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Thomas Okafor

Saffron Mandolin
DOB 22/06/1979 47 yrs Phone +61491570108
Appointment Sunday, 9 August 2026 at 10:00 AM

All Intakes

1

Consult notes

AI-drafted from the intake

1. Cough

  • 3.5-week history of cough, onset after a head cold.
  • Initially dry, now productive of phlegm, which is yellowish first thing in the morning.
  • Unchanged from a fortnight ago, though nights are probably a bit worse.
  • Worse at night; wakes him pretty much every night, taking over 30 minutes to return to sleep, and wakes his wife.
  • Aggravated by lying down, cold air, and exertion (climbing stairs on delivery runs).
  • Alleviated temporarily by steam in the shower.
  • Associated with a new wheeze at night and shortness of breath on exertion (puffing more than a year ago after two flights of stairs).
  • Soreness across the front of the chest from coughing.
  • Had a temperature for the first couple of days with the cold, but none since.
  • Denies hemoptysis, night sweats, weight loss, or other chest pain.
  • Over-the-counter cough syrup provided no improvement.
  • Works as a courier; has had to swap night shifts due to the coughing.
  • Concerned it might be a lung issue due to past smoking history; wonders if a chest x-ray is needed and wants it sorted out.
  • Background:
  • PMH: Childhood asthma (resolved)
  • Medications: nil regular
  • OTC/supplements: Chemist cough syrup Panadol
  • NKDA
  • FHx: Mother has hypertension
  • Smoking: Ex-smoker (quit 6 years ago, previously 10/day for 15 years) EtOH: 4-5 beers on Friday night
  • Hospitalisations/surgeries: Appendectomy at age 19
Sources (18)
[s0:1] Patient I've got a cough that won't shift. It's been about three and a half weeks now — it came on after a head cold.
[s0:5] Patient It was dry the first week or so. Now I'm bringing up phlegm, a bit yellowy first thing in the morning.
[s0:25] Patient The cold's long gone but the cough is about where it was a fortnight ago. The nights are probably a bit worse.
[s0:9] Patient Night's the worst. Once I lie down it gets going.
[s0:11] Patient Pretty much every night. Half an hour before I get back off, sometimes longer. It's waking my wife too.
[s0:13] Patient Cold air sets it off, and the stairs on my delivery runs — I'm a courier, so I'm up and down out of the van all day. The steam in the shower settles it for a bit. The chemist cough syrup does nothing.
[s0:17] Patient A bit of a wheeze at night. I never used to get that.
[s0:19] Patient Only when I'm rushing. Two flights with a parcel and I'm puffing more than I would have a year ago.
[s0:21] Patient Just sore across the front from all the coughing. Nothing else.
[s0:15] Patient I had a temperature for the first couple of days with the cold. Nothing since.
[s0:7] Patient No, nothing like that.
[s0:23] Patient No, weight's the same. No sweats.
[s0:39] Patient I keep thinking it's something on the lungs, with the smoking I did. Do I need a chest x-ray? And I've had to swap my night shifts with another driver because of the coughing, so I want it sorted out.
[s0:27] Patient Nothing ongoing. I had my appendix out at 19. I had a bit of asthma as a kid but I grew out of it.
[s0:29] Patient Just the cough syrup and the odd Panadol. Nothing regular.
[s0:33] Patient Mum's on blood pressure tablets. Nothing else that I know of.
[s0:35] Patient I quit six years ago. Before that it was about ten a day for fifteen years.
[s0:37] Patient Four or five beers on a Friday night. Not much through the week.
Conversation transcript 41 turns · click to expand
Audri turn 0
Hello, I'm Audri, your intake assistant. What brings you in for your upcoming appointment?
20 hours ago
Patient turn 1
I've got a cough that won't shift. It's been about three and a half weeks now — it came on after a head cold.
20 hours ago
Audri turn 2
Thank you for sharing that. Can you tell me your sex assigned at birth?
20 hours ago
Patient turn 3
Male.
20 hours ago
Audri turn 4
Thank you. Can you tell me what the cough is like now — is it dry, or are you bringing anything up?
20 hours ago
Patient turn 5
It was dry the first week or so. Now I'm bringing up phlegm, a bit yellowy first thing in the morning.
20 hours ago
Audri turn 6
Thank you. Have you noticed any blood in what you cough up?
20 hours ago
Patient turn 7
No, nothing like that.
20 hours ago
Audri turn 8
Thank you. Is there a time of day or night when the cough is worse?
20 hours ago
Patient turn 9
Night's the worst. Once I lie down it gets going.
20 hours ago
Audri turn 10
Roughly how many nights a week is it waking you, and how long does it keep you up?
20 hours ago
Patient turn 11
Pretty much every night. Half an hour before I get back off, sometimes longer. It's waking my wife too.
20 hours ago
Audri turn 12
Thank you. Is there anything that brings the cough on, or anything that eases it?
20 hours ago
Patient turn 13
Cold air sets it off, and the stairs on my delivery runs — I'm a courier, so I'm up and down out of the van all day. The steam in the shower settles it for a bit. The chemist cough syrup does nothing.
20 hours ago
Audri turn 14
Thank you. Have you had any fevers or sweats in the last week?
20 hours ago
Patient turn 15
I had a temperature for the first couple of days with the cold. Nothing since.
20 hours ago
Audri turn 16
Have you noticed any wheeze or whistling in your chest?
20 hours ago
Patient turn 17
A bit of a wheeze at night. I never used to get that.
20 hours ago
Audri turn 18
Thank you. Have you been short of breath, and if so, when does that happen?
20 hours ago
Patient turn 19
Only when I'm rushing. Two flights with a parcel and I'm puffing more than I would have a year ago.
20 hours ago
Audri turn 20
Have you had any chest pain?
20 hours ago
Patient turn 21
Just sore across the front from all the coughing. Nothing else.
20 hours ago
Audri turn 22
Thank you. Have you lost any weight without trying, or had any night sweats?
20 hours ago
Patient turn 23
No, weight's the same. No sweats.
20 hours ago
Audri turn 24
Thank you. Over the last week or so, has the cough been getting better, worse, or staying about the same?
20 hours ago
Patient turn 25
The cold's long gone but the cough is about where it was a fortnight ago. The nights are probably a bit worse.
20 hours ago
Audri turn 26
Thank you. As this is your first Audri intake, I have a few extra questions to get your background history. Do you have any ongoing medical conditions or past surgeries?
20 hours ago
Patient turn 27
Nothing ongoing. I had my appendix out at 19. I had a bit of asthma as a kid but I grew out of it.
20 hours ago
Audri turn 28
Thank you. Are you currently taking any medications or supplements?
20 hours ago
Patient turn 29
Just the cough syrup and the odd Panadol. Nothing regular.
20 hours ago
Audri turn 30
Do you have any allergies to medications, foods, or anything else?
20 hours ago
Patient turn 31
No allergies.
20 hours ago
Audri turn 32
Thank you. In your immediate family, do you have any history of heart disease, stroke, abnormal blood pressure or cholesterol, diabetes, or cancer?
20 hours ago
Patient turn 33
Mum's on blood pressure tablets. Nothing else that I know of.
20 hours ago
Audri turn 34
Thank you. Do you smoke or vape?
20 hours ago
Patient turn 35
I quit six years ago. Before that it was about ten a day for fifteen years.
20 hours ago
Audri turn 36
Thank you. Do you consume alcohol, and if so, how often and how much?
20 hours ago
Patient turn 37
Four or five beers on a Friday night. Not much through the week.
20 hours ago
Audri turn 38
Thank you for that information. Is there anything else you would like to add or feel is important for the medical team to know?
20 hours ago
Patient turn 39
I keep thinking it's something on the lungs, with the smoking I did. Do I need a chest x-ray? And I've had to swap my night shifts with another driver because of the coughing, so I want it sorted out.
20 hours ago
Audri turn 40
Thank you. The intake is now complete, and the information will be reviewed by the medical team. Thank you for speaking with me today.
20 hours ago