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Glen Buckley

Earnest Ember
DOB 03/11/1974 52 yrs Phone —
Appointment Sun 8 Nov 2026, 12:00 pm MSK · Osteo

All intakes

1

Consult notes

AI-drafted from the intake

1. Left heel pain

  • 3-month history of pain under the left heel.
  • Located underneath the heel, slightly towards the inside, about the size of a twenty cent piece.
  • Pain occasionally pulls forward along the arch.
  • Sharp, like standing on a stone first thing in the morning, becoming a bruised ache that builds up through the shift.
  • Severity is 8/10 for the first steps, 2-3/10 once warm, 6-7/10 by the end of a double shift, and 1/10 when sitting.
  • Takes 10 to 15 minutes to ease once up and moving; first few steps after sitting for a break are nearly as bad.
  • Gradual onset with no injury, pop, or snap.
  • Onset coincided with starting 5km morning walks to lose weight and moving to a venue with concrete floors and 10-11 hour shifts.
  • Wearing the same pair of work shoes for two years.
  • Worsened over the first six weeks, plateaued, then worsened again over the last fortnight after starting to jog part of the walk.
  • Aggravated by standing still at the pass, walking barefoot on tiles, stairs, and pushing off the foot.
  • Eased by getting weight off the foot, a frozen water bottle under the foot, and Voltaren gel at night.
  • Denies swelling, bruising, numbness, pins and needles, or burning.
  • Denies pain when squeezing the back of the heel or the tendon.
  • Denies pain at rest or waking at night; settles down once off feet.
  • Left calf is tight as a drum, achy in the mornings, and has always been the tighter of the two.
  • Right heel niggles after a long shift, but denies pain in other joints or the back.
  • Denies fevers, night sweats, or unexplained weight loss; intentional 6kg weight loss from walking.
  • Tried gel heel cups from the chemist.
  • Takes Panadol at night if it's throbbing.
  • Remedial massage of calves twice helped for a couple of days.
  • Taping by a mate once provided the best day he had.
  • Nearly resolved after four days off at Easter, but returned after two shifts.
  • Limping by the end of a shift, sitting down to do prep, stopped morning walks three weeks ago, hobbling when running the boundary at football, and cannot stand at a barbecue for an hour.
  • Fairly sure it is plantar fasciitis.
  • Concerned about needing an injection or an operation, as he cannot take a month off work.
  • Wants to know if walking is doing damage or if he should push through, whether proper shoes or custom insoles are worth the money, and would like to get back to walking 5km.
  • Background:
  • PMH:High cholesterol Borderline type 2 diabetesObesity (105kg)
  • Medications:Atorvastatin 20mg
  • OTC/supplements:Voltaren gel Panadol
  • Allergies:Codeine (Makes me crook)
  • FHx:Mother has type 2 diabetes father had a triple bypass in his seventies
  • Smoking: Gave up eleven years ago. Was about fifteen a day for twenty years before that EtOH: Three or four beers after a Friday shift. A few more on a day off
  • Hospitalisations/surgeries:Hernia repair about ten years back
  • Previous injuries:Broke right ankle playing footy at nineteen burns and cuts in the kitchen
  • Occupation:Chef/kitchen worker (10-11 hour shifts, standing at pass, prep)
  • Exercise:Was walking 5km six mornings a week, started jogging, stopped 3 weeks ago
  • Diet:Eats on the run at work, a lot of tasting. Cut out soft drink
Sources (27)
[s0:1] Patient Pain under my left heel. About three months now. The first few steps out of bed in the morning are the worst of it.
[s0:5] Patient Underneath, a bit towards the inside. About the size of a twenty cent piece. Some days it pulls forward along the arch.
[s0:7] Patient First thing in the morning it's sharp, like standing on a stone. After that it's a bruised ache that builds up through the shift.
[s0:9] Patient Those first steps are an 8. Once I'm warm it's a 2 or 3. End of a double shift it's back up to a 6 or 7. Sitting here it's a 1.
[s0:11] Patient Ten or fifteen minutes. Same again if I sit down for a break — the first few steps after that are nearly as bad.
[s0:13] Patient No injury. Nothing popped or snapped, I'd have known about that.
[s0:15] Patient Two things. I started walking the dog five kilometres before work to shift some weight, six mornings a week, from doing nothing at all. And I moved venues in February — concrete floors and longer shifts, ten or eleven hours. Still in the same pair of work shoes I've had for two years.
[s0:17] Patient Worse over the first six weeks, then it sat about the same. The last fortnight it's been worse again. I'd started jogging part of the walk by then.
[s0:19] Patient Standing still at the pass is worse than moving. Barefoot on the tiles at home, the stairs down to the cool room, and pushing off it. Getting the weight off helps, a frozen water bottle under the foot helps, and Voltaren gel at night.
[s0:21] Patient No swelling, no bruising.
[s0:23] Patient No, none of that. It's the one spot.
[s0:25] Patient No, that's fine. It's underneath, not behind.
[s0:27] Patient No. Once I'm off my feet it settles down. I sleep alright.
[s0:29] Patient Tight as a drum. It's achy in the mornings and it's always been the tighter of the two.
[s0:31] Patient The right one niggles after a long shift but it's nothing like this. No other joints, and my back's fine.
[s0:33] Patient No. I've lost about six kilos but that's the walking, I was trying to.
[s0:35] Patient Gel heel cups from the chemist, Voltaren gel, and Panadol at night if it's throbbing. A remedial massage fellow did my calves twice, which helped for a couple of days. A mate taped it for me once and that was the best day I'd had.
[s0:39] Patient No. I kept thinking it'd come good on its own. I had four days off at Easter and it was nearly gone, then two shifts undid it, which is what finally got me to book.
[s0:41] Patient I'm limping by the end of a shift and I've started sitting down to do prep, which isn't me. I stopped the morning walks three weeks ago. I run the boundary for my son's under-thirteens on a Sunday and I'm hobbling through that. Can't stand at a barbecue for an hour.
[s0:59] Patient I'm fairly sure it's plantar fasciitis — a bloke I worked with had it and ended up with a cortisone injection. What I don't want is being told I need an injection or an operation, because I can't take a month off the kitchen. What I want to know is whether the walking is doing damage or whether I push through it, and whether proper shoes or made-up insoles are worth the money. I'd like to get back to my five kilometres, I'd dropped six kilos doing it.
[s0:43] Patient High cholesterol, and a blood test last year had me on the edge of type 2 diabetes. Hernia repair about ten years back. I'm around a hundred and five kilos.
[s0:45] Patient Atorvastatin 20mg at night, the Voltaren gel, and Panadol when I need it.
[s0:49] Patient Mum's got type 2 diabetes. Dad had a triple bypass in his seventies.
[s0:51] Patient Gave up eleven years ago. Was about fifteen a day for twenty years before that.
[s0:53] Patient Three or four beers after a Friday shift. A few more on a day off.
[s0:55] Patient Broke my right ankle playing footy at nineteen, six weeks in a cast. Burns and cuts in the kitchen, nothing major.
[s0:57] Patient I eat on the run at work, a lot of tasting. I've cut out soft drink since I started trying to lose the weight.
Conversation transcript 61 turns
Audri turn 0
Hello, I'm Audri, your intake assistant. What brings you in for your upcoming appointment?
14 hours ago
Patient turn 1
Pain under my left heel. About three months now. The first few steps out of bed in the morning are the worst of it.
14 hours ago
Audri turn 2
Thank you for sharing that. Can you tell me your sex assigned at birth?
14 hours ago
Patient turn 3
Male.
14 hours ago
Audri turn 4
Thank you. Whereabouts under the heel do you feel it?
14 hours ago
Patient turn 5
Underneath, a bit towards the inside. About the size of a twenty cent piece. Some days it pulls forward along the arch.
14 hours ago
Audri turn 6
Thank you. Can you describe what the pain feels like?
14 hours ago
Patient turn 7
First thing in the morning it's sharp, like standing on a stone. After that it's a bruised ache that builds up through the shift.
14 hours ago
Audri turn 8
How severe does it get at its worst, on a scale of 0 to 10, with 0 being no pain and 10 being the worst imaginable?
14 hours ago
Patient turn 9
Those first steps are an 8. Once I'm warm it's a 2 or 3. End of a double shift it's back up to a 6 or 7. Sitting here it's a 1.
14 hours ago
Audri turn 10
Thank you. How long does it take to ease once you are up and moving?
14 hours ago
Patient turn 11
Ten or fifteen minutes. Same again if I sit down for a break — the first few steps after that are nearly as bad.
14 hours ago
Audri turn 12
Thank you. Was there any injury or particular moment when it started?
14 hours ago
Patient turn 13
No injury. Nothing popped or snapped, I'd have known about that.
14 hours ago
Audri turn 14
Thank you. Had anything changed in your activity or your work around the time it came on?
14 hours ago
Patient turn 15
Two things. I started walking the dog five kilometres before work to shift some weight, six mornings a week, from doing nothing at all. And I moved venues in February — concrete floors and longer shifts, ten or eleven hours. Still in the same pair of work shoes I've had for two years.
14 hours ago
Audri turn 16
Thank you. How has it changed over the three months?
14 hours ago
Patient turn 17
Worse over the first six weeks, then it sat about the same. The last fortnight it's been worse again. I'd started jogging part of the walk by then.
14 hours ago
Audri turn 18
Thank you. What makes it worse, and what eases it?
14 hours ago
Patient turn 19
Standing still at the pass is worse than moving. Barefoot on the tiles at home, the stairs down to the cool room, and pushing off it. Getting the weight off helps, a frozen water bottle under the foot helps, and Voltaren gel at night.
14 hours ago
Audri turn 20
Thank you. Have you had any swelling or bruising around the heel?
14 hours ago
Patient turn 21
No swelling, no bruising.
14 hours ago
Audri turn 22
Thank you. Have you had any numbness, pins and needles, or burning in the foot?
14 hours ago
Patient turn 23
No, none of that. It's the one spot.
14 hours ago
Audri turn 24
Thank you. Is there any pain if you squeeze the back of the heel or the tendon itself?
14 hours ago
Patient turn 25
No, that's fine. It's underneath, not behind.
14 hours ago
Audri turn 26
Thank you. Does the heel hurt at rest, or wake you at night?
14 hours ago
Patient turn 27
No. Once I'm off my feet it settles down. I sleep alright.
14 hours ago
Audri turn 28
Thank you. Is the calf on that side involved at all?
14 hours ago
Patient turn 29
Tight as a drum. It's achy in the mornings and it's always been the tighter of the two.
14 hours ago
Audri turn 30
Thank you. Do you have pain in the other heel, or in any other joints?
14 hours ago
Patient turn 31
The right one niggles after a long shift but it's nothing like this. No other joints, and my back's fine.
14 hours ago
Audri turn 32
Have you had any fevers, night sweats, or unexplained weight loss?
14 hours ago
Patient turn 33
No. I've lost about six kilos but that's the walking, I was trying to.
14 hours ago
Audri turn 34
Thank you. What have you tried for it so far?
14 hours ago
Patient turn 35
Gel heel cups from the chemist, Voltaren gel, and Panadol at night if it's throbbing. A remedial massage fellow did my calves twice, which helped for a couple of days. A mate taped it for me once and that was the best day I'd had.
14 hours ago
Audri turn 36
Thank you. Have you had any imaging of the foot?
14 hours ago
Patient turn 37
No.
14 hours ago
Audri turn 38
Thank you. Have you seen anyone else about it?
14 hours ago
Patient turn 39
No. I kept thinking it'd come good on its own. I had four days off at Easter and it was nearly gone, then two shifts undid it, which is what finally got me to book.
14 hours ago
Audri turn 40
Thank you. How is it affecting your work and day to day?
14 hours ago
Patient turn 41
I'm limping by the end of a shift and I've started sitting down to do prep, which isn't me. I stopped the morning walks three weeks ago. I run the boundary for my son's under-thirteens on a Sunday and I'm hobbling through that. Can't stand at a barbecue for an hour.
14 hours ago
Audri turn 42
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?
14 hours ago
Patient turn 43
High cholesterol, and a blood test last year had me on the edge of type 2 diabetes. Hernia repair about ten years back. I'm around a hundred and five kilos.
14 hours ago
Audri turn 44
Thank you. Are you currently taking any medications or supplements?
14 hours ago
Patient turn 45
Atorvastatin 20mg at night, the Voltaren gel, and Panadol when I need it.
14 hours ago
Audri turn 46
Do you have any allergies to medications, foods, or anything else?
14 hours ago
Patient turn 47
Codeine makes me crook. I wouldn't call it an allergy. Nothing else.
14 hours ago
Audri turn 48
Thank you. In your immediate family, do you have any history of heart disease, stroke, abnormal blood pressure or cholesterol, diabetes, or cancer?
14 hours ago
Patient turn 49
Mum's got type 2 diabetes. Dad had a triple bypass in his seventies.
14 hours ago
Audri turn 50
Thank you. Do you smoke or vape?
14 hours ago
Patient turn 51
Gave up eleven years ago. Was about fifteen a day for twenty years before that.
14 hours ago
Audri turn 52
Do you consume alcohol, and if so, how often and how much?
14 hours ago
Patient turn 53
Three or four beers after a Friday shift. A few more on a day off.
13 hours ago
Audri turn 54
Thank you. Have you had any previous injuries — for example a car accident, a broken bone, or a sprain or strain?
13 hours ago
Patient turn 55
Broke my right ankle playing footy at nineteen, six weeks in a cast. Burns and cuts in the kitchen, nothing major.
13 hours ago
Audri turn 56
Thank you. Do you follow any special diet, or have any particular eating habits?
13 hours ago
Patient turn 57
I eat on the run at work, a lot of tasting. I've cut out soft drink since I started trying to lose the weight.
13 hours ago
Audri turn 58
Thank you for that information. Is there anything else you would like to add or feel is important for the medical team to know?
13 hours ago
Patient turn 59
I'm fairly sure it's plantar fasciitis — a bloke I worked with had it and ended up with a cortisone injection. What I don't want is being told I need an injection or an operation, because I can't take a month off the kitchen. What I want to know is whether the walking is doing damage or whether I push through it, and whether proper shoes or made-up insoles are worth the money. I'd like to get back to my five kilometres, I'd dropped six kilos doing it.
13 hours ago
Audri turn 60
Thank you. The intake is now complete, and the information will be reviewed by the medical team. Thank you for speaking with me today.
13 hours ago