SPEAKERS
DOCTOR (74%), INTERLOCUTOR (26%)
IG INTERLOCUTOR GRANDMASTER 0:00 Now, you can start now.DK DOCTOR KARIM EI KADISSI 0:03 Okay, good evening. My name is Dr. Karim. I'm your treating doctor for today. So I had the note is that that you are the son of Mr. Highsmith or simply had atrial fibrillation and takes warfarin. Is that correct? IG INTERLOCUTOR GRANDMASTER 0:16 Yes. DK DOCTOR KARIM EI KADISSI 0:18 Okay, great. So could you tell me more about his his recent trauma on trauma? Could you tell me more aboutIG INTERLOCUTOR GRANDMASTER 0:25 me? No, I think what is my problem? Okay, yesterday, yesterday, my father Harry, a couple of Paladin for tablets, which significantly relieve his pain. And today, I have come to collect a prescription for my father, who is in too much pain, and he cannot walk to the clinic himself. So please give me the medication doctor.DK DOCTOR KARIM EI KADISSI 0:52 I'm sorry to hear about your father pain first. So before we can prescribe for you this binary forward, I need you to understand and to answer my questions, okay. Is that correct? IG INTERLOCUTOR GRANDMASTER 1:03 Yes, doctor. DK DOCTOR KARIM EI KADISSI 1:04 Could you tell me what do you know about binary for adverse effect?IG INTERLOCUTOR GRANDMASTER 1:09 I don't know anything about that doctor, I was very pleased if you can explain me all thesethings. DK DOCTOR KARIM EI KADISSI 1:14 I'm glad you asked this. So before we can prescribe manager for for any patient will have to know some risk factors that can increase his side effects. What I mean, your father takes Warfarin is that right? IG INTERLOCUTOR GRANDMASTER 1:28 Yes, Doctor. DK DOCTOR KARIM EI KADISSI 1:29 And if we take if he if we add managed into Warfarin that increased the risk of liver damage, increase the risk of bleeding and up and decrease the risk of clotting process which your father need. Okay, do we understand Should I repeat, so if I prescribe for your father Paladin for they will increase the risk of bleeding, imagine your father will bleed from his eyes. Imagine that it's very painful to prescribe binary for for any patient which takes Warfarin first to understand that can increase the risk of bleeding, increase the risk of GI bleeding, gastrointestinal bleeding, the damage to the liver at the same time. So Warfarin and beneden both is not is not correct to prescribe both at the same time if we prescribed at the same time if we needed some patient we have to do daily this entire test daily bleeding test Imagine we can pick your father daily we can take a blood Imagine we take seven days each days some some blood from your father, let's we make 500 millilitre for seven days. IG INTERLOCUTOR GRANDMASTER 2:43 Okay, DK DOCTOR KARIM EI KADISSI 2:44 that's a lot and this employer isn't and they will be in happy with this. Okay. Do you understand them? IG INTERLOCUTOR GRANDMASTER 2:51 Yes. DK DOCTOR KARIM EI KADISSI 2:52 Do you have any question about beneden for side effects?IG INTERLOCUTOR GRANDMASTER 2:55 Yeah, I understand.DK DOCTOR KARIM EI KADISSI 2:57 We can we have also alternative for this we can do we can prescribe some herbal medicine we can also giveIG INTERLOCUTOR GRANDMASTER 3:06 you spite of all these things doctor I know you've given a wonderful explanation. But you are you are is a regular doctor. So you know everything and you know his condition and everything. So, you can think about the possible option and can give without any you know visit or DK DOCTOR KARIM EI KADISSI 3:24 yeah yeah we will follow follow up with your father we will give him some alternative like meditation yoga, like some herbal medicine they can we can take one once daily, and that's not they will not interfere with Wi Fi. Okay, we have also attended is a lot of medication that can we can prescribe instead of prescribed binary for the clinic is also the risk of addiction IG INTERLOCUTOR GRANDMASTER 3:52 okay. DK DOCTOR KARIM EI KADISSI 3:53 Or case abandon his paracetamol plus codeine which substances that can increase the risk of addiction okay to understand. Do you have any concern about your further treatments who can I can prescribe paracetamol forced Lao dosage or I can give you herbal medicine which cannot interfere with Warfarin and we will follow up with your father. If not the case, we will give them another options okay. Do you have any questions aboutIG INTERLOCUTOR GRANDMASTER 4:27 your suggestion, but what are we going to do now? Can you tell me if some possible solution to thisDK DOCTOR KARIM EI KADISSI 4:34 now right now, I would prescribe for your paracetamol allow dosage which will not interfere with Warfarin at first okay for seven days. And I will see him next week. At the same time I will suggest to you to to to give them or to do to participate or engage with physiotherapists to decrease the risk of painful joints So painful episodes next time. Okay, IG INTERLOCUTOR GRANDMASTER 5:05 okayDK DOCTOR KARIM EI KADISSI 5:05 at the same time IG INTERLOCUTOR GRANDMASTER 5:06 yeah fine I think all these things are unnecessary your visit and waiting for one week and all these things I don't believe that it is necessary. But you know you are the doctor but uh you know his history and everything so. Okay based on your okay fine understanding I agree with this and DK DOCTOR KARIM EI KADISSI 5:26 okay IG INTERLOCUTOR GRANDMASTER 5:27 make your home visit. Okay doctor,DK DOCTOR KARIM EI KADISSI 5:29 okay, thank you, I'm afraid. Thank you. Thank you so much. Take it. I will see him next week. IG INTERLOCUTOR GRANDMASTER 5:35 Yes, doctor. DK DOCTOR KARIM EI KADISSI 5:37 Thankyou.
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