Hello have you ever any allergies so your face is the problem tell me about that yeah I woke up this morning mhmm and there's like tingling and numbness around like this bit yeah that's cool yeah I thought it was gonna go away mhmm and it just seems to not be mhmm I noticed when I was drinking water it felt funny mhmm and this morning when I was doing my teeth I actually didn't spit out properly either okay and then this eye has been really watery pretty much all day mhmm so I was looking a little bit up because I've got I've actually got a nerve from the lip and it is hnpp yeah so I was like oh is it related to that I've only ever had it affect me once and that's the thing it's my leg and I had to drop foot from it mhmm but right right and then it said about different things I said rash trying to shut the eyes yeah when I try and this eye could like kinda squeeze shut but this eye I couldn't see mhmm yeah fine so not completely on that right side yeah which mhmm yeah wasn't really sure and I was I'm not side of your body you pointed to the left hand side yeah there's a slight drift on that left hand side yeah so yeah so I have got a list anyway I thought it sounded worse in my like to myself but I spoke to my boyfriend on the phone this morning and he said it was normal mhmm yeah mhmm fine okay and any weakness that you've pumped your body at all not that I've noticed no I've had an ongoing headache for like 3 days not bad just really mild but I suffer from like migraines so kind of like I don't know I don't really think much into it when I get headaches yeah quite new new headaches you've been hurt so any ear symptoms or anything like that a couple of days ago when I first got the headache I had ear pain with it but not this morning or last night mhmm fine okay we can ask you to do a few things is that alright I've just got some scores to calculate with this thing on my phone there it is so and tell me can you tell me what month it is at the moment february and how old you are 29 yeah I'm clean that squeeze my hands that's great and blink your eyes that's lovely thank you mhmm then next I just need to test the movement in your eyes so just following up can you see my finger here yeah and here mhmm and here mhmm any bits of your vision missing or anything like that no it seemed a bit blurry like when I was doing the yeah mingthing that's fine and then the other side you're that I'm doing that yep that's fine that wasn't as blurry not as blurry eye's been watering so yeah right fair enough and then arms wise can I ask you to put your arms up like this can you keep your arms up I'll just count for 10 okay 8 7 6 I'll be can we go number 5 okay 2 1 that's lovely so you can see me running my legs I'll you to do it for 5 seconds yeah you can do them both sorry no 35 that's fine hi this is lani scottish spring british trust hi nice to this is katie some so we can talk about it all after I'll just finish this is that okay no no no and then in terms of the movement claire just ask you do some clapping like this for me that's lovely and the same on other side yeah lovely that's fine can you put your heel to your shin and slide down for me back just a bit that's lovely and on the other side lovely feel me touching here here yeah here on your hands and how about the sensation in your face over here yeah okay so all normal feels normal on 1 side that's fine can you lift your eyebrows up really tall for me lovely scratch your eyes on a tight line lay out your cheeks mild lovely that's fine thank you and then there's and any difficulty finding words or anything like that I haven't noticed anything that's been not more than usual that's good fine lovely alright great I'll go and have a little read about you and your do you see a neurologist here no no I moved down here a year ago fine my neurologist was when I was a child in st ormond street wow okay 547 yeah it was a long time ago that I had an episode +1 475827 5 okay and so there won't be any letters on the computer or anything like that no 5 okay and it's h o p p so it's hereditary neuropathy with liabilities of pressure palsy yes that 1 yeah fine great I'll have a little read about it yeah and work out whether it can cause you symptoms and I'll have a chat now okay alright that's great alright your hands be fine you okay yes okay we're gonna start with the patient so no it's alright don't worry it's cool I just she's still waking up she's 9 03:29 and she says that this morning she's ex she says so she's got a background of hm hereditary non not hereditary nonpolyposis colorectal cancer neurological version hn whatever she said something which for which in she had a diagnosis when she was a child and she had a foot drop which then resolved and then now she's had this morning onset when she woke up so difficult to say exactly when but she says that she's noticed that her face is slightly drooped on the right hand side she's struggling to close her contralateral eye and she's having watering on her side and she can't spit out her toothpaste but no palm or leg symptoms whatsoever it's a bit strange isn't it but it looks more like a facial nerve problem with the eye watering I would think than than a central problem central problem what do you what do you wanna do I've done the nhss it's just my facial droop she gets 1 for a very mild facial droop but that's it weird isn't it it is weird I need to read about this hereditary thing hereditary neurological problem that she has with liability to pressure palsy so we could try and work out what the hell that is we could there but I don't think we need to lie somewhere anything obviously and the other lady's gonna have her scan now I think so now I've had her test mhmm the rate came up in her activities unstable let me just turn around the scan let just see if I see I have a question it's just deep lung capacity very sad oh dear but yeah so just go to the left and then up the stairs yep to pressure hold it think it might be hnpp hnpp and acute situation actually vaginal nerve single anything no she left to me so I think we had her on just fine hi it's roger operation of boston street cool I can go yeah I've already said it's loading I've got 1 a we need for an x-ray 1 a I'll chat I'll have another 2 minutes alright I obviously I haven't met him it was gonna fire someone yeah it would have been the day what yesterday or something like that was it yeah fine he's been doing really well he's not here today what what do so you want his drug trial updated and a tech yeah what do we need yeah usually we would do that and surely ria would have done that yeah yeah fine and has anyone no no no no no it's not your fault don't worry it's it's a shame that we didn't do it to a 90 year old man and obviously it's an awkward walk in and she had a battle with death what did we did she write anything that I thought of wrote from and then sorry I don't mean to be difficult I'm sorry I'm oh doctor medical clapping gatt review nothing and then doctor you like the plan there either fine go on sorry what are saying what can you do yeah and where and what this man is in in cohort oh lovely I'll come see how actually in cohort that's fine what time are they coming okay no that's fine I'll try and do it he's only on the amlodipine so that's the right medicine for him cool talk to you soon bye you made a snap can you check the previous neurology clinic oh is that 1 1 2 where is she coding running to write corey +1 47 5022 she says she hasn't seen anyone here with it relax normal I don't think it with the I'm I'm trying to think of something what's up has had a scan yeah good news good news yeah great how did it go not yet I don't know it's very close to it really well no same but I'm just making it sound a lot worser so we can yeah this is what we do all the time you think that man seemed worse but it he's delightful what about that yeah nice try how much from the back now that's good you got any more chocolate in there topper where under your desk she's bleeding in her brain she's not bleeding I 'm well I think a large 1 is behavioral think this is what you're thinking this yeah is the right left is it left yeah but she has a left it's a a right side weakness left side yeah left side there is it left left right is moving oh fine it's left then fine she'll be on the right yeah she'll be on the right now I don't really see anything on the right no she's not bleeding in her brain annoying isn't it I hate that I feel bad that we just sat there watching her why do feel bad left me what's happened exactly you referred a stroke she's not had she's not bleeding in her brain she's not look she's not in her brain no she can't so I'm just sat there just looking at her she had some antibiotics that's included was not done is that a gram of meropenem blood pressure's fine get all of these sick limbs oh that explains it yeah that's what I mentioned yeah well I don't think she said the wrong spot I just ignore randy I think no no I think your management is perfect just very hands off approach yeah it's actually 1 vomit yeah very good that's what you need to do yeah so it's got vaseline vaseline on my shirt it's a bit dry okay do you hear me yeah I can tell you so this message got to you all the time switch do you have anybody for the cardiac hi john no for just because we need to do this oh fine if he wants to go home and he's fit to go home we've got a plan from the doctor that saw him who said that that was fine and I think that's fine isn't it it's if if he's not got any problems then then that's fine isn't it or do I need what would I do oh yeah you feel free by the way I have a few this is cody platts p l a a t s +1 475022 29 year old lady