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Carla Doherty

Rakish Sunrise
DOB 22/09/1987 39 yrs Phone —
Appointment Sun 8 Nov 2026, 11:30 am MSK · Osteo

All intakes

1

Consult notes

AI-drafted from the intake

1. Neck pain and headaches

  • Building up for most of the year, properly since February after changing roles.
  • At a computer all day, uses two screens with the laptop off to the side, turned to the right all day.
  • Holds phone into shoulder out of habit.
  • Neck pain is located right at the base of the skull on the right side, spreading across the top of the right shoulder blade and into the shoulder.
  • On a bad day, neck pain creeps up behind the ear.
  • Neck pain is a dragging ache, like a thumb dug in, and grabs sharply when turning to reverse the car.
  • Neck pain severity is 3/10 early in the week, constant by Thursday, and 7/10 by Friday afternoon.
  • Headaches start at the base of the skull on the right side and come up over the top to behind the right eye.
  • Headaches are a tight pressing headache rather than a throbbing one.
  • Headaches come on mid-afternoon, build up slowly, and are still present at bedtime, 3 to 4 times a week.
  • Headache severity is usually 5/10, worst was 7/10.
  • Aggravated by long stretches at the desk, scrolling on phone in bed, and leaning over.
  • Eased by getting up and walking around, a heat pack, and a hot shower.
  • Pain nearly went altogether during two weeks away at Christmas, then returned within a week of being at desk.
  • Late in the day wants overhead lights off.
  • Wakes 2 to 3 times a night with the neck aching.
  • Husband and dentist note teeth grinding.
  • Denies nausea, vomiting, visual changes, flashing lights, blind spots, sudden onset headache, worst headache ever, numbness, pins and needles, weakness, dropping things, dizziness, unsteadiness, neck injury, fevers, night sweats, and unexplained weight loss.
  • Remedial massage every 3 to 4 weeks for about a year — buys about two good days.
  • Three physio sessions last winter — given exercises and did them for a fortnight.
  • GP in April diagnosed tension headaches, advised watching posture and taking Nurofen.
  • Nurofen brings headache down if caught early; currently taking at 2pm as a precaution.
  • Panadol — does nothing.
  • Bought two different pillows this year — neither fixed it.
  • No imaging of the neck; asked previously and was told it probably wouldn't change anything.
  • Useless the last two hours of the work day, considering dropping to four days.
  • Stopped Tuesday night tennis, does not read to kids at bedtime, and has not touched sewing machine in months.
  • Thinks it is posture and the new role.
  • Worried about a disc in the neck and that headaches are turning into migraines like sister's.
  • Wants to know if a scan is needed, wants a self-management plan, and wants to get to Friday without a headache.
  • Background:
  • PMH:Low iron (resolved)
  • Medications:Nurofen PRN Panadol PRN
  • OTC/supplements:Magnesium Vitamin D
  • Allergies:Spring allergens (Hayfever)
  • FHx:Mother has hypertension father has type 2 diabetes and had a stroke at 74sister has migraines
  • Smoking: Never smoked (odd cigarette at uni) EtOH: 2-3 glasses of wine on Friday, a couple across the weekend
  • Previous similar:Odd stiff morning before February
  • Hospitalisations/surgeries:Wisdom teeth extraction two normal deliveries
  • No previous injuries
  • Occupation:Desk job, at a computer all day
  • Exercise:Walks dog on weekends
  • Diet:Coffee most of the morning, lunch at desk
Sources (28)
[s0:1] Patient My neck. It's been building up for most of the year and now I'm getting headaches with it three or so times a week, which is the part I've had enough of. I'm at a computer all day so I assume that's the culprit, but I've been putting off doing anything about it.
[s0:11] Patient Properly since February. I changed roles and went to two screens with the laptop off to the side, so I'm turned to the right all day. Before that it was the odd stiff morning and nothing more. Is it relevant that I'm on the phone a lot? I still hold it into that shoulder out of habit even with the headset on.
[s0:5] Patient Right at the base of my skull on the right side, and it spreads across the top of my shoulder blade and into the shoulder. On a bad day it creeps up behind my ear.
[s0:7] Patient A dragging ache, like someone has a thumb dug in there. When I turn to reverse the car it grabs, and that bit is sharp.
[s0:9] Patient By Friday afternoon it's a 7. Early in the week it sits at about a 3, and that's as good as it gets.
[s0:13] Patient Both. Mondays are fine, by Thursday it's there all day, and it's always worse in the afternoon. We had two weeks away at Christmas and it nearly went altogether, then it was back within a week of being at my desk.
[s0:17] Patient They start at the base of my skull on the same side and come up over the top to behind my right eye. They come on mid-afternoon and they're still there when I go to bed. Three times a week, sometimes four. It's a tight pressing headache rather than a throbbing one.
[s0:25] Patient No. They build up slowly over the afternoon, every single time.
[s0:19] Patient About a 5 usually, and the worst one was a 7. Nurofen brings it down if I catch it early. Panadol does nothing.
[s0:15] Patient Long stretches at the desk, and scrolling on my phone in bed, which I know I shouldn't. Easing it — getting up and walking around, a heat pack, a hot shower. Remedial massage buys me about two good days.
[s0:41] Patient I get through work, but the last two hours of the day I'm useless and I've started taking Nurofen at two o'clock as a precaution. I've stopped my Tuesday night tennis, I don't read to the kids at bedtime much any more because leaning over sets the headache off, and I haven't touched my sewing machine in months. I've been quietly wondering whether I should drop to four days.
[s0:21] Patient No nausea or vomiting. Late in the day I do want the overhead lights off, but I can work through it.
[s0:35] Patient I'm a side sleeper and I wake two or three times a night, usually with the neck aching. I've bought two different pillows this year and neither has fixed it. My husband says I grind my teeth as well, and my dentist mentioned it at my last check-up.
[s0:23] Patient No, nothing like that. My sister gets that with her migraines and I don't.
[s0:27] Patient No numbness or pins and needles, and nothing has gone weak. I'm not dropping things.
[s0:29] Patient No.
[s0:31] Patient No, never. No whiplash, nothing like that.
[s0:33] Patient No, I'm well in myself otherwise. Tired, but that's the sleep.
[s0:37] Patient Remedial massage every three or four weeks for about a year. Three physio sessions last winter — I was given exercises and I did them for a fortnight. My GP saw me in April, said it was tension headaches and to watch my posture and take Nurofen.
[s0:39] Patient No, nothing. I did ask and was told it probably wouldn't change anything.
[s0:59] Patient I think it's my posture and the new role, but what sits in the back of my mind is a disc in my neck — a woman in my team ended up having injections for one and she was off work for weeks. I'm also worried these headaches are turning into migraines like my sister's. What I want is to know whether I need a scan, and a plan I can do myself, because paying for a massage every fortnight forever isn't it. If I could get to a Friday without a headache I'd be thrilled.
[s0:43] Patient Nothing ongoing. I was low in iron a couple of years ago and took tablets for it. Two children, both normal deliveries, and my wisdom teeth out at twenty-two.
[s0:45] Patient Nurofen three or four times a week, Panadol here and there, magnesium at night and a vitamin D.
[s0:49] Patient Mum's on blood pressure tablets. Dad has type 2 diabetes and had a stroke at seventy-four. My sister gets migraines, if that's useful.
[s0:51] Patient No. I had the odd cigarette at uni and nothing since.
[s0:53] Patient Two or three glasses of wine on a Friday, and a couple across the weekend.
[s0:55] Patient I walk the dog on weekends. I did Pilates for a few years before the kids.
[s0:57] Patient No, nothing in particular. Coffee most of the morning and lunch at my desk.
Conversation transcript 61 turns
Audri turn 0
Hello, I'm Audri, your intake assistant. What brings you in for your upcoming appointment?
15 hours ago
Patient turn 1
My neck. It's been building up for most of the year and now I'm getting headaches with it three or so times a week, which is the part I've had enough of. I'm at a computer all day so I assume that's the culprit, but I've been putting off doing anything about it.
15 hours ago
Audri turn 2
Thank you for sharing that. Can you tell me your sex assigned at birth?
15 hours ago
Patient turn 3
Female.
15 hours ago
Audri turn 4
Thank you. Whereabouts in the neck do you feel it?
15 hours ago
Patient turn 5
Right at the base of my skull on the right side, and it spreads across the top of my shoulder blade and into the shoulder. On a bad day it creeps up behind my ear.
15 hours ago
Audri turn 6
Thank you. Can you describe what the neck pain feels like?
15 hours ago
Patient turn 7
A dragging ache, like someone has a thumb dug in there. When I turn to reverse the car it grabs, and that bit is sharp.
15 hours ago
Audri turn 8
How severe does the neck pain get at its worst, on a scale of 0 to 10, with 0 being no pain and 10 being the worst imaginable?
15 hours ago
Patient turn 9
By Friday afternoon it's a 7. Early in the week it sits at about a 3, and that's as good as it gets.
15 hours ago
Audri turn 10
Thank you. You mentioned it has been building up for most of the year. When did you first notice it?
15 hours ago
Patient turn 11
Properly since February. I changed roles and went to two screens with the laptop off to the side, so I'm turned to the right all day. Before that it was the odd stiff morning and nothing more. Is it relevant that I'm on the phone a lot? I still hold it into that shoulder out of habit even with the headset on.
15 hours ago
Audri turn 12
Thank you. Does the pain vary across the week, or through the day?
15 hours ago
Patient turn 13
Both. Mondays are fine, by Thursday it's there all day, and it's always worse in the afternoon. We had two weeks away at Christmas and it nearly went altogether, then it was back within a week of being at my desk.
15 hours ago
Audri turn 14
Thank you. What else makes it worse, and what eases it?
15 hours ago
Patient turn 15
Long stretches at the desk, and scrolling on my phone in bed, which I know I shouldn't. Easing it — getting up and walking around, a heat pack, a hot shower. Remedial massage buys me about two good days.
15 hours ago
Audri turn 16
Thank you. Can you tell me about the headaches?
15 hours ago
Patient turn 17
They start at the base of my skull on the same side and come up over the top to behind my right eye. They come on mid-afternoon and they're still there when I go to bed. Three times a week, sometimes four. It's a tight pressing headache rather than a throbbing one.
15 hours ago
Audri turn 18
How severe do the headaches get, on the same 0 to 10 scale?
15 hours ago
Patient turn 19
About a 5 usually, and the worst one was a 7. Nurofen brings it down if I catch it early. Panadol does nothing.
15 hours ago
Audri turn 20
Thank you. Have you had any nausea, vomiting, or sensitivity to light with the headaches?
15 hours ago
Patient turn 21
No nausea or vomiting. Late in the day I do want the overhead lights off, but I can work through it.
15 hours ago
Audri turn 22
Have you had any visual changes, flashing lights, or blind spots before or during a headache?
15 hours ago
Patient turn 23
No, nothing like that. My sister gets that with her migraines and I don't.
15 hours ago
Audri turn 24
Thank you. Have you had a headache that came on suddenly, or one that was the worst you have ever had?
15 hours ago
Patient turn 25
No. They build up slowly over the afternoon, every single time.
15 hours ago
Audri turn 26
Thank you. Have you had any numbness, pins and needles, or weakness in your arms or hands?
15 hours ago
Patient turn 27
No numbness or pins and needles, and nothing has gone weak. I'm not dropping things.
15 hours ago
Audri turn 28
Thank you. Have you had any dizziness or unsteadiness?
15 hours ago
Patient turn 29
No.
15 hours ago
Audri turn 30
Have you had any injury to the neck, such as a fall or a car accident?
15 hours ago
Patient turn 31
No, never. No whiplash, nothing like that.
15 hours ago
Audri turn 32
Have you had any fevers, night sweats, or unexplained weight loss?
15 hours ago
Patient turn 33
No, I'm well in myself otherwise. Tired, but that's the sleep.
15 hours ago
Audri turn 34
Thank you. Can you tell me about your sleep?
15 hours ago
Patient turn 35
I'm a side sleeper and I wake two or three times a night, usually with the neck aching. I've bought two different pillows this year and neither has fixed it. My husband says I grind my teeth as well, and my dentist mentioned it at my last check-up.
15 hours ago
Audri turn 36
Thank you. What treatment have you had for the neck so far?
15 hours ago
Patient turn 37
Remedial massage every three or four weeks for about a year. Three physio sessions last winter — I was given exercises and I did them for a fortnight. My GP saw me in April, said it was tension headaches and to watch my posture and take Nurofen.
15 hours ago
Audri turn 38
Thank you. Have you had any imaging of the neck?
15 hours ago
Patient turn 39
No, nothing. I did ask and was told it probably wouldn't change anything.
15 hours ago
Audri turn 40
Thank you. How is this affecting your work and day to day?
15 hours ago
Patient turn 41
I get through work, but the last two hours of the day I'm useless and I've started taking Nurofen at two o'clock as a precaution. I've stopped my Tuesday night tennis, I don't read to the kids at bedtime much any more because leaning over sets the headache off, and I haven't touched my sewing machine in months. I've been quietly wondering whether I should drop to four days.
15 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?
15 hours ago
Patient turn 43
Nothing ongoing. I was low in iron a couple of years ago and took tablets for it. Two children, both normal deliveries, and my wisdom teeth out at twenty-two.
15 hours ago
Audri turn 44
Thank you. Are you currently taking any medications or supplements?
15 hours ago
Patient turn 45
Nurofen three or four times a week, Panadol here and there, magnesium at night and a vitamin D.
15 hours ago
Audri turn 46
Do you have any allergies to medications, foods, or anything else?
15 hours ago
Patient turn 47
Hayfever in spring, but nothing to any medication.
15 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?
15 hours ago
Patient turn 49
Mum's on blood pressure tablets. Dad has type 2 diabetes and had a stroke at seventy-four. My sister gets migraines, if that's useful.
15 hours ago
Audri turn 50
Thank you. Do you smoke or vape?
15 hours ago
Patient turn 51
No. I had the odd cigarette at uni and nothing since.
15 hours ago
Audri turn 52
Do you consume alcohol, and if so, how often and how much?
15 hours ago
Patient turn 53
Two or three glasses of wine on a Friday, and a couple across the weekend.
15 hours ago
Audri turn 54
Thank you. Apart from tennis, do you do any other exercise, now or in the past?
14 hours ago
Patient turn 55
I walk the dog on weekends. I did Pilates for a few years before the kids.
14 hours ago
Audri turn 56
Thank you. Do you follow any special diet, or have any particular eating habits?
14 hours ago
Patient turn 57
No, nothing in particular. Coffee most of the morning and lunch at my desk.
14 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?
14 hours ago
Patient turn 59
I think it's my posture and the new role, but what sits in the back of my mind is a disc in my neck — a woman in my team ended up having injections for one and she was off work for weeks. I'm also worried these headaches are turning into migraines like my sister's. What I want is to know whether I need a scan, and a plan I can do myself, because paying for a massage every fortnight forever isn't it. If I could get to a Friday without a headache I'd be thrilled.
14 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.
14 hours ago