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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