arrange to see you back in clinic in a of weeks time to see how youre getting on okay you got any questions youd like to about that or
81	um so this maintenance treatment like how long do you think i need to be on that for	so this maintenance treatment like how long do you think need to be on that
82	so everyones a little bit different in terms of how their disease course progresses um some people are you know very well controlled on therapy for for years and some people have a bit more of a rough ride and require other medications to be added in as well so well keep you on it for you know at least the first year or so and then well review things after that and but also with colitis is a chronic long term condition that youll have for the rest of your life and have to sort of learn to live with as well but theres lots of support available for you as well so	everyones a little bit different in terms of how their course progresses um some are you know very well on therapy for for years and some people a bit more of a rough ride and require other medications to added in as well so well you on it for you know at least the first or so and then well review things that and but also with colitis chronic long term condition that youll have for the rest of your life and have to sort of learn to live with as well but theres lots of support available for you as well so
83	yeah thank you very much	yeah thank you very much
84	okay thank you	okay you
85	hello im amy im one of the gastroenterology doctors can i take your name and date of birth please	hello im amy im one the gastroenterology doctors can i take your name and date of birth please
86	yeah sure its annie caldwell and its the second of february 1982	yeah sure its annie caldwell and the second of february 1982
87	great thank you and so what brings you to clinic today annie	great thank you and so what brings you clinic today annie
88	um so i have crohns and i have had for many years	um i have crohns and i have had for many years
89	for about 20 years now um and ive tried loads of treatments for this and recently its been quite well controlled but recently my bowels have been kind of more watery and ive been going more frequently and im just feeling really tired and lethargic and exhausted um so and ive had to take time off work actually	for about years now um and ive tried loads of treatments for this and recently been quite well controlled but recently my bowels have been kind of more watery and ive been going frequently and im just feeling really tired lethargic and exhausted um so and ive had to time off work
90	okay oh im sorry to hear that so i know that youve previously been on a combination of steroids and azathioprine and now youre on something called adalimin adalimumab	okay oh im sorry to hear that so i that youve previously been on a combination of steroids and azathioprine and now youre on something called adalimin adalimumab
91	yes thats right	yes thats right
92	and how have you been getting on that	and how have you been getting that
93	um its been fine its like my symptoms have been well controlled and ive been getting on fine with my life but it just seems to be recently that its kind of my symptoms kind of come back again but i dont really know whats been happening	um its fine its like my symptoms have been well controlled and been getting on fine with my life it seems to be recently its kind of my symptoms kind of come back again but i dont really know whats been happening
94	okay and are you managing to take your injections regularly	okay you managing to your injections
95	at home and things any problems with the injection sites	at home and things problems with the injection sites
96	no no	no no
97	im usually quite good of my treatments	im usually quite good of my
98	okay and have you noticed any blood in your bowel motion or is it just very watery	okay and you noticed blood in your bowel or is it just very watery
99	no no blood actually just kind of watery going more often	no blood actually just kind of watery more often

0

hello my names amy kousha im one of the gastroenterology doctors at the clinic today can you tell me your name and date of birth please

hello my amy kousha one of the gastroenterology doctors at the clinic today can you tell me your name and date of birth please

1

my name is bide and my date of birth is first of january of 1990

my is bide and my date of first of january of 1990

2

so bide i understand that you went to see your gp with some changes in your bowel habit can you tell me some more about those symptoms

so bide understand that you went to see your gp with changes in your bowel habit can you tell me some more about those symptoms

3

ive been having loose stools diarrhoea for the past few months and i went to my gp

ive been loose stools diarrhoea for the past few and went to my gp

4

okay so prior to three months would you say that your bowel habit was normal

okay so prior three months would you say that your bowel habit was normal

5

and have you being passing any blood in your bowel motions

and have you being passing any blood in your

6

yeah i do i do get blood in my bowel and my stool and its kind of mixed with the stool

yeah i do i do get blood in my bowel and my stool and its kind of mixed the stool

7

and has the blood passage of blood being going on for a few months as well or has that been a more recent change

and has the of blood on for a few months as has that been a more recent change

8

um that has been happening more recently

um that has been happening more

9

okay and have you noticed any mucus as so that white stringy substance being passed in your stool

okay and have you noticed mucus so that white stringy substance being in your stool

10

yeah now that you mention it yeah i do i do noticed that

yeah now you mention it yeah i i do noticed that

11

and what about your weight

and what about weight

12

so yes it seems like ive lost a little bit of weight simply because my clothes are loosened i havent actually measured it but i people do tell me that ive lost weight

yes it seems like ive lost a little bit simply because my clothes loosened havent measured it but people do tell me that ive lost

13

okay and have you noticed any abdominal pain

have you noticed any abdominal pain

14

yeah i do get a lot of abdominal cramps stomach cramps and thats been also getting worse recently

yeah i do get a lot of abdominal cramps stomach cramps and thats been also getting worse

15

and can you tell me when your abdominal pain is worse

and can you tell me when abdominal pain is

16

it seems like its worse just before going to the toilet and then once i opened my bowels its better

it seems like its worse before going to the toilet and then i opened my bowels its better

17

okay and is it very severe or is it just mild cramping

okay and is it very severe or is it just

18

i wouldnt say its severe that i have to be bend double but it is not mild it is moderate perhaps

i say its severe that i have to bend double but it is not mild it is moderate perhaps

19

okay and have have you had any episodes like this before of diarrhoea and blood being passed

okay and you had any episodes like this before of diarrhoea and blood being passed

20

no i think its been all in the past few months before that i had no problems with my bowel motion

no i think its been all in the past months before i had no problems with my bowel motion

21

okay and have you noticed any joint pains

22

maybe some pain in my knees especially my right knee

maybe some pain in my knees especially my right

23

but no not anywhere else

24

any rashes or skin changes that youve noticed

any rashes or changes that noticed

25

and any problems with nausea or vomiting or swallowing

any problems with nausea or vomiting or swallowing

26

okay so i understand that your gp started you on some steroids is that right

okay so i understand that your gp started you on some is that

27

yeah so thats correct my gp started me on some steroid tablets which made me feel better initially but its not completely back to normal

yeah so thats correct my gp started me on some steroid tablets which me feel better initially but its not completely back to normal

28

okay and do you have any other medical conditions

okay and do you any other medical conditions

29

um i suffer from asthma for which id taken inhalers okay nothing else

um i suffer asthma for which id inhalers nothing else

30

and do you smoke

31

uh yeah i do

32

how many do you smoke a day

33

perhaps about 10 a day

34

and do you drink alcohol

35

only socially

36

okay and is there any family history that you feel might be important and significant medical problems in your family

okay and is there any family history that you feel might be important significant medical problems in your family

37

uh my my mom had bowel problems but she died a few years ago of a heart attack

uh my my mom had bowel but she died a few years ago of a heart attack

38

okay and any allergies

39

no i do not have any allergies

40

and are you working at the moment

and are you working the moment

41

yeah i actually work in university

42

okay so do you have any ideas as to what might be the cause of your symptoms at the moment

okay so do you have any ideas as to what might be the cause of your symptoms at the

43

not really i dont know what may be happening but whether its even related to my moms condition but i dont know exactly what she had

not dont what may be happening whether its even related to my moms condition but i dont know exactly what she had

44

so its from the history that youve given me it sounds like you might have a condition called inflammatory bowel disease which your gp may have mentioned but in order to diagnose you with this we will need to do some further tests and investigations to confirm that diagnosis

so its from the history that given me it sounds like you might have condition called inflammatory bowel disease gp may have mentioned but in order to you with this will need to do some further and investigations to confirm that diagnosis

45

so to start rest id like to examine you today and do some basic measurements like blood pressure and heart rate and temperature and i would also like to get some routine blood test and arrange some stool tests as well to send off to the labs does that sound okay to you

so to start rest id to examine you today and do some basic measurements like blood pressure and rate and temperature and i would like to get some routine blood and arrange some stool tests as well to send off to the labs does that sound okay to you

46

yeah could you tell me a little bit more about inflammatory bowel disease is it something that i could be treated and cured off or

could you tell me little bit more about inflammatory bowel disease is it something that i could be and cured off or

47

so there are two main types of inflammatory bowel disease both types are chronic which means that you know you will have them lifelong but we can use medications to improve the symptoms and to try and normalise your bowel habit as much as possible

so there two main types of inflammatory bowel disease both types chronic which means that you know you will have them lifelong but we can use medications improve the symptoms and to try and normalise your bowel habit as much as

48

i dont know at the moment which type of inflammatory bowel disease you have whether its ulcerative colitis or crohns disease and thats why well require a colonoscopy which is a camera test it goes up the tail end and we take some photographs on some biopsies to look at the lining of the bowel to try and decide which type of inflammatory bowel disease you have okay does that sound okay to you

i dont know at the moment which type of inflammatory bowel disease you have whether its ulcerative colitis or crohns disease and thats why well require a colonoscopy which is a camera test it goes up the tail and we take some photographs on some biopsies to look at the lining of the bowel to try and decide which type inflammatory bowel disease you have okay does that okay to you

49

okay so ill arrange those those tests for you and then well see you back in clinic in around eight weeks time

okay ill arrange those those tests for you and then well see you back in clinic in around eight weeks time

50

okay thank you

51

hello my name is amy im one of the gastroenterology doctors can i take your name please

52

sure its ally cotter

53

and so youre youve come to the ibd clinic today and you want to tell me what kind of symptoms youve been having

and so youre youve come to ibd clinic today and you want to tell me what kind symptoms youve been having

54

um for the last few months probably three months ive been having quite a lot of bloody diarrhoea um and i think ive noticed some weight loss as well

um for the last few months probably three months been having quite a lot of diarrhoea um and i think ive noticed some weight loss as well

55

okay and when youve noticed the blood has it been mixed in with your stool or has it been just wiping or

okay and when youve noticed the blood it been mixed in with your stool or has it been just wiping

56

mixed in yeah

57

yeah okay and how much weight do you think youve lost

yeah okay and how weight do think youve lost

58

im not sure probably four or five kilograms as well its also the diarrhoea i also get some pain as well

im sure probably four or five kilograms as well its also the diarrhoea i also get some pain as well

59

okay and is the pain just there when youre moving your bowels or is it there all the time

okay and is pain just there youre moving your bowels is there all the time

60

um no its just kind of cramping comes and goes

um no its just of cramping comes and goes

61

okay and hows your appetite been

62

um not great actually yeah its been reduced

um not great yeah its been

63

yeah any problem with swallowing or mouth ulcers or anything like that

yeah any problem with swallowing or ulcers or anything like that

64

okay and is there any family history of anything

65

um my moms dads my grandfather has ulcerative colitis

66

so i think hes had some problems with his bowels

so i think hes some problems with bowels

67

okay and have you ever had bowel problems before this has happened

68

no okay and are you working at the moment or

okay and are you working at the moment or

69

um im a student

70

youre a student okay and i know you havent had any bowel problems in the past have you had any other medical conditions

youre a student okay and know you havent had any bowel problems the past have you had any other medical conditions

71

um no im just asthmatic

72

and have you noticed any skin changes or joint pains

have you noticed any skin changes or joint pains

73

ive had some rashes on my shins but theyre theyre not itchy or anything they didnt bother me

ive had rashes on my shins but theyre not or they didnt bother me

74

okay okay and have they sort of come and gone a bit or have they

okay okay and have sort of come and gone a or have they

75

yeah okay and whats your understanding so far of what investigations youve had

yeah and whats your so far of investigations youve had

76

um well ive had the camera test and i think theyve done some tests on my stool as well and im just kind of in the dark waiting to hear kind of whats been happening

well ive had the camera test and theyve done some tests on my stool as well and im kind of in dark waiting to hear kind of whats been happening

77

okay so your stool cultures have been negative so thats the exclude any infective cause of your diarrhoea and obviously youve had your colonoscopy and we took some biopsy results and so that sort of confirms the diagnosis of something something called ulcerative colitis which is a type of inflammatory bowel disease i dont know if youve heard of those terms before

okay so your stool cultures have been negative so thats the exclude any infective cause of your diarrhoea and obviously youve had your colonoscopy and we some biopsy results and so that sort of confirms the of something something called ulcerative colitis which is a type of inflammatory bowel disease i know if youve heard of those terms before

78

ive heard my granddad having it but i havent i dont know much about it

ive heard my granddad but i dont know much about it

79

okay so its sort of chronic inflammatory disease affecting predominantly the bowel but it can affect other parts of the body like skin joints sometimes even the eyes um but thats more unusual um so we were planned to start you on some steroids initially to try and reduce the inflammation down and also medication called pentasa which is a maintenance therapy um so have you had any steroids at all yet from your gp or

so its sort chronic inflammatory disease predominantly the but it affect other parts of the body like skin joints sometimes even the um but thats more unusual um so were planned to start you on some steroids initially to try and the inflammation down and also medication pentasa which a maintenance therapy so have had any steroids at all yet from your gp or

80

no okay so well get you started on those and then arrange to see you back in clinic in a couple of weeks time to see how youre getting on okay have you got any questions youd like to ask about that or

no okay so well get you started on those and then arrange to see you back in clinic in a of weeks time to see how youre getting on okay you got any questions youd like to about that or

81

um so this maintenance treatment like how long do you think i need to be on that for

so this maintenance treatment like how long do you think need to be on that

82

so everyones a little bit different in terms of how their disease course progresses um some people are you know very well controlled on therapy for for years and some people have a bit more of a rough ride and require other medications to be added in as well so well keep you on it for you know at least the first year or so and then well review things after that and but also with colitis is a chronic long term condition that youll have for the rest of your life and have to sort of learn to live with as well but theres lots of support available for you as well so

everyones a little bit different in terms of how their course progresses um some are you know very well on therapy for for years and some people a bit more of a rough ride and require other medications to added in as well so well you on it for you know at least the first or so and then well review things that and but also with colitis chronic long term condition that youll have for the rest of your life and have to sort of learn to live with as well but theres lots of support available for you as well so

83

yeah thank you very much

84

okay thank you

okay you

85

hello im amy im one of the gastroenterology doctors can i take your name and date of birth please

hello im amy im one the gastroenterology doctors can i take your name and date of birth please

86

yeah sure its annie caldwell and its the second of february 1982

yeah sure its annie caldwell and the second of february 1982

87

great thank you and so what brings you to clinic today annie

great thank you and so what brings you clinic today annie

88

um so i have crohns and i have had for many years

um i have crohns and i have had for many years

89

for about 20 years now um and ive tried loads of treatments for this and recently its been quite well controlled but recently my bowels have been kind of more watery and ive been going more frequently and im just feeling really tired and lethargic and exhausted um so and ive had to take time off work actually

for about years now um and ive tried loads of treatments for this and recently been quite well controlled but recently my bowels have been kind of more watery and ive been going frequently and im just feeling really tired lethargic and exhausted um so and ive had to time off work

90

okay oh im sorry to hear that so i know that youve previously been on a combination of steroids and azathioprine and now youre on something called adalimin adalimumab

okay oh im sorry to hear that so i that youve previously been on a combination of steroids and azathioprine and now youre on something called adalimin adalimumab

91

yes thats right

92

and how have you been getting on that

and how have you been getting that

93

um its been fine its like my symptoms have been well controlled and ive been getting on fine with my life but it just seems to be recently that its kind of my symptoms kind of come back again but i dont really know whats been happening

um its fine its like my symptoms have been well controlled and been getting on fine with my life it seems to be recently its kind of my symptoms kind of come back again but i dont really know whats been happening

94

okay and are you managing to take your injections regularly

okay you managing to your injections

95

at home and things any problems with the injection sites

at home and things problems with the injection sites

96

no no

97

im usually quite good of my treatments

im usually quite good of my

98

okay and have you noticed any blood in your bowel motion or is it just very watery

okay and you noticed blood in your bowel or is it just very watery

99

no no blood actually just kind of watery going more often

no blood actually just kind of watery more often

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