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gayanin

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babylon-noised

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yeah

yeah

sure ok alright um fine so your uh your past medical history you mentioned heart failure any any other medical history i should be aware of

sure ok alright um fine so your uh your past medical you mentioned heart failure any other medical history i should be aware of

ok

ok

ok great i am yes nice to see you here oscar um how can i help you this afternoon

ok i am yes nice to see you here oscar um how i help you this afternoon

ok and when when you say a small heart attack did they give you a name for what happened a a name of a diagnosis

ok and when you say a small heart attack did they give you a name for what happened a a name of a diagnosis

its more hard to say ok was it like angina or um

more hard to ok was it like angina or um

ok

ok

ok

ok

ok

ok

youve been ok since then ok alright so apart from the uh the heart the heart problems the heart failure any other problems i should be aware of

youve been ok since ok alright so apart from the uh the heart the heart the heart any other problems should be of

ok um do you take any regular medications apart from your diuretics that youre taking and do you know which ones

ok um do you take any regular medications from your diuretics that youre taking and do you know which

do you know which dose youre taking

do you know youre taking

thats ok

thats

no problems um

no problems um

ok do you want to tell me a bit more about it when did it all start

ok do want to tell me a bit more it when did all start

any other medications

any other medications

ok

ok

the metoprolol was it

the metoprolol was it

or

or

sorry the connections not very good ok thank you yeah

sorry the connections not very good ok you yeah

and a thousand ok alright any allergies at all any medications

a ok alright any allergies all any medications

ok and is there anything in the family thats uh that thats uh thats important for me to know any family history of medical problems heart problems lung problems

ok and is there anything in the family thats uh that uh important for me know any family history of problems heart problems lung problems

im sorry to hear that and um how old was your father when he passed away

im sorry that and um how old was your when he passed away

early sixties ok alright anything else i should be aware of

early sixties ok alright anything else i be aware of

ok

ok

is your mother still with us

is your mother still with us

ok alright um and socially sir just tell me a bit more about your situation at home who lives at home with you

ok alright um and socially sir just tell me a bit more about your situation at home who lives at home with you

youve got two cats ok great do they have names

youve got two cats great do they

ok

ok

um so its just you and your cats and um in terms of day to day are you working at the moment

um so its just you and your cats and um in terms of day to day are you working at the moment

ok and how is that is that quite stressful long hours

ok and is that is that quite stressful long

mm

mm

yeah thats certainly a consideration isnt it so lets lets try and get you better soon so it doesnt have any um impact on your on your job

yeah thats certainly a consideration isnt it so lets lets try and get you better soon so it doesnt any um impact on your job

ok

ok

uh and do you find yourself doing a lot of anti social hours do you do you do a lot of night driving weekend driving

uh and do you find doing a lot of anti social do you do you a of night driving weekend driving

ok

ok

ok alright and what about smoking and alcohol so cause that can sometimes be very important when it comes to heart problems do you do you smoke at all

alright and what about smoking and alcohol so cause can be very important when it comes to heart problems do you do you smoke

so you used to smoke

so you used

and how many did you smoke a day on average

and how many did you a day on average

um and how many how many years was that for

um and how many how many years that for

ok and what about the stopping that must have been difficult for you stopping um and what what about alcohol

ok and what about the stopping that must have been difficult for stopping um and what about alcohol

ok do you do much in the way of exercise sir

ok do you do much the way of exercise sir

ok

ok

ok ok is there anything youre particularly worried about

ok ok there anything youre particularly worried about

ok

ok

right ok and certainly now your symptoms you youre you said youre feeling more breathless even walking to the uh to the shop she said

right ok and certainly now your symptoms youre you said youre feeling more breathless even walking to the uh to shop she said

um right ohh um based on your based on you history and having listened to your story i i wonder whether youve had a flare up of your heart failure sir um

um right ohh um based on your based on you history and having to your i i wonder whether youve had a flare of your heart failure sir um

which can sometimes happen um um and uh

which can happen um um and uh

its so it seems like your hearts not pumping as well as it should be um and obviously having diagnosed with heart failure theres obviously

its so it seems your hearts pumping as well as it should be um and obviously having diagnosed with heart failure theres obviously

um thats the first thing that comes to my mind um now theres a couple of options move forward um

um thing that comes to my mind um now theres a couple of options move forward um

given that youre otherwise well at the moment and having examined you your chest and your saturations and blood pressure are all ok

given that youre otherwise well at the moment and having examined you your chest and saturations and blood pressure are all ok

im quite happy to increase your dose of furosemide maybe rather than one tablet a day we can do two tablets a day for the first few days

quite happy to increase your dose of furosemide maybe rather than one tablet a day we can do two a day days

um and see and see how youre getting on

and see and see how youre getting on

uh

uh

ok

ok

i think i think its its its definitely worth treating your symptoms but what we should also think about is maybe doing a couple of other tests like a blood test and maybe an echocardiogram of your heart to see how well your hearts pumping

i think think its its its definitely worth treating your symptoms what we should also think about is maybe doing a couple of other tests a blood test and maybe an echocardiogram your heart to see how your hearts pumping

is that something youve had before yeah so um an its a its a general scan of your heart you might have had this done before when you were diagnosed and its just to get a good

is that something had before yeah so um an its a its a general scan of your heart you might had this done before when you were diagnosed and its just to get a good

sorry

sorry

you remember that ok fine thats something i can organize for you today and and that might take a week or two weeks for that to be organized but i think certainly in the meantime lets um

you that fine thats something i can for you today and and that might take a week or two weeks for that to be organized but i think certainly in the meantime lets um

lets lets get a blood test done we can check your um you know your full blood count look for signs of anemia we can have a check of your kidney function

lets lets get a blood test done we can check your um you know your blood count look for signs of anemia we can have a check of your kidney function

um and we can definitely increase your um your furosemide uh to you know one tablet twice a day

um and we definitely increase your um your furosemide uh to you know one tablet twice day

but i really like would like you to come back and see me in about a weeks time see how youre getting on that sound reasonable

but i really like would you to come me in about a weeks time see how youre getting on that sound reasonable

and of course in the meantime if you are getting more unwell feel like youre getting more breathless or youre having any other symptoms like chest pain or palpitations or dizziness then uh you know i want you to give me a call sooner than that and we can have a chat on the phone as well

and of in the meantime if you are getting more unwell like youre getting more breathless or youre having any other like chest pain or palpitations or dizziness then uh you i want you to give me a call sooner than that and we can have a chat on the phone as well

ok do you have any questions for me

ok do you have any questions for me

great and then well i wish you all the best have a good day ok thank you

great and then well i wish you all best have a good day ok thank you

ok

ok

hello there

hello there

yes i can hear you

yes i can hear you

um and i got a bit breathless when i was first diagnosed and put on some medicine that that um that helped but im a bit worried its just getting worse

um and i got a bit breathless when i was first diagnosed and put on medicine that that um that helped but im a bit worried its just getting worse

no pain in my chest

in my

um

um

uh ive got a bit of a dry cough but its not too troublesome

uh got a bit a dry cough but its not too troublesome

um im feeling a little run down um but otherwise otherwise pretty normal

um im feeling a little run down um but otherwise pretty normal

ive noticed my ankles have got a bit bigger

ive noticed my ankles have a bit bigger

uh its just like its sort of swollen up a bit

uh its just like its sort of swollen up a bit

kind of um yeah both ankles yeah its a bit embarrassing

kind of um yeah both ankles yeah its a bit embarrassing

um i kind of noticed it the last few days

um i of noticed the last few days

uh i think my ankles did swell up a bit last time the heart failure was a problem

uh i my ankles up bit last time the heart failure was a problem

are you the doctor

are you the

no not really

no not really

uh no

uh no

yeah i im thats fine

yeah i im thats

uh yeah but yeah i usually pee a lot ever since the drugs

uh yeah but yeah usually pee a lot ever since the

uh well i was told i had like a they called it like a small heart attack

uh well i was told i like a they called it like a small heart attack

about five years ago um i uh i had i i had like some chest pain and they took me into hospital

about five years ago um i uh i had i i had some chest and they took me into hospital

and um they uh but then i just got better

and um they but then i just got better

um

um

uh i cant remember they just called it something a uh something like that a small heart attack

uh i cant remember they called it something a uh something like that heart attack

um

um

um im contacting you because ive been quite short of breath lately

um im contacting you because been quite short of breath lately

uh no they they said that it uh it seemed it was like more than angina

uh no they they said it uh seemed it was more than angina

um uh but um i didnt but i only had to stay in hospital for a few days and uh

um uh but um i didnt but i only had stay in hospital for a few days and uh

and yeah ive been ok since then

and yeah ive ok since then

uh no i think im otherwise im ok

uh no i think im otherwise im ok

uh yeah i take something called furosemide

uh yeah i called furosemide

i cant remember im sorry doctor i have to check

i cant remember im sorry doctor i have to check

uh yeah i take aspirin

yeah i take aspirin

and uh bisoprolol

and uh bisoprolol

uh bisoprolol

uh bisoprolol

um

um