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I think yeah. OK. Um are you on any medication at all? Uh just Seroxat. OK. Uh do you have any allergies at all to any medication? No I've just really pollen allergy. That's all I have. OK so hay fever. Yes yeah just hay fever. Alright. Um are you um you're working at the moment? Uh I

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am yes. What do you work as? I work as a nurse. OK all right. Um and um you're up to date with all the vaccinations Hepatitis B and that kind of thing? Yes indeed. Yeah. OK. But I'm I'm really struggling quite a lot at work at the moment. Sure. It's been quite difficult feeling so uh tired all the time. Sure OK. Um and are you a uh are you a smoker at all? No I'm not. OK

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Hi there good morning. Or good afternoon sorry. Hello there. Hi. Uh good afternoon. This is Jack. Good afternoon. Hi. This this is Doctor Deen Mirza from GP at Hand. Hi there. Hi. So before we start your appointment could I please confirm your full name and date of birth? Yes uh my name is Jack Armani. That's great thank you. And my date of birth is twelve August nineteen fifty eight.

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That's great thank you for that. Um are you in a private place where you're OK to speak at the moment? Yes I am. OK. So how can I help you today? I am. So I woke up um this morning and um. Hello? Yeah I'm still here Yeah. Uh so I'm a bit worried 'cause I woke up this morning about an hour ago

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and I couldn't move my left arm any more. OK. Uh and how's your arm right now? Um. Well like I feel no pain but just uh can't move it. That you still can't move. And and what time did you wake up? You said it was an hour you're sure about that? Yes. OK um. Now can I just double check? Has this ever happened before?

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No. No uh it's really the first time. OK. And did you sleep anything in an awkward position or in a different bed or anything like that last night? Uh no uff everything as usual. OK. Um and um is there any discoloration in your hand? Um no. OK um does your hand feel cold? Mmm no really the

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the arm feels fine apart from me not being able to move it. OK. And it's to your on your left side. Have you had any symptoms in your left leg at all? No but um I feel a bit of tingling on the left side of my face. Right OK. Um and how long has that tingling been there for? Uh since I woke up. Um since I started to feel the since

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since the the arm really it stopped moving so an hour ago. OK um. Now um I can't see you. It's it's telephone appointment. Have you noticed any kind of um asymmetry in your face or did your face expression look different on one side compared to the other or anything different at all? Um. Mmm no not really it's just.

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Uh having like a bit of issues like uh I was trying to drink earlier and I'd be bold a bit and and the tingling on on the left side. OK. So um you have some difficulties swallowing is that right? Um yeah. OK. Any problems with your speech? Is your is your is your speech different to how it um sounds normally? Um

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yeah it feels a a bit harder . It's more complicated maybe maybe um be more slow. I need to think more about it. OK. Is there anyone at home with you? Uh no. OK. Is this something I should be worried about? Um well um I'm I'm concerned that some of the symptoms you've got may be um symptoms of a stroke. Hmm OK? wow.

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So um that's something that can be dealt with but it needs to be dealt with as an emergency in a hospital. Would should I call would you be able to call the ambulance for me? Yeah I'm I'm happy to do that. Um what we need to do is to make sure that they've got access to you when you come. So um maybe you could uh leave the front door um unlocked sit in the hallway. But I'm gonna arrange one of my colleagues next to me to um call an ambulance to your home address now. OK. OK. Thank you.

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So that's being done right now as we speak. Uh while we're waiting for that I'm just gonna ask you a few more questions. Is that OK? Sure. OK. Do you have any other illnesses at all? Um. I have uh type two diabetes and uh high blood pressure. OK. And um are you on any medication for that? Um I'm taking Metformin losartan and Amlod.

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dipine. OK. Do you have any um uh allergies to any medication? Um only penicillin I believe. OK. Um are there any illnesses in your family at all? Uh my dad has got um heart disease. But uh but don't I don't know more detail. OK anyone else? Not really. And um

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Hi. Hello. Hi hi I'm Maria. Hello I'm Doctor Jacob and welcome to Babylon. How are you doing? I'm all right thank you. Well I feel a little weird today to be honest. Yeah so just before we we start is it all right if you could confirm your full name for me please? Yes. Maria Trabalotsa. OK

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day and your date of birth? That is the first of October ninety-nine. OK and your email address for me please? Yes M Traba at Gmail dot com. OK and just to confirm that you're in a secure location and we can have a confidential conversation? Yes I think I am yeah. Good right you've mentioned in in in your patient notes that you're having

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some sort of lip swelling and you after you had a sandwich. Is that correct? Yeah that is well I don't think I don't think it was it it wasn't a sandwich but it was it was something with prawn so. Basically I I sometimes go with my friends to to this place called fatfat. And we we regularly have like usually I have like a normal vegetarian soup

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or something. Mm-hmm. And yeah and then I wanted to try something new. Mm-hmm. Um so what happened was I I ordered a prawn soup it it's it it's called it's like a soup I ordered a prawn one this time. Yeah. And yeah and then my feel like my lips started feeling a little weird just in the in the corner sort of on the left first. Mm-hmm. And then I don't know and then

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we went back we had little bit of chat of banter I wasn't really paying attention. Uh now I feel the that there is a swelling there is like a swelling on my on my upper lip and it's kind of getting bigger. I don't know what to do. Right. All right. So when did you have the prawn soup? What time? That was that must have been just after work so maybe like around seven.

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OK around seven o'clock and um how long did it take to develop the swelling? Well I wasn't really paying attention so it must have been like must have been like I don't know half an hour maybe. OK in half an hour you developed the swelling yeah? Yeah. OK and it's getting bigger and bigger? Yeah it's it it still feel it like really pumping blood and it's kinda getting bigger

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it feels like it's getting worse. OK. So just a few more questions. Um so you mentioned about your swelling of your lips. Is there any feeling of swelling in in your throat like your throat is closing up any feeling like that? Yeah actually I I feel like I can't breathe that well right now. OK. And do you feel like like your chest is tight? And I don't know if it's the chest it just

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generally feels a little difficult OK. but yeah it might be I'm not sure. OK right. And just a few have you ever these any kind of lip swelling in the past? After eating any food? Yeah well maybe I remember like a year ago. A year ago I was out with my friends. Mm-hmm. And

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I think we went like to a late night kinda Chinese place and I remember that I was quite drunk to be honest. Sure OK. And I remember that after like having that very late. I've woke up the next morning quite swollen up and had also I OK. felt really bad and quite difficult breathing Right. but I don't know what it was I had it was like a curry or something I think. OK