refs
stringlengths
11
466
trans
stringlengths
5
418
that makes sense yeah
that makes sense yeah
yeah thats very useful thank you um
yeah thats very thank you um
yeah it feels better to have some kind of plan uh
yeah it feels better to have some kind of plan uh
thank you very much for taking the time thank you
thank you much taking the time thank you
but i dont really feel like um like getting up in the mornings really difficult and i dont have much energy at all during the day um
but i dont really feel like um like getting up the mornings really difficult and i dont have much energy at all during the um
ohh hello hi how you doing uh my names joe im one of the doctors here at babylon can i just confirm your name please
ohh hello hi how you doing uh my names joe im of the doctors here at babylon can i just confirm your name please
mm hmm are you feeling better now other than the tight chest
mm hmm are you feeling better now other than the chest
right ok ok but you now now youve got this this um so youve still got still got uh symptoms of a cold essentially
right ok ok but you now now youve got this um so youve still got uh symptoms of a cold essentially
uh ooh yeah ok
uh ooh yeah ok
and are you coughing up anything
and are you coughing anything
and um do you have any other medical problems like asthma
and um do you have any other medical problems like asthma
you have any inhalers or any any medications
you have any inhalers any any medications
clenil clenil modulite yeah ok
clenil clenil modulite yeah ok
and um uh have you been using clenil and the ventolin and how often have you been using them
and um uh you been using clenil and the ventolin and how often have you using them
hi daniel and your date of birth
hi and your date of birth
ok all right all right so so so youve you havent got any clenil or any ventolin at the moment
ok all right all right so so so youve you havent got any clenil or any ventolin the
ok all right um and any drug allergies that you know of
ok all right um any allergies that you know of
ok great now uh do you anyone in your family have any medical problems that you know of
ok great now uh do you anyone in your family have any medical problems that you know
right so just uh do you have any other sort of concerns or ideas about what might be going on or um hopes for this consultation
right so just uh do you have any other sort of concerns or ideas about what might be going on hopes for this consultation
yeah absolutely i can i can imagine
yeah absolutely i can i can
um well it certainly sounds like uh youve youve had this cold so youve got wheezy with a cough um and its non productive cough and youre short of breath uh is the cough worse at night time
it sounds like uh youve youve had this cold so got wheezy with a cough um and its non productive cough and youre short of uh is the worse at night time
ninety two ok daniel and uh are you in a a comfortable and confidential place to talk
ninety two ok daniel and are you in a a comfortable and confidential place
ok and youve got this tight tight chest but you you wouldnt say youve got chest pains its more of a tight chest is it
ok and youve this tight tight chest but you you wouldnt say youve got chest pains its more of a chest is it
yeah sure um ok well i i would quite like to uh certainly get you some uh ventolin clenil modulite have you had asthma exacerbations in the past
yeah sure um ok i i would like to uh certainly get you some uh ventolin clenil modulite have you had asthma in the past
have you ever been to hospital uh as an inpatient as in you know stayed in there overnight for asthma
have you ever been to hospital uh as an as in you know stayed in there overnight for asthma
ohh ok so you so so you uh you you went to hospital and had a a so you stayed in hospital for a few days did you with an asthma exacerbation
ohh you so so you uh you went hospital and a a so you stayed hospital for a few days did you an asthma exacerbation
ok but currently youre just on ventolin and clenil and you havent got any of those steroids uh those inhalers at the moment
ok but currently on ventolin and clenil and you havent got any of steroids uh those inhalers the
ok when sorry how old were you when you had that severe asthma exacerbation
ok when sorry how old were you when you had that severe asthma exacerbation
just to quantify how short of breath you are um i dont suppose youve got a peak flow with you no you wont have will you
just quantify how short of breath you are um i dont suppose youve got a peak flow you no you wont have will you
um are you able to uh like walk up flights of stairs ok walk on the flat ok without getting to short of breath or um are you short of breath at rest
are you to uh like walk up flights of stairs ok walk on the ok without getting short of breath or um are of breath at rest
happy to go ahead great how can i help
happy to ahead great how can i help
sure yeah ok but youre not short of breath at rest at the moment
sure yeah ok but youre not short of breath at rest at the moment
ok fine so what what i think um and just to just to go over is there anything you had hoped about getting other than the uh a prescription for your inhalers was there anything else youd hoped about getting from this
ok so what what i think um just to just to go anything hoped about getting other the uh a prescription for inhalers was there else youd hoped about getting from this
sure yeah no absolutely well im really glad you have talked to me today i think what we can do is is give you a prescription for uh some more of the inhalers we can get that to you within the hour i would hope
sure yeah no absolutely well im really you have to me today i think what we can do is is give you a prescription for uh more of the inhalers we can get that to you within the hour i would hope
um and uh i think what the other thing id like to do is just give you a dose of steroids so this is these are tablets which um you can take for five days uh two tablets in the morning
um and uh think what the other thing id like to do is just give you a dose of steroids so this is these are tablets which um take five days uh two tablets in the morning
and uh that should just dampen down your asthmatic response ok
and uh that should just dampen down your asthmatic response ok
um now there are some side effects to the steroids which i should really tell you about but please read the label thats associated with dont be too worried about the side effects
um now there are some side effects to the steroids which really tell you but please read the label thats associated with dont be too worried about the side effects
theyre most you know most of the time the steroids are very well tolerated and uh you have you had them in the past do you know of
theyre most you know most of time the steroids are very well tolerated and uh you have you had them in the past do you know of
have you had steroids in the past
you had steroids in the
probably yeah i would too so um they they can come they can make you your mood change can be slightly low or too slightly high
probably yeah i would too so um they can come can make you your mood can be slightly low or too slightly high
can give you a high blood sugar um and uh their uh they can also cause rash nausea um headaches but mostly is well tolerated and it should help your asthma an awful lot
can give a high sugar and uh their uh they can also cause rash nausea um headaches but is well tolerated and should help your asthma an awful lot
ok and how long has this been going on for daniel
ok and long this been going on for daniel
um uh what id like to do is is send you these the some prescriptions for your uh inhalers ongoing so you um you can once you get better from this asthma attack you can you can use the clenil modulite in the morning with ventolin as a prn so a ventolin when you need to um when youre getting wheezy
um uh what id like to do is send you these the some prescriptions for uh inhalers ongoing so you you can get better from this asthma attack you can you use the clenil modulite in the morning with as a prn so ventolin when you need to um when youre getting wheezy
if you should start to use the ventolin more than uh every three hours
if you should to use the ventolin more than uh every three
uh at at anytime its a good idea to seek medical attention so um see a doctor um in some capacity
at at anytime its idea to seek medical attention um see doctor um in some capacity
uh and the other thing id like to send you is a spacer which would allow the medication to actually go into your lungs better have you do you know what a spacer is have you used one before
uh and the other thing id like to send you is a spacer which would allow the medication to actually go into your lungs have you do you know what a spacer is have you used one
have you got one
have you got one
ok all right well um ill send you another one and it has some instructions about how to use it but essentially uh couple of puffs to prime it inside breathing in and out um uh for five or five or ten breaths
ok all right well um ill you another one and it has some instructions about how to use it but essentially uh couple of puffs to prime it inside breathing in and out um uh for five or five or ten breaths
uh was there anything else that was on your mind or youre concerned about at this stage
uh was there anything else that on your mind or youre concerned about at this stage
ok and and uh i might give you some time off work as well you can self certify first seven days but uh i think i would advise you just to rest a little bit until youre feeling a bit better if youre ok with that all right
and and uh i might give you some time off work as well you can self certify seven days uh i think i would advise you just rest a little bit until youre feeling a bit better if youre ok with that all right
ok no worries any deterioration in your symptoms like worsening shortness of breath um or just generally concerning symptoms uh pain in your chest tightness uh feeling light headed
ok no worries any deterioration in your symptoms like worsening shortness of breath um or just generally concerning symptoms uh pain in your chest tightness uh feeling light headed
ok and so tight chest three hours um and so youre born in ninety two so that makes you twenty six
ok and so tight hours um and so youre born in ninety two so that you twenty six
uh then seek further medical attention anytime please ok
uh then further please ok
um and you are uh any shortness of breath at all with that
um and you are uh any shortness of breath at all that
uh any cough wheeze
uh any cough wheeze
slight cough yeah sore throat runny nose sore ears
slight cough yeah throat runny nose sore ears
yeah like a little bit um yeah a little bit short of breath not too bad
yeah like a little bit um yeah a little bit short of breath not too bad
yeah im feeling a bit wheezy as well kind of cough coughing yeah
yeah im feeling bit wheezy as well kind of cough yeah
you know i had a cold last week and its not as bad as it was but yeah i had a sore throat i had a runny nose uh just feeling under the weather
you know i had a week and its not as as it was but yeah i had a sore throat i had a runny nose uh just feeling under the weather
i mean i feel worse but the runny nose isnt as bad any more
i mean i feel but the runny nose isnt as bad any more
yeah but the coughs kind of stuck around
but the coughs kind of stuck around
yeah yeah i have asthma ive had it for a while now um
yeah i have asthma ive had it for a while now um
and then i have like a hayfever you know and some allergies just to dust stuff like that
then have like a you know and some allergies to dust stuff like that
um yeah so uh you know the um uh ventolin its called uh salbutamol
um yeah so uh you know the um uh ventolin its uh salbutamol
yeah sure my names daniel
yeah sure my names daniel
i got that one and then i have a steroid a clenil clenil inhaler
i that one and then i have a steroid a clenil clenil inhaler
um well to be honest i was away at uni last week and i forgot to bring it with me so i havent really in the past week uh
um well to be honest i was away at uni last week and i forgot to bring it with me havent really in the past week uh
because because um sorry they ran out and i i forgot to go and grab the next one
because because um sorry they ran out and i i forgot to and grab the next one
about a week ago yeah
about a week ago yeah
not with me right now no i ran out
not with me right now no i ran out
no no not allergic to anything just like just the dust and stuff but nothing no drugs
no no not allergic to anything like just the dust and stuff but nothing no drugs
um yeah my mum has eczema and my dad has asthma ohh when i was young i also had eczema
yeah my mum eczema and my dad asthma ohh i was young i had eczema
and i had a milk protein allergy when i was young too
and i had a milk protein allergy was young too
not really like i feel like asthmas probably a part of it and probably getting my inhalers would be helpful
not really like i feel like asthmas probably a part of it and probably getting my inhalers would be helpful
um its just kinda scary cause i havent had a time like this where ive been so tight uh in a long time
um its just kinda scary i havent had a time like this where ive been so tight uh in a long time
i mean it gets a little bit worse at night but basically just pretty consistent and it hasnt gone away
i it gets a little bit worse at night but basically consistent and it hasnt gone away
no not really pain its more like tight
no not pain its like tight
it just feels like sometimes i cant get a full breath in you know
it just feels like sometimes i cant get a breath in know
not in a long time when i was young a little bit more like back in high school um but ive been pretty good at taking my my inhalers so not not so much any more
not in a long time when i was young little bit more like back in school um ive been pretty my my inhalers so not so much any
yeah when i was in high school i had to have a tube put down my throat
yeah when i was in high i had to a tube put down my throat
yeah i did yeah
yeah i did yeah
yeah im doing pretty good im doing pretty good just on the clenil and the salbutamol
yeah im doing pretty good im doing pretty good just on the clenil and the salbutamol
uh i think i was like seventeen
uh i think i was like seventeen
uh im definitely not short of breath at rest like except for that feeling i was describing
im definitely not short of breath at rest except for that feeling i was describing
it does when im walking up stairs i do feel like i have a little bit more short of breath than i would normally be
it does when im walking stairs i do feel like i a little bit more short of breath than would normally be
no no no im not
no no no im not
well i just wanna know that im ok to just like keep i just dont wanna have to get um that that intubation again
well i just wanna know that im ok to like keep i just dont wanna to get um that that intubation again
sorry sorry you were cutting in and out a little bit there what were you saying
sorry sorry you were cutting in and out a bit there what you saying
um i cant remember probably i think so
um i cant remember probably i think so
yeah yeah i somebody told me how to use one a while ago i dont i dont really use it to be honest but
yeah yeah i somebody told me how to use one a while ago i dont i dont really use it to be honest but
i think i do i have one somewhere
i think i do i have one somewhere
i think you got me covered
think you got covered
all righty well thank you very much
all righty well thank you very much
all right sounds good
all sounds good
um yeah i just my chest has been feeling really tight
um yeah just my has been feeling really tight
ok thank you bye bye
ok thank bye bye
hello hi how you doing
hello hi how you doing
fine thanks yeah im joe im one of the doctors at babylon can i just confirm your name please
thanks yeah im one of the doctors at babylon can i just confirm your name please
youre having regular bowel motions now you said you had a bit of diarrhoea or a bit of watery did you say
youre having regular motions now you said you had a bit of diarrhoea or a bit of watery did you say
ok and you say youre going youre drinking lots of water youre going to the toilet more frequently for a wee is that
ok and you say youre going youre drinking lots of water youre going to the more frequently for wee is