[patient] Hi.
[doctor] Hi there. It's Doctor Smith from Babylon.
[patient] Hey. How are you?
[doctor] How are you doing? . Good thank you. Can you confirm your name, date of birth, and your, home address please?
[patient] Um, yes I can. Uh, it's, Mary Smith.
[patient] Um, I'm twenty eight, and I live at apartment four oh five, nine C, Clerkenwell Road.
[doctor] OK that's fine. Are you in a private place so you can have a consultation today?
[patient] Yes I am.
[doctor] What can I do for you?
[patient] Um, I keep having a headache.
[doctor] OK, and when did it start?
[patient] It started yesterday, um.
[patient] Uh, it's unusual for me, to have a headache.
[doctor] OK. Can you just tell me whereabouts in your head it is?
[patient] It's on the left side at the back, sort of here.
[doctor] . OK. Just on the left side.
[patient] Yes.
[doctor] And, when did it start? What time of day did it start yesterday?
[patient] About mid-morning.
[doctor] And how did it feel when it first started?
[patient] Um, just quite, intense, and kinda quite throbbing. It kind of built up gradually after, over.
[patient] A short period of time.
[doctor] OK. And did you get uh, have you got any other symptoms along with that? Any nausea, vomiting, tingling, numbness, weakness, anywhere?
[patient] No, nothing.
[doctor] OK, and, uh. Sorry .
[doctor] Um, any blurred vision, or any pain over your eyes?
[patient] Um.
[patient] No.
[doctor] Any , any funny lights or, anything like that in your vision area? Any problems when you look into the light?
[patient] No, .
[patient] No.
[doctor] Um, and have you been eating and drinking OK?
[patient] Yes, yes, like normal.
[doctor] . Are you feeling sick, or vomiting, or anything?
[patient] No, nothing like that, .
[doctor] Any high fevers? Are you feeling shivery? Sweaty?
[patient] No, no fever, no .
[doctor] Any , any rashes at all?
[patient] No.
[doctor] And, in the past, have you had any headache before?
[patient] Not really.
[doctor] OK. How bad would you say the headache is from, zero to ten, if ten is the worst pain that you could have, and zero is nothing?
[patient] I'd say about eight.
[doctor] OK. And have you taken any pain killers?
[patient] Um, I took some, um, um, Nurofen, yesterday.
[doctor] OK, and did that make any difference?
[patient] Not really.
[doctor] And last night, did you manage to sleep through the night OK?
[patient] Uh, yes I did.
[doctor] Has it been worse at any particular time of the day?
[patient] No, it hasn't made any difference, the time of the day.
[doctor] Any difference if you lie down, stand up, bend over, cough or sneeze, or anything like that?
[patient] Um, no.
[doctor] And, have you got any other medical problems?
[patient] Um, no I haven't.
[doctor] Anything you take medication for?
[patient] No I don't.
[doctor] Um, any over-the-counter medications or allergies?
[patient] No, only the, Nurofen I took yesterday, Ibuprofen.
[doctor] That's fine. And any stomach problems, or asthma at all?
[patient] No.
[doctor] Anyone in your family got any medical problems?
[patient] Uh, my mother's had hypertension, and she does get migraines.
[doctor] . And, have you had your blood pressure checked ?
[patient] Um, no, not recently.
[doctor] And who do you live with at home?
[patient] Sorry?
[doctor] Who do you live with at home?
[patient] My partner.
[doctor] And what's your job, day-to-day?
[patient] I'm a designer.
[doctor] Have you had to miss any work at all?
[patient] Uh, no, but I don't feel that, I'm finding it really hard to , to do any of, my work, or, normal things.
[doctor] OK. Um, and do you smoke at all normally?
[patient] No I don't.
[doctor] Do you drink any alcohol regularly?
[patient] No.
[doctor] Um, and any other drugs?
[patient] No.
[doctor] No, OK. Um, I mean the fact that you haven't had headaches before, um, is, is unusual the fact that they've developed. Is there anything you think's changed? Any increased stress, , change in your diet or lifestyle?
[patient] Not that I can, not that I can think of.
[doctor] OK. So, what we would suggest is, trying a slightly stronger, pain relief.
[doctor] Uh, so, similar to Ibuprofen, but taking instead of Ibuprofen not at the same time, and taking that regularly with food.
[patient] OK.
[doctor] Um, hopefully that will settle it down. You can take Paracetamol along with that.
[patient] Yes.
[doctor] Try and um, take rest, have lots of good hydration.Um, but if the pain's getting worse, or you get new symptoms, fever, rash, vomiting, neck stiffness.
[doctor] Um, or you keep getting episodes of the same type of thing, then we need to speak to you, and, and make a plan for, for what we can do next.
[patient] OK.
[patient] Thank you.
[doctor] Have you got any other questions?
[patient] How long do you think it will last for?
[doctor] Well I should think it should down, if it's getting worse or not settling in the next day or two.
[doctor] Then certainly give us a call back, if, when you've tried the medication that I've prescribed from the pharmacy.
[patient] OK.
[doctor] OK?
[patient] Thank you.
[doctor] All right then. Thanks a lot. Bye.
[patient] , bye.

Medical orders:
description: Paracetamol
order_type: medication
reason: headache