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\f28\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs36 Patient Notes}{\f0\fs36 
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 Jena rink is a 2}{\fs24\super nd}{\fs24 
 year university student aged 24 years, it is a Thursday morning in mid September, you asked for an urgent appointment with your GP surgery this morning.}{\f0\fs24 
\par }{\b\fs24 Part 1: What you are going to speak about}{\b\f0\fs24 
\par }{\fs24 You attend the GP requesting the \'93morning after pill\'94, you have not taken it before but heard about it on a radio advert recently.
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 \'93I am sorry to bother you but I think I might need the morning after pill\'94
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 You are taking Cerazette for contraception and forgot to take yesterday morning\rquote 
s pill (you usually take it about 07:30am before you get out of bed), then remembered and took it last night at 8pm. You went out to a nightclub with friends and had unprotected sex at about 1am.
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f0\fs24 
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\fs24 Part 2: What you are willing to talk about if specifically asked
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 If asked: \'93Do you have a partner\'94?
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 
You had a boyfriend back at home and continued to see him after starting University in October 07 up until March 2008, then you agreed to separate at Easter because of infrequently seeing each other, you still feel a bit sad about this, but it\rquote 
s getting better.
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 If asked: \'93Do you have any problems remembering to take your pills\'94?  
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 You got your last supply of pills in Feb 2008 and stopped them for 6weeks in June/July because you were not sexually active. You restart
ed them in August in case you became sexually active but have not been until last night. Since restarting the pill because you had not been sexually active until last night you had difficulty remembering to take them.
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 \'93If asked: \'93what led up to you now needing the morning after pill\'94?
\par You returned to University last week to move into your flat, last night you went to a club with female friends, you got drunk, met a boy, took him home and had sex, he left before you woke and you don\rquote t know anything about him
 (not even his first name). You are a bit worried about sexually transmitted diseases and don\rquote t know if you should have any tests.
\par If advised: \'93You need to attend the GUM clinic\'94
\par You do not want to go to a GUM clinic because your older sister works at the hospital and she might spot you
\par }{\f0\fs24 
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\fs24 Part3. What you will say towards the end of the consultation (towards 10 minutes) if you are not asked earlier}{\b\f0\fs24 
\par }{\fs24 \'93This isn\rquote t like me, do you think I need an AIDS test?}{\f0\fs24 
\par }{\b\fs24 Part 4.
\par }{\fs24 The doctor\rquote s notes mention migraine, the story is:
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 You started the pill 5 years ago at 19 years (Microgynon 30) with no problems. 
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 
2 years later when getting more pills at a family planning clinic you mentioned in the last few weeks you had been having frequent headaches with occasional vomiting but no o
ther associated symptoms, the doctor at that time changed you from Microgynon to Cerazette and you cannot remember anymore about it.
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs24 
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f0\fs24 
\par }\pard \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f0\fs24 
\par }}