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yes my my name is uh roberto mendoza and uh im i was born on the first of january of um uh nineteen ninety two
yes my my name posture uh roberto mendoza and uh im i was born on stre the first of january of um nineteen ninety two emma
ohh it does a little bit
ohh it does a little bit
ok ok i yeah
ok ok i yeah
ok i didnt yeah sorry i didnt no i was saying i didnt have any fever recently i i was sweating a little bit the last four days but i i not sure if if i had bit of fever but very little or or im im but i dont think so i dont think i dont know maybe
ok i didnt female yeah sorry i didnt i was saying i enough have any fever recently i i was sweating a little bit the last four days but i i not sure if if i had bit of fever but very other little or or im im but i dont think so what dont or now dont know maybe
ohh sorry i um of nineteen ninety sorry im forty eight sorry i forgot that
ohh what i um of nineteen ninety sorry im forty eight sorry i forgot that
ok i will yeah i will book then book i will wait a couple of days to see or one more day and then i will book and then yeah
ok i will yeah i will try book i will wait a couple of days to see or one more day and used then i will book and then yeah
uh no thats uh thats it i was maybe just concerned about my fathers uh medical history that would uh i could be at some kind of risk
uh no thats uh thats it i was maybe just concerned about my fathers uh bedroom medical history that would uh hypothyroid i could years be at some kind of risk
ok ok yeah that sounds good that sounds good ok thank you very much doctor for your time bye bye
ok ok yeah that sounds good that sounds good ok thank you very much doctor for your time bye then bye say
yes so i have uh i have um i dont know how do you say it properly in english uh i mean without sounding good like diarrhoea for for yeah so its lasting for like three days and uh yeah i i dont know uh i dont know what could cause it i uh um
yes didnt i uh i have um i dont know how type you say it crams in english uh i mean without sounding good like diarrhoea here for for yeah so its lasting for like three morning and uh yeah i i dont know uh i dont know could cause it i uh um
uh i have a bit of uh pain abdominal pain and i had a bit of vomiting
uh i have a bit of uh pain abdominal pain and i had a bit of vomiting
and uh uh yeah so this uh kind of like uh what is happening to me
and uh uh yeah also so this uh kind of like uh what is happening to me
ok and did it come on really bad or did it start off uh like a slight headache and build up to a a severe headache
and did it come on really bad or did supposed start and uh hear like a slight headache box and build up to a a severe headache
and if if ten is the worst pain youve ever felt in your life how bad would you say the pain was between one and ten
and if if order ten is the worst pain youve ever felt in your life how bad would you say the pain was between one and down
its not ten great
its not ten great
ok no thats fine have you ever had a headache before
ok no thats twenty fine have you ever had a headache before
have you ever had a headache like this in the past
have you ever had a like hundred in the past
ok so its a first
ok so its a first
ok ok if you had to say where uh uh across the head uh the headache is is it across the front around the back
ok ok if you had to say where uh uh seemed the head uh the headache is is it across the front around the ibuprofen back
and tell me what visual problems are you getting
and tell me what visual problems are you getting
ok and um have you tried any painkillers for this already
ok and five um have you tried any painkillers for this already
ok um ok um what time did you take the paracetamol how long ago was it youd taken it
ok um ok um what time did you take the paracetamol how talk long ago was aero it youd taken it
ok um and your visual problem is still ongoing now
ok um and your visual is still yet ongoing anywhere now
ok ok um so what about have you felt sort of nauseous or like you want to vomit
ok ok um theres what about have you felt sort of nauseous or like you want to vomit
all right ok youve mentioned in the past youve had kidney stones any other medical problems
all right ok youve mentioned in the past youve had kidney stones any other medical problems
uh youve mentioned that in the past youve had kidney stones have you had any other medical problems in the past
uh youve nonproductive that in the past youve had kidney stones have you had any other medical problems in the past
what else do you have in the family
what else do you have in the family
ohh can you still hear me ohh its gone you can hear me um you said you mentioned your mother has migraines what else do you have in the family
ohh po checked you still hear me ohh its fi gone you can hear me um you said you mentioned ir mother just has migraines what else do you have doctor the family
ok bye ok um and no other relevant family history
ok bye ok um and no other relevant family history
hi uh my name is doctor kumar im one of the gps here can i just get you to confirm your name and date of birth for me please
hi uh my name is doctor kumar im one of the gps here can i just get you to confirm name and date of birth minutes me please
and do you take any regular medications
and do you then take any regular medications
are you allergic to any medications
are you allergic to any medications
ok is there any chance you could be pregnant
ok is there any chance you could be pregnant
fine and so youre not allergic to any medications fine from
fine and so youre not allergic to any medications fine from
and what what were you thinking might be going on i know you seemed quite worried about it was there anything in particular you were worried about
and what were you thinking might be going on i know you seemed quite worried up about it was there anything in particular you were worried lisinopril
ok ok fine um now just uh another uh question have you noticed any weakness in your arms or legs anything like that
ok ok fine um stuff now just uh hard another uh antiinflammatories have you noticed any weakness in your arms or legs anything like that seven
uh and when youre walking youre able to walk fine in a straight line or is your your uh walk are you walking a bit funny
uh thing and when youre walking youre had able to walk fine in a straight line or is your your uh walk are you walking a let bit funny
ok so just just to clarify what what you said this morning uh you woke up and then later on in the in the morning about four hours ago youve developed a headache
ok so just lisinopril to clarify what what you said this morning uh you woke up and then later on in the in the morning about four hours ago youve uh a headache
um on the left side of the head
um on the left side of the head
left side of the head is it behind the eye
book crying of easy head is it behind just the eye
is it behind the eye is that where the pain is
is it behind the eye is that where the pain is
ok thats fine youve noticed that your vision is blurry theres funny lines you feel a bit nauseous you vomited twice
ok thats fine youve noticed that your vision is blurry theres funny lines sedative feel a bit nauseous you watch twice
um and uh you feeling dizzy as well but your youve got no neurological symptoms youre walking fine
um and uh you feeling dizzy as ear well but your youve got no neurological symptoms youre walking fine
um and and youve taken paracetamol and it hasnt helped is that all ok
um in and youve taken and it occasion hasnt helped apr id that all fact
so it sounds like what youre suffering from is whats known as a migraine is that something youve heard of before
so it sounds like youre labored from potentially is whats known generally as a migraine is that something youve heard of before
ok so um usually with with migraines they can present at different times in peoples lives so sometimes they can present as a child sometimes they can present when theyre older
ok so spots usually with migraines they can present at different times in peoples lives so sometimes they going can present as a child sometimes they can present when theyre older
um and sometimes they can present you know even postmenopausally
um and sometimes they can present you know even postmenopausally
so theres different theres different ways you can get migraines uh and the reason why this sounds like migraines is because its on one side of the head
so based theres different theres different ways you can didnt get anymore uh and much reason why this sounds like migraines is because its on one side of the head
typical of a migraine youve got blurry vision again which is very typical with the nausea and vomiting thats also typical of a migraine
typical of a ex migraine youve got blurry again which is very typical with the nausea and vomiting thats also typical of a migraine
now um uh obviously if the headache is really severe and ill suggest some medications you can try if that doesnt work we would want to see you um as soon as possible to do like a full neurological exam as well
now um uh obviously if the headache forty really severe and ill ti some medications you can try if that doesnt someone saw we would want to see you um as soon as possible to do forward a full neurological exam as well
to make sure that you know theres you know when we do a more specific examination that um everything all seems fine
to make sure that you know theres you know when we do a more specific light that um everything all seems fine
um i i would recommend in the time between now and when we can see you uh if you take some medications maybe something like ibuprofen
um i i would recommend in the time between now and when we can see you uh if you take some medications maybe something like
so yes a migraine yeah no you know even sooner than that we can look at maybe half an hour to forty minutes depending on what your response to it is for some people
so yes a migraine yeah no know even sooner than that we can look at maybe half an hour to forty minutes depending on what say response to it is for some people
uh whatever medications they take the migraine doesnt improve um and they can last from anywhere from four hours to seventy two hours migraines can last um but
uh whatever medications they take the migraine doesnt improve um and they can last from anywhere from four hours to seventy two hours migraines can last um hydration but
no so what theres lots of medication treatments so theres it can be ibuprofen with an anti sickness um so and which you can get from the pharmacy
no so what theres lots of medication treatments so theres it can be ibuprofen then an anti sickness um so and which you lunch seem get from the pharmacy
um and you also to drink uh sugary and carbonated drinks something like coke
amount and you also to drink uh sugary and carbonated drinks something like coke
and your date of birth
and your date of all
for the three of them is uh is a good sort of cocktail to start them then we can go up the treatment ladder you can get specific migraine relief medication
for the three of them is uh als good sort of cocktail stomach start them then we can go up the treatment ladder you can get specific migraine relief medication
and that should be something to try between now and when we see you to do the um to do the assessment
and that should be something to try between e now and when we see you to do po the um to do the assessment
assessment to where we can see you today at some point
assessment to where we can see you today at some point
and but however if you do take these medications and you know by the time your appointment time comes in and you feel much better in yourself you can cancel it um you can give us a call and cancel it
and but however if you happy take these medications and you know by the time your appointment time comes in and you 22nd feel much better in yourself you can cancel it um you can give base a call and cancel it
uh any any questions for me
uh people any any questions for me
all right ok um any any further problems between now and your appointment please do let us know
all right ok um any any further problems between now committed your site please do let us know
again how can i help today
again how can i help
ok so it started this morning was it a sudden onset headache did it come on suddenly
ok so it started this morning because it a sudden onset headache did it come on suddenly while
uh yeah im maria
uh yeah im maria
but its more about me being really concerned because this is very weird
but its more about me being really concerned because this is very weird
um well not really
um id well dis not really ca
like this i yeah like this no definitely its something new
like this i yeah like this no definitely its something new dri
its in uh one side uh the left side only
its in uh one side could uh the left side only
my vision is quite blurred um it its its really weird like some zigzag lines
my vision is quite blurred theyre um it its its really weird like some zigzag lines
kind of i dont know how to describe it properly
kind of i dont know how to wanna it properly
yeah i tried paracetemol but uh didnt work to be honest i feel exactly the same
yeah i tried paracetemol but uh didnt work to be honest i feel exactly the same
uh well uh the headache started like four year four hours ago so i would say like maybe three hours ago because i couldnt stand it
uh well uh the headache started like four year wake yes these so i would say like maybe three hours ago because adrianne couldnt stand it
yeah yeah yeah i feel a little bit a little bit better i cannot stand screens
yeah yeah yeah i were feel a little bit a little bit better i cannot stand screens
um but yeah definitely and when i move like the thing is that if i if i leave bed i start to feel like even worse if i move
um but yeah definitely and when i move like the thing is our that if i from i shouldnt bed i start to feel like even worse if i fe move
so i just want to have my hay my head like really uh not moving
so i just want to have my hay my head stool really uh not moving
ohh yeah ohh i forgot to mention definitely i vomit twice
ohh yeah ohh i weak forgot to mention definitely i vomit twice
actually as soon as the the headache started i also vomited so initially i thought it was something that i ate but then the headache started to be really bad and i still feel nausea
actually as soon as the the headache started i also vomited so initially i thought it was something that i ate but then the headache started be really bad and i still feel nausea
to be honest im about to vomit very soon i think
to be honest im something about to vomit very soon i think
uh so uh uh not actually uh my mother has migraines im not sure if thats relevant
uh so uh uh not actually uh my mother has migraines im not sure if thats relevant
and uh also i have hypothyroidism in the family
and uh also i have hypothyroidism in the family
so it might be i dont know uh ive i dont know
so youd might be i dont know uh ive i dont know
i think we are losing connection sorry i i think we lost connection
i think we are losing connection sorry i i think we lost connection
she also has hypothyroidism
she juan has hypothyroidism
uh no not that im aware
uh no not that sto im aware
not that im aware uh
not that im aware uh
yeah not that im aware
yeah not that wake aware
uh i really doubt it
uh i really doubt it
well im a little bit hypochondriac so i feel that this can be some kind of brain tumour tumour or something because im like this is really the pain is so horrible that or maybe a stroke i dont know its its just like you know you hear so many stories
well im a little bit caused so i feel that elbows can be some kind question brain tumour tumour or something because im like this is really the pain is so hay horrible that maybe fi a stroke i dont know its its just like you know you live hear so many stories
um twenty second uh of march of um ninety
um twenty second uh of march of um ninety
that you definitely start wonder if i should go to a and e urgently because i might really have something serious
that ra you definitely start wonder if i should go to a and e urgently because i might really have something serious
no no no no
no no no no
its really about the head thats why i find it very weird
its really about the head comes thats why i find stolen it very weird
uh no no its ugh i dont know how to describe it but its just like kind of
uh no its ugh towards dont know how to describe but its just like really kind of
um so im having like a really really strong headache i dont know what is happening im quite concerned
um so im having havent a really really strong headache i phone dont know what is happening im quite concerned
uh uh no its the first time
uh uh no its the first time
but to be honest im very familiar with the disease because my mother has it so
but to be honest im familiar with the disease because my mother has it so
uh well but i never had it and i thought that the onset of migraine will be you know in much uh early ages so thats why im not sure if migraine makes sense
uh well but i never had it and meantime thought that the onset hes of migraine said be you know in much uh sorry ages so thats why im not sure if migraine ju sense
ok so and uh youre youre saying that if this is a migraine and if i try that medication this should go away kind of today
ok so law and uh youre youre saying say if this is saying tell migraine and if i try that medication sloan should go kind coworkers today
so it started in the morning um i feel like um uh dizzy uh my vision is a little bit blurred um like its its really painful and im getting really concerned especially because im having like these uh changes in the vision
so it started in morning um i feel like um uh dizzy uh my there is a little bit tried um like its its really painful and im getting really concerned especially because im having like these uh changes in the vision