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  "text": "Yes. Hello, [PERSON_NAME]. [PERSON_NAME]. Nice to meet you. Right, yes, yes. Before we start, can I just check some of the information I've got? Of course. It says here you're [PERSON_AGE] [DURATION] old. That's right, yes. And a [OCCUPATION]. Yes. And the main problem you've had is back pain? That's right, yeah. Tell me some more about that. Well, it came on very suddenly. I was just sort of, like, making the bed and I bent over sort of to push some pillows out of the way and then suddenly I got this excruciating pain and it's been there ever since. This is about [DURATION] [DURATION] ago. Right. And it's, you know, very sort of. It's in the middle of my back and, I mean, it's there constantly, so it makes life very difficult. In fact, I've had to take time off work. I see. And since it's. Come on, you said it's been there ever since, has it got less severe? More severe? Well, no, I think it's stayed the same slightly. Could be worse in a way, but that could be me sort of getting really fed up with it, you know. And are you someone who suffers from back pain a lot? Has this happened in the past? No, no, I've not suffered from back pain before. Right. And if you're taking time off work, I imagine it's quite debilitating. Well, luckily I work in [OCCUPATION] and my [OCCUPATION] is very kind. He said I can take as much time off as I like, but I don't really think that's a very good idea. And obviously, I mean, I'm worried about money and I've never had to take time off before, really, so it is kind of worrying. And it's also boring, not working, quite frankly. I can imagine. So tell me, is it mostly the pain that, do you think limits how much you can do or you actually weaken any of your limbs? I don't think I'm weak in my limbs. I think it's just the pain and fear that if I move about, it's going to. Going to make it worse, you know. What's happened since the pain came? Did you visit your [OCCUPATION] about it? Yes, I did, yes. Yes. And has he given you any [DRUG] or. Yes, he did. He gave me something called [DRUG]. And if that made the pain any better. Well, it does, you know, immediately you've taken it, but then it wears off very quickly. So how severe is the pain? If you said 10 out of 10 was the worst pain imaginable and 0 out of 10, there's no pain. How would you score it on that score? I'd scored about nine, quite frankly, Pretty severe. Yes, yes, it is. And you said it's in the middle of your back. Yes. So, yes. Not quite right between the shoulder blades or just below there? Below. Below. Just below where you're touching there, yeah. Okay. Does it go anywhere else? Does it radiate round to the front? No, it doesn't really. No, it doesn't really. It more or less stays there. Does it go down the back of the legs or anything like that? No, no, it doesn't. No, no. Yeah. Just. And if you could just clarify for me exactly what you were doing. You said you were making the bed. Were you lifting up a mattress or lifting anything heavy at the time? Well, I didn't think it was particularly heavy. It was just that I was kind of bent over, you know, and I thought the position I was in was a bit kind of awkward and I leant further over and just pushed some stuff. And it was then that it started. I mean, I didn't think, you know, I was doing anything extreme. And you mentioned you've not had any weakness or anything like that. Have you been okay, otherwise? Any other symptoms or problems with your waterworks, for example? No, no, no, no. So no stinging or burning when you pass water or having to rush off? No, no, not particularly. No leaking or continence problems? No, no, no. Similarly, if you don't mind asking, with the bowels, have you noticed needing to rush off or any loss of consonants? Well, I sort of had kind of like heartburn and a bit of indigestion, you know, and when I've moved my bowels, you know. And has that been going on for the same time period or. You had that for a long time before? No, no, no, that's. That's just the last week or so, actually. Is it since starting on the [DRUG] [DRUG]? Well, yes, that's. Yes, yes, yes. Have you noticed any change in the colour of your stools, for example? Some people might. One of the problems with [DRUG] is it can irritate your stomach bleeding and pass some very black stools. Have you ever noticed that? I did notice they were rather dark. I thought that was a bit strange. And how often does that just happen? On one occasion or more? No, it seems to happen every time I move my valves. Have you noticed you don't take [DRUG] [DRUG] or anything like that? No, not at the moment, no. No. And do you feel more tired than usual in the last. Well, I do, yes, I do. Feel sort of tired. Yeah. No energy, really, but then that's because I'm concentrated on the pain and, you know, kind of very eager to get rid of it. Have you felt breathless at all or has anyone commented on that or anyone said you look more pale than usual? Say I look worried, but I don't. Yeah, but I don't think. Kind of particularly pale. Okay, so you were active when this pain came on, but you weren't really lifting any heavy. Were you lifting anything heavy in the weeks prior to that? I don't think so, quite honestly. You know, there's nothing really heavy around for me to lift, and if there is, I sort of wait for my daughters at home and get her to help me. But we don't really lift anything very heavy, you know. No pain at the front of your chest going through to the back? No, no, no. I didn't notice anything like that. Is it actually tender over the spine, do you think, certain positions or. Yeah, I can't lie on it. It's kind of sore, you know. Yeah. So I tend to lie on my side, you know. Yeah. Tell me if you had any other conditions. Have you been healthy up to now? Have you had other conditions that your [OCCUPATION] treated or another [OCCUPATION] treated? Well, I did have [MEDICAL_CONDITION] some [DURATION] ago. Would you. Yeah. Was that a [MEDICAL_CONDITION] [MEDICAL_CONDITION] or [MEDICAL_CONDITION] [MEDICAL_CONDITION]? I think it was [MEDICAL_CONDITION], I seem to recollect him saying. Yeah. And did you have to have [MEDICAL_PROCESS] and treatment for that or. Yes, he did give me treatment for that, I think. Yeah. I was taking [DRUG]. Right. Because often you take [DRUG] for quite a long time at a [MEDICAL_PROCESS] [MEDICAL_PROCESS]. That was so. Yeah. Do you know how long you were taking those towards God, I think it's about [DURATION] [DURATION] or something. Quite a long time, anyway. And then they thought it was okay, so they stopped it. Yeah. Did you have [MEDICAL_PROCESS] to check how things were progressing or being managed? I did seem to have loads of tests, yeah. Do you remember having an actual [MEDICAL_PROCESS] with a needle going into the liver? I think so, yeah. Most people remember it. It was a very comfortable procedure. Yes, yes, yes, the. And so that. So how was that diagnosis made, the [MEDICAL_CONDITION] [MEDICAL_CONDITION]? Well, I suppose it was just sort of routine tests, actually. I mean, I think at the time I'd just come back from some kind of exotic holiday and for some reason he did a whole lot of tests, referred you on to. Yeah, found that out. Yeah, that's right, yes. And how long ago did you say you stopped the [MEDICAL_PROCESS] [MEDICAL_PROCESS] about [DURATION] [DURATION] ago. And was it just [DRUG] you took, or did you take any other things to dampen down the immune system? No, there was something else, actually. Oh, God. It had a [DRUG] in it. [DRUG]. [DRUG]. That's it, Yes. I knew. I forget the name. Yes. Right. And that stopped when you stopped the [DRUG] as well? Yes, yes, yes. And sometimes when people on [DRUG], their bones can. There's a risk of their bones getting thin. Did you have any [MEDICAL_PROCESS] [MEDICAL_PROCESS]? I did, yes. Right, Yes, I did, yeah. Do you remember the last time you had wondering what it. What it said? Well, again, it was about [DURATION] [DURATION] ago, I suppose. I think it said I didn't have. What is [MEDICAL_CONDITION], but I think my bones were bit thin. I see. But nothing to worry about. Yeah. Yeah. And have you taken [DRUG] [DRUG] since then? I have, yes. Yes, I did, yeah. And apart from the [MEDICAL_CONDITION] [MEDICAL_CONDITION], are there any other conditions? Um, no, No, I don't think so, no. No. And do you take any medications at the moment? I mean, you mentioned [DRUG]. Do you take anything else at all? Not really, no. No. I'm sort of afraid it might clash or something. Right. And affect the liver? Well, I don't know, you know, but I just wanted to get rid of the pain, you know. Sure. And do you [MEDICAL_CONDITION] to anything that you know of? I don't think so. I did have some. I did go and sort of have some [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Right. And I think they found I was sort of [MEDICAL_CONDITION] to a few odd things. But then they always do, don't they? But no medications? Oh, no, no, no, no, no. And tell me a bit about how this was. You work in a [OCCUPATION] house? Yes, yes, I'm the [OCCUPATION]. Do you live alone at home or are you [MARITAL_STATUS] or [MARITAL_STATUS]? Actually, my [MARITAL_STATUS], while he went off with this bimbo, you know, he needed to refresh himself or something, you know, like they do. And my daughter was just. It was about [DURATION] [DURATION] ago, actually, and my daughter, she's now [PERSON_AGE], but we've managed to get through it and she's at university and doing very well. So that's why I'm quite keen that, you know, my work doesn't suffer and I don't suffer a lot of income. So she's still financially dependent on you? Well, she is, yeah. Yes. And, you know, I wanted to get this degree and then she'd be able to get really good work. She's also interested in Writing and [OCCUPATION]. So, yeah. And in terms of what you can do around the house, are you able to wash, dress, do all the usual things for yourself? Well, I can just about crawl into my clothes, you know, but it does kind of hurt. I've sort of given up housework, you know, for the moment. Yeah. It has limited me greatly. Your family history, do you have any history of [MEDICAL_CONDITION] [MEDICAL_CONDITION] in the family? Mother, father, brothers or sisters? No, no. My mother died of [MEDICAL_CONDITION] [MEDICAL_CONDITION] when she was quite young, but, like, she was [PERSON_AGE]. But, no, I don't have any, as far as I know. Have you ever had yourself. Do you normally [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] breast lumps as a mass routine or. Well, I do, and I've had sort of [MEDICAL_PROCESS] and [MEDICAL_PROCESS] and stuff like that. You've been to your [MEDICAL_PROCESS] [MEDICAL_PROCESS]? Yes, yes. Have they found anything unusual? No. They haven't had a [MEDICAL_PROCESS]? No. No, I haven't. No. No. Do you smoke? No, I don't smoke. Do you drink much? No, I don't drink much alcohol either, actually. So do you have several days a week where you don't drink at all or do you just have the odd. I don't really drink. I mean, sometimes, you know, when the [OCCUPATION] calls us all together, something's gone really. Well, you might have the odd glass of wine, but I wouldn't say I drank. Right, yes. So if I could just summarize back to you the story just to make sure I've got it straight. If there's anything you think that's important I've missed, do fine. Yeah. So really, [DURATION] [DURATION] ago, you were making a bed, not really lifting anything heavy, and you had some sudden onset, quite severe pain in the middle of your back. Yeah. Not really radiating anywhere or shooting pains anywhere else and no weakness in your legs. Put it down to the position, actually. Yeah. And it's ins. Persisted despite [DRUG]. And one of the other things you mentioned, you had some heartburn and some pain in your tummy, and you've also passed some very dark stools. That's right, yes. Since taking the volt [MEDICAL_PROCESS]. Yeah, that's exactly right. Yeah. And you've been tired, but you've also been in a lot of discomfort and probably not sleeping. That's exactly right. Yeah. And you were treated also for [DURATION] [DURATION] with [DRUG] for [MEDICAL_CONDITION] [MEDICAL_CONDITION], but your [MEDICAL_PROCESS] [MEDICAL_PROCESS] didn't show any obvious. No, not too much. Yeah. Okay. Well, unless you think there's anything else important that I might have missed or No, I don't think so. I just hope it can be cured soon. Okay, well, we'll get on and do some investigation. Yes. Okay. Thank you.",
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}