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400 | ok | ok |
401 | ok so not not regular um and what about alcohol | ok so not not regular um and what about alcohol |
402 | socially with work | socially with work |
403 | um ok um so um | um ok um so um |
404 | just having listened to your story um uh really just to summarize you know since the last four days youve been feeling generally quite unwell sore throat runny nose bit of a dry cough bit of muscle pain weakness | just having listened to your story um uh just to summarize you know since the last days been feeling generally quite unwell sore throat runny nose bit of a dry cough bit of muscle pain weakness |
405 | um had initial fever but now settled um i dont think theres a lot to worry about i think you probably have you know a bit of a viral what we say viral illness maybe a viral upper respiratory tract infection or maybe early signs of a flu | um initial fever now settled um i dont think theres a lot worry about i think probably have you know bit of a viral what we say viral illness maybe a viral upper respiratory tract infection or maybe early signs of flu |
406 | um these normally last about seven to days and just gets better really um over time but things you can do to really help yourself um is get plenty of rest id probably advise you taking a day or two off work if you can um | um these normally last about seven to days and just gets better really um over time but things you can do to really help yourself um is get of rest id probably advise you taking a day or two off work if you can um |
407 | making yourself pushing fluids and make yourself well hydrated continue with the regular paracetamol ibuprofen um and and you should see how things go really um if next week youre still not better id like you to come back and see me | making yourself pushing fluids and make yourself well hydrated continue the regular ibuprofen um and you should how things go really um if next week youre still not like you to come back see me |
408 | um is that clear does that does that make does that make | um is that clear does that does that make does that make |
409 | yeah yeah | yeah yeah |
410 | ok ok and did you have any uh difficulty or pain on swallowing | ok ok and did you have any difficulty or on swallowing |
411 | and things to look out for if youre really not getting better if you if you have a high fever or your breathing is becoming a bit more labored or chest pain id like you to come back and see me much sooner give me a call um and we can help you out ok | and things to look out for youre really not better you if you have a high fever or your is becoming a bit more labored or chest pain id like to come back and see me much sooner give me a um and we can help you out ok |
412 | great have a great day good luck with your work thank you bye bye bye bye | great have a great day luck with your work thank you bye bye bye |
413 | ok | ok |
414 | you did you manage to have a look at the back of your throat in the mirror | you did you manage to have a look at the back of your throat in the mirror |
415 | um | um |
416 | no um i i didnt think about uh | no um i i didnt think about uh |
417 | yeah yeah its uh its clearing up | yeah yeah uh its clearing |
418 | sort of um sort of getting my nose stuffed all the time its very had to uh to get it free | sort of um sort of getting my nose stuffed all the its had uh to get it |
419 | yeah quite congested | yeah congested |
420 | um yeah that started recently like just uh um maybe yesterday and um its uh its dry for now its its not very painful but its sort of there all the time | yeah that started recently like uh um maybe yesterday and um its uh its dry for now its its not painful but its sort of there all the time |
421 | sorry | sorry |
422 | um | um |
423 | no its its um its sort of its sort of constant um i forgot to mention that um im also having uh night sweats | no its um its sort of sort of constant um i forgot mention that um im also uh night sweats |
424 | thats thats very odd actually makes me a bit tired um makes my uneasy | thats thats odd actually makes me a bit tired um makes my uneasy |
425 | alright so ive been feeling ive been feeling kind of uh under the weather for the past four days | alright so ive been feeling ive been feeling kind of uh under the weather for the past four days |
426 | yeah yes | yeah yes |
427 | um i i had some some fever in the beginning but its now sort of uh going down i ive been taking some paracetamol and ibuprofen for that and uh they they help | i i had some some fever in the beginning but its now sort of uh down i ive been taking some paracetamol and ibuprofen for that and uh they help |
428 | um so no pain in chest but uh i noticed that i um um so i feel a bit winded on exertion so if i i i havent been going going to the gym thus uh because of that | um so no pain in chest but uh i that i um um so feel a bit winded on exertion so if i i i havent been going going to the gym thus uh because of that |
429 | yeah | yeah |
430 | yeah yeah when when when im resting its ok so ive been actually going to work um sort of managing | yeah yeah when when when im resting its ok ive been actually going to work um sort of managing |
431 | um no | um no |
432 | no i dont think so | no i dont think so |
433 | um yeah yeah that thats still thats still there | um yeah yeah that thats still there |
434 | um its sort of general uh and uh theyre not theyre not always there but you know every now and then they will come and go | um its sort general uh and uh not theyre always there but you know every now then they will come and go |
435 | um it started with the um uh sore throat and runny nose and | it started with um uh sore throat runny nose and |
436 | um no | um no |
437 | no i dont think so | no i dont think so |
438 | no none of that | no none of that |
439 | uh yeah yeah think so | uh yeah so |
440 | yeah yeah | yeah yeah |
441 | yeah ive been ive been drinking a lot more than the usual but uh so other than that so | yeah ive been been drinking a lot more than the usual uh so other than that so |
442 | um maybe a bit less than uh than what i i would usually have | um maybe a bit less than uh than what i would usually have |
443 | um no no | um no no |
444 | yeah yeah yeah thats that sort of started in the past couple days | yeah yeah yeah thats sort of started in past couple days |
445 | um so otherwise that uh im im fine theres um there isnt anything that im taking or im being treated for | um so otherwise that uh im fine theres um there isnt anything that im or im being treated for |
446 | its sort of um its sort of going into a cough now um the sort throat is kind of going away but um im starting to cough | its sort of its sort of into a cough now sort is kind of going away but um im starting to cough |
447 | um | um |
448 | um no | um no |
449 | um yeah my grandma has diabetes um and my grandma | um yeah my has diabetes um and grandma |
450 | i think i think its type two | i think its type two |
451 | yeah i i think um one of my uh great grandads had an eczema | yeah i think um one of my uh great grandads had an eczema |
452 | ohh um i live alone | ohh um i live alone |
453 | yeah yeah | yeah yeah |
454 | im an im an accountant | im an im an accountant |
455 | um a little bit ive been a bit slower and you know its uh its its a bit of a stressful period just around the um end of the year right | um a little bit ive been a bit slower and you know its its its a bit of a stressful period just around the um end of year |
456 | and uh kind of uh bad and tired | and uh kind of uh bad and tired |
457 | um no i think i think its its the you know its the good kind of stress its um its good work | um no i think i think its its the you know its good kind of its um good work |
458 | i dont know i i like my job its just you know its a bit more work than usual | i dont know i i like my job its just know its a bit more work than usual |
459 | um yeah occasionally you know cigars and things on company parties | um yeah occasionally know cigars and things on company parties |
460 | no | no |
461 | um occasionally yeah i would have some im im not a very big drinker | um occasionally yeah i would have some im im not a very big drinker |
462 | yeah | yeah |
463 | yeah yeah thats thats it makes sense uh i think ill take a couple days off and see how it goes | yeah yeah thats thats it makes sense uh think ill a days off and see how it goes |
464 | yeah | yeah |
465 | yeah yeah i understand uh ill uh ill take care | yeah yeah i understand uh ill uh ill take care |
466 | thank you thank you you too bye bye | thank you thank you you too bye bye |
467 | um so i i you know i think i it all started with uh this colleague of mine she just kept sneezing next to me all the time i think her kids are catching something from the | um so i you know i think it all started with uh this colleague of mine she just kept sneezing next to me all the time i think her kids are catching something from the |
468 | uh from their kindergarten or something and uh you know the it it started as normal sore throat and uh was quite painful for a couple days but then it was past | uh from their kindergarten or something and uh you know the it it started as normal sore throat and uh was quite painful for a couple days but then it was past |
469 | um yeah yeah it was uh it was quite painful to swallow for one or two days | um yeah yeah it was uh it was quite painful to for one or two days |
470 | um no not really | um no not really |
471 | hello | hello |
472 | good morning tim um how can i help you this morning | morning tim um how can i help you this morning |
473 | mm hmm ok um and with the pain have you noticed any other symptoms at all so for example lets lets focus first on your bowels are your bowels working ok | mm hmm ok um with pain have you noticed any other symptoms at all so for example lets focus first on your bowels are your bowels working ok |
474 | ok so youve got no other symptoms like diarrhea or loose stools | ok so got no other symptoms like or loose stools |
475 | no | no |
476 | ok and what about your waterworks are you passing urine ok | ok and about your are you passing urine ok |
477 | mm | mm |
478 | and when you mentioned pink urine do you was there any blood at all in your urine or was it difficult to say | and when you mentioned pink urine do you there any blood at all your it difficult to say |
479 | ok alright but otherwise it doesnt hurt uh or or or sting when you pass urine | ok alright but otherwise doesnt hurt uh or or or sting when you pass urine |
480 | ok | ok |
481 | ok um ok and um moving on to other symptoms have you noticed any vomiting or feeling nauseous at all | ok um ok and um moving on to other have you noticed any vomiting or feeling nauseous at all |
482 | ok | ok |
483 | no vomiting any temperatures or fevers | no vomiting any temperatures fevers |
484 | ok fine um uh uh and kim have to ask um uh all all all patients this this question is about your cycle if you dont mind me asking um are you currently um are you currently sexually active | ok fine um uh and kim have to ask um uh all all all patients this this question is about your cycle if you dont mind me asking um are currently you currently sexually |
485 | ok so youve had no other partner since then | ok youve had no other partner since then |
486 | ok um uh and do you use any contraception at all | ok um uh and do you any contraception all |
487 | at the moment ok fine um are you still having periods | at the ok fine um are you still having periods |
488 | when was your last period | when your last period |
489 | two week scare ok so is there any chance you could be pregnant i know youve got an implement in there but is there any chance you could potentially be pregnant its something for us to think about | two week scare ok so is there any you could be pregnant i know youve got an implement in there but is there any chance could potentially be pregnant its something for us to think about |
490 | yeah ok well its something for us to think about um uh maybe worth taking a pregnancy test later on just to confirm that um | yeah ok well its something for us to think um uh worth taking pregnancy test later on just to confirm that um |
491 | ok and and so just to summarize so far if you dont mind its really for the last couple of days its tummy pain thats really affected you mainly lower down towards your belly button its quite burning you said its getting worse um you noticed some pink urine | and and so just to summarize far if you dont mind really for the couple of days its tummy pain thats affected you mainly lower down towards your belly button its quite burning you said its getting worse um you noticed some pink urine |
492 | um but no burning or stinging pain when you pass urine your bowels are working ok | um but no burning or stinging pain when you pass urine bowels are working ok |
493 | right im sorry to hear that when when did your symptoms all start | right im sorry to hear that when when did your symptoms |
494 | youve felt a little bit nauseous um and feeling hot and sweaty have i got that all right | youve felt a little nauseous um and feeling hot sweaty have got all |
495 | is there anything else perhaps that you feel like you should share with me at this stage anything that might be important | is anything else perhaps that feel like you should share me at this stage anything that might be important |
496 | yeah ok um tell me tell me a bit more about your um medical history otherwise are you normally fit and well | yeah ok um tell me tell me a bit more about your um medical history otherwise are you normally fit and well |
497 | ok um have you had anything like this before in the past any similar symptoms | ok um have you had like this in the past similar symptoms |
498 | no ok um | no ok um |
499 | fine um any other family history i should be aware of anything relevant family uh related to bowels maybe related to history | fine any family i should be aware of anything relevant family uh related to bowels maybe related to history |