Sophie Nguyen
Beige Chimney
DOB 22/08/1997
28 yrs
Phone +61491570102
Appointment Tuesday, 11 August 2026 at 9:30 AM
All Intakes
1
Consult notes
AI-drafted from the intake1. Migraines
- History of migraines since university, worsening over the last 2 months.
- Attacks start with a 20-minute visual aura of zigzag lines.
- Followed by throbbing pain on the right side of the head.
- Frequency has increased from once a month to twice a week.
- Attacks last 6 to 8 hours if caught early with ibuprofen, longer if not.
- Pain is unbearable with light and noise; usually rests in a dark room.
- Taking ibuprofen 4 to 5 days a week, but it is working less well than it used to.
- Triggers include stressful work, sleeping only about 5 hours, and attacks seem worse around her period.
- Denies weakness, numbness, trouble speaking, or sudden-onset headaches.
- Has missed 4 days of work this month and cancelled most weekend activities.
- Worried it could be a tumour.
- Needs an effective treatment to stop missing work.
- Background:
- PMH: nil significant
- Medications: Levlen Ibuprofen
- Allergies: Penicillin (Rash)
- FHx: nil significant
- Non-smoker EtOH: A couple of glasses of wine on the weekend
- Previous similar: Migraines since university
Sources (14)
[s0:1] Patient
My migraines are getting worse. I've had them since uni but the last two months have been awful.
[s0:5] Patient
It starts with zigzag lines in my vision for about 20 minutes, then a throbbing pain on the right side of my head.
[s0:11] Patient
It used to be one a month. Now it's two a week.
[s0:9] Patient
Six to eight hours if I catch it early with ibuprofen, longer if I don't.
[s0:7] Patient
Light and noise make it unbearable. I usually end up in a dark room.
[s0:15] Patient
Probably four or five days a week now. It's working less well than it used to.
[s0:13] Patient
Work has been really stressful and I'm only sleeping about five hours. They do seem worse around my period.
[s0:17] Patient
No, nothing like that. Just the aura and the pain.
[s0:19] Patient
No, they always build up with the aura first.
[s0:21] Patient
I've missed four days of work this month, and I've been cancelling things most weekends.
[s0:35] Patient
Honestly I'm worried it could be something serious like a tumour. And I need something that actually works — I can't keep missing work like this.
[s0:25] Patient
I'm on Levlen, I have been for years. And the ibuprofen.
[s0:31] Patient
No.
[s0:33] Patient
A couple of glasses of wine on the weekend.
Conversation transcript 37 turns · click to expand
Audri
turn 0
Hello, I'm Audri, your intake assistant. What brings you in for your upcoming appointment?
1 day ago
Patient
turn 1
My migraines are getting worse. I've had them since uni but the last two months have been awful.
1 day ago
Audri
turn 2
Thank you for sharing that. Can you tell me your sex assigned at birth?
1 day ago
Patient
turn 3
Female.
1 day ago
Audri
turn 4
Thank you.
Can you walk me through what a typical attack looks like now?
1 day ago
Patient
turn 5
It starts with zigzag lines in my vision for about 20 minutes, then a throbbing pain on the right side of my head.
1 day ago
Audri
turn 6
Thank you. Does anything make it worse once it has started?
1 day ago
Patient
turn 7
Light and noise make it unbearable. I usually end up in a dark room.
1 day ago
Audri
turn 8
How long do the attacks last?
1 day ago
Patient
turn 9
Six to eight hours if I catch it early with ibuprofen, longer if I don't.
1 day ago
Audri
turn 10
Thank you. How often are they coming, and how does that compare with before?
1 day ago
Patient
turn 11
It used to be one a month. Now it's two a week.
1 day ago
Audri
turn 12
Have you noticed anything that seems to bring them on?
1 day ago
Patient
turn 13
Work has been really stressful and I'm only sleeping about five hours. They do seem worse around my period.
1 day ago
Audri
turn 14
Thank you. How many days a week are you taking the ibuprofen?
1 day ago
Patient
turn 15
Probably four or five days a week now. It's working less well than it used to.
1 day ago
Audri
turn 16
Thank you. With these headaches, have you had any weakness, numbness, or trouble speaking?
1 day ago
Patient
turn 17
No, nothing like that. Just the aura and the pain.
1 day ago
Audri
turn 18
Have you ever had a headache that came on very suddenly and hit full force within seconds?
1 day ago
Patient
turn 19
No, they always build up with the aura first.
1 day ago
Audri
turn 20
Thank you. How have the attacks affected your work or daily activities?
1 day ago
Patient
turn 21
I've missed four days of work this month, and I've been cancelling things most weekends.
1 day ago
Audri
turn 22
Thank you.
As this is your first Audri intake, I have a few extra questions to get your background history.
Do you have any other ongoing medical conditions or past surgeries?
1 day ago
Patient
turn 23
No conditions, and no surgeries.
1 day ago
Audri
turn 24
Thank you. Are you currently taking any medications or supplements?
1 day ago
Patient
turn 25
I'm on Levlen, I have been for years. And the ibuprofen.
1 day ago
Audri
turn 26
Do you have any allergies to medications, foods, or anything else?
1 day ago
Patient
turn 27
Penicillin gives me a rash.
1 day ago
Audri
turn 28
Thank you. In your immediate family, do you have any history of heart disease, stroke, abnormal blood pressure or cholesterol, diabetes, or cancer?
1 day ago
Patient
turn 29
No, nothing like that.
1 day ago
Audri
turn 30
Do you smoke or vape?
1 day ago
Patient
turn 31
No.
1 day ago
Audri
turn 32
Thank you. Do you consume alcohol, and if so, how often and how much?
1 day ago
Patient
turn 33
A couple of glasses of wine on the weekend.
1 day ago
Audri
turn 34
Thank you for that information.
Is there anything else you would like to add or feel is important for the medical team to know?
1 day ago
Patient
turn 35
Honestly I'm worried it could be something serious like a tumour. And I need something that actually works — I can't keep missing work like this.
1 day ago
Audri
turn 36
Thank you. The intake is now complete, and the information will be reviewed by the medical team.
Thank you for speaking with me today.
1 day ago