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that makes sense yeah | that makes sense yeah |
yeah thats very useful thank you um | yeah thats very thank you um |
yeah it feels better to have some kind of plan uh | yeah it feels better to have some kind of plan uh |
thank you very much for taking the time thank you | thank you much taking the time thank you |
but i dont really feel like um like getting up in the mornings really difficult and i dont have much energy at all during the day um | but i dont really feel like um like getting up the mornings really difficult and i dont have much energy at all during the um |
ohh hello hi how you doing uh my names joe im one of the doctors here at babylon can i just confirm your name please | ohh hello hi how you doing uh my names joe im of the doctors here at babylon can i just confirm your name please |
mm hmm are you feeling better now other than the tight chest | mm hmm are you feeling better now other than the chest |
right ok ok but you now now youve got this this um so youve still got still got uh symptoms of a cold essentially | right ok ok but you now now youve got this um so youve still got uh symptoms of a cold essentially |
uh ooh yeah ok | uh ooh yeah ok |
and are you coughing up anything | and are you coughing anything |
and um do you have any other medical problems like asthma | and um do you have any other medical problems like asthma |
you have any inhalers or any any medications | you have any inhalers any any medications |
clenil clenil modulite yeah ok | clenil clenil modulite yeah ok |
and um uh have you been using clenil and the ventolin and how often have you been using them | and um uh you been using clenil and the ventolin and how often have you using them |
hi daniel and your date of birth | hi and your date of birth |
ok all right all right so so so youve you havent got any clenil or any ventolin at the moment | ok all right all right so so so youve you havent got any clenil or any ventolin the |
ok all right um and any drug allergies that you know of | ok all right um any allergies that you know of |
ok great now uh do you anyone in your family have any medical problems that you know of | ok great now uh do you anyone in your family have any medical problems that you know |
right so just uh do you have any other sort of concerns or ideas about what might be going on or um hopes for this consultation | right so just uh do you have any other sort of concerns or ideas about what might be going on hopes for this consultation |
yeah absolutely i can i can imagine | yeah absolutely i can i can |
um well it certainly sounds like uh youve youve had this cold so youve got wheezy with a cough um and its non productive cough and youre short of breath uh is the cough worse at night time | it sounds like uh youve youve had this cold so got wheezy with a cough um and its non productive cough and youre short of uh is the worse at night time |
ninety two ok daniel and uh are you in a a comfortable and confidential place to talk | ninety two ok daniel and are you in a a comfortable and confidential place |
ok and youve got this tight tight chest but you you wouldnt say youve got chest pains its more of a tight chest is it | ok and youve this tight tight chest but you you wouldnt say youve got chest pains its more of a chest is it |
yeah sure um ok well i i would quite like to uh certainly get you some uh ventolin clenil modulite have you had asthma exacerbations in the past | yeah sure um ok i i would like to uh certainly get you some uh ventolin clenil modulite have you had asthma in the past |
have you ever been to hospital uh as an inpatient as in you know stayed in there overnight for asthma | have you ever been to hospital uh as an as in you know stayed in there overnight for asthma |
ohh ok so you so so you uh you you went to hospital and had a a so you stayed in hospital for a few days did you with an asthma exacerbation | ohh you so so you uh you went hospital and a a so you stayed hospital for a few days did you an asthma exacerbation |
ok but currently youre just on ventolin and clenil and you havent got any of those steroids uh those inhalers at the moment | ok but currently on ventolin and clenil and you havent got any of steroids uh those inhalers the |
ok when sorry how old were you when you had that severe asthma exacerbation | ok when sorry how old were you when you had that severe asthma exacerbation |
just to quantify how short of breath you are um i dont suppose youve got a peak flow with you no you wont have will you | just quantify how short of breath you are um i dont suppose youve got a peak flow you no you wont have will you |
um are you able to uh like walk up flights of stairs ok walk on the flat ok without getting to short of breath or um are you short of breath at rest | are you to uh like walk up flights of stairs ok walk on the ok without getting short of breath or um are of breath at rest |
happy to go ahead great how can i help | happy to ahead great how can i help |
sure yeah ok but youre not short of breath at rest at the moment | sure yeah ok but youre not short of breath at rest at the moment |
ok fine so what what i think um and just to just to go over is there anything you had hoped about getting other than the uh a prescription for your inhalers was there anything else youd hoped about getting from this | ok so what what i think um just to just to go anything hoped about getting other the uh a prescription for inhalers was there else youd hoped about getting from this |
sure yeah no absolutely well im really glad you have talked to me today i think what we can do is is give you a prescription for uh some more of the inhalers we can get that to you within the hour i would hope | sure yeah no absolutely well im really you have to me today i think what we can do is is give you a prescription for uh more of the inhalers we can get that to you within the hour i would hope |
um and uh i think what the other thing id like to do is just give you a dose of steroids so this is these are tablets which um you can take for five days uh two tablets in the morning | um and uh think what the other thing id like to do is just give you a dose of steroids so this is these are tablets which um take five days uh two tablets in the morning |
and uh that should just dampen down your asthmatic response ok | and uh that should just dampen down your asthmatic response ok |
um now there are some side effects to the steroids which i should really tell you about but please read the label thats associated with dont be too worried about the side effects | um now there are some side effects to the steroids which really tell you but please read the label thats associated with dont be too worried about the side effects |
theyre most you know most of the time the steroids are very well tolerated and uh you have you had them in the past do you know of | theyre most you know most of time the steroids are very well tolerated and uh you have you had them in the past do you know of |
have you had steroids in the past | you had steroids in the |
probably yeah i would too so um they they can come they can make you your mood change can be slightly low or too slightly high | probably yeah i would too so um they can come can make you your mood can be slightly low or too slightly high |
can give you a high blood sugar um and uh their uh they can also cause rash nausea um headaches but mostly is well tolerated and it should help your asthma an awful lot | can give a high sugar and uh their uh they can also cause rash nausea um headaches but is well tolerated and should help your asthma an awful lot |
ok and how long has this been going on for daniel | ok and long this been going on for daniel |
um uh what id like to do is is send you these the some prescriptions for your uh inhalers ongoing so you um you can once you get better from this asthma attack you can you can use the clenil modulite in the morning with ventolin as a prn so a ventolin when you need to um when youre getting wheezy | um uh what id like to do is send you these the some prescriptions for uh inhalers ongoing so you you can get better from this asthma attack you can you use the clenil modulite in the morning with as a prn so ventolin when you need to um when youre getting wheezy |
if you should start to use the ventolin more than uh every three hours | if you should to use the ventolin more than uh every three |
uh at at anytime its a good idea to seek medical attention so um see a doctor um in some capacity | at at anytime its idea to seek medical attention um see doctor um in some capacity |
uh and the other thing id like to send you is a spacer which would allow the medication to actually go into your lungs better have you do you know what a spacer is have you used one before | uh and the other thing id like to send you is a spacer which would allow the medication to actually go into your lungs have you do you know what a spacer is have you used one |
have you got one | have you got one |
ok all right well um ill send you another one and it has some instructions about how to use it but essentially uh couple of puffs to prime it inside breathing in and out um uh for five or five or ten breaths | ok all right well um ill you another one and it has some instructions about how to use it but essentially uh couple of puffs to prime it inside breathing in and out um uh for five or five or ten breaths |
uh was there anything else that was on your mind or youre concerned about at this stage | uh was there anything else that on your mind or youre concerned about at this stage |
ok and and uh i might give you some time off work as well you can self certify first seven days but uh i think i would advise you just to rest a little bit until youre feeling a bit better if youre ok with that all right | and and uh i might give you some time off work as well you can self certify seven days uh i think i would advise you just rest a little bit until youre feeling a bit better if youre ok with that all right |
ok no worries any deterioration in your symptoms like worsening shortness of breath um or just generally concerning symptoms uh pain in your chest tightness uh feeling light headed | ok no worries any deterioration in your symptoms like worsening shortness of breath um or just generally concerning symptoms uh pain in your chest tightness uh feeling light headed |
ok and so tight chest three hours um and so youre born in ninety two so that makes you twenty six | ok and so tight hours um and so youre born in ninety two so that you twenty six |
uh then seek further medical attention anytime please ok | uh then further please ok |
um and you are uh any shortness of breath at all with that | um and you are uh any shortness of breath at all that |
uh any cough wheeze | uh any cough wheeze |
slight cough yeah sore throat runny nose sore ears | slight cough yeah throat runny nose sore ears |
yeah like a little bit um yeah a little bit short of breath not too bad | yeah like a little bit um yeah a little bit short of breath not too bad |
yeah im feeling a bit wheezy as well kind of cough coughing yeah | yeah im feeling bit wheezy as well kind of cough yeah |
you know i had a cold last week and its not as bad as it was but yeah i had a sore throat i had a runny nose uh just feeling under the weather | you know i had a week and its not as as it was but yeah i had a sore throat i had a runny nose uh just feeling under the weather |
i mean i feel worse but the runny nose isnt as bad any more | i mean i feel but the runny nose isnt as bad any more |
yeah but the coughs kind of stuck around | but the coughs kind of stuck around |
yeah yeah i have asthma ive had it for a while now um | yeah i have asthma ive had it for a while now um |
and then i have like a hayfever you know and some allergies just to dust stuff like that | then have like a you know and some allergies to dust stuff like that |
um yeah so uh you know the um uh ventolin its called uh salbutamol | um yeah so uh you know the um uh ventolin its uh salbutamol |
yeah sure my names daniel | yeah sure my names daniel |
i got that one and then i have a steroid a clenil clenil inhaler | i that one and then i have a steroid a clenil clenil inhaler |
um well to be honest i was away at uni last week and i forgot to bring it with me so i havent really in the past week uh | um well to be honest i was away at uni last week and i forgot to bring it with me havent really in the past week uh |
because because um sorry they ran out and i i forgot to go and grab the next one | because because um sorry they ran out and i i forgot to and grab the next one |
about a week ago yeah | about a week ago yeah |
not with me right now no i ran out | not with me right now no i ran out |
no no not allergic to anything just like just the dust and stuff but nothing no drugs | no no not allergic to anything like just the dust and stuff but nothing no drugs |
um yeah my mum has eczema and my dad has asthma ohh when i was young i also had eczema | yeah my mum eczema and my dad asthma ohh i was young i had eczema |
and i had a milk protein allergy when i was young too | and i had a milk protein allergy was young too |
not really like i feel like asthmas probably a part of it and probably getting my inhalers would be helpful | not really like i feel like asthmas probably a part of it and probably getting my inhalers would be helpful |
um its just kinda scary cause i havent had a time like this where ive been so tight uh in a long time | um its just kinda scary i havent had a time like this where ive been so tight uh in a long time |
i mean it gets a little bit worse at night but basically just pretty consistent and it hasnt gone away | i it gets a little bit worse at night but basically consistent and it hasnt gone away |
no not really pain its more like tight | no not pain its like tight |
it just feels like sometimes i cant get a full breath in you know | it just feels like sometimes i cant get a breath in know |
not in a long time when i was young a little bit more like back in high school um but ive been pretty good at taking my my inhalers so not not so much any more | not in a long time when i was young little bit more like back in school um ive been pretty my my inhalers so not so much any |
yeah when i was in high school i had to have a tube put down my throat | yeah when i was in high i had to a tube put down my throat |
yeah i did yeah | yeah i did yeah |
yeah im doing pretty good im doing pretty good just on the clenil and the salbutamol | yeah im doing pretty good im doing pretty good just on the clenil and the salbutamol |
uh i think i was like seventeen | uh i think i was like seventeen |
uh im definitely not short of breath at rest like except for that feeling i was describing | im definitely not short of breath at rest except for that feeling i was describing |
it does when im walking up stairs i do feel like i have a little bit more short of breath than i would normally be | it does when im walking stairs i do feel like i a little bit more short of breath than would normally be |
no no no im not | no no no im not |
well i just wanna know that im ok to just like keep i just dont wanna have to get um that that intubation again | well i just wanna know that im ok to like keep i just dont wanna to get um that that intubation again |
sorry sorry you were cutting in and out a little bit there what were you saying | sorry sorry you were cutting in and out a bit there what you saying |
um i cant remember probably i think so | um i cant remember probably i think so |
yeah yeah i somebody told me how to use one a while ago i dont i dont really use it to be honest but | yeah yeah i somebody told me how to use one a while ago i dont i dont really use it to be honest but |
i think i do i have one somewhere | i think i do i have one somewhere |
i think you got me covered | think you got covered |
all righty well thank you very much | all righty well thank you very much |
all right sounds good | all sounds good |
um yeah i just my chest has been feeling really tight | um yeah just my has been feeling really tight |
ok thank you bye bye | ok thank bye bye |
hello hi how you doing | hello hi how you doing |
fine thanks yeah im joe im one of the doctors at babylon can i just confirm your name please | thanks yeah im one of the doctors at babylon can i just confirm your name please |
youre having regular bowel motions now you said you had a bit of diarrhoea or a bit of watery did you say | youre having regular motions now you said you had a bit of diarrhoea or a bit of watery did you say |
ok and you say youre going youre drinking lots of water youre going to the toilet more frequently for a wee is that | ok and you say youre going youre drinking lots of water youre going to the more frequently for wee is |