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So it had the clutch load changed in what 2021 yep 8 times of fifth year service fine and then who knows what these repairs were in 2020 what they did it's impossible to know isn't it yeah can see yeah fine unfortunately I can't see it don't know I can't see what it was yeah fine but they did something that was okay and then the last service which was a which is fluids essentially yeah yeah basically it's well it's a 100 + break fluid break with air pump break fluid air filter on a filter okay and if that looks fine thank you so we're put in brake fluid and then we're replacing yeah so we've done the blood please that's all mhmm coolant change because that's due on age he's checked it but the cooling's fine but it's just the manufacturer recommends okay okay brake fluid I've done that as part of the service for you anyway okay great thank you I asked him to do that walked in with dry spell okay because again that's due every 10 years okay air conditioning service you don't need that don't need air filter because that was done in 2022 great gonna need to look at doing spark plugs valve clearances gearbox all day mhmm alright yeah that's big work isn't it fine so package prices on very high $20.16 no nobody thanks for that possible they're iridium tip spark plugs okay alright they're not your normal standard spark plugs which alright valve clearance is 1 for now always look at it if it's not bright don't fix it but it's stuff like this which can cause joint pains that of makes course yeah fine so in the valve clearance what you take the head off and look at the valves and make sure that they they haven't got a hydraulic they haven't got hydraulic literature on okay they actually got physical manual adjustment on the valve cleanser okay fine they would actually need to be adjusted okay and again that's just to prevent wear really mhmm air filter okay so it's only and you said gearbox fluid did you oh yeah gearbox which is 116 in the foot and the and the gearbox yeah $1.60 okay so you got $2.40 for the plugs $1.39 for the valves $1.16 for the gearbox oil mhmm auxiliary drive belt really yeah there is a bit isn't there things that's gonna cause you a problem going forward it's gonna be things like that's kind the thing although george has checked with george and it's not peristrunk in any of those lungs but it's just if it decides to give it a go yeah of course then it'll yeah overheat and all that stuff okay so spyroclose it doesn't look like they've been done because I guess that's the main reason I was 1 I brought it back to you guys really because I thought oh maybe it's all been done and you'll have all the but it doesn't look like it hasn't been done at so and it's 10 years down it should be 6 yeah so 60,000 miles is probably you think every 6 years yeah 10,000 miles a year yeah that's not in the realms of gonna start to break down it could be 2 3 years bit of preventative maintenance yeah of course you're gonna do spark plugs you're not gonna do the valve clearances yeah gearbox oil yeah and you can see where you drive it okay alright fine so lots to think about next time yeah so what I would do if it was me is try and pick some of those off and break it up over yeah a month. That's what I'm gonna do because all you try and do it all the other 1 that's gonna be like what are you looking at but yeah yeah fair + the service if you're gonna get that done and then it's gonna be yeah in a year's time or time so I'd probably operate that up and do that over year yeah okay so then you can sort of budget a bit better for us yeah that makes sense 500 per day 1 year and then for mhmm 1,100 1,200 per day following year yeah I'm with you yeah fine that makes sense thank you no thanks for writing that down for me that's great I really appreciate it are on there copy of your service sheet I'd say what I should do with putting on there as the money which 1 left really that out that would be great if we could find it out I guess I've got it here I'm looking the money's running yeah cool and this is all the stuff that was hap happened in honda and then there was separate stuff record that have been done somewhere else is that right or is that I can't see any of that yeah fine only see what's in honda but then no I mean so we saw all this stuff on the other system and this happened in after that wasn't it '22 and then now you've got stuff yes and then you know the service being placed at all yeah which we did we because we because you said it's 2 separate systems yeah isn't no it's because it's under 2 separate registries pre previously it was oh like a private reg was it yeah oh fine I didn't pay that so that's 2 different things w I f that 1 yeah and then obviously that happened yeah 2022 to 2024 and I seem to remember there being something in the service book that's probably where you're you're thinking on the service book there's different stamps in it yeah fine probably because obviously it's been done somewhere else excellent yeah fine and then obviously you said 30 40 50 so 20 miles a week I think I saw 1 in like a hyundai garage in exeter in plymouth I should say so maybe that's why that there was like a random yeah could have sold she could have sold it we would trade the into it that's true hyundai and then maybe they served they cracked it or understood yeah fine that makes sense but in in all fairness quite a good cyst for surgery yeah no it's good yeah that's great thank you I appreciate your interest that's very helpful so we can pick those up at any. You want to those additional maintenance things and 1 other thing that george picked up on is that the the tyre pressure sorry the tyre fluid in the boot is expired okay oh yeah the the like reinflation yeah yeah fine side of it let's just get that just if you need to use it and it doesn't work you're good yeah that's true so m e t y score would date for the february thank you anything to worry about there so what we've done both front washer kits okay is good to replace them manage to clean out the tank for you and get that washer pump on put junior washer kits on to nurse working fine brilliant thank you so it's very exciting thank you for the met mhmm and 5 5 for the nadm so

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Medical ST5 Miller Clerking
[Current Date] [Current Time]

Presenting Complaint:
[The reason for attendance in 1-3 words]

History of Presenting Complaint:
[Chronological narrative of current illness using short, clear sentences. Include:
- Onset, character, location, radiation, timing, exacerbating/relieving factors
- Associated symptoms
- Impact on daily activities
- Previous similar episodes
- Relevant collateral history from relatives/carers
- Any relevant background from other healthcare professionals
Do not repeat patient's name throughout. Be concise and tell a chronological story to the reader. Do not include subjective descriptions of the symptoms e.g. "severe" or use unnecessarily long words.]

Past Medical History:
[Bulleted list of significant medical conditions with relevant details:]
• [Condition with year if mentioned]
• Diabetes mellitus - latest HbA1c: [value] mmol/mol ([date])
• Asthma/COPD - latest spirometry: FEV1 [value], FVC [value] ([date])
• [Previous surgeries with dates]
• [Other significant medical history]

Drug History:
• [Drug name] [dose][units] [route] [frequency]
• [Example: Omeprazole 20mg PO OD]
• [Example: Clopidogrel 75mg PO OD]

Recently Stopped Medications: [If relevant]
• [Medication] - stopped [date/reason]

Allergy History:
[If allergies mentioned:]
• [Allergen] - [Reaction type] ([severity if mentioned])
• NKDA [if no known drug allergies stated]

Social History:
[Living situation. Who they live with, housing type, if mentioned]
[Mobility. Walking aids, stairs, transfers, if mentioned]
[Carers. Formal/informal care arrangements, if mentioned]
[Occupation. Current/previous if relevant, if mentioned]
[Smoking. Never/Ex-smoker/Current - pack years if mentioned]
[Alcohol. Units per week/Never/Ex-drinker - if mentioned]
[Functional Status: Impact on activities of daily living, if mentioned]

On Examination:
[General Appearance. Alert, well/unwell, distressed, if mentioned]
Observations:: [If mentioned - HR, BP, Temp, RR, O2 sats (do not use subscripts)]
• Abdomen: [Inspection, palpation, percussion, auscultation findings. If not commented upon, document as normal]
• Cardiovascular: [Heart sounds, murmurs, peripheral pulses, oedema. If not commented upon, document as normal]
• Respiratory: [Chest expansion, percussion, auscultation. If not commented upon, document as normal]
• Neurological: [If examined.]
• Other: [Any other relevant examination findings, if mentioned]

Investigations:
• [Test name] ([date, if mentioned, do not include include today's date on results, list without a date]): [Result without units]
• [Example: Hb 85]
• [Imaging type] ([date, if mentioned]): [Key findings]
• [Example: CT Abdomen/Pelvis (15/03/24): Sigmoid diverticulosis, no perforation]

Impression:
[Main diagnosis]
Differential Diagnoses: [Only if multiple possibilities discussed]
[Secondary issues. Relevant comorbidities affecting management. If mentioned]

Management Plan:
1. [A numbered list documenting the management plan to be undertaken, if mentioned, include:
- Immediate management/monitoring,
- Investigation requests,
- Treatment interventions - medications, procedures,
- Discharge planning/follow-up arrangements,
- Patient education/lifestyle advice,
- Referrals to other specialties if needed,
- Which ward or specialty the patient would be best admitted to e.g. "Respiratory Bed",
- Escalation plan that was discussed - whether the patient is suitable for CPR, ITU and/or NIV.]

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