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Hi [filler] is this [filler] Dr. [filler] <PII>Ripson</PII>
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Yes. This is Dr. <PII>Ripson</PII> from Goldsmith Pharmacy. How can I help you today?
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I am calling because [filler] last week I was having [filler] a round of [filler]
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of golf and [filler] when doing the~the eighteenth hole and when I was trying to go for the tee [filler] somehow I mean something
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usually [filler] a golfing injury. But when I was going for the tee somehow I~I sprained my ankle, I don't know if I~I don't know if I sprained my ankle but my ankle
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[filler] is having a bit of pain it's it's a bit bruised and and a bit swollen so I am I am doing now and so I am calling you today to [filler]
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to see if on the phone we can sort of get a a quick diagnos~diagnostics. Ya
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Okay and when was this if you remind me [filler] C~Can I get your name sir please?
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Of course. Ya ya so I am [filler] <PII>Tom Bellingham</PII>
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Mr. <PII>Bellingham</PII> [filler] when was this [filler] incident
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So this was so today it's let me check August eight ya so this was about
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four days ago so on the four
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Okay and I assume that we are in for a call it's because the pain hasn't gone away
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Correct sir. Yes. The pain is lingering and
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Well, it~it's gotten worse hence why I am calling you sir.
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and [filler]
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and ya the pain has been. Ya that's why I am calling you that
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Okay. Can you, you know I can't visually see you so I just want to have a little bit of understanding of, you know, what~what's going on? Can you describe to me how your ankle looks like please?
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and ya of course. So [filler] well
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So obviously not the visually description but sort of just the description. I obviously feel the pain specially when I
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I puts. I bear some weight on the affected foot
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Whic~which was foot is it sir?
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It's a bit
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[filler] its the the right foot and probably it's [filler] important to mention that in twenty-eighteen I ruptured my Achille~Achilles Tendon, so there's a bit, it is not in the best condition but [filler]
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That's one of the worst injuries you can have right?
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Ya yes. [filler]
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It's not very good, I can tell you that [laugh]. [filler] Especially because I am a [filler]
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I do a lot of running in the day because I am a well I work at a UPS [filler] doing deliveries, so I have to get out of the van and deliver the goods and then (()) have to Its, not like the (()) ya and then other than th~the than than the pain and the bruising
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It's also a bit of
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[filler] visible swelling so it's obviously visibly swollen comparing to the other foot
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and ther~there is a bit of [filler]
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light to medium bruising as well on the foot
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and probably the last description is
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it appears it appears to be well [filler] I am a bit tensed of again because of the Achilles Tendon ruptured back in twenty-eighteen but it appears to be sort of a popping sound or sensation when I you know
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[filler] when I when I did the tee. So four days ago, when I was a (()) at a time
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Got it. Okay so you you heard you heard a pop
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[filler] Again I mean this it was at the same time that I hit the ball at the tee so I don't know if I was hitting the ball and I sort of got you know
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I confused it but It was I~I have some doubts about the [filler] that I did hear an actual pop from the ankle or not from the hand with tee.
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which I missed as well [laugh]
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Fair and tell me something sir [filler] medication have you been doing anything for the pain if you would be taking anything has it been helping
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[filler] So I have been taking I have I have Bruf~Bruf I have a Brufen [filler] five hundred milligrams [filler] well obviously spaced out sort of one one in the morning one in the night
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[filler] so that a~a Grandma day which is out
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[filler] an Okay dose I don't know I mean in in in or I am from in Portugal, it's a sort of okay dose but in the UK I know that its a very high dosage but [filler] it~its been doing its job I~I must say sir its been doing its job but now it seems that the same dose that I was
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(()) I was giving myself three days ago is now not doing the same effect so this is why I am doing the call
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Got it okay and tell me something movements of the ankle
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do you remember if it was a torsion for the inside of the ankle for the outside?
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so if you use your other foot now and you place your left foot on the ground
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and you open up your leg that is a external torsion if you close your leg to the central line of your body that's an inner torsion
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Can you tell me which one it is sir?
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So which one it hurts the most when I do those motions?
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oh suppose no no no which wh~what was the motion of when you twisted an outside or
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oh sorry ya so [filler] okay so it was either an external or an internal
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and so let me think I am just going to do a sort of mock scenario in my room, hitting the ball [filler] yes the left foot moves outward so external torsion. External
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that's the most common. Tha't the most common. Okay and you iced it right after and everything you know right procedure or
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not did you not follow right
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[filler] so I mean I~I [laugh] I~I finished the [filler] it was the eighteen hole and we were doing the twenty-one hole [filler] golfing [filler] evening so I did three more holes probably not
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the twenty-one hole. A twenty-one hole golfing you mean
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Ya ya ya ya no because I
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that's interesting
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because I was playing with my [filler] well obviously you know I am PJ friend [filler] well ya then (()) plays (()) tiger [filler] <PII>Tiger Woods</PII>
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So he likes to play twenty-one holes. I know it's uncommon but [laugh] he is a
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It's a bit uncommon [laugh]
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It's a bit uncommon yes so we play twenty-one [filler] and then once we got to the the Barrington because we were playing at the Barrington golf club and when we got to th~the country club they the~they they gave me some ice I put some ice but it was thirty-forty minutes after the incident
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I~I hope it wasn't too bad but then
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<PII>Tiger</PII> said it was nothing and we kept playing and I and I felt okay at that time but now I am a bit regretting that [filler]
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Okay and in terms of allergies do you have any allergies in terms of you know x-ray or medicine just so I can see what I can prescribe with your
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Oh ya so I am allergic to [filler] nuts, so peanuts, pistachios, almonds
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[filler] walnuts you know
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[filler] chestnuts all these types of nuts I am [filler]
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I am allergic to
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[filler] shrimp I~I don't think there is any medicine that uses shrimp, but I cannot eat shrimp
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I get [laugh] I get instantly swollen, the cheeks like look like a puffer fish [filler] lobster as well I cannot eat lobster
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and then [filler] slightly lactose intolerant but only to twenty-three percent scale with a three point four percent standard deviation so not not too big
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Got it. Okay. Perfect. So [filler] I will be honest sir, it looks like you know these torsions I don't know if you are familiar but they go from level one to level four.
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Given the bruising, you are probably between level two and three, level four means you couldn't walk essentially, so you are definitely between a two and three. We possibly think it's tear of the tendon and you know
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[filler]
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I would say your recovery looking between four to six weeks but yet again I just want to run a quick scan to ensure that nothing is completely torn, just slightly torn. Is that okay for you?
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Of course. Yes if you can well I hav~have I have to go to the clinic obviously so
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Ya I was going to ask which clinic do you is closest to you and do you have any health insurance?
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Yes so I am currently with [filler] United Health Insurance so UNHS and I usually go to the M~Mayo clinic so [filler] under junction of fifth (()) with [filler]
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with Hasel street [filler] in the corner. I go to that clinic there Mayo clinic there and
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that's where I go
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okay great and when can I do you want me to book you invite now or do you want me to just give me the prescription and you book it in your own time?
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[filler] What's the (())) what's the sort of availi~availability in the next five days [filler] out of the clinic if you could tell me that would be helpful.
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(()) Are you are you are you an early morning person or an evening person?
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well so I start my shift at UPS sort of around (()) six a.m. and I am done at (()) [filler] (())
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three four. So i usually do my sort of [filler]
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I have a I have a slot for tomorrow at six p.m
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Okay. Wait let me just check my (()) <PII>Billy</PII> have to go to the
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to the concert I have to take <PII>Billy</PII> to the concert tomorrow [filler] its at eight. You think I will be done before eight sort of two hours would be enough?
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[filler] for sure for sure for sure it's a ten minutes scan. It should be very very quick
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ten minutes scan okay lets lets lets book me for book me for six, sir book me for six.
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for six? Okay perfect then any health insurance on that sir
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[filler] yes sir. As I as I mentioned earlier its the united [filler]
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Mayo clinic
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[filler] I am sorry the [filler] united
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yeah the no no no no united no the Mayo clinic is is the [laugh] the clinic [filler] united [filler] united health insurance so I have got the the silver eagle package so not the not the gold eagle the silver eagle
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Okay great and can you confirm to me
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number please your your insurance number just to have a quick (())
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Of course. Ya ya ya ya of course let me get the number out. So where is this now this is the train pass not this
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this is the credit card not this
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where is it [filler] okay here we go
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yup okay so my number client number of course golden eagle
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two three four
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okay got it
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two one eight seven
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sixty eight
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got it sir. Amazing. So you know in the meanwhile you know please relax on the
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[filler] Twenty-one hole of golf okay, so try to put some rest on it try and add as much ice as possible you know ibuprofen, voltaren all these are good for you, you can buy them from a pharmacy without prescription
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and after the scan, you know we will have to check if we have to give you any crutches but you know I wouldn't be too worried about it but just want to make sure that pop was indeed your ankle and not the ball
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Perfect. Thank you very much, Dr. <PII>Ripson</PII>
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Amazing sir. Have a good day then.
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Thank you. By by. Thank you. By.