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. 2020 Jul;256:113040. doi: 10.1016/j.socscimed.2020.113040
GP or Pt Words spoken/sounds Bodily conduct
1 GP026 well I [think, (.) >you know< y]ou you're raising =
2 Pt 202 [°huh huh huh huh huh huh°] Pt nods faintly/slightly, blinks rapidly
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GP026 = this question of diabetes and >as you've been< [talk]ing about it I've just been having quick = Pt remains still
5 Pt 202 [°mm:°]
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GP026 glances at your notes and,.hhh you certainly ↑do: have diabetes (0.4) and >it is< ↑cer- >and ↑that and that< ↑certainly this diabetes of older a::ge (.) and it's (.) °t-° gradually deteriorating >it's getting< a little worse it's no: it's not in a dra↑matic state GP uses hand and arm movement to indicate an upward trajectory
10 Pt 202 °↑yea::h° Pt nods gently then remains still
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GP026 but it nee::ds closer management fro::m, (.) from a ↑doctor's point of view it needs closer management it's not, (0.4) e:::r under contro::l, (0.4) it's not ↑wildly ↑out of control but it's creeping that way (.) u::m (.) a::nd you are probably a patient that should be on medication (.) for diabetes and you're not at the moment, (0.4) um and I think this is perhaps something that would be a good health goa::l to look a:t GP places right hand on heart
At ‘creeping’ GP repeats hand movement in upward trajectory
18 Pt 202 °↑mm mm°
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GP026 um to keep this under contro:l to prevent, (0.4) admissions to hospital (0.4) °a:::h° so on and so fo:rth so I think one goal could certainly be around (0.4).hhh diabetes, one could certainly be around, (0.4) medication and explaining medication and one could certainly be about trying to, (0.4) e:::r recover (0.6) °e::r° following the recent illnesses, Pt looks down at paperwork on desk. GP makes repeated pointed gesture at paperwork.
25 Pt 202 °hm ↑mm°
26 GP026 °e::r° I think that's everything you've writte::n,
27 Pt 202 that's right [the:re]
28 GP026 [do::wn]
29 Pt 202 ye::s
30 GP026 ↑yep,