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Arthur Bell

Ivory Banjo

DOB 03/11/1958 67 yrs Phone +61491570110

Appointment Monday, 10 August 2026 at 3:30 PM

All Intakes

Tomorrow 3:30 PM Summary

Consult notes

AI-drafted from the intake

1. Right knee pain

8-month history of right knee pain, slowly worsening.
Pain is located at the front and inside of the knee.
Deep ache most of the time (2/10 at rest), becoming sharper (up to 7/10) when twisting or coming down a step badly.
Exacerbated by stairs (comes down sideways holding the rail) and gardening.
Eased by sitting with the leg elevated and using a heat pack.
Morning stiffness lasting about 15 minutes before loosening up.
Intermittent swelling after gardening that resolves by morning.
Grinding and clicking in the knee.
Denies pain at the back of the knee, locking, giving way, redness, heat, fevers, or previous injury.
Has reduced gardening to 30 minutes at a time and missed lawn bowls for three weeks.
Notes a 10kg weight gain since retirement, which he feels is not helping the knee.
Taking paracetamol most days and Nurofen a couple of times a week (more after gardening) for the pain.
Accepts he may eventually need a knee replacement but is not keen on surgery and wants to know if there are other treatments to try first.
Concerned about having to give up lawn bowls as it makes up most of his week.

Background:
PMH: Hypertension Type 2 diabetes
Medications: Metformin twice a day perindopril
OTC/supplements: Paracetamol most days Nurofen a couple of times a week
NKDA
FHx: Father had a stroke at age 79 or 80 Mother had diabetes
Non-smoker EtOH: A couple of stubbies with dinner most nights
Hospitalisations/surgeries: Hernia repair about 15 years ago

Sources (19)

[s0:1] Patient It's my right knee. It's been playing up for about eight months and it's slowly got worse.

[s0:5] Patient At the front and round the inside of it. Not the back.

[s0:7] Patient A deep ache most of the time. Sharper if I twist on it or come down a step badly.

[s0:9] Patient A 7 when I've overdone it in the garden. Sitting here now, about a 2.

[s0:11] Patient Stairs, going down especially — I come down sideways holding the rail now. A couple of hours in the garden will set it off for the rest of the day. Sitting with it up helps, and the heat pack.

[s0:13] Patient It's stiff getting out of bed. About a quarter of an hour and then it loosens up.

[s0:15] Patient Now and again. It puffs up after the gardening and it's down by the morning.

[s0:17] Patient No, it's never given way. It grinds and clicks but it's never locked up on me.

[s0:19] Patient Not that I remember. I played a bit of footy years ago but I never did it in.

[s0:21] Patient No, it's never hot. No temperature.

[s0:23] Patient I've cut the gardening back to half an hour at a time. I've missed lawn bowls three weeks running. And I've put on a good ten kilos since I retired, which I know won't be helping it.

[s0:27] Patient Metformin twice a day, and something for the blood pressure — perindopril, I think. Paracetamol most days for the knee, and a Nurofen if it's really up.

[s0:29] Patient Couple of times a week. More than that after a day in the garden.

[s0:41] Patient I've more or less accepted I'll need a new knee eventually. What I want to know is whether there's anything else to try first, because I'm not keen on going under the knife. And the bowls — if I have to give that up I'd be lost, it's most of my week.

[s0:25] Patient High blood pressure and type 2 diabetes. I had a hernia repaired about fifteen years back.

[s0:31] Patient No allergies.

[s0:33] Patient My father had a stroke, and my mother had the diabetes as well.

[s0:37] Patient No, never have.

[s0:39] Patient A couple of stubbies with dinner most nights.

Conversation transcript 43 turns · click to expand

Audri turn 0

Hello, I'm Audri, your intake assistant. What brings you in for your upcoming appointment?

14 hours ago

Patient turn 1

It's my right knee. It's been playing up for about eight months and it's slowly got worse.

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 in the knee do you feel the pain?

14 hours ago

Patient turn 5

At the front and round the inside of it. Not the back.

14 hours ago

Audri turn 6

Thank you. Can you describe what the pain feels like?

14 hours ago

Patient turn 7

A deep ache most of the time. Sharper if I twist on it or come down a step badly.

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

A 7 when I've overdone it in the garden. Sitting here now, about a 2.

14 hours ago

Audri turn 10

Thank you. What makes it worse, and what eases it?

14 hours ago

Patient turn 11

Stairs, going down especially — I come down sideways holding the rail now. A couple of hours in the garden will set it off for the rest of the day. Sitting with it up helps, and the heat pack.

14 hours ago

Audri turn 12

Thank you. Is the knee stiff in the mornings, and if so, how long does that last?

14 hours ago

Patient turn 13

It's stiff getting out of bed. About a quarter of an hour and then it loosens up.

14 hours ago

Audri turn 14

Thank you. Has the knee swelled at all?

14 hours ago

Patient turn 15

Now and again. It puffs up after the gardening and it's down by the morning.

14 hours ago

Audri turn 16

Has the knee ever locked, or given way underneath you?

14 hours ago

Patient turn 17

No, it's never given way. It grinds and clicks but it's never locked up on me.

14 hours ago

Audri turn 18

Thank you. Was there any injury or accident to the knee at any point?

14 hours ago

Patient turn 19

Not that I remember. I played a bit of footy years ago but I never did it in.

14 hours ago

Audri turn 20

Have you had any redness or heat in the knee, or any fevers?

14 hours ago

Patient turn 21

No, it's never hot. No temperature.

14 hours ago

Audri turn 22

Thank you. How is the knee affecting what you do day to day?

14 hours ago

Patient turn 23

I've cut the gardening back to half an hour at a time. I've missed lawn bowls three weeks running. And I've put on a good ten kilos since I retired, which I know won't be helping it.

14 hours ago

Audri turn 24

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 25

High blood pressure and type 2 diabetes. I had a hernia repaired about fifteen years back.

14 hours ago

Audri turn 26

Thank you. Are you currently taking any medications or supplements?

14 hours ago

Patient turn 27

Metformin twice a day, and something for the blood pressure — perindopril, I think. Paracetamol most days for the knee, and a Nurofen if it's really up.

14 hours ago

Audri turn 28

Thank you. How often would you say you are taking the Nurofen?

14 hours ago

Patient turn 29

Couple of times a week. More than that after a day in the garden.

14 hours ago

Audri turn 30

Do you have any allergies to medications, foods, or anything else?

14 hours ago

Patient turn 31

No allergies.

14 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?

14 hours ago

Patient turn 33

My father had a stroke, and my mother had the diabetes as well.

14 hours ago

Audri turn 34

Could you please tell me what age your father was when he had the stroke?

14 hours ago

Patient turn 35

Seventy-nine, or thereabouts. It might have been eighty.

14 hours ago

Audri turn 36

Thank you. Do you smoke or vape?

14 hours ago

Patient turn 37

No, never have.

14 hours ago

Audri turn 38

Do you consume alcohol, and if so, how often and how much?

14 hours ago

Patient turn 39

A couple of stubbies with dinner most nights.

14 hours ago

Audri turn 40

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 41

I've more or less accepted I'll need a new knee eventually. What I want to know is whether there's anything else to try first, because I'm not keen on going under the knife. And the bowls — if I have to give that up I'd be lost, it's most of my week.

14 hours ago

Audri turn 42

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