| PS28S | X | u | (No name, age unknown, doctor) unspecified |
| PS28T | X | u | (No name, age unknown) unspecified |
| GY8PSUNK (respondent W0000) | X | u | (Unknown speaker, age unknown) other |
| GY8PSUGP (respondent W000M) | X | u | (Group of unknown speakers, age unknown) other |
| (PS28S) |
[1] What shall I do with you then? |
| (PS28T) |
[2] Well I, do you mean for me? |
| (PS28S) |
[3] Yeah, yeah. |
| (PS28T) |
[4] Well I, I've come for b blood pressure. [5] [...] those |
| (PS28S) |
[6] Right, let's have a look, oh yes. [7] That's right. |
| (PS28T) |
[8] tablets you gave me |
| (PS28S) |
[9] That's right. |
| (PS28T) |
[10] I, I don't want to see any more of them. |
| (PS28S) |
[11] Oh dear I'm sorry to hear that. |
| (PS28T) |
[12] After after a fortnight I couldn't walk up the street without stopping for a breather. |
| (PS28S) |
[13] They made you short of breath? |
| (PS28T) |
[14] Ooh terrible. |
| (PS28S) |
[15] Right, okay. [16] Oh dear. |
| (PS28T) |
[17] And er I couldn't I mean I do a lot of gardening there were n no problems at all, so I took them t well you can see what's left. |
| (PS28S) |
[18] So you've stopped them? |
| (PS28T) |
[19] I took thirteen and I've got some of me old Diodide so went back on to them. |
| (PS28S) |
[20] I, I think that was entirely the right thing to do, entirely the right thing to do. [21] Well I'm sorry about that. |
| (PS28T) |
[22] Every time I sat down I went to sleep. |
| (PS28S) |
[23] Oh well, that's no good then is it? |
| (PS28T) |
[24] And er, No. |
| (PS28S) |
[25] Okay, let me check what it is today. [26] It, I mean it has been going up rather high, this has been |
| (PS28T) |
[27] Yeah. |
| (PS28S) |
[28] a problem of course. [29] Let |
| (PS28T) |
[30] Yeah. |
| (PS28S) |
[31] me see what it is and there's a chance it's actually down |
| (PS28T) |
[32] Yeah, [...] |
| (PS28S) |
[33] Because of the Etenalol but er |
| (PS28T) |
[34] [cough] But it's two |
| (PS28S) |
[35] Let's have a look. |
| (PS28T) |
[36] weeks since I took any of those. |
| (PS28S) |
[37] Well it's certainly right that you ought to stop anything that makes you feel worse. [38] And |
| (PS28T) |
[39] Yeah. |
| (PS28S) |
[40] it's er |
| (PS28T) |
[41] No pain at all |
| (PS28S) |
[42] No. |
| (PS28T) |
[43] but you know, walking [...] I've had to stop twice. |
| (PS28S) |
[44] Well that's no use is it? [45] That's what? [...] |
| (PS28T) |
[46] No apparent reason. |
| (PS28S) |
[47] Okay, this'll squeeze your arm a bit |
| Unknown speaker (GY8PSUNK) | [...] [pumping] |
| (PS28S) |
[48] Any ankle swelling or palpitations? |
| (PS28T) |
[49] No I've nothing, any palpitations, nothing, I feel as fit as I did twenty years ago. |
| Unknown speaker (GY8PSUNK) | [...] |
| (PS28T) |
[50] I've got two great [...] I do, [...] I'm always cycling I never, very seldom ride anyway on buses and I ain't got no car, no [...] car. [51] And I feel as tip-top, I can eat, I've no bowel trouble or nothing. |
| (PS28S) |
[52] Yeah. |
| (PS28T) |
[53] I can sleep, eat. |
| (PS28S) |
[54] Good. [55] [cough] Your blood pressure is still up, |
| (PS28T) |
[56] Yeah. |
| (PS28S) |
[57] a bit. |
| (PS28T) |
[58] Yeah. |
| (PS28S) |
[59] It's not up an awful lot but it is still up a bit. [60] And I'm sure it'd be well worth er, er getting this down, no. [61] Dies are you back on Diesiodinate [...] doing the trick |
| (PS28T) |
[62] Well I've been taking them yeah, [...] |
| (PS28S) |
[63] What I, what I suggest we do is we take this opportunity of having to review, to sort of have a complete overview and actually do, run a few er routine blood tests at this stage as well. [64] Okay? [65] I would erm ... suggest what we do is we stop the Dieside and put in something else, you know, just to keep you on on I don't really want to have you on a combination of lots |
| (PS28T) |
[66] No. |
| (PS28S) |
[67] of drugs. |
| (PS28T) |
[68] No, no. |
| (PS28S) |
[69] I'd rather just have you on one preparation and then we see what happens. [70] Now the question is, what is erm going to be the most suitable for you? [71] ... Hmm. [72] I think what we'll do ... is try this, which is called Doxazocin there you go, that's an instantly forgettable name for you. |
| (PS28T) |
[73] Yeah , yeah. [74] Mm. |
| (PS28S) |
[75] Okay, but it does have the advantage in it, it's a has it's a very clean drug. |
| (PS28T) |
[76] Yeah. |
| (PS28S) |
[77] It's a very clean, so side effects are very very rare, that's right, [...] ... [writing] Now we, I'm going to give you two sizes, cos you need to start on the lower dose first. |
| (PS28T) |
[78] Yeah [...] |
| (PS28S) |
[79] And what I would do, have you had your Dieside today? |
| (PS28T) |
[80] Yes. |
| (PS28S) |
[81] Okay, doesn't matter, your blood pressure's still up. [82] What I should do is take the first one tonight. |
| (PS28T) |
[83] Yes. |
| (PS28S) |
[84] Because what new drugs can do is they can put your blood pressure down quite quickly. [85] Which means if you're standing up, you |
| (PS28T) |
[86] Yeah. |
| (PS28S) |
[87] can get rather faint and wobbly. |
| (PS28T) |
[88] Yeah. |
| (PS28S) |
[89] So if you take the first one immediately before you go to bed, if your blood pressure does go down rather a lot, it doesn't matter cos you're lying down, you'll |
| (PS28T) |
[90] Yeah. |
| (PS28S) |
[91] be fine. [92] And if you're okay, you can carry on taking one in the morning. |
| (PS28T) |
[93] One in the morning |
| (PS28S) |
[94] Okay? |
| (PS28T) | [...] |
| (PS28S) |
[95] And the seven days at the low dose and then I'd like you to go onto the slightly higher dose, which is still a low dose, |
| (PS28T) |
[96] Yeah. |
| (PS28S) |
[97] for the rest of the time. [98] And then we can bri check your blood pressure back. [99] So, |
| (PS28T) | [...] |
| (PS28S) |
[100] if that's okay, that's what we'll do. |
| (PS28T) |
[101] Yeah. |
| (PS28S) |
[102] Stop the Dieside |
| (PS28T) |
[103] Yes. |
| (PS28S) |
[104] take these back to the chemist, |
| (PS28T) |
[105] Yes. |
| (PS28S) |
[106] and if you can see our practice nurse in a few weeks |
| (PS28T) |
[107] Yes. |
| (PS28S) |
[108] okay, and then see me in about five weeks, |
| (PS28T) |
[109] Right, okay. |
| (PS28S) |
[110] something like that. [111] Then we can |
| (PS28T) |
[112] How will |
| (PS28S) |
[113] have a look at the blood tests |
| (PS28T) |
[114] Yeah. |
| (PS28S) |
[115] I'll write down what I want her to do, |
| (PS28T) |
[116] Mm. |
| (PS28S) |
[117] we can have a look at the blood tests, we can see what the blood pressure is. [118] If you have any side effects from the new ones, then you should come back straight |
| (PS28T) |
[119] Yes. |
| (PS28S) |
[120] away. |
| (PS28T) |
[121] Right. |
| (PS28S) |
[122] Okay? |
| (PS28T) |
[123] Yeah. |
| (PS28S) |
[124] But I think, I'd be very surprised if you do, so ... so |
| (PS28T) |
[125] Shall I know which is which in the tablets, [...] |
| (PS28S) |
[126] Yes they'll be clearly labelled. |
| (PS28T) |
[127] Yeah. [128] Mhm. ... |
| (PS28S) |
[129] And I think I'll ask her to do an electrical tracing of your heart, just for completeness as well, |
| (PS28T) |
[130] Yeah. |
| (PS28S) |
[131] I think. |
| (PS28T) | [...] |
| (PS28S) |
[132] Okay. [133] Now then it's , isn't it?? |
| (PS28T) |
[134] That's right, yeah. [135] Well I've been on them Diodides for six year now. |
| (PS28S) |
[136] Yeah I know, but your blood pr I mean they did d they were doing you very well but blood pressure does tend to rise, as you get older |
| (PS28T) |
[137] [...] Yeah yeah. |
| (PS28S) |
[138] and I think that's what [...] |
| (PS28T) |
[139] Probably if it hadn't have been for Sister Helen and I would have never have been able to b catch the [...] at all because I never came to see a doctor. |
| (PS28S) |
[140] You d then we, we'd have er we'd have |
| (PS28T) | [...] |
| (PS28S) |
[141] summoned you by now, don't worry. |
| (PS28T) |
[142] You think so? |
| (PS28S) |
[143] Oh yes. |
| (PS28T) |
[144] Ah ah. [145] I'm saying years ago my old dad, he, he were eighty nine and he never had a blood test in his life. |
| (PS28S) |
[146] Well |
| (PS28T) |
[147] Pressure or anything. |
| (PS28S) |
[148] if you go back even |
| (PS28T) |
[149] You think I could have some of that I pu i m Melorose or something, for dry eyes. [150] I, I have got it on the prescription I had to get it Doctor sent me to the hospital, |
| (PS28S) |
[151] Yeah. |
| (PS28T) |
[152] and there's nothing wrong with my eyes at all, they said [...] dry. |
| (PS28S) |
[153] Ju dry yeah I'll put one of those on for you. |
| (PS28T) |
[154] Cos they're a bit irritable at night. |
| (PS28S) |
[155] Yeah okay. [156] If you only go back ten fifteen years, it wasn't realized fully how many problems are out there, |
| (PS28T) |
[157] Yeah, [...] |
| (PS28S) |
[158] that don't cause people any symptoms until something happens and it's too late. |
| (PS28T) |
[159] That's right, yeah. |
| (PS28S) |
[160] Er that's becoming more recognized, which is why we do more routine things on people who appear fa yeah, it |
| (PS28T) |
[161] Yeah, that's right, [...] . [162] So as you say years at [...] I'm |
| (PS28S) |
[163] No no, I mean |
| (PS28T) |
[164] so ill because I couldn't afford it |
| (PS28S) |
[165] No no. |
| (PS28T) |
[166] but I [...] [laugh] |
| (PS28S) |
[167] Well sometimes we overdo I think, but anyway. [168] So there's, there's two sixes. |
| (PS28T) |
[169] Yeah. |
| (PS28S) |
[170] The little ones there's only seven of and that's |
| (PS28T) |
[171] Yes. |
| (PS28S) |
[172] one a day. |
| (PS28T) |
[173] Yes. |
| (PS28S) |
[174] And I said, if you take the first dose tonight. |
| (PS28T) |
[175] Yes. |
| (PS28S) |
[176] I j write that, the first dose, dose tonight. |
| (PS28T) |
[177] Tonight, yeah. |
| (PS28S) |
[178] And then |
| (PS28T) |
[179] If I take [...] if I take one at night |
| (PS28S) |
[180] after that, it's [...] |
| (PS28T) |
[181] have I to take another one in the morning? [...] |
| (PS28S) |
[182] If you're okay , yes, yeah. |
| (PS28T) | [...] |
| (PS28S) |
[183] And if you feel completely weak and wobbly, |
| (PS28T) |
[184] Yes. |
| (PS28S) |
[185] then we better see you before you have any more. [186] That |
| (PS28T) | [...] |
| (PS28S) |
[187] has never happened [laugh] to me yet, first dose problems |
| (PS28T) |
[188] No, no no [...] |
| (PS28S) |
[189] but it's something to be slightly aware of, so |
| (PS28T) | [...] |
| (PS28S) |
[190] And if I can see, if you say you've had the blood test done in around, I dunno, two weeks, at your convenience and then if you see me in about five, which will be at the end of those, which [...] |
| (PS28T) |
[191] So [...] arrangements to have a blood test then, |
| (PS28S) |
[192] Mm. |
| (PS28T) |
[193] in about a fortnight? |
| (PS28S) |
[194] Please, yes. |
| (PS28T) | [...] |
| (PS28S) |
[195] Yeah. [196] Okey-doke. |
| (PS28T) |
[197] These, the chemist can have these back? |
| (PS28S) |
[198] Yes, please, he can then dispose of them. |
| (PS28T) | [...] [laugh] |
| (PS28S) |
[199] I'm sorry about that but er [...] is this yours? |
| (PS28T) |
[200] Well I, I wondered. [201] Yes, I |
| (PS28S) |
[202] Yes, don't forget that. |
| (PS28T) |
[203] I wondered what was going on really, because I mean it just [...] at least I can take them [...] |
| (PS28S) |
[204] Yeah, yeah. [205] It's [...] |
| (PS28T) |
[206] got the wife worried, [...] |
| (PS28S) |
[207] It's not a common it isn't a common problem at all that. |
| (PS28T) |
[208] No |
| (PS28S) |
[209] Okay? |
| (PS28T) |
[210] Yes, [...] |