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[ "", "Hello?", "", "Hello? I can hear you, can you hear me? <UNIN/>. Excellent, just before I go any further, can you confirm your name and your age, please?", "", "OK. And how can I help you Mrs Smith?", "", "Right, well <UNIN/>, I, thank you for coming in, so hopefully we can help with your symptoms. Um, so you mentioned it started a few days ago. Um, so, can you tell me a bit more about that, what kind of pain it is, that you're experiencing?", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>, OK. And, and, uh, the pain in your tummy, is it, can you describe the <UNIN/>, the pain to me? Is it cramping, burning, sharp?", "", "Right, <UNSURE>right</UNSURE>, OK, OK. Um, fine. And, have you found yourself going to the toilet more often than normal?", "", "No, OK, fine. Have you noticed any, any funny colour to your urine? So, has there been, uh, <UNIN/>, any blood in your urine? Have you noticed any other darkening of urine?", "", "Yes.", "", "<INAUDIBLE_SPEECH/>", "", "OK, fine, OK. Um, right, let me just <UNIN/>, write a few notes down as well. Um.", "", "<UNIN/>, and you mentioned a tummy pain, that also started a few days ago. Does the pain move anywhere else? Does it move towards the back, or towards your flank, the sides?", "", "No, OK, fine. With those symptoms, have you noticed any other symptoms like nausea, vomiting?", "", "OK. Any fevers, or temperatures?", "", "<UNIN/>, sorry, was there any, any fevers or temperatures? Sorry, I didn't hear you.", "", "No fever, OK, fine, sorry. Um, OK. Um, in terms of your bowel, are your bowels working OK?", "", "<UNSURE>So, uh, by that I mean</UNSURE>, um, any, any diarrhoea, loose stool?", "", "OK, all right. And um, Jessica, sometimes we have to ask very private sensitive questions, uh, just to <UNIN/>, get a full history. Um, hope you don't mind me <UNSURE>asking</UNSURE>, but are you currently sexually active?", "", "<UNSURE>OK, is</UNSURE> that with a regular, partner?", "", "Fine, OK. Um, have you noticed any other discharge from, from down below?", "", "No, OK. When was your last um, uh, last STD screen? If, if ever?", "", "No, OK, fine. <UNSURE>And</UNSURE>, and um.", "", "Do you use any form of contraception, at all?", "", "You use condoms, OK. And when was your last, period?", "", "Three weeks ago, OK. Is there any chance you could be pregnant perhaps?", "", "Is there <INAUDIBLE_SPEECH/> any chance you could be pregnant?", "", "No, no. <UNIN/>, it's always worth asking uh, young females like yourself, um. Uh, um, so if that obviously you are worried about the pain.", "Um, not getting any better, uh, then I'd always <UNIN/>, advise getting a pregnancy test, to rule out pregnancy. OK? Um, fine. So just moving on, moving on. Are you otherwise fit and well?", "", "And so by that I mean, do you have any other medical problems, medical <INAUDIBLE_SPEECH/>, medical history?", "", "OK. Do you take any regular medications?", "", "OK. So you've tried that and it didn't help? OK, all right. Um, do you have any allergies to any medications?", "", "And what happens when you take Clindamycin?", "", "<UNSURE>Right then</UNSURE>, OK. So it's quite a, seems like a quite severe allergy to it, is <UNIN/>, is that right? Um, OK. Fine. In terms of your family history, is there anything I should be aware of, um, related to kidneys, bladder, bowels, guts?", "", "OK, all right. And tell me a bit more about your home situation. Who's lives, who's at home with you?", "", "OK, and what <INAUDIBLE_SPEECH/>.", "", "OK, and are you a, are you working at the moment, or are you a student?", "", "OK, and what are you studying?", "", "And how's that going?", "", "<INAUDIBLE_SPEECH/> <UNSURE>great</UNSURE>. Do you have any aspirations for the future, in terms of careers?", "", "<UNIN/>, <UNSURE>recommend</UNSURE> it, we need doctors. Um, what about smoking and alcohol? Do you drink much in the way of, <INAUDIBLE_SPEECH/>, do you, do you smoke, or do you drink much in the way of alcohol?", "", "<UNIN/>, <UNSURE>so</UNSURE> socially, OK. All right. Um, right, excellent. So, um, at this stage I <UNIN/>, I would proceed to examination.", "But um, based on your story, um, just to summarise really. So, last three days, you've been having bit of burning pain on passing urine. A bit of, crampy tummy pain lower down.", "Um, <UNIN/>, essentially but, but no other fevers or back pain, uh, if I, if I understand correctly.", "I <UNSURE>think</UNSURE> probably do have what we call a simple UTI or urinary tract infection, bladder infection, um, which can be readily treated. So, I'll give you a course of antibiotics today.", "Something, called either Nitrofurantoin, or Trimethoprim. Uh, and it's normally a three day course. Uh, so, one tablet, twice a day, for three days.", "And <UNIN/>, that <UNSURE>should</UNSURE> hopefully help your symptoms, but I also advise you to drink plenty of fluids. Let's try and flush that, you know, that infection out of your body, if you can.", "Um, you can try, cranberry juice, that can sometimes help with your symptoms.", "Um, and if you're still not better, by the end of this week, I want you to give me a call or come back and see me. And uh, we can have another look at your symptoms.", "", "OK.", "", "<UNSURE>Yeah</UNSURE>, yeah absolutely. And things to look out for would be, you know, if you are having kind of, high temperatures, a back pain, um just <UNIN/>, generally feeling more unwell.", "Uh, you know, I do <UNSURE>want you</UNSURE> give me a call back, 'cause then we do worry whether your infection may be spreading up towards your kidneys, which is something we wanna avoid. So, do, do give me a call if you're having any concerns, OK.", "", "Yeah I mean if you can try and avoid it, I think that'd be sensible. Um, uh, <INAUDIBLE_SPEECH/> it's great that you're using barrier contraception. I <UNSURE>would</UNSURE> recommend you to continue using barrier contraception, but if you can avoid it while your symptoms clear up. That'd probably be the best for you and your boyfriend,<INAUDIBLE_SPEECH/>.", "", "All right.", "", "Great.", "", "<UNSURE>Thank you</UNSURE> very much. Wish you all the best.", "", "<INAUDIBLE_SPEECH/>", "" ]

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[ "", "Hello? Hi. Um, should we start? Yeah, okay. <UNSURE>Hello how</UNSURE> um. Good morning sir, how can I help you this morning?", "", "<UNIN/> Sorry to hear that. Um, and and when you say diarrhea, what'd you mean by diarrhea? Do you mean you're going to the toilet more often? Or are your stools more loose?", "", "<UNIN/>", "", "Okay. And how many times a day are you going, let's say, in the last couple of days?", "", "Six, seven times a day. And you <UNIN/> mention it's mainly watery. Have you noticed any other things, like blood in your stools?", "", "Okay. And you mentioned you've had some pain in your tummy as well. <UNIN/> Whereabouts is the pain, exactly?", "", "One side. <UNSURE>And</UNSURE> what side is that?", "", "Left side. Okay, and can you describe the pain to me?", "", "Okay. And is the pain, is that, is it there all the time, or does it come and go?", "", "<UNSURE>Come</UNSURE> and go. Does the pain move anywhere else, for example towards your back?", "", "Okay, fine. And you mentioned you've been feeling quite weak and shaky as well. What do you mean by shaky? Do you mean you've been having, uh have you been feeling feverish, for example?", "", "<UNIN/>", "", "<UNSURE>You</UNSURE> measure your temperature then?", "", "Okay. Okay. Any other symptoms like sweating, or um, night <UNSURE>sweats</UNSURE>? No? And, uh, any vomiting at all?", "", "<UNSURE>You</UNSURE> stopped vomiting, okay. And was your vomit, I know it's not <UNSURE>a nice thing</UNSURE> to talk about, but was it just normal food colour <UNIN/> Yeah. And there was no blood in your vomit, is that right?", "No, okay. Um, and um, any any other symptoms at all? So you mentioned tummy pain, you mentioned diarrhea, you mentioned your vomiting, uh, anything else that comes to mind?", "", "<UNIN/> Okay.", "", "Okay, so you're drinking fluids. Um, what kind of foods have you managed to eat, <UNSURE>if</UNSURE> anything?", "", "Okay. Fine. Um, and sir <UNIN/> <UNSURE>these</UNSURE> started three days ago the symptoms. <UNSURE>Are you</UNSURE> aware of any triggers which may have caused the <UNSURE>symptoms</UNSURE> uh to kick on. So <UNSURE>for</UNSURE> example, <UNSURE>think like</UNSURE> takeaway foods or eating out or <UNSURE>being</UNSURE> around other people <UNSURE>with</UNSURE> similar symptoms.", "", "<UNSURE>Okay</UNSURE>.", "", "Do you remember <UNSURE>where</UNSURE> you ate?", "", "Okay. Anyone else unwell with similar <UNSURE>symptoms</UNSURE>?", "", "Okay, okay. Fine. Um, alright. And uh, in terms of your <UNIN/>, your overall health, are you normally <UNSURE>fit and</UNSURE> well? Or, uh", "", "Okay. And, is your asthma well-controlled?", "", "Fine. And you don't have any other tummy problem, bowel problems I should be aware of?", "", "No, okay. Um, and <UNIN/> apart from the inhalers, do you take any other medications?", "", "<UNSURE>Okay</UNSURE>, fine. And in terms of just your day to day life, you said it's been affecting your life, um, in what way has it been affecting your life?", "", "Okay.", "", "Yeah.", "", "And have you, are you currently working at the moment? <UNIN/>", "", "<UNSURE>Would, would</UNSURE> work.", "", "Okay. Have you been going into work the last three days, or <UNSURE>have you</UNSURE> been at home?", "", "<UNIN/> <UNSURE>okay</UNSURE>. That must be difficult for you then.", "", "<UNIN/> <UNSURE>fine</UNSURE>. And you said, you mentioned you live with your wife and two children, is that right?", "", "<UNSURE>Right</UNSURE>, alright. Um, just <UNSURE>a</UNSURE> couple of other question we need to ask, <UNSURE>sir</UNSURE>. Um, do you smoke at all?", "", "And do you drink much in the way of alcohol?", "", "Okay. <UNIN/> so um, er normally at this stage I like to um, examine you if that's okay, but um, um, but but having listened to your story, sir, I think uh, um, just to recap <UNIN/> for the last three days you've been having loose stool, diarrhea, a bit of tummy pain uh mainly on the left-hand side, um and <UNIN/> vomiting and <UNSURE>fever and</UNSURE> you're quite weak and lethargic um, you mentioned you had this Chinese takeaway as <UNSURE>little as</UNSURE> three days ago and I wondered whether that might be the cause of your problems.", "Um, it seems like you may have something, uh, called gastroenteritis, which essentially just a tummy bug or infection of your <UNSURE>uh</UNSURE> of your tummy.", "Uh, mainly caused by viruses but there can be a possibility of bacteria uh causing <UNSURE>its</UNSURE> symptoms. Um.", "", "At this stage, uh, what, what we'd recommend is just what we <UNSURE>say</UNSURE> conservative management. So, um, I don't think you need anything like antibiotics. It's really just, um, making sure you're well hydrated, so drinking fluids.", "", "Um, <UNIN/> there are things like Dioralyte you can get from the pharmacy, which uh it's um it helps helps replenish your minerals and vitamins.", "Um, and if you are having vomiting diarrhea I <UNSURE>would say</UNSURE> recommend <UNSURE>that</UNSURE> in the first, you know, first couple of days.", "<UNIN/> If you are feeling feverish and weak, <UNSURE>eh</UNSURE> taking some paracetamol, uh, <UNIN/> two tablets up to four times a day for the first few days can also help.", "I <UNSURE>will</UNSURE> certainly advise you to take some time <UNSURE>off</UNSURE> work, <UNSURE>actually</UNSURE> I know you're quite keen to work but I would say the next two, two to three days as <UNSURE>the infection</UNSURE> clears from your system to take some time off and rest.", "Um, <UNSURE>I'll admit</UNSURE> if your symptoms haven't got better, you know, in in three to four days, <UNSURE>I'd</UNSURE> like to come and see you again. <UNIN/>", "Because if it is ongoing then we have to wonder whether something else <UNSURE>caused</UNSURE> your symptoms.", "<UNSURE>Uh</UNSURE>, and we may need to do further <UNSURE>tests</UNSURE> like um taking a sample of your stool so we can test that.", "Um, etcetera etcetera.", "", "How's that sound?", "", "<UNIN/> Do you have any questions for me?", "", "Okay, and is uh is the treatment plan clear?", "", "Great. Well, I wish you all the best.", "", "<UNIN/> Thank you. <UNSURE>Bye bye</UNSURE>.", "" ]

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[ "", "Hello, how are you?", "", "<UNSURE>Oh</UNSURE> <UNSURE>hey</UNSURE>, um, I've just had some diarrhea for the last three days, um, and it's been affecting me I need to stay close to the toilet. And, um, yeah, it's been affecting my day-to-day activities.", "", "Yeah, so it's like loose and watery stool, going to the toilet quite often, uh and like some pain in my, like, lower stomach?", "", "<UNSURE>Um</UNSURE>, probably like six or seven times a day? Yeah.", "", "No, no blood, yeah, just watery and loose stool.", "", "Yep.", "", "So <UNIN/> in my lower abdomen, so, uh, like, um...yeah, just to one side.", "", "Uh, on the left side.", "", "Yeah, it feels, um, like a cramp, like a muscular cramp, and, um, yeah i feel a bit uh weak and shaky.", "", "Uh, it comes and goes.", "", "Uh...no, just maybe my stomach.", "", "<UNSURE>Yeah</UNSURE>.", "", "Um, yeah, it doesn't feel like -- yeah, it just <UNSURE>makes</UNSURE> me feel weak. I haven't had a fever, um, at the moment, but I did notice um a temperature when the symptoms started, so, um, yeah around about three or four days ago.", "", "Yeah, I <UNSURE>uh</UNSURE> I didn't mention my temperature, no, but I felt, um, just a bit hot. <UNSURE>And</UNSURE>, <UNSURE>y'know</UNSURE>.", "", "Uh, no.", "", "Yeah, so um, I vomited at the start of the symptoms but now um I've stopped vomiting.", "", "Yeah, yeah, just normal vomit, yeah. No no <UNSURE>blood</UNSURE>, no. Yeah.", "", "Yep. Um, I had a loss of appetite, um, so I haven't been eating as much, but I've been able to hold down fluids.", "", "Yep.", "", "Um, just soups, and, uh, yeah, light foods. Like smoothies and, yeah, liquid foods mainly.", "", "<UNIN/>", "", "Yeah, so I had takeaway about four days ago, um, <UNSURE>uh</UNSURE>, but other than that I've, yeah, been, uh, eating normally. Nothing unusual here.", "", "Um, yeah, I <UNIN/> ate at a Chinese restaurant with friends. Yeah.", "", "Um, so no one else in the family, so <UNIN/> a wife and two kids and one, um, child was vomiting, but they haven't got diarrhea. There's no one with the same symptoms.", "", "Um, yeah, I mean, other than um athsma, um I use an inhaler, everything uh else is fine.", "", "Uh, yeah, that's fine. I just, yeah, use an inhaler, and uh that's under control.", "", "No.", "", "Uh, no, no other medications.", "", "Yeah.", "", "Uh, so, I need to stay close to the toilet 'cause I go quite frequently during the these past three days. Um, yeah, other than that, it's uh, yeah, the main concern.", "", "Uh, <UNSURE>yes</UNSURE>, yeah. I I work, er. Um, I'm an accountant.", "", "Uh, yeah, I've been going to work. Yeah. Yeah, it's been quite difficult.", "", "Yes, yeah.", "", "Uh, no, I don't smoke.", "", "Uh, no, I I don't drink alcohol, no. <UNIN/>", "", "Yeah.", "", "<UNIN/>", "", "Okay.", "", "<UNIN/>", "", "Yeah.", "", "Yeah.", "", "<UNIN/>", "", "Mm-hmm.", "", "Okay.", "", "Yep.", "", "<UNSURE>Yep</UNSURE>.", "", "Okay.", "", "Yeah.", "", "Okay, <UNSURE>sure</UNSURE>.", "", "Yep.", "", "<UNIN/>", "", "Yep, sure, yep.", "", "That sounds great, yeah. Yeah.", "", "Um, no, no further questions, <UNSURE>no</UNSURE>.", "", "Uh, <UNSURE>yes</UNSURE>, yeah, that's that's very clear. Thank you.", "", "Okay, thank you. Bye.", "" ]

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[ "Hello?", "", "Uh uh yes. I think. It's a bit better. It's a bit, it's a bit, it's not very clear. But <UNIN/> let's continue anyway.", "", "Uh, OK. Let's start again. So how can I help you sir?", "", "OK.", "", "No, no problem. I'm happy to help. Um whereabouts in your skin is it affected?", "", "Yeah.", "", "<INAUDIBLE_SPEECH/>", "", "No no, OK. <INAUDIBLE_SPEECH/> I'm <UNSURE>certain </UNSURE> this is obviously affecting you. And uh we'll try our very best to get get this sorted out for you. Um, have you had anything like this before in the past?", "", "OK.", "", "OK.", "", "Did it help?", "", "<UNSURE>OK</UNSURE>.", "", "OK.", "", "Do you remember the name of the cream you bought?", "", "OK, steroid, OK. <UNIN/> um <UNIN/> would you say these symptoms are very similar to your eczema symptoms, or different?", "", "OK.", "", "<INAUDIBLE_SPEECH/>", "", "Yes.", "", "No. <UNIN/> Well OK. That's <UNIN/> so you mentioned the itchiness. Um you also mentioned it's been quite sore.", "Um have you, have you noticed any uh bleeding or discharge from your skins?", "", "OK.", "", "You've not, haven't uh seen any other uh pus or blood, coming out of your skin.", "", "No. And you mentioned it all started three days ago.", "", "Are you, four days ago. Are you aware of any triggers, or anything that you may have done, that may have caused your symptoms to start?", "So for example, have you changed your uh shower gel, any clothing?", "Have you been around anyone else?", "", "Mm.", "", "Mm. No no, OK. That's OK. Um", "Fine, so just to resummarize. For the last four days, you've had very itchy skin, very sore skin all over your body, mainly your chest. And did you also mention your arms and legs as well?", "", "<INAUDIBLE_SPEECH/>", "", "OK. <UNIN/> anything on your face at all?", "", "On your face?", "", "No, OK. And apart from this, any other symptoms have you noticed? For example, have you noticed any temperature or fevers?", "", "Itchy. OK. So your, your bowels are working OK?", "Your chest is OK? No cough, no breathing difficulties?", "", "You're passing urine OK.", "", "OK, alright. Um", "", "It's always good to know. So, I mean, do you have any ideas as to what could be causing your symptoms?", "", "Any ideas, as to what could be causing your symptoms?", "", "<INAUDIBLE_SPEECH/>", "", "OK. That's OK. So um, normally at this stage I like to examine you. Um", "To see the rash itself, to see exactly what type of rash it is. But from what you've told me, you mentioned it's, you've got some dry skin and some, uh cracked skin as well.", "Uh and has been very itchy. And so would your um", "", "Uh your your background of eczema. Um", "<UNSURE>So</UNSURE>", "Sorry to say, there's a couple of questions I wanted to ask you, which I completely forgot, my apologies. Um, apart from the eczema, do you have any other medical problems I should be aware of?", "", "OK. Not anymore, OK. And do you take any regular medications at the moment?", "", "No, OK. Do you have any allergies to anything?", "", "<UNIN/> sorry I said do you have any allergies to anything?", "", "<INAUDIBLE_SPEECH/>", "", "Hello?", "", "<UNIN/> can you hear me? That's alright I think it <UNIN/>. Uh do you have any allergies at all?", "", "No, OK. Um and tell me about your um uh your situation at home. Who do you live with?", "", "OK. And what do you do for work?", "", "OK. Uh no no no that's <UNIN/>, that's absolutely fine. Um just a couple of questions I want to ask you, which can sometimes affect your symptoms, is, do you smoke at all?", "", "No. And do you drink much in the way of alcohol?", "", "OK. OK. OK I've got to say, at this stage I've got to say <UNIN/> this sound quality is not uh great. But I will continue because we've come this far. Um", "So um, based on everything you mentioned <UNSURE>Sarah </UNSURE>, <UNIN/> I do wonder whether this is a flare-up of your eczema. Um", "The reason being that you said it was quite itchy. Um it's mainly affecting your chest and your back.", "Um and uh, having looked at your skin, uh the the the rash does appear quite familiar. Um you mentioned <UNIN/> using steroid creams, yesterday.", "Um from the pharmacy. I wonder whether giving you a stronger prescription of a <UNIN/> of a steroid may be beneficial.", "Uh, which I'm happy to prescribe to you today. As well as, I'm going to give you something, some emollients, which helps to moisturize the skin.", "Um which <UNIN/> use in the bath and shower. And it's definitely worth um using that for the first seven to ten days.", "Uh before we make the decision on whether it's working or not.", "Um it's also worth um using antihistamines, which you can sometimes buy over counter.", "Things like Loratadine or Piriton, which can help the itchiness of your skin.", "And uh, um it's also worth keeping a diary of any triggers which are affecting your symptoms, anything you wear or anything you use, in terms of shower gels or soap.", "Because if that's causing your symptoms, then we need to have a discussion about an eczema CU.", "", "Ohh, could you say that again, sorry?", "", "OK.", "", "<UNIN/> OK. So it's something for you to think about. <UNIN/> you can get different types of antihistamines. I can give you something a little bit stronger today as well.", "Um, something like Fexofenadine, which I can give to you today. It's definitely worth trying, and it's not going to do you any harm.", "Um but I <UNIN/> think using the steroids and the emollients, um on a regular basis", "Uh over the next week to ten days, should hopefully <UNIN/> control your symptoms. But do come back and see me next week, if things don't get better.", "", "OK? Um do you have any questions for me?", "", "OK. Well I wish you all the best.", "", "Thank you. Have a good day.", "" ]

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[ "", "Hello. Can you hear me well?", "", "OK.", "", "Yes. So, it's been a few days now. I have like a sore, and a red skin. It's kind of, it's really itchy, and it's like super annoying. So I'd like to find something quick to solve it.", "", "Uh, mostly like my chest, my, my hands, my arms. Like, like really, it's it's super annoying. Like it's itching a lot, like all the time. And", "I can't even sleep at night. <UNIN/> I really need something quickly to, to solve it. Because even at work I, I can, when I'm in a meeting and I have to, like uh think about my work, I can't focus, I can't actually focus on my work. It's really annoying because I can't actually think about, uh, what I have to say. I'm always like, uh, disturbed by this disease.", "", "Um so yes. Uh earlier I was like prescribed for my eczema.", "And <INAUDIBLE_SPEECH/> they gave me like some cream, and something to, uh when I like <UNIN/> shower, when I was in the shower, had to put something. But um", "", "Um I mean, at that time yes. That's, those symptoms, like these symptoms appear like, when the symptoms appeared again, I tried those and it didn't work.", "I've tried a few things. Like I bought a, a steroid cream at the pharmacy last night. But it apparently didn't help, because it's still itching a lot today. Uh, yeah.", "", "A steroid cream.", "", "Um", "", "<UNIN/> it's much more like itchy. And my eczema was more like only in the arm. But now it's <UNIN/> also on the chest. And in the on the, on the hands as well.", "Like <UNSURE>pretty</UNSURE>, yeah when, like I like, for instance hiking, during the weekend. And", "I am, I can't really do it anymore, because it's like very <UNIN/> like I wanted to do that last weekend. And because super painful, and I I have to take like showers every day to be able to, cannot uh ease this itching part, which is very very annoying.", "", "Yeah.", "", "<UNIN/>. OK.", "", "No. Um so my skin is a bit cracked in some parts, like kind of cracked, if you see what I mean. But uh, yeah.", "", "No.", "", "Four days ago.", "", "No I <UNIN/>. It's actually like, it's really annoying, because I'm thinking about, <UNIN/> maybe I should change something. Because I I haven't, and I don't understand <UNIN/> I cannot, um afraid of asking people around me because it's cannot you know um, I don't feel really comfortable asking about these questions. It's kind of intimate that. So I <INAUDIBLE_SPEECH/> your help now.", "", "<UNSURE>Yeah</UNSURE>.", "", "Uh, no. Just the chest, hands and like, like inside the elbows. Yeah.", "", "Am I what?", "", "On my face? No.", "", "No. <UNIN/> just very itchy. Nothing else.", "", "No.", "", "I I think so.", "", "Any what?", "", "Um <UNIN/> so I had eczema before. So maybe it's <UNSURE>disease</UNSURE>, but it seems like more uh, like uh my eczema was only on the arms. So, I'm I'm not sure. I I really have no idea.", "", "Yeah.", "", "Uh, no. I just had asthma in the past. But not anymore.", "", "Uh no.", "", "I <UNIN/> like some <UNIN/>, sorry? Yeah?", "", "Hello? Yes.", "", "Ohh, allergies. Uh, no.", "", "Uh so, I live with a few flatmates. I'm a, so you know I'm thirty one. Uh I, yeah I'm I have a full time job. And so I'm living with a few people to save money.", "", "Uh I work uh at a pharmaceutical company.", "So it's been a, it's been a few years now. Uh it's uh, it's kind of interesting. We're working I'm a, like a kind of project manager. Uh I mean, do you want to, to know more about it?", "", "No.", "", "<INAUDIBLE_SPEECH/>", "", "Uh you know, <UNIN/> once in a while I can, I like hanging out with people once in a while. So yeah I'd say a few, a few beers per week. Something like this. Nothing, nothing crazy. I used to drink a lot more when I was younger. But it's been, it's been a while. <UNIN/>", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "OK.", "", "OK.", "", "OK.", "", "OK.", "", "OK.", "", "OK. Yes, I have tried antihistamines, uh lately, but it didn't really help.", "", "I have tried uh antihistamines, but uh but it didn't really help.", "", "OK.", "", "That sounds good.", "", "Uh, no that's it. Thank you very much. Bye. Thank you as well. Bye.", "" ]

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[ "", "Hello?", "", "Hello there. It's uh Doctor <UNIN/> here. How can I help you this afternoon?", "", "I'm sorry to hear that. Um can you tell me a bit more about the headache?", "", "<INAUDIBLE_SPEECH/>", "", "Mm-hmm.", "", "Mm, OK. And <INAUDIBLE_SPEECH/>", "", "Well, let's try our best. Let's try and get you, let's try and get you well, soon. Um you mentioned it's on your left hand side. Is that right? And it started at mid-day, a few hours ago.", "", "OK. Um did the pain come on quite suddenly? Or was it more of a gradual build up?", "", "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?", "", "And is it moving anywhere else, at all?", "", "Uh OK. Is that when you move your neck?", "", "OK. Um", "", "OK. Is that all you're worried about?", "", "Is that, is that all your main worries today?", "", "Oh dear, I'm sorry to hear that. I can, I can understand why it's affecting you. Um", "But <INAUDIBLE_SPEECH/> why don't we, why don't we take a good history first, and let me examine you. And then we can have a little chat afterwards, and see what's going on here.", "Um so you mentioned a few things. You mentioned a headache. You also mentioned some disease, like Lyme's, uh before the headaches came on.", "And your vision has been blurry as well. Is that right? Is that <INAUDIBLE_SPEECH/>, is that on both eyes, or just in left, left eye?", "", "Both eyes, OK. Have you any difficulty with seeing bright lights, at all?", "", "Ohh, I see OK. Um and you mentioned that you felt quite nauseous. Have you vomited at all?", "", "Twice, OK. Um <UNIN/> earlier today, OK. Um, any temperatures or fevers?", "", "OK. Um, any other funny skin rashes that you may have noticed?", "", "OK. Um fine. Um, and do you normally get headaches?", "", "OK. And what happened then?", "", "How long did it last for?", "", "Did you do anything that made it better?", "", "Yeah.", "", "<INAUDIBLE_SPEECH/>", "", "Yeah. <UNSURE>Yeah</UNSURE>.", "", "Yeah. Yeah. <INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "Yeah, sure. I mean I can see your concern obviously is a lot, there's a lot of worry there.", "Um but you know let let let, as I said let's take it step by step, um to see exactly what the cause of these headaches are first. Um, I'm just going to ask you some, um very uh yes no questions if that's OK, ma'am. Um", "Um have you noticed any problems with your speech at all, any difficulties with your words?", "", "Any problems with your arms and legs? For example numbness or weakness?", "", "Any difficulty with 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, alright. Um and and you're feeling otherwise OK. So, for example your um", "Uh your your breathing's OK? You're not feeling breathless, or", "", "No, OK. Um do you have any other medical history I should be aware of?", "", "No. So for example, have you had, has anyone told you you've had migraines in the past?", "", "No, OK. Do you <UNIN/>", "", "<UNSURE>OK</UNSURE>.", "", "Right, <UNIN/> 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?", "", "What was that, sorry?", "", "<INAUDIBLE_SPEECH/> <UNSURE>thyroid </UNSURE> as well. OK. Um OK any other problems with for example, the brain, or? Um you mentioned brain cancer. Any other family history of <UNIN/>?", "", "No, OK. Um in terms of medications, do you take anything on a regular basis?", "", "OK. And how long have you been on that for?", "", "Three months, OK. And is that mainly for contraception, or is that for something else?", "", "OK, alright.", "", "That's something you meant 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.", "And your work, is your job quite stressful at the moment?", "", "<UNSURE>Have you been</UNSURE>", "", "<UNIN/>. Is it getting you down?", "", "OK, alright. And what kind of things do you do to alleviate your stress, normally?", "", "OK. Do you do much in the way of exercise?", "", "No, OK. Um who's at home with you?", "", "OK. Um are you coping OK at the moment?", "", "Yeah? OK. Um do you smoke at all? <INAUDIBLE_SPEECH/> and do you drink much in the way of alcohol?", "", "OK, alright. Um, so normally at this <UNIN/> I'd like to kind of proceed to examination. Um", "That's um <INAUDIBLE_SPEECH/> based on your story, um I wonder whether you may, uh may have a migraine, uh <UNIN/> migraine type headache. Uh it sounds", "Um, very classical of that, of that nature, the the the <UNIN/> headache on one side, throbbing nature, the nausea, vomiting, um sensitivity to bright lights.", "Uh, I'm reassured that you don't have anything more serious, such as meningitis, or indeed", "Brain cancer, I know that was a big worry of yours initially. <UNSURE>Um</UNSURE>", "", "<UNIN/> yeah. Yeah.", "Well, I hope that puts your, you know, <UNIN/> mind at ease. Um, certainly this is the second migraine you've had in the space of a month. Um,", "So I think, moving forwards, there's a couple of options. I think keeping a headache diary would be quite important, uh to see exactly what's triggering these headaches.", "And in terms of trying to treat your headaches today, some strong painkillers would be advisable. So, <UNIN/> think about Paracetamol, or even Co-codamol.", "Um, and some anti-inflammatories, such as Ibuprofen and Naproxen. How's that sound to you?", "", "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 <UNIN/> prophylactic medicines.", "<UNIN/> then we could have a discussion next time I see you next week, perhaps.", "OK. Um, now a couple of things I want you to think about is, you know if your symptoms aren't getting better next two three days, or indeed they're getting worse.", "I'd like you to come back and see me, um straight away if possible. So if your headache's getting worse, not responding to 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?", "", "Does that sound <UNIN/> all OK?", "", "Great. Any questions for me?", "", "OK. Have a good day!", "", "Right.", "" ]

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[ "", "Hello.", "", "Ohh, I just got a terrible headache since mid-day.", "", "Um on the left side. It's just making me feel so ill. <UNIN/> I just feel like I need to vomit.", "", "Well you know, I noticed some zig-zag lines in my vision a few minutes before the headache started.", "", "My vision blurred. Um, you know, it just", "", "I, yeah. Pain's just horrible. Just making me feel so unwell. Um", "", "<INAUDIBLE_SPEECH/> just want you to do something.", "", "Yeah.", "", "Don't know, really. It just happened.", "", "Yeah, I guess it's, yeah I guess it's throbbing, um on that left side.", "", "No, but it's worse when I move.", "", "Well, like if I lean forward, or like move my head or neck, yeah, headache gets worse.", "", "I'm just really worried. Like I've just been googling and like I've read, <UNIN/> you know if your <UNIN/> headache gets worse if you move, it could be a sign of brain cancer.", "", "<UNIN/> cancer.", "", "Ohh yeah, yeah and I'd like, you know", "", "My, my friend's mum, she she recently died of a brain tumor. So, it's really concerning me actually.", "", "<INAUDIBLE_SPEECH/>", "", "Yeah.", "", "Eh, feels like it <UNSURE>some days</UNSURE>.", "", "Yeah well I'm <UNIN/>, wearing sunglasses right now. It's just, you know, the light's really hurting my eyes.", "", "Yeah.", "", "I vomited twice.", "", "Um, no I don't feel feverish.", "", "No, I haven't noticed anything like that.", "", "Um, I'm not really prone to them, no. No but I did, I did have a similar headache a few weeks ago.", "", "<UNSURE>Just </UNSURE> similar.", "", "Couple of days.", "", "Um yeah I had to take painkillers, and had to go go to bed and rest and", "", "<UNIN/> couple days off work, and I work in the fashion industry. And you know, they're wondering what's going on, like I have to take sick days.", "", "I need to get back to work today. But you know, what if it is a brain tumour? What's gonna happen with my future and my career?", "", "You know, <UNIN/> really <UNIN/> about this. <UNIN/> never had headaches like this before. Like why should I get them now?", "", "No.", "", "No.", "", "No.", "", "No.", "", "No, <UNSURE>nothing</UNSURE>.", "", "No.", "", "No. My mum, my mum has, has migraines. But I've, I've not been diagnosed.", "", "<UNIN/> as well.", "", "My mom has an underactive thyroid as well.", "", "<INAUDIBLE_SPEECH/>", "", "No.", "", "Um I take the pill, Microgynon.", "", "<UNIN/> three months.", "", "<UNIN/> it's for contraception.", "", "Yeah it's really stressful, actually.", "", "<UNIN/> having problems at like <UNIN/> work, you know managers like putting a lot of pressure on me to deliver and, uh yeah it's not a good time.", "", "I don't feel down, just a little bit stressed.", "", "Nothing really.", "", "No.", "", "Um, I live on my own.", "", "Fine.", "", "No.", "", "No.", "", "<UNIN/> thank you, <UNIN/> uh thanks so much. I was so worried that I had cancer. And, ohh now you say migraine. Yeah I guess my mum has similar symptoms to me and yeah, it does make sense.", "", "K that sounds good.", "", "OK.", "", "OK.", "", "OK.", "", "Doctor, that's great.", "", "No. Thank you.", "", "K thanks. Bye!", "" ]

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[ "Alex. Ohh. Hello? Hi, can you hear me?", "", "OK great. Um how can I help you this morning, sir?", "", "<INAUDIBLE_SPEECH/>", "", "Mm-hmm. OK.", "", "Sorry to hear that <UNIN/>.", "", "Mm. OK. I'm sorry to hear that. Seems like there's a lot going on there. Um so let's start with your, your sore throat first. Um <UNIN/> tell me a bit more about that, if you can.", "", "OK.", "", "OK. OK. And did you have any uh difficulty or pain on swallowing?", "", "OK.", "", "You <UNIN/>, did you manage to have a look at the back of your throat in the mirror?", "", "No. OK you didn't, you didn't notice any abnormal <UNIN/> white spots, redness at the back of your throat?", "", "<INAUDIBLE_SPEECH/>", "", "<UNIN/> that's OK. That's OK. And you mentioned a runny nose. Um again what kind of discharge is coming out? Is it clear, or is it <UNIN/> a bit more coloured?", "", "OK. You feel quite congested, do you?", "", "OK, fine. Um you also mentioned a cough as well. Can you tell me a bit more about that?", "", "OK.", "", "OK. And is it worse any particular time of the day?", "", "Is it, is it worse any particular time of the day? For example in the evenings, night time, mornings?", "", "<INAUDIBLE_SPEECH/> throughout the day.", "", "OK.", "", "Night first, OK.", "", "Mm.", "", "<INAUDIBLE_SPEECH/>", "", "I can imagine, yes. Uh and this has again, been going on for last uh three four days, has it?", "", "OK. Um right, OK. Have you noticed any fevers or temperatures at all?", "", "OK.", "", "That's very sensible. Um very good. Um in terms of your chest otherwise, have you any difficulty breathing, or any pain in your chest?", "", "When you say winded, do you feel, uh do you feel more short of breath would you say, on exertion? Is that when you, OK. Um and and that's mainly on exercise. But when you're resting, there's no problem.", "", "OK.", "", "OK, fine. Just a couple other questions <INAUDIBLE_SPEECH/>, if you don't mind. Any pain in, in your ears at all?", "", "No, you don't feel blocked, or any discharge coming out of your ears?", "", "OK, fine. Um what I'm gonna do, I'm just gonna run through a few uh yes no questions, if you if you don't mind, just a review of your systems. Any, any headaches at all?", "", "Whereabouts are the head, headaches?", "", "OK. And with those headaches have you had any problems with your, with your eyesight, your vision?", "", "Uh any difficulty with seeing bright lights?", "", "No, OK. Um and just moving down now, <UNIN/> in terms of any, any feeling nausea or any vomiting?", "", "OK. Tell me about your bowels. Are your bowels working OK?", "", "You're passing urine OK?", "", "How's your appetite, sir?", "", "OK. Um and you're eating and drinking, uh you're eating OK otherwise.", "", "OK. Um have you noticed any, any funny rashes at all, on your skin?", "", "No. And any general muscle pain or aches, joint pain, <INAUDIBLE_SPEECH/>?", "", "Yeah, OK. Alright um and uh just having a look at the rest of your history, are you otherwise fit and well? Or do you have any other medical problems I should be aware of?", "", "OK. Um", "", "So you are otherwise fit and well. Uh any, any allergies at all to any medications, I should be aware of?", "", "No, OK. Um", "", "Any family history at all? So anything relevant in the family that I should be aware of? Anything like diabetes, high blood pressure?", "", "<INAUDIBLE_SPEECH/>", "", "Your brother?", "", "<UNIN/> you say grandma, sorry my apologies. Grandma, OK. Uh do you know what type of diabetes it is? Is it type one, type two?", "", "OK.", "", "Um anything else which you think is significant?", "", "Excellent, OK. OK. Um just moving on to what we <UNIN/> social history, just to get to know you a bit more as a person. Tell me, who do you live with at home?", "", "OK. And you said you're working at the moment?", "", "What do you do for work?", "", "OK, and how's your work going at the moment? Uh over the last, has it, has it been affecting your work?", "", "Mm, OK. Is that stress, is that affecting your um, your mood at all any, in any way?", "", "<INAUDIBLE_SPEECH/> OK.", "", "Well <UNIN/> if there's anything you want to talk to me about, you can always come see me about your mood, um stress, anxiety. <INAUDIBLE_SPEECH/> happy to help.", "", "OK. OK. And just very briefly, just in terms of smoking uh, do you smoke at all?", "", "OK so not, not regular. Um and what about alcohol?", "", "<INAUDIBLE_SPEECH/>", "", "<UNIN/> socially with work.", "", "Um OK. Um so um", "<UNIN/> just having listened to your story, um uh really just to summarize you know since the last four days you've been feeling generally quite unwell, sore throat, runny nose, bit of a dry cough, bit of muscle pain, weakness.", "Um had initial fever, but now settled. Um I don't think there's 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 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. I'd probably advise you taking a day or two off work if you can. Um", "Making yourself, <UNIN/> 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 you're still not better, I'd like you to come back and see me.", "Um is that clear? Does that, does that make, does that make <UNIN/>", "", "Yeah, <UNSURE>yeah</UNSURE>.", "", "<UNIN/> and things to look out for if you're really not getting better, if you if you have a high fever, or your breathing is becoming a bit more labored, or chest pain, I'd like you to come back and see me much sooner, give me a call. Um and <INAUDIBLE_SPEECH/> we can help you out. OK?", "", "Great. Have a great day. Good luck with your work. Thank you. <UNSURE>Bye bye. Bye bye.</UNSURE>", "" ]

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[ "", "<INAUDIBLE_SPEECH/>", "", "<UNSURE>Yeah</UNSURE>.", "", "Alright, so I've been feeling, I've been feeling kind of uh under the weather for the past four days.", "Um it started with the um, uh sore throat and runny nose, and", "It's sort of, um, it's sort of going into a cough now. Um, the sort throat is kind of going away, but, um, <UNIN/> I'm starting to cough.", "", "And uh <INAUDIBLE_SPEECH/> kind of uh bad and tired.", "", "Um ,so I, I <UNIN/>, 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", "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.", "", "Um yeah. Yeah it was uh, it was quite painful to swallow, <UNIN/> for one or two days.", "", "Um no, not really.", "", "Um", "", "No. Um I I didn't think about uh <INAUDIBLE_SPEECH/>.", "", "Yeah yeah, it's uh it's <UNSURE>clearing up</UNSURE> <UNIN/>.", "Sort of um, <INAUDIBLE_SPEECH/> sort of getting my nose stuffed all the time. It's very had to, uh to get it free.", "", "Yeah, quite congested.", "", "Um yeah that started recently, like just uh um maybe yesterday. And um it's uh, it's dry for now, it's it's not very painful but it's sort of there, all the time.", "", "Sorry?", "", "Um", "", "No it's it's um, it's sort of, it's sort of constant. Um I forgot to mention, that um I'm also having uh night sweats.", "<UNSURE>That's</UNSURE>, that's very odd actually. <INAUDIBLE_SPEECH/> makes me a bit tired, um makes my <INAUDIBLE_SPEECH/> uneasy.", "", "Yeah, yes.", "", "Um I I had some some fever in the beginning, but it's now sort of uh going down. I I've been taking some Paracetamol and Ibuprofen for that, and uh they, they help.", "", "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 <UNIN/> I haven't been going, going to the gym thus uh, because of that.", "", "<INAUDIBLE_SPEECH/> yeah. <INAUDIBLE_SPEECH/>", "", "Yeah, yeah. When when when I'm resting it's OK. So <UNIN/> I've been actually going to work, um sort of managing.", "", "Um no.", "", "<INAUDIBLE_SPEECH/>", "", "No, I don't think so.", "", "Um, yeah, yeah. That that's still, that's still there.", "", "Um it's sort of general. Uh and uh <UNIN/> they're not, they're not always there, but you know every now and then they will come and go.", "", "Um no.", "", "No, I don't think so.", "", "No, none of that.", "", "Uh yeah, yeah. Think so.", "", "Yeah, yeah.", "", "Yeah I've been, I've been drinking a lot more than the usual. But uh so <UNIN/> other than that, so <UNIN/>", "", "Um maybe a bit less than uh than what I, I would usually have.", "", "Um no, no.", "", "Yeah, yeah. Yeah that's, that sort of started in the past couple days.", "", "Um, so otherwise that, uh, I'm I'm fine. There's um, there isn't anything that I'm taking or, I'm being treated for.", "", "<UNSURE>Um</UNSURE>", "", "Um, no <INAUDIBLE_SPEECH/>", "", "Um, yeah my grandma has diabetes. Um, and, my grandma.", "", "<INAUDIBLE_SPEECH/>", "", "I think <UNIN/>, I think it's type two.", "", "Yeah, I, I think um, one of my uh, great grandads had an eczema.", "", "Ohh um, I live alone.", "", "Yeah, yeah.", "", "I'm an, I'm an accountant.", "", "Um, a little bit. I've been a bit slower. And you know, it's uh, it's, it's a bit of a stressful period just around the um, end of the year. Right.", "", "Um, no I think I think it's, it's the, you know it's the good kind of stress. It's um, it's good work.", "", "I don't know. I, I like my job. It's just you know, it's a bit more work than usual.", "", "Um, yeah occasionally, you know, cigars and things on company parties.", "", "No.", "", "Um, occasionally yeah I would have some. I'm, I'm not a very big drinker.", "", "Yeah.", "", "Yeah, yeah, that's that's <INAUDIBLE_SPEECH/>, it makes sense. Uh, I think <INAUDIBLE_SPEECH/> I'll take a couple days off, and see how it goes.", "", "Yeah.", "", "Yeah, yeah I understand. Uh, I'll uh, I'll take care.", "", "Thank you. Thank you. You too. Bye bye.", "" ]

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[ "", "Hello?", "", "<INAUDIBLE_SPEECH/>. Good morning, Tim. Um, how can I help you this morning?", "", "OK.", "", "Right, I'm sorry to hear that. When, when did your symptoms all start?", "", "OK. And whereabouts in your tummy is the pain, exactly?", "", "OK. Did the pain come on quite suddenly, or was it more gradual?", "", "OK, OK. And can you describe the pain to me?", "", "<INAUDIBLE_SPEECH/>", "", "Just in, just below your belly button you uh, mentioned.", "", "OK. Um, and is the pain constant, or does it come and go?", "", "<INAUDIBLE_SPEECH/>", "", "<UNIN/>. Mm-hmm. OK. Um, and with the pain have you noticed any other symptoms, at all? So, for example, let's, let's focus first on your bowels. Are your bowels working OK?", "", "OK. So you've got no other symptoms, like diarrhea or loose stools?", "", "<UNSURE>No</UNSURE>.", "", "OK. And, what about your waterworks? Are you passing urine OK?", "", "Mm.", "", "And when you mentioned pink urine, do you, was there any blood at all in your urine? Or was it difficult to say?", "", "OK, alright. But otherwise, it doesn't hurt, uh, or or or sting, when you pass urine?", "", "OK.", "", "OK. Um, OK. And um, moving on to <INAUDIBLE_SPEECH/> other symptoms, have you noticed any vomiting, or feeling nauseous at all?", "", "No vomiting. Any temperatures or fevers?", "", "OK, fine. Um, uh, uh, and Kim, have to ask um, uh <INAUDIBLE_SPEECH/> all all all <UNIN/> patients. This this question is about your cycle, if you don't mind me asking. Um, are you currently um, are you currently sexually active?", "", "OK. So you've had no other partner since then.", "", "OK. Um, uh, and do you use any contraception at all?", "", "At the moment, OK, fine. Um, are you still having periods?", "", "When was your last period?", "", "Two week scare, OK. So, is there any chance you could be pregnant? I know you've got an implement in there, but is there any chance you could potentially be pregnant? It's something for us to think about <INAUDIBLE_SPEECH/>", "", "Yeah, OK. Well it's something for us to think about. Um, uh, maybe worth taking a pregnancy test later on, just to confirm that. Um", "OK. And, and so, just to summarize so far, if you don't mind, it's really for the last couple of days, it's tummy pain that's really affected you, mainly lower down towards your belly button. It's quite burning, you said. It's getting worse. Um, you noticed some pink urine.", "Um, but no burning or stinging pain when you pass urine. Your bowels are working OK.", "You've felt a little bit nauseous, um, and feeling hot and sweaty. Have I got that all right?", "", "Is there anything else, perhaps, that you feel like you should share with me at this stage, anything that might be important?", "", "Yeah, OK. Um, tell me, tell me a bit more about your um, medical history otherwise. Are you normally fit and well?", "", "<INAUDIBLE_SPEECH/>", "", "OK. Um, have you had anything like this before in the past? Any similar symptoms?", "", "No, OK. Um", "", "Fine. Um, any other family history I should be aware of? Anything relevant, family, uh related to bowels, maybe related to <UNIN/> history?", "", "OK. Alright. Um, and socially, just tell me a bit more about your home situation. Who's at home with you?", "", "OK. Um, and uh, are you currently working?", "", "What do you do for work?", "", "OK. Um", "", "<UNIN/> <UNSURE>OK</UNSURE>. Um, Do you smoke at all, Kim?", "", "No. And do you drink much in the way of alcohol?", "", "No, OK.", "", "OK. Um, just before I go to the examination, I just want to go through just some few screening questions if that's OK, yes or no.", "Uh, we've, we've covered the majority of them already. Uh, but I just want to make sure I'm not missing anything else.", "Um, how's your, <UNIN/> how's your chest? How's your breathing? Um, any <UNIN/>", "", "<UNIN/> OK. Any uh, funny heartbeats or rhythms, palpitations?", "", "OK. Any headaches? Any problems with your vision?", "", "No, OK. Alright. Um,", "", "Fine, OK. Um, So really just uh, moving on, um,", "And so based, based on your story really, uh, uh Kim it's, it's <UNIN/> it's difficult. <UNIN/> it's it's um, you know you've got some tummy pain. You don't exactly know what's causing it. It could be a few different things that could be causing your pain.", "Could just be a, you know, could just be a urine infection, for example. Could just be something related to your gut. Um, could just be something related to your, you know, a pregnancy-related cause. Um, and so it's probably worth doing some tests initially.", "", "to try and rule out um, what's going on here. Um, which I can organize for you today.", "", "Um, and basically those tests, we, we'll have a better idea in terms of how we should proceed. But certainly, it <UNIN/> if it's been going on for the last couple of days, um,", "", "Uh, you know, it's probably maybe worth empirically treating you for a maybe urine infection. And, so it's an <INAUDIBLE_SPEECH/>", "", "Yeah, absolutely. So, um I think it's certainly worth, you know covering you with some antibiotics today.", "Uh, but i still want you to bear in mind, you know, have a pregnancy test done to make sure we're not missing anything else here.", "And, um, and I want you to kind of really come back and see me in a few days time, if your symptoms are not getting any better, or indeed if they're getting worse.", "", "So, things to look out for would be, you know, worsening tummy pain, um, if you're feeling really hot or sweaty, your temperature's not coming down um, vomiting et cetera. Does that make sense?", "", "OK. Um, you can try just regular painkillers, uh, Paracetamol would be advisable. Um, make sure you drink plenty of fluids.", "You can try some cranberry juice as well, which uh, can sometimes help with your urine symptoms.", "", "Um, take the antibiotics, uh, and give me a call, you know, if you are worried about anything else.", "", "<INAUDIBLE_SPEECH/>", "", "Yeah, if I send it straight to your pharmacy, start the antibiotics today, something called Trimethoprim. Um, you can take two tablets, uh, <INAUDIBLE_SPEECH/> one tablet twice a day for three days.", "", "Uh, <INAUDIBLE_SPEECH/>, let's see how you get on.", "", "Great. All the best!", "", "Bye bye.", "" ]

[]

[ "", "<INAUDIBLE_SPEECH/>", "", "Um, so I'm", "", "<UNSURE>Having</UNSURE> some, some pain, uh, in my tummy, like the lower part of my tummy. Um and I've just been feeling, quite, hot and sweaty.", "", "About two days ago.", "", "Uh, <UNSURE>like</UNSURE> below my belly button, it's like quite, sore when I press on it.", "", "<INAUDIBLE_SPEECH/>, it hasn't been, it's more gradual and it's just, it is getting a bit worse now.", "", "Uh, it's kind of like a, a, I guess a burning pain. Uh, and it's just right there <UNSURE>yeah</UNSURE>, in that spot, like uh, that's mostly where I'm feeling it. It hasn't spread anywhere else.", "", "Yeah.", "", "It's pretty constant, it's like getting worse. Um, it's not like, I <UNIN/>, I can still move and walk around. Uh, I mean I'm still kind of functioning, it's just uh, I'm aware of it <INAUDIBLE_SPEECH/> time.", "", "Yeah, I had a bit of constipation, but that's better, now. That was like, since last week.", "", "No, I'm <UNIN/>, I'm, my bowel movements are normal now.", "", "Yeah, I'm <UNSURE>fine</UNSURE>, that's fine, that's. I did notice that I was a little, the urine was a little pink, in colour. But I haven't like, it hasn't really been burning, specifically or hurting when I pee and uh.", "And I did notice I was going to the, I was peeing more, regularly, but I have been drinking lots of fluids. So I wasn't sure, um, I wasn't sure, um, like <UNIN/> you know, if that was related to the pain.", "", "I can't say, I mean maybe.", "", "<UNSURE>And</UNSURE> I haven't noticed that it really burns or anything like that. Um, just that I'm, peeing more than <UNIN/>, more regularly.", "", "Just a little nauseous, um, but no vomiting.", "", "I haven't <UNIN/>, I felt a bit hot and sweaty, but I haven't really measured it, so I can't really say.", "", "<UNSURE>Yes</UNSURE>.", "", "Uh, yeah I've, I have had the same partner, I am, we were last sexually active about four days ago. Um, my last STD screen was normal, which was about six months ago.", "", "No, the <INAUDIBLE_SPEECH/>.", "", "Uh, I'm, on the Implanon. I had the Implanon inserted about a year ago.", "", "Yes.", "", "Uh, my last period was about, three weeks ago. I mean, two weeks ago.", "", "Well, we don't use any other barrier, method so, we just use the <UNIN/>, I just have the Implanon and the same partner. Um.", "", "Theoretically, if the Implanon, hasn't been working then I could be pregnant, but I don't suspect <UNIN/>.", "", "Yeah, that sounds, very accurate.", "", "I don't think so, I think I've, you <UNIN/>, we've covered everything that's really bothering me.", "", "Yeah, <UNIN/>, well, I haven't had any, surgical, I don't have any surgical history.", "", "I don't have any previous, I haven't had any operations before, or, and I'm not on any other medication, I just have the Implanon.", "", "I've never <UNIN/>, I've never had these symptoms before.", "", "No, not that <UNIN/>, not that I'm aware of, no.", "", "Uh, I live in a share house, <UNSURE>and</UNSURE> with two other, two other room-mates.", "", "Yeah, I currently, I am currently <UNIN/>.", "", "I am an accountant.", "", "No.", "", "Uh <UNIN/>, socially I drink, but uh, I don't think more, more than normal. <INAUDIBLE_SPEECH/>.", "", "All right.", "", "I don't feel short of breath uh, or, I'm not having any problems, or I don't have a cough or anything that's <UNIN/>, worrying me.", "", "Not that <UNSURE>it</UNSURE>, no.", "", "No.", "", "OK.", "", "<UNIN/>. Yeah, I <UNIN/>, can we do that instead of me, going for tests, and then seeing how that goes?", "", "Yeah, I think I'm happy with that plan.", "", "Uh, sure. That sounds great. Thank you very much. Um, should I just collect the script at my pharmacy?", "", "<UNSURE>OK</UNSURE>.", "", "OK, <UNIN/>, that sounds great.", "", "OK. Thank you very much.", "", "Bye.", "" ]

[]

[ "<INAUDIBLE_SPEECH/>", "", "Hello?", "", "Uh, hello. Can you hear me OK?", "", "OK, great. <UNIN/>. I am, yes. Nice to see you here, Oscar. Um, how can I help you this afternoon?", "", "OK. Do you want to tell me a bit more about it? When did it all start?", "", "<INAUDIBLE_SPEECH/>", "", "OK.", "", "OK. OK. Is there anything you're particularly worried about?", "", "OK.", "", "OK.", "", "Right.", "", "<INAUDIBLE_SPEECH/>", "", "Right, OK. So you mentioned you're feeling, uh, short of breath for the last couple of weeks, but mainly the last couple of days it's got a bit worse.", "Um, uh, and you're now feeling more breathless on kind of minimal, minimal exertion you mentioned. Um, have you noticed any other symptoms at all, uh, uh, with your breath? So, for example, any pain in your chest?", "", "OK. And have you found yourself coughing, coughing at all?", "", "OK. OK. And how's your general health otherwise? Are you feeling uh, weak, lethargic?", "", "OK.", "", "OK. And what do you mean by that?", "", "OK. Um, is that, is that both <UNIN/>?", "", "Both ankles?", "", "OK. Uh, I can imagine, yeah. Um, and again, <UNIN/> over how long has this, have you noticed this for?", "", "Past few days, OK. And is this something that you've had before, in the past?", "", "OK. OK. Um, fine. OK. So, um, just to really recap, uh, so you're really, in the last couple of weeks, uh, you've been feeling breathless, uh, but worse in the last couple of days. You mentioned you had a bit of a dry cough.", "Um, and some swelling in your ankles. Um, reporting no chest pain. Um, and, and have you had any, have you any, have you noticed your heartbeat racing at all? So, palpitations or skipped heartbeat?", "", "OK. And any temperatures or fevers?", "", "OK. And how about your appetite? Are you eating and drinking OK?", "", "OK. And your waterworks? Are you passing urine OK?", "", "Yeah. <INAUDIBLE_SPEECH/>", "", "Sure, OK. Alright. Um, fine. So, <INAUDIBLE_SPEECH/> your uh, your past medical history. You mentioned heart failure. Any, any other medical history I should be aware of?", "", "OK.", "", "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?", "", "It's more hard to say. OK. Was it like angina or, um,", "", "OK.", "", "OK.", "", "OK.", "", "You've 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?", "", "OK. Um, do you take any regular medications, apart from your <UNIN/> diuretics that you're taking? And do you know which ones?", "", "<INAUDIBLE_SPEECH/>. Do you know which dose you're taking?", "", "That's OK.", "", "No problems. Um,", "", "Any other medications?", "", "OK.", "", "The Metoprolol, was it?", "", "Or?", "", "Sorry, the connection's not very good. OK. Thank you, yeah.", "", "<INAUDIBLE_SPEECH/>", "", "<UNSURE>And a thousand</UNSURE>, OK. Alright. Any allergies at all? Any medications?", "", "No.", "", "OK. And is there anything in the family that's, uh, that, that's uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems?", "", "I'm sorry to hear that. And, um, how old was your father when he passed away?", "", "Early sixties, OK. Alright. Anything else I should be aware of?", "", "OK.", "", "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?", "", "You've got two cats. OK, great. Do they have names?", "", "OK.", "", "Um, so it's 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?", "", "Mm.", "", "Yeah, that's certainly a consideration, isn't it? So let's, let's try and get you better soon, so it doesn't have any um, impact on your, on your job.", "Uh, and do you find yourself doing a lot of anti-social hours? Do you <INAUDIBLE_SPEECH/>, do you do a lot of night driving, weekend driving?", "", "<INAUDIBLE_SPEECH/>", "", "OK.", "", "OK, alright. And what about smoking and alcohol? So, 'cause <UNIN/> that can sometimes be very important when it comes to heart problems. Do you, do you smoke at all?", "", "So, you used to smoke?", "", "And how many did you smoke a day, on average?", "", "Um, and how many, how many years was that for?", "", "OK. And what about the stopping? That must have been difficult for you. <INAUDIBLE_SPEECH/> stopping. Um, and what, what about alcohol?", "", "OK. Do you do much in the way of exercise, sir?", "", "OK.", "", "OK.", "", "Right, OK. And certainly now your symptoms, you, you're, you said you're feeling more breathless even walking to the <UNIN/> uh, to the shop, she said.", "Um, right. Ohh um, based on your, based on you history, and having listened to your story, I, I wonder whether you've had a flare-up of your heart failure, sir. Um,", "Which can sometimes happen. Um, um, and uh,", "It's <UNIN/>. So, it seems like your heart's not pumping as well as it should be. Um, and obviously having diagnosed with heart failure, there's obviously", "Um, that's the first thing that comes to my mind. Um, now there's a couple of options <INAUDIBLE_SPEECH/> move forward. Um,", "Given that you're otherwise well at the moment, and having examined you, your chest, and your saturations and blood pressure are all OK,", "I'm 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.", "", "Um, and see, and see how you're getting on.", "", "<UNSURE>Uh</UNSURE>,", "", "I think, I think, it's, <UNIN/> it's, it's 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 heart's pumping.", "", "Is that something you've had <UNSURE>before</UNSURE>? Yeah, so um, an <UNIN/>, it's a, it's a general scan of your heart. You might have had this done before, when you were diagnosed. And it's just to get a good", "", "Sorry?", "", "You remember that. OK, fine. That's 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, let's, um,", "Let's, let's 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.", "Um, and we can definitely increase your um, your Furosemide, uh, to you know, one tablet twice a day.", "But I really like, would like you to come back and see me in about a week's time, see how you're getting on. That sound reasonable?", "", "And of course, in the meantime if you are getting more unwell, feel like you're getting more breathless, or you're having any other symptoms like chest pain, or palpitations or dizziness, then, uh, you know <UNIN/> 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?", "", "Great, and then well I wish you all the best! Have a good day. <INAUDIBLE_SPEECH/> OK. Thank you.", "" ]

[]

[ "", "Hello there.", "", "Yes, I can hear you.", "", "Are you the doctor?", "", "Um, I'm, contacting you because I've been, quite short of breath lately.", "", "Uh, well it seems to have been, slowly getting worse over the last couple of weeks.", "Um, now it's, become quite troublesome, <UNSURE>in</UNSURE> the last few days.", "Uh, I kind of, normally I can walk to the shops, without a problem but, now I'm having to sort of sit down and catch my breath. And I'm <UNSURE>really</UNSURE> starting to get a bit breathless, just about the house.", "And uh, it's got me kind of worried, don't really know what's going on.", "", "Um, well, I've, I've uh, I've got um, heart failure.", "Uh, I was told that, uh, a while ago.", "Um, and I got a bit breathless when I was first diagnosed, and put on some <UNSURE>medicine</UNSURE> that, that um, that helped, but I'm a bit worried it's just getting worse.", "", "No pain in my chest.", "", "Um.", "", "Uh, I've got a bit of a dry cough, but it's not too troublesome.", "", "Um, I'm feeling a little run-down, um, but otherwise, otherwise pretty normal.", "", "I've noticed my ankles have got a bit bigger.", "", "Uh, it's just like, it's sort of swollen up a bit.", "", "Kind of <INAUDIBLE_SPEECH/>. Um, yeah, both ankles. Yeah, it's a bit embarrassing.", "", "Um, I kind of noticed it the last few days.", "", "Uh, I think my ankles did swell up a bit last time, the heart failure was a problem.", "", "No, not really.", "", "Uh, no.", "", "Yeah, I, <UNIN/>, <UNSURE>I'm</UNSURE>, that's fine.", "", "Uh, yeah, <UNSURE>but</UNSURE> yeah. I usually pee a lot, <INAUDIBLE_SPEECH/>, ever <UNSURE>since</UNSURE> the drugs <UNIN/>.", "", "Uh, well I was told I had like a, they called it like a small heart attack.", "", "About, five years ago. Um, I uh, I had, I, I had like <UNSURE>some</UNSURE> chest pain and, they took me into hospital.", "", "And um, they, uh, but then I just got better.", "", "Um.", "", "Uh, I can't remember. They just called it something a <UNIN/>, uh, something like that, a small heart attack.", "", "Um.", "", "Uh, no they, they said that it, uh, it seemed, it was like, more than angina.", "", "Um, uh, but um, I didn't, but I only had to stay in hospital for a few days, and, uh.", "", "And yeah, I've been OK since then.", "", "Uh, no, I think I'm otherwise, I'm OK.", "", "<UNSURE>Uh</UNSURE>, yeah, I take something called Furosemide.", "", "I can't remember, I'm sorry doctor. I have to check.", "", "Uh, yeah. I take Aspirin.", "", "<UNSURE>And uh, Bisoprolol</UNSURE>.", "", "Uh, <UNSURE>Bisoprolol</UNSURE>.", "", "Um, <INAUDIBLE_SPEECH/>.", "", "<UNSURE>Uh</UNSURE>, no, no allergies.", "", "Uh <UNIN/>, my, my father died of a, uh, of a heart attack.", "", "Uh, he was, um, early sixties.", "", "Um, my mother had osteoporosis.", "", "Uh, yeah, she's still living.", "", "Uh, I live on my own. Well, I got two cats.", "", "They're my family. Uh, they're, they're called, um, they're called, Polly and Tim.", "", "Uh, I work part-time as, a, uh, lorry driver.", "", "Uh, it's OK. Um, I uh, yeah <UNIN/>, when I'm working it's pretty exhausting.", "Um, I guess I'm a bit worried, that if I get sick I won't, if I get more sick then, I won't be able to work properly.", "", "<UNSURE>No</UNSURE>.", "", "Ohh no, I <UNIN/>, I <UNIN/>, I, I only take shifts during the day, I don't like working at night.", "", "Not any more.", "", "Yeah.", "", "Ooh it was about, about a pack a day, back in the day.", "", "Ohh that was, oof, good twenty five years.", "", "I don't drink alcohol.", "", "Uh, I try and walk to the shops, at least once a day.", "", "Um, but uh, that's about it, I've. Yeah, I don't, I don't go running like I used to when i was young.", "", "Mmm.", "", "<UNSURE>That</UNSURE>.", "", "What's going <UNSURE>on</UNSURE>.", "", "Mmm.", "", "OK. If you think that'll be better.", "", "OK.", "", "What does that?", "", "Ohh yes, <UNSURE>I remember now</UNSURE>.", "", "Uh, yeah, I remember now. <UNIN/>.", "", "I think that sounds like a good plan.", "", "OK. I'll see <UNSURE>how</UNSURE> I get on.", "", "Uh, <UNSURE>I</UNSURE> think that's all pretty clear. Thank you very much Doctor.", "", "<UNSURE>OK</UNSURE>. See you soon.", "" ]

[]

[ "", "Hello?", "", "Hello? Uh, can you hear me OK?", "", "<INAUDIBLE_SPEECH/>. Great. Right, how can I help you this afternoon sir?", "", "I'm <UNSURE>sorry to</UNSURE>.", "", "Well I will certainly try my best, for you. Um, can you tell me a bit more about what's been going on?", "", "<UNIN/>. Mm-hmm.", "", "Mmm. <UNSURE>OK</UNSURE>, well let's start with your cough first. Tell me a bit more about your cough. Is it, for example are you, coughing up anything at all, or is it mainly dry?", "", "<INAUDIBLE_SPEECH/>", "", "So you're not bringing up any mucky, flem?", "", "O<UNSURE>K</UNSURE>, all <UNSURE>right</UNSURE>.", "", "<INAUDIBLE_SPEECH/>", "", "Yeah, I can certainly hear you've got the sniffles. So, bit of <UNSURE>a runny</UNSURE>, bit of a runny nose, you mentioned.", "", "<INAUDIBLE_SPEECH/>. Yeah, sorry to hear that, yeah no <INAUDIBLE_SPEECH/>. Um, and uh, any other symptoms, so for example have you any, uh, any sore throats, any ear pain?", "", "<INAUDIBLE_SPEECH/>", "", "<UNSURE>Ah</UNSURE> OK. Who do you support?", "", "Right.", "", "Well, all sounds fascinating, <UNSURE>well</UNSURE> I wish them all the best. <INAUDIBLE_SPEECH/> nothing <INAUDIBLE_SPEECH/> table. Um, so, so you mentioned sore throat. Um, and have you had a chance to look in the, in the mirror? Have you had a look at the back of your throat?", "", "Yeah, <UNSURE>now</UNSURE>, I mean have you any, have you noticed any kind of, white spots on the back of your, back of your throat, or redness?", "", "<INAUDIBLE_SPEECH/>.", "", "<INAUDIBLE_SPEECH/>.", "", "<INAUDIBLE_SPEECH/>. I understand it's not pretty but as I say it's not, it's not something we, we always um, uh, recommend but um, moving on. In terms of your ears <INAUDIBLE_SPEECH/>, any dullness or blocked ears, pain in your ears.", "", "OK, OK. Fine. Um, moving down to your chest. Um, how's your breathing been?", "", "So do, you feel more breathless or tight in your chest?", "", "<INAUDIBLE_SPEECH/>.", "", "So your breathing is <UNIN/>?", "", "Uh, your, your breathing is fine is it? <INAUDIBLE_SPEECH/> your, it's not laboured, or?", "", "OK. It's not good?", "", "No, OK, OK. So you're <UNIN/>, you're, you're feeling more short of breath?", "", "OK, OK, <UNIN/>, OK. Um, <INAUDIBLE_SPEECH/> any pain in your chest at all?", "", "No pain, OK, OK. Have you noticed yourself, any, any, any temperatures or fevers? Um, feeling hot and cold? Sweaty?", "", "<INAUDIBLE_SPEECH/>.", "", "<INAUDIBLE_SPEECH/>.", "", "Yeah, <INAUDIBLE_SPEECH/>.", "", "Seems, seems very difficult at the moment. Um, <INAUDIBLE_SPEECH/>, have you measured your temperature at all? Have you, got a <UNIN/>?", "", "Mmm, OK.", "", "Sure, OK. Um, and just moving on, just very quickly. Um, any other symptoms? Any nausea? Any vomiting? Any tummy pain?", "", "<INAUDIBLE_SPEECH/>.", "", "<INAUDIBLE_SPEECH/>.", "", "OK. And how's your appetite? Are you eating and drinking OK?", "", "<INAUDIBLE_SPEECH/>.", "", "Yeah, absolutely, <UNIN/>, completely uh, recommend that, so keep, keep doing what you're doing. Um, and just lastly, you know any, any, any kind of muscle pain, joint pains?", "", "Mmm.", "", "And where <UNSURE>do you</UNSURE>, where do you feel the stiffness?", "", "<UNIN/>, all over, OK. And just remind me <UNSURE>sir</UNSURE>, when did your symptoms all start? <UNIN/>, you say a few days ago?", "", "<UNSURE>It's</UNSURE> Wednesday.", "", "OK.", "", "<INAUDIBLE_SPEECH/>.", "", "Four, five days ago, yeah. OK. Are <UNSURE>you aware</UNSURE> of anything that might have set your symptoms off/", "", "<INAUDIBLE_SPEECH/>, OK.", "", "And <UNIN/>, without prying too much, what were you celebrating?", "", "<INAUDIBLE_SPEECH/>.", "", "<INAUDIBLE_SPEECH/>.", "", "<INAUDIBLE_SPEECH/>, <UNSURE>very nice</UNSURE>.", "", "<UNIN/>, good, excellent. So just moving on <UNSURE>sir</UNSURE>. Uh, regarding your, um, what we say, past medical history. Are you, do you have any other medical problems I should be aware of? So anything to do with your heart, lungs?", "", "Diabetes, right. What type of <UNIN/>, is it type one or type two?", "", "OK, <UNSURE>OK</UNSURE>.", "", "<UNSURE>And what</UNSURE>.", "", "<INAUDIBLE_SPEECH/>.", "", "Yeah, OK. <INAUDIBLE_SPEECH/>.", "", "<INAUDIBLE_SPEECH/>.", "", "<INAUDIBLE_SPEECH/>.", "", "You've been diagnosed with high blood pressure, uh, or <INAUDIBLE_SPEECH/>. OK, all right. So um, moving on. Come to your medications, <UNIN/>, which medications do you take on a regular basis?", "", "<UNIN/>, <UNSURE>that's correct</UNSURE>, OK.", "", "OK. <UNSURE>Lisinopril</UNSURE>, yeah. That sounds like.", "", "No problems, no problem, that's <UNSURE>fine</UNSURE>. Anything else sir?", "", "<UNSURE>Right</UNSURE>.", "", "OK, all right. And just moving on swiftly sir. Do you have any allergies at all?", "", "Just allergies to <UNIN/>, <UNSURE>medications</UNSURE> really, I'm, I'm asking not, as opposed to um, other things.", "", "<INAUDIBLE_SPEECH/>.", "", "OK. And just very briefly, socially sir, just <UNIN/> <UNSURE>it's</UNSURE> very important to ask. Uh, you said you live, with your wife. Anyone else at home with you?", "", "OK.", "", "OK, OK. <UNSURE>And are you</UNSURE>, yep, and are you working at the moment? Uh, yourself?", "", "<UNSURE>What</UNSURE>, what do you do <UNSURE>at work</UNSURE>?", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>. Pays the bills, really. Um.", "", "<UNSURE>What</UNSURE>, what about smoking and alcohol, sir?", "", "Do you, <UNSURE>you do</UNSURE> either?", "", "<INAUDIBLE_SPEECH/> roughly on average, how many you would drink a week?", "", "Well, whatever you drink. Is it <UNIN/>, beer, lager, wine, spirits?", "", "OK, OK. And what about smoking, sir?", "", "Ohh OK, OK.", "", "<UNSURE>Well</UNSURE>, I wish you <UNIN/>, all the best on your journey to quit, I <UNIN/>, I highly recommend it. Um, if you can, it'll certainly help your health as well. Um, so just to <INAUDIBLE_SPEECH/>, just to summarise, I think you know, uh, based on your story.", "Um, <UNSURE>yeah</UNSURE> I'm not, <INAUDIBLE_SPEECH/> worry. I think you know what you essentially have is a bit of a, a bit of a viral illness perhaps, a bit of a, maybe early signs of a flu, um.", "Which I think should, settle down, um, really on it's own, uh, over time. Um, things to you know, you, you can do, help yourself you know, <INAUDIBLE_SPEECH/>, stay rested, drink plenty of fluids.", "Um, if you are, if you are feeling hot and cold and sweaty, taking regular Paracetamol would be beneficial. Um, you mentioned feeling a bit short of breath. Um, I'm a little bit on the edge about giving you antibiotics. I don't think you've got a chest infection, but what we could think about is giving you a.", "A script for antibiotics, which maybe use in next, twenty four to forty eight hours, if your symptoms don't get better.", "", "Yeah.", "", "Yeah, <INAUDIBLE_SPEECH/>, I will, yeah, I'll, I'll give you a script today, give it about twenty four to forty eight hours. If you feel like you're still feeling breathless and, run-down, I think there's no harm in starting a course of antibiotics, something like Amoxicillin.", "One tablet, three times a day. Um, uh, and <UNIN/>, if you're still not better by next week, come back and see me, we can have another look.", "", "Exactly.", "", "Yes, absolutely.", "", "Great, well, I'm, glad I could help.", "", "And um, I wish you and your football team all the best.", "", "<UNSURE>OK</UNSURE>. <INAUDIBLE_SPEECH/>, all the best. Bye bye.", "" ]

[]

[ "", "Hello?", "", "Yes, yeah I can, I can, cheers.", "", "Uh, I am not feeling, very well.", "", "And I haven't <UNSURE>been feeling</UNSURE> well, for, a good few days, now, and, I'm really hoping you can do something about it, because it's been, bugging me, for a while now.", "", "Uh, I just feel a bit, run-down, you know I've got, a cough, a cold.", "You know, <UNSURE>my wife's</UNSURE> been nagging me. I just, it's just all, yeah, it's just, that, that, that's it, that's it.", "", "Uh, yeah, yeah, mean, mostly, dry it's a <UNIN/>, you know it's a wee bit in the morning it's a bit worse uh, but <UNIN/>, and you know it's, it's fairly, fairly dry, aye.", "", "Yeah, yeah, yeah, yeah, yeah, yeah. I don't like to admit that it's, you know it's <UNIN/> talk about but, yeah it's <UNIN/>, aye, aye. It's a wee bit, wee bit uh, <UNIN/> yeah.", "", "Yeah, yeah, yeah, aye, aye you're right. Is that, is that coming through loud and clear on the phone yeah the, the sniffling, yeah, <UNIN/>.", "", "<UNSURE>Yeah</UNSURE>, ugh, yeah, yeah. I've, I've had a bit of a sore throat. I mean, I, you know, <INAUDIBLE_SPEECH/>, I'm doing a lot of uh, you know I'm, <INAUDIBLE_SPEECH/>, watching the, watching the football as well. So I do a lot of shouting at that, but uh, uh, uh, I'm not sure if that's related or not.", "", "Uh, well it's a team, called, Partick Thistle.", "And they're in the, they're not even in the top division, uh, of the Scottish, league. They're actually in the, the, the championship, which is the league below that, and they're, bottom of the table.", "So I've been, shouting myself a wee bit hoarse, 'cause their performance has been, uh, pretty shite, if I'm being honest with you. <INAUDIBLE_SPEECH/>.", "", "<UNIN/>, yeah, yeah, yeah.", "", "<UNIN/>, aye, I mean aye, I, I shave, every day so I'm, I'm looking at myself, it's not, not, not a pretty sight to be honest at the best of times but it's been a, wee bit, a wee bit rough, uh, the last few days for sure.", "", "Ohh right, right aye. <UNIN/>, sorry you mean I'm looking ah right yeah uh. <UNIN/>, no I<UNIN/>, I don't, I don't really like to look, you know to look at it so I, I, I haven't, haven't tried to do any of that.", "", "<INAUDIBLE_SPEECH/>", "", "Uh, yeah, <UNIN/>, a, a wee bit I mean <INAUDIBLE_SPEECH/>. You know, I'm fit, I'm <UNIN/>, I'm fifty years old now and my, my hearing's, you know it's not as good as it used to be but, you know I <UNIN/>, I, I think, I think it's all right, it's all right.", "", "Uh.", "", "Uh, no. <UNSURE>No</UNSURE>, no it's, <UNSURE>it's not</UNSURE>. No, no, no, <UNIN/>.", "", "<UNIN/>, sorry, what was that?", "", "No it's, it's, it's, it's not, it's not good. It's not good.", "", "No. No, no.", "", "Yeah, yeah.", "", "No, no it's, it's, it's weird, it's, it's just, you know it's just a wee bit, it's just a wee bit shortness of breath, but it's not, <UNIN/>, it's, it's not, it's not pain, you know, as such.", "", "Yeah, yeah that's, that's, that's, that's definitely something I've noticed. Like, you know in, in bed with the wife <UNSURE>and</UNSURE> having to, you know get out and, get the blanket off, and put it back on again it's, it's not, it's not pleasant. I mean, I'm keeping her up at night as well, which is a, bloody nightmare but, I mean, you know how these things are.", "", "<INAUDIBLE_SPEECH/>", "", "But uh, no I mean, no you know, you know, I can, I just feel it in my forehead but, <UNIN/> I mean, I haven't, haven't, you know, used a thermometer or anything.", "", "Uh, <UNIN/> the, the first, the first day I had, you know a wee bit, of uh, <INAUDIBLE_SPEECH/>, you know uh, you know the <UNSURE>rot</UNSURE> like, a wee bit of diarrhoea.", "You know but, but that, that's, that's fine, now. Um, and, <UNIN/>, yeah but, but apart from that, <UNIN/>, no.", "", "Uh, yeah I mean I'm, I'm, I'm trying to and I think what, what is you <UNIN/>, you starve, a cold and you, feed the. I, can't remember what it is, but I think I've, uh, my appetite's been, been all right yeah, yeah. I'm trying to, trying to keep, keep the fluids up as well you know, I hear that's what you should do.", "", "<INAUDIBLE_SPEECH/>", "", "Yeah.", "", "Yeah it's, it's, it's just been a <UNSURE>wee</UNSURE>. I mean again, you know I'm <UNIN/>, I'm getting a just a wee bit older now so it, it's, it's not something that I, I was thinking about but, I have, I have noticed like when I, you know, when I'm bending down and.", "<UNSURE>Know</UNSURE> moving about, it's just, a wee, a wee bit stiffer than, than normal. <UNIN/>, you know and I'm, I think that might be to do with whatever this.", "Thing is, but, again it's, you know, I'm just getting on.", "", "It it's, just kinda, like you know when you're, when you're bending like, elbows and knees and just, just a wee bit, kinda stiff, you know?", "", "Yeah.", "", "Yeah I would say what day is it today? It's uh, <UNIN/>, Wednesday, so it would have been, what is it Saturday, 'cause I was out.", "Yeah I was out having dinner, and then, yeah I, I came, yeah, yeah, yeah it would have been that. 'Cause I was out, for my wife's, uh she's, she was, doing this wee thing, we had a wee bit of a celebration, so we were out for that.", "And I remember saying to her, <UNSURE>it</UNSURE> was like you know what? I'm, I'm, I'm not feeling, great. You know I <UNIN/>, I stuck it out with her but, aye, it would have been that, Saturday. So, what's that about five, five days ago? Yeah, yeah, yeah, yeah.", "", "No I haven't been, haven't been <UNIN/>, I mean, as I said, I was out with my wife. I don't know whether it's like, you know, the restaurant we went to was like, <UNIN/> it was like, pretty good, so I wouldn't have expected them to be serving me anything.", "Dodgy or anything like that but, I <UNIN/>, I, I, I don't know, you know. So, <UNIN/>, <UNSURE>nothing</UNSURE> that I can see.", "", "Well, my wife, has just been, uh, promoted. So, she's now going to be, uh, a head teacher, of, of primary school. So, just took her out.", "<INAUDIBLE_SPEECH/>. Yeah, wee, a wee night on the tiles, for that, so uh, it was good, <UNIN/>. Yeah, yeah.", "", "<UNSURE>Uh, I mean</UNSURE>, I'm a <UNIN/>, I'm a wee bit, on the chunky side.", "You know, uh, you know I've, I've got a wee bit, a wee bit round the midriff, the spare tyre's, definitely there. Uh, and I've, I've got the uh, I've got the diabetes.", "", "Uh, it's, it's uh, type, two, two. Aye, type one, <UNIN/>, aye, aye. 'Cause he said, the doctor I spoke to, he was sort of saying like, you know, as a bigger guy, it's, it's kinda, it's kinda like, yeah, <UNSURE>and</UNSURE>.", "And uh, aye, when I was speaking to uh, it was this, it was other, another doctor I spoke to a while ago but. Aye when he, took the, when he was telling me this as well he, took my blood pressure and that said that was, that was high, uh, high, higher than it should be.", "", "<UNIN/>. Yeah, yeah.", "", "Uh, give me, I'm just gonna check. It's, it's, let me know if I'm pronouncing this correctly 'cause I haven't <UNIN/> got, I haven't got my glasses with me. So, it's <UNIN/>, Metformin?", "<INAUDIBLE_SPEECH/> and, and there's another one, <UNIN/>, Lisinopril? Is that? Yeah, <INAUDIBLE_SPEECH/>. I mean that's those two, I had, I've got them written down a wee bit of paper so.", "", "Uh, no, no, just, just, just those two. Yeah, I mean a wee bit of like <INAUDIBLE_SPEECH/>, a wee bit of Aspirin or whatever every now and again, but you know <INAUDIBLE_SPEECH/> nothing long-term.", "", "<INAUDIBLE_SPEECH/>", "", "Uh, not that I'm, not that I'm aware of. You know, I mean, what, what are the, what are the allergies you get? Just, you know, nah, not.", "", "Right ah, yeah. No, nothing, nothing that, nothing that I'm aware of, doctor's never said <UNSURE>nothing</UNSURE> to me, so.", "", "Uh, no, no, kids, the kids have uh, they've flown the nest. So uh, <UNSURE>now it's</UNSURE> just me and the missus, you know, good life.", "", "Uh, <UNSURE>I am</UNSURE>. Yep, yeah, yeah um, <UNIN/>.", "", "Uh, well I'm, it's one of the, there's a wee factory, just uh, down the road, um, so we just you know, we just manufacture like uh.", "Uh, it's like, kind of steel, steel parts, uh, things like that. You know, so it's a, good wee job, you know, keeps us, a roof over the, over us.", "", "<UNSURE>Yeah</UNSURE>, yeah, aye, <UNSURE>exact, exactly</UNSURE>.", "", "Uh.", "", "I, I do, I do like a wee drink.", "Uh, aye the doc, the old, doctor I had, he, he, he did say I was drinking just a wee, a wee bit too much. I mean I'm not like, you know I'm not, not an alky or anything, but just, just uh, yeah, do like a few, a few pints every now and again.", "", "Uh, pints?", "", "<INAUDIBLE_SPEECH/>. You know, maybe, maybe what like four, four pints on like Saturday and then, you know on, Sunday as well, <UNIN/>, maybe like.", "Nine, nine pints in a week, I would say.", "", "Uh, ugh, <UNIN/>, a wee, every now and again, but I'm, I, I am trying to cut that down. I've got a wee uh, what are those wee things called? The wee vaporisers.", "Yeah I've got, I got, I got myself one of those, so I've been, I've been cutting down on the cigarettes. Uh, and I just got this wee, this wee thing, it's great, it is, it's actually like amazing, by the way.", "", "Thank you.", "", "Mm-hmm.", "", "Right.", "", "<UNSURE>Yes</UNSURE>, aye.", "", "Aye.", "", "Right, so <UNIN/>, so if, so if I'm, I just <UNIN/>, just lie down and take it easy. If I'm still, feeling a bit rubbish then, I go in, I <UNIN/>.", "", "<INAUDIBLE_SPEECH/>", "", "All right, OK. OK, so I just, plenty of rest, lots of water, hopefully this thing pass.", "", "Right, that is, that's perfect, that's just what, <INAUDIBLE_SPEECH/>, what I wanted to hear.", "", "Cheers.", "", "Aye, I hope so, I hope so. It's not, not looking too good, but uh, aye. Right, cheers, cheers, <UNIN/>.", "" ]

[]

[ "", "Hello?", "", "Hello. Uh, just before we go any further, can I confirm your name and, age please?", "", "<UNSURE>Twenty six</UNSURE>, OK. And how can I help you this afternoon?", "", "OK. Um, sorry to hear work's been so stressful. Um.", "Tell me more about your skin first, <UNSURE>Lou</UNSURE>. Tell me uh, you mentioned it's been dry and itchy. Um, whereabouts on your skin?", "", "OK. Um, and is this something you've had before?", "", "So, uh, did it, did it come about quite suddenly, or was it more, kind of a gradual thing?", "", "OK. And, has this spread anywhere else? Has it spread to your, to your chest, your legs, your face?", "", "No, OK. So apart from being dry and itchy, um, any other symptoms? Has it been sore? Has it been, uh, <UNIN/> have you noticed any cracked skin?", "", "OK. <UNSURE>Has that</UNSURE>.", "", "OK.", "", "Thank you, for mentioning all those. Um, OK. Uh, so the coconut butter hasn't helped, with the itch?", "<INAUDIBLE_SPEECH/>", "", "OK. And, uh, you mentioned work's been quite stressful. What do you do for work?", "", "OK. And, uh, in what way has work been stressful?", "", "OK. <UNIN/>.", "", "OK, all right. Well I'm sorry to hear that, and I hope it gets better.", "Um, going back to your skin. <UNSURE>I mean</UNSURE> is it anything you've done perhaps, uh, which may have triggered your symptoms? Anything you've touched or, you know, for example shower gels, soaps, fabric <UNIN/>, fabric cleaners?", "", "OK. Is that the first time in your life or have you been before?", "", "OK. And did your symptoms start after you went swimming?", "", "OK, all right. Um, you mentioned you've had no other fevers, is that right? No fevers? No vomiting?", "", "No. How's your health otherwise?", "", "<UNSURE>And all</UNSURE> <UNIN/>, we'll get to medication in just a second. Um, <UNIN/>, do you, do you feel generally run-down? Do you feel tired?", "", "OK, OK. Are you eating and drinking OK?", "", "Your appetite's fine is it? OK. And your bowels, are your bowels working OK?", "", "Uh, no, no problems with vomiting, or loose stools?", "", "OK. And your waterworks are uh, all OK? You're passing urine OK?", "", "OK, all right. Um, so just moving on. In terms of your other medical history, is there anything else I should be aware of?", "", "<UNSURE>Microgynon</UNSURE>.", "", "OK. Do you know what that is?", "", "OK. <UNIN/>, it's a contraceptive pill", "", "Does that make sense? Is that something you're, is that, does that ring a bell now?", "", "OK. Is <UNSURE>there</UNSURE>, any other medications that you take?", "", "No. So, in terms of your medical history, there's no, problems of skin problems in the past, things like eczema or, um, dermatitis?", "", "Sorry what was that? You think it's.", "", "<UNSURE>The</UNSURE> <UNIN/>.", "", "The weather?", "", "Ohh, you think the <UNIN/>, OK. You think the <UNSURE>weather</UNSURE>, OK.", "", "OK. No that's OK, no, no problems. Well um, uh, move <UNIN/>. Do you, do you suffer from allergies? Are you someone who suffers from allergies?", "", "<UNSURE>Food</UNSURE> allergies? Medication allergies?", "", "Lactose intolerant, OK, that could be helpful to know. Um, fine. <UNSURE>And tell me of</UNSURE> family history, is there anything in the family that you're aware of?", "", "Hayfever, OK. Um, fine, but any, again, any skin problems that you're aware of?", "", "No, OK, all right. Socially, who do you live with at home?", "", "Live alone?", "", "And, uh, do you smoke at all? Do you, can I ask? Do you smoke? Are you a smoker?", "", "Do you drink much in the way of alcohol?", "", "Recreational drugs?", "", "OK. And you said you <UNIN/>, you work as a primary school teacher?", "", "Uh <UNIN/>, the reason I ask is sometimes stress can be a <UNIN/>, contributing factor. Um, you felt, <UNIN/> you noticed yourself, <UNSURE>find</UNSURE>, uh, <UNIN/>, life's been more stressful recently. Is that right?", "", "Do you think that might have any correlation to your symptoms?", "", "OK, all right. Um, fine. Um.", "", "OK, well, normally at this stage I like to proceed to examination, but um, based on your uh, story.", "Um, it's difficult. I think that, you know, <UNIN/>, you've, essentially the story is you've got a dry itchy rash on your, mainly your hands. you mentioned. Um and your arms which started, perhaps after swimming a few days ago.", "Um, but no other symptoms, you're feeling otherwise, well, no fevers, no bleeding or discharge from skin.", "I wonder whether you may have something called dermatitis. Um, have you heard of that condition before?", "", "OK. Um, great. Well I can give you a patient information leaflet about that, which gives a bit more information about the disease, but, um, it, it's something that we can readily treated. Um.", "With couple options, we have steroid creams I can give you, um, which will help with the inflammation.", "And, uh, something called emollients, which can help with the dry, dry skin.", "And that's something you just need to kind of paste on, uh, on to your skin, uh, <UNIN/>, throughout the day for the next few days. Um, and hopefully that helps your symptoms.", "", "Um, <UNIN/>, you can also try antihistamines, so you can get things over the counter, Piriton, Loratadine, <UNSURE>they can sometimes</UNSURE> help with the itchiness.", "", "OK. And um, that's probably what I recommend. Paracetamol on this occasion, wouldn't be helpful.", "Um, uh, uh, painkillers wouldn't be helpful <UNIN/>, on this occasion, but let's, let's, let's see how the next few days go.", "And if it's still not getting better, come back and see me next week, and we can have another look again, at your symptoms.", "", "Right. Do you have any questions for me?", "", "OK. Well, I wish you all the best. Have a good day.", "", "Thank you. Bye bye.", "" ]

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[ "", "OK. Ohh, OK.", "", "Hello, can you hear me?", "", "Uh, my name's <UNSURE>Itha</UNSURE>, and I'm twenty six.", "", "Um, so basically, I've been really stressed at work for the past few days.", "And, I've realised that I've got, really dry itchy skin.", "", "All over my arms, um, and my hands mainly.", "", "Uh, no. <UNSURE>Never had</UNSURE> <UNIN/>.", "", "I think it started a few days ago.", "", "<INAUDIBLE_SPEECH/>", "", "Um, so my skin's quite red, um, and I'm using coconut butter for the past few days.", "", "I don't have any spots, and no fever <INAUDIBLE_SPEECH/>, and I'm not sweating either.", "", "No, <INAUDIBLE_SPEECH/>.", "", "Um, I work as a teacher.", "", "I think the kids have been really annoying these days.", "", "And, <UNSURE>I've been working</UNSURE> really long hours.", "", "<INAUDIBLE_SPEECH/>, I went swimming a few days ago.", "", "Uh, no, I've been before.", "", "Uh, yes, <INAUDIBLE_SPEECH/>.", "", "No.", "", "It's pretty good, yeah. I'm not on any medication.", "", "Uh, yeah, I think I have been, quite tired.", "", "Yeah, I've been drinking, and eating as normal.", "", "<UNSURE>Yeah</UNSURE>.", "", "No.", "", "Yep.", "", "I'm currently taking <UNIN/>.", "", "Yeah.", "", "Uh, no.", "", "<INAUDIBLE_SPEECH/>", "", "Ohh yeah.", "", "<UNSURE>Uh</UNSURE>, no.", "", "Uh, no, I think it might just be the weather.", "", "I think it might just be the weather.", "", "Yeah, <INAUDIBLE_SPEECH/>.", "", "Um.", "", "I think, um, I <UNSURE>might</UNSURE> be lactose intolerant.", "", "Um, yeah, so um, my dad has asthma, and, my mum has hayfever.", "", "Yep.", "", "Uh, no.", "", "Ohh, it's just me.", "", "Yep.", "", "Uh, no, I don't smoke.", "", "Uh, no.", "", "<UNSURE>No</UNSURE>.", "", "Yes, that's right.", "", "<UNIN/> <UNSURE>I don't</UNSURE>. I <UNSURE>certainly</UNSURE> think so.", "", "Yep.", "", "I have, yeah.", "", "OK, <UNSURE>it's cool</UNSURE>. Thank you very <UNSURE>much</UNSURE>.", "", "Yeah, that sounds good.", "", "OK, perfect. Thank you very <UNSURE>much</UNSURE>.", "", "Uh, no.", "", "Well, thank you very much. Bye.", "" ]

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[ "", "Hello?", "", "Hello? I can hear you, can you hear me? <UNIN/>. Excellent, just before I go any further, can you confirm your name and your age, please?", "", "OK. And how can I help you Mrs Smith?", "", "Right, well <UNIN/>, I, thank you for coming in, so hopefully we can help with your symptoms. Um, so you mentioned it started a few days ago. Um, so, can you tell me a bit more about that, what kind of pain it is, that you're experiencing?", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>, OK. And, and, uh, the pain in your tummy, is it, can you describe the <UNIN/>, the pain to me? Is it cramping, burning, sharp?", "", "Right, <UNSURE>right</UNSURE>, OK, OK. Um, fine. And, have you found yourself going to the toilet more often than normal?", "", "No, OK, fine. Have you noticed any, any funny colour to your urine? So, has there been, uh, <UNIN/>, any blood in your urine? Have you noticed any other darkening of urine?", "", "Yes.", "", "<INAUDIBLE_SPEECH/>", "", "OK, fine, OK. Um, right, let me just <UNIN/>, write a few notes down as well. Um.", "", "<UNIN/>, and you mentioned a tummy pain, that also started a few days ago. Does the pain move anywhere else? Does it move towards the back, or towards your flank, the sides?", "", "No, OK, fine. With those symptoms, have you noticed any other symptoms like nausea, vomiting?", "", "OK. Any fevers, or temperatures?", "", "<UNIN/>, sorry, was there any, any fevers or temperatures? Sorry, I didn't hear you.", "", "No fever, OK, fine, sorry. Um, OK. Um, in terms of your bowel, are your bowels working OK?", "", "<UNSURE>So, uh, by that I mean</UNSURE>, um, any, any diarrhoea, loose stool?", "", "OK, all right. And um, Jessica, sometimes we have to ask very private sensitive questions, uh, just to <UNIN/>, get a full history. Um, hope you don't mind me <UNSURE>asking</UNSURE>, but are you currently sexually active?", "", "<UNSURE>OK, is</UNSURE> that with a regular, partner?", "", "Fine, OK. Um, have you noticed any other discharge from, from down below?", "", "No, OK. When was your last um, uh, last STD screen? If, if ever?", "", "No, OK, fine. <UNSURE>And</UNSURE>, and um.", "", "Do you use any form of contraception, at all?", "", "You use condoms, OK. And when was your last, period?", "", "Three weeks ago, OK. Is there any chance you could be pregnant perhaps?", "", "Is there <INAUDIBLE_SPEECH/> any chance you could be pregnant?", "", "No, no. <UNIN/>, it's always worth asking uh, young females like yourself, um. Uh, um, so if that obviously you are worried about the pain.", "Um, not getting any better, uh, then I'd always <UNIN/>, advise getting a pregnancy test, to rule out pregnancy. OK? Um, fine. So just moving on, moving on. Are you otherwise fit and well?", "", "And so by that I mean, do you have any other medical problems, medical <INAUDIBLE_SPEECH/>, medical history?", "", "OK. Do you take any regular medications?", "", "OK. So you've tried that and it didn't help? OK, all right. Um, do you have any allergies to any medications?", "", "And what happens when you take Clindamycin?", "", "<UNSURE>Right then</UNSURE>, OK. So it's quite a, seems like a quite severe allergy to it, is <UNIN/>, is that right? Um, OK. Fine. In terms of your family history, is there anything I should be aware of, um, related to kidneys, bladder, bowels, guts?", "", "OK, all right. And tell me a bit more about your home situation. Who's lives, who's at home with you?", "", "OK, and what <INAUDIBLE_SPEECH/>.", "", "OK, and are you a, are you working at the moment, or are you a student?", "", "OK, and what are you studying?", "", "And how's that going?", "", "<INAUDIBLE_SPEECH/> <UNSURE>great</UNSURE>. Do you have any aspirations for the future, in terms of careers?", "", "<UNIN/>, <UNSURE>recommend</UNSURE> it, we need doctors. Um, what about smoking and alcohol? Do you drink much in the way of, <INAUDIBLE_SPEECH/>, do you, do you smoke, or do you drink much in the way of alcohol?", "", "<UNIN/>, <UNSURE>so</UNSURE> socially, OK. All right. Um, right, excellent. So, um, at this stage I <UNIN/>, I would proceed to examination.", "But um, based on your story, um, just to summarise really. So, last three days, you've been having bit of burning pain on passing urine. A bit of, crampy tummy pain lower down.", "Um, <UNIN/>, essentially but, but no other fevers or back pain, uh, if I, if I understand correctly.", "I <UNSURE>think</UNSURE> probably do have what we call a simple UTI or urinary tract infection, bladder infection, um, which can be readily treated. So, I'll give you a course of antibiotics today.", "Something, called either Nitrofurantoin, or Trimethoprim. Uh, and it's normally a three day course. Uh, so, one tablet, twice a day, for three days.", "And <UNIN/>, that <UNSURE>should</UNSURE> hopefully help your symptoms, but I also advise you to drink plenty of fluids. Let's try and flush that, you know, that infection out of your body, if you can.", "Um, you can try, cranberry juice, that can sometimes help with your symptoms.", "Um, and if you're still not better, by the end of this week, I want you to give me a call or come back and see me. And uh, we can have another look at your symptoms.", "", "OK.", "", "<UNSURE>Yeah</UNSURE>, yeah absolutely. And things to look out for would be, you know, if you are having kind of, high temperatures, a back pain, um just <UNIN/>, generally feeling more unwell.", "Uh, you know, I do <UNSURE>want you</UNSURE> give me a call back, 'cause then we do worry whether your infection may be spreading up towards your kidneys, which is something we wanna avoid. So, do, do give me a call if you're having any concerns, OK.", "", "Yeah I mean if you can try and avoid it, I think that'd be sensible. Um, uh, <INAUDIBLE_SPEECH/> it's great that you're using barrier contraception. I <UNSURE>would</UNSURE> recommend you to continue using barrier contraception, but if you can avoid it while your symptoms clear up. That'd probably be the best for you and your boyfriend,<INAUDIBLE_SPEECH/>.", "", "All right.", "", "Great.", "", "<UNSURE>Thank you</UNSURE> very much. Wish you all the best.", "", "<INAUDIBLE_SPEECH/>", "" ]

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[ "Hello?", "", "Hi. Can you hear me?", "", "Yeah, I can hear you now.", "", "Uh, yeah. My name is Jessica Smith, and I'm nineteen years old.", "", "Um, yeah so uh, I mean this is, this is a bit embarrassing, but it's, it's <UNIN/> uh, hurting when I, <UNIN/>, when I use the bathroom, when I pee. And um, it's been going on for a few days, so I'm a, I'm a little bit worried about it. Uh, not sure what to do.", "", "Um, it's, it's not too bad, it's sort of like a stinging kind of pain. Um.", "It's not like unbearable, but uh, it's <UNIN/>, it's definitely uh, it definitely bothers me when I pee. Um.", "And uh, yeah I also maybe sometimes get some like, pain kind of lower down in my tummy, when I, when I go to the bathroom. Uh, yeah.", "", "<INAUDIBLE_SPEECH/>, yeah, I don't know maybe uh, sort of, sort of cramping. I'm not really sure, but it's not like, it's not like cramping like when I get, when I have a period or something. It's like, I don't know, <UNIN/>.", "", "Um, not, I don't think so, I haven't noticed that.", "", "Um, there was a little bit of blood earlier today, um, but besides that, not at all, no. Um.", "It does kind of, <UNSURE>it</UNSURE>, it kind of like, doesn't smell very, it smells a bit weird I guess, um, but, no, not really anything uh, anything drastic.", "", "No, not really, no.", "", "Uh, no, not <UNIN/>, not at all.", "", "<UNIN/> <UNSURE>think so</UNSURE>.", "", "No, no, no fever, no.", "", "Um, uh, I think so, yeah, it seems <INAUDIBLE_SPEECH/>.", "", "Uh, no, not that I've, not that I've noticed at all.", "", "<INAUDIBLE_SPEECH/>", "", "Uh, yeah I am.", "", "Ohh, yeah, so I, I've had a boyfriend for about <UNSURE>a</UNSURE>, a couple of months now, yeah.", "", "I haven't noticed anything.", "", "<INAUDIBLE_SPEECH/>", "", "Don't think I've ever, I don't think I've ever had one.", "", "Uh, yeah, we use condoms.", "", "Uh, couple <UNSURE>of</UNSURE> weeks ago.", "", "Say again.", "", "Uh, I don't think so, I <UNSURE>don't</UNSURE>.", "", "Yeah.", "", "Uh-huh.", "", "Um, yeah, I think I'm, I'm feeling OK, otherwise, yeah.", "", "Um, so, in the past I've had some uh, some IBS. Um.", "But, other than that I think no like uh, real serious medical problems that seem, yeah.", "", "Uh, no, I did uh, I did uh, a little bit ago, or a couple of days ago, try some uh, over the counter bicarbonate, to try and help with the pain but it wasn't, it wasn't really helping.", "", "Uh, yeah, I'm allergic to, Clindamycin.", "", "Um, I, I get some like a, a, a swelling, basically.", "", "Yeah.", "", "Uh, no I don't think so, not that I, not anything I know about.", "", "Um, so I live in a, live in a flat near my college, with a, a couple of like friends of mine. Uh, so I'm, I'm not like living at home or anything. Um.", "<INAUDIBLE_SPEECH/> <UNSURE>about sorry</UNSURE>.", "", "I'm a student.", "", "Uh, I'm studying biology.", "", "Um, it's good yeah, it's really, it's really interesting uh, learning about, learning about how uh, how the world works, yeah.", "", "Uh, I don't know, maybe a doctor someday, you never know.", "", "Uh, I don't, I don't smoke, uh, I do drink, like on the weekends, yeah.", "", "Yeah.", "", "<INAUDIBLE_SPEECH/>", "", "Mm-hmm.", "", "OK.", "", "OK.", "", "OK.", "", "<INAUDIBLE_SPEECH/>", "", "OK, so <UNIN/> three days of the medication, and then wait a little bit, if it still doesn't go away, call back, that <UNSURE>OK</UNSURE>?", "", "OK.", "", "OK, is there, is there anything like, like, should I be worried about? Like, like, not having sex or anything within the next week, or anything like this?", "", "OK, OK. Uh, that, that makes sense. <UNSURE>Ohh</UNSURE>, OK, thank you so much.", "", "Yeah, thank you. Take care.", "" ]

[]

[ "<UNIN/> hello <UNIN/> can you hear me ok?", "<UNIN/> Right excellent, before I go any further, can I confirm your name and your age please?", "", "Nineteen years old OK Amanda, and how can I help you this <UNIN/> afternoon?", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "Right OK. I'm sorry to hear there's a lot going on there and I can, see why it's affecting you. Um, so you mentioned it's been going on for last three days, mainly the burning pain when you pass urine. Um, you said <UNSURE>you're</UNSURE> going to the toilet more often as well, that right?", "", "<UNSURE>Ohh and a</UNSURE> week, sorry <UNSURE>my</UNSURE> <UNIN/>. OK, uh.", "", "<INAUDIBLE_SPEECH/>", "", "<UNIN/> <UNSURE>Are you noticing</UNSURE> any, anything in your urine, predominantly blood or um, discolouration of urine?", "", "<INAUDIBLE_SPEECH/>", "", "OK, <UNSURE>uh</UNSURE> <INAUDIBLE_SPEECH/> of any kind of frank blood? I mean red blood at all, in your urine? <INAUDIBLE_SPEECH/>", "", "<UNIN/> OK. Um, fine we'll we'll have to definitely explore that <UNSURE> in a little bit or </UNSURE> detail later on. Um, you also mentioned some tummy pain as well, can you tell me <UNSURE> a </UNSURE> bit more about that pain?", "", "OK. Um, can you describe it <UNIN/> crampy pain? Is it more of a burning pain?", "", "<UNSURE>OK.</UNSURE>", "", "<UNSURE>An aching</UNSURE> pain, OK. And does the pain move anywhere else? Does it move towards your back? Towards your sides?", "", "<UNIN/> OK, all right. Um, any other symptoms? <INAUDIBLE_SPEECH/> Nausea? Vomiting?", "", "OK. Any temperatures or fevers?", "", "OK, all right. And how are your bowels at the moment? Are your bowels working OK?", "", "OK, and <UNSURE> when,</UNSURE> when when you say you have problems, what kind of problems do you normally have?", "", "<UNSURE>Right.</UNSURE>", "", "<INAUDIBLE_SPEECH/>", "", "OK, all right but, <UNSURE>and you've noticed</UNSURE> no <UNSURE>new symptoms?</UNSURE> No, no, no new symptoms in your bowels?", "Uh. OK, all right. Um, and Amanda sometimes we have to ask quite sensitive questions as you can imagine. Um, uh, can I ask? Are you currently uh, are you currently sexually active? <UNSURE>At the moment?</UNSURE>", "", "OK, and um, have you <UNSURE>noticed</UNSURE> any other discharge from down below? So, from from the front passage?", "", "<UNIN/> OK. Have you, do you use any form of contraception?", "", "The pill. What kind of pill is it? Is it combined pill or the mini-pill?", "", "OK, fine. Um, when was the last time you had um, unprotected sex?", "", "If you don't <UNSURE>want</UNSURE> me asking.", "", "<UNSURE>Yeah, exactly.</UNSURE>", "", "Yep, a <UNSURE>week ago</UNSURE>, OK all right.", "<UNIN/> What I'm trying get at is whether um, uh there's any chance you could be pregnant at all. Uh, I know you're on the pill, but um we're we, nonetheless we do have to ask. <UNSURE>Um</UNSURE> when was your <UNSURE>last</UNSURE>, when was your last period?", "", "Two weeks ago OK, all right. Just something for <UNSURE>us</UNSURE>, to bear in mind, if your symptoms don't get any better OK, um.", "Fine, in terms of your general health otherwise at the moment are you, uh eating and drinking OK?", "", "<INAUDIBLE_SPEECH/>", "", "<UNIN/> Sure, well thanks for sharing with me. Um, so, I, I don't think <UNSURE> it's</UNSURE> <UNIN/> is related to your symptoms, I think it probably just <UNSURE>pure</UNSURE> pure coincidence, um.", "But, uh, you know I do strongly advise you to you know, um, make it a regular habit if you can. Um, just for your, just for your general health moving forwards, OK?", "Um, fine. Moving on, in terms of your health otherwise, do you have any other medical conditions <UNIN/> , apart from the IBS, is there anything else I should be aware of?", "", "No, OK great. And what about any medications that you take on a regular basis, apart from the, um, combined pill?", "", "<INAUDIBLE_SPEECH/> <UNSURE>was it</UNSURE>, yeah OK.", "", "OK, and <UNSURE>is</UNSURE> that for the cramps, the crampy pain?", "", "Yeah OK, and do you have any allergy to any medications?", "", "<UNIN/> OK, OK, OK.", "", "<UNSURE>Ritib</UNSURE>, OK sure, I'll make a note of that. Um, in terms of family history, any history of problems with the bladder or the kidneys?", "", "No, or <UNIN/> <UNSURE>generally</UNSURE> anything else, good. And socially, tell me a bit more about your home situation, who's at home with you?", "", "<INAUDIBLE_SPEECH/>", "", "<UNIN/> Very good.", "", "Great, and what are you studying at university?", "", "English, OK good, and how are you enjoying your course?", "", "<UNSURE>Good</UNSURE>.", "", "Very <UNSURE>good</UNSURE>, very <UNSURE>good</UNSURE>, good. Um, in terms of smoking and alcohol, do you, do you participate in either?", "", "<INAUDIBLE_SPEECH/> O <UNSURE>K</UNSURE>", "", "OK, what, what's made you have your first joint last week? <UNSURE>Was </UNSURE> <UNIN/>", "", "OK.", "", "<INAUDIBLE_SPEECH/>", "", "Sure, uh, and obviously as your doctor I'm here to look after you so yeah I I would strongly recommend you, you know, to avoid if you can. Great, um, fine so, at this stage I wouldn't normally examine you, but I think based on your story I think, um, you know, uh, I'm reassured.", "<UNSURE>But</UNSURE> the fact <UNSURE>that I, I</UNSURE> I think it's, um, probably just a simple what <UNSURE>we'd</UNSURE> say <UNSURE>a</UNSURE> UTI or a cystitis, bladder infection.", "Uh, you know you haven't got any other symptoms that, suggest to me that there's anything to worry about, so things like fevers and back pain.", "Um, would be more worrying for me to hear. Um, so <UNSURE>it's</UNSURE> something we can treat quite readily with antibiotics. Um, so we've got a choice of two antibiotics something called Trimethoprim or, Nitrofurantoin which is a three day course.", "<UNSURE>And</UNSURE> normally they're usually quite effective, um, for your symptoms. It's probably worth giving us a urine sample today as well if you can, so we can send it off to the lab.", "And see exactly what's going on there. Um, start the antibiotics, make sure you're well hydrated, drink plenty of fluids.", "Um, if you are having some pain, simple Paracetamol, um, would probably be advisable.", "Um, we'll see what the urine sample shows. Um, and if it is indeed positive, we'll know which antibiotics are the right ones.", "Um, but if things <UNSURE>still</UNSURE> are still not getting any better next week come back and see me, and we can have another look again.", "", "<UNSURE>So if</UNSURE> <UNIN/> <UNSURE>I'll give yeah no it's a well uh so</UNSURE> yeah good question, so I will give you <UNIN/> I will organise uh for you to come in, and drop off a sample <UNSURE>at one of</UNSURE> our practices, um which we can test there and then, <UNSURE>at the urine</UNSURE> <UNIN/> <UNSURE>and send it off to the</UNSURE> lab <UNSURE>uh</UNSURE> we can back in touch with you with the results.", "", "OK, do bear in mind those symptoms I mentioned about the fever and the back pain and vomiting. If you have any of those give me a call, OK?", "", "<UNSURE>All right</UNSURE>, OK. Have a good day. Thank <UNSURE>you, bye bye</UNSURE>.", "" ]

[]

[ "", "Hello. Hi.", "", "Yeah I can hear you, hi.", "", "Sure, um, I'm Amanda Jackson and I'm nineteen years old.", "", "Um, so it's being going on for a few days now. Um, it's not happened before and I'm bit worried. I've <UNSURE>uh it</UNSURE> quite hurts when I kind of pee.", "Um, and yeah it's like I'm going to the toilet a lot more, um.", "And it's really, like I can't, like go to uni properly. I'm just like constantly looking for the toilet.", "Um, <UNSURE>and</UNSURE> it kind of hurts sometimes when I'm, like in at the bottom of my tummy as well.", "", "Uh, yeah <UNSURE>it's</UNSURE> been going on for a little bit longer than three days I think actually, maybe just under a week. Um.", "", "Sorry no I <UNIN/> didn't explain it properly before, um yeah <UNSURE>no I</UNSURE> it's been going on for about just under a week.", "Um, and yeah I <UNIN/> notice a sort of burning, stinging, when I when I go to the toilet, yeah.", "", "Um, I think, well today I noticed, um, that it was like a bit pink.", "The, the urine.", "", "Yeah, I think just today <UNIN/>.", "", "Um, I think it was <UNIN/> probably but I don't know it was pink so.", "", "Yeah it's kind of at the bottom of my tummy, um, uh mainly when I go to the loo, I think that's when it's worse.", "", "Um, I wouldn't describe it as crampy I don't think it's like a period pain, it's a bit different, it's, <UNSURE>it's</UNSURE> hard to say, an achey pain I suppose.", "", "<UNSURE>No</UNSURE>, no, no.", "", "No, no nausea vomiting.", "", "Um no, no not that I've noticed.", "", "Uh I, I usually have a bit of problems with my bowels anyway, so I don't think it's any, different, from what it usually is.", "", "Um, I think I have, um, IBS, um, so I just kinda pass, uh, my bowels like quite, quite a lot.", "Um, and sometimes it's quite, it's quite variable like sometimes it's a bit softer, sometimes it's a bit, <UNIN/> sorry if it's a bit disgusting but like, sometimes it's a bit <UNSURE>uh harder</UNSURE> and kind of hard to predict.", "", "Like, <UNSURE>yeah OK.</UNSURE>", "", "No, no, not <INAUDIBLE_SPEECH/>", "", "Uh <UNIN/> uh yeah um, I have a, a long-term, um, boyfriend.", "", "Hmm <UNIN/> no I don't think so. Nothing unusual.", "", "Uh yeah, uh I'm um on the pill.", "", "Uh, combined pill.", "", "Um, uh, I mean, mean unprotected as in like no, no condoms or anything?", "", "Um, I, I guess 'cause, <UNIN/> um, I don't really use condoms with my boyfriend, <UNIN/> like.", "I dunno we've just kind of agreed, uh, so um I guess, a week ago, two weeks ago <UNIN/>, quite <UNSURE>quite</UNSURE> <UNIN/> .", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "Um, two weeks ago.", "", "Uh, yeah, yeah eating drinking OK. Um, I did have one kinda concern I dunno <INAUDIBLE_SPEECH/>", "", "So <UNSURE>I</UNSURE> I smoked, uh this is quite bad, but I smoked weed for the first time.", "Uh, like a week and a half ago, I <UNIN/> I just wondered whether it's related at all, probably not but I just thought I'd get some advice from you.", "", "<UNSURE>Sure OK</UNSURE>.", "", "<UNSURE>Sure</UNSURE>.", "", "OK.", "", "<UNSURE>Sure</UNSURE> <UNIN/>.", "", "No, nope.", "", "Apart from the pill, um, I take, um, something for the IBS as well. Um it begins with an M, it's pretty hard to pronounce like <UNIN/> something <UNIN/>, maybe.", "", "Yeah, yeah that's it. Yeah, yeah that's right.", "", "Yeah, yeah.", "", "Um, yeah I think there was an antibiotic, um, called <UNIN/> Clindamycin <UNSURE>mycin</UNSURE> <UNIN/>.", "<UNSURE>Then I took</UNSURE> like <UNIN/> something and yeah that, that didn't, go too well, with me.", "", "No, no.", "", "Um, so I am living in halls at the moment, uh <UNSURE>at</UNSURE> uni um, so uh, uh, I'm just living with a flatmate I suppose, um.", "But my family, uh, live kind of outside of London not too far away. Um, so yeah <UNSURE>the</UNSURE> my family are fine and I see them now and then. Uh, yeah things I think, I think <UNSURE>they're</UNSURE> OK generally.", "", "I'm studying, uh, English.", "", "Yeah, yeah it's it's going well thanks. Just kind of started a few months ago, a few months ago and yeah I, I really enjoy it. Yeah, yeah it's really fun.", "", "Uh, as I admitted before I tried weed for the first time, uh, but, uh, I don't smoke. Uh ,I drink occasionally, um, kind of socially, um, with friends <UNIN/>.", "", "Um, I <UNIN/> <UNSURE>it</UNSURE> was just a party,.Um, there were other people doing it, um.", "I kind of was a little bit tipsy so, probably wasn't thinking quite straight. Um, but yeah I, I completely agree it's not something I wanna get into on a regular basis.", "", "Sure.", "", "<UNIN/> OK.", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "Mm-hmm.", "", "Mm-hmm.", "", "<INAUDIBLE_SPEECH/>", "", "OK.", "", "<INAUDIBLE_SPEECH/>", "", "Yeah.", "", "OK.", "", "OK, OK uh great. Um, with, with the urine sample, um, uh, how do I go about doing that, do you know? Is it through the app?", "", "<UNSURE>OK</UNSURE>.", "", "OK perfect. Great.", "", "Either back pain, vomiting, great OK. Yeah, I'll watch out for those.", "", "OK, great thank you. You too, have a <UNSURE>good</UNSURE> day, bye bye.", "" ]

[]

[ "", "Hello?", "", "Hello? Can you hear me OK?", "", "That's perfect. Um", "", "<INAUDIBLE_SPEECH/> this audio. And then it's absolutely fine.", "Uh, now before I go any further, can I confirm your name and your age?", "", "Twenty seven, OK. And how can I help you this afternoon, Dan?", "", "Wow, no. Sorry to hear. Seems like there's a lot going on there. Well, when did it all start, your symptoms?", "", "OK. And <UNSURE>is it</UNSURE> mainly diarrhoea? So, you mentioned watery stools. Um", "How many times are you going a day, would you say?", "", "Alright, wow. OK. So you're losing a lot of, a lot of, you're using a lot of fluid there.", "", "OK. Have you got any blood in your stools?", "", "<UNSURE>OK</UNSURE>. And any, any tummy pain? Any, any, any pain in your tummy? <INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "Where is this crampy pain? Which part of your tummy?", "", "<UNIN/>. Well why don't we start with, is it, is it in the middle, or is it to one particular side?", "", "OK. And does the pain come and go, or is it there constantly?", "", "<UNIN/>. Fine, OK. And if I was to ask you on a scale of one to ten, ten being the worst pain you ever had, how bad is this pain?", "", "<INAUDIBLE_SPEECH/> Is it, is this pain as in making you double over? Is it ten, is it ten out of ten, the worst pain you ever had? Or is it more of a kind of a mild pain, like a three out of ten?", "", "<INAUDIBLE_SPEECH/> solid six. OK, OK. Alright, good. Um, and apart from the pain and diarrhea, any other symptoms like nausea, vomiting?", "", "<UNSURE>Not sleeping</UNSURE>. OK, alright. Uh", "", "And the vomiting is not as pronounced as the diarrhea. Is that right?", "", "<INAUDIBLE_SPEECH/> and the vomiting is not as, uh, prominent as the diarrhea. Is that right?", "", "OK. OK, alright. Um, any other symptoms, like fevers or temperatures?", "", "OK.", "", "OK, so you're feeling hoarse. OK. And in terms of your waterworks, are you passing urine OK?", "", "OK, alright. Um, fine. And, and you said that, you mentioned, three days ago was when it all kicked off. Are you aware of any triggers? I mean, have you for example gone out, had some takeaway food? Have you been around anyone else, um with diarrhea, for example?", "", "Is your, is your brother now better?", "", "OK, alright. Are you having anything to eat or drink? Have you, I can see you're drinking a coffee, but are you keeping it down? Are you keeping your fluids down?", "", "OK, alright. Fine. When was the last time you had anything solid to eat? And which <UNIN/>, which uh which you kept in?", "", "OK, alright. Um and and Dan, moving forwards, are you otherwise fit and well, or do you have any other medical history?", "", "Good.", "", "I'll take it you don't take any regular medications, then.", "", "OK. And do you have any allergies to any medications?", "", "OK. And what about any family history? Do you have any family history of bowel problems? <INAUDIBLE_SPEECH/>", "", "Yeah, yeah. So what I mean by bowel is the whole gut. So it could be anything from the <UNIN/> mouth anus.", "", "Ohh dear. I'm very sorry to hear that. How is he?", "", "<INAUDIBLE_SPEECH/>", "", "Yeah, OK.", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/> Yeah I'll make a not of that 'cause uh, <UNIN/> important to know these kind of details. Um, and socially, tell me more about your home situation. Who's at home with you, Dan?", "", "OK. And, uh, how are things at home?", "", "Don't <INAUDIBLE_SPEECH/>.", "", "<UNIN/> in general day-to-day life are you managing OK? Any particular <UNIN/>?", "", "Sure. <INAUDIBLE_SPEECH/> you mentioned work. You mentioned work. What is it you do for work?", "", "<UNIN/>, OK. So <UNIN/>, OK right. And just a couple last final couple, uh couple <UNIN/> questions. Uh, smoking and alcohol, do you do either? Do you smoke, or do you drink much in the way of alcohol?", "", "<INAUDIBLE_SPEECH/>", "", "And alcohol?", "", "<INAUDIBLE_SPEECH/>", "", "But not <UNIN/>.", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "Well thank you for <UNIN/> me. That's really helpful to know. So um, Dan, just as a a conclusion, uh um, just to wrap it all up, I think your symptoms are suggestive of something called gastroenteritis.", "", "bit of a basic infection of your tummy. <INAUDIBLE_SPEECH/>. There's nothing to worry about. Uh um uh uh I suspect this will just settle down in the next few days.", "", "Just like you did for you brother. Drink, make sure you drink plenty of fluids, OK? And you can <UNIN/>", "", "<UNSURE>Right</UNSURE>.", "", "<UNIN/> fluid is probably best. But I am obviously worried about the fact that you are losing minerals and vitamins. Um so, you can get things like Diarolyte, which is um, a fluid replacement you can get from the pharmacy. It's probably worth <UNIN/> uh recommending that.", "", "<UNIN/> no, you can just get that over the counter.", "", "Um, you can try just you know regular Paracetamol if you are feeling feverish. But if your symptoms aren't settling down in the next couple of days, so forty eight hours, I want you to give me a call back.", "Because um, you know if you are getting dehydrated then we need to do further investigations, OK? But I think let's, let's see how you are in the next one to two days.", "", "And uh, we'll catch up soon, OK?", "", "<INAUDIBLE_SPEECH/> clear fluids. You can use soft diet, things like soup, mash. And then gradually build up, um as much as your body can tolerate.", "Um, but let's try and keep yourself well-hydrated first, OK?", "", "Absolutely. If you are having, if you've got a bit of tummy pain, if you're feeling feverish, then I think Paracetamol is very sensible.", "", "OK? Try and <UNIN/> avoid alcohol if you can.", "", "OK. Alright then.", "", "Thank you for your help.", "", "<INAUDIBLE_SPEECH/>. Thank you. Bye bye now.", "" ]

[]

[ "", "Hello?", "", "Hello.", "", "Uh I can hear you, but I can't really see you.", "", "Is, is that OK? Am I meant to", "", "Just <INAUDIBLE_SPEECH/> connection on the screen.", "", "OK.", "", "Um so, um my name is uh Dan Choudhry. I am seven, twenty seven.", "", "Um so I've just um, been having some troubles, basically in the <INAUDIBLE_SPEECH/> uh, I guess it's been a little while now. And I've just been feeling not so great. And", "It's all come from like, uh it's like basically I think it's diarrhoea. And it's like just coming out, like loads of it. Like I go to the toilet and it's just super watery and it", "", "Yeah it doesn't feel very solid. It so, it just, it's just pouring straight from my bum, and like just coming out. And it's, uh,", "", "Yeah it's just uh not, not been very pleasant. And like I just, it just kind of hasn't, doesn't feel like it's getting better. So", "", "Um, so I think it was a few, when I think about it", "", "So Monday, Tuesday, I I, so I think it was about three, it's been about three days now.", "", "Um so I <UNIN/>, I feel like it's like almost every hour, when I'm awake.", "Um, <UNSURE>so </UNSURE> <UNIN/>. Sorry?", "", "Yeah, so I mean I'm <UNIN/>, I'm trying to drink a lot of water.", "But um, yeah it's just quite a lot and", "Uh it's, yeah I I, I think I <UNIN/> I feel like it's just, just fluids coming out.", "", "Um", "", "So I, no I don't, I don't remember anything, like, no I <UNIN/>, I think it's just I, nothing like that. There's nothing like that.", "", "Yeah. I mean I, it, I feel, I feel a <UNSURE>cramp</UNSURE>.", "<UNIN/> and then, and then I know it's time to go right? So, <UNIN/>around every hour I just feel something come up. And then I have to go. So, yeah I mean that's, that's the <UNIN/>, kind of the first sign.", "", "It's kind of, <INAUDIBLE_SPEECH/>. If I think about it, it's like, it's like at the bottom. Uh, I don't know if that makes sense. Um", "", "Um I I think it it <UNIN/>, it feels pretty <UNIN/>, like in the middle, to me. Not on any side, left or right.", "", "Um, it it comes and goes. It comes and goes.", "", "OK so like", "", "Um", "", "<INAUDIBLE_SPEECH/>", "", "So", "", "What do you mean by, uh pain? So I, I think it's maybe a", "", "I I guess so. I'm, when I think about it, like when I get it, I can pretend that I don't feel it. So I can still sit down and", "Uh I can still like cover it up, and people don't really notice. So I, I don't know what that means. But maybe is that like a six, or a seven? <UNIN/>", "", "<UNSURE>OK</UNSURE>.", "", "Um, yeah I definitely, I definitely feel kind of nauseous. Um", "Like I and, like I've have vomited. And when I like, I think it's maybe something to do with like, whenever I have like milk or something like that, I just feel like I want to vomit. And actually, <UNIN/> yeah one time I just like had some milk, and I just completely vomited it.", "<UNSURE>Um, I've been</UNSURE>, I've been trying to avoid it. But um, yeah.", "", "Um, sorry could you repeat that?", "", "Uh no, no it's not.", "", "Um so I, yeah I think I am pretty, I feel kind of really hot all the time. And uh I'm pretty sure I'm burning up. I haven't actually done any temperature reading, or anything like that. But it's, I, yeah I've, I've sure I'm, I'm not a, like not a normal temperature.", "", "Um yeah a bit, I guess less frequently maybe. Um but yeah, it seems to be OK.", "", "Um so I <UNIN/>, so my um my brother has had, actually had something like this for um <UNIN/> he has it as well for five days, as well. Um and I I've, I'm not, yeah I <UNIN/> I can't think of what, what the trigger is for me. I mean, my brother normally can deal, deals with this stuff a lot better than me. But <UNIN/>, yeah I, that's why", "", "Um", "", "He, so he's been like this for five days. I think he's getting better, but I'm not, I'm not really sure. He said, he said he had, he's had something for a little while as well.", "", "Um so it just feels like the, the fluids do go down. But it just feels like it's going straight through.", "It just feels like it's going straight through.", "", "Um so, I had some, I mean I had some lunch today. Um", "", "But again it just it <UNIN/> just came, come out pretty loose.", "", "Um, so I um, yeah I think, I think otherwise I'm fit and well. I um", "Yeah I mean I, I'm an OK weight. And um, I I can't think of any related medical history.", "Um, I mean like my, yeah I <UNIN/> no I <UNIN/> I don't think so.", "", "So I", "", "Um", "", "No I mean I, I've been taking some like Paracetamols and stuff like that lately. But uh, I haven't been, I'm not on any regular medication or anything like that.", "", "Um, so I don't have any allergies that I know of.", "", "Um bowel, so would, would bowel like, is is the colon like something that", "", "<INAUDIBLE_SPEECH/> So my, yeah my, my dad actually has um colon cancer at the moment.", "", "So um, from what I heard he's kind of, So I don't I don't speak to him that often. So I don't, I don't know the exact details. And I, I don't exactly know the full things of like the steps of cancer, and all that kind of thing. But um, he's sort of in his third stage. Uh, I'm not sure what that means exactly.", "Um, and yeah. So yeah it's, it's um, he's, yeah you can, yeah I can see he's kind of weaker, and it's affecting him a lot. And um, that's <UNIN/> it's quite, I I guess he's um, had it for a little while now.", "", "Um so, uh not my brother. He doesn't live with me. I'm, I live with my, um sister and my mum.", "", "Um, I think, <UNSURE> I mean</UNSURE> in what sense do you mean that?", "", "<INAUDIBLE_SPEECH/>", "", "I mean uh", "I think uh, yeah it's been, it's been tricky. Um", "Going to work with all of this. Um I dislike um, taking time off work. I feel like I I just want to go, um when I can. So I <UNIN/> I try and go um", "", "I think at, at home, uh yeah I just haven't really um", "I I don't normally actually um, eat with my family. I normally am buying stuff and that kind of thing. So, I don't think it's affected them. And I haven't really been, haven't really gone into detail with my sister and my mom about it. Um", "Yeah. I'd, I'd just rather deal with these things. Um so <INAUDIBLE_SPEECH/>", "Um", "So I work at a, I I work at um an office, um in Central London. Um it's uh, so I work in government.", "", "Um so I I smoke um, I smoke uh, uh for like socially, but not like regularly. Um", "So normally if if it's a, a Friday or something like that I might, I might have a cigarette or something like that. But um not <INAUDIBLE_SPEECH/>.", "", "Sorry?", "", "So alcohol, um <UNIN/> uh you know I might have a a beer during the weekdays, maybe uh not that many, maybe um <INAUDIBLE_SPEECH/>. On Fridays I have more um alcohol um", "But yeah uh, I'll have my units um", "Uh, honest, I suppose um, not every week, but maybe I'll once or twice a month, that yeah, I'll go out with my friends and drink a lot so that that's um, yeah um", "", "OK.", "", "OK.", "", "Uh-huh.", "", "Should I just drink like normal water? I just feel like every time I drink <UNIN/> it's just coming out. Um <INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/> Do i need like a prescription for that?", "", "OK.", "", "<INAUDIBLE_SPEECH/>", "", "OK.", "", "OK. So you're saying that I should, <UNIN/> I could, uh I'll try and buy this Dioralyte. What, what should I do in terms of um, food and that kind of thing? Should I just focus on fluids?", "", "OK. Is it OK for me to carry on having like, um Paracetamol and things like that?", "", "OK.", "", "Uh, OK I'll try. Yeah.", "", "OK.", "", "Alright. Thank you very much. Thanks, thanks for helping me out.", "", "<UNSURE>K. Bye.</UNSURE>", "" ]

[]

[ "Uh no, <UNSURE>it is</UNSURE>, yes.", "", "Hello?", "", "Can you hear me OK? Great. Hello there. Um, before I go any further, can I confirm you name and your age please?", "", "Robert?", "", "OK.", "", "OK. Great.", "", "Excellent. And how can I help you this afternoon, sir?", "", "OK, well I'm sorry to hear that. Uh can you tell me a bit more about your diarrhoea?", "", "Right.", "", "", "Mm-hmm.", "", "OK. And you mentioned you've been um going to the toilet very often. How many times are you going a day?", "", "OK. And uh uh can you tell me, I know it's not nice to talk about, but is it quite watery, your stools, loose?", "", "OK.", "", "K. Any blood in your stools?", "", "OK. And uh uh uh with the diarrhea have you noticed any other symptoms, like tummy pain?", "", "<INAUDIBLE_SPEECH/>", "", "OK. When you say you can't drink too much, why is that?", "", "OK, alright. Um have you managed to eat anything, solids?", "", "OK. You <INAUDIBLE_SPEECH/>. OK. Um with your um, <INAUDIBLE_SPEECH/> the vomiting has now stopped. Is that right? You said", "<INAUDIBLE_SPEECH/>", "", "OK, alright. Have you had any other symptoms, like fever or temperature?", "", "OK. <UNIN/>", "", "<INAUDIBLE_SPEECH/> OK. Alright. Any headaches or muscle pains?", "", "OK, alright. And you mentioned three days ago. What were you doing when the symptoms started? Are you aware of any triggers?", "", "Yeah. Did you have any takeaway food, or any dodgy restaurant food?", "", "OK. Have you been around anyone unwell, with diarrhea recently, last week or so?", "", "OK. OK. Um, right. So moving on, um are you otherwise fit and well?", "", "Uh OK. And do you take any regular medications?", "", "Is that, is that <UNIN/> inhaler?", "", "Is that the blue inhaler? Blue inhaler. OK, alright. Any other medications that you take?", "", "OK. Do you have any allergies to medications?", "", "OK. And any family history of any medical problems?", "", "OK. Sorry to hear that. Um, OK. And uh what about your mother?", "", "Diabetes. Do you know if that's type one or type two?", "", "OK. Alright.", "", "Fine. And um, just a little bit more about your life in general, sir. Um who, who's at home with you? Who lives at home with you?", "", "Who lives at home with you, sir?", "", "You live alone, OK. Are you currently working at the moment?", "", "What's your employment? What do you do for work?", "", "<INAUDIBLE_SPEECH/>. OK, alright.", "", "Have you taken time off work recently?", "", "OK, alright. And just the last couple of questions with, regarding your smoking and alcohol. Do you do either of those?", "", "OK, alright. Um fine. <UNIN/> uh Robert um", "", "<UNIN/> having listened to your story, I think you're probably suffering from what we call gastroenteritis, uh which essentially is just a, a tummy bug. It's an infection of your, your tummy. Um and normally lasts about three to five days, and gets better.", "", "<UNIN/> the things you can do to really help yourself get better soon, um are you can drink plenty of fluids. Really try and flush the toxins out of your body.", "", "Uh you can get things from the pharmacy, which is called Dioralyte, which can help replenish any <UNIN/> uh minerals and vitamins you may have lost. Uh, it's called <UNIN/> Dioralyte. Um it's, it's a, it's a type of fluid replacement drink.", "Um, you can take some Paracetamol if you're feeling feverish and weak.", "I would probably advise you to continue taking time off work for next day or two, until you get better.", "<UNIN/> normally you have to be diarrhea-free for about twenty four to forty eight hours, before you return back to work.", "Um, let's see how the next few <UNIN/> days go. And if you're still not better next week, I want you to come back and see me.", "And we can have another look at your symptoms, OK?", "", "Thanks. <UNIN/> do you have any questions for me, or?", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/> I really hope you get better soon.", "", "<UNIN/> <UNSURE>OK</UNSURE>. Bye bye.", "" ]

[]

[ "", "Hi.", "", "Yes. So, my name is Robert.", "", "Yep.", "", "Um, I'm forty eight.", "", "<INAUDIBLE_SPEECH/>", "", "Right, so, uh, I've been having, uh, diarrhoea, for like, <UNSURE>let's</UNSURE> say past three days, more or less.", "", "Yeah, so it's been a, very bad diarrhoea, so it keeps me like, I keep going back and forth, to, to the toilet very often.", "<UNSURE>Um</UNSURE>, yeah it started like three days ago.", "And uh, uh, so it started with vomiting, so I vomited a couple of times. Uh, but then, that went away, and, uh, yeah it's just diarrhoea now.", "", "Yeah, around, five to six times a day.", "", "Yes, it's definitely, definitely watery, uh, loose stools, yeah.", "", "No, not that I could see.", "", "Uh, not, not really, no. Uh, but I, I, I feel like, um, I can't, really drink too much, so I feel very dehydrated.", "", "Uh, yeah because, really I, uh I, um, I'm like, <UNIN/> I feel like I don't drink enough, like I'm, I'm drink, I'm trying to drink, but then I just go to the loo, and I like, I, uh I, I, I do everything and I feel dehydrated again.", "", "Uh, <UNIN/> not much, not much. So just a little bit, but I don't feel, um, I don't really feel like, uh, I have appetite.", "", "<UNSURE>Yes</UNSURE>, yes.", "", "Uh, so, not, really I <UNIN/>, I feel a little bit warm, um, probably at, at the beginning I was feeling I had a bit of temperature, but now I feel, I feel kind of fine.", "", "I feel very weak though.", "", "Not, not really, no.", "", "<UNIN/>, not that I, I remember, what was I doing, I, I was at home I was working, on my computer and.", "Yeah, just felt, like some nausea and I had to, to vomit, and then I had some diarrhoea, straight after that.", "", "Uh, not that I remember, no.", "", "<UNSURE>Hmm</UNSURE>, not that I know, <UNSURE>not that I</UNSURE>.", "", "Yeah, yeah, <UNIN/>.", "", "Um, so I, I do suffer of asthma. So, I do have my inhalers, uh, that I you know, I <UNSURE>need</UNSURE>, I use infrequently, let's say only when I have, uh, a bit of <UNIN/>.", "", "<UNSURE>Sorry</UNSURE>?", "", "Yes it is, yeah.", "", "Uh, no, nothing.", "", "Um, not that I know of.", "", "Um, so, my father has, high uh, well used to have high blood pressure. He actually, so he actually died, of, bowel cancer, like ten years ago.", "", "Ohh yes, so uh, probably is worth mentioning uh, she has diabetes.", "", "Uh, it's type two.", "", "", "Sorry?", "", "Ohh I, I live alone.", "", "Uh, well I haven't been able to work in the past few days, but yes <UNIN/>, like given, uh, my uh.", "", "I'm a software engineer.", "", "Uh, yes, yes I have, uh. Uh, these last three days I've been feeling, really unwell, so I couldn't work.", "", "Uh, not really, I drink infrequently, like socially let's say, and I don't smoke.", "", "OK.", "", "All right.", "", "OK.", "", "I'm sorry, what's the name of that?", "", "<INAUDIBLE_SPEECH/>", "", "All right.", "", "OK.", "", "That sounds good, that sounds good. Uh, thanks so much.", "", "Um, no I think that's fine. Uh, yeah I'll, I'll try to <UNIN/>, and drink <UNIN/>, drink plenty of fluid and I hope it <UNSURE>go away</UNSURE>. Uh, if it doesn't I'll uh, I'll call, I'll call back. Is that OK?", "", "Thanks a lot. Thanks so much, for your time.", "", "OK. Bye.", "" ]

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[ "There's no <INAUDIBLE_SPEECH/>. <UNIN/>, hello?", "", "Hello there. Um, thanks for, thanks for, being here. Um, before I go any further, can I uh, confirm your name and your age please?", "", "<INAUDIBLE_SPEECH/>", "", "OK, Adriana, and how can I help you this afternoon?", "", "Ohh dear, OK. <UNIN/>, when, when did it exactly start, this headache?", "", "Three <UNSURE>days</UNSURE> ago, OK. And whereabout in your head, is this pain?", "", "<INAUDIBLE_SPEECH/>, OK. Um, and is the, headache there all the time, or does it come and go?", "", "OK, so it comes and, fine, OK. And if I was to ask you on a scale of one to ten, um, ten being the worst type of pain you ever had. How would you rate this headache?", "", "<UNSURE>Eight</UNSURE>. And if I was to ask you describe the headache to me, um, in terms of the nature of the pain. Is it sharp? Is it dull? Is it crampy? Is it throbbing?", "", "Mm-hmm.", "", "Mm-hmm.", "", "So, you think the headache is getting worse over the last three days?", "", "OK. Have you tried anything which has made the headache better?", "", "Did that <UNSURE>help</UNSURE>?", "", "OK, all right. And except for the headaches, any other symptoms at all?", "", "So, <UNSURE>example</UNSURE> any, problems your eyesight or your vision?", "", "So when you say annoying, does it hurt to look, uh, look at bright lights?", "", "<UNIN/>, OK. And um, have you had any loss of vision or blurry vision?", "", "<UNSURE>Mmm</UNSURE>, <UNIN/>, <UNSURE>OK</UNSURE>. Any nausea or any vomiting?", "", "When you say sick, you mean you feel sick? OK. Yeah, no vomiting, OK. Any neck pain or neck stiffness?", "", "OK. And any difficulty with speaking or, um, speech?", "", "Any difficulty <UNIN/>, with weakness in your arms and legs?", "", "Ohh really? OK. OK, <UNSURE>yeah probably</UNSURE>, well I'll, I'll ask you a bit more about your work later on. Um, any recent head injuries at all?", "", "OK. And have you had anything like this before in the past?", "", "Or, uh, or similar, similar to, similar to this kind of headache, <INAUDIBLE_SPEECH/>?", "", "<INAUDIBLE_SPEECH/> not, OK. All right. Um, any temperatures, or fevers?", "", "Any rashes at all, on your skin?", "", "OK. And just moving forwards. Are you otherwise fit and well, Adriana?", "", "You fit and well? <UNIN/>, do you have any other medical <UNSURE>history</UNSURE>?", "", "Any history of migraines at all?", "", "OK. Um, fine. I'll ask you a bit more about that in just a second. Before I go any further, can I ask, do you take any regular medication?", "", "Are you on the pill?", "", "OK. Do you have any allergies to any medications?", "", "OK. So you mentioned your mother and sister both have migraines.", "", "Are they, is that normally well-controlled or are they um, having difficulty, controlling their symptoms?", "", "<UNSURE>Mm-hmm, OK</UNSURE>.", "", "Ohh right, OK, fine. Um, socially, tell me a bit more about your life, outside of, um, outside of, work. So <UNIN/>, who lives at home with you?", "", "<UNSURE>OK</UNSURE>. Excellent. And are you working at the moment? You mentioned this <UNIN/>, impacting on your work.", "", "<UNSURE>Mmm</UNSURE>. OK. Do you wear glasses?", "", "Have you had any, uh, have you had any recent eye check, done? Eye test?", "", "OK, all right. Something for you to bear in mind if you feel that you are, your eyes are straining. Um I would always recommend having a repeat eye test done. Um, have you been feeling more stressed or anxious at work recently?", "", "OK, all right. Great. Um, regarding smoking or alcohol. Do you drink or smoke at all?", "", "<UNSURE>But</UNSURE> only socially?", "", "OK.", "", "Right. Now um, Adriana, do you have any ideas as to what could be causing your symptoms? Have you, have you read anything online, or spoken to people?", "", "Mm-hmm.", "", "<INAUDIBLE_SPEECH/>", "", "Mmm.", "", "OK. Is <UNSURE>it</UNSURE> anything in particular you were hoping I could do for you today?", "", "<UNSURE>OK</UNSURE>.", "", "How many tablets did you take of Ibuprofen?", "", "Three a day, OK. All right. Um, so uh, Adriana, so um, really what I think is going on here. I <UNIN/>, uh, unfortunately I do think this could be, a headache very similar to a migraine.", "", "Um, the reason I say that is because the history is very suggestive of it, given your mum and your sister also migraines. I think it's something for us to think about.", "Um, now I'm not saying it's gonna, keep happening, but, it may just be a one-off. But it's certainly worth treating it today stronger <UNSURE>analgesia or</UNSURE> painkillers.", "", "Um, now moving forward, we have some options which we can discuss. Uh, you tried the Ibuprofen. Now, my only worry is, I'm not sure whether you're taking, the correct dose. You can take up to two tablets, three times a day.", "", "<UNSURE>So</UNSURE>, so <UNIN/>, there's definitely room for, improvement there. Or, I can prescribe you something stronger, like Naproxen, which is another anti-inflammatory, which can be helpful.", "", "<UNSURE>Um</UNSURE>, we can also add in other, painkillers like, Paracetamol, or Codeine. Which might be helpful as well.", "", "OK. And I think it's <UNIN/>, certainly worth looking into that, so I can give you a <UNIN/>, prescription for that today. Um, with regards to um, the next few days. It may be worth keeping a headache diary so we can try and work out what's, you know, if there's any triggers which could be causing your headaches to become worse.", "", "<UNSURE>And</UNSURE>, and, you know I'd like you to come back and see me, in about uh, a week's time, week to two weeks' time.", "If you are having <UNIN/>, more frequent episodes of these type of headaches. We can think about giving you medications as, prophylactic. Which basically means, medications to stop you from having these headaches on a regular basis. But we can have that discussion next time.", "", "OK. In the meantime if your headaches aren't getting any better, or they're getting worse. Um, you know, I want you to give me a call, or come back and see me sooner. OK?", "", "So, <UNSURE>if</UNSURE> you're having any problems with your vision, or weakness in your arms and legs, or you're just not feeling very well. Just give me a call, and come back and see me.", "", "All right?", "", "Great. Well, have a good day.", "", "Bye.", "" ]

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[ "", "<UNIN/>. Hi there.", "", "Yes, it's um Adriana Katherine <UNIN/>. And I'm twenty six year old.", "Well, I have this like really crazy headache that's been going on for a few days. And it really annoys me.", "", "Eh, around three days ago, maybe.", "", "Um, it's basically like, it kind of feels all over my head, but like mainly, um, around my right eye. Um", "", "Um it's, it kind of comes and goes. Um but, I mean it is there all the time, but <UNIN/> like sometimes it's stronger.", "", "Ohh it's probably a eight.", "", "Um, it's kind of, it's dull but sometimes it gets a bit sharper. So basically it like, it developed gradually, I guess. It's like the first day it just started when I was at work.", "And by the end of the day it was like pretty, pretty, like it was a lot, basically. And then I was thinking OK, maybe I'll just go to sleep. And when I woke up the next morning like, it was even, even worse basically. So", "", "Yeah.", "", "Um so I tried uh Ibuprofen. Um so I took, like a few. Um for the last two days, basically.", "But it doesn't really help, no. In in the past it did help me, which is why I decided to try it. But", "", "Um", "", "Not really, but just when it started, I I got this like weird shooting lights. And like now like light is quite annoying, my eyes.", "", "Yeah, yeah. It hurts. So", "", "Not loss of vision, I wouldn't say. It's just like some lights from, shooting lights <INAUDIBLE_SPEECH/>.", "", "Um, well I'm like basically, I I'm sick with the headache. But I, no vomiting.", "", "Yeah.", "", "No.", "", "No.", "", "No, it's hard to focus though. So, I I had to take a couple of days off work, actually.", "", "Uh, no.", "", "Yeah I mean, headaches, you mean.", "", "Yeah. I mean I had. But, usually after I I take uh Ibuprofen it kind of goes away. So, but this time it's just not. <INAUDIBLE_SPEECH/>.", "", "No.", "", "Mm, no not that I've noticed.", "", "Am I what, sorry?", "", "Yeah, I think so. It's just the headache.", "", "Not myself, I've never had a migraine. But my sister and my mom have them quite frequently.", "", "Uh, no no.", "", "Mm not that I know of.", "", "Yeah.", "", "Um so my sister's, like better. Like it's kind of, it's very rare. But my mom's is like quite bad, um usually when there's like a season changing and stuff like that. It's, yeah.", "Takes her out for a few days, basically.", "", "Uh I live with housemates. So, three of them. So we're four <UNIN/>.", "", "Yeah so I work, well I work in IT. So I work with computers a lot. So it kind of is difficult to focus. Um I had to like reduce the uh, brightness of my screen.", "", "Yes, I do.", "", "No, uh I've been wearing them since I was five <UNIN/>, five year old. <UNSURE> So, it's quite a long time.</UNSURE>", "", "<INAUDIBLE_SPEECH/>", "", "Well, it's been a bit stressful, kicking off a new project. But um, yeah nothing out of the ordinary, really.", "", "I socially smoke. And I drink <UNIN/> only socially.", "", "Um", "Not really. Um <INAUDIBLE_SPEECH/> at first I thought it's stress, or maybe I didn't drink enough water. Because sometimes when I don't drink enough water, I I like get headaches. Um", "But, I don't think that's it. And I'm like worried, it's, I don't want it to be a migraine. Because I know what it's like, from my mom and my sister.", "And it's really annoying. So I I really don't want to have that. And I know it's genetic. So I've researched that. Um but I don't know if that is the case. So, yeah.", "", "Yeah maybe just kinda, if you have any recommendations of <UNIN/> that I can take something stronger. Because apparently, Ibuprofen doesn't help me. Uh", "Usually it gets resolved if I have headache in like, after like one or two days. But currently it, it didn't help me.", "", "Uh, three a day.", "", "<INAUDIBLE_SPEECH/>", "", "Ohh right.", "", "Mm-hmm.", "", "Mm, yeah. I think <UNIN/> is what my mom takes for when she has um, um migraines.", "", "Mm-hmm.", "", "Mm, OK.", "", "OK. Yeah.", "", "OK.", "", "Great.", "", "Thank you. You too. Bye!", "" ]

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[ "", "Hello? Hello. Um, before I go any further, can I confirm your name and your date of birth?", "", "You're fifty, OK. April, how can I help you this afternoon?", "", "<INAUDIBLE_SPEECH/>, OK. When did it all start?", "", "OK. And you mentioned a couple of things there. You mentioned a cough. You mentioned a bit of a runny nose. Is that right?", "OK. Let's focus on your cough first. Can you tell me a bit more about your cough?", "", "OK. So it's a dry cough. So you're not bringing up any <UNIN/>, you're not bringing up any mucky, ohh I can hear that, yeah. Um you're not bringing up any uh, mucky phlegm or anything like that.", "No, OK. So it keeps you up at night. Um you mentioned uh the cold symptoms as well, the runny nose. Do you have a <UNIN/> do you have a sore throat at all?", "", "<INAUDIBLE_SPEECH/>", "", "Right. Do you have any uh, <UNIN/> how are your ears? Do you ears feel blocked or?", "", "<UNIN/> No pain, no discharge coming from your ears.", "<INAUDIBLE_SPEECH/>", "", "OK, alright. Um fine. In terms of your breathing, how is your <UNIN/>, how's your chest? Is your breathing more labored?", "", "Day to day when you walk around, uh you don't feel breathless do you?", "", "<INAUDIBLE_SPEECH/>", "", "OK. OK.", "", "Any pain in your chest?", "<INAUDIBLE_SPEECH/>", "", "OK. You mentioned feeling tired. Um have you felt feverish at all? Have you had a temperature?", "", "<INAUDIBLE_SPEECH/>", "", "OK.", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "OK. OK. OK. Alright. Um, fine. And in terms of any other symptoms, so have you had any nausea? Have you had any vomiting?", "", "OK.", "", "How's your appetite?", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "OK. Has that got better now, the diarrhea?", "", "<INAUDIBLE_SPEECH/>", "<INAUDIBLE_SPEECH/>", "", "OK fine. Um, any problems with your waterworks at all?", "<INAUDIBLE_SPEECH/>", "", "Uh your <UNIN/> your waterworks, your urine.", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/> you're passing urine OK. You're drinking plenty of fluids, and passing urine OK.", "", "OK, alright. Um in terms of any other thing, do you notice any, any find any skin rashes, or um problems with your muscles or joints?", "", "<UNSURE>Yeah</UNSURE>.", "", "OK. <UNIN/>", "", "Right.", "", "Right, OK. OK. I'm sorry. That must be very difficult for you. <INAUDIBLE_SPEECH/>", "", "<UNIN/> quite lethargic and weak, you mentioned. <UNSURE>Um</UNSURE>, OK. And um, April are you normally otherwise fit and well?", "", "Uh fit and well. So do you have any other medical history?", "", "OK.", "", "OK. And what do you take for your blood pressure? Any, or what what medications do you take on a regular basis, if you don't mind saying?", "", "Yep.", "", "Zinopril. OK, fine. Any allergies at all, to medications?", "<INAUDIBLE_SPEECH/>", "", "No, OK. Regarding any family history, is there anything I should be aware of?", "", "OK, alright. Who's looking after your diabetes? Is there anyone, is there a doctor in a hospital, who looks after your diabetes?", "", "<INAUDIBLE_SPEECH/>", "", "Right, excellent. And in terms of your social situation, who lives at home with you?", "", "lives OK, um fine. Is your partner well at the moment?", "", "Right, OK. <UNSURE>So he</UNSURE>", "", "Go away, he's got away with it, at the moment. OK. And uh, are you working at the moment, April?", "", "Yeah.", "", "<INAUDIBLE_SPEECH/>", "", "No, I can imagine. What is it that you do for work?", "", "Ohh, so you work in the IT field. OK. <INAUDIBLE_SPEECH/> IT field. Right, OK. Uh", "", "No. Has it been quite stressful recently?", "", "OK.", "", "The reason I ask is sometimes", "", "Sure. <UNIN/> reason I ask is because sometimes stress can really affect your immune system. Um but uh it's good to know you're you're you're not feeling stressed.", "Um, do you smoke at all, April?", "", "OK. Um and what about alcohol?", "", "And what is it that you drink?", "", "<UNSURE>The wine</UNSURE>. How much do you drink on those nights?", "", "OK. So um, yeah so you're probably just about under the limit of um, the recommended limit.", "<INAUDIBLE_SPEECH/>", "", "Something <UNIN/> think about, just in terms of your blood pressure and diabetes, maybe something that you can maybe cut down on if you can.", "<INAUDIBLE_SPEECH/>", "<INAUDIBLE_SPEECH/> really ideally, the the the right answer is to cut down completely. But so in practice I know that's not realistic. So maybe for the first few weeks, why don't you cut down to two glasses a week. And then, one week thereafter", "Um and if you are coping OK, then you can maybe try and cut down altogether.", "", "OK? Just something for you to think about. Um, right so uh just <UNIN/> as we wrap up really, um April I think based on your story, I think uh essentially I think you're, you're going through a bit of a bit of a viral illness. Um, I don't think there's anything to worry about.", "You know you've had a bit of a cough, bit of a runny nose, feeling quite weak and lethargic.", "I'm hoping that, you know, you're probably over the worst of it now. It's been five days. I'm hoping you're maybe going to get better in the next couple of days. It normally lasts for about a week to ten days.", "", "Yeah, absolutely. So, you know things you can do to help yourself in the meantime is to, you know get some nice, good rest.", "Drink plenty of fluids. Keep yourself well-hydrated. You can take regular Paracetamol.", "If you feel like you're still not getting any better in two to three days, it's probably worth coming back to see me again. We can check you over.", "And if you are still feeling feverish, um and your cough isn't getting any better, then we may look to give you some antibiotics for your chest. <UNIN/> some of the uh uh common source of infection. Um", "", "Yeah so I think you know <UNIN/>, really I think it depends on you. <UNIN/> it's um if you are coughing, then there is a theoretical, you know risk that you're maybe slightly infectious still. So I would say maybe take a day or two off work, if you can.", "Uh and get some good bed rest. Um and maybe think about work early next week.", "", "But um, if your cough isn't getting any better, or your breathing is getting worse, I want you to come back and see me sooner. OK?", "", "No no no <UNIN/>, nothing to worry about otherwise.", "", "OK. Well, have a good day. Appreciate it.", "" ]

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[ "", "Hello?", "", "Uh, yeah. Uh my name is April, and I'm fifty.", "", "Well I've just been having this like, cough, for quite a few days. And my nose is running. Um and it's just been super annoying, and it's not going away.", "", "Uh I think it started like maybe, a bit less than a week ago. Like maybe, maybe five or six days ago.", "", "<INAUDIBLE_SPEECH/>", "", "Uh, it's just so continuous. It's really, really frustrating. It's quite dry. And it's just all day, it like keeps me up at night as well, which is really annoying.", "", "I mean, apart from, I mean the coughing is giving me a sore throat. But it's not like, you know not more than, than that. You know just, just my throat is irritated from coughing. But it's not like, it's not that bad when I swallow or anything.", "", "No.They feel OK, actually. Yeah. <INAUDIBLE_SPEECH/>. Nothing, nothing on the ears.", "", "Um, I don't think so. Like, I guess I get laboured when I'm coughing and I can't breathe. But I, not, yeah, not, I, I don't think so. Not really.", "", "I don't feel restless. No, <INAUDIBLE_SPEECH/> I feel you know, generally tired.", "", "So like, yeah, but <UNIN/> not, not anything special with my chest.", "", "No not, not that either.", "", "Um I've been having like, like shivers, even when I'm in, when I'm in bed.", "You know like, when you, when you go to sleep and, and you feel like I I should be warm. But I'm still, still you know, shivering a little bit.", "But I haven't taken my temperature, so I'm not a hundred percent sure if I had a fever. But it feels like I probably did. 'Cause I was just, I was next to my boyfriend. And he was completely warm and totally fine. And I just like couldn't stop shivering. And kept adding more sweaters on, and I was still cold.", "", "No. No, no nausea. No vomiting. Like, um yeah, <UNIN/> nothing like that.", "", "Um, I mean it's OK. I, at the beginning, like when I was starting to have the <UNIN/>, the <UNIN/>, the coughing and stuff.", "Um, I had a little bit of diarrhea. Um but, but it didn't, it didn't cut my appetite or anything. I just like, my stomach wasn't feeling great.", "", "Yeah, yeah. It got better. It was only like the first, like it started at the same time as the cough started. And then it stopped. So I thought everything would be fine. But then the cough just kept going.", "", "With my what?", "", "Ohh. Uh, no. No no, it's fine.", "", "No. I, I drank loads of water, when I started having the diarrhea. Now that it stopped, I just went back to normal.", "", "Uh <UNIN/> like my, you know when I had the, when I was telling you I had like the, I had chills, and I was really cold. My <UNSURE>muscle </UNSURE> was really hurting.", "Sometimes I do pilates. But like, it's hurting me so much at the moment. Um so, to be honest, all I feel like doing is just lying in bed.", "", "Yeah, <UNSURE>right</UNSURE>. Especially like in my arms, my legs, like just everywhere basically.", "", "Yeah, pretty much.", "", "Am I normally what?", "", "Uh, well I have type two diabetes. And I have quite high blood pressure.", "", "Um I take <UNIN/> Metformin for the diabetes. And I take Lisinopril for the high blood pressure.", "", "No. No allergies.", "", "Uh my dad also has type two diabetes. But I think that's it.", "", "<INAUDIBLE_SPEECH/> I just regularly go see a doctor.", "Um, that just checks up on it. Same with the high blood pressure. Like I, I have it under control. And since I've started taking this medication, I've just been like regularly checking that it, it's under control.", "", "Uh just, it's just me and my partner.", "", "Yeah he has none of this. Like he's just going ahead like, like <UNIN/> nothing. Like I was a bit worried that I would pass it to him but, <INAUDIBLE_SPEECH/> not uh, diarrhea, nothing, fine.", "", "<INAUDIBLE_SPEECH/>", "", "Uh, yeah I am working. But the, the first day I skipped. <UNIN/> because I was feeling just too shit. Um, but then, I just felt like had to go back, 'cause I had so much to do. <UNIN/> So I've been going in. But it's not been fun.", "", "Uh, I am a developer.", "", "<UNIN/> yeah. Work in IT.", "", "<INAUDIBLE_SPEECH/> not too active a job. Uh, yeah.", "", "Not more than usual. I don't think it's related to stress. Like I, I don't feel like I've had a particularly hard time at work that way. Um", "<UNIN/> I've been able to take a day off to try and recover. So yeah, I don't think it's related.", "", "I used to, but I've stopped for about six months now.", "", "I mean, yeah I, I don't think I drank that much. Like, I I don't really know how you count the units. So I guess like I don't drink more than like, like, let's say three evenings a week? And I rarely get like properly drunk, or anything.", "", "Wine, mostly.", "", "Uh, I'd say like maybe two or three glasses.", "", "Yeah? <INAUDIBLE_SPEECH/> I should cut down on it.", "", "OK.", "", "Yeah.", "", "What, what should I do if it just keeps going on and on? Like if it's still going on in, in say four days?", "", "Do you think I should keep going to work? Or do you think I should just", "", "OK. OK. Thank you.", "", "OK. But otherwise, I don't need to worry.", "", "OK. Alright. Thank you very much.", "", "Thank you. Bye!", "" ]

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[ "", "Hello?", "", "Hello. Can you hear me?", "", "Great, excellent. Before I go any further, can I confirm you name and your, um, age please?", "", "Forty five. Alright Laura, well how can I help you this afternoon?", "", "OK. When, when did this all start?", "", "<UNIN/> OK so it's been that long, has it? OK. And so you mentioned your <UNIN/>, is it the skin on your hand, mainly that's dry?", "", "Right. OK.", "", "OK. Can I ask why have you come to see me today? Uh is it because it's got worse recently, your symptoms?", "", "Yeah, that sounds like a very sensible plan. Um, which part of your hands are affected, mainly?", "", "Um, OK alright. Um, have you <UNIN/> any itchiness in your palms?", "", "OK. Any bleeding at all?", "", "<UNIN/> you scratch yourself, you scratching yourself often, and bleeding?", "", "OK. Um, fine. Uh", "OK. Sorry, I'm <UNIN/> writing notes as we go along. Um, and you mentioned that skin is quite cracked as well. Is that right?", "OK, alright. Um", "<UNIN/>, I know it's a long time ago, but do you remember how it all started? <INAUDIBLE_SPEECH/> what were you doing at the time when it all started? Is it anything you may have done, to bring your symptoms on?", "", "<INAUDIBLE_SPEECH/>", "", "<UNSURE>OK</UNSURE>. OK.", "", "OK.", "", "Yeah, I think that might be quite important actually. I think there's definitely, maybe a correlation between the two.", "Um, fine. And so you mentioned something about having general dryness. Is that, you mentioned in your legs as well?", "", "Is that, <UNIN/> is that something you've, you've had for a while now?", "", "<UNIN/> OK.", "", "Right, OK. <INAUDIBLE_SPEECH/>", "", "OK. I'm just going to ask you some very brief yes or no questions, if that's OK. With your symptoms, have you, have you had any other symptoms, such as fever, or temperatures?", "", "Any nausea, or any vomiting?", "", "Any problem with your bowels?", "", "Any problem with your urine, or waterworks?", "<INAUDIBLE_SPEECH/>", "", "Otherwise you feel well, do you? And yourself, <UNIN/> your eating, drinking, your appetite is well-maintained?", "<INAUDIBLE_SPEECH/>", "", "OK, alright. Fine. Um, in terms of your past medical history, do you have any other conditions at all?", "", "Do you know if that's type one or type two?", "", "Diabetes, OK. Anything else?", "", "Any skin problems?", "", "Eczema, dermatitis, for exmaple?", "", "No, OK. Which medications do you take?", "", "Metformin, OK. Do you have any allergies, either to any medications or in general?", "", "OK. Family history-wise, is there anything I should be aware of?", "", "Diabetes as well. OK. Again, any skin problems?", "", "Any history of asthma, or bowel problems?", "", "No. OK, alright. Um", "Fine. In terms of social history, you mentioned that you work as a housekeeper. Um are you, you're not always very good at wearing gloves.", "Um, you've recently changed jobs. Which <INAUDIBLE_SPEECH/> which kind of places do you work in? Is it mainly residential, or is it commercial?", "", "Hotel, OK.", "", "<UNSURE>OK</UNSURE>. OK.", "<INAUDIBLE_SPEECH/>", "", "Do you think there might be a relationship between the two? Between the, kind of the products you're using, and your symptoms?", "", "OK. Have your symptoms stopped you from doing any work? Have you had to take time off work recently?", "", "OK. Can I ask a couple questions? Do you smoke at all?", "", "Do you drink much in the way of alcohol?", "", "Once a week?", "", "<INAUDIBLE_SPEECH/> a week. OK so, very minimal, alcohol there. Um", "<UNIN/> have you tried anything for your symptoms? Have you tried anything over the counter? Any creams?", "", "Any luck with that?", "<INAUDIBLE_SPEECH/>", "", "No, OK. Alright. Um <INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>. OK, alright.", "", "Um, Mrs. Parkinson, so I think um, based on your story, I <UNIN/> I think you might have something called dermatitis or contact dermatitis. Which is very common in, particularly people in your in your in your field, who are using cleaning products, not using gloves. And sometimes you get a bit of reaction between the chemicals and your skin.", "Um, so moving forward there's a couple of options. So firstly, what we try and do is, you know, avoid the triggers. In your case, I strongly recommend that you wear gloves when cleaning at all times.", "OK. And in terms of helping your dryness and the cracking of your skin, um we can try some steroid creams to help with the inflammation.", "<INAUDIBLE_SPEECH/>", "", "As well as some stronger emollients, um which you really need to kind of coat on, three four times a day, for the next couple of weeks, just to help with the moisturizing of your skin.", "<INAUDIBLE_SPEECH/>", "", "Um if it still hasn't got better in about a week, two weeks time, I really need you to come back and see me again. And we can maybe think about other things we can give to you.", "<INAUDIBLE_SPEECH/>", "", "Is that all clear?", "", "Great. Do you have any questions for me?", "", "<UNIN/> I'll I'll I'll do a <UNIN/> prescription for you now, and send it over to your pharmacy.", "", "OK.", "", "I think <INAUDIBLE_SPEECH/> I think minimum couple of weeks. Uh ten days to fourteen days. Um and if it still hasn't got better, or indeed if it's getting worse, like if it's spreading, or dryness is getting worse, come back and see me sooner.", "", "OK.", "", "Great. Thank you Laura. Thank you.", "", "<INAUDIBLE_SPEECH/>. Bye bye now.", "" ]

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[ "", "Hello?", "", "Yes.", "", "Uh yes. Um Laura Parkinson. And uh I'm forty five.", "", "Uh yeah. So I have uh soreness in my fingers, my finger, like, the skin on my hands is kind of cracked.", "", "Um, a couple of months ago. I got it three, four months ago.", "", "Yeah.", "", "Yeah, I haven't noticed. I mean, I have dryness, like you know, in other parts, like my legs. But it's not, it's not very, it's not severe. It's just you know, I've always, you know, I don't hydrate very much. So", "<INAUDIBLE_SPEECH/>", "", "Yeah. Like it's very, it's very bad in my hands.", "", "Yeah I mean, it's gotten to a point where, where it hurts a lot. And I can't really do my job. So, I thought I should probably get it checked out.", "", "Uh the palm. <UNSURE>I don't get</UNSURE>, yeah.", "", "Yeah, it's itchy. Not all the time, but yeah, it does get itchy.", "", "Um um I don't, I mean, no I don't think so.", "", "Um, yeah I guess when I scratched it, yes it has bled sometimes but, yeah. Otherwise, it hasn't bled on its own.", "", "Yes, that's right.", "", "Uh, I mean I am a, I do work as a housekeeper. Um", "And to be honest, I'm not always very good about wearing gloves. So that could be related. Um, I switched jobs, uh four months ago. Uh", "I've been working for, as a housekeeper for, for a while now, but um, that's the only thing I can think of.", "", "Yeah. Yeah but isn't, sorry.", "", "Yeah. It's not really, it's not really major. Uh yeah it's just like literally grinding my legs.", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/> <UNSURE>trouble</UNSURE>.", "", "No.", "", "No.", "", "No.", "", "No.", "", "Yeah. <INAUDIBLE_SPEECH/>", "", "I have diabetes.", "", "Type two.", "", "Um no.", "", "No.", "", "Not that I know of. No, I haven't been diagnosed.", "", "<INAUDIBLE_SPEECH/>", "", "No.", "", "Diabetes and <UNSURE>what</UNSURE>?", "", "Yeah.", "", "Uh no, not that I know of.", "", "Uh, no.", "", "Yeah.", "", "Yeah.", "", "At a hotel. I have to do the whole thing like bedrooms, bathrooms, <INAUDIBLE_SPEECH/>.", "", "Yeah, I usually use those for bathrooms. But, yeah bedrooms and corridors not always.", "", "Uh, yeah like the past three days, I haven't been able to go to work.", "", "No.", "", "<UNIN/> pints a week.", "", "Uh, a couple of pints a week.", "", "Yeah. I tried uh E forty five.", "", "Yeah, no it didn't really do anything.", "", "I also tried an <UNIN/> antihistamine, antihistamine. Uh but it didn't", "", "Yeah.", "", "Yeah.", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "OK.", "", "Uh yeah, that sounds good.", "", "Um, where do I get the medicine from?", "", "OK great. Yeah, uh so you said a couple of weeks, it should get better, right?", "", "Alright. Thank you very much.", "", "Bye.", "" ]

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[ "", "Hi, there. Good morning!", "", "Uh, I'm Dr. Dean Mesa from Babylon.", "", "<UNIN/> Can you hear me OK?", "", "Yeah, OK, great. Well, nice to see you this morning. Um, before we start your appointment, could I confirm your full name and date of birth please?", "", "That's perfect, thank you, John. Um, are you in a private place where you're OK to speak at the moment?", "", "OK, great. So, um, tell me what's been going on. <UNIN/> You've been saying there's a problem with your hearing. Is that right?", "", "Right, OK. How long has this been going on for?", "", "Six weeks, OK. Um, and before that have you had any hearing problem at all?", "", "Right, OK, OK. And, um, in this six week period, have you had anything else happen? Have you had any other ear symptoms at all?", "", "Right, OK. Uh, uh, um, just to clarify, the difficulty you've got in hearing, is that both ears or just the left ear?", "", "Alright, so your right ear is fine.", "", "OK. So you've had ringing, difficulty hearing in your left ear, and feeling slightly sick.", "Um, that's been, on and off for the six weeks, or is it continuous there throughout that six weeks?", "", "Right, OK. Um, and, um, have you had any pain from the ear at all?", "", "OK. Any discharge coming out of the ear? No, OK. Um, have, have you been experiencing any fever?", "", "Right, OK. And, um, has your ear been itchy at all?", "", "OK. Now, do you use cotton ball buds to try and <UNIN/> clean out wax from your ears?", "", "No, OK. Well, you're right, you should, you shouldn't be doing that. <UNIN/> Doesn't clean up wax, it pushes it back in. Alright, um, the first thing that we need to do is we need to get someone to have a look inside your ear.", "'K. I'm just exclude the simple things. Simple things <UNIN/> might be wax. You know. Someone might have impacted wax, blocking the tube going into the eardrum, which can", "lead to muffled hearing. Um, if that's the case, that that's something that's easy fixable. But, um, so we need to exclude that first.", "and then after that, we can consider other potential possibilities. Um, and for that we need to have a look inside the ear drum.", "So, um, what I think we could do is, um, maybe if we book you in for a face-to-face appointment in one of our clinics. It's not an emergency.", "It can be done within the next four, five days or so, OK? And then, um, what I'll do, I'll send a message to our admin team.", "I'll ask them to slot you into the clinic, one of our clinics in that time frame. You can come in and one of the GPs will just have a quick look in the ear and figure out", "whether there's physical blockage or whether there's something else going on, OK? Um, can I just double check, the dizziness that you've been getting, um, how severe is it?", "", "<INAUDIBLE_SPEECH/>", "", "Right, right, OK. Have, have you had any chest pain with it?", "", "No. Any palpitations, heart beating fast?", "", "OK, fine, alright. Um, so <UNIN/> let's get your ear checked out. I think that will be the, the most sensible thing to do. And then after that, we can, we'll be a step closer to figuring out which way we <UNIN/>", "<UNIN/> It might be that there's a problem inside the drum or the balance system within the ear. But, we just need to exclude whether there's <UNIN/>", "physical blockage first and trying to deal with that if that's the case, OK? Um, but", "", "<UNIN/> The ringing that you got, that you've got, it's something called Tinnitus. OK? Um", "and Tinnitus is something actually that medicine doctors, we don't really understand it fully. We haven't", "Uh, <UNIN/> people can't give you a specific cause for why some patients get Tinnitus and some patients don't. It can be triggered by a wide range of different things, and in fact", "I'm glad that you've mentioned that. What I might do, in the time between now and when you come for the appointment, I'm going to, uh, put", "paste the link for a leaflet about Tinnitus, um, in the notes for this appointment. I'd really appreciate it if you could start reading about it.", "OK. And often that, that, uh, awareness of what it is and what the treatment options are, and there are limited options", "um that helps us in terms of conversation about what we do next, if your ear is clear, OK? So, um, I'm going to paste a link to that, um, and you can read about that and", "what we'll do is we'll see you in about four, five days time. It won't be with me, it'll be another GP", "but they'll have my notes and they'll know exactly what, what my question is, which is just to check your ears. Is that OK?", "", "Alright, great. So, um, bear with me five minutes and then you can ring the support team, I'll leave the number in the notes for this appointment. Ring them, and then they'll slot you in, OK?", "", "Alright. <UNIN/> If there's any problem, any issues <UNIN/> between now and when the clinic appointment is, just book another appointment <UNSURE>and</UNSURE> you can speak to <UNSURE>one of</UNSURE> us over video, OK?", "", "Alright then. Take care. Nice to see you this morning. OK. Bye bye.", "" ]

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[ "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "Yep. Can you find", "", "Uh yeah, uh Jack Smith, uh thirty first <UNIN/> October nineteen ninety.", "", "<UNSURE>I am, yes</UNSURE>", "", "Yeah, so I just feel I can't really hear as well as I used to, like my hearing is kind of deteriorating in some way.", "", "Uh about six weeks.", "", "Um I had something maybe, about a year ago, but it only lasted a couple of days, it wasn't anything as long as this.", "", "Um, I <UNIN/> occasionally get like a ringing in my left ear, uh just on the one side and um there's actually been a few times when I felt kind of a bit sick or a bit dizzy as well.", "", "Uh just the left ear, yeah.", "", "It seems be yeah.", "", "Mh-mm.", "", "Yeah.", "", "Uh it's kind of on and off. Like some things trigger it as well. So, for example, if I'm watching TV or listen to music or something that'll <UNSURE>solve</UNSURE> the ringing in the ear.", "", "Uh no my <UNSURE>left ear</UNSURE>.", "", "<INAUDIBLE_SPEECH/>", "", "Uh, not specifically apart from the dizziness <UNIN/> so much.", "", "<INAUDIBLE_SPEECH/>", "", "Uh <UNSURE>nah I'll do it</UNSURE>.", "", "OK.", "", "OK.", "", "Yeah.", "", "Uh nothing major it's just kind of uh it's, it's not the kind of dizziness you get with nausea, like uh not, not proper room spinning or anything like that but just, just a little bit kind of off balance.", "", "<INAUDIBLE_SPEECH/>", "", "No.", "", "<INAUDIBLE_SPEECH/>", "", "<UNIN/> <UNSURE>is that the</UNSURE> sort of thing that can cause uh like this uh ringing I've got in my ear, 'cause it seems <UNIN/> .", "", "Right.", "", "OK.", "", "OK.", "", "Sure.", "", "OK.", "", "Yeah it sounds great.", "", "OK brilliant.", "", "OK.", "", "Thank you. See you later.", "" ]

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[ "", "Hi there. Good morning.", "", "Um, I'm Doctor <UNSURE>Deen Mirza</UNSURE> from GP at Hand. Nice to see you.", "", "OK. Before we start your appointment, could you please tell me your first name and your date of birth.", "", "OK, that's great. Thank you for that. Um, are you in a private place where you're OK to speak freely?", "", "<UNSURE>OK</UNSURE>, OK, great. OK, so um, tell me a bit about what's been happening? <UNSURE>You said</UNSURE> you mentioned in the notes that <UNSURE>you've</UNSURE> got a problem with your elbow.", "", "<UNSURE>Sure</UNSURE>.", "", "Sure, sure. <UNIN/>, and <UNIN/>.", "", "<UNIN/>, and so, did you say it was the left elbow or the right elbow?", "", "Left elbow, OK. <UNIN/>, and have you banged that elbow? Do you have any kind of injury?", "", "Sure, OK. <UNIN/>, and um, <UNIN/>, in terms of your job, do you do anything physical?", "", "Right. OK. <UNIN/>, and um, has this happened before?", "", "Sure, OK. Uh, and can I um, can I just double-check? Has anyone in your family, got any, kind of rheumatology, diseases, like rheumatoid arthritis, or lupus or anything like that?", "", "OK.", "", "Sure. <UNIN/>, so you know you said you think you've got <UNIN/>, uh, osteoarthritis. Has anyone ever told you that? Have you ever seen a doctor who's confirmed that, and told you you've got osteoarthritis?", "", "OK. <UNIN/>, was that a GP or a specialist or, was it, a <UNSURE>physiotherapist</UNSURE>?", "", "GP, OK, all right. Um, look can I just, uh, sorry can I just double-check how old you are please?", "", "Fifty three, OK. Fantastic. All right. Um, and, do you have any other illnesses at all?", "", "Right, OK. <INAUDIBLE_SPEECH/>.", "", "OK. Uh, <UNSURE>are you</UNSURE>, are, are you allergic to any medication?", "", "No.", "", "Sure. <UNIN/>, and um, do you um, are you on any medication on a regular basis?", "", "No, OK. And are you normally fit and well? Mobile and active?", "", "OK, good, good, glad to hear. Well done that's <UNIN/>, it's good that you're doing that on a regular basis. OK. Um, and um, uh, can I, is it possible for me to have a look at your elbow, now?", "", "OK, good, bear with me one second.", "", "Right, OK. And if you can just raise your elbow up a little bit like that, a bit higher, so I can just see the underside. OK, fantastic, all right.", "And then, just, bring it round to this side, <INAUDIBLE_SPEECH/>, I can see other side. OK, fantastic. All right. And if you can just touch the tip of your elbow with your fingers.", "There's, <UNIN/>, is it, is it hot, compared to the surrounding skin, the adjacent skin?", "", "It's a bit warmer. OK. Um, and um, is it very tender when you're pressing on that nerve? Is it, if you, if you give it a press, does it hurt you at all?", "", "OK. All right. Um, well, um, I noticed the skin was a bit dry, <UNIN/>, on the tip of the elbow. Do you, do you have dry skin anywhere else on the body?", "", "<INAUDIBLE_SPEECH/>, <UNSURE>do you</UNSURE> <UNIN/>, do you suffer from eczema at all?", "", "No. Alright.", "", "OK. So um, what I think we should do, with regards to your elbow problem", "OK. Is um, I think, it would be worthwhile. <UNIN/>, this seems like uh, what we call the Bursitis. OK. So, that's an inflammation of one of the fluid sacs around the joint.", "Um, what I think we should do is, I think you should be on some anti-inflammatory medication, in the, in the first instance.", "And, as well as that, what I would like to do, is to get some blood tests done, to check for other types of uh, causes of joint swelling. K?", "So, um, what we're going to do is, we're going to arrange some, um, blood test forms to be sent out to your house. And, there'll be instructions within that pack, about where to go to get those blood tests done.", "And, that will involve you, um, having some tests done to check for inflammatory markers, infection, rheumatological antibodies.", "So we'll do a full screen, and also check for things like Gout as well, OK. Um.", "The time frame for that, will be um, the results will come back to us after about five <UNSURE>or</UNSURE> six days. Um.", "From now, but it may take time for the form to come out to you. And if you get the form get the blood tests done straight away, by the time that we're expecting result back, you know one or two days after that, we're looking maybe six days.", "And, what I would suggest, is, we can arrange a follow-up appointment for you, in one of our clinics, where we can have a look at your joint, feel it, we can review the blood test.", "Uh, we can um, get a gauge as to, uh, what's going on. Now in terms of your joint right now,", "", "It doesn't look like, to me that's something called, excuse me, septic arthritis. So, we're worried sometimes that someone might have an acutely infected joint.", "", "Um, and uh, your, your joint doesn't look like that.", "However, if your, the elbow was to become very red, very painful, uh, and the redness was to spread or become uh, you know more intense. Then you need to get on the phone or get, have a video appointment <INAUDIBLE_SPEECH/>, with one of us as soon as possible.", "'Cause that would be an emergency. That would require more immediate assessment, more immediate treatment. OK?", "", "No. I, I don't think this is anything dangerous. <UNIN/> don't need to worry. OK? What I'm doing, is I'm just outlining the worst case scenario if things were to, to <UNSURE>develop</UNSURE>. K? So, <INAUDIBLE_SPEECH/>, this, this is not the case right now. Right now, it looks quite straightforward.", "<UNSURE>It's</UNSURE> nothing <UNIN/>, sinister or life-threatening. Um, what I'm doing is I'm just saying, in case things worsen, these are the things that we'd be looking out for, and this is what we have to do. But you don't have that now, thankfully, and I don't think you're going to have it.", "But I'm just saying, the what if scenario. Is that OK?", "", "All right. Did you have any questions that you wanted to ask me?", "", "OK, all right. Um.", "", "OK. So, I, I would take Ibuprofen regularly, OK. You can get that <UNIN/>, over the counter. Um, that's four hundred milligrams, two times a day. And you should take, take that after food, not on an empty stomach. If you get any heartburn, stop taking it. OK.", "", "All right. So, what I wanna do is, I'll get the <UNSURE>forms</UNSURE> sent out to you.", "And, um, we are going to arrange a, a follow-up appointment.", "Maybe within a um, actually you know, the follow-up appointment doesn't have to be face-to-face, if it's more convenient for you do, to do it over the phone, we can do that over the phone, uh, over video. We can do that as well, that's, that's your call. But you contact us, <UNIN/>, after you've had the blood test done, and we can review things then, OK.", "", "Sure, sure that's a good idea. All right then, OK. Um, take care then. So <UNIN/>, <UNSURE>look</UNSURE> just leave that with me, I'll sort all those bits and pieces out, and then we'll get them sent out to you, and then we'll, we'll um, review you after the tests, things goes well, OK.", "", "All right <UNSURE>then</UNSURE>. Take care then, all the best. Bye bye.", "" ]

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[ "", "Hello, good morning.", "", "Nice to see you.", "", "Yes. Uh, my name is John Smith. And I was born on the fifth of April, uh, nineteen seventy three.", "", "Yes. <UNIN/>.", "", "Yeah. Um, I just noticed this like about a week ago, or something? Um, have like a weird swelling on, on, on my elbow. I noticed that when I was in the shower. Uh,", "It's not painful at all, or like, I <UNIN/> I feel fine. But it's just, just a bit, a bit weird, to see that.", "Um, it's, it's slightly warm. Um, and I, I, cannot feel like this, little bit fluid in inside, or, uh, um?", "", "So, I, I like to know what's going on with <UNIN/>.", "", "Um, it's the, the left <UNIN/> elbow.", "", "No, not really. Um, not that I know of. I haven't noticed anything. I can actually like move it normally. Um, it's just, I <UNIN/>, I can just see that. It feels a bit strange, a bit", "", "Not really. No, I just, you know sit at a desk. Um, yeah.", "", "No, no I haven't noticed that before. Um, I don't have any like history of, of seeing this. I don't remember <INAUDIBLE_SPEECH/>.", "", "Um, no, well I, I do, well I think, I think I have something like uh, osteoarthritis. Um,", "Uh, uh, it sometimes kind of hurts, uh, my joints. But uh, in my family, I'm not sure.", "", "<INAUDIBLE_SPEECH/>. No.", "", "Um, yes. Yes, a few years ago.", "", "<INAUDIBLE_SPEECH/> a <UNIN/> a GP. Um, yeah.", "", "I'm uh, fifty three.", "", "Um,", "", "Well not, not really, no. Um, <INAUDIBLE_SPEECH/> I'm, I'm allergic to, to peanuts. Um, but that's, that's pretty much all I uh, have to say about my medical history, yeah.", "", "Uh, no. Not that I know of.", "", "Uh, no.", "", "<UNIN/> yeah. I do, I do, I do some sports. I run regularly, like two, three times a week. Um, yeah, no, I'm, think I'm healthy.", "", "Uh, yeah, <UNSURE>sure</UNSURE>.", "", "Yeah.", "", "It's a bit warm, yes.", "", "On the, on the tip of the elbow, it's, it's OK, just like, next to it like where the, the swelling is, it's a bit, yeah it feels <UNSURE>weird</UNSURE>.", "", "Uh, no not really. I have <INAUDIBLE_SPEECH/> <UNSURE> skin really dry</UNSURE> now.", "", "No.", "", "OK.", "", "<UNSURE>Alright</UNSURE>.", "", "<INAUDIBLE_SPEECH/>", "", "OK.", "", "K <INAUDIBLE_SPEECH/>. O", "", "OK.", "", "Mm-hmm.", "", "Yeah.", "", "OK.", "", "<UNIN/> do you, do you think it's something dangerous? Like something, like could I die from that, or is it, is it", "", "OK.", "", "Yeah, OK, I see.", "", "OK.", "", "Yeah that, that sounds good. Thank you.", "", "Um, well just yeah <UNIN/> I just wanted to know about this. Um, yeah it feels a bit better now <INAUDIBLE_SPEECH/>. Uh, but yeah, no that's it. Thank you.", "", "<UNSURE>OK</UNSURE>.", "", "Sure. <UNIN/> thanks. <UNSURE>Bye</UNSURE>.", "", "OK.", "", "OK, yeah that sounds good. I, I'll do that. And if I see that it's getting worse, I'll probably ask for a physical appointment.", "", "<INAUDIBLE_SPEECH/>", "", "Thank you. Alright. Sounds", "", "Bye.", "" ]

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[ "", "Hi there. Good morning!", "", "Hello. I, I'm Doctor <INAUDIBLE_SPEECH/>. Nice to see you.", "", "Hi. Um, so, before we start your appointment, could I confirm your full name and date of birth, if that's OK?", "", "You're <INAUDIBLE_SPEECH/> OK, fine. So, you're <UNIN/> you're forty years old, you said, yeah?", "", "Perfect, OK. Um, are you in a private place where you're OK to speak at the moment?", "", "OK, great. Um, so how can I help you today?", "", "Right, OK. OK. And how long has this been going on for?", "", "Right, OK. And, is this just on one side, or both sides?", "", "Right, OK. And <UNIN/> your face feeling numb, where exactly is that? Which part of your face? Can you, can you show me with your finger?", "", "Right, OK. OK. Um, has anything else happened, um, in this time? Any other symptoms you have at all?", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "Some, some ringing in your ear. OK.", "", "Sure, OK. Um, and um, have you had any weakness or numbness, down the, in the rest of the body at all?", "", "OK. Have you had any difficulty swallowing?", "", "And, have you had any difficulty speaking?", "", "Have you noticed any problems with your vision, at all?", "", "OK. Uh, and do you have the numbness present right now?", "", "Sure. Sure, OK. Alright, um, just going back to the kind of <INAUDIBLE_SPEECH/> feeling in, in the ear, um, do you have any discharge coming from that ear at all?", "", "K. Any pain in the ear, or from the ear?", "", "Right, OK. And um, have you had any fever at all?", "", "And, do you, um, have any itchiness in the ear?", "", "<INAUDIBLE_SPEECH/>", "", "Do you use cotton <UNIN/> buds to kind of clean your ears out?", "", "No. Alright. OK. Alright. Um, <UNIN/> need to, need to ask a few other general questions. Um, do you have any other illnesses at all?", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "Sure. Sure, OK. So, are you on any regular medication? You mentioned the spray for your nose.", "", "Sure. <UNIN/> and, and the spray for your nose, where do you get that from? Is that from a doctor?", "", "Yeah. Do you remember the name of the spray, at all?", "", "<INAUDIBLE_SPEECH/> that's alright. That's alright. Uh, and you're not on any other medication at all?", "", "No, OK. Do you have any <UNIN/>, any allergies to any medication?", "", "Latex, OK. Alright, that's good to know. Um, and um, in terms of your family, are there any kind of illnesses within your family at all?", "", "Right, OK.", "", "OK, good. That's good. Um, and in, in terms of your own kind of background now, are you, are you working at the moment?", "", "OK. So you have to excuse my ignorance, you mean, jockey like with horses? Is that what you're talking about? Yeah. Alright, OK. Fine. Um, great. Um, uh, and, uh, do you live alone?", "", "Uh, OK. Right, um, do you have any pets at all at home?", "", "OK, fine. OK so, alright. Um, Is there anything else that you wanted to tell me about what's been <UNIN/> going on, recently?", "", "<INAUDIBLE_SPEECH/>", "", "OK, fine. Alright. Um,", "", "So, <INAUDIBLE_SPEECH/>, what I think <UNIN/>, go on.", "", "<INAUDIBLE_SPEECH/>", "", "<INAUDIBLE_SPEECH/>", "", "OK. <UNIN/> so um, uh, obviously we're limited in terms of assessment via the video, uh, portal.", "<UNIN/> um, from what you've told me, this doesn't seem to be you know, anything um, that you're gonna die from. However, I would like you to be assessed in a clinic today.", "OK? I <UNIN/>,would like you to come to one of my clinics. I would like a GP to assess you. <INAUDIBLE_SPEECH/> what you're, what you're describing might be something called Bell's Palsy. OK? Um,", "", "We can go into that, explaining what that is, if um, if that's confirmed on, on physical examination. But um, that's not usually a <UNIN/> life-threatening problem.", "But, um, part of the reason why I'd like you to come in, it's just that we can do a, a what we call a, a neurological examination just to make sure there's nothing else going on, and confirm <UNIN/> that might be the diagnosis. Have a look, have a look inside the ear, see if there's any, <UNIN/>, anything to see within the ear.", "So, um, um, so, in answer to your question. No, I don't think that you need to worry about that, I <UNIN/>, think you know <UNIN/>, preliminarily I can, I can reassure you.", "However, <INAUDIBLE_SPEECH/>, in order to definitively reassure you, I, I think you need a physical examination today, OK. <INAUDIBLE_SPEECH/>, so what I wanna do, is I'm gonna send a message to our admin team, I'll ask them, to book you in for a face-to-face appointment in one of our clinics.", "Um, within Central London. OK, and then you can ring the <UNIN/>, the support team number, I'll leave that number in your notes. And you can ring them after five minutes, and then they'll slot you in to a place that's convenient for you, OK.", "", "All right. So, someone <INAUDIBLE_SPEECH/> will see you, and hopefully you will be able to reassure further but, please make sure the appointment gets done today.", "", "All right then. OK. Nice to see you. Take <UNSURE>care</UNSURE>.", "", "Bye.", "" ]

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[ "", "Hello?", "", "Hi. <INAUDIBLE_SPEECH/>. Nice to meet you. Hello.", "", "Uh, yeah. Uh, Mary Richards. Uh, and my, I'm forty years old. So.", "", "<INAUDIBLE_SPEECH/>", "", "Yep.", "", "Um, so, just been having some, um, problems with my hearing, I can't really hear very well, and <UNSURE>my</UNSURE> , noticed that my face has been feeling a bit numb recently.", "", "Um, it's been, it's been a few weeks now. Um, been about three weeks or something.", "", "Just one side, just on my left side, I've noticed that the hearing's kind of gone down a bit.", "", "<INAUDIBLE_SPEECH/>", "", "Yeah, so again it's the left side, it's kind of like around my left ear, and kind of, along here. So like, my jawline's just all feeling a bit numb round here.", "", "Not that I, <UNSURE>not that</UNSURE> I've noticed, <UNIN/>.", "", "I think, occasionally noticed <UNSURE>a</UNSURE>, ringing in my ear. Um.", "", "<UNIN/>, <UNSURE>yeah it's</UNSURE> <INAUDIBLE_SPEECH/>.", "", "No, no, no, no, nothing like that.", "", "No.", "", "No, no.", "", "No, that's all good.", "", "Uh, yeah. It kind of, kind of, there quite often, <UNSURE>so, all the</UNSURE> time. So yeah, right now it feels very, doesn't feel like when I touch <UNSURE>this</UNSURE> side of my <UNSURE>face</UNSURE>.", "", "No, nothing, nothing coming out.", "", "Uh, no, <UNSURE>don't think</UNSURE> so.", "", "No, nothing like that.", "", "<INAUDIBLE_SPEECH/>", "", "Pardon? Ohh, no, no, no, don't use cottons buds, <UNIN/> like that.", "", "Um, I've, well I've got kind of, been told I have polyps in my nose in the past and, occasionally get them kind of <INAUDIBLE_SPEECH/>.", "Um, that, that's all fine and, you know I take a <UNSURE>Rennie's</UNSURE> if I need to, and if my nose polyps are playing up I've got a spray. Um.", "Other than that I think they said, ages ago, I had something called, can't quite remember but, labyrinthitis, something like that, but again, nothing, nothing <UNSURE>ongoing</UNSURE>.", "", "Yeah, so, no, uh, I only take the, spray for my nose when I need it for, and um, sometimes take <UNIN/> like Rennies, but I just get that from the chemist.", "", "Uh, yeah, they gave me a prescription ages ago.", "", "Unfortunately I don't, sorry.", "", "No.", "", "Uh, no just <UNSURE>Latex</UNSURE>.", "", "My brother had, Neurofibromatosis, I think it is. Um, other than that everyone else is OK.", "", "Yeah, so I'm a, I'm a jockey, um, but, because of all the kind of, these symptoms I've been getting, especially sometimes when I get a ringing, I can feel a bit dizzy. <UNSURE>Ohh</UNSURE>, I've just had to do far less training.", "So, kind of beginning to, yeah, impacting work, um, a little bit now.", "", "Yeah, yeah.", "", "Um, I, uh, live with my partner.", "", "No, no pets.", "", "Uh, no, just like, like I said, like the ringing um, occasionally and, when I get that I can sometimes feel a bit dizzy but, the main thing is really the, lack of hearing, and the numbness that's got me <UNIN/> like, yeah, no idea what's going on there.", "", "I <UNSURE>mean</UNSURE>, there was just like, there was one thing I think <UNSURE>just</UNSURE>, 'cause I can panic and you can look online, <INAUDIBLE_SPEECH/> get a bit, frantic.", "<UNIN/>, I guess what I'm trying to think is, you know, is there something particularly serious <UNSURE>that</UNSURE>, you know, will need to be sorted and.", "Obviously, really, anything can just make you really frantic <INAUDIBLE_SPEECH/>. Hopefully nothing <UNIN/>, so serious I will die from it, I don't know I just, I think <UNSURE>got myself</UNSURE> in a pickle.", "", "Mmm.", "", "OK.", "", "<UNSURE>OK</UNSURE>.", "", "Yeah.", "", "OK.", "", "OK.", "", "<INAUDIBLE_SPEECH/>", "", "<UNSURE>OK</UNSURE>.", "", "Mm-hmm.", "", "Yeah, <UNSURE>that's</UNSURE> fine.", "", "OK.", "", "OK.", "", "Yeah.", "", "<UNIN/>, that's fine.", "", "OK, yep, <UNSURE>I</UNSURE> will do, that's fine. Thank you very much.", "", "Bye bye.", "" ]

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