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ok | ok |
do you remember the name of the cream you bought | do you remember the name of the cream you bought |
ok | ok |
yes | yes |
no well ok thats so you mentioned the itchiness um you also mentioned its been quite sore | no well well ok thats ok so you mentioned the itchiness um you also mentioned its been quite sore |
um have you have you noticed any uh bleeding or discharge from your skins | um have you have you noticed any uh bleeding or discharge from your skin |
uh ok lets start again so how can i help you sir | uh ok so lets start again so how can i help you sir |
ok | ok |
youve not havent uh seen any other uh pus or blood coming out of your skin | youre not having uh any other uh pus or blood coming out of your skin |
no and you mentioned it all started three days ago | 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 | are you four days ago are you aware of any triggers so 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 | so for example have you changed your uh shower gel any clothing |
have you been around anyone else | have you been around anyone else |
mm | mm |
mm no no ok thats ok um | mm no no ok thats ok um |
fine so just to resummarize for the last four days youve 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 | fine so just to re summarize for the last four days youve 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 |
ok | ok |
ok anything on your face at all | ok and anything on your face at all |
no ok and apart from this any other symptoms have you noticed for example have you noticed any temperature or fevers | 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 | itching ok so your your bowels are working ok |
your chest is ok no cough no breathing difficulties | your chest is ok no cough no breathing difficulties |
youre passing urine ok | youre passing urine ok |
ok alright um | ok all right um |
its always good to know so i mean do you have any ideas as to what could be causing your symptoms | its 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 | any ideas as to what could be causing your symptoms |
no no problem im happy to help um whereabouts in your skin is it affected | no no problem im happy to help um where about on your skin is it affected |
ok thats ok so um normally at this stage i like to examine you um | ok no thats ok so um normally at this stage id like to examine you um |
to see the rash itself to see exactly what type of rash it is but from what youve told me you mentioned its youve got some dry skin and some uh cracked skin as well | to see the rash itself and see exactly what type of rash it is but from what youve told me you mentioned its youve got some dry skin and some uh cracked skin as well |
uh and has been very itchy and so would your um | uh and its been very itchy and so with your um |
uh your your background of eczema um | uh your your background of eczema um |
sorry to say theres 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 | so 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 | ok not anymore ok and do you take any regular medications at the moment |
no ok do you have any allergies to anything | no ok do you have any allergies to anything |
sorry i said do you have any allergies to anything | just uh sorry i did you have any allergies to anything |
yeah | yeah |
hello | hello |
can you hear me thats alright i think it uh do you have any allergies at all | oh can you hear me uh so i think it cra 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 | 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 and what do you do for work |
ok uh no no no thats thats 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 | ok uh no no no thats absolutely thats absolutely fine um 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 | no and do you drink much in a way of alcohol |
ok ok ok ive got to say at this stage ive got to say this sound quality is not uh great but i will continue because weve come this far um | ok ok ok ive got to say at this stage ive got to say that the the sound quality is not uh great but i will continue because weve come this far um |
so um based on everything you mentioned sarah i do wonder whether this is a flare up of your eczema um | so um based on everything you mentioned sir ii i do wonder whether this is a flare up of your eczema um |
the reason being that you said it was quite itchy um its mainly affecting your chest and your back | the reason being that you said its quite itchy um its 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 using steroid creams yesterday | um and uh having looked at your skin uh the the the rash does appear quite familiar um you mentioned you using steroid creams yesterday |
um from the pharmacy i wonder whether giving you a stronger prescription of a of a steroid may be beneficial | um from the pharmacy i wonder whether giving you stronger prescription of a uh of a steroid may be beneficial |
uh which im happy to prescribe to you today as well as im going to give you something some emollients which helps to moisturize the skin | uh which im happy to prescribe to you today as well as that im gonna give you some some emollient which helps to moisturize the skin |
um which use in the bath and shower and its definitely worth um using that for the first seven to ten days | um which you use in the bath and shower and its definitely worth um using that for the 1st 7 to 10 days |
uh before we make the decision on whether its working or not | uh before we make a decision on whether its working or not |
um its also worth um using antihistamines which you can sometimes buy over counter | um its also worth um using antihistamines which you can sometimes buy over the counter |
things like loratadine or piriton which can help the itchiness of your skin | things like loratadine or claritin which can help with the itchiness of your skin |
and uh um its 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 | and its 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 thats causing your symptoms then we need to have a discussion about an eczema cu | because if thats causing you symptoms then we need to have a discussion about it next time i see you |
ohh could you say that again sorry | oh could you say that again sorry |
ok | ok |
no no ok im certain this is obviously affecting you and uh well try our very best to get get this sorted out for you um have you had anything like this before in the past | no no ok i i understand this is obviously affecting you and uh well try our very best to get get it sorted out for you um have you had anything like this before in the past |
ok so its something for you to think about you can get different types of antihistamines i can give you something a little bit stronger today as well | i didnt ok so its something for you to think about you can get a different type 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 its definitely worth trying and its not going to do you any harm | something like fexofenadine which i can give to you today its definitely worth trying it its not going to do you any harm |
um but i think using the steroids and the emollients um on a regular basis | but i say think using the steroids and the emollients on a regular basis |
uh over the next week to ten days should hopefully control your symptoms but do come back and see me next week if things dont get better | um over the next week to 10 days should hopefully control your symptoms but do come back and see me next week if things dont get better |
ok um do you have any questions for me | ok um do you have any questions for me |
ok well i wish you all the best | ok well i wish you all the best |
thank you have a good day | thank you have a good day |
ok | ok |
ok | ok |
hello can you hear me well | hello can you hear me well |
ok | ok |
um | um |
its much more like itchy and my eczema was more like only in the arm but now its also on the chest and in the on the on the hands as well | mm its much more like itchy and my eczema was more like only in the arms and now its a also on the chest and in the in the on the hands as well |
like pretty yeah when like i like for instance hiking during the weekend and | like yeah when like i like for instance hiking during the weekends and |
i am i cant really do it anymore because its like very 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 | i am i cant really do it anymore because its like very like like i wanted to do that last weekend and it was super painful and i i have to take like showers every day to be able to kind of uh ease this itching spots which is very very annoying |
yeah | yeah |
ok | mm 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 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 | no |
four days ago | four days ago |
no i its actually like its really annoying because im thinking about maybe i should change something because i i havent and i dont understand i cannot um afraid of asking people around me because its cannot you know um i dont feel really comfortable asking about these questions its kind of intimate that so i your help now | no i i its actually like its really annoying because im thinking about maybe maybe i should change something because i i havent and i dont understand and im kind of um afraid of asking people around me because its kind of you know um i dont feel really comfortable asking about these questions its kind of intimate and so i your head now |
yes so its been a few days now i have like a sore and a red skin its kind of its really itchy and its like super annoying so id like to find something quick to solve it | yes so its been a few days now i have like a sore and a red skin its kind of its really itchy and its like super annoying so id like to find something quick to solve it |
uh no just the chest hands and like like inside the elbows yeah | uh no just the chest hands and like like inside the elbows yeah |
am i what | in my what |
on my face no | oh on my face no |
no just very itchy nothing else | no no just the itching nothing else |
no | no |
i i think so | uh i think so |
any what | any what |
um so i had eczema before so maybe its disease but it seems like more uh like uh my eczema was only on the arms so im im not sure i i really have no idea | um i so i had eczema before so maybe its this but it seems like more i like uh my eczema was only on the arm so im im not sure i i really have no idea |
yeah | yeah |
uh mostly like my chest my my hands my arms like like really its its super annoying like its itching a lot like all the time and | uh mostly like my chest my my hands my arms like i agree its its super annoying like its itching a lot like all the time and |
uh no i just had asthma in the past but not anymore | uh no i just had asthma in the past but not anymore |
uh no | uh no |
i like some sorry yeah | i like ok sorry yeah |
hello yes | hello yes |
ohh allergies uh no | oh allergies uh no |
uh so i live with a few flatmates im a so you know im thirty one uh i yeah im i have a full time job and so im living with a few people to save money | uh so i live with a few flatmates im uh so you know im 31 uh i yeah i i have a full time job and so im living with a few people to save money |
uh i work uh at a pharmaceutical company | uh i work uh at a pharmaceutical company |
so its been a its been a few years now uh its uh its kind of interesting were working im a like a kind of project manager uh i mean do you want to to know more about it | so its been a its been a few years now uh its a its kind of interesting were working im a like a kind of project manager uh and do you want to to know more about it |
no | no |
i cant even sleep at night i really need something quickly to to solve it because even at work i i can when im in a meeting and i have to like uh think about my work i cant focus i cant actually focus on my work its really annoying because i cant actually think about uh what i have to say im always like uh disturbed by this disease | i cant even sleep at night like i really need something quick to to sort it because even at work i like um when im in a meeting and i have to like uh think about my work and focus like actually focus on my work its really annoying because i cant actually think about uh what i have to say im always like uh disturbed by this disease |
uh you know once in a while i can i like hanging out with people once in a while so yeah id 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 its been its been a while | uh you know once in a while i i can i like hanging out with people once in a while so yeah id 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 its been its been a while uh |
ok | ok |