[doctor] Hello, hi, I'm Doctor Jacob and welcome to Babylon.
[patient] I have been
[doctor] You're right.
[doctor] So just before we start, is it alright if you could confirm your name for me, please?
[patient] Uh, not really.
[patient] My name is Jonathan Irving.
[doctor] And your date of birth?
[patient] Uh, six, twelve, uh, eighty.
[doctor] And your address for me, please.
[patient] Uh, sixty two Lewin Road Streatham SW sixteen six JT.
[doctor] correct, and just to confirm that you're in a secure location and we can have a confidential conversation.
[patient] Yes.
[doctor] Yeah. You've mentioned you had some breathing difficulties in the, the notes. How can I help you?
[patient] Yes, about fifteen minutes ago, I was gardening and, um, I was stung by wasp. Um, ran inside.
[doctor] Mm-hmm.
[patient] And now I'm, um, just starting to notice a few things. Yeah, I'm having quite shallow breath.
[doctor] You're having difficulties breathing since then, yeah?
[doctor] OK. So, is there any swelling of your lips, you feel your throat is closing up?
[patient] Not throat, but I can , yeah, I can I can definitely feel something in the lips, yeah.
[doctor] Right, like a tingling kind of feeling?
[patient] Yes, yeah.
[doctor] OK, but no swelling, yeah?
[patient] Alright. I mean, you know, to be honest, I'm just doing this to establish whether I should go to the hospital.
[doctor] OK. Right, OK. Have you had anything like this before?
[patient] Uh, no.
[doctor] No. OK. So, um, do you feel wheezy in your chest, or just tightness?
[patient] Uh, yeah. Um, a bit of tightness. Yeah, a bit of tightness, yeah.
[doctor] Bit of tightness, OK, OK. So, I, unfortunately, I don't have much of your past medical history. Do you have any significant past medical or surgical history you'd like to share?
[patient] Uh, no, not really. Uh, a bit of eczema and I'm allergic to penicillin.
[doctor] OK. Are you on any regular medication at all?
[doctor] OK.
[doctor] Righty-ho.
[doctor] Are you having any rash on your body at the moment?
[patient] Yes there's a bit of blotching .
[doctor] OK. Well, have you taken anything at all for the blotching?
[patient] I wouldn't even know what to take then.
[doctor] OK so you've, OK. That's fine. So from what you're saying, you do need to have medical attention straight away. OK? Um, do you have any antihistamines in your house at all?
[patient] Um, yes, I've used them for flying. I have aerosinusitis, so yes, I do
[doctor] So, why, why, and I'm, because your your breathing problem can get worse very quickly, I would like you to call. Is there someone else at home with you?
[patient] Yes, my wife can take me to the emergency room, yeah.
[doctor] Uh, no, I wouldn't want your wife to take you, I would like, I'd like her to call the ambulance because that might take a bit longer, and, you know, we need to deal with it quickly. So, what we are worried about is, you know, in case you develop an anaphylactic reaction.
[patient] OK. She's listening. I'll get her to call now, yeah
[doctor] Yeah so, I'll ask her to give you the, um, antihistamine, in the meantime while the ambulance is coming. And take yourself to hospital.
[doctor] Um, it might just be an articularly reaction, but because you're complaining of breathing difficulties, it is quite important that you go to hospital straight away.
[doctor] But I'd like you to call the ambulance because, you know, so that you will be sorted out quickly.
[patient] OK.
[patient] Yeah. Alright, thank you. She's on it now. Yeah, she's on the phone.
[doctor] OK. Alright then, you take care.
[patient] Alright, thank you for the advice .

Medical orders:
description: antihistamine
order_type: medication
reason: worried about is, you know, in case you develop an anaphylactic reaction