Dictation Practice – Part A12
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Audio
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Answer
- searing
- right side
- cheek
- electric shock
- brushing teeth
- wind
- smiling
- severe
- anti-convulsant
- cod-liver
- vitamin D
- drowsy
Transcript
| Doctor: | But I wonder if you could tell me in your own words how this all started, and what treatment you’ve had, how that’s gone, and anything else you think I should know? |
| Dave: | Thank you doctor. Yes.
Well, it all started about three months ago. I was just washing one morning and everything was completely normal when suddenly I felt a pain go right across my face but for no apparent reason. Then after that the attacks came quite often. If I had to describe it, I’d say it’s like a searing pain and it usually hits the right side of my face. Like I said, it goes right across it but it’s my cheek, teeth, and my jaw that seemed to take the brunt of it. It’s a horrible feeling too, it feels like an electric shock. I have to say it leaves me feeling quite shaken. |
| Doctor: | And have you noticed any patterns or triggers? Is there anything that seems to bring this on? |
| Dave: | Well, like I told you the first time it happened I was washing my face. But now I noticed that brushing my teeth and shaving also bring it on.
It seems to be anything to do with touching my face. I mean even the wind can cause a sudden attack of pain. And also just using my face or mouth can bring one on too. So I mean like just eating and drinking can cause one, or smiling at something suddenly or for a long time. Basically anything fun, pleasurable, or necessary seems to cause me horrendous pain. |
| Doctor: | And do you think that the conditions developed or changed in any way since your first attack? |
| Dave: | They’re definitely happening more often.
And not only that it feels like they’re affecting my whole face. At the beginning, the attacks probably only lasted about 30 seconds or so. But nowadays I find myself dealing with the really painful part of the attack for a few minutes at a time. And it’s actually getting severe now. I used to be able to cope with the pain by clenching my fist or talking myself through it or whatever but I can’t now. |
| Doctor: | And I see here that your GP prescribed you some medication. Has that helped at all? |
| Dave: | Well I expect you can see on my notes what I’m on. My doctor was reluctant to give me anticonvulsants at first because apparently there are one or two that can cause serious reactions.
But he found one that carried a very low risk. So I was on that for a time. Um Anyway after a while they started to lose their effects. So then he put me on anti-spasmodics. That’s what I’m on now. I don’t know if it’s relevant but I also take supplements, cod-liver oil and vitamin D. |
| Doctor: | Okay. How are the anti spasmodics working out for you? |
| Dave: | Well I have to admit that when I take them, the pain is a bit more bearable but they do affect me in other ways. I mean I’m drowsy all the time. I can hardly keep my eyes open and just trying to follow a conversation or remember what it is I’m supposed to be doing has become a challenge.
It really doesn’t say much to make me confused. I mean it’s embarrassing. So, to avoid people thinking I’ve completely lost it or whatever. I’ve ended up staying at home a lot of the time now. That’s something I’ve never done. And I think it’s that more than the pain which has led to some very strange mood swings. I mean that’s not really like me, doctor. |
| Doctor: | I see. Well, from what you’ve been saying it sounds like we need to book you in for some tests and explore the possibilities |