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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 |
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