| PS2C6 | Ag3 | m | (No name, age 35, general practitioner) unspecified |
| PS2C7 | X | f | (No name, age unknown) unspecified |
| (PS2C6) |
[1] There's nothing wrong with those. [2] They're perfect. [3] Absolutely perfect, now |
| (PS2C7) |
[4] Why is she |
| (PS2C6) |
[5] erm |
| (PS2C7) |
[6] getting her [...] |
| (PS2C6) |
[7] Well she thinks you're on a high dose, you're not, you're on an okay dose. [8] Now we've had you w That's right. [9] We're we're waiting inn here we we're still on three months so we're alright. [10] So mid October, so we've actually |
| (PS2C7) |
[11] Mm. |
| (PS2C6) |
[12] got a a a while to go yet before we decide what we're going to do with that. [13] But your levels are perfect, okay, it's got nothing to do with lithium. |
| (PS2C7) |
[14] No I I think it's just a really bad case of M E again . |
| (PS2C6) |
[15] Yeah , yeah. [16] Well she she told me that your M E type symptoms had got a lot worse and I said that's we had at That's what I chatted with her about the other day but |
| (PS2C7) |
[17] I've I've been really housebound for five |
| (PS2C6) |
[18] Mm. |
| (PS2C7) |
[19] weeks now, |
| (PS2C6) |
[20] Yeah. |
| (PS2C7) |
[21] and it's driving me mad. [22] I I'm |
| (PS2C6) |
[23] Yeah. |
| (PS2C7) |
[24] you know I feel just |
| (PS2C6) |
[25] Mm. |
| (PS2C7) |
[26] dreadful. |
| (PS2C6) |
[27] Yeah. |
| (PS2C7) |
[28] But it but it is typical M E symptom . |
| (PS2C6) |
[29] Well that's right, a sort of low achy, tired, tired |
| (PS2C7) |
[30] Yeah. |
| (PS2C6) |
[31] and more tired. |
| (PS2C7) |
[32] That's right and I'm very depressed. |
| (PS2C6) |
[33] Yeah. [34] Are keepi You are I mean obviously you are keeping yourself going cos you're obviously getting out to come here and do bits and bobs but |
| (PS2C7) |
[35] Well this is the first time I've been |
| (PS2C6) |
[36] Yeah. |
| (PS2C7) |
[37] able to come here on my own. |
| (PS2C6) |
[38] Yeah. |
| (PS2C7) |
[39] Erm and that's not like me, I usually |
| (PS2C6) | [...] |
| (PS2C7) |
[40] manage to you know . |
| (PS2C6) |
[41] [sneeze] Now you're usually okay, aren't you [...] ? |
| (PS2C7) |
[42] Yeah but er it really has knocked me for six this time. |
| (PS2C6) |
[43] Mhm. |
| (PS2C7) |
[44] Erm I think it's probably that infection that I had er |
| (PS2C6) |
[45] Yes. [46] It may well be . |
| (PS2C7) |
[47] That thrush or whatever it was . |
| (PS2C6) |
[48] Yeah. [49] Yeah. |
| (PS2C7) |
[50] Er it takes very little, well you know yourself |
| (PS2C6) |
[51] Mm. |
| (PS2C7) |
[52] don't you? |
| (PS2C6) |
[53] Yeah. |
| (PS2C7) |
[54] I mean I found it in the past, you know any infection what so ever just knocks you for six. [55] And and I'm just, you know, I I think that's probably why Jo was |
| (PS2C6) |
[56] Mm. |
| (PS2C7) |
[57] c I think I she'd seen me at my worst on Friday |
| (PS2C6) |
[58] Yeah. |
| (PS2C7) |
[59] And and |
| (PS2C6) |
[60] Yeah. |
| (PS2C7) |
[61] I think it worried her a bit. |
| (PS2C6) |
[62] Yeah. [63] Yeah. [64] But er your Lithium levels are absolutely fine. [65] They're almost exactly the same as you were four weeks ago. |
| (PS2C7) |
[66] I thought they were actually cos I I even at that part of |
| (PS2C6) |
[67] Yeah. |
| (PS2C7) |
[68] it it felt |
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[69] Yeah. |
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[70] erm |
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[71] Yeah. [72] Yeah. |
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[73] normal . |
| (PS2C6) |
[74] Yeah. [75] Good |
| (PS2C7) |
[76] I mean the headaches are I'm reluctant to say [laughing] better [] [laugh] |
| (PS2C6) |
[77] Yeah, but not so |
| (PS2C7) |
[78] But |
| (PS2C6) |
[79] bad. |
| (PS2C7) |
[80] but they're certainly no not so severe. |
| (PS2C6) |
[81] Yeah. [82] Do you find they respond better if you take Dihydrocodeine when they're there as well? |
| (PS2C7) |
[83] Yes. |
| (PS2C6) |
[84] Yeah. [...] |
| (PS2C7) |
[85] Yeah [...] |
| (PS2C6) |
[86] exactly what I's expect and you may find they actually sort of are on a down-slope still. [87] And maybe it's a very shallow down-slope but still on a down-slope. |
| (PS2C7) |
[88] Mm. |
| (PS2C6) |
[89] And that's what I'd [...] |
| (PS2C7) |
[90] I do actually feel better. [91] I I eat I don't usually take my first lot of tablets till sort of around dinner time. [92] And I find sort of about an hour or so afterwards I do |
| (PS2C6) | [...] |
| (PS2C7) |
[93] actually start to feel |
| (PS2C6) |
[94] Anyhow we're g we're gonna summarize |
| (PS2C7) | [...] |
| (PS2C6) |
[95] your Lithium in October of course, that's [...] |
| (PS2C7) |
[96] Mhm. |
| (PS2C6) |
[97] And that's fine. [98] What I |
| (PS2C7) | [...] |
| (PS2C6) |
[99] would Apart As far as the levels are concerned I'd check them again in Septem Erm no hang on we've just checked them. [100] I'd probably check them in October again. [101] Two months, cos you seem stable . |
| (PS2C7) |
[102] Two months. |
| (PS2C6) |
[103] You seem st Unless you get any particular [...] |
| (PS2C7) |
[104] Mhm. |
| (PS2C6) |
[105] to it I would recheck that in October. [106] And then when we see you then we're going to sort sort of summarize what three months on effected levels of lithium has done for you. [107] To decide whether to continue . |
| (PS2C7) |
[108] Is it a drug that you can stay on? [...] |
| (PS2C6) |
[109] They've got people who've been on it for years and years. |
| (PS2C7) |
[110] Mm. |
| (PS2C6) |
[111] You've got to keep checking the level. |
| (PS2C7) |
[112] Mm. |
| (PS2C6) |
[113] It it's a funny little drug it's related to sodium, old sodium, you've got loads of sodium. [114] You take it it everyday as with salt. [115] Er but i i it can replace sodium in certain systems of the body. [116] In fact that's how it seems to work. [117] But because of that you've got to watch it's effect on the kidneys, on the body biochemistry. |
| (PS2C7) |
[118] Mm. |
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[119] So that's what we have to check from time to time. |
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[120] Mm. |
| (PS2C6) |
[121] But it's very very safe provided you keep in within the sort of dosage Like driving on the motorway. [122] It's safe if you st stick to the speed limit. |
| (PS2C7) |
[123] Mm. |
| (PS2C6) |
[124] Usually. |
| (PS2C7) |
[125] Could you give me some more of that |
| (PS2C6) | [...] |
| (PS2C7) |
[126] hormone cream? |
| (PS2C6) |
[127] Yes. [128] I was going to ask how you'd gone with that. |
| (PS2C7) |
[129] Well it's better but it's not right . |
| (PS2C6) |
[130] Yeah. [131] Yeah. [132] Well you've only |
| (PS2C7) |
[133] Mm. |
| (PS2C6) |
[134] been on it a fortnight. |
| (PS2C7) |
[135] Yeah. |
| (PS2C6) |
[136] So er but |
| (PS2C7) |
[137] Find I'm down to using it twice a week now . |
| (PS2C6) |
[138] Twice a week. [139] Yeah. |
| (PS2C7) |
[140] So I haven't |
| (PS2C6) |
[141] Yeah. |
| (PS2C7) |
[142] used it this week. |
| (PS2C6) |
[143] Alright, okay. [144] yeah. |
| (PS2C7) |
[145] But it's certainly an improvement |
| (PS2C6) |
[146] Yeah. |
| (PS2C7) |
[147] to what it was. |
| (PS2C6) |
[148] Oh good good. [149] [...] I mean the advantage of that is you get loc You get the local benefits without generalized side-effects. |
| (PS2C7) |
[150] Mm. |
| (PS2C6) |
[151] Er and that can be a problem with some folk when you try to manipulate the hormones like that. [152] But I'm actually using more and more of this cream, as I realize that er if you direct it towards the right part of the body in the right people, |
| (PS2C7) |
[153] Mm. |
| (PS2C6) |
[154] it works extremely well. |
| (PS2C7) |
[155] As I say it's just erm overall feeling generally |
| (PS2C6) |
[156] Well i mean |
| (PS2C7) |
[157] horrible. [laugh] |
| (PS2C6) |
[158] And you know to some extent it's just time and keeping yourself ticking over that's going to get that aspect of things better. |
| (PS2C7) |
[159] Yeah. |
| (PS2C6) |
[160] And that's frustrating for you and it's equally frustrating for me because I know there's absolutely nothing I can do |
| (PS2C7) |
[161] That's right. |
| (PS2C6) |
[162] to effect that. [163] But it's important we keep other An eye on the other things, keep other things ticking over and things like the hormone cream and the lithium will be a help in that. |
| (PS2C7) |
[164] Yeah. [165] I mean sometimes [...] just by resting really er you know puts me back again but er it hasn't |
| (PS2C6) |
[166] Yeah yeah. [167] Don't overdo the rest. |
| (PS2C7) |
[168] Well I were going to say i can't rest. [laugh] |
| (PS2C6) |
[169] You've got to find a compromise. [170] I mean it's it's always a com I mean the whole of life is a compromise but especially with this. [171] the compromise between resting when you feel very very tired, and keeping yourself going so you don't seize up. |
| (PS2C7) |
[172] Mm. |
| (PS2C6) |
[173] But you can't overdo the mobility cos you get very very tired. |
| (PS2C7) |
[174] Yeah. [175] Well I've been you know, very conscious of that. [176] And I and when you've had it a long time you |
| (PS2C6) |
[177] Mm. |
| (PS2C7) |
[178] become And I'm not the sort of person to sit around willy nilly any way. |
| (PS2C6) | [cough] [...] |
| (PS2C7) |
[179] But my legs [laugh] My legs are [laughing] like jelly, my body's like rubber, you know. [] [180] And I sort of Oof. [laugh] |
| (PS2C6) | [laugh] |
| (PS2C7) |
[181] Ooh I get so mad. |
| (PS2C6) |
[182] Keep other bits of you going. [183] Okay? |
| (PS2C7) |
[184] When When do you want to see me again? |
| (PS2C6) |
[185] Well. [186] All else being equal, I would say October with the lithium level and then we're gonna have our review of lithium. [187] Okay? [188] If anything flares up in between that's fine. [189] There should be enough cream there now for four to six weeks on a twice weekly basis, but if you run out just give a ring in. |
| (PS2C7) |
[190] Right. |
| (PS2C6) |
[191] That's fine. |
| (PS2C7) |
[192] Well I'll need my other tablets [...] |
| (PS2C6) |
[193] Yeah. [194] Well of course you'll need those anyway. |
| (PS2C7) |
[195] So er [tape change] |