Dictation Practice – Part A10
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Audio
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Answer
- crusty mucus
- bleeding
- sense of smell
- sneezing
- driver/hire car driver
- skin prick
- nasal decongestant spray
- humidifier
- salt water solution
- antihistamine
- recurring lung infections
- cycling club
Transcript
Doctor: | Good afternoon. Mr.Butler, is it? |
Mr.Butler: | Yes. Terri Butler. |
Doctor: | So your GP has referred you because of a problem you’ve been having with your nose. Can you tell me more about it, please? |
Mr.Butler: | Well, it’s usually when I first wake up, I get a terrible crusty mucus but it tends to stay around for the whole day. It’s been irritating me for a couple of months, actually.
I initially thought it would just be resolved by itself but it hasn’t. The thing is, and I know it’s a bit disgusting but sometimes when I try to get it out, I’ve had a little bit of bleeding. It’s not a lot by any means, but enough to notice. |
Doctor: | Right. Okay. |
Mr.Butler: | I’ve also noticed, for example, when my wife puts on perfume, it’s my sense of smell, I can’t seem to detect it as strongly these days. So I’m a little concerned over that. I mean I can still breathe, of course, but it’s worrying.
Actually, I thought I was allergic to something because we recently adopted two cats, or maybe it was, I don’t know, dust mites or the season because I suddenly started sneezing – not all day but still quite often, regular sneezing. But that’s not the case, apparently. I know this condition isn’t dire but it does affect my life. The blocked up feeling can really hurt, smetimes. |
Doctor: | I’m sorry to hear it’s caused you so much worry. |
Mr.Butler: | Well, I’m also concerned about my job. I’m a hire car driver and it’s mostly for high-end clients, so it involves a certain degree of professionalism.
The last thing I need is to be seen constantly playing with or twitching my nose or worse still, sneezing can cause an accident. |
Doctor: | So, you don’t believe it’s allergies related? |
Mr.Butler: | Well, not as far as I know. I’ve been to my GP as you know, and tried to rule things out first.
I had a skin prick test and that didn’t show anything. So, I went away thinking it would clear up. But then after a few weeks it was still annoying me, so I had a blood test. But that apparently came back clear. But I keep thinking maybe it’s something less common and that’s why nothing’s shown up. My GP asked if I’d been ill because he thought perhaps it was caused by a viral infection. But I hadn’t been. He also asked if I was taking any medications. He was aware of, like, beta blockers or antidepressants, which I wasn’t. In fact the only thing I’d started using around that time was a nasal decongestant spray that I bought from the chemist, which he then advised me to stop. He thought maybe I’d been using it too much, so I did, of course. But doing so didn’t seem to make a difference. |
Doctor: | I see. |
Mr.Butler: | And he suggested that I try a few to see if they make a difference. So, I got a humidifier. That apparently helps with the dry air and therefore to loosen the mucus, which was okay but didn’t make too great of an impact.
He told me how to make up a saltwater solution. It’s much cheaper than buying it from the chemist. I still use it now and that helps a little too, but just not for long periods of time. So, I have to keep it up a few times throughout the day. Before going to bed, he said I should take an antihistamine. But again, it just doesn’t seem to last too long and before I know it. I’m feeling the same as before taking it. |
Doctor: | And how’s your health generally? |
Mr.Butler: | I’m typically as fit as a fiddle. I quit smoking 14 years ago because of a number of recurring lung infections at the time. They were enough to make me wake up to myself and finally go cold turkey.
As for alcohol. Well, I’ve been having my regular nightcap of whiskey for 20 years. Always the same brand and I always stop it too. As i said, I’m reasonably fit for my age. I go to the gym regularly. I’ve been involved in a cycling club for a number of years. We’re a medium distance group, an average of around 60 km an outing, so not too shabby. |
Doctor: | That’s great. |
Mr.Butler: | So do you think there could be something wrong with my nose? |
Doctor: | Well, that’s what we intend to find out. The way we do that is by performing a nasal endoscopy. It’s a very thin… |