[patient] Hello.
[doctor] Hello. Hi, I'm Doctor Jacob and welcome to Babylon. How are you doing?
[patient] I'm OK, thank you. Um, not feeling that great actually.
[doctor] Good.
[doctor] Alright. I can't see your face properly , just, yeah that's it. That's good. Thank you. So, I'm sorry to hear that. But just before we start, is it alright if you could confirm your name for me please?
[patient] I'm Mary Jane Grey, um.
[doctor] Date of birth?
[patient] Date of birth, um nineteen eighty.
[doctor] OK. And your address for me please?
[patient] Um, I live on SW four zero NG.
[doctor] That's correct. And just to confirm that you're in a secure location, and we can have a confidential conversation.
[patient] Yeah.
[doctor] OK. So you've mentioned that you're feeling dizzy. , yes.
[patient] Yeah.
[patient] Yeah, I'm feeling I'm, I'm yeah, I'm feeling very sick. It's probably because i'm feeling dizzy, um the the room is sort of spinning, um.
[patient] And I, I can't, I can't walk properly. Uh, well I can walk properly but not straight, um.
[patient] and my ears are buzzing a bit. I'm just, they're feeling a bit off.
[doctor] Mm-hmm.
[doctor] OK, ear's buzzing. So when did it all start?
[patient] Started probably about two hours ago maybe. but I, I, um, I had a a similar sort of thing about a month ago, um
[patient] But I didn't really think anything of it, 'cause it it settled quite quickly. Um, but this has been going for a bit more now.
[doctor] OK. So you said, you mentioned it started a few hours ago. So did it start? What were you doing?
[patient] Um, I was just actually making my husband some breakfast, um.
[patient] And I, yeah, I just suddenly felt very fuzzy and dizzy, um, and a bit shaky.
[doctor] OK. So you mentioned, like the room spinning around?
[patient] Yep.
[doctor] OK. And is, how long does it last for? Or is it there now, continuously now?
[patient] Yeah it's, it's there, the whole time.
[doctor] So it's there now for the past two hours you'd say, yeah?
[patient] Yep.
[doctor] OK. Did you have any kind of viral illness in the recent past, past couple of weeks?
[patient] No.
[doctor] No cold, cough, nothing.
[patient] No, I've been pretty healthy I think, um, yeah.
[doctor] Yeah, OK. Um, you've mentioned that you have a, some ear buzzing kind of thing. Any kind of ear pain or ear discharge, anything like that?
[patient] No, nothing.
[doctor] OK. Do you have a temperature at all?
[patient] I don't think so, um.
[doctor] OK, right. You also mentioned that you can walk, but you're not walking straight. Why is that? Is it because
[patient] I think just 'cause the room feels like it's moving a bit. Um
[doctor] Feels like to move . That's why you're feeling like you're a bit unsteady, yeah?
[patient] I'll look .
[patient] My, my legs and arms and everything are working fine I just, I don't feel like I'm stable. My, the room is spinning.
[doctor] So there's no weakness of your arms and legs. OK.
[patient] No.
[doctor] K. Right. Um, so you mentioned you had something like this a month ago. So how, how, how long did that episode last for?
[patient] Probably only about five, ten minutes.
[doctor] OK, right. And do you have any problems hearing at the moment? Like, is it muffled or something?
[patient] No.
[patient] It's just a bit of a buzzy noise in my ears, but otherwise I can hear everything.
[doctor] OK. Righty-ho.
[doctor] OK. So, have you been physically sick?
[patient] No, but now I'm feeling very sick.
[doctor] Nausea, OK.
[doctor] Righty-ho. And, I don't have much information of your past medical history. So is there any medical conditions you'd like to tell me, surgical, medical conditions?
[patient] Um, I've had premature ovarian failure, um, and I've taken HRT.
[doctor] OK charting premature hearing failure. OK, and um any other medications at all?
[patient] No.
[doctor] OK, do you have any allergies at all?
[patient] No.
[doctor] OK. Right. OK so , talking to you today, um, in the , the most common um, you know, diagnosis we would you're suffering from at the moment is something called labyrinthitis. Yeah?
[doctor] OK, that's when your middle ear...there is something um, some inflammation going on there, and there is some imbalances in the crystals there in your middle ear.
[doctor] OK, so what the most important treatment is actually giving you some kind of middle ear stability so that you won't feel as if you're going around in a boat, kind of feeling.
[doctor] OK? So that's what we need to . Because to actually make you function a bit more, we'll start you on certain medications.
[doctor] I would still like you to be seen by one of our doctors to take a look inside your ears to just make sure. So this is like just symptomatic relief like you have a fever we just give paracetamol. So just to, you know, make you able to come and see one of the doctors and things like that.
[doctor] while you're with the doctors, we'd like to do your blood pressure, just examine your, you know, you know, how your walking and everything is.
[doctor] OK, while we're waiting, while you're waiting on seeing the doctor if you double up any weakness of your legs or arms or, or, you know, a sudden headache.
[patient] OK.
[doctor] Any of those symptoms, or you start being violently sick with it, then you know, you would need to take your to A and E.
[patient] OK.
[doctor] But if not, wait for the appointment for the doctor to examine you um and we'll take it from there.
[doctor] So i'll, i'll send the a prescription at cross pharmacy looks like it's the Lloyd pharmacy on our system. Is that correct?
[patient] Yeah.
[doctor] Yeah. So we'll send you across that prescription. Um, it's called , yeah? It's one tablet three times a day. So I'll give you about ten days worth.
[doctor] In the interim, obviously in the next few days, you'll get to see one of my doctors and we'll have to just take it from there.
[patient] OK, thank you so much.
[doctor] Any questions at all?
[patient] Um, can you take, do you need to take those tablets with food? Or can you just take them any time?
[doctor] It doesn't really matter, you can take it, because sometimes, you know, you get the symptoms as soon as you wake up, so probably you'll feel a bit sick to eat anything so might as well just take the tablets.
[patient] OK, that's great. Thank you so much, that's so helpful.
[doctor] Just make sure you call support to book that appointment, OK?
[patient] I will, thank you very much.
[doctor] Bye bye now. Bye

Medical orders:
description: paracetamol one tablet three times a day ten days worth.
order_type: medication
reason: labyrinthitis