diff --git "a/train.txt" "b/train.txt" new file mode 100644--- /dev/null +++ "b/train.txt" @@ -0,0 +1,19639 @@ +CAR0001-000 WHAT BROUGHT YOU IN TODAY +CAR0001-001 SURE I'M I'M JUST HAVING A LOT OF CHEST PAIN AND AND SO I THOUGHT I SHOULD GET IT CHECKED OUT +CAR0001-002 OK BEFORE WE START COULD YOU REMIND ME OF YOUR +CAR0001-003 GENDER AND AGE SURE I'M THIRTY NINE +CAR0001-004 I'M A MALE OK AND SO WHEN DID THIS CHEST PAIN START +CAR0001-005 IT STARTED LAST NIGHT BUT IT'S BECOMING SHARPER +CAR0001-006 OK AND WHERE IS THIS PAIN LOCATED +CAR0001-007 IT'S LOCATED ON THE LEFT SIDE OF MY CHEST +CAR0001-008 OK AND SO HOW LONG HAS IT BEEN GOING ON FOR THEN IF IT STARTED LAST NIGHT +CAR0001-009 SO I GUESS IT WOULD BE A COUPLE OF HOURS NOW MAYBE LIKE EIGHT +CAR0001-010 OK HAS IT BEEN CONSTANT THROUGHOUT THAT TIME OR OR CHANGING +CAR0001-011 I WOULD SAY IT'S BEEN PRETTY CONSTANT +CAR0001-012 OK AND HOW WOULD YOU DESCRIBE THE PAIN PEOPLE WILL USE WORDS SOMETIMES LIKE SHARP BURNING ACHY +CAR0001-013 I'D SAY IT'S PRETTY SHARP +CAR0001-014 SHARP OK ANYTHING THAT YOU HAVE DONE TRIED SINCE LAST NIGHT THAT'S MADE THE PAIN +CAR0001-015 BETTER NOT LAYING DOWN HELPS +CAR0001-016 OK SO DO YOU FIND LAYING DOWN MAKES THE PAIN WORSE +CAR0001-017 YES DEFINITELY +CAR0001-021 LAYING DOWN NOT THAT I'VE NOTICED NO +CAR0001-022 OK SO NOT LIKE TAKING A DEEP BREATH OR ANYTHING LIKE THAT +CAR0001-023 MAYBE TAKING A DEEP BREATH +CAR0001-024 OK AND WHEN THE PAIN STARTED COULD YOU TELL ME COULD YOU THINK OF ANYTHING THAT YOU WERE DOING AT THE TIME +CAR0001-025 I MEAN I WAS MOVING SOME FURNITURE AROUND BUT THAT I'VE DONE THAT BEFORE +CAR0001-026 OK SO YOU DIDN'T FEEL LIKE YOU HURT YOURSELF WHEN YOU WERE DOING THAT +CAR0001-027 NO +CAR0001-028 OK AND IN REGARDS TO HOW SEVERE THE PAIN IS ON A SCALE OF ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW SEVERE WOULD YOU SAY THE PAIN IS +CAR0001-029 I'D SAY IT'S LIKE A SEVEN OR EIGHT IT'S PRETTY BAD +CAR0001-030 OK AND WITH THE PAIN DO YOU HAVE ANY OTHER ASSOCIATED SYMPTOMS +CAR0001-031 I FEEL A LITTLE LIGHTHEADED AND I'M HAVING SOME TROUBLE BREATHING +CAR0001-032 OK HAVE YOU HAD ANY LOSS OF CONSCIOUSNESS +CAR0001-033 NO +CAR0001-034 OK HAVE YOU BEEN EXPERIENCING ANY LIKE RACING OF THE HEART +CAR0001-035 A LITTLE BIT +CAR0002-000 WHAT BRINGS YOU IN HERE TODAY +CAR0002-001 I HAVE THIS PAIN IN MY CHEST +CAR0002-002 OK AND WHERE IS THE PAIN EXACTLY +CAR0002-003 IT'S JUST RIGHT OVER ON THE ON THE LEFT SIDE +CAR0002-004 OK AND WHEN DID THIS PAIN START +CAR0002-005 IT STARTED JUST THIRTY MINUTES AGO +CAR0002-006 OK AND DID IT JUST COME ON RANDOMLY OR WERE YOU DOING SOMETHING STRENUOUS +CAR0002-007 I WAS JUST SHOVELLING THE DRIVEWAY AND IT CAME ON +CAR0002-008 OK AND HAS THAT PAIN BEEN GETTING WORSE AT ALL OVER THE LAST HALF AN HOUR +CAR0002-009 NO IT JUST CAME ON SUDDENLY AND IT'S I'M SORRY THE PAIN HAS BEEN THERE THIS WHOLE TIME AND IT'S GOTTEN WORSE EVER SINCE IT STARTED +CAR0002-010 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT KIND OF LIKE AN ACHING PAIN OR IS IT A SHARP OR TIGHT TIGHTNESS KIND OF PAIN HOW WOULD YOU DESCRIBE IT +CAR0002-011 IT FEELS DULL I FEEL LIKE THERE'S A LOT OF PRESSURE ON MY CHEST +CAR0002-012 AND HOW DO YOU RATE THE PAIN RIGHT NOW ON A SCALE OF ZERO TO TEN ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE TEN BEING THE WORST +CAR0002-014 SEVEN SEVEN OK HAVE YOU HAD NY SIMILAR EPISODES BEFORE +CAR0002-015 NO I'VE NEVER HAD ANY CHEST PAIN BEFORE +CAR0002-016 OK AND IS THE PAIN JUST STAYING IN THE REGION OF THE LEFT CHEST AREA THAT YOU MENTIONED OR IS IT TRAVELING TO ANY OTHER PART OF YOUR BODY +CAR0002-017 NO I'M KIND OF JUST FEELING IT RIGHT HERE ON THE LEFT SIDE +CAR0002-018 OK IS THERE ANYTHING THAT YOU DO THAT MAKES THE PAIN EITHER GET WORSE OR GO AWAY OR LIKE GET BETTER +CAR0002-019 I THINK IT'S A BIT BIT WORSE IF I'M MOVING AROUND OR WHEN I WAS WALKING IN HERE I THINK IT IT MADE IT A BIT WORSE BUT NOTHING HAS SEEMED TO MAKE IT ANY BETTER SINCE IT STARTING +CAR0002-020 OK AND DOES IT CHANGE AT ALL FROM YOU CHANGING POSITIONS LIKE IF YOU'RE STANDING UP VERSUS SITTING DOWN OR LAYING DOWN +CAR0002-021 I THINK IT'S A LITTLE BIT WORSE WHEN I WHEN I'M LAYING DOWN +CAR0002-022 OK AND OTHER THAN THE PAIN THAT YOU'VE BEEN HAVING HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS LIKE A COUGH OR DIFFICULTY BREATHING OR ANY PAIN WHEN YOU'RE BREATHING IN OR OUT +CAR0002-023 I'VE FELT A LITTLE BIT SHORT OF BREATH OR HAVING DIFFICULTY BREATHING SINCE YESTERDAY WHEN THE SORRY SINCE THE PAIN STARTED +CAR0002-024 BUT JUST THE DIFFICULTY BREATHING OK AND HAVE YOU RECENTLY INJURED YOUR CHEST OR SURROUNDING AREA AT ALL LIKE FROM A FALL +CAR0002-025 OR ANYTHING LIKE THAT I DO I PLAY RUGBY AND WAS TACKLED BY ANOTHER PLAYER YESTERDAY BUT BUT +CAR0002-026 MY CHEST FELT FINE AFTER THAT OK SO BUT THE PAIN JUST STARTED HALF AN HOUR AGO +CAR0002-027 OK HAVE YOU HAVE YOU BEEN TRAVELING AT ALL RECENTLY +CAR0002-028 NO BEEN AT HOME +CAR0002-029 OK HAS ANYONE AROUND YOU BEEN SICK AT ALL +CAR0002-031 NO OK HAVE YOU BEEN HAVING ANY SYMPTOMS LIKE NAUSEA OR VOMITING OR ANY FEVERS OR CHILLS +CAR0002-032 NO NAUSEA OR VOMITING BUT I DO FEEL A LITTLE BIT HOT TODAY +CAR0002-033 OK BUT HAVE YOU MEASURED YOUR TEMPERATURE AT ALL +CAR0002-034 I I DID AND IT WAS +CAR0002-035 THIRTY EIGHT DEGREES OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LEGS OR FEET +CAR0002-037 SWELLING IN IN MY LEGS OK HAVE YOU BEEN FEELING TIRED +CAR0002-039 NO MY ENERGY HAS BEEN GOOD OK HAVE YOU BEEN HAVING ANY KIND OF THUMPING OR PALPITATIONS OR FEEL LIKE YOUR HEART HAS BEEN RACING AT ALL +CAR0002-040 IT IT DOES FEEL LIKE IT'S BEATING FASTER RIGHT NOW IT USUALLY ONLY +CAR0002-041 FEELS LIKE THIS WHEN I'M PLAYING SPORTS OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR SKIN AT ALL ANY RASHES +CAR0002-042 NO RASHES +CAR0002-043 OK HAVE YOU HAD ANY COUGH OR RUNNY NOSE OR SORE THROAT ANY KIND OF THOSE SYMPTOMS AND IN THE PAST MONTH +CAR0002-044 FEW WEEKS AGO I WAS A LITTLE RUNNY BUT THAT WENT AWAY ON ITS OWN I HAVEN'T HAD ANY COUGH +CAR0002-045 OK AND HAVE YOU BEEN FEELING DIZZY AT ALL OR HAVE YOU FAINTED +CAR0002-046 NO DIZZINESS AND NO +CAR0002-047 I HAVEN'T FAINTED AT ALL OK JUST A FEW MORE QUESTIONS HAVE YOU HAD ANY DIAGNOSIS MADE BY ANY PHYSICIAN OR ANY ANYTHING LIKE DIABETES OR HIGH BLOOD PRESSURE +CAR0002-048 I'VE BEEN TOLD I HAVE HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE +CAR0002-049 OK AND DO YOU TAKE ANY MEDICATIONS FOR THE THESE THINGS +CAR0002-050 I DO TAKE MEDICATIONS FOR BOTH BLOOD PRESSURE AND CHOLESTEROL ROSUVASTATIN +CAR0002-051 AND LISINOPRIL AND I TAKE A +CAR0002-052 MULTI VITAMIN +CAR0002-053 OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL NO ALLERGIES OK HAVE YOU AT ALL +CAR0002-054 IN THE PAST BEEN HOSPITALIZED FOR ANY REASON +CAR0002-055 NO HOSPITALIZATIONS ANY PREVIOUS SURGERIES +CAR0002-056 NO +CAR0002-057 OK AND WITHIN YOUR FAMILY HAS ANYONE PASSED AWAY FROM A HEART ATTACK OR ANY CANCERS THAT RUN IN THE FAMILY +CAR0002-058 NO +CAR0002-059 OK AND CURRENTLY RIGHT NOW DO YOU LIVE ALONE DO YOU LIVE WITH SOMEONE AND WHERE DO YOU LIVE LIKE AN APARTMENT OR HOUSE +CAR0002-060 I I LIVE IN A HOUSE WITH +CAR0002-061 MY PARENTS OK +CAR0002-062 AND DO YOU CURRENTLY WORK I I DRIVE A BUS FOR THE CITY +CAR0002-063 OK AND IN YOUR DAILY ROUTINE WOULD YOU SAY YOU GET ENOUGH EXERCISE THROUGHOUT THE WEEK +CAR0002-064 USUALLY ON SUNDAYS I'LL GO FOR A RUN +CAR0002-065 OK AND HOW ABOUT YOUR DIET WELL HOW'S YOUR DIET LIKE JUST REGULARLY +CAR0002-066 USUALLY I FEEL LIKE IT'S FAIRLY BALANCED OVERALL I MIGHT I EAT OUT A LITTLE BIT TOO OFTEN BUT TRY TO EAT AS MANY VEGETABLES AS I CAN +CAR0002-067 OK AND DO YOU SMOKE CIGARETTES AT ALL +CAR0002-068 I DO YES BEEN SMOKING FOR THE LAST TWENTY YEARS ROUGHLY +CAR0002-069 OK HOW MUCH DO YOU SMOKE ON AN AVERAGE DAY +CAR0002-070 ABOUT A HALF A PACK TO A PACK A DAY +CAR0002-071 OK AND DO YOU DRINK +CAR0002-072 NO ALCOHOL +CAR0002-073 OK AND ANY RECREATIONAL DRUGS LIKE MARIJUANA +CAR0002-074 NO MARIJUANA BUT I HAVE USED CRYSTAL +CAR0002-075 METH IN THE PAST OK AND WHEN WAS THE LAST TIME THAT YOU USED CRYSTAL METH +CAR0002-077 SIX DAYS AGO SIX DAYS AGO OK AND HOW OFTEN DO YOU USE CRYSTAL METH +CAR0002-078 I WOULD SAY A COUPLE OF TIMES A MONTH +CAR0002-079 A COUPLE OF TIMES A MONTH OK ALRIGHT AND FOR HOW LONG HAVE YOU BEEN USING CRYSTAL METH +CAR0002-080 FOR THE LAST SEVEN YEARS +CAR0002-081 SEVEN YEARS OK +CAR0003-000 WHAT BRINGS YOU IN HERE TODAY +CAR0003-001 I'VE JUST BEEN FEELING BREATHLESS AND IT'S GETTING WORSE SO I WANTED TO CHECK IT OUT +CAR0003-002 OK AND WHEN DID YOU FIRST START FEELING BREATHLESS +CAR0003-003 ABOUT TWO MONTHS AGO +CAR0003-004 OK AND DID IT COME ON ABOUT LIKE GRADUALLY THROUGH TIME OR SUDDENLY JUST HAPPENED +CAR0003-005 I I GUESS GRADUALLY +CAR0003-006 OK AND DO YOU FEEL HOW OFTEN DO YOU FEEL BREATHLESS +CAR0003-007 I'D SAY IT'S WORSE WHEN I WHEN I WALK MORE THAN FIFTY METERS THAT'S KIND OF THE MAIN LIKE THAT'S KIND OF THE MAIN TRIGGER JUST EXERTION +CAR0003-008 OK AND WERE YOU ABLE TO WALK NORMALLY MORE THAN FIFTY METERS BEFORE TWO MONTHS +CAR0003-009 THREE MONTHS AGO I WAS FINE +CAR0003-010 OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE COUGH OR CHEST PAIN +CAR0003-011 I HAVE A COUGH SOMETIMES +CAR0003-012 OK BUT NOTHING LIKE +CAR0003-014 CONSTANT NO OK AND DO YOU HAVE ANY WET COUGH OR ANY PRODUCTIVE COUGH OR ARE YOU +CAR0003-015 PRODUCING LIKE SPUTUM OR PHLEGM +CAR0003-016 I GUESS I'D SAY I HAVE THIS FROTHY SPUTUM OK AND HAS YOUR BREATHLESSNESS BEEN +CAR0003-017 ANY WORSE AT ALL OVER THE LAST TWO +CAR0003-018 MONTHS I WOULD SAY SO YES OK AND YOU MENTIONED LIKE EXERTION MAKES IT WORSE BUT ANYTHING ELSE LIKE GOING OUTSIDE OR EXPOSURE TO ANY CHEMICALS THAT MAKES IT WORSE +CAR0003-020 I DON'T THINK SO OK AND HOW ABOUT A POSITIONAL CHANGES DOES LYING FLAT AT ALL MAKE IT WORSE +CAR0003-021 I WOULD SAY SO YES I'M BASICALLY GASPING FOR AIR WHEN I LAY DOWN +CAR0003-022 OK AND DO YOU EVER FIND YOURSELF WAKING UP AT NIGHT IN THE MIDDLE OF THE NIGHT TO CATCH YOUR BREATH +CAR0003-023 NO +CAR0003-024 NO OK AND WHEN DO YOU FEEL THE BREATHLESSNESS THE MOST IS IT MORE SO DURING THE DAY OR AT NIGHT +CAR0003-025 I GUESS IT'S WORSE AT NIGHT BECAUSE I'M LAYING DOWN +CAR0003-026 OK GREAT AND IN TERMS OF HOW MANY FLIGHTS OF STAIRS YOU CAN CLIMB BEFORE YOU START FEELING BREATHLESS DO YOU HAVE A NUMBER +CAR0003-027 I WOULD SAY LIKE THREE FOUR +CAR0003-028 THREE OR FOUR STEPS OK AND WAS THERE ANYTHING NEW THAT HAPPENED IN YOUR LIFE RECENTLY ANY NEW MEDICAL DIAGNOSIS RECENTLY OR ANY TRAVEL THAT HAPPENED BEFORE YOU STARTED HAVING THESE SYMPTOMS +CAR0003-029 NO NOTHING LIKE THAT +CAR0003-030 OK AND PRIOR TO TWO MONTHS HAVE YOU EVER HAD ANY SIMILAR EXPERIENCES +CAR0003-031 PRIOR TO TWO MONTHS NO +CAR0003-032 OK AND DOES ANYTHING MAKE IT BETTER LIKE ANY POSITIONAL CHANGES MAKES THE BREATHLESSNESS GO AWAY +CAR0003-033 I GUESS WHEN I I'M NOT LAYING DOWN OR WHEN I'M LAYING DOWN I TRY TO ADD PILLOWS STACK PILLOWS SO THAT IT GETS BETTER +CAR0003-034 OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE CHEST PAIN DIZZINESS ANYTHING LIKE THAT +CAR0003-036 NO NO OK HAVE YOU RECENTLY TRAVELED OUTSIDE OF THE COUNTRY +CAR0003-037 NO +CAR0003-038 HAVE YOU RECENTLY HAD ANY SURGERIES +CAR0003-039 NO RECENT SURGERIES NO +CAR0003-040 OK ANY HEADACHE NAUSEA OR VOMITING +CAR0003-042 NO OK ANY FEVERS OR CHILLS OR NIGHT SWEATS +CAR0003-043 NO +CAR0003-044 OK DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY +CAR0003-046 YES I WORLD SAY SO OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL +CAR0003-047 NO +CAR0003-048 OK AND ANY CHEST PAIN AT ALL WITHIN THE LAST TWO MONTHS +CAR0003-049 NO NO CHEST PAIN +CAR0003-050 OK ANY SWELLING IN YOUR IN YOUR LEGS ANKLES OR IN YOUR HANDS AND ARMS +CAR0003-051 THERE IS SOME SWELLING +CAR0003-052 OK AND WHERE DO YOU WHERE ARE YOU GETTING THIS SWELLING +CAR0003-053 AROUND MY LEGS +CAR0003-054 OK AND HOW WHEN DID YOU FIRST NOTICE THIS +CAR0003-055 AROUND THE SAME TIME ACTUALLY TWO MONTHS AGO +CAR0003-056 OK HAVE YOU NOTICED ANY KIND OF FEVERS AT ALL +CAR0003-058 NO NO OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT HAS BEEN ILL RECENTLY +CAR0003-059 NO NO +CAR0003-060 OK AND HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL +CAR0003-061 NO +CAR0003-062 ANY WEIGHT LOSS +CAR0003-063 NO +CAR0003-064 ANY NIGHT SWEATS OR CHILLS +CAR0003-065 NO +CAR0003-066 OK ANY APART FROM THE BREATHLESSNESS WHEN LAYING DOWN ANY OTHER ISSUES WITH YOUR SLEEP +CAR0003-068 NO ANY CHANGES IN YOUR APPETITE +CAR0003-070 OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD AT ALL +CAR0003-071 NO +CAR0003-072 OK ANY EXPOSURE TO TUBERCULOSIS IN THE PAST +CAR0003-073 NOT THAT I KNOW OF +CAR0003-074 OK ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR HOME OR WORK ENVIRONMENT +CAR0003-075 NO +CAR0003-076 OK ANY ANIMALS OR PETS IN THE HOUSE +CAR0003-077 NO +CAR0003-078 OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY HAS ANYONE TOLD YOU THAT YOU HAVE ANYTHING LIKE COPD OR ANY CARDIOVASCULAR ISSUES LIKE HIGH BLOOD PRESSURE CHOLESTEROL +CAR0003-079 SO SO I HAVE HIGH BLOOD PRESSURE DIABETES +CAR0003-080 AND HIGH CHOLESTEROL OK AND DO YOU TAKE ANY MEDICATIONS FOR THIS +CAR0003-081 SO I TAKE ASPIRIN RAMIPRIL AND SIMVASTATIN +CAR0003-082 OK AND HAVE YOU EVER HAD ANY CHEST PAIN OR HEART ATTACK IN THE PAST +CAR0003-083 ACTUALLY I HAD A HEART ATTACK FOUR YEARS AGO +CAR0003-084 OK AND DO YOU REMEMBER WHAT THEY DID FOR YOUR HEART ATTACK +CAR0003-085 SOMETHING LIKE A STENT OR SOMETHING +CAR0003-086 OK AND SINCE THEN YOU'VE BEEN ON THESE MEDICATIONS +CAR0003-087 YES +CAR0003-088 OK AND AFTER THEY MANAGED YOUR HEART ATTACK HAVE YOU EVER HAD SIMILAR SYMPTOMS TO WHEN YOU HAD YOUR HEART ATTACK +CAR0003-090 NO NOTHING LIKE THAT OK DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS +CAR0003-091 NO +CAR0003-092 ANY ENVIRONMENTAL ALLERGIES +CAR0003-093 NO +CAR0003-094 OK AND HAVE YOU PREVIOUSLY HAD ANY SURGERIES IN THE PAST +CAR0003-095 I GUESS THE STENTING +CAR0003-096 JUST THE STENTING AND APART FROM THAT HAVE YOU HAD ANY OTHER PREVIOUS HOSPITALIZATIONS +CAR0003-097 NO +CAR0003-098 OK AND ANY FAMILY HISTORY OF ANY CANCERS OR HEART ATTACKS +CAR0003-099 MY FATHER DIED OF A HEART ATTACK WHEN HE WAS SIXTY +CAR0003-100 OK AND CURRENTLY DO YOU WORK AT ALL +CAR0003-101 I DO I WORK AS +CAR0003-102 A CASHIER OK AND HAS THE SHORTNESS OF BREATH BEEN AFFECTING YOUR DAILY ROUTINE AT HOME OR AT WORK AT ALL +CAR0003-103 I WOULD SAY SO IT'S BEEN HARD TO MAKE IT TO WORK AND THEN STANDING AROUND ALL DAY OR IF I HAVE TO GO HELP OUT WITH SOMETHING AND EXERT MYSELF TOO MUCH I GET SHORT OF BREATH +CAR0003-104 OK AND AT HOME DO YOU CURRENTLY LIVE WITH ANYONE OR DO YOU LIVE BY YOURSELF +CAR0003-105 I LIVE BY MYSELF +CAR0003-106 OK AND DO YOU LIVE IN AN APARTMENT OR HOUSE +CAR0003-107 I LIVE IN AN APARTMENT +CAR0003-108 OK AND ARE THERE ANY EXPOSURES LIKE DUST OR MOLD OR ASBESTOS IN YOUR HOME ENVIRONMENT +CAR0003-109 NO +CAR0003-110 OK AND CURRENTLY DO YOU SMOKE +CAR0003-111 NOT RIGHT NOW I USED TO SMOKE I USED TO SMOKE TEN A DAY FOR LIKE FORTY YEARS +CAR0003-112 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +CAR0003-113 NO +CAR0003-114 ANY ALCOHOL +CAR0003-115 NO +CAR0003-116 AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET THREE MEALS A DAY +CAR0003-117 A WELL BALANCED DIET I WOULDN'T SAY WELL BALANCED I'M TRYING TO EAT HEALTHIER +CAR0003-118 BUT DOESN'T ALWAYS HAPPEN OK AND HOW ABOUT EXERCISE DO YOU FIND THAT YOUR EXERCISE LEVELS OR ACTIVITY LEVELS HAVE GONE DOWN IN THE LAST TWO MONTHS +CAR0003-119 YES +CAR0003-120 OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAVE OR SOMETHING I MAY HAVE MISSED TO ASK YOU TODAY +CAR0003-121 NO I DON'T THINK SO +CAR0003-122-1 OK SO BASED ON WHAT WE TALKED ABOUT FROM YOUR SWELLING AS WELL AS BREATHLESSNESS WHILE LAYING DOWN AND YOUR PAST HISTORY OF A HEART ATTACK +CAR0003-122-2 AND HIGH CHOLESTEROL IT MAY BE LIKELY WITH THE MEDICATIONS YOU ARE ON AS WELL AS YOUR HISTORY THAT YOU MIGHT BE HAVING WHAT'S CALLED CONGESTIVE HEART FAILURE +CAR0003-122-3 SO WE WILL NEED TO DO FURTHER INVESTIGATIONS TO DETERMINE IF THAT IS WHAT IT IS AND IF WE NEED TO GET YOU ON SOMETHING LIKE +CAR0003-122-4 LASIX OR A DIURETIC TO GET RID OF SOME OF THE FLUID THAT'S BUILDING UP IN YOUR BODY WHICH MAY BE CAUSED BY HEART FAILURE +CAR0003-122-5 SO WE'LL DO SOME INVESTIGATIONS AND THEN GO FROM THERE +GAS0001-000 WHAT BRINGS YOU IN TODAY +GAS0001-001 I'VE JUST BEEN FEELING LIKE VERY NAUSEATED FOR IT FEELS LIKE ALL THE TIME RIGHT NOW +GAS0001-002 WHEN DID THIS START +GAS0001-003 IT'S BEEN OVER A WEEK MAYBE NOT QUITE TWO WEEKS BUT LIKE AROUND THEN MAYBE LIKE NINE DAYS +GAS0001-004 AND IS IT DO YOU ALWAYS HAVE THE SENSATION OF NAUSEA OR IS IT RELATED OR DOES IT COME AND GO +GAS0001-005 I THINK IT'S LIKE WORSE WHEN I AM SMELLING SOMETHING REALLY BAD AND IT'S WORSE IN THE MORNING BUT I FEEL LIKE IT'S ALWAYS KIND OF THERE +GAS0001-006 I SEE OK HAVE YOU HAD ANY VOMITING +GAS0001-007 LIKE LIKE A LOT OF DAYS I'LL THROW UP LIKE ONCE OR TWICE +GAS0001-008 AND THIS HAS ALL BEEN OVER THE PAST WEEK WEEK TWO WEEKS OR SO +GAS0001-009 OK ANY OTHER SYMPTOMS THAT YOU HAVE +GAS0001-010 NO JUST WELL LIKE I FEEL LIKE I'VE I'VE HAD TO PEE A LOT MORE BUT I DON'T I DON'T THINK THAT'S LIKE RELATED I THINK MAYBE I HAVE JUST BEEN DRINKING A LOT OF WATER SO +GAS0001-011 HOW OFTEN DO YOU HAVE TO PEE +GAS0001-012 LIKE I FEEL LIKE EVERY COUPLE HOURS RIGHT NOW +GAS0001-013 OK SO SAY EVERY TWO HOURS EVERY HOUR EVERY FIVE HOURS +GAS0001-014 PROBABLY EVERY PROBABLY EVERY LIKE TWO MAYBE MAYBE EVERY HOUR I GET CERTAIN TIMES IN A DAY +GAS0001-015 DO YOU WAKE UP AT NIGHT TO PEE +GAS0001-016 LIKE IT DOESN'T WAKE ME UP BUT IT'S LIKE I WAKE UP BECAUSE I HEAR SOMETHING THEN I'LL BE LIKE OH I THINK I SHOULD PROBABLY GO TO THE BATHROOM +GAS0001-017 DO YOU FEEL LIKE YOU HAVE CONTROL OVER WHEN YOU ARE GOING TO BATHROOM OR IS IT DIFFICULT FOR YOU TO HOLD IT IN +GAS0001-018 I I I CAN CONTROL IT IT'S JUST LIKE UNCOMFORTABLE RIGHT +GAS0001-019 I SEE I SEE SO YOU HAVE URINARY FREQUENCY BUT DO YOU DO YOU FEEL LIKE SO YOU SAID THAT YOU CAN CONTROL IT YOU DON'T YOU DON'T FEEL LIKE YOU NEED TO RUN TO THE BATHROOM OR YOU'LL PEE IN YOUR PANTS +GAS0001-020 NO I DON'T FEEL LIKE THAT +GAS0001-021 OK DO YOU HAVE ANY PAIN WHEN YOU'RE PEEING +GAS0001-022 NO +GAS0001-023 NO OK ALRIGHT DO YOU FEEL LIKE YOU'VE BEEN MORE THIRSTY RECENTLY WHY DO YOU FEEL YOU'VE BEEN DRINKING MORE MORE WATER +GAS0001-024 I THINK I THINK JUST CAUSE LIKE I WAS GETTING I WAS LIKE THROWING UP LIKE SO LIKE I FEEL LIKE I WAS A LITTLE DEHYDRATED +GAS0001-025 WELL I SEE OK HAVE YOU OTHER THAN THE NAUSEA AND VOMITING HAVE YOU HAD ANY OTHER STOMACH RELATED ISSUES +GAS0001-026 ANY BELLY PAIN OR CHANGES IN YOUR BOWEL MOVEMENTS NO I DON'T THINK SO WELL MY STOMACH HAS BEEN LIKE IT FEELS LIKE A LITTLE CRAMPY I THOUGHT THAT MAYBE IT COULD BE MY PERIOD BUT LIKE I'M NOT ON MY PERIOD +GAS0001-027 WHEN DID YOU LAST HAVE YOUR PERIOD +GAS0001-028 WELL LET ME THINK LIKE SIX WEEKS AGO I GUESS THAT WOULD BE I DON'T KNOW I DON'T REALLY LIKE KEEP TRACK +GAS0001-029 OK OK DO YOU KNOW IF YOU GET YOUR PERIODS REGULARLY OR ARE YOUR PERIODS IRREGULAR +GAS0001-030 I THINK THEY'RE I THINK THEY'RE USUALLY PRETTY REGULAR BUT I DON'T I DON'T LIKE I DON'T +GAS0001-031 CALCULATE IT LIKE TO THE DAY +GAS0001-032 TRUE IS IT IS IT NORMAL FOR YOU TO GO SIX WEEKS WITHOUT A PERIOD +GAS0001-033 COME TO THINK OF IT I DON'T I DON'T THINK SO +GAS0001-034-1 ALRIGHT OK HAVE YOU I'LL JUST ASK YOU A COUPLE MORE QUESTIONS ABOUT YOUR SYMPTOMS SO I KNOW THAT YOU'VE BEEN NAUSEOUS AND HAVE VOMITED A COUPLE OF TIMES IN THE PAST TWO WEEKS +GAS0001-034-2 AND YOU HAVE HAD SOME CRAMPS IN YOUR BELLY HAVE YOU HAD ANY FLU LIKE SYMPTOMS +GAS0001-035 NO +GAS0001-036 NOTHING LIKE THAT +GAS0001-037 I DON'T THINK SO +GAS0001-038 ANY HEADACHES +GAS0001-039 NO +GAS0001-040 ANY FEVERS +GAS0001-041 NO +GAS0001-042 MUSCLE ACHES +GAS0001-043 NO +GAS0001-044 OK HAVE YOU HAVE YOU HAD A COUGH AT ALL +GAS0001-045 NO +GAS0001-046 OK AND HAVE YOU NOTICED ANY BLOOD IN YOUR STOOLS +GAS0001-047 NO +GAS0001-048 HAVE YOU YOU HAVEN'T HAD ANY PALPITATIONS OR CHEST PAIN OR ANYTHING OF THAT SORT +GAS0001-049 NO +GAS0001-050 ALRIGHT CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL ISSUES MEDICAL CONDITIONS THAT YOU HAVE +GAS0001-051 NOTHING NOTHING REALLY +GAS0001-052 OK HAVE YOU BEEN TAKING ANY MEDICATIONS +GAS0001-053 NO I MEAN I'VE BEEN TAKING LIKE LIKE I'VE BEEN CHEWING LIKE THOSE GINGER THINGS THAT ARE SUPPOSED TO HELP WITH NAUSEA BUT THEY WEREN'T REALLY HELPFUL +GAS0001-054 I SEE ANY ALLERGIES +GAS0001-055 SO JUST LIKE NICKEL LIKE IN JEWELRY IF I WEAR NOT REAL JEWELLERY IT'LL GIVE ME A RASH BUT IT'S NOT FOOD OR LIKE OR MEDICATIONS OR ANYTHING +GAS0001-056 AND A COUPLE OF QUESTIONS ABOUT YOUR SOCIAL HISTORY WHO DO YOU CURRENTLY LIVE WITH +GAS0001-057 LIKE I I JUST I LIVE WITH ONE ROOMMATE +GAS0001-058 AND DO YOU CURRENTLY SMOKE +GAS0001-059 NO +GAS0001-060 DO YOU DON'T SMOKE OK HAVE YOU DO YOU CONSUME ALCOHOL +GAS0001-061 NO VERY RARELY BECAUSE I ALWAYS GET A HEADACHE +GAS0001-062 OK WHEN WAS THE LAST DRINK THAT YOU HAD +GAS0001-063 GOSH LIKE LIKE A MONTH AGO PROBABLY +GAS0001-064 OK AND YOU CONSUME ANY ILLICIT DRUGS +GAS0001-065 NO NO +GAS0001-066 ALRIGHT ARE YOU CURRENTLY SEXUALLY ACTIVE +GAS0001-067 JUST LIKE WITH MY BOYFRIEND +GAS0001-068 AND DO YOU USE PROTECTION WHILE HAVING SEX +GAS0001-069 WE WE JUST USE CONDOMS I USED TO BE ON BIRTH CONTROL BUT IT ALWAYS MADE ME +GAS0001-070 FEEL LIKE LIKE KIND OF SICK SO I DON'T USE THAT ANYMORE +GAS0001-071 I SEE OK AND LET'S SEE FAMILY HISTORY DO YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY +GAS0001-072 LIKE I DON'T I DON'T THINK SO I GUESS MY DAD MY DAD HAS LIKE HIGH BLOOD PRESSURE I DON'T THINK THERE'S ANYTHING ELSE +GAS0001-073 ALRIGHT ALRIGHT WELL THANK YOU SO MUCH FOR SPENDING TIME WITH ME TODAY I THINK I HAVE GATHERED ALL THE INFORMATION THAT I WOULD HAVE LIKED I WILL GO TALK TO MY ATTENDING WE'LL COME BACK AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN SHARE THE PLAN WITH YOU +GAS0001-074 OK THANK YOU +GAS0001-075 YOU'RE WELCOME +GAS0002-000 I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN TO THE EMERGENCY DEPARTMENT TODAY +GAS0002-001 SO NICE TO MEET YOU I'VE BEEN HAVING THIS PAIN RIGHT IN MY ABDOMEN IT'S KIND OF LIKE IN THE UPPER RIGHT AREA +GAS0002-002 OK AND SO WHEN WHERE IS THIS PAINTING LOCATED EXACTLY +GAS0002-003 SO IT'S JUST IN THE UPPER RIGHT CORNER OF MY ABDOMEN RIGHT BELOW WHERE THE LUNGS ARE AND IT IT'S JUST I HAVE THIS SEVERE PAIN THAT'S GOING ON +GAS0002-004 OK AND HOW LONG IS IT BEEN GOING ON FOR +GAS0002-005 SO IT'S BEEN GOING ON FOR THE LAST FEW DAYS AND IT GOT WORSE TODAY +GAS0002-006 OK AND HOW LONG IS IT BEEN SINCE IT'S LIKE GOT GOT WORSE HAS THIS BEEN A FEW HOURS OR OR HOW LONG IS THAT BEEN +GAS0002-007 SO I WOULD SAY IT GOT WORSE JUST THREE OR FOUR HOURS AGO BEFORE I CAME TO THE EMERGENCY DEPARTMENT +GAS0002-008 OK AND DOES THE PAIN RADIATE ANYWHERE +GAS0002-009 NO IT STAYS RIGHT IN THE IN THE SPOT THAT I TOLD YOU RIGHT IN THE RIGHT UPPER CORNER +GAS0002-010 OK AND WHEN DID THE PAIN START OR IF YOU COULD TELL ME WHAT WERE YOU DOING RIGHT PRIOR TO THE PAIN STARTING +GAS0002-011 SO I THINK IT STARTED AFTER JUST THREE DAYS AGO AFTER I HAD A MEAL LIKE I I THINK IT WAS AFTER LUNCH AROUND HALF AN HOUR OR AN HOUR AFTER LUNCH +GAS0002-012 I SEE OK HAS THE PAIN GOTTEN WORSE STAYED THE SAME OR GOTTEN BETTER SINCE SINCE YESTERDAY +GAS0002-013 I THINK IT'S GOTTEN IT WAS IT'S THE WORST TODAY LIKE ESPECIALLY LIKE A FEW HOURS AGO LIKE THREE HOURS AGO IT WAS MUCH WORSE THAN THE OTHER TWO DAYS +GAS0002-014 OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN +GAS0002-015 SO IT'S LIKE A SHARP I WOULD DESCRIBE IT AS LIKE A SHARP PAIN +GAS0002-016 OK AND ON A SCALE OF ONE TO TEN TEN BEING THE MOST SEVERE PAIN WHAT WOULD YOU RATE IT AS +GAS0002-017 I WOULD RATE IT AS RIGHT NOW I WOULD RATE IT AS AN EIGHT +GAS0002-018 OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE +GAS0002-019 I THINK IT HAPPENED TO ME A FEW YEARS BACK WHERE I HAD THIS PAIN AND THEN IT JUST KIND OF WENT AWAY ON ITS OWN I DIDN'T GO TO THE EMERGENCY DEPARTMENT THEN THOUGH +GAS0002-020 OK AND HAS THERE BEEN ANYTHING THAT YOU'VE TRIED TO MAKE THIS PAIN ANY BETTER +GAS0002-021 I TRIED TAKING JUST LIKE ADVIL AND TYLENOL BUT IT DIDN'T REALLY SEEM TO HELP THE PAIN TOO MUCH +GAS0002-022 OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS SUCH AS NAUSEA +GAS0002-023 OR OR VOMITING I'VE I'VE HAD SOME NAUSEA OVER THE PAST FEW DAYS BUT I HAVEN'T VOMITED ANYTHING +GAS0002-024 OK SO NO BLOOD IN YOUR EMESIS OR OR +GAS0002-025 OR NO VOMITING AT ALL OK AND HAVE YOU TRAVELED +GAS0002-026 ANYWHERE RECENTLY NO LIKE WE HAVEN'T TRAVELED ANYWHERE RECENTLY +GAS0002-027 OK AND HOW HAS YOUR ENERGY LEVELS BEEN +GAS0002-028 ENERGY WHEN IT'S HURTING A LOT LIKE TODAY I'VE BEEN IT'S BEEN DIFFICULT TO MOVE AROUND I'VE BEEN PRETTY DRAINED FROM THE PAIN BUT OTHERWISE OVER THE LAST FEW DAYS IT HASN'T AFFECTED ME TOO MUCH BUT TODAY I WOULD SAY MY ENERGY LEVELS ARE DOWN +GAS0002-029 OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR ANY RASHES +GAS0002-030 I DON'T THINK SO I MEAN I DON'T THINK I'VE NOTICED ANY KIND OF SKIN CHANGES +GAS0002-031 OK AND HOW ABOUT ANY CHANGES TO URINARY HABITS LIKE PAINFUL URINATION OR THE COLOR OF YOUR URINE +GAS0002-032 NO NO NO CHANGES +GAS0002-033 OK AND HAVE YOU HAD ANY CHANGES TO BOWEL PATTERNS SUCH AS DIARRHEA OR CHANGES IN COLOR OF YOUR STOOL +GAS0002-034 NO I DON'T THINK SO NO CHANGES THAT I'VE NOTICED +GAS0002-035 OK SO NOTICE ANY BLOOD IN THE STOOL +GAS0002-036 NO NO BLOOD +GAS0002-037 OK AND HOW HAS YOUR APPETITE BEEN +GAS0002-038 IT'S IT WAS AROUND THE SAME BEFORE THE PAIN ACTUALLY STARTED GETTING WORSE SO TODAY I DIDN'T REALLY FEEL LIKE EATING I DID HAVE NAUSEA OVER THE PAST FEW DAYS BUT MY APPETITE I WOULD SAY IS THE WORST TODAY +GAS0002-039 OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR WEIGHT RECENTLY +GAS0002-040 NO I DON'T THINK SO +GAS0002-041 OK AND HAVE YOU HAD ANY RECENT INFECTIONS +GAS0002-042 NO NOT NOT THAT I KNOW OF +GAS0002-043 OK SO NEXT JUST TO ASK SOME QUESTIONS ABOUT YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +GAS0002-044 SO I THINK THE ONLY THING IS MY DOCTOR TOLD ME THAT I SHOULD LOSE SOME WEIGHT BUT OTHER THAN THAT NO MEDICAL HISTORY +GAS0002-045 OK AND ANY ALLERGIES TO MEDICATIONS +GAS0002-046 NO NO ALLERGIES +GAS0002-047 AND ARE THERE ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS EITHER PRESCRIBED OR OVER THE COUNTER +GAS0002-048 NOT PRESCRIBED SOMETIMES I TAKE LIKE SOME ANTACIDS WHEN I GET HEARTBURN BUT THIS IS JUST LIKE A COUPLE TIMES A MONTH AFTER DINNER SOMETIMES AT NIGHT BUT THAT'S ABOUT IT +GAS0002-049 OK AND ANY +GAS0002-050 HOSPITALIZATIONS JUST FOR JUST WHEN I HAD MY CHILDREN AT +GAS0002-051 THE TIME OF THEIR BIRTH BUT THAT'S IT OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +GAS0002-052 NO +GAS0002-053 OK AND HAVE YOU HAD ANY PRIOR SURGERIES +GAS0002-054 NOPE NO PRIOR SURGERIES +GAS0002-055 OK AND ANY FAMILY HISTORY OF GALLBLADDER DISEASE OR CARDIOVASCULAR DISEASE IN THE FAMILY +GAS0002-056 SO MY FATHER DIED OF A STROKE WHEN HE WAS IN HIS SIXTIES MY MOTHER DOES HAVE GALLSTONES +GAS0002-057 OK AND WHAT DO YOU DO FOR WORK +GAS0002-058 SO I WORK IN AT THE BANK OK AS A +GAS0002-059 CONSULTANT OK +GAS0002-060 AND DO YOU DRINK ALCOHOL YES SOMETIMES OK LIKE MAYBE +GAS0002-061 ONE OR TWO GLASSES OF WINE EVERY NIGHT OK AND DO YOU FEEL +GAS0002-063 CUT DOWN ON YOUR DRINKING NO NOT REALLY OK HAVE YOU EVER FELT ANNOYED +GAS0002-065 BY PEOPLE CRITICIZING YOUR DRINKING NO OK +GAS0002-066 HAVE YOU FELT GUILTY +GAS0002-067-1 ABOUT YOUR DRINKING NO SO SHOULD I BE NO AT THE AT THIS TIME JUST WANTING TO GAUGE A SENSE OF HOW YOU FEEL ABOUT YOUR DRINKING LEVELS AT THIS TIME +GAS0002-067-2 AND THE FOLLOW UP QUESTION TO THAT WOULD BE +GAS0002-068 HAVE YOU EVER FELT THE NEED TO HAVE A DRINK EARLY IN THE MORNING +GAS0002-069 NO NO I'VE NEVER DRANK I DON'T +GAS0002-070 DRINK IN THE MORNING +GAS0002-071 OK AND DO YOU USE RECREATION +GAS0002-073 DRUGS NO NEVER OK AND DO YOU SMOKE CIGARETTES +GAS0002-076 LIVING WITH MY TWO CHILDREN AND MY PARTNER AND CAN YOU TELL ME A LITTLE BIT ABOUT THE HOME SITUATION THE HOME SITUATION IS FINE LIKE KIDS ARE DOING GREAT AND MY PARTNER IS VERY SUPPORTIVE NO NO ISSUES THAT I CAN THINK OF AT HOME +GAS0002-077 OK EXCELLENT +GAS0003-000 WHAT BRINGS YOU IN HERE TODAY +GAS0003-001 HI I'M I I HAVE A PAIN IN MY BELLY IT STARTED A COUPLE HOURS AGO +GAS0003-002 OK AND WHERE EXACTLY IN YOUR BELLY DO YOU HAVE THIS PAIN +GAS0003-003 IT'S MOSTLY UP HERE ON THE RIGHT SIDE +GAS0003-004 THE RIGHT SIDE OK AND CAN YOU DESCRIBE WHAT KIND OF PAIN IS IT IS IT LIKE A DULL PAIN OR SHARP PAIN AN ACHING PAIN +GAS0003-005 I I GUESS IT'S A IT'S AN ACHING PAIN I'D SAY IT KIND OF JUST IT WOULD INITIALLY JUST COME AND GO BUT NOW IT'S JUST IT'S STAYING IT'S NOT GOING AWAY +GAS0003-006 OK AND SO IT'S IN THE RIGHT AREA AND DOES IT TRAVEL ANYWHERE ELSEWHERE BESIDES ON FROM THE RIGHT SIDE +GAS0003-007 NO +GAS0003-008 OK AND ON A SCALE OF ONE TO TEN ONE BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND TEN BEING THE WORST HOW MUCH WOULD YOU RATE IT RIGHT NOW +GAS0003-009 IT'S ABOUT TO A TEN AN EIGHT MAYBE +GAS0003-010 AN EIGHT OK AND SO JUST TO CLARIFY WHEN DID IT START +GAS0003-011 ABOUT EIGHT HOURS AGO +GAS0003-012 EIGHT HOURS AGO OK AND WERE YOU DOING ANYTHING BEFORE LIKE DID YOU HAVE A MEAL OR HOW WERE YOU SLEEPING BEFORE IT WOKE YOU UP WHAT WAS GOING ON BEFORE YOU HAD THE PAIN +GAS0003-013 I WAS JUST ABOUT TO GO TO SLEEP I WASN'T DOING ANYTHING IN PARTICULAR AT THE TIME +GAS0003-014 OK AND HAS IT BEEN GETTING WORSE SINCE IT FIRST STARTED +GAS0003-015 OH DEFINITELY IT WOULD COME AND GO BUT NOW FOR THE PAST I'D SAY FIVE TO SIX HOURS IT'S BEEN CONSTANT JUST THERE ALL THE TIME +GAS0003-016 OK AND HAVE YOU HAD ANY SIMILAR PAIN LIKE THIS IN THE PAST +GAS0003-017-1 I I I HAVE THE SAME PAIN THAT SORT OF COMES AND GOES AFTER I EAT +GAS0003-017-2 USUALLY AFTER I'VE HAD SOMETHING LIKE A SOMETHING FATTY SOMETHING FROM OUTDOORS MAYBE LIKE A BURGER OR FRIES OR SOMETHING I INITIALLY THOUGHT IT WAS INDIGESTION BUT I DON'T I DON'T KNOW WHAT'S GOING ON NOW +GAS0003-018 OK AND DOES IT DOES ANYTHING MAKE IT BETTER OR WORSE OR ANYTHING THAT YOU'VE TRIED +GAS0003-019 WELL I GUESS EATING SOMETIMES MAKES IT WORSE BUT I DON'T I DON'T THINK THERE'S ANYTHING THAT'S MAKING IT BETTER +GAS0003-020 OK HAVE YOU TRIED ANY MEDICATIONS AT ALL +GAS0003-021 I TRIED TYLENOL BUT THAT DIDN'T DO ANYTHING +GAS0003-022 OK AND BESIDES THE PAIN THAT YOU'RE HAVING DO YOU HAVE ANY NAUSEA AND VOMITING +GAS0003-023 I AM A LITTLE NAUSEOUS BUT NO I DIDN'T HAVEN'T HAD I HAVEN'T VOMITED YET NO +GAS0003-024 OK AND HAVE YOU BEEN HAVING ANY FEVERS +GAS0003-025 I DON'T THINK SO I HAVEN'T CHECKED I DON'T FEEL FEVERISH +GAS0003-026 ANY SWEATS OR LIKE CHILLS +GAS0003-027 NO I DON'T THINK SO +GAS0003-028 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA +GAS0003-029 NO +GAS0003-030 OK HAVE YOU TRAVELED ANYWHERE RECENTLY +GAS0003-031 NO I HAVEN'T +GAS0003-032 HAVE YOU BEEN FEELING AT ALL VERY TIRED NOT YOUR USUAL SELF FATIGUED +GAS0003-033 WELL THE PAIN IS MAKING IT DIFFICULT FOR ME TO DO THINGS BUT I I GUESS I'M NOT A LITTLE FATIGUED MAYBE +GAS0003-034 OK HAVE YOU BEEN HAVING ANY CHANGES IN YOUR URINARY PATTERNS +GAS0003-035 NO +GAS0003-036 NO ANY CHANGES IN YOUR SKIN AND YOU RASHES ANY YELLOWING OF YOUR SKIN +GAS0003-037 NOTHING THAT I'VE NOTICED NO I DON'T THINK SO +GAS0003-038 OK ANY CHANGES IN YOUR URINE COLOR +GAS0003-039 NO +GAS0003-040 OK HAVE YOU NOTICED BLOOD IN YOUR STOOLS AT ALL +GAS0003-041 I HAVE NOT NO +GAS0003-042 OK AND HOW ABOUT YOUR APPETITE HAS THIS CHANGED AT ALL +GAS0003-043 WELL I GUESS BECAUSE IT'S THIS THING HAPPENS USUALLY HAPPENS AFTER I EAT I THINK I'VE BEEN EATING LESS THAN USUAL JUST BECAUSE I DON'T I DON'T WANT TO YOU KNOW I DON'T LIKE THE PAIN +GAS0003-044 ANY SIGNIFICANT WEIGHT LOSS RECENTLY +GAS0003-045 I DON'T THINK SO +GAS0003-046 OK ANY RECENT INFECTIONS RECENTLY AT ALL +GAS0003-047 NO +GAS0003-048 AND OTHERWISE ARE YOU DO YOU HAVE ANY OTHER MEDICAL CONDITIONS LIKE DIABETES HIGH BLOOD PRESSURE OR ANYTHING ELSE +GAS0003-049 I DO HAVE DIABETES BUT THAT'S ABOUT IT I THINK +GAS0003-050 AND YOU TAKE ANYTHING FOR YOUR DIABETES +GAS0003-051 I TAKE METFORMIN +GAS0003-052 OK DO YOU TAKE ANY OTHER MEDICATIONS AT ALL +GAS0003-053 NO I DON'T SORRY NO +GAS0003-054 NO WORRIES DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS NO ANY ENVIRONMENTAL ALLERGIES +GAS0003-055 NO NO I DON'T +GAS0003-056 OK AND HAVE YOU BEEN HOSPITALIZED IN THE PAST +GAS0003-057 NO NO I HAVEN'T EVER I'VE BEEN VERY HEALTHY NO HOSPITALIZATIONS +GAS0003-058 ANY PAST SURGERIES +GAS0003-059 I GOT MY WISDOM TEETH REMOVED WHEN I WAS A TEENAGER +GAS0003-060 OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY +GAS0003-061 NO I DON'T THINK SO +GAS0003-062 OK AND IN TERMS OF YOUR FAMILY HISTORY HAS ANYONE HAD ANY CANCERS OR ANY ERR IBD LIKE CROHN'S DISEASE OR ULCERATIVE COLITIS +GAS0003-063 NO NOT THAT I KNOW OF +GAS0003-064 OK AND ANYTHING THAT RUNS IN THE FAMILY AT ALL +GAS0003-065 MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS SIXTIES BUT THAT'S IT +GAS0003-066 OK AND CURRENTLY RIGHT NOW DO YOU WORK +GAS0003-067 NO I'M I'M LAID OFF BECAUSE OF COVID +GAS0003-068 OK AND CURRENTLY WHAT IS YOUR HOME SITUATION LIKE +GAS0003-069 WHAT DO YOU MEAN +GAS0003-070 SO DO YOU LIVE IN AN APARTMENT HOUSE AND DO YOU LIVE WITH ANYONE +GAS0003-071 I I I LIVE IN AN APARTMENT I LIVE ALONE +GAS0003-072 OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET ENOUGH EXERCISE DO YOU GO OUTSIDE FOR WALKS OR RUNS OR ANYTHING LIKE THAT +GAS0003-073 I USUALLY GO OUT FOR A RUN ESPECIALLY WHEN IT'S A LITTLE BIT WARMER WHICH IT NOW IS +GAS0003-074 AND DO YOU DO YOU DRINK ALCOHOL +GAS0003-075 SOMETIMES +GAS0003-076 HOW MUCH WOULD YOU SAY YOU DRINK IN AN AVERAGE WEEK +GAS0003-077 ONE TO TWO DRINKS A A +GAS0003-078 A DAY OK AND WHAT DO YOU USUALLY DRINK +GAS0003-079 I'LL JUST DRINK A GLASS OF WINE AT NIGHT JUST HELPS ME RELAX +GAS0003-080 OK AND DO YOU SMOKE CIGARETTES +GAS0003-081 I DON'T NO +GAS0003-082 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +GAS0003-083 NO I DON'T +GAS0003-084 OK ALRIGHT SO THAT'S ALL THE QUESTIONS I HAVE AND JUST TO CLARIFY DOES YOUR PAIN COME AND GO OR IS IT CONSTANT +GAS0003-085 YES SO INITIALLY IT WOULD COME AND GO BUT NOW SO FOR THE FIRST TWO HOURS IT WOULD COME AND GO AND WHEN I WOULD HAVE THIS PAIN WHEN I WAS EATING IT WOULD COME AND GO BUT OVER THE PAST SIX HOURS IT'S JUST BEEN CONSTANT +GAS0003-086 OK ALRIGHT +GAS0004-000 I UNDERSTAND THAT YOU'VE BEEN HAVING SOME DIARRHEA CAN YOU TELL ME A LITTLE BIT ABOUT THAT +GAS0004-001 SURE I HAD I'VE BEEN HAVING DIARRHEA FOR THE PAST THREE TO FOUR DAYS AND IT'S BEEN PRETTY BAD I COULDN'T GO I COULDN'T GO TO MY CLASSES HAD TO SKIP BECAUSE IT WAS JUST IT WAS JUST EMBARRASSING +GAS0004-002 OK I'M SORRY TO HEAR THAT HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE +GAS0004-003 HAVE I EXPERIENCED SOMETHING LIKE THIS BEFORE NO I DON'T THINK SO +GAS0004-004 OK AND OVER THE THREE OR FOUR DAYS HAVE YOUR STOOLS ALL BEEN LOOSE OR HAVE YOU HAD SOME SOLID ONES IN BETWEEN +GAS0004-005 I THINK THEY'VE MOSTLY BEEN LOOSE I THINK THEY'VE ALL BEEN LOOSE ACTUALLY IF I THINK ABOUT IT +GAS0004-006 OK AND HOW MANY TIMES A DAY HAVE YOU BEEN HAVING EPISODES OF DIARRHEA +GAS0004-007 OH MY GOD I HAVE I'VE LOST COUNT I'M GOING EVERY EVERY HOUR +GAS0004-008 OK EVERY HOUR OK AND THEN YOU NOTICE ANY CHANGES IN THE COLOR OF YOUR STOOL +GAS0004-009 NO IT'S BROWN +GAS0004-010 OK ANY BLOOD IN YOUR STOOL THAT YOU'VE NOTICED +GAS0004-011 NOT REALLY I DON'T THINK SO I DON'T LOOK THAT MUCH TO BE HONEST +GAS0004-012 OK HAVE YOU NOTICED ANY ANY PAIN ASSOCIATED WITH IT +GAS0004-013 WELL I DIDN'T START OFF WITH PAIN BUT I I I DO HAVE A BIT OF A CRAMP NOW SINCE YESTERDAY IT'S JUST IT HURTS IT HURTS SOMETIMES IT COMES AND GOES +GAS0004-014 OK AND DO YOU FEEL THAT WHEN IT DO YOU FEEL THAT YOU STILL HAVE CONTROL OVER LIKE RELEASING IT TO LIKE DOES IT COME ON AND YOU DON'T EVEN NOTICE THAT IT HAS HAPPENED OR YOU STILL ARE ABLE TO KIND OF HAVE A WARNING BEFORE YOU GET TO THE TOILET +GAS0004-015 NO I DO GET A WARNING BUT IT'S JUST I I DO NEED TO GET TO THE TOILET REALLY FAST +GAS0004-016 OK AND BEFORE THIS HAPPENED HAVE YOU NOTICED HAVE YOU IS THERE ANYTHING THAT YOU'VE DONE DIFFERENTLY THAT YOU'VE BEEN EATING DIFFERENTLY OR ANY OTHER CHANGES THAT HAVE HAPPENED IN YOUR LIFE RECENTLY +GAS0004-017 I I I DID GO TO I DID GO TO A NEW RESTAURANT FIVE DAYS AGO +GAS0004-018 OK WHAT DID YOU HAVE THERE +GAS0004-019 I I JUST GOT SOME RICE WITH CHICKEN MANCHURIAN IT WAS A NICE LITTLE CHINESE RESTAURANT AND +GAS0004-020 DID ANYONE ELSE HAVE THE SAME THING THAT YOU DID THAT YOU WERE WITH +GAS0004-021 NO NOT REALLY I WENT WITH MY FRIEND AND I HAVEN'T REALLY HAVEN'T TALKED TO HER ABOUT THIS I NEVER REALLY THOUGHT THAT THESE WERE RELATED THAT THIS WAS RELATED TO THAT +GAS0004-022-1 AND THEN IT'S YOU KNOW ABSOLUTELY POTENTIALLY NOT LIKE MAYBE NOT IT COULD POSSIBLY BE +GAS0004-022-2 SO NOT TO NOT TO WORRY YOU ABOUT THAT WE JUST LIKE TO GET AN IDEA OF KIND OF THE WHOLE PICTURE OF WHAT YOU'RE COMING IN WITH +GAS0004-022-3 SO IN TERMS OF THE LAST THREE TO FOUR DAYS HAVE YOU EXPERIENCED ANY NAUSEA OR VOMITING +GAS0004-023 I HAVE ACTUALLY BUT IT'S NOT BEEN AS BAD AS THE DIARRHEA I DIDN'T EVEN I DIDN'T I WASN'T EVEN THINKING ABOUT THAT I I DID VOMIT I THINK TWICE YESTERDAY +GAS0004-024 OK HAVE YOU NOTICED ANY BLOOD IN THE VOMIT +GAS0004-025 NO IT'S JUST WATERY +GAS0004-026 AND ARE YOU NAUSEATED ALL THE TIME OR IS IT KIND OF ON AND OFF +GAS0004-027 IT'S ON AND OFF +GAS0004-028 OK HAVE YOU TAKEN ANY ANY OVER THE COUNTER MEDICINE OR ANYTHING TO HELP +GAS0004-029 NOT REALLY I WAS JUST TRYING TO DRINK A LOT OF WATER CAUSE I I KNOW THAT I CAN GET DEHYDRATED SO JUST DRINKING LOTS OF WATER +GAS0004-030 OK WELL THAT'S GOOD TO HEAR HAVE YOU HAVE YOU BEEN EATING NORMALLY OR HAVE YOU NOT BEEN EATING AS MUCH AS YOU REGULARLY DO +GAS0004-031 I HAVE BEEN EATING LESS SPECIALLY SINCE YESTERDAY WHEN I HAD MY THESE ABDOMINAL CRAMPS STARTED I JUST DON'T FEEL LIKE EATING +GAS0004-032 OK IS THERE ANYTHING THAT HAS BEEN MAKING IT WORSE +GAS0004-033 MAKING WHAT WORSE +GAS0004-034 JUST IN GENERAL LIKE IS THERE ANYTHING THAT YOU'RE FINDING MAKES YOUR NAUSEA OR YOUR DIARRHEA COME ON +GAS0004-035 NOT REALLY I DON'T THINK SO +GAS0004-036 DO YOU NOTICE ANY CHANGES TO YOUR URINE OR ANY DISCOMFORT WHEN GOING TO THE BATHROOM +GAS0004-037 NO +GAS0004-038 HAVE YOU TRAVELED ANYWHERE RECENTLY +GAS0004-039 NO +GAS0004-040 OK AND HAVE YOU NOTICED ANY FEVER OR CHILLS IN THE LAST FEW DAYS +GAS0004-041 I'VE JUST BEEN FEELING REALLY TIRED AND AND I DON'T KNOW MAYBE I HAVEN'T CHECKED MY CHECKED MY TEMPERATURE +GAS0004-042 OK HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN +GAS0004-043 NO +GAS0004-044 OK HAVE YOU NOTICED ANY MAJOR CHANGES TO YOUR WEIGHT I KNOW THAT YOU MIGHT NOT WEIGH YOURSELF EVERYDAY BUT ANYTHING THAT JUMPS OUT TO YOU +GAS0004-045 I ACTUALLY HAVEN'T WEIGHED MYSELF IN THE PAST FIVE DAYS SO I DON'T I DON'T KNOW +GAS0004-046 OK OK I'M I'M JUST GONNA JUMP TO YOU AND YOUR GENERAL HISTORY DO YOU HAVE ANY HISTORY OF PROBLEMS WITH YOUR DIGESTIVE SYSTEM +GAS0004-047 NO +GAS0004-048 OK DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE A FAMILY DOCTOR FOR REGULARLY +GAS0004-049 I HAVE ASTHMA +GAS0004-050 OK DO YOU TAKE ANY MEDICATION +GAS0004-051 I'VE GOT SOME PUFFERS THAT MY FAMILY DOC GAVE ME +GAS0004-052 OK NOTHING ELSE +GAS0004-053 NO THAT'S IT +GAS0004-054 DO YOU HAVE ANY ALLERGIES +GAS0004-057 I'M SORRY CAN YOU SAY THAT AGAIN +GAS0004-058 HAVE YOU EVER BEEN HOSPITALIZED IN THE PAST +GAS0004-059 I HAD MY WISDOM TEETH REMOVED BUT NO I LIKE I WASN'T HOSPITALIZED NO +GAS0004-060 HAVE YOU BEEN IN CONTACT WITH ANYONE RECENTLY THAT'S BEEN SICK +GAS0004-061 NOPE I DON'T THINK SO +GAS0004-062 OK WHAT IS YOUR LIVING SITUATION RIGHT NOW YOU SAID YOU'RE A STUDENT +GAS0004-063 I AM +GAS0004-064 OK AND DO YOU LIVE DO YOU LIVE ON YOUR OWN WITH FAMILY WITH ROOMMATES +GAS0004-065 I LIVE WITH TWO ROOMMATES +GAS0004-066 DO YOU DRINK ALCOHOL +GAS0004-067 SOMETIMES +GAS0004-068 OK HOW HOW MANY DRINKS PER WEEK WOULD YOU SAY +GAS0004-069 I MIGHT HAVE LIKE A GLASS OR TWO ON THE WEEKENDS +GAS0004-070 OK DO YOU SMOKE +GAS0004-071 NO +GAS0004-072 OK DO YOU USE ANY OTHER SUBSTANCES +GAS0004-073 NO +GAS0004-074 OK AND WHAT WOULD YOU EAT ON A REGULAR DAY TYPICALLY WHAT WOULD YOUR TYPICAL DIET BE +GAS0004-075-1 OH GOSH WELL I LIKE TO HAVE OATMEAL FOR BREAKFAST I USUALLY MAKE SOMETHING QUICK FOR LUNCH MAYBE LIKE A SALAD +GAS0004-075-2 AND THEN I MIGHT HAVE MY I'LL PROBABLY JUST LIKE EAT OUT AT NIGHT MAYBE GET LIKE A BURGER OR FRIES OR SOMETHING +GAS0004-076 OK AND I JUST WANTED TO JUMP OVER TO ASK YOU ABOUT YOUR FAMILY HISTORY DOES ANYONE IN YOUR FAMILY HAVE ANY HISTORY OF DIGESTIVE PROBLEMS OR ABDOMINAL PROBLEMS ABDOMINAL SURGERY +GAS0004-077-1 MY MY BROTHER HAD APPENDICITIS OK WHEN HE WAS YOUNG +GAS0004-077-2 MY MOM HAS HAD A HYSTERECTOMY IF THAT COUNTS OK NOTHING ELSE +GAS0004-078 OK OK THANK YOU FOR SHARING THAT WITH ME SO I THINK THAT'S EVERYTHING THAT I WANTED TO ASK YOU FOR TODAY +GAS0005-000 WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN TODAY +GAS0005-001-1 SO I'M JUST COMING IN WITH MY SON HE'S SIX YEARS OLD AND JUST OVER THE LAST FEW DAYS HE'S NOT BEEN HIMSELF +GAS0005-001-2 AND HE'S BEEN HAVING THIS STOMACH ACHE SO IT STARTED AROUND LIKE I WOULD SAY THREE DAYS AGO +GAS0005-001-3 AND THEN HE'S ALSO HAVING VOMITING FOR THE LAST TWO DAYS HE'S VOMITED IN TOTAL SIX TIMES OVER THE LAST TWO DAYS +GAS0005-001-4 AND THEN YESTERDAY HE ALSO DEVELOPED A FEVER AS WELL I MANAGED TO MEASURE IT AND IT WAS THIRTY EIGHT +GAS0005-002-1 THREE DEGREES CELSIUS +GAS0005-002-2 OK I SEE SO I JUST SO THAT I UNDERSTAND THE TIMELINE SO HE STARTED TO HAVE ABDOMINAL PAIN ABOUT THREE DAYS AGO +GAS0005-002-3 STARTED WITH HAVING VOMITING AND DIARRHEA TWO DAYS AGO AND YOU CHECKED HIS TEMPERATURE HE HAD A FEVER AS OF YESTERDAY +GAS0005-003 OK AND WAS THERE ANYTHING THAT THAT HE ATE THAT WAS DIFFERENT OVER OVER THESE LAST FEW DAYS +GAS0005-004 NO WE'VE BEEN STRICTLY HOME FOOD DURING LIKE A PANDEMIC LIKE NO NO REAL CHANGES +GAS0005-005 OK AND WHAT'S HIS KIND OF BEHAVIOR BEEN LIKE OVER THESE LAST COUPLE OF DAYS +GAS0005-006 SO AT FIRST WITH THE STOMACH PAIN HE WAS A BIT JUST IRRITABLE AND JUST NOT HIMSELF BUT ESPECIALLY YESTERDAY WITH THE FEVER JUST BEEN VERY QUIET AND JUST KIND OF SLEEPING PRETTY MUCH THE WHOLE DAY +GAS0005-007 OK I SEE AND COULD YOU DESCRIBE THE +GAS0005-008-1 VOMIT YES SO VOMIT LIKE IT STARTED TWO DAYS AGO THE FIRST DAY IT WAS JUST LIKE HE PUKED UP THE THINGS THAT HE HAD EATEN +GAS0005-008-2 BUT YESTERDAY IT WAS IT WAS MAINLY JUST LIKE JUST YELLOWISH MATERIAL I COULDN'T REALLY TELL IF IT WAS FOOD OR NOT +GAS0005-009 OK HAVE YOU NOTICED ANY BILE OR BLOOD IN THE VOMIT +GAS0005-010 NO I DIDN'T NOTICE ANY BLOOD AND I DIDN'T NOTICE ANY GREEN MATERIAL IT WAS MAINLY JUST LIKE LIKE NORMAL VOMIT LIKE YELLOWISH COLOR +GAS0005-011 OK I SEE AND HAS THE WHAT WAS THE VOMITING TRIGGERED BY ANYTHING THAT YOU'RE AWARE OF LIKE EATING OR DRINKING +GAS0005-012 TWO DAYS AGO IT WAS IT WAS AFTER AFTER LUNCH WHEN HE FIRST VOMITED BUT AFTER THAT IT'S JUST BEEN KIND OF RANDOM +GAS0005-013 I SEE OK AND AND WITH REGARDS TO HIS DIARRHEA HAS THERE BEEN ANY ANY BLOOD OR OR ANY COLOR CHANGES +GAS0005-014 NO NO I DIDN'T NOTICE ANY BLOOD AT ALL IT'S DEFINITELY JUST VERY VERY WATERY AND HE'S HAD TO GO PROBABLY EVEN JUST IN THE LAST DAY PROBABLY AROUND LIKE SIX OR SEVEN TIMES +GAS0005-016 VOMITED HOW MANY TIMES SO IN +GAS0005-017 TOTAL I CAN COUNT SIX TIMES OK AND +GAS0005-018 HAS HE BEEN +GAS0005-019 COMPLAINING OF ANY HEADACHES AT ALL NO NOT THAT I KNOW OF NO OK +GAS0005-020 AND HOW ABOUT ANY EAR PAIN OR OR EYE PAIN NO NOT THAT HE'S MENTIONED TO ME +GAS0005-021 OK AND ANY EYE REDNESS +GAS0005-022 NOPE +GAS0005-023 OK AND AS HE HAD A RUNNY NOSE +GAS0005-024 NO NOT REALLY +GAS0005-025 OK AND HAS HE HAD A SORE THROAT OR ANY PAIN WITH +GAS0005-027 NO OK HAVE YOU HAD ANY LOSS OF TASTE OR LOSS OF SMELL +GAS0005-028 NO NOT THAT HE HAS MENTIONED TO ME NOW +GAS0005-029 OK AND HAS HE HAD A COUGH +GAS0005-030 NO NOT REALLY +GAS0005-031 OK AND HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING +GAS0005-032 NO +GAS0005-033 OK AND HAS HE HAD ANY ANY PAIN ANYWHERE ANY CHEST PAIN +GAS0005-034 HE DID HE DID POINT TO HIS STOMACH LIKE IT SEEMS LIKE HE WAS HAVING WITH ALL THE VOMITING LIKE HE WAS HAVING SOME STOMACH PAIN AS WELL +GAS0005-035 OK IS THERE ANY SPECIFIC LOCATION THAT THAT HE'S FEELING THE PAIN +GAS0005-036 WELL IT'S HARD TO SAY HE WAS JUST POINTING AT THE CENTER OF HIS BELLY LIKE I DON'T KNOW IF IT'S LIKE I TRIED PRESSING ON IT AND HE DIDN'T FEEL ANY PAIN THEN BUT I THINK IT'S JUST KIND OF ALL OVER HIS STOMACH +GAS0005-037 OK AND HAS HE HAD ANY URINARY PROBLEMS LIKE PAINFUL VOIDING OR BEEN PEEING +GAS0005-038 MORE OFTEN NO +GAS0005-039 THAT'S BEEN OK HAVE YOU NOTICED ANY RASHES OR OR SKIN CHANGES +GAS0005-040 NO NOT NOT NOT REALLY NO +GAS0005-041 OK AND HAS HE HAD ANY MUSCLE ACHES OR OR JOINT PAINS THAT THAT HE'S MENTIONED +GAS0005-042 NO NO HE HASN'T MENTIONED ANYTHING LIKE THAT +GAS0005-043 AND AND HE'S HAD A FEVER HAS HE HAD THE CHILLS +GAS0005-044 SO THAT'S THAT'S WHAT I THAT PROMPTED ME TO TAKE HIS TEMPERATURE YESTERDAY AROUND THE AFTERNOON LIKE WE HAD TO WRAP HIM UP WITH LIKE MORE THAN TWO BLANKETS AND HE WAS STILL FEELING COLD SO DEFINITELY WAS HAVING CHILLS +GAS0005-045 OK AND AND HAS THERE BEEN ANY CONCERNS WITH HIS GROWTH EITHER WEIGHT OR OR HEIGHT +GAS0005-046 SO HE'S BEEN GOING ALONG THE CHARTS PRETTY WELL LIKE NO CONCERNS DURING HIS GROWTH OTHERWISE HE'S A VERY HEALTHY CHILD +GAS0005-047 OK SO NO MEDICAL DIAGNOSIS PREVIOUSLY +GAS0005-048 NO NOTHING LIKE THAT +GAS0005-049 OK AND IS HE MEETING ALL DEVELOPMENTAL MILESTONES OK LIKE GROSS MOTOR FINE MOTOR DOING WELL AT SCHOOL +GAS0005-050 HE DIDN'T HAVE ANY ISSUES WITH WALKING RUNNING HE'S PRETTY SOCIAL WITH ALL +GAS0005-051 HIS PEERS HE'S DOING WELL AT SCHOOL NO COMPLAINTS OK EXCELLENT AND YOU KNOW NO MEDICAL CONDITIONS +GAS0005-052 BUT HAS THERE BEEN ANY REASONS FOR BEING IN THE HOSPITAL BEFORE NO NOT AT ALL WE WE HAVEN'T REALLY GONE TO THE DOCTOR WITH HIM AFTER LIKE ALL THOSE VACCINATIONS THAT HE HAD TO DO SO HE'S BEEN GOOD +GAS0005-053 OK GREAT SO IMMUNIZATIONS +GAS0005-054 ARE UP TO DATE +GAS0005-055 IMMUNIZATIONS ALL UP TO DATE EXCELLENT +GAS0005-056 AND DOES HE HAVE ANY ALLERGIES NO NOT NOT ANYTHING THAT WE KNOW OF YET +GAS0005-057 OK AND I JUST WANTED TO ASK ABOUT HIS BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT THROUGHOUT PREGNANCY EITHER MOM BEING SICK OR HAVING ANY ANY ISSUES HERSELF +GAS0005-058 NO SO IT WAS A NORMAL VAGINAL DELIVERY NO ISSUES HE WAS BORN AT THIRTY NINE WEEKS DIDN'T NEED TO STAY IN THE HOSPITAL AT ALL IT WAS A PRETTY SMOOTH PREGNANCY COMPARED TO SOME OF THE OTHER ONES +GAS0005-059 OK OH THAT'S THAT'S GREAT DO YOU REMEMBER THE APGAR SCORE OR HIS BIRTH WEIGHT +GAS0005-060 I DON'T EXACTLY REMEMBER HIS APGAR SCORES I THINK THEY WERE LIKE JUST JUST THEY THEY WERE NORMAL LIKE THERE WAS NOTHING CONCERNING ABOUT THEM AND BIRTH WEIGHT I THINK HE WAS PROBABLY AROUND +GAS0005-061 THREE KILOGRAMS OK GREAT SO HEALTHY BIRTH WEIGHT AT TERM IT SOUNDS LIKE AND SO HEALTHY DOES HE TAKE ANY +GAS0005-062 MEDICATIONS +GAS0005-063 REGULARLY NO NO MEDICATIONS OK AND COULD YOU TELL ME ABOUT WHO IS LIVING WITH CURRENTLY AND +GAS0005-064 THEN WHO'S LOOKING AFTER HIM YES SO HE'S LIVING WITH MYSELF HIS MOTHER AND AND THEN MY HUSBAND AND HE HAS TWO OLDER SIBLINGS ONE IS A BOY SEVEN YEARS OLD AND ANOTHER +GAS0005-065 ONE LIKE A TEN YEAR OLD GIRL OK AND HAS ANY +GAS0005-066 BODY IN THE HOUSE BEEN SICK NO NO ONE HAS BEEN SICK RECENTLY HOWEVER HE DOES THEY DID LET THEM GO BACK INTO SCHOOL AT ONE POINT SO I DON'T KNOW I DON'T KNOW SO THAT WAS JUST LAST WEEK SO I DON'T KNOW IF HE CAUGHT SOMETHING FROM SCHOOL +GAS0005-067 OK BUT NOBODY THAT YOU KNOW THAT'S HAD SIMILAR SYMPTOMS +GAS0005-068 NO +GAS0005-069 OK AND HAVE YOU TRAVELED ANYWHERE +GAS0005-070 NO WE'VE BEEN WE'VE BEEN AT HOME +GAS0005-071 OK AND THEN YOU KNOW RECENT CHANGES TO ANYTHING IN THE DIET YOU'VE MENTIONED +GAS0005-072 NO THAT'S BEEN +GAS0005-075 OR VERBAL ABUSE NO NO CONCERNS LIKE THAT OK A QUESTION THAT WE HAVE TO ASK EVERYBODY +GAS0005-076 AND IS THERE ANY +GAS0005-077 SMOKING IN THE HOME NO NO WE DON'T SMOKE OK +GAS0005-078 GREAT THEN +GAS0005-079 ARE THERE ANY PETS NOPE NO PETS ALRIGHT AND AND IN THE FAMILY HAS THERE BEEN ANYBODY +GAS0005-080 WHO'S HAD ANY HEART PROBLEMS OR ANY LUNG PROBLEMS +GAS0005-082 WE ARE GETTING THE TEN YEAR +GAS0005-083 OLD TESTED FOR JUST ASTHMA BUT NOTHING DIAGNOSED YET NO OK ANYBODY IN THE FAMILY HAVE ANY CONGENITAL DISEASES +GAS0005-084 OR ANY GENETIC DISEASES NO NOT THAT I KNOW OF +GAS0005-085 OK ANYBODY IN THE FAMILY HAVE CELIAC DISEASE OR CROHN'S DISEASE +GAS0005-086 NO NO NO HISTORY OF ANY KIND OF BOWEL DISEASES +GAS0005-087 OK SO I THINK THAT'S EVERYTHING I WANT I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING THAT MAYBE I I FORGOT TO ASK OR OR THAT I MISSED THAT YOU WANTED TO TELL ME +GAS0005-088 NO IT'S IT'S ALSO JUST LIKE I WAS JUST READING UP LIKE CAN IT BE LIKE I DON'T KNOW IF IT CAN BE COVID AS WELL IF IT CAN IT CAN DO THIS AS WELL +GAS0005-089-1 IT IS POSSIBLE IT'S ESPECIALLY WITH NONSPECIFIC SYMPTOMS COVID CAN CAUSE A VARIETY OF DIFFERENT PRESENTATIONS AND +GAS0005-089-2 THERE FOR SOME PEOPLE IT CAN BE MORE GASTROINTESTINAL ISSUES LIKE LIKE YOUR SON HAS WITH VOMITING AND DIARRHEA AND BELLY PAIN BUT IT ALSO COULD BE +GAS0005-089-3 WELL ANOTHER TYPE OF GASTROINTESTINAL VIRUS ITSELF OR OR A VIRAL ILLNESS LIKE THE COMMON COLD WHICH CAN ALSO END UP CAUSING SYMPTOMS LIKE THIS AS WELL +GAS0005-089-4 SO WE WILL I WILL GO AHEAD AND DO A COVID TEST TODAY ALONG WITH SOME OTHER BLOOD WORK AND MAYBE INCREASE THE HYDRATION AS WELL BECAUSE IT SOUNDS LIKE +GAS0005-089-5 HE HAS LOST A LOT OF FLUID OVER THESE LAST COUPLE OF DAYS SO WE WILL CHECK ELECTROLYTES AND GO FROM THERE ON THE +GAS0005-090 THE TEST RESULTS ALRIGHT SOUNDS GOOD THANK YOU SO MUCH +MSK0001-000 AND WHAT BRINGS YOU TO THE EMERGENCY DEPARTMENT TODAY +MSK0001-001 LOW BACK PAIN +MSK0001-002 OK AND WHERE EXACTLY IS IS THE BACK PAIN +MSK0001-003 SO THE PAIN'S JUST RIGHT IN THE IN THE LOWER BACK +MSK0001-004 JUST IN THE LOWER BACK OK AND WHEN WHEN DID THIS PAIN START +MSK0001-005 IT STARTED YESTERDAY I WAS UNLOADING GROCERIES FROM MY PICKUP TRUCK WHEN IT SUDDENLY STARTED +MSK0001-006 OK SO AND DID YOU KIND OF MAKE ANY KIND OF MOVEMENT OR DID YOU PICK UP SOMETHING REALLY HEAVY +MSK0001-007 I'M NOT SURE I JUST NOTICED THE PAIN AFTER AFTER THAT +MSK0001-008 OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A DULL CRAMPING PAIN OR IS IT MORE LIKE A SHARP OR STABBING PAIN +MSK0001-009 IT FEELS LIKE IT'S STABBING JUST RIGHT IN MY LOWER BACK +MSK0001-010 OK AND ON A SCALE OF ONE TO TEN ONE BEING LIKE THE LEAST PAIN THAT YOU FELT IN YOUR LIFE TEN BEING THE WORST HOW MUCH WOULD YOU RATE THIS PAIN +MSK0001-011 IF I'M SITTING COMPLETELY STILL LIKE LIKE I AM RIGHT NOW IT'S A TWO OUT OF TEN +MSK0001-012 OK AND WHEN DID IT GET WORSE +MSK0001-013 ANYTIME I I I MOVE OR BEND MY BACK OR EVEN COUGH +MSK0001-014 IT WORSENS THE PAIN SIGNIFICANTLY OK AND HAS THIS PAIN +MSK0001-015 CHANGED AT ALL SINCE YESTERDAY NO IT'S BEEN +MSK0001-016 THIS SAME AWFUL PAIN THIS WHOLE TIME OK AND HAVE +MSK0001-017 HAVE YOU EVER HAD THIS KIND OF PAIN BEFORE I'VE HAD BACK PAIN +MSK0001-018 OVER THE YEARS BUT NOTHING LIKE THIS BEFORE OK AND DOES IT DOES THE PAIN GO ANYWHERE OR DOES IT JUST +MSK0001-019 STAY IN THE LOWER BACK I ALSO FEEL THE PAIN INTO +MSK0001-020 MY RIGHT LEG OK AND IS IT THE SAME KIND OF ACHING OR LIKE STABBING PAIN THAT GOES INTO YOUR RIGHT LEG OR IS IT JUST LIKE AN ACHING PAIN +MSK0001-021 IT'S IT'S A AN ACHING PAIN +MSK0001-022 OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ARE YOU EXPERIENCING ANY KIND OF WEAKNESS OR ANY KIND OF ANY OTHER CHANGES IN YOUR HEALTH +MSK0001-023 NO IT'S JUST THE THE LOW BACK PAIN +MSK0001-024 OK AND HAVE YOU EVER EXPERIENCED ANY KIND OF TRAUMA TO YOUR BACK LIKE SOMETHING HAS HIT YOU OR YOU'VE FALL DOWN ANYTHING LIKE THAT +MSK0001-025 NO I CAN'T REMEMBER ANY INJURIES LIKE THAT IN THE PAST +MSK0001-026 OK ANY FEVERS OR CHILLS OR NIGHT SWEATS +MSK0001-027 NO FEVER NO +MSK0001-028 CHILLS NO NIGHT SWEATS OK ANY SYMPTOMS OF FEELING VERY TIRED FATIGUED ANYTHING LIKE THAT +MSK0001-029 NO I'VE BEEN BEEN +MSK0001-030 OK RECENTLY OK ANY CHANGES TO YOUR SKIN AT ALL I MEAN ANY RASHES +MSK0001-031 NO +MSK0001-032 OK ANY PAIN IN YOUR JOINTS AT ALL +MSK0001-034 THE BACK PAIN OK ANY NEW COUGHS OR ANY SYMPTOMS AND RUNNY NOSE OR ANYTHING LIKE THAT +MSK0001-036 NO ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL LIKE DIARRHEA CONSTIPATION OR ANYTHING +MSK0001-037 NOTHING LIKE THAT BEEN REGULAR +MSK0001-038 OK HOW ABOUT ANY URINARY PROBLEMS +MSK0001-039 NO NOTHING TO REPORT THERE +MSK0001-040 OK AND HOW HAS YOUR APPETITE BEEN +MSK0001-041 APPETITE'S BEEN NORMAL +MSK0001-042 ANY SIGNIFICANT WEIGHT LOSS OR WEIGHT GAIN RECENTLY +MSK0001-043 NO THE WEIGHT'S BEEN ABOUT THE SAME +MSK0001-044 OK ANY RECENT INFECTIONS THAT YOU KNOW OF +MSK0001-045 NO I'VE BEEN FEELING WELL OTHERWISE +MSK0001-046 OK ANY TINGLING SENSATION OR NUMBNESS IN YOUR BACK OR LOWER LIMBS IN YOUR LEGS +MSK0001-047 NO NUMBNESS OR TINGLING +MSK0001-048 OK ANY MUSCLE WEAKNESS AT ALL +MSK0001-049 NO MUSCLE WEAKNESS +MSK0001-050 HAVE YOU BEEN HAVING ANY KIND OF ERECTILE DYSFUNCTION +MSK0001-051 NO CONCERNS WITH ERECTILE DYSFUNCTION +MSK0001-052 OK AND ANY ISSUES WITH INCONTINENCE LIKE HAVING ACCIDENTS AT ALL AT NIGHT OR DURING THE DAY +MSK0001-053 NO I HAVEN'T HAD ANY PROBLEMS WITH BOWEL OR BLADDER INCONTINENCE +MSK0001-054 OK ALRIGHT AND IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES +MSK0001-055 TYPE TWO DIABETES +MSK0001-056 OK AND DO YOU TAKE ANY MEDICATIONS FOR IT +MSK0001-058 FOR DIABETES OK AND ANY OTHER MEDICATIONS AT ALL +MSK0001-059 JUST BEEN TAKING TYLENOL FOR THE THE BACK PAIN +MSK0001-060 AND HAS THAT WORKED FOR YOU AT ALL OR HAS IT NOT MADE A DIFFERENCE +MSK0001-061 MAYBE IT'S TAKING THE EDGE OFF A LITTLE BIT BUT IT HASN'T DONE TOO MUCH TO +MSK0001-062 HELP THE PAIN OK ANY ALLERGIES +MSK0001-064 NOPE OK ANY PREVIOUS SURGERIES +MSK0001-065 I HAD HEMORRHOIDS REMOVED THREE YEARS AGO +MSK0001-066 OK ANY HOSPITALIZATIONS BEFORE +MSK0001-067 NO IT WAS JUST DAY SURGERY +MSK0001-068 OK ANY FAMILY HISTORY OF ANY CONDITIONS OR LIKE ANY CANCERS +MSK0001-069 MY FATHER HAD PROSTATE CANCER +MSK0001-070 OK AND CURRENTLY RIGHT NOW DO YOU WORK +MSK0001-071 I'M A RETIRED SCHOOL TEACHER +MSK0001-072 OK AND WHERE DO YOU LIVE +MSK0001-073 I LIVE ALONE IN A IN A HOUSE NOT TOO FAR FROM HERE ACTUALLY +MSK0001-074 OK AND DO YOU DO YOU DRINK AT ALL +MSK0001-075 OCCASIONALLY MAYBE I'LL HAVE A GLASS OF RED WINE ON THE WEEKEND OR SOMETHING LIKE THAT BUT NOT TOO OFTEN +MSK0001-076 OK AND DO YOU SMOKE +MSK0001-077 I'VE SMOKED I SMOKE A PACK OF CIGARETTES PER DAY +MSK0001-078 OK AND FOR HOW LONG HAVE YOU SMOKED CIGARETTES FOR +MSK0001-079 ABOUT FORTY YEARS +MSK0001-080 FORTY YEARS OK AND DO YOU USE ANY KIND OF RECREATIONAL DRUGS +MSK0001-082 NEVER OK AND HOW IS YOUR DIET LIKE ON LIKE A REGULAR BASIS +MSK0001-083 I FEEL LIKE IT'S PRETTY NORMAL MOSTLY HOME COOKED MEALS WITH SOME VARIETY VEGETABLE VEGETABLES OTHER MEATS AND FISH I WOULD SAY IT'S PRETTY BALANCED +MSK0001-084 OK ALRIGHT I JUST HAVE A FEW MORE QUESTIONS FOR YOU ARE YOU CURRENTLY SEXUALLY ACTIVE +MSK0001-085 YES I AM +MSK0001-086 OK AND WHO ARE YOU SEXUALLY ACTIVE WITH ANY NEW PARTNERS AT ALL +MSK0001-087 NO NEW PARTNERS JUST MY +MSK0001-088 GIRLFRIEND AND HOW MANY I'M SORRY GO AHEAD +MSK0001-089 JUST MY MY MY GIRLFRIEND RECENTLY +MSK0001-090 OK AND HAVE YOU BEEN SEXUALLY ACTIVE WITH MORE THAN ONE PARTNER IN THE PAST PAST YEAR +MSK0001-091 YES I HAVE TWO WOMEN OVER THE PAST YEAR +MSK0001-092 OK AND DO YOU USE ANY KIND OF PROTECTION +MSK0001-093 YES ALWAYS USE CONDOMS +MSK0001-094 OK ALRIGHT SO NOW I'M JUST GOING TO GET THE PATIENT'S VITALS +MSK0003-000 MY BACK IT JUST REALLY HURTS I FEEL REALLY STIFF IN THE MORNING AND IT'S JUST BEEN GOING ON FOR A FEW MONTHS NOW +MSK0003-001 OK SO FOR A FEW MONTHS STIFFNESS IN THE MORNING SO YOUR BACK HURTS WHERE EXACTLY WOULD YOU SAY IT HURTS +MSK0003-002 IT KINDA HURTS ALL OVER I CAN'T REALLY PINPOINT ANY SPECIFIC LOCATIONS THAT HURTS MOST KIND OF HURTS LIKE ALL DOWN MY MY BACK +MSK0003-003 OK ALL THE WAY UP TO I GUESS YOUR NECK AND ALL THE WAY DOWN TO YOUR LOWER BACK +MSK0003-004 SO I WOULDN'T REALLY SAY THE NECK AND I GUESS MORE OF THE THE LOWER PARTS MAYBE LIKE THE MIDDLE OF MY BACK AND +MSK0003-005 I SEE +MSK0003-007 AND DOWN OK AND WHAT KIND OF PAIN WOULD YOU SAY IT IS IS IT LIKE A DULL ACHING PAIN IS IT A SHARP STABBING PAIN HOW WOULD YOU DESCRIBE IT +MSK0003-008 IT'S A DULL PAIN +MSK0003-009 DULL PAIN OK OK AND ON A SCALE OF ZERO TO TEN WITH ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND TEN BEING THE WORST HOW MUCH WOULD YOU RATE IT +MSK0003-010 IT'S ABOUT A FOUR OR FIVE I MEAN SOME DAYS IT CAN BE BETTER BUT SOME DAYS +MSK0003-011 IT CAN BE WORSE OK +MSK0003-012 AND WHEN DID THIS START I THINK THIS STARTED ABOUT LIKE FOUR OR FIVE MONTHS AGO IT'S BEEN GOING ON FOR PROBABLY +MSK0003-013 ABOUT HALF A YEAR NOW OK AND WHEN IT FIRST STARTED UP WAS THERE ANYTHING THAT CAUSED THE BACK PAIN LIKE ANY KIND OF TRAUMA OR INJURY ANYTHING THAT YOU CAN THINK OF THAT MIGHT HAVE LED TO THIS +MSK0003-014 NO NOTHING THAT IT'S I I CAN THINK OF IT'S SORT OF IT'S COME ON SO SLOWLY LIKE WHEN I FIRST STARTED NOTICING THE BACK PAIN IT IT WAS MAYBE LIKE A ZERO TO A ONE I DIDN'T REALLY NOTICE IT TOO MUCH BUT OVER THESE LAST FIVE SIX MONTHS IT HAS GOTTEN HAS GOTTEN A BIT WORSE +MSK0003-015 OK SO IT KIND OF CAME ON PROGRESSIVELY DIDN'T JUST COME ON SUDDENLY AT SOME POINT +MSK0003-016 RIGHT IT'S BEEN GETTING WORSE +MSK0003-017 OK AND HAVE YOU EVER HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO THIS +MSK0003-018 NOT NOT NOT IN MY BACK PAIN I DO GET PAIN IN MY RIGHT KNEE AND IN MY HANDS SOMETIMES BUT THOSE PAINS JUST KIND OF COME AND GO +MSK0003-019 OK AND WHEN DID THOSE PAINS START +MSK0003-020 THOSE ONES STARTED PROBABLY SIMILAR TIMELINE +MSK0003-021 AROUND SIX MONTHS AGO OK OK AND IN THE BACK PAIN THAT YOU'RE HAVING DOES IT RADIATE OR MOVE TO ANY OTHER PART OF YOUR BODY +MSK0003-022 NO I DON'T FEEL IT ANYWHERE ELSE +MSK0003-023 OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED RELIEVE SOME OF THE PAIN ANY MEDICATIONS OR ANYTHING +MSK0003-024 I'VE TRIED SOME TYLENOL AND ADVIL AND THAT THE ADVIL IS ACTUALLY HELPED TAKING THE EDGE OFF A LITTLE BIT BUT THE NEXT MORNING I I HAVE THE STIFFNESS AND AND PAIN AGAIN +MSK0003-025 OK AND FOR YOUR PAIN ARE THERE ANY KIND OF FACTORS THAT MAKE THE PAIN WORSE LIKE BENDING DOWN OR STANDING STRAIGHT UP OR LAYING DOWN ANYTHING THAT MAKES YOUR PAIN WORSE +MSK0003-026 NO NOTHING THAT I CAN THINK OF THAT REALLY MAKES IT ANY WORSE +MSK0003-027 OK AND IS YOUR PAIN WORSE WHEN YOU WAKE UP IN THE MORNING OR IS IT WORSE AS THE DAY PROGRESSES +MSK0003-028 IT'S WORSE IN THE MORNING IT GETS A BIT BETTER AS THE DAY GOES ON I ASKED ABOUT IT AN HOUR INTO THE DAY I FEEL MY BEST IT TAKES A LITTLE BIT OF TIME TO TO MOVE AROUND A LITTLE BIT FIRST +MSK0003-029 OK APPROXIMATELY HOW MUCH TIME WOULD YOU SAY AFTER YOU WAKE UP THE STIFFNESS AND PAIN GOES AWAY +MSK0003-030 I WOULD SAY MAYBE THIRTY TO SIXTY MINUTES +MSK0003-031 OK ALRIGHT AND NO YOU HAVEN'T HAD ANY TRAUMA INJURIES IN RECENTLY RIGHT +MSK0003-032 NO TRAUMA OR INJURIES +MSK0003-033 OK AND NO FEVERS OR CHILLS +MSK0003-034 NO +MSK0003-035 OK ANY NIGHT SWEATS +MSK0003-036 NO +MSK0003-037 ANY FATIGUE OR MALAISE +MSK0003-038 I HAVE BEEN A BIT MORE FATIGUED THAN USUAL AND I I'VE HAD SOME MALAISE AS WELL +MSK0003-039 OK AND FOR HOW LONG HAVE YOU HAD THIS +MSK0003-040 IT'S BEEN SIMILARLY GETTING A LITTLE BIT MORE PROGRESSIVE I MEAN SOME DAYS I'M JUST FEELING LIKE I JUST WANT TO LAY AROUND AND REST CAUSE I'M FEELING JUST SO BURNT OUT AND OTHER DAYS I'M OK BUT I'M CERTAINLY +MSK0003-041 MORE TIRED THAN USUAL OK I SEE OTHER THAN THAT HAVE YOU NOTICED ANY KIND OF RASHES OR SKIN CHANGES OR CHANGES IN YOUR NAILS AT ALL +MSK0003-042 NO I HAVEN'T NOTICED ANY ANY RASHES OR ANY NAIL CHANGES +MSK0003-043 OK ANY SHORTNESS OF BREATH +MSK0003-044 NO +MSK0003-045 ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS +MSK0003-046 NO I HAVEN'T HAD ANY DIARRHEA OR ANY ANY URINARY PROBLEMS +MSK0003-047 OK HAVE YOU NOTICED ANY CHANGES IN YOUR APPETITE OR YOUR WEIGHT +MSK0003-048 NO MY APPETITE'S BEEN NORMAL AND MY WEIGHT'S BEEN STABLE +MSK0003-049 OK AND HAVE YOU NOTICED ANY DIFFICULTIES OR CHANGES WITH YOUR VISION OR ANY EYE PROBLEMS +MSK0003-050 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +MSK0003-051 OK HAVE YOU NOTICED ANY KIND OF NUMBNESS OR TINGLING SENSATION IN YOUR LIMBS SPECIFICALLY LIKE YOUR BACK AND YOUR LEGS +MSK0003-052 NO NO TINGLING OR NUMBNESS +MSK0003-053 OK ANY MUSCLE WEAKNESS AT ALL +MSK0003-054 NOPE I HAVEN'T NOTICED ANY MUSCLE WEAKNESS +MSK0003-055 OK AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH ANY VIRAL OR BACTERIAL INFECTIONS +MSK0003-056 I HAD A AND THEN I WAS DIARRHEA LIKE SEVERAL MONTHS AGO AND I HAD SOME ANTIBIOTICS BUT THAT WAS A SO A FEW MONTHS AGO +MSK0003-057 OK AND OTHER THAN THAT CURRENTLY ARE YOU SEXUALLY ACTIVE +MSK0003-058 YES I AM I I HAVE A GIRLFRIEND THEN WE'VE WE STARTED DATING ABOUT ABOUT +MSK0003-059 SIX MONTHS AGO OK AND DO EITHER OF YOU +MSK0003-060 DO HAVE ANY HISTORY OF ANY STI'S AT ALL +MSK0003-061 NO HISTORY OF STIS OK ALRIGHT AND IS YOUR PARTNER FINE OR IS SHE HAVING ANY SYMPTOMS AT ALL +MSK0003-062 NO SHE SHE HASN'T BEEN HAVING ANY SYMPTOMS THEN WE WE'VE BEEN USING A CONDOM MOSTLY +MSK0003-063 OK ALRIGHT AND OTHERWISE ARE YOU GENERALLY HEALTHY OR DO YOU HAVE ANY MEDICAL CONDITIONS +MSK0003-064-1 I'M YEAH I'M GENERALLY ALRIGHT I DO HAVE ASTHMA ACTUALLY AND JUST I HAD DIARRHEA A FEW MONTHS AGO AFTER EATING AT A BUFFET +MSK0003-064-2 SO I THINK MAYBE IT IT WAS FOOD POISONING OR MAYBE SOMETHING LIKE THAT +MSK0003-067 SO ASTHMA AND THAT'S IT OK AND DO YOU USE ANY MEDICATIONS FOR YOUR ASTHMA +MSK0003-068 I USE THAT BLUE INHALER SOMETIMES I GUESS THAT JUST WHEN I WHEN I NEED IT BUT THAT HASN'T BEEN VERY OFTEN +MSK0003-069 OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL FACTORS I DO HAVE ENVIRONMENTAL ALLERGIES I I'M +MSK0003-070 NOT SURE IF IT'S LIKE RAGWEED OR OR POLLEN BUT SOMETHING LIKE THAT OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES +MSK0003-071 NEVER OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS ANY AUTOIMMUNE CONDITIONS OR ANY MUSCULOSKEL +MSK0003-073 CONDITIONS MY MOTHER HAS A A PSORIASIS OK +MSK0003-076 USE LIKE LIKE CREAMS AND STUFF LIKE THAT FOR HER SKIN OK AND +MSK0003-077 CURRENTLY RIGHT NOW DO YOU WORK +MSK0003-078 I DO I WORK +MSK0003-079 AT A BANK OK AND YOUR MOTHER SO SHE HAD PSORIASIS DID SHE EVER HAVE ANY JOINT PAINS ALONGSIDE THE PSORIASIS +MSK0003-080 I I DON'T BELIEVE SO I THINK SHE HAD JUST MORE ISSUES WITH HER WITH HER SKIN +MSK0003-081 OK AND SO YOU WORK AND THEN WHAT'S YOUR LIVING SITUATION LIKE +MSK0003-082 SO I LIVE WITH MY GIRLFRIEND IN A CONDO IN THE CITY HERE +MSK0003-083 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +MSK0003-084 YES SOMETIMES I'LL SMOKE LIKE ONCE OR TWICE PER WEEK WITH THAT +MSK0003-086 LIKE THAT OK +MSK0003-087 AND DO YOU SMOKE +MSK0003-088 NO CIGARETTES NO NEVER OK AND YOU DRINK ALCOHOL SOMETIMES I'LL HAVE A BEER OR TWO +MSK0003-089-1 ON WEEKENDS OR OR A COCKTAIL WITH FRIENDS +MSK0003-089-2 OK ALRIGHT SO THOSE WERE JUST SOME OF THE QUESTIONS I HAD NOW I'M JUST GOING TO QUICKLY ASK SOME SPECIFIC QUESTIONS +MSK0003-089-3 SO HAVE YOU NOTICED ANY KIND OF SWELLING IN THE AREAS THAT YOU ARE HAVING PAIN OR REDNESS OR ANYTHING LIKE THAT +MSK0003-090 NO I HAVEN'T NOTICED REALLY ANY ANY REDNESS OR OR SWELLING +MSK0003-091 OK AND NO SO ARE YOU ABLE TO BEND DOWN AND STAND UP STRAIGHT OR EXTEND BACKWARDS SO WITHOUT PAIN OR ARE YOU IN ANY PAIN +MSK0003-092-1 I DO GET IT IT'S A BIT STIFF I +MSK0003-092-2 YEAH I'M NOT REALLY TOO SURE IT'S LIKE NOT REALLY IT'S MORE MORE +MSK0003-093 OK AND YEAH OTHER THAN THAT DO YOU HAVE ANY QUESTIONS OR CONCERNS +MSK0003-094 I WAS JUST WONDERING LIKE LIKE WHAT WHAT +MSK0003-095 THIS COULD BE POSSIBLY SO DEFINITELY WHAT SO THIS THIS SEEMS LIKE IT STARTED OFF LIKE THREE MONTHS OR SIX MONTHS AGO AND IT'S BEEN GOING ON AND IT'S HAPPENING IN THE MORNING AND HOW OLD DID YOU SAY YOU WERE +MSK0003-097-1 TWENTY TWENTY SIX +MSK0003-097-10 WILL TEST FOR DIFFERENT KIND OF RHEUMATOLOGICAL ISSUES AND TO SEE IF YOU HAVE ANY ARTHRITIS +MSK0003-097-11 SO THOSE ARE AND THEN WILL ALSO GET AN X RAY OF YOUR HANDS AND KNEES SINCE YOU'RE HAVING PAIN THERE AS WELL SO THOSE ARE SOME STEPS THAT WE'LL TAKE DO YOU HAVE ANY QUESTIONS OR CONCERNS +MSK0003-097-2 OK SO IT SEEMS PROGRESSIVE AND YOU'RE GETTING SOME PAIN IN YOUR OTHER JOINTS AS WELL AND IT'S MAINLY FROM YOUR MIDDLE TO LOWER BACK +MSK0003-097-3 IT CAN BE MULTIPLE THINGS THAT WE WOULD HAVE TO RULE OUT SO YOU FIRST YOU HAVE A FAMILY HISTORY OF PSORIASIS SO IT CAN BE PSORIATIC ARTHRITIS +MSK0003-097-4 YOU DON'T HAVE ANY OTHER SKINS CHANGES OR ANY OTHER SYMPTOMS IT CAN ALSO BE SINCE YOU HAVE HAD A YOU WERE SICK FOR MONTHS AGO WITH A WHAT MIGHT BE GASTROENTERITIS +MSK0003-097-5 IT CAN BE SOMETIMES A FEW MONTHS AFTERWARDS YOU CAN GET SOMETHING CALLED REACTIVE ARTHRITIS WHERE YOU GET THIS PROGRESSIVE PAIN IN YOUR JOINTS AND STIFFNESS +MSK0003-097-6 AND OTHERWISE IT CAN ALSO BE SOMETHING CALLED ANKYLOSING SPONDYLITIS WHICH CAN PRESENT IN MEN YOUR AGE AND IT'S KIND OF LIKE A PROGRESSIVE DULL BACK PAIN AND THAT HAS SOME MORNING STIFFNESS AS WELL +MSK0003-097-7 SO THERE'S DEFINITELY MULTIPLE THINGS THAT IT CAN BE SO FIRST WE WOULD NEED TO DO A FULL PHYSICAL EXAMINATION AND BOOK AN APPOINTMENT OR FOR THAT IN PERSON +MSK0003-097-8 AND WE WILL GET SOME LAB WORK DONE AS WELL AS WELL AS A X RAY OF THE OF THE SPINE AND YOUR SACROILIAC JOINTS +MSK0003-097-9 AND WE'LL ALSO GET SOME BLOOD WORK WITH CBC CRP AND ESR SO THOSE ARE JUST INFLAMMATORY MARKERS AS WELL AS THE RHEUMATOID FACTOR ANTINUCLEAR ANTIBODIES THOSE ARE JUST SOME THINGS THAT +MSK0003-098 NO THAT THAT SOUNDS THAT SOUNDS GREAT THANK YOU +MSK0003-099 ALRIGHT SO I WILL GET IN TOUCH WITH YOU SHORTLY +MSK0003-100 SOUNDS GREAT THANK YOU +MSK0003-101 TAKE CARE +MSK0004-000 WHAT BRINGS IN HERE TODAY +MSK0004-001 HI THERE I'VE JUST LAST NIGHT I WAS I WENT FOR A RUN AND I TWISTED MY ANKLE I THINK I STEPPED ON SOMETHING AND IT +MSK0004-002 IT REALLY HURTS OK AND SO +MSK0004-003 WHEN DID YOU HAVE THE +MSK0004-005 IT IT WAS JUST YESTERDAY +MSK0004-006 IT WAS JUST JUST YESTERDAY THAT IT HAPPENED OK AND DO YOU REMEMBER IF YOU TWISTED IT SO YOU TWISTED YOUR ANKLE LIKE DID DID IT TWIST INWARDS +MSK0004-007 OR OUTWARDS INWARDS I FEEL LIKE I INVERTED MY ANKLE +MSK0004-008 OK AND SO SINCE THEN WERE YOU ABLE TO STAND UP AND OR WERE YOU NOT ABLE TO BEAR ANY WEIGHT +MSK0004-009-1 NO I WAS ABLE TO KIND OF FINISH THE I I I JUST FINISHED THE WALK I WAS ABLE TO WALK HOME CAUSE IT DIDN'T HURT +MSK0004-009-2 THAT BAD IMMEDIATELY IT WAS A BIT PAINFUL BUT THE PAIN REALLY STARTED A FEW HOURS LATER AND HAS BEEN PRETTY MUCH +MSK0004-009-3 CONSTANT EVER SINCE +MSK0004-010 OK OK SO IT KIND OF GOT WORSE OVER TIME OVER THE LAST DAY +MSK0004-011 AND DO YOU NOTICE ANY KIND OF BRUISING REDNESS SWELLING ANY SKIN CHANGES +MSK0004-012 NO I HAVEN'T REALLY NOTICED I REALLY ANY SWELLING OR I OR OR SKIN CHANGES NO SKIN CHANGES AND NO SWELLING +MSK0004-013 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE A DULL ACHING PAIN OR SHARP STABBING PAIN +MSK0004-014 DULL AND ACHY +MSK0004-015 OK OK AND HAS THIS HAPPENED TO YOU IN YOUR ANKLE BEFORE +MSK0004-016 I'M I I FEEL LIKE I'VE MAYBE I I'VE DONE SOMETHING LIKE THIS WHEN I WAS YOUNGER MAYBE PLAYING BASKETBALL OR SOMETHING LIKE THIS WHEN I WAS A KID I TWISTED MY ANKLE BEFORE +MSK0004-017 OK AND DOES THIS PAIN JUST STAY WHERE'S THE PAIN EXACTLY ON THE RIGHT SIDE OF YOUR ANKLE OR ON YOUR LEFT LIKE INTERIOR SIDE +MSK0004-018 IT'S ON THE RIGHT KIND OF OUTSIDE OF THE ANKLE +MSK0004-019 OK AND WHICH ANKLE IS THIS JUST TO CLARIFY +MSK0004-021 RIGHT ANKLE OK SO SO IT HURTS ON THE RIGHT SIDE OF THE RIGHT ANKLE +MSK0004-023 OK AND DOES THE PAIN RADIATE OR MOVE ANYWHERE +MSK0004-024 IN YOUR FEET I CAN KIND OF FEEL IT AROUND ON THE THE SOLE OF MY FOOT AS WELL BUT MOSTLY ON THE OUTSIDE THOUGH +MSK0004-025 OK AND IS THERE ANYTHING THAT MAKES THE PAIN BETTER +MSK0004-026 OR WORSE IT GETS WORSE REALLY TO IF IF I MOVE MY ANKLE OR IF I'M STANDING ON IT +MSK0004-027 OK AND ANYTHING THAT MAKES IT BETTER +MSK0004-028 ALRIGHT JUST IF I REST AND AVOID MOVING IT +MSK0004-029 OK HAVE YOU NOTICE ANY FEVERS OR +MSK0004-031 CHILLS NO OK ANY PAIN IN ANY OTHER JOINTS BESIDES YOUR ANKLE +MSK0004-032 NO JUST MY MY RIGHT ANKLE +MSK0004-033 OK ANY APPETITE OR WEIGHT CHANGES +MSK0004-034 NO I'VE BEEN I'VE BEEN JUST TRAINING FOR THIS RACE COMING UP SO I MEAN I'VE BEEN JUST TRYING TO WORK ON MY FITNESS A LITTLE BIT BUT MY WEIGHT HAS BEEN RELATIVELY STABLE +MSK0004-035 OK ANY WEAKNESS IN YOUR RIGHT RIGHT EXTREMITIES OR ANY KIND OF NUMBNESS OR TINGLING SENSATION +MSK0004-036 NO NUMBNESS OR TINGLING AND NO MUSCLE WEAKNESS EITHER +MSK0004-037 OK RIGHT HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +MSK0004-038 I'M I HAD DIARRHEA A FEW MONTHS AGO AND I WAS GIVEN A FLUOROQUINOLONE AS AN ANTIBIOTIC +MSK0004-039 OK THAT'S TWO MONTHS AGO OK AND ANY MEDICATIONS THAT YOU'RE ON CURRENTLY +MSK0004-040 I I TAKE A VITAMIN D AND SOME OTHER VITAMINS VITAMIN A AS WELL I GUESS THAT JUST HELPS MY MY SKIN AND AND THEN THE +MSK0004-041 VITAMIN D FOR MY MY BONES OK ANY ALLERGIES TO MEDICATIONS +MSK0004-043 ENVIRONMENTAL ISSUES NO ALLERGIES NO OK ANY HOSPITALIZATIONS +MSK0004-045 OR PREVIOUS SURGERIES NO OK ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS ANY RHEUMATOLOGICAL CONDITIONS ANYTHING THAT YOU KNOW OF +MSK0004-046 MY GRANDPARENTS HAVE ARTHRITIS SO AND MY LIKE MY DAD HAD HAD +MSK0004-047 GOUT BEFORE OK AND DO YOUR GRANDPARENTS HAVE RHEUMATOID ARTHRITIS OR OSTEOARTHRITIS DO YOU KNOW +MSK0004-048 I THINK OSTEO OSTEOARTHRITIS +MSK0004-049 OK AND DO YOU CURRENTLY WORK +MSK0004-050 I DO I WORK AS A SOFTWARE ENGINEER +MSK0004-051 OK AND WHAT'S YOUR LIVING SITUATION LIKE CURRENTLY +MSK0004-052 RIGHT NOW I'M ACTUALLY JUST LIVING ALONE IN A IN AN APARTMENT +MSK0004-053 OK AND DO YOU SMOKE AT ALL +MSK0004-054 NO NEVER I CAN'T WITH THE WITH ALL THIS LIKE TRAINING FOR AT THE RACE AND +MSK0004-055 STUFF LIKE THAT OK THAT'S GOOD ANY RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING LIKE THAT BEFORE +MSK0004-056 NO I'VE NEVER USED ANYTHING LIKE THAT IN THE PAST +MSK0004-057 OK AND HOW ABOUT ALCOHOL +MSK0004-058 RARELY I'LL HAVE MAYBE A GLASS OF WINE LIKE ONCE EVERY COUPLE OF MONTHS BUT IT'S PRETTY INFREQUENT +MSK0004-059 OK ALRIGHT SO I JUST HAVE A FEW QUESTIONS RIGHT NOW OVER YOUR RIGHT ANKLE DO YOU HAVE SO YOU MENTIONED YOU DON'T HAVE ANY SWELLING BUT DO YOU NOTICE ANY KIND OF REDNESS OR WARMTH AT ALL +MSK0004-060 NO NOTHING LIKE THAT +MSK0004-061 OK AND IF YOU PRESS DOWN ON YOUR ANKLE DOES IT HURT A LOT +MSK0004-062 A LITTLE BIT OF PAIN NOW THAT RIGHT LIKE OUTSIDE BUT IT'S NOT IT DOESN'T HURT THAT BAD +MSK0004-063 OK I'LL SAY NO OK AND IF YOU KIND OF +MSK0004-064 ARE YOU ABLE TO MOVE YOUR ANKLE AT ALL I CAN I CAN MOVE IT AROUND A LITTLE BIT I'M TRYING TO AVOID THAT THOUGH JUST BECAUSE IT IT DOES HURT +MSK0004-065 BUT I CAN MOVE IT AROUND OK AND ARE YOU ABLE TO STAND UP AND WALK OR ARE YOU NOT ABLE TO DO THAT RIGHT NOW +MSK0004-066 I CAN JUST FOR SHORT PERIODS OF TIME CAUSE IT'S JUST CAUSE OF THE PAIN BUT I CAN WALK ON IT +MSK0004-067-1 OK YEAH SO DEFINITELY WHAT WE'LL DO IS WE MIGHT NEED TO GET LIKE A PROPER PHYSICAL EXAMINATION DONE TO MAKE SURE THERE IS NO FRACTURE +MSK0004-067-2 MOST LIKELY THOUGH IT SEEMS THAT THIS MAY JUST BE AN ANKLE SPRAIN DUE TO YOU INVERTING YOUR ANKLE THE OTHER DAY +MSK0004-067-3 WHAT WE CAN DO IS USUALLY WE JUST IMMOBILIZE THE ANKLE AND THEN RECOMMEND APPLYING ICE +MSK0004-067-4 YOU CAN TAKE SOME NSAIDS LIKE ADVIL FOR PAIN TO HELP YOU AND IT SHOULD +MSK0004-067-5 IT SHOULD GET BETTER ON ITS OWN WITH SOME PHYSIOTHERAPY LATER ON AS WELL HOWEVER +MSK0004-067-6 IF WE FIND THAT ON PHYSICAL EXAMINATION YOU ARE HAVING SIGNIFICANT PAIN ON PALPATION +MSK0004-067-7 OR ANY KIND OF BONY PAIN WE MIGHT ALSO REQUIRE YOU TO GET AN X RAY OF THE RIGHT FOOT AND ANKLE AS WELL AS JUST YOUR LOWER LEG +MSK0004-067-8 SO WE'LL HAVE YOU COME COME +MSK0004-068 IN IN PERSON AND THEN +MSK0004-069 GO FROM THERE AND SEE IF YOU NEED AN X RAY +MSK0005-000 WHAT BRINGS YOU IN +MSK0005-001 HI I'VE I'VE HAD THIS PAIN ON THE OUTSIDE OF MY RIGHT ELBOW NOW IT'S IT I FIRST STARTED KNOWING NOTICING IT SEVERAL MONTHS AGO BUT RECENTLY IT'S JUST BEEN MORE PAINFUL +MSK0005-002 OK SO YOU SAID SEVERAL MONTHS AGO DID ANYTHING HAPPEN SEVERAL MONTHS AGO WAS THERE ANY SORT OF TRIGGER TRAUMA ANYTHING LIKE THAT TO THAT AREA +MSK0005-003 NO THERE WASN'T ANY ANY TRAUMA OR ANY TRIGGERS THAT THAT I NOTICED I WAS JUST FEELING IT A BIT MORE AT THE END OF OF WORK I WAS JUST HAVING IT FEELING THE PAIN A BIT MORE AT +MSK0005-004 THE END OF WORK OK DOES ANYTHING MAKE IT BETTER OR WORSE THE PAIN +MSK0005-005-1 YEAH IF I REALLY IF I'M JUST RESTING THE ELBOW +MSK0005-005-2 IT MAKES IT BETTER AND I'VE TRIED THINGS LIKE IBUPROFEN +MSK0005-005-3 WHICH HAS HELPED WITH THE PAIN I'LL I'LL DO THAT FOR HOPING I I +MSK0005-006 GET THROUGH WORK SOMETIMES IF THE PAIN IS BAD ENOUGH RIGHT OK AND IF YOU WERE +MSK0005-007 TO DESCRIBE THE QUALITY OF THE PAIN IS IT SHARP THROB BY ACHY IT'S KIND OF WELL +MSK0005-008 IT'S ACHY AND THEN SOMETIMES DEPENDING ON THE MOVEMENT IT CAN GET +MSK0005-009-1 IT CAN BE SHARP AS WELL +MSK0005-009-2 IT CAN BE SHARP OK OK AND WHAT SORTS OF MOVEMENTS MAKE IT WORSE +MSK0005-009-3 SO LIKE REALLY IT'S MOSTLY THE MOVEMENTS AT MY WRIST IF I'M BENDING MY WRIST DOWN +MSK0005-009-4 I CAN I CAN FEEL IT OR IF I'M +MSK0005-010 HAVING TO PICK THINGS UP OR HOLD HEAVY OBJECTS AT WORK I DO A LOT OF REPETITIVE THINGS AT AT WORK I WORK ON A LINE OK OK +MSK0005-011 AND ONE TO TEN TEN BEING THE WORST PAIN +MSK0005-012 YOU'VE EVER FELT HOW BAD IS THIS PAIN IT IT'S IT'S ABOUT A FOUR +MSK0005-013 ABOUT A FOUR +MSK0005-014 OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE NO I HAVEN'T NO OK AND DO YOU FEEL LIKE YOUR PAIN IS GETTING WORSE +MSK0005-015 WORSE OVER THE PAST +MSK0005-016 SEVERAL MONTHS OR IS IT THE SAME GETTING BETTER IT'S BEEN GETTING WORSE IT'S BEEN GETTING WORSE OK +MSK0005-017 OK HAVE YOU TRIED ANY LIKE TOPICAL OINTMENTS OR ANYTHING LIKE THAT FOR IT I DID I I TRIED SOME +MSK0005-018 SOME STUFF THAT YOU CAN GET AT THE DRUGSTORE AND +MSK0005-019 IT DID HELP TAKE THE EDGE OFF A LITTLE BIT OK +MSK0005-020 ALRIGHT AND ARE YOU STILL ABLE TO MOVE THAT ARM YOUR RIGHT ARM +MSK0005-021 AS WELL AS YOUR HAND I AM I I HAVE FULL RANGE OF MOTION OF BOTH THE ELBOW AND HAND OK AND IT'S NOT LIKE PREVENTING +MSK0005-022 PREVENTING YOU FROM DOING EVERYDAY TASKS NO I I'VE BEEN BEEN ABLE TO MANAGE SO FAR AT WORK BUT IT IS STARTING TO +MSK0005-023 BECOME AN ISSUE WITH MY JOB OK ALRIGHT AND THEN DO YOU HAVE ANY SORTS OF ACHES OR PAINS IN ANY OTHER JOINT OR MUSCLE GROUPS NO IT'S JUST +MSK0005-024 RIGHT THERE ON THE OUTSIDE OF MY RIGHT ELBOW AND OK IT'S +MSK0005-025 REALLY ANNOYING CAUSE I'M RIGHT HANDED AS WELL SO IT'S CAUSING +MSK0005-026 PROBLEMS THERE RIGHT AND IS THE PAIN RADIATING UPWARDS OR DOWNWARDS +MSK0005-027 NO I KINDA JUST FEEL IT RIGHT OVER THAT THAT ONE +MSK0005-028 SPOT OK ANY NUMBNESS OR TINGLING IN THAT ARM NO +MSK0005-029 NO NO NUMBNESS OR TINGLING +MSK0005-030 OK AND THEN HOW ABOUT LIKE YOUR ARM FEELING +MSK0005-031 LIKE IT'S COLD NO I HAVEN'T HAD ANYTHING LIKE THAT OK ALRIGHT +MSK0005-033 OTHERWISE DO YOU HAVE ANY OTHER SYMPTOMS +MSK0006-000 WHAT BRINGS YOU IN +MSK0006-001 I I'VE HAD THIS PAIN IN THE RIGHT BUTTOCK AREA IT'S BEEN REALLY INTENSE AND MORE RECENTLY I'M FEELING IT LIKE RADIATE JUST DOWN MY RIGHT LEG AS WELL +MSK0006-002 OK AND SORRY WHEN DID YOU SAY IT STARTED +MSK0006-003 SO IT'S BEEN GOING ON FOR WELL IT'S IT'S GOTTEN REALLY INTENSE IN THE LAST LIKE TWO DAYS +MSK0006-004 OK AND BEFORE THAT DID YOU HAVE ANY PAIN AT ALL OR WAS IT JUST LIKE SUDDEN +MSK0006-005 I DO HAVE A BIT OF PAIN DOWN IN MY IN IN MY BUTTOCK AREA BUT IT'S JUST +MSK0006-006 GOTTEN REALLY IT'S GOTTEN MORE PAINFUL OVER THESE LAST COUPLE OF DAYS OK AND IS IT A PERSISTENT KIND OF PAIN OR DOES IT COME AND GO +MSK0006-007 IT'S PERSISTENT IT'S IT IT DOES GET WORSE THOUGH DEPENDING ON WHAT +MSK0006-008 WHAT I'M DOING OK +MSK0006-009 WHAT WHEN DOES IT GET WORSE WELL IT IT GETS IT GETS WORSE WITH WALKING WITH SITTING REALLY ANY LIKE ANY KINDS OF MOVEMENTS LIKE IF I JUST GOTTA KIND OF STAY STILL AND THAT'S THE ONLY THING THAT REALLY HELPS IT +MSK0006-010 OK HAVE YOU TRIED ANYTHING FOR IT +MSK0006-011 I'M JUST TAKING SOME PAIN MEDIC MEDICATIONS OVER THE COUNTER FOR THESE LAST COUPLE OF DAYS LIKE ADVIL AND +MSK0006-012 TYLENOL BUT THAT'S IT OK +MSK0006-013 AND DOES IS IT HELPING IT DOES +MSK0006-014 I MEAN NOT REALLY IT HASN'T REALLY HELPED MUCH OK ALRIGHT AND IF YOU WERE TO DESCRIBE THE QUALITY OF THE PAIN WOULD YOU SAY IT'S SHARP DULL +MSK0006-015 ACHY THROBBY IT KIND OF LIKE A SHARP PAIN IN THE IN THE BUTTOCK AND IT IT +MSK0006-016 IT'S KIND OF LIKE BURNING DOWN THE LEG OK OK SO A RADICULAR KIND OF PAIN THEN OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR PAIN ONE TO TEN TEN BEING THE WORST PAIN +MSK0006-017 YOU'VE EVER FELT +MSK0006-018 WHAT WOULD YOU RATE IT EIGHT OK AND DOES THIS PAIN RADIATE ELSEWHERE I KNOW YOU SAID IT STARTS ON YOUR BUTTOCKS KIND OF GOES DOWN YOUR LEGS DOES IT GO UP YOUR BACK OR DOWN INTO THE OTHER LEG AT ALL +MSK0006-019 NO I FEEL IT JUST JUST IN THE BUTTOCK AND DOWN THE LEG +MSK0006-020 OK HAVE YOU EVER EXPERIENCED THIS KIND OF PAIN BEFORE +MSK0006-021 I HAVE I'M A A TRUCK DRIVER AND SO I DO A LOT OF A LOT OF +MSK0006-022 SITTING AND I'VE HAD KIND OF SCIATIC PAIN IN THE PAST OK AND HAVE YOU EVER HAD ANY LIKE +MSK0006-023 TRAUMA OR ANYTHING THAT COULD HAVE TRIGGERED THIS INITIALLY IN THE PAST NO I DON'T THINK SO I DON'T I HAVEN'T REALLY DONE MUCH JUST KIND OF WORK AND +MSK0006-024 I HAVEN'T HAD ANY TRAUMA TO THE BACK OR ANYTHING LIKE THAT OK AND ARE YOU EXPERIENCING ANY +MSK0006-025 SORT OF WEAKNESS WITH YOUR LEGS NO NO WEAKNESS JUST WELL MAYBE I GUESS MAYBE MAYBE A LITTLE BIT +MSK0006-026 OF LEG WEAKNESS I'VE HAD I'VE HAD +MSK0006-027 A LITTLE BIT OF DIFFICULTY WALKING BEEN LIMPING I SEE OK +MSK0006-029 OK AND JUST IN YOUR RIGHT LEG RIGHT +MSK0006-030 ANY URINARY OR STOOL INCONTINENCE NO +MSK0006-031 OK ANY SEXUAL DYSFUNCTION +MSK0006-032 NO I HAVEN'T HAD ANYTHING LIKE THAT OK ANY NUMBNESS OR TINGLING +MSK0006-034 NO IT'S JUST KIND OF DOWN THE BACK OF MY LEG +MSK0006-036 ALRIGHT AND OTHERWISE DO YOU HAVE OTHER SYMPTOMS +MSK0006-038 NO +MSK0006-039 NO WEIGHT LOSS +MSK0006-040 NO WEIGHT LOSS +MSK0006-041 FEVERS OR CHILLS +MSK0006-042 NO FEVERS OR CHILLS +MSK0006-043 RASHES +MSK0006-044 NO RASHES +MSK0006-045 CHANGES TO YOUR VISION HEARING SMELL OR TASTE +MSK0006-046 NO +MSK0006-047 ARE YOU COUGHING HAVING SHORTNESS OF BREATH OR WHEEZING +MSK0006-048 NO I HAVEN'T BEEN ANY HAVING ANY SYMPTOMS LIKE THAT +MSK0006-049 OK ANY CHEST PAIN PALPITATIONS OR DIZZINESS OR FAINTING SPELLS +MSK0006-050 NO NOTHING LIKE THAT +MSK0006-051 ANY CHANGES TO YOUR BOWEL MOVEMENTS +MSK0006-052 NO DIARRHEA OR CONSTIPATION +MSK0006-053 AND NO BLEEDING IN THE STOOL +MSK0006-054 NO BLOOD IN THE STOOL +MSK0006-055 OK AND THEN HOW ABOUT NAUSEA OR VOMITING +MSK0006-056 NO I HAVEN'T HAD ANY NAUSEA OR VOMITING +MSK0006-057 OK CHANGES TO YOUR URINE +MSK0006-058 NO NO CHANGES TO THE URINE +MSK0006-059 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +MSK0006-060 I DO HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL AND I TAKE MEDICATIONS FOR THOSE I TAKE AMLODIPINE +MSK0006-061 AMLODIPINE AND A STATIN OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS ARE ARE YOU ON ANY OTHER MEDICATIONS BESIDES THOSE +MSK0006-062 JUST A MULTIVITAMIN +MSK0006-063 OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +MSK0006-064 I AM YES +MSK0006-065 OK ANY ALLERGIES +MSK0006-066 NO I DON'T BELIEVE SO +MSK0006-067 NO FAMILY HISTORY OF MUSCULOSKELETAL OR NEUROLOGICAL ISSUES +MSK0006-068 NO NOTHING LIKE THAT +MSK0006-069 AUTOIMMUNE CONDITIONS +MSK0006-070 NO NOTHING LIKE THAT +MSK0006-071 CANCERS +MSK0006-072 NO +MSK0006-073 NO OK AND DO YOU SMOKE +MSK0006-074 I SMOKE ABOUT HALF A PACK OF CIGARETTES PER DAY +MSK0006-075 OK FOR HOW LONG HAVE YOU BEEN DOING THAT +MSK0006-077 ABOUT FORTY YEARS FORTY YEARS OK +MSK0006-078 HAVE YOU EVER THOUGHT OF QUITTING I HAVE I'VE CUT DOWN OVER THE YEARS I USED TO SMOKE MORE IT'S JUST THE CULTURE WITH I DON'T KNOW EVERYBODY'S DRIVING A TRUCK AND SMOKING +MSK0006-079 OK THAT'S HARD IF YOU EVER NEED ANY RESOURCES WE HAVE SOME THAT WE CAN REFER YOU TO +MSK0006-080 THANK YOU +MSK0006-081 NO WORRIES AND DO YOU CONSUME MARIJUANA +MSK0006-082 NO I DON'T +MSK0006-083 OK HOW ABOUT OTHER RECREATIONAL DRUGS +MSK0006-084 NOPE NOTHING LIKE THAT BEFORE +MSK0006-085 OK DO YOU DRINK ALCOHOL +MSK0006-086 I'LL HAVE A BEER OR TWO ON THE WEEKEND SO MAYBE A COUPLE OF DRINKS PER WEEK +MSK0006-087 OK AND HOW ABOUT DO SICK CONTACTS HAVE YOU BEEN IN TOUCH WITH ANY RECENTLY +MSK0006-088 NO I HAVEN'T BEEN AROUND ANYBODY WHO'S BEEN SICK +MSK0006-089 OK ANY TRAVEL RECENTLY +MSK0006-090 JUST FOR THE DROP OFFS THAT I THAT I MAKE DRIVING I DO HAVE TO MAKE SOME PRETTY LONG HAULS BACK AND FORTH THE +MSK0006-091 OK AND WHERE DO YOU +MSK0006-092 CURRENTLY LIVE SO I LIVE IN A HOUSE WITH MY +MSK0006-093-1 WITH MY WIFE AND AND SON +MSK0006-093-2 OK ALRIGHT AND OK SO NOW I'M JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART OF THIS AND I'M GOING TO ASK YOU TO DO A FEW THINGS OK SO +MSK0006-093-3 WELL JUST BY LOOKING AT YOUR LEGS OR IF YOU HAVE A MIRROR AND YOU CAN LOOK AT YOUR RIGHT BUTTOCK AREA +MSK0006-093-4 DO YOU SEE ANY SWELLING OR REDNESS +MSK0006-094 NO I DON'T SEE ANYTHING LIKE THAT +MSK0006-095 OK AND DOES IT FEEL HOT +MSK0006-096 NO IT DOESN'T FEEL HOT +MSK0006-097 OK AND DO YOU SEE ANY SKIN CHANGES +MSK0006-098 NO SKIN CHANGES +MSK0006-099 ANY ATROPHY OR DEFORMITY IN THE AREA +MSK0006-100 NO +MSK0006-101 NO HAS YOUR GAIT CHANGED LIKE DOES IT ARE YOU LIMPING HOBBLING ANYTHING LIKE THAT +MSK0006-102 I FEEL LIKE I'VE BEEN LIMPING A LITTLE BIT +MSK0006-103 ARE YOU PUTTING MORE PRESSURE ON THE LEFT FOOT THEN +MSK0006-104 I AM I GUESS THERE'S LIKE AN ANTALGIC GAIT +MSK0006-105 OK ALRIGHT AND THEN IF YOU PRESS DOWN ON YOUR HIPBONE +MSK0006-106 DO YOU FEEL +MSK0006-107 FEEL ANY PAIN THERE ON YOUR RIGHT HIP BONE NO I DON'T OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BUTTOCKS ITSELF +MSK0006-108 THERE IS A LITTLE BIT OF TENDERNESS OVER THE BUTTOCK AREA +MSK0006-109 OK HOW ABOUT THE BACK OF YOUR LEGS +MSK0006-110 NO +MSK0006-112 NO +MSK0006-113 NO OK ALRIGHT AND THEN I'M GONNA JUST GET YOU TO DO A FEW MOVEMENTS WITH ME AS WELL WOULD YOU +MSK0006-114 OK SO ARE YOU SITTING DOWN RIGHT NOW OK WOULD YOU MIND +MSK0006-115 STANDING UP FROM A SITTING POSITION +MSK0006-116 YES FOR SURE +MSK0006-117 DOES THAT HURT IT THAT THAT THAT +MSK0006-118-1 CAUSES PAIN +MSK0006-118-2 OK SO THAT CAUSES SO HIP HIP EXTENSION THAT CAUSES SOME PAIN AND +MSK0006-118-3 AS WELL AS KNEE EXTENSION SO WOULD YOU MIND KICKING YOUR RIGHT LEG UP IN FRONT OF YOU ALL THE +MSK0006-119 WAY UP +MSK0006-120 AS FAR AS +MSK0006-121 YOU CAN GO +MSK0006-122 DOES THAT HURT IT DOES OK SO RIGHT HIP FLEXION ALSO CAUSES PAIN AND THEN WOULD YOU MIND FOLDING YOUR KNEES BACKWARDS AND AND JUST SORT OF FLEXING IT DOES THAT HURT +MSK0006-123 NO +MSK0006-124 OK SO NO PAIN AT KNEE FLEXION AND HOW ABOUT WHEN YOU POINT YOUR FEET AND TOES UP TOWARDS THE CEILING +MSK0006-125 I I DO GET SOME PAIN WITH MY WHEN THAT'S +MSK0006-126 ALL STRAIGHTENED OUT OK SO SOME PAIN ON PLANTER FLEXION OF THE RIGHT FOOT AND HOW ABOUT IF YOU POINT YOUR FEET AND TOES TOWARDS THE GROUND +MSK0006-127 NO PAIN THERE +MSK0006-128 OK ALRIGHT AND HOW ABOUT WHEN YOU KICK YOUR LEGS +MSK0006-129 TO THE SIDE AND UPWARDS +MSK0006-130 NO PAIN WITH ABDUCTION OK SO NO PAIN ON RIGHT HIP ABDUCTION +MSK0006-132 AND THEN HOW ABOUT WHEN YOU BRING IT BACK DOWN OK AND NO PAIN ON HIP ADDUCTION OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR MYSELF +MSK0006-133 JUST WONDERING ABOUT POSSIBLY LIKE WHAT IT COULD BE +MSK0006-134-1 YEAH SO IT SOUNDS RIGHT NOW LIKE YOU MAY HAVE SOME SORT OF SACRAL NERVE RADICULOPATHY +MSK0006-134-10 AND AS WELL I'M GOING TO GIVE YOU A REFERRAL FOR PHYSICAL THERAPY AND THEY'LL DO SOME EXERCISES WITH YOU AND SLOWLY INCREASE THOSE EXERCISES +MSK0006-134-11 AND IF THOSE STILL DON'T WORK WE CAN TRY STEROIDS STEROID INJECTIONS AS WELL WE TALKED ABOUT THE IMAGING IF IT DOESN'T GO AWAY IN ABOUT SIX TO EIGHT WEEKS DOES THAT SOUND OK +MSK0006-134-2 OR OR LIKE A LOWER LUMBAR LUMBAR RADICULOPATHY BASICALLY +MSK0006-134-3 THAT'S KNOWN AS SCIATICA WHERE YOUR NERVE ROOTS CAN BE COMPRESSED CAUSING SOME OF THESE SYMPTOMS +MSK0006-134-4 AND TO DIAGNOSE THESE THINGS USUALLY IT'S JUST DONE BY HISTORY AND PHYSICAL EXAM BUT +MSK0006-134-5 IF AFTER WE TRY OUT SOME MANAGEMENT THINGS IT DOESN'T GO AWAY OR YOU'RE HAVING SOME RED FLAGS INCLUDING NUMBNESS IN THE GROIN AREA BOWEL OR BLADDER INCONTINENCE +MSK0006-134-6 THEN WE CAN LOOK AT SOME IMAGING FOR THE FOR THE SPINE INCLUDING MRI +MSK0006-134-7 AND SO IN TERMS OF MANAGEMENT OF THIS WE CAN TRY A COUPLE COUPLE OF LIKE CONSERVATIVE APPROACHES FIRST SO THAT INCLUDES TAKING NSAIDS FOR THE PAIN +MSK0006-134-8 AND THEN LIKE ACTIVITY MODIFICATION SO IF YOU'RE SITTING DOWN +MSK0006-134-9 ALL THE TIME PERHAPS LIKE TAKING LITTLE BREAKS STRETCHING OUT YOUR LEGS DOING SOME PHYSIO AS WELL DURING THOSE BREAKS CAN HELP +MSK0006-135 THAT SOUNDS GOOD THANK YOU +MSK0006-136 OK NO PROBLEM +MSK0007-000 HOW MAY I HELP YOU +MSK0007-001 HI YES I'VE HAD THIS PAIN IN MY LEFT ELBOW FOR A COUPLE OF WEEKS NOW AND IT'S NOT GETTING ANY BETTER SO I'M JUST HERE TO KIND OF FIGURE OUT WHAT IT IS +MSK0007-002 OK ALRIGHT ARE YOU FEELING THIS PAIN ON THE LATERAL SIDE OF THE ELBOW ON THE OR ON THE MEDIAL SIDE OF THE ELBOW +MSK0007-003 IT'S ON THE MEDIAL SIDE +MSK0007-004 OK AND SORRY WHEN DID THIS PAIN EXACTLY START +MSK0007-005 SO IT'S BEEN ON GOING FOR LIKE THE PAST THREE MONTHS BUT IT'S GOTTEN WORSE OVER THE LAST I'D SAY THREE WEEKS +MSK0007-006 OK AND HAS THE PAIN BEEN GETTING WORSE +MSK0007-007 WORSE ANY BETTER THE PAINS BEEN GETTING WORSE +MSK0007-008 OK WAS THERE ANY TRIGGERS OR PRECIPITATING EVENTS TO THE PAIN SUCH AS LIKE A FALL OR ANY TYPES OF TRAUMA TO THE ELBOW +MSK0007-009 NO NO NOT THAT I CAN THINK +MSK0007-010 OF HAVE YOU HAD ANY PAIN OR INJURY TO THE ELBOW IN THE PAST +MSK0007-011 NO +MSK0007-012 COULD YOU DESCRIBE THE CHARACTER OF THE PAIN IS IT SHARP ACHEY OR OR DULL +MSK0007-013 IT'S USUALLY ACHEY BUT IT CAN BE SHARP +MSK0007-014 OK DOES THE PAIN RADIATE ANYWHERE +MSK0007-015 NO IT'S PRETTY IT'S PRETTY MUCH IN THAT ONE AREA +MSK0007-016 OK JUST ON THE MEDIAL SIDE OF THE LEFT ELBOW +MSK0007-017 OK AND IS THERE ANYTHING THAT YOU'VE DONE TO HELP MAKE THE PAIN GO AWAY OR ANY ALLEVIATING FACTORS +MSK0007-018 I'M TAKING SOME NSAIDS THAT HELPS WITH THE PAIN TEMPORARILY +MSK0007-019 OK AND ARE THERE ANY FACTORS THAT MAKE THE PAIN WORSE +MSK0007-020 WHEN I I I GUESS WHEN I LIKE EXTEND MY ELBOW OUT IT GETS WORSE +MSK0007-021 OK SO IT'S A MOVEMENT OK AND STRAIGHTENING THE ELBOW +MSK0007-022 OK I MEAN WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF ONE TO TEN WITH TEN BEING THE WORST PAIN YOU'VE EVER FELT +MSK0007-023 I'D SAY ABOUT FIVE +MSK0007-024 OK AND SO DID YOU HAVE ANY OTHER SYMPTOMS ASSOCIATED WITH THE ELBOW PAIN +MSK0007-025 NO NOT REALLY I I'M OTHERWISE PRETTY HEALTHY +MSK0007-026 OK SO HAVE YOU HAD ANY FEVERS OR CHILLS +MSK0007-027 NO +MSK0007-028 HAVE YOU HAD ANY NIGHT SWEATS +MSK0007-029 NO +MSK0007-030 OR ANY ANY WEIGHT LOSS +MSK0007-031 NO +MSK0007-032 OK HAVE YOU HAD ANY ANY HEADACHES +MSK0007-033 NO +MSK0007-034 ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR OR HEARING OR EVEN YOUR SMELL OR TASTE +MSK0007-035 NO +MSK0007-036 OK HAVE YOU HAD ANY EYE REDNESS OR EYE DISCHARGE OR YOUR EAR PAIN +MSK0007-037 NO +MSK0007-038 OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +MSK0007-039 NO +MSK0007-040 HAVE YOU HAD A COUGH OR SHORTNESS OF BREATH +MSK0007-041 NO +MSK0007-042 HAVE YOU HAD ANY WHEEZING +MSK0007-043 NO +MSK0007-044 OK HAVE YOU HAD ANY CHEST PAIN +MSK0007-045 NO +MSK0007-046 ANY LIGHTHEADEDNESS OR DIZZINESS +MSK0007-047 NO +MSK0007-048 HAVE YOU HAD ANY HEART PALPITATIONS +MSK0007-049 NO +MSK0007-050 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +MSK0007-051 NO +MSK0007-052 HAVE YOU HAD ANY ABDOMINAL PAIN +MSK0007-053 NO +MSK0007-054 ANY DIARRHEA OR CONSTIPATION +MSK0007-055 NO +MSK0007-056 HAVE YOU HAD ANY URINARY PROBLEMS +MSK0007-057 NO +MSK0007-058 OK HAVE YOU HAD ANY SKIN RASHES +MSK0007-059 NO NO +MSK0007-060 OK HAVE YOU HAD ANY NUMBNESS +MSK0007-062 NO AND HOW ABOUT ANY MUSCLE WEAKNESS +MSK0007-063 NO +MSK0007-064 OK AND ANY JOINT PAINS ANYWHERE ELSE +MSK0007-065 NO +MSK0007-066 OK AND ANY CHANGES TO YOUR MEMORY OR OR ANY CONFUSION +MSK0007-067 NO +MSK0007-068 OK AND HAVE YOU HAD ANY FATIGUE +MSK0007-069 NO +MSK0007-070 OK AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE +MSK0007-071 NO +MSK0007-072 OK ARE AN HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +MSK0007-073 NO +MSK0007-074 OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER +MSK0007-075 NO I JUST TAKE SOME MULTIVITAMINS +MSK0007-076 OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +MSK0007-078 NO OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES +MSK0007-079 I I HAD A FRACTURE WHEN I WAS YOUNGER IT WAS IN MY HUMERUS +MSK0007-080 BONE ON THE RIGHT SIDE OK SO IT'S THE TO THE FRACTURE WAS ON THE OTHER ARM +MSK0007-081 YES +MSK0007-082 OK AND DID THAT HEAL OK +MSK0007-083 YES +MSK0007-084 ALRIGHT THEN CAN YOU TELL ME ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHEREABOUTS AND WHO YOU'RE LIVING WITH +MSK0007-085 I LIVE WITH MY PARTNER OF FIVE YEARS WE LIVE IN AN APARTMENT TOGETHER +MSK0007-086 OK AND ARE YOU WORKING CURRENTLY +MSK0007-087 I AM +MSK0007-088 AND WHAT DO YOU DO +MSK0007-089 I WORK ON THE ASSEMBLY LINE FOR CHRYSLER +MSK0007-090 OK AND DO YOU DO REPETITIVE TASKS AT WORK +MSK0007-091 I DO +MSK0007-092 OK DO YOU NOTICE THIS PAIN AFTER MORE SO AFTER A SHIFT OR AFTER AFTER A LONG DAY +MSK0007-093 YES DEFINITELY +MSK0007-094 OK AND WHAT TYPES OF HOBBIES DO YOU HAVE LIKE DO YOU PLAY GOLF OR TENNIS OR OR ANY KIND OF LIKE SPORTS I GUESS +MSK0007-095 I USED TO PLAY GOLF BEFORE THIS PAIN IN MY ARM AND MY ELBOW SO I HAVEN'T PLAYED IT IN THE PAST LIKE SIX MONTHS +MSK0007-098 DO YOU SMOKE CIGARETTES I DON'T +MSK0007-099 AND DO YOU DRINK ALCOHOL I'LL HAVE A GLASS OF WINE EVERY OTHER DAY +MSK0007-100 OK AND HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS LIKE CANNABIS OR OR ANYTHING ELSE +MSK0007-101 I'LL SMOKE A JOINT ONCE A WEEK +MSK0007-102 OK ALRIGHT AND IS THERE ANY FAMILY HISTORY OF ANY HEART OR LUNG +MSK0007-104 PROBLEMS NO ANY MUSCULOSKELETAL OR NEUROLOGICAL DISEASES +MSK0007-105 NO +MSK0007-106 OK I GOT ANY AUTOIMMUNE DISEASES LIKE THYROID DISEASE OR DIABETES +MSK0007-107 NO +MSK0007-108 OK AND SO NEXT I WANTED TO WALK THROUGH A PHYSICAL EXAM SO WHEN YOU LOOK AT THE ELBOW YOURSELF DO YOU SEE ANY SWELLING OR REDNESS +MSK0007-109 NO +MSK0007-110 OK DOES IT LOOK LIKE THERE IS ANY MUSCLE ATROPHY EITHER IN THE FOREARM OR THE BICEPS OR TRICEPS +MSK0007-111 NO +MSK0007-112 OK AND HOW ABOUT ANY MISALIGNMENT OR JOINT DEFORMITY +MSK0007-113 NO I DON'T SEE ANY OF THAT +MSK0007-114 OK AND ARE THERE ANY SCARS +MSK0007-115 NO +MSK0007-116 OK AND WHEN YOU PRESS ON THE MEDIAL PART OF THE THE ELBOW DO YOU FEEL PAIN +MSK0007-117 I DO +MSK0007-118 HOW ABOUT OVER THE OLECRANON OR THE YEA ANY PAIN OVER THE OLECRANON +MSK0007-119 A LITTLE BIT +MSK0007-120 OK AND IS THERE ANY PAIN OVER THE LATERAL PART OF THE ELBOW +MSK0007-121 NO +MSK0007-122 OK AN ANY PAIN OVER THE FOREARM OR BICEPS OR TRICEPS MUSCLES +MSK0007-123 NO +MSK0007-124 OK AND DOES THE JOINT FEEL LIKE +MSK0007-126 HOT NO OK AND ANY PAIN WITH +MSK0007-129 MOVEMENTS NO OK ACTUALLY SORRY WITH THE ELBOW WHEN I STRAIGHTEN IT OUT ALL THE WAY IT HURTS A LITTLE BIT +MSK0007-130 OK WHEN ARE YOU STRAIGHTENING IT OUT ALL THE WAY OK BUT NO PAIN WITH SHOULDER MOVEMENTS AND FULL RANGE OF MOTION +MSK0007-131 NO NO PAIN WITH SHOULDER +MSK0007-132 OK AND HOW ABOUT PAIN +MSK0007-133 WITH PRONATION AND +MSK0007-134 SUPINATION WITH PRO +MSK0007-136 IT HURTS OK AT THE MEDIAL SIDE YES +MSK0007-137 OK AND HOW ABOUT WITH +MSK0007-139 WRIST FLEXION THAT HURTS TOO +MSK0007-140 OK AND THEN HOW ABOUT IF YOU PASSIVELY EXTEND YOUR YOUR WRIST +MSK0007-143 NO NO NO NUMBNESS OR TINGLING OK OK +MSK0007-144-1 SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION +MSK0007-144-2 NO THAT WAS THAT WHAT DO YOU THINK I HAVE AND HOW CAN I FIX IT +MSK0007-144-3 YEAH SO IT IT'S CERTAINLY IT IT SOUNDS LIKE WITH THE MEDIAL ASPECT OF YOUR ELBOW HAVING PAIN THERE OVER THE LAST SEVERAL MONTHS AND SOME OF THE PHYSICAL EXAM MANEUVERS SUCH AS LIKE +MSK0007-144-4 PASSIVE WRIST EXTENSION RESISTED WRIST FLEXION AS WELL AS PRONATION AND THE POINT TENDERNESS OVER THE MEDIAL ELBOW THIS COULD BE A +MSK0007-144-5 MEDIAL EPICONDYLITIS OR A TENDINOPATHY IN THAT AREA AND SO THIS IS TYPICALLY TREATED WITH +MSK0007-144-6 ACTIVITY MODIFICATION SO THIS COULD BE TRYING TO AVOID REPETITIVE MOVEMENTS THAT THAT CAUSE PAIN +MSK0007-144-7 AND USING MEDICATIONS SUCH AS ADVIL AND TYLENOL AND DOING STRENGTHENING AND STRETCHING EXERCISES WHICH YOU CAN LEARN FROM A PHYSIOTHERAPIST OR OR ON YOUR OWN AS WELL +MSK0007-144-8 AND ALSO OTHER THINGS THAT THAT THE MEDIAL SIDE OF THE ELBOW THAT IT COULD BE IS AN ULNAR LIGAMENT INJURY OR OR THE OTHER THING TO BE CONSIDERING IS AND ULNAR LIGAMENT INJURY +MSK0007-144-9 AND SO IF THE PAIN ISN'T GOING AWAY THEN WE MIGHT CONSIDER AN ULTRASOUND OR SOMETHING TO LOOK AT THE STRUCTURES THERE +MSK0007-145 OK THAT SOUNDS GREAT THANK YOU +MSK0008-000 HOW MAY I HELP YOU +MSK0008-001-1 HI CHRIS SO I WAS PLAYING SOCCER THE OTHER DAY AND +MSK0008-001-2 I GOT KICKED IN THE KNEE AND SINCE THEN MY KNEE HAS BEEN HURTING +MSK0008-001-3 AND IT LOOKS A LITTLE BIT RED AND A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT OF MY RIGHT KNEE +MSK0008-002 OK AND AND THIS STARTED RIGHT AFTER THE KICK AT SOCCER +MSK0008-003 YES +MSK0008-004 OK AND HOW MANY DAYS AGO WAS THIS +MSK0008-005 THIS WAS TWO DAYS AGO +MSK0008-006 OK SINCE THEN HAS THE PAIN BEGIN GETTING ANY BETTER OR WORSE OR STAYING THE SAME +MSK0008-007 NO IT'S STAYING THE SAME OR A LITTLE BIT WORSE +MSK0008-008 OK COULD YOU DESCRIBE THE PAIN IS IT SHARP ACHY +MSK0008-009 I'D SAY IT'S PRETTY SHARP +MSK0008-010 OK AND DO YOU FEEL THE PAIN RADIATE ANYWHERE LIKE DOWN THE LEG OR OR UP INTO THE THIGH +MSK0008-011 NO +MSK0008-012 OK ANY PAIN IN THE POSTERIOR ASPECT OF THE KNEE OR THE LATERAL ASPECT +MSK0008-013 NO +MSK0008-014 OK AND IS THERE ANYTHING THAT MAKES THE PAIN WORSE +MSK0008-015 I GUESS IF I PRESS ON THAT AREA OR I TRY TO AND I DON'T KNOW FLEX OR EXTEND MY KNEE TOO MUCH +MSK0008-016 OK AN ANYTHING THAT YOU'VE TRIED TO MAKE THE PAIN BETTER +MSK0008-017 SOME +MSK0008-018 ICE HELPS OK AND HAVE +MSK0008-019 YOU NOTICED +MSK0008-020 SWELLING OVER THE AREA JUST A LITTLE +MSK0008-021 BIT +MSK0008-022 OK AND REDNESS AS WELL YES OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS A TEN BEING THE WORST PAIN THAT YOU'VE EVER FELT AND ONE BEING LOW INTENSITY PAIN +MSK0008-023 I'D GIVE IT ABOUT A FIVE +MSK0008-024 OK AND HAVE YOU HAD ANY INJURIES OR ANY KNEE PAIN BEFORE +MSK0008-026 NO OK AT THE TIME OF THE INJURY DID YOU HEAR A POP SOUND OR OR ANY KIND OF SOUNDS LIKE THAT +MSK0008-027 I DON'T RECALL +MSK0008-028 OK AND HOW ABOUT ANY DIFFICULTIES WALKING OR HAVING ANY KNEE INSTABILITY +MSK0008-029 A LITTLE BIT ONLY WHEN I LIKE TRY TO EXTEND OR FLEX MY KNEE TOO MUCH +MSK0008-030 OK AND ALRIGHT SO HAVE YOU BEEN EXPERIENCING ANY +MSK0008-032 OTHER SYMPTOMS NO ALRIGHT SO JUST TO BE COMPREHENSIVE SO I'LL RUN THROUGH A REVIEW SO HAVE YOU BEEN HAVING +MSK0008-034 ANY ANY HEADACHES NO ANY SENSORY CHANGES LIKE CHANGES TO VISION HEARING SMELL OR TASTE +MSK0008-035 NO +MSK0008-036 OK ANY EYE SYMPTOMS OR YOUR SYMPTOMS +MSK0008-037 NO +MSK0008-038 HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +MSK0008-039 NO +MSK0008-040 HAVE YOU HAD A COUGH +MSK0008-041 NO +MSK0008-042 ANY SHORTNESS OF BREATH +MSK0008-043 NO +MSK0008-044 HAVE YOU HAD ANY +MSK0008-046 WHEEZING NO HAVE YOU HAD ANY CHEST PAIN +MSK0008-047 NO +MSK0008-048 ANY HEART PALPITATIONS OR HEART RACING +MSK0008-049 NO +MSK0008-050 OK HAVE YOU HAD ANY FAINTING OR DIZZINESS +MSK0008-051 NO +MSK0008-052 ALRIGHT HAVE YOU HAD ANY +MSK0008-053 NAUSEA OR VOMITING +MSK0008-054 NO HAVE YOU HAD ANY CHANGES TO YOUR APPETITE LIKE LOSS OF APPETITE +MSK0008-055 NO +MSK0008-056 HAVE YOU HAD ANY WEIGHT LOSS UNEXPECTEDLY +MSK0008-057 NO +MSK0008-058 OK HAVE YOU HAD ANY ABDOMINAL PAIN +MSK0008-060 NO ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA CONSTIPATION +MSK0008-061 NO +MSK0008-062 OK HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +MSK0008-063 NO +MSK0008-064 ALRIGHT AND HAVE YOU HAD ANY SKIN CHANGES SUCH AS RA RASHES OR ANYTHING LIKE THAT +MSK0008-065 NO +MSK0008-066 OK ANY JOINT PAINS ANYWHERE ELSE +MSK0008-067 NO +MSK0008-068 OK AND +MSK0008-070 ANY FATIGUE NO OK AND IN THE PAST HAVE YOU HAD OR HAVE YOU BEEN DIAGNOSED WITH +MSK0008-072 MEDICAL CONDITIONS NO OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +MSK0008-073 NO NO NOT THAT I KNOW OF +MSK0008-074 ARE YOU CURRENTLY TAKING ANY MEDICATIONS +MSK0008-075 NO +MSK0008-076 ALRIGHT AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE +MSK0008-077 NO +MSK0008-078 OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE YOU YOU'RE LIVING WITH AND WHEREABOUTS +MSK0008-079 SURE I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS +MSK0008-080 OK AND ARE YOU GOING TO SCHOOL +MSK0008-081 I AM I'M IN MY LAST YEAR OF GRADE TWELVE +MSK0008-082 OK WELL THAT'S GOOD HOW IS THAT BEEN GOING +MSK0008-083 IT'S BEEN GOING OK WE'VE BEEN DOING PART ONLINE PART IN PERSON +MSK0008-084 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +MSK0008-085 NO +MSK0008-086 ALRIGHT THEN AND YOU PLAY SOCCER DO YOU PLAY ANY OTHER SPORTS +MSK0008-087 AND I PLAY FOOTBALL +MSK0008-088 OK COOL AND ANY INJURIES BEFORE TO YOUR KNEE OR ANYTHING LIKE THAT +MSK0008-089 NOT THAT IN THE PAST +MSK0008-090 ALRIGHT AND DO YOU SMOKE CIGARETTES +MSK0008-091 NO +MSK0008-092 DO YOU DRINK ALCOHOL +MSK0008-093 NO +MSK0008-094 OK DID YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING ELSE +MSK0008-095 NO +MSK0008-096 OK ARE YOU CURRENTLY SEXUALLY ACTIVE +MSK0008-097 I AM +MSK0008-098 OK ARE YOU IN A RELATIONSHIP +MSK0008-099 I AM WE'VE BEEN TOGETHER FOR A YEAR +MSK0008-100 OK IS THERE ANY CONCERN FOR A SEXUALLY TRANSMITTED INFECTION +MSK0008-101 NO WE WERE BOTH TESTED +MSK0008-102 OK GREAT AND ANY CHANCE THAT YOU COULD BE PREGNANT +MSK0008-103 NO +MSK0008-104 OK AND IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS +MSK0008-105 NO +MSK0008-106-1 OK AND SO THAT I THAT WAS EVERYTHING I WANTED TO ASK ON HISTORY SO +MSK0008-106-2 FOR THE PHYSICAL EXAM WHEN INSPECTING THE KNEE ARE YOU SEEING ANY JOINT EFFUSIONS OR JOINT SWELLING OR ECCHYMOSIS OR BRUISING +MSK0008-107 IT LOOKS OR IS THAT A BRUISE IT LOOKS RED AND I WOULD SAY IT'S A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT ONLY +MSK0008-108 OK IS THERE ANY MUSCLE ATROPHY +MSK0008-110 NO OK AND IS THERE ANY MISALIGNMENT +MSK0008-111 OR JOINT DEFORMITIES +MSK0008-112 NO NOT THAT I NOTICE OK AND ALRIGHT ON GAIT OR WALKING IS THERE ANY +MSK0008-114 LIMP OR +MSK0008-115 ANTALGIA NO YOU'RE ABLE TO WALK NORMALLY I AM ABLE TO WALK NORMALLY +MSK0008-116 AND IT HURTS BUT I THINK I'M WALKING OK OK AND +MSK0008-118 NEXT IS THERE ANY CHANGES TO TEMPERATURE LIKE THE JOINT ITSELF FEEL HOT +MSK0008-119 NO OK AND ARE THERE ANY AREAS OF THE JOINT LINE ITSELF OF THE KNEE THAT IS PAIN +MSK0008-120 TO PALPATION AT JUST THE MEDIAL PART OF IT LIKE THE I GUESS WHERE +MSK0008-122 THE LIGAMENT WOULD BE OK SO JUST LET ME OK AND ANY PAIN OVER THE PATELLA ANY PAIN OVER THE TIBIAL TUBEROSITY OR PATELLAR TENDON +MSK0008-124 ANY PAIN OVER THE TIBIAL TUBEROSITY OR PATELLAR TENDON NO ANY PAIN +MSK0008-126 OVER YOUR OVER THE FIBULAR HEAD OR THE LATERAL PART OF THE KNEE NO +MSK0008-128 ANY PAIN IN THE CALF OR THE THIGH MUSCLES +MSK0008-129 NO +MSK0008-130 NO ANY PAIN IN THE HAMSTRING MUSCLES NO +MSK0008-131 OK AND IS THERE ANY PAIN TO A LIKE VARUS STRESS OF THE KNEE TO THE VARUS STRESS +MSK0008-132 I GUESS IT WOULD BE THERE WILL BE PAIN IF I PRESS DOWN IN THAT AREA OK AND IS THERE ANY +MSK0008-133 JOINT THE JOINT LAXITY OR PAIN TOO LIKE A VALGUS STRESS OF THE KNEE SO WHEN I PRESS +MSK0008-134 WHEN I DO THAT IT HURTS ON THE MEDIAL ASPECT BUT NOT THE LATERAL ASPECT OK AND DOES IT FEEL IS AS THOUGH THERE'S SOME +MSK0008-135 LIKE THE JOINTS +MSK0008-136 OPENING MORE WHEN YOU PUT THE VALGUS STRESS A LITTLE BIT YES OK AND IS THERE ANY INSTABILITY +MSK0008-138 MOVING THE TIBIA ANTERIORLY +MSK0008-139 NO +MSK0008-140 OUTWARDS NO AND HOW ABOUT IF YOU PULL THE TIBIA POSTERIORLY ANY +MSK0008-142 INSTABILITY NO OK AND THE +MSK0008-144 IS THEIR FULL RANGE OF MOTION OF THE KNEE YES AND FULL RANGE OF MOTION OF THE +MSK0008-146 HIP AND ANKLE YES OK AND DO YOU HAVE ANY LIKE +MSK0008-148 TINGLING OR MUSCLE WEAKNESS NO +MSK0008-149 OK AND ANY SENSORY CHANGES TO THE SKIN NO NO OK AND REFLEXES ARE NORMAL OK SO I THINK THAT WAS EVERYTHING I WANTED TO ASK AND AND +MSK0008-150 KIND OF GO THROUGH ON THE PHYSICAL EXAM DID YOU HAVE ANY OTHER QUESTIONS +MSK0008-151-1 OR ANYTHING THAT MAYBE I FORGOT TO MENTION TODAY +MSK0008-151-2 NO THAT WAS IT JUST WHAT CAN I DO ABOUT MY MY KNEE +MSK0008-151-3 YEAH SO RIGHT NOW IT'S SOUNDING LIKE THIS COULD BE AN MCL OR MEDIAL COLLATERAL LIGAMENT STRAIN OR INJURY AND SO +MSK0008-151-4 THESE TYPES OF INJURIES ARE USUALLY TREATED CONSERVATIVELY LIKE WITH THINGS LIKE NSAIDS OR +MSK0008-151-5 ANTI INFLAMMATORIES TO HELP THAT PAIN AND SWELLING IF THE PAIN DEPENDING ON HOW SEVERE IT IS IT MIGHT BE USEFUL TO USE MAYBE +MSK0008-151-6 CRUTCHES FOR A DAY OR TWO TO TRY TO HELP LET THE PAIN TO SUBSIDE AND ALLOW YOU TO BE ABLE TO DO SOME PHYSICAL +MSK0008-153-1 THERAPY EXERCISES LIKE STRENGTHENING THE QUADRICEPS AND HAMSTRING MUSCLES OK BUT TYPICALLY INJURIES THAT ARE LOWER GRADE WILL HEAL WITHIN TWO WEEKS AND +MSK0008-153-2 SO IF IT'S MORE MORE SEVERE IT COULD TAKE A BIT LONGER AND ALTHOUGH THAT IT'S MOST LIKELY AN MCL INJURY THAT YOU'RE DESCRIBING IT COULD BE A MEDIAL MENISCAL INJURY AS WELL +MSK0008-153-3 OR POSSIBLY EVEN A BURSITIS AT THE MEDIAL ASPECT OF THE KNEE +MSK0008-153-4 BUT THE TREATMENT TO START +MSK0008-154 WITH WOULD BE THE SAME AND +MSK0010-000 HOW MAY I HELP YOU +MSK0010-001 I JUST CAME IN HERE TODAY I'VE BEEN HAVING A LOT OF SHOULDER PAIN THAT'S JUST KIND OF LEFT ME NOT DOING ANY OF MY ACTIVITIES RECENTLY JUST IN MY LEFT SHOULDER +MSK0010-002 OK AND WHEN WHEN DID THIS PAIN START +MSK0010-003 IT STARTED FIVE DAYS AGO BUT IT BECAME PRETTY BAD AND I'VE BEEN KIND OF HAVING LIKE A SOMEWHAT OF A PAIN FOR THE LAST COUPLE WEEKS BUT IT GOT REALLY BAD JUST THIS WEEK +MSK0010-004 OK DID YOU HAVE ANY TRAUMA TO THE SHOULDER LIKE ANY ANY INJURIES OR TRIGGERS THAT COULD HAVE CAUSED THE PAIN +MSK0010-005 I HAVE BEEN JUST GOING TO THE GYM MORE FREQUENTLY OVER THE LAST FEW MONTHS AND LIFTING WEIGHTS AND THINGS LIKE THAT BUT JUST THIS WEEK I WASN'T EVEN REALLY ABLE TO DO THAT EITHER +MSK0010-006 OK WHEN YOU WERE LIFTING WEIGHTS LIKE A FEW DAYS AGO LIKE WAS THERE AN EPISODE WHERE THERE WAS AN ACUTE ONSET OF THE PAIN WHERE IT GOT WORSE KIND OF LIKE RIGHT AWAY +MSK0010-007 I THINK IT WAS MORE PROGRESSIVE BUT FIVE DAYS AGO I DO FEEL THAT THERE WAS LIKE JUST I WAS HAVING SOME PAIN BEFORE THAT BUT THEN I JUST NOTICED WHILE WORKING ON I I STARTED HAVING MORE PAIN BUT I DON'T THINK THERE WAS ANYTHING LIKE SUDDEN THAT HAPPENED THOUGH +MSK0010-008 OH OK BUT IT IT WAS PROGRESSING AND THEN IT GOT ACUTELY WORSE WITH THE WEIGHT LIFTING IT SOUNDS LIKE +MSK0010-009 MAYBE LIKE I DID INCREASE MY WEIGHT LIKE IN THE LAST TWO WEEKS SO I DID FEEL LIKE A LITTLE BIT MORE PAIN WITH THE INCREASE LAST WEEK +MSK0010-010 OK I SEE AN IN THE LEFT SHOULDER DO YOU FEEL THE PAIN AT THE FRONT AT THE SIDES OR OR BACK +MSK0010-011 IT HURTS PARTICULARLY LIKE IN THE FRONT PART OF THE SHOULDER +MSK0010-012 OK DO YOU FEEL THAT IT'S RADIATING ANYWHERE ELSE +MSK0010-013 JUST MY WHOLE LEFT SHOULDER NOTHING ELSE REALLY +MSK0010-014 OK AND COULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN IS IT SHARP OR IS IT A KEY +MSK0010-015 IT'S MORE ACHY +MSK0010-016 OK +MSK0010-017 BUT BUT CERTAIN LIKE SOME MOVEMENTS SO IT CAN GET LIKE KIND OF SHARP +MSK0010-018 OK AND HAS THERE BEEN ANYTHING THAT HAS MADE THE PAIN WORSE +MSK0010-019 IF I JUST IF I CARRY ANYTHING WITH MY LEFT ARM OR IF I HAVE TO LIFT ANYTHING OR PLACE IT ON MY SHOULDER LIKE IT REALLY HURTS +MSK0010-020 OK AND HAVE YOU DONE ANYTHING THAT'S MADE IT BETTER +MSK0010-021 I JUST LIKE RESTING IT NOT CARRYING ANYTHING AND TRYING NOT TO LIE ON MY SHOULDER +MSK0010-022 OK SO YOU'RE SLEEPING ON THE OTHERS ON THE RIGHT SIDE THEN +MSK0010-023 OK ALRIGHT HOW WOULD WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS ON A SCALE OF ONE TO TEN +MSK0010-024 IF I'M NOT DOING IT DOING ANYTHING OR NOT DOING MUCH IT'S PROBABLY LIKE A TWO OR THREE BUT IF I TRY TO CARRY ANYTHING IT GOES UP TO LIKE PROBABLY LIKE A SEVEN +MSK0010-025 OK AND DO YOU DO ANY REPETITIVE KIND OF LIKE OVERHEAD ACTIVITIES THINGS LIKE PLAYING BASKETBALL OR JUST LIFTING THINGS LIKE ABOVE YOUR HEAD AT THE GYM +MSK0010-026-1 NOT RECENTLY JUST JUST LIKE NORMAL WEIGHT EXERCISE MAYBE WITH THE BANDS I DO SOME OVERHEAD EXERCISES BUT +MSK0010-026-2 IN TERMS OF SPORTS I I PLAY OR I USED TO PLAY A LOT OF TENNIS I DID HAVE SOME ISSUES WITH THE SAME SHOULDER WHICH IS WHY I KIND OF STOPPED PLAYING TENNIS +MSK0010-026-3 MY DOCTOR SAID IT I MIGHT HAVE OVERUSED THAT SHOULDER BUT THAT'S THAT WAS LIKE A COUPLE OF YEARS BACK SO I THOUGHT IT MUST HAVE HEALED BY NOW +MSK0010-027 OK SO PREVIOUS OVERUSE INJURY OF THE LEFT SHOULDER +MSK0010-028 OK AND I'M HAVE YOU HAD ANY TRAUMA TO THE SHOULDER +MSK0010-029 NO NOT THAT I KNOW OF +MSK0010-030 OK HAVE YOU HAD ANY FEVERS OR CHILLS +MSK0010-031 NO +MSK0010-032 HAVE YOU HAD ANY NIGHT SWEATS +MSK0010-033 NO +MSK0010-034 OK HAVE YOU HAD ANY SKIN RASHES OR OR SKIN CHANGES +MSK0010-035 NO +MSK0010-036 OK SO EVEN OVER THE AREA YOU HAVEN'T NOTICED ANY REDNESS OR LIKE SOFT TISSUE SWELLING +MSK0010-037 NO +MSK0010-038 OK HAVE YOU HAD ANY CHEST PAIN +MSK0010-039 NOPE +MSK0010-040 OK HOW ABOUT ANY SHORTNESS OF BREATH +MSK0010-041 NO NOT THAT I'VE NOTICED +MSK0010-042 OK HAVE YOU HAD PAINS AND ANY OTHER JOINTS +MSK0010-043 NO JUST MY SHOULDER +MSK0010-044 OK AND HAVE YOU HAD ANY RECENT INFECTIONS OR OR SYMPTOMS SUCH AS LIKE A RUNNY NOSE OR SORE THROAT OR EVEN A COUGH +MSK0010-045 NO NOTHING LIKE THAT +MSK0010-046 OK AND HOW ABOUT ANY NAUSEA OR VOMITING +MSK0010-047 NOPE +MSK0010-048 OK AND HOW HAS YOUR SLEEP BEEN THESE PAST COUPLE OF NIGHTS SO YOU MENTIONED YOU HAVEN'T BEEN ABLE TO LAY ON YOUR LEFT SIDE +MSK0010-049 IT'S BEEN PRETTY PAINFUL LIKE I KIND OF WAKE UP EVERY TIME I ACCIDENTALLY GO ON TO MY LEFT SIDE +MSK0010-050 OK SO YOU'RE GETTING WORSE THING A PAIN AT NIGHT +MSK0010-052 OK HAVE YOU HAD ANY WEAKNESS DO YOU FEEL LIKE YOU HAVE LESS STRENGTH IN YOUR ARM +MSK0010-053 I DO YOU FEEL THAT THERE MIGHT BE SOME LESS STRENGTH IN MY LEFT ARM BUT IT'S I'M NOT REALLY USING IT MUCH SO IT'S HARD TO TELL +MSK0010-054 OK AND HOW ABOUT A RANGE OF MOTION DO YOU FEEL AS THOUGH YOU COULD LIFT YOUR LEFT ARM UP TO LIKE SCRATCH YOUR HEAD AND BACK +MSK0010-055 IT DOES HURT LIKE WHEN I TRY TO LIFT MY ARM UP +MSK0010-056 OK SO IT SOUNDS LIKE A RANGE OF MOTION IS DECREASED +MSK0010-058 OK AND HAVE YOU HAD ANY ALTERED SENSATION OF YOUR ARMS BEING LIKE NUMBNESS OR TINGLING +MSK0010-059 NO I HAVEN'T FELT ANY OF THAT +MSK0010-060 OK AND HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE CONSTIPATION OR DIARRHEA +MSK0010-061 NOPE NOTHING LIKE THAT +MSK0010-062 HAVE YOU HAD ANY ABDOMINAL PAIN +MSK0010-063 NOPE +MSK0010-064 AND HAVE YOU HAD ANY URINARY PROBLEMS +MSK0010-065 NO +MSK0010-066 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +MSK0010-067 NO I'VE BEEN A PRETTY HEALTHY ACTUALLY JUST JUST THAT OVERUSE INJURY LIKE TWO YEARS AGO +MSK0010-068 OK GREAT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +MSK0010-069 NO +MSK0010-070 OK DO YOU TAKE ANY MEDICATIONS REGULARLY +MSK0010-071 JUST RECENTLY I'VE BEEN TAKING A LOT MORE OF THE ADVIL BUT THAT'S ABOUT IT +MSK0010-072 OK I AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES +MSK0010-073 NO NO PRIOR SURGERIES OR HOSPITALIZATIONS +MSK0010-074 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU'RE LIVING WITH AND WHEREABOUTS +MSK0010-075 SO I'M LIVING WITH WITH MY WIFE IN A SMALL CONDOMINIUM IN DOWNTOWN +MSK0010-076 OK AND ARE YOU WORKING CURRENTLY +MSK0010-077 I'M WORKING AS A REAL ESTATE AGENT +MSK0010-078 OK AND DO YOU DRINK ALCOHOL +MSK0010-079 RARELY JUST ON SOME OCCASIONS BUT NOT REGULARLY +MSK0010-080 NO OK HOW ABOUT SMOKING CIGARETTES OR CANNABIS +MSK0010-081 NO I'VE NEVER SMOKED +MSK0010-082 DO YOU USE ANY RECREATIONAL DRUGS OR HAVE YOU IN THE PAST +MSK0010-083 NOPE +MSK0010-084 OK AND SO SO THE NEXT PART JUST FOR THE PHYSICAL EXAM SO DO YOU HAVE PAIN WITH SHOULDER AB DUCTION +MSK0010-085 YES SO JUST TO I DO HAVE SOME PAIN ESPECIALLY FROM PAIN THROUGHOUT AB DUCTION +MSK0010-086 OK IS THERE ANY LIKE PAIN THAT'S LIKE PARTS OF THAT THAT RANGE OF MOTION THAT ARE MORE PAINFUL FOR YOU +MSK0010-087 SO PROBABLY FROM SIXTY DEGREES TO ONE HUNDRED AND TWENTY DEGREES IS MORE PAINFUL +MSK0010-088 OK AND IF YOUR ARM IS OUTSTRETCHED AND YOUR THUMB POINTING DOWN SO YOUR ARM IS INTERNALLY ROTATED DOES THAT GIVE YOU PAIN +MSK0010-089 IF NOT NOT JUST LIKE THAT BUT IF YOU WERE TO LIKE PRESS DOWN ON IT IT THE INTERNAL ROTATION DOES CAUSE A LITTLE BIT OF PAIN +MSK0010-090 OK OK SO IT SOUNDS LIKE A POSITIVE JOBES TEST AND A POSITIVE NEER'S TEST AS WELL AS A PAINFUL ARC FOR YOUR SHOULDER AND IS THERE PAIN TO PALPATION +MSK0010-091 JUST TO DEFINITELY JUST AT THE FRONT OF THE SHOULDER THERE IS SOME SOME PAIN OVER WITH PALPATION +MSK0010-092-1 OK THAT SENSATION IS NORMAL REFLEXES ARE NORMAL AND STRENGTH IS SLIGHTLY REDUCED AS WELL +MSK0010-092-2 OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY AND CHECK ON THE PHYSICAL EXAM AS WELL WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION TODAY THAT I MAYBE FORGOT +MSK0010-093 NO I THINK THAT'S IT +MSK0010-094-1 OK SO BASED ON I KNOW THAT THE SYMPTOMS TODAY ALONG WITH YOUR AGE AND PRIOR HISTORY OF AN OVERUSE INJURY OF THE LEFT SHOULDER IT CERTAINLY RAISES CONCERN OF HAVING A ROTATOR CUFF TEAR +MSK0010-094-2 OR A ROTATOR CUFF IMPINGEMENT SYNDROME AND WHERE THERE IS INFLAMMATION THERE NOT NECESSARILY ACTUALLY A FULL TEAR OF THE MUSCLE THAT'S CAUSING THE PAIN +MSK0010-094-3 SO THOSE WOULD BE THE TWO MOST LIKELY THINGS THEIR ROTATOR CUFF TEAR OR SUBACROMIAL IMPINGEMENT SYNDROME +MSK0010-094-4 AND SO WE WERE GOING TO GET AN ULTRASOUND OF THE LEFT SHOULDER TO EVALUATE THE STRUCTURES AND POSSIBLY SOME +MSK0010-094-5 OTHER IMAGING SUCH AS AN X RAY OR MRI TO DETERMINE THE EXTENT OF THE INJURY IN THE LEFT SHOULDER +MSK0010-095 OK SOUNDS GOOD THANK YOU +MSK0011-000 WHAT BRINGS YOU HERE TODAY +MSK0011-001-1 I HAD LAST NIGHT SO I'M HAVING THIS PAIN IN MY RIGHT WRIST BUT LAST NIGHT +MSK0011-001-2 I I TRIPPED OVER SOMETHING AND I I ENDED UP LIKE LANDING ON MY HAND TO HELP BREAK THE FALL AND +MSK0011-001-3 THIS MORNING I WOKE UP AND I HAVE SOME LIKE BRUISING ON MY HAND AND IT'S IT'S REALLY SORE TO TOUCH IT +MSK0011-002 OK AND WHICH RIGHT WHICH HAND IS THIS +MSK0011-003 IT'S MY RIGHT HAND +MSK0011-004 OK AND WHEN YOU HAD YOUR FALL WHEN WAS YOUR FALL +MSK0011-005 SO IT WAS LAST NIGHT PROBABLY LIKE AT ONE HUNDRED AND ZERO PM SOMETHING LIKE THAT WENT OUT WITH A FEW FRIENDS FOR DINNER AND DRINKS +MSK0011-006 OK AND DO YOU REMEMBER HOW HIGH YOU FELL FROM OR WHAT WHAT YOU FELL ONTO +MSK0011-007 I WAS STANDING HEIGHT WE WERE JUST KIND OF WALKING DOWN THE STREET AND I TRIPPED OVER SOMETHING ON THE CURB I THINK THERE IS THAT MAYBE LIKE A POTHOLE OR SOMETHING LIKE THAT AND SO I FELT RIGHT ONTO THE CONCRETE WITH MY HAND +MSK0011-008 OK DID YOU HIT YOUR HEAD AT ALL OR LOSE CONSCIOUSNESS +MSK0011-009 NO NOTHING LIKE THAT +MSK0011-010 OK SO IT WAS IT WAS MAINLY YOUR HAND THAT GOT INJURED +MSK0011-011 IT WAS JUST IT MOSTLY RIGHT MY HAND +MSK0011-012 OK AND ARE YOU HAVING ANY PAIN ON MOVEMENT OR IF YOU PRESS ON IT +MSK0011-013 I DO GET SOME PAIN PAIN IF I'M TRYING TO MOVE THE WRIST AROUND AND IT HURTS HER TO PRESS ON IT AS WELL +MSK0011-014 OK AND DO YOU NOTICE ANY KIND OF SWELLING OR BRUISING +MSK0011-015 I DO YES THERE'S SOME SWELLING AND BRUISING +MSK0011-016 OK AND IF YOU HAD TO DESCRIBE WHERE THE SWELLING AND BRUISING IN THE PAIN ARE HOW WOULD YOU DESCRIBE IT +MSK0011-017-1 SO I HAVE A SHARP PAIN RIGHT AT MY WRIST I KIND OF I FEEL IT MOSTLY AT THE BASE OF MY +MSK0011-017-2 THUMB KIND OF RIGHT AT THE WRIST AND THAT'S WHERE THE SWELLING AND BRUISING IS AS WELL +MSK0011-018 OK AND IS IT RIGHT UNDER YOUR PALM OR AT THE BACK OF YOUR HAND ON THE WRIST +MSK0011-019 AT THE BACK OF THE HAND AT THE WRIST AND BASE OF THE THUMB +MSK0011-020 OK OK ALRIGHT AND WHAT KIND OF PAIN ARE YOU FEELING IS THIS SHARP IS IT A DULL ACHING +MSK0011-021 OH IT'S REALLY SHARP IT FEELS LIKE SORRY JUST STABBING ME IN THE HAND +MSK0011-022 OK AND HOW HOW MUCH WOULD YOU RATE THE PAIN ON A SCALE OF ZERO TO ONE HUNDRED AND TEN BEING THE WORST PAIN YOU FELT IN YOUR LIFE +MSK0011-023 IF I'M NOT MOVING IT AROUND IT'S A THREE BUT IF I MOVE IT IT GOES UP TO LIKE A NINE OUT OF TEN +MSK0011-024 OK AND IS IT RADIATING OR MOVING ANYWHERE ELSE ONTO YOUR HAND +MSK0011-025 NO I DON'T FEEL IT ANYWHERE ELSE +MSK0011-026 OK AND DO YOU HAVE ANY KIND OF PINS AND NEEDLES SENSATION TINGLING OR NUMBNESS ANYWHERE IN YOUR HANDS +MSK0011-027 NO NOTHING LIKE THAT +MSK0011-028 OK ANYTHING THAT MAKES THE PAIN WORSE OR BETTER +MSK0011-029 I TRIED SOME ANTI INFLAMMATORIES THAT DID HELP WITH TAKING THE EDGE OFF A LITTLE BIT AND BUT THE PAIN JUST CAME RIGHT BACK AND THEN ALSO LIKE JUST MOVING IT AT ALL HURTS EVEN TEXTING ON MY PHONE WAS REALLY BUGGING ME +MSK0011-030 OK SO WE DEFINITELY YOU WENT SO YOU HAD THE FALL YESTERDAY OR +MSK0011-031 IT WAS YESTERDAY +MSK0011-032 OK OK ALRIGHT SO WHEN DID IT START HURTING DID IT START HURTING RIGHT AWAY OR HAS IT GOTTEN WORSE AT ALL +MSK0011-033 IT STARTED HURTING RIGHT AWAY AND IT'S WELL THIS MORNING IT'S A A BIT WORSE +MSK0011-034 OK DO YOU HAVE ANY OTHER SYMPTOMS AT ALL LIKE FEVER CHILLS HEADACHE ANYTHING LIKE THAT +MSK0011-035 NO +MSK0011-036 ANY DIZZINESS OR FAINTING +MSK0011-037 NO +MSK0011-038 OK ANY DIARRHEA CONSTIPATION +MSK0011-039 NO +MSK0011-040 ANY CHANGES IN YOUR VISION HEARING A BALANCE +MSK0011-041 NOPE NOTHING LIKE THAT +MSK0011-042 OK BUT SO YOUR MAIN CONCERN TODAY IS THIS PAIN IN YOUR WRIST +MSK0011-043 EXACTLY +MSK0011-044 OK ALRIGHT AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU'VE BEEN DIAGNOSED WITH +MSK0011-045 I DO I HAVE A ASTHMA AND I USE AN ORANGE INHALER DAILY IT'S BEEN WELL CONTROLLED I'LL USE I HAVEN'T USED THE BLUE ONE IN AWHILE +MSK0011-046 OK SO IT'S PRETTY WELL CONTROLLED AND DO YOU TAKE ANY OTHER MEDICATIONS AT ALL +MSK0011-047 JUST A MULTI VITAMIN +MSK0011-048 OK +MSK0011-049 AND VITAMIN D AS WELL +MSK0011-050 OK ALRIGHT AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES +MSK0011-051 I HAD MY MY TONSILS OUT AND MY WISDOM TEETH OUT WHEN I WAS A TEENAGER AND OR TONSILS WHEN I WAS A KID ACTUALLY AND A C SECOND FOR MY SON +MSK0011-052 OK ANY COMPLICATIONS AT ALL WITH THAT AT ALL +MSK0011-053 NO NO EVERY EVERY THAT WAS OK +MSK0011-054 OK OK AND HAVE YOU INJURED YOUR RIGHT HAND OR BROKEN ANY BONES BEFORE +MSK0011-055 NO I HAVEN'T +MSK0011-056 OK SO THIS IS THE FIRST INJURY ON YOUR RIGHT HAND +MSK0011-058 AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS AT ALL +MSK0011-059-1 YEAH MY MY UNCLE DIED OF A HEART ATTACK WHEN HE WAS IN HIS SIXTIES AND +MSK0011-059-2 I THINK MY GRANDFATHER ALSO HAD HAD A HEART ATTACK AS WELL +MSK0011-059-3 YEAH THAT'S ABOUT IT +MSK0011-060 OK AND IN TERMS OF YOUR WORK DO YOU WORK CURRENTLY +MSK0011-061-1 YEAH I DO I I WORK IN A RESTAURANT AND SO AND THIS WILL BE +MSK0011-061-2 A DIFFICULT FOR MY JOB COMING UP WITH AN INJURED WRIST I AND HAND I I JUST RESTARTED AND I'LL HAVE TO BE CARRYING A LOT OF DIFFERENT THINGS AND SO I JUST HOPE IT'S NOT BROKEN +MSK0011-062-1 OH I SEE IT MIGHT DEFINITELY THAT'S THAT MIGHT BE CONCERNING IF YOU KNOW WELL WE'LL GET THAT CHECK THOUGH ON X RAY AND EVERYTHING +MSK0011-062-2 BUT WE JUST NEED TO DO A FEW FEW MORE QUESTIONS AND SOME EXAMINATION AS WELL HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW +MSK0011-063 OH SO I'M LIVING ON ON MY OWN ACTUALLY IN AN APARTMENT +MSK0011-064 OK AND DO YOU CURRENTLY SMOKE +MSK0011-065 NO I'VE I I'VE NEVER SMOKED I COULDN'T WITH HAVING ASTHMA SO I JUST STAYED AWAY FROM ALL OF THAT +MSK0011-066 OK OK AND DO YOU DRINK ALCOHOL +MSK0011-067 I DO I I HAVE A COUPLE OF BOTTLES OF WINE PER WEEK +MSK0011-068 OK ALRIGHT A COUPLE OF BOTTLES A WEEK SO HOW MUCH WOULD YOU HAVE IN AN AVERAGE DAY +MSK0011-069 I'LL PROBABLY I GUESS PROBABLY LIKE TWO OR THREE GLASSES OF WINE A DAY +MSK0011-070-1 OK SO WE DEFINITELY RECOMMEND FOR WOMEN TO LIMIT THEMSELVES TO +MSK0011-070-2 AN MAYBE ONE TO TWO MAX TWO GLASSES OF WINE A DAY AS IT CAN HAVE HEALTH EFFECTS IN THE FUTURE IN TERMS OF +MSK0011-070-3 DRINKING AND ON YOUR LIVER OK AND OTHER THAN THAT I JUST HAD A FEW QUESTIONS DO ANY RECREATIONAL DRUGS LIKE MARIJUANA +MSK0011-071 NO STAYED AWAY FROM THAT AS WELL +MSK0011-072 OK OK SO I'M JUST GOING TO ASK YOU QUESTIONS ABOUT SPECIFICALLY TO EXAMINE YOUR WRIST SO YOU NOTICE SO CAN YOU ARE YOU ABLE TO MOVE YOUR WRIST AROUND ARE YOU ABLE TO MAKE A FIST +MSK0011-073 I I CAN BUT IT I CAN'T REALLY BAD MY THUMB AND IT IT IT HURTS A LOT SO I CAN BEND MY FINGERS BUT MY THUMB IS KINDA OUT +MSK0011-074 OK DUE TO THE JOINTS IN YOUR THUMB HURT AT ALL +MSK0011-076 OK AN ANY PAIN ANYWHERE ELSE LIKE ON YOUR FINGERS OR YOUR ELBOW +MSK0011-077 NO +MSK0011-078 OK AND WHAT MOVEMENT WOULD YOU SAY HURTS THE MOST +MSK0011-079 I I PROBABLY JUST MOVING THE THE WRIST LIKE FLEXING AND EXTENDING THE WRIST +MSK0011-080 OK AND WHERE THE SWELLING YOU SAID IS AT THE BASE OF THE THUMB RIGHT +MSK0011-081 EXACTLY AT THE BASE OF THE THUMB ON THE ON THE BACK OF THE HAND THERE ARE SOME BAD BRUISING AND SWELLING THERE +MSK0011-082 OK IS IT WARM AT ALL TO TOUCH +MSK0011-083 NO IT DOESN'T FEEL WARM +MSK0011-084 OK OK AND IF YOU PRESS ON ARE YOU GETTING ANY BONY PAIN IN THAT AREA LIKE IF YOU PRESS ON A BONE +MSK0011-085 LIKE I MEAN IF I THERE'S ONE SPOT THAT IF I PRESS DOWN ON IT IT'S LIKE TEN OF THE TEN PAIN IT HURTS REALLY BAD IF I PRESS AT THE BASE OF MY THUMB THERE +MSK0011-086-1 OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WE DEFINITELY NEED TO SINCE YOU'RE HAVING PAIN ON JUST TELL PALPATE PALPATING THE AREA THERE SWELLING REDNESS AND YOU DID HAVE A FALL AND YOU LANDED ON YOUR +MSK0011-086-2 YOU CAUGHT YOURSELF WITH YOUR HAND THERE IS A COMMON FRACTURE THAT CAN HAPPEN IN THOSE CIRCUMSTANCES TO YOUR WRIST AND SO WE NEED TO DO AN X RAY +MSK0011-086-3 AND WE WILL SEE IF YOU HAVE A FRACTURE OR NOT BUT WE ALSO NEED TO SEE IF WE NEED TO GET A CAST FOR YOU OR IF IF WE CAN MANAGE YOUR +MSK0011-086-4 INJURY WITH A SPLINT OR AND THEN BASED ON WHAT WE SEE AND IF YOUR PHYSICAL EXAMINATION WE WILL DETERMINE HOW LONG YOU NEED TO BE IN A CAST OR SPLINT AND THEN WE'LL GO FROM THERE +MSK0011-087 OK THAT SOUNDS GOOD THANK YOU +MSK0012-000 WHAT BRINGS YOU IN HERE TODAY +MSK0012-001-1 I'VE HAD THIS PAIN IN MY BACK THATS KIND OF LIKE IN MY LOWER BACK AND MY BUTTOCKS AND IT'S NOW RADIATING DOWN TO MY +MSK0012-001-2 RIGHT LEG I'VE HAD THIS FOR AWHILE NOW BUT IT'S GETTING WORSE AND I JUST WANT TO COME GET IT CHECKED OUT +MSK0012-002 OK AND HOW LONG HAVE YOU HAD THIS PAIN FOR +MSK0012-003 IT'S ABOUT A MONTH +MSK0012-004 OK AND HAS GONE WORSE AT ALL LIKE DID YOU HAVE THE IT RADIATING THROUGH YOUR LEG BEFORE OR IS THAT SOMETHING THAT HAPPENED AFTER +MSK0012-005 THAT'S SOMETHING THAT HAPPENED AFTER THAT HAPPENS THAT THAT'S BEEN GOING ON FOR THE PAST WEEK +MSK0012-006 OK AND IS THIS PAIN CONSTANT OR DOES IT COME AND GO +MSK0012-007 AND IT'S PRETTY MUCH ALWAYS THERE BUT CERTAIN THINGS CAN MAKE IT WORSE LIKE IF I'M WALKING OR DOING CERTAIN ACTIVITIES IT CAN IT CAN MAKE IT WORSE +MSK0012-008 OK AND DID YOU HAVE ANY BACK PAIN BEFORE THIS MONTH +MSK0012-009 NO NOT I MEAN NO NOT REALLY +MSK0012-010 OK AN WHAT KIND OF PAIN WOULD YOU SAY IT IS IS IT LIKE A SHARP STABBING PAIN OR IS IT MORE SO A DULL ACHING PAIN +MSK0012-011 USUALLY OR WELL BEFORE IT WAS LIKE A MILD ACHY PAIN BUT NOW IT CAN BE IT'S SHARP AND IT FEELS LIKE A BURNING SENSATION +MSK0012-012 OK A BURNING SENSATION WHERE WOULD YOU SAY THAT BURNING SENSATION IS +MSK0012-013 IT'S LIKE DOWN MY BUTTOCKS TO THE RIGHT LEG +MSK0012-014 OK AND DO YOU FEEL ANY KIND OF NUMBNESS OR TINGLING WITH IT +MSK0012-015 A LITTLE A LITTLE BIT OF TINGLING +MSK0012-016 A LITTLE BIT OF TINGLING OK AND HOW WOULD YOU RATE THE PAIN FROM A SCALE OF ZERO TO TEN TEN BEING THE WORST PAIN YOU'VE HAD IN YOUR LIFE +MSK0012-017 SO USUALLY IT'S ABOUT LIKE A FIVE TO SIX OUT OF TEN BUT WHEN IT GETS BAD AND SHARP I'D GIVE IT AN EIGHT OUT OF TEN +MSK0012-018 OK AND ARE THERE ANY KIND OF MOTIONS OR POSITIONS THAT CAUSE YOU MORE PAIN +MSK0012-019 SO I'D SAY LIKE JUST ANY SORT OF PHYSICAL ACTIVITY LIKE IF I'M ON MY FEET A LOT IT HURTS +MSK0012-021 THAT'S PRETTY MUCH THE ONLY THING THAT I CAN THINK OF RIGHT NOW +MSK0012-022 OK DID ANYTHING HAPPEN ONE MONTH AGO OR BEFORE THIS PAIN STARTED LIKE ANY INJURIES OR FALLS THAT MIGHT HAVE CAUSED THIS PAIN +MSK0012-023 NO LIKE A LONG TIME AGO LIKE SIX SEVEN YEARS AGO I INJURED MY BACK AT WORK BUT I JUST DID SOME CONSERVATIVE TREATMENTS FOR THAT AND IT WENT AWAY +MSK0012-024 OK WAS IT YOUR LOWER BACK +MSK0012-025 YES +MSK0012-026 OK AND WHAT DO YOU DO FOR WORK +MSK0012-027 I USED TO WORK ON AN ASSEMBLY LINE SO I USED TO LIKE CARRY HEAVY OBJECTS AND THINGS LIKE THAT LIKE CAR PARTS +MSK0012-028 OK AND DO YOU STILL WORK THERE +MSK0012-029 NO I DON'T +MSK0012-030 OK WHEN DID YOU STOP WORKING THERE +MSK0012-031 ABOUT THREE YEARS BACK +MSK0012-032 OK AND IS THERE ANY OTHER WORK YOU DO CURRENTLY +MSK0012-033 I WORK FROM HOME NOW I DO DAYCARE AT HOME +MSK0012-034 OK OK AND JUST GETTING BACK TO THE PAIN SO IT'S KIND OF IN YOUR LOWER BACK YOUR BUTTOCKS AND THEN IT GOES TO YOUR RIGHT UPPER LEG +MSK0012-035 DOES IT MOVE ANYWHERE ELSE BESIDES THAT +MSK0012-036 OR THOSE ARE THE REGIONS THAT IT STAYS IN NO THOSE ARE KIND OF THE ONLY REGIONS THAT I'M EXPERIENCING IT RIGHT NOW +MSK0012-037 OK AND DO YOU GET MORE PAIN LEANING BENDING FORWARD OR WOULD YOU SAY EXTENDING YOUR BACK +MSK0012-038 I WOULD SAY EXT EXTENDING MY BACK HURTS MORE +MSK0012-039 OK AND YOU GET PAIN WITH SITTING DOWN +MSK0012-040 SOMETIMES +MSK0012-041 OK HOW ABOUT LYING DOWN +MSK0012-042 LYING DOWN I GUESS IT DEPENDS ON THE POSITION IF I AM STRAIGHT ON MY BACK IT'S IT'S NOT TOO BAD BUT IF I LIKE I'M HUNCHED OVER OR SOMETHING LIKE THAT IT HURTS +MSK0012-043 OK I SEE OK AND HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER AND PAINKILLERS THAT HAVE HELPED +MSK0012-044 I TRIED SOME IBUPROFEN AND SOME LIKE TOPICAL LIKE OINTMENTS BUT IT HELPS TEMPORARILY AND THEN THE PAIN COMES BACK +MSK0012-045 OK LET'S SEE AND OTHER THAN THAT SO OTHER THAN THIS PAIN THAT'S BEEN GOING ON DO YOU HAVE ANY FEVERS OR CHILLS +MSK0012-046 NO NO FEVERS OR CHILLS +MSK0012-047 OK NO NIGHT SWEATS +MSK0012-048 NO +MSK0012-049 ANY INCREASED FATIGUE +MSK0012-050 NO NO +MSK0012-051 ANY RASHES OR SKIN CHANGES +MSK0012-052 NO +MSK0012-053 ANY ANY COUGH +MSK0012-054 OR COLD SYMPTOMS RECENTLY +MSK0012-055 NO NOTHING LIKE THAT OK AND APART FROM YOUR BACK ANY KIND OF JOINT OR MUSCLE PAIN ANYWHERE ELSE IN YOUR BODY +MSK0012-056 NO +MSK0012-057 ANY CHANGES IN YOUR BOWEL MOVEMENTS +MSK0012-058 NO +MSK0012-059 OK ANY URINARY PROBLEMS +MSK0012-060 NOPE +MSK0012-061 ANY STOOL INCONTINENCE FOR YOUR URINARY INCONTINENCE NO OK AND ANY KIND OF NUMBNESS +MSK0012-063 PARESTHESIA LIKE AROUND JUST YOUR LOWER BACK AND BUTTOCKS NO +MSK0012-064 NO NUMBNESS JUST LIKE THAT TINGLING BURNING FEELING +MSK0012-065 OK OK ANY RECENT WEIGHT CHANGES +MSK0012-067 LIKE ANY SIGNIFICANT WEIGHT LOSS NO +MSK0012-068 NO OK ANY MUSCLE WEAKNESS AT ALL IN +MSK0012-069 THAT AREA I'M FINDING IT HARD TO WALK HARDER TO WALK +MSK0012-070 OK ARE YOU LIMPING AT ALL I'M PUTTING MORE WEIGHT ON MY LEFT LEG +MSK0012-071 OK AND DO YOU FEEL SO YOU MENTION YOU FEEL TINGLING GOING DOWN YOUR RIGHT LEG DO YOU FEEL ANY KIND OF NUMBNESS AT ALL +MSK0012-072 NO +MSK0012-073 NO OK ALRIGHT DO YOU HAVE ANY KIND OF URINARY OR FECAL RETENTION LIKE AT ALL +MSK0012-074 NO I'M GOING I'M USING THE WASHROOM OK +MSK0012-075 OK DO YOU HAVE ANY HISTORY OF ANY CANCERS AT ALL +MSK0012-076 NO +MSK0012-077 NO OK ARE YOU ON ANY SO DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU'VE BEEN DIAGNOSED WITH +MSK0012-078 NO +MSK0012-079 NO DO YOU TAKE ANY MEDICATIONS REGULARLY +MSK0012-080 NO I DON'T I JUST TAKE CALCIUM AND VITAMIN D AND OTHER BUT MULTI VITAMINS +MSK0012-081 OK ANY ALLERGIES TO ANY MEDICATIONS +MSK0012-082 NO +MSK0012-083 HAVE YOU HAD ANY PREVIOUS SURGERIES OR HAVE YOU BEEN HOSPITALIZED FOR ANY REASON +MSK0012-084 NO +MSK0012-085 NO OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS ANY HEART OR LUNG CONDITIONS +MSK0012-086 NO NOT THAT I KNOW OF +MSK0012-087 OK AN AND CURRENTLY YOU SAID YOU WORK FROM HOME HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION LIKE +MSK0012-088 I WOULD SAY I IT'S IT'S OK I LIVE IN AN APARTMENT WITH MY HUSBAND +MSK0012-089 OK AND CURRENTLY DO YOU SMOKE +MSK0012-090 NO +MSK0012-091 OK AND DO YOU DRINK ALCOHOL +MSK0012-092 I'LL HAVE A GLASS OF WINE LIKE ONCE A WEEK +MSK0012-093 OK AND DO YOU USE ANY RECREATIONAL DRUGS +MSK0012-094 SO I'VE I'VE BEEN USING CANNABIS OIL FOR THE PAST MONTH JUST TO SEE IF IT HELPS WITH THE PAIN +MSK0012-095 OK AND HAS THAT BEEN WORKING FOR YOU AT ALL +MSK0012-096 A LITTLE BIT I THINK +MSK0012-097-1 OK OK SO THOSE ARE SOME OF THE QUESTIONS I HAD AND I'M JUST GONNA ASK A FEW QUESTIONS ABOUT JUST EXAMINING THE AREAS THAT ARE GIVING YOU TROUBLE +MSK0012-097-2 SO ALONG YOUR BACK IF YOU IF YOU WERE TO PRESS +MSK0012-097-3 DOWN ON FROM THE MIDDLE TO YOUR LOWER BACK ANY KIND OF PAIN WHEN YOU PRESS DOWN +MSK0012-099 LOWER BACK YES OK SO WHAT KIND OF PAIN IS IT LIKE SHARP OR IS IT KIND OF A DULL ACHING PAIN +MSK0012-100 WHEN I PRESS DOWN IT FEELS SHARP +MSK0012-101 OK AND DO YOU HAVE YOU NOTICE ANY KIND OF SWELLING IN YOUR LEGS OR NEAR THE AREAS WHERE YOU HAVE PAIN SWELLING OR REDNESS OR ANY WARMTH +MSK0012-102 IT SEEMS TO ACTUALLY NO IT'S NOT IT'S NOT WARM +MSK0012-103 OK AND IN TERMS OF JUST MOVEMENT ARE YOU ABLE TO BEND DOWN +MSK0012-104 I CAN BEND DOWN IT'S JUST HARD FOR ME TO GET BACK UP +MSK0012-105 OK SEE AND HOW ABOUT LIKE BEND SIDEWAYS +MSK0012-106 I CAN DO THAT +MSK0012-107 OK AND HOW ABOUT IF YOU'RE LAYING FLAT ARE YOU ABLE TO RAISE YOUR LEGS WITHOUT BENDING YOUR KNEES +MSK0012-108 I CAN DO THAT ACTUALLY +MSK0012-109 NO I CAN'T SORRY IT'S THAT +MSK0012-110 THAT HURTS SO YOUR RIGHT LEG HURTS WHEN YOU DO THAT OK GREAT AND OTHER THAN THAT LIKE WHEN YOU WHEN YOU DO +MSK0012-112 CAN YOU DO YOU GET LIKE THAT TINGLING AGAIN IT DOES OK +MSK0012-113 ALRIGHT AND WHEN YOU STAND UP AND WALK HOW WOULD YOU DESCRIBE +MSK0012-114 ARE YOU HAVING ANY KIND OF LIMPING AT ALL A LITTLE BIT OF LIMP I'M PUTTING MORE WEIGHT ON THE LEFT LEG OK ALRIGHT SO THOSE ARE JUST SOME OF THE QUESTIONS I +MSK0012-115 I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL NO WHAT CAN I DO +MSK0012-116-1 ABOUT THIS BACK PAIN AND HOW LONG DO YOU THINK I'LL HAVE IT FOR +MSK0012-116-2 SO IT'S BEEN HAPPENING FOR ONE MONTH RIGHT AND YOU'RE GETTING SOME SYMPTOMS IN IN YOUR LOWER LEG SO NORMALLY WE WOULD WAIT +MSK0012-116-3 BEFORE WE DO ANY KIND OF DIAGNOSTIC IMAGING BUT SINCE YOU'RE ALSO HAVING THESE OTHER SYMPTOMS WE WE WERE WORRYING ABOUT SOMETIMES LOWER BACK PAIN +MSK0012-116-4 CAN LEAD TO SOMETHING CALLED SCIATICA IT'S JUST WHEN ONE OF THE NERVES GET PINCHED AND THEN THAT'S WHY YOU'RE GETTING THE TINGLING AROUND YOUR RIGHT UPPER LEG SO WHAT WE CAN DO IS +MSK0012-116-5 WE CAN DO IF YOU HAVEN'T HAD AN X RAY WE CAN DO AN X RAY OF YOUR LOWER BACK AND THEN WE CAN ALSO DO AN MRI +MSK0012-117 OK +MSK0012-118-1 AND BASED ON WHAT RESULTS COME BACK AT THE SAME TIME WE WILL I WILL GIVE YOU SOME INFORMATION ABOUT SOME ANTI INFLAMMATORY MEDICATIONS YOU COULD TAKE TO HELP RELIEVE SOME OF YOUR PAIN +MSK0012-118-2 BUT OTHER THAN THAT I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL HELP YOU DO SOME EXERCISES AT HOME JUST WAYS TO PROTECT YOUR BACK AS WELL AS +MSK0012-118-3 STRENGTHEN SOME OF YOUR MUSCLES TO HELP DEAL WITH SOME OF THAT PAIN SO WE'LL GET THE RESULTS BACK AND THEN WE'LL +MSK0012-119 GO FROM THERE OK SOUNDS GOOD THANK YOU +MSK0012-120 YOU'RE WELCOME TAKE CARE +MSK0013-000 HOW MAY I HELP YOU +MSK0013-001 HI I'M HERE BECAUSE I'VE HAD THIS NUMBNESS AND TINGLING IN MY FEET FOR AWHILE NOW AND I STARTED TO NOTICE THESE OPEN WOUNDS ON MY FEET AS WELL AND +MSK0013-002 I'M NOT FEELING IT BUT IT'S THERE OK AND WHEN DID YOU FIRST NOTICE THE NUMBNESS +MSK0013-003 AND TINGLING IT'S BEEN ON GOING FOR THE PAST LIKE TWO YEARS BUT RECENTLY I'VE SEEN THE PAST LIKE THREE MONTHS IT'S GOTTEN WORSE +MSK0013-004 OK AND DO YOU FEEL IT IN IN BOTH FEET +MSK0013-005 YES +MSK0013-006 OK AND WHERE ABOUT DO YOU FEEL THE NUMBNESS AND TINGLING TINGLING DO YOU FEEL LIKE ALL THE WAY UP YOUR UP YOUR LEG OR IS IT ONLY PART WAY +MSK0013-007 IT GOES RIGHT UP UNTIL MY ANKLES +MSK0013-008 OK AND DO YOU HAVE WOUNDS ON YOUR FEET THAT LIKE YOU YOU DON'T NOTICE THEM BECAUSE YOU CAN'T FEEL IT +MSK0013-009 I DON'T NOTICE IT BECAUSE I CAN'T FEEL IT BUT THEN I'LL SEE THEM AND THEY LOOK BAD +MSK0013-010 OK DO YOU RECALL HITTING YOUR FOOT OR OFF OF ANYTHING OR STEPPING ON ANY OBJECTS THAT COULD HAVE CAUSED TRAUMA TO YOUR FEET +MSK0013-011-1 I MEAN IT'S POSSIBLE BUT I DIDN'T FEEL ANYTHING SO +MSK0013-011-2 I'M NOT TOO SURE ABOUT THAT IT IS THE SUMMER SO I'VE BEEN LIKE GOING TO THE BEACH AND WHEN I'M AT THE PARK LIKE I'LL TAKE OFF MY FLIP FLOPS +MSK0013-012 OK HAVE YOU HAD ANY LIKE MUSCLE WEAKNESS TO YOUR +MSK0013-013 LEGS OR FEET MAYBE A LITTLE BIT OF MUSCLE WEAKNESS IN MY LEGS +MSK0013-014 OK HAVE YOU HAD ANY PROBLEMS WITH BALANCE OR HAVE IT YOU HAD ANY FALLS +MSK0013-015 NO +MSK0013-016 OK AND OK HAVE YOU HAD ANY FEVERS OR CHILLS +MSK0013-017 NO +MSK0013-018 HAVE YOU HAD ANY NIGHT SWEATS +MSK0013-019 NO +MSK0013-020 AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +MSK0013-021 NO +MSK0013-022 OK HAVE YOU HAD ANY HEADACHES +MSK0013-023 NO +MSK0013-024 ALRIGHT HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING OR SENSE OF SMELL OR TASTE +MSK0013-025 NO +MSK0013-026 HAVE YOU HAD ANY ANY SORE THROAT OR COUGH +MSK0013-027 NOPE +MSK0013-028 HOW ABOUT ANY SHORTNESS OF BREATH +MSK0013-029 NO +MSK0013-030 OK HAVE YOU HAD ANY WHEEZING +MSK0013-031 NO +MSK0013-032 HAVE YOU HAD ANY CHEST PAIN +MSK0013-033 NO +MSK0013-034 ANY HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS +MSK0013-035 NOPE +MSK0013-036 HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING +MSK0013-037 NO +MSK0013-038 HAVE YOU HAD ANY NAUSEA OR VOMITING +MSK0013-039 NO +MSK0013-040 HOW ABOUT ANY ABDOMINAL PAIN +MSK0013-041 NO +MSK0013-042 HAVE YOU HAD ANY CHANGES TO BOWEL MOVEMENTS LIKE DIARRHEA OR CONSTIPATION +MSK0013-043 NOPE +MSK0013-044 OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE FREQUENCY OR PAINFUL URINATION +MSK0013-045 NO +MSK0013-046 OK AND HAVE YOU HAD ANY RASHES ON YOUR SKIN +MSK0013-047 NO +MSK0013-048 OK AND ANY MUSCLE ACHES OR JOINT PAINS +MSK0013-049 NO NOTHING LIKE THAT +MSK0013-050 OK AND DO YOU HAVE ANY NUMBNESS OR TINGLING TO ANY OTHER PARTS OF YOUR BODY +MSK0013-051 MAYBE A LITTLE BIT IN MY FINGERTIPS AS WELL +MSK0013-052 OK AND WHEN DID YOU FIRST START NOTICING THAT +MSK0013-053 IN THE PAST YEAR +MSK0013-054 OK AND HAVE YOU HAD ANY LIKE LIKE CLUMSINESS OR LIKE DROPPING OBJECTS +MSK0013-055 DEFINITELY SOME OF THAT LIKE I'LL FIND IT HARD TO LIKE OPEN CANS AND BOTTLES +MSK0013-056 OK ANY WEAKNESS IN THE HANDS +MSK0013-057 ONLY WHEN ONLY SOMETIMES WHEN I'M TRYING TO GRIP THINGS PRETTY HARD +MSK0013-058 OK AND HAVE YOU HAD ANY MEMORY CHANGES OR ANY CONFUSION +MSK0013-059 NO +MSK0013-060 OK AND HAVE YOU HAD ANY ANY +MSK0013-062 BACK PAIN NO OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OR SORRY +MSK0013-063 BEFORE +MSK0013-064 THAT AND HAVE YOU HAD ANY NECK PAIN NO NO NECK PAIN OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED +MSK0013-065 WITH ANY MEDICAL CONDITIONS SO I'VE BEEN DIAGNOSED WITH DIABETES HYPERTENSION HYPERCHOLE +MSK0013-066 STEROLEMIA OBESITY AND AND I THINK I THINK THAT'S THAT'S ABOUT IT OK AND ARE YOU CURRENTLY ON ANY +MSK0013-067 MEDICATIONS LIKE DO YOU HAVE DO YOU USE INSULIN I DO SO I'M ON INSULIN SHORT ACT +MSK0013-068 AND LONG ACTING I'M ON RAMIPRIL I'M ON ATORVASTATIN OK AN AND DO YOU +MSK0013-069-1 RECALL ANY LIKE WHAT YOUR AONEC HAS BEEN IN THE PAST OR AN HAVE YOU HAD YOUR EYES CHECKED AND KIDNEYS CHECKED +MSK0013-069-2 AONEC HAS BEEN PRETTY HIGH ESPECIALLY RECENTLY I THINK IT WAS EIGHT POINT EIGHT ONE OR SOMETHING THE LAST TIME +MSK0013-069-3 I GOT IT CHECKED I HAVEN'T HAD MY EYES CHECKED IN AWHILE AND IN TERM +MSK0013-070 MY KIDNEYS I THINK I DID A URINALYSIS RECENTLY AND EVERYTHING +MSK0013-072 NORMAL OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +MSK0013-073 NO ALRIGHT AND +MSK0013-074 HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS NO I DON'T BELIEVE SO +MSK0013-076 OK AND ARE YOUR IMMUNIZATIONS UP TO DATE YES OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT +MSK0013-077 WHERE YOU'RE LIVING CURRENTLY AND WHO YOU'RE LIVING WITH I LIVE IN A HOUSE DOWNTOWN WITH MY +MSK0013-078 OK AND ARE YOU WORKING CURRENTLY +MSK0013-079 I AM I WORK FROM HOME THOUGH +MSK0013-080 OK SO AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +MSK0013-081 OH NO I DON'T THINK SO +MSK0013-082 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +MSK0013-083 NO NOT OUTSIDE THE PROVINCE +MSK0013-084 ALRIGHT AND DO YOU DRINK ALCOHOL +MSK0013-085 I'LL HAVE SOME ALCOHOL EVERY DAY +MSK0013-086 OK OK HOW MANY DRINKS PER DAY WOULD YOU HAVE FOR AND HOW MANY DRINKS PER WEEK +MSK0013-087 I'LL HAVE ABOUT FIVE BEERS A DAY +MSK0013-088 OK DO YOU FEEL AS THOUGH THAT'S A LOT +MSK0013-089 I I'M HOPING TO CUT DOWN +MSK0013-090 OK THAT'S GOOD AND IF AT ANY POINT YOU NEED HELP OR I WOULD LIKE TO DISCUSS THAT JUST PLEASE LET ME KNOW OK AND +MSK0013-091 DO YOU SMOKE CIGARETTES +MSK0013-092 I DO +MSK0013-093 OK HOW MUCH DO YOU SMOKE +MSK0013-094 I SMOKE ABOUT HALF A PACK A DAY AND FOR +MSK0013-095 HOW LONG HAVE YOU BEEN SMOKING FOR FOR THE PAST ALMOST TWENTY YEARS +MSK0013-096 OK HAVE YOU THOUGHT ABOUT CUTTING DOWN +MSK0013-097 AGAIN THAT'S SOMETHING THAT I'M HOPING TO QUIT DOING IN THE FUTURE AS WELL +MSK0013-098 CERTAINLY OK AND ARE YOU CURRENTLY SEXUALLY +MSK0013-099 ACTIVE +MSK0013-100 I AM OK AND COULD YOU TELL ME ABOUT YOUR PARTNERS +MSK0013-101 OR PARTNER JUST MY WIFE WE'VE BEEN TOGETHER FOR THE PAST FIVE YEARS +MSK0013-102 OK ANY CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME +MSK0013-103 NO +MSK0013-104 OK AND ANY A MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY +MSK0013-105 NO +MSK0013-106 OK AND HOW ABOUT ANY CANCERS THAT RUN IN THE FAMILY +MSK0013-107 NO CANCERS THAT I KNOW OF +MSK0013-108 OK AND HOW ABOUT HEART CONDITIONS OR OR LUNG CONDITIONS +MSK0013-109 NO NOTHING LIKE THAT +MSK0013-110-1 OK SO NEXT JUST WANTED TO MOVE ON TO THEIR PHYSICAL EXAM PIECE OF THE APPOINTMENT TODAY SO +MSK0013-110-2 JUST LOOKING AT YOUR THE AT YOUR FEET AND AT THE THE JOINTS OF THE ANKLE AND TOES ARE YOU SEEING ANY SWELLING REDNESS OR +MSK0013-111 ANY SWELLING OR OR REDNESS +MSK0013-112 NO NO SWELLING OR REDNESS ALL RIGHT ARE THERE IS THERE A TEMPERATURE CHANGE TO YOUR FEET OR ANY OF THE JOINTS ARE THEY FEELING HOT OR COLD +MSK0013-113 NO +MSK0013-114 OK AND IS THERE ANY DEFORMITIES OR MISALIGNMENT OF ANY OF THE JOINTS +MSK0013-115 NO +MSK0013-116 OK AND ANY SCARRING FROM ANY OF THE TRAUMA +MSK0013-117 THERE ARE LIKE THERE'S SOME +MSK0013-118 SCARRING FROM LIKE ULCERS FROM PREVIOUS ONES THAT HAVE THAT HAVE HEALED +MSK0013-119 HEALED THAT'S RIGHT +MSK0013-120 OK AND AND IS THERE ANY PAIN TO PALPATION OVER THE ANKLE JOINT +MSK0013-121 OVER +MSK0013-122 THE ANKLE JOINT NO OK THEN HOW ABOUT OVER ANY OF THE JOINTS OF YOUR TOES +MSK0013-123 NO NOT NOTHING LIKE THAT NO PAIN JUST I CAN'T FEEL IT +MSK0013-124 OK AND HOW IS THE RANGE OF MOTION +MSK0013-125 OF YOUR FEET AND TOES +MSK0013-126 PRETTY GOOD I CAN +MSK0013-127 MOVE THEM ALL +MSK0013-128 OK AND THEN HOW ABOUT YOUR KNEES MY KNEES ARE ALSO THE +MSK0013-129 SAME +MSK0013-130 OK AND ANY ANKLE LIKE INSTABILITY WITH ANY SPECIAL TESTS NO OK AND AND ON WALKING +MSK0013-131 IS THERE ANY LIMP OR DOES IT APPEAR +MSK0013-132-1 HOW DOES THE WALK APPEAR +MSK0013-132-2 PRETTY NORMAL I'M NOT LIMPING +MSK0013-132-3 OK AND OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK AND AND +MSK0013-133 CHECK TODAY DID YOU HAVE ANY QUESTIONS JUST WHAT DO YOU THINK IS GOING ON WITH MY FEET AND +MSK0013-134-1 HOW DO I GET SOME SENSATION BACK +MSK0013-134-2 SO IT DOES SOUND LIKE IT COULD BE RELATED TO DIABETES WHERE WHAT HAPPENS IS YOU GET +MSK0013-134-3 LIKE A PERIPHERAL NEUROPATHY OVERTIME AND YOU CAN LOSE SENSATION TO YOUR FEET IN A GLOVE AND STOCKING DISTRIBUTION WHICH SOUNDS LIKE THE HISTORY HISTORY YOU'RE SAYING TODAY WITH HAVING SENSATION REDUCED ON YOUR +MSK0013-135-1 FEET AND ALSO YOUR FINGERTIPS AS WELL WHERE YOU LOSE SENSATION AND YOU CAN'T FEEL PAIN AND SO +MSK0013-135-2 BUT OTHER THINGS TO CONSIDER COULD BE POSSIBLY LIKE VITAMIN DEFICIENCIES OR THINGS LIKE THAT BUT I WOULD BE MUCH MUCH LOWER DOWN ON THE DIFFERENTIAL +MSK0013-135-3 AND SO TO REGAIN SENSATION I THINK REALLY THE ONLY THING THAT CAN BE DONE NOW IS TO HELP PREVENT FURTHER DAMAGE TO THE NERVES AND THAT WOULD BE TO MAKE SURE THAT THE DIABETES IS UNDER GOOD CONTROL AND +MSK0013-135-4 TRYING TO MONITOR YOUR FEET AS REGULARLY AS YOU CAN MAKING SURE THAT THE THERE AREN'T ANY KIND OF OPEN WOUNDS OR SORES THAT ARE ARE NOT HEALING IF THINGS ARE NOT HEALING IT WILL BE IMPORTANT TO +MSK0013-135-5 CHECK TO SEE IF THERE IS AN UNDERLYING INFECTION SUCH AS OSTEOMYELITIS WHICH WILL PREVENT WOUND HEALING AND SO IF THERE ARE ANY IS ANYTHING LIKE THAT IT WOULD BE IMPORTANT TO HAVE THAT CHECKED OUT SO +MSK0013-135-6 FEET HYGIENE IS EXTREMELY IMPORTANT AS WE'RE WORKING ON IMPROVING THE DIABETES CONTROL +MSK0013-136 AS WELL AS THINGS LIKE CUTTING DOWN ALCOHOL +MSK0014-000 HOW MAY I HELP YOU +MSK0014-001-1 I JUST CAME IN HERE TODAY I USUALLY DON'T COME TO THE DOCTOR THAT MUCH UNLESS I ABSOLUTELY NEED IT FIVE DAYS AGO I STARTED HAVING THIS PAIN AND SWELLING IN MY RIGHT KNEE +MSK0014-001-2 SO AND AT FIRST I THOUGHT IT WAS JUST LIKE MY ARTHRITIS ACTING UP BUT IT'S BEEN GETTING MORE SWOLLEN AND PAINFUL THAN USUAL SO I JUST WANTED TO COME IN AND CHECK IT OUT +MSK0014-002 OK SO WHEN DID YOU FIRST NOTICE THAT THIS PAIN LIKE WHEN DID IT GET MORE SWOLLEN AND PAINFUL THAN USUAL +MSK0014-003 SO LIKE I WOULD SAY AROUND FIVE DAYS AGO IT STARTED GETTING MORE AND USUALLY I DO GET PAIN IN SOME OF MY JOINTS BUT I I DON'T REALLY GET SWELLING SO THAT WAS A BIT DIFFERENT +MSK0014-004 OK AND IS THE JOINT HOT AS WELL OR IS THERE A TEMPERATURE +MSK0014-005 CHANGE IT IS IT DOES FEEL LIKE IF I TOUCH THE JOINT IT DOES FEEL A BIT WARMER THAN THE SURROUNDING AREAS +MSK0014-006 OK DOES IT LOOK RED +MSK0014-007 IT IT DEFINITELY IT DEFINITELY LOOKS MORE RED THAN MY OTHER KNEE +MSK0014-008 OK AND SO WHAT KNEE IS IT THAT THAT'S BOTHERING YOU RIGHT NOW +MSK0014-009 IT'S THE RIGHT KNEE +MSK0014-010 OK AND SO THIS PAIN HAS BEEN GOING ON FOR THE LAST FIVE DAYS HAS IT BEEN GETTING BETTER WORSE OR STAYING THE SAME +MSK0014-011 I THINK IT'S GETTING A IT'S GETTING IT WAS GETTING WORSE BUT IT'S LIKE A BIT BETTER RIGHT NOW +MSK0014-012 OK +MSK0014-013 IT COMES AND GOES +MSK0014-014 IN SEVERITY THOUGH OK AND HOW WOULD YOU DESCRIBE THE THE PAIN THE CHARACTER OF IT IS IT SHARP DULL OR ACHY +MSK0014-015 IT'S IT'S LIKE SOMEONE IS STABBING ME IN THE KNEE AND IT HURTS THE MOST WHEN I'M MOVING THE KNEE +MSK0014-016 OK AND DOES THE PAIN RADIATE ANYWHERE +MSK0014-017 I DON'T +MSK0014-018 THINK SO NO OK SO YOU'RE FEELING IT JUST IN THE KNEE AND YOU SAID MOVING THE KNEES IS PAINFUL IS +MSK0014-019 THERE ANYTHING ELSE THAT MAKES THE PAIN WORSE NOT REALLY LIKE RESTING IT DEFINITELY HELPS BUT I JUST +MSK0014-020 HAVE TO KEEP IT A BIT IMMOBILIZED OK AND IS THERE ANYTHING THAT THAT MAKES THE PAIN BETTER THAT YOU'VE TRIED LIKE MAYBE MEDICATIONS OR ANY ICE PACKS +MSK0014-021 OR ANYTHING LIKE THAT NOT REALLY I DO TAKE SOME PAINKILLERS SO JUST SOME ADVIL WHICH SEEMS TO HELP A LITTLE BIT +MSK0014-022 OK AND AND OK IS THE PAIN WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE DO YOU HAVE MORNING STIFFNESS +MSK0014-023 USUALLY WITH MY NORMAL THIS ARTHRITIS I DO GET SOME MORNING STIFFNESS BUT THIS IS COMPLETELY DIFFERENT IT'S THROUGHOUT THE DAY PRETTY MUCH +MSK0014-024 OK AND DID YOU HAVE ANY TRAUMA OR ANY INJURY TO THE KNEE +MSK0014-025 NO I DIDN'T +MSK0014-026 OK +MSK0014-027 I I DID HAVE LIKE A STEROID INJECTION TO THE SAME KNEE JUST A WEEK AGO BUT NO I I HAVEN'T FALLEN ON IT I HAVEN'T HAD ANY OPERATIONS +MSK0014-028 OK AND HAVE YOU HAD ANY FEVERS OR CHILLS +MSK0014-029 NO +MSK0014-030 OK HAVE YOU HAD ANY CHANGES TO ANY OF YOUR SENSES LIKE VISION HEARING OR YOUR SENSE OF SMELL OR TASTE +MSK0014-031 NO NOTHING LIKE THAT +MSK0014-032 HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +MSK0014-033 NO +MSK0014-034 HAVE YOU HAD ANY COUGH OR SHORTNESS OF BREATH +MSK0014-035 NO +MSK0014-036 HOW ABOUT ANY WHEEZING +MSK0014-037 NOPE +MSK0014-038 HAVE YOU HAD ANY CHEST PAIN OR HAVE YOU HAD ANY CHEST PAIN +MSK0014-039 NO +MSK0014-040 HOW ABOUT ANY LIGHTHEADEDNESS OR DIZZINESS +MSK0014-041 NO +MSK0014-042 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +MSK0014-043 NOPE +MSK0014-044 ALRIGHT HAVE YOU HAD ANY LOSS OF APPETITE +MSK0014-045 NO +MSK0014-048 PAIN HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION INCONTINENCE +MSK0014-049 NO +MSK0014-050 ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY +MSK0014-051 NO NOT REALLY +MSK0014-052 HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES ANYWHERE +MSK0014-054 NO OK AND ANY OTHER PAINFUL JOINTS OR MUSCLE ACHES OR +MSK0014-055-1 BODY PAINS +MSK0014-055-2 YEAH I JUST GOT MY GENERAL LIKE I HAVEE OSTEOARTHRITIS SO I LIKE IT'S BEEN A PRETTY LONG TIME THOUGH BUT I GET SOME PAIN IN MY HIPS +MSK0014-055-3 SOMETIMES MY KNEES SO IT'S IT'S THAT'S BEEN GOING ON FOR AWHILE BUT THIS IS SOMETHING I'VE NEVER EXPERIENCED THOUGH LIKE THIS SIGNIFICANT PAIN AND SWELLING AND REDNESS +MSK0014-055-4 OK AND HAVE YOU HAD ANY +MSK0014-056 CHANGES TO YOUR MEMORY OR ANY CONFUSION NOPE OK AND +MSK0014-058 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +MSK0014-060 NO AND HOW ABOUT ANY NIGHT SWEATS +MSK0014-061 NO +MSK0014-062 OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +MSK0014-063-1 I DO HAVE SO I HAVE A COUPLE CONDITIONS I HAVE OSTEOARTHRITIS IN BOTH MY KNEES AND HIPS +MSK0014-063-2 I HAVE HIGH BLOOD PRESSURE I DID HAVE A HEART ATTACK FOUR YEARS AGO AND I ALSO HAVE HAD +MSK0014-064 HEART FAILURE AND ALSO I'M JUST A BIT ON THE OVERWEIGHT SIDE +MSK0014-065 OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS SO I AM TAKING JUST FUROSEMIDE THEN +MSK0014-066 RAMIPRIL FOR MY BLOOD PRESSURE BUT THAT'S THAT'S ABOUT IT RIGHT NOW +MSK0014-067 AND LIKE JUST PAINKILLERS OVER THE COUNTER +MSK0014-068 OK AND ANY ALLERGIES TO MEDICATIONS JUST TO HAVE A PEN +MSK0014-069 ICILLIN ALLERGY OK AND WHAT'S THE RASH OR SORRY WHAT'S THE REACTION I DON'T REALLY REMEMBER I WAS A CHILD AT THAT TIME +MSK0014-070 I DON'T REMEMBER WHAT REACTION I REALLY GOT I SEE OK +MSK0014-071 AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES SURGERIES I DID HAVE MY APPENDIX REMOVED WHEN I WAS YOUNG AND ALSO +MSK0014-072 I WAS HOSPITALIZED AFTER MY HEART ATTACK A COUPLE YEARS AGO OK DID YOU HAVE ANY SURGERIES ON YOUR ON YOUR HEART +MSK0014-073 LIKE A CABBAGE OR I HAD A COUPLE +MSK0014-074 A COUPLE OF STENTS PUT IN OK +MSK0014-075 AND YOU TAKE ASPIRIN FOR THAT OK ALRIGHT AND +MSK0014-076 COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH I LIVE WITH MY WIFE AND DAUGHTER +MSK0014-077 AND KIND OF LIVE IN A SMALL LITTLE +MSK0014-078-1 TOWNHOUSE JUST IN THE CITY +MSK0014-078-2 OK ARE YOU CURRENTLY WORKING OR ARE YOU RETIRED +MSK0014-078-3 I I KIND OF HAD TO RETIRE AFTER JUST MY PAST MEDICAL HISTORY LIKE THE HEART ATTACK AND THEN +MSK0014-078-4 THERE WAS JUST TOO MUCH STRESS AT WORK IT WAS TOO MUCH +MSK0014-079 FOR ME BUT I'M JUST AT HOME RIGHT NOW MY WIFE STILL WORKS I'M TAKING IT MORE EASY NOW OK AND +MSK0014-080 WITH BEING AT HOME ARE YOU ABLE TO MANAGE THE MAJORITY OF ACTIVITIES OF DAILY LIVING ON YOUR OWN OR ARE YOU RECEIVING HELP +MSK0014-081 NOT RECEIVING ANY OUTSIDE HELP I CAN DO MOST +MSK0014-082 THINGS MYSELF MY WIFE DOES MOST OF OUR SHOPPING AND COOKING THOUGH OK AND DO YOU DRINK ALCOHOL I I DO I DO DRINK +MSK0014-083 PROBABLY DRINK LIKE THREE OR +MSK0014-084 FOUR BEERS A NIGHT OK AND DO YOU SMOKE CIGARETTES +MSK0014-085 I USED TO I I FORCED MYSELF TO QUIT AFTER MY HEART ATTACK OK WELL THAT'S GOOD I'M +MSK0014-086 PROBABLY SMOKED FOR MORE THAN THIRTY YEARS AND I WAS SMOKING ONLY ONE TO TWO PACKS A DAY AT MOST +MSK0014-087 GLAD THAT YOU QUIT AND HOW LONG DID YOU SPOKE FOR AND HOW MUCH WERE YOU SMOKING DURING THAT TIME +MSK0015-000 HOW MAY I HELP YOU +MSK0015-001-1 SO I'M I'M GEORGE THE FATHER MY DAUGHTER IS FIVE YEARS OLD AND I NOTICED JUST A FEW DAYS AGO THAT SHE WAS WALKING A LITTLE BIT FUNNY AND KIND OF HAVING A LIMP WHEN SHE CAME BACK FROM SCHOOL +MSK0015-001-2 AND SINCE SINCE THAT THEN SHE'S BEEN SAYING THAT IT JUST HURTS TOO MUCH TO PUT ANY WEIGHT ON ON THAT LEG ON THE RIGHT LEG +MSK0015-001-3 AND SINCE THEN I'VE BEEN LIKE CARRYING HER AROUND IT'S BEEN VERY PAINFUL FOR HER SO I JUST WANTED TO COME IN AND CHECK WHAT MIGHT BE GOING ON +MSK0015-002 OK AND SO SO AND THIS WHEN DID THIS +MSK0015-003 EXACTLY START +MSK0015-004 SO JUST TWO DAYS AGO OK AN DID SHE HAVE ANY TRAUMA TO TO HER RIGHT HIP OR OR TO HURT YOUR RIGHT LEG LIKE A FALL OR ANY INJURIES +MSK0015-005 SORRY NO NOT THAT I KNOW OF AT LEAST AND SHE HASN'T TOLD ME ANYTHING LIKE THAT SHE DOES DO SOME ACTIVITIES SOME SPORTS BUT I HAVEN'T SEEN HER FALL ANYWHERE +MSK0015-006 OK ALRIGHT AND HAS SHE HAS SHE NOT NOT BEEN ABLE +MSK0015-007-1 TO WALK THEN +MSK0015-007-2 YEAH SO I'VE I'VE BEEN CARRYING AROUND FOR AT LEAST LIKE SHE'S MISSED SCHOOL TOO BUT BEEN CARRYING HER AROUND FOR THE LAST ONE ONE TWO TO TWO DAYS AS SOON AS I HAD LIKE ASK HER TO WALK +MSK0015-007-3 SHE STARTS KIND OF A HOPPING AND SAYING THAT THERE'S A LOT OF PAIN NEAR THE TOP OF HER LEG AND BY YOUR HIPS WHENEVER SHE PUTS HER FOOT LIKE A FOOT DOWN +MSK0015-007-4 SO SHE'S IN PAIN CRYING SO I KIND OF HAVE TO CARRY HER +MSK0015-008 OK AND HOW HAS HER BEHAVIOUR BEEN RECENTLY LIKE HER MOOD AND THINGS LIKE THAT +MSK0015-009-1 SHE'S DEFINITELY BEEN MORE JUST A BIT ANXIOUS ABOUT THE PAIN VERY SCARED ABOUT PUTTING HER FOOT DOWN AND +MSK0015-009-2 JUST OVERALL I THINK ALSO MORE IRRITABLE CRYING MORE BECAUSE OF THE PAIN SO BUT I I GUESS I UNDERSTAND IF THERE'S SOMETHING GOING ON IT MUST BE VERY PAINFUL +MSK0015-010 OK AND ALRIGHT HAS SHE HAD ANY FEVERS OR CHILLS +MSK0015-011-1 I DID NOTICE A COUPLE OF DAYS AGO SHE FELT A BIT WARM BUT WE DIDN'T REALLY MEASURE HER TEMPERATURE +MSK0015-011-2 OVER THE LAST FEW WEEKS THOUGH SHE HAS HAD A KIND OF A RUNNY NOSE AND A COUGH AND I THINK SHE MIGHT HAVE HAD A FEVER LAST WEEK AS WELL SO +MSK0015-011-3 SHE HAS BEEN SICK RECENTLY +MSK0015-012 OK SO IT SOUNDS LIKE SHE MIGHT HAVE HAD A COLD LAST WEEK AND DID LIKE THE RUNNY NOSE AND COUGH GO AWAY +MSK0015-013 THE RUNNY NOSE AND COUGH ARE GONE FEVER WAS GONE TOO BUT SHE DID FEEL A LITTLE BIT WARM YESTERDAY SO I'M NOT SURE ABOUT THAT +MSK0015-014 OK SO SHE'S AT A A BIT WARM NOW STILL OK +MSK0015-015 YUP +MSK0015-016 HAS SHE HAD ANY ANY HEADACHES +MSK0015-017 NO NO HEADACHES +MSK0015-018 ANY SENSORY CHANGES LIKE THINGS TO HER VISION OR HEARING OR TASTE OR SMELL +MSK0015-019 NO +MSK0015-022 THROAT OR COUGH NO ALRIGHT ANY SHORTNESS OF BREATH +MSK0015-023 NO +MSK0015-024 ANY CHEST PAIN +MSK0015-025 NO +MSK0015-026 HAS SHE HAD A LOSS OF APPETITE +MSK0015-027 NO +MSK0015-028 OK AND HAS SHE HAD ANY UNEXPECTED WEIGHT LOSS +MSK0015-029 OH NO NOTHING LIKE THAT +MSK0015-030 ANY NIGHT +MSK0015-031 SWEATS +MSK0015-032 NO ANY +MSK0015-035 ANY ABDOMINAL PAIN +MSK0015-036 NO ABDOMINAL PAIN OK ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL +MSK0015-037 NO NOTHING LIKE THAT +MSK0015-038 ALRIGHT AND ANY PROBLEMS WITH URINATION LIKE PAIN OR FREQUENCY +MSK0015-039 NO NOT THAT SHE'S MENTIONED NO +MSK0015-040 OK AND ANY SKIN RASHES OR CHANGES +MSK0015-041 NO +MSK0015-042 OK AND ANY MUSCLE ACHES OR BODY PAINS OR ANY OTHER PAINS ANYWHERE ELSE +MSK0015-043 NO IT'S MAINLY JUST HER UPPER RIGHT LEG AND HIP +MSK0015-044 OK I HAVE SHE HAD ANY NUMBNESS OR TINGLING +MSK0015-045 NO NOT THAT SHE'S MENTIONED NO +MSK0015-046 OK AND AND HOW ABOUT A MUSCLE WEAKNESS +MSK0015-047 NO +MSK0015-048 NO OK AND ANY CONFUSION OR OR MEMORY LOSS +MSK0015-049 NO +MSK0015-050 OK I'M AND IN THE PAST HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +MSK0015-051-1 SHE DID HAVE THIS CONDITION WITH HER HIPS DYSPLASIA LIKE DEVELOPMENTAL DYSPLASIA OF THE HIP SO WHEN SHE WAS BORN SHE +MSK0015-051-2 SHE WAS GETTING LIKE THIS CLICKING NOISE AND HER IN HER HIPS AND SO SHE WAS IN THIS SPLINT FOR PROBABLY ALMOST TWO MONTHS +MSK0015-051-3 AT THE START LIKE +MSK0015-052 SHE WAS BORN OK AND DID HER HIPS DID LIKE WAS SHE ABLE TO +MSK0015-053 WALK AFTERWARDS AND WE WERE SEEING A SPECIALIST AN ORTHOPEDIC SURGEON AND THEY WERE MANAGING HER AND AFTER ONE YEAR THEY STOPPED FOLLOWING HER SHE WAS WELL LIKE SHE WAS WALKING NO ISSUES +MSK0015-054 OK SO SHE'S WALKING AROUND +MSK0015-055 ONE YEAR +MSK0015-056 AND HAVE YOU HAD ANY OTHER CONCERNS ABOUT HER EITHER EITHER SOCIAL OR PHYSICAL DEVELOPMENT +MSK0015-057 NO SHE'S BEEN REALLY GREAT SHE'S GOOD WITH PEOPLE SHE'S HAS GREAT SOCIAL SKILLS SHE HAS GROWN WELL MET ALL HER MILESTONES SHE'S DOING REALLY WELL AT SCHOOL AND GETS ALONG WELL WITH HER PEERS AS WELL +MSK0015-058 OK EXCELLENT AND WERE THERE ANY CONCERNS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HYPERTENSION OR ANY EXPOSURES TO INFECTIONS +MSK0015-059-1 NO HER MOM'S PREGNANCY WAS PERFECTLY NORMAL SHE WAS BORN LIKE SHE WAS DELIVERED VAGINALLY AT THIRTY NINE WEEKS +MSK0015-059-2 SHE WAS BREECH AT THAT TIME WHICH THE DOCTOR SAID MIGHT HAVE TO DO WITH HER CLICKING HIPS +MSK0015-059-3 BUT BUT SINCE THEN OR DURING PREGNANCY NO OTHER COMPLICATIONS +MSK0015-060 OK THAT'S GREAT AND IN REGARDS TO YOU MENTIONED HER HURT HIP ANY OTHER PAST +MSK0015-061 MEDICAL HISTORY NO +MSK0015-062 OTHER THAN THAT SHE'S BEEN HEALTHY OK AND DOES SHE TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED +MSK0015-063 NO NO NO MEDICATIONS +MSK0015-064 OK ANY ALLERGIES TO MEDICATIONS +MSK0015-065 NO NOT THAT I KNOW +MSK0015-066 AND SORRY HAS SHE TAKING ANYTHING FOR THE THE PAIN +MSK0015-067 NO I HAVEN'T REALLY GIVEN HER ANYTHING I DIDN'T KNOW WHAT TO GIVE +MSK0015-068 OK ALL RIGHT WE'LL TALK MORE ABOUT THAT HAS SHE HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS NO +MSK0015-070 CAN YOU TELL ME ABOUT WHO SHE'S LIVING WITH AND WHEREABOUTS SHE'S LIVING +MSK0015-071 SO SHE'S CURRENTLY LIVING AT HOME WITH ME MY WIFE AND SHE HAS AN OLDER BROTHER WE LIVE IN A SMALL HOUSE JUST NEAR NEAR THE CITY +MSK0015-073 WHAT DO YOU GUYS DO FOR WORK SO I'M A LAWYER AND MY WIFE IS A MUSIC TEACHER OK IS THERE ANYBODY +MSK0015-074 WHO SMOKES IN THE HOME NO NONE OF US SMOKE OK +MSK0015-076 AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS +MSK0015-077 NO NO FAMILY HISTORY OUR FAMILY IS PRETTY HEALTHY +MSK0015-078 OK HOW ABOUT ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM NO NOTHING LIKE THAT +MSK0015-082 JUST THE EXAM WHEN YOU'RE LOOKING AT THE RIGHT HIP ARE YOU SEEING ANY SWELLING REDNESS +MSK0015-083 NO NOT THAT I SEE ANYTHING +MSK0015-084 NO OK AND IS THERE ANY LIKE MUSCLE ATROPHY AROUND THE HIP +MSK0015-085 NO NOT THAT I SEE AT ALL +MSK0015-086 OK AND THEN IS THERE ANY MISALIGNMENT OR DEFORMITY OF THE JOINTS THAT YOU CAN SEE NO I CAN'T I DON'T SEE ANYTHING IN THE HIPS OR LEGS THAT REALLY POINTS OUT TO ME +MSK0015-087 OK AND IS THERE ANY PAIN TO PALPATION OVER THE HIP OR OR KNEE +MSK0015-088 IF I IF I PRESS ON IT I DON'T THINK SHE'S IN THAT MUCH PAIN IT'S MAINLY JUST WHEN SHE'S TRYING TO WALK OR PUT +MSK0015-089 PUT WEIGHT ON IT OK AND IS SHE ABLE TO MOVE THE HIP IN A FULL RANGE OF MOTION OF LIKE FLEXION AND +MSK0015-090 EXTENSION ABDUCTION ADDUCTION SO SHE DOES SHE IS ABLE TO MOVE IT IF SHE REALLY TRIES BUT IT'S MAINLY +MSK0015-091 JUST THE PUTTING HER WEIGHT ON IT AND ANYTIME SHE PUTS HER WEIGHT ON IT IS IS WHEN IT REALLY HURTS OK SO MORE ABOUT THE WEIGHT ON IT AND IS SHE ABLE TO MOVE THAT HER KNEE WITH A FULL RANGE OF MOTION +MSK0015-092 OK AND ANY ANY MUSCLE WEAKNESS WHEN TESTING AROUND THE JOINT +MSK0015-093 NO OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY AND +MSK0015-095 CHECK WAS THERE ANYTHING I MAYBE FORGOT ABOUT YOU THOUGHT WOULD BE MORE IMPORTANT TODAY NO I THINK THAT'S ALL JUST JUST WAS WONDERING WHAT MIGHT BE GOING ON +MSK0015-096 THAT IT COULD BE ONE IS THAT IT CAN BE COMMON IN THIS +MSK0015-097-1 AGE GROUP IS SOMETHING CALLED TRANSIENT SYNOVITIS WHERE WHICH CAN HAPPEN IN THE HIP WHERE THERE'S SOME INFLAMMATION AND IT CAUSES SOME PAIN +MSK0015-097-2 FOLLOWING A VIRAL INFECTION AND IT SOUNDS LIKE SHE HAD A VIRAL INFECTION LAST WEEK WITH THE COUGH FEVER AND AND RUNNY NOSE AND HER SHE WAS FEELING A BIT WARM AND MAYBE FEVERISH TODAY AS WELL WHICH +MSK0015-097-3 COULD BE A SIGN WITH THE LOWER KIND OF SLIGHTLY ELEVATED TEMPERATURE POINTING TOWARDS TRANSIENT SYNOVITIS WHICH IS A CONDITION THAT WILL BE SELF LIMITING +MSK0015-097-4 AND CAN USE ANTI INFLAMMATORIES TO HELP WITH THE PAIN SUCH AS IBUPROFEN BUT ALSO SOMETHING THAT WOULD BE +MSK0015-097-5 IMPORTANT TO RULE OUT WOULD BE IS SEPTIC ARTHRITIS BECAUSE IT COULD COULD LEAD TO DAMAGE OF THE JOINT BUT THIS WILL BE +MSK0015-097-6 LOWER ON THE DIFFERENTIAL AND THEN FINALLY SOMETHING TO CONSIDER IS LEGG CALVE PERTHES DISEASE AND +MSK0015-097-7 BUT THIS WOULD BE MORE OF PROGRESSIVE ONSET BUT IF SHE'S NOT GETTING ANY BETTER AND OR IF SHE BECOMES MORE SICK LIKE DEVELOPS A REALLY HIGH FEVER OR A RED HOT SWOLLEN JOINT +MSK0015-097-8 THEN WE'D BE THINKING MORE ALONG THE LINES OF SEPTIC ARTHRITIS AND +MSK0015-098 WE WANT TO REASSESS OK SOUNDS GOOD THANK YOU SO MUCH +MSK0016-000 WHAT BRINGS YOU IN +MSK0016-001 I'VE I'VE BEEN HAVING THIS NUMBNESS AND TINGLING AND I GUESS KIND OF BURNING SENSATION THAT WELL IT'S BEEN HAPPENING +MSK0016-002 MORE OFTEN IN MY LEFT HAND ON YOUR LEFT HAND OK AND SORRY WHEN +MSK0016-003 DID YOU SAY THIS STARTED IT'S BEEN GOING ON FOR PROBABLY +MSK0016-005 FOUR OR FIVE MONTHS OK IT FIRST IT WOULD ONLY BUG ME FOR A COUPLE OF MINUTES AT A TIME AND I COULD KIND OF SHAKE MY HAND OUT LIKE FLICK LIKE FLICK MY WRIST AND AND IT WOULD GO AWAY AFTER A FEW MINUTES BUT NOW I'M STARTING TO GET +MSK0016-006 LIKE SYMPTOMS AT NIGHT SOMETIMES AS WELL OK SO +MSK0016-007 IT'S GOTTEN WORSE +MSK0016-008 THEN YOU SAID OVER THE PAST FEW WEEKS IT HAS OK AND IS IT ALWAYS THERE +MSK0016-009 IS IT PERSISTENT OR DOES +MSK0016-010 IT COME AND GO IT COMES AND GOES +MSK0016-011-1 OK AND WHAT MAKES IT BETTER OR WORSE +MSK0016-011-2 BETTER I'VE TRIED SOME ADVIL AND TYLENOL AND IT'S KIND OF THE HASN'T DONE MUCH FOR THE PAIN REALLY +MSK0016-011-3 I THINK ONLY THE THING THAT KIND OF +MSK0016-012 HELPS IT IS JUST NOT USING IT AS MUCH ALRIGHT HAVE YOU TRIED ANY LIKE +MSK0016-014 COLD COMPRESSES TOPICAL CREAMS ANYTHING LIKE THAT NO OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF HOW IT FEELS LIKE DOES IT DOES IT IS IT PAINFUL IS IT TENDER OR +MSK0016-015 IS IT JUST NUMB AND TINGLING KIND OF LIKE WHEN YOUR FOOT GOES TO SLEEP I GUESS I HAVE IT IS A BIT +MSK0016-016 PAINFUL AS WELL I HAVE LIKE A BURNING KIND OF PAIN OK AND ONE TO TEN +MSK0016-017 TEN BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN WHEN IT GETS TO ITS WORST +MSK0016-018 I WOULD SAY ABOUT A SIX OK OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE OR IS THIS KIND OF LIKE THE FIRST TIME YOU'RE EXPERIENCING THIS +MSK0016-019 THIS IS THE FIRST REALLY LIKE OVER THESE LAST THREE MONTHS THE FIRST TIME I'VE BEEN EXPERIENCING IT I THINK THE FIRST TIME THAT IT STARTED IT STARTED TO WAKE ME UP AT NIGHT THOUGH HAS BEEN LIKE ABOUT A COUPLE OF WEEKS AGO +MSK0016-020 OH I SEE OK ALRIGHT AND DO YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE OVER THE PAST FEW WEEKS OR IS IT KIND OF THE SAME +MSK0016-021 OVER THESE PAST COUPLE OF WEEKS ABOUT THE SAME IT'S WOKEN ME UP LIKE TWO OR THREE TIMES AT NIGHT +MSK0016-022 OK ALRIGHT AND DO YOU HAVE ANY NUMBNESS OR TINGLING ELSEWHERE ON YOUR BODY +MSK0016-023 NO IT'S JUST JUST KIND OF THE THE OUTSIDE OF MY HAND HERE IT'S REALLY ONLY THE FIRST LIKE THREE FINGERS +MSK0016-024 OK FIRST THREE FINGERS SO YOUR THUMB INDEX FINGER AND MIDDLE FINGER OR +MSK0016-025 YOUR PINKY TO MIDDLE FINGER IT'S JUST THE +MSK0016-027 INDEX FINGER AND RING FINGER AND RING FINGER OK AND MAYBE JUST LIKE A LITTLE BIT OF THE LIKE OF THE RING FINGER +MSK0016-028 TOO BUT NOT ALL OF IT OK ALRIGHT SO ANY WEAKNESS IN YOUR ARMS +MSK0016-029-1 OR DO YOU FEEL LIKE YOU CAN STILL USE YOUR ARMS +MSK0016-029-2 YEAH I HAVEN'T HAD ANY ANY MUSCLE WEAKNESS I GUESS I MAY BE A BIT MORE CLUMSY WITH WITH MY LEFT HAND LIKE I'VE DROPPED A FEW THINGS I'VE HAD IT +MSK0016-029-3 A LITTLE BIT MORE DIFFICULT TIME LIKE OPENING JARS +MSK0016-030 OR LIKE CAR DOORS AND STUFF LIKE THAT +MSK0016-034 OK AND ANY CONFUSION OR MEMORY LOSS +MSK0016-044 NO I HAVEN'T HAD A COUGH OK WHEEZING OR SHORTNESS OF BREATH +MSK0016-045 NOPE NEITHER OF THOSE +MSK0016-046 OK CHEST PAIN OR HEART PALPITATIONS +MSK0016-047 NOPE I HAVEN'T HAD THAT +MSK0016-048 OK HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS +MSK0016-049 NOPE I HAVEN'T HAD ANY DIARRHEA AND NO NO CONSTIPATION AND NO BLOOD EITHER +MSK0016-050 OK GOOD ANY NAUSEA OR VOMITING +MSK0016-051 NO I HAVEN'T HAD ANY OF THAT +MSK0016-052 OK ANY CHANGES IN YOUR VOIDING +MSK0016-053 NO I I HAVEN'T HAD ANY PROBLEMS WITH URINATION +MSK0016-054 OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +MSK0016-055 I HAVE HYPOTHYROIDISM SO I TAKE LIKE THYROXINE FOR THAT AND I +MSK0016-056 AM OVERWEIGHT AS WELL OR IN OBESITY CLASS +MSK0016-057 ONE I THINK OK AND DO YOU TAKE ANY MEDICATIONS FOR THE HYPOTHYROID I DO +MSK0016-058 I TAKE I TAKE SYNTHROID I THINK OK ALRIGHT AND +MSK0016-059 ARE YOU ON ANY WEIGHT LOSS MEDICATIONS NO I'VE JUST BEEN TRYING TO CHANGE DIET AROUND WHEN I CAN AND AND TRYING TO EXERCISE A BIT MORE BUT IT'S BEEN +MSK0016-060 IT'S BEEN TOUGH ESPECIALLY NOW WITH MY WRIST OR MY HAND BUGGING ME FOR SURE +MSK0016-061 ALRIGHT AND THEN ARE YOU UP +MSK0016-062 TO DATE WITH YOUR IMMUNIZATIONS I AM AND I GET THE FLU SHOT EVERY YEAR OK THAT'S +MSK0016-063 AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES +MSK0016-064 IN THE PAST +MSK0016-065 I I NO I HAVEN'T HAD ANYTHING +MSK0016-066 LIKE THAT NO OK ANY ALLERGIES NO ALLERGIES OK FAMILY HISTORY +MSK0016-067 OF LUNG OR HEART CONDITIONS MY GRANDFATHER HAD A STROKE WHEN HE WAS IN HIS SEVENTIES +MSK0016-068 AND MY DAD HAS HIGH CHOLESTEROL HAVE YOU BEEN WORKED UP FOR ALL OF THAT +MSK0016-069 LIKE HIGH BLOOD PRESSURE DIABETES CHOLESTEROL I THINK MY FAMILY DOCTOR CHECKED A FEW YEARS AGO BUT I'VE BEEN HEALTHY BESIDES THIS THIS THIS PAIN SO +MSK0016-070 MAYBE THAT MAYBE THAT COULD BE INVESTIGATED AS WELL OK ANY NEURAL +MSK0016-071 NEUROLOGICAL OR MUSCULOSKELETAL ISSUES IN THE FAMILY +MSK0016-072 I THINK OSTEOARTHRITIS +MSK0016-073 A FEW FEW PEOPLE HAVE THAT +MSK0016-074 OK HOW ABOUT AUTOIMMUNE +MSK0016-076 NO I THINK I'M THE ONLY ONE +MSK0016-077 THYROID OK HOW ABOUT CANCERS +MSK0016-078 NO CANCER NO CANCERS OK ALRIGHT AND +MSK0016-079 THEN DO YOU SMOKE I DO I SMOKE ABOUT FIVE TO TEN CIGARETTES PER DAY OK AND FOR HOW LONG +MSK0016-087 ANYTHING LIKE THAT OK HOW ABOUT ALCOHOL DO YOU DRINK I'LL HAVE WINE EVERY ONCE IN AWHILE ON THE WEEKENDS MAYBE MAYBE A DRINK PER WEEK SOMETHING LIKE THAT +MSK0016-088 OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +MSK0016-089 NO I DON'T BELIEVE SO +MSK0016-090 OK HOW ABOUT TRAVEL +MSK0016-091 NO I'VE BEEN I'VE BEEN AT HOME AND AND JUST GOING TO WORK +MSK0016-092 OK AND AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH +MSK0016-093 SO I LIVE WITH MY HUSBAND AND OUR TWO DAUGHTERS AND WE LIVE AND WE LIVE IN A HOUSE +MSK0016-094 OK ANY CONCERNS FOR STI'S +MSK0016-095 NO I'M JUST I'VE BEEN MONOGAMOUS WITH MY PARTNER NOW FOR OVER TEN YEARS AND NO CONCERNS FOR AN STI AT THIS TIME +MSK0016-096-1 OK ALRIGHT GOOD SO NOW WE'RE JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW +MSK0016-096-2 SO I'M GOING TO GET YOU TO LOOK AT BOTH YOUR ARMS HANDS AND WRISTS SIDE BY SIDE +MSK0016-096-3 DOES YOUR LEFT ONE SEEM AT ALL MORE RED SWOLLEN OR HOT +MSK0016-097 NO NO SYMPTOMS LIKE THAT +MSK0016-098 NO OK AND DO YOU DOES THAT ONE SEEM TO BE MORE ATROPHIED OR ARE THERE ANY DEFORMITIES OR SKIN CHANGES ON THAT ONE +MSK0016-099 MAYBE A LITTLE LESS MUSCLE BULK ON THE LIKE WHERE MY THUMB IS +MSK0016-100-1 OK OK AND THEN I'M GONNA GET YOU TO PALPATE CERTAIN AREAS OF THAT ARM SO LET'S START AT THE TOP WHEN YOU +MSK0016-100-2 WHEN YOU PRESS DOWN ON YOUR SHOULDER BLADES OR JUST AT THE VERY TOP OF YOUR ARM WHERE YOUR OR AT THE VERY TOP WHERE YOUR ARM CONNECTS TO YOUR SHOULDER DOES IT HURT OVER THERE +MSK0016-101 NO NO PAIN THERE +MSK0016-102 OK SO NO PAIN ON THE ACROMION PROCESS OR THE SCAPULA ANY PAIN WHERE YOUR BICEPS ARE +MSK0016-103 NO +MSK0016-104 NO OK HOW ABOUT AT YOUR ELBOWS +MSK0016-105 NO PAIN AT THE ELBOWS AND FULL I CAN MOVE MY ELBOWS AND SHOULDERS NO PROBLEM EITHER AND MY NECK DOESN'T HURT AT ALL EITHER I CAN MOVE MY NECK AROUND +MSK0016-106 HOW ABOUT WHEN YOU PALPATE YOUR WRISTS BOTH SIDES MEDIAL AND LATERAL +MSK0016-107 NO NO PAIN IF I'M JUST +MSK0016-108 PRESSING OR PALPATING THE WRIST OK AND I'M GOING TO GET YOU TO STRAIGHTEN OUT YOUR ARM AND FLEX AT YOUR SHOULDER +MSK0016-110 AND EXTEND AT YOUR SHOULDER DOES THAT HURT NO HOW ABOUT WHEN YOU FLEX YOUR ELBOW AND EXTEND YOUR ELBOW +MSK0016-111 NO +MSK0016-112 HOW ABOUT WHEN YOU FLEX YOUR WRIST AND EXTEND YOUR WRIST +MSK0016-113 NO +MSK0016-114-1 OK SO I'M GOING TO DO A SPECIAL TEST FOR SOMETHING CALLED CARPAL TUNNEL SYNDROME SO I'M GONNA GET YOU TO STRAIGHTEN OUT YOUR LEFT ARM AGAIN +MSK0016-114-2 AND RIGHT WHERE ALRIGHT HOW DO WE DO THIS OK SO WITH YOUR RIGHT HAND OR WITH YOUR WITH YOUR RIGHT INDEX FINGER AND MIDDLE FINGER YOU'RE GOING TO TAP +MSK0016-114-3 JUST BELOW WHERE THE BULK OF YOUR THUMB MUSCLES ARE CONNECTING TO YOUR WRIST I'M JUST GOING TO GET YOU TO TAP THAT AREA +MSK0016-114-4 DO YOU FEEL TINGLING LIKE AN ELECTRIC SHOCK SENSATION IN YOUR HAND OR ANYTHING LIKE THAT +MSK0016-115 I DO +MSK0016-116-1 YEAH YOU DO OK SO THAT'S A POSITIVE TINEL'S SIGN AND THEN WE'RE GOING TO DO ONE MORE TEST SO +MSK0016-116-2 I'M GOING TO OK SO MAKE LIKE A PRAYER MOTION WITH YOUR HANDS LIKE PUTTING YOUR TWO PALMS TOGETHER +MSK0016-116-3 AND THEN AND THEN INSTEAD INVERT YOUR HAND SO THAT THE OUTER PARTS ARE TOUCHING AND YOUR FINGERS ARE POINTING TOWARDS THE GROUND +MSK0016-117 OK +MSK0016-118-1 SO KIND OF LIKE UPSIDE DOWN BUT WITH YOUR OUTER PARTS OF YOUR HANDS TOUCHING AND THEN I'M GOING TO GET YOU TO JUST HOLD YOUR ARMS LIKE THAT +MSK0016-118-2 FOR ABOUT SIXTY SECONDS DO YOU FEEL ANY TINGLING NUMBNESS OR PAIN IN THOSE FINGERS +MSK0016-119 I GET A BIT OF NUMBNESS AND TINGLING WHEN WHEN I DO THAT +MSK0016-120 OK SO THAT'S A POSITIVE PHALEN'S SIGN TEST ALRIGHT SO THAT BRINGS ME TO THE END OF THIS INTERVIEW DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING THAT YOU WANTED TO BRING UP +MSK0016-121 JUST WONDERING ABOUT WHAT THIS COULD BE +MSK0016-122-1 OH YEAH SO IT SEEMS LIKE YOU HAVE SOMETHING CALLED CARPAL TUNNEL SYNDROME AND THAT IS IT'S PRETTY COMMON +MSK0016-122-10 AND IF THAT DOESN'T WORK THEN WE CAN ALSO DISCUSS SURGERY SOMETIME DOWN THE LINE DOES THAT SOUND OK +MSK0016-122-2 SO IT CAN BE CAUSED BY A LOT OF THINGS BUT BASICALLY YOUR MEDIAN NERVE RUNS THROUGH YOUR FOREARM INTO YOUR WRIST +MSK0016-122-3 AND ANYTHING THAT SQUEEZES OR IRRITATES THAT MEDIAN NERVE CAN LEAD TO CARPAL TUNNEL SYNDROME AND SOME THINGS INCLUDE LIKE REPETITIVE MOVEMENTS AT WORK OBESITY +MSK0016-122-4 ANY NERVE DAMAGING CONDITIONS LIKE DIABETES INFLAMMATORY CONDITIONS BUT MOSTLY JUST LIKE WORKPLACE FACTORS CAN +MSK0016-122-5 CAN DO IT ESPECIALLY IF YOU'RE WORKING WITH LIKE VIBRATING TOOLS OR ON AN ASSEMBLY LINE THAT REQUIRES LIKE REPETITIVE AND PROLONGED FLEXING OF THE WRIST +MSK0016-122-6 SO DIAGNOSIS WE JUST DO THAT THROUGH LIKE SYMPTOMS PHYSICAL EXAM WE DON'T REALLY NEED TO DO ANY IMAGING AT THIS AT THIS POINT +MSK0016-122-7 AND TO TREAT IT BASICALLY WORK MODIFICATION SO TAKING FREQUENT BREAKS NOT DOING THOSE REPETITIVE MOVEMENTS AS OFTEN AND THEN YOU CAN DO THINGS AT HOME LIKE APPLY COLD PACKS +MSK0016-122-8 AND THEN WE ALSO HAVE SOME LIKE NON SURGICAL TREATMENTS WHERE WE CAN SPLINT WE CAN PUT LIKE A WRIST SPLINT +MSK0016-122-9 WHILE YOU SLEEP TO RELIEVE THOSE NIGHTTIME SYMPTOMS YOU CAN TAKE SOME NSAIDS TO RELIEVE PAIN AND IF THOSE DON'T WORK WE CAN TRY CORTICOSTEROIDS +MSK0016-123 IT DOES THANK YOU +MSK0017-000 WHAT BRINGS YOU IN +MSK0017-001 HI SO I'VE HAD THIS BACK PAIN THAT'S BEEN GOING ON NOW FOR THE LAST TWO WEEKS IT'S JUST KIND OF RIGHT IN THE LOWER BACK AND IT JUST HASN'T GONE AWAY +MSK0017-002 OK LAST TWO WEEKS YOU SAID IS IT GETTING WORSE +MSK0017-003 NO IT'S NOT REALLY GETTING ANY WORSE IT'S JUST BEEN +MSK0017-004 LIMITING MY ABILITIES AT WORK +MSK0017-005 RIGHT OK AND WHAT DO YOU DO FOR WORK SO I WORK +MSK0017-007 AT A BUTCHER SHOP OK AND WE'RE LIKE ALWAYS LIKE CARRYING HEAVY THINGS AND +MSK0017-008 IT'S A LOT A LOT OF LIKE LIFTING AND STANDING OK DID ANYTHING TRIGGER THIS BACK PAIN TWO WEEKS AGO DID YOU HAVE SOME SORT OF INJURY +MSK0017-009-1 OR TRAUMA TO THE AREA +MSK0017-009-2 NO I CAN'T THINK OF ANYTHING LIKE SPECIFIC THAT HAPPENED BUT THERE WAS ONE NIGHT WHERE +MSK0017-009-3 LIKE AFTER WORK I WAS SITTING DOWN AFTER DINNER AND I GOT PRETTY STIFF THAT NIGHT IT WAS PRETTY SORE AND KIND OF EVER SINCE +MSK0017-010 SINCE THEN IT'S BEEN BEEN SORE OK OK AND IS THIS A PERSISTENT KIND OF BACK PAIN OR DOES IT COME AND GO +MSK0017-011 IT'S I CAN KIND OF ALWAYS FEEL IT BUT IT CERTAINLY GETS WORSE IF I AM MOVING SO IF I'M JUST KIND OF SITTING AT REST I DON'T REALLY I DON'T REALLY FEEL IT THAT MUCH +MSK0017-012 OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY IT'S SHARP THROBBING ACHY +MSK0017-013 CRAMPY I'D SAY I GET KIND OF IT'S A A +MSK0017-014 SHARP PAIN SHARP PAIN OK DOES ANYTHING MAKE IT BETTER OR WORSE +MSK0017-015 BETTER WOULD JUST BE +MSK0017-016 RESTING +MSK0017-017-1 OK KIND OF JUST LYING DOWN OR JUST JUST TRYING TO REST BUT MAKING IT WORSE IF I'M LIKE +MSK0017-017-2 REALLY ANY MOVEMENT IF I'M LIKE BENDING FORWARD OR KIND OF LIKE LEANING TO THE SIDE I START TO GET GET SOME +MSK0017-018 PAIN IN THE LOWER BACK OK OK AND THEN ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW BAD OR HOW SEVERE WOULD YOU RATE IT +MSK0017-019 I WOULD SAY SEVEN +MSK0017-020 A SEVEN OK AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST +MSK0017-021 I'VE I'VE HURT MY LOWER BACK BEFORE LIKE MANY YEARS AGO +MSK0017-022 BUT IT'S BEEN OK SINCE THEN OK DID YOU GET +MSK0017-023 ANY SORT OF TREATMENT OR MANAGEMENT FOR THAT PAIN BACK IN THE DAY AT THAT TIME IT WAS JUST REST AND LIKE DID SOME +MSK0017-024 STRETCHING AND I TOOK SOME ANTI INFLAMMATORIES AND IT WENT AWAY AFTER +MSK0017-025 A COUPLE OF MONTHS OK +MSK0017-026 OK AND ARE YOU +MSK0018-000 WHAT BRINGS YOU IN +MSK0018-001-1 I JUST CAME IN BECAUSE OF I JUST GOT INTO LIKE THIS INCIDENT WHILE I WAS PLAYING RUGBY I +MSK0018-001-2 KIND OF GOT TACKLED AND THEN FELL ONTO MY RIGHT SHOULDER AND AFTER I GOT UP I HAVEN'T I'VE JUST BEEN THIS JUST HAPPENED A COUPLE HOURS AGO ACTUALLY AND +MSK0018-001-3 I'VE JUST BEEN IN INTENSE PAIN IN MY RIGHT SHOULDER AND I CAN'T SEEM TO MOVE IT AT ALL +MSK0018-002 OKAY AND SORRY WHEN WAS THIS EXACTLY +MSK0018-003 PROBABLY TWO HOURS AGO +MSK0018-004 TWO HOURS AGO OKAY AND IS THIS PAIN PERSISTENT OR IS IT LIKE ON AND OFF +MSK0018-005 IT'S IT'S CONSTANT IT HASN'T GONE AWAY AT ALL +MSK0018-006 OKAY ONE TO TEN TEN BEING THE WORST HOW BAD IS THIS PAIN +MSK0018-007 I DON'T KNOW LIKE PROBABLY LIKE EIGHT OR EIGHT OR NINE +MSK0018-008 EIGHT OR NINE OKAY AND IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHING +MSK0018-009 IT'S IT'S SHARP LIKE IF I TRY TO MOVE IT AT ALL IT'S LIKE A SHARP PAIN +MSK0018-010 OKAY AND HAVE YOU EVER HAD ANYTHING LIKE THIS IN THE PAST +MSK0018-011 NO NEVER +MSK0018-012 NEVER OKAY AND ARE YOU ABLE TO MOVE YOUR ARM AT ALL OR YOU CAN'T MOVE IT +MSK0018-013 I COULD MOVE MY FINGERS AND HAND AND ELBOW BUT ELBOW A LITTLE BIT BUT LIKE I CAN'T MOVE MY SHOULDER WHATSOEVER +MSK0018-014 OKAY AND DO YOU ARE YOU EXPERIENCING ANY TINGLING OR NUMBNESS +MSK0018-016 NO I DON'T THINK SO NO OKAY HOW ABOUT ANY +MSK0018-017 MUSCLE WEAKNESS IN THAT AREA I DON'T KNOW IF IT'S WEAKNESS OR PAIN BUT I JUST CAN'T MOVE IT UP AND I I I DO FEEL SOME LIKE NUMBNESS JUST ABOVE MY SHOULDER NO TINGLING THOUGH +MSK0018-018 OKAY ANY PAIN ELSEWHERE IN YOUR BODY +MSK0018-019 NO +MSK0018-020 NO OKAY ANY HEADACHES +MSK0018-022 NO CONFUSION OR MEMORY LOSS +MSK0018-023 NO +MSK0018-024 WEIGHT LOSS +MSK0018-026 NO FEVERS OR CHILLS +MSK0018-027 NO +MSK0018-028 RASHES +MSK0018-029 NO +MSK0018-030 CHANGES IN YOUR VISION HEARING SMELL OR TASTE +MSK0018-032 NO COUGHING SHORTNESS OF BREATH OR WHEEZING +MSK0018-033 NO +MSK0018-034 CHEST PAIN OR HEART PALPITATIONS +MSK0018-036 CHANGES IN YOUR BOWEL MOVEMENTS +MSK0018-038 CHANGES IN VOIDING +MSK0018-039 NO +MSK0018-040 OKAY AND THEN WITH REGARDS TO THIS PAIN DOES ANYTHING MAKE IT BETTER OR WORSE +MSK0018-041 NOT ANYTHING THAT I'VE TRIED THAT'S MADE IT BETTER WORSE IS PROBABLY JUST IF I TRY TO MOVE IT AT ALL +MSK0018-042 OKAY AND THE PAINS IN YOUR SHOULDER DOES IT RADIATE DOWN OR UP ELSEWHERE +MSK0018-043 MOSTLY TOWARDS MY SHOULDER KIND OF DOWN TOWARDS MY UPPER ARM AS WELL +MSK0018-044 OKAY I SEE ALRIGHT AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS +MSK0018-045 NO OTHERWISE I'M HEALTHY I'VE NEVER BEEN TO THE DOCTOR MUCH +MSK0018-046 OKAY ALRIGHT AND ARE YOU ON ANY MEDICATIONS +MSK0018-047 NO +MSK0018-048 NO OKAY AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +MSK0018-049 YES +MSK0018-050 OKAY AND DO YOU HAVE ANY ALLERGIES +MSK0018-052 NO ANY FAMILY HISTORY OF MUSCULOSKELETAL DISEASES +MSK0018-053 NO NOT THAT I KNOW OF +MSK0018-054 OKAY AND ANY FAMILY HISTORY OF AUTOIMMUNE CONDITIONS +MSK0018-056 NO OKAY DO YOU SMOKE AT ALL +MSK0018-057 NO +MSK0018-058 NO DO YOU CONSUME MARIJUANA +MSK0018-059 NO +MSK0018-060 DO YOU DRINK ALCOHOL +MSK0018-061 NO JUST JUST WITH FRIENDS SOMETIMES ON THE WEEKENDS BUT NOT REALLY +MSK0018-062 OKAY AND THEN WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH +MSK0018-063 I LIVE JUST OUTSIDE OF TOWN WITH MY PARENTS IN A HOUSE +MSK0018-064 OKAY AND HAVE YOU TRAVELED ANYWHERE RECENTLY +MSK0018-065 NO I'VE BEEN AT HOME +MSK0018-066 OKAY ANY SICK CONTACTS +MSK0018-067 NO +MSK0018-068 NO OKAY SO NOW WE'RE JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART OF THIS SO CAN YOU TAKE A LOOK AT BOTH YOUR SHOULDERS AND LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING +MSK0018-069 I DON'T THINK I SEE ANY REDNESS OR SWELLING BUT MY RIGHT SHOULDER AND MY ARM JUST SEEMS A LITTLE BIT LOWER THAN MY LEFT ONE +MSK0018-070 OKAY OKAY ANY WARMTH ON ON THAT SHOULDER +MSK0018-071 NO NOT THAT I CAN FEEL +MSK0018-072 OKAY ANY ATROPHY DEFORMITIES OR SKIN CHANGES +MSK0018-073 DEFORMITY I I DO FEEL LIKE KIND OF LIKE MY SHOULDER'S DROPPED AND LIKE THERE'S JUST KIND OF THIS LITTLE LIKE DIVOTS WHERE LIKE THE SHOULDER SHOULD BE +MSK0018-074 OKAY OKAY AND CAN YOU PALPATE THAT AREA FOR ME JUST THE BONES IN THAT AREA SO LIKE RIGHT WHERE YOUR ARM WOULD CONNECT TO YOUR SHOULDER AND THEN KIND OF ON YOUR SHOULDER BLADE DOES THAT HURT WHEN YOU PRESS DOWN +MSK0018-075 IT HURTS A LOT +MSK0018-076 OKAY SO SOME TENDERNESS AND PAIN IN THE ACROMION PROCESS AND SCAPULA AND IF YOU PRESS DOWN ON YOUR BICEPS TRICEPS DOES THAT HURT +MSK0018-077 NOT AS MUCH NO +MSK0018-078 NO OKAY AND THEN CAN I GET YOU TO CAN YOU LIFT YOUR SHOULDER UP AT ALL LIKE TO WHERE TO THE POINT WHERE YOUR FINGERS ARE TOUCH LIKE REACHING THE CEILING +MSK0018-079 NO I I CAN'T I CAN'T MOVE IT AT ALL +MSK0018-080-1 ALRIGHT SO IT SOUNDS LIKE YOU HAVE A SHOULDER DISLOCATION SO WE ARE GOING TO DO AN X RAY OF YOUR SHOULDER JOINT FIRST TO +MSK0018-080-2 MAKE SURE THAT IT'S IT'S JUST A DISLOCATION AND THERE AREN'T ANY BROKEN BONES OR FRACTURES AND THEN +MSK0018-080-3 WE CAN RESOLVE THIS BY DOING SOMETHING CALLED A CLOSED REDUCTION TO TRY TO PUT THE JOINT BACK IN ITS PLACE +MSK0018-081 OKAY +MSK0018-082-1 AND IF THAT CLOSED REDUCTION DOESN'T WORK THEN YOU MAY NEED SURGERY FOR LIKE A A WEAK SHOULDER JOINT OR IF LIKE LIGAMENTS +MSK0018-082-2 AREN'T LIKE STRONG ENOUGH AND IT'S IT CONTINUES TO HAPPEN +MSK0018-083 OKAY +MSK0018-084-1 OTHERWISE WE CAN KEEP IT IMMOBILIZED FOR A FEW DAYS TO A FEW WEEKS DEPENDING ON HOW BAD THE DISLOCATION IS +MSK0018-084-2 AND THEN ONCE THAT'S REMOVED YOU CAN DO SOME REHAB AS WELL TO RESTORE SOME RANGE OF MOTION DOES THAT SOUND LIKE A GOOD PLAN DO YOU HAVE ANY QUESTIONS OR CONCERNS IN THE MEANTIME +MSK0018-085 NO I THINK THAT'S THAT'S GREAT +MSK0018-086 OKAY +MSK0019-000 WHAT BRINGS YOU IN +MSK0019-001-1 I'VE JUST BEEN HAVING THIS PAIN IN MY RIGHT RIGHT ELBOW AND IT'S JUST BEEN GETTING WORSE OVER THE LAST FEW DAYS I STARTED HAVING IT AROUND THREE DAYS AGO +MSK0019-001-2 AND IT'S JUST BEEN GETTING WORSE WITH ANY KIND OF GRIPPING MOTION OR SO IT'S IT'S BEEN GETTING WORSE +MSK0019-002 OKAY SO YOU SAID IT STARTED THREE DAYS AGO HAS IT BEEN PERSISTENT SINCE OR HAS IT BEEN LIKE ON AND OFF +MSK0019-003 IT'S BEEN PRETTY PERSISTENT BUT IT'S MAINLY WHEN I'M DOING SOME ACTIVITIES OR LIFTING ANYTHING AND YES I'VE JUST BEEN TRYING TO REST IT MOSTLY +MSK0019-004 OKAY OKAY THAT'S GOOD AND YOU SAID IT'S WORSE WITH ACTIVITY AND BETTER WITH REST HAVE YOU TRIED ANYTHING ELSE FOR IT +MSK0019-005 I'VE TRIED SOME ADVIL IT IT SEEMED TO HELP A LITTLE BIT BUT IT JUST COMES BACK +MSK0019-006 OKAY AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY IT'S SHARP BURNING THROBBING ACHY +MSK0019-007 IT'S MORE LIKE IF I DON'T EXTEND MY WRIST IT'S KIND OF LIKE ACHY BUT THEN IF I EXTEND MY WRIST I FEEL LIKE A SHARP PAIN AT ON THE JUST ON THE OUTSIDE OF MY ELBOW +MSK0019-008 OKAY ALRIGHT ALRIGHT AND THEN IN TERMS OF SEVERITY ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW BAD IS THE PAIN +MSK0019-009 PROBABLY LIKE A SIX OR SEVEN +MSK0019-010 OKAY ALRIGHT AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE +MSK0019-011 NO I I I'VE NEVER EXPERIENCED ANY KIND OF PAIN THERE AT LEAST +MSK0019-012 OKAY HOW ABOUT IN TERMS OF LIKE TIMELINE IS IT GETTING WORSE +MSK0019-013-1 JUST OVER THE PAST THREE DAYS I FEEL LIKE IT'S I HAVE TRIED NOT TO USE IT THAT MUCH LIKE WHEN I WAS AT WORK I HAVE TO USE LIKE TOOLS A LOT +MSK0019-013-2 AND I NOTICED THAT WHEN I WAS USING A SCREWDRIVER LIKE IT IT HURT A LOT SO IT HASN'T BEEN GETTING WORSE BUT IF I TRY TO DO ANYTHING AT WORK IT DEFINITELY HURTS A LOT MORE +MSK0019-014 OKAY ALRIGHT AND THEN HAVE YOU NOTICED ANY NUMBNESS OR TINGLING +MSK0019-015 NO NO NOTHING LIKE THAT +MSK0019-016 NO OKAY HOW ABOUT PAIN ELSEWHERE ON YOUR BODY +MSK0019-017 SORRY WHAT WAS THAT +MSK0019-018 PAIN ELSEWHERE ON YOUR BODY +MSK0019-019 OH NO NO PAIN ELSEWHERE +MSK0019-020 OKAY AND HAVE YOU NOTICED ANY MUSCLE WEAKNESS +MSK0019-021 NO +MSK0019-022 NO ANY HEADACHES +MSK0019-023 NO +MSK0019-024 DIZZINESS +MSK0019-025 NO +MSK0019-026 WEIGHT LOSS +MSK0019-027 NO +MSK0019-028 FEVERS OR CHILLS +MSK0019-029 NO +MSK0019-030 RASHES +MSK0019-031 NO +MSK0019-032 CHANGES IN YOUR VISION HEARING SMELL OR TASTE +MSK0019-033 NO +MSK0019-034 COUGHING SHORTNESS OF BREATH OR WHEEZING +MSK0019-035 NO +MSK0019-036 CHEST PAIN OR HEART PALPITATIONS +MSK0019-037 NO +MSK0019-038 CHANGES IN YOUR BOWEL MOVEMENTS +MSK0019-039 NO +MSK0019-040 NAUSEA OR VOMITING +MSK0019-041 NO +MSK0019-042 CHANGES IN YOUR VOIDING +MSK0019-043 NO +MSK0019-044 OKAY AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +MSK0019-045 NO I'VE BEEN HEALTHY NO OTHER ISSUES IN MY LIFE +MSK0019-046 OKAY THAT'S GOOD HOW ABOUT MEDICATIONS ARE YOU ON ANY +MSK0019-047 NO NO MEDICATIONS I'VE JUST BEEN TAKING SOME ADVIL FOR THIS PAIN +MSK0019-048 OKAY I SEE AND HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE +MSK0019-049 DO YOU HAVE ANY ALLERGIES +MSK0019-050 NO +MSK0019-051 FAMILY HISTORY OF ANY MUSCULOSKELETAL ISSUES +MSK0019-052 NO JUST I GUESS MY DAD HE'S HE'S GETTING SOME KNEE PAIN AND HIP PAIN NOW STARTING NOW BUT LIKE THAT'S ABOUT IT +MSK0019-053 HOW OLD IS HE +MSK0019-054 MY DAD HE'S SIXTY +MSK0019-055 OKAY AND ANY LUNG OR HEART CONDITIONS +MSK0019-056 NO +MSK0019-057 AUTOIMMMUNE CONDITION +MSK0019-058 NOT THAT I KNOW OF +MSK0019-059 OKAY AND HOW ABOUT CANCERS +MSK0019-060 I THINK MY AUNT ON MY MOTHER'S SIDE SHE SHE HAD UTERINE CANCER +MSK0019-061 OKAY I SEE ALRIGHT ANY ALLERGIES OR SORRY YOU ANSWERED THAT DO YOU DO YOU SMOKE +MSK0019-062 NO +MSK0019-063 NO DO YOU CONSUME ANY MARIJUANA +MSK0019-064 NO +MSK0019-065 DO YOU DRINK ALCOHOL +MSK0019-066 JUST LIKE MAYBE SOME WINE ON WINE BEER EVERY COUPLE DAYS +MSK0019-067 OKAY AND WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH +MSK0019-068 I LIVE WITH MY WIFE AND FOUR YEAR OLD DAUGHTER +MSK0019-069 OKAY ANY CONCERNS FOR STIS +MSK0019-070 NO +MSK0019-071 ANY SICK CONTACTS RECENTLY +MSK0019-072 NO +MSK0019-073 HAVE YOU TRAVELED ANYWHERE RECENTLY +MSK0019-074 NO +MSK0019-075-1 OKAY WELL LET'S MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW THEN SO I'M GOING TO GET YOU TO LOOK AT BOTH YOUR +MSK0019-075-2 ARMS AND HANDS AND YOU LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING IN YOUR RIGHT ARM COMPARED TO YOUR LEFT +MSK0019-076 OKAY SO LIKE WITH MOVEMENT +MSK0019-077 NO JUST ON INSPECTION DO YOU SEE ANY REDNESS OR SWELLING +MSK0019-078 NO I DON'T REALLY SEE ANYTHING THAT'S TOO DIFFERENT NO +MSK0019-079 NO OKAY DO YOU SEE ANY DEFORMITIES ATROPHY OR SKIN CHANGES IN YOUR RIGHT COMPARED TO YOUR LEFT ARM OR HAND +MSK0019-080 NO THEY LOOK PRETTY SIMILAR TO ME +MSK0019-081 OKAY ALRIGHT AND THEN I'M GONNA GET YOU TO PRESS DOWN ON CERTAIN AREAS OF YOUR RIGHT ARM SO YOU CAN START WITH THE BACK OF YOUR ELBOW DOES THAT HURT +MSK0019-082 JUST LIKE RIGHT ON THE ELBOW IT DOESN'T HURT BUT WHEN I GO ON THE OUTSIDE PART IT DOES HURT ON THE BACK +MSK0019-083 OKAY SO LIKE THE LATERAL ASPECT OF YOUR ELBOW +MSK0019-084 IT'S LIKE SORE IF I PRESS DOWN +MSK0019-085 OKAY HOW ABOUT THE MEDIAL ASPECT OF YOUR ELBOW +MSK0019-086 SO ON THE INSIDE NOT SO MUCH MAYBE A LITTLE BIT NOT NOT THAT MUCH +MSK0019-087 OKAY HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BICEPS OR TRICEPS +MSK0019-088 NOTHING +MSK0019-089 NOTHING HOW ABOUT WHEN YOU PRESS DOWN ON YOUR LIKE FOREARM EXTENSOR MUSCLE GROUP +MSK0019-090 JUST SO JUST ON THE OUTSIDE OF MY FOREARM CLOSE TO WHERE THE ELBOW PAIN IS IF I GO DOWN A LITTLE BIT AND PRESS DOWN IT DOES DEFINITELY FEEL SORE +MSK0019-091 OKAY AND THEN HOW ABOUT WITH YOUR FOREARM FLEXOR FLEXORS +MSK0019-092 SO ON THE INSIDE NOT SO MUCH NO +MSK0019-093-1 NO OKAY AND NOW I'M GONNA GET YOU TO WALK THROUGH SOME MOVEMENTS WITH ME CAN YOU +MSK0019-093-2 GET A PIECE OF PAPER AND ACTUALLY CAN YOU GET A PENCIL AND GRIP IT AS TIGHT AS YOU CAN DO YOU FIND THAT YOU FEEL WEAK WHEN YOU DO THAT +MSK0019-094 NOT WEAK BUT IT DOES DEFINITELY LIKE WHEN I PICKED UP THE PENCIL AND MOVED MY WRIST UP IT DID IT DID CAUSE SOME SOME PAIN +MSK0019-095 OKAY ALRIGHT SO WOULD YOU MIND EXTENDING OR LIKE STRAIGHTENING OUT YOUR ELBOW ALL THE WAY AND THEN ALSO STRAIGHTENING OUT YOUR WRISTS DOES THAT HURT +MSK0019-096 STRAIGHTENING OUT NO IT DOESN'T HURT +MSK0019-097 EVEN WITH LIKE THE WRIST STRAIGHTENED OUT +MSK0019-098 IF I IF I COMPLETELY STRAIGHTEN OUT MY WRIST THEN LIKE I JUST FEEL A BIT OF SORENESS BUT NOT AS MUCH PAIN AS WHEN I AM LIFTING SOMETHING WITH MY WRIST OR JUST RAISING MY WRIST UPWARDS +MSK0019-099 OKAY OKAY HOW ABOUT WHEN YOU FLEX YOUR WRIST ALL THE WAY +MSK0019-100 THAT HURTS A LITTLE BIT BUT NOT NEARLY AS MUCH AS WHEN I EXTEND IT +MSK0019-101 OKAY OKAY THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY AND DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +MSK0019-102 I WAS JUST WONDERING WHAT THIS THIS MIGHT BE +MSK0019-103-1 SO IT SOUNDS LIKE YOU HAVE SOMETHING CALLED TENNIS ELBOW OR LATERAL EPICONDYLITIS AND IT'S USUALLY RELATED TO SOME OVERUSE INJURY SO +MSK0019-103-2 WHETHER AT WORK OR IF YOU PLAY A LOT OF TENNIS OR SOME SORT OF SPORT THAT OVERUSES A CERTAIN MUSCLE GROUP PARTICULARLY LIKE THE FOREARM EXTENSORS +MSK0019-103-3 AND SO BASICALLY FOR THIS WE SUGGEST A FEW THINGS WE'LL START WITH LIKE SOME CONSERVATIVE MANAGEMENT LIKE +MSK0019-103-4 ACTIVITY MODIFICATION SO AT WORK IF YOU'RE DOING REPETITIVE MOVEMENTS MAYBE NOT DO THEM SO MUCH AND TAKE FREQUENT BREAKS YOU CAN TRY SOME LIKE IBUPROFEN WE'LL REFER YOU TO SOME +MSK0019-103-5 PHYSIOTHERAPY TO HELP BUILD THOSE MUSCLES AROUND THAT THAT AREA AND IF THOSE STILL DO DON'T WORK WE CAN TRY SOME +MSK0019-103-6 OTHER THINGS LIKE OPERATIVE OPERATIVE MANAGEMENT BUT WE'LL WE'LL COME BACK TO THAT IN ABOUT SIX TO TWELVE MONTHS ONCE WE WE TRY ALL OF THE OTHER STUFF DOES THAT SOUND OKAY +MSK0019-104 THAT SOUNDS GOOD THANK YOU +MSK0019-105 NO WORRIES +MSK0020-000 WHAT BRINGS YOU IN +MSK0020-001-1 I'VE JUST COME IN TODAY BECAUSE I'VE BEEN HAVING SOME ISSUES WITH MY HIPS AS WELL AS MY KNEES JUST OVER THE LAST +MSK0020-001-2 PROBABLY A MONTH OR TWO I'VE BEEN JUST GETTING THIS STIFFNESS AND PAIN ESPECIALLY THROUGHOUT THE DAY AS THE DAY GOES ALONG AND I ALSO EXPERIENCE SOME STIFFNESS WHEN I WAKE UP IN THE MORNING +MSK0020-001-3 IN MY HIPS AND KNEES SO I JUST WANTED TO COME AND CHECK OUT WHAT THAT MIGHT BE +MSK0020-002 OK AND YOU SAID IT STARTED IN THE PAST MONTH +MSK0020-003 MAYBE UP TO TWO MONTHS ACTUALLY I WOULD SAY TWO MONTHS +MSK0020-004 OK AND IS THE PAIN AND STIFFNESS ALWAYS THERE OR DOES IT COME AND GO +MSK0020-005 IT'S IT COMES AND GOES IT'S WORSE IN THE SO IT'S STIFF MORE STIFF IN THE MORNING FIRST BUT LIKE AS THE DAY GOES ON PROBABLY NEAR THE AFTERNOON IT GETS WORSE SO I'VE HAD TO STOP SOME OF MY ACTIVITIES LIKE GARDENING AND BEING OUTDOORS AND THINGS LIKE THAT +MSK0020-006 OK AND YOU SAID IT'S IT GETS WORSE WITH ACTIVITY IS THERE ANYTHING ELSE THAT MAKES IT BETTER OR WORSE +MSK0020-007 IT PROBABLY IF I'M JUST EXERTING MYSELF TOO MUCH IN TERMS OF BETTER I I THINK I'VE TAKEN SOME ADVIL THAT DOES HELP WITH THE PAIN +MSK0020-008 OK OK AND THEN IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY IT'S ACHY THROBBING DULL OR SHARP +MSK0020-009 IT'S KIND OF LIKE THIS ACHY PAIN KIND OF DEEP WITHIN THE JOINTS THEMSELVES +MSK0020-010 OK +MSK0020-011 IT JUST GETS WORSE I AS I WALK MORE AND DO MORE ACTIVITIES +MSK0020-012 OK AND DOES THE PAIN RADIATE ALSO OR DOES IT OR IS IT PRETTY LOCALIZED TO YOUR HIPS AND KNEES +MSK0020-013 IT'S MAINLY IN THOSE AREAS +MSK0020-014 OK AND SEVERITY WISE ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW BAD IS THIS PAIN +MSK0020-015 PROBABLY LIKE A SEVEN +MSK0020-016 SEVEN OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE +MSK0020-017 NO NOT REALLY +MSK0020-018 AND DO YOU THINK YOUR PAIN IS GETTING WORSE +MSK0020-019 I THINK SO LIKE OVER THE LAST TWO MONTHS I FEEL LIKE MY PAIN THERE'S MORE STIFFNESS THERE'S MORE PAIN THROUGHOUT THE DAY +MSK0020-020 OK OK AND SO DO YOU ARE YOU EXPERIENCING ANY SORT OF NUMBNESS OR TINGLING IN THE AREAS +MSK0020-021 NO NOT REALLY +MSK0020-022 NO OK ANY MUSCLE WEAKNESS +MSK0020-023 NOPE +MSK0020-024 NO ARE YOU STILL ABLE TO WALK AND DO THE THINGS THAT YOU USED TO ENJOY DOING I KNOW YOU SAID GARDENING WAS HARD FOR YOU HOW ABOUT LIKE OTHER ACTIVITIES OF LIKE DAILY LIVING LIKE COOKING USING THE WASHROOM THINGS LIKE THAT +MSK0020-025 THOSE THINGS I DON'T REALLY HAVE TOO MUCH TROUBLE WITH +MSK0020-033 ABOUT JOINT PAINS OR MUSCLE ACHES ELSEWHERE NO I HAVEN'T REALLY FELT ANY OTHER +MSK0020-034 PAIN IN ANY OTHER JOINT SO +MSK0020-036 OK AND ANY WEIGHT LOSS +MSK0020-038 NO OK HOW ABOUT AND FEVERS OR CHILLS NO FEVERS OR CHILLS +MSK0020-040 FEVERS OR CHILLS OK HOW ABOUT RASHES +MSK0020-042 AND CHANGES IN YOUR VISION HEARING SMELL OR TASTE NOPE HOW ABOUT +MSK0020-044 SHORTNESS OF BREATH NOPE CHEST PAIN HEART +MSK0020-050 BOWEL MOVEMENTS NOPE CHANGES IN YOUR URINATING NO OK AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY PAST MEDICAL CONDITIONS +MSK0020-051 SO I DO HAVE A PRIOR HISTORY OF HYPERTENSION AS WELL AS HIGH CHOLESTEROL DIABETES TYPE TWO DIABETES AND ALSO +MSK0020-052 A BIT MORE ON THE OVERWEIGHT SIDE OK ARE YOU TAKING ANY MEDICATIONS FOR ALL OF THIS +MSK0020-053 SO BLOOD PRESSURE I'M TAKING THIS MEDICATION CALLED TELMISARTAN AND THEN FOR BLOOD PRESSURE I'M TAKING METFORMIN SORRY NOT BLOOD PRESSURE FOR DIABETES I'M TAKING METFORMIN +MSK0020-054 OK +MSK0020-055 AND THEN FOR THE CHOLESTEROL I'M TAKING AND THIS MEDICATION CALLED ATORVASTATIN +MSK0020-056 OK ALRIGHT AND DO YOU +MSK0020-057 HAVE ANY +MSK0020-058 ALLERGIES NO ALLERGIES NO ALLERGIES AND +MSK0020-059 HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE WITH +MSK0020-060 THEM AS FAR AS I KNOW OK THAT'S GOOD HOW ABOUT FAMILY HISTORY OF MUSCULOSKELETAL ISSUES +MSK0020-061 NOT THAT I KNOW OF NO +MSK0020-062 NO OK THEN HOW ABOUT LUNG OR HEART CONDITIONS +MSK0020-063 NO I I THINK MY FATHER MAYBE HE HAD SOME HEART ISSUES HE DID HAVE A HEART ATTACK IN HIS LET'S SEE LIKE IN THE SEVENTIES +MSK0020-064 IN HIS SEVENTIES OK OK AND THEN ALRIGHT AND HOW ABOUT AUTOIMMUNE CONDITIONS +MSK0020-065 I DON'T THINK SO I CAN'T I CAN'T RECALL ANY AUTOIMMUNE CONDITION +MSK0020-066 OK AN AND DO YOU SMOKE +MSK0020-067 I USED TO SMOKE A PROBABLY UP UNTIL WHEN I WAS LIKE SIXTY FIVE OR SOMETHING SO PROBABLY FOR FORTY YEARS OF MY LIFE +MSK0020-068 OK HOW MUCH DID YOU USED TO SMOKE +MSK0020-069 PROBABLY A PACK A DAY PACK A DAY +MSK0020-070 OK WELL CONGRATS FOR QUITTING I'M SURE THAT WASN'T HARD I MEAN SORRY I'M SURE THAT WAS HARD SO THAT'S GOOD AND HAVE YOU DO YOU CONSUME MARIJUANA +MSK0020-071 NO +MSK0020-072 GO TO OTHER RECREATIONAL DRUGS +MSK0020-073 NO NO OTHER RECREATIONAL DRUGS +MSK0020-074 OK THAT'S GOOD DO YOU DRINK ALCOHOL +MSK0020-075 NOPE NOT ANYMORE I USED TO PROBABLY DRINK SOME WINE HERE AND THERE BUT I'VE STOPPED DRINKING ALCOHOL TOO +MSK0020-076 OK AND WHO DO YOU LIVE WITH RIGHT NOW AND WHERE DO YOU LIVE +MSK0020-077 RIGHT NOW I LIVE WITH MY WIFE +MSK0020-078 AND WE LIVE IN A SMALL CONDOMINIUM OK +MSK0020-080 ALRIGHT AND THEN ANY +MSK0020-082 RECENT SICK CONTACTS NO NO OK HOW ABOUT TRAVEL ANYWHERE NO NO OK THAT'S GOOD AND NOW I'M JUST GOING TO GET YOU +MSK0020-083 TO DO THE PHYSICAL EXAM PART OF THIS INTERVIEW WITH ME IS THAT OK OK SO WE'LL TAKE A LOOK AT IF YOU CAN IF YOU HAVE A MIRROR WE'LL TAKE A LOOK AT BOTH HIPS FIRST NOTICE ANY REDNESS OR SWELLING ON THOSE HIPS +MSK0020-085 NOTICE ANY REDNESS OR SWELLING ON THOSE HIPS NO NOT REALLY +MSK0020-087 NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES NO NO OK +MSK0020-088 AND THEN HOW ABOUT ON YOUR KNEES DO YOU +MSK0020-089 ANY REDNESS OR SWELLING THERE NOT REALLY NO NO ANY ATROPHY DEFORMITY +MSK0020-092 DOES THAT HURT +MSK0020-093 NO NOT REALLY OK HOW ABOUT WHEN YOU DO THAT TO YOUR KNEES +MSK0020-094 THE KNEE I CAN FEEL A LITTLE BIT OF I WOULD SAY IT'S MORE OF A DISCOMFORT THEN TENDERNESS +MSK0020-095-1 OK SO SOME DISCOMFORT ON THE PATELLA PALPATION ALRIGHT AND THEN +MSK0020-095-2 WHEN YOU PALPATE THOSE AREAS DO YOU FEEL LIKE THERE IS A GRADING SENSATION HOW DOES IT FEEL WARM +MSK0020-096 NO +MSK0020-097 NO OK AND THEN I'M GONNA GET YOU TO CAN YOU FLEX YOUR HIPS ALL THE WAY SO BEND SO FROM A SITTING POSITION STAND UP FIRST DOES IT HURT WHEN YOU EXTEND YOUR HIPS LIKE THAT +MSK0020-098 NOT RIGHT NOW I THINK I'M PRETTY SURE MY HIPS ARE PRETTY WELL RESTED RIGHT NOW BUT THERE IS STILL A LITTLE BIT OF STIFFNESS +MSK0020-099 OK OK SO SOME STIFFNESS ON HIP EXTENSION HOW ABOUT WHEN YOU BEND YOUR HIPS ALL THE WAY +MSK0020-100 THAT'S A I CAN'T REALLY GO DOWN THAT FAR BUT EVEN BENDING AS MUCH AS I CAN THERE IS +MSK0020-101 SOME DISCOMFORT THERE OK SO SOME DISCOMFORT AND SOME PAIN ON HIP FLEXION AS WELL AS +MSK0020-102 LIMITED RANGE OF MOTION OK ALRIGHT AND WHEN YOU DO BOTH OF THOSE DO YOU HEAR ANY LIKE WHAT'S CALLED A CREPITUS OR LIKE A GRATING +MSK0020-103 SENSATION WHERE YOU FEEL LIKE +MSK0020-104 BONE MAYBE HITTING BONE NO NOT REALLY NO OK ALRIGHT AND I'M I'M GOING TO GET YOU TO EXTEND YOUR KNEE SO STRAIGHTEN IT OUT +MSK0020-105 DOES THAT HURT A LITTLE STIFFNESS IN MY KNEES I +MSK0020-106 FEEL LIKE I FEEL MORE OF THE GRATING SOUND IN MY KNEES OK OK AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES +MSK0020-107 ALL THE WAY BACKWARDS YOU CAN DO ONE AT A TIME +MSK0020-108 I I DEFINITELY FEEL SOME DISCOMFORT THERE AS WELL OK +MSK0020-109 ALRIGHT AND +MSK0020-110 HOW ABOUT WHEN YOU POINT YOUR TOES TO THE CEILING +MSK0020-112-1 THAT'S FINE I CAN DO THAT +MSK0020-112-2 AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TO THE GROUND NO ISSUES OK SO NO PAIN OR LIMITED RANGE OF MOTION WITH PLANTAR FLEXION OR DORSIFLEXION +MSK0020-112-3 OK SO THOSE WERE ALL THE TEST THAT I WANT TO DO WITH YOU TODAY DID YOU HAVE ANY QUESTIONS OR CONCERNS +MSK0020-113 NO +MSK0020-114-1 NOT REALLY +MSK0020-114-2 NO OK SO IT SOUNDS LIKE WHAT YOU MAY HAVE IS SOMETHING CALLED ARTHRITIS WHICH BASICALLY HAPPENS +MSK0020-114-3 WHEN THE CUSHIONS AT THE ENDS OF YOUR BONES AND YOUR JOINTS KIND OF DEGENERATE OVER THE YEARS AND SO BONE CAN EVENTUALLY RUB ON BONE WHICH CAUSES LIKE THE +MSK0020-114-4 THE GRADING SENSATION AND CAUSES THE PAIN AND IT'S IT HAPPENS IN OLD AGE IT HAPPENS WITH WEAR AND TEAR +MSK0020-114-5 SO TO DIAGNOSE IT WE WE'LL WE DID THE PHYSICAL EXAM WE CAN ALSO GET AN X RAY OF YOUR HIPS AND KNEES WHICH CAN HAVE SOME FINDINGS THAT ALIGN WITH OSTEOARTHRITIS +MSK0020-114-6 AND BASICALLY FOR NOW WE'LL TRY TO MANAGE IT CONSERVATIVELY SO YOU CAN TAKE AND SETS LIKE IBUPROFEN +MSK0020-114-7 FOR THE PAIN OR ACETAMINOPHEN FOR THE PAIN WE'LL ALSO REFER YOU TO PHYSIOTHERAPY TO STRENGTHEN THOSE MUSCLES AROUND YOUR JOINT AND TO INCREASE FLEXIBILITY AND REDUCE THAT PAIN AND +MSK0020-114-8 ANOTHER THING THAT MAY BE WORTH CONSIDERING IS OCCUPATIONAL THERAPY BECAUSE THEY CAN HELP YOU FIND WAYS TO DO EVERYDAY TASKS WITHOUT PUTTING TOO MUCH STRESS ON AN ALREADY PAINFUL JOINT AND IF THESE +MSK0020-114-9 THINGS DON'T WORK IN THE FUTURE WE CAN ALSO DISCUSS THINGS LIKE STEROID INJECTIONS OR JOINT REPLACEMENT DOES THAT SOUND LIKE A GOOD PLAN +MSK0020-115 THAT SOUNDS GREAT THANK YOU SO MUCH +MSK0020-116 OK NO WORRIES +MSK0021-000 I DO FOR YOU +MSK0021-001-1 HI THERE I'VE HAD THIS PAIN IN MY KNEE THAT'S BEEN GOING ON FOR A FEW WEEKS NOW AND +MSK0021-001-2 IT HASN'T GONE AWAY AND AND SO I THOUGHT I WOULD GET CHECKED OUT IT'S BEEN REALLY IMPACTING MY RUNNING I JUST HAVEN'T BEEN ABLE TO RUN AS OFTEN AS I WOULD LIKE TO AND SO THAT'S WHY I WANTED TO GET THIS LOOKED AT +MSK0021-002 FOR SURE YOU SAID IT STARTED A COUPLE OF WEEKS AGO WAS THAT TWO WEEKS AGO THREE WEEKS AGO OR MORE THAN THAT +MSK0021-003 I WOULD SAY MAYBE IT'S BEEN GOING ON FOR THE PAST FOUR WEEKS FOR THE PAST MONTH +MSK0021-004 PAST MONTH OK AND IS IT A CONSTANT TYPE OF PAIN OR DOES IT COME AND GO +MSK0021-005 IT COMES AND GOES AND IT DEPENDS ON WHAT I'M DOING +MSK0021-006 OK ALRIGHT AND WHAT KIND OF MAKES IT WORSE OR BETTER +MSK0021-007-1 SO IF I'M OUT WHILE RUNNING WHAT WILL BUG IT BUT I THINK LIKE THAT THE MAIN THINGS THAT HURT ARE IF I'M WALKING DOWN STAIRS OR +MSK0021-007-2 IF IF I'M SQUATTING I LIKE TO LIFT WEIGHTS AS WELL AND +MSK0021-007-3 I COULD BARELY EVEN DO BODY WEIGHT NOW CAUSE IF I I'M SQUATTING DOWN IT CAUSES A LOT OF PAIN IT'S A SHARP PAIN +MSK0021-008 OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR PAIN WOULD YOU SAY IT'S ACHY THROBBING DULL SHARP BURNING +MSK0021-009 IT'S A SHARP PAIN +MSK0021-010 SHARP PAIN OK AND ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER HAD HOW BAD IS THIS PAIN +MSK0021-011 IT'S ABOUT A SEVEN +MSK0021-012 SEVEN OK AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST +MSK0021-013 NO I HAVEN'T +MSK0021-014 OK AND DO YOU FEEL LIKE YOUR PAINS GETTING WORSE OVER THE PAST FOUR WEEKS +MSK0021-015 IT HAS GOTTEN HAS GOTTEN A BIT WORSE +MSK0021-016 OK ALRIGHT AND DO YOU ARE YOU EXPERIENCING ANY SORT OF MUSCLE WEAKNESS +MSK0021-017 NO MUSCLE WEAKNESS +MSK0021-018 NO OK HOW ABOUT NUMBNESS OR TINGLING +MSK0021-019 NO NUMBNESS OR TINGLING +MSK0021-020 HEADACHES +MSK0021-021 NO +MSK0021-022 CONFUSION OR MEMORY LOSS +MSK0021-023 NOPE +MSK0021-024 ANY JOINT PAINS OR MUSCLE ACHES OUTSIDE OF THE AREA OF THIS LEFT KNEE +MSK0021-025 NO JUST JUST THE LEFT KNEE +MSK0021-026 AND WHEREABOUTS ON THE LEFT KNEE IS IT +MSK0021-027 IT'S ON THE ANTERIOR ASPECT LIKE ON THE FRONT OF IT BUT I I COULD IT FEELS LIKE THE PAIN IS RIGHT BEHIND MY LIKE RIGHT UNDERNEATH THE KNEECAP +MSK0021-028 RIGHT UNDERNEATH THE KNEE OK +MSK0021-029 OK ALRIGHT AND OTHERWISE LIKE HAVE YOU HAD ANY WEIGHT LOSS +MSK0021-030 NO MY WAY IT'S BEEN THE SAME +MSK0021-031 OK HOW ABOUT FEVERS OR CHILLS +MSK0021-032 NO FEVERS OR CHILLS +MSK0021-033 OK HOW ABOUT FATIGUE +MSK0021-034 NO FATIGUE ENERGY'S BEEN GOOD +MSK0021-035 OK CHANGES IN YOUR HAIR OR NAILS LIKE RASHES +MSK0021-036 NO NOTHING NOTHING LIKE THAT +MSK0021-037 OK CHANGES IN YOUR VISION HEARING SMELL OR TASTE +MSK0021-038 NOPE THAT'S ALL BEEN NORMAL +MSK0021-039 OK ALRIGHT HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING +MSK0021-040 NO NOT NOT NOTHING LIKE THAT +MSK0021-041 OK CHEST PAIN OR HEART PALPITATIONS +MSK0021-042 NOPE NO CHEST PAIN OR OR ANYTHING LIKE THAT +MSK0021-043 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +MSK0021-044 NOPE I HAVEN'T HAD ANY DIARRHEA OR ANY BLOOD +MSK0021-045 OK ANY CHANGES IN YOUR URINATION +MSK0021-046 NO +MSK0021-047 NO OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +MSK0021-048-1 I DO HAVE ASTHMA SO I I DO TAKE A AN INHALER I HAVE A DAILY A DAILY ONE THAT I'LL USE AND THEN +MSK0021-048-2 JUST A LIKE RESCUE ONE SO LIKE THE BLUE ONE THAT I'LL USE SOMETIMES BUT I HAVEN'T NEEDED THAT ONE FOR FOR AWHILE I'VE BEEN PRETTY GOOD I DON'T EVEN NEED IT WHEN I'M GOING OR RUNS ANYMORE +MSK0021-049 OK OK THAT'S GOOD AND ARE YOU ON ANY MEDICATIONS +MSK0021-050 JUST THE JUST THE INHALERS AND THEN I TOOK BIRTH CONTROL AS WELL I'VE BEEN TAKING THAT SINCE I WAS SIXTEEN SO SO FOR LIKE SIX YEARS SEVEN YEARS +MSK0021-051 OK ALRIGHT AND ARE YOU HAVE YOU BEEN HOSPITALIZED OR HAD SURGERIES IN THE PAST +MSK0021-052 NO I HAVEN'T HAD ANY +MSK0021-053 OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE +MSK0021-054 I AM YES +MSK0021-055 OK HOW ABOUT ALLERGIES DO YOU HAVE ANY +MSK0021-056 I I DON'T NO +MSK0021-057 NO ALLERGIES OK GOOD AND ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES +MSK0021-058 NO WELL I THINK MY GRANDPARENTS HAVE LIKE OSTEOARTHRITIS OR SOMETHING LIKE THAT THEY BUT THAT'S IT +MSK0021-059 OK HOW ABOUT LONGER HEART CONDITIONS +MSK0021-060 NO NOTHING LIKE THAT +MSK0021-061 OK AND ANY AUTOIMMUNE CONDITIONS +MSK0021-062 NO I DON'T BELIEVE SO +MSK0021-063 NO OK HOW ABOUT CANCERS +MSK0021-064 NO NO CANCERS IN THE FAMILY +MSK0021-065 OK AND AND DO YOU SMOKE +MSK0021-066 NO I I TRY TO STAY AWAY FROM THAT WITH ALL THE RUNNING AND STUFF THAT I'M DOING I'M I WANT TO MAKE SURE THAT I'M ABLE TO TO IMPROVE +MSK0021-067 FOR SURE AND HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM +MSK0021-068 NO I DON'T +MSK0021-069 NO OK AND HOW ABOUT RECREATIONAL DRUGS +MSK0021-070 NO I STAY AWAY FROM THAT STUFF TOO +MSK0021-071 OK OK GOOD AND WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE RIGHT NOW +MSK0021-072 SO I LIVE WITH A COUPLE OF ROOMMATES AT SCHOOL JUST FINISHING UP MY UNDERGRADUATE DEGREE +MSK0021-073 OK OK HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +MSK0021-074 NO I DON'T I DON'T THINK SO EVERYBODY'S BEEN BEEN HEALTHY +MSK0021-075 OK OK AND TRAVEL ANYWHERE +MSK0021-076 NO WE'VE BEEN AT BEEN AT HOME +MSK0021-077-1 OK OK ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU LET'S MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW IF THAT'S OK WITH YOU SO I'M GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR KNEES +MSK0021-077-2 AND LET ME KNOW IF YOU SEE MORE REDNESS OR SWELLING IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT +MSK0021-078 NO I'M NOT NOTICING ANY SWELLING +MSK0021-079 DO YOU SEE ANY REDNESS +MSK0021-080 NO NO REDNESS +MSK0021-081 NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT KNEE +MSK0021-082 NO NOTHING LIKE THAT +MSK0021-083 NO OK I'M GONNA GET YOU TO PRESS DOWN AND PALPATE ON YOUR QUADRICEPS ON BOTH KNEE SORRY ON BOTH THIGHS DO YOU FEEL ANY PAIN THERE +MSK0021-084 NO PAIN THERE +MSK0021-085 OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR KNEE CAPS +MSK0021-086 I DO GET SOME PAIN WHEN I PUSH ON THE ON THE KNEECAP ON MY LEFT KNEE +MSK0021-087 OK HOW ABOUT JUST BELOW THAT WHERE YOUR SHINS START +MSK0021-088 NO PAIN THERE +MSK0021-089 NO PAIN THERE AND THEN HOW ABOUT ON THE LATERAL ASPECTS OF YOUR KNEE +MSK0021-090 NO PAIN THERE +MSK0021-091 AND THEN THE MEDIAL ASPECTS OF YOUR KNEE +MSK0021-092 NO PAIN THERE +MSK0021-093 NO PAIN THERE OK GOOD WHEN YOU ARE PALPATING WAS THERE A DIFFERENCE IN TEMPERATURE BETWEEN THE LEFT AND RIGHT KNEE WAS THE LEFT KNEE A LITTLE BIT MORE WARM THAN THE RIGHT KNEE +MSK0021-094 NO THE TEMPERATURE FEELS THE SAME +MSK0021-095 OK OK GOOD SO NOW I'M GOING TO ARE YOU SITTING DOWN +MSK0021-096 I AM YES +MSK0021-097 OK SO FROM A SITTING POSITION I'M GOING TO GET YOU TO STAND UP AND YOU LET ME KNOW IF THAT IS PAINFUL +MSK0021-098 IT IS +MSK0021-099 OK AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES +MSK0021-100 NO NO PAIN WITH JUST BENDING +MSK0021-101 OK HOW ABOUT WHEN YOU WHEN YOU FLEX YOUR HIPS SO YOU CAN DO ONE LEG AT A TIME DOES THAT HURT +MSK0021-102 OH NO THAT DOESN'T HURT +MSK0021-103 OK AND HOW ABOUT SQUATTING DOWN +MSK0021-104 THAT DOES HURT SQUATTING HURTS +MSK0021-105 SQUATTING HURTS OK OK AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE CEILING +MSK0021-106 NO PAIN +MSK0021-107 OK HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE GROUND +MSK0021-108 NO PAIN +MSK0021-109 NO PAIN SO NO PAIN ON DORSIFLEXION OR PLANTER FLEXION OK DO YOU HEAR ANY LIKE POPPING OR CRACKLING SOUNDS IN YOUR KNEES WHEN YOU CLIMB STAIRS OR WHEN YOU'RE STANDING UP AFTER SITTING DOWN FOR A LONG TIME +MSK0021-110 SOMETIMES I WILL HEAR SOME SOME LIKE CRACKLING SOUNDS +MSK0021-111 OK ALRIGHT AND YOU MENTIONED THAT YOU DO A LOT OF RUNNING DO YOU DO ANY OTHER SORTS OF EXERCISES +MSK0021-112 I'LL DO SOME WEIGHT LIFTING AND LIKE CYCLING AS WELL I MEAN ALL KINDS OF DIFFERENT STUFF WE JUST LIKE STAYING AS ACTIVE AS I CAN +MSK0021-113-1 OK ALRIGHT GIVEN YOUR YOUNG AGE AND THE FACT THAT YOU DO A LOT OF RUNNING AND A LOT OF PHYSICAL ACTIVITY LIKE CYCLING AND LIFTING WEIGHTS WHAT YOU HAVE IS MOST LIKELY +MSK0021-113-10 YEAH SO WE CAN START THERE IF IT DOESN'T GET BETTER WE CAN ALSO ORDER AN X RAY JUST TO RULE OUT OTHER THINGS +MSK0021-113-11 THAT COULD HAVE CAUSED THIS PAIN IN YOUR KNEE AND IF NONE OF THOSE NONSURGICAL TREATMENTS WORK OH SORRY I ALSO FORGOT TO MENTION WILL ALSO REFER YOU TO PHYSIOTHERAPY TO HELP YOU WITH THE RANGE OF MOTION AND STRENGTH AND ENDURANCE +MSK0021-113-12 BUT OF THOSE NON SURGICAL TREATMENTS WORK WE'LL ALSO REFER YOU TO LIKE AM ARTHROSCOPY OR SOME SORT OF SURGERY THAT MAY BE ABLE TO FIX THE ISSUE MORE PERMANENTLY DOES THAT SOUND OK +MSK0021-113-2 SOMETHING CALLED A PATELLOFEMORAL SYNDROME AND THAT IS BASICALLY A NERVE +MSK0021-113-3 KIND OF PAIN AND THEN IN THE IN THE SOFT TISSUES AND BONE AROUND YOUR KNEECAP AND +MSK0021-113-4 IT'S BASICALLY HAPPENS BECAUSE OF OVERUSE SO VIGOROUS PHYSICAL ACTIVITIES THAT PUT REPEATED STRESS ON YOUR KNEES LIKE RUNNING AND CYCLING CAN CAUSE THAT OR JUST LIKE IMPROPER SPORTS TRAINING TECHNIQUES +MSK0021-113-5 AND WE CAN DO A FEW THINGS THAT THAT'LL HELP WITH THE PAIN SO FOR A LITTLE BIT +MSK0021-113-6 IF YOU COULD HOLD OFF ON THE RUNNING THAT WOULD BE GOOD SO IN THE MEANTIME WHILE YOU WHILE YOU SWITCH TO LIKE LOW IMPACT +MSK0021-113-7 ACTIVITIES WHETHER THAT'S LIKE RIDING A STATIONARY BIKE OR SWIMMING YOU CAN ALSO TRY SOMETHING CALLED THE RICE METHOD AND SO THAT STANDS FOR RESTING +MSK0021-113-8 SO AVOIDING PUTTING ANY STRAIN ON THAT KNEE USING ICE PACKS FOR SEVERAL DAYS COMPRESSION SO WRAPPING YOUR KNEE IN LIKE AN ELASTIC BANDAGE +MSK0021-113-9 AS WELL AS ELEVATING YOUR KNEES HIGHER THAN YOUR THEN THE LEVEL OF YOUR CHEST CAN HELP AND THEN WITH THE SHARP PAIN YOU COULD ALSO ALSO TAKE IBUPROFEN FOR PAIN MANAGEMENT +MSK0021-114 IT DOES THANK YOU +MSK0021-115 OK NO WORRIES +MSK0022-000 WHAT BRINGS YOU HERE TODAY +MSK0022-001 I HAVE BEEN HAVING THIS PAINS IN MY IN MY JOINTS THAT'S BEEN ONGOING NOW FOR THE LAST SEVERAL MONTHS AND IT'S BEEN GETTING WORSE OVER THIS PERIOD OF TIME +MSK0022-002 OK SO SEVERAL MONTHS IS THE PAIN SO WHERE WHERE EXACTLY IS THE PAIN +MSK0022-003 SO I GET IT IN SOME OF THE JOINTS IN MY HANDS AND THEN ALSO MY FEET AS WELL SO +MSK0022-004 MY REALLY IN MY FEET AND MY HANDS OK AND WHAT KIND OF PAIN +MSK0022-005 IS IT IS IT LIKE AN ACHING PAIN IS IT SHARP PAIN IT'LL BE A BIT AT ACHEY WHEN IT'S THERE BUT I IF I MOVE THE JOINTS AT ALL WHEN +MSK0022-006 IT'S REALLY SORE I CAN GET A SHARP PAIN AS WELL OK AND +MSK0022-007-1 IS THIS PAIN WORSE AT ALL AT ANY PARTICULAR TIME OF THE DAY +MSK0022-007-2 I WOULD SAY IN THE MORNING TIME OR IF THERE'S ANY PERIOD OF TIME WHERE I I'M LIKE SITTING AND RESTING FOR AWHILE +MSK0022-007-3 AND I GET UP TO MOVE I HAVE A LOT OF STIFFNESS AND IT TAKES ME OVER AN HOUR SOMETIMES TO JUST GET MOVING +MSK0022-008 OK SO SO IF I UNDERSTAND IT CLEARLY IT'S YOU GET DO YOU GET LIKE MORNING YOU GET MORNING STIFFNESS AND THEN WHEN YOU'RE NOT VERY ACTIVE OR NOT DOING THINGS BUT THEN IT GETS BETTER WITH MOVEMENT +MSK0022-009 EXACTLY THERE'S MORNING STIFFNESS AND IT DOES GET A LITTLE BIT BETTER WITH WITH MOVEMENT +MSK0022-010 OK DO YOU HAVE ANY OF THIS PAIN OR STIFFNESS IN THE BIGGER JOINTS IN YOUR BODY LIKE THE HIPS OR THE KNEES OR YOUR SHOULDERS +MSK0022-011 NO NOTHING NO JUST REALLY THE SMALL JOINTS +MSK0022-012 OK IN THE MORNING STIFFNESS LASTS MORE THAN THIRTY MINUTES YOU SAID +MSK0022-013 IT DOES +MSK0022-014 YES OK IS IS IT SYMMETRICAL LIKE IS THE PAIN SYMMETRICAL AS IN IS IT HAPPENING IN BOTH HANDS IN THE SAME AREAS AND BOTH FEET IN THE SAME AREAS +MSK0022-015 IT IS ACTUALLY NOW THAT YOU MENTIONED THAT IT IS SYMMETRICAL I'M NOTICING THAT IT'S THE SAME IT'S THE SAME JOINTS ON BOTH SIDES OF MY BODY THAT I'M SEEING THAT ARE AFFECTED +MSK0022-016-1 OK NOW I I JUST HAVE THIS ONE PARTICULAR QUESTION IT'S PRETTY SPECIFIC SO WHEN YOU LOOK AT YOUR HANDS IN WHICH JOINTS ARE PAINFUL +MSK0022-016-2 IN YOUR FINGERS IS DO YOU DO YOU HAVE ANY PAIN OR SWELLING IN THE LAST JOINTS LIKE SO JUST JUST BELOW THE TIP OF YOUR FINGERS +MSK0022-017 NO ACTUALLY LIKE THE THOSE JOINTS ARE ALL HAVE BEEN FINE I CAN MOVE THE TIPS OF MY FINGERS NO PROBLEM AND I HAVEN'T HAD ANY JOINT SWELLING OR PAIN IN THE TIPS OF MY FINGERS +MSK0022-018 OK AND HOW ABOUT HAVE YOU HAD ANY PAIN AT ALL IN THE I GUESS THE FIRST JOINTS OF THE FINGER SO WHEN YOU MAKE A FIST LIKE THE FIRST JOINT THAT BENDS +MSK0022-019 OH LIKE MY KNUCKLES YOU MEAN +MSK0022-020 THAT YOUR KNUCKLES +MSK0022-021 THOSE ACTUALLY THOSE ARE THE WORST I CAN NOTICE THOSE KIND OF ON THE LIKE ON MY INDEX FINGER MIDDLE FINGER AND AND RING FINGER ON BOTH SIDES THEY THEY ALL LOOK LIKE THEY'RE SWOLLEN AND AND THOSE HURT HURT REALLY BAD +MSK0022-022 OK AND IN YOUR FEET WHICH JOINTS WOULD YOU SAY ARE HURTING THE MOST +MSK0022-023 I I WOULD SAY THE LIKE THE BIG TOE JOINT ON BOTH OF MY FEET THOSE BOTHER ME BUT MY BIG MY BIG TOE ON ON BOTH FEET BUT MY RIGHT FOOT'S WORSE THAN THE OTHER +MSK0022-024 OK I SEE OK AND ARE YOU GETTING ANY PAIN IN ANY OTHER JOINTS +MSK0022-025 ACTUALLY MY MY RIGHT ANKLE BUGS ME A LITTLE BIT I'M SORRY IF THAT'S CONSIDERED A LARGE JOINT BUT MY ANKLE HURTS AND THEN ALSO MY IN MY HANDS I HAVE LIKE THE MIDDLE ONE NOT PROXIMAL INTERPHALANGEAL JOINT THOSE ONES HURT TOO +MSK0022-026 OK +MSK0022-027 I THINK I HAVE LIKE MORE THAN TEN JOINTS THAT ARE SWOLLEN AND PAINFUL +MSK0022-028 OK I SEE AND HAS THIS PAIN BEEN PRETTY CONSTANT OR HAVE THERE BEEN DAYS THAT YOU DON'T HAVE THE PAIN +MSK0022-029 THERE ARE DAYS THAT ARE BETTER THAN OTHERS FOR SURE IT JUST I'M NOT REALLY TOO SURE WHAT THE REASON IT IS LIKE MAYBE I'M JUST MORE RESTED OR SOMETHING LIKE THAT BUT THERE ARE DAYS THAT THAT ARE BETTER BUT OVER THE LAST SEVERAL MONTHS IT'S BEEN GETTING GETTING WORSE +MSK0022-030 OK AND HOW MUCH WOULD YOU RATE THE PAIN FROM ZERO TO TEN TEN BEING THE WORST PAIN YOU FELT IN YOUR LIFE +MSK0022-031 I WOULD SAY IT'S PROBABLY A SIX +MSK0022-032 OK HAVE YOU TRIED ANY MEDICATIONS AT ALL TO HELP WITH YOUR HELP RELIEVE YOUR SYMPTOMS +MSK0022-033 I'VE BEEN TRYING ACETAMINOPHEN AND DIFFERENT TYPES OF ANTI INFLAMMATORIES LIKE IBUPROFEN OR ADVIL AND I'VE TRIED CREAMS AND STUFF TOO BUT IT IT DOESN'T SEEM TO HELP +MSK0022-034 OK ARE YOU FEELING ANY OTHER SYMPTOMS AT ALL LIKE FEVERS OR CHILLS +MSK0022-035 I DO I HAVE FELT A BIT WARM +MSK0022-036 A BIT WARM OK AND HOW LONG HAS THAT BEEN GOING ON FOR +MSK0022-037 SO IT THAT VARIES AS WELL LIKE SOME DAYS I'LL GET I'LL FEEL LIKE FEVERISH FOR A LITTLE BIT AND IT WILL KIND OF GO AWAY I HAVEN'T CHECKED MY TEMPERATURE BUT IT I HAVE FELT WARM AT TIMES +MSK0022-038 OK AND HAVE YOU LOST ANY MOVEMENT IN ANY OF THESE JOINTS AT ALL +MSK0022-039 IT IS HARDER TO TO MAKE A FIST I CAN'T FULLY CLOSE MY MY FINGERS ALL THE WAY DOWN TO MAKE A FIST +MSK0022-040 I SEE OK ANY KIND OF A NIGHT SWEATS AT ALL +MSK0022-041 NO +MSK0022-042 ANY WEIGHT LOSS +MSK0022-043 WELL I THINK A FEW POUNDS I JUST HAVEN'T REALLY BEEN AS AS HUNGRY NOW MY APPETITE HASN'T BEEN BEEN AS GOOD RECENTLY +MSK0022-044 OK ANY SKIN CHANGES OR RASHES +MSK0022-045 I OVER A COUPLE OF THE JOINTS I DO NOTICE SOME SOME REDNESS BUT JUST OVER THE THE JOINTS ON MY HAND I CAN HAVE SOME REDNESS +MSK0022-046 OK BUT YOU DON'T NOTICE ANY CHANGES ANYWHERE ELSE +MSK0022-047 NO NOWHERE ELSE +MSK0022-048 OK ANY CHANGES IN YOUR VISION OR HEARING +MSK0022-049 NO CHANGES TO VISION OR HEARING +MSK0022-050 OK ANY SHORTNESS OF BREATH CHEST PAIN +MSK0022-051 NO +MSK0022-052 ANY CHANGES IN YOUR BOWEL MOVEMENTS +MSK0022-053 NO THAT'S BEEN NORMAL +MSK0022-054 OK ANY CHANGES IN YOUR URINARY PATTERNS +MSK0022-055 NOPE I HAVEN'T HAD ANY PAIN OR ANYTHING LIKE THAT +MSK0022-056 OK ANY NUMBNESS OR TINGLING SENSATION ANYWHERE ANYWHERE IN YOUR BODY +MSK0022-057 NOPE I HAVEN'T HAD ANYTHING LIKE THAT +MSK0022-058 OK HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH LIKE COLD SYMPTOMS OF ANY VIRAL SYMPTOMS +MSK0022-059 NO I FELT OK +MSK0022-060 OK AND ANY MUSCLE WEAKNESS +MSK0022-061 I I DON'T THINK SO I'VE JUST I I HAVE HAD TROUBLE LIKE OPENING JARS AND VARIOUS THINGS BUT I THINK THAT'S PART OF THE LIKE PAIN THAT I'M HAVING IN MY IN MY HANDS IT MAKES IT HARD TO GRIP +MSK0022-062 OK AND IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS +MSK0022-063 I HAVE A LOW THYROID AND OR OR HYPOTHYROIDISM I THINK IT'S CALLED I AND I ALSO HAVE HIGH BLOOD PRESSURE SO I TAKE MY +MSK0022-064 MEDICATION FOR HIGH BLOOD PRESSURE AND AND SOME +MSK0022-065 THING FOR THE THYROID AS WELL OK AND +MSK0022-066 WHEN WERE YOU DIAGNOSED WITH THE HYPOTHYROIDISM +MSK0022-067 THIS WAS ABOUT I LIKE FOUR YEARS AGO OK TODAY +MSK0022-068 TELL YOU WHAT IT WAS CAUSED BY IT AT ALL OH I THINK I WAS I THINK THEY SAID HASHIMOTO'S OK +MSK0022-069 OK OK AND SINCE THEN YOU'VE BEEN ON THE THYROID MEDICATION I THINK IT'S +MSK0022-070 SYNTHROID OR OR SOMETHING LIKE THAT I THINK SYNTHROID ALRIGHT ANY OTHER MEDICATIONS AT ALL THAT YOU +MSK0022-071 TAKE REGULARLY I THINK IT I'M TAKING AN ACE INHIBITOR FOR THE BLOOD PRESSURE +MSK0022-072 OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW +MSK0022-073 NO +MSK0022-074 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +MSK0022-075 NO +MSK0022-076 OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS +MSK0022-077 MY MOM HAD HYPOTHYROIDISM AS WELL AND AND THAT'S IT +MSK0022-078 OK SO ANYTHING ELSE LIKE RHEUMATOID ARTHRITIS ULCERTAIVE COLITIS CROHN'S DISEASE TYPE ONE DIABETES ANYTHING LIKE THAT +MSK0022-079 I I THINK MY COUSIN ACTUALLY HAS TYPE ONE DIABETES HE'S A LIKE HE'S MUCH YOUNGER THAN ME BUT I THINK HE I HAVE A COUSIN WITH TYPE ONE DIABETES AS WELL +MSK0022-080 OK ALRIGHT AND CURRENTLY DO YOU WORK +MSK0022-081 I'VE BEEN WORKING AS A ADMINISTRATOR SO IT'S BEEN TOUGH ON THE COMPUTER WITH WITH HOW MY HANDS HAVE BEEN CAUSING ME PAIN +MSK0022-082 OH SO FROM THE TYPING ALSO GIVES YOU SOME PAIN +MSK0022-083 I CAN IT CAN GIVE ME A LITTLE BIT OF PAIN BUT ONCE MY HANDS START MOVING IT'S IT'S OK IT'S JUST I'M A BIT SLOWER AT MY JOB WITH WITH HOW IT IS ESPECIALLY STARTING IN THE MORNING +MSK0022-084 OK I SEE OK AND CURRENTLY WHAT'S YOUR LIVING SITUATION LIKE +MSK0022-085 SO I LIVE WITH MY HUSBAND AS WELL AS OUR OUR DAUGHTER SHE'S FOUR +MSK0022-086 OK AND ARE YOU CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL +MSK0022-087 I I DON'T I QUIT SMOKING FOUR YEARS AGO WHEN MY DAUGHTER WAS BORN AND BEFORE THAT I DIDN'T SMOKE MUCH TO ME ANYWAY IT WAS I WAS ONLY SMOKING LIKE YOU LIKE MAYBE FOUR OR FIVE CIGARETTES A DAY SO I JUST STOPPED THEN +MSK0022-088 OK THAT'S REALLY GOOD CONGRATULATIONS +MSK0022-089 THANK YOU +MSK0022-090 AND OTHER THAN THAT DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +MSK0022-091 NO I DON'T OK HOW ABOUT ALCOHOL +MSK0022-092 I'LL HAVE A GLASS OF WINE SOMETIMES BUT VERY RARELY +MSK0022-093 OK SO THOSE ARE JUST SOME OF THE QUESTIONS I HAD FOR YOU NOW I JUST WANTED TO ASK A FEW QUESTIONS REGARDING JUST PHYSICALLY EXAMINING THE JOINTS THAT HURT SO WHEN YOU LOOK AT THOSE JOINTS DO YOU NOTICE ANY KIND OF SWELLING REDNESS OR WHEN YOU FEEL ANY WARMTH TO THEM +MSK0022-094 YES I I DO I FEEL SWELLING WARMTH AND REDNESS +MSK0022-095 OK AND DO YOU NOTICE ANY KIND OF DEFORMITIES FOR EXAMPLE LIKE YOU'RE NOT ABLE TO BEND YOUR FINGER OR ANY KIND OF DEFORMITIES THAT YOU DIDN'T SEE BEFORE OR LIKE FOR EXAMPLE YOUR WRIST IS TURNED OUTWARDS A LITTLE BIT ANYTHING LIKE THAT +MSK0022-096 NO NOTHING LIKE THAT NO DEFORMITY +MSK0022-097 NO DEFORMITIES OK WHEN YOU GO OVER YOUR JOINTS DO YOU NOTICE ANY KIND OF LIKE NODULES OR HARDER MATERIALS THAT DON'T SEEM TO BE YOUR BONES +MSK0022-098 NOT REALLY NO NO I DON'T NOTICE ANYTHING LIKE THAT THEY JUST SHARE A BIT LARGER FROM THE SWELLING IT FEELS LIKE +MSK0022-099 OK I SEE ARE YOU ABLE TO MAKE A FIST WITH BOTH BOTH HANDS +MSK0022-100 NOT COMPLETELY I CAN CLOSE MY HANDS PART OF THE WAY BUT I CAN'T MAKE A FULL FIST +MSK0022-101 I SEE OK AND ARE YOU ABLE TO COMPLETELY EXTEND YOUR FINGERS AND SHOW YOUR PALMS +MSK0022-102 I CAN DO I +MSK0022-103 CAN DO THAT OK AND ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING LIKE THAT +MSK0022-104 YES I CAN +MSK0022-105 OK ALRIGHT SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +MSK0022-106 NO I'M JUST WONDERING WHAT WHAT THIS +MSK0022-107-1 COULD BE +MSK0022-107-10 JUST MARKERS TO RULE OUT ANYTHING ELSE BESIDES RHEUMATOID ARTHRITIS AND THEN WE WILL ALSO GET JUST X RAYS OF YOUR HANDS AND FEET AS WELL SO DOES THAT SOUND GOOD +MSK0022-107-2 SO FROM WHAT YOU'RE DESCRIBING TO ME YOU DO FIT INTO THE AGE RANGE AND ALL THE SYMPTOMS ARE KIND OF POINT TOWARDS ARTHRITIS AND IN THIS CASE IT SOUNDS MORE +MSK0022-107-3 LIKE RHEUMATOID ARTHRITIS DDEFINITELY IT CAN BE DIFFERENT TYPES OF ARTHRITIS THAT WE WILL INVESTIGATE JUST IN CASE AS WELL +MSK0022-107-4 BUT GIVEN THAT IT'S SYMMETRICAL YOU HAVE THE MORNING STIFFNESS THAT DOESN'T GO AWAY FOR MORE THAN THIRTY MINUTES AND JUST THE PATTERN OF WHERE +MSK0022-107-5 THOSE WHERE THE STIFFNESS AND PAIN IS OCCURRING ITT SOUNDS MORE LIKELY TO BE RHEUMATOID ARTHRITIS ESPECIALLY SINCE YOU'VE ALSO YOU ALSO HAVE ANOTHER AUTOIMMUNE CONDITION +MSK0022-107-6 WITH HYPOTHYROIDISM IT'S MORE LIKELY TO BE ANOTHER AUTOIMMUNE CONDITION +MSK0022-107-7 SO WHAT WE WILL DO IS GET A FEW TESTS DONE THIS WILL INVOLVE SOME BLOOD WORK +MSK0022-107-8 AS WELL AND WE WILL ALSO GET SOME IMAGING DONE SO WE WILL GET LIKE THE CRP AND ESR FOR INFLAMMATORY MARKERS WE WILL GET LIKE YOUR FULL CBC BLOOD COUNT +MSK0022-107-9 WE WILL GET RHEUMATOID FACTOR TEST DONE AS WELL AS ANTINUCLEAR ANTIBODY AND A LOT OF OTHER DIFFERENT +MSK0022-108 IT DOES THANK YOU +MSK0022-109 YOU'RE WELCOME AND THEN IF IT DOES COME OUT TO BE RHEUMATOID ARTHRITIS ARTHRITIS WHICH SEEMS LIKELY YOU WILL NEED A REFERRAL TO A RHEUMATOLOGIST TO MANAGE AND TREAT YOUR TREAT YOU WITH MEDICATIONS +MSK0022-110 OK THANK YOU ALRIGHT YOU'RE WELCOME TAKE CARE +MSK0023-000 WHAT BRINGS YOU IN HERE TODAY +MSK0023-001-1 HI HI THERE I'VE BEEN HAVING THIS KNEE PAIN IT STARTED ALMOST IMMEDIATELY AFTER I WAS I WAS PLAYING BASKETBALL ON THE HIGH SCHOOL TEAM AND +MSK0023-001-2 IT WAS DURING PRACTICE I JUMPED UP FOR A REBOUND AND I WHEN I LANDED I HEARD A POP OF MY MY LEFT KNEE AND I IMMEDIATELY FELT PAIN I JUST WENT OFF TO THE OFF TO THE SIDELINE +MSK0023-002 OK AND WHEN DID THIS HAPPEN +MSK0023-003 THIS HAPPENED ABOUT PROBABLY LIKE SIX HOURS AGO MAYBE LIKE A FEW HOURS AGO +MSK0023-004 OK OK I SEE AND SINCE THEN HAVE YOU BEEN ABLE TO WALK AT ALL OR HAVE YOU BEEN JUST HAS IT BEEN VERY DIFFICULT +MSK0023-005 AT FIRST I WAS ABLE TO KIND OF LIMP OFF THE COURT BUT SINCE THEN I I HAVEN'T REALLY BEEN ABLE TO WALK IT'S GOTTEN PRETTY SWOLLEN SINCE THEN AND IT LOOKS BRUISED AS WELL +MSK0023-006 OK IT'S SWOLLEN AND BRUISED IN WHAT KIND OF PAIN ARE YOU HAVING IS IT LIKE SHARP OR IS IT ACHING +MSK0023-007 IT'S PRETTY SHARP IT FEELS LIKE THERE'S PEOPLE JUST STABBING ME IN THE KNEE +MSK0023-008 OK AND DO YOU HAVE ANY SO YOU'RE HAVING PAIN IN YOUR KNEE HAS IT GONE WORSE THAN WHEN IT STARTED +MSK0023-009 IT'S IT FEELS A BIT MORE PAINFUL THAN IT DID EARLIER I THINK MAYBE THE ADRENALINE WAS PUMPING A LITTLE BIT BUT NOW IT'S IT'S PRETTY PRETTY PAINFUL +MSK0023-010 OK OK AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF TEN TEN BEING THE WORST PAIN YOU'VE FELT IN YOUR LIFE +MSK0023-011 OH I'D SAY THIS IS LIKE A NINE OR A TEN THIS IS IT'S REALLY PAINFUL +MSK0023-012 OK ARE YOU HAVING PAIN ANYWHERE ELSE OR IS IT JUST YOUR LEFT KNEE +MSK0023-013 JUST MY LEFT KNEE +MSK0023-014 OK ALRIGHT ARE YOU HAVING OTHER SYMPTOMS LIKE FAINTING DIZZINESS +MSK0023-015 NO I I HAVEN'T HAD ANYTHING LIKE THAT +MSK0023-016 OK AND ARE YOU HAVING ANY FEVERS CHILLS OR ANYTHING LIKE THAT +MSK0023-017 NO FEVERS OR CHILLS +MSK0023-018 OK ANY KIND OF NUMBNESS OR TINGLING AT ALL +MSK0023-019 NO NO MR TINGLING +MSK0023-020 OK IS THE PAIN MOVING ANYWHERE ELSE FROM YOUR KNEES +MSK0023-021 NO I JUST FEEL LIKE PRETTY LIKE JUST RIGHT IN MY IN MY KNEE +MSK0023-022 OK AND WHAT KIND OF MOTIONS ARE HURTING YOU RIGHT NOW THE MOST +MSK0023-023-1 I WOULD SAY JUST LIKE BENDING MY KNEE LIKE FLEXING MY KNEE UP AS WELL AS +MSK0023-023-2 LIKE IF I TRY TO PUT ANY WEIGHT ON IT LIKE I CAN'T WALK ON IT RIGHT NOW I CAN'T PUT ANY WEIGHT ON MY KNEE RIGHT NOW AND ALSO EVEN STRAIGHTENING IT OUT +MSK0023-023-3 HURTS AS WELL IF I'M REALLY FLEXING THE MUSCLE SO JUST TRYING TO STAY PRETTY +MSK0023-024 IMMOBILE RIGHT NOW OK I SEE OK AND IN TERMS OF OTHER SYMPTOMS ANY KIND OF CHEST PAIN SHORTNESS OF BREATH +MSK0023-025 NO NOTHING LIKE THAT +MSK0023-026 OK ANY RASHES OR SKIN CHANGES +MSK0023-027 NO THE ONLY SKIN CHANGE THAT I THAT I HAVE IS THE LIKE BRUISING OR LOOKS LIKE YOU LIKE BLOOD AROUND MY KNEE +MSK0023-028 OK YOU SEE IS IT WARM TO TOUCH +MSK0023-029 NO NO IT'S NOT WARM +MSK0023-030 OK IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS YOU'VE BEEN DIAGNOSED WITH IN THE PAST +MSK0023-031 NO I'VE BEEN +MSK0023-032 HEALTHY OK ANY MEDICATIONS THAT YOU TAKE REGULARLY +MSK0023-033 NO I DON'T I DON'T THINK ANYTHING REGULARLY +MSK0023-034 OK ANY ALLERGIES TO ANY MEDICATIONS +MSK0023-035 NO I DON'T +MSK0023-036 OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES +MSK0023-037 NO NOTHING LIKE THAT +MSK0023-038 OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS +MSK0023-039 NO NO NOTHING LIKE THAT I I I MEAN I THINK MY DAD I HAD A ROTATOR CUFF INJURY OR SOMETHING LIKE THAT BUT I MEAN HE'S IN HIS FIFTIES NOW SO I THINK THAT HAPPENED AT WORK OR SOMETHING I DON'T KNOW +MSK0023-040 OK OK AND OTHER THAN THAT DO YOU SO ARE YOU AT SCHOOL RIGHT NOW +MSK0023-041 I AM I'M IN GRADE GRADE TEN AND PLAYING WELL PLAYING ON THE THE HIGH SCHOOL BASKETBALL TEAM AND THAT'S HOW I GOT THIS INJURY HERE +MSK0023-042 AND HAVE YOU HAD A SIMILAR INJURY AT ALL IN THE PAST +MSK0023-043 NO I MEAN I'M I'VE I'VE SPRAINED MY ANKLES IN THE PAST WHICH WOULD GO WOULD HEAL WITH SOME REST AFTER A FEW DAYS I NEVER GOT THOSE CHECKED OUT BECAUSE THEY'RE THEY WEREN'T SO BAD BUT I'VE NEVER INJURED MY KNEE BEFORE +MSK0023-044 OK AND CURRENTLY RIGHT NOW WHAT'S YOUR LIVING SITUATION LIKE +MSK0023-045 SO I LIVE WITH BOTH OF MY PARENTS AND I ALSO HAVE A YOUNGER SIBLING A SISTER SHE'S EIGHT YEARS OLD AND WE HAVE A DOG AS WELL +MSK0023-046 OK ALRIGHT AND HAVE YOU EXPERIMENTED AT ALL WITH ANY RECREATIONAL DRUGS ALCOHOL OR SMOKING CIGARETTES +MSK0023-047 NO NOTHING LIKE THAT I SEE KIDS AT SCHOOL SMOKING AND STUFF BUT YOU KNOW AS AN ATHLETE I TRY TO STAY AWAY FROM THAT KIND OF STUFF AS MUCH AS POSSIBLE +MSK0023-048 OK NO THAT'S REALLY THAT'S REALLY GOOD THAT YOU'RE THINKING LIKE THAT ANY ISSUES AT SCHOOL LIKE BULLYING OR DO YOU FEEL UNSAFE EITHER AT HOME AROUND YOUR HOME ENVIRONMENT OR AT SCHOOL +MSK0023-049 NO I DON'T FEEL UNSAFE I MEAN I KNOW THERE'S ALWAYS THOSE KIDS AT SCHOOL WHO ARE MEAN TO OTHERS BUT I MEAN I I +MSK0023-050 GENERALLY FEEL SAFE OK ALRIGHT SO I'M JUST GOING TO ASK A FEW QUESTIONS ABOUT JUST THE EXAMINATION PART OF PART OF THIS DO YOU SO YOU MENTIONED YOU CAN'T FLEX YOUR KNEES AT ALL CAN YOU EXTEND THEM +MSK0023-051 IT IT CAN STRAIGHTEN IT OUT ALL LIKE MOST OF THE WAY IT SEEMS LIKE IT'S BENT A LITTLE STILL MAYBE FROM LIKE THE SWELLING AND ONLY I CAN'T STRAIGHTEN IT OUT THE FULL WAY +MSK0023-052 OK AND THEN YOU SAID YOU NOTICED LIKE BRUISING AND KIND OF LIKE THERE'S BLOOD ACCUMULATING IN THAT AREA +MSK0023-053 EXACTLY IT LOOKS LIKE IT CAUSE IT'S A BIT LIKE BROWN I GUESS I CAN LIKE SEE OR ON MY KNEE I GUESS LIKE THE LIKE A BIG BRUISE +MSK0023-054-1 OK I SEE OK AND YEAH SO THOSE ARE KIND OF LIKE ALL THE QUESTIONS I HAD FOR YOU IT SEEMS THAT BASED ON THE DESCRIPTION OF HOW THE INJURY HAPPENED AN THE MECHANISM AND WHAT +MSK0023-054-2 YOU'RE FEELING RIGHT NOW AND IN TERMS OF THE EXAMINATION IT'S POSSIBLE THAT YOU HAD KNEE LIGAMENT INJURY MOST LIKELY IN THIS CASE THE ANTERIOR CRUCIATE LIGAMENT +MSK0023-054-3 BUT JUST TO MAKE SURE WE WILL NEED TO DO AN MRI OF YOUR KNEE AND SEE WHICH LIGAMENT IS AFFECTED AND TO WHAT EXTENT AND USUALLY WITH THE +MSK0023-054-4 WITH THE DEPENDING ON WHAT WE FIND ON THE MRI SOMETIMES IT CAN BE JUST CONSERVATIVE MANAGEMENT BUT HOWEVER OFTENTIMES YOU DO REQUIRE SURGERY SO IT WOULD BE +MSK0023-054-5 JUST A SURGERY WHERE WE PUT KIND OF LIKE A SCOPE IN INTO YOUR KNEE AND THROUGH THE SCOPE WE +MSK0023-054-6 TRY TO FIX THE LIGAMENT SO FIRST WE'LL JUST DO THE MRI AND SEE TO WHAT EXTENT YOUR KNEE INJURY +MSK0023-054-7 IS AND HOW HOW AFFECTED THE LIGAMENTS ARE AND THEN WE'LL GO FROM THERE DOES THAT SOUND OK +MSK0023-055 IT DOES +MSK0023-056 THANK YOU WELCOME ALRIGHT TAKE CARE +MSK0024-000 WHAT BRINGS YOU HERE TODAY +MSK0024-001 HI I'VE BEEN HAVING THIS BACK PAIN FOR THE PAST MONTH SO I'D JUST LIKE SOMETHING FOR IT AN AND YOU KNOW IMAGE IT IF POSSIBLE JUST TO FIGURE OUT WHAT IT IS +MSK0024-002 YOU'VE BEEN HAVING IT FOR THE LAST MONTH IS THIS THE FIRST TIME YOU'RE HAVING THIS BACK PAIN +MSK0024-003 YES +MSK0024-004 OK AND WHERE EXACTLY ARE YOU HAVING THE BACK PAIN +MSK0024-005 IT'S IN MY LOWER BACK +MSK0024-006 OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A SHARP STABBING PAIN OR IS THAT A DULL ACHING PAIN +MSK0024-007 IT'S KIND OF DULL AND ACHY BUT SOMETIMES I FEEL LIKE I HAVE LITTLE SPASMS IN MY BACK +MSK0024-008 OK AND HOW OFTEN ARE YOU GETTING THESE SPASMS +MSK0024-009 I'D SAY LIKE TWO TO THREE TIMES A WEEK +MSK0024-010 OK AND IT IS THIS BACK PAIN CONSTANT OR DOES IT COME COME AND GO +MSK0024-011 IT'S PRETTY CONSTANT BUT IT GETS WORSE WITH CERTAIN THINGS +MSK0024-012 SO ONE MONTH AGO WHEN IT STARTED BEFORE THEN DID YOU INJURE YOURSELF AT ALL OR WERE YOU DOING ANYTHING THAT BROUGHT ON THE PAIN OR DID THE PAIN COME ON GRADUALLY +MSK0024-013 SO I WORK IN THIS FACTORY WHERE I MOVE A LOT OF BOXES AND I THINK I MAY HAVE LIKE LIFTED A REALLY HEAVY BOX OR LIFTED IT IN AN IMPROPER POSITION BECAUSE THAT'S WHEN THAT NIGHT IS WHEN MY BACK STARTED HURTING +MSK0024-014 OK I SEE AND HOW LONG HAVE YOU WORKED IN THIS ROLE +MSK0024-015 FOR THE PAST THIRTY YEARS +MSK0024-016 OK ALRIGHT AND HAS THE PAIN BECOME WORSE AT ALL OR HAS IT STAYED THE SAME SINCE IT STARTED +MSK0024-017 I'D SAY IT'S PRETTY IT'S BEEN PRETTY SIMILAR TO THE +MSK0024-018 START OK AND DOES THE BACK PAIN MOVE ANYWHERE LIKE FOR EXAMPLE DOES IT SHOOT DOWN YOUR LEGS AT ALL +MSK0024-019 NO OK HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU +MSK0024-020 I'VE TRIED SOME TOPICAL ANALGESICS AND YOU KNOW THOSE FIRE AND ICE GELS AND I THINK SOMETIMES THAT HELPS BUT IT'S ALWAYS TEMPORARY +MSK0024-021 OK AND WHAT KIND OF THINGS MAKE YOUR PAIN WORSE LIKE BENDING DOWN AS OPPOSED TO STRETCHING BACKWARDS +MSK0024-022 BENDING DOWN LIKE IT WHEN I FLEX MY BACK THAT HURTS MORE THAN IF I STRAIGHTEN IT OUT +MSK0024-023 OK IS A BENDING HURTS MORE AND WHAT ABOUT BENDING TOWARDS THE SIDES +MSK0024-024 A LITTLE BIT MORE TOWARDS MY RIGHT SIDE +MSK0024-025 OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE NUMBNESS OR TINGLING IN YOUR EXTREMITIES OR BACK AT ALL +MSK0024-026 NO +MSK0024-027 AND ANY KIND OF NUMBNESS OR LOSS OF SENSATION IN YOUR BUTTOCKS AREA OR JUST BELOW YOUR LOWER BACK +MSK0024-028 NO +MSK0024-029 OK AND ANY FEVERS OR CHILLS +MSK0024-030 NOPE +MSK0024-031 ANY NIGHT SWEATS +MSK0024-032 NO +MSK0024-033 ANY SKIN CHANGES OR RASHES +MSK0024-034 NO +MSK0024-035 ANY HAVE YOU BEEN ILL RECENTLY AT ALL WITH COUGH COLD +MSK0024-037 SYMPTOMS AT ALL NO DO YOU FEEL PAIN IN ANYWHERE ELSE IN ANY OTHER MUSCLES OR JOINTS AT ALL +MSK0024-038 NO +MSK0024-039 NO HAVE YOU RECENTLY HAD ANY CHANGES TO YOUR WEIGHT +MSK0024-040 NO +MSK0024-041 OK AND ANY KIND OF CHANGES TO YOUR BOWEL MOVEMENTS +MSK0024-042 NO +MSK0024-043 OK ANY KIND OF ISSUES WITH URINATION AT ALL +MSK0024-044 NO +MSK0024-045 AND ANY URINARY OR FECAL RETENTION OR INCONTINENCE +MSK0024-046 NO +MSK0024-047 RIGHT SO IT'S JUST THIS PAIN THAT'S BEEN THERE FOR THE LAST MONTH STAYED AROUND THE SAME IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH THE HAVE ANY MEDICAL CONDITIONS IN THE PAST +MSK0024-048 I HAVE A HIGH BLOOD PRESSURE WHICH I TAKE SOME RAMIPRIL +MSK0024-049 FOR OK ANY ALLERGIES TO ANY +MSK0024-051 MEDICATIONS OK AND HAVE YOU ARE USING ANY OTHER MEDICATIONS AT ALL +MSK0024-052 NO +MSK0024-053 HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +MSK0024-054 NO +MSK0024-055 OK DO YOU HAVE ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITION +MSK0024-056 NO +MSK0024-057 ANY CANCERS IN THE FAMILY +MSK0024-059 SO CURRENTLY ARE YOU WORKING OR DID YOU HAVE TO TAKE TIME OFF WORK +MSK0024-060 I'M TAKING SOME TIME OFF WORK UNTIL I FIGURE OUT WHAT THIS BACK PAIN IS +MSK0024-061 OK AND CURRENTLY WHAT'S YOUR LIVING SITUATION LIKE +MSK0024-062 I LIVE IN AN APARTMENT WITH MY WIFE AND OUR TEENAGE SON +MSK0024-063 OK AND DO YOU SMOKE AT ALL +MSK0024-064 I USED TO SMOKE I HAVEN'T SMOKED IN OVER TEN YEARS +MSK0024-065 OK AND DO YOU DRINK ALCOHOL AT ALL +MSK0024-066 I DRINK OCCASIONALLY I'LL HAVE LIKE A BEER ON THE WEEKEND +MSK0024-067 ANY RECREATIONAL DRUGS LIKE MARIJUANA +MSK0024-068 NO +MSK0024-069 OK ALRIGHT SO I'M JUST GONNA ASK A FEW QUESTIONS MAYBE GET YOU TO DO SOME MOVEMENTS AND SEE WHAT HURTS THE MOST +MSK0024-070 OK +MSK0024-071 SO WHEN YOU PRESS YOUR HAND DOWN DOWN YOUR SPINE IS IT HURT AT ALL IN THE LOWER BACK WITH PALPATION +MSK0024-072 IT KINDA HURTS RIGHT IN THE MIDDLE JUST ABOVE THE BUTTOCKS AREA AN WHERE LIKE MY TAILBONE ALMOST IS +MSK0024-073 I SEE AND ANY KIND OF PAIN WITH LYING DOWN AND THEN RAISING YOUR LEGS STRAIGHT UP WITHOUT BENDING THE KNEES +MSK0024-074 I CAN TRY THAT THAT HURTS A LITTLE BIT +MSK0024-075 AND DOES IT HURT IN THE LOWER BACK OR NEAR THE FRONT OF YOUR HIPS +MSK0024-076 THAT HURTS IN MY LOWER BACK +MSK0024-077 AND ANY KIND OF REDNESS OR SWELLING THAT YOU'VE NOTICED AT ALL I KNOW IT'S IN THE BACK SO IT MIGHT BE MORE DIFFICULT TO SEE +MSK0024-078 NO I DON'T SEE ANYTHING LIKE THAT +MSK0024-079 OK AND ARE YOU HAS YOUR GAIT CHANGED AT ALL OR IS IT ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING +MSK0024-080 I'M ABLE TO WALK WITHOUT A LIMP +MSK0024-081 OK ALRIGHT SO AND THEN BENDING DOWN YOU SAID HURTS MORE THAN STANDING UP OR EXTENDING YOUR BACK RIGHT +MSK0024-082 YES +MSK0024-083 OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME +MSK0024-084 NO JUST LIKE HOW CAN I TREAT THIS +MSK0024-085-1 OK YEAH FOR SURE SO THIS HAS BEEN GOING ON FOR THE LAST MONTH IT SOUNDS MORE LIKE WHAT'S CALLED MECHANICAL BACK PAIN AND +MSK0024-085-2 THE DUE TO THE NATURE OF YOUR WORK HAVING BEEN LIFTING HEAVY OBJECTS FOR THE LAST THIRTY OR SO YEARS +MSK0024-085-3 IT'S USUALLY SOMETHING THAT OCCURS WITH REPETITIVE REPETITIVE WORK AND STRENUOUS WORK LIKE THAT THAT AFFECTS YOUR BACK +MSK0024-085-4 AND WHAT YOU'RE DESCRIBING WITH THE FLEXION SEEMS MORE PAIN COMING FROM THE DISCS THEMSELVES INSTEAD OF THE +MSK0024-085-5 FACETS AT THE BACK SO EVERY TIME YOU FLEX YOU HAVE SOME COMPRESSION OF YOUR DISCS SO WHAT WE WHAT WE NEED TO DO RIGHT NOW IS IT'S BEEN ONE MONTH ALMOST AND THEN +MSK0024-085-6 USUALLY WE GET IMAGING IF THE PAIN DOES NOT IMPROVE AFTER SIX WEEKS OF CONSERVATIVE MANAGEMENT SO WHAT WE CAN TRY IS TO GIVE YOU +MSK0024-085-7 SOME PAIN MANAGEMENT FIRST AND SOME ANTI INFLAMMATORY MEDICATION AND THEN AS WELL AS TRY SOME PHYSIOTHERAPY +MSK0024-085-8 SOME EXERCISES TO HELP YOU WITH THE BACK PAIN AND THEN IF THE PAIN DOES NOT IMPROVE AND SINCE THERE IS NO RED FLAGS THAT WERE TOO WORRIED ABOUT +MSK0024-085-9 RIGHT NOW WITH YOUR BACK PAIN WE CAN WAIT TO GET SOME IMAGING BUT FIRST WE WOULD JUST LIKE TO TRY SOME OF THE CONSERVATIVE MANAGEMENT IS THAT OK WITH YOU +MSK0024-086 THAT SOUNDS GREAT THANK YOU +MSK0024-087 YOU'RE WELCOME ALRIGHT TAKE CARE +MSK0025-000 WHAT BRINGS YOU IN HERE TODAY +MSK0025-001-1 SO MY BACK HAS BEEN KILLING ME IT'S BEEN HURTING FOR THE PAST TWO MONTHS BUT RECENTLY IT'S GOTTEN WORSE I'D SAY OVER THE PAST WEEK OR TWO WEEKS IT'S GOTTEN REALLY BAD AND NO OVER THE COUNTER MEDICATION IS HELPING WITH THE PAIN +MSK0025-001-2 IT'S I'M FINDING IT HARD TO WALK I CAN'T FEEL ANYTHING IN THE GROIN AREA AND I'M HAVING SO MANY BLADDER ACCIDENTS +MSK0025-002 OK AND SO THIS PAIN STARTED TWO MONTHS AGO BUT IT'S PROGRESSED TO LIKE THESE OTHER SYMPTOMS AS WELL +MSK0025-003 YES THAT'S RIGHT +MSK0025-004 WHERE DID THE PAIN START +MSK0025-005 IT STARTED IN MY LOWER BACK +MSK0025-006 STARTED YOUR LOWER BACK OK AND DOES THE PAIN HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE ACHING SHARP +MSK0025-007 IT'S SHARP +MSK0025-008 OK AND DID ANYTHING HAPPENED PRIOR TO THE PAIN ANY INJURIES AT ALL THAT YOU EXPERIENCED +MSK0025-009-1 TWO MONTHS AGO I WAS IN A MOTOR VEHICLE ACCIDENT AN I THINK MY BACK STARTED HURTING THEN BUT THEY DID +MSK0025-009-2 SOME IMAGING IT'S AND TURNED OUT LIKE ONE OF THE DISCS THERE WAS A SLIP IN A DISC OR SOMETHING BUT AT THAT POINT THE PAIN WAS JUST ACHEY +MSK0025-009-3 AND I DON'T REALLY HAVE ANY IN ANY OF THESE OTHER ISSUES BUT OVER THE PAST TWO WEEKS IT'S GOTTEN SHARP AND I'M HAVING ALL THESE OTHER SYMPTOMS +MSK0025-010 OK AND SO YOU'RE HAVING THE SET LIKE WHAT'S CALLED SOME NUMBNESS IN YOUR GROIN IS THAT UNILATERAL LIKE ON ONE SIDE OR BOTH SIDES +MSK0025-011 IT SEEMS LIKE IT'S BOTH SIDES +MSK0025-012 OK AND SO AND THEN YOU'RE ALSO HAVING THE URINARY INCONTINENCE HOW LONG IS THAT BEEN GOING ON FOR +MSK0025-013 THE PAST WEEK +MSK0025-014 OK AND WHAT ABOUT THE NUMBNESS IN YOUR GROIN AREA +MSK0025-015 THAT'S BEEN GOING ON FOR THE PAST WEEK AS WELL +MSK0025-016 OK AND OK AND HOW WOULD YOU DESCRIBE YOUR PAIN RIGHT NOW ON A SCALE OF ONE TO TEN TEN BEING THE WORST PAIN YOU'VE FELT +MSK0025-017 I WOULD SAY IT'S LIKE AN EIGHT OR NINE +MSK0025-018 EIGHT OR NINE OK AND DOES IT GET WORSE WITH ANY ANY MOTIONS AT ALL +MSK0025-019 I THINK IT'S WORSE WITH I DON'T KNOW LIKE IT'S WORSE WITH ANYTHING ANYTIME ANYTIME I TRIED TO MOVE IT IT HURTS +MSK0025-020 OK SO YOU JUST IMPROVED WITH REST COMPLETE REST +MSK0025-021 OK DOES IT TRAVEL IN DOES THE PAIN TRAVEL ANYWHERE ELSE DOES IT SHOOT DOWN YOUR LEGS AT ALL +MSK0025-022 SO IT DOES SHOOT DOWN MY LEGS AND I'M HAVING A HARD TIME WALKING BECAUSE OF THAT +MSK0025-023 IS IT BOTH LEGS OR JUST ONE +MSK0025-024 IT'S MOSTLY ON MY RIGHT BUT THE LEFT ONE ISN'T THE SAME AS IT USED TO BE EITHER +MSK0025-025 OK +MSK0025-026 I'M HAVING A HARD TIME LIKE GETTING UP FROM A CHAIR AND THINGS LIKE THAT +MSK0025-027 OK AND ANYTHING THAT YOU'VE TRIED THAT HAS HELPED RELIEVE SOME OF YOUR SYMPTOMS +MSK0025-028 I'VE TRIED LIKE OVER THE COUNTER COUNTER AND IBUPROFEN I'VE TRIED SOME TOPICAL ANALGESICS AND NOTHING SEEMS TO BE WORKING +MSK0025-029 OK AND HAVE YOU EXPERIENCED ANY TRAUMA SO YOU MENTIONED YOU HAD A CAR ACCIDENT RATE TWO MONTHS AGO +MSK0025-030 YES THAT WAS THAT WAS TWO MONTHS AGO +MSK0025-031 OK AND THEN WERE YOU IN THE HOSPITAL ADMITTED TO THE HOSPITAL FOR FOR A WHILE OR HOW WHAT HAPPENED IN YOUR TREATMENT +MSK0025-032-1 YEAH I WAS I WAS TAKEN TO THE ER THEY DID LIKE A FULL WORK UP ON ME THE ONLY THING ON MY BACK THAT THEY FOUND WAS A SLIPPED DISC +MSK0025-032-2 AND THEN THEY SAID THAT SHOULD THAT SHOULDN'T CAUSE ME TOO MUCH PAIN BUT IF I WAS HAVING ANY OF THESE SYMPTOMS THAT I'M HAVING NOW I SHOULD GO BACK OR SEE A DOCTOR AT LEAST +MSK0025-032-3 AND OTHERWISE I WAS FINE LIKE I DIDN'T LOSE A LOT OF BLOOD OR I DIDN'T NEED ANY SURGICAL INTERVENTIONS AT THAT POINT +MSK0025-033 OK I SEE AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS OR ANY ANY PAIN IN ANY OTHER JOINTS OR MUSCLES +MSK0025-034 NO NO NOTHING LIKE THAT +MSK0025-035 OK ANY FEVERS OR CHILLS +MSK0025-036 NO +MSK0025-037 ANY NIGHT SWEATS +MSK0025-038 NO RASHES OR SKIN CHANGES +MSK0025-039 NO +MSK0025-040 ANY KIND OF CHEST PAIN SHORT OF SORRY SHORTNESS OF BREATH +MSK0025-042 NO ANY COUGH OR COLD LIKE SYMPTOMS +MSK0025-043 NO +MSK0025-044 ANY SO YOU HAVE SOME URINARY INCONTINENCE ANY +MSK0025-046 INCONTINENCE NO OK HOW'S AN ANY RECENT CHANGES IN YOUR WEIGHT +MSK0025-048 NO HAVE YOU BEEN SICK AT ALL RECENTLY +MSK0025-049 NO +MSK0025-050 OK ANY TINGLING SENSATION EITHER IN YOUR BACK OR SHOOTING DOWN YOUR LEGS +MSK0025-051 NO +MSK0025-052 ANY BURNING SENSATION +MSK0025-053 LITTLE BIT OF BURNING SENSATION +MSK0025-054 OK DO YOU HAVE ANY NUMBNESS IN YOUR LOWER LIMBS OR JUST NUMBNESS AROUND THE GROIN +MSK0025-055 JUST NUMBNESS AROUND THE GROIN AREA BUT MY LOWER LIMBS DO SEEM WEAK +MSK0025-056 OK SO YOU HAVE MUSCLE WEAKNESS IS IT JUST ONE LIKE THAT'S WEAK OR BOTH LEGS +MSK0025-057 SO BOTH LIKE SEEM WEAK BUT THE RIGHT MORE THAN THE LEFT +MSK0025-058 OK I SEE AND DOES THIS WEAKNESS SEEM TO GET WORSE OR IS IT AROUND THE SAME AS IT WAS WHEN IT STARTED +MSK0025-059 IT'S IT'S IT FEELS LIKE IT'S GETTING WORSE +MSK0025-060 OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU HAVE BEEN DIAGNOSED WITH +MSK0025-061 I HAD HYPOTHYROID SO I'VE BEEN TAKING SYNTHROID FOR THAT +MSK0025-062 OK ANY OTHER MEDICATIONS +MSK0025-063 NO +MSK0025-064 OK ANY ALLERGIES TO ANY MEDICATIONS +MSK0025-065 NO +MSK0025-066 OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES +MSK0025-067 NO +MSK0025-068 ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS +MSK0025-069 NO +MSK0025-070 OK CURRENTLY DO YOU WORK +MSK0025-071 I DO I WORK FROM HOME RIGHT NOW I'M A TEACHER +MSK0025-072 OK AND DO YOU DID YOU DO ANY WORK PREVIOUSLY THAT REQUIRED HEAVY LIFTING OR STRENUOUS ACTIVITIES REGARDING YOUR BACK AT ALL +MSK0025-073 NO NO NOTHING LIKE THAT +MSK0025-074 AND WHAT'S YOUR HOME AND LIVING SITUATION LIKE RIGHT NOW +MSK0025-075 I LIVE AT HOME WITH TWO OF MY CHILDREN +MSK0025-076 OK AND ARE YOU ABLE TO DO THINGS AT HOME THAT YOU WERE BEFORE LOOK LIKE OR DO YOU NEED SOME EXTRA HELP FROM IT YOUR FAMILY MEMBERS OR EXTRA HELP FROM OTHER WORKERS ANYTHING LIKE THAT +MSK0025-077 MY FAMILY'S DEFINITELY BEEN HELPING ME OUT A LOT OVER THESE PAST FEW WEEKS BECAUSE LIKE I SAID LIKE I'M HAVING SOME WEAKNESS IN MY LEGS I CAN'T MOVE AROUND AS MUCH BECAUSE I'M IN SO MUCH PAIN AND THEN LIKE THERE ARE ALL THESE LIKE BLADDER ACCIDENTS SO THEY'VE BEEN HELPING ME OUT WITH EVERYDAY THINGS +MSK0025-078 OK I SEE AND CURRENTLY DO YOU SMOKE +MSK0025-079 NO +MSK0025-080 OK DO YOU DRINK ALCOHOL +MSK0025-081 NO +MSK0025-082 AND ANY RECREATIONAL DRUGS LIKE MARIJUANA +MSK0025-083 NO +MSK0025-084 OK I'M JUST GETTING AT YOU TO DO A FEW THINGS ON JUST JUST AS PART OF THE PHYSICAL EXAMINATION +MSK0025-085 SURE +MSK0025-086 ARE YOU ABLE TO BEND DOWN OR EXTEND YOUR BACK AT ALL OR IS IT TOO PAINFUL +MSK0025-087 I CAN'T DO THAT IT'S TOO PAINFUL +MSK0025-088 DO YOU NOTICE ANY KIND OF REDNESS SWELLING IN AND AROUND YOUR BACK +MSK0025-089 NOT THAT I CAN TELL +MSK0025-090 OK AND HOW ABOUT IF YOU PRESS DOWN ON THE YOUR LOWER BACK DOES IT HURT +MSK0025-091 THAT HURTS +MSK0025-092 OK AND ARE YOU EXPERIENCING THE NUMBNESS RIGHT NOW AND IN YOUR GROIN AREA +MSK0025-093 I AM +MSK0025-094 ARE YOU ABLE TO RAISE YOUR LEGS WHEN IN A LYING POSITION WITH STRAIGHT LEGS KNEES NOT BENDING AT ALL THEY ARE ABLE TO RAISE WITHOUT ANY PAIN +MSK0025-095 NO I CAN'T DO THAT IT'S IT'S TOO PAINFUL +MSK0025-096 I SEE ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SEEMS IT'S GREAT IT'S GOOD THAT YOU CAME TO THE EMERGENCY DEPARTMENT DO YOU HAVE ANY QUESTIONS AT ALL +MSK0025-097 NO JUST LIKE HOW CAN I FIX THIS +MSK0025-098-1 YEAH SO BASED ON YOUR SYMPTOMS IT'S SOMETHING THAT'S PRETTY URGENT IT'S SEEMS LIKE YOU MAY BE HAVING SOMETHING CALLED CAUDA EQUINA SYNDROME THAT MAY BE CAUSED BY +MSK0025-098-2 YOUR BACK PAIN AND THAT'S WHY YOU'RE FEELING THAT GROIN WOULD BE CALLED SADDLE ANESTHESIA AND THEN THE URINARY INCONTINENCE +MSK0025-098-3 SO THIS MAY BE FROM THE INJURY THAT YOU HAD WITH THE CAR ACCIDENT AND IT MAY BE DUE TO SOME COMPRESSION OF WHAT WE CALL +MSK0025-098-4 LIKE COMPRESSION OF THE NERVES IN THE AREA WHICH MIGHT BE GIVING YOU SOME OF THESE SYMPTOMS SO THE FIRST THING WE DO NEED TO DO IS GET AN MRI OF YOUR LOWER BACK +MSK0025-098-5 JUST TO MAKE SURE THERE'S NOTHING GOING ON LIKE FOR EXAMPLE LIKE ANY MASSES IN THE AREA OR ANY KIND OF ABSCESSES THAT MIGHT BE WE MAY BE WORRIED ABOUT JUST TO MAKE SURE +MSK0025-098-6 WELL JUST TO SEE WHAT'S GOING ON IN THERE THAT'S CAUSING THESE SYMPTOMS AND THEN BASED ON WHAT WE FIND WE WILL +MSK0025-098-7 WE WILL TARGET LIKE THE CAUSE OF THE SYMPTOMS LIKE FOR EXAMPLE IF IT'S AN INFECT INFECTION THAT'S CAUSING THIS YOU MIGHT NEED +MSK0025-098-8 TO BE ADMITTED AND REQUIRE ANTIBIOTICS IF THERE IS ANY MASSES CAUSING IT YOU MAY REQUIRE SURGERY FOR EXAMPLE IF IT'S MAINLY RELATED TO YOUR +MSK0025-098-9 BACK IT IS SOMETHING THAT WE WILL HAVE TO TREAT WITH WITH AN ADMISSION SO IT'S GOOD THAT YOU CAME IN HERE TODAY DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS +MSK0025-099 NO THAT WAS IT THANK YOU SO MUCH FOR YOUR HELP +MSK0025-100 YOU'RE WELCOME AND WILL GET BACK TO YOU SHORTLY +MSK0026-000 HOW MAY I HELP YOU +MSK0026-001 I'M I'M HERE BECAUSE MY RIGHT KNEE IS VERY PAINFUL IT LOOKS KIND OF SWOLLEN AND IT'S IT'S ALSO A LITTLE BIT WARM SO I'M JUST WORRIED I'M WORRIED ABOUT IT AND I WAS WONDERING IF YOU COULD LOOK AT IT +MSK0026-002 CERTAINLY SO WHERE ARE YOU FEELING THE +MSK0026-003 THE PAIN EXACTLY SO IT'S WHERE SO RIGHT IN THE MIDDLE OF MY KNEE +MSK0026-004 SO JUST BELOW THE BONE THAT THE BIG KNEE BONE OK +MSK0026-005 SO LIKE UNDERNEATH THE +MSK0026-006 KNEECAP LIKE BELOW THAT JUST JUST A LITTLE BIT BELOW OK SO SLIGHTLY BELOW THE PATELLA SOUNDS LIKE +MSK0026-008 SOMEWHERE IN THE REGION OF +MSK0026-009 THE TIBIAL THROUGH TUBEROSITY +MSK0026-010 OK AND WHEN DID THIS PAIN START IT STARTED ABOUT TWO WEEKS AGO OK TWO WEEKS AGO WHEN THE PAIN +MSK0026-011-1 STARTED WAS THERE ANY TRAUMA OR COULD YOU REMEMBER ANY MOVEMENT THAT THAT CAUSED THE PAIN +MSK0026-011-2 NOTHING LIKE THAT BUT I RECENTLY FOUND OUT THAT I HAD SOME OSTEOARTHRITIS ON MY LEFT KNEE SO I WAS TRYING TO PUT MORE PRESSURE ON MY RIGHT KNEE ONE WHENEVER I WAS DOING LIKE GARDENING WORK +MSK0026-011-3 AND I THINK SOMETHING SOMETHING MAY HAVE HAPPENED WHEN I WAS DOING THAT SOMETHING MAYBE MAYBE I PUT TOO MUCH STRAIN ON IT +MSK0026-012 OK I SEE AN ALRIGHT LIKE ARE YOU DOING A LOT OF KNEELING ON ON OR DURING THE GARDENING WORK +MSK0026-013 I AM +MSK0026-014 OK AND HOW LONG HAS THE PAIN BEEN GOING ON FOR HAS IT BEEN CONSTANT OVER THESE TWO WEEKS +MSK0026-015 YES IT HAS BEEN +MSK0026-016 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT SHARP BURNING ACHY +MSK0026-017 I WOULD SAY MOSTLY ACHY BUT IT CAN BE SHARP +MSK0026-018 OK AND DO YOU FEEL THE PAIN RADIATE ANYWHERE ELSE +MSK0026-019 NO JUST IT'S PRETTY LOCAL +MSK0026-020 OK HAVE YOU TRIED ANYTHING TO MAKE THE PAIN BETTER +MSK0026-021 I TRIED SOME TOPICAL LIKE WHAT ARE THOSE LIKE ICE AND FIRE GELS THOSE SEEM TO HELP TEMPORARILY BUT THE PAIN COMES BACK +MSK0026-022 OK AND HAVE YOU TRIED HAS ANYTHING MADE THE PAIN WORSE +MSK0026-023-1 I GUESS LIKE WHEN I KNEEL DOWN ON IT IT GETS PAINFUL OR IF I TOUCH IT OR PALPATE IT I GUESS PAINFUL IF I'M I'M +MSK0026-023-2 FLEXING MY KNEE TOO MUCH THAT HURTS AS WELL KIND OF KEEPING IT STRAIGHT AND NOT TOUCHING IT MAKES IT FEEL BETTER +MSK0026-024 OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS WITH TEN BEING THE WORST PAIN YOU'VE EVER FELT AND ONE BEING THE LEAST PAIN +MSK0026-025 I GIVE IT ABOUT A SIX +MSK0026-026 OK AND HAVE YOU HAD A PAIN LIKE THIS IN YOUR RIGHT KNEE BEFORE +MSK0026-027 NO NOTHING LIKE THIS AND I HAVE OSTEOARTHRITIS IN MY LEFT KNEE BUT IT FEELS DIFFERENT +MSK0026-028 OK AND OK AND HAVE YOU HAD ANY FEVERS OR CHILLS +MSK0026-030 NO OK AND HOW ABOUT +MSK0026-032 ANY NIGHT SWEATS NO OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +MSK0026-034 NO HAVE YOU HAD ANY HEADACHES +MSK0026-035 NO +MSK0026-036 HAVE YOU HAD ANY CHANGES TO YOUR SENSES LIKE VISION OR HEARING +MSK0026-037 NO +MSK0026-038 ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE +MSK0026-039 NO +MSK0026-040 OK HAVE YOU HAD ANY SORE THROAT OR COUGH +MSK0026-041 NO +MSK0026-042 ALRIGHT HAVE YOU HAD ANY SHORTNESS OF BREATH +MSK0026-043 NO +MSK0026-044 HAVE YOU HAD ANY WHEEZING +MSK0026-045 NO +MSK0026-046 HAVE YOU HAD ANY CHEST PAIN +MSK0026-047 NO +MSK0026-048 HAD ANY LIGHTHEADEDNESS OR DIZZINESS +MSK0026-049 NO +MSK0026-050 HAVE YOU HAD ANY HEART PALPITATIONS +MSK0026-051 NO +MSK0026-052 OK AN HAVE YOU HAD ANY NAUSEA OR VOMITING +MSK0026-053 NO +MSK0026-054 HAVE YOU HAD ANY ABDOMINAL PAIN +MSK0026-055 NO +MSK0026-056 HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL +MSK0026-057 NO +MSK0026-058 HAVE YOU HAD ANY PAIN WITH URINATION OR FREQUENCY WITH URINATION +MSK0026-059 NO +MSK0026-060 OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR JOINT PAINS ANYWHERE ELSE +MSK0026-061 NO +MSK0026-062 OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR OR TINGLING OR REDUCED SENSATION +MSK0026-064 NO OK AND HOW IS YOUR ENERGY BEEN RECENTLY HAVE YOU HAD ANY FATIGUE +MSK0026-065 NO NOT REALLY IT'S BEEN THE SAME +MSK0026-066 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH +MSK0026-067 ANY MEDICAL CONDITIONS I HAVE CLASS TWO OBESITY AND THEN +MSK0026-068 ALSO ARTHRITIS IN MY LEFT KNEE AS +MSK0026-069 WELL AS HIGH BLOOD PRESSURE I SEE AND DO YOU TAKE ANY MEDICATIONS CURRENTLY I'M ON RAMIPRIL AND I TAKE +MSK0026-070 SOME IBUPROFEN SOMETIMES FOR THE OSTEOARTHRITIS IN MY LEFT KNEE +MSK0026-072 OK AND DO YOU HAVE +MSK0026-074 ANY ALLERGIES TO MEDICATIONS NO HAVE YOU HAD ANY SURGERIES BEFORE +MSK0026-076 OR HAVE YOU HAD ANY HOSPITALIZATIONS FOR ANY REASON NO OK +MSK0026-077 AND HAVE YOU BEEN PREGNANT IN THE +MSK0026-085 CURRENTLY LIKE WHO YOU'RE LIVING WITH AN WHEREABOUTS I LIVE IN DOWNTOWN LONDON I LIVE IN A HOUSE WITH MY HUSBAND +MSK0026-086 AND MY DAUGHTER OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY +MSK0026-088 NO AND HAVE YOU TRAVELED ANYWHERE RECENTLY +MSK0026-089 NO +MSK0026-090 OK ARE YOU CURRENTLY WORKING RIGHT NOW +MSK0026-091 I YES I AM +MSK0026-092 OK WELL THEN WHAT WHAT DO YOU DO +MSK0026-093 I WORK AS A FULL TIME GARDENER FOR A LANDSCAPING COMPANY +MSK0026-094 OK I SEE SO YOU'RE SPENDING A LOT OF TIME DOING KIND OF LIKE REPETITIVE KNEELING TYPE MOVEMENTS TO DO YOUR JOB +MSK0026-095 YES THAT'S RIGHT +MSK0026-096 OK AND DO YOU SMOKE CIGARETTES +MSK0026-097 I DON'T +MSK0026-098 ALRIGHT AND DO YOU DRINK ALCOHOL +MSK0026-099 I'LL HAVE A GLASS OF WINE EVERY OTHER NIGHT +MSK0026-100 OK AND DO YOU USE ANY RECREATIONAL DRUGS +MSK0026-101 NO I DON'T +MSK0026-102 HAVE YOU USED ANYTHING LIKE THAT IN THE IN THE PAST +MSK0026-103 NO +MSK0026-104 LIKE IV DRUGS NO OK AND IN THE FAMILY OR IS THERE A HISTORY OF ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS +MSK0026-105 NO +MSK0026-106 OK SO NEXT I JUST WANTED TO DO THE PHYSICAL EXAM PORTION AND ASK YOU TO HAVE A LOOK AT THE KNEE FIRST AND LET ME KNOW IF THE IF YOU'RE HAVING ANY SWELLING REDNESS +MSK0026-108 OR WARMTH TO THE KNEE COMPARED TO THE OTHER SIDE SURE SORRY SO YOU ARE HAVING HAVING +MSK0026-110 SWELLING WARMTH AND REDNESS TO THE RIGHT KNEE OK AND ARE YOU HAVING PAIN TO LIKE PALPATION IS THERE A SPECIFIC SPOT YOU CAN PRESS ON THAT +MSK0026-111 CAUSES A SHARP PAIN SO JUST BELOW THAT KNEECAP AREA THERE IS SOME SWELLING THERE AND WHEN I PRESS DOWN ON THAT SWOLLEN AREA IT CAUSES A BIT OF PAIN +MSK0026-112 OK AND ARE YOU ABLE TO FULLY BEND BEND AND STRAIGHTEN THE KNEE +MSK0026-113 I CAN DO THAT BUT WHEN I BEND MY KNEE IT REALLY HURTS +MSK0026-114 OK AND ARE YOU ABLE TO WALK NORMALLY OR DO YOU HAVE A LIMP +MSK0026-115 I CAN WALK NORMALLY IT JUST HURTS +MSK0026-116 OK SO THAT WAS A EVERYTHING THAT I WANTED TO ASK TODAY ON THE HISTORY AND AND PHYSICAL WAS THERE ANYTHING THAT YOU MAYBE I FORGOT ABOUT YOU WANTED TO ADD +MSK0026-117 NO +MSK0026-118-1 I DON'T THINK SO +MSK0026-118-2 OK SO RIGHT NOW IT'S SOUNDING LIKE THIS COULD POSSIBLY BE A KNEE BURSITIS OR PREPATELLAR OR SORRY INFRA PATELLAR +MSK0026-118-3 BURSITIS OR A PREPATELLAR BURSISTIS WHICH ARE THE KIND OF THE MORE COMMON TYPES ONE THING TO MAKE SURE THAT WE +MSK0026-118-4 RULE OUT WOULD BE A SEPTIC BURSITIS ALTHOUGH YOU'RE NOT HAVING ANY FEVERS OR CHILLS SO THAT MAKES IT +MSK0026-119-1 A LITTLE BIT LESS LIKELY BUT IF YOUR SYMPTOMS ARE GETTING WORSE AND YOU'RE DEVELOPING A FEVER IT'S BECOMING EVEN MORE PAINFUL THEN CERTAINLY WILL HAVE TO RULE OUT INFECTION +MSK0026-119-2 AND AS WELL IF THINGS ARE NOT IMPROVING POTENTIALLY A STRUCTURAL DISEASE AND ANY SUCH AS A MENISCAL INJURY OR +MSK0026-119-3 LIKE A LIGAMENTAL INJURY FROM ALL OF THE LIKE KNEELING AND AND REPETITIVE MOVEMENTS BUT +MSK0026-121 NOW I THINK IT'S MOSTLY SOUNDING LIKE A KNEE BURSITIS OK OK AND TREATMENT FOR THAT WILL BE ACTIVITY MODIFICATION +MSK0026-122 AS WELL AS USING THINGS LIKE +MSK0027-000 HOW MAY I HELP YOU +MSK0027-001 HI I'M HERE WITH MY THREE YEAR OLD DAUGHTER AND SHE'S BEEN HOLDING HER ELBOW AWKWARDLY AND SHE SEEMS LIKE SHE'S IN PAIN AND SO I WAS JUST WONDERING IF LIKE SOMETHING HAPPENED TO HER ELBOW AND IF YOU CAN FIX IT +MSK0027-002 FOR SURE OK SO IS SHE HOLDING HER ARM LIKE ANY PARTICULAR POSITION LIKE WITH HER ELBOW KIND OF FLEXED OR IS HER ARM EXTENDED +MSK0027-003 IT'S IT SEEMS KIND OF FLEX IS HOLDING IT AWKWARDLY AND SHE CAN'T SHE SHE'S NOT SHE'S NOT STRETCHING IT +MSK0027-004 OK AND WHEN DID THIS START WHEN DID YOU FIRST NOTICE +MSK0027-005 I NOTICE THIS YESTERDAY +MSK0027-006 OK AND AND I HAD SHE BEEN HOLDING HER HER ARM KIND OF LIKE THIS THE WHOLE TIME +MSK0027-007 THERE'S JUST LIKE A SLIGHT BEND TO IT IT'S NOT FULLY STRAIGHTENED IT'S NOT FULLY LIKE FULLY FLEXED IT'S JUST KIND OF HANGING OUT HER SIDE +MSK0027-008 OK AND HAS THERE BEEN ANYTHING THAT'S +MSK0027-009 MADE THE PAIN WORSE NO I DON'T THINK SO I THINK NO I THINK SHE SHE'S JUST BEEN HOLDING IT AWKWARDLY LIKE THAT I I'M ASSUMING SO IT DOESN'T CAUSE MORE PAIN +MSK0027-010 OK AND IS THE PAIN SHARP BURNING OR ACHY +MSK0027-011 I THINK IT'S IT'S IT'S +MSK0027-012 SHARP A SHARP PAIN OK AND DOES THE PAIN RADIATE ANYWHERE ELSE LIKE PAIN IN THE HAND OR WRIST OR PAIN UP INTO THE ARM OR SHOULDER +MSK0027-013 I DON'T THINK SO +MSK0027-014 OK AND HAS THERE BEEN LIKE WAS THERE ANYTHING THAT HAPPENED AROUND THE TIME THAT YOU FIRST NOTICED HER HOLDING HER ARM LIKE THIS SUCH AS A FALL OR MAYBE LIKE SOMEBODY PULLING ON ON HER HAND LIKE SWINGING HER FROM HER ARM OR ANYTHING LIKE THAT +MSK0027-015 I KNOW HER FATHER WAS SWINGING HER ARMS YESTERDAY THEY WERE PLAYING IN THE PARK SO MAYBE +MSK0027-016 OK SO JUST SHE'S SWINGING FROM ARMS YESTERDAY OK AND HAS SHE TALKED ABOUT HAVING ANY NUMBNESS OR TINGLING +MSK0027-017 NO +MSK0027-018 OK AND ANY MUSCLE WEAKNESS THAT YOU'VE NOTICED +MSK0027-019 NO NO MUSCLE WEAKNESS +MSK0027-023 FEVERS OR CHILLS NO OK +MSK0027-025 AND IT HAS SHE HAD ANY HEADACHES NO HAS SHE HAD ANY SENSORY CHANGES LIKE ANY ISSUES WITH VISION OR HEARING +MSK0027-027 NO ANY ISSUES WITH SENSE OF SMELL OR TASTE +MSK0027-028 NO +MSK0027-029 HOW SHE HAD A COUGH OR SORE THROAT +MSK0027-030 NO +MSK0027-031 OK HAS SHE HAD ANY NIGHT SWEATS +MSK0027-032 NO +MSK0027-033 AND HAS SHE HAD ANY WEIGHT LOSS +MSK0027-034 NO +MSK0027-035 OK AND YOU HAS SHE HAD A RUNNY NOSE OR SORE THROAT +MSK0027-036 NO +MSK0027-037 HOW ABOUT A COUGH OR SHORTNESS OF BREATH +MSK0027-038 NO +MSK0027-039 HAS SHE HAD ANY WHEEZING OR CHEST PAIN +MSK0027-040 NO +MSK0027-041 ALRIGHT AND ANY ABDOMINAL PAIN +MSK0027-042 NO +MSK0027-043 ANY NAUSEA OR VOMITING +MSK0027-044 NO +MSK0027-045 ANY DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL +MSK0027-046 NO +MSK0027-047 ANY CHANGES TO HER URINARY PATTERNS +MSK0027-048 NO +MSK0027-049 OK AND AS YOU HAD ANY APPETITE LOSS +MSK0027-050 NO +MSK0027-051 HOW IS YOUR ENERGY BEEN +MSK0027-052 IT'S BEEN THE SAME SHE'S JUST NOT DOING AS MUCH BECAUSE HER ARM IS IN PAIN +MSK0027-053 OK BUT +MSK0027-055 FATIGUE NO I SEE OK AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION +MSK0027-056 NO NOTHING LIKE THAT +MSK0027-057 DOES SHE HAVE ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE +MSK0027-058 NO +MSK0027-059 OK AND HOW ABOUT SKIN CHANGES SUCH AS RASHES OR ANY CHANGES TO HER HAIR OR NAILS +MSK0027-060 NO NOTHING LIKE THAT +MSK0027-061 OK AND IN THE PAST HAS SHE HAD ANY MEDICAL PROBLEMS OR HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +MSK0027-062 NO SHE'S BEEN PRETTY HEALTHY OTHERWISE +MSK0027-063 OK DOES SHE TAKE ANY MEDICATIONS +MSK0027-064 NO +MSK0027-065 DID SHE HAVE ANY ALLERGIES +MSK0027-066 NO +MSK0027-067 AND HAS SHE BEEN HOSPITALIZED FOR ANY REASON OR HAS SHE HAD ANY SURGERIES +MSK0027-068 NO +MSK0027-069 OK ANY CONCERNS FOR REACHING DEVELOPMENTAL MILESTONES SUCH AS WALKING TALKING AND LIKE SOCIAL INTERACTIONS +MSK0027-070 NO NO ISSUES THERE +MSK0027-071 NO PROBLEMS +MSK0027-072 OK AND THEN HOW ABOUT LIKE JUST GROWTH AND AND DEVELOPMENT IS SHE GETTING TALLER AND I'M GAINING WEIGHT +MSK0027-073 LIKE THAT'S BEEN PRETTY GOOD +MSK0027-074 OK WELL THAT'S GOOD AND WERE THERE ANY CONCERNS WITH THE PREGNANCY WITH HER ANY LIKE GESTATIONAL DIABETES HIGH BLOOD PRESSURE OR INFECTIONS +MSK0027-075 NO EVERYTHING WENT SMOOTHLY +MSK0027-076 OK WAS SHE AT TERM OR WHERE SHE PRE TERM +MSK0027-077 SHE WAS AT TERM SHE WAS LIKE A THIRTY SEVEN POINT ONE TWO WEEKS OR SOMETHING LIKE THAT +MSK0027-078 OK AND WAS IT VAGINAL DELIVERY OR C SECTION +MSK0027-079 IT WAS VAGINAL +MSK0027-080 OK AND WAS THERE ANY REASON FOR HER TO STAY IN HOSPITAL AFTERWARDS +MSK0027-081 NO +MSK0027-082 OK AND CAN YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION CURRENTLY LIKE WHO IS THE PRIMARY CAREGIVER FOR HER AND LIKE WHO SHE WHO SHE'S LIVING WITH THEN WHEREABOUTS +MSK0027-083 AND SHE'S LIVING WITH BOTH HER PARENTS AND MYSELF AS WELL AS HER DAD AND SHE HAS A SEVEN YEAR OLD BROTHER AND WE LIVE IN A HOUSE JUST OUTSIDE OF LONDON +MSK0027-084 I SEE OK AND IS SHE GOING TO DAYCARE RIGHT NOW OR ANYTHING LIKE THAT +MSK0027-085 NO SHE'S SHE'S AT HOME WITH ME +MSK0027-086 OK SHE BEEN AROUND ANYBODY WHO'S BEEN SICK +MSK0027-087 NO +MSK0027-088 AND HAVE YOU TRAVELED ANYWHERE +MSK0027-089 NO +MSK0027-090 OK AN ANY CONCERN FOR LIKE PHYSICAL OR EMOTIONAL VIOLENCE IN THE HOME +MSK0027-091 NO NOTHING LIKE THAT +MSK0027-092 OK AND IS THERE ANYBODY WHO SMOKES IN THE HOME +MSK0027-093 NO NO ONE SMOKES AT HOME +MSK0027-094 OK AND ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY +MSK0027-095 NO +MSK0027-096 HOW ABOUT ANY HEART OR LUNG CONDITIONS +MSK0027-097 NO +MSK0027-098 OK SO I ASK YOU TO JUST HAVE A LOOK AT HER ELBOW NOW AND +MSK0027-099 SURE +MSK0027-100 LET ME KNOW THE IF YOU'RE SEEING ANY SWELLING OR REDNESS +MSK0027-101 OK AND SO THE ELBOWS LOOK FINE NEITHER ELBOW APPEARS RED OR SWOLLEN +MSK0027-102 OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY JOINT DEFORMITY OR OR MALALIGNMENT +MSK0027-103 NO I DON'T SEE THAT I ALSO ACTUALLY IT MIGHT BE SLIGHTLY IT LOOKS A LITTLE BIT AWKWARD THE WAY SHE'S HOLDING IT SO I CAN'T TELL IF IT'S MISALIGNED +MSK0027-104 OK AND ANY SKIN CHANGES OVER THE ELBOW +MSK0027-105 NO +MSK0027-106 ALRIGHT IF YOU WERE TO PRESS OVER VARIOUS PORTIONS OF THE ELBOW ARE THERE ANY AREAS THAT CAUSE PAIN LIKE THE LATERAL SIDE MEDIAL SIDE OR ANTERIOR POSTERIOR +MSK0027-107 IT HURTS SHE'S IN PAIN WHENEVER I TOUCH ANYWHERE NEAR THE ELBOW AREA +MSK0027-108 OK AND IS THERE ANY PAIN WITH WITH +MSK0027-109 MOVEMENT YES WHENEVER I TRIED TO BEND IT OR STRAIGHTEN IT OUT ALL THE WAY SHE SHE COMPLAINTS OF PAIN +MSK0027-110 OK HOW ABOUT MOVING THE REST OR SHOULDER +MSK0027-111 NO THAT'S FINE +MSK0027-112 OK SO THAT THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT AND AND LOOK FOR ON THE PHYSICAL TODAY DID YOU HAVE ANYTHING ELSE THAT PERHAPS I FORGOT TO MENTION THAT MIGHT BE IMPORTANT +MSK0027-113 NO THAT WAS KIND OF IT I JUST WAS WONDERING HOW WE CAN FIX HER ELBOW +MSK0027-114-1 I YEAH CERTAINLY SO IT WILL BE SO WHEN I GET AN ELBOW X RAY AND +MSK0027-114-2 BUT TYPICALLY TO FIX THIS TYPE OF INJURY SO CURRENTLY I'M THINKING THIS COULD BE A LIKE A RADIAL HEAD SUBLUXATION AND POSSIBLY A RADIAL HEAD +MSK0027-114-3 FRACTURE BUT MOST LIKELY I RADIAL HEAD SUBLUXATION WHERE THERE'S A MECHANISM OF PULLING ON A CHILD'S ARM AND IT'S JUST THAT THE WHAT COULD HAPPEN IS THE +MSK0027-114-4 PART OF THE RADIUS WHICH IS THAT A FOREARM BONE CAN PULL OUT OF THE LIGAMENT THAT'S HOLDING IT DOWN +MSK0027-115 OK +MSK0027-116-1 JUST BECAUSE OF THE STRUCTURES THERE NOT YET FULLY MATURED AND STRONG AND SOMEBODY WHO'S THAT YOUNG AND SO IT WILL CAUSE PAIN REDUCED RANGE OF MOTION AT THE ELBOW +MSK0027-116-2 AND YOU WON'T REALLY SEE MUCH SWELLING OR REDNESS AND WITH JUST THE PHYSICAL EXAM MANEUVER YOU CAN REDUCE IT +MSK0027-116-3 AND AND THEN PUT THE HEAD OF THE RADIUS BACK INTO PLACE AND THINGS WILL BE USUALLY BACK TO BACK TO NORMAL BUT IF THERE IS A FRACTURE WHICH WILL LOOK FOR AN X RAY THEN +MSK0027-116-4 THERE THE PAIN MIGHT BE LAST A LITTLE BIT LONGER BUT IMMOBILIZATION OF THE ARM IS NOT REQUIRED AND MOST KIDS WILL REGAIN FULL MOBILITY IN IN A SHORT TIME AFTER THE +MSK0027-117 OK THAT SOUNDS GOOD THANK YOU +MSK0028-000 HOW MAY I HELP YOU +MSK0028-001-1 I JUST CAME IN BECAUSE I'VE BEEN HAVING THIS JUST JUST YESTERDAY IT STARTED THIS SUDDEN JUST PAIN OVER THE FRONT OF MY KIND OF LIKE A SHOULDER AN ALSO ELBOW +MSK0028-001-2 AND IT WAS RIGHT AFTER DOING I WAS JUST DOING SOME WORKOUT AND THIS PAIN JUST STARTED AND IT'S JUST LIKE A STABBING SHARP PAIN THAT HASN'T REALLY GONE AWAY SINCE THEN +MSK0028-002 OK AND SO WHAT ACTIVITY WERE YOU DOING SPECIFICALLY +MSK0028-003-1 SO I WAS DOING SO I WAS JUST DOING WEIGHT TRAINING AND I WAS KIND OF FLEXING MY ELBOWS AND I WAS WORKING ON MY BICEPS +MSK0028-003-2 I WAS ON THAT MACHINE WHERE YOU SO KNOW I WASN'T USING WEIGHTS OR DOING CURLS BUT I WAS WORKING ON MY BICEPS +MSK0028-003-3 AND I THINK I DID HEAR I DON'T THINK I HEARD LIKE ANY POP OR ANYTHING BUT RIGHT AFTER THAT I JUST HAD THIS SUDDEN SHARP PAIN IN MY SHOULDER AS WELL AS MY ELBOW +MSK0028-004 OK SO YOU YOU YOU THINK YOU HEARD A POP AT THAT TIME +MSK0028-005 I'M NOT SURE IF I HEARD A POP ACTUALLY I THINK I MIGHT HAVE THOUGH +MSK0028-006 OK AND DID THE PAIN START IMMEDIATELY OR OR A BIT LATER ON +MSK0028-007 THE PAIN I THINK IT STARTED PRETTY SOON AFTER LIKE PROBABLY WITHIN LIKE HALF AN HOUR OF THAT HAPPENING +MSK0028-008 OK AND WHERE IS THE PAIN LOCATED NOW +MSK0028-009 THE PAIN RIGHT NOW IS A JUST KIND OF RIGHT AT THE FRONT OF MY RIGHT ELBOW AS WELL AS NEAR MY SHOULDER AS WELL +MSK0028-010 OK AND I THINK YOU MENTIONED THE PAIN AS AS BEING SHARP IS THAT HOW YOU WOULD DESCRIBE THE CHARACTER OF THE PAIN +MSK0028-011 IT'S SHARP I JUST FEEL LIKE SOMETHING STABBING IN THERE +MSK0028-012 OK AND DOES THE PAIN RADIATE ANYWHERE ELSE +MSK0028-013 NO IT'S KIND OF IN THE SAME AREA AS THEY DESCRIBED +MSK0028-014 OK HAS THERE BEEN ANYTHING YOU'VE TRIED TO MAKE THE PAIN BETTER +MSK0028-015 NO NOTHINGS I TRIED LIKE ADVIL NOTHINGS REALLY WORKED +MSK0028-016 OK AND SORRY HOW LONG IS HOW MANY DAYS IS THE PAIN BEEN ON GOING ON FOR JUST JUST STARTED YESTERDAY +MSK0028-017 YESTERDAY +MSK0028-018 OK AND SINCE THEN HAS THE PAIN GETTING ANY BETTER OR ANY WORSE +MSK0028-019 I THINK IT'S THE SAME PROBABLY A BIT WORSE THAN SO IT JUST HAPPENED LAST EVENING AND I I DIDN'T END UP COMING LAST NIGHT BUT I WANTED TO MAKE SURE I'M JUST COMING THIS MORNING SINCE IT'S JUST BEEN A REALLY PAINFUL NIGHT +MSK0028-020 OK HAVE YOU DONE ANYTHING THAT'S MADE THE PAIN WORSE SINCE LAST NIGHT +MSK0028-021 NO I JUST TRIED TO JUST REST AND I TRIED TO USE SOME ICE BUT NOTHING NOTHING'S BEEN WORKING AND I KIND OF ALSO HAVE LIKE THIS IT IT'S WEIRD IT'S JUST LIKE THIS MASS RIGHT WHERE MY BICEPS IS IT KIND OF JUST MAKES MY BICEPS LOOK REALLY BIG +MSK0028-022 OK ALRIGHT WELL I SKIP LOOK AT THAT DURING THE PHYSICAL EXAM COMPONENT THANK YOU AND SO LIKE ARE YOU SEEING SWELL IS THERE LIKE SWELLING THERE IS AS WELL OR IS IS THAT PART PAINFUL +MSK0028-023 IT'S PAINFUL THERE SWELLING THERE AS WELL +MSK0028-024 OK AND WELL HOW SEVERE IS THE PAIN ON A SCALE OF TEN TO ONE TEN BEING THE WORST PAIN THAT YOU'VE EVER EXPERIENCED AND ONE BEING THE LEAST +MSK0028-025 PROBABLY AT LEAST AN EIGHT MAYBE A NINE +MSK0028-026 OK SO THE PAIN IS PRETTY SEVERE THEN IT SOUNDS LIKE OK HAVE YOU HAD ANY FEVERS OR CHILLS +MSK0028-027 NO +MSK0028-028 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +MSK0028-029 NO +MSK0028-030 OK AND HAVE YOU HAD ANY APPETITE LOSS +MSK0028-031 NO +MSK0028-032 OK AND HAVE YOU HAD ANY HEADACHES +MSK0028-033 NO +MSK0028-034 HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO VISION OR HEARING +MSK0028-035 NO NOTHING LIKE THAT +MSK0028-036 ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE +MSK0028-037 NOPE +MSK0028-038 HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT +MSK0028-039 NO NOTHING LIKE THAT +MSK0028-040 OK HAVE YOU HAD A COUGH +MSK0028-041 NO +MSK0028-042 ANY SHORTNESS OF BREATH +MSK0028-043 NO +MSK0028-044 OK ANY WHEEZING +MSK0028-045 NO +MSK0028-046 HAVE YOU HAD ANY CHEST PAIN +MSK0028-047 NO +MSK0028-048 HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING +MSK0028-050 NO ANY LIGHTHEADEDNESS OR DIZZINESS +MSK0028-052 OK AND HAVE YOU HAD ANY ABDOMINAL PAIN +MSK0028-053 NO +MSK0028-054 ANY NAUSEA OR VOMITING +MSK0028-055 NO +MSK0028-056 ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION OR EVEN BLOOD IN THE STOOL +MSK0028-057 NO NOTHING LIKE THAT +MSK0028-058 OK ANY URINATION PROBLEMS SUCH AS PAIN OR FREQUENCY +MSK0028-059 NOPE +MSK0028-060 OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR SKIN LIKE RASHES OR CHANGES TO YOUR NAILS OR HAIR +MSK0028-061 NO +MSK0028-062 ALRIGHT AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR TINGLING +MSK0028-063 NO I DON'T THINK SO +MSK0028-064 OK AND HAVE YOU HAD ANY +MSK0028-065 MUSCLE WEAKNESS JUST JUST IN THE IN THAT AREA I CAN'T REALLY LIKE I CAN'T REALLY FLEX AN REALLY MOVE MY UPPER UPPER ARM IN MY ELBOW +MSK0028-066 OK DO YOU HAVE ANY PAINS IN ANY OTHER JOINTS +MSK0028-067 NO THAT'S IT'S ONLY MY RIGHT UPPER ARM +MSK0028-068 OK AND HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS +MSK0028-069 NO OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS +MSK0028-070 NO I'VE BEEN PRETTY HEALTHY I THEY THINK I DO HAVE LIKE PRE DIABETES BUT I'M NOT ON ANY MEDICATION +MSK0028-071 OK AND HAVE YOU HAD ANY ISSUES WITH YOUR SHOULDER BEFORE LIKE LIKE A SUBACROMIAL LIKE IMPINGEMENT SYNDROME OR LIKE A ROTATOR CUFF PAINS OR PROBLEMS IN THE PAST +MSK0028-072 A FEW YEARS AGO I DID HAVE SOME PAIN WITH LIKE SOME THEY THEY TOLD ME NOT TO DO LIKE OVERHEAD WORK LIKE JUST THINGS THAT REQUIRE LIKE WITH PHYSIO I NEED TO DO SOME STRENGTHENING AS WELL AND IT WAS IT WASN'T THE SAME SAME SHOULDER +MSK0028-073 OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY +MSK0028-075 NO OK AND DO YOU HAVE ANY ALLERGIES +MSK0028-076 NO +MSK0028-077 HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES +MSK0028-078 I HAD MY TONSILS REMOVED WHEN I WAS PROBABLY LIKE TEN OR SOMETHING BUT THAT'S ABOUT IT +MSK0028-079 OK AND FOR THE SHOULDER IN THE PAST DID YOU HAVE ANY IMAGING DONE LIKE AN ULTRASOUND OR OR MRI MAYBE TO LOOK AT THE STRUCTURES +MSK0028-080 NO IT WAS JUST A IT KIND OF WENT AWAY I JUST DID SOME PHYSIO THEY DIDN'T REALLY DO ANY IMAGING +MSK0028-081 I SEE OK AND CAN YOU TELL ME A LITTLE ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE YOU'RE LIVING WITH AND WHERE +MSK0028-082 SO I'M LIVING WITH MY WIFE AND DAUGHTER AND I'M LIVING JUST +MSK0028-083 IN A CONDOMINIUM IN THE CITY +MSK0028-084 OK AND ARE YOU WORKING RIGHT NOW SO I'M AN ACCOUNTANT I'M WORKING FROM HOME SO IT'S NOT THAT BAD BUT I I MIGHT JUST TAKE A FEW DAYS OFF +MSK0028-085 DEPENDING ON WHAT I HAVE TO DO WITH THIS INJURY OK AND DO YOU AND HOBBY WISE YOU MENTIONED LIKE WEIGHT LIFTING ARE YOU AN ACTIVE PERSON LIKE BODYBUILDING AND THAT SORT OF THING REGULARLY +MSK0028-086 I I JUST ACTUALLY PROBABLY STARTED THIS PAST YEAR I USED TO I USED TO WORKOUT A LOT IN UNIVERSITY AND IN MY EARLY THIRTIES BUT THEN I STOPPED AND THIS YEAR I'VE KIND OF GONE BACK INTO IT +MSK0028-087 OK WELL IT'S GOOD THAT YOU'RE STAYING ACTIVE AND +MSK0028-088 DO YOU SMOKE CIGARETTES NO I PROBABLY TRIED A COUPLE TIMES AND HIGH SCHOOL AND UNIVERSITY +MSK0028-089 BUT JUST IT WAS NEVER MY THING OK AND HOW ABOUT CANNABIS LIKE SMOKING MARIJUANA OR USING ANY OF THOSE TYPES OF PRODUCTS +MSK0028-090 NO I I TRY TO STAY AWAY FROM ANY DRUGS +MSK0028-091 OK INCLUDING RECREATIONAL DRUGS +MSK0028-092 OK AND ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL PROBLEMS THAT THAT RUN IN THE FAMILY +MSK0028-093 NOT THAT I KNOW OF NO +MSK0028-094 OK NOW HOW ABOUT ANY AUTOIMMUNE DISEASES +MSK0028-095 NO I DON'T THINK SO +MSK0028-096 OK SO NEXT I JUST WANTED TO ASK YOU TO HAVE A LOOK AT THE AT THE ARM COMPARED TO THE OTHER SIDE ARE YOU NOTICING +MSK0028-097-1 ANY SWELLING REDNESS OR YEAH ANY SWELLING OR REDNESS +MSK0028-097-2 I DO SEE SOME JUST LIKE KIND OF LIKE IN THE MIDDLE OF THIS AREA SOME REDNESS KIND OF LOOKS LIKE SOME BRUISING IN IN THAT IN THAT REGION I ALSO FEEL LIKE +MSK0028-097-3 WHEN I LIKE TRY TO FLEX MY +MSK0028-098 BICEPS KIND OF HAVE MOVED UPWARDS OK IS THIS THE MASS OR LUMP THAT I YOU WERE MENTIONING EARLIER THAT YOU KINDA CAN NOTICE IN THE IN YOUR RIGHT ARM +MSK0028-099 OK IS THERE ANY TEMPERATURE CHANGE LIKE DOES IT FEEL WARM ON THAT SIDE +MSK0028-100 I CAN'T REALLY TELL IF IT'S WARM OR NOT +MSK0028-101 OK AND YOU SO YOU MENTIONED ARE YOU ABLE TO BEND YOUR ELBOW ALL THE WAY UP SO TO FLEX IT ALL THE WAY UP OR IS A RANGE OF MOTION LIMITED +MSK0028-102 IT'S PRETTY LIMITED IT'S PRETTY TOUGH TO FLEX IT'S REALLY PAINFUL AND THAT I ALSO CAN'T LIKE I CAN'T TURN MY ARM I CAN'T SUPINATE +MSK0028-103 OK SO SO IS THAT SO YOU HAVE REDUCED SUPINATION AS WELL +MSK0028-104 AND HOW ARE YOUR SHOULDER MOVEMENT ARE YOU ABLE TO LIKE IF YOU'RE LIFTING YOUR ARMS STRAIGHT OUT IN FRONT OF YOU ARE YOU ABLE TO TO LIFT THEM ALL THE WAY UP ABOVE YOUR HEAD +MSK0028-105 OUT LIKE AT THE SIDES OR IN FRONT OF ME +MSK0028-106 IN FRONT OF YOU +MSK0028-107 THE SHOULDER SEEMS TO BE OK I AM ABLE TO LIFT UP BUT IT'S JUST IF I TRY TO MOVE MY UPPER ARMS AT ALL IT HURTS A LOT +MSK0028-108 OK ALRIGHT SO YOU'LL GET SOME PAIN AT THE AT THE SHOULDER WITH THE MOVEMENT +MSK0028-109 THERE THERE IS DISCOMFORT IN THE AFFECTED SIDE BUT I CAN I CAN MOVE IT MUCH MORE THAN I CAN MOVE MY ELBOWS OR ANYTHING LIKE THAT +MSK0028-110 OK I SEE SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT AND AND I LOOK FOR ON ON THE PHYSICAL TODAY WAS THERE ANYTHING I MAY BE MISSED OR ANYTHING LIKE THAT +MSK0028-111 NO I THINK I DON'T HAVE ANY OTHER QUESTIONS +MSK0028-112-1 OK SO BASED ON THE HISTORY AND WHAT YOU'RE TELLING ME FOR THE PHYSICAL AS WELL OF HAVING A HISTORY OF EXERCISING AND ALSO SHOULDER PAIN WITH OVERHEAD HEAD MOVEMENTS +MSK0028-112-2 WHICH ARE RISK FACTORS FOR DEVELOPING A BICEPS TENDON TEAR OR BICEPS TENDON INJURY +MSK0028-112-3 AND HAVING THE SWELLING AND BRUISING AS WELL AS REDUCED FUNCTION OF BICEPS OR ELBOW FLEXION THEY ALL SUGGESTS THAT THERE IS A BICEPS TENDON TEAR OR INJURY THERE +MSK0028-112-4 AND SO WILL WANT TO GET AN ULTRASOUND OR MRI TO LOOK AT WILL START WITH THE ULTRASOUND BUT THEN POSSIBLY GET AN MRI AS WELL TO LOOK AT THE EXTENT OF THE TISSUE DAMAGE +MSK0028-112-5 BUT IF THERE IS JUST A LONG HEAD OF BICEPS TEAR IT WILL USUALLY BE TREATED CONSERVATIVELY AND SO WE'LL JUST NEED TO LOOK TO SEE WHAT THE EXTENT OF THE INJURY +MSK0029-000 WHAT BRINGS YOU IN +MSK0029-001-1 HI YESTERDAY I I WAS GROCERY SHOPPING AND JUST IN THE PARKING LOT SOMEBODY BUMPED INTO MY CAR AND +MSK0029-001-2 THIS MORNING I WOKE UP AND MY NECK IS JUST REALLY PAINFUL IT HURT YESTERDAY A LITTLE BIT BUT I MEAN IT WAS SO MILD I DIDN'T THINK MUCH OF IT BUT +MSK0029-002 TODAY IT'S IT'S QUITE A BIT WORSE OK SO CAN YOU TELL ME HOW THIS ACCIDENT HAPPENED WERE YOU SITTING IN THE PASSENGER SEAT AND THE DRIVER AND WAS THE IMPACT FROM LIKE BEHIND AT THE BACK OF YOUR CAR OR AT THE FRONT +MSK0029-003-1 IT WAS AT THE BACK SO I WAS THE DRIVER AND WAS JUST GOING OVER A SPEED BUMP IN THE PARKING LOT SO SLOWED DOWN QUITE A BIT AND THE PERSON BEHIND ME +MSK0029-003-2 MUST NOT HAVE AND THEY BUMPED INTO ME THERE'S JUST SOME SCRATCHES ON THE BUMPER THEY DIDN'T HIT TOO HARD BUT I I GUESS MAYBE HARD ENOUGH +MSK0029-004 OK AND DID THE NECK PAIN START IMMEDIATELY AFTER +MSK0029-005 NO IT'S I LIKE NOT IMMEDIATELY I THINK IT STARTED A BIT LATER ON AND THEN WORSE A BIT A BIT TODAY +MSK0029-006 OK ALRIGHT AND IS THERE PAIN ANYWHERE ELSE ON YOUR BODY +MSK0029-007 REALLY LIKE MY NO JUST JUST REALLY MY NECK +MSK0029-008 OK OK AND DOES ANYTHING FEEL BROKEN DO ARE THERE BRUISES ANYWHERE ANY OBVIOUS SIGNS OF TRAUMA +MSK0029-009 NO I CAN'T I DIDN'T NOTICE ANYTHING LIKE THAT AND I CAN MOVE MY NECK AROUND SO I DON'T THINK ANY I DON'T I DON'T THINK ANYTHING IS BROKEN JUST HURTS A LOT +MSK0029-010 ALRIGHT AND IS A PAIN CONSTANTLY THERE OR DOES IT COME AND GO +MSK0029-011 IT KIND OF COMES AND GOES IT JUST IT'S WORSE WITH MOVEMENT IF I JUST KINDA SIT STILL I DON'T NOTICE MUCH PAIN BUT IF I'M BETTING MY HEAD FORWARD OR MOSTLY BACKWARDS SO I'LL GET I'LL GET PAIN +MSK0029-012 OK AND YOU SAID THIS HAPPENED +MSK0029-013 YESTERDAY RIGHT +MSK0029-014 THIS HAPPENED YESTERDAY AFTERNOON OK AND DOES ANYTHING MAKE THIS BETTER LIKE HAVE YOU TRIED ICE SAY ANY TOPICALS ANY POSITIONS THAT +MSK0029-015 THAT HELPS WITH THE PAIN I DID TRY SOME LIKE ADVIL LAST NIGHT BUT LIKE WHEN I WHEN THE PAIN WAS COMING ON AND IT MUST'VE HELPED ME SLEEP I GUESS BUT I HAVEN'T TRIED ANY ICE OR ANYTHING LIKE THAT JUST MOSTLY +MSK0029-016 I GUESS RESTING OK SO YOU SAID THE PAIN IS AT THE BACK OF THE NECK DOES IT RADIATE ANYWHERE UP INTO YOUR HEAD OR DOWN INTO YOUR SHOULDERS OR LOWER OR UPPER BACK +MSK0029-017 MAYBE A LITTLE BIT TO THE UPPER BACK LIKE WHEN I LIKE TRAP TRAPEZIUS MUSCLE AREA OR THE TRAPS LIKE IT IF I PUSH ON THOSE MUSCLES AROUND THAT AREA I DO GET A LITTLE BIT OF TENDERNESS +MSK0029-018 OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY IT'S SHARP DULL ACHY THROBBING HOW WOULD YOU DESCRIBE IT +MSK0029-019 I WOULD SAY IT'S SHARP ESPECIALLY IF I DO ANY MOVEMENTS LIKE IT'LL BE FEELS LIKE I MEAN IT STABBED IN THE NECK +MSK0029-020 OK ALRIGHT AND HAVE YOU EVER HAD IT HAD PAIN LIKE THIS IN THE PAST +MSK0029-021 NO THIS IS THE FIRST TIME +MSK0029-022 OK AND DO YOU FEEL LIKE IT'S GETTING WORSE THE PAIN SINCE IT STARTED YESTERDAY +MSK0029-023 IT COULD BE THAT AT FIRST I DIDN'T EVEN HAVE ANY PAIN AT ALL MAYBE IT WAS JUST THE ADRENALINE PUMPING OR WHATEVER BUT NOW I CAN NOTICE THE PAIN +MSK0029-024 OK OK AND ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW BAD IS THIS PAIN +MSK0029-025 IT WOULD BE I WOULD SAY PROBABLY A SIX OR A SEVEN +MSK0029-026 OK OK AND HAVE YOU HAD ANY TINGLING OR NUMBNESS +MSK0029-027 NO I HAVEN'T HAD ANYTHING LIKE THAT +MSK0029-028 OK ANY DIZZINESS OR FAINTING SPELLS +MSK0029-029 NO +MSK0029-030 CONFUSION OR MEMORY LOSS +MSK0029-031 NO +MSK0029-032 ANY HEADACHES +MSK0029-034 I NO NO OK AND +MSK0029-035-1 IS THIS AFFECTING YOUR SLEEP AT ALL +MSK0029-035-2 OH NO I GUESS LIKE LAST NIGHT IT WAS A LITTLE BIT MORE DIFFICULT BECAUSE I WAS JUST I SLEPT +MSK0029-035-3 I I JUST ON MY BACK SO THAT I WASN'T MOVING AROUND AS MUCH SO THAT WAS A LITTLE BIT AWKWARD BUT I WAS ABLE TO SLEEP THOUGH +MSK0029-036 OK I KNOW YOU SAID YOU HAVE SOME PAIN WITH CERTAIN MOVEMENTS BUT DO YOU FIND IT'S HARD TO MOVE YOUR NECK AT ALL +MSK0029-037 OH IT FEELS A BIT STIFF BUT LIKE I'M ABLE TO MOVE IT BUT I FEEL STIFF +MSK0029-038 OK ANY ISSUES WITH VISION LIKE IS IT BLURRY +MSK0029-039 NO +MSK0029-040 NO HOW ABOUT RINGING IN YOUR EARS +MSK0029-041 NO +MSK0029-042 NO ANY SORRY YES THAT ANY ISSUES CONCENTRATING ON ON TASKS +MSK0029-043 THIS MORNING I I GUESS IT'S BEEN A LITTLE BIT MORE DIFFICULT TO FOCUS ON THINGS BUT MAYBE I WAS JUST WORRIED LIKE FOCUSING ON THE PAIN IN MY NECK +MSK0029-044 FOR SURE ANY FEVERS OR CHILLS +MSK0029-045 NO +MSK0029-046 ANY CHANGES IN YOUR WEIGHT +MSK0029-047 NO MY WEIGHT IT'S BEEN BEEN THE SAME +MSK0029-048 ANY CHANGES TO YOUR HEARING +MSK0029-049 NO THAT'S BEEN BEEN NORMAL +MSK0029-050 SMELL OR TASTE +MSK0029-051 THAT'S BEEN NORMAL +MSK0029-052 CHEST PAIN OR HEART PALPITATIONS +MSK0029-053 NO NOTHING LIKE THAT +MSK0029-054 OK NO COUGH SHORTNESS OR BREATH SHORTNESS OF BREATH OR WHEEZING +MSK0029-055 NO NONE OF THAT +MSK0029-056 HOW ABOUT ISSUES WITH THEIR BOWEL MOVEMENTS +MSK0029-057 NO I HAVEN'T HAD ANY DIARRHEA OR ANY ANY ANY CONSTIPATION NOTHING LIKE THAT +MSK0029-058 OK ANY NAUSEA VOMITING +MSK0029-059 NO NAUSEA OR VOMITING +MSK0029-060 CHANGES IN YOUR APPETITE +MSK0029-061 NO THAT MY APPETITE'S BEEN GOOD +MSK0029-062 OK HOW ABOUT CHANGES IN URINE +MSK0029-063 NO I HAVEN'T HAD ANY ANY CHANGES TO OR ANY URINARY SYMPTOMS AT ALL +MSK0029-064 OK OK THAT'S GOOD AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +MSK0029-065 NO I AM OTHERWISE HEALTHY I JUST I'D TAKE BIRTH CONTROL AND I AM A MULTI VITAMIN BUT THAT'S IT SO NO MEDICAL CONDITIONS +MSK0029-066 OK ALRIGHT THAT'S GOOD AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +MSK0029-068 NO I HAVEN'T NO OK +MSK0029-069 HOW ABOUT MEDICATIONS ARE YOU ON ANY JUST THE THE THE BIRTH CONTROL THAT I'M I'M TAKING I'VE BEEN +MSK0029-070 TAKING THAT FOR ABOUT FIVE YEARS NOW FIVE YEARS OK ANY SIDE EFFECTS +MSK0029-071 OR ANY ISSUES WITH THAT NO IT'S BEEN GOOD DAY I I'VE BEEN REALLY HAPPY WITH IT OVERALL TOO THEY +MSK0029-072 HELP REGULATE MY CYCLES OK OK GOOD AND THEN ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +MSK0029-073 I AM YES I'LL GET THE FLU SHOT EVERY YEAR +MSK0029-074 OK THAT'S GOOD DO YOU HAVE ANY ALLERGIES +MSK0029-075 I DO BUT IT'S I THINK THEY'RE JUST ALL ENVIRONMENTAL CAUSE I'LL TYPICALLY GET ISSUES WITH SEASONAL CHANGES AND THEN THEN IT GOES AWAY +MSK0029-076 OH I SEE OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +MSK0029-077 I THINK MY DAD HAS HIGH BLOOD PRESSURE AND DIABETES BUT NO HEART OR OR LUNG CONDITIONS +MSK0029-078 OK HOW ABOUT A MUSCULOSKELETAL ISSUES +MSK0029-079 I THINK MAYBE OSTEOARTHRITIS AND MY GRANDPA GRANDPARENTS BUT +MSK0029-080 OK +MSK0029-081 BUT +MSK0029-082 HOW ABOUT AN AUTOIMMUNE CONDITIONS +MSK0029-083 NO NOTHING LIKE THAT +MSK0029-084 NO OK HOW ABOUT CANCERS +MSK0029-085 NO CANCERS +MSK0029-086 OK AND THEN DO YOU SMOKE +MSK0029-087 NO I DON'T NO I'VE NEVER SMOKED BEFORE +MSK0029-088 OK HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM +MSK0029-089 NO I DON'T +MSK0029-090 OK AND THEN DO YOU DRINK ALCOHOL +MSK0029-091 EVERY ONCE IN A WHILE I'LL HAVE A GLASS OF WINE BUT IT'S USUALLY A SOCIAL THING OR OR AT CHRISTMAS +MSK0029-092 OK COME HAVE OUT IN TERMS OF SICK CONTACTS HAVE YOU HAD ANY RECENTLY +MSK0029-093 I DON'T BELIEVE SO I'VE BEEN GOING TO WORK I WORK AS A BANK TELLER BUT EVERYBODY AT WORK HASN'T BEEN SICK AND WE'VE BEEN USING MASKS AND +MSK0029-094 CLEANING OUR HANDS AND ALL OF THAT SORT OF THING OK OK THAT'S GOOD AND HOW ABOUT TRAVEL +MSK0029-095 HAVE YOU HAD ANY RECENTLY NO I'VE BEEN PUT AT HOME BUT LOOKING +MSK0029-096 FORWARD TO A VACATION THOUGH FOR SURE AND THEN WHERE DO YOU WORK AND WHO DO YOU LIVE +MSK0029-097 WITH AND WHERE DO YOU LIVE YES I I WORK AT A BANK AND I LIVE WITH MY HUSBAND AND OUR TIME AND OUR SON HE'S +MSK0029-098 HE'S SIX OK OK OK THOSE ARE ALL THE QUESTIONS I HAVE FOR HISTORY WE CAN MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW DID YOU HAVE ANY QUESTIONS BEFORE WE DID THAT +MSK0029-099 NO NO THAT SOUNDS GOOD +MSK0029-100 OK SO IF YOU HAVE SOMEONE THERE WITH YOU OR IF YOU HAVE A MIRROR OR IF THERE'S ANY WAY YOU CAN TAKE A LOOK AT THE BACK OF YOUR NECK AS WELL AS THE FRONT OF YOUR NECK DO YOU SEE ANY REDNESS OR SWELLING IN THAT AREA +MSK0029-101 NO I DON'T +MSK0029-102 NO OK DO YOU SEE ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES +MSK0029-103 NO NOTHING LIKE THAT +MSK0029-104 OK AND THEN WHEN YOU KIND OF JUST WITH THE BACK OF YOUR HAND PLACE IT ON YOUR NECK IN THE FRONT AS WELL AS THE BACK DOES IT FEEL WARM AT ALL +MSK0029-105 NO +MSK0029-106 NO OK AND THEN I'M GONNA GET YOU TO PALPATE CERTAIN AREAS SO WE'LL START WITH THE CHIN DOES THAT HURT WHEN YOU PRESS DOWN +MSK0029-107 NO +MSK0029-108 NO OK HOW ABOUT JUST WHERE THE THYROID WOULD BE +MSK0029-109 NO PAIN OR NO PAIN THERE +MSK0029-110 NO PAIN THERE OK HOW ABOUT TO THE SIDES KIND OF WHERE YOUR STERNOCLEIDOMASTOID MUSCLES ARE +MSK0029-111 I THINK LIKE A LITTLE BIT OF TENDERNESS IN THE THE FRONT OF THE NECK MUSCLES THERE +MSK0029-112 OK AND THEN HOW ABOUT WHEN YOU MOVE TOWARDS THE BACK AND THEN ON YOUR C SPINE CERVICAL SPINE JUST LIKE AT THE VERY BACK OF YOUR NECK +MSK0029-113 SO THERE'S THERE'S NO PAIN WHEN I PUSH ON THE LIKE BONES I CAN FEEL LIKE SO ACTUALLY ON THAT THAT LIKE C SPINE ITSELF THERE'S NO PAIN BUT LIKE OH OFF TO THE SIDE SO ON THE MUSCLES TO THE SIDES OR THERE'S A BIT OF TENDERNESS +MSK0029-114 OK SO KIND OF LIKE WHERE SO THERE'S PAIN ON THEIR TRAPEZIUS AND DELTOID MUSCLES +MSK0029-115 MORE TRAPEZIUS NOT SO NOT SO MUCH DELTOID AND THEN ALSO +MSK0029-116-1 LIKE THE THE PERISPINAL MUSCLES +MSK0029-116-2 OK I SEE ALRIGHT OK AND THEN LET'S MOVE ON TO SOME RANGE OF MOTION +MSK0029-116-3 EXAM SO I'M GONNA GET YOU TO FLEX YOUR NECK SO +MSK0029-118 AT THE GROUND ALL THE WAY AS MUCH AS YOU CAN DOES THAT HURT +MSK0029-119 IT DOES IT DOES OK BUT YOU'RE ABLE TO FULLY FLEX YOUR NECK I CAN TOUCH MY CHIN TO MY CHEST ALL ALMOST +MSK0029-120 BUT I'LL GET PAIN AT THE BACK OF MY NECK WHEN I DO THAT AND THE FRONT AND THE FRONT OK AND THEN HOW ABOUT WHEN YOU EXTEND YOUR HEAD ALL THE WAY BACK SO THAT YOU'RE +MSK0029-121 LOOKING AT THE CEILING I'M ABLE TO DO IT STILL IS A BIT STIFF AND IT'S SLOW TO GET THERE BUT AGAIN I I GET PAIN AT THE BACK IN THE FRONT OF MY NECK WHEN I'M DOING THIS +MSK0029-122 OK OK HOW ABOUT WHEN YOU FLEX YOUR NECK TO THE SIDE SO THAT YOUR RIGHT EAR IS TOUCHING YOUR RIGHT SHOULDER +MSK0029-123 I GET THERE'S A LITTLE BIT OF A PAIN IN THE MUSCLES ON THE LEFT SIDE WHEN I'M DOING THAT +MSK0029-124 OK AND THEN HOW ABOUT WHEN YOU DO THE OPPOSITE TOUCH YOUR LEFT EAR TO YOUR LEFT SHOULDER SO THAT YOU'RE LATERALLY FLEXING YOUR NECK ON THE LEFT SIDE +MSK0029-125 A LITTLE BIT OF PAIN THERE TOO BUT I'M ABLE TO DO IT THOUGH +MSK0029-126 OK SO YOU'RE ABLE TO DO ALL OF THESE IT'S JUST THAT YOU HAVE SOME PAIN WHEN YOU DO THAT +MSK0029-127 EXACTLY I COULD DO ALL OF THE MOVEMENTS BUT IT'S PAIN AND STIFFNESS +MSK0029-128 OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN +MSK0029-129 NO THAT I JUST WAS WONDERING IF I IF YOU THINK I I DON'T NEEDED AN X RAY OR LIKE YOU THINK THAT ANYTHING IS BROKEN KIND OF LIKE CONCERNED ABOUT TODAY +MSK0029-130-1 BECAUSE OF THIS PAIN +MSK0029-130-2 FOR SURE SO RIGHT NOW IT JUST TO ME IT SOUNDS LIKE A WHIPLASH INJURY AND SO KIND OF LIKE LOW IMPACT +MSK0029-130-3 BUT JUST TO BE CERTAIN WE CAN ORDER AN X RAY TO RULE OUT ANY FRACTURES OR DISLOCATIONS +MSK0029-130-4 AND IN TERMS OF LIKE THE MANAGEMENT PLAN FOR PAIN MANAGEMENT YOU CAN REST YOU CAN EITHER APPLY HEAT OR COLD PACKS TO YOUR NECK FOR FIFTEEN MINUTES EVERY +MSK0029-130-5 COUPLE OF HOURS OR SO YOU CAN TRY SOME OVER THE COUNTER PAIN MEDICATIONS LIKE IBUPROFEN OR TYLENOL AND IF IT STILL DOESN'T GET BETTER WE CAN TRY LIKE +MSK0029-130-6 WE CAN TRY INJECTIONS TO THE AREA TO RELIEVE SOME OF THAT PAIN BUT SOMETHING ELSE IN CONJUNCTION WE CAN TRY AS PHYSIOTHERAPY AND THEY'LL BASICALLY HELP YOU WITH +MSK0029-130-7 RANGE OF MOTION EXERCISES AND TRY TO STRENGTHEN THE MUSCLES IN THAT AREA AND TO IMPROVE YOUR POSTURE AND NORMAL MOVEMENT +MSK0029-130-8 THAT'S KIND OF WHERE WE CAN START FOR NOW AND IF IT DOESN'T GET ANY BETTER WE CAN TALK ABOUT ALTERNATIVE MANAGEMENT PLANS DOES THAT SOUND OK +MSK0029-131 IT DOES THAT THAT MAKES SENSE THANK YOU +MSK0029-132 OK NO WORRIES +MSK0031-000 HOW CAN I HELP YOU +MSK0031-001 HI I JUST WAS BROUGHT IN HERE TODAY I HAD A FALL JUST WAKING UP COMING DOWN THE STAIRS I FELL OFF THE LAST FEW STAIRS AND JUST FELL ONTO THE RIGHT SIDE AND ON RIGHT ONTO MY HEAD AND NOW I COULDN'T EVEN I COULD BARELY STAND UP AND PUT ANY WEIGHT ON MY HIP IT'S THE RIGHT HIP +MSK0031-002 OK SO WHAT CAUSED YOU TO FALL IN THE ONEST PLACE DID YOU JUST LOSE BALANCE WERE YOU DIZZY +MSK0031-003 I THINK I JUST I MISSED I WASN'T DIZZY OR ANYTHING I JUST MISSED ONE OF THE STEPS AND JUST SLIPPED SLIPPED DOWN THE STAIRS +MSK0031-004 OK +MSK0031-005 BUT IT WAS JUST THE LAST FEW STAIRS I DIDN'T HAVE LIKE I DIDN'T HIT MY HEAD OR ANYTHING LIKE THAT +MSK0031-006 OK AND WHEN WAS THIS +MSK0031-007 THIS WAS A SO I GUESS NOW TWO HOURS AGO +MSK0031-008 TWO HOURS AGO OK HAS A PAIN BEEN CONSTANT SINCE +MSK0031-010 IT'S REALLY EXCRUCIATING OK DOES ANYTHING MAKE IT BETTER OR WORSE +MSK0031-011 NO IT'S I'M JUST IN EXTREME PAIN LIKE I I I CAN'T EVEN PUT ANY WEIGHT ON IT +MSK0031-012 OK SO YOU CAN'T OK SO YOU CAN'T WEIGHT BEAR AND YOU CAN'T WALK ON ON THAT LEG I GUESS +MSK0031-013 OK IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHY +MSK0031-014 IT'S IT'S PRETTY SHARP LIKE IF I'M NOT PUTTING ANY WEIGHT ON IT RIGHT NOW IT'S LIKE REALLY ACHY BUT IF I PUT +MSK0031-015 ANY WEIGHT ON IT'S REALLY SHARP OK AND WHERE IS THIS PAIN EXACTLY IS IT JUST IN YOUR RIGHT HIP OR IS IT RADIATING UP +MSK0031-016 INTO YOUR UPPER ANTERIOR LOWER BACK OR DOWN TO YOUR LEG IT'S IN THE RIGHT HIP MOSTLY JUST ON THE SIDE BUT THE PAIN IS KIND OF LIKE ALL OVER THE RIGHT SIDE OF MY GROIN AND I FEEL LIKE THERE'S SOME SWELLING THERE AS WELL +MSK0031-017 OK AND ONE TO TEN TEN BEING THE WORST PAIN EVER HOW BAD IS YOUR PAIN +MSK0031-018 I WOULD SAY TEN LIKE I'VE NEVER EXPERIENCED PAIN LIKE THIS +MSK0031-019 TEN OK AND DO YOU HAVE YOU EVER HAD PAIN LIKE THIS BEFORE LIKE HAVE YOU EVER HAD A FALL IN THE PAST +MSK0031-020 NO THIS ISN'T THIS IS THE FIRST TIME I'VE HAD A FALL +MSK0031-021 OK ANY NUMBNESS OR TINGLING +MSK0031-022 NO NOT THAT I CAN TELL NO +MSK0031-023 DIZZINESS OR FAINTING SPELLS +MSK0031-024 AFTER THE FALL OUT LIKE THIS I I DON'T KNOW IF IT'S DUE TO THE PAIN BUT EVEN IN THE AMBULANCE COMING OUT OF THE AMBULANCE I WAS FEELING A LITTLE BIT DIZZY BUT I DON'T KNOW IF THAT'S JUST CAUSE OF THE PAIN +MSK0031-025 OK ANY HEADACHES +MSK0031-026 NO +MSK0031-027 CONFUSION OR MEMORY LOSS +MSK0031-028 NO +MSK0031-029 JOINT PAINS OR MUSCLE ACHES ELSEWHERE +MSK0031-030 NO +MSK0031-031 WEIGHT LOSS RECENTLY +MSK0031-032 NO +MSK0031-033 FEVERS OR CHILLS +MSK0031-034 NOPE +MSK0031-037 AND RASHES NO ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE +MSK0031-038 NO +MSK0031-039 ANY YOU EXPERIENCING ANY COUGH SHORTNESS OF BREATH OR WHEEZING +MSK0031-040 NO +MSK0031-041 OK HOW ABOUT CHEST PAIN OR HEART PALPITATIONS +MSK0031-042 NO NOT THAT I HAVE EXPERIENCED +MSK0031-043 OK AND HOW ABOUT CHANGES YOUR BOWEL MOVEMENTS +MSK0031-044 NOPE +MSK0031-045 OK HOW ABOUT CHANGES TO URINE +MSK0031-046 NO NOTHING +MSK0031-047 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +MSK0031-048 SO I JUST HAVE A I DO HAVE SOME OSTEOARTHRITIS AND THEN I HAVE I TAKE THIS MEDICATION FOR BLOOD PRESSURE IT'S CALLED RAMIPRIL +MSK0031-049 OK OK AND IS THAT THE ONLY MEDICATION THAT YOU'RE ON +MSK0031-050 AND THEN I'M JUST ON VITAMINS LIKE VITAMIN D CALCIUM AND JUST MULTIVITAMINS +MSK0031-051 OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +MSK0031-052 YES +MSK0031-053 OK ANY ALLERGIES +MSK0031-054 NO NOT THAT I KNOW OF +MSK0031-055 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +MSK0031-056 I THINK MY FATHER HE DIED OF A HEART ATTACK IN HIS SIXTIES +MSK0031-057 OK OK ANY MUSCULOSKELETAL ISSUES +MSK0031-059 I DON'T THINK SO NO +MSK0031-060 HOW ABOUT AUTO +MSK0031-061 IMMUNE CONDITIONS +MSK0031-062 NO NOT THAT I KNOW OF ANY CANCERS I THINK MY MY MOTHER HAD SOME SKIN CANCER BUT THE ONES THAT SHE +MSK0031-063 DIDN'T NEED ANY SURGERY +MSK0031-064 THEY JUST ZAPPED +MSK0031-065 OK AND DO YOU SMOKE +MSK0031-066 NO I'VE NEVER SMOKED OK AND DO YOU DRINK ALCOHOL JUST MAYBE LIKE A WINE WHAT EVERY OTHER DAY +MSK0031-067 A GLASS OF OF WINE OK AND THEN DO YOU CONSUME MARIJUANA IN ANY FORM +MSK0031-068 NO +MSK0031-069 OK AND HOW ABOUT IN TERMS OF WHERE YOU LIVE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE +MSK0031-070 I LIVE WITH JUST MY HUSBAND AND AND WE JUST LIVE IN A SMALL APARTMENT +MSK0031-071 OK AND HAVE YOU BEEN IN TOUCH WITH ANY ANYONE SICK RECENTLY +MSK0031-072 NO I'VE I'VE BEEN LIKE AT HOME WITH MY HUSBAND WE HAVEN'T REALLY LEFT +MSK0031-073 OK AND HAVE YOU DONE ANY TRAVEL RECENTLY +MSK0031-074 NO I'VE JUST STAYED AT HOME +MSK0031-075 OK ALRIGHT SO LET'S MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW SO IF YOU CAN I'M GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR HIPS AS WELL AS YOUR LEGS DO YOU NOTICE ANY REDNESS OR SWELLING IN THE AREA +MSK0031-076 I DO NOTICE SOME SWELLING IT'S A LITTLE BIT RED I CAN'T REALLY SEE TOO MUCH RED +MSK0031-077 OK OK ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES LIKE BRUISES +MSK0031-078 MAYBE SOME BRUISING BUT I I DON'T NOTICE ANYTHING ELSE +MSK0031-079 OK ALRIGHT AND THEN WHEN YOU PLACE THE BACK OF YOUR HAND ON BOTH HIPS DO YOU NOTICE ANY TEMPERATURE CHANGES IS ONE SIDE WARMER THAN THE OTHER +MSK0031-080 IT'S A LITTLE BIT WARMER THE RIGHT SIDE THAN THE LEFT +MSK0031-081 OK AND DOES ONE LIKE APPEAR TO BE SHORTER OR DOES DOES IT APPEAR TO BE MISALIGNED OR IN ANY SORT OF LIKE STRANGE POSITIONS LIKE OUTWARD TURNING OF YOUR LEG ONE COMPARED TO THE OTHER +MSK0031-082 I THINK IT'S A BIT BUT LOOK AT IT A BIT LIKE OUTWARD TURNING AND THEN +MSK0031-083 I WOULD SAY IT'S MORE OUTWARD TURNS OK +MSK0031-084 AND IF ARE YOU SITTING DOWN RIGHT NOW OK ARE YOU ABLE TO STAND UP FROM +MSK0031-085 A SITTING POSITION I CAN +MSK0031-087 VERY PAINFUL OK YES SHOULD I GO AHEAD AND TRY +MSK0031-088 YES PLEASE +MSK0031-089 SO I I CAN BARELY STAND UP I CAN'T IT'S KIND OF JUST I'M JUST SUPPORTING MYSELF WITH MY LEFT LIKE +MSK0031-090 OK AND SO I I GUESS YOU CAN'T DO ANY OF THE LIKE HIP FLEXION OR HIP EXTENSION HIP ABDUCTION OR ADDDUCTION CORRECT +MSK0031-091 NO I CAN BARELY MOVE IT +MSK0031-092 OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS OF YOUR OWN +MSK0031-093 NO I THINK I I JUST DON'T KNOW IF I NEED SURGERY OR SOMETHING +MSK0031-094-1 YEAH SO IT SOUNDS LIKE YOU HAVE A HIP FRACTURE FROM YOUR FALL SO +MSK0031-094-2 THE WAY TO TREAT THIS IS A COMBINATION OF SURGERIES AND REHAB AND MEDICATION SO WE WILL DEFINITELY LOOK INTO THE SURGICAL OPTION FIRST WHICH IS DONE USING SOME INTERNAL +MSK0031-094-3 REPAIR WITH SCREWS OR YOU CAN DO A TOTAL HIP REPLACEMENT OR A PARTIAL HIP REPLACEMENT THE ORTHOPAEDIC SURGEON WILL +MSK0031-094-4 DECIDE LIKE WHICH OPTION IS BEST FOR YOU AFTER WE REFER YOU FOR A CONSULT WITH THEM AND THEN AFTER THAT SURGERY +MSK0031-094-5 THEY'LL LIKELY REFER YOU TO SOME REHAB SO PHYSIOTHERAPY WILL FOCUS ON IMPROVING YOUR RANGE OF MOTION AND STRENGTHENING THE MUSCLES IN THAT AREA +MSK0031-094-6 AND FOR MANAGEMENT OF PAIN YOU CAN TAKE IBUPROFEN OR ANY OVER THE COUNTER PAIN MEDICATIONS FOR NOW DOES THAT SOUND OK +MSK0031-095 THAT SOUNDS GOOD THANK YOU SO MUCH +MSK0031-096 OK GREAT NO PROBLEM +MSK0032-000 WHAT BRINGS YOU IN +MSK0032-001-1 HI I'M HERE WITH MY DAUGHTER WE NOTICED THAT SINCE YESTERDAY SHE'S BEEN HAVING THIS PAIN JUST IN HER ELBOW AND LIKE TODAY WE'VE NOTICED RIGHT AFTER SHE WOKE UP SHE'S BEEN +MSK0032-001-2 IN PAIN AND ALSO JUST KEEPING HER ELBOW LIKE PROTECTED KIND OF LIKE JUST FLEXING IT AND JUST HOLDING ON TO IT SO I THINK IT'S GIVING HER A LOT OF DISCOMFORT AND SHE'S BEEN CRYING AS WELL +MSK0032-002 OH FOR SURE WHEN DID THIS START +MSK0032-003 I THINK IT STARTED AFTER WE WENT FOR A WALK LAST EVENING AND WE JUST WENT TO THE PARK AND SINCE THEN LIKE SHE'S BEEN HAVING THAT PAIN +MSK0032-004 OKAY OKAY AND DID ANYTHING HAPPEN TO TRIGGER THIS DID SHE FALL ON THAT ARM OR LIKE +MSK0032-005-1 INJURIES I THINK LIKE JUST SHE WAS PLAYING AND THEN SHE WAS ABOUT TO FALL LIKE RIGHT LIKE RIGHT ON TO THE PLAYGROUND PAVEMENT +MSK0032-005-2 SO I REMEMBER LIKE BUT LIKE I CAUGHT HER RIGHT AWAY SO TO PROTECT HER AND THEN SINCE THEN I DON'T KNOW IF LIKE THERE WAS LIKE A JERK MOVEMENT AS LIKE I KIND OF PULLED HER BACK UP OR +MSK0032-005-3 WHEN I WAS STOPPING HER FROM FALLING LIKE IF THAT CAUSED IT BUT SHE DIDN'T HIT HERSELF OR ANYTHING LIKE THAT +MSK0032-006 OKAY ALRIGHT AND IN TERMS OF THE TYPE OF PAIN SHE'S HAVING RIGHT NOW DID SHE SAY IF IT WAS A DULL ACHY KIND OF PAIN OR IS IT SHARP +MSK0032-007 SHE SAYS IT'S ACHING A LOT +MSK0032-008 OKAY AND HAS IT BEEN CONSTANT SINCE SHE STARTED EXPERIENCING THIS OR DOES IT COME AND GO +MSK0032-009 IT'S IT'S BEEN PRETTY CONSTANT SINCE THEN AND SHE JUST KIND OF KEEP KEEPING SHE'S KIND OF KEEP JUST KEEPING IT LIKE HER ARMS EXTENDED AND THEN JUST HOLDING ON TO IT +MSK0032-010 OKAY AND THEN IS THE PAIN JUST IN THE ELBOW OR DOES IT RADIATE DOWN INTO HER HANDS OR UP TO HER SHOULDERS +MSK0032-011 IT KIND OF GOES INTO HER UPPER ARM LIKE FROM HER ELBOWS TO HER UPPER UPPER ARM +MSK0032-012 OKAY HAVE YOU TRIED ANYTHING FOR THIS PAIN +MSK0032-013 NO I HAVEN'T TRIED ANY MEDICATIONS OR ANYTHING I JUST WANTED TO COME IN BEFORE I TRIED ANYTHING +MSK0032-014 ONE TO TEN TEN BEING THE WORST TYPE OF PAIN HOW BAD IS THIS PAIN FOR HER +MSK0032-015 I WOULD SAY IT'S PROBABLY AT LEAST A SEVEN +MSK0032-016 OKAY AND THEN HAS SHE EVER EXPERIENCED PAIN LIKE THIS IN THE PAST +MSK0032-017 NO THIS IS THE FIRST TIME +MSK0032-018 OKAY AND THEN DOES SHE HAVE ANY NUMBNESS OR TINGLING IN THE AREA +MSK0032-019 NO NOT THAT I KNOW OF +MSK0032-020 OKAY HOW ABOUT MEMORY LOSS OR CONFUSION +MSK0032-021 NO +MSK0032-022 ANY HEADACHES +MSK0032-023 NOPE +MSK0032-024 DIZZINESS OR FAINTING SPELLS +MSK0032-025 NO +MSK0032-026 ANY WEIGHT LOSS RECENTLY +MSK0032-027 NO +MSK0032-028 FEVERS OR CHILLS +MSK0032-029 NOPE +MSK0032-032 RASHES NO CHANGES IN VISION HEARING SMELL OR TASTE +MSK0032-033 NO +MSK0032-034 ANY COUGHING SHORTNESS OF BREATH OR WHEEZING +MSK0032-035 NO +MSK0032-036 ANY CHEST PAIN OR HEART PALPITATIONS +MSK0032-037 NO +MSK0032-038 ANY CHANGES IN BOWEL MOVEMENTS +MSK0032-039 NO +MSK0032-040 HOW ABOUT CHANGES IN URINE +MSK0032-041 NO NO NO CHANGES +MSK0032-042 OKAY AND IS SHE OTHERWISE HEALTHY DOES SHE HAVE ANY LONGSTANDING MEDICAL CONDITIONS +MSK0032-043 SHE'S BEEN HEALTHY SO FAR NO CONCERNS AT ALL +MSK0032-044 OKAY AND WITH HER MOTHER'S PREGNANCY WITH HER WERE THERE ANY COMPLICATIONS AT THAT POINT +MSK0032-045 NO IT WAS LIKE A NORMAL PREGNANCY NO COMPLICATIONS SHE WAS BORN AT THIRTY NINE WEEKS LIKE WITH VAGINAL DELIVERY DIDN'T HAVE TO STAY IN THE HOSPITAL OR ANYTHING LIKE THAT +MSK0032-046 OKAY AND NO ISSUES AS A NEONATE +MSK0032-047 NO SHE WE WERE ABLE TO BRING HER HOME PRETTY QUICK +MSK0032-048 OKAY THAT'S GOOD AND THEN SHE HASN'T HAD ANY HOSPITALIZATIONS OR SURGERY SINCE THEN +MSK0032-049 NO NO SURGERIES OR HOSPITALIZATIONS +MSK0032-050 ALRIGHT HIS SHE ON ANY MEDICATIONS +MSK0032-051 NO NO MEDICATIONS +MSK0032-052 OKAY IS SHE UP TO DATE WITH HER IMMUNIZATIONS +MSK0032-053 WE'VE HAD WE'VE GOT ALL THE IMMUNIZATION +MSK0032-054 OKAY HOW ABOUT ALLERGIES DOES SHE HAVE ANY +MSK0032-055 NO ALLERGIES +MSK0032-056 OKAY ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES +MSK0032-057 NOPE +MSK0032-058 LUNG OR HEART CONDITIONS +MSK0032-059 NOPE +MSK0032-060 AUTOIMMUNE CONDITIONS +MSK0032-061 NO +MSK0032-062 CANCERS +MSK0032-063 NOPE +MSK0032-064 IS SHE LIKE ON PAR WITH HER PEERS IN TERMS OF DEVELOPMENTS AND REACHING MILESTONES +MSK0032-065 NO LIKE SHE'S BEEN MEETING ALL HER MILESTONES HAVE BEEN ON PAR WITH HER SIBLINGS AND OTHER CHILDREN NO CONCERNS FROM THE DOCTOR WHATSOEVER +MSK0032-066 OKAY AND WHO DOES SHE LIVE WITH AT HOME +MSK0032-067 SHE LIVES WITH ME HER HER DAD AND WE SHE HAS TWO SIBLINGS TWO OLDER BROTHERS +MSK0032-068 OKAY AND DOES ANYONE AT HOME SMOKE +MSK0032-069 NOPE +MSK0032-070 ANY CONCERNS FOR HER SAFETY AT HOME +MSK0032-071 NO LIKE WE'RE LIKE NO I DON'T THINK SO +MSK0032-072 NO OKAY AND HOW ARE THINGS AT SCHOOL FOR HER +MSK0032-073 SCHOOLS BEEN WELL LIKE IT'S BEEN DIFFICULT WITH THE PANDEMIC BUT SHE'S DOING WELL +MSK0032-074 OKAY THAT'S GOOD HAS SHE COME IN CONTACT WITH ANYONE SICK RECENTLY +MSK0032-075 NO +MSK0032-076 HAVE YOU DONE ANY TRAVEL RECENTLY +MSK0032-077 NOPE +MSK0032-078-1 OKAY ALRIGHT AND THOSE ARE ALL THE QUESTIONS I HAD FOR HISTORY TAKING LET'S MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW I'M JUST GOING TO GET YOU TO TAKE A LOOK AT BOTH HER ELBOWS +MSK0032-078-2 AND ARMS DO YOU SEE ANY REDNESS OR SWELLING IN THE RIGHT ELBOW COMPARED TO THE LEFT +MSK0032-078-3 NO I DON'T SEE THAT NO +MSK0032-079 I DON'T SEE ANY CHANGES OKAY HOW ABOUT ANY MUSCLE ATROPHY +MSK0032-080 DEFORMITIES OR SKIN CHANGES LIKE BRUISES +MSK0032-081 NO I DON'T SEE ANYTHING LIKE THAT +MSK0032-082 OKAY HOW ABOUT WHEN YOU PALPATE HER ELBOWS DOES IS SHE IN PAIN +MSK0032-083 SHE DOESN'T REALLY LET ME BUT IF I TRY TO I THINK THAT DOES CAUSE HER SOME PAIN +MSK0032-084 OKAY HOW ABOUT WHEN YOU PALPATE HER LIKE FOREARM MUSCLES +MSK0032-085 NO NOT AS MUCH +MSK0032-086 OKAY HOW ABOUT HER BICEPS AND TRICEPS +MSK0032-087 NO NOT REALLY +MSK0032-088 NO OKAY ALRIGHT AND THOSE ARE ALL THE QUESTIONS THAT I KIND OF HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +MSK0032-089 NO I JUST WANTED TO FIND OUT IF SHE BROKE SOMETHING OR LIKE I DIDN'T KNOW WHAT WAS GOING ON +MSK0032-090-1 OKAY IT SEEMS LIKE SOMEONE OF HER AGE AND JUST THE KIND OF HISTORY THAT YOU'RE GIVING ME IT SOUNDS LIKE SHE HAS SOMETHING CALLED A RADIAL HEAD SUBLUXATION +MSK0032-090-2 AND THAT'S USUALLY CAUSED IN YOUNG CHILDREN WHEN THEY'RE LIKE PULLED OR LIFTED BY THE HAND OR WRIST WHILE THEIR ARM IS HELD STRAIGHT +MSK0032-090-3 WHICH CAN KIND OF PULL THE BONE OUT OF ITS SOCKET A LITTLE BIT SO +MSK0032-090-4 IN TERMS OF LIKE A MANAGEMENT PLAN YOU CAN TRY CONSERVATIVE THINGS LIKE ICE PACKS OVER THE COUNTER PAINKILLERS +MSK0032-090-5 OTHERWISE WE CAN TRY TO PUT THE RADIUS BACK INTO ITS NORMAL POSITION HERE WHICH WILL JUST TAKE LIKE A FEW MINUTES AND +MSK0032-090-6 AND THEN AFTER WE REDUCE IT BACK INTO ITS PLACE SHE SHOULD HAVE NORMAL FUNCTION OF HER ARM AGAIN IF SHE'S STILL EXPERIENCING PAIN WE CAN CONTINUE KEEPING IT ON A SPLINT +MSK0032-090-7 BUT OTHERWISE I DON'T THINK WE NEED ANY IMAGING FOR THIS AT THIS AT THIS TIME SO DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ABOUT THAT +MSK0032-091 NO I THINK THAT'S THAT'S A GOOD PLAN +MSK0032-092 OKAY GREAT THANK YOU +MSK0032-093 THANK YOU +MSK0033-000 WHAT BRINGS YOU IN HERE TODAY +MSK0033-001-1 I'VE BEEN HAVING THIS PAIN IN MY KNEE AND IT'S BEEN GOING ON NOW FOR A FEW WEEKS IT'S KIND OF RIGHT AT THE I COULD FEEL IT RIGHT BELOW MY KNEECAP AND +MSK0033-001-2 AT FIRST IT IT WAS REALLY ONLY BOTHERING ME AFTER ACTIVITY BUT NOW IT'S STARTING TO HURT DURING AS WELL AND SO IT'S IT'S TRYING TO LIMIT MY ABILITY TO PLAY BASKETBALL +MSK0033-002 OK AND SO YOU SAID THIS STARTED JUST TWO WEEKS AGO +MSK0033-003 ABOUT ABOUT A FEW FEW WEEKS AGO +MSK0033-004 OK AND HAS THE PAIN SO IT'S BEEN GETTING A BIT WORSE AND WITH ACTIVITY AND IT'S RIGHT BELOW YOUR KNEECAP IS IT THE RIGHT WAY OR THE LEFT LEG +MSK0033-005 IT'S ON THE RIGHT SIDE IT'S MY RIGHT RIGHT SIDE +MSK0033-006 OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT KIND OF A SHARP PAIN OR IS IT A DULL ACHING PAIN +MSK0033-007 IT'S IT'S PRETTY ACHY +MSK0033-008 IT TAKE YOU OK AND DOES THE PAIN TRAVEL ANYWHERE ELSE OR DOES IT IT'S JUST RIGHT BELOW YOUR KNEECAP +MSK0033-009 IT'S RIGHT BELOW MY KNEECAP I FEEL LIKE IT'S JUST OVER A KIND OF A SMALL AREA IT'S A PRETTY SPECIFIC SPOT AND IF I PRESS ON THAT AREA AT ALL IT GIVES ME A PRETTY IT'S A SHARP PAIN IF I IF I PRESS ON IT SHARP PAIN +MSK0033-010 OK AND ON A SCALE OF ZERO TO ONE HUNDRED AND TEN BEING THE WORST PAIN YOU FELT IN YOUR LIFE HOW MUCH WOULD YOU RANK THE RATE THIS PAIN +MSK0033-011 I IT'S ABOUT ABOUT A SIX OR SEVEN +MSK0033-012 SIX OR SEVEN OK AND IS IT A CONSTANT PAIN OR LIKE DO YOU GET THE PAIN WHEN YOU'RE NOT PLAYING BASKETBALL OR DOING OTHER ACTIVITIES +MSK0033-013-1 I'LL GET IT IF I'M LIKE SOMETIMES I'LL FEEL IT IF I'M GOING UPSTAIRS LIKE WALKING UPSTAIRS OR LIKE IF I'M SITTING FOR A LONG LONG TIME AND I I GET UP IT'LL FEEL A BIT +MSK0033-013-2 SORE BUT IT'S MOSTLY IF I'M LIKE DOING ACTIVITIES LIKE RUNNING OR JUMPING DOING LIKE STRENUOUS STUFF LIKE THAT +MSK0033-014 OK I SEE AN HAS THIS EVER HAPPENED BEFORE +MSK0033-015 NO I HAVEN'T HAD ANY ANY ISSUES WITH MY KNEE BEFORE +MSK0033-016 OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ANY NUMBNESS TINGLING +MSK0033-017 NO NOTHING LIKE THAT IT'S JUST THE PAIN +MSK0033-018 OK AND ANY WEAKNESS IN YOUR LEGS +MSK0033-019 NO NO WEAKNESS +MSK0033-020 OK AND HAVE YOU TRIED ANYTHING THAT IMPROVES THE PAIN AT ALL OR ANYTHING THAT MAKES IT WORSE +MSK0033-021 I I HAVE TRIED TAKING SOME LIKE TYLENOL AND ADVIL AND THAT OR OR AND NSAIDS THAT AND IT HAS HELPED WITH THE PAIN I'VE TRIED ICING IT TOO LIKE AFTER PRACTICE AND STUFF LIKE THAT WHICH DOES SEEM TO HELP A LITTLE BIT BUT THAT'S ABOUT IT +MSK0033-022 OK OK AND OTHER THAN THAT DID YOU LIKE HAVE A FALL OR DID YOU HAVE ANY INJURIES RECENTLY BEFORE YOU STARTED HAVING THIS PAIN +MSK0033-023 NO IT'S KIND OF COME ON ON ITS OWN NO FALLS OR LIKE TRAUMA TO THE KNEE +MSK0033-024 OK AND OTHER THAN THAT ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL +MSK0033-025 I DON'T HAVE ANYTHING I AM HEALTHY +MSK0033-026 OK ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS +MSK0033-027 NO NOT NOT NOTHING I DON'T TAKE ANYTHING +MSK0033-028 OK ANY ALLERGIES +MSK0033-029 NO ALLERGIES +MSK0033-030 OK AND HAVE YOU BEEN SICK RECENTLY AT ALL WITH FEVERS CHILLS ANY COLD OR VIRAL SYMPTOMS +MSK0033-031 NO I HAVEN'T HAD ANYTHING LIKE THAT I'VE BEEN FEELING WELL +MSK0033-032 OK ANY CHANGES IN YOUR SKIN LIKE ANY RASHES +MSK0033-033 NO I HAVEN'T HAD ANY ANY RASHES +MSK0033-034 OK AND ANY KIND OF SHORTNESS OF BREATH CHEST PAIN +MSK0033-035 NOPE NOTHING LIKE THAT +MSK0033-036 OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS +MSK0033-037 NO I HAVEN'T HAD ANY CHANGES THERE +MSK0033-038 OK OK AND DO YOU HAVE ANY RECENT OR LIKE PAST HISTORY OF ANY HOSPITALIZATIONS OR SURGERIES +MSK0033-039 NO I I HAVEN'T HAD ANYTHING LIKE THAT +MSK0033-040 OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS OR ANY ANYTHING THAT RUNS IN THE FAMILY +MSK0033-041 NO NOT NOTHING LIKE THAT NO +MSK0033-042 OK OK AND CURRENTLY RIGHT NOW DO YOU DO YOU GO TO SCHOOL OR DO YOU WORK AT ALL +MSK0033-043 I GO TO SCHOOL AND I PLAY ON THE SOCCER TEAM AND THE BASKETBALL TEAM IT'S BASKETBALL SEASON RIGHT NOW AND IN GRADE TEN +MSK0033-044 OK IN GRADE TEN OK AND SCHOOL GOING WELL ANY ISSUES AT ALL WITH BULLYING OR ANYTHING LIKE THAT +MSK0033-045 NO SCHOOL'S BEEN BEEN GOING WELL I HAVE BEEN DOING WELL IN MY COURSES AND HAVE A GOOD GROUP OF FRIENDS SO I ENJOY IT IT'S FUN +MSK0033-046 OK AND WHAT'S YOUR HOME SITUATION LIKE DO YOU WHO DO YOU LIVE WITH +MSK0033-047 SO I LIVE WITH BOTH OF MY PARENTS AND I HAVE A A YOUNGER SISTER AS WELL SHE'S IN GRADE GRADE SEVEN AND WE HAVE A DOG AS WELL +MSK0033-048 OK AND DO YOU GENERALLY FEEL SAFE AT HOME AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT +MSK0033-049 I DO MY I GET ALONG WELL WITH MY PARENTS AND WE BUT MY PARENTS ARE GREAT +MSK0033-050-1 THAT'S GOOD AND AND THIS IS JUST WANTED TO LET YOU KNOW THAT ANYTHING THAT YOU TALK ABOUT IN HERE WITH US STAYS CONFIDENTIAL AND WON'T LEAVE THIS ROOM UNLESS THERE IS POTENTIAL HARM TO YOURSELF OR OTHERS +MSK0033-050-2 SO HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA HAVE YOU TRIED SMOKING OR ALCOHOL AT ALL +MSK0033-051 NO I'VE BEEN TRYING I STAY AWAY FROM THAT THAT SORT OF THING I'VE I KNOW ABOUT OTHER PEOPLE IN MY CLASS WHO HAVE AND STUFF BUT I ALWAYS JUST I'M JUST TRYING TO STAY AS READY AS I CAN FOR THE SPORTS +MSK0033-052 OK THAT'S GOOD AND SO AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +MSK0033-053 MY MOM MADE SURE THAT I GOT ALL OF THAT STUFF DONE +MSK0033-054 OK ALRIGHT SO THOSE ARE SOME QUESTIONS I HAD I JUST HAVE A FEW MORE QUESTIONS WITH REGARDS TO JUST EXAMINING YOUR KNEE ARE YOU ABLE TO WALK OR DO YOU HAVE ANY KIND OF A LIMP +MSK0033-055 NO LIMP I CAN I CAN WALK OK +MSK0033-056 OK AND ARE YOU ABLE TO RUN +MSK0033-057 I CAN I CAN RUN BUT WHEN I DO IT IT CAUSES SOME PAIN I'M ABLE TO STILL RUN BUT IT IT HURTS +MSK0033-058 OK AND SO WHEN YOU PALPATE YOUR LOWER KNEE JUST UNDER THE PATELLA YOU SAID IT'S A SHARP PAIN RIGHT +MSK0033-059 EXACTLY AND THEN WHEN I IT'S AND IT FEELS KIND OF ACHEY OR WHEN WHEN LIKE AFTER PRACTICE OR SOMETHING LIKE THAT BUT IF YOU PRESS ON IT IT IT'S SHARP +MSK0033-060 AND ANY ANY KIND OF LIKE ARE YOU ABLE TO FLEX AND EXTEND YOUR KNEE RIGHT NOW IF YOU TRIED +MSK0033-061 I CAN +MSK0033-062 OK AND HAVE YOU NOTICED ANY KIND OF ROTATION OF YOUR KNEE AT ALL +MSK0033-063 NO NOTHING LIKE THAT +MSK0033-064 NO OK OK AND NO WEAKNESS BELOW YOUR KNEE RIGHT +MSK0033-065 NO WEAKNESS I JUST FEEL LIKE MY MUSCLES ARE REALLY TIGHT LIKE MY FLY AND MY HAMSTRING MUSCLES THINK I NEED TO STRETCH THEM OUT SOME MORE THEY DO JUST FEEL TIGHT +MSK0033-066 OK AND DO YOU NOTICE ANY KIND OF SWELLING OR REDNESS OR BRUISING IN THE AREA +MSK0033-067 NO +MSK0033-068 NO OK AND YOUR ANKLE AND HIPS YOU DON'T HAVE ANY PAIN OR ISSUES WITH MOVEMENT RIGHT +MSK0033-069 NO NOT AT ALL NO NO PROBLEMS WITH MY ANKLE OR HIP +MSK0033-070 OK ALRIGHT SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS +MSK0033-071 I WAS JUST WONDERING WHAT I CAN DO TO MAKE THIS GO AWAY +MSK0033-072-1 SO DEFINITELY THIS IS SOMETHING THAT IS WHAT WE CALL JUMPERS KNEE IT'S FAIRLY COMMON AMONGST +MSK0033-072-10 IN YOUR PATELLAR TENDON RIGHT BELOW YOUR PATELLA SO WE NEED TO STRENGTHEN THE MUSCLES AROUND IT SO WE'LL DO SOME REFERRAL TO PHYSIOTHERAPY AND THEN WE'LL SEE HOW YOU +MSK0033-072-11 YOU DO BASED ON ALL THOSE TREATMENT OPTIONS AND THEN IF IT GETS WORSE AND IF OR IF IT DOESN'T GET BETTER WE MIGHT NEED TO DO SOME IMAGING EITHER ULTRASOUND OR AN MRI AND THEN SEE WHERE TO GO FROM THERE BUT FOR NOW DOES THAT SOUND OK WITH YOU +MSK0033-072-2 YOUNGER ATHLETES ESPECIALLY THOSE THAT PLAY SPORTS LIKE VOLLEYBALL OR BASKETBALL +MSK0033-072-3 BUT RIGHT NOW WE DON'T REALLY NEED TO DO ANY KIND OF IMAGING OR ANYTHING LIKE THAT IT SEEMS LIKE YOU'RE IN THE EARLIER PHASES AND IT'S GOOD THAT YOU CAME IN +MSK0033-072-4 WE DEFINITELY DO NEED TO MANAGE IT WITH SOME CONSERVATIVE MANAGEMENT WHERE WE'RE GOING TO +MSK0033-072-5 KEEP HAVING TAKING A LOOK AT IT AS WELL AS I WOULD RECOMMEND ICING IT EVERY +MSK0033-072-6 LIKE FOR HALF AN HOUR LIKE AROUND FOUR TO SIX TIMES A DAY ESPECIALLY AFTER YOU'RE DOING YOUR ACTIVITIES THEN YOU CAN YOU CAN TAKE THE CONTINUE TAKING THE TYLENOL AND ADVIL +MSK0033-072-7 AS WELL AS LONG AS YOU'RE FOLLOWING THE MAXIMUM AMOUNT PER DAY DEPENDING ON IF YOU'RE TAKING EXTRA STRENGTH TYLENOL FOR EXAMPLE VERSUS THE REGULAR STRENGTH +MSK0033-072-8 AND THEN I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL KIND OF A TEACH YOU SOME STRENGTHENING AND STRETCHING +MSK0033-072-9 EXERCISES THAT YOU CAN DO TO HELP WHAT WE CALL LIKE THAT YOU WILL YOU MIGHT BE HAVING IS JUST SOME INFLAMMATION +MSK0033-073 IT DOES THANK YOU SO YOU SAID THAT YOU THINK IT'S LIKE A PATELLAR TENDONITIS OR SOMETHING LIKE THAT +MSK0033-074 IT'S PATELLAR TENDONITIS IS COMMONLY CALLED THE JUMPERS KNEE AND IT SHOULD RESOLVE WITH THE STEPS THAT WE ESPECIALLY SINCE IT SEEMS LIKE YOU'RE IN THE EARLIER STAGES SO IT SEEMS LIKE IT SHOULD BE PRETTY RESPONSIVE BUT IF IT ISN'T THERE ARE OTHER STEPS WE CAN DISCUSS IN THE FUTURE +MSK0033-075 OK THAT SOUNDS GREAT THANK YOU +MSK0034-000 WHAT BRINGS YOU HERE TODAY +MSK0034-001-1 YEAH SO I'M HERE WITH MY MOM BECAUSE I AM HAVING THIS PAIN IN MY RIGHT HIP AND GROIN AREA +MSK0034-001-2 I WAS PLAYING WITH MY FRIENDS TOO MAYBE YESTERDAY AND I FELL DOWN I DIDN'T FALL DOWN HARD BUT I HAD A SMALL FALL AND SINCE THEN MY HIP HAS BEEN HURTING AND IT'S PAINFUL FOR ME +MSK0034-002 TO BEAR ANY WEIGHT ON MY RIGHT LEG OK AND DID YOU HAVE THIS PAIN AT ALL BEFORE YOUR FALL OR IS THIS SOMETHING THAT JUST STARTED AFTER THE FALL +MSK0034-003 IT JUST STARTED AFTER +MSK0034-004 OK AND WHEN DID YOU HAVE THE FALL +MSK0034-005 YESTERDAY +MSK0034-006 OK AND CAN YOU DESCRIBE WHAT YOU WERE DOING AND FROM HOW HIGH DID YOU FALL AND IF LIKE ON WHAT SURFACE YOU FELL ON +MSK0034-007 SURE WE WERE PLAYING SOCCER ON LIKE A FIELD AND I AND I JUST FELL ON THE GRASS LIKE IT WAS A FLAT SURFACE +MSK0034-008 OK AND SO DID YOU SAY IT WAS THE RIGHT HIP THAT'S GIVING YOU PAIN +MSK0034-009 YES THAT'S RIGHT +MSK0034-010 OK DID YOU FALL ON THE RIGHT HIP +MSK0034-011 I DID +MSK0034-012 OK AN AFTER YOU FELL WERE YOU ABLE TO WEIGHT BEAR LIKE GET UP GET BACK UP ON YOUR FEET OR WAS IT DIFFICULT +MSK0034-013 IT WAS DIFFICULT AN I'M STILL LIMPING +MSK0034-014 OK AND YOU'RE STILL LIMPING ON HAVE YOU NOTICED SO ANY PAIN ANYWHERE ELSE OR IS IT JUST YOUR HIP +MSK0034-015 JUST MY HIP +MSK0034-016 OK AND WHERE EXACTLY IS YOUR PAIN ON THE HIP +MSK0034-017 IT'S LIKE ON THE SIDE OF MY HIP AS WELL AS LIKE IN THE GROIN AREA +MSK0034-018 OK I SEE AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT A SHARP PAIN OR IS IT A DULL ACHING PAIN +MSK0034-019 IT'S PRETTY SHARP +MSK0034-020 IT'S SHARP OK AND DO YOU EXPERIENCE ANY OTHER SYMPTOMS LIKE +MSK0034-022 ANY DIZZINESS OR FAINTING SPELLS NO AND ARE YOU ABLE TO MOVE YOUR HIP AT ALL LIKE ARE YOU ABLE TO FLEX IT OR EXTEND IT ROTATE IT +MSK0034-023 I CAN MOVE IT BUT IT COMES WITH A LOT OF PAIN +MSK0034-024 OK AND DO YOU FIND THAT YOUR HIP IS AT ALL ROTATED OUTWARDS +MSK0034-025 IT LOOKS IT LOOKS LIKE IT IS +MSK0034-026 OK ALRIGHT HAVE YOU TAKEN ANY MEDICATIONS FOR YOUR PAIN +MSK0034-027 I JUST TOOK SOME IBUPROFEN +MSK0034-028 OK AND OTHER THAN THAT HAVE YOU RECENTLY BEEN SICK AT ALL +MSK0034-030 NO I HAVEN'T OK AND ON A SCALE OF ZERO TO TEN TEN BEING THE WORST PAIN YOU'VE FOUND IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS +MSK0034-031 HOW WOULD SAY LIKE AN EIGHT +MSK0034-032 AN EIGHT AND AS THE PAIN TRAVEL ANYWHERE TO OTHER PARTS OF YOUR BODY +MSK0034-033 NO JUST STAYS IN THAT AREA +MSK0034-034 OK ANY NUMBNESS OR TINGLING +MSK0034-035 NO +MSK0034-038 ANY FEVERS OR CHILLS +MSK0034-063 COMPLICATIONS AFTER BIRTH ANY STAY IN THE HOSPITAL FOR ANY REASON NO AND WAS IT A VAGINAL DELIVERY OR A C SECTION +MSK0034-064 IT WAS A VAGINAL DELIVERY +MSK0034-065 OK AND WAS THERE THE USE OF ANY KIND OF INSTRUMENTS LIKE FORCEPS OR VACUUM FOR ANY REASON +MSK0034-066 NO +MSK0034-067 NO OK SO IT WAS LIKE A FAIRLY NORMAL PREGNANCY AND WERE YOU AT TERM OR PREMATURE +MSK0034-068 AT TERM +MSK0034-069 ALRIGHT AND ANY COMPLICATIONS DIFFICULTIES WHILE YOU WERE GROWING UP AT ALL WITH YOUR GROWTH LIKE HEIGHT OR WEIGHT OR ANY KIND OF DEVELOPMENTAL ISSUES THAT YOU KNOW +MSK0034-070 NO I HIT ALL MY MILESTONES AND OTHERWISE DOING PRETTY WELL ON PAR WITH MY PEERS IN TERMS OF MILESTONES +MSK0034-071 OK AND SCHOOLS GOING WELL +MSK0034-072 SCHOOLS GOING WELL +MSK0034-073 OK AND IN TERMS OF YOUR FAMILY HISTORY ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS +MSK0034-074 NO NOTHING LIKE THAT IN MY +MSK0034-075 FAMILY OK AND CURRENTLY RIGHT NOW +MSK0034-076 WHO DO YOU LIVE WITH I LIVE WITH BOTH MY PARENTS AS WELL AS MY SEVEN YEAR OLD SISTER +MSK0034-077 OK ALRIGHT AND IF I CAN JUST IS IT OK IF I JUST TALK TO YOU ALONE FOR A LITTLE BIT +MSK0034-078 SURE +MSK0034-079 ALRIGHT SO ANYTHING THAT WE TALKED ABOUT HERE TODAY WILL STAY CONFIDENTIAL AS LONG AS THERE IS NO HARM TO YOURSELF OR OTHERS OR RISK OF HARM TO YOURSELF OR OTHERS SO I'M JUST GOING TO ASK YOU A FEW QUESTIONS PERTAINING TO YOUR HEALTH +MSK0034-080 SURE THAT SOUNDS GOOD +MSK0034-081 SO AT HOME DO YOU FIND THAT YOU'RE IN A SAFE ENVIRONMENT EVEN OUTSIDE OF YOUR HOME IN YOUR NEIGHBORHOOD DO YOU FEEL SAFE +MSK0034-082 I DO +MSK0034-083 OK AND HOW ABOUT AT SCHOOL DO YOU FEEL SAFE HAVE YOU EXPERIENCED ANY KIND OF BULLYING OR ANYTHING LIKE THAT +MSK0034-084 NO +MSK0034-085 OK HAVE YOU TRIED ANY ALCOHOL RECREA RECREATIONAL DRUGS OR CIGARETTES OR DO YOU KNOW ANY FRIENDS THAT HAVE TRIED +MSK0034-086 I KNOW I KNOW OLDER KIDS THAT HAVE TRIED IN THE SCHOOL BUT WE HAVEN'T +MSK0034-087 OK AND ARE YOU SEXUALLY ACTIVE +MSK0034-088 NO +MSK0034-089 NO OK ALRIGHT SO THOSE ARE JUST A FEW QUESTIONS I HAD I'LL CALL YOUR MOM BACK IN OK SO WE'RE JUST GONNA TRY AND DO A COUPLE OF EXAMINATIONS SO ARE YOU ABLE TO STAND +MSK0034-090 UP BY YOURSELF I CAN BUT I NEED A LOT OF ASSISTANCE LIKE I HAVE TO HOLD ON TO THE DESK OR HAVE A CRUTCH OR SOMETHING LIKE THAT +MSK0034-091 OK NO WORRIES AND THEN WHILE LAYING DOWN ARE YOU ABLE TO LIFT YOUR RIGHT +MSK0034-092 LEG WITH YOUR KNEES STRAIGHT I DON'T KNOW ABOUT STRAIGHTENING MY KNEES MY LEG SEEMS TO HAVE PERMANENTLY TURNED OUTWARD +MSK0034-093 AND LOOK SHORTER THAN MY OTHER LEG OK AND I FORGOT TO ASK YOU THIS EARLIER I DON'T I DON'T THINK WE WEIGHED YOU WHEN YOU WERE COMING IN BUT APPROXIMATELY HOW MUCH WOULD YOU SAY YOU WEIGH +MSK0034-094 I WEIGH ABOUT ONE HUNDRED AND THIRTY POUNDS +MSK0034-095 OK AND DO YOU KNOW HOW TALL YOU ARE +MSK0034-097-1 ABOUT FOUR EIGHT +MSK0034-097-2 OK OK ALRIGHT SO THOSE WERE JUST SOME OF THE QUESTIONS I HAD TODAY WE'LL DO A FULL PHYSICAL EXAMINATION AND HAVE YOU COME IN +MSK0034-097-3 ALRIGHT SORRY AND LIKE WELL WILL CONTINUE WITH THE FULL EXAMINATION TODAY AND WHAT CURRENTLY IT SEEMS LIKE IT CAN DEFINITELY BE FROM THE FALL YOU MAY HAVE INJURED YOURSELF AND WE JUST WANT TO MAKE SURE THERE'S NO FRACTURES LIKE A HIP FRACTURE +MSK0034-098 OK +MSK0034-099-1 ONE THING THAT'S ALSO SOMETHING THAT WE HAVE TO INVESTIGATE IS SOMETHING CALLED SLIPPED CAPITAL FEMORAL EPIPHYSIS SO THIS IS +MSK0034-099-2 THIS IS A COMMON HIP ISSUE IN ADOLESCENTS ESPECIALLY FROM BOYS AGED TEN TO SIXTEEN +MSK0034-099-3 AND USUALLY IT'S THE LEFT HIP THAT'S AFFECTED BUT IT IT CAN BE THE RIGHT AND AS ADOLESCENTS ARE IN A PHASE WHERE THEY WERE GROWING THERE IS IF THEY HAVE SOME PREDISPOSED DISPOSITION TOO +MSK0034-099-4 SLIPPING OF THE CAPITAL FEMORAL IF EPIPHYSIS WHICH IS RIGHT BETWEEN YOUR HIPS YOU CAN GET SOME SLIPPING +MSK0034-099-5 IT CAN BE AFTER A FALL OR IT CAN HAPPEN JUST AS THE CHILD IS GROWING AND IT CAN ALSO IT IS ALSO ASSOCIATED WITH THE INCREASING WEIGHT THAT A CHILD MAY HAVE +MSK0034-099-6 SO WHAT WE CAN DO IS JUST GET FIRST AN X RAY OF BOTH THE HIPS +MSK0034-100 OK +MSK0034-101 AND SEE LIKE WHAT WE CAN FIND ON THE X RAY AND THEN WILL ALSO DO A FULL EXAMINATION AND IT IF IT DOES TURN OUT THAT THERE IS A FRACTURE OR THERE'S A SLIPPED CAPITAL FEMORAL EPIPHYSIS WE WILL NEED TO SEND OUT A REFERRAL TO PEDIATRIC ORTHOPEDIC SURGERY +MSK0034-102 OK +MSK0034-103 SO FIRST WE'LL JUST GET THE IMAGE NG DONE AND SEE WHAT'S GOING ON IN THERE AND THEN WE'LL GET BACK TO YOU SHORTLY +MSK0034-104 OK THAT SOUNDS GREAT THANK YOU SO MUCH +MSK0034-105 WELCOME TAKE CARE +MSK0035-000 HOW MAY I HELP YOU +MSK0035-001 I'M SO I WAS SKIING YESTERDAY AND I FELL ON MY ARM AND NOW AND IT'S IT'S MY HANDS VERY PAINFUL AND IT LOOKS SWOLLEN AND BRUISED SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT +MSK0035-002 CERTAINLY ALRIGHT AND SO YOU FELL WHILE WHILE YOU'RE SKIING SO DID YOU USE YOUR HAND TO BRACE THE FALL LIKE WITH YOUR HAND KIND OF WITH YOUR WRIST EXTENDED BACKWARDS +MSK0035-003 YEA SO I KIND OF HAD MY ARM STRETCHED OUT AND I FELL RIGHT ON IT +MSK0035-004 OK AND DID YOU FEEL PAIN RIGHT AWAY +MSK0035-005 YES +MSK0035-006 OK AND DURING THE FALL DID YOU INJURE ANY OTHER PARTS OF YOUR BODY LIKE YOUR ELBOW OR SHOULDER OR EVEN YOUR HEAD +MSK0035-007 NO I DON'T THINK SO I DIDN'T HAVE I DON'T HAVE ANY PAIN ANYWHERE ELSE +MSK0035-008 OK AND LIKE ARE YOU ABLE TO MOVE YOUR WRIST CURRENTLY +MSK0035-009 I CAN BUT IT'S VERY PAINFUL +MSK0035-010 OK AND SO WHEN DID THIS HAPPEN WAS IT YESTERDAY +MSK0035-011 YES IT WAS YESTERDAY +MSK0035-012 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT'S A SHARP PAIN DULL PAIN ACHY +MSK0035-013 IT'S PRETTY SHARP +MSK0035-014 SHARP OK AND ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE LIKE DOWN INTO YOUR HAND OR UP INTO YOUR ARM +MSK0035-015 NO IT'S PRETTY LOCAL THE PAIN IT'S PRETTY IT'S RIGHT BELOW THE THUMB AREA AND JUST KIND OF ON MY WRIST AN ON THE RIGHT SIDE +MSK0035-016 OK IS THERE ANYTHING YOU'VE DONE THAT'S MADE IT THAT MADE IT BETTER LIKE HAVE YOU TRIED ANY MEDICATIONS OR ANY ICE OR TOPICAL CREAMS +MSK0035-017 I'VE BEEN TAKING IBUPROFEN FOR THE PAIN AND TRY NOT TO MOVE IT TOO MUCH AND THAT'S BEEN HELPING A LITTLE BIT +MSK0035-018 OK AND IS THE PAIN CONSTANT OR INTERMITTENT +MSK0035-019 IT'S CONSTANT +MSK0035-020 OK AND HAVE YOU DONE ANYTHING THAT'S THAT'S MADE THE PAIN WORSE +MSK0035-021 I GUESS MOVING IT +MSK0035-022 OK AND WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF ONE TO TEN WITH TEN BEING THE WORST PAIN YOU'VE EVER FELT +MSK0035-023 I GIVE IT LIKE A FIVE OR SIX +MSK0035-024 OK HAVE YOU HAD AN INJURY LIKE THIS TO YOUR WRIST OR YOUR HAND BEFORE +MSK0035-025 NO +MSK0035-026 ALRIGHT AND ARE YOU HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS TINGLING OR OR SENSORY LOSS OVER ANY AREAS +MSK0035-027 NO +MSK0035-028 OK AND HOW ABOUT MUSCLE WEAKNESS +MSK0035-029 NO +MSK0035-030 ALRIGHT AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +MSK0035-031 NOTHING LIKE THAT +MSK0035-032 HAVE YOU BEEN HAVING ANY HEADACHES +MSK0035-033 NO +MSK0035-034 HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR HEARING OR LOSS OF SMELL OR LOSS OF TASTE +MSK0035-035 NO NOTHING LIKE THAT +MSK0035-036 OK HAVE YOU HAD A RUNNY NOSE OR OR FELT CONGESTED +MSK0035-038 NO HAVE YOU HAD A SORE THROAT OR A COUGH +MSK0035-040 NO HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING +MSK0035-041 NO +MSK0035-042 HAVE YOU HAD ANY CHEST PAIN +MSK0035-043 NO +MSK0035-044 HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING +MSK0035-045 NOPE +MSK0035-046 HAVE YOU HAD ANY DIZZINESS OR FAINTING +MSK0035-047 NO +MSK0035-048 OK AND SO DID YOU LOSE CONSCIOUSNESS AT ALL DURING THE FALL +MSK0035-049 NO +MSK0035-050 OK AND AND HAVE YOU HAD ANY NAUSEA OR VOMITING +MSK0035-051 NO +MSK0035-052 ANY ABDOMINAL PAIN +MSK0035-053 NO +MSK0035-054 ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL +MSK0035-055 NOPE +MSK0035-056 OK AND HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +MSK0035-057 NO NOTHING LIKE THAT +MSK0035-058 ALRIGHT AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR LIKE ANY OTHER MUSCULOSKELETAL PAINS BESIDES THE WRIST +MSK0035-059 NO +MSK0035-060 OK AND HAVE YOU HAD ANY APPETITE LOSS OR OR FATIGUE +MSK0035-061 NO +MSK0035-062 ALRIGHT AND HAVE YOU HAD ANY NIGHT SWEATS +MSK0035-063 NO +MSK0035-064 AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +MSK0035-065 NO +MSK0035-066 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR DO YOU SEE A PHYSICIAN REGULARLY FOR ANY REASON +MSK0035-067 NO +MSK0035-068 OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY PRESCRIBED OR OVER THE COUNTER +MSK0035-069 NOPE +MSK0035-070 ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +MSK0035-071 NO +MSK0035-072 OK AND YOU HAVE ANY ALLERGIES +MSK0035-073 NO +MSK0035-074 ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE +MSK0035-075 I THINK SO I THINK I JUST NEED TO GET THE GARDASIL +MSK0035-076 OK HAVE YOU GOTTEN LIKE THE FIRST DOSE OF THAT YET OR ARE YOU STILL STILL WAITING TO GET THAT +MSK0035-077 I'M STILL WAITING TO GET THAT OK +MSK0035-078 AND COULD YOU TELL ME JUST A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU'RE LIVING WITH AND AND WHEREABOUTS +MSK0035-079 I LIVE BY MYSELF IN AN APARTMENT DOWNTOWN +MSK0035-080 OK I'M AN ARE YOU IN SCHOOL OR ARE YOU WORKING RIGHT NOW +MSK0035-081 I'M IN SCHOOL +MSK0035-082 OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +MSK0035-083 NO NO ONE'S BEEN SICK AROUND ME I HAVEN'T REALLY BEEN LEAVING MY HOME +MSK0035-084 I SEE OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +MSK0035-085 NOPE +MSK0035-086 ALRIGHT AND JUST STAYING ACTIVE WHICH IS GOOD DO YOU DO ANY OTHER ACTIVITIES BESIDES THE SKIING +MSK0035-087 I DO I LIKE I GO SNOWBOARDING IN THE WINTER I GO CAMPING I LIKE PLAYING TENNIS AND VOLLEYBALL +MSK0035-088 OK COOL IT SOUNDS FUN AND LIKE DO YOU SMOKE CIGARETTES +MSK0035-089 NO I DON'T +MSK0035-090 OK DO YOU DRINK ALCOHOL +MSK0035-091 I'LL HAVE A BEER ONCE IN AWHILE +MSK0035-092 OK HOW OFTEN IS ONCE IN AWHILE LIKE HOW MANY DRINKS PER WEEK +MSK0035-093 OH NOT THAT MANY I'LL MAYBE HAVE LIKE TWO EVERY OTHER WEEK +MSK0035-094 I SEE OK AND YOU USE CANNABIS OR OR ANY CANNABIS PRODUCTS +MSK0035-095 I'LL TAKE AN EDIBLE ONCE IN AWHILE AS WELL LIKE MAYBE ONCE A MONTH +MSK0035-096 OK AND HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS +MSK0035-097 NO +MSK0035-098 ALRIGHT AND IN THE FAMILY ARE THERE ANY HISTORY OF NEUROLOGICAL OR MUSCULOSKELETAL PROBLEMS +MSK0035-099 NO +MSK0035-100 HOW ABOUT ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM +MSK0035-101 NO +MSK0035-102 OK SO NEXT I WILL ASK YOU TO JUST HAVE A LOOK AT THE WRIST FOR THE PHYSICAL EXAM PORTION ARE YOU SEEING ANY SWELLING OR REDNESS +MSK0035-103 NO I DON'T SEE ANYTHING LIKE THAT +MSK0035-104 OK AND IF YOU TOUCH THE JOINTS AROUND THE WRIST ON BOTH SIDES IS THE RIGHT WRIST DOES IT FEEL HOT +MSK0035-105 NO ACTUALLY YES IT DOES +MSK0035-106 OK ALRIGHT AND BUT THERE'S NO SWELLING THERE +MSK0035-107 THERE'S MAYBE A LITTLE BIT OF SWELLING COMPARED TO MY LEFT +MSK0035-108 OK AND ARE YOU NOTICING ANY MUSCLE ATROPHY OR OR ANY DEFORMITY AT THE WRIST +MSK0035-109 I GUESS THERE'S LIKE A SLIGHT BRUISE +MSK0035-110 OK AND ARE THERE ANY LIKE RAISED BUMPS IF YOU PUT YOUR FINGER OVER IT OVER THE BONY EDGES +MSK0035-111 NO BUMPS BUT JUST A GENERAL KIND OF SWELLING IN THE AREA THAT MAKES IT LOOK RAISED +MSK0035-112 ALRIGHT AND AND IF YOU PALPATE OR PRESS ON SOME AREAS OF THE WRIST ARE THERE ANY AREAS THAT YOU'RE FEELING PAIN LIKE AT THE DISTAL RADIAL HEAD THE DISTAL ULNA OR ANY AREAS OF THE WRIST +MSK0035-113 THERE'S SOME PAIN AT THE DISTAL RADIUS FOR SURE +MSK0035-114 OK ALRIGHT AND IS THIS ON THE BACK OF THE HAND OR THE THAT THE PALM SIDE +MSK0035-115 IT'S ON THE PALM SIDE +MSK0035-116 OK DO YOU FEEL ANY PAIN IF YOU PUSH IN THE WHAT'S CALLED THE ANATOMICAL STUFF BOX SO IT'S AT THE BASE OF THE THUMB ON THE BASE OF THE THUMB ON THE BACK OF YOUR HAND +MSK0035-117 BASE OF THE THUMB NO I DON'T FEEL ANY PAIN THERE +MSK0035-118 OK AND OK SO NO PAIN AT THE THE DORSAL ANATOMICAL SNUFFBOX AND IN TERMS OF RANGE OF MOTION ARE YOU ABLE TO FLEX AND EXTEND YOUR WRIST +MSK0035-119 I AM +MSK0035-120 OK AND THEN HOW ABOUT MOVE IT LIKE SIDE TO SIDE KIND OF DEVIATING IT +MSK0035-121 I CAN DO ALL OF THESE THINGS IT JUST HURTS A LOT +MSK0035-122 OK ARE YOU ABLE TO MAKE A FIST +MSK0035-123 YES +MSK0035-124 ALRIGHT AND DO YOU HAVE ANY PROBLEMS AT THE ELBOW OR ARE YOU ABLE TO FLEX AND EXTEND THE ELBOW OK +MSK0035-125 I CAN FLEX AND EXTEND OK +MSK0035-126 OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO CHECK TODAY DID YOU HAVE ANY QUESTIONS OR CONCERNS +MSK0035-127 NO JUST DO I NEED ANY SORT OF SURGERY FOR THIS AND DO I NEED AN X RAY HOW DO I GO ABOUT TRYING TO TREAT THIS +MSK0035-128-1 SO I THINK I IT X RAY WOULD BE THE FIRST STEP HERE BECAUSE FROM WHAT YOU'RE DESCRIBING AND PARTICULARLY WITH THE MECHANISM OF THE INJURY AND WHERE YOU'RE FEELING PAIN +MSK0035-128-2 CAN BE A COMMON CAUSE OF A DISTAL RADIAL RADIAL FRACTURE WHICH IS ONE OF THE FOREARM BONES AND SO WE WILL NEED AN X RAY TO LOOK TO SEE IF THERE IS A DISTAL RADIAL FRACTURE +MSK0035-128-3 AND IT'S NOT SOUNDING LIKE THIS RIGHT NOW BUT ANOTHER THING THAT WILL LOOK FOR ON ON THE X RAY OF THE HANDS TOO IS A SCAPHOID FRACTURE TO MAKE SURE THAT THAT'S OK BUT YOU DIDN'T HAVE ANY PAIN +MSK0035-128-4 IN THE AREA OF THE SCAPHOID WHICH IS REASSURING BUT WE STILL WANT TO IMAGE AND MAKE SURE ALTHOUGH THAT MOST LIKELY THING WOULD BE THE +MSK0035-128-5 DISTAL RADIAL FRACTURE AN IF THAT'S THE CASE THEN THERE WILL BE LIKE WE WILL HAVE TO GO INTO A CAST FOR A PERIOD OF TIME AND DEPENDING ON HOW MUCH JOINT INVOLVEMENT THERE IS THERE +MSK0035-128-6 MIGHT BE THE POSSIBILITY OF SURGERY BUT CANNOT COMMENT TOO MUCH ON ON THAT JUST YET WE WILL NEED TO GET THE IMAGING FIRST +MSK0035-129 OK OK THAT SOUNDS GOOD THANK YOU +MSK0036-000 HOW MAY I HELP YOU +MSK0036-001 I'VE JUST BEEN EXPERIENCING A SOME PAIN AND NUMBNESS AND TINGLING IN IN JUST MY WRIST AREA AND THUMB MIDDLE FINGER AND INDEX FINGER +MSK0036-002 OK AND WHEN DID THIS PAIN START AND IS IT THE RIGHT HAND OR OR LEFT HAND +MSK0036-003-1 UUM IT'S THE RIGHT IT'S A THE RIGHT HAND BUT I ALSO FIND IT SO STARTING TO HAPPEN IN THE LEFT HAND AS WELL BUT MORE SO ON THE RIGHT HAND I FEEL THIS KIND OF +MSK0036-003-2 SENSATION OVER MY PALMS AND FINGERS IT STARTED I WOULD SAY PROBABLY TWO WEEKS AGO AND IT'S BEEN I THINK IT'S GRADUALLY BEEN GETTING WORSE +MSK0036-003-3 I'M HAVING MORE DIFFICULTY AT NIGHTTIME ESPECIALLY IT'S ALSO WAKING ME UP FROM SLEEP AND IT'S JUST AFFECTING MY DAILY ROUTINE MY WORK SO I JUST WANTED TO UNDERSTAND WHAT WAS GOING ON +MSK0036-004 OK I SEE AND DID YOU HAVE ANY TRAUMA TO THE WRIST OR OR ANY INJURY OR HAVE YOU HAD AN INJURY IN THE PAST +MSK0036-005 NO I HAVEN'T HAD ANY FALLS NO ACCIDENTS NOTHING LIKE THAT +MSK0036-006 OK AND ARE YOU RIGHT OR LEFT HANDED +MSK0036-007 I'M RIGHT HANDED +MSK0036-008 OK AND YOU MENTIONED IT WAS THE RIGHT HAND THAT STARTED TO HURT FIRST AND THEN THE LEFT ONE HAS STARTED SINCE THEN +MSK0036-009 AND I DON'T KNOW IF IT'S JUST CAUSE I USE MY RIGHT HAND MORE THAT I FEEL MORE PAIN AND THE SYMPTOMS BUT I DEFINITELY WOULD SAY IT'S WORSE +MSK0036-010 OK AND WHERE ARE YOU FINDING THAT THE PAIN IS SPECIFICALLY LOCATED +MSK0036-011-1 SO THE PAIN I FEEL LIKE IT'S MORE LIKE A DISCOMFORT JUST OVER THE LIKE PALM LIKE NEAR THE WRIST AND THE LOWER PALM AREA +MSK0036-011-2 IS WHERE THE DISCOMFORT IS AND THEN THE NUMBNESS AND TINGLING IS JUST LIKE IN THUMB AN THE ONEST TWO DIGITS +MSK0036-012 OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OF THIS SENSATION IS IT BURNING IS IT SHARP ACHY OR OR STABBY +MSK0036-013 I WOULD SAY IT'S MORE OF KIND OF LIKE AN ACHING ACHING PAIN IT DOES SOMETIMES TURN INTO KIND OF LIKE A BURNING SENSATION WITH THE TINGLING BUT MORE SO ON THE PALMER LIKE ON THE PALM SIDE OF THINGS IT'S MORE LIKE AN ACHING PAIN +MSK0036-014 OK AND YOU HAVE SOME BURNING AS WELL +MSK0036-015 OK AND IS THE DOES IT RADIATE ANYWHERE ARE YOU FEELING THIS IN IN YOUR NECK SHOULDER OR DOWN YOUR ARM AT ALL +MSK0036-016-1 IT KIND OF GOES FROM THE PALM ALONG SO IT GOES FROM THE PALM IT GOES UPWARDS LIKE TO MY FINGERS BUT ALSO BACKWARDS LIKE +MSK0036-016-2 TO MY LOWER ARM AS WELL LIKE MY FOREARM +MSK0036-017 OK AND DO YOU HAVE ANY PAIN +MSK0036-020 IN IN MY NECK NO OK AN ANYTHING THAT YOU'VE DONE THAT MAKES THE PAIN WORSE +MSK0036-021-1 I I JUST HAVE TO LIKE I WORK AS AN ACCOUNTANT THERE'S A LOT OF WORK I DO ON THE COMPUTER WITH A KEYBOARD MOUSE SO +MSK0036-021-2 I FEEL LIKE IT'S HARD TO REALLY DO THAT ALL DAY RIGHT NOW SO I THINK IF I DO THAT I'LL MAKE IT WORSE BUT IF I TAKE A REST AND KIND OF JUST SHAKE MY HANDS A LITTLE BIT THEN IT GETS BETTER +MSK0036-022 OK SO KIND OF LIKE FLICKING YOUR WRIST SORT OF THING SO KIND OF SHAKE OUT THE +MSK0036-023 OK AN ANYTHING THAT YOU DO THAT MAKES IT BETTER BESIDES THOSE MOVES LIKE HAVE YOU TAKEN ANY MEDICATIONS OR TRIED ANY LIKE WRIST SPLINTS OR ANYTHING LIKE THAT +MSK0036-024 NO I HAVEN'T TRIED ANY MEDICATIONS OR SPLINTS +MSK0036-025 OK AND WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF ONE TO TEN TEN BEING THE WORST YOU'VE EVER FELT AND DO YOU FEEL THIS PAIN AT ANY PARTICULAR TIME OF DAY MORE THAN THAN OTHERS +MSK0036-026 THE PAIN IS PROBABLY LIKE A A FIVE AND I FEEL IT MORE DURING THE NIGHT AS WELL AS LIKE WHEN I'M WORKING I FEEL IT'S DEFINITELY MORE AS I CONTINUE TO DO MORE WORK +MSK0036-027 I SEE OK AND HAVE YOU HAD ANY LIKE NUMBNESS AND AND THAT TINGLING IN THE HAND OR ANYWHERE ELSE +MSK0036-028 NO JUST IN THE AREAS THAT I DESCRIBED NOWHERE ELSE +MSK0036-029 OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS +MSK0036-030 NO I DON'T THINK SO +MSK0036-031 OK AND HOW ABOUT ANY ISSUES WITH LIKE GRIPPING OBJECTS DROPPING OBJECTS OR LIKE OPENING JARS +MSK0036-032 I I DO I DO HAVE LIKE WHEN I'M LIFTING THINGS AND OPENING JARS OPENING LIDS LIKE I DO HAVE THE SIMILAR DISCOMFORT PAIN AS WELL AS THE NUMBNESS AND TINGLING +MSK0036-033 OK ALRIGHT AND HAVE YOU HAD ANY FEVERS OR CHILLS +MSK0036-034 NO +MSK0036-035 HAVE YOU HAD ANY NIGHT SWEATS +MSK0036-036 NO +MSK0036-037 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +MSK0036-038 NO +MSK0036-039 OK HAVE YOU HAD ANY HEADACHES +MSK0036-040 NO +MSK0036-041 HOW ABOUT ANY LIKE SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION OR HEARING +MSK0036-042 NO NO NOTHING LIKE THAT +MSK0036-043 HOW ABOUT A LOSS OF YOUR SENSE OF TASTE OR SENSE OF SMELL +MSK0036-044 NO +MSK0036-045 HAVE YOU HAD ANY RUNNY NOSE OR FEELING CONGESTED +MSK0036-046 NO NOTHING LIKE THAT +MSK0036-047 HOW ABOUT A SORE THROAT OR A COUGH +MSK0036-048 NO OK +MSK0036-049 HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING +MSK0036-050 NO NOTHING LIKE THAT +MSK0036-051 HAVE YOU HAD ANY CHEST PAIN OR FEELING AS THOUGH YOUR HEART'S RACING +MSK0036-053 NO OK HAVE YOU HAD ANY DIZZINESS OR +MSK0036-055 OR LIGHTHEADEDNESS ALRIGHT AND HAVE YOU +MSK0036-057 ANY OF NAUSEA OR VOMITING +MSK0036-058 NO +MSK0036-059 ANY ABDOMINAL PAIN NO OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +MSK0036-061 OR BLOOD IN THE STOOL NO ALRIGHT HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +MSK0036-062 NO +MSK0036-063 ALRIGHT HAVE YOU NOTICED ANY SKIN CHANGES OR LIKE RASHES OR ANYTHING LIKE THAT +MSK0036-064 NO +MSK0036-065 OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR OR BODY PAINS +MSK0036-066 NO +MSK0036-067 OK AND ANY CONFUSION OR MEMORY LOSS +MSK0036-068 NO +MSK0036-069 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +MSK0036-070 NO I'VE BEEN FAIRLY HEALTHY +MSK0036-071 OK AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER +MSK0036-072 NO I I'VE BEEN PRETTY HEALTHY SOMETIMES I TAKE SOME ADVIL FOR HEADACHES AND STUFF OR TYLENOL BUT THAT'S IT +MSK0036-073 OK AND DO YOU HAVE +MSK0036-075 ANY ALLERGIES NOPE AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES +MSK0036-077 NO I HAVEN'T ALRIGHT AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE +MSK0036-078 YOU'RE LIVING AND AND WHO YOU'RE LIVING WITH I'M LIVING WITH MY HUSBAND AND TWO KIDS IN A +MSK0036-079 SMALL TOWNHOUS I SEE AND YOU MENTIONED YOU'RE AN ACCOUNTANT ARE YOU WORKING RIGHT NOW +MSK0036-080 I I AM IN I'M AN ACCOUNTING TIME OFF AND JUST TAKING A LITTLE BIT EASY BEFORE I FIND OUT LIKE WHAT THIS IS AND HOW THIS WILL REALLY IMPACT MY WORK +MSK0036-081 I SEE OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY +MSK0036-082 NO +MSK0036-083 HAVE YOU TRAVELED ANYWHERE +MSK0036-084 NO +MSK0036-085 DO YOU SMOKE CIGARETTES +MSK0036-086 NO +MSK0036-087 OK AND HOW ABOUT +MSK0036-088 SMOKING MARIJUANA NO NO NO +MSK0036-089 DRUGS OK OK SO NO RECREATIONAL +MSK0036-091 DRUGS OK AND ARE YOU CURRENTLY +MSK0036-092 SEXUALLY ACTIVE YES +MSK0036-093 JUST JUST WITH MY HUSBAND OK AND ANY CONCERN FOR +MSK0036-095 SEXUALLY TRANSMITTED INFECTION +MSK0036-096 NO OK AND DO YOU DRINK +MSK0036-097 ALCOHOL JUST MAYBE SOME WINE EVERY OTHER DAY OK AND IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR LIKE NEUROLOGICAL CONDITIONS +MSK0036-099 NO OK AND HOW ABOUT AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR LIKE HYPOTHYROIDISM OR TYPE ONE DIABETES +MSK0036-100 IN IN MY FAMILY HISTORY I THINK +MSK0036-101 THERE IS SOME THERE'S DEFINITELY SOME DIABETES ON MY FATHER'S SIDE BUT OTHER THAN THAT I THINK ONE OF MY AUNTS ON MY MOTHER SIDE HAD A +MSK0036-102 HYSTERECTOMY FOR CANCER +MSK0036-103 OK ALRIGHT AND WAS IT ENDOMETRIAL CANCER +MSK0036-104 I'M NOT SURE ACTUALLY BUT SHE I JUST KNOW THAT SHE HAD HER UTERUS REMOVED I SEE ALRIGHT AND SO NEXT I WANTED TO JUST MOVE TO THE PHYSICAL EXAM PORTION AND SO JUST FIRST INSPECTING THE HAND AND WRIST DO YOU SEE +MSK0036-106 ANY SWELLING OR REDNESS HOW ABOUT ANY CHANGES TO TEMPERATURE DO ANY OF THE JOINTS +MSK0036-108 NO AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY DEFORMITIES OF ANY OF THE JOINTS IN THE HAND +MSK0036-109 MAYBE LIKE JUST A LITTLE BIT LIKE I FEEL LIKE I'VE LOST SOME OF LIKE THE FAT PAD JUST RIGHT NEAR MY THUMB +MSK0036-110 I SEE OK AND IS THERE ANY AREAS OF YOUR HANDS OVER LIKE ANY OF THE JOINTS OR OVER THE REST THAT IF YOU PRESS YOU +MSK0036-112 FEEL PAIN NO OK AND ARE YOU ABLE TO TO MOVE YOUR WRIST OR THE FULL RANGE OF MOTION +MSK0036-114-1 I CAN MOVE IT +MSK0036-114-2 OK AND IS THERE ANY SO THAT THEN THE NEXT TEST I'LL JUST ASK YOU TO JUST TAP ON THE THE KIND OF BASE OF YOUR PALM THERE +MSK0036-114-3 WITH YOUR INDEX FINGER AND MIDDLE FINGER OF YOUR LEFT HAND AND WHEN YOU DO THAT DO YOU FEEL ANY BURNING OR TINGLING +MSK0036-115 I DEFINITELY DO +MSK0036-116 OK SO THAT WOULD BE POSITIVE TINEL SIGN AND DO YOU GET ANY SO IF YOU FLEX BOTH OF YOUR WRISTS SO THAT THE BACK OF YOUR HANDS ARE PRESSING AGAINST EACH OTHER AND IF YOU HOLD THAT POSITION DO YOU START TO GET SYMPTOMS OF THE BURNING AND TINGLING +MSK0036-117 I DO FEEL IT AS WELL THERE +MSK0036-118 OK ALRIGHT SO THAT WAS EVERYTHING I WANTED TO ASK ABOUT AND CHECK TODAY DID YOU HAVE ANY QUESTIONS +MSK0036-119 NO I JUST WANTED TO KNOW HOW I CAN FIX THIS +MSK0036-120-1 YEAH CERTAINLY SO IT'S SOUNDING LIKE A CARPAL TUNNEL SYNDROME WHICH THAT THE DIFFERENTIAL WOULD BE SOMETHING LIKE RADICULOPATHY COMING UP UP FROM THE NECK WHICH YOU'RE NOT HAVING ANY NECK SYMPTOMS AND +MSK0036-120-2 THE POSITIVE TENEL SIGN AND POSITIVE PHALEN SIGN ARE HIGHLY SUGGESTIVE OF CARPAL TUNNEL SYNDROME ALONG WITH THE NIGHTTIME SYMPTOMS AND +MSK0036-120-3 THE BURNING AND TINGLING SENSATION YOU'RE EXPERIENCING AND SO TO HELP WITH THIS ONE OF THE FIRST THINGS THAT THAT CAN BE DONE IS TRYING TO USE LIKE WRIST SPLINTS AT NIGHT TO TRY TO KEEP YOUR HAND IN A NEUTRAL POSITION BUT +MSK0036-120-4 ALSO DEPENDING ON LIKE IF THERE IS INFLAMMATION THERE NSAIDS MIGHT HELP A LITTLE BIT LIKE IBUPROFEN OR OR THINGS LIKE THAT +MSK0036-120-5 BUT THE MAJORITY OF THE THERAPY WILL BE KIND OF AN ACTIVITY MODIFICATION AND IF SYMPTOMS DON'T IMPROVE OVER A PERIOD OF TIME THEN SURGERY COULD BE A POTENTIAL OPTION AS WELL +MSK0036-121 OK SOUNDS GOOD +MSK0037-000 HOW MAY I HELP YOU +MSK0037-001-1 YEAH I JUST CAME IN HERE TODAY I'VE BEEN EXPERIENCING SOME DIFFICULTIES WITH MY RIGHT HAND ESPECIALLY AT THE BASES OF THE FOURTH AND FIVETH DIGITS I NOTICE THIS HAPPENING OVER THE LAST +MSK0037-001-2 I'D SAY PROBABLY LAST FEW MONTHS IT'S BEEN GETTING WORSE I'VE BEEN HAVING TROUBLE JUST KIND OF EXTENDING THOSE TWO FINGERS AND I KIND OF SEE LIKE THIS LITTLE BUMP AT THE BASE OF THOSE TWO FINGERS SO OVERALL IT'S JUST +MSK0037-001-3 BEEN DIFFICULT WORKING I'M A CONSTRUCTION WORKER AND I DON'T KNOW IF THIS JUST KEEPS GETTING WORSE +MSK0037-002 OK AND YOU NOTICED AND SORRY WHEN EXACTLY +MSK0037-003 DID IT START PROBABLY +MSK0037-004 TWO MONTHS AGO MONTHS AGO ABOUT TWO MONTHS AGO AND IT'S THE FOURTH AND FIVETH DIGITS OR ANY OTHER FINGERS INVOLVED OR ANY +MSK0037-006 OF YOUR HAND NO IT'S JUST THOSE TWO OK AND HOW WOULD YOU DESCRIBE THE THE PAIN THAT YOU'RE FEELING IS IT A SHARP PAIN AND AN +MSK0037-007-1 ACHY PAIN OR A BURNING PAIN +MSK0037-007-2 IT'S MORE A KIND OF LIKE A ACHING ACHING PAIN WHICH GETS WORSE WITH IF I TRY TO EXTEND THOSE FINGERS +MSK0037-007-3 AND LIKE THAT I DO FEEL LIKE THE LITTLE NODULES BUT LIKE PRESSING ON THEM DOESN'T HURT OR ANYTHING LIKE THAT +MSK0037-008 OK AND DO YOU FEEL ANY RADIATION OF PAIN LIKE IN INTO YOUR HAND OR FOREARM +MSK0037-010 NO NOT REALLY OK AND ALRIGHT IS THERE ANYTHING THAT IS AGGRAVATING OR MAKING THE +MSK0037-011-1 PAIN WORSE +MSK0037-011-2 I THINK JUST A EXTENDING IT'S IT'S I WOULD SAY MORE THAN THE PAIN IT'S JUST LIKE DISCOMFORT AND JUST NOT BEING ABLE TO EXTEND THAT IS +MSK0037-011-3 IS FRUSTRATING LIKE THE PAIN ISN'T THAT BAD LIKE THERE'S LIKE MINIMAL PAIN +MSK0037-012 OK AND IS THERE ANY LIKE LIKE CLICKING OR ANY ANY CLICKING OR CATCHING WHEN YOU'RE TRYING TO LIKE EXTEND THE FINGER +MSK0037-013 I WOULD SAY THERE IS A THERE'S SOME LIKE CATCHING I WOULD SAY IF WHEN I'M TRYING TO EXTEND +MSK0037-014 OK AND HAS THERE BEEN ANYTHING THAT THAT YOU'VE TRIED RECENTLY THAT'S IMPROVED THE DISCOMFORT OR OR HELPED WITH THE RANGE OF MOTION +MSK0037-015 NO NOTHING THAT I'VE TRIED THAT HAS REALLY HELPED AND I'M JUST AFRAID IF I STOP KIND OF EXERCISING AND +MSK0037-016 IT'LL JUST KEEP GETTING WORSE OK CERTAINLY OK AND WHAT HAVE YOU HAD ANY PROBLEMS WITH YOUR HAND BEFORE LIKE +MSK0037-017-1 ANY TRAUMA THERE OR ANYTHING LIKE THAT +MSK0037-017-2 MY MY CONSTRUCTION WORKER SO THERE'S ALWAYS LIKE A LOT OF I HAVEN'T HAD ANY FALLS OR INJURIES ON MY HANDS LUCKILY BUT THERE IS ALWAYS JUST CONSTANT LIFTING THERE'S +MSK0037-017-3 I USED TO DRILL A LOT TOO SO THERE'S LIKE ALWAYS CONSTANT AND I'M RIGHT HANDED AS WELL SO THERE'S ALWAYS LIKE THE VIBRATION SO BUT NO NO DIRECT LIKE TRAUMAS OR FALLS +MSK0037-018 HAVE YOU BEEN HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING OR LOSS OF SENSATION TO ANY PARTS OF YOUR HAND OR UPPER EXTREMITY +MSK0037-019 NO NUMBNESS OR TINGLING AND NO WEAKNESS OR ANYTHING LIKE THAT +MSK0037-020 OK SO NO MUSCLE WEAKNESS +MSK0037-021 NO +MSK0037-022 OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +MSK0037-026 ANY NIGHT SWEATS NO AND HAVE YOU BEEN HAVING ANY UNEXPECTED HAVE YOU HAD +MSK0037-028 ANY UNEXPECTED WEIGHT LOSS NO +MSK0037-030 OK AND HAVE YOU HAD ANY HEADACHES NOPE ANY SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION HEARING LOSS OF TASTE OR SENSE OF SMELL +MSK0037-031 NO NOTHING LIKE THAT +MSK0037-032 HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED +MSK0037-033 NOPE +MSK0037-034 HAVE YOU HAD ANY EYE REDNESS OR OR ITCHY EYES +MSK0037-035 NOPE +MSK0037-036 ALRIGHT AND HAVE YOU HAD A SORE THROAT OR COUGH +MSK0037-037 NO NOTHING LIKE THAT +MSK0037-038 HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING +MSK0037-039 NOPE +MSK0037-040 HAVE YOU HAD ANY CHEST PAIN +MSK0037-041 NOPE +MSK0037-042 ANY LIGHTHEADEDNESS DIZZINESS OR FEELING AS THOUGH YOU MIGHT FAINT +MSK0037-043 NO +MSK0037-044 YOU GOT ANY FEELINGS OF THOUGH YOUR HEART IS RACING +MSK0037-045 NOPE +MSK0037-046 OK HAVE YOU HAD ANY NAUSEA OR VOMITING +MSK0037-047 NO +MSK0037-048 ANY ABDOMINAL PAIN +MSK0037-049 NOPE +MSK0037-050 HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +MSK0037-051 NOPE +MSK0037-052 ALRIGHT AND HAVE YOU HAD LIKE ANY BLOOD IN THE STOOL +MSK0037-053 NO +MSK0037-054 ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +MSK0037-055 NO +MSK0037-056 AN ANY SKIN CHANGES LIKE RASHES +MSK0037-057 NO NOTHING LIKE THAT +MSK0037-058 OK OR ANY CHANGES TO YOUR NAILS OR HAIR LIKE YOU'LL NOTICE LIKE PLAQUES ON THE NAILS OR OR HAIR LOSS +MSK0037-060 NO OK AND HAVE YOU BEEN HAVING ANY MUSCLE ACHES OR JOINT PAINS OR BODY PAINS ANYWHERE ELSE +MSK0037-061 NO NOT REALLY +MSK0037-062 ALRIGHT AND HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION +MSK0037-063 NO NOTHING LIKE THAT +MSK0037-064 OK AND HAVE YOU HAD ANY APPETITE LOSS OR FATIGUE +MSK0037-066 NO ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +MSK0037-067 THEY SAY I HAVE LIKE SOME HIGH CHOLESTEROL I'M TAKING THIS MEDICATION LIKE A STATIN AND BUT OTHER THAN THAT NO +MSK0037-068 OK SO DO YOU TAKE ANY OTHER MEDICATIONS OR IS IT JUST THE STATIN +MSK0037-069 IT'S JUST A STATIN +MSK0037-070 OK AND HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS +MSK0037-071 I DID A HAVE A ACL REPAIR JUST WHEN I WAS PROBABLY EIGHTEEN +MSK0037-072 OK DO YOU HAVE ANY ALLERGIES +MSK0037-073 NO NOT THAT I KNOW +MSK0037-074 ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE +MSK0037-075 COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH +MSK0037-076 SO I JUST LIVED WITH MY WIFE WE LIVE IN SMALL APARTMENT +MSK0037-077 OK AND ARE YOU WORKING RIGHT NOW +MSK0037-078 JUST AS A CONSTRUCTION WORKER BEEN DOING THAT FOR THE LAST PROBABLY TEN YEARS +MSK0037-079 OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +MSK0037-080 NO +MSK0037-081 OK AND SORRY AS A CONSTRUCTION WORKER I HAVE YOU HAD ANY LIKE ANY PUNCTURE WOUNDS TO YOUR HANDS OR ANYTHING THAT LIKE ANY LIKE SLIVERS OR THINGS THAT HAVE GONE INTO THE SKIN +MSK0037-082 NOT ANY PUNCTURE WOUNDS LIKE I SOMETIMES GET SPLINTERS HERE AND THERE BUT NOTHING LIKE NOTHING RECENTLY THAT I CAN THINK OF THAT HAS BEEN ANYTHING WORRYING OR SIGNIFICANT +MSK0037-083 ALRIGHT OK AND HAVE YOU EVER TRAVELED ANYWHERE RECENTLY +MSK0037-084 NOPE +MSK0037-085 BEEN AROUND ANYBODY WHO'S BEEN SICK +MSK0037-086 NOPE +MSK0037-087 DO YOU SMOKE CIGARETTES +MSK0037-088 I SMOKE PROBABLY A PACK A DAY FOR THE LAST I DON'T KNOW LIKE TEN YEARS +MSK0037-089 OK AND YOU SMOKE MARIJUANA +MSK0037-090 NOT THAT MUCH PROBABLY JUST A COUPLE TIMES A MONTH +MSK0037-091 OK AND DO YOU DRINK ALCOHOL +MSK0037-092 PROBABLY A COUPLE OF YEARS A DAY +MSK0037-093 OK LIKE ONE OR TWO A DAY +MSK0037-094 PROBABLY ONE OR TWO SOMETIMES THREE +MSK0037-095 OK AND YOU USE ANY REC OTHER RECREATIONAL DRUGS AT AND OR ANY IV DRUGS AND HAVE YOU IN THE PAST +MSK0037-096 NO I HAVEN'T TRIED ANYTHING BEYOND WEED I DON'T WANNA TRY ANY OTHER STUFF +MSK0037-097 OK I I SEE AND THAT'S GOOD THEN ANYBODY IN THE FAMILY HAVE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY +MSK0037-098 NOT THAT I KNOW +MSK0037-099 OK AND HOW ABOUT ANY AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR HYPOTHYROIDISM +MSK0037-100 NOPE +MSK0037-101 OK AND AS ANYBODY IN THE FAMILY HAD A DUPUYTREN'S CONTRACTURE BEFORE +MSK0037-102 NO I HAVEN'T I HAVEN'T HEARD IT NOW +MSK0037-103 OK AND SO NEXT I JUST WANTED TO GO ON TO THE PHYSICAL EXAM PORTION SO JUST A COUPLE MORE QUESTIONS SO WHEN YOU'RE LOOKING AT YOUR HAND ARE YOU SEEING ANY SWELLING REDNESS +MSK0037-104 NOT SWELLING I JUST JUST THOSE NODULES AND I GET LIKE A LITTLE BIT OF WHITENESS AROUND THOSE +MSK0037-105 NODULES WHEN I EXTEND +MSK0037-107 MY FINGERS OK BUT NO REDNESS NO OK AND ARE YOU ARE YOU SEEING ANY LIKE MUSCLE ATROPHY OR ANY DEFORMITIES +MSK0037-109 OF ANY OF YOUR JOINTS IN THE FINGERS OR THE WRIST NO OK AND +MSK0037-110-1 ARE THERE ANY AREAS THAT THAT YOU CAN PALPATE OVER YOUR HAND THAT CAUSES PAIN +MSK0037-110-2 THERE'S JUST SOME DISCOMFORT LIKE WHEN I AT THE BASES OF THOSE TWO FINGERS LIKE IF I PRESS ON THE NODULES LIKE IT'S SOMETIMES A LITTLE BIT LIKE UNCOMFORTABLE +MSK0037-110-3 BUT IT'S NOT TOO BAD LIKE I I DON'T BUT I DON'T KNOW +MSK0037-111 PRETTY HIGH PAIN THRESHOLD TOO SO IT'S HARD TO SAY OK I SEE AN WHEN YOU'RE EXTENDING YOUR FINGERS WITH LIKE PASSIVE EXTENSION TO DO WITH YOUR OTHER HAND DO YOU GET A LOT OF PAIN LIKE ALONG THE TENDONS OR THE PASSIVE EXTENSION +MSK0037-112 DEFINITELY I WOULD SAY MORE PAINFUL THAN IF I TRY TO EXTEND IT MYSELF LIKE JUST FORCING IT BACK BUT BUT NOT NOT ANYTHING TOO LIKE I LIKE IT'S NOT SHARP OR ANYTHING LIKE THAT +MSK0037-113 OK AND WITH THE ON THE NODULES AND STUFF DO YOU FEEL ANY LIKE CREPITATIONS OR LIKE CRACKLING OR RUBBING OVER THOSE THOSE AREAS OR YOUR PALM +MSK0037-114 CRACKLING OH NO NOT THAT I HAVE NOTICED +MSK0037-115 OK AND ANY ISSUES WITH YOUR LIKE WRIST OR OR ELBOW +MSK0037-116 NO NOT THAT I KNOW OF +MSK0037-117 OK SO I THINK THAT'S EVERYTHING THAT I WANTED TO ASK ABOUT TODAY DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD OR OR DID YOU HAVE ANY QUESTIONS +MSK0037-118 NO I THINK THAT'S ALL +MSK0037-119-1 OK I'M SO RIGHT NOW IT'S SOUNDING LIKE IT'S MOST LIKELY SOMETHING CALLED DUPUYTREN'S CONTRACTURE BUT ALSO WE CAN'T RULE OUT LIKE FLEXOR TENOSYNOVITIS JUST YET OR OR TRIGGER FINGER +MSK0037-119-2 BASED ON THE THE SYMPTOMS BUT THE FACT THAT YOU'RE NOT HAVING A FEVER YOU DON'T HAVE PAIN KIND OF ALONG THE THE TENDON YOU'RE NOT +MSK0037-119-3 SEEING ANY SWELLING OR REDNESS THAT'S ALL POINTING AWAY FROM THE TENOSYNOVITIS +MSK0037-120-1 BUT IT'LL BE IMPORTANT TO GET SOME BLOOD WORK AND THINGS TO MAKE SURE THAT WE'RE NOT MISSING THAT BUT FOR DUPUYTREN'S CONTRACTURE +MSK0037-120-2 IT'LL BE A DO DOING WHAT WE CAN WITH THERAPY TO TRY IT LIKE PHYSIOTHERAPY AND ACTIVITY MODIFICATION TO TRY AND +MSK0038-000 WHAT BRINGS YOU IN +MSK0038-001-1 HI I'VE I'VE HAD THIS PAIN IN MY LEFT KNEE THAT'S BEEN GOING ON NOW FOR THE LAST THREE OR FOUR MONTHS +MSK0038-001-2 BUT IT'S IT'S GOTTEN A BIT A BIT WORSE IT USED TO ONLY REALLY BUG ME WHILE I WAS DOING ACTIVITY AND NOW ITS STARTED TO +MSK0038-001-3 HURT EVEN MORE AFTERWARDS AS WELL SO I'M GETTING THE PAIN AT AT REST AND SO I WANTED TO COME AND GET THAT CHECKED OUT +MSK0038-002 OK FOR SURE AND YOU SAID IT STARTED A FEW WEEKS AGO +MSK0038-003 WELL I THINK IT FIRST STARTED A FEW MONTHS AGO BUT IN THE PAST COUPLE OF WEEKS IT HAS STARTED TO KINDA LIKE LAST LONGER AND AND HAPPEN AT REST AS WELL +MSK0038-004 AND SO DOES ANYTHING MAKE IT WORSE OR BETTER I ASSUME DOING ANY SORT OF PHYSICAL ACTIVITY MAKES IT WORSE AND REST MAKES IT BETTER BUT HOW ABOUT ANYTHING OTHER THAN THAT +MSK0038-005 NOT REALLY IT'S MOSTLY JUST THE THE ACTIVITY IF I'M GOING UPSTAIRS OR DOWNSTAIRS OR DURING RUNNING IS REALLY WHERE IT HURTS THE MOST AND THAT'S WHAT'S BUGGED ME THE THE MOST RUNNING +MSK0038-006 OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY SHARP DULL ACHY CRAMPY +MSK0038-007 IT'S A SHARP PAIN ALMOST LIKE EVERY TIME MY FOOT HITS THE GROUND I GET LIKE A SHARP STABBING PAIN AND WHILE I'M AT AT REST IT FEELS A BIT MORE DULL WHILE WHILE I'M AT REST +MSK0038-008 OK OK AND ONE TO TEN TEN BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN +MSK0038-009 A SIX +MSK0038-010 OK ALRIGHT AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE +MSK0038-011-1 I DID HAVE SOMETHING SIMILAR LIKE MANY YEARS AGO I USED TO BE A ROWER IN UNDERGRAD AND I GOT SOME SIMILAR PAINS BEFORE AND +MSK0038-011-2 I MEAN WITH SOME STRETCHING AND OTHER I DON'T KNOW KIND OF STRENGTHENING STUFF IT IT KIND OF HELPED BUT I DIDN'T GO SEE ANYBODY FOR IT AT THAT TIME BECAUSE IT IT KIND OF WENT AWAY AFTER A LITTLE WHILE +MSK0038-012 OK OK AND YOU SAID YOU WERE ARE YOU STILL ROWING +MSK0038-013 NO NO THE ONLY ACTIVITY THAT I'M DOING NOW IS IS RUNNING +MSK0038-014 RUNNING OK AND FROM WHEN IT STARTED TO NOW IN THE PAST COUPLE OF WEEKS HAS IT CHANGED LIKE DRAMATICALLY IS IT AFFECTING YOUR DAY TO DAY LIFE +MSK0038-015 A LITTLE BIT LIKE EVEN NOW JUST WALKING I CAN I CAN FEEL IT THE PAIN'S NOT AS SEVERE BUT LIKE AS WHEN I'M RUNNING BUT I CAN I'M STARTING TO NOTICE IT DAILY +MSK0038-016 OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY SYMPTOMS LIKE FEVERS OR CHILLS +MSK0038-017 NO NOTHING LIKE THAT +MSK0038-018 NO ANY WEIGHT LOSS +MSK0038-019 NO WEIGHT LOSS +MSK0038-020 NO ANY RASHES +MSK0038-021 NO RASHES +MSK0038-022 NO CHANGES TO YOUR VISION HEARING TASTE OR SMELL +MSK0038-024 NO CHANGES THERE OK HOW ABOUT A COUGH SHORTNESS OF BREATH OR WHEEZING +MSK0038-025 NOTHING LIKE THAT +MSK0038-026 OK HOW ABOUT CHEST PAIN HEART PALPITATIONS +MSK0038-027 NO I HAVEN'T HAD ANYTHING LIKE THAT +MSK0038-028 OK ANY CHANGES TO YOUR BOWEL MOVEMENTS +MSK0038-029 NO I HAVEN'T HAD ANY DIARRHEA OR EVERYTHING'S BEEN NORMAL THERE +MSK0038-030 OK NAUSEA OR VOMITING +MSK0038-031 NOPE +MSK0038-032 NO HOW ABOUT +MSK0038-033 ABDOMINAL PAIN NO I HAVEN'T HAD ANY ANY ABDOMINAL PAIN NOTHING LIKE +MSK0038-034 OK ANY CHANGES TO YOUR URINE +MSK0038-035 NO NO I HAVEN'T HAD ANY ISSUES WITH THAT +MSK0038-036 OK HOW ABOUT HEADACHES +MSK0038-037 NO I HAVEN'T HAD ANY HEADACHES +MSK0038-038 OK ANY PAIN ELSEWHERE ON YOUR BODY +MSK0038-039 NOPE I'VE IT'S JUST MY JUST MY KNEE +MSK0038-040 OK ANY NUMBNESS OR TINGLING IN THE AREA +MSK0038-041 NO I HAVEN'T HAD ANYTHING LIKE THAT IT'S JUST THE +MSK0038-042 SHARP PAIN OK HOW ABOUT CONFUSION OR MEMORY LOSS +MSK0038-043 NO I HAVEN'T HAD THAT +MSK0038-044 OK ANY MUSCLE ACHES AROUND THE KNEE LIKE SO JUST ABOVE YOUR KNEE WHERE YOUR QUADS ARE OR JUST BELOW +MSK0038-046 NOTHING LIKE THAT OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +MSK0038-047 I'M OTHERWISE HEALTHY I IT'S NOTHING THAT I SEE THE DOCTOR FOR I'VE NEVER BEEN DIAGNOSED WITH ANYTHING +MSK0038-048 OK HOW ABOUT HOSPITALIZATIONS OR SURGERIES IN THE PAST +MSK0038-049 NOTHING LIKE THAT NO +MSK0038-050 NO OK ANY MEDICATIONS THAT YOU'RE ON +MSK0038-051 NOPE I I DON'T TAKE ANYTHING JUST WELL NO MEDICATIONS BUT I DO TAKE A LIKE A MULTIVITAMIN +MSK0038-052 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +MSK0038-053 I AM I'LL GET THE FLU SHOT EACH YEAR +MSK0038-054 OK HOW ABOUT ALLERGIES DO YOU HAVE ANY +MSK0038-056 NO I I DON'T NO OK ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES +MSK0038-057 NOPE I DON'T THINK SO +MSK0038-058 HOW ABOUT HEART OR LUNG CONDITIONS +MSK0038-059 I THINK MY DAD HAS LIKE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL BUT NOBODY'S HAD A HEART +MSK0038-060 ATTACK OR AND NO CANCER +MSK0038-061 OK HOW ABOUT AUTOIMMUNE CONDITIONS +MSK0038-062 NO I DON'T THINK SO +MSK0038-063 NO OK ANY DO YOU DO YOU DO ANY SMOKING NO I'VE TRIED LIKE SMOKING MARIJUANA IN THE +MSK0038-064 PAST BUT DIDN'T REALLY LIKE IT +MSK0038-065 SO I'VE STAYED AWAY FROM THAT OK HOW ABOUT OTHER RECREATIONAL +MSK0038-066 DRUGS NO NO I I I HAVEN'T USED ANYTHING LIKE THAT BEFORE OK AND THEN WHERE DO YOU LIVE +MSK0038-067 RIGHT NOW AND WHO DO YOU LIVE WITH SO RIGHT NOW I JUST LIVE ON MY OWN ACTUALLY I'M JUST FINISHING UP MY MY MY MASTERS +MSK0038-068 AND JUST LIVE IN A SMALL APARTMENT OK ALRIGHT +MSK0038-069 AND HAVE YOU BEEN +MSK0038-072-1 OK HOW ABOUT TRAVEL +MSK0038-072-2 NO I'VE JUST BEEN FINISHING UP THE THE THESIS AND RUNNING +MSK0038-072-3 OK ALRIGHT THOSE WERE ALL THE QUESTIONS I HAD FOR YOU WE'LL MOVE ON TO THE PHYSICAL EXAM COMPONENT OF THIS +MSK0038-081 ANY PAIN THERE NO PAIN OVER THE KNEECAP THAT FEELS FINE +MSK0038-082 OK HOW ABOUT WHEN YOU PALPATE KIND OF LIKE THE MEDIAL LIGAMENTS OF YOUR KNEECAP DO YOU FEEL ANY PAIN THERE +MSK0038-083 NO EVERYTHING ON THE MEDIAL SIDE FEELS FEELS NORMAL AND FINE +MSK0038-084 HOW ABOUT WHEN YOU PALPATE THE LATERAL LIGAMENTS OF YOUR KNEECAP +MSK0038-085 THE LIGAMENTS FEEL FEEL OK ON THE LATERAL SIDE THOUGH I I DO GET SOME PAIN ALONG THE LIKE ABOVE THE JOINT LINE +MSK0038-086 ABOVE THE JOINT LINE +MSK0038-087 OK OK AND HOW ABOUT WHEN YOU PALPATE THAT BIG MUSCLE GROUP ON YOUR THIGHS LIKE THE QUADRICEPS +MSK0038-088 THAT FEELS OK NO PAIN IN THE MUSCLES +MSK0038-089 OK HOW ABOUT LIKE THE PATELLAR TENDON +MSK0038-090 NO PAIN THERE +MSK0038-091 OK AND THEN WHEN YOU GO LOWER BELOW YOUR KNEECAP WHEN YOU PALPATE LIKE THE TOP PART WHERE THE PROXIMAL PARTS OF YOUR TIBIA AND FIBULA ARE DO YOU FEEL ANY PAIN THERE +MSK0038-093 NO PAIN THERE OK AND NOW LET'S DO SOME MOVEMENTS WITH YOUR +MSK0038-094 LEG +MSK0038-095 ARE YOU SITTING DOWN I AM OK I'M GONNA GET YOU TO STAND UP FROM A SITTING POSITION DOES THAT IS THAT PAINFUL +MSK0038-096 IT IS IT'S I GET A SHARP PAIN IF WHEN DOING THAT +MSK0038-097 OK HOW ABOUT WHEN YOU SIT +MSK0038-099 DOES THAT HURT THAT HURTS TOO THAT HURTS TOO OK AND THEN HOW ABOUT WHEN YOU FLEX YOUR KNEE INWARDS +MSK0038-100 SO THAT YOUR HEEL IS TOUCHING YOUR BUM LIKE DOES THAT HURT LIKE I I'LL +MSK0038-101 GET UP NO THAT DOESN'T HURT THAT FEELS OK OK HOW ABOUT WHEN YOU +MSK0038-102 EXTEND YOUR KNEE BACK OUT STRAIGHTEN IT ALL THE WAY THAT FEELS OK TOO IF I'M JUST SITTING AND DOING THAT I CAN I CAN DO +MSK0038-103-1 THAT OK OK HOW ABOUT WHEN YOU SO YOU'RE STANDING AND THEN YOU YOU ABDUCT YOUR HIP SO YOU BASICALLY +MSK0038-103-2 YOU FLEX YOUR HIP BUT LATERALLY AND YOU KIND OF BRING IT UPWARDS SO THAT IT'S ALMOST SO THAT YOUR YOUR THE ACTION IS LIKE YOU'RE TRYING TO TOUCH THE CEILING +MSK0038-104 OK I IT IF IT DOES FEEL IT FEELS LIKE IT'S KIND OF PULLING LIKE IT FEELS TIGHT WHEN I DO THAT LIKE ON THAT SIDE IT'S I DON'T GET THE SAME SHARP PAIN BUT IT'S UNCOMFORTABLE +MSK0038-105 OK SO I'M GONNA TRY A SPECIAL TEST IT'S CALLED THE OBER TEST SO CAN I GET YOU TO LIE ON THE SIDE +MSK0038-106-1 WITH THE INJURED KNEE +MSK0038-106-2 OK AND THEN I'M GONNA GET YOU TO FLEX YOUR KNEE AT NINETY DEGREES AND ABDUCT AND EXTEND THE HIP +MSK0038-106-3 WHILE YOUR THIGHS MAINTAIN IN LINE WITH YOUR TRUNK SO I'M GONNA GET YOU TO ADDUCT YOUR THIGH SO BRING IT BACK TOWARDS YOU THE THE MEDIAN AS FAR AS POSSIBLE +MSK0038-107 OH I CAN'T REALLY IT'S KIND OF LIKE STUCK OUT THERE IT FEELS REALLY TIGHT IF I'M TRYING TO LIKE BRING IT BRING IT BACK DOWN MY LEG ALMOST LIKE FLOATS UP IF I JUST LEAVE IT THERE +MSK0038-108-1 OK SO THAT IS A POSITIVE OBER TEST OK SO WHAT IT SOUNDS LIKE IS YOU IT SOUNDS LIKE YOU HAVE SOMETHING CALLED +MSK0038-108-10 INCREASE YOUR RANGE OF MOTION SO WE CAN DO WE CAN PUT IN A REFERRAL FOR THAT AND IF NONE OF THOSE WORK WE CAN ALSO DISCUSS +MSK0038-108-11 SOME OTHER THINGS LIKE ULTRASOUND THERAPY OR LIKE MUSCLE STIMULATION SHOCKWAVE THERAPY AND THEN EVENTUALLY IF NONE OF THOSE OTHER THINGS WORK WE CAN +MSK0038-108-12 DISCUSS SURGICAL MANAGEMENT BUT IT'S RARE THAT IT EVER GETS TO THAT POINT DOES THAT SOUND OK +MSK0038-108-2 ILIOTIBIAL BAND SYNDROME SO ITB SYNDROME AND BASICALLY THAT HAPPENS AND +MSK0038-108-3 ATHLETES SO DEPENDING ON YOUR LIKE POSITION LIKE HOW MUCH YOU'RE USING THOSE JOINTS +MSK0038-108-4 AND LIKE REPETITIVE ACTIONS OF LIKE KNEE FLEXION EXTENSION KIND OF TRIGGERS THAT +MSK0038-108-5 AND TO TREAT IT WE CAN TRY SOME CONSERVATIVE THINGS FIRST SO THE FIRST THING WOULD BE FOR YOU TO +MSK0038-108-6 HAVE SOME SORT OF ACTIVITY MODIFICATION TO PREVENT AGGRAVATING THAT JOINT EVEN MORE SO YOU'RE DOING A LOT OF RUNNING SO MAYBE SWITCHING TO THINGS LIKE SWIMMING FOR THE TIME BEING +MSK0038-108-7 CAN HELP WITH THAT AND THEN OTHER THINGS INCLUDE ICE OR HEATING PADS TAPING AND STRETCHING +MSK0038-108-8 AND THEN IF THE PAIN IS IF THE PAIN PERSISTS YOU CAN TRY SOME LIKE IBUPROFEN FOR TEMPORARY RELIEF WE CAN TALK ABOUT OTHER +MSK0038-108-9 TREATMENTS AS WELL LIKE PHYSIOTHERAPY BECAUSE IT'LL BE IMPORTANT TO KIND OF STRENGTHEN THOSE MUSCLES AROUND THAT JOINT AS WELL AS +MSK0038-109 IT DOES THANK YOU SO MUCH +MSK0038-110 OK AND NO WORRIES +MSK0039-000 WHAT BRINGS YOU IN +MSK0039-001-1 I JUST CAME IN TODAY I THINK I BROKE MY LEG OR SOMETHING IT'S SOMETHING THAT WAS I HEARD A SNAP I WAS IN JUST A DANCE CLASS AND WE HAVE LIKE THESE LONG DRESSES IT IT WAS A TRADITIONAL DANCE CLASS +MSK0039-001-2 AND MY FOOT SLIPPED RIGHT ONTO IT GOT CAUGHT IN MY DRESS AND IT JUST KIND OF SLIPPED AND I I FELT RIGHT ON MY MY LEG KIND OF TWISTED AND I FELL DOWN AND I JUST STAYED DOWN I KNEW SOMETHING WAS NOT RIGHT AND SOMETHING WAS BROKEN +MSK0039-002 WHEN DID THIS HAPPEN +MSK0039-003 JUST I WOULD SAY LIKE AN HOUR AGO +MSK0039-004 HOUR AGO OK ARE YOU ABLE TO BEAR ANY WEIGHT ON IT AT ALL +MSK0039-005 NO NOT REALLY I I HAD TO COME IN THE AMBULANCE +MSK0039-006 OK OK AND IF YOU WERE TO LOCALIZE THIS PAIN WHERE EXACTLY IS IT +MSK0039-007 IT'S PRETTY MUCH MY WHOLE LOWER LEG IS PAINFUL BUT I THINK WHERE IT LOOKS LIKE IT BROKE IS LIKE THE MIDDLE PART OF MY LOWER LEG +MSK0039-008 THE MIDDLE PART OK MIDDLE PART OF YOUR LOWER LEG SO KIND OF WHERE YOUR SHINS ARE +MSK0039-009 OK SO IN THE SHIN AREA OK HAVE YOU TRIED ANYTHING FOR IT I KNOW IT'S ONLY BEEN AN HOUR +MSK0039-010 NO NOTHING I JUST LIKE I JUST WANT TO MAKE SURE I KEEP IT AS STILL AS POSSIBLE I DIDN'T WANNA EVEN TRY ANYTHING +MSK0039-011 OK THAT MAKES SENSE IF YOU WERE TO DESCRIBE THIS PAIN WOULD YOU SAY IT'S SHARP DULL +MSK0039-012 ACHY THROBBING IT'S LIKE SHARP AND THROBBING IT'S LIKE PROBABLY ONE OF THE WORST PAINS THAT I'VE FELT IN MY LIFE +MSK0039-013 OK OK AND ONE TO TEN TEN BEING THE WORST PAIN EVER HOW BAD IS IT +MSK0039-014 AT TEN FOR SURE +MSK0039-015 TEN OK HAVE YOU SO YOU SAID YOU'VE NEVER EXPERIENCED THIS BEFORE DO YOU FEEL LIKE IT'S GETTING WORSE THE PAIN OR HAS IT BEEN PRETTY MUCH THE SAME SINCE IT STARTED OR IS IT GETTING BETTER +MSK0039-016 I WOULD SAY IT'S THE SAME IT'S LIKE I'M IN AS MUCH PAIN AS I WAS EARLIER +MSK0039-017-1 OK OK AND SO OK DO YOU KNOW HOW YOU FELT LIKE ON THE FLOOR LIKE DID YOU +MSK0039-017-2 GO LIKE LEG FIRST OR WAS IT DID YOUR KIND OF LIKE THE MECHANISM OF YOUR FALL DID YOU BREAK THE FALL AT ALL WITH YOUR ARMS +MSK0039-018-1 NO I DIDN'T BREAK IT KIND OF SO I WAS KIND OF I FEEL LIKE WHEN I WAS SLIPPING IT WAS AT FIRST MY LEG WAS HYPER EXTENDED BUT IT KIND OF JUST +MSK0039-018-2 FELT LIKE IT SNAPPED AND IT WENT STRAIGHT DOWN SO THERE WAS SOME KIND OF TWISTING AS WELL AS SOME HYPEREXTENSION BUT IT JUST KIND OF SLIPPING ON MY DRESS AND THEN JUST STRAIGHT DOWN +MSK0039-019 OK OK OTHERWISE DO YOU HAVE ANY PAIN ELSEWHERE IN YOUR BODY +MSK0039-020 NO +MSK0039-021 HOW ABOUT ANY NUMBNESS OR TINGLING IN THE AREA +MSK0039-022 I DO FEEL SOME NUMBNESS TINGLING JUST BELOW WHERE IT HAPPENED +MSK0039-023 BUT IT LIKE COMES AND GOES OK AND THEN HOW ABOUT HOW ABOUT ANY LIKE FEELINGS OF LIKE LOSING SENSATION +MSK0039-024 OR FEELING COLD IN THAT AREA +MSK0039-029 ANY FAINTING OR DIZZINESS +MSK0039-030 NO +MSK0039-031 CONFUSION OR MEMORY LOSS +MSK0039-035 WEIGHT LOSS RECENTLY +MSK0039-037 NO FEVERS OR CHILLS NO CHANGES TO +MSK0039-038 YOUR HAIR NAILS OR SKIN +MSK0039-039 LIKE RASHES NO NOTHING THAT I'VE NOTICED NO ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE +MSK0039-040 NO +MSK0039-041 HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING +MSK0039-042 NO NO NOTHING LIKE THAT +MSK0039-043 NO OK HOW ABOUT CHEST PAIN OR PALPITATIONS +MSK0039-044 NO +MSK0039-045 NO ANY CHANGES TO YOUR BOWEL MOVEMENTS +MSK0039-046 NO NOT THAT I'VE NOTICED +MSK0039-047 NAUSEA OR VOMITING +MSK0039-048 NOPE +MSK0039-049 ABDOMINAL PAIN +MSK0039-050 NO +MSK0039-051 CHANGES TO URINARY HABITS +MSK0039-052 NO NOTHING LIKE THAT +MSK0039-053 NO OK AND ARE YOU OTHERWISE HEALTHY +MSK0039-054 I'VE BEEN PRETTY HEALTHY I DON'T TAKE ANY MEDICATIONS REGULARLY I DON'T HAVE ANY MEDICAL CONDITIONS +MSK0039-055 OK THAT'S GOOD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +MSK0039-056 NO JUST JUST FOR LIKE MY PREGNANCIES I HAD TWO PREGNANCIES BOTH OF THEM DELIVERED VAGINALLY BUT NO ISSUES WITH THAT JUST AFTER THAT NO HOSPITALIZATIONS OR SURGERIES +MSK0039-057 OK OK AND THEN ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +MSK0039-058 OK THAT'S GOOD DO YOU HAVE ANY ALLERGIES +MSK0039-059 NO NOT THAT I KNOW OF +MSK0039-060 OK AND THEN IS THERE ANY FAMILY HISTORY OF LIKE MUSCULOSKELETAL ISSUES +MSK0039-061 SO MY MOTHER HAS SOMETHING CALLED OSTEOPOROSIS +MSK0039-062 OK +MSK0039-063 BUT THAT'S THAT'S ALL THAT I CAN THINK OF +MSK0039-064 HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT +MSK0039-065 PROBABLY IN HER FIFTIES +MSK0039-066 IN HER FIFTIES OK +MSK0039-067 LATE FIFTIES I WOULD SAY +MSK0039-068 HAVE YOU BEEN HAVE YOU EVER LIKE BEEN TESTED FOR THAT +MSK0039-069 NO I'VE NEVER I'VE NEVER HAD TESTING +MSK0039-070 OK ALL RIGHT AND THEN ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +MSK0039-071 NO +MSK0039-072 HOW ABOUT AUTOIMMUNE CONDITIONS +MSK0039-073 NO NOT THAT I KNOW OF +MSK0039-074 ANY CANCERS +MSK0039-075 I THINK ONE OF MY AUNTS HAS OVARIAN CANCER +MSK0039-076 OK OK HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT +MSK0039-077 LIKE PRETTY RECENTLY SO PROBABLY LIKE IN HER SIXTIES +MSK0039-078 OK OK AND THEN HAVE YOU BEEN IN TOUCH WITH ANYONE SICK RECENTLY +MSK0039-079 NO +MSK0039-080 NO OK HAVE YOU DONE ANY TRAVEL RECENTLY +MSK0039-081 NO +MSK0039-082 OK THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING YOU WANTED TO ADD BEFORE WE MOVE TO THE PHYSICAL EXAM COMPONENT +MSK0039-083 NO I JUST WANT TO GET THIS FIXED AS SOON AS POSSIBLE +MSK0039-084 OK THAT SOUNDS GOOD WE'LL WE'LL TRY OUR BEST +MSK0039-085 THANK YOU +MSK0039-086 OK SO NOW LOOKING AT YOUR LEGS LIKE SIDE BY SIDE DO YOU NOTICE ANY REDNESS OR SWELLING IN YOUR RIGHT LEG +MSK0039-087 COMPARED TO YOUR LEFT IT'S ALL IT'S ALL SWOLLEN AND RED AND JUST LOOKS SO MUCH DIFFERENT THAN MY OTHER LEG +MSK0039-088 OK DO YOU NOTICE ANY OBVIOUS LIKE BREAKS IN THE SKIN +MSK0039-089 NO THERE'S NO BREAKS IN THE SKIN BUT LIKE WHEN I FELL LIKE I I CAN DEFINITELY SEE LIKE THE BEND THERE IS LIKE A BEND IN THE BONE SO I DEFINITELY DO THINK IT'S BROKEN +MSK0039-090 OK AND DO YOU NOTICE ANY LIKE BONY PIECES THAT ARE PUSHING ON THE SKIN +MSK0039-091 NO +MSK0039-092 NO OK ANY BRUISES IN THE AREA +MSK0039-093 THE WHOLE AREA SEEMS BRUISED UP AND ANGRY +MSK0039-094 OK DOES BESIDES THE BRUISING AND THE MISALIGNMENT DO YOU NOTICE ANY OTHER OBVIOUS DEFORMITIES ANY MUSCLE ATROPHY IN THE AREA +MSK0039-095 NO +MSK0039-096 NO OK AND THEN PLACING YOUR HAND ON ONE LEG COMPARED TO THE OTHER DOES IT SEEM WARMER +MSK0039-097 I FEEL LIKE IT'S IT'S WARMER +MSK0039-098 OK AND THEN I'M GONNA TRY TO GET YOU TO DO SOME MOVEMENTS CAN YOU MOVE YOUR RIGHT LEG AT ALL LIKE CAN YOU FLEX AND EXTEND YOUR KNEES +MSK0039-099 NO NOT NOT AT ALL LIKE I I'M I'M TOO SCARED TO TRY +MSK0039-100 OK AND HOW ABOUT WEIGHT BEARING ARE YOU ABLE TO STAND UP AT ALL ON THAT LEG +MSK0039-101 NO I JUST I JUST GOT TIME TO CALL THE AMBULANCE I KNEW I KNEW IT WAS JUST NOT POSSIBLE +MSK0039-102-1 OK ALRIGHT I GUESS THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU I THINK YOU MAY HAVE A TIBIAL FRACTURE SO WE'LL START WITH SOME X RAYS TO BE SURE AND TO TRY TO TAKE A LOOK AT LIKE WHERE +MSK0039-102-2 THE FRACTURE IS AND HOW WE CAN APPROACH THAT BECAUSE EVERYTHING IS SWOLLEN AND ANGRY DOWN THERE WE'LL PROBABLY TRY AND APPLY A SPLINT +MSK0039-102-3 UNTIL THE SWELLING GOES DOWN AND THEN WE CAN REFER YOU TO AN ORTHOPAEDIC SURGEON FOR A SURGIC FOR THE SURGERY ITSELF +MSK0039-102-4 SO THAT COULD INVOLVE LIKE YOU KNOW THEM DOING LIKE AND INTRAMEDULLARY NAIL PLATES AND SCREWS AND LIKE SOME SORT OF FIXATION +MSK0039-102-5 BUT AFTER THE SURGERY YOUR FRACTURE WILL PROBABLY TAKE ABOUT FOUR TO SIX MONTHS TO HEAL COMPLETELY SO IN THAT PERIOD WE CAN TALK ABOUT LIKE PAIN MANAGEMENT AND PHYSIOTHERAPY AS WELL JUST TO KEEP THE MUSCLES IN THAT AREA STRONG +MSK0039-103 AND TO INCREASE YOUR RANGE OF MOTION +MSK0039-104 DOES THAT SOUND OK THAT SOUNDS GOOD I THINK +MSK0040-000 HOW MAY I HELP YOU +MSK0040-001 SO I'VE HAD THIS ANKLE PAIN FOR THE PAST DAY AND AND IT DOESN'T SEEM TO BE GETTING BETTER MY RIGHT ANKLE LOOKS SWOLLEN AND IT'S BRUISED AND IS PRETTY PAINFUL SO I JUST WANTED TO COME HERE TO CHECK CHECK IT OUT SEE IF I NEED ANY THING DONE TO IT +MSK0040-002 ABSOLUTELY OK SO YOU SAID THAT THIS STARTED YESTERDAY WAS THERE ANY LIKE TRAUMA TO THE ANKLE OR LEG OR DID YOU HAVE A FALL OR OR SOME SORT OF INJURY +MSK0040-003-1 YEAH SO I PLAY RUGBY AND I MIGHT HAVE SO I FELL DURING A TACKLE MOTION TYPE THING AND I FELL ON THAT LEG AND MY LEG MY FOOT KIND OF IN POINTED INWARDS AS I FELL AN I KIND OF FELL ON +MSK0040-003-2 ON MY ANKLE KIND OF JUST ABOVE ABOVE MY LATERAL SIDE OF THE FOOT SO WHERE THAT BONY PROMINENCE IS +MSK0040-004 OK I SEE AND AND YOUR FOOT KIND OF IT TURNED INWARDS WHEN YOU FELL +MSK0040-005 YES THAT'S RIGHT +MSK0040-006 OK AND WAS THERE PAIN IMMEDIATELY +MSK0040-007 AFTER +MSK0040-008 THE THIS INCIDENTOK YES WERE YOU ABLE TO LIKE WALK OFF THE FIELD AT ALL OR DID YOU NEED TO BE CARRIED OR WERE YOU ABLE TO WALK AT ANY POINT AFTER +MSK0040-009 SO I CAN WALK BUT IT IS VERY PAINFUL AND I'M PUTTING A LOT OF WEIGHT ON MY LEFT FOOT SO IT'S ALMOST LIKE I'M HOPPING ON MY LEFT FOOT +MSK0040-010 OK AND AND IS THE PAIN ACTUALLY SO WHERE IS THE PAIN SPECIFICALLY LOCATED ON YOUR FOOT OR ANKLE +MSK0040-011 SO IT'S SPECIFICALLY IT'S ON THE LIKE LATERAL +MSK0040-012 MALLEOLUS AREA OK AND HOW WOULD YOU DESCRIBE THE PAIN IN TERMS OF ITS CHARACTER OR QUALITY +MSK0040-013 LIKE IS IT SHARP +MSK0040-014 BURNING STINGING IT FEELS SHARP OK AND DO YOU +MSK0040-015 FEEL THE PAIN RADIATING ANYWHERE ELSE OH NO IT'S PRETTY MUCH IN THAT AREA JUST IN THE ANKLE AREA +MSK0040-016 OK AND HAS THERE BEEN ANYTHING YOU'VE TRIED TO MAKE THE PAIN BETTER +MSK0040-017 I'VE TRIED SOME IBUPROFEN AND SOME ICE THAT SEEMS TO HELP TEMPORARILY BUT IT DOESN'T HELP WITH LIKE LIKE IT'S NOT PERMANENT +MSK0040-018 OK AND HAS THERE BEEN ANYTHING THAT'S MADE IT WORSE +MSK0040-019 JUST PUTTING WEIGHT OR LIKE TRYING TO BEAR ANY WEIGHT ON THAT ANKLE HAS MADE IT WORSE +MSK0040-020 OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS ON A SCALE OF TEN TO ONE WITH TEN BEING THE WORST PAIN YOU'VE EVER FELT +MSK0040-021 I WOULD SAY IT'S LIKE A SEVEN OR EIGHT +MSK0040-022 OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE TO THE ANKLE OR EVER INJURED YOUR FOOT BEFORE +MSK0040-023 NO NOTHING LIKE THIS +MSK0040-024 OK AND HAVE YOU HAD ANY +MSK0040-025 ANY HEADACHES +MSK0040-026 NO HEADACHES +MSK0040-028 HAD ANY +MSK0040-029 FEVERS +MSK0040-030 OR CHILLS NO HOW ABOUT NIGHT SWEATS NO +MSK0040-032 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS NO OK AND HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES YOUR VISION HEARING OR EVEN YOUR SENSE OF +MSK0040-033 SMELL OR SENSE OF TASTE +MSK0040-034 NO NOTHING LIKE THAT OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING +MSK0040-035 NO +MSK0040-036 OK NOW HAVE YOU NOTICED ANY SENSORY LOSS OVER YOUR LEG OR ANKLE +MSK0040-037 NO NO NO NO SENSORY LOSS +MSK0040-038 OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS +MSK0040-039 NO +MSK0040-040 OK AND AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE HAVING LIKE A RUNNY NOSE OR FEELING CONGESTED OR MAYBE EVEN A SORE THROAT +MSK0040-041 NO +MSK0040-042 ALRIGHT AND HAVE YOU HAD A COUGH +MSK0040-043 NO COUGH +MSK0040-044 HOW ABOUT SHORTNESS OF BREATH +MSK0040-045 NO +MSK0040-046 ALRIGHT HAVE YOU HAD ANY CHEST PAIN OR FEELING LIKE YOUR HEART'S RACING +MSK0040-047 NO +MSK0040-048 HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS +MSK0040-049 NO +MSK0040-050 ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING +MSK0040-051 NO +MSK0040-052 HOW ABOUT ANY LOSS OF APPETITE +MSK0040-053 NO +MSK0040-054 HAVE YOU HAD ANY ABDOMINAL PAIN +MSK0040-055 NO +MSK0040-056 HAVE YOU ANY DIARRHEA CONSTIPATION OR OR BLOOD IN THE STOOL +MSK0040-057 NO +MSK0040-058 OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS +MSK0040-059 NO +MSK0040-060 OK AND HAVE YOU HAD ANY CHANGES TO YOUR ENERGY RECENTLY +MSK0040-061 NO NO CHANGES TO MY ENERGY +MSK0040-062 ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS OR ANY REASON TO SEE A DOCTOR REGULARLY +MSK0040-063 NO I'VE BEEN PRETTY HEALTHY OTHERWISE +MSK0040-064 OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED +MSK0040-065 NO +MSK0040-066 ALRIGHT THEN DO YOU HAVE ANY ALLERGIES +MSK0040-067 NO +MSK0040-068 OK AND ARE YOUR IMMUNIZATIONS UP TO DATE +MSK0040-069 I THINK SO I GAVE THEM THE MOST RECENT ONES I'VE RECEIVED IN HIGH SCHOOL +MSK0040-070 OK OK THAT'S GOOD AND HAVE YOU HAD ANY SURGERIES BEFORE OR ANY REASONS FOR HOSPITALIZATIONS +MSK0040-071 NO I'VE NEVER I'VE NEVER BEEN HOSPITALIZED +MSK0040-072 OK AND ALRIGHT COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE WHO YOU'RE LIVING WITH AND WHEREABOUTS +MSK0040-073 I LIVE WITH BOTH MY PARENTS AS WELL AS TWO OF MY SIBLINGS THEY ARE YOUNGER WE LIVE IN A HOUSE DOWNTOWN +MSK0040-074 OK AND ARE YOU CURRENTLY +MSK0040-075 IN SCHOOL I AM I'M IN GRADE ELEVEN +MSK0040-076 OK AWESOME AND THEN HOW'S THAT BEEN GOING SO FAR +MSK0040-077 GOING PRETTY WELL +MSK0040-078 OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY +MSK0040-079 NO NO ONE'S BEEN SICK +MSK0040-080 OK AND HOW ABOUT HAVE YOU TRAVELING ANYWHERE +MSK0040-081 NO WE HAVEN'T BEEN DOING ANY OF THAT SO SINCE COVID +MSK0040-082 OK AND AND I KNOW SOMETIMES PEOPLE AT LIKE IN HIGH SCHOOL AND CERTAINLY IN YOUR AGE GROUP MAY EXPERIENCE WITH THINGS LIKE SMOKING SMOKING TOBACCO OR CIGARETTES DRINKING ALCOHOL OR USING MARIJUANA HAVE YOU USED ANY OF THOSE THOSE SUBSTANCES +MSK0040-086 ARE YOU CURRENTLY SEXUALLY ACTIVE I AM OK AND +MSK0040-087 COULD YOU TELL ME ABOUT YOUR PARTNERS OR OR PARTNER SHE'S BEEN MY GIRLFRIEND FOR THE +MSK0040-088 PAST TWO YEARS AND WE USE PROTECTION OK GREAT AND ANY +MSK0040-090 CONCERNS FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME NO OK AND IN THE FAMILY HAS THERE BEEN ANY HISTORY OF MUSCULOSKELETAL +MSK0040-091 OR NEUROLOGICAL PROBLEMS +MSK0040-092 NO NOTHING LIKE THAT OK AND HOW +MSK0040-094 ABOUT ANY AUTOIMMUNE CONDITIONS NO OK AND SO I NEXT WANTED TO MOVE TO THE PHYSICAL EXAM COMPONENT AND ASK YOU TO HAVE A LOOK AT YOUR ANKLES +MSK0040-095 AND ARE YOU SEEING ANY SWELLING OR REDNESS OR DISCOLOURATION SO I THERE'S A +MSK0040-096 LIKE THERE'S A BRUISE ABOUT FOUR CENTIMETERS WIDE AND IT APPEAR SWOLLEN BUT JUST +MSK0040-097 BY RIGHT ANKLE +MSK0040-098 JUST YOUR RIGHT ANKLE OK AND IS THERE ANY TEMPERATURE CHANGES LIKE WARMTH WHEN YOU +MSK0040-100 TOUCH IT SLIGHTLY WARM OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR DEFORMITIES OF THE +MSK0040-116-1 TOES NO +MSK0040-116-2 OK AND THEN YOU MENTIONED THAT WITH WALKING YOU'RE HAVING A LIMP CURRENTLY YES OK SO WE HAVE AN ANTALGIC GATES WITH AN INABILITY TO BEAR WEIGHT AS WELL +MSK0040-116-3 OK SO THE THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY AND BASED ON THESE FEATURES IT IS STARTING LIKE IT COULD BE EITHER AN ANKLE FRACTURE OR AN ANKLE SPRAIN BUT BECAUSE OF THE +MSK0040-116-4 PIN POINT TENDERNESS OR THAT YOU'RE FINDING ON THE LATERAL SIDE AS WELL AS SOME OF THE THE INABILITY TO BEAR WEIGHT AS YOU'RE DESCRIBING IT'LL BE IMPORTANT TO GET AN X RAY TO MAKE SURE THAT THERE'S NOT A FRACTURE +MSK0040-116-5 AND AND IF THERE IS THEN IT WILL BE IMPORTANT TO HAVE SOME SORT OF AIR BOOT OR CASTING SO THAT TO MAKE SURE THAT WE'RE OFFLOADING THE AREA FOR THE BONES TO HEAL BUT WE'LL SEE WHAT THE X RAY SHOWS +MSK0040-117 OK THAT SOUNDS GREAT THANK YOU +MSK0040-118 THANK YOU +MSK0041-000 HOW MAY I HELP YOU +MSK0041-001 I'M I AM HERE BECAUSE I'VE HAD THIS INTENSE PAIN IN MY RIGHT FOOT FOR THE PAST SIX HOURS OR SO OR SO AND I THOUGHT IT WAS IMPORTANT TO COME GET IT CHECKED OUT BY YOU GUYS +MSK0041-002 OK SO YOU SAY IT STARTED SIX HOURS AGO HAS THE PAIN BEEN GETTING BETTER OR GETTING WORSE +MSK0041-003 IT'S BEEN IT'S BEEN THE SAME SINCE IT STARTED +MSK0041-004 OK AND WAS THERE ANY TRAUMA TO THE FOOT OR ANYTHING HAPPEN WITHIN THE LAST DAY OR IN THE LAST SIX HOURS +MSK0041-005 NO NOT NO +MSK0041-006 TRAUMA OK AND WHERE IS THE PAIN LOCATED IF YOU HAD TO TRY TO PINPOINT IT WITH ONE FINGER +MSK0041-007 IT'S JUST BELOW MY BIG TOE KIND OF LIKE ON THE MEDIAL SIDE +MSK0041-008 OK DO YOU FEEL THE PAIN RADIATING ANYWHERE ELSE OR YOU JUST FEELING IT AT THAT ONE SPOT +MSK0041-009 I'M FEELING IT JUST IN THAT ONE SPOT +MSK0041-010 OK AND HOW WOULD YOU DESCRIBE THE PAIN +MSK0041-012 INTENSE IT'S SHARP OK AND AND HAS THERE BEEN ANYTHING THAT +MSK0041-013 YOU'VE TRIED THAT'S MADE THE PAIN BETTER NO I HAVEN'T REALLY TRIED ANYTHING I'VE I CAN'T SEEM TO MOVE IT SO EVERY TIME I MOVE IT IT HURTS I'M TRYING TO KEEP IT PRETTY STILL AND STATIONARY I TOOK AN +MSK0041-014 IBUPROFEN THAT'S NOT THAT DOESN'T SEEM TO HELP OK AND SO LIKE ANY MOVEMENT MAKES IT IT WORSE IS THERE ANYTHING ELSE THAT MAKES IT WORSE LIKE PUTTING SOCKS ON OR EVEN HAVING I DON'T KNOW CLOTHING TOUCH IT OR YOUR SHOES TOUCH IT +MSK0041-015 I GUESS MY SHOES MY SHOES TOUCHING IT HURTS +MSK0041-016 OK AND ARE YOU ABLE TO WALK +MSK0041-017 I'M ABLE TO WALK ON IT IT'S JUST VERY PAINFUL AND I CAN'T YOU KNOW I CAN'T BEND THAT TOE I CAN'T FLEX IT OR EXTEND IT BUT MY OTHER TOES ARE OK +MSK0041-018 ALRIGHT AND HOW WOULD YOU DESCRIBE THE SEVERITY OF THIS PAIN ONE BEING THE LEAST PAIN AND TEN BEING THE WORST PAIN YOU'VE EVER FELT +MSK0041-019 I SAY IT'S LIKE AN EIGHT +MSK0041-020 OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE AND IN YOUR TOES OR OR ANY OF YOUR OTHER JOINTS +MSK0041-022 NO NEVER OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS +MSK0041-024 OR TINGLING OR SENSORY LOSS NO OK +MSK0041-025 HOW ABOUT ANY MUSCLE +MSK0041-026 WEAKNESS NO NOTHING LIKE THAT ALRIGHT +MSK0041-028 HAVE YOU HAD ANY ANY HEADACHES NO NO HEADACHES HAVE YOU HAD ANY MEMORY LOSS OR OR OR CONFUSION +MSK0041-029 NO +MSK0041-030 OK HAVE YOU HAD ANY FEVERS OR CHILLS +MSK0041-031 NO +MSK0041-032 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +MSK0041-033 NO +MSK0041-034 AND HAVE YOU HAD ANY ANY NIGHT SWEATS +MSK0041-035 NO +MSK0041-036 OK AND HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SENSE OF SMELL OR SENSE OF TASTE +MSK0041-037 NO CHANGES THERE +MSK0041-038 ALRIGHT AND HAVE YOU HAD A SORE THROAT OR RUNNY NOSE +MSK0041-039 NO +MSK0041-040 AND HOW ABOUT HAVING A COUGH OR SHORTNESS OF BREATH +MSK0041-041 NO NOTHING LIKE THAT +MSK0041-042 OK AND HAVE YOU HAD ANY CHEST PAIN +MSK0041-043 NO +MSK0041-044 AND HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART IS RACING +MSK0041-045 NO +MSK0041-046 OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS +MSK0041-047 NO +MSK0041-048 OK AND HOW ABOUT ANY NAUSEA OR VOMITING +MSK0041-049 NO +MSK0041-050 ALRIGHT HAVE ANY ABDOMINAL PAIN +MSK0041-051 NOPE +MSK0041-052 ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION +MSK0041-053 NO I DON'T THINK SO +MSK0041-054 OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS LIKE PAIN FREQUENCY OR INCONTINENCE +MSK0041-055 NO +MSK0041-056 OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANY CHANGES TO YOUR NAILS OR HAIR +MSK0041-057 NO +MSK0041-058 OK AND HOW ABOUT YOUR ENERGY HAVE YOU HAD A FATIGUE OR MALAISE RECENTLY +MSK0041-060 LIKE THAT ALRIGHT AND ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE +MSK0041-061 NO +MSK0041-062 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +MSK0041-063 NO I AM ACTUALLY SORRY I HAVE HIGH BLOOD PRESSURE AS WELL AS DIABETES AND I AM A LITTLE OVERWEIGHT BUT OTHER THAN THAT NOTHING ELSE +MSK0041-064 OK DO YOU TAKE MEDICATIONS FOR ANY OF THOSE THINGS +MSK0041-065 I TAKE RAMIPRIL FOR HIGH BLOOD PRESSURE AND I'M ON INSULIN FOR THE DIABETES +MSK0041-066 OK HAVE YOU HAD ANY MEDICATION CHANGES RECENTLY +MSK0041-067 NO NO MEDICATION CHANGES +MSK0041-068 OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS +MSK0041-069 OR SURGERIES I WAS RECENTLY HOSPITALISED FOR KIDNEY STONES +MSK0041-090 NO ALRIGHT AND HAVE YOU TRAVELED ANYWHERE RECENTLY NO NO TRAVEL RECENTLY OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET AN AND LIKE DO +MSK0041-091 YOU EAT A LOT OF RED MEAT AND OR A LOT OF SEAFOOD +MSK0041-092-1 LIKE LIKE SHELL SHELLFISH +MSK0041-092-2 I EAT A LOT OF RED MEATS BUT NOT A LOT OF SEAFOOD +MSK0041-092-3 OK AND OK AND ANYBODY IN THE FAMILY HAVE A HISTORY OF MUSCULOSKELETAL +MSK0041-093-1 OR OR NEUROLOGICAL CONDITIONS +MSK0041-093-2 SO WHO OK SO MY MY FATHER HAD LIKE ARTHRITIS +MSK0041-093-3 AND I DON'T REMEMBER WHAT KIND OF ARTHRITIS HE HAD BUT HE HAD SEVERE ARTHRITIS HE ALSO HAD HIGH BLOOD PRESSURE AND DIABETES +MSK0041-093-4 AND ON MY MOTHER'S SIDE THERE IS SOME +MSK0041-094 ARTHRITIS THERE AS WELL AND AS WELL AS GOUT AND KIDNEY STONES OK SO THAT THAT WAS EVERYTHING I WANTED TO ASK ALL THE HISTORY AND SO NEXT TO ASK YOU TO HAVE A LOOK AT YOUR FEET AND ARE YOU SEEING ANY SWELLING +MSK0041-095 REDNESS OR DISCOLOURATION I +MSK0041-096 SEE SOME REDNESS AND SOME SWELLING IN THAT AREA +MSK0041-097 OK AND ARE YOU FEELING ANY TEMPERATURE CHANGES YES AND THE RIGHT ONE IS DEFINITELY WARMER THAN THE LEFT +MSK0041-098 OK THEN HOW ABOUT ANY MUSCLE ATROPHY IN THE FOOT OR OR LOWER LEG OR ANY JOINT MALALIGNMENT OR DEFORMITIES +MSK0041-099 SO IN TERMS OF DEFORMITY IS LIKE IT JUST LOOKS SWOLLEN AND SO THERE'S LIKE A BIG BUMP ON THE RIGHT SIDE OF MY FOOT WHEREAS IT'S COMPLETELY STRAIGHT ON MY LEFT BUT OTHER THAN THAT NO DEFORMITIES +MSK0041-100 OK AND IF YOU WERE TO A PALPATE OR PRESS ON AREAS OF YOUR FOOT OR JOINTS OF YOUR TOES ARE YOU FEELING ANY ANY PAINS ALONG THE TOP OF YOUR FOOT OR OR IN ANY OF YOUR OTHER TOES +MSK0041-101 NONE OF MY OTHER TOES +MSK0041-102 OK AND HOW ABOUT ANY PAINS AT THE ANKLE +MSK0041-103 NO PAIN AT THE ANKLE +MSK0041-104-1 OK SO THE METATARSALS ARE NOT HAVING ANY PAIN AND THEN THE JOINTS OF THE TWO AND FIVETH DIGITS ARE PAIN FREE ALONG WITH THE ANKLE AS WELL +MSK0041-104-2 AND WHEN IT COMES TO RANGE OF MOTION ARE YOU ABLE TO FLEX YOUR TOES DOWNWARDS AND EXTEND THEM UPWARDS TOWARDS YOUR NOSE +MSK0041-105 YES I CAN DO THAT +MSK0041-106 OK AND HOW ABOUT YOUR ANKLE ARE YOU ABLE TO MOVE YOUR ANKLE ON A FULL RANGE OF MOTION +MSK0041-107 I CAN +MSK0041-108 OK AND ARE YOU HAVING A LIMPING WITH WALKING OR OTHERWISE CALLED AN ANTALGIC GAIT +MSK0041-109 SOMEWHAT BECAUSE I'M TRYING NOT TO PUT TOO MUCH WEIGHT ON MY RIGHT BIG TOE +MSK0041-110 OK ALRIGHT AND SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY SO DID YOU HAVE ANY OTHER QUESTIONS OR ANYTHING THAT I MAYBE FORGOT TO ASK ABOUT YOU WANTED TO MENTION TODAY +MSK0041-111 NO JUST WHAT CAN I DO FOR MY FOOT HOW DO I MAKE THE SWELLING GO DOWN +MSK0041-112-1 YEAH FOR SURE IT'S SO RIGHT NOW WITH HAVING A LIKE A RED WARM AND SWOLLEN JOINT THAT THAT'S EXTREMELY TENDER AND HAS LIMITED RANGE OF MOTION +MSK0041-112-2 IT'S IMPORTANT TO RULE OUT A SEPTIC ARTHRITIS HOWEVER BASED ON SEVERAL OF THE RISK FACTORS SUCH AS DIABETES AND +MSK0041-112-3 OBESITY AS WELL AS YOUR FAMILY HISTORY OF ARTHRITIS AND GOUT TAKING THE MOST LIKELY THING IS THAT THIS IS A GOUT FLARE AND IN PARTICULAR IN THE +MSK0041-112-4 TOE LIKE THAT IT COULD BE CALLED PODAGRA AND SO WE WILL NEED TO GET A ASPIRATION OF THE JOINT FLUID JUST TO SEND IT OFF AND MAKE SURE THAT IT'S NOT +MSK0041-112-5 NOT AN INFECTION AND THAT WE'RE TREATING THE RIGHT THING IF THIS IS GOUT AND IT COMES BACK THAT THIS WAY IT'S TREATED WITH THAT +MSK0041-112-6 HIGH DOSE HIGH DOSES OF ANTI INFLAMMATORIES I WILL START WITH +MSK0041-112-7 MEDICATION CALLED COLCHICINE TO HELP WITH THIS FLARE AND IN THE MEANTIME IMPORTANT THINGS FOR PREVENTING THIS IN THE FUTURE ARE DIET AND +MSK0041-112-8 KIND OF LIFESTYLE RELATED WITH REDUCING THINGS LIKE RED MEATS ALCOHOL +MSK0041-113 WEIGHT LOSS AND JUST TRYING TO +MSK0041-114 IMPROVE THE DIABETES MANAGE +MSK0042-000 HOW MAY I HELP YOU +MSK0042-001-1 I I'M JUST COMING INTO THE CLINIC TODAY MY PARENTS TOLD ME TO COME TODAY I DON'T KNOW WHAT THIS THING IS +MSK0042-001-2 JUST MASS RIGHT BELOW OR KIND OF LIKE A LUMP OR MASS BELOW MY RIGHT KNEE AND IT'S NOT PAINFUL OR ANYTHING IT'S A LITTLE BIT UNCOMFORTABLE BUT I JUST WANT TO CHECK OUT AND SEE WHAT IT MIGHT BE +MSK0042-002 CERTAINLY OKAY WHEN WHEN DID YOU FIRST NOTICE THIS MASS +MSK0042-003 SO I THINK I NOTICED IT FOR THE FIRST TIME PROBABLY A COUPLE WEEKS AGO I WOULD SAY LIKE TWO WEEKS AGO I I NOTICED IT +MSK0042-004 OKAY AND WHERE SPECIFICALLY IS IT IS IT LOCATED +MSK0042-005 SO IT'S IT'S BELOW MY KNEE RIGHT ON LIKE I FEEL IT ON THE BIG BIG BONE RIGHT BELOW THE KNEE IT'S I JUST FEEL LIKE LIKE A HARD +MSK0042-006 LUMP OKAY AND OKAY AND +MSK0042-007 IS IT IS IT ASSOCIATED WITH ANY PAIN NO IT'S NOT REALLY THAT PAINFUL IT'S IT'S +MSK0042-008 IF I PRESS ON IT IT'S A LITTLE BIT UNCOMFORTABLE BUT IT'S NOT LIKE I WOULDN'T CALL IT PAIN OKAY AND HAVE YOU HAD ANY +MSK0042-009-1 TRAUMA TO THE TO THE KNEE OR AREA OR ANY INJURIES THERE +MSK0042-009-2 NO NOT THAT I CAN REMEMBER I DON'T THINK I'VE HAD ANY INJURIES THERE AND THIS LUMP IS LIKE PROBABLY LIKE TWO TO THREE CENTIMETRES IT'S +MSK0042-009-3 I DON'T EVEN KNOW LIKE WHEN IT APPEARED OR WHY IT APPEARED I HAVEN'T REALLY INJURED MYSELF OR ANYTHING +MSK0042-010 OKAY AND HAVE YOU HAD ANY ANY FEVERS OR CHILLS +MSK0042-011 NO +MSK0042-012 OKAY HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +MSK0042-013 NO NOT THAT I CAN REMEMBER +MSK0042-014 OKAY AND HOW ABOUT ANY NEUROLOGICAL SYMPTOMS LIKE NUMBNESS TINGLING SENSORY LOSS +MSK0042-015 NO I HAVEN'T FELT ANY OF THOSE +MSK0042-016 OKAY AND HOW ABOUT ANY MUSCLE WEAKNESS IN THE LOWER EXTREMITY OR UPPER EXTREMITY +MSK0042-017 NO NO WEAKNESS +MSK0042-018 OKAY HAVE YOU HAD ANY +MSK0042-022 HOW ABOUT NIGHT SWEATS NO NIGHT SWEATS OKAY AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE LIKE A RUNNY NOSE OR A SORE THROAT +MSK0042-023 NO +MSK0042-024 OKAY HAVE YOU HAD HAD A COUGH OR SHORTNESS OF BREATH +MSK0042-025 NO I'VE BEEN PRETTY WELL RECENTLY +MSK0042-026 OKAY THAT'S GOOD AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION +MSK0042-027 NO NOTHING LIKE THAT +MSK0042-028 OKAY AND ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SMELL OR TASTE +MSK0042-029 NO NOTHING LIKE THAT +MSK0042-030 OKAY HAVE YOU HAD ANY CHEST PAIN +MSK0042-031 NO +MSK0042-032 HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING +MSK0042-033 NO +MSK0042-034 OKAY HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS +MSK0042-035 NO NOTHING LIKE THAT +MSK0042-036 OKAY AND HAVE YOU HAD ANY +MSK0042-037 NAUSEA OR VOMITING +MSK0042-038 NO NO NAUSEA OR VOMITING OKAY HAVE YOU HAD ANY CHANGES OR LOSS TO APPETITE +MSK0042-039 NOPE +MSK0042-040 HOW ABOUT ANY ABDOMINAL PAIN +MSK0042-041 NO NO ABDOMINAL PAIN +MSK0042-042 ALRIGHT HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL +MSK0042-044 NO OKAY AND HOW ABOUT ANY CHANGES TO YOUR URINARY PATTERNS LIKE PAIN OR OR FREQUENCY +MSK0042-045 NO NO CHANGES AT ALL +MSK0042-046 OKAY AND HAVE YOU HAD ANY CHANGES TO YOUR SKIN LIKE SUCH AS RASHES OR OR ANY CHANGES TO YOUR HAIR OR NAILS +MSK0042-047 NO NOT ANYTHING THAT I'VE NOTICED +MSK0042-048 ALRIGHT SO THEN HOW ABOUT YOUR ENERGY HAVE YOU HAD ANY +MSK0042-049 FATIGUE +MSK0042-050 NO MY ENERGY'S BEEN FINE OKAY AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR ANY JOINT PAINS +MSK0042-051 NO I MEAN LIKE ALL THE OTHER JOINTS AND OTHER LIKE BONES AND MUSCLES HAVE BEEN FINE IT'S JUST EVEN I WOULDN'T DESCRIBE THIS AS PAIN IT'S JUST I THINK MY PARENTS GOT A BIT CONCERNED SINCE THERE WAS LIKE A LUMP THEY WERE SCARED AND I WAS A LITTLE BIT SCARED TOO SO I JUST CAME IN TO CHECK IT OUT +MSK0042-052 CERTAINLY OKAY AND HAVE YOU HAD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR SEE A DOCTOR FOR ANY REASON +MSK0042-053 NO I'VE BEEN PRETTY HEALTHY UP UNTIL NOW +MSK0042-054 OKAY AND DO YOU TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED +MSK0042-055 NO NO MEDICATIONS +MSK0042-056 OKAY AND DO YOU HAVE ANY ALLERGIES +MSK0042-057 NO +MSK0042-058 ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE +MSK0042-059 ALL MY IMMUNIZATIONS ARE UP TO DATE +MSK0042-060 OKAY AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES +MSK0042-061 NO I HAVEN'T HAD ANY HOSPITALIZATIONS OR SURGERIES +MSK0042-062 OKAY AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU'RE LIVING WITH AND WHERE +MSK0042-063 SO I'M LIVING WITH MY PARENTS AND OLDER BROTHER AND WE LIVE IN A JUST A HOUSE RIGHT OUTSIDE OF THE CITY +MSK0042-064 OKAY AND ARE YOU CURRENTLY IN SCHOOL AND WORKING OR OR WORKING +MSK0042-065 NO I I DON'T WORK I'M CURRENTLY IN SCHOOL RIGHT NOW SO TOO BUSY WITH SCHOOL AND THEN JUST EXTRACURRICULAR ACTIVITIES +MSK0042-066 ABSOLUTELY OKAY AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +MSK0042-067 NO +MSK0042-068 OKAY AND HAVE YOU TRAVELED ANYWHERE RECENTLY +MSK0042-069 NO WE'VE ALL JUST BEEN AT HOME +MSK0042-070 OKAY AND AND DO YOU SMOKE CIGARETTES OR OR USE ANY CANNABIS PRODUCTS +MSK0042-071 NO I HAVEN'T TRIED ANY DRUGS OR ANYTHING LIKE THAT +MSK0042-072 OKAY WELL THAT'S GOOD AND ARE YOU CURRENTLY SEXUALLY ACTIVE +MSK0042-073 NO +MSK0042-074 NO OKAY HAVE YOU BEEN SEXUALLY ACTIVE IN THE PAST +MSK0042-075 NO I HAVEN'T +MSK0042-076 OKAY AND ANY CONCERNS FOR SAFETY AT HOME WITH EITHER PHYSICAL VIOLENCE OR VERBAL ABUSE EITHER TO YOURSELF OR ANYBODY IN THE HOME +MSK0042-077 NO WE LIKE ME AND MY BROTHER FEEL SAFE AT HOME SCHOOL IS GOING WELL TOO I'M PRETTY PRETTY ATHLETIC AT SCHOOL LIKE I HAVE GOOD FRIENDS SO NO BULLYING OR ANYTHING LIKE THAT FEELS PRETTY SAFE OVERALL +MSK0042-078 OKAY NOW THAT'S GOOD I'M HAPPY TO HEAR THAT AND IS THERE ANY CONDITIONS IN THE IN THE FAMILY EITHER LIKE MUSCULOSKELETAL OR NEUROLOGICAL THINGS THAT YOU CAN THINK OF +MSK0042-079 I DON'T THINK ANYTHING RELATED TO THIS BUT I KNOW MY MY DAD HAS DIABETES AND MY MOM HAS SOME +MSK0042-080 ANXIETY OKAY AND ANYBODY IN THE FAMILY EVER HAVE ANY CANCERS OR OR ANY BONE TUMOURS +MSK0042-081 OR SOFT TISSUE TUMOURS OR GROWTHS I DON'T THINK ANYONE'S HAD LIKE A BONE TUMOUR OR ANYTHING LIKE THAT I I KNOW MY UNCLE HE HE DOES HAVE A HE HAD LIKE MELANOMA +MSK0042-082 WHICH HE HAD TO GET SURGICALLY REMOVED OKAY AND ANY GENETIC DISEASES IN THE +MSK0042-083 FAMILY OR OR CONGENITAL +MSK0042-084 DISEASES NOT THAT I'VE BEEN TOLD NO OKAY SO NEXT I JUST WANTED TO MOVE ON TO THE PHYSICAL EXAM COMPONENT AND FIRSTLY ARE YOU HAVING ANY ISSUES +MSK0042-085 WITH WALKING NO I'VE BEEN LIKE NO NO PAIN NO I CAN +MSK0042-086 WALK JUST FINE NO ISSUES THERE OKAY EXCELLENT SO NO ANTALGIC GAIT AND WHEN LOOKING AT THE AREA ARE YOU SEEING ANY SWELLING OR OR REDNESS +MSK0042-087 OR SKIN DISCOLOURATION NO NO NOTHING LIKE THAT IT'S JUST I CAN TELL THERE'S LIKE A LUMP THERE AND IF I PRESS IT I CAN FEEL LIKE THE HARD LUMP +MSK0042-088 BUT NO CHANGES IN THE SKIN ABOVE IT OKAY AND ARE YOU SEEING ANY +MSK0042-089 MUSCLE ATROPHY +MSK0042-090 AROUND THE AREA NO NOTHING LIKE THAT OKAY AND ARE YOU SEEING ANY LIKE JOINT +MSK0042-091 DEFORMITIES OR OR ANY +MSK0042-092 THING LIKE THAT NO NOT THAT I CAN TELL OKAY AND YOU DON'T HAVE ANY ANY PAIN SO IF YOU PRESS ON THE AREA OR ON THE THE KNEE JOINT YOU CAN JUST FEEL THE MASS AND NO PAIN THERE +MSK0042-093 IT JUST FEELS WEIRD I DON'T I'M NOT IN ANY PAIN OR ANYTHING BUT IT'S LIKE IT'S WEIRD TO LOOK AT AND THEN WEIRD TO FEEL AS WELL OKAY AND OKAY THEN NO LIMITATIONS WITH +MSK0042-094 WITH LIKE RANGE OF MOTION OF ANY OF YOUR JOINTS INCLUDING LIKE KNEE AND ANKLE NO I CAN MOVE EVERYTHING JUST FINE OKAY +MSK0042-095 AWESOME AND SO +MSK0042-096 THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY AND CHECK ON THE PHYSICAL AS WELL SO WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR ANYTHING YOU WANTED TO ADD NO I NOTHING ELSE I WANTED TO ADD BUT I I THINK +MSK0042-097-1 MY PARENTS AND I WERE JUST SCARED ABOUT IT BEING LIKE CANCER OR LIKE A TUMOUR +MSK0042-097-2 SO I JUST DON'T KNOW WHAT I SHOULD DO IF I NEED TO GET ANY TESTS DONE OR X RAYS OR ANYTHING LIKE THAT +MSK0042-097-3 OKAY WE SO THE FIRST THING WE WILL WANT TO GET AN X RAY +MSK0043-000 WHAT BRINGS YOU HERE TODAY +MSK0043-001 I'VE HAD THIS LIKE PAIN IN MY KNEE IT STARTED WITHIN THE LAST FEW HOURS AND MY KNEE'S SWOLLEN IT'S PAINFUL I CAN BARELY MOVE IT +MSK0043-002 OKAY WERE YOU DID YOU INJURE YOURSELF AT ALL BEFORE THE LAST FEW HOURS OR ANYTHING ANY TRAUMA TO IS IT THE RIGHT KNEE OR THE LEFT KNEE +MSK0043-003 IT'S THE LEFT KNEE AN NO NO TRAUMA OR ANYTHING LIKE THAT I'VE NEVER HURT THIS KNEE BEFORE IN MY LIFE +MSK0043-004 OKAY AND HAS THIS EVER HAPPENED TO YOU BEFORE +MSK0043-005 NO NOTHING IN MY JOINTS I'VE HAD OTHER INFECTIONS BEFORE LIKE IN MY SKIN LIKE CELLULITIS BUT I I'VE NEVER HAD A KNEE KNEE PROBLEM LIKE THIS BEFORE +MSK0043-006 OKAY I SEE AND HAVE YOU EVER HAD CELLULITIS IN THAT AREA +MSK0043-007 I I HAD IT OVER KIND OF MY LIKE OVER MY FOOT BEFORE +MSK0043-008 OKAY AND WHERE WOULD YOU DESCRIBE THE PAIN IS IS IT LIKE ON THE KNEECAP IS IT ABOVE THE KNEECAP BELOW WHERE WOULD YOU DESCRIBE IT +MSK0043-009 I WOULD SAY IT'S LIKE MY WHOLE KNEE IT'S LIKE I DON'T KNOW IT LOOKS LIKE IT'S GOING TO EXPLODE +MSK0043-010 OKAY IS IT LIKE SO IT'S SWOLLEN IS IT RED AND WARM +MSK0043-011 IT IS IT'S +MSK0043-013 REALLY RED +MSK0043-014 OK AND WARM AS WELL OKAY AND HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE A SHARP STABBING PAIN OR IS IT AN ACHING PAIN +MSK0043-015 IT'S A A STABBING PAIN +MSK0043-016 OKAY AND ARE YOU MAINLY HAVING THE PAIN WITH MOVEMENT OF YOUR KNEE OR WHEN YOU'RE PRESSING ON IT +MSK0043-017 I WOULD SAY BOTH I CAN'T I CAN'T REALLY MOVE IT IT'LL GIVE ME PAIN AND EVEN PRESSING ON IT IT'S IT'S QUITE PAINFUL +MSK0043-018 OKAY AND ON A SCALE OF ONE TO TEN SORRY ZERO TO TEN WITH TEN BEING THE WORST PAIN YOU'VE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS PAIN +MSK0043-019 IT'S A NINE +MSK0043-020 A NINE OKAY SO IT JUST STARTED A FEW HOURS AGO IS THERE ANYTHING THAT MAKES THE PAIN BETTER OR WORSE +MSK0043-021 I MEAN I MEAN JUST TRYING TO STAY AS STILL AS POSSIBLE IS ALL I'VE BEEN BEEN DOING SO FAR BECAUSE LIKE ANY TYPE OF +MSK0043-022 MOVEMENT IS REALLY BAD OKAY AND ARE YOU ABLE TO +MSK0043-023 WEIGHT BEAR ARE YOU ABLE TO STAND AND WALK BY YOURSELF I I WAS PRETTY MUCH LIKE HOPPING ON ONE LEG TO TO GET IN HERE AND AS SOON AS I COULD I GOT IN A +MSK0043-024 WHEELCHAIR JUST BECAUSE IT HURTS SO BAD OKAY AND DO YOU HAVE ANY PAIN OR SYMPTOMS IN ANY OTHER JOINTS OR MUSCLES OF YOUR BODY +MSK0043-025 NO JUST IT'S JUST MY LEFT KNEE +MSK0043-026 JUST YOUR LEFT KNEE OKAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE FEVERS CHILLS NAUSEA OR VOMITING +MSK0043-027 I I HAVE FELT FEVERISH BUT THEN I I FELT FEVERISH +MSK0043-028 AND BUT I HAVEN'T HAD ANY CHILLS THOUGH +MSK0043-029 OKAY WHEN WERE YOU FEELING FEVERS JUST LIKE TODAY +MSK0043-030 IT'S KIND OF IT STARTED WITHIN THE LAST DAY OKAY AND DID YOU GET A CHANCE TO MEASURE YOUR TEMPERATURE AT ALL IF NOT WE CAN DO THAT HERE +MSK0043-031 NO NO I DIDN'T GET TO I I DIDN'T CHECK IT +MSK0043-032 OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH ANY COLD LIKE SYMPTOMS OR ANY GI SYMPTOMS LIKE DIARRHEA CONSTIPATION ANYTHING LIKE THAT +MSK0043-033 NO I HAVEN'T HAD ANY ANYTHING LIKE THAT +MSK0043-034 OKAY AND HAVE YOU RECENTLY HAD ANY SEXUALLY TRANSMITTED DISEASES OR EXPOSURES TO TICKS OR LYME DISEASE +MSK0043-035 I DON'T THINK SO I'VE BEEN JUST IN WELL IN THE CITY I HAVEN'T TRAVELED ANYWHERE AND I I HAVEN'T BEEN SEXUALLY ACTIVE FOR FOR QUITE A WHILE NOW SO +MSK0043-036 OKAY OKAY HAVE YOU RECENTLY AT ALL HAD ANY PROCEDURES DONE ON YOUR KNEE LIKE ANY SURGERIES OR ANY JOINT LIKE INJECTIONS OR ASPIRATIONS +MSK0043-037 NO NOTHING DONE TO MY KNEE +MSK0043-038 OKAY OKAY SO WE'LL TAKE A TEMPERATURE OF YOUR FEVER AND SO ARE YOU ABLE TO FLEX OR EXTEND YOUR KNEE AT ALL OR IS IT VERY PAINFUL +MSK0043-039 IT'S REALLY PAINFUL I THE MOVEMENT'S +MSK0043-040 REALLY LIMITED OKAY AND HAS THE PAIN BEEN CONSTANT SINCE IT STARTED A FEW HOURS AGO +MSK0043-041 IT'S GOTTEN LIKE IT'S IT'S +MSK0043-042 GOTTEN SLIGHTLY WORSE OKAY I SEE OKAY ANY SKIN CHANGES OR RASHES ANYWHERE ON YOUR BODY +MSK0043-043 NO IT'S JUST THE RED KNEE +MSK0043-044 OKAY ANY CHANGES IN YOUR WEIGHT OR APPETITE +MSK0043-045 NO NO I HAVEN'T HAD ANY CHANGES THERE +MSK0043-046 OKAY AND OTHERWISE ARE YOU HAVING ANY SYMPTOMS OF DIZZINESS FAINTING +MSK0043-047 NO I HAVEN'T HAD ANY OF THOSE SYMPTOMS +MSK0043-048 OKAY ANY WEAKNESS IN YOUR EXTREMITIES +MSK0043-049 NO NO WEAKNESS +MSK0043-050 OKAY DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH ANY DIABETES HIGH BLOOD PRESSURE +MSK0043-051 I'VE BEEN TOLD MY MY BLOOD SUGAR HAS BEEN LIKE IT HASN'T BEEN CONTROLLED SO I THINK I HAVE DIABETES BUT THAT'S THAT'S IT +MSK0043-052 OKAY DO YOU TAKE ANYTHING FOR MEDICATE MEDICATION FOR YOUR DIABETES +MSK0043-053 I I TAKE METFORMIN AND AND THAT THAT'S ALL I'VE BEEN TAKING BUT I MEAN IT'S REALLY HARD FOR ME TO LIKE GET MY MEDICATION SOME +MSK0043-054 TIMES AND SO I DON'T ALWAYS TAKE IT OKAY I SEE +MSK0043-055 AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS NOT THAT I NOT THAT I CAN THINK OF AND SO SOMETHING THAT I FORGOT TO MENTION IS LIKE +MSK0043-056 I'VE HAD HEPATITIS IN THE +MSK0043-057 PAST AS WELL AND AND DO YOU DO YOU +MSK0043-058 KNOW HEPATITIS YOU'VE HAD I'VE HAD IT WAS +MSK0043-059 HEPATITIS C +MSK0043-063 AND WHAT DO YOU USUALLY USE WELL LIKE ANY ANYTHING THAT I THAT I CAN USUALLY BUT I I GUESS LIKE VARIOUS TYPES OF OPIOIDS ARE KIND OF THE THE THE MAIN THING THAT I'LL THAT I'LL USE +MSK0043-064 OKAY AND HAVE YOU INJECTED DRUGS RECENTLY AT ALL +MSK0043-065 I ABOUT ABOUT TWO DAYS AGO WAS THE LAST TIME +MSK0043-066 OKAY OKAY AND DO YOU USE ANY OTHER DRUGS ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANY DO YOU INJECT ANY OTHER DRUGS AT ALL +MSK0043-067 I'LL SMOKE SMOKE MARIJUANA AS WELL AND LIKE I'LL SOMETIMES LIKE I'LL TAKE PILLS TOO LIKE DILAUDID IS IS SOMETHING THAT I'LL I'LL GET MY HANDS ON BUT IT CAN BE EXPENSIVE SO JUST JUST WHATEVER IS AVAILABLE +MSK0043-068 OKAY HAVE YOU HAD WHEN WAS THE LAST TIME YOU HAD CELLULITIS +MSK0043-069 THE LAST TIME WAS ABOUT SIX MONTHS AGO +MSK0043-070 OKAY AND WERE YOU ADMITTED AT ALL OR WERE YOU TREATED AS AN OUTPATIENT +MSK0043-071 I WAS TREATED AS AN OUTPATIENT FOR THAT AND IT DID CLEAR UP IT WASN'T THE FIRST TIME THAT I'VE I'VE HAD CELLULITIS AND +MSK0043-090 ANY SYMPTOMS AT ALL IN YOUR HIPS OR ANKLE +MSK0043-091 NO THOSE FEEL FINE I CAN MOVE MY HIP AND ANKLE OKAY AND NO PAIN +MSK0043-092-1 OKAY ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE'LL DO LIKE A FULL PHYSICAL EXAMINATION TAKE A LOOK AT YOUR KNEE AND MOST LIKELY WHAT THIS SOUNDS LIKE IS SOMETHING CALLED SEPTIC ARTHRITIS +MSK0043-092-2 IT'S IT'S WHEN THERE'S LIKE AN INFECTION THAT CAN GO INTO YOUR JOINTS AND IT IS A PRETTY SERIOUS ISSUE THAT WE NEED TO ASSESS AND TREAT AS SOON AS POSSIBLE +MSK0043-092-3 SO THE FIRST THING THAT WE WILL NEED TO DO WE'LL NEED TO DO SOME BLOOD WORK JUST TO GET SOME INFLAMMATION MARKERS AND JUST YOUR CBC +MSK0043-092-4 AND SEE IF YOU HAVE AN INFECTION HOWEVER WE'LL ALSO NEED TO DO A JOINT ASPIRATION OF YOUR OF YOUR GO YOUR KNEE AND WE'LL BE TAKING SOME FLUID WITHIN YOUR JOINT CALLED THE SYNOVIAL +MSK0043-092-5 FLUID AND ASSESS FOR WE'LL SEND IN FOR CULTURE AND LOOK FOR LIKE THESE CRYSTALS AND COUNT AND THEN BASED ON THAT WE'LL UNDERSTAND THE INFECTION YOU HAVE AND WHAT KIND OF INFECTION YOU HAVE WE WILL START YOU ON ANTIBIOTICS +MSK0043-092-6 RIGHT AWAY TODAY AND SO YOU WILL BE HERE FOR A WHILE UNTIL WE GET ALL THOSE RESULTS BACK AND YOU MAY ALSO REQUIRE AN ADMISSION TODAY AS WELL +MSK0043-093 OKAY THANK YOU THAT THAT SOUNDS GOOD +MSK0043-094 ALRIGHT SO WE'LL GET ALL THAT DONE FOR YOU SHORTLY AND WE'LL GO FROM THERE +MSK0043-095 RIGHT THANK YOU +MSK0043-096 AND WE MIGHT ALSO NEED AN X RAY SO JUST SIT TIGHT WE'LL WE'LL COME CALL YOU +MSK0043-097 OKAY THANK YOU +MSK0043-098 ALRIGHT YOU'RE WELCOME +RES0001-000 WHAT BRINGS YOU IN TODAY +RES0001-001 I SO I'VE JUST HAD THIS PAIN IN MY CHEST FOR JUST OVER A WEEK NOW AND IT'S CAUSED ME TO HAVE TROUBLE BREATHING +RES0001-002 OK HOW OLD ARE YOU JEN +RES0001-003 FIFTY TWO +RES0001-004 OK WHEN DID THIS PAIN START YOU SAID A WEEK BACK +RES0001-005 JUST ABOUT THAT I I THINK MAYBE EIGHT DAYS AGO +RES0001-006 OK AND IS IT A CONSTANT PAIN IS IT ALWAYS THERE +RES0001-007 AHH IT IT IS BUT IT'S DEFINITELY WORSE THAT IT'S THE BREATHING THAT'S BEEN BOTHERING ME A LOT MORE WHEN I TAKE A DEEP BREATH THAT THE PAIN IS A LOT WORSE +RES0001-008 OK OK AND WHEN YOU DO GET THAT GET THAT PAIN HOW LONG DOES IT LAST +RES0001-009 I WOULD SAY AROUND FIFTEEN TWENTY MINUTES IT'S IT GOES AWAY OVER OVERTIME +RES0001-010 OK AND THE SHORTNESS OF BREATH DO YOU HAVE THAT AT REST AS WELL +RES0001-011 NO IF I IF I TAKE A BREAK OR SIT DOWN TO REST THEN I CAN USUALLY CATCH MY BREATH BUT IF EVEN IF I'M DOING A LITTLE BIT OF EXERTION LIKE WALKING A FEW A FEW BLOCKS OR SOMETHING LIKE THAT I'M FINDING IT I'M I'M SHORT OF BREATH +RES0001-012 OK DO DID ANYTHING TRIGGER THIS A WEEK BACK ANY TRAUMA TO THE CHEST AREA ANYTHING LIKE THAT +RES0001-013 NO NO ONE ELSE HAS BEEN SICK I I HAD A COUGH ABOUT A WEEK AGO SO I THOUGHT IT MIGHT BE A +RES0001-014 CHEST INFECTION BUT I'M NOT FEVERISH SO I'M NOT SURE +RES0001-015 OK THE COUGH IS IT STILL THERE +RES0001-016 IT'S I STILL HAVE A COUGH +RES0001-017 OK AND ARE YOU COUGHING UP ANY BLOOD +RES0001-018 NO I HAVEN'T I HAVEN'T NOTICED ANY ANY BLOOD +RES0001-019 OK HOW ABOUT SPUTUM +RES0001-020 NO SPUTUM +RES0001-021 NO OK AND DO YOU FEEL LIKE YOU'RE WHEEZING +RES0001-022 OH NO WHEEZING +RES0001-023 NO WHEEZING OK THE SHORTNESS OF BREATH ONE TO TEN TEN BEING THE WORST THE MOST SEVERE HOW BAD IS YOUR SHORTNESS OF BREATH +RES0001-024 I WOULD SAY WHEN I'M EXERTING MYSELF IT COULD GET UP TO LIKE A SEVEN OR EIGHT +RES0001-025 OK AND YOU MENTIONED HOW HOW FAR CAN YOU WALK BEFORE YOU NEED TO REST +RES0001-026 I I WOULD SAY MAYBE ONE HUNDRED METERS BUT BEFORE I WAS ABLE TO RUN LIKE I WAS RUNNING A FEW DAYS PER WEEK SO SO THIS IS NOT LIKE ME +RES0001-027 OK AND THE CHEST PAIN IS IT SHARP OR IS A DULL CRAMPY WHAT DOES IT FEEL LIKE +RES0001-028 I SAY IT'S SHARP +RES0001-029 OK HAVE YOU EVER EXPERIENCED THIS BEFORE +RES0001-030 NO NOTHING LIKE LIKE THIS BEFORE AT ALL I I HAVE NEVER HAD ANY ANY PROBLEMS LIKE THIS BEFORE +RES0001-031 OK AND HAS IT CHANGED SINCE IT STARTED A WEEK BACK OR HAS HAVE YOUR SYMPTOMS BEEN PRETTY MUCH THE SAME +RES0001-032 THEY'VE BEEN PRETTY MUCH THE THE THE SAME +RES0001-033 OK OK DO YOU HAVE ANYTHING LIKE COPD CONGESTIVE HEART FAILURE ANYTHING LIKE THAT +RES0001-034 NO I'VE NEVER HAD ANY HEART PROBLEMS IN THE PAST I'VE BEEN HEALTHY UP TO THIS POINT THOUGH NOTHING I SEE A DOCTOR REGULARLY FOR +RES0001-035 OK OK THIS YOU MENTIONED NO FEVERS NO CHILLS AND NO NIGHT SWEATS TOO I GUESS +RES0001-036 NO NIGHT SWEATS +RES0001-037 OK AND HOW ABOUT WEIGHT LOSS ANY WEIGHT LOSS +RES0001-038 NO WEIGHT LOSS +RES0001-039 NO OK HAVE YOU EXPERIENCED ANY CHANGES IN YOUR VISION +RES0001-040 NO MY VISIONS BEEN BEEN BEEN FINE +RES0001-041 OK HEARING +RES0001-042 HEARING HAS BEEN OK +RES0001-043 OK HOW ABOUT SMELL +RES0001-044 NO CHANGES IN SMELL +RES0001-045 NO HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE IN THE PAST WEEK OR SO +RES0001-046 NO IT'S JUST THAT THE DRY COUGH +RES0001-047 OK DRY COUGH ANY CHANGES IN YOUR SKIN LIKE RASHES +RES0001-048 NO RASHES +RES0001-049 OK AND YOU MENTIONED SOME CHEST PAIN ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEARTS RACING +RES0001-050 ACTUALLY I DID FEEL LIKE THAT A LITTLE BIT ESPECIALLY WHEN I WAS MOVING A LITTLE BIT MORE I FELT LIKE MY HEART WAS RACING +RES0001-051 OK ANY CALF PAIN +RES0001-052 MY LEFT MY LEFT LEG'S ACTUALLY A LITTLE BIT SORE +RES0001-053 OK ANY SWELLING IN THE AREA +RES0001-054 NOPE I DON'T SEE ANY SWELLING THERE +RES0001-055 OK NO +RES0001-056 WE'LL SAY THAT THERE IS SWELLING +RES0001-057 OH OK AND AND YOU MENTIONED SHORTNESS SOME SHORTNESS OF BREATH ON EXERTION HOW ABOUT WHEN YOU'RE LAYING DOWN +RES0001-058 NOT WHEN I'M LAYING DOWN +RES0001-059 NO OK AND NOT WHEN YOU'RE OK NOT WHEN YOU'RE LAYING DOWN OK ALRIGHT AND IN TERMS OF LIKE +RES0001-060 YOUR STOOL SO BOWEL MOVEMENTS AND URINATION LIKE ALL OF THAT'S NORMAL +RES0001-061 ALL THAT'S BEEN NORMAL +RES0001-062 OK ANY HEADACHES +RES0001-063 NO HEADACHES +RES0001-064 NO NO CONFUSION +RES0001-065 NO CONFUSION +RES0001-066 OK HOW ABOUT DIZZINESS OR FAINTING SPELLS +RES0001-067 NO FAINTING SPELLS +RES0001-068 OK OK AND HAVE YOU ALREADY RECEIVED ANY SORT OF IMAGING OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT FOR THIS RECENTLY +RES0001-069 OH NO I I I HAVEN'T +RES0001-070 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY PAST MEDICAL HISTORY OF ANY CONDITIONS REALLY +RES0001-071 NO LIKE I'VE BEEN PREVIOUSLY HEALTHY BUT I I GUESS I DID HAVE A HYSTERECTOMY A FEW WEEKS AGO I KNOW IT WAS I I DIDN'T BRING IT UP BEFORE CAUSE IT'S JUST A DAY PROCEDURE BUT I WAS DEFINITELY +RES0001-072 SPENDING A LOT MORE TIME RELAXING AT HOME AFTER THAT A FEW WEEKS AGO +RES0001-073 OK OK SO YOU HAVEN'T BEEN MOVING AROUND AS MUCH I GUESS SINCE THE HYSTERECTOMY +RES0001-074 EXACTLY IT'S STARTING TO IT WAS STARTING TO GET THE PAIN WAS STARTING TO IMPROVE BUT IT WAS KEEPING ME ON THE COUCH A LOT OF DAYS +RES0001-075 OK ARE YOU ON ANY MEDICATIONS +RES0001-076 NO I TRY I'VE TRIED SOME TYLENOL AND ADVIL FOR THE PAIN THROUGHOUT THIS WEEK AND IT DIDN'T REALLY HELP MUCH BUT OTHER THAN THAT DON'T TAKE ANY ANY MEDICATIONS NOTHING FOR BLOOD PRESSURE OR ANYTHING LIKE THAT +RES0001-077 OK AND SORRY WHAT WAS THE HYSTERECTOMY FOR +RES0001-078 I I WAS HAVING A LOT OF BLEEDING +RES0001-079 OK SO WERE THEY THINKING IT WAS LIKE A CANCER OR SOMETHING +RES0001-080 I THINK IT WAS IT WAS FROM FIBROIDS +RES0001-081 OK OK AND THEN SO YOU MENTIONED NO MEDICATIONS ANY ALLERGIES +RES0001-082 NO ALLERGIES TO MEDICATIONS +RES0001-083 AND ARE YOU UP TO DATE WITH ANY WITH ALL YOUR IMMUNIZATIONS +RES0001-084 I AM +RES0001-085 YOU ARE OK ANY FAMILY HISTORY OF LUNG CONDITIONS +RES0001-086 NO LUNG CONDITIONS +RES0001-087 BUT HOW ABOUT HEART +RES0001-088 IT'S JUST MY MOM HAD A HEART ATTACK WHEN SHE WAS FIFTY SIX +RES0001-089 OK OK I'M SORRY TO HEAR THAT AND ANY HISTORY OF FAMILY HISTORY OF SOMETHING CALLED PULMONARY EMBOLISM OR DVTS +RES0001-090 NO I HAVEN'T HEARD OF A HEARD OF PULMONARY EMBOLISM BEFORE +RES0001-091 OK SO IT'S BASICALLY BLOOD CLOTS IN YOUR LUNG AND THEN DVT'S ARE DEEP VEIN THROMBOSIS SO ALSO BLOOD CLOTS BUT IN DIFFERENT PARTS OF YOUR BODY +RES0001-092 OK +RES0001-093 ANYTHING LIKE THAT THAT YOU KNOW OF +RES0001-094 NO I I HAVE MIGHT HAVE HEARD OF SOMETHING LIKE THAT HAPPENING IN MY MOM ACTUALLY IT MIGHT HAVE BEEN RELATED TO HER HEART ATTACK BUT I'M NOT SPECIFICALLY SURE +RES0001-095 OK SURE AN THEN DO YOU SMOKE +RES0001-096 I I SMOKE I MAY BE ABOUT HALF A PACK OF CIGARETTES PER DAY I'VE SMOKED EVER SINCE I WAS A TEENAGER I'VE TRIED TO QUIT MULTIPLE TIMES I I WAS SMOKING ABOUT A PACK PER DAY BEFORE SO I HAVE +RES0001-097 CUT IT DOWN BUT STILL SOMETHING THAT I'M WORKING ON +RES0001-098 OK GOOD I'M GLAD YOU'RE TRYING TO CUT DOWN WE HAVE RESOURCES AVAILABLE IF YOU'RE INTERESTED +RES0001-099 IN SOME MORE HELP AND YOU SMOKE MARIJUANA +RES0001-100 NO I DON'T +RES0001-101 OK ANY USE OF OTHER RECREATIONAL DRUGS +RES0001-102 NO NO +RES0001-103 OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +RES0001-104 MAY BE A GLASS OF WINE ON THE WEEKENDS BUT OTHER THAN THAT NO +RES0001-105 OK I MEAN HAVE YOU HAD ANY SICK CONTACTS RECENTLY PEOPLE AROUND YOU PEOPLE YOU LIVE WITH AT WORK +RES0001-106 I CAN'T THINK OF ANY ANYBODY WHO'S BEEN SICK NO +RES0001-107 OK OK AND AND WHAT DO YOU DO FOR WORK JENN +RES0001-108 I WORK AS AN ADMINISTRATOR AT AT A BANK +RES0001-109 OK I'M AND I HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0001-110 NO I I CAN'T REMEMBER THE LAST VACATION +RES0001-111 OK ALRIGHT AND SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD ANYTHING THAT I HADN'T TOUCHED ON +RES0001-112 NO I THINK YOU COVERED EVERYTHING THANK YOU +RES0001-113 OK AND NO WORRIES SO I GUESS AT THIS POINT WE WOULD DO A PHYSICAL EXAM JUST TAKE A LISTEN TO YOUR LUNGS AND YOUR CHEST AFTER THAT SO RIGHT NOW IT SOUNDS LIKE IT COULD BE SOMETHING VASCULAR YOU KNOW LIKE A PULMONARY EMBOLISM LIKE WE TALKED ABOUT THAT'S KIND OF HIGH ON MY LIST OF THINGS TO +RES0001-114 WORK UP FOR BUT ALSO WE DON'T WANT TO MISS OTHER THINGS YOU KNOW LIKE +RES0001-115 CANCER INFECTION AUTOIMMUNE THINGS THAT COULD AFFECT YOUR LUNGS SO WE'LL JUST DO A +RES0001-116 WORK UP FOR ALL OF THAT HOW DOES THAT SOUND +RES0001-117 WHATEVER WHATEVER YOU THINK WE NEED TO DO +RES0001-118 OK SOUNDS GOOD THANK YOU FOR YOUR TIME +RES0002-000 COULD YOU TELL ME WHAT BROUGHT YOU IN TODAY +RES0002-001 SURE SO MY MY SON HE'S TWO AND A HALF MONTHS OLD AN WERE WE'RE IN THE ER BECAUSE HE'S HAD THIS COUGH FEVER AN SEEMS LIKE HE'S BREATHING TOO FAST IT'S BEEN HAPPENING FOR THE PAST TWO DAYS AND WE WEREN'T SURE WHAT ELSE TO DO FOR HIM +RES0002-002 OK SO THE FIRST THING HERE WOULD BE LIKE VITAL SIGNS AND ASSESSING KIND OF STABILITY SO IS THERE DO WE HAVE THIS INFORMATION +RES0002-003 WE'RE GOING TO SAY VITALS STABLE HE IS ON TWO LITRES OF +RES0002-004 OXYGEN RIGHT NOW OK SO WHEN DID +RES0002-005 THE SYMPTOMS +RES0002-007-1 SPECIFICALLY START +RES0002-007-2 TWO DAYS AGO OK AND WHAT STARTED FIRST +RES0002-007-3 SO I GUESS HE WAS COUGHING FIRST AND THEN WE TOOK HIS TEMPERATURE AND IT SEEMED LIKE HE HAD A FEVER IT WAS OVER THIRTY EIGHT +RES0002-007-4 AND THEN OVER THE PAST COUPLE OF HOURS IT SEEMS LIKE HE'S HAVING A HARD TIME BREATHING HE'S BREATHING TOO FAST +RES0002-008 OK SO WITH THIS COUGH HAS THERE HAS THERE BEEN ANY SPUTUM COME UP +RES0002-009 YES YELLOW SPUTUM +RES0002-010 OK ANY BLOOD THAT YOU NOTICE IN THE SPUTUM +RES0002-011 NO +RES0002-012 OK AND HOW WAS THE FEVER CHECKED +RES0002-013 WE DID WE DID A RECTAL +RES0002-014 OK AND IT HAS THE TEMPERATURE LIKE HAS IT HAS THERE BEEN A FEVER THE ENTIRE TIME +RES0002-015 WE CHECKED TWICE WE CHECKED ON THE FIRST DAY AND THEN AGAIN LAST NIGHT +RES0002-016 OK AND IN REGARDS TO THE DIFFICULTIES BREATHING AS THERE BEEN ANY LIKE CHANGES TO LIKE IS THERE BEEN ANY NOISY BREATHING +RES0002-017 I WOULD SAY HE SOUNDS SLIGHTLY WHEEZY +RES0002-018 OK HAVE YOU BEEN HEARING ANY LIKE WHISTLING SOUNDS WHEN WHEN HE'S BREATHING IN +RES0002-019 I WOULDN'T SAY WHISTLING NO NO +RES0002-020 OK AND HAS HAS HE BEEN EXPERIENCING +RES0002-021 ANY OTHER SYMPTOMS NO HE ACTUALLY HE HASN'T GONE +RES0002-022 THROUGH AS MANY WET DIAPERS AS HE +RES0002-024 OK HAS HE BEEN LIKE WELL HOW'S THIS APPETITE BEEN NOT +RES0002-025 GREATEST NO OK SO NOT NOT +RES0002-026 EATING EATING AS MUCH +RES0003-000 IT'S NICE TO MEET YOU WHAT'S YOUR NAME +RES0003-001 IT'S NICE TO MEET YOU AS WELL MY NAME IS JENN AND I'M HERE WITH MY SON JOEY HERE WHO HE'S HAD A SORE THROAT NOW FOR THE LAST COUPLE OF DAYS +RES0003-002 OK HOW OLD IS HE JOEY +RES0003-003 HE IS THREE YEARS OLD +RES0003-004 HE'S THREE YEARS OLD OK AND YOU SAID FOR THE PAST COUPLE DAYS SO ABOUT TWO THREE DAYS +RES0003-005 PROBABLY ABOUT THREE DAYS AGO HE HE DIDN'T GO TO SCHOOL FOR THE LAST TWO DAYS BECAUSE OR I MEAN DAYCARE I SHOULD SAY BECAUSE THE PAINS BUT WAS BUGGING HIM SO BAD +RES0003-006 OK SO HOW LONG HAS HE BEEN GOING TO DAYCARE FOR +RES0003-007 HE HE STARTED THIS YEAR SO HE'S BEEN GOING +RES0003-008 FOR ABOUT SIX MONTHS OK IS HE HAVING ISSUES SWALLOWING FOOD +RES0003-009 DOES IT HURT WHEN HE SWALLOWS FOOD HE'S HE'S DEFINITELY THE LAST COUPLE OF DAYS HASN'T BEEN EATING AS MUCH LIKE SOLID FOOD HE'S DRINKING COLD LIQUIDS OKAY BUT +RES0003-011 HASN'T BEEN EATING AS MUCH OK OK HE SAYS IT'S HARD TO HE DOES SAY IT HURTS TO SWALLOW AS WELL +RES0003-012 OK AND DOES DOES HE EVER CLUTCH TO HIS NECK LIKE HIS NECK HURTS +RES0003-013 NO HE HASN'T SAID ANYTHING LIKE THAT I MEAN NOTHING ABOUT HIS NECK +RES0003-014 OK HAVE YOU TAKEN HIS TEMPERATURE AT ALL +RES0003-015 WE DID AND IT'S IT'S PRETTY HIGH ACTUALLY IT WAS LIKE THIRTY NINE POINT +RES0003-016 FOUR OK WOW THAT'S PRETTY HIGH HAVE YOU NOTICED ANY SWOLLEN AREAS ON HIS NECK +RES0003-017 NO NOT I HAVEN'T NOTICED ANYTHING ON HIS NECK +RES0003-018 OK ANY RASHES THAT YOU'VE NOTICED +RES0003-019 NO RASHES +RES0003-020 NO OK AND HAS HE BEEN HAVING CHILLS OR NIGHT SWEATS +RES0003-021 NOTHING LIKE THAT THAT WE'VE NOTICED NO SHAKING OR OR SWEATY BED +RES0003-022 OK AND HOW ABOUT LIKE A STUFFY NOSE OR RUNNY NOSE +RES0003-023 NO NOTHING LIKE THAT +RES0003-024 OK AND COUGHING +RES0003-025 NO COUGH +RES0003-026 NO AND HOW ABOUT IS HE COMPLAINING OF ANY BODY ACHES +RES0003-027 NO IT'S MOSTLY JUST BEEN IS HIS THROAT HIS THROAT THAT HE'S COMPLAINING ABOUT OK HOW ABOUT HEADACHES HE HASN'T +RES0003-028 ANYTHING WITH HIS HEAD +RES0003-029 OK AND HAS HE BEEN AROUND ANYONE WHO'S BEEN SICK +RES0003-030 MAYBE AT HIS DAYCARE I I MEAN HIS SISTER HAS HAD HAD +RES0003-031 SOME COLDS SHE'S ALSO IN HIS DAYCARE SO I MEAN MAYBE HER OK HOW OLD IS SHE SHE'S +RES0003-033 SHE'S TWO +RES0003-034 OK SO SHE'S YOUNGER +RES0003-035 OK ANY NAUSEA OR VOMITING +RES0003-036 NO VOMITING +RES0003-037 OK HOW ABOUT DIARRHEA +RES0003-038 CONSTIPATION HAVEN'T NOTICED ANYTHING LIKE THAT HIS HIS BOWEL +RES0003-039 MOVEMENTS HAVE BEEN NORMAL HOW ABOUT URINATING HAS THAT BEEN NORMAL +RES0003-040 HIS USUAL AMOUNT IS AS AS FAR AS I KNOW +RES0003-041 OK AND OK ANY ISSUES WITH HIS EYES ANY LIKE PUS OR BLEEDING OR REDNESS +RES0003-042 NO HIS EYES OF HAVE LOOKED NORMAL TO ME +RES0003-043 OK HOW ABOUT HIS EARS +RES0003-044 THOSE HAVE ALSO BEEN NORMAL +RES0003-045 OK ANY SORES ON HIS MOUTH OR INSIDE +RES0003-046 NO IT DOES KINDA LOOK LIKE THERE IT'S PRETTY RED IN THE BACK OF HIS THROAT WHEN I WAS ABLE TO LOOK BUT +RES0003-047 OK AND HAS HE EVER EXPERIENCED ANY OF THESE SYMPTOMS BEFORE +RES0003-048 HE'S HAD SORE THROATS BEFORE BUT I THINK THIS ONE IS A BIT MORE SEVERE HE HASN'T COMPLAINED THIS BAD BEFORE +RES0003-049 OK OK HAS HE TRIED ANYTHING FOR IT HAVE YOU GIVEN HIM ANY OVER THE COUNTER MEDICATIONS +RES0003-050 WE WE DID USE SOME TYLENOL AND IT BROUGHT THE FEVER DOWN SO THAT WAS PART OF THE REASON WHY WE WE DIDN'T COME IN CAUSE HE'S HAD SORE THROATS BEFORE BUT THE FEVER BOUNCED BACK AND AND THE PAIN SEEMS TO HAVE CONTINUED SO WE CAME IN +RES0003-051 OK OK AND IS HE OTHERWISE HEALTHY DOES HE HAVE ANY MEDICAL CONDITIONS +RES0003-052 HE'S OTHERWISE HEALTHY NO MEDICAL CONDITIONS HASN'T BEEN HAD A REASON TO SEE A DOCTOR BEFORE +RES0003-053 NO OK AND THEN JUST HOW WAS PREGNANCY WITH HIM WAS IT NORMAL ANY COMPLICATIONS +RES0003-054 THERE SO HAD GESTATIONAL DIABETES BUT IT WAS TREATED IT WAS TREATED WITH DIET AND BLOOD SUGARS HAVE BEEN FINE NOW BUT NO COMPLICATIONS TO THE PREGNANCY FROM +RES0003-055 THAT REGARD AS FAR AS I KNOW OK ANY ALCOHOL OR RECREATIONAL DRUGS USED DURING THE PREGNANCY +RES0003-056 NO NOTHING LIKE THAT NO NO SMOKING EITHER +RES0003-057 OK OK GOOD AND HOW FAR ALONG WERE YOU WHEN WHEN YOU DELIVERED HIM +RES0003-058 IT WAS A VAGINAL DELIVERY JUST AFTER THIRTY EIGHT WEEKS OK SO HE WAS FULL TERM +RES0003-059 AND YOU SAID VAGINAL DELIVERY DID THEY HAVE TO INDUCE YOU AT ALL +RES0003-060 NO NO +RES0003-061 OK AND WAS HE A NORMAL BIRTH WEIGHT +RES0003-062 HE WAS I THINK HE WAS LIKE +RES0003-063 JUST OVER THREE KILOGRAMS OK GOOD AND WAS HE HEALTHY AFTER BIRTH DID HE HAVE ANY BREATHING ISSUES JAUNDICE ANYTHING +RES0003-064 LIKE THAT NO BREATHING ISSUES OR OR JAUNDICE HE CAME HOME WITH US RIGHT AWAY +RES0003-065 OK OK AND THEN AFTER THAT POINT TO NOW HAS HE BEEN NORMAL IN TERMS OF HIS WEIGHT HEIGHT HEAD CIRCUMFERENCE +RES0003-066 HE'S BEEN GROWING NORMALLY AND EATING WELL UP UP TO THIS POINT +RES0003-067 OK AND I SHOULD ASK HAS HE BEEN HITTING ALL HIS MILESTONES LIKE IS HE DOING THE THINGS THAT HIS PEERS ARE DOING +RES0003-068 I WOULD SAY HE'S KEEPING UP WITH HIS HIS PEERS IN DAYCARE AND NO CONCERNS WITH HIS DEVELOPMENT +RES0003-069 OK GOOD IS HE ON ANY MEDICATIONS +RES0003-070 NO MEDICATIONS +RES0003-071 NO OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0003-072 HE IS YES +RES0003-073 OK AND ANY ALLERGIES +RES0003-074 NOT THAT WE'RE AWARE OF +RES0003-075 OK ANY FAMILY HISTORY OF LUNG CONDITIONS +RES0003-076 NO NO FAMILY HISTORY OF ANY LUNG CONDITIONS +RES0003-077 OK AND SO WHO DOES WHO DOES HE LIVE WITH AT HOME +RES0003-078 SO HE LIVES WITH MY MYSELF AND HIS FATHER AND THEN SISTER SO THERE'S JUST THE FOUR OF US AT HOME +RES0003-079 OK AND WHAT'S THE RELATIONSHIP LIKE BETWEEN ALL OF YOU ANY DOMESTIC ISSUES OR ARE THINGS OK +RES0003-080 OH THINGS ARE ARE GREAT AT HOME IT'S A REALLY SUPPORTIVE ENVIRONMENT +RES0003-081 OK GOOD AND DOES ANYONE SMOKE AT HOME +RES0003-082 NO ONE SMOKES AT HOME +RES0003-083 NO OK ANY CARPETS AT HOME OLD CARPETS +RES0003-084 I THINK THERE'S THERE'S A FEW AREA RUGS AROUND BUT MOST OF THE CARPETS ARE GONE +RES0003-085 OK OK ALRIGHT SO IT SOUNDS LIKE GROM WHAT YOU'RE TELLING ME HE OHH SORRY I SHOULD HAVE ASKED YOU THIS EARLIER HAS HE HAD ANY ISSUES BREATHING +RES0003-086 NO PROBLEMS BREATHING BUT HIS VOICE DOES SOUND A BIT A LITTLE BIT OFF +RES0003-087 A BIT HUSKY A BIT HUSKY OK ALRIGHT AND NOTHING LIKE A SEIZURE LIKE A FEBRILE SEIZURE RIGHT +RES0003-088 NO I HAVEN'T SEEN ANY LIKE LIMB JERKING OR ANYTHING LIKE THAT +RES0003-089-1 OK SO JUST ROUGHLY DOING FROM THE SOUNDS OF IT IT SOUNDS LIKE HE HAS A SORE THROAT THAT'S BEEN PERSISTENT AND WE DO THIS THING CALLED THE CENTOR SCORE SO IT SOUNDS LIKE HE'S +RES0003-089-2 HAD A FEVER NO COUGH A SORE THROAT SO THE FIRST THING THAT WE WANT TO CHECK TO SEE OR TO RULE OUT WOULD BE A STREP THROAT AND THEN WELL IF THAT COMES BACK NEGATIVE WE WILL GO FROM THERE AND THINK ABOUT OTHER VIRAL CAUSES VERSUS STREP THROAT AS WELL +RES0003-090 DID YOU HAVE ANY QUESTIONS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY +RES0003-091 NO WE WERE THINKING THAT IT COULD BE MAYBE STREP THROAT SO +RES0003-092 THANK YOU OK GREAT THANK YOU +RES0004-000 IT'S NICE TO MEET YOU WHAT'S YOUR NAME +RES0004-001 IT MY NAME IS SCOTT IT'S NICE TO MEET YOU TOO +RES0004-002 ALRIGHT SO SCOTT HOW OLD ARE YOU +RES0004-003 FIFTEEN +RES0004-004 OK WHAT BRINGS YOU IN TODAY +RES0004-005 I'VE HAD A SORE THROAT NOW FOR A COUPLE OF WEEKS AND IT'S JUST NOT GOING AWAY +RES0004-006 COUPLE OF WEEKS OK SO ABOUT TWO WEEKS THREE WEEKS +RES0004-007 ABOUT TWO TO THREE WEEKS +RES0004-008 OK WHAT DOES IT FEEL LIKE IS IT IS IT KIND OF LIKE A BURNING FEELING IS IT MORE LIKE AN ITCHY FEELING WHAT DOES IT FEEL LIKE +RES0004-009 I WOULD SAY IT'S KINDA LIKE BURNIN OR BURNING OR +RES0004-010 SCRATCHY OK AND +RES0004-011 DOES IT HURT WHEN YOU SWALLOW IT DOES IF MY THROAT HURTS WHEN I'M EATING OR OR SWALLOWING LIKE LIQUID'S AS WELL BUT COLD STUFF SEEMS TO MAKE IT FEEL A LITTLE BIT BETTER +RES0004-012 OK GOOD AND DOES YOUR NECK HURT TOO +RES0004-013 A LITTLE TENDER I'VE NOTICED THE SOME LUMPS AT THE FRONT OF FRONT OF MY NECK THAT HAVE BEEN A BIT SORE +RES0004-014 OK AND IS IT MOSTLY SORE KIND OF LIKE MIDLINE OR IS IT MORE SORTA ONE SIDE VERSUS THE OTHER +RES0004-015 I'D SAY MAYBE THE THE RIGHT SIDE IS A LITTLE BIT MORE SORE BUT I THINK I CAN FEEL IT ON BOTH SIDES OF MY NECK +RES0004-016 OK AND HOW BAD WOULD YOU SAY YOUR DISCOMFORT IS ONE TO TEN TEN BEING THE WORST +RES0004-017 I WOULD SAY MAYBE A TWO OR THREE IF I MOVE MY NECK I I CAN FEEL IT MORE BUT OTHERWISE I CAN JUST BARELY NOTICE THAT IT'S THERE +RES0004-018 OK SO IT'S NOT PREVENTING YOU FROM SLEEPING GOING TO SCHOOL PLAYING THINGS LIKE THAT +RES0004-019 NO IT'S MORE SO THE SORE THROAT WHEN SWALLOWING +RES0004-020 OK OK HAVE YOU NOTICED A FEVER AT ALL +RES0004-021 I HAVE I FELT HOT AND I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS THIRTY EIGHT POINT SEVEN I THINK IT WAS IS THAT A FEVER +RES0004-022 I'D SAY THAT'S A FEVER WE CAN ALSO DO ANOTHER TEMPERATURE CHECK TODAY +RES0004-023 OK +RES0004-024 BUT THAT DEFINITELY SOUNDS LIKE A FEVER HAVE YOU NOTICED RASHES ANYWHERE +RES0004-025 I'VE HAD THIS THIS LIKE RED I GUESS PINK RASH THAT I HAVE NOTICED IT'S COME OVER MY +RES0004-026 CHEST AND AND BELLY AREA OK +RES0004-027 HOW BIG IS IT IS IT MORE THAN A CENTIMETER IT'S PRETTY WELL I MEAN IT'S KIND OF SPREAD OUT OVER OVER AN AREA LIKE IT'S NOT ALL +RES0004-028 CONTINUOUS +RES0004-029 I GUESS YOU CAN KIND OF SEE +RES0004-030 PATCHES OR BLOTCHES OK AND +RES0004-031 IS IT RAISED +RES0004-034 NOT RAISED OK OK IS IT ITCHY NO IT'S NOT ITCHY OK PAINFUL +RES0004-035 NO NOT PAINFUL AND IS IT BLEEDING OR OOZING ANYTHING LIKE PUS NO IT'S NOT NOTHING LIKE THAT IT'S JUST PINK AND RED AND IT'S JUST KIND OF +RES0004-036 SHOWN UP OVER THE LAST LITTLE WHILE I'VE NOTICED IT ON MY LIKE HANDS A LITTLE BIT TOO +RES0004-037 OK AND YOU SAID THIS STARTED WHEN LIKE WAS THIS BEFORE THE SORE THROAT OR AFTER OH I CAN'T LIKE REMEMBER THE ONSET I I THINK THAT THE SORE THROAT STARTED +RES0004-038 FIRST AND MAYBE A RASH CAME A LITTLE BIT LATER OK OK AND +RES0004-039 HAVE YOU NOTICED THAT YOUR THAT YOUR GLANDS ARE SWOLLEN I THINK SO +RES0004-049 OR DO YOU HAVE ANY HEADACHES +RES0004-050 NO I HAVEN'T REALLY HAD ANY HEADACHES NO OK AND HOW'S YOUR APPETITE ARE YOU STILL EATING WELL +RES0004-051 IT MIGHT BE A LITTLE MIGHT HAVE BEEN A LITTLE BIT DOWN I JUST KIND OF HAVEN'T BEEN FEELING SO GREAT SO I'M I'VE PROBABLY EATING LESS THE LAST +RES0004-052 FEW WEEKS HAVE YOU BEEN AROUND ANYONE WHO MAY HAVE BEEN SICK RECENTLY +RES0004-053 ACTUALLY I THINK A FEW OF MY FRIENDS OR THERE WAS SOMEBODY IN MY GYM CLASS KNEW THAT I SOUNDED LIKE THEY HAD SIMILAR SYMPTOMS +RES0004-054 OK OK AND WHEN WAS THIS +RES0004-055 NOW THAT I THINK ABOUT IT PROBABLY ABOUT THREE OR FOUR +RES0004-056 WEEKS AGO OK AND WERE THEY EVER TREATED FOR THAT DID THEY SEE A DOCTOR +RES0004-057 I'M NOT SURE +RES0004-058 NO OK NO WORRIES +RES0004-059 I JUST REMEMBER THEM BEING OFF FOR SCHOOL CAUSE THEY WERE THEY WERE SICK +RES0004-060 OK ANY ISSUES WITH YOUR EYES +RES0004-062 NO NO NOTHING LIKE CRUSTING OR PUS COMING OUT OF YOUR EYES RED EYE +RES0004-063 ANYTHING LIKE THAT NO THAT WELL DID THEY MIGHT HAVE LOOKED MAYBE A LITTLE BIT MORE MORE RED RED THEN USUAL BUT I HAVEN'T NOTICED ANY ANYTHING IN TERMS OF ITCHINESS OR +RES0004-064 DISCHARGE OK ANY +RES0004-065 NAUSEA OR VOMITING +RES0004-066 NO NO NAUSEA OR VOMITING OK HOW HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL HAVE YOU HAD DIARRHEA CONSTIPATION ANYTHING LIKE THAT +RES0004-067 NO CHANGES TO BOWEL HABITS +RES0004-068 OK HOW ABOUT URINE +RES0004-069 THAT'S BEEN OK +RES0004-070 OK OK HAVE YOU EVER HAD THESE SYMPTOMS BEFORE +RES0004-071 I MEAN I'VE HAD SORE THROATS IN THE PAST BUT NOT WHILE FEELING LIKE THIS THOUGH +RES0004-072 OK WHEN WAS THE LAST TIME YOU HAD A SORE THROAT +RES0004-073 I DON'T KNOW MAYBE WHEN I WAS A KID +RES0004-074 OK +RES0004-075 IT'S BEEN AWHILE +RES0004-076 LIKE A STREP THROAT KIND OF THING OR OR MORE VIRAL +RES0004-077 I DO REMEMBER GETTING ANTIBIOTICS WHEN I WAS YOUNGER +RES0004-078 OK OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS +RES0004-079 I WAS DIAGNOSED WITH +RES0004-080 WITH ASTHMA OK AND ARE YOU ON ANY MEDICATIONS FOR THAT +RES0004-081 SO I I JUST USE VENTOLIN +RES0004-117 WELL SHE SHE WAS WASN'T FEELING WELL FOR AWHILE BACK BUT I DON'T THINK IT WAS THIS BAD FOR HER +RES0004-118 OK ACTUALLY AND SHE'S BETTER NOW +RES0004-119 SHE'S BETTER NOW +RES0004-120 OK ALRIGHT SO YOU MENTIONED YOU'RE NOT SEXUALLY ACTIVE IF YOU WERE TO BE MAKE SURE YOU USE PROTECTION AND OK SO EVERYTHING AT HOME IS OK THEN NO ONES NO ONES SICK AT HOME YOU MENTIONED RIGHT +RES0004-121 NO ONES NO ONES SICK AT HOME +RES0004-122 OK AND SCHOOL IS GOING OK +RES0004-123 SCHOOLS BEEN BEEN GOING OK FOR THE MOST PART IT'S BEEN TOUGH THESE LAST FEW WEEKS FEELING LIKE THIS THOUGH +RES0004-124 FOR SURE AND ARE YOU AND YOUR GIRLFRIEND IN AN EXCLUSIVE RELATIONSHIP +RES0004-125 I I THINK SO +RES0004-126 OK I ASK BECAUSE THERE'S SOMETHING CALLED WHAT YOU MAY BE FAMILIAR WITH IT'S CALLED THE KISSING DISEASE IN MEDICAL TERMINOLOGY IT'S CALLED MONO AS CAUSED BY A VIRUS CALLED EBV AND SO IT COULD BE THAT SO WE'RE COVERING ALL OUR BASES +RES0004-127 OH I'VE HEARD OF MONO BEFORE +RES0004-128 OK +RES0004-129 IT'S IT'S LIKELY IT COULD BE UP THERE IN TERMS OF WHAT YOU HAVE SO I THINK THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME ANYTHING YOU WANTED TO ADD +RES0004-130 NO I THINK THAT'S YOU COVERED EVERYTHING +RES0004-131-1 OK ALRIGHT SO I WILL WILL GO OFF A FEW WE'LL TRY TO COVER OUR BASIS AND GET YOU TESTED FOR MONO WHICH I WOULD HAVE TO DO LIKE A MONOSPOT TEST AND WE CAN DO +RES0004-131-2 A RAPID STREP TEST AS WELL TO SEE IF HE HAS SOMETHING CALLED STREP THROAT BUT WE'LL SEE WHAT THOSE RESULTS COME BACK AS AND WE'LL GO FROM THERE DOES THAT SOUND GOOD +RES0004-132 NO THAT SOUNDS GOOD +RES0005-000 I WAS WONDERING IF YOU COULD TELL US WHAT BROUGHT YOU IN TO SEE US +RES0005-001-1 SO I JUST CAME IN I WAS A BIT WORRIED BECAUSE I'VE BEEN HAVING THIS COUGH FOR AROUND TWO YEARS WHICH HAS BEEN GETTING WORSE BUT RECENTLY I'VE NOTICED THAT I SEE STREAKS OF BLOOD IN THE SPUTUM THAT I'M PRODUCING +RES0005-001-2 BEFORE IT JUST USED TO BE LIKE WHITE BUT NOW I'M SEEING OVER THE LAST I WOULD SAY TWO MONTHS OCCASIONALLY SOME STREAKS OF BLOOD +RES0005-002 OK AND THE COUGH STARTED TWO YEARS AGO +RES0005-003 OK AND IT'S BEEN GRADUALLY GETTING WORSE OVER THAT TIME +RES0005-004 I WOULD SAY SO IT'S GETTING MORE FREQUENT AND WORSE IN NATURE +RES0005-005 OK AND HOW MUCH SPUTUM ARE YOU BRINGING UP AN IN A DAY +RES0005-006 PROBABLY LIKE A A COUPLE TEASPOONS +RES0005-007 OK AND IS ARE YOU SEEING LIKE BRIGHT RED BLOOD WHEN YOU'RE WHEN YOU'RE COUGHING IT UP +RES0005-008 IN THIS IT'S KIND OF MIXED INTO THE SPUTUM I WOULD SAY LIKE BUT IT DEFINITELY IS RED +RES0005-009 OK AND HOW MUCH BLOOD WOULD YOU SAY THAT YOU'RE YOU'RE BRINGING UP WOULD BE TEASPOONS OR A CUP OR +RES0005-010 NO IT'S JUST LIKE A LITTLE STREAKS IT'S NOT REALLY SIGNIFICANT IT DOESN'T FEEL LIKE THE WHOLE PRODUCTION OF THE SPUTUM BUT JUST LIKE LITTLE STREAKS THAT I'VE NOTICED +RES0005-011 OK AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY +RES0005-012 IT DEFINITELY GETS WORSE WHEN I'M DOING MORE ACTIVITIES AND THEN ALSO WHEN I GET LIKE SOME VIRAL INFECTIONS BUT OTHER THAN THAT IT'S PRETTY MUCH ALWAYS THERE +RES0005-013 OK ANYTHING THAT THAT MAKES IT WORSE YOU SAID SOME VIRAL INFECTIONS HAVE YOU HAD A VIRAL INFECTION RECENTLY +RES0005-014 LIKE IN THE LAST TWO YEARS I'VE PROBABLY HAD TWO OR THREE VIRAL INFECTIONS JUST JUST JUST COLD COLD SYMPTOMS +RES0005-015 HAS THERE BEEN ANYTHING THAT YOU'VE TRIED TO MAKE THE COUGH BETTER +RES0005-016 I'VE TRIED THE TYLENOL COLD HASN'T REALLY WORKED TRIED JUST OTHER OVER THE COUNTER MEDICATIONS HAVEN'T REALLY WORKED +RES0005-017 OK AND PRIOR TO TWO YEARS AGO WERE YOU EXPERIENCING ANY SIMILAR SYMPTOMS LIKE LIKE THIS COUGH OR BRINGING UP BLOOD BEFORE +RES0005-018 IN THE PAST I'VE ALWAYS HAD A SOMEWHAT OF A COUGH LIKE I HAVE COPD SO I'VE ALWAYS HAD A LITTLE BIT OF A COUGH HERE AND THERE BUT OVER THE LAST TWO YEARS I FEEL THAT IT'S BEEN GETTING MUCH WORSE +RES0005-019 OK HAVE YOU BEEN DIAGNOSED WITH CHRONIC BRONCHITIS BEFORE +RES0005-020 I THINK SO +RES0005-021 OK AND SO WITH WITH THIS COUGH AND NOW BLOOD TINGED SPUTUM HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +RES0005-022 I DO FEEL SOMETIMES I GET LIKE MORE TIRED THAN I USED TO THROUGHOUT THE DAY +RES0005-023 OK +RES0005-024 SOMETIMES I ALSO FEEL MORE BREATHLESS ON WHEN I'M EXERTING MYSELF MORE +RES0005-025 OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +RES0005-026 NO NO I HAVEN'T +RES0005-027 HOW ABOUT ANY NIGHT SWEATS +RES0005-028 NO +RES0005-029 HAVE YOU LOST ANY WEIGHT +RES0005-030 I'VE ACTUALLY LOST A SIGNIFICANT AMOUNT OF WEIGHT I WOULD SAY WITHIN THE LAST ONE AND A ONE TWO MONTHS PROBABLY LOST LIKE EIGHT TO TEN POUNDS +RES0005-031 OK HAVE YOU BEEN TRYING TO LOSE WEIGHT +RES0005-032 NO NOT REALLY I'VE JUST BEEN SITTING AROUND LIKE I CAN BARELY WALK THAT MUCH ANYMORE TOO I USED TO BE ABLE TO WALK AT LEAST FOUR HUNDRED METERS AROUND THE BLOCK BUT NOW I CAN BARELY EVEN GO TO THE KITCHEN +RES0005-033 OK IS THIS BECAUSE OF THE SHORTNESS OF BREATH WHEN YOU ARE ARE +RES0005-034 EXERTING THAT AND I JUST START COUGHING SO MUCH THAT I JUST HAVE TO SIT DOWN +RES0005-035 OK AND HAVE YOU BEEN HAVING ANY +RES0005-036 HEADACHES +RES0005-037 NO HEADACHES ALRIGHT AND HOW ABOUT AND HOW IS YOUR APPETITE BEEN +RES0005-038 I THINK IT'S BEEN PRETTY MUCH THE SAME SOMETIMES WHEN I'M COUGHING A LOT I DON'T FEEL LIKE EATING BUT OTHER THAN THAT IT'S BEEN AROUND THE SAME +RES0005-039 OK ANY NAUSEA OR VOMITING +RES0005-040 NO +RES0005-041 ANY RUNNY NOSE OR SORE THROAT +RES0005-042 NO +RES0005-043 OK AND THEN HOW ABOUT A LOSS OF SMELL OR A LOSS OF TASTE +RES0005-044 NO NOTHING LIKE THAT +RES0005-045 OK HAVE YOU BEEN HAVING ANY CHEST PAIN +RES0005-046 NO +RES0005-047 ANY HEART PALPITATIONS +RES0005-048 NOPE +RES0005-049 ANY WHEEZING WHEN YOU'RE BREATHING +RES0005-050 SOMETIMES I WOULD SAY LIKE WHEN WHEN IT GETS WORSE WHEN I'M EXERTING MYSELF MORE I I CAN GET SOME WHEEZING +RES0005-051 OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES +RES0005-052 NO NOTHING LIKE THAT +RES0005-053 ALRIGHT AND HAVE YOU WOKEN UP AT NIGHT EXTREMELY SHORT OF BREATH +RES0005-054 NO I'M PRETTY FINE DURING THE NIGHT +RES0005-055 ALRIGHT AND HAVE YOU BEEN HAVING ANY ABDOMINAL PAIN +RES0005-056 NO +RES0005-057 ANY URINARY PROBLEMS +RES0005-058 NO +RES0005-059 ANY BOWEL PROBLEMS LIKE DIARRHEA OR CONSTIPATION +RES0005-060 NO NOTHING LIKE THAT +RES0005-061 ALRIGHT ANY SKIN RASHES +RES0005-062 NOPE +RES0005-063 ANY JOINT PAINS OR OR MUSCLE PAINS +RES0005-064 NO +RES0005-065 ANY WEAKNESS +RES0005-066 NOT WEAKNESS I'LL JUST SAY MORE FATIGUE +RES0005-067 ALRIGHT SO I KNOW YOU TOLD ME A COPD BUT DO YOU HAVE ANY OTHER MEDICAL DIAGNOSIS +RES0005-068 I HAVE HIGH BLOOD PRESSURE AS WELL +RES0005-069 ALRIGHT +RES0005-070 I THINK I HAVE HIGH +RES0005-071 CHOLESTEROL TOO I SEE OK DO YOU TAKE ANY MEDICATIONS +RES0005-072 REGULARLY SO FOR THE CHOLESTEROL TAKING ROSUVASTATIN AND I FORGET WHAT I'M TAKING FOR THE BLOOD PRESSURE BUT IT'S PRETTY WELL UNDER CONTROL +RES0005-073 OK DO YOU USE ANY INHALERS FOR COPD +RES0005-074 I USED TO I USED TO HAVE I THINK LIKE THREE DIFFERENT INHALERS BUT HAVEN'T HAD TO USE THEM FOR MORE THAN TEN YEARS NOW +RES0005-075 OK AND WHAT WAS THE REASON FOR NOT NEEDING THEM ANYMORE +RES0005-076 I JUST DIDN'T HAVE ANY SYMPTOMS FOR A PRETTY LONG TIME AND MY DOC SAID LIKE IF I DON'T REALLY NEED THEM THEN I COULD JUST STOP +RES0005-077 OK AND HAVE YOU HAD ANY RECENT HOSPITALIZATIONS +RES0005-078 NO +RES0005-079 ANY ALLERGIES TO MEDICATIONS +RES0005-080 NOPE +RES0005-081 ANY SURGERIES THAT YOU HAD IN THE PAST +RES0005-082 NO SURGERIES +RES0005-083 OK AND ARE YOUR VACCINATIONS UP TO DATE +RES0005-084 YUP +RES0005-085 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR SOCIAL SITUATION OR LIVING SITUATION +RES0005-086 SO CURRENTLY I'M JUST LIVING BY MYSELF IN AN APARTMENT I'VE BEEN THERE FOR MORE THAN TEN YEARS NOW I AM RETIRED SO I'M NOT WORKING ANYMORE BUT THAT'S THAT'S ME +RES0005-087 OK GREAT WHAT DID YOU DO PREVIOUSLY FOR FOR WORK DID YOU HAVE ANY EXPOSURES FOR TWO CHEMICALS OR DUSTS OR ASBESTOS THINGS LIKE +RES0005-088-1 OF THAT NATURE +RES0005-088-2 OH YES I WORKED IN THE STEEL FACTORY FOR MOST OF MY WORKING LIFE I THINK THERE MIGHT HAVE BEEN SOME EXPOSURES TO CHEMICALS AND +RES0005-088-3 DUST PARTICLES ASBESTOS I DON'T THINK THERE WAS EXPOSURE BUT DEFINITELY I MAY HAVE LIVED IN PLACES THAT HAD ASBESTOS +RES0005-089 OK HOW LONG HAVE YOU BEEN LIVING WHERE YOU YOU'VE BEEN NOW +RES0005-090 SO THIS THIS IS LIKE THE ONE I'M LIVING IN IS A NEW PLACE BUT BEFORE THAT I LIVED IN ANOTHER APARTMENT FOR AROUND FIVE YEARS AND THAT WAS A PRETTY OLD BUILDING +RES0005-092 DO YOU HAVE ANY PETS NO PETS N +RES0005-093 NO PETS NO OK +RES0005-094 AND DO YOU SMOKE CIGARETTES I SMOKE I'D SAY AROUND +RES0005-095 TWENTY CIGARETTES A DAY RIGHT NOW ALRIGHT +RES0005-096 AND DID YOU SMOKE MORE PREVIOUSLY I THINK I'VE BEEN SMOKING FOR ALMOST LIKE FORTY YEARS NOW AND I USED TO SMOKE +RES0005-097 UP TO THIRTY CIGARETTES A DAY OK +RES0005-098 DO YOU SMOKE +RES0005-099 CANNABIS NO ALRIGHT +RES0005-100 DO YOU DRINK ALCOHOL JUST MAYBE A COUPLE TIMES A MONTH NOTHING +RES0005-101 NOTHING THROUGHOUT THE WEEK OK SO DO YOU USE ANY RECREATIONAL DRUGS LIKE IV DRUGS OR OPIOIDS OR COCAINE +RES0005-102 NO NOTHING LIKE THAT +RES0005-103 ALRIGHT AND ANYBODY IN THE FAMILY HAVE ANY SIMILAR SYMPTOMS BEFORE LIKE COUGHING UP BLOOD OR +RES0005-104 NO NOT THAT I KNOW OF MY FATHER PASSED AWAY FROM A HEART ATTACK WHEN HE WAS IN HIS SIXTIES AND I THINK MY MOTHER HAD A LIKE I THINK ONE OF THE LIKE AN ARTHRITIS BUT LIKE BUT I THINK THAT WAS JUST LIKE THE ONE THAT YOU GET WITH OLD AGE +RES0005-105 OK LIKE OSTEOARTHRITIS +RES0005-106 THAT THAT WAS THE ONE +RES0005-107 OK ANY CANCERS IN THE FAMILY +RES0005-108 NOT THAT ONE OF MY UNCLES HAD LIKE BLADDER CANCER BUT THAT'S THAT'S THAT'S ABOUT IT +RES0005-109 OK AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY OR BEEN AROUND ANY SICK CONTACTS POSSIBLY PEOPLE ANYBODY WHO'S HAD TUBERCULOSIS OR ANY INFECTIONS +RES0005-110 NO I'VE BEEN PRETTY MUCH TO MYSELF OVER THE LAST FEW MONTHS SO NOT REALLY +RES0005-111 OK WAS THERE ANYTHING THAT YOU'RE WORRIED THAT THIS COULD BE +RES0005-112 JUST THE BLOOD I KIND OF GOT SCARED MAYBE I THOUGHT LIKE YOU KNOW WHAT IF IT'S A CANCER ONE OF MY FRIENDS HAD LUNG CANCER AND I I KNOW I'VE BEEN SMOKING FOR MOST OF MY LIFE SO THAT'S SOMETHING I WAS WORRIED ABOUT +RES0005-113-1 I CAN CERTAINLY SEE THAT THE CONCERN AND I UNDERSTAND WHERE YOU'RE COMING FROM I THINK IT WOULD BE VERY REASONABLE TO INVESTIGATE THAT TODAY SO WE'LL START WITH +RES0005-113-2 A CHEST CT ALONG WITH SOME LAB WORK AND WE WILL GET A CBC AND SOME ELECTROLYTES ALSO GET AN ECG AS WELL TO JUST CHECK YOUR HEART +RES0005-115-1 WE WILL SEE WHAT WHAT THE INVESTIGATIONS SHOW +RES0005-115-2 SOUNDS GOOD +RES0005-115-3 OK AND OTHER THINGS THAT TO THINK ABOUT THIS COULD BE ALSO LIKE TO COPD +RES0005-115-4 I KNOW IT'S BEEN GOING ON A LONG TIME BUT POSSIBLY COULD HAVE A PNEUMONIA THAT'S BEEN LINGERING ON PARTICULARLY IF IT'S A FUNGAL TYPE OF INFECTION AND AS WELL AS +RES0005-115-5 THINGS LIKE YOU MENTIONED YOU POSSIBLY UNSURE IF YOU'VE HAD AN ASBESTOS EXPOSURE IN THE PAST AND STUFF LIKE THAT CAN POSSIBLY LEAD TO SCARRING OF THE LUNG AND SO +RES0005-116 ALL OF THESE FACTORS WILL BE +RES0005-117 LOOKED INTO OK SOUNDS GOOD THANK YOU SO MUCH +RES0006-000 WHAT BRINGS YOU IN TO SEE US +RES0006-001 SO I'VE JUST BEEN HAVING THIS COUGH THAT I FEEL HAS JUST BEEN GETTING WORSE AND I'VE ALSO BEEN FEELING A BIT SHORT OF BREATH FOR THE LAST FEW MONTHS +RES0006-002 OK COULD YOU TELL ME WHEN THE COUGH STARTED +RES0006-003 SO I WOULD SAY IT STARTED AROUND TWO MONTHS AGO +RES0006-004 OK AND HAS THE COUGH BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM +RES0006-005 IT'S USUALLY ALWAYS PRODUCES LIKE THE SPUTUM AND IT'S USUALLY +RES0006-006 WHITE OR YELLOWISH IN COLOUR OK AND HOW MUCH SPUTUM ARE YOU PRODUCING EACH DAY SOME SOMETIMES IT'S USEFUL TO THINK ABOUT +RES0006-007 LIKE TEASPOONS OR TABLESPOONS I WOULD SAY EVERY TIME I COUGH LIKE A TEASPOON I PROBABLY HAVE LIKE I DON'T KNOW MAYBE FIVE TO TEN +RES0006-008 TEASPOONS A DAY OK AND IS THERE ANY PARTICULAR TIME OF DAY THAT THE +RES0006-009 COUGH IS WORSE NOT REALLY IT'S PRETTY PRETTY MUCH THE SAME SOMETIMES IT IS WORSE IN THE MORNING AND SOMETIMES IT GETS BETTER WHEN I GO OUT FOR A SMOKE +RES0006-010 OK AND HAVE YOU NOTICED ANY BLOOD +RES0006-011 NO I HAVEN'T NOTICED ANY BLOOD +RES0006-012 OK AND HAVE YOU HAD SO YOU HAD SHORTNESS OF BREATH WHEN DID THAT START +RES0006-013 IT'S AROUND TWO MONTHS AGO AROUND THE SAME TIME +RES0006-014 OK AND IS THIS DO YOU HAVE SHORTNESS OF BREATH AT REST OR IS IT WHEN YOU EXERT YOURSELF +RES0006-015 IT'S IT CAN HAPPEN LIKE AT ANYTIME BUT WORSE WHEN +RES0006-016 I AM EXERTING MYSELF +RES0006-017 OK AND THEN HAVE YOU HAD A COUGH BEFORE NOT AS FREQUENTLY I WOULD SAY NOT REALLY IT JUST STARTED +RES0006-018 IN THE LAST TWO TO THREE MONTHS OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE +RES0006-019 JUST THROUGHOUT MY LIFE I'VE HAD ASTHMA SO WHEN I AM EXERCISING TOO MUCH OR GET EXPOSED TO LIKE DUST SOMETIMES GET SHORTNESS OF BREATH +RES0006-020 OK HAS THERE BEEN ANYTHING BESIDES EXERTING YOURSELF THAT'S MADE THAT EITHER THE COUGH OR OR SHORTNESS OF BREATH WORSE +RES0006-021 OVER THE LAST YEAR LIKE I'VE HAD A COUPLE OF CHEST INFECTIONS AFTER GOING TO THE ER THEY GAVE ME SOME ANTIBIOTICS BUT WHEN THAT HAPPENS IT USUALLY GETS WORSE THE SHORTNESS OF BREATH AND THE COUGH +RES0006-022 OK AND DO YOUR SYMPTOMS FEEL LIKE ANY OF THOSE TIMES RIGHT NOW +RES0006-023 NO I I DON'T FEEL LIKE I HAVE A FEVER AND NO OTHER SYMPTOMS JUST THE SHORTNESS OF BREATH AND COUGH +RES0006-024 OK AND HAVE YOU BEEN DOING ANYTHING THAT'S MADE IT BETTER +RES0006-025 I'VE BEEN TAKING SOME TYLENOL COLD HASN'T REALLY HELPED TOO MUCH I'VE TRIED MY INHALERS THEY SOMETIMES HELP BUT I'VE NEVER HAD HAVE THIS FREQUENT OF COUGHING AND SHORTNESS OF BREATH BEFORE +RES0006-026 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING FATIGUE +RES0006-027 WHEN IT GETS REALLY BAD THEN I CAN'T REALLY STEP OUT OF THE HOUSE BUT OTHER THAN THAT I FEEL LIKE MY ENERGY'S STILL THERE +RES0006-028 OK AND YOU HAVE IT HAVE YOU HAD ANY FEVERS OR CHILLS +RES0006-029 NO +RES0006-030 OK HOW ABOUT AT A LOSS OF SMELL +RES0006-031 NO +RES0006-032 A LOSS OF TASTE +RES0006-033 NOPE +RES0006-034 OK AND HAVE YOU HAD ANY CHEST PAIN +RES0006-035 NO JUST SOMETIMES WHEN I'M LIKE COUGHING A LOT IT GETS A LITTLE BIT UNCOMFORTABLE BUT OTHER THAN THAT NO +RES0006-036 OK HAVE YOU HAD ANY INSTANCES WHERE YOU FELT LIKE YOUR HEART WAS RACING +RES0006-037 NO +RES0006-038 OK HOW ABOUT BEING LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT +RES0006-039 NO +RES0006-040 OK HAVE YOU HAD A RUNNY NOSE OR OR A SORE THROAT +RES0006-041 NOPE +RES0006-042 OK AND HOW ABOUT HEADACHES +RES0006-043 NO HEADACHES +RES0006-044 ALRIGHT AND HAVE YOU HAD ANY WHEEZING +RES0006-045 SOMETIMES I'VE NOTICED IT BUT I HAD IT BEFORE LIKE WITH ASTHMA AS WELL BUT NOT NOT THAT MUCH +RES0006-046 OK AND HOW ABOUT ABDOMINAL PAIN +RES0006-047 NO ABDOMINAL PAIN +RES0006-048 ALRIGHT THEN ANY URINARY PROBLEMS +RES0006-049 NOPE +RES0006-050 ANY BOWEL PROBLEMS +RES0006-051 NO +RES0006-052 ANY RASHES +RES0006-053 NOPE +RES0006-054 OK AND THEN HOW ABOUT ANY MUSCLE ACHES OR OR JOINT ACHES OR OR BODY ACHES +RES0006-055 NO NOTHING LIKE THAT +RES0006-056 ALRIGHT AND YOU MENTIONED ASTHMA BUT HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS +RES0006-057 NO JUST ASTHMA +RES0006-058 OK AND DO YOU USE INHALERS ARE THERE ANY OTHER MEDICATIONS YOU'RE CURRENTLY USING +RES0006-059 OH NO JUST THE SALBUTAMOL AND LIKE THE STEROID INHALER +RES0006-060 OK AND HOW OFTEN ARE YOU USING BOTH OF THOSE +RES0006-061 SO THE STEROID ONE I AM USING PRETTY MUCH EVERY DAY BUT THE SALBUTAMOL I FOUND I'VE BEEN USING A LOT MORE RECENTLY I WOULD SAY PROBABLY AT LEAST SIX TO TEN TIMES IN A WEEK +RES0006-062 OK THAT REMINDED ME I I FORGOT TO ASK HAVE YOU NOTICE ANY CHANGES TO YOUR VOICE +RES0006-063 NO NOT REALLY +RES0006-064 OK AND I WAS WONDERING IF YOU HAD ANY ALLERGIES TO MEDICATIONS +RES0006-065 NO NOT THAT I KNOW OF +RES0006-066 ALRIGHT AND HAVE YOU BEEN IN THE HOSPITAL RECENTLY +RES0006-067 NO +RES0006-068 ALRIGHT SO WHEN WAS THE LAST TIME THAT YOU HAD ANTIBIOTICS +RES0006-069 I WOULD SAY LIKE SIX MONTHS AGO +RES0006-070 OK AND ANY SURGERIES +RES0006-071 NOPE +RES0006-072 OK AND DID YOU GET THE FLU SHOT THIS YEAR +RES0006-073 OK GREAT AND I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +RES0006-074 SO I LIVE IN LONDON IN A SMALL APARTMENT WITH MY WIFE +RES0006-075 OK DO YOU HAVE ANY PETS AROUND +RES0006-076 NO NO PETS +RES0006-077 ALRIGHT AND ANY EXPOSURES AT WORK TOO LIKE DUST OR ANY TYPES OF LIKE CHEMICALS LIKE THAT +RES0006-078 NO NOT REALLY MY WORK IS PRETTY MUCH A DESK JOB SO NOTHING LIKE THAT +RES0006-079 OK AND DO YOU SMOKE CIGARETTES +RES0006-080 I SMOKE A LOT OF CIGARETTES JUST LIKE I WOULD SAY THIRTY CIGARETTES A DAY +RES0006-081 OK AND HOW LONG HAVE YOU SMOKED FOR +RES0006-082 I'D SAY PROBABLY AT LEAST TWENTY FIVE YEARS +RES0006-083 OK AND SORRY COULD YOU REMIND ME OF YOUR YOUR AGE AGAIN +RES0006-084 SO I AM SIXTY YEARS OLD NOW +RES0006-085 OK SO YOU STARTED SMOKING AROUND THIRTY FIVE +RES0006-086 OK HAVE YOU +RES0006-087 TRIED TO QUIT TRIED TO QUIT I'VE EVEN QUITE A COUPLE TIMES BUT THEN JUST GOT BACK ONTO IT NOT NOT REALLY READY TO QUIT +RES0006-088 OK THAT'S FAIR ENOUGH IF THERE'S SOMETHING THAT YOU WANTED TO TALK ABOUT QUITTING SMOKING AT ANOTHER APPOINTMENT WE CAN ARRANGE FOLLOW UP FOR THAT +RES0006-089 ALRIGHT +RES0006-090 DO YOU DRINK ALCOHOL +RES0006-091 NOT MUCH JUST OUT SAY ONE OR TWO BEERS ON THE WEEKEND +RES0006-092 ALRIGHT AND YOU USE ANY RECREATIONAL DRUGS LIKE COCAINE CRYSTAL METH OR IV DRUGS +RES0006-093 NO NOTHING LIKE THAT +RES0006-094 ALRIGHT AND HAS ANYTHING SIMILAR LIKE THIS HAPPENED +RES0006-095 IN YOUR FAMILY BEFORE I THINK MY SISTER HAS A COPD LIKE SHE SMOKES A LOT TOO BUT THAT'S THAT'S ABOUT I DON'T KNOW IF THAT'S GENETIC +RES0006-096 OH OK I SO I MEAN ANYBODY IN THE FAMILY HAVE CANCERS +RES0006-097 NO NOT THAT I KNOW OF +RES0006-098 ALRIGHT SO THAT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON HISTORY WAS THERE ANY ANY OTHER QUESTIONS THAT YOU HAD +RES0006-099 NO NOT REALLY JUST WANTED TO GET TO THE BOTTOM OF THIS OK FOR SURE +RES0006-100-1 SO WE WILL RUN SOME INVESTIGATIONS AND LIKELY GET A CHEST X RAY BECAUSE IT'S BEEN A COUPLE OF MONTHS THAT THESE SYMPTOMS HAVE BEEN GOING ON FOR +RES0006-100-2 BUT I THINK IT COULD BE RELATED TO YOUR SMOKING AND MOST LIKELY BRONC CHRONIC BRONCHITIS BUT WE CAN DEFINITELY WILL BE LOOKING INTO THIS AND THEN ALSO WITH +RES0007-000 I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN +RES0007-001-1 YEAH SO LIKE A COUPLE MONTHS AGO I WAS IN THE OFFICE AND THEY TOLD ME THAT I HAVE ASTHMA LIKE I HAD IT WHEN I WAS A LITTLE KID AND I THOUGHT I GREW OUT OF IT BUT APPARENTLY +RES0007-001-2 NOT OR LIKE IT CAME BACK OR SOMETHING SO SO THEY JUST TOLD ME TO COME BACK TODAY I DON'T REALLY HAVE LIKE ANY ISSUES +RES0007-002 OK SO WHAT WHAT BROUGHT ON THE APPOINTMENT IN THE SUMMER TIME OR A COUPLE OF MONTHS AGO +RES0007-003-1 SO LIKE I HAVE GYM CLASS AT SCHOOL AND MY TEACHER JUSTALWAYS THOUGHT THAT LIKE SHOULD BE ABLE TO RUN FASTER LIKE I'M LOOKING GOOD ATHLETE BUT +RES0007-003-2 I JUST COULDN'T GO MUCH FASTER AND I WAS LIKE SAYING I CAN'T REALLY BREATHE WHEN I'M RUNNING THAT FAST AND THEN YOU KNOW MY MOM WAS LIKE YOU SHOULD PROBABLY GO WE SHOULD PROBABLY MAKE AN APPOINTMENT +RES0007-004 OK AND WHEN YOU'RE EXERCISING OR IN GYM CLASS DO YOU GET SHORT OF BREATH OR DO YOU FIND THAT YOU HAVE DIFFICULTY BREATHING +RES0007-005 LIKE I WILL IF I IF I TRY TO RUN FAST LIKE I KINDA CAN'T BREATHE ANYMORE SO I KIND OF STOP OR GO SLOWER +RES0007-006 OK AND HOW LONG DOES IT TAKE FOR THE BREATHING DIFFICULTY TO GO AWAY +RES0007-007 IF I STOP DOING LIKE THE THING I'M DOING IT I I DON'T KNOW NOT VERY LONG LIKE COUPLE OF MINUTES +RES0007-008 OK AND DOES THIS HAPPEN +RES0007-009-1 IN ANY OTHER SETTINGS +RES0007-009-2 OH LIKE SOMETIMES WHEN IT'S REALLY COLD OUTSIDE I'LL GO OUT AND LIKE IT MY CHEST FEELS TIGHT AND JUST FEEL LIKE I CAN'T BREATHE AND KIND OF SUCKS LIKE MY GIRLFRIEND WANTED TO BUILD A SNOWMAN AND DO SNOW ANGELS AND STUFF AND I COULDN'T DO IT +RES0007-009-3 OH ANOTHER TIME LIKE I WENT TO MY FRIENDS HOUSE AND THEY HAD LIKE A BUNCH OF CATS I I FELT LIKE I GOT WHEEZY SOUND AND I FELT LIKE THAT TIME IT TOOK LONGER FOR FOR THE BREATHING TO GET EASIER LIKE I HAD TO LEAVE +RES0007-010 OK SO YOU'VE NOTICED CHANGES TO TO YOUR BREATHING SOUNDS LIKE YOU'VE HAD NOISY BREATHING BEFORE +RES0007-011 MOSTLY JUST WITH THE CAT +RES0007-012 OK +RES0007-013 WE DON'T HAVE A CAT AT MY HOUSE SO I DIDN'T REALLY THINK ANYTHING OF IT AND THEN I WENT TO MY FRIENDS HOUSE WHO HAD A BUNCH OF CATS AND THEN AT THAT TIME I COULD ACTUALLY HEAR IT +RES0007-014 OK AND HAVE YOU HAD A COUGH +RES0007-015 NO I DON'T THINK SO +RES0007-016 OK AND WERE THERE ANYTHING WAS THERE ANYTHING THAT YOU TRIED BESIDES THE REST TO MAKE THOSE SYMPTOMS GO AWAY +RES0007-017 LIKE I HAVE THE INHALER THAT THE DOCTOR GAVE ME LAST TIME SO LIKE I'VE BEEN USING IT IN GYM CLASS NOW +RES0007-018 OK HOW MANY DAYS PER WEEK ARE YOU USING THAT +RES0007-019-1 WELL I'M A LITTLE CONFUSED NOW BECAUSE I THE ONE SUPPOSED TO USE LIKE EVERY DAY A COUPLE TIMES AND THEN THERE WAS A DIFFERENT ONE THAT I THOUGHT IT WAS ONLY SUPPOSED TO BE USED IF THE OTHER ONE DIDN'T WORK BUT +RES0007-019-2 NOW THE NURSE JUST TOLD ME THAT I'M SUPPOSED TO USE THEM BOTH SO I ONLY GOT THE ONE AT THE PHARMACY SO I DON'T REALLY I DON'T REALLY KNOW I FEEL LIKE A BIT CONFUSED NOW BUT I ALWAYS USE THE ONE SUPPOSED TO BE LIKE TWO TIMES A DAY +RES0007-019-3 THE ONE THAT STARTS WITH AN S BUT SOMETIMES I JUST DO IT ONCE A DAY IF I FORGET THE SECOND ONE +RES0007-020-1 OK WELL WE CAN DEFINITELY CLARIFY THE CONFUSION ABOUT THE MEDICATIONS TODAY SOMETIMES FOR STEROID MEDICATIONS +RES0007-020-2 THOSE ONES ARE REQUIRED TO BE USED DAILY IN ORDER TO GET THE MAXIMAL BENEFIT AND SO WILL TAKE A LOOK AT YOUR MEDICATIONS AND SEE IF ONE OF THOSE HAS A STEROID COMPONENT IN IT AND SAY +RES0007-020-3 AND HOW OFTEN YOU'RE NEEDING IT HAVE YOU BEEN HAVING ANY EPISODES OF SHORTNESS OF BREATH AT NIGHT TIME +RES0007-021 OH NO NO MOSTLY LIKE GYM CLASS LIKE I SAID +RES0007-022 OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS +RES0007-023 I DON'T THINK SO LIKE WHAT DO YOU MEAN +RES0007-024 SO ANYTHING LIKE LIKE ALLERGIES LIKE RUNNY NOSE OR REALLY ITCHY +RES0007-025 EYES WITH MAYBE SOME LIKE TEARING WHEN I WAS AROUND THE CATS +RES0007-026 BUT NOT THE OTHER TIMES OK AND DO YOU EVER +RES0007-028 ON YOUR SKIN OR OR REALLY ITCHY SKIN WHEN I WAS +RES0007-030 A KID BUT NOT REALLY NOW OK AND +RES0007-031 AND HOW ABOUT +RES0007-032 ANY NAUSEA OR VOMITING +RES0008-000 I HEARD THAT YOU'VE BEEN HAVING SOME DIFFICULTY BREATHING AND YOU'VE BEEN COUGHING CAN YOU TELL A LITTLE TELL ME A LITTLE BIT MORE ABOUT THAT +RES0008-001 SO A COUPLE OF DAYS AGO I JUST STARTED TO NOT FEEL SO WELL AND I'VE BEEN HAVING THIS COUGH AND TROUBLE BREATHING +RES0008-002 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +RES0008-003 I DO HAVE A COUGH REGULARLY BUT I MEAN I I THINK THAT'S RELATED TO MAYBE SMOKING IT'S SOMETHING THAT WAS GOING ON FOR A FEW YEARS THIS COUGHS A LITTLE BIT DIFFERENT +RES0008-004 OK IN WHAT WAY IS THIS DIFFERENT +RES0008-005 IT'S BEEN HAPPENING MORE OFTEN THROUGHOUT THE DAY AND AND BRINGING UP MORE MORE MUCUS IT SEEMS LIKE +RES0008-006 OK AND THEN YOU SAID IT START STARTED A COUPLE DAYS AGO IS THAT CORRECT +RES0008-007 I THINK LIKE MONDAY SO I GUESS LIKE THREE DAYS AGO THEN +RES0008-008 OK AND SINCE YOU NOTICED IT HAS IT GOTTEN WORSE OVER THOSE THREE DAYS +RES0008-009 I WOULD SAY TODAY'S THE WORST DAY I'VE CONTINUALLY FELT SICK +RES0008-010 OK AND HOW FREQUENTLY ARE YOU COUGHING +RES0008-011 I WOULD SAY MAYBE A COUPLE OF TIMES PER HOUR I'M I'M FILLING UP A SOME TISSUES WITH SPUTUM +RES0008-012 AND WHAT DOES THAT WHAT DOES THAT SPUTUM LOOK LIKE +RES0008-013 IT'S LIKE A DARK GREENISH YELLOW COLOUR +RES0008-014 OK OK AND IS THERE ANYTHING THAT YOU'VE CHANGED RECENTLY IN YOUR LIFE OR ANY KIND OF THINGS THAT HAVE PROVOKED YOUR COUGH THAT YOU KNOW OF +RES0008-015 NO I CAN'T THINK OF ANYTHING I'VE BEEN KIND OF STICKING TO MY REGULAR ROUTINES +RES0008-016 OK AND IS THERE ANYTHING THAT MAKES MAKES IT WORSE SAY ANY POSITION OR ANYTHING THAT YOU DO IN YOUR DAY TO DAY ROUTINE YOU FIND MAKES YOU COUGH MORE +RES0008-017 AND NOT REALLY I CAN'T I CAN'T THINK OF ANYTHING +RES0008-018 OK AND HAVE YOU TAKEN ANY ANY MEDICINE OR ANYTHING TO TRY TO HELP WITH US +RES0008-019 NO I I'VE I I DO HAVE A LITTLE BIT OF PAIN SO I WAS I DID TAKE SOME TYLENOL AND SOME ADVIL OVER THE LAST FEW DAYS BUT THAT'S ABOUT IT +RES0008-020 OK OK DID YOU FIND THAT THEY HELPED AT ALL +RES0008-021 A LITTLE BIT BUT IT WOULD JUST KIND OF TAKE THE EDGE OFF OF THE PAIN FOR A LITTLE BIT AND IT CAME BACK +RES0008-022 AND WHAT KIND OF PAIN IS IT THAT YOU'RE EXPERIENCING IT'S +RES0008-023 KIND OF A A SHARP PAIN OVER ON THE LIKE THE RIGHT SIDE OF MY CHEST LIKE MAYBE BELLY AREA +RES0008-024 OK OK THE RIGHT SIDE OF YOUR CHEST AND BELLY AREA OK SO IS THAT PAIN IS IT DID IT START AROUND THE SAME TIME AS THE COUGH +RES0008-025 I THINK IT IT MIGHT HAVE STARTED A LITTLE BIT AFTER +RES0008-026 OK AND IS THIS A PAIN THAT YOU'VE EVER HAD BEFORE +RES0008-027 NO I HAVEN'T HAD ANYTHING LIKE THIS HAPPEN BEFORE +RES0008-028 OK IS THE PAIN PRIMARILY THERE WHEN YOU COUGH OR IS IT PRESENT AT ALL TIMES +RES0008-029 I WOULD SAY MORE SO WHEN I COUGH OR IF I'M LIKE TAKING A BIG BREATH KIND OF AFTER AFTER I HAVE A COUGHING EPISODE I TAKE A DEEP BREATH AND I REALLY WILL FEEL THE PAIN THEN +RES0008-030 OK AND AND YOU SAID THAT IT'S A SHARP PAIN +RES0008-031 MORE OF A SHARP PAIN +RES0008-032 OK OK AND IS IT ANY WORSE WHEN YOU'RE DOING ACTIVITY LIKE WHEN YOU'RE UP AND WALKING AROUND +RES0008-033 NO DON'T NOTICE IT WITH ANY ANY ACTIVITY +RES0008-034 OK OK AN SINCE SINCE THIS COUGHING AND THIS THIS RIGHT SIDED PAIN THAT YOU'RE TALKING ABOUT BEGAN HAVE YOU NOTICED ANY FEVERS +RES0008-035 I THINK I'VE BEEN HOT THE LAST FEW DAYS AND I I CHECKED MY TEMPERATURE EARLIER TODAY AND IT WAS LIKE THIRTY EIGHT POINT SIX SO THAT WAS ONE OF THE REASONS WHY I WANTED TO COME IN ACTUALLY +RES0008-036 OK OK WELL I'M GLAD THAT I'M REALLY GLAD THAT YOU CAME IN BECAUSE WE REALLY WANT TO GET THIS LOOKED INTO HAVE YOU BEEN AROUND ANYONE THAT'S BEEN SICK RECENTLY +RES0008-037 NO BUT I I DO SOME VOLUNTEER WORK AT ONE OF THE HOMELESS SHELTERS AT A FEW TIMES A WEEK SO I AM AROUND A LOT OF PEOPLE +RES0008-038 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0008-039 NO I'VE BEEN AT HOME AND AND DOING THE VOLUNTEER WORK +RES0008-040 OK OK AND CAN YOU JUST GIVE ME AN IDEA OF ANY DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY OR ANYTHING YOU TAKE MEDICATION FOR +RES0008-041-1 YEAH I HAVE TYPE TWO DIABETES AND I I TAKE METFORMIN I THINK AN SGLT TWO INHIBITOR AND THEN I USE INSULIN FOR THAT AS WELL +RES0008-041-2 AND I HAVE SOME IT HAS AFFECTED MY KIDNEYS AS WELL THE DIABETES I MEAN +RES0008-042 OK DO YOU HAVE A HISTORY OF HIGH BLOOD PRESSURE +RES0008-043 I DO YES +RES0008-044 OK DO YOU TAKE MEDICATION FOR THAT +RES0008-045 OH I DO IT STARTS WITH AN A I THINK AMLODIPINE +RES0008-046 OK OK AND DO YOU HAVE ANY HISTORY OF HEART PROBLEMS +RES0008-047 NO NOT THAT I KNOW NO I HAVEN'T REALLY HAD ANY CHEST PAIN ON THE LEFT SIDE ANYWAY +RES0008-048 SO YOU SAID THAT YOU HAVE HAD A COUGH FOR A REALLY LONG TIME A DRYER COUGH THEN YOU'RE HAVING SPUTUM NOW BUT IS THAT SOMETHING YOU'VE SEEN THE DOCTOR FOR +RES0008-049 OH I THINK I WAS CALLED LIKE BRONCHITIS IN THE PAST OR SOMETHING SOMETHING LIKE THAT ONE OF THE DOCTORS MY FAMILY DOCTOR TOLD ME IT WAS BECAUSE I WAS A SMOKER +RES0008-050 OK SO JUST TO MAKE SURE I HAVE YOUR LIST OF MEDICATIONS YOU TAKE AMLODIPINE INSULIN METFORMIN AND AN SG LTTWO INHIBITOR YOU THINK ANYTHING ELSE +RES0008-051 AND THEN AMLODIPINE I THINK THAT THAT THAT'S EVERYTHING OH A MULTIVITAMIN TOO +RES0008-052 OK COOL I JUST WANTED TO ASK YOU A FEW QUESTIONS QUESTIONS ABOUT YOUR LIFESTYLE IN GENERAL DO YOU LIVE HERE IN TOWN +RES0008-053 I DO I LIVE WITH MY WIFE AND AT A HOUSE NEARBY +RES0008-054 OK COOL AND YOU MENTIONED THAT YOU'RE A SMOKER +RES0008-055 SO I'VE SMOKED FOR THE LAST THIRTY YEARS OR SO ABOUT A PACK PER DAY +RES0008-056 OK DO YOU DRINK ALCOHOL +RES0008-057 NO I DON'T +RES0008-058 DO YOU USE ANY OTHER SUBSTANCE +RES0008-059 I DON'T NO +RES0008-060 OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY OR HEART PROBLEMS +RES0008-061 MY DAD ACTUALLY HAD A HEART ATTACK HE WAS IN HIS SEVENTIES I THINK MY MOM HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT NO +RES0008-062 OK AND DO YOU HAVE ANY ALLERGIES +RES0008-063 I THINK JUST ENVIRONMENTAL STUFF NO MEDICATIONS I AM AWARE OF +RES0008-064 OK OK WELL THANK YOU FOR SHARING ALL OF THAT WITH ME I'M GOING TO GO OVER IT WITH THE PHYSICIAN THAT I'M WORKING WITH AND WILL KIND OF COME BACK AND LET YOU KNOW ABOUT THE NEXT STEPS +RES0008-065 OK THANK YOU THAT SOUNDS GOOD +RES0011-000 COULD YOU START WITH TELLING ME WHAT BROUGHT YOU IN TODAY +RES0011-001-1 HI I'VE JUST BEEN BEEN SO LIKE WEAK AND SO TIRED I JUST I CAN'T I CAN'T SEEM TO LIKE GET OFF +RES0011-001-2 THE COUCH LIKE I'LL GET UP FROM MY BED AND GO LAY ON THE COUCH AND THEN YOU KNOW I MIGHT BE ABLE TO GET SOMETHING TO EAT BUT I JUST I GET SO TIRED SO FAST AND I DON'T KNOW I DON'T KNOW WHAT'S WRONG +RES0011-002 OK WHEN DID THESE SYMPTOMS START +RES0011-003 LIKE I'VE BEEN FEELING PRETTY TIRED FOR LIKE A WEEK BUT LIKE THIS BAD FOR LIKE MAYBE FOUR DAYS +RES0011-004 OK AND SO IT SOUNDS LIKE YOU HAVEN'T BEEN GOING TO WORK OR LIKE ANYTHING LIKE THAT BECAUSE YOU HAVE BEEN SO KIND OF TIRED AND WEAK +RES0011-005 I MEAN AT FIRST I WAS ALREADY KIND OF WORKING I'M I'M A TRUCK DRIVER SO YOU KNOW ONCE YOU START THE JOB YOU KIND OF HAVE TO FINISH THAT I WAS SUPPOSED TO GO ON ANOTHER ANOTHER TRIP LIKE FOUR DAYS AGO AND I JUST COULDN'T I HAD TO CALL MY BOSS AND SAY THAT I CAN'T +RES0011-006 OK HAVE YOU HAD ANY LIKE SPECIFIC MUSCLE WEAKNESS LIKE IN YOUR LEGS OR OR IN YOUR ARMS OR WOULD YOU SAY IT'S OVERALL LIKE A GENERAL WEAKNESS +RES0011-007 IT'S JUST EVERYWHERE IT'S IT'S NOT LIKE I CAN'T MOVE I'M JUST REALLY REALLY TIRED +RES0011-008 OK AND HOW HOW HAVE YOU BEEN SLEEPING +RES0011-009 I MEAN I'VE JUST BEEN SLEEPING LIKE ALL THE TIME I HAVE BEEN SLEEPING ALL NIGHT AND THEN LIKE I SAID I GET UP AND I GO TO THE COUCH AND LIKE JUST FALL BACK ASLEEP +RES0011-010 OK HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS +RES0011-011 I MEAN MY MY THROAT IS MAYBE A LITTLE SORE BUT NOTHING NOTHING ELSE +RES0011-012 OK WHEN WHEN DID THE SORE THROAT FIRST START +RES0011-013 PROBABLY PROBABLY ABOUT A WEEK AGO IT'S NOT REALLY BAD IT'S JUST KINDA THERE +RES0011-014 OK SO IT'S IT STARTED JUST BEFORE THE WEAKNESS AND FATIGUE +RES0011-015 AROUND THE SAME TIME +RES0011-016 OK AND HAVE YOU BEEN HAVING ANY PAIN WITH SWALLOWING +RES0011-017 I MEAN MAYBE A LITTLE BIT +RES0011-018 OK LIKE WITH LIKE SOLID FOODS OR LIQUIDS OR BOTH +RES0011-019 IT IT'S JUST LIKE IT'S JUST LIKE IT'S A LITTLE A LITTLE TENDER IT'S NOT LIKE REALLY IT'S NOT LIKE HARD TO SWALLOW OR ANYTHING IT JUST FEELS LIKE IT'S LIKE MY THROAT'S KINDA TIRED +RES0011-020 OK HAVE YOU HAD ANY CHANGES TO YOUR VOICE +RES0011-021 NO I DON'T THINK SO I MEAN I LIVE I LIVE ALONE SO I CAN'T REALLY ASK SOMEONE ELSE IF I HAVE +RES0011-022 OK BUT YOUR VOICE SOUNDS THE SAME TO YOU +RES0011-023 I THINK SO +RES0011-024 ALRIGHT AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +RES0011-025 I'VE BEEN I'VE BEEN FEELING REALLY COLD +RES0011-026 OK HAVE YOU HAD ANY +RES0011-027 SHAKES OR OR RIGORS I'VE BEEN LIKE +RES0011-028 KIND OF KIND OF SHIVERING OK +RES0011-029-1 HOW ABOUT ANY NIGHT SWEATS +RES0011-029-2 YEAH COME TO THINK OF IT LIKE I WAS I WAS WHEN I WAS LAST TRAVELING WITH WHEN I WAS LAST ON IT BECAUSE I'M A TRUCK DRIVER +RES0011-029-3 I I WAS IN THE STATES I I HAD TO BRING SOMETHING TO OHIO AND I HAD TO CHANGE MY CLOTHES IN THE NIGHT THEY WERE JUST LIKE SO DRENCHED IN SWEAT +RES0011-030 OK HAS THAT HAPPENED MORE THAN THAT THAT ONE TIME +RES0011-031 MAYBE A COUPLE TIMES THAT IT WASN'T AS BAD THAT ONE TIME WAS REALLY BAD BUT HERE AND THERE LIKE I I'VE BEEN FEELING PRETTY SWEATY AT NIGHT IN GENERAL +RES0011-032 OK AND HAVE YOU HAD ANY LIKE DIFFICULTIES BREATHING OR SHORTNESS OF BREATH +RES0011-033 NOT REALLY JUST LIKE KIND OF TIRED BUT IT'S NOT LIKE HARD TO BREATHE +RES0011-034 OK HAVE YOU HAD A COUGH +RES0011-036 NO OK HOW ABOUT A RUNNY NOSE +RES0011-037 MAYBE MAYBE A LITTLE BIT BUT NOT LIKE TOO NOTICEABLE +RES0011-038 OK AND WHEN DID THE RUNNY NOSE START +RES0011-039 OH IT'S ALL LIKE AROUND THE SAME TIME +RES0011-040 OK AND HAVE YOU BEEN HAVING ANY HEADACHES +RES0011-041 A LITTLE +RES0011-042 OK AND THEN HOW ABOUT ANY CHEST PAIN +RES0011-043 NO NO NO CHEST PAIN +RES0011-044 ALRIGHT AND HOW ABOUT ANY WHEEZING +RES0011-045 NO NO I DON'T THINK SO +RES0011-046 ALRIGHT THEN ANY HEART PALPITATIONS +RES0011-047 NO +RES0011-048 OK HAVE YOU FELT LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT OR FAINT +RES0011-049 NOT LIKE I'VE BEEN FEELING REALLY TIRED BUT IT'S NOT BEEN LIKE I DON'T THINK IT'S BEEN LIKE FAINTING +RES0011-050 OK SO KIND OF LIKE YOU ARE FATIGUED THAT YOU'VE BEEN EXPERIENCING HAVE YOU HAD ANY ABDOMINAL PAIN +RES0011-051 I MEAN I'M NOT REALLY EATING A LOT SO IT'S KIND OF LIKE GURGLING +RES0011-052 OK HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0011-053 NO +RES0011-054 OK AND HAVE YOU HAD ANY URINARY PROBLEMS +RES0011-055 NO +RES0011-056 ANY BOWEL PROBLEMS +RES0011-057 NO I MEAN YOU KNOW I HAVEN'T BEEN EATING THAT MUCH SO I HAVEN'T BEEN GOING AS MUCH AS NORMAL BUT IT'S I DON'T THINK THERE'S PROBLEMS +RES0011-058 OK SO YOU HAVEN'T HAD ANY DIARRHEA +RES0011-060 NO OK AND HAVE YOU HAD ANY +RES0011-061 SKIN RASHES NO +RES0011-062 NOT THAT I'VE NOTICED OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES +RES0011-063 OR OR JOINT ACHES I MEAN I FEEL KIND OF ACHY ALL OVER BUT NOT IN LIKE ONE PARTICULAR SPOT +RES0011-064 OK AND IN TERMS OF YOUR PAST HEALTH HAVE YOU BEEN IS THERE ANY REASON YOU YOU SEE A DOCTOR REGULARLY +RES0011-065 OH OH LIKE I HAVE I HAVE HIGH BLOOD PRESSURE AND DIABETES THAT'S THAT'S PRETTY WELL IT BUT THOSE TWO THINGS OH AND I TAKE A MEDICATION FOR MY PROSTATE +RES0011-066 OH OK AND DO YOU TAKE MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES +RES0011-067-1 I I OH GEEZ WHAT'S IT CALLED I TAKE RAMIPRIL AND I TAKE METFORMIN +RES0011-067-2 I WAS ON INSULIN BUT I PRETTY WELL I JUST HAVE BEEN ABLE TO EAT WELL SO I'M NOT TAKING IT NOW +RES0011-067-3 AND THEN I CAN'T REMEMBER THE THE PROSTATE ONE LIKE TAM TAM SOMETHING +RES0011-068 OK MAYBE TAMSULOSIN +RES0011-069 THAT SOUNDS RIGHT +RES0011-070 OK I CAN CHECK ON THE CHART AS WELL TO CONFIRM DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +RES0011-071 NO +RES0011-072 ALRIGHT AND ANY RECENT HOSPITALIZATIONS +RES0011-073 NO NO I'VE BEEN PRETTY GOOD +RES0011-074 OK AND ANY SURGERIES +RES0011-075 NOT FOR A REALLY LONG TIME I I HAD MY GALLBLADDER OUT LIKE TWENTY YEARS AGO THAT'S IT +RES0011-076 OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU OR ANY OF YOUR FAMILY MEMBERS BEFORE SUDDENLY THEY START STARTED TO FEEL FATIGUE LIKE THIS +RES0011-077 I DON'T THINK SO I MEAN WE'VE ALL LIKE YOU KNOW CAUGHT COLDS AND YOU KNOW STUFF LIKE BUGS AND STUFF BUT NOT NOT QUITE LIKE THIS LIKE I CAN BARELY GET UP +RES0011-078 OK ANYBODY IN THE FAMILY HAVE A HISTORY OF HEART DISEASE OR CARDIOVASCULAR DISEASE +RES0011-079 MY DAD HAD HIGH BLOOD PRESSURE +RES0011-080 THAT'S IT OK ANYBODY IN THE FAMILY HAVE CANCER +RES0011-081 MY MOM MY MOM HAD BREAST CANCER +RES0011-082 OK AND YOU TOLD ME THAT THAT YOU WORK AS A TRUCKER SO YOU WERE OVER IN THE STATES IT SOUNDS LIKE HOW RECENTLY WERE YOU IN THE UNITED STATES +RES0011-083 THAT WAS LIKE ABOUT A WEEK AGO I PROBABLY GOT BACK FIVE OR SIX DAYS AGO +RES0011-084 OK DO YOU TRAVEL THERE OFTEN +RES0011-085 OH I MEAN THAT'S YOU KNOW THE ROUTE THAT I USUALLY TAKE +RES0011-086 OK ANY ANYBODY YOU INTERACTED WITH THAT WAS SICK DO YOU BELIEVE +RES0011-087-1 I DON'T I DON'T REALLY INTERACT WITH WITH MANY PEOPLE I KIND OF JUST GO THERE AND AND THEN YOU KNOW I STAYED IN A HOTEL +RES0011-087-2 BUT YOU KNOW I DIDN'T REALLY SEE ANYONE BESIDES LIKE THE LADY THAT WORKS THERE AND MAYBE YOU KNOW THE PEOPLE AT THE MCDONALD'S +RES0011-087-3 LIKE COUNTER I DIDN'T I DIDN'T LIKE SEE ANYONE THAT I KNOW THAT I SAT WITH FOR A LONG TIME OR ANYTHING +RES0011-088 OK BUT YOU GOT HOME ABOUT FIVE OR SIX DAYS AGO AND WHO ARE YOU LIVING WITH CURRENTLY +RES0011-089 JUST ME +RES0011-090 OK AND DO YOU DRINK ALCOHOL +RES0011-091 OH NO NO I USED TO A LITTLE BIT BUT NOT NOT ANYMORE +RES0011-092 OK AND HOW ABOUT CIGARETTES DO YOU SMOKE CIGARETTES +RES0011-093 I QUIT TEN YEARS AGO +RES0011-094 OK +RES0011-095 I SMOKED I SMOKED PROBABLY LIKE ONE TWO A PACK A DAY FOR FOR A WHILE MAYBE TWENTY YEARS +RES0011-096 OK BUT YOU QUIT OVER TEN YEARS AGO +RES0011-098 TEN YEARS AGO OK +RES0011-100 SMOKE MARIJUANA NO ALRIGHT AND HOW ABOUT ANY OTHER RECREATIONAL DRUG USE INCLUDING THE USE OF IV DRUGS +RES0011-101 NO NOTHING LIKE THAT +RES0011-102 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0011-103 NO NO +RES0011-104 OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +RES0011-105 NO NO +RES0011-106 OK AND ARE YOU CURRENTLY IN A IN A RELATIONSHIP +RES0011-107 NO LIKE I HAVE I HAVE A FRIEND THAT I SEE AND WE BOTH WE BOTH LOST OUR SPOUSES SEVERAL YEARS AGO AND I +RES0011-108 MEAN WE WE SEE EACH OTHER AND LIKE WE LIVE IN THE SAME APARTMENT BUILDING AND OFTEN HAVE MEALS TOGETHER BUT WE'RE JUST LIKE FRIENDS +RES0011-109 OK +RES0011-110 BUT THAT'S THE PERSON THAT WOULD CHECK ON ME IF I NEEDED IT +RES0011-111-1 OK THAT'S GREAT IT SOUNDS LIKE YOU HAVE SOME GOOD SUPPORT NEARBY I'M SORRY TO HEAR ABOUT YOUR WIFE BUT I THINK THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO +RES0011-111-2 ASK ON THE THE HISTORY TODAY SO NEXT I WE'RE GONNA ORDER SOME SOME LAB WORK FOR SURE TO START WITH THEN AND MAYBE WE'LL GO FROM THERE SO +RES0011-112 WE'LL GIVE YOU SOME FLUIDS +RES0012-000 WHAT BRINGS YOU IN TODAY +RES0012-001 I CAN'T I CAN BARELY BREATHE FOR LIKE TWO DAYS NOW AND I'VE BEEN COUGHING AND BEEN HAVING LIKE A LITTLE BIT OF PAIN IN MY CHEST +RES0012-002 OK THE PAIN IN YOUR CHEST CAN YOU POINT POINT OUT OR CAN YOU DESCRIBE THE PAIN TO ME IS THAT SHARP OR IS IT DULL +RES0012-003 IT'S HARD TO SAY I HAVEN'T REALLY HAD THIS BEFORE IT'S MORE LIKE IT JUST KIND OF HURTS JUST IN THE MIDDLE AND IT GETS WORSE LIKE WHEN I COUGH AND WHEN I IF I TAKE LIKE A REALLY DEEP BREATH IT WILL HURT DOES THAT MAKE SENSE +RES0012-004 SO THE SHORTNESS OF BREATH AND CHEST PAIN THEY OCCURRED SIMULTANEOUSLY RIGHT ON THE SAME DAY LIKE TWO DAYS AGO +RES0012-005 I MEAN NOW THAT I THINK OF IT I MAYBE STARTED COUGHING A LITTLE BIT EARLIER THAN THAT BUT WHEN IT GOT HARDER TO BREATHE IS PRETTY WELL AROUND THE SAME TIME THAT I STARTED FEELING MORE THE PAIN +RES0012-006 OK ALRIGHT SO LET'S FOCUS ON THE COUGHING FIRST ARE YOU COUGHING UP ANY BLOOD AT ALL +RES0012-007 NO I HAVEN'T NOTICED ANY BLOOD +RES0012-008 OK AND HOW ABOUT SPUTUM +RES0012-009 I GUESS I GUESS IT FEELS LIKE THERE'S SOME LIKE MUCUS I DON'T KNOW KIND KIND OF LIKE SPIT LOOKING BUT MAYBE LIKE THICKER THAN THAT +RES0012-010 OK IS IT YELLOW +RES0012-011 WELL IT'S CREAMY YELLOW +RES0012-012 OK SURE AND ARE YOU WHEEZING WITH THE COUGH +RES0012-013 I I DON'T THINK SO +RES0012-014 NO OK AND IS IT IS YOUR SHORTNESS OF BREATH WORSE WITH EXERTION +RES0012-015 I HAVEN'T BEEN DOING MUCH REALLY CAUSE I'VE JUST BEEN SO WIPED OUT TILL PROBABLY I GUESS IT'S KIND OF I'M REALLY YOU KNOW HAVEN'T BEEN GETTING UP VERY MUCH I'M NORMALLY REALLY ACTIVE LIKE I I TRAIN FOR TRIATHLONS AND I I'M NOT LIKE A COUCH POTATO RIGHT AND I FEEL LIKE I'VE BEEN JUST KIND OF SITTING DOWN +RES0012-016 OK DO YOU HAVE THE CHEST PAIN AT REST AS WELL OR IS IT JUST WITH THE COUGHING +RES0012-017 LIKE IF I TAKE A DEEP BREATH I'LL HAVE IT BUT NO I DON'T THINK NOT NOT LIKE RIGHT NOW NOT LIKE JUST SITTING HERE +RES0012-018 OK AND THE COUGHING HOW OFTEN ARE YOU COUGHING +RES0012-019 OH LIKE IT KIND OF VARIES I FEEL LIKE I GET UP IN THE NIGHT KIND OF SWEATY AND I'LL COUGH FOR FOR A WHILE AND IT IT'LL KEEP ME UP AND THEN DURING THE DAY IT'S LIKE I MIGHT GO +RES0012-020 OK OK AND HOW FAR CAN YOU WALK BEFORE YOU START FEELING SHORTNESS OF BREATH +RES0012-021 I MEAN I HAVEN'T BEEN WALKING VERY FAR LIKE I I WALKED IN HERE FROM THE PARKING LOT AND THAT WAS FINE BUT I'M TIRED +RES0012-022 OK OK AND I JUST WANT TO ASK YOU SOME OTHER QUESTIONS JESSICA SO HAVE YOU HAD ANY FEVERS RACE RECENTLY +RES0012-023 I DON'T ACTUALLY HAVE A THERMOMETER AT HOME THAT WORKS BUT I LIKE I SAID WHEN I'VE BEEN GETTING UP IN THE NIGHT COUGHING I'VE BEEN LIKE REALLY HOT AND SWEATY KINDA GROSS LIKE FEEL LIKE I JUST I FEEL LIKE SOAKED AND BUT I DON'T HAVE A THERMOMETER +RES0012-024 OK SO THESE NIGHT EVENTS THAT YOU'RE DESCRIBING ARE THEY MORE CHILLS OR NIGHT SWEATS +RES0012-025 WELL I DON'T KNOW IT JUST FEELS LIKE WHEN YOU KNOW WHEN YOU'RE I DON'T LIKE WHEN YOU'RE A KID AND YOU GET REALLY SICK AND YOUR PARENT TELLS YOU HAVE FEVER LIKE I DON'T HAVE AN ACTUAL TEMPERATURE +RES0012-026 BUT DO YOU FEEL HOT +RES0012-027 I FEEL HOT +RES0012-028 OK OK AND HAVE YOU LOST ANY WEIGHT RECENTLY +RES0012-029 NO I MEAN I'D LIKE TO BUT NO NO +RES0012-030 OK AND ANY CHANGES IN YOUR VISION +RES0012-031 NO +RES0012-032 HEARING +RES0012-033 NO +RES0012-034 SMELL +RES0012-035 NO +RES0012-036 ANY DO YOU HAVE LIKE A STUFFY NOSE RUNNY NOSE +RES0012-037 MAYBE A LITTLE LITTLE BIT IT'S BEEN MORE THE COUGHING THAT'S THAT'S BOTHERED ME SO I HAVEN'T THOUGHT THAT MUCH ABOUT IT +RES0012-038 OK SORRY YOU SAID YOUR NOSE WAS STUFFY OR RUNNY +RES0012-039 SO IT'S A LITTLE STUFFY MAYBE A LITTLE +RES0012-040 OK OK AND HAVE YOU HAD ANY LIKE PRESSURE BEHIND YOUR EYES IN YOUR HEAD +RES0012-041 NO NO NO +RES0012-042 OK NO HEADACHES +RES0012-043 NO NO +RES0012-044 NO DIZZINESS OR FAINTING SPELLS +RES0012-045 LIKE I FEEL TIRED BUT I HAVEN'T I DON'T KNOW I HAVEN'T LIKE FAINTED +RES0012-046 OK SO YOU'RE TIRED DO YOU FEEL WEAK AT ALL LIKE YOU CAN'T MOVE A CERTAIN LIMB +RES0012-047 OH NO THAT THAT'S ALL FINE +RES0012-048 THAT'S ALL FINE OK +RES0012-049 I HAVEN'T LIKE WIPED OUT LIKE I SAID +RES0012-050 OK BUT DO YOU GET THIS SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN YOU'RE LAYING DOWN +RES0012-051 I MEAN I'VE MOSTLY BEEN LAYING DOWN LATELY SO LIKE I KINDA HAVE IT ALL THE TIME +RES0012-052 ALL THE TIME OK BUT IT'S NOT WORSE WHEN YOU'RE LAYING DOWN OR STANDING UP +RES0012-053 DON'T THINK IT'S WORSE NO +RES0012-054 OK AND HAVE YOU NOTICED ANY SWELLING +RES0012-055 I DON'T THINK SO NO +RES0012-056 OK ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEART'S RACING +RES0012-057 NO +RES0012-058 NO AND THEN HOW ABOUT IN TERMS OF LIKE YOUR ABDOMINAL SYSTEM ANY PAIN THERE +RES0012-059 OH NO NOTHING I MEAN IT'S LIKE A LITTLE SORE JUST CAUSE I'M COUGHING ALL THE TIME BUT BUT NOT NOT LIKE NOT ANYTHING LIKE NOTICEABLE +RES0012-060 OK AND THEN HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL +RES0012-061 AND THEN HOW ABOUT YOUR URINE IS THAT HAS EVERYTHING BEEN NORMAL FROM THAT STANDPOINT +RES0012-062 OK OK AND THEN HAVE YOU HAD ANY ISSUES WITH BREATHING OR COUGHING IN THE PAST +RES0012-063 NO I MEAN I LIKE I SAID I'M REALLY ACTIVE I DO A LOT OF LIKE RIGHT I'VE BEEN LIKE TRAINING FOR A TRIATHLON LIKE I HAVEN'T HAD ANY PROBLEMS BEFORE +RES0012-064 OK OK ANY ANY PAST MEDICAL CONDITIONS THAT YOU KNOW OF +RES0012-065 I GOT LIKE I AM A TYPE ONE DIABETIC +RES0012-066 OK OK HAVE YOU EVER OK HAVE YOU EVER HAD A PULMONARY FUNCTION TEST IN THE PAST +RES0012-067 WELL MAYBE WHEN I WAS LIKE KID OR LIKE A TEENAGER +RES0012-068 AND ANY RECENT CHEST X RAYS ECG'S ANY OTHER INVESTIGATIONS YOU'VE DONE SO FAR +RES0012-069 NO LIKE I HAVE BEEN I'VE BEEN REALLY HEALTHY +RES0012-070 OK GOOD AND ARE YOU ON ANY MEDICATIONS +RES0012-071 LIKE I TAKE A MY INSULIN +RES0012-072 AND LIKE I TAKE I TAKE A STATIN IS THAT WHAT IT'S CALLED +RES0012-073 OK IS THAT BECAUSE YOU HAVE HIGH TRIGLYCERIDES OR LIKE CHOLESTEROL +RES0012-074 I THEY JUST SAID CAUSE I LIKE HAD DIABETES THAT I SHOULD PROBABLY START TAKING IT +RES0012-075 OK ALRIGHT +RES0012-076 THERE'S NO LIKE A BIG PROBLEM IT WAS JUST YOU KNOW MY FAMILY DOCTOR I THINK MY MY DAD HAS DIABETES AND HE HE HE HAD HEART PROBLEMS SO LIKE SHE ALSO MY FAMILY DOCTOR KNOWS MY DAD TOO SO I DON'T KNOW IF THAT HAS SOMETHING TO DO WITH IT +RES0012-077 OK OK AND THEN I GUESS I WILL TALK ABOUT FAMILY HISTORY SINCE YOU BROUGHT IT UP ANY LUNG ISSUES IN THE FAMILY +RES0012-078 NOT THAT I KNOW OF LIKE +RES0012-079 OK +RES0012-080 JUST I MEAN THE HEART LIKE MY DAD HAD A HEART ATTACK I DON'T KNOW IF THAT COUNTS AS LIKE IT'S CLOSE TO THE LUNGS +RES0012-081 HOW OLD WAS HE +RES0012-082 IT WASN'T THAT LONG AGO HE WAS LIKE IN HIS SIXTIES +RES0012-083 OK +RES0012-084 OK I'M GONNA NAME A FEW THINGS AND YOU LET ME KNOW IF THIS IS IN YOUR HISTORY OK IN YOUR +RES0012-085 FAMILY HISTORY ASTHMA +RES0012-086 MAYBE LIKE MY COUSIN BUT NOT LIKE MY MOM OR DAD +RES0012-087 OK CYSTIC FIBROSIS +RES0012-088 NO +RES0012-089 OK ALPHA ONE ANTITRYPSIN DEFICIENCY +RES0012-090 I DON'T THINK SO NO +RES0012-091 PULMONARY FIBROSIS +RES0012-092 NO NO +RES0012-093 OK OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0012-094-1 LIKE I I ALWAYS I ALWAYS GOT LIKE THE ONES I WAS SUPPOSED TO I NORMALLY +RES0012-094-2 LIKE NORMALLY WHERE I GO INTO WORK THERE'S LIKE A PHARMACY OUTSIDE AND I WOULD GET MY FLU SHOT BUT THIS YEAR IT'S LIKE I'M WORKING FROM HOME I HAVEN'T EVEN BEEN AROUND THERE +RES0012-094-3 SO I DIDN'T GET IT THIS YEAR BUT I HAVE ALL THE NORMAL ONES +RES0012-095 OK AND THEN DO YOU SMOKE JESSICA +RES0012-096 NO +RES0012-097 NO DO YOU SMOKE MARIJUANA +RES0012-098 NO NO +RES0012-099 ANY OTHER RECREATIONAL DRUGS +RES0012-100 WHAT LIKE ALCOHOL +RES0012-101 NO OTHER THAN ALCOHOL LIKE COCAINE OR METH ANYTHING LIKE THAT +RES0012-102 NO +RES0012-103 OK NO OK AND DO YOU DRINK ALCOHOL +RES0012-104 OH LIKE IF I'M LIKE WITH FRIENDS MAYBE ON A WEEKEND +RES0012-105 OK OK +RES0012-106 COUPLE DRINKS OR SOMETHING +RES0012-107 OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK AROUND YOU +RES0012-108-1 LIKE I SAID I WORK I WORK FROM HOME SO I'VE BEEN SEEING VERY MANY PEOPLE I LIKE I GEEZ +RES0012-108-2 I MY MY SISTER I SAW MY SISTER AND LIKE SHE I GUESS SHE WORKS SHE WORKS IN LIKE A RETIREMENT HOME +RES0012-109 OK +RES0012-110 LIKE SHE I DON'T THINK SHE WAS SICK +RES0012-111 OK OK IS IT POSSIBLE THAT SHE WAS IN CONTACT WITH SOMEONE WHO MAY HAVE BEEN SICK +RES0012-112 I THINK IT'S I MEAN IT'S POSSIBLE LIKE THAT'S WHAT SHE DOES FOR HER WORK RIGHT SHE WORKS AT LIKE A RETIREMENT HOME SO POSSIBLE +RES0012-113 OK AND WHAT WHAT KIND OF WORK DO YOU DO JESSICA +RES0012-114 I'M AN ACCOUNTANT +RES0012-115 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY I KNOW WITH COVID OBVIOUSLY THAT'S HARD +RES0012-116 I WISH I WISH BUT YOU KNOW I HAVEN'T BEEN ANYWHERE LIKE I SAID I'VE JUST BEEN AT HOME +RES0012-117 OK IN PARTICULAR HAVE YOU BEEN IN A COUNTRY WHERE TB IS ENDEMIC AND HAVE YOU BEEN IN ANY OF THOSE COUNTRIES IN THE PAST LIKE FIVE TO TEN YEARS +RES0012-118 I DON'T KNOW LIKE I'VE BEEN TO THE LIKE THE STATES BEFORE COVID I I DON'T I DIDN'T REALLY HAVEN'T TRAVELED ANYWHERE COOL IN A LONG TIME +RES0012-119 OK OK SO JUST KIND OF GOING THROUGH WHAT IT COULD BE THAT YOU HAVE RIGHT NOW I'M THINKING +RES0012-120-1 A FEW THINGS AND WE KIND OF LIKE TO GO THROUGH AND MAKE SURE WE'RE NOT MISSING ANYTHING SO IN TERMS OF LIKE VASCULAR STUFF IT COULD BE SOMETHING LIKE +RES0012-120-2 LIKE CHF OR PULMONARY EMBOLISM AND THAT STANDS FOR CONGESTIVE HEART FAILURE BUT YOU'RE VERY YOUNG YOU SEEM LIKE YOU'RE VERY HEALTHY SO THAT'S PROBABLY LOWER ON OUR DIFFERENTIAL OBVIOUSLY +RES0012-121 OK HOPEFULLY +RES0012-122-1 YEAH AN INFECTION WOULD BE THE BIGGEST ONE RIGHT NOW WITH THE COUGH WITH IT SEEMS LIKE YOU HAVE CHILLS AND NIGHT SWEATS +RES0012-122-2 YEAH SO WOULD HAVE TO DO MORE IN TERMS OF TAKING YOUR TEMPERATURE AND SEE IF YOU CAN DO LIKE MORE +RES0012-123 WORK UP LIKE A CHEST X RAY TO SEE WHAT'S HAPPENING IN THERE AUTOIMMUNE STUFF COULD BE LIKE SARCOIDOSIS BUT UNLIKELY CAUSE IT SEEMS LIKE THIS IS AN ACUTE ISSUE FOR YOU +RES0012-124 SEE I NEVER COME IN BESIDES LIKE BECAUSE I YOU KNOW NEED MY INSULIN I NEVER EVEN GO TO THE I DIDN'T EVEN WANT TO COME IN AND JUST LIKE IT WASN'T GOING AWAY +RES0012-125 AND THEN OTHER THINGS LIKE COPD PULMONARY FIBROSIS AND LIKE LIKE CANCER STUFF IS SUPER +RES0012-126-1 LOW ON THE DIFFERENTIAL RIGHT NOW SO YEAH SO +RES0012-126-2 SO YEAH SO FOR RIGHT NOW WE'LL START WE CAN START BY DOING SOME BLOOD WORK FIRST I DO A PHYSICAL EXAM OF COURSE +RES0012-126-3 AND THEN FROM THERE WE WOULD KIND OF DO SOME BLOOD WORK TO SEE IF YOUR WHITE BLOOD CELL COUNT IS HIGH AND THEN WE CAN DO A CHEST X RAY TO SEE IF THERE IS LIKE A CONSOLIDATION IF THERE'S PNEUMONIA OR YOU KNOW +RES0012-126-4 OR OR ANYTHING VIRAL DO YOU HAVE ANY QUESTIONS ANYTHING THAT YOU WANTED TO ADD THAT I MISSED +RES0012-127 I DON'T THINK I DON'T THINK SO I JUST HOPE I CAN GET FEELING BETTER HOPE IT'S NOT ANYTHING SERIOUS LIKE I I THINK I JUST HOPE IT'S LIKE I HOPE LIKE YOU SAID IT'S LIKE I GOT LIKE AN INFECTION OR SOMETHING AND IT WILL JUST BE GONE SOON +RES0012-128 IT DOES SOUND LIKE IT FROM THE TIMELINE LIKE YOU STARTED COUGHING TWO DAYS AGO AND THEN THE DIFFICULTY BREATHING OR SHORTNESS OF BREATH ALSO TWO DAYS AGO AND THEN THE CHEST PAIN JUST SEEMS LIKE IT'S FROM YOU COUGHING A LOT +RES0012-129 IT CAN DO THAT +RES0012-131 OK SO I GUESS WE WILL SEE YOU AT OUR FOLLOW UP AND AFTER ALL OF THESE INVESTIGATIONS ARE DONE +RES0013-000 HI I'M ROB AND I JUST FEEL LIKE I CAN'T CATCH MY BREATH +RES0013-001 OK HOW OLD ARE YOU ROB +RES0013-002 I'M I'M FIFTY I'M GONNA BE FIFTY SOON +RES0013-003 OK OK WHEN DID THIS START +RES0013-004-1 WELL LIKE LAST NIGHT I KINDA HAD LIKE AN ACHE ON MY CHEST KIND OF LIKE HERE LIKE ON THE LEFT I JUST I DIDN'T DO ANYTHING REALLY LAST NIGHT AND YOU KNOW I JUST WENT TO SLEEP AND I GOT TO SLEEP FINE LIKE I JUST THOUGHT MAYBE I PULLED A MUSCLE +RES0013-004-2 ON THIS SIDE BUT THEN I WOKE UP AND I WAS LIKE WALKING UP THE STAIRS AND I LIKE WAS KINDA HAVING A HARD TIME BREATHING AND I TOOK SOME TYLENOL IT DIDN'T REALLY DO ANYTHING +RES0013-004-3 AND THEN IT JUST GOT WORSE AND THEN A FEW HOURS AGO IS LIKE I COULD BARELY WALK AND IF I'M BREATHING DEEP IT'S LIKE IT JUST HURTS AND I FEEL LIKE I CAN'T LIKE CATCH MY BREATH LIKE I CAN'T GET A GOOD LIKE A GOOD BREATH IN +RES0013-005-1 OK SO I JUST WANT TO STATE AT THIS POINT I WOULD DO ABC'S LIKE I WOULD DO THE VITALS AND MAKE SURE YOU'RE STABLE AND THEN DO AIRWAY BREATHING CIRCULATION IF YOU WEREN'T BEFORE I CONTINUE WITH THE HISTORY +RES0013-005-2 OK SO OK SO THAT'S HOW IT STARTED ARE YOU HAVING ANY CHEST PAIN AT ALL ASSOCIATED WITH THAT +RES0013-006 LIKE WHEN I BREATHE IN I GET LIKE AND IT'S LIKE AN ACHE AND THEN IF I BREATHE REALLY DEEP IT FEELS LIKE A LITTLE SHARP +RES0013-007 OK +RES0013-008 I HAVE NEVER HAD ANYTHING LIKE THIS BEFORE +RES0013-009 NO OK THAT WAS GOING TO BE MY NEXT QUESTION ON A SCALE OF ONE TO TEN HOW SEVERE IS YOUR SHORTNESS OF BREATH TEN BEING THE WORST +RES0013-010 I DON'T I DON'T KNOW LIKE I CAN BREATHE RIGHT NOW I CAN'T GET LIKE A DEEP BREATH LIKE +RES0013-011 DOES IT OH SORRY GO AHEAD +RES0013-012 MAYBE LIKE YOU KNOW FIVE OR SIX +RES0013-013 OK OK DOES IT HURT WHEN YOU TAKE A DEEP BREATH IN +RES0013-014 IT'S LIKE IT'S LIKE SHARP +RES0013-015 OK SORRY SOUNDS LIKE YOU'RE HAVING SOME PLEURITIC CHEST PAIN DO YOU HAVE ANY COUGHING ASSOCIATED WITH THAT +RES0013-016 NO NO +RES0013-017 NO YOU'RE NOT COUGHING UP ANY BLOOD +RES0013-018 NO +RES0013-019 ANY SWELLING IN YOUR LEGS +RES0013-020 I I DON'T THINK SO +RES0013-021 NO OK HOW ABOUT ON EXERTION LIKE WHEN YOU WALK OR RUN OR YOU KNOW DOES IT HURT MORE OR DOES I MEAN SORRY DOES YOUR SHORTNESS OF BREATH GET WORSE +RES0013-022 OH IT WAS LIKE GOING UP THE STAIRS CAN'T REALLY BREATHE IN AFTER +RES0013-023 OK HOW ABOUT WHEN YOU'RE LAYING DOWN +RES0013-024 I DON'T KNOW I DON'T THINK THAT'S ANY DIFFERENT NO I SLEPT FINE LAST NIGHT I GOT UP AND WHEN I WENT UP THE STAIRS I WAS LIKE HOLY +RES0013-025 OK HOW ABOUT WHEEZING ARE YOU EXPERIENCING ANY WHEEZING +RES0013-026 I DON'T THINK SO +RES0013-027 OK HOW ABOUT FEVERS OR CHILLS +RES0013-028 NO NOT THAT I'VE NOTICED NO +RES0013-029 OK ANY ABDOMINAL PAIN +RES0013-030 NO NO IT'S LIKE IT ACHES KIND OF IT BUT IT'S ALL UP HERE AND LIKE KIND OF IN MY BACK A LITTLE BIT +RES0013-031 OK AND DO YOU THINK ANYTHING TRIGGERED THIS +RES0013-032 I DON'T KNOW +RES0013-033 NO OK AND YOU SAID THIS HAS NEVER HAPPENED TO YOU BEFORE RIGHT +RES0013-034 RIGHT +RES0013-035 DOES IT GET BETTER WITH YOU SITTING FORWARD +RES0013-036 I DON'T KNOW LIKE I I FEEL LIKE THAT IT'S STILL KIND OF ACHING LIKE IT DOESN'T IT'S NOT REALLY LIKE CHANGING VERY MUCH +RES0013-037 OK OK OK ANY CHANGES IN YOUR VISION HEARING OR SMELL +RES0013-038 NO +RES0013-039 NO ANY RASHES +RES0013-040 NO +RES0013-041 NO WEIGHT LOSS +RES0013-042 I I MEAN I'VE BEEN TRYING TO TO LOSE WEIGHT +RES0013-043 OK +RES0013-044 THEY TOLD ME A YEAR AGO I HAVE LIKE HIGH BLOOD PRESSURE SO I'VE BEEN CUTTING OUT LIKE SALT AND TRYING TO WALK MORE +RES0013-045 OK OK GOOD +RES0013-046 SO I'VE LOST LIKE FIFTEEN POUNDS BUT LIKE NOT LIKE I'VE BEEN TRYING TO +RES0013-047 OK OK FIFTEEN POUNDS THAT'S GOOD ARE YOU EXPERIENCING ANY DIZZINESS OR YOU FEELING FAINT +RES0013-048 NO JUST LIKE A I CAN'T GET LIKE A GOOD BREATH +RES0013-049 OK AND ARE YOU OTHERWISE HEALTHY YOU MENTIONED YOU HAVE HIGH BLOOD PRESSURE ANYTHING ELSE +RES0013-050 NO THAT'S THAT'S LIKE IT I'VE NEVER HAD ANY LIKE CHEST PROBLEMS +RES0013-051 OK HAVE YOU HAD ANY INVESTIGATIONS DONE FOR YOUR CHEST LIKE PULMONARY FUNCTION TESTS ECG'S CHEST X RAYS +RES0013-052 NO NO THEY JUST THEY JUST PUT THE THING ON MY ARM BUT MY DOCTORS OFFICE AND SAID THAT IT WAS HIGH SO THEY SAID TO YOU KNOW EAT BETTER AND I DON'T I DON'T WANNA START ANY DRUGS SO I DIDN'T DO ANYTHING I'VE BEEN FINE EVER SINCE +RES0013-053 OK SO YOU'RE NOT ON ANY MEDICATIONS +RES0013-054 NO JUST NO THAT'S IT I MEAN I YOU KNOW SOMETIMES TAKE LIKE A TYLENOL IF I'M +RES0013-055 NOT FEELING WELL BUT +RES0013-056 AND DO YOU SMOKE +RES0013-057 I LIKE I SMOKE A LITTLE BIT MAYBE LIKE A PACK A WEEK +RES0013-058 A PACK A WEEK OK FOR HOW LONG +RES0013-059 OH LIKE SINCE COLLEGE +RES0013-060 OK OK DO YOU SMOKE MARIJUANA +RES0013-061 NO NO AND I I SMOKE I'M TRYING TO SMOKE LESS YOU KNOW SINCE THEY TOLD ME I HAVE THE HIGH BLOOD PRESSURE SO I USED TO SMOKE A LITTLE MORE BUT THIS IS THIS IS LESS BUT NOT SINCE I'VE BEEN HAVING TROUBLE BREATHING IS IT +RES0013-062 OK ANY OTHER RECREATIONAL DRUGS +RES0013-063 NO NO +RES0013-064 NO OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +RES0013-065 OH LIKE MAYBE YOU KNOW A BEER ON THE WEEKEND +RES0013-066 OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0013-067 LIKE I DON'T I THINK I GOT ALL THE ONES WHEN I WAS LIKE A KID WHAT ELSE SHOULD I HAVE +RES0013-068 OK SO LIKE THE FLU VACCINE EVERY YEAR +RES0013-069 OH I GET THAT LIKE MY WIFE MY WIFE MAKES ME GET THAT +RES0013-070 OK THAT'S GOOD ANY FAMILY HISTORY OF LUNG OR HEART DISEASE +RES0013-071 OH LIKE MY MY MOM AND DAD HAVE HIGH BLOOD PRESSURE TOO SO I WASN'T SURPRISED WHEN I HEARD THAT I DID +RES0013-072 OK OK OK SO ROB IS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I HAVEN'T ASKED YOU ALREADY TODAY +RES0013-073 I AM REALLY LIKE NERVOUS CAUSE I HAVEN'T FELT ANYTHING LIKE THIS BEFORE LIKE IT'S SCARY LIKE DO YOU THINK IT'S LIKE CANCER OR SOMETHING LIKE I DON'T I DON'T REALLY KNOW +RES0013-074 I MEAN IT'S HARD TO TELL RIGHT NOW WHAT IT IS IT SOUNDS LIKE IT'S IT STARTED PRETTY SUDDENLY LIKE IT STARTED A DAY AGO CORRECT +RES0013-075-1 SO IT'S UNLIKELY THAT CANCER WOULD PRESENT ITSELF LIKE THIS SO ACUTELY YOU KNOW AND BUT IT COULD IT COULD BE A NUMBER OF THINGS LIKE +RES0013-075-2 IT COULD BE SOMETHING LIKE A PULMONARY EMBOLISM BUT YOU SAID YOU DON'T HAVE ANY SWELLING BUT YOU DID SAY YOU HAVE SOME CHEST PAIN WHEN YOU'RE BREATHING PRETTY WHEN YOU TAKE A DEEP BREATH IN SO I MEAN THAT'S A POSSIBILITY +RES0013-075-3 IT DOESN'T SOUND LIKE IT'S AN INFECTION BECAUSE YOU DON'T HAVE A FEVER OR CHILLS OR ANY ANY OTHER SYMPTOM REALLY AND YOU MENTIONED THERE WEREN'T ANY TRIGGERS LIKE NO TRAUMA TO THE AREA +RES0013-075-4 AND THEN OTHER THINGS COULD BE LIKE COPD BECAUSE YOU WHICH IS A CHRONIC OBSTRUCTIVE PULMONARY DISEASE BECAUSE YOU HAVE BEEN SMOKING SINCE COLLEGE AND THAT'S BASICALLY JUST +RES0013-075-5 INFLAMMATION IN YOUR LUNGS THAT CAUSES YOUR AIRWAYS TO NARROW AND SO YOU MAY HAVE A HARD TIME BREATHING +RES0013-075-6 SO FOR ALL OF THESE THINGS WE FIRST START BY DOING SOME BLOOD WORK AND THEN WE'LL DO SOME IMAGING LIKE A CHEST X RAY AND A PULMONARY FUNCTION TEST IF INDICATED +RES0013-075-7 AND SO THAT WILL GIVE US A BETTER IDEA OF WHAT YOU HAVE AND HOW WE CAN BEST HELP YOU SOUNDS GOOD +RES0013-076 I JUST REALLY WANT TO GET A GOOD BREATH SO WHATEVER WE CAN DO +RES0013-077 FOR SURE AND THEN IN THE MEANTIME WE'LL KEEP MONITORING YOU TO MAKE SURE YOUR VITALS ARE OK AND IF WE NEED TO GIVE YOU OXYGEN WE WILL +RES0013-078 THAT'D BE GREAT +RES0013-079 OK THANK YOU +RES0014-000 WHAT BRINGS YOU IN TODAY +RES0014-001 THIS AFTERNOON I'M JUST HERE BECAUSE I'VE BEEN EXPERIENCING SOME BREATHLESSNESS AS WELL AS A BIT OF COUGH +RES0014-002 OK WHEN DID IT START +RES0014-003 SO I THINK IT'S A IT STARTED AROUND THREE MONTHS AGO AND I BELIEVE IT'S JUST BEEN GETTING WORSE +RES0014-004 OK HOW OFTEN ARE YOU EXPERIENCING THE SHORTNESS OF BREATH +RES0014-005 I FEEL IT LIKE A LOT OF THE TIME ESPECIALLY OUTSIDE WHEN I'M IN THE COLD OR AT AT NIGHT WHEN I GO OUTSIDE AT NIGHT MY CHEST FEELS A LITTLE TIGHT TOO AT THE SAME TIME +RES0014-006 OK AND HOW LONG DOES IT LAST +RES0014-007 I WOULD SAY IT LASTS UP TO AN HOUR EVERY TIME I'M OUT IN THE COLD AND THEN ONCE I COME BACK IN SO I'D SAY IT LASTS AT LEAST ONE HOUR +RES0014-008 OK DOES ANYTHING ELSE MAKE IT WORSE LIKE DUST YOU KNOW LAYING DOWN ANYTHING LIKE THAT +RES0014-009 SOMETIMES WHEN I'M NEAR DUST SOMETIMES WHEN I'M RUNNING DURING GYM CLASS +RES0014-010 INCREASED ACTIVITY DOES MAKE IT WORSE OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHING DIFFICULTIES IS IT MORE LIKE A BURNING KIND OF FEELING IS IT LIKE +RES0014-011 YOU CAN'T CATCH YOUR BREATH WHAT DOES IT FEEL LIKE I THINK IT'S MORE JUST A I CAN'T CATCH MY BREATH AND IT FEELS LIKE MY MY THROAT +RES0014-012 IS JUST KIND OF LIKE CLOSING OFF AND I CAN'T TAKE DEEP BREATHS OK THAT'S SCARY AND ONE +RES0014-013 TO TEN TEN BEING THE WORST HOW BAD IS YOUR SHORTNESS OF BREATH IT CAN GET UP TO I WOULD SAY LIKE AN EIGHT AT TIMES IT CAN GET PRETTY SCARY AND SOMETIMES LIKE I FEEL LIKE HEAVINESS IN +RES0014-014 MY CHEST TOO WHEN IT HAPPENS AND THE COUGHING HAS IT BEEN GOING ON FOR AS LONG AS YOUR BREATHLESSNESS +RES0014-015 I WOULD SAY AROUND THE SAME SAME TIME FRAME LIKE THREE MONTHS BUT I'M NOT ALWAYS COUGHING IT COMES AND GOES +RES0014-016 OK AND FOR YOUR COUGHING IS IT KIND OF LIKE THE SAME TRIGGERS THE COLD DUST THINGS LIKE THAT +RES0014-017 I WOULD SAY SO +RES0014-018 AND DO YOU EVER HAVE DO YOU EVER COUGH UP BLOOD +RES0014-019 NO I DON'T IT'S MOSTLY JUST A DRY COUGH I DON'T COUGH UP ANYTHING +RES0014-020 OK SO NO SPUTUM OR PHLEGM NO OK DO YOU EVER FEEL WHEEZY +RES0014-021 I I I DO HEAR LIKE A LIKE A WEIRD SOUND WHEN I BREATHE OUT SOMETIMES I +RES0014-027 ANY CHANGES IN YOUR SMELL NO +RES0014-028 NO CHANGES IN MY SMELL NO OK +RES0014-029 HOW ABOUT HEARING +RES0014-030 NO HEARING IS FINE OK AND LIKE NO PUS OR LIQUID'S COMING OUT OF YOUR EAR OR ANYTHING LIKE THAT RIGHT +RES0014-031 NO +RES0014-032 NO EAR PAIN +RES0014-033 NO +RES0014-034 OK AND HOW ABOUT YOUR VISION EVERYTHING OK THERE +RES0014-035 EVERYTHING IS OK +RES0014-036 OK ANY FEVERS +RES0014-037 I DON'T KNOW ABOUT A FEVER I HAVEN'T CHECKED BUT SOME NIGHTS I DO ESPECIALLY IN THE LAST WEEK I HAVE WOKEN UP FEELING A BIT CHILLY I HAVEN'T REALLY CHECKED +RES0014-038 OK SO YOU WOKE UP FEELING CHILLY ANY NIGHT SWEATS +RES0014-039 NO +RES0014-040 OK ANY WEIGHT LOSS +RES0014-041 NO NO +RES0014-042 HOW ABOUT CHANGES IN YOUR SKIN LIKE HAVE YOU NOTICED A RASH ANYWHERE +RES0014-043 NOT THAT I'VE REALLY NOTICED NO NO RASHES +RES0014-044 OK AND ANY CHEST PAIN AT ALL +RES0014-045 NO JUST SOMETIMES WHEN I I'M COUGHING A LOT I FEEL A LITTLE BIT OF JUST TENSION AND HEAVINESS IN THERE BUT THAT'S JUST WHEN I'M LIKE REALLY COUGHING A LOT +RES0014-046 OK AND ANY ANY FEELINGS LIKE YOUR HEART'S RACING +RES0014-047 NOPE +RES0014-048 NO OK AND HOW ABOUT SWELLING HAVE YOU NOTICED SWELLING ANYWHERE IN YOUR BODY +RES0014-049 NO NOTHING LIKE THAT +RES0014-050 NO OK OK HOW ABOUT DOES YOUR SHORTNESS OF BREATH GET WORSE WHEN YOU'RE FALLING ASLEEP +RES0014-051 NO NOTHING LIKE THAT I THINK IT'S MAINLY JUST WORSE IF I GO OUT IN THE COLD OR I'M LIKE RUNNING AROUND DOING MORE ACTIVITIES +RES0014-052 DOES IT EVER WAKE YOU UP AT NIGHT +RES0014-053 NO NEVER +RES0014-054 OK AND ANY NAUSEA OR VOMITING +RES0014-055 NO NO NAUSEA OR VOMITTING +RES0014-056 OK HOW ABOUT CHANGES IN YOUR IN YOUR BOWEL MOVEMENT +RES0014-057 NO BOWEL MOVEMENTS ARE NORMAL +RES0014-058 HOW ABOUT IN TERMS OF URINATING ANY CHANGES THERE +RES0014-059 NO NO +RES0014-060 OK ANY HEADACHES +RES0014-061 NO +RES0014-062 NO ANY DIZZINESS OR FAINTING SPELLS +RES0014-063 NO +RES0014-064 CONFUSION MEMORY LOSS +RES0014-065 NO NOTHING LIKE THAT +RES0014-066 OK GOOD ARE YOU OTHERWISE HEALTHY +RES0014-067 I DON'T HAVE ANY OTHER CONDITION I I DO REMEMBER MY DOCTORS SAYING I HAVE HAY FEVER BEFORE BUT THAT'S ABOUT IT +RES0014-068 WHEN WAS THAT +RES0014-069 I THINK THAT WAS LIKE MORE THAN THREE YEARS AGO +RES0014-070 OK ANY RECENT SURGERIES +RES0014-071 NO +RES0014-072 NO ARE YOU ON ANY MEDICATIONS +RES0014-073 I JUST TAKE SOME TYLENOL SOMETIMES FOR THE LIKE TYLENOL COLD SOMETIMES FOR THE SYMPTOMS I DON'T THINK IT HAS REALLY HELPED +RES0014-074 NO OK DO YOU HAVE ANY ALLERGIES NOT JUST TO MEDICATIONS BUT TO ANYTHING ELSE +RES0014-075 JUST LIKE HAY FEVER BUT NOTHING NOTHING ELSE THAT I CAN THINK OF NO +RES0014-076 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0014-077 AS FAR AS I KNOW EVERYTHING'S UP TO DATE +RES0014-078 OK ANY FAMILY HISTORY OF LUNG CONDITIONS +RES0014-079 DON'T THINK SO MY SISTER I THINK SHE THEY WERE SAYING SHE MIGHT HAVE ASTHMA AND SHE ALSO HAS ECZEMA NO ONE ELSE IN THE FAMILY HAS ANY OTHER CONDITIONS +RES0014-080 NOT NOT EVEN LIKE HEART CONDITIONS CANCER +RES0014-081 NO NO NOT THAT I KNOW +RES0014-082 OK OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY +RES0014-084 NO NO OK AND ANY +RES0014-087 ONTARIO OK AND WHERE DO YOU LIVE SO I CURRENTLY LIVE IN LONDON BUT I +RES0014-088 JUST RECENTLY MOVED INTO A NEW FLAT AROUND TWO MONTHS AGO TWO MONTHS +RES0014-089-1 AGO OK IS IT MORE IS IT AN OLDER FLAT +RES0014-089-2 NO IT'S FAIRLY NEW BUT ONE THING I DID NOTICE I DON'T KNOW IF THIS HAS ANYTHING TO DO WITH IT BUT MY FLATMATE ACTUALLY SMOKES +RES0014-089-3 SOMETIMES THAT CAN REALLY IRRITATE AND MAKE ME COUGH MORE SOMETIMES AT NIGHT +RES0014-090 ANY ANY +RES0014-091 OH NO I DON'T HAVE ANY PETS +RES0014-092 OK AND AND DO YOU SMOKE +RES0014-093 NO I DON'T SMOKE NO +RES0014-094 OK AND DO YOU SMOKE MARIJUANA +RES0014-095 NOPE NEVER TRIED MARIJUANA +RES0014-096 OK ANY RECREATIONAL DRUGS +RES0014-097 NO I DON'T SMOKE MARIJUANA OR CIGARETTES +RES0014-098 OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +RES0014-099 JUST LIKE MAYBE SOMETIMES AT PARTIES BUT VERY RARELY MAYBE I WOULD SAY ONCE A MONTH +RES0014-100 OK OK AND IS THERE ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED +RES0014-101 SO NO I THINK THAT THAT WAS ALL LIKE JUST THE SHORTNESS OF BREATH WAS SCARING ME A LOT BUT JUST THE COUGHING BUT OTHER THAN THAT I JUST WANT TO KNOW WHAT'S GOING ON +RES0014-102 OK AND YOU MENTIONED YOU ARE OTHERWISE HEALTHY SO YOU DON'T HAVE ANY HISTORY OF ASTHMA OR ANYTHING LIKE THAT RIGHT +RES0014-103 NO NO ONES EVER TOLD ME THAT BUT MY SISTER HAS ASTHMA SO I WAS WONDERING MAYBE +RES0014-104 HAVE YOU EVER EXPERIENCED SHORTNESS OF BREATH WHEN YOU WERE YOUNGER WITH LIKE EXERCISE +RES0014-105 NOT REALLY JUST MAYBE LIKE THE NORMAL AMOUNT LIKE IF I'M RUNNING AROUND TOO MUCH I FEEL SHORTNESS OF BREATH BUT I THINK IT JUST GOT WORSE OVER THE LAST FEW MONTHS +RES0014-106 OK AND THEN HAVE YOU EVER HAD ANY IMAGING DONE IN THE PAST LIKE A CHEST X RAY OR INVESTIGATIONS LIKE A PULMONARY FUNCTION TEST +RES0014-107 NO I DON'T RECALL HAVING ANY OF THAT DONE +RES0014-108-1 OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU IF YOU DIDN'T HAVE ANYTHING ELSE TO ADD I GUESS WE WILL CONCLUDE BY SAYING THAT WHAT YOU HAVE +RES0014-108-2 WE HAVE A DIFFERENTIAL DIAGNOSIS FOR THIS IT SOUNDS LIKE WHAT YOU HAVE IS ASTHMA +RES0014-108-3 SINCE YOUR SYMPTOMS STARTED THREE MONTHS AGO WHEN YOU MOVED INTO A FLAT WITH YOUR FRIENDS AND IT SEEMS LIKE THIS SMOKING AND COLD IS TRIGGERING THAT +RES0014-108-4 AND SO WE'LL WORK YOU UP WITH A PULMONARY FUNCTION TEST TO START AND WE'LL SEE IF BRONCHODILATORS WILL HELP +RES0014-108-5 WITH YOUR SYMPTOMS AND IF IT DOESN'T WE'LL ALSO RULE OUT OTHER THINGS LIKE PNEUMONIA OR LIKE ALLERGIC RHINITIS HOW DOES THAT SOUND +RES0014-109 THAT SOUNDS GOOD +RES0014-110 OK SOUNDS GREAT WELL WE'LL SEE YOU SOON THEN +RES0014-111 ALRIGHT THANK YOU +RES0014-112 TAKE CARE +RES0015-000 WHAT BRINGS YOU IN TODAY +RES0015-001 SO I'VE BEEN HAVING JUST A WORSENING BREATHLESSNESS I'VE BEEN ALSO HAVING A COUGH AND I THINK I MIGHT HAVE ALSO HAD A FEVER IN THE LAST COUPLE WEEKS +RES0015-002 OK SO THE BREATHLESSNESS STARTED SIX WEEKS AGO CORRECT +RES0015-003 OK AND THEN WHEN DID THE COUGH START +RES0015-004 I'D SAY AROUND THE SAME TIME THE BREATHLESSNESS STARTED SO AROUND SIX WEEKS +RES0015-005 OK AND THEN THE FEVER +RES0015-006 THE FEVER I'VE KIND OF HAD ON AND OFF IN THE LAST COUPLE WEEKS I WOULD SAY TWO TO THREE WEEKS +RES0015-007 OK OK AND DO YOU HOW OFTEN ARE YOU HAVING THIS BREATHLESSNESS +RES0015-008 I WOULD SAY IT'S PRETTY MUCH THERE MOST OF THE TIME IT SOMETIMES GETS WORSE WHEN I'M EXERTING MYSELF BUT I THINK JUST BASELINE I FEEL LIKE I'VE BEEN ABLE TO BREATHE LESS HEAVILY THAN BEFORE +RES0015-009 OK SO ALRIGHT AND HOW LONG DOES IT LAST WHEN YOU DO GET IT OR IS IT JUST ALWAYS THERE +RES0015-010 IT'S KIND OF JUST THERE BUT THEN WHEN IT'S GETTING WORSE LIKE IT LASTS A COUPLE MINUTES TO I WOULD SAY LIKE TEN TO FIFTEEN MINUTES AND THEN IT GOES BACK TO LIKE JUST THE NORMAL BREATHLESSNESS +RES0015-011 OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHLESSNESS WOULD YOU SAY THAT IT FEELS LIKE A KIND OF LIKE A BURNING FEELING LIKE YOU'RE HAVING A HARD TIME CATCHING YOUR BREATH OR DOES IT FEEL LIKE YOU'RE BREATHING TOO FAST +RES0015-012 I THINK IT'S MORE I JUST CAN'T SEEM TO TAKE LIKE DEEP BREATHS AND THEN WHEN I GET BREATHLESS I I REALLY TRY TO TAKE A DEEP BREATH BUT I JUST CAN'T FIND MYSELF CATCHING MY BREATH AT THAT TIME SO IT'S JUST MORE NOT BEING ABLE TO CATCH MY BREATH +RES0015-013 OK SURE AND ARE THERE THINGS THAT MAKE MAKE IT BETTER OR WORSE +RES0015-014 NOT REALLY I THINK IT'S SOMETIMES MOVING AROUND TOO MUCH BUT LIKE NOTHING NOTHING REALLY CAUSES IT +RES0015-015 OK AND WAS THERE ANY SORT OF TRIGGER SIX WEEKS AGO THAT YOU THINK MAY HAVE LIKE CAUSED ALL OF YOUR SYMPTOMS +RES0015-016 OH I'M NOT SURE I I DON'T THINK THERE WAS ANY TRIGGERS +RES0015-017 OK HAS ANYONE AROUND YOU BEEN SICK +RES0015-018 SO THERE THERE ARE SOME PEOPLE LIVING IN MY HOUSE THAT HAVE A BAD COUGH OVER THE LAST FEW WEEKS +RES0015-021 SO THEY HAVE SIMILAR SYMPTOMS TO YOU AS WELL THEN +RES0015-022 SOME OF THEM LIKE DON'T REALLY HAVE THE SHORTNESS OF BREATH AND IT'S JUST LIKE A COUGH +RES0015-023 OK +RES0015-024 BUT THERE ARE SOME OF THEM ALSO HAVE SOME SHORTNESS OF BREATH +RES0015-025 OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0015-026 SO I ACTUALLY CAME TO CANADA ONE YEAR AGO I'M ORIGINALLY FROM INDIA AND I I'M I CAME HERE TO STUDY +RES0015-027 OK OK ALRIGHT IF YOU WERE TO RATE YOUR BREATHLESSNESS FROM ONE TO TEN TEN BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS +RES0015-028 IT CAN GET PRETTY BAD LIKE I I WOULD SAY UP TO AN EIGHT SOMETIMES MAYBE A COUPLE TIMES A WEEK +RES0015-029 OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE +RES0015-030 NO THIS IS LIKE THE FIRST TIME I'M HAVING THIS ISSUE +RES0015-031 OK AND DO YOU FEEL LIKE IT'S GETTING WORSE BETTER HAS IT CHANGED SINCE YOU STARTED HAVING THESE SYMPTOMS +RES0015-032 I THINK IT'S GETTING WORSE AND THAT'S WHY I WAS GETTING A BIT SCARED AND I CAME HERE +RES0015-033 OK THAT WAS A GOOD CALL AND HAVE YOU HAD ANY CHANGES TO YOUR SMELL RECENTLY +RES0015-034 NO NO CHANGES TO SMELL +RES0015-035 ANY ANYTHING LIKE A RUNNY NOSE OR STUFFY NOSE +RES0015-036 NO NOT REALLY NO +RES0015-037 NO OK HOW ABOUT A SORE THROAT +RES0015-038 NO NO SORE THROAT +RES0015-039 NO SORE THROAT ANY CHANGES TO YOUR TASTE +RES0015-040 NOPE +RES0015-041 ANY CHANGES IN HEARING +RES0015-042 NOPE +RES0015-043 EAR PAIN OR DISCHARGE FROM YOUR EARS +RES0015-044 NO NOTHING LIKE THAT +RES0015-045 OK ANY EYE PAIN +RES0015-046 NO +RES0015-047 CHANGES IN YOUR VISION +RES0015-048 NOPE +RES0015-049 ANY DISCHARGE FROM YOUR EYES +RES0015-051 OK AND YOU MENTIONED FEVER AND SOME NIGHT SWEATS HOW OFTEN ARE YOU GETTING THESE NIGHT SWEATS AND DO THEY FEEL +RES0015-052-1 LIKE CHILLS +RES0015-052-2 I THINK IN THE LAST TWO WEEKS I'VE BEEN GETTING IT MORE FREQUENTLY LIKE I WOULD SAY EVERY OTHER NIGHT I I FEEL I WOULD FEEL CHILLY AT ONE POINT AND THEN I'LL BREAK OUT INTO NIGHT SWEATS OR HAVE TO TAKE OFF MY BLANKET +RES0015-052-3 I THINK I MEASURED IT ONCE OR TWICE OVER THE WEEK AND IT DID SHOW LIKE A FEVER OF ONE HUNDRED AND TWO +RES0015-053 OK OK OK AND ANY CHANGES TO YOUR SKIN LIKE RASHES +RES0015-054 NO NOTHING LIKE THAT +RES0015-055 ANY WEIGHT LOSS +RES0015-056 I WOULD SAY I THINK I'M LOSING A LITTLE BIT OF WEIGHT OVER THE LAST COUPLE WEEKS I HAVEN'T REALLY WEIGHED MYSELF BUT I FEEL THAT I HAVE LOST SOME WEIGHT +RES0015-057 OK AND THE COUGHING ARE YOU COUGHING UP ANY BLOOD +RES0015-058 I DON'T THINK SO SOMETIMES LIKE WHEN I COUGH UP LIKE SPUTUM THERE IS LIKE A LITTLE BIT OF PINK PINK TINGED SPUTUM AS WELL SOMETIMES IT'S LIKE BROWNISH IN COLOR AND SOMETIMES IT'S GREEN BUT I HAVEN'T ACTUALLY COUGHED UP ANY BLOOD +RES0015-059 OK AND YOU SAID THERE'S SOME SPUTUM LIKE PINK TINGED SPUTUM HOW MUCH SPUTUM WOULD YOU SAY YOU COUGH UP EVERY TIME YOU COUGH +RES0015-060 MAYBE LIKE A LIKE A SPOONFUL I WOULD SAY +RES0015-061 OK AND DO YOU EVER FEEL LIKE YOU'RE WHEEZING +RES0015-062 NO I I DON'T THINK SO I I DON'T REALLY NOTICE ANY NOISES WHEN I'M BREATHING +RES0015-063 OK AND ALRIGHT SO ANY CHEST PAIN +RES0015-064 NO NO CHEST PAIN AT ALL +RES0015-065 OK HOW ABOUT SWELLING IN YOUR LEGS +RES0015-066 OR IN YOUR LIMBS NO +RES0015-067 NO SWELL LEG SWELLING NO LEG SWELLING OK HOW ABOUT +RES0015-069 LIKE YOUR HEART'S RACING NO NO OK +RES0015-070 OK AND ANY NAUSEA OR VOMITING +RES0015-071 NO NO NAUSEA OR VOMITTING HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS +RES0015-072 NO +RES0015-073 OK HOW ABOUT CHANGES IN URINATING +RES0015-074 NO IT'S BEEN FINE +RES0015-075 ALRIGHT ANY HEADACHES +RES0015-076 NO HEADACHES +RES0015-077 ANY DIZZINESS OR FAINTING SPELLS +RES0015-078 NO NOTHING LIKE THAT +RES0015-079 OK NO CONFUSION OR MEMORY LOSS +RES0015-080 NO +RES0015-081 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS +RES0015-082 I THINK WHEN I WAS BACK IN INDIA A COUPLE YEARS AGO THEY DID GIVE ME SOME ANTIBIOTICS FOR LIKE A CHEST INFECTION BUT I COULDN'T REALLY AFFORD THE MEDICATIONS AND DIDN'T TAKE THEM I DIDN'T FINISH THE COURSE BUT OTHER THAN THAT NOTHING ELSE +RES0015-083 OK DID THEY MENTION WHAT TYPE OF CHEST INFECTION IT COULD'VE BEEN +RES0015-084 NO I DON'T REALLY REMEMBER I THINK IT WAS SOME KIND OF PNEUMONIA +RES0015-085 OK OK ARE YOU ON ANY MEDICATIONS +RES0015-086 JUST I TAKE TYLENOL SOMETIMES LIKE +RES0015-087 IT HASN'T REALLY BEEN HELPING +RES0015-089 ARE YOU ALLERGIC TO ANYTHING NO NOT THAT I KNOW OF +RES0015-090 ARE YOU UP TO DATE WITH ALL YOUR +RES0015-091 IMMUNIZATIONS AS FAR AS I KNOW OK AND AND IS THERE ANY FAMILY HISTORY OF LUNG CONDITIONS +RES0015-093 CONDITIONS NOPE NO OK HOW ABOUT +RES0015-094 CANCERS NO +RES0015-095 CANCERS THAT RUN IN THE FAMILY NO OK OK SO YOU MENTIONED YOU MOVED TO CANADA FROM INDIA ABOUT A YEAR BACK +RES0015-096 WHERE DO YOU LIVE NOW SO I LIVE IN IT'S WE HAVE LIKE A STUDENT HOUSE WITH SOME OF THE STUDENTS WHO CAME FROM INDIA AS WELL AND THERE'S SIX OF US LIVING TOGETHER IN IN A HOUSE +RES0015-097 OK OK AND ARE THEY SICK AS WELL OR NO +RES0015-098 SO THREE OF THEM ACTUALLY HAVE LIKE TWO OF THEM HAVE A COUGH AND ONE OF THEM HAS SOME SHORTNESS OF BREATH AS WELL +RES0015-099 OK AND HAVE THEY BEEN TO A DOCTOR HAVE THEY BEEN INVESTIGATED WERE THEY EVER GIVEN A DIAGNOSIS +RES0015-100 NO NOT THAT I KNOW OF I THINK I MIGHT BE THE FIRST ONE WHO ACTUALLY WENT TO A DOCTOR +RES0015-101 OK OK DO YOU SMOKE +RES0015-102 I SMOKE LIKE I WOULD SAY LIKE FIVE CIGARETTES A DAY +RES0015-103 OK HOW LONG HAVE YOU BEEN SMOKING FOR +RES0015-104 AROUND TEN YEARS +RES0015-105 OK THAT'S IT'S BEEN A WHILE THEN AND DO YOU DO YOU DRINK ALCOHOL +RES0015-106 NO I I DON'T DRINK AND I DON'T DO ANY DRUGS EITHER +RES0015-107 OK OK ARE YOU SEXUALLY ACTIVE +RES0015-108 NOT CURRENTLY NO +RES0015-109 NO OK HAVE YOU EVER HAD UNPROTECTED SEX +RES0015-110 NO +RES0015-111 NO OK OK DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING YOU WANTED TO DISCUSS THAT I HADN'T ASKED YOU ABOUT +RES0015-112 SO THIS IS JUST LIKE MY FIRST TIME VISITING A DOCTOR IN THIS COUNTRY AND LIKE I WAS JUST VERY SCARED THAT IT MIGHT BE SOMETHING SERIOUS SO JUST WANTED TO KNOW WHAT IT CAN BE +RES0015-113-1 FOR SURE SO THE FIRST THING WE WANT TO RULE OUT IS TB BECAUSE YOU HAVE RECENTLY MOVED TO CANADA FROM A COUNTRY WHERE IT IS I BELIEVE IT IS ENDEMIC SO AND SOME OF YOUR MOST OF YOUR SYMPTOMS FIT WITH TB +RES0015-113-2 AND HOW IT PRESENTS SO WE JUST WANT TO MAKE SURE IT'S NOT THAT BECAUSE IT IS HIGHLY INFECTIOUS AND AND WE DON'T WANT IT TO SPREAD SO +RES0015-113-3 WE CAN DO LIKE A AFB SMEAR OR I THINK THEY HAVE OTHER DIAGNOSTIC WORK UP FOR THAT TOO SO WE'LL DO THAT FIRST IF NOT WE CAN CHECK TO SEE IF IT'S +RES0015-113-4 LIKE ANOTHER ANOTHER TYPICAL PNEUMONIA WE CAN DO A CHEST X RAY FOR THAT AS WELL IF BOTH OF THOSE TURN OUT TO BE NEGATIVES THEN WE'LL HAVE TO WORK YOU UP FURTHER FOR OTHER THINGS LIKE COPD OR LUNG CANCER HOW DOES THAT SOUND +RES0015-114 THAT SOUNDS GOOD THANK YOU +RES0016-000 HOW ARE YOU DOING +RES0016-001 NOT SO WELL I I FEEL LIKE I'VE BEEN HAVING JUST WORSENING BREATHLESSNESS AND A COUGH FOR IT'S BEEN GOING ON FOR TWO YEARS NOW AND I JUST CAN'T SEEM TO GET RID OF IT +RES0016-002 OK THE COUGH AND BREATHLESSNESS BOTH STARTED TWO YEARS AGO +RES0016-003 I WOULD SAY APPROXIMATELY AROUND THE SAME TIME +RES0016-004 OK OK DO YOU ALWAYS HAVE THE BREATHLESSNESS OR DOES IT COME AND GO +RES0016-005 I THINK IT'S I FEEL SHORT OF BREATH MOST OF THE TIMES BUT IT'S MAINLY JUST GETS WORSE WHEN I'M EXERTING MYSELF WHEN I'M WALKING MORE THAN USUAL OR JUST WORKING IN THE GARDEN +RES0016-006 OK OK AND SAME THING WITH THE COUGH IT GETS WORSE WHEN YOU'RE WALKING AROUND +RES0016-007 I WOULD SAY SO +RES0016-008 OK AND WAS THERE ANY SORT OF TRIGGER FOR THIS TWO YEARS AGO ANYTHING THAT YOU REMEMBER +RES0016-009 NO IT KIND OF JUST STARTED GRADUALLY ON ITS OWN NO NO REAL TRIGGERS THAT I CAN REMEMBER +RES0016-010 OK AND DOES ANYTHING MAKE IT WORSE OR BETTER BESIDES THE EXERTION +RES0016-011 NO I THINK THAT'S PRETTY MUCH THE ONLY THING THAT REALLY MAKES IT WORSE +RES0016-012 OK AND HOW WOULD YOU DESCRIBE YOUR BREATHLESSNESS IS IT THAT YOU'RE BREATHING TOO FAST OR YOU CAN'T CATCH YOUR BREATH +RES0016-013 IT'S I THINK IT'S MORE SO JUST I CAN'T CATCH MY BREATH AND SOMETIMES I JUST HAVE TROUBLE BEING ABLE TO TAKE LIKE A FULL BREATH +RES0016-014 OK OK AND OUT OF ONE TO TEN TEN BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS +RES0016-015 IT CAN GET UP TO I WOULD SAY LIKE AN EIGHT SOMETIMES WHEN I'M DOING A LOT OF WORK +RES0016-016 OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE +RES0016-017 NOT BEFORE THE TWO YEARS BEFORE I I NEVER FELT ANYTHING LIKE THAT +RES0016-018 OK AND YOU MENTIONED IT'S GRADUALLY BEEN GETTING WORSE RIGHT +RES0016-019 I WOULD SAY SO +RES0016-020 OK AND THE COUGH DO YOU EVER COUGH UP ANY BLOOD +RES0016-021 NO IT'S IT'S USUALLY JUST A DRY COUGH NO NO I DON'T PRODUCE ANY MUCUS OR BLOOD +RES0016-022 OK OK AND DO YOU FEEL LIKE YOU'RE WHEEZY +RES0016-023 NO I HAVEN'T HEARD ANY KIND OF WHEEZINESS AT ALL +RES0016-024 OK ANY ISSUES WITH YOUR BREATHLESSNESS WHEN YOU'RE LAYING DOWN +RES0016-025 NO I'M COMPLETELY FINE LAYING DOWN +RES0016-026 OK AND IT'S NOT WAKING YOU UP AT NIGHT RIGHT +RES0016-027 NO +RES0016-028 OK HAVE THERE BEEN ANY CHANGES TO YOUR TASTE RECENTLY +RES0016-029 NO NOT THAT I KNOW +RES0016-030 ANY CHANGES TO YOUR SMELL +RES0016-031 NO +RES0016-032 HAVE YOU EXPERIENCED A SORE THROAT +RES0016-033 NOPE +RES0016-034 RUNNY NOSE OR STUFFY NOSE +RES0016-035 NOPE NOT THAT I KNOW OF +RES0016-036 OK CHANGES IN YOUR HEARING OR EAR PAIN +RES0016-037 NO +RES0016-038 CHANGES IN YOUR VISION OR EYE PAIN +RES0016-039 NO NOTHING LIKE THAT +RES0016-040 OK AND HAVE YOU NOTICED ANY FEVERS +RES0016-041 MAYBE SOME CHILLS HERE AND THERE BUT NOT NOT REALLY A FEVER NO +RES0016-042 OK AND YOU MENTIONED CHILLS HOW ABOUT NIGHT SWEATS +RES0016-043 JUST A FEW TIMES PER WEEK I WOULD MAYBE HAVE TO TAKE OFF MY BLANKET SOMETIMES I NOTICE A LOT OF MY SWEAT COVERING THE BED SHEETS THAT'S BEEN GOING ON FOR ABOUT SAY A COUPLE MONTHS NOW +RES0016-044 OK OK ANY WEIGHT LOSS +RES0016-045 I THINK OVER THE LAST FEW MONTHS I MAY HAVE LOST LIKE AROUND THREE THREE KILOGRAMS +RES0016-046 OK OK ANY RASHES ON YOUR BODY +RES0016-047 NOT THAT I KNOW NO +RES0016-048 OK HOW ABOUT LIKE FEELING YOU'RE LIKE YOU'RE TIRED +RES0016-049 I FEEL PRETTY TIRED SOMETIMES BUT I JUST THOUGHT IT WAS BECAUSE I'M GETTING OLDER +RES0016-050 OK FAIR ENOUGH HOW ABOUT CHEST PAIN +RES0016-051 NO CHEST PAIN NO NO +RES0016-052 ANY SWELLING IN YOUR ARMS OR LEGS +RES0016-053 NO NOT THAT I'VE NOTICED +RES0016-054 OK AND HOW ABOUT FEELING LIKE YOUR HEART'S RACING +RES0016-055 NO HEART HAS BEEN FINE +RES0016-056 OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS +RES0016-057 NO I GO PRETTY REGULARLY +RES0016-058 OK AND URINE ANY CHANGES THERE +RES0016-059 NOPE +RES0016-060 OK HOW ABOUT NAUSEA AND VOMITING +RES0016-061 NO +RES0016-062 HEADACHES +RES0016-063 NO +RES0016-064 OK ANY DIZZINESS OR FAINTING SPELLS +RES0016-065 NO +RES0016-066 NO OK HOW ABOUT CONFUSION OR MEMORY LOSS +RES0016-067 NOT THAT I KNOW OF NO +RES0016-068 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS +RES0016-069 I DO HAVE HIGH BLOOD PRESSURE AND I THINK THEY SAID LIKE MY PROSTATE IS LARGER THAN NORMAL BUT NOTHING ELSE +RES0016-070 OK AND HAVE YOU BEEN SICK IN THE PAST +RES0016-071 IN TERMS OF LIKE BREATHING I THINK MAYBE AS A CHILD LIKE I MAY HAVE HAD LIKE A PNEUMONIA BUT NOTHING ELSE +RES0016-072 OK AND ARE YOU ON ANY MEDICATIONS +RES0016-073 JUST RAMIPRIL FOR MY HIGH BLOOD PRESSURE +RES0016-074 OK HOW LONG HAVE YOU BEEN ON THAT MEDICATION FOR +RES0016-075 FOR A PRETTY LONG TIME I WOULD SAY MORE THAN TEN YEARS +RES0016-076 OK AND NO ISSUES SIDE EFFECTS WITH THAT RIGHT +RES0016-077 NO AND MY BLOOD PRESSURE IS PRETTY WELL CONTROLLED ON THAT MEDICATION +RES0016-078 OK GOOD ANY ALLERGIES +RES0016-079 NO NO ALLERGIES +RES0016-080 ARE YOU UP TO DATE WITH ALL OF YOUR IMMUNIZATIONS +RES0016-081 I GOT MY SHINGLES AND MY PNEUMONIA VACCINATION EVERYTHING LIKE THAT +RES0016-082 OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY +RES0016-083 SO MY DAD HAD QUITE A FEW PROBLEMS HE HAD TYPE TWO DIABETES THEN HE SUFFERED FROM TWO STROKES AND THEN HE ALSO HAD A HEART ATTACK IN I THINK WHEN HE WAS LIKE FIFTY SIX BUT THEN HE ACTUALLY ENDED UP DYING OF BOWEL CANCER IN HIS SEVENTIES +RES0016-084 OK HOW ABOUT YOUR MOTHER IS SHE ALIVE IS SHE HEALTHY +RES0016-085 MY MOM IS ALIVE BUT SHE SUFFERED FROM TYPE TWO DIABETES AND HIGH BLOOD PRESSURE AS WELL AND SHE ALSO HAD LIKE HYPOTHYROIDISM AND SHE ALSO SUFFERED FROM DEPRESSION AS WELL +RES0016-086 OK OK SO DO YOU LIVE BY YOURSELF AND WHERE DO YOU LIVE +RES0016-087 I LIVE ON AN APARTMENT AND IN APARTMENT BY MYSELF RIGHT NOW I DO FIND IT DIFFICULT GETTING OUT OF THE HOUSE RECENTLY JUST BECAUSE OF MY SHORTNESS OF BREATH BUT OTHER THAN THAT I FEEL THAT I'M PRETTY INDEPENDENT +RES0016-088 OK AND DO YOU SMOKE +RES0016-089 NO I'VE NEVER SMOKED IN MY LIFE +RES0016-090 NO HOW ABOUT OTHER RECREATIONAL DRUGS +RES0016-091 NO NO MARIJUANA NO COCAINE NOTHING LIKE THAT +RES0016-092 OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +RES0016-093 NO +RES0016-094 OK AND DO YOU STILL WORK +RES0016-095 NO I ACTUALLY WORKED AT JUST THE HOSPITAL I USED TO VOLUNTEER BUT NOW I JUST CAN'T GET OUT OF THE HOUSE I FEEL JUST TIRED AND SHORT OF BREATH ALL THE TIME SO JUST STAYING IN MY HOUSE MOST OF THE TIME +RES0016-096 OK AND HAS ANYONE AROUND YOU BEEN SICK +RES0016-097 NO NOT THAT I KNOW +RES0016-098 NO AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0016-099 NO NO +RES0016-100 OK HAVE YOU BEEN WORKED UP FOR THIS IN THE PAST TWO YEARS LIKE HAVE YOU HAD ANY CHEST X RAYS OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT +RES0016-101 NO I'VE NEVER REALLY HAD THIS ISSUE BEFORE SO NO INVESTIGATIONS +RES0016-102 OK OK WELL THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD THAT I MAYBE MISSED +RES0016-103 NO I JUST IT'S BEEN GOING ON FOR TWO YEARS AND I FEEL LIKE IT'S GETTING WORSE AND WORSE AND I'M JUST SCARED OF HAVING TO YOU KNOW GO ON OXYGEN OR LIKE JUST NOT BEING ABLE TO BREATHE AT ONE POINT +RES0016-104-1 YEAH FOR SURE SO WE WILL TRY TO DO A GOOD JOB WORKING YOU UP FOR EVERYTHING THAT WE THINK IT MAY BE AND RIGHT NOW IT SOUNDS LIKE IT COULD BE PULMONARY FIBROSIS EITHER LIKE YOU KNOW AN AUTOIMMUNE PROCESS +RES0016-104-2 OR TRIGGERED AFTER LIKE AN INFECTION THAT YOU MAY HAVE HAD IN THE PAST WE WILL DEFINITELY ALSO LOOK INTO SEE IF IT'S PERHAPS A LUNG CANCER +RES0016-104-3 ASTHMA AND YOU MENTIONED YOU DON'T SMOKE SO WE DON'T THINK IT COULD BE COPD BUT WE'LL ALSO TEST FOR THAT IN CASE ALL EVERYTHING ELSE COMES BACK NEGATIVE +RES0016-105 OK SOUNDS GOOD THANK YOU SO MUCH +RES0016-106 THANK YOU TAKE CARE YOU TOO +RES0017-000 I'VE BEEN HAVING THIS COUGH FOR AROUND I WOULD SAY HALF A YEAR NOW AND I JUST CAN'T SEEM TO GET RID OF IT +RES0017-001 OK AND DOES THIS COUGH HAVE ANY PHLEGM THAT YOU BRING UP +RES0017-002 NO IT'S COMPLETELY DRY I CAN'T BRING ANYTHING UP +RES0017-003 OK AND SINCE THE COUGH STARTED HAS IT BEEN GETTING GETTING WORSE STAYING THE SAME GETTING ANY BETTER +RES0017-004 IT WAS PRETTY MUCH THE SAME FOR I WOULD SAY LIKE THREE OR FOUR MONTHS BUT THEN I'VE NOTICED IT GETTING MORE FREQUENT OVER THE LAST COUPLE OF MONTHS +RES0017-005 OK AND SIX MONTHS AGO CAN YOU THINK OF ANYTHING THAT THAT CHANGED INCLUDING LIKE TRAVELING ANYWHERE OR CHANGING IN IN YOUR WORK OR OR LIVING ENVIRONMENT +RES0017-006 NOT REALLY I'M LIKE ALMOST SEVENTY FIVE YEARS OLD NOW SO I JUST THOUGHT IT WAS PROBABLY JUST DUE TO MY AGE +RES0017-007 OK HAVE YOU BEEN HAVE YOU BROUGHT UP ANY BLOOD WITH THE COUGH +RES0017-008 NO I'VE NEVER BROUGHT UP ANY BLOOD +RES0017-009 OK AND HAVE YOU HAVE HAD ANY SHORTNESS OF BREATH +RES0017-010 NOT THAT I'VE NOTICED BUT I DO FIND THAT I GET A LITTLE BIT MORE TIRED WITH EXERCISE THAN I USED TO BUT NOT REALLY ANY SHORTNESS OF BREATH +RES0017-011 OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +RES0017-012 I DON'T KNOW IF THIS IS JUST DUE TO OLD AGE BUT LIKE I'VE NOTICED SOME JOINT PAIN AS WELL LIKE IN MY HANDS AND FEET I JUST ASSUMED THAT WAS CAUSE I'M GETTING OLD +RES0017-013 OK AND HAS THERE BEEN ANYTHING THAT'S MADE THE COUGH WORSE +RES0017-014 SOMETIMES WHEN I'M EXERCISING A LOT MORE BUT NOT NOT TOO MUCH IT'S KIND OF JUST ALWAYS BEEN THERE HASN'T REALLY CHANGED TOO MUCH BUT IT'S GOTTEN MORE FREQUENT OVER THE LAST COUPLE OF MONTHS +RES0017-015 OK AND ANYTHING THAT'S MADE THE COUGH BETTER THAT YOU'VE TRIED +RES0017-016 NO NOTHING I'VE TRIED LIKE EVERYTHING I'VE TRIED TYLENOL COLD I'VE TRIED OTHER HOME REMEDIES BUT LIKE LIKE STEAMING AND EVERYTHING LIKE THAT BUT NOTHING HAS REALLY HELPED +RES0017-017 OK AND IS THE COUGH WORSE IN THE MORNING THROUGHOUT THE DAY OR OR AT NIGHT +RES0017-018 IT'S PRETTY MUCH ALWAYS THERE IT DOESN'T REALLY CHANGE WITH ANY TIME OF THE DAY +RES0017-019 OK AND IS THE COUGH INTERFERING WITH SLEEP +RES0017-020 I SOMETIMES I I DO HAVE COUGHING FITS AT NIGHT THAT WAKE ME UP I DO HAVE +RES0017-021 DISRUPTED SLEEP OVER THE LAST FEW MONTHS +RES0017-022 OK AND YOU MENTIONED SOME JOINT PAINS AS WELL AND THEN WHEN DID THAT THOSE START +RES0017-023 I WOULD SAY OVER THE LAST YEAR IS WHEN I STARTED NOTICING IT A LOT MORE THAN BEFORE +RES0017-024 OK HAVE YOU BEEN HAVING JOINT STIFFNESS OR OR MUSCLE STIFFNESS EARLY IN THE MORNING +RES0017-025 IT DOES GET A LITTLE BIT MORE STIFF IN THE MORNING BUT IT'S KIND OF JUST THERE THROUGHOUT THE DAY +RES0017-026 OK HAVE YOU NOTICED ANY RED HOT OR OR KIND OF SWOLLEN JOINTS +RES0017-027 NO NOTHING LIKE THAT +RES0017-028 OK ANY INJURIES TO ANY OF YOUR LIMBS OR OR JOINTS THAT COULD EXPLAIN SOME OF THE PAINS +RES0017-029 THERE +RES0017-030 NO NOT THAT I KNOW OF NOPE +RES0017-031 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING A LOT OF FATIGUE +RES0017-032 I DEFINITELY HAVE BEEN MORE TIRED I CAN'T REALLY EVEN GO OUTSIDE FOR A WALK SOMETIMES OR I GET REALLY TIRED WORKING IN THE GARDEN SO IT'S BEEN TOUGH +RES0017-033 OK AND WHEN DID THAT WHEN DID YOU NOTICE THAT CHANGE AND AND HOW WERE YOU DIFFERENT BEFORE +RES0017-034 LIKE BEFORE LIKE BEFORE SIX MONTHS AGO I REMEMBER I USED TO BE ABLE TO GO FOR LONG WALKS AROUND THE BLOCK THEN WHEN I WAS GARDENING I CAN GO ON FOR HOURS BUT NOW I'M PRETTY IT'S PRETTY LIMITED TO LIKE MAYBE FIFTEEN TWENTY MINUTES AND THEN I HAVE TO GO BACK INTO THE HOUSE +RES0017-035 I SEE OK SO PRETTY BIG DIFFERENCE OVER THE LAST SIX MONTHS TO A YEAR FOR YOU +RES0017-036 HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS +RES0017-037 NOT REALLY NOT THAT I KNOW OF +RES0017-038 OK HOW ABOUT EXCESSIVE SWEATING AT NIGHT +RES0017-039 NOPE +RES0017-040 ALRIGHT AND HOW HAS YOUR APPETITE BEEN +RES0017-041 MY APPETITE HAS BEEN AROUND THE SAME NO CHANGES THERE +RES0017-042 OK HAVE YOU EXPERIENCED ANY WEIGHT LOSS +RES0017-043 I'VE ACTUALLY I THINK LOST A COUPLE POUNDS BUT NOT NOT TOO MUCH +RES0017-044 OK WOULD THAT BE OVER THE LAST SIX MONTHS OR SO +RES0017-045 AROUND THE LAST I WOULD SAY THREE TO FOUR MONTHS +RES0017-046 OK HAVE YOU NOTICED ANY SWOLLEN GLANDS ANYWHERE LIKE IN YOUR NECK OR ANYTHING LIKE THAT YOU MIGHT FEEL LIKE A LUMP +RES0017-047 NO NOT REALLY +RES0017-048 OK HAVE YOU HAD A SORE THROAT OR OR RUNNY NOSE +RES0017-049 NO I HAVEN'T HAD A COLD FOR MORE THAN TWO OR THREE YEARS I THINK +RES0017-050 OK ABOUT A LOSS OF SMELL +RES0017-052 LOSS OF TASTE +RES0017-054 ALRIGHT HAVE YOU BEEN EXPERIENCING ANY CHEST PAINS +RES0017-055 WHEN THE COUGHING GETS PRETTY BAD LIKE I GET SOME STRAIN IN MY CHEST BUT NOTHING OTHER THAN THAT +RES0017-056 ALRIGHT AND ANY HEART RACING +RES0017-058 ALRIGHT AND HOW ABOUT WHEEZING +RES0017-059 NO NOT REALLY +RES0017-060 OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS LIKE IN YOUR HANDS AND YOUR FEET OR ANKLES +RES0017-062 ALRIGHT AT NIGHT HAVE YOU HAD ANY PERIODS WHERE YOU WOKE UP EXTREMELY SHORT OF BREATH AND YOU HAD TO SIT ON THE EDGE OF THE BED WITH YOUR FEET OVER +RES0017-063 NO NOT THAT I REMEMBER +RES0017-064 OK AND HOW MANY PILLOWS DO YOU SLEEP WITH +RES0017-065 JUST ONE SAME AS BEFORE +RES0017-066 OK AND ANY ABDOMINAL PAIN +RES0017-067 NO NO PAIN IS JUST IN MY JOINTS AND SOMETIMES IN MY MUSCLES BUT OTHER THAN THAT NO +RES0017-068 OK ANY URINARY PROBLEMS LIKE PAIN OR OR GOING REALLY OFTEN +RES0017-069 NOPE +RES0017-070 ALRIGHT AND THEN ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION +RES0017-071 NO NOT THAT I KNOW OF +RES0017-072 OK AND HAVE YOU NOTICED ANY SKIN RASHES +RES0017-074 NOPE OK AND ARE THERE ANY JOINTS IN PARTICULAR THAT ARE MOST AFFECTED +RES0017-075 I WOULD SAY LIKE MY LEGS AND ARMS IT'S IT'S PRETTY MUCH LOT OF THE JOINTS NOT REALLY AFFECTING MY HIP BUT LIKE EVERYTHING ELSE SEEMS A BIT SORE +RES0017-076 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0017-077 NO NEVER I'VE BEEN PRETTY FORTUNATE +RES0017-078 OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIPTION OR OVER THE COUNTER +RES0017-079 NO JUST VITAMINS BUT NOTHING ELSE +RES0017-080 ALRIGHT DO YOU HAVE ANY ALLERGIES +RES0017-081 NO NOT THAT I KNOW OF +RES0017-082 HAVE YOU BEEN SO YOU SAID YOU'VE BEEN PRETTY HEALTHY BUT HAVE YOU BEEN IN THE HOSPITAL FOR ANY REASON RECENTLY +RES0017-083 NO +RES0017-085 IMMUNIZATIONS UP TO DATE I I GOT A SHINGLES VACCINE +RES0017-086 THE ONE FOR PNEUMONIA AS WELL OK AND HAVE YOU TRAVELED ANY +RES0017-087 WHERE RECENTLY +RES0017-088 NO I'VE BEEN AT HOME OK AND IN THE FAMILY HAVE YOU HEARD OF ANYTHING LIKE THIS HAPPENING IN THE FAMILY SORT OF WAY ONSET OF THIS KIND OF SHORTNESS OF +RES0017-089 BREATH AND COUGH THAT YOU'VE BEEN EXPERIENCING NOT REALLY I I DON'T REALLY HAVE SHORTNESS OF BREATH LIKE IT'S IT'S LIKE A DRY COUGH SOMETIMES I DO FIND MYSELF BREATHING MORE SHALLOW MOSTLY IT'S JUST A DRY COUGH THAT'S BEEN GOING ON +RES0017-090 OK AND MORE OF THE FATIGUE +RES0017-091 OK AND ANYBODY IN THE FAMILY HAVE LIKE AUTOIMMUNE DISEASES LIKE RHEUMATOID ARTHRITIS OR OR LUPUS +RES0017-092 I DON'T REALLY I CAN'T REALLY THINK OF NOTHING MY MOM AND DAD WERE COMPLETELY HEALTHY SO I KNOW AND I DON'T HAVE ANY SIBLINGS SO NOT NOTHING THAT I KNOW OF +RES0017-093 OK ANY CANCERS IN THE FAMILY LIKE COLON CANCER OR ANYTHING LIKE THAT +RES0017-094 NO NO CANCERS +RES0017-095 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +RES0017-096 SO RIGHT NOW I LIVE ALONE IN A SMALL TOWNHOUSE AND THAT'S I HAVE A PET DOG BUT THAT'S THAT'S ABOUT IT +RES0017-097 OK AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY +RES0017-098 SO I'M RETIRED BUT GETTING A PRETTY GOOD PENSION AS WELL AS FOR MY A HUSBAND'S PENSION AS WELL BUT HE UNFORTUNATELY PASSED AWAY A COUPLE YEARS AGO +RES0017-099 I'M SORRY TO HEAR THAT WHAT DID YOU SAY YOU RETIRED WHAT DID YOU DO FOR WORK PREVIOUSLY DID YOU HAVE ANY EXPOSURES TO CHEMICALS OR ASBESTOS PRODUCTS WHILE WHILE AT WORK +RES0017-100 NOT THAT I REMEMBER NO IT WAS IT WAS A PRETTY PRETTY MUCH LIKE A DESK JOB I WOULD SAY +RES0017-101 OK SO NO REASONS THAT YOU WERE VISITING FARMS AND LIKE BEING AROUND BIRDS OR ANYTHING LIKE THAT +RES0017-102 NOT REALLY BUT I I DO THINK LIKE THE OLD BUILDING THAT WE LIVED IN MIGHT HAVE HAD ASBESTOS DOES THAT DOES THAT LIKE COUNT AT ALL +RES0017-103 LIKE A IT COULD BE IMPORTANT BECAUSE WELL HOW LONG HOW LONG DID YOU LIVE THERE FOR +RES0017-104 I WOULD SAY ALMOST TWENTY YEARS +RES0017-105-1 OK SO YES THAT DEFINITELY WOULD BE IS IS IMPORTANT FOR THE HISTORY TODAY BECAUSE UNFORTUNATELY LONG TERM EXPOSURE TO ASBESTOS WHEN BREATHING IT IN CAN +RES0017-105-2 CAUSE SOME OF THE SYMPTOMS THAT YOU'VE BEEN DESCRIBING ALONG WITH COUGH AND RESPIRATORY SYMPTOMS SO IT'LL BE SOMETHING THAT WE'LL BE SURE TO INVESTIGATE TODAY OK +RES0017-105-3 BUT I JUST HAD A COUPLE MORE QUESTIONS FIRST +RES0017-106 DO YOU SMOKE CIGARETTES I QUIT LONG TIME AGO MORE THAN LIKE TEN YEARS AGO BUT I USED TO SMOKE LIKE FIVE TO TEN CIGARETTES FOR AROUND TWENTY YEARS +RES0017-107 OK AND DO YOU SMOKE CANNABIS +RES0017-108 NO +RES0017-109 ALRIGHT DO YOU DRINK ALCOHOL +RES0017-110 NO NOT ANYMORE +RES0017-111 OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS +RES0017-112 NO +RES0017-113 ALRIGHT AND ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0017-114 NO +RES0017-115 ALRIGHT AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +RES0017-116 NO +RES0017-117 OK SO THOSE ARE THE QUESTIONS THAT I WANTED TO GO OVER TO MAKE SURE I ASKED ON HISTORY WAS THERE ANYTHING THAT ELSE YOU WANTED TO TELL ME +RES0017-118 NO I THINK THAT'S ALL +RES0017-119-1 OK SO NEXT WE'LL DO YOUR PHYSICAL EXAM AND ORDER SOME INVESTIGATIONS BUT CURRENTLY THINKING THAT IT COULD BE RELATED TO ASBESTOS EXPOSURE AS WELL AS +RES0017-119-2 SOMETHING CALLED WELL IT COULD CAUSE PULMONARY FIBROSIS AND THEN ALSO THE JOINT PAINS THAT YOU'VE BEEN EXPERIENCING MIGHT BE ANOTHER SYMPTOM THAT IS SUGGESTIVE OF A CONNECTIVE TISSUE DISEASE AND +RES0017-119-3 IT DOESN'T SOUND LIKE YOU HAVE A FAMILY HISTORY OF THOSE BUT WE WILL DO SOME LAB WORK AND INVESTIGATIONS FOR FOR THOSE INCLUDING A CHEST X RAY AND A CHEST CT +RES0017-120 SOUNDS GOOD +RES0018-000 I'VE JUST BEEN HAVING THIS THIS COUGH OVER THE LAST FEW DAYS AND I ALSO NOTICE THAT I'M GETTING LIKE THESE HEADACHES AND CHILLS AS WELL AT NIGHT SO I WAS JUST A BIT CONCERNED +RES0018-001 OK SO THE COUGH STARTED A FEW DAYS AGO HAVE YOU BEEN BRINGING UP ANY PHLEGM +RES0018-002 NO NOT REALLY IT'S BEEN PRETTY MUCH LIKE A DRY COUGH I DID FEEL LIKE A TICKLE IN MY THROAT BEFORE IT STARTED BUT NO I'M NOT PRODUCING ANY PHLEGM +RES0018-003 OK IS THE COUGH ANY WORSE AT ANY PARTICULAR TIME OF DAY LIKE WHEN YOU FIRST GET UP OR OR AT NIGHT WHEN GOING TO BED +RES0018-004 NO IT'S PRETTY MUCH JUST BEEN THERE OVER THE LAST AT LEAST LIKE TWO DAYS IT'S BEEN GETTING WORSE MORE FREQUENT +RES0018-005 OK SO AND ARE YOU COUGHING ALL THROUGHOUT THE DAY +RES0018-006 PRETTY MUCH AT LEAST FOR THE LAST FEW DAYS JUST IT'S BEEN PRETTY NONSTOP +RES0018-007 OK ANYTHING THAT'S MADE THE COUGH WORSE +RES0018-008 NO NOT REALLY IT'S PRETTY MUCH BEEN THE SAME FOR THE LAST FEW DAYS +RES0018-009 ANYTHING YOU'VE TRIED TO MAKE THE COUGH GO AWAY +RES0018-010 JUST LIKE TYLENOL COLD AND THEN I THINK THERE WAS ANOTHER OVER THE COUNTER MEDICATION THAT I TOOK BUT NOTHING REALLY HELPING +RES0018-011 OK AND THE COUGH HAS BEEN BEEN GETTING WORSE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +RES0018-012 I DID JUST JUST LAST NIGHT ACTUALLY I THOUGHT THAT I HAD SOME SHORTNESS OF BREATH AS WELL I DON'T KNOW IF THAT'S BEING CAUSED BY ALL THE COUGHING BUT I GOT PRETTY SCARED SO THAT'S WHY I'M HERE TODAY +RES0018-013 OK HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE +RES0018-014 NO LIKE I'VE BEEN PRETTY HEALTHY OTHERWISE COMPLETELY SO THIS IS THIS IS COMPLETELY NEW FOR ME +RES0018-015 OK AND YOU MENTIONED YOU HAD A FEVER BUT DID HAVE YOU CHECKED YOUR TEMPERATURE +RES0018-016 NO I HAVEN'T I I JUST HAD LIKE CHILLS OVER THE LAST TWO NIGHTS JUST HAD TO PUT ON LIKE THREE THREE BLANKETS JUST TO GET TO SLEEP BUT I HAVEN'T REALLY CHECKED MY TEMPERATURE +RES0018-017 OK I HAVE YOU HAD NIGHT SWEATS +RES0018-018 NO NOT REALLY JUST MOSTLY CHILLS +RES0018-019 OK AND HOW HAS YOUR ENERGY BEEN THE LAST FEW DAYS HAVE YOU HAVE YOU HAD A LOT OF FATIGUE +RES0018-020 I JUST FEEL COMPLETELY JUST SICK LIKE WHAT IT FEELS LIKE I HAVE THE FLU OR SOMETHING AND I JUST FEEL REALLY TIRED TOO +RES0018-021 OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +RES0018-022 NO NOT REALLY I DID HAVE LIKE A I DON'T KNOW IF IT WAS SORENESS BUT JUST LIKE A TICKLE IN MY THROAT JUST A FEW DAYS BACK BEFORE THE COUGHING STARTED +RES0018-023 OK AND HAVE YOU HAD ANY LOSS OF SMELL OR OR LOSS OF TASTE +RES0018-024 NOW THAT I THINK OF IT I I I I CAN'T I CAN BARELY TASTE TASTE THE FOOD THAT I'M EATING I DON'T KNOW ABOUT SMELL I I'M PRETTY STUFF STUFF STUFFY RIGHT NOW SO THAT MIGHT JUST BE BECAUSE OF THAT I DEFINITELY NOTICE I CAN'T REALLY TASTE MY FOOD +RES0018-025 ALRIGHT AND HAVE YOU BEEN HAVING ANY WHEEZING +RES0018-026 NO NO WHEEZING +RES0018-027 ALRIGHT AND SHORTNESS OF BREATH WERE YOU AT REST WHEN THAT THAT HAPPENED OR WERE YOU EXERCISING OR EXERTING YOURSELF WHAT HOW DID THE SHORTNESS OF BREATH COME ON +RES0018-028 I WAS ACTUALLY JUST LAYING DOWN AND I WAS SLEEPING AND I JUST NOTICED THAT I COULDN'T REALLY TAKE DEEP BREATHS SO I KIND OF JUST GOT BACK UP AND IT WAS JUST DURING LAST NIGHT IT HASN'T HAPPENED AFTER THAT BUT I'M SCARED IT WILL HAPPEN AGAIN +RES0018-029 OK AND HAVE YOU HOW MANY PILLOWS DO YOU USUALLY SLEEP WITH +RES0018-030 JUST ONE +RES0018-031 HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES +RES0018-032 NO NOTHING LIKE THAT +RES0018-033 ALRIGHT HAVE YOU HAD ANY CHEST PAIN +RES0018-034 NO NO CHEST PAIN +RES0018-035 ANY FEELING ANY EPISODES WHERE YOU FEEL LIKE YOU WERE GONNA FAINT +RES0018-036 NO +RES0018-037 FEELING LIKE YOUR HEART'S RACING +RES0018-038 NO +RES0018-039 ALRIGHT HAVE YOU BEEN HAVING ANY ABDOMINAL PAINS +RES0018-040 NO ABDOMINAL PAINS +RES0018-041 ALRIGHT HOW ABOUT URINARY PROBLEMS +RES0018-042 NO NOTHING LIKE THAT +RES0018-043 ANY BOWEL PROBLEMS LIKE DIARRHEA +RES0018-044 NO IT'S PRETTY REGULAR +RES0018-045 OK HAVE YOU NOTICED ANY RASHES ANYWHERE +RES0018-046 NO +RES0018-047 ALRIGHT AND THEN HOW ABOUT LIKE MUSCLE ACHES OR OR JOINT ACHES +RES0018-048 NO NOTHING LIKE THAT JUST FEELING TIRED +RES0018-049 OK AND THEN HAVE YOU HAD ANY CHANGES TO YOUR VISION +RES0018-050 NO +RES0018-051 LIKE BLURRED VISION OR THINGS LIKE THAT +RES0018-052 NO NOTHING LIKE THAT +RES0018-053 ANY CHANGES TO YOUR VOICE LIKE IT SOUNDS MORE HOARSE TO YOU OR +RES0018-054 NO NOT REALLY +RES0018-055 OH OK AND ANY NAUSEA OR VOMITING +RES0018-056 I DID FEEL A BIT NAUSEOUS OVER THE LAST TWO DAYS BUT I HAVEN'T VOMITED +RES0018-057 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0018-058 NO I'VE BEEN PRETTY LUCKY NO MEDICAL CONDITIONS I DON'T EVEN TAKE ANY MEDICATIONS EITHER +RES0018-059 OK ANYTHING OVER THE COUNTER LIKE SUPPLEMENTS +RES0018-060 OR HERBAL NO JUST JUST THE COLD MEDICATIONS OVER THE COUNTER NOTHING ELSE +RES0018-061 OK ANY ALLERGIES TO MEDICATIONS +RES0018-062 NOT THAT I KNOW +RES0018-063 ANY HOSPITALIZATIONS +RES0018-064 NO +RES0018-065 HAVE YOU HAD ANY PRIOR SURGERIES +RES0018-066 NOPE +RES0018-067 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION NOW +RES0018-068 OH SO I JUST LIVE IN A TOWNHOUSE WITH MY WIFE AND TWO CHILDREN AND CURRENTLY WORKING AS AN ENGINEER PRETTY EVERYTHING ELSE IS PRETTY GOOD +RES0018-069 OK HAVE YOU HAD TO MISS WORK OVER THE LAST FEW DAYS +RES0018-070 I ACTUALLY DIDN'T GO TO WORK YESTERDAY JUST FELT TERRIBLE YESTERDAY +RES0018-071 OK HOW HAVE THE WIFE AND KIDS BEEN FEELING AT HOME +RES0018-072 THEY'RE ACTUALLY COMPLETELY FINE NOW THEY DON'T SEEM TO HAVE ANY ANY SYMPTOMS OF LIKE COUGHING OR ANYTHING LIKE THAT +RES0018-073 ANYBODY AT WORK THAT'S BEEN SICK +RES0018-074 THERE WAS ACTUALLY LIKE JUST WE WORK IN THE SAME KIND OF OFFICE SETTING ONE OF MY COWORKERS WAS COUGHING JUST LAST WEEK AND LIKE YOU KNOW MY BOSS TOLD US TOLD HIM TO LIKE GO HOME AND GET SOME REST AND HE WAS AWAY FOR A COUPLE DAYS +RES0018-075 OK DO YOU KNOW WHAT WHAT HE HAD OR ANYTHING LIKE THAT +RES0018-076 NO I'M NOT REALLY SURE NOW THAT I THINK OF IT LIKE I I DON'T I HAVEN'T SEEN HIM SINCE SO I HAVEN'T REALLY ASKED HIM I'M NOT REALLY SURE +RES0018-077 OK HAS HAVE YOU TRAVELED ANYWHERE OR HAS ANYBODY IN YOUR OFFICE BEEN BEEN TRAVELING ANYWHERE +RES0018-078 NO NOT REALLY NOT THAT I KNOW EVERYTHING IS PRETTY STRICT RIGHT NOW WITH WITH THE PANDEMIC GOING ON +RES0018-079 OK AND DO YOU SMOKE CIGARETTES +RES0018-080 NO +RES0018-081 DO YOU DRINK ALCOHOL +RES0018-082 JUST RARELY MAYBE A COUPLE TIMES A MONTH +RES0018-083 OK DO YOU USE RECREATIONAL DRUGS LIKE IV DRUG USE OR OPIOIDS OR CRYSTAL METH ANYTHING LIKE THAT +RES0018-084 NO NOTHING LIKE THAT +RES0018-085 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0018-086 OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR YOUR PARTNER OR PARTNERS +RES0018-087 JUST MY WIFE NO OTHER SEXUAL PARTNERS +RES0018-088 OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +RES0018-089 NOPE +RES0018-090 OK AND SO IN REGARDS TO YOUR FAMILY HISTORY HAS ANYBODY HAD SIMILAR SYMPTOMS +RES0018-091 BEFORE NO NOT REALLY NOT +RES0018-092 NOTHING LIKE THIS OK ANY HEART ATTACKS OR OR +RES0018-094 IN THE FAMILY NO OK AND THEN HOW ABOUT SO ANY +RES0018-095 CANCERS IN THE FAMILY I THINK I'VE HAD AN AUNT WHO HAD BREAST CANCER +RES0018-096-1 BUT NOTHING ELSE +RES0018-096-2 OK SO THOSE ARE ALL THE QUESTIONS I WANTED TO GO GO THROUGH ON HISTORY +RES0018-096-3 I AM CONCERNED THAT YOU MIGHT MIGHT HAVE COVID NINETEEN OR CORONAVIRUS AND SO IT COULD BE COVID OR THIS COULD BE +RES0018-096-4 ANOTHER VIRAL INFECTION OR POSSIBLY PNEUMONIA GOING ON BUT IT DOES SOUND LIKE +RES0018-096-5 YOU HAVE AN INFECTION AND SO WE'LL CHECK SOME SPUTUM CULTURES AND AND WE'LL ALSO DO A PCR NASAL +RES0018-097 SWAB TESTING FOR +RES0021-000 I WAS WONDERING IF YOU COULD START BY TELLING ME WHAT BROUGHT YOU IN +RES0021-001 SURE YOU KNOW I'VE BEEN FEELING A LITTLE HOT FOR THE PAST TWO DAYS I'VE HAD THIS AWFUL COUGH AND I JUST FEEL SO TIRED +RES0021-002 OK AND THIS STARTED TWO DAYS AGO +RES0021-003 YES TWO DAYS AGO +RES0021-004 OK YOU'VE BEEN FEELING HOT HAVE YOU CHECKED YOUR TEMPERATURE +RES0021-005 NO I HAVEN'T ACTUALLY CHECKED MY TEMPERATURE I JUST KIND OF PUT MY HAND ON MY FOREHEAD AND I JUST FEEL REALLY REALLY HOT +RES0021-006-1 OK SO WE'LL WE'LL CHECK IT RIGHT NOW AND +RES0021-006-2 OK SO WE'RE SEEING THAT IT'S YOUR TEMPERATURE IS ELEVATED AT THIRTY EIGHT POINT THREE RIGHT NOW SO IT DOES SOUND LIKE YOU YOU HAVE A FEVER +RES0021-006-3 OK AND YOU MENTIONED THAT YOU HAD YOU HAVE A COUGH +RES0021-007 YEAH I DO IT'S IT'S A DRY COUGH AND IT'S AWFUL I'VE BEEN HACKING FOR THE PAST TWO DAYS +RES0021-008 OH NO THAT DOESN'T SOUND VERY NICE HAS IT BEEN ANY BLOOD OR ANY SPUTUM +RES0021-009 NO BLOOD AND NO DEFINITELY NO SPUTUM OK +RES0021-010 ANYTHING THAT'S LIKE TRIGGERED THE COUGH +RES0021-011 I DON'T I DON'T THINK SO NO I DON'T THINK SO NO +RES0021-012 OK HAVE YOU HAD A COUGH LIKE THIS BEFORE +RES0021-013 MAYBE LIKE TEN YEARS AGO WHEN I HAD SOME SORT OF VIRAL INFECTION THEY SAID I HAD A DRY COUGH BUT NOTHING TO THIS EXTENT +RES0021-014 OK HAVE YOU HAD ANY INFECTIONS RECENTLY LIKE IN THE LAST MONTH OR SO LIKE A VIRAL ILLNESS LIKE WHERE YOU HAD MAYBE LIKE A RUNNY NOSE SORE THROAT AND AND A COUGH +RES0021-015 NO NO NOT NOT RECENTLY +RES0021-016 OK SO YOU'VE BEEN FEELING WELL RECENTLY +RES0021-017 OK AND YOU'VE YOU BEEN FATIGUED CAN YOU TELL ME A LITTLE BIT ABOUT ABOUT HOW YOU BEEN FEELING +RES0021-018 LIKE YOU MEAN IN TERMS OF MY FEVER OR COUGH +RES0021-019 OH SORRY I MEAN IN TERMS OF YOUR ENERGY +RES0021-020 OH MY ENERGY I'VE JUST BEEN FEELING SO TIRED IT SEEMS LIKE I CAN'T DO DAY TO DAY THINGS THAT I NORMALLY WOULD BE I WOULD NORMALLY HAVE NO ISSUES DOING +RES0021-021 I SEE OK AND ANY CHANGES TO SLEEP OR ANY KIND OF STRESSFUL EVENTS HAPPEN IN THE LAST FEW DAYS THAT MIGHT BE CAUSING YOU TO BE MORE TIRED +RES0021-022 I DON'T THINK SO NOTHING NOTHING BIG HAS HAPPENED IN MY LIFE NO BIG CHANGES +RES0021-023 OK AND SO YOU'VE HAD A FEVER COUGH AND BEING TIRED HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS THESE LAST FEW DAYS +RES0021-024 FEVER COUGH FATIGUE BUT I DON'T HAVE ANYTHING ANY OTHER SYMPTOMS BESIDES THOSE +RES0021-025 OK SO YOU YOU DO YOU HAVE ANY HEADACHES +RES0021-026 OH HEADACHES NO NO +RES0021-027 OK HOW ABOUT ANY EYE OR OR EAR SYMPTOMS LIKE DISCHARGE OR OR PAIN +RES0021-028 NO NOTHING LIKE THAT +RES0021-029 OK HAVE YOU HAD A LOSS OF TASTE OR A LOSS OF SMELL +RES0021-030 NO +RES0021-031 ALRIGHT AND HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +RES0021-032 NO +RES0021-033 OK HAVE YOU HAD ANY CHEST PAIN +RES0021-034 NOPE NO CHEST PAIN +RES0021-035 AND HOW ABOUT DIFFICULTY BREATHING OR SHORTNESS OF BREATH +RES0021-036 NOPE NO +RES0021-037 OK AND ANY WHEEZING OR WHISTLING NOISES WHILE YOU'RE BREATHING +RES0021-038 NO +RES0021-039 OK AND HAVE YOU FELT LIKE YOUR HEART'S RACING AT ALL +RES0021-040 NO +RES0021-041 HAVE YOU HAD ANY LIKE FAINTING SPELLS OR FEELING AS THOUGH YOU MIGHT PASS OUT +RES0021-042 NOPE NO +RES0021-043 ALRIGHT AND HOW ABOUT ANY DIZZINESS +RES0021-044 OH NO NO DIZZINESS EITHER +RES0021-045 ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0021-046 NO +RES0021-047 ALRIGHT AND HOW ABOUT ANY DIARRHEA OR CONSTIPATION +RES0021-048 NO +RES0021-049 ALRIGHT ANY ABDOMINAL PAIN +RES0021-050 NO +RES0021-051 AND ANY LIKE PAINFUL URINATION OR OR LIKE GOING TO THE BATHROOM FREQUENTLY +RES0021-052 NO +RES0021-053 ALRIGHT ANY NIGHT SWEATS +RES0021-054 NO +RES0021-055 AND HOW ABOUT ANY CHILLS OR RIGORS +RES0021-056 NO +RES0021-057 HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +RES0021-058 NONE +RES0021-059 ALRIGHT NOTICED ANY RASHES OR SKIN CHANGES OVER THIS PAST WEEK +RES0021-060 NO NO +RES0021-061 ALRIGHT AND HOW ABOUT ANY MUSCLE ACHES OR OR JOINT PAINS +RES0021-062 NO +RES0021-063 ALRIGHT SO IS THERE ANY REASON THAT YOU SEE A PHYSICIAN REGULARLY FOR OR BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0021-064 I HAVE RHEUMATOID ARTHRITIS +RES0021-065 OK ARE YOU TAKING MEDICATIONS FOR THAT +RES0021-066 YOU KNOW THEY PUT ME ON SOME SORT OF DMARD +RES0021-067 OK SO YOU'RE YOU'RE SEEING A RHEUMATOLOGIST FOR THAT +RES0021-068 I AM +RES0021-069 OK GREAT ANY OTHER DIAGNOSES +RES0021-070 NO +RES0021-071 OK AND SO ARE THERE ANY OTHER MEDICATIONS THAT YOU THAT YOU TAKE EITHER OVER THE COUNTER OR PRESCRIPTION BESIDES THE DMARD +RES0021-072 I TAKE IRON AND VITAMIN D AS WELL AS BIOTIN +RES0021-073 OK WHAT'S THE REASON FOR TAKING IRON +RES0021-074 AT ONE POINT OR ANOTHER THEY SAID MY IRON LEVELS WERE LOW BUT IT WENT BACK TO BEING NORMAL BUT I JUST TAKE IT NOW TO MAINTAIN THOSE LEVELS +RES0021-075 OK DO YOU HAVE LIKE HEAVY MENSTRUAL PERIODS +RES0021-076 NO +RES0021-077 OK AND HAVE YOU NOTICED ANY BLOOD IN THE STOOL EITHER EITHER BEING RED OR OR YOUR STOOL BEING REALLY DARK KIND OF LIKE A BLACK COLOUR +RES0021-078 NOPE +RES0021-079 OK AND DO YOU HAVE ANY ALLERGIES +RES0021-080 NO ALLERGIES +RES0021-081 ALRIGHT AND THEN CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +RES0021-082 I LIVE WITH TWO OF MY CHILDREN THEY ARE FIVE AND THREE AS WELL AS MY NEW BOYFRIEND +RES0021-083 OK GREAT AND FOR EITHER OF YOUR PREGNANCIES WERE THERE ANY COMPLICATIONS +RES0021-084 NO +RES0021-085 OK GREAT AND ARE THERE ANY CONCERNS FOR SAFETY IN THE HOME +RES0021-086 NO +RES0021-087 OK EXCELLENT AND WHAT DO YOU DO FOR WORK +RES0021-088 I WORK AS A SECRETARY FOR AN ACCOUNTING FIRM +RES0021-089 OK THAT SOUNDS LIKE A GREAT JOB AND DO YOU SMOKE CIGARETTES +RES0021-090 I USED TO I QUIT FIVE YEARS AGO +RES0021-091 ALRIGHT AND DO YOU SMOKE MARIJUANA +RES0021-092 NO +RES0021-093 OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS +RES0021-094 NO +RES0021-095 OK AND HAS ANYBODY IN THE HOUSE BEEN SICK EITHER YOUR BOYFRIEND OR OR YOUR CHILDREN +RES0021-096 NO +RES0021-097 OK ARE THEY GOING TO LIKE DAYCARE RIGHT NOW OR IN SCHOOL +RES0021-098 THEY ARE IN DAYCARE +RES0021-099 OK ANY KIDS IN THEIR DAYCARE THAT HAVE BEEN SICK +RES0021-100 NO I CHECKED NO ONE'S BEEN SICK +RES0021-101 ALRIGHT EXCELLENT IS THAT ANYBODY IN THE OFFICE WHERE YOU WORK BEEN SICK +RES0021-102 NO +RES0021-103 AND HAVE YOU TRAVELED ANYWHERE +RES0021-104 NO +RES0021-105 OK AND THEN ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR OR LUNG CONDITION +RES0021-106 NO +RES0021-107 OK NO AN ANY CANCER THAT THAT'S RUNS IN THE FAMILY +RES0021-108 ONE OF MY AUNTS HAD PANCREATIC CANCER +RES0021-109 OK ANY RELATIVES HAVE BREAST CANCER +RES0021-110 NO +RES0021-111 HOW ABOUT ANY RELATIVES WITH OVARIAN OR COLON CANCER +RES0021-112 NO +RES0021-113 OK AND SO I THINK THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK ACTUALLY I JUST REMEMBERED ONE HAVE YOU HAD ANY PRIOR SURGERIES +RES0021-114 NO NO PRIORS +RES0021-115 OK SORRY SO THAT WAS THE LAST QUESTION THAT I WANTED TO ASK ABOUT ON ON HISTORY WAS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I MAYBE I DIDN'T ASK ABOUT +RES0021-116 NO I THINK YOU COVERED IT ALL +RES0021-117 OK EXCELLENT SO WITH YOUR SYMPTOMS OF HAVING A KIND OF A FEVER COUGH AND BEING TIRED +RES0021-118 DEFINITELY CONCERNED OF VIRAL INFECTION AND POSSIBLY COVID NINETEEN OR SOMETHING MORE COMMON LIKE THE COMMON COLD +RES0021-119 LIKE AN ADENOVIRUS AND SO WILL DO SOME TESTING FOR FOR COVID NINETEEN WITH A NASAL PCR SWAB +RES0021-120 AS WELL AS RUN SOME BLOOD WORK BECAUSE THERE IS A POSSIBILITY +RES0021-121 THAT THERE'S A BACTERIAL INFECTION SUCH AS LIKE A PNEUMONIA OR LOWER RESPIRATORY TRACT INFECTION +RES0021-122 THAT WOULD BE TREATED WITH ANTIBIOTICS SO WE +RES0021-123 WE'LL ORDER THOSE INVESTIGATIONS ALONG WITH A CHEST X RAY AND WE WILL GO FROM THERE +RES0021-124 OK THAT SOUNDS GREAT THANK YOU SO MUCH +RES0021-125 YOU'RE WELCOME +RES0022-000 WOULD YOU MIND BY START STARTING TO TELL ME ABOUT WHAT BROUGHT YOU IN TODAY +RES0022-001-1 I I IT'S JUST OVER THE LAST WEEK I CAN'T LIKE DO ANYTHING WITHOUT JUST FEELING REALLY LIKE SHORT OF BREATH I'M HAVING A REALLY HARD TIME BREATHING LIKE KIND OF DO ANYWAYS +RES0022-001-2 BECAUSE I HAVE COPD SO I FEEL LIKE OVER A FEW YEARS IT'S BEEN GETTING WORSE BUT THIS WEEK IT JUST GOT REALLY BAD IN PARTICULAR +RES0022-002 OK I SEE SO HOW MUCH ACTIVITY WERE YOU DOING THAT WAS BRINGING ON THE SHORTNESS OF BREATH +RES0022-003 LIKE I I USUALLY I WILL WALK MY DOG AROUND THE BLOCK AND I HAVEN'T BEEN ABLE TO DO THAT LIKE MY HUSBAND'S BEEN DOING IT AND THEN I WAS JUST GOING TO TRY TO GET THE MAIL JUST LIKE I DON'T KNOW IT'S PROBABLY LIKE TWO HUNDRED FEET DOWN THE ROAD AND I COULD I WAS SO TIRED WHEN I GOT BACK AND I FELT LIKE I COULD BARELY BREATHE +RES0022-004 OK AND DID YOU HAVE ANY CHEST PAIN WITH THIS +RES0022-005 NO NO NOTHING LIKE THAT OK +RES0022-006 AND WHEN DID THE SHORTNESS OF BREATH SYMPTOMS START COMING ON +RES0022-007 LIKE IT I'VE BEEN I FEEL LIKE IT'S BEEN SORT OF GETTING WORSE OVER THE PAST FEW YEARS BUT JUST LIKE A WEEK AGO IT JUST GOT REALLY BAD LIKE VERY SUDDENLY +RES0022-008 OK AND HAS IT BEEN GETTING WORSE OVER THIS PAST WEEK OR HAS IT STAYED THE SAME +RES0022-009 IT MAYBE GETTING A BIT WORSE LIKE IT'S BEEN PRETTY BAD THE WHOLE TIME +RES0022-010 NO OK I SEE AND HAVE YOU HAD A COUGH +RES0022-011 LIKE I AGAIN LIKE I DO NORMALLY BECAUSE OF MY COPD BUT IT'S JUST BEEN REALLY IT'S BEEN EVEN WORSE THIS WEEK AND USUALLY WHEN I GET SICK IT'S MORE LIKE I'M LIKE BRINGING UP A LOT OF LIKE YELLOWISH GUNK BUT THIS TIME IT'S NOT BEEN QUITE AS LIKE GUNKIE IT'S BEEN PRETTY DRY +RES0022-012 OK SO YOU'RE NOT BRINGING UP ANY SPUTUM WITH YOUR COUGH +RES0022-013 NO MAYBE MAYBE A TINY BIT BUT I KINDA DO THAT LIKE ANYWAYS +RES0022-014 OK AND HAVE YOU COUGHED UP ANY BLOOD +RES0022-015 NO +RES0022-016 OK AND HAVE YOU HAD ANY OTHER SYMPTOMS THAT HAVE WENT ALONG WITH THIS DIFFICULTY BREATHING AND COUGH +RES0022-017 I MEAN I'VE BEEN I DON'T HAVE A THERMOMETER AT HOME BUT I HAVE FELT LIKE REALLY HOT AND JUST THIS MORNING LIKE MY HUSBAND YOU KNOW HE WAS TRYING TO MAKE SURE I WAS STILL EATING AND DRINKING A LOT AND I DON'T REALLY FEEL LIKE I AM TASTING MY FOOD ALL THAT WELL +RES0022-018 OK SO WOULD YOU SAY THAT YOU HAVE A LOSS OF TASTE RIGHT NOW +RES0022-019 PRETTY I'M PRETTY SURE I COULDN'T REALLY TASTE MY BREAKFAST +RES0022-020 OK AND HOW ABOUT YOUR SENSE OF SMELL +RES0022-021 ACTUALLY COME TO THINK OF IT I DON'T I DON'T THINK I'VE REALLY BEEN SMELLING MUCH +RES0022-022 OK SO YOU'RE NOT ABLE TO SMELL EITHER DO YOU FEEL LIKE YOUR NOSE IS CONGESTED OR ARE REALLY RUNNY +RES0022-023 IT'S NOT IT'S NOT PARTICULARLY CONGESTED OR ANYTHING +RES0022-024 OK BUT STILL HAVE HAD THESE CHANGES IN TASTE AND SMELL +RES0022-025 OK AND WE WILL CHECK YOUR TEMPERATURE AS WELL TO SEE IF WE CAN IF THERE IS A DOCUMENTED FEVER HAVE YOU HAD ANY NIGHT SWEATS +RES0022-026 WHATS THAT +RES0022-027 SO GENERALLY PATIENTS WOULD WILL SAY THAT THEIR SHEETS ARE SOAKED AND IT WILL WAKE THEM UP SOMETIMES BECAUSE IT'S UNCOMFORTABLE +RES0022-028 OH NO I HAVEN'T HAD THAT +RES0022-029 OK HOW ABOUT ANY CHILLS SO IT COULD BE LIKE WHEN YOU KIND OF SHAKING IN YOUR IN YOUR BED +RES0022-030 NO NOT REALLY JUST JUST LIKE THERE REALLY I THINK LIKE FEVER I THINK FEVERS +RES0022-031 OK AND HAVE OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS +RES0022-032 NO I THINK I'VE BEEN PRETTY WELL THE SAME +RES0022-033 OK AN WITH THE CHANGE IN TASTE HOW HAS YOUR APPETITE BEEN +RES0022-034 WELL I MEAN THAT WAS JUST THIS MORNING THAT I NOTICED THAT BEFORE THAT I THINK I WAS EATING LIKE PRETTY OK +RES0022-035 OK AND HAVE YOU FELT AS THOUGH YOUR HEART WAS RACING AT ANY POINT +RES0022-036 NO +RES0022-037 OK ANY DIZZINESS OR FEELING LIGHTHEADED +RES0022-038 OH NO I DON'T THINK SO +RES0022-039 OK AND ANY ABDOMINAL PAIN +RES0022-040 NO +RES0022-041 HOW ABOUT ANY NAUSEA OR VOMITING +RES0022-042 NO +RES0022-043 OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +RES0022-044 MAYBE MAYBE A LITTLE DIARRHEA OH BUT I DIDN'T KNOW IF THAT WAS JUST SOMETHING I ATE OR WHAT +RES0022-045 OK SO WHEN DID THE DIARRHEA START +RES0022-046 LIKE YESTERDAY YESTERDAY +RES0022-047 OK AND AND APPROXIMATELY HOW MANY TIMES DID YOU GO TO THE BATHROOM WOULD YOU SAY +RES0022-048 SO PROBABLY LIKE TWICE WHERE IT WAS REALLY LOOSE +RES0022-049 OK AND DID YOU NOTICE ANY BLOOD +RES0022-050 NO +RES0022-051 OK HAS THAT HAPPENED AGAIN TODAY +RES0022-052 OH NO I DIDN'T GO TODAY +RES0022-053 OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR NEEDING TO GO REALLY OFTEN +RES0022-054 NO +RES0022-055 OK AND THEN HAVE YOU HAD ANY HEADACHES +RES0022-056 COME TO THINK OF IT A LITTLE BIT I JUST THOUGHT I WAS LIKE IT WAS MAYBE BECAUSE I WAS TIRED BUT I'VE HAD HEADACHES +RES0022-057 OK HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST +RES0022-058 I MEAN ONLY WHEN THERE IS LIKE REASONS FOR IT LIKE BEING REALLY OVERTIRED OR +RES0022-059 OK DOES THIS FEEL SIMILAR TO ANY OF THOSE TIMES +RES0022-060 LET ME KNOW IT'S HARD TO SAY LIKE I AM TIRED SO I THINK SO +RES0022-061 OK WOULD YOU SAY THIS WAS THE WORST HEADACHE OF YOUR LIFE OR A KIND OF LIKE A THUNDER CLAP SENSATION +RES0022-062 NO NOTHING LIKE THAT +RES0022-063 OK AND HAVE YOU GOT ANY PHOTO SENSITIVITY OR KIND OF SENSITIVITY OF YOUR LIGHT OR SENSITIVITY TO SOUND +RES0022-064 NO +RES0022-065 OK AND NEXT QUESTION WOULD BE HAVE YOU HAVE ANY ANY JOINT ACHES OR MUSCLE ACHES OR GENERAL BODY ACHES +RES0022-066 I MEAN I'M A LITTLE I FEEL LIKE I HAVEN'T BEEN MOVING AS MUCH FEEL A LITTLE SORE I THOUGHT IT WAS MAYBE JUST CAUSE I YOU KNOW WASN'T GOING FOR MY LONG WALKS AND MY BODY WAS LIKE GETTING TIRED AND STIFF BUT I FEEL A BIT ACHEY WHEN I COME TO THINK OF IT +RES0022-067 OK AND HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN +RES0022-068 NO +RES0022-069 OK AND THEN I'M NOT SURE IF I ASKED BUT DID YOU HAVE A SORE THROAT +RES0022-070 NO +RES0022-071 OK AND NEXT JUST WANTED TO ASK ABOUT YOUR PAST HEALTH IS THERE ANYTHING YOU SEE A PHYSICIAN FOR REGULARLY +RES0022-072 JUST LIKE THE COPD +RES0022-073 OK +RES0022-074 MY FAMILY DOCTOR +RES0022-075 OK AND DO YOU USE INHALERS FOR THAT +RES0022-076 OH GEEZ I HAVEN'T SEEN MY FAMILY DOCTOR IN AWHILE BECAUSE OF THE COVID STUFF BUT I HAVE AN INHALER THAT WAS PROBABLY LIKE BEFORE COVID THAT IT WAS PRESCRIBED AND THEN I RAN OUT AT SOME POINT AND I HAVEN'T GOT IT RENEWED +RES0022-077 OK SO WHEN WAS THE LAST TIME YOU USED AN INHALER A A WEEK AGO A MONTH AGO +RES0022-078 I PROBABLY RAN OUT LIKE TWO MONTHS AGO BUT I WASN'T USING IT EVERY DAY IT WAS LIKE ONE OF THOSE ONES FOR LIKE WHEN YOU NEED IT AND NOW NOW THIS WEEK I WISH I WOULD HAVE HAD IT +RES0022-079 OK I SEE SO BEFORE LIKE TWO MONTHS AGO HOW OFTEN WOULD YOU SAY YOU WERE USING IT +RES0022-080 OH MAYBE ONCE YOU'RE ONCE A WEEK +RES0022-081 OK AND WHEN WHAT TYPES OF SITUATIONS WHERE YOU FINDING YOURSELF NEEDING TO USE IT MORE OFTEN OR RATHER WHERE THERE ANY KIND OF TRIGGERS TO THOSE EVENTS +RES0022-082 LIKE IF I IF I SAY I TOOK MY DOG FOR A WALK AND THEY KIND OF GOT AWAY AND I HAD TO RUN A LITTLE LIKE RUN A LITTLE BIT USUALLY I WALK LIKE PRETTY FAST BUT IF I HAVE TO RUN THAT WOULD THAT WOULD MAKE IT WOULD MAKE ME HAVE TO USE IT +RES0022-083 OK SO A LOT MORE EXERTION THAN WHAT YOU'RE ABLE TO DO NOW IT SOUNDS LIKE +RES0022-084 LIKE HEAVIER EXERCISE +RES0022-085 I SEE AND ANY OTHER MEDICATIONS LIKE PRESCRIBED OR OVER THE COUNTER THAT YOU TAKE +RES0022-086 NO THAT WAS IT +RES0022-087 ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE +RES0022-088 I HAD MY APPENDIX OUT WHEN I WAS IN MY TWENTIES +RES0022-089 OK AND ANY ALLERGIES +RES0022-090 NO +RES0022-091 OK AND HAVE YOU BEEN ANYBODY SORRY HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY +RES0022-092-1 WELL WE HAVEN'T REALLY SEEN ANYONE BECAUSE OF THE COVID STUFF SO IT'S JUST MY MY HUSBAND HAS SOMEONE LIKE HAS +RES0022-092-2 A FRIEND THAT COMES OVER FOR THEM TO THE THEY WATCH LIKE THE SPORTS GAMES TOGETHER LIKE OUR FRIEND LIVES ALONE SO THAT'S REALLY THE ONLY PERSON THAT'S BEEN COMING INTO OUR HOUSE AND I DON'T +RES0022-092-3 I DON'T KNOW THAT I DON'T THINK HE'S BEEN SICK BUT HE HE MIGHT HAVE BEEN AROUND PEOPLE THAT WERE SICK +RES0022-093 OK I SEE SO HE HASN'T HAD ANY SYMPTOMS THOUGH +RES0022-094 NOT THAT I KNOW OF WE HAVEN'T HEARD FROM HIM IN A FEW DAYS THOUGH +RES0022-095 OK AND HOW WAS YOUR HUSBAND BEEN +RES0022-096 OH HE'S BEEN WELL HE SAID HE LIKE HE HAD A BIT OF A SCRATCHY THROAT BUT I DON'T THINK HE'S HE HASN'T REALLY FELT SICK I DON'T THINK +RES0022-097 OK AND DO YOU LIVE WITH ANYBODY ELSE OR IS IT JUST YOU AND YOUR HUSBAND +RES0022-098 JUST THE TWO OF US AND OUR DOG +RES0022-099 OK AND DO YOU SMOKE CIGARETTES +RES0022-100 I'VE TRIED TO STOP BUT I I SMOKE LIKE A PACK A DAY +RES0022-101 OK WE CAN TALK MAYBE ABOUT QUITTING IF YOU'RE INTERESTED LATER ON IN THE APPOINTMENT OR AT ANOTHER TIME AT A FOLLOW UP +RES0022-102 SURE SURE +RES0022-103 OK AND DO YOU DRINK ALCOHOL +RES0022-104 LIKE MAYBE LIKE A GLASS OF WINE ON A FRIDAY +RES0022-105 OK SO VERY IT SOUNDS OCCASIONALLY MAYBE A DRINK A WEEK +RES0022-106 SOMETHING LIKE THAT +RES0022-107 ALRIGHT AND DO YOU SMOKE MARIJUANA +RES0022-108 NO +RES0022-109 OK ALRIGHT HOW ABOUT THAT USE LIKE ANY LIKE EDIBLES OR ANYTHING LIKE THAT +RES0022-110 NO NOTHING LIKE THAT +RES0022-111 OK AND THEN HOW ABOUT ANY RECREATIONAL DRUGS +RES0022-112 LIKE WHAT +RES0022-113 LIKE THINGS LIKE COCAINE CRYSTAL METH ECSTASY +RES0022-114 NO NO +RES0022-115 I SEE OK AND IS ANYBODY IN YOUR FAMILY HAD ANY HEART CONDITIONS BEFORE +RES0022-116 MY DAD HAD LIKE HIGH BLOOD PRESSURE +RES0022-117 OK ANYBODY EVER HEARD ATTACK +RES0022-118 NO NOT THAT I KNOW OF +RES0022-119 OK AND ANYBODY IN THE FAMILY HAVE LUNG CONDITIONS IN THE PAST +RES0022-120 NO +RES0022-121 OK AT ANY CANCERS THAT RUN IN THE FAMILY +RES0022-122 NO +RES0022-123 ALRIGHT SO WAS THERE ANYTHING ELSE THAT YOU THINK I SHOULD KNOW TODAY THAT MAYBE I DIDN'T ASK ABOUT +RES0022-124 I JUST FEEL TIRED I JUST FEEL LIKE REALLY TIRED +RES0022-125 OK CERTAINLY THAT CAN BE PART OF A KIND OF WHAT HOW YOU'RE FEELING AND RIGHT NOW WITH THE SITUATION WITH THE PANDEMIC COVID NINETEEN IS DEFINITELY PNE THING THAT WILL BE TESTING FOR TODAY +RES0022-126 DO YOU THINK I HAVE COVID +RES0022-127-1 IT'S VERY POSSIBLE BECAUSE OF HOW GENERAL THE SYMPTOMS ARE FOR COVID AND SO IT'S SOMETHING THAT WE WANT TO TEST FOR THAT BEING SAID YOU COULD HAVE +RES0022-127-2 ANOTHER VIRAL ILLNESS SUCH AS THE COMMON COLD LIKE ADENOVIRUS OR YOU COULD HAVE A BACTERIAL INFECTION THAT'S NOT +RES0022-127-3 COVID REALLY RELATED AT ALL OR THIS COULD BE AN EXACERBATION OF YOUR COPD AND MAYBE +RES0022-127-4 WE NEED WE NEED TO JUST TITRATE YOUR INHALER SO WE'LL NEED TO JUST RUN SOME LAB WORK AND DO THE PCR NASAL SWAB +RES0022-127-5 AS PART OF THE WORK UP AN WE WILL SEE WHAT SOME OF THOSE INVESTIGATIONS SHOW +RES0022-128 OH GEEZ OK +RES0022-129 OK IT'S ALL IN THE MEANTIME YOU'LL NEED TO QUARANTINE FOR FOURTEEN DAYS AND IF THE RESULTS ARE POSITIVE WELL AFTER NOTE NOTIFIED PUBLIC HEALTH SO THAT THE APPROPRIATE CONTACT TRACING CAN BE MADE BUT WE'LL GET THE INVESTIGATION STARTED NOW +RES0022-130 OK THANKS DOC +RES0023-000 HOW ARE YOU DOING TODAY +RES0023-001 I'M DOING OK I JUST HAD THIS COUGH THAT'S REALLY STARTED TO BUG ME +RES0023-002 OK THANKS FOR COMING INTO THE EMERGENCY DEPARTMENT TODAY WE WILL REALLY TRY TO GET THIS SORTED OUT FOR YOU HOW LONG IS THIS COUGH BEEN GOING ON FOR +RES0023-003 ABOUT FIVE DAYS FIVE DAYS +RES0023-004 OK FIVE DAYS AND HAS ANYTHING ELSE COME ON DURING THAT TIME ARE YOU HAVING ANY OTHER SYMPTOMS +RES0023-005 I'VE BEEN FEELING PRETTY PRETTY HOT AND JUST HAVEN'T BEEN REALLY FEELING VERY GOOD OVERALL I'VE BEEN JUST EXHAUSTED +RES0023-006 OH IM SAD TO HEAR THAT HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +RES0023-007 MAYBE WHEN I WAS YOUNGER I DON'T KNOW WHEN I HAD THE FLU OR SOMETHING LIKE THAT +RES0023-008 OK OK SO I'LL ASK YOU FEW MORE QUESTIONS ABOUT YOUR COUGH SO IT STARTED FIVE DAYS AGO HAS IT GOTTEN ANY WORSE OR BETTER SINCE THEN +RES0023-009 IT'S BEEN GETTING WORSE FOR SURE IT'S LIKE GOING ALL ALL THROUGHOUT THE DAY AND IT'S BEEN EVEN INTERRUPTING SLEEP +RES0023-010 OH GEEZ THAT'S TOO BAD DO YOU FIND THAT IT DOES IT FEEL REALLY DRY OR ARE YOU BRINGING UP LIKE GUNKY STUFF +RES0023-011 IT IT'S REALLY DRY +RES0023-012 OK AND HE IS THERE ANYTHING THAT SEEMS TO MAKE IT WORSE OR BETTER +RES0023-013 NOT REALLY IT'S PRETTY CONSISTENT THROUGHOUT THE DAY +RES0023-014 OK OK HAVE YOU HAD ANY CHEST PAIN +RES0023-015 AFTER COUGHING IT CAN IT'S IT'S STARTING TO HURT IT DIDN'T AT FIRST BUT NOW THAT I'VE I THINK I'VE COUGHED SO MUCH IT'S STARTING TO FEEL PAIN THERE +RES0023-016 OK WHAT WHAT PART SPECIFICALLY IN YOUR CHEST ARE YOU FEELING PAIN IN +RES0023-017 ACTUALLY NOW THAT I THINK ABOUT OF IT IT'S MORE MORE IN MY THROAT ACTUALLY WITH THE COUGH I WOULD SAY WITH THE COUGH MORE OF THE THROAT +RES0023-018 WOULD YOU SAY YOU HAVE YOU'VE HAD A SORE THROAT +RES0023-019 I GUESS SO I WOULD LIKE NOW WITH THE COUGH THAT'S REALLY KIND OF WHAT I MEAN BY WHAT'S BEEN BUGGING ME +RES0023-020 OK OK THANKS FOR SHARING THAT WITH ME AND ALONG WITH THIS HAVE YOU NOTICED ANY CHANGE IN YOUR SENSE OF SMELL OR TASTE +RES0023-021 MY SMELL IS DEFINITELY BEEN OFF AHH WHICH IS KIND OF WEIRD MY TASTE HAS BEEN FINE THOUGH +RES0023-022 OK OK AND WHEN DID THAT START +RES0023-023 NOW THAT YOU SAY IT I MEAN WELL I GUESS THIS MORNING +RES0023-024 OK HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0023-025 NO NOTHING LIKE THAT +RES0023-026 OK AND YOU SAID YOU FELT REALLY HOT HAVE YOU TAKEN YOUR TEMPERATURE AT ALL +RES0023-027 NO I HAVEN'T THAT'S WHY BUT I'VE BEEN FEELING PRETTY SWEATY SO THAT THAT'S WHERE I I FEEL LIKE I HAVE A FEVER SO I WANTED TO COME IN +RES0023-028 OK OK HAVE YOU LOST ANY WEIGHT RECENTLY LIKE UNINTENTIONALLY +RES0023-029 NO I'VE ACTUALLY PUT ON PROBABLY FIVE OR TEN POUNDS +RES0023-030 OK OK HAVE YOU HAD FELT ANY ANY CHILLS OR SHAKES +RES0023-031 NOTHING LIKE THAT +RES0023-032 OK HAVE YOU HAD ANY NIGHT SWEATS +RES0023-033 ACTUALLY LIKE LAST NIGHT MY SHIRT WAS WAS SOAKED THROUGH WHEN I WHEN I GOT UP +RES0023-034 OH NO OK AND WAS THAT JUST LAST NIGHT +RES0023-035 THAT WAS JUST LAST NIGHT +RES0023-036 OK OK SO I'M JUST GOING TO ASK YOU SOME QUESTIONS OR SORRY FEW MORE QUESTIONS ON THIS AND THEN WE'LL MOVE ON TO JUST YOUR HEALTH IN GENERAL HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0023-037 NO I'VE BEEN BEEN WELL JUST GOING TO WORK AN AN HOME +RES0023-038 OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT MIGHT BE SICK +RES0023-039 IT'S WELL IT'S HARD TO SAY AT THE GROCERY STORE I GUESS I SEE A LOT OF CUSTOMERS THAT COME THROUGH BUT I GENERALLY THINGS ARE WIPED DOWN PRETTY FREQUENTLY SO +RES0023-040 SO YOU WORK AT THE GROCERY STORE +RES0023-041 OK AND DO YOU LIVE ALONE OR WITH FAMILY +RES0023-042 ALRIGHT I LIVE WITH FAMILY I I LIVE WITH MY WIFE AND TWO CHILDREN +RES0023-043 OH NICE DO THEY WORK OUT OF THE HOME HAVE THEY BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK +RES0023-044 WELL THEY'RE IN HIGH SCHOOL AND THEY'VE ACTUALLY BEEN DOING A LOT OF THEIR COURSEWORK ON ONLINE SO I HAVEN'T REALLY BEEN AROUND TO ANY OTHER OTHER PEOPLE +RES0023-045 AND YOUR WIFE +RES0023-046 SHE'S BEEN SHE'S BEEN HOME AS WELL +RES0023-047 OK SO IN TERMS YOUR OVERALL HEALTH DO YOU ARE THERE ANY CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY +RES0023-048 SO I HAVE A HIGH BLOOD PRESSURE AND TYPE TWO DIABETES +RES0023-049 OK +RES0023-050 AND SO I I TAKE A RAMIPRIL AND METFORMIN +RES0023-051 OK RAMIPRIL AND METFORMIN ANY OTHER MEDICATIONS +RES0023-052 VITAMIN D +RES0023-053 OK AND HAVE YOU EVER HAD ANY SURGERIES +RES0023-054 I HAD MY GALLBLADDER TAKEN OUT ABOUT TEN YEARS AGO OR SO +RES0023-055 OK OK SO DO YOU HAVE ANY ALLERGIES +RES0023-056 AHH JUST TOO LIKE ENVIRONMENTAL STUFF LIKE POLLEN I THINK +RES0023-057 OK OK SO NOT ANY ALLERGIES TO ANY MEDICATIONS +RES0023-058 NO +RES0023-059 OK OK DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS +RES0023-060 I THINK MY BROTHER HAS ASTHMA AND I THINK MY MOM HAS ASTHMA TOO +RES0023-061 OK OK AND IN TERMS OF YOUR LIFESTYLE THAT SOUNDS LIKE YOU LIVE WITH YOUR WIFE AND KIDS YOU WORK AT A GROCERY STORE ON A WEEKLY BASIS DO YOU DO YOU DRINK ALCOHOL +RES0023-062 MAYBE I'LL HAVE LIKE THREE OR FOUR BEERS ON THE WEEKEND +RES0023-063 OK SO THREE TO FOUR DRINKS PER WEEK +RES0023-064 ABOUT THAT +RES0023-065 DO YOU SMOKE +RES0023-066 NO I DO NOT +RES0023-067 DO YOU USE CANNABIS OR ANY OTHER SUBSTANCES +RES0023-068 NO I DON'T USE ANYTHING LIKE THAT +RES0023-069-1 OK OK WELL I THINK THAT JUST ABOUT COVERS THE THINGS THAT I WANTED TO ASK YOU TODAY SO BASED ON THE SYMPTOMS YOU'RE EXPERIENCING IT SOUNDS LIKE IT COULD BE SOME KIND OF INFECTIVE PROCESS LIKE MAYBE SOME KIND OF VIRAL INFECTION +RES0023-069-2 BECAUSE OF THE COVID NINETEEN IS SOMETHING THAT WE'RE CONCERNED ABOUT PARTICULARLY THIS YEAR I'D REALLY LIKE TO GET A SWAB DONE ON YOU IT'S NOT NECESSARILY COVID BUT IT POTENTIALLY COULD BE SO WHAT WE'RE GOING TO HAVE TO ASK YOU TO DO IS TO SELF ISOLATE YOU AND YOUR FAMILY FOR FOURTEEN DAYS +RES0023-069-3 AND HOPEFULLY WILL GET THE RESULTS BACK SHORTLY AND YOU'LL KNOW WHETHER YOUR COVID TEST IS POSITIVE OR NOT +RES0023-071 DOES THAT SOUND LIKE A GOOD PLAN TO YOU +RES0023-072 THAT SOUNDS GOOD +RES0023-073 OK WELL THANKS FOR CHATTING WITH ME WE WILL GET THAT SWAB DONE RIGHT AWAY +RES0023-074 THANK YOU +RES0024-000 COULD YOU START BY TELLING ME WHAT BROUGHT YOU IN +RES0024-001-1 SO LIKE I DON'T REALLY FEEL SICK I JUST I LOST I CAN'T I FOR THE PAST TWO DAYS I CAN'T SMELL ANYTHING I CAN'T TASTE ANY OF MY FOOD IT'S SUPER WEIRD I LIKE LIVE WITH MY BOYFRIEND AND +RES0024-001-2 HE WAS LIKE HERE TAKE A BITE OF THIS ONION AND I LIKE BIT INTO IT AND I LITERALLY DIDN'T TASTE ANYTHING OTHERWISE LIKE I FEEL TOTALLY FINE I JUST HEARD THAT THIS HAPPENS SOMETIMES LIKE WITH COVID AND I'M JUST KIND OF WORRIED THAT I HAVE COVID +RES0024-002-1 OK FOR SURE I WILL WE WILL DEFINITELY LOOK INTO THAT TODAY AND YOU ARE RIGHT IT IS A SYMPTOM THAT CAN OCCUR WITH WITH COVID +RES0024-002-2 BUT WE WILL WANT TO MAKE SURE THAT IT ISN'T SOMETHING ELSE AND SO I WANTED TO JUST ASK YOU A FEW MORE QUESTIONS ABOUT HOW YOU'VE BEEN FEELING +RES0024-002-3 SO YOU SAID YOU HAVEN'T FELT SICK SO HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +RES0024-003 I MEAN I MAY BE EVEN A BIT TIRED BUT REALLY OTHERWISE NO I GUESS MAYBE I FELT LIKE A LITTLE DRY BUT I HAVEN'T ACTUALLY BEEN COUGHING +RES0024-004 OK SO NO COUGH HAVE YOU FELT A LIKE SHORT OF BREATH AT ALL +RES0024-005 NO +RES0024-006 OK AND HAVE YOU BROUGHT UP ANY LIKE SPUTUM OR ANY BLOOD +RES0024-007 NO +RES0024-008 OK AND HAVE YOU HAD ANY CHEST PAIN +RES0024-009 NO +RES0024-010 OK ANY FEELING LIKE YOUR HEART IS READY RACING +RES0024-011 NO +RES0024-012 ALRIGHT ANY NAUSEA OR VOMITING +RES0024-013 NO +RES0024-014 ANY DIARRHEA OR CONSTIPATION +RES0024-015 NO +RES0024-016 OK ANY CHANGES TO URINARY HABITS ANY PAINFUL URINATION OR NEEDING TO GO MORE OFTEN +RES0024-017 NO +RES0024-018 ALRIGHT AND HAVE YOU HAD ANY HEADACHES +RES0024-019 NO +RES0024-020 HOW ABOUT ANY FEVERS +RES0024-021 I DON'T LIKE I DON'T HAVE A THERMOMETER I LIKE MAYBE FELT A LITTLE HOT BUT LIKE LIKE I DON'T REALLY KNOW +RES0024-022 OK AND HAVE YOU HAD ANY CHILLS +RES0024-023 NO +RES0024-024 ALRIGHT OR HOW ABOUT ANY NIGHT SWEATS +RES0024-025 NO +RES0024-026 AND RECENTLY OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT +RES0024-027 NO +RES0024-028 OK AND IN THE LAST SEVERAL DAYS HAVE YOU HAD A SORE THROAT +RES0024-029 LIKE I SAID IT FELT LIKE DRY BUT I DON'T THINK IT'S BEEN SORE +RES0024-030 OK AND HAVE YOU HAD A RUNNY NOSE +RES0024-031 NO +RES0024-032 OR FELT CONGESTED AT ALL +RES0024-033 NO +RES0024-034 OK AND THEN ANY EYE PAIN OR EAR PAIN +RES0024-035 NO +RES0024-036 OK AND THEN ANY RASHES ON YOUR SKIN +RES0024-037 LIKE I HAVE ECZEMA BUT NOTHING NEW +RES0024-038 OK AND IN REGARDS TO YOUR PAST HEALTH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'RE FOLLOWED FOR +RES0024-039 LIKE THE ECZEMA LIKE I HAVE LIKE A PEANUT ALLERGY THAT'S IT +RES0024-040 I SEE OK DO YOU HAVE AN EPIPEN +RES0024-041 OK DO YOU KEEP THAT WITH YOU REGULARLY +RES0024-042 ALWAYS +RES0024-043 OK EXCELLENT AND DO YOU TAKE ANY OTHER MEDICATIONS OR +RES0024-044 I TAKE BIRTH CONTROL AN LIKE SOMETIMES LIKE I HAD I HAD LIKE ECZEMA CREAM LIKE THE THE STEROID ONE FOR WHEN IT'S REALLY BAD +RES0024-045 OK AND WHEN DID YOU START BIRTH CONTROL +RES0024-046 MAYBE LIKE THREE YEARS +RES0024-047 OK AND HOW OFTEN ARE YOU USING THE CREAM +RES0024-048 IT'S KIND OF LIKE GOES IN LIKE FLARES SO LIKE THIS CAUSE IT'S WINTER I'VE BEEN USING IT LIKE MAYBE A COUPLE TIMES A WEEK +RES0024-049 OK AND ANY ALLERGIES TO MEDICATIONS +RES0024-050 NO +RES0024-051 AND HAVE YOU HAD ANY SURGERIES IN THE PAST +RES0024-052 NOPE +RES0024-053 OK ANY REASON REASON FOR HOSPITALIZATION +RES0024-054 NOPE +RES0024-055 OK +RES0024-056 SORRY I WENT TO THE EMERGENCY DEPARTMENT LIKE WHEN I HAD MY PEANUT LIKE THE FIRST TIME I REALIZED I WAS ALLERGIC TO PEANUTS BUT THAT WAS IT +RES0024-057 OH DID YOU HAVE AN ANAPHYLACTIC REACTION +RES0024-058 LIKE I WAS A KID SO I DON'T REALLY REMEMBER THAT MUCH BUT THAT'S WHEN THEY TOLD ME I WAS ALLERGIC +RES0024-059 I SEE OK SO IMPORTANT TO HAVE THE EPIPEN THEN FOR SURE +RES0024-060 AND SO YOU MENTIONED THAT YOU'RE LIVING WITH YOUR BOYFRIEND +RES0024-061 OK ANYBODY ELSE +RES0024-062 NO JUST US +RES0024-063 OK AND AS YOUR BOYFRIEND BEEN SICK AT ALL +RES0024-064 NO +RES0024-065 OK AND AT LIKE HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK AT WORK OR SCHOOL +RES0024-066 NO LIKE ALL MY CLASSES ARE ONLINE SO I DON'T REALLY SEE ANYONE BESIDES HIM RIGHT NOW LIKE WE DON'T EVEN OFFICIALLY LIKE TOGETHER HE'S JUST BEEN ESSENTIALLY STAYING AT MY APARTMENT CAUSE LIKE WE DON'T SEE ANYONE ELSE +RES0024-067 OK AND DO YOU SMOKE CIGARETTES +RES0024-068 NO +RES0024-069 DO YOU SMOKE MARIJUANA +RES0024-070 LIKE OCCASIONALLY WE WILL LIKE DO AN EDIBLE OR SOMETHING BUT I DON'T SMOKE IT +RES0024-071 OK AND ANY OTHER RECREATIONAL DRUGS LIKE COCAINE MDMA +RES0024-072 NO +RES0024-073 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0024-074 JUST LIKE WITH MY BOYFRIEND OK AND +RES0024-075 ANY SEXUALLY TRANSMITTED INFECTIONS IN THE PAST +RES0024-076 NO +RES0024-077 OK AND THEN DO YOU DRINK ALCOHOL +RES0024-078 LIKE MAYBE A COUPLE OF BEERS ON THE WEEKEND +RES0024-079 OK AND IN YOUR FAMILY HAS ANYBODY EVER LOST THEIR SMELL BEFORE +RES0024-080 I DON'T THINK SO +RES0024-081 OK ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR A LUNG CONDITION +RES0024-082 NO +RES0024-083 ALRIGHT AND THEN I HAVE ANYBODY IN THE FAMILY HAD CANCER BEFORE +RES0024-084 LIKE MY LIKE MY UNCLE HAD LIKE PROSTATE CANCER +RES0024-085 OK DO YOU KNOW BREAST CANCER OVARIAN CANCER +RES0024-086 NO +RES0024-087 OK SO THAT THAT WAS ALL I WANTED TO ASK ABOUT ON THE HISTORY TODAY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT +RES0024-088 I DON'T KNOW THAT'S IT +RES0024-089-1 SO WITH THE SYMPTOMS OF LOSING YOUR SMELL OVER THE LAST DAY OR SO WE WILL CERTAINLY LOOK INTO WHETHER OR NOT THIS IS CAUSED BY COVID AND SO +RES0024-089-2 THAT WILL REQUIRE A NASAL SWAB TEST FOR THAT USUALLY THE RESULTS ARE COMING BACK NOW WITHIN FORTY EIGHT HOURS HOPEFULLY BUT STILL WILL BE REQUIRED TO SELF ISOLATE NOW FOR THE NEXT FOURTEEN DAYS +RES0024-089-3 AFTER YOUR SYMPTOMS ARE GONE SO WE WILL LET YOU KNOW WHEN THE RESULTS COME BACK FROM THIS TEST THOUGH +RES0024-090 OK OK GEEZ OK THANK YOU +RES0024-091 ALRIGHT YOU'RE WELCOME +RES0025-000 SO I HEAR YOU'VE BEEN HAVING SOME SOME NAUSEA VOMITING DIARRHEA CAN YOU TELL ME A LITTLE MORE ABOUT THAT +RES0025-001 SO LIKE AROUND THREE OR FOUR DAYS AGO I STARTED TO GET REALLY NAUSEOUS AND SINCE THEN I'VE BEEN VOMITING EVERY FEW HOURS AND REALLY I DON'T KNOW JUST YESTERDAY STARTED TO STARTED TO HAVE SOME DIARRHEA AS WELL +RES0025-002 OK SO THAT'S THREE OR FOUR DAYS AGO FOR THE NAUSEA AND VOMITING IS THAT CORRECT +RES0025-003 THE NAUSEA START KIND OF STARTED THREE OR FOUR DAYS AGO AND THEN AFTER THAT THAT THE VOMITING CAME SO MAYBE THE VOMITING WAS MORE LIKE TWO DAYS AGO IT STARTED AND THEN DIARRHEA KIND OF THE LAST DAY +RES0025-004 OK OK OK AND BEFORE THAT YOU WERE FEELING WELL +RES0025-005 WELL I WAS FEELING MAYBE LIKE A LITTLE TIRED FOR A DAY OR TWO BEFORE BUT I DON'T KNOW SOMETIMES YOU JUST FEEL LIKE THAT SO I DIDN'T REALLY THINK MUCH OF IT BUT +RES0025-006 SURE OK AND SINCE IT STARTED HAVE I KNOW THESE ALL KIND OF STARTED AT DIFFERENT TIMES BUT HAS HAVE YOUR SYMPTOMS GOTTEN WORSE OVERTIME +RES0025-007 THEY THEY THEY'VE GOTTEN WORSE AT FIRST THEY WERE KINDA REALLY SPREAD IT LIKE FAR ENOUGH APART THAT I WOULD THOUGHT IT WAS JUST GOING TO GO AWAY ON ITS OWN AND THEN IT IT HASN'T SO HAS ME CONCERNED +RES0025-008 OK I'M JUST GOING TO ASK YOU A FEW MORE QUESTIONS ABOUT THE VOMITING HAVE YOU NOTICED ANY BLOOD IN YOUR VOMIT +RES0025-009 NO IT'S BEEN KIND OF YELLOWISH +RES0025-010 OK AND JUST IF YOU NOTICE LIKE A LIKE A REALLY BRIGHT KIND OF YELLOW GREEN SUBSTANCE IN YOUR VOMIT +RES0025-011 NOT REALLY BRIGHT BUT I MEAN MAYBE MORE LIKE DARK GREEN OR NOTHING BRIGHT +RES0025-012 OK AND YOU SAID NOW IT'S IT'S HAPPENING EVERY COUPLE HOURS FOR YOU +RES0025-013 EVERY FEW EVERY FEW HOURS IT'S BEEN IT SEEMS TO BE WHAT I'M LIKE LIKE AFTER EATING IT IS JUST MAKING ME MAKING ME NAUSEOUS +RES0025-014 OK OK SO HAVE YOU BEEN ABLE TO EAT ANYTHING WHEN'S THE LAST TIME YOU ACTUALLY HAD SOMETHING TO EAT +RES0025-015 YESTERDAY I DID I HAD SOME SOUP AND WAS ABLE TO TO KEEP MOST OF IT DOWN BUT BUT IT'S BEEN MOSTLY LIQUID'S I'VE BEEN DRINKING +RES0025-016 OK +RES0025-017 MY APPETITE REALLY HASN'T BEEN THERE +RES0025-018 OK IN TERMS OF DIARRHEA SO THAT STARTED A COUPLE DAYS AGO IF YOU ONLY HAD DIARRHEA SINCE THEN OR HAVE YOU HAD LIKE ANY FORM STOOLS +RES0025-019 NO IT'S IT IT WAS STARTED MORE LIKE YESTERDAY AND IT'S REALLY ONLY BEEN DIARRHEA SINCE SO LIKE TWICE LAST NIGHT AND THEN LIKE THREE TO THREE TIMES THIS MORNING +RES0025-020 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +RES0025-021 NO I HAVEN'T BEEN SICK LIKE THIS BEFORE +RES0025-022 OK HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0025-023 I JUST GOT BACK FROM A TRIP IN THE US WAS THERE FOR WORK +RES0025-024 OK AND HOW DID YOU TRAVEL THERE +RES0025-025 I I TRAVELED BY A TRAIN +RES0025-026 OK AND HOW LONG WERE YOU THERE FOR AND WHEN DID YOU GET BACK +RES0025-027 I WAS THERE FOR ONE NIGHT AND GOT BACK FIVE DAYS AGO +RES0025-028 OK OK FIVE DAYS AGO AND WHEN YOU WERE THERE WERE YOU IN CONTACT WITH ANYONE +RES0025-029 I WELL I STAYED IN A HOTEL SO I I GUESS THAT THE PEOPLE THAT THE PEOPLE THAT WERE STAYING AT THE HOTEL +RES0025-030 OK HAVE YOU BEEN IN CONTACT WITH ANYONE SINCE COMING BACK THAT'S BEEN SICK +RES0025-031 NO I I I HAVEN'T BEEN IN CONTACT WITH ANYBODY ANYBODY WHO'S BEEN SICK +RES0025-032 OK IN ADDITION TO THE SYMPTOMS THAT YOU'RE DESCRIBING TO ME HAVE YOU HAD ANY FEVERS +RES0025-033 I'VE I STARTED TO FEEL HOT THIS MORNING +RES0025-034 OK HAVE YOU HAD ANY CHILLS +RES0025-035 NOTHING LIKE THAT +RES0025-036 ANY SHAKES +RES0025-037 NO +RES0025-038 K NIGHT SWEATS +RES0025-039 NO NIGHT SWEATS +RES0025-040 HAVE YOU HAD ANY COUGH +RES0025-041 NO I HAVEN'T REALLY HAD A COUGH BY MY THROAT'S FELT A LITTLE LIKE SCRATCHY THOUGH +RES0025-042 OK SCRATCHY THROAT OK HAVE YOU HAD ANY SORE THROAT +RES0025-043 NO I WOULDN'T REALLY SAY IT'S SORE BUT I MEAN WE JUST KINDA LIKE LIKE ITCHY +RES0025-044 OK OK HAVE YOU NOTICED ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE +RES0025-045 NO I HAVEN'T NOTICED ANY CHANGES TO THOSE +RES0025-046 OK AND YOU LIVE DO YOU LIVE ALONE OR WITH FAMILY +RES0025-047 I I LIVE WITH FAMILY I LIVE WITH MY WIFE AND TWO CHILDREN +RES0025-048 OK THERE HOW ARE THEY FEELING RIGHT NOW +RES0025-049 THEY WERE THEY'VE BEEN FEELING +RES0025-050 FINE OK OK SO JUST IN TERMS OF YOUR GENERAL HEALTH ARE THERE ANY CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY +RES0025-051 I HAVE ANXIETY AND BACK PAIN SO I DO GET SOME HYDROMORPHONE FOR FOR THAT +RES0025-052 OK +RES0025-053 FOR THE BACK PAIN ANYWAY +RES0025-054 OK AND WHAT MEDICATIONS DO YOU TAKE BESIDES THE HYDROMORPHONE +RES0025-055 ESCITALOPRAM +RES0025-056 OK +RES0025-057 AND THAT WE'VE BEEN WORKING ON TRYING ON DECREASING THE HYDROMORPHONE NOW OVER THE LAST YEAR SO IT'S A WORK IN PROGRESS THOUGH +RES0025-058 OK AND HAVE YOU EVER HAD ANY SURGERIES +RES0025-059 ON MY ON MY BACK I WAS IN AN ACCIDENT A FEW YEARS BACK SO WELL THAT'S WHERE THE PAIN IS FROM +RES0025-060 OK SAD TO HEAR THAT DO YOU HAVE ANY ALLERGIES +RES0025-061 TO PENICILLIN I HAD A HIVES WHEN I WAS A KID +RES0025-062 OK OK LET ME SEE SO IN TERMS OF YOUR FAMILY HISTORY DO YOU HAVE ANY FAMILY HISTORY OF YOUR DIGESTIVE SYSTEM PROBLEMS OR RESPIRATORY PROBLEMS +RES0025-063 NO ONE IN MY FAMILIES HAD ANY PROBLEMS WITH THEIR STOMACH OR I HAVEN'T HEARD OF ANY LIKE COLON CANCER I MEAN MY MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS LATE SIXTIES BUT THAT'S KIND OF THE ONLY THING THAT I CAN THINK HAPPENED IN MY FAMILY IN TERMS OF HEALTH +RES0025-064 OK AND IT SOUNDS SO IT SOUNDS LIKE YOU LIVE AT HOME WITH YOUR FAMILY DO YOU WHAT DO YOU DO FOR WORK +RES0025-065 I I WORK FOR A TECH COMPANY SO I WAS GOING DOWN TO MEET A POTENTIAL BUYER FOR ONE OF OUR PRODUCTS +RES0025-066 OK OK AND JUST IN TERMS OF YOUR LIFESTYLE DO YOU DRINK ALCOHOL +RES0025-067 I WILL HAVE WINE MAYBE ONE OR TWO GLASSES ON ON THE WEEKEND +RES0025-068 OK DO YOU SMOKE CIGARETTES +RES0025-069 NO BUT I I USED TO I I QUIT ABOUT SEVEN YEARS AGO SO I QUIT ABOUT SEVEN YEARS AGO +RES0025-070 OK SO DO YOU USE ANY OTHER SUBSTANCES LIKE CANNABIS +RES0025-071 I WILL HAVE A JOINT EVERY ONCE IN AWHILE IF I WITH FRIENDS BUT THAT'S BEEN IT'S BEEN AWHILE CAUSE OF THE PANDEMIC HAVEN'T REALLY BEEN HANGING OUT WITH ANYBODY +RES0025-072-1 SURE OK I THINK THAT'S ALL THE QUESTIONS THAT I HAD FOR YOU TODAY SO IT SOUNDS LIKE THERE'S PROBABLY SOME KIND OF INFECTION GOING ON WHAT IT IS EXACTLY IT'S HARD TO SAY +RES0025-072-2 THERE ARE SOME CASES OF COVID NINETEEN THAT THAT ARE MORE LIKE GI SYMPTOMS THEN +RES0025-072-3 THAN SIMPLY RESPIRATORY SYMPTOMS SO I THINK WE SHOULD PROBABLY GIVE YOU A COVID SWAB AND THEN WE ASK THAT YOU AND EVERYONE IN YOUR HOUSE SELF ISOLATES FOR A FEW DAYS UNTIL YOU'VE GOT IT IN A NEGATIVE RESULT AND IN A FEW DAYS WITHOUT SYMPTOMS +RES0025-073 OK THAT SOUNDS GOOD +RES0025-074-1 SO WE'LL GET THAT STARTED FOR YOU AND OTHERWISE REALLY WE WANT TO KNOW IF IT'S COVID IS JUST FOR INFECTION CONTROL PURPOSES BUT I THINK THAT ESSENTIALLY YOU SHOULD BE DRINKING LOTS OF FLUIDS AND GETTING A LOT OF REST +RES0025-074-2 AND IT'S SOMETHING THAT LIKELY SHOULD GO AWAY ON ITS OWN I MEAN IF THINGS START TO BECOME A LOT WORSE AND YOU GET REALLY DEHYDRATED AND YOU HAVE FEVERS THAT YOU CAN'T CONTROL WITH TYLENOL +RES0025-074-3 THEN PLEASE COME BACK TO THE EMERGENCY DEPARTMENT BUT I THINK IN GENERAL IT WILL JUST BE KIND OF SUPPORTIVE TREATMENTS FOR WHAT YOU'RE EXPERIENCING +RES0025-075 OK THAT SOUNDS GOOD I'LL GET SOME GATORADE ON THE WAY HOME +RES0025-076 PERFECT ACTUALLY DON'T GO INTO THE STORE HAVE SOMEONE ELSE GET IT FOR YOU BUT +RES0025-077 OK WILL DO +RES0025-078 THANK YOU HAVE A GOOD HAVE A GOOD DAY THANKS FOR CHATTING WITH ME +RES0025-079 THANK YOU +RES0026-000 I WAS WONDERING IF WE COULD START WITH YOU TELLING US WHAT BROUGHT YOU IN +RES0026-001 SURE I'VE HAD THIS TERRIBLE HEADACHE FOR THE PAST FOUR DAYS DOESN'T SEEM TO BE GETTING ANY BETTER AND I FEEL HOT LIKE I HAVE A FEVER I'VE BEEN COUGHING A LOT SO I AM I'M WORRIED I HAVE COVID SO I'M HERE +RES0026-002 OK SO I'LL START WITH THE HEADACHES WHEN DID WHEN DID THAT EXACTLY STARTED +RES0026-003 THE HEADACHE STARTED OK SO THE COUGHING STARTED FOUR DAYS AGO THE HEADACHE STARTED SHORTLY AFTER SO I WOULD SAY LATER ON DURING THAT DAY AND THEN THE FEVER I'VE HAD FOR FEVER I THINK I'VE HAD FOR THE PAST TWO DAYS I HAVEN'T ACTUALLY TAKEN MY TEMPERATURE THOUGH +RES0026-004 OK SO THE COUGH IS STARTED FOUR DAYS AGO HAS THE COUGH GOTTEN BETTER WORSE OR STAYED THE SAME +RES0026-005 THE COUGH HAS STAYED THE SAME +RES0026-006 OK ARE YOU BRINGING UP ANY PHLEGM OR SPUTUM WITH THE COUGH +RES0026-007 IT'S NOT REALLY PHLEGM BUT SOMETIMES I COUGH UP LIKE BITS OF LIKE YOU KNOW LITTLE BITS THAT LOOK LIKE BLOOD OR SOMETHING +RES0026-008 OK SO YOU'RE SEEING SOME LIKE RED WHEN WHEN YOU'RE COUGHING UP +RES0026-009 OK AND HOW MUCH OF THIS ARE YOU SEEING LIKE IS IT +RES0026-010 LIKE A TEASPOON AMOUNT OR OR MORE OH IT'S IT'S VERY LITTLE IT'S LIKE MAYBE A LITTLE BIT BIGGER THAN +RES0026-011 LIKE THE TIP OF A PENCIL OH OK ARE YOU OK ARE YOU SEEING THIS ON LIKE KIND OF TISSUES AFTERWARDS SORT OF THING +RES0026-012 OK AND ANY TRIGGERS FOR THE COUGH YOU CAN THINK OF +RES0026-013 NO IT JUST SEEMS TO BE THERE ALL DAY DOESN'T REALLY GET BETTER WITH ME TRYING TO REST OR NOT +RES0026-014 OK AND IS THE COUGH THERE AT NIGHT TIME TOO +RES0026-015 YES IT IS DEFINITELY THERE AT NIGHT +RES0026-016 OK IS IT INTERFERING WITH SLEEP +RES0026-017 YES I HAVEN'T BEEN SLEEPING WELL +RES0026-018 OK AND WITH YOUR COUGH HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING +RES0026-020 NO ALRIGHT +RES0026-021 AND HOW ABOUT ANY WHEEZING +RES0026-022 NO WHEEZING OK AND WITH THIS HEADACHE WHEN IT FIRST CAME ON DID YOU EXPERIENCE A LIKE WORST HEADACHE OF +RES0026-023 YOUR LIFE OR A THUNDER CLAP SENSATION NO IT'S IT'S NOT +RES0026-024 THAT BAD BUT IT JUST SEEMS TO BE THERE +RES0026-025 ALL DAY LONG OK HAVE YOU HAD HEADACHES +RES0026-026 LIKE THIS BEFORE NO I'VE NEVER GOTTEN HEADACHES IN THE PAST OK +RES0026-028 IS THE HEADACHE ASSOCIATED WITH ANY NAUSEA OR VOMITING NO OK AND +RES0026-030 IS THE HEADACHE WORSE IN THE MORNING WHEN YOU FIRST WAKE UP +RES0026-031 NO +RES0026-032 OK AND DOES IT HAVE TO GET WORSE IF YOU LIE FLAT NO OK AND HAS THIS HEAD +RES0026-033 BEEN GETTING WORSE STAYING +RES0026-034 THE SAME GETTING BETTER IT'S IT'S ABOUT THE SAME OK +RES0026-036 AND AND YOU HAVEN'T CHECKED THE TEMPERATURE YET +RES0026-037 SAID BUT YOU FELT HOT +RES0026-038 YES THAT'S RIGHT OK ANY OTHER SYMPTOMS THAT YOU'VE BEEN EXPERIENCING NOT THAT I CAN THINK OF OK THERE'S JUST A FEW OTHERS THAT I WANTED TO ASK ABOUT TO BE COMPREHENSIVE HAVE YOU HAD ANY +RES0026-040 EYE PAIN OR EAR PAIN +RES0026-041 NO HOW ABOUT ANY DISCHARGE +RES0026-042 FROM EITHER YOUR EYES OR EARS NO NOTHING LIKE THAT ALRIGHT HAVE YOU HAD ANY CHANGES TO EITHER YOUR SENSE OF SMELL OR YOUR SENSE OF TASTE +RES0026-043 NO +RES0026-044 ALRIGHT AND HAVE YOU HAD A RUNNY NOSE AT ALL +RES0026-046 NO AND HOW ABOUT A SORE THROAT +RES0026-048 NO OK AND +RES0026-049 HAVE YOU HAD ANY +RES0026-050 CHILLS NO CHILLS +RES0026-051 HOW ABOUT +RES0026-052 NIGHT SWEATS NO NOTHING LIKE THAT I SEE OK AND +RES0026-053 OVER THE LAST FEW MONTHS HAS YOUR WEIGHT +RES0026-054 CHANGED NO NOT THAT I NOTICED OK +RES0026-056 HAVE YOU BEEN FEELING TIRED OR FATIGUED +RES0026-058 OK AND HAVE YOU HAD ANY CHEST +RES0026-060 NO ALRIGHT AND HOW ABOUT ANY HEART PALPITATIONS +RES0026-062 ALRIGHT IN ANY EPISODES OF FEELING REALLY DIZZY OR LIGHTHEADED +RES0026-064 AND HOW ABOUT ANY FAINTING SPELLS OR FEELING +RES0026-065 LIKE YOU MIGHT FAINT +RES0026-066 NO NOTHING LIKE THAT OK AND +RES0026-068 HAVE YOU HAD ANY ABDOMINAL PAIN NO NO ABDOMINAL PAIN ANY DIARRHEA OR CONSTIPATION +RES0026-069 NO HOW ABOUT ANY PAINFUL +RES0026-070 URINATION OR FEELING AS THOUGH YOU NEED TO URINATE REALLY FREQUENTLY +RES0026-072 NOTHING LIKE THAT OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANY +RES0026-073 THING LIKE THAT NO OK AND HOW ABOUT ANY MUSCLE ACHES OR +RES0026-074 JOINT ACHES OR JUST OVERALL LIKE BODY PAINS NO NOT THAT I THAT +RES0026-075 NOT NOT THAT I'VE NOTICED NO OK IS THERE ANYTHING IN REGARDS TO YOUR PAST HEALTH THAT YOU SEE A PHYSICIAN REGULARLY FOR NO ACTUALLY I I THINK AT ONE POINT I WAS +RES0026-076 WORKED UP FOR SOMETHING CALLED FAMILIAL HYPERCHOLESTEROLEMIA BECAUSE IT RAN IN THE +RES0026-077 FAMILY BUT I THINK THOSE RESULTS WERE NORMAL +RES0026-078 OK SO DO YOU DO YOU TAKE A +RES0026-079 STATIN MEDICATION THEN +RES0026-080 I TAKE A I TAKE A LOW DOSE STATIN OK AND WHEN WAS YOUR LAST +RES0026-081 LIPID PANEL CHECKED I THINK IT WAS TWO YEARS AGO I SEE AND +RES0026-082-1 DO YOU REMEMBER IF THE LDL WAS NORMAL AT THAT TIME +RES0026-082-2 YES IT WAS NORMAL +RES0026-082-3 OK BUT SINCE THE IT WAS ABOUT TWO YEARS AGO IT MIGHT BE WORTHWHILE TODAY JUST TO ALSO CHECK A LIPID PANEL JUST TO BE SAFE BUT THAT'LL +RES0026-084 ABOUT THAT MORE SO AT THE END IF THAT'S OK +RES0026-086 THAT WOULD BE GREAT OK AND +RES0026-088 ANY OTHER MEDICAL CONDITIONS +RES0026-089 NO OK HAVE YOU HAD ANY SURGERIES BEFORE +RES0026-090 OK AND HOW MANY CHILDREN DO YOU HAVE JUST +RES0026-091 ONE OK AND +RES0026-092 WERE THERE ANY COMPLICATIONS WITH THE C SECTION +RES0026-094 COMPLICATIONS OK ANY REASONS FOR HOSPITALIZATIONS +RES0026-096 OK ANY ALLERGIES TO MEDICATIONS NO ALRIGHT ANY MEDICATIONS BESIDES THE STATIN THAT YOU TAKE +RES0026-097 NOPE +RES0026-098 OK AND IN REGARDS TO YOUR FAMILY HISTORY HAVE THERE BEEN PEOPLE WHO'VE HAD EARLY HEART ATTACKS OR OR STROKES IN THE FAMILY +RES0026-099 NO +RES0026-100 OK BUT YOU DO HAVE FAMILIAL HYPERCHOLESTEROLEMIA DO YOU HAVE FAMILY MEMBERS WHO HAVE THAT +RES0026-101 YES OK SO MY AUNTS HAD IT AS WELL AS MY MOTHER +RES0026-102 OK AND HAS THERE BEEN ANY LUNG CONDITIONS THAT RUN IN THE FAMILY +RES0026-103 NO LUNG CONDITIONS +RES0026-104 HOW ABOUT ANY MALIGNANCY'S OR OR CANCERS +RES0026-105 THERE WAS COLON CANCER ON MY DAD SIDE OF THE FAMILY BUT I'M NOT TOO SURE WHO HAD IT +RES0026-106 OK HAVE YOU HEARD OF ANYBODY HAVING BREAST CANCER +RES0026-107 BREAST CANCER NO +RES0026-108 ALRIGHT AND HOW ABOUT OVARIAN CANCER +RES0026-109 NO OVARIAN CANCER +RES0026-110 OK AND NEXT I ACTUALLY WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PERSONAL AND LIFESTYLE HABITS BUT FIRST COULD YOU JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW +RES0026-111 I LIVE WITH MY HUSBAND AND MY ONE SON +RES0026-112 OK AND SORRY HOW OLD IS +RES0026-113 YOUR SON +RES0026-114 HE IS TEN OK IS ANY +RES0026-116 IN THE HOME BEEN SICK RECENTLY +RES0026-117 NO OK AND +RES0026-118 HOW ABOUT IS THERE ANYBODY AT WORK AT WORK +RES0026-119-1 NO NO ONE'S BEEN SICK +RES0026-119-2 OK HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0026-119-3 WE WENT UP TO WE JUST WENT TO LIKE A WE WENT ON A HIKING TRAIL THAT WAS OUTSIDE THE CITY +RES0026-119-4 RECENTLY AND THERE WERE A LOT OF PEOPLE THERE AND AND WE WEREN'T WEARING MASKS BUT WE IT SEEMED LIKE WE WERE KEEPING A GOOD DISTANCE BETWEEN EACH OTHER SO THAT +RES0026-120 THAT WOULD BE MY ONLY CONCERN OK FOR SURE WERE PEOPLE PRETTY CLOSE TO EACH OTHER ON THE PATHS +RES0026-121 WHEN WALKING BY ON THE HIKE AHH NOT LIKE THE WHOLE TIME BUT THERE WOULD BE TIMES WHEN YOU KNOW PEOPLE JUST KIND OF BRUSHED BY YOU TO TRY TO GET AHEAD OF YOU OR SOMETHING LIKE THAT +RES0026-122 I SEE OK AND DO YOU +RES0026-124 CIGARETTES NO +RES0026-126 DO YOU SMOKE MARIJUANA NO +RES0026-128 OK AND DO YOU DRINK ALCOHOL I DONT'T DO YOU USE ANY OTHER RECREATIONAL +RES0026-130 DRUGS NO OK SO THAT WAS ALL I WANTED TO ASK ABOUT OH ACTUALLY ONE THING THAT I I DID WANT TO +RES0026-131 I FORGOT TO ASK WAS +RES0026-132 DO YOU HAVE ANY NECK STIFFNESS NO NOT THAT I NOTICED OK SO THAT WAS THE LAST QUESTION THAT I WANTED TO ASK ABOUT +RES0026-133 WAS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I I MAYBE FORGOT NO I THINK YOU COVERED IT ALL I'M JUST +RES0026-134-1 WONDERING DO YOU DO YOU THINK IT'S COVID OR SOMETHING ELSE +RES0026-134-2 WELL IT'S DEFINITELY A POSSIBILITY WITH THE SYMPTOMS THAT YOU'RE HAVING SINCE THEY CAN BE SO NON SPECIFIC FOR COVID IT CAN BE A LOT OF SYMPTOMS THAT OVERLAP +RES0026-134-3 SO WITH HAVING HEADACHE WHAT SOUNDS LIKE YOU MIGHT HAVE A FEVER AND AND THIS COUGH THAT SOUNDS LIKE IT'S PRETTY BAD IF YOU'RE BRINGING UP SOME BLOOD IT SOUNDS LIKE YOU MIGHT HAVE IRRITATED +RES0026-134-4 SOME OF THE BRONCHIOLES WITH THE THE COUGHING SO WE WILL TEST FOR THAT AND CHECK A PCR NASAL SWAB FOR COVID +RES0026-134-5 I'M NOT BUT WE WILL ALSO TEST FOR OTHER VIRAL ILLNESSES AND BACTERIAL ILLNESSES AS WELL IT DOESN'T SOUND LIKE YOU HAVE +RES0026-134-6 MENINGITIS RIGHT NOW JUST BASED ON THE SYMPTOMS WHERE YOU DON'T HAVE NECK STIFFNESS BUT IT'LL BE CERTAINLY SOMETHING THAT WE KEEP KEEP IN MIND WHILE WE ARE DOING OUR INVESTIGATIONS +RES0026-135 OK GREAT THANK YOU +RES0026-136 ALRIGHT YOU'RE WELCOME WE'LL GET THOSE STARTED +RES0026-137 OK SOUNDS GREAT +RES0027-000 I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN +RES0027-001 SURE I'VE BEEN COUGHING FOR THE PAST THREE DAYS AND IT I CAN'T SEEM TO STOP IT'S AFFECTING MY SLEEP SO I JUST REALLY LIKE TO GET THIS FIXED +RES0027-002 OK IS THE COUGH WITH THE COUGH HAVE YOU BEEN BRINGING UP ANY SPUTUM +RES0027-003 NO IT'S IT'S DRY IT'S VERY DRY +RES0027-004 OK HAVE YOU BROUGHT UP ANY BLOOD +RES0027-005 NO NO BLOOD +RES0027-006 OK AND THE COUGH STARTED THREE DAYS AGO HAS IT GOTTEN WORSE GOTTEN BETTER STAYED THE SAME +RES0027-007 YOU KNOW IT SEEMS TO BE GETTING WORSE AND NOW I EVEN FEEL HOT LIKE I HAVE A FEVER OR SOMETHING +RES0027-008 I SEE IS THERE ANY TRIGGERS ASSOCIATED WITH THE COUGH LIKE GOING OUTSIDE INTO THE COLD SMOKE INHALATION OR OR DUST OR PETS +RES0027-009 NO NOT THAT I NOTICED +RES0027-010 OK HAVE YOU TRIED ANYTHING TO YOU HELP WITH THE COUGH +RES0027-011 I TRIED OVER THE COUNTER COUGH SYRUP BUT IT'S IT'S NOT HELPING +RES0027-012 OK AND YOU MENTIONED THE COUGHS INTERRUPTING YOUR SLEEP HAS IS THE COUGH CONSTANT ALL DAY OR ARE THERE PARTICULAR TIMES OF THE DAY THAT IT'S WORSE +RES0027-013 IT'S JUST ALL DAY +RES0027-014 LET'S SEE OK AND YOU MENTIONED THAT YOU STARTED TO FEEL HOT WHEN WHEN DID YOU NOTICE THAT +RES0027-015 THAT WAS JUST TODAY +RES0027-016 JUST TODAY HAVE YOU TAKEN YOUR TEMPERATURE +RES0027-017 NO I HAVEN'T +RES0027-018 OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +RES0027-019 I'VE BEEN REALLY TIRED BUT I DON'T KNOW IF THAT'S BECAUSE I CAN'T GET ANY SEEM TO GET ANY SLEEP +RES0027-020 WELL BECAUSE THE COUGHS BEEN KEEPING YOU UP OK SO HAVE YOU HAD ANY HEADACHES +RES0027-021 MAYBE A SLIGHT HEADACHE BUT ALSO I'M NOT TOO SURE IF THAT'S BECAUSE I'VE BEEN COUGHING AND IT'S PUTTING STRAIN ON MY HEAD +RES0027-022 OK HOW ABOUT ANY DISCHARGE LIKE MUCUS OR TEARS FROM YOUR EYES OR EARS +RES0027-023 NO NOTHING LIKE THAT +RES0027-024 OK HOW ABOUT ANY PAIN AROUND YOUR EYES OR EARS +RES0027-025 NO +RES0027-026 OK HAVE YOU HAD A RUNNY NOSE +RES0027-027 NO NO +RES0027-028 ALRIGHT AND WITHIN THE LAST MONTH OR SO HAVE YOU HAD ANY COLD LIKE SYMPTOMS WITH A RUNNY NOSE HEADACHE SORE THROAT AND OR A COUGH +RES0027-029 NO +RES0027-030 OK SO IT'S JUST BEEN THESE LAST FEW DAYS +RES0027-031 YES +RES0027-032 ALRIGHT AND DO YOU HAVE A SORE THROAT NOW +RES0027-033 NO +RES0027-034 OK AND AND HOW IS YOUR APPETITE BEEN +RES0027-035 MY APPETITE'S BEEN OK I ALSO IT'S JUST HARD TO EAT BECAUSE I'M COUGHING SO MUCH +RES0027-036 OK HAVE YOU HAD ANY TROUBLES WITH SWALLOWING LIKE BEING PAINFUL +RES0027-037 NO WELL NO NO I WOULD SAY NO +RES0027-038 OK AN IN THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS +RES0027-039 NO WEIGHT LOSS +RES0027-040 ALRIGHT AND HAVE YOU HAD ANY CHILLS +RES0027-041 MAYBE A LITTLE BIT LAST NIGHT NOW THAT I THINK ABOUT IT +RES0027-042 OK AND HOW ABOUT ANY NIGHT SWEATS +RES0027-043 A LITTLE BIT LAST NIGHT +RES0027-044 OK SO YOU WERE A BIT CHILLY AND AND THEN SWEATY LATE LAST NIGHT +RES0027-045 YES A LITTLE BIT +RES0027-046 OK AND FEELING HOT TODAY +RES0027-047 HAVE YOU HAD ANY CHEST PAIN +RES0027-048 NO NO CHEST PAIN NO +RES0027-049 ALRIGHT AND HOW ABOUT SHORTNESS OF BREATH +RES0027-050 NO +RES0027-051 ALRIGHT ANY WHEEZING +RES0027-052 NO +RES0027-053 ALRIGHT AND HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOUR HEART WAS RACING OR BEATING OUT OF YOUR CHEST +RES0027-054 NO +RES0027-055 ALRIGHT AND ANY INSTANCES WHERE YOU FELT LIKE YOU WERE GONNA FAINT OR MAYBE BLACKOUT +RES0027-056 NO +RES0027-057 OK AND HAVE YOU FELT DIZZY AT ALL +RES0027-058 NO NO DIZZINESS +RES0027-059 ALRIGHT AND HAVE YOU HAD ANY LOSS OR OF YOUR SENSE OF TASTE OR LOSS OF YOUR SENSE OF SMELL +RES0027-060 NO +RES0027-061 OK AND HAVE YOU HAD ANY DIARRHEA +RES0027-062 NO DIARRHEA +RES0027-063 ALRIGHT AND THEN HOW ABOUT ANY NAUSEA OR VOMITING +RES0027-064 NO +RES0027-065 OK AND SO YOU HAVE BEEN FATIGUED HAVE YOU HAD ANY MUSCLE ACHES OR OR BODY ACHES +RES0027-066 A LITTLE BIT OF BOTH YEAH +RES0027-067 I SEE OK AND HAVE YOU HAD ANY PAINFUL URINATION OR FEELING THE NEED TO URINATE FREQUENTLY +RES0027-068 NO +RES0027-069 OK AND ANY SKIN RASHES OR OR SKIN CHANGES +RES0027-070 NO +RES0027-071 ALRIGHT IN REGARDS TO YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +RES0027-072 I HAVE HYPOTHYROIDISM +RES0027-073 I SEE OK AND ARE YOU TAKING ANY MEDICATIONS FOR THAT +RES0027-074 I'M ON SYNTHROID +RES0027-075 OK GREAT WHEN WAS YOUR LAST TSH CHECKED +RES0027-076 I BELIEVE I DID IT SIX MONTHS AGO +RES0027-077 OK AND WERE THERE ANY CONCERNS WITH THE RANGE AT THAT TIME +RES0027-078 NO I THINK IT WAS NORMAL +RES0027-079 ALRIGHT EXCELLENT DO YOU TAKE ANY OTHER MEDICATIONS OR OVER THE COUNTER +RES0027-080 I I TAKE THIS MULTI VITAMIN I CAN'T REMEMBER THE NAME OF IT BUT IT'S JUST SOMETHING THAT I TAKE EVERY DAY +RES0027-081 OK ANY ANY ALLERGIES TO MEDICATIONS +RES0027-082 NO +RES0027-083 ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE +RES0027-084 I HAD MY APPENDIX REMOVED WHEN I WAS A TEENAGER +RES0027-085 OK AND ANY COMPLICATIONS WITH THAT SURGERY +RES0027-086 NO +RES0027-087 ALRIGHT SO NEXT I WAS WONDERING IF YOU COULD JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +RES0027-088 SURE I LIVE WITH MY HUSBAND AND TWO CHILDREN WHO ARE BOTH TEENAGERS I WE LIVE IN A IN A TOWNHOUSE AND WE MOVED RECENTLY +RES0027-089 OK AND ANYBODY IN THE HOME BEEN SICK +RES0027-090 MY HUSBAND HAS BEEN THROWING UP FOR THE PAST TWO DAYS AND I THINK HE WAS FEELING A LITTLE HOT TOO +RES0027-091 OK HAS HE BEEN ASSESSED BY A PHYSICIAN +RES0027-092 NO I TRIED TO BRING HIM TODAY BUT HE REFUSED +RES0027-093 I SEE OK AND HAS HE BEEN AROUND ANYBODY WHO'S BEEN SICK THAT YOU'RE AWARE OF LIKE AT WORK OR ANYTHING +RES0027-094 HE WORKS AT THIS IT COMPANY THERE AREN'T A LOT OF THEM AND THEY ALL HAVE THEIR OWN CUBICLES SO YOU KNOW MAYBE IN THE LUNCH ROOM OR SOMETHING BUT OTHER THAN THAT I DON'T THINK SO +RES0027-095 OK AND HOW ABOUT YOURSELF ANY OTHER EXPOSURES OR SICK CONTACTS OR MAYBE AT WORK OR SOMETHING LIKE THAT +RES0027-096 SO I DO MARKETING STUFF ONLINE BUT I I WORK FROM HOME +RES0027-097 OK AND YOUR KIDS HAVE BEEN WELL +RES0027-098 OH THEY'VE BEEN THEY'VE BEEN HEALTHY +RES0027-099 ALRIGHT AND DO YOU SMOKE CIGARETTES +RES0027-100 NO +RES0027-101 AND DO YOU DRINK ALCOHOL +RES0027-102 I'LL HAVE A GLASS OF WINE WITH DINNER ONCE IN AWHILE +RES0027-103 OK DO YOU AND WHAT'S ONCE IN AWHILE +RES0027-104 MAYBE EVERY THREE OR FOUR DAYS +RES0027-105 OK SO A COUPLE OF DRINKS PER WEEK +RES0027-106 ALRIGHT AND DO YOU SMOKE MARIJUANA +RES0027-107 I HAVE HAVE SMOKED MARIJUANA I DON'T REGULARLY DO IT +RES0027-108 NO OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS +RES0027-109 NO +RES0027-110 OK AND HAS ANYBODY IN THE FAMILY HAD A LUNG CONDITION OR OR A HEART CONDITION BEFORE +RES0027-111 MY SISTER WHO'S FIFTEEN YEARS OLDER THAN I AM SHE HAD A HEART ATTACK QUITE RECENTLY +RES0027-112 OH I'M SORRY TO HEAR THAT DO YOU KNOW WHAT HAPPENED +RES0027-113 YOU KNOW I'M NOT TOO SURE SHE DOESN'T ALWAYS EAT THE HEALTHIEST AND SHE DOESN'T DO A LOT OF EXERCISE SO I THINK MAYBE THAT HAD SOMETHING TO DO WITH IT +RES0027-114 OK AND DID YOUR PARENTS HAVE ANY HEART PROBLEMS +RES0027-115 NO THEY WERE BOTH HEALTHY AND THEY PASSED AWAY A FEW YEARS AGO BUT THEY DIED OF OLD AGE I GUESS YOU CAN SAY +RES0027-116 OK ANY CANCERS IN THE FAMILY +RES0027-117 NO +RES0027-118 ALRIGHT SO I THINK THAT'S ALL I WANTED TO COVER ON THE HISTORY TODAY WAS THERE ANYTHING THAT YOU WANTED TO TELL ME I MAYBE DIDN'T ASK +RES0027-119 NO I WAS JUST CURIOUS IF YOU THINK I HAD COVID +RES0027-120-1 CERTAINLY ONE OF THE TOP THINGS THAT I'M CONSIDERING AFTER HEARING ABOUT YOUR SYMPTOMS OF HAVING THIS COUGH AND FEVER AND BEING TIRED THESE LAST FEW DAYS +RES0027-120-2 ESPECIALLY WITH YOUR HUSBAND BEING SICK WITH NAUSEA VOMITING AND NOT FEELING WELL THAT BEING SAID IT COULD BE ANOTHER TYPE OF VIRAL ILLNESS OR POSSIBLY +RES0027-120-3 A BACTERIAL INFECTION BUT CERTAINLY WE WILL ORDER SOME INVESTIGATIONS SOME BLOOD WORK A PCR NASAL SWAB THAT WILL ACTUALLY +RES0027-120-4 TEST FOR COVID AS WELL AS A CHEST X RAY TO START WITH AND WE WILL WAIT FOR SOME OF THOSE RESULTS TO COME BACK +RES0027-121 OK YEAH THAT SOUNDS GOOD +RES0027-122 ALRIGHT SO WE'LL GET THAT STARTED +RES0027-123 OK THANK YOU +RES0031-000 I WAS WONDERING IF WE COULD START BY YOU TELLING ME WHAT BROUGHT YOU IN TODAY +RES0031-001 SO I JUST CAME IN TODAY BECAUSE I'VE BEEN HAVING A SORE THROAT +RES0031-002 OK COULD YOU TELL ME SPECIFICALLY WHERE YOU'RE FEELING THE PAIN +RES0031-003 I WOULD SAY IT'S MOSTLY AT THE BACK OF MY THROAT +RES0031-004 OK AND HOW LONG HAS THIS BEEN GOING ON FOR +RES0031-005 I THINK IT STARTED LAST NIGHT +RES0031-006 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS SHARP BURNING STINGING DULL +RES0031-007 I WOULD DESCRIBE IT AS LIKE A BURNING PAIN +RES0031-008 OK AND HAS ANYTHING HAS THE PAIN BEEN GETTING ANY BETTER ANY WORSE +RES0031-009 I THINK IT'S GETTING WORSE SINCE LAST NIGHT +RES0031-010 OK AND ANY PRIOR EPISODES LIKE THIS WHERE YOU HAD SIMILAR SYMPTOMS +RES0031-011 NOTHING NOTHING RECENTLY THAT I CAN RECALL NO +RES0031-012 OK ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE +RES0031-013 I THINK IT'S JUST STAYING AT THE BACK OF MY THROAT +RES0031-014 OK AND CAN YOU THINK OF ANYTHING THAT TRIGGERED THE THE SORE THROAT THAT YOU DID JUST PRIOR TO THE SYMPTOMS COMING ON +RES0031-015 NO NOT THAT I CAN THINK OF I HAVEN'T REALLY CHANGED WHAT I DRINK OR WHAT I EAT NOTHING REALLY CHANGED +RES0031-016 OK AND ANYTHING THAT'S BEEN MAKING THE PAIN WORSE +RES0031-017 I WOULD SAY WHEN I ESPECIALLY WHEN I'M EATING WHEN I'M SWALLOWING IT HURTS A LOT BUT THAT'S ABOUT IT +RES0031-018 OK ANYTHING THAT MAKES IT BETTER +RES0031-019 I I THINK WHEN I DRINK LIKE COLDER LIQUIDS OR ICE CREAM IT JUST SOOTHES HE PAIN A LITTLE BIT +RES0031-020 OK ANY OTHER SYMPTOMS THAT YOU BEEN EXPERIENCING +RES0031-021 SO I I DO FIND THAT LIKE MY MOM TOLD ME THAT I HAVE MY VOICE IS KIND OF ROUGH AND LIKE JUST A LITTLE BIT HOARSE BUT OTHER THAN THAT BESIDES THE SWALLOWING NOTHING ELSE REALLY I'M STILL ABLE TO SWALLOW LIQUIDS BUT IT'S JUST THE SOLIDS THAT CAUSES SOME PAIN +RES0031-022 OK HAVE YOU HAD ANYTHING TO EAT TODAY OR WHEN WAS THE LAST TIME YOU HAD ANYTHING TO EAT +RES0031-023 I THINK I DID HAVE LUNCH TODAY I WASN'T ABLE TO EAT TOO TOO MUCH JUST BECAUSE OF THE PAIN BUT JUST A COUPLE HOURS AGO I HAD I DID HAVE A LUNCH +RES0031-024 OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE YOURSELF +RES0031-025 SORRY WHAT WAS THAT +RES0031-026 HAVE YOU NOTICED ANY CHANGES TO YOUR LIKE DO YOU THINK YOUR VOICE SOUNDS DIFFERENT TOO +RES0031-027 I DEFINITELY THINK LIKE WHEN I WOKE UP THIS MORNING MY VOICE WAS DEFINITELY MORE LIKE HOARSE AND MORE LIKE RASPY ALMOST BUT I WOULD SAY MY VOICE HAS CHANGED +RES0031-028 OK AND HAVE YOU BEEN HAVING ANY FEVERS OR OR CHILLS +RES0031-029 I DEFINITELY FELT A BIT CHILLY YESTERDAY IN THE MORNING I I DIDN'T TAKE ANY TEMPERATURES I THINK YOU GUYS DID TAKE A TEMPERATURE WHEN I CAME IN TODAY I I DON'T KNOW WHAT IT WAS +RES0031-030 OK YOU DID HAVE A FEVER TODAY WHEN COMING IN +RES0031-031 OK +RES0031-032 OK HAVE YOU HAD ANY HEADACHES +RES0031-033 NO NO HEADACHES +RES0031-034 OK HOW ABOUT ANY NAUSEA OR VOMITING +RES0031-035 SOMETIMES I FEEL LIKE WITH THE PAIN AND I THINK THERE'S A LOT OF JUST SWELLING BACK BACK IN MY THROAT THAT WHEN I TALK TOO MUCH I ALMOST FEEL LIKE I'M ABOUT TO GAG BUT I HAVEN'T REALLY THROWN UP AT ALL THOUGH +RES0031-036 OK BUT YOU DO FEEL LIKE YOUR THROAT IS SWOLLEN +RES0031-037 ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING ANY FATIGUE +RES0031-038 I WOULD SAY DEFINITELY THE LAST FEW DAYS ESPECIALLY YESTERDAY I JUST FELT EXHAUSTED DIDN'T REALLY WANT TO DO ANYTHING +RES0031-039 OK NOTICE ANY SKIN RASHES OR OR CHANGES +RES0031-040 NO NO SKIN SKIN RASHES +RES0031-041 OK AND HAVE YOU HAD A COUGH +RES0031-042 NO I HAVEN'T HAD ANY COFFEE +RES0031-043 HOW ABOUT ANY DIFFICULTY BREATHING OR SHORTNESS OF BREATH +RES0031-044 NO I THINK MY BREATHING HAS BEEN FINE +RES0031-045 OK AND HOW IS YOUR APPETITE +RES0031-046 OVER THE LAST FEW DAYS ESPECIALLY TODAY I JUST FEEL LIKE WITH THE PAIN I DON'T REALLY FEEL LIKE EATING AT ALL +RES0031-047 OK AND ANY RECENT CHANGES TO YOUR WEIGHT +RES0031-048 NO I I I WEIGH AROUND ONE HUNDRED AND FIFTY AND THAT HASN'T REALLY CHANGED AT ALL +RES0031-049 ALRIGHT AND HAVE YOU HAD ANY INFECTIONS RECENTLY +RES0031-050 I THINK A COUPLE OF WEEKS AGO I I DID HAVE A I WOULD SAY LIKE A BIT OF A RUNNY NOSE MAYBE A LITTLE BIT OF SORENESS OF MY THROAT BUT IT JUST WENT AWAY BY ITSELF +RES0031-051 OK SO YOU DIDN'T HAVE ANY TREATMENT FOR THAT +RES0031-052 NO I DIDN'T HAVE ANY MEDICATIONS OR ANYTHING I DIDN'T EVEN GO TO THE DOCTOR THEN +RES0031-053 OK AND HAVE YOU NOTICED ANY LUMPS IN YOUR IN YOUR NECK OR UNDER YOUR CHIN +RES0031-054 NO NOT THAT I KNOW I HAVEN'T REALLY CHECKED BUT I HAVEN'T NOTICED ANYTHING LIKE REMARKABLE +RES0031-055 OK ANY CHANGES TO THE SMELL OF YOUR BREATH +RES0031-056 I I DON'T KNOW ABOUT A SMELL BUT I DO FEEL LIKE I HAVE LIKE THIS GROSS TASTE IN MY MOUTH MAYBE I DON'T KNOW I THINK IT MIGHT SMELL A LITTLE BIT BUT I DEFINITELY HAVE THAT REALLY GROSS TASTE +RES0031-057 OK AND DO YOU HAVE ANY ABDOMINAL PAIN +RES0031-058 I DO FEEL THAT LIKE MY STOMACH IS A BIT SORE ESPECIALLY TODAY BUT NOTHING I'M TOO WORRIED ABOUT +RES0031-059 OK AND HAVE YOU BEEN DIAGNOSED OR TREATED FOR ANY MEDICAL CONDITIONS IN THE PAST +RES0031-060 NO I'VE BEEN FORTUNATE I'M COMPLETELY HEALTHY +RES0031-061 ANY ALLERGIES +RES0031-062 NO ALLERGIES +RES0031-063 ANY MEDICATIONS +RES0031-064 NO +RES0031-065 ANY HOSPITALIZATIONS +RES0031-066 NOPE NEVER +RES0031-067 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +RES0031-068 SO JUST A COUPLE OF WEEKS AGO AROUND THE TIME WHEN I HAD SOME COLD SYMPTOMS MY GIRLFRIEND ALSO HAD A SORE THROAT AND IT LASTED FOR AROUND A WEEK SO I WOULD SAY JUST MY GIRLFRIEND +RES0031-069 OK DOES YOUR GIRLFRIEND HAVE A SORE THROAT NOW +RES0031-070 NO IT IT STARTED I THINK AROUND TWO WEEKS AGO AND IT STOPPED LAST WEEK +RES0031-071 OK ANY SURGERIES BEFORE +RES0031-072 NO NO SURGERIES +RES0031-073 ALRIGHT IN THE FAMILY ANY HISTORY OF CANCER OR CANCER EARLY CARDIOVASCULAR DISEASE OR CHRONIC DISEASES +RES0031-074 I DON'T KNOW ABOUT THE REST BUT I I MY DAD DOES HAVE TYPE TWO DIABETES BUT NO CANCERS OR NO LIKE HEART ATTACKS OR ANYTHING LIKE THAT +RES0031-075 OK AND RIGHT NOW HOW ARE YOU SUPPORTING YOURSELF FINANCIALLY +RES0031-076 SO I AM CURRENTLY NOT WORKING I'M GOING TO COLLEGE RIGHT NOW MAJORING IN THE ARTS RIGHT NOW I'M LIVING IN DORM I'VE BEEN FORTUNATE MY PARENTS SUPPORT ME FINANCIALLY SO I'M CURRENTLY NOT WORKING JUST A STUDENT +RES0031-077 I SEE OK AND DO YOU DRINK ALCOHOL +RES0031-078 JUST JUST ON THE WEEKENDS WHEN THERE'S A LIKE GET TOGETHERS AND PARTIES BUT THROUGHOUT THE WEEK I I DON'T DRINK ANYTHING +RES0031-079 OK AND DO YOU SMOKE CIGARETTES +RES0031-080 NO I'VE NEVER TRIED CIGARETTES +RES0031-081 OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA +RES0031-082 NO NO I TRY TO STAY AWAY FROM ALL DRUGS BECAUSE I I'M ALSO AN ATHLETE SO I NEED TO MAKE SURE THAT MY BODY IS COMPLETELY HEALTHY +RES0031-083 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0031-084 YES +RES0031-085 OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS +RES0031-086 SO I JUST HAVE ONE PARTNER FOR THE LAST COUPLE MONTHS MY GIRLFRIEND BEFORE THAT THROUGHOUT THE YEAR I THINK I'VE HAD TWO OTHER PARTNERS BUT CURRENTLY RIGHT NOW JUST MY GIRLFRIEND +RES0031-087 OK AND MEN OR WOMEN OR BOTH +RES0031-088 OH NO I'M I'M STRAIGHT LIKE I I'VE ONLY BEEN WITH WOMEN +RES0031-089 OK AND HOW MANY PARTNERS HAVE HAVE YOU BEEN WITH OVER THE LAST SIX MONTHS OR THE LAST YEAR +RES0031-090 I WOULD SAY FOR MY GIRLFRIEND TWO OTHER GIRLS SO THREE IN TOTAL IN THE LAST YEAR +RES0031-091 OK AND DO YOU USE A CONDOM +RES0031-092 I I ALWAYS TRY TO USE A CONDOM LIKE THE LAST THING MY PARENTS WOULD PROBABLY KICK ME OUT IF I EVER GOT A GIRL PREGNANT SO I ALWAYS ALWAYS USE A CONDOM +RES0031-093 OK +RES0032-000 WHAT BRINGS YOU IN HERE TODAY +RES0032-001 I'VE HAD THIS COUGH AND IT'S JUST NOT GOING AWAY +RES0032-002 OK AND HOW LONG HAVE YOU BEEN HAVING THIS COUGH FOR +RES0032-003 I THINK IT STARTED ABOUT A MONTH AGO +RES0032-004 OK AND IS IT A DRY COUGH OR IS IT A WET COUGH +RES0032-005 I I'M BRINGING UP SOME PHLEGM IF THAT'S WHAT YOU MEAN +RES0032-006 SO YOU'RE BRINGING UP PHLEGM WHEN YOU COUGH +RES0032-007 AND IS IT WHAT COLOR IS IT +RES0032-008 I IT LOOKS PRETTY DARK AND AND SOMETIMES RED +RES0032-009 OK SO DO YOU THINK THERE'S BLOOD IN YOUR PHLEGM +RES0032-010 THE DARK IT DOES KIND OF LOOK LIKE BLOOD SO THAT'S WHAT SCARED ME AND WANTED ME TO COME IN TODAY +RES0032-011 OK AND HOW MUCH PHLEGM WOULD YOU SAY YOU'RE PUTTING OUT LIKE PER EVERY TIME YOU COUGH +RES0032-012 I'D SAY EVERY TIME I COUGH I'M BRINGING UP AT LEAST A TEASPOON OF OF THE DARK SPUTUM +RES0032-013 OK AND SO THIS STARTED FOUR WEEKS AGO IT HAS IT BEEN A CONSTANT LIKE YOU'VE BEEN CONSTANTLY COUGHING OR DOES IT COME AND GO +RES0032-014 I IT IT'S THERE PRETTY MUCH ALL THE TIME BUT ESPECIALLY BAD IN THE MORNING +RES0032-015 OK AND DO YOU REMEMBER IF ANYTHING CHANGED OR YOU DID SOMETHING DIFFERENTLY OR ANYTHING THAT HAPPENED BEFORE YOU STARTED HAVING THIS COUGH +RES0032-016 I HAD A COLD A FEW WEEKS BACK BUT IT WAS JUST A RUNNY NOSE AND IT SEEMS THAT THE COUGH HAS BEEN KIND OF LINGERING AROUND +RES0032-017 OK AND DO YOU FIND THAT IT'S BEEN GETTING WORSE AT ALL +RES0032-018 THE COUGH HAS BEEN GETTING WORSE +RES0032-019 AND HAVE YOU HAD ANY PREVIOUS EPISODES OF THIS +RES0032-020 I I'VE HAD A SMOKERS COUGH NOW FOR SEVERAL FOR SEVERAL YEARS BUT IT'S REALLY JUST THIS PAST MONTH THAT THAT IT'S GOTTEN REALLY BAD AND I HAVE IT ALL DAY LONG +RES0032-021 OK AND ARE YOU COUGHING EVERY DAY OR EVERY OTHER DAY LIKE HOW OFTEN WOULD YOU SAY YOU'RE COUGHING +RES0032-022 DAILY +RES0032-023 DAILY OK IS THERE ANYTHING THAT MAKES YOUR COUGH GO AWAY OR GET WORSE +RES0032-024 NOTHING THAT SEEMS TO REALLY MAKE IT ANY WORSE OR BETTER +RES0032-025 OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR RUNNY NOSE SORE THROAT ANYTHING LIKE THAT +RES0032-026 NOTHING I CAN THINK OF JUST JUST THIS COUGH THAT'S BEEN BUGGING ME +RES0032-027 OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY +RES0032-028 YES I'VE BEEN WORKING IN THE PHILIPPINES FOR THE LAST THREE YEARS +RES0032-029 AND HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS OR NIGHT SWEATS +RES0032-030 I FELT LIKE A LITTLE BIT HOT I MIGHT HAVE A FEVER NOW SO YES NO CHILLS THOUGH +RES0032-031 HOW ABOUT NIGHT SWEATS +RES0032-032 I HAVE BEEN SWEATING MORE AT NIGHT TOO I HAVE TO GET UP AND CHANGE MY PAJAMAS SOMETIMES +RES0032-033 OK AND HOW OFTEN HAS THIS BEEN HAPPENING +RES0032-034 I'M CHANGING MY PAJAMAS AND IT'S SOMETIMES THE SHEETS MAYBE A COUPLE OF TIMES PER WEEK +RES0032-035 OK AND HAVE YOU BEEN FEELING MORE MORE TIRED MORE FATIGUED AT ALL RECENTLY +RES0032-036 MY ENERGY HAS JUST BEEN REALLY DOWN I'VE BEEN REALLY FATIGUED +RES0032-037 AND DO YOU FIND THAT YOU EVER HAVE ANY CHEST PAIN OR SHORTNESS OF BREATH +RES0032-038 I SOMETIMES I DO HAVE SOME PAIN OVER ON THE RIGHT SIDE OF MY CHEST +RES0032-039 IS THIS PAIN WHAT KIND OF PAIN IS IT +RES0032-040 I'D SAY IT'S KIND OF LIKE A IT'S A STABBING KIND OF PAIN AND I ONLY REALLY NOTICE IT WHEN I TAKE A DEEP BREATH +RES0032-041 OK AND HOW ABOUT SHORTNESS OF BREATH HAVE YOU BEEN EXPERIENCING ANYTHING LIKE THAT +RES0032-042 I ONLY REALLY GET SHORT OF BREATH WHEN I'M GOING FOR A HIKE OR UP TO MY FOURTH FLOOR APARTMENT +RES0032-043 ANY CHANGES IN YOUR SKIN THAT YOU'VE NOTICED LIKE ANY RASHES AT ALL +RES0032-044 NO RASHES +RES0032-045 AND HOW ABOUT YOUR SLEEP HAVE YOU BEEN GETTING ENOUGH SLEEP ON A DAILY BASIS +RES0032-046 JUST THE SWEATING AT NIGHT HAS BEEN ANNOYING BECAUSE IT WAKES ME UP SOMETIMES BUT OTHER THAN THAT SLEEP HAS BEEN OK +RES0032-047 OK AND HOW ABOUT YOUR APPETITE +RES0032-048 I FEEL LIKE I'VE BEEN EATING OK REGULAR DIET +RES0032-049 AND HAVE YOU HAD ANY SIGNIFICANT WEIGHT CHANGES RECENTLY +RES0032-050 I'M DOWN LIKE FIFTEEN POUNDS OVER THE LAST FEW MONTHS AND I HAVEN'T REALLY MADE ANY CHANGES TO MY DIET OR EXERCISE SO I HAVEN'T REALLY BEEN TRYING +RES0032-051 OK ANY RECENT INFECTIONS AT ALL +RES0032-052 JUST THE COLD THAT I WAS TALKING ABOUT IT A FEW WEEKS AGO AND THAT'S WHERE THE RUNNY NOSE KINDA WENT AWAY +RES0032-053 OK AND HAVE YOU AT ALL EITHER HERE OR WHEN YOU WERE WORKING IN THE PHILIPPINES HAVE BEEN EXPOSED TO SOMEONE WITH TUBERCULOSIS +RES0032-054 I BELIEVE SOME OF THE PEOPLE I WAS HELPING OVER THERE DID IN FACT HAVE TUBERCULOSIS +RES0032-055 OK AND HAVE YOU HAD A TB SKIN TEST DONE AT ALL +RES0032-056 I'VE HAD ONE IN THE PAST BUT I CAN'T REALLY REMEMBER THE LAST TIME AND IT WAS NORMAL THOUGH WHEN WHEN I HAD IT A FEW YEARS AGO +RES0032-057 OK BUT NOTHING SINCE YOU'VE BEEN BACK AT ALL +RES0032-058 NO THE LAST TEST MUST BE AT LEAST A FEW YEARS AGO +RES0032-059 OK AND IN TERMS OF JUST IN YOUR ENVIRONMENT AT WORK AND AT HOME ARE YOU EXPOSED TO ANY MOLD OR ANY PETS +RES0032-060 NO PETS AT HOME AND I DON'T THINK THERE'S ANY MOLD IN THE HOME EITHER +RES0032-061 DO YOU NOTICE ANY KIND OF TINGLING OR NUMBNESS IN YOUR LIMBS OR ANY MUSCULAR WEAKNESS +RES0032-062 I I I MEAN I'M REALLY TIRED ALL THE TIME AND KIND OF FEEL WEAK THAT WAY BUT NO MUSCULAR WEAKNESS +RES0032-063 AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING ELSE +RES0032-064 JUST A CHRONIC BRONCHITIS WITH A SMOKERS COUGH +RES0032-065 OK AND DO YOU TAKE ANY MEDICATIONS +RES0032-066 I TAKE A BETA AGONIST INHALER AN INHALED CORTICOSTEROID AND ANOTHER TYPE OF ANTI MUSCARINIC INHALER +RES0032-067 OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS +RES0032-068 NO ALLERGIES +RES0032-069 ANY ALLERGIES AT ALL TO ANY ENVIRONMENTAL EXPOSURES +RES0032-070 I DON'T THINK SO NO +RES0032-071 ANY HOSPITALIZATION IN THE PAST +RES0032-072 NO +RES0032-073 AND ANY SURGERIES IN THE PAST +RES0032-074 NO SURGERIES +RES0032-075 AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO IS ILL I KNOW YOU MENTIONED IN THE PHILIPPINES YOU WERE EXPOSED TO SOME PEOPLE WITH TB BUT ANYTHING SINCE THEN +RES0032-076 NOT THAT I CAN THINK EVERYBODY'S BEEN HEALTHY +RES0032-077 OK AND AND IN YOUR FAMILY HAS THERE BEEN ANY HISTORY OF ANY CANCERS OR HEART ATTACKS ANY ANY MEDICAL CONDITIONS +RES0032-078 NO HEART ATTACKS BUT MY FATHER DIED OF LUNG CANCER WHEN HE WAS SIXTY SEVEN +RES0032-079 AND CURRENTLY DO YOU LIVE IN AN APARTMENT BUILDING IS THERE ANYONE YOU LIVE WITH +RES0032-080 I LIVE WITH MY GIRLFRIEND IN AN APARTMENT +RES0032-081 OK AND DO YOU WORK CURRENTLY +RES0032-082 I'VE BEEN DOING SOME HOUSING WORK IN THE PHILIPPINES THE LAST SEVEN SEVERAL YEARS +RES0032-083 OK AND DO YOU CURRENTLY DRINK +RES0032-084 NO I DON'T DRINK ALCOHOL +RES0032-085 ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0032-086 NO +RES0032-087 ANY AND YOU SMOKE CIGARETTES AT ALL +RES0032-088 YES I I DO SMOKE CIGARETTES I I'VE SMOKED MOST OF MY LIFE SIMILAR TO MY MY FATHER PROBABLY ONE TO TWO PACKS PER DAY +RES0033-000 I'VE BEEN HAVING ISSUES WITH JUST A COUGH THAT'S JUST BEEN CONSTANTLY LIKE BOTHERING ME FOR THE PAST FEW BIT +RES0033-001 OK WHEN DID THIS WHAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH ITSELF ANY ANY SPUTUM +RES0033-002 SO IT IT DOES HAVE SOME LIKE DARK YELLOW GREENISH MUCUS MATERIAL EVERY TIME I COUGH THAT'S NOT DOESN'T ALWAYS HAPPEN BUT IT'S BEEN WORSE LIKE THAT KEEPS HAPPENING OVER THE LAST FEW DAYS +RES0033-003 OK AND ANY BLOOD IN THE SPUTUM +RES0033-004 NO +RES0033-005 OK AND HOW MUCH HAVE YOU BEEN BRINGING UP WOULD YOU SAY +RES0033-006 I WOULD SAY EVERY TIME I BRING IT UP IT'S AROUND LIKE ONE TEASPOON USUALLY ONE TEASPOON IN THE DAY +RES0033-007 OK AND WHEN DID THIS COUGH START +RES0033-008 SO I THINK IT STARTED AROUND LIKE I WOULD SAY SIX MONTHS AGO AND IT'S KIND OF JUST COMING IT JUST KEEPS COMING AND GOING HERE AND THERE BUT IT'S RECENTLY JUST STARTING TO GET VERY IRRITATING +RES0033-009 OK AND ANY TRIGGERS OR PRECIPITATING EVENTS FOR FOR THE COUGH +RES0033-010 SO LIKE SIX MONTHS AGO I REMEMBER I WAS IN JUST IN PHYS ED AND WE WERE JUST DOING SOME LAPS AND THAT'S WHEN I JUST REALLY STARTED COUGHING AND NOTHING ELSE WAS REALLY GOING ON I JUST FEEL LIKE WHEN I STARTED RUNNING SOMETIMES I START TO COUGH +RES0033-011 OK AND HAS THE COUGH BEEN GETTING WORSE OR STAYING THE SAME GETTING BETTER +RES0033-012 I THINK IT WAS PRETTY IT WAS PRETTY MUCH THE SAME OVER THE LAST FEW MONTHS BUT THEN OVER THE LAST WEEK I WOULD SAY JUST GOT REALLY BAD AND OVER THE LAST FEW DAYS IT'S JUST BEEN GETTING WORSE AND WORSE +RES0033-013 OK SO IT'S BEEN THE COUGH HAS BEEN HAPPENING ON AND OFF UP UNTIL FOUR DAYS AGO IT +RES0033-014 SOUNDS LIKE IS THE COUGH HAPPENING DAILY NOW OH I WOULD SAY LIKE I'M COUGHING ESPECIALLY THE LAST FEW DAYS COUGHING +RES0033-015 SEVERAL TIMES A DAY IT'S PRETTY RANDOM BUT LIKE I WOULD SAY THROUGHOUT THE DAY +RES0033-016 OK ANYTHING YOU'VE TRIED TO MAKE THE OFFER BETTER I MEAN REALLY +RES0033-017 I I DIDN'T REALLY KNOW WHAT TO TRY SO NO I HAVEN'T TRIED ANYTHING OK AND +RES0033-018-1 ANYTHING YOU'VE NOTICED THAT THAT SO I GUESS ANYTHING YOU NOTICE THAT MAKES IT WORSE +RES0033-018-2 SO JUST LIKE WHEN I'M DOING MORE ACTIVITIES ESPECIALLY RUNNING I FIND I JUST GET LIKE THESE COUGHING FITS AND IT JUST GETS WORSE WHEN I'M RUNNING +RES0033-018-3 IT'S PRETTY ANNOYING BECAUSE EVEN SOMETIMES WHEN I'M JUST IN CLASS I JUST START COUGHING RANDOMLY BUT I WOULD SAY IT'S THE WORST WHEN I'M DOING ACTIVITIES +RES0033-019 OK SO EXERCISING BRINGS OUT THE COUGH ANY OTHER SYMPTOMS YOU'VE BEEN EXPERIENCING BESIDES THE COUGH +RES0033-020 THE ONLY THING THAT SOMETIMES LIKE I PANIC SOMETIMES WHEN WHEN I HAVE LIKE A REALLY BAD COUGHING FIT ESPECIALLY IN GYM CLASS IT ALMOST FEELS LIKE I CAN'T BREATHE AND THAT'S WHEN I GET REALLY SCARED +RES0033-021 OK HAVE YOU BEEN HAVING ANY +RES0033-022 NAUSEA OR VOMITING +RES0033-023 OH NO NO NAUSEA OR VOMITING OK +RES0033-024 HOW ABOUT ANY HEADACHES +RES0033-025 NO NO HEADACHES +RES0033-026 OK AND HAVE YOU HAD A FEVER I THINK I FELT LIKE A LITTLE BIT WARMER IN THE PAST FEW DAYS BUT I DIDN'T I DIDN'T REALLY CHECK +RES0033-027 OK AND HAVE YOU HAD ANY CHILLS +RES0033-028 I DON'T +RES0033-029 THINK SO NO OK AND HAVE YOU TRAVELED ANY +RES0033-030 WHERE RECENTLY NO NOTHING I'M +RES0033-031 I'VE BEEN HOME +RES0033-034 NIGHT SWEATS NO +RES0033-035 OK HAVE YOU HAD ANY RACING OF +RES0033-036 YOUR HEART NO NOTHING LIKE THAT OK +RES0033-037 AND HAVE YOU HAD ANY SYMPTOMS +RES0033-038 OF FATIGUE NO I I THINK MY ENERGY LEVELS ARE FINE OK DO YOU HAVE ANY CHEST PAIN SOMETIMES WHEN I COUGH LIKE WHEN IT'S REALLY BAD I SOMETIMES FEEL LIKE I GET SOME PAIN IN MY CHEST WHEN I'M COUGHING BUT THAT'S +RES0033-039 ONLY BEEN THE CASE FOR THE LAST +RES0033-040 FEW FEW DAYS I WOULD SAY OK ANY URINARY +RES0033-041 PROBLEMS NO +RES0033-043 I'VE BEEN PEEING ALRIGHT NO ISSUES THERE OK +RES0033-044 ANY BOWEL PROBLEMS NO OK ANY ISSUES WITH YOUR +RES0033-045 APPETITE NO I THINK I'VE BEEN EATING +RES0033-046 THE SAME AMOUNT +RES0033-047 OK ANY CHANGES TO YOUR WEIGHT NO STILL THE SAME OK +RES0033-048 AND ANY PROBLEMS WITH SORRY ANY RECENT INFECTIONS LIKE I FEEL LIKE I MIGHT HAVE A COLD +RES0033-049 BUT I THINK I MAYBE A WEEK AGO I HAD LIKE A LITTLE BIT OF A RUNNY NOSE SO I DON'T KNOW I MIGHT HAVE A COLD OK +RES0033-051 SYMPTOMS COLD SYMPTOMS YOU'VE BEEN +RES0033-052 FEELING FOR THE LAST FEW DAYS IT'S ALMOST UP TO A WEEK NOW OK AND ANY PROBLEMS WITH SLEEP I FEEL LIKE SOMETIMES JUST IN THE PAST FEW WEEKS +RES0033-053 LIKE I STARTED COUGHING AT NIGHT AND WOKE MYSELF UP SO SLEEP +RES0033-054 HAS BEEN A LITTLE BIT DISTURBED OVER +RES0033-055 THE PAST FEW WEEKS OK ANY EXPOSURES +RES0033-056 TO TUBERCULOSIS OH NO NO NOT THAT I KNOW ANY EXPOSURES TO INHALANTS LIKE SMOKE OR +RES0033-057 OR DUST OR FUMES NO I DON'T HAVE ANY PETS LIKE +RES0034-000 HI THERE I WAS JUST HOPING TO ASK YOU A FEW QUESTIONS TODAY BUT I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN TODAY +RES0034-001 I AM JUST CALLING ABOUT MY DAUGHTER SHE'S BEEN SICK OVER THE LAST FEW DAYS SHE HAS FEVER AND A COUGH +RES0034-002 I SEE OK WHEN DID THE FEVER AND COUGH START +RES0034-003 SO THEY STARTED AROUND THREE TO FOUR DAYS AGO AND AROUND THE SAME TIME SHE WAS ALSO HAVING LIKE A RUNNY NOSE +RES0034-004 OK AND HAS THE FEVER AND COUGH BEEN PRESENT THE WHOLE TIME +RES0034-005 I WOULD SAY THEY STARTED AROUND THE SAME TIME AND THEY HAVE BEEN GOING ON FOR THE LAST THREE AND A HALF TO FOUR DAYS +RES0034-006 OK SO HAS THERE BEEN A PERIOD WHEN SHE HASN'T HAD A FEVER OR A COUGH +RES0034-007 NO EVERY TIME I'VE MEASURED IT SHE HAS HAD A FEVER AND SHE'S BEEN COUGHING FOR THE LAST FEW DAYS HASN'T REALLY CHANGED +RES0034-008 OK CAN YOU THINK OF ANYTHING LEADING UP TO THESE SYMPTOMS +RES0034-009 NO SHE WAS SHE WAS FINE JUST THREE TO FOUR DAYS AGO LIKE BEFORE THAT SHE WAS HER PLAYFUL SELF NO ISSUES BUT IT'S FOR THE LAST COUPLE OF DAYS JUST THIS NONSTOP COUGH AND THE FEVERS IS WHAT'S REALLY WORRYING ME +RES0034-010 OK HAVE THE SYMPTOMS HAVE GOTTEN WORSE OR STAYED THE SAME +RES0034-011 I WOULD SAY THE FEVER HAS BEEN GETTING A LITTLE BIT WORSE OVER THE LAST LIKE ESPECIALLY TODAY BUT THE COUGH COUGHING IS ABOUT THE SAME AS WHAT IT WAS WHEN IT FIRST STARTED THREE DAYS AGO +RES0034-012 OK HAS SHE BEEN SICK LIKE THIS BEFORE +RES0034-013 SHE'S SHE OFTEN GETS SICK LIKE HER BROTHER GOES TO DAYCARE AND HE BRINGS A LOT OF BUGS FROM THERE AND EVERY TIME HE GETS SICK SHE ALSO GETS SICK THE LAST TIME SHE HAD LIKE A SIMILAR COUGH WAS +RES0034-014 AROUND TWO MONTHS AGO BUT AT THAT TIME I WASN'T THAT WORRIED BECAUSE SHE DIDN'T HAVE ANY FEVERS +RES0034-015 OK HAVE YOU HAS THERE BEEN ANYTHING THAT YOU'VE TRIED TO HELP WITH THE COUGH OR FEVER +RES0034-016 TYLENOL I GAVE HER TYLENOL IT DID HELP HER A LITTLE BIT BUT THEN THE FEVER CAME RIGHT BACK SAY LIKE A FEW HOURS LATER +RES0034-017 OK AND ANYTHING YOU NOTICE THAT'S MADE THE COUGH OR FEVER WORSE OVER THE LAST THREE OR FOUR DAYS +RES0034-018 NOT ANYTHING THAT I KNOW OF HER FEVERS BEEN GETTING WORSE BUT I DON'T REALLY KNOW WHY THAT IS +RES0034-019 OK HAS SHE BEEN HAVING ANY OTHER SYMPTOMS +RES0034-020 OTHER THAN LIKE SHE HAD THAT RUNNY NOSE WHEN IT FIRST STARTED AND THEN SHE'S ALSO BEEN HAVING SOME DIARRHEA +RES0034-021 OK AND WHEN DID THE DIARRHEA START +RES0034-022 I THINK I WOULD SAY IT STARTED AROUND TWO DAYS AGO SHE'S LIKE EVERY TIME I CHANGE HER DIAPER SHE WOULD HAVE LIKE FOUR FIVE DIFFERENT DIAPER CHANGES THROUGHOUT THE DAY AND THEY THEY SEEM PRETTY LIQUID SO I +RES0034-023 THINK SHE'S BEEN HAVING DIARRHEA FOR THE LAST TWO DAYS +RES0034-024 OK YOU MENTIONED LIQUID APPEARING STOOL WHAT WOULD YOU SAY SAY SO I GUESS COULD YOU COMMENT ON THE +RES0034-025 CONSISTENCY AND COLOUR CONSISTENCY I'D SAY IT'S PRETTY WATERY LIKE DIARRHEA AND COLOUR I DIDN'T REALLY THINK THERE'S +RES0034-026 ANY CHANGES IN IN THE COLOUR OK SO YOU +RES0034-027 THINK THERE WAS ANY BLOOD +RES0034-028 IN THE STOOL NO NO NO I DIDN'T SEE ANY BLOOD OK AS FOR THE FEVER +RES0034-029 WHAT WAS THE MAXIMUM TEMPERATURE THAT YOU NOTED AND HOW DID YOU CHECK IT SO I USED WE HAVE JUST A REGULAR NON DIGITAL THERMOMETER IN HER EAR AND +RES0034-030 NOTICE ANY TUGGING OR +RES0034-034 REGURGITATION NO SHE'S BEEN KEEPING FOOD DOWN +RES0034-036 NO ISSUES THERE OK AND NOTICE +RES0034-037 ANY DISCHARGE FROM EITHER EYE +RES0034-038 HOW ABOUT ANY DISCHARGE +RES0034-040 THAT I'VE NOTICED NO NOTICE ANY RASHES NO I DIDN'T NOT KNOW LIKE NEW RASHES NO +RES0034-041 OK AND HOW IS SHE BEEN IN TERMS OF MOOD OR OR BEHAVIOUR OH SHE'S BEEN PRETTY LIKE SHE'S NOT HERSELF OVER THE LAST FEW DAYS SHE'S BEEN CRYING A LOT MORE JUST VERY IRRITABLE +RES0034-042 OK WOULD YOU SAY INCONSOLABLE AT TIMES +RES0034-043 SOMETIMES LIKE YESTERDAY LIKE SHE I COULDN'T GET HER TO STOP CRYING +RES0034-044 OK AND I KNOW YOU SAID NO VOMITING BUT HAS SHE BEEN COUGHING UP ANY SPUTUM +RES0034-045 I WOULD SAY THIS GREEN SLIMY CONTENT IT'S LIKE GREEN AND SLIMY +RES0034-046 OK HOW MUCH WOULD YOU SAY LIKE A CUP OR MORE +RES0034-047 I WOULD SAY PROBABLY LIKE AT LEAST AT LEAST A COUPLE SPOONFULS AT A TIME SHE WOULD COUGH UP +RES0034-048 OK AND DID YOU NOTICE ANY BLOOD IN IT +RES0034-049 NO I DIDN'T NOTICE ANY BLOOD AT ALL +RES0034-050 OK AND WITH THE COUGH HAVE YOU NOTICED ANY DIFFICULTIES BREATHING +RES0034-051 I DON'T KNOW IF IT'S DIFFICULTY BREATHING BUT I HAVE NOTICED SOMETIMES SHE'S LIKE BREATHING FASTER THAN NORMAL LIKE TAKING A LOT MORE BREATHS +RES0034-052 I SEE OK IS SHE HAVING TROUBLES WITH DROOLING OR YOUR +RES0034-054 NO I HAVEN'T NOTICED THAT OK +RES0034-055 AND DOES HER VOICE SOUND NORMAL TO YOU I THINK HER NOTE +RES0034-056 HER VOICE HASN'T REALLY CHANGED THAT MUCH OK WITH THE NOTICING THE FASTER +RES0034-057 RATE OF BREATHING IS THE +RES0034-058 BREATHING NOISY AT ALL NO LIKE SHE'S NOT WHEEZING OR ANYTHING OK AND DO YOU NOTICE ANY +RES0034-059 LIKE RETRACTION OF THE SKIN BETWEEN +RES0034-060 HER RIBS WHEN BREATHING SO LIKE LIKE WHAT DO YOU MEAN BY THAT LIKE JUST SO WHEN SHE'S BREATHING IN AND OUT IS SHE GENERATING A LOT OF FORCE AND EFFORT TO REALLY KIND OF SUCK IN AND +RES0034-061 BLOW OUT SO YOU CAN KIND OF SEE +RES0034-062 IMPRESSIONS OVER THE RIBS NO I I DON'T THINK I'VE NOTICED THAT NO OK AND AND HAVE YOU NOTICED ANY BLUEISH DISCOLOURATION +RES0034-064 AROUND HER LIPS OR +RES0034-065 MOUTH NO +RES0034-066 OK AND ANY URINARY PROBLEMS NO SHE'S PEEING FINE OK +RES0034-067 AND HOW HAS SHE BEEN SLEEPING THE LAST FEW DAYS SHE HASN'T REALLY BEEN SLEEPING IN BETWEEN THE CRYING AND LIKE JUST BEING SO IRRITABLE I THINK SHE'S JUST VERY UNCOMFORTABLE WHEN SHE'S TRYING TO GET TO SLEEP SO +RES0034-068 I WOULD SAY NOT LIKE MAYBE A COUPLE HOURS FOR THE LAST FEW NIGHTS +RES0034-069 OK ANY EVIDENCE OF SEIZURE OR LIMB JERKING +RES0034-070 NO NOT THAT I'VE NOTICED +RES0034-071 NO OK AND AND HAVE YOU NOTICE AN HER BEING LIKE REALLY LETHARGIC AT ALL +RES0034-072 SHE'S NOT HERSELF AND SHE'S STILL LIKE PRETTY ACTIVE LIKE SHE'S SHE JUST SEEMS REALLY UNHAPPY AND IRRITATED BUT NO SHE STILL HAS ENERGY +RES0034-073 OK AND IS SHE DRINKING A LOT MORE FLUIDS OR OR A LOT LESS HOW IS SHE TOLERATING ORAL INTAKE +RES0034-074 I WOULD SAY I THINK SHE'S MORE ON THE DRYER SIDE LIKE SHE HER MOUTH IS VERY DRY HER LIPS ARE LIKE ALL CRACKED AND SHE IT SEEMS THAT SHE'S DRINKING +RES0034-075 LESS WATER TOO +RES0034-076 I SEE OK AND HOW MANY WET DIAPERS WOULD YOU SAY IN THE LAST TWENTY FOUR HOURS +RES0034-077 IT'S DIFFICULT TO SAY I THINK I LIKE YESTERDAY CHANGED FOUR TO FIVE TIMES THEY WERE ALL DIARRHEA SO NOT REALLY SURE BUT MAYBE AROUND FIVE +RES0034-078 OK AND HAVE YOU GUYS TRAVELED ANYWHERE RECENTLY +RES0034-079 NO NO WE'VE BEEN HERE +RES0034-080 OK SO NEXT JUST SOME QUESTIONS ABOUT PAST MEDICAL HISTORY HAS SHE HAD ANY MEDICAL PROBLEMS IN THE PAST +RES0034-081 THE ONLY THING I COULD THINK OF WAS AFTER SHE WAS BORN SHE HAD TO BE GIVEN THE LIGHT TREATMENT FOR LIKE JAUNDICE BUT AFTER THAT NO OTHER PROBLEMS +RES0034-082 OK AND ANY PRIOR SURGERIES +RES0034-083 NO +RES0034-084 ANY PREVIOUS HOSPITALIZATIONS +RES0034-085 NO JUST THE LIGHT TREATMENT BUT OTHER THAN THAT NOTHING +RES0034-086 OK AND THROUGHOUT PREGNANCY WERE THERE ANY COMPLICATIONS +RES0034-087 NO MY PREGNANCY WAS COMPLETELY NORMAL NO COMPLICATIONS DURING THE PREGNANCY +RES0034-088 OK SO NO GESTATIONAL DIABETES OR HYPERTENSION +RES0034-089 NO +RES0034-090 OK AND WERE YOU SICK AT ALL AT ANY POINT WITH INFECTIOUS SYMPTOMS +RES0034-091 NO EVERYTHING CAME BACK CLEAR ALL THE TESTS WERE NORMAL +RES0034-092 OK AND ANY ALLERGIES TO MEDICATIONS +RES0034-093 NO ALLERGIES +RES0034-094 OK AND IS SHE CURRENTLY TAKING ANY MEDICATIONS +RES0034-095 NO JUST TRIED THE TYLENOL BUT IT DIDN'T REALLY SEEM TO WORK +RES0034-096 OK AND HAS SHE BEEN AROUND ANYBODY SICK RECENTLY +RES0034-097 JUST HER BIG BROTHER WHO GOES TO DAYCARE WAS ALSO LIKE A BIT SICK WITH A COUGH AND SOME RUNNY NOSE FOR THE LAST FOUR DAYS BUT HE DIDN'T HAVE A FEVER AND HE SEEMED TO RECOVER PRETTY FAST BUT SEEMS SHE MAY HAVE CAUGHT IT FROM HIM +RES0034-098 OK AND ANYBODY IN THE FAMILY HAVE ANY SIMILAR SYMPTOMS RIGHT NOW I GUESS BESIDES HER BROTHER +RES0034-099 NO JUST JUST HER AND HER BROTHER +RES0034-100 OK AND AND IN REGARDS TO BIRTH BIRTH HISTORY WAS IT A VAGINAL DELIVERY OR C SECTION +RES0034-101 IT WAS A NORMAL VAGINAL DELIVERY AT THIRTY EIGHT WEEKS THERE WERE NO PROBLEMS AFTER THE DELIVERY OR BEFORE THE DELIVERY +RES0034-102 OK AND ARE HER IMMUNIZATIONS UP TO DATE +RES0034-103 ALL OUR IMMUNIZATIONS ARE UP TO DATE +RES0034-104 OK AND IN REGARDS TO GROWTH AND DEVELOPMENT HAVE YOU +RES0034-105 HAD ANY CONCERNS NO WE'VE BEEN GETTING HER CHECKED REGULARLY IT SEEMS THAT SHE'S BEEN +RES0034-106 GROWING WELL AND DEVELOPING WELL OK AND WHO IS THE PRIMARY CAREGIVER FOR AT HOME +RES0034-107 PRIMARY CAREGIVER RIGHT NOW I'M STAYING HOME WITH HER AND HER BROTHER GOES TO DAYCARE SO IT WOULD BE ME +RES0034-108 OK AND COULD YOU TELL ME ABOUT HER EATING HABITS AND TYPICAL APPETITE +RES0034-109 SO NOW LIKE SHE IS ABLE TO EAT LIKE EVERYTHING LIKE VEGETABLES FRUITS BREADS AND MEAT BUT OVER THE LAST FEW DAYS SHE HAS BEEN JUST IRRITABLE WITH EVERYTHING SO EVEN EATING FOOD HAS JUST NOT BEEN GREAT FOR THE LAST FEW DAYS +RES0034-110 OK AND WHEN WAS HER LAST CHECKUP +RES0034-111 SO IT WAS AROUND ONE MONTH AGO AND EVERYTHING WAS FINE THEN NO CONCERNS FROM THE DOCTOR +RES0034-112 OK THANK YOU +RES0035-000 MAY I JUST BEGIN WITH ASKING YOU WHAT BROUGHT YOU IN HERE TODAY +RES0035-001 SURE I'VE BEEN EXPERIENCING SOME ISSUES BREATHING AND JUST A LOT OF COUGHING OVER THE PAST YEAR OR SO +RES0035-002 OK AND IS YOUR COUGH HAS IT BEEN A WET COUGH OR A DRY COUGH +RES0035-003 BUT IT'S BEEN A WET COUGH +RES0035-004 OK YOU MENTIONED IT STARTED OVER A YEAR +RES0035-005 WELL ABOUT ABOUT EIGHT MONTHS +RES0035-006 EIGHT MONTHS AND HAS IT BEEN GETTING WORSE AT ALL +RES0035-007 I THINK IT'S BEEN GETTING WORSE +RES0035-008 OK AND SO IT'S BEEN A WET COUGH DO YOU RELEASE ANY KIND OF LIKE PHLEGM OR SPUTUM +RES0035-009 IT'S USUALLY CLEAR BUT SOMETIMES IT CAN LOOK YELLOW OR GREEN +RES0035-010 OK AND HOW HOW MUCH WOULD YOU SAY YOU PRODUCE +RES0035-013 EVERY TIME YOU COUGH EVERY TIME I COUGH MAYBE LIKE +RES0035-014 THE SIZE OF MY THUMBPRINT OK AND HAVE YOU NOTICE AT ALL COUGHING UP +RES0035-016 ANY BLOOD IS THE BLOOD EVER MIXED IN +RES0035-018 THE PHLEGM NO OK AND HAS IT BEEN CONSTANT COUGHING OR DOES IT COME AND GO OVER THE LAST +RES0035-019 EIGHT MONTHS IT IT COMES AND GOES BUT THERE THERE IT'S ALWAYS LIKE I HAVE A TICKLE IN MY THROAT OR SOMETHING +RES0035-020 OK AND WHEN IT FIRST STARTED HAD ANYTHING CHANGED IN YOUR LIFE HAD YOU MOVE TO A NEW PLACE OR STARTED SMOKING OR ANYTHING LIKE THAT +RES0035-021 NO +RES0035-022 NO OK IS THERE ANYTHING YOU DO THAT MAKES THE COUGHING OR SHORTNESS OF BREATH WORSE +RES0035-023 I GUESS WALKING +RES0035-024 WALKING IS THERE ANYTHING THAT MAKES IT BETTER AT ALL +RES0035-025 JUST +RES0035-026 RESTING JUST RESTING OK HOW MUCH CAN YOU WALK OR RUN UNTIL YOU FEEL THE COUGHING OR SHORTNESS OF BREATH +RES0035-027 ABOUT LIKE TWO HUNDRED METERS +RES0035-028 OK AND HAS THIS EVER HAPPENED TO YOU BEFORE THE EIGHT MONTHS +RES0035-029 NO ACTUALLY I GET WHEEZY BECAUSE I HAVE ASTHMA BUT IT DOESN'T IT'S NOT AS BAD AS THIS +RES0035-030 OK AND HOW OFTEN ARE YOU COUGHING ARE YOU COUGHING THROUGHOUT THE DAY OR IS IT MORE SO DURING THE DAY AND THEN OR MORE AT NIGHT +RES0035-031 IT'S JUST KIND OF ALWAYS THERE THROUGHOUT THE DAY +RES0035-032 OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE DIFFICULTY BREATHING AND THE COUGH DO YOU HAVE A SORE THROAT RUNNY NOSE DIZZINESS ANYTHING LIKE THAT +RES0035-033 NO +RES0035-034 OK SO JUST THE DIFFICULTY BREATHING AND THE COUGH +RES0035-035 DO YOU GET ANY CHEST PAIN AT ALL +RES0035-036 NO CHEST PAIN +RES0035-037 GREAT HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE COUNTRY RECENTLY +RES0035-038 NO NO +RES0035-039 ANY HEADACHES NAUSEA OR VOMITING +RES0035-040 NO +RES0035-041 ANY FEVER CHILLS OR NIGHT SWEATS +RES0035-042 NO +RES0035-043 DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY +RES0035-044 I GUESS COUGHING A LOT MAKES ME TIRED +RES0035-045 OK DO YOU EVER FEEL THAT YOUR HEART IS RACING OR YOU HAVE ANY KIND OF CHEST PAIN +RES0035-046 NO +RES0035-047 HAVE YOU NOTICED ANY +RES0035-049 ISSUES URINATING NO ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA +RES0035-050 NO +RES0035-051 ANY ISSUES WITH YOUR SLEEP OR APPETITE +RES0035-052 NO +RES0035-053 ANY SIGNIFICANT CHANGES IN YOUR WEIGHT +RES0035-054 NO +RES0035-055 HAVE YOU HAD ANY RECENT INFECTIONS THAT YOU KNOW OF +RES0035-056 NOT THAT I KNOW OF +RES0035-057 ANY ANTIBIOTICS THAT YOU'VE HAD TO USE FOR ANY INFECTIONS +RES0035-058 NO +RES0035-059 DO YOU THINK YOU HAVE HAD ANY EXPOSURE TO TUBERCULOSIS IN THE PAST +RES0035-060 NO +RES0035-061 AND DO YOU HAVE EXPOSURE TO FUMES OR DUST OR ANIMALS OR PETS IN YOUR WORK OR HOME ENVIRONMENT +RES0035-062 I HAVE A BIRD +RES0035-063 A BIRD AND WHEN DID YOU GET THE BIRD +RES0035-064 LIKE FIVE YEARS AGO +RES0035-065 OK BUT NO ISSUES BEFORE THE EIGHT MONTHS +RES0035-066 NO +RES0035-067 OK IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU MENTIONED ASTHMA BUT ANYTHING ELSE LIKE DIABETES HIGH BLOOD PRESSURE +RES0035-068 I HAVE TYPE TWO DIABETES AND HIGH BLOOD PRESSURE +RES0035-069 OK AND OR DO YOU TAKE ANY MEDICATIONS FOR THOSE CONDITIONS +RES0035-070 NO IT'S JUST BEING CONTROLLED BY DIET +RES0035-071 OK ANY MEDICATIONS FOR ANY OTHER REASONS +RES0035-072 I TAKE SOME VITAMIN D TABLETS +RES0035-073 OK ANY ALLERGIES ENVIRONMENTAL OR TO MEDICATIONS +RES0035-074 NO +RES0035-075 OK HAVE YOU EVER BEEN HOSPITALIZED +RES0035-076 NO +RES0035-077 ANY ILL CONTACTS NEAR YOU AT HOME OR WORK +RES0035-078 NO +RES0035-079 ANY PREVIOUS SURGERIES +RES0035-080 NO PREVIOUS SURGERIES +RES0035-081 OK DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA OR ANY OTHER LUNG CONDITION OR ANY CANCERS +RES0035-082 NO LUNG CONDITIONS OR CANCERS +RES0035-083 OK AND CURRENTLY DO YOU WORK +RES0035-084 I DO +RES0035-085 AND WHERE DO YOU WORK +RES0035-086 I WORK AS AN ACCOUNTANT +RES0035-087 OK AND DO YOU CURRENTLY LIVE IN AN APARTMENT OR A HOUSE +RES0035-088 IN AN APARTMENT +RES0035-089 OK AND DO YOU LIVE BY YOURSELF OR DO YOU LIVE WITH ANYONE ELSE +RES0035-090 JUST BY MYSELF +RES0035-091 OK ANY NEW CHANGES TO YOUR HOUSE ANY NEW CARPETS OR ANYTHING LIKE THAT OR HAVE YOU MOVED INTO A NEW NEW PLACE RECENTLY +RES0035-092 NO +RES0035-093 OK DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0035-094 NO I SMOKED WHEN I WAS YOUNGER BUT NOT ANYMORE +RES0035-095 OK AND DO YOU SMOKE CIGARETTES +RES0035-096 I DO +RES0035-097 OK AND HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY +RES0035-098 ABOUT HALF A PACK A DAY +RES0035-099 OK AND HOW LONG HAVE YOU BEEN SMOKING FOR +RES0035-100 SINCE I WAS EIGHTEEN +RES0035-101 OK AND YOU DRINK ALCOHOL +RES0035-102 SOMETIMES +RES0035-103 AND HOW OFTEN WOULD YOU SAY ON AN AVERAGE WEEK HOW MANY DRINKS OF ALCOHOL WOULD YOU SAY YOU HAVE +RES0035-104 MAYBE TWO GLASSES OF WINE A WEEK +RES0035-105 OK AND IN TERMS OF YOUR DIET AND EXERCISE WOULD YOU SAY YOU GET THREE MEALS A DAY WELL BALANCE WELL BALANCED DIET +RES0035-106 I'D SAY SO +RES0035-107 OK AND LASTLY IN TERMS OF EXERCISE WOULD YOU SAY YOU'RE FAIRLY ACTIVE THROUGHOUT THE WEEK +RES0035-108 AND WHAT KIND OF THINGS DO YOU +RES0035-109 DO FOR ACTIVITY I TAKE WALKS WHEN I CAN BEFORE THIS WHOLE SHORTNESS OF BREATH +RES0036-000 CAN WE JUST BEGIN WITH WHAT BRINGS YOU IN HERE TODAY +RES0036-001 SO I'VE BEEN PRETTY BREATHLESS FOR THE PAST SIX DAYS AND IT'S IT'S JUST WORSE I HAVE TO STOP FROM I HAD TO STOP SO MANY TIMES WALKING HERE FROM MY CAR +RES0036-002 OK AND WHEN DID THIS FIRST START +RES0036-003 SIX DAYS AGO +RES0036-004 AND DID IT START LIKE GRADUALLY OR WAS IT ALL OF A SUDDEN +RES0036-005 PRETTY SUDDEN ACTUALLY +RES0036-006 OK AND WERE YOU DOING ANYTHING BEFORE IT FIRST HAPPENED +RES0036-007 NO JUST WORK AND SPENDING SOME TIME AT HOME +RES0036-008 OK AND SO YOU'RE HAVING THE SHORTNESS OF BREATH BUT ARE YOU HAVING ANY LIKE COUGHING AT ALL +RES0036-009 OH A LOT OF COUGHING TOO +RES0036-010 OK AND IS IT A DRY COUGH OR A WET COUGH +RES0036-011 SO I'VE NOTICED THIS WEIRD RUSTY COLORED SPUTUM AND I'VE NOTICED THAT LIKE A COUPLE TIMES A DAY +RES0036-012 AND DID YOUR COUGH STARTED AROUND THE SAME TIME AS WHEN YOUR SHORTNESS OF BREATH STARTED +RES0036-013 I'D SAY SO +RES0036-014 OK SO AROUND SIX DAYS +RES0036-015 AROUND THERE +RES0036-016 AND HAS IT BEEN CONSTANT LIKE I'VE BEEN CONSTANTLY HAVING A SHORTNESS OF BREATH EVERY DAY WITH THE COUGHING OR DOES IT COME AND GO +RES0036-017 IT'S PRETTY CONSTANT NOW +RES0036-018 OK AND DO YOU FIND THAT IT'S BEEN GETTING WORSE AT ALL +RES0036-019 I'D SAY IT'S GETTING I'D SAY IT'S GETTING WORSE +RES0036-020 OK AND IS THAT BOTH THE COUGHING AND THE SHORTNESS OF BREATH OR ONE OR THE OTHER +RES0036-021 IT'S IT'S BOTH +RES0036-022 IT'S BOTH OK +RES0036-023 AND DO YOU REMEMBER IF YOU WERE DOING SOMETHING AT THE TIME WHEN THE SHORTNESS OF BREATH FIRST STARTED HAVE YOU RECENTLY HAD ANY INFECTIONS OR ANYTHING LIKE THAT PREVIOUSLY +RES0036-024 I DON'T KNOW BOUT AN INFECTION BUT I GUESS I HAVE BEEN FEELING A LITTLE FEVERISH I HAVEN'T TAKEN MY TEMPERATURE BUT I'VE BEEN FEELING YOU KNOW KIND OF COLD +RES0036-025 OK AND WHEN YOU FEEL THE BREATHLESSNESS HOW LONG DOES IT USUALLY LAST FOR +RES0036-026 IT'S KIND OF HARD TO SAY IT'S IT'S ALWAYS THEIR BASELINE BUT IT GETS WORSE WHEN I WHEN I WALK OR WHEN I EXERT MYSELF +RES0036-027 OK AND BESIDES LIKE THE EXERTION DOES IT GET WORSE WITH ANY WHEN YOU'RE NEAR POLLEN WHEN YOU'RE OUTSIDE IN THE COLD ANYTHING LIKE THAT +RES0036-028 IT GETS WORSE WHEN WHEN NO NO I WOULDN'T SAY THAT NO NO +RES0036-029 OK AND IS IT WORSE IN THE MORNING OR AT NIGHT +RES0036-030 IT IT DOESN'T MATTER +RES0036-031 IT IS THERE ALL THE TIME +RES0036-032 OK AND IS THERE ANYTHING THAT MAKES IT GO AWAY OR I MEAN OR ANYTHING YOU'VE TRIED THAT MAKES IT BETTER +RES0036-033 WELL I GUESS I'VE TRIED SOME TAKING SOME TYLENOL AND THAT'S HELPING MY LIKE REGULATING MY TEMPERATURE +RES0036-034 OK AND HAVE YOU EVER NOTICED ANY BLOOD IN THE COUGH +RES0036-035 IT'S RUSTY COLORED BUT I DON'T KNOW IF THAT'S BLOOD +RES0036-036 OK BUT YOU'VE NEVER ACTUALLY COUGHED UP RED BLOOD +RES0036-037 NO +RES0036-038 OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE BESIDES EXERTION +RES0036-039 NO +RES0036-040 OK AND DO YOU NOTICE HAVING ANY WHEEZING OR ANY OTHER BREATHING SOUNDS +RES0036-041 I NOTICE SOME WHEEZING IT'S IT'S IT'S NOT THAT MUCH THOUGH +RES0036-042 OK BEFORE THIS BEFORE THE SIX DAYS HAVE YOU EVER EXPERIENCED ANYTHING SIMILAR +RES0036-043 NO +RES0036-044 NO OK HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY +RES0036-045 NO +RES0036-046 OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CHEST PAIN ANYTHING LIKE THAT +RES0036-047 I DO HAVE THIS SHARP CHEST PAIN THAT GETS WORSE WITH COUGHING +RES0036-048 OK AND IS IS THAT ALWAYS THERE OR IS IT JUST WHEN YOU'RE COUGHING A LOT +RES0036-049 I GUESS WHEN I'M COUGHING A LOT +RES0036-050 AND THAT STARTS SIX DAYS AGO TOO AS WELL OR IS THAT +RES0036-051 OK AND DO YOU EVER FEEL ANY KIND OF IS IT SO YOU SAID MENTION IT WAS SHARP BUT DO YOU EVER FEEL LIKE INCREASED PRESSURE IN YOUR CHEST ANYTHING LIKE THAT +RES0036-052 NO +RES0036-053 AND HOW WOULD YOU RATE THIS PAIN WHEN IT OCCURS FROM A SCALE OF ONE BEING THE LEAST AMOUNT OF PAIN YOU'VE FELT IN YOUR LIFE AND TEN BEING THE WORST +RES0036-054 THE SHARP CHEST PAIN I'D SAY MAYBE LIKE A SEVEN +RES0036-055 OK AND DOES IT GO AWAY ON ITS OWN OR DOES IT SPREAD TO DIFFERENT AREAS OF YOUR BODY AT ALL +RES0036-056 IT JUST STARTS GRADUALLY GOING AWAY AT WHEN I STOP COUGHING +RES0036-057 OK HAVE YOU EXPERIENCED ANY KIND OF HEADACHES WITH NAUSEA OR VOMITING +RES0036-058 NO +RES0036-059 OK SO YOU MENTIONED YOU HAD SOME CHILLS BUT YOU DON'T KNOW IF YOU HAD A FEVER +RES0036-060 OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS +RES0036-061 NO +RES0036-062 OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY +RES0036-063 NOT THAT I KNOW OF NO +RES0036-064 OK HAVE YOU EXPERIENCED ANY NIGHT SWEATS +RES0036-065 I FEEL CHILLY AT NIGHT BUT I DON'T MAYBE +RES0036-066 OK ANY SIGNIFICANT WEIGHT LOSS RECENTLY +RES0036-067 NO +RES0036-068 AND HAVE YOU NOTICED ANY KIND OF SYMPTOMS LIKE YOUR HEART IS RACING OR ANYTHING LIKE THAT +RES0036-069 NO +RES0036-070 OK HAVE YOU EXPERIENCED ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL LIKE IN CONSTIPATION OR DIARRHEA +RES0036-071 NO +RES0036-072 ANY CHANGES IN YOUR URINARY PATTERNS +RES0036-073 NO +RES0036-074 ANY ISSUES WITH YOUR SLEEP OR APPETITE AT ALL +RES0036-075 NO +RES0036-076 OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD OR ANYTHING LIKE THAT RECENTLY +RES0036-077 I GUESS I HAD A RUNNY NOSE A FEW DAYS BEFORE +RES0036-078 OK +RES0036-079 HAVE YOU AT ALL BEEN EXPOSED TO ANYONE WITH TUBERCULOSIS IN THE PAST +RES0036-080 NO +RES0036-081 ANY EXPOSURE AT YOUR WORKPLACE OR AT HOME TO ANY FUMES OR DUST IN PETS OR ANIMALS +RES0036-082 WELL I HAVE BIRDS BUT I'VE HAD THEM FOR AWHILE +RES0036-083 OK HOW LONG HAVE YOU HAD THE BIRDS FOR +RES0036-084 ABOUT THREE YEARS +RES0036-085 OK AND NO THEY HAVEN'T CAUSED YOU ANY ISSUES BEFORE +RES0036-086 NO +RES0036-087 OK AND DO YOU HAVE ANY ALLERGIES THAT YOU KNOW OF +RES0036-088 NO ALLERGIES +RES0036-089 OK ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ASTHMA +RES0036-090 NO +RES0036-091 ANY PREVIOUS SURGERIES +RES0036-092 NO NONE +RES0036-093 OK ANY HOSPITALIZATIONS FOR ANY REASON +RES0036-094 NO +RES0036-095 OK ARE YOU ON ANY MEDICATIONS CURRENTLY +RES0036-096 NO +RES0036-097 AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE CANCERS OR HEART ATTACKS OR ANY LUNG ISSUES +RES0036-098 NO +RES0036-099 OK AND CURRENTLY DO YOU WORK +RES0036-100 I DO THE PLACE I WORK IS VERY CROWDED AND IT'S NOT THE BEST CONDITIONS TO WORK IN AND THERE'S AN AIR CONDITIONER WHICH I THINK IS BROKEN IT'S QUITE HUMID IT'S NEVER BEEN CHECKED +RES0036-101 AND HOW LONG HAVE YOU BEEN WORKING THERE +RES0036-102 FOR THE PAST YEAR +RES0036-103 OK AND WHERE DO YOU LIVE CURRENTLY DO YOU LIVE IN A HOUSE OR AN APARTMENT +RES0036-104 I HAVE A SMALL APARTMENT ALSO NOT IN THE GREATEST LOCATION +RES0036-105 OK DO YOU HAVE ANY EXPOSURE TO MOLD OR EXCESSIVE DUST IN YOUR HOUSEHOLD +RES0036-106 MAYBE IT'S A VERY BADLY KEPT APARTMENT SO IT'S POSSIBLE +RES0036-107 OK DO YOU HAVE ANY POTENTIAL EXPOSURE TO ASBESTOS IN YOUR HOUSE OR AT WORK +RES0036-108 I MEAN PROBABLY BOTH BUILDINGS ARE VERY VERY OLD I DOUBT THEY'RE BEING MAINTAINED +RES0036-109 OK AND DO YOU CURRENTLY SMOKE AT ALL +RES0036-110 I SMOKE TEN CIGARETTES A DAY +RES0036-111 OK AND HOW LONG HAVE YOU BEEN SMOKING FOR +RES0036-112 SINCE I WAS TWENTY +RES0036-113 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0036-114 I SMOKE A LITTLE CANNABIS SOMETIMES +RES0036-115 AND HOW OFTEN WOULD YOU SAY YOU SMOKE IN AN AVERAGE WEEK +RES0036-116 MAYBE ABOUT FIVE MILLIGRAMS +RES0036-117 OK AND DO YOU DRINK ALCOHOL +RES0036-118 I DO BUT NOT A LOT +RES0036-119 HOW MUCH WOULD YOU SAY YOU DRINK IN A WEEK +RES0036-120 MAYBE FIVE DRINKS +RES0036-121 OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU THINK YOU GET ENOUGH EXERCISE +RES0036-122 PROBABLY NOT +RES0036-123 OK AND HOW ABOUT YOUR DIET DO YOU GET THREE MEALS A DAY OR IS IT WELL BALANCED +RES0036-124 I EAT A LOT OF FAST FOOD AND JUNK FOOD +RES0036-125 OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAD FOR US TODAY +RES0036-126 NO +RES0036-127-1 OK SO BASED ON WHAT WE DISCUSSED TODAY IT SEEMS THAT YOU MAY HAVE AN UPPER RESPIRATORY TRACT INFECTION THE OTHER THINGS ON DIFFERENTIAL WOULD BE A COPD EXACERBATION +RES0036-127-2 DUE TO YOUR SIGNIFICANT SMOKING HISTORY SO WE WILL DO SOME INVESTIGATIONS TI FIGURE OUT WHAT THIS IS AND THEN PERHAPS CAN GIVE YOU ANTIBIOTICS OR OTHER MEDICATIONS TO HELP YOU UNLESS IT'S A VIRAL INFECTION +RES0037-000 I WOULD JUST LIKE TO START WITH WHAT BROUGHT YOU IN HERE TODAY TO THE FAMILY CLINIC +RES0037-001 SO I'VE BEEN COUGHING FOR A FEW MONTHS NOW AND SO THAT'S THE PROBLEM +RES0037-002 OK AND HOW MANY MONTHS HAVE YOU BEEN COUGHING FOR +RES0037-003 JUST OVER TWO I WOULD SAY AND IT'S BEEN I'VE BEEN BRINGING UP THIS YELLOW GREENISH SPUTUM IT'S KIND OF GROSS +RES0037-004 OK AND HOW HOW MUCH OF THE SPUTUM WOULD YOU SAY YOU'RE BRINGING UP IN AN AVERAGE DAY LIKE A TEASPOON TABLESPOON +RES0037-005 OH I SEE OK I DON'T KNOW MAYBE A FEW TEASPOONS THROUGHOUT THE DAY +RES0037-006 OK +RES0037-007 AT FIRST I THOUGHT I I I HAD A A CHEST INFECTION BUT EVEN AFTER ANTIBIOTICS FROM MY GP OR OR MY FAMILY DOCTOR +RES0037-008 IT NEVER CLEARED UP OK AND SO +RES0037-009 WHEN DID YOU GO ON THE ANTIBIOTICS SO +RES0037-010 THIS IS ABOUT ABOUT A MONTH AGO AND SO I WENT TO SEE MY FAMILY DOCTOR ABOUT THE COUGH THEN AND DAD WAS PRESCRIBED SOME ANTIBIOTICS I THINK AZITHROMYCIN AND IT IT STILL DIDN'T IT DIDN'T DO ANYTHING +RES0037-011 OK I SEE AND DO YOU FIND THAT YOUR COUGH HAS BEEN GETTING WORSE SINCE THEN +RES0037-012 I WOULD SAY THE COUGH HAS BEEN ABOUT THE SAME +RES0037-013 OK BUT HOW ABOUT THE SPUTUM THAT YOU'RE BRINGING UP HAS THAT INCREASED +RES0037-014 IT'S ABOUT THE SAME BUT IT DEFINITELY I WOULD SAY THERE'S A PINK TINGE IN THE SPUTUM NOW EVERY ONCE IN AWHILE I'VE NOTICED MORE THAN THAN BEFORE +RES0037-015 OK AND DID THIS ALL START AFTER THE CHEST INFECTION OR DID YOU HAVE SOMETHING LIKE THIS OCCUR BEFORE +RES0037-016 THIS ALL STARTED AFTER +RES0037-017 OK I SEE WAS THERE ANYTHING THAT HAPPENED AROUND THAT TIME ANY NEW ENVIRONMENT THAT YOU WERE EXPOSED TO +RES0037-018 WELL I DID GO TO INDIA A FEW MONTHS AGO +RES0037-019 OK AND HOW MANY MONTHS WAS THAT WAS THAT ALSO LIKE TWO MONTHS AGO +RES0037-020 ABOUT THAT PROBABLY CLOSER TO THREE OR FOUR BUT RIGHT AROUND THE TIME THAT THAT I THINK THIS COUGH STARTED OR +RES0037-021 JUST BEFORE I GOT BACK OK I SEE AND +RES0037-022 HOW OFTEN ARE YOU COUGHING +RES0037-023 IN A DAY A FEW TIMES AN HOUR OK ANYTHING THAT MAKES +RES0037-024 YOUR COUGH GO AWAY NOW YOU'VE TRIED NO NOTHINGS +RES0037-025 REALLY HELPED IT GO AWAY OK AND IS IT BETTER OR WORSE DURING GOOD MORNING AS OPPOSED TO NIGHT +RES0037-026 IT'S PRETTY IT'S PRETTY BAD ALL DAY ACTUALLY AND IT'S BEEN IMPACTING MY SLEEP BECAUSE I'VE BEEN COUGHING AT NIGHT TOO +RES0037-027 I SEE AND IN TERMS OF THINGS THAT MAKE IT WORSE ANYTHING YOU DO AROUND THE HOUSE OR AT WORK THAT MAKES THE COUGHING WORSE +RES0037-028 I GUESS IF I'M JUST MOVING AROUND A LITTLE BIT MORE IT MIGHT BRING IT ON A LITTLE BIT MORE BUT IT'S PRETTY BAD ALL DAY +RES0037-029 I SEE AND IN TERMS OF ANY OTHER SYMPTOMS YOU MIGHT BE HAVING DO YOU HAVE ANY SHORTNESS OF BREATH RUNNY NOSE ANY CHEST PAIN +RES0037-031 NO NOT REALLY OK BESIDES THE PAIN TINGED SPUTUM HAVE YOU EVER COUGHED UP BLOOD LIKE RED BLOOD +RES0037-032 NOT ANYTHING THAT WAS REALLY BRIGHT RED MORE PINK +RES0037-033 MORE PINK OK SO YOU TRAVELED TO INDIA JUST TWO MONTHS AGO DO YOU REMEMBER WHAT KIND OF PLACE YOU STAYED IN INDIA WAS IT A A IN A CROWDED PLACE OR WERE YOU BY YOURSELF +RES0037-034 WELL I MEAN THERE IS A LOT OF PEOPLE AROUND THERE WAS NOT A LOT OF ROOM WHERE I WAS WAS STAYING SO IT WAS PRETTY CROWDED +RES0037-035 OK AND WAS THERE ANYONE THAT WAS ILL AROUND YOU OR ANY EXPOSURE TO TUBERCULOSIS +RES0037-036 NOT THAT I'M NOT AWARE OF I WAS AROUND MY FAMILY BUT I GUESS IT'S POSSIBLE +RES0037-037 OK AND ONCE YOU CAME BACK DID ANYONE ELSE IN YOUR FAMILY GET SICK OR WAS IT JUST YOU +RES0037-038 OH I SPOKE TO MY RELATIVE WENT WHEN I GOT BACK AND THEY THEY DIDN'T TELL ME ABOUT ONE OF MY COUSINS THERE THAT WAS FEELING SICK +RES0037-039 OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +RES0037-040 I FEEL I FEEL LIKE I'VE BEEN PRETTY PRETTY HOT SOMETIMES +RES0037-041 OK AND HOW ABOUT NIGHT SWEATS +RES0037-042 THE COUGHS BEEN MESSING WITH MY SLEEP AND I'VE BEEN WAKING UP WITH NIGHT SWEATS +RES0037-043 OK AND HAVE YOU BEEN HAVING ANY HEADACHES +RES0037-044 NO HEADACHES +RES0037-045 ANY DO YOU FEEL THAT YOU'VE LOST ANY +RES0037-046 WEIGHT RECENTLY MAYBE +RES0037-047 A FEW POUNDS BUT HAVE YOU TRIED TO LOSE WEIGHT OR +RES0037-048 WAS THAT UNINTENTIONAL NO I I WAS KIND OF SURPRISED I THOUGHT I WOULD HAVE GAINED WEIGHT CAUSE I'VE BEEN A BIT MORE LAZY RECENTLY +RES0037-049 BUT THE WEIGHT SEEMS TO BE DOWN ANYWAY I SEE OK HAVE YOU NOTICED ANY +RES0037-050 WHEEZING +RES0037-051 SOUNDS WHEN YOU BREATHE OUT OR BREATHE IN NO WHEEZING +RES0037-053 NO CHEST PAIN RIGHT NO CHEST PAIN OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS OR HANDS OR ANYWHERE ELSE IN YOUR BODY +RES0037-054 NO SWELLING +RES0037-055 OK ANY BOWEL MOVEMENT CHANGES ANY CONSTIPATION OR DIARRHEA NEITHER OF THOSE +RES0037-056 NO +RES0037-057 OK ANY URINARY PROBLEMS +RES0037-058 NO +RES0037-059 OK ANY CHANGES IN YOUR APPETITE AT ALL DO YOU FEEL THAT YOU'VE LOST ANY APPETITE +RES0037-061 MAYBE EATING A LITTLE BIT LESS OK AND IN YOUR CURRENT ENVIRONMENT RIGHT NOW ARE YOU EXPOSED TO ANY FUMES OR DUST OR ANY ANIMALS +RES0037-062 WE HAVE A DOG BUT NO FUMES OR ANYTHING LIKE ANYTHING LIKE THAT +RES0037-063 OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS +RES0037-064 NO +RES0037-065 OK IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0037-066 I MEANT HIGH BLOOD PRESSURE TYPE TWO DIABETES AND HIGH CHOLESTEROL +RES0037-067 I SEE AND ARE YOU TAKING ANY MEDICATIONS FOR ANY OF THOSE +RES0037-068 I'M TAKING A FEW MEDICATIONS FOR BLOOD PRESSURE AND AND AND DIABETES RIGHT NOW AND I THINK I ROSUVASTATIN FOR FOR THE CHOLESTEROL I'M NOT SURE OF THE OTHER ONES THOUGH +RES0037-069 OK NO WORRIES AND DO YOU KNOW IF YOU'RE ALLERGIC TO ANY MEDICATIONS OR DO YOU HAVE ANY ENVIRONMENTAL ALLERGIES +RES0037-070 I THINK I I GOT A RASH TO PENICILLIN WHEN I WAS WHEN I WAS YOUNGER BUT THAT'S IT +RES0037-071 OK ANY PREVIOUS HOSPITALIZATIONS +RES0037-072 NOPE +RES0037-073 OK ANY SURGERIES +RES0037-074 NO SURGERIES +RES0037-075 OK AND IN YOUR FAMILY HAS ANYONE EVER HAD ANY CANCERS OR DIED OF A HEART ATTACK +RES0037-076 MY MOTHER OUT A HEART ATTACK WHEN SHE WAS FORTY EIGHT +RES0037-077 OK AND HAS ANYONE EVER HAD ANYTHING LIKE PULMONARY FIBROSIS OR ANY AUTOIMMUNE CONDITIONS +RES0037-078 WHAT ARE THOSE +RES0037-079 SO PULMONARY FIBROSIS IS A CONDITION IN YOUR LUNG WHERE YOU START GETTING LIKE THESE +RES0037-081-1 NODULES AND IT CAN RUN IN THE FAMILY I SEE AND THAT CAN CAUSE SOME OF THE SYMPTOMS LIKE A CHRONIC COUGH IT CAN CAUSE SOMETIMES SHORTNESS OF BREATH +RES0037-081-2 AND IT CAN SOMETIMES BE ASSOCIATED WITH THE LIKE SOME CONNECTIVE TISSUE DISORDERS THAT CAN RUN IN THE FAMILY ANY OF THOSE RING A BELL +RES0037-082 NO I HAVEN'T HEARD OF ANYTHING LIKE THAT IN MY FAMILY +RES0037-083 OK AND OTHER THAN THAT WHERE DO YOU CURRENTLY LIVE DO YOU LIVE BY YOURSELF OR WITH ANYONE ELSE +RES0037-084 I LIVE WITH MY HUSBAND AND THREE SONS JUST OUTSIDE +RES0037-085 OF TOWN HERE OK AND +RES0037-086 HAVE ANY OF THEM BEEN SICK NO EVERYBODY'S BEEN +RES0037-087 FEELING WELL AT HOME OK +RES0037-088 AND DO YOU WORK CURRENTLY +RES0037-089 NO I'M I RETIRED OK +RES0037-090 AND CURRENTLY DO YOU SMOKE CIGARETTES I SMOKE ABOUT A HALF A PACK OF CIGARETTES +RES0037-091 PER DAY AND I'VE BEEN TRYING TO CUT DOWN +RES0037-092 OK AND HOW LONG HAVE YOU BEEN +RES0037-093 SMOKING FOR PROBABLY LIKE THIRTY YEARS I SEE AND DO YOU USE ANY RECREATIONAL +RES0037-094 DRUGS LIKE MARIJUANA OR COCAINE NO I'VE NEVER USED +RES0037-095 ANYTHING LIKE THAT OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +RES0037-097 NO NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME OR ANY QUESTIONS OR CONCERNS +RES0037-099-1 RIGHT NOW +RES0037-099-2 OK SO WE'LL BE DOING SOME INVESTIGATIONS SINCE YOU RECENTLY TRAVELED TO INDIA WE NEED TO MAKE SURE THAT YOU DON'T HAVE TUBERCULOSIS AS THAT'S PREVALENT IN SOME PARTS OF INDIA +RES0037-099-3 SO WE WILL DO SOME WE MIGHT GET LIKE A CHEST X RAY FOR THAT YOU MAY HAVE A PNEUMONIA AS WELL AND THEN WE'LL GO FROM THERE DOES THAT SOUND GOOD +RES0037-101 FOR SURE OK ALRIGHT WELL WELL AFTER THOSE TESTS HAVE COME BACK WE'LL SEE YOU IN THE NEXT APPOINTMENT FOR FOLLOW UP +RES0038-000 SO WHAT BRINGS YOU HERE TODAY AT THE FAMILY CLINIC +RES0038-001 I HAVEN'T BEEN COUGHING THESE LAST TWO WEEKS SINCE I GOT BACK FROM MEXICO I THINK I GOT SICK THERE +RES0038-002 OK SO JUST THE LAST COUPLE WEEKS YOU'VE BEEN COUGHING +RES0038-003 EVER SINCE I GOT BACK FROM MEXICO IT'S BEEN SO ABOUT ABOUT TWO WEEKS +RES0038-004 OK AND IS YOUR COUGH FOR A WET COUGH OR DRY COUGH +RES0038-005 IT'S DRY AND I'M NOT BRINGING UP ANY ANY SPUTUM +RES0038-006 OK AND ARE YOU COUGHING UP ANY BLOOD AT ALL +RES0038-007 NO BLOOD +RES0038-008 NO OK AND IS THE COUGH CONSTANT OR DOES IT COME AND GO +RES0038-009 IT IT COMES AND GOES I WOULD SAY SOMETIMES IT CAN BE WORSE DEPENDING ON ON WHAT I'M WHAT I'M DOING I GUESS IF I'M EXERCISING OR IF IT'S IF IT'S REALLY +RES0038-010 COLD OUTSIDE IT MIGHT GET WORSE OK AND +RES0038-011 DO YOU FEEL THAT IT'S BEEN GETTING WORSE AT ALL YOUR COUGH +RES0038-012 NOT REALLY I THINK IT'S ABOUT THE SAME OK AND ANYTHING THAT YOU DID WHEN YOU WERE IN MEXICO THAT MIGHT YOU THINK MIGHT HAVE CAUSED YOUR COUGH +RES0038-013 I DON'T KNOW MAYBE I I WAS DRINKING A LITTLE BIT TOO MUCH AND PARTYING A LITTLE BIT TOO MUCH SO MIGHT HAVE GOT SICK WHILE I WAS THERE +RES0038-014 I SEE DID YOU HAVE ANY COLD SYMPTOMS LIKE RUNNY NOSE SORE THROAT ANY ANYTHING LIKE THAT WHEN YOU WERE THERE OR AFTER YOU CAME BACK +RES0038-015 NO SOMETIMES MY EYES CAN GET A LITTLE ITCHY BUT NO RUNNY NOSE OR SORE THROAT +RES0038-016 OK HAVE YOU HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO HOW YOU'RE FEELING NOW +RES0038-017 MAYBE YEARS AGO WHEN I LIKE WHEN I WAS IN ELEMENTARY SCHOOL BUT NOTHING FOR THE LAST FEW YEARS +RES0038-018 OK AND HOW OFTEN ARE YOU COUGHING LET'S SAY IN AN AVERAGE DAY +RES0038-019 IT'S IT'S PRETTY VARIABLE I WOULD SAY SO IF I'M EXERCISING IT WILL IT'LL THROW ME INTO A COUGHING FIT AND AND SOMETIMES IT'S REALLY BUGGING ME AT NIGHT TOO IT'LL AFFECT ME IT'S IMPAIRING MY SLEEP +RES0038-020 OK AND SO EXERCISE MAKES IT WORSE ANYTHING THAT YOU DO THAT HELPS YOU RELIEVE THE COUGH +RES0038-021 I ACTUALLY I TRIED MY SONS INHALER AND IT SEEMED TO ACTUALLY HELP BUT ONE OF THE DAYS I JUST COULDN'T SEEM TO STOP THE COUGH AND I WANTED TO SLEEP SO I GAVE IT A TRY AND IT IT SEEMED TO ACTUALLY HELP WITH THE COUGH +RES0038-022 OK AND SO YOUR SON HAS INHALERS DOES HE HAVE ASTHMA +RES0038-023 HE DOES HE WAS DIAGNOSED WITH ASTHMA A COUPLE OF YEARS AGO +RES0038-024 OK AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ASTHMA +RES0038-025 I THINK IF THEY'VE SAID IT BEFORE WHEN I WAS YOUNG BUT I HAVEN'T HAD ANY SYMPTOMS FOR FOR FOR YEARS +RES0038-026 OK AND BESIDES THE COUGH DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY COLD SYMPTOMS OF RUNNY NOSE SORE THROAT RIGHT NOW OR EVEN LIKE ANY CHEST PAIN +RES0038-027 NO NOTHING LIKE THAT +RES0038-028 OK AND DO YOU HAVE ANY SYMPTOMS LIKE A HEADACHE OR NAUSEA OR VOMITING +RES0038-029 NOPE NO HEADACHE NAUSEA OR VOMITING +RES0038-030 OK IS YOUR COUGH AT ALL WORSE DURING THE DAY OR AT NIGHT OR DOES IT JUST IS AT AROUND THE SAME THROUGHOUT THE DAY +RES0038-031 I THINK THE COUGHS WORSE AT NIGHT +RES0038-032 OK AND DO YOU EVER FEEL THAT YOU'RE SHORT OF BREATH AT ALL +RES0038-033 WELL SO IT AFFECTS ME IF I'M OUTSIDE AND THAT THAT'S ACTUALLY USUALLY WHEN +RES0038-034 MY EYES WILL GET ITCHY TOO OK AND HAVE YOU HAD ANY +RES0038-035 ECZEMA IN THE PAST I HAD I HAD ECZEMA WHEN I WAS I WAS YOUNGER I THINK THAT WAS IN IT WHEN I WAS IN ELEMENTARY SCHOOL AS WELL +RES0038-036 OK HAVE YOU HAD ANY FEVERS OR CHILLS RECENTLY +RES0038-037 NO +RES0038-038 ANY NIGHT SWEATS +RES0038-039 NO +RES0038-040 HAVE YOU BEEN FEELING INCREASINGLY TIRED THROUGHOUT THE DAY +RES0038-041 NO MY ENERGY'S BEEN BEEN GOOD I JUST GET SHORT OF BREATH OR OR HAVE THESE COUGHING FITS IF I IF I EXERT MYSELF +RES0038-042 OK HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR HANDS +RES0038-043 NO +RES0038-044 ANY DIZZINESS +RES0038-045 NO DIZZINESS +RES0038-046 DO YOU EVER FEEL YOUR HEART IS RACING WHEN YOU GET LIKE THESE THUMPING LIKE HEART PALPITATIONS +RES0038-047 NOTHING LIKE THAT +RES0038-048 OK AND YOU SAID NO CHEST PAIN RIGHT +RES0038-049 NO CHEST PAIN +RES0038-050 OK HAVE YOU NOTICED ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA +RES0038-051 NO DIARRHEA +RES0038-052 OK ANY CHANGES IN YOUR URINARY PATTERNS +RES0038-053 NO EVERYTHING'S BEEN NORMAL +RES0038-054 OK SO YOU MENTIONED LIKE THE COUGHS BEEN KEEPING YOU UP AT NIGHT HOW HOW OFTEN ARE YOU WAKING UP AT NIGHT IS IT PRETTY FREQUENT +RES0038-055 I WOULD SAY ABOUT TWO OR THREE NIGHTS A WEEK OVER THESE LAST TWO WEEKS IT'S BEEN IT'S BEEN GETTING WORSE +RES0038-056 OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR WEIGHT AT ALL +RES0038-057 MY WEIGHT'S BEEN ABOUT THE SAME +RES0038-058 OK ANY CHANGES IN YOUR APPETITE +RES0038-059 NO BEEN EATING WELL +RES0038-060 OK ANY RECENT EXPOSURES TO ANYONE WITH TUBERCULOSIS THAT YOU KNOW OF +RES0038-061 NO +RES0038-062 NO OK HAVE YOU LOST YOUR SENSE OF TASTE OR SMELL RECENTLY +RES0038-063 NEITHER OF THOSE +RES0038-064 OK AND HAVE YOU BEEN EXPOSED TO ANY FUMES OR DUST IN YOUR SURROUNDING AREA OR DO YOU HAVE ANY PETS OR ANIMALS AT HOME +RES0038-065 WE HAVE A +RES0038-066 TWO CATS AND BUT NOTHING AT WORK +RES0038-067 OK AND HOW LONG YOU'VE HAD THOSE CATS FOR WE'VE HAD THEM FOR FOR +RES0038-068 ALMOST A YEAR OK AND OTHER THAN ECZEMA AND REMOTE HISTORY OF PERHAPS ASTHMA WHEN YOU WERE YOUNGER ANY OTHER MEDICAL CONDITIONS LIKE DIABETES OR HIGH BLOOD PRESSURE THAT YOU'VE BEEN DIAGNOSED WITH +RES0038-069 NO I'VE BEEN HEALTHY THAT WAY +RES0038-070 OK ANY MEDICATIONS THAT YOU ARE ON CURRENTLY +RES0038-071 NO MEDICATIONS +RES0038-072 OK DO YOU KNOW OF ANY ALLERGIES TO ANY ENVIRONMENTAL EXPOSURES OR ANY MEDICATIONS AT ALL +RES0038-073 I THINK I HAVE I'M ALLERGIC TO POLLEN AND SOME OTHER ENVIRONMENTAL AND ALLERGIES AS WELL +RES0038-074 OK AND WHEN YOU COUGH HAVE YOU EVER NOTICED LIKE WHEEZING NOISES AT ALL +RES0038-075 OCCASIONALLY THERE THOUGH I DO NOTICE A WHEEZE +RES0038-076 OK AND HAVE YOU EVER BEEN HOSPITALIZED BEFORE +RES0038-077 NO I HAVEN'T +RES0038-078 OK ANY PREVIOUS SURGERIES +RES0038-079 NO SURGERIES +RES0038-080 OK AND HAS ANYONE AROUND YOU BEEN ILL RECENTLY +RES0038-081 EVERYBODY'S BEEN HEALTHY +RES0038-082 OK AND DO YOU HAVE ANY FAMILY HISTORY OF CANCERS OR ANYTHING RELATED TO THE LUNGS AT ALL +RES0038-083 NO I MEAN MY SISTER HAD ECZEMA AS WELL BUT THAT'S IT +RES0038-084 OK THAT'S IT OK ANY HEART ATTACKS IN YOUR FAMILY ANY OTHER MEDICAL CONDITIONS +RES0038-085 NO EVERYONE'S HEALTHY +RES0038-086 OK AND CURRENTLY WHAT IS YOUR LIVING SITUATION LIKE +RES0038-087 SO I LIVE IN AN APARTMENT NEARBY +RES0038-088 WITH MY BOYFRIEND OK AND HAS THERE BEEN ANY HAVE YOU MOVED THERE +RES0038-089 RECENTLY OR HOW LONG HAVE YOU LIVED THERE FOR +RES0038-090 WE'VE LIVED THERE FOR ABOUT FOUR YEARS NOW FOUR YEARS OK AND HAS ANYTHING CHANGED RECENTLY HAS THERE BEEN ANY MOLD OR NEW CARPETS THAT YOU GUYS GOT ANYTHING NEW IN THE HOUSE +RES0038-091 I DON'T I DON'T THINK SO +RES0038-092 OK AND DO YOU CURRENTLY WORK +RES0038-093 I WORK AS A A SCHOOL TEACHER +RES0038-094 OK AND DO YOU SMOKE AT ALL +RES0038-095 NO I DON'T +RES0038-096 HAVE YOU EVER SMOKED +RES0038-097 I DID I I SMOKED A PACK A DAY UP UNTIL JUST ABOUT A MONTH AGO I MADE IT WAS A NEW YEAR'S RESOLUTION TO QUIT +RES0038-098 OH WOW WELL CONGRATULATIONS THAT'S IT'S DEFINITELY VERY DIFFICULT TO QUIT AND IF YOU NEED AT ALL ANY HELP AT ALL WITH YOUR TRANSITION AT ALL WE CAN ALWAYS BRING IT UP IN ANY APPOINTMENT +RES0038-099 OK THANK YOU +RES0038-100 AND IN TERMS OF RECREATIONAL DRUGS DO YOU USE MARIJUANA OR COCAINE OR ANY OTHER RECREATIONAL DRUGS +RES0038-101 MAYBE I'LL I'LL SMOKE LIKE ONE OR TWO JOINTS A WEEK +RES0038-102 OK AND DO YOU DRINK ALCOHOL +RES0038-103 MAYBE A BOTTLE OF WINE ON THE WEEKENDS +RES0038-104 OK SO YOU GO THROUGH LIKE AROUND A BOTTLE EVERY WEEK +RES0038-105 I WOULD SAY ABOUT A BOTTLE OF WINE ON THROUGHOUT THE WEEK BUT USUALLY DON'T REALLY HAVE ANY DURING THE WEEK I'LL USUALLY I GUESS SPLIT THE BOTTLE BETWEEN BETWEEN FRIDAY TO SUNDAY SORT OF THING +RES0038-106 OK AND IN TERMS OF EXERCISE DO YOU FIND THAT YOU'RE GETTING ADEQUATE EXERCISE THROUGHOUT THE WEEK +RES0038-107 I TRIED TO I TRIED TO RUN AND GO FOR WALKS BUT ALWAYS TRYING TO BE A LITTLE BIT MORE ACTIVE +RES0038-108 OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY OTHER QUESTIONS FOR ME +RES0038-109 NOPE THAT WAS IT +RES0038-110-1 OK SO BASED ON WHAT WE TALKED ABOUT IT SEEMS THAT BASED ON YOUR PAST HISTORY AND THE COUGHING THAT YOU'RE HAVING RIGHT NOW ONE OF THE THINGS THAT WE DEFINITELY WANT TO LOOK AT IS IF YOU DO IN FACT HAVE ASTHMA +RES0038-110-2 IT CAN ALSO BE LIKE VIRAL UPPER RESPIRATORY TRACT INFECTION BUT WE WILL DO SOME PULMONARY FUNCTION TESTS FOR YOU AND +RES0038-110-3 SEE IF THE BRONCHODILATORS JUST LIKE YOU USE THE INHALER FROM YOUR SON IF THAT HELPS HELPS YOU WITH YOUR SYMPTOMS AND THEN WE CAN GO FROM THERE +RES0038-111 THAT SOUNDS GREAT THANK YOU +RES0038-112 YOU'RE WELCOME WELL TAKE CARE +RES0042-000 WHAT BRINGS YOU IN TODAY +RES0042-001-1 SO JUST FOR THE PAST LIKE THREE DAYS I'VE BEEN COUGHING IT'S I I DON'T FEEL PARTICULARLY SICK I'M JUST KIND OF DRY LIKE ANNOYING CALL THAT WON'T GO AWAY AND THEN TODAY I TOOK MY TEMP IN IT +RES0042-001-2 IT'S PRETTY HIGH IT WAS LIKE NINETY NINE POINT LIKE NINE I DIDN'T REALLY TAKE IT THE OTHER DAYS SO I GUESS SO I JUST THOUGHT I'D BETTER COME GET IT CHECKED OUT BECAUSE I +RES0042-001-3 I AM ON LIKE A BIOLOGIC MEDICATION SO FOR MY CROHN'S DISEASE +RES0042-002 OK THANK YOU FOR COMING IN I THINK IT'S GOOD THAT YOU ARE GETTING THIS CHECKED OUT AS EARLY AS POSSIBLE SO JUST TO REWIND A LITTLE BIT WHEN DID YOUR DRY COUGH START +RES0042-003 LIKE THREE DAYS AGO THREE DAYS AGO +RES0042-004 THREE DAYS AGO OK AND WHEN DID YOUR FEVER START SO I DIDN'T TAKE MY TEMP BUT +RES0042-005 LIKE THE OTHER DAYS BUT LIKE FOR SURE THIS MORNING OK OK +RES0042-022 SORE THROAT OK ANY ISSUES WITH TASTE OR SMELL NO DO YOU HAVE A RUNNY NOSE OR A STUFFY NOSE +RES0042-023 MAYBE A BIT OF A RUNNY NOSE +RES0042-024 OK AND ANY ISSUES WITH VISION OR HEARING +RES0042-025 NO +RES0042-026 OK HOW ABOUT FEVERS OR CHILLS +RES0042-027 NO NO FEVER I MEAN I I TOOK MY TEMP WAS HIGH I GUESS I FELT HOT BUT I DIDN'T THERE WERE NO CHILLS +RES0042-028 OK OK HOW ABOUT WEIGHT LOSS OH THAT'S OK HOW ABOUT WEIGHT LOSS +RES0042-029 WEIGHT LOSS NO NO NOTHING NOTHING NEW +RES0042-030 OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +RES0042-031 NO +RES0042-032 OK ANY ISSUES SWALLOWING FOOD +RES0042-033 NO +RES0042-034 NAUSEA OR VOMITING +RES0042-035 NO +RES0042-036 CHANGES IN YOUR BOWEL HABITS +RES0042-037 WELL LIKE I SAID I HAVE CROHN'S DISEASE I'M NOT LIKE IN A FLARE RIGHT NOW OR ANYTHING SO I'LL SAY NO BUT LIKE MY BASELINE IS NOT LIKE TOTALLY NORMAL +RES0042-038 OK THAT MAKES SENSE ALRIGHT DO +RES0042-040 ANY CHANGES IN YOUR URINE +RES0042-041 NO CHANGES IN URINE HOW ABOUT DIZZINESS +RES0042-043 OR FAINTING SPELLS NO +RES0042-045 ANY CONFUSION OR MEMORY LOSS NO OK AND ARE YOU OTHERWISE HEALTHY I KNOW YOU MENTIONED YOU HAVE CROHN'S DISEASE DO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS +RES0042-046 OH NOT REALLY JUST THAT AND ECZEMA +RES0042-047 ECZEMA OK +RES0042-048 TENDS TO GET PRETTY BAD LIKE I DON'T REALLY HAVE ANY RIGHT NOW BUT I REALLY STAY ON TOP OF IT WITH LIKE MY MOISTURIZERS AND LIKE I ALWAYS HAVE LIKE A HYDROCORTISONE CREAM ON HAND JUST IN CASE +RES0042-049 FOR SURE HOW LONG HAVE YOU HAD ECZEMA FOR +RES0042-050 OH LIKE WHEN I WAS STARTED WHEN I WAS LIKE A KID AND THEN I FEEL LIKE WHEN I WAS A TEENAGER I DIDN'T REALLY AND THEN PART OF IT AS AN ADULT I REALLY HAVE TO TAKE CARE OF IT OR ELSE IT GETS BAD +RES0042-051 OK OK HAVE YOU EVER BEEN HOSPITALIZED OR HAVE YOU HAD ANY SURGERIES IN THE PAST +RES0042-052 LIKE WHEN I WAS FIRST DIAGNOSED WITH CROHN'S MAYBE TWENTY YEARS AGO WHEN I WAS LIKE TWENTY I WAS IN THE HOSPITAL FOR A LITTLE BIT CAUSE I WAS REALLY DEHYDRATED AND I COULDN'T REALLY LIKE I JUST COULDN'T I WASN'T FEELING WELL AT THAT TIME BUT SINCE THEN I'VE BEEN PRETTY ON TOP OF IT +RES0042-053 OK THAT'S GOOD TO HEAR YOU MENTIONED YOU'RE ON BIOLOGICS FOR CROHN'S DISEASE ARE THERE ANY OTHER MEDICATIONS THAT YOU'RE ON +RES0042-054 JUST LIKE THE HYDROCORTISONE CREAM +RES0042-055 ON OCCASION RIGHT OK +RES0042-056 OK AND DO YOU HAVE ANY ALLERGIES LIKE I HAVE SOME SEASONAL ALLERGIES LIKE ITS RAGWEED WHICH IS NOT LIKE RIGHT NOW IS NOT THE +RES0042-057 TIME FOR IT AND LIKE +RES0042-058 DOGS OK OK IT'S JUST LIKE THIS ENVIRONMENTAL IT'S NOT LIKE NOT LIKE THE REALLY DANGEROUS ALLERGIES YOU KNOW +RES0042-059 RIGHT OK HOW ABOUT IMMUNIZATIONS +RES0042-060 ARE YOU UP TO DATE +RES0042-061 I THINK SO ALRIGHT AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS +RES0042-062 OH LIKE MY DAD HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT I DON'T THINK THERE IS ANYTHING THAT STOOD OUT +RES0042-063 OK AND HOW ABOUT YOUR SMOKING HISTORY DO YOU SMOKE AT ALL +RES0042-064 LIKE I DID FOR A COUPLE YEARS WHEN I WAS LIKE EIGHTEEN AND THEN I HAVEN'T EVER SINCE +RES0042-065 OK HOW ABOUT MARIJUANA +RES0042-067 NO NO MARIJUANA OK HOW ABOUT +RES0042-069 RECREATIONAL DRUGS +RES0042-070 NO OK ALCOHOL I LIKE I MIGHT HAVE LIKE A COUPLE +RES0042-071 BEERS ON THE WEEKEND BUT +RES0042-072 NOT A LOT SURE AND WHERE DO YOU LIVE RIGHT NOW SO I LIVE IN A TOWNHOUSE IN LONDON HERE I LIVE ALONE BUT MY I HAVE MY KIDS EVERY I HAVE MY KIDS +RES0042-073 LIKE WEDNESDAYS AND THURSDAYS AND THEN EVERY OTHER WEEKEND OK ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS ANYTHING LIKE THAT IN THE HOME +RES0042-074 NO IT'S LIKE A PRETTY NEW BUILD +RES0042-075 OK AND HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY +RES0042-076 I MEAN MY KIDS JUST LEFT THIS WEEKEND THERE'S REALLY ONLY PEOPLE I'VE BEEN AROUND I CAN I MAYBE I SHOULD HAVE ASKED HIM BEFORE COMING HERE IF THEY LIKE KNEW THEY HAD SEEN ANYONE BUT THEY WERE FINE OVER THE WEEKEND +RES0042-077 OK AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY +RES0042-078 NO +RES0042-079 NO OK THOSE WERE ALL THE QUESTIONS THAT I HAD TODAY WERE THERE WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD ANYTHING THAT I MISSED PERHAPS +RES0042-080 I DON'T THINK SO I THINK THAT'S IT +RES0042-081 OK +RES0042-082 YOU KNOW I HOPE I HOPE I JUST WANTED TO COME IN IN CASE IT WAS SOMETHING BAD BECAUSE I YOU KNOW I HAVE THOSE OTHER HEALTH PROBLEMS I JUST WANT TO MAKE SURE +RES0042-083-1 YEAH YEAH FOR SURE AND I THINK IT'S A GOOD THING THAT YOU CAME IN SO THANK YOU RIGHT NOW I GUESS TOP ON THE LIST OF THINGS THAT YOU COULD POSSIBLY HAVE IS COVID +RES0042-083-2 SO WE'LL GET YOU TESTED FOR THAT AND WE'LL GET YOU A SWAB AND YOU SHOULD HAVE THE RESULTS OF THE THAT SWAB IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS +RES0042-083-3 YOU SHOULD ISOLATE FOR FOURTEEN DAYS REGARDLESS THOUGH BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVID AND AND THAT INCLUDES ISOLATING FROM YOUR YOUR CHILDREN AS WELL +RES0042-084 OH OK +RES0042-085-1 AND YEAH AND IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND AT THIS TIME OF YEAR JUST SO JUST MAKE SURE YOU'RE STAYING HYDRATED YOU'RE +RES0042-085-2 EATING NUTRITIOUS FOODS AND GETTING GOOD SLEEP IF YOUR SYMPTOMS DO BECOME WORSE AND IF THEY BECOME SEVERE LIKE YOU HAVE A REALLY HIGH TEMPERATURE YOU HAVE TROUBLE BREATHING +RES0042-085-3 OR YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR FAINTING SPELLS PLEASE DO GO TO THE ER AND SEEK HELP HOW DOES THAT SOUND +RES0042-086 I GUESS THAT SOUNDS GOOD THIS IS HOW IT'S GOTTA BE RIGHT +RES0042-087 UNFORTUNATELY OR WELL THANK YOU AGAIN +RES0042-088 NO THANK YOU HAVE A GOOD DAY +RES0043-000 WHAT BRINGS YOU ALL IN TODAY +RES0043-001-1 ESSENTIALLY WHEN HE SO TODAY IS FRIDAY WHEN HE GOT HOME FROM SCHOOL ON WEDNESDAY HE SEEMED FINE BUT HE I DON'T KNOW THAT NIGHT HE STARTED TO +RES0043-001-2 HAVE A BIT OF LIKE A COUGH IT JUST SEEMED LIKE A LITTLE DRY COUGH BUT OBVIOUSLY I JUST WANTED TO KEEP HIM HOME KEEP HIM SAFE AND NOT LIKE SPREAD ANYTHING IF HE WAS SICK SO HE STAYED AT HOME +RES0043-001-3 ON THURSDAY AND HE WAS LIKE HAVING A BIT OF A COUGH AND THEN YESTERDAY IT SEEMED TO GET A LITTLE BIT WORSE AND HE WAS REALLY TIRED OR SORRY +RES0043-001-4 IT'S TODAY TODAY IS FRIDAY HE WAS LIKE HIS COUGH IS LIKE GETTING A BIT WORSE AND I'VE BEEN TAKING HIS TEMP THE WHOLE TIME AND IT GOT LIKE A LITTLE HIGH TODAY WHAT WAS IT +RES0043-001-5 MY THERMOMETER SAYS IT WAS HIGH I'M JUST LIKE TRYING TO REMEMBER IT WAS IT WAS IT WAS LIKE OVER ONE HUNDRED THOUGH +RES0043-002 OH OK +RES0043-003 ONE HUNDRED AND ONE OR SOMETHING OR MAYBE ONE HUNDRED ONE BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW THOUGHT HE COULD HAVE MAYBE GOT COVID AND GET SCHOOL OR SOMETHING +RES0043-004 FOR SURE OK SO JUST TO CLARIFY HE'S HAD THIS COUGH AND FEVER FOR THE PAST FIVE FIVE DAYS +RES0043-005 OK OK SO LET'S FOCUS ON THE COUGH +RES0043-006 SORRY IT'S BEEN MORE LIKE THREE THREE DAYS LIKE WEDNESDAY IS WHEN HE CAME HOME AND THEN AND THEN TODAY'S FRIDAY SO SORRY +RES0043-007 TODAY IS FRIDAY OK OK SURE SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH +RES0043-008 I THINK IT'S DRY I HAVEN'T NOTICED HIM LIKE SPITTING UP ANYTHING HE IT'S JUST BEEN LIKE LITTLE COUGHS +RES0043-009 OK AND HE IS HE HE'S NOT BRINGING UP ANY SPUTUM OR BLOOD +RES0043-010 NO +RES0043-011 NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU +RES0043-012 NO NO NOT THAT I'VE NOTICED +RES0043-013 OK HOW ABOUT SHORT OF BREATH +RES0043-014 I DON'T THINK SO LIKE HE USUALLY HE'S A REALLY ACTIVE KID AND HE HAS HE HASN'T BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HE'S JUST BEEN TIRED IN GENERAL +RES0043-015 OK OK AND IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING +RES0043-016 I THINK IT KINDA JUST THERE THE WHOLE DAY +RES0043-017 OK AND DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS +RES0043-018 I JUST SOUNDS KIND OF DRY IT'S NOT LIKE SUPER LOUD +RES0043-019 OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +RES0043-020 I DON'T LIKE HE'S HAD COLDS BEFORE BUT I HAVEN'T LIKE I HAVEN'T LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD +RES0043-021 OK AND ARE HIS SYMPTOMS GETTING WORSE +RES0043-022 I THINK SO BECAUSE HE FIRST DAY HE JUST SEEMED LIKE LITTLE DRY AND THEN YESTERDAY IS COUGHING AND TODAY HE ACTUALLY HAS A FEVER +RES0043-023 OK AND IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEART'S RACING +RES0043-024 NO I DON'T THINK SO +RES0043-025 NO OK DOES HE HAVE A SORE THROAT +RES0043-026 I DON'T THINK SO +RES0043-027 OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS +RES0043-028 I DON'T KNOW IF HE'S HAVING TROUBLE SWALLOWING BUT HE DOESN'T SEEM TO HAVE A BIG APPETITE RIGHT NOW +RES0043-029 OK AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE +RES0043-030 MAYBE A BIT OF LIKE A RUNNY NOSE +RES0043-031 OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE +RES0043-032 THIS MORNING HE REALLY SEEMED LIKE HE WASN'T LIKE INTO HIS BREAKFAST AND I WONDER IF HE'S LOSING HIS SENSE OF TASTE A LITTLE BIT +RES0043-033 OK HOW ABOUT VISION OR HEARING +RES0043-034 I THINK THOSE ARE FINE +RES0043-035 OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS +RES0043-036 NO +RES0043-037 OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES +RES0043-038 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0043-039 OK ANY CHANGES IN HIS BOWEL MOVEMENTS +RES0043-042 PARDON I'M SORRY NO +RES0043-043 CHANGES OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL +RES0043-044 NO +RES0043-045 OK ANY NAUSEA OR VOMITING +RES0043-046 NO +RES0043-047 OK ANY CHANGES IN HIS URINE +RES0043-048 REALLY BEEN LOOKING BUT I DON'T THINK SO +RES0043-049 ANY DIZZINESS OR FAINTING SPELLS +RES0043-050 NO JUST LIKE FATIGUE +RES0043-051 OK ANY CONFUSION OR MEMORY LOSS +RES0043-052 NO +RES0043-053 AND IS HE AN IS HE AN OTHERWISE HEALTHY CHILD +RES0043-054 ABSOLUTELY HE HASN'T LIKE DECIDE TO LIKE VACCINES HE HASN'T HAD TO GO TO THE DOCTOR LIKE EVER I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT +RES0043-055 OK SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM +RES0043-056 EXACTLY LIKE NOTHING +RES0043-057 OK AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM +RES0043-058 TOTALLY +RES0043-059 OK AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH +RES0043-060 NO NO LIKE EVERYTHING WAS THINGS REALLY GOOD +RES0043-061 OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW +RES0043-062 TOTALLY +RES0043-063 OK AND DOES HE HAVE ANY ALLERGIES +RES0043-064 NO NO I DON'T THINK SO I MEAN LIKE HE HASN'T REALLY TAKEN A LOT OF MEDICINE SO IT'S HARD TO SAY BUT LIKE NOTHING SO FAR +RES0043-065 IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0043-066 OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS +RES0043-067 NO EVERYONE IS REALLY HEALTHY +RES0043-068 OK AND ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE +RES0043-069 HE LIVES WITH ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE JUST IN TOWN HERE +RES0043-070 OK AND IS SHE HEALTHY +RES0043-071 I LIKE SHE SHE'S HEALTHY +RES0043-072 OK AN ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOU'RE IN +RES0043-073 NO +RES0043-074 NO OK HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY +RES0043-075 NOT NOT LIKE OUTSIDE OF SCHOOL I LIKE WE KNOW FOR SURE NOT OUTSIDE OF SCHOOL BUT HE GOES TO SCHOOL RIGHT NOW SO KIND OF HARD TO SAY THEY HAVEN'T LIKE CONTACTED US ABOUT ANYTHING +RES0043-076 OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY +RES0043-077 NO +RES0043-078 NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WERE WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO CHAT ABOUT TODAY +RES0043-079-1 I DON'T THINK SO LIKE I REALIZED THAT I CAN OFTEN TIMES LIKE WE DON'T REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN IT'S JUST LIKE A VIRUS OR SOMETHING BUT +RES0043-079-2 WE DO I GUESS NEED TO HAVE A COVID TEST TO GO BACK TO SCHOOL EVEN IF YOU KNOW EITHER WAY CAUSE THEY WANT US TO BE ABLE TO SAY IT'S LIKE THE OTHER KIDS HAVE HAD AN EXPOSURE +RES0043-081 NO GO AHEAD +RES0043-082 SO I JUST WANTED TO BASICALLY SEE IF IT WAS THAT AND I MEAN HE DOES RECEIVE YOU'RE SO SCARED THAT'S KIND OF WHAT MADE ME COME IN LIKE IT'S SCARING ME A LITTLE BIT +RES0043-083-1 RIGHT OK SO FIRST THING IS FIRST WE NEED TO DO A COVID SWAB JUST TO MAKE SURE THAT HE EITHER HAS IT OR IT DOESN'T HAVE IT AND THOSE RESULTS WILL COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS +RES0043-083-2 WE DO SUGGEST BECAUSE HIS SYMPTOMS OVERLAP WITH SYMPTOMS OF COVID THAT HE ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES FROM HIS HIS YOUNGER SISTER IF POSSIBLE +RES0043-083-3 AND THEN IF THE SWAP COMES BACK NEGATIVE THERE IS A CHANCE FOR FALSE NEGATIVES BUT ALSO IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND NOWADAYS +RES0043-083-4 IF HIS SYMPTOMS GET WORSE SO IF HE HAS A REALLY HIGH TEMPERATURE IF HE HAS ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR +RES0043-083-5 IF HE'S FEELING WEAK DIZZY IF HE HAS ANY FAINTING SPELLS PLEASE DO TAKE HIM TO THE ER AND +RES0043-083-6 SO FOR NOW I'LL JUST WAIT FOR THOSE COVID SWABS TO COME BACK HOW DOES THAT SOUND +RES0043-084 SOUNDS GOOD +RES0043-085 OK GREAT +RES0043-086 THANK YOU +RES0043-087 NO WORRIES AND I SHOULD HAVE MENTIONED IF IT WAS JUST THE COUGH OR IF HE WAS JUST SHORT OF BREATH OR SOMETHING LIKE THAT AND HE DIDN'T HAVE THE FEVER WE WOULD ADD EVERYTHING'S LIKE ASTHMA TO THE LIST OF THINGS +RES0043-088 HE COULD BE WORKED UP FOR BUT RIGHT NOW IT SOUNDS LIKE A IT SOUNDS LIKE AN INFECTION +RES0043-089 OK THAT'S GOOD TO KNOW +RES0043-090 ALRIGHT SOUNDS GREAT HAVE A GOOD DAY +RES0043-091 YOU TOO THANKS +RES0044-000 WHAT BRINGS YOU IN +RES0044-001 I JUST I HAVE I HAVE A COUGH THAT I'VE HAD FOR A COUPLE OF DAYS AND LIKE NORMALLY IF I HAD A COUGH OR COLD I WOULD JUST LIKE STAY HOME AND REST BUT JUST BECAUSE YOU KNOW THERE'S LIKE COVID I I WANTED TO MAKE SURE LIKE I WANTED TO GET CHECKED OUT +RES0044-002 OF COURSE THAT THAT WAS A GREAT IDEA THANKS FOR COMING IN HOW LONG HAVE YOU HAD THIS COUGH FOR +RES0044-003 IT'S LIKE TWO DAYS LIKE MAYBE THREE DAYS AGO I STARTED TO FEEL LIKE MY THROAT WAS DRY AND I WAS LIKE OH MAYBE I NEED TO DRINK MORE WATER OR SOMETHING AND THEN THE NEXT DAY I STARTED LIKE ACTUALLY COUGHING +RES0044-004 OK IS IT A DRY COUGH OR A WET COUGH +RES0044-005 IT'S REALLY DRY +RES0044-006 REALLY DRY OK SO NO SPUTUM NO BLOOD THAT YOU'RE BRINGING UP +RES0044-007 NO NOTHING LIKE THAT IT'S JUST KIND OF ANNOYING +RES0044-008 DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH YOUR COUGHING +RES0044-009 I DON'T THINK SO +RES0044-010 NO OK NO SHORTNESS OF BREATH +RES0044-011 NO NO I'VE BEEN I FEEL LIKE I'VE BEEN TIRED BUT I DON'T THINK IT'S BEEN ACTUALLY HARD TO BREATHE I JUST FEEL OVERALL LIKE REALLY TIRED +RES0044-012 OK OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH LIKE OVER THE COUNTER COUGH SYRUP OR ANYTHING LIKE THAT +RES0044-013 LIKE I HAVE I'VE JUST BEEN DRINKING TEA AND JUST LIKE TEA WITH HONEY JUST TO LIKE MAKE IT FEEL BETTER I I DIDN'T LIKE TAKE ANY MEDICINE +RES0044-014 OK AND DO YOU HAVE YOU NOTICED THAT THERE ARE ANY TRIGGERS FOR YOUR COUGH LIKE THE COLD OR DUST OR ANY LIKE ENVIRONMENTAL TRIGGERS +RES0044-015 I MEAN I'VE BEEN JUST BECAUSE OF COVID AND STUFF I'VE BEEN STAYING HOME EVER SINCE I HAD IT +RES0044-016 SO I DON'T I CAN'T THINK OF ANYTHING BUT I DON'T THINK SO +RES0044-017 OK AND DO YOU FIND THAT IT'S CONSTANTLY THERE OR IS IT WORSE DURING A PARTICULAR TIME OF DAY LIKE MORNING AFTERNOON OR EVENING +RES0044-018 IT'S KIND OF JUST BEEN THERE +RES0044-019 ALL THE TIME RIGHT NOW +RES0044-020 OK AND IS IT GETTING WORSE DO YOU THINK +RES0044-021 I THINK SO I THINK LIKE TODAY IS WORSE THAN YESTERDAY AND THE DAY BEFORE THAT IT JUST FELT LIKE DRY AND THEN AND THEN LIKE THE NEXT DAY I STARTED COUGHING SO +RES0044-022 OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +RES0044-023 I MEAN I'VE HAD COUGHS BEFORE THIS ONE FEELS LIKE PARTICULARLY DRY BUT LIKE IT IT'S NOT TOO DIFFERENT THAN LIKE WHEN I'M JUST LIKE LIKE HAD A COUGH IN OTHER YEARS +RES0044-024 OK OK AND YOU MENTIONED THAT YOUR THROAT WAS ALSO DRY DO YOU HAVE A SORE THROAT +RES0044-025 MAYBE A LITTLE BIT THIS MORNING LIKE AT FIRST IT JUST FELT DRY LIKE I WAS THINKING LIKE OH IT'S LIKE YOU KNOW I NEED TO TAKE A SIP OF WATER OR SOMETHING AND NOW IT JUST FEELS NOW IT'S STARTING TO THINK I FEEL A LITTLE BIT SORE I THINK +RES0044-026 OK IS IT HARD FOR YOU TO SWALLOW FOODS OR FLUIDS +RES0044-027 OH SORRY COULD YOU REPEAT THAT I JUST MISSED THE LAST PART +RES0044-028 OH NO WORRIES IS IT HARD FOR YOU TO SWALLOW FOOD OR FLUIDS +RES0044-029 NO IT'S NOT HARD IT'S NOT HARD TO SWALLOW THINGS +RES0044-030 OK AND AND THEN HAVE YOU HAD A RUNNY NOSE OR A STUFFY NOSE +RES0044-031 NO NOT PARTICULARLY +RES0044-032 NO OK HOW ABOUT ANY CHANGES TO YOUR HEARING OR VISION +RES0044-033 NO +RES0044-034 NO HOW ABOUT CHANGES IN SMELL OR TASTE +RES0044-035 NO THAT'S LIKE A COVID THING RIGHT LIKE I WAS HOPING BECAUSE I COULD STILL I COULD STILL LIKE TASTE MY COFFEE THIS MORNING I WAS HOPING THAT THAT MEANS I DON'T HAVE COVID BUT I DON'T REALLY KNOW +RES0044-036 I MEAN SOME PEOPLE HAVE IT SOME PEOPLE DON'T I GUESS PEOPLE WITH COVID PRESENT IN DIFFERENT WAYS DO YOU HAVE A FEVER AT ALL +RES0044-037 LIKE WHEN I CAME IN HERE WHEN THE NURSE TOOK MY TEMPERATURE SHE SAID I HAD LIKE SHE SAID I HAD A FEVER I DON'T HAVE A THERMOMETER AT HOME BUT LIKE I'VE BEEN FEELING REALLY HOT SO WOULD PROBABLY I'VE PROBABLY BEEN HAVING IT FOR A COUPLE OF DAYS +RES0044-038 OK OK WE CAN TAKE WE CAN TAKE YOUR TEMPERATURE SORRY DID YOU SAY YOU ALREADY TOOK YOUR TEMPERATURE TODAY AND +RES0044-039 THE NURSE TOOK IT I DON'T KNOW WHAT IT WAS BUT THE NURSE KEPT COMING IN AND SHE SAID IT WAS A +RES0044-040 LITTLE HIGH LIKE I DON'T KNOW IF IT WAS LIKE A FEVER BUT I'VE BEEN FEELING HOT SO +RES0044-041 OK OK SO WE'LL DOUBLE CHECK TO MAKE SURE THAT YOU EITHER DO OR DON'T HAVE A FEVER HAVE YOU EXPERIENCED ANY CHILLS OR NIGHT SWEATS OVER THE PAST FEW DAYS +RES0044-042 NO +RES0044-043 NO OK OK HOW ABOUT ANY WEIGHT LOSS +RES0044-044 NO LIKE I DON'T WEIGH MYSELF REGULARLY BUT I DON'T THINK SO +RES0044-045 OK ANY CHANGES TO YOUR HAIR OR NAILS OR SKIN LIKE RASHES +RES0044-046 NO +RES0044-047 NO OK HOW ABOUT CHEST PAIN +RES0044-048 NO +RES0044-049 NO CHEST PAIN OK SWELLING IN YOUR LIMBS +RES0044-050 NO +RES0044-051 NO DO YOU EVER FEEL LIKE YOUR HEART'S RACING +RES0044-052 NO +RES0044-053 NO OK HOW ABOUT HOW ABOUT ANY DIZZINESS OR OR FAINTING SPELLS +RES0044-054 NO LIKE I'VE BEEN JUST TIRED +RES0044-055 JUST TIRED OK +RES0044-056 I DON'T I DON'T I HAVEN'T FAINTED OR ANYTHING +RES0044-057 OK ANY HEADACHES +RES0044-058 NO +RES0044-059 NO OK HOW ABOUT CONFUSION OR MEMORY LOSS +RES0044-060 NO I DON'T THINK SO +RES0044-061 OK ANY CHANGES TO YOUR BOWEL HABITS +RES0044-062 NO +RES0044-063 NO OK SO NO CONSTIPATION OR DIARRHEA OR BLOOD IN YOUR STOOL +RES0044-064 EXACTLY +RES0044-065 OK ANY CHANGES TO YOUR URINE +RES0044-066 NO +RES0044-067 OK ANY NAUSEA OR VOMITING +RES0044-068 NO +RES0044-069 NO OK AND NO ABDOMINAL ACHES +RES0044-070 NO +RES0044-071 NO OK ARE YOU OTHERWISE HEALTHY +RES0044-072 LIKE I HAVE I HAVE LIKE SOME LIKE DIGESTIVE PROBLEMS GENERALLY LIKE I HAVEN'T HAD ANY CHANGES TO THAT BUT THEY THINK IT MIGHT BE LIKE CROHN'S OR SOMETHING BUT OTHER THAN THAT NO +RES0044-073 YOU SAID YOU HAD DIGESTIVE PROBLEMS DID YOU SAY IT MIGHT BE CROHN'S +RES0044-074 LIKE I I'VE BEEN SEEING MY FAMILY DOCTOR AND THEY THEY SAID THEY THOUGHT IT MIGHT BE BUT WE DON'T REALLY KNOW JUST LIKE IN GENERAL I GUESS THEY'VE BEEN CALLING IT IBS +RES0044-075 OH I SEE OK OK +RES0044-076 I WISH I KNEW EXACTLY BUT THEY JUST SAID THEY DON'T REALLY KNOW +RES0044-077 OK +RES0044-078 BUT THERE HAVEN'T BEEN ANY CHANGES RIGHT NOW +RES0044-079 OH I SEE OK HAVE YOU EVER HAD ANY HOSPITALIZATIONS OR SURGERIES +RES0044-080 NO +RES0044-081 NO OK ARE YOU ON ANY MEDICATIONS +RES0044-082 NO +RES0044-083 OK AND HOW ABOUT ANY ALLERGIES +RES0044-084 JUST PINEAPPLE LIKE NOT ANY MEDICATIONS OR ANYTHING +RES0044-085 PINEAPPLE OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0044-086 OK ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0044-087 LIKE MY MY UNCLE HAD A HEART ATTACK +RES0044-088 OK +RES0044-089 I DON'T LIKE NOT MY PARENTS +RES0044-090 OK I SEE ANY CANCERS IN THE FAMILY +RES0044-091 NO +RES0044-092 OK AND DO YOU SMOKE +RES0044-093 NO +RES0044-094 NO OK HOW ABOUT MARIJUANA +RES0044-095 NO +RES0044-096 NO OK ANY OTHER RECREATIONAL DRUGS +RES0044-097 NO NO +RES0044-098 OK HOW ABOUT ALCOHOL +RES0044-099 LIKE I DRINK I DON'T KNOW MAYBE I'LL DRINK LIKE A BOTTLE OF WINE ON LIKE A WEEKEND LIKE OVER A WHOLE WEEKEND OR SOMETHING SO LIKE I DON'T KNOW MAYBE LIKE THREE OR FOUR DRINKS OVER THE WEEKEND +RES0044-100 THREE OR FOUR DRINKS A WEEKEND OK +RES0044-101 SOMETHING LIKE THAT +RES0044-102 SURE OK +RES0044-103 I'M NOT AT ALL LIKE +RES0044-104 OK SO OCCASIONALLY +RES0044-105 OK AND WHERE DO YOU LIVE +RES0044-106 I LIVE IN TOWN HERE +RES0044-107 OK DO YOU LIVE IN A HOUSE IN AN APARTMENT +RES0044-108 MY FIANCÉ AND I LIVE IN A TOWNHOUSE +RES0044-109 IN A TOWNHOUSE OK ANY CONCERNS FOR LIKE OLD CARPETS OR MOLD OR ASBESTOS ANYTHING LIKE THAT +RES0044-110 NO IT'S LIKE A NEW A NEW BUILDING +RES0044-111 OK OK AND DO YOU THINK YOU MAY HAVE BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY +RES0044-112-1 WELL SO I WORK IN LIKE I WORK IN AN OFFICE THAT'S ATTACHED TO A FACTORY AND I SO LIKE I HAVE TO ACTUALLY BE THERE I HAVEN'T BEEN ABLE TO WORK FROM HOME +RES0044-112-2 AND THERE WAS SOMEONE ELSE IN MY OFFICE THAT I THINK WAS COUGHING IN THAT LIKE LAST WEEK AND I I DON'T KNOW I QUESTIONED IT BUT I I DIDN'T ACTUALLY GET TO TALK TO THEM AND ASK THEM OR LIKE I DON'T KNOW IF THEY WERE ACTUALLY +RES0044-112-3 SICK OR SOMETHING SO I MIGHT HAVE BEEN AND WE WEAR MASKS AND EVERYTHING LIKE WE'RE REALLY GOOD BUT I DON'T KNOW I FEEL LIKE THE OFFICES AREN'T LIKE SUPER LIKE THE AIR FLOW'S NOT THAT GREAT +RES0044-113 SO I THINK THAT'S ANOTHER REASON I WAS CONCERNED THAT I I FEEL LIKE SOME PEOPLE MIGHT HAVE BEEN SICK AND I DIDN'T REALLY KNOW THE WHOLE STORY +RES0044-114 RIGHT OK SO POTENTIALLY FROM FROM THE WORKPLACE THEN OK +RES0044-115 AND OK HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0044-116 NO +RES0044-117 NO OK WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY +RES0044-118 NOT THAT I CAN THINK OF +RES0044-119-1 NO OK SO RIGHT NOW IT SEEMS LIKE IF I'M GOING THROUGH MY DIFFERENTIAL DIAGNOSIS LIST FOR YOU AT THE TOP IS THE THING THAT WE HAVE TO RULE OUT IS COVID SO WE'LL TAKE A SWAB +RES0044-119-2 AND SEND IT OFF FOR THOSE PCR RESULTS AND YOU'LL HEAR BACK EITHER TOMORROW OR THE DAY AFTER ABOUT THE RESULTS BUT IN THE MEAN TIME AND I GUESS EVEN IF THE TEST IS NEGATIVE AND YOU'RE STILL HAVING SYMPTOMS PLEASE DO ISOLATE FOR FOURTEEN DAYS +RES0044-119-3 AND IF YOUR SYMPTOMS GET WORSE LIKE YOU KNOW YOU'RE HAVING TROUBLE BREATHING YOUR FEVER YOUR TEMPERATURE IS OFF THE CHARTS OR YOU'RE HAVING ANY SORT OF NEUROLOGICAL SYMPTOM PLEASE DO +RES0044-119-4 GO TO THE ER AND SEEK OUT HELP IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND AT DURING THIS TIME OF YEAR AND USUALLY THE TREATMENT FOR THAT KIND OF STUFF IS SUPPORTIVE SO MAKE SURE YOU'RE STAYING WELL HYDRATED YOU'RE +RES0044-119-5 EATING NUTRITIOUS FOODS YOU'RE GETTING GOOD SLEEP AND IF NOT AND YOUR SYMPTOMS YOU KNOW YOU'RE HAVING A PRODUCTIVE COUGH YOU'RE REALLY SHORT OF BREATH +RES0044-119-6 WE CAN TEST YOU TO SEE IF YOU HAVE SOME SORT OF BACTERIAL PNEUMONIA AND THOSE ARE USUALLY TREATED WITH ANTIBIOTICS SO THAT'S KIND OF THE PLAN RIGHT NOW SO WE'LL JUST START WITH THAT COVID SWAB FOR NOW HOW DOES THAT SOUND +RES0044-120 THAT THAT SOUNDS GREAT THAT'S REALLY WHAT IT LIKE I I DON'T FEEL SUPER SICK I JUST REALLY WANNA KNOW IF I HAVE COVID OR NOT +RES0044-121 FOR SURE AND I AND I THINK IT'S GOOD THAT YOU CAME IN +RES0044-122 AWESOME +RES0044-123 ALRIGHT THANK YOU +RES0044-124 OK THANKS +RES0045-000 WHAT BRINGS YOU IN +RES0045-001 I'VE HAD A COUGH THAT STARTED LIKE FOUR DAYS AGO AND IT'S JUST BEEN GETTING WORSE SO I I WANTED TO COME IN +RES0045-002 OK IT'S GOOD THAT YOU'VE COME IN SO THE COUGH STARTED FOUR DAYS AGO HAS IT BEEN CONSTANT SINCE +RES0045-003 YES IT HAS +RES0045-004 OK AND HOW OFTEN ARE YOU COUGHING +RES0045-005 I I'D SAY A FEW TIMES AN HOUR NOW WHEN IT FIRST STARTED IT WAS A BIT MORE INTERMITTENT BUT NOW IT'S HAPPENING ALL DAY LONG AND THROUGHOUT THE NIGHT AS WELL IT INTERRUPTED MY SLEEP LAST NIGHT +RES0045-006 OH OK IS IT A DRY COUGH OR ARE YOU PRODUCING SPUTUM +RES0045-007 IT'S IT'S MOSTLY DRY +RES0045-008 OK SO NO SPUTUM NO BLOOD +RES0045-009 NO BLOOD +RES0045-010 OK DO YOU FIND THAT THERE ARE ANY TRIGGERS TO YOUR TO THIS COUGH LIKE ENVIRONMENTAL TRIGGERS LIKE THE COLD WEATHER ANY OLD CARPETS AT HOME OR YOU KNOW A PARTICULAR TIME OF THE DAY OR EXERTION ANYTHING LIKE THAT +RES0045-011 NO INTERESTINGLY NOTHING LIKE THAT SEEMS TO REALLY MAKE IT WORSE IT'S JUST BEEN KINDA COUGHING ALL DAY +RES0045-012 OK AND HAS ANYTHING MADE IT BETTER HAVE YOU TRIED ANYTHING FOR THIS COUGH +RES0045-013 I TRIED DRINKING SOME LIKE TEA AND SOME OTHER COUGH SYRUPS AND IT DIDN'T DIDN'T HELP +RES0045-014 OK HOW ABOUT OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY IT'S IT'S IT SOUNDS BARKY IT SOUNDS HARSH HOW WOULD YOU DESCRIBE IT +RES0045-015 HARSH +RES0045-016 HARSH OK AND IF YOU WERE TO RATE YOUR SYMPTOMS ONE TO TEN TEN BEING THE WORST HOW BAD IS IT +RES0045-017 SIX +RES0045-018 SIX OK AND AND HAVE YOU FOUND THAT YOUR SYMPTOMS ARE GETTING WORSE STAYING THE SAME OR GETTING BETTER OVER THE PAST FOUR DAYS +RES0045-019 GETTING WORSE +RES0045-020 GETTING WORSE OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +RES0045-021 NO +RES0045-022 NO DO YOU FEEL WHEEZY AT ALL +RES0045-023 NO I HAVEN'T HEARD ANY ANY WHEEZES +RES0045-024 OK HOW ABOUT SHORTNESS OF BREATH +RES0045-025 I'VE DEFINITELY NOTICED SOME DIFFICULTY BREATHING +RES0045-026 OK AND WHEN WHEN DID WHEN DID YOUR SHORTNESS OF BREATH START +RES0045-027 RIGHT AROUND THE SAME TIME AS THE COUGH OR MAYBE SHORTLY AFTER SHORTLY AFTER +RES0045-028 SHORTLY AFTER OK DO YOU FIND THAT THERE ARE ANY TRIGGERS FOR SHORTNESS OF BREATH LIKE EXERTION +RES0045-029 EXERTION AS WELL AS LIKE THE COUGH ITSELF I'M FINDING THAT I'M COUGHING SO MUCH THROUGHOUT THE DAY THAT I'M HAVING A HARD TIME CATCHING UP AND CATCHING MY BREATH AFTERWARDS +RES0045-030 FOR SURE OK AND ANY CHEST PAIN +RES0045-031 NO CHEST PAIN +RES0045-032 OK HOW ABOUT FEELING LIKE YOUR HEART'S RACING +RES0045-033 NO NOTHING LIKE THAT +RES0045-034 NO ANY SWELLING IN YOUR LEGS OR ARMS +RES0045-035 NO +RES0045-036 OK DO YOU EVER FEEL LIKE YOU HAVE PAIN IN YOUR CALVES AFTER WALKING A FEW BLOCKS +RES0045-037 NO +RES0045-038 NO ANY FAINTING SPELLS OR DIZZINESS +RES0045-039 NO +RES0045-040 NO HAVE YOU HAD A SORE THROAT +RES0045-041 NO +RES0045-042 NO ANY CHANGES IN YOUR VISION OR HEARING +RES0045-043 NO +RES0045-044 RUNNY NOSE OR STUFFY NOSE +RES0045-045 NOT NO BUT I'VE DEFINITELY I FEEL LIKE I'VE MAYBE NOTICED A CHANGE IN MY SMELL +RES0045-046 OK HOW SO +RES0045-047 I JUST I FEEL LIKE I HAVEN'T BEEN ABLE TO SMELL AS WELL +RES0045-048 WHEN DID YOU NOTICE THAT +RES0045-049 THE REALLY THESE LAST LIKE TWO DAYS +RES0045-050 OK AND ANY CHANGES IN YOUR TASTE +RES0045-051 I HAVEN'T REALLY I I THOUGHT WELL I WASN'T REALLY ABLE TO TASTE MY FOOD BUT I THOUGHT THAT WAS BECAUSE I COULDN'T I WASN'T SMELLING SO I THOUGHT THAT WAS JUST GOING TO GO AWAY BUT THE SYMPTOMS HAVE GOTTEN WORSE +RES0045-052 AND HAVE YOU HAD A FEVER OR CHILLS IN THE PAST FEW DAYS +RES0045-053 I'VE HAD A FEVER OR I FELT HOT ANYWAY +RES0045-054 DID YOU TAKE YOUR TEMPERATURE +RES0045-055 I HAVEN'T CHECKED IT BUT LIKE I'VE BEEN FEELING PRETTY SWEATY FROM HOW HOT I'VE BEEN +RES0045-056 OK SO WE'LL TAKE YOUR TEMPERATURE TODAY AND WE'LL LET YOU KNOW HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS +RES0045-057 NO +RES0045-058 NO WEIGHT LOSS HOW ABOUT FATIGUE OR MUSCLE ACHES +RES0045-059 MAYBE THESE PAST COUPLE OF DAYS +RES0045-060 OK ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES +RES0045-061 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0045-062 OK ANY CHANGES TO YOUR BOWEL HABITS +RES0045-063 NO +RES0045-064 NO ANY NAUSEA OR VOMITING +RES0045-066 NO NO NO OK ANY +RES0045-068 PAINS NO ANY CHANGES TO YOUR URINE +RES0045-069 NO +RES0045-070 CONFUSION OR MEMORY LOSS +RES0045-071 NO +RES0045-072 OK AND WOULD YOU SAY THAT YOU ARE AN OTHERWISE HEALTHY PERSON +RES0045-073 THAT'S WHY THESE SYMPTOMS REALLY SURPRISED ME +RES0045-074 SO YOU'VE NEVER BEEN HOSPITALIZED OR NEEDED SURGERY IN THE PAST +RES0045-075 NO I HAVEN'T NEEDED TO I HAVEN'T SEEN A DOCTOR IN A FEW YEARS +RES0045-076 OK ARE YOU ON ANY MEDICATIONS +RES0045-077 NOPE JUST TAKE A MULTI +RES0045-078 VITAMIN AND +RES0045-079 AND THAT'S ABOUT IT OK +RES0045-080 OK ANY ALLERGIES I'M ALLERGIC TO +RES0045-082 CATS CATS OK AND HAVE YOU BEEN AROUND ANY CATS RECENTLY NO OK HOW +RES0045-083 ABOUT +RES0045-084 IMMUNIZATIONS ARE YOU UP TO DATE I AM OK +RES0045-086 FAMILY HISTORY +RES0045-087 CONDITIONS OR HEART +RES0045-088 CONDITIONS +RES0045-090 HOW ABOUT CANCERS NOTHING LIKE THAT +RES0045-091 OK AND DO YOU SMOKE NO AND HOW ABOUT MARIJUANA SOMETIMES I'LL HAVE A JOINT WITH FRIENDS OR SOMETHING LIKE THAT ON THE WEEKEND BUT SO MAYBE +RES0045-092 ONCE A WEEK ONCE A WEEK OK HOW ABOUT ALCOHOL DO YOU DRINK ANY ALCOHOL +RES0045-093 NO +RES0045-094 NO OK AND WHERE DO YOU LIVE RIGHT NOW +RES0045-095 I LIVE IN A HOUSE WITH MY WIFE AND THREE KIDS +RES0045-096 OK IS ANYONE ELSE SICK AT HOME +RES0045-097 EVERYBODY'S BEEN WELL +RES0045-098 OK ANY REASON TO BELIEVE THAT YOU'VE BEEN AROUND ANY SICK CONTACTS RECENTLY +RES0045-099 POSSIBLY I MEAN I'M IN SALES SO MEETING WITH CLIENTS ALL DAY +RES0045-100 MAYBE ONE OF THEM WERE SICK OK +RES0045-101 FOR SURE ANY TRAVEL RECENTLY +RES0045-102 NO TRAVEL ALL THE MEETINGS HAVE BEEN IN THE CITY OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED +RES0045-103 NO THAT I WAS JUST WORRIED ABOUT +RES0045-104-1 SO THAT'S DEFINITELY TOP ON THE LIST RIGHT NOW FOR THINGS THAT WE HAVE TO RULE YOU OUT FOR SO WE'LL TAKE A SWAB TODAY WE'LL SEND IT OFF FOR THOSE PCR RESULTS YOU SHOULD HEAR BACK IN +RES0045-104-2 TWENTY FOUR TO FORTY EIGHT HOURS IN THE MEANTIME YOU SHOULD ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES FROM FAMILY MEMBERS WHEN POSSIBLE +RES0045-104-3 AND PUBLIC HEALTH WILL GET IN TOUCH WITH YOU IF THOSE RESULTS ARE POSITIVE AND SO THEY CAN THEY CAN DO SOME CONTACT TRACING +RES0045-104-4 IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND AND I GUESS THE BEST THERAPY FOR THAT IS STAYING HYDRATED GETTING GOOD SLEEP AND +RES0045-104-5 EATING NUTRITIOUS FOODS BUT IF YOUR SYMPTOMS GET WORSE LIKE YOU'RE RUNNING A REALLY HIGH FEVER YOU'RE HAVING NEUROLOGICAL SYMPTOMS LIKE YOU KNOW SEIZURES OR FAINTING SPELLS +RES0045-104-6 OR IF YOU'RE HAVING DIFFICULTY BREATHING YOU SHOULD COME BACK TO THE ER SO HOW DOES THAT SOUND +RES0045-105 IT'S REALLY INFORMATIVE THANK YOU +RES0045-106 ALRIGHT TAKE CARE +RES0046-000 WHAT BRINGS YOU IN +RES0046-001 I'VE HAD THIS COUGH THAT STARTED FOUR DAYS AGO THAT THAT'S BEEN GETTING WORSE AND JUST STARTED HAVING SOME SOME DIARRHEA YESTERDAY AS WELL +RES0046-002 OK SORRY HOW LONG DID YOU SAY YOUR COUGH HAS BEEN GOING ON FOR +RES0046-003 LAST FOUR DAYS +RES0046-004 LAST FOUR DAYS OK AND DO YOU FEEL THAT IT'S GETTING WORSE BETTER OR STAYING THE SAME +RES0046-005 IT'S GETTING GETTING WORSE +RES0046-006 GETTING WORSE OK AND HOW OFTEN ARE YOU COUGHING +RES0046-007 OH NOW IT'S WELL AT LEAST THE LAST TWO DAYS IT'S BEEN HAPPENING ALL DAY AT LEAST EVERY HOUR I'VE BEEN COUGHING +RES0046-008 OK HAVE YOU NOTICED ANY TRIGGERS FOR YOUR COUGHING LIKE ENVIRONMENTAL CAUSES LIKE THE COLD TIME OF DAY WHETHER THAT'S MORNING OR NIGHT OLD CARPETS ANYTHING LIKE THAT +RES0046-009 SMOKING DEFINITELY MAKES IT WORSE I I HAVEN'T SMOKED THE LAST FEW DAYS CAUSE EACH TIME I LIT A CIGARETTE IT IT BROUGHT IT ON +RES0046-010 OK WELL THAT'S GOOD THAT YOU'RE TAKING A LITTLE BREAK FROM SMOKING HOW WOULD YOU DESCRIBE THE QUALITY OF YOUR COUGH IS IT DOES IT SOUND HARSH +RES0046-011 THE COUGH'S LIKE HARSH +RES0046-012 HARSH OK AND IN TERMS OF SEVERITY ONE TO TEN TEN BEING THE WORST HOW BAD IS IT +RES0046-013 I'D SAY IT'S A SEVEN I JUST CAN'T STOP COUGHING +RES0046-014 HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +RES0046-015 NOTHING LIKE THIS +RES0046-016 REALLY BEFORE OK IS THE COUGH A DRY COUGH OR IS IT OR DO YOU HAVE SPUTUM COMING UP AS WELL +RES0046-017 IT'S IT'S DRY +RES0046-018 DRY OK SO NO BLOOD +RES0046-019 NO NO BLOOD JUST IT'S BEEN MOSTLY +RES0046-020 DRY OK AND ANY SHORTNESS OF BREATH +RES0046-021 NOT REALLY I MEAN I WELL I GUESS I'VE BEEN SHORT OF BREATH AFTER I COUGH SO +RES0046-022 OK ANY WHEEZINESS +RES0046-023 NO +RES0046-024 HOW ABOUT CHEST PAIN +RES0046-025 NO CHEST PAIN +RES0046-026 OK ANY FEELINGS OF FEELING LIKE YOUR HEART'S RACING +RES0046-027 NO NOTHING LIKE THAT +RES0046-028 SWELLING IN YOUR LIMBS +RES0046-029 NO +RES0046-030 NO HOW ABOUT PAIN IN YOUR CALVES WHEN YOU WALK A FEW BLOCKS +RES0046-031 NO +RES0046-032 DIZZINESS OR FAINTING SPELLS +RES0046-033 THIS MORNING I HAD IT I FELT DIZZY WHEN I WHEN I GOT WHEN I WHEN I GOT UP +RES0046-034 OK BUT NO FAINTING RIGHT +RES0046-035 NO +RES0046-036 NO FAINTING OK ANY PAIN IN YOUR THROAT +RES0046-037 NO MY THROAT'S FELT OK +RES0046-038 OK ANY CHANGES IN YOUR VISION OR HEARING +RES0046-039 NO +RES0046-040 OK HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE +RES0046-041 NOTHING LIKE THAT +RES0046-042 CHANGES IN YOUR TASTE OR SMELL +RES0046-043 I FEEL LIKE I'VE HAD PROBLEMS WITH BOTH +RES0046-044 TASTE AND SMELL OK +RES0046-045 WHEN DID THAT START I THINK THIS MORNING I REALLY NOTICED THAT WHEN I WAS I WAS TRYING TO HAVE SOME BREAKFAST BUT I THOUGHT IT WAS MY LACK OF APPETITE THAT WAS THAT WAS CAUSING ISSUES BUT I HAVEN'T REALLY BEEN ABLE +RES0046-046 TO SMELL OR TASTE FOOD THAT'S UNFORTUNATE HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS +RES0046-047 NO WEIGHT'S BEEN STABLE +RES0046-048 OK HOW ABOUT FEVERS OR CHILLS +RES0046-049 I I FELT HOT BUT NO +RES0046-050 CHILLS NO CHILLS OK HAVE YOU TAKEN YOUR TEMPERATURE +RES0046-051 NO I HAVEN'T +RES0046-052 OK WELL WE CAN DO THAT TODAY IN THE CLINIC AND WE'LL LET YOU KNOW AND CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES +RES0046-053 NO +RES0046-054 NO OK HOW ABOUT FATIGUE OR MUSCLE ACHES +RES0046-055 I MEAN MAYBE I'VE HAD A BIT OF +RES0046-056 MUSCLE ACHES AND FATIGUE OK AND YOU MENTIONED YOU'VE BEEN HAVING DIARRHEA HOW LONG HAS THAT BEEN +RES0046-057 GOING ON FOR MAYBE THE LAST LIKE +RES0046-058 TWO DAYS TWO DAYS OK AND HOW OFTEN ARE YOU HAVING A BOWEL MOVEMENT +RES0046-059 EVERY WELL IT KIND OF CHANGES SO MAYBE EVERY FEW HOURS +RES0046-060 OK AND IS IT MOSTLY FLUID OR IS IT SEMISOLID +RES0046-061 I MOSTLY FLUID IT IT'S BEEN PRETTY PRETTY LOOSE +RES0046-062 PRETTY LOOSE OK AND HOW MUCH HOW HOW MUCH STOOL ARE YOU PRODUCING EVERY TIME YOU GO IS IT FILLING THE TOILET BOWL OR IS IT +RES0046-063 RELATIVELY LITTLE AT FIRST IT WAS A LOT BUT NOW IT IT JUST HASN'T BEEN MUCH IT'S +RES0046-064 RELATIVELY LITTLE MY STOMACH'S JUST BEEN KILLING ME OK SO YOU HAVE SOME ABDOMINAL +RES0046-065 PAIN ASSOCIATED WITH THAT TOO +RES0046-067 AND THEN ANY BLOOD IN YOUR STOOL NO NO BLOOD OK HAVE YOU NOTICED +RES0046-068 ANY MALODOURS WELL I GUESS OUT OF +RES0046-070 ORDINARY NO I HAVEN'T NOTICED ANYTHING LIKE +RES0046-071 THAT OK BUT I HAVEN'T BEEN ABLE TO SMELL SO WHO KNOWS RIGHT OK TRUE IN TERMS OF YOUR ABDOMINAL PAIN WHEN DID THAT START +RES0046-072 I I THINK AROUND THE SAME TIME AS THE DIARRHEA SO THE LAST TWO DAYS +RES0046-073 OK ANY NAUSEA OR VOMITING +RES0046-074 NO VOMITING BUT I'VE I FELT NAUSEOUS +RES0046-075 OK THE ABDOMINAL PAIN IS IT WHERE IS IT LOCATED IS IT PRETTY CENTRAL IS IT GENERAL +RES0046-076 IT'S PRETTY LIKE CENTRAL OR GENERAL I GUESS YOU COULD SAY THERE ISN'T REALLY ONE SPECIFIC SPOT THAT I FEEL IT +RES0046-077 OK AND WHAT MAKES IT WORSE WHAT MAKES IT BETTER +RES0046-078 NOTHING I'M NOT REALLY TOO SURE NOTHING REALLY MAKES IT BETTER OR WORSE +RES0046-079 OK AND IF YOU WERE TO DESCRIBE THE PAIN IS IT SHARP DULL OR ACHY +RES0046-080 I'D SAY IT'S PRETTY ACHY +RES0046-081 OK AND OUT OF ONE TO TEN TEN BEING THE WORST HOW BAD IS THE ABDOMINAL PAIN +RES0046-083 LIKE FOUR OK AND IS YOUR ABDOMINAL PAIN GETTING WORSE +RES0046-084 STAYING THE SAME +RES0046-085 OR GETTING BETTER ABOUT THE SAME OK +RES0046-087 DO ANY MEMORY LOSS OR CONFUSION +RES0046-089 NO OK ARE THINGS NORMAL WITH YOUR URINE YES OK SO ARE YOU AN +RES0046-090 OTHERWISE HEALTHY PERSON I HAVEN'T HAD ANYTHING ANY REASON +RES0046-091 TO SEE A DOCTOR FOR A WHILE OK WELL THAT'S GOOD YOU DON'T HAVE ANY LONGSTANDING MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT +RES0046-093 LIKE THAT OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0046-094 I DID HAVE A SURGERY I HAD MY MENISCUS REPAIRED BUT THAT WAS IT +RES0046-095 OK AND WHEN WAS THAT +RES0046-096 OH ABOUT TEN YEARS AGO +RES0046-097-1 OK SO I JUST WANNA BEFORE WE MOVE ON I'M JUST GONNA RECAP KIND OF THE SYMPTOMS THAT YOU HAVE YOU'VE HAD FOR THE PAST FOUR DAYS MORE OR LESS YOU'VE HAD A POSSIBLE FEVER +RES0046-097-2 THIS COUGH LOSS OF SMELL AND TASTE DIARRHEA ABDOMINAL PAIN AND NAUSEA IS THAT CORRECT +RES0046-098 THAT'S CORRECT +RES0046-099 OK +RES0046-100 THE COUGH STARTED FIRST AND THEN STARTED TO GET SOME MORE OF THE ABDOMINAL PAIN AND NAUSEA AND THE DIARRHEA THE LAST FEW DAYS +RES0046-101 OK OK ARE YOU ON ANY MEDICATIONS +RES0046-102 NO I DON'T TAKE ANYTHING +RES0046-103 OK NOT EVEN OVER THE COUNTER MEDICATIONS OR VITAMINS OR HERBAL SUPPLEMENTS +RES0046-104 NO NOTHING LIKE THAT +RES0046-105 OK ANY ALLERGIES +RES0046-106 NO ALLERGIES +RES0046-107 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0046-108 I AM +RES0046-109 ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0046-110 NO NOTHING +RES0046-111 LIKE THAT OK HOW ABOUT GI CONDITIONS LIKE STOMACH ISSUES COLON +RES0046-112 ISSUES LIVER NO I HAVEN'T HEARD OF ANY ISSUES LIKE THAT IN MY FAMILY +RES0046-113 OK ANY CANCERS THAT RUN IN THE FAMILY +RES0046-114 NO NO CANCERS +RES0046-115 OK ANY OK WELL I'M GOING TO ASK YOU DO YOU SMOKE YOU MENTIONED YOU DID +RES0046-116 I I I DO I SMOKE MAYBE ABOUT A HALF A PACK OF CIGARETTES PER DAY PROBABLY LESS +RES0046-117 OK HOW LONG HAVE YOU BEEN DOING THAT +RES0046-118 FOR THE LAST TEN YEARS +RES0046-119 OK HAVE YOU EVER THOUGHT OF QUITTING +RES0046-120 I'VE I'VE BEEN SLOWLY CUTTING IT DOWN I WAS SMOKING A PACK A DAY BEFORE AND NOW UNDER HALF A PACK SO I'M TRYING +RES0046-121 OK WELL CONGRATS THAT'S A BIG FEAT IF YOU NEED ADDITIONAL RESOURCES TO TRY AND HELP YOU QUIT PLEASE DO LET US KNOW I WILL ASK YOU MY NEXT QUESTION THEN DO YOU DO MARIJUANA AT ALL +RES0046-122 NO +RES0046-123 NO OK HOW ABOUT OTHER RECREATIONAL DRUGS +RES0046-124 NOPE NOTHING LIKE THAT +RES0046-125 DO YOU DRINK ALCOHOL +RES0046-126 I'LL HAVE A GLASS OF WINE ON SUNDAYS BUT THAT'S ABOUT IT +RES0046-127 OK HOW ABOUT WHERE DO YOU LIVE +RES0046-128 SO I LIVE IN A TOWNHOUSE WITH MY WIFE AND DAUGHTER +RES0046-129 OK ARE ANY OF THEM SICK +RES0046-130 MY MY WIFE WAS TALKING ABOUT BEING REALLY FATIGUED AND SHE DID MENTION A COUGH COMING ON +RES0046-131 OK HAVE YOU BEEN AROUND ANYONE ELSE WHO'S BEEN SICK RECENTLY +RES0046-133 NO NO OK HAVE YOU TRAVELED TO ANYWHERE RECENTLY +RES0046-135 NO I HAVEN'T OK THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY CONCERNS ANY QUESTIONS ANYTHING THAT YOU WANTED TO DISCUSS THAT I POSSIBLY MISSED TODAY +RES0046-136 NOPE THAT WAS THAT WAS EVERY +RES0046-137-1 THING THEN THANK YOU +RES0046-137-2 OK NO PROBLEM SO WE'LL WHAT WE'LL DO IS WE'LL GET A COVID SWAB ON YOU JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID SO WE WANT TO MAKE SURE THAT THAT'S NOT WHAT YOU HAVE SO WE'LL TAKE A SWAB YOU WILL HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS +RES0046-137-3 BUT IN THE MEANTIME YOU STILL SHOULD ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM YOUR FAMILY MEMBERS AS WELL WHEN WHEN POSSIBLE +RES0046-137-4 AND PUBLIC HEALTH WILL BE IN TOUCH TO LET YOU KNOW TO DO SOME CONTACT TRACING IF IT'S NOT COVID YOU +RES0046-137-5 YOU COULD POSSIBLY HAVE SOME SORT OF OTHER VIRAL INFECTION THAT'S GOING AROUND THESE DAYS HOW DOES THAT SOUND +RES0046-138 IT SOUNDS GREAT THANK YOU +RES0046-139 ALRIGHT NO WORRIES +RES0047-000 WHAT BRINGS YOU IN +RES0047-001 SO I'VE HAD THIS CHEST TIGHTNESS AND AND BEEN SHORT OF BREATH AND BRINGING UP SPUTUM WITH THIS COUGH +RES0047-002 OK SO LETS START WITH THE COUGH WHEN DID THAT START +RES0047-003 SO I'VE HAD A COUGH NOW FOR A FEW YEARS BUT OVER THIS PAST THREE DAYS IT'S GOTTEN QUITE A BIT WORSE +RES0047-004 OK FOR THE PAST THREE DAYS THREE THREE YEARS OK +RES0047-005 ARE THERE ANY TRIGGERS FOR YOUR COUGH +RES0047-006 IF I'M DOING LIKE IF I'M REALLY ACTIVE LIKE IF I RUN TO CATCH THE BUS OR OR IF I'M SHOVELLING SNOW MAYBE I CAN MAKE BECOME SHORT OF BREATH BUT NOT IF I'M JUST WALKING AROUND THE BLOCK OR ANYTHING LIKE THAT +RES0047-007 OK AND WHAT CAUSED THIS COUGH INITIALLY THREE YEARS AGO DO YOU KNOW +RES0047-008 I THINK I THINK IT'S JUST A SMOKERS COUGH I THINK THAT MY FAMILY DOCTOR TOLD ME I HAD LIKE CHRONIC BRONCHITIS BEFORE +RES0047-009 OK OK HOW OFTEN WERE YOU COUGHING BEFORE IT GOT WORSE RECENTLY +RES0047-010 I WOULD USUALLY COUGH EVERY DAY BUT THE COUGH WOULD BE USUALLY JUST IN THE MORNING I I'D GET UP THERE I WOULD COUGH UP SOME SPUTUM AND AND THEN MAYBE AND THEN I'D USUALLY BE OK +RES0047-011 OK AND DOES ANYTHING MAKE YOUR COUGH BETTER LIKE DO YOU TAKE ANY OVER THE COUNTER COUGH SYRUP +RES0047-012 I'VE TRIED SOME OVER THE COUNTER COUGH SYRUPS IN THE PAST BUT IT HASN'T HELPED +RES0047-013 OK OK AND IF YOU WERE TO TALK ABOUT THE QUALITY OF YOUR COUGH IS IT IS IT BARKY DOES IT SOUND HARSH WHAT DOES IT SOUND LIKE +RES0047-014 I WOULD SAY IT SOUNDS PRETTY HARSH YOU CAN KIND OF IT SOUNDS LIKE THERE'S MUCUS MOVING AROUND I GUESS WITH WITH THE COUGH IN MY CHEST I CAN I CAN KIND OF FEEL IT +RES0047-015 OK OK AND YOU MENTIONED THAT YOU'RE PRODUCING A LOT OF SPUTUM WITH YOUR COUGH WHAT COLOUR IS THAT SPUTUM +RES0047-016 GREENISH +RES0047-017 GREEN OK ANY BLOOD +RES0047-018 NO BLOOD +RES0047-019 NO BLOOD OK AND YOU MENTIONED YOU'VE NEVER PRODUCED SPUTUM WITH THE COUGH ESPECIALLY NOT GREEN SPUTUM IN THE PAST THREE YEARS RIGHT +RES0047-020 I WOULD BRING UP SPUTUM BUT IT'S USUALLY CLEAR AND WHITE +RES0047-021 OK OK AND DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH THIS COUGH +RES0047-022 YES I DO +RES0047-023 YES OK AND YOU MENTIONED YOU WERE SHORT OF BREATH WERE YOU SHORT OF BREATH PRIOR TO YOUR COUGH OR DID THAT START WHEN WHEN THIS COUGH GOT WORSE +RES0047-024 I THINK THE SHORTNESS OF BREATH HAS GOTTEN A BIT WORSE OVER THE LAST FEW DAYS AS THE COUGH HAS GOTTEN WORSE +RES0047-025 OK OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR SYMPTOMS OF HOW YOU'RE FEELING ONE TO TEN TEN BEING THE WORST WHERE WOULD YOU PUT YOURSELF AT +RES0047-026 I WOULD SAY AN EIGHT IT'S BEEN REALLY TOUGH IT'S BEEN GETTING REALLY DIFFICULT TO BREATHE +RES0047-027 OK AND HAVE YOU EVER EXPERIENCED ANYTHING TO THIS SEVERITY IN THE PAST +RES0047-028 NO I HAVEN'T HAD THIS DIFFICULTY BREATHING BEFORE +RES0047-029 OK OK DO YOU HAVE ANY CHEST PAIN +RES0047-030 MY CHEST IS IT FEELS TIGHT +RES0047-031 OK IT FEELS TIGHT OK DOES THAT DOES IT HURT THOUGH +RES0047-032 NO NO IT DOESN'T REALLY HURT IT'S JUST UNCOMFORTABLE +RES0047-033 OK AND DO YOU THINK IT'S TIGHT BECAUSE OF THE COUGHING OR THE SHORTNESS OF BREATH +RES0047-034 I KIND OF FEEL IT WITH THE COUGHING +RES0047-035 OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS +RES0047-036 MAYBE A LITTLE BIT IN MY IN MY FEET MORE THAN USUAL +RES0047-037 OK AND DO YOU FEEL LIKE YOUR HEART'S RACING +RES0047-038 NO +RES0047-039 NO OK ANY DIZZINESS OR FAINTING SPELLS +RES0047-040 I HAVEN'T HAD ANYTHING LIKE THAT +RES0047-041 OK ANY CHANGES TO YOUR VISION OR HEARING +RES0047-042 NO +RES0047-043 NO DO YOU HAVE A STUFFY NOSE OR RUNNY NOSE +RES0047-044 NO +RES0047-045 HOW ABOUT A SORE THROAT +RES0047-046 NO +RES0047-047 NO ANY CHANGES TO YOUR SMELL OR TASTE +RES0047-048 NO +RES0047-049 ANY FEVERS OR CHILLS +RES0047-050 NO I'VE FELT OK +RES0047-051 OK ANY WEIGHT LOSS +RES0047-052 MAYBE I MEAN OVER THE LAST FEW YEARS I'VE LOST A FEW POUNDS BUT MAYBE MAYBE TEN POUNDS OVER THE LAST LAST COUPLE OF YEARS +RES0047-053 LAST COUPLE OF YEARS OK WAS IT INTENTIONAL WEIGHT LOSS OR UNINTENTIONAL +RES0047-054 UNINTENTIONAL +RES0047-055 OK ALRIGHT AND ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES +RES0047-056 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0047-057 OK AND HOW ARE YOUR BOWEL MOVEMENTS EVERYTHING NORMAL THERE +RES0047-058 THAT'S BEEN NORMAL +RES0047-059 OK EVERYTHING NORMAL WITH REGARDS TO YOUR URINE +RES0047-060 THAT'S BEEN NORMAL +RES0047-061 OK ANY CONFUSION OR MEMORY LOSS +RES0047-062 NO +RES0047-063 NO OK ANY FATIGUE +RES0047-064 I'VE BEEN FEELING WELL REALLY TIRED THESE LAST THREE DAYS +RES0047-065 OK ANY JOINT PAINS OR MUSCLE ACHES +RES0047-066 NO +RES0047-067 NO OK AND ARE YOU OTHERWISE HEALTHY +RES0047-068 WELL I USE THESE INHALERS AND I THINK I'VE BEEN TOLD I HAVE COPD BEFORE +RES0047-069 OK OTHER THAN YOUR COPD DO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT +RES0047-070 I HAVE HIGH BLOOD PRESSURE AND I HAD MY GALLBLADDER TAKEN OUT A FEW YEARS AGO +RES0047-071 OK OK ANY OTHER SURGERIES OR HOSPITALIZATIONS +RES0047-072 I HAD AN ACL REPAIR LIKE WHEN I WAS A TEENAGER +RES0047-073 OK AND BESIDES THE INHALERS ARE YOU ON ANY OTHER MEDICATION +RES0047-074 THERE'S ONE FOR BLOOD PRESSURE AND +RES0047-075 I TAKE VITAMIN D AND THAT'S IT OK WHICH ONE +RES0047-076 WHICH MEDICATION ARE YOU ON FOR THE BLOOD PRESSURE +RES0047-077 AMLODIPINE AMLODIPINE OK WHEN DID YOU START TAKING THAT +RES0047-078 ABOUT SEVEN YEARS AGO +RES0047-079 OK AND THEN FOR YOUR COPD WHICH INHALERS ARE YOU ON +RES0047-080 THERE'S ONE THAT'S FOR LIKE SHORT ACTING AND THEN THERE'S ONE THAT I USE EVERYDAY SPIRIVA I THINK +RES0047-081 OK AND HOW LONG HAVE YOU BEEN ON THESE INHALERS +RES0047-082 IT'S BEEN A COUPLE OF YEARS FOR WELL FOR THE THE SHORT ONE THAT I I USE FOR RESCUE THERAPIES BEEN FOR LIKE A LONG TIME BUT SPIRIVA'S BEEN THE LAST SEVERAL YEARS +RES0047-083 OK OK AND DO YOU FIND THAT YOUR INHALERS ARE HELPING +RES0047-084 THEY I DEFINITELY NOTICE A DIFFERENCE WHEN I IF I MISS A DOSE OR SOMETHING +RES0047-085 OK AND DO YOU HAVE ANY ALLERGIES +RES0047-086 NO I DON'T THINK SO +RES0047-087 NO OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE +RES0047-088 I BELIEVE SO +RES0047-089 OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY +RES0047-091 NO NO OK DO YOU CURRENTLY SMOKE +RES0047-092 I DO YES I'VE BEEN TRYING TO QUIT I I SMOKE ABOUT A PACK OF CIGARETTES PER DAY NOW I USED TO SMOKE LIKE TWO PACKS PER DAY +RES0047-093 OK WELL IT'S IT'S GOOD THAT YOU'VE CUT DOWN IF YOU NEED ANY ADDITIONAL HELP CUTTING DOWN WE HAVE RESOURCES THAT WE CAN REFER YOU TO +RES0047-094 THAT WOULD BE GREAT +RES0047-095 HOW MUCH FOR HOW LONG HAVE YOU BEEN SMOKING LIKE HOW MANY YEARS +RES0047-096 WELL I STARTED WHEN I WAS A TEENAGER SO PROBABLY LIKE THIRTY FIVE +RES0047-097 OK AND DO YOU DO ANY MARIJUANA +RES0047-098 NO +RES0047-099 NO OK OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +RES0047-100 A FEW BEERS ON THE WEEKEND +RES0047-101 OK AND THEN WHERE DO YOU LIVE CURRENTLY +RES0047-102 I LIVE IN AN APARTMENT BY MYSELF +RES0047-103 OK AND ANY REASONS TO THINK THAT THERE ARE ANY OLD CARPETS MOLD OR ASBESTOS OR ANYTHING LIKE THAT THAT COULD BE EXACERBATING YOUR SYMPTOMS +RES0047-104 I MEAN I DO HAVE A CARPET IN THE BEDROOM SO BUT I MEAN THAT THAT'S THE ONLY CARPET IN THE APARTMENT +RES0047-105 OK AND DO YOU LIVE WITH ANYONE +RES0047-106 NO IT'S IT'S JUST ME AND MY DOG +RES0047-107 OK HAVE YOU HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY +RES0047-108 MAYBE I MEAN I I USUALLY WILL SEE A COUPLE OF FRIENDS WE'LL MEET UP TO GRAB SOME COFFEE IN THE MORNING IN THE MORNING BUT I FEEL LIKE THEY HAVE BEEN OK +RES0047-109 OK HOW ABOUT TRAVEL HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0047-110 NO +RES0047-111 NO OK OK WELL I THINK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS +RES0047-112 NO I JUST WANTED TO COME IN BECAUSE IT'S BEEN REALLY DIFFICULT TO BREATHE +RES0047-113 SO OK WELL WE'LL DO A PHYSICAL EXAM ON YOU TO TRY TO UNDERSTAND HOW BAD YOUR COPD EXACERBATION IS WE'LL ALSO TRY TO GET AN OXYGEN SATURATION ON YOU AND WE DO WANT THAT READING TO BE BETWEEN EIGHTY EIGHT TO NINETY TWO PERCENT +RES0047-114 IF IT IS LESS THAN THAT AND WE THINK YOU HAVE A MILD EXACERBATION WE'LL JUST SUGGEST THAT YOU USE YOUR SHORT ACTING BETA AGONIST PUFFER MORE OFTEN AND THEN IF YOU +RES0047-115 IF WE THINK YOU HAVE MODERATE MODERATE EXACERBATION WE'LL ALSO PRESCRIBE ANTIBIOTICS AND OR STEROIDS TO GO ALONG WITH THE SHORT ACTING BETA AGONIST +RES0047-116-1 AND IF IT IS SEVERE OR IF IT BECOMES SEVERE PLEASE DO SEEK OUT AID IN THE ER AND THEY'LL TRY THEY'LL PROBABLY PUT YOU ON +RES0047-116-2 SOME SORT OF OXY LIKE SOME SORT OF SUPPLEMENTAL OXYGEN WHETHER IT'S BIPAP OR CPAP AND AGAIN THEY'LL +RES0047-116-3 CONTINUE GIVING YOU YOUR BRONCHODILATORS AND STEROIDS AS WELL AS ANTIBIOTICS TO MAKE SURE THAT YOU DON'T HAVE ANY BAD COMPLICATIONS OF PNEUMONIA +RES0047-117-1 AND IT DOES SOUND LIKE IT IS A COPD EXACERBATION AT THIS POINT BUT IF YOU DEVELOP ANY OTHER SYMPTOMS LIKE FEVERS OR ANY SYMPTOMS THAT OVERLAP WITH VIRAL VIRAL ILLNESSES WE'LL +RES0047-117-2 WE'LL WE'LL WORK YOU UP FOR THAT WE'LL DO I THINK WE WILL STILL DO A COVID SWAB ON YOU JUST TO MAKE SURE YOU DON'T HAVE THAT BUT WE'LL START WITH WORKING YOU UP FOR COPD HOW DOES THAT SOUND +RES0047-118 THAT SOUNDS GREAT THANK YOU +RES0047-119 ALRIGHT TAKE CARE +RES0051-000 WOULD YOU MIND STARTING WITH TELLING ME WHAT BROUGHT YOU IN +RES0051-001 SURE I HAVE HAD THIS COUGH FOR THE PAST FIVE DAYS AND IT DOESN'T SEEM TO BE GETTING ANY BETTER SO I'M JUST HERE TO ASK YOU WHAT IT WHAT IT POSSIBLY COULD BE +RES0051-002 HAS THE COUGH BEEN GETTING ANY BETTER STAYING THE SAME OR GETTING WORSE OVER THESE LAST FIVE DAYS +RES0051-003 I THINK IT'S GETTING WORSE +RES0051-004 OK ARE YOU BRINGING +RES0051-006 UP ANY ANY PHLEGM +RES0051-007 NO +RES0051-008 OKAY ARE YOU BRINGING UP ANY BLOOD NO OK HAVE YOU BEEN COUGHING AT NIGHT TIME AS WELL IS IT INTERFERING WITH YOUR SLEEP OR IS THE COUGH JUST DURING THE DAY +RES0051-009 IT IS MOSTLY DURING THE DAY AND IN THE EVENINGS IT DOESN'T WAKE ME UP FROM SLEEP +RES0051-010 OK AND ANY TRIGGERS THAT YOU'VE NOTICE FIVE DAYS AGO OR ANYTHING THAT CHANGED AT THAT TIME TO BRING ON THE COUGH +RES0051-011 NO NOTHING +RES0051-012 OK AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS WITH THE COUGH +RES0051-013 I HAVE A SORE THROAT AND I FEEL LIKE I CAN'T TASTE THINGS THE SAME +RES0051-014 OK ARE YOU HAVING ANY PAIN WITH SWALLOWING EITHER LIQUIDS OR FOOD +RES0051-016 MOSTLY WITH FOODS OK AND WHEN DID THE SORE THROAT START +RES0051-017 IT STARTED UP AROUND THE SAME TIME AS MY COUGH +RES0051-018 OK AND YOU CAN'T TASTE YOUR FOOD AS WELL AND WHEN DID YOU NOTICE THAT +RES0051-019 THAT WAS TWO DAYS AGO +RES0051-020 OK HAVE YOU NOTICED ANY ANY LOSS OF SMELL +RES0051-021 NO NO I DON'T THINK SO +RES0051-022 OK AND HAVE YOU HAD ANY DIFFICULTIES BREATHING OR SHORT OF BREATH +RES0051-023 NO +RES0051-024 OK AND HAVE YOU HAD ANY SYMPTOMS LIKE THIS BEFORE +RES0051-026 NO NOTHING LIKE THIS OK AND HOW HAS YOUR ENERGY LEVEL BEEN +RES0051-027 HAVE YOU BEEN FATIGUED +RES0051-028 A LITTLE BIT YES OK HAVE YOU HAD ANY CHANGES TO YOUR VISION OR OR HEARING +RES0051-029 NO +RES0051-030 ANY MUCOUS OR PAIN OR DISCHARGE FROM EITHER YOUR EARS OR NOSE +RES0051-031 NO +RES0051-032 OK SO YOUR NOSE HASN'T BEEN RUNNY BUT HAS IT FELT CONGESTED +RES0051-033 NO +RES0051-034 OK HAVE YOU HAD ANY +RES0051-035 FEVERS OR CHILLS I DON'T KNOW ABOUT FEVERS I I GUESS I WAS FEELING A LITTLE BIT HOT LAST NIGHT BUT I DIDN'T TAKE MY TEMPERATURE +RES0051-036 OK SO POSSIBLY A FEVER I WILL CERTAINLY CHECK YOUR TEMPERATURE TODAY TO INVESTIGATE THAT HAVE YOU HAD ANY NIGHT SWEATS +RES0051-037 NO NIGHT SWEATS +RES0051-038 ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS IN THE LAST +RES0051-040 MONTHS NO OK AND HAVE YOU HAD ANY CHEST PAIN +RES0051-041 NO CHEST PAIN +RES0051-042 HAVE YOU NOTICED ANY HEART PALPITATIONS OR HEART RACING +RES0051-043 NO +RES0051-044 RIGHT OK HAVE YOU HAD ANY WHEEZING +RES0051-045 NO +RES0051-046 ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN +RES0051-047 NO +RES0051-048 ANY NAUSEA OR VOMITING +RES0051-050 NO OK HOW ABOUT ANY URINARY PROBLEMS +RES0051-051 NO +RES0051-052 ANY BOWEL PROBLEMS LIKE DIARRHEA +RES0051-054 OR CONSTIPATION NO OK AND ANY +RES0051-056 MUSCLE ACHES OR OR BODY PAINS +RES0052-000 WOULD YOU MIND BY STARTING TO TELL ME WHAT BROUGHT YOU IN +RES0052-001 SURE MY FIVE YEAR OLD DAUGHTER I NOTICED THAT SHE'S BEEN COUGHING A LOT OVER THE PAST TWO DAYS SHE SOUNDS LIKE SHE HAS A STUFFY NOSE AND NOW SHE'S GOT THIS PINK EYE SO I JUST WANTED TO GET IT CHECKED OUT BY YOU +RES0052-002 YEAH FOR SURE SO THE COUGH STARTED FIVE DAYS AGO +RES0052-003 TWO DAYS AGO +RES0052-004 TWO TWO DAYS OK AND IS THE COUGH BARKY OR OR HARSH SOUNDING +RES0052-005 YES IT SOUNDS HARSH +RES0052-006 OK ALRIGHT WAS THERE ANYTHING THAT CHANGED TWO DAYS AGO THAT MIGHT HAVE TRIGGERED THE COUGH +RES0052-007 I DON'T THINK SO ALTHOUGH SHE DOES GO TO DAYCARE +RES0052-008 OK AND SO HAS SHE BEEN BRINGING UP ANY SPUTUM WITH THE COUGH +RES0052-009 NO NO SPUTUM THAT I'VE NOTICED +RES0052-010 OK NOTICE ANY BLOOD +RES0052-011 NO +RES0052-012 ALRIGHT AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY +RES0052-013 NO +RES0052-014 OK AND HAS THERE BEEN ANY WHEEZING +RES0052-015 NO NOT THAT I NOTICED +RES0052-016 OK AND YOU MENTIONED THE RED EYES WHEN DID THOSE WHEN DID YOU NOTICE THAT +RES0052-017 THAT WAS JUST YESTERDAY +RES0052-018 OK ANY DISCHARGE FROM THE EYES +RES0052-019 NO +RES0052-020 OK LIKE NO TEARING OR ANYTHING LIKE THAT +RES0052-021 NO +RES0052-022 OK AND HAS SHE COMPLAINED ABOUT ANY LIKE CHANGES TO VISION +RES0052-023 NO NO OK OR ANY EYE PAIN NOT REALLY JUST THE PAIN +RES0052-024 NO OK AND HOW ABOUT ANY ITCHINESS IN THE EYES +RES0052-025 I GUESS SHE'S BEEN RUBBING IT AND SO IT'S POSSIBLY ITCHY +RES0052-026 OK AND RUNNY NOSE HAVE YOU NOTICED MUCUS COMING OUT +RES0052-027 NO IT'S ACTUALLY STUFFY +RES0052-028 OK +RES0052-029 YEAH OK NOT SO MUCH MUCOUS +RES0052-030 OK HAS SHE MENTIONED ANYTHING ABOUT LOSING SMELL +RES0052-031 NO NO +RES0052-032 OK AND HAS SHE MENTIONED ANYTHING ABOUT BEING CONGESTED +RES0052-033 SHE JUST SOUNDS LIKE SHE'S CONGESTED +RES0052-034 OK AND ANY SORE THROAT +RES0052-035 POSSIBLY +RES0052-036 OK HOW HAS SHE BEEN EATING +RES0052-037 SHE'S BEEN EATING OK I GUESS SHE'S BEEN EATING A LITTLE LESS THAN USUAL +RES0052-038 OK WOULD YOU SAY THAT SHE'S BEEN GOING TO THE BATHROOM AS AS OFTEN AS AS NORMAL +RES0052-039 YEP I WOULD SAY SO NO CHANGES THERE +RES0052-040 OK AND HAS SHE HAD ANY LOSS OF TASTE +RES0052-041 POSSIBLY SINCE SHE'S NOT EATING AS MUCH +RES0052-042 OK ANY FEVERS OR CHILLS +RES0052-043 SHE DID FEEL A LITTLE BIT HOT BUT I DIDN'T TAKE HER TEMPERATURE +RES0052-044 OK SO HOT WE WILL DEFINITELY CHECK FOR FEVER ANY NIGHT SWEATS +RES0052-045 NO +RES0052-046 OK AND HAS SHE BEEN GAINING WEIGHT OK +RES0052-047 YEP YEP NO CHANGE NOTHING ABNORMAL THERE +RES0052-048 OK AND HAS SHE BEEN COMPLAINING ABOUT HAVING ANY STOMACH PAINS +RES0052-049 NO +RES0052-050 OK AND HAS SHE HAD ANY NAUSEA OR VOMITING +RES0052-051 NO NO +RES0052-052 OK AND HOW ABOUT ANY PAINFUL URINATION +RES0052-053 NO +RES0052-054 OK AND ANY DIARRHEA +RES0052-055 NO +RES0052-056 OK AND HAS SHE MENTIONED ANYTHING ABOUT HEADACHES +RES0052-057 NO +RES0052-058 OK AND HOW ABOUT ANY ACHES OR PAINS ANYWHERE +RES0052-059 NO I DON'T THINK SO +RES0052-060 HAVE YOU NOTICED ANY RASHES +RES0052-061 NO +RES0052-062 OK AND HAS SHE BEEN DIAGNOSED WITH ANY CONDITIONS BEFORE +RES0052-063 NOPE +RES0052-064 OK AND ANY REASON FOR HER TO BE HOSPITALIZED +RES0052-065 NO +RES0052-066 OK DOES SHE TAKE ANY MEDICATIONS REGULARLY +RES0052-067 NO +RES0052-068 OK DOES SHE HAVE ANY ALLERGIES TO MEDICATIONS +RES0052-069 NO +RES0052-070 ALRIGHT ANY SURGERIES BEFORE +RES0052-071 NOPE +RES0052-072 ANY CONCERNS WITH HER GROWTH OR DEVELOPMENT +RES0052-073 NO EVERYTHING'S BEEN PRETTY NORMAL +RES0052-074 OK AND ANY CONCERNS ABOUT HER VISION OR HEARING +RES0052-075 NO +RES0052-076 OK AND CAN TELL YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION CURRENTLY ARE YOU THE PRIMARY CAREGIVER +RES0052-077 I AM +RES0052-078 OK AND WHO ELSE IS IN THE HOME +RES0052-079 HER HER FATHER +RES0052-080 OK ARE THERE ANY PETS AROUND +RES0052-081 NO +RES0052-082 ALRIGHT AND DOES ANYBODY IN THE HOUSE SMOKE +RES0052-083 NO NO ONE SMOKES +RES0052-084 OK ANY EXPOSURES IN THE HOUSE TO LIKE CARPETS OR DUST OR INHALANTS THAT MIGHT BRING ON A COUGH +RES0052-085 NO +RES0052-086 OK AND ANYBODY IN THE IN THE FAMILY BEEN SICK +RES0052-087 NO +RES0052-088 OK AND HOW ABOUT ANYBODY YOU MENTIONED AT THE DAYCARE WAS ANYBODY BEEN SICK THERE +RES0052-089 NO I DON'T THINK SO I CONTACTED THEM AND CHECKED BUT IT SEEMS LIKE NO ONE'S BEEN SICK +RES0052-090 OK AND YOU SAY YOU HAVEN'T TRAVELED ANYWHERE +RES0052-091 OH NO NO NOT RECENTLY +RES0052-092 OK AND ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY +RES0052-093 NO +RES0052-094 OK AND HOW ABOUT ANY GENETIC CONDITIONS OR CONGENITAL CONDITIONS IN THE FAMILY +RES0052-095 NO NONE NONE THAT I KNOW OF +RES0052-096 OK SO THE MAIN SYMPTOMS ARE THE COUGH THAT STARTED TWO DAYS AGO AND ALSO YOU'VE NOTICED SHE'S BEEN CONGESTED AND SORRY WHAT WAS THE LAST SYMPTOM +RES0052-097 SHE'S BEEN CONGESTED SHE HAS THIS PINK EYE AND SHE HAS A COUGH +RES0052-098 RIGHT THAT COULD BE CONJUNCTIVITIS OK SO AT THIS POINT WE WILL CERTAINLY RUN SOME INVESTIGATIONS TO LOOK INTO WHAT THIS COULD BE +RES0052-099-1 IT SOUNDS LIKE A VIRAL INFECTIOUS TYPE OF PROCESS ESPECIALLY IF IT'S INVOLVING THE EYES NOSE AND AND WITH A COUGH AND SO WE WILL TEST WITH A SWAB FOR COVID FOR SURE BUT +RES0052-099-2 IT COULD BE SOMETHING MORE COMMON LIKE THE COMMON COLD WE JUST NEED TO MAKE SURE THAT WE'RE COMPREHENSIVE IN THAT WITH THE TESTING +RES0052-100 THAT SOUNDS GREAT THANK YOU +RES0053-000 I WAS JUST BRINGING MY SON AND HE'S JUST HAD COUGH FOR THE LAST COUPLE OF DAYS I THOUGHT ABOUT A DAY AND A HALF AGO IT DOESN'T FEEL LIKE A COLD HE HASN'T BEEN TOO SICK BUT I WAS A LITTLE BIT WORRIED AND I WANTED TO GET HIM SEEN TO SEE IF THERE'S ANYTHING WE COULD DO +RES0053-001 FOR SURE IT'S A GOOD THING THAT YOU BROUGHT HIM IN SO THE COUGH IS IT CONSISTENT OR DOES IT COME AND GO +RES0053-002 IT SEEMS TO BE A LITTLE BIT WORSE AT NIGHT HE'LL HAVE THIS COUGH DURING THE DAY SOMETIMES I'LL NOTICE WHEN HE'S PLAYING HE'S HAD THESE COUGHING FITS THAT LAST FOR UP TO A MINUTE BUT USUALLY RECOVERS FROM HE HASN'T BEEN TOO ACTIVE TO BE HONEST HE'S BEEN A LITTLE BIT SLOWED DOWN THESE LAST COUPLE OF DAYS BUT IN REGARDS TO CONSISTENCY I'D SAY IT'S A LITTLE BIT WORSE AT NIGHT +RES0053-003 OK ANY OTHER TRIGGERS LIKE DUST OR THE COLD AIR ANYTHING LIKE THAT +RES0053-004 I HAVEN'T REALLY NOTICED ANYTHING WE'VE BEEN MAINLY KEEPING INSIDE DUE TO COVID RIGHT I THINK MY WIFE LEFT A WINDOW OPEN THE OTHER NIGHT AND MAYBE THE COUGH WAS A LITTLE BIT BETTER I'M NOT SURE IT'S KIND OF HARD TO TELL WHEN WE SLEEP +RES0053-005 HAVE YOU TRIED ANYTHING FOR IT LIKE HAVE YOU GIVEN HIM ANY OVER THE COUNTER COUGH MEDICATIONS +RES0053-006 NO WE'RE A LITTLE SCARED TO GIVE HIM ANYTHING HE'S SO YOUNG HE'S TWO ONE TWO WE HAVEN'T BEEN REALLY GIVING HIM ANY MEDICATIONS TO BE HONEST +RES0053-007 OK GOOD AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY IT'S BARKY IS IT HARSH +RES0053-008 BARKY MIGHT BE A GOOD WORD TO DESCRIBE IT LIKE HE'S HAD COLDS BEFORE HIS COUGHS WERE QUIET BUT THIS SOUNDS HARSH IT SOUNDS LIKE HE'S REALLY TRYING TO COUGH HARD THERE VERY VIOLENT SOMETIMES +RES0053-009 OK OK AND HAS HE EVER HAD A COUGH LIKE THIS IN THE PAST +RES0053-010 NO NEVER +RES0053-011 OK AND THEN IN TERMS OF THE TIMELINE IS IT GETTING WORSE HIS COUGH +RES0053-012-1 I THINK IT HAS BEEN TO BE HONEST HE WAS A LITTLE ILL LIKE HE HAD A RUNNY NOSE A COUPLE OF DAYS AGO MAYBE TWO DAYS AGO AND THEN THE COUGH STARTED BUT IT ONLY REALLY STARTED GETTING NOTICEABLY DIFFERENT +RES0053-012-2 YEAH ABOUT THE NIGHT OF THE FIRST DAY ABOUT TWO DAYS AGO SO NOW IT'S BEEN MORE PRESENT I SUPPOSE THAN IT WAS WHEN HE JUST FIRST HAD IT +RES0053-013 OK AND IS IT A DRY COUGH OR DOES HE BRING UP SPUTUM +RES0053-014 SPUTUM LIKE PHLEGM NO HE DOESN'T BRING ANYTHING UP REALLY SO DRY +RES0053-015 OK SO NO BLOOD AS WELL RIGHT +RES0053-016 NO BLOOD +RES0053-017 OK DOES HE HAVE ANY SHORTNESS OF BREATH WITH HIS COUGH +RES0053-018 I FEEL LIKE WHEN HE HAS THE COUGHING FITS HE'S WINDED HE'S WEAK AFTER THEM SOMETIMES HE CRIES AFTER THEM OR BEFORE THE MIDDLE CAN BE A TRIGGER FOR IT BUT JUST RESTING NORMALLY HE DOESN'T SEEM THAT OUT OF BREATH NO +RES0053-019 OK ANY WHEEZINESS +RES0053-020 NO NOT REALLY HE'S ABLE TO BREATHE I CAN'T REALLY HEAR HIM BREATHING THAT MUCH SOMETIMES AT NIGHT AFTER A BAD COUGH HE'LL BE REALLY WINDED AND IT DOES SOUND LIKE A LITTLE DIFFERENT WHEN HE'S BREATHING BUT JUST RIGHT NOW HE SOUNDS NORMAL +RES0053-021 OK AND ANY REASON FOR YOU TO THINK HE HAS CHEST PAIN +RES0053-022 HE HASN'T ANY SORT OF CHEST PAIN HE SAYS HIS THROAT HURTS BUT I DON'T THINK IT'S HIS CHEST +RES0053-023 HAS HE HAD ANY FEVERS +RES0053-024 NO +RES0053-025 ANY CHANGE IN HIS HAIR NAILS OR SKIN LIKE RASHES +RES0053-026 NO NO RASHES +RES0053-027 HOW ABOUT WEIGHT LOSS +RES0053-028 NO WEIGHT LOSS HE'S A FAIRLY HEALTHY KID +RES0053-029 AND HIS VISION AND HEARING ARE NORMAL +RES0053-030 YOU KNOW I HAVEN'T GOTTEN HIM FORMALLY ASSESSED YET BUT SEEMS TO BE ABLE TO READ PRETTY WELL FROM A DISTANCE HE'S NOT IN SCHOOL YET BUT I HAVEN'T NOTICED ANYTHING AND HE CAN HEAR FINE I THINK HE RESPONDS WHEN I CALL +RES0053-031 OK HAS HE HAD A STUFFY OR RUNNY NOSE +RES0053-032 THAT'S KIND OF HOW IT FIRST STARTED THREE DAYS AGO MAYBE HAD A RUNNY NOSE OK +RES0053-033 DOES HE STILL HAVE A RUNNY NOSE +RES0053-034 A LITTLE BIT LESS NOW NO NOT AS MUCH NOW +RES0053-035 OK AND HIS TASTE ANY REASON TO BELIEVE THERE ARE ANY CHANGES THERE +RES0053-036 WELL WE'VE BEEN KIND OF SPOILING HIM A BIT JUST GIVING HIM ICE CREAM HIS THROAT HURTS A LITTLE BIT AND HE SEEMS TO STILL LIKE IT SO IT'S HARD TO TELL +RES0053-037 OK SO HE HAS A LITTLE BIT OF A SORE THROAT AS WELL +RES0053-038 OK OK AND THEN ANY DIZZINESS OR FAINTING SPELLS THAT YOU'VE NOTICED +RES0053-039 NO FAINTING OR DIZZY SPELLS BUT HE'S REALLY GASSED AFTER HE HAS LIKE A COUGHING FIT AND HE DOESN'T WANT TO STAND UP HE'LL JUST BE SITTING DOWN OR HE WANTS TO BE HELD +RES0053-040 OK IS HE MORE IRRITABLE THAN USUAL +RES0053-041 AFTER HE HAS A BAD COUGHING FIT HE WANTS TO BE SOOTHED AND HE'LL BE CRYING BUT IT'S JUST MORE OF BECAUSE HE'S WORN OUT I BELIEVE HE'S TIRED +RES0053-042 OK AND THEN ANY CONFUSION OR MEMORY LOSS +RES0053-043 NO +RES0053-044 OK AND THEN IN TERMS OF HIS BOWEL MOVEMENTS HAVE THINGS BEEN NORMAL FROM THAT STANDPOINT +RES0053-045 OH PROCESS OF POTTY TRAINING HIM BUT NO NO REAL CHANGES +RES0053-046 OK SO NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL +RES0053-047 NO +RES0053-048 OK AND HE'S PASSING GAS +RES0053-049 OK I'D SAY SO +RES0053-050 ANY NAUSEA OR VOMITING +RES0053-051 NO WE HAVEN'T BEEN REALLY FEEDING HIM SOLID MEALS IT'S BECAUSE HE'S BEEN SICK WE'VE BEEN TRYING TO GIVE HIM SOUP AND LIQUIDS FOR THE MOST PART BECAUSE HIS THROAT HURTS BUT HE'S ABLE TO KEEP THEM DOWN SO NO NO NAUSEA NO VOMITING +RES0053-052 OK AND THEN HOW ABOUT CHANGES IN HIS APPETITE +RES0053-053 HE'S NOT EATING AS MUCH BUT STILL WE'RE TRYING TO FORCE FOOD INTO HIM TO KEEP HIS ENERGY UP MOST OF TIME HE ALWAYS WILL BE ASKING FOR SNACKS IN THE AFTERNOON BUT NOW NOT SO MUCH +RES0053-054 OK ALRIGHT AND ANY ANYTHING ELSE THAT I MISSED THAT HE'S BEEN EXPERIENCING OVER THE PAST FEW DAYS +RES0053-055 NO JUST THE COUGH +RES0053-056 OK AND THEN HE OTHERWISE HEALTHY DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0053-057 NO LONGSTANDING MEDICAL CONDITIONS NOTHING REALLY WE HAD A LITTLE BIT OF STAY IN THE NICU JUST BECAUSE HE WAS A LITTLE BIT UNDERWEIGHT BUT NO NOTHING REALLY +RES0053-058 OK AND THEN HIS MOTHER'S PREGNANCY WITH HIM ANY COMPLICATIONS AT THAT POINT +RES0053-059 HE'S A LITTLE PRE TERM THIRTY FOUR WEEKS I THINK +RES0053-060 OK WAS HE ALSO UNDERWEIGHT TOO YOU MENTIONED JUST A LITTLE BIT +RES0053-061 OK AND ANY COMPLICATIONS DURING THE ACTUAL DELIVERY +RES0053-062 NOT THAT I REMEMBER LIKE SHE STARTED GOING TO LABOR EARLY LIKE EARLIER THAN WE EXPECTED WE THOUGHT IT WAS JUST A REGULAR CONTRACTION AND THAT IT WILL JUST RESOLVE BUT SHE WOUND UP PROCEEDING WHEN WE SHOWED UP AT THE HOSPITAL +RES0053-063 OK AND THEN IN TERMS OF GROWTH WEIGHT AND HEAD CIRCUMFERENCE HAS HE BEEN HITTING ALL THOSE MILESTONES FOR THE PAST TWO ONE TWO YEARS +RES0053-064 WE WE BRING HIM TO THE FAMILY DOCTOR EVERY COUPLE OF MONTH FOR HIS REGULAR CHECKUPS AND NOTHING HAS BEEN BROUGHT UP TO BE CONCERNING FOR HIS VACCINES HE HAS BEEN DOING WELL +RES0053-065 OK AND THEN HOW ABOUT OTHER MILESTONES LIKE SPEECH MOVEMENT FINE MOVEMENT ALL OF THAT LIKE HAVE THOSE BEEN NORMAL IS HE ON PAR WITH HIS PEERS +RES0053-066 THIS IS OUR FIRST KID BUT COMPARED TO HIS COUSINS HE SEEMS TO BE DOING WELL HE'S SPEAKING HE'S GOT LITTLE SENTENCES NOW HE HAS GOOD EYE CONTACT HE'S A GOOD KID +RES0053-067 OK GOOD GOOD ANY HOSPITALIZATIONS OR SURGERIES ASIDE FROM WHEN HE WAS BORN +RES0053-068 NO NO +RES0053-069 OK GOOD AND IS HE ON ANY MEDICATIONS +RES0053-070 NO OK WE GIVE HIM LIKE A FLINTSTONE GUMMY +RES0053-071 OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0053-072 ANY ALLERGIES +RES0053-073 NOT THAT WE KNOW OF +RES0053-074 ANY FAMILY HISTORY OF LUNG CONDITIONS +RES0053-075 SO HIS MY GRANDFATHER SO HIS GREATGRANDFATHER I SUPPOSE PASSED AWAY FROM LUNG CANCER HE WAS A HEAVY SMOKER THOUGH ON MY MOM'S SIDE THERE'S SOME BREAST CANCER NO NOTHING REALLY THAT COMES TO MIND FOR LUNGS +RES0053-076 AND ANY HEART CONDITIONS +RES0053-077 NO NOT THAT WE KNOW OF +RES0053-078 AND HOW ABOUT OTHER CANCERS +RES0053-079 NO NOT THAT I KNOW OF +RES0053-080 OK HOW ABOUT ASTHMA ECZEMA OR ALLERGIES IN THE FAMILY +RES0053-081 YOU KNOW I THINK MY SISTER IS ALLERGIC TO PEAS BUT SHE WAS NEVER SICK FROM THEM LIKE GO TO THE HOSPITAL I DON'T THINK THERE ARE ANY ALLERGIES IN THE FAMILY +RES0053-082 OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY +RES0053-083 YOU KNOW LIKE FIVE DAYS AGO WE HAD A PLAYDATE WITH HIS COUSIN AND WE KIND OF THOUGHT THAT THAT'S WHERE HE GOT THE COLD FROM LIKE THE RUNNY NOSE BUT IT JUST TURNED WEIRD YOU KNOW +RES0053-084 OK AND HOW'S THIS COUSIN DOING +RES0053-085 LAST TIME I TALKED TO CHARLOTTE HANK SEEMS TO BE DOING WELL SO +RES0053-086 ALRIGHT AND HAS HE TRAVELED TO ANYWHERE RECENTLY HAVE YOU ANY OF YOU TRAVELED ANYWHERE RECENTLY +RES0053-087 NO WITH COVID AND EVERYTHING WE HAVE JUST BEEN KEEPING TO OURSELVES +RES0053-088 AND WITH WHO AND WHERE DOES HE LIVE +RES0053-089 HE LIVES WITH ME AND HIS MOTHER IN A HOUSE +RES0053-090 OK ANY OLD CARPETS OR MOLD OR CONCERNS FOR ASBESTOS ANYTHING LIKE THAT AT HOME +RES0053-091 I DON'T KNOW WHEN THIS HOUSE IS BUILT I DON'T THINK THERE'S ANY ASBESTOS IN IT AND IT'S ALL HARDWOOD SO NO +RES0053-092 OK GOOD ANYONE AT HOME SMOKE +RES0053-093 NO NO +RES0053-094 OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD DO YOU HAVE ANY QUESTIONS FOR ME +RES0053-095 NO NO THAT'S IT NO +RES0053-096-1 OK WELL FROM THE SOUNDS OF IT HE MOST LIKELY HAS SOME SORT OF VIRAL INFECTION WE WILL DO A COVID SWAP TO RULE THAT OUT BECAUSE SOME SYMPTOMS DO SEEM TO OVERLAP +RES0053-096-2 WITH COVID AND WE WANT TO MAKE SURE TO RULE THAT OUT SO WE'LL TAKE A SWAB THOSE PCR RESULTS SHOULD COME BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS +RES0053-096-3 IN THE MEANTIME HE SHOULD ISOLATE FOR FOURTEEN DAYS AT HOME AND IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL INFECTION LIKE +RES0053-096-4 PARAINFLUENZA ALSO KNOWN AS CROUP SO FOR THAT FOR ANY OF THESE VIRAL INFECTIONS ACTUALLY THE BEST TREATMENT IS TO STAY AT HOME AND MAKE SURE THAT HE'S +RES0053-096-5 VERY WELL HYDRATED AND EATING WELL IF HIS SYMPTOMS PERSIST FOR THREE TO FIVE DAYS OR MORE OR IF HIS SYMPTOMS WORSEN +RES0053-096-6 ESPECIALLY IF HE HAS LIKE A SEIZURE OR UROLOGICAL ISSUES HE SHOULD GO TO THE ER AND +RES0053-096-7 IF HIS SYMPTOMS DO BECOME WORSE WE CAN ALSO PRESCRIBE HIM SOME STEROIDS OR EPINEPHRINE JUST TO OPEN UP HIS AIRWAYS AND IF IT'S REALLY REALLY BAD +RES0053-096-8 HE MIGHT BE HOSPITALISED AS WELL SO JUST KEEP AN EYE ON ON THAT FOR NOW AND IF YOU HAVE ANY +RES0053-097 QUESTIONS OR CONCERNS JUST GIVE US A CALL HOW DOES THAT SOUND +RES0053-098 A LITTLE SCARY SOUNDS GOOD OK I'LL JUST KEEP AN EYE ON HIM FOR THE NEXT FIVE DAYS +RES0053-099-1 THERE SO AND THEN GIVE US A CALL IF HIS SYMPTOMS ARE BECOMING WORSE OR IF THEY'RE NOT RESOLVING AND WE WILL TRY TO DO AN ASSESSMENT ON HIM OF COURSE WE WILL DO A PHYSICAL EXAM TODAY AND WILL LET YOU KNOW +RES0053-099-2 LIKE HOW SEVERE HIS SYMPTOMS ARE MOST CHILDREN WILL GET OVER THEIR INFECTION ON THEIR OWN AND HE LIKELY WON'T NEED ANY ADDITIONAL TREATMENTS +RES0053-100 OK SOUNDS GOOD +RES0053-101 ALRIGHT TAKE CARE +RES0053-102 THANK YOU +RES0054-000 WHAT BRINGS YOU IN +RES0054-001-1 HI I'VE JUST BEEN A LITTLE BIT WORRIED THAT LAST THE COUPLE OF MONTHS I'VE NOTICED THAT I'VE BEEN GETTING MORE AND MORE OUT OF BREATH WHEN I'VE BEEN DOING EXERCISE +RES0054-001-2 AND I KNOW I GOT A BROTHER WHO HAD A HEART ISSUE AND I'M JUST REALLY CONCERNED THAT I HAVE SOMETHING WRONG WITH MY TICKER JUST WANTED TO GET IT CHECKED OUT YOU KNOW +RES0054-002 WHEN DID THE SHORTNESS OF BREATH START +RES0054-003-1 SO THIS WINTER SPECIFICALLY LIKE WE HAVEN'T BEEN TOO ACTIVE BECAUSE OF COVID THIS YEAR WE'VE JUST BEEN STAYING IN THE HOUSE ALL LAST YEAR BUT WITH THE SNOW I'D BE SHOVELLING SNOW WHENEVER IT FELL AND +RES0054-003-2 BEFORE I COULD BE ABLE TO LIKE TWO YEARS AGO BE ABLE TO CLEAR THE DRIVEWAY NO PROBLEM BUT NOW EVEN AFTER HALF THE DRIVEWAY I'VE NOTICED I'M GETTING CONSISNTELY OUT OF BREATH I'VE GOT THIS NASTY COUGH AND +RES0054-003-3 IT'S PROMPTED MY WIFE TO GET ME TO CALL IN SHE'S A LITTLE BIT WORRIED +RES0054-004 SO IT'S MOSTLY ON EXERTION IT DOESN'T HAPPEN AT REST IS THAT CORRECT +RES0054-005 BEING OUT OF BREATH NO NO +RES0054-006 NO OK OK AND HAS THIS EVER HAPPENED TO YOU BEFORE +RES0054-007-1 ABOUT A YEAR AND A HALF AGO WE WENT DOWN TO TORONTO IN ORDER TO SEE THE CN TOWER AND YOU KNOW DO TOURIST STUFF AND WE TRIED WE TRIED TO CLIMB A COUPLE FLIGHTS OF STAIRS TO DO A LITTLE BIT AND +RES0054-007-2 I COULD NOT I ALWAYS THOUGHT I'M PRETTY HEALTHY PRETTY ACTIVE BUT IT REALLY TOOK THE WIND OUT OF MY SAILS SO HAD TO STOP STOOP OVER JUST COULDN'T DO IT +RES0054-008 AND HOW DID YOU MANAGE LIKE HOW HOW WAS THAT TREATED AT THAT TIME AND HOW DID YOU GET BETTER +RES0054-009 OH I DIDN'T DO ANY I JUST ATTRIBUTED TO BEING I DON'T KNOW OUT OF SHAPE A LITTLE BIT AND I WORKED AS A MECHANIC WHEN I WAS YOUNGER I WAS PRETTY ACTIVE BUT EVER SINCE RETIRING THOUGHT I'D KEEP UP AT LEAST MY STAMINA WON'T GO AWAY THAT QUICKLY BUT CHALKED IT UP TO BEING OUT OF SHAPE AND WENT HOME +RES0054-010 OK SO YOUR SYMPTOM YOUR SHORTNESS OF BREATH SEEMS TO BE GETTING WORSE RIGHT +RES0054-011 OK ANY COUGHING WITH THAT +RES0054-012 AND NOT NECESSARILY WHEN I NOTICED IT WHEN I WAS SHOVELLING THE DRIVEWAY BUT I'VE HAD A CALL FOR THE LAST COUPLE OF YEARS AND USUALLY IN THE MORNING I JUST BRING UP A LITTLE BIT OF GUNK BUT MOST OF MY BUDDIES HAVE THAT JUST LIKE A MORNING COUGH YOU KNOW +RES0054-013 AND THE GUNK THAT YOU BRING UP WHAT COLOR IS IT +RES0054-014 YELLOW SOMETIMES A LITTLE BROWN +RES0054-015 OK AND WHEN DID THAT START +RES0054-016 OH IT'S BEEN GOING ON LAST TEN YEARS WELL TO BE HONEST SINCE I'VE BEEN LIKE THIRTY BUT IT'S BEEN FAIRLY CONSISTENT LAST TEN YEARS I'D SAY +RES0054-017 OK ANY BLOOD THAT YOU BRING UP +RES0054-018 NOT THAT I'VE NOTICED LIKE BRIGHT RED NO NOTHING LIKE THAT +RES0054-019 OK ANY WHEEZINESS +RES0054-020 I NOTICED THAT WHEN I WAS SHOWING WHEN I WAS OUT OF BREATH IT SOUND SOUNDED DIFFERENT SOUND DIFFERENT THAN BEING USUALLY OUT OF BREATH BUT IT HAD TO IT SOUNDED WHEEZY +RES0054-021 OK ANY CHEST PAIN +RES0054-022 A LITTLE BIT ACTUALLY +RES0054-023 AT REST OR +RES0054-024 NOTHING NOTHING WHEN I'M NOT MOVING +RES0054-025 OK SO THE CHEST PAIN WHEN DID THAT START +RES0054-026 FIRST NOTICED IT THIS WINTER ON THE DRIVEWAY BUT IT WASN'T LIKE I KNOW WHAT THEY SAY ABOUT A HEART ATTACK SUPPOSED TO LIKE THE CRUSHING PAIN IN YOUR CHEST THAT MOVES UP YOUR NECK NOTHING LIKE THAT IT'S LIKE MY LUNGS MY THROAT LIKE YOU'RE REALLY REALLY OUT OF BREATH YOU KNOW +RES0054-027 OK SO YOU'RE ATTRIBUTING IT MOSTLY TO YOUR SHORTNESS OF BREATH THEN +RES0054-028 I THINK SO I REALLY HOPE THIS IS MY HEART I'VE NEVER HAD A HEART ATTACK +RES0054-029 WHERE IN YOUR CHEST IS THIS CHEST PAIN HAPPENING LIKE IS IT CENTRAL IS IT MORE TOWARDS THE LEFT TOWARDS THE RIGHT +RES0054-030 IT WAS KIND OF BOTH SIDES +RES0054-031 OK +RES0054-032 IT WAS WAS WE ALL ACROSS MY CHEST TO BE HONEST IT WAS ONLY THE ONE TIME THAT WAS REALLY STRUGGLING AND I COUGHED UP A BIT BUT +RES0054-033 OK ANY PAIN IN YOUR CALVES OR LEGS WELL AFTER YOU WALK A CERTAIN DISTANCE +RES0054-035 NO NO NO DO YOU EVER FEEL LIKE YOUR HEART'S RACING +RES0054-036 FELT LIKE MY HEART WAS RACING AFTER THAT MUCH ACTIVITY BUT NO NOT USUALLY +RES0054-037 OK HOW ABOUT SWELLING IN YOUR LIMBS +RES0054-038 NO NOTHING LIKE THAT +RES0054-039 OK ANY FAINTING SPELLS OR DIZZINESS +RES0054-040 NO NEVER FAINTED IN MY LIFE +RES0054-041 OK ANY CONFUSION MEMORY LOSS +RES0054-042 NO NOTHING LIKE THAT +RES0054-043 HEADACHES +RES0054-044 HEADACHES YOU KNOW I DO GET HEADACHES FROM TIME TO TIME I ASSOCIATE THEM WITH STRESS BUT I HAVEN'T BEEN TOO STRESSED OUT RECENTLY SO NOTHING IN THE LAST COUPLE OF YEARS +RES0054-045 OK ANY NECK STIFFNESS +RES0054-046 NO +RES0054-047 NO OK ANY SENSITIVITY TO LIGHT OR LOUD SOUNDS ASSOCIATED WITH THAT HEADACHE +RES0054-048 NO NOTHING LIKE THAT +RES0054-049 OK ANY WEIGHT LOSS +RES0054-050 NO I WISH +RES0054-051 OK FEVERS +RES0054-052 NO +RES0054-053 RASHES +RES0054-054 YOU KNOW I GOT THESE WEIRD THINGS ON MY HEAD I THINK MAINLY BECAUSE OF THE SUN LIKE THESE BROWN PATCHES BUT THAT WOULDN'T BE A RASH WOULD IT +RES0054-055 I'D HAVE TO EXAMINE THAT CLOSER IF YOU THINK IT'S ASSOCIATED WITH THE SUN IT COULD BE SOMETHING LIKE SEBORRHEIC KERATOSIS BUT I'D HAVE TO SEE WHAT THEY LOOK LIKE SO WE CAN TAKE A LOOK AT THAT LATER IF THAT'S OK AND SO ANY CHANGES IN YOUR VISION OR HEARING +RES0054-056 NO +RES0054-057 NO STUFFY NOSE RUNNY NOSE +RES0054-058 HAD A BIT OF A COLD COUPLE MONTHS AGO BUT NO NOTHING RECENT +RES0054-059 SORE THROAT +RES0054-060 A LITTLE BIT AFTER THE COUGH I HAD A LITTLE BIT OF A SORE THROAT BUT WENT AWAY PRETTY QUICKLY +RES0054-061 OK CHANGE IN SMELL OR TASTE +RES0054-062 I HAVEN'T BEEN ABLE TO SMELL OR TASTE TOO WELL FOR AWHILE +RES0054-063 WHAT'S AWHILE +RES0054-064 TEN YEARS SEVEN YEARS IT'S BEEN MORE SALT MORE SPICES ON MY FOOD YOU KNOW +RES0054-065 OK OK ANY CHANGES TO YOUR BOWEL HABITS +RES0054-066 NOPE BEEN REGULAR ALL MY LIFE +RES0054-067 NAUSEA VOMITING +RES0054-068 NO +RES0054-069 OK JOINT PAIN MUSCLE ACHES +RES0054-070 YOU KNOW MY KNEES BEEN GIVING ME TROUBLE FOR AWHILE BUT NOTHING RECENT NO +RES0054-071 OK AND ARE YOU OTHERWISE HEALTHY +RES0054-072 NO GOT HIGH BLOOD PRESSURE SEE THE DOC ABOUT THAT HIGH CHOLESTEROL SEE THE DOC ABOUT THAT AND I DON'T KNOW GOT INTO A CAR CRASH MY FORTIES BROKE MY ARM ONE TIME NOTHING ELSE REALLY +RES0054-073 OK ANY SURGERIES +RES0054-074 I THINK I HAD MY APPENDIX OUT WHEN I WAS I HAD MY APPENDIX OUT WHEN I WAS LIKE TWELVE +RES0054-075 OK +RES0054-076 NEVER BEEN UNDER THE KNIFE SINCE THEN +RES0054-077 OK GREAT HAVE YOU BEEN TAKING ANY MEDICATIONS FOR THAT HIGH BLOOD PRESSURE +RES0054-078 DOC'S GOT ME ON TWO BLOOD PRESSURE MEDICATIONS AND ONE CHOLESTEROL MEDICATION +RES0054-079 OK AND DO YOU TAKE THOSE FREQUENTLY +RES0054-080 EVERYDAY +RES0054-081 OK GOOD ANY OTHER MEDICATIONS +RES0054-082 NO +RES0054-083 ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0054-084 JEEZ BEEN A WHILE SINCE I'VE GOTTEN IMMUNIZATION THINK I THINK SO +RES0054-085 OK ONCE YOU TURN SIXTY FIVE THEY USUALLY GIVE YOU SHING SHINGREX FOR TO PREVENT SHINGLES AND A PNEUMOVAX VACCINE TO PREVENT PNEUMOCOCCAL INFECTIONS HAVE YOU HAD THOSE ONES +RES0054-086 NOPE +RES0054-087 NO OK SO IF YOU'RE INTERESTED IN GETTING THOSE WE CAN DISCUSS THAT AT SOME POINT TODAY AS WELL +RES0054-088 OK +RES0054-089 DO YOU HAVE ANY ALLERGIES +RES0054-090 NO +RES0054-091 NO OK ANY OK SO YOU MENTIONED A FAMILY HISTORY OF YOUR BROTHER HAVING CONGENITAL HEART DISEASE ANY OTHER HEART DISEASES THAT RUN IN THE FAMILY +RES0054-092 CONGENITAL WHAT'S THAT MEAN +RES0054-093 LIKE SOMETHING THAT YOU'RE BORN WITH +RES0054-094 NO I DON'T THINK HE'S EVER BORN THING HE HAD A COUPLE OF HEART ATTACKS +RES0054-095 OH HEART ATTACKS OK SORRY I MUST HAVE MISINTERPRETED THAT HOW OLD WAS HE WHEN HE HAD HIS FIRST HEART ATTACK +RES0054-096 HE'S OLDER ME BY FIVE YEARS BUT HE HAD THE FIRST ONE WHEN HE WAS YOUNGER THAN I AM NOW LIKE SIXTY TWO WAS THE FIRST ONE ANOTHER ONE AT SIXTY FIVE +RES0054-097 OK DID IS HE DID THEY EVER FIND A CAUSE FOR HIS HEART ATTACK IS HE A HEALTHY PERSON +RES0054-098 HEALTHY HE'S HEALTHY I YOU KNOW I WOULDN'T CALL HIM TOO HEALTHY OF A GUY EITHER HE'S A HARD LIVER LET'S CALL HIM THAT I HAVE WHY IT HAPPENED I THINK OBVIOUSLY IT'S HIS DIET MAN HE'S LIKE A HOG STEAKS BUTTER BACON I'M ASSUMING THAT'S WHAT DID HIM IN +RES0054-099 OH YIKES OK OK ANY OTHER HEART CONDITIONS THAT RUN IN THE FAMILY OR OTHER MEMBERS OF THE FAMILY EXPERIENCING HEART ATTACKS +RES0054-100 DAD DIED YOUNG FROM A HIGH HEART ATTACK HE WAS HE DIED YOUNGER THAN I AM NOW HE PASSED AWAY AT SIXTY SIX +RES0054-101 OH I'M SORRY TO HEAR THAT +RES0054-102 OH IT'S BEEN YEARS NOW IT IS WHAT IT IS HIS GRANDMOTHER HAD A STROKE HIGH BLOOD PRESSURE ON MY MOM SIDE HIGH CHOLESTEROL ON MY MOM SIDE TOO BUT AWFUL HEART ATTACKS ON MY FATHER SIDE OF THE FAMILY +RES0054-103 OK ANY OTHER LUNG ANY LUNG CONDITIONS THAT RUN IN THE FAMILY +RES0054-104 NONE THAT COME TO MIND +RES0054-105 OK AND DO YOU SMOKE +RES0054-106 I SMOKE +RES0054-107 OK HOW MUCH DO YOU SMOKE +RES0054-108 I CUT IT BACK ABOUT HALF A PACK A DAY FOR THE LAST TWO YEARS NOW +RES0054-109 OK AND BEFORE THAT +RES0054-110 I WAS PRETTY MUCH A PACK A DAY MAYBE WELL WHEN IT WAS BAD TWO PACKS A DAY BUT I'VE BEEN SMOKING SINCE ABOUT WHEN DO THEY START WORKING AT THE SHOP LIKE SEVENTEEN EVERYONE THERE SMOKES +RES0054-111 OH OK WOW WELL THEN BUT IT'S GOOD THAT YOU CUT DOWN THAT'S GOOD DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING +RES0054-112 I'LL SMOKE WEED AT THE SHOP EVERY FRIDAY BUT I'M NOT HUGE FAN OF IT TO BE HONEST +RES0054-113 OK AND HOW MUCH DO YOU SMOKE EVERY FRIDAY +RES0054-114 BOTH ARE ABOUT FOUR JOINTS SEVEN PEOPLE SO I DON'T KNOW WHAT THAT IS HALF A GRAM +RES0054-115 HALF A JOINT OK OK AND DO YOU DRINK +RES0054-117 HOW MUCH DO YOU DRINK +RES0054-118 SEE CHRISTMAS WAS ABOUT THE LAST TIME I WENT OUT LIKE A BEER OR TWO WEEKENDS BUT WHEN FAMILIES IN TOWN WILL WE'LL GO WHOLE HOG I'LL DRINK MAYBE TWENTY BEER +RES0054-119 OH OK OK AND YOU SHOULD HAVE YOU THOUGHT ABOUT CUTTING THAT DOWN +RES0054-120 YOU GOTTA KEEP UP WITH THE FAMILY YOU KNOW YOU CAN'T LET THEM EMBARRASS YOU LIKE THAT +RES0054-121 LET'S I UNDERSTAND THAT BUT ALSO YOU KNOW IT'S IMPORTANT TO TAKE CARE OF YOUR HEALTH AND SLOW AND STEADY WINS THE RACE RIGHT +RES0054-122 I'LL KEEP THAT IN MIND DOC I'LL KEEP THAT IN MIND +RES0054-123 AND HOW'S YOUR DIET +RES0054-124 BEEN PRETTY GOOD THE WIFE'S BEEN ON A ON A HEALTH FOOD CRAZE LAST FIVE YEARS VEGETABLES I DON'T KNOW I EAT WHATEVER SHE COOKS BASICALLY +RES0054-125 OK THAT'S GOOD AND IN TERMS OF EXERCISE DO YOU GET TO MOVE AROUND +RES0054-126 I USED TO BE PRETTY ACTIVE I USED TO BIKE AROUND BUT CAUSE OF COVID I'VE JUST BEEN INDOORS ALL THIS TIME SO NO NOT MUCH +RES0054-127 OK OK WELL IT'S GOOD TO GO OUT FOR A WALK ONCE IN AWHILE I THINK THAT'S ALLOWED DURING COVID AS LONG AS YOU'RE BEING SAFE AND WHO DO YOU LIVE WITH AT HOME +RES0054-128 I LIVE WITH MY WIFE +RES0054-129 OK ANY CHILDREN +RES0054-130 I'VE GOT THREE KIDS ONE FOR MY FIRST MARRIAGE TWO WITH THE MRS RIGHT NOW +RES0054-131 OK AND DO YOU GET TO SEE THEM OFTEN +RES0054-132 DAUGHTER LIVES IN TOWN AND GET TO SEE HER AND GRAND KID A BIT THE OTHER BOY WORKS IN FORT MAC AND MY OLDEST SON HE'S OUT EAST +RES0054-133 OK OK AND HAVE YOU HAD ANY CONTACT WITH PEOPLE WHO'VE BEEN SICK RECENTLY +RES0054-134 NO WE'VE BEEN KEEPING ENTIRELY TO OURSELVES YOU CAN GET OUR GROCERIES ORDERED TO THE HOUSE +RES0054-135 OK AND HOW ABOUT TRAVEL ANY RECENT TRAVEL +RES0054-136 NO +RES0054-137 NO OK AND THEN LASTLY JUST WANTED TO ASK YOU BECAUSE YOU HAVE BEEN SMOKING FOR A LONG TIME HAVE YOU EVER BEEN DIAGNOSED WITH SOMETHING CALLED COPD +RES0054-138 DOESN'T RING A BELL +RES0054-139 NO OK HAVE YOU EVER HAD ANY PULMONARY FUNCTION TESTS OR CHEST X RAYS DONE IN THE PAST +RES0054-140 CHEST X RAY I THINK THEY DID A CHEST X RAY AFTER THE CAR CRASH +RES0054-141 OK +RES0054-142 BUT I CAN'T THINK OF GETTING ONE RECENTLY NO +RES0054-143 OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME +RES0054-144 SO THIS IS A HARD LIKE SHOULD I BE WORRIED +RES0054-145-1 YOU KNOW WHAT IT SOUNDS FROM WHAT YOU'RE TELLING ME IT SOUNDS LIKE YOU HAVE SHORTNESS OF BREATH ON EXERTION AND IT SOUNDS LIKE YOU HAVE A COUGH WITH STILL PRODUCING SOME PHLEGM IT DOESN'T SEEM LIKE YOU HAVE ANY SYSTEMIC SYMPTOMS OF INFECTION SO I'M NOT +RES0054-145-2 TOO WORRIED ABOUT THAT AND THEN IN TERMS OF YOUR HEART YOU MENTIONED YOU HAD THAT CHEST PAIN ONCE BUT IT REALLY DOES SOUND MORE LIKE A LUNG PROBLEM TO ME THAN A HEART PROBLEM TO ME RIGHT NOW BUT +RES0054-145-3 OF COURSE WE'LL DO ALL THE NECESSARY INVESTIGATIONS TO RULE OUT ANY HEART STUFF BUT RIGHT NOW I'M THINKING IT COULD BE SOMETHING CALLED COPD CHRONIC OBSTRUCTIVE PULMONARY DISORDER +RES0054-145-4 BECAUSE OF YOUR SMOKING HISTORY SO WE'LL START WITH DOING A PULMONARY FUNCTION TEST AND CHEST X RAY AND I WE'LL TRY TO GO FROM THERE IF IT IS +RES0054-145-5 COPD WE'LL LIKELY PUT YOU ON A LIKE A PUFFER FOR THAT A LIKE A LOT A SHORT OR LONG ACTING BETA AGONIST +RES0054-145-6 THAT'S WHAT IT'S CALLED SO IF YOUR SYMPTOMS DON'T GET BETTER WITH THAT WE'LL DO OTHER INVESTIGATIONS TO TRY TO FIGURE OUT WHAT THIS IS HOW DOES THAT SOUND +RES0054-146 SOUNDS GREAT DOC THANKS A MILLION +RES0054-147 ALRIGHT GREAT THANK YOU +RES0055-000 WHAT BRINGS YOU IN +RES0055-001 HI YES I JUST CAME IN TODAY BECAUSE I'VE BEEN A BIT CONCERNED ABOUT SOME BREATHING DIFFICULTIES OVER THE LAST FEW DAYS IT ALL STARTED OUT WITH LIKE A COUGH OVER THE LAST WEEK BUT NOW I'M HAVING TROUBLE BREATHING AS WELL +RES0055-002 OH OK WELL I'M SORRY TO HEAR THAT SO YOU SAID A COUGH AS WELL SO THE COUGH AT LEAST A WEEK BACK AND THE SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN DID THAT START +RES0055-003-1 SO THE COUGH I USUALLY HAVE A COUGH I'VE HAD COPD FOR A LONG TIME BUT THIS PAST WEEK THE COUGHING HAS BEEN MUCH WORSE WITH A LOT OF MORE SPUTUM +RES0055-003-2 AND OTHER THAN THAT IT STARTED I WOULD SAY TWO TO THREE DAYS AGO THE COUGH GOT WORSE AND THEN EVERY TIME I'M MOVING AROUND I LIKE HAVE TO SIT DOWN AND CATCH MY BREATH WHICH IS PRETTY +RES0055-004 ABNORMAL FOR ME OK YEAH SO ALRIGHT SO LET'S FOCUS ON THE COUGH FIRST YOU SAID IT'S A WET COUGH +RES0055-005 YES I AM PRODUCING A LOT OF SPUTUM +RES0055-006 OK WHAT COLOR IS YOUR SPUTUM +RES0055-007 IT'S MAINLY LIKE CLEAR WHITE +RES0055-008 OK SO YOU DON'T SEE YELLOW PUS OR ANYTHING GREEN OR BLOODY IN THERE +RES0055-009 NO I DON'T THINK SO BUT THERE'S DEFINITELY LIKE A LOT MORE THAN WHAT I USUALLY PRODUCE +RES0055-010 OK THIS COUGH DOES IT SOUND HARSH BARKY OR DOES IT SOUND MUFFLED +RES0055-011 I WOULD SAY IT'S A BIT HARSH AT TIMES I WOULDN'T SAY IT'S BARKY OR MUFFLED I DO FIND MYSELF WHEEZING A LITTLE OVER THE LAST FEW DAYS AS WELL +RES0055-012 OK DO YOU FIND YOU HAVE ANY CHEST PAIN ASSOCIATED WITH THE SHORTNESS OF BREATH +RES0055-013 OH NO I DON'T REALLY HAVE ANY PAINS +RES0055-014 OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS BEFORE +RES0055-015 I DID HAVE A COUPLE OF YEARS AGO I HAD TO BE ADMITTED BECAUSE I HAD SOME SHORTNESS OF BREATH +RES0055-016 OK +RES0055-017 BUT THAT WAS I THINK TWO YEARS AGO +RES0055-018 OK AND WHEN YOU WERE ADMITTED TWO YEARS AGO DID THEY TELL YOU WHAT YOU HAD +RES0055-019 THEY SAID I HAD SOME KIND OF LUNG INFECTION AT THAT TIME SO THEY GAVE ME SOME ANTIBIOTICS WHILE I WAS IN THE HOSPITAL +RES0055-020 OK DID THEY EVER SAY YOU HAD ANYTHING ELSE LIKE ASTHMA COPD ANY LONGSTANDING CONDITIONS +RES0055-021 SO I'VE HAD COPD FOR MORE THAN I GUESS MORE THAN TEN YEARS NOW SO I THINK IT JUST GOT A LOT WORSE WITH THE INFECTION +RES0055-022 OK ALRIGHT SO THIS TIME AROUND HAVE YOU HAD ANY FEVERS +RES0055-023 I'VE BEEN HAVING A COUPLE OF CHILLS BUT LIKE THEY WOULD COME AND GO I DIDN'T REALLY THINK IT WAS A FEVER +RES0055-024 OK ANY WEIGHT LOSS +RES0055-025 NO +RES0055-026 OK HOW ABOUT CHANGES IN YOUR HAIR OR NAILS LIKE OR OR SKIN LIKE RASHES +RES0055-027 NO +RES0055-028 ANY CHANGES IN YOUR VISION OR HEARING +RES0055-029 NOPE +RES0055-030 AND HOW ABOUT SMELL OR TASTE +RES0055-031 NO I THINK THEY'RE THE SAME +RES0055-032 OK HAVE A STUFFY NOSE OR RUNNY NOSE +RES0055-033 I DO FEEL A BIT STUFFY BUT IT'S NOT TOO BAD +RES0055-034 OK AND ANY SWELLING IN YOUR IN YOUR LEGS OR UPPER LIMBS +RES0055-035 NO NOT THAT I KNOW +RES0055-036 HOW ABOUT CALF PAIN +RES0055-037 NOPE +RES0055-038 DIZZINESS OR FAINTING SPELLS +RES0055-039 NO +RES0055-040 HEADACHES +RES0055-041 NO HEADACHES +RES0055-042 MEMORY LOSS OR CONFUSION +RES0055-043 NOPE +RES0055-044 CHANGES IN YOUR BOWEL MOVEMENT OR ABDOMINAL PAIN +RES0055-045 NOPE +RES0055-046 CHANGES TO URINATING +RES0055-047 NO THAT'S ALL FINE +RES0055-048 OK SO BESIDES THE COPD DO YOU HAVE ANY OTHER LONGSTANDING CONDITIONS +RES0055-049 I DO HAVE SOME HIGH BLOOD PRESSURE WHICH I TAKE I THINK I TAKE ONE OF THESE MEDICATIONS CALLED METOPROLOL +RES0055-050 OK AND WHEN WAS THE LAST TIME YOU HAD YOUR BLOOD PRESSURE CHECKED +RES0055-051 PROBABLY LIKE A MONTH AGO AND IT WAS PRETTY GOOD I'VE BEEN CHECKING BY MYSELF AT HOME TOO AND IT HASN'T BEEN CHANGING TOO MUCH I THINK THE LAST ONE I TOOK WAS PROBABLY LIKE ONE HUNDRED AND THIRTY FIVE EIGHTY +RES0055-052 OH I SEE OK ANY HOSPITALIZATIONS BESIDES THE ONE THAT YOU HAD FOR COPD A YEAR BACK +RES0055-053 BACK WHEN I WAS A KID I HAD MY TONSILS REMOVED +RES0055-054 OK ARE YOU ON ANY MEDICATIONS BESIDES THE METOPROLOL +RES0055-055 I SO I DO HAVE I DO TAKE MULTIVITAMINS +RES0055-086 I LIVE IN A SMALL BUNGALOW IN LONDON OK ANY REASONS TO BELIEVE THERE ARE CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING YOUR COPD +RES0055-087 I DON'T THINK SO EVERYTHING IS PRETTY UP TO DATE +RES0055-088 OK HAVE YOU HAD ANY CONTACT WITH ANYONE THAT'S BEEN SICK RECENTLY +RES0055-089 NO I'VE BEEN MOSTLY TRYING TO ISOLATE AND LIKE JUST BE IN MY OWN HOME +RES0055-090 OK HOW ABOUT TRAVEL TO ANYWHERE +RES0055-091 NOPE I'VE BEEN IN ONTARIO SINCE THE BEGINNING OF THE PANDEMIC +RES0055-092 OK THAT MAKES SENSE WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +RES0055-093 I WAS JUST WORRIED IF IT CAN BE COVID OR IF IT'S JUST LIKE ANOTHER INFECTION THAT I HAD LIKE BEFORE +RES0055-094-1 SO WE'RE DEFINITELY GOING TO DO A COVID SWAB ON YOU AND THOSE RESULTS SHOULD TAKE ABOUT TWENTY FOUR TO FORTY EIGHT HOURS TO COME BACK TO YOU AND IN THE MEANTIME BECAUSE YOUR SYMPTOMS DO OVERLAP WITH COVID YOU SHOULD ISOLATE FOR FOURTEEN DAYS +RES0055-094-2 PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF IT'S POSITIVE TO DO SOME CONTACT TRACING IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL INFECTION THAT'S BEEN GOING AROUND DURING THIS TIME OF YEAR WHICH IS LIKELY BECAUSE YOU HAVE COPD +RES0055-094-3 IF YOU SO SINCE YOU'RE ALREADY COUGHING MORE THAN YOU USUALLY ARE AND SEEING MORE SPUTUM WE WILL REASSESS TO SEE WHETHER YOUR PUFFERS ARE WORKING IF WE NEED TO ADD ANY ADDITIONAL THINGS LIKE +RES0055-094-4 INHALED CORTICOSTEROIDS AS WELL AS ANTIBIOTICS AND SO JUST KEEP AN EYE ON YOUR SYMPTOMS FOR NOW AND WILL ALSO WANT TO DO PROBABLY A CHEST X RAY AND +RES0055-096 PULMONARY FUNCTION TEST HOW DOES THAT SOUND SOUNDS GOOD THANK YOU +RES0056-000 WHAT BRINGS YOU IN +RES0056-001 SO I'VE JUST BEEN HAVING A COUGH FOR THE LAST WEEK AND I THINK I HAD A LITTLE BIT OF A FEVER IN THE LAST FEW DAYS +RES0056-002 OK SO YOU SAID THE COUGH STARTED A WEEK AGO +RES0056-003 AROUND A WEEK AGO OK AND THE FEVER STARTED TWO TO THREE DAYS AGO I HAVEN'T REALLY MEASURED IT BUT LIKE I DEFINITELY HAVE BEEN FEELING CHILLS I'VE BEEN WEARING LIKE MULTIPLE BLANKETS OVER THE LAST FEW DAYS +RES0056-004 OK HAVE YOU TAKEN YOUR TEMPERATURE YOU SAID YOU HAVEN'T TAKEN YOUR TEMPERATURE RIGHT +RES0056-005 NO +RES0056-006 OK SO LET'S FOCUS ON THE COUGH IS IT PERSISTENT OR DOES IT COME AND GO +RES0056-007 I THINK THE COUGH IS PRETTY PERSISTENT OVER THE LAST WEEK +RES0056-008 OK AND DOES IT GET WORSE WITH LIKE COLD AIR OR DUST LIKE MAYBE PETS OR ANYTHING LIKE THAT +RES0056-009 NO I THINK IT STAYS +RES0056-010 AROUND THE SAME OK DOES IT GET BETTER WITH ANYTHING HAVE YOU TRIED ANY OVER THE COUNTER COUGH SYRUP +RES0056-011 YES I TRIED TYLENOL COLD AND LIKED IT I THINK IT MADE IT A BIT BETTER LIKE IT HELPED ME SLEEP OTHER THAN THAT DURING THE DAY IT'S STILL AROUND THE SAME +RES0056-012 OK AND HOW WOULD YOU DESCRIBE THIS COUGH IS IT BARKY IS IT HARSH DOES IT SOUND MUFFLED +RES0056-013 HOW I WOULD SAY IS THAT IT'S KIND OF LIKE IT'S NOT TOO HARSH IT'S MORE LIKE A WET COUGH I'M DEFINITELY BRINGING UP SOME SOME SPUTUM +RES0056-014 OK WHAT COLOR IS THE SPUTUM +RES0056-015 IT'S USUALLY LIKE A LIKE A WHITE AND SOMETIMES LIKE A LITTLE BIT YELLOW AS WELL +RES0056-016 OK IS IT EVER GREEN OR DO YOU EVER SEE BLOOD IN THERE +RES0056-017 NO I HAVEN'T SEEN ANY OF THAT +RES0056-018 OK AND HAVE YOU EVER HAD A COUGH LIKE THIS BEFORE +RES0056-019 PROBABLY LIKE IN THE LAST YEAR MAYBE I HAVE GOTTEN SICK LIKE ONCE AND HAD +RES0056-020 A SIMILAR COUGH OK +RES0056-021 HAVE DO YOU HAVE A SORE THROAT +RES0056-022 NO I DON'T HAVE A SORE THROAT IS THIS COUGH GETTING WORSE +RES0056-023 IT'S I THINK NOT REALLY IT STAYED AROUND THE SAME AND I DEFINITELY FEEL A BIT BETTER WITH THE TYLENOL COLD +RES0056-024 OK GOOD ANY CHANGES IN YOUR TASTE OR SMELL +RES0056-025 NO NO CHANGES +RES0056-026 OK ANY CHANGES IN HEARING OR VISION +RES0056-027 NOPE +RES0056-028 AND HAVE YOU DID YOU HAVE IN THE PAST WEEK A RUNNY OR STUFFY NOSE +RES0056-029 NO +RES0056-030 OK ANY WEIGHT LOSS OVER THE PAST MONTH +RES0056-031 NO NOT REALLY +RES0056-032 HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +RES0056-033 NO NO CHANGES TO THE SKIN +RES0056-034 OK ANY SHORTNESS OF BREATH +RES0056-035 NO +RES0056-036 HOW ABOUT WHEEZING +RES0056-037 NO I DON'T THINK I'VE RECENTLY +RES0056-038 DOK CHEST PAIN +RES0056-039 NO CHEST PAIN +RES0056-040 HOW ABOUT SWELLING HAVE YOU NOTICED ANY SWELLING IN LIKE YOUR LEGS OR ARMS OR YOUR +RES0056-041 BELLY AREA NO I +RES0056-042 DON'T THINK SO OK HOW ABOUT YOU FEELING LIKE YOUR HEART'S RACING +RES0056-043 NO NO NOTHING LIKE THAT OK HOW ABOUT +RES0056-044 CALF PAIN NO +RES0056-046 DIZZINESS OR FAINTING SPELLS +RES0056-047 NO NOTHING LIKE THAT +RES0056-048 HEADACHES +RES0056-049 NO +RES0056-050 CONFUSION OR MEMORY LOSS +RES0056-051 I DON'T THINK SO +RES0056-052 HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL +RES0056-053 I LIKE GO THREE TIMES A DAY AND I DON'T HAVE ANY DIARRHEA OR ANYTHING +RES0056-054 OK HOW ABOUT URINATING WISE +RES0056-055 EVERYTHING NORMAL THERE NO TROUBLE +RES0056-056 OK NAUSEA OR VOMITING +RES0056-057 NO +RES0056-058 JOINT PAIN OR MUSCLE ACHE +RES0056-059 NO I DON'T THINK SO +RES0056-060 OK ANY CONTACTS WITH SICK PEOPLE AROUND YOU RECENTLY +RES0056-061 MY WIFE WAS ACTUALLY JUST SICK LAST WEEK BUT SHE RECOVERED SHE DID HAVE A FEVER FOR ONE OF THE DAYS AND SHE ALSO HAD A COUGH +RES0056-062 OK DID SHE GET IT CHECKED OUT IN A CLINIC +RES0056-063 NO I DON'T THINK SO SHE DID GET THAT COVID TEST DONE BUT IT CAME BACK NEGATIVE AND SHE DIDN'T GO TO THE DOCTOR OR ANYTHING IT KIND OF JUST WENT AWAY ON ITS OWN OK ANY TRAVEL RECENTLY +RES0056-066 ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0056-067 JUST AS A CHILD I HAD PROBABLY IN MY TEENS HAD MY APPENDIX REMOVED BUT NOTHING OTHER THAN THAT +RES0056-068 OK OK NO HOSPITALIZATIONS OTHER THAN THAT TOO RIGHT +RES0056-069 NO NO +RES0056-070 ARE YOU ON ANY MEDICATIONS +RES0056-071 NO I JUST TAKE SOME MULTI VITAMINS +RES0056-072 OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0056-073 AS FAR AS I KNOW +RES0056-074 OK HOW ABOUT ALLERGIES +RES0056-075 I DO HAVE LIKE SOME I GET SOME RUNNY NOSE AROUND SPRING TIME PROBABLY I THINK I'M ALLERGIC TO POLLEN +RES0056-076 OK AND ANY FAMILY HISTORY OF LUNG CONDITIONS +RES0056-077 NO NOT THAT I KNOW +RES0056-078 HOW ABOUT HEART CONDITIONS +RES0056-079 NO I THINK MY FATHER HAS HIGH BLOOD PRESSURE IF THAT'S LIKE A HEART CONDITION +RES0056-080 OK SURE AND HOW OLD WAS HE WHEN HE GOT THAT +RES0056-081 HE'S AROUND LIKE SIXTIES RIGHT NOW SO PROBABLY LIKE IN HIS FORTIES +RES0056-082 OK ANY CANCERS IN THE FAMILY +RES0056-083 I DO HAVE AN AUNT ON MY MOTHER'S SIDE WHO HAD OVARIAN CANCER +RES0056-084 OK HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH OVARIAN CANCER +RES0056-085 I THINK PROBABLY IN HER FIFTIES +RES0056-086 OK AND DO YOU SMOKE +RES0056-087 NO I DON'T SMOKE +RES0056-088 HOW ABOUT MARIJUANA +RES0056-089 MARIJUANA JUST MAYBE LIKE ONE OR TWO JOINTS IN A MONTH JUST WHEN I'M FEELING THAT I NEED TO RELAX A LITTLE +RES0056-090 OK SURE AND BY JOINT YOU SAID ONCE A MONTH RIGHT +RES0056-091 ONCE PER MONTH +RES0056-092 OK ANY OTHER DRUGS +RES0056-093 NO NO OTHER DRUGS +RES0056-094 AND WHERE DO YOU LIVE RIGHT NOW +RES0056-095 I LIVE IN LONDON RIGHT NOW I LIVE WITH MY WIFE IN AN APARTMENT +RES0056-096 OK ANY REASONS TO THINK YOU HAVE OLD CARPET MOLD OR ASBESTOS +RES0056-097 NO IT'S A FAIRLY NEW APARTMENT +RES0056-098 OK AND WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS FOR ME +RES0056-099 YOU DON'T THINK IT COULD BE COVID RIGHT LIKE MY WIFE GOT TESTED AND IT WAS NEGATIVE +RES0056-102-1 FOR SURE HONESTLY SOME OF YOUR SYMPTOMS DO SEEM TO BE OVERLAPPING WITH THAT OF COVID ESPECIALLY THE COUGH AND FEVER SO WE ARE GOING TO DO A COVID SWAB JUST TO RULE THAT OUT SO YOU WILL GET THOSE RESULTS IN TWENTY FOUR TO FORTY EIGHT HOURS +RES0056-102-2 AND YOU SHOULD ISOLATE FOR FOURTEEN DAYS BECAUSE YOUR SYMPTOMS OVERLAP PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF IT'S POSITIVE JUST TO DO SOME CONTACT TRACING +RES0056-102-3 BUT IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL INFECTION THAT'S GOING AROUND AT THIS TIME OF YEAR SO KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR IF YOU'RE EXPERIENCING SYMPTOMS LIKE NEUROLOGICAL DEFICITS +RES0056-102-4 OR WEAK YOU KNOW LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT GET HELP FROM THE ER RIGHT AWAY AND IF YOUR SYMPTOMS ARE PERSISTING BEYOND +RES0056-102-5 LIKE SEVEN DAYS TO TEN DAYS ALSO YOU SHOULD GIVE US A CALL BACK TO SEE WHAT'S GOING ON BECAUSE IT COULD BE SOMETHING LIKE A BACTERIAL INFECTION IN WHICH CASE WE CAN GIVE YOU SOME ANTIBIOTICS DOES THAT SOUND OK +RES0057-000 HOW MAY I HELP YOU +RES0057-001 HI YES IT'S NICE TO MEET YOU I'VE BEEN HAVING THIS COUGH THAT'S BEEN GOING ON FOR THE LAST FEW DAYS AND I HAVE HAD DIFFICULTY BREATHING +RES0057-002 OH I'M SO SORRY TO HEAR THAT WHEN DID THIS START +RES0057-003 OH SO THE COUGH STARTED ABOUT THREE DAYS AGO THE SHORTNESS OF BREATH HAS COME ON SINCE THEN +RES0057-004 OK WELL LET'S FOCUS ON THE SHORTNESS OF BREATH FIRST AND THEN WE'LL TALK ABOUT YOUR COUGH AS WELL SO YOU NOTICED THAT YOU HAD DIFFICULTIES WITH BREATHING SOMETIME WITHIN THE PAST THREE DAYS WHEN DO YOU FIND THAT IT'S DIFFICULT FOR YOU TO BREATHE IS THERE ANYTHING THAT MAKES BREATHING MORE DIFFICULT FOR YOU +RES0057-005 NOT REALLY ACTUALLY IT'S BEEN WELL BUT JUST BAD AFTER I COUGH +RES0057-006 SO SAY WALKING UP THE STAIRS OR DOING ANY EXERCISE DOESN'T MAKE IT WORSE +RES0057-007 NOT REALLY I'VE BEEN ABLE TO DO THE SAME AMOUNTS OF OF ACTIVITY I GUESS +RES0057-008-1 OK SO THERE'S REALLY NO RELATIONSHIP WITH ACTIVITY WITH YOUR SHORTNESS OF BREATH OK AND +RES0057-008-2 I CAN SEE THAT YOU'RE ABLE TO SORT OF TALK IN FULL SENTENCES OK HOW IS IT MAKING IT DIFFICULT FOR YOU TO DO THINGS AT HOME YOUR DIFFICULTY BREATHING +RES0057-009 I AM A LITTLE BIT I MEAN I FEEL I JUST HAVEN'T BEEN FEELING VERY GOOD OVERALL SO I'VE BEEN RESTING THESE LAST COUPLE OF DAYS MOSTLY +RES0057-010 OK AND YOUR COUGH YOU SAID THAT STARTED THREE DAYS AGO IS IT A DRY COUGH OR WET COUGH +RES0057-011 IT'S DRY IT'S A DRY COUGH +RES0057-012 OK AND THERE'S NO SPUTUM PRODUCTION WITH IT ANYTHING COMING UP AT ALL +RES0057-013 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0057-014 OK AND IS THERE ANYTHING THAT'S MAKING THE COUGH BETTER DID YOU TAKE ANYTHING ANY MEDICATIONS FOR IT +RES0057-015 I TRIED SOME OVER THE COUNTER STUFF BUT IT DIDN'T HELP +RES0057-016 OK ALRIGHT OTHER THAN THE DIFFICULTY BREATHING AND THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS +RES0057-017 I'VE BEEN REALLY TIRED I GUESS I'VE JUST SORT OF BEEN RESTING THE THESE LAST FEW DAYS AND I'VE HAD A HEADACHE AS WELL +RES0057-018 OK CAN YOU TELL ME A BIT MORE ABOUT YOUR HEADACHE +RES0057-019 IT FEELS LIKE SOMEBODY IS JUST SQUEEZING THE TOP OF OR JUST SQUEEZING THE SIDES OF MY HEAD +RES0057-020 HAVE YOU HAD A HEADACHE LIKE THIS BEFORE +RES0057-021-1 I HAVE I USUALLY GET THEM WHEN I'M DEHYDRATED OR MAYBE I HAVEN'T SLEPT WELL +RES0057-021-2 AND THAT'S ALSO BEEN THE CASE FOR THE PAST TWO TO THREE DAYS +RES0057-021-3 YEAH IT'S BEEN KIND OF OFF AND ON THERE ARE SOME TIMES THAT ARE WORSE THAN OTHERS BUT I'VE NOTICED THAT I HAD IT FOR THE MOST PART FOR THE LAST FEW DAYS +RES0057-022 HAVE YOU TAKEN ANYTHING FOR YOUR HEADACHE ANY PAIN MEDS +RES0057-023 I'VE BEEN TAKING SOME ADVIL IT'S HELPED +RES0057-024 AND SO YOU TALKED ABOUT BEING TIRED HAVING A HEADACHE DIFFICULTIES BREATHING AND COUGHING OVER THE PAST THREE DAYS HAVE ANY OF THESE SYMPTOMS GOTTEN WORSE OVERTIME +RES0057-025 YES I WOULD SAY BUT BOTH THE COUGH AND THE SHORTNESS OF BREATH HAS BEEN GETTING WORSE OVER THESE LAST FEW DAYS +RES0057-026 OK AND HAVE YOU HAD ANY CHILLS OR HAVE YOU CHECKED YOUR TEMPERATURE +RES0057-027 I HAVEN'T CHECKED MY TEMPERATURE BUT I FELT LIKE I'VE HAD A FEVER OR MIGHT BE GETTING A FEVER +RES0057-028 WE CAN CHECK YOUR TEMPERATURE HERE AND HAVE YOU HAD ANY MUSCLE ACHES +RES0057-029 I GUESS I FELT A BIT ACHY +RES0057-030 ANY REDNESS IN THE EYES OR ANY RUNNY NOSE OR SORE THROAT LIKE FLU LIKE SYMPTOMS +RES0057-031 I HAVE I DON'T KNOW MAYBE MY NOSE IS A LITTLE BIT CONGESTED BUT NOT REALLY RUNNING +RES0057-032 OK AND HAVE YOU HAD ANY CHANGE IN YOUR SENSE OF SMELL +RES0057-033 NO I HAVEN'T NOTICED THAT +RES0057-034 WHAT ABOUT YOUR SENSE OF TASTE ARE YOU ABLE TO TASTE THINGS +RES0057-035 I THINK SO +RES0057-036 HAVE YOU NOTICED ANY RASH ANYWHERE ON YOUR BODY +RES0057-037 NO I HAVEN'T +RES0057-038 OK ANY CHANGES IN YOUR BOWEL MOVEMENT DIARRHEA OR CONSTIPATION +RES0057-039 NO NO NOTHING LIKE THAT +RES0057-040 ANY CHEST PAIN +RES0057-041 NO I HAVEN'T HAD ANY +RES0057-042-1 OK ALRIGHT WELL IT SOUNDS LIKE YOU HAVE MULTIPLE SYMPTOMS RIGHT NOW THAT STARTED ABOUT THREE DAYS AGO +RES0057-042-2 YOU'RE FEELING TIRED YOU HAVE A HEADACHE DIFFICULTIES BREATHING SOME MUSCLE ACHES AND YOU'VE BEEN FEELING FEVERISH YOU'VE ALSO HAD THIS COUGH AND YOUR NOSE IS FEELING CONGESTED IS THERE ANYTHING ELSE THAT THAT YOU'VE BEEN EXPERIENCING OVER THE PAST THREE DAYS THAT I HAVEN'T TALKED ABOUT YET +RES0057-043 NO AS YOU MENTIONED THE HEADACHE'S THERE TOO THEN THAT'S EVERYTHING +RES0057-044 OK ALRIGHT CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS +RES0057-045 I HAVE ASTHMA AND GERD I THINK +RES0057-046 DOES THE SHORTNESS OF BREATH THAT YOU'RE EXPERIENCING FEEL SIMILAR TO THE ASTHMA ATTACKS IN ANY WAY +RES0057-047 NO I HAVEN'T HAD ANY ISSUES WITH LIKE ASTHMA ATTACKS IN A LONG TIME +RES0057-048 DO YOU HAVE AN INHALER +RES0057-049 I DO BUT I DON'T USE IT VERY OFTEN +RES0057-050 I SEE DID YOU USE IT OVER THE PAST THREE DAYS AT ALL +RES0057-051 I DID TRY IT AND IT DIDN'T REALLY SEEM TO HELP THAT MUCH +RES0057-052 AND OTHER THAN THAT HAVE YOU HAD ANY ANY SURGERIES IN THE PAST +RES0057-053 I HAD A COLONOSCOPY TWO YEARS AGO +RES0057-054 ANY REASON FOR THAT +RES0057-055 MY FATHER HAD COLON CANCER WHEN HE WAS IN HIS SIXTIES +RES0057-056 I SEE OK AND ANY HOSPITALIZATIONS +RES0057-057 NO +RES0057-058 OK DO YOU TAKE ANY MEDICATIONS I KNOW YOU HAVE PUFFERS ANY MEDICATIONS INCLUDING OVER THE COUNTER PILLS +RES0057-059 I'LL TAKE LIKE A ZANTAC OR LIKE TUMS SOMETIMES FOR REFLUX +RES0057-060 AND ANY ALLERGIES TO FOOD MEDICATIONS OR ENVIRONMENTAL ALLERGIES +RES0057-061 I HAVE ENVIRONMENTAL ALLERGIES I THINK LIKE USUALLY THEY COME ON IN THE SPRINGTIME +RES0057-062 IN TERMS OF FAMILY HISTORIES YOU DID MENTION THAT YOUR DAD HAD COLON CANCER ANY OTHER MEDICAL PROBLEMS THAT THAT RUN IN YOUR FAMILY +RES0057-063 NO +RES0057-064 OK AND DO YOU CURRENTLY SMOKE +RES0057-065 NO I DON'T AND HAVE NEVER SMOKED IN THE PAST +RES0057-066 OK WHAT ABOUT MARIJUANA +RES0057-067 NO +RES0057-068 OK DO YOU OR HAVE YOU EVER HAD ALCOHOL +RES0057-069 I WILL HAVE SOME WINE ON THE WEEKENDS MAYBE A GLASS OR TWO WITH DINNER +RES0057-070 OK SOUNDS GOOD AND HAVE YOU EVER HAD ANY STREET DRUGS +RES0057-071 LIKE A LONG TIME AGO MAYBE WHEN I WAS IN COLLEGE ONCE OR TWICE +RES0057-072 ALRIGHT SOUNDS GOOD AND HAVE YOU HAD ANY CONTACT WITH ANY SICK PEOPLE ANYONE WHO'S SICK RECENTLY +RES0057-073-1 NOT THAT I KNOW OF I MEAN I WENT TO A FEW STORES HERE AND THERE THAT I HAD BEEN GOING TO I'VE BEEN WORKING FROM HOME SO MAYBE AT ONE OF THE STORES +RES0057-073-2 AND I WOULD IMAGINE I WERE WEARING A MASK AND OF COURSE TRYING TO MAINTAIN SOCIAL DISTANCING AS MUCH AS POSSIBLE BUT YOU NEVER REALLY KNOW +RES0057-074 WHAT ABOUT ANY OTHER TRAVELS OR ANY TRAVELS AT ALL OUTSIDE THE CITY OR THE COUNTRY RECENTLY +RES0057-075 NO +RES0057-076-1 I HAD BEEN AT HOME +RES0057-076-2 ALRIGHT ALRIGHT OK SO I GUESS THAT'S ALL I WANTED TO KNOW IF THE +RES0057-076-3 I'LL I'LL GO TALK TO THE ATTENDING AND WE'LL COME BACK AND DO A PHYSICAL EXAM AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN DISCUSS THE THE MANAGEMENT WITH YOU DOES THAT SOUND GOOD TO YOU +RES0057-077 THAT SOUNDS GREAT +RES0057-078 THANK YOU OK ALRIGHT +RES0058-000 HOW ARE YOU +RES0058-001 I'M DOING OK THANK YOU HOW ARE YOU +RES0058-002 I'M WELL THANKS WHAT BRINGS YOU IN TODAY +RES0058-003 SO USUALLY WE GO TO MY FAVORITE PIZZA SPOT FOR LUNCH AND THESE LAST COUPLE OF DAYS I'VE NOTICED I JUST CAN'T TASTE IT +RES0058-004 OK WHEN YOU SAY THE PAST COUPLE OF DAYS DO YOU MEAN TWO DAYS THREE DAYS FOUR DAYS +RES0058-005 I WOULD SAY THE LAST TWO DAYS JUST YESTERDAY AND TODAY +RES0058-006 OK SO LOSS OF TASTE SO YOU CAN'T TASTE ANYTHING OR YOU CAN ONLY TASTE SOME THINGS OR YOU'RE JUST NOT GETTING THE FULL DEPTH +RES0058-007 OF YOUR TASTE I REALLY NOTICED IT WITH THE PIZZA BUT WITH LIKE OTHER THINGS TOO IT'S JUST A REALLY PLAIN IT DOESN'T REALLY HAVE ANY FLAVOR WITH THE FOOD THAT +RES0058-008 I'M EATING OK SO IT KIND OF TASTES +RES0058-009 LIKE CARDBOARD KIND OF AND I THINK LIKE I MEAN PART OF THAT IS THAT I MAYBE NOT +RES0058-010 SMELLING IT AS WELL EITHER OK DID YOU HAVE ANY TRAUMA TO THE AREA LIKE THE MOUTH AREA OR THE NOSE AREA IN THE PAST COUPLE OF DAYS OR DAYS LEADING UP TO THAT +RES0058-011 NO NOT AT ALL NO +RES0058-012 OK AND DO YOU HAVE A FEVER AT ALL +RES0058-013 I DON'T THINK SO NO +RES0058-014 OK YOU HAVE A COUGH +RES0058-015 I'VE HAD A COUGH +RES0058-016 OK A SIMILAR TIMELINE +RES0058-017 THAT'S WHEN THE COUGH STARTED MAYBE THREE OR FOUR DAYS AGO +RES0058-018 OK AND IS IT A DRY COUGH OR A WET COUGH +RES0058-019 IT'S A DRY COUGH +RES0058-020 OK SO NO SPUTUM NO BLOOD +RES0058-021 NO SPUTUM AND AND NO BLOOD +RES0058-022 AND DO YOU FEEL WHEEZY AT ALL +RES0058-023 NO WHEEZINESS +RES0058-024 HOW ABOUT SHORTNESS OF BREATH +RES0058-025 MAYBE AFTER COUGHING I'VE HAD A HARD TIME CATCHING MY BREATH +RES0058-026 OK SURE AND HOW ABOUT ANY FATIGUE DO YOU FEEL LIKE YOU'RE MORE TIRED THAN USUAL +RES0058-027 THESE PAST FEW DAYS I HAVE DEFINITELY I FELT MORE TIRED I'VE BEEN SLEEPING A LOT MORE THROUGHOUT THE DAY AND JUST I DON'T KNOW KIND OF LAZY +RES0058-028 AND I KNOW YOU MENTIONED YOU'RE HAVING A HARD TIME TASTING HOW ABOUT YOUR APPETITE THOUGH DO YOU FEEL LIKE YOU'VE LOST APPETITE +RES0058-029 I THINK APPETITE'S BEEN OK I'VE BEEN HUNGRY +RES0058-030 OK HOW ABOUT MUSCLE ACHES +RES0058-031 NO JUST TIRED +RES0058-032 OK AND CHEST PAIN +RES0058-033 NO CHEST PAIN +RES0058-034 ALRIGHT DO YOU HAVE A FEELING LIKE YOUR HEART'S RACING +RES0058-035 NO NOTHING LIKE THAT +RES0058-036 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0058-037 WELL I HAD DIARRHEA THIS MORNING ACTUALLY +RES0058-038 OK SO SOME DIARRHEA THIS MORNING +RES0058-039 NONE BEFORE THAT THOUGH IT WAS JUST THE ONE OR KIND OF TWO TIMES BUT IT HASN'T HAPPENED SINCE THEN +RES0058-040 OK NO CONSTIPATION +RES0058-041 NO +RES0058-042 NO BLOOD IN YOUR STOOL +RES0058-043 I KNOW I DIDN'T SEE ANYTHING RED +RES0058-044 OK HOW ABOUT YOUR STOOL SEEMING LIKE IT'S VERY DARK ALMOST TO THE POINT WHERE IT LOOKS BLACK +RES0058-045 OH NO IT IT WASN'T DARK LIKE THAT +RES0058-046 OK OK GOOD ANY +RES0058-048 ABDOMINAL PAIN NO +RES0058-049 ANY ISSUES SWALLOWING FOOD NO ISSUES SWALLOWING FOOD MY THROAT HAS FELT A BIT ITCHY BUT +RES0058-050 I MEAN I'VE BEEN COUGHING ALOT DOES +RES0058-051 IT FEEL SORE AS WELL NOT REALLY OR JUST KIND OF KIND OF +RES0058-052 KIND OF SCRATCHY OK HAVE YOU HAD A RUNNY NOSE +RES0058-053 OR A BLOCKED NOSE +RES0058-055 NOT REALLY NO OK ANY RASHES +RES0058-056 NO I HAVEN'T NOTICED ANY RASHES +RES0058-058 AND ARE THINGS NORMAL WITH YOUR URINE +RES0058-059 THEY ARE HOW ABOUT DIZZINESS OR FAINTING SPELLS A LITTLE BIT DIZZY I WHEN I GOT OUT OF BED THIS MORNING BUT WE SAT BACK DOWN FOR A +RES0058-060 COUPLE OF MINUTES I I FELT BETTER OK GOOD GOOD DO YOU THINK THAT THIS MORNING YOU WERE DIZZY BECAUSE YOU WERE DEHYDRATED +RES0058-061 OR IS THIS LIKE A NORMAL THING FOR YOU I MEAN I GUESS I COULD HAVE BEEN DEHYDRATED I DIDN'T EVEN THINK OF THAT BUT I MEAN SINCE THE FOOD DIDN'T TASTE SO GREAT I DON'T KNOW I PROBABLY DIDN'T EAT AS MUCH YESTERDAY OR THE LAST COUPLE OF DAYS MAYBE I HAVEN'T EATEN AS MUCH +RES0058-063 DO YOU FEEL WEAK I DON'T KNOW MAYBE MAYBE A LITTLE WEAK BUT JUST WAY +RES0058-064 MORE TIRED OK ANY CONFUSION OR MEMORY LOSS +RES0058-065 NO I HAVE BEEN ABLE TO DO SOME OF MY SCHOOL WORK +RES0058-066 OK GOOD AND YOU MENTIONED NO RASHES RIGHT +RES0058-067 NO RASH +RES0058-068 OK ANY WEIGHT LOSS OVER THE PAST COUPLE OF MONTHS +RES0058-069 NOTHING LIKE THAT NO WEIGHT CHANGE IT'S BEEN THE SAME +RES0058-070 OK HOW ABOUT NIGHT SWEATS OR CHILLS +RES0058-071 CHILLS I FELT A BIT HOT +RES0058-072 BUT NOT SWEATY BUT HOT +RES0058-077 THERE IS THIS GUY IN MY CLASS WHO WAS SICK IN CLASS LAST WEEK +RES0058-078 WHAT KIND OF SYMPTOMS DID HE HAVE +RES0058-079 WELL HE HAD A COUGH AND FEVER I THINK HE HAD A COUGH AND A FEVER AND SOMEBODY SAID THAT MAYBE A SORE THROAT OR SOMETHING LIKE THAT +RES0058-080 OK SO SOME SYMPTOMS OVERLAP WITH YOURS I GUESS HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0058-081 OH NO I'VE BEEN AT HOME WE JUST STARTED BACK AT GOING IN +RES0058-082 PERSON TO SCHOOL AGAIN OK OK +RES0058-095 NO I'M NOT +RES0058-096 OK AND DO YOU SMOKE +RES0058-097 I DON'T +RES0058-098 OK HOW ABOUT MARIJUANA +RES0058-099 NO OH BUT I GUESS I USE A VAPE EVERY ONCE IN A WHILE +RES0058-100 WITH LIKE MARIJUANA +RES0058-101 NO IT'S LIKE THOSE FLAVORED ONES +RES0058-102 OH OK HOW OFTEN DO YOU USE THAT +RES0058-103 IT'S LIKE A FEW TIMES A DAY +RES0058-104 OK AND IS THERE ANY TOBACCO IN THERE OR NICOTINE +RES0058-105 I THINK THERE MIGHT BE BUT I DON'T KNOW I USUALLY JUST BUY THE FLAVORED ONES +RES0058-106 OK WELL YOU SHOULD PROBABLY LOOK INTO IF IT HAS TOBACCO OR NICOTINE BECAUSE NEITHER OF THOSE ARE GOOD FOR YOUR HEALTH AND SO WE CAN YOU KNOW HAVE A DISCUSSION LATER ON TRYING TO CUT DOWN OR QUITTING COMPLETELY IF YOU ARE OPEN TO THAT +RES0058-107 SURE +RES0058-116 FAR FROM HERE OH THAT'S NICE AND ANY CONCERNS WITH THE LIVING ARRANGEMENTS IN TERMS OF YOU KNOW LIKE IT BEING AN OLD BUILDING OLD CARPETS MOLD ANYTHING LIKE +RES0058-117 THAT NO I LIVE IN A NICE PLACE +RES0058-118 IT'S USUALLY LIKE REALLY CLEAN OK GOOD ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS THAT YOU WANTED TO BRING UP +RES0058-119 I I GUESS THE ONLY THING THAT I WAS CONCERNED ABOUT WAS POSSIBLY HAVING COVID +RES0058-120-1 YEAH YOU KNOW THAT'S PROBABLY TOP ON MY LIST OF THINGS TO INVESTIGATE YOU FOR SO I WOULD SAY COVID OR OTHER VIRAL ILLNESSES THAT COULD BE GOING AROUND THIS TIME OF YEAR +RES0058-120-2 THAT WOULD HAVE LESS OF A SIMILAR PRESENTATION AND SO WE WILL DO A COVID SWAB FOR YOU AND IN THE MEANTIME IF YOU COULD ISOLATE FOR FOURTEEN DAYS +RES0058-120-3 REGARDLESS OF WHETHER THE SWAB COMES BACK POSITIVE OR NEGATIVE AND THAT WOULD BE GREAT IF THE SWAB COMES BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEY'LL TRY TO TRACE WHERE YOU COULD HAVE CAUGHT THIS FROM +RES0058-120-4 AND IF IT TURNS OUT IT'S NOT A VIRAL ILLNESS WE WILL TRY TO WORK YOU UP FOR ANY BACTERIAL INFECTIONS WHICH CAN BE TREATED WITH ANTIBIOTICS SO THAT'S WHERE WE WILL START DOES THAT SOUND GOOD +RES0058-121 THAT MAKES SENSE +RES0058-122 OK GREAT WELL HAVE A GREAT DAY +RES0058-123 THANK YOU +RES0061-000 HOW ARE YOU +RES0061-001 I'M NOT SO GOOD THESE LAST FEW DAYS I HAVEN'T BENN ABLE TO REALLYKEEP ANYTHING DOWN AND NOT FEELING SO GOOD +RES0061-002 OK I'M SORRY TO HEAR THAT WHEN YOU SAY LAST FEW DAYS DID YOU MEAN THE PAST TWO DAYS THREE DAYS +RES0061-003 WELL I FEEL LIKE MAYBE THE LAST FIVE DAYS I JUST HAVEN'T BEEN FEELING SO GOOD AND I HAVEN'T REALLY FELT LIKE EATING BUT THESE LAST TWO DAYS I'VE BEEN REALLY NAUSEOUS AND I'VE THROWN UP A FEW TIMES +RES0061-004 OK WHEN YOU SAY YOU HAVEN'T BEEN FEELING GOOD FOR THE PAST FIVE DAYS IS IT THAT YOU FEEL ACHY DO YOU FEEL HOT LIKE YOU HAVE A FEVER +RES0061-005 OR DO YOU FEEL WEAK I DO FEEL HOT AND +RES0061-006 MAYBE A BIT TIRED TIRED OK AND NAUSEA AND VOMITING ARE YOU +RES0061-007 THROWING UP OR JUST FEELING NAUSEOUS MOSTLY NAUSEOUS BUT YESTERDAY I THREW UP LIKE THREE OR FOUR TIMES +RES0061-008 AND THEN AGAIN TODAY I THREW UP +RES0061-009 LIKE TWO OR THREE TIMES OK ARE YOU THROWING UP ANY BLOOD NO I DIDN'T SEE ANY RED IT WAS MOSTLY LIKE YELLOW AND LIQUIDY BEACUSE I HAVEN'T BEEN EATING MUCH SOLIDS OR LIKE JUST LIKE FOOD I'VE BEEN MOSTLY +RES0061-010 JUST HAVING DRINKS OK AND AND SO +RES0061-011 MOSTLY FLUID YOU SAID OK AND WHAT COLOR IS IT +RES0061-012 USUALLY USUALLY KIND OF LIKE YELLOWISH CLEAR +RES0061-013 OK ARE YOU HAVING ANY ABDOMINAL PAIN +RES0061-014 MAYBE LIKE AFTER I VOMIT IT KIND OF FEELS LIKE SQUEEZING A LITTLE BIT BUT I THINK I THINK THAT'S JUST REALLY JUST WITH WHEN I'M HEAVING +RES0061-015 RIGHT ARE YOU DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0061-016 NO I HAVEN'T NOTICED ANYTHING THERE +RES0061-017 OK AND SO NO DIARRHEA NO CONSTIPATION +RES0061-018 NO NOTHING LIKE THAT +RES0061-019 OK NO BLOOD IN YOUR STOOL +RES0061-020 NO BLOOD I HAVEN'T SEEN ANY RED +RES0061-021 OK AND HOW ABOUT ISSUES SWALLOWING FOOD +RES0061-022 OH NO PROBLEM SWALLOWING JUST HAVEN'T FELT HUNGRY +RES0061-023 OK SO YOU DON'T HAVE MUCH OF AN APPETITE THEN +RES0061-024 NO NOT NOT REALLY +RES0061-025 OK ALRIGHT SO ANY CHANGES IN IN TASTE +RES0061-026 MAYBE I MEAN I THINK I MIGHT NOT BE REALLY TASTING THINGS THE SAME +RES0061-027 OK HOW ABOUT SMELL +RES0061-028 NOW THAT YOU SAY IT I MIGHT I THINK MY SMELL HAS BEEN IMPACTED AS WELL I CAN'T REALLY SMELL ANYTHING +RES0061-030 OK I THOUGHT THAT WAS KIND OF WEIRD BUT DIDN'T THINK ANYTHING OF IT ACTUALLY UNTIL YOU JUST ASKED ME +RES0061-031 FOR SURE AND HOW ABOUT ANY CHANGES IN YOUR VISION OR HEARING +RES0061-032 NO CHANGES TO VISION OR HEARING +RES0061-033 OK ANY DISCHARGE +RES0061-034 NOTHING LIKE THAT THAT BUT I MEAN MY EYES WERE A BIT THEY'VE BEEN A BIT RED THESE LAST TWO DAYS +RES0061-035 OK HAVE THEY BEEN IN ANY PAIN +RES0061-036 NOPE NO PAIN AND I'VE BEEN ABLE TO SEE EVERYTHING OK IT'S JUST I JUST NOTICED THEY WERE A LITTLE BIT MORE RED I JUST THOUGHT MAYBE I DON'T KNOW I WAS I'VE JUST BEEN TIRED +RES0061-037 FOR SURE ANY COUGHING +RES0061-038 I HAVEN'T HAD A COUGH BUT I'VE HAD A COUGH FOR A FEW YEARS NOW SO THAT'S NOT REALLY A CHANGE FOR ME +RES0061-039 ALRIGHT SO NO CHANGE IN YOUR COUGH IS IT A DRY COUGH OR A WET COUGH +RES0061-040 IT'S OH A DRY +RES0061-041 COUGH USUALLY DRY COUGH OK +RES0061-042 ANY BLOOD THAT +RES0061-043 YOU PRODUCE NO BLOOD NO BLOOD OK ANY SHORTNESS OF BREATH +RES0061-044 I'M NOT REALLY ABLE TO EXERCISE AND STUFF LIKE THAT +RES0061-046 HOW ABOUT WHEEZE +RES0061-047 NO I HAVEN'T HAD A A WHEEZE OK HOW ABOUT +RES0061-048 ANY FATIGUE OR TIREDNESS I'VE DEFINITELY FELT A LITTLE BIT MORE KIND OF +RES0061-049 GROGGY AND TIRED THIS LAST WEEK REALLY +RES0061-050 OK AND MUSCLE ACHES TO GO ALONG WITH THAT BIT +RES0061-051 IN MY LIKE KIND OF UPPER ARMS AND LEGS A LITTLE BIT OK YOU SAID +RES0061-052 YOU'VE BEEN FEELING GROGGY DO YOU FEEL DIZZY AT ALL NOT DIZZY JUST MAYBE THAT I'M LIKE +RES0061-053 MOVING IN SLOW MOTION OK ANY CONFUSION OR MEMORY LOSS +RES0061-054 NO I THINK I'VE BEEN +RES0061-055 OK OK ANY RASHES +RES0061-056 NO I HAVEN'T NOTICED ANY RASHES +RES0061-057 OK HOW ABOUT HEADACHES +RES0061-058 THESE LAST FEW DAYS I'VE HAD A BIT OF A HEADACHE AS WELL IT HASN'T BEEN VERY INTENSE SO I'M NOT WORRIED ABOUT IT TOO MUCH +RES0061-059 RIGHT OK IT HASN'T BEEN INTENSE YOU SAID SO HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST +RES0061-060 I HAD SIMILAR HEADACHES BEFORE I THINK THEY COME LIKE THIS LIKE IF I DIDN'T GET A GOOD SLEEP OR FROM NOT DRINKING ENOUGH WATER OR SOMETHING I'LL KIND OF GET A HEADACHE LIKE THIS KIND OF FEELS LIKE IT'S SQUEEZING +RES0061-061 THAT'S UNDERSTANDABLE BUT IT'S NOT LIKE THE WORST HEADACHE YOU'VE EVER HAD +RES0061-062 NO NO IT'S PRETTY SIMILAR TO HEADACHES THAT I'VE HAD BEFORE +RES0061-063 OK OK GOOD AND ARE YOU OTHERWISE HEALTHY +RES0061-064 WELL I HAVE HIGH BLOOD PRESSURE AND ALSO HIGH CHOLESTEROL SO I DO TAKE MEDICATIONS FOR BOTH OF THOSE SO I TAKE A STATIN AND +RES0061-065 AMLODIPINE I THINK OK OK GOOD IT'S GOOD THAT YOU'RE ON BOTH OF THOSE DO YOU TAKE ANY OTHER MEDICATIONS LIKE OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS +RES0061-066 I'VE BEEN TAKING VITAMIN D AND ALSO A MULTIVITAMIN I HEARD THAT THAT WE DON'T GET ENOUGH VITAMIN D THROUGHOUT THE WINTER +RES0061-067-1 IT'S A GREAT IDEA TO TAKE THAT ESPECIALLY AS WE GET OLDER AND IF WE LIVE IN A COUNTRY WHERE WE DON'T GET A LOT OF SUN EXPOSURE LIKE CANADA +RES0061-067-2 SO THAT'S GOOD AND SORRY BEFORE I MOVE ON I FORGOT TO ASK YOU EARLIER IF YOU HAVE EXPERIENCED ANY WEIGHT LOSS OR NIGHT SWEATS RECENTLY +RES0061-068 NO MY WEIGHT'S BEEN ABOUT THE SAME UNFORTUNATELY AND I HAVEN'T HAD ANY NIGHT SWEATS BUT I MEAN NOW THAT YOU ASKED IF I FELT MORE HOT THAN THAN USUAL MAYBE +RES0061-069 OK AND DID YOU TAKE YOUR TEMPERATURE +RES0061-070 I DID AND THE LAST TIME I CHECKED IT WAS A FEW DAYS AGO AND AT THAT TIME I DIDN'T HAVE A FEVER BUT I MEAN I'M STILL FEELING HOT SO I'M NOT SURE +RES0061-071 OK ALRIGHT SO I'LL GO BACK TO YOUR PAST MEDICAL HISTORY HAVE YOU BEEN HOSPITALIZED OR HAVE YOU EVER NEEDED SURGERIES IN THE PAST +RES0061-072 NO LIKE THE LAST TIME I WAS IN THE HOSPITAL WITH IT WAS FOR A COLONOSCOPY A FEW YEARS AGO WHICH CAME BACK NORMAL +RES0061-073 OK THAT'S GOOD ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0061-074 ACTUALLY GOT THE SHINGLES VACCINE A FEW MONTHS AGO +RES0061-075 OK +RES0061-076 PROBABLY CLOSER TO A YEAR AGO NOW ACTUALLY +RES0061-077 OH GREAT OK THAT'S AWESOME AND ARE YOU ALLERGIC TO ANYTHING +RES0061-078 JUST PEANUTS +RES0061-079 PEANUTS OK DO YOU KNOW IF YOU HAVE A FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +RES0061-080 MY SON HAS ASTHMA BUT NOBODY IN MY FAMILY'S +RES0061-081 HAD A HEART PROBLEM THOUGH OK HOW ABOUT ANY STOMACH PROBLEMS OR LIVER PROBLEMS +RES0061-082 COLON PROBLEMS MY DAD ACTUALLY HAD COLON CANCER HE WAS SEVENTY AND SO THAT'S WHY WE WENT AND DECIDED TO +RES0061-083 GET A COLONOSCOPY INSTEAD OF JUST DOING THE IMMUNOHISTOCHEMISTRY TEST OK THAT'S A GOOD IDEA SO +RES0061-084 IT SOUNDS LIKE YOU'RE YOU KNOW PREEMPTIVE +RES0061-085 WITH YOUR HEALTH WHICH IS GOOD +RES0061-086 ANY OTHER +RES0061-087 CANCERS THAT RUN IN THE FAMILY +RES0061-088 NO JUST MY DAD HAD +RES0061-089 COLON CANCER OK AND DO YOU SMOKE +RES0061-090 I MEAN I BRIEFLY LIKE DABBLED IN THE PAST AT PARTIES AND STUFF LIKE THAT BUT THAT WAS WHEN I WAS WAY YOUNGER LIKE IN IN MY COLLEGE YEARS +RES0061-091 AT PARTIES AND STUFF LIKE THAT BUT THAT WAS WHEN I WAS WAY YOUNGER LIKE +RES0061-110 WELL I'M JUST HOPING TO TO GET THIS SORTED OUT AND FEEL BETTER +RES0061-111-1 YEAH FOR SURE SO YOU KNOW RIGHT NOW WE'RE THINKING IT COULD BE A VIRAL GI VIRAL INFECTION BECAUSE OF YOUR COMPLAINTS OF NAUSEA VOMITING LOSS OF APPETITE AND FEVER +RES0061-111-2 BUT IT COULD ALSO BE COVID AND WE ARE GOING TO HAVE TO DO A SWAB FOR YOU AND RUN THAT TEST BECAUSE YOU HAVE A LOT OF SYMPTOMS THAT OVERLAP WITH THOSE SYMPTOMS +RES0061-111-3 AND THEN SO JUST GOING OFF OF THAT WE'LL WAIT FOR THE SWABS TO COME BACK IF THEY COME BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEY'LL DO A TRACE TO SEE WHERE YOU COULD HAVE GOTTEN THIS INFECTION FROM +RES0061-111-4 AND THEN MEANWHILE WE DO SUGGEST THAT YOU ISOLATE FOR TWO WEEKS SO THAT YOU DON'T SPREAD THE ILLNESS AND EVEN IF THE SWAB COMES BACK NEGATIVE THERE IS STILL A CHANCE THAT YOU MAY HAVE COVID AND IT'S A FALSE NEGATIVE TEST +RES0061-111-5 SO WE'LL START THERE IF IT TURNS OUT YOU DON'T HAVE ANY OF THOSE VIRAL ILLNESSES AND +RES0061-111-6 YOU HAVE MORE OF A YOU KNOW BACTERIAL PICTURE WE CAN WORK YOU UP FOR THAT AND PRESCRIBE ANTIBIOTICS SO THAT'S WHERE WE WILL START HOW DOES THAT SOUND +RES0061-112 THAT SOUNDS LIKE A GREAT START THANK YOU +RES0061-113 ALRIGHT GREAT +RES0062-000 WHAT BRINGS YOU IN +RES0062-001 WELL I'VE HAD THIS COUGH BUT THE BIGGEST ISSUE IS THAT I'VE BEEN REALLY SHORT OF BREATH +RES0062-002 OK WHEN DID THE COUGH START +RES0062-003 I WOULD SAY ABOUT THREE DAYS AGO +RES0062-004 THREE DAYS AGO OK AND AROUND THAT TIME DID YOU ALSO START FEELING SHORT OF BREATH +RES0062-005 THE SHORTNESS OF BREATH HAS COME ON I DON'T KNOW WITHIN THE LAST DAY OR SO IT'S COME ON AFTER THAT THE COUGH STARTED FIRST OK AND +RES0062-006 THE COUGH ARE YOU IS IT A DRY COUGH OR IS IT A WET COUGH +RES0062-007 WELL I'VE BEEN BRINGING UP SOME YELLOWISH GREEN KIND OF LIKE PHLEGM SO I GUESS A WET COUGH +RES0062-008 OK SO YELLOWISH GREEN YOU SAID +RES0062-009 OK ANY BLOOD IN THE SPUTUM +RES0062-010 I HAVEN'T NOTICED ANY BLOOD +RES0062-011 OK AND HOW MUCH SPUTUM ARE YOU COUGHING UP EACH TIME LIKE IS IT KIND OF THE SIZE OF YOUR FINGERTIP OR DOES IT FILL YOUR WHOLE PALM +RES0062-012 PROBABLY MORE LIKE THE SIZE OF LIKE A THUMB TIP +RES0062-013 OK OK AND DO YOU NOTICE ANY LIKE PUS OR FROTH +RES0062-014 IN THE SPUTUM NOTHING LIKE +RES0062-015 THAT I NOTICED OK AND IF YOU WERE TO DESCRIBE THE SOUND OF YOUR COUGH DOES IT SOUND LIKE IT'S BARKY OR LIKE A +RES0062-016 HACKING COUGH +RES0062-017 I DON'T KNOW I GUESS HACKING OK AND ALRIGHT +RES0062-018 DO YOU HEAR ANY WHEEZING AT ALL NO WELL MAYBE I GUESS WHEN I'M +RES0062-019 REALLY SHORT OF BREATH WHEEZING OK AND THE SHORTNESS OF BREATH HOW +RES0062-020 SEVERE IS IT ONE TO TEN TEN BEING THE WORST MAYBE +RES0062-021 A SEVEN AT SEVEN OK ARE YOU HAVING ISSUES SLEEPING BECAUSE OF YOUR SHORTNESS OF BREATH +RES0062-022 WELL I CAN'T TELL IF IT'S THAT OR THE COUGH I MEAN BETWEEN THOSE TWO THINGS IT'S BEEN DEFINITELY INTERRUPTING MY SLEEP +RES0062-023 OK AND DO YOU FIND THERE ARE ANY TRIGGERS TO YOUR COUGHING LIKE LIKE A PARTICULAR TIME OF THE DAY TRIGGERS LIKE YOU KNOW POLLEN OR THINGS IN YOUR ENVIRONMENT LIKE PETS +RES0062-024 NO THE COUGH HAS BEEN KIND OF GOING ON ALL DAY RIGHT WHEN I GET UP IN THE MORNING AND GOES ON ALL NIGHT IT'S BEEN GETTING WORSE TO THESE LAST FEW DAYS +RES0062-025 OK THAT DOESN'T SOUND GREAT IN TERMS OF YOUR SHORTNESS OF BREATH DO YOU FIND THAT CERTAIN POSITIONS MAKE IT WORSE OR LIKE EXERTING YOURSELF MAKES IT WORSE +RES0062-026 NOT REALLY +RES0062-027 OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +RES0062-028 NO I HAVEN'T +RES0062-029 OK AND ANY OTHER SYMPTOMS THAT YOU HAVE ALONG WITH YOUR COUGHING AND SPUTUM +RES0062-030 AS SOON AS I BREATH WELL I JUST HAVEN'T FELT GOOD LIKE TIRED KIND OF WEAKISH +RES0062-031 OK ALONG WITH YOUR FATIGUE AND FEELING WEAK HAVE YOU EXPERIENCED ANY DIZZINESS OR FAINTING SPELLS +RES0062-032 NO DIZZINESS AND I HAVEN'T FAINTED OR ANYTHING LIKE THAT +RES0062-033 OK ANY CONFUSION OR MEMORY LOSS +RES0062-034 NO CONCERNS WITH MY MEMORY +RES0062-035 OK AND HOW ABOUT MUSCLE ACHES OR ANY SORT OF BODY ACHES +RES0062-036 ALRIGHT MAYBE A BIT KIND OF AND +RES0062-037 WEAK ALRIGHT SO LET'S GO BACK TO YOUR SHORTNESS OF BREATH DO YOU HAVE +RES0062-039 CHEST PAIN ASSOCIATED WITH THAT NO OK AND +RES0062-040 FEEL LIKE YOUR HEART'S +RES0062-041 RACING NO NOTHING LIKE THAT OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS +RES0062-042 NO THOSE HAVE BEEN NORMAL I HAVEN'T HAD ANY DIARRHEA OR CONSTIPATION +RES0062-043 OK AND NO BLOOD IN YOUR STOOL +RES0062-044 I HAVEN'T NOTICED ANY BLOOD NO +RES0062-045 OK HOW ABOUT ABDOMINAL PAINS +RES0062-046 OH I DON'T KNOW WHY MY BELLY'S BEEN A BIT ACHY MAYBE +RES0062-047 OK AND HOW ABOUT A SORE THROAT +RES0062-048 NO MY THROAT FELT OK +RES0062-049 OK GOOD AND HAVE YOU EXPERIENCED ANY LOSS OF TASTE +RES0062-050 NO LOSS OF TASTE BUT I'VE NOTICED MY SMELL HAS BEEN KIND OF FUNNY +RES0062-051 YOUR SMELL HAS BEEN KIND OF FUNNY LIKE YOU CAN'T SMELL OR DO THINGS SMELL DIFFERENTLY THAN YOU EXPECT THEM TO +RES0062-052 THERE WAS A CANDLE ON EARLIER TODAY AND I GUESS I COULDN'T REALLY SMELL IT SO I GUESS I HAVEN'T BEEN ABLE TO SMELL +RES0062-053 OK DO YOU HAVE A RUNNY NOSE OR A BLOCKED NOSE +RES0062-054 NO I HAVEN'T HAD TO BLOW MY NOSE OR ANYTHING +RES0062-055 OK ANY CHANGES IN YOUR VISION OR HEARING +RES0062-056 NO THAT'S BEEN NORMAL +RES0062-057 OK ANY DISCHARGE OR PAIN IN YOUR EYES OR EARS +RES0062-058 NO THAT'S BEEN OK +RES0062-059 OK AND THEN ANY CHANGES TO YOUR URINE +RES0062-060 NO I HAVEN'T HAD ANY PAIN OR ANYTHING LIKE THAT +RES0062-061 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS +RES0062-062 YEAH I HAVE ATRIAL FIBRILLATION AND I DO +RES0062-063 TAKE METOPROLOL FOR THAT OK +RES0062-064-1 HOW LONG HAVE YOU HAD A FIB +RES0062-064-2 IT WAS LIKE FOUR YEARS AGO I THINK IT WAS IT WAS HAVING THAT LIKE FELT LIKE MY HEART WAS RACING YOU WERE ASKING ABOUT EARLIER AND +RES0062-064-3 THEY DID AN ECG AND I WAS TOLD I HAD ATRIAL FIBRILLATION SO I'VE BEEN ON A BETA BLOCKER FOR THREE YEARS NOW +RES0062-065 OK FOUR YEARS I THINK AND WHEN WAS THE LAST TIME YOU HAD AN ECG +RES0062-066 MAYBE JUST A COUPLE OF MONTHS AGO I THINK EVERY TIME THAT I COME IN TO SEE MY FAMILY DOCTOR THEY THEY DO ONE +RES0062-067 OK AND THE LAST TIME THAT IT WAS DONE WAS IT NORMAL +RES0062-068 P THEY SAID MY HEART RATE'S BEEN AROUND EIGHTY BEATS PER MINUTE WHICH IS GOOD AND I HAVEN'T HAD ANY SYMPTOMS SO THINGS HAVE BEEN STABLE +RES0062-069 OK GOOD AND THEN HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0062-070 I HAD AN INGUINAL HERNIA REPAIR ABOUT FIFTEEN YEARS AGO +RES0062-071 OK ANY COMPLICATIONS FROM THAT +RES0062-072 NO +RES0062-073 OK AND THEN BESIDES THE METOPROLOL ARE YOU ON ANY OTHER MEDICATIONS +RES0062-074 OH I TAKE A STATIN AND +RES0062-075 BABY ASPIRIN OK AND IS THAT FOR THE A FIB AS WELL THE ASPIRIN OR IS THAT JUST FOR OTHER CARDIOVASCULAR ISSUES OR SOME SORT OF PREVENTATIVE MEASURE +RES0062-076 I HEARD IT WAS GOOD FOR PEOPLE WHO HAVE ATRIAL FIBRILLATION SO I STARTED TAKING IT +RES0062-077 OK AND LET'S REVISIT YOUR MEDICATIONS AT THE END OF TODAY'S SESSION I JUST WANT TO MAKE SURE THAT YOU'RE ON THE MEDICATIONS AND I JUST WANT TO MAKE SURE YOU'RE ON THE RIGHT DOSE DOES THAT SOUND GOOD +RES0062-078 CERTAINLY +RES0062-079 DOK GREAT AND OK SO WE TALKED ABOUT YOUR PAST MEDICAL HISTORY AND MEDICATIONS WE WILL TALK A LITTLE BIT ABOUT ANY ALLERGIES THAT YOU HAVE IF YOU HAVE ANY +RES0062-080 I THINK IT'S LIKE A SULFA ALLERGY I RECEIVED AN ANTIBIOTIC LIKE THAT MANY YEARS AGO AND HAD A RASH +RES0062-081 OK OK AND HAVE YOU HAD ANY REASON TO SUSPECT THAT YOU MAY HAVE TAKEN ANY SULFAS RECENTLY +RES0062-082 NO I HAVEN'T HAD ANY ANTIBIOTICS SO NO REALLY NO CHANGES +RES0062-083 OK OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0062-084 I AM I'VE RECEIVED THE ZOSTER VACCINE FOR SHINGLES AND ALSO +RES0062-085 THE ONE FOR PNEUMONIA OK GOOD GOOD THOSE TWO WE DEFINITELY RECOMMEND IF YOU'RE OVER SIXTY FIVE OK AND DO YOU KNOW OF ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0062-086 NO I THINK MY AUNT HAD LUNG CANCER BUT SHE SMOKED HER ENTIRE LIFE +RES0062-087 OK OK AND HOW ABOUT OTHER CANCERS +RES0062-088 NO OTHER CANCERS +RES0062-089 AND HAVE YOU BEEN IN TOUCH OR DO YOU THINK YOU'VE BEEN IN CONTACT WITH ANY ANYONE SICK RECENTLY +RES0062-090 WELL I VISITED MY MOTHER AT A LONG TERM CARE FACILITY JUST THIS PAST WEEKEND SO I GUESS ABOUT JUST OVER A WEEK AGO +RES0062-091 I VISITED THERE OK AND HAVE THERE BEEN ANY COVID OUTBREAKS +RES0062-092 AT THE LONG TERM CARE THERE HAS BEEN I THOUGHT I WAS +RES0062-093 AWAY FROM THOSE AREAS +RES0062-094 BUT I HAVE HEARD ABOUT OUT +RES0062-095 BREAKS THERE OK OK +RES0062-096 AND ANY TRAVEL HISTORY NO TRAVEL AND DO YOU SMOKE I USED TO SMOKE A PACK OF CIGARETTES A DAY BUT I QUIT ABOUT ABOUT FIVE YEARS AGO I KNOW +RES0062-097 FOUR YEARS AGO IT WAS WHEN I FOUND OUT I HAD ATRIAL FIBRILLATION I QUIT +RES0062-098 OK OK WELL THAT'S GOOD GOOD FOR YOU FOR QUITTING HOW ABOUT MARIJUANA NO I DON'T SMOKE IT BUT I'LL USE SOME EDIBLES I BUY FROM THE ONTARIO STORES +RES0062-099 A COUPLE OF TIMES PER WEEK JUST THE CBD STUFF THE CBD STUFF OK AND HOW MANY MILLIGRAMS +RES0062-100 I'M NOT SURE +RES0062-101 I KNOW IT'S THEIR LOWEST DOSE THOUGH OK OK IF IT'S LOWEST DOSE IT MIGHT BE TWO POINT FIVE MILLIGRAMS +RES0062-103 SOUNDS FAMILIAR OK GOOD IS THERE A PARTICULAR REASON YOU TAKE THESE CBD EDIBLES +RES0062-104 IT HELPS ME SLEEP +RES0062-105-1 OK IF IT'S SPECIFICALLY TO HELP YOU SLEEP WE CAN ACTUALLY TRY AND SEE IF THERE ARE OTHER OPTIONS FOR YOU YOU KNOW THERE ARE PILLS LIKE +RES0062-105-2 THEY ARE SLEEP AIDS OR EVEN THINGS LIKE MELATONIN THAT CAN HELP REGULATE YOUR SLEEP SO WE CAN REVISIT OTHER OPTIONS FOR YOU IF YOU'RE OPEN TO THAT AS WELL +RES0062-106 OK FOR SURE I WILL WE CAN TALK ABOUT THAT LATER +RES0062-107 OK THAT SOUNDS GOOD AND DO YOU DO ANY OTHER RECREATIONAL DRUGS +RES0062-108 I DO NOT +RES0062-109 OK HOW ABOUT ALCOHOL +RES0062-110 NO I DON'T DRINK ANYMORE +RES0062-111 OK AND DID YOU USED TO DRINK BEFORE +RES0062-112 YES I JUST STOPPED A FEW YEARS AGO +RES0062-113 OK AND WHAT'S YOUR LIVING SITUATION LIKE RIGHT NOW +RES0062-114 I LIVE IN A HOUSE WITH WITH +RES0062-115 MY WIFE IN A HOUSE OK ANY CONCERNS FOR LIKE OLD CARPETS MOLD OR ASBESTOS IN YOUR HOUSE +RES0062-116 NO WE'VE RENOVATED IT OVER THE YEARS +RES0062-117 OK GOOD AND I APOLOGIZE BUT I WOULD LIKE TO CLARIFY THREE MORE SYMPTOMS WITH YOU DID YOU SAY YOU FELT LIKE YOU HAD A FEVER EARLIER +RES0062-118 MAYBE I'VE BEEN FEELING A LITTLE HOT BUT IT'S BEEN REALLY MORE THE COUGH AND SHORTNESS OF BREATH THAT'S BEEN BUGGING ME +RES0062-119 OK WELL WE CAN TAKE A TEMPERATURE TODAY JUST TO MAKE SURE HAVE YOU BEEN FEELING LIKE YOU HAVE NIGHT SWEATS OR CHILLS +RES0062-120 NOT REALLY NO I HAVEN'T NOTICED THAT +RES0062-121 OK AND HOW ABOUT ANY WEIGHT LOSS OVER THE PAST FEW MONTHS +RES0062-122 NO IT'S BEEN BEEN STABLE +RES0062-123 OK ALRIGHT GOOD SO THAT BRINGS US TO THE END DO YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WOULD LIKE TO CLARIFY BEFORE WE END THE INTERVIEW +RES0062-124 NO NOTHING TODAY I WAS JUST REALLY HOPING TO GET WHATEVER THIS IS SORTED OUT +RES0062-125-1 YEAH YOU KNOW RIGHT NOW IT LOOKS LIKE IT SOUNDS LIKE IT COULD BE AN UPPER RESPIRATORY VIRAL ILLNESS SO THAT INCLUDES COVID SO WE WILL DO A SWAB FOR YOU AND THEN SEND IT OFF +RES0062-125-2 TO THE LAB FOR PCR RESULTS IN THE MEANTIME BECAUSE YOU HAVE SYMPTOMS THAT OVERLAP WITH COVID SYMPTOMS WE DO ENCOURAGE ISOLATION FOR FOURTEEN DAYS UNTIL YOUR SYMPTOMS ARE GONE SORRY +RES0062-125-3 UNTIL YOUR SYMPTOMS ARE GONE EVEN IF THEY'RE GONE WE DO SUGGEST ISOLATING FOR FOURTEEN DAYS JUST TO MAKE SURE YOU'RE NOT A CARRIER OR COULD SPREAD COVID SO WE DO ENCOURAGE THAT AND THAT INCLUDES FROM YOUR HUSBAND +RES0062-125-4 IF POSSIBLE WE WILL GET THOSE RESULTS IN A DAY OR TWO IF THEY ARE POSITIVE WE WILL SEND YOUR RESULTS TO PUBLIC HEALTH WHO WILL BE IN TOUCH WITH YOU TO +RES0062-125-5 DO SOME CONTACT TRACING TO SEE WHERE YOU MAY HAVE GOTTEN IT FROM IF IT'S NOT COVID IT COULD BE OTHER VIRAL ILLNESSES THAT ARE GOING AROUND THIS TIME OF YEAR AND IF YOUR SYMPTOMS AREN'T GETTING BETTER ON THEIR OWN +RES0062-125-6 AND THERE'S REASON TO SUSPECT YOU MAY HAVE A BACTERIAL INFECTION OR BACTERIAL PNEUMONIA WE WILL FOLLOW UP WITH YOU AND POSSIBLY PRESCRIBE ANTIBIOTICS HOW DOES +RES0062-126 THAT SOUND THAT SOUNDS LIKE A GREAT PLAN +RES0062-127 OK GREAT SO I WILL SEE YOU AT THE NEXT APPOINTMENT +RES0062-128 THANK YOU +RES0063-000 WHAT BRINGS YOU IN +RES0063-001-1 SO I'VE BEEN FEELING JUST REALLY DOWN RECENTLY IN THE LAST WEEK I STARTED OFF BY HAVING THIS SORE THROAT WHICH STARTED AROUND FIVE DAYS AGO AND THEN +RES0063-001-2 I ALSO NOTICED I'VE BEEN GETTING SOME CHILLS OVER THE LAST FEW DAY AND ON TOP OF ALL OF THAT WITHIN THE LAST THREE TO FOUR DAYS I'VE BEEN GETTING MUSCLE ACHES ALL OVER MY BODY +RES0063-002 OK ALRIGHT SO THE SORE THROAT STARTED FIVE DAYS AGO AND THEN THE FEVER STARTED WHEN +RES0063-003 SO THE FEVER I THINK I HAVEN'T MEASURED IT BUT I STARTED HAVING CHILLS LIKE THREE DAYS AGO +RES0063-004 THREE DAYS AGO OK AND THE MUSCLE ACHES STARTED TWO DAYS AGO +RES0063-005 I WOULD SAY THREE DAYS AGO AS WELL +RES0063-006 THREE DAYS AGO OK OK ARE YOU HAVING ANY TROUBLE SWALLOWING FOODS OR FLUIDS +RES0063-007 A LITTLE BIT WITH SOLIDS WITH A SORE THROAT BUT LIQUIDS I'M DOING OK RIGHT NOW +RES0063-008 OK AND IS IT HARD FOR YOU TO LIKE ARE YOU HAVING ISSUES VOCALISING AT ALL +RES0063-009 NO I THINK MY VOICE HAS BEEN THE SAME IT'S JUST WHEN I'M NOT TALKING ESPECIALLY IF I'M SWALLOWING MY OWN LIKE SPIT IT STILL HURTS SOMETIMES BUT MAINLY WITH SOLID FOOD +RES0063-010 OK OK AND THEN ARE YOU HAVING ANY ISSUES WITH TASTE OR SMELL +RES0063-011 NO I DON'T THINK SO +RES0063-012 OK HOW ABOUT HEARING OR VISION +RES0063-013 NO NO CHANGES +RES0063-014 ANY WEIGHT LOSS OVER THE PAST FEW WEEKS +RES0063-015 NO I PROBABLY HAVE GAINED WEIGHT +RES0063-016 OK ANY FATIGUE OR EXHAUSTION +RES0063-017 NOW THAT YOU MENTION IT I DO FEEL PRETTY TIRED OVER THE LAST FEW DAYS I DON'T KNOW IF IT'S JUST BECAUSE OF MY MUSCLES ACHING ALL THE TIME OR I DON'T KNOW I HAVE DEFINITELY FELT VERY TIRED +RES0063-018 OK HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +RES0063-019 NO NOTHING LIKE THAT +RES0063-020 DO YOU HAVE A COUGH AT ALL +RES0063-021 NO I HAVEN'T REALLY NOTICED THE COUGH +RES0063-022 HOW ABOUT SHORTNESS OF BREATH OR WHEEZING +RES0063-023 NO NO SHORTNESS OF BREATH OR WHEEZING +RES0063-024 OK CHEST PAIN OR YOU FEELING LIKE YOUR HEART'S RACING +RES0063-025 NO +RES0063-026 NO AND HOW ABOUT DIZZINESS OR FAINTING SPELLS +RES0063-027 NO I HAVEN'T HAD ANY OF THOSE +RES0063-028 OK HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS +RES0063-029 NO I DON'T THINK SO I GO REGULARLY ONCE A DAY AND I HAVEN'T NOTICED ANY WATERY STOOL OR DIARRHEA +RES0063-030 OK THAT'S GOOD ANY CHANGES IN YOUR APPETITE +RES0063-031 WITH A SORE THROAT I TEND TO LIKE EAT SOFTER FOODS RIGHT NOW I CAN'T REALLY I DON'T REALLY FEEL LIKE EATING +RES0063-032 OK HOW ABOUT NAUSEA OR VOMITING +RES0063-033 NO NO NOTHING LIKE THAT +RES0063-034 OK OK AND ANY ISSUES WITH JOINT PAIN YOU SAID YOUR MUSCLE ACHES BUT HOW ABOUT JOINTS +RES0063-035-1 NO I DON'T THINK IT'S SPECIFICALLY MY JOINTS I THINK MORE SO I WOULD SAY LIKE AROUND IN MY THIGHS THEN I WOULD SAY JUST MY UPPER ARMS HURT A LOT +RES0063-035-2 AND EVEN MY UPPER BACK AREA HURTS A LOT AS WELL SO IT'S KIND OF JUST EVERYWHERE BUT THOSE ARE SOME AREAS THAT HURT THE MOST +RES0063-036 OK OK ARE YOU OTHERWISE HEALTHY +RES0063-037 I DO HAVE A COUPLE OF THINGS ON MY LIST I DO HAVE HIGH BLOOD PRESSURE I HAVE DIABETES AND OTHER THAN THAT I ALSO HAVE LIKE HIGH CHOLESTEROL +RES0063-038 OK +RES0063-039 THAT'S JUST SOME OF THE THINGS THAT I'VE BEEN DIAGNOSED WITH +RES0063-040 OK AND DO YOU TAKE MEDICATION FOR ANY OF THESE THINGS +RES0063-041 SO I TAKE FOR THE BLOOD PRESSURE I TAKE THIS MEDICATION CALLED THE RAMIPRIL +RES0063-042 OK +RES0063-043 AND THEN FOR DIABETES I'M TAKING METFORMIN AND THEN FOR THE CHOLESTEROL I'M TAKING THIS MEDICATION CALLED CRESTOR BUT OTHER THAN THAT JUST LIKE VITAMIN D AND MULTI VITAMINS THOSE ARE SOME OF THE MEDICATIONS THAT I'M TAKING +RES0063-044 SURE ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0063-045 YUP +RES0063-046 OK DO YOU KNOW IF YOU GOT A VACCINE CALLED SHINGRIX FOR SHINGLES AND PNEUMOVAX FOR PNEUMOCOCCAL INFECTIONS +RES0063-047 I ACTUALLY THINK I GOT THEM JUST THIS PAST SEASON WITH ALL THIS COVID GOING ON I JUST WANTED TO MAKE SURE I GOT ALL THOSE VACCINES AS WELL SO I RECENTLY JUST GOT THEM +RES0063-048 OK GOOD AND AND HOW ABOUT ANY ALLERGIES +RES0063-049 NO I DON'T HAVE ANY ALLERGIES +RES0063-050 OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0063-051 NO LUNG CONDITIONS AND HEART CONDITIONS BOTH MY MOM AND DAD SUFFERED FROM LIKE HIGH BLOOD PRESSURE MY DAD ALSO HAD A HEART ATTACK WHEN IN HIS SIXTIES NOW THERE IS SOME HEART CONDITIONS THAT RUN IN THE FAMILY +RES0063-052 OK OK AND THEN ANY CANCERS IN THE FAMILY +RES0063-053 M SON ACTUALLY GOT DIAGNOSED WITH COLORECTAL CANCER JUST A FEW YEARS AGO +RES0063-054 OH I'M SORRY TO HEAR THAT +RES0063-055 HE'S HE'S HE'S DOING OK THOUGH LIKE IT WAS PRETTY SCARY AT THE TIME +RES0063-056 HOW OLD WAS HE WHEN HE WAS DIAGNOSED +RES0063-057 I THINK HE WAS IN HIS FORTIES FORTY SIX +RES0063-058 OK WELL HE'S THAT'S YOUNG HAVE YOU HAD A COLONOSCOPY +RES0063-059 I HAD IT DONE EVERYTHING CAME BACK NORMAL SO I'M NOT SURE WHERE HE GOT IT FROM +RES0063-060 OK HAVE YOU HAD ANY SICK CONTACTS RECENTLY +RES0063-061 NO NO SICK CONTACTS THAT I KNOW OF I'VE BEEN MAINLY IN MY HOUSE I DO GO OUTSIDE FOR GROCERIES AND SOME THINGS LIKE THAT BUT OTHER THAN THAT I'M RETIRED I DON'T REALLY GO OUT TOO MUCH +RES0063-062 OK AND YOU SAID YOU'RE RETIRED DO YOU LIVE ALONE DO YOU LIVE WITH ANYONE +RES0063-063 NO I LIVE ALONE NOW AND I LIVE IN LONDON IN AN APARTMENT +RES0063-064 OK ANY OLD CARPETS MOLD DUST ASBESTOS +RES0063-065 NO IT'S NOTHING NOTHING LIKE THAT IT'S A PRETTY SAFE BUILDING +RES0063-066 OK GOOD AND DO YOU SMOKE +RES0063-067 I USED TO I USED TO SMOKE PROBABLY IN MY TWENTIES TO LATE FORTIES BUT THEN I QUIT +RES0063-068 OK GOOD GOOD FOR YOU HOW MUCH DID YOU SMOKE BEFORE YOU QUIT +RES0063-069 PROBABLY ONE TO TWO PACKS A DAY I WOULD SAY +RES0063-070 OK THAT'S GOOD THAT'S GOOD THAT YOU QUIT DO YOU DRINK ANY ALCOHOL +RES0063-071 I JUST STICK TO SOME RED WINE MAYBE A COUPLE TIMES A WEEK +RES0063-072 OK COUPLE TIMES A WEEK SO TWO TO THREE TIMES +RES0063-073 I WOULD SAY TWO TO THREE TIMES AND I PROBABLY GO THROUGH MAYBE ONE BOTTLE EVERY TWO WEEKS +RES0063-074 OK OK AND THEN ANY MARIJUANA +RES0063-075 NO NO I'VE NEVER HAD ANY MARIJUANA OR ANY RECREATIONAL DRUGS NO NOTHING ELSE +RES0063-076 OK GOOD WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME +RES0063-077 WITH ALL THIS COVID AND THE PANDEMIC GOING ON I DON'T KNOW I LIKE I'VE BEEN MAINLY AT MY HOUSE BUT LIKE I SAID I DO GO TO DO MY OWN GROCERIES OF COURSE I WEAR A MASK BUT I DON'T KNOW IF I MIGHT HAVE CAUGHT COVID SO THAT'S SOMETHING I WAS WORRIED ABOUT +RES0063-078-1 YEAH FOR SURE I THINK JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID WE WILL BE DOING A COVID SWAB TODAY AND YOU SHOULD HEAR BACK ABOUT YOUR RESULTS IN TWENTY FOUR TO FORTY EIGHT HOURS +RES0063-078-2 BUT YOU SHOULD STILL SELF ISOLATE FOR FOURTEEN DAYS BECAUSE YOU DO HAVE SIMILAR SYMPTOMS AND IF IT'S NOT COVID IT'S PROBABLY ANOTHER VIRAL ILLNESS THAT'S GOING AROUND THESE DAYS AND FOR THAT YOU DON'T WE CAN FIT YOU THEN YOU +RES0063-078-3 MEDICATION LIKE PRESCRIBED MEDICATIONS BUT JUST KEEP AN EYE ON THAT ON YOUR SYMPTOMS STAY HYDRATED EAT WELL IF YOU NEED TO LOWER YOUR FEVE YOU CAN USE TYLENOL +RES0063-078-4 AND IF YOUR SYMPTOMS WORSEN OR YOU START GETTING NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND +RES0063-079 SOUNDS GOOD I JUST HAD ANOTHER QUICK QUESTION I DID GET THE SHINGLES AND THE PNEUMOCOCCAL VACCINE BACK THEN BUT I DIDN'T GET THE FLU VACCINE LIKE SHOULD I GET IT IS IT RECOMMENDED +RES0063-080 YES IT'S DEFINITELY RECOMMENDED SO WE WON'T GIVE YOU THE VACCINE RIGHT NOW BECAUSE YOU HAVE SYMPTOMS BUT ONCE YOU ARE HEALTHY AGAIN YOU SHOULD DEFINITELY GET THE GET THE FLU VACCINE AND YOU SHOULD GET IT ONCE A YEAR +RES0063-081 OK I JUST NEVER TOOK THOSE VACCINES BUT I'LL DO THAT FROM NOW ON +RES0063-082 IT'S A GOOD IDEA AND EVEN IF YOU GET THE FLU YOUR SYMPTOMS WON'T BE AS SEVERE IF YOU HAVE THE VACCINE SO IT'S DEFINITELY SOMETHING TO CONSIDER +RES0063-083 OK ALRIGHT SOUNDS GOOD +RES0063-084 ALRIGHT TAKE CARE +RES0064-000 WHAT BRINGS YOU IN +RES0064-001 MY CHILD HAS BEEN HAVING A SORE THROAT AND CHILLS YESTERDAY AS WELL +RES0064-002 OK SO YOU MENTIONED THE SORE THROAT STARTED THREE TO FOUR DAYS AGO AND THE CHILLS STARTED YESTERDAY AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS +RES0064-003 IT SEEMS LIKE APPETITE'S GONE DOWN LIKE A LOT OF PAIN IN HIS THROAT ESPECIALLY WHEN SWALLOWING SOLID FOODS +RES0064-004 HAVE YOU TAKEN A LOOK INTO HIS THROAT IS IT RED DO YOU SEE ANY YELLOW STREAKING WHITE STUFF ANYTHING LIKE THAT +RES0064-005 I DEFINITELY DID TAKE A LOOK YESTERDAY AND DEFINITELY SAW A LOT OF REDNESS I DON'T KNOW IF I SAW ANY WHITE OR YELLOW STREAKS BUT DEFINITELY LOOKS VERY RED IN THERE +RES0064-006 OK DO HIS TONSILS LOOK ENLARGED +RES0064-007 EVERYTHING LOOKS SWOLLEN IN THERE I DON'T KNOW WHAT'S WHAT BUT IT DOES LOOK VERY ANGRY IN THERE +RES0064-008 OK OK AND HAS HE HAD A STUFFY NOSE OR RUNNY NOSE +RES0064-009 NO NOT REALLY NO +RES0064-010 ANY LOSS OF TASTE OR SMELL +RES0064-011 NO NOTHING LIKE THAT +RES0064-012 OK HOW ABOUT CHANGES IN VISION OR HEARING ANY CHANGES IN HER NAILS OR SKIN LIKE RASHES +RES0064-013 NO NO RASHES +RES0064-014 OK HAVE YOU TAKEN HIS TEMPERATURE AT HOME +RES0064-015 NO WE HE I THINK HE MIGHT HAVE HAD A FEVER YESTERDAY BUT WE DIDN'T REALLY TAKE A TEMPERATURE +RES0064-016 OK AND ANY FATIGUE OR EXHAUSTION +RES0064-017 ENERGY'S PRETTY MUCH THE SAME JUST REALLY COMPLAINING A LOT ABOUT THE THROAT +RES0064-018 OK OK HAVE YOU NOTICED ANY SWELLING IN IN THE NECK AREA +RES0064-019 I THINK THERE MIGHT BE LIKE A FEW LUMPS NEAR HIS NECK SO I DON'T KNOW IF THAT'S SWELLING BUT DEFINITELY THERE IS THERE'S A FEW THAT I FELT OVER THE LAST FEW DAYS +RES0064-020 OK COUGHING +RES0064-021 NO HASN'T BEEN COUGHING AT ALL +RES0064-022 OK AND HOW ABOUT SHORTNESS OF BREATH OR WHEEZING +RES0064-023 NO NOTHING LIKE THAT +RES0064-024 CHEST PAIN +RES0064-026 FEELING LIKE HIS HEART IS RACING +RES0064-027 NO +RES0064-028 SWELLING IN HIS LIMBS +RES0064-029 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0064-030 OK DIZZINESS OR FAINTING SPELLS +RES0064-031 NO +RES0064-032 HEADACHES +RES0064-033 HE WAS COMPLAINING OF A HEADACHE A FEW DAYS AGO BUT IT KIND OF WENT AWAY ON ITS OWN +RES0064-035 HAS GONE COMPLETELY NOW +RES0064-036 HOW ABOUT CONFUSION OR MEMORY +RES0064-037 LOSS NO NOT THAT I KNOW +RES0064-039 JOINT PAIN OR MUSCLE ACHES NO OK HOW ABOUT HIS BOWEL +RES0064-040 HAVE THOSE BEEN NORMAL THEY'VE BEEN NORMAL NO DIARRHEA OR CONSTIPATION +RES0064-041 OK HOW ABOUT IN NAUSEA OR VOMITING +RES0064-042 NO NO HE HASN'T TOLD ME ANYTHING ABOUT THAT +RES0064-043 APPETITE CHANGES +RES0064-045 TOLERATE LIKE SOLID FOODS AT ALL HOW ABOUT A WEIGHT +RES0064-046 LOSS OVER THE PAST FEW WEEKS NO NOT REALLY IT'S JUST BEEN OVER THE LAST FEW DAYS +RES0064-047 THAT HE HASN'T BEEN EATING LIKE HIMSELF OK ALRIGHT AND +RES0064-048 HAS HE BEEN HEALTHY OTHERWISE OTHERWISE HE'S A VERY HEALTHY CHILD WE HAVE RARELY GONE TO A DOCTOR FOR HIM BEFORE +RES0064-049 SO NOTHING NOTHING ELSE WITH HIM OK HAVE YOU TRIED ANYTHING FOR HIS SORE THROAT ANYTHING +RES0064-050 OVER THE COUNTER WE DID TRY LIKE TYLENOL TYLENOL COLD IT HELPED WITH THIS HEADACHE +RES0064-051 BUT IT DIDN'T REALLY HELP WITH HIS SORE THROAT OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +RES0064-052 NO NOT THAT I KNOW OF +RES0064-053 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0064-054 NO +RES0064-055 ANY MEDICATIONS THAT HE'S ON +RES0064-056 NO NO MEDICATION +RES0064-057 OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0064-058 ALL HIS IMMUNIZATIONS ARE UP TO DATE +RES0064-059 OK ANY ALLERGIES +RES0064-060 NO NOT THAT I KNOW +RES0064-061 OK FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0064-062 NO NO LUNG OR HEART CONDITIONS HIS FATHER DOES HAVE DIABETES THOUGH +RES0064-063 OK HOW OLD WAS HE WHEN HE WAS DIAGNOSED WITH DIABETES +RES0064-064 I THINK PROBABLY IN HIS LATE THIRTIES WITH TYPE TWO DIABETES +RES0064-065 TYPE TWO OK AND THEN ANY SICK CONTACTS RECENTLY THAT HE MAY HAVE HAD +RES0064-066 I DON'T THINK AT HOME AT LEAST BUT MAYBE AT SCHOOL LIKE YOU NEVER KNOW WHO THEY ARE IN CONTACT WITH SO I'M WONDERING IF HE JUST PICKED IT UP SOMEWHERE FROM SCHOOL +RES0064-067 OK +RES0064-068 THEY'RE ALL WEARING MASKS RIGHT NOW BUT I DON'T KNOW IF HE PICKED SOMETHING SOMETHING UP FROM HIS CLASSMATES +RES0064-069 FOR SURE OK AND THEN ANY TRAVEL TO ANYWHERE RECENTLY +RES0064-070 NO WE'VE BEEN AT HOME HAVEN'T LEFT EVEN TO GO TO LIKE A DIFFERENT CITY HAVE BEEN IN LONDON THE WHOLE TIME +RES0064-071 OK AND WHO DOES HE LIVE WITH AT HOME +RES0064-072 SO HE LIVES WITH MYSELF AND HIS DAD +RES0064-073 ANY SIBLINGS +RES0064-074 NO HE'S AN ONLY CHILD +RES0064-075 OK ANY REASON TO BELIEVE YOU HAVE OLD CARPETS MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING HIS SYMPTOMS +RES0064-076 YOU KNOW WE DON'T HAVE ANY PETS WE DON'T HAVE ANY LIKE OLD CARPETS IT'S A FAIRLY NEW APARTMENT SO I DON'T THINK ANY OF THAT SHOULD BE AN ISSUE +RES0064-077 OKAY WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR HIM ANYTHING THAT YOU WANTED TO ADD OR ANYTHING THAT I MISSED TODAY +RES0064-078 NO I THINK THOSE ARE EVERYTHING I WANTED TO TALK ABOUT BUT I JUST WAS WONDERING IF HE NEEDS TO GET TESTED OR LIKE IF THERE'S ANYTHING WE CAN DO TODAY FOR HIM +RES0064-079-1 SO HE DOES SEEM TO BE CHECKING OFF SOME OF THE CRITERIA FOR STREP THROAT SO JUST TO MAKE SURE BECAUSE HE DOES HAVE A SCORE OF RIGHT NOW AT LEAST +RES0064-079-2 THREE OR FOUR OR MAYBE EVEN FIVE DEFINITELY OVER FOUR WE CAN PRESCRIBE HIM SOME ANTIBIOTICS BUT WE WILL DO A RAPID STREP +RES0064-079-3 TEST FIRST IN THE CLINIC HERE TODAY JUST TO RULE OUT IN OR RULE THAT OUT IF IT COMES BACK POSITIVE AND I GUESS EVEN IF IT ISN'T POSITIVE BECAUSE HE CHECKED OFF A LOT OF THE BOXES FOR +RES0064-079-4 STREP THROAT WE WILL GIVE HIM A PRESCRIPTION FOR PENICILLIN OR AMOXICILLIN FOR TEN DAYS AND THEN YOU CAN TAKE THAT IF HIS SYMPTOMS DON'T GO AWAY IN A DAY OR TWO +RES0064-079-5 BECAUSE HIS SYMPTOMS ALSO OVERLAP WITH COVID WE WILL DO A SWAB FOR THAT AS WELL AND YOU SHOULD HEAR BACK WITHIN TWENTY FOUR TO FORTY EIGHT HOURS AND THEN YOU SHOULD ISOLATE FOR FOURTEEN DAYS DOES THAT SOUND +RES0064-080 THAT SOUNDS GOOD +RES0064-081 OK GREAT THANK YOU +RES0064-082 THANK YOU +RES0065-000 SO WHAT BRINGS YOU INTO THE FAMILY CLINIC TODAY +RES0065-001 I'VE HAD THIS SORE THROAT FOR THE PAST THREE DAYS AND IT DOESN'T SEEM TO BE GETTING ANY BETTER AT ALL I FEEL SORT OF FEVERISH SO I JUST THOUGHT I SHOULD COME IN AND GET THIS CHECKED OUT +RES0065-002 OK AND WHEN DID YOU START HAVING THIS SORE THROAT +RES0065-003 THREE DAYS AGO +RES0065-004 OK AND HOW ABOUT THE FEVER +RES0065-005 THE FEVER I NOTICED MAYBE A DAY BACK +RES0065-006 OK AND DID YOU GET ANY TEMPERATURE MEASUREMENTS +RES0065-007 I DIDN'T TAKE ANY MYSELF BUT I FELT HOT AND I FELT CHILLS +RES0065-008 OK AND HAVE YOUR SORE THROAT OR FEVER GONE WORSE AT ALL +RES0065-009 I THINK IT'S GETTING WORSE +RES0065-010 AND DOES IT USUALLY HAPPEN DURING THE DAY THROUGHOUT THE NIGHT OR DOES IT HAVE ANY SORT OF PATTERN +RES0065-011 I WOULD SAY THAT IT DOESN'T REALLY HAVE A PATTERN THE SORE THROAT IS ALWAYS THERE AND THE FEVER STARTED A DAY BACK AND IT SEEMS TO BREAK SOMETIMES BUT RIGHT NOW THERE IS NO REAL PATTERN TO IT +RES0065-012 OK AND BESIDES THAT DO YOU HAVE ANY COUGH +RES0065-013 NO NO COUGH +RES0065-014 OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU AT ALL +RES0065-015 I TRIED JUST LIKE THOSE LOZENGES AND SEEMS TO BE HELPING JUST SOOTHE MY THROAT BUT IT'S A TEMPORARY RELIEF +RES0065-016 OK AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE +RES0065-017 NO NOTHING LIKE THIS +RES0065-018 AND IS THE SORE THROAT CONSTANT OR DOES IT COME AND GO +RES0065-019 I WOULD SAY IT'S PRETTY CONSTANT NOW +RES0065-020 OK AND HAVE YOU BEEN AROUND ANYONE THAT HAS BEEN SICK RECENTLY +RES0065-021 NOT THAT I KNOW OF +RES0065-022 ANYTHING THAT MAKES YOUR SORE THROAT WORSE +RES0065-023 I GUESS SWALLOWING FOODS MAKES IT WORSE OR AT LEAST IT'S PAINFUL +RES0065-024 OK AND HAVE YOU AT ALL NOTICED ANY LIKE SWELLING AROUND YOUR NECK REGION LIKE SWELLING OF YOUR LYMPH NODES +RES0065-025 SO NOT SWELLING OF MY ENTIRE NECK BUT I HAVE FELT SOME LUMPS IN MY NECK +RES0065-026 OK AND HOW ABOUT ANY SWELLING ANYWHERE ELSE ON YOUR BODY +RES0065-027 NOWHERE ELSE +RES0065-028 OK HAVE YOU NOTICED ANY KIND OF SKIN CHANGES LIKE RASHES OR ANYTHING LIKE THAT +RES0065-029 NO +RES0065-030 OK AND HAVE YOU TRAVELED AT ALL RECENTLY +RES0065-031 NO NOWHERE +RES0065-032 OK DO YOU HAVE ANY HEADACHES OR NAUSEA OR VOMITING +RES0065-033 NO NOTHING LIKE THAT +RES0065-034 OK AND ANY NIGHT SWEATS +RES0065-035 NO +RES0065-036 AND DO YOU FEEL FATIGUED LIKE INCREASED TIREDNESS AT ALL +RES0065-037 I'VE BEEN FEELING REALLY TIRED +RES0065-038 OK ANY CHEST PAIN OR FEELING THAT YOUR HEART IS RACING +RES0065-039 NO NOTHING LIKE THAT +RES0065-040 OK ANY ISSUES WITH BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION +RES0065-041 P NO NO THAT'S BEEN NORMAL +RES0065-042 OK ANY CHANGES IN YOUR URINATION +RES0065-043 NO NO CHANGES +RES0065-044 HAVE YOU BEEN GETTING SLEEP AT NIGHT OR DO YOU HAVE TO KEEP WAKING UP +RES0065-045 I'VE BEEN GETTING OK I SLEEP LIKE I'VE BEEN SLEEPING ABOUT SEVEN TO EIGHT HOURS +RES0065-046 OK AND HOW ABOUT YOUR APPETITE +RES0065-047 I WOULD SAY THAT'S BEEN OK AS WELL IT'S JUST HARD TO EAT A LOT OF FOOD BECAUSE OF THIS SORE THROAT +RES0065-048 AND IS IT JUST WITH SOLIDS OR DO YOU GET THE SORENESS WITH LIQUIDS TOO +RES0065-049 I WOULD SAY MOSTLY WITH SOLIDS SOMETIMES WITH LIQUID IF IT'S LIKE REALLY COLD OR SOMETHING +RES0065-050 OK DO YOU HAVE ANY KIND OF ALLERGIES TO ANYTHING IN YOUR HOUSE LIKE CARPETS PETS OR ANYTHING LIKE THAT +RES0065-051 NO +RES0065-052 OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD +RES0065-053 NO +RES0065-054 NO OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS +RES0065-055 I HAVE CROHN'S CROHN'S DISEASE +RES0065-056 AND WHEN DID YOU GET DIAGNOSED WITH CROHN'S +RES0065-057 THAT WOULD HAVE BEEN LAST YEAR +RES0065-058 LAST YEAR OK AND ARE YOU TAKING ANY MEDICATIONS FOR YOUR CROHN'S DISEASE +RES0065-059 I AM ON SOMETHING FOR IT I THINK IT'S SULFASALAZINE OR SOMETHING LIKE THAT +RES0065-060 OK AND ANY OTHER MEDICATIONS BESIDES THAT +RES0065-061 NO I DON'T THINK SO +RES0065-062 ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +RES0065-063 I HAD A COLONOSCOPY DONE I JUST NEEDED HOSPITALIZATION FOR JUST THE DAY I GUESS +RES0065-064 OK AND WHEN WAS THAT +RES0065-065 THAT WAS ALSO LAST YEAR +RES0065-066 LAST YEAR OK AND DO YOU HAVE ANY FAMILY HISTORY OF ANY CONDITIONS THAT RUN IN THE FAMILY LIKE DO YOU HAVE ANY CROHN'S DISEASE OR ULCERATIVE COLITIS THAT RUN IN THE FAMILY +RES0065-067 BOTH DO +RES0065-068 BOTH DO OK ANY ANYTHING ELSE THAT RUNS IN THE FAMILY +RES0065-069 I KNOW THERE'S SOME ASTHMA AND ECZEMA THAT RUN IN THE FAMILY TOO +RES0065-070 OK AND YOU MENTIONED YOU HAVEN'T BEEN AROUND ANYONE THAT WAS SICK OR RECENTLY GOT SICK +RES0065-071 NO +RES0065-072 OK AND WHERE DO YOU CURRENTLY LIVE +RES0065-073 I LIVE IN AN APARTMENT BY MYSELF SORRY NOT BY MYSELF WITH MY PARENTS AND MY YOUNGER BROTHER +RES0065-074 AND DO YOU AT ALL DRINK ALCOHOL +RES0065-075 NO I DRANK ONCE OR TWICE IN THE PAST BUT I DIDN'T LIKE IT IT MAKES MY CROHN'S WORSE SO I STAY AWAY FROM IT +RES0065-076 OK AND DO YOU SMOKE CIGARETTES +RES0065-077 NO +RES0065-078 AND HOW ABOUT ANY OTHER DRUGS LIKE MARIJUANA +RES0065-079 NO +RES0065-080 OK ALRIGHT SO DO YOU PARTAKE IN ANY LIKE SPORTS OR ACTIVITIES OR ANYTHING LIKE THAT +RES0065-081 I SWIM +RES0065-082 OK ANY CONTACT SPORTS +RES0065-083 NO +RES0065-084 OK ALRIGHT SO OVERALL IT SEEMS THAT YOU HAD THIS SORE THROAT WHICH IS CONSTANT GETTING WORSE AND A BIT OF A FEVER IN TH LAST ONE OR TWO DAYS AND YOU'VE ALSO HAD SWELLING IN YOUR NECK AND SO DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS +RES0065-085 NO LIKE WHAT DO YOU THINK I HAVE DO YOU THINK IT'S COVID +RES0065-086-1 SO DEFINITELY AT THIS TIME YOU KNOW WHENEVER PEOPLE HAVE ANY RESPIRATORY SYMPTOMS WE ALWAYS WANT TO RULE OUT COVID SO WILL DEFINITELY GET A SWAB FOR COVID TESTING DONE FOR YOU TODAY WHICH SHOULD COME BACK WITHIN TWENTY FOUR TO FORTY EIGHT HOURS +RES0065-086-2 AND IN THE MEANTIME YOU SHOULD SELF ISOLATE AND OTHER THAN THAT IT CAN ALSO BE DUE TO THIS SWELLING IN YOUR LYMPH NODES AND ALSO JUST THE OTHER SYMPTOMS IT CAN BE OTHER VIRAL INFECTIONS IT CAN BE +RES0065-086-3 MONO SO WE DEFINITELY HAVE TO DO A COUPLE OF TESTS AND THERE'S ONE TEST THAT WILL DO FOR MONO AS WELL WHICH IS CALLED EBV ANTIBODY TESTING SO WE'LL DO A COUPLE OF THESE TESTS TODAY AND THEN +RES0065-086-4 SEE WHAT WHAT COMES BACK AND IN THE MEANTIME YOU SHOULD DEFINITELY SELF ISOLATE IF YOU HAVEN'T BEEN DOING SO ALREADY +RES0065-087 OK SURE I CAN DO THAT +RES0065-088 DO YOU HAVE ANY QUESTIONS +RES0065-089 NO THAT SOUNDS GOOD THANK YOU SO MUCH +RES0065-090 YOU'RE WELCOME TAKE CARE +RES0065-091 YOU TOO +RES0066-000 SO WHAT BRINGS YOU IN HERE TO THE ER +RES0066-001-1 WELL I THOUGHT I SHOULD START BY SAYING I WAS RECENTLY HOSPITALISED FOR PNEUMONIA I LEFT FIVE DAYS AGO BUT AS SOON AS I LEFT THAT EVENING I STARTED COUGHING AGAIN +RES0066-001-2 AND NOW I HAVE ALL THE SAME SYMPTOMS I HAVE A COUGH I'M FEELING SHORT OF BREATH AND I HAVE A FEELING LIKE I HAVE A FEVER +RES0066-002 OK AND BEFORE YOU WERE DISCHARGED THE DAY CAN YOU LET ME KNOW WHAT YOU HAD AND WHAT KIND OF THINGS WERE YOU TREATED WITH +RES0066-003 I WAS TREATED WITH SOME ANTIBIOTICS I DON'T KNOW EXACTLY WHICH ONES THEY SAID I HAD SOME SORT OF BACTERIAL PNEUMONIA +RES0066-004 OK BUT THEN IT GOT RESOLVED AND THEY SENT YOU HOME +RES0066-005 THAT'S RIGHT +RES0066-006 SO ARE YOUR SYMPTOMS SIMILAR TO WHEN YOU GOT ADMITTED +RES0066-007 THEY ARE SIMILAR BUT I FEEL LIKE THEY ARE ALSO WORSE NOW +RES0066-008 OK WORSE OK SO YOU'RE HAVING A COUGH SHORTNESS OF BREATH AND FEVER AND DID THAT ALL START TOGETHER OR DID ONE COME BEFORE ANOTHER +RES0066-009 SO THE COUGH CAME FIRST THEN THE SHORTNESS OF BREATH AND THEN THE FEVER +RES0066-010 OK AND THE COUGH HOW WOULD YOU DESCRIBE THE COUGH +RES0066-011 IT'S HARSH IT'S PERSISTENT +RES0066-012 ARE YOU PRODUCING ANY SPUTUM +RES0066-013 I GUESS A LITTLE BIT I GUESS A LITTLE BIT AND IT'S YELLOW +RES0066-014 IT'S YELLOW OK DO YOU NOTICE ANY KIND OF BLOOD IN YOUR SPUTUM +RES0066-015 NO NO BLOOD +RES0066-016 OK SO JUST YELLOW SPUTUM AND HOW MUCH WOULD YOU SAY YOU'RE PRODUCING AN AVERAGE DAY +RES0066-017 MAYBE LIKE TEN TO FIFTEEN TIMES IN A DAY I PRODUCE ENOUGH TO FILL LIKE THE INSIDE OF MY PALM +RES0066-018 OK AND WITH THE FEVER DID YOU GET A CHANCE TO MEASURE TAKE A TEMPERATURE AT ALL +RES0066-019 NO I HAVEN'T ACTUALLY TAKEN MY TEMPERATURE +RES0066-020 OK BUT YOU'VE BEEN HAVING CHILLS AND ARE YOU HAVING ANY OTHER SYMPTOMS +RES0066-021 CHILLS I'VE BEEN FEELING KIND OF HOT DURING THE DAY +RES0066-022 OK AND HOW ABOUT THE SHORTNESS OF BREATH IS THAT JUST DURING ACTIVITY OR YOU CAN HAVE THAT WHEN YOU'RE SLEEPING OR RESTING AS WELL +RES0066-023 THE SHORTNESS OF BREATH IS MORE WITH LIKE ACTIVITY WHEN I'M WALKING AROUND +RES0066-024 OK AND HAVE ALL THESE SYMPTOMS BEEN GETTING WORSE AT ALL +RES0066-025 I'D SAY THEY'RE GETTING WORSE NOW IT'S LIKE THIS EVERYDAY AND IT'S DEFINITELY GETTING WORSE +RES0066-026 OK DO YOU FEEL DIZZY OR LIGHTHEADED AT ALL +RES0066-027 NO +RES0066-028 DO YOU HAVE ANY MUSCLE ACHES +RES0066-029 A LITTLE BIT +RES0066-030 OK AND WHERE ON YOUR MUSCLES WOULD YOU SAY ARE ACHING +RES0066-031 I WOULD SAY MY LOWER LIMBS AND JUST GENERALLY ALL OVER BUT JUST LIKE THE BIG MUSCLES LIKE MY THIGHS MY SHOULDERS +RES0066-032 OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LIMBS AT ALL +RES0066-033 NO NO SWELLING +RES0066-034 OK AND ANY KIND OF SWELLING OF YOUR NECK REGION OR LYMPH NODES +RES0066-035 NO NOT THAT I NOTICED +RES0066-036 OK AND DO YOU FEEL ANY KIND OF CHEST PAIN WITH SHORTNESS OF BREATH +RES0066-037 NO NOTHING LIKE THAT +RES0066-038 OK AND SINCE YOU'VE BEEN OUT OF THE HOSPITAL HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S SICK +RES0066-039 NO I WENT STRAIGHT HOME +RES0066-040 AND ANY RECENT TRAVEL +RES0066-041 NO NO RECENT TRAVEL +RES0066-042 OK ANY HEADACHES +RES0066-043 NO HEADACHES +RES0066-044 ANY NAUSEA OR VOMITING +RES0066-045 NO +RES0066-046 ANY KIND OF FATIGUE OR INCREASED TIREDNESS +RES0066-047 I FEEL FATIGUED YES +RES0066-048 OK AND DO YOU FEEL AT ALL THAT YOUR HEART IS RACING +RES0066-049 NO +RES0066-050 OK AND DO YOU HAVE ANY SYMPTOMS LIKE A LOSS OF TASTE SENSE OF TASTE OR SMELL +RES0066-051 NO +RES0066-052 SO OK ANY KIND OF BOWEL MOVEMENT ISSUES ANY CONSTIPATION OR DIARRHEA +RES0066-053 NO +RES0066-054 AND ANY URINARY TROUBLE +RES0066-055 NO NOTHING LIKE THAT +RES0066-056 OK HAVE YOU LOST ANY WEIGHT RECENTLY +RES0066-057 NO +RES0066-058 HAVE YOU BEEN ABLE TO SLEEP THROUGHOUT THE NIGHT OR DOES THE COUGH WAKE YOU UP OR THE CHILLS WAKE YOU UP +RES0066-059 NO THEY DON'T WAKE ME UP I WOULDN'T SAY THAT +RES0066-060 OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CONGESTION ANYTHING LIKE THAT +RES0066-061 NO +RES0066-062 OK AND ANYTHING IN YOUR HOUSE LIKE DUST OR AN OLD CARPET OR PETS ANYTHING THAT TRIGGERS SOME OF THESE SYMPTOMS +RES0066-063 NO +RES0066-064 OK OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH LIKE ASTHMA COPD ANYTHING LIKE THAT +RES0066-065 NO NOTHING LIKE THAT +RES0066-066 OK DO YOU TAKE ANY MEDICATIONS +RES0066-067 I DO I TAKE SOME MULTIVITAMINS PARTICULARLY CALCIUM AND VITAMIN D AND I'M ALSO ON SYNTHROID +RES0066-068 OK SO DO YOU HAVE HYPERTHYROIDISM +RES0066-069 SORRY I FORGOT TO MENTION THAT +RES0066-070 NO WORRIES THEN WHEN YOU WENT HOME AND YOU WERE DISCHARGED DID THEY GIVE YOU ANY ANTIBIOTICS TO FINISH AT HOME +RES0066-071 YES THEY DID SO I ONLY HAD ONE DAYS WORTH LEFT I WAS SWITCHED FROM IV ANTIBIOTIC TO THE ORAL KIND AND SO I'D FINISH THE REMAINING PILLS THAT DAY THEN WENT HOME +RES0066-072 OK SO YOU FINISHED THE COURSE OK GREAT AND DO YOU HAVE ANY PAST HISTORY WHEN YOU WERE ADMITTED ANY OTHER HOSPITALIZATIONS OR SURGERIES AT ALL +RES0066-073 NO +RES0066-074 DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA COPD OR ANY LUNG CONDITIONS +RES0066-075 NO +RES0066-076 ANY OTHER CONDITIONS THAT RUN IN THE FAMILY +RES0066-077 NO +RES0066-078 OK AND CURRENTLY WHERE DO YOU LIVE +RES0066-079 I LIVE IN A HOUSE WITH MY DAUGHTER AND HER HUSBAND +RES0066-080 OK AND ANY ONE OF THEM HAVE SIMILAR SYMPTOMS OR HAVE BEEN SICK RECENTLY +RES0066-081 NO +RES0066-082 OK AND HAVE YOU HAD A COVID TEST DONE AT ALL +RES0066-083 NO NO COVID TESTS HAVE BEEN DONE I HAD ONE IN THE HOSPITAL BEFORE I WAS ADMITTED BUT NONE TODAY +RES0066-084 OK AND DO YOU SMOKE AT ALL +RES0066-085 I USED TO SMOKE I DON'T SMOKE ANYMORE +RES0066-086 OK AND WHEN DID YOU QUIT +RES0066-087 ABOUT SEVEN YEARS AGO +RES0066-088 OK CONGRATULATIONS +RES0066-089 AND HOW MUCH WOULD YOU SAY YOU SMOKED BEFORE THAT AND FOR HOW MANY YEARS +RES0066-090 BEFORE THAT I WOULD SAY IT'S LIKE GOSH TWENTY YEARS AND THEN ABOUT A PACK A DAY +RES0066-091 OK DO YOU DRINK ALCOHOL +RES0066-092 I DRINK LIKE A GLASS OF WINE A WEEK +RES0066-093 OK ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA +RES0066-094 NO +RES0066-095 OK SO IS THERE ANYTHING ELSE ANY OTHER QUESTIONS THAT YOU HAVE FOR ME TODAY +RES0066-096 NO WHAT DO YOU THINK I HAVE +RES0066-097-1 SO THERE'S DEFINITELY MULTIPLE THINGS THAT CAN BE GOING ON SINCE YOU WERE JUST RECENTLY ADMITTED MAYBE YOU MIGHT HAVE ANOTHER BACTERIAL R ESPIRATORY INFECTION LIKE A PNEUMONIA OR IT COULD BE VIRAL AS WELL +RES0066-097-2 SO THE FIRST THING WE WANT TO DO IS FOR SURE GET COVID SWAB DONE AND THEN WE WILL ALSO GET SINCE YOU WERE ADMITTED AS WELL RECENTLY WE WANT TO +RES0066-097-3 GET AN X RAY ON YOU JUST TO SEE IF THERE'S ANY PNEUMONIA OK AND SO WE'LL BE KEEPING YOU HERE FOR A BIT UNTIL EVERYTHING COMES BACK WE'LL GET SOME BLOOD WORK DONE FOR YOU AS WELL TO SEE IF THERE'S ANY INFECTION IN YOUR BODY +RES0066-097-4 AND THEN SO JUST SIT TIGHT WE'LL GET ALL THOSE THINGS DONE IS THAT OK WITH YOU +RES0066-098 THAT'S GREAT THANK YOU +RES0066-099 YOU'RE WELCOME SO WELL WILL BE UPDATING YOU SHORTLY +RES0066-100 OK GREAT THANK YOU +RES0067-000 SO WHAT BRINGS YOU HERE TODAY +RES0067-001-1 YEAH I HAVE MY TWO YEAR OLD DAUGHTER HERE WITH ME I DON'T KNOW WHAT'S HAPPENING WITH HER BUT SHE SEEMS TO BE GETTING REALLY SICK SO I'LL GIVE YOU THAT KIND OF TIMELINE SO TWO DAYS AGO SHE WAS FEELING HOT +RES0067-001-2 AND HER FEVER HASN'T BROKEN WE'VE BEEN GIVING HER TYLENOL BUT SHE STILL SEEMS TO HAVE A FEVER THE LAST TIME I CHECKED HER TEMPERATURE WAS THIRTY EIGHT POINT FIVE +RES0067-001-3 SHE SEEMS TO HAVE ISSUES SWALLOWING FOOD SHE'S DROOLING AND SHE SEEMS SHORT OF BREATH +RES0067-002 OK AND WHEN DID SHE START GETTING SHORT OF BREATH +RES0067-003 THAT STARTED YESTERDAY +RES0067-004 HAS HER FEVER BEEN GETTING WORSE OR HAS IT STAYED AROUND THE SAME +RES0067-005 SO I JUST SO CHECKED THE FIRST DAY IT WAS LIKE THIRTY EIGHT THIRTY EIGHT POINT FIVE +RES0067-006 OK AND WHEN DID THE TROUBLE SWALLOWING START +RES0067-007 THAT STARTED YESTERDAY AS WELL +RES0067-008 OK AND HAS IT BEEN GETTING WORSE AT ALL +RES0067-009 I THINK SO NOW SHE'S BARELY EVEN DRINKING FLUIDS +RES0067-010 OK SO IT'S BOTH SOLIDS AND FLUIDS OK HAVE YOU NOTICED ANY SWELLING IN HER NECK AREA OR REDNESS OR SWELLING IN HER THROAT +RES0067-011 I'VE NOTICED SOME OF THAT +RES0067-012 OK YOU SEE A LOT OF REDNESS IN THERE +RES0067-013 I SEE I SEE QUITE A BIT OF REDNESS IN THERE +RES0067-014 AND HAS SHE BEEN DROOLING AT ALL +RES0067-016 A LITTLE BIT +RES0067-017 OK ALRIGHT +RES0067-018 ANY COUGHING NOT THAT I NOTICED NO COUGHING OK AND DO YOU NOTICE THAT SHE'S +RES0067-019 INCREASINGLY FATIGUED OR +RES0067-020 JUST NOT HERSELF OR IS SHE IRRITABLE SHE'S VERY IRRITABLE OK DO YOU NOTICE ANY KIND OF PALENESS +RES0067-021 OR BLUENESS IN HER SKIN ANYTHING LIKE THAT SHE'S NOT BLUE +RES0067-022 SHE'S LOOKING A LITTLE PALE THOUGH OK AND SORRY WHEN DID THE SHORTNESS OF BREATH START IS IT GETTING WORSE AT ALL +RES0067-023 SHORTNESS OF BREATH STARTED YESTERDAY AS WELL MORESO TODAY WHICH IS WHY I BROUGHT HER IN +RES0067-024 OK ANY OTHER SYMPTOMS LIKE NAUSEA OR VOMITING OR DIARRHEA OR CONSTIPATION +RES0067-025 NO NOTHING LIKE THAT +RES0067-026 OK AND HOW'S HER APPETITE AND SLEEP +RES0067-027 IT'S BEEN IT'S BEEN NOT GREAT SHE'S NOT EATING WELL I GUESS BECAUSE SHE'S IN A LOT OF PAIN AND SHE DIDN'T SLEEP WELL FOR THE PAST +RES0067-028 TWO NIGHTS EITHER OK HAS SHE HAD ANY RECENT INFECTIONS AT ALL LIKE A COLD OR ANYTHING LIKE THAT +RES0067-029 SHE DID HAVE A COUGH +RES0067-030 TWO WEEKS AGO OK AND DID IT JUST GO AWAY ON IT'S OWN OR DID SHE NEED ANY ANTIBIOTICS OR ANY OTHER MEDICATIONS +RES0067-031 I THINK NO SHE DIDN'T NEED ANY ANTIBIOTICS IT KIND OF WENT AWAY ON ITS OWN +RES0067-032 OK ANY SICK CONTACTS WITHIN THE LAST WEEK OR TWO WEEKS +RES0067-033 I MEAN SHE GOES TO DAYCARE SO SHE MIGHT HAVE PICKED SOMETHING UP FROM THERE LAST I CHECKED NO ONE AT DAYCARE WAS SICK LIKE RIGHT NOW BUT THREE WEEKS AGO THERE WAS SOMEONE WHO WAS SICK +RES0067-034 OK ANY PAST MEDICAL HISTORY +RES0067-035 NO SHE'S BEEN PRETTY HEALTHY OTHERWISE +RES0067-036 ANY ISSUES DURING PREGNANCY OR AFTER BIRTH AT ALL +RES0067-037 NO +RES0067-038 ARE HER IMMUNIZATIONS ARE UP TO DATE +RES0067-039 YES SHE DIDN'T GET THE H FLU VACCINE THOUGH +RES0067-040 OK OK ANY HOSPITALIZATIONS OR ANYTHING LIKE THAT IN THE PAST +RES0067-041 NO +RES0067-042 OK AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +RES0067-043 NO +RES0067-044 AND CURRENTLY WHO DOES SHE LIVE WITH AT HOME +RES0067-045 I'M SHE LIVES WITH MYSELF AS WELL AS HER +RES0067-046 OLDER BROTHER OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS THAT I HAVE +RES0067-047 I I DO THINK THIS IS LIKE +RES0067-048-1 AN URGENT MATTER BECAUSE SHE HAS NOT BEEN VACCINATED WITH THE H FLU VACCINE +RES0067-048-2 AND SOME OF THE SYMPTOMS THAT SHE'S DISPLAYING LIKE THE DROOLING AND TROUBLE SWALLOWING AND NOW ESPECIALLY THE SHORTNESS OF BREATH ARE VERY CONCERNING I REALLY THINK WE SHOULD GO TO THE EMERGENCY DEPARTMENT I'LL GIVE THEM A CALL TO LE THEM KNOW THAT YOU'RE COMING +RES0067-048-3 AND WHAT THEY WILL MOST LIKELY DO THERE IS GET A TEST DONE TO SEE IF SHE HAS H FLU AND ALSO THEY MIGHT DO PERHAPS LIKE A COVID SWAB AS WELL +RES0067-048-4 AND THEY MIGHT GET AN X RAY OF HER NECK AS WELL TO SEE IT SO WHAT I THINK MIGHT BE GOING ON IS WITH H FLU YOU CAN GET +RES0067-048-5 SWELLING OF YOUR EPIGLOTTIS AND IT CAN KIND OF OBSTRUCT YOUR THROAT IT'S VERY URGENT MATTER SO THAT'S WHY WE WILL MAKE SURE YOU GET TO THE ER AND +RES0067-048-6 YOU KNOW WE'LL GO FROM THERE DOES THAT SOUND I KNOW IT MAY BE VERY WORRYING RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL +RES0067-049 DO YOU KNOW HOW LONG WILL SHE HAVE TO BE IN THE HOSPITAL +RES0067-050-1 SO RIGHT NOW WE JUST NEED TO MAKE SURE THAT SHE'S STABLE LIKE ALL HER VITALS YOU KNOW WHEN SHE GETS TO THE ER THEY CAN GIVE HER THE APPROPRIATE ANTIBIOTICS AS WELL AND BASED ON THAT WE NEED TO MAKE SURE HER BREATHING GET STABILIZED +RES0067-050-2 SO SHE MIGHT BE IN THE ER FOR ONE DAY IF THEY THINK SHE NEEDS TO BE ON IV ANTIBIOTICS IN THE HOSPITAL SHE MIGHT BE IN THE HOSPITAL FOR A FEW MORE DAYS OR EVEN A WEEK SO IT'S REALLY HARD TO SAY RIGHT NOW BUT OUR PRIORITY RIGHT NOW IS TO MAKE SURE SHE'S STABILIZED IN THE ER +RES0067-051 OK OK THAT SOUNDS GOOD +RES0067-052 SO I'LL GIVE THEM A CALL RIGHT NOW AND YOU CAN HEAD OVER TO THE ER OR IF YOU NEED A RIDE WE CAN ARRANGE TO DO THAT FOR YOU TOO +RES0067-053 OK GREAT THAT SOUNDS GREAT +RES0067-054 THANK YOU +RES0067-055 YOU TOO +RES0071-000 WHAT BRINGS YOU IN HERE +RES0071-001 I'VE HAD THIS COUGH FOR OVER A WEEK NOW AND IT JUST HASN'T GONE AWAY +RES0071-002 OK AND SO THIS COUGH HAS BEEN GOING ON FOR A WEEK CAN YOU DESCRIBE THE COUGH A LITTLE BIT FOR ME +RES0071-003 SO I MEAN SOMETIMES I PRODUCE SPUTUM AND SOMETIMES I DON'T IT'S +RES0071-004 WHITE AND WHITEISH CLEAR IN COLOR OK AND IT'S BEEN GOING ON FOR +RES0071-005 MORE THAN A WEEK HAS IT BEEN GETTING WORSE IT GOT A LITTLE BIT WORSE AT FIRST BUT THEN IT'S BEEN KIND OF THE SAME +RES0071-006 SINCE OK HAVE YOU NOTICED AT ALL LIKE GREEN OR YELLOW COLOR OF YOUR SPUTUM OR ANY BLOOD TINGED SPUTUM +RES0071-007 NO BLOOD AND MAYBE A LITTLE YELLOWISH +RES0071-008 OK LITTLE YELLOWISH OK AND HOW MUCH WOULD YOU SAY YOU BRING UP ON AN AVERAGE DAY +RES0071-009 A COUPLE OF TEASPOONS +RES0071-010 COUPLE OF TEASPOONS OK OK HAS THERE BEEN ANYTHING THAT MAKES IT WORSE OR BETTER +RES0071-011 NOTHING THAT I CAN THINK OF +RES0071-012 OK AND HAVE YOU HAD THIS HAPPEN TO YOU PREVIOUSLY IN THE PAST +RES0071-014 NO AND IS THE COUGH +RES0071-015 CONSTANT OR DOES IT COME AND GO IT COMES AND GOES THROUGHOUT THE DAY NO +RES0071-016 PARTICULAR TIME OF THE DAY IT'S WORSE OK AND ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE COUGH LIKE SHORTNESS OF BREATH SORE THROAT RUNNY NOSE CONGESTION ANYTHING LIKE THAT +RES0071-017 I'VE HAD A SORE THROAT AND A HEADACHE AS WELL +RES0071-018 OK AND WHEN DID THE SORE THROAT START +RES0071-019 THAT STARTED ABOUT +RES0071-020 FIVE DAYS AGO FIVE DAYS AGO AND HAS IT BEEN GETTING WORSE +RES0071-021 NO THAT'S BEEN ABOUT THE SAME +RES0071-022 AND DO YOU HAVE ANY DIFFICULTY SWALLOWING AT ALL +RES0071-023 IT'S A LITTLE SORE BUT IT'S BEEN OK TO EAT AND DRINK +RES0071-024 OK AND HAVE YOU NOTICED ANY KIND OF REDNESS IN YOUR THROAT OR ANY SWELLING AROUND YOUR NECK +RES0071-025 NO I TOOK A LOOK IN THE MIRROR AS BEST I COULD WITH MY PHONE AND I COULDN'T REALLY NOTICE ANYTHING THAT LOOKED RED +RES0071-026 OK AND HOW ABOUT THE HEADACHE WHEN DID THAT START +RES0071-027 SO IT'S BEEN KIND OF OFF AND ON OVER THE PAST WEEK OR SO FEELS LIKE A LIKE A PRESSURE SENSATION AND MY HEAD IS JUST REALLY SQUEEZING +RES0071-028 OK AND SO IS IT ON ONE SIDE OF YOUR HEAD OR BOTH SIDES +RES0071-029 BOTH SIDES +RES0071-030 AND IT'S KIND OF LIKE A PRESSURE AND SQUEEZING IS IT AT ALL PULSATING +RES0071-031 NO +RES0071-032 NO OK IS IT CONSTANT OR DOES IT COME AND GO +RES0071-033 IT COMES AND GOES +RES0071-034 OK AND HAVE YOU TAKEN ANY MEDICATIONS TO MAKE ANY OF THESE SYMPTOMS BETTER +RES0071-035 I HAVE USED SOME ADVIL FOR THE HEADACHES AND OVER THE COUNTER MEDICINE AT NIGHT TIME TO HELP SLEEP +RES0071-036 OK AND DO YOU RECALL DOING ANYTHING IN THE LAST FEW WEEKS WHICH YOU MIGHT BELIEVE THAT CAUSED SOME OF THESE SYMPTOMS LIKE FOR EXAMPLE WERE YOU IN CONTACT WITH ANYONE THAT WAS SICK AT ALL +RES0071-037 WELL I'M A NURSING STUDENT AND I'VE BEEN ON ROTATIONS IN THE HOSPITAL RECENTLY +RES0071-038 AND ANYONE THAT YOU PROBABLY SAW IN THE HOSPITAL ANYONE SICK THAT YOU WERE IN CONTACT WITH +RES0071-039 I DID SEE SOME PEOPLE WHO HAD LIKE +RES0071-040 INFECTIOUS SYMPTOMS OK AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +RES0071-041 I'VE FELT CHILLS +RES0071-042 OK CHILLS AND WHEN DID YOU FEEL THEM +RES0071-043 I'VE BEEN FEELING CHILLS THROUGHOUT THE DAY AND AT NIGHT I JUST FEEL LIKE I CAN'T GET WARM EVEN WITH A BLANKET ON +RES0071-044 OK AND HAVE YOU TAKEN YOUR TEMPERATURE AT ALL +RES0071-045 NO +RES0071-046 OK WE CAN DO THAT FOR YOU TODAY OTHER THAN THAT ANY RECENT TRAVEL OUTSIDE OF THE PROVINCE +RES0071-047 NO BEEN JUST AT SCHOOL +RES0071-048 OK AND ANY LOSS OF SENSE OF TASTE OR SMELL +RES0071-049 NO +RES0071-050 ANY NAUSEA OR VOMITING +RES0071-051 NO +RES0071-052 ANY NIGHT SWEATS +RES0071-053 NO +RES0071-054 OK ANY FATIGUE +RES0071-055 YES +RES0071-056 OK AND HOW WHEN DID THAT START +RES0071-057 JUST OVER THIS PAST WEEK I'VE BEEN REALLY TIRED I'VE BEEN BEEN NEEDING NAPS AND NOT FEELING RESTED IN THE MORNING +RES0071-058 OK ANY CHEST PAIN AT ALL +RES0071-059 I DO IT DOES FEEL SORE KIND OF +RES0071-060 THE CENTER OF MY OF MY CHEST +RES0071-061 OK SO ANY COUGHING AT ALL I FEEL IT LIKE MORE LIKE IT DOES HURT WHEN WHEN I'M COUGHING THAT'S KIND OF WHAT I'M FEELING IT I THINK IT'S BEING CAUSED BY HOW MUCH I'M COUGHING I KIND OF FEEL IT THERE IN THE CENTER +RES0071-062 AND BESIDES WHEN YOU'RE COUGHING DO YOU HAVE ANY PAIN IN YOUR CHEST WHEN YOU'RE BREATHING IN OR OUT +RES0071-063 NO +RES0071-064 NO OK ALRIGHT ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA +RES0071-065 NO +RES0071-066 ANY URINARY ISSUES +RES0071-067 NO +RES0071-068 OK ANY CHANGES WITH YOUR SLEEPING OR YOUR APPETITE +RES0071-069 NO +RES0071-070 NO HAVE YOU NOTICED ANY SIGNIFICANT WEIGHT LOSS IN THE LAST FEW WEEKS +RES0071-071 NO IT'S BEEN THE SAME +RES0071-072 OK AND HAVE YOU RECENTLY PRIOR TO YOUR COUGHING HAVE YOU HAD ANY INFECTIONS LIKE A VIRAL ILLNESS OR LIKE A COLD FOR EXAMPLE ANYTHING LIKE THAT +RES0071-073 NOW THAT I THINK ABOUT IT I MEAN MAYBE LIKE A MONTH AGO I HAD LIKE A RUNNY NOSE FOR A COUPLE OF DAYS AND IT JUST WENT AWAY +RES0071-074 OK WERE YOU ON ANY KIND OF MEDICATIONS OR ANTIBIOTICS AT ALL +RES0071-075 NO JUST WENT AWAY ON ITS OWN PRETTY QUICKLY +RES0071-076 ALRIGHT DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT +RES0071-077 NO I DON'T I'M HEALTHY +RES0071-078 OK DO YOU HAVE ANY ALLERGIES +RES0071-080 NO DO YOU TAKE ANY MEDICATIONS REGULARLY +RES0071-081 NO +RES0071-082 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0071-083 NO +RES0071-084 AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANY CANCERS +RES0071-085 I THINK MY MOM HAS HIGH BLOOD PRESSURE +RES0072-000 SO WHAT BRINGS YOU IN HERE +RES0072-001 YEAH I'VE HAD THIS SORE THROAT IT STARTED REALLY YESTERDAY AND I'VE BEEN HAVING PROBLEMS WITH EATING AND DRINKING +RES0072-002 OK SO IT JUST STARTED YESTERDAY HAS IT HAS IT OCCURRED BEFORE +RES0072-003 NOT THIS PAINFUL BEFORE +RES0072-004 OK SO AND YOU'RE HAVING ARE YOU HAVING ANY TROUBLE SWALLOWING JUST SOLIDS OR LIQUIDS AS WELL +RES0072-005 IT HURTS TO SWALLOW BOTH WHEN I HAVE SOMETHING REALLY COLD IT HELPS I MEAN IT'S EASIER TO DRINK BUT IT STILL HURTS +RES0072-006 OK AND ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT +RES0072-007 YEAH I'VE BEEN NAUSEOUS AND I VOMITED A COUPLE OF TIMES +RES0072-008 OK JUST WITHIN THE LAST DAY +RES0072-009 THIS IS OVER THE LAST DAY I VOMITED THREE TIMES YESTERDAY AND ONCE ONCE TODAY +RES0072-010 OK AND WHAT WAS THE COLOR OF THE VOMIT WAS IT JUST FOOD THAT YOU HAD EATEN OR WAS IT GREEN CAN YOU DESCRIBE IT A LITTLE BIT +RES0072-011 YEAH SO THE FIRST TWO TIMES IT WAS MORE OF WHAT LIKE THE FOOD THAT I HAD EATEN AND THEN THE LAST TWO TIMES IT'S BEEN MORE YELLOWISH GREEN CAUSE I HAVEN'T REALLY EATEN MUCH SINCE YESTERDAY AFTERNOON +RES0072-012 OK AND DID YOU NOTICE ANY BLOOD IN IT AT ALL +RES0072-013 NO BLOOD +RES0072-014 OK AND DO YOU HAVE ANY IDEA WHAT CAUSED THE NAUSEA OR VOMITING WAS IT AFTER EATING OR LIKE WERE THERE ANY TRIGGERS +RES0072-015 I I THINK THE FIRST TIME WAS ASSOCIATED WITH LIKE AFTER EATING BUT I'M NOT SURE ABOUT THE OTHER ONES +RES0072-016 OK AND WITH YOUR SORE THROAT ARE YOU HAVING ANY KIND OF LIKE A GAG REFLEX OR ANYTHING LIKE THAT +RES0072-017 YEAH MAYBE A LITTLE BIT MAYBE THAT'S WHAT KIND OF MAYBE THAT'S PROMPTED IT +RES0072-018 OK AND ARE YOU HAVING ANY SO IS YOUR HAS YOUR SORE THROAT BEEN JUST CONSTANT OR DOES IT COME COME AND GO +RES0072-019 IT'S BEEN PRETTY CONSTANT +RES0072-020 AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF ONE TO TEN ONE BEING THE LEAST PAIN YOU'VE FELT IN YOUR LIFE TEN BEING THE WORST +RES0072-021 I WOULD SAY A A SIX IT'S PRETTY PAINFUL +RES0072-022 OK HAVE YOU NOTICED ANY KIND OF LIKE SWELLING AROUND YOUR NECK OR ANY REDNESS IN YOUR THROAT +RES0072-023 YEAH MY LEG I FELT MY NECK THIS MORNING IN THE FRONT OF IT IT DOES FEEL SWOLLEN +RES0072-024 OK AND ARE YOU COUGHING AT ALL +RES0072-025 NO I HAVEN'T HAD A COUGH +RES0072-026 OK SO NO COUGH BUT ARE YOU PRODUCING ANY SPUTUM OR YELLOW MATERIAL +RES0072-027 NO NOTHING LIKE THAT +RES0072-028 OK ARE YOU COUGHING UP ANY BLOOD AT ALL +RES0072-029 NO +RES0072-030 ARE THERE IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE THAT YOU HAVE TRIED +RES0072-031 JUST COLD DRINKS +RES0072-032 OK AND SO YOU'VE ALSO YOU HAD NAUSEA AND VOMITING ARE YOU HAVING ANY KIND OF DIARRHEA OR CONSTIPATION +RES0072-033 NO BUT I I'VE HAD A SORE STOMACH +RES0072-034 OK AND DID THAT ALSO START YESTERDAY +RES0072-035 YEAH IT'S JUST BEEN LIKE FAIRLY GENERALIZED FEELS SORE +RES0072-036 OK SO NOT IN ANY PARTICULAR AREA JUST KIND OF ALL OVER YOUR STOMACH +RES0072-037 YEAH LIKE I MEAN I GUESS SORT OF LIKE IN THE CENTER MORE SO BUT I CAN'T REALLY PUT ONE FINGER ON THE SPOT +RES0072-038 OK AND IS IT CONSTANT OR DOES IT COME AND GO +RES0072-039 IT KIND OF COMES AND GOES +RES0072-040 OK AND IS IT ASSOCIATED WITH EATING FOOD AT ALL OR DOES IT GET BETTER WHEN YOU DEFECATE +RES0072-041 I HAVEN'T NOTICED ANYTHING LIKE THAT MAYBE IT IT IT IS WORSE AFTER AFTER VOMITING THOSE FEW TIMES +RES0072-042 I SEE OK YEAH SO SOMETIMES WITH THE VOMITING YOU CAN ALSO GET SOME SOME DISCOMFORT ANY CHANGES LIKE SO NO DIARRHEA OR CONSTIPATION THOUGH RIGHT +RES0072-043 NO +RES0072-044 SO ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR OR CHEST PAIN OR LIKE A RUNNY NOSE ANY ANY OF THOSE SYMPTOMS +RES0072-045 NO NOTHING LIKE THAT I'VE JUST HAD A HEADACHE AS WELL BUT IT'S BEEN IT'S PRETTY MILD +RES0072-046 OK HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER +RES0072-047 I YEAH I TOOK A TYLENOL CAUSE I STARTED FEELING A LITTLE BIT HOT AS WELL TO HELP ME SLEEP LAST NIGHT +RES0072-048 OK HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +RES0072-049 I FELT HOT BUT NO NO CHILLS +RES0072-050 AND DID YOU MANAGE TO GET LIKE A TEMPERATURE AT ALL +RES0072-051 NO +RES0072-052 OK WE CAN DO THAT HERE TODAY SO YOU JUST FELT LIKE A BIT HOT LAST NIGHT +RES0072-053 YEAH YEAH LAST NIGHT I FELT PRETTY HOT OK WITH SWEATY OK +RES0072-054 ANY HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK OR ANY RECENT TRAVEL AT ALL +RES0072-055 I MEAN NOT NOT THAT I CAN THINK OF +RES0072-056 OK ANY OTHER SO I'M JUST GOING TO LIST A FEW SYMPTOMS JUST LET ME KNOW IF YOU HAVE ANY OF THEM DO YOU DO YOU FEEL FATIGUED +RES0072-057 NO +RES0072-058 OK DO YOU FEEL ANT KIND OF THAT YOU HAVE ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANY RASHES OR SKIN CHANGES +RES0072-059 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0072-060 OK ANY CHANGES IN YOUR URINARY PATTERN +RES0072-061 NO +RES0072-062 OK ANY CHANGES IN YOUR SLEEP OR APPETITE +RES0072-063 NO +RES0072-064 OK ANY SIGNIFICANT WEIGHT LOSS OVER THE LAST MONTH +RES0072-065 NO MY WEIGHT HAS BEEN THE SAME +RES0072-066 OK AND HAVE YOU BEFORE THIS ALL STARTED HAVE YOU HAD ANY LIKE CONGESTION RUNNY NOSE OR ANY OTHER COLD LIKE SYMPTOMS +RES0072-067 NO I'VE I'VE FELT WELL OTHERWISE +RES0072-068 OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE ASTHMA OR ANYTHING ELSE +RES0072-069 NO WHAT YEAH I KNOW +RES0072-070 OK SO YOU'RE HEALTHY +RES0072-071 YES +RES0072-072 OK DO YOU HAVE ANY ALLERGIES +RES0072-073 NO I DON'T +RES0072-074 OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS REGULARLY +RES0072-075 NO +RES0072-076 ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +RES0072-077 NO +RES0072-078 ANY FAMILY HISTORY OF ANY LUNG CONDITIONS OR HEART CONDITIONS OR ANY CANCERS +RES0072-079 NO NOTHING LIKE THAT +RES0072-080 OK AND CURRENTLY DO YOU WORK +RES0072-081 NO I'M BEEN JUST GOING TO SCHOOL +RES0072-082 OK AND DO YOU SO CURRENTLY WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH +RES0072-083 SO WE LIVE IN A A HOUSE WITH WITH MY PARENTS AND YOUNGER BROTHER AND WE'VE BEEN BOTH BACK AT SCHOOL NOW PART TIME AND DOING SOME OF IT AT HOME ONLINE AS WELL +RES0072-084 OK SO ANYONE AT ALL THAT YOU NOTICE AT SCHOOL THAT WAS SICK AROUND YOU +RES0072-085 NO NOT THAT I AM AWARE OF +RES0072-086 OK SO THIS IS JUST A QUESTION THAT WE ASK EVERYONE DO YOU DRINK ALCOHOL OR SMOKE CIGARETTES OR USE ANY RECREATIONAL DRUGS +RES0072-087 NO +RES0072-088 OK YEAH SO THOSE ARE ALL THE QUESTIONS I HAD TO ASK YOU ANY ANYTHING THAT I MAY HAVE MISSED OR ANYTHING YOU WANT TO TELL ME +RES0072-089 NO THAT'S THAT'S EVERYTHING THAT'S BEEN HAPPENING OVER THE LAST COUPLE OF DAYS +RES0072-090-1 OK ALRIGHT SO IT SEEMS THAT FROM YOUR AGE AND SOME OF YOUR SYMPTOMS WE WILL DEFINITELY DO A TESTING FOR STREP THROAT +RES0072-090-2 IT SEEMS THAT YOU MEET THAT CRITERIA AND WE ALSO WANT TO MAKE SURE THAT SINCE YOU'RE HAVING OTHER SYMPTOMS AS WELL JUST TO DO A COVID TEST JUST IN CASE +RES0072-090-3 AND IT'S JUST HAPPENING FOR ONE DAY IT DOESN'T SEEM THAT YOU'RE WE'LL TAKE YOUR TEMPERATURE AS WELL +RES0072-090-4 AND WE MIGHT GIVE YOU SOME ANTIBIOTICS AS WELL TO TREAT YOU AND RELIEVE SOME OF THOSE SYMPTOMS +RES0072-090-5 SO JUST HANG TIGHT WE'LL GET THE SWAB DONE FOR YOU FOR THE COVID TEST AS WELL AS STREP THROAT AND THEN WE'LL GO FROM THERE +RES0072-091 GREAT THANK YOU +RES0072-092 YOU'RE WELCOME TAKE CARE +RES0072-093 TAKE CARE +RES0073-000 WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN +RES0073-001-1 SO OVER THE LAST WEEK I'VE JUST BEEN FEELING SOME SYMPTOMS IT KIND OF FIRST STARTED WITH LIKE A RUNNY NOSE THAT WAS AROUND LIKE FIVE DAYS AGO AND THEN IT +RES0073-001-2 TURNED INTO JUST A LOT OF CONGESTION LIKE AROUND MY NOSE AND LIKE MY THROAT +RES0073-001-3 AND NOW OVER THE LAST TWO DAYS I'VE BEEN JUST FEELING SO MUCH PRESSURE AROUND MY NOSE AND AROUND MY JAW SO I'VE BEEN GETTING A LOT OF PAIN THERE AS WELL +RES0073-002 OK IS YOUR NOSE STILL RUNNING +RES0073-003 I'M STILL GETTING SOME DISCHARGE AND I ALSO FEEL LIKE I'M GETTING SOME DRIPPING AT THE BACK OF MY THROAT TOO ESPECIALLY WHEN I WAKE UP +RES0073-004 OK AND COULD YOU DESCRIBE THE DISCHARGE IS IT CLEAR YELLOW GREENISH +RES0073-005 IT'S FAIRLY CLEAR AND SOMETIMES LIKE A BIT WHITE BUT LIKE IT'S NOT LIKE GREEN OR YELLOW +RES0073-006 OK AND HAVE YOU FELT THAT IT'S DIFFICULT TO BREATHE IN THROUGH EITHER OF YOUR NOSTRILS LIKE IT'S OBSTRUCTED +RES0073-007 SO AT NIGHT SOMETIMES I HAVE TO LIKE TURN BECAUSE ONE SIDE OF MY NOSE GETS DIFFICULT TO BREATHE FROM AND THEN IT KIND OF BALANCES OUT ON THE OTHER SIDE SO I DO HAVE SOME OBSTRUCTION +RES0073-008 OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL +RES0073-009 SO JUST IN THE LAST THREE DAYS WHEN THE CONGESTION GOT REALLY BAD I STARTED LOSING THE ABILITY TO SMELL +RES0073-010 OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE +RES0073-011 NO TASTE IS FINE +RES0073-012 OK AND HAVE YOU HAD ANY COUGH OR SORE THROAT +RES0073-013 NO NO COUGH OR SORE THROAT +RES0073-014 OK AND THE SYMPTOMS HAVE GONE ON FOR FIVE DAYS HAVE YOU HAD A PERIOD OF TIME WHERE YOU GOT BETTER +RES0073-015 AND THEN GOT SICK AGAIN I DID KIND OF HAVE A RUNNY NOSE LAST WEEK AS WELL SO PROBABLY LIKE EIGHT DAYS AGO BUT THEN THE RUNNY NOSE DISCONTINUED A LITTLE BIT BUT REALLY GOT WORSE FIVE DAYS AGO BUT ALL THESE OTHER SYMPTOMS JUST HAPPENED IN THE LAST FEW DAYS +RES0073-016 OK AND YOU HAVE PAIN DO YOU FEEL IT IN YOUR JAW OR DO YOU FEEL IT IN THE IN THE FRONT OF YOUR NOSE +RES0073-017 YES I WOULD SAY MAINLY OVER THE CHEEKS IT CAN KIND OF GO NEAR THE FRONT OF MY TEETH AS WELL SO LIKE I WOULD SAY LIKE MOSTLY AROUND THE CHEEKS JAWS AND UP TO THE FRONT OF MY TEETH +RES0073-018 OK AND DO YOU GRIND YOUR TEETH AT ALL AT NIGHT OR HAVE YOU HAD TMJ ISSUES BEFORE +RES0073-019 NO NOTHING LIKE THAT I THINK IT'S NOT SO MUCH ON AND AROUND MY TEETH IT'S MORE SO JUST TO RIGHT BELOW MY NOSE ABOVE MY TEETH AND JUST AROUND MY CHEEKS +RES0073-020 OK SO NO PAIN IN YOUR MOUTH OR ANYTHING LIKE THAT +RES0073-021 NO NOT INSIDE MY MOUTH +RES0073-022 OK HAVE YOU HAD ANY FEVERS OR CHILLS +RES0073-023 I DON'T THINK I'VE HAD A FEVER I DID FEEL SOME CHILLS OVER THE LAST FEW DAYS BUT JUST VERY BRIEF EPISODES +RES0073-024 OK AND OVER THE LAST FEW WEEKS HAVE YOU HAD ANY WEIGHT LOSS +RES0073-025 NO +RES0073-026 OK AND YOU SAID YOU DIDN'T HAVE A COUGH OR A SORE THROAT BUT HAVE YOU HAD ANY WHEEZING +RES0073-027 NO WHEEZING +RES0073-028 HOW ABOUT ANY SHORTNESS OF BREATH +RES0073-029 NOT SHORTNESS OF BREATH JUST SOMETIMES WHEN MY NOSE GETS LIKE REALLY CONGESTED I JUST TURN INTO LIKE A MOUTH BREATHER BUT THAT'S ABOUT IT +RES0073-030 I SEE OK AND HAVE YOU HAD ANY CHEST PAIN +RES0073-031 NO NO CHEST PAIN +RES0073-032 ALRIGHT AND ANY LIGHTHEADEDNESS OR FEELING DIZZY +RES0073-033 NO +RES0073-034 OK HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0073-035 NOPE +RES0073-036 ANY ABDOMINAL PAIN +RES0073-037 NO +RES0073-038 HAVE YOU HAD ANY DIARRHEA +RES0073-039 SORRY WHAT WAS THAT +RES0073-040 HAVE YOU HAD ANY DIARRHEA +RES0073-041 NO DIARRHEA +RES0073-042 OK AND HAVE YOU HAD ANY URINARY PROBLEMS +RES0073-043 NO +RES0073-044 AND HAVE YOU HAD ANY RASHES OR SKIN CHANGES +RES0073-045 NO NOT THAT I KNOW +RES0073-046 OK THEN HOW ABOUT ANY MUSCLE ACHES OR JOINT ACHES +RES0073-048 NO OK AND +RES0073-050 HAVE YOU HAD ANY MUSCLE WEAKNESS +RES0073-051 NO AND HOW HAS YOUR ENERGY BEEN ANY FATIGUE IT'S BEEN MAINLY OK JUST MAYBE SOMETIMES DIFFICULT TO GET TO SLEEP WITH ALL THE ALL THE CONGESTION BUT I DON'T THINK MY ENERGY HAS BEEN AFFECTED TOO MUCH NO +RES0073-052 OK AND SORRY TO GO BACK TO THIS I DON'T THINK I ASKED DID YOU NOTICE ANY DISCHARGE FROM YOUR EYES OR ANY EYE REDNESS +RES0073-053 NOT DISCHARGE BUT MAYBE A LITTLE BIT OF REDNESS +RES0073-054 OK HAVE YOUR EYES BEEN ITCHY +RES0073-055 A LITTLE BIT I WOULD SAY THEY HAVE BEEN A BIT ITCHY +RES0073-056 OK ALRIGHT THEN DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU SEE A PHYSICIAN FOR REGULARLY +RES0073-058 I I HAVE A ITS CALLED DYSLIPIDEMIA OK +RES0073-059 I SEE AND ANY MEDICATIONS +RES0073-060 YOU TAKE FOR THAT JUST LIKE A STATIN MEDICATION +RES0073-061 OK DO YOU TAKE ANY OTHER MEDICATIONS OVER THE COUNTER PRESCRIBED +RES0073-062 NO JUST OTHER THAN THAT I TAKE MULTIVITAMINS OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR LIKE ENVIRONMENTAL ALLERGIES THAT MIGHT BE GETTING WORSE +RES0073-063 NO NOT THAT I KNOW +RES0073-064 OK SO YOU DON'T EXPERIENCE ANY SYMPTOMS LIKE THIS WHEN THE SEASONS CHANGE +RES0073-065 I DON'T THINK SO I HAVE HAD THIS HAPPEN TO ME I WOULD SAY LIKE ONCE BEFORE IT HAPPENED LIKE TWO YEARS AGO IT WAS PRETTY SIMILAR +RES0073-066 OK AND WHAT WAS DONE AT THAT TIME +RES0073-067 AT THAT TIME IT KIND OF JUST WENT AWAY ON IT'S OWN IT GOT BETTER I FEEL IT'S DEFINITELY WORSE THIS TIME BUT AT THAT TIME I DIDN'T EVEN GO TO THE DOCTOR IT KIND OF JUST WENT AWAY +RES0073-068 OK I SEE ANY RECENT HOSPITALIZATIONS +RES0073-069 NO HOSPITALIZATIONS +RES0073-070 ANY SURGERIES +RES0073-071 NOPE +RES0073-072 ALRIGHT AND COULD YOU TELL ME WHERE ABOUTS YOU'RE LIVING CURRENTLY AND WHO YOU'RE LIVING WITH +RES0073-073 SO I'M CURRENTLY LIVING IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON +RES0073-074 OK AND ANYBODY THAT YOU'VE BEEN AROUND WHO'S HAD ANY SYMPTOMS +RES0073-075 NO NOT THAT I KNOW OF +RES0073-076 OK SO NO SICK CONTACTS AND HAVE YOU TRAVELED ANYWHERE OUT OF THE CITY OR PROVINCE +RES0073-077 NO I'VE TRIED TO STAY HOME BESIDES GOING TO WORK I JUST WORK AT THE GROCERY STORE BESIDES THAT NO NOWHERE ELSE +RES0073-078 OK AND ANYBODY ANY OF YOUR COWORKERS HAVE ANY SYMPTOMS OR ANY COWORKERS BEING OFF SICK +RES0073-079 NO WE'RE PRETTY CAREFUL RIGHT NOW WITH THE PANDEMIC +RES0073-080 I SEE I KNOW THAT'S GREAT OK AND +RES0073-081 DO YOU SMOKE CIGARETTES NO I +RES0073-082 QUIT JUST A COUPLE OF YEARS AGO OH THAT'S GREAT IT'S NOT EASY TO QUIT SO THAT'S AWESOME +RES0073-083 AND DO YOU DRINK ALCOHOL JUST MAYBE +RES0073-084 LIKE RED WINE A COUPLE OF TIMES A WEEK I SEE OK AND +RES0073-085 DO YOU USE ANY RECREATIONAL DRUGS JUST +RES0073-086 IN A MONTH MAYBE ONCE OR TWICE I SMOKE A JOINT OK AND ANYBODY +RES0073-087 IN THE FAMILY HAVE ANY LUNG OR HEART CONDITIONS +RES0073-088 NO NOT THAT I KNOW OF ALRIGHT AND HOW ABOUT ANY CANCER IN THE +RES0073-089 FAMILY NO +RES0073-090 OK I THINK I THAT WAS EVERYTHING I WANTED TO ASK ABOUT TODAY WAS THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT YOU WANTED TO MAKE SURE I KNEW ABOUT TODAY +RES0073-091 NO I THINK THAT'S ALL I JUST DIDN'T KNOW IF I NEEDED ANY LIKE MEDICATIONS OR IF I NEEDED TO GET TESTED I JUST WANTED TO MAKE SURE +RES0073-092-1 YEAH SO WE'LL CERTAINLY CHECK YOUR TEMPERATURE TO SEE IF YOU HAVE A FEVER AND IF YOU DO +RES0073-092-2 AND AND IT'S HIGH ENOUGH THAT WILL INCREASE THE CHANCE THAT YOU HAVE A BACTERIAL SINUSITIS AND IF SO WITH SOME OF YOUR SYMPTOMS INCLUDING THE DISCHARGE OBSTRUCTION +RES0073-092-3 LOSS OF SMELL AND FACIAL PAIN THAT ALL FITS THE PICTURE FOR IT AND ALSO YOU HAD A PERIOD WHERE YOU FELT A LITTLE BIT BETTER AND THEN WORSE AGAIN SO THAT MIGHT +RES0073-093 REQUIRE ANTIBIOTICS BUT WE WILL +RES0073-094 CHECK YOUR TEMPERATURE AND +RES0074-000 WHAT BROUGHT YOU IN TODAY +RES0074-001-1 YEAH SO I'VE I'VE JUST BEEN FEELING A BIT OFF OVER THE LAST WEEK FIRST I STARTED HAVING LIKE JUST A SCRATCHY THROAT AND THAT WAS PROBABLY I THINK +RES0074-001-2 FIVE DAYS AGO THAT HAPPENED AND THEN OVER THE LAST THREE DAYS I'VE BEEN HAVING DIARRHEA AND ALSO MY MY WHOLE BODY IS JUST HURTING +RES0074-002 OK AND SO WHEN DID THE SORE THROAT START +RES0074-003 I'D SAY LIKE FIVE DAYS AGO IT STARTED AND IT FIRST BEGAN LIKE KIND OF A TICKLE BUT THEN NOW IT'S MORE LIKE EVEN SWALLOWING FOOD HURTS A LOT +RES0074-004 OK HAVE YOU BEEN EATING OR DRINKING LESS THAN USUAL +RES0074-005 MY APPETITE'S BEEN A BIT LESS OVER THE LAST FEW DAYS JUST BECAUSE OF HOW MUCH IT HURTS +RES0074-006 OK HAVE YOU NOTICED ANY NECK SWELLING +RES0074-007 NO NOT NOT REALLY +RES0074-008 OK HOW ABOUT ANY REDNESS IN THE BACK OF YOUR THROAT +RES0074-009 I CHECKED I DIDN'T I DIDN'T SEE TOO MUCH +RES0074-010 OK AND HAVE THERE BEEN ANY CHANGES TO YOUR VOICE +RES0074-011 A LITTLE BIT I WOULDN'T SAY TOO SIGNIFICANT +RES0074-012 OK AND MUSCLE ACHES LIKE WHEN DID THOSE START +RES0074-013 SO THAT STARTED JUST THREE DAYS AGO AND I REMEMBER WAKING UP AND MY THIGHS WERE HURTING THEN MY UPPER ARMS AND THEN IT KIND OF WENT INTO MY UPPER BACK AND NOW IT'S KIND OF JUST GENERAL PAIN IN ALL OF THE MUSCLES +RES0074-014 OK ARE YOU DO YOU HAVING ANY MUSCLE WEAKNESS +RES0074-015 I WOULD SAY IT'S MAINLY PAIN I DON'T REALLY FEEL WEAKNESS +RES0074-016 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN HAVING FATIGUE +RES0074-017 I WOULD SAY I DON'T KNOW IF IT'S BECAUSE OF THE PAIN BUT I DEFINITELY FEEL A LOT MORE TIRED +RES0074-018 OK AND YOU MENTIONED DIARRHEA AS WELL WHEN DID THAT START +RES0074-019 DIARRHEA ALSO STARTED AROUND THREE DAYS AGO I NORMALLY GO ONE OR TWO TIMES A DAY BUT NOW I'M GOING LIKE SIX OR SEVEN TIMES A DAY AND IT'S ALL USUALLY PRETTY WATERY +RES0074-020 OK HAVE YOU NOTICED ANY BLOOD IN THE STOOL +RES0074-021 NO I DON'T THINK I NOTICED BLOOD +RES0074-022 OK AND HAVE YOU NOTICED ANY REALLY LIKE DARK OR TARRY LOOKING STOOL +RES0074-023 NO IT'S USUALLY JUST BEEN LOOSE WATERY STOOLS +RES0074-024 OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT MUSCLE ACHES FATIGUE AND DIARRHEA +RES0074-025 I NO I DON'T THINK SO THOSE ARE PROBABLY ALL OF THE SYMPTOMS +RES0074-026 OK SO QUICKLY TO RUN THROUGH A REVIEW HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +RES0074-027 NO NOT THAT I'VE NOTICED +RES0074-028 OK HOW ABOUT ANY HEADACHES +RES0074-029 NO +RES0074-030 OK AND HAVE YOU HAD A RUNNY NOSE +RES0074-031 NO +RES0074-032 HAVE YOU HAD A LOSS OF SMELL OR TASTE +RES0074-033 I DON'T THINK SO I HAVEN'T BEEN REALLY EATING TOO MUCH RECENTLY BUT I DON'T THINK SO NO +RES0074-034 OK HAVE YOU HAD A COUGH +RES0074-035 NO +RES0074-036 SHORTNESS OF BREATH +RES0074-037 NO +RES0074-038 A WHEEZE +RES0074-039 NO WHEEZING +RES0074-040 OK AND HAVE YOU HAVE YOU YOU SAID YOU HAVEN'T HAD A COUGH BUT HAVE YOU BROUGHT UP ANY SPUTUM +RES0074-041 NO +RES0074-042 OK AND HAVE YOU HAD ANY CHEST PAIN +RES0074-043 NO CHEST PAIN +RES0074-044 ALRIGHT ANY DIZZINESS OR OR LIGHTHEADEDNESS +RES0074-045 NOPE +RES0074-046 ANY FEELING AS THOUGH YOUR HEART IS RACING +RES0074-047 NO +RES0074-048 OK HAVE YOU HAD ANY ABDOMINAL PAIN +RES0074-049 MAYBE JUST A LITTLE BIT WITH ALL THE DIARRHEA I FEEL LIKE I DO HAVE SOME JUST TENDERNESS IN MY ABDOMEN +RES0074-050 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0074-051 NO NOT REALLY +RES0074-052 OK HAVE YOU HAD ANY URINARY PROBLEMS +RES0074-053 NO +RES0074-054 OK AND ANY RASHES ANYWHERE +RES0074-055 NO NOT THAT I'VE NOTICED +RES0074-056 OK AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY OR OVER THE LAST SEVERAL MONTHS +RES0074-057 NO MY WEIGHT HAS BEEN AROUND THE SAME +RES0074-058 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +RES0074-059 YEAH SO I I HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL +RES0074-060 OK DO YOU TAKE ANY MEDICATIONS FOR EITHER OF THOSE +RES0074-061 SO FOR THE CHOLESTEROL I'M TAKING THIS MEDICATION CALLED CRESTOR FOR THE HIGH BLOOD PRESSURE I'M TAKING THIS MEDICATION CALLED RAMIPRIL +RES0074-062 OK AND DO YOU TAKE ANY OTHER MEDICATIONS LIKE OVER THE COUNTER OR SUPPLEMENTS OR PRESCRIBED +RES0074-063 JUST MULTI VITAMINS +RES0074-064 OK HAVE YOU BEEN HOSPITALIZED BEFORE +RES0074-065 JUST LIKE IN MY TEENS I HAD MY APPENDIX REMOVED BUT THAT'S THAT'S IT I HAVE BEEN PRETTY GOOD OTHERWISE +RES0074-066 OK HAVE YOU HAD ANY OTHER SURGERIES BESIDES THE APPENDIX REMOVED +RES0074-067 NO THAT'S THE ONLY SURGERY +RES0074-068 OK AND ANY ALLERGIES TO MEDICATIONS +RES0074-069 NO NOT THAT I KNOW OF +RES0074-070 OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +RES0074-071 YEAH SO I CURRENTLY LIVE WITH MY WIFE AND SON WE LIVE IN A HOUSE JUST IN LONDON AND LIKE I MADE SURE TO JUST ISOLATE MYSELF TO ONE ROOM AND I WEAR A MASK AROUND THEM JUST IN CASE +RES0074-072 OK WELL THAT'S GOOD IT'S IMPORTANT TO BE SOCIALLY DISTANCING ESPECIALLY WHEN HAVING SYMPTOMS HAS ANYBODY ELSE IN THAT HOUSE BEEN SICK +RES0074-073-1 NO NO ONE HAS BEEN SICK RECENTLY AT LEAST IN MY HOUSE BUT I I DO JUST TWO WEEKS AGO I DID ATTEND A FAMILY EVENT +RES0074-073-2 AND JUST LAST WEEK I FOUND OUT SOMEONE WAS HAVING SYMPTOMS THEY JUST GOT TESTED TWO DAYS AGO AND THEIR TEST RESULT HASN'T COME BACK +RES0074-074 OK I SEE AND HAVE YOU TRAVELED ANYWHERE KIND LIKE OUTSIDE OF THE PROVINCE OR OUTSIDE OF THE COUNTRY +RES0074-075 NO IT WAS IT WAS JUST HERE IN LONDON SO NOTHING OTHER THAN THAT I HAVEN'T LEFT THE PROVINCE +RES0074-076 OK AND WHAT WAS THE APPROXIMATE NUMBER OF PEOPLE +RES0074-077 IT WAS JUST FIVE FIVE PEOPLE SO WE STAYED WITHIN THE LIMITS STATED FOR THE CITY AND THEY WERE PEOPLE IN LIKE MY CIRCLE AS WELL SO I DON'T THINK I WAS DOING ANYTHING WRONG +RES0074-078 OK JUST TO GIVE AN IDEA OF LIKE RISK AND CONTACT TRACING AS WELL IF WE NEED TO AND DO YOU SMOKE CIGARETTES +RES0074-079 NO I DON'T SMOKE +RES0074-080 OK AND DO YOU DRINK ALCOHOL +RES0074-081 MAYBE A ONE OR TWO BEERS A WEEK +RES0074-082 OK AND DO YOU USE ANY RECREATIONAL DRUGS +RES0074-083 NO NEVER +RES0074-084 OK AND IN TERMS OF FAMILY HISTORY DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS +RES0074-085 NO NO NOT THAT I KNOW OF I DO YOU THINK MY BROTHER MY OLDER BROTHER HAS HIGH BLOOD PRESSURE +RES0074-086 OK NOBODY'S HAD A HEART ATTACK OR A STROKE +RES0074-087 NO +RES0074-088 OR ANY CANCER IN THE IN THE FAMILY +RES0074-089 OH YEAH CANCER SO MY FATHER HAS IT'S NOT IT'S NOT THE BAD SKIN CANCER IT'S THE ONE WHERE THEY CAN JUST ZAP IT OFF +RES0074-090 OK OK AND YEAH SO HE HASN'T NEEDED SURGERY FOR IT +RES0074-091 NO +RES0074-092 OK AND I THINK THAT'S ALL THE QUESTIONS THAT I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE THAT THAT MAYBE I FORGOT TO TELL YOU OR FORGOT TO ASK ABOUT +RES0074-093 YEAH I KNOW I WAS JUST WONDERING I DON'T KNOW THE RESULTS OF THE CONTACT THAT I HAD SO SHOULD I ALSO GET TESTED TODAY +RES0074-094-1 YEAH CERTAINLY WITH NONSPECIFIC SYMPTOMS SUCH AS WHAT YOU'VE BEEN EXPERIENCING WE WILL DO A TEST FOR COVID TODAY HOWEVER +RES0074-094-2 WE WILL DO SOME LAB INVESTIGATIONS AS WELL BECAUSE IT COULD BE +RES0074-094-3 SOMETHING ELSE SO WE'LL WAIT FOR SOME OF THOSE RESULTS TO COME BACK AND IT'S GREAT THAT YOU'VE ALREADY TAKEN THE INITIATIVE TO ISOLATE FROM FAMILY MEMBERS AND WHATNOT AND SO +RES0074-094-4 I ASK YOU TO CONTINUE DOING SO AND WE WILL GET BACK TO YOU WHEN THE RESULTS ARE IN +RES0074-095 OK THAT SOUNDS GOOD THANK YOU SO MUCH +RES0075-000 WHAT BROUGHT YOU IN TODAY +RES0075-001 SO JUST RANDOMLY LIKE TWO DAYS AGO I JUST STARTED HAVING THIS CHEST PAIN WHEN I'M BREATHING AND IT'S JUST BEEN GETTING WORSE AND THEN BECAUSE OF THAT I'M FINDING THAT I'M VERY SHORT OF BREATH AS WELL SO I JUST GOT REALLY CONCERNED +RES0075-002 OK I SEE WHEN DID THE CHEST PAIN START +RES0075-003 SO THERE WAS SOME DISCOMFORT LIKE JUST TWO DAYS AGO BUT THEN JUST YESTERDAY IT STARTED GETTING VERY PAINFUL WHEN I WAS BREATHING SO I WOULD SAY ONE DAY AGO +RES0075-004 OK AND WERE YOU DOING ANYTHING AT THE TIME WHEN THE CHEST PAIN STARTED LIKE DID YOU GET IN A CAR ACCIDENT MAYBE OR ANY TRAUMA TO THE CHEST OR ANYTHING YOU CAN THINK OF +RES0075-005 NO NOT REALLY I WAS JUST AT HOME AND THEN I NOTICED THAT WHEN I LIKE TAKE A DEEP BREATH IN IT'S JUST LIKE A VERY SHARP PAIN IT'S KIND OF LIKE IN MY RIGHT SIDE OF THE CHEST AND IT FEELS LIKE A STABBING PAIN +RES0075-006 OK AND SO THE PAIN COMES ON WHEN YOU BREATHE IN OR WHEN YOU TAKE A DEEP BREATH DOES THE PAIN COME ON AT ANY OTHER POINTS OR DOES IT GO AWAY +RES0075-007 IT'S MOSTLY I FEEL THE SHARP PAIN WHEN I BREATHE IN +RES0075-008 OK SO THE PAIN IS INTERMITTENT THEN IT SOUNDS LIKE AND HAS THERE BEEN ANYTHING YOU'VE TRIED THAT'S MADE THE PAIN BETTER +RES0075-009 NOT REALLY JUST MORE SHALLOW BREATHING AND IT HURTS LESS WITH THAT BUT THAT'S ABOUT IT +RES0075-010 OK AND ARE THERE ANY POSITIONS THAT HELP MAKE THE PAIN ANY BETTER LIKE LEANING FORWARD OR LAYING DOWN +RES0075-011 NOT REALLY IT'S IT'S PRETTY MUCH THE SAME I THINK +RES0075-012 OK AND YOU MENTIONED YOU HAD SHORTNESS OF BREATH AS WELL WHEN DOES THIS COME ON +RES0075-013 IT'S BEEN PRETTY LIKE SINCE YESTERDAY IT'S BEEN PRETTY CONSTANT AND IT'S MORE LIKE JUST I'M REALLY HAVING TROUBLE GETTING ANY DEEP BREATHS IN SO +RES0075-014 I FEEL LIKE I'M HAVING TO JUST BREATHE FASTER AND MORE SHALLOW I SEE +RES0075-016 OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE NO NEVER OK +RES0075-018 AND HAVE YOU BEEN EXPERIENCING ANY HEADACHES NO HOW ABOUT ANY +RES0075-019 VIRAL SYMPTOMS LIKE EYE REDNESS NASAL DISCHARGE OR NASAL CONGESTION OR OR COUGH I HAVE BEEN HAVING A LITTLE +RES0075-020 BIT OF A COUGH BUT THAT'S IT LIKE IT KIND OF STARTED TODAY BUT IT'S NOTHING TOO SIGNIFICANT +RES0076-000 WHAT BRINGS YOU IN HERE TODAY +RES0076-001 I'VE HAD THIS COUGH ONGOING FOR A COUPLE OF MONTHS NOW AND RECENTLY I'VE STARTED TO NOTICE SOME BLOOD +RES0076-002 OK SO THIS COUGH HAS BEEN GOING ON FOR HOW MANY MONTHS +RES0076-003 I WOULD SAY MAYBE SIX MONTHS +RES0076-004 SIX MONTHS AND HAVE YOU HAD THIS COUGH BEFORE THEN +RES0076-005 I'VE HAD A COUGH BEFORE AND KIND OF FOR A LONG TIME CAUSE I'VE SMOKED FOR A WHILE +RES0076-006 OK I SEE WHAT KIND OF COUGH DO YOU HAVE IS IT PRODUCTIVE LIKE IS IT A WET COUGH OR IS IT A DRY COUGH +RES0076-007 IT'S USUALLY A DRY COUGH BUT RECENTLY I'VE BEEN BRINGING UP A LITTLE BIT OF BLOOD +RES0076-008 OK AND IS THE BLOOD MIXED IN WITH LIKE SPUTUM THAT YOU'RE BRINGING OUT OR IS IT THAT YOU'RE JUST COUGHING UP BLOOD +RES0076-009 IT'S MOSTLY RED MOSTLY BLOOD +RES0076-010 OK I SEE AND IS YOUR COUGHING CONSTANT OR DOES IT COME AND GO +RES0076-011 IT'S KIND OF LIKE CONSTANT THROUGHOUT THE DAY +RES0076-012 OK AND HAVE YOU NOTICED ANY KIND OF GREENISH OR YELLOWISH COLOR OF YOUR SPUTUM +RES0076-013 NOT REALLY NO +RES0076-014 HOW MUCH BLOOD WOULD YOU SAY YOU'RE COUGHING UP NOW IN AN AVERAGE DAY +RES0076-015 I WOULD SAY MAYBE TWO OR THREE TEASPOONS +RES0076-016 OK I SEE HAS YOUR COUGHING GOTTEN WORSE OR HAS IT STAYED ABOUT THE SAME +RES0076-017 IT'S BEEN ABOUT THE SAME +RES0076-018 OK IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE +RES0076-019 NOT REALLY IT'S JUST KIND OF BEEN THERE MOST DAYS +RES0076-020 AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR CHEST PAIN RUNNY NOSE ANYTHING LIKE THAT +RES0076-021 NO NO I HAVEN'T REALLY HAD ANYTHING LIKE THAT +RES0076-022 OK SO WITH YOUR COUGHING YOU DON'T FEEL LIKE YOU HAVE ANY DIFFICULTY BREATHING +RES0076-023 NO I MEAN I HAVEN'T HAD ANY SHORTNESS OF BREATH I'VE JUST HAD WELL ACTUALLY SORRY I HAVE HAD DIFFICULTIES BREATHING AS WELL +RES0076-024 OK AND WHEN DID THAT START +RES0076-025 WELL THAT'S BEEN AN ONGOING PROBLEM FOR THE LAST SEVERAL YEARS NOW I THOUGHT IT WAS RELATED TO SMOKING BUT IT'S GOTTEN WORSE +RES0076-026 I SEE OK AND DO YOU HAVE ANY CHEST PAIN WITH INSPIRATION OR EXPIRATION +RES0076-027 NO NO CHEST PAIN +RES0076-028 OK ANY DIZZINESS ANY FAINTING EPISODES +RES0076-029 NOTHING LIKE THAT +RES0076-030 OK ANY RECENT TRAVEL OUTSIDE OF THE COUNTRY +RES0076-031 NO I'VE BEEN AT HOME +RES0076-032 OK ANY HEADACHES FEVERS OR CHILLS +RES0076-033 NO NO FEVERS OR CHILLS AND I HAVEN'T HAD ANY HEADACHES EITHER +RES0076-034 OK ANY LOSSES IN SENSE OF TASTE OR SMELL +RES0076-035 NO +RES0076-036 ANY NAUSEA OR VOMITING +RES0076-037 I HAVE BEEN A BIT MORE NAUSEOUS RECENTLY BUT I HAVEN'T HAD ANY VOMITING +RES0076-038 OK AND WHEN DID YOU START FEELING NAUSEOUS +RES0076-039 IT KINDA COMES AND GOES I'VE HAD THAT PROBLEM FOR THE LAST TWO MONTHS OR SO +RES0076-040 OK AND DO YOU FEEL NAUSEOUS AT ANYTIME PARTICULARLY IN THE DAY LIKE AFTER EATING OR DOES IT JUST COME ON RANDOMLY +RES0076-041 RANDOMLY +RES0076-042 OK AND HAVE YOU BEEN HAVING ANY KIND OF DIARRHEA OR CONSTIPATION CHANGES IN YOUR BOWEL MOVEMENT +RES0076-043 NO +RES0076-044 OK ANY BLOOD IN YOUR STOOLS AT ALL +RES0076-045 NO +RES0076-046 OK HAVE YOU BEEN FEELING FATIGUED AT ALL +RES0076-047 A LITTLE BIT MORE TIRED RECENTLY +RES0076-048 AND HOW RECENTLY WOULD YOU SAY +RES0076-049 I THOUGHT IT WAS RELATED TO LIKE JUST BEING SHORT OF BREATH SO MAYBE IN THE LAST COUPLE OF MONTHS AS WELL +RES0076-050 OK AND WHEN DO YOU GET SHORT OF BREATH IS IT WHEN YOU DO ANY ACTIVITIES IS IT WHEN YOU'RE LAYING DOWN IS THERE ANYTHING RELATED TO IT +RES0076-051 IF I EXERT MYSELF OR IF I'M DOING MORE ACTIVITY IT IT DOES GET HARDER TO TO KEEP UP WITH IT BUT +RES0076-052 AND DO YOU NOTICE YOU HAVE TO LIKE GET UP AT NIGHT TO TAKE A BREATH OR WHEN YOU'RE LAYING DOWN DO YOU HAVE ANY TROUBLE BREATHING +RES0076-053 NO +RES0076-054 OK AND HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANYTHING LIKE THAT +RES0076-055 NO SWELLING +RES0076-056 OK HAVE YOU HAD ANY NIGHT SWEATS +RES0076-057 NO +RES0076-058 OK AND HOW ABOUT YOUR SLEEP AND APPETITE HAVE THEY CHANGED IT ALL +RES0076-059 OH MY APPETITE'S BEEN LESS I'VE LOST SOME WEIGHT OVER THE LAST FEW MONTHS +RES0076-060 OK AND HOW MUCH WEIGHT WOULD YOU SAY YOU'VE LOST +RES0076-061 MAYBE TEN TO FIFTEEN POUNDS +RES0076-062 OK AND HOW MUCH DO YOU WEIGH +RES0076-063 I THINK NOW I WEIGH ABOUT ONE HUNDRED AND SIXTY POUNDS +RES0076-064 OK SO TEN TO FIFTEEN POUNDS IN THE LAST HOW MANY MONTHS WOULD YOU SAY +RES0076-065 MAYBE MAYBE TWO MONTHS +RES0076-066 TWO MONTHS OK HAVE YOU RECENTLY HAD ANY INFECTIONS LIKE VIRAL SYMPTOMS LIKE RUNNY NOSE FEVER OR ANY COLD LIKE SYMPTOMS +RES0076-067 NO +RES0076-068 OK AND ANY EXPOSURE TO ANYONE THAT YOU KNOW OF THAT MIGHT HAVE TUBERCULOSIS +RES0076-069 NO I'VE BEEN BEEN MOSTLY AT HOME I HAVEN'T REALLY BEEN SEEING MANY PEOPLE LATELY +RES0076-070 OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY OR ANY DIAGNOSIS LIKE COPD ASTHMA HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT +RES0076-071 I HAD A CATARACT SURGERY BUT THAT'S ABOUT IT +RES0076-072 OK AND ARE THERE ANY MEDICATIONS THAT YOU TAKE ON A DAILY BASIS +RES0076-073 MULTI VITAMINS +RES0076-074 MULTI VITAMINS OK ANY ALLERGIES THAT YOU KNOW OF TO MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES +RES0076-075 I THINK SULFA BUT THAT'S IT +RES0076-076 OK AND WHAT KIND OF REACTION DO YOU GET +RES0076-077 I GET A RASH +RES0076-078 RASH OK ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST +RES0076-079 I JUST HAD CATARACT REMOVED FROM MY RIGHT EYE AND THAT'S ABOUT IT +RES0076-080 OK ANY CONTACTS OF YOURS THAT HAVE BEEN SICK RECENTLY +RES0076-081 NO +RES0076-082 NO OK AND IN TERMS OF YOUR FAMILY HISTORY ARE THERE ANY CANCERS LIKE LUNG CANCER IN YOUR FAMILY OR ANY HEART CONDITIONS ANYTHING LIKE THAT +RES0076-083 I THINK MY GREAT UNCLE HAD LUNG CANCER MY MOM HAD TYPE TWO DIABETES BUT THAT'S IT +RES0076-084 OK AND CURRENTLY RIGHT NOW DO YOU WORK +RES0076-085 I'M I'M RETIRING SOON I WORK AS A BUS DRIVER +RES0076-086 OK AND IN THE PAST HAVE YOU WORKED IN ANY ENVIRONMENT WHERE YOU WERE EXPOSED TO ANY METALS TOXINS ANY ASBESTOS OR ANYTHING LIKE THAT +RES0076-087 I DON'T THINK SO +RES0076-088 OK +RES0076-089 I WORKED AS A BUS DRIVER FOR QUITE A NUMBER OF YEARS NOW +RES0076-090 AND WHERE DO YOU LIVE RIGHT NOW IN AN APARTMENT IN A HOME AND WHO DO YOU LIVE WITH +RES0076-091 I LIVE IN A HOME WITH MY WIFE AND IT'S JUST US TWO +RES0076-092 AND DO YOU KNOW IF THERE'S ANY LIKE ASBESTOS EXPOSURE IN YOUR HOME AT ALL +RES0076-093 I DON'T THINK SO NO +RES0076-094 OK AND CURRENTLY DO YOU SMOKE +RES0076-095 I'VE BEEN CUTTING DOWN BUT I DO SMOKE YES I SMOKE ABOUT A HALF A PACK PER DAY NOW THERE WAS A TIME I WAS SMOKING TWO PACKS PER DAY FOR A NUMBER OF YEARS AND I STARTED SMOKING WHEN I WAS PROBABLY FIFTEEN +RES0076-096 SO IT'S BEEN ABOUT FORTY FORTY ISH YEARS AT LEAST +RES0076-097 AND HAVE YOU THOUGHT OF QUITTING AT ALL +RES0076-098 I'VE BEEN TRYING I WAS THINKING OF MAYBE TALKING ABOUT A PRESCRIPTION FOR HELPING QUIT OR SOMETHING LIKE THAT TODAY I WAS FEELING LIKE THIS IS CAUSING SOME OF MY SYMPTOMS LIKE MY COUGH SHORTNESS OF BREATH +RES0076-099 WELL IT'S REALLY GREAT THAT YOU'RE THINKING ABOUT QUITTING WE CAN DEFINITELY HELP YOU WITH SOME RESOURCES AND SOME MEDICATIONS HAVE YOU TRIED ANYTHING BEFORE THAT I SHOULD KNOW OF TO HELP YOU QUIT +RES0076-100 I'VE TRIED NICOTINE PATCHES AND GUM BUT THAT'S IT +RES0076-101 OK SO THERE'S LIKE OTHER OPTIONS AS WELL THAT YOU CAN TAKE HAVE YOU HEARD OF CHAMPIX +RES0076-102 I DID HEAR OF IT ACTUALLY SO ONE OF MY FRIENDS TRIED IT AND IT WORKED WELL FOR THEM SO +RES0076-103 OK SO WE CAN IF YOU'RE WONDERING ABOUT THAT I CAN GIVE YOU SOME INFORMATION ON THAT MEDICATION LIKE A WHOLE PACKAGE FOR YOU AND THEN WE CAN DISCUSS IF THAT COULD WORK FOR YOU +RES0076-104 THAT SOUNDS GREAT +RES0076-105 OK SWEET AND OTHER THAN SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0076-106 NO I DON'T +RES0076-107 OK AND DO YOU DRINK ALCOHOL +RES0076-108 WELL I'LL HAVE ONE OR TWO BEERS ON THE WEEKEND +RES0076-109-1 OK ALRIGHT SO THAT'S PRETTY MUCH ALL THE QUESTIONS I HAD RIGHT NOW IT SEEMS THAT YOUR SYMPTOMS YOU DO HAVE THAT COUGH AND THE SHORTNESS OF BREATH AND IT'S BEEN CHRONIC BUT NOW YOU'RE COUGHING UP SOME BLOOD AS WELL SO THAT IS DEFINITELY +RES0076-109-2 SOMETHING THAT'S CONCERNING AND WE WANT TO MAKE SURE THERE IS NOTHING GOING ON SO WE WILL GET A CHEST X RAY FOR YOU AND SEE IF WE CAN FIND ANYTHING THERE ARE STILL PRODUCING THE BLOODY SPUTUM +RES0076-110 THAT'S BEEN COMING UP A DAILY STILL +RES0076-111-1 OK SO IF IF IF YOU THINK YOU CAN PRODUCE THAT WE CAN EVEN TAKE A SAMPLE OF THAT AS WELL AND SEE IF THERE IS ANY PRESENCE THE ONE THING THAT WE ARE CONCERNED ABOUT WITH SOME OF YOUR SYMPTOMS AND A LONG HISTORY OF SMOKING AS WELL AS LUNG CANCER +RES0076-111-2 SO WE WILL DO A CHEST X RAY GET SOME CYTOLOGY DONE AS WELL AND THEN ONCE WE HAVE THAT IN THE FUTURE WE MAY NEED TO MAYBE DO A BIOPSY BUT RIGHT NOW WE'LL DO A FEW OF THE FIRST THINGS THAT I MENTIONED AND THEN GO FROM THERE +RES0076-112 THAT SOUNDS GOOD THANK YOU +RES0076-113 YOU'RE WELCOME TAKE CARE +RES0076-114 BYE +RES0077-000 SO WHAT BRINGS YOU HERE TODAY +RES0077-001 SO I'VE HAD THIS COUGH ONGOING NOW FOR THE LAST THREE DAYS AND I FOUND I'VE HAD A MORE DIFFICULT TIME BREATHING AS WELL +RES0077-002 OK AND SO WHAT CAME FIRST DID THE COUGH COME FIRST +RES0077-003 THE COUGH STARTED FIRST +RES0077-004 OK AND SO IT STARTED THREE DAYS AGO +RES0077-005 WHEN DID THE SHORTNESS OF BREATH START +RES0077-006 THAT STARTED PROBABLY ABOUT TWO DAYS AGO +RES0077-007 OK AND THE COUGH CAN YOU DESCRIBE IT A LITTLE BIT IS IT LIKE A WET COUGH A DRY COUGH HOW WOULD YOU DESCRIBE IT +RES0077-008-1 YEAH I I BROUGHT UP A LITTLE BIT OF SPUTUM IT'S BEEN CLEAR MOSTLY CLEAR AND +RES0077-008-2 SOMETIMES DRY AS WELL THE COUGH'S BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS AS WELL AND HASN'T REALLY STOPPED EITHER +RES0077-009 AND IT'S JUST KIND OF ONGOING ALL +RES0077-011 PRETTY CONSTANT IT'S BEEN CONSTANT +RES0077-012 OK AND HOW MUCH SPUTUM WOULD YOU SAY YOU'RE BRINGING UP I WOULD SAY MAYBE LIKE TWO TEASPOONS A DAY IT'S ONLY LIKE A LITTLE BIT IN THE TISSUES AND I'M NOT BRINGING UP SPUTUM EVERY TIME +RES0077-013 OK AND IS YOUR SPUTUM AT ALL YELLOW GREEN OR DOES IT HAVE ANY BLOOD TINGE CONTENT IN IT +RES0077-014 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0077-015 OK SO IT'S MAINLY JUST WHITE OR CLEAR +RES0077-016 IT'S MOSTLY LIKE WHITEISH OR CLEAR +RES0077-017 OK AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE +RES0077-018 NO I HAVEN'T +RES0077-019 OK AND HOW WOULD YOU DESCRIBE THE SHORTNESS OF BREATH ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU HAVING TROUBLE BREATHING WHEN EXERTING YOURSELF LIKE HOW WOULD YOU DESCRIBE IT +RES0077-020 I HAVE LIKE A CHEST TIGHTNESS I FIND WHEN I EXERT MYSELF IT GETS WORSE AND AFTER I COUGH I HAVE A LITTLE BIT OF TROUBLE CATCHING MY BREATH AS WELL +RES0077-021 OK SO YOU ALSO HAVE A WHEN DO YOU HAVE THE CHEST TIGHTNESS WHEN DID THAT START +RES0077-022 THAT'S STARTED WITHIN THE LAST TWO DAYS AS WELL WITH THE COUGH +RES0077-023 OK SO IS IT JUST THE TIGHTNESS WHEN YOU COUGH OR IS IT THERE JUST THROUGHOUT +RES0077-025 TIGHT LIKE I CAN'T GET A DEEP BREATH OK AND HAVE YOU HAD ANY KIND OF LIKE SWELLING IN YOUR CALVES OR +RES0077-026 PAIN IN YOUR CALVES AT ALL NO I HAVEN'T HAD ANYTHING LIKE THAT +RES0077-027 OK AND HAVE YOU HAD ANY SURGERIES RECENTLY OR HAVE YOU BEEN IMMOBILIZED FOR A LONG TIME OR ADMITTED TO A HOSPITAL OR ANYTHING LIKE THAT +RES0077-028 NO I HAVEN'T HAD ANYTHING LIKE THAT I'VE BEEN HEALTHY +RES0077-029 OK AND HAVE YOU HAD ANYTHING LIKE A BLOOD CLOT EITHER IN YOUR LEGS OR TRAVELING UP TO YOUR LUNGS IN THE PAST BEFORE +RES0077-030 NO I HAVEN'T HAD ANYTHING LIKE THAT +RES0077-031 OK AND HAVE YOU BEEN DIAGNOSED WITH CANCER OR ANY OTHER MEDICAL CONDITIONS +RES0077-032 NO I HAVEN'T +RES0077-033 OK SO WOULD YOU SAY THE COUGHING AND THE SHORTNESS OF BREATH IS GETTING WORSE OR IT'S ABOUT THE SAME +RES0077-034 I'D SAY IT'S GOTTEN A LITTLE BIT WORSE OVER THESE LAST COUPLE OF DAYS +RES0077-035 OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE +RES0077-036 IF I EXERT MYSELF IT DOES MAKE IT A BIT WORSE IT'LL BRING ON THE COUGH MORE AND SHORTNESS OF BREATH +RES0077-037 OK AND HOW ABOUT ANY POSITIONAL CHANGES LIKE DOES LYING DOWN HELP DOES RESTING HELP RELIEVE SOME OF THAT TIGHTNESS COUGH AND SHORTNESS OF BREATH +RES0077-038 NO NOTHING LIKE THAT HAS HELPED +RES0077-039 OK AND HAVE YOU TRIED ANY KIND OF MEDICATIONS AT ALL OVER THE COUNTER +RES0077-040 NO I HAVEN'T TRIED ANYTHING +RES0077-041 OK ALRIGHT SO IT SEEMS THAT YOUR SHORTNESS OF BREATH IS IT MAINLY WHEN YOU'RE BREATHING IN OR BREATHING OUT OR ARE YOU HAVING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT +RES0077-042 I WOULD SAY IT I KIND OF GO BACK TO THE CHEST TIGHTNESS IT JUST FEELS LIKE I'M NOT ABLE TO LIKE BREATH IN ALL THE WAY AND CATCH MY BREATH AFTER I EXERT MYSELF OR COUGHING IT'S EASY LIKE IF I REST +RES0077-043 I'M NOT SHORT OF BREATH OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE SORE THROAT +RES0077-044 ANYTHING LIKE THAT +RES0077-046 OK AND ANY HEADACHES I HAVE HAD A LITTLE BIT OF A HEADACHE OVER THE LAST OVER THE LAST DAY USUALLY I GET HEADACHES LIKE THIS +RES0077-047 WHEN I HAVEN'T SLEPT WELL OK AND IS IT IS IT LIKE A DIFFERENT TYPE OF +RES0077-048 HEADACHE AND IS IT ON ONE SIDE OF YOUR HEAD OR +RES0077-049 I FEEL IT ON BOTH KINDA LIKE RIGHT UP INTO MY FOREHEAD THERE OK AND IS IT KIND OF LIKE A PRESSURE LIKE PAIN IS IT +RES0077-050 PULSATING PAIN HOW WOULD YOU DESCRIBE IT I WOULD SAY IT'S +RES0077-051 MORE OF A PRESSURE OK HAVE YOU TRIED ANY MEDICATIONS FOR IT +RES0077-052 I TOOK AN ADVIL THIS MORNING IT'S TAKEN THE EDGE OFF A LITTLE BIT I WILL USE THAT SOMETIMES WHEN I GET HEADACHES +RES0077-053 ARE YOU HAVING ANY NAUSEA OR VOMITING +RES0077-054 NO I HAVEN'T HAD ANYTHING LIKE THAT +RES0077-055 OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE AT ALL +RES0077-056 NO I HAVEN'T +RES0077-057 HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK RECENTLY +RES0077-058 I DON'T THINK SO I WORK AT THE TOYOTA FACTORY AND THERE HAVE BEEN A FEW PEOPLE THAT HAVE BEEN SICK WHO WORKED THERE BUT I DON'T THINK I'VE BEEN IN CONTACT WITH THEM +RES0077-059 OK AND ARE YOU HAVING ANY FEVERS OR CHILLS AT ALL +RES0077-060 I HAVE FELT PRETTY HOT I WAS SWEATY LAST NIGHT I DIDN'T CHECK A TEMPERATURE BUT I FELT FEVERISH +RES0077-061 OK WERE YOU HAVING NIGHT SWEATS +RES0077-062 MY BED WASN'T DRENCHED OR ANYTHING BUT I WAS SWEATING +RES0077-063 OK ARE YOU FEELING LIKE YOU HAVE LOST ANY SENSE OF TASTE OR SMELL AT ALL +RES0077-064 I HAVEN'T BEEN ABLE TO SMELL VERY WELL +RES0077-065 OK WELL AND WHEN DID THAT START +RES0077-066 THAT MAY BE WITHIN THE LAST TWO DAYS AS WELL +RES0077-067 OK AND ARE YOU CONGESTED AT ALL LIKE DO YOU HAVE A RUNNY NOSE OR ANYTHING LIKE THAT +RES0077-068 NO I DON'T HAVE ANYTHING LIKE THAT +RES0077-069 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA +RES0077-070 NO I HAVEN'T HAD ANYTHING LIKE THAT +RES0077-071 OK ANY MUSCLE ACHES +RES0077-072 I HAVE FELT A BIT SORE +RES0077-073 WHERE WOULD YOU SAY YOU FEEL SORE +RES0077-074 JUST KIND OF ALL OVER MY WHOLE BODY JUST KIND OF FEELS A BIT ACHY +RES0077-075 OK AND WHEN DID THIS START +RES0077-076 PROBABLY LIKE LAST NIGHT THIS MORNING WHEN I WAS LAYING DOWN AND JUST FELT A BIT TIRED AND ACHY +RES0077-078 ACHY OK HAS YOUR SLEEP OR APPETITE CHANGED AT ALL NO I DIDN'T SLEEP VERY GOOD LAST NIGHT I JUST DON'T FEEL VERY RESTED THIS +RES0077-079 MORNING BUT AND I HAVEN'T FELT VERY HUNGRY EITHER OK ALRIGHT +RES0077-080 DO YOU HAVE ANY LIKE MEDICAL CONDITIONS +RES0077-081 THAT YOU TAKE ANY MEDICATIONS FOR NO I DON'T TAKE ANY MEDICATIONS OK AND HAVE YOU HAD ANY SURGERIES OR +RES0077-082 HAVE BEEN HOSPITALIZED BEFORE I DID MY +RES0077-083 HAVE TUBES IN MY EARS WHEN I WAS LITTLE BUT THAT'S +RES0077-084 IT THOUGH OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS MY DAD HAD +RES0077-085 HAD A TRIPLE BYPASS SURGERY DONE LAST LAST +RES0078-000 HOW MAY I HELP YOU +RES0078-001 I'VE BEEN HAVING DIFFICULTIES BREATHING OVER THESE LAST FEW DAYS +RES0078-002 WHEN DID IT START +RES0078-003 IT STARTED ABOUT LIKE THREE OR FOUR DAYS AGO +RES0078-004 OK AND SINCE THEN HAS IT GOTTEN ANY BETTER OR WORSE +RES0078-005 IT HAS MAYBE GOTTEN A LITTLE BIT WORSE BUT NOT MAYBE A LITTLE WORSE +RES0078-006 AND ARE THERE CERTAIN TIMES WHEN YOU FEEL THAT YOU'RE MORE SHORT OF BREATH THAN OTHER TIMES ANYTHING IN PARTICULAR THAT YOU'RE DOING THAT MAKES IT WORSE +RES0078-007 NOT REALLY IT'S KIND OF I JUST FEEL LIKE IT'S JUST MORE DIFFICULT TO BREATHE MOST OF THE TIME +RES0078-008 AND HAS THIS HAPPENED TO YOU BEFORE +RES0078-009 NOT LIKE NO NOTHING LIKE THIS HAS HAPPENED BEFORE +RES0078-010 OK DO YOU HAVE A HISTORY OF ANY LUNG PROBLEMS +RES0078-011 NO I DON'T I'VE BEEN HEALTHY +RES0078-012 SO NO COPD NO ASTHMA NOTHING LIKE THAT RIGHT +RES0078-013 NO NOTHING LIKE THAT +RES0078-014 OK SO YOU'RE JUST HAVING DIFFICULTIES BREATHING FOR THE PAST THREE FOUR DAYS DO YOU HAVE ANY DO YOU HAVE A COUGH +RES0078-015 I DID HAVE A I'VE HAD A COUGH AS WELL OVER THESE LAST FEW DAYS +RES0078-016 AND HAS IT BEEN A DRY COUGH OR WET COUGH +RES0078-017 I'VE BEEN BRINGING UP SOME LIKE WHITISH SPUTUM IT'S LIKE WHITISH OR CLEAR +RES0078-018 AND YOU HAVEN'T SEEN BLOOD ANYTIME RIGHT IN YOUR SPUTUM +RES0078-019 NO +RES0078-020 OK AND HAS THE COUGH GOTTEN ANY WORSE OVERTIME +RES0078-021 IT'S BEEN ABOUT THE SAME +RES0078-022 AND HAVE YOU HAD FEVERS OR CHILLS +RES0078-023 I HAVE FELT HOT BUT NO CHILLS +RES0078-024 OK WHAT ABOUT ANY REDNESS IN YOUR EYES OR ANY CONGESTION IN YOUR NOSE +RES0078-025 I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0078-026 OK HAVE YOU HAD A SORE THROAT +RES0078-027 IT'S FELT A LITTLE ITCHY I GUESS BUT NO PAIN WITH SWALLOWING +RES0078-028 AND DO YOU HAVE ANY CHEST PAIN OR CHEST PRESSURE +RES0078-029 WHEN I LIKE TAKE A DEEP BREATH OR AFTER AFTER I COUGH I'VE BEEN HAVING SOME CHEST PAIN +RES0078-030 TO GIVE IT A NUMBER FROM ONE TO TEN WHAT WOULD YOU SAY IN TERMS OF HOW SEVERE IT IS WITH TEN BEING THE WORST PAIN EVER +RES0078-031 I WOULD SAY MAYBE SIX IT FEELS PRETTY SHARP WHEN IT HAPPENS AND IT GOES AWAY AFTER A FEW MINUTES +RES0078-032 OK AND WHERE EXACTLY IS IT IS THE PAIN +RES0078-033 I KIND OF FEEL IT JUST OVER ON THE RIGHT SIDE OF THE STERNUM +RES0078-034 OK ALRIGHT AND DOES IT RADIATE ANYWHERE DOES IT GO ANYWHERE OTHER THAN THAT ONE LOCATION +RES0078-035 NO I FEEL IT JUST IN THE ONE SPOT +RES0078-036 OK AND HAS THAT PAIN GOTTEN WORSE OVERTIME +RES0078-037 NO THAT PAIN STARTED I GUESS LIKE TWO DAYS AGO MORE RECENT THAN THE COUGH OR SHORTNESS OF BREATH +RES0078-038 I SEE I SEE OK AND SO YOU SAID THAT COUGHING MAKES IT WORSE AND SOMETIMES BREATHING IN SO IS IT JUST NORMAL BREATHING OR WHEN YOU'RE DOING LIKE DEEP BREATHING +RES0078-039 DEEP BREATHING +RES0078-040 DEEP BREATHING HURTS OK ALRIGHT AND YOU'VE NEVER EXPERIENCED THIS BEFORE RIGHT +RES0078-041 NO I HAVEN'T HAD A PAIN LIKE THIS BEFORE +RES0078-042 OK WHEN YOU SORT OF TOUCH THAT AREA OVER YOUR CHEST DOES TOUCHING IT MAKE IT WORSE +RES0078-043 NO I HAVEN'T NOTICED THAT TOUCHING IT DOESN'T MAKE IT WORSE +RES0078-044 OK ALRIGHT HAVE YOU HAD A HEADACHE +RES0078-045 NO +RES0078-046 NO OK WHAT ABOUT FATIGUE OR MUSCLE ACHES +RES0078-047 I'VE BEEN FATIGUED NO MUSCLE ACHES +RES0078-048 OK ANY PAIN IN YOUR BELLY +RES0078-049 NO +RES0078-050 ANY DIARRHEA +RES0078-051 NO +RES0078-052 CONSTIPATION +RES0078-053 NO +RES0078-054 ANY CHANGES IN YOUR ANY CHANGES WHEN YOU PEE +RES0078-055 NOTHING THERE +RES0078-056 NO OK ANY RASH THAT YOU'VE NOTICED ON YOUR SKIN +RES0078-057 NO +RES0078-058 OK ANY CHANGES IN YOUR SENSE OF TASTE +RES0078-059 NO +RES0078-060 CHANGES IN YOUR SENSE OF SMELL +RES0078-061 NO +RES0078-062 OK ALRIGHT SO SOUNDS LIKE FOR THE PAST THREE FOUR DAYS YOU'VE HAD DIFFICULTIES BREATHING AND A COUGH WITH THIS WHITISH SPUTUM WHITISH OR CLEAR SPUTUM YOU'VE ALSO BEEN FEELING A LITTLE BIT FEVERISH HAVE YOU CHECKED YOUR TEMPERATURE +RES0078-063 NO I HAVEN'T I DON'T HAVE A THERMOMETER AT HOME +RES0078-064 NO PROBLEM AND YOUR THROAT'S BEEN A LITTLE BIT ITCHY AND THEN TWO DAYS AGO YOU ALSO STARTED HAVING THIS PAIN IN YOUR CHEST IS THERE ANY OTHER SYMPTOM THAT I HAVE NOT MENTIONED THAT YOU HAVE BEEN EXPERIENCING OVER THE PAST COUPLE OF DAYS +RES0078-065 NO THAT'S EVERYTHING +RES0078-066 OK AND YOU MENTIONED THAT YOU DON'T HAVE A HISTORY OF ASTHMA OR COPD DO YOU HAVE ANY OTHER MEDICAL CONDITIONS +RES0078-067 I HAVE HIGH BLOOD PRESSURE AND I TAKE AMLODIPINE FOR THAT +RES0078-068 OK ANY OTHER OVER THE COUNTER MEDICATIONS OR ANY OTHER MEDICATION THAT YOU'RE ON +RES0078-069 NO +RES0078-070 ANY ALLERGIES +RES0078-071 NO ALLERGIES +RES0078-072 OK AND WHERE DO YOU CURRENTLY LIVE +RES0078-073 IN A TOWNHOUSE JUST OUTSIDE OF THE CITY HERE +RES0078-074 I SEE DO YOU LIVE ALONE +RES0078-075 NO I LIVE WITH MY WIFE AND DAUGHTER +RES0078-076 AND HAVE YOUR WIFE AND DAUGHTER BEEN SICK RECENTLY OR HAVE EITHER OF YOU HAD CONTACT WITH SOMEONE WHO'S BEEN SICK +RES0078-077 I'VE BEEN WORKING FROM HOME BUT MY DAUGHTER HAS RECENTLY STARTED GOING BACK TO HIGH SCHOOL AND SHE'S HAD A RUNNY NOSE RECENTLY AND A SORE THROAT BUT THAT'S ABOUT IT +RES0078-078 AND WHAT ABOUT YOUR WIFE +RES0078-079 SHE'S BEEN FINE SHE'S BEEN HEALTHY +RES0078-080 OK GOOD OTHER THAN YOUR DAUGHTER HAVE YOU BEEN IN CONTACT WITH ANYONE ELSE WHO MIGHT HAVE WHO MIGHT BE SICK OR MIGHT HAVE SYMPTOMS SIMILAR TO WHAT YOUR DAUGHTER HAS +RES0078-081 I DON'T THINK SO +RES0078-082 OK ALRIGHT AND DO YOU HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0078-083 NO I'VE BEEN JUST WORKING FROM HOME +RES0078-084 OK AND DO YOU SMOKE +RES0078-085 NO +RES0078-086 EVER SMOKED IN THE PAST +RES0078-087 NO I'VE NEVER SMOKED BEFORE +RES0078-088 MARIJUANA +RES0078-089 I MEAN I'LL HAVE A JOINT SOMETIMES WITH FRIENDS AT A PARTY OR SOMETHING BUT THAT'S MAYBE ONCE A MONTH +RES0078-090 SURE AND ANY STREET DRUGS +RES0078-091 NOPE NOTHING LIKE THAT +RES0078-092 OK AND DO YOU DRINK ALCOHOL +RES0078-093 I HAVE A BEER A COUPLE OF TIMES PER WEEK +RES0078-094 ALRIGHT AND YOU TOLD ME ABOUT YOUR MEDICAL HISTORY BUT DO YOU HAVE HAVE YOU EVER HAD ANY SURGERIES OR ANY HOSPITALIZATIONS IN THE PAST +RES0078-095 I'VE HAD A HERNIA REPAIR ABOUT SEVEN YEARS AGO I HAVEN'T HAD ANY ISSUES SINCE +RES0078-096 ALRIGHT OK AND ARE THERE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY +RES0078-097 MY GRAND FATHER HAD A HEART ATTACK IN HIS SEVENTIES AND I THINK MY DAD HAS HIGH BLOOD PRESSURE AS WELL BUT I THINK THAT'S IT +RES0078-098 ALRIGHT WELL SO I THINK THAT'S ALL THAT I WANTED TO KNOW I CAN SEE THAT YOU HAVEN'T BEEN FEELING WELL OVER THE PAST COUPLE OF DAYS AND I'LL GO BACK TO MY ATTENDING AND WE WILL COME BACK AND CHAT WITH YOU LITTLE BIT MORE AND DO A PHYSICAL EXAM AND GO FROM THERE +RES0078-099 SOUNDS GOOD THANK YOU +RES0081-000 HOW CAN I HELP YOU +RES0081-001 HI MY SON DAVE WHO'S FIVE YEARS OLD WHO COMES TO THE CLINIC QUITE OFTEN HAS HIS ASTHMA HAS BEEN REALLY BAD OVER THE PAST FEW DAYS I'VE TRIED HIS PUFFERS BUT THEY'RE NOT REALLY HELPING MUCH AND I'M JUST WORRIED ABOUT HIM +RES0081-002 WHAT SYMPTOM IS HE EXPERIENCING NOW +RES0081-003-1 SO HE'S JUST HAVING THIS WHEEZING THAT JUST DOESN'T GO AWAY LIKE I CAN ACTUALLY HEAR IT IT'S FRIGHTENING HE'S HAVING LIKE HE'S HAVING DIFFICULTIES FALLING ASLEEP HE'S JUST BEEN VERY IRRITABLE +RES0081-003-2 HE DIDN'T GO TO SCHOOL YESTERDAY IT'S JUST IT'S JUST IT SEEMS LIKE IT'S JUST HE'S NOT EATING WELL EITHER +RES0081-004 OK SO IT'S BEEN AFFECTING SLEEP APPETITE HIS MOOD +RES0081-005 HAS HE BEEN SHORT OF BREATH IF HE WAS LIKE HE SAID THAT HE WAS HAVING SOME DIFFICULTY +RES0081-006 BREATHING THAT'S OK HAS HE ABLE TO TALK LIKE IN +RES0081-007 FULL SENTENCES LIKE HOW IS HE RIGHT NOW HE'S ABLE TO TALK IN FULL SENTENCES BUT HE JUST GETS A LITTLE BIT BREATHLESS WHEN HE'S EATING WHICH I THINK IS PROBABLY WHY HE'S NOT EATING MUCH BUT HE'S ABLE TO TALK HE'S NOT TALKING MUCH EITHER JUST BEEN LIKE JUST BEEN IN A MOOD YOU KNOW HE GETS A LITTLE BIT BREATHLESS WHEN HE'S CRYING +RES0081-008 OK I SEE AND HAS HE HAD A COUGH +RES0081-009 HE DOES HE DOES HAVE A COUGH +RES0081-010 OK AND WHEN DID THE COUGH START +RES0081-011 I WANT TO SAY ABOUT TWO DAYS AGO +RES0081-012 OK AND HAS HE BEEN BRINGING UP ANY SPUTUM +RES0081-013 NO +RES0081-014 OR ANY BLOOD +RES0081-015 NO NO NO +RES0081-016 OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE +RES0081-017 IT'S BEEN THE SAME +RES0081-018 OK AND HAS HE COMPLAINED OF HAVING A SORE THROAT OR PAINFUL EARS +RES0081-019 NO HE HASN'T COMPLAINED OF THOSE +RES0081-020 OK AND HAVE YOU NOTICED ANY EYE REDNESS OR OR ANY DISCHARGE FROM HIS EYES OR NOSE +RES0081-021 NO +RES0081-022 OK AND HAS HE BEEN HAVING ANY +RES0081-032 NO HE HASN'T COMPLAINED OF ANYTHING LIKE THAT I SEE OK AND HAS HE HAD ANY DIARRHEA OR CONSTIPATION +RES0081-033 NO +RES0081-034 OK HAS HE HAD ANY SKIN CHANGES OR OR RASHES +RES0081-035 NO NO I CHECKED FOR THOSE VERY CAREFULLY HE HAD HE USED TO GET RASHES WHEN HE WAS A CHILD BUT NO HE DOESN'T HE DOESN'T HAVE ANYTHING RIGHT NOW +RES0081-036 ALRIGHT AND HAS HE HAD ANY MUSCLE ACHES OR JOINT PAINS +RES0081-037 HE'S JUST BEEN HE'S JUST BEEN NOT HE'S NOT BEEN AS ACTIVE AS HE USUALLY IS SO I DON'T HE HASN'T SAID THAT ANY ANYTHING IN PARTICULAR ABOUT MUSCLE PAINS BUT I DON'T KNOW IF HE KNOWS HOW TO YOU KNOW HE'S JUST BEEN +RES0081-038 OK AND TWO DAYS AGO CAN YOU THINK OF ANY TRIGGERS LIKE WAS THERE ANY EXPOSURE TO DUST OR SMOKE OR MAYBE EVEN PETS THAT COULD HAVE BROUGHT THIS ON +RES0081-039 YOU KNOW IF I THINK ABOUT IT HE DID GO OUTSIDE TO PLAY WITH HIS BROTHER AND I DON'T KNOW HE MIGHT HAVE GOT SOMETHING OUT THERE MAYBE +RES0081-040 CERTAINLY POSSIBLE AND WAS IT +RES0081-073 AWESOME OK AND COULD YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION LIKE WHO'S THE MAIN CAREGIVER AND WHO HE'S LIVING WITH +RES0081-074-1 SO HE LIVES WITH ME HIS DAD AND HIS BROTHER WHO IS TWO YEARS OLDER AND HE'S HE'S NOT GOING TO SCHOOL RIGHT NOW +RES0081-074-2 WE'RE JUST KEEPING HIM AT HOME DUE TO COVID AND TRYING TO DO SOME HOME SCHOOLING I'M A HOMEMAKER SO I DO HAVE ENOUGH TIME TO SPEND TIME WITH HIM AND HIS OLDER BROTHER AND +RES0081-075 OK HAS ANYBODY IN THE HOME BEEN SICK EITHER HIS BROTHER YOURSELF OR FATHER +RES0081-076 NO +RES0081-077 OK AND ANYBODY AT AT AT WORK OR ANY OTHER PLACES THAT YOU MAYBE TRAVELED TO THAT BEEN AROUND ANYBODY WHO'S BEEN SICK +RES0081-078 NO I DON'T THINK SO I DON'T THINK THERE WAS ANYONE THAT WAS SICK +RES0081-079 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0081-080 NO NO WE'RE JUST STAYING AT HOME +RES0081-081 OK AND ARE THERE ANY PETS IN THE HOME +RES0081-082 NO +RES0081-083 ALRIGHT ANY CARPETS OR LIKE CURTAINS OR ANYTHING LIKE THAT COVERING THE WINDOWS +RES0081-084 NO WE GOT ALL THOSE REMOVED WHEN HE HAD HIS BIG EXACERBATION LAST YEAR +RES0081-085 I SEE OK AND DOES ANYBODY SMOKE IN THE HOME EITHER CIGARETTES OR MARIJUANA +RES0081-086 MY HUSBAND SMOKES BUT HE SMOKES OUTSIDE HE NEVER SMOKES IN FRONT OF THE KIDS +RES0081-087 OK I SEE AND DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS +RES0081-088 NO I HAVE SOME I HAVE HIGH BLOOD PRESSURE BUT THAT'S IT +RES0081-089 OK ANY LIKE CONGENITAL DISEASES THAT RUN IN THE FAMILY +RES0081-090 NO +RES0081-091 OR HOW ABOUT ANY GENETIC DISEASES +RES0081-092 NO +RES0081-093 CYSTIC FIBROSIS OR ANYTHING LIKE THAT +RES0081-094 NO NO NO +RES0081-095 OK SO WAS THERE ANY OTHER ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT OR I'M MISSING THAT YOU'D LIKE TO +RES0081-096 ADD TODAY NO I'M JUST WORRIED THAT HE'S GOING TO HAVE A BIG ASTHMA ATTACK LIKE LAST YEAR I JUST ALSO WANT TO MAKE SURE NOTHING ELSE IS GOING ON AND IF HE CAN BE TAKEN CARE OF AND HE'S JUST HE'S FEELING AWFUL +RES0081-097-1 FOR SURE WE'LL CHECK HIS HIS VITAL SIGNS AND DO A PHYSICAL EXAM AND IT DOES SOUND LIKE IT COULD BE AN ASTHMA EXACERBATION AND SO WE CAN TRIAL SOME +RES0081-097-2 INHALER MEDICATIONS A LITTLE BIT DIFFERENT THAN WHAT YOU USE AT HOME BUT ALSO USING VENTOLIN AS WELL AND +RES0081-097-3 WE'LL ASSESS THE NEED FOR POTENTIAL ANTIBIOTICS AND ALSO STEROID IF NECESSARY AND IF HIS BREATHING GETS WORSE +RES0081-097-4 OR YOU'RE STARTING TO HEAR THAT THE WHEEZING IS GETTING WORSE OR HIS WORK OF BREATHING IS BECOMING MORE INTENSE +RES0081-098 THEN CERTAINLY WE'LL +RES0081-099 NEED TO TRY ADD ON SOME +RES0082-000 HOW MAY I HELP YOU TODAY +RES0082-001 I'VE BEEN HAVING LIKE NASAL CONGESTION AND I'VE BEEN SNEEZING A LOT OVER THESE LAST COUPLE OF DAYS AND I'VE ALSO BEEN HAVING A SORE THROAT +RES0082-002 OH NO WHEN DID THAT START +RES0082-003 SO THE STORE THROAT STARTED LIKE TWO DAYS AGO +RES0082-004 OK AND SINCE THEN YOU'VE DEVELOPED THIS NASAL CONGESTION AND SNEEZING AS WELL +RES0082-005 EXACTLY IT STARTED A BIT AFTERWARDS OR AROUND THE SAME TIME +RES0082-006 ALRIGHT AND HAVE YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A FEVER +RES0082-007 NO I DON'T THINK SO +RES0082-008 OK DO YOU HAVE ANY DIFFICULTIES SWALLOWING +RES0082-009 IT HAS BEEN A BIT SORE WHEN EATING FOOD BUT IT HASN'T BEEN SO PAINFUL TO PREVENT ME FROM EATING +RES0082-010 OK DO YOU HAVE A COUGH +RES0082-011 NO I HAVEN'T HAD A COUGH +RES0082-012 OK AND DO YOU HAVE A RUNNY NOSE ANY DISCHARGE +RES0082-013 THERE'S BEEN A LITTLE BIT OF A LIKE WATERY DISCHARGE MY NOSE +RES0082-014 HAS BEEN RUNNING ANY EAR PAIN OR ANY PAIN IN YOUR CHEEKS OR YOUR HEAD WHEN YOU'RE BENDING +RES0082-015 OVER ANYTHING LIKE THAT NOW THAT YOU SAY IT WHEN I WAS BENDING OVER TO PUT MY SHOES ON I FELT JUST A BIT OF PRESSURE ON THE FRONT OF MY FACE +RES0082-016 OK AND YOU HAVEN'T BEEN FEELING FEVERISH OR HAVING HAVING ANY CHILLS RIGHT +RES0082-017 NO +RES0082-018 OK ANY FATIGUE MALAISE ANY ACHES OR PAINS +RES0082-024 HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS I HAVE YES ALRIGHT AND JUST HAVE A COUPLE MORE QUESTIONS JUST TO SEE IF ANYTHING ELSE IS GOING ON DO YOU HAVE A HEADACHE AT ALL +RES0082-025 I'VE HAD A HEADACHE SINCE THIS MORNING IT'S PRETTY MILD IT FEELS LIKE MY HEAD IS SQUEEZING I THINK I'VE HAD HEADACHES LIKE THIS BEFORE IF I DON'T SLEEP WELL OR DEHYDRATED +RES0082-026 ARE YOU MORE STRESSED OUT THAN USUAL DO YOU HAVE EXAMS OR ANYTHING GOING ON RIGHT NOW +RES0082-027 NO SCHOOLS BEEN PRETTY GOOD WE'VE BEEN DOING A LOT OF STUFF ONLINE SO THAT'S BEEN GOOD +RES0082-028 OK ANY DO YOU FIND THAT YOUR EYES ARE RUNNY OR RED OR ANYTHING LIKE THAT +RES0082-029 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0082-030 OK ALRIGHT AND ANY DIFFICULTIES BREATHING +RES0082-031 NO +RES0082-032 ANY CHEST PAIN +RES0082-033 NO CHEST PAIN +RES0082-034 OK ANY PAIN IN YOUR BELLY OR ANY PROBLEMS WITH YOUR BOWEL MOVEMENTS +RES0082-035 NO +RES0082-036 OK ANY URINARY SYMPTOMS +RES0082-037 NO +RES0082-038 OK ALRIGHT GOOD SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS +RES0082-039 NO I HAD DERMATITIS WHEN I WAS A KID BUT I HAVEN'T HAD ANY ISSUES SINCE I USED REMEMBER USING SOME CREAMS +RES0082-040 THAT BUT I HAVEN'T NEEDED TO USE THEM RECENTLY OK AND ANY MEDICATIONS THAT YOU'RE TAKING CURRENTLY INCLUDING OVER THE COUNTER PILLS +RES0082-041 I DON'T TAKE ANYTHING CURRENTLY +RES0082-042 OK DID YOU TAKE ANY MEDICATIONS TO REDUCE THE SYMPTOMS THAT YOU'RE HAVING THE HEADACHE OR THE SORE THROAT +RES0082-043 OH SORRY I USED SOME ADVIL THIS MORNING I THINK IT WAS FOUR HUNDRED MILLIGRAMS +RES0082-044 OK AND DO YOU HAVE ANY ALLERGIES +RES0082-049 SOMETIMES IN THE SPRING OR OR FALL I CAN GET LIKE ITCHY EYES AND A RUNNY NOSE SO THAT'S WHY I DIDN'T THINK MUCH ABOUT THE RUNNY NOSE AT FIRST BUT WITH A SORE THROAT AND BEEN SNEEZING MORE I THOUGHT TO COME IN +RES0082-050 OK SO IN TERMS OF YOUR SO GENERAL INFORMATION DO YOU LIVE ALONE OR DO YOU LIVE WITH YOUR PARENTS OR ANY ANYONE ELSE +RES0082-051 I LIVE WITH MY MOM DAD AND A YOUNGER BROTHER +RES0082-052 ALRIGHT AND ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL +RES0082-053 I'M FINISHING UP GRADE EIGHT AND WE'RE DOING THE COURSES ONLINE +RES0082-054 OK GREAT SO HAVE YOU SPENT ANY TIME OUTDOORS OR SPENT ANY TIME WITH PEOPLE WHO YOU THINK MIGHT BE SICK +RES0082-055 WELL I'VE PLAYED SOME LIKE BASKETBALL OUTSIDE WITH ONE OF THE NEIGHBORS BUT +RES0082-056 I DON'T THINK HE'S BEEN SICK +RES0083-000 WHAT CAN I DO FOR YOU +RES0083-001 I'VE BEEN FEELING REALLY JUST BAD THESE LAST COUPLE OF DAYS I'VE HAD THESE MUSCLE ACHES AND HEADACHE AND COUGH THAT HAVE BEEN REALLY BOTHERING ME +RES0083-002 WHEN DID ALL THIS START +RES0083-003 SO ABOUT THREE DAYS AGO I WOKE UP IN THE MORNING WITH AND I STARTED HAVING THESE LIKE MUSCLE ACHES AND A COUGH STARTED KIND OF THAT DAY +RES0083-004 OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH IS IT A DRY COUGH OR WET COUGH +RES0083-005 IT'S A DRY COUGH I HAVEN'T BROUGHT UP ANY ANY SPUTUM AND NO BLOOD +RES0083-006 AND THE MUSCLE ACHES IS IT ALL OVER IS IT SPECIFIC PART OF YOUR BODY +RES0083-007 YEAH IT'S JUST KINDA ALL OVER JUST FEELS ICKY +RES0083-008 OK AND HAS THE COUGH GOTTEN BETTER OR WORSE OVER THE PAST THREE DAYS +RES0083-009 IT'S GOT A LITTLE WORSE I THINK I WOULD SAY IT'S A BIT MORE FREQUENT BUT THE COUGH ISN'T THAT BAD BUT IT'S GOTTEN WORSE +RES0083-010 OK AND YOU MENTIONED HEADACHES WHEN DID THOSE START +RES0083-011 SO WITHIN THE LAST COUPLE OF DAYS I'VE HAD A HEADACHE WANT TO SAY MOST OF THE TIME AND I'VE BEEN USING TYLENOL OR ACETAMINOPHEN TO TO HELP WITH THOSE ITS TAKEN THE EDGE OFF OF THE HEADACHES FOR SURE +RES0083-012 DO YOU USUALLY GET HEADACHES +RES0083-013 EVERY ONCE IN A WHILE MAYBE ONCE OR TWICE A MONTH MAYBE EVEN LESS THAN THAT +RES0083-014 ARE THEY IS YOUR CURRENT HEADACHE SIMILAR TO THE HEADACHES THAT YOU USUALLY GET +RES0083-015 IT IS YEAH IT'S YEAH IT FEELS LIKE MY HEAD IS BEING SQUEEZED AND I KIND OF HAVE A PRESSURE WHERE THAT KIND OF SQUEEZING SENSATION ON MY ON MY FOREHEAD +RES0083-016 THAT FRONT PART BOTH SIDES LEFT AND RIGHT +RES0083-017 YEAH KIND OF BOTH SIDES +RES0083-018 OK IS IT ACCOMPANIED WITH ANY SO IS THE HEADACHE WORSE WHEN YOU'RE IN BRIGHT LIGHT +RES0083-019 NO +RES0083-020 NO OK IS IT WORSE WHEN ARE YOU TRYING TO STAY IN A DARK ROOM WITH NO SOUND IS IT WORSE WHEN YOU'RE WHEN PEOPLE ARE TALKING OR OR THERE'S LOUD NOISES AROUND YOU +RES0083-021 NO +RES0083-022 NO ANY NAUSEA OR VOMITING +RES0083-023 NO +RES0083-024 ANY ANY STIFFNESS IN YOUR NECK ANY DIFFICULTIES MOVING YOUR NECK +RES0083-025 NO THAT'S OK I MEAN A BIT LIKE I DON'T KNOW LIKE KIND OF ACHY I GUESS WITH MY UPPER BACK AND SHOULDERS FEEL A BIT SORE INTEND SORE BUT I CAN MOVE MY MY HEAD AROUND OK +RES0083-026 ALRIGHT OK AND LET'S SEE SO HAVE YOU HAD ANY FEVERS OR CHILLS +RES0083-027 I DON'T THINK SO +RES0083-028 OK AND ANY SORE THROAT +RES0083-029 NO +RES0083-030 RUNNY NOSE CONGESTION +RES0083-031 NO +RES0083-032 OK ANY OTHER I GUESS ANY DIFFICULTIES BREATHING +RES0083-033 NO +RES0083-034 NO OK ANY CHEST PAIN +RES0083-035 NO +RES0083-036 ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEART'S RACING +RES0083-037 NO +RES0083-038 ANY PAIN YOUR BELLY +RES0083-039 NO +RES0083-040 CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY FUNCTION +RES0083-041 NO I HAVEN'T HAD ANY DIARRHEA THINGS HAVE BEEN NORMAL +RES0083-042 OK GOOD OK I SUPPOSE OK SO YOU'VE HAD THIS COUGH AND YOU'VE HAD MUSCLE ACHES AND THIS HEADACHE HOW HAS SO YOU'VE TRIED TYLENOL HAVE YOU TRIED ANYTHING ELSE +RES0083-043 NO I JUST USE THE TYLENOL AND I TOOK A TYLENOL COLD AND SINUS AT NIGHT WHICH HELPED WITH THE SLEEPING +RES0083-044 OK CAN YOU TELL ME IF YOU HAVE ANY MEDICAL PROBLEMS ANY MEDICAL CONDITIONS +RES0083-045 YEAH I HAVE HIGH CHOLESTEROL AND YEAH I JUST HAVE HIGH CHOLESTEROL +RES0083-046 ANY MEDICATIONS THAT YOU'RE ON +RES0083-047 YEAH I TAKE A A STATIN +RES0083-048 ALRIGHT AND ANY ALLERGIES +RES0083-049 MAYBE PENICILLIN I I THINK I GOT HIVES WHEN I WAS A KID OR SOME SORT OF RASH +RES0083-050 I SEE OK AND ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY +RES0083-051 I KNOW MY DAD HAS HAD A STROKE WHEN HE WAS IN HIS LATE SEVENTIES AND MY MOM HAD HIGH CHOLESTEROL AS WELL +RES0083-052 OK OK AND DO YOU CURRENTLY SMOKE OR HAVE YOU EVER SMOKED +RES0083-053 NO I QUIT SMOKING WHEN I HAD MY FIRST KID SO THAT WAS ABOUT YEAH THAT WAS SEVENTEEN YEARS AGO +RES0083-054 OK AND HOW MUCH DID YOU SMOKE BEFORE THAT +RES0083-055 I SMOKED ABOUT A HALF A PACK PER DAY +RES0083-056 FOR HOW MANY YEARS +RES0083-057 FOR ABOUT TWELVE YEARS I GUESS +RES0083-058 OK AND DO YOU CONSUME ALCOHOL +RES0083-059 I'LL HAVE THREE OR FOUR GLASSES OF WINE OVER THE WEEKEND +RES0083-060 ALRIGHT AND WHAT ABOUT ANY MARIJUANA +RES0083-061 NO +RES0083-062 ANY OTHER ANY RECREATIONAL DRUGS +RES0083-063 NO +RES0083-064 OK DO YOU TAKE ANY HERBAL MEDICATIONS OR ANY VITAMINS OR ANYTHING ELSE OVER THE COUNTER +RES0083-065 I DO TAKE MAGNESIUM AND LIKE VITAMIN D AND AND A MULTI VITAMIN +RES0083-066 AND DO YOU HAVE YOU HAD ANY CONTACT WITH ANYONE WHO IS SICK OR YOU THINK MIGHT BE SICK +RES0083-067 I DON'T THINK SO EVERYBODY IN MY FAMILY HAS BEEN BEEN OK +RES0083-068 HAVE YOU HAVE YOU HAD EXPOSURE TO ANYONE OR MET ANYONE WHO YOU THINK MIGHT HAVE HAD COVID +RES0083-069 WELL I DID GO TO A FAMILY PARTY JUST LAST WEEKEND IT WAS OUTSIDE AND WE WERE MAINTAINING DISTANCING BUT +RES0083-071 ARE YOU VACCINATED +RES0083-072 NO NOT YET +RES0083-073-1 NO OK ALRIGHT OK SO YOU'VE HAD THIS DRY COUGH AND MUSCLE ACHES AND HEADACHE FOR THE PAST THREE DAYS OR SO AND YOUR SYMPTOMS ARE GETTING A LITTLE BIT WORSE OR YOUR COUGH'S GETTING WORSE FOR THE PAST THREE DAYS +RES0083-073-2 WE'RE GONNA IT COULD BE THAT YOU HAVE SOME SORT OF A VIRAL INFECTION LIKE AN UPPER RESPIRATORY INFECTION +RES0083-073-3 BUT YOU MIGHT ALSO OR YOU COULD POSSIBLY HAVE COVID SO WE'LL DO A COVID TEST AND I JUST RECOMMEND THAT YOU STAY HYDRATED AND CONTINUE TO EAT AND DRINK WELL AND AND MONITOR YOUR SYMPTOMS +RES0083-073-4 TAKE TYLENOL IT SOUNDS LIKE TYLENOL HAS BEEN HELPING A LITTLE BIT CONTINUE TO TAKE TYLENOL GET LOTS OF REST AND IF YOU HAVE ANY SHORTNESS OF BREATH OR IF YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE +RES0083-073-5 CALL NINE HUNDRED AND ELEVEN FOR HELP IF YOUR CONCERNED ABOUT YOUR HEALTH AT ALL AND WE'LL GET A COVID TEST SET UP FOR YOU +RES0083-074 OK THANK YOU +RES0084-000 WHAT BRINGS YOU IN +RES0084-001-1 I'VE BEEN VERY CONCERNED LATELY THIS PAST WEEK I FIRST JUST STARTED HAVING THIS REALLY BAD HEADACHE AND THEN MY BODY JUST COMPLETELY ALL STARTED HURTING AFTER COMPLETELY REST AND THEN +RES0084-001-2 THREE DAYS AGO I JUST STARTED HAVING A LOT OF CHILLS AND I HAD A PRETTY HIGH FEVER JUST TWO DAYS AGO OF ALMOST LIKE I THINK IT WAS LIKE THIRTY EIGHT OR THIRTY NINE I WAS JUST VERY CONCERNED AND I CAME HERE TODAY +RES0084-002 OK YEAH IT'S GOOD THAT YOU CAME IN LETS REWIND A LITTLE BIT AND GET A FULL HISTORY SO YOU SAID THE WHAT STARTED FIRST THE FEVER OR THE HEADACHE +RES0084-003 SO THE HEADACHE STARTED FIRST SO THAT WAS AROUND FOUR DAYS AGO +RES0084-004 OK +RES0084-005 AND THREE DAYS AGO LIKE MY BODY JUST STARTED ACHING ALL OVER THE PLACE AND THEN JUST TWO DAYS AGO I NOTICED THAT I HAD A FEVER AND I'VE BEEN GETTING A FEVER SINCE THEN AS WELL LIKE EVEN TODAY I WAS HAVING CHILLS +RES0084-006 OK OK AND YOU SAID YOUR HIGHEST RECORDED TEMPERATURE WAS THIRTY NINE +RES0084-007 THIRTY EIGHT NINE LIKE THIRTY EIGHT POINT +RES0084-008 OK WHERE OK SO HEADACHE STARTED FOUR DAYS AGO IS IT PERSISTENT OR CONSTANT OR DOES IT COME AND GO +RES0084-009 IT WAS PRETTY CONSTANT THE HEADACHE KIND OF GOT BETTER YESTERDAY BUT LAST FEW DAYS IT'S JUST BEEN CONSTANT HEADACHE PRETTY MUCH EVERY DAY +RES0084-010 OK OK DOES ANYTHING MAKE IT BETTER OR WORSE +RES0084-011 JUST SOME REST AND I TRIED TO TAKE SOME TYLENOL TO GET RID OF IT TOOK SOME ADVIL AS WELL IT DID HELP A LITTLE BIT BUT IT JUST KIND OF CAME BACK AFTER THE MEDICATION WORE OUT +RES0084-012 HOW LONG DOES THE HEADACHE LAST WHEN YOU GET IT +RES0084-013 IF I DON'T TAKE MEDICATIONS IT CAN LAST HONESTLY THE WHOLE DAY +RES0084-014 OK YEAH AND IF YOU WERE TO DESCRIBE IT IS IT SHARP DULL ACHY +RES0084-015 IT'S JUST ACHY AND IT'S KIND OF ALL OVER THE FRONT OF MY FOREHEAD +RES0084-016 OK +RES0084-017 I SOMETIMES IT'S JUST LIKE A THROBBING PAIN +RES0084-018 OK AND ALRIGHT AND YOU SAID IT'S MOSTLY AT THE FRONT OF YOUR HEAD HOW ABOUT NEAR THE CROWN OF YOUR HEAD TEMPLES +RES0084-019 IT CAN GO TO THE TEMPLES SOMETIMES BUT MOSTLY IT'S MY FOREHEAD +RES0084-020 OK OK AND SEVERITY WISE ONE TO TEN TEN BEING THE WORST HEADACHE YOU'VE EVER WORST PAIN YOU'VE EVER FELT HOW BAD IS IT +RES0084-021 RIGHT NOW IT'S NOT THAT BAD PROBABLY LIKE A TWO OR THREE BUT WHEN IT WAS JUST A FEW DAYS AGO IT WAS LIKE PROBABLY AN EIGHT OR NINE +RES0084-022 YEAH AND THEN HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE +RES0084-023 NO I'M NOT USUALLY ONE TO GET HEADACHES MY WIFE SHE GETS MIGRAINES BUT LIKE I RARELY EVER HAVE HEADACHES +RES0084-024 YEAH OK AND THEN YOU MENTIONED THE HEADACHE IS GETTING A LITTLE BIT BETTER NOW +RES0084-025 YEAH THE HEADACHE HAS IMPROVED A BIT THE BODY ACHES ARE STILL THERE AND THE FEVER IS STILL THERE BUT LIKE THE HEADACHES I FEEL HAVE GONE DOWN +RES0084-026 OK ALRIGHT AND HAVE YOU HAD ANY FAINTING SPELLS OR DIZZINESS +RES0084-027 NO NOTHING LIKE THAT +RES0084-028 OK ANY CONFUSION OR MEMORY LOSS +RES0084-029 NO +RES0084-030 ANY NECK PAIN +RES0084-031 NOT NECK PAIN BUT LIKE JUST BELOW MY NECK LIKE MY BACK UPPER BACK HURTS AS WELL +RES0084-032 OK OK AND DO ANY WEIGHT LOSS RECENTLY +RES0084-033 NO I DON'T I DON'T THINK SO +RES0084-034 ANY EXCESSIVE FATIGUE +RES0084-035 YEAH I HAVE BEEN FEELING PRETTY TIRED AND JUST I HAVEN'T EVEN GONE TO WORK THIS WHOLE WEEK JUST KIND OF LAYING IN BED HONESTLY WITH ALL THE PAIN AND THE FEVER AND HEADACHES JUST IT'S EXHAUSTING +RES0084-036 OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +RES0084-037 NO NOTHING THAT I'VE NOTICED +RES0084-038 OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING +RES0084-039 NO +RES0084-040 NO OK HOW ABOUT A STUFFY NOSE OR RUNNY NOSE +RES0084-041 I DO FEEL A BIT MORE STUFFY LIKE TODAY BUT THERE'S NO LIKE RUNNY NOSE OR ANYTHING LIKE THAT BUT I DO FEEL A BIT MORE PRESSURE AND STUFFINESS IN MY FACE TODAY +RES0084-042 OK OK HOW ABOUT CHANGES IN SMELL OR TASTE +RES0084-043 I THINK JUST LAST NIGHT DINNER IT WAS JUST KIND OF A FUNKY LIKE DIFFERENT TASTE I COULDN'T REALLY TELL EVERYTHING WAS KIND OF A BIT BLAND I THINK MY TASTE BUDS ARE ACTING ALL WEIRD TOO +RES0084-044 OK ANY COUGHING OR SHORTNESS OF BREATH +RES0084-045 NO NO I HAVEN'T BEEN COUGHING OR NO SHORTNESS OF BREATH AT ALL +RES0084-046 OK AND HOW ABOUT WHEEZING +RES0084-047 NO NO WHEEZING +RES0084-048 OK ANY CHEST PAIN +RES0084-049 NO +RES0084-050 OK HOW ABOUT FEELING LIKE YOUR HEART'S RACING +RES0084-051 NO NOTHING LIKE THAT +RES0084-052 NO OK ANY SWELLING THAT YOU'VE NOTICED IN YOUR LIMBS +RES0084-053 NO +RES0084-054 NO OK ANY ISSUES WITH YOUR BOWEL MOVEMENTS OR URINE +RES0084-055 NO NOTHING +RES0084-056 OK HOW ABOUT NAUSEA OR VOMITING +RES0084-057 NO NO NAUSEA OR VOMITING +RES0084-058 OK AND THOSE WERE ALL THE QUESTIONS I HAD ABOUT YOUR SYMPTOMS ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0084-059-1 YEAH I HAVE A COUPLE CONDITIONS THAT I SEE MY FAMILY DOCTOR FOR I DO HAVE DIABETES THEN I HAVE HIGH CHOLESTEROL +RES0084-059-2 I ALSO HAVE THIS THING CALLED FATTY LIVER BUT THAT'S THAT'S ABOUT IT AND A HIGH BLOOD PRESSURE +RES0084-060 OK WHEN WERE YOU DIAGNOSED WITH ALL OF THESE THINGS +RES0084-061 YEAH I PROBABLY LIKE IT ALL KIND OF WENT DOWN IN MY FORTIES I DID GAIN A LOT OF WEIGHT AT SOME POINT DURING MY FORTIES AND THAT'S WHEN ALL THESE THINGS STARTED HAPPENING +RES0084-062 OK SO YOU SAID DIABETES HIGH BLOOD PRESSURE FATTY LIVER AND SORRY WHAT WAS THE OTHER ONE +RES0084-063 HIGH CHOLESTEROL +RES0084-064 HIGH CHOLESTEROL OK ARE YOU ON MEDICATIONS FOR ALL OF THESE THINGS +RES0084-065 SO I AM ON A STATIN MEDICATION FOR THE CHOLESTEROL THEN I'M ON METFORMIN AND THEN I'M ON A BLOOD PRESSURE MEDICATION AS WELL I CAN'T RECALL THE NAME SO THOSE ARE THE MEDICATIONS THAT I'M ON +RES0084-066 OK AND DO YOU TAKE YOUR MEDICATIONS REGULARLY AS PRESCRIBED +RES0084-067 YEAH I DON'T MISS ANY DOSES +RES0084-068 OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0084-069 YEAH I YEAH YEAH I THINK SO +RES0084-070 OK GOOD ARE YOU DO YOU HAVE ANY ALLERGIES +RES0084-071 NO NO ALLERGIES +RES0084-072 OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0084-073 YES I HAVE A PRETTY SIGNIFICANT FAMILY HISTORY FOR HEART CONDITIONS MY FATHER PASSED AWAY FROM A HEART ATTACK IN HIS FIFTIES MY MOM HAS HIGH BLOOD PRESSURE DIABETES IS ALSO PRETTY BIG IN MY FAMILY AS WELL +RES0084-074 OK WELL I'M SORRY TO HEAR THAT ANY CANCERS IN THE FAMILY +RES0084-075 NO NO CANCERS +RES0084-076 OK DO YOU SMOKE +RES0084-077 I USED TO WHEN I WAS IN MY THIRTIES I QUIT A PRETTY LONG TIME AGO +RES0084-078 OK HOW MUCH DID YOU SMOKE BEFORE THAT +RES0084-079 I PROBABLY SMOKED UP UNTIL I WAS THIRTY FIVE SO FOR PROBABLY LIKE TEN YEARS FROM TWENTY FIVE TO THIRTY FIVE AND PROBABLY SMOKED A PACK A DAY AT THAT TIME +RES0084-080 OK YEAH AND DO YOU DRINK ALCOHOL +RES0084-081 I'VE BEEN TOLD LIKE NOT TO FOR MY LIVER BUT I I SOMETIMES MAYBE HAVE THE RARE RED WINE MAYBE ONCE A MONTH +RES0084-082 ONCE A MONTH OK ANY OTHER RECREATIONAL DRUGS +RES0084-083 NO NO RECREATIONAL DRUGS +RES0084-084 OK NO RECREATIONAL DRUGS AND WHERE DO YOU LIVE RIGHT NOW +RES0084-085 I I JUST LIVE WITH MY WIFE IN AN APARTMENT IN THE CITY AND YEAH +RES0084-086 OK ANY OLD CARPET DUST MOLD ANYTHING THAT IS CONCERNING FROM THAT STANDPOINT +RES0084-087 NOPE +RES0084-088 NO AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY +RES0084-089 NOT THAT I KNOW OF +RES0084-090 I I STILL DO GO TO WORK +RES0084-091 I JUST HAVE LIKE A DESK JOB I HAVE MY OWN ROOM IT'S NOT LIKE I DON'T SEE TOO MANY PEOPLE AND LIKE WHEN I DO I'M WEARING A MASK SO I DON'T THINK SO +RES0084-092 OK +RES0084-093 I HAVE STOPPED GOING TO WORK THOUGH LIKE JUST JUST IN CASE +RES0084-094 OK GOOD OK AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY +RES0084-095 NO WE'VE BEEN PRETTY HOMEBOUND +RES0084-096 PRETTY HOMEBOUND OK ALRIGHT WELL THAT'S GOOD AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR MYSELF +RES0084-097 YEAH I DON'T KNOW WHAT DO YOU THINK IS CAUSING ALL OF THIS +RES0084-098-1 YEAH IT SOUNDS LIKE YOU HAVE SOME SORT OF INFECTION SO THE FIRST THING WE NEED TO RULE OUT IS COVID OF COURSE SO WE'LL DO A SWAB AND THOSE SWABS SHOULD COME BACK TO YOU IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS +RES0084-098-2 AND UNTIL THEN IT'S IMPORTANT THAT YOU DO ISOLATE AND YOU ISOLATE FOR FOURTEEN DAYS AT LEAST AND THAT INCLUDES FROM OTHER PEOPLE AT HOME AND +RES0084-098-3 IF THOSE SWABS COME BACK NEGATIVE YOU COULD POSSIBLY HAVE LIKE ANOTHER INFECTION BUT IF YOUR SYMPTOMS WORSEN LIKE YOU START GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT +RES0084-098-4 YOU SHOULD COME BACK TO THE ER AND WE'LL GET THAT CHECKED OUT AND SO THAT'S WHERE WE'LL START FOR NOW BECAUSE YOUR PRESENTATION IS ACUTE WE THINK IT'S LIKELY INFECTION RELATED +RES0084-099 OK THAT SOUNDS GOOD TO ME AND SHOULD I BE STAYING IN MY OWN ROOM OR ANYTHING LIKE THAT AT HOME +RES0084-100 YEAH IF YOU CAN LIKE IT'S RECOMMENDED THAT YOU TRY TO ISOLATE IN YOUR OWN ROOM FOR THE NEXT FOURTEEN DAYS BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID YEAH +RES0084-101 OK SOUNDS GOOD THANK YOU +RES0084-102 YEAH NO WORRIES TAKE CARE +RES0084-103 YOU TOO +RES0085-000 WHAT BRINGS YOU IN +RES0085-001-1 YEAH SO I JUST BROUGHT MY SON WENT TO THE HOSPITAL I'VE JUST BEEN GETTING VERY CONCERNED BECAUSE HE'S MAKING LIKE THESE LIKE GRUNTING NOISES FOR THE LAST DAY AND +RES0085-001-2 LIKE IT'S IT'S REALLY WORRYING ME I DON'T KNOW IF HE'S LIKE NOT BREATHING AND I ALSO JUST DID LIKE A TEMPERATURE ON HIM JUST THIS MORNING AND IT CAME UP TO LIKE LIKE A HIGH THIRTY EIGHT +RES0085-001-3 SO I DON'T KNOW WHAT'S GOING ON AND THEN HE'S JUST VERY LIKE IRRITABLE AND JUST NOT HIMSELF I THINK +RES0085-002 OK SO ALL OF THIS STARTED A DAY AGO YOU MENTIONED +RES0085-003 IT STARTED YESTERDAY BUT THE GRUNTING STARTED TODAY LIKE I THINK HE WAS A BIT ON THE WARMER SIDE LAST NIGHT AS WELL MORE IRRITABLE LAST NIGHT BUT THE GRUNTING STARTED THIS MORNING +RES0085-004 OK AND YOU MENTIONED HIS FEVER WAS THIRTY EIGHT CORRECT +RES0085-005 YEAH I THINK IT WAS LIKE THIRTY EIGHT SEVEN OR SOMETHING LIKE THAT +RES0085-006 OK IS HE COUGHING AT ALL +RES0085-007 YEAH I WOULD SAY WITH THE GRUNTING THERE IS SOME COUGHING IN BETWEEN AS WELL +RES0085-008 OK AND IS HE BRINGING UP ANY PHLEGM +RES0085-009 HE'S BEEN HAVING SOME SPIT UPS AS WELL THEY'RE MAINLY LIKE CLEAR AND WHITISH BUT I DON'T KNOW IF HE'S BRINGING ANYTHING ELSE UP THERE'S NO GREEN OR YELLOW MATERIAL THOUGH +RES0085-010 OK ANY BLOOD IN THERE +RES0085-011 NO I HAVEN'T NOTICE ANY BLOOD +RES0085-012 DOES HE SOUND WHEEZY +RES0085-013 NO IT'S MAINLY JUST THE GRUNTING +RES0085-014 OK OK DOES HE LOOK SWOLLEN TO YOU +RES0085-015 SWOLLEN AS IN JUST LIKE IN HIS LIKE +RES0085-016 IN HIS LIKE LEGS ARMS OR BELLY AREA +RES0085-017 NO I DON'T THINK SO +RES0085-018 NO OK AND ANY DOES HE HAVE A RUNNY NOSE OR A STUFFY NOSE +RES0085-019 NO I DON'T THINK SO +RES0085-020 NO OK HOW HOW IS HIS FEEDING +RES0085-021 YEAH IT'S BEEN DIFFICULT SO RIGHT NOW LIKE HIS MOM IS AT HOME BUT SHE WAS HAVING DIFFICULTY FEEDING HE'S MAINLY BREASTFED RIGHT NOW +RES0085-022 OK +RES0085-023 AND HE'S NOT REALLY BEEN FEEDING TOO MUCH EITHER +RES0085-024 OK AND HOW ABOUT LIKE THE NUMBER OF WET DIAPERS HE HAS +RES0085-025 JUST THE NORMAL LIKE THAT HASN'T CHANGED HE HAS LIKE THREE OR FOUR IN A DAY +RES0085-026 OK OK GOOD HAVE YOU NOTICED ANY CHANGES TO HIS BOWEL MOVEMENTS OR URINE +RES0085-027 NO PRETTY MUCH BEEN THE SAME +RES0085-028 OK IS HE THROWING UP AT ALL +RES0085-029 NOPE JUST SOME SPIT UPS I DON'T KNOW IF THAT'S JUST BECAUSE OF THE COUGHING OR IF THEY'RE JUST SPIT UPS LIKE BUT NOTHING AFTER EATING +RES0085-030 OK OK HAVE YOU NOTICED ANY RASHES ON HIM +RES0085-031 NO NO RASHES +RES0085-032 OK HAS HE HAD ANY FAINTING SPELLS OR SEIZURES +RES0085-033 NO I'VE BEEN REALLY TRYING TO MAKE SURE LIKE I WAS WORRIED IF HE GETS BLUE OR SOMETHING THAT WE WOULD RUSH TO THE EMERGENCY DEPARTMENT BUT I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0085-034 OK OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY +RES0085-035 NO I DON'T THINK SO WE'VE BEEN TRYING TO BE VERY CAREFUL WITH THE PANDEMIC AND EVERYTHING GOING ON +RES0085-036 FOR SURE ANY TRAVEL TO ANYWHERE RECENTLY +RES0085-037 NO +RES0085-038 OK AND IS HE AN OTHER WISE HEALTHY BABY +RES0085-039 SO HEALTHY BUT HE WAS BORN PREMATURE AT THIRTY SIX WEEKS +RES0085-040 OK +RES0085-041 AND NO NO COMPLICATIONS REALLY WITH THE PREGNANCY OR AFTER HE WAS BORN BUT YEAH HE WAS PREMATURE +RES0085-042 OK AND SO HE DIDN'T NEED ANY HOSPITALIZATIONS RIGHT AFTER BIRTH RIGHT +RES0085-043 NO NO HE WAS FINE AFTER BIRTH +RES0085-044 OK AND NO LONGSTANDING MEDICAL CONDITIONS AFTER BIRTH +RES0085-045 NO +RES0085-046 HAS HE NEEDED HOSPITALIZATIONS FOR ANYTHING IN THE PAST OR SURGERIES +RES0085-047 NO NOTHING LIKE THAT +RES0085-048 OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0085-049 YEAH THE TWO MONTHS VACCINATIONS ARE ALL UP TO DATE +RES0085-050 OK GOOD MEDICATION WISE IS HE IS HE ON ANYTHING +RES0085-051 NO NO MEDICATIONS +RES0085-052 OK ANY ALLERGIES +RES0085-053 NO +RES0085-054 ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0085-055 NO NOT THAT WE KNOW OF +RES0085-056 OK ANY CANCERS IN THE FAMILY +RES0085-057 NOPE +RES0085-058 AND WHO DOES HE LIVE WITH AT HOME +RES0085-059 JUST ME AND MY WIFE +RES0085-060 OK IN A HOUSE APARTMENT +RES0085-061 IN A IN A HOUSE +RES0085-062 OK ANY OLD CARPETS MOLD DUST ASBESTOS PETS ANYTHING LIKE THAT AT HOME +RES0085-063 NO NOTHING LIKE THAT +RES0085-064 OK AND DOES ANYONE AT HOME SMOKE +RES0085-065 NOPE +RES0085-066 OK WELL THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN +RES0085-067 YEAH NO I WAS JUST REALLY WORRIED LIKE LIKE THE GRUNTING IS JUST REALLY SCARING US SO DO YOU DO YOU DO YOU I WAS JUST WONDERING IF YOU KNOW WHAT IT COULD BE +RES0085-068-1 YEAH SO THE GRUNTING IS WORRISOME HE COULD HAVE ANYTHING FROM BRONCHIOLITIS TO PNEUMONIA +RES0085-068-2 SO WHAT WE'LL DO IS WE'LL FIRST GET HIS TEMPERATURE WE'LL GET HIS OTWO SAT AND +RES0085-068-3 WE WILL GET SOME IMAGING DONE AS WELL TO SEE IF IT'S MORE IN LINE WITH BRONCHIOLITIS OR PNEUMONIA IF IT'S BRONCHIOLITIS IT WILL BE SUPPORTIVE TREATMENT SO WE CAN KEEP HIM +RES0085-068-4 HERE AT THE HOSPITAL BECAUSE HE IS IN SOME DISTRESS AND WE'LL KEEP HIM HYDRATED AND GIVE HIM SOME OXYGEN AND IF IT'S PNEUMONIA WE'LL PRESCRIBE HIM SOME ANTIBIOTICS HOW DOES THAT SOUND +RES0085-069 AND WILL HE NEED TO STAY IN THE HOSPITAL AT ALL +RES0085-070-1 YEAH SO FOR NOW BECAUSE IF HE IS IN ANY DISTRESS AND IF HE NEEDS OXYGEN AND IV HYDRATION HE'LL NEED TO STAY IN THE HOSPITAL UNTIL HE'S BETTER FROM THAT STANDPOINT +RES0085-070-2 I SHOULD ALSO MENTION WE SHOULD DO A COVID SWAB ON HIM AS WELL BECAUSE HIS SYMPTOMS ARE IN LINE WITH COVID AS WELL SO WE'LL HAVE TO DO THAT TO RULE IT OUT +RES0085-071 OK YEAH THAT SOUNDS GOOD YEAH THANK YOU SO MUCH +RES0085-072 YEAH NO WORRIES +RES0086-000 WHAT BRINGS YOU IN +RES0086-001-1 YEAH SO I JUST CAME IN TODAY I ACTUALLY HAD ASTHMA AS A KID AND I USED TO BE ON THE PUFFERS AND +RES0086-001-2 IT PRETTY MUCH RESOLVED BY THE TIME I WAS AROUND LIKE EIGHTEEN YEARS OLD AND I'VE BEEN PRETTY GOOD SINCE THEN I HAVEN'T EVEN BEEN REALLY USING THE PUFFERS FOR THE LAST FIVE YEARS +RES0086-001-3 BUT JUST RECENTLY JUST DURING THE WINTER I STARTED NOTICING SOME OF MY SYMPTOMS COMING BACK AND NOW ESPECIALLY OVER THE LAST FEW MONTHS WHENEVER I'M DOING SOMETHING LIKE GOING TO THE GYM OR EXERCISING I +RES0086-001-4 I DO GET THAT SHORTNESS OF BREATH AND I FEEL MY THROAT CLOSING IN AGAIN AND RECENTLY FOR THE LAST I WOULD SAY A WEEK I'VE ALSO BEEN HAVING SOME WHEEZING AS WELL SO I JUST WANTED TO COME BACK AND MAKE SURE EVERYTHING IS ALRIGHT +RES0086-002 OK SURE SO JUST TO REWIND A LITTLE BIT WHEN WERE YOU FIRST DIAGNOSED WITH ASTHMA +RES0086-003 SO I WAS DIAGNOSED WHEN I WAS I THINK IT WAS LIKE WHEN I WAS THIRTEEN YEARS OLD +RES0086-004 THIRTEEN OK AND YOU'VE BEEN USING PUFFERS SINCE +RES0086-005-1 YEAH SO FROM THEN TO LIKE MAYBE WHEN I WAS EIGHTEEN I WAS USING PUFFERS BUT +RES0086-005-2 AND THEN I CONTINUED USING THEM ON AND OFF LIKE JUST THE BLUE ONE WHENEVER I NEEDED IT BUT FOR THE LAST FIVE YEARS I HAVEN'T EVEN HAD TO USE ANY PUFFERS AT ALL +RES0086-006 OK OK SO CAN YOU TELL ME A LITTLE BIT ABOUT THE SYMPTOMS THAT YOU'RE EXPERIENCING RIGHT NOW OK SO YOU SAID SOME SHORTNESS OF BREATH WHEN DID THAT START +RES0086-007-1 SO IN THE LAST I WOULD SAY TWO MONTHS I'VE NOTICED IT SIMILARLY TO WHEN I WAS YOUNGER ESPECIALLY WHEN I'M ON THE TREADMILL OR RUNNING I GET SHORT OF BREATH VERY EASILY +RES0086-007-2 BUT AT REST I'M FINE I DON'T HAVE ANY TROUBLE BUT I'VE NOTICED IT FOR THE LAST FEW MONTHS +RES0086-008 OK SO IT'S MOSTLY WHEN YOU'RE EXERCISING OR WITH ACTIVITIES +RES0086-009 OK AND DO YOU FEEL WHEEZY AS WELL +RES0086-010 YEAH IN THE LAST ONE TO TWO WEEKS I WOULD SAY I'M ALSO WHEEZING AS WELL MAYBE MAINLY DURING LIKE IF I'M RUNNING OR STILL WITH EXERCISE I FEEL MYSELF WHEEZING SO THAT'S BEEN AN ISSUE FOR THE LAST COUPLE OF WEEKS +RES0086-011 SO ONCE YOU STOP ACTIVITY DOES YOUR SHORTNESS OF BREATH AND WHEEZING EVENTUALLY RESOLVE +RES0086-012 YEAH YEAH SO IF I I JUST HAVE TO KIND OF SIT DOWN AND RELAX FOR A BIT AND THEN IT GOES AWAY ON ITS OWN +RES0086-013 OK HOW LONG DOES IT LAST BEFORE IT GOES AWAY +RES0086-014 PROBABLY AT LEAST LIKE I WOULD SAY TEN TEN TO FIFTEEN MINUTES +RES0086-015 OK OK +RES0086-016 UNTIL I'M FULLY KIND OF RECOVERED +RES0086-017 ARE YOU COUGHING AS WELL +RES0086-018 YEAH WHEN WHEN I'M EXERCISING THAT'S WHEN ALL OF THAT HAPPENS THE WHEEZING THE COUGHING BUT THROUGHOUT THE DAY OTHERWISE I'M NOT COUGHING +RES0086-019 OK AND WHEN YOU COUGH DO YOU BRING UP PHLEGM OR IS IT MORE LIKE A DRY COUGH +RES0086-020 IT'S MOSTLY A DRY COUGH SOMETIMES I DO BRING UP SOME CLEAR WHITISH MATERIAL BUT USUALLY IT'S IT'S DRY +RES0086-021 OK ALRIGHT AND DO YOU FEEL LIKE YOUR HEART'S RACING +RES0086-022 NO NO NOTHING LIKE THAT +RES0086-023 NO YOU DON'T FEEL LIKE YOU'RE BREATHING A LOT MORE THAN USUAL +RES0086-024 NO I DON'T THINK SO +RES0086-025 OK DO YOU STILL HAVE PUFFERS AT HOME +RES0086-026 I ACTUALLY LIKE I HAVEN'T USED THEM FOR A WHILE SO NO I DON'T HAVE ANY PUFFERS +RES0086-027 OK OK ANY WEIGHT LOSS RECENTLY +RES0086-028 NO +RES0086-029 NO FEVERS OR CHILLS +RES0086-030 NO NOTHING LIKE THAT +RES0086-031 OK ANY RASHES OR CHANGES IN YOUR HAIR OR SKIN OR NAILS +RES0086-032 I DO I HAVE JUST ECZEME I'VE HAD IT FOR MOST OF MY LIFE NOW SO ESPECIALLY DURING THE WINTER I DO GET SOME IRRITATION ESPECIALLY ON MY HANDS SO SOME RASHES BUT THAT'S ABOUT IT +RES0086-033 OK ANY CHANGES IN YOUR VISION OR HEARING +RES0086-034 NO NO CHANGES +RES0086-035 OK STUFFY NOSE RUNNY NOSE CHANGES IN YOUR TASTE +RES0086-036 NO +RES0086-037 OK CHANGES IN SMELL +RES0086-038 NO +RES0086-039 NO OK CHEST PAIN +RES0086-040 NO CHEST PAIN +RES0086-041 DO YOU FIND YOU GET SHORT OF BREATH WHEN YOU'RE LAYING DOWN OR IT WAKES YOU UP AT NIGHT +RES0086-042 NO JUST JUST WHEN I'M EXERCISING ESPECIALLY RUNNING +RES0086-043 OK SURE ANY DIZZINESS OR FAINTING SPELLS +RES0086-044 NO +RES0086-045 NO ANY HEADACHES +RES0086-046 NO HEADACHES +RES0086-047 ANY LIKE REFLUX HEARTBURN +RES0086-048 NO +RES0086-049 NO OK NAUSEA VOMITING +RES0086-050 NO +RES0086-051 CHANGES TO YOUR BOWEL MOVEMENTS +RES0086-052 NOPE +RES0086-053 OK SO YOU MENTIONED YOU HAVE YOU WERE DIAGNOSED WITH ASTHMA AND ECZEMA IN THE PAST ANY OTHER LONGSTANDING MEDICAL CONDITIONS THAT YOU HAVE +RES0086-054 NO THOSE THOSE ARE THE ONLY ONES +RES0086-055 OK ANY ALLERGIES +RES0086-056-1 I I DO HAVE I THINK LIKE JUST SEASONAL ALLERGIES I DON'T KNOW IF I'M ALLERGIC TO POLLEN BUT DURING THE SPRING TIME +RES0086-056-2 I GET ALLERGIES AND THEN DURING THE WINTER NOW I'M GETTING SOME OF THESE SYMPTOMS THAT I'M TALKING ABOUT SO BUT NONE TO ANY MEDICATIONS THAT I KNOW OF +RES0086-057 OK SO YOU'RE NOT GETTING ANY NIGHT TIME SYMPTOMS AND YOU'RE ONLY GETTING DAY TIME SYMPTOMS WITH ACTIVITY RIGHT +RES0086-058 YEP HAS THIS PREVENTED YOU FROM GOING TO WORK OR SCHOOL +RES0086-059-1 OH SO I JUST THIS PAST WEEK I USUALLY DO MY RUNNING LIKE MORNING WORKOUT RIGHT BEFORE WORK AND JUST ONE OF THE DAYS AFTER I WORKED OUT I I +RES0086-059-2 I FELT JUST TERRIBLE WITH THIS COUGHING AND SHORT OF BREATH SO I JUST DECIDED TO TAKE A DAY OFF WORK THAT DAY BUT THEN I REALIZED IT KIND OF GOES AWAY ON ITS OWN SO FOR THE OTHER DAYS I HAVE BEEN GOING TO WORK +RES0086-060 OK OK GOOD ALRIGHT AND THEN ANY MEDICATIONS THAT YOU'RE ON +RES0086-061 JUST I'M I'M ON A JUST ONE OF THOSE STEROID CREAMS FOR MY ECZEMA +RES0086-062 OK OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0086-063 YEP OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0086-064 NO HEART CONDITIONS BUT ASTHMA IS PRETTY BIG IN MY FAMILY AS WELL AS ECZEMA LIKE MY MOM HAS IT MY SISTER HAS IT SO ASTHMA IS PRETTY BIG +RES0086-065 OK HOW ABOUT CANCERS +RES0086-066 NO I DON'T THINK ANYONE IN THE FAMILY HAS ANY CANCERS +RES0086-067 OK AND DO YOU SMOKE +RES0086-068 NO I'VE NEVER SMOKED I'M PRETTY HEALTH FOCUSED AND I CAN'T EVEN TAKE IF SOMEONE ELSE IS SMOKING SO NO +RES0086-069 NO OK DO YOU DRINK ALCOHOL +RES0086-070 NO I I DON'T DRINK ALCOHOL NO DRUGS I'M PRETTY I LIKE TO STAY VERY FIT AND HEALTHY SO NOTHING LIKE THAT +RES0086-071 OK OK AND HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY +RES0086-072 NO NOT THAT I KNOW OF I LIVE BY MYSELF IN MY APARTMENT I'VE BEEN WORKING FROM HOME I WORK AS A PROGRAMMER AND SO I ONLY GO OUTSIDE FOR RUNS AND STUFF FOR GROCERIES SO I HAVEN'T REALLY SEEN ANYONE SICK AROUND ME +RES0086-073 AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0086-074 NO I'VE MAINLY BEEN AT HOME +RES0086-075 OK GOOD AND WHERE'S HOME +RES0086-076 HOME IS IN HAMILTON ONTARIO AND I'VE JUST BEEN YEAH WORKING FROM HOME +RES0086-077 OK DO YOU LIVE IN A HOUSE APARTMENT WHO DO YOU LIVE WITH +RES0086-078 I JUST LIVE IN A IN AN APARTMENT BY MYSELF I DID HAVE A ROOMMATE LIKE THAT MOVED OUT JUST A COUPLE OF MONTHS AGO BUT YEAH RIGHT NOW I'M JUST BY MYSELF +RES0086-079 OK OK ANY OLD CARPETS PETS MOLD OR ASBESTOS IN THE HOUSE +RES0086-080 NO NOTHING LIKE THAT +RES0086-081 OK OK GOOD SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +RES0086-082 YEAH I WAS JUST WONDERING IF I SHOULD GO BACK ON THE PUFFERS I DON'T HAVE ANY RIGHT NOW I JUST DON'T KNOW IF MY ASTHMA HAS JUST COME BACK +RES0086-083-1 YEAH SO WHAT WE'RE GONNA DO IS WE'RE GOING TO DO A PFT SO PULMONARY FUNCTION TEST ON YOU CAUSE IT'S BEEN A WHILE SINCE YOU'VE HAD ONE OF THOSE DONE +RES0086-083-2 AND THAT'S JUST TO CHECK HOW WELL YOUR LUNG IS FUNCTIONING SO WE'LL DO THAT WE'LL ALSO MAYBE GET A CHEST X RAY AS WELL +RES0086-083-3 FOR BASELINE AND DEPENDING ON WHAT THOSE TWO COME BACK AS WE'LL PROBABLY GET YOU TO USE YOUR SHORT ACTING BETA AGONIST PUFFER AGAIN AND WE'LL ALSO GIVE YOU A LONG ACTING +RES0086-084 OK +RES0086-085-1 AS WELL AS AN INHALED CORTICO STEROID SO ACTUALLY YOU KNOW WHAT WE'LL GIVE YOU AN INHALED CORTICO STEROID AND A SHORT ACTING BETA AGONIST BECAUSE YOU CAN'T USE BOTH THE STEROID AND THE LONG SO WE'LL WE'LL START WITH THE +RES0086-085-2 WE'LL START WITH THOSE TWO WE'LL START WITH THE SHORT ACTING AS WELL AS INHALED CORTICO STEROID AND IF WE FIND THAT YOUR ASTHMA IS JUST BASED ON LIKE EXERTION OR LIKE +RES0086-085-3 SOMETHING CALLED ATHLETIC ASTHMA WE CAN ALSO TRY SOMETHING CALLED CROMOLYN INSTEAD BUT WE'LL DISCUSS THAT MORE RIGHT NOW OUR PRIORITY IS TO GET YOUR SYMPTOMS UNDER CONTROL SO WE'LL START WITH THE SHORT ACTING AS WELL AS THE INHALED CORTICO STEROID HOW DOES THAT SOUND +RES0086-086 YEAH THAT SOUNDS GOOD THANK YOU SO MUCH +RES0086-087 YEAH NO PROBLEM +RES0087-000 WHAT BRINGS YOU IN +RES0087-001 YES SO I'M JUST COMING IN WITH MY SON HE'S BEEN HAVING HE'S BEEN COMPLAINING OF JUST SEEMS LIKE PAIN IN HIS RIGHT EAR FOR THE LAST I WOULD SAY THREE TO FOUR DAYS AND IT SEEMS LIKE HE'S +RES0087-002 JUST MORE IRRITABLE JUST NOT HIMSELF RIGHT NOW +RES0087-004 DID YOU SAY HE'S HAD THIS EAR PAIN I WOULD SAY FOUR DAYS NOW +RES0087-005 FOUR DAYS OK HAVE YOU NOTICED ANY HEARING LOSS NO HE STILL +RES0087-006 RESPONDS WHEN I CALL HIS NAME OK AND HAVE YOU NOTICED ANY FLUID COMING OUT OF HIS EARS +RES0087-007 NO I DON'T THINK SO +RES0087-008 IS IT MORE LIKE ONE SIDE OF HIS EARS OR IS IT BOTH EARS +RES0087-009 IT'S JUST HIS RIGHT EAR +RES0087-010 JUST HIS RIGHT EAR OK AND HAVE YOU NOTICED THAT IT'S LIKE SWOLLEN RED OR WARM +RES0087-011 NO I DON'T SEE ANY SWELLING OR REDNESS AT ALL +RES0087-012 OK OK GOOD AND HAVE YOU TAKEN A LOOK INSIDE HIS EARS +RES0087-013 I TRIED TO TAKE A LOOK WITH A FLASHLIGHT I COULDN'T REALLY SEE TOO MUCH +RES0087-014 OK THAT'S FAIR AND YOU MENTIONED HE'S HAD A RUNNY NOSE TOO WHEN DID THAT START +RES0087-015 SO THAT KIND OF LIKE LAST WEEK HE WAS RECOVERING FROM I THINK IT WAS JUST A COLD AND HE HAD A RUNNY NOSE AND JUST WAS A BIT CONGESTED BUT THEN OVER THE LAST WEEK IT KIND OF JUST RESOLVED BUT THEN THIS WEEK HE STARTED HAVING JUST THIS EAR PAIN +RES0087-016 OK ANY FEVERS +RES0087-017 NO NOT THAT I I HAVEN'T MEASURED ANYTHING AND HE HASN'T MENTIONED ANY LIKE HE HASN'T FELT COLD OR ANYTHING LIKE THAT +RES0087-018 OK ANY WEIGHT LOSS OVER THE PAST MONTH OR SO +RES0087-019 NO +RES0087-020 NO ANY CHANGE IN HIS HAIR OR NAILS LIKE RASHES OR SORRY OR SKIN +RES0087-021 NO I HAVEN'T SEEN ANY CHANGES IN THE SKIN +RES0087-022 OK ANY CHANGES IN HIS VISION OR SMELL OR TASTE +RES0087-023 NO +RES0087-024 NO OK HIS RUNNY NOSE WHAT COLOR IS IT +RES0087-025 IT WAS MAINLY IT SEEMED TO ME LIKE IT WAS MAINLY CLEAR WHEN IT WAS HAPPENING LIKE HE WASN'T BRINGING UP ANY YELLOW OR GREEN MATERIAL +RES0087-026 OK GOOD DOES HE HAVE A SORE THROAT AT ALL +RES0087-027 NO NOT THAT HE'S TOLD ME HE'S STILL EATING THINGS AND I DON'T THINK HE'S HAVING ANY TROUBLE WITH EATING ANYTHING SO I DON'T THINK SO +RES0087-028 OK THAT'S GOOD HAS HE HAD A COUGH +RES0087-029 ACTUALLY HE DID HE DID START COUGHING LIKE YESTERDAY BUT JUST A FEW TIMES A DAY I DON'T KNOW IF IT'S BECAUSE OF THIS OR LIKE WHAT ELSE MIGHT BE GOING ON +RES0087-030 OK AND YOU SAID FOR THE PAST FEW DAYS HE'S HAD THE COUGH +RES0087-031 I THINK JUST MAYBE STARTED YESTERDAY +RES0087-032 STARTED YESTERDAY OK IS IT A DRY COUGH OR IS IT IS HE BRINGING UP ANY PHLEGM +RES0087-033 NO IT SEEMS TO BE JUST DRY I THINK I JUST NOTICED IT LIKE THREE OR FOUR TIMES DURING THE DAY YESTERDAY +RES0087-034 OK SO NO BLOOD THAT HE'S BRINGING UP RIGHT +RES0087-035 NO NO +RES0087-036 OK AND DOES HE HAVE ANY SHORTNESS OF BREATH +RES0087-037 NO NO +RES0087-038 NO OK ANY WHEEZING +RES0087-039 NO NO WHEEZING +RES0087-040 NO CHEST PAIN +RES0087-041 NO +RES0087-042 OK ANY NAUSEA OR VOMITING +RES0087-043 NO NAUSEA OR VOMITING +RES0087-044 ANY CHANGES TO HIS BOWEL MOVEMENTS +RES0087-045 NO +RES0087-046 NO OK AND HOW ABOUT URINE IS THAT NORMAL +RES0087-047 NO CHANGES AT ALL +RES0087-048 ANY HEADACHES +RES0087-049 NOT THAT HE'S TOLD ME ABOUT +RES0087-050 OK DIZZINESS OR FAINTING SPELLS +RES0087-051 NO +RES0087-052 FEELING LIKE HE'S OFF BALANCE OR LOST COORDINATION +RES0087-053 NO I DON'T THINK SO +RES0087-054 NO OK NO NUMBNESS NO TINGLING +RES0087-055 NO +RES0087-056 HAS HE HAD ANY CONTACTS WITH SICK PEOPLE RECENTLY +RES0087-057 NO I DON'T THINK +RES0087-058 ANYONE'S BEEN SICK AROUND HIM OK AND HAS HE +RES0087-059 TRAVELED TO ANYWHERE RECENTLY NO LIKE +RES0087-060 HE'S MAINLY JUST BEEN INSIDE HIS HOME OK +RES0087-061 HAS HE EVER HAD EAR PAIN BEFORE HE DID HAVE A SIMILAR PAIN I THINK WHEN HE WAS LIKE AROUND +RES0087-062 THREE YEARS OLD BUT IT HAPPENED WITH HIS LEFT LEFT EAR NOT THE RIGHT ONE OK WAS HE PRESCRIBED ANY MEDICATIONS +RES0087-063 FOR THAT HE WAS GIVEN A LIKE A COURSE OF ANTIBIOTICS AT THAT TIME I FORGOT WHAT IT WAS CALLED BUT I THINK AT THAT TIME IT WAS MUCH WORSE LIKE HE I DON'T KNOW IF HE WAS JUST YOUNGER AND COULDN'T TOLERATE IT BUT I THINK HE ALSO HAD A FEVER AT THAT TIME +RES0087-064 OK OK AND THEN ANY OTHER EAR INFECTIONS OUTSIDE OF THAT ONE TIME +RES0087-065 NO I THINK THAT ONLY THAT ONE I CAN RECALL +RES0087-066 OK ALRIGHT IS HE OTHERWISE HEALTHY +RES0087-067 OTHERWISE HE'S HEALTHY NO OTHER CONDITIONS OR ANYTHING LIKE THAT +RES0087-068 NO HOSPITALIZATIONS OR SURGERIES +RES0087-069 NO +RES0087-070 AND IS HE ON ANY MEDICATIONS +RES0087-071 NO MEDICATIONS +RES0087-072 OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0087-073 ALL HIS IMMUNIZATIONS ARE GOOD +RES0087-074 OK ANY ALLERGIES +RES0087-075 NOT THAT WE KNOW OF SO FAR +RES0087-076 AND ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0087-077 NO LUNG OR HEART CONDITIONS JUST HIS FATHER DOES HAVE LIKE CELIAC DISEASE SO I DON'T KNOW IF THAT'S RELATED AT ALL +RES0087-078 OK HOW OLD WAS HE WHEN WAS DIAGNOSED WITH CELIAC +RES0087-079 FAIRLY YOUNG I WOULD SAY +RES0087-080-1 IN HIS TWENTIES +RES0087-080-2 OK OK ALRIGHT WE'LL KEEP AN EYE ON IT IN HIM LIKE IF HE HAS ANY CHANGES IN HIS +RES0087-080-3 BOWEL MOVEMENTS OR IF HE'S GETTING SEVERE ABDOMINAL PAIN AFTER EATING CERTAIN FOODS WITH GLUTEN YOU CAN GET HIM CHECKED UP FOR THAT AS WELL +RES0087-081 OK +RES0087-082 AND THEN IN TERMS OF WHERE HE LIVES DOES HE LIVE WITH YOU AND YOUR PARTNER +RES0087-083 SO IT'S JUST HE'S AN ONLY CHILD LIVES WITH ME AND MY HUSBAND AND ALSO +RES0087-084 WE HAVE LIKE A PET DOG OK +RES0087-085 LIVE IN AN APARTMENT OR IN A HOUSE WE +RES0087-086 LIVE IN A IT'S LIKE A CONDOMINIUM OK OK ANY OLD +RES0087-087 MOLD OR ASBESTOS IN THE BUILDING NO +RES0087-088 NO NOTHING LIKE THAT IT'S FAIRLY WELL KEPT OK AND IS HE OTHERWISE LIKE DEVELOPMENTAL WISE HE'S OK +RES0087-093 I DON'T KNOW IF LIKE LAST TIME WE DID GET SOME ANTIBIOTICS I DON'T KNOW IF HE NEEDS THEM RIGHT NOW OR WHAT WOULD YOU RECOMMEND +RES0087-094-1 YEAH SO I'M GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE I CAN COME UP WITH LIKE A MANAGEMENT PLAN FOR HIM SO ONCE I DO IF I SEE +RES0087-094-2 IF HIS TYMPANIC MEMBRANE HAS BEEN PERFORATED OR I SEE PUS IN THERE WE'LL PRESCRIBE HIM LIKE TEN DAYS OF ANTIBIOTICS WE CAN GIVE HIM EITHER AMOXICILLIN +RES0087-094-3 OR IF HE HAS BAD REACTIONS TO PENICILLINS WE CAN GIVE HIM CEFUROXIME AND THEN IF +RES0087-094-4 IT DOESN'T SEEM TO HAVE ANY SYSTEMIC SYMPTOMS SO IF HE HAS SYSTEMIC SYMPTOMS LIKE FEVER WHICH WE'LL CHECK FOR TODAY AND IF HE'S LIKE BEEN REALLY ILL AND HE HAS LIKE A MIDDLE EAR EFFUSION OR BULGING TYMPANIC MEMBRANE AGAIN WE'LL GIVE HIM ANTIBIOTICS FOR TEN DAYS +RES0087-094-5 BUT IF HIS TYMPANIC MEMBRANE IS JUST BULGING A LITTLE BIT OR IF HE HAS SOME MIDDLE EAR EFFUSION BUT NO SYSTEMIC SYMPTOMS LIKE NO FEVERS AND HE SEEMS TO BE FINE OTHERWISE WE'LL +RES0087-094-6 REASSESS HIM IN TWENTY FOUR TO FORTY EIGHT HOURS TO SEE IF HE'S BETTER AND IF HE'S NOT AGAIN WILL PRESCRIBE HIM ANTIBIOTICS HOW DOES THAT SOUND +RES0087-095 THAT SOUNDS GOOD THANK YOU +RES0087-096 OK NO WORRIES +RES0091-000 WHAT BRINGS YOU IN HERE TODAY +RES0091-001 SO I'VE HAD THIS RUNNY NOSE WELL FIRST IT WAS A STUFFY NOSE BUT NOW I'VE HAD THIS RUNNY NOSE FOR THE PAST WEEK AND A HALF AND IT DOESN'T SEEM TO BE GETTING ANY BETTER SO I WAS JUST WONDERING IF YOU COULD GIVE ME SOMETHING FOR THAT +RES0091-002 SO LET'S JUST TRY TO FIRST SEE WHAT'S GOING ON SO YOU'VE BEEN HAVING THIS SO WHEN DID IT START GETTING STUFFY +RES0091-003 IT STARTED GETTING STUFFY ABOUT TWO WEEKS AGO +RES0091-004 TWO WEEKS AGO AND WHEN DID IT START GETTING LIKE JUST A RUNNY NOSE +RES0091-005 THAT STARTED A WEEK AND A HALF AGO +RES0091-006 OK AND HAVE YOUR SYMPTOMS HAVE THESE SYMPTOMS GOTTEN WORSE AT ALL +RES0091-007 NO IT STAYED ABOUT THE SAME +RES0091-008 OK AND DO YOU HAVE ANY COUGHING +RES0091-009 NO NO COUGHING +RES0091-010 NO COUGHING ANY FEVERS OR CHILLS +RES0091-011 NO +RES0091-012 NO AND THE FROM THE RUNNY NOSE ARE YOU HAVING ANY YELLOW OR GREEN DISCHARGE +RES0091-013 NO IT'S CLEAR +RES0091-014 IT'S CLEAR OK HAVE YOU AT ALL COUGHED UP ANY BLOOD AT ALL +RES0091-015 NO NOTHING LIKE THAT +RES0091-016 OK AND DO THESE SYMPTOMS COME AND GO OR ARE THEY PRETTY CONSTANT +RES0091-017 THEY ARE PRETTY CONSTANT +RES0091-018 OK AND IS THERE ANYTHING THAT YOU HAVE TRIED THAT HAS HELPED YOU WITH THESE SYMPTOMS ANY OVER THE COUNTER MEDICATIONS +RES0091-019 NO I HAVEN'T TRIED ANYTHING I'VE BEEN THINKING ABOUT USING SOME NASAL DECONGESTION BUT I DON'T WANT TO MAKE MY RUNNY NOSE ANY WORSE +RES0091-020 NO THAT'S A THAT'S A FAIR POINT AND THERE'S MULTIPLE THINGS THAT YOU CAN TRY OVER THE COUNTER BUT WE CAN GET INTO THAT MORE LATER ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL LIKE ANY SHORTNESS OF BREATH CHEST PAIN ANY KIND OF DIZZINESS ANYTHING LIKE THAT +RES0091-021 NO DIZZINESS I FEEL LIKE SOMETIMES I HAVE A HEADACHE THOUGH BECAUSE I FEEL LIKE THERE'S A LOT OF FLUID OR SOMETHING BACKED UP INTO MY SINUSES +RES0091-022 OK SO DO YOU ARE YOU FEELING THAT PRESSURE IN YOUR FACE AT ALL +RES0091-023 A LITTLE BIT +RES0091-024 OK HAVE YOU AT ALL IN THE PAST COUPLE WEEKS TO A MONTH HAD CONTACT WITH ANYONE THAT WAS SICK +RES0091-025 NO NOTHING LIKE THAT THAT I CAN THINK OF +RES0091-026 OK AND ANY TRAVEL +RES0091-027 NO +RES0091-028 OK AND ANY SYMPTOMS OF A LOSS OF TASTE OF SORRY LOSS OF SENSE OF TASTE OR SMELL +RES0091-029 NO +RES0091-030 ANY NAUSEA OR VOMITING +RES0091-031 NOPE +RES0091-032 ANY NIGHT SWEATS +RES0091-033 NO +RES0091-034 HOW ABOUT FATIGUE OR DO YOU FEEL TIRED +RES0091-035 A LITTLE BIT +RES0091-036 OK ARE YOU DO YOU WORK AT ALL +RES0091-037 I WORK FROM HOME RIGHT NOW +RES0091-038 OK AND HAS THIS AFFECTED YOUR WORK IN ANY WAY +RES0091-039 NO +RES0091-040 OK WHERE WHERE DO YOU LIVE DO YOU LIVE IN AN APARTMENT A HOUSE +RES0091-041 I LIVE IN AN APARTMENT +RES0091-042 AND DO YOU LIVE WITH ANYONE +RES0091-043 NO JUST BY MYSELF +RES0091-044 OK AND ANY MOLD OR DUST OR FUMES ANYTHING IN YOUR HOUSEHOLD +RES0091-045 I HAVE SOME OLD CARPETS BUT THAT'S ABOUT IT +RES0091-046 OK HAVE YOU FELT ANY CHANGES IN YOUR SLEEP OR APPETITE +RES0091-047 NO NOTHING LIKE THAT +RES0091-048 OK ANY CHANGES IN YOUR BOWEL MOVEMENT LIKE DIARRHEA OR CONSTIPATION +RES0091-049 NO +RES0091-050 ANY URINARY TROUBLE +RES0091-051 NO +RES0091-052 ANY WEIGHT LOSS +RES0091-053 NO +RES0091-054 OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH LIKE ASTHMA OR ANYTHING ELSE +RES0091-055 NO I'M HEALTHY OTHERWISE +RES0091-056 OK ANY ALLERGIES THAT YOU KNOW OF +RES0091-057 NOPE NO ALLERGIES EITHER +RES0091-058 OK DO YOU TAKE ANY REGULAR MEDICATIONS +RES0091-059 NO I DON'T EVEN TAKE VITAMINS +RES0091-060 OK ANY HOSPITALIZATIONS OR +RES0091-061 SURGERIES IN THE PAST I HAD AN ARM FRACTURE WHEN I WAS YOUNGER BUT THAT'S IT +RES0091-062 OK BUT OTHER THAN THAT NOTHING ELSE +RES0091-063 NO +RES0091-064 OK AND CURRENTLY RIGHT NOW DO YOU SMOKE CIGARETTES AT ALL +RES0091-065 NO +RES0091-066 HAVE YOU SMOKED IN THE PAST +RES0091-067 NO +RES0091-068 ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0091-069 NO +RES0091-070 AND DO YOU DRINK ALCOHOL +RES0091-071 ONCE IN A WHILE I'LL HAVE LIKE A GLASS OF WINE EVERY WEEK +RES0091-072 OK AND THOSE ARE PRETTY MUCH ALL THE QUESTIONS I HAVE RIGHT NOW DO YOU HAVE ANY QUESTIONS +RES0091-073 NO WHAT CAN I DO ABOUT THIS RUNNY NOSE +RES0091-074-1 YEAH SO IT SEEMS LIKE IT'S BEEN GOING ON FOR MORE THAN ONE AND A HALF WEEK WHAT WHAT IS REASSURING IS THAT YOU'RE NOT HAVING ANY OTHER SYMPTOMS THAT ARE CONCERNING LIKE YOU'RE NOT HAVING ANY COUGH YOU'RE NOT HAVING ANY GREEN OR YELLOW SPUTUM YOU'RE NOT HAVING ANY FEVERS SO +RES0091-074-2 IT SEEMS THAT YOU MIGHT JUST BE HAVING A COLD WHICH CAN BE CAUSED BY JUST A VIRAL INFECTION BUT IT SHOULD GO AWAY ON ITS OWN JUST MAKE SURE THAT YOU'RE GETTING SOME REST YOU'RE HYDRATING WELL +RES0091-074-3 YOU CAN GET SOME OVER THE COUNTER MEDICATIONS LIKE TYLENOL COLD FOR EXAMPLE BUT FOR NOW I WOULD SAY WE SHOULD JUST WAIT AND WATCH BUT JUST IN CASE ALSO SINCE IT IS ONE OF THE +RES0091-074-4 SYMPTOMS THAT'S FOR COVID AS WELL IN THIS TIME PERIOD WE WILL JUST GET A COVID SWAB JUST IN CASE BUT MOST LIKELY IT'S NOTHING TO BE WORRIED ABOUT +RES0091-074-5 UNTIL YOU GET YOUR TEST I WOULD RECOMMEND STAYING ISOLATED AND THEN WE CAN GO ON FROM THERE IS THAT DOES THAT SOUND GOOD TO YOU +RES0091-075 THAT SOUNDS GREAT THANK YOU SO MUCH +RES0091-076 YOU'RE WELCOME TAKE CARE +RES0091-077 YOU TOO +RES0092-000 I UNDERSTAND THAT YOU'VE HAD A COUGH CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT +RES0092-001 SO I'VE HAD THIS COUGH NOW IT'S BEEN GOING ON FOR ABOUT TWO WEEKS JUST JUST HASN'T GONE AWAY +RES0092-002 OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THIS COUGH IS IT DRY OR WET +RES0092-003 IT'S BEEN MIX IT'S BEEN DRY SOMETIMES AND I HAVE HAD A LITTLE BIT OF SPUTUM PRODUCTION RECENTLY IT'S BEEN MOSTLY CLEAR THOUGH +RES0092-004 HAS THE COUGH GOTTEN WORSE OVER THE PAST TWO WEEKS +RES0092-005 NO IT'S BEEN ABOUT THE SAME +RES0092-006 AND HAVE YOU HAD ANY BLOOD THAT CAME UP WITH THE SPUTUM +RES0092-007 NO I HAVEN'T NOTICED ANY BLOOD +RES0092-008 ALRIGHT WHAT ABOUT ANY OTHER SYMPTOMS OVER THE PAST TWO WEEKS HAVE YOU HAD HAVE YOU HAD ANY FEVERS OR CHILLS +RES0092-009 NOT NO +RES0092-010 NO OK AND ANY I GUESS ANY RUNNY NOSE +RES0092-011 MY NOSE WAS A BIT RUNNY LAST WEEK BUT IT'S THAT'S BETTER NOW +RES0092-012 OK OK IT'S JUST OK LAST WEEK WHAT ELSE WHAT OTHER SYMPTOMS DID YOU HAVE LAST WEEK +RES0092-013 I HAD A SORE THROAT AND A LITTLE BIT OF A HEADACHE AS WELL AND AND SOME ACHES AND FATIGUE THOSE WERE THAT WAS LAST WEEK FOR ABOUT THREE DAYS AND THEN I STARTED TO FEEL BETTER BUT I STILL HAVE THIS COUGH THAT IT'S STILL GOING ON +RES0092-014 SO THOSE OTHER SYMPTOMS THAT YOU HAD LAST WEEK THAT LASTED ABOUT THREE DAYS ARE THEY ALL GONE ARE YOU STILL FEELING FATIGUED OR HAVING A HEADACHE +RES0092-015 THOSE ARE BOTH THEY'RE GONE +RES0092-016 IT'S ONLY THE COUGH +RES0092-017 I JUST HAVE THE COUGH +RES0092-018 IS THERE ANY TIME ANY SPECIFIC TIME OF THE DAY THAT IT'S WORSE OR BETTER ANYTHING THAT TRIGGERS IT +RES0092-019 MAYBE LIKE MAYBE WHEN I WENT OUT INTO THE COLD OR LIKE WHEN I WENT FOR A RUN WHERE I REALLY KIND OF EXERTED MYSELF IT BROUGHT IT ON BUT OTHER THAN THOSE THINGS +RES0092-021 BUT YOU'RE OTHERWISE FEELING BETTER FOR THE MOST PART FEELING BETTER BUT I STILL HAVE A COUGH +RES0092-022 OK HAVE YOU HAD ANY CHEST PAIN +RES0092-023 NO +RES0092-024 ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEART'S RACING +RES0092-026 NOTHING LIKE THAT ANY OTHER SYMPTOMS SUCH AS BELLY PAIN OR DIARRHEA OR CONSTIPATION OR CHANGES IN YOUR URINE ARE HAVING ANY URINARY SYMPTOMS +RES0092-027 NO I HAVEN'T HAD ANYTHING LIKE LIKE THAT +RES0092-028 OK OK AND CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL CONDITIONS YOU HAVE +RES0092-029 I I'M HEALTHY I HAVEN'T BEEN DIAGNOSED WITH WITH ANYTHING +RES0092-030 OK ALRIGHT ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER PILLS OR ANY HERBAL PILLS OR MULTI VITAMINS ETCETERA +RES0092-031 I'M TAKING A BIRTH CONTROL +RES0092-032 I SEE OK ANY ALLERGIES +RES0092-033 NO ALLERGIES +RES0092-034 OK DO YOU HAVE ANY YOU DON'T HAVE ANY LUNGS RELATED DISEASES RIGHT LIKE ASTHMA OR COPD OR ANYTHING OF THAT SORT +RES0092-036 NOTHING LIKE THAT ALRIGHT ALRIGHT THAT'S GOOD AND WHO DO YOU CURRENTLY LIVE +RES0092-037 WITH AND WHERE DO YOU LIVE ALRIGHT SO I LIVE WITH A FEW ROOMMATES I'M +RES0092-038 JUST FINISHING UP MY UNDERGRADUATE DEGREE THAT'S GREAT +RES0092-039 HAVE YOU HAD ANY CONTACT WITH ANYONE WHO WAS SICK RECENTLY NO NOT THAT I COULD THINK OF I MEAN WE WENT OUT ONE NIGHT LAST WEEK AND THAT'S KIND OF WHEN I +RES0092-040 OK OK AND HAVE YOU TRAVELED OUTSIDE THE CITY OR COUNTRY +RES0092-041 HAD THOSE OTHER SYMPTOMS FOR A FEW DAYS AFTER THAT OK +RES0092-042 HAVE YOU TRAVELLED OUTSIDE THE CITY OR COUNTRY NO I HAVEN'T +RES0092-043 OK DO YOU DRINK ALCOHOL SOMETIMES I +RES0092-044 I WILL WITH FRIENDS +RES0092-045 KIND OF SOCIALLY +RES0092-049 WHAT ABOUT SMOKING NO MARIJUANA SOMETIMES WITH LIKE SOCIALLY WITH FRIENDS BUT THAT MIGHT +RES0092-050 BE ONCE A MONTH OR +RES0092-052 EVEN LESS ANY RECREATIONAL DRUGS NO OK ALRIGHT AND ANY LUNG CONDITIONS THAT RUN IN THE FAMILY +RES0092-054 NO OK OK ALRIGHT SO THAT'S ALL THAT I I WANTED TO KNOW IT SOUNDS LIKE YOU HAD A YOU HAD A COLD LAST WEEK AND YOU JUST HAVE THIS RESIDUAL COUGH THAT'S STILL THERE AND IT'S BEEN TWO WEEKS AND YOU'RE JUST WORRIED ABOUT IT +RES0092-055-1 BUT OTHERWISE YOU'RE FEELING WELL YOU DON'T HAVE ANY OTHER SYMPTOMS OFTEN TIMES WHEN WE GET SICK OR WE HAVE AN INFECTION OR INFLAMMATION OF THE OF THE +RES0092-055-2 THE AIRWAY WE CAN GET A COUGH THAT LASTS A LONG TIME AND IT MIGHT JUST TAKE YOU A COUPLE MORE WEEKS FOR THE COUGH TO GO AWAY +RES0092-056 BUT IF YOU FEEL THAT IT'S GETTING ANY WORSE OR YOU'RE YOU HAVE THOSE SYMPTOMS COME BACK AGAIN OR YOU DEVELOP A FEVER WE CAN YOU CAN DEFINITELY WE CAN DO SOMETHING MORE ABOUT THAT I'LL ALSO DO A PHYSICAL EXAM AND AND SEE HOW YOU'RE DOING AND THEN WE CAN GO FROM THERE +RES0092-057 OK GREAT THANK YOU +RES0093-000 WHAT BRINGS YOU IN TODAY +RES0093-001 YEAH SO I'VE HAD THIS COUGH THAT STARTED WITHIN THE LAST DAY AND I'VE ALSO BEEN PARTICULARLY SHORT OF BREATH AS WELL +RES0093-002 CAN YOU TELL ME ABOUT THE THE COUGH HOW IS IT DRY COUGH OR WET COUGH +RES0093-003 IT'S WET I'VE BEEN BRINGING UP SPUTUM THAT'S IT'S JUST IT LEAVES A REALLY BAD TASTE IN MY MOUTH WHEN WHEN BRINGING IT UP +RES0093-004 WHAT COLOR IS THE SPUTUM +RES0093-005 IT'S KIND OF LIKE YELLOWISH GREEN TYPE COLOR +RES0093-006 YOU NOTICED ANY BLOOD +RES0093-007 NO I HAVEN'T SEEN ANY BLOOD +RES0093-008 AND IT ONLY STARTED YESTERDAY WHAT ABOUT THE THE DIFFICULTIES BREATHING WHEN DID THAT START +RES0093-009 THAT STARTED REALLY WITHIN THE LAST TWELVE HOURS OR SO +RES0093-010 AND CAN YOU TELL ME IF IT'S GOTTEN BETTER OR WORSE SINCE THEN +RES0093-011 IT'S BEEN IT'S BEEN GETTING WORSE AND THE PHLEGM ALSO SMELLS REALLY BAD +RES0093-012 OK WHEN DO YOU HAVE DIFFICULT LIKE IS THERE ANYTHING THAT MAKES THE SHORTNESS OF BREATH WORSE +RES0093-013 IF I WHEN I WAS HAVING A CIGARETTE EARLIER TODAY IT GOT A BIT WORSE AND WHEN I WENT OUT TO GET THE MAIL TODAY I I JUST COULDN'T DO IT I I HAD TO JUST SIT DOWN +RES0093-014 AND THAT WHAT HAPPENED TO YOU BEFORE RIGHT +RES0093-015 NO I USUALLY AM ABLE TO TO GO OUT AND GET THE MAIL NO PROBLEM YEAH +RES0093-016 OK AND SAY TWO DAYS AGO WERE YOU FEELING PERFECTLY FINE +RES0093-017 I WAS I WASN'T SICK AT ALL +RES0093-018 OK SO YOU'VE HAD THIS BAD COUGH AND YOU'VE HAD SOME DIFFICULTIES BREATHING SINCE YESTERDAY HAVE YOU HAD A HEADACHE AT ALL +RES0093-019 NO NO HEADACHE +RES0093-020 ANY RUNNY NOSE +RES0093-021 NO IT'S REALLY NO +RES0093-022 ANY CONGESTION +RES0093-023 NO +RES0093-024 NO OK HAVE YOU HAD ANY PAIN IN YOUR CHEST +RES0093-025 NO PAIN +RES0093-026 WHEN YOU'RE BREATHING IN OR BREATHING OUT ANY PAIN AT THAT TIME OR DEEP BREATHING +RES0093-027 NO I HAVEN'T HAD ANY PAIN +RES0093-028 OK HAVE YOU HAD ANY PALPITATIONS OR YOU FEEL LIKE YOUR HEART'S RACING +RES0093-029 YEAH I DO I FEEL LIKE MY HEART HAS BEEN BEATING A LITTLE BIT FASTER +RES0093-030 OK AND ANY PAIN IN YOUR BELLY +RES0093-031 NO +RES0093-032 NAUSEA OR VOMITING +RES0093-033 NO BUT WELL I GUESS I HAVE FELT A LITTLE NAUSEOUS WITH THE BAD TASTE IN MY MOUTH +RES0093-034 YEAH OK AND ANY DIARRHEA OR CONSTIPATION +RES0093-035 NO I HAVEN'T ANYTHING LIKE THAT +RES0093-036 OK ANY SORE THROAT +RES0093-037 NO +RES0093-038 OK ALRIGHT ANY OTHER SYMPTOMS THAT I HAVEN'T TALKED ABOUT THAT YOU EXPERIENCED OVER THE PAST DAY +RES0093-039 NO IT'S REALLY BEEN THIS COUGH AND BRINGING UP THIS THIS SPUTUM AND BEING SHORT OF BREATH +RES0093-040 OK CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS +RES0093-041 YEAH I HAVE HIGH BLOOD PRESSURE +RES0093-042 I ALSO HAVE ACID REFLUX SO GERD I THINK THINK IT'S CALLED +RES0093-043 AND HIGH CHOLESTEROL AS WELL +RES0093-044 OK OK +RES0093-045 AND I'VE ALSO BEEN HAD ISSUES WITH ANXIETY IN THE PAST AS WELL +RES0093-046 IN TERMS OF MEDICATIONS ARE YOU TAKING ANY +RES0093-047 YEAH I TAKE AN ACE INHIBITOR STATIN AND MEDICATION FOR MY STOMACH I THINK LIKE PANTOPRAZOLE +RES0093-048 OK AND HOW WELL HAS YOUR GERD BEEN CONTROLLED +RES0093-049 IT KIND OF IT BUGS ME MOST DAYS ITS NOT SO BAD I MEAN SOMETIMES I'LL GET A LITTLE BIT OF HEARTBURN AND ACID IN THE IN MY MOUTH BUT IT DEPENDS ON WHAT I EAT SO I REALLY TRY TO STAY AWAY FROM SOME SOME FOODS +RES0093-050 SO THE PPI HASN'T COMPLETELY CURBED THE THE ACID REFLUX YOU STILL GET IT +RES0093-051 I STILL GET IT IT'S DEFINITELY HELPED THOUGH IT WAS A LOT WORSE BEFORE STARTING IT I'VE BEEN ON BEEN ON IT NOW FOR A FEW YEARS +RES0093-052 OK AND AS FOR YOUR ANXIETY DO YOU EVER GET PANIC ATTACKS +RES0093-053 NO I HAVEN'T HAD ANY ANY PANIC ATTACKS +RES0093-054 OK ALRIGHT DO YOU HAVE ANY ALLERGIES +RES0093-055 NO +RES0093-056 OK SO YOU SAID THAT THESE SYMPTOMS STARTED YESTERDAY AND THEY WERE QUITE SUDDEN WAS THERE ANYTHING THAT YOU WERE DOING YESTERDAY OR THE DAY BEFORE THAT WAS DIFFERENT OR UNUSUAL +RES0093-057-1 WELL YEAH I MEAN YESTERDAY I OR I HAD A BIT MORE TO DRINK THAN USUAL +RES0093-057-2 MORE ALCOHOL I MEAN SO I MEAN COULD THAT HAVE SOMETHING TO DO WITH IT I'M NOT SURE +RES0093-058 IT COULD POTENTIALLY DID YOU WERE YOU WERE YOU DRUNK AND DID YOU PASS OUT +RES0093-059 I THINK SO MY MY FRIENDS THAT'S WHAT MY FRIENDS WERE WERE SAYING ANYWAY +RES0093-060 OK AND TALKING ABOUT ALCOHOL HOW MUCH DO YOU USUALLY DRINK +RES0093-061 I USUALLY LIKE LIKE FOUR TO SIX BEERS A DAY BUT YESTERDAY WAS CERTAINLY MORE THAN THAT +RES0093-062 HAVE YOU CONSIDERED REDUCING THE AMOUNT OF ALCOHOL YOU DRINK HAS IT AFFECTED YOU IN ANY WAY +RES0093-063 I MEAN I I'M RETIRED NOW SO I DON'T KNOW I I FEEL LIKE IT'S BEEN FINE MAYBE I FEEL LIKE IT'S BEEN FINE +RES0093-064 OK OK I SUPPOSE WE COULD TALK A LITTLE BIT MORE ABOUT THAT LATER IF YOU WANT AS FOUR TO SIX BEERS IS QUITE A LOT ACTUALLY AND IT CAN AFFECT YOUR HEALTH IN CERTAIN WAYS BUT WE CAN WE CAN CHAT MORE ABOUT THAT LATER +RES0093-065 OK +RES0093-066 AND DO YOU SMOKE +RES0093-067 I SMOKE A HALF A PACK OF CIGARETTES PER DAY IT WAS WELL OVER A PACK BEFORE SO I'VE CUT DOWN A LITTLE BIT +RES0093-068 NO THAT'S GREAT OK DO YOU PLAN ON CUTTING IT DOWN FURTHER OR DO YOU WANNA STAY RIGHT THERE +RES0093-069 I HAVE BEEN HAVE BEEN TRYING JUST TOO TOO DARN EXPENSIVE THESE DAYS SO BEEN TRYING TO CUT BACK +RES0093-070 THAT'S FAIR ALRIGHT WHAT ABOUT MARIJUANA DO YOU CONSUME MARIJUANA +RES0093-071 NO I DON'T +RES0093-072 ANY RECREATIONAL DRUGS +RES0093-073 NOPE +RES0093-074 ALRIGHT DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL PROBLEMS +RES0093-075 MY MY FATHER HAD HE ENDED UP HAVING LIVER DISEASE ACTUALLY HE PASSED AWAY FROM THAT I THINK AND HE HAD HEART PROBLEMS TOO HE WAS A LIFELONG SMOKER AND DIDN'T REALLY DIDN'T REALLY TAKE CARE OF HIMSELF +RES0093-076 I SEE DO YOU DO YOU HAVE A FAMILY DOCTOR +RES0093-077 I DO I HAVEN'T SEEN MY FAMILY DOCTOR IN A NUMBER OF YEARS NOW THOUGH +RES0093-078-1 YEAH WELL YOU KNOW IT'S IT'S A GOOD IDEA TO SEE YOUR FAMILY DOCTOR ON A REGULAR BASIS SPECIALLY WHEN YOU'RE GETTING OLDER BECAUSE SOMETIMES YOU MIGHT NEED CHANGES IN YOUR MEDICATIONS OR THERE MIGHT BE CHECKUPS OR SCREENINGS THAT THEY MIGHT WANT TO DO +RES0093-078-2 IT'S FOR YOUR OWN BENEFIT YOU KNOW MAYBE EVEN JUST SEEING THEM ONCE A YEAR WOULD BE A GOOD IDEA I WOULD DEFINITELY RECOMMEND THAT YOU BOOK AN APPOINTMENT WITH THEM JUST FOR A CHECKUP +RES0093-078-3 IN THE NEXT COUPLE OF WEEKS IS THERE A REASON WHY YOU DON'T SEE YOUR FAMILY DOCTOR TOO OFTEN +RES0093-079 I JUST HAVEN'T BEEN SICK AND I'VE BEEN ABLE TO TO REFILL MY PRESCRIPTIONS MOSTLY FROM JUST CALLING IN SO +RES0093-080 OK OK I SEE ALRIGHT AND DO YOU LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE +RES0093-081 I LIVE WITH MY WIFE +RES0093-082 OK ALRIGHT AND ARE YOU ABLE TO TAKE CARE OF THINGS LIKE GROCERIES OR FINANCES OR SHOVELING SNOW OR CLEANING THE HOUSE OR DO YOU NEED ANY ASSISTANCE WITH THOSE SORT OF HOUSEHOLD ACTIVITIES +RES0093-083-1 YEAH WE MOVED ACTUALLY INTO AN APARTMENT LAST YEAR IT'S MADE IT A LOT EASIER IN TERMS OF THE HOUSEWORK AND THAT SORT OF THING BUT I'VE BEEN ABLE TO I DO THE THE GROCERY SHOPPING AND +RES0093-083-2 SHARE THE THE CHORES AROUND AROUND THE HOUSE I DO I'LL USE A CANE SOMETIMES I I INJURED MY KNEE A NUMBER OF YEARS AGO BUT OTHER THAN THAT THINGS ARE ARE OK +RES0093-084 OK OK GOOD TO HEAR THAT REMINDS ME HAVE YOU HAD ANY SURGERIES IN THE PAST +RES0093-085 JUST ON MY MY LEFT KNEE I HAD A LEFT KNEE REPLACEMENT A FEW YEARS AGO +RES0093-086 OK ALRIGHT AND HAVE YOU ANY HAD HAD ANY HOSPITALIZATIONS +RES0093-087 NO +RES0093-088-1 OK ALRIGHT SO SOUNDS LIKE YOU'VE HAD A DAY OF THIS WET COUGH WITH THE THIS A BAD SMELLING SORT OF SPUTUM THAT'S +RES0093-088-2 THAT'S YELLOWISH GREEN IN COLOR AND YOU'VE ALSO HAD DIFFICULTIES BREATHING FOR THE PAST TWELVE HOURS SO MUCH SO THAT YOU CAN'T EVEN GO OUT TO GET MAIL AND YOUR HEARTS BEEN RACING +RES0093-088-3 IT'S POSSIBLE THAT WHILE YOU WERE DRUNK THAT YOU MIGHT HAVE AND GIVEN THAT YOU HAVE ACID REFLUX THAT YOU MIGHT HAVE ACCIDENTALLY HAVE SOMETHING GO INSIDE YOUR BREATHING TUBE +RES0093-088-4 FROM FROM YOUR MOUTH OR SOMETHING THAT CAME UP FROM YOUR STOMACH AND SOMETIMES WHEN THAT HAPPENS FOOD ITEMS CAN OR OTHER THINGS CAN GET LODGED IN YOUR LUNGS AND CAN BECOME CAN ATTRACT BACTERIA TO +RES0093-088-5 TO TO REPLICATE AND CAUSE A BACTERIAL INFECTION SO IT'S POSSIBLE THAT THAT'S WHAT HAPPENED BUT IT COULD ALSO BE A VIRAL PNEUMONIA +RES0093-088-6 OR A VIRAL INFECTION IN YOUR CHEST WE'LL GET A CHEST X RAY DONE WE'LL HAVE SOME LABS DONE AS WELL AND WE'LL LIKELY START SOME ANTIBIOTICS HAVE YOU RECENTLY BEEN ON ANY ANTIBIOTICS +RES0093-089 NO I HAVEN'T +RES0093-090 AND YOU DON'T HAVE ANY ALLERGIES TO ANY CORRECT +RES0093-091 CORRECT +RES0093-092 ALRIGHT OK WE'LL ALSO DO A PHYSICAL EXAM JUST TO GIVE A LISTEN TO YOUR TO YOUR LUNGS AND SEE HOW THEY'RE DOING AND THEN GO FROM THERE DO YOU HAVE ANY QUESTIONS FOR ME +RES0093-093 NO THAT SOUNDS GOOD THANK YOU +RES0094-000 HOW MAY I HELP YOU +RES0094-001 I'VE HAD A RUNNY NOSE OVER THE LAST FEW DAYS AND I'VE STARTED TO HAVE A SORE THROAT AS WELL +RES0094-002 WHEN DID THIS START +RES0094-003 I WOULD SO THE RUNNY NOSE STARTED ABOUT FIVE DAYS AGO AND AND THE SORE THROAT ABOUT THE SAME +RES0094-004 OK HAVE YOU WITH THE THE RUNNY NOSE DO YOU HAVE ANY WHAT'S THE DISCHARGE LIKE +RES0094-005 IT'S BEEN KIND OF WATERY +RES0094-006 IT'S CLEAR OK ALRIGHT AND HAS YOUR SORE THROAT GOTTEN BETTER OR WORSE OVER THE PAST FIVE DAYS +RES0094-007 IT DID GET A LITTLE BIT WORSE INITIALLY AND SINCE THEN IT'S BEEN KIND OF STABLE +RES0094-008 HAVE YOU HAD ANY DIFFICULTIES SWALLOWING +RES0094-009 NO IT IT IS A BIT SORE TO SWALLOW SO IT TAKES ME A LITTLE BIT LONGER TO EAT BUT I'VE BEEN ABLE TO STILL +RES0094-010 STILL EAT HAVE YOU CHANGED NOTICED ANY CHANGES IN YOUR VOICE ANY HOARSENESS IN YOUR VOICE +RES0094-011 NO +RES0094-012 NO OK AND DO YOU HAVE ANY NASAL CONGESTION DOES YOUR NOSE FEEL STUFFY +RES0094-013 IT DOES YES +RES0094-014 OK ANY FEVERS OR CHILLS +RES0094-015 NO I DON'T THINK SO +RES0094-016 OK ANY DIFFICULTIES BREATHING +RES0094-017 NO +RES0094-018 ANY COUGH +RES0094-019 NO +RES0094-020 OK ANY PAIN IN YOUR CHEST +RES0094-021 NO +RES0094-022 ANY OTHER SYMPTOMS ANYTHING RELATED TO YOUR BELLY SAY DIARRHEA OR CONSTIPATION OR ANY CHANGES IN YOUR URINARY ANY URINARY SYMPTOMS +RES0094-023 NO NOTHING LIKE THAT +RES0094-024 OK OK ARE YOU FEELING FATIGUED TIRED HAVE ANY MUSCLE ACHES +RES0094-025 I I HAVE FELT A LITTLE BIT MORE DROWSY THESE LAST FEW DAYS AND MY I HAVE HAD SOME MUSCLE ACHES AS WELL +RES0094-026 HAVE YOU TAKEN ANYTHING TO HELP YOURSELF ANYTHING OVER THE COUNTER OR ANY PILLS +RES0094-027 I DID USE SOME LIKE COLD MEDICATION TO HELP BECAUSE I WAS HAVING A HEADACHE AS WELL AND A LOT OF I GUESS JUST LIKE PRESSURE FROM THE NOSE STUFFINESS +RES0094-028 DID THE COLD MEDS HELP +RES0094-029 IT DID HELP A LITTLE BIT IT DID HELP MY NOSE CLEAR UP BUT IT CAME RIGHT BACK AFTER A FEW HOURS +RES0094-030 AND HOW'S YOUR HEADACHE NOW +RES0094-031 IT'S NOT TOO BAD IT'S PRETTY MILD BUT IT'S THERE +RES0094-032 DO YOU USUALLY GET HEADACHES OF THIS SORT OR IS THIS VERY DIFFERENT FROM WHAT YOU GENERALLY EXPERIENCE IF YOU USUALLY HAVE HEADACHES +RES0094-033 I DON'T USUALLY GET HEADACHES BUT I HAVE FELT A HEADACHE LIKE THIS BEFORE THOUGH +RES0094-034 OH OK WHEN WAS THAT +RES0094-035 MAYBE THE LAST TIME I WAS I WAS SICK +RES0094-036 SURE +RES0094-037 OR IF I DON'T GET A GOOD NIGHT'S SLEEP SCHOOL'S PRETTY EARLY IN THE MORNING SO SOMETIMES IF I'M NOT SLEEPING WELL +RES0094-038 I SEE OK ALRIGHT ANY OTHER SYMPTOMS THAT YOU'VE EXPERIENCED OVER THE PAST FIVE DAYS THAT I DIDN'T ASK YOU ABOUT +RES0094-039 NO IT'S BEEN MOSTLY THE RUNNY NOSE AND SORE THROAT AND HEADACHE +RES0094-040 I SEE OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS +RES0094-041 NO I'VE BEEN HEALTHY +RES0094-042 ALL RIGHT GOOD ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS +RES0094-043 I'LL USE LIKE REACTINE OR CLARITIN SOMETIMES FOR ALLERGIES BUT THAT'S IT +RES0094-044 WHAT ALLERGIES DO YOU HAVE +RES0094-045 I HAVE ALLERGIES TO DUST AND SOME ENVIRONMENTAL THINGS LIKE POLLEN OR RAGWEED I THINK MAYBE +RES0094-046 I SEE ALRIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +RES0094-047 I THINK MY DAD HAS HIGH BLOOD PRESSURE HE TAKES A MEDICATION FOR THAT NOTHING SERIOUS THOUGH +RES0094-048 THAT I KNOW OF OK ALRIGHT AND WHO DO YOU +RES0094-049 CURRENTLY LIVE WITH SO I LIVE WITH BOTH MY PARENTS AND +RES0094-050 I HAVE AN OLDER SISTER AS WELL +RES0094-051 GOOD OK AND DO YOU SMOKE I DID TRY A VAPE ONCE OR TWICE BUT DIDN'T REALLY +RES0094-052 LIKE IT SO +RES0094-054 NO I HAVEN'T TRIED +RES0094-056 ANY RECREATIONAL DRUGS +RES0094-057 NO +RES0094-058 DO YOU DRINK ALCOHOL NO OK AND HAVE YOU RECENTLY TRAVELED +RES0094-059 NO WE'VE BEEN DOING CLASSES +RES0094-060 VIRTUALLY AND ANY CONTACT WITH ANYONE WHO YOU THINK MIGHT BE SICK +RES0094-062-1 NO +RES0094-062-2 OK ALRIGHT WELL SOUNDS LIKE YOU HAVE A SORE THROAT AND RUNNY NOSE YOU'VE BEEN A LITTLE BIT DROWSY HAD SOME HEADACHES IN THE PAST FIVE DAYS THINGS WERE GETTING A LITTLE BIT WORSE EARLY ON BUT IT'S BEEN A LITTLE BIT IT'S BEEN MORE STABLE NOW +RES0094-062-3 WE'LL DO A PHYSICAL EXAM SEE JUST LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH AND CHECK YOUR TEMPERATURE +RES0094-062-4 AND GO FROM THERE IT SOUNDS LIKE YOU PROBABLY HAVE A VIRAL INFECTION OF SOME SORT THAT SHOULD GET HOPEFULLY GET BETTER OVER TIME WE WILL ALSO GET A COVID SWAB DONE JUST IN CASE AND IF THINGS SEEM TO GET WORSE WE CAN YOU CAN DEFINITELY COME BACK +RES0094-063 OK GREAT THANK YOU +RES0095-000 HOW CAN I HELP YOU +RES0095-001 I'VE HAD WORSENING SHORTNESS OF BREATH FOR THE PAST COUPLE OF DAYS +RES0095-002 OK AND THIS HAS JUST BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS +RES0095-003 OK HOW FAR ARE YOU ABLE TO WALK BEFORE GETTING SHORTER BREATH +RES0095-004 A COUPLE OF STAIRS TWO TO THREE STAIRS +RES0095-005 OK AND HOW FAR WERE YOU ABLE TO TO TO WALK BEFORE THAT +RES0095-006 I'D SAY ABOUT TEN OR ELEVEN STAIRS +RES0095-007 OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE +RES0095-008 SIX MONTHS AGO +RES0095-009 OK COULD YOU TELL ME ABOUT WHAT HAPPENED SIX MONTHS AGO +RES0095-010 I WAS FEELING ALL I WAS FEELING JUST LIKE THIS WAS FEELING AWFUL I WENT TO THE HOSPITAL THEY STARTED ME ON A WATER PILL KEPT ME FOR A COUPLE OF DAYS AND THEN SENT ME BACK HOME THEY CHANGED SOME OF MY MEDS I THINK INCREASED THE DOSE OF SOMETHING AND THAT'S WHAT HAPPENED +RES0095-011 OK I SEE AND HAVE YOU BEEN HAVING ANY SWELLING +RES0095-012 OH MY GOODNESS IT'S SO BAD I COULDN'T WEAR MY SHOES THIS MORNING IT'S GOTTEN WORSE OVER THE PAST ONE MONTH +RES0095-013 HAVE YOU HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT +RES0095-014 GAINED FIVE POUNDS IN THE PAST TWO MONTHS +RES0095-015 AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE OR OR DIET OR EXERCISE +RES0095-016 I CAN BARELY EXERCISE I FEEL SO SHORT OF BREATH MY DAD'S THE SAME +RES0095-017 OK AND HAVE YOU HAD ANY INSTANCES WHERE YOU'VE WOKE UP IN THE MIDDLE OF THE NIGHT EXTREMELY SHORT OF BREATH +RES0095-018 THAT HAPPENED LAST NIGHT COULDN'T FALL ASLEEP +RES0095-019 DID IT HELP SITTING UP +RES0095-020 I JUST WENT AND SAT ON MY CHAIR AND SLEPT ON THE CHAIR +RES0095-021 OK AND DO YOU TYPICALLY HAVE PROBLEMS WITH SHORTNESS OF BREATH IF YOU LIE FLAT +RES0095-022 I DO I HAVE TO STARTED USING TWO PILLOWS +RES0095-023 IS THIS A NIGHTLY THING +RES0095-024 IT'S IT'S FINE WITH THE TWO PILLOWS NOW +RES0095-029 HOW ABOUT ANY ANY CHEST PAIN NO HAVE YOU BEEN HAVING ANY INSTANCES FEELING AS THOUGH YOUR HEART'S RACING OR BEATING OUT OF YOUR CHEST +RES0095-030 NO +RES0095-031 ALRIGHT HAVE YOU HAD ANY FAINTING OR DIZZINESS +RES0095-032 NO +RES0095-033 ALRIGHT HAVE YOU HAD ANY WHEEZING +RES0095-034 NO +RES0095-035 OK HAVE YOU HAD ANY INFECTIOUS SYMPTOMS SUCH AS EYE REDNESS EYE DISCHARGE NASAL DISCHARGE OR OR SORE THROAT +RES0095-036 NOT RECENTLY I HAD THAT ABOUT TWO MONTHS AGO BUT THAT GOT BETTER +RES0095-037 OK DID YOU NEED ANTIBIOTICS TWO MONTHS AGO +RES0095-038 NO NO JUST LASTED A COUPLE DAYS AND GOT BETTER ON ITS OWN +RES0095-039 I SEE OK AND HAVE YOU BEEN HAVING ANY +RES0095-041 ABDOMINAL PAIN NO HOW ABOUT ANY CHANGES TO BOWEL HABITS SUCH AS +RES0095-043 DIARRHEA OR CONSTIPATION +RES0095-044 NO ANY URINARY PROBLEMS I DO +RES0095-045 I I I LEAK URINE SOMETIMES ACTUALLY +RES0095-046 OK AND DO YOU USE ANY MEDICATIONS NO I I WELL I DO I USE A LOT OF MEDICATIONS BUT I DON'T REMEMBER THEIR NAMES I HAVE THIS BLISTER PACK AND I JUST TAKE EVERYTHING IN IT I ALSO I BROUGHT THE LIST OF PRESCRIPTIONS I CAN GIVE THAT TO YOU +RES0095-047 FOR SURE I COULD GO THROUGH GO THROUGH THAT HERE SO BUT FIRST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0095-048 I HAVE HEART HEART FAILURE AND HAD TWO HEART ATTACKS AND HAVE HIGH CHOLESTEROL HIGH BLOOD PRESSURE AND I'M ALSO OVERWEIGHT +RES0095-049 OK DO YOU KNOW WHAT YOUR BMI IS CURRENTLY +RES0095-050 WHAT'S THAT +RES0095-060 SURGERIES TO YOUR TO YOUR HEART DO YOU HAVE A STENT PLACED I HAD TO STENT PUT IN AFTER THE FIRST HEART ATTACK ABOUT FIVE YEARS AGO +RES0095-061 AND THEN ANOTHER ONE THREE YEARS AGO OK AND HAVE YOU HAVE YOU BEEN +RES0095-062-1 STABLE IN REGARDS TO YOUR LIKE CHEST PAIN HAVE YOU HAD ANY +RES0095-062-2 NO I HAVEN'T HAD CHEST PAIN I HAVE A A HEART DOCTOR WHO I WENT TO SEE AFTER THE LAST HOSPITALIZATION SIX MONTHS AGO THINGS WERE LOOKING OK AT THE TIME HE ORDERED A BUNCH OF TESTS I HAVEN'T DONE ALL OF THEM YET +RES0095-063 OK DO YOU KNOW BY ANY CHANCE WHAT THE LAST EJECTION FRACTION WAS ON YOUR ECHOCARDIOGRAM +RES0095-064 I DON'T KNOW I I DON'T KNOW ALL OF THAT I DON'T KNOW YOU HAVE TO ASK MY DAUGHTER SHE KNOWS MUCH MORE ABOUT ME +RES0095-065 NO PROBLEM WELL WE COULD LOOK INTO SOME OF THOSE OLD OLDER TESTS THAT YOU'VE DONE OK AND SO CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY YOU MENTIONED YOUR YOUR DAUGHTER ARE YOU LIVING WITH YOUR DAUGHTER +RES0095-066 I LIVE WITH MY DAUGHTER MY HUSBAND PASSED AWAY THREE YEARS AGO AND SO I'VE JUST BEEN STAYING WITH MY DAUGHTER IT'S JUST THE TWO OF US NOW +RES0095-067 I SEE I'M SORRY TO HEAR THAT ABOUT YOUR HUSBAND ARE YOU CURRENTLY LIKE FUNCTIONING INDEPENDENTLY AROUND THE HOME OR DOES YOUR DAUGHTER HELP WITH A LOT OF THE TASKS +RES0095-068-1 OH SHE SHE SHE HAS TO HELP ME OUT SHE HAS TO HELP ME OUT I I SOMETIMES NEED HELP WITH THE SHOWERING +RES0095-068-2 SIMPLY BECAUSE I GET REALLY SHORT OF BREATH AND THEN SO I HAVE TO STOP AND IT'S JUST SHE'S JUST WORRIED THAT IT'S UNSAFE SO SHE HELPS ME OUT WITH THAT SHE GETS MOST OF THE THINGS DONE AT HOME SHE DOES THE GROCERIES AND EVERYTHING +RES0095-069 OK I SEE AND DO YOU DO YOU SMOKE CIGARETTES +RES0095-070 I I DON'T +RES0095-071 AND DO YOU DRINK ALCOHOL +RES0095-072 NOT ANYMORE +RES0095-073 OK DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS +RES0095-074 NO NO NO NO NOTHING LIKE THAT +RES0095-075 ALRIGHT THEN DO YOU USE ANY OTHER RECREATIONAL DRUGS +RES0095-076 NO NO I DON'T +RES0095-077 ALRIGHT HAVE YOU BEEN AROUND ANYBODY WHO YOU THINK MIGHT HAVE BEEN SICK +RES0095-078 NO I'VE JUST BEEN STAYING AT HOME MY DAUGHTER'S BEEN WORKING FROM HOME TOO +RES0095-079 OK SO YOU HAVEN'T HAD MUCH CONTACT WITH +RES0095-080 NO +RES0095-081 WITH OTHERS RECENTLY OK HAVE YOU SO YOU HAVEN'T TRAVELED ANYWHERE +RES0095-082 NO +RES0095-083 ALRIGHT AND AND IN TERMS OF FAMILY HISTORY HAS ANYBODY HAD ANY HEART OR LUNG CONDITIONS +RES0095-084 OH EVERYONE IN MY FAMILY HAS HIGH BLOOD PRESSURE MY MOM HAD A HEART ATTACK MY BROTHER HAD A HEART ATTACK MY SISTER HAD A HEART ATTACK EVERYONE EVERYONE HAS HEART PROBLEMS +RES0095-085 OK CERTAINLY SOUNDS LIKE SOMETHING COMMON IN THE FAMILY HAS THERE BEEN ANY OTHER CONDITIONS +RES0095-091 ANY NIGHT SWEATS NO OK AND I MIGHT HAVE ASKED BUT JUST TO TO BE COMPLETE DID YOU HAVE ANY NAUSEA OR VOMITING +RES0095-092 NO +RES0095-093 OK SO WERE THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT THAT I MAY HAVE FORGOT TO ASK ABOUT +RES0095-094 NO I DON'T THINK SO IT'S JUST THE THE DIFFICULTIES WITH BREATHING AND THE SWELLING +RES0095-095-1 SO THE FIRST THING I'LL SPEAK TO YOUR DAUGHTER AND WE WILL GET A LOOK AT SOME OF THE OLD OR SOME OF THE REPORTS FROM OVER THE LAST SEVERAL MONTHS FROM AND FROM THE CARDIOLOGIST YOU SEE +RES0095-095-2 BUT IT'S AND THEN ALSO WE'LL GET SOME BLOOD WORK AND A CHEST X RAY BUT IT IS SOUNDING LIKE THIS COULD BE A HEART FAILURE EXACERBATION +RES0095-095-3 WHICH SO SOME OF THE SHORTNESS OF BREATH IT COULD BE COMING FROM FLUID THAT HAS ACCUMULATED IN YOUR LUNGS AND SO WE'LL A +RES0095-095-4 OH ANOTHER TYPE OF WATER PILL NOW FUROSEMIDE TO TRY AND HELP GET RID OF SOME OF THAT FLUID SO IT WILL HELP WITH THE BREATHING AND IN THE MEANTIME WE'LL WAIT FOR THE INVESTIGATIONS TO COME BACK +RES0095-096 SURE THANK YOU +RES0096-000 HOW CAN I HELP YOU +RES0096-001 I HAVE JUST BEEN FEELING VERY SHORT OF BREATH RECENTLY +RES0096-002 OK +RES0096-003 AND I THOUGHT I SHOULD COME IN I'VE ALSO HAD A I'VE ALSO HAD A COUGH +RES0096-004 I SEE OK AND WHEN DOES THIS SHORTNESS OF BREATH COME ON HOW HOW MUCH ACTIVITY ARE YOU ABLE TO DO +RES0096-005 I CAN WALK A BLOCK +RES0096-006 OK +RES0096-007 WITHOUT BEING SHORT OF BREATH +RES0096-008 AND PRIOR TO THIS CHANGE HOW HOW FAR WERE YOU ABLE TO WALK AND AND HOW LONG AGO DID YOU DID YOU +RES0096-009-1 NOTICE THIS CHANGE +RES0096-009-2 I I GUESS I COULD WALK I DON'T KNOW IT'S BEEN VERY I GUESS IT'S IT'S BEEN A GRADUAL CHANGE MAYBE A MONTH A MONTH AGO I FELT THAT I COULDN'T REALLY +RES0096-009-3 WALK AS MUCH AS I USED TO AND THEN IT'S ONLY GOTTEN WORSE TWO OR THREE MONTHS AGO I COULD I COULD WALK A KILOMETRE OR TWO +RES0096-010 OK SO QUITE A SIGNIFICANT CHANGE OVER THE LAST LITTLE WHILE HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT WITH WITH SHORTNESS OF BREATH AND YOU NEED TO SIT UP +RES0096-011 NO +RES0096-012 OK AND HOW MANY PILLOWS DO YOU SLEEP WITH +RES0096-013 ONE +RES0096-014 OK AND HAVE YOU NOTICED ANY LIKE ANKLE SWELLING OR OR LEG SWELLING +RES0096-015 NO +RES0096-016 OK AND YOU MENTIONED COUGH +RES0096-017-1 WHEN DID THAT START +RES0096-017-2 I'VE HAD A COUGH FOR A WHILE THE PAST FIVE TEN YEARS BUT I FEEL THAT IT'S BEEN A LITTLE BIT MORE FREQUENT NOW IT'S JUST I JUST GET INTO THIS COUGHING FIT +RES0096-017-3 AND I THINK THERE WAS A TIME WHEN I HAD A LITTLE BIT OF BLOOD COME OUT AS WELL ONCE OR TWICE THE COUGHING ALSO MAKES IT DIFFICULT FOR ME TO BREATHE YOU KNOW I FEEL VERY SHORT OF BREATH AFTER THAT +RES0096-018 CERTAINLY HOW MUCH +RES0096-019 BLOOD HAVE YOU COUGHED UP +RES0096-020 I THINK IT WAS IT WAS A LITTLE BIT DID IT HAPPEN EACH TIME +RES0096-021 OR HAS IT ONLY BEEN A COUPLE OF TIMES I THINK MAYBE TWO OR THREE TIMES BUT THEN THERE HAVE ALSO BEEN TIMES WHEN I COUGH UP THIS THIS STUFF THAT I COUGH UP IS A LITTLE BIT PINK IN COLOR IT'S NOT EXACTLY BLOOD BUT IT'S IT'S YOU KNOW PINKISH +RES0096-022 OK AND ARE YOU PRODUCING SPUTUM EACH TIME YOU'RE COUGHING UP +RES0096-023 MOST OF THE TIMES YES +RES0096-024 OK IS THIS A CHANGE FROM PREVIOUSLY DID YOU HAVE A DRY COUGH BEFORE +RES0096-025 A BIT MORE OF A DRY COUGH BEFORE BUT I MEAN SO SOMETIMES IT WILL BE A DRY COUGH SOMETIMES IT WAS MORE OF A WET COUGH BUT IT WAS IT WAS USUALLY JUST THIS WHITE THING COMING UP IT WASN'T LIKE THERE WAS NEVER BLOOD BEFORE +RES0096-026 OK AND YOU'RE COUGHING MORE OFTEN AS WELL OVER THIS LAST MONTH OK +RES0096-028 OK HAVE YOU BEEN EXPERIENCING ANY +RES0096-030 ANY HEADACHES NO OK HOW ABOUT ANY +RES0096-038 LITTLE BIT THIRTY I THINK IT WAS THIRTY +RES0096-039 OK SO THAT WOULD BE A FEVER THAT WAS I THINK TWO +RES0096-040 OK DO YOU FEEL HOT NOW +RES0096-041 NOT REALLY NO +RES0096-042 OK HAVE YOU HAD ANY NIGHT SWEATS +RES0096-043 NO +RES0096-044 AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +RES0096-046 HOW MUCH WEIGHT +RES0096-047 ABOUT TWENTY POUNDS +RES0096-048 OK AND SO HOW HOW LONG WAS THAT WEIGHT LOSS OVER +RES0096-049 I'D SAY ABOUT ABOUT THREE THREE FOUR MONTHS +RES0096-050 OK AND SORRY WHAT WAS YOUR STARTING WEIGHT ROUGHLY +RES0096-051 I WAS TWO HUNDRED AND TEN POUNDS +RES0096-052 OK SO ABOUT A TEN PERCENT REDUCTION IN YOUR WEIGHT OVER THE LAST COUPLE OF MONTHS IT SOUNDS LIKE OK HOW IS YOUR APPETITE BEEN +RES0096-053 IT'S OK +RES0096-054 ALRIGHT AND HAVE YOU BEEN HAVING ANY +RES0096-089 SMOKING OK HOW MUCH DO YOU SMOKE PER DAY I'VE GOT IT DOWN QUITE A BIT I ONLY HAVE TWO CIGARETTES A DAY I USED TO HAVE A PACK AND A HALF BUT I'VE GOT IT DOWN A LOT I'M TRYING TO I'M TRYING TO QUIT BUT IT'S HARD +RES0096-090 FOR SURE IT'S GREAT THAT YOU'RE WORKING TOWARDS QUITTING WE CAN DISCUSS THAT FURTHER AND THERE ARE SEVERAL OPTIONS THAT MIGHT BE AVAILABLE TO HELP IF IT'S SOMETHING YOU'RE INTERESTED IN BECAUSE IT'S DEFINITELY REALLY HARD ARE YOU DO YOU DRINK ALCOHOL +RES0096-091 ONCE IN A WHILE ON CHRISTMAS +RES0096-092 OK AND DO YOU USE ANY RECREATIONAL DRUGS +RES0096-093 NO +RES0096-094 YOU SMOKE MARIJUANA OR USE MARIJUANA PRODUCTS +RES0096-095 NO +RES0096-096 ALRIGHT AND WHO ARE YOU LIVING WITH CURRENTLY +RES0096-097 I LIVE WITH MY WIFE +RES0096-098 OK AND ARE YOU DO YOU HELP LOOKING AFTER THE HOME AND LIKE FUNCTIONALLY INDEPENDENT RIGHT NOW +RES0096-101 CANE OK AND MY MY SON COMES OVER AND HELPS OUT WITH GROCERIES AND MY WIFE COOKS BUT I I HELP HER WITH CLEANING SOMETIMES +RES0096-102 OK GREAT AND SO ARE YOU RETIRED +RES0096-103 OK AND HAS ANYBODY IN THE FAMILY HAD ANY HEART OR LUNG CONDITIONS +RES0096-104 MY DAD DIED OF LUNG CANCER HE WAS A HE WAS A BIG SMOKER AS WELL AND MY MOM HAD A HEART ATTACK +RES0096-105 OK AND HOW OLD WERE YOUR PARENTS APPROXIMATELY +RES0096-106 MY DAD WAS SIXTY FIVE AND MY MOM WAS WAS VERY YOUNG SHE WAS FIFTY +RES0096-107 I SEE DID YOUR MOM SURVIVE THE HEART ATTACK +RES0096-108 NO NO SHE DID NOT +RES0096-109 OH I'M SORRY TO HEAR THAT AND THE LUNG CANCER YOU MENTION ANY OTHER CANCERS THAT RUN IN THE FAMILY +RES0096-110 NO +RES0096-111-1 OK SO THAT WAS ALL THE QUESTIONS I WANTED TO ASK ON ON HISTORY CERTAINLY IT SOUNDS LIKE YOU'RE BRINGING UP SOME BLOOD WITH WITH WITH THE INCREASED COUGH AND WITH DIFFICULTIES BREATHING SO WE WILL GET +RES0096-111-2 A A CHEST X RAY AND POSSIBLY A CT IMAGE OF YOUR CHEST AS WELL TO SEE IF THERE'S ANYTHING GOING ON +RES0096-111-3 IN YOUR LUNGS AND WE MIGHT DO SOME BLOOD WORK AS WELL TO CHECK A FEW THINGS SO +RES0096-112 WE'LL GET THOSE ORDERED AND AND SEE WHAT +RES0097-000 HOW CAN I HELP YOU TODAY +RES0097-001-1 HI I'M I'M THE MOM OF THE PATIENT AND I JUST WANTED TO TALK TO YOU ABOUT THE JUST ABOUT THOMAS HERE HE'S JUST BEEN NOT HE'S JUST NOT BEEN FEELING WELL HE'S HAD THIS COUGH FOR THE PAST +RES0097-001-2 THREE OR FOUR DAYS AND HE'S ALSO HAD THIS STUFFY NOSE AND THIS THIS WATERY DISCHARGE YEAH HE'S JUST NOT FEELING GOOD +RES0097-002 OK I SEE AND SO THE THE COUGH YOU SAID STARTED THREE OR FOUR DAYS AGO HAS THE COUGH GOTTEN ANY BETTER OR ANY STAYED THE SAME OR GOTTEN WORSE +RES0097-003 GOTTEN A BIT WORSE I WOULD SAY +RES0097-004 IS HE BRINGING UP ANY SPUTUM +RES0097-005 NO +RES0097-006 SO HAS THERE BEEN ANY BLOOD +RES0097-007 NO NO +RES0097-008 OK AND HAS THE COUGH INTERFERED WITH SLEEP +RES0097-009 HIS COUGH IS USUALLY WORSE AT NIGHT +RES0097-010 OK AND YOU SAY THAT HE'S ALSO HAD A RUNNY NOSE WHAT +RES0097-011 DOES THE DISCHARGE LOOK LIKE +RES0097-015 HE FEELS ONE OF THE LIKE THE NOSTRILS OBSTRUCTED HE HASN'T WELL HE'S JUST BEEN BREATHING WITH HIS MOUTH OPEN SO THAT'S WHAT HE DOES AT NIGHT AS WELL HE ALSO HAS THIS NASAL VOICE RIGHT NOW PROBABLY BECAUSE IT'S IT'S YOU KNOW HE HAS THIS STUFFY NOSE BUT HE HASN'T REALLY COMPLAINED ABOUT IT +RES0097-016 HAS HE HAD ANY PAIN LIKE +RES0097-018 OK HOW ABOUT ANY CHANGES TO SMELL OR LOSS OF SMELL +RES0097-019 I DON'T THINK HE CAN SMELL MUCH RIGHT NOW +RES0097-020 OK AND DID THOSE DID THAT START A FEW DAYS AGO AS WELL +RES0097-021 SINCE HE'S BEEN COMPLAINING OF HIS STUFFY NOSE +RES0097-022 OK AND HAS HE HAD ANY HEADACHES +RES0097-023 NO BUT HE HAS HAD A FEVER +RES0097-024 OK HOW DID YOU CHECK IT +RES0097-025 I DID I DID IT WAS THIRTY NINE LAST NIGHT +RES0097-026 ALRIGHT IT'S CERTAINLY A FEVER HAS HE HAD ANY CHILLS OR NIGHT SWEATS +RES0097-027 HE'S BUT HE'S BEEN FEELING PRETTY CHILLY +RES0097-028 OK +RES0097-029 HE'S WEARING A COUPLE A COUPLE OF LAYERS AT HOME STILL FEELS CHILLY AND HE HAS ALOT OF CHILLS AND DEFINITELY HAS A FEVER +RES0097-030 ALRIGHT AND HAS THE FEVER BEEN THERE THE WHOLE WHOLE TIME IF YOU'RE AWARE OR HAS THAT KIND OF COME AND GONE +RES0097-031 YOU KNOW WHAT I ACTUALLY JUST CHECKED YESTERDAY SO I DON'T KNOW +RES0097-032 ALRIGHT HAS HE HAD A SORE THROAT +RES0097-033 IT'S USUALLY WORSE IN THE MORNING I THINK IT'S MORE OF A I GUESS THE POST NASAL DRIP YOU KNOW WITH THE WITH A RUNNY NOSE IT'S JUST IT'S PRETTY BAD IN THE MORNING +RES0097-034 OK HAS HE HAD ANY RED EYES OR OR EYE DISCHARGE OR EYE PAIN +RES0097-035 NO NO NO +RES0097-036 OK AND HAS HE HAD ANY SHORTNESS OF BREATH +RES0097-037 NO +RES0097-038 HOW ABOUT ANY WHEEZING +RES0097-052 CONSTIPATION NO HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR OR FREQUENCY +RES0097-053 NO NOTHING LIKE THAT HE HASN'T COMPLAINED OF ANYTHING LIKE THAT +RES0097-054 HAS HE HAD ANY SKIN CHANGES OR RASHES +RES0097-055 NO +RES0097-056 AND HOW ABOUT ANY MUSCLE ACHES OR JOINT PAINS +RES0097-057 HE DEFINITELY HAS THAT HE'S COMPLAINING A LOT ABOUT MUSCLE ACHES +RES0097-058 OK AND HOW HAS HIS ENERGY BEEN HAS HE BEEN FATIGUED +RES0097-059 OH HE HASN'T GONE OUT TO PLAY HE HASN'T DONE ANYTHING HE'S JUST BEEN LYING IN BED +RES0097-060 OK AND OVER THE LAST SEVERAL MONTHS HAS HE HAD ANY WEIGHT LOSS +RES0097-061 NO HE'S BEEN GAINING WEIGHT ACTUALLY +RES0097-062 OK NO THAT'S GOOD CERTAINLY AT THE AGE OF ELEVEN SHOULD BE STILL GAINING WEIGHT SO THAT'S +RES0097-063 GOOD AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST HE WAS DIAGNOSED WITH +RES0097-070 RESPIROLOGIST CURRENTLY YES YES YES OK AND HAS THERE BEEN LIKE AN INCREASE IN THE SPUTUM PRODUCTION OR LIKE WORSENING SHORTNESS OF BREATH OVER THESE LAST FEW DAYS +RES0097-071 NO NOT REALLY +RES0097-072 OK AND HAS HE HAD ANY +RES0097-074 NO DOES HE HAVE ANY ALLERGIES TO MEDICATIONS +RES0097-075 SULFA DRUGS +RES0097-076 AND THE REACTION IS +RES0097-077 HE JUST GETS A RASH +RES0097-078 OK IS IT ARE IMMUNIZATIONS UP TO DATE +RES0097-079 OH WE'RE VERY CAREFUL ABOUT THAT GIVEN HIS DIAGNOSIS HE'S GOT ALL THE ALL THE VACCINES +RES0097-080 THAT'S GREAT THAT'S REALLY IMPORTANT FOR SURE AND SO I I JUST WANTED TO ASK ABOUT LIFE AT HOME A LITTLE BIT SO WHO'S IN THE HOUSE AND WHO'S THE PRIMARY CAREGIVER FOR HIM +RES0097-081 I'M THE PRIMARY CAREGIVER ITS JUST ME HIM AND +RES0097-085 SCHOOL GOING SCHOOLS GOING WELL IT'S JUST THE THE HOSPITALIZATIONS CAN SOMETIMES BE DISRUPTIVE BUT IT'S GOING WELL HE'S HE'S GETTING B'S IN HIS CLASS HE'S DOING WELL HE'S GOT A GOOD GROUP OF FRIENDS +RES0097-086 EXCELLENT AND HAVE YOU HAD ANY CONCERNS ABOUT ABOUT DEVELOPMENT OR OR HIS GROWTH +RES0097-087 NO +RES0097-088 OK SO MEETING ALL MILESTONES AND +RES0097-089 OK AND IN REGARDS TO BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY OR OR AT BIRTH +RES0097-090 NO NOTHING AT BIRTH OR DURING PREGNANCY BUT HE DID START HAVING LOTS OF RESPIRATORY INFECTIONS WHICH IS WHEN THE PEDIATRICIAN DID THAT TEST I FORGET THE NAME FOR THE TEST AND THEN THEY WERE THE HE WAS FOUND TO HAVE CF +RES0097-091 OK AND DOES ANYBODY IN THE HOME SMOKE +RES0097-092 NO +RES0097-093 OR DRINK ALCOHOL +RES0097-094 NO +RES0097-095 OK AND ARE THERE ANY PETS +RES0097-096 IN THE HOME +RES0097-097 OK HAS HE BEEN AROUND ANYBODY WHO'S BEEN SICK +RES0097-098 I DON'T I DON'T THINK SO +RES0097-099 OK AND HAVE YOU GUYS TRAVELED ANYWHERE +RES0097-100 NO JUST BEEN AT HOME +RES0097-101 OK AND HAS ANYBODY IN THE ELSE IN THE FAMILY HAVE CYSTIC +RES0097-102 FIBROSIS NO NO NO NO ONE ELSE DOES BUT WE GOT TESTED AND WE WERE BOTH FOUND MY MY HUSBAND AND I WERE FOUND OUT HAVE THE GENE FOR IT WE WERE CARRIERS +RES0097-103 OK I SEE AND ANY ANY HEART CONDITIONS OR OR OTHER LUNG CONDITIONS +RES0097-105 FAMILY NO NOTHING ELSE OK AND WERE THERE ANY OTHER SYMPTOMS THAT OR ANYTHING ELSE THAT +RES0097-106 YOU WANTED TO TELL ME THAT MAYBE I FORGOT TO ASK ABOUT NO I WAS JUST I'M JUST WORRIED ABOUT HIM ABOUT HIS FEVER SPECIFICALLY IT'S BEEN HIGH AND I KNOW THAT USUALLY WHEN HE HAS THESE HOSPITALIZATIONS HE PRESENTS PRETTY SIMILARLY SO JUST WONDERING IF HE WOULD NEED TO BE HOSPITALIZED AGAIN AND IF HE NEEDS ANTIBIOTICS +RES0097-107-1 YEAH FOR SURE IT'S IT'S BEEN SO IT'S BEEN THREE OR FOUR DAYS BUT WITH A FEVER THIS HIGH AND HIS SYMPTOMS WITH HAVING OBSTRUCTION DISCHARGE +RES0097-107-2 CHANGES TO SMELL OR LOSS OF SMELL IT DOES SOUND LIKE IT COULD BE BACTERIAL AND SO I THINK IT WOULD BE REASONABLE TO POSSIBLY TO START ANTIBIOTICS IN THIS CASE +RES0097-108 BUT WE'LL GO THROUGH THROUGH A PHYSICAL EXAM CHECK SOME VITALS +RES0098-000 HOW MAY I HELP YOU +RES0098-001-1 SO I JUST CAME IN HERE BECAUSE FOR THE LAST DAY I'VE BEEN JUST GETTING SHORTNESS OF BREATH I RECENTLY YESTERDAY ACTUALLY WAS JUST BUSY AT HOME CLEANING OUT MY BASEMENT +RES0098-001-2 AND LIKE THAT WAS YESTERDAY AFTERNOON I DID THAT FOR A COUPLE HOURS AND THEN AT NIGHT I JUST STARTED TO GET THE SHORTNESS OF BREATH IT'S CONTINUED UNTIL TODAY +RES0098-001-3 I'M ALSO GETTING SOME WHEEZING AND TIGHTNESS IN MY CHEST AS WELL AS SOME COUGH SO THAT'S ALL JUST BEEN HAPPENING OVER THE LAST DAY +RES0098-002 OK AND IS THE SHORTNESS OF BREATH HERE NOW IS IT IS AT REST OR ARE YOU HAVING THAT WHEN YOU'RE EXERTING YOURSELF +RES0098-003 MORE SO WHEN I'M LIKE EXERTING MYSELF IF I'M SITTING DOWN IT'S BETTER BUT I STILL HAVE I WOULD SAY LIKE MY BREATHING IS NOT NORMAL RIGHT NOW LIKE IT'S I STILL HAVE TO TAKE DEEPER BREATHS AND I DO HAVE THAT CHEST TIGHTNESS WHEN I TAKE THOSE DEEP BREATHS +RES0098-004 OK DO YOU HAVE ANY CHEST PAIN +RES0098-005 NO IT'S MORE SO JUST THE TIGHTNESS I WOULDN'T CALL IT PAIN BUT I I DO STILL HAVE A LITTLE BIT OF WHEEZING +RES0098-006 OK +RES0098-007 SO THAT'S THAT'S THAT +RES0098-008 AND YOU MENTIONED A COUGH AS WELL WITH THE COUGH IS IT HAS IT BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM +RES0098-009 IT WAS IT WAS MAINLY DRY YESTERDAY LIKE LIKE THE COUGH HAS KIND OF GONE AWAY BUT YESTERDAY NIGHT I WAS COUGHING A LOT AND IT WAS MOSTLY DRY +RES0098-010 OK HAVE YOU BROUGHT UP ANY BLOOD +RES0098-011 NO +RES0098-012 OK AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE EYE TEARING OR RED EYES MAYBE A RUNNY NOSE OR SORE THROAT +RES0098-013-1 THROAT NOT A SORE THROAT BUT IT DOES FEEL LIKE IT IT'S KIND OF LIKE JUST CONSTRICTED IN THERE LIKE I DON'T KNOW IF IT'S RELEVANT BUT I I DO HAVE ASTHMA +RES0098-013-2 LIKE I WAS DIAGNOSED TEN YEARS AGO BUT IT'S BEEN PRETTY STABLE LIKE IT'S LIKE JUST RIGHT NOW I HAVEN'T HAD SHORTNESS OF BREATH FOR A PRETTY LONG TIME +RES0098-014-1 OK AND WE'LL WE'LL GET BACK TO THE PAST MEDICAL HISTORY SHORTLY I JUST WANTED TO ASK A FEW MORE SYMPTOMS +RES0098-014-2 BUT CERTAINLY COULD BE RELEVANT TODAY SO +RES0098-014-3 SO YOU MENTIONED THAT YOU HAVE HAD SOME THROAT TIGHTNESS HAVE YOU HAD ANY LOSS OF SMELL OR OR LOSS OF TASTE +RES0098-015 NO NOTHING LIKE THAT +RES0098-016 OK AND HAVE YOU HAD ANY FEVERS OR CHILLS +RES0098-017 NO +RES0098-018 OK HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0098-019 NO NO NAUSEA OR VOMITTING +RES0098-020 HOW ABOUT ANY DIARRHEA OR CONSTIPATION +RES0098-021 NO +RES0098-022 AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL OR FREQUENCY +RES0098-023 NO +RES0098-024 OK AND HAVE YOU HAD ANY NIGHT SWEATS OVER THE LAST SEVERAL WEEKS TO MONTHS +RES0098-025 NO NOTHING LIKE THAT +RES0098-026 AND HAVE YOU HAD ANY WEIGHT CHANGES OVER THE LAST LITTLE WHILE +RES0098-027 NO +RES0098-028 OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES +RES0098-029 NO I I DO HAVE JUST LIKE THE GENERAL LIKE ECZEMA THAT I USE A CREAM FOR BUT THAT'S JUST NORMAL FOR ME +RES0098-030 OK AND ANY MUSCLE ACHES OR OR JOINT PAINS +RES0098-031 NO +RES0098-032 HAVE YOU HAD ANY FATIGUE +RES0098-033 NO +RES0098-034 OK ALRIGHT YOU MENTIONED ASTHMA AS PART OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY OTHER CONDITIONS +RES0098-035 NO IT'S JUST ASTHMA AND IT WAS DIAGNOSED I THINK WHEN I WAS LIKE PROBABLY ELEVEN OR TWELVE YEARS OLD +RES0098-036 OK AND DO YOU USE INHALERS FOR THAT +RES0098-037-1 I HAVE TWO INHALERS LIKE ONE ONE IS LIKE A BLUE ONE ONE IS LIKE AN LIKE AN ORANGE ONE IT'S SO I THINK IT'S ONE OF THEM IS JUST LIKE I TAKE WHENEVER I REALLY NEED TO AND THE OTHER ONE I TAKE EVERYDAY +RES0098-037-2 AND I HAVEN'T BEEN TAKING THE ONE I THINK IT'S CALLED VENTOLIN BUT I TOOK IT LIKE HAD TO TAKE IT LIKE THREE OR FOUR TIMES LAST NIGHT +RES0098-037-3 AND LIKE THROUGHOUT THE DAY YESTERDAY AND IT IT DID HELP BUT IT DIDN'T REALLY RELIEVE SOME OF MY SYMPTOMS +RES0098-038 OK AND PRIOR TO THAT HOW OFTEN HAVE YOU BEEN USING THE BLUE ONE +RES0098-039 THE BLUE ONE BEFORE YESTERDAY PROBABLY THE LAST TIME I USED IT WAS PROBABLY LIKE A MONTH AGO +RES0098-040 OK SO YOU DON'T NEED IT THAT THAT OFTEN THEN +RES0098-041 NO +RES0098-042 DO YOU HAVE ANY TRIGGERS FOR ASTHMA THAT YOU'RE AWARE OF LIKE EXERCISING OR GOING OUT INTO THE COLD OR EVEN LIKE ALLERGIES LIKE DUST OR OR OR POLLEN +RES0098-043 I DO HAVE ALLERGIES IN THE SPRING I THINK IT'S TO POLLEN AND IN THE WINTER IT DOES LIKE MY SYMPTOMS DO GET A BIT WORSE AND I HAVE TO USE THE VENTIL MORE BUT RECENTLY FOR THE LAST FEW MONTHS AT LEAST IT'S BEEN PRETTY STABLE I HAVEN'T REALLY HAD TO USE USE IT TOO MUCH +RES0098-044 OK AND AND DO YOU USE ANY OTHER MEDICATIONS +RES0098-045 JUST WHEN I HAVE ALLERGIES I I JUST USE OVER THE COUNTER ALLERGY MEDS +RES0098-046 OK AND YOU USE A CREAM FOR FOR YOUR SKIN TOO LIKE +RES0098-047 I USE LIKE IT'S IT'S I THINK IT'S LIKE A MIXTURE OF LIKE A STEROID CREAM +RES0098-048 OK AND DO YOU HAVE ANY ALLERGIES +RES0098-049 TO MEDICATIONS NOT +RES0098-050 THAT I KNOW OF OK AND +RES0098-051 ARE YOUR IMMUNIZATIONS UP TO DATE ALRIGHT AND RIGHT NOW WHO ARE YOU LIVING +RES0098-052 WITH AND WHEREABOUTS ARE YOU LIVING YES SO I'M JUST LIVING WITH A COUPLE ROOMMATES I JUST GO TO +RES0098-056 TRAVELED ANYWHERE I DECIDED LIKE I YESTERDAY I WENT HOME LIKE TO MY PARENTS HOUSE AND HELPED MY DAD THAT'S WHERE I WAS CLEANING THE BASEMENT BUT +RES0098-057 THAT THAT WAS THAT WAS THAT WAS IT OK AND SORRY JUST HAD TO BACKTRACK A LITTLE BIT HAVE YOU HAD ANY HOSPITALIZATIONS EITHER DUE TO ASTHMA OR FOR ANY OTHER REASON +RES0098-058 I THINK WHEN I WAS FIFTEEN I I HAD TO GO TO THE EMERGENCY DEPARTMENT BUT I I WASN'T HOSPITALIZED +RES0098-059 OK AND WAS THIS DID YOU HAVE SIMILAR SYMPTOMS AT THAT TIME +RES0098-060 IT WAS IT WAS FOR ASTHMA AND LIKE THAT TIME IT WAS DEFINITELY MUCH MUCH WORSE AND I REMEMBER LIKE I WAS BREATHING A LOT THE SHORTNESS OF BREATH WAS REALLY BAD AND THE VENTOLIN LIKE PUFFERS WEREN'T EVEN HELPING ME AT THAT TIME OK OK AND +RES0098-061 HAVE YOU HAD ANY SURGERIES BEFORE NO +RES0098-063 ALRIGHT SO YOU MENTIONED THAT YOU'RE YOU'RE CLEANING UP THE BASEMENT YESTERDAY WAS THERE A LOT OF DUST DOWN THERE OR ANYTHING LIKE THAT THAT MIGHT HAVE TRIGGERED IT +RES0098-064 WE WERE LIKE JUST MOVING BOXES THERE WERE BOOKS HERE AND THERE THAT DEFINITELY THERE WOULD HAVE BEEN DUST I SHOULD HAVE BEEN MORE CAREFUL LIKE WORE A MASK BUT I DIDN'T THINK ABOUT IT AT THAT TIME +RES0098-065 OK FOR SURE AND DO YOU +RES0098-066 SMOKE CIGARETTES NO LIKE I CAN'T EVEN STAND CIGARETTE SMOKE +RES0098-067 OK THAT'S GOOD AND DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS +RES0098-068 NO IF I IF I REALLY WANT MARIJUANA I WOULD HAVE TO GO WITH EDIBLES I I CAN'T TAKE THE SMOKE +RES0098-069 OK I SEE AND DO YOU DRINK ALCOHOL +RES0098-070 JUST I WOULD SAY PROBABLY ON THE WEEKENDS I MIGHT HAVE FOUR OR FIVE BEERS +RES0098-071 OK AND ANYBODY ELSE IN THE FAMILY HAVE ASTHMA OR SKIN IRRITATION LIKE LIKE YOU HAVE +RES0098-072 SO MY MY OLDER SISTER ACTUALLY ALSO WAS DIAGNOSED WITH ASTHMA SHE ALSO HAS THE ECZEMA THAT I HAVE AND MY MOM WAS ALSO DIAGNOSED WITH ASTHMA WHEN SHE WAS A CHILD BUT SHE'S BEEN COMPLETELY FINE SINCE THEN +RES0098-073 OK WELL THAT'S GOOD THAT THAT SHE'S BEEN OK DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR OR LUNG CONDITIONS OR ANY CANCERS THAT RUN IN THE FAMILY +RES0098-074 MY GRANDFATHER DIED OF LUNG CANCER BUT HE WAS JUST JUST SMOKED ALL THROUGHOUT HIS LIFE +RES0098-075 OK ALRIGHT SO THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK TODAY SO THE NEXT PART WE'LL GO ON TO DO A PHYSICAL EXAM BUT DID YOU HAVE ANY THING ELSE THAT MAYBE I FORGOT TO ASK ABOUT TODAY +RES0098-076 NO I I I THINK I KNOW WHAT THIS WAS CAUSED BY BUT LET'S LET'S SEE THANKS FOR YOUR HELP +RES0098-077 OH YOU'RE WELCOME SO WE'LL WE'LL TRIAL SOME MORE PUFFERS AND SEE WHAT WE COULD DO CAUSE CERTAINLY IT'S SOUNDING LIKE AN ASTHMA EXACERBATION AND SO DEFINITELY LET SOMEBODY KNOW IF YOUR YOUR BREATHING IS GETTING MORE DIFFICULT +RES0098-078 SOUNDS GOOD +RES0101-000 HOW MAY I HELP YOU +RES0101-001-1 HI CRIS SO YEAH I I'M REALLY WORRIED I STARTED COUGHING UP BLOOD THIS MORNING AND FOR THE LAST TWO DAYS I'VE BEEN HAVING SOME LIKE ON MY RIGHT CALF JUST A LOT OF SWELLING AND TENDERNESS +RES0101-001-2 I JUST ACTUALLY GOT OUT OF THE HOSPITAL JUST LAST WEEK I HAD A KNEE REPLACEMENT SURGERY ON MY RIGHT LEG SO I WAS JUST REALLY CONCERNED ABOUT THIS BLOOD THAT I'M COUGHING UP +RES0101-002 CERTAINLY SO WHEN SO YOU HAD A KNEE SURGERY LAST WEEK WERE YOU LIKE IMMOBILIZED AFTERWARDS FOR PERIODS OF TIME +RES0101-003 I'VE BEEN JUST TAKING SOME REST NOT REALLY DOING TOO MUCH AND EVEN IN THE HOSPITAL LIKE I WAS THERE FOR A DAY AND WAS PRETTY IMMOBILIZED +RES0101-004 OK AND HAVE YOU HAD ANY PAIN IN IN +RES0101-005 YOUR CALF AND IF SO WHICH WHICH ONE IT'S JUST THE RIGHT CALF AND IT'S IT'S PRETTY +RES0101-006 SWOLLEN RIGHT NOW AND I WAS HAVING A LOT OF PAIN OVER IT FOR THE LAST TWO DAYS OK IS IT CAN YOU FEEL THE PAIN AT REST OR OR IS IT +RES0101-007-1 WITH LIKE WITH MOVEMENT OR IF YOU PRESS ON IT +RES0101-007-2 IT'S YEAH IT'S PRETTY TENDER WHEN I PRESS ON IT I HAVEN'T REALLY BEEN MOVING AROUND AND IT'S STILL +RES0101-007-3 LIKE PAINFUL RIGHT NOW BUT IT DOESN'T REALLY HURT WHEN I'M LIKE LIKE I'VE BEEN TRYING TO KEEP MYSELF RESTED JUST BECAUSE OF THE SURGERY BUT WHEN I PRESS ON IT IT IS PRETTY TENDER +RES0101-008 OK AND IS THE IS THE SWELLING IN KIND OF ONE SPOT OF YOUR LEG OR IS IT MOST OF THE OF THE LEG +RES0101-009 IT'S JUST THE CALF I WOULD SAY MORE LIKE JUST THE LOWER LEG AREA +RES0101-010 OK HAVE YOU NOTICED ANY SKIN CHANGES LIKE REDNESS OR OR OR TEMPERATURE LIKE IT FEELS HOT TO TOUCH +RES0101-011 MAYBE A LITTLE BIT I HAVEN'T REALLY NOTICED IT TOO MUCH +RES0101-012 OK AND DO YOU HAVE A HISTORY OF LIKE VARICOSE VEINS OR ANYTHING LIKE THAT +RES0101-013 NO NOTHING LIKE THAT +RES0101-014 OK SO WHEN DID THE +RES0101-015 COUGHING UP BLOOD START JUST THIS MORNING ACTUALLY SO JUST LIKE I WOULD SAY A COUPLE HOURS AGO +RES0101-016 OK AND HOW MUCH BLOOD ARE YOU COUGHING UP +RES0101-017 JUST SOME ON LIKE I JUST NOTICE ON THE TISSUE LIKE JUST SOME SPOTS THAT I NOTICED EVERY TIME THAT I'M LIKE I WOULD HAVE TO COUGH IT UP MAYBE LIKE IN THE LAST COUPLE HOURS I'VE HAD THREE EPISODES OF THAT WHERE I'VE NOTICED BLOOD ON THE TISSUE +RES0101-018 I SEE AND DID YOU EVER COUGH PRIOR TO THIS +RES0101-019 NO NOT REALLY +RES0101-020 OK AND HAVE YOU BEEN EXPERIENCING ANY INFECTIOUS SYMPTOMS LIKE RED OR RUNNY EYES RUNNY +RES0101-022 SORE THROAT NO NOTHING LIKE THAT HAVE YOU BEEN +RES0101-023 HAVING ANY CHEST PAIN OR OR SHORTNESS OF BREATH NO CHEST PAIN BUT I DO FEEL LIKE I DO HAVE TO TAKE LIKE A DEEPER BREATH LIKE I'VE +RES0101-024 JUST BEEN FEELING IT THIS MORNING A LITTLE BIT IT'S JUST KIND OF A BIT OF UNEASY BREATHING OK SO IT HAS BEEN MORE DIFFICULT TO BREATHE AND IS THAT IS THAT AT REST AS WELL +RES0101-025 DO YOU FEEL THAT KIND OF SENSATION EVEN RIGHT NOW JUST A LITTLE BIT LIKE IT'S IT'S NOT ANYTHING THAT I'M TOO WORRIED ABOUT BUT IT IS THERE +RES0101-026 OK DO YOU HAVE ANY PAIN IF YOU HAVE IF IF YOU TAKE A DEEP BREATH IN +RES0101-027 NO I DON'T NO I DON'T REALLY HAVE ANY PAIN +RES0101-028 OK AND DO YOU FEEL LIKE YOUR YOUR HEART'S RACING OR +RES0101-029 BEATING REALLY FAST I I DO FEEL LIKE MY HEART IS BEATING LIKE FASTER ESPECIALLY +RES0101-030 TODAY BUT I DON'T KNOW ALRIGHT AND HOW ABOUT YOUR BREATHING DO YOU FEEL LIKE YOU'RE +RES0101-031 BREATHING FASTER NO BREATHING I FEEL +RES0101-032 LIKE IT'S AROUND THE SAME OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS OR OR FEELING LIKE YOU'RE GOING TO PASS OUT +RES0101-033 NO +RES0101-034 OK AND HAVE YOU HAD ANY ANY WHEEZING +RES0101-035 NO WHEEZING +RES0101-036 ALRIGHT HAVE YOU HAD ANY ABDOMINAL PAIN +RES0101-037 NO NO ABDOMINAL PAIN +RES0101-038 ANY NAUSEA OR VOMITING +RES0101-039 NOPE +RES0101-040 HAVE YOU HAD ANY DIARRHEA +RES0101-041 NO DIARRHEA NO +RES0101-042 HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +RES0101-043 NO +RES0101-044 HAVE YOU HAD ANY SKIN CHANGES OR OR RASHES +RES0101-046 NO OK AND HOW ABOUT ANY OTHER LIKE JOINT PAINS +RES0101-047 MUSCLE ACHES NO +RES0101-048 NO NOTHING LIKE THAT ALRIGHT AND +RES0101-049 HAVE YOU EVER HAD A A DVT BEFORE +RES0101-050 NO I'VE NEVER HAD ANYTHING LIKE THAT OK OR OR LIKE LIKE A DEEP VEIN THROMBOSIS OR HAVE YOU HAD A PULMONARY EMBOLISM BEFORE +RES0101-051 NO I'VE NEVER HAD ANYTHING LIKE THAT BEFORE +RES0101-052 OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0101-053 I DO HAVE SO WITH MY WITH MY KNEE AND THEN I DO HAVE HIGH BLOOD PRESSURE I HAVE DIABETES +RES0101-054 OK THEN WAS IT A KNEE REPLACEMENT YOU HAD DONE +RES0101-055 OK AND DO YOU TAKE ANY MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES +RES0101-056 SO FOR THE BLOOD PRESSURE I'M TAKING MEDICATION CALLED RAMIPRIL AND THEN FOR DIABETES I'M TAKING METFORMIN +RES0101-057 OK HAVE YOU NEEDED LIKE INSULIN FOR DIABETES BEFORE +RES0101-058 NO I'VE NEVER HAD TO USE INSULIN +RES0101-059 OK AND AND DO YOU TAKE ANY OTHER MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER +RES0101-060 NO NOTHING ELSE I ACTUALLY I DO TAKE SOME MULTIVITAMINS BUT BESIDES THAT NOTHING +RES0101-061 ALRIGHT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +RES0101-062 NOT THAT I KNOW OF +RES0101-063 OK AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST BESIDES THE THE KNEE SURGERY LAST WEEK +RES0101-064 NO +RES0101-065 ALRIGHT SO YOU'VE BEEN HEALTHY OTHERWISE I I'M NOT SURE I I ASK THIS I'M WONDERING IF YOU HAD ANY FEVERS OR OR CHILLS +RES0101-066 NO NOT REALLY +RES0101-067 OK AND HOW ABOUT ANY NIGHT SWEATS +RES0101-068 NO +RES0101-069 ALRIGHT AND HAS YOUR WEIGHT BEEN STABLE OVER THE LAST SEVERAL MONTHS OR HAVE YOU HAD ANY CHANGES +RES0101-070 IT'S BEEN PRETTY STABLE +RES0101-071 OK THANK YOU JUST WANTED TO CLARIFY A FEW THINGS THERE AND CURRENTLY CAN YOU TELL ME ABOUT WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH +RES0101-072 SO I'M LIVING WITH MY WIFE IN A HOUSE I DO HAVE TWO KIDS BUT THEY'RE OFF TO COLLEGE RIGHT NOW SO IT'S JUST US TWO +RES0101-073 OK AND AND WHAT WHAT DO YOU DO FOR FOR WORK +RES0101-074 YES SO I ACTUALLY WORK AS A MECHANIC AND RIGHT NOW I'M KIND OF OFF OF WORK WITH I JUST NEED TO RECOVER AND KIND OF GET THAT PHYSIOTHERAPY DONE AND THEN I CAN RETURN HOPEFULLY IN A MONTH OR TWO +RES0101-075 OK WE NEED TO RECOVER AFTER THE KNEE SURGERY OK AND +RES0101-076 DO YOU SMOKE CIGARETTES I USED TO BUT I QUIT WHEN I WAS IN MY THIRTIES I USED TO SMOKE LIKE PROBABLY A PACK A DAY BETWEEN MY TWENTIES AND THIRTIES +RES0101-077 OK BUT IT SOUNDS LIKE YOU QUIT ABOUT TWENTY YEARS AGO THEN +RES0101-078 OK AND DO YOU DRINK ALCOHOL +RES0101-079 NO +RES0101-080 OK HOW ABOUT USING ANY OTHER RECREATIONAL DRUGS +RES0101-081 NO OTHER DRUGS +RES0101-082 OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR OR LUNG CONDITIONS +RES0101-083 NO NOT THAT I KNOW OF +RES0101-084 OK AND ANYBODY IN THE FAMILY HAVE A BLEEDING DISORDER OR OR A CLOTTING DISORDER +RES0101-085 NO NOT NOT THAT I'M AWARE OF +RES0101-086 OK HAVE YOU HEARD OF ANYBODY IN THE FAMILY HAVING I KNOW YOU SAID YOU HAVEN'T HAD HAD THIS BEFORE BUT ANYBODY IN THE FAMILY HAVING A DEEP VEIN THROMBOSIS OR OR PE +RES0101-087 NOT THAT I KNOW NOT REALLY +RES0101-088-1 OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY WE'LL DO PHYSICAL EXAM AND I'LL LISTEN TO YOUR CHEST AND HAVE A LOOK AT YOUR LEG +RES0101-088-2 WE'LL ALSO ORDER SOME IMAGING STUDIES WITH A CTPA IT'S CALLED BUT BEFORE WE GO AHEAD WITH THAT WAS THERE ANYTHING ELSE THAT THAT YOU WANTED TO ADD +RES0101-089 NO I THINK THAT'S THAT'S ALL +RES0101-090-1 OK SO WE'LL GET THE LAB WORK STARTED AS WELL AS THE IMAGING ORDERED IT WILL LOOK FOR TO SEE IF THERE IS ANY PULMONARY EMBOLISM PRESENT BECAUSE WITH THE SURGERY LAST WEEK AND BEING IMMOBILIZED FOR A PERIOD OF TIME IT IS A RISK FACTOR FOR IT AND +RES0101-090-2 LEG SWELLING WITH COUGHING UP BLOOD CAN BE SYMPTOMS OF THIS SO WE'LL WANNA MAKE SURE TO TO DO TO INVESTIGATE FOR A PULMONARY EMBOLISM +RES0101-091 OK SOUNDS GOOD THANK YOU SO MUCH +RES0101-092 SOUNDS GOOD THANK YOU +RES0102-000 WHAT BRINGS YOU IN HERE TODAY +RES0102-001 I I'VE HAD THIS COUGH THAT'S BEEN ONGOING AND AND GETTING WORSE AND AND NOW I'VE BEEN HAVING THIS +RES0102-002 LIKE SHARP PAIN IN MY IN MY CHEST OK +RES0102-003 WHEN DID THE COUGH FIRST START SO LIKE THE COUGH +RES0102-004 STARTED MAYBE A COUPLE OF WEEKS AGO A COUPLE WEEKS AGO OK AND HAS IT GOTTEN WORSE +RES0102-005 SINCE THEN OR HAS IT STAYED ABOUT THE SAME IT IT GOT WORSE INITIALLY BUT IT'S BEEN ABOUT THE WELL ACTUALLY IT'S BEEN GETTING WORSE CAUSE +RES0102-006 NOW I'VE I'VE STARTED TO NOTICE BLOOD IN THE +RES0102-007-1 THAT WASN'T THERE AT FIRST +RES0102-007-2 OK AND WHEN DID YOU FIRST NOTICE THAT +RES0102-007-3 SO I I FIRST SAW SOME BLOOD TWO DAYS AGO IT WAS A REALLY SMALL AMOUNT SO I DIDN'T WORRY TOO MUCH BUT I I BROUGHT UP BLOOD +RES0102-007-4 YESTERDAY AND AGAIN THIS MORNING IT'S BEEN JUST ABOUT ENOUGH TO COVER A TISSUE SO IT'S NOT A LOT OF BLOOD EACH TIME BUT IT'S PRETTY RED +RES0102-008 OK AND BEFORE THAT WERE YOU GETTING ANY PRODUCTION THROUGHOUT YOUR COUGHS FOR THE LAST FEW WEEKS LIKE WERE YOU PRODUCING ANY SPUTUM +RES0102-010 NO NO OK CAN YOU JUST DESCRIBE YOUR COUGH CURRENTLY IS IT MORE OF A WET COUGH OR DRY COUGH +RES0102-011 IT IT'S IT'S DRY MOSTLY WITH THE EXCEPTION OF BRINGING UP SOME OF THE BLOOD +RES0102-012 AND IS THE BLOOD JUST IN LIKE SPUTUM THAT YOU'RE BRINGING UP OR ARE YOU COUGHING UP BLOOD INTO THE TISSUE FOR EXAMPLE +RES0102-013 BLOOD IS I'M COUGHING THAT UP INTO THE TISSUE +RES0102-014 OK AND DO YOU REMEMBER TWO WEEKS AGO PRIOR TO THAT WERE THERE ANY FACTORS THAT MIGHT HAVE CAUSED THIS LIKE FOR EXAMPLE DID YOU TRAVEL ANYWHERE OR SEE OR WAS IN CONTACT WITH ANYONE THAT WAS SICK +RES0102-015 NO I HAVEN'T TRAVELED ANYWHERE I HAVE BEEN DOING VOLUNTEERING AND AND THINGS AT THE HOMELESS SHELTER +RES0102-016 VOLUNTEERING HERE IN IN TOWN IT'S BEEN REALLY COLD OUT OK AND +RES0102-017 HOW LONG HAVE YOU BEEN VOLUNTEERING THERE I STARTED THIS WINTER SO THE LAST +RES0102-018 THREE THREE OR FOUR MONTHS OK AND WERE YOU IN CONTACT WITH ANYONE THERE THAT WAS SICK OR WAS HAVING SIMILAR +RES0102-019-1 SYMPTOMS AT ALL +RES0102-019-2 THERE ARE CERTAINLY SOME PEOPLE AROUND THAT THAT HAD SOME THAT WOULD HAVE A COUGH OR WERE NOT FEELING VERY WELL BUT +RES0102-019-3 AND AND SOMETIMES I WOULD SEE PEOPLE WHO WOULD EVEN HAVE A HOSPITAL GOWN ON THAT THAT THAT CAME FROM THE HOSPITAL SO THERE WERE DEFINITELY SOME PEOPLE WHO WEREN'T FEELING WELL +RES0102-020 OK AND DO YOU KNOW IF ANYONE AT THE HOMELESS SHELTER OR ANYWHERE ELSE AROUND YOUR SURROUNDING HAS HAD TUBERCULOSIS +RES0102-021 NOT THAT I'M AWARE OF I HAVEN'T HEARD OF THAT +RES0102-022 OK ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL BESIDES THE THE COUGHING AND THE BLOOD LIKE COUGHING UP BLOOD AS WELL +RES0103-000 WHAT BRINGS YOU IN HERE TODAY +RES0103-001 I'M JUST BRINGING IN MY OLD DAUGHTER WHO'S REALLY BEEN COMPLAINING ABOUT HAVING A RUNNY NOSE AND HAS BEEN SNEEZING A LOT OVER THIS PAST OVER THIS PAST WEEK I THINK THE SYMPTOMS MAYBE STARTED THREE OR FOUR DAYS AGO +RES0103-002 OK AND WHAT SYMPTOMS STARTED FIRST +RES0103-003 I THINK THE RUNNY NOSE IS WHAT WHAT STARTED FIRST AND LIKE KIND OF THE NASAL CONGESTION SHE WAS TELLING YOU THAT SHE FELT THAT THERE WAS LIKE PRESSURE OR CONGESTION IN HER NOSE +RES0103-004 OK AND THEN THIS WHEN DID THIS SNEEZING START +RES0103-005 SURELY AFTER THAT PROBABLY MAYBE THE SAME DAY OR OR THE NEXT DAY +RES0103-006 OK DOES SHE HAVE ANY COUGHING AT ALL +RES0103-007 SO SHE SHE DID START TO COUGH ACTUALLY AFTER THAT SO THAT THE COUGH HAS BEEN THERE FOR THE LAST FOR THE LAST MAYBE TWO TO THREE DAYS IT'S A DRY COUGH +RES0103-008 OK FOR THE LAST TWO TO THREE DAYS OK IS SHE AT ALL COUGHING UP ANY GREEN OR YELLOW MATERIAL OR ANY BLOOD AT ALL +RES0103-009 NO NOTHING LIKE THAT +RES0103-010 OK SO AND ARE HER SYMPTOMS CONSTANT OR DO THEY COME AND GO +RES0103-011 THEY'VE BEEN PRETTY CONSTANT AND THEY'VE GOTTEN A LITTLE BIT WORSE SINCE THEY STARTED THREE OR FOUR DAYS AGO I I THINK NOW HER SYMPTOMS ARE AT HER AT THE WORST RIGHT NOW JUST NOT FEELING VERY WELL +RES0103-012 OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE AT HOME OR AT SCHOOL IF SHE'S GOING TO SCHOOL VERSUS AT HOME FOR THE PANDEMIC RIGHT NOW BUT ANY ILL CONTACTS AT ALL +RES0103-013 WELL SHE HAS BEEN GOING TO SCHOOL THERE HASN'T BEEN ANY COVID CASES WHERE SHE GOES AND THEY'VE BEEN CAUTIOUS BUT SHE IS GOING TO SCHOOL RIGHT NOW +RES0103-014 OK ANY ANYTHING THAT YOU'VE TRIED THAT HAS HELPED HER LIKE ANY OVER THE COUNTER COLD MEDICATIONS +RES0103-016 NO OK ANY OTHER SYMPTOMS LIKE FEVERS CHILLS SHORTNESS OF BREATH ANYTHING LIKE THAT +RES0103-017 SHE DID FEEL A BIT WARM TO TOUCH AND HAS LOOKED A BIT FLUSHED IN HER FACE JUST DOESN'T LOOK LIKE HERSELF +RES0103-018 DOES SHE BEHAVE LIKE HERSELF LIKE IS SHE MORE TIRED AT ALL MORE IRRITABLE ANYTHING LIKE THAT +RES0103-019 SHE'S BEEN A MAYBE A BIT MORE MAYBE A BIT MORE TIRED AND AND A BIT MORE IRRITABLE BUT NOT NOT TOO BAD SHE SHE MISSED SCHOOL TODAY BUT WENT YESTERDAY +RES0103-020 OK ANY RECENT TRAVEL AT ALL +RES0103-021 NO WE'VE BEEN AT HOME +RES0103-022 ANY HEADACHES NAUSEA OR VOMITING +RES0103-023 NO +RES0103-024 OK ANY CHEST PAIN THAT SHE'S DESCRIBED +RES0103-025 NO CHEST PAIN +RES0103-026 OK ANY CHANGES IN HER BOWEL MOVEMENT CONSTIPATION DIARRHEA +RES0103-027 NO THAT'S BEEN NORMAL +RES0103-028 OK ANY URINARY PROBLEMS +RES0103-029 NO SHE HAD A URINARY TRACT INFECTION WHEN SHE WAS LIKE LITTLE BUT HASN'T HAD ANY SINCE +RES0103-030 OK ANY ISSUES WITH THEIR SLEEP OR APPETITE +RES0103-031 SHE HAS BEEN A BIT A BIT FUSSY BUT SHE'S BEEN SLEEPING OK +RES0103-032 OK HAS SHE LOST ANY WEIGHT RECENTLY +RES0103-033 NO NO NO SHE'S BEEN GAINING WEIGHT WELL +RES0103-034 OK ANY EXPOSURE TO ANY ALLERGENS OR LIKE FUMES DUST ANIMALS +RES0103-035 NO I CAN'T THINK OF ANYTHING LIKE THAT WE DON'T HAVE ANY PETS AT HOME AND SHE'S SHE'S BEEN HASN'T BEEN GOING ANYWHERE ELSE +RES0103-036 OK HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0103-037 NO SHE JUST SAID JUST HAD A URINARY TRACT INFECTION WHEN SHE WAS YOUNGER AND THAT'S ABOUT IT +RES0103-038 OK ANY ALLERGIES TO MEDICATIONS THAT YOU KNOW OF +RES0103-039 NOT THAT I'M AWARE OF +RES0103-040 IS SHE ON ANY MEDICATIONS +RES0103-041 NO +RES0103-042 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0103-043 NO +RES0103-044 OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANYTHING ELSE +RES0103-045 I I HAVE HIGH CHOLESTEROL BUT AND AND I'M TAKING A A MEDICATION FOR IT BUT NO NOTHING ELSE +RES0103-046 OK DOES HAS SHE LOST A SENSE OF TASTE OR SMELL AT ALL +RES0103-047 NO SHE HASN'T SAID ANY ANYTHING LIKE THAT JUST THE NASAL CONGESTION +RES0103-048 OK DID YOU FEEL ANY PRESSURE IN AROUND HER FACE AT ALL +RES0103-049 WELL I THINK SO SHE DOESN'T SAY WELL NO PAIN BUT DOES FEEL LIKE A BIT OF PRESSURE WITH THE CONGESTION I THINK +RES0103-050 OK ANY ISSUES DEVELOPMENTALLY AS SHE WAS GROWING UP LIKE TO MEET ARE ALL OUR MILESTONES AT AN APPROPRIATE AGE +RES0103-051 SHE DID SHE HAS MET SHE WAS WALKING AT THE APPROPRIATE TIMES AND ABLE TO TALK AND DOES WORK REALLY WELL IN SCHOOL AND IS SOCIAL WITH WITH HER CLASSMATES AND PEERS +RES0103-052 SO NO NO ISSUES OR NO COMPLAINTS AT ALL +RES0103-053 NO THERE HASN'T BEEN ANY CONCERNS I FEEL THAT SHE'S BEEN DEVELOPING NORMALLY +RES0103-054 OK IN OUR IMMUNIZATIONS UP TO DATE +RES0103-055 THEY ARE +RES0103-056 OK AND WERE THERE ANY COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER OR AFTER THE PREGNANCY +RES0103-057 NO IT WAS A VAGINAL DELIVERY AT THIRTY EIGHT WEEKS AND SHE WAS A NORMAL WEIGHT WE WERE ABLE TO GO HOME RIGHT AWAY WITH WITH NO COMPLICATIONS SO THINGS WERE GOOD +RES0103-058 OK AND CURRENTLY WHO DOES SHE LIVE WITH +RES0103-059 SO MYSELF AND MY AND MY HUSBAND +RES0103-060 OK AND DOES ANYONE SMOKE IN THE HOUSE +RES0103-061 MY HUSBAND DOES SMOKE BUT I MEAN HE SMOKES OUTSIDE USUALLY AND AND HE SMOKES I DON'T KNOW MAYBE A HALF A PACK A DAY +RES0103-062 AND I THINK THAT'S ALL ALL THE QUESTIONS I HAVE DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0103-063 NOTHING ELSE RIGHT NOW +RES0103-064 OK SO BASED ON HER SYMPTOMS SHE DOES SEEM TO HAVE SOME JUST A COLD LIKE SYMPTOMS VIRAL SYMPTOMS AND IT'S BEEN IT'S BEEN YOU SAID THREE OR FOUR DAYS IN TOTAL RIGHT +RES0103-065-1 YEAH AND SO MOST LIKELY IT'S JUST CAUSED BY A VIRAL INFECTION LIKE COMMON COLD PERHAPS IT SHE DOESN'T HAVE ANY WORRYING SIGNS OF +RES0103-065-2 ANY SYSTEMIC THINGS GOING ON RIGHT NOW SO AND NO SIGNS OF LIKE A BACTERIAL INFECTION THAT I WOULD BE CONCERNED ABOUT THAT I WOULD GIVE ANTIBIOTICS FOR RIGHT NOW +RES0103-065-3 BUT DEFINITELY IF HER SYMPTOMS GET WORSE AT HOME AND IF SHE STARTS HAVING ANY KIND OF SHORTNESS OF BREATH INCREASED COUGHING WITH PRODUCING MORE YELLOW OR GREEN MATERIAL AND IF SHE GETS MORE FEVERISH +RES0103-065-4 SO WE'LL ALSO DO A PHYSICAL EXAM AND TAKE HER TEMPERATURE TODAY AS WELL BUT SOME OF THESE THINGS YOU JUST LOOK OUT FOR BUT SO THAT THAT WE'LL DO THE PHYSICAL EXAMINATION AND GO FROM THERE +RES0103-066 ALRIGHT THANK YOU +RES0103-067 HEY YOU'RE WELCOME TAKE CARE +RES0104-000 CAN YOU TELL ME WHAT BRINGS YOU IN HERE TODAY +RES0104-001 SO I'VE HAD THIS THIS COUGH THAT IT STARTED TWO DAYS AGO AND IT'S BEEN GETTING WORSE I'VE BEEN BRINGING UP THIS RUST COLORED SPUTUM +RES0104-002 RUST COLORED SPUTUM OK AND SO +RES0104-003 SO THAT'S BEEN GOING ON FOR A FEW DAYS +RES0104-004 ABOUT TWO DAYS OK +RES0104-005 AND HOW OFTEN ARE YOU COUGHING IT'S IT'S HAPPENING ALL DAY REALLY THROUGHOUT THE DAY AND REALLY ANY TYPE OF EXERTION OR OR MOVEMENT I'M GETTING SHORT +RES0104-006 OF BREATH AND IT'S IT'S TRIGGERING A COUGH OK AND THE SHORTNESS OF BREATH IS IT JUST WITH THE EXERTION OR IT CAN IS IT HAPPENING AT REST HOW ARE YOU FEELING RIGHT NOW +RES0104-007 EVEN RIGHT NOW IT FEELS LIKE I'M NOT ABLE TO GET I DON'T KNOW A FULL BREATH IT JUST FEELS LIKE IT'S MORE DIFFICULT TO TO BREATHE +RES0104-008 OK HAVE YOU FELT ANY KIND OF DIZZINESS OR FAINTING EPISODES +RES0104-009 NO I HAVEN'T +RES0104-010 OK HAVE YOU BEEN FEELING ANY CHEST PAIN AT ALL +RES0104-011 NO I I I HAVEN'T HAD ANY CHEST PAIN +RES0104-012 OK AND SO WITH YOUR COUGHING YOU'RE PRODUCING THE RUST COLORED SPUTUM BUT HOW MUCH WOULD YOU SAY YOU'RE PRODUCING +RES0104-013 I WOULD SAY MAYBE THREE OR FOUR TEASPOONS EVERY EVERY COUPLE HOURS +RES0104-014 OK ARE YOU PRODUCING ANY BLOOD LIKE IN YOUR COUGH OR SPUTUM AT ALL +RES0104-015 NO IT WASN'T REALLY RED IT'S KINDA ORANGE +RES0104-016 ORANGE OK ANY GREENISH OR YELLOW MATERIAL +RES0104-017 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0104-018 OK ANY FEVERS OR CHILLS +RES0104-019 I HAVE HAD I'VE HAD BOTH OF THOSE I'VE HAD A I I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS THIRTY EIGHT POINT TWO AND I WAS PRETTY CHILLY LAST NIGHT +RES0104-020 OK AND BEFORE THESE SYMPTOMS STARTED WERE YOU HAVING ANY SIMILAR SYMPTOMS AT ALL BEFORE +RES0104-021 NO I MEAN A FEW WEEKS AGO PROBABLY LIKE A A COUPLE OF WEEKS AGO I HAD A RUNNY NOSE AND AND SORE THROAT FOR A COUPLE OF DAYS IT WENT AWAY ON ITS OWN THOUGH +RES0104-022 OK ANY ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE THAT YOU'VE TRIED +RES0104-023 I DID TRY SOME OVER THE COUNTER COLD MEDICINE IT I THINK IT MIGHT HAVE HELPED ME SLEEP LAST NIGHT BUT DIDN'T REALLY DO A WHOLE LOT +RES0104-024 OK DOES YOUR SHORTNESS OF BREATH IMPROVE WITH ANY POSITIONS OR DOES IT IMPROVE WHEN YOU'RE NOT EXERTING YOURSELF +RES0104-025 NOT REALLY IT'S KIND OF ALWAYS THERE +RES0104-026 IT'S OK DO YOU HAVE TO WAKE UP AT NIGHT TO TAKE A DEEP BREATH OR DO YOU FEEL ANY KIND OF SHORTNESS OF BREATH WITH LAYING DOWN AT ALL +RES0104-027 NO I HAVEN'T HAD ANY ISSUES LIKE THAT +RES0104-028 OK AND DO YOU NOTICE ANY KIND OF SWELLING IN YOUR FEET ANKLES ARMS LEGS ANYTHING LIKE THAT +RES0104-029 NO I HAVEN'T +RES0104-030 OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S SICK RECENTLY +RES0104-031 I DON'T I I MEAN I SEE MY GRANDDAUGHTER AND I MIGHT HAVE GOT A COLD FROM HER A FEW WEEKS AGO BUT RECENTLY I HAVEN'T SEEN ANYBODY +RES0104-032 OK ARE YOU HAVING ANY NIGHT SWEATS +RES0104-033 NO JUST A CHILLS LAST NIGHT +RES0104-034 OK ARE YOU BREATHING FASTER +RES0104-035 I HAVE FELT LIKE I'VE BEEN BEEN BREATHING A BIT FASTER +RES0104-036 YOU HAVE ANY MUSCLE ACHES OR ANYTHING LIKE THAT +RES0104-037 NO NOT REALLY +RES0104-038 OK AND GIVE ANY OTHER SYMPTOMS LIKE CHEST PAIN RUNNY NOSE SORE THROAT ANYTHING LIKE THAT +RES0104-039 NO JUST BEEN REALLY TIRED THESE LAST COUPLE OF DAYS AND I'VE JUST FELT LIKE SLEEPING ALL DAY HAVEN'T FELT LIKE EATING EITHER MY APPETITE HAS BEEN REALLY POOR +RES0104-040 OK AND OTHER THAN THAT HAVE YOU EXPERIENCED ANY KIND OF HEADACHES NAUSEA OR VOMITING +RES0104-041 NO I HAVEN'T +RES0104-042 OK ANY FEVERS OR YOU SAID YOU HAVE HAD SOME CHILLS RIGHT +RES0104-043 I HAVE +RES0104-044 OK AND THEN A FEVER TOO KIND OF A SENSATION OF YOUR HEART RACING AT ALL +RES0104-045 RIGHT IT DOESN'T FEEL LIKE IT'S WELL IT DOES FEEL LIKE IT'S BEATING A BIT FASTER THAN USUAL +RES0104-046 JUST NOT FEELING TOO WELL SO WE'LL DO A PHYSICAL EXAMINATION AND GET ALL YOUR VITAL SIGNS AS WELL RIGHT AFTER ANY SO YOU SAID YOU HAVEN'T BEEN ABLE TO EAT AVE YOU NOTICED ANY SIGNIFICANT WEIGHT CHANGES RECENTLY +RES0104-047 NO MY WEIGHT'S BEEN ABOUT THE SAME +RES0104-048 OK ANY EXPOSURE TO ANY DUSTS OR ANIMALS FUMES ANYTHING THAT MIGHT HAVE TRIGGERED SOME OF THESE SYMPTOMS +RES0104-049 NO I DON'T THINK SO MY HUSBAND AND I WE MOVED INTO A NEW KIND OF APARTMENT HERE AND IT IT'S BRAND NEW +RES0104-050 OK ANY KIND OF LOSS OF SENSE OF TASTE OR SMELL +RES0104-051 NO THAT'S BEEN NORMAL +RES0104-052 OK ANY EXPOSURE OR ANY TRAVEL OUTSIDE OF THE COUNTRY AT ALL +RES0104-053 NO NOTHING LIKE THAT +RES0104-054 OK SO JUST MAINLY THE COUGHING WITH THE RUSTY MATERIAL AS WELL AS JUST THE SHORTNESS OF BREATH AND DO YOU GET ANY PAIN AT ALL IN YOUR CHEST WHEN YOU BREATHE IN OR OUT +RES0104-055 NO I HAVEN'T HAD ANY HAD ANYTHING LIKE THAT +RES0104-056 OK ANY PAST MEDICAL CONDITIONS THAT I SHOULD KNOW OF +RES0104-057 I I HAD A STROKE LIKE THAT LIKE SIX YEARS AGO AND I HAVE TYPE TWO DIABETES AS WELL AS GERD +RES0104-058 OK AND I'M SORRY YOU HAD YOU HAD A STROKE SIX YEARS AGO OR HOW ARE YOU AFTER THAT WERE THERE ANY KIND OF LIKE DID AFTER REHABILITATION DO YOU HAVE ANY SYMPTOMS STILL GOING ON AT ALL +RES0104-059 MY MY LEFT HAND STILL STILL GIVES ME SOME SOME PROBLEMS I GET BOTULINUM TOXIN INJECTIONS FOR +RES0104-060 FOR THE TIGHTNESS IN MY HAND OK OK AND ARE YOU TAKING ANY OTHER MEDICATIONS AT ALL +RES0104-061 I USE METFORMIN EMPAGLIFLOZIN OR AN SGLT +RES0104-062 TWO INSULIN AND AND ASPIRIN I THINK +RES0104-072 WAS FOR REHAB AFTER MY STROKE OK AND SO BUT AFTER THAT NO OTHER HOSPITALIZATIONS OR SURGERIES +RES0104-073 NO +RES0104-074 OK ANY SURGERIES IN THE PAST +RES0104-075 WELL I DID HAVE A C SECTION FOR MY SON BUT THAT WAS MANY YEARS AGO NOW AND EVERYTHING FOR +RES0104-076 THAT WAS WAS OK OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS ANY CANCERS +RES0104-077 MY DAD HAD HAD A HEART ATTACK ACTUALLY BUT HE WAS IN HIS EIGHTIES WHEN THAT WHEN THAT HAPPENED +RES0104-078 OK AND CURRENTLY RIGHT NOW ARE YOU WORKING AT ALL +RES0104-079 NO I'M RETIRED I USED TO BE A TEACHER FOR GRADE THREE BUT BUT SINCE RETIRED AND MY HUSBAND AND I JUST MOVED INTO A SMALLER APARTMENT TO MAKE IT A BIT EASIER ON US IT WAS A LOT TRYING TO LOOK AFTER THE HOUSE +RES0104-080 OK WELL CONGRATULATIONS ON YOUR NEW HOME ARE YOU AT ALL YOU OR YOUR HUSBAND REQUIRING ANY KIND OF SUPPORTS OUTSIDE OF THE HOME AT ALL +RES0104-081 NO BETWEEN US TWO WE MANAGED TO GET THE SHOPPING DONE THE COOKING AND AND ALL THE CLEANING AND THAT SORT OF THING I USE A WALKER TO GET AROUND WHEN WE'RE GOING LONGER DISTANCES +RES0104-082 OK AND CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL +RES0104-083 YES I I SPOKE ABOUT HALF A PACK PER DAY OR MAYBE EVEN LESS +RES0104-084 OK AND HOW HOW LONG HAVE YOU HAVE SMOKED FOR +RES0104-085 SINCE I WAS FIFTEEN MAYBE +RES0104-086 OK +RES0104-087 SO FOR LIKE FORTY FIVE YEARS +RES0104-088 AND HAVE YOU AT ALL BEEN DIAGNOSED WITH COPD OR ANYTHING LIKE THAT +RES0104-089 NO I WAS TESTED ACTUALLY A COUPLE OF YEARS AGO AND THAT THE RESULTS WERE NORMAL +RES0104-090 OK ALRIGHT AND HAVE YOU THOUGHT OF QUITTING AT ALL I KNOW YOU'VE BEEN SMOKING LIKE FOR A VERY LONG TIME BUT HAVE YOU AT ALL TRIED TO QUIT BEFORE +RES0104-091 LIKE I'VE CONSIDERED IT BUT I I JUST DON'T THINK IT IT'LL BE POSSIBLE AT THIS TIME +RES0104-092 OK WELL IF YOU AT ALL ARE WANTING ANY INFORMATION OR WANT TO TALK ABOUT QUITTING AT ALL WE CAN PROVIDE MORE RESOURCES DO YOU BESIDES SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0104-093 NO +RES0104-094 NO ANY ALCOHOL AT ALL +RES0104-095 NO +RES0104-096-1 OK YEAH SO THOSE ARE SOME OF THE QUESTIONS I HAD A I WILL BE DOING A PHYSICAL EXAMINATION WITH YOUR SHORTNESS OF BREATH I JUST WANT TO GET A GOOD LISTEN TO YOUR LUNGS AND TAKE ALL YOUR VITALS AS WELL HOWEVER SO AFTER THAT SINCE YOU'RE HAVING +RES0104-096-2 SOME SYMPTOMS OF WHAT MIGHT BE A PNEUMONIA IT CAN BE A BACTERIAL INFECTION A VIRAL INFECTION WE WILL HAVE TO GET SOME BLOOD WORK DONE AS WELL AS A CHEST X RAY +RES0104-096-3 AND RIGHT NOW WITH THE PANDEMIC GOING ON WE WILL ALSO DO COVID SWAB TEST FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD +RES0104-097 THAT MAKES SENSE THANK YOU +RES0104-098 ALRIGHT AND IF IF YOU'RE WHILE YOU'RE HERE IF YOUR SHORTNESS OF BREATH GETS ANY WORSE AT ALL JUST LET US KNOW AND WE'LL HELP YOU OUT +RES0104-100 THANK YOU WILL DO +RES0104-101 BYE +RES0105-000 SO WHAT BRINGS YOU IN TODAY +RES0105-001 I'VE HAD I'VE HAD A COUGH FOR A NUMBER OF YEARS NOW BUT STORE THESE PAST LIKE DAY IT'S GOTTEN A LOT QUITE A BIT WORSE AND I'VE BEEN REALLY SHORT OF BREATH +RES0105-002 OK AND SO HOW MANY DAYS WOULD YOU SAY YOU'VE BEEN SHORT OF BREATH +RES0105-003 LESS THAN A DAY MAYBE JUST REALLY KIND OF STARTED LAST NIGHT AND HAS CARRIED OUT THROUGHOUT THIS MORNING I I CALLED THIS MORNING TO GET AN APPOINTMENT +RES0105-004 OK AND IT WAS IT BROUGHT ON BY ANY ACTIVITIES OR WERE YOU DOING ANYTHING AT THAT TIME BEFORE IT STARTED +RES0105-005 NO LAST LAST NIGHT I WAS WELL I WAS JUST DOING MY REGULAR KIND OF ROUTINE AFTER DINNER CLEANING UP AND JUST THE COUGH STARTED FIRST AND OVER OVER THE OVER THE NIGHT IT GOT WORSE I COULD JUST COULDN'T CATCH MY BREATH AND THAT WAS SIMILAR THIS MORNING +RES0105-006 OK SO YOU'VE ALSO HAD A COUGH +RES0105-007 I HAVE I'VE HAD A COUGH FOR A LONG TIME NOW BUT IT'S BEEN WORSE OVER THIS LAST DAY +RES0105-008 IS IT LIKE A WET COUGH OR DRY COUGH +RES0105-009 IT'S WET I I'M BRING UP SPUTUM MOST OF THE TIME BUT IT'S BEEN IT'S USUALLY LIKE WHITE OR CLEAR AND IT'S A LOT MORE LIKE IT'S A LOT MORE GREENISH YELLOW AND +RES0105-010 OK AND ARE YOU HAVING ANY KIND OF FEVERS OR CHILLS ANYTHING LIKE THAT +RES0105-011 I I DID HAVE SOME CHILLS LAST NIGHT SO I'M NOT SURE ABOUT A FEVER THOUGH +RES0105-012 OK AND ARE YOUR SYMPTOMS AT ALL SO YOU DO HAVE A SHORTNESS OF BREATH BUT ANY KIND OF CHEST PAIN AT ALL +RES0105-013 I DO HAVE SOME CHEST PRESSURE FOR SURE I JUST FEELS LIKE I CAN'T CAN'T CATCH MY BREATH +RES0105-014 OK SO IS IT MOSTLY RELATED TO YOUR BREATHING OR DO YOU HAVE IT AT REST OR DO YOU HAVE IT WITH ANY EXERTION +RES0105-015 I THINK IT IT'S THERE KIND OF MOST OF THE TIME LIKE THE CHEST PRESSURE I KIND OF FEEL IT THROUGHOUT MY CHEST WHEN WHEN I'M BREATHING BUT BUT ALSO JUST KIND OF SITTING HERE I CAN KIND OF FEEL IT +RES0105-016 OK I SEE AND ARE ALL OF YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO +RES0105-017 THEY'VE BEEN CONSTANT AND THEY'VE GOT BEEN GETTING WORSE SINCE SINCE LAST NIGHT +RES0105-018 OK AND HAVE YOU HAD THIS HAPPEN TO YOU BEFORE +RES0105-019 IT HAS I ACTUALLY LAST LAST WINTER I WAS HOSPITALIZED FOR A COPD EXACERBATION FOR FOR A FEW DAYS I I KNOW I GOT SOME ANTIBIOTICS AND I NEEDED SOME OXYGEN +RES0105-020 I SEE AND DID YOU GO HOME ON HOME OXYGEN AT ALL LIKE DO YOU USE OXYGEN AT HOME +RES0105-021 NO I WAS TOLD I DIDN'T NEED ANY ANY YET BUT IF I DIDN'T QUIT SMOKING I MIGHT IN THE FUTURE +RES0105-022 OK AND ARE YOU USING ANY KIND OF PUFFERS AT ALL +RES0105-023 I I DO I I USE I THINK IT'S CALLED LIKE SPIRIVA OR SOMETHING LIKE THAT I USE THAT EVERY DAY AND THERE'S ANOTHER ONE THAT I'LL USE LIKE IF MY SYMPTOMS ARE GETTING BAD MY BLUE ONE I DID TRY THAT ACTUALLY LAST NIGHT AND IT DIDN'T IT HELPED A LITTLE BIT BUT NOT NOT ENOUGH +RES0105-024 OK SO HAVE YOU JUST TRIED LIKE TRIED IT ONE TIME LAST NIGHT HAVE YOU TRIED IT AFTER THAT +RES0105-025 WE JUST TRIED IT LAST LAST NIGHT +RES0105-026 OK SO NOTHING TODAY RIGHT +RES0105-027 NO NOTHING TODAY +RES0105-028 OK OTHER THAN THAT SO YOU DID HAVE AN ADMISSION BEFORE FOR THIS AND YOU HAVE COPD DO YOU HAVE ANY OTHER SYMPTOMS RIGHT NOW LIKE RUNNY NOSE SORE THROAT ANY COLD LIKE SYMPTOMS +RES0105-029 NO NO I I +RES0105-030 I DON'T DID YOU HAVE IT BEFORE THESE SYMPTOMS STARTED +RES0105-031 NO I'VE BEEN FEELING I'VE BEEN FEELING OK +RES0105-032 OK AND HAVE YOU TRAVELED AT ALL RECENTLY +RES0105-033 WELL I DID I JUST GO UP TO THE TRAILER NOT TOO LONG AGO TO VISIT SOME FAMILY BUT THAT'S JUST AN HOUR AWAY +RES0105-034 OK ANYONE SICK AROUND YOU RECENTLY +RES0105-035 NO I DON'T I DON'T THINK SO +RES0105-036 AND IS THERE ARE YOU HAVING ANY HEADACHE OR NAUSEA OR VOMITING +RES0105-037 NO I HAVEN'T HAD ANYTHING LIKE THAT +RES0105-038 OK AND BESIDES THE TIME YOU GOT HOSPITALIZED HAVE YOU HAD ANY EXACERBATIONS AFTER THAT +RES0105-039 NO I JUST HAD THAT HAD THAT HAPPEN THE ONE TIME LAST YEAR +RES0105-040 OK AND DO YOU FEEL THAT YOUR SYMPTOMS ARE SIMILAR WORSE OR HOW DO THEY COMPARE TO LAST TIME IF YOU REMEMBER +RES0105-041 PRETTY SIMILAR I THINK LAST TIME I WAS WORSE BUT I WAITED LONGER LAST TIME AND SO THAT'S WHY I WAS CONCERNED AND AND WANTED TO COME IN EARLY +RES0105-042 OK OK ALRIGHT SO HAVE YOU HAD ANY FEVERS AT ALL OR CHILLS +RES0105-043 I'VE I'VE HAD SOME CHILLS LAST NIGHT LIKE I JUST COULDN'T GET WARM I WAS LOADING UP ON BLANKETS AND IT DIDN'T SEEM TO HELP +RES0105-044 OK SO WE'LL GET A TEMPERATURE ON YOU TODAY AS WELL DO YOU FEEL THAT YOU'RE BREATHING FASTER AT ALL +RES0105-045 NOT NECESSARILY IT JUST IT JUST HARDER TO TO FEEL LIKE I CAN'T CATCH MY BREATH +RES0105-046 OK DO YOU FEEL FATIGUED AT ALL +RES0105-047 I I HAVE A I MEAN I HAVE BEEN FEELING JUST TIRED THIS MORNING BUT I THINK THAT'S MORE TO DO WITH THE FACT THAT I JUST CAN'T REALLY DO A WHOLE LOT OF EXERTION BECAUSE AS SOON AS I MOVE AROUND I'M I CAN'T BREATHE +RES0105-048 I SEE OK AND ARE YOU HAVING ANY KIND OF DIARRHEA CONSTIPATION OR ANY URINARY TROUBLES AT ALL +RES0105-049 NO I'M NOT +RES0105-050 OK ANY CHANGES IN YOUR SLEEP OR APPETITE +RES0105-051 THAT'S BEEN THAT'S BEEN NORMAL BEEN EATING WELL +RES0105-052 OK ANY KIND OF CONFUSION OR ANY DO YOU FEEL LIKE YOURSELF +RES0105-053 I DO +RES0105-054 OK ANY CONFUSION AT ALL THAT ANYONE'S NOTICED +RES0105-055 NO I DON'T THINK SO I FEEL LIKE THAT'S BEEN OK +RES0105-056 ANY WHEEZING +RES0105-057 I I HAVE NOTICED SOME WHEEZING IT'S USUALLY I USUALLY WELL I'VE BEEN TOLD I HAVE A WHEEZE BUT I CAN ACTUALLY HEAR IT RIGHT NOW +RES0105-058 OK WE'LL DO LIKE A FULL PHYSICAL EXAMINATION AS WELL AND WE'LL GET LIKE YOUR OXYGENATION LEVEL AND EVERYTHING LIKE THAT DO YOU HAVE ANY BESIDES COPD SO WHEN WERE YOU DIAGNOSED WITH YOU PLEASE +RES0105-059 ABOUT TEN YEARS AGO +RES0105-060 OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS +RES0105-061 I DO I HAVE A HIGH BLOOD PRESSURE TYPE TWO DIABETES AND LIKE AND THERE'S SOMETHING WRONG WITH MY WITH MY KIDNEYS AS WELL I THINK MY EGFR IS LOW OR SOMETHING LIKE THAT +RES0105-062 OH I SEE OK AND DO YOU TAKE ANY MEDICATIONS BESIDES YOUR PUFFERS +RES0105-063 I I DO I I TAKE ON AN ACE INHIBITOR METFORMIN SGLTTWO INHIBITOR AND I'M ALSO TAKING A A WATER PILL AS WELL CAUSE I OVER THESE LAST COUPLE OF YEARS I'VE HAD SOME MORE SWELLING IN MY IN MY FEET +RES0105-064 OK I SEE DO YOU HAVE ANY SWELLING INCREASED SWELLING RIGHT NOW +RES0105-065 NO I THAT'S BEEN ABOUT THIS BEEN PRETTY CONSTANT +RES0105-066 OK AND DO YOU FEEL RECENTLY AT ALL THAT YOU'RE SHORT OF BREATH WHEN LYING DOWN OR DO YOU HAVE TO WAKE UP TO TAKE A DEEP BREATH ANYTHING LIKE THAT +RES0105-067 NO I HAVEN'T ONLY BROUGHT ISSUES LIKE THAT +RES0105-068 OK ANY ANY KIND OF DIZZINESS OR FAINTING EPISODES +RES0105-069 NO I HAVEN'T HAD ANYTHING LIKE THAT +RES0105-070 OK ANY INCREASED SWEATING ASSOCIATED WITH YOUR CHEST TIGHT OR PRESSURE OR ANYTHING LIKE THAT +RES0105-071 NO NO I HAVEN'T BEEN SWEATY +RES0105-072 OK AND OTHER THAN THAT ANY PREVIOUS SURGERIES IN THE PAST +RES0105-073 I I HAD A UTERINE PROLAPSE SO I HAD SURGERY FOR THAT I HAVE FIVE KIDS +RES0105-074 OK ANY ANY COMPLICATIONS AFTER THAT SURGERY AT ALL +RES0105-075 NO IT HELPED IT ACTUALLY FIXED THE LEAKING AT THE TIME I WAS HAVING SO WAS HAPPY WITH THAT +RES0105-076 THAT'S GOOD CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR ARE YOU RETIRED +RES0105-077 I AM RETIRED +RES0105-078 OK AND WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW +RES0105-079 YES WE LIVE IN A HOUSE JUST OUTSIDE OF THE CITY WITH MY WITH MY HUSBAND +RES0105-080 OK ANY EXPOSURES TO ANY DUST FUMES ASBESTOS OR ANYTHING LIKE THAT IN YOUR HOME +RES0105-081 NO I DON'T BELIEVE SO +RES0105-082 OK AND DO YOU CURRENTLY SMOKE +RES0105-083 I DO CURRENTLY MAYBE HALF A PACK TO A PACK PER DAY +RES0105-084 OK AND HOW LONG HAVE YOU SMOKED FOR +RES0105-085 OH I STARTED IN MY TEENS SO MOST OF MY LIFE I'VE I'VE SMOKED I GREW UP AROUND IT IT'S JUST WHAT MY PARENTS DID AND EVERYBODY SMOKED +RES0105-086 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0105-087 NO I DON'T +RES0105-088 OK AND DO YOU DRINK ALCOHOL AT ALL +RES0105-089 VERY RARELY DON'T REALLY DRINK IT ANYMORE +RES0105-090 OK ALRIGHT SO THOSE ARE SOME OF THE QUESTIONS I HAD FOR YOU TODAY WE'LL DO A FULL PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION DONE RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL +RES0105-091 NO THAT THAT MAKES SENSE THANK YOU +RES0105-092-1 YOU'RE WELCOME AND SO WE'LL WE'LL ALSO DO SOME LAB WORK AS WELL WE'LL GET SOME BLOOD WORK DONE WANT TO MAKE SURE WE DON'T MISS ANY KIND OF INFECTION YOU'RE IN LIKE YOUR YOU CAN BE HAVING ANOTHER COPD EXACERBATION +RES0105-092-2 BUT WE ALSO WANT TO MAKE SURE YOU DON'T HAVE LIKE PNEUMONIA OR ANYTHING LIKE THAT SO WE MIGHT HAVE TO DO A CHEST X RAY AS WELL BUT FOR NOW I WOULD SAY JUST SIT TIGHT WE'LL GET ALL YOUR VITALS DONE AND THEN GO ON FROM THERE DOES THAT SOUND GOOD +RES0105-093 THAT SOUNDS GOOD THANK YOU +RES0105-094 ALRIGHT AND IF YOU FEEL AT ALL YOU'RE VERY SHORT OF BREATH AND WE CAN GIVE YOU SOME VENTIL IN HERE AS WELL AND THEN IF YOU NEED LIKE WE CAN GIVE YOU LIKE SYSTEMIC CORE STEROIDS AS WELL TO HELP SOME OF YOUR SYMPTOMS BUT LET'S LET'S DO SOME OF THAT PHYSICAL EXAMINATIONS FIRST +RES0105-095 OK THAT SOUNDS GOOD THANK YOU +RES0105-096 WELCOME TAKE CARE +RES0105-097 BYE +RES0106-000 WHAT BRINGS YOU IN +RES0106-001 I'VE HAD I'VE HAD THIS COUGH FOR THE PAST TWO WEEKS I WAS JUST WORRIED ABOUT IT +RES0106-002 OK PAST TWO WEEKS HAVE IS IT A DRY COUGH OR IS IT ARE YOU BRINGING UP PHLEGM +RES0106-003 I'M IT'S MOSTLY DRY BUT JUST SOMETIMES THERE'S LIKE A LITTLE BIT I GUESS THE FLAT LITTLE BIT OF PHLEGM +RES0106-004 OK WHAT COLOUR IS THE PHLEGM +RES0106-005 IT'S LIKE WHITISH SOMETIMES IT'S CLEAR +RES0106-006 OK IS IT EVER GREEN OR BLOODY +RES0106-007 NO +RES0106-008 NO OK DO YOU HAVE ANY SHORTNESS OF BREATH +RES0106-009 NO +RES0106-010 ANY WHEEZING +RES0106-011 SOMETIMES +RES0106-012 SOMETIMES OK WITH THE COUGH OR OUTSIDE THE COUGH AS WELL +RES0106-013 WITH THE COUGH +RES0106-014 ANY CHEST PAIN +RES0106-015 NO NOT INITIALLY BUT LIKE SINCE THE PAST FEW DAYS ESPECIALLY AFTER I'VE LIKE COUGHED A LOT IT JUST KIND OF HURTS ME A LITTLE BIT +RES0106-016 OK OK ANY DO YOU EVER FEEL SO IT JUST HURTS AFTER COUGHING +RES0106-017 SO IS IT KIND OF LIKE A SHARP PAIN OR LIKE A DULL ACHY PAIN +RES0106-018 I DON'T KNOW IT JUST FEELS LIKE LIKE MY MUSCLES ARE HURTING LIKE I'M JUST LIKE COUGHING SO MUCH IT'S JUST +RES0106-019 OK +RES0106-020 DULL PAIN OK IN THE MIDDLE OF MY CHEST THEN IT GOES AWAY +RES0106-021 OK OK AND DO YOU EVER FEEL LIKE YOUR HEART'S RACING +RES0106-022 NO NO +RES0106-023 OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LEGS ARMS OR ABDOMEN +RES0106-024 NO +RES0106-025 ANY DIZZINESS OR FAINTING SPELLS +RES0106-026 NO +RES0106-027 NO OK ANY HEADACHES +RES0106-028 NO +RES0106-029 CONFUSION OR MEMORY LOSS +RES0106-030 NO +RES0106-031 HAVE YOU NOTICED ANY FEVERS +RES0106-032 NO +RES0106-033 ANY WEIGHT LOSS +RES0106-034 NO +RES0106-035 NO EXCESSIVE FATIGUE OR TIREDNESS +RES0106-036 NO NOT REALLY I'VE HAVEN'T BEEN FATIGUED I THINK I'M I'M FINE AND FEEL NORMAL OTHER THAN THE COUGH OF COURSE +RES0106-037 OK SURE ANY RASHES +RES0106-038 NO +RES0106-039 HOW ABOUT CHANGES IN YOUR VISION OR HEARING +RES0106-040 NO NO CONCERNS THERE +RES0106-041 HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE +RES0106-042 NO +RES0106-043 NO A SORE THROAT +RES0106-044 NO +RES0106-045 OK CHANGES TO YOUR SMELL OR TASTE +RES0106-046 NO +RES0106-047 NO HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL +RES0106-048 HOW ABOUT URINE +RES0106-049 THEY'VE BEEN NO CONCERNS +RES0106-050 ANY NAUSEA OR VOMITING +RES0106-051 NO +RES0106-052 NO OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +RES0106-053 I KIND OF HAD THIS ABOUT I DON'T KNOW THREE OR FOUR YEARS AGO I JUST HAD THIS COUGH BUT THEN IT KIND OF WENT AWAY ON ITS OWN IN ABOUT A WEEK BUT NOW IT'S BEEN LIKE TWO WEEKS SO I DON'T KNOW WHAT'S HAPPENING IF IT'S SOMETHING I JUST WANT TO MAKE SURE IT'S NOTHING SERIOUS +RES0106-054 FOR SURE WHEN YOU HAD THIS IN THE PAST WERE YOU EVER DONE GIVEN A DIAGNOSIS +RES0106-055 NO I DIDN'T GO TO SEE A DOCTOR I JUST KIND OF STAY AT HOME +RES0106-056 OK +RES0106-057 I THOUGHT IT WAS JUST LIKE A MILD INFECTION OR SOMETHING +RES0106-058 HAVE YOU TRIED ANYTHING FOR THE COUGH THIS TIME AROUND +RES0106-059 I HAD SOME LIKE LOZENGES AND I HAVEN'T AND THOSE HAVE BEEN HELPING ME +RES0106-060 OK GOOD +RES0106-061 IF YOU WERE TO DESCRIBE YOUR COUGH IS IT BARKY HARSH MUFFLED LIKE WHAT WHAT WOULD YOU SAY THE SOUND OF IT IS +RES0106-062 I DON'T KNOW IT'S KIND OF LIKE LIKE A NORMAL COUGH YOU KNOW LIKE WHEN YOU'RE CLEARING YOUR THROAT OR SOMETHING OR WHEN YOU'RE LIKE WHEN SOMETHING GETS STUCK IN YOUR THROAT JUST LIKE LIKE A NORMAL COUGH I DON'T THINK IT'S BARKY +RES0106-063 OK OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0106-064 NO I DON'T I DON'T +RES0106-065 NO OK HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0106-066 I HAVE MY WISDOM TEETH REMOVED +RES0106-067 OK WHEN WAS THAT +RES0106-068 ABOUT EIGHT NINE YEARS AGO WHEN I WAS SEVENTEEN YEARS OF SIXTEEN YEARS OLD SEVENTEEN YEARS OLD +RES0106-069 OK OK AND ARE YOU ON ANY MEDICATIONS +RES0106-070 I'M JUST TAKING THIS BIRTH CONTROL PILL +RES0106-071 OK WHICH ONE +RES0106-072 IT'S CALLED I FORGET THE NAME +RES0106-073 NO WORRIES AND WHEN DID YOU START IT +RES0106-074 I STARTED THREE YEARS AGO +RES0106-075 THREE YEARS AGO OK AND NO SIDE EFFECTS NO ISSUES WITH IT +RES0106-076 NO NO IT'S ALL GOOD +RES0106-077 AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0106-078 I THINK SO +RES0106-079 OK DID YOU GET THE FLU SHOT THIS YEAR +RES0106-080 NO I DIDN'T +RES0106-081 NO OK WE RECOMMEND GETTING IT OUT ONCE A YEAR JUST FOR YOUR SAFETY AND FOR EVERYONE ELSE'S AND EVEN IF YOU GET THE FLU MAYBE YOUR SYMPTOMS WON'T BE AS SEVERE AND THEN DO YOU HAVE ANY ALLERGIES +RES0106-082 I DON'T NO +RES0106-083 NO OK ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +RES0106-084 MY MOM HAS DIABETES +RES0106-085 OK +RES0106-086 AND MY DAD HAS HIGH BLOOD PRESSURE +RES0106-087 OK AND THEN ANY CANCERS IN THE FAMILY +RES0106-088 NO +RES0106-089 NO OK AND HAVE YOU BEEN IN CONTACT WITH ANY ANY SICK PEOPLE RECENTLY +RES0106-090 NO I'VE JUST BEEN STAYING AT HOME +RES0106-091 OK ANY TRAVEL RECENTLY +RES0106-092 NO +RES0106-093 NO OK HOW ABOUT SMOKING DO YOU SMOKE +RES0106-094 ONCE IN AWHILE +RES0106-095 OK WHAT'S ONCE IN AWHILE +RES0106-096 MAYBE WHEN I'M OUT WITH MY FRIENDS I MIGHT SOMETIMES HAVE A CIGARETTE OR TWO I USED TO SMOKE A LOT MORE BUT I'M TRYING TO CUT IT DOWN +RES0106-097 OK HOW LONG HAVE YOU BEEN SMOKING FOR +RES0106-098 I STARTED SMOKING IN HIGH SCHOOL SO WHEN I WAS EIGHTEEN YEARS OLD +RES0106-099 AND AT THAT TIME I WOULD HAVE ABOUT SIX CIGARETTES A DAY BUT THEN I LIKE I I KNEW THAT SMOKING WASN'T GOOD FOR ME SO I'M TRYING TO CUT IT DOWN BUT MY FRIENDS STILL SMOKE SO SOMETIMES WHEN I GO OUT WITH THEM I'LL JUST HAVE A CIGARETTE OR TWO MAYBE LIKE ONCE A MONTH I WOULD SAY +RES0106-100 ONCE A MONTH OK OK AND THEN ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA OR COCAINE OR ANYTHING LIKE THAT +RES0106-101 I TRIED A FEW IN HIGH SCHOOL BUT NOT SINCE THEN I HAD I HAD COCAINE ONCE +RES0106-102 OK AND DO YOU DRINK ALCOHOL +RES0106-103 I HAVE A GLASS AT NIGHT +RES0106-106 AND AND WHERE DO YOU LIVE RIGHT NOW +RES0106-107 I LIVE I LIVE IN AN APARTMENT WITH MY BOYFRIEND ABOUT TWENTY MINUTES FROM HERE +RES0106-108 OK ANY OLD CARPETS AT HOME DUST MOLD ASBESTOS ANYTHING THAT WOULD BE TRIGGERING YOUR COUGH +RES0106-109 I DON'T KNOW I HAVE NOT REALLY HAD A PROBLEM BUT BEEN HERE AT THIS PLACE FOR ABOUT A YEAR AND A HALF +RES0106-111 IT IS AN OLD BUILDING BUT IT'S BEEN OK SO FAR NO RECENT CHANGES +RES0106-112 OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +RES0106-113 NO I WAS JUST WORRIED THIS COUGH ISN'T ISN'T SERIOUS RIGHT YOU DON'T THINK I HAVE COVID +RES0106-114-1 SO BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID WE'RE GOING TO GET A SWAB ON YOU DONE AND YOU SHOULD GET THOSE RESULTS IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS AND IF IT'S POSITIVE PUBLIC HEALTH WILL BE IN TOUCH +RES0106-114-2 TO DO SOME CONTACT TRACING IN THE MEANTIME BECAUSE YOU HAVE A COUGH IT IS RECOMMENDED THAT YOU ISOLATE FOR FOURTEEN DAYS AND IF IT'S NOT COVID BUT IT'S PROBABLY SOMETHING LIKE +RES0106-114-3 ACUTE BRONCHITIS OR SOME OTHER VIRAL INFECTION THAT'S GOING AROUND AT THIS TIME OF YEAR SO FOR THAT WE CAN YOU CAN JUST +RES0106-114-4 TREAT IT WITH LIKE SUPPORTIVE TREATMENTS YOU KNOW LIKE STAYING HYDRATED GOOD NUTRITION GOOD SLEEP +RES0106-114-5 AND JUST KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR REALLY SEVERE LIKE YOU'RE HAVING NEUROLOGICAL SYMPTOMS AND JUST SEEK HELP FROM THE ER +RES0106-115 FOR SURE THANK YOU +RES0106-116 TAKE CARE +RES0107-000 WHAT BRINGS YOU IN HI I'M +RES0107-001 HERE WITH MY SON AND HE'S JUST BEEN FEELING AWFUL HE JUST HAS THIS RUNNY NOSE AND HE'S BEEN SNEEZING ALL THE TIME AND I DON'T KNOW MAYBE HE HAS ALLERGIES OR SOMETHING I JUST CAME IN CAUSE I WANTED TO GET HIM CHECKED OUT AND MAYBE GET SOME MEDICATIONS HE'S JUST FEELING HORRIBLE +RES0107-002 FOR SURE WHEN DID WHEN DID THE SNEEZING AND RUNNY NOSE START +RES0107-003 HE HE'S HAD IT FOR HE'S JUST ALWAYS KIND OF YOU KNOW HE'S ALWAYS HAVING THAT RUNNY NOSE YOU KNOW KIDS ALWAYS DO BUT IT'S JUST BEEN PRETTY BAD OVER THE PAST TWO WEEKS +RES0107-004 PAST TWO WEEKS OK WHAT STARTED FIRST THE SNEEZING OR RUNNY NOSE +RES0107-005 THE RUNNY NOSE KIND OF JUST GOT WORSE A LITTLE BIT OVER THE PAST TWO WEEKS AND THEN THE SNEEZING KIND OF STARTED AT ABOUT THE SAME TIME +RES0107-006 OK AND AND THE RUNNY NOSE IS HE HAVING LIKE WHAT COLOUR IS IT +RES0107-007 IT'S JUST CLEAR LIKE +RES0107-008 CLEAR OK DOES HE EVER FEEL LIKE HE'S DO YOU EVER FEEL LIKE HE'S STUFFY +RES0107-009 KIND OF HE'S JUST BEEN SNORTING AND SNIFFING AND I DON'T THINK HE KNOWS HOW TO BLOW HIS NOSE YET BUT HE'S LIKE CLEARING HIS THROAT SO I THINK HE'S HE'S A LITTLE BIT STUFFY +RES0107-011 BUT HE HASN'T COMPLAINED ABOUT DIFFICULTY WITH BREATHING OR LIKE HE'S BEEN LIKE HE SLEEPS WITH HIS MOUTH CLOSED SO I THINK HE HE SHOULD BE ABLE TO BREATHE OK +RES0107-012 OK GOOD SO YOU SAID NO SHORTNESS OF BREATH OR TROUBLE BREATHING HAS HE HAD ANY COUGHS +RES0107-013 KIND OF IN THE MORNING SO I I SEE THAT WHENEVER HE WAKES UP IN THE MORNING HE JUST HAS TO LIKE CLEAR HIS THROAT A LOT AND LIKE COUGH AND THEN GETS BETTER +RES0107-014 OK OK IS HE BRINGING UP PHLEGM WHEN HE COUGHS +RES0107-015 A LITTLE BIT +RES0107-016 WHAT COLOUR IS IT +RES0107-017 IT'S THE SAME STUFF THAT COMES OUT OF HIS NOSE +RES0107-018 OK SO NO BLOOD OR PUS +RES0107-019 NO NO +RES0107-020 NO OK HAVE YOU DO YOU THINK HE'S LOST HIS LIKE SENSE OF SMELL OR TASTE +RES0107-021 NO +RES0107-022 NO OK ANY CHANGES IN HIS VISION OR HEARING +RES0107-023 I DON'T THINK SO +RES0107-024 NO DID LIKE HAVE YOU NOTICED ANY DISCHARGE FROM HIS EYES +RES0107-025 NO NO SOMETIMES HE DOES HAVE THAT BUT NO NOT IN THE PAST TWO WEEKS +RES0107-026 OK SO HIS LIKE EYELIDS AREN'T SWOLLEN OR HIS EYES AREN'T RED +RES0107-027 NO NO NO +RES0107-028 NO OK AND DOES HE HAVE YOU NOTICED ANY SWELLING IN HIS EITHER LIKE FACE NECK LIKE BELLY AREA OR HIS LIMBS +RES0107-029 NO NO I HAVEN'T IT'S JUST HIS NOSE IS LIKE A LITTLE BIT RED +RES0107-030 OK +RES0107-031 AND HE'S JUST HE'S JUST ITCHING ALL THE TIME JUST ITCHING HIS NOSE ITCHING HIS EARS BUT NO NO SWELLING +RES0107-032 NO SWELLING HAVE YOU NOTICED ANY RASHES ON HIM +RES0107-033 NO I CHECKED YESTERDAY NIGHT VERY CAREFULLY +RES0107-034 OK GOOD ANY WEIGHT LOSS +RES0107-035 NO HE'S BEEN GAINING WEIGHT SO GOOD THAT HE'S BEEN EATING WELL +RES0107-036 THAT'S GOOD ANY FEVERS OR CHILLS +RES0107-037 NO +RES0107-038 NO DOES HE LOOK LIKE HE'S LIKE EXCESSIVELY TIRED +RES0107-039 HE'S A LITTLE BIT FATIGUED BECAUSE OF THE SNEEZING AND THE AND THE RUNNY NOSE YOU KNOW HE'S NOT GOING OUT TO PLAY AS MUCH +RES0107-040 BUT IT'S NOT YOU KNOW HE'S STILL HE'S STILL CHEERFUL HE'S NOT IRRITABLE OR ANYTHING +RES0107-041 OK OK AND THEN HAVE YOU NOTICED THAT HE'S LIKE TAKING IN LIKE RAPID BREATHS +RES0107-042 NO NO HIS BREATHING HAS BEEN GOOD +RES0107-043 OK HOW ABOUT HIS BOWEL MOVEMENTS HAVE THOSE BEEN NORMAL +RES0107-044 OK ANY NAUSEA OR VOMITING +RES0107-045 NO +RES0107-046 HOW ABOUT HIS URINE +RES0107-047 NO NO PROBLEMS THERE +RES0107-048 OK HOW ABOUT LIKE DIZZINESS OR FAINTING SPELLS +RES0107-049 NO NO NO I DIDN'T NOTICE ANYTHING LIKE THAT +RES0107-050 NO ANY CONFUSION THAT YOU NOTICED +RES0107-052 HEADACHES +RES0107-053 NO +RES0107-054 NO OK HAS HE BEEN LIKE EXCESSIVELY ITCHING ANYWHERE +RES0107-055 JUST HIS JUST HIS NOSE AND I THINK HIS LIKE I THINK HIS MOUTH IS ITCHY TOO CAUSE HE KEEPS DOING THIS THING WITH HIS TONGUE JUST KIND OF I DON'T KNOW JUST KIND OF LIKE +RES0107-056 ITCHING THE TOP OF HIS MOUTH WITH HIS TONGUE OR SOMETHING +RES0107-057 OK +RES0107-058 JUST LIKE HIS FACE IS ITCHY +RES0107-059 OK HAS HE COME INTO ANY CONTACT WITH SICK PEOPLE RECENTLY +RES0107-060 I DON'T MAYBE SO TWO WEEKS AGO HE WAS PLAYING OUTSIDE AND I KNOW THAT HE HE DOES HIS SYMPTOMS DO GET WORSE WHEN HE'S OUTSIDE SO I DON'T KNOW MAYBE +RES0107-062 HE WAS PLAYING WITH WITH HIS BROTHER BUT THEN THIS OTHER KID FROM THE NEIGHBOURHOOD ALSO CAME AROUND +RES0107-063 OK OK HOW ABOUT TRAVEL TO ANYWHERE +RES0107-064 NO WE'VE JUST BEEN STAYING AT HOME +RES0107-065 OK GOOD IS HE AN OTHERWISE HEALTHY KID AT THE MOMENT +RES0107-066 HE'S AN HE'S A HEALTHY KID +RES0107-067 OK ANY COMPLICATIONS WHEN YOU WERE PREGNANT WITH HIM +RES0107-068 NO +RES0107-069 NO HOW ABOUT AT BIRTH +RES0107-070 NO NO COMPLICATIONS +RES0107-071 OK DID HE NEED TO BE HOSPITALIZED AFTER BIRTH FOR ANY REASON +RES0107-072 NO +RES0107-073 ANY SURGERIES +RES0107-074 NO +RES0107-075 ANY ALLERGIES +RES0107-076 I DON'T THINK SO I KNOW HE'S NOT +RES0107-077 NO HE'S NEVER BEEN DIAGNOSED WITH LIKE ECZEMA OR ASTHMA +RES0107-078 OH HE'S HE'S HAD ECZEMA HE HAD IT +RES0107-079 OK +RES0107-080 COMES AND GOES +RES0107-081 HIS ECZEMA COMES AND GOES +RES0107-082 OK IS HE ON ANY MEDICATIONS +RES0107-083 NO +RES0107-084 NO EVEN FOR HIS ECZEMA +RES0107-085 IT'S PRETTY MILD +RES0107-086 OK HAS HAVE YOU EVER LIKE GIVEN HIM REACTINE OR LIKE ANY OF THE THOSE ANTI ALLERGY MEDICATIONS IN THE PAST +RES0107-087 I'VE TRIED THE THE ONES OVER THE COUNTER THEY DO HELP I TRIED IT THIS TIME BUT IT DIDN'T DO MUCH +RES0107-088 OK OK AND I WAS GONNA ASK YOU SOMETHING ELSE HIS SYMPTOMS LIKE THE SNEEZING AND THE AND THE RUNNY NOSE LIKE HAS HE EXPERIENCED THIS BEFORE +RES0107-090 OK +RES0107-091 IT USUALLY GETS WORSE I GUESS LIKE AROUND THIS TIME I CAN TELL WHEN SPRING IS COMING UP IT GETS PRETTY BAD BUT HE ALWAYS HAS A RUNNY NOSE AND HE SNEEZES SOMETIMES HERE AND THERE +RES0107-092 OK AND YOU MENTIONED THIS HAS BEEN GOING ON FOR MORE THAN FOUR DAYS THIS TIME AROUND +RES0107-093 IT'S BEEN IT'S BEEN GOING ON FOR THE PAST TWO WEEKS +RES0107-094 OK OK AND IS IT LIKE IMPAIRING HIS LIKE DAILY ACTIVITIES OR LIKE HIS ABILITY TO LIKE SLEEP +RES0107-095 IT DOES AFFECT HIS SLEEP SOMETIMES HE DOESN'T LIKE JUST THE ITCHING REALLY BOTHERS HIM +RES0107-096 SO HE CAN'T HE FINDS IT HARD TO FALL ASLEEP THAT'S LIKE I USUALLY THAT'S WHEN I GIVE HIM THE THE MEDICATIONS TO HELP HIM FALL ASLEEP +RES0107-097 OK OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0107-098 OK ANY FAMILY HISTORY OF ASTHMA ECZEMA OR SOMETHING CALLED ALLERGIC RHINITIS +RES0107-099 I HAVE ASTHMA +RES0107-100 OK AND AND IS YOUR ASTHMA SEVERE +RES0107-101 NO IT'S IT'S PRETTY WELL CONTROLLED I USED TO ACTUALLY I USED TO HAVE ASTHMA AS A CHILD +RES0107-102 OK I SEE +RES0107-103 IT'S PRETTY WELL CONTROLLED RIGHT NOW I DON'T EVEN NEED MEDICATIONS +RES0107-104 OK OK +RES0107-105 I REMEMBER I USED TO I USED TO GET ALLERGIES AS WELL AS A CHILD +RES0107-106 OH I SEE +RES0107-107 BUT VERY SIMILAR LOTS OF SNEEZING AND +RES0107-108 ALRIGHT WERE YOU EVER DID YOU EVER TAKE LIKE AN ALLERGY TEST +RES0107-109 NO I DIDN'T THINK ABOUT IT I JUST NEVER LIKE MY MY MY PARENTS DIDN'T TAKE ME TO GET THAT TESTING DONE +RES0107-110 OK HOW ABOUT YOUR SON HAS HE BEEN ALLERGY TESTED +RES0107-111 NO BUT I FEEL LIKE HE PROBABLY SHOULD +RES0107-112 OK AND THEN DOES ANYONE AT HOME SMOKE +RES0107-113 NO +RES0107-114 NO OK DO YOU HAVE ANY LIKE OLD CARPETS DUST MOLD OR ASBESTOS AT YOUR PLACE +RES0107-115 WE'VE GOT ALL OF WE GOT OUR CARPETS REMOVED TWO YEARS AGO THAT'S ACTUALLY HELPED WITH HIS SYMPTOMS AND I KNOW WE TRIED IT WE REMOVED THE CURTAINS AS WELL AND WE'VE USED BLINDS SO +RES0107-116 OK +RES0107-117 AND I DON'T THINK SO I DON'T THINK THERE'S ANY SPORES OR THINGS LIKE THAT +RES0107-118 OK GOOD IS HE AN OTHERWISE HEALTHY CHILD LIKE DEVELOPMENTAL WISE LIKE HE'S GROWING GAINING WEIGHT OK LIKE HE'S HIS MOTOR SKILLS AND LIKE SOCIAL BEHAVIOURS ARE ALL UP TO PAR WITH HIS PEERS +RES0107-119 OH HE'S DOING GREAT +RES0107-120 OK OK GOOD THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +RES0107-121 NO +RES0107-122-1 NO OK SO FOR HIM IT SOUNDS MORE IN KEEPING WITH SOMETHING CALLED ALLERGIC RHINITIS THAN AN INFECTION BUT BECAUSE HIS SYMPTOMS DO OVERLAP WITH THAT OF COVID WE'LL PROBABLY +RES0107-122-2 GET HIM A SWAB ANYWAYS AND THOSE RESULTS SHOULD COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS IN THE MEANTIME RHINITIS IS ALLERGIC RHINITIS IS CAUSED BY +RES0107-122-3 ALLERGIES TO CERTAIN THINGS SO WE CAN GET HIM ALLERGY TESTED AND THAT WILL GIVE US A BETTER UNDERSTANDING OF LIKE WHAT +RES0107-122-4 HIS TRIGGERS ARE AND THE WAY TO TREAT THAT IS TO AVOID THOSE TRIGGERS THOSE ALLERGENS AND IF HIS SYMPTOMS ARE PERSISTENT +RES0107-122-5 WE WILL PRESCRIBE HIM ALSO LIKE AN INTRANASAL CORTICOSTEROID AND THERE ARE LIKE THERE ARE LIKE SECOND LINE TREATMENTS AS WELL LIKE ANTIHISTAMINES AND +RES0107-122-6 LEUKOTRIENE LIKE LEUKOTRIENE RECEPTOR ANTAGONISTS BUT THOSE ARE LIKE SECOND LINE WE'LL WE'LL SEE HOW HE DOES WITH THE INHALED CORTICOSTEROIDS AT FIRST HOW DOES THAT SOUND +RES0107-123 SOUNDS GREAT +RES0107-124 OK GREAT +RES0107-125 THANK YOU +RES0107-126 NO PROBLEM +RES0111-000 HOW CAN I HELP YOU TODAY +RES0111-001 HI I'M HERE BECAUSE I'VE HAD THIS AWFUL SORE THROAT FOR THE PAST FOUR DAYS DOESN'T SEEM TO BE GETTING ANY BETTER AND I THINK I'M DEVELOPING A FEVER NOW +RES0111-002 HAVE YOU CHECKED YOUR TEMPERATURE +RES0111-003 NO I HAVEN'T CHECKED MY TEMPERATURE I'M JUST REALLY HOT +RES0111-004 WE'LL CHECK THAT HERE THEN AND DO YOU OK SO YOU'VE HAD THIS SORE THROAT FOR FOUR DAYS AND A FEVER HAVE YOU HAD ANY DIFFICULTY SWALLOWING +RES0111-005 NOT LIKE I CAN DRINK OK BUT IT'S REALLY HARD FOR ME TO EAT SOLID FOODS RIGHT NOW +RES0111-006 WHY IS THAT +RES0111-007 OH IT JUST HURTS +RES0111-008 OK BUT IT'S NOT THAT YOU CAN'T YOU CAN'T SORT OF LIKE YOU DON'T FEEL LIKE IT'S GETTING STUCK +RES0111-009 NO NO NOTHING LIKE THAT +RES0111-010 AND HAVE YOU NOTICED ANY CHANGES IN YOUR VOICE DO YOU FIND THAT YOUR VOICE IS MORE HOARSE +RES0111-011 A LITTLE BIT BUT I THINK THAT'S JUST BECAUSE I TRY NOT TO TALK AS MUCH SINCE MY THROAT IS SO SORE +RES0111-012 OK OK AND HAVE YOU HAD A RUNNY NOSE +RES0111-013 NO NO RUNNY NOSE +RES0111-014 A COUGH +RES0111-015 NO +RES0111-016 OK HAVE YOU HAD ANY DIFFICULTIES BREATHING +RES0111-017 NO +RES0111-018 ANY CHEST PAIN +RES0111-019 NO +RES0111-020 ANY SORT OF CONGESTION DO YOU FEEL LIKE YOUR NOSE IS STUFFY OR HURTS YOUR IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN +RES0111-021 NO +RES0111-022 NO OK SO ALL YOU HAVE IS A SORE THROAT AND THIS FEVER OK AND OK YOU HAVE A HEADACHE +RES0111-023 NO HEADACHES +RES0111-024 DO YOU FEEL LIKE YOU'VE BEEN CONFUSED OR JUST FEELING NOT YOURSELF +RES0111-025 NO NOTHING LIKE THAT +RES0111-026 OK ANY CHANGES IN YOUR HEARING OR YOUR VISION +RES0111-027 NO +RES0111-028 OK ANY AND DO YOU FEEL LIKE YOUR HEART'S BEATING VERY FAST +RES0111-030 NO DO YOU FEEL SHORT OF BREATH +RES0111-031 NOPE +RES0111-032 ANY BELLY PAIN +RES0111-033 NO +RES0111-034 ANY NAUSEA OR VOMITING +RES0111-035 NO +RES0111-036 OK ANY DIARRHEA OR CONSTIPATION +RES0111-037 NO +RES0111-038 ANY FATIGUE +RES0111-039 NO +RES0111-040 WEIGHT LOSS UNINTENTIONAL +RES0111-041 NO WEIGHT LOSS NO +RES0111-042 AND DO YOU HAVE ANY MEDICAL CONDITIONS +RES0111-043 NO I DON'T THINK SO +RES0111-044 OK ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +RES0111-045 THE ONLY ONE THAT I HAVEN'T GOTTEN IS THAT HPV VACCINE +RES0111-046 OK OK OK ANY DID YOU GET THE FLU SHOT +RES0111-047 OH I DIDN'T GET THAT THIS YEAR +RES0111-048-1 OK WELL WE RECOMMEND THAT YOU YOU GET YOUR VACCINES AND ALSO THE HPV VACCINE IT'S IT'S BEST TO GET THE HPV VACCINE EARLIER ON IT'S A LITTLE BIT LESS EFFECTIVE AS YOU +RES0111-048-2 GO PAST A CERTAIN AGE YOU ARE STILL OBVIOUSLY NOWHERE CLOSE TO THAT BUT IT'S I I DON'T BELIEVE IT'S COVERED AFTER THE AGE OF TWENTY SIX EITHER SO IT'S BEST IF YOU GET IT DONE EARLIER AND LET'S GO BACK TO YOUR SYMPTOMS THEN HAVE YOU HAD ANY SURGERIES +RES0111-049 I GOT MY APPENDIX REMOVED WHEN I WAS THIRTEEN +RES0111-050 ANYTHING ELSE +RES0111-051 NO +RES0111-052 OK ARE YOU TAKING ANY MEDICATIONS INCLUDING OVER THE COUNTER +RES0111-053 NO I JUST TAKE MY MULTIVITAMINS +RES0111-054 AND ARE YOU ARE YOU CURRENTLY LIVING ALONE OR DO YOU LIVE WITH SOMEONE +RES0111-055 I LIVE WITH MY PARENTS AND MY TWO SIBLINGS +RES0111-056 AND DO YOU FEEL SAFE AT HOME +RES0111-057 YES +RES0111-058 OK ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0111-059 NO +RES0111-060 OK DO YOU PLAN ON BEING SEXUALLY ACTIVE IN THE NEAR FUTURE +RES0111-061 NO NOT BEFORE I FINISH HIGH SCHOOL +RES0111-062 OK ALRIGHT AND ARE YOU DO YOU DRINK ALCOHOL +RES0111-063 NO +RES0111-064 OK DO YOU SMOKE +RES0111-065 NO +RES0111-066 HAVE YOU TRIED MARIJUANA OR ANY RECREATIONAL DRUGS +RES0111-067 I HAVEN'T +RES0111-068 OK ARE THINGS GOING WELL AT ARE YOU IN SCHOOL RIGHT NOW +RES0111-069 I'M IN GRADE TEN +RES0111-070 OK ARE THINGS GOING WELL +RES0111-071 YES I WOULD SAY SO +RES0111-072 ANY BULLYING AT SCHOOL +RES0111-073 NO +RES0111-074 OK ANY ANY ANY CONCERNS ABOUT DEPRESSION OR ANXIETY +RES0111-075 NO +RES0111-076 OK OK ALRIGHT AND YOU TRAVELED ANYWHERE RECENTLY +RES0111-077 NO I'VE BEEN JUST AT SCHOOL AND HOME +RES0111-078 SO IT'S NOT IT'S NOT VIRTUAL IT'S IN PERSON +RES0111-079 SO HALF THE DAY IS IN PERSON AND THE OTHER HALF IS VIRTUAL +RES0111-080 OK AND ARE YOU MAINTAINING SOCIAL DISTANCING AT SCHOOL WEARING A MASK +RES0111-081 WE DO EXCEPT SOMETIMES I GUESS LIKE I DON'T KNOW IF YOU HAVE TO DRINK WATER OR SOMETHING WE TAKE IT OFF +RES0111-082 SURE OK AND I SUPPOSE JUST OK WHAT WAS I GONNA ASK DO YOU SO NO TRAVELS OK DO YOU FEEL LIKE YOU'VE BEEN IN CONTACT WITH SOMEONE WHO MIGHT BE SICK OR MIGHT HAVE COVID +RES0111-083 I DON'T THINK SO +RES0111-084 NO OK ALRIGHT AND HAVE YOU LOOKED AT YOUR THROAT DOES IT LOOK SWOLLEN OR RED +RES0111-085 IT LOOKS PRETTY SWOLLEN AND RED +RES0111-086 WELL THAT'S ALL THE QUESTIONS OH ONE MORE QUESTION ACTUALLY DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY +RES0111-087 NO I DON'T THINK SO MAYBE LIKE HIGH BLOOD PRESSURE +RES0111-088-1 ALL RIGHT WELL THAT'S ALL THE QUESTIONS I HAD WE'LL DO A PHYSICAL EXAM HAVE A LOOK INSIDE YOUR THROAT GIVEN THE SYMPTOMS THAT YOU HAVE IT SOUNDS LIKE YOU HAVE AN AN INFLAMMATION OR SWELLING OF YOUR THROAT +RES0111-088-2 WHICH COULD BE CAUSED BY BACTERIA OR VIRUSES IT COULD BE SOMETHING LIKE MONO OR IT COULD BE STREP THROAT IT COULD BE OTHER THINGS AS WELL SEEING THAT YOUR SYMPTOMS ARE SOMEWHAT +RES0111-088-3 OVERLAPPING WITH THE SYMPTOMS FOR COVID WE WOULD ALSO LIKE TO DO A COVID TEST WE'LL DO A RAPID STREP TEST HERE AS WELL JUST TO RULE IT OUT AND THEN +RES0111-088-4 WE'LL ASK YOU TO QUARANTINE FOR THE NEXT FOURTEEN DAYS UNTIL OR AT LEAST UNTIL YOUR COVID SWABS ARE BACK OR YOUR SYMPTOMS IMPROVE +RES0111-088-5 AND WE'LL LET YOU KNOW ABOUT THE MANAGEMENT BASED ON THE STREP TEST RESULT DO YOU HAVE ANY QUESTIONS +RES0111-089 NO THAT SOUNDS GREAT THANK YOU +RES0111-090 OK SOUNDS GOOD +RES0112-000 WHAT BRINGS YOU IN TODAY +RES0112-001-1 YEAH I BROUGHT MY SON HERE I'M A LITTLE BIT WORRIED ABOUT HIM BECAUSE LIKE YESTERDAY HE HAD HE HAD THIS TEMPERATURE OF LIKE THIRTY EIGHT POINT FIVE SO HE'S BEEN FEELING A LITTLE BIT HOT AND +RES0112-001-2 HE'S NOT SWALLOWING HIS FOOD LIKE WE'VE BEEN FEEDING HIM SOME MASHED UP FOOD BUT HE'S NOT SWALLOWING IT HE'S JUST KIND OF THROWING THROWING IT BACK OUT THERE +RES0112-001-3 HE'S DROOLING NOW AND HE SOUNDS KIND OF MUFFLED AND HE'S BEEN VERY SHORT OF BREATH +RES0112-002 THAT DOESN'T SOUND GOOD I'M I'M CURRENTLY LOOKING AT HIM AND HE DOESN'T LOOK GREAT WHILE THE WHILE THE DOCTOR'S TAKING HIS VITALS AND EXAMINING THE BABY I'LL JUST ASK YOU A COUPLE OF QUESTIONS +RES0112-003 SURE +RES0112-004 SO YOU SAID THAT ALL OF THIS STARTED ABOUT A DAY AGO HOW WAS HE DOING BEFORE THAT +RES0112-005 HE WAS FINE BEFORE THAT HE HAD LIKE A AN INFECTION LIKE SOME SORT OF VIRAL INFECTION RECENTLY LIKE ABOUT A WEEK BACK HE HAD LIKE A RUNNY NOSE AND A COUGH BUT THAT WENT AWAY +RES0112-006 OK SO HE HAD THESE SYMPTOMS ABOUT A WEEK AGO DID HE SEE ANY DID YOU TAKE HIM TO THE HOSPITAL OR TO A CLINIC +RES0112-007 I TOOK HIM TO OUR FAMILY DOCTOR AND THEY JUST SUGGESTED SOME SUPPORTIVE TREATMENTS WHICH WE'VE BEEN DOING AT HOME LIKE WE TRY TO KEEP HIM WELL HYDRATED AND WE'VE BEEN KEEPING AN EYE ON HIS LIKE DIAPERS AND THINGS LIKE THAT +RES0112-008 OK HAS HE BEEN HAS HE BEEN HOW MANY DIAPERS IS HE ARE YOU CHANGING A DAY +RES0112-009 USUALLY LIKE ABOUT FIVE SIX BUT YESTERDAY IT WAS LIKE TWO +RES0112-010 OK AND HAS HE BEEN IRRITABLE OR AGITATED +RES0112-011 HE HAS BEEN VERY IRRITABLE AND FUSSY +RES0112-012 HAS HE BEEN SLEEPING OK +RES0112-013 I NO YOU KNOW WHAT LAST NIGHT HE DIDN'T SLEEP WELL AT ALL HE WAS CRYING THE WHOLE NIGHT +RES0112-014 AND IN TERMS OF SO HOW MUCH HAS HE HAS HE HAD TO EAT OR DRINK IN THE PAST DAY OR TWO +RES0112-015 HE'S HAD ABOUT LIKE MAYBE A BOTTLE OF HIS MILK LIKE OF THAT +RES0112-016 OK +RES0112-017 THAT'S IT +RES0112-018 HE'S NOT TAKING HE'S NOT HE'S NOT TAKING ANYTHING ELSE LIKE HE'S BEEN SO FUSSY AND SO LIKE HE'S UNWILLING TO TRY ANYTHING +RES0112-019 OK AND OK DO YOU FEEL LIKE HE'S BEEN DROWSY AND AND +RES0112-020 LETHARGIC I FEEL LIKE HE'S BEEN A LITTLE BIT LETHARGIC LIKE TODAY HE'S MORE LETHARGIC ALL OF YESTERDAY HE WAS VERY FUSSY AND IRRITABLE BUT TODAY SEEMS LIKE HE'S VERY SLOW +RES0112-021 OK AND JUST A COUPLE OF QUESTIONS ABOUT HIS PAST MEDICAL HISTORY DOES HE HAVE ANY MEDICAL CONDITIONS THAT HE WAS DIAGNOSED WITH +RES0112-022 NO HE'S BEEN HEALTHY OTHERWISE +RES0112-023 HOW WAS YOUR PREGNANCY WITH HIM +RES0112-024 NORMAL NO COMPLICATIONS THERE +RES0112-025 DID DID YOU HAVE GBS OR GESTATIONAL DIABETES +RES0112-026 NO +RES0112-027 NO OK DID YOU HAVE ANY VIRAL INFECTIONS DURING THAT TIME DURING PREGNANCY +RES0112-028 NO NO +RES0112-029 WAS HE BORN VIA CAESAREAN SECTION OR C SECTION OR A VAGINAL BIRTH +RES0112-030 VAGINAL +RES0112-031 OK ANY COMPLICATIONS DURING BIRTH +RES0112-032 NO +RES0112-033 WAS HE KEPT IN THE HOSPITAL FOR A COUPLE DAYS IN THE NICU AFTER HE WAS BORN +RES0112-034 NO +RES0112-035 DID HE DEVELOP JAUNDICE +RES0112-036 NO +RES0112-037 OK AND AND HE'S BEEN OK FOR THE PAST TWO YEARS ANY CONCERNS ABOUT HIS GROWTH HIS HEIGHT AND WEIGHT AND HIS HEAD CIRCUMFERENCE HAS YOUR FAMILY DOCTOR SAID ANYTHING ABOUT THAT +RES0112-038 NO HE'S BEEN PRETTY GOOD HE'S BEEN GROWING AND GAINING WEIGHT OK +RES0112-039 ANY DEVELOPMENTAL ISSUES +RES0112-040 NO +RES0112-041 OK ALRIGHT AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY +RES0112-051 THEY'RE ALL UP TO DATE SO FAR OK ALRIGHT THAT'S THAT'S GOOD OK AND DOES HE HAVE ANY ALLERGIES THAT YOU'RE AWARE OF +RES0112-052 PARDON ME +RES0112-053 ANY ALLERGIES +RES0112-054 OH NO ALLERGIES +RES0112-055-1 OK ALRIGHT WELL IT LOOKS LIKE I IT'S GREAT THAT YOU BROUGHT HIM INTO THE EMERGENCY ROOM IF HE HASN'T BEEN EATING DRINKING WELL HASN'T SLEPT WELL HAS BEEN FUSSY AND AND HAS BEEN LETHARGIC AND TIRED +RES0112-055-2 AND IS HAVING DIFFICULTY SWALLOWING FOOD THAT'S DEFINITELY VERY SERIOUS WE'LL HAVE A LOOK INSIDE HIS MOUTH AND SEE WHAT'S GOING ON IT COULD BE THAT HE HAS AN INFECTION OR AN INFLAMMATION OF SOME SORT +RES0112-055-3 GIVEN HIS FEVER HE PROBABLY HAS AN INFECTION AND WE'LL LIKELY START HIM ON ANTIBIOTICS AND PUT IN AN IV DRIP JUST TO GET IN GET SOME FLUIDS INSIDE HIM +RES0112-055-4 JUST TO GET HIM HYDRATED AND MONITOR HIM VERY CLOSELY WE'LL ALSO CHECK HIS VITALS AND WE'LL DO WE'LL GO FROM THERE DO YOU HAVE ANY QUESTIONS +RES0112-056 NO THANK YOU +RES0112-057 OK +RES0113-000 WHAT CAN I DO FOR YOU TODAY +RES0113-001 SO I'M HERE BECAUSE I'VE HAD THIS FEVER THIS COUGH AND NOW MY HEAD HURTS THAT'S BEEN GOING ON FOR ABOUT THE PAST FOUR DAYS AND I JUST WANT TO MAKE SURE IT'S NOTHING TOO SERIOUS +RES0113-002 THAT'S GREAT SO CAN YOU TELL ME HAVE YOU DID YOU MEASURE YOUR TEMPERATURE +RES0113-003 NO I HAVEN'T ACTUALLY MEASURED IT I JUST FEEL HOT AND FEEL CHILLS +RES0113-004 OK BUT WE CAN TAKE YOUR VITALS HERE AND YOU YOU SAID THAT YOU'VE HAD A COUGH FOR THE PAST FOUR DAYS DRY COUGH OR WET COUGH +RES0113-005 IT'S BEEN PRETTY DRY +RES0113-006 ANY NO BLOOD OR ANY SPUTUM COMING UP RIGHT +RES0113-007 NO NO +RES0113-008 OK AND HAS THE THE COUGH GOTTEN WORSE OR BETTER OR THE SAME HAS IT BEEN THE SAME SINCE THE PAST FOUR DAYS +RES0113-009 IT'S IT'S ACTUALLY GETTING WORSE +RES0113-010 IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE +RES0113-011 NO I DON'T THINK SO +RES0113-012 OK HAVE YOU TRIED ANYTHING FOR YOUR COUGH +RES0113-013 I'VE TRIED LIKE DECONGEST LIKE COUGH SUPPRESSANTS BUT IT DOESN'T SEEM TO HAVE HELPED +RES0113-014 OK OK AND THEN TELL ME ABOUT YOUR HEADACHE THAT STARTED FOUR DAYS AGO AS WELL +RES0113-015 AND WHERE EXACTLY IS IT +RES0113-016 SO IT'S LIKE JUST ON THE FRONT PART OF MY HEAD +RES0113-017 AND DOES IT FEEL LIKE WHAT DOES IT FEEL LIKE IS IT LIKE A THROBBING SENSATION A BAND LIKE SENSATION IS IT SHARP IS IT DULL +RES0113-018 IT FEELS PRETTY THROBBING RIGHT NOW +RES0113-019 IS IT BOTH SIDES OR ON THE LEFT OR RIGHT +RES0113-020 IT'S IT SEEMS LIKE IT'S BOTH SIDES +RES0113-021 IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO TEN WITH TEN BEING THE MOST SEVERE PAIN EVER WHAT NUMBER WOULD YOU GIVE IT +RES0113-022 I WOULD GIVE IT ABOUT LIKE A SEVEN +RES0113-023 OH WOW OK AND HOW'S IT CHANGED OVER THE PAST FOUR DAYS +RES0113-024 IT'S JUST GOTTEN A LITTLE BIT WORSE +RES0113-025 IS IT IS IT WHAT WAS I GONNA SAY IS IT CONSTANT OR DOES IT COME AND GO +RES0113-026 IT SEEMS PRETTY IT SEEMS PRETTY CONSTANT +RES0113-027 HAVE YOU TAKEN ANYTHING FOR IT +RES0113-028 I TRIED LIKE SOME TYLENOL FOR IT AND IT SEEMS TO HELP A LITTLE BIT +RES0113-029 DOES IT IS THERE A CERTAIN TIME OF THE DAY WHEN IT'S WORSE BEFORE GOING TO BED AT THE END OF THE DAY WAKING UP ANYTHING LIKE THAT +RES0113-030 NO NOTHING LIKE THAT +RES0113-031 HAVE YOU HAD A SIMILAR HEADACHE IN THE PAST +RES0113-032 I GUESS I HAVE A LITTLE BIT IN THE PAST BUT THAT WAS ALSO WHEN I WAS LIKE SICK +RES0113-033 SURE DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT +RES0113-034 NO IT HASN'T WOKEN ME UP +RES0113-035 OK I GUESS OTHER THAN THE HEADACHE I'LL ASK YOU ABOUT AND THE COUGH AND FEVER I'LL ASK YOU IF YOU'VE HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD ANY CONFUSION +RES0113-036 NO NO CONFUSION +RES0113-037 ANY CHANGES IN YOUR VISION OR YOUR HEARING +RES0113-038 NO +RES0113-039 ANY REDNESS IN YOUR EYES +RES0113-040 NO +RES0113-041 ANY LOSS OF TASTE OR LOSS OF SMELL +RES0113-042 NO +RES0113-043 ANY RUNNY NOSE OR STUFFY NOSE +RES0113-044 NOPE +RES0113-045 OK ANY SORE THROAT +RES0113-046 NO +RES0113-047 OK ANY CHEST PAIN OR DIFFICULTIES BREATHING +RES0113-048 NO +RES0113-049 ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEART'S RACING +RES0113-050 NO +RES0113-051 OK ANY BELLY PAIN +RES0113-052 NO BELLY PAIN +RES0113-053 DIARRHEA +RES0113-054 NO +RES0113-055 OK ANY ACHES OR PAINS IN YOUR BODY +RES0113-056 NO +RES0113-057 ANY RASHES THAT YOU'VE NOTICED +RES0113-058 NO NO RASHES +RES0113-059 ANY DISCOLOURATION OF YOUR FINGERS OR TOES +RES0113-060 I DON'T THINK SO +RES0113-061 OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS +RES0113-062 NO I THINK I'M HEALTHY OTHERWISE +RES0113-063 OK ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES +RES0113-065 NO OK WHAT ABOUT MEDICATIONS ARE YOU TAKING ANY OVER THE COUNTER OR OTHERWISE +RES0113-066 I TAKE SOME MULTIVITAMINS THAT'S IT THOUGH +RES0113-067 OK ANY FAMILY HISTORY OF LUNG OR HEART PROBLEMS OR ANYTHING ELSE OR CANCERS +RES0113-068 NO +RES0113-069 AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH SOMEONE ELSE OR WITH OTHER PEOPLE +RES0113-070 I LIVE WITH MY HUSBAND AND OUR OUR DAUGHTER +RES0113-071 OK HAVE YOU HAD ANY HAVE YOU TRAVELED ANYWHERE +RES0113-072 NO NOT RECENTLY +RES0113-073 HAVE YOU WHAT DO YOU MEAN BY RECENTLY +RES0113-074 LIKE I HAVE TRAVELED IN THE PAST TWO YEARS +RES0113-075 OK THAT'S FINE THAT'S FINE HAVE YOU HAD ANY CONTACT WITH ANYONE WHO MIGHT BE SICK EITHER YOU OR YOUR HUSBAND OR YOUR DAUGHTER +RES0113-076 NO I DON'T THINK SO +RES0113-077 HAVE YOU GONE OUT OF THE HOME AT ALL +RES0113-078 JUST TO DO LIKE ESSENTIAL THINGS LIKE GROCERIES AND THE BANK AND THINGS LIKE THAT +RES0113-079 DO YOU WEAR A MASK AND MAINTAIN SOCIAL DISTANCING +RES0113-080 YES +RES0113-081 OK ALRIGHT DO YOU DRINK ALCOHOL +RES0113-082 I DRINK LIKE ONCE ONCE IN A WHILE HAVE A GLASS OF WINE +RES0113-083 OK HOW I GUESS HOW OFTEN WOULD YOU SAY +RES0113-084 ONCE A WEEK +RES0113-085 OK AND DO YOU SMOKE +RES0113-086 NO NOT ANYMORE +RES0113-087 HOW MUCH DID YOU SMOKE IN THE PAST +RES0113-088 I I'D HAVE LIKE HALF A PACK BUT I ONLY SMOKED BETWEEN LIKE THE AGE OF TWENTY TO LIKE TWENTY FIVE +RES0113-089 OK DO YOU SMOKE MARIJUANA OR HAVE ANY EDIBLES WITH MARIJUANA IN IT +RES0113-090 NO +RES0113-091 ANY RECREATIONAL DRUGS +RES0113-092 NO +RES0113-093 OK ALRIGHT WELL AND YOU SAID THAT YOU DON'T HAVE A FAMILY HISTORY OF ANY PROBLEM +RES0113-094 NO +RES0113-095-1 OK ALRIGHT I THINK THAT'S ALL THE QUESTIONS I HAD FOR YOU SO LOOKS LIKE YOU'VE HAD A FEVER COUGH AND A AND A HEADACHE THAT'S GOTTEN WORSE IN THE PAST FOUR DAYS AND YOUR HEADACHE'S PRETTY BAD A SEVEN OUT OF TEN AND +RES0113-095-2 IT COULD BE THAT YOU HAVE SOME SORT OF AN INFECTION INCLUDING WITH COVID BEING ONE OF THE POSSIBILITIES AND SO CONTINUE TO TAKE TYLENOL AND AND +RES0113-095-3 MONITOR YOUR FEVER IF IT CONTINUES TO GET WORSE OR YOU NOTICE THAT YOUR SYMPTOMS ARE JUST NOT GETTING BETTER +RES0113-095-4 YOU SHOULD COME BACK YOU SHOULD WE'LL ALSO DO A COVID WE'LL ALSO SEND IN A REQUEST FOR A COVID SWAB AND WE'LL ASK YOU TO QUARANTINE FOR THE FOR THE NEXT FOURTEEN DAYS AND TRY TO STAY AWAY FROM YOUR HUSBAND AND DAUGHTER AS WELL IF YOU CAN AT HOME +RES0113-095-5 AND I GUESS A COUPLE OF OTHER QUESTIONS THAT I WANTED TO ASK AND I SHOULD HAVE ASKED EARLIER DO YOU HAVE ANY ANY STIFFNESS IN YOUR NECK OR ANY DIFFICULTIES MOVING YOUR NECK +RES0113-096 NO NOTHING LIKE THAT +RES0113-097 OK ALRIGHT AND DO YOU HAVE ANY QUESTIONS +RES0113-098 NO THAT'S IT THANK YOU SO MUCH +RES0116-000 WHAT BRINGS YOU IN +RES0116-001-1 SO I'M JUST BRINGING MY SON HERE TO THE CLINIC HE'S BEEN HAVING JUST I THINK HE'S BEEN COMPLAINING OF EAR ACHE IN HIS I THINK IT'S MAINLY IN HIS LEFT EAR FOR THE LAST I'D SAY AT LEAST A WEEK HE'S BEEN KIND OF JUST HAVING DISCOMFORT +RES0116-001-2 AND OVER THE LAST FEW DAYS HE ALSO STARTED CRYING BECAUSE OF HOW MUCH PAIN HE IS HAVING AND THEN WE ALSO NOTICED THAT HE HAD LIKE WAS JUST FEELING WARM SO WE TOOK HIS TEMPERATURE AND HE ACTUALLY HAD A FEVER JUST YESTERDAY OF LIKE THIRTY NINE DEGREES CELSIUS +RES0116-002 OK ALRIGHT SO LET'S BACK UP JUST A LITTLE BIT THE EAR PAIN WHEN DID THAT START YOU SAID A COUPLE OF DAYS AGO SO WAS THAT TWO THREE FOUR DAYS +RES0116-003 I THINK THE DISCOMFORT LIKE WE SAW HIM SCRATCHING HIS EAR FOR THE WHOLE LAST WEEK BUT THE CRYING ACTUALLY STARTED JUST I WOULD SAY FOUR DAYS AGO +RES0116-004 OK +RES0116-005 SO I THINK THE LAST FEW DAYS HAVE BEEN REALLY TOUGH FOR HIM +RES0116-006 SO THREE FOUR DAYS OK HAVE YOU TAKEN A LOOK INTO HIS EAR LIKE DOES DOES IT SEEM RED IS THERE DISCHARGE +RES0116-007 I THINK WE DID SEE SOME JUST LIKE IT WASN'T RED OR ANYTHING BUT I THINK WE DID SEE SOME JUST KIND OF CLEAR TO ALMOST CLEAR TO YELLOWISH FLUID FROM HIS AFFECTED EAR +RES0116-008 OK CLEAR TO YOU SAID WHITE ISH +RES0116-009 LIKE IT WAS A BIT OF A YELLOW TINGE TO TO IT AS WELL +RES0116-010 YELLOW OK OK AND WHICH EAR WAS IT SORRY THE RIGHT OR LEFT +RES0116-011 LEFT EAR +RES0116-012 LEFT EAR OK AND THE RIGHT EAR LOOKS NORMAL +RES0116-013 RIGHT EAR HE HASN'T BEEN COMPLAINING AT ALL I HAVEN'T EVEN LOOKED AT THE RIGHT EAR YET +RES0116-014 OK IS HE ITCHING HIS EARS AT ALL +RES0116-015 HE WAS HE WAS ITCHING LIKE PRETTY MUCH THIS WHOLE WEEK BUT I THINK RIGHT NOW HE'S HESITANT TO EVEN TOUCH HIS EARS +RES0116-016 OK AND DOES IT LOOK LIKE IT'S ANGRY ON THE OUTSIDE OR ON THE INSIDE OF HIS EARS +RES0116-017 I CAN'T REALLY SEE ANYTHING ON THE OUTSIDE +RES0116-018 OK OK AND HAVE YOU NOTICED THAT HIS HEARING HAS CHANGED AT ALL +RES0116-019 HE STILL LIKE ANSWERS TO US AND LIKE I DON'T THINK HIS EAR HEARING IS AFFECTED +RES0116-020 OK HAS HE HAD ANY PAST ISSUES WITH HIS EARS LIKE EAR INFECTIONS OR LIKE HEARING ISSUES IN THE PAST +RES0116-021 NO HEARING ISSUES BUT HE DID HAVE LIKE HE USED TO PROBABLY WHEN HE WAS LIKE TWO YEARS OLD HE DID HAVE A COUPLE EAR INFECTIONS +RES0116-022 OK OK WERE THEY WERE THEY TREATED WITH ANTIBIOTICS +RES0116-023 I THINK ONE TIME THEY WERE BUT I I'M PRETTY SURE THAT WAS ON IN HIS RIGHT EAR +RES0116-024 OK OK HE'S NEVER HAD TO GET LIKE TUBES INSERTED OR ANYTHING LIKE THAT +RES0116-025 NO NO NOTHING LIKE THAT +RES0116-026 NO OK ALRIGHT HAS HE HAD A STUFFY NOSE OR RUNNY NOSE +RES0116-027 NOT THIS WEEK BUT HE HE WAS A BIT LIKE STUFFY LIKE LAST WEEK I WOULD SAY +RES0116-028 OK HE WAS A BIT STUFFY YOU SAID +RES0116-029 MAYBE EVEN MAYBE TWO WEEKS AGO +RES0116-030 OK AND THAT STOPPED DID HE HAVE ANYTHING ELSE ALONG WITH HIS STUFFY NOSE AT THAT POINT +RES0116-031 NO NOTHING ELSE +RES0116-032 RIGHT NOW HAVE YOU NOTICED ANY CHANGES IN HIS VISION IN HIS SMELL OR TASTE +RES0116-033 MO NOT THAT I KNOW OF +RES0116-034 OK HOW ABOUT WEIGHT LOSS +RES0116-035 NO HE'S BEEN GROWING PRETTY WELL +RES0116-036 OK AND YOU SAID YOU HAD TAKEN HIS TEMPERATURE WHEN DID YOU TAKE HIS TEMPERATURE +RES0116-037 I JUST TOOK IT YESTERDAY BUT HE WAS FEELING A BIT WARM YESTERDAY SO WE JUST TOOK IT AND IT WAS LIKE THIRTY NINE DEGREES CELSIUS +RES0116-038 OK OK SWEET SO THIRTY NINE DEGREES SO HE DOES HAVE A FEVER FOR SURE WE'LL TAKE HIS TEMPERATURE AGAIN TODAY JUST TO MAKE SURE HAVE YOU BEEN GIVING HIM ANYTHING FOR HIS HIGH TEMPERATURE LIKE TYLENOL +RES0116-039 NO WE HAVEN'T GIVEN HIM ANYTHING +RES0116-040 OK HAVE YOU NOTICED ANY RASHES ON HIM +RES0116-041 NO +RES0116-042 NO HOW ABOUT COUGHING +RES0116-043 NO HE HASN'T BEEN REALLY COUGHING +RES0116-044 NO COUGHING HOW ABOUT WHEEZING OR SHORTNESS OF BREATH +RES0116-045 NO +RES0116-046 LIKE ANYTHING THAT WOULD INDICATE HE HAS CHEST PAIN OR PALPITATIONS OF HIS HEART +RES0116-047 NO OK +RES0116-048 ANY DIZZINESS OR FAINTING SPELLS +RES0116-049 NO +RES0116-050 CONFUSION +RES0116-051 NO I DON'T THINK SO +RES0116-052 HEADACHES +RES0116-053 NOT THAT I KNOW OF +RES0116-054 OK AND HOW HOW HAVE HIS BOWEL MOVEMENTS BEEN +RES0116-055 HIS BOWEL MOVEMENTS HAVE BEEN PRETTY MUCH THE SAME HE'S THERE'S BEEN NO REAL CHANGES +RES0116-056 NO OK ALRIGHT AND HOW ABOUT NAUSEA OR VOMITING +RES0116-057 NO NO NO NAUSEA OR VOMITING +RES0116-058 ANY APPETITE CHANGE +RES0116-059 NO MAYBE A LITTLE BIT MORE FUSSY JUST BUT I DON'T KNOW IF THAT'S PROBABLY DUE TO THE PAIN +RES0116-060 OK AND HOW ABOUT HIS URINE +RES0116-061 HIS URINE HAS BEEN THE SAME LIKE NO CHANGES +RES0116-062 NO CHANGES OK GOOD IS HE AN OTHERWISE HEALTHY KID OR DOES HE HAVE ANY LONGSTANDING CONDITIONS +RES0116-063 HE'S PRETTY HEALTHY THERE HAVE BEEN NO CONCERNS AT ALL THAT WE'VE HAD FOR THE DOCTOR HE'S BEEN GROWING WELL MEETING ALL OF HIS MILESTONES NO NOTHING THAT'S CONCERNING +RES0116-064 OK DO YOU KNOW IF HIS MOTHER'S PREGNANCY WITH HIM WAS NORMAL DID SHE HAVE ANY COMPLICATIONS +RES0116-065 SHE DIDN'T HAVE ANY LIKE COMPLICATIONS DURING THE PREGNANCY THEY DID HAVE TO I FORGOT WHAT IT'S CALLED BUT HE WAS LIKE A DIFFICULT BABY COMING OUT AND HE WAS AT TERM THOUGH HE WASN'T PREMATURE BUT THEY HAD TO USE JUST SOME TOOLS TO GET HIM OUT +RES0116-066 OK OK SO IT WAS A VAGINAL DELIVERY BUT THEY USED SOME TOOLS LIKE FORCEPS MAYBE OR VACUUM +RES0116-067 IT WAS FORCEPS +RES0116-068 OK OK AND HE'S YOU MENTIONED HE WAS FULL TERM +RES0116-069 HE WAS BORN AT FORTY WEEKS +RES0116-070 OK PERFECT DID HE NEED TO BE HOSPITALIZED FOR ANY REASON AFTER THAT +RES0116-071 NO HE WASN'T HOSPITALIZED WE STAYED THERE MAYBE ONE DAY EXTRA JUST BECAUSE THERE WAS SOME JUST KIND OF MISSHAPING OF HIS HEAD +RES0116-072 OK +RES0116-073 THAT KIND OF WENT AWAY +RES0116-074 OK OK GOOD AND IS HE ON ANY MEDICATIONS +RES0116-075 NO NO MEDICATIONS +RES0116-076 NO MEDICATIONS UP TO DATE WITH HIS IMMUNIZATIONS +RES0116-077 HE'S ALL UP TO DATE +RES0116-078 OK ANY ALLERGIES +RES0116-079 NOT THAT WE KNOW OF +RES0116-080 OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS HEART CONDITIONS +RES0116-081 NO WE'VE BEEN PRETTY HEALTHY AS PARENTS AND I THINK MY MY FATHER HAS LIKE HIGH BLOOD PRESSURE DIABETES AND ALL THOSE TYPES OF THINGS +RES0116-082 OK OK ANY EAR ISSUES LIKE CONGENITAL EAR SORRY GENETIC HEARING ISSUES OR EAR ISSUES +RES0116-083 NO NOTHING LIKE THAT +RES0116-084 OK DOES ANYONE AT HOME SMOKE +RES0116-085 NO NO ONE SMOKES +RES0116-086 OK AND WHO DOES HE LIVE WITH +RES0116-087 SO HE LIVES WITH ME HIS FATHER AND HIS MOTHER AS WELL +RES0116-088 OK ANY SIBLINGS +RES0116-089 NO SIBLINGS HE'S AN ONLY CHILD +RES0116-090 OK AND HOW ARE THINGS AT HOME IS LIKE ARE THINGS FINANCIALLY STABLE ANY RELATIONSHIP ISSUES +RES0116-091 NO WE'VE BEEN PRETTY FORTUNATE LIKE IT IT'S NO FINANCIAL ISSUES AND WE HAVE A LOT OF SUPPORT FROM OUR PARENTS AS WELL THE RELATIONSHIP IS GREAT SO NO NO ISSUES +RES0116-092 OK GOOD GOOD HAS HE HAD ANY SICK CONTACTS RECENTLY +RES0116-093 I DON'T THINK SO HE'S WE'VE BEEN AT HOME SO I DON'T KNOW WE WE DID HAVE LIKE WITH OUR WITH MY BROTHER'S KIDS LIKE THEY CAME TO SEE US ONCE BUT THAT WAS LIKE THAT WAS I THINK AT LIKE THREE WEEKS AGO +RES0116-094 OK OK THREE WEEKS AGO ALRIGHT TRAVEL TO ANYWHERE RECENTLY +RES0116-095 NO +RES0116-096 NO OK ALRIGHT THOSE WERE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS THAT YOU WANTED TO ASK ME TODAY BEFORE WE END THE INTERVIEW +RES0116-097 NO NOT REALLY JUST WANTED TO KNOW IF LIKE I REMEMBER HE DID NEED ANTIBIOTICS BEFORE SO I WAS JUST WONDERING IF HE NEEDS THEM NOW +RES0116-098-1 SO WELL FIRST BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH COVID LIKE THE FEVER ESPECIALLY WE'LL DO A SWAB ON HIM ANYWAYS AND YOU SHOULD HEAR THOSE RESULTS IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS AND THEN IT THIS PICTURE SOUNDS LIKE ACUTE OTITIS MEDIA SO LIKE AN EAR INFECTION +RES0116-098-2 AND IT'S ESPECIALLY LIKELY BECAUSE HE'S HAD THEM IN THE PAST SO I'M GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE LIKE COMING UP WITH A MANAGEMENT PLAN BUT I'LL KIND OF WALK YOU THROUGH WHAT WE LOOK AT +RES0116-098-3 SO IF I TAKE A LOOK AND I SEE LIKE A PERFORATED TYMPANIC MEMBRANE WITH LIKE PUS WE'D PRESCRIBE LIKE TEN DAYS OF ANTIBIOTICS +RES0116-098-4 IF HE HAS SOME LIKE MIDDLE EAR EFFUSION SO LIKE SOME FLUIDS WITH LIKE A BULGING TYMPANIC MEMBRANE AND HE APPEARS TO BE REALLY ILL WHICH FROM THE SOUNDS OF IT HE SOUNDS ILL HE'S HAD THIS FEVER FOR MORE THAN TWO DAYS WE'LL ALSO PRESCRIBE ANTIBIOTICS FOR TEN DAYS +RES0116-098-5 AND THEN IF IT'S JUST SOME MIDDLE EAR EFFUSION SO JUST THAT CLEAR FLUID OR JUST THE BULGING TYMPANIC MEMBRANE WE CAN JUST REASSESS HIM IN TWENTY FOUR TO FORTY EIGHT HOURS TO SEE HOW HE'S DOING AND IF HE'S WORSE AGAIN WE'LL PRESCRIBING PRESCRIBE HIM SOME ANTIBIOTICS +RES0116-098-6 THE ANTIBIOTICS THAT WE USUALLY PRESCRIBE ARE AMOXICILLIN AND BECAUSE HE DOESN'T HAVE A PENICILLIN ALLERGY THAT SHOULD WORK +RES0116-099 OK +RES0116-100 HOW DOES THAT SOUND +RES0116-101 THAT SOUNDS GOOD THANK YOU SO MUCH +RES0116-102 OK GREAT THANK YOU +RES0117-000 WHAT BRINGS YOU IN +RES0117-001 SO I JUST CAME IN TODAY A BIT CONCERNED I'VE BEEN JUST HAVING THIS NASTY COUGH FOR LIKE THE LAST WEEK AND THEN TODAY MORNING LIKE I THOUGHT THE COUGH WOULD JUST GO AWAY BUT TODAY MORNING I ALSO NOTICED I'M COUGHING UP SOME BLOOD +RES0117-002 OH OK +RES0117-003 SO WHEN DID YOU FIRST START COUGHING +RES0117-004 SO LET ME THINK I JUST RETURNED FROM A MISSION TRIP TO THE PHILIPPINES TWO WEEKS AGO THIS COUGH STARTED JUST LAST WEEK SO I WOULD SAY AROUND SIX TO SEVEN DAYS +RES0117-005 OK AND THAT AND THE BLOOD IN YOUR COUGH THAT WAS ABOUT YESTERDAY YOU SAID OR +RES0117-006 TODAY +RES0117-007 TODAY OK OK ARE YOU BRINGING UP ANY PHLEGM AT ALL BESIDES THE BLOOD +RES0117-008 NO IT'S JUST LIKE I SAW IT ON MY HAND LIKE THERE WASN'T ANYTHING LIKE MY COUGH IS LIKE PRETTY DRY +RES0117-009 OK ARE YOU SHORT OF BREATH AT ALL +RES0117-010 NO I'M NOT SHORT OF BREATH JUST IT'S JUST THE COUGH +RES0117-011 OK AND ARE YOU HAVING ANY WHEEZINESS +RES0117-012 NO WHEEZINESS +RES0117-013 OK ANY RUNNY NOSE OR STUFFY NOSE +RES0117-014 NO NO RUNNY OR STUFFY NOSE +RES0117-015 CHANGES IN VISION HEARING SMELL OR TASTE +RES0117-016 NOPE +RES0117-017 WEIGHT LOSS +RES0117-018-1 I HAVE NOTICED WEIGHT LOSS OVER THE LAST I WOULD SAY FEW MONTHS SO I'VE BEEN I'VE BEEN DOING LIKE LIKE I I CAME BACK FROM PHILIPPINES LAST WEEK BUT +RES0117-018-2 I HAD GONE EARLIER LIKE DURING THIS YEAR OR TWO AND I'VE KIND OF NOTICED THIS WEIGHT CHANGE PROBABLY LOST AROUND FIFTEEN POUNDS WITHIN THE LAST FEW MONTHS +RES0117-019 FIFTEEN POUNDS OK WOW THAT'S A LOT ANY NIGHT SWEATS +RES0117-020 NO I DON'T +RES0117-021 THINK SO NO +RES0117-022 ANY FEVERS OR CHILLS I DID HAVE A I DID HAVE SOME CHILLS OVER THE LAST WEEK BUT I DIDN'T REALLY THINK TOO MUCH OF IT +RES0117-023 OK WE'LL TAKE YOUR TEMPERATURE TODAY JUST TO MAKE SURE ANY RASHES +RES0117-024 NO +RES0117-025 ANY CHEST PAIN +RES0117-026 NO CHEST PAIN +RES0117-027 SWELLING IN YOUR LIMBS +RES0117-028 NO +RES0117-029 FAINTING SPELLS OR DIZZINESS +RES0117-030 NO NOTHING LIKE THAT +RES0117-031 CONFUSION OR MEMORY LOSS +RES0117-032 NO +RES0117-033 HEADACHES +RES0117-034 NO HEADACHES +RES0117-035 JOINT PAIN +RES0117-036 NO +RES0117-039 FATIGUE NO +RES0117-047 PAIN NO NOTHING LIKE THAT OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0117-048 NO I'M OTHERWISE I I DON'T I'M REALLY HEALTHY I DON'T TAKE ANY MEDICATIONS SO THIS WAS SOMETHING THAT HAPPENED OUT OF THE BLUE +RES0117-049 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0117-050 NO +RES0117-051 NO MEDICATIONS ARE YOU ON ANY +RES0117-052 NO I HAVEN'T TRIED ANY MEDICATIONS +RES0117-053 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0117-054 I I'VE BEEN PRETTY UP TO DATE WITH ALL MY IMMUNIZATIONS +RES0117-055 OK ALLERGIES DO YOU HAVE ANY +RES0117-056 NO +RES0117-057 SORRY FORGOT TO ASK IMMUNIZATIONS DID YOU GET THE FLU SHOT THIS YEAR +RES0117-058 I DID +RES0117-059 OK GOOD ANY FAMILY HISTORY OF LUNG CONDITIONS +RES0117-060 NO NOT AT ALL +RES0117-061 NO ANY LUNG CANCERS +RES0117-062 NO +RES0117-063 NO OK DO YOU SMOKE +RES0117-064 NO I HAVE NEVER SMOKED A DAY IN MY LIFE +RES0117-065 OK RECREATIONAL DRUGS +RES0117-066 NO I WOULD NEVER TAKE DRUGS +RES0117-067 OK DO YOU DRINK ALCOHOL +RES0117-068 NO NO NOT AT ALL +RES0117-069 OK WHERE DO YOU LIVE RIGHT NOW +RES0117-070 SO I I JUST LIVE IN A SMALL APARTMENT BY MYSELF JUST BEEN MOVING AROUND A LOT +RES0117-071 OK FOR SURE ANY LIKE ASBESTOS MOLD OR LIKE OLD CARPETS DUST ANYTHING LIKE THAT AT YOUR APARTMENT +RES0117-072 NO I DON'T THINK SO +RES0117-073 NO ANY SICK CONTACTS RECENTLY +RES0117-074 NOT I DON'T THINK SO LIKE WE MAYBE IN THE PHILIPPINES WE DO PROVIDE A SO I GO ON LIKE THESE MISSION TRIPS WITH THE CHURCH AND WE DO SOMETIMES GO TO THE HOSPITAL AS WELL +RES0117-075 OK +RES0117-076 SOMETIMES WE WE DO SEE SOME SICK PEOPLE +RES0117-077 OK +RES0117-078 BUT OTHER THAN THAT NOT SINCE I'VE BEEN HERE NO +RES0117-079 ANY TRAVEL OUTSIDE THE PHILIPPINES RECENTLY +RES0117-080 SO I THINK SO THIS YEAR HAS JUST BEEN THE PHILIPPINES BEFORE I USED TO GO TO INDIA AS WELL BUT RECENTLY NOTHING OUTSIDE OF THE PHILIPPINES +RES0117-081 OK OK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DO YOU HAVE ANY QUESTIONS FOR ME +RES0117-082 I I WAS VERY WORRIED ABOUT THE BLOOD I WAS JUST READING SOME THINGS UP AND ABOUT TUBERCULOSIS SO I WAS REALLY STRESSED OUT TODAY +RES0117-083-1 YEAH SO THAT'S DEFINITELY HIGH ON OUR DIFFERENTIAL SO WE'LL DO A COUPLE OF THINGS WE'LL DO A COVID SWAB ON YOU JUST TO RULE THAT IN OR OUT YOU SHOULD HEAR BACK FOR ABOUT THOSE RESULTS IN TWENTY FOUR TO FORTY EIGHT HOURS +RES0117-083-2 WHILE YOU'RE HERE IN THE HOSPITAL WE'RE ALSO GOING TO DO A CHEST X RAY AND OR LIKE AN AFB SMEAR TO SEE IF YOU HAVE ACTIVE TB OR LATENT TB +RES0117-083-3 IF THOSE COME BACK POSITIVE WE WILL REQUIRE YOU TO ISOLATE BECAUSE THIS BECAUSE TB IS HIGHLY INFECTIOUS AND IT'S AIRBORNE +RES0117-083-4 SO WE HAVE A COUPLE OF WE HAVE LIKE A REGIMEN THAT WE'D PUT YOU ON IT'S CALLED THE RIPE MEDICATIONS THAT WE KEEP YOU ON FOR TWO MONTHS AND THEN WE CONTINUE A COUPLE OF THOSE FOR ANOTHER FOUR MONTHS +RES0117-083-5 BUT WE WILL KEEP YOU HERE UNTIL WE HAVE MORE ANSWERS ON LIKE FROM THIS TB STANDPOINT +RES0117-084 HOW DOES THAT SOUND YEAH THAT SOUNDS GOOD I'M REALLY WORRIED BUT HOPEFULLY IT'S NOT TB +RES0117-085 HOPEFULLY IT'S NOT BUT IF IT IS IT'S IT'S OK LIKE WE'LL GET INFECTIOUS DISEASE INVOLVED WE'LL GET THE ISOLATION GOING AND WE'LL GET YOU ON THE CORRECT TREATMENT +RES0117-086 OK THANK YOU SO MUCH +RES0117-087 NO PROBLEM +RES0118-000 WHAT BRINGS YOU IN HERE TODAY +RES0118-001 HI I'M COMING IN BECAUSE I'VE HAD THIS LIKE ON AND OFF RUNNY NOSE AND STUFFY NOSE FOR THE PAST WEEK AND I JUST CAME TO MAKE SURE IT'S NOT SOMETHING SERIOUS LIKE COVID +RES0118-002 OK NO I COMPLETELY UNDERSTAND WHY YOU MIGHT BE WORRIED WITH EVERYTHING GOING ON SO JUST TO GET AN IDEA OF THE TIMELINE SO WHEN DID THIS START +RES0118-003 SO IT STARTED ABOUT I'D SAY SEVEN DAYS AGO +RES0118-004 SEVEN DAYS AGO OK AND WAS IT JUST A RUNNY NOSE THAT STARTED OR DID YOU HAVE ANY OTHER SYMPTOMS +RES0118-005 SO AT FIRST I FELT KIND OF STUFFY AND THEN NOW IT'S MORE RUNNY AND NO OTHER SYMPTOMS +RES0118-006 AND ARE YOU COUGHING AT ALL +RES0118-007 NO +RES0118-008 ARE YOU BRINGING UP ANY DISCHARGE FROM LIKE YOUR NOSE OR ARE YOU COUGHING ANY MATERIAL UP +RES0118-009 NO NO I MEAN THERE'S SOME DISCHARGE FROM MY NOSE LIKE IT'S RUNNY BUT IT'S IT'S NOT YELLOW OR ANYTHING IT'S CLEAR +RES0118-010 OK AND DO YOU THINK THIS ISSUE HAS GONE WORSE OVER THE LAST SEVEN DAYS OR IS IT IMPROVING AT ALL +RES0118-011 I DON'T THINK IT'S IMPROVING IT'S CHANGED CAUSE IT USED TO BE STUFFY NOW IT'S MORE OF A RUNNY NOSE BUT IT SEEMS TO BE RUNNY LIKE IT'S THE SAME AMOUNT OF RUNNINESS FOR THE PAST COUPLE OF DAYS +RES0118-012 AND ARE YOU HAVING ANY SYMPTOMS OF LOSS OF SMELL AT ALL +RES0118-013 NO NO LOSS OF SMELL +RES0118-014 HOW ABOUT LOSS OF TASTE +RES0118-015 NO +RES0118-016 WERE YOU WITH ANYONE AROUND YOU SICK AT ALL BEFORE THOSE SEVEN DAYS +RES0118-017 I DON'T THINK SO I VISITED MY SISTER AND SHE HAS A NEPHEW WHO GOES TO DAYCARE BUT MY NEPHEW'S BEEN OK NO NO RUNNY NOSE OR STUFFY NOSE +RES0118-018 AND IS IT JUST A CONSTANT ISSUE THAT GOES ON THROUGHOUT THE DAY OR IS IT WORSE AT NIGHT DURING THE DAY HOW WOULD YOU DESCRIBE IT +RES0118-019 IT'S IT'S PRETTY CONSTANT THROUGHOUT THE DAY IT'S JUST IT JUST FEELS BAD AT NIGHT BECAUSE IT MAKES IT HARD FOR ME TO FALL ASLEEP +RES0118-020 OK HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER THAT WOULD HELP +RES0118-021 I TRIED SOME ANTIHISTAMINES BECAUSE I DO HAVE SEASONAL ALLERGIES BUT THEY DON'T SEEM TO BE HELPING +RES0118-022 ANY ANYTHING THAT MAKES YOUR SYMPTOMS WORSE AT ALL LIKE ANY EXERTION OR ANY KIND OF POSITION +RES0118-023 NO +RES0118-024 DO YOU HAVE ANY SHORTNESS OF BREATH OR CHEST PAIN AT ALL +RES0118-025 NO +RES0118-026 ANY SORE THROAT OR MUSCLE ACHES +RES0118-027 NO +RES0118-028 ANY HEADACHES +RES0118-029 NOPE +RES0118-030 HAVE YOU TRAVELED AT ALL RECENTLY +RES0118-031 NO +RES0118-032 HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0118-033 NO +RES0118-034 ANY FEVERS OR CHILLS +RES0118-035 NO +RES0118-036 ANY NIGHT SWEATS OR FATIGUE +RES0118-037 NO +RES0118-038 OK ANY KIND OF SENSATION THAT YOUR HEART IS RACING +RES0118-039 NO NOTHING LIKE THAT +RES0118-040 ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA +RES0118-041 NO +RES0118-042 ANY CHANGES IN YOUR URINARY PATTERN +RES0118-043 NO +RES0118-044 ANY ISSUES WITH YOUR SLEEP OR APPETITE +RES0118-045 NO +RES0118-046 HAVE YOU LOST ANY WEIGHT SIGNIFICANT WEIGHT RECENTLY IN THE LAST FEW MONTHS +RES0118-047 NO +RES0118-048 AND DO YOU HAVE ANY EXPOSURE TO LIKE FUMES DUST OR LIKE CARPET PETS OR ANIMALS ANYTHING THAT YOU MIGHT HAVE AN ALLERGIC REACTION TO +RES0118-049 NO NOTHING LIKE THAT +RES0118-050 OK AND CURRENTLY ARE YOU SEXUALLY ACTIVE +RES0118-051 I AM +RES0118-052 AND CAN YOU JUST TELL ME A LITTLE A LITTLE BIT OF A DETAIL LIKE ABOUT LIKE A PARTNER AND IF YOU'VE HAD ANY NEW PARTNERS RECENTLY AT ALL +RES0118-053 NO I'VE BEEN WITH THE SAME PARTNER FOR THE PAST FIVE YEARS +RES0118-054 OK AND DO YOU HAVE ANY HISTORY OF ANY STI'S +RES0118-055 NO +RES0118-056 OK NICE IN TERMS OF YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY DIAGNOSES OR ANYTHING ANY MEDICAL CONDITIONS AT ALL +RES0118-057 NO NO NOTHING NOTHING LONG STANDING +RES0118-058 ANYTHING YOU TAKE MEDICATIONS +RES0118-059 NO +RES0118-060 ARE YOU ARE YOU ALLERGIC TO ANY MEDICATIONS +RES0118-061 NOT MEDICATIONS +RES0118-062 ANY ENVIRONMENTAL ALLERGIES +RES0118-063 JUST SOME SEASONAL ALLERGIES +RES0118-064 OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +RES0118-065 I WAS HOSPITALIZED FOR LIKE AN APPENDECTOMY WHEN I WAS YOUNGER BUT THAT'S ABOUT IT +RES0118-066 AND WHEN WAS THAT +RES0118-067 THAT WAS WHEN I WAS EIGHTEEN +RES0118-068 AND ANY COMPLICATIONS AFTER THAT +RES0118-069 NO +RES0118-070 AND IN TERMS OF YOUR FAMILY HISTORY DOES ANYONE HAVE ANY LUNG CONDITIONS HEART CONDITIONS OR ANY CANCERS +RES0118-071 NOPE NOTHING LIKE THAT +RES0118-072 AND CURRENTLY DO YOU WORK +RES0118-073 I DO I WORK FROM HOME THOUGH +RES0118-074 OK AND HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW +RES0118-075 I LIVE IN AN APARTMENT WITH MY PARTNER AND WE HAVE A DOG +RES0118-076 AND CURRENTLY DO YOU SMOKE AT ALL +RES0118-077 NO +RES0118-078 DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0118-079 NO +RES0118-080 HOW ABOUT ANY ALCOHOL +RES0118-081 I DRINK LIKE A GLASS OF WINE EVERY OTHER +RES0118-082-1 DAY +RES0118-082-2 OK SO THOSE WERE SOME OF THE QUESTIONS I HAD FOR YOU I KNOW IT'S A BIT CONCERNING BECAUSE OF THE PANDEMIC GOING ON AND A RUNNY NOSE CAN BE A SYMPTOM OF +RES0118-082-3 COVID AS WELL BUT IT CAN ALSO BE A SYMPTOM OF JUST THE COMMON COLD OR ANY OTHER VIRUS +RES0118-082-4 BUT SINCE YOU'RE HAVING YOU'RE SYMPTOMATIC RIGHT NOW WE WILL DEFINITELY GET LIKE A COVID SWAB TEST DONE FOR YOU +RES0118-084-1 AND IF YOU START HAVING ANY JUST MONITOR FOR YOUR SYMPTOMS YOU SHOULD HAVE THE TEST BACK WITHIN FORTY EIGHT HOURS UNTIL THEN +RES0118-084-2 AT LEAST FOR FOURTEEN DAYS YOU SHOULD TRY TO ISOLATE IN YOUR OWN ROOM WEAR A MASK AROUND YOUR PARTNER AND NOT GO OUTSIDE SO JUST SELF ISOLATE +RES0118-086 AND OK AND THEN YOU WILL GET THE TEST RESULTS BACK IN A HOPEFULLY IN A FEW DAYS SO DO YOU HAVE ANY QUESTIONS AT ALL +RES0118-087 NO THANK YOU THAT WAS GOOD +RES0118-088 TAKE CARE BYE +RES0118-089 YOU TOO +RES0121-000 WHAT BRINGS YOU HERE TODAY +RES0121-001 HI I'VE HAD THIS COUGH FOR THE PAST FOUR DAYS AND IT JUST CAN'T IT WON'T GO AWAY SO I WAS JUST WONDERING IF YOU KNOW I CAN GET SOMETHING FOR IT +RES0121-002 OKAY SO SO YOU'VE BEEN HAVING THE COUGH FOR FOUR DAYS CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT LIKE A DRY COUGH OR WET COUGH +RES0121-003 IT'S DRY +RES0121-004 IT'S DRY OKAY ARE YOU COUGHING UP BLOOD AT ALL +RES0121-005 NO NO BLOOD +RES0121-006 OKAY ARE YOU BRINGING UP ANY ALTHOUGH YOU'RE NOT COUGHING ARE YOU BRINGING UP ANY KIND OF SPUTUM +RES0121-007 NO NO IT'S IT'S PRETTY IT'S PRETTY DRY +RES0121-008 OKAY AND ANY OTHER SYMPTOMS AT ALL BESIDES THE COUGH +RES0121-009 NO NOTHING ELSE +RES0121-010 OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS RUNNY NOSE ANY COLD LIKE SYMPTOMS +RES0121-011 YOU KNOW A WEEK BACK I HAD A RUNNY NOSE AND SOMETIMES LIKE A STUFFY NOSE BUT THAT WENT AWAY +RES0121-012 OKAY AND AFTER THAT DID YOU HAVE ANY FEVERS AT ALL +RES0121-013 NO +RES0121-014 OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL LIKE A COUGH LASTING MORE THAN FOUR DAYS +RES0121-015 IT'S HAPPENED TO ME IN THE PAST IT IT HAS BUT IT'S JUST MORE BOTHERSOME THIS TIME CAUSE I'M COUGHING A LOT MORE +RES0121-016 OKAY AND IS THERE ANYTHING THAT YOU'VE TRIED THAT HAS HELPED YOU RELIEVE THE COUGH AT ALL +RES0121-017 I TRIED SOME OVER THE COUNTER COUGH SUPPRESSANTS THEY DON'T SEEM TO BE WORKING TOO WELL +RES0121-018 I SEE AND ANYTHING THAT'S MAKING YOUR COUGH WORSE AT ALL NO +RES0121-020 NO DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE HEADACHE ANYTHING LIKE THAT +RES0121-021 NO NOTHING LIKE THAT +RES0121-022 OKAY HAVE YOU BEEN AROUND ANYONE THAT'S SICK RECENTLY +RES0121-023 NO +RES0121-024 NO HAVE YOU HAD ANY HAVE YOU TRAVELED AT ALL OUTSIDE OF THE PROVINCE OR COUNTRY AT ALL RECENTLY +RES0121-025 NOPE NOT OUTSIDE THE PROVINCE +RES0121-026 OKAY AND OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF KIND OF MUSCLE ACHES OR ANYTHING LIKE THAT +RES0121-027 NO NO MUSCLE ACHES NOTHING ELSE THAT I CAN THINK OF +RES0121-028 OKAY ANY SHORTNESS OF BREATH +RES0121-029 NO NO SHORTNESS OF BREATH +RES0121-030 IS THE COUGH LIKE CONSTANT GOES ON THROUGHOUT THE DAY OR IS THERE A TIME THAT IT'S WORSE +RES0121-031 IT'S PRETTY IT'S PRETTY CONSTANT +RES0121-032 OKAY AND DO YOU HAVE ANY KIND OF INCREASED TIRED LIKE GETTING MORE TIRED OR FATIGUED +RES0121-033 NO +RES0121-034 ANY KIND OF CHEST PAIN OR FEELING THAT YOUR HEART IS RACING +RES0121-035 NO NOTHING LIKE THAT +RES0121-036 OKAY ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA +RES0121-037 NO +RES0121-038 ANY NAUSEA OR VOMITING +RES0121-040 NOTHING LIKE THAT OKAY ANY KIND OF CHANGES IN YOUR SLEEP OR APPETITE +RES0121-041 NO +RES0121-042 AND HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY +RES0121-043 NO +RES0121-044 NO OKAY OTHERWISE ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL +RES0121-045 NO I DON'T I'M I'M OTHERWISE HEALTHY +RES0121-046 OTHERWISE HEALTHY OKAY ANY ALLERGIES TO ANY MEDICATIONS +RES0121-047 NO +RES0121-048 ANY ALLERGIES TO ANY ENVIRONMENTAL OR ANY ENVIRONMENTAL FACTORS +RES0121-049 NO +RES0121-050 ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RELATED TO THE HEART LUNGS ANY CANCERS AT ALL +RES0121-051 NO NOTHING LIKE THAT +RES0121-052 OKAY ALRIGHT ARE YOU SO WHAT WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW +RES0121-053 I LIVE IN AN APARTMENT BY MYSELF I'M A STUDENT +RES0121-054 OKAY AND ARE YOU WORKING AT ALL OR ARE YOU A STUDENT SEEMING +RES0121-055 I WORK PART TIME I WORK AS A BARISTA +RES0121-056 OKAY AND ANYONE ANYONE IN YOUR WORK ENVIRONMENT OR IN YOUR HOME ENVIRONMENT OR AT SCHOOL THAT HAS BEEN SICK AROUND YOU +RES0121-057 NOT THAT I'VE HEARD OF NO +RES0121-058 OKAY AND OTHER THAN THAT DO YOU SMOKE AT ALL +RES0121-059 NO I WELL I USED TO SMOKE BEFORE I STOPPED LAST YEAR +RES0121-060 LAST YEAR OKAY AND HOW LONG DID YOU SMOKE FOR +RES0121-061 I SMOKED JUST A COUPLE LIKE TWO YEARS +RES0121-062 OKAY SO CONGRATULATIONS THAT'S A REALLY GREAT THING TO DO ESPECIALLY LIKE RIGHT NOW WITH THE PANDEMIC GOING ON AND EVERYTHING IT'S EARLIER YOU STOP IT'S REALLY GOOD +RES0121-063 THANK YOU +RES0121-064 BESIDES LIKE SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0121-065 NO +RES0121-066 NO OKAY AND HOW ABOUT ALCOHOL +RES0121-067 NOPE I DON'T DRINK TOO MUCH ALCOHOL I DRINK LIKE OVER THE HOLIDAYS +RES0121-068 OKAY AND I FORGOT TO ASK YOU THIS EARLIER BUT ANY HOSPITALIZATION OR SURGERIES IN THE PAST +RES0121-069 NO NOTHING LIKE THAT +RES0121-070 NOTHING LIKE THAT OKAY THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0121-071 WHAT SHOULD I DO ABOUT THIS COUGH +RES0121-072-1 SO THIS COUGH IT'S BEEN GOING ON FOR THE LAST FOUR DAYS SINCE YOU DO HAVE A COUGH AND RIGHT NOW THAT LIKE IS CONSIDERED A SYMPTOM LIKE LIKE A POTENTIAL SYMPTOM FOR COVID WE DEFINITELY WANT TO DO A COVID SWAB TEST FOR YOU WHICH WILL COME BACK IN TWENTY FOUR HOURS TO FORTY EIGHT HOURS +RES0121-072-2 YOU SHOULD STILL TRY AND ISOLATE AS MUCH AS YOU CAN AWAY FROM ANY ROOMMATES OR FAMILY MEMBERS FOR THE NEXT SO FOURTEEN DAYS SINCE YOU FIRST EXPERIENCED THE THE COUGH +RES0121-073 OKAY +RES0121-074-1 AND BASED ON LIKE PUBLIC HEALTH WILL CALL YOU AS WELL SO YOU CAN FOLLOW THEIR INSTRUCTIONS AND IF IT CAN BE ANYTHING ELSE TOO LIKE WITH A COUGH THERE CAN BE MULTIPLE THINGS GOING ON YOU CAN HAVE LIKE AN UPPER RESPIRATORY VIRAL OR BACTERIAL +RES0121-074-2 INFECTION BUT SINCE YOU'RE NOT HAVING TOO MANY OTHER SYMPTOMS RIGHT NOW IT CAN JUST BE BRONCHITIS THIS IS SOMETHING THAT WE'LL +RES0121-074-3 TRY AND KEEP AN EYE ON AND MAKE SURE IT'S NOTHING ELSE LIKE PNEUMONIA FOR EXAMPLE BUT RIGHT NOW WE'LL GET THAT TESTING DONE AND THEN JUST KIND OF WAIT AND WATCH +RES0121-075 YOU'RE WELCOME +RES0121-076 TAKE CARE +RES0121-077 YOU TOO +RES0122-000 WHAT BRINGS YOU IN TODAY +RES0122-001 SO I I JUST CAME IN BECAUSE I'VE BEEN HAVING FOR THE LAST I WOULD SAY TWO WEEKS JUST A LOT OF CONGESTION IN MY NOSE AND THEN I'VE ALSO BEEN FEELING A LOT OF PRESSURE IN MY HEAD AS WELL AS JUST AROUND MY JAWS AND MY FACE OVERALL +RES0122-002 OKAY AND YOU SAID IT STARTED TWO WEEKS AGO HAS IT GOTTEN BETTER OR WORSE OR BEEN THE SAME SINCE THEN +RES0122-003 I'D SAY IT'S PRETTY MUCH BEEN THE SAME EXCEPT LIKE THE PRESSURE'S GETTING WORSE +RES0122-004 OKAY AND DO YOU FIND THAT THE PRESSURE IS WORSE WHEN YOU'RE BENDING DOWN OR WHEN YOU'RE LIKE SQUATTING OR SITTING DOWN +RES0122-005 WHEN I'M SITTING DOWN I DON'T THINK SO BUT LIKE SOMETIMES I DO FEEL LIKE FOR EXAMPLE WHEN I'M LYING ON ONE SIDE IT GETS REALLY BAD ON THAT ONE SIDE AND I HAVE TO KIND OF SWITCH OVER TO THE OTHER SIDE +RES0122-006 OKAY ALRIGHT AND WHEN DID YOUR HEADACHES START +RES0122-007 IT'S I GUESS IT'S NOT SO MUCH AS A HEADACHE AS JUST KIND OF JUST PAIN IN AND AROUND THE CHEEKS AND JUST GOING UP TO MY HEAD AND IT STARTED ABOUT I WOULD SAY AROUND TWO WEEKS AGO +RES0122-008 AND DO YOU HAVE A STUFFY NOSE +RES0122-009 I DEFINITELY HAVE A STUFFY NOSE AND IT STARTED IT SOMETIMES GETS LIKE LIKE A RUNNY NOSE AS WELL +RES0122-010 OKAY AND WHAT'S THE DISCHARGE LIKE +RES0122-011 IT'S USUALLY CLEAR +RES0122-012 OKAY AND DO YOU HAVE A COUGH +RES0122-013 NO NO COUGHS +RES0122-014 SORE THROAT +RES0122-016 AND DO YOU HAVE ANY DIFFICULTIES BREATHING +RES0122-017 NO NOT THAT I'VE NOTICED SOMETIMES WHEN IT GETS REALLY STUFFY I HAVE TO BREATHE THROUGH MY MOUTH +RES0122-018 I SEE DO YOU HAVE ANY DIFFICULTY SWALLOWING +RES0122-019 NO +RES0122-020 ANY CHEST PAIN OR ANY HEART +RES0122-022 PALPITATIONS NOPE +RES0122-024 ANY PAIN IN YOUR BELLY NO +RES0122-026 NAUSEA OR VOMITING NO CHANGES IN YOUR BOWEL MOVEMENT +RES0122-027 NOPE +RES0122-028 ANY URINARY SYMPTOMS +RES0122-029 NO +RES0122-030 ANY MUSCLE ACHES +RES0122-031 NOPE +RES0122-032 ANY FEVERS OR CHILLS +RES0122-033 NO NOT THAT I'VE NOTICED +RES0122-034 ANY WEIGHT CHANGES IN YOUR WEIGHT RECENTLY +RES0122-035 NO NO CHANGES +RES0122-036 ANY NIGHT SWEATS +RES0122-037 NO +RES0122-038 OKAY ALRIGHT SO HAVE YOU HAD ANY CONTACT WITH ANYONE WHO COULD HAVE BEEN SICK IN THE PAST TWO WEEKS OR BEFORE THAT +RES0122-039 NO NO I'M VERY LIKE CAREFUL I BARELY GO OUT +RES0122-040 GOOD THAT'S VERY GOOD ARE YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +RES0122-041 NO +RES0122-042 OKAY AND DO YOU CURRENTLY WORK +RES0122-043 I WORK FROM HOME RIGHT NOW I'M AN ACCOUNTANT +RES0122-044 OKAY AND DO YOU LIVE WITH ANYONE ELSE OR DO YOU LIVE ALONE +RES0122-045 SO I LIVE WITH MY FAMILY I LIVE WITH MY HUSBAND +RES0122-046 AND TWO DAUGHTERS HAVE ANY OF THEM BEEN SICK RECENTLY +RES0122-047 NO THEY'VE BEEN FINE +RES0122-048 OKAY GOOD AND DO YOU SMOKE +RES0122-049 NO NOT AT ALL +RES0122-050 DO YOU SMOKE MARIJUANA OR CONSUME ANY RECREATIONAL DRUGS +RES0122-051 PROBABLY THE LAST TIME WAS IN COLLEGE FOR MARIJUANA +RES0122-052 I SEE WHAT ABOUT ALCOHOL +RES0122-053 ALCOHOL I'LL PROBABLY HAVE A GLASS OF RED WINE A DAY +RES0122-054 ALRIGHT OKAY AND HAVE YOU DO YOU HAVE ANY I GUESS CARPETS OR OR CURTAINS OR ANY SORT OF ANIMALS AROUND ANYTHING THAT MIGHT CAUSE ANY KIND OF ENVIRONMENTAL ALLERGIES +RES0122-055 NO NOTHING LIKE THAT +RES0122-056 OKAY ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0122-057 NO I'VE BEEN COMPLETELY HEALTHY +RES0122-058 ANY HOSPITALIZATIONS OR SURGERIES +RES0122-059 I DID HAVE A C SECTION WITH BOTH MY BOTH MY CHILDREN +RES0122-060 I SEE ANY COMPLICATIONS AFTER +RES0122-061 NO COMPLICATIONS AFTER THEY WERE BOTH HEALTHY I I DIDN'T HAVE TO STAY IN THE HOSPITAL +RES0122-062 GREAT GREAT AND ANY ALLERGIES TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES +RES0122-063 NOPE NOT THAT I KNOW OF +RES0122-064 ANY MEDICATIONS INCLUDING OVER THE COUNTER HERBAL MEDICATIONS +RES0122-065 I HAVE I DO TAKE TYLENOL COLD IN BED SOMETIMES TO RELIEVE SOME OF THE PAIN AND PRESSURE +RES0122-066 THAT'S GOOD THAT'S GOOD IS THERE ANYTHING ELSE THAT MAKES THE THE PRESSURE AND THE PAIN BETTER +RES0122-067 I HAVE DONE THOSE LIKE KIND OF THOSE STEAM THERAPIES THAT SOMETIMES HELPS +RES0122-068 OKAY GOOD GOOD GOOD ANY ANYTHING THAT MAKES THE THAT MAKES IT WORSE I KNOW THAT LYING ON ONE SIDE YOU SAID MAKES THINGS WORSE FOR YOU ANYTHING ELSE THAT'S MADE THE PRESSURE WORSE +RES0122-069 NO I WOULD SAY THAT'S THAT'S ABOUT IT +RES0122-070 OKAY ANY CHANGES IN YOUR SENSE OF SMELL +RES0122-071 DEFINITELY WHEN I GET REALLY STUFF STUFFY LIKE I DON'T REALLY SMELL ANYTHING +RES0122-072 WHAT ABOUT SENSE OF TASTE +RES0122-073 TASTE I GUESS LIKE WITH THE SMELL GONE SOMETIMES LIKE THE TASTE FEELS WEIRD TOO BUT LIKE NOT NOT REALLY +RES0122-074 I SEE OKAY AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +RES0122-075 MY MY FATHER DID HAVE A HEART ATTACK IN HIS I THINK IT WAS LATE FIFTIES BUT HE'S WELL AND ALIVE RIGHT NOW SO HE'S FINE +RES0122-076-1 GOOD ALRIGHT WELL THAT'S ALL THE QUESTIONS I HAD FOR YOU GIVEN THE SYMPTOMS THAT YOU'VE SHARED WITH ME IT SOUNDS LIKE YOU MIGHT HAVE SOMETHING CALLED RHINOSINUSITIS WHICH IS BASICALLY INFLAMMATION OF THE SINUSES AND +RES0122-076-2 OF THE OF THE NASAL CAVITY OR THE AREA INSIDE YOUR NOSE AND OFTEN IT'S JUST TREATED WITH CONSERVATIVE MANAGEMENT SO JUST CONTINUE TO TAKE +RES0122-076-3 TYLENOL IF THAT SEEMS TO HELP YOU AND DO THE STEAM THERAPY IT WILL TAKE TIME TO GET BETTER BUT IF YOU FEEL THAT IT'S IT'S NOT GETTING BETTER +RES0122-076-4 IN THE NEXT WEEK OR SO GIVE US A CALL AGAIN AND WE CAN MAYBE SEE IF IT'S A BACTERIAL INFECTION AND SEE IF +RES0122-076-5 IF ANTIBIOTICS MIGHT BE NEEDED BUT OFTENTIMES IT'S USUALLY A VIRAL INFECTION AND ANTIBIOTICS ARE NOT NEEDED AND SORT OF JUST RESTING AND TAKING CARE OF YOURSELF AND TRYING TO MANAGE THE SYMPTOMS THAT WAY CAN HELP BUT ALSO CHECK YOUR TEMPERATURE HERE TO SEE IF YOU HAVE ANY +RES0122-076-6 FEVERS AND GO FROM THERE WE'LL ALSO I GUESS WE'LL ALSO DO A COVID SWAB BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SOME OF THOSE SYMPTOMS AND WE'D RECOMMEND THAT YOU QUARANTINE UNTIL AT LEAST SWABS SWAB RESULTS ARE OUT AND THEN PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO +RES0122-079 NO THAT'S ALL THANK YOU SO MUCH +RES0122-080 YOU'RE WELCOME +RES0123-000 WHAT CAN I DO FOR YOU +RES0123-001-1 SO I'VE BEEN JUST OVER THE LAST WEEK I'VE BEEN FEELING PRETTY SICK I HAVE THIS PRETTY BAD HEADACHE THAT STARTED LIKE PROBABLY A WEEK AGO AND THEN FOR THE LAST FEW DAYS I'VE BEEN HAVING THESE CHILLS +RES0123-001-2 AND I DIDN'T GET A CHANCE TO MEASURE MY TEMPERATURE AT ALL BUT THE WORST THING HAS BEEN JUST THESE MUSCLE ACHES ALL OVER MY BODY AND THAT'S BEEN GOING ON FOR THE LAST THREE TO FOUR DAYS +RES0123-002 SORRY TO HEAR THAT YOU'RE FEELING SO HORRIBLE OVER THE PAST WEEK LET'S LET'S TRY TO UNDERSTAND THIS A LITTLE BIT BETTER SO YOU'VE HAD THIS HEADACHE FOR THE PAST WEEK OR SO WHERE EXACTLY IS IT +RES0123-003 IT'S KIND OF JUST ALL ACROSS MY FOREHEAD IT'S BEEN GOING TO THE SIDES LIKE INTO MY TEMPLES AS WELL +RES0123-004 OKAY AND WHAT DOES IT FEEL LIKE HOW WOULD YOU DESCRIBE IT +RES0123-005 IT FEELS LIKE KIND OF LIKE ACHING I I HAVE HAD HEADACHES WITH THROBBING BEFORE BUT IT'S NOT SO MUCH THROBBING IT'S MORE JUST CONSTANT ACHING PAIN +RES0123-006 IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO TEN WITH TEN BEING THE WORST PAIN EVER WHAT NUMBER WOULD YOU GIVE IT +RES0123-007 PROBABLY LIKE A SEVEN +RES0123-008 OH WOW THAT SOUNDS SEVERE HOW LONG HAVE YOU HOW LONG HAS IT BEEN A SEVEN FOR +RES0123-009 IT'S ACTUALLY A BIT BETTER NOW BUT LIKE OVER THE LAST WEEK IT'S BEEN A SEVEN I WOULD SAY NOW IT'S PROBABLY AROUND FIVE +RES0123-010 OKAY ANYTHING THAT MAKES THE HEADACHE BETTER +RES0123-011 I I TAKE LIKE TYLENOL THEN LIKE IT GETS RELIEVED FOR A BIT FOR LIKE A FEW HOURS AND THEN COMES BACK +RES0123-012 ANYTHING THAT YOU FEEL MAKES THE HEADACHES WORSE ANY POSTURES OR POSITIONS OR ACTIVITY OR ANY KIND OF EXPOSURE TO LIGHT OR SOUNDS +RES0123-013 NO IT'S IT'S JUST KIND OF THERE NOTHING MAKES IT WORSE +RES0123-014 DO YOU HAVE NAUSEA OR VOMITING +RES0123-015 NO NO NAUSEA OR VOMITING +RES0123-016 NO ANY SENSITIVITY TO LIGHT OR SOUNDS +RES0123-017 NO +RES0123-018 OKAY AND IS IT ONLY IS IT ONLY ON ONE ON ONE SIDE OF YOUR HEAD OR FOREHEAD OR IS IT ON BOTH SIDES +RES0123-019 IT IT SEEMS LIKE IT'S ON BOTH SIDES +RES0123-020 AND HAVE YOU NOTICED ANY VISUAL CHANGES ANY BLURRY VISION WITH THE HEADACHES +RES0123-021 NO +RES0123-022 ANY OTHER VISUAL CHANGES NO OKAY AND YOU'VE ALSO HAD CHILLS BUT YOU SAID YOU HAVEN'T CHECKED YOUR TEMPERATURE RIGHT +RES0123-023 NO I HAVEN'T I'VE BEEN HAVING CHILLS FOR THE LAST FEW NIGHTS +RES0123-024 WE CAN DEFINITELY CHECK YOUR TEMPERATURE HERE IN THE HERE AND YOU MENTIONED THAT THE MUSCLE ACHES HAVE BEEN QUITE BOTHERSOME FOR YOU IS IT ALL OVER YOUR BODY OR ANYONE IN ANY ONE MUSCLE GROUP +RES0123-025 IT SEEMS LIKE IT'S ALL OVER +RES0123-026 OKAY OKAY AND I'LL ASK YOU ABOUT A COUPLE OTHER SYMPTOMS JUST TO RULE OUT ANY OTHER ISSUES THAT YOU MIGHT BE HAVING SO HAVE YOU NOTICED THAT YOU'VE BEEN CONFUSED AT ALL OVER THE PAST FEW DAYS +RES0123-027 NO I DON'T THINK SO +RES0123-028 HAVE YOU HAD ANY LIKE STIFFNESS OR RIGIDITY IN YOUR NECK +RES0123-029 MAYBE A LITTLE BIT OF A STIFFNESS IN IN MY NECK +RES0123-031 THEN LIKE I I DON'T KNOW IF THAT'S JUST THE MUSCLE PAIN IT'S LIKE KIND OF ON MY UPPER BACK LOWER NECK AREA +RES0123-032 WE CAN DEFINITELY EXAMINE THAT WHEN I'M DOING PHYSICAL EXAMINE AND AND SEE HOW THAT IS OKAY AND HAVE YOU HAD ANY +RES0123-035 HEADACHES COME AND GO OR IS IT ALWAYS THERE THEY'RE PRETTY MUCH LIKE CONSTANT THROUGHOUT THE DAY +RES0123-036 AND DO YOU HAVE A RUNNY NOSE OR STUFFY NOSE +RES0123-037 NO NO I DON'T I I THINK I'M KIND OF I'M DEVELOPING A LITTLE COUGH THOUGH +RES0123-038 OKAY WHEN DID THAT START +RES0123-039 PROBABLY JUST YESTERDAY I NOTICED MYSELF COUGHING +RES0123-040 IS IT LIKE A DRY COUGH OR WET COUGH +RES0123-041 A DRY COUGH +RES0123-042 ANY SPUTUM OR ANY BLOOD COME OUT +RES0123-043 NO +RES0123-044 ANY SORE THROAT +RES0123-045 NO +RES0123-046 ANY CHEST PAIN +RES0123-047 NO +RES0123-048 ANY DIFFICULTIES WITH BREATHING +RES0123-050 NO ANY PALPITATIONS OR FEEL LIKE YOUR HEART'S BEATING VERY FAST +RES0123-051 NO +RES0123-052 OKAY ANY BELLY PAIN +RES0123-053 NO +RES0123-054 ANY NAUSEA OR VOMITING +RES0123-055 NOPE +RES0123-056 ANY DIARRHEA OR CONSTIPATION +RES0123-057 NO NOT THAT I'VE NOTICED +RES0123-058 ANY WEAKNESS IN ANY ONE SIDE OF YOUR BODY +RES0123-059 NOPE +RES0123-060 ANY NUMBNESS OR TINGLING +RES0123-061 NOPE +RES0123-062 NO OKAY ANY EXPOSURES TO ANYONE WHO COULD BE SICK +RES0123-063 I HAVEN'T NOTICED BUT I I DO GO TO WORK AND WE RECENTLY SWITCHED TO LIKE IN PERSON INSTEAD OF I I USED TO DO HOME WORK BUT FOR THE LAST MONTH I'VE BEEN GOING INTO THE OFFICE +RES0123-064 I SEE AND HAVE YOU BEEN WEARING A MASK +RES0123-065 WELL I TRY TO WEAR THE MASK SOMETIMES LIKE IN THE IN THE STOCK LIKE LOUNGE WE LIKE TAKE TAKE OFF THE MASK TO EAT AND STUFF BUT THAT'S ABOUT IT +RES0123-066 ARE YOU MAINTAINING SOCIAL DISTANCING WHEN YOU'RE TAKING YOUR MASK OFF +RES0123-067 IT'S MOST OF THE TIMES WE'RE PRETTY SOCIALLY DISTANCED WHEN WE'RE EATING BUT SOMETIMES IT'S LIKE HARD TO CONTROL WHEN YOU KNOW WHEN YOU'RE GOING NEAR THE MICROWAVE TO HEAT UP YOUR FOOD AND SOMETIMES IT GETS HARD IT'S A IT'S A FAIRLY SMALL ROOM SO +RES0123-068-1 YEAH WELL I WOULD I WOULD RECOMMEND THAT YOU TRY TO EAT WHEN PEOPLE ARE NOT IN THE ROOM IF POSSIBLE BECAUSE YOU ARE PUTTING YOURSELF AT RISK LIKE IF IT'S A SMALL ROOM I THINK +RES0123-068-2 YOU SHOULD ALSO TALK TO MANAGEMENT OR TRY TO LIMIT THE NUMBER OF PEOPLE WHO CAN BE IN THE ROOM AT A TIME FOR YOUR OWN SAFETY YOU KNOW AND FOR THE SAFETY OF OTHERS WORKING WITH YOU OKAY AND HAVE YOU TRAVELED ANY +RES0123-073 ANYONE WHO IS SICK NO THEY'VE BEEN COMPLETELY FINE MY DAUGHTER IS LIKE IS DOING SCHOOL FROM HOME RIGHT NOW SO SHE'S NOT REALLY SEEING ANYONE +RES0123-074 OKAY THAT'S GOOD AND DO YOU CURRENTLY SMOKE +RES0123-075 I DO I DO SMOKE PROBABLY HALF A PACK A DAY +RES0123-076 FOR HOW LONG +RES0123-077 FOR PROBABLY THE LAST TWENTY YEARS +RES0123-078 OKAY AND DO YOU CONSUME MARIJUANA +RES0123-079 JUST MAYBE ONCE OR TWICE A MONTH +RES0123-081 OK JUST SOMETIMES IT HELPS ME SLEEP SOMETIMES +RES0123-082 SURE DO YOU TAKE ANY RECREATIONAL DRUGS LIKE COCAINE AMPHETAMINE LSD ECSTASY ETC +RES0123-083 NO NOTHING LIKE THAT +RES0123-084 ANY ALCOHOL +RES0123-085 I DRINK PROBABLY A BEER OR TWO EVERY COUPLE DAYS +RES0123-086 ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0123-087 SO I DO THEY'RE SAYING I MIGHT HAVE HIGH BLOOD PRESSURE THEY LIKE IT IT'S STILL ONGOING THEY'RE TESTING TESTING ME FOR THINGS +RES0123-088 SURE AND HAVE YOU TAKEN ANY MEDICATIONS FOR IT +RES0123-089 NO NOT YET I HAVEN'T BEEN PUT ON ANY MEDICATIONS +RES0123-090 HAVE YOU DO YOU TAKE ANYTHING OVER THE COUNTER ANY HERBAL PILLS VITAMINS MINERALS ETC +RES0123-091 NO +RES0123-092 OKAY AND DO YOU HAVE ANY ALLERGIES +RES0123-093 NO ALLERGIES +RES0123-094 OKAY GOOD AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR ANY HOSPITALIZATIONS +RES0123-095 I WAS PRETTY YOUNG I HAD MY TONSILS REMOVED BUT OTHER THAN THAT NO NO OTHER SURGERIES OR HOSPITALIZATIONS +RES0123-096 GOOD ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +RES0123-097 SO I THINK MY MOTHER SHE SHE HAS +RES0123-099 LIKE TYPE TWO DIABETES OK AND MY FATHER +RES0123-101 PAST SOMETIMES I WHEN I'M LIKE STRESSED AT WORK AND LIKE I IT'S NOT LIKE ANYTHING REGULAR THAT HAPPENS TO ME I PROBABLY HAVE HAD MIGRAINES IN THE PAST +RES0123-102 OKAY OKAY AND HAVE YOU EVER BEEN DIAGNOSED WITH ASTHMA OR WITH COPD +RES0123-103 NO +RES0123-104 OKAY ALRIGHT SO IT SOUNDS LIKE YOU'VE HAD A HEADACHE FOR THE PAST WEEK WHICH HAS BEEN KIND OF CONSTANT ABOUT SEVEN OUT OF TEN AND THEN YOU'VE ALSO DEVELOPED A FEVER BUT YOU HAVEN'T OR I GUESS YOU'VE BEEN FEELING YOU'VE BEEN HAVING CHILLS AND WE CAN MEASURE TEMPERATURE HERE AND YOU ALSO HAD A COUGH THAT STARTED YESTERDAY WHAT ABOUT SENSE OF TASTE HAVE YOU NOTICED ANY CHANGES THERE +RES0123-105 NO NOT THAT I'VE REALLY NOTICED +RES0123-106 WHAT ABOUT YOUR SENSE OF SMELL +RES0123-107 MY SMELL I DON'T THINK SO BUT LIKE SOMETIMES I DO FEEL A BIT LIKE STUFFY AS WELL LIKE NOT NOT RIGHT NOW BUT BEFORE WHEN I FELT STUFFY I LOST MY SENSE OF SMELL +RES0123-108 SURE OKAY OKAY WELL THAT'S ALL THE QUESTIONS I HAVE FOR YOU WE'LL DO A PHYSICAL EXAM GET A CHEST X RAY DONE ALSO EXAMINE YOUR NECK AS WELL A LITTLE BIT JUST TO MAKE SURE THERE'S NO STIFFNESS OR RIGIDITY HAVE A LOOK INSIDE YOUR MOUTH LISTEN TO YOUR CHEST +RES0123-109 OKAY +RES0123-110-1 WE WILL ALSO GET A COVID SWAB DONE SIMPLY BECAUSE YOUR SYMPTOMS SOUND VERY SIMILAR TO OR I GUESS A LOT OF THESE SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVID SO WE'LL DO THAT AND I WOULD REQUIRE WOULD REQUEST THAT YOU +RES0123-110-2 CONTINUE TO STAY AT HOME IF YOU HAVEN'T BEEN DOING SO SO FAR TAKE A LEAVE FROM WORK TRY TO DO WORK FROM HOME +RES0123-110-3 AND QUARANTINE AT HOME AS MUCH AS POSSIBLE AND STAY AWAY FROM YOUR WIFE AND YOUR DAUGHTER AS WELL AT LEAST UNTIL THE SWAB IS BACK AND YOU GET SOME MORE GUIDANCE FROM PUBLIC HEALTH IF IT IS POSITIVE THEY WILL GIVE YOU A CALL THERE ARE LOTS OF GUIDELINES ON HOW TO SELF ISOLATE AND I I CAN SHARE THAT WITH YOU +RES0123-110-4 IT'S BEST THAT YOU DO THAT FOR NOW WE WILL RUN A COUPLE OF TESTS DO LABS AND BASED ON THOSE RESULTS WE'LL DECIDE IF YOU NEED TO STAY IN THE ER OR IF WE CAN IF YOU CAN BE DISCHARGED LATER TODAY DO YOU HAVE ANY QUESTIONS FOR ME +RES0123-111 NO THAT THAT ALL SOUNDS GREAT THANKS FOR EXPLAINING IT TO ME +RES0123-112 YOU'RE WELCOME +RES0123-113 OKAY +RES0124-000 WHAT BRINGS YOU IN TODAY +RES0124-001 HI I JUST CAME IN HERE TODAY CAUSE LATELY FOR THE LAST COUPLE OF MONTHS I'VE BEEN GETTING THESE COUGHING FITS THEY DON'T REALLY SEEM TO BE GOING AWAY AND I WAS A BIT CONCERNED +RES0124-002 SO YOU'VE HAD THIS WHEN DID THIS START +RES0124-003 I WOULD SAY PROBABLY DURING THE WINTER IT IT KIND OF STARTED WHERE I STARTED HAVING JUST COUGHING FITS WHEN I'M WALKING TO SCHOOL AND THEN ALSO DURING LIKE GYM CLASS I STARTED HAVING THESE COUGHING FITS AND SOMETIMES I ALSO FELT LIKE I COULDN'T BREATHE +RES0124-004 OKAY OKAY WHAT DID YOU IS THERE ANYTHING SO IT'S BASICALLY WORSE WHEN YOU'RE DOING SOME SORT OF AN EXERCISE SUCH AS WALKING OR BEING IN THE GYM CLASS AND IT'S ALSO WORSE IN THE COLD +RES0124-005 AND THEN ALSO LIKE I REMEMBER WHEN I WAS WALKING DOWN THE STREET AND SOMEONE WAS SMOKING AND THEN I JUST COMPLETELY JUST STARTED HAVING THAT EPISODE RIGHT AFTER I WALKED PAST THEM +RES0124-006 OKAY ALRIGHT OKAY SORRY ONE MOMENT OKAY SO IS THERE ANYTHING THAT MAKES YOUR COUGH BETTER WHAT DO YOU DO TO MAKE IT GO AWAY +RES0124-007 I JUST BASICALLY HAVE TO IF I IF I'M DOING ANY KIND OF ACTIVITIES JUST TAKE A MOMENT SIT DOWN FOR LIKE TEN TO FIFTEEN MINUTES AND THEN IT SEEMS LIKE IT GOES AWAY ON ITS OWN +RES0124-008 AND YOU SAID THAT SOMETIMES YOU ALSO HAVE DIFFICULTIES BREATHING WITH IT +RES0124-009 LIKE A COUPLE OF TIMES IT GOT REALLY BAD WHERE I HAD TO LIKE IT WAS DIFFICULT GET IT WAS IT WAS LIKE I WAS TRYING TO TAKE DEEP BREATHS FOR AIR BUT IT WAS IT JUST FELT LIKE I COULDN'T +RES0124-010 I SEE SO THIS STARTED A COUPLE OF MONTHS AGO HAS THIS EVER HAPPENED TO YOU BEFORE THAT +RES0124-011 NO BEFORE THAT I'VE BEEN FINE +RES0124-012 OKAY AND SO I'M GOING TO ASK YOU ABOUT A COUPLE OTHER SYMPTOMS LET ME KNOW IF YOU'VE EXPERIENCED ANY OF THESE IN THE PAST COUPLE OF MONTHS SO HAVE YOU HAD A HEADACHE THAT ACCOMPANIES THE COUGH +RES0124-013 NO +RES0124-014 ANY CHANGES IN YOUR VISION OR YOUR HEARING +RES0124-015 NO +RES0124-016 ANY CONFUSION +RES0124-017 NO +RES0124-018 ANY RUNNY NOSE OR STUFFY NOSE OR SINUS CONGESTION +RES0124-019 NO NOT REALLY +RES0124-020 OKAY ANY SORE THROAT +RES0124-021 NO +RES0124-022 ANY CHEST PAIN +RES0124-023 SOMETIMES WHEN I GET LIKE REALLY BAD COUGHING FITS LIKE IT SOMETIMES STARTS HURTING IN MY CHEST AS WELL +RES0124-024 DOES IT GO AWAY WHEN YOU STOP COUGHING +RES0124-025 IT GOES AWAY AFTER I JUST TAKE SOME REST +RES0124-026 HAVE YOU HAD ANY BELLY PAIN +RES0124-027 NO NOT AT ALL +RES0124-028 DO YOU FEEL LIKE YOUR HEART'S RACING +RES0124-030 NO ANY CHANGES IN YOUR ANY NAUSEA OR VOMITING +RES0124-031 NO +RES0124-032 ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0124-034 NO ANY ACID REFLUX +RES0124-035 NO +RES0124-036 OKAY AND ANY CERTAIN MUSCLE ACHES OR JOINT PAINS +RES0124-037 NO NOTHING LIKE THAT +RES0124-038 ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS +RES0124-039 NO +RES0124-040 OKAY LET'S GET BACK OKAY GREAT IT SOUNDS LIKE THAT THE THE COUGH IS SORT OF THE MAIN SYMPTOM HERE THAT YOU HAVE IS THE COUGH DRY OR WET +RES0124-041 IT'S USUALLY IT'S USUALLY DRY +RES0124-042 SORRY CAN YOU SAY THAT AGAIN +RES0124-043 IT'S USUALLY DRY +RES0124-044 OKAY HAVE YOU EVER BROUGHT UP ANY SPUTUM OR ANY BLOOD +RES0124-045 NEVER ANY BLOOD I HAVE LIKE ON OCCASION LIKE SOMETIMES BROUGHT UP SOME SPUTUM +RES0124-046 OKAY ALRIGHT OKAY AND HAVE YOU BEEN VACCINATED +RES0124-047 ALL MY IMMUNIZATIONS ARE UP TO DATE +RES0124-048 OKAY GOOD GOOD GOOD DOES THE COUGH SOUND LIKE A BARKY COUGH OR A MUFFLED COUGH OR DOES IT HAVE A SPECIFIC CHARACTERISTIC DOES IT SOUND DIFFERENT THAN WHEN YOU'RE SORT OF COUGHING TO CLEAR YOUR THROAT FOR INSTANCE +RES0124-049 IT'S LIKE PRETTY IT CAN GET PRETTY HARSH I ALSO NOTICED LIKE THERE'S LIKE THIS WEIRD NOISE I STARTED MAKING LIKE RIGHT AFTER WHEN I'M TRYING TO TAKE DEEP BREATHS IN +RES0124-050 OKAY OKAY OKAY SO YOU'RE WHEEZING OKAY DO YOU EVER COUGH SO MUCH THAT YOU END UP VOMITING +RES0124-051 NO NO THAT HASN'T HAPPEN YET +RES0124-052-1 +RES0124-052-2 AND DO YOU SO YOU MENTIONED THAT IT'S WORSE WHEN YOU'RE IN THE COLD OR EXERCISING AND SMOKING MAKES IT WORSE WHAT ABOUT THINGS LIKE DUST OR POLLEN +RES0124-052-3 SAY WHEN YOU'RE CLEANING THE HOUSE AND THERE'S ALSO DUST DOES THAT MAKE THINGS WORSE OR IS IT WORSE IN A SPECIFIC TIME OF THE YEAR WHEN YOU'RE OUTDOORS +RES0124-053 NOW THAT YOU MENTION IT LIKE IF WE'RE EVER IN THE BASEMENT OR ANYTHING LIKE THAT I I DO START GETTING LIKE KIND OF IRRITATION IN MY THROAT AND THAT KIND OF SOMETIMES I HAVE ALSO COUGHED AT THOSE TIMES +RES0124-054 ALRIGHT CAN YOU TELL ME OKAY SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN +RES0124-055 DIAGNOSED WITH NO NOTHING ELSE +RES0124-056 I'VE BEEN PRETTY HEALTHY OKAY HAD DID WHEN YOU WERE A CHILD DID YOU HAVE ANY SORT OF RASH +RES0124-057 DID YOU HAVE ECZEMA OH I SO I DID I AT ONE POINT I WAS USING LIKE THIS CREAM +RES0124-058-1 PROBABLY WHEN I WAS TEN JUST FOR SOME ECZEMA ON MY HANDS +RES0124-058-2 OKAY AND HAVE YOU EVER HAD ALLERGIC RHINITIS WHICH IS BASICALLY SORT OF HAVING RED OR TEARY EYES ITCHINESS ON THE FACE A RUNNY NOSE AT CERTAIN TIMES OF THE YEAR +RES0124-058-3 OR IN AREAS WITH MOLD OR DUST OR TERMITES AND THINGS LIKE THAT HAVE YOU HAD ANYTHING LIKE THAT AS A CHILD OR RIGHT NOW +RES0124-059 NOT THAT I KNOW OF NO +RES0124-060 OKAY ALRIGHT DO YOU HAVE ANY I GUESS GOING BACK WERE YOU A HEALTHY CHILD GROWING UP +RES0124-061 AS FAR AS I KNOW I I DIDN'T REALLY HAVE ANY CONCERNS FROM LIKE THE SCHOOL OR HOME AT ALL +RES0124-062 OKAY THAT'S GREAT DO YOU DID YOU EVER HAVE ANY HOSPITALIZATIONS +RES0124-063 NO +RES0124-064 ANY SURGERIES +RES0124-065 NO +RES0124-066 ARE YOU TAKING ANY MEDICATIONS +RES0124-067 NO MEDICATIONS +RES0124-068 ARE YOU STILL USING THE ECZEMA CREAM +RES0124-069 NO NO THAT KIND OF JUST WENT AWAY ON ITS OWN OR LIKE RIGHT AFTER I USED THE CREAM LIKE IT'S GOOD NOW +RES0124-070 OKAY GOOD ARE YOU ALLERGIC TO ANYTHING +RES0124-071 NO I DON'T THINK SO MAYBE JUST LIKE ENVIRONMENTAL ALLERGIES SOMETIMES IN THE SPRINGTIME +RES0124-072 WHAT HAPPENS THEN +RES0124-073 JUST SOMETIMES LIKE I DON'T KNOW IF IT'S LIKE A POLLEN ALLERGY LIKE I I DO GET SOME I GUESS I DO GET LIKE SOME NASAL CONGESTION AND THINGS LIKE THAT +RES0124-074 HAVE YOU EVER SEEN AN ALLERGIST +RES0124-075 NO I HAVEN'T +RES0124-076 NO WHO PRESCRIBED THE CREAM FOR THE ECZEMA +RES0124-077 JUST A IT WAS LIKE AT A WALK IN CLINIC +RES0124-078 OKAY OKAY ALRIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG RELATED PROBLEMS OR ANY OTHER PROBLEMS +RES0124-079 MY OLDER SISTER HAS ASTHMA AND I DON'T KNOW IF ANYONE ELSE IN THE FAMILY HAS ASTHMA I THINK MY FATHER HAS HIGH BLOOD PRESSURE +RES0124-080 ALRIGHT AND YOU MENTIONED THAT THINGS ARE GOING WELL AT SCHOOL WHO DO YOU LIVE WITH AT HOME +RES0124-081 SO I LIVE WITH MY OLDER SISTER AND MY MOM AND DAD +RES0124-082 OKAY OKAY AND THINGS ARE GOOD AT HOME DO YOU FEEL SAFE +RES0124-083 I FEEL COMPLETELY SAFE +RES0124-084 ANY CONCERNS ABOUT BULLYING AT SCHOOL +RES0124-085 NO NO NOT AT ALL +RES0124-086 OKAY ARE YOU ARE YOU TAKING ANY MARIJUANA OR ANY STREET DRUGS +RES0124-087 NO NO MY PARENTS WOULD KILL ME +RES0124-088 WHAT ABOUT ALCOHOL +RES0124-089 I'LL COME I'VE I HAVEN'T TRIED IT YET AT ALL +RES0124-090 OKAY OKAY JUST WANTED TO MENTION THAT THE CONVERSATION THAT WE'RE HAVING RIGHT NOW IS CONFIDENTIAL BETWEEN YOU AND ME UNLESS YOU MENTIONED ANYTHING THAT HARMS YOU OR HARMS ANYONE ELSE SO SO FEEL FREE TO DISCUSS WHATEVER OR TALK OPENLY ABOUT ANY ISSUES THAT YOU HAVE OKAY AND +RES0124-092-1 ARE YOU SEXUALLY ACTIVE +RES0124-092-2 NO NO +RES0124-092-3 ALRIGHT OKAY SO THAT'S ALL THE INFORMATION I NEEDED GIVEN THAT YOU'VE HAD THESE COUGHING FITS FOR THE PAST COUPLE OF MONTHS +RES0124-092-4 THAT ARE THAT HAVE CERTAIN TRIGGERS AND ALSO GIVEN THAT YOU'VE HAD A HISTORY OF ECZEMA AND YOUR SISTER HAS ASTHMA SO KIND OF SORT OF RUNS IN YOUR FAMILY IN A WAY +RES0124-092-5 YOU MIGHT ALSO HAVE A DIAGNOSIS OF ASTHMA POTENTIALLY AND SO WHAT I WOULD RECOMMEND IS THAT YOU GET TESTING DONE AND +RES0124-092-6 I GUESS BEFORE BEFORE I SORT OF TALK A LITTLE MORE ABOUT THIS I JUST WANT TO GET A SENSE OF HOW SEVERE YOUR ASTHMA IF IT'S ASTHMA AT ALL IF DOES IT DOES IT AFFECT YOUR ABILITY TO YOU SAID SCHOOL WAS GOING OKAY DOES IT AFFECT YOUR ABILITY TO DO WELL AT SCHOOL AT ALL +RES0124-093 DEFINITELY IN IN GYM CLASS BUT OTHER THAN THAT IT HASN'T REALLY AFFECTED ME +RES0124-094 DOES IT WAKE YOU UP AT NIGHT +RES0124-095 NO SO FAR NO I I LIKE I GET PRETTY GOOD SLEEP +RES0124-096 OKAY OKAY AND HOW OFTEN I GUESS IS DO THESE EPISODES OCCUR HOW MANY TIMES A WEEK OR HOW MANY TIMES A MONTH +RES0124-097 SO THEY JUST STARTED LIKE TWO MONTHS AGO AND I'VE HAD LIKE MAYBE FOUR OR FIVE OF THEM IN TOTAL +RES0124-098 OKAY OKAY AND THEY KIND OF GET BETTER ON THEIR OWN OKAY SO WE CAN SORT OF TALK ABOUT THESE SORRY PUFFERS THAT YOU MIGHT NEED TO TO USE AS NEEDED YOUR SISTER MIGHT HAVE SOME OF THOSE SO YOU MIGHT BE FAMILIAR WITH WHAT I'M TALKING ABOUT +RES0124-099-1 SO WE CAN TALK ABOUT THAT GIVEN THAT YOUR SYMPTOMS ARE YES THEY'VE BEEN OCCURRING FOR THE PAST COUPLE OF MONTHS BUT BECAUSE YOU HAVE HAD A COUGH IT MIGHT BE A GOOD IDEA JUST TO HAVE A COVID TEST DONE ONCE +RES0124-099-2 I DON'T THINK THAT'S WHAT YOU HAVE SEEING THAT THIS THESE SYMPTOMS HAVE BEEN LASTING FOR HAVE BEEN OCCURRING FOR THE PAST TWO MONTHS SO WE'LL JUST KIND OF DO THAT TEST TO RULE IT OUT +RES0124-099-3 IN THE MEANTIME I WOULD RECOMMEND THAT YOU TRY THIS INHALED CORTICOSTEROID PUFFER +RES0124-099-4 THAT YOU CAN USE THAT YOU SHOULD USE ON A DAILY BASIS AND TRY TO AVOID THE TRIGGERS SO THE THINGS THAT YOU THAT CAUSE THESE SYMPTOMS +RES0124-099-5 WE CAN GO OVER HOW TO USE A PUFFER PROPERLY AND I WILL ALSO GIVE YOU A SPACER WHICH WILL HELP DELIVER MOST OF THAT MEDICATION IN THE TO YOUR LUNGS DO YOU HAVE ANY QUESTIONS +RES0124-100 NO I DON'T HAVE ANY QUESTIONS AT ALL THANK YOU SO MUCH +RES0125-000 WHAT BRINGS YOU IN HERE TODAY +RES0125-001 HI I'M I'M JUST SO I AM HERE BECAUSE I HAVE THIS COUGH THAT I'VE HAD FOR THE PAST WEEK AND A HALF AND I'M JUST I USUALLY DON'T COME IN WITH SYMPTOMS THIS MINOR BUT BECAUSE IT'S BECAUSE WE'RE IN THE MIDDLE OF A PANDEMIC I THOUGHT I SHOULD COME IN AND GET CHECKED OUT +RES0125-002 OKAY SO IT'S BEEN GOING ON FOR LIKE MORE THAN A WEEK CAN YOU DESCRIBE TO ME WHAT KIND OF COUGH YOU'RE HAVING IS IT LIKE A WET COUGH OR A DRY COUGH +RES0125-003 IT'S A DRY COUGH +RES0125-004 OKAY AND HAS IT BEEN GETTING WORSE OVER THE OVER THE TIME PERIOD YOU DESCRIBED +RES0125-005 IT'S KIND OF THE SAME +RES0125-006 IT'S THE SAME HAVE YOU NOTICED ALTHOUGH IT'S LIKE DRY HAVE YOU BROUGHT UP ANY KIND OF SPUTUM OR PHLEGM AT ALL +RES0125-007 NO NOT NOT NOT RECENTLY BUT IN THE FIRST COUPLE OF DAYS THE FIRST TWO THREE DAYS +RES0125-008 OKAY AND HAVE YOU NOTICED ANY KIND OF YELLOWISH TO GREENISH TINGE TO IT +RES0125-009 NO IT WAS WATERY +RES0125-010 WATERY OKAY HAVE YOU NOTICED AT ALL ANY BLOOD HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL NO +RES0125-012 OKAY AND IS YOUR COUGH LIKE CONSTANT OR DOES IT COME AND GO +RES0125-013 KIND OF COMES AND GOES THERE'S JUST TIMES WHEN I'M COUGHING A LOT AND THEN IT JUST GOES AWAY +RES0125-014 OKAY AND IS THERE A PATTERN TO IT LIKE DO YOU COUGH MORE WHEN YOU'RE EXERTING YOURSELF OR ANY TIME A CERTAIN TIME OF THE DAY +RES0125-015 IT'S WORSE WHEN I'M SMOKING +RES0125-016 WHEN YOU'RE SMOKING OKAY AND HOW LONG DO THOSE EPISODES LAST +RES0125-017 COUPLE OF SECONDS MAYBE +RES0125-018 OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL +RES0125-019 I THINK I USUALLY DON'T PAY MUCH ATTENTION TO IT YOU KNOW I THINK MUST HAVE HAPPENED LAST YEAR OR THE YEAR BEFORE IT JUST KIND OF GOES AWAY ON ITS OWN +RES0125-020 OKAY AND IS THERE ANY ANYTHING THAT MAKES IT BETTER OR WORSE +RES0125-021 I I TAKE THIS COUGH SYRUP OVER THE COUNTER SYRUP THAT HELPS +RES0125-022 OKAY AND HAVE YOU FOUND THAT IT'S BEEN HELPING OVER LIKE TO HELP IMPROVE YOUR COUGH OVER THE LAST FEW DAYS +RES0125-023 IT GOES AWAY FOR A COUPLE HOURS AND THEN IT COMES BACK +RES0125-024 I SEE DOES IT KEEP KEEP YOU UP AT NIGHT AT ALL +RES0125-026 NO NO OKAY ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH SORE THROAT RUNNY NOSE ANYTHING LIKE THAT +RES0125-027 I KIND OF HAD THOSE SYMPTOMS IN THOSE FIRST TWO THREE DAYS BUT THEN IT WENT AWAY AND THEN I ONLY HAD THIS COUGH THAT STAYED +RES0125-028 OKAY OKAY AND HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK AROUND YOU AT ALL +RES0125-029 MY DAUGHTER HAD THE SNIFFLES +RES0125-030 WHEN WAS THAT +RES0125-031 LAST TWO WEEKS AGO +RES0125-032 TWO WEEKS AGO OKAY AND HOW IS SHE NOW LIKE DID IT JUST GO AWAY ON ITS OWN OR DID SHE HAVE TO GO TO THE DOCTOR +RES0125-033 NO IT KIND OF WENT AWAY ON ITS OWN +RES0125-034 OKAY HAVE YOU TRAVELED AT ALL RECENTLY OUTSIDE OF THE PROVINCE OR THE COUNTRY +RES0125-035 NO +RES0125-036 NO OKAY AND BESIDES THE COUGH ARE YOU HAVING ANY HEADACHES AT ALL +RES0125-037 NO +RES0125-038 ANY NAUSEA OR VOMITING +RES0125-039 NO +RES0125-040 ANY FEVERS OR CHILLS +RES0125-041 NOT ANYMORE +RES0125-042 NOT ANYMORE WHEN WAS THE LAST TIME THAT YOU HAD FEVERS OR CHILLS +RES0125-043 I THINK I HAD LIKE A VERY IT MUST HAVE BEEN THIRTY SEVEN POINT FOUR IN THE FIRST TWO THREE DAYS BUT IT GOT BETTER REALLY QUICKLY +RES0125-044 OKAY I SEE ANY NIGHT SWEATS +RES0125-045 NO +RES0125-046 NO OKAY ANY DO YOU FEEL TIRED THROUGHOUT THE DAY +RES0125-047 NOT ANYMORE +RES0125-048 NOT ANYMORE OKAY SO ANY KIND OF CHEST PAIN OR SENSATION THAT YOUR HEART IS RACING +RES0125-049 NO +RES0125-050 NO ANY DIZZINESS OR FAINTING SPELL +RES0125-051 NO +RES0125-052 ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL +RES0125-053 NO +RES0125-054 NO SO NO CONSTIPATION DIARRHEA +RES0125-056 ANY CHANGES IN YOUR URINATION +RES0125-057 NO +RES0125-058 NO OKAY HAVE YOU HAD TO MISS WORK AT ALL OR DO YOU CURRENTLY WORK +RES0125-059 BUT I'VE BEEN WORKING FROM HOME +RES0125-060 OKAY +RES0125-061 I DIDN'T HAVE TO MISS WORK SO +RES0125-062 OKAY AND ANY CHANGES IN YOUR SLEEP OR APPETITE +RES0125-063 NO +RES0125-064 OKAY ANY LOSS OF SENSE OF TASTE OR SMELL AT ALL +RES0125-065 INITIALLY I GUESS THE COUGH'S FIRST FEW DAYS MY NOSE WAS A LITTLE STUFFY SO I COULDN'T SMELL VERY WELL BUT SINCE THEN IT'S BEEN FINE +RES0125-066 OKAY BUT NO LOSS OF TASTE +RES0125-067 NO LOSS OF TASTE NO +RES0125-068 OKAY ANY RECENT SIGNIFICANT CHANGES TO YOUR WEIGHT AT ALL OVER THE LAST FEW MONTHS +RES0125-070 OKAY AND ANY EXPOSURE IN YOUR HOME ENVIRONMENT TO DUST FUMES ANY ANIMALS IN THE HOUSEHOLD +RES0125-072 OKAY AND OTHERWISE DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH IN THE PAST +RES0125-073 NO I'M PRETTY HEALTHY +RES0125-074 PRETTY HEALTHY OKAY ANY ALLERGIES EITHER TO MEDICATIONS OR ENVIRONMENTAL +RES0125-075 I'M ALLERGIC +RES0125-076 TO PENICILLIN TO PENICILLIN OKAY AND WHAT KIND OF REACTION DO YOU GET TO PENICILLIN +RES0125-077 I WAS TOLD THAT I GOT A RASH WHEN I WAS A CHILD I DON'T REALLY REMEMBER +RES0125-078 OKAY AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS +RES0125-079 NO +RES0125-080 NO OKAY AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES +RES0125-081 I HAD MY APPENDIX REMOVED ABOUT FIVE YEARS AGO +RES0125-082 FIVE YEARS AGO OKAY ANY COMPLICATIONS AT ALL AFTER THAT +RES0125-083 NO +RES0125-084 OKAY ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS AT ALL +RES0125-085 COLON CANCER +RES0125-086 COLON CANCER +RES0125-087 MY DAD AND MY GRANDFATHER HAD IT +RES0125-088 OKAY AND HAVE YOU HAVE YOU HAD ANY SCOPES DONE RECENTLY AT ALL +RES0125-089 OH I HAD MINE DONE SEVEN YEARS AGO +RES0125-090 SEVEN YEARS AGO OKAY AND WERE THERE ANY FINDINGS AT ALL +RES0125-091 NO +RES0125-092 NO OKAY CURRENTLY SO YOU WORK FROM HOME SO WHAT'S YOUR HOME AND LIVING SITUATION LIKE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE IN LIKE A HOUSE APPARTMENT +RES0125-093 I LIVE IN AN APARTMENT WITH MY WIFE AND MY DAUGHTER +RES0125-094 OKAY AND DO THEY HAVE ANY SYMPTOMS AT ALL OR ARE THEY ARE THEY FINE +RES0125-095 WELL MY DAUGHTER DOESN'T HAVE ANY SYMPTOMS ANYMORE SHE DID AS I MENTIONED HAVE SOME FLU LIKE SYMPTOMS TWO WEEKS AGO MY WIFE'S BEEN HEALTHY +RES0125-096 OKAY AND DOES YOUR DAUGHTER GO TO SCHOOL RIGHT NOW OR IS SHE DOING SCHOOL FROM HOME +RES0125-097 SCHOOL FROM HOME +RES0125-098 SCHOOL FROM HOME OKAY AND DO YOU AT ALL SMOKE SO YOU MENTIONED YOUR SYMPTOMS GET WORSE WITH SMOKING +RES0125-099 HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY +RES0125-100 I DON'T I TRY I'VE BEEN TRYING TO CUT DOWN SO I I SMOKE ABOUT THREE OR FOUR CIGARETTES A WEEK I USED TO SMOKE A LOT MORE BEFORE +RES0125-101 WOW THAT'S REALLY GOOD THAT'S REALLY GREAT PROGRESS IT'S REALLY DIFFICULT TO QUIT BUT IT'S GREAT TO SEE THAT YOU'RE TRYING TO QUIT SO HOW MUCH WOULD YOU SAY YOU USED TO SMOKE +RES0125-102 WELL HALF A PACK HALF A PACK A DAY BUT THEN OVER THE PAST THREE YEARS I'VE BEEN TRYING TO CUT IT DOWN I STARTED SMOKING WHEN I WAS TWENTY SO IT'S BEEN THIRTY YEARS NOW +RES0125-103 OKAY SO THIRTY YEARS OKAY AND ARE YOU JUST ARE YOU USING ANYTHING TO HELP YOU QUIT SMOKING OR ARE YOU DOING IT WITHOUT ANY MEDICATIONS OR LIKE HAVE YOU USED ANYTHING IN THE PAST THAT HAS WORKED FOR YOU +RES0125-104 NO I I WENT TO MY DOC AND HE SAID TO TRY ON MY OWN FIRST AND IF I'M STRUGGLING WITH IT TO COME BACK BUT I'VE BEEN DOING IT VERY GRADUALLY SO IT'S IT'S GOING WELL +RES0125-105 OKAY AND THAT'S REALLY GOOD AND IF YOU AT ALL NEED ANY RESOURCES TO HELP YOU QUIT SMOKING IT'S GREAT THAT YOU'RE DOING REALLY WELL BUT IF YOU NEED TO TALK MORE ABOUT IT OR NEED ANY MORE RESOURCES WE CAN PROVIDE THAT FOR YOU OTHER THAN SMOKING CIGARETTES DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA AT ALL +RES0125-106 NO +RES0125-107 HOW ABOUT ALCOHOL +RES0125-108 I JUST DRINK ON THE WEEKENDS MAYBE A GLASS OR TWO OF WINE +RES0125-109 OKAY AND SO THOSE WERE KIND OF ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0125-110 NO +RES0125-112 I WAS I GUESS I WAS JUST WORRIED ABOUT THE COUGH IT'S JUST I WAS WORRIED THAT IT COULD BE COVID +RES0125-113-1 YEAH SO DEFINITELY RIGHT NOW ANY OF THESE SYMPTOMS LIKE COVID CAN HAVE A LOT OF DIFFERENT SYMPTOMS SO WE SHOULD DEFINITELY MAKE SURE THAT WE TO CHECK IF YOU HAVE COVID OR NOT AND WE'LL GET A COVID SWAB TEST DONE FOR YOU TODAY +RES0125-113-2 AND THE RESULTS WILL COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS AND IN THAT TIME YOU WILL NEED TO ISOLATE EVEN IN YOUR OWN HOME TRY TO WEAR A MASK AROUND YOUR FAMILY MEMBERS +RES0125-113-3 TRYING TO EAT SEPARATELY AND USE ALL THOSE METHODS AND AND THEN AFTER THE TEST COMES BACK YOU MAY YOU'LL BE CONTACTED BY PUBLIC HEALTH IF IT'S POSITIVE AND KIND OF GIVEN MORE INSTRUCTION ON WHAT TO DO +RES0125-113-4 AND IT DOESN'T NECESSARILY HAVE TO BE COVID EITHER IT CAN BE JUST ANOTHER VIRUS LIKE IT CAN BE JUST YOUR COMMON COLD THAT'S BEEN GOING ON SO IT DOES SEEM THAT YOUR SYMPTOMS HAVE GOTTEN BETTER +RES0125-113-5 OFTENTIMES A COUGH CAN BE THE LAST THING TO GO IT CAN TAKE UP TO TWO WEEKS OR MORE FOR THE COUGH TO GET RELIEVED BUT IT SEEMS THAT YOU'RE NOT HAVING ANY SYSTEMIC SYMPTOMS LIKE NO FEVERS OR ANYTHING ELSE RIGHT NOW SO IT'S IT'S THAT'S THAT'S PRETTY GOOD +RES0125-114 GREAT I'M GLAD +RES0125-115 ALRIGHT +RES0125-116 THANK YOU +RES0125-117 YOU'RE WELCOME TAKE CARE +RES0126-000 WHAT BRINGS YOU HERE TODAY +RES0126-001 HI I AM HAVING DIFFICULTIES BREATHING AND I'VE JUST HAD THIS COUGH AND IT'S IT'S BEEN TWO MONTHS NOW +RES0126-002 TWO MONTHS SO DID THE TWO MONTHS OF THE DIFFICULTY BREATHING OR THE COUGH +RES0126-003 TWO MONTHS OF DIFFICULTY BREATHING AND THE COUGH IS GOTTEN WORSE I'VE HAD A COUGH FOR A COUPLE YEARS NOW I'M A SMOKER +RES0126-004 OK AND IS IS THIS COUGH DIFFERENT AT ALL +RES0126-005 IT'S JUST IT JUST DOESN'T GO AWAY +RES0126-006 OK AND WHEN DID THE SHORTNESS OF BREATH START +RES0126-007 ABOUT TWO MONTHS AGO +RES0126-008 OK AND IS IT GETTING WORSE +RES0126-010 OK ARE YOU BRINGING UP ANY SPUTUM AT ALL WITH YOUR COUGH +RES0126-011 I SOMETIMES I DO +RES0126-012 OK AND IS IS THERE ANY COLOR TO IT OR IS IT CLEAR +RES0126-013 IT'S PINK IN COLOR +RES0126-014 IT'S PINK IN COLOR +RES0126-015 OK HAVE YOU COUGHED UP ANY BLOOD AT ALL +RES0126-016 SOMETIMES +RES0126-017 SOMETIMES +RES0126-018 STREAKS OF BLOOD HERE AND THERE +RES0126-019 LITTLE STREAKS OF BLOOD OK AND HAVE YOU EVER COUGHED UP ANY JUST WITHOUT WITHOUT IT BEING IN THE SPUTUM JUST ONTO A TISSUE OR ANYTHING LIKE THAT JUST COUGHING UP ANY BLOOD +RES0126-021 OK SO AN ARE YOUR SYMPTOMS JUST CONSTANT OVER THE LAST TWO MONTHS OR DO THEY COME AND GO +RES0126-022 SHORTNESS OF BREATH JUST KIND OF STAYS +RES0126-023 OK AND IS THERE ANYTHING THAT HELPS WITH YOUR SHORTNESS OF BREATH LIKE TAKING A REST OR ANY POSITIONS IN PARTICULAR +RES0126-024 SOMETIMES RESTING DOES HELP I FIND THAT IT'S WORSE WHEN I'M MOVING AROUND I'M HUFFING AND PUFFING MORE +RES0126-025 AND IS IT WORSE AT ALL WHEN YOU LAY DOWN +RES0126-026 NO +RES0126-027 NO AND DO YOU FIND YOURSELF EVER HAVING TO WAKE UP AT NIGHT AND GASP GASPING FOR AIR +RES0126-028 NO IT HASN'T GOTTEN THAT FAR BUT SEEING HOW BAD IT'S BEEN OVER THE PAST TWO MONTHS AND HOW FAST IS PROGRESSING I WON'T BE SURPRISED IF I CAN'T EVEN SLEEP IT'S BEEN QUITE DIFFICULT I I DON'T EVEN KNOW WHY I WAITED SO LONG I SHOULD HAVE COME IN EARLIER +RES0126-029 WELL I'M GLAD YOU CAME IN TODAY WE CAN DEFINITELY TRY AND HELP YOU WITH WHAT'S GOING ON DO YOU AT ALL USE ANY KIND OF MEDICATIONS TO HELP YOU WITH YOUR SYMPTOMS +RES0126-030 I'VE JUST BEEN USING MY INHALERS A BIT MORE BUT THEY DON'T ALWAYS HELP +RES0126-031 OK AND WHAT ARE YOU USING THE INHALERS FOR +RES0126-032 OH I HAVE COPD +RES0126-033 COPD OK AND WHEN WERE YOU DIAGNOSED +RES0126-034 IT'S BEEN FIFTEEN YEARS NOW +RES0126-035 FIFTEEN YEARS AND DO YOU KNOW THE HOW MANY PUFFERS ARE YOU TAKING +RES0126-036 I'M TAKING I'M TAKING TWO PUFFERS +RES0126-037 OK AND DO YOU HAVE ONE THAT THAT YOU TAKE WHEN YOU WHEN YOU ABSOLUTELY NEED IT +RES0126-038 I DO THAT'S THE ONE THAT I'VE BEEN TRYING TO USE BUT +RES0126-039 HAS IT BEEN LESS EFFECTIVE AT ALL RECENTLY +RES0126-040 IT HASN'T BEEN HELPING THE BLUE ONE I TRIED TO KEEP TAKING THE BLUE ONE AND IT'S JUST YOU KNOW IT'S NOT HELPING +RES0126-041 HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS LIKE RUNNY NOSE ANY COLD LIKE SYMPTOMS +RES0126-042 NO +RES0126-043 NO NOTHING LIKE THAT HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK +RES0126-044 OH NO I'VE BEEN STAYING AT HOME I'VE BEEN VERY CAREFUL THESE DAYS +RES0126-045 FOR SURE ANY SO THIS STARTED TWO MONTHS AGO ARE YOU HAVING SO YOU HAVE NOT TRAVELED THEN I'M ASSUMING +RES0126-046 NO +RES0126-047 OK ARE YOU HAVING ANY KIND OF DIZZINESS OR FAINTING SPELLS +RES0126-048 OH NO NO NO +RES0126-049 NO OK ANY KIND OF SWELLING IN YOUR LEGS OR HANDS THAT YOU'VE NOTICE +RES0126-050 NO +RES0126-051 OK ANY HEADACHES AT ALL +RES0126-052 NO WELL SOMETIMES I DO BUT IT'S NOT BEEN SEVERE IT'S BEEN THERE FOR THE PAST ALWAYS WHEN I'M STRESSED OUT I GET THESE HEADACHES IT'S NOTHING NEW +RES0126-053 OK ANY NAUSEA OR VOMITING +RES0126-055 NO NO ANY DIARRHEA OR CONSTIPATION +RES0126-056 NO +RES0126-057 NO OK ANY FEVERS OR CHILLS RECENTLY +RES0126-058 I HAVE A MILD FEVER IT JUST IT'S BEEN THERE +RES0126-059 WHEN DID YOU NOTICE +RES0126-060 I WAS JUST CHECKING MY TEMPERATURE ABOUT A MONTH AGO AND NOTICED THAT I HAD A FEVER +RES0126-061 OK THIS WAS A MONTH AGO +RES0126-062 HAVE YOU HAD IT RECENTLY AT ALL +RES0126-063 I HAVEN'T CHECKED IT RECENTLY BUT I DO FEEL A LITTLE HOT +RES0126-064 OK ARE YOU GETTING NIGHT SWEATS AT ALL +RES0126-065 SOMETIMES +RES0126-066 SOMETIMES OK AND ARE YOU GETTING ANY KIND OF SIGNIFICANT WEIGHT LOSS +RES0126-067 NO +RES0126-068 NO THEN YOUR WEIGHT'S BEEN FINE +RES0126-069 IT'S BEEN THE SAME ALTHOUGH I HAVE BEEN EATING QUITE A LOT MORE NOW WITH THE PANDEMIC AND BEING HOME YOU KNOW THAT MIGHT BE STILL IN THE SAME +RES0126-070 AND SO ARE YOU HAVING DO YOU FEEL LIKE TIRED THROUGHOUT THE DAY OR INCREASED FATIGUE +RES0126-071 OH MY GOD SO TIRED I CAN YOU KNOW WITH THE DIFFICULTY BREATHING I FEEL LIKE ALL MY ENERGY SPENT JUST TRYING TO TRYING TO GET TO THE BATHROOM +RES0126-072 OK AND HOW IS THERE LIKE HOW MUCH DO YOU WALK OR MOVE AROUND THAT YOU GET SHORT OF BREATH OR ARE YOU SHORT OF BREATH AT REST AS WELL +RES0126-073 I'M SHORT OF BREATH ALL THE TIME IT'S JUST IT'S IT'S WORSE WHEN I AM MOVING +RES0126-074 AND SO YOU'VE BEEN DIAGNOSED WITH COPD HAVE YOU HAD TO USE OXYGEN AT HOME AT ALL +RES0126-075 NO +RES0126-076 NO OK HOW ABOUT HAVE YOU HAD ANY HOSPITALIZATIONS IN THE PAST FOR YOUR COPD +RES0126-077 I HAD A HAD A COUPLE LAST YEAR +RES0126-078 A COUPLE OF HOSPITALIZATIONS +RES0126-079 ABOUT FOUR HOSPITALIZATIONS LAST YEAR +RES0126-080 OH I SEE AND AND DID YOU HAVE TO USE ANY OXYGEN IN THE HOSPITAL +RES0126-081 I DID I DID +RES0126-082 THEY NEVER SENT YOU HOME WITH ANY LIKE OXYGEN TANK OR ANYTHING LIKE THAT OK +RES0126-083 ALTHOUGH THEY TOLD ME MY COPD WAS PRETTY BAD THAT I MIGHT NEED TO GET OXYGEN AT SOME POINT +RES0126-084 I SEE AND HAVE YOU WHEN YOU IN HOSPITAL DID THEY GIVE YOU ANTIBIOTICS OR WHEN YOU WENT HOME +RES0126-085 THEY DID THEY DID +RES0126-086 DID THEY TELL YOU YOU HAD PNEUMONIA AT ALL AT ANY POINT +RES0126-087 I DON'T THINK SO +RES0126-088 NO OK OK ANY ANY CHANGES OR DO YOU GET ANY CHEST PAIN AT ALL +RES0126-089 SOMETIMES WHEN I BREATHE IN VERY DEEP +RES0126-090 I SEE ANY ANY KIND OF SENSATION THAT YOUR HEART IS RACING +RES0126-091 NO +RES0126-092 NO OK ANY KIND OF ISSUES WITH YOUR SLEEP OR APPETITE +RES0126-093 WELL NO NOT REALLY IT'S JUST THE DIFFICULTY BREATHING SOMETIMES IT'S BEEN HARD TO SLEEP +RES0126-094 OK ANY ANY EXPOSURE TO ANY FUMES OR ALLERGENS IN YOUR HOUSEHOLD ANY ANIMALS PETS +RES0126-095 NO +RES0126-096 OK AND OTHER THAN COPD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0126-097 NO I'M PRETTY HEALTHY OTHERWISE +RES0126-098 OK DO YOU HAVE ANY ALLERGIES AT ALL TO MEDICATIONS OR ENVIRONMENTAL ALLERGIES +RES0126-099 I'M ALLERGIC TO CATS +RES0126-100 TO CATS OK DO YOU HAVE A CAT +RES0126-101 NO +RES0126-102 NO OK HAVE YOU BEEN AROUND ANY CATS RECENTLY +RES0126-103 NOPE +RES0126-104 NO OK ARE YOU ON ANY MEDICATIONS BESIDES THE PUFFERS +RES0126-105 NOPE +RES0126-106 OK AND SO YOU USE THE VENTOLIN AND THEN WHAT'S THE OTHER PUFFER THAT YOU USE +RES0126-107 I DON'T REMEMBER THE NAME +RES0126-108 DO YOU KNOW THE COLOR AT ALL +RES0126-109 IT'S ORANGE +RES0126-110 ORANGE OK SO YOU'VE HAD FOUR HOSPITALIZATIONS IN THE PAST YEAR ANY SURGERIES IN THE PAST +RES0126-111 I HAD A KNEE REPLACEMENT ON MY RIGHT SIDE +RES0126-112 OK AND WHEN WAS THAT +RES0126-113 TEN YEARS AGO +RES0126-114 OK DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS +RES0126-115 MY DAD HAD COPD AS WELL +RES0126-116 OK AND ANY LUNG CANCERS IN THE FAMILY +RES0126-117 NO +RES0126-118 NO SO CURRENTLY DO YOU WORK AT ALL +RES0126-119 I'M RETIRED +RES0126-120 OK AND WHAT DID YOU DO BEFORE YOU RETIRED +RES0126-121 I WAS I WAS A MECHANIC AT CHRYSLER'S +RES0126-122 OK AND DURING YOUR WORK WERE YOU EVER EXPOSED TO ANY CHEMICALS OR ANY KIND OF IN YOUR WORKPLACE OR HOME EXPOSED TO ANY ASBESTOS OR ANYTHING LIKE THAT +RES0126-123 NOT THAT I'M AWARE OF +RES0126-124 OK AND HOW LONG HAVE YOU BEEN SMOKING FOR +RES0126-125 OH I WAS A TEENAGER WHEN I STARTED +RES0126-126 OK AND HOW MUCH DO YOU SMOKE ON A ON A DAILY BASIS +RES0126-127 I SMOKE I SMOKE A PACK A DAY +RES0126-128 OK HAVE YOU AT ALL TRIED TO QUIT BEFORE +RES0126-129 I CAN'T QUIT IT'S NOT GONNA HAPPEN A LOT OF PEOPLE HAVE TOLD ME TRY TO QUIT BUT I I JUST CAN'T LIVE WITHOUT IT AND I'M SEVENTY FIVE NOW YOU KNOW LIKE I'M NOT GONNA LIVE A LOT LONGER ANYWAY +RES0126-130-1 YEAH BUT ALSO EVEN IF YOU TRY TO CUT DOWN SOME OF YOUR SYMPTOMS MIGHT GET BETTER LIKE EVEN THOUGH YOU'RE SEVENTY FIVE YOU CAN DEFINITELY HAVE IMPROVEMENT IN SOME OF YOUR SYMPTOMS THAT YOU'RE HAVING +RES0126-130-2 LIKE THE SHORTNESS OF BREATH AND COUGHING SO IF AT ALL THAT YOU YOU WANT TO CONSIDER CUTTING DOWN AND GRADUALLY WE CAN TALK ABOUT THAT MORE AS WELL +RES0126-132 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0126-133 NO +RES0126-134 DO YOU DRINK +RES0126-135 NO +RES0126-136 NO OK SO THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR ME +RES0126-137 NO I JUST I GUESS I NEED TO BE ADMITTED RIGHT JUST LIKE THOSE OTHER COPD EXACERBATIONS I'M THINKING THIS IS EXACTLY THAT AND I'LL HAVE TO STAY IN THE HOSPITAL RIGHT FOR A COUPLE OF DAYS +RES0126-138-1 SO WE DEFINITELY BEFORE DECIDING ON WHETHER OR NOT YOU SHOULD BE ADMITTED SINCE YOU SAID THE VENTOLIN IS NOT WORKING FOR YOU WE WILL DEFINITELY GIVE YOU SOME SOME VENTILATION AND PERHAPS STEROID FOR JUST TO GET RID OF SOME OF YOUR SYMPTOMS RIGHT NOW +RES0126-138-2 AND WE WANT TO ALSO MAKE SURE SINCE YOU'RE HAVING LIKE COUGH AS WELL AS SHORTNESS OF BREATH TO DO A COVID SWAB ON YOU JUST IN CASE I KNOW YOU'VE BEEN LIKE ISOLATING AND EVERYTHING BUT JUST IN CASE I WILL DO THAT AND +RES0126-138-3 WE'LL GET LIKE A CHEST X RAY ON YOU AS WELL JUST TO SEE IF THERE'S ANY KIND OF PNEUMONIA GOING ON AND THEN FROM THERE WE'LL ALSO GET YOUR BLOOD WORK AND THEN FROM THERE WE'LL SEE WHETHER OR NOT YOU WILL REQUIRE ANOTHER ADMISSION +RES0126-139 SURE +RES0126-140 OK AND THERE YOU MIGHT I'M NOT ONE HUNDRED PERCENT SURE BUT YOU MIGHT REQUIRE HOME OXYGEN IF LIKE WE TAKE YOUR VITALS AND EVERYTHING AND YOUR OXYGENATION IS VERY LOW HAVE YOU HAVE YOU BEEN TALKED ABOUT THAT AT ALL IN THE PAST +RES0126-141 THEY TALKED ABOUT IT LAST TIME I'VE BEEN TRYING TO AVOID IT BUT IF IT HAS TO HAPPEN IT HAS TO HAPPEN +RES0126-142 AND IT MIGHT JUST SOMETIMES JUST YOU KNOW YOU'VE HAD FOUR ADMISSIONS IN THE PAST AND IT MIGHT ACTUALLY JUST HELP YOU STAY AT HOME IF YOU ARE ON OXYGEN ANYWAYS WE CAN TALK ABOUT THAT WE'LL DO LIKE A FULL PHYSICAL EXAMINATION EVERYTHING AND GO FROM THERE +RES0126-143 SURE +RES0126-144 GREAT I'LL BE WITH YOU SHORTLY +RES0127-000 WHAT BRINGS YOU IN HERE TODAY +RES0127-001-1 HI I'VE I'VE JUST BEEN I'VE BEEN SNEEZING A LOT AND I HAVE THIS RUNNY NOSE IT'S JUST BEEN VERY IRRITATING I KIND OF WANT TO DO SOMETHING ABOUT IT I'VE HAD IT FOR AWHILE BUT IT'S JUST +RES0127-001-2 YOU KNOW I DECIDED TO LIKE COME IN TO FIND OUT WHAT'S WHAT'S WRONG WITH ME WHY DO I LIKE WHY DOES THIS HAPPEN TO ME ALL MY FRIENDS ARE OK +RES0127-002 OH I KNOW IT MUST BE VERY VERY IRRITATING HOW LONG HAS IT BEEN GOING ON FOR +RES0127-003 IT'S BEEN YEARS I DON'T EVEN REMEMBER +RES0127-004 OH YEARS OK AND YEARS LIKE JUST SNEEZING AND THE RUNNY NOSE HAS BEEN GOING ON FOR THE LAST FEW YEARS +RES0127-005 IT KIND OF KIND OF COMES ON LIKE AROUND THE SPRING TIME IT JUST GETS REALLY BAD AT THAT TIME +RES0127-006 OK AND ARE THERE ANY BESIDES DURING THE SPRING TIME ANY KIND OF ALLERGENS OR ANY ANYTHING IN THE HOUSE OR AROUND YOU THAT TRIGGERS IT LIKE DUST OR ANYTHING LIKE THAT +RES0127-007 DUST MAKES IT A LOT WORSE LIKE WHEN I HAVE TO VACUUM THE HOUSE I JUST FEEL AWFUL FOR THE NEXT TWO DAYS +RES0127-008 I SEE DO YOU GET ANY OTHER SYMPTOMS BESIDES THE SNEEZING AND RUNNY NOSE +RES0127-009 LET MY NOSE SO STUFFY AND SOMETIMES IT'S JUST LIKE MY EYES AND MY NOSE ARE JUST ITCHY AND MY EYES GET LIKE RED AND TEARY SOMETIMES IT'S SO EMBARRASSING WHEN I'M GOING TO SCHOOL I ALSO WAKE UP IN THE MORNING WITH THIS LIKE SORE THROAT AND HAVE JUST COUGH AND CLEAR OUT MY YOU KNOW CLEAR MY THROAT +RES0127-010 OK AND DOES THAT HAPPEN LIKE EVERY MORNING +RES0127-011 IT'S USUALLY WORSE AROUND SPRINGTIME +RES0127-012 OK AND ARE YOU COUGHING AT ALL +RES0127-013 WELL I HAVE TO LIKE COUGH TO CLEAR MY THROAT BUT THEN NOT OTHERWISE +RES0127-014 OK AND ARE YOU BRINGING UP ANY SPUTUM +RES0127-016 LIKE HOW MUCH WOULD YOU SAY DO YOU JUST BRING IT UP IN THE MORNING OR LIKE THROUGHOUT THE DAY +RES0127-017 JUST IN THE MORNING +RES0127-018 JUST IN THE MORNING +RES0127-019 DO YOU HAVE A SENSATION OF LIKE ANYTHING KIND OF DRIPPING DOWN YOUR THROAT LIKE AFTER YOU WAKE UP LIKE JUST A BUILD UP +RES0127-021 I DO OK AND BESIDES THAT HAVE YOU BEEN HAVING ANY SYMPTOMS OF FEVERS CHILLS SORE THROAT +RES0127-022 I GET A BIT OF A SORE THROAT I GUESS IN THE MORNING BUT IT JUST GOES AWAY AFTER +RES0127-023 OK +RES0127-024 BUT NO FEVERS +RES0127-025 OK AND IS THERE ANYTHING THAT YOU'VE TRIED AT ALL LIKE MEDICATIONS OR ANYTHING THAT HAS HELPED YOU WITH THESE SYMPTOMS +RES0127-035 ANY HEADACHES NO ANY NAUSEA OR VOMITING +RES0127-036 NO +RES0127-037 ANY FEVERS OR CHILLS +RES0127-038 NO +RES0127-039 ANY KIND OF FATIGUE OR TIREDNESS THROUGHOUT THE DAY +RES0127-040 I DO FEEL MORE FATIGUED WHEN I HAVE THESE SYMPTOMS +RES0127-041 OK ANY NIGHT SWEATS FEVERS OR CHILLS +RES0127-042 NO +RES0127-043 ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL +RES0127-044 NO +RES0127-045 ANY TROUBLE URINATING +RES0127-046 NO +RES0127-047 ANY CHANGES TO YOUR APPETITE OR WEIGHT +RES0127-048 I'VE BEEN LOSING WEIGHT BUT I'VE BEEN DIETING AND WORKING OUT MORE +RES0127-049 OK AND HOW MUCH WEIGHT WOULD YOU SAY YOU'VE LOST OVER THE LAST FEW MONTHS +RES0127-050 I'VE LOST ABOUT FOUR POUNDS IN THE PAST FOUR FIVE MONTHS IT'S BEEN HARD TO LOSE WEIGHT +RES0127-051 AND SO NO NO SUDDEN LIKE LOSS OF WEIGHT OR ANYTHING LIKE THAT RIGHT NOW +RES0127-052 NO NO NO +RES0127-053 WELL IT'S REALLY GREAT THAT YOU'RE YOU KNOW TRYING TO LOSE WEIGHT AND DIETING AND AND HAVING LIKE A HEALTHIER LIFESTYLE IT IS DEFINITELY HARDER WITH THE PANDEMIC GOING ON RIGHT NOW TO TO GET IN THE ACTIVITIES AND IT'S HARD LIKE BEING AT HOME AND SOMETIMES IT'S REALLY DIFFICULT TO LIKE NOT EAT RIGHT +RES0127-054 TRUE +RES0127-055 SO BESIDES BESIDES THAT ANY KIND OF RECENT EXPOSURES TO ANY FUMES DUST ANIMALS PETS LIKE ANYTHING LIKE THAT +RES0127-056 IT WAS KIND OF LIKE VACUUMING A COUPLE OF DAYS AGO WHEN IT GOT REALLY BAD BUT NOTHING NOT NOT I DON'T THINK THERE'S NOT BEEN ANY OTHER EXPOSURES +RES0127-057 OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU HAVE BEEN DIAGNOSED WITH LIKE ASTHMA ECZEMA ANYTHING LIKE THAT +RES0127-058 I HAVEN'T BEEN DIAGNOSED WITH ANYTHING NO I DID HAVE LIKE I KNOW THAT I WOULD SOMETIMES GET KIND OF SHORT OF BREATH AS A CHILD BUT MY MOM DOESN'T REALLY TRUST DOCTORS SO SHE WOULDN'T TAKE ME TO ONE +RES0127-059 OK HAVE YOU HAD SHORTNESS OF BREATH AFTER THAT LIKE WHEN LIKE AS A CHILD HOW OLD WERE YOU +RES0127-060 I MUST HAVE BEEN LIKE EIGHT YEARS OLD OR NINE YEARS OLD THAT I REMEMBER BUT I THINK I'VE HAD IT BEFORE THAT AS WELL AS MY MOM TELLS ME +RES0127-061 OH OK DO YOU HAVE THAT AT ALL NOW +RES0127-062 NO NO I DON'T +RES0127-063 OK OK HAVE YOU EVER SEEN AN ALLERGIST BEFORE +RES0127-064 NO NO +RES0127-065 NO OK DO YOU HAVE ANY KNOWN ALLERGIES TO ANY MEDICATIONS OR ANY ANY MEDICATION +RES0127-066 NO +RES0127-067 NO DO YOU TAKE ANY MEDICATIONS AT ALL ON A REGULAR BASIS +RES0127-068 NO +RES0127-069 NO OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +RES0127-070 NO +RES0127-071 ANY FAMILY HISTORY OF ANY ASTHMA ECZEMA ALLERGIC RHINITIS +RES0127-072-1 ANYTHING LIKE THAT +RES0127-072-2 YEAH I THINK IT KIND OF RUNS IN MY FAMILY LIKE EVERYONE IN MY FAMILY IS JUST KIND OF ALWAYS HAVING THIS RUNNY NOSE AND SNEEZING MY MOM HAS IT MY YOUNGER BROTHER HAS IT +RES0127-072-3 BUT LIKE WE HAVEN'T REALLY BEEN DIAGNOSED WITH ANYTHING LIKE WE WE RARELY GO TO THE DOCTOR +RES0127-073 OK AND CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR SORRY DO YOU GO TO SCHOOL +RES0127-074 I DO I DO I'VE BEEN DOING IT VIRTUALLY +RES0127-075 VIRTUALLY OK SO HAVE YOU NOTICED ANYONE SICK AROUND YOU +RES0127-076 NO +RES0127-077 NO OK AND WHAT AT HOME WHAT'S YOUR LIVING SITUATION LIKE WHO DO YOU LIVE WITH +RES0127-078 I LIVE WITH MY MOM DAD AND MY YOUNGER BROTHER +RES0127-079 AND I JUST WANT TO LET YOU KNOW THAT ANY QUESTIONS I ASK YOU TODAY AND ANYTHING WE TALKED ABOUT IT'S COMPLETELY CONFIDENTIAL AND UNLESS LIKE THERE IS ANY POTENTIAL HARM TO YOURSELF OR ANYONE ANYONE ELSE SO I'M JUST GONNA ASK YOU A FEW QUESTIONS DO YOU FEEL SAFE AT HOME +RES0127-081 AND DO YOU DRINK ALCOHOL AT ALL OR HAVE YOU TRIED ALCOHOL +RES0127-082 NO NOT AT ALL +RES0127-083 HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0127-084 NO NO +RES0127-085 HOW ABOUT SMOKING +RES0127-086 NO +RES0127-087 NO OK AND ARE YOU SEXUALLY ACTIVE +RES0127-088 NO +RES0127-089 NO OK AND SO OVERALL DO YOU FEEL SAFE IN YOUR HOME AND AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT ANY KIND OF BULLYING OR ANYTHING LIKE THAT GOING ON +RES0127-090 NO NOT AT ALL +RES0127-091 OK ALRIGHT SO THOSE ARE KIND OF ALL THE QUESTIONS THAT I HAD FOR YOU SORRY JUST ONE MORE QUESTION ANY LOSS OF SENSE OF TASTE OR SMELL +RES0127-092 IT'S HARD TO SMELL AND MY NOSE IS STUFFY BUT NO LOSS OF TASTE +RES0127-093 OK OK SO DO YOU HAVE ANY QUESTIONS AT ALL FOR ME +RES0127-094 NO I JUST I I JUST WANNA GET SOME MEDICATIONS TO HELP WITH THIS I'M JUST SICK AND TIRED OF MY RUNNY NOSE +RES0127-095 IT MUST BE VERY FRUSTRATING SO YOU'VE TRIED REACTIN BEFORE RIGHT +RES0127-096 SO ONE METHOD IS TO DEFINITELY LIKE STAY AWAY FROM SOME OF THOSE ALLERGENS THAT ARE POTENTIALLY CAUSING YOUR SYMPTOMS BUT I I DO REALLY THINK SO YOU MIGHT HAVE SOMETHING CALLED LIKE ALLERGIC RHINITIS +RES0127-098-1 AND I THINK IT MIGHT BE BENEFICIAL TO FOR YOU TO SEE LIKE AN ALLERGIST +RES0127-098-2 SURE AND SO I CAN REFER YOU TO SOMEONE AS WELL JUST HAVE A SENSE OF WHAT KIND OF THINGS ALLERGIC TO YOU AND LIKE WHAT MEDICATIONS YOU WOULD REQUIRE IN THE MEANTIME DEFINITELY +RES0127-098-3 LIKE ANY ANTIHISTAMINE MEDICATIONS WOULD HELP WITH YOUR SYMPTOMS BUT SINCE YOU'RE ALSO HAVING CONGESTION AND SNEEZING JUST JUST IN CASE WE WILL JUST DO A COVID SWAB TEST FOR YOU TODAY +RES0127-098-4 AND IT TAKES AROUND TWENTY FOUR TO FORTY EIGHT HOURS TO COME BACK AND IN THE MEANTIME YOU SHOULD JUST ISOLATE AS MUCH AS YOU CAN IN YOUR OWN HOME AND THEN BASED ON THE RESULT THEY WOULD GIVE YOU MORE INSTRUCTION +RES0127-099 SURE +RES0127-100 ALRIGHT THANK YOU TAKE CARE +RES0128-000 HOW CAN I HELP YOU +RES0128-001 HI SO I BROUGHT MY SIX YEAR OLD SON IN TODAY BECAUSE YESTERDAY DURING SOCCER PRACTICE HE HE DEVELOPED THIS PRETTY SEVERE COUGH AND HE COULDN'T CATCH HIS BREATH +RES0128-002 OK SO THIS HAPPENED YESTERDAY YOU MENTIONED +RES0128-003 IT HAPPENED YESTERDAY AFTERNOON +RES0128-004 OK SO YOU MENTIONED A COUGH IS IT A HARSH BARKY COUGH OR IS IT MORE LIKE A MUFFLED COUGH +RES0128-005 I WOULD SAY IT'S MORE MUFFLED +RES0128-006 OK AND IS IT A DRY COUGH OR IS IT BRINGING UP ANY PHLEGM +RES0128-007 DRY +RES0128-008 DRY OK SO NO BLOOD IN THE WITH THE COUGHING +RES0128-009 NO BLOOD +RES0128-010 AND DOES HE SOUND WHEEZY TO YOU +RES0128-011 HE DOES HE'S STILL SOUNDING A LITTLE BIT WHEEZY NOW IT'S IT'S BETTER THAN LAST NIGHT HE WAS A BIT MORE WHEEZY LAST NIGHT +RES0128-012 OK HOW ABOUT SHORTER BREATH DOES HE SOUND SHORT OF BREATH AT ALL +RES0128-013 NO THAT THAT'S GOTTEN A BIT BETTER THAT RESOLVED ABOUT AN HOUR LIKE AFTER HE STOPPED PLAYING BUT HE WAS HE WAS SHORT OF BREATH YESTERDAY +RES0128-014 OK AND HAVE YOU TRIED ANYTHING FOR HIS COUGH FOR HIS SHORTNESS OF BREATH OR WHEEZING +RES0128-016 NO WE HAVEN'T NO OK DOES HE HAVE +RES0128-017 A FEVER AT ALL NO HE DOESN'T MENTION ANYTHING ABOUT FEELING HOT OR OR OR HAVING CHILLS +RES0128-018 EITHER NO OK AND ANY RASHES +RES0128-020 YOU'VE NOTICED NO NO WEIGHT LOSS OVER THE PAST FEW WEEKS +RES0128-021 NO HE'S BEEN GAINING WEIGHT WELL +RES0128-022 OK GOOD HAS HE HAD A STUFFY NOSE OR RUNNY NOSE +RES0128-023 WELL SOMETIMES HE WILL GET A RUNNY NOSE HE TAKES LIKE REACTIN OR CLARITIN OR SOME SORT OF ALLERGY PILL FOR THAT SOMETIMES BUT THAT'S USUALLY LIKE THE CHANGING OF SEASONS THAT WILL HAPPEN MORE OFTEN +RES0128-024 OK OK DOES HE HAVE ANY ALLERGIES +RES0128-025 TO MOSTLY ENVIRONMENTAL TRIGGERS I'M NOT SURE IF THE SPECIFIC THINGS ARE BUT I JUST KNOW IT GETS WORSE MAYBE IN THE SPRING SPRINGTIME +RES0128-026 OK AND DOES HE HAVE ASTHMA +RES0128-027 HE'S NEVER BEEN DIAGNOSED BUT HE HAS HAD OR HIS SISTER HAS ASTHMA +RES0128-028 OK OK AND HAS HE HAVE YOU NOTICED ANY CHANGES IN HIS VISION OR HEARING +RES0128-029 NO +RES0128-030 NO OK HOW ABOUT CHANGE IN HIS SMELL OR TASTE +RES0128-031 NO +RES0128-032 NO HOW ABOUT LIKE DOES HE SEEM LIKE HE HAS ANY CHEST PAIN +RES0128-033 NO HE HASN'T MENTIONED ANYTHING LIKE THAT +RES0128-034 ANY DIZZINESS OR FAINTING SPELLS +RES0128-035 NO +RES0128-036 NO CONFUSION OR MEMORY LOSS +RES0128-037 NO +RES0128-038 OK HOW ABOUT CONFUSION OR SORRY YOU SAID NO HEADACHES +RES0128-039 NO HEADACHES +RES0128-040 NO OK ANY JOINT PAINS MUSCLE ACHES +RES0128-041 NO +RES0128-042 OK AND HOW ABOUT CHANGES TO HIS BOWEL MOVEMENTS +RES0128-043 NO EVERYTHING'S BEEN NORMAL THERE +RES0128-044 OK HOW ABOUT NAUSEA OR VOMITING +RES0128-045 NOTHING +RES0128-046 LIKE THAT OK OK SO YOU MENTIONED HE HAS ASTHMA HE MIGHT HAVE ASTHMA HE WAS NEVER FORMALLY DIAGNOSED DOES IS HE OTHERWISE HEALTHY OR DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0128-047 HE'S BEEN HEALTHY I KNOW HE DID HAVE LIKE HE WOULD GET SOME ITCHY SKIN WHEN HE WAS A BIT WHEN HE WAS LIKE A BABY BUT HE HASN'T NEEDED ANY CREAMS FOR THAT FOR A LONG TIME +RES0128-048 OK SO HE MIGHT HAVE SOMETHING LIKE ECZEMA YOU THINK +RES0128-052 HE DOESN'T TAKE ANYTHING RIGHT NOW OK DURING HIS MOM'S PREGNANCY WITH HIM WERE THERE ANY +RES0128-053 NO SHE WAS HEALTHY AND HE WAS BORN AT TERM WITH A NORMAL WEIGHT AND ABLE TO GO HOME RELATIVELY QUICKLY SO +RES0128-054 THERE WEREN'T ANY CONCERNS OK THAT'S GOOD AND WAS HE +RES0128-055 HEALTHY LIKE AFTER BIRTH SO HE'S HE'S DONE WELL THERE WEREN'T REALLY ANY CONCERNS WITH DEVELOPMENT OR OR GROWTH AND HE'S DOING WELL IN SCHOOL +RES0128-056 OK OK GOOD HOW ABOUT SO WAS HE A FULL TERM BABY AND WAS IT A VAGINAL DELIVERY +RES0128-057 YES YES FOR BOTH +RES0128-058 OK ANY COMPLICATIONS DURING THE DELIVERY +RES0128-059 NO +RES0128-060 OK AND HE DIDN'T NEED ANY HOSPITALIZATIONS LIKE RIGHT AFTER BIRTH AS AN AS A NEWBORN +RES0128-061 NO +RES0128-062 NO OK GOOD IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0128-063 HE IS +RES0128-064 OK AND YOU MENTIONED THAT HE MAY HAVE SOME SEASONAL ALLERGIES ANY OTHER ALLERGIES THAT YOU KNOW OF +RES0128-065 NOT THAT I KNOW OF +RES0128-066 NO OK YOU MENTIONED THAT HIS SISTER HAS ASTHMA ANY OTHER LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY +RES0128-067 NO NOTHING LIKE THAT +RES0128-068 NO OK OK AND DOES ANYONE AT HOME SMOKE +RES0128-069 NO +RES0128-070 NO OK ANY OLD CARPETS DOES MOLD ASBESTOS ANYTHING LIKE THAT AT HOME +RES0128-071 WE WE TOOK OUT THE CARPETS AND STUFF WHEN HIS SISTER WAS DIAGNOSED WITH ASTHMA SO IT'S GOOD FROM THAT PERSPECTIVE +RES0128-072 OK GOOD AND WHO LIVES AT HOME WITH HIM +RES0128-073 SO IT'S MYSELF HIS MOM +RES0128-076 HE'S GOT A FISH A FISH OK AND HAS HE HAS COME INTO CONTACT WITH ANYONE SICK RECENTLY +RES0128-077 NO I DON'T THINK SO I MEAN WHEN AT SCHOOL THEY'VE BEEN PRETTY DILIGENT WITH I MEAN COVID AND EVERYTHING RIGHT NOW SO I THINK HE'S BEEN OK +RES0128-078 OK HAS HE TRAVELED ANYWHERE RECENTLY +RES0128-079 NO +RES0128-080 NO OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME +RES0128-081 I WAS JUST WONDERING IF IF MY SON HAD ASTHMA AS WELL AND IF LIKE YOU NEED A PRESCRIPTION FOR INHALERS +RES0128-082-1 YEAH SO WE'RE GONNA SINCE HE'S NEVER BEEN DIAGNOSED BEFORE WE'RE GONNA DO SOME INVESTIGATIONS FOR HIM JUST TO START SO WE CAN DO WE CAN START BY DOING A PULMONARY FUNCTION TEST FOR HIM TO SEE WHAT HIS LUNG ACTIVITY IS LIKE +RES0128-082-2 SO WE'LL START THERE AND THEN WE'LL ALSO BECAUSE YOU'RE SAYING HE'S SHORT OF BREATH WE'LL TAKE HIS OXYGEN SATURATION AS WELL AND MAYBE EVEN DO SOME LIKE +RES0128-082-3 SOME BASIC BLOOD WORK FOR HIM AND IF IT TURNS OUT HE HAS ASTHMA WHICH IN THIS CASE I DO STRONGLY SUSPECT WE'LL PRESCRIBE HIM SOME BRONCHODILATORS LIKE A SHORT ACTING BETA AGONIST +RES0128-082-4 AS WELL AS AN INHALED CORTICOSTEROID BECAUSE HIS SYMPTOMS DO SEEM SOMEWHAT SEVERE THIS TIME AROUND AND THEN I SHOULD ALSO MENTION BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THAT OF COVID HE WILL ALSO +RES0128-082-5 GET A COVID SWAB AND YOU SHOULD HEAR BACK ABOUT THAT IN TWENTY FOUR TO FORTY EIGHT HOURS HOW DOES THAT SOUND +RES0128-083 THAT SOUNDS GOOD THANK YOU +RES0128-084 ALRIGHT GREAT THANK YOU +RES0131-000 WHAT BRINGS YOU IN +RES0131-001 HI THERE I I'VE HAD THIS COUGH THAT STARTED THREE DAYS AGO AND OVER THESE PAST COUPLE OF DAYS I'VE JUST BEEN REALLY ACHY ALL OVER AND SO I'VE HAD A HEADACHE AS WELL +RES0131-002 OKAY WELL I'M SORRY TO HEAR THAT YOU'RE NOT FEELING WELL THE COUGH WHEN DID THAT START +RES0131-003 SO THAT ABOUT THREE OR FOUR DAYS AGO IT STARTED TO COME ON +RES0131-004 OKAY AND THEN HOW ABOUT THE HEADACHE +RES0131-005 THAT'S BEEN MORE IN THE LAST TWO DAYS +RES0131-006 TWO DAYS OKAY AND THEN THE MUSCLE ACHE +RES0131-007 IT'S BEEN THERE FOR ABOUT TWO ABOUT TWO OR THREE DAYS I WAKE UP IN THE MORNING AND I'VE BEEN FEELING LIKE REALLY FATIGUED AND ACHY +RES0131-008 THE COUGH IS IT DRY OR YOU'RE BRINGING UP PHLEGM +RES0131-009 IT'S IT'S DRY BUT IT'S GOTTEN A LITTLE BIT WORSE SINCE IT STARTED IT'S JUST BEEN HAPPENING MORE OFTEN +RES0131-010 OKAY AND DOES IT SOUND HARSH +RES0131-011 MAYBE A LITTLE BIT +RES0131-012 OKAY IS IT GETTING WORSE DO YOU THINK +RES0131-013 I THINK SO +RES0131-014 OKAY ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH ALONG WITH THE COUGH +RES0131-015 A LITTLE BIT AFTER IF I HAVE LIKE A COUGHING FIT THAT'S BAD ENOUGH BUT FOR THE MOST PART I'VE BEEN OKAY +RES0131-016 OKAY ANY WHEEZINESS +RES0131-017 NO +RES0131-018 NO CHEST PAIN +RES0131-019 NO +RES0131-020 OKAY DO YOU EVER FEEL LIKE YOUR HEART'S RACING +RES0131-021 NO I HAVEN'T FELT LIKE THAT +RES0131-022 OKAY ANY DIZZINESS OR FAINTING SPELLS +RES0131-023 NO +RES0131-024 NUMBNESS OR TINGLING +RES0131-025 NO +RES0131-026 CONFUSION OR MEMORY LOSS +RES0131-027 NO +RES0131-028 THIS HEADACHE IS IT ALWAYS THERE +RES0131-029 THESE PAST COUPLE OF DAYS IT'S KIND OF IT IT'S BEEN THERE IT'S BEEN A LITTLE BIT MORE MILD AFTER USING SOME TYLENOL OR ADVIL TO HELP SETTLE IT DOWN BUT I JUST HAVE THIS ACHINESS IN THE FRONT FRONT OF MY FOREHEAD AND KIND OF SIDES OF MY HEAD +RES0131-030 SIDES OF YOUR HEAD OKAY AND ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW HOW WOULD YOU RATE IT +RES0131-031 A FOUR +RES0131-032 A FOUR OKAY SO IT'S NOT THE WORST HEADACHE YOU'VE EVER HAD IN YOUR LIFE +RES0131-033 NO IT'S NOT THAT BAD IT'S JUST BEEN PRETTY ANNOYING +RES0131-034 OKAY AND HAVE YOU LIKE DO YOU USUALLY GET HEADACHES +RES0131-035 NOT REALLY IT I DON'T GET THEM THAT OFTEN I GUESS THEY COME WHEN I I WELL GET SICK +RES0131-036 OKAY THAT MAKES SENSE HAVE YOU HAD ANY FEVERS RECENTLY +RES0131-037 I HAVE FELT A BIT HOT AND BUT I I DIDN'T CHECK MY TEMPERATURE AND +RES0131-038 OKAY HOW ABOUT WEIGHT LOSS HAVE YOU EXPERIENCED ANY WEIGHT +RES0131-039 LOSS RECENTLY NO I'VE BEEN MY WEIGHT'S BEEN PRETTY +RES0131-041 NO I HAVEN'T NOTICED ANY RASHES +RES0131-042 OKAY AND ANY CHANGES IN YOUR HEARING OR VISION +RES0131-043 NO +RES0131-044 RUNNY NOSE OR STUFFY NOSE +RES0131-045 NO +RES0131-046 SORE THROAT +RES0131-047 NOW THAT YOU MENTION IT I HAVE HAD A LITTLE BIT OF A SORE THROAT AS WELL HASN'T BEEN TOO PAINFUL WITH LIKE SWALLOWING FOODS OR ANYTHING LIKE THAT IT'S KIND OF WORSE IN THE MORNING AND IT'S NOT SO BAD LATER ON +RES0131-048 OKAY ALRIGHT HOW ABOUT CHANGES IN YOUR SMELL OR TASTE +RES0131-049 NO NOTHING LIKE THAT +RES0131-050 CHANGES IN YOUR BOWEL MOVEMENTS +RES0131-051 NO I'VE BEEN REGULAR +RES0131-052 OKAY AND THEN NAUSEA OR VOMITING +RES0131-053 NOPE I HAVEN'T HAD ANYTHING LIKE THAT +RES0131-054 OKAY CHANGES IN YOUR URINE +RES0131-055 NO I'VE HAD UTIS LIKE ONE OR TWO IN THE PAST SO I KNOW WHAT THAT'S LIKE SO EVERYTHING'S BEEN NORMAL +RES0131-056 OKAY GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0131-057 I HAVE ASTHMA WHICH I WILL LIKE ASTHMA AND ALLERGIES AND I'LL USE JUST VENTOLIN FOR THAT EVERY LIKE ONCE IN AWHILE BUT IT HASN'T BUGGED ME TOO FREQUENTLY +RES0131-058 OKAY DO YOU ALSO TAKE ANYTHING ELSE FOR THAT ASTHMA OR IS IT JUST THE VENTOLIN THAT USE +RES0131-059 JUST VENTOLIN +RES0131-060 OKAY HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0131-061 NO WELL I I'VE HAD MY MY WISDOM TEETH TAKEN OUT AND ACTUALLY I HAD MY TONSILS OUT AS WELL WHEN I WAS TWELVE +RES0131-062 OKAY ARE YOU ON ANY MEDICATIONS BESIDES VENTOLIN +RES0131-063 I I CURRENTLY I THINK A BIRTH CONTROL +RES0131-064 OKAY HOW LONG HAVE YOU BEEN ON THAT FOR +RES0131-065 SINCE HIGH SCHOOL SO I SINCE I WAS EIGHTEEN SO EIGHT YEARS +RES0131-066 OKAY AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0131-067 I AM I GET THE FLU SHOT EVERY YEAR +RES0131-068 OKAY OKAY GOOD ANY ALLERGIES +RES0131-070 ENVIRONMENTAL TRIGGERS NO MEDICINES NO MEDICINES OKAY ANY FAMILY HISTORY OF LUNG OR HEART DISEASES +RES0131-071 MY GRANDFATHER HAD HAD A STROKE WHEN HE WAS IN HIS SEVENTIES AND BUT HE WAS LIKE A SMOKER AND A DRINKER AND DIDN'T REALLY LOOK AFTER HIMSELF VERY WELL UNFORTUNATELY AND BUT THAT'S ABOUT IT +RES0131-072 OKAY AND DO YOU SMOKE +RES0131-073 NO I DON'T +RES0131-074 NO OKAY ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN OR ANYTHING LIKE THAT +RES0131-075 NO I DON'T USE ANYTHING LIKE THAT +RES0131-076 OKAY HOW ABOUT ALCOHOL DO YOU DRINK +RES0131-077 SOMETIMES I'LL HAVE A OR MAYBE A COCKTAIL ON THE WEEKEND OR A GLASS OF WINE WITH DINNERS +RES0131-078 OKAY ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0131-079 I AM WITH WITH MY BOYFRIEND +RES0131-080 WE USE CONDOMS AS WELL OKAY SO YOU USE BOTH CONDOMS AND YOU'RE ON BIRTH CONTROL SO OKAY GOOD THAT'S A LOT OF PROTECTION HOW LONG HAVE YOU TWO BEEN TOGETHER +RES0131-081 SIX MONTHS +RES0131-082 OKAY OKAY GOOD AND ANY SICK CONTACTS RECENTLY +RES0131-083 NOT THAT I'M AWARE OF +RES0131-084 NO OKAY ANY TRAVEL RECENTLY +RES0131-085 NOPE JUST BEEN GOING TO OR JUST BEEN DOING ONLINE CLASSES I'M FINISHING UP MY +RES0131-086 MASTERS RIGHT NOW OKAY +RES0131-088 THANK YOU AND WHERE DO YOU LIVE AND WHO DO YOU LIVE +RES0131-093 NO THAT'S IT I WAS JUST I MEAN CONCERNED ABOUT COVID I'VE BEEN HEARING ABOUT THIS NEW VARIANT AND STUFF ON THE NEWS SO A LITTLE BIT WORRIED +RES0131-094-1 YEAH FOR SURE WE WILL DEFINITELY TAKE A SWAB FROM YOU TODAY AND WE'LL SEE WHAT THE RESULTS ARE YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS BUT IN THE MEANTIME YOU SHOULD SELF ISOLATE FOR FOURTEEN DAYS +RES0131-094-2 AND IF IT'S NOT COVID IF THAT COMES BACK NEGATIVE AND SOME OF YOUR SYMPTOMS ALSO SOUND LIKE OTHER TYPICAL VIRAL SYMPTOMS SO YOU COULD HAVE ONE OF THE COMMON STRAINS THAT'S GOING AROUND THIS TIME OF YEAR SO FOR THAT JUST +RES0131-094-3 IT'S YOU SHOULD JUST DO SOME SUPPORTIVE CARE YOU KNOW STAYING HYDRATED EATING WELL +RES0131-094-4 AND IF YOUR SYMPTOMS BECOME WORSE YOU'RE RUNNING A REALLY HIGH FEVER YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES THEN YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND +RES0131-095 THAT SOUNDS GOOD THANK YOU +RES0131-096 OKAY GREAT THANK YOU +RES0132-000 I WAS WONDERING WHAT I COULD HELP YOU WITH TODAY +RES0132-001 HI I HAVE BEEN COUGHING NONSTOP FOR THE PAST THREE DAYS AND TODAY I HAVE BEEN FEELING VERY SHORT OF BREATH SO I JUST WANTED TO GET IT ALL CHECKED OUT +RES0132-002 FOR SURE AND SO YOU SAID THE COUGH STARTED THREE DAYS AGO WERE THERE ANY TRIGGERS TO THE COUGH OR ANYTHING THAT THAT CHANGED THREE DAYS AGO +RES0132-003 NO NOTHING THAT I CAN THINK OF I HAVE LIKE THE ONLY THING THAT I'VE BEEN DOING IS GOING TO THE GROCERY STORES THE BANK AND LAUNDROMAT AND ONCE I RAN ALL THESE ERRANDS LIKE I JUST STARTED HAVING THIS COUGHING FIT THAT HASN'T STOPPED +RES0132-004 OKAY HAS THE COUGH GOTTEN ANY BETTER OR STAYED THE SAME OR GOTTEN WORSE THESE PAST THREE DAYS +RES0132-005 IT SEEMS LIKE IT'S GETTING WORSE +RES0132-006 OKAY ARE YOU BRINGING UP ANY SPUTUM OR PHLEGM +RES0132-007 YES IT'S YELLOW +RES0132-008 OKAY IS THIS ANY DIFFERENT FROM BEFORE LIKE HAVE YOU HAD A COUGH IN THE PAST AND AND BROUGHT UP PHLEGM OR IS THIS ENTIRELY NEW FOR YOU +RES0132-009 NO THIS HAS HAPPENED TO ME BEFORE LIKE I DON'T KNOW LIKE MAYBE A YEAR OR TWO YEARS BACK AND IT KIND OF FEELS THE SAME BUT JUST A LITTLE BIT WORSE +RES0132-010 OKAY AND HAVE YOU SEEN ANY BLOOD IN THE SPUTUM +RES0132-011 NO NO BLOOD +RES0132-012 OKAY AND YOU MENTIONED YOU'VE BEEN SHORT OF BREATH AS WELL HOW HAS THAT COME ON +RES0132-013 IT WAS I I DON'T KNOW IF IT'S BECAUSE OF ALL THE COUGHING THAT I'VE BEEN DOING BUT IT JUST STARTED THIS MORNING +RES0132-014 OKAY AND HAVE YOU BEEN EXPERIENCING SHORTNESS OF BREATH ON ON EXERTION OTHERWISE +RES0132-016 PRIOR TO THIS NO NO OKAY AND HAVE YOU HAD ANY SHORTNESS OF +RES0132-017 BREATH AFTER LIKE IF YOU +RES0132-018 LIE DOWN FLAT +RES0132-019 NO NOT THAT I'VE NOTICED ALL RIGHT +RES0132-020 AND HAVE YOU HAD A WHEEZE A LITTLE BIT OKAY AND HAVE YOU HAD ANY INFECTIOUS LIKE +RES0132-048 NO THAT'S PRETTY MUCH IT OKAY AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0132-049 I HAVE DIABETES I HAVE HIGH BLOOD PRESSURE AND I HAVE HIGH CHOLESTEROL +RES0132-050 I SEE ALRIGHT AND DO YOU TAKE MEDICATIONS FOR THOSE THINGS +RES0132-051 YES SO I AM ON RAMIPRIL FOR THE HIGH BLOOD PRESSURE ROSUVASTATIN FOR THE CHOLESTEROL AND INSULIN FOR THE DIABETES +RES0132-052 OKAY THANK YOU AND YOU MENTIONED YOU HAD A SIMILAR EPISODE IN THE PAST WHAT WERE YOU DIAGNOSED WITH COPD BEFORE +RES0132-053 I WAS I WAS DIAGNOSED WITH COPD ABOUT FIVE YEARS BACK +RES0132-054 OKAY DID YOU HAVE PULMONARY FUNCTION TESTS FOR THIS THE TEST WHERE YOU HAD TO BREATHE INTO A TUBE +RES0132-055 I HAD THAT DONE +RES0132-056 LIKE FIVE YEARS AGO OKAY ALRIGHT JUST WANTED TO SEE IF IT WAS LIKE FORMALLY DIAGNOSED SOMETIMES PEOPLE IT'S IMPORTANT +RES0133-000 HOW MAY I HELP YOU +RES0133-001 HI I'M HERE BECAUSE I I HAD THIS COUGH FOR A COUPLE DAYS AND NOW MY VOICE STILL HASN'T RECOVERED IT SOUNDS REALLY HOARSE AND I CAN'T SPEAK AS WELL SO I WAS JUST WONDERING IF YOU CAN GIVE ME SOMETHING FOR THAT +RES0133-002 POSSIBLY WE WILL SEE JUST GOTTA ASK A FEW QUESTIONS FIRST AND WE'LL WE'LL DO A PHYSICAL EXAM AS WELL AFTERWARDS BUT CERTAINLY WE'LL LOOK INTO WHAT IS CAUSING YOUR SYMPTOMS SO YOU MENTIONED A COUGH WHEN DID THAT EXACTLY START +RES0133-003 THAT STARTED THREE DAYS AGO +RES0133-004 OKAY AND HAVE YOU HAD A COUGH BEFORE +RES0133-005 LIKE BEFORE THE THREE DAYS YOU MEAN +RES0133-006 NO I WAS PRETTY HEALTHY BEFORE THEN +RES0133-007 I SEE AND WITH THE COUGH ARE YOU PRODUCING ANY PHLEGM OR SPUTUM +RES0133-008 NO IT'S PRETTY DRY +RES0133-009 OKAY HAVE YOU NOTICED ANY BLOOD +RES0133-010 NO +RES0133-011 ALRIGHT AND HAVE YOU HAD A WHEEZE +RES0133-012 NO NO NOTHING LIKE THAT +RES0133-013 ALRIGHT AND HAVE YOU HAD ANY CHEST PAIN WITH THE COUGH +RES0133-014 NO +RES0133-015 ALRIGHT AND YOU NOTICED THAT YOUR VOICE IS VOICE CHANGED AND THAT WAS ABOUT THREE DAYS AGO AS WELL +RES0133-016 THAT SO WELL NO ACTUALLY THAT STARTED ABOUT YESTERDAY YESTERDAY IN THE AFTERNOON +RES0133-017 OKAY AND ANY TRIGGERS FOR THIS LIKE WERE YOU AT ANY EVENTS THAT YOU HAD TO BE KIND OF SPEAKING LOUDLY OR TALKING A LOT OR ANYTHING WHERE YOU'RE STRAINING YOUR VOICE +RES0133-018 NO NO I WASN'T I WAS LIKE I HAD SCHOOL I CAME HOME I DIDN'T DO +RES0133-019 ANYTHING LIKE THAT OKAY SO IT SOUNDS JUST SORT OF CAME ON ON ITS OWN ALRIGHT AND HAVE YOU HAD ANY LIKE +RES0133-020 EYE REDNESS OR DISCHARGE OR A RUNNY NOSE I HAVE HAD I'VE HAD A RUNNY NOSE +RES0133-021 BEFORE BUT NO EYE DISCHARGE OKAY WITH THE RUNNY NOSE WHAT WHAT WHAT COULD YOU +RES0133-022 DESCRIBE THE +RES0133-023 MUCUS THAT WAS COMING OUT IT WAS IT WAS CLEAR AND HAS THAT GONE AWAY NOW AND +RES0133-024 THEN WHEN WAS THE RUNNY NOSE THAT'S GONE THAT'S GONE THAT WENT AWAY BUT LIKE +RES0133-025 TWO DAYS AGO MAYBE I SEE AND HAVE YOU HAD A SORE THROAT OR +RES0133-026 DO YOU HAVE A SORE THROAT I HAVE SO IT HURTS BECAUSE I'M COUGHING +RES0133-027 BUT IT DOESN'T SEEM LIKE IT'S MY ACTUAL THROAT ALRIGHT +RES0133-035 WEIGHT GAIN OVER THE PAST LIKE SIX MONTHS OKAY WELL THAT'S GREAT AND ABOUT HOW MUCH +RES0133-036 JUST MAYBE LIKE FIVE TEN POUNDS FIVE TO TEN POUNDS SOMEWHERE AROUND THERE +RES0133-037 OKAY WELL THAT'S GOOD AND HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0133-038 NO +RES0133-039 AND HOW ABOUT ANY ABDOMINAL PAIN +RES0133-040 NO +RES0133-047 PAINS NO OKAY AND HAVE YOU HAD ANY LOSS OF YOUR TASTE OR SENSE OF SMELL +RES0133-048 NO +RES0133-049 OKAY AND ANY SKIN CHANGES OR RASHES +RES0133-050 NOPE NOTHING LIKE THAT +RES0133-051 OKAY AND SO YOU'VE BEEN EXPERIENCING SO YOU HAD A RUNNY NOSE THAT'S GONE AWAY AND NOW YOU'VE BEEN HAVING THIS COUGH FOR THE PAST DRY COUGH PAST THREE DAYS AND LOST YOUR VOICE YESTERDAY HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +RES0133-052 NO NO OTHER SYMPTOMS +RES0133-053 ALRIGHT IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0133-054 NO I'VE BEEN PRETTY HEALTHY +RES0133-055 THAT'S GREAT AND HAVE YOU BEEN HAVE YOU HAD ANY ALLERGIES BEFORE +RES0133-056 NO +RES0133-057 OKAY AND DO YOU TAKE ANY MEDICATIONS REGULARLY +RES0133-058 I JUST TAKE SOME MULTIVITAMINS +RES0133-059 OKAY AND ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE +RES0133-060 SO I HAVE EVERYTHING EXCEPT FOR THAT HPV VACCINE +RES0133-061 OKAY IS IT DO YOU HAVE A PLAN TO +RES0133-062 GET THAT ONE OR I THINK SO I'M JUST WAITING TO +RES0133-063-1 FOLLOW UP WITH MY FAMILY DOCTOR ABOUT THAT +RES0133-063-2 OKAY WELL THAT THAT'S A GOOD IDEA FOR SURE SO IT'S GREAT THAT YOU HAVE A PLAN FOR THAT FOR THAT +RES0133-063-3 IT CAN BE REALLY HELPFUL FOR PREVENTING CERVICAL CANCER AS AS I'M SURE YOU'LL TALK TO THE WITH THE FAMILY DOCTOR ABOUT +RES0133-065 AND HAVE YOU HAD ANY HOSPITALIZATIONS +RES0133-066 OR ANY SURGERIES NO OKAY WHERE ABOUT ARE YOU LIVING RIGHT NOW AND WHO ARE LIVING WITH +RES0133-067 I LIVE WITH MY PARENTS AND +RES0134-000 WOULD YOU MIND STARTING WITH TELLING ME WHAT I CAN HELP YOU WITH TODAY +RES0134-001 I HAVEN'T BEEN FEELING VERY WELL OVER THE PAST TWO DAYS I HAVE HAD THIS COUGH I'M FEELING VERY SHORT OF BREATH AND I'M FEELING VERY FEVERISH AS WELL +RES0134-002 OKAY HAVE YOU CHECKED YOUR TEMPERATURE +RES0134-003 NO I HAVEN'T ACTUALLY CHECKED IT BUT I'M JUST FEELING HOT AND I'M HAVING CHILLS +RES0134-004 OKAY WERE YOU HAVING LIKE NIGHT SWEATS AS WELL +RES0134-005 LAST NIGHT I DID GET SWEATY +RES0134-006 OKAY AND WHEN WHEN DID YOU START FEELING FEVERISH +RES0134-007 FEVERISH MAYBE AROUND THE SAME TIME LIKE RIGHT AFTER THE COUGH AND SHORTNESS OF BREATH STARTED MAYBE LIKE A DAY AND A HALF AGO +RES0134-008 OKAY IT'S SO THE COUGH STARTED ABOUT A DAY AND A HALF AGO AS WELL +RES0134-009 YES +RES0134-010 OKAY DID YOU HAVE A COUGH PRIOR TO THIS OR IS IT NEW +RES0134-011 IT'S NEW +RES0134-012 OKAY IS IT A DRY COUGH OR ARE YOU BRINGING UP SPUTUM OR PHLEGM +RES0134-013 IT'S IT'S IT'S DRY MOST OF THE TIME BUT ONCE IN A WHILE I'LL SEE SOME LIKE YELLOW PHLEGM +RES0134-014 OKAY HAVE YOU NOTICED ANY BLOOD +RES0134-015 NO NO BLOOD +RES0134-016 ALL RIGHT AND HAVE YOU HAD ANY CHEST PAIN +RES0134-017 NO CHEST WELL ACTUALLY WHEN I TRY TO TAKE A REALLY DEEP BREATH IN IT IT HURTS MY CHEST HURTS +RES0134-018 OKAY WHERE DO YOU FEEL THE PAIN +RES0134-019 IT SEEMS TO BE CENTRAL ON MY CHEST +RES0134-020 DO YOU FEEL IT RADIATING ANYWHERE LIKE TO YOUR BACK OR TO EITHER SIDE +RES0134-021 NO +RES0134-022 OKAY HOW WOULD YOU DESCRIBE THE PAIN LIKE SHARP DULL +RES0134-023 IT'S PRETTY SHARP WHEN I TAKE A DEEP BREATH IN +RES0134-024 HOW LONG DOES THE PAIN LAST FOR AND IS THERE ANYTHING THAT YOU DO THAT MAKES IT GO AWAY +RES0134-025 IT WAS LIKE LESS THAN A MINUTE AND AND IT GOES AWAY WHEN I LIKE IF I TRY NOT TO TAKE A DEEP BREATH IN +RES0134-026 OKAY SO IT SOUNDS LIKE THAT IT THE THE BREATHING IS A TRIGGER THERE WHEN YOU'RE BREATHING IN DEEPLY +RES0134-027 ALRIGHT AND HAVE YOU HAD ANY WHEEZE +RES0134-028 A LITTLE BIT YES +RES0134-029 ALRIGHT AND IS THE WHEEZE NEW AS WELL +RES0134-030 YES THAT ALSO STARTED AFTER THE COUGHING AND THE SHORTNESS OF BREATH +RES0134-031 ALRIGHT AND HAVE YOU HAD ANY EPISODES OF FEELING LIKE YOUR HEART'S RACING OR IS IT SPEEDING REALLY FAST +RES0134-032 NO +RES0134-033 OKAY AND YOU SAID IT YOU'VE BEEN SHORT OF BREATH AS WELL ARE YOU REALLY SHORT OF BREATH NOW AND WHAT SORTS OF THINGS HAVE BEEN REALLY BRINGING IT ON FOR YOU +RES0134-034 IT'S I'M STILL A LITTLE BIT SHORT OF BREATH AND I I GUESS THE SHORTNESS OF BREATH GETS WORSE WHEN I'M WALKING OR DOING SOMETHING PHYSICAL +RES0134-035 OKAY AND DID IS THIS NEW OR DID YOU HAVE THIS BEFORE +RES0134-036 IT'S NEW +RES0134-037 OKAY HAVE YOU NOTICED ANY SWELLING IN YOUR IN YOUR LEGS OR EXTREMITIES +RES0134-038 NO NOTHING LIKE THAT +RES0134-039 AND DO YOU GET SHORT OF BREATH IF YOU LIE DOWN FLAT +RES0134-040 NO NOT THAT I'VE NOTICED +RES0134-041 AND HOW MANY PILLOWS DO YOU SLEEP WITH +RES0134-042 JUST THE ONE +RES0134-043 OKAY AND HAVE YOU HAD ANY HEADACHES +RES0134-044 NO +RES0134-045 AND HOW ABOUT ANY EYE REDNESS OR OR DISCHARGE +RES0134-046 NO +RES0134-047 HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED +RES0134-048 A LITTLE BIT I'VE BEEN I'VE BEEN FEELING A LITTLE CONGESTED +RES0134-049 AND WHEN DID THAT START +RES0134-050 THAT STARTED A LITTLE BIT BEFORE THE COUGH ACTUALLY +RES0134-051 OKAY AND YOU'RE STILL FEELING THAT NOW +RES0134-052 OKAY HAVE YOU HAD A SORE THROAT +RES0134-053 NO SORE THROAT +RES0134-054 OKAY AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS +RES0134-055 I GUESS MY MUSCLE ACHES A LITTLE BIT IT'S IT'S VERY DULL THOUGH IT'S NOT SHARP +RES0134-056 OKAY AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN FATIGUED +RES0134-057 MY ENERGY'S BEEN PRETTY LOW I'VE BEEN FEELING VERY TIRED +RES0134-058 OKAY AND HOW LONG HAS THAT BEEN GOING ON FOR +RES0134-059 FOR ABOUT THE SAME AMOUNT OF TIME LIKE THREE DAYS +RES0134-060 ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN +RES0134-061 NO +RES0134-062 HOW ABOUT NAUSEA OR VOMITING +RES0134-063 NO +RES0134-064 AND ANY CHANGES TO YOUR URINARY HABITS LIKE PAIN OR +RES0134-065 NO NOTHING LIKE THAT +RES0134-066 OKAY AND HOW HAS YOUR APPETITE BEEN +RES0134-067 IT HASN'T BEEN THE GREATEST BECAUSE I HAVEN'T BEEN FEELING WELL BUT I'VE STILL BEEN EATING +RES0134-068 OKAY HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +RES0134-069 NO NOT THAT I'VE NOTICED +RES0134-070 AND HOW ABOUT ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE +RES0134-071 SENSE OF SMELL OR TASTE NO NO CHANGES THERE +RES0134-072 OKAY AND THEN ANY SKIN CHANGES OR RASHES +RES0134-073 NO +RES0134-074 ALRIGHT SO YOU'VE BEEN EXPERIENCING THIS COUGH STARTED A COUPLE OF DAYS AGO WITH SHORTNESS OF BREATH AND YOU'RE BRINGING UP SPUTUM SOMETIMES AND AND A FEVER THAT'S STARTED A BIT MORE RECENTLY AS WELL AS HAVING SOME NIGHT SWEATS +RES0134-075 HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS +RES0134-076 NO OTHER THAN THAT NO SYMPTOMS +RES0134-077 I SEE AND HAVE YOU TRIED ANYTHING TO MAKE MAKE THE SYMPTOMS BETTER +RES0134-078 I'VE TRIED SOME TYLENOL I'VE TRIED SOME LIKE COUGH SUPPRESSANTS BUT NOTHING SEEMS TO BE HELPING +RES0134-079 OKAY AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +RES0134-080 NO NOT WELL ACTUALLY I HAVE I HAD I HAVE OSTEOPOROSIS FOR WHICH I'M TAKING CALCIUM AND VITAMIN D AS WELL AS LIKE ALENDRONATE ALENDRONATE SOME SORT OF BISPHOSPHONATE +RES0134-081 OKAY HAVE YOU HAD ANY LIKE BONE FRACTURES +RES0134-082 I HAD A HIP FRACTURE +RES0134-088 I HAD MY WISDOM TEETH TAKEN OUT I'VE HAD MY GALLBLADDER TAKEN OUT AND I I HAD LIKE I HAD A +RES0134-089 PE A LONG TIME AGO OKAY AND WHAT HAPPENED AROUND THAT TIME WITH THE PULMONARY EMBOLISM DID YOU WAS THERE A TRIGGER LIKE A SURGERY AROUND THAT TIME OR WERE YOU IMMOBILIZED OR ANYTHING +RES0134-090 THEY THINK IT HAPPENED RIGHT AFTER MY GALLBLADDER REMOVAL CAUSE I WAS IN THE HOSPITAL FOR A WHILE +RES0134-091 OKAY AND SO WERE YOU ON ANY MEDICATION FOR A PERIOD OF TIME AFTER THAT +RES0134-092 I WAS BUT NOT ANYMORE +RES0134-093 OKAY OKAY AND ARE YOU TAKING ANY OTHER MEDICATIONS BESIDES THE ONES FOR YOUR BONES +RES0134-094 NO NO OTHER MEDICATIONS +RES0134-095 AND DO YOU HAVE ANY ALLERGIES +RES0134-096 NO +RES0134-097 OKAY AND THEN COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW ARE YOU LIVING WITH ANYBODY AND WHEREABOUTS +RES0134-098 I LIVE IN AN APARTMENT BY MYSELF AND IT'S IN LONDON +RES0134-099 OKAY GREAT AND DO YOU HAVE ANY SUPPORTS IN THE HOME THAT THAT HELP YOU WITH ANY ACTIVITIES OF DAILY LIVING LIKE EITHER DRESSING OR BATHING OR MAKING FOOD OR EVEN DOING SOME OF THE SHOPPING +RES0134-100 SO I AM PRETTY INDEPENDENT FOR MOST THINGS THERE WILL BE LIKE A CCAC CARE WORKER WHO COMES IN ONCE IN A WHILE JUST TO HELP ME CLEAN THE HOUSE +RES0134-101 OKAY SO ONCE IN A WHILE IS THIS LIKE ONCE A WEEK OR ONCE HOW OFTEN +RES0134-102 ONCE EVERY TWO WEEKS +RES0134-103 OKAY WELL THAT'S GREAT IT SOUNDS LIKE YOU'RE MANAGING REALLY WELL ON YOUR OWN DO YOU HAVE ANY OTHER SUPPORTS NEARBY LIKE FAMILY OR OR FRIENDS +RES0134-104 I HAVE SOME FAMILY CLOSE BY MY SON LIVES CLOSE BY AND MY DAUGHTER LIVES ABOUT TWO HOURS AWAY I'LL SEE THEM ABOUT ONCE A MONTH +RES0134-105 OKAY AND DO YOU SMOKE CIGARETTES +RES0134-106 I USED TO SMOKE BUT I STOPPED ABOUT FIVE YEARS BACK +RES0134-107 OH CONGRATULATIONS ON QUITTING +RES0134-108 THANK YOU +RES0134-109 SO YOU QUIT FIVE YEARS AGO AND HOW LONG DID YOU SMOKE FOR AND HOW MUCH DID YOU SMOKE +RES0134-110 I USED TO SMOKE NOT A LOT JUST LIKE ONE OR TWO A DAY AND I DID THAT FOR ABOUT TWENTY FIVE YEARS +RES0134-111 OKAY AND DO YOU DRINK ALCOHOL +RES0134-112 I'LL HAVE LIKE A GLASS OF WINE ONCE IN A WHILE +RES0134-113 AND HOW OFTEN IS ONCE IN A WHILE IS THIS OR HOW MANY DRINKS PER WEEK WOULD YOU SAY +RES0134-114 PER WEEK MAYBE LIKE THREE +RES0134-115 OKAY AND ANY HEART OR LUNG CONDITIONS +RES0134-116 THAT RUN IN THE FAMILY SO THERE IS LIKE LUNG CANCER THERE'S ASTHMA THERE'S COPD ALL OF THAT +RES0134-117 SOMEONE LIKE MY BOTH SIDES OF MY FAMILY HAD OKAY AND +RES0134-126 WAS THERE ANYTHING THAT THAT YOU WANTED TO ADD NO THOSE ARE ALL QUESTIONS THAT I HAD DO YOU THINK I NEED TO BE HOSPITALIZED BECAUSE I'M VERY SHORT OF BREATH OR DO YOU THINK I CAN JUST STAY AT HOME DO YOU THINK I NEED ANTIBIOTICS +RES0134-127-1 YEAH SO WE'LL WE'LL CHECK YOUR TEMPERATURE AND AND CONFIRM THE FEVER AND CHECK YOUR OXYGEN LEVELS AS WELL YOU MIGHT NEED OXYGEN YOU'RE MENTIONING WITH YOUR SHORTNESS OF BREATH +RES0134-127-2 AND WE WILL GET A CHEST X RAY AND IF WE'RE SEEING CONSOLIDATION THERE SUGGESTIVE OF PNEUMONIA YOU MAY NEED ANTIBIOTICS +RES0134-127-3 THAT WILL COVER COVER THOSE THOSE BUGS HOWEVER YOUR SYMPTOMS DO OVERLAP WITH COVID AS WELL AND SO IT WILL BE IMPORTANT TO GET A +RES0134-127-4 COVID SWAB BUT TO ANSWER IF YOU WILL NEED A HOSPITAL STAY I THINK WE'LL NEED TO AT LEAST WAIT UNTIL SOME OF THE INVESTIGATIONS COME BACK AND +RES0134-127-5 THAT WILL HELP DETERMINE HOW SEVERE THE SYMPTOMS ARE AND WE'LL OBSERVE YOU OVER THE NEXT FEW HOURS AND IF YOU ARE GETTING ANY WORSE OR ANYTHING +RES0134-128 LIKE THAT THEN IT MIGHT BE A GOOD IDEA +RES0135-000 HOW CAN I HELP YOU TODAY +RES0135-001 HI I'M BRINGING MY ONE YEAR OLD DAUGHTER IN BECAUSE SHE'S HAD THIS FEVER THIS RUNNY NOSE AND THIS COUGH FOR THE PAST THREE FOUR DAYS AND NOW SHE SOUNDS PRETTY WHEEZY +RES0135-002 OKAY AND AS SHE HAD A FEVER THE ENTIRE TIME OVER THE PAST THREE OR FOUR DAYS +RES0135-003 I WOULD SAY SO LIKE IT'S COME AND GONE BUT EVERY TIME I CHECKED HER TEMPERATURE I TRIED TO CHECK HER TWICE A DAY IT WOULD BE PRETTY HIGH LIKE THIRTY EIGHT OR THIRTY NINE +RES0135-004 OKAY SO IT WAS BETWEEN THIRTY EIGHT AND THIRTY NINE EACH TIME YOU CHECKED IT +RES0135-005 AND NOW I SHOULD MENTION LIKE I CHECKED TODAY AND SHE DIDN'T HAVE A FEVER TODAY BUT SHE SOUNDS REALLY WHEEZY NOW +RES0135-006 OKAY IS THE WHEEZE NEW TODAY +RES0135-007 OKAY AND THE COUGH THAT STARTED ABOUT THREE OR FOUR DAYS AGO AS WELL +RES0135-008 THAT'S RIGHT +RES0135-009 AND HOW HOW DOES THE COUGH SOUND DOES IT SOUND LIKE BARKY OR LIKE A SEAL LIKE +RES0135-010 COUGH IT SOUNDS PRETTY HARSH I DON'T KNOW IF IT SOUNDS BARKY +RES0135-011 OKAY AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE MORNING OR NIGHT +RES0135-012 NO IT'S IT'S JUST ALWAYS THERE +RES0135-013 OKAY IS SHE BRINGING UP ANY ANY PHLEGM OR SPUTUM +RES0135-014 SHE'S BRINGING UP SOME SHE'S SHE ACTUALLY SHE USED TO BRING UP SOME PHLEGM BUT NOW IT'S IT'S PRETTY DRY +RES0135-015 OKAY SO SHE WAS BRINGING UP PHLEGM INITIALLY AND IS NO LONGER WHAT COLOUR WAS IT +RES0135-016 IT WAS CLEAR +RES0135-017 OKAY ANY BLOOD THAT YOU +RES0135-018 NOTICED THERE +RES0135-019 NO NO BLOOD OKAY AND SHE'S SHE'S HAD HAD A WHEEZE AS WELL HAVE YOU NOTICED ANY CHEST PAIN IF SHE'S LIKE POINTING +RES0135-020 TO HER CHEST OR ANYTHING +RES0135-021 NO NOTHING LIKE THAT OKAY AND HAS SHE HAD ANY ANY LIKE FAINTING SPELLS +RES0135-022 NO +RES0135-023 OKAY AND SO SHE'S HAD A FEVER HAS SHE HAD ANY LIKE CHILLS OR NIGHT SWEATS LIKE WHERE SHE'S SHAKING +RES0135-024 OH NO NO +RES0135-025 AND HOW HAS HER MOOD BEEN +RES0135-026 SHE'S BEEN PRETTY FUSSY SHE'S BEEN PRETTY FUSSY OVER THE PAST FEW DAYS BUT I JUST THOUGHT IT WAS BECAUSE OF HOW SHE WAS FEELING LIKE HER SYMPTOMS +RES0135-027 CERTAINLY HAS SHE BEEN EATING AND DRINKING OKAY +RES0135-028 WE'VE MANAGED TO GET HER TO DRINK AND EAT OKAY SO IN THAT SENSE NO CHANGES THERE +RES0135-029 OKAY HOW MANY DIAPERS IS SHE HOW MANY WET DIAPERS PER DAY +RES0135-030 ABOUT FIVE +RES0135-031 OKAY SO STILL BEEN TO MAINTAIN HYDRATION IT SOUNDS LIKE OKAY AND HAS SHE HAD ANY LIKE EYE REDNESS +RES0135-036 AND HAS SHE HAD A RUNNY NOSE NOW THAT YOU MENTION IT SHE DID HAVE A RUNNY NOSE IT SEEMS TO BE LESS NOW BUT SHE DID HAVE A LOT A FEW DAYS AGO +RES0135-037 OKAY AND DID THAT START AROUND THE SAME TIME AS THE COUGH AND AND FEVER +RES0135-038 OKAY IT'S STILL GOING ON BUT BUT JUST LESS +RES0136-000 WHAT BRINGS YOU IN HERE TODAY +RES0136-001 I JUST STARTED HAVING DIFFICULTY WITH BREATHING STARTING YESTERDAY AND I ALSO DEVELOPED THIS COUGH YESTERDAY MORNING +RES0136-002 OKAY SO DID DID THE COUGH COME FIRST OR THE BREATHING DIFFICULTY BREATHING +RES0136-003 KIND OF AROUND THE SAME TIME WHEN I WOKE UP IN THE MORNING +RES0136-004 AND DID IT WAKE YOU UP FROM SLEEP AT ALL LIKE DID YOU WAKE UP TRYING TO CATCH A BREATH OR ANYTHING +RES0136-005 NO +RES0136-006 OKAY SO IT HAPPENED AFTER YOU HAD WOKEN UP AND GOTTEN OUT OF BED AND SO CAN YOU DESCRIBE YOUR COUGH A LITTLE BIT IS IT WET OR IS IT DRY +RES0136-007 IT'S JUST IT'S JUST A DRY COUGH +RES0136-008 OKAY YOU'RE NOT BRINGING UP ANY SPUTUM OR ANY OTHER MATERIAL +RES0136-009 NO +RES0136-010 AND ARE YOU COUGHING UP ANY BLOOD BY ANY CHANCE +RES0136-011 NO +RES0136-012 FOR THE SHORTNESS OF BREATH CAN YOU DESCRIBE IT A LITTLE BIT IS IT ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU BREATHING FASTER CAN YOU DESCRIBE IT +RES0136-013 I JUST FEEL LIKE I'M GETTING OUT OF BREATH REALLY EASILY JUST LIKE WALKING EVEN WALKING TO THE KITCHEN FROM MY BEDROOM I'M GETTING SHORT OF BREATH AND IT IT JUST STARTED YESTERDAY MORNING IT'S SO ODD +RES0136-014 OKAY AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE TO YOU +RES0136-015 NO +RES0136-016 WERE YOU DOING ANYTHING BEFORE IT STARTED LIKE WERE YOU DOING ANY ANY ACTIVITIES OR ANY ARE WERE YOU DOING ANY EXERTIONS AT ALL +RES0136-017-1 NO I WAS JUST I I SLEPT IN I SLEPT IN A BIT MORE THAN USUAL AND I WAS FEELING QUITE DROWSY MY MY DOC INCREASED MY PAIN MEDS +RES0136-017-2 AND I TOOK THE FIRST DOSE YESTERDAY NIGHT I ACTUALLY TOOK AN EXTRA PILL OF THE MORPHINE AND I DON'T KNOW MAYBE IT IT'S AN ALLERGIC REACTION TO THE MORPHINE +RES0136-018 HAVE YOU HAD ANY ALLERGIC REACTIONS BEFORE +RES0136-019 NO +RES0136-020 AND SO YOU TOOK AN EXTRA MORPHINE LAST NIGHT AND THEN WENT TO SLEEP DID YOU WAKE UP COUGHING OR CATCHING YOUR BREATH OR ANYTHING LIKE THAT +RES0136-021 NO I ACTUALLY I ENDED UP WAKING UP AT ONE HUNDRED PM OR TWO HUNDRED PM I WAS JUST VERY DROWSY AND I THINK I I THINK I MIGHT HAVE TAKEN A BIT TOO MUCH I DON'T KNOW THE THE ARTHRITIS PAIN WAS JUST KILLING ME LAST NIGHT AND I THOUGHT TAKING AN EXTRA PILL WOULD HELP +RES0136-022 AND IS THIS ARE YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO +RES0136-023 THEY'RE CONSTANT FOR THE PAST TWO DAYS I'VE ALSO NOTICED THAT I HAVE MY BREATH JUST SMELLS REALLY BAD I DON'T KNOW WHY +RES0136-024 IS THAT SOMETHING YOU NOTICED RECENTLY OR IN THE LAST TWO DAYS +RES0136-025 SINCE YESTERDAY ACTUALLY NOT EVEN YESTERDAY THIS MORNING I WOULD SAY +RES0136-026 THIS MORNING OKAY AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE LIKE DOES LYING DOWN MAKE YOUR SYMPTOMS WORSE +RES0136-027 NOT REALLY +RES0136-028 NO HOW ABOUT EXERTING YOURSELF DOES IT MAKE YOUR SYMPTOMS WORSE +RES0136-029 OKAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY FEVERS OR CHILLS +RES0136-030 I CHECKED MY FEVER LAST NIGHT IT WAS THIRTY SEVEN POINT TWO +RES0136-031 OKAY SO YOU DIDN'T HAVE A FEVER LAST NIGHT OKAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE DIZZINESS ANY FAINTING SPELLS +RES0136-032 NO +RES0136-033 OKAY HOW ABOUT SORE THROAT HEADACHES MUSCLE PAIN ANYTHING LIKE THAT +RES0136-034 NO +RES0136-035 OKAY ANY CHEST PAIN +RES0136-036 NO I DON'T +RES0136-037 AND HAVE YOU BEEN TRAVELING AT ALL RECENTLY +RES0136-038 NO +RES0136-039 ANY CONTACT WITH ANYONE WHO HAS BEEN SICK RECENTLY +RES0136-040 NO +RES0136-041 NO ANY NAUSEA OR VOMITING +RES0136-042 NO +RES0136-043 OKAY ANY NIGHT SWEATS +RES0136-044 NO +RES0136-045 OKAY ANY SWELLING IN YOUR LEGS OR ARMS HANDS +RES0136-046 NO NO I HAVEN'T NOTICED ANY OF THAT +RES0136-047 ANY FATIGUE JUST FEELING MORE TIRED TODAY +RES0136-048 MAYBE A LITTLE BIT +RES0136-049 OKAY HAVE YOU BEEN HAVING ANY COLD LIKE SYMPTOMS BEFORE THE TWO DAYS LIKE IN THE LAST WEEK LIKE RUNNY NOSE SORE THROAT +RES0136-050 NO I WAS LIKE I WAS ABSOLUTELY FINE +RES0136-051 OKAY HOW ABOUT DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA +RES0136-052 NO +RES0136-053 NO ANY TROUBLE WITH URINATING +RES0136-054 NO +RES0136-055 OKAY ANY SLEEP OR APPETITE ISSUES +RES0136-056 NO +RES0136-057 OKAY HAVE YOU LOST SIGNIFICANT WEIGHT IN THE LAST FEW MONTHS +RES0136-058 NO +RES0136-059 OKAY HAVE YOU BEEN EXPOSED TO ANYONE WHO MAY HAVE HAD TUBERCULOSIS +RES0136-060 I DON'T THINK SO +RES0136-061 NO AND DO YOU HAVE ANY PETS OR ANIMALS AT HOME +RES0136-062 I HAVE A DOG +RES0136-063 HAVE YOU EVER HAD ANY ALLERGIES TO ANY PETS OR ANIMALS +RES0136-064 NO +RES0136-065 ANY EXPOSURE TO FUMES OR DUST WITH WHERE YOU LIVE +RES0136-066 NO +RES0136-067 OKAY AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY DIAGNOSES +RES0136-068 I I JUST HAVE THE OSTEOARTHRITIS +RES0136-069 OSTEOARTHRITIS OKAY IS THAT WHY YOU'RE TAKING THE +RES0136-070 AND ARE YOU TAKING ANY OTHER MEDICATIONS +RES0136-071 I TAKE ADVIL +RES0136-072 ADVIL OKAY ANY ALLERGIES THAT YOU KNOW OF +RES0136-073 NO +RES0136-074 OKAY ANY PREVIOUS HOSPITALIZATIONS +RES0136-075 I HAD MY WISDOM TEETH REMOVED BUT NO I WASN'T I WASN'T HOSPITALIZED +RES0136-076 OKAY IS THAT THE ONLY SURGERY THAT YOU'VE HAD OR HAVE YOU HAD ANYTHING ELSE +RES0136-077 NO THAT'S IT +RES0136-078 ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +RES0136-079 NO +RES0136-080 ANY CANCERS +RES0136-081 BREAST CANCER MY GRANDMA HAD IT +RES0136-082 ANY AND CURRENTLY WHAT'S YOUR LIVING SITUATION LIKE DO YOU LIVE WITH SOMEONE +RES0136-083 I LIVE WITH MY HUSBAND +RES0136-084 OKAY +RES0136-086 AND YOUR DOG OKAY AND DID YOUR HUSBAND TELL YOU ANYTHING LIKE THAT HAS CHANGED IN YOUR BEHAVIOUR AT ALL RECENTLY +RES0136-087 HE JUST SAID THAT I WAS I WAS JUST EXTREMELY DROWSY YESTERDAY AND I WAS VERY HARD TO WAKE UP +RES0136-088 OKAY OKAY DO YOU SMOKE CURRENTLY +RES0136-089 NO +RES0136-090 HAVE YOU SMOKED IN THE PAST +RES0136-091 NO +RES0136-092 OKAY AND DO YOU WORK CURRENTLY +RES0136-093 I I DO +RES0136-094 AND HOW WOULD YOU SORRY DIS YOU SAY YOU DON'T WORK OR DO YOU WORK +RES0136-095 I'M A BANKER BUT I'M WORKING VIRTUALLY REMOTELY RIGHT NOW +RES0136-096 OKAY AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0136-097 I NO WELL SOMETIMES I'LL USE MARIJUANA FOR THE PAIN BUT I HAVEN'T BEEN DOING THAT RECENTLY FOR THE PAST TWO MONTHS +RES0136-098 OKAY HOW HOW OFTEN WOULD YOU SAY YOU USE IT +RES0136-099 ONLY WHEN THE PAIN GETS TOO BAD SO MAYBE THREE OR FOUR TIMES A MONTH +RES0136-100 OKAY AND DO YOU USE ANY ALCOHOL +RES0136-101 I'LL I'LL DRINK ONCE A WEEK TWO GLASSES TWO OR THREE GLASSES OF WINE +RES0136-102 ANY ALRIGHT SO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS FOR ME +RES0136-103 NO +RES0136-104-1 OKAY SO YEAH DEFINITELY WITH THE COUGHING AND SHORTNESS OF BREATH WE WILL DEFINITELY GET A COVID SWAB TEST DONE THAT SHOULD COME BACK IN THE NEXT TWENTY FOUR TO FORTY EIGHT HOURS AND THEN PUBLIC HEALTH WILL CONTACT YOU +RES0136-104-2 YEAH BASED ON WHAT YOU'RE TELLING ME SO FAR WE WILL DEFINITELY DO A PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION AND EVERYTHING DONE BUT I ALSO THINK SINCE YOU WERE VERY DROWSY AND WERE HAD FALLEN ASLEEP AND WERE REALLY DIFFICULT TO WAKE UP SOMETIMES +RES0136-104-3 YOU CAN GET WHAT'S CALLED ASPIRATION PNEUMONIA AND THAT'S THAT CAN ALSO BE A POSSIBILITY AND WHAT WE WILL DO IS GET A CHEST X RAY GET SOME BLOOD WORK DONE AS WELL TODAY +RES0136-104-4 NOW WE MAY REQUIRE ANTIBIOTICS AND IF YOUR VITALS UNSTABLE WE MIGHT ACTUALLY ADMIT YOU AS WELL DOES THAT SOUND GOOD +RES0136-105 WE'LL GET THOSE TESTS DONE AND WE'LL BE THERE WITH YOU SHORTLY WE'LL ALSO GET LIKE AN EKG DONE AS WELL +RES0136-106 SURE +RES0136-107 ALRIGHT OKAY +RES0137-000 SO WHAT BRINGS YOU HERE TODAY +RES0137-001 I AM HERE WITH WITH MY DAUGHTER WHO HAS JUST BEEN HAVING A COUGH FOR THE PAST TWO WEEKS +RES0137-002 OKAY AND CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT A DRY COUGH OR IS SHE BRINGING ANYTHING UP +RES0137-003-1 IT IS A IT IS A DRY COUGH BUT SHE JUST KEEPS COUGHING AND COUGHING AND AND THEN SHE JUST YOU KNOW ONCE SHE'LL START COUGHING SHE JUST DOESN'T STOP +RES0137-003-2 AND THEN THERE'S BEEN TIMES WHEN SHE JUST TURNS BLUE SHE'S COUGHING SO MUCH AND THEN IT JUST GETS GETS BETTER ON ITS OWN BUT IT'S A DRY COUGH +RES0137-004 OKAY AND WHAT DOES THE COUGH SOUND LIKE IS IT LIKE A HARSH COUGH A BARKY COUGH +RES0137-005 IT'S JUST SHE JUST MAKES THIS NOISE WHEN SHE'S LIKE BREATHE TRYING TO TAKE A BREATH IN IT'S IT'S +RES0137-006 OKAY IS IT KIND OF A WHEEZE +RES0137-007 SURE +RES0137-008 OKAY AND SO THERE'S EPISODES WHERE SHE ALSO TURNS BLUE +RES0137-009 WHEN SHE'S COUGHING A LOT SHE +RES0137-011 SHE'S ALSO VOMITED ONCE OR TWICE +RES0137-012 OH I SEE OKAY ANY BLOOD IN THE VOMIT OR IS SHE COUGHING UP ANY BLOOD +RES0137-013 NO +RES0137-014 NO OKAY ANY SO THIS STARTED TWO WEEKS AGO ANY KIND OF SYMPTOMS OF RUNNY NOSE OR COLD LIKE SYMPTOMS BEFORE THEN +RES0137-015-1 SHE DID HAVE A BIT OF A RUNNY NOSE IT WAS JUST WATERY SINCE DISCHARGE AND AT THAT TIME HER COUGH SHE HAD A COUGH AS WELL +RES0137-015-2 BUT I THOUGHT IT WAS YOU KNOW IT'S NOTHING IT WAS JUST LIKE ANOTHER FLU AND IT WOULD GET BETTER BUT THEN SHE JUST THE RUNNY NOSE GOT BETTER WITHOUT IN A COUPLE OF DAYS BUT THE COUGH STAYED AND IT GOT GOT PRETTY WORSE IT GOT WORSE +RES0137-016 OKAY OTHER THAN THE COUGH ANY ANY FEVERS OR CHILLS +RES0137-017 NO I DON'T THINK SHE'S HAD FEVERS I HAVEN'T CHECKED THOUGH +RES0137-018 OKAY AND THE COUGH IS PRETTY CONSTANT OR IS IT DOES IT COME AND GO +RES0137-019 SHE JUST HAS THESE EPISODES WHERE SHE JUST COUGHS AND COUGHS AND COUGHS AND THEN SHE'LL EITHER VOMIT OR JUST TURN BLUE OR JUST GET BETTER IN A COUPLE COUPLE MINUTES THIS KIND OF COMES AND GOES LIKE THAT +RES0137-020 OKAY AND IS THERE ANYTHING THAT HAS HELPED HER AT ALL LIKE ANY OVER THE COUNTER MEDICATIONS OR ANYTHING LIKE THAT +RES0137-021 I HAVEN'T TRIED ANYTHING I'M JUST WORRIED ABOUT YOU KNOW SHE'S MY FIRST CHILD AND I DON'T KNOW WHAT TO GIVE HER AND WHAT NOT TO GIVE HER AT THIS AGE SO I JUST DECIDED TO COME IN AND NOT TRY ANYTHING OVER THE COUNTER +RES0137-022 OKAY AND SO HAS THIS HAPPENED BEFORE AT ALL +RES0137-023 NO +RES0137-024 NO THIS IS THE FIRST TIME OKAY ANY SO SHE SHE IS VOMITING IS THE VOMIT LIKE GREEN IN COLOUR OR IS SHE JUST VOMITING UP WHAT SHE HAS EATEN WHAT'S THE CONTENT OF THE MOMENT +RES0137-025 IT'S USUALLY JUST WHAT SHE'S EATEN +RES0137-026 OKAY ANY SICK CONTACTS RECENTLY OR ANY TRAVEL +RES0137-027 NO I DON'T THINK SO NOT NOTHING REALLY +RES0137-028 AND HOW ABOUT HER BEHAVIOUR DOES SHE SEEM LIKE VERY TIRED OR FATIGUED OR MORE IRRITABLE +RES0137-029 SHE DOES GET TIRED ESPECIALLY AFTER AND THEN SHE'S IRRITABLE AND CRYING AFTER YOU KNOW SHE HAS THESE FITS OF COUGHS +RES0137-031 OKAY ANY SYMPTOMS OF DIARRHEA OR CONSTIPATION +RES0137-032 NO +RES0137-033 OKAY ANY ANY TROUBLE WITH URINATING AT ALL +RES0137-034 NO +RES0137-035 AND HOW'S HER SLEEP BEEN LIKE +RES0137-036 NOT GREAT IT'S JUST THE COUGH KEEPS WAKING HER UP AND SHE JUST DOESN'T CAN'T FALL ASLEEP +RES0137-037 OKAY ANY EXPOSURE TO DUST OR FUMES OR ANIMALS OR PETS AT HOME +RES0137-038 WE WE DID GET A CAT ABOUT A MONTH AGO +RES0137-039 OKAY AND ANY HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0137-041 AND ANY ALLERGIES THAT YOU KNOW OF +RES0137-042 NO +RES0137-043 AND ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +RES0137-044 NO +RES0137-045 AND HOW WAS YOUR PREGNANCY YOUR PREGNANCY WITH HER LIKE ANY COMPLICATIONS AT ALL +RES0137-046 NO NO COMPLICATIONS IT WAS IT WAS VERY IT WENT WELL +RES0137-047 AND WAS SHE AT TERM OR PREMATURE +RES0137-048 SHE WAS AT TERM SHE WAS BORN AT TERM +RES0137-049 WAS IT A VAGINAL DELIVERY OR A C SECTION +RES0137-050 VAGINAL +RES0137-051 AND DID SHE HAVE TO STAY IN THE NICU AT ALL AT THE HOSPITAL AFTERWARDS +RES0137-052 NO +RES0137-053 OKAY AND IS SHE FEEDING WELL LIKE WHAT DOES SHE USUALLY EAT +RES0137-054 SHE'S FEEDING WELL SHE'S DOING SHE EATS EVERYTHING +RES0137-055 AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +RES0137-056 NO +RES0137-057 AND DOES ANYONE SMOKE IN THE HOUSE +RES0137-058 HER DAD BUT HE HE DOESN'T SMOKE IN FRONT OF HER +RES0137-059 AND WHAT'S HER LIVING SITUATION LIKE WHO DOES SHE LIVE WITH AND DO YOU LIVE IN A HOUSE APARTMENT +RES0137-060 OH WE LIVE IN AN APARTMENT IT'S ME MY PARTNER HER AND THE CAT OKAY +RES0137-061 AND ANY DIFFICULTIES OR COMPLICATIONS WITH HER GROWTH LIKE IN TERMS OF HER WEIGHT OR HER HEIGHT +RES0137-062 NO NO COMPLICATIONS SHE'S DOING OKAY +RES0137-063 OKAY AND IN TERMS OF HER MILESTONES HAS SHE BEEN MEETING ALL OF THEM ON TIME +RES0137-064 YES +RES0137-065 OKAY ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0137-066 NO +RES0137-067 SO BASED ON THE SYMPTOMS OH SORRY I FORGOT TO ASK ONE OTHER QUESTION HAS SHE ARE HER IMMUNIZATIONS ALL UP TO DATE +RES0137-068 OH NO NO I DON'T I DON'T GET THOSE MY FRIEND'S MY FRIEND'S DAUGHTER DEVELOPED AUTISM AND I'M JUST I DON'T WANT THAT YOU KNOW SO NO I DON'T VACCINATE MY KIDS OR I DON'T VACCINATE MY DAUGHTER AND I HAVEN'T BEEN NO I WON'T BE DOING THAT +RES0137-069 AND HAVE YOU BEEN VACCINATED THROUGHOUT YOUR LIFE +RES0137-070 MAYBE WHEN I WAS YOUNG BUT I I DON'T I JUST DON'T BELIEVE IN VACCINATIONS I NO I DON'T I DON'T GET THOSE +RES0137-071-1 SO THERE IS DEFINITELY THERE'S A LOT OF RESEARCH DONE BESIDE BEHIND VACCINATIONS AND A LOT OF PREVENTION GOES INTO THEM BUT DEFINITELY THERE IS SOME ANECDOTAL EVIDENCE OF VERY LOOSE ASSOCIATIONS TO +RES0137-071-2 AUTISM THAT HAVE BEEN FOUND TO BE INVALID AND LIKE THEY HAVE BEEN INVALIDATED BY THE RESEARCH SO DEFINITELY IT'S VERY IMPORTANT TO GET YOUR CHILD VACCINATED IN FACT THE SUM OF THE SYMPTOMS THAT YOUR CHILD MAY BE HAVING RIGHT NOW +RES0137-071-3 CAN BE CAUSED BY SOMETHING CALLED PERTUSSIS AND THERE'S USUALLY A VACCINATION FOR THAT LIKE AFTER PREGNANCY AS WELL SO THAT'S SOMETHING THAT IS DEFINITELY ON THE DIFFERENTIAL +RES0137-071-4 AND AT THIS TIME WE DEFINITELY NEED TO MAKE SURE SHE'S OKAY AND GET HER VITALS DONE SEE HER OXYGENATION SATURATION AND JUST DO SUPPORTIVE CARE WHILE SHE'S IN THE HOSPITAL AND WE MAY NEED TO ADMIT HER +RES0137-071-5 BUT WE'LL DO THE FULL PHYSICAL EXAMINATION TODAY GET A COVID SWAB DONE AS WELL AND USUALLY IT SHE'S CURRENTLY IN THE IT SEEMS TO BE THE SECOND PHASE WHERE SHE'S VOMITING AND COUGHING A LOT +RES0137-071-6 AND THEN IT USUALLY AFTER THAT PHASE TWO OR THREE MORE WEEKS OF JUST COUGHING AND SO WE'RE GOING TO DO SOME SUPPORTIVE CARE FOR HER RIGHT NOW BUT DEFINITELY YOU SHOULD CONSIDER VACCINATING +RES0137-071-7 YOUR CHILD WE RECOMMEND THAT TO EVERY PARENT AS THERE'S A LOT OF DISEASES OUT THERE THAT CAN BE COMPLETELY PREVENTED IF YOU VACCINATE YOUR CHILD +RES0137-072 OKAY I'LL THINK ABOUT IT +RES0137-073 ALRIGHT SO SO FOR NOW WE'RE GONNA JUST MAKE SURE THAT SHE'S DOING WELL OKAY +RES0137-074 SURE +RES0137-075 ALRIGHT TAKE CARE +RES0138-000 WHAT BRINGS YOU IN HERE TODAY +RES0138-001 I'VE JUST HAD DIFFICULTIES WITH BREATHING FOR THE PAST I WANT TO SAY EIGHT NINE MONTHS AND MY WIFE JUST TOLD ME TO COME IN IT'S JUST SHE WAS WORRIED ABOUT IT AND I THOUGHT I'D JUST COME IN AND HAVE IT CHECKED OUT +RES0138-002 OKAY SO IT'S BEEN GOING ON FOR THE LAST EIGHT TO NINE MONTHS HAS IT BEEN GETTING WORSE AT ALL +RES0138-003 I WOULD THINK SO I WOULD SAY SO SO +RES0138-004 SORRY GO ON +RES0138-005 SO IT WAS JUST I FEEL LIKE I JUST GET SHORT OF BREATH MORE EASILY NOW +RES0138-006 OKAY AND IS IT SHORT OF BREATH WITH ACTIVITIES OR ARE YOU GETTING SHORT OF BREATH WITH SITTING OR RESTING AS WELL +RES0138-007 SO WHEN I'M WHEN I'M WITH ACTIVITY +RES0138-008 WITH ACTIVITY OKAY AND THE COUGH THAT YOU'RE GETTING IS IT A WET COUGH OR A DRY COUGH +RES0138-009 IT'S A DRY COUGH +RES0138-010 OKAY AND ARE YOU BRINGING UP ANY MATERIAL AT ALL LIKE ANY YELLOW OR GREEN SPUTUM +RES0138-012 ANY BLOOD +RES0138-013 NO NO BLOOD +RES0138-014 NO BLOOD OKAY AND WITH YOUR SHORTNESS OF BREATH IS IT ARE YOU HAVING DIFFICULTY TAKING DEEP BREATHS OR DO YOU FIND THAT YOU'RE TAKING MORE FAST SHALLOW BREATHS +RES0138-015 JUST I GUESS JUST SHALLOW BREATHS +RES0138-016 OKAY OKAY AND SO THIS IS OVER THE LAST EIGHT OR NINE MONTHS HAVE YOU NOTICED ANY OTHER SYMPTOMS AT ALL LIKE CHEST PAIN DIZZINESS OR FAINTING NO +RES0138-017 NO +RES0138-018 OKAY AND DO YOUR SYMPTOMS GET GET WORSE AT ALL WHEN YOU'RE LYING FLAT LIKE WHEN YOU'RE SLEEPING +RES0138-019 NO +RES0138-020 NO AND DO YOU EVER WAKE UP GASPING FOR AIR +RES0138-021 NO +RES0138-022 OKAY AND HAVE YOU TRIED ANYTHING THAT'S HELPED YOU RELIEVE SOME OF THESE SYMPTOMS +RES0138-023 SORRY COULD YOU SAY THAT AGAIN +RES0138-024 HAVE YOU TRIED ANYTHING LIKE OVER THE COUNTER TO HELP YOU RELIEVE THESE SYMPTOMS +RES0138-025 NO NO I HAVEN'T +RES0138-026 HAVE YOU TRAVELED AT ALL RECENTLY +RES0138-027 NO +RES0138-028 HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK +RES0138-029 NO NOT REALLY I I DID GO OUT TO THE PHARMACY TO GET MY MEDICATIONS BUT THAT'S THAT'S THE ONLY TIME I ACTUALLY INTERACT WITH ANYONE OUTSIDE OF MY HOME +RES0138-030 AND WHAT WHAT MEDICATIONS DO YOU TAKE +RES0138-031 I JUST TAKE ASPIRIN +RES0138-032 ASPIRIN OKAY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0138-033 I HAD A HEART ATTACK +RES0138-034 OH OKAY WELL WHEN WAS THAT +RES0138-035 LAST YEAR +RES0138-036 LAST YEAR WELL I'M SO SORRY AND DID THEY GIVE YOU ANY MEDICATIONS TO GO ON AFTER THAT +RES0138-037 THERE THERE WERE A COUPLE OF OTHER MEDICATIONS AS WELL SOMETHING SOMETHING SOMETHING PRIL AND I THINK THERE'S ROSUVASTATIN +RES0138-038 OKAY AND DO YOU STILL TAKE THOSE +RES0138-039 I TAKE THOSE SOMETIMES I FORGET THAT I DO I TRY TO TAKE THEM AS MUCH AS I CAN +RES0138-040 OKAY AND YOU ALSO TAKE THE ASPIRIN ALRIGHT HAVE YOU NOTICED ANY FEVERS OR CHILLS +RES0138-041 NO +RES0138-042 NAUSEA OR VOMITING +RES0138-043 NOPE +RES0138-044 AND ANY CHEST PAIN +RES0138-046 NO NO OKAY ANY INCREASED FATIGUE +RES0138-047 NO +RES0138-048 ANY DIARRHEA OR CONSTIPATION +RES0138-049 NO +RES0138-050 ANY NUMBNESS OR TINGLING ANYWHERE +RES0138-051 NO +RES0138-052 ANY CONFUSION OR MEMORY LIKE MEMORY LOSS +RES0138-053 NO I DON'T THINK SO +RES0138-054 ANY TROUBLE URINATING +RES0138-056 OKAY HAVE YOU NOTICED ANY SWELLING IN YOUR FEET ANKLES LEGS AT ALL +RES0138-057 NO +RES0138-058 OKAY AND HOW'S YOUR APPETITE BEEN LIKE +RES0138-059 IT'S BEEN IT'S BEEN THE SAME +RES0138-060 OKAY AND ANY SIGNIFICANT WEIGHT CHANGES HAVE YOU LOST ANY WEIGHT +RES0138-061 NO +RES0138-062 NO ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR ENVIRONMENT +RES0138-063 NOT RIGHT NOW WHEN I WAS YOUNG +RES0138-064 OKAY NOW DID YOU SO DID YOU HAVE EXPOSURE TO FUMES OR DUST +RES0138-065 I USED TO WORK IN A MINE SO +RES0138-066 A MINE +RES0138-067 LOTS OF CHEMICALS AND THINGS LIKE THAT +RES0138-068 OKAY AND ANY EXPOSURE TO ANY PETS OR ANIMALS +RES0138-069 NO +RES0138-070 BESIDES YOUR MEDICAL HISTORY OF HAVING A HEART ATTACK AND SOME BLOOD PRESSURE ANY OTHER MEDICAL CONDITIONS +RES0138-071 I JUST HAVE HIGH BLOOD PRESSURE +RES0138-072 OKAY ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES +RES0138-073 NO +RES0138-074 OKAY ANY HOSPITALIZATIONS BESIDES WHEN YOU HAD A HEART ATTACK PREVIOUSLY +RES0138-075 NO +RES0138-076 ANY SURGERIES +RES0138-077 NO +RES0138-078 OKAY DID THEY TELL YOU AT ALL WHAT THE CAUSE OF YOUR HEART ATTACK WAS +RES0138-079 THEY JUST THEY SAID IT WAS MY MY DIET +RES0138-081 SOMETHING ABOUT CHOLESTEROL +RES0138-082 DID YOU REQUIRE ANY STENTS OR DID YOU HAVE TO GET A BYPASS SURGERY OR ANYTHING LIKE THAT +RES0138-083 THEY PUT IN I THINK THEY PUT IN STENTS +RES0138-084 STENTS OKAY ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS +RES0138-085 MY MOM HAD HEART FAILURE +RES0138-086 OKAY AND HOW OLD WAS SHE WHEN SHE HAD HER HEART FAILURE +RES0138-087 SHE WAS YOUNG SHE WAS FIFTY FIVE +RES0138-088 FIFTY FIVE OKAY AND CURRENTLY RIGHT NOW OR SORRY DO YOU HAVE ANY FAMILY HISTORY OF ANY CANCERS ANY LUNG CANCER OR ANYTHING LIKE THAT +RES0138-089 NO +RES0138-090 AND CURRENTLY DO YOU WORK OR ARE YOU RETIRED +RES0138-091 I'M RETIRED +RES0138-092 OKAY AND WHAT'S YOUR LIVING SITUATION LIKE RIGHT NOW DO YOU LIVE WITH ANYONE +RES0138-093 I LIVE WITH MY WIFE +RES0138-094 OKAY AND DO YOU SMOKE +RES0138-095 NO +RES0138-096 HAVE YOU EVER SMOKED +RES0138-097 I DID WHEN I WAS YOUNG +RES0138-098 HOW LONG WOULD YOU SAY YOU SMOKED FOR +RES0138-099 I'D SAY FORTY FIVE YEARS +RES0138-100 AND HOW MUCH WOULD YOU SMOKE IN AN AVERAGE DAY +RES0138-101 ABOUT A PACK A DAY +RES0138-102 ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0138-103 NO +RES0138-104 AND DO YOU DRINK ALCOHOL +RES0138-105 I DO I'LL I'LL DRINK A GLASS AT NIGHT EVERY NIGHT +RES0138-106 AND A GLASS OF WHAT WOULD YOU DRINK +RES0138-107 OH JUST A A GLASS OF WINE WHITE WINE +RES0138-108 OKAY SO THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY ANY QUESTIONS FOR ME +RES0138-109 NO +RES0138-110 OKAY SO THERE'S DEFINITELY LIKE THE COUGHING AND SHORTNESS OF BREATH ARE DEFINITELY CONCERNING AND THEY'VE BEEN GOING ON FOR A PRETTY LONG TIME DO YOU EVER HAVE ANY NIGHT SWEATS OR ANYTHING LIKE THAT +RES0138-111 NO +RES0138-112-1 OKAY SO THERE'S A FEW THINGS THAT WE THINK ABOUT WITH THE CHRONIC SHORTNESS OF BREATH AND A COUGH ONE COULD BE JUST A COPD DIAGNOSIS WITH YOUR LONG HISTORY OF SMOKING +RES0138-112-2 AND THIS PULMONARY FUNCTION TEST GET AN X RAY CHEST X RAY AS WELL ANOTHER THING THAT WE NEED TO LOOK OUT FOR IS LUNG CANCER AND SINCE YOU HAVE BEEN SMOKING FOR A PRETTY LONG TIME +RES0138-112-3 EVEN THOUGH YOU MAY HAVE QUIT WHICH IS REALLY GREAT BUT THAT LONG HISTORY OF SMOKING ESPECIALLY ALSO WITH YOU WORKING IN A MINE +RES0138-112-4 THOSE ARE SOME THINGS THAT MEANS WE CAN TEST AS WELL AND SO WE MAY REQUIRE LIKE A CHEST X RAY AND EVEN A CT SCAN OF YOUR LUNGS AS WELL SO FIRST WE'LL JUST DO A COUPLE TESTS DO A PHYSICAL EXAMINATION GET +RES0138-112-5 YOUR VITALS DO SOME BLOOD WORK AND DO SOME OF THOSE TESTS AND THEN WE'LL ALSO GET A COVID SWAB TEST DONE FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD +RES0138-113 ALRIGHT SO WE'LL BE WITH YOU SHORTLY +RES0141-000 HOW CAN I HELP YOU TODAY +RES0141-001-1 HI SO I JUST CAME IN TODAY BECAUSE I'VE BEEN JUST BEEN FEELING LIKE MY HEAD'S JUST BEEN HURTING FOR THE PAST THREE OR FOUR DAYS AND I ALSO FELT REALLY COLD THROUGHOUT THE DAY FOR THE LAST FEW DAYS AS WELL SO +RES0141-001-2 I DID END UP CHECKING MY TEMPERATURE JUST YESTERDAY AFTERNOON AND IT WAS THIRTY EIGHT POINT SEVEN DEGREES CELSIUS +RES0141-002 OKAY TELL ME ABOUT THE HEADACHE WHERE EXACTLY IS IT +RES0141-003 SO IT'S KIND OF JUST THROUGHOUT LIKE THE FRONT OF MY FOREHEAD AND IT KIND OF GOES TO THE SIDE INTO MY TEMPLE +RES0141-004 AND WHAT DOES IT FEEL LIKE +RES0141-005 IT FEELS LIKE A CONSTANT ACHING I'VE HAD MIGRAINES BEFORE BUT THEY LIKE IT'S NOT LIKE THE PULSATING SENSATION THAT I USUALLY GET WITH THEM +RES0141-006 I SEE OKAY AND HOW SEVERE IS THE PAIN IF YOU HAD TO RATE IT FROM ONE TO TEN +RES0141-007 MORE THAN LIKE SEVERE IT'S DEFINITELY LESS SEVERE THAN MY MIGRAINES BUT IT IT'S JUST CONSTANT IT'S IT'S JUST BEEN THERE FOR THE LAST FOUR DAYS AND I WOULD SAY PROBABLY A SIX OUT OF TEN +RES0141-008 DID YOU DO ANYTHING FOR THE PAIN DID YOU TAKE ANY MEDICATIONS ANYTHING THAT MAKES IT BETTER +RES0141-009 I TOOK A TYLENOL I TOOK ADVIL IT HELPS FOR LIKE A FEW HOURS AND THEN IT JUST COMES BACK +RES0141-010 AND ANYTHING THAT MAKES THE PAIN WORSE +RES0141-011 I DEFINITELY THINK JUST IF I REST IT'S BETTER IF BUT IF I'M LIKE LIKE I CAN'T I CAN'T CONCENTRATE ON WORK OR LIKE ANYTHING +RES0141-012 OKAY AND OTHER THAN THE THE FEVER AND HEADACHES +RES0141-016 RUNNY NOSE OR CONGESTION +RES0141-017 NO SORE THROAT +RES0141-018 CHANGES IN YOUR SENSE OF SMELL +RES0141-019 I DO ACTUALLY FEEL LIKE I LIKE I AM LOSING MY SMELL TODAY +RES0141-021 SENSE OF TASTE I JUST HAD BREAKFAST TODAY SO BREAKFAST WAS OKAY I DIDN'T UMMBUT DEFINITELY SENSE OF SMELL +RES0141-022 OKAY AND ANY DIFFICULTIES BREATHING +RES0141-023 NO +RES0141-024 OKAY ANY CHEST PAIN +RES0141-025 NO +RES0141-026 DO YOU FEEL LIKE YOUR HEART IS RACING +RES0141-027 NO +RES0141-028 ANY DIARRHEA OR CONSTIPATION +RES0141-029 NO +RES0141-030 NAUSEA OR VOMITING +RES0141-031 NO +RES0141-032 PAIN IN YOUR BELLY +RES0141-033 NO +RES0141-034 ANY MUSCLE ACHES OR JOINT PAINS +RES0141-035 NO NOTHING LIKE THAT +RES0141-036 OKAY DO YOU FEEL LIKE YOUR NECK IS STIFF +RES0141-037 NO +RES0141-038 ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FINGERS OR TOES +RES0141-039 NO +RES0141-040 ANY NIGHT SWEATS OR WEIGHT LOSS UNINTENTIONAL +RES0141-041 NO I'VE ONLY BEEN GAINING WEIGHT +RES0141-042 OKAY ANY FLUID IN YOUR ANY SORT OF SWELLING IN YOUR LEGS +RES0141-043 NO NOTHING LIKE THAT REALLY +RES0141-044 OKAY ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0141-045 YES SO I HAVE TYPE TWO DIABETES I WAS JUST RECENTLY STARTED ON METFORMIN MEDICATION +RES0141-046 WHEN WERE YOU STARTED ON METFORMIN +RES0141-047 SO I THINK AROUND IT'S BEEN AROUND TWO MONTHS +RES0141-048 OKAY HOW IS THAT GOING FOR YOU ARE YOU TOLERATING IT OKAY +RES0141-049 I'VE I'VE BEEN TOLERATING IT WELL IT'S JUST THEY THEY SAID LIKE I'M KIND OF JUST ON THE EDGE OF THE DIABETES LIKE MY LEVEL SO THEY JUST WANT TO ACT PROACTIVELY +RES0141-050 THAT'S GOOD ANY OTHER MEDICAL CONDITIONS +RES0141-051 NO THAT'S THAT'S ALL +RES0141-052 ANY MEDICATIONS OTHER THAN METFORMIN THAT YOU TAKE ANYTHING OVER THE COUNTER +RES0141-053 SO I DO TAKE WHEN MY MIGRAINES GET BAD LIKE I DO TAKE I HAVE TAKEN NAPROXEN BEFORE +RES0141-054 OKAY SURGERIES +RES0141-055 NO SURGERIES +RES0141-056 HOSPITALIZATIONS +RES0141-057 NO +RES0141-058 OKAY ANY ALLERGIES TO MEDICATIONS FOODS OR ANY ENVIRONMENTAL ALLERGIES +RES0141-059 NOT TO ANY MEDICATIONS BUT I DO HAVE AN ALLERGY TO PEANUTS +RES0141-060 OKAY WHAT HAPPENS +RES0141-061 I DO GET LIKE A AN ANAPHYLACTIC REACTION +RES0141-062 OKAY OKAY AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +RES0141-063 SO ON MY DAD'S SIDE THEY LIKE ALL LIKE ALL THE MEN SEEM TO HAVE DIABETES SO IT'S GOOD THAT I'M STARTING ON THE MEDICATION ON MY MOM'S SIDE THEY'RE PRETTY HEALTHY I DON'T THINK MY MOM HAS ANY MEDICAL CONDITIONS +RES0141-064 OKAY GOOD AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE +RES0141-065 SO I LIVE WITH MY WIFE I LIVE WITH MY TWO KIDS A SON AND DAUGHTER +RES0141-066 AND HAVE YOU OR ANY OF THEM HAD ANY EXPOSURES TO ANYONE WHO COULD POSSIBLY BE SICK +RES0141-067 JUST SO MY WIFE IS A SCHOOL TEACHER AND THEY DID HAVE IN PERSON JUST SHE'S A HIGH SCHOOL TEACHER AND THEY HAD SOME THEY HAVE IN PERSON CLASSES SO I DON'T KNOW BUT SHE'S BEEN FEELING WELL MY KIDS ARE FEELING WELL TOO +RES0141-068 OKAY AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +RES0141-069 NO +RES0141-070 AND DO YOU CURRENTLY SMOKE OR DID YOU EVER SMOKE IN THE PAST +RES0141-071 NO I'VE NEVER SMOKED I DO SMOKE MARIJUANA JUST MAYBE ONCE OR TWICE A MONTH WITH SOME FRIENDS +RES0141-072 OKAY ANY RECREATIONAL DRUGS +RES0141-073 SORRY NO +RES0141-074 ANY ALCOHOL +RES0141-075 I PROBABLY DRINK A COUPLE OF BEERS DURING THE WEEKEND +RES0141-076-1 OKAY GOT IT ALRIGHT WELL GIVEN YOUR SYMPTOMS WE WOULD LIKE TO DO A COVID SWAB JUST IN +RES0141-076-2 OR REQUEST A COVID SWAB TO BE DONE THROUGH PUBLIC HEALTH JUST TO JUST TO RULE IT OUT YOUR SYMPTOMS DO SOUND LIKE OR OVERLAP WITH SOME OF THE SYMPTOMS THAT ARE SEEN +RES0141-076-3 IN PATIENTS WHO DO HAVE COVID IT COULD BE THAT YOU HAVE JUST JUST I GUESS LIKE +RES0141-076-4 YOUR HEADACHE AND FEVER I'LL ALSO LIKE DO A PHYSICAL EXAM TO SEE THERE'S NOTHING ELSE GOING ON +RES0141-076-5 BUT IN THE MEANTIME I I'D LIKE YOU TO SELF ISOLATE AND STAY AWAY FROM THE REST OF YOUR FAMILY MEMBERS AS WELL AT LEAST UNTIL THE RESULTS ARE OUT AND THEN WHEN THE RESULTS ARE OUT IF IT'S POSITIVE YOU'LL RECEIVE MORE GUIDELINES FROM PUBLIC HEALTH AS TO WHAT YOU NEED TO DO +RES0141-077 OKAY SOUNDS GOOD AND I WORK FROM HOME SO I DON'T NEED TO +RES0141-081 THANK YOU +RES0142-000 WHAT CAN I DO FOR YOU +RES0142-001 HI SO I I JUST CAME HERE TODAY BECAUSE I'VE JUST BEEN FEELING LIKE I HAVE THIS REALLY SORE THROAT FOR THE LAST WEEK AND I'VE ALSO BEEN GETTING SOME CHILLS OVER THE LAST FEW NIGHTS AS WELL SO I JUST CAME TO CHECK IT OUT +RES0142-002 OKAY AND WHEN DID SO YOUR SORE THROAT STARTED A WEEK AGO WHAT ABOUT THE CHILLS +RES0142-003 CHILLS I'VE BEEN FEELING THEM OVER THE LAST FEW NIGHTS AND I'VE ALSO JUST BEEN FEELING VERY TIRED AND OVER THE LAST WHOLE WEEK AS WELL +RES0142-004 OKAY HAVE YOU HAD ANY DIFFICULTIES SWALLOWING +RES0142-005 I DEFINITELY FEEL LIKE I DO GET SOME PAIN ONES FOLLOWING BUT IT MAY BE JUST WITH THE SORE THROAT +RES0142-006 AND HAVE YOU HAD HAVE YOU HAD ANY HEADACHES +RES0142-007 NO HEADACHES +RES0142-008 ANY STUFFY NOSE OR RUNNY NOSE +RES0142-009 NO NOTHING LIKE THAT +RES0142-010 NO SINUS CONGESTION +RES0142-011 NO +RES0142-012 OKAY WHAT ABOUT COUGH +RES0142-013 NO NOT NOT NO COUGH REALLY I'VE ALSO NOTICED ALSO LIKE THE BACK OF MY THROAT WHEN I LOOK IN THE MIRROR IS LIKE JUST VERY RED AND LIKE ANGRY LOOKING +RES0142-014 AND ANY DIFFICULTIES BREATHING +RES0142-015 NO +RES0142-016 ANY PAIN IN YOUR CHEST +RES0142-017 NO +RES0142-018 DO YOU FEEL LIKE YOUR HEART IS RACING +RES0142-019 NO NOTHING LIKE THAT +RES0142-020 ANY CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY OR ANY URINARY CONCERNS +RES0142-021 NO +RES0142-022 NO BELLY PAIN OR MUSCLE ACHES +RES0142-023 NO NOTHING LIKE THAT +RES0142-024 ALRIGHT SO ARE YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0142-025 NO I'VE BEEN PRETTY HEALTHY ALL MY LIFE +RES0142-026 ANY MEDICATIONS THAT YOU'VE BEEN ON +RES0142-029 ALLERGIES +RES0142-030 NO ALLERGIES OKAY AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY +RES0142-031 I THINK MY MOM HAS DIABETES BUT THAT'S ABOUT IT +RES0142-032 OKAY AND WHO DO YOU CURRENTLY LIVE WITH OR DO YOU LIVE ALONE +RES0142-033 I LIVE WITH MY MOM +RES0142-034 ANYONE ELSE AT THE HOUSE +RES0142-035 NO IT'S JUST US TWO +RES0142-036 ALRIGHT AND ANY RECENT EXPOSURES TO ANYONE WHO MIGHT BE SICK +RES0142-037 MY MY BOYFRIEND HE KIND OF HAD SIMILAR SYMPTOMS I WOULD SAY A FEW WEEKS AGO +RES0142-038 AND DID HE DID HE GET DID HE SEE A DOCTOR +RES0142-039 NO HE DIDN'T WANT TO GO TO THE DOCTOR AND IT KIND OF JUST RESOLVED LIKE HE IT WENT AWAY ON ITS OWN +RES0142-040 OKAY ALRIGHT AND DO YOU DO YOU DRINK +RES0142-041 JUST ON THE WEEKENDS MAYBE SOME WINE +RES0142-042 AND WHAT ABOUT MARIJUANA +RES0142-043 JUST SOCIALLY LIKE RIGHT NOW THERE'S NO PARTIES BUT LIKE WHEN I'M AT PARTIES +RES0142-044 WHAT ABOUT ALCOHOL +RES0142-045 SO JUST SOCIALLY AGAIN +RES0142-047 RIGHT NOW WITH MY MOM DRINKING EVERY NOW AND THEN +RES0142-048 I SEE OKAY ALRIGHT WELL THAT'S ALL THE QUESTIONS I HAD AND SORRY ONE MORE HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS SO FAR +RES0142-049 I'VE BEEN HAVING ALL MY IMMUNIZATIONS I ALSO FEEL LIKE SO WITH A SORE THROAT I ALSO HAVE SOME PAIN ON THE SIDES LIKE ON MY ON MY NECK LIKE I ALMOST FEEL LIKE SOME LUMPS ON BOTH SIDES +RES0142-050-1 OH I SEE I SEE OKAY OKAY SO I GUESS I AT THIS POINT I WOULD LIKE TO MAYBE HAVE IT EXAMINE YOU JUST HAVE A LOOK INSIDE YOUR THROAT MAYBE FEEL YOUR NECK FOR THOSE LUMPS AND THEN DECIDE WHAT TO DO FROM THERE +RES0142-050-2 GIVEN YOUR SYMPTOMS THIS COULD BE A VIRAL INFECTION OR IT COULD BE A BACTERIAL INFECTION CAUSED BY BACTERIA CALLED OR I GUESS STREP STREP THROAT IT COULD ALSO BE MONO +RES0142-050-3 BUT I'LL I'LL HAVE A LOOK WE'LL DO THE RAPID STREP TEST AND BASED ON THOSE RESULTS WE'LL DECIDE WHAT TO DO IF IT IS STREP YOU MIGHT REQUIRE ANTIBIOTICS IF NOT IF IT'S MONO AND IF WE CAN DO MAYBE A BLOOD TEST FOR THAT +RES0142-050-4 YOU MIGHT HAVE TO NOT ENGAGE IN IN PHYSICAL ACTIVITY OR EXERCISE VIGOROUS ACTIVITY OR LIKE SPORTS FOR THE NEXT COUPLE OF WEEKS OR MONTHS AS AS THAT CAN BE +RES0142-050-5 AS THAT CAN CAUSE PROBLEMS IF YOU GET HIT IN THE IN YOUR BELLY IT COULD CAUSE YOUR SPLEEN TO RUPTURE AND SOMETIMES YOUR SPLEEN BECOME VERY BIG IF YOU DO HAVE MONO BUT WE'LL DISCUSS ALL OF THAT A LITTLE BIT MORE AFTER WE DO +RES0142-050-6 THE THE STREP TEST WE'LL ALSO CHECK YOUR TEMPERATURE AND SEE HOW YOU'RE DOING HAVE YOU BEEN TAKING ANYTHING TO HELP YOURSELF TO HELP SOOTHE YOUR SORE THROAT +RES0142-051 JUST SOME LOZENGES +RES0142-052 SO JUST CONTINUE JUST DRINKING WATER AND TAKING LOZENGES JUST TO PROVIDE SOME COMFORT FOR YOURSELF AND WE'LL DO THE TEST THEN WE CAN CHAT A BIT MORE AFTER +RES0142-053 OKAY SOUNDS GOOD THANK YOU SO MUCH +RES0143-000 WHAT CAN I DO FOR YOU TODAY +RES0143-001 HI SO I JUST CAME HERE TODAY I'VE BEEN HAVING THIS COUGH FOR THE LAST TWO WEEKS AND IT JUST IS NOT GOING AWAY I'VE ALSO BEEN GETTING LIKE JUST A RUNNY NOSE FOR THE LAST COUPLE I WOULD TAKE THE WHOLE WEEK ALL OF LAST WEEK +RES0143-002 OKAY SO CAN YOU TELL ME ABOUT YOUR COUGH +RES0143-003 GO ON SORRY +RES0143-004 SO IT'S MORE OF JUST LIKE A DRY COUGH I'M NOT REALLY BRINGING ANYTHING UP +RES0143-005 NO BLOOD +RES0143-006 NO +RES0143-007 OKAY AND THE RUNNY NOSE WHAT WHAT'S THE DISCHARGE LIKE +RES0143-008 IT'S IT'S PRETTY CLEAR IT MIGHT BE LIGHT BUT IT'S NOT LIKE GREEN OR YELLOW OR ANYTHING LIKE THAT +RES0143-009 AND SO YOU'VE HAD THIS COUGH FOR TWO WEEKS AND THE RUNNY NOSE JUST STARTED LAST WEEK HAS THE COUGH IMPROVED OVER THE PAST TWO WEEKS +RES0143-010 IT HAS LIKE IT WAS MUCH WORSE LAST WEEK BUT I I JUST CAN'T GET LIKE IT'S BETTER NOW BUT IT'S STILL LASTING MUCH LONGER THAN I'VE HAD A COUGH BEFORE +RES0143-011 OKAY AND HAVE YOU HAD A HEADACHE AT ALL IN THESE PAST TWO WEEKS +RES0143-012 NO I DIDN'T HAVE A HEADACHE BUT SOMETIMES I FEEL A BIT CONGESTED +RES0143-013 AND HAVE YOU HAD ANY CHANGES IN YOUR VISION OR YOUR LIKE BLURRY VISION OR ANY REDNESS IN YOUR EYES OR TEARING +RES0143-014 NO NOTHING LIKE THAT +RES0143-015 OKAY ANY CHANGES IN SMELL +RES0143-016 NOPE +RES0143-017 OKAY ANY CHANGE IN TASTE +RES0143-018 NO BUT SORRY FOR SMELL LIKE WHEN I WAS A BIT CONGESTED I I COULD SMELL LESS I WASN'T ABLE TO SMELL TOO MUCH BUT TASTE HAS BEEN FINE +RES0143-019 ALRIGHT AND WHAT ABOUT SORE THROAT +RES0143-020 NO NO NO SORE THROAT +RES0143-021 OKAY WHAT ABOUT ANY DIFFICULTIES WITH BREATHING +RES0143-022 NO NOTHING LIKE THAT +RES0143-023 ANY CHEST PAIN +RES0143-025 PALPITATIONS OR RACING OF YOUR HEART +RES0143-026 NO +RES0143-027 ANY PAIN IN YOUR BELLY +RES0143-028 NO +RES0143-029 NAUSEA OR VOMITING +RES0143-031 DIARRHEA OR CONSTIPATION +RES0143-032 NO +RES0143-033 ANY ACHES IN YOUR ANY MUSCLE ACHES +RES0143-034 NO +RES0143-035 ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FEET +RES0143-036 NOPE +RES0143-037 OKAY ANY FEVERS OR CHILLS +RES0143-038 NO NOT REALLY LAST WEEK I MAYBE HAD A TWO NIGHTS I WAS A BIT CHILLY BUT SINCE THEN I'VE BEEN FINE +RES0143-039 OKAY AND ANY NIGHT SWEATS +RES0143-041 NO UNINTENTIONAL WEIGHT LOSS +RES0143-042 NO MY WEIGHT'S BEEN THE SAME +RES0143-043 OKAY ALRIGHT AND SO IT SOUNDS LIKE YOU HAVE A COUGH THAT STARTED TWO WEEKS AGO AND THEN YOU ONLY AND THEN YOU HAD TWO NIGHTS OF TWO NIGHTS WHERE YOU FELT SORT OF COLD AND YOU HAD THE CHILLS LAST WEEK BUT YOU STARTED YOU DEVELOPED A RUNNY NOSE A WEEK AGO +RES0143-044 THE RUNNY NOSE HAS BEEN MORE THIS WEEK IT KIND OF LIKE STARTED WITH A COUGH LAST WEEK +RES0143-045 IT IT SORRY SO IT STARTED WITH THE COUGH LAST WEEK +RES0143-046 SO LATE LAST WEEK I WOULD SAY THE RUNNY NOSE STARTED +RES0143-047 I SEE I SEE OKAY ALRIGHT I AND ARE YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0143-048 NO I'VE BEEN COMPLETELY HEALTHY OTHERWISE +RES0143-049 ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER OR HERBAL MEDICATIONS OR VITAMINS OR MINERALS +RES0143-050 NO NO I DON'T TAKE ANY MEDICATION +RES0143-051 ALLERGIES INCLUDING ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES AND ALLERGIES TO MEDICATIONS +RES0143-052 NO +RES0143-053 AND ANY CONDITIONS MEDICAL CONDITIONS THAT RUN IN THE +RES0143-055 MY DAD HAS HIGH CHOLESTEROL AND IN TERMS OF YOUR LIVING SITUATION DO YOU LIVE ALONE +RES0143-056 RIGHT NOW I'M I USUALLY LIVE IN A DORM GOING TO UNIVERSITY BUT RIGHT NOW I'M HOME WITH MY PARENTS JUST DOING VIRTUAL LEARNING +RES0143-057 OKAY OKAY AND HAVE YOU IS THERE ANYONE ELSE AROUND IN THE HOME OR JUST YOUR PARENTS AND YOU +RES0143-058 JUST MY PARENTS AND ME +RES0143-059 ALRIGHT HAVE YOU HAVE YOU BEEN AROUND SOMEONE WHO MIGHT BE SICK OR HAVE YOUR PARENTS BEEN AROUND SOMEONE WHO COULD BE SICK +RES0143-060 MY MOM HAD THE SNIFFLES LIKE LAST WEEK BUT SHE PRETTY MUCH GOT OVER IT +RES0143-061 DID SHE GET TESTED FOR COVID +RES0143-062 NO SHE SHE DIDN'T BUT IT'S NOT LIKE IT'S JUST MORE SHE JUST THOUGHT IT WAS A COLD OR SOMETHING SO SHE DIDN'T REALLY BOTHER +RES0143-063 THAT'S FAIR OKAY AND DO YOU SO I SEE THAT YOU GO TO SCHOOL AND YOU MENTIONED YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE THE PROVINCE +RES0143-064 NO NOT AT ALL MY SCHOOL IS ACTUALLY IN ONTARIO SO +RES0143-065 OKAY GREAT AND DO YOU CURRENTLY OR HAVE YOU EVER SMOKED +RES0143-066 MAYBE LIKE A COUPLE TIMES JUST CASUALLY I'VE TRIED IT BUT NOTHING REGULAR +RES0143-067 AND WHAT ABOUT MARIJUANA +RES0143-068 SAME SAME THING LIKE I'VE TRIED IT PROBABLY LIKE FOUR OR FIVE TIMES SO FAR +RES0143-069 ANY RECREATIONAL DRUGS +RES0143-070 NO +RES0143-071 ANY ALCOHOL +RES0143-072 JUST NOT NOT MUCH RIGHT NOW BUT LIKE WHEN I WHEN WE WERE AT SCHOOL LIKE WE WOULD DRINK ON THE WEEKENDS +RES0143-073-1 THAT'S GOOD ALRIGHT SO IT SOUNDS LIKE YOU'VE HAD A COUGH FOR THE PAST TWO WEEKS AND YOU HAVE DEVELOPED A RUNNY NOSE LAST WEEK +RES0143-073-2 AND YOUR MOM WAS ILL THE WEEK BEFORE IT'S POSSIBLE THAT YOU JUST HAVE A COMMON COLD AND THAT SYMPTOMS WILL GET BETTER OVER TIME BUT JUST IN CASE WE WOULD ALSO LIKE TO DO A COVID SWAB +RES0143-073-3 TO MAKE SURE THAT YOU JUST TO RULE OUT COVID IN THE MEANTIME I WOULD REQUEST THAT YOU ISOLATE SELF ISOLATE AT HOME STAY AWAY FROM YOUR PARENTS AS WELL +RES0143-073-4 THE TEST RESULTS SHOULD COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS AND PUBLIC HEALTH WILL GIVE YOU A CALL IF YOUR RESULTS ARE POSITIVE AND WE'LL LET YOU KNOW WHAT TO DO +RES0143-073-5 WE WILL ALSO DO A PHYSICAL EXAM HERE AND CHECK YOUR TEMPERATURE TO SEE IF YOU HAVE A FEVER AT ALL AND YEAH DOES THAT SOUND GOOD TO YOU +RES0143-074 AND WILL I NEED ANY LIKE ANTIBIOTICS FOR MY COUGH +RES0143-075 OH WELL WE I GUESS YOU SAID THAT YOU DON'T HAVE A SORE THROAT AT ALL RIGHT +RES0143-076 NO IT'S JUST THAT I JUST FEEL LIKE THE COUGHS BEEN JUST GOING ON LIKE IT WOULD BE NICE TO JUST GET RID OF IT +RES0143-077-1 WELL I'LL DO A PHYSICAL EXAM LOOK INSIDE YOUR THROAT LOOK INSIDE YOUR MOUTH SORRY AND LISTEN TO YOUR CHEST AND ENSURE THAT NOTHING ELSE IS GOING ON THAT YOU DON'T HAVE ANYTHING LIKE SAY STREP THROAT OR MONO OR YOU DON'T HAVE PNEUMONIA BACTERIAL PNEUMONIA FOR INSTANCE OFTENTIMES +RES0143-077-2 SYMPTOMS THAT YOU HAVE ARE CAUSED BY VIRUSES AND DON'T NEED TO BE TREATED WITH ANTIBIOTICS BUT I'LL DO A PHYSICAL EXAM AND MAYBE HAVE A LOOK AT YOUR LABS AS WELL AND THEN DECIDE ACCORDINGLY +RES0143-078 OKAY SOUNDS GOOD THANK YOU +RES0144-000 WHAT CAN I DO FOR YOU TODAY +RES0144-001 HI YES I JUST BROUGHT MY SON TO THE ER WE'VE NOTICED IN THE LAST TWO DAYS HE'S BEEN JUST MAKING THESE GRUNTING NOISES AND JUST SEEMS A LITTLE BIT LIKE JUST NOT HIMSELF JUST MORE QUIET NOT REALLY CRYING +RES0144-002 OK AND WHEN DID YOU YOU SAID LAST FEW DAYS WHEN WHEN EXACTLY DID YOU FIRST NOTICE THE GRUNTING HOW LONG +RES0144-003 IT WAS TWO DAYS AGO +RES0144-004 OK TWO DAYS AGO WAS IT WHEN DID YOU HEAR THIS SOUND WHEN YOUR BABY IS TRYING TO BREATHE +RES0144-005 TODAY I WAS TRYING TO PAY MORE ATTENTION IT SEEMS LIKE THAT LIKE THIS REALLY TRYING TO BREATHE MORE AND ALSO I LIKE HE'S LIKE THE CHEST I SEE MOVING A LOT MORE +RES0144-006 OK AND SO YOU'VE BEEN HEARING THIS GRUNTING SOUND AND HE'S BEEN TRYING TO BREATHE AND YOU SEE THAT HIS CHEST IS MOVING MORE THAN USUAL AND HE'S CRYING HAS HE BEEN SLEEPING WELL OR NO +RES0144-007 SO LAST NIGHT IT WAS REALLY HARD TO GET HIM TO SLEEP HE DID SLEEP I WOULD SAY LIKE AROUND LIKE FOUR HOURS LAST NIGHT BUT IT WAS REALLY DIFFICULT +RES0144-008 AND WHAT ABOUT FEEDING DOES HE TAKE A FORMULA OR IS HE BREASTFED +RES0144-009 SO HE'S HE TAKES FORMULA AND TODAY IT LIKE YESTERDAY HE WAS FEEDING TODAY IT'S BEEN REALLY HARD TO GET HIM TO FEED MAYBE HE FED FOR LIKE ONE OR TWO TIMES BUT NOT MUCH +RES0144-010 IT HAPPENS WHEN YOU TRY TO FEED HIM +RES0144-011 KIND OF JUST AFTER AWHILE JUST PUSHES IT AWAY NOT REALLY NOT REALLY TOO EXCITED ABOUT FEEDING +RES0144-012 OK AND WHAT ABOUT DIAPERS HOW MANY WET DIAPERS HAS HE HAD OVER THE PAST OR YESTERDAY AND TODAY +RES0144-013 PROBABLY AROUND THE SAME LIKE USUALLY HAS LIKE FIVE TO SIX WEIGHT DIAPERS AND IT'S AROUND THE SAME +RES0144-014 OK OK AND DID YOU TRY ANYTHING I KNOW THAT HE'S SIX MONTHS OLD DID YOU TRY FEEDING HIM ANYTHING NEW OR ANYTHING DIFFERENT +RES0144-015 NO IT'S JUST BEEN THE BOTTLE FEEDS +RES0144-016 NOTHING NEW RIGHT NO SOLID FOODS YET +RES0144-017 NO +RES0144-018 OK AND IN TERMS OF HIS ACTIVITIES YOU MENTIONED THAT HE'S NOT AS HE'S NOT MOVING AND AS ACTIVE AS HE USUALLY IS +RES0144-019 TODAY I ALSO THOUGHT I FELT THAT IT WAS A BIT WARM WARMER THAN USUAL BUT I DIDN'T HAVE A THERMOMETER AT HOME +RES0144-020 OK HAVE YOU NOTICED HAS HE BEEN DROOLING AT ALL +RES0144-021 DROOLING +RES0144-022 NO I HAVEN'T NOTICED THAT +RES0144-023 OK WHAT ABOUT COUGHING +RES0144-024 I HAVEN'T HEARD ANY ANY COUGHING NO +RES0144-025 OK SORRY IS HE IS ABLE TO SIT UP ON HIS OWN +RES0144-026 UP AGAINST LIKE A SOFA OR CHAIR BUT NOT REALLY ON HIS OWN +RES0144-027 HAVE YOU EVER BEEN HAS BEEN LEFT ALONE OVER THE PAST TWO DAYS AT SOME POINT DO YOU FEEL LIKE YOU MIGHT HAVE TAKEN SOMETHING IN HIS MOUTH ACCIDENTALLY +RES0144-028 NO I I TRIED CHECKING HIS MOUTH LIKE I WAS THERE WITH HIM LIKE ALL ALL THE TIME +RES0144-029 NO OK NOTHING LIKE THAT OK HOW HAS HIS IMMUNIZATIONS BEEN SO FAR HAS HE AS HE RECEIVED THEM +RES0144-030 HE'S RECEIVED ALL HIS IMMUNIZATIONS UP TO DATE +RES0144-031 DID HE HAVE IT HAS HE WAS VACCINATED ANYTIME RECENTLY BECAUSE SOMETIMES YOU SAID HE'S WARM AND SOMETIMES SOMETIMES JUST GETTING VACCINATED CAN CAUSE A REACTION +RES0144-032 NO HE WAS VACCINATED LIKE I THINK MORE THAN TWO OR THREE WEEKS AGO +RES0144-033 OK ALRIGHT AND YOU SAID NO DIARRHEA OR ANYTHING LIKE THAT RIGHT +RES0144-035 OK ANY IS HE DOES HE HAVE ANY NAUSEA OR NOT NAUSEA BUT IS HE VOMITING IS HE BRINGING ANYTHING UP +RES0144-036 NO NOT REALLY LIKE HE WAS JUST PUSHING AWAY THE BOTTLE BUT LIKE HE DIDN'T BRING ANYTHING UP +RES0144-037 OK HAS HE BEEN LIMP AND LETHARGIC +RES0144-038 NO I DON'T THINK SO +RES0144-039 OK HAS YOU SAID THAT HE HASN'T HAD HIS FORMULA MUCH BUT WHAT ABOUT DRINKING LIKE HAS HE HAD ANYTHING TO DRINK ANY MILK OR ANYTHING LIKE THAT OR NO +RES0144-040 NO I DON'T THINK SO +RES0144-041 NO SHE HASN'T HAD MUCH TO EAT AND OR DRINK OVER THE PAST OR TODAY +RES0144-042 MOSTLY +RES0144-043 SO HE MIGHT BE A LITTLE BIT DEHYDRATED +RES0144-044-1 OK OK WELL I I OK SO THAT'S ALL I WANTED TO DO KNOW +RES0144-044-2 IN TERMS OF HIS CURRENT STATUS I WOULD OBVIOUSLY WANT TO EXAMINE HIM VERY CAREFULLY AND SEE WHAT'S GOING ON HOW HAS HOW IS HE LIKE JUST GOING BACK HOW WAS YOUR PREGNANCY +RES0144-045 PREGNANCY WAS OK NO COMPLICATIONS BUT HE WAS PREMATURE BY TWO WEEKS SO I THINK HE WAS BORN AT THIRTY FIVE AND FOUR DAYS +RES0144-046 OK AND WERE THERE ANY COMPLICATIONS AT THAT TIME INCLUDING COMPLICATIONS RELATED TO THE LUNG SOMETHING LIKE RESPIRATORY DISTRESS SYNDROME +RES0144-047 SO WHEN HE WAS BORN THERE WAS THEY NEEDED TO DO I FORGOT WHAT IT WAS BUT THEY TOLD ME THAT INITIALLY HE WASN'T BREATHING BUT THEN RIGHT AFTERWARDS AFTER LIKE WITHIN FIVE MINUTES HE WAS FINE +RES0144-048 OK WAS HE KEPT IN THE HOSPITAL IN THE NICU AFTER BEING BORN +RES0144-049 JUST BECAUSE OF THAT SCARE THEY KEPT HIM FOR THREE MORE DAYS BUT LIKE HE WAS GROWING WHILE THERE WERE NO MORE EPISODES OF THE BREATHING ISSUE SO THEY LET HIM GO AFTER +RES0144-050 OK HAS HOW HAS HE BEEN SINCE THEN OVER THE PAST SIX MONTHS +RES0144-051 SINCE THEN HE'S BEEN FINE NO WE DIDN'T HAVE TO GO TO THE HOSPITAL OR ANYTHING AND DURING OUR ROUTINE VISITS HE'S BEEN GROWING WELL NO NORMAL ISSUES +RES0144-052 ANY ISSUES BECAUSE DEVELOPMENT +RES0144-053 NO HE'S BEEN PRETTY LIKE HE'S BEEN MEETING HIS MILESTONES ACCORDING TO LIKE THE FAMILY DOCTOR +RES0144-054 HAS HE HAD ANY SURGERIES OR ANY OR NO HOSPITALIZATIONS YOU SAID AND NO NO DIAGNOSIS RIGHT HE HASN'T BEEN DIAGNOSED WITH ANY CONDITION +RES0144-055 NO +RES0144-056 ALRIGHT CAN YOU TELL ME ABOUT ALLERGIES IS HE ALLERGIC TO ANYTHING THAT YOU'RE AWARE OF +RES0144-057 NO NOT THAT I KNOW +RES0144-058 OK IS THERE CAN YOU TELL ME ABOUT HIS FAMILY HISTORY ANYTHING THAT YOU MIGHT HAVE OR HIS DAD OR ANYONE ELSE IN THE FAMILY +RES0144-059 NO HIM HIS DAD AND I ARE PRETTY HEALTHY NO MEDICAL CONDITIONS +RES0144-060 ANYTHING LIKE CYSTIC FIBROSIS IN THE FAMILY +RES0144-061 NO NOT THAT I KNOW OF +RES0144-062-1 ALRIGHT WELL WE'LL EXAMINE THE CHILD AND LOOK AT HIS VITALS LISTEN TO HIS LUNGS LOOK LOOK INSIDE HIS MOUTH AND THAT'S THIS SOUNDS SERIOUS +RES0144-062-2 SO WE'LL KEEP YOU WE'LL KEEP YOU UPDATED AND WE'LL LET YOU KNOW WHAT NEEDS TO BE DONE HE MIGHT NEED POTENTIALLY NEED ANTIBIOTICS HE MIGHT NEED POTENTIALLY TO BE +RES0144-062-3 INTUBATED BUT WE WILL HAVE ALL THESE DISCUSSIONS AFTER THE BABY'S BEEN SEEN AND WE'LL DRAW SOME LABS AND GO FROM THERE +RES0144-063 OK SOUNDS GOOD +RES0145-000 WHAT BRINGS YOU IN TODAY +RES0145-001 I'VE HAD A SORE THROAT THAT'S BEEN REALLY BUGGING ME THE PAST FOUR DAYS AND I'VE HAD A COUGH AS WELL +RES0145-002 WHEN DID THE COUGH START +RES0145-003 SO THE THE THE COUGH STARTED LAST WEEK ACTUALLY AND THEN AND THEN I I GOT THIS SORE THROAT AFTERWARDS +RES0145-004 OK AND IS IT A DRY COUGH OR WET COUGH +RES0145-005 IT'S DRY +RES0145-006 OK AND HAS IT GOTTEN BETTER OR WORSE OR STAYED THE SAME SINCE LAST WEEK +RES0145-007 IT'S IT'S GOTTEN A LITTLE BIT LITTLE BIT BETTER +RES0145-008 OK THAT'S GOOD AND THE SORE THROAT STARTED FOUR DAYS AGO ARE YOU HAVING ANY DIFFICULTIES SWALLOWING +RES0145-010 IT'S REALLY SORE OK AND I GUESS GOING BACK TO THE COUGH DOES IT MAKE IT DIFFICULT FOR YOU TO FALL ASLEEP AT +RES0145-011 NIGHT OR DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT +RES0145-012 NO I IT HASN'T DONE THAT OK ALRIGHT OTHER AND AND I GUESS THIS SORE THROAT HAS JUST GOTTEN WORSE OVER THE PAST FOUR DAYS OR +RES0145-013 HAS BEEN KIND OF THE SAME OR BETTER IT'S GOTTEN A LITTLE IT'S GOTTEN A LITTLE BIT WORSE OVER THE LAST FEW DAYS +RES0145-014 OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE HEADACHES STUFFY NOSE RUNNY NOSE ANY DISCHARGE FROM YOUR EYES RED EYES ANY PAIN IN YOUR EARS ANYTHING LIKE THAT +RES0145-015 BUT THAT YOU MENTION THAT I I HAVE HAD LIKE SOME ITCHY EYES THAT AND A RUNNY NOSE I WAS SNEEZING QUITE A BIT LAST WEEK BUT THAT HAS KIND OF GONE AWAY NOW +RES0145-016 OK AND WERE SNEEZING LAST WEEK AND YOU HAD ITCHY EYES HAD AND THATS GONE OK SO ALL YOU HAVE RIGHT NOW IS THAT COUGH AND SORE THROAT OK +RES0145-017 AND I'VE BEEN REALLY LIKE ACHY AND AND TIRED AS WELL +RES0145-018 HAVE YOU HAD ANY FEVERS OR CHILLS +RES0145-019 I'VE I'VE FELT FEVERISH THESE LAST TWO DAYS +RES0145-020 NO CHILLS AND HAVE YOU HAD ANY CHANGES IN YOUR SENSE OF SMELL +RES0145-021 NO I HAVEN'T +RES0145-022 CHANGES IN YOUR SENSE OF TASTE +RES0145-023 NO +RES0145-024 OK ALRIGHT AND ANY CHEST PAIN +RES0145-027 NO +RES0145-028 ANY I GUESS HEADACHE OR ANY PRESSURE IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN OR SQUAT DOWN +RES0145-029 NO I HAVEN'T FELT ANYTHING LIKE THAT +RES0145-030 OK ANY BELLY PAIN NAUSEA OR VOMITING ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS +RES0145-031 NO +RES0145-032 OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0145-033 I'VE HAD LIKE TONSILLITIS A FEW TIMES IN THE IN THE PAST THE LAST TIME HAPPENED ABOUT ABOUT SIX MONTHS AGO +RES0145-044 OK AND ANY WHEN YOU WERE YOUNGER WOULD YOU HAVE A LOT OF INFECTIONS WHEN YOU WERE A CHILD OR WHEN YOU WERE BORN WERE YOU BORN PREMATURELY WERE THERE ANY COMPLICATIONS AT BIRTH +RES0145-045 I DID HAVE A COUPLE OF EAR INFECTIONS WHEN I WAS WHEN I WAS YOUNGER BUT I HAVEN'T HAD ANY SINCE +RES0145-046 OK AND NO PNEUMONIA OR ANYTHING LIKE THAT RIGHT +RES0145-047 NO NOTHING LIKE THAT +RES0145-048 OK ANY HISTORY OF ASTHMA OR ECZEMA OR ALLERGIC RHINITIS +RES0145-049 NO I HAVEN'T HEARD OF THOSE BEFORE +RES0145-050 ALRIGHT ARE YOU TAKING ANY MEDICATIONS +RES0145-051 NO I'M NOT +RES0145-052 WERE YOU GIVEN ANY ANTIBIOTICS SIX MONTHS AGO WHEN YOU HAD YOUR TONSILLITIS +RES0145-053 I WAS I THINK I I THINK A LIKE AMOXICILLIN +RES0145-054 RIGHT AND DO YOU HAVE ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES OR ALLERGIES TO ANY MEDICATIONS +RES0145-055 I I HAVE ALLERGIES TO PEANUTS +RES0145-056 WHAT HAPPENS +RES0145-057 I DO GET ANAPHYLAXIS FROM IT I'VE OR I'LL GET LIKE HIVES AND THROAT SWELLING AND SO I DO +RES0145-058 CARRY AN EPIPEN I HAVEN'T HAD TO USE IT THOUGH THAT'S GOOD THAT'S GOOD AND SO COUPLE QUESTIONS ABOUT I GUESS MORE GENERAL QUESTIONS DO YOU WHO DO YOU LIVE WITH AND WHERE +RES0145-059 DO YOU LIVE IN A HOUSE OR AN APARTMENT LIVE IN A HOUSE WITH +RES0145-060 WITH MY PARENTS AND OLDER SISTER OK AND ARE YOU +RES0145-063 I DO YES +RES0145-064 OK ARE THINGS GOING WELL AT SCHOOL ANY BULLYING ARE YOU HAPPY WITH YOUR GRADES +RES0145-065 THERE EVERYTHING I I MEAN SCHOOL IS SCHOOL BUT IT'S BEEN GOOD +RES0145-066 OK AND YOU SAID YOU DON'T SMOKE HAVE YOU TRIED ANY OTHER ANY RECREATIONAL DRUGS ANY MARIJUANA +RES0145-067 NO I HAVEN'T +RES0145-068 OK ANY ALCOHOL +RES0145-069 NO +RES0145-070 OK AND ARE YOU SO SEXUALLY ACTIVE +RES0145-071 NO I'M NOT +RES0145-072 OK ALRIGHT HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT BE SICK +RES0145-073 I DON'T THINK SO I MEAN GOING TO WE BOTH I MEAN WE'VE BEEN GOING BACK TO SCHOOL RECENTLY BUT NOBODY'S BEEN OFF +RES0145-074 OK SO YOU'VE BEEN DOING SCHOOLING IN PERSON THEN OK +RES0145-075 ALRIGHT ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY ANYTHING RELATED TO THE LUNGS OR OTHERWISE +RES0145-077-1 NO OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SOUNDS LIKE LAST WEEK YOU HAD ITCHY EYES RUNNY NOSE YOU WERE SNEEZING AND YOU HAD A DRY COUGH +RES0145-077-2 AND THEN OVER TIME SOME OF THOSE SYMPTOMS RESOLVED AND YOU CONTINUED TO HAVE A COUGH THAT WAS ALSO GETTING BETTER BUT YOU THEN DEVELOPED A SORE THROAT +RES0145-077-3 AND YOU HAVE BEEN FEELING FEVERISH OVER THE PAST TWO DAYS DID YOU MEASURE DID YOU CHECK YOUR TEMPERATURE LAST WEEK +RES0145-081-1 SO IT'S IT SOUNDS LIKE YOU YOUR SYMPTOMS HAVE EVOLVED QUITE A BIT OVER THE PAST TWO WEEKS IT COULD HAVE IT COULD BE POTENTIALLY THAT YOU HAD A VIRAL INFECTION INITIALLY AND MIGHT YOU MIGHT HAVE LIKE A SUPERIMPOSED BACTERIAL INFECTION BUT WE DON'T KNOW THAT FOR SURE +RES0145-081-2 WE WE'LL DO A PHYSICAL EXAM HAVE A LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH LOOK AT YOUR THROAT WE +RES0145-081-3 I GUESS THE ORIGINAL SYMPTOMS YOU HAD LAST WEEK WERE SEEM A LITTLE BIT DIFFERENT IT COULD BE PHARYNGITIS MAYBE WHAT YOU HAVE RIGHT NOW COULD POTENTIALLY BE PHARYNGITIS WITH A SORE THROAT +RES0145-081-4 AND THE FEVER THAT YOU'VE DEVELOPED OVER THE PAST THREE OR FOUR DAYS SO I'LL DEFINITELY HAVE A LOOK INSIDE YOUR THROAT AS WELL AND IF NECESSARY WE COULD DO A RAPID STREP TEST +RES0145-081-5 AND WE WOULD ALSO HAVE TO DO A COVID TEST JUST IN CASE AND I WOULD RECOMMEND THAT YOU QUARANTINE AT HOME THE RESULTS SHOULD COME OUT IN THE NEXT TWELVE TO TWENTY FOR TWENTY FOUR TO FORTY EIGHT HOURS +RES0145-081-6 JUST SELF ISOLATE STAY AWAY FROM OTHER FAMILY MEMBERS AND THEN YOU'LL FIND OUT THE RESULTS IF IT'S POSITIVE SOMEONE WILL CALL YOU FROM PUBLIC HEALTH AND THEN LET YOU KNOW WHAT TO DO +RES0145-082 OK THAT SOUNDS GOOD +RES0145-083 ALRIGHT +RES0145-084 THANK YOU +RES0145-085 YOU'RE WELCOME +RES0146-000 WHAT BRINGS YOU IN TODAY +RES0146-001 YESTERDAY RIGHT AFTER LEAVING WORK I STARTED TO NOT FEEL WELL AND THIS MORNING I WOKE UP WITH FEVER THIS LIKE BAD HEADACHE AND +RES0146-002-1 JUST FEELING REALLY REALLY SORE ALL OVER +RES0146-002-2 I'M SORRY THAT'S DOESN'T SOUND GOOD SO ALL THIS STARTED YESTERDAY OR I GUESS YESTERDAY WAS JUST WITH YOU WERE +RES0146-002-3 NOT FEELING TOO GOOD AND THEN JUST NOTICED ALL THESE SYMPTOMS THIS MORNING DID YOU MEASURE YOUR TEMPERATURE +RES0146-003 I CHECKED IT THIS MORNING AND IT WAS THIRTY EIGHT POINT FIVE +RES0146-004 AND DID YOU CAN YOU TELL ME ABOUT YOUR HEADACHE +RES0146-005-1 YEAH SO I I STARTED TO GET A LITTLE BIT OF A HEADACHE LAST NIGHT SO I TRIED SOME TYLENOL IT HELPED RELIEVE THE PAIN A LITTLE BIT SO I CAN SLEEP THEN +RES0146-005-2 AND THIS MORNING I WOKE UP BUT I DIDN'T HAVE A HEADACHE AT FIRST BUT IT CAME ON MAYBE AN HOUR AFTER WAKING UP AND IT FEELS LIKE A THERE'S A BAND AROUND SQUEEZING MY HEAD +RES0146-006 IS IT ON BOTH SIDES OR ONLY ONE SIDE +RES0146-007 IT'S ON BOTH SIDES KIND OF FEEL THAT REAL WRAPPING AROUND +RES0146-008 AND IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO TEN WITH TEN BEING THE WORST PAIN EVER WHAT WOULD YOU SAY +RES0146-009 ABOUT A FIVE +RES0146-010 OK AND DO YOU HAVE ANY OTHER SYMPTOMS SUCH AS A RUNNY NOSE OR A STUFFY NOSE +RES0146-011 MY NOSE HAS BEEN BEEN RUNNY I STARTED NOTICING NOTICING THAT A LITTLE BIT YESTERDAY TOO ACTUALLY NOW THAT YOU MENTION IT +RES0146-012 AND WHAT WAS THE DISCHARGE OR WHAT WAS THE DISCHARGE LIKE +RES0146-013 IT'S PRETTY RUNNY IN IN IT'S PRETTY RUNNING CLEAR +RES0146-014 OK AND DO YOU HAVE A COUGH +RES0146-015 NO +RES0146-016 OK +RES0146-017 ANY SORE THROAT +RES0146-018 NO +RES0146-019 HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING +RES0146-020 NO +RES0146-021 OK ANY CHEST PAIN +RES0146-022 NO +RES0146-023 OK ANY I GUESS ITCHY EYES OR ITCHY NOSE +RES0146-024 OR ANY SNEEZING WELL WELL MY NOSE HAS BEEN ITCHY +RES0146-025 AND I I HAVE BEEN I HAVE BEEN SNEEZING ALRIGHT +RES0147-000 WHAT CAN I DO FOR YOU TODAY +RES0147-001 I'VE JUST HAD THIS COUGH THAT IT THAT HAS GOTTEN A LOT WORSE AND REALLY SHORT OF BREATH +RES0147-002 CAN YOU TELL ME MORE ABOUT YOUR SHORTNESS OF BREATH +RES0147-003 JUST OVER THE PAST LIKE TWELVE HOURS OR SO I'VE JUST BEEN FINDING IT MORE AND MORE DIFFICULT TO TO BREATHE +RES0147-004 OK WHAT ARE YOU ABLE I GUESS WHEN DO YOU FEEL SHORT OF BREATH +RES0147-005 IT'S JUST LIKE RIGHT NOW AT REST I CAN LIKE I'M OK BUT IT STILL IS FEELING INCREASINGLY DIFFICULT SO LIKE THROUGHOUT THE DAY IT'S JUST BEEN GETTING GETTING WORSE AND THE COUGH HAS BEEN +RES0147-006 GETTING WORSE ALSO AND BEFORE THESE TWELVE HOURS WHERE DID YOU +RES0147-007 HAVE ANY DIFFICULTIES WITH BREATHING NO I I I HAD A COUGH BUT NOT +RES0147-008 NOT REALLY ANY SHORTNESS OF BREATH AND CAN YOU TELL ME ABOUT YOUR COUGH IS IT A DRY COUGH OR WET COUGH +RES0147-009 I'VE BEEN BRINGING UP SOME SOME SPUTUM +RES0147-010 OK WHAT DOES IT LOOK LIKE +RES0147-011 IT'S LIKE GREENISH AND YELLOW +RES0147-012 OK AND YOU SAID THAT YOU HAD A COUGH PRIOR TO THE PAST TWELVE HOURS AND THAT YOUR COUGH IS NOW WORSE HOW IS IT WORSE +RES0147-013 IT'S BEEN JUST HAPPENING MORE OFTEN AND LIKE JUST LIKE THROUGHOUT THE DAY USUALLY MY COUGH IS ONLY IN THE MORNING I'LL BRING UP SOME SOME SPUTUM IN IT AND I'M OK BUT IT'S CARRIED ON THROUGHOUT THE DAY +RES0147-014 OK AND WAS YOUR SPUTUM AND GREENISH YELLOW BEFORE AS WELL OR WAS IT JUST STARTING YESTERDAY OR OR COUPLE DAYS AGO +RES0147-015 THAT'S NEW THAT'S JUST STARTING NEW IT WAS MORE LIKE I DON'T KNOW WHITISH OR WHITE I GUESS BEFORE +RES0147-016 OK ALRIGHT AND I GUESS HAS THIS EVER HAPPENED TO YOU BEFORE +RES0147-017 NO THIS IS THE FIRST TIME THAT THAT THIS HAS HAPPENED BEFORE +RES0147-018 OK AND YOU HAVE ANY OTHER I GUESS SYMPTOMS ARE UNTIL I ASK YOU ABOUT A COUPLE DO YOU HAVE ANY DO YOU FEEL CONFUSED OR FUZZY +RES0147-019 NO THAT THAT FEELS OK +RES0147-020 ANY HEADACHES +RES0147-021 NO +RES0147-022 ANY STUFFY STUFFY NOSE OR RUNNY NOSE +RES0147-023 NO +RES0147-024 SORE THROAT +RES0147-025 NO +RES0147-026 ANY CHEST PAIN +RES0147-027 I DID I DO HAVE A SOME WELL I GUESS I GUESS IT'S NOT REALLY PAIN IT'S MORE LIKE LIKE JUST CHEST TIGHTNESS I'M REALLY HAVING A HARD TIME WITH THAT WITH BREATHING +RES0147-028 I SEE OK DO YOU FEEL LIKE YOUR HEART'S BEATING VERY FAST +RES0147-029 NO +RES0147-030 OK DO YOU HAVE ANY BELLY PAIN OR ANY NAUSEA OR VOMITING +RES0147-031 NO +RES0147-032 ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS +RES0147-033 NO +RES0147-034 ANY MUSCLE ACHES +RES0147-035 NO +RES0147-036 FEVERS OR CHILLS +RES0147-037 NO +RES0147-038 OK ALRIGHT AND IN TERMS OF YOUR PAST MEDICAL HISTORY ANY MEDICAL PROBLEMS THAT YOU'VE BEEN DIAGNOSED WITH +RES0147-039 I WAS DIAGNOSED WITH COPD TWO YEARS AGO THIS IS AT I WENT TO MY FAMILY DOCTOR FOR THIS AND I HAD SOME +RES0147-052 OK DO YOU HAVE ANY ALLERGIES TO FOOD ENVIRONMENTAL ALLERGIES OR ANY ALLERGIES TO MEDICATIONS NO OK DO YOU HAVE A OR WHAT'S YOUR CURRENT LIVING SITUATION ARE YOU LIVING IN AN APARTMENT OR HOUSE DO YOU LIVE ALONE DO YOU LIVE WITH OTHER PEOPLE +RES0147-053 I LIVE ALONE IN A IN HOUSE HERE IN TOWN +RES0147-054 OK AND ARE YOU CURRENTLY WORKING ARE YOU RETIRED +RES0147-055 I I DO I CURRENTLY WELL I JUST DO SOME VOLUNTEERING AT THE GOLF COURSE IN THE SUMMER BUT OTHERWISE RETIRED +RES0147-056 WHAT DID YOU DO FOR WORK +RES0147-057 SO BEFORE I WORKED AT THE BEER FACTORY IN IN TOWN LABATT +RES0147-058 OK AND HAVE YOU EVER HAD ANY EXPOSURES TO ANY CHEMICALS OR ANY ANYTHING THAT YOU ANY IRRITANTS THAT YOU THINK ANY SMOKE THAT MIGHT AFFECT YOUR LUNGS OR YOUR +RES0147-059 NO I DON'T THINK SO I MEAN WORKING IN THE FACTORY ENVIRONMENT I I'M SURE THINGS YEARS AGO WEREN'T AS CLEAN AS THEY ARE NOW BUT +RES0147-060 I'M NOT SURE OK ALRIGHT AND ARE YOU YOU SAID YOU LIVE ALONE ARE YOU ABLE TO TAKE YOUR THINGS LIKE GETTING GROCERIES OR COOKING OR CLEANING THE HOUSE OR DO YOU NEED HELP WITH THAT +RES0147-061-1 I I DO GET SOME HELP FROM MY SON WHO LIVES WHO LIVES NEARBY AND +RES0147-061-2 I I ABLE TO TO GET THEM TO TO HELP MAKE SOME MEALS AND AND BRING SOME FOOD OVER AND THEN I'LL GO VISIT THEM AS WELL +RES0147-061-3 YOU CAN TAKE CARE OF THE HOUSE SO AND ALL THAT NOT OK ON MY OWN BUT IT CERTAINLY GETS +RES0147-073 WE ARE LIKE I'M LIKE HELPING OUT WITH CLEANING THE CARTS AND KIND OF HELPING OUT WITH THE GROUNDS +RES0147-074-1 OK ALRIGHT SO WE'LL DO A COVID SWAB HERE JUST IN CASE AND SEEING THAT YOU'RE NOT FEELING VERY WELL YOU MIGHT REQUIRE OXYGEN WE'RE GOING TO KEEP YOU HERE IN THE ER +RES0147-074-2 AND WE MIGHT HAVE TO YOU MIGHT HAVE TO BE HOSPITALIZED WE'LL MEASURE YOUR VITALS DO A PHYSICAL EXAM DO A CHEST X RAY AND YOU MIGHT BE HAVING AS I MENTIONED EARLIER IN EXACERBATION UPPER COPD OR A WORSENING OF YOUR COPD +RES0147-074-3 POTENTIALLY BECAUSE YOU MIGHT HAVE AN INFECTION EITHER A VIRAL INFECTION OR BACTERIAL INFECTION THAT CAN SOMETIMES WORSEN YOUR COPD SYMPTOMS YOU MIGHT BE STARTED ON AN ANTIBIOTIC +RES0147-074-4 WE'LL BE PUTTING YOU IN OXYGEN AND GIVING YOU SOME STEROID SOME ARE YOU ACTUALLY ABOUT THAT ARE YOU ARE YOU USING ANY PUFFERS AT HOME +RES0147-075 SO I HAVE BEEN USING SORRY I I HAVE BEEN USING VENTOLIN AND THERE WAS A DAILY INHALER SPIRIVA I BELIEVE I'VE BEEN USING THAT EACH DAY +RES0147-076 OK GREAT GREAT SO WE'LL BE WE'LL BE GIVING YOU SOME PUFFERS HERE AS WELL AND WE'LL SEE HOW THINGS GO DO YOU HAVE ANY QUESTIONS +RES0147-077 NO THAT THAT SOUNDS GOOD THANK YOU +RES0147-078 ALRIGHT +RES0148-000 HOW MAY I HELP YOU +RES0148-001-1 HI I'VE HAD I'VE HAD A COUGH FOR THE PAST THREE DAYS AND I ALSO DEVELOPED A FEVER I THINK SO I CHECKED IT YESTERDAY NIGHT IT WAS +RES0148-001-2 THIRTY EIGHT AND I JUST DECIDED TO COME INTO THE WALK IN CLINIC JUST TO JUST TO GET MYSELF CHECKED OUT +RES0148-002 CERTAINLY IT IT SOUNDS LIKE YOU HAVE HAD A FEVER AS WELL SO WITH THE COUGH YOU SAID THAT STARTED THREE DAYS AGO HAS IT BEEN GETTING ANY BETTER OR ANY WORSE +RES0148-003 IT'S GOTTEN A LITTLE BIT BETTER I'D SAY +RES0148-004 OK THAT'S GOOD AND AND PRIOR TO THREE DAYS AGO DID YOU HAVE A COUGH BEFORE OR WAS IT A NEW NEW COUGH +RES0148-005 IT'S A NEW COUGH +RES0148-006 ALRIGHT AND ARE YOU BRINGING UP ANY SPUTUM +RES0148-007 NO +RES0148-008 ARE YOU BRINGING UP ANY BLOOD +RES0148-009 NO +RES0148-010 AND HAVE YOU HAD ANY SHORTNESS OF BREATH +RES0148-011 NO I HAVEN'T +RES0148-012 OK HOW ABOUT ANY WHEEZING +RES0148-013 I GUESS A LITTLE BIT +RES0148-043 ANY LIKE SYMPTOMS LIKE THIS BEFORE I MEAN WHEN I I GUESS I GET SICK I DO GET SIMILAR SYMPTOMS LIKE WHEN I GET THE COLD OR THE FLU BUT I USUALLY HAVE LIKE A RUNNY NOSE OR LIKE A STUFFY NOSE BUT THAT'S KIND OF DIFFERENT THIS TIME A LITTLE BIT +RES0148-044 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0148-045 I HAVE FIBROMYALGIA AND I ALSO HAVE SCHIZOPHRENIA +RES0148-046 OK AND ARE YOU TAKING MEDICATIONS CURRENTLY +RES0148-047 I TAKE QUETIAPINE AND I JUST I TAKE ADVIL WHEN MY JOINT PAINS ARE REALLY BAD +RES0148-048 OK AND DO YOU HAVE A SOMEBODY THAT FOLLOWS YOU ALONG FOR EITHER FIBROMYALGIA OR OR SCHIZOPHRENIA +RES0148-049 MY FAMILY DOC AND THEN IT'S PRETTY MUCH JUST HIM HE +RES0148-050 OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +RES0148-051 NO +RES0148-052 ALRIGHT AND ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE +RES0148-053 ALRIGHT AND COULD YOU TELL ME ALRIGHT THEN SORRY ACTUALLY HAVE YOU HAD ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES +RES0148-054 WELL I I'VE BEEN HOSPITALIZED I I WAS KEPT IN THE PSYCH UNIT FOR A COUPLE OF DAYS TWO YEARS AGO BUT NOTHING OTHER THAN THAT +RES0148-055 OK AND IT'S BEEN STABLE +RES0148-056 SINCE THEN OK GREAT AND I I JUST WANTED TO ASK A LITTLE BIT ABOUT YOUR PERSONAL HISTORY I WAS JUST WONDERING IF YOU COULD TALK A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND AND WHO YOU'RE LIVING WITH +RES0148-057 SURE SO I'M LIVING WITH MY I'M LIVING WITH MY HUSBAND +RES0148-073 I DID BUT THEN I JUST DIDN'T I JUST WENT BACK TO IT BUT I'M TRYING TO CUT DOWN +RES0148-074 OK IT'S GOOD THAT YOU'VE BEEN ABLE TO CUT DOWN SO CONGRATULATIONS ON THAT AND DO YOU DRINK ALCOHOL +RES0148-075 I I DO I'LL DRINK SOMETIMES WITH MY FRIENDS MAYBE ONCE A MONTH OR ONCE IN TWO THREE MONTHS BUT I HAVEN'T BEEN GOING OUT WITH THEM SINCE THE PANDEMIC STARTED SO I HAVEN'T HAD MUCH TO DRINK I HAVEN'T HAD ANYTHING TO DRINK SINCE THE PAST YEAR +RES0151-000 HOW MAY I HELP YOU +RES0151-001 HI YES I'M JUST COMING IN OVER THE LAST WEEK I'VE BEEN HAVING LIKE A COUGH RUNNY NOSE AND A LOT OF CONGESTION AS WELL SO I JUST WANTED TO COME IN HERE TO MAKE SURE NOTHING'S WRONG +RES0151-002 I SEE ALRIGHT AND WHEN DID THE COUGH START WAS IT SEVEN DAYS AGO +RES0151-003 A BIT LESS THAN THAT I WOULD SAY IT'S BEEN PROBABLY LIKE FIVE OR SIX DAYS +RES0151-004 OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE OR STAYING THE SAME +RES0151-005 IT'S KIND OF THE SAME +RES0151-006 OK AND ARE YOU BRINGING UP ANY SPUTUM WITH THE COUGH +RES0151-007 NO IT'S MAINLY LIKE A DRY COUGH BUT I AM GETTING LIKE A LOT OF DRAINAGE AND JUST CONGESTION IN MY NOSE +RES0151-008 OK SO YOU'RE YOU ARE ARE YOU FEELING LIKE MUCUS DRAIN FROM YOUR NOSE LIKE INTO THE BACK OF YOUR MOUTH +RES0151-009 SOMETIMES I FEEL LIKE THAT OVER THE LAST WEEK +RES0151-010 OK AND YOU YOU HAVEN'T CAUGHT UP ANY ANY SPUTUM BUT HAVE YOU BROUGHT UP ANY ANY BLOOD +RES0151-011 NO NO BLOOD +RES0151-012 OK HAVE YOU HAD ANY WHEEZING +RES0151-013 NO NO WHEEZING +RES0151-014 OK AND HOW ABOUT ANY CHEST PAIN +RES0151-015 NO CHEST PAIN +RES0151-016 OK AND YOU'VE HAD A AND DID YOU HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH +RES0151-017 NO THIS IS LIKE FAIRLY NEW +RES0151-018 OK AND COULD YOU IS YOUR NOSE LIKE COULD YOU DESCRIBE THE DISCHARGE FROM YOUR NOSE +RES0151-019 IT'S MORE LIKE KIND OF A CLEAR TO MAYBE WHITISH DISCHARGE +RES0151-020 AND THESE SYMPTOMS START ABOUT A WEEK AGO AS WELL OR ABOUT FIVE DAYS AGO +RES0151-021 AROUND THE SAME TIME +RES0151-022 I SEE OK AND HAVE YOU HAD ANY LIKE FACIAL PAIN LIKE OVER YOUR OVER YOUR CHEEKS OR OR FOREHEAD +RES0151-023 NO NOTHING LIKE THAT +RES0151-024 OK AND HAVE YOU FELT LIKE YOUR NOSE IS OBSTRUCTED LIKE YOU'RE NOT ABLE TO BREATHE IN THROUGH EITHER ONE OF YOUR NOSTRILS +RES0151-025 THAT HAPPENS AND SOMETIMES THE NOSTRILS KEEP SWITCHING +RES0151-026 OK AND HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF SMELL +RES0151-027 JUST WHEN I'M CONGESTED LIKE I FEEL LIKE I CAN'T REALLY SMELL +RES0151-028 I SEE ALRIGHT HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF TASTE +RES0151-029 NO +RES0151-030 OK AND HAVE YOU HAD ANY SHORTNESS OF BREATH WITH THE COUGH +RES0151-031 NO +RES0151-032 OK AND HAVE YOU HAD ANY EYE REDNESS OR +RES0151-051 NOPE +RES0151-052 OK AND THEN ANY SKIN CHANGES OR OR RASHES +RES0151-053 NOPE NOTHING LIKE THAT +RES0151-054 ALRIGHT ANY MUSCLE ACHES OR OR BODY PAINS +RES0151-055 NO NOTHING LIKE THAT +RES0151-056 ALRIGHT AND HOW HAS YOUR ENERGY BEEN OVER THIS PAST WEEK HAVE YOU HAD FATIGUE +RES0151-057 NO I'VE BEEN I HAVEN'T BEEN TIRED OR LIKE IT'S JUST BEEN LIKE THESE SYMPTOMS THAT DON'T SEEM TO GO AWAY +RES0151-069 I'VE JUST BEEN TAKING LIKE TYLENOL COLD BUT IT'S NOT REALLY BEEN HELPING TOO MUCH +RES0151-070 OK DO YOU HAVE ANY ALLERGIES +RES0152-000 HOW HOW MAY I HELP YOU +RES0152-001 HI NICE TO MEET YOU I'VE JUST BEEN EXPERIENCING A COUGH FOR THE LAST FEW WEEKS AND I ALSO RECENTLY STARTED NOTICING THAT I'M COUGHING UP SOME BLOOD AS WELL LIKE IT'S MIXED INTO LIKE SPUTUM +RES0152-002 I SEE ALRIGHT SO YOU SAID A FEW WEEKS FOR THE COUGH IS THIS MORE THAN THREE WEEKS MORE THAN FOUR WEEKS OR A FEW MONTHS +RES0152-003 I WOULD SAY IT'S ALMOST I WOULD SAY ALMOST LIKE THREE WEEKS NOW +RES0152-004 OK WHEN THE COUGH STARTED WERE YOU BRINGING UP WERE YOU BRINGING UP SPUTUM OR PHLEGM AT THAT TIME +RES0152-005 INITIALLY IT WAS JUST LIKE KIND OF WHITE TOO SOMETIMES YELLOWISH PHLEGM BUT NOW OVER THE LAST WEEK I'VE BEEN ALSO NOTICING SOME BLOOD IN IT AS WELL +RES0152-006 OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP JUST TRYING TO THINK IN MAYBE TEASPOON SIZES IF YOU CAN +RES0152-007 I WOULD SAY MAYBE HALF A HALF A TEASPOON +RES0152-008 OK AND HAVE YOU BEEN HAVING ANY SHORTNESS OF BREATH +RES0152-009 NO I DON'T THINK SO BUT KIND OF LIKE I DO FEEL SOME DISCOMFORT IN MY CHEST LIKE I JUST ASSOCIATED IT WITH THE COUGH +RES0152-010 I SEE HAVE YOU HAD ANY ANY CHEST PAIN +RES0152-011 NO IT'S MORE OF JUST THE DISCOMFORT WITH THE COUGHING +RES0152-012 OK AND HAVE YOU HAD ANY CHANGES TO YOUR BREATHING LIKE LIKE WHEEZING +RES0152-013 NO NOTHING LIKE THAT +RES0152-014 ALRIGHT AND HAVE YOU HAD ANY INFECTIOUS OR VIRAL TYPE SYMPTOMS LIKE ITCHY EYES OR RUNNY RUNNY NOSE SORE THROAT +RES0152-015 NO NOTHING LIKE THAT OK +RES0152-016 AND HOW HAS YOUR ENERGY BEEN ANY ANY FATIGUE +RES0152-017 IT'S KIND OF BEEN A BIT LOW OVER THE LAST FEW WEEKS JUST I FEEL MORE TIRED I HAD TO MISS A FEW DAYS OF WORK AS WELL +RES0152-018 I SEE ALRIGHT HAVE YOU HAD ANY FEVERS OR CHILLS +RES0152-019 DEFINITELY I FEEL LIKE I HAVE HAD SOME CHILLS OVER THE LAST WEEK I HAVEN'T HAD A CHANCE TO MEASURE MY TEMPERATURE THOUGH +RES0152-020 OK HAVE YOU FELT FEVERISH OR HAVE YOU FELT HOT AT ANY POINT +RES0152-021 I WOULD SAY LIKE A FEW TIMES THIS WEEK I'VE ALSO FELT LIKE HOT +RES0152-022 ALRIGHT HAVE YOU HAD ANY LIKE NIGHT SWEATS +RES0152-023 NOW THAT YOU MENTION IT LIKE I I WOULD SAY TWO TWO DAYS OUT OF THE LAST WEEK I'VE HAD NIGHT SWEATS WHERE MY SHEETS WERE KIND OF JUST DRENCHED WHEN I AND THEN I WOKE UP NOTICING THAT +RES0152-024 ALRIGHT AND HOW ABOUT YOUR YOUR WEIGHT HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT OVER THE LAST SEVERAL MONTHS +RES0152-025 I THINK I'VE LOST MAYBE TEN POUNDS IN THE LAST COUPLE MONTHS +RES0152-026 OK THAT SOUNDS LIKE SOME SOME WEIGHT LOST SIGNIFICANT WEIGHT LOSS HAVE YOU BEEN TRYING TO LOSE WEIGHT +RES0152-027 NO NOT REALLY +RES0152-028 OK AND HAVE YOU FELT AS THOUGH LIKE YOUR HEART'S RACING OR BEATING REALLY FAST +RES0152-029 NO NOTHING LIKE THAT +RES0152-030 HAVE YOU HAD ANY LIKE FAINTING OR OR DIZZINESS +RES0152-031 NO NOTHING LIKE THAT +RES0152-032 OK AND HOW ABOUT ANY NAUSEA OR VOMITING +RES0152-033 NO NO NO NAUSEA OR VOMITING +RES0152-034 HAVE YOU HAD ANY ABDOMINAL PAIN +RES0152-035 NO +RES0152-036 ANY DIARRHEA +RES0152-037 NO +RES0152-038 ANY URINARY PROBLEMS LIKE PAIN OR OR GOING OFTEN +RES0152-039 NO NOTHING LIKE THAT +RES0152-040 OK HAVE YOU NOTICED ANY RASHES ANYWHERE +RES0152-041 NO NO RASHES +RES0152-042 HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS +RES0152-043 NO NOTHING LIKE THAT +RES0152-044 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0152-045 NO I'VE BEEN FAIRLY HEALTHY +RES0152-046 OK THAT'S GOOD AND HAVE YOU HAD ANY SURGERIES OR ANY REASONS TO BE HOSPITALIZED BEFORE +RES0152-047 NO +RES0152-048 DO YOU TAKE ANY MEDICATIONS OR ANY OVER THE COUNTER SUPPLEMENTS +RES0152-049 NO +RES0152-050 ALRIGHT ANY ALLERGIES THAT YOU'RE AWARE OF +RES0152-051 NOT THAT I KNOW NO +RES0152-052 OK AND ARE YOUR IMMUNIZATIONS UP TO DATE +RES0152-053 IMMUNIZATIONS ARE ALL UP TO DATE +RES0152-054 ALRIGHT AND CURRENTLY CAN YOU TELL ME A LITTLE BIT ABOUT WHO YOU'RE LIVING WITH AND WHERE YOU'RE LIVING +RES0152-055-1 YEAH CURRENTLY I'M LIVING JUST IN IT'S KIND OF LIKE A A HOME WITH JUST A I DON'T REALLY KNOW THE PEOPLE TOO WELL JUST KIND OF LIKE A HOME WHERE +RES0152-055-2 A BUNCH OF GUYS ARE JUST LIVING AND WORKING SEPARATELY I JUST ACTUALLY RECENTLY MOVED HERE FROM THE PHILIPPINES SIX MONTHS AGO +RES0152-056 I SEE OK DO YOU INTERACT WITH MANY OF THE PEOPLE IN THE HOUSE AND AND HAS ANYBODY ELSE BEEN SICK +RES0152-057 I DON'T KNOW IF ANYONE ELSE HAS BEEN SICK I HAVEN'T REALLY NOTICED THAT I DON'T REALLY SEE THEM TOO MUCH +RES0152-058 OK AND SIX MONTHS AGO PRIOR TO COMING FROM THE PHILIPPINES WAS ANYBODY SICK THERE OR DID YOU HEAR OF ANYBODY THAT YOU SPENT TIME WITH HAVING TUBERCULOSIS +RES0152-059 THERE'S BEEN NOT ANYONE THAT I KNOW OF BUT THERE'S DEFINITELY LIKE EVEN WHERE I WORKED AND THINGS LIKE THAT THERE'S DEFINITELY PEOPLE WHO HAVE HAD TUBERCULOSIS IN THE PAST +RES0152-060 I SEE OK AND DO YOU SMOKE CIGARETTES +RES0152-061 NO +RES0152-062 AND HOW ABOUT SMOKING CANNABIS OR USING ANY PRODUCTS +RES0152-063 NO NOTHING LIKE THAT +RES0152-064 OK AND YOU USE ANY RECREATIONAL DRUGS +RES0152-065 NO +RES0152-066 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0152-067 CURRENTLY NO +RES0152-068 OK SO NO CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME +RES0152-069 NO +RES0152-070 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0152-071 NOT RECENTLY NO +RES0152-072 OK BUT AND ANYBODY IN THE FAMILY HAVE HEART OR LUNG CONDITIONS +RES0152-073 NO +RES0152-074 OK AND ANY CANCER THAT RUN IN THE FAMILY +RES0152-075 NOT THAT I KNOW OF NO OK +RES0152-076-1 SO I THINK THAT'S EVERYTHING I WANTED TO ASK ON ON HISTORY TODAY SO IT SOUNDS LIKE YOU'VE BEEN HAVING THIS COUGH THAT'S BEEN GOING ON FOR JUST OVER THREE WEEKS NOW AND STARTING WITH SOME +RES0152-076-2 WHITISH CLEAR SPUTUM AND MORE RECENTLY EVEN STARTED TO BE COUGHING UP SOME BLOOD AS WELL AND YOU'VE ALSO BEEN REALLY FATIGUED AND HAVE HAD SOME MALAISE OVER THE LAST SEVERAL WEEKS +RES0152-076-3 AND ANY OTHER SYMPTOMS OR OH AND ALSO YOU'VE HAD SOME NIGHT SWEATS CHILLS AND BEEN FEELING FEVERISH AS WELL SO WE'LL CERTAINLY CHECK YOUR TEMPERATURE TODAY TOO OK SO ANYTHING I MISSED +RES0152-077 NO I THINK THAT THAT SOUNDS GREAT THANK YOU SO MUCH +RES0152-078 OK SO WE'LL GET THE TESTING STARTED FOR FOR THE INVESTIGATIONS AND IF AT ANY POINT SYMPTOMS GET WORSE WE'LL REEVALUATE +RES0152-079 SOUNDS GOOD THANK YOU SO MUCH +RES0153-000 HOW MAY I HELP YOU TODAY +RES0153-001 HI I'VE BEEN JUST HAVING THIS JUST SORE THROAT FOR THE LAST +RES0153-029 NO NO SHORTNESS OF BREATH HAVE YOU HAD ANY WHEEZE +RES0153-030 NO NO WHEEZE +RES0153-031 OK HAVE YOU HAD ANY ANY CHEST PAIN +RES0153-032 NO CHEST PAIN +RES0153-033 ALRIGHT ANY DIZZINESS OR FEELING LIKE YOU WERE GONNA FAINT +RES0153-034 NOPE +RES0153-035 OK DO YOU FEEL LIKE YOU'RE BREATHING FASTER OR YOUR HEART'S BEATING FASTER +RES0153-036 NO I HAVEN'T REALLY FELT THAT NO +RES0153-037 OK AND HAVE YOU HAD ANY ANY BELLY PAIN +RES0153-038 NO +RES0153-039 HOW ABOUT ANY NAUSEA OR VOMITING +RES0153-040 NOT NO I HAVEN'T FELT THAT AT ALL +RES0153-041 OK HAVE YOU HAVE YOU HAD ANY DIARRHEA +RES0153-042 NO +RES0153-043 HAVE YOU HAD ANY URINARY PROBLEMS +RES0153-044 NO +RES0153-045 OK HAVE YOU HAD ANY ANY SKIN CHANGES OR RASHES ANYWHERE +RES0153-046 NO NOT THAT I'VE NOTICED +RES0153-047 ALRIGHT HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS +RES0153-048 NOPE +RES0153-049 OK HAVE YOU HAD ANY ANY SYMPTOMS LIKE THIS BEFORE +RES0153-050 NO NOT THAT I CAN RECALL MAYBE WHEN I WAS LIKE LIKE SEVEN YEARS OLD LIKE I MAY HAVE HAD LIKE A SORE THROAT +RES0153-051 OK SO QUITE A WHILE AGO AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +RES0153-052 NO +RES0153-053 OK AND SO DO YOU TAKE ANY MEDICATIONS OR ANYTHING OVER THE COUNTER +RES0153-054 I'VE TRIED LIKE TYLENOL COLD BUT IT DIDN'T REALLY WORK +RES0153-055 OK AND ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENT +RES0153-056 NO +RES0153-057 ARE YOUR IMMUNIZATIONS UP TO DATE +RES0153-058 THEY'RE ALL UP TO DATE +RES0153-059 OK EXCELLENT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY SURGERIES +RES0153-060 NO I'VE BEEN PRETTY HEALTHY +RES0153-061 ALRIGHT EXCELLENT AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0153-062 NO I I'VE MAINLY STAYED AT HOME I I'M MAINLY DOING VIRTUAL SCHOOL +RES0153-063 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN BEEN SICK +RES0153-064 MY MY SISTER SHE SHE JUST GOT BACK FROM COLLEGE AND SHE SHE WAS COMPLAINING OF LIKE A SORE THROAT TWO WEEKS AGO +RES0153-066 CURRENTLY AND WHERE ARE YOU LIVING SO I'M LIVING WITH MY PARENTS AND MY SISTER AT IN A IN A HOUSE JUST OUTSIDE OF THE CITY +RES0153-067 OK AND IS YOUR SISTER DOING BETTER NOW OR WHAT HAPPENED WITH HER +RES0153-068 I'M NOT SURE I THINK SHE DID GO TO THE DOCTOR NOW SHE'S DOING BETTER SHE DID GET SOME MEDICATIONS BUT I DON'T KNOW WHAT THEY WERE +RES0153-069 OK I SEE AND I KNOW SOME PEOPLE IN YOUR AGE GROUP WILL SOMETIMES EXPERIENCE WITH LIKE SMOKING OR ANYTHING LIKE THAT DO YOU DO YOU SMOKE CIGARETTES OR ANY OF YOUR FRIENDS +RES0153-070 NO I HAVEN'T I HAVEN'T DONE THAT +RES0153-071 OK THIS SAME TYPE OF QUESTIONING FOR CANNABIS AND ALCOHOL HAVE YOU EXPERIMENTED WITH ANY OF THOSE SUBSTANCES OR ANY RECREATIONAL DRUGS +RES0153-072 NO NOT AT ALL +RES0153-073 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0153-074 NO +RES0153-075 OK AND HOW'S SCHOOL GOING +RES0153-076 SCHOOL IS GOING WELL LIKE IT WAS IT WAS WEIRD ADJUSTING TO ALL THE ONLINE STUFF BUT NOW I FEEL LIKE I KIND OF GOT THE HANG OF IT +RES0154-000 HOW MAY I HELP YOU +RES0154-001 HI SO I JUST CAME TO THE HOSPITAL BECAUSE I'VE JUST BEEN FEELING OVER THE LAST FEW DAYS JUST I CAN'T REALLY TAKE LIKE A DEEP BREATH AND THEN I'VE ALSO BEEN COUGHING UP THIS GREENISH YELLOWISH MATERIAL +RES0154-002 OH OK AND WHEN DID THIS COUGH START SORRY +RES0154-003 SO I THINK THE COUGH STARTED LIKE FOUR DAYS AGO AND THEN THE SHORTNESS OF BREATH STARTED JUST YESTERDAY +RES0154-004 OK AND IT'S BEEN YELLOWISH GREEN WERE YOU COUGHING UP SPUTUM PRIOR TO THIS AND OR DID YOU HAVE A COUGH BEFORE THIS +RES0154-005 NO NOT REALLY +RES0154-006 OK AND HAVE YOU NOTICED ANY BLOOD +RES0154-007 NO NO BLOOD +RES0154-008 ALRIGHT AND THE SHORTNESS OF BREATH ARE YOU EXPERIENCING THIS AT REST OR OR WITH EXERTION +RES0154-009 NO LIKE AT REST EVEN RIGHT NOW I'M LIKE HAVING TROUBLE TAKING DEEP BREATHS +RES0154-010 OK ARE YOU FEELING ANY ANY CHEST PAIN +RES0154-011 NOT PAIN BUT THERE'S DEFINITELY SOME STRAINING AND DISCOMFORT WHEN I TAKE A DEEP BREATH +RES0154-012 OK IS IT IS THE DISCOMFORT WORSE WHEN YOU TAKE A DEEP BREATH +RES0154-013 IT'S JUST LIKE I JUST HAVE TO STRAIN A LOT TO LIKE TAKE THAT DEEP BREATH +RES0154-014 OK AND HAVE YOU NOTICED ANY WHEEZING +RES0154-015 NO WHEEZING +RES0154-016 OK AND HAVE YOU HAD ANY SHORTNESS OF BREATH OR DO YOU HAVE ANY SHORTNESS OF BREATH IF YOU LIE FLAT +RES0154-017 NO NOT REALLY NOT THAT I'VE NOTICED +RES0154-018 OK OR HAVE YOU HAD ANY TIMES WHERE YOU'VE WOKEN UP FROM SLEEP BECAUSE YOU WERE SHORT OF BREATH AND YOU HAD TO SIT UP +RES0154-019 NO +RES0154-020 ALRIGHT AND HAVE YOU HAD ANY FEVERS OR CHILLS +RES0154-021 I HAVE HAD A FEVER LIKE TODAY I HAD A FEVER I MEASURED IT WAS LIKE THIRTY EIGHT POINT FIVE YESTERDAY I FELT LIKE I HAD CHILLS AND A FEVER AS WELL +RES0154-022 OK CERTAINLY SOUNDS LIKE A FEVER AND HAVE YOU HAD ANY NIGHT SWEATS +RES0154-023 LAST NIGHT I WOULD SAY I HAD NIGHT SWEATS MY SHEETS WERE A BIT DRENCHED +RES0154-024 OK AND HAVE YOU HAD A SORE THROAT +RES0154-025 NO +RES0154-026 CHANGES OR LOSS OF SMELL LOSS OF TASTE +RES0154-027 NO NOTHING LIKE THAT +RES0154-028 OK HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED +RES0154-029 NO +RES0154-030 OK AND HOW ABOUT ANY EYE SYMPTOMS LIKE REDNESS OR ITCHINESS PAIN +RES0154-031 NO NOTHING LIKE THAT +RES0154-032 OK AND HAVE YOU HAD ANY INSTANCES OF FAINTING OR FEELING DIZZY +RES0154-033 NOPE +RES0154-034 ANY ABDOMINAL PAIN +RES0154-035 NO +RES0154-036 ANY NAUSEA OR VOMITING +RES0154-037 NO +RES0154-038 ANY DIARRHEA +RES0154-039 NO +RES0154-040 OK ANY RASHES +RES0154-041 NO RASHES +RES0154-042 AND THEN ANY MUSCLE ACHES OR BODY PAINS +RES0154-043 NO NOT THAT I KNOW OF +RES0154-044 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD ANY FATIGUE OR MALAISE THE LAST SEVERAL DAYS +RES0154-045 I WOULD SAY SO I JUST FEEL LIKE I DON'T KNOW IF IT'S TO DO WITH THE SHORT OF BEING SHORT OF BREATH BUT I JUST FEEL LIKE I'VE JUST BEEN NEEDING MORE REST +RES0154-046 OK OK AND HAVE YOU HAD ANY HEADACHES +RES0154-047 NO +RES0154-048 NO ALRIGHT SO YOU'VE HAD THIS COUGH AND YOU'VE BEEN BRINGING UP MORE SPUTUM AND SHORTNESS OF BREATH AND AND YOU'VE HAD A FEVER AS WELL HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +RES0154-049 NO I THINK THOSE ARE PRETTY MUCH ALL THE SYMPTOMS +RES0154-050 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL +RES0154-051 CONDITIONS BEFORE I DO HAVE I TAKE MEDICATIONS FOR HIGH BLOOD PRESSURE THEN I TAKE MEDICATIONS FOR HIGH CHOLESTEROL AS WELL +RES0154-052 OK AND DO YOU TAKE ANY OTHER MEDICATIONS +RES0154-053 JUST VITAMIN D CALCIUM MULTI VITAMINS +RES0154-054 ALRIGHT ANY ALLERGIES TO MEDICATIONS +RES0154-055 NOT THAT I KNOW OF +RES0154-056 ALRIGHT ANY PRIOR SURGERIES OR HOSPITALIZATIONS +RES0154-057 I'VE HAD A FEW SO I HAD A C SECTION IN MY TWENTIES THEN I HAD JUST FIVE YEARS AGO I HAD A MY GALLBLADDER REMOVED +RES0154-058 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHO YOU'RE LIVING WITH AND AND WHEREABOUTS +RES0154-059 SO I'M LIVING ALONE RIGHT NOW JUST +RES0154-060 IN AN IN AN APARTMENT OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +RES0154-070 NO OK AND DO YOU USE ANY RECREATIONAL DRUGS +RES0154-071 NO +RES0154-072 OK AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS +RES0154-073 I DO HAVE MY FATHER PASSED AWAY FROM A HEART ATTACK IN HIS FIFTIES MY BROTHER HAS HIGH BLOOD PRESSURE DIABETES AND ON MY MOM'S SIDE SHE +RES0154-074 HAD LIKE OSTEOARTHRITIS OK AND +RES0155-000 WHAT BRINGS YOU IN HERE TODAY +RES0155-047 NO THAT THAT'S BEEN PRETTY GOOD +RES0155-048 OK ANY NIGHT SWEATS +RES0155-049 NO I HAVEN'T HAD ANY NIGHT SWEATS +RES0155-050 OK ANY KIND OF SIGNIFICANT WEIGHT CHANGE RECENTLY +RES0155-051 I I I MIGHT HAVE NO I THINK MY WEIGHT'S BEEN ABOUT THE SAME +RES0155-052 OK ANY EXPOSURE TO ANYONE SICK AROUND YOU RECENTLY +RES0155-053 NO I DON'T THINK SO BUT I I'VE HAD I'VE HAD A COUPLE OF CHEST COLDS OVER THE LAST YEAR THAT I NEEDED ANTIBIOTICS FOR AND IT THEY THEY WENT AWAY AFTER THAT I GOT THAT THOSE FROM A WALK IN CLINIC +RES0155-054 SORRY YOU GOT ANTIBIOTICS FROM THE WALK IN CLINIC +RES0155-055 THE LAST TIME WAS PROBABLY ABOUT ABOUT FOUR MONTHS AGO +RES0155-056 OK +RES0155-057 SO I HAVEN'T BEEN AROUND ANYBODY SICK RECENTLY BUT BUT I MEAN I I'VE HAD SIMILAR SYMPTOMS BEFORE I FEEL LIKE THIS TIME MIGHT BE JUST A BIT WORSE THOUGH +RES0155-058 OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY CONDITIONS +RES0156-000 WHAT BRINGS YOU HERE TODAY +RES0156-001-1 YEAH SO I'M BRINGING MY DAUGHTER BECAUSE OVER THESE LAST SEVERAL MONTHS SHE'S HAD THIS THIS COUGH THAT THAT COMES ON IT'LL BE AT NIGHT TIME OR SOMETIMES AFTER IN GYM CLASS +RES0156-001-2 AND I KNOW DURING THESE EPISODES SHE'LL HAVE A REALLY HARD TIME KIND OF CATCHING HER BREATH AND AND SOMETIMES WILL HAVE A WHEEZE AS WELL AND AND IT'S JUST GONE AWAY QUICKLY IN THE PAST BUT BEEN NOTICING IT HAPPENING MORE OFTEN RECENTLY +RES0156-002 OK SO IT'S BEEN GOING ON FOR THE LAST FEW MONTHS BUT IT'S KIND OF GETTING WORSE +RES0156-003 EXACTLY +RES0156-004 AND HOW ABOUT THE THE COUGHING AND THE WHEEZING AND THE DOES SHE HAVE ANY KIND OF SHORTNESS OF BREATH +RES0156-005 SHE WILL LIKE WHEN IT COMES ON SHE SHE HAS SOME +RES0156-006 OK AND DOES THIS HAPPEN AT ALL LIKE WHEN SHE'S EXPOSED TO DUST OR KIND OF AFTER +RES0156-007 EXERTING HERSELF IT DOES I THINK THE LIKE THE FIRST TIME THAT THAT I WAS MADE AWARE OF IT WAS IN IN GYM CLASS SO IT WOULD'VE BEEN AFTER SOME EXERCISE AND DUST +RES0156-008 I'M NOT SURE OK DOES SHE HAVE A DRY COUGH OR WET COUGH WHEN +RES0156-010 DRY DRY OK DID SHE BRING UP ANY SPUTUM OR BLOOD AT ALL +RES0156-011 NO +RES0156-012 OK AND ARE HER SYMPTOMS AT ALL CONSTANT OR DO THEY COME AND GO BASED ON HOW MUCH SHE'S EXERTING HERSELF +RES0156-013 THEY COME AND GO LIKE MOST OF THE TIME SHE'S BEEN OK BUT AND SOMETIMES SHE'LL GET A COUGH AT NIGHT TIME TOO +RES0156-014 OK SO AND THEN HAS DOES ANYTHING MAKE HELP YOU WITH YOUR SYMPTOMS AT ALL OR HER SYMPTOMS +RES0156-017 NO OK JUST RESTING I GUESS SORRY JUST JUST TRYING TO RELAX +RES0156-018 OK AND ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS OR SORE THROAT CHEST PAIN ANYTHING LIKE THAT +RES0156-019 NO NOTHING LIKE THAT JUST THE +RES0156-020 WHEEZE OK ANY LOSS OF HER SENSE OF TASTE OR SMELL +RES0156-021 NO +RES0156-022 OK ANY RECENT TRAVEL +RES0156-023 NO +RES0156-024 ANY CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY +RES0156-025 SHE HAS A A YOUNGER BROTHER THAT GOES TO DAYCARE AND I KNOW THOSE KIDS CAN BE SICK ALL THE TIME BUT HER BROTHER'S BEEN OK +RES0156-026 OK DOES SHE COMPLAIN OF ANY KIND OF HEADACHES OR NAUSEA OR VOMITING +RES0156-027 NO SHE DOESN'T +RES0156-028 OK ANY HAVE YOU NOTICED ANY FEVERS OR CHILLS +RES0156-029 NO +RES0156-030 OK ANY NIGHT SWEATS +RES0156-031 NO +RES0156-032 OK ANY CHANGES IN HER BOWEL MOVEMENTS LIKE CONSTIPATION OR DIARRHEA +RES0156-033 NOPE SHE HASN'T HAD ANY CHANGE CHANGES LIKE THAT +RES0156-034 OK AND ANY KIND OF CHANGES IN HER SLEEP OR APPETITE NO SHE'S BEEN +RES0156-035 EATING WELL AND AND GAINING WEIGHT OK +RES0156-036 ANY SO SHE'S BEEN GAINING WEIGHT ANY EXPOSURE TO ANY MOLD DUST NEW RUGS OR ANIMALS AT HOME +RES0156-037 WE DO HAVE TWO CATS AT HOME +RES0156-038 OK +RES0156-039 THERE ARE ANIMALS AT HOME +RES0156-040 OK HOW LONG HAVE YOU HAD THEM +RES0156-041 FOR FOR ABOUT JUST UNDER A YEAR SO JUST UNDER A YEAR +RES0156-042 OK HAS SHE BEEN DIAGNOSED AT ALL WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0156-043 NO NO AND WHEN SHE WAS BORN SHE HAD TO GO IN THE JUST BE OBSERVED FOR A FEW A COUPLE OF DAYS FOR JAUNDICE SHE DIDN'T NEED TO HAVE ANY THERAPY FOR IT IT WENT AWAY ON ITS OWN BUT THAT'S ABOUT IT +RES0156-044 OK AND ANY COMPLICATIONS DURING THE PREGNANCY WITH HER +RES0156-045 NO EVERYTHING WAS WAS NORMAL AND IT WAS A VAGINAL +RES0156-046 DELIVERY AT AT TERM OK ANY ISSUES WITH THE DEVELOPMENT IS SHE MEETING HER MILESTONES IN HER GROWTH MEETING HER MILESTONES ON HER GROWTH CHART AS WELL +RES0156-047 ALL OF THAT HAS BEEN HAS BEEN NORMAL +RES0156-048 OK ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENTAL FACTORS THAT YOU KNOW OF +RES0156-049 NOT TO ANY MEDICATIONS THAT I'M AWARE OF BUT SHE HASN'T BEEN TESTED BUT SHE DOES GET SYMPTOMS THAT KIND OF CHANGE WITH SEASONS LIKE SHE'LL GET A RUNNY NOSE AND SOME ITCHY EYES AT DIFFERENT TIMES THROUGHOUT THE YEAR +RES0156-050 OK ANY MEDICATIONS THAT SHE HAS BEEN ON AT ALL +RES0156-051 SO WHEN THAT HAPPENS WE JUST USE LIKE SHE'LL JUST TAKE A LIKE REACTINE OR LIKE I DON'T KNOW SOMETHING LIKE THAT BUT JUST AN ALLERGY PILL BUT IT'S THAT'S IT +RES0156-052 OK AND ANY HOSPITALIZATIONS OR PAST SURGERIES +RES0156-053 NO LUCKILY SHE'S BEEN HEALTHY THAT WAY +RES0156-054 OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +RES0156-055 I THINK HER GRANDFATHER HAS +RES0156-056 DIABETES BUT THAT'S IT OK AND CURRENTLY WHAT'S +RES0156-062-1 NO I JUST JUST WANTED TO FIGURE OUT WHAT'S GOING ON WITH THIS COUGH +RES0156-062-2 OK SO IT SEEMS LIKE THE SYMPTOMS HAVE BEEN GOING ON FOR A FEW MONTHS NOW IT SEEMS THAT SHE GETS THEM ON EXERTION AND THEY'RE WORSENED BY EXERTION AT THIS AGE ONE THING THAT DEFINITELY WE WANT TO CHECK IS IF SHE HAS ASTHMA +RES0156-062-3 SHE DOES HAVE SOME OTHER SYMPTOMS THAT ARE ASSOCIATED WITH ASTHMA LIKE IT SEEMS THAT SHE GETS SOME IRRITATION THROUGH ENVIRONMENTAL FACTORS AS WELL SO WHAT WE'LL DO FOR HER IS GET SOMETHING CALLED A PULMONARY FUNCTION TEST +RES0156-062-4 FOR HER TO SEE THAT'LL TEST IF SHE IN FACT HAS ASTHMA OR NOT AND THEN BASED ON THAT WE WILL SEE IF SHE NEEDS ANY PUFFERS THAT CAN HELP RELIEVE SOME OF HER SYMPTOMS +RES0156-062-5 AND LASTLY SINCE SHE'S HAVING A COUGH WE'LL ALSO DO A LIKE A COVID TEST JUST IN CASE AS WELL +RES0156-063 OK THAT THAT SOUNDS GOOD THANK YOU +RES0156-064 AND NO WORRIES AND THEN WE'LL ALSO DO LIKE A FULL PHYSICAL EXAMINATION +RES0156-065 THAT SOUNDS GREAT +RES0156-066 ALRIGHT +RES0158-000 WHAT BRINGS YOU HERE TODAY +RES0158-001 I'VE HAD A NEW COUGH THAT STARTED THIS WEEK IT'S BEEN GOING ON THE LAST LIKE THREE OR FOUR DAYS AND I'VE HAD A HEADACHE AND BUT YESTERDAY I JUST NOTICED THAT I HAVEN'T BEEN ABLE TO TO SMELL SO I WANTED TO COME IN THIS MORNING +RES0158-002 OK SO IT'S BEEN GOING ON FOR THE LAST FOUR DAYS IS IT KIND OF LIKE A DRY COUGH OR A WET COUGH +RES0158-003 IT'S DRY +RES0158-004 IT'S DRY OK ARE YOU AT ALL BRINGING UP ANY KIND OF SPUTUM OR BLOOD AT ALL +RES0158-005 NO I HAVEN'T BEEN +RES0158-006 OK AND HAVE YOU BEEN EXPERIENCING ANY KIND OF FEVERS OR CHILLS +RES0158-007 I FEEL I HAVE FELT FEVERISH AND I THINK THAT THAT'S KIND OF STARTED LIKE WITHIN THE LAST DAY +RES0158-008 OK AND DID YOU GET A TEMPERATURE AT ALL +RES0158-009 NO I'VE JUST BEEN REALLY FEELING FEVERISH AND FEELING REALLY HOT +RES0158-010 OK AND BESIDES THE COUGH ARE YOU HAVING ANY OTHER SYMPTOMS LIKE MUSCLE ACHES OR HEADACHES +RES0158-011 I'VE BEEN HAVING A HEADACHE LIKE I DONT KNOW ON AND OFF FOR THIS PAST THREE OR FOUR DAYS AS WELL AND I HAVE HAD MUSCLE ACHES MY WHOLE BODY KIND OF ACHES +RES0158-012 OK AND WHEN DID THIS START +RES0158-013 THAT'S BEEN OVER THE PAST LIKE THREE DAYS OR SO I WOKE UP AND I'VE JUST BEEN FEELING ACHY AND JUST NOT FEELING GOOD +RES0158-014 OK SO IT ALL JUST KIND OF STARTED IN THE LAST FOUR DAYS ARE YOU HAVING ANY KIND OF FAINTING OR DIZZINESS EPISODES AT ALL +RES0158-015 NO I HAVEN'T HAD ANYTHING LIKE THAT +RES0158-016 OK AND ANY ARE YOUR SYMPTOMS GETTING WORSE AT ALL +RES0158-017 NO THEY WELL I INITIALLY THEY DID BUT THEY'VE KIND OF STAYED THE SAME +RES0158-018 OK AND HAVE YOU HAD ANY LOSS OF SENSE OF TASTE OR SMELL +RES0158-019 I HAD I HAVE I'VE HAD A LOSS OF SMELL AND TASTE NOW THAT YOU MENTION IT +RES0158-020 AND WHEN DID THAT HAPPEN +RES0158-021 WITHIN THE LAST TWO DAYS +RES0158-022 OK AND ARE YOU HAVING ANY RUNNY NOSE CONGESTION SORE THROAT ANY OF THOSE SYMPTOMS +RES0158-023 NO NOT REALLY NOTHING LIKE THAT +RES0158-024 OK HAVE YOU TRAVELED AT ALL RECENTLY +RES0158-025 NO I I HAVEN'T TRAVELED HAVEN'T TRAVELED ANYWHERE BUT I I'VE JUST BEEN GOING TO WORK AND AND BEING AT AT HOME +RES0158-026 OK AND WHERE DO YOU GO FOR WORK +RES0158-027 I'M A NURSE ACTUALLY AT THE AT A A WALK IN CLINIC +RES0158-028 OK AND HAVE YOU AT ALL BEEN EXPOSED TO ANYONE WHO'S BEEN SICK ANYONE WHO HAS TESTED POSITIVE FOR COVID +RES0158-029 NO NOBODY THAT I'M AWARE OF THAT'S THAT'S TESTED POSITIVE BUT THERE HAS BEEN PEOPLE RECENTLY THAT WITHIN THE PAST WEEK THAT WE'VE SEEN COME IN WITH WITH COUGH AND THINGS LIKE LIKE THAT SO +RES0158-030 OK ARE YOU HAVING ANY NAUSEA OR VOMITING +RES0158-031 NO I HAVEN'T HAD ANYTHING LIKE THAT +RES0158-032 OK ANY NIGHT SWEATS +RES0158-033 NO +RES0158-034 ANY CHEST PAIN OR SHORTNESS OF BREATH +RES0158-035 NO +RES0158-036 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY DIARRHEA CONSTIPATION +RES0158-037 NO +RES0158-038 ANY CHANGES IN YOUR URINATION +RES0158-039 NO NOTHING LIKE THAT +RES0158-040 NO BURNING SENSATION OR PAIN AT ALL +RES0158-041 NO NOTHING LIKE THAT +RES0158-042 OK ANY CHANGES IN YOUR SLEEP OR APPETITE RECENTLY +RES0158-043 JUST THESE PAST COUPLE OF DAYS I HAVEN'T REALLY FELT LIKE EATING MUCH MY SLEEP HAS BEEN OK BUT I THINK THAT'S JUST BECAUSE I HAVEN'T BEEN FEELING WELL SO JUST HAVEN'T REALLY WANTED TO EAT +RES0158-044 OK ANY WEIGHT CHANGES RECENTLY +RES0158-045 NO I I WISH +RES0158-046 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST AT ALL +RES0158-047 NO I'VE BEEN I'VE BEEN I'VE BEEN HEALTHY +RES0158-048 OK AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS +RES0158-049 JUST THE THE MULTI VITAMIN AND THEN A LIKE A GREENS SUPPLEMENT +RES0158-050 A GREEN GREEN SUPPLEMENT +RES0158-051 IT'S JUST SORT OF LIKE A LIKE A GREEN POWDER IT'S SUPPOSED TO REPLACE I DON'T KNOW ONE OF YOUR SERVINGS OF VEGETABLES FOR THE DAY +RES0158-052 OK AND HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +RES0158-053 I I HAD LIKE A SCOPE ON MY KNEE WHEN I WAS LIKE A TEENAGER I INJURED IT PLAYING SOCCER BUT THAT'S IT +RES0158-054 OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS +RES0158-055 MY MY GRANDFATHER HAD HAD LUNG CANCER BUT HE SMOKED HIS WHOLE LIFE +RES0158-056 OK AND CURRENTLY SO YOU WORK AS A NURSE WHAT'S YOUR LIVING SITUATION LIKE DO YOU LIVE WITH ANYONE DO YOU LIVE IN HOUSE OR APARTMENT +RES0158-057 SO I LIVE IN A HOUSE WITH MY WIFE WE WE HAVE A A YOUNG A DAUGHTER +RES0158-058 OK HAS ANYONE IN THE HOUSE HAD SIMILAR SYMPTOMS OR BEEN FEELING SICK LATELY +RES0158-059 NO IT'S JUST BEEN ME MY WIFE AND DAUGHTER HAVE BEEN BOTH STAYING HOME I'VE BEEN THE ONE ONLY ONE REALLY KIND OF LEAVING THE HOUSE FOR WELL GOING TO WORK AND THEN GETTING MOST OF THE GROCERIES AND THAT THAT SORT OF THING SINCE I'M ALREADY OUT +RES0158-060 OK OK AND CURRENTLY DO YOU SMOKE AT ALL +RES0158-061 NO CIGARETTES WELL I SMOKE WEED EVERY ONCE IN AWHILE +RES0158-062 OK AND HOW OFTEN WOULD YOU SAY YOU SMOKE WEED +RES0158-063 PROBABLY LIKE PROBABLY ONCE A WEEK JUST JUST ON THE WEEKEND MAYBE ONCE +RES0158-064 OK AND DO YOU DRINK ALCOHOL +RES0158-065 I HAD SOME LIKE A COUPLE OF BEERS ON THE WEEKEND LIKE ONE OR TWO +RES0158-066 OK OK SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0158-067 JUST A BIT CONCERNED POSSIBLY ABOUT COVID +RES0158-068-1 OK YEAH SO THAT'S DEFINITELY WITH YOU WORKING IN THE IN THE HOSPITAL CLINICAL SETTING THERE IS DEFINITELY A POSSIBILITY AND A LOT OF THE SYMPTOMS THAT YOU'RE HAVING OVERLAP WITH COVID SYMPTOMS +RES0158-068-2 SO WE WILL DEFINITELY GET A COVID SWAB TEST DONE FOR YOU TODAY IT USUALLY COMES BACK IN THE NEXT TWENTY FOUR TO FORTY EIGHT HOURS AND UNTIL THEN I WOULD RECOMMEND THAT YOU ISOLATE +RES0158-068-3 EITHER IN A ROOM SEPARATELY WEAR A MASK AROUND YOUR FAMILY MEMBERS ISOLATE TO THE BEST OF YOUR ABILITIES NOT GO OUTSIDE SEE IF +RES0158-068-4 SOMEONE ELSE CAN GET GROCERIES FOR YOU GUYS AS WELL AND THEN DEPENDING ON THE TEST PUBLIC HEALTH WILL CONTACT YOU WITH FURTHER INSTRUCTIONS +RES0158-069 OK THAT SOUNDS GOOD THANK YOU +RES0158-070 YOU'RE WELCOME TAKE CARE +RES0158-071 TAKE CARE +RES0161-000 WHAT CAN I DO FOR YOU +RES0161-001 HI SO SO I JUST CAME IN HERE TODAY AT I'VE BEEN HAVING JUST THIS CONGESTION AROUND MY NOSE AND FACE LIKE IT'S JUST SOMETHING THAT JUST STARTED AN AROUND FIVE DAYS AGO AND IT'S BEEN GETTING WORSE BUT I STARTED TO GET LIKE THESE HEADACHES AS WELL AS JUST PAIN AROUND MY CHEEKS +RES0161-002 OK IT ALL STARTED ABOUT FIVE DAYS AGO OK ALRIGHT HAVE YOU CAN YOU TELL ME ABOUT YOUR HEADACHES +RES0161-003 SO THERE I STARTED GETTING THESE HEADACHES JUST TWO DAYS AGO BUT LIKE IT'S MORE THAN A HEADACHE IT'S KIND OF MAINLY OVER THE CHEEKS AND THEN IT GOES AND JUST ABOVE THE NOSE +RES0161-004 I SEE +RES0161-005 THE LIGHT KIND OF UP INTO THE FOREHEAD +RES0161-006 DO YOU FEEL LIKE IT'S WORSE WHEN YOU'RE BENDING DOWN OR SQUATTING +RES0161-007 HOW I'M NOT SURE ACTUALLY +RES0161-008 OK ALRIGHT AND DO YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A RUNNY NOSE OR SORE THROAT OR COUGH +RES0161-009 I DON'T HAVE A COUGH I DON'T HAVE A SORE THROAT I DO SOMETIMES GET A RUNNY NOSE THOUGH LIKE EVERY EVERY NOW AND THEN +RES0161-010 OK IN THE PAST FIVE DAYS +RES0161-011 I PROBABLY HAD LIKE IT'S USUALLY IN THE MORNING I SOMETIMES GET A RUNNY NOSE +RES0161-012 AND WHAT WHAT COMES OUT OF YOUR NOSE WHAT DO YOU SEE +RES0161-013 OVER THE LAST WEEK IT'S KIND OF LIKE ALMOST LIKE A YELLOWISH DISCHARGE +RES0161-014 HAVE YOU HAD ANY DIFFICULTIES BREATHING +RES0161-016 NO NOTHING LIKE THAT OK HAVE YOU HAD ANY CHEST PAIN +RES0161-017 NO +RES0161-018 OK ANY OTHER ANY OTHER SYMPTOMS THAT YOU'VE EXPERIENCED OVER THE PAST FIVE DAYS +RES0161-019 I ALSO LIKE I I DO ALSO FEEL LIKE A FULLNESS AND PRESSURE GOING INTO MY EARS AS WELL AND THEN I'M NOT SURE BUT YESTERDAY I WAS FEELING A LITTLE WARM THROUGHOUT THE DAY I DIDN'T GET A TEMPERATURE BUT I DON'T KNOW IF I HAD A FEVER OR NOT +RES0161-020 HAVE YOU HAD ANY I GUESS LIKE WEIGHT LOSS OR ANY NIGHT SWEATS +RES0161-021 NO +RES0161-022 NO OK ANY MUSCLE ACHES +RES0161-023 NO NOT THAT I KNOW +RES0161-024 ANY FATIGUE OR MALAISE +RES0161-025 I HAVE BEEN FEELING A BIT TIRED OVER THE LAST FEW DAYS BUT I'M I DON'T KNOW IF THAT'S BECAUSE OF THIS +RES0161-026 HAVE YOU HAD CONTACT WITH ANYONE WHO COULD BE SICK IN THE PAST WEEK OR TWO +RES0161-027 MY MY DAUGHTER ACTUALLY HAD A SORE THROAT JUST A HER LAST WEEK AND SHE WENT TO SEE A DOCTOR +RES0161-028 DO YOU KNOW IF SHE HAD A COVID TEST DONE +RES0161-029 OH SHE SHE DID HAVE A COVID TEST DONE THAT WAS NEGATIVE +RES0161-030 OK AND ALRIGHT ARE YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0161-031 I JUST HAVE A HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE +RES0161-032 DO YOU TAKE MEDICATIONS +RES0161-033 SO I JUST TAKE IT'S LIKE A THIAZIDE DIURETIC FOR BLOOD PRESSURE AND THEN JUST ATORVASTATIN FOR CHOLESTEROL +RES0161-034 ANY ALLERGIES +RES0161-035 NO NO ALLERGIES +RES0161-036 ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART CONDITIONS OR LUNG CONDITIONS OR CANCERS +RES0161-037 SO HARD CONDITIONS BOTH MY DAD AND UNCLE HAVE HAD HEART ATTACKS IN THEIR FIFTIES BUT THAT'S THAT'S IT THAT'S ALL THAT'S ALL THAT I KNOW AND WE ALSO HAVE CANCER ON MY MOTHERS SIDE MY UNCLE FROM MY MOTHERS SIDE HAD BLADDER CANCER +RES0161-038 OK OK AND DO YOU YOU MENTIONED THAT YOU HAVE A DAUGHTER DO YOU WHO DO YOU CURRENTLY LIVE WITH +RES0161-039 I LIVE WITH MY TWO DAUGHTERS AND MY WIFE +RES0161-040 OK AND WHAT DO YOU DO FOR DO YOU WORK +RES0161-041 CURRENTLY I'M WORKING FROM HOME I'M AN ACCOUNTING CLERK +RES0161-042 ALRIGHT AND DO YOU SMOKE AT ALL OR DID YOU SMOKE IN THE PAST +RES0161-043 I I I DO SMOKE BUT I'VE CUT DOWN SIGNIFICANTLY IN THE PAST FEW YEARS I CURRENTLY ONLY SMOKE PROBABLY TWO OR THREE CIGARETTES A DAY I WAS I WAS SMOKING LIKE ALMOST A PACK A DAY A FEW YEARS BACK +RES0161-044 OH THAT'S GREAT IT'S GREAT THAT YOU'RE TRYING TO CUT DOWN DO YOU INTEND ON GETTING THE GETTING DOWN THE SMOKING EVEN FURTHER +RES0161-045 THAT'S THAT'S THE PLAN IF I CAN DO THAT HOPEFULLY BY THE END OF THIS YEAR THAT WOULD BE GREAT +RES0161-046 THAT'S WONDERFUL DO YOU SMOKE MARIJUANA AT ALL +RES0161-047 NO +RES0161-048 DO YOU SMOKE ANY RECREATIONAL DRUGS +RES0161-049 NO +RES0161-050 ANY ALCOHOL +RES0161-051 ALCOHOL JUST PROBABLY JUST ON THE WEEKENDS OR HAVE A COUPLE OF BEERS +RES0161-052-1 OK ALRIGHT SO I GUESS FROM THE SYMPTOMS THAT YOU'VE DESCRIBED IT SOUNDS LIKE YOU LIKELY HAVE A CONDITION CALLED ACUTE RHINOSINUSITIS WHERE YOU HAVE INFLAMMATION OF THE +RES0161-052-2 SINUSES IN YOUR FACE AND POTENTIALLY SOME INFLAMMATION IN YOUR NOSE AS WELL AND OFTEN IT'S CAUSED BY A VIRUS AND +RES0161-052-3 IT USUALLY GETS BETTER IN A COUPLE OF WEEKS AND THE BEST THING TO DO IS JUST CONSERVATIVE MANAGEMENT TRY TO REST AND IF IF YOU KNOW TAKING ANY +RES0161-052-4 MEDICATIONS OVER THE COUNTER MEDICATIONS IS HELPING YOU FEEL BETTER IF YOU FEEL LIKE TYLENOL SORT OF REDUCING SOME OF THAT PRESSURE OR IF DOING A TAKING A STEAM BATH +RES0161-052-5 IS SORT OF HELPING RELIEVE THAT PRESSURE TRY THOSE DRINK A LOT OF WATER TO TRY TO SORT OF LEAR OUT ALL THAT MUCUS THAT'S THAT'S BUILDING UP +RES0161-052-6 I'LL ALSO DO A PHYSICAL EXAM AND TALK TO MY ATTENDING AND CONFIRM ALL THIS INFORMATION WITH HIM AND WE CAN GO FROM THERE +RES0161-053 GREAT SOUNDS GOOD THANK YOU +RES0161-054-1 ALSO SORRY BEFORE FOR IN THE CALL BECAUSE THE SYMPTOMS ARE STARTED RECENTLY AND THEY DO OVERLAP WITH SOME OF THE SYMPTOMS THAT IF PATIENT WITH COVID MIGHT HAVE IT MIGHT BE A GOOD IDEA TO GET A COVID SWAB DONE AS WELL SO WE'LL DO THAT TODAY AND +RES0161-054-2 YOU WOULD HAVE TO QUARANTINE AND STAY AWAY FROM THE PEOPLE AT YOUR HOME AS WELL UNTIL THE RESULTS ARE OUT AND THEN IF IT'S POSITIVE PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO +RES0161-055 ALRIGHT SOUNDS GOOD THANK YOU SO MUCH +RES0162-000 WHAT BRINGS YOU IN TODAY +RES0162-001 HI I AM JUST COMING IN BECAUSE FOR THE LAST COUPLE OF MONTHS BUT I'VE BEEN HAVING THIS THESE COUGHING FITS ARE THERE LIKE WHEN I'M GOING TO THE GYM OR EVEN AT HOME LIKE DURING THE WEEKENDS WHEN WE'RE VACUUMING AND CLEANING THE HOUSE +RES0162-002 WHEN DID THIS START +RES0162-003 I WOULD SAY STARTED PROBABLY THREE MONTHS BACK BUT IT'S GOTTEN WORSE SO LIKE BEFORE I USED TO LIKE JUST HAVE SOME IRRITATION IN MY THROAT AND COUGH A LITTLE BUT NOW I WOULD SAY PROBABLY EVERY OTHER DAY I'M HAVING THESE EPISODES WHERE I CAN'T STOP COUGHING WHEN I'M EXERCISING +RES0162-004 AND IS THIS COUGH A DRY COUGH OR DO YOU BRING UP SOME MUCUS +RES0162-005 IT'S USUALLY IT'S USUALLY A DRY COUGH AND SOMETIMES I DO BRING UP LIKE THIS LIGHT MATERIAL BUT USUALLY IT'S MOSTLY A DRY COUGH +RES0162-006 YOU NEVER NOTICE ANY BLOOD RIGHT +RES0162-007 NO NO BLOOD +RES0162-008-1 OK AND IT STARTED ABOUT THREE MONTHS AGO I GUESS BEFORE THAT DID YOU EVER HAVE A PROBLEM WHEN YOU WOULD EXERCISE OR WHEN YOU WERE +RES0162-008-2 VACUUMING OR CLEANING HAS THIS BEEN A PROBLEM THAT HAS OCCURRED FOR YEARS AND THAT'S JUST SOMETHING THAT YOU THAT GOT WORSE AND NOW IT'S COME TO YOUR ATTENTION OR WAS IT JUST VERY NEW AND SUDDEN THREE MONTHS AGO +RES0162-009-1 IT'S FAIRLY NEW I'VE NEVER REALLY HAD THIS ISSUE BEFORE ALTHOUGH I HAVE BEEN LIKE SO LIKE AFTER THE NEW YEAR IN THE WINTER I I I WASN'T MUCH OF THE PERSON WHO RAN OR EXERCISED A LOT +RES0162-009-2 BUT I I KIND OF NEEDED A NEW GOAL TO BECOME MORE FIT AND ACTIVE SO I NOTICE THAT I DON'T KNOW MAYBE THAT'S WHY LIKE IT IS SOMETHING NEW THAT I'VE BEEN TRYING BUT IT'S NOT BEEN AN ISSUE BEFORE +RES0162-010 OK AND OTHER THAN THE THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS LIKE A SORE THROAT OR ITCHY EYES ITCHY NOSE STUFFY NOSE OR RUNNY NOSE ANYTHING LIKE THAT +RES0162-011 NO NONE OF THOSE BUT I DID IT INITIALLY I USED TO GET JUST AN IRRITATION IN MY THROAT BUT NOW IT'S JUST MORE OF A COUGH +RES0162-012 OK DO YOU HAVE DO YOU GET ANY PAIN IN YOUR CHEST AT ALL +RES0162-013 WHEN I'M USUALLY IT GOES AWAY IN TEN FIFTEEN MINUTES BUT WHEN I'M COUGHING A LOT I DO GET SOME TIGHTNESS +RES0162-014 OK DO YOU EVER FEEL LIKE YOU'RE SHORT OF BREATH WHEN YOU'RE COUGHING OR OTHERWISE +RES0162-015 I DO FIND THAT IT'S HARDER TO TAKE A BREATH AT THOSE TIMES +RES0162-016 OK AND HOW LONG DO THESE LAST FOR EPISODES LAST FOR +RES0162-017 PROBABLY FIFTEEN TO TWENTY MINUTES AND IT'S IT'S MAINLY JUST AFTER I LIKE OFTEN TIMES OVER THE LAST FEW WEEKS I'VE HAD TO JUST STOP DOING WHAT I'M DOING LIKE EXERCISING AND JUST COME HOME AND REST +RES0162-018 DO YOU FEEL LIKE YOUR HEARTS BEATING REALLY FAST WHEN THAT HAPPENS OR YOU'RE SWEATING +RES0162-019 I I FEEL LIKE IT'S USUALLY I DON'T KNOW IF IT'S BECAUSE OF THE EXERCISE BUT I HAVE LIKE A FITBIT AND IT'S MY MY HEART RATE IS MUCH FASTER +RES0162-020 OK ALRIGHT HAVE YOU HAD ANY OTHER SYMPTOMS SO ANYTHING ANY PAIN IN YOUR BELLY OR ANY NAUSEA OR VOMITING +RES0162-021 NO NOTHING LIKE THAT +RES0162-022 ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS +RES0162-023 NOPE +RES0162-024 ANY HEADACHES OR FEVERS OR CHILLS +RES0162-025 NO NOTHING LIKE THAT +RES0162-026 UNINTENTIONAL WEIGHT LOSS +RES0162-027 NO +RES0162-028 ANY NIGHT SWEATS +RES0162-029 NO +RES0162-030 MUSCLE ACHES JOINT PAIN +RES0162-031 NO +RES0162-032 HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0162-033 NO I'VE I'VE BEEN VERY HEALTHY +RES0162-034 YOU MENTIONED THAT YOU STARTED GOING TO THE GYM MORE OFTEN EARLIER THIS YEAR AND THAT IS WHEN YOU SORT OF NOTICE SOME OF THESE SYMPTOMS IS THERE ANYTHING ELSE THAT CHANGED IN YOUR LIFE ANY BIG CHANGES THAT YOU THINK COULD BE RELATED TO THIS +RES0162-035 NO NOT REALLY I'VE I'VE BEEN REALLY I MOVED BACK TO MY PARENTS HOME JUST FOR A BIT RIGHT NOW +RES0162-036 OK +RES0162-037 NOW WHILE THE UNIVERSITY HAS CLOSED DOWN AND BY THAT I'VE LIVED THERE ALL MY LIFE BEFORE SO I DON'T KNOW IF THAT HAD ANYTHING TO DO WITH IT +RES0162-038 DO YOU FEEL LIKE THEY MAY HAVE PUT NEW CURTAINS OR OR LIKE THERE'S OLD CARPETS OR NEW A NEW PET OR SOMETHING THAT COULD HAVE CAUSED SOME IRRITATION FOR YOU +RES0162-039 NO BUT I HAVE NOTICED THAT WHEN I WHEN WE VACUUM I I DO GET SOME OF THOSE SYMPTOMS AS WELL JUST MORE OF AN IRRITATION MORES THAN THE COUGH +RES0162-040 OK OK AND DO YOU FEEL THAT YOU'RE PARTICULARLY ANXIOUS WHEN THESE EPISODES ARE OCCURRING DO YOU HAVE ANY NEW STRESSORS IN LIFE +RES0162-041 NO NOT REALLY +RES0162-042 ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY +RES0162-043 I DON'T THINK SO NOT THAT I KNOW OF +RES0162-044-1 OK AND I GUESS A LITTLE BIT MORE ABOUT YOU SO HAVE YOU HAD IN THE PAST WHEN YOU WERE YOUNGER DID YOU HAVE A RASH LIKE ECZEMA OR DID YOU HAVE +RES0162-044-2 ALLERGIC RHINITIS WHERE YOU WOULD SNEEZE AND TO FEEL ILL WHEN YOU WERE OUTSIDE OR AT CERTAIN TIMES OF THE YEAR ANYTHING LIKE THAT +RES0162-045 I DIDN'T HAVE A I DIDN'T HAVE ANY LIKE EXAM OR RASHES BUT I DO GENERALLY HAVE GET ALLERGIES DURING THE SPRING TIME WHEN I GO OUTSIDE +RES0162-046 DO YOU TAKE ANY MEDICATIONS FOR THAT +RES0162-047 I JUST TAKE REACTINE USUALLY DURING THE SPRING +RES0162-048 DO YOU HAVE ANY OTHER ALLERGIES TO FOOD OR MEDICATIONS +RES0162-049 NO NOT THAT I KNOW +RES0162-050 AND OTHER THAN REACTINE DO YOU TAKE ANY MEDICATIONS INCLUDING OVER THE COUNTER MEDS +RES0162-051 NO +RES0162-052 NOTHING ELSE OK AND IN YOUR FAMILY YOU SAID NO ONE HAS ASTHMA OR ALLERGIC RHINITIS OR ECZEMA OR ANYTHING LIKE THAT RIGHT +RES0162-053 NOT ASTHMA MY DAD ALSO GETS THOSE ALLERGIES AND IRRITATIONS JUST LIKE ME +RES0162-054 OK AND YOU MENTIONED THAT YOU'RE STAYING WITH YOUR AT YOUR PARENTS PLACE ARE YOU ARE YOU DOING THINGS FROM HOME ARE YOU LIKE DOING SCHOOL FROM HOME OR WORKING FROM HOME +RES0162-055 I'M NOT CURRENTLY WORKING JUST STUDYING FROM HOME +RES0162-056 OK AND HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT HAVE BEEN SICK +RES0162-057 NO +RES0162-058 TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY +RES0162-059 NO +RES0162-060 OK AND DO YOU SMOKE OR HAVE YOU EVER SMOKED +RES0162-061 NO NEVER SMOKED +RES0162-062 MARIJUANA +RES0162-063 NO +RES0162-064 ANY RECREATIONAL DRUGS +RES0162-065 NOPE +RES0162-066 DO YOU DRINK ALCOHOL OR HAVE YOU EVER HAD ALCOHOL IN THE PAST +RES0162-067 ALCOHOL I'VE HAD LIKE AT UNIVERSITY BUT GENERALLY MAYBE JUST ON THE WEEKENDS NOT ANYTHING REGULAR +RES0162-068-1 ALRIGHT OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE WILL DO A PHYSICAL EXAM NOW AND I'LL GO TALK TO MY ATTENDING +RES0162-068-2 AND WE'LL COME TALK TO YOU RIGHT AFTER I GUESS BEFORE BEFORE I DO SO WHAT EXACTLY ARE YOU HOPING TO GET OUT OF TODAY'S VISIT +RES0162-069 I JUST WANTED TO LIKE I REALLY DO YOU WANT TO BECOME FIT AND IT'S JUST THESE SYMPTOMS ARE STOPPING ME AND KIND OF AFFECTING MY DAILY ROUTINE SO I JUST WANTED TO KNOW WHAT I CAN DO TO STOP LIKE HAVING THESE SYMPTOMS +RES0162-070 HAVE YOU EVER TRIED ANY PUFFERS +RES0162-071 NO I HAVEN'T +RES0162-072 OK RIGHT LET'S TALK A LITTLE BIT +RES0163-000 WHAT BRINGS YOU IN HERE TODAY +RES0163-001-1 HEY I JUST I JUST KIND OF CAME IN TO TALK ABOUT MY STUFFY NOSE IT'S IT'S BEEN A PROBLEM FOR I DON'T EVEN KNOW HOW MANY YEARS IT'S ALWAYS BEEN THERE +RES0163-001-2 AND NOW THAT SCHOOL IS A LITTLE LESS BUSY AND THINGS ARE VIRTUAL AND HAVE MORE TIME I DECIDED I'LL GET SOMETHING DONE TO GET IT FIXED +RES0163-002 OK AND HOW LONG HAS THIS BEEN GOING ON FOR +RES0163-003 SINCE I WAS YOUNG LIKE MAYBE YEARS COUPLE YEARS +RES0163-004 OK AND THEN DO YOU LIKE HOW OFTEN ARE YOU GETTING THE STUFFINESS IS IT LIKE EVERY DAY IS IT DURING THE DAY AT NIGHT WHEN DO YOU USUALLY GET IT +RES0163-005-1 IT'S KIND OF IT'S KIND OF ALL THE TIME TO THE POINT THAT I'VE SOMEWHAT GOTTEN USED TO IT +RES0163-005-2 AND IT'S JUST MY IT'S ONLY ON THE LEFT SIDE AND IT'S JUST ALWAYS KIND OF STUFFY INITIALLY I WOULD HAVE TROUBLE FALLING ASLEEP +RES0163-005-3 CAUSE IT WOULD I WOULD JUST FIND IT A LITTLE BIT BOTHERSOME BUT NOW I'M KIND OF JUST USED TO IT +RES0163-006 AND SO IT'S JUST ON THE LEFT SIDE IT NEVER MOVES TO THE RIGHT SIDE +RES0163-007 WELL LIKE SOMETIMES WHEN I GET ILL ITS ON BOTH SIDES BUT USUALLY IT'S ON THE LEFT SIDE +RES0163-008 OK AND SO YOU HAVE STUFFINESS BUT DO YOU EVER GET ANY KIND OF DISCHARGE OR DRAINAGE FROM YOUR NOSE +RES0163-009 SOMETIMES I GET A LITTLE BIT BLEEDING +RES0163-010 OK BLEEDING IS IT BLOOD MIXED INTO THE DISCHARGE OR DRAINAGE OR IS IT LIKE YOU GET NOSEBLEEDS +RES0163-011 I GET NOSEBLEEDS LIKE MAYBE LIKE MAYBE WHEN I'M EXERCISING OR SOMETHING I'M LIKE AT THE GYM FOM DOING THE GYM CLASS WHEN PLAYING WITH MY FRIENDS +RES0163-012 OK AND HOW OFTEN DO YOU GET THESE NOSE BLEEDS +RES0163-013 MAYBE ONCE A MONTH OR ONCE IN TWO MONTHS +RES0163-014 OK AND AND IS THERE ANY DO YOU HAVE ANY OTHER SYMPTOMS SO LIKE DO YOU HAVE ANY PRESSURE SENSATION IN YOUR FACE AROUND YOUR JAW CHEEKS FOREHEAD +RES0163-015 NO +RES0163-016 NO SO OK AND DO YOU FIND YOURSELF HAVING MORE CONGESTION WHEN YOU WAKE UP +RES0163-017 NOT REALLY MAYBE A LITTLE BIT +RES0163-018 OK SO IT'S NOT WORSE WHEN YOU'RE LYING FLAT OR ANYTHING LIKE THAT +RES0163-019 NO +RES0163-020 OK AND DO YOU FIND THAT YOU HAVE TO CONSTANTLY CLEAR YOUR THROAT AT ALL THROUGHOUT THE DAY +RES0163-021 NO +RES0163-022 OK AND DO YOU AT ALL FEEL THAT SOME STUFFINESS DRAINS BACK INTO YOUR THROAT AT ALL ANYTIME DURING THE DAY +RES0163-023 I DON'T THINK SO NO +RES0163-024 SO IT'S JUST THE CONGESTION THAT'S BEEN GOING ON FOR QUITE SOME TIME AND DOES IT CHANGE WITH THE SEASONS AT ALL +RES0163-025 NO IT'S JUST THERE ALL THE TIME LIKE I CAN'T EVEN TELL THIS IS LIKE MY NORMAL NOW BUT MY MOM SAID I SHOULD GET IT CHECKED OUT +RES0163-026 HAVE YOU TRIED ANYTHING FOR IT LIKE EITHER MEDICATIONS OR THE NETI POT OR STEAMING AND HAS ANYTHING HELPED YOU AT ALL +RES0163-027 I TRIED STEAMING BUT IT DIDN'T DO MUCH IT KIND OF GOT BETTER MAYBE FOR AN HOUR MAYBE BUT THEN IT DIDN'T DO MUCH +RES0163-028 OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVER CHILLS COUGH SORE THROAT ANYTHING LIKE THAT +RES0163-029 NO +RES0163-030 ARE YOU HAVING ANY LOSS OF SENSE OF TASTE OR SMELL +RES0163-031 NO +RES0163-032 ANY SHORTNESS OF BREATH AT ALL +RES0163-033 NO +RES0163-034 OK AND OTHERWISE ANY RECENT TRAVEL OR IN CONTACT WITH ANYONE WHO'S BEEN SICK +RES0163-035 NO +RES0163-036 HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0163-037 NO I'M PRETTY HEALTHY +RES0163-038 AND DO YOU KNOW IF YOU HAVE ANY ALLERGIES TO ANY MEDICATION +RES0163-039 NO NO ALLERGIES TO MEDICATIONS +RES0163-040 OK AND ANY ALLERGIES TO ANY ENVIRONMENTAL ISSUES LIKE FACTORS THAT CAUSE MORE STUFFINESS SNEEZING ITCHING RED EYES RUNNY NOSE ANYTHING LIKE +RES0163-041 I'M ALLERGIC TO CATS +RES0163-042 CATS OK +RES0163-043 BUT I HAVEN'T BEEN AROUND ONE FOR AWHILE +RES0163-044 OK ANYTHING ELSE LIKE IN YOUR HOUSE OR ENVIRONMENT LIKE CARPETS DUST LIKE ANYTHING THAT MIGHT IRRITATE GIVE ME MORE IRRITATION +RES0163-045 NO NOT REALLY +RES0163-046 OK SO IT'S JUST A CAT THAT YOU KNOW BUT YOU HAVEN'T BEEN AROUND DO YOU HAVE ANY OTHER ANIMALS AT HOME +RES0163-047 NO I DON'T +RES0163-048 NO OK DO YOU HAVE ANY HEADACHES AT ALL +RES0163-049 NO +RES0163-050 ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0163-051 NO +RES0163-052 ANY URINARY PROBLEMS +RES0163-053 NOPE +RES0163-054 HAS THIS AFFECTED YOUR SLEEP OR APPETITE +RES0163-055 I SNORE AT NIGHT SOMETIMES BUT THAT'S THAT'S ABOUT IT OK +RES0163-056 AND DO YOU SNORE WOULD YOU SAY MOST NIGHTS OR IS THAT SOMETHING LIKE HAS SOMEONE TOLD YOU THAT +RES0163-057 MY MOM TOLD ME AND SOMETIMES I I SLEEP WITH MY MOUTH OPEN +RES0163-058 I SEE OK AND DO YOU KNOW HOW LONG YOU'VE BEEN DOING THIS FOR +RES0163-059 AGAIN IT'S BEEN LIKE MONTHS OR YEARS +RES0163-060 OK AND DO YOU EVER GET DO YOU EVER WAKE UP AT NIGHT TRYING TO TAKE A BREATH LIKE JUST GASPING FOR AIR +RES0163-061 NO +RES0163-062 OK HAVE YOU EVER HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE +RES0163-063 NO +RES0163-064 OK ON ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS +RES0163-065 JUST HEART DISEASE +RES0163-066 OK THEN WHO HAS IT OR WHO HAD IT +RES0163-067 MY MY DAD MY DAD HAS HAD A HEART ATTACK AND MY MOM HAS HIGH BLOOD PRESSURE +RES0163-068 OK AND HOW OLD WAS YOUR DAD WHEN HE HAD A HEART ATTACK +RES0163-069 HE WAS FIFTY YEARS OLD +RES0163-070 FIFTY YEARS OLD OK AND I'M CURRENTLY RIGHT NOW ARE YOU A STUDENT DO YOU WORK +RES0163-071 I'M A STUDENT +RES0163-072 AND WHAT'S YOUR LIVING SITUATION LIKE +RES0163-073 I LIVE WITH MY PARENTS +RES0163-074 OK AND DO YOU SMOKE AT ALL +RES0163-075 NO +RES0163-076 OK HAVE YOU EVER SMOKED +RES0163-077 NO NO NO +RES0163-078 ANY ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0163-079 OH GOD NO NEVER +RES0163-080 NO OK AND DO YOU DRINK ALCOHOL +RES0163-081 NO +RES0163-082 OK AND HOW HOW'S YOUR HOME ENVIRONMENT DO YOU GENERALLY FEEL SAFE IN YOUR HOME ENVIRONMENT AS WELL AS OUTSIDE OF YOUR HOME +RES0163-083 OH IT'S GREAT +RES0163-084 OK SO SO MAINLY SO THERE'S ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERN +RES0163-085 NOPE +RES0163-086-1 OK SO THERE CAN BE MANY DIFFERENT REASONS FOR THIS CHRONIC CONGESTION AND WE'LL DO A FULL PHYSICAL EXAMINATION FOR YOU TODAY AND +RES0163-086-2 SOME OF THE POSSIBLE THINGS THAT CAN BE HAPPENING IS YOU MIGHT BE HAVING A SINUS ISSUE LIKE A CHRONIC SINUSITIS YOU CAN BE HAVING AN ALLERGIC RHINITIS OR WITH THE SNORING +RES0163-086-3 AND JUST THE CHRONIC CONGESTION YOU MAY BE ALSO HAVING SOMETHING CALLED OBSTRUCT OBSTRUCTIVE SLEEP APNEA AND THERE CAN BE STRUCTURES IN YOUR MOUTH THROATS THAT CAN CAUSE YOU TO +RES0163-086-4 KIND OF OBSTRUCT AND SNORE AT NIGHT AS WELL AND THAT EVEN THE CONGESTION MIGHT CAUSE THAT AS WELL SO WE'LL DO A COUPLE TEST FIRST AND THEN IF REQUIRED +RES0163-086-5 WE MIGHT NEED TO DO SOME IMAGING AND EVEN PERHAPS SEND YOU TO AN EMT SPECIALIST IF WE THINK IT'S OBSTRUCTIVE SLEEP APNEA THERE FOR NOW WE'LL JUST DO THE PHYSICAL EXAMINATION TO GO FROM THERE +RES0163-087 GREAT THANK YOU +RES0163-088 WELCOME TAKE CARE +RES0164-000 WHAT BRINGS YOU IN HERE TODAY +RES0164-001 HEY I'M I'M THE MOM OF OF THE PATIENT HE'S HE'S A KID HE HAS HAD HE JUST HAD A COUGH AND STUFFY NOSE FOR THE PAST THREE DAYS +RES0164-002 OK AND SO DID THEY BOTH START AROUND THE SAME TIME OR ONE STARTED BEFORE THE OTHER +RES0164-003 THEY STARTED THE SAME TIME HE'S ALSO HAD LIKE THESE THESE HIS EYES HAVE BEEN LIKE KIND OF RED AND WATERY AS WELL +RES0164-004 OK AND IS HE WHAT KIND OF COUGH IS HE HAVING A DRY COUGH OR WET COUGH +RES0164-005 IT'S A DRY COUGH +RES0164-006 DRY COUGH OK AND AND SO WITH THE CONGESTION IS HE ALSO HAVING ANY KIND OF NASAL DRAINAGE +RES0164-007 IT'S IT'S LIKE WATERY +RES0164-008 WATERY OK SO NOW ARE YOU NOTICING ANY KIND OF YELLOW OR GREENISH MATERIAL +RES0164-009 NO +RES0164-010 AND HE HASN'T IS HE COUGHING UP ANY BLOOD AT ALL AT ANY POINT +RES0164-011 NO NO NO +RES0164-012 AND SO THIS STARTED JUST RECENTLY THREE DAYS AGO WAS HE IN CONTACT WITH ANYONE THAT'S BEEN SICK RECENTLY +RES0164-013 I DON'T THINK SO BUT HE HAS BEEN LIKE PLAYING OUTSIDE QUITE A BIT AND SOMETIMES HE'S JUST PLAYING WITH THE NEIGHBOURS KIDS +RES0164-014 OK HAS THIS HAPPENED BEFORE +RES0164-015 IT HAS BUT I GUESS WHAT I'M CONCERNED ABOUT IS THE RASH THAT HE HAS NOW THAT HE'S NEVER HAD BEFORE +RES0164-016 OK AND WHERE IS THE RASH EXACTLY +RES0164-017 IT'S ON HIS FACE IT STARTED THIS MORNING +RES0164-018 OK AND CAN YOU DESCRIBE THE RASH FOR ME LIKE IT'S COLOR SHAPES AND WHAT KIND OF LOOKS LIKE +RES0164-019 SMALL REALLY SMALL DOTS LIKE KIND OF LIKE I'D SAY LIKE BROWN IN COLOR LIKE +RES0164-020 BROWNISH DARK REDDISH OK LET'S JUST ARE THEY JUST LOCATED ON HIS FACE +RES0164-021 LIKE IT WAS ON HIS FACE AND IT'S KIND OF A LITTLE BIT ON HIS NECK +RES0164-022 OK AND IS HE SCRATCHING AT THEM AT ALL +RES0164-023 OK OK AND SO THEY JUST STARTED TODAY HAVE YOU HAD THESE RASHES BEFORE AT ALL +RES0164-024 NO NO HE HASN'T +RES0164-025 OK ANYTHING NEW AT ALL THAT HE HAS EITHER EATEN OR ANY NEW CLOTHING OR NEW LAUNDRY DETERGENT OR SOAP SO ANYTHING AT ALL +RES0164-026 NO NO +RES0164-027 OK OK AND HAS HE HAD ANY FEVERS OR CHILLS ANYTHING LIKE THAT +RES0164-028 HE HAS BEEN FEELING A LITTLE BIT WARM I DIDN'T REALLY CHECK HIS TEMPERATURE +RES0164-029 AND AND BUSY SO IT STARTED THREE DAYS AGO ANYTHING HAPPENED BEFORE THREE DAYS AT ALL THAT MIGHT HAVE CAUSED THE SYMPTOMS +RES0164-030 I DON'T THINK SO AS I SAID HE HAS BEEN PLAYING AROUND WITH OTHERS SO COULD HAVE CAUGHT SOMETHING +RES0164-031 OK AND OK ANY KIND OF HAVE YOU TRIED ANYTHING THAT HAS HELPED HIM AT ALL ANY MEDICATIONS +RES0164-032 I HAVEN'T TRIED ANYTHING YET NO +RES0164-033 OK AND HOW OFTEN IS HE COUGHING IS HE COUGHING THROUGHOUT THE DAY OR IS IT MORE SO WITH EXERTING HIMSELF +RES0164-034 IT'S JUST KIND OF ALL THROUGH THE DAY IT'S ACTUALLY GOTTEN A LITTLE BIT BETTER THE COUGH HAS GOTTEN BETTER BUT WHAT I'M CONCERNED ABOUT IS THE THE RASH +RES0164-035 OK COUGH'S GOTTEN BETTER DOES HE HAVE VISIT RUSH IT SO IS IT MAINLY JUST ON HIS FOREHEAD OR ALSO ON HIS CHEEKS +RES0164-036 IT'S ON HIS CHEEKS ON HIS CHIN IT'S KIND OF ON HIS NECK IT'S KIND OF LIKE THIS BLOTCHY REDDISH BROWNISH LIKE LITTLE DOTS KIND OF IT'S NOT LIKE IT'S NOT RAISED IT'S LIKE FLAT +RES0164-037 OK AND IS IT KIND OF JUST A BIT LIKE A BRIGHT RED RASH THAT'S KIND OF COVERING THE CHEEKS OR LITTLE LITTLE DOTS EVERYWHERE +RES0164-038 KIND OF LITTLE DOTS +RES0164-039 OK ANY ANYTHING ON HIS NOSE +RES0164-040 IT'S ON HIS NOSE AS WELL +RES0164-041 OK OK BUT NO FEVERS RIGHT +RES0164-042 HE I GUESS HE MIGHT HAVE HAD A FEVER HE WAS FEELING WARM +RES0164-043 OK AND ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH SORE THROAT ANYTHING LIKE THAT +RES0164-044 NO NO NOTHING LIKE THAT +RES0164-045 OK AND OTHERWISE ANY OTHER SYMPTOMS LIKE JUST NOT LIKE BEHAVIOURAL CHANGES NOT BEING HIMSELF BEING MORE IRRITABLE AT ALL +RES0164-046 SO HE'S JUST BEEN TIRED HE HASN'T BEEN DOING ANYTHING HE'S JUST BEEN LYING IN BED HASN'T EATEN +RES0164-047 OK ANY AT ALL IS HE HAVING ANY NAUSEA OR VOMITING +RES0164-048 NO +RES0164-049 ANY DIARRHEA OR CONSTIPATION +RES0164-051 ANY CHANGES IN HIS URINATION +RES0164-052 NO +RES0164-053 ANY CHANGES IN HIS SLEEP OR APPETITE +RES0164-054 NO WELL HE HAS BEEN EATING LITTLE LESS BUT NOTHING LIKE NOTHING ELSE +RES0164-055 AND HAS HE BEEN COMPLAINING AT ALL OF ANY ABDOMINAL PAIN OR ANYTHING LIKE THAT +RES0164-056 NO +RES0164-057 OK OTHERWISE THAT HAS HE BEEN HEALTHY OR IF HE HAD ANY MEDICAL CONDITIONS DIAGNOSED +RES0164-058 HE'S BEEN HEALTHY +RES0164-059 OK AND AND ANY PREVIOUS SURGERIES OR HOSPITALIZATIONS +RES0164-060 NO +RES0164-061 ANY MEDICATIONS THAT HE TAKES REGULARLY +RES0164-062 NO +RES0164-063 AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +RES0164-064 NO +RES0164-065 CONCURRENTLY OR LIKE DURING YOUR PREGNANCY WITH HIM ANY COMPLICATIONS AT ALL +RES0164-066 NO +RES0164-067 AND DID WAS HE MEETING HIS MILESTONES THAT DEVELOPMENTALLY IN TERMS OF ALSO WITH GROWTH AND HEIGHT AND EVERYTHING LIKE THAT +RES0164-068 HE SEEMS TO BE DOING OK COME WHEN HE'S DOING AS WELL AS HIS OTHER BROTHER HIS TWO BROTHERS +RES0164-069 OK AND DOES HE GO TO SCHOOL AT ALL WHAT GRADE IS HE IN +RES0164-070 WHAT GRADE IS HE IN +RES0164-074 IT'S THINGS ARE GOOD SO IT'S HIM HIS TWO OLDER BROTHERS MY HUSBAND AND ME +RES0164-075 OK AND HAS ANYONE BEEN SICK RECENTLY OR HAD SIMILAR SYMPTOMS +RES0164-076 NO +RES0164-077 OK ALRIGHT HAS ANYONE IN THE FAMILY EVER HAD ANY DIAGNOSIS OF ASTHMA ECZEMA ALLERGIC RHINITIS +RES0164-078 NO +RES0164-079 NO NOTHING LIKE THAT OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0164-080 NO +RES0164-081-1 SO YEAH SO WE'LL WE'LL BE DOING A COUPLE WE'LL DO A PHYSICAL EXAMINATION I WANT TO SEE EXAMINED WITH THE RASH LOOKS LIKE AND THERE'S MANY THINGS THAT CAN CAUSE A RASH THERE'S +RES0164-081-2 VIRAL INFECTIONS THAT CAN CAUSE SOME OF THE SYMPTOMS THE SYMPTOMS HE'S HAVING MAINLY SEEN VIRAL WITH A DRY COUGH AND RUNNY NOSE AND THEN YOU CAN WE HAVE A RASH AS WELL ONE THING I FORGOT TO ASK ACTUALLY IS +RES0164-081-3 IS HE FULLY IMMUNIZED +RES0164-081-4 HE I GUESS HE DIDN'T GET ALL HIS IMMUNIZATIONS DONE +RES0164-082 EARLIER HE DID GET THEM A LITTLE BIT LATER SO WE CAME FROM SYRIA AS REFUGEES BUT I I'M THINKING HE GOT ALL HIS IMMUNIZATIONS WHEN HE CAME TO WHEN WE MOVED TO CANADA +RES0164-083 OK AND IS HE COMPLAINING OF JOINT OR MUSCLE ACHES AT ALL +RES0164-084 NO +RES0164-085-1 NO NOTHING LIKE THAT NO OK ALRIGHT SO WE'LL DO IT LIKE A FULL PHYSICAL EXAMINATION AND IF IT'S MORE JUST A VIRAL IT'LL BE SOMETHING THAT +RES0164-085-2 WE'LL JUST HAVE TO MONITOR AND DO SUPPORTIVE CARE FOR BUT IF IT'S ANYTHING ELSE WE MIGHT NEED TO DO FURTHER INVESTIGATIONS +RES0164-085-3 OK AND WE'LL JUST DO A COVID SWAB FOR HIM TODAY AS WELL AS SOME OF THE SYMPTOMS OVERLAP WITH COVID SYMPTOMS AND YOU WILL GET THE RESULTS BACK IN TWENTY FOUR HOURS TO FORTY EIGHT HOURS AND THEN FURTHER INSTRUCTION FROM PUBLIC HEALTH +RES0164-086 SOUNDS GREAT +RES0164-087 TAKE CARE TALK TO YOU SOON +RES0165-000 WHAT BRINGS YOU IN HERE TODAY +RES0165-001 I JUST I'VE HAD A COUGH AND I'VE HAD A SORE THROAT FOR THE PAST TWO DAYS AND I WAS JUST WORRIED THAT I MIGHT HAVE COVID SO I THOUGHT I'D COME IN JUST TO MAKE SURE THAT EVERYTHING'S OK +RES0165-002 OK WELL THAT'S A GOOD IDEA THAT YOU CAME IN SO IT'S BEEN HAPPENING FOR THE LAST TWO DAYS DID YOU START HAVING THE COUGH FIRST OR THE SORE THROAT OR BOTH AROUND THE SAME TIME +RES0165-003 IT STARTED WITH A SORE THROAT TWO NIGHTS AGO AND THEN IT GOT WORSE IN THE MORNING WHEN I WOKE UP AND THEN I DEVELOPED THE COUGH LIKE ABOUT A DAY AGO A DAY AND A HALF +RES0165-004 OK AND CAN YOU DESCRIBE YOUR COUGH IS IT A WET COUGH OR A DRY COUGH +RES0165-005 IT'S A DRY COUGH +RES0165-006 OK ARE YOU HAVING ANY KIND OF ARE YOU BRINGING UP ANY BLOOD OR SPUTUM AT ALL +RES0165-007 NO +RES0165-008 NO OK AND SO THIS STARTED TWO DAYS AGO IS IT CONSTANT ARE YOUR SYMPTOMS CONSTANT OR THEY COME AND GO +RES0165-009 NO THEY'RE NOT CONSTANT THEY KIND OF COME AND GO +RES0165-010 OK AND DO THEY OCCUR WHEN YOU'RE EXERTING YOURSELF AT ALL OR IT CAN HAPPEN IT OR DO THEY HAPPEN AT SOME POINT DURING THE DAY IN THE MORNING OR NIGHT OR JUST RANDOMLY +RES0165-011 IT'S PRETTY RANDOM +RES0165-012 OKAY ARE YOU SYMPTOM GETTING ANY BETTER OR WORSE +RES0165-013 MAYBE A LITTLE WORSE I KIND OF FEEL LIKE I'M ALSO I'M NOW HAVING LIKE A A RUNNY NOSE +RES0165-014 A RUNNY NOSE AS WELL OK WHEN DID THAT START +RES0165-015 MAYBE LIKE I DON'T KNOW JUST NOW EVEN LIKE AN HOUR OR TWO AGO +RES0165-016 OK HAVE YOU HAD ANY RECENT EXPOSURE TO ANYONE THAT'S BEEN SICK RECENTLY AT ALL +RES0165-017 MAYBE I I WORK AT A HOSPITAL BUT I'M ALWAYS MAINTAINING SOCIAL DISTANCING AND I TRY TO BE VERY CAREFUL +RES0165-018 OK AND DO YOU HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER TO HELP WITH THESE SYMPTOMS +RES0165-019 NO +RES0165-020 OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH CHEST PAIN DIZZINESS OR ANYTHING LIKE THAT +RES0165-021 NO +RES0165-022 NO OKAY AND THE SORE THROAT ARE YOU HAVING TROUBLE OR PAIN WHILE SWALLOWING ANY FOOD +RES0165-023 IT'S NOT THAT BAD +RES0165-024 NOT THAT BAD +RES0165-025 IT'S JUST IRRITATION IN MY THROAT +RES0165-026 OK ANY HOARSENESS IN YOUR VOICE AT ALL +RES0165-027 NO +RES0165-028 WELL OK HAVE YOU TRAVELED AT ALL RECENTLY UTSIDE OF THE PROVINCE +RES0165-029 NO +RES0165-030 ANY HEADACHES +RES0165-031 NO +RES0165-032 ANY NAUSEA VOMITING +RES0165-033 NO +RES0165-034 FEVERS OR CHILLS +RES0165-035 I KNOW +RES0165-036 OK ANY FATIGUE OR MALAISE +RES0165-037 MAYBE A LITTLE BIT IT'S NOT TOO BAD +RES0165-041 MAYBE TWO DAYS AGO +RES0165-042 OK AND IS IT JUST ALL OVER YOUR BODY OR IN CERTAIN LOCATIONS +RES0165-043 IT'S ALL OVER +RES0165-044 HAVE YOU TRIED ANY PAIN MEDICATIONS +RES0165-045 NO NO I HAVEN'T OK +RES0165-046 ANY CHANGES IN YOUR BOWEL MOVEMENT AT ALL LIKE CONSTIPATION OR DIARRHEA +RES0165-047 NO +RES0165-048 ANY CHANGES IN YOUR APPETITE +RES0165-049 NO +RES0165-050 OK HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY +RES0165-051 NO +RES0165-052 OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0165-053 NO I'M PRETTY HEALTHY +RES0165-054 OK ANY ALLERGIES TO MEDICATION +RES0165-055 NO +RES0165-056 ANY ENVIRONMENTAL ALLERGY +RES0165-057 NO +RES0165-058 OK ANY PREVIOUS SO SORRY ARE YOU TAKING ANY MEDICATIONS AT ALL RIGHT NOW +RES0165-059 I'M NOT NO +RES0165-060 ANY PAST HOSPITALIZATIONS OR SURGERIES +RES0165-061 NO +RES0165-062 NO OK AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITION +RES0165-063 JUST HIGH BLOOD PRESSURE MY MOM HAS IT +RES0165-064 OK AND CURRENTLY ARE YOU WORKING +RES0165-065 I WAS WORKING BEFORE THE SYMPTOMS STARTED +RES0165-066 OK AND WHAT DO YOU DO FOR WORK +RES0165-067 I WORK AS A CUSTODIAN AT THE HOSPITAL +RES0165-068 OK AND SO YOU'VE BEEN ISOLATING AND HAVE YOU GOTTEN COVID SWAB TEST YET +RES0165-069 NO I HAVEN'T +RES0165-070 OK SO WE CAN DO THAT FOR YOU TODAY AFTER A PHYSICAL PHYSICAL EXAMINATION +RES0165-071 SURE +RES0165-072 CURRENTLY RIGHT NOW WHAT'S YOUR LIVING SITUATION LIKE +RES0165-073 I LIVE ALONE +RES0165-074 OK AND DO YOU LIVE IN LIKE AN APARTMENT OR HOUSE +RES0165-075 APARTMENT +RES0165-076 OK AND ANY NEW EXPOSURES AT ALL IN YOUR HOUSE TO DUST NEW CARPETS ANIMALS ANYTHING LIKE THAT +RES0165-077 NO +RES0165-078 NO OK AND DO YOU SMOKE +RES0165-079 I USED TO I DON'T ANYMORE I I SMOKED WHEN I WAS IN HIGH SCHOOL MAYBE A COUPLE TIMES +RES0165-080 AND DO YOU SMOKE MARIJUANA +RES0165-081 NO +RES0165-082 ANY ALCOHOL +RES0165-083 ONCE ONCE A DAY MAYBE ONE CLASS OF WINE AT NIGHT +RES0165-084 SO THAT'S ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0165-085 NO +RES0165-086-1 OK SO IT SEEMS LIKE YOU'VE BEEN HAVING THESE SYMPTOMS FOR THE LAST FEW DAYS THEY SEEM KIND OF LIKE VIRAL IN NATURE WITH YOUR DRY COUGH AND RUNNY NOSE SORE THROAT AND SOMETIMES WITH THESE VIRAL ILLNESSES IT MAY TAKE SOME TIME FOR THE SYMPTOMS TO GO AWAY +RES0165-086-2 ESPECIALLY THE COUGH SO TODAY WE WILL DO A COVID SWAB TEST FOR YOU TODAY AS A LOT OF THE SYMPTOMS OVERLAP AND YOU WILL RECEIVE THE RESULT IN THE NEXT ONE TO TWO DAYS AND BE CONTACTED BY PUBLIC HEALTH +RES0165-086-3 FOR FURTHER INSTRUCTIONS AS FOR MANAGEMENT I THINK YOU CAN TAKE OVER THE COUNTER MEDICATIONS LIKE TYLENOL COLD DRINK LOTS OF FLUIDS AND STAY HYDRATED AND IF THOSE IF YOUR SYMPTOMS WORSEN AT ALL YOU CAN CONTACT US AGAIN +RES0165-087 SURE THANK YOU +RES0165-088 WELCOME TAKE CARE +RES0166-000 WHAT BRINGS YOU IN HERE TODAY +RES0166-001 I'VE JUST BEEN FEELING REALLY SHORT OF BREATH SINCE THIS MORNING AND I DON'T I DON'T KNOW WHAT'S GOING ON +RES0166-002 IT JUST STARTED THIS MORNING +RES0166-003 AND DID YOU WAKE UP FEELING SHORT OF BREATH OR WAS IT AFTER YOU HAD WOKEN UP AND WE WERE DOING ACTIVITIES +RES0166-004 IT WAS WHEN I WAS DOING ACTIVITIES +RES0166-005 OK AND WHAT WERE YOU DOING BEFORE YOU HAD THE SHORTNESS OF BREATH +RES0166-006 OH I WAS JUST GOING TO THE KITCHEN TO MAKE BREAKFAST +RES0166-007 OK AND CAN YOU DESCRIBE THE SHORTNESS OF BREATH IS IT MORE SO THAT YOU'RE HAVING TROUBLE DEEP BREATHS OR ARE YOU TAKING SHALLOW FAST BREATHS HOW WOULD YOU DESCRIBE IT +RES0166-008 I GUESS JUST SHALLOW FAST BREATHS I FEEL LIKE I'VE RUN A MARATHON AND I JUST AND ALL I'VE DONE IS JUST WALKED TO THE KITCHEN +RES0166-009 OK AND HAS THIS HAPPENED TO YOU BEFORE EVER +RES0166-010 NO +RES0166-011 NO OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE OFF SORE THROAT CHEST PAIN ANYTHING LIKE THAT +RES0166-012 NO +RES0166-013 SO IT'S JUST THE SHORTNESS OF BREATH +RES0166-014 THAT'S IT +RES0166-017 IS IT WORSE AT ALL THAN IT WAS THIS MORNING +RES0166-018 KIND OF THE SAME I'D SAY +RES0166-019 OK ARE YOU GETTING ANY KIND OF CHEST DISCOMFORT OR ANYTHING AT ALL WITH BREATHING +RES0166-020 MAYBE WHEN I TAKE A VERY DEEP BREATH THEN IT JUST KIND OF I FEEL LIKE THIS SHARP PAIN +RES0166-021 OK HOW HAVE YOU HAVING I'VE BEEN HAVING ANY CHILLS OR FEVER OR ANYTHING LIKE THAT +RES0166-022 NO +RES0166-023 OK ANY DIZZINESS OR FAINTING SPELLS +RES0166-024 NO +RES0166-025 OK DO YOU FEEL THAT YOUR HEART IS RACING AT ALL +RES0166-026 NO +RES0166-027 OK AND AND HAVE YOU TRIED ANYTHING THAT'S HELPED YOU IMPROVE THOSE SYMPTOMS LIKE TAKING A REST OR LAYING DOWN FLAT ANYTHING LIKE THAT +RES0166-028 NO HAVEN'T REALLY TRIED MUCH IT JUST STARTED THIS MORNING SO I I JUST DECIDED COME IN RIGHT AWAY +RES0166-029 OK HAVE YOU TRAVELED AT ALL RECENTLY +RES0166-030 NO +RES0166-031 ANY CONTACTED SOMEONE WHO'S BEEN SICK RECENTLY +RES0166-032 I DON'T THINK SO +RES0166-033 OK +RES0166-034 I DID JUST SAY SORRY I I DID JUST GET OUT OF THE HOSPITAL SO MAYBE I COULD HAVE HAD SOME CONTACT THERE'S SOME EXPOSURE THERE +RES0166-035 AND SO SO WHEN DID YOU GET OUT OF THE HOSPITAL +RES0166-036 TWO DAYS AGO +RES0166-037 TWO DAYS AGO OK AND WHAT WERE YOU IN THE HOSPITAL FOR +RES0166-038 I HAD I BROKE MY HIP +RES0166-039 OK AND DID YOU HAVE A SURGERY FOR YOUR HIP +RES0166-040 NO THEY DIDN'T THINK IT WAS SURGERY WAS NEEDED +RES0166-041 OK SO HOW LONG WERE YOU IN THE HOSPITAL FOR +RES0166-042 ABOUT FOUR DAYS +RES0166-043 FOUR DAYS OK AND IN THOSE FOUR DAYS WHAT WERE THEY DOING FOR YOU THERE +RES0166-044 JUST TRYING TO HELP ME JUST DOING PHYSIOTHERAPY AND HELPING ME SORT OF GET UP AND GET OUT OF BED +RES0166-045 OK +RES0166-046 AND LIKE GIVING ME PAIN MEDICATIONS +RES0166-047 AND SINCE OR LIKE WHEN YOU WENT HOME TODAY SET UP ANY KIND OF HOME CARE FOR YOU OR ANYTHING LIKE THAT +RES0166-048 THEY DID A NURSE COMES IN ONCE A DAY +RES0166-049 OK AND HOW ABOUT PHYSIOTHERAPY +RES0166-050 I DON'T KNOW THEY HAVEN'T REALLY BEEN COMING IN AND I I ASKED THE NURSE AND SHE SAID SHE'S GONNA LOOK INTO IT MAYBE SOMETHING WENT WRONG THERE +RES0166-051 OK AND AFTER YOU'VE BEEN DISCHARGED HAVE YOU BEEN MOVING AROUND AT ALL OR IF YOU'VE BEEN PRETTY IMMOBILIZED +RES0166-052 I TRY BUT IT'S BEEN IT'S BEEN HARD LIKE SPECIALLY THE FIRST COUPLE OF DAYS I DON'T THINK IT DID MUCH BUT SINCE THEN I'VE BEEN I'VE BEEN TRYING TO MOVE AROUND A LITTLE BIT MORE +RES0166-053 OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS AT ALL +RES0166-055 NO NOTHING LIKE THAT +RES0166-056 NO +RES0166-057 HAVE YOU PREVIOUSLY HAD ANY KIND OF CLOTS LIKE A DEEP VEIN THROMBOSIS OR PULMONARY EMBOLISM ANYTHING LIKE THAT +RES0166-058 NO +RES0166-059 HAVE YOU HAD ANY PREVIOUS DIAGNOSIS OF CANCER +RES0166-060 I DID IN THE PAST ABOUT TEN YEARS AGO +RES0166-061 I HAD LEUKAEMIA LEUKAEMIA OK AND ARE YOU STILL ON ANY KIND OF TREATMENT OR DO YOU SEE +RES0166-062 AN ONCOLOGIST OR A MYTHOLOGIST +RES0166-063 NO NOT ANYMORE NOT ANYMORE OK AND SO ARE YOU EXPERIENCING ANY KIND OF COUGHING UP BLOOD OR ANYTHING LIKE THAT +RES0166-065 NO NO OK DO YOU FEEL ANY PAIN IN YOUR CAPS AT ALL +RES0166-066 NO +RES0166-067 NO OK ALRIGHT OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF NAUSEA AND VOMITING AT ALL +RES0166-068 NO I DON'T +RES0166-069 OK ANY FEVERS OR CHILLS +RES0166-071 ANY NIGHT SWEATS OR FATIGUE +RES0166-072 NO +RES0166-073 OK ANY DIARRHEA OR CONSTIPATION +RES0166-074 NO NONE OF THOSE +RES0166-075 OK AND BESIDES THE CANCER ANY PREVIOUS MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0166-076 NO I WAS PRETTY HEALTHY BEFORE THAT +RES0166-077 OK ANY HISTORY OF ANY CLOTTING OR CLOTTING DISORDERS AT ALL +RES0166-078 NO +RES0166-079 OK DO YOU TAKE ANY MEDICATIONS CURRENTLY +RES0166-080 NO NO NOT ANYMORE +RES0166-081 OK ANY ALLERGIES TO ANY MEDICATIONS +RES0166-082 NO +RES0166-083 OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +RES0166-084 NO LUNG OR HEART CONDITIONS NO +RES0166-085 OK AND CURRENTLY RIGHT NOW +RES0166-086 DO YOU WORK AT ALL I DO +RES0166-087 I AM I'M A BANKER BANKER OK AND WHAT'S YOUR LIVING SITUATION LIKE WHERE DO YOU LIVE WITH ANYONE OR INWARD WHERE DO YOU LIVE +RES0166-088 I LIVE AT HOME WITH MY HUSBAND AND MY TWO KIDS +RES0166-089 OK AND YOU SMOKE IT ALL +RES0166-090 NO I DON'T +RES0166-091 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0166-092 SOMETIMES I'LL HAVE MARIJUANA WITH MY FRIENDS BUT I HAVEN'T REALLY DONE THAT SINCE THE PANDEMIC STARTED +RES0166-093 OK AND YOU DRINK ALCOHOL +RES0166-094 I DO COME I'LL HAVE MAYBE TWO OR THREE GLASSES OF BEER ON THE WEEKEND +RES0166-095 OK ALRIGHT SO THESE ARE ALL THIS QUESTIONS I HAD FOR YOU TODAY WE'LL DO A FULL PHYSICAL EXAMINATION NEXT DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0166-096 NO +RES0166-097-1 OK SO YEAH RIGHT NOW ONE OF THE MAIN THINGS WE WANT TO RULE OUT ESPECIALLY SINCE YOU HAD THE SUDDEN SHORTNESS OF BREATH TODAY AFTER A HISTORY OF JUST RECENT DISCHARGE AND THE HIP FRACTURE OR INJURY +RES0166-097-2 AND YOU'RE IMMOBILIZED WE NEED TO MAKE SURE YOU HAVEN'T DEVELOPED A CLOT THAT HAS TRAVELED TO YOUR LUNGS +RES0166-097-3 SO WE'LL DO A FULL PHYSICAL EXAMINATION AND GET SOME BLOOD WORK DONE INITIALLY AND THEN SEE IF YOU REQUIRE ANY +RES0166-097-4 MEDICATIONS FOR IF YOU NEED THROMBOLYSIS FOR TO BREAK UP THE CLOT WE'LL WE MIGHT DO SOME IMAGING AS WELL SO WELL WE'LL JUST START WITH THAT AND THEN WE'LL GO FROM THERE +RES0166-098 SURE +RES0166-099 SO YOU'LL BE IN HERE FOR A FEW HOURS UNTIL WE GET ALL THOSE THINGS DONE AND SEE IF YOU NEED ANY ADMISSION AT ALL TO THE HOSPITAL +RES0166-100 SURE +RES0166-101 ALRIGHT +RES0166-102 THANK YOU +RES0166-103 WELCOME TAKE CARE +RES0167-000 WHAT BRINGS YOU IN +RES0167-001-1 I'VE JUST HAD A REAL LIKE A REAL BAD COUGH IT'S BEEN GOING ON FOR FOUR OR FIVE DAYS NOW +RES0167-001-2 AND I'M JUST I'M HAVING SOME TROUBLE BREATHING I'M COUGHING UP LIKE GUNKY GREEN STUFF IT'S JUST REALLY BAD I HAVEN'T HAD ANYTHING LIKE THIS BEFORE +RES0167-002 OK SO WHEN DID THE COUGH START +RES0167-003 ABOUT FOUR OR FIVE DAYS AGO +RES0167-004 FOUR OR FIVE DAYS AGO OK AND OK SO FOR FIVE DAYS DID YOU DO HAVE ANY SHORTNESS OF BREATH WITH THAT +RES0167-005 IT'S I'M JUST I FEEL LIKE I CAN'T CAN'T QUITE LIKE BREATHE +RES0167-006 FULLY OK YOU CAN'T QUITE BREATHE FULLY SO LIKE WHEN YOU TAKE A DEEP BREATH IN YOU CAN'T EXPAND YOUR LUNGS FULLY IS THAT WHAT YOU MEAN +RES0167-007 I JUST OVERALL I JUST FEEL LIKE I'M I'M SHORT OF BREATH I GUESS THAT'S THE BEST WAY TO PUT IT +RES0167-008 OK SO YOU'RE SHORT OF BREATH AND HOW ABOUT WHEEZING DO YOU HAVE ANY OF THAT +RES0167-009 I DON'T THINK SO +RES0167-010 OK SO WHEN DID THIS START AGAIN YOU SAID IF A COUPLE DAYS AGO OR A FEW WEEKS AGO +RES0167-011 I THINK IT WAS FOUR DAYS AGO +RES0167-012 FOUR DAYS AGO OK AND DID YOU HAVE LIKE A RUNNY NOSE OR STUFFY NOSE AT THAT POINT +RES0167-013 MAYBE A LITTLE BIT I WASN'T REALLY THINKING ABOUT IT TOO MUCH +RES0167-014 OK SORE +RES0167-015 THROAT NO NOT A SORE THROAT +RES0167-016 NOT A SORE THROAT OK HOW ABOUT CHANGES IN YOUR TASTE OR SMELL +RES0167-017 NO NONE OF THOSE +RES0167-018 OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING +RES0167-019 NO +RES0167-020 FEVER WEIGHT LOSS +RES0167-021 I FEEL LIKE I'VE I'VE PROBABLY HAD A FEVER THE LAST COUPLE NIGHTS I'VE JUST BEEN REALLY HOT IN THE EVENINGS +RES0167-022 OK +RES0167-023 I FEEL LIKE I'VE HAD A FEVER I DON'T KNOW BOUT MY WEIGHT I DON'T WEIGH MYSELF ALL THE TIME +RES0167-026 ANY CHEST PAIN FEELS A LITTLE LIKE IT HURTS A LITTLE BIT LIKE WHEN I +RES0167-027 WHEN I BREATHE IN OK DO YOU EVER FEEL LIKE YOUR HEART'S RACING +RES0167-028 NO I DON'T THINK SO +RES0167-029 ALRIGHT AND ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0167-030 NO NO THAT'S ALL THE SAME +RES0167-031 NO BELLYACHES +RES0167-032 NOPE +RES0167-033 NO BELLYACHES +RES0167-034 NOPE +RES0167-035 OK HOW ABOUT CHANGES TO YOUR URINE +RES0167-036 NO +RES0167-037 NO ANY DIZZINESS OR CONFUSION +RES0167-038 NO NO NOT DIZZINESS OR CONFUSION BUT I HAVE JUST BEEN FEELING VERY WEAK AND TIRED +RES0167-039 WHEN YOU SAY WEAK HAVE YOU LIKE LOST ANY OF YOUR LIKE MOTOR MOVEMENTS LIKE YOUR ARMS LEGS +RES0167-040 NO NO NOT LIKE THAT KIND OF WEAK I JUST HAVE FELT LIKE VERY RUNDOWN +RES0167-042 OK JUST LIKE JUST FATIGUED LIKE MORE THAN USUAL +RES0167-043 OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0167-044 I DON'T I DON'T HAVE TOO MUCH LUCKILY KNOCK ON WOOD I I TAKE A MEDICATION FOR MY REFLUX +RES0167-048 OK ALRIGHT DO YOU HAVE SOMETHING CALLED COPD +RES0167-050 NO NO OK ARE YOU ON ANY MEDICATIONS +RES0167-051 JUST THAT ONE FOR THE REFLUX ITS OH IT STARTS WITH AN R RABEPRAZOLE +RES0167-052 OK +RES0167-053 ALRIGHT AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0167-054 INCLUDING LIKE THE PNEUMOVAX VACCINE AND THE SHINGRIX +RES0167-055 I HAD THE SHINGRIX THE PNEUMO I THINK THE DOCTOR SAID WE WERE GOING TO LOOK AT THAT THE NEXT TIME I CAME IN +RES0167-056 OK SURE +RES0167-057 SO I I'M NOT SURE I I KNOW THAT I ALWAYS SAY YES TO THESE THINGS BUT I'M NOT SURE BECAUSE OF COVID AND STUFF IF I'VE BEEN GETTING EVERYTHING EXACTLY ON TIME +RES0167-058 OK AND HOW ABOUT HOW ABOUT ALLERGIES DO YOU HAVE +RES0167-059 ANY ALLERGIES OH LIKE JUST SEASONAL NOT TO ANY +RES0167-060 MEDICATIONS OR ANYTHING OK HAVE YOU BEEN IN TOUCH WITH ANYONE SICK +RES0167-061-1 RECENTLY AROUND YOU +RES0167-061-2 NO THE ONLY PERSON I SEE IS MY HUSBAND I GUESS HIM AND SO HE HAS A PSW THAT COMES IN TO TAKE CARE OF HIM +RES0167-061-3 HE HAS A COUPLE MORE PROBLEMS THAN I DO SO BASICALLY WE SEE I SEE HIM AND HER AND WE SEE WE SEE OUR KIDS BUT JUST LIKE OUTSIDE +RES0167-062 OK OK AND ALRIGHT AND THEN HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0167-063 NO NO +RES0167-064 NO OK DIETARY WISE ARE YOU LIKE EATING HEALTHY +RES0167-065 I THINK SO I TRY TO YOU KNOW COOK YOU KNOW WHOLE FOODS FOR US LIKE LOTS OF VEGGIES AND YOU KNOW FISH AND GOOD MEAT ALTHOUGH IN THE PAST YOU KNOW FEW DAYS I JUST CAUSE I FELT REALLY RUNDOWN AND FATIGUED I HAVEN'T BEEN EATING AS MUCH AS I NORMALLY DO +RES0167-066 OK +RES0167-067 OTHERWISE I THINK WE PRETTY HEALTHY I TRY TO YOU KNOW FOLLOW HEALTHY RECIPES AND FIND THEM ONLINE +RES0167-068 FOR SURE THAT'S GOOD DO YOU DO YOU SMOKE +RES0167-069 NO NO +RES0167-070 NO OK AND ANY OTHER RECREATIONAL DRUGS +RES0167-071 NO NEVER +RES0167-072 OK DO YOU DRINK ALCOHOL +RES0167-073 I'LL HAVE THE OCCASIONAL GLASS OF WINE ON A SPECIAL OCCASION BUT NOT FREQUENTLY AND NOT NOT HEAVILY +RES0167-074 OK AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH RIGHT NOW +RES0167-075 JUST ME AND MY HUSBAND WE LIVE OUTSIDE OF TOWN WE LIVE IN THE COUNTRY ON A LITTLE FARM +RES0167-076 OK ANY OLD CARPETS OR DUST OR MOLD OR ASBESTOS IN THE IN THE HOME +RES0167-077 NO NO WE RENOVATED PROBABLY FIFTEEN YEARS AGO AND THERE'S NO NO MORE CARPET AND THERE WERE NEVER ANY ASBESTOS PROBLEMS OR ANYTHING +RES0167-078 OK OK WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS FOR MYSELF +RES0167-079 I DON'T THINK SO I JUST I HOPE YOU KNOW WE CAN GET THIS FIGURED OUT +RES0167-080-1 FOR SURE SO WE'LL START WITH DOING A COVID SWAB BECAUSE YOU HAVE SOME SYMPTOMS THAT OVERLAP WITH IT SO YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS WITH THOSE RESULTS +RES0167-080-2 BUT IT DOES SOUND LIKE WHAT YOU'RE TELLING ME WITH THE WET COUGH AND YOU KNOW A LITTLE BIT OF SHORTNESS OF BREATH I THINK IT'S WORTHWHILE TO GET A CHEST X RAY TO SEE +RES0167-080-3 IF YOU MIGHT POSSIBLY HAVE A PNEUMONIA AND IF YOU DO IF THERE IS SOME CONSOLIDATION WE'LL PROBABLY PRESCRIBE SOME ANTIBIOTICS FOR THAT +RES0167-081 SOUND TO YOU THAT'S SOUNDS GREAT TO ME I JUST YOU KNOW HOPE THERE'S NOTHING SERIOUS GOING ON +RES0167-082 AND IT SHOULDN'T BE IT'S PROBABLY ONE SOMETHING THAT'S BEEN GOING AROUND IN THE COMMUNITY AND YOU HAVEN'T HAD ANY RECENT HOSPITALIZATIONS OR SURGERY SO I WOULDN'T WORRY ABOUT LIKE ANY OF THOSE ATYPICAL BUGS JUST YET +RES0167-083 OK OK THAT'S GOOD TO HEAR +RES0167-084 FOR SURE WELL THANK YOU +RES0167-085 OK THANK YOU +RES0168-000 WHAT BRINGS YOU IN +RES0168-001-1 SO I'VE JUST I HAD SOME SINUS PROBLEMS IN THE PAST I'VE HAD SOME SINUS INFECTIONS AND I JUST FEEL LIKE I HAVE ONE RIGHT NOW AND I KNOW THAT LIKE I KNOW THAT YOU KNOW A LOT OF THE TIME I I'VE DONE ALL THE THINGS THAT I'VE BEEN TOLD TO DO IN THE PAST LIKE +RES0168-001-2 I'VE BEEN DOING LIKE SALINE RINSES AND JUST DOESN'T FEEL LIKE IT'S HELPING VERY MUCH RIGHT NOW WHEN I RINSE I'M GETTING LIKE +RES0168-001-3 THIS GREENIE GROSS KIND OF MUCUS COMING OUT AND IT'S JUST LIKE GIVING ME THIS LIKE HEADACHE IT JUST FEELS CRAPPY +RES0168-002 I'M SORRY YOU'RE FEELING THAT WAY SO THIS RUNNY NOSE OK DO YOU HAVE A COUGH AT ALL +RES0168-003 NO I DON'T HAVE A COUGH +RES0168-004 ANY SHORTNESS OF BREATH +RES0168-005 I DON'T HAVE A REAL LIKE SHORTNESS OF BREATH BUT IT DOES FEEL CONGESTED +RES0168-006 OK HOW ABOUT WHEEZINESS +RES0168-007 NO WHEEZINESS +RES0168-008 NO WHEEZINESS OK AND HOW ABOUT HOW ABOUT LIKE SORE THROAT OR LOSS OF TASTE +RES0168-009 SO MY THROAT NOT SORE IN LIKE THE WAY THAT YOU GET CATCH A SORE THROAT BUT I GET A LOT OF POST NASAL DRIP AND IT MAKES IT LIKE STINGY SO IT'S LIKE IT'S SORE IN THAT WAY BUT IT'S NOT LIKE YOU KNOW IF YOU HAVE LIKE STREP THROAT OR SOMETHING +RES0168-010 OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING +RES0168-011 NO NOTHING LIKE THAT +RES0168-012 WEIGHT LOSS +RES0168-013 NO +RES0168-014 FEVERS OR CHILLS +RES0168-015 I I TOOK MY TEMP LAST NIGHT IT WAS PRETTY HIGH IT WAS LIKE NINETY NINE POINT LIKE SOMETHING NINETY NINE LIKE SEVEN OR SOMETHING +RES0168-016 OK +RES0168-017 SO MY THERMOMETER SAID THAT'S HIGH I DON'T I DON'T REALLY KNOW BUT +RES0168-018 OK AND HOW ABOUT LIKE FACIAL PAIN OR PRESSURE OR FEELING LIKE IT'S FULL +RES0168-019 OH I HAVE THAT IT'S LIKE ALL ON THE FRONT PART OF MY FACE +RES0168-020 OK AND THEN YOU MENTIONED SOME NASAL OBSTRUCTION SOME DISCHARGE AND YOU SAID NO LOSS OF SMELL RIGHT +RES0168-021 NO I DIDN'T LOSE ANY SMELL LIKE SOMETIMES IT'S KIND OF HARD TO SMELL BECAUSE IT'S SO PLUGGED UP +RES0168-022 RIGHT +RES0168-023 I STILL HAVE LIKE I'M ABLE TO SMELL LIKE ESPECIALLY AFTER I DO THE RINSES IT HELPS A LITTLE BIT +RES0168-024 OK HOW ABOUT LIKE A CHEST PAIN +RES0168-025 NO I HAVEN'T HAD ANY CHEST PAIN +RES0168-026 NO OK ANY ISSUES WITH BOWEL MOVEMENTS OR HAVE THOSE BEEN NORMAL +RES0168-027 THOSE HAVE BEEN NORMAL +RES0168-028 OK ANY CHANGES IN YOUR URINE +RES0168-029 NO +RES0168-030 ANY HEADACHES +RES0168-031 LIKE I GET THAT LIKE SINUSY HEADACHE THAT YOU KNOW IT'S PRETTY COMMON FOR ME LIKE KIND OF JUST ALL IN LIKE THE FRONT OF MY FACE AND SOMETIMES IT KIND OF FEELS LIKE IT GOES ALL OVER +RES0168-032 HOW ABOUT HOW ABOUT LIKE DIZZINESS OR FAINTING +RES0168-033 NO +RES0168-034 NO OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0168-035 NO THIS IS PRETTY WELL PRETTY WELL THE ONLY THING I HAD SOME PROBLEMS WITH MY KNEE LIKE I HAD SOME PROBLEMS WITH THE ACL SO LIKE I SEE LIKE AN ORTHOPAEDIC PERSON FOR THAT BUT OTHERWISE OTHERWISE I'M HEALTHY +RES0168-036 OK OK AND ARE YOU ON ANY MEDICATIONS +RES0168-037 NO LIKE I I SOMETIMES LIKE I USED THIS SALINE RINSE +RES0168-038 OK +RES0168-039 FOR A BIT I USED TO USE THE NASAL STEROID SPRAY AND I I HADN'T HAD AN INFECTION FOR AWHILE AND THINGS WERE FEELING OK SO I HAVEN'T BEEN USING IT RECENTLY AND THEN I OCCASIONALLY WILL USE LIKE LIKE AN ADVIL IF MY KNEES SORE +RES0168-040 OK OK AND NO HOSPITALIZATIONS OR SURGERIES +RES0168-041 SO I HAD AN ACL REPAIR SURGERY +RES0168-042 OH RIGHT OK +RES0168-043 AND LIKE I WENT TO THE EMERGENCY DEPARTMENT ONCE WHEN I HAD A BAD SINUS INFECTION BUT I DIDN'T LIKE STAY OVER AT THE HOSPITAL +RES0168-044 OK OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE +RES0168-045 I THINK SO I NEVER REALLY DIDN'T GET ANY +RES0168-046 OK ANY ALLERGIES +RES0168-047 LIKE A LITTLE BIT TO CATS BUT NOTHING ELSE +RES0168-048 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +RES0168-049 NO NOT THAT I KNOW OF +RES0168-050 OK HOW ABOUT SMOKING DO YOU SMOKE +RES0168-051 NO NO +RES0168-052 NO OK DO YOU DRINK ALCOHOL +RES0168-053 I DRINK A FEW BEERS ON THE WEEKEND +RES0168-054 OK +RES0168-055 YOU KNOW FIVE OR SIX PER WEEKEND +RES0168-056 OK AND THEN FIVE OR SIX FOR WEEKEND OK AND ANY RECREATIONAL DRUGS +RES0168-057 I WILL OCCASIONALLY TAKE LIKE A CANNABIS LIKE A CAPSULE LIKE THE OIL IN THE CAPSULE +RES0168-058 OK AND WHAT IS THAT FOR +RES0168-059 JUST LIKE RECREATIONAL ALSO LIKE I MEAN MY KNEE MY KNEE PAIN SOMETIMES IT HELPS +RES0168-061 BUT ESSENTIALLY THAT THAT MIGHT BE LIKE ONCE LIKE PER MONTH OR SOMETHING +RES0168-062 OK OK ALRIGHT AND ANY SICK CONTACTS RECENTLY +RES0168-063 NO NO I'VE BEEN WORKING FROM HOME +RES0168-064 OK OK AND ANY TRAVEL RECENTLY +RES0168-065 NO +RES0168-066 NO OK AND WHERE DO YOU LIVE +RES0168-067 I LIVE HERE IN TOWN WITH MY WIFE AND OUR TEENAGE SON +RES0168-068 OK IS ANYONE AT HOME SICK +RES0168-069 NO THEY'RE FINE +RES0168-070 THEY'RE FINE OK AND WHAT ABOUT SORRY +RES0168-071 THEY'RE BOTH WORKING FROM HOME LIKE DOING SCHOOL FROM HOME TOO SO WE RARELY DON'T GO ANYWHERE LIKE MY WIFE GOES TO GET GROCERIES AND THAT'S ABOUT IT +RES0168-072 OK I SEE AND ANY OLD CARPETS SMOKE ASBESTOS MOLD ANYTHING LIKE THAT AT HOME +RES0168-073 NO NO IT'S A PRETTY NEW HOUSE +RES0168-074 OK ALRIGHT ANY PETS AT HOME +RES0168-075 WE HAVE A DOG IT'S A LABRADOODLE +RES0168-076 OK +RES0168-077 AND THAT'S IT +RES0168-078 HOW LONG HAVE YOU HAD HIM +RES0168-079 OH LIKE HE'S LIKE THREE NOW LIKE MY SINUS INFECTIONS AND THAT HAVE BEEN GOING ON FOR LONGER THAN WE'VE HAD HIM +RES0168-080 OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME +RES0168-081 I DON'T THINK SO I JUST I HOPE YOU KNOW WE CAN DO SOMETHING ABOUT THIS BECAUSE YOU KNOW I TRIED ALL THIS STUFF THAT IS SUPPOSED TO BE LIKE YOU KNOW CONSERVATIVE LIKE THE FIRST STEPS AND IT JUST DOESN'T SEEM LIKE IT'S GETTING BETTER IT'S BEEN LIKE FEW WEEKS SO I THOUGHT IT WAS PROBABLY TIME TO COME SEE YOU +RES0168-082 SORRY WHAT HAVE YOU TRIED AT HOME AGAIN +RES0168-083 SO I USE THE THE RINSES THE SALINE RINSES I USED A LITTLE BIT OF NASAL DECONGESTANT BUT I KNOW LIKE I KNOW I'VE BEEN TOLD I'M NOT SUPPOSED TO DO THAT FOR MORE THAN A FEW DAYS SO I DON'T THAT'S I THINK THAT'S PRETTY WELL IT CAUSE THEY SAID THERE'S NOT MUCH WE CAN REALLY DO +RES0168-084-1 OK SO YOUR SYMPTOMS OK BECAUSE SOME SOME OF THESE THINGS OVERLAP WITH COVID WE'RE GOING TO HAVE TO SWAB YOU AND THEY'LL NOTIFY YOU OF YOUR RESULTS IN LIKE TWENTY FOUR TO FORTY EIGHT HOURS BUT WHAT IT SOUNDS LIKE IS SOMETHING CALLED SINU SINUSITIS AND +RES0168-084-2 IT SOUNDS LIKE ACUTE BACTERIAL RHINOSINUSITIS BECAUSE OF SOME F THE SYMPTOMS THAT YOU HAVE AND IT'S BEEN GOING ON FOR MORE THAN A WEEK AND IT'S +RES0168-084-3 IT'S NOT GOING AWAY WITH THE RINSE SALINE RINSES AND THESE DECONGESTANTS SO WE WILL PRESCRIBE SOME ANTIBIOTICS FOR YOU PROBABLY AMOXICILLIN +RES0168-084-4 TAKE THOSE FOR FIVE TO SEVEN DAYS AND SEE IF SOME OF YOUR SYMPTOMS CLEAR UP +RES0168-084-5 IF THEY CONTINUE TO BE SEVERE ACTUALLY AT THIS WILL ALSO PRESCRIBE YOU SOME INHALED CORTICOSTEROIDS BECAUSE I THINK THOSE CAN HELP AS WELL SO WILL GIVE YOU BOTH OF THOSE FOR NOW +RES0168-084-6 AND THEN JUST FOLLOW UP WITH US IN A WEEK AFTER YOU'VE TRIED BOTH THINGS AND WE'LL SEE HOW YOUR SYMPTOMS ARE HOLDING UP AT THAT POINT DOES THAT SOUND LIKE A GOOD PLAN TO YOU +RES0168-085 I THINK THAT SOUNDS THAT SOUNDS FAIR THANK YOU +RES0168-086 OK NO PROBLEM +RES0171-000 WHAT BRINGS YOU IN TODAY +RES0171-001 I'VE HAD A SHORTNESS OF BREATH AND EVEN AT AT REST REALLY FEELING LIKE IT'S DIFFICULT TO BREATHE AND WHEN I TAKE A DEEP BREATH I GET A CHEST PAIN +RES0171-002 WHEN DID THIS START +RES0171-003 THIS STARTED YESTERDAY +RES0171-004 HOW BAD IS YOUR SHORTNESS OF BREATH +RES0171-005 LIKE I DON'T KNOW I FEEL LIKE I'M OK LIKE IN TERMS OF BEING ABLE TO BREATHE BUT I MEAN IF I EXERT MYSELF AT ALL THERE'S NO WAY I WOULD BE ABLE TO IT'S I JUST FEEL LIKE EVEN AT REST IT'S HARD TO BREATHE +RES0171-006 OK HAS IT GOTTEN WORSE SINCE YESTERDAY OR BETTER OR KIND OF BEEN THE SAME +RES0171-007 IT'S MOSTLY BEEN THAT BEEN THE SAME OR ACTUALLY SORRY IT'S GOT GOT A LITTLE BIT WORSE AT FIRST IT WAS MORE MORE WITH EXERTION AND NOW IT'S AT REST AS WELL SO IT'S GOT WORSE +RES0171-008 I SEE OK ARE YOU ABLE TO TALK IN FULL SENTENCES OR DO YOU NEED TO TAKE A DEEP LIKE STOP TO TAKE A BREATH +RES0171-009 I COULD TALK IN FULL SENTENCES +RES0171-010 AND THE CHEST PAIN DOES IT ONLY OCCUR WHEN YOU TAKE A DEEP BREATH OR ARE THERE OTHER TIMES AS WELL +RES0171-011 I PRETTY MUCH ONLY WHEN I'M TAKING A DEEP BREATH AND SAY I MEAN MAYBE THAT'S WHY PART OF THE I CAN'T TAKE A DEEP BREATH SO IT'S MAKING ME FEEL IT'S MAKING THE BREATHING MORE DIFFICULT MAKING ME FEEL MORE SHORT OF BREATH +RES0171-012 OK ANY OTHER SYMPTOMS THAT YOU'VE HAD A FEVER OR HEADACHE +RES0171-013 NO NOTHING LIKE THAT +RES0171-014 ANY COUGH +RES0171-015 I I'VE HAD A COUGH AS WELL OVER THAT THE SAME SAME TIME PERIOD +RES0171-016 IS IT A DRY COUGH ARE YOU BRINGING SOMETHING UP +RES0171-017 IT'S DRY I HAVEN'T BROUGHT UP ANY SPUTUM OR ANY ANY ANY BLOOD +RES0171-018 OK ANY OTHER FLU LIKE SYMPTOMS RUNNY NOSE STUFFY NOSE SORE THROAT ANYTHING LIKE THAT +RES0171-019 NO I JUST HAD THE SHORTNESS OF BREATH AND CHEST PAIN +RES0171-020 OK AND HAVE YOU I GUESS I JUST INVITED MORE GENERAL QUESTIONS ABOUT OTHERS POTENTIAL SYMPTOMS DO YOU FEEL LIKE YOUR HEART IS RACING OR DO YOU FEEL LIKE YOU HAVE DO YOU HAVE ANY BELLY PAIN OR ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0171-021 NO BELLY PAIN OR CHANGES TO BOWEL MOVEMENTS BUT I DO FEEL LIKE MY HEART IS BEATING REALLY FAST REALLY FAST THOUGH +RES0171-022 OK YOU SAID THIS STARTED YESTERDAY WERE YOU LIKE COMPLETELY FINE THE DAY BEFORE +RES0171-023 I WAS +RES0171-024 ANYTHING THAT'S HAPPENED RECENTLY THAT'S DIFFERENT OR NEW +RES0171-025 WELL IT LIKE ABOUT TWO WEEKS AGO I HAD A HYSTERECTOMY CAUSE I FOR ABNORMAL BLEEDING I HAD SURGERY TWO WEEKS AGO +RES0171-026 WHAT HAVE YOU BEEN DOING THESE PAST TWO WEEKS IN TERMS OF SORT OF PHYSICAL ACTIVITY HAVE YOU BEEN MOVING AROUND OR NO +RES0171-027 IT'S IT'S CERTAINLY BEEN LESS I I'VE BEEN MOVING A LITTLE BIT BUT I'VE HAD A LOT OF PAIN SO I JUST HAVEN'T BEEN DOING AS MUCH ACTIVITY THAT'S FOR SURE +RES0171-028 I I SEE AND HAVE YOU HAD ANY I GUESS ANY PAIN IN YOUR LEGS OR SWELLING IN YOUR LEG ONE OR THE OTHER +RES0171-029 I HAVE HAD ACTUALLY MY RIGHT +RES0171-030 MY RIGHT CALF IS PRETTY SORE DEFINITELY HAVE A LOOK AT THAT HAVE YOU NOTICED THAT IT'S BEEN BIGGER OR MORE +RES0171-031 RED OR WARM NO I DON'T NOTICE ANYTHING LIKE THAT JUST +RES0171-032 JUST REALLY HURTS OK ANY MEDICAL +RES0171-062-1 OK IF THERE'S I'M HAPPY TO TO ASSIST YOU AND SHARE RESOURCES AND PROBLEMS LIKE MEDICATIONS AND THINGS LIKE THAT THAT COULD HELP YOU IF YOU'RE INTERESTED SO WE CAN TALK MORE ABOUT THAT +RES0171-062-2 TALKING ABOUT YOUR I GUESS YOU MENTIONED THAT YOUR YOUR WEIGHT IS A LITTLE HIGHER THAN OR ITS OUTSIDE THE NORMAL RANGE IS THAT SOMETHING THAT YOU WOULD LIKE TO CUT DOWN +RES0171-063 I REALLY TRY TO EAT MORE VEGETABLES AND HAVE BEEN TRYING TO DO THAT SORT OF THING I'VE LOST A FEW POUNDS +RES0171-064-1 BUT NOT ENOUGH DEFINITELY WANT TO KEEP GOING +RES0171-064-2 OK GOOD GOOD AS LONG AS YOU FEEL THAT YOU WHAT YOU'RE CURRENTLY DOING IS HELPING YOU AND IS HELPING YOU REDUCE WEIGHT THAT'S GREAT BUT ALSO I'M HERE FOR YOU IF YOU NEED MORE EDUCATION OR GUIDANCE ON THAT +RES0171-064-3 SO GIVEN WHAT YOU'VE TOLD ME SO FAR IT SOUNDS LIKE YOU MIGHT HAVE DEVELOPED A CLOT IN YOUR LEG SOMEWHERE SIMPLY BECAUSE YOU HAD A SURGERY +RES0171-064-4 AND YOU WERE NOT MOVING AROUND VERY MUCH SOMETIMES THAT CAUSES THE BLOOD TO KIND OF NOT MOVE AROUND YOUR BODY IS AS AS MUCH AS IT USUALLY DOES AND KIND OF STAYS IN ONE PLACE AND GET TURNED INTO A CLOT +RES0171-064-5 AND THAT CLOT CAN SOMETIMES GET DISLODGED AND SETTLE INTO YOUR LUNGS AND THAT CAN MAKE IT DIFFICULT FOR YOU TO BREATHE SO WE'LL DO SOME TESTS THAT THAT'S WHAT MY UNDERSTANDING IS GIVEN WHAT YOU'VE TOLD ME SO FAR BUT WE DO HAVE TO CONFIRM IT USING A TEST +RES0171-064-6 ALSO THE FACT THAT YOU SMOKE AND AND YOUR WEIGHT AND YOUR BMI IS HIGH INCREASES YOUR RISK OF DEVELOPING A CLOT +RES0171-064-7 SO I WOULD DEFINITELY STRONGLY RECOMMEND THAT YOU CONTINUE TO TRY TO REDUCE BOTH AND TRY TO QUIT SMOKING AND SO WE'LL DO AN ULTRASOUND OF YOUR LEG AND WE'LL DO A SCAN OF YOUR CHEST +RES0171-064-8 AND SEE WHAT'S GOING ON AND THEN DECIDE IF WE NEED TO GIVE YOU ANY MEDICATIONS LIKE ANY BLOOD THINNING MEDICATIONS +RES0171-065 OK THAT SOUNDS REALLY GOOD THANK YOU +RES0171-066 WELCOME +RES0172-000 WHAT BRINGS YOU IN TODAY +RES0172-001 SO TWO DAYS AGO I STARTED TO HAVE THIS COUGH CAME OUT OF NOWHERE I HAVEN'T HAD A COUGH BEFORE AND I JUST TODAY I'VE NOTICED THE FEVER AS WELL AND AND I'VE HAD A HEADACHE THE LAST FEW DAYS +RES0172-002 CAN YOU TELL ME A LITTLE BIT MORE ABOUT YOUR COUGH HAS IT GOTTEN BETTER OR WORSE OVER THE PAST TWO DAYS +RES0172-003 SO IT IT'S A IT'S BEEN ABOUT WELL IT GOT WORSE AT FIRST AND THEN IT'S BEEN ABOUT THE SAME SINCE THEN +RES0172-004 OKAY AND IS IT DRY COUGH OR WET COUGH +RES0172-005 IT'S DRY +RES0172-006 OKAY AND DOES IT EVER WAKE YOU UP AT NIGHT +RES0172-007 NO WELL IT KIND OF HAPPENS ALL THROUGHOUT THE DAY NO NO IT HASN'T WOKEN ME UP AT NIGHT +RES0172-008 OK IS THERE ANY ARE THERE ANY TRIGGERS ANYTHING THAT MAKES YOUR COUGH WORSE +RES0172-009 I CAN'T THINK OF ANYTHING REALLY IT JUST KINDA COMES ON LIKE THROUGHOUT THE DAY ON IT SPONTANEOUSLY +RES0172-010 TAKE ANY MEDICATIONS TO HELP WITH YOUR SYMPTOMS +RES0172-011 SOME OVER THE COUNTER COLD MEDICINES I TRIED SOME TO TAKE TYLENOL COLD AND SINUS OR SOMETHING LIKE THAT ANYWAY AND IT DID HELP ME SLEEP A LITTLE BIT WITH THAT THE HEADACHE AND JUST HAVEN'T BEEN FEELING VERY GOOD TO HELP WITH THAT +RES0172-012 AND TELL ME ABOUT YOUR FEVER DID YOU CHECK IT CHECK IT CHECK YOUR TEMPERATURE +RES0172-013 I DID TODAY I CHECKED IT AND IT WAS LIKE JUST OVER THIRTY EIGHT I THINK LIKE THIRTY EIGHT POINT ONE OR TWO +RES0172-014 OK WHAT ABOUT YOUR HEADACHE WHERE EXACTLY IS IT +RES0172-015 I KIND OF FEEL IT ALL OVER IT'S LIKE A BAND NIGHT FEELS LIKE IT'S JUST AROUND MY HEAD AND SQUEEZING +RES0172-016 AND HOW LIKE IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO TEN WHAT NUMBER WOULD YOU GIVE IT WITH TEN BEING THE WORST HEADACHE EVER +RES0172-017 I WOULD SAY MAYBE A FIVE +RES0172-018 OK AND YOU MENTIONED THAT THE TYLENOL HELPED +RES0172-019 IT DID PROBABLY TOOK IT DOWN TO A TWO OR THREE THE HEADACHE DIDN'T GO AWAY ENTIRELY IT WAS SORT OF STILL THERE BUT DID HELP +RES0172-020 HAVE YOU HAD ANY OTHER SYMPTOMS HAVE YOU HAD A CONFUSION OR IS IT ANY FUZZINESS OR ANY FLU LIKE SYMPTOMS +RES0172-021 I HAVE FELT JUST TIRED AND OVER THESE LAST COUPLE OF DAYS THAT AND I HAVE HAD A SORE THROAT AS WELL +RES0172-022 OH YOU GET OK OK WHAT ABOUT A RUNNY NOSE OR STUFFY NOSE +RES0172-023 NO NOTHING LIKE THAT +RES0172-024 ANY DIFFICULTIES BREATHING +RES0172-025 NO +RES0172-026 ANY DIFFICULTY SWALLOWING WITH A SORE THROAT +RES0172-027 IS A LITTLE BIT PAINFUL BUT I'VE BEEN ABLE TO TO EAT AND DRINK OKAY JUST REALLY TAKES A LITTLE LONGER +RES0172-028 ANY DIZZINESS OR FAINTING IN THE PAST COUPLE OF DAYS +RES0172-029 NO NOTHING LIKE THAT +RES0172-030 OK ANY RASHES OR CHANGES IN THEIR NAILS +RES0172-031 NO I HAVEN'T HAD ANYTHING LIKE THAT +RES0172-032 ANY CHANGES IN YOUR I GUESS HAVE HAD ANY CHEST PAIN +RES0172-033 NO HAVEN'T HAD ANY CHEST PAIN HAVEN'T HAD ANYTHING LIKE THAT BEFORE +RES0172-034 ANY BELLY PAIN +RES0172-035 NO +RES0172-036 ANY CHANGES IN YOUR BOWEL MOVEMENT ANY DIARRHEA +RES0172-037 NO NO I HAVEN'T HAD ANY DIARRHEA +RES0172-038 OK ANY CHANGES IN YOUR URINATION ANY DIFFICULTIES OR ANY PAIN OR ANY INCREASE IN FREQUENCY +RES0172-039 NO I'VE HAD A URINARY TRACK INFECTIONS BEFORE SO I KNOW WHAT THAT'S LIKE I HAVEN'T HAD ANY OF THOSE SYMPTOMS +RES0172-040 OK ALRIGHT GOOD AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0172-041 NO I HAVEN'T I HAD SURGERY ON MY KNEE WHEN I WAS A TEENAGER I TORE MY ACL BUT IT'S BEEN GOOD SINCE THEN +RES0172-042 ANY HOSPITALIZATIONS +RES0172-043 NO +RES0172-044 OK ANY MEDICATIONS THAT YOU'RE TAKING INCLUDING OVER THE COUNTER MEDS +RES0172-045 I JUST SAY I'M ON BIRTH CONTROL RIGHT NOW I'VE BEEN TAKING IT FOR THE LAST LIKE FIVE YEARS +RES0172-046 OK ANY ALLERGIES +RES0172-047 OH NO I DON'T THINK SO +RES0172-048 OK GOOD AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART OR LUNG CONDITIONS OR CANCERS +RES0172-049 MY MY AUNT HAD HAD BREAST CANCER BUT AND MY DAD HAS HIGH BLOOD PRESSURE +RES0172-050 OK OK AND DO YOU CURRENTLY SMOKE +RES0172-051 NO I DON'T +RES0172-052 DO YOU EVER SMOKE IN THE PAST +RES0172-053 NO I I I I I'VE STAYED AWAY FROM THAT +RES0172-054 GOOD ANY MARIJUANA OR RECREATIONAL DRUGS +RES0172-055 SOMETIMES WELL WE'LL SMOKE WITH LIKE FRIENDS AT A PARTY I GUESS BUT I HAVEN'T HAD ANY I HAVEN'T DONE THAT IN AWHILE +RES0172-056 ALRIGHT ANY ALCOHOL +RES0172-057 SIMILAR LIKE SOMETIMES AT A PARTY BUT I MEAN IT'S BEEN AWHILE FOR SOMETHING LIKE THAT SO I HAVEN'T REALLY HAD ANY ALCOHOL ON IN MONTHS +RES0172-058 AND ARE YOU CURRENTLY WORKING OR +RES0172-059 I AM SO IT'S I WORK FOR THIS TECH COMPANY SO I'VE BEEN ABLE TO DO A LOT OF MY STUFF AT AT HOME +RES0172-060 OK HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK +RES0172-061 I WILL WITHOUT WELL I THERE A COUPLE OR LAST WEEKEND ACTUALLY THERE WAS A FAMILY PARTY THAT WE WENT TO IT WAS OUTSIDE BUT IT THERE'S PEOPLE AROUND THERE WAS NOBODY THAT WAS SICK THAT I'M AWARE OF +RES0172-062 OK AND AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +RES0172-063 NO BEEN BESIDES THAT THE FAMILY PARTY LAST WEEKEND BUT I MEAN THAT WAS JUST HERE IN TOWN SO IT WAS CLOSE BY +RES0172-064 OK I GUESS I FORGOT TO ASK ABOUT A SYMPTOM HAVE YOU FELT THAT YOU'VE LOST YOUR SENSE OF SMELL OR SENSE OF TASTE HAS IT JUST BEEN DIFFERENT +RES0172-065 MY SENSE OF ACTUALLY NOW THAT YOU MENTION IT RIGHT SENSE OF SMELL HAS BEEN DIFFERENT WHICH IS KIND OF WEIRD CAUSE I I DON'T HAVE EVERYBODY KNOWS OR I DON'T FEEL CONGESTED OR ANYTHING SO BUT MY TASTE HAS BEEN OK +RES0172-066-1 GOOD WELL THAT'S ALL THE QUESTIONS I HAD FOR YOU GIVEN THAT YOUR SYMPTOMS SORT OF SOUND LIKE YOU MAY HAVE A VIRAL OR BACTERIAL INFECTION AND +RES0172-066-2 SEEING THAT YOU WERE YOU HAD SOME EXPOSURE TO TO OTHER PEOPLE EVEN THOUGH THEY WEREN'T SICK IT COULD IT COULD BE THAT THEY +RES0172-066-3 THEY HAD SOME SORT OF AN ILLNESS THAT THEY COULD TRANSMIT THAT THEY WEREN'T JUST SHOWING SYMPTOMS AT THE TIME WE WILL GET A COVID SWAB DONE JUST TO MAKE SURE THAT THAT'S NOT +RES0172-066-4 WHAT'S HAPPENING IT COULD BE THAT AND I'LL RECOMMEND THAT YOU CONTINUE TO +RES0172-066-5 YOU KNOW TAKE TYLENOL AND REST AND TAKE CARE OF YOURSELF AND IF YOUR SYMPTOMS WORSEN OR STAY THE SAME FOR LONG PERIOD OF TIME DEFINITELY COME BACK +RES0172-066-6 OR CALL PUBLIC HEALTH TO GET SOME GUIDANCE AND TRY TO STAY AWAY FROM OTHERS AND SELF ISOLATE FOR THE NEXT COUPLE OF DAYS OR AT LEAST +RES0172-066-7 CLEAR COVID SWABS BACK OR YOUR SYMPTOMS IMPROVE OR THE NEXT FOURTEEN DAYS SO THAT'S ALL I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME +RES0172-067 NO THAT SOUNDS REALLY GOOD THANK YOU +RES0173-000 HOW MAY I HELP YOU HI +RES0173-001 I'M I'M HERE BECAUSE I I'VE ODDLY BEEN FEELING REALLY SHORT OF BREATH AND HAVE A FEVER OR AND A COUGH +RES0173-002 OK WHEN DID THE SHORTNESS OF BREATH START AND ARE YOU SHORT OF BREATH NOW +RES0173-003 IT STARTED ABOUT I GUESS I COULD START YESTERDAY AND A LITTLE BIT BUT IT'S GETTING BETTER +RES0173-004 STARTED YESTERDAY OK WELL I'M GLAD IT'S GETTING BETTER WHEN DID THE COUGH START +RES0173-005 IT STARTED AROUND THE SAME TIME +RES0173-006 OK IT IS IT A DRY COUGH OR OR WET COUGH +RES0173-007 IT'S A DRY COUGH +RES0173-008 OK IS IT IS THIS COUGH NEW OR IF YOU HAD A COUGH BEFORE +RES0173-009 NO IT'S IT'S KIND OF NEW +RES0173-010 ALRIGHT HAVE YOU BROUGHT UP ANY I KNOW YOU SAID ITS BEEN BUT HAVE YOU BROUGHT UP ANY BLOOD +RES0173-011 NO +RES0173-012 OK AND HAVE YOU HAD ANY WHEEZING +RES0173-013 NO +RES0173-014 OK AND YOU MENTIONED A FEVER AS WELL HAVE YOU CHECKED YOUR YOUR TEMPERATURE TODAY OR YESTERDAY +RES0173-015 IT WAS AT THIRTY EIGHT LAST NIGHT +RES0173-016 ARE YOU FEELING FEVERISH TODAY AS WELL +RES0173-017 A LITTLE BIT +RES0173-018 OK AND SO HAVE YOU HAD ANY ANY INFECTIOUS SYMPTOMS LIKE RUNNY OR RED EYES +RES0173-019 NO +RES0173-020 HOW ABOUT A RUNNY NOSE OR FEELING CONGESTED +RES0173-021 NO NO IT'S JUST A COUGH +RES0173-022 COUGH OK AND WHAT WHAT WERE YOU AROUND ANY TRIGGERS YESTERDAY OR LIKE AROUND ANY ANYTHING THAT WAS OUT OF THE NORMAL FOR YOU +RES0173-023-1 I GOT A NOTICE THAT THIS HAPPENS TO ME EVERY TIME I GO TO MY BOYFRIEND'S PLACE SO I STARTED DATING I STARTED DATING SOMEONE NEW ABOUT SIX MONTHS AGO AND +RES0173-023-2 EVERY TIME I GO TO HIS PLACE A COUPLE HOURS LATER I JUST LIKE DEVELOP THESE SYMPTOMS JUST KIND OF ODD I THOUGHT THAT I WAS JUST GETTING A COLD +RES0173-023-3 BUT NOW THAT IT'S HAPPENED LIKE THREE TIMES I'M THINKING MAYBE YOU HAVE SOME SORT OF AN ALLERGY LIKE MAYBE I DON'T KNOW MAYBE IT'S LIKE I'M JUST ALLERGIC TO SOMETHING MAYBE HIS PLANTS OR SOMETHING I DON'T KNOW +RES0173-024 OK AND IT DOES THIS HAPPEN EACH TIME THAT YOU GO GO TO HIS HOUSE +RES0173-025 KIND OF ALMOST THAT'S LIKE YOU HAVEN'T LIKE I HAVEN'T BEEN TO HIS PLACE VERY OFTEN BECAUSE OF THE PANDEMIC BUT EVERY TIME I GO KINDA FEEL REALLY CRAPPY AFTER +RES0173-026 I SEE OK AND ARE THERE ANY OTHER ENVIRONMENTS YOU CAN THINK OF WHERE THIS HAPPENS OR HAVE THESE SYMPTOMS HAPPEN AT ANY OTHER POINT +RES0173-027 NO I DON'T THINK SO +RES0173-028 OK AND HAVE YOU HAD A SORE THROAT +RES0173-029 NO +RES0173-030 HOW ABOUT ANY LOSSES OF SMELL OR OR TASTE +RES0173-031 NO +RES0173-032 OK AND HAVE YOU HAD ANY CHEST PAIN +RES0173-033 NO NO I HAVEN'T +RES0173-034 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0173-035 NO +RES0173-036 ALRIGHT AND ANY ABDOMINAL PAIN OR DIARRHEA +RES0173-037 NO +RES0173-038 ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY +RES0173-039 NO +RES0173-040 HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS +RES0173-041 JUST ACT DIFFERENT FEELING ACHY AND KINDA TIRED THESE PAST WELL LIKE TWELVE TO FOURTEEN HOURS +RES0173-042 I SEE OK SO IT HAS BEEN KIND OF LIKE ALL OVER OR THERE ARE PARTICULAR MUSCLES SORE OR OUR BODY PART +RES0173-043 NO IT'S IT'S LIKE ALL OVER +RES0173-044 OK AND YOU'VE BEEN FATIGUED AS WELL +RES0173-046 OK HAVE YOU HAD ANY HEADACHES +RES0173-047 NO +RES0173-048 ANY SKIN CHANGES OR RASHES +RES0173-049 NO +RES0173-050 ALRIGHT AND THEN HOW ABOUT ANY NIGHT SWEATS OR OR CHILLS I KNOW YOU MENTIONED FEVERS +RES0173-051 NO I'VE JUST BEEN FEELING HOT +RES0173-052 OK I MEAN HOW WAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS IS IT LIKE HAVE YOU LOST WEIGHT OR GAINING WEIGHT OR IS UP IN THE SAME +RES0173-053 KIND OF IN THE SAME +RES0173-054 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0173-055 NO I'M PRETTY HEALTHY +RES0173-056 OK YOU SEE YOU HAVEN'T HAD ASTHMA IN THE PAST OR OR ANYTHING LIKE THAT +RES0173-057 NO +RES0173-058 OK ANY ALLERGIES TO MEDICATIONS YOU'RE AWARE OF OR OR ENVIRONMENTAL THINGS LIKE OR DUST OR POLLEN +RES0173-059 NO NO WHICH IS WHY I WAS KIND OF SURPRISED I'M USUALLY FINE AND I SPEND A LOT OF TIME OUTDOORS SO I DON'T KNOW I WAS SURPRISED WHEN THIS HAPPENED WHEN I WENT TO HIS PLACE +RES0173-060 OK DID YOU EVER GET THESE KIND OF SYMPTOMS IF YOU ARE LIKE OR AROUND SMOKE OR OR ANYTHING LIKE THAT YOU COULD MAYBE BE INHALING OR OR EVEN IF YOU ARE OUTSIDE IN THE COLD +RES0173-061 NO +RES0173-062 OK AND YOU GET SEASONAL SYMPTOMS LIKE THROUGHOUT THE YEAR YOU GET LIKE ITCHY RUNNY EYES OR LIKE LIKE A RUNNY NOSE +RES0173-063 NO NO THAT HASN'T HAPPENED TO ME +RES0173-064 OK AND DO YOU TAKE ANY MEDICATIONS +RES0173-065 I JUST TAKE A BIRTH CONTROL PILL +RES0173-066 AND WHEN HOW LONG HAVE YOU BEEN ON THAT FOR +RES0173-067 ABOUT THREE YEARS +RES0173-068 OK AND ANY PRIOR SURGERIES OR HOSPITALIZATIONS +RES0173-069 OH NO +RES0173-070 ALRIGHT AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING CURRENTLY AND TWO YOU'RE LIVING WITH +RES0173-071 I LIVE ALONE I HAVE AN APARTMENT NEXT TO THE UNIVERSITY +RES0173-072 OK AND ANY POTENTIAL FOR BEING AROUND ANYBODY WHO'S BEEN SICK LIKE YOUR BOYFRIEND OR HIS FAMILY OR OR ANYWHERE ELSE +RES0173-073 NO I'VE JUST BEEN VISITING HIM AND I JUST GO GROCERY SHOPPING I'VE JUST I'VE BEEN DOING SCHOOLING ONLINE I DON'T THINK SO I'M USUALLY VERY CAREFUL I'M NOT I'M NOT MAINTAINING SOCIAL DISTANCING WITH MY BOYFRIEND HE'S IN MY SOCIAL CIRCLE BUT OTHER THAN THAT NO ONE I THINK +RES0173-074 OK AND HAVE YOU TRAVELED ANYWHERE +RES0173-075 NO +RES0173-076 ALRIGHT THEN ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL +RES0173-077 I'M GOING TO SCHOOL +RES0173-078 OK COOL AND AND ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0173-079 OK AND ARE YOU USING BIRTH CONTROL ARE YOU USING CONDOMS +RES0173-080 OK ANY CONCERN FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME +RES0173-081 NO NO I'M VERY CAREFUL +RES0173-082 OK AND DO YOU SMOKE CIGARETTES +RES0173-083 NO +RES0173-084 DO YOU DRINK ALCOHOL +RES0173-085 SOMETIMES IF LIKE DURING LIKE PARTIES AND STUFF BUT I HAVEN'T REALLY BEEN DRINKING MUCH CAUSE THERE'S NOTHING GOING ON +RES0173-086 OK I SEE AND DO USE ANY RECREATIONAL DRUGS +RES0173-087 NO +RES0173-088 ALRIGHT THEN IN THE FAMILY IS THERE A HISTORY OF ANY LUNG PROBLEMS OR ANY ANY HEART PROBLEMS +RES0173-089 JUST HIGH BLOOD PRESSURE MY MOM AND DAD HAVE IT +RES0173-090 OK AND SO I WANTED TO ASK ABOUT THE BOYFRIEND'S HOUSE AS WELL IS THERE ANY PETS IN THE HOME THERE +RES0173-091 OH HE HAS THIS CUTE LITTLE PARROT AND HE ALSO HAS A CAT +RES0173-092 OK AND DO YOU HAVE ANY PETS AT YOUR HOUSE +RES0173-093 NO NO I DON'T +RES0173-094 OH OK SO THAT I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON ON HISTORY TODAY WAS THERE ANYTHING ELSE I FORGOT TO MENTION OR YOU WANTED TO TO BRING UP +RES0173-095 I DON'T THINK SO NO +RES0173-096-1 OK SO IT SOUNDS LIKE THERE'S POTENTIALLY COULD BE CAUSED BY AN ALLERGEN SUCH AS +RES0173-096-2 WHICH COULD BE FROM AN ANIMAL LIKE A PARROT OR A CAT THAT IS CAUSING JUST A REACTION AND IT'S BRINGING THESE SYMPTOMS ON LIKE CALLED HYPERSENSITIVITY PNEUMONITIS BUT +RES0173-096-3 ALSO WE CAN'T RULE OUT ASTHMA AS WELL AS BEING A TRIGGER OF KIND OF THE COUGH AND SHORTNESS OF BREATH IS BEING AROUND ALLERGENS AS WELL SO +RES0173-096-4 WE'LL ORDER PULMONARY FUNCTION TEST AND MAYBE SOME IMAGING AND CHEST X RAY AND +RES0173-097 WE WILL GO FROM THERE GREAT THANK YOU +RES0174-000 HOW MAY I HELP YOU +RES0174-001 HI I JUST WANT TO TALK ABOUT THESE THESE TIMES WHEN I FEEL LIKE I'M JUST I'M SUFFOCATING AND I JUST CAN'T BREATHE IT'S PRETTY SCARY AND I DON'T KNOW WHAT'S GOING ON +RES0174-002 CERTAINLY FEELING SHORT OF BREATH LIKE THAT CAN BE QUITE SCARY FOR SURE WHEN WHEN DO THESE EPISODES KIND OF HAPPEN ARE THEY SPONTANEOUS OR CAN YOU THINK OF THINGS THAT YOU'RE DOING WHEN THEY WHEN THEY COME ON +RES0174-003-1 I I DON'T KNOW IT'S JUST LIKE SOMETIMES LIKE BEFORE INTERVIEWS SOMETIMES JUST KIND OF RANDOM +RES0174-003-2 YEAH I CAN KIND OF TELL WHEN THEY'RE ABOUT TO COME ON I THINK IT'S MOSTLY LIKE JOB INTERVIEWS +RES0174-004 OK HAVE YOU HAD MANY OF THOSE RECENTLY +RES0174-005 JOB INTERVIEWS +RES0174-006-1 YEAH I GOT I GOT I GOT I GOT LAID OFF BECAUSE OF THE PANDEMIC AND NOW I'VE BEEN LOOKING FOR JOBS AND IT'S JUST LIKE IT'S KIND OF NERVE WRACKING +RES0174-006-2 BUT ALSO LIKE I DON'T KNOW I'M JUST WORRIED IT COULD BE SOMETHING ELSE LIKE IT'S JUST IT'S LIKE I REALLY JUST CAN'T BREATHE IT'S SO WEIRD +RES0174-007 OK IT'S CERTAINLY IT SOUNDS LIKE THERE'S BEEN A LOT OF STRESS RECENTLY CERTAINLY PLENTY FOR WITH THE PANDEMIC AS WELL AND SO WHEN YOU GET SHORT OF BREATH YOU YOU SAID YOU HAVE THIS YOU COULD FEEL THAT IT'S COMING ON AND HOW LONG DOES IT LAST FOR +RES0174-008 LIKE FIFTEEN MINUTES FIFTEEN TWENTY MINUTES +RES0174-009 IS THERE ANYTHING YOU DO TO HELP IT GO AWAY +RES0174-010 I'LL JUST SAY GO AND LIE DOWN AND CLOSE MY EYES +RES0174-011 OK AND DO YOU GET SHORTER BREATH IF YOU WALK FAR DISTANCES OR EXERT YOURSELF +RES0174-012 OH NO NO I GO OUT FOR A RUN EVERY SINGLE DAY NOTHING HAPPENS AT THAT TIME +RES0174-013 OK AND HAVE YOU HAD A COUGH +RES0174-014 NO +RES0174-015 ANY WHEEZING +RES0174-016 NO +RES0174-017 OK AND HAVE YOU HAD ANY ANY CHEST PAIN +RES0174-018 I KIND OF FEEL LIKE THIS PRESSURE AT THAT TIME IS JUST LIKE SOMEONE'S LIKE PRESSING MY CHEST INWARDS KIND OF IT'S HARD TO EXPLAIN +RES0174-019 I SEE DO YOU IT IS IT LIKE DO YOU FEEL IT IN ANY ONE PARTICULAR SPOT OR +RES0174-020 NO +RES0174-022 I JUST FEEL LIKE MY CHEST IS REALLY TIGHT AND IT'S JUST IT'S LIKE I CAN'T LIKE EXPAND MY LUNGS +RES0174-023 I SEE AND DOES THIS LAST AROUND FIFTEEN MINUTES AS WELL +RES0174-024 OK AND SIMILARLY YOU LIKE GOING FOR RUNS AND STUFF LIKE THAT YOU ON'T EVER GET ANY CHEST PAIN +RES0174-025 NO NO NO +RES0174-026 OK AND AND I KNOW YOU MENTIONED YOU DIDN'T HAVE A COUGH BUT HAVE YOU BROUGHT UP ANY PHLEGM OR BROUGHT UP ANY ANY BLOOD +RES0174-027 NO NO I HAVE NOT HAD A COUGH +RES0174-028 OH NO OK I'M SORRY +RES0174-030 AND HAVE YOU OTHERWISE BEEN WELL OR IF YOU HAD ANY INFECTIOUS SYMPTOMS LIKE A RUNNY OR RED EYES RUNNY NOSE OR SORE THROAT +RES0174-031 NO NONE OF THOSE +RES0174-032 ALRIGHT HAVE YOU HAD ANY HEADACHES +RES0174-033 NO +RES0174-034 HOW ABOUT ANY FEVERS OR CHILLS +RES0174-035 NO +RES0174-036 HAVE YOU HAD ANY NIGHT SWEATS +RES0174-037 NO BUT I GET REALLY SWEATY WHEN THESE EPISODES HAPPEN JUST LIKE MY FACE IS LIKE SWEATING AND MY NECK +RES0174-038 OK OK AND HOW IS YOUR WEIGHT BEEN RECENTLY ANY WEIGHT GAIN OR LOSS +RES0174-039 I'VE GAINED QUITE A BIT OF WEIGHT SINCE THE PANDEMIC STARTED GAINED ABOUT TEN POUNDS +RES0174-040 OK ANY CHANGES TO YOUR DIET OR APPETITE +RES0174-041 OH I'VE BEEN EATING QUITE A BIT BEEN BAKING A LOT AT HOME +RES0174-042 OK AND AND HAVE YOU HAD ANY ABDOMINAL PAINS +RES0174-043 NO +RES0174-044 ANY DIARRHEA +RES0174-045 NO +RES0174-046 OK ANY NAUSEA OR VOMITING +RES0174-047 NO +RES0174-048 ALRIGHT AND ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +RES0174-049 NO +RES0174-050 ANY RASHES OR SKIN CHANGES +RES0174-051 NO +RES0174-052 AND ANY MUSCLE ACHES BODY PAINS OR JOINT PAINS OR SWELLING +RES0174-053 NOTHING LIKE THAT NO +RES0174-054 OK AND HOW'S YOUR ENERGY BEEN +RES0174-055 WELL I'VE BEEN FEELING A LITTLE LOW SINCE I'VE BEEN LAID OFF JUST LIKE WORRIED ABOUT MY FINANCES AND I KIND OF SLEEP ALL DAY I'M NOT FEELING VERY ENERGETIC +RES0174-056 OK HOW IS YOUR INTEREST IN ACTIVITIES BEEN +RES0174-057 I DON'T KNOW I JUST FEEL LIKE STAYING AT HOME AND JUST BEING IN BED ALL THE TIME +RES0174-058 OK SO YOU'RE HAVE YOU HAD A LOW MOOD +RES0174-059 ALRIGHT AND ARE YOU SLEEPING MORE THAN USUAL +RES0174-060 OK IS THERE ANYTHING THAT YOU'RE FEELING PARTICULARLY GUILTY ABOUT RIGHT NOW +RES0174-061 NO +RES0174-062 OK HOW IS YOUR CONCENTRATION BEEN +RES0174-063 NOT GREAT +RES0174-064 OK YOU HAVEN'T BEEN ABLE TO FOCUS AND HAVE YOU FELT LIKE THINGS ARE MOVING IN SLOW MOTION +RES0174-065 NO +RES0174-066 ALRIGHT AND HAVE YOU HAD ANY THOUGHTS OF HURTING OR HARMING YOURSELF +RES0174-067 NO +RES0174-080 NO I WAS DOING PRETTY WELL I USED TO HAVE THESE EPISODES OF DEPRESSION WHEN I WAS YOUNGER AS A TEENAGER AND THEY KIND OF WENT AWAY I WAS ON MEDS AT THAT TIME BUT I THINK I THINK IT'S COMING BACK NOW OK SO YOU HAVEN'T BEEN ON MEDICATION NOW FOR FOR QUITE AWHILE +RES0174-081 FOR YEARS FOR LIKE TWELVE YEARS THIRTEEN YEARS +RES0174-082 OK WHAT DID YOU USE THAT IF YOU CAN REMEMBER +RES0174-083 PROZAC +RES0174-084 OK AND DID YOU FIND IT HELPED +RES0174-085 IT WAS VERY HELPFUL WAS VERY GOOD +RES0174-086 OK THAT'S GOOD ANY ALLERGIES TO MEDICATIONS +RES0174-087 NO +RES0174-088 ALRIGHT AND ANY HOSPITALIZATIONS OR SURGERIES +RES0174-089 NO +RES0174-090 OK AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH +RES0174-091 I I LIVE I LIVE WITH MY GIRLFRIEND +RES0174-092 OK AND HAS THERE BEEN ANYBODY AROUND THAT THAT HAS BEEN SICK THAT THEY HAVE BEEN AROUND +RES0174-093 NO +RES0174-094 OK HAVE YOU TRAVELED ANYWHERE +RES0174-095 NO NO +RES0174-096 AND DO YOU SMOKE CIGARETTES +RES0174-097 OH NO I DON'T +RES0174-098 OK DO YOU DRINK ALCOHOL +RES0174-099 I DON'T +RES0174-100 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0174-101 OK AND ANY CHANCE THAT YOU COULD BE PREGNANT CURRENTLY +RES0174-102 NO +RES0174-103 AND HAVE YOU BEEN PREGNANT IN THE PAST +RES0174-104 NO +RES0174-105 AND DO YOU SMOKE CIGARETTES +RES0174-106 I DON'T +RES0174-107 DO YOU DRINK ALCOHOL +RES0174-108 NO +RES0174-109 AND DO YOU USE ANY RECREATIONAL DRUGS +RES0174-110 NO +RES0174-111 OK AND ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS +RES0174-112 MY GRANDFATHER HAD LUNG CANCER BUT THAT'S ABOUT IT +RES0174-113 DID HE SMOKE FOR A LONG TIME +RES0174-114 OH HE WAS A BIG SMOKER +RES0174-115 OK AND ANYBODY IN THE FAMILY HAVE PROBLEMS WITH MENTAL ILLNESS +RES0174-116 MY MOM HAS DEPRESSION TOO +RES0174-117 OK ANYBODY IN IN THE FAMILY HAVE PROBLEMS WITH SUBSTANCE SUBSTANCE USE +RES0174-118 NO +RES0174-119-1 OK AND I THINK THAT'S EVERYTHING THAT I I WANTED TO ASK ON HISTORY TODAY SO YOU BEEN HAVING THESE EPISODES WHERE YOU GET +RES0174-119-2 REALLY SHORT OF BREATH AND YOU GET CHEST PAIN YOU'LL GET SWEATY AND HAVE WHAT SOUNDS LIKE WHAT SOUNDS LIKE AN IMPENDING SENSE OF DOOM WHERE YOU KIND OF FEEL LIKE IT'S COMING ON AND IT LASTS FOR +RES0174-119-3 FIFTEEN MINUTES AND NOT RELATED TO EXERCISE WERE THERE ANY OTHER SYMPTOMS OR THINGS THAT YOU'VE BEEN EXPERIENCING RECENTLY +RES0174-120 IT'S ALSO I ALSO FEEL LIKE MY HEART'S LIKE BREATHING REALLY FAST +RES0174-121 OH OK AND I DOES THAT HOW LONG DOES IT LAST FOR +RES0174-122 SAME TIME LIKE EVERYTHING IS JUST SORT OF COMES ON AT THE SAME TIME JUST KIND OF GOES AWAY TOGETHER +RES0174-123 OK WOULD YOU SAY THAT IT COMES ON LIKE KIND OF LIKE AT THE SNAP OF YOUR FINGERS SORT OF THING LIKE REALLY QUICKLY AND THEN +RES0174-124 I CAN KIND OF TELL IT'S GONNA COME ON LIKE I HAVE A SENSE OF IT AND THEN IT JUST LIKE STARTS IT SUDDENLY JUST HAPPENS +RES0174-125 OK SO YOU YOU HAVE THE HEART RACING ARE THERE ANY OTHER SYMPTOMS AS WELL +RES0174-126 I DON'T THINK SO +RES0174-127-1 OK SO WE WILL GET AN ECG AND I WILL LOOK AT THAT BUT I'VE BEEN CONCERNED +RES0174-127-2 NOW THINKING THAT THIS MIGHT BE RELATED TO ANXIETY OR PANIC ATTACKS AND SO +RES0174-127-3 I GUESS THAT WOULD BE SOMETHING THAT WE COULD DISCUSS MORE ABOUT IN REGARDS TO LIKE I GUESS PREVIOUS TRAUMAS AND THINGS THAT AND THE STRESSES THAT YOU MIGHT BE DEALING WITH CURRENTLY TO HELP MANAGE MANAGE STRESS BETTER +RES0174-128 SURE THANK YOU +RES0175-000 HOW MAY I HELP YOU +RES0175-001 HEY I'VE JUST BEEN FEELING KIND OF ILL OVER THE PAST TWO DAYS AND I THOUGHT I'D JUST COME IN TO SEE WHAT'S GOING ON SO I'VE HAD I WAS FEELING VERY ACHY AND I HAD A COUGH AND THEN I THINK YESTERDAY NIGHT I DEVELOPED A FEVER +RES0175-002 OK AND SO LAST NIGHT YOU DEVELOPED A FEVER WHAT DID YOU CHECK YOUR TEMPERATURE +RES0175-003 I DIDN'T BUT I'M PRETTY SURE I HAVE A FEVER AND LIKE I CAN FEEL IT +RES0175-004 OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS +RES0175-005 I HAD CHILLS LAST NIGHT +RES0175-006 OK SO YOU MENTIONED YOU'VE HAD A COUGH AS WELL AND WHEN DID THAT START +RES0175-007 TWO DAYS AGO +RES0175-008 AND IS THE COUGH BEEN PRODUCING ANY PHLEGM OR SPUTUM +RES0175-009 NO IT'S KIND OF DRY COUGH NOTHING +RES0175-010 ALRIGHT HOW ABOUT ANY ANY BLOOD +RES0175-011 NO +RES0175-012 OK AND YOU'VE HAD MUSCLE ACHES HAS THIS BEEN LIKE A WHOLE BODY TYPE OF FEELING OR IS IT ANY PARTICULAR MUSCLES THAT HURT +RES0175-013 IT'S ALL OVER +RES0175-014 OK HAVE YOU HAD ANY HEADACHES +RES0175-015 NO +RES0175-016 ALRIGHT AND HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH +RES0175-017 IT'S A NEW COUGH +RES0175-018 HAVE YOU HAD ANY WHEEZING WITH THE COUGH +RES0175-019 A LITTLE BIT +RES0175-020 SO YOU'VE HAD WHEEZING AS WELL ARE YOU ABLE TO TO HEAR IT +RES0175-021 IT'S JUST LIKE I CAN KIND OF LIKE TELL WHEN I'M BREATHING LIKE IT JUST IT SOUNDS DIFFERENT I DON'T KNOW WHAT A WHEEZE SOUNDS LIKE BUT IT JUST SOUNDS DIFFERENT +RES0175-022 OK AND HAVE YOU HAD ANY CHEST PAIN +RES0175-023 SORRY CAN YOU SAY THAT AGAIN +RES0175-024 SORRY DID YOU HAVE ANY CHEST PAIN +RES0175-025 NO +RES0175-026 NO OK HAVE YOU HAD ANY SYMPTOMS SUCH AS RED EYES OR OR ITCHY EYES OR RUNNY NOSE +RES0175-027 NO +RES0175-028 OK HAVE YOU HAD A SORE THROAT +RES0175-029 NO +RES0175-030 ANY NAUSEA +RES0175-032 OR VOMITING NO OK HOW ABOUT A LOSS OF TASTE OR LOSS OF SMELL +RES0175-033 I KIND OF JUST FOODS HAVE JUST BEEN TASTING LITTLE BLAND SINCE YESTERDAY +RES0175-034 OK SO I LOST OF TASTE TODAY HAVE YOU HAD A RUNNY NOSE AT ALL +RES0175-035 NO +RES0175-036 OK ANY ABDOMINAL PAIN OR DIARRHEA +RES0175-037 NO +RES0175-038 ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +RES0175-039 I I I'VE HAD THAT FOR A WHILE LIKE IT'S JUST I THINK MY PROSTATE'S KIND OF LARGE SO IT'S IT'S HARD FOR ME TO LIKE I PEE VERY FREQUENTLY +RES0175-040 OK AND OK AND HAVE YOU NOTICED ANY +RES0175-044 I'VE BEEN FEELING A LITTLE TIRED ALRIGHT SO YOU'VE HAD THIS DRY COUGH THAT STARTED TWO DAYS AGO BEEN FEELING FEVERISH HAVE HAD SOME MUSCLE ACHES BEEN TIRED AND ALSO A LOSS OF TASTE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +RES0175-045 NO THAT'S I THINK THAT COVERS IT ALL +RES0175-046 OK OH SORRY I ASKED ABOUT CHEST PAIN BUT HAVE YOU HAD ANY LIKE DIZZINESS OR FEELING LIKE YOU'RE GOING TO FAINT OR EVEN LIKE YOUR HEART'S RACING REALLY FAST +RES0175-047 NO +RES0175-048 OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0175-049 JUST A LARGE PROSTATE IT'S NOT CANCER OR ANYTHING IT'S JUST KIND OF LARGE +RES0175-050 OK SO I HAVE YOU HEARD OF BPH BEFORE +RES0175-051 I THINK THAT'S WHAT THE DOCTOR SAID +RES0175-052 OK AND DO YOU TAKE ANY MEDICATIONS FOR THAT OR FOR ANY OTHER REASON +RES0175-053 I DO I DO TAKE A I THINK A MEDICATION FOR THAT IT'S CALLED TAMSULOSIN +RES0175-054 OK CALL ME WHAT IS LIKE FLOMAX OR OR TAMSULOSIN BUT THERE ARE THERE ARE OTHERS FOR SURE +RES0175-055 I THINK I THINK IT'S CALLED FLOMAX +RES0175-056 OK IT'S THE BRAND NAME FOR IT BUT LOTS OF LOTS OF DIFFERENT NAMINGS CAN BE HARD FOR THE MEDICATION SOMETIMES AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS +RES0175-057 NOPE +RES0175-058 DO YOU HAVE ANY ALLERGIES +RES0175-060 NOPE OK AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND +RES0175-061 WHO YOU'RE LIVING WITH I JUST LIVE WITH WIFE IN AN +RES0175-062 APARTMENT OK AND HAS SHE HAD ANY SYMPTOMS OR BEEN SICK AT ALL +RES0175-063 OH NO SHE'S FEELING GOOD +RES0175-064 HAVE YOU HAD ANY SICK CONTACTS +RES0175-065 I DON'T NO I HAVEN'T I DON'T THINK SO I MEAN POTENTIALLY I WAS I WAS ACTUALLY OUT WITH MY FRIENDS BUT NO ONE WAS SICK +RES0175-066 OK HAVE YOU TRAVELED ANYWHERE +RES0175-067 NOPE +RES0175-068 OK AND DO YOU SMOKE CIGARETTES +RES0175-069 I USED TO I QUIT I QUIT TEN YEARS AGO I USED TO SMOKE ABOUT TWO OR THREE CIGARETTES A DAY FOR TWENTY YEARS +RES0175-070 OK WELL CONGRATULATIONS ON QUITTING THAT'S GREAT +RES0175-071 THANKS +RES0175-072 DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS +RES0175-073 NOPE +RES0175-074 DO YOU USE ANY RECREATIONAL DRUGS +RES0175-075 NO +RES0175-076 AND DO YOU DRINK ALCOHOL +RES0175-077 MAYBE SOMETIMES ONCE OR TWICE A MONTH MAYBE A GLASS OR TWO AT A TIME +RES0175-078 OK AND ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS +RES0175-079 I THINK IT'S CALLED HYPERTROPHIC CARDIOMYOPATHY WHERE PEOPLE KIND OF DIE EARLY PEOPLE GET LIKE PEOPLE IN MY FAMILY GOT HEART ATTACKS VERY EARLY ON IN THEIR THIRTIES MY BROTHER DIED AND WHEN HE WAS FIFTEEN +RES0175-080 OH WOW SORRY TO HEAR THAT AND HAS THAT BEEN LOOKED INTO FOR YOURSELF +RES0175-081 OH I SEE A CARDIOLOGIST I GET REGULAR CHECKUPS DONE +RES0175-082 OK AND OK AND SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY DID YOU HAVE ANY ANYTHING ELSE THAT YOU WANTED TO MENTION OR ANYTHING YOU WERE CONCERNED ABOUT +RES0175-083 NO +RES0175-084-1 OK SO WITH YOUR YOUR SYMPTOMS TODAY THEY DO OVERLAP POTENTIALLY WITH COVID AND SO WHAT WE'LL NEED TO DO OR WILL WELL IT'LL BE IMPORTANT TO DO A SWAB TO TEST FOR COVID IT COULD BE SOMETHING ELSE LIKE THE COMMON COLD +RES0175-084-2 LIKE ANOTHER TYPE OF VIRAL ILLNESS BUT BECAUSE OF THE PANDEMIC IT WILL BE IMPORTANT TO SELF ISOLATE INCLUDING FROM YOUR WIFE FOR THE NEXT FOURTEEN DAYS AND WE'LL GET BACK TO YOU WITH THE RESULTS AS SOON AS WE CAN +RES0175-085 SURE THANK YOU +RES0176-000 HOW MAY I HELP YOU +RES0176-001-1 HI CRIS I I JUST HAVEN'T BEEN FEELING VERY WELL OVER THE PAST COUPLE MONTHS AND +RES0176-001-2 I HAVE DECIDED I JUST COME IN AND SEE WHAT'S HAPPENING SO I'VE JUST I'VE BEEN FEELING SHORT OF BREATH AND I KIND OF PASSED OUT SOMETIMES AND I'M REALLY WORRIED ABOUT IT +RES0176-007 HAS IT BEEN GETTING WORSE OR STAYING THE SAME KIND OF THE SAME MAYBE A LITTLE BIT WORSE BUT I MAYBE THE SAME DEFINITELY NOT GETTING BETTER +RES0176-008 OK HOW FAR ARE YOU ABLE TO WALK OR EXERT YOURSELF BEFORE YOU'RE SHORT OF BREATH +RES0176-009 I CAN WALK QUITE A BIT BUT I I GUESS LIKE WHEN I GO FOR MY MY RUNS IN THE MORNING I START FEELING SHORT OF BREATH IT'S MAYBE LIKE TWO BLOCKS OR THREE BLOCKS +RES0176-010 OK AND ANY ANY SYMPTOMS WHERE YOU GET SHORT OF BREATH AT NIGHT AND WHERE YOU HAD TO GET UP AND AND PUT YOUR FEET OVER THE BED +RES0176-011 NO +RES0176-012 ARE YOU ABLE TO LAY FLAT WITHOUT BEING SHORT OF BREATH +RES0176-013 OR DOES IT OK AND EVERY HAD ANY SWELLING IN YOUR FEET OR ANKLES +RES0176-014 NO +RES0176-015 OK AND YOU MENTIONED THAT YOU YOU PASSED OUT AS WELL CAN YOU TELL ME A LITTLE BIT ABOUT A LITTLE BIT ABOUT THAT +RES0176-016 IT JUST HAPPENED TWO OR THREE DAYS AGO AND I WAS JUST I WAS I WASN'T REALLY DOING MUCH I WAS I GUESS JUST LIKE GOING UP THE STAIRS AND WHEN I GOT TO THE TOP I JUST KIND OF SUDDENLY COLLAPSED AND THEN I GOT BACK UP +RES0176-017 WERE YOU REALLY SHORT OF BREATH AT THE TOP OF THE STAIRS +RES0176-018 I FELT LIKE MY HEART WAS LIKE BEATING KIND OF FAST AND I FELT LITTLE BIT DIZZY +RES0176-020 SWEATY AT THE TIME AS WELL I DON'T REMEMBER MAYBE +RES0176-021 OK DID YOU FEEL LIKE YOU WERE GOING TO PASS +RES0176-029 OK AND HOW LONG DID IT LAST FOR MAYBE A COUPLE OF SECONDS IT'S I DON'T KNOW I I CAN'T REALLY TELL I WAS ALONE AT HOME AT THE TIME AND I'D LIKE I COULDN'T TELL HOW LONG IT TOOK FOR ME TO GET BACK UP +RES0176-030 OK YOU PICTURE THAT YOUR HEART WAS RACING DID IT FEEL LIKE IT WAS LIKE DID YOU HAVE HEART PALPITATIONS OR IS YOUR HEART BEATING REALLY FAST +RES0176-031 IT WAS +RES0176-032 OK AND DID YOU HIT YOUR HEAD OR OR HURT YOURSELF WHEN YOU FELL +RES0176-033 NO NO +RES0176-034 OK AND RECENTLY HAVE YOU BEEN OTHERWISE FEELING WELL OR IF YOU HAD ANY VIRAL INFECTIOUS SYMPTOMS LIKE RED EYES OR ITCHY EYES OR RUNNY NOSE SORE THROAT +RES0176-035 NO +RES0176-036 OK NOTHING LIKE THAT AND HAVE YOU HAD A COUGH +RES0176-037 NO +RES0176-038 OK AND HAVE YOU HAD ANY WHEEZING +RES0176-039 NO +RES0176-040 AND IF YOU HAD ANY CHEST PAIN +RES0176-041 NO +RES0176-042 OK HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOU WERE HAVING HEART PALPITATIONS AT ANY OTHER TIMES AND NOT JUST DURING THE TIME THAT YOU HAD THE FAINTING EPISODE +RES0176-043 I KIND OF DID WHEN I WAS WHEN I WAS LIKE RUNNING OUTSIDE BUT I JUST THOUGHT MAYBE MAYBE I WAS EXERTING MYSELF TOO MUCH +RES0176-044 I SEE ALRIGHT AND ANY CHEST PAIN +RES0176-045 NO +RES0176-046 AND OK HAVE YOU HAD ANY ANY +RES0176-048 NAUSEA OR VOMITING +RES0176-050 ANY ABDOMINAL PAIN +RES0176-052 NO ANY URINARY PROBLEMS OK ANY MUSCLE ACHES OR BODY PAINS +RES0176-053 NO +RES0176-054 ANY FEVERS OR CHILLS +RES0176-055 NO +RES0176-056 HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT IN THE LAST SEVERAL MONTHS +RES0176-057 NO +RES0176-058 HAVE YOU HAD ANY CHANGES TO YOUR APPETITE +RES0176-059 NO +RES0176-060 AND HAVE YOU NOTICE ANY SKIN CHANGES LIKE RASHES OR OR ANYTHING LIKE THAT +RES0176-061 NO +RES0176-062 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0176-063 NO I'VE BEEN VERY HEALTHY +RES0176-064 OK I DO YOU SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER +RES0176-065 I JUST TAKE SOME PUFFERS FOR ASTHMA BUT I HAVEN'T HAD ASTHMA IN AWHILE I ACTUALLY THOUGHT MAYBE MY ASTHMA WAS GETTING WORSE OVER THE PAST TWO THREE MONTHS I DIDN'T REALLY I JUST I DIDN'T THINK TOO MUCH OF IT BUT THEN WHEN I FAINTED I WAS JUST KIND OF SCARED +RES0176-066 FOR SURE CERTAINLY WOULD BE FRIGHTENING OK AND DO YOU USE THE INHALER EVERYDAY +RES0176-067 NO I USED TO WHEN I WAS YOUNG I DIDN'T HAVE ASTHMA FOR A COUPLE OF YEARS FOR LIKE I'D SAY TWENTY YEARS OR SO SO THEN I STOPPED TAKING INHALERS +RES0176-068 OK SO YOU HAVEN'T USED THEM RECENTLY +RES0176-069 NO +RES0176-070 ALRIGHT AND ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENTAL +RES0176-071 NO +RES0176-072 OK AND IF YOU HAD ANY HOSPITALIZATIONS OR SURGERIES +RES0176-073 NO +RES0176-074 OK AND HAVE YOU BEEN PREGNANT IN THE PAST +RES0176-076 EIGHT YEARS AGO OK WAS THIS A VAGINAL DELIVERY OR A C SECTION +RES0176-077 VAGINAL +RES0176-078 AND ANY COMPLICATIONS EITHER DURING PREGNANCY OR DELIVERY OR AFTERWARDS +RES0176-079 OH NO EVERYTHING WAS GOOD NO PROBLEMS +RES0176-080 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND AND WHO YOU'RE LIVING WITH +RES0176-081 I'M LIVING WITH MY HUSBAND AND MY SON WE LIVE IN A HOUSE ABOUT THIRTY MINUTES FROM HERE +RES0176-082 OK HAS ANYBODY BEEN SICK IN THE HOUSE +RES0176-083 NO EVERYONES BEEN WELL +RES0176-084 ALRIGHT HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0176-085 NO +RES0176-086 OK ANY EXPOSURES IN THE HOUSE LIKE CARPETS OR RUGS OR IT'S LIKE LIKE THINGS LIKE THAT +RES0176-087 WE DO HAVE CARPETS BUT I MEAN I I DON'T THINK THAT'S A PROBLEM LIKE WE'VE HAD IT FOR LIKE YEARS AND WE'VE HAD THE SAME CARPETS FOR YEARS AND YEARS +RES0176-088 OK I SEE AND ARE YOU WORKING CURRENTLY OR OR AT HOME +RES0176-089 I'M AT HOME BUT I WORK FROM HOME I'M A WRITER +RES0176-090 OK COOL DO YOU SMOKE CIGARETTES +RES0176-091 NO +RES0176-092 DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS +RES0176-093 NO +RES0176-094 OK AND DO YOU DRINK ALCOHOL +RES0176-095 I DO I'LL JUST DRINK ON THE WEEKENDS +RES0176-096 OK AND I LIKE HOW MANY DRINKS WOULD YOU TYPICALLY HAVE IN A WEEK +RES0176-097 NOT MUCH I'D SAY ONE OR TWO GLASSES OF WINE +RES0176-098 OK DO YOU USE ANY RECREATIONAL DRUGS +RES0176-099 NO +RES0176-100 OK AND LIKE YOU SAID YOU'RE A WRITER CURRENTLY IN THE PAST DID YOU WORK ANY JOBS WHERE YOU WERE EXPOSED TO ASBESTOS OR LIKE ANY CHEMICALS OR FUMES IN THE AIR +RES0176-101 NO NO I HAVEN'T +RES0176-102 OK AND IN THE FAMILY IS THERE IS THERE ANYBODY WHO HAS ANY HEART OR LUNG CONDITIONS +RES0176-103 NO +RES0176-104 HOW ABOUT ANY CLOTTING DISORDERS OR OR CANCERS +RES0176-105 PROSTATE CANCER MY UNCLE HAD IT +RES0176-106-1 I SEE OK SO IT SOUNDS LIKE OVER THE LAST LITTLE MONTH YOU'VE BEEN HAVING SOME MORE SHORT SHORTNESS OF BREATH AS WELL AS +RES0176-106-2 WELL THIS FAINTING EPISODE MORE RECENTLY SO WE WILL WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD +RES0176-108-1 ALRIGHT SO WE WILL DO SOME PULMONARY FUNCTION TESTING AND GET SOME IMAGING OF YOUR LUNGS TODAY AS WELL AS AN ECG AND MAYBE A MONITOR FOR YOUR HEART AS WELL TO JUST CHECK YOUR HEART RACING FOR THE NEXT FORTY EIGHT HOURS +RES0176-108-2 MENTIONING THAT YOUR HEART WAS RACING AND SO TO RULE OUT THAT ANY ABNORMAL RHYTHMS OF YOUR HEART OR TO CHECK FOR THAT AND WE WILL KIND OF GO FROM THERE DID YOU HAVE ANY QUESTIONS +RES0176-109 NO +RES0177-000 WHAT BRINGS YOU IN +RES0177-001 I BROUGHT MY SON IN TODAY BECAUSE HE HAD A FEVER THAT STARTED TWO DAYS AGO AND AND THEN SINCE THEN HE HE'S HAD A COUGH THAT STARTED AS WELL AND IT IT HE'S BEEN SHORT OF BREATH IT LOOKS LIKE HE'S LIKE BREATHING FASTER AND JUST HAVING A HARDER TIME TO BREATHE +RES0177-002 OK BEFORE THE FEVER DID YOU NOTICE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE OR A STUFFY NOSE +RES0177-003 NO NOTHING LIKE THAT THE FEVER KIND OF CAME ON PRETTY PRETTY SUDDENLY IT SEEMED LIKE +RES0177-004 OK AND DID YOU TAKE HIS TEMPERATURE AT HOME +RES0177-005 I DID IT WAS LIKE THIRTY EIGHT POINT SEVEN AND THEN LIKE TWO DAYS AGO AND THEN IT WAS HIGH AGAIN LIKE YESTERDAY AND TODAY +RES0177-006 OK AND YOU MENTIONED THE COUGHING STARTED SOON AFTER THE FEVER CORRECT +RES0177-033 NO NO +RES0177-034 ANY CHANGES IN VISION OR HEARING +RES0177-035 NO +RES0177-036 SMELL OR TASTE +RES0177-037 NO +RES0177-038 NO WEIGHT LOSS +RES0177-039 NO HE'S BEEN GAINING WEIGHT WELL +RES0177-040 OK HOW ABOUT ANY RASHES +RES0177-041 NOPE I HAVEN'T NOTICED ANY +RES0177-049 NOPE THAT'S BEEN BEEN GETTING OUT NO DIARRHEA OR ANYTHING LIKE THAT +RES0177-050 OK CHANGES IN HIS VOIDING +RES0177-051 NOPE HE HASN'T HAD ANY URINARY PROBLEMS +RES0177-052 OK AND IS HE AN OTHERWISE HEALTHY CHILD DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0177-053 NO HE DOESN'T THAT'S THIS WAS SO SURPRISING HE'S BEEN HEALTHY +RES0177-054 OK HAS HE SO HE'S NEVER HAD ANY HOSPITALIZATIONS OR SURGERIES +RES0177-055 NO HE HASN'T +RES0177-056 OK HOW ABOUT HIS MOTHER'S PREGNANCY WITH HIM WERE THERE ANY COMPLICATIONS AT THAT POINT +RES0177-057 NOPE EVERYTHING WENT WENT WELL NO COMPLICATIONS AND HE WAS LIKE A GOOD BIRTH WEIGHT AND WENT HOME RIGHT AWAY +RES0177-058 OK OK AND HOW ABOUT THE DELIVERY ITSELF ANY COMPLICATIONS DURING THAT THAT POINT +RES0177-059 OH NO NOT IT WAS A VAGINAL DELIVERY AND IT WAS NORMAL +RES0177-060 OK AND HE DIDN'T NEED TO BE HOSPITALIZED AS A NEWBORN FOR ANYTHING LIKE JAUNDICE OR SHORTNESS OF BREATH +RES0177-061 NOPE HE HASN'T HAD ANY ANY REASON TO BE HOSPITALIZED +RES0177-062 OK ALRIGHT AND HAS HE BEEN HITTING ALL HIS DEVELOPMENTAL MILESTONES AS WELL AS LIKE HIS HEIGHT WEIGHT AND HEAD CIRCUMFERENCE MILESTONES +RES0177-063 HE HAS HE'S BEEN GROWING WELL AND REACHING THE DEVELOPMENTS STONES MILESTONES +RES0177-064 OK IS HE ON ANY MEDICATIONS +RES0177-065 NO HE'S NOT ON ANY MEDICATIONS +RES0177-066 OK ANY ALLERGIES +RES0177-067 NO ALLERGIES +RES0177-068 IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0177-069 HE IS +RES0177-070 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +RES0177-071 NO NOTHING LIKE THAT +RES0177-072 OK HAVE ABOUT CANCERS IN THE FAMILY +RES0177-073 NO NO CANCERS LUCKILY +RES0177-074 CAN YOU THINK OF ANYONE HE'S BEEN IN CONTACT WITH WHO'S ALSO BEEN SICK +RES0177-075 MAYBE HE HAS A YOUNGER SISTER THAT GOES TO DAYCARE AND SHE WAS SICK LAST +RES0177-076 WEEK WITH LIKE SHE HAD A COUGH AND STUFF AS WELL OK OK +RES0177-077 AND DOES SHE HAVE A FEVER AS WELL SHE DID SHE GOT BETTER RIGHT LAST WEEK WE WE HAD TO TAKE HER TO TO SEE THE DOCTOR AND SHE GOT ANTIBIOTICS +RES0177-078 FOR THAT ACTUALLY FOR FOR A FEW DAYS OK +RES0177-079 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0177-080 NO WE'VE BEEN AT HOME OK DOES ANYONE AT HOME SMOKE +RES0177-081 NO +RES0177-082 NO OK AND WHO LIVES AT HOME WITH HIM +RES0177-083 SO IT'S ME HIS MOM AND THEN HIS YOUNGER SISTER +RES0177-084 OK ANY OLD CARPETS MOLD DUST ASBESTOS ANYTHING THAT COULD EXACERBATE HIS CONDITION +RES0177-085 NO I DON'T THINK SO IT'S A NEWER HOME +RES0177-086 OK GOOD SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN +RES0177-087 NO I NO THAT WAS EVERYTHING I THINK THE ONLY I I GUESS OTHER THING THAT THAT I FORGOT TO MENTION IS THAT JUST HE DOESN'T REALLY LIKE HIS APPETITE'S BEEN A LITTLE BIT LOWER COUPLE OF DAYS AS WELL BUT +RES0177-088-1 HE HASN'T HAD ANY LIKE NAUSEA OR VOMITING THOUGH +RES0177-088-2 OK OK THAT'S GOOD TO KNOW SO BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A SWAB ON HIM AND YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS WITH THOSE RESULTS AND HE SHOULD ISOLATE FOR FOURTEEN DAYS +RES0177-088-3 BECAUSE OF THOSE SYMPTOMS AND IT DOESN'T IT SOUNDS MORE IN KEEPING WITH THE PICTURE OF COMMUNITY ACQUIRED PNEUMONIA +RES0177-088-4 SO FOR THAT WE WILL GET A CHEST X RAY WE'LL CHECK HIS OXYGEN AND HIS TEMPERATURE AND +RES0177-088-5 IF THE CHEST X RAY SHOWS CONSOLIDATION OR SOME SORT OF INFILTRATE IT IS LIKELY THAT HE HAS PNEUMONIA SO WE WILL START BY GIVING HIM SOME AMOXICILLIN OR +RES0177-088-6 POPULATE OR CEFUROXIME FOR FIVE DAYS AND JUST KEEP MONITORING HIS SYMPTOMS THEY SHOULD RESOLVE IN ABOUT FIVE DAYS WHEN THE COURSE OF ANTIBIOTICS IS COMPLETE +RES0177-088-7 IF HIS CONDITION GETS WORSE LIKE HE'S GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES JUST TAKE HIM TO THE ER AND +RES0177-088-8 IF SYMPTOMS DON'T RESOLVE IN FIVE TO SEVEN DAYS WE CAN DO FURTHER WORK UP OR THINGS LIKE FUNGAL INFECTIONS OR TB OR THINGS LIKE THAT HOW DOES THAT SOUND +RES0177-089 THAT SOUNDS GREAT THANK YOU +RES0177-090 OK NO PROBLEM +RES0178-000 WHAT BRINGS YOU IN +RES0178-001 SO I'M BRINGING IN MY YEAR OLD SON HERE WITH I BECAUSE HE'S HAD A FEVER AND AND A COUGH AND A RUNNY NOSE THESE SYMPTOMS HAVE BEEN GOING ON NOW FOR THE LAST TWO DAYS +RES0178-002 LAST TWO DAYS OK ALL OF THESE SYMPTOMS HAVE BEEN GOING ON FOR THE LAST TWO DAYS OR JUST LIKE ONE OR TWO +RES0178-003 I THINK I THINK THE COUGH AND RUNNY NOSE STARTED ONEST AND THEN HE THEN HE KIND OF HAD SOME FEVER AND HAD SOME CHILLS AS WELL LAST NIGHT KEPT SAYING THAT LIKE HE WAS JUST COLD EVEN THOUGH HE HAD A HAD BLANKETS ON +RES0178-004 OK OK ALRIGHT SO THE COUGH IS IT A PRODUCTIVE COUGH OR IS IT A DRY COUGH +RES0178-005 IT'S DRY +RES0178-006 DRY OK SO NO SPUTUM NO BLOOD +RES0178-007 NO NO NO SPUTUM OR BLOOD +RES0178-008 ANY SHORTNESS OF BREATH WITH THAT +RES0178-009 NO HIS BREATHING HAS BEEN BEEN GOOD +RES0178-010 OK WHEEZINESS +RES0178-011 NO +RES0178-012 CHEST PAIN +RES0178-013 NO NO +RES0178-014 OK THE FEVER DID YOU MEASURE IT YOURSELF +RES0178-015 I DID IT WAS THIRTY EIGHT POINT POINT EIGHT +RES0178-016 OK AND THE RUNNY NOSE IS IT CLEAR OR DOES IT HAVE LIKE A COLOUR TO IT LIKE YELLOW OR GREEN +RES0178-017 IT'S PRETTY IT'S MORE CLEAR +RES0178-018 CLEAR OK ALRIGHT AND DOES HE FEEL LIKE HE ALSO HAS A STUFFY NOSE OR IS IT JUST A RUNNY NOSE +RES0178-019 MORE JUST RUNNY HE DOESN'T MENTION ANYTHING ABOUT FEELING STUFFY +RES0178-020 OK ANY EYE SYMPTOMS LIKE REDNESS ANY DISCHARGE +RES0178-021 NO HE HASN'T HAD ANY ANY EYE SYMPTOMS +RES0178-022 OK HOW ABOUT HEARING WISE +RES0178-023 HEARING HAS BEEN BEEN NORMAL +RES0178-024 AND VISIONS BEEN NORMAL +RES0178-025 IT HAS +RES0178-026 OK ANY EAR PAIN OR DISCHARGE +RES0178-027 NOPE NO EAR PAIN OR OR DISCHARGE +RES0178-028 OK HOW ABOUT A CHANGE IN SMELL OR TASTE +RES0178-029 NO +RES0178-030 NO OK WEIGHT LOSS +RES0178-031 HE HE'S BEEN GAINING WEIGHT HASN'T HAD ANY WEIGHT LOSS +RES0178-032 OK ANY RASHES +RES0178-033 NO +RES0178-034 NO SORE THROAT +RES0178-035 HE'S HAD A BIT OF A SORE THROAT +RES0178-036 OK +RES0178-037 BUT HE HASN'T HE'S JUST KIND OF MENTIONED IT HE SAID IT WASN'T TOO BAD HE'S STILL BEEN BEEN EATING EATING IS THAT HASN'T BEEN EATING AS MUCH BUT HE'S GOT A POOR APPETITE BUT HE SO THIS SORE THROAT ISN'T BUGGING HIM THAT MUCH THAT MUCH +RES0178-038 OK AND HOW ABOUT DIZZINESS OR FAINTING SPELLS +RES0178-039 NO +RES0178-040 NO OK NUMBNESS OR TINGLING +RES0178-041 NO +RES0178-042 MUSCLE ACHE OR JOINT PAINS +RES0178-043 HE HAS HAD HE DID MENTION THAT HE JUST FEELS LIKE A KEY A LITTLE BIT ALL OVER +RES0178-044 OK ANY CHANGES IN HIS BOWEL MOVEMENTS +RES0178-046 NO DIARRHEA NO OK NATURAL VOMITING +RES0178-047 NO HE HASN'T HAD ANY NAUSEA OR VOMITING +RES0178-048 OK HOW ABOUT CHANGES TO HIS APPETITE +RES0178-049 HIS APPETITE'S BEEN A BIT DOWN +RES0178-050 IS HE STILL EATING SOLIDS +RES0178-051 HE IS HE'S STILL EATING SOLIDS JUST A LITTLE BIT PROBABLY JUST JUST SMALLER PORTIONS THOUGH +RES0178-052 OK AND ARE THERE ANY CHANGES TO HIS URINE +RES0178-053 NO THERE THERE HASN'T BEEN ANY ANY CHANGES TO HIS HEARING +RES0178-054 OK ANY PAST MEDICAL ILLNESSES OR ANY LONGSTANDING MEDICAL CONDITIONS THAT HE HAS +RES0178-055 NO HE'S HE'S BEEN HE'S BEEN PRETTY HEALTHY I MEAN HE'S GOT GOT GETS A COLD EVERY ONCE IN AWHILE MAYBE IN THE WINTER BUT THAT'S ABOUT IT +RES0178-056 OK ANY HOSPITALIZATIONS OR SURGERIES +RES0178-057 NO HE'S BEEN HEALTHY +RES0178-058 OK ANY COMPLICATIONS WITH HIS MOTHER'S PREGNANCY WITH HIM +RES0178-059 NO IT'S BEEN IT WAS NORMAL PREGNANCY THROUGHOUT IT WAS TO TERM AND IT WAS A C SECTION DELIVERY BUT THAT WENT WELL AND +RES0178-060 HE WAS A NORMAL WEIGHT OK AND WAS IT AN EMERGENCY C SECTION +RES0178-061-1 NO I THINK IT WAS LIKE LABOR WAS TAKING IT WAS PROLONGED I MEAN SO IT THEY ENDED UP DECIDING TO JUST CONVERT +RES0178-061-2 THROUGHOUT IT WASN'T AN EMERGENCY BUT LIKE THEY COULD HAVE WAITED A BIT LONGER THEY WERE SAYING BUT JUST KIND OF WHAT WENT MADE THE DECISION +RES0178-062 OK OK AND IS HE ON ANY MEDICATIONS +RES0178-063 NO HE'S NOT +RES0178-064 NO OK AND DEVELOPMENTAL WISE HAS HE BEEN HITTING ALL HIS MILESTONES FOR LIKE MOTOR MOVEMENTS SPEECH BEHAVIOUR SOCIAL SOCIALIZATION WISE +RES0178-065 HE HAS HE'S BEEN MEETING ALL OF HIS MILESTONES FOR THAT FOR THAT +RES0178-066 OK GOOD IS HE UP TO DATE WITH HIS IMMUNIZATIONS +RES0178-067 HE IS +RES0178-068 OK DOES HE HAVE ANY ALLERGIES +RES0178-069 NO NO ALLERGIES +RES0178-070 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +RES0178-071 NO IT HIS GRANDFATHER HAD HIGH BLOOD PRESSURE AND LIKE HIGH CHOLESTEROL BUT THAT'S THAT'S IT +RES0178-072 OK AND HAS HE BEEN IN CONTACT WITH SICK SICK PEOPLE RECENTLY +RES0178-073 NO I DON'T THINK SO +RES0178-075 RECENTLY NO HE HE HE'S BEEN DOING SOME SCHOOLING SOME SCHOOLING ONLINE AND SOME SOME IN PERSON AND BUT BUT OTHERWISE THEY'VE JUST BEEN AT HOME +RES0178-076 OK ALRIGHT AND DOES ANYONE AT HOME SMOKE +RES0178-077 NO SMOKING AT HOME +RES0178-078 NO OK AND WHO DOES HE LIVE WITH +RES0178-079 SO HE LIVES WITH MYSELF AS WELL AS HIS HIS MOM AND THEN HE'S GOT A YOUNGER BROTHER AND A YOUNGER SISTER AS WELL +RES0178-080 OK AND AT HOME ANY REASON TO THINK THAT OLD CARPET DUST MOLD ASBESTOS ANYTHING LIKE THAT COULD BE MAKING HIS SYMPTOMS WORSE +RES0178-081 I DON'T THINK SO IT'S BEEN ALL THAT'S BEEN OK +RES0178-082 OK AND AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +RES0178-083 NO I I I JUST WANTED TO FIGURE OUT WHAT THIS WAS +RES0178-084-1 OK YEAH SO IT SOUNDS OR ACTUALLY I SHOULD START BY SAYING WE SHOULD GET A COVID SWAB ON HIM JUST IN CASE IT IS COVID BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE SYMPTOMS OF COVID YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS WITH THE RESULTS OF THOSE SWABS +RES0178-084-2 AND IN THE MEANTIME IT COULD BE ANOTHER VIRAL INFECTION THAT'S GOING AROUND AT THIS TIME OF YEAR +RES0178-084-3 AND FROM THE SOUNDS OF IT YOU SAID HE HAS A FEVER HE'S COUGHING AND HE HAS A RUNNY NOSE AND HAS MUSCLE ACHES +RES0178-084-4 IT COULD ALSO BE THE FLU REGARDLESS OF WHAT KIND OF VIRAL AND VIRAL INFECTION HE HAS THE BEST WAY TO MANAGE IT RIGHT NOW IS JUST SUPPORTIVE CARE SO MAKING SURE HE'S HYDRATED +RES0178-084-5 EATING FOODS WITH A LOT OF NUTRITION AND JUST KEEP AN EYE ON HIS SYMPTOMS IF IT GETS WORSE OR IF IT'S VERY SEVERE +RES0178-084-6 AND HE HAS FOCAL NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES TAKE HIM TO THE ER RIGHT AWAY HOW DOES THAT SOUND +RES0178-085 THAT THAT SOUNDS GOOD THANK YOU +RES0178-086 NO PROBLEM +RES0181-000 HOW MAY I HELP YOU +RES0181-001 HI SO I'VE HAD A SORE THROAT FOR THE PAST THREE DAYS AND IT DOESN'T SEEM TO BE GETTING ANY BETTER AND I'VE ALSO HAD A FEVER SO I THOUGHT I SHOULD GET IT CHECKED OUT BY YOU +RES0181-002 FOR SURE SO YOU SAID THAT THE SORE THROAT STARTED THREE DAYS AGO HAS IT BEEN GETTING ANY BETTER OR ANY WORSE +RES0181-003 NEITHER IT'S BEEN THE SAME +RES0181-004 OK IS IT PAINFUL TO SWALLOW FOOD OR LIQUIDS +RES0181-005 IT'S PAINFUL TO SWALLOW SOLIDS YEAH +RES0181-006 OK AND HOW IS YOUR HAVE YOU HAD ANY VOICE CHANGES LIKE A HOT POTATO VOICE OR SOUND LIKE MUFFLED OR ANY VOICE CHANGES AT ALL +RES0181-007 NO NOT REALLY NO +RES0181-008 OK AND HAVE YOU NOTICED ANY LIKE NECK SWELLING +RES0181-009 NO +RES0181-010 OK AND HOW ABOUT YOUR APPETITE HAS THAT CHANGED +RES0181-011 I'M I'M STILL HUNGRY I JUST DON'T EAT AS MUCH CAUSE MY THROAT IS SORE +RES0181-012 RIGHT OK THAT MAKES SENSE AND SO YOU MENTIONED THAT YOU ALSO HAD A FEVER WHEN DID THAT START +RES0181-013 THAT STARTED TWO DAYS AGO +RES0181-014 OK OK AND DID DID YOU CHECK IT +RES0181-015 IT WAS THIRTY EIGHT POINT EIGHT +RES0181-016 OK ALRIGHT SO CERTAINLY A FEVER OK AND HAVE YOU HAD ANY LIKE ANY RUNNY NOSE +RES0181-017 NO NOT THAT I'VE NOTICED +RES0181-018 HOW ABOUT ANY RED EYES OR ITCHY EYES OR EYE DISCHARGE +RES0181-019 NO +RES0181-020 OK HOW ABOUT ANY LOSS OR CHANGES TO YOUR SENSE OF SMELL OR TASTE +RES0181-021 NO +RES0181-022 OK HAVE YOU HAD ANY ANY HEADACHES +RES0181-023 NO HEADACHES NO +RES0181-024 OK HOW ABOUT ANY COUGH +RES0181-025 NO COUGH +RES0181-026 NO COUGH OK AND HOW ABOUT ANY SHORTNESS OF BREATH +RES0181-027 NO +RES0181-028 OK HAVE YOU HAD ANY WHEEZING +RES0181-029 NO +RES0181-030 HOW ABOUT ANY CHEST PAIN +RES0181-031 NO CHEST PAIN +RES0181-032 ANY FAINTING OR DIZZINESS +RES0181-033 NO +RES0181-034 OK AND HAVE YOU HAD ANY HEART PALPITATIONS +RES0181-035 NO +RES0181-036 OK AND SO YOU DON'T YOU HAVEN'T HAD ANY COUGH BUT HAVE YOU HAD ANY INSTANCES OF BRINGING UP ANY SPUTUM OR OR ANY BLOOD +RES0181-037 NO +RES0181-038 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0181-039 NO +RES0181-040 HAVE YOU HAD ANY ABDOMINAL PAIN +RES0181-041 NO +RES0181-042 YOU HAD ANY DIARRHEA OR OR CONSTIPATION +RES0181-043 NO +RES0181-044 OK HOW ABOUT ANY URINARY PROBLEMS +RES0181-045 NO NOTHING LIKE THAT +RES0181-046 I SEE OK AND ANY SKIN CHANGES OR RASHES +RES0181-047 NO +RES0181-048 ALRIGHT ANY MUSCLE ACHES OR BODY PAINS +RES0181-049 NO +RES0181-050 AND ANY AND HOW'S YOUR ENERGY BEEN HAVE YOU HAD FATIGUE +RES0181-051 I HAVE BEEN I'VE BEEN TIRED +RES0181-052 OK AND HAVE YOU HAD ANY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0181-053 I HAVE TYPE ONE DIABETES +RES0181-054 OK AND INSULIN WISE DO YOU USE A PUMP OR IS IT LIKE HOW DO YOU MANAGE DIABETES +RES0181-055 I USE AN INSULIN PUMP YEP +RES0181-056 OK EXCELLENT AND DO YOU SEE AN ENDOCRINOLOGIST FOR THAT +RES0181-057 I DO +RES0181-058 OK WELL THAT'S GOOD AND HAVE YOU HAD ANY COMPLICATIONS OR HAVE THINGS BEEN STABLE +RES0181-059 THINGS HAVE BEEN PRETTY STABLE I HAD WHEN I WAS YOUNGER I HAD A FEW EPISODES OF LIKE HYPOGLYCEMIA BUT NOW THINGS ARE PRETTY STABLE +RES0181-060 OK AND YOU CAN RECOGNIZE THOSE SIGNS LIKE FEELING JITTERY AND SWEATY MIGHT MAYBE A LITTLE ANXIOUS WHEN THAT COMES ON +RES0181-061 I'M AN EXPERT NOW +RES0181-062 OK THAT'S GREAT THAT YOU CAN RECOGNIZE THAT THOSE SIGNS IT'S IMPORTANT AND HAVE YOU HAD ANY ALLERGIES +RES0181-063 NO ALLERGIES +RES0181-064 ANY AND ALL YOUR IMMUNIZATIONS UP TO DATE +RES0181-065 YES +RES0181-066 OK AND ANY HOSPITALIZATIONS OR SURGERIES BEFORE +RES0181-067 NO +RES0181-068 OK AND CURRENTLY ARE YOU IN IN SCHOOL OR WORKING +RES0181-069 I'M IN SCHOOL I'M IN GRADE TEN AND WE'RE DOING HALF DAYS NOW +RES0181-070 OK ERR HALF DAYS LIKE IN PERSON +RES0181-071 YEAH HALF IN PERSON AND HALF ONLINE +RES0181-072 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +RES0181-073 NO NO ONE AT SCHOOLS BEEN SICK ACTUALLY +RES0181-074 OK AND HAVE YOU TRAVELED ANYWHERE +RES0181-075 NOPE NOT NOT SINCE COVID +RES0181-076 OK I SEE AND ARE YOU WHO ARE YOU LIVING WITH +RES0181-077 I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS +RES0181-078 OK AND ANYBODY AT HOME HAVE ANY SORE THROAT OR COUGH OR OR ANYTHING LIKE THAT +RES0181-079 SO MY YOUNGER SISTER HAD A SORE THROAT LIKE A WEEK BACK BUT THAT'S ALL SHE HAD SHE NEVER HAD A FEVER AND HER SORE THROAT WENT AWAY IN LIKE TWO DAYS +RES0181-080 OK OK AND DOES SHE NEED ANY TREATMENT +RES0181-081 NO +RES0181-082 OK AND AND I I KNOW PEOPLE AROUND YOUR AGE MIGHT EXPERIMENT WITH DRUGS OR ALCOHOL HAVE YOU USED ANYTHING LIKE THAT OR YOUR FRIENDS +RES0181-083 OH NO NO NOTHING LIKE THAT +RES0181-084 OK AND DO YOU SMOKE CIGARETTES OR HAVE YOU TRIED +RES0181-085 I TRIED ONCE BUT I DON'T EVER DO IT REGULARLY +RES0181-086 OK AND AND DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS +RES0181-087 NO I NEVER HAVE TRIED +RES0181-088 OK AND AND IS THERE A FAMILY HISTORY OF ANY HEART OR OR LUNG CONDITIONS +RES0181-089 I KNOW MY GRANDFATHER HAD LUNG CANCER BUT HE USED TO SMOKE +RES0181-090 OK I SEE HOW OLD WAS HE ROUGHLY +RES0181-091 HE WAS IN HIS LATE SIXTIES +RES0181-092 OK I'M SORRY TO HEAR THAT AND THANK YOU AND OH SORRY I FORGOT TO ASK HER ARE YOU CURRENTLY SEXUALLY ACTIVE +RES0181-093 NO +RES0181-094 OK HAVE YOU BEEN SEXUALLY ACTIVE BEFORE +RES0181-095 NO +RES0181-096 OK SO OK SO THAT WAS ALL THE QUESTIONS THAT THAT THAT I WANTED TO ASK WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION TODAY +RES0181-097 NO I DON'T THINK SO IS IT WHEN YOU ASKED ME IF MY NECK WAS SWOLLEN MY NECKS NOT SWOLLEN BUT I FEEL LIKE INSIDE THE BACK OF MY THROAT MY TONSILS FEEL A LITTLE BIT SWOLLEN +RES0181-098 OK AND HAVE YOU LOOKED DOES IT LOOK LIKE YOU HAVE LIKE REDNESS IN THE BACK OF YOUR BACK OF YOUR MOUTH +RES0181-099 YEAH IT LOOKS PRETTY RED AND ANGRY +RES0181-100 OK AND IT'S SORE +RES0181-101 YEAH OK SO IT'S JUST TO KIND OF SUMMARIZE THIS HAPPENS LIKE THIS SOMETIMES YOU BEEN HAVING SO THE SORE THROAT LIKE THE REDNESS AND SWELLING OF THE TONSILS IN THE BACK OF YOUR MOUTH AS WELL AS A FEVER AND BEING PRETTY TIRED OVER THESE LAST FEW DAYS +RES0181-102 YES +RES0181-103-1 OK YEAH ALRIGHT SO IT'S SOUNDING LIKE MOST LIKELY THIS WOULD BE STREP THROAT OR OR GROUP A STREP PHARYNGITIS WITH BECAUSE YOU HAVE NO COUGH AND +RES0181-103-2 WITH A HIGH FEVER AND SWELLING THAT YOU'VE BEEN REDNESS THAT YOU NOTICE IN THE BACK OF YOUR MOUTH AND SO WE'LL DO A RAPID STREP ANTIGEN TEST +RES0181-103-3 AND IT WILL REQUIRE JUST A THROAT SWAB TO SEE TO TO DETECT FOR THAT HOWEVER WITH +RES0181-103-4 YEAH I GUESS THAT'S IT THAT'S WHAT I WELL WE'LL START WITH WITH THAT NOW AND IT COULD POTENTIALLY BE SOMETHING LIKE +RES0181-103-5 A VIRAL ILLNESS BUT THAT'S LOWER ON THE ON THE DIFFERENTIAL THEN THE BACTERIAL INFECTION IS +RES0181-103-6 RIGHT NOW AND BECAUSE OF COVID IT WILL BE WE'LL DO A SWAB AS WELL BECAUSE PEOPLE CAN GET FEVER AND SORE THROAT WITH WITH COVID AS WELL +RES0181-104 OK +RES0181-105 SO JUST TO MAKE SURE THAT WE'RE BEING COMPREHENSIVE +RES0181-106 OK THAT SOUNDS GOOD THANK YOU SO MUCH +RES0181-107 THANK YOU +RES0182-000 HOW MAY I HELP YOU +RES0182-001 HI I'M HERE BECAUSE I'M OVER THE PAST LIKE COUPLE OF MONTHS I'VE BEEN LOSING A LOT OF WEIGHT BUT I DIDN'T REALLY HAVE ANY OTHER SYMPTOMS BUT SINCE LIKE TWO WEEKS AGO I'VE BEEN COUGHING UP SOME BLOOD AND NOW I HAVE A FEVER AS WELL +RES0182-002 OK SO YOU MENTIONED YOU NOTICE THE WEIGHT LOSS FIRST HOW MUCH WEIGHT HAVE YOU LOST OR ROUGHLY +RES0182-003 I'VE LOST ABOUT THIRTY POUNDS IN THE PAST PAST LIKE EIGHT MONTHS +RES0182-004 OK SO AND HAVE YOU BEEN TRYING TO LOSE WEIGHT +RES0182-005 NO +RES0182-006 OK AND ANY LIKE ANY CHANGES TO YOUR DIET OR EXERCISE +RES0182-007 NO NOTHING LIKE THAT +RES0182-008 OK AND MORE RECENTLY YOU STARTED TO HAVE A COUGH WHEN DID THAT START +RES0182-009 THE COUGH STARTED TWO WEEKS AGO +RES0182-010 OK AND PRIOR TO THIS DID YOU HAVE A COUGH +RES0182-011 NO +RES0182-012 NO AND ARE YOU BRINGING BRINGING UP ANY SPUTUM OR PHLEGM +RES0182-013 IT'S THERE'S SPUTUM FOR SURE AND IT LOOKS BLOODY +RES0182-014 OK SO YOU'RE YOU'RE YOU'RE COUGHING UP BLOOD AS WELL +RES0182-015 YES THAT'S RIGHT +RES0182-016 OK AND THAT'S BEEN GOING GOING ON FOR THE LAST TWO WEEKS TOO +RES0182-017 YES +RES0182-018 OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP ROUGHLY IF YOU CAN THINK OF IT IN LIKE TERMS OF TABLESPOONS OR OR TEASPOONS +RES0182-019 LIKE EVERY TIME I COUGH IT'S ABOUT THE SIZE OF A TEASPOON +RES0182-020 OK AND ARE THERE ANY TRIGGERS FOR YOUR COUGH THAT YOU CAN THINK OF OR +RES0182-021 I DON'T THINK SO THEY JUST HAPPEN THROUGHOUT THE DAY +RES0182-022 OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH +RES0182-023 I TRIED THIS COUGH SUPPRESSANTS I TRIED LIKE SALT WATER RINSES LIKE JUST LIKE AT HOME REMEDIES AND OVER THE COUNTER PRODUCTS BUT NOTHING IS HELPING +RES0182-024 OK AND SO HAVE YOU HAD ANY LIKE VIRAL INFECTIOUS TYPE SYMPTOMS SUCH AS LIKE EYE EYE DISCHARGE OR RED EYES OR RUNNY NOSE OR EVEN A SORE THROAT +RES0182-025 NO NOTHING LIKE THAT +RES0182-026 OK AND AND HAVE YOU HAD ANY ANY HEADACHES +RES0182-027 NO NO HEADACHES +RES0182-028 OK HAVE YOU HAD ANY HAVE YOU HAD A RUNNY NOSE +RES0182-029 NO +RES0182-030 OK HOW ABOUT ANY HAVE YOU HAD ANY LOSS OF SMELL OR OR TASTE +RES0182-031 NO +RES0182-032 OK HAVE YOU HAD ANY SHORTNESS OF BREATH +RES0182-033 NO +RES0182-034 HAVE YOU HAD ANY WHEEZING +RES0182-035 NO NO WHEEZING +RES0182-036 OK HAVE YOU HAD ANY CHEST PAIN +RES0182-037 NO +RES0182-038 OK HAVE YOU HAD ANY DIZZINESS OR FAINTING +RES0182-039 NO NOTHING LIKE THAT +RES0182-040 HAVE YOU HAD ANY HEART PALPITATIONS +RES0182-041 NO +RES0182-042 OK AND HAVE YOU HAD ANY ANY NAUSEA OR VOMITING +RES0182-043 NO +RES0182-044 HAVE YOU HAD ANY ABDOMINAL PAIN +RES0182-045 NO +RES0182-046 HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +RES0182-047 NO +RES0182-048 HAVE YOU HAD ANY PAIN WITH URINATION OR OR FREQUENCY +RES0182-049 NO +RES0182-050 OK HAVE YOU HAD ANY RASHES +RES0182-051 NO +RES0182-052 HOW ABOUT MUSCLE ACHES OR BODY PAINS +RES0182-053 MUSCLE ACHES YEAH THAT'S BEEN HAPPENING +RES0182-054 ANY PARTICULAR MUSCLES OR IS IT MORE GENERAL +RES0182-055 IT'S MORE GENERAL +RES0182-056 OK HAVE YOU BEEN HAVING ANY BONE PAIN LIKE ANY IN YOUR BACK OR ANYTHING LIKE THAT +RES0182-057 NO +RES0182-058 OK AND HOW HAS YOUR ENERGY BEEN +RES0182-059 PRETTY LOW +RES0182-060 OK AND HOW IS YOUR APPETITE BEEN +RES0182-061 ALSO PRETTY LOW +RES0182-062 OK AND IN THE IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0182-063 NO I'VE BEEN PRETTY HEALTHY SO FAR +RES0182-064 OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY FOR ANYTHING +RES0182-065 NO +RES0182-066 OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OR ANYTHING ENVIRONMENTAL +RES0182-067 NO +RES0182-068 OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR OR SURGERIES +RES0182-069 NO +RES0182-070 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU'RE LIVING WITH AND WHEREABOUTS YOU'RE LIVING +RES0182-071 I LIVE ALONE BY MYSELF I LIVE IN AN APARTMENT DOWNTOWN +RES0182-072 OK AND ARE YOU WORKING CURRENTLY OR IN SCHOOL OR +RES0182-073 I'M WORKING I'M WORKING FROM HOME RIGHT NOW +RES0182-074 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +RES0182-075 NO +RES0182-076 HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0182-077 NO NOT SINCE I MOVED HERE +RES0182-078 OK WHEN DID YOU MOVE HERE AND WHERE DID YOU MOVE FROM +RES0182-079 I MOVED HERE A YEAR BACK FROM SRI LANKA +RES0182-080 OK AND AND IN SRI LANKA WERE ANY OF YOUR FAMILY MEMBERS OR PEOPLE THAT YOU SPENT TIME AROUND EVER DIAGNOSED WITH TUBERCULOSIS +RES0182-081 I MEAN IT'S PRETTY COMMON IN SRI LANKA NONE OF MY IMMEDIATE FAMILY MEMBERS WERE +RES0182-082 OK AND DO YOU SMOKE CIGARETTES +RES0182-083 NO +RES0182-084 AND DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS +RES0182-085 NO +RES0182-086 OK AND DO YOU DRINK ALCOHOL +RES0182-087 I DON'T +RES0182-088 OK HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS +RES0182-089 NO +RES0182-090 OK AND ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS +RES0182-091 HEART OR LUNG NO NOT THAT I KNOW OF +RES0182-092 OK AND HOW ABOUT ANY CANCERS IN THE FAMILY +RES0182-093 NO NO CANCERS +RES0182-094 I SEE ALRIGHT DID YOU HAVE ANY OTHER QUESTIONS FOR ME TODAY I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT FOR NOW +RES0182-095 NO WHAT DO YOU LIKE WHAT DO YOU THINK I HAVE AND HOW DO YOU THINK I SHOULD TREAT IT +RES0182-096-1 SO IT'S SOUNDING LIKE LIKE IT COULD BE TUBERCULOSIS BASED ON THE KIND OF TIMELINE OF YOUR SYMPTOMS AND SO AND COUGH AND HEMOPTYSIS AND +RES0182-096-2 SO WE'LL DO A TEST FOR THAT LIKE AN ACID FAST TEST OF THE SPUTUM GET A CHEST X RAY AND IF IT IS TUBERCULOSIS IT WILL REQUIRE +RES0182-096-3 A PROLONGED COURSE OF ANTIBIOTICS SO THAT I'LL BE OVER SEVERAL MONTHS AND SO I WE'LL GET THE INFECTIOUS DISEASE +RES0182-096-4 TEAM INVOLVED TO HELP KIND OF GUIDE OUR MANAGEMENT WITH THE APPROPRIATE ANTIBIOTIC CHOICE IF IT DOES COME BACK TO BE TUBERCULOSIS +RES0182-097 OK THAT SOUNDS GOOD THANK YOU +RES0183-000 HOW MAY I HELP YOU +RES0183-001 HI THERE I BROUGHT IN MY HERE BECAUSE HE'S BEEN BARKING WELL NOT BARKING HE'S HAD THIS COUGH THAT SOUNDS LIKE A BARKING COUGH AND HE'S HAVING A REALLY HARD TIME TAKING IN A DEEP BREATH AND MONEY DOES IT SOUNDS IT SOUNDS HARSH +RES0183-002 OK AND WHEN DID THE COUGH START +RES0183-003 IT STARTED ABOUT TWO DAYS AGO +RES0183-004 OK IS IT A DRY COUGH OR WET COUGH +RES0183-005 IT SOUNDS PRETTY DRY YEAH +RES0183-006 ALRIGHT SO SO THERE'S BEEN NO SPUTUM AND NO NO HEMOPTYSIS +RES0183-007 NO +RES0183-008 OK AND IT IT DOES THE COUGH HAPPEN AT ANY PARTICULAR TIME OF DAY +RES0183-009 I MEAN NO WELL ACTUALLY MOSTLY AT NIGHT BUT ALSO IT HAPPENS THROUGHOUT THE DAY BUT MORE SO AT NIGHT +RES0183-010 OK AND HAS THERE BEEN ANY SHORTNESS OF BREATH OR DIFFICULTY BREATHING +RES0183-011 NO SHORTNESS OF BREATH OR DIFFICULTY BREATHING IT JUST SOUNDS HARSH WHEN HE DOES TAKE A DEEP BREATH IN +RES0183-012 OK AND ANY CHANGES TO TO THE VOICE OR LIKE THIS IS SAYING DOES HE SOUND ANY DIFFERENT LIKE A HOT POTATO VOICE +RES0183-013 NO IT DOESN'T SOUND LIKE THAT +RES0183-014 OK AND THAT YOU MENTIONED OH SORRY HAS HE HAD ANY CHANGES TO THE SOUND OF HIS BREATHING +RES0183-015 THE SOUND OF HIS BREATHING IT SOUNDS LIKE IT SOUNDS HARSH WHEN HE TAKES A DEEP BREATH IN +RES0183-016 OK SO THAT SOUNDS LIKE HE'S HAVING SOME STRIDOR HAS HE BEEN HAVING ANY WHEEZING +RES0183-017 YOU MEAN LIKE WHEN HE EXHALES +RES0183-018 YEAH IT'S MORE WHEN HE INHALES THAT I HEAR IT +RES0183-019 OK OK AND HAS HE HAD ANY EYE REDNESS OR ANY EYE DISCHARGE +RES0183-020 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0183-021 IS THE OTHER A RUNNY NOSE +RES0183-022 NO +RES0183-023 OK HAS HE HAD A SORE THROAT +RES0183-024 NO SORE THROAT +RES0183-025 OK AND HAVE YOU HAD A CHANCE TO LOOK IN HIS MOUTH HAS HE HAD ANY LIKE ANY REDNESS OR ANY SWELLING IN THE BACK OF HIS MOUTH +RES0183-026 I TOOK A LOOK IT DOESN'T LOOK SWOLLEN +RES0183-027 OK AND NO SHORTNESS OF BREATH I THINK YOU SAID +RES0183-028 NO SHORTNESS OF BREATH +RES0183-029 OK AND HAS HE HAD A SORE THROAT +RES0183-030 NO +RES0183-031 OK AND ANY CHANGES TO HIS SENSE OF SMELL OR SENSE OF TASTE +RES0183-032 NOT THAT I'VE NOTICED +RES0183-033 OK AND HOW HAS HIS APPETITE BEEN +RES0183-034 NOT AS GREAT AS IT USUALLY IS BUT HE'S STILL EATING +RES0183-035 OK HOW IS HIS LIKE MOOD AND BEHAVIOUR BEEN +RES0183-036 HE'S BEEN A LITTLE BIT MORE FUSSY THAN USUAL +RES0183-037 OK AND EATING LESS AS WELL +RES0183-038 HE'S BEEN EATING LESS BUT NOT LIKE MUCH LESS I STILL TRY TO GET SOMETHING IN HIM +RES0183-039 OK WELL THAT'S GOOD AND HAS HE HAD ANY CHEST PAIN +RES0183-040 NO I DON'T THINK SO HE HASN'T COMPLAINED OF IT OR ANYTHING TO MAKE ME THINK THAT HE HAS ANY CHEST PAIN +RES0183-041 OK AND HAS HE HAD ANY FAINTING OR MENTIONED THAT HE'S DIZZY AT ALL +RES0183-042 NO +RES0183-043 OK DOES HE HAVE ANY HEADACHES +RES0183-044 I DON'T THINK SO HE HASN'T COMPLAINED OF THAT +RES0183-045 OK ANY EAR PAIN OR OR EAR DISCHARGE +RES0183-046 NO +RES0183-047 OK DOES HE HAVE ANY ABDOMINAL PAIN +RES0183-048 NO +RES0183-049 DOES HE HAVE ANY DIARRHEA OR CONSTIPATION +RES0183-050 NO +RES0183-051 OK ANY BLOOD IN THE STOOL +RES0183-052 NO +RES0183-053 OK AND ANY SKIN RASHES +RES0183-054 NO NOT THAT I'VE NOTICED +RES0183-055 OK HAS HE MENTIONED ANYTHING ABOUT MUSCLE ACHES OR JOINT PAINS +RES0183-056 NO HE HASN'T +RES0183-057 OK AND IS HE HAD ANY NAUSEA OR VOMITING +RES0183-058 NO +RES0183-059 OK AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0183-060 NO HE'S BEEN A PRETTY HEALTHY CHILD +RES0183-061-1 OK AND SORRY JUST TO GO BACK AND JUST SUMMARIZE THE SYMPTOMS OVERALL SO HE'S HAD A BARKY COUGH THAT STARTED TWO DAYS AGO AS WELL AS +RES0183-061-2 SOME STRIDOR OR SOME NOISE ON INHALATION AND AND THIS REMINDS ME HAS HE HAD ANY FEVERS OR CHILLS +RES0183-062 HE HAS HAD A FEVER ACTUALLY IT WAS THIRTY EIGHT POINT SEVEN YESTERDAY +RES0183-063 OK AND ANY NIGHT SWEATS +RES0183-064 NO HASN'T SEEMED SWEATY AT NIGHT NO +RES0183-065 OK AND HAS HE HAD ANY WEIGHT LOSS IN THE LAST SEVERAL MONTHS +RES0183-066 NO +RES0183-067 OK AND YOU SAID HE HASN'T BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE BUT SO HAS HE HAD ANY REASONS TO BE HOSPITALIZED OR OR ANY SURGERIES +RES0183-068 NO IT'S BEEN A PRETTY HEALTHY CHILD +RES0183-069 OK THAT'S GREAT AND ANY ALLERGIES THAT YOU'RE AWARE OF +RES0183-070 I THINK HE'S ALLERGIC TO PENICILLIN +RES0183-071 ALRIGHT WHAT'S THE REACTION +RES0183-072 HE JUST GETS A RASH +RES0183-073 OK AND ARE HIS IMMUNIZATIONS UP TO DATE +RES0183-074 YES +RES0183-075 ALRIGHT AND CURRENTLY WHO IS HE LIVING WITH +RES0183-076 HE LIVES WITH HIS BOTH HIS PARENTS AND HIS OLDER SISTER +RES0183-077 OK AND HAS ANYBODY IN THE FAMILY BEEN SICK OR IS HE BEEN AROUND ANYBODY WHO'S BEEN SICK +RES0183-078 NO EVERYONE'S BEEN PRETTY HEALTHY +RES0183-079 OK HAS THERE BEEN ANY TRAVEL RECENTLY +RES0183-080 NO NO ONES TRAVELED RECENTLY +RES0183-081 OK AND ANYBODY SMOKE IN THE HOME +RES0183-082 NO +RES0183-083 ALRIGHT THEN ANY CONCERNS FOR HIM BEING EXPOSED TO ANY FORMS OF PHYSICAL OR EMOTIONAL OR VERBAL ABUSE OR ANY VIOLENCE IN THE HOME +RES0183-084 OH NO NO +RES0183-085 OK AND IS HE LIKE GOING TO DAYCARE OR WHO IS THE PRIMARY CAREGIVER AT HOME +RES0183-086 IT'S USUALLY HIS HIS MOM YEAH +RES0183-087 OK AND WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HIGH BLOOD PRESSURE +RES0183-088 NO +RES0183-089 ALRIGHT AND ANY COMPLICATIONS WITH DELIVERY AND WAS IT VAGINAL OR OR C SECTION +RES0183-090 IT WAS VAGINAL AND NO NO NO COMPLICATIONS +RES0183-091 ALRIGHT AND UP TO THIS POINT AS YOU BETTER MEETING IS MILESTONES FOR LIKE TALKING WALKING AND AND THINGS LIKE THAT +RES0183-092 THAT'S RIGHT +RES0183-093 OK AND ANY CONCERNS FOR HIS VISION OR HEARING +RES0183-094 NO +RES0183-095 OK AND HAS HE BEEN GROWING NORMALLY +RES0183-096 HE'S HAD ALL HIS MILESTONES +RES0183-097 EXCELLENT OK AND ARE THERE ANY CONDITIONS IN THE FAMILY SUCH AS HEART OR LUNG DISEASE +RES0183-098 OH NO +RES0183-099 OK HOW ABOUT ASTHMA OR THINGS LIKE ALLERGIC RHINITIS AND ALLERGIES +RES0183-100 NO NOTHING LIKE THAT +RES0183-101 OK SO I I THINK THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR OR THAT YOU WANTED TO MENTION +RES0183-102 NO THAT WAS KIND OF IT WHAT SHOULD I DO FOR HIM +RES0183-103-1 SO IT'S IT SOUNDS LIKE THE MOST LIKELY DIAGNOSIS NOW IS SOMETHING CALLED CROUP OR LARYNGEAL TRACHEAL BRONCHITIS WHICH IS BASICALLY A VIRAL INFECTION OF THE UPPER +RES0183-103-2 RESPIRATORY TRACT AREAS AND SO IT CAN CAUSE HAD A BARKY COUGH AND STRIDOR AND FEVER AND SO +RES0183-103-3 IF SO IT'S REALLY SUPPORTIVE CARE AND +RES0183-103-4 UNLESS HE DECOMPENSATES AND BECOMES REALLY SHORT OF BREATH AND WORSE IN WHICH CASE WE COULD THE TREATMENT WOULD BE STEROIDS AND +RES0183-103-5 POSSIBLY UTILIZING OTHER OTHER THINGS AS WELL DEPENDING ON HIS SYMPTOMS BUT USUALLY IT WILL BE STEROIDS AND MAYBE SOME OXYGEN AS WELL +RES0183-103-6 BUT IF HE STAYS RELATIVELY STABLE THEN IT'S MOSTLY SUPPORTIVE CARE JUST MAKING SURE HE'S HYDRATED AS MUCH AS POSSIBLE YOU COULD USE LIKE +RES0183-103-7 HUMIDIFIED AIR SOMETIMES LIKE A HOT SHOWER THAT SORT OF THING CAN MAYBE HELP RELIEVE THE COUGH AT NIGHT +RES0183-104 OK +RES0183-105 BUT THAT'S ABOUT IT +RES0183-106 OK +RES0183-107 WE'LL SO WE'LL SO WE'LL JUST OBSERVE FOR NOW +RES0183-108 OK THAT SOUNDS GOOD +RES0183-109 THANK YOU +RES0184-000 HOW MAY I HELP YOU +RES0184-001 HI THERE SO I'VE HAD THIS RUNNY NOSE FOR THE PAST FIVE DAYS AND IT DOESN'T SEEM TO BE GOING AWAY SO I THOUGHT I SHOULD GET SOME HELP +RES0184-002 OK AND WITH THE RUNNY NOSE COULD YOU DESCRIBE THE DISCHARGE +RES0184-003 IT'S IT'S PRETTY CLEAR +RES0184-004 OK AND HAVE YOU HAD ANY NASAL OBSTRUCTION OR FEELING AS THOUGH LIKE ONE OF YOUR NOSTRILS IS PLUGGED WHEN YOU'RE BREATHING IN +RES0184-005 I HAVE THAT FEELING +RES0184-006 OK HAVE YOU HAD ANY PAIN ON YOUR FACE +RES0184-007 PAIN NO NOTHING LIKE THAT +RES0184-008 OK HOW ABOUT A CHANGE TO YOUR SENSE OF SMELL LIKE LOSS OF SMELL +RES0184-009 NO I HAVEN'T HAD THAT +RES0184-010 OK HAVE YOU HAD ANY DISCHARGE FROM YOUR EYES OR EYE REDNESS OR ANY EYE PAIN +RES0184-011 NO +RES0184-012 ALRIGHT HAVE YOU HAD A SORE THROAT +RES0184-013 NO SORE THROAT +RES0184-014 HAVE YOU HAD A COUGH +RES0184-015 NO +RES0184-016 OK HAVE YOU HAD ANY HEADACHES +RES0184-017 JUST A SLIGHT HEADACHE +RES0184-018 OK I MEAN HAVE YOU EXPERIENCED HEADACHES LIKE THIS IN THE PAST +RES0184-019 YEAH USUALLY WHEN I GET SICK I GET +RES0184-020 GET A HEADACHE OK OK YOU DESCRIBE WHERE YOU FEEL THE HEADACHE THE MOST AND IS IT PULSATING OR KIND OF ALWAYS THERE +RES0184-021 IT'S KIND OF ALWAYS THERE AND IT'S JUST ON THE SIDES OF MY HEAD +RES0184-022 OK HAVE YOU TRIED ANYTHING FOR IT +RES0184-023 JUST SOME TYLENOL WHICH SEEMS TO HAVE HELPED +RES0184-027 AWAY WAS IT DRY OR DID YOU WERE BRINGING UP ANY SPUTUM OR PHLEGM +RES0184-028 NO IT'S PRETTY DRY +RES0184-029 OK AND DO YOU HAVE A SORE THROAT +RES0184-030 NO +RES0184-031 OK AND HAVE YOU HAD ANY WHEEZING OR SHORTNESS OF BREATH +RES0184-032 NO +RES0184-033 OK AND HAVE YOU HAD ANY CHEST PAIN +RES0184-034 NO +RES0184-035 HOW ABOUT ANY WE SORRY FAINTING OR DIZZINESS +RES0184-036 NO NOTHING LIKE THAT +RES0184-037 OK HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING +RES0184-038 NO +RES0184-039 OK AND HAVE YOU HAD ANY ABDOMINAL PAIN +RES0184-040 I HAVE HAD SOME LIKE DIARRHEA SO I THINK PART LIKE MY STOMACH HURT A LITTLE BIT DURING THAT TIME BUT I DON'T HAVE THAT ANYMORE +RES0184-041 OK WHEN DID YOU HAVE DIARRHEA +RES0184-042 LAST WEEK AS WELL +RES0184-043 OK WAS THERE ANY BLOOD IN THE STOOL +RES0184-044 NO +RES0184-045 OK HAVE YOU HAD ANY CHANGES TO YOUR URINARY HABITS LIKE ANY PAIN OR FREQUENCY +RES0184-046 NO +RES0184-047 ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0184-048 NO +RES0184-049 HOW ABOUT ANY FEVERS OR CHILLS +RES0184-051 NO HAVE YOU HAD ANY NIGHT SWEATS +RES0184-052 NO NOTHING LIKE THAT +RES0184-053 I SEE OK AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY +RES0184-054 NO +RES0184-055 ALRIGHT HAVE YOU HAD ANY RASHES OR SKIN RASHES +RES0184-056 NO +RES0184-057 AND HOW ABOUT ANY MUSCLE ACHES OR OR BODY PAINS +RES0184-058 OH NO +RES0184-059 ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE +RES0184-060 A LITTLE BIT +RES0184-061 OK LITTLE FATIGUE AND AND HOW HAS YOUR APPETITE BEEN +RES0184-062 APPETITE'S BEEN OK I'M STILL EATING +RES0184-063 ALRIGHT AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +RES0184-064 NO I'VE BEEN PRETTY HEALTHY +RES0184-065 OK GREAT AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED +RES0184-066 NO +RES0184-067 OK AND DO YOU HAVE ANY ALLERGIES +RES0184-068 NO I DON'T +RES0184-069 OK AND ANY RECENT HOSPITALIZATIONS IN THE PAST OR ANY PRIOR SURGERIES +RES0184-070 NO ACTUALLY I HAD MY APPENDIX TAKEN OUT WHEN I WAS YOUNGER BUT THAT WAS A LONG TIME AGO +RES0184-071 OK I SEE AND ARE YOU LIVING CAN YOU TELL ME ABOUT WHERE YOU'RE LIVING NOW AND WHO YOU'RE LIVING WITH +RES0184-072 I'M I'M LIVING BY MYSELF I'M A STUDENT I LIVE IN AN APARTMENT +RES0184-073 OK AND ARE YOU GOING TO CLASSES IN PERSON RIGHT NOW +RES0184-074 NO THEY'RE ALL ONLINE +RES0184-075 OK AND AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +RES0184-076 NO NOT THAT I CAN THINK OF +RES0184-077 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0184-078 NO +RES0184-079 OK AND YOU SMOKE CIGARETTES +RES0184-080 I DON'T +RES0184-081 AND DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS +RES0184-082 OCCASIONALLY I WILL +RES0184-083 OK HOW OFTEN +RES0184-084 I WILL MAYBE SMOKE ONCE A WEEK +RES0184-085 OK AND USE ANY RECREATIONAL DRUGS +RES0184-086 LIKE COCAINE +RES0184-087 OR OPIOIDS OH GOSH +RES0184-089 OK AND DO YOU DRINK ALCOHOL YEAH OCCASIONALLY +RES0184-090 OK HOW MANY DRINKS WOULD YOU SAY YOU HAVE PER WEEK +RES0184-091 I'LL HAVE LIKE A BOTTLE OF WINE A WEEK OK AND +RES0184-093 ARE THERE ANY HEART OR LUNG CONDITIONS THAT +RES0184-094 THAT'S RUN IN THE FAMILY NO OK HOW ABOUT ANY +RES0184-095 CANCERS I THINK LIKE COLON CANCER RUNS IN THE FAMILY OK AND ALRIGHT SO THAT WAS EVERYTHING THAT I THINK I WANTED TO ASK ABOUT ON THAT ON THE HISTORY TODAY I WAS WONDERING +RES0184-096 IF THERE WAS ANYTHING ELSE THAT YOU WANTED TO MENTION THAT I I MAYBE FORGOT TO ASK ABOUT NO NOTHING ELSE I I WAS +RES0184-097-1 JUST WONDERING WHAT I COULD DO TO FEEL BETTER OR MAKE THIS GO AWAY +RES0184-097-2 YEAH CERTAINLY SO SO IT'S SOUNDS LIKE YOU HAVE THE COMMON COLD OR A VIRAL ILLNESS +RES0184-097-3 WHICH IT COULD BE CAUSED BY SOMETHING LIKE ADENOVIRUS OR THERE ARE OTHERS AS WELL +RES0184-097-4 HOWEVER THE SYMPTOMS DO OVERLAP WITH COVID AS YOU CAN BE LIKE NONSPECIFIC SYMPTOMS SUCH AS HAVING KIND OF JUST LIKE A RUNNY NOSE LIKE YOU DO HERE +RES0184-097-5 AND SO WE WILL DO A COVID SWAB AND WE'LL AWAIT THOSE RESULTS BUT IN THE MEANTIME IT'S MOSTLY +RES0184-097-6 SUPPORTIVE CARE SO IT MEANS JUST TRYING TO STAY HYDRATED STAY RESTED AND JUST +RES0184-099 YOUR SYMPTOMS BECAUSE IF THINGS DO GET WORSE IT'LL BE +RES0184-100 GO TO THE EMERGENCY +RES0185-000 WHAT BRINGS YOU IN +RES0185-001 I'VE I I'VE HAD A REALLY RUNNY NOSE AND KIND OF FEELING LIKE LIKE MY NOSE HAS BEEN OBSTRUCTED AND I'VE KIND OF HAD THIS LIKE SORE THROAT AS WELL OVER THE LAST SEVERAL DAYS +RES0185-002 OK SO DID THE RHINO START FIRST OR THE NASAL OBSTRUCTION +RES0185-003 THEY THEY KIND OF STARTED IT AROUND THE SAME TIME +RES0185-004 OK AND WHEN WAS THAT +RES0185-005 ABOUT FOUR DAYS AGO +RES0185-006 FOUR DAYS AGO AND THEN WHEN DID THE SORE THROAT START +RES0185-007 THAT STARTED ABOUT TWO DAYS AGO +RES0185-008 TWO DAYS AGO OK AND AND THE DISCHARGE IS IT IS IT CLEAR OR ARE YOU SEEING COLORS +RES0185-009 IT'S PRETTY CLEAR AND WATERY +RES0185-010 SO YOU'RE NOT SEEING ANYTHING YELLOW GREEN OR BLOODY +RES0185-011 NO NOT NOTHING LIKE THAT I HAVEN'T SEEN ANY YELLOW GREEN OR OR BLOODY +RES0185-012 OK AND THEN YOUR SORE THROAT IS IT MAKING IT HARD FOR YOU TO SWALLOW SOLIDS AND FLUIDS +RES0185-013 NO PAIN WITH SWALLOWING JUST CAN KIND OF FEEL IT THERE +RES0185-014 ANY COUGHING +RES0185-015 YEAH ACTUALLY I STARTED TO HAVE A BIT OF A COUGH JUST THIS PAST DAY +RES0185-016 IT'S IT'S JUST STARTED IS IT A DRY COUGH +RES0185-017 OR IS IT A WET +RES0185-018 IT'S DRY IT'S DRY OK SO YOU'RE NOT BRINGING UP ANY SPUTUM OR BLOOD +RES0185-019 NO SPUTUM OR OR BLOOD +RES0185-020 OK GOOD AND AND THEN ANY SHORTNESS OF BREATH +RES0185-021 NO +RES0185-022 NO ANY WHEEZING +RES0185-023 NO +RES0185-024 NO WHEEZING OK ANY CHEST PAIN +RES0185-025 NO +RES0185-026 NO ANY FAINTING SPELLS OR DIZZINESS +RES0185-027 NO +RES0185-028 NO OK AND THEN ANY CHANGES IN YOUR VISION OR HEARING +RES0185-029 NO +RES0185-030 ANY CHANGES TO YOUR SMALLER TASTE +RES0185-031 NO +RES0185-032 OK AND ANY WEIGHT LOSS +RES0185-033 NO IT'S BEEN STABLE +RES0185-034 OK HOW ABOUT +RES0185-035 FEVERS NO I DON'T THINK I'VE HAD A FEVER +RES0185-036 NO OK CHILLS OR NIGHT SWEATS +RES0185-037 NO +RES0185-038 NO OK ANY RASHES +RES0185-039 NO +RES0185-040 NO OK AND THEN ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0185-041 NO I HAVEN'T HAD ANY DIARRHEA OR OR CONSTIPATION NOTHING LIKE THAT +RES0185-042 OK AND NAUSEA OR VOMITING +RES0185-043 NO +RES0185-044 NO OK AND THEN HOW ABOUT ABDOMINAL PAIN +RES0185-045 NO ABDOMINAL PAIN +RES0185-046 OK ANY CHANGES IN YOUR URINE +RES0185-047 NO NO PAIN WITH URINATION +RES0185-048 OK HOW ABOUT GASSINESS +RES0185-049 OR BLOATING NO I HAVEN'T +RES0185-050 FELT ANYTHING LIKE +RES0185-051 THAT OK HEADACHES YEAH I HAVE HAD A BIT OF A HEADACHE IT'S KIND OF LIKE A A PRESSURE OF WELL I FELT KIND OF LIKE A PRESSURE IN MY FACE AND A HEADACHE +RES0185-052 OK PRESSURE IN YOUR FACE AND A HEADACHE OK AND DO YOU NORMALLY GET THESE +RES0185-053 NO I THINK I GET HEADACHES WHEN I'M SICK OR I DON'T DON'T SLEEP WELL AND I MEAN I I HAVE BEEN FEELING PRETTY FATIGUED THE LAST FEW DAYS AND +RES0185-055 IS IT THE WORST HEADACHE YOU'VE EVER HAD NO THERE IT'S PRETTY MILD IT'S JUST KIND OF ANNOYING CAUSE IT'S STILL THERE +RES0185-056 FOR SURE ALRIGHT AND THEN ANY MUSCLE ACHES OR JOINT PAINS +RES0185-057 NO NOTHING LIKE THAT +RES0185-058 NO OK GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0185-059 I'M HEALTHY I HAVEN'T HAD ANY ANY CONDITIONS +RES0185-060 OK THAT'S GOOD HAVE YOU BEEN HOSPITALIZED FOR ANYTHING HAVE YOU EVER NEEDED SURGERIES +RES0185-061 NO I HAVEN'T +RES0185-062 OK THAT'S GOOD AND ARE YOU ON ANY MEDICATIONS +RES0185-063 NO MEDICATIONS +RES0185-064 ALRIGHT THAT'S GOOD AND THEN I'M ARE YOUR IMMUNIZATIONS UP TO DATE +RES0185-065 THEY ARE YES +RES0185-066 OK ANY ALLERGIES +RES0185-067 NO ALLERGIES +RES0185-068 OK ANY OF YOUR FAMILY HISTORY OF LUNG OR HEART CONDITIONS +RES0185-069 NO NO EVERYONE IN THE FAMILY IS HEALTHY +RES0185-070 AND DO YOU SMOKE +RES0185-071 NOPE I DON'T +RES0185-072 HOW ABOUT RECREATIONAL DRUGS +RES0185-073 NO WELL I I USE LIKE I'LL HAVE A JOINT EVERY ONCE IN AWHILE LIKE SOCIALLY WITH FRIENDS BUT THAT'S I MEAN MAYBE A COUPLE OF TIMES PER MONTH +RES0185-074 OK OK HOW ABOUT ALCOHOL DO YOU DRINK +RES0185-075 YEAH I'LL HAVE LIKE I DON'T KNOW A FEW BEERS ON THE WEEKEND MAYBE SO I DON'T KNOW MAYBE LIKE FOUR OR FIVE DRINKS PER WEEK +RES0185-076 OK AND THEN HAVE YOU BEEN IN CONTACT WITH ANY +RES0185-077 SICK RECENTLY NO I AM I DON'T I DON'T THINK SO I LIVE IN A STUDENT HOUSE THOUGH WITH +RES0185-080 FINISHING UP SOME SCHOOL HERE IN TOWN +RES0185-081 SICK RECENTLY I THINK ONE OF THE GUYS LAST WEEK HAD I HAD A LITTLE BIT OF A COUGH AND I DON'T KNOW THAT SAID HE WASN'T WASN'T +RES0185-082 FEELING WELL OK OK AND HAVE YOU TRAVELED +RES0185-083 ANYWHERE RECENTLY NO BEEN +RES0185-084 BEEN JUST AT HOME OK ALRIGHT NO TRAVEL +RES0185-085 AND WHERE DO YOU LIVE RIGHT NOW SO I I JUST LIVE IN A STUDENT HOUSE +RES0185-088 THAT I GUESS OH NO PROBLEM I'M TRYING TO GET AT ARE THERE ANY OLD CARPETS YOU KNOW REASONS FOR YOU TO BELIEVE THAT THERE MAY BE A LOT OF MOLD OR ASBESTOS OR ANYTHING LIKE THAT IN THE HOUSE THAT MAY BE MAKING YOUR SYMPTOMS WORSE +RES0185-089 IT'S MOSTLY LIKE HARDWOOD OR LIKE KIND OF CERAMIC FLOORING SO THERE AREN'T MANY CARPETS AND THINGS LIKE THAT SO I GUESS NO +RES0185-090 NO OK ALRIGHT AND THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANYTHING TO ADD OR ANYTHING YOU WANTED TO DISCUSS TODAY +RES0185-091 NO I WAS JUST I WONDERING WHAT MIGHT BE GOING ON IT'S +RES0185-092-1 BEEN A FEW DAYS +RES0185-092-2 YEAH FOR SURE SO IT SOUNDS LIKE YOU MAY HAVE A VIRAL INFECTION AND BECAUSE YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A COVID SWAB ON YOU JUST TO RULE THAT OUT +RES0185-092-3 BUT FROM THE SOUNDS OF WHAT YOUR SYMPTOMS ARE IT IT IS MOST LIKELY TO BE A COMMON COLD IN WHICH CASE +RES0185-092-4 YOU CAN JUST MANAGE IT WITH A LOT OF HYDRATION NUTRITION GOOD SLEEP BUT IF YOUR SYMPTOMS GET WORSE OR +RES0185-092-5 THEY'RE NOT GOING AWAY AFTER A COUPLE OF WEEKS OR YOU'RE HAVING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES YOU SHOULD GET HELP FROM THE ER DOES THAT SOUND OK +RES0185-093 YEAH FOR SURE I HAVEN'T HAD ANY ANY SYMPTOMS LIKE THAT SO SO FAR SO THAT'S GOOD +RES0185-094 YEAH FOR SURE +RES0185-095 ALRIGHT TAKE CARE +RES0186-000 WHAT BRINGS YOU IN +RES0186-001-1 HI THERE I'VE BEEN HAVING THIS COUGH THAT'S BEEN ONGOING FOR THE PAST TWO DAYS AND I'VE STARTED TO BECOME SHORT OF BREATH AS WELL +RES0186-001-2 EVEN WITH JUST A LITTLE BIT OF EXERTION I'VE ALSO BEEN FEELING FEVERISH AND I CHECKED MY TEMPERATURE AND IT WAS THIRTY EIGHT POINT POINT FIVE +RES0186-002 OK WELL THAT'S DEFINITELY A FEVER CAN YOU TELL ME A LITTLE BIT ABOUT WHEN THE COUGHING STARTED +RES0186-003 I FIRST NOTICED IT TWO DAYS AGO AND IT'S BEEN KIND OF JUST GETTING A LITTLE BIT WORSE OVER THESE LAST TWO DAYS TO THE POINT NOW WHERE I'M I'M SHORT OF BREATH AS WELL +RES0186-004 OK SO THAT'S SORT OF TWO DAYS AGO AND THEN WHEN DO THE SHORTNESS OF BREATH START +RES0186-005 THE SHORTNESS OF BREATH HAS BEEN WITHIN THE LAST DAY WITHIN THE LAST DAY +RES0186-006 WITHIN THE LAST DAY OK AND THE COUGHING IS THAT I DRY COUGH OR IS IT A WET COUGH +RES0186-007 IT'S A DRY COUGH +RES0186-008 OK SO NO SPUTUM OR BLOOD +RES0186-009 NO SPUTUM OR BLOOD IN THE COUGHING +RES0186-010 OK THAT'S GOOD ALRIGHT ANY CHEST PAIN +RES0186-011 NO I HAVEN'T HAD ANY CHEST PAIN +RES0186-012 OK ANY PALPITATIONS OF YOUR HEART +RES0186-013 NO NO HEART PALPITATIONS +RES0186-014 OK AND ANY HAVE YOU NOTICED LIKE A RUNNY NOSE +RES0186-015 OR A STUFFY NOSE NO I HAVEN'T REALLY HAD A RUNNY NOSE +RES0186-016 NO RUNNY NOSE OK NO RUNNY NOSE THAT'S GOOD AND THEN ANY CHANGES IN YOUR VISION OR HEARING +RES0186-017 NO CHANGES TO VISION OR HEARING +RES0186-018 HOW ABOUT CHANGES TO YOUR SMELL OR TASTE +RES0186-019 NO CHANGES TO SMELL OR TASTE THAT'S BEEN BEEN NORMAL +RES0186-020 BEEN NORMAL OK THAT'S GOOD HOW ABOUT OF HOW ABOUT WEIGHT LOSS +RES0186-021 NO I HAVEN'T HAD ANY ANY WEIGHT LOSS +RES0186-022 OK THAT'S GOOD ANY RASHES +RES0186-023 NO RASHES +RES0186-024 CHANGES TO YOUR BOWEL MOVEMENTS +RES0186-025 NO I I HAVEN'T HAD ANY NO DIARRHEA I HAVE HAD A LITTLE BIT OF LIKE BELLY PAIN THOUGH +RES0186-026 OK OK WHEN DID THE BELLY PAIN START +RES0186-027 THAT'S JUST BEEN WITHIN THE LAST DAY AS WELL IT JUST FEELS A BIT UNCOMFORTABLE KIND OF ALL OVER +RES0186-028 OK ALRIGHT AND YOU DON'T FEEL GASSY OR OR BLOATED +RES0186-029 NO +RES0186-030 OK AND NO NAUSEA OR VOMITING +RES0186-031 NO I HAVEN'T HAD ANY ACTUALLY I HAVE BEEN A BIT I'VE HAD SOME NAUSEA AS WELL LIKE THAT'S WHAT I FEEL LIKE WITH THAT WITH THE ABDOMINAL PAIN +RES0186-032 OK AND ANY CHANGES IN YOUR SMELL OR TASTE +RES0186-033 SO I ACTUALLY WITH THE SENSE OF SMELL LIKE I HAVEN'T BEEN ABLE TO SMELL AS WELL NOW THAT YOU ASK AGAIN SORRY +RES0186-034 OK NO WORRIES AND ANY APPETITE CHANGES +RES0186-035 YEAH I HAVEN'T I'VE HAD A LOSS OF APPETITE +RES0186-036 OK ALRIGHT ALRIGHT AND ARE YOU STILL EATING THE SAME OR A LITTLE BIT LESS +RES0186-037 A BIT LESS SO I GUESS I HAVEN'T BEEN IS HUNGRY I SAY SIMILAR AMOUNT OF TIME JUST REALLY THESE LAST TWO DAYS +RES0186-038 HAVE YOU HAD ANY DIZZINESS OR FAINTING SPELLS +RES0186-039 NO I HAVEN'T +RES0186-040 NO ANY MEMORY LOSS OR CONFUSION +RES0186-041 NO +RES0186-042 NO JOINT ACHES OR MUSCLE ACHES +RES0186-043 I'VE HAD LIKE MUSCLE ACHES I GUESS I FEEL LIKE WE'VE BEEN GETTING OLDER BUT NO I'VE HAD MUSCLE ACHES THESE LAST COUPLE OF DAYS AS WELL KIND OF GENERALLY ACHY +RES0186-044 OK AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0186-045 I HAVE DIABETES TYPE TWO DIABETES AND I HAVE HIGH BLOOD PRESSURE +RES0186-046 AS WELL +RES0186-047 OK YEAH MY WEIGHTS +RES0186-048 A BIT A BIT HIGH OK AND DO YOU TAKE ANY MEDICATIONS +RES0186-049 FOR THESE THINGS SO I TAKE METFORMIN AND I ALSO TAKE AN ACE INHIBITOR AND +RES0186-050 THAT'S IT OK ALRIGHT AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +RES0186-051 I BELIEVE SO YES +RES0186-052 OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY +RES0186-053 NO I DON'T THINK NO NO ALLERGIES +RES0186-054 OK ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS +RES0186-055 NO NOTHING +RES0186-056 LIKE THAT OK ALRIGHT ANY HISTORY OF LIKE CANCERS IN THE FAMILY +RES0186-057 NO HISTORY OF CANCER IN THE FAMILY +RES0186-058 OK DO YOU SMOKE AT ALL +RES0186-059 NO NOT I DON'T SMOKE +RES0186-060 YOU DON'T SMOKE OK HOW ABOUT RECREATIONAL DRUGS +RES0186-061 NO I DON'T USE ANYTHING LIKE THAT +RES0186-062 NO OK DO YOU DRINK ALCOHOL +RES0186-063 YEAH I'LL HAVE LIKE ONE BEER +RES0186-064 EACH DAY SO ABOUT ONE BEER A DAY ONE BEER A DAY OK AND +RES0186-065 WHERE DO YOU LIVE RIGHT NOW SO I LIVE IN A HOUSE WITH +RES0186-066 WITH MY WIFE AND +RES0186-067 AND OUR OUR SON OK AND +RES0186-068 ANYONE AT HOME SICK NO NOBODY'S BEEN SICK AT HOME OK HAVE YOU BEEN IN +RES0186-069 CONTACT WITH ANYONE WHO HAS BEEN SICK I DON'T THINK SO I MEAN I'VE BEEN GOING OUT TO DO THE ESSENTIALS AND I I I DO WORK OUT AT A FACTORY +RES0186-070 AND SO I MEAN THERE MIGHT HAVE BEEN SOMEBODY +RES0186-071 THERE BUT I'M NOT SURE OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0186-072 NO TRAVEL JUST BEEN GOING TO WORK AND DOING THE ESSENTIALS AND HOME OK THAT'S GOOD AND ANY REASONS TO BELIEVE YOU HAVE OLD CARPET MOLD ASBESTOS +RES0186-073 PETS ANYTHING AT HOME THAT COULD BE MAKING YOUR CONDITION WORSE I DON'T BELIEVE SO NO WE IT'S A +RES0186-074 NEW A NEWER HOME AND WE'VE DONE SOME RENOVATIONS OK THAT'S GOOD THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +RES0186-075 NO I WAS JUST WORRIED THAT MAYBE I COULD HAVE +RES0186-076-1 COVID +RES0186-076-2 FOR SURE SO THAT'S KIND OF TOP ON MY LIST RIGHT NOW TO RULE OUT SO WE WILL DO A COVID SWAB AND YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS +RES0186-076-3 WITH THOSE RESULTS IN THE MEANTIME YOU SHOULD ISOLATE FOR FOR ABOUT FOURTEEN DAYS AND IF YOUR SYMPTOMS GET WORSE GO TO THE ER +RES0186-076-4 AND IF YOU'RE EXPERIENCING THINGS LIKE WEAKNESS SEIZURES LIKE AND YOU'RE NOT GETTING ANY BETTER IN A COUPLE OF WEEKS OR YOU FEEL DEHYDRATED +RES0186-076-5 OTHERWISE SUPPORTIVE CARE AT HOME KEEPING YOURSELF HYDRATED EATING WELL SLEEPING WELL ALL OF THOSE WILL DEFINITELY HELP AS WELL DOES THAT SOUND OK +RES0186-077 YEAH IT DOES THANK YOU +RES0186-078 OK YEAH NO PROBLEM +RES0187-000 WHAT BRINGS YOU IN +RES0187-001-1 HI I'M JUST COMING IN HERE TODAY BECAUSE I'VE BEEN JUST ON WALL RECENTLY OVER THE LAST I WOULD SAY THREE TO FOUR DAYS I STARTED GETTING THESE LIKE REALLY BAD MUSCLE PAINS ALL THROUGHOUT MY BODY AND THEN +RES0187-001-2 OVER THE PAST FEW DAYS I'VE ALSO BEEN FEELING CHILLY SO I WONDER IF I HAVE A FEVER AND I'VE ALSO JUST BEEN HAVING THIS COUGH FOR THE LAST FEW DAYS AS WELL +RES0187-002 OK WHAT STARTED FIRST +RES0187-003 I THINK THE MUSCLE PAIN STARTED FIRST AND THEN IT WAS THE COUGHING THEN SINCE YESTERDAY I THINK I MIGHT HAVE A FEVER AS WELL +RES0187-004 OK THE COUGH STARTED OR THE MUSCLE ACHES STARTED FIRST WAS THAT TWO DAYS AGO THREE DAYS AGO +RES0187-005 ALMOST FOUR DAYS AGO NOW +RES0187-006 FOUR DAYS OK AND THE COUGH STARTED WHEN +RES0187-007 COUGH STARTED THREE DAYS AGO +RES0187-008 OK OK BEFORE THE MUSCLE ACHES STARTED DID YOU LIKE DO ANYTHING DIFFERENT IN YOUR LIFE LIKE YOU KNOW DO A LOT OF EXERCISE OR ANY OTHER STRENUOUS ACTIVITIES +RES0187-009 NO I I HAVEN'T REALLY CHANGED MY ROUTINE AT ALL +RES0187-010 OK AND WHERE SPECIFICALLY LIKE WHAT WHICH MUSCLES ACHE +RES0187-011 PRETTY MUCH LIKE THROUGHOUT MY BODY BUT I WOULD SAY MORE SO LIKE UPPER BACK MY THIGHS THEN MY ARMS KIND OF JUST ALL OVER +RES0187-012 OK ANY JOINT PAINS AS WELL +RES0187-013 NO I DON'T THINK SO +RES0187-014 OK AND IS IT HARD FOR YOU TO WALK LIKE USE YOUR ARMS DO YOU HAVE ANY SORT OF LIKE MOTOR WEAKNESS +RES0187-015 IT'S NOT I I CAN WALK AND THERE'S NO ISSUES BUT I I DO FEEL LIKE JUST OVERALL GENERAL WEAKNESS I DON'T KNOW IF THAT'S TO DO WITH THE PAIN OR JUST FEELING UNWELL +RES0187-016 OK SO YOU'RE ABLE TO DO THOSE THINGS YOU JUST FEEL LIKE MAYBE YOU'RE TIRED +RES0187-017 OK ANY NUMBNESS OR TINGLING +RES0187-018 NO +RES0187-019 NO OK THE COUGH IS IT A DRY COUGH OR LIKE PRODUCTIVE COUGH ARE YOU BRINGING UP PHLEGM +RES0187-020 IT'S A DRY COUGH +RES0187-021 A DRY COUGH OK SO NO SPUTUM OR BLOOD RIGHT +RES0187-022 NO +RES0187-023 OK AND YOU HAVE A RUNNY NOSE OR STUFFY NOSE +RES0187-024 NO +RES0187-025 SORE THROAT +RES0187-026 NO +RES0187-027 SHORTNESS OF BREATH +RES0187-028 NO +RES0187-029 NO OK WHEEZINESS +RES0187-030 NO +RES0187-031 OK ANY FEVERS +RES0187-032 AND I HAVE BEEN FEELING CHILLY OVER THE LAST FEW DAYS JUST I HAVE BEEN WEARING LIKE MULTIPLE LAYERS HAVING TO PUT ON AN EXTRA BLANKET SO I MIGHT HAVE BEEN HAVING A FEVER +RES0187-033 OK BUT YOU HAVEN'T TAKEN YOUR TEMPERATURE RIGHT +RES0187-034 NO +RES0187-035 OK ANY WEIGHT LOSS +RES0187-036 NO +RES0187-037 CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +RES0187-038 NOT THAT I'VE NOTICED +RES0187-039 OK CHANGES IN YOUR VISION OR HEARING +RES0187-040 NO +RES0187-041 TASTE OR SMELL +RES0187-042 NO +RES0187-043 CHEST PAIN +RES0187-044 OH SORRY NOW THAT YOU MENTION I I THINK TASTE A LITTLE BIT TODAY I REALIZED I WAS I WASN'T REALLY ABLE TO TASTE MY BREAKFAST +RES0187-045 OK SO A LITTLE BIT OF CHANGE THERE +RES0187-046 OK AND ANY CHEST PAIN +RES0187-047 NO +RES0187-048 OK ANY FEELINGS OF LIKE FEEL LIKE FEELING LIKE YOUR HEART'S RACING +RES0187-049 NO +RES0187-050 OK HOW ABOUT LIKE CALF PAIN WHEN YOU DO A LOT OF WALKING +RES0187-051 NO +RES0187-052 FAINTING OR DIZZINESS SPELLS +RES0187-053 NO +RES0187-054 OK ANY CHANGES TO YOUR BOWEL MOVEMENTS +RES0187-056 NO OK AND ANY NAUSEA OR VOMITING +RES0187-057 NO NO NAUSEA OR VOMITING +RES0187-058 OK HOW ABOUT +RES0187-059 APPETITE CHANGES APPETITES BEEN +RES0187-060 THE SAME OK ANY CHANGES IN YOUR URINE +RES0187-061 NO +RES0187-062 HEADACHES +RES0187-063 NO +RES0187-064 CONFUSION OR MEMORY LOSS +RES0187-065 NO +RES0187-066 OK ALRIGHT SO ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0187-067 NO OTHERWISE I'VE BEEN PRETTY WELL HAVEN'T EVEN REALLY HAD TO GO TO THE DOCTOR MUCH IN THE PAST FEW YEARS +RES0187-068 OK THAT'S GOOD AND THEN ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0187-070 NO NO OK AND HOW ABOUT MEDICATIONS ARE YOU ON ANY +RES0187-071 NO MEDICATIONS +RES0187-072 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0187-073 OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY +RES0187-074 NO NOT THAT JUST LIKE SEASONAL ALLERGIES I SOMETIMES GET JUST ITCHY EYES AND RUNNY NOSE SNEEZING IN THE SPRINGTIME +RES0187-075 OK AND DO YOUR CURRENT SYMPTOMS FEEL LIKE THAT +RES0187-076 NO NO +RES0187-077 NO OK +RES0187-078 I FEEL COMPLETELY DIFFERENT +RES0187-079 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +RES0187-080 THINK MY UNCLE HAD A HEART ATTACK IN HIS +RES0187-082 OK THINK MY FATHER HAS HIGH BLOOD PRESSURE +RES0187-083 OK OK ANY CANCERS IN THE FAMILY +RES0187-084 NO NOT THAT I KNOW OF +RES0187-085 AND DO YOU SMOKE +RES0187-086 JUST SOCIALLY SOMETIMES WHEN I'M WITH FRIENDS NOT NOTHING REGULAR +RES0187-087 OK AND SO FOR THE PAST LIKE TWO MONTHS HOW OFTEN HAVE YOU BEEN SMOKING +RES0187-088 PROBABLY A COUPLE CIGARETTES ON THE WEEKEND WE USUALLY SMOKE MARIJUANA SO NOT NOT TOO MUCH LIKE TOBACCO OR CIGARETTES +RES0187-089 OK OK DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE +RES0187-090 JUST MARIJUANA NO OTHER DRUGS +RES0187-091 OK DO YOU SMOKE IT OR EDIBLES +RES0187-092 SMOKE IT +RES0187-093 OK AND HOW OFTEN DO YOU SMOKE CANNABIS +RES0187-094 PROBABLY JUST WHEN I'M MEETING UP WITH FRIENDS SO EVERY WEEKEND I WOULD SAY +RES0187-095 EVERY WEEKEND +RES0187-096 OK AND THEN HOW ABOUT AN ALCOHOL DO YOU DRINK ALCOHOL +RES0187-097 I DRINK ALCOHOL PROBABLY A COUPLE OF DRINKS EVERY FEW DAYS +RES0187-098 OK OK AND SORRY WHAT KIND OF ALCOHOL DO YOU DRINK EVERY FEW DAYS +RES0187-099 JUST MOSTLY BEERS MAYBE WHISKEY SOMETIMES +RES0187-100 OK AND HOW MUCH OF THAT +RES0187-101-1 SO PROBABLY A COUPLE BEERS EVERY FEW DAYS AND THEN WHISKEY MAYBE A NORMAL +RES0187-101-2 GLASS EVERY FEW DAYS SO I WOULD SAY THREE OR FOUR BEERS A WEEK AND THEN MAYBE TWO GLASSES OF WHISKEY IN A IN AN AVERAGE WEEK +RES0187-102 OK OK ALRIGHT AND HAVE YOU BEEN IN TOUCH WITH OR IN CONTACT WITH ANYONE SICK RECENTLY +RES0187-103 NO NO ONE'S BEEN SICK I DO MEET UP WITH SOME FRIENDS ON THE WEEKENDS SOME OF THEM ARE FROM WORK SOME OF THEM ARE JUST THAT THAT I KNOW OUTSIDE OF WORK +RES0187-104 OK OK AND HAVE ANY OF THEM +RES0187-105-1 BEEN SICK OR HAVE THEY ALL BEEN PRETTY HEALTHY +RES0187-105-2 I'VE BEEN HEARD FROM ANYONE THAT'S BEEN SICK WE WE KIND OF HAVE A RULE THAT IF YOU KNOW IF WE FEEL SICK THEN NOT TO NOT TO SHOW UP JUST BECAUSE LIKE YOU KNOW WHEN WE'RE +RES0187-105-3 WHEN WE'RE DRINKING AND LIKE SMOKING WE MAY SHARE LIKE A JOINT SO IT'S NOT LIKE WE DON'T WANT TO GET EVERYONE SICK IF ONE PERSON IS SICK +RES0187-106 FOR SURE THAT MAKES SENSE ALRIGHT ANY TRAVEL RECENTLY +RES0187-107 NO +RES0187-108 NO OK AND WHERE DO YOU LIVE RIGHT NOW +RES0187-109 RIGHT NOW I JUST LIVE IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON +RES0187-110 OK ANY OLD CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD MAKE YOUR CONDITION WORSE +RES0187-111 NO +RES0187-112 OK SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +RES0187-113 NO I DON'T THINK SO I JUST WANTED TO SEE WHAT THIS MIGHT BE +RES0187-114-1 FOR SURE SO WE ARE GOING TO DO A COVID SWAB ON YOU BECAUSE A LOT OF YOUR SYMPTOMS DO ALIGN WITH THOSE OF COVID SO WE JUST WANT TO RULE THAT OUT FIRST SO YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS IN THE MEANTIME YOU SHOULD +RES0187-114-2 ISOLATE FOR TWO WEEKS AND IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL INFECTION THAT'S BEEN GOING AROUND THIS TIME OF YEAR +RES0187-114-3 EITHER WAY KIND OF MANAGEMENT PLAN IS THE SAME SO MAKE SURE YOU'RE HYDRATED EAT WELL SLEEP WELL AND IF YOUR SYMPTOMS BECOME +RES0187-114-4 WORSE SEVERE OR THERE ANY RED FLAGS LIKE YOU HAVE NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR WEAKNESS WHERE YOU CAN MOVE YOUR LIMBS YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND +RES0187-115 THAT SOUNDS GOOD THANK YOU +RES0187-116 OK YEAH NO PROBLEM +RES0188-000 WHAT BRINGS YOU IN +RES0188-001-1 HI I WAS JUST REALLY WORRIED MY SON JUST YESTERDAY NIGHT I NOTICED THAT HE WAS MAKING THESE GRUNTING NOISES AND I DID NOTICE THAT HE WAS A BIT WARM YESTERDAY +RES0188-001-2 AS WELL AND TODAY I HE JUST HASN'T BEEN HIMSELF JUST VERY VERY IRRITABLE CRYING A LOT I JUST GOT BIT WORRIED +RES0188-002 FOR SURE WHAT STARTED FIRST +RES0188-003 I WOULD SAY THE THERE WAS A LITTLE BIT OF COUGHING EARLIER LIKE YESTERDAY BUT THEN LATER ON DURING THE NIGHT IT KIND OF TURNED INTO THIS GRUNTING NOISE AND HE'S KIND OF LIKE HIS CHEST IS MOVING A LOT MORE WHEN HE'S TAKING A BREATH IN AND ALL THAT +RES0188-004 OK DID YOU MEASURE HIS TEMPERATURE AT HOME +RES0188-005 SO I THINK IT WAS THIRTY EIGHT POINT FIVE DEGREES CELSIUS +RES0188-006 OK AND DID YOU DO THAT ORALLY OR RECTAL OR UNDER ARMPIT +RES0188-007 I DID IT UNDER THE ARMPIT +RES0188-008 OK OK SO YOU MENTIONED THAT HE'S HAD A FEVER HE'S BEEN GRUNTING AND HE JUST SEEMS A LITTLE BIT MORE FUSSY IS THAT RIGHT +RES0188-009 OK IS HE COUGHING AT ALL +RES0188-010 HE WAS YESTERDAY BUT NOT REALLY NOW +RES0188-011 OK AND WAS IT A DRY COUGH +RES0188-012 I THINK SO I MEAN NOT NOTHING REALLY CAME OUT +RES0188-013 OK THAT'S GOOD SO NO BLOOD NO SPUTUM +RES0188-014 NO +RES0188-015 OK AND DID HE SEEM WHEEZY +RES0188-016 NO +RES0188-017 NO OK SO THERE'S NO WHEEZING WITH THE GRUNTING +RES0188-018 MAYBE A LITTLE BIT LIKE THAT JUST A LITTLE BIT OF A NOISE BUT IT'S MOSTLY THE GRUNTING +RES0188-019 OK HAS HE HAD ANY WEIGHT LOSS +RES0188-020 NO NOT THAT I REALLY WE HAVEN'T REALLY WEIGHED HIM OK SINCE HIS LAST APPOINTMENT +RES0188-021 OK DOES HE SEEM EXCESSIVELY TIRED OR FATIGUED +RES0188-022 MORESO TODAY I WOULD SAY HE'S LIKE EARLIER HE WAS VERY FUSSY BUT NOW HE SEEMS A BIT MORE TIRED +RES0188-023 OK ANY RASHES THAT YOU'VE NOTICED +RES0188-024 NO +RES0188-025 NO OK ANY CHANGES IN HIS VISION OR HEARING +RES0188-026 NO NOT THAT I CAN TELL +RES0188-027 NO OK SO HE'S RESPONDING TO LIKE SOUNDS AND HE'S STILL LOOKING AT YOU AND THINGS LIKE THAT +RES0188-028 OK HAVE YOU NOTICED A RUNNY NOSE OR STUFFY NOSE +RES0188-029 NO NOTHING LIKE THAT +RES0188-030 NO OK AND HE SAID HE HASN'T HAD ANY LIKE FAINTING SPELLS +RES0188-031 NO I DON'T THINK SO +RES0188-032 NO OK AND HOW MANY WET DIAPERS IS HE PRODUCING IN A DAY NOW +RES0188-033 PROBABLY FIVE OR SIX +RES0188-034 FIVE OR SIX OK HAS THAT CHANGED FROM BEFORE +RES0188-035 NO IT'S PRETTY MUCH THE SAME +RES0188-036 OK AND ANY CHANGES TO HIS BOWEL MOVEMENTS +RES0188-037 NO +RES0188-038 NO HOW ABOUT HIS URINE +RES0188-039 NO +RES0188-040 NO OK OK AND YOU SAID HE WAS FUSSY IS HE STILL EATING AND DRINKING OK +RES0188-041 NO TODAY HE'S NOT REALLY TAKING ANYTHING IN LIKE VERY FUSSY VERY HARD TO FEED HIM TODAY +RES0188-042 OK IS HE CRYING A LOT +RES0188-043 EARLIER TODAY WAS CRYING A LOT BUT NOW HAS CALM DOWN AND JUST I GUESS TIRED HIMSELF OUT +RES0188-044 OK ALRIGHT AND IS HE AN OTHERWISE HEALTHY CHILD +RES0188-045-1 HE WAS HE WAS PREMATURE BY THREE WEEKS SO OTHER THAN THAT LIKE I REMEMBER WHEN HE WAS BORN THEY DID HAVE +RES0188-045-2 EARLIER SOME ISSUES WITH HIS OXYGEN NOT BEING HIGH ENOUGH AND THEY HAD TO LIKE KEEPING KEEP US IN THE HOSPITAL FOR A BIT LONGER +RES0188-046 OK +RES0188-047 BUT AFTER THAT LIKE THERE HAVEN'T REALLY BEEN TOO MANY CONCERNS +RES0188-048 OK SO HE'S HITTING ALL THE DEVELOPMENTAL MILESTONES LIKE IN TERMS OF MOTOR MOVEMENTS SPEECH BEHAVIOUR ALL OF THAT +RES0188-049 NO ISSUES THERE SO FAR +RES0188-050 OK AND HOW ABOUT MEDICATIONS IS HE ON ANY +RES0188-051 NO +RES0188-052 NO MEDICATIONS OK AND IS UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0188-053 OH HE HAD ALL HIS IMMUNIZATIONS SO FAR +RES0188-054 OK HOW ABOUT ALLERGIES DOES HE HAVE ANY +RES0188-055 NOT THAT I KNOW OF +RES0188-056 NO OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +RES0188-057 NO +RES0188-058 OK AND DOES ANYONE AT HOME SMOKE +RES0188-059 NO NO ONE SMOKES +RES0188-060 OK HAS HE BEEN IN CONTACT WITH ANYONE SICK RECENTLY +RES0188-061 NO NOT THAT I KNOW OF HIS OLDER SISTER DOES GO TO SCHOOL THOUGH BUT I DON'T KNOW IF SHE MIGHT HAVE CARRIED SOMETHING HOME +RES0188-062 OK HOW OLD IS SHE +RES0188-063 SHE'S SIX YEARS OLD +RES0188-064 SIX OK AND IS SHE HEALTHY OR IS SHE HAVING SIMILAR SYMPTOMS +RES0188-065 NO SHE'S HEALTHY NO NO SYMPTOMS +RES0188-066 OK ANY TRAVEL RECENTLY +RES0188-067 NO +RES0188-068 NO OK AND WHO DOES HE LIVE WITH AT HOME +RES0188-069 SO HIS OLDER SISTER ME AND HIS MOTHER +RES0188-070 OK ANY REASONS TO BELIEVE LIKE YOU HAVE OLD CARPETS DUST MOLD ASBESTOS PETS ANYTHING LIKE THAT THAT COULD WORSEN HIS SYMPTOMS +RES0188-071 NO NOTHING LIKE THAT +RES0188-072 OK SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ANYTHING THAT I MISSED THAT YOU WANTED TO ADD +RES0188-073 NO I THINK THAT WAS ALL +RES0188-074-1 OK SO FOR HIM WE'LL DO A COVID SWAB JUST TO RULE THAT OUT BECAUSE SOME OF HIS SYMPTOMS DO OVERLAP WITH THAT BUT IT IT'S REALLY SOUNDING LIKE A PICTURE OF LIKE COMMUNITY ACQUIRED PNEUMONIA +RES0188-074-2 SO WE'LL DO A COUPLE OF THINGS FOR HIM WE CAN GET HIS TEMPERATURE GET HIS OXYGEN OXYGEN SATURATION RIGHT AWAY WE'LL GET A CHEST X RAY +RES0188-074-3 WE'LL DO SOME BLOOD WORK AS WELL AND HE MIGHT NEED TO BE ADMITTED DEPENDING ON THE OXYGEN OXYGEN SATURATION AND THE FACT THAT HE'S GRUNTING SO +RES0188-074-4 IF HE'S ADMITTED WILL GIVE HIM SOME EXTRA OXYGEN AND KEEP MONITORING HIM AND KEEP HIM HYDRATED WE'LL ALSO GIVE HIM SOME ANTIBIOTICS IF IF IT TURNS OUT HE HAS PNEUMONIA YEAH DOES THAT SOUND OK +RES0188-075 THAT SOUNDS GOOD THANK YOU +RES0188-076 OK YEAH NO WORRIES +RES0191-000 HOW MAY I HELP YOU +RES0191-001 HI I'M I HAVE BEEN HAVING THIS NASAL OBSTRUCTION AND DISCHARGE FOR THE PAST WEEK AND IT DOESN'T SEEM TO BE GOING AWAY AND IT'S BOTHERING ME SO I THOUGHT I WOULD GET IT CHECKED OUT BY YOU +RES0191-002 OK FOR SURE COULD YOU DESCRIBE THE DISCHARGE +RES0191-003 IT'S A IT'S MOSTLY CLEAR IT DOESN'T IT DOESN'T HAVE A COLOR TO IT +RES0191-004 OK SO NO YELLOW GREEN OR OR RED TO INDICATE ANY BLOOD +RES0191-005 NO +RES0191-006 OK AND YOU MENTIONED SO WITH THE OBSTRUCTION HAVE YOU HAD DIFFICULTIES BREATHING +RES0191-007 A LITTLE BIT I JUST NEED TO AND IS MOSTLY AT NIGHT I JUST NEED TO SHIFT TO ONE SIDE OR THE OTHER TO LIKE UNBLOCK MY AIRWAYS +RES0191-008 I SEE OK AND HAVE YOU BEEN HAVING ANY PAIN ON YOUR FACE LIKE I LIKE KIND OF OVER YOUR CHEEKS OR OVER YOUR FOREHEAD +RES0191-009 NO +RES0191-010 OK HOW ABOUT ANY HEADACHES +RES0191-011 NO HEADACHES +RES0191-012 ALL RIGHT HAVE YOU HAD ANY CHANGES OR TO YOUR SENSE OF SMELL OR ANY LOSS OF SMELL +RES0191-013 NO MAYBE A LITTLE BIT BUT NO NOT REALLY I CAN STILL EAT I CAN STILL SMELL LIKE CANDLES AND THINGS LIKE THAT SO MAYBE GO WITH NO +RES0191-014 OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE +RES0191-015 NO +RES0191-036 DIZZINESS NO HAVE YOU FELT LIKE YOUR HEARTS BEATING REALLY FAST OR RACING +RES0191-037 NO +RES0191-038 OK HAVE YOU HAD ANY FEVERS OR CHILLS +RES0191-039 NO +RES0191-040 HAVE YOU HAD A NIGHT SWEATS +RES0191-041 NO +RES0191-042 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +RES0191-043 NO +RES0191-044 OK HAVE YOU HAD ANY LOSS OF APPETITE +RES0191-045 NOPE +RES0191-046 OK HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0191-047 NO +RES0191-048 HAVE YOU HAD ANY ABDOMINAL PAIN +RES0191-049 NO +RES0191-050 HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +RES0191-051 NO +RES0191-052 HAVE YOU HAD ANY PAINFUL URINATION OR URINARY FREQUENCY +RES0191-053 NO +RES0191-054 OK HAVE YOU HAD ANY SKIN RASHES +RES0191-055 NO +RES0191-056 HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS +RES0191-057 NO +RES0191-058 HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION +RES0191-059 NO +RES0191-060 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE OR MALAISE +RES0191-061 NO NOTHING LIKE THAT +RES0191-062 OK AND HAVE YOU HAD ANY SNEEZING +RES0191-063 NO +RES0191-064 OK AND ARE YOU HEALTHY OR OR HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0191-065 NO I'M ACTUALLY PRETTY HEALTHY +RES0191-066 OK HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS +RES0191-067 NOPE +RES0191-068 OK AND ANY ALLERGIES LIKE TO ANY MEDICATIONS OR ANY SEASONAL ALLERGIES LIKE DO YOU GET SYMPTOMS LIKE THIS THAT CHANGE THROUGHOUT THE YEAR +RES0191-069 NO +RES0191-070 OK AND SORRY NO ALLERGIES TO MEDICATIONS AS WELL +RES0191-071 NO ALLERGIES TO MEDICATIONS +RES0191-072 OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER +RES0191-073 NO I DON'T TAKE ANY MEDICATIONS +RES0191-074 OK AND CAN YOU TELL ME ABOUT WHERE YOU'RE LIVING CURRENTLY AND WHO YOU'RE LIVING WITH +RES0191-075 I LIVE BY MYSELF RIGHT NOW I LIVE IN AN APARTMENT DOWNTOWN +RES0191-076 OK AND ARE YOU GOT WORKING RIGHT NOW OR ARE YOU GOING TO SCHOOL OR BOTH +RES0191-077 I'M WORKING RIGHT NOW BUT I'M WORKING FROM HOME +RES0191-078 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK +RES0191-079 NO ONE PERSONALLY BUT I DO GO TO THE GROCERY STORE AND THE BANK AND ALL THE ESSENTIAL THINGS +RES0191-080 I SEE OK AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0191-082 NO I HAVEN'T OK ARE YOU +RES0191-084 IN A RELATIONSHIP I AM +RES0191-086 ARE YOU SEXUALLY ACTIVE I AM OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS +RES0191-087 SO WE'VE BEEN TOGETHER FOR THE PAST FIVE YEARS AND HE'S THE ONLY SEXUAL PARTNER I HAVE +RES0191-088 OK AND DO YOU USE CONDOMS OR BIRTH CONTROL +RES0191-090 CONTROL OK AND ANY CONCERN FOR A SEXUALLY TRANSMITTED +RES0191-094 AND YOU SMOKE CIGARETTES I DON'T DO YOU SMOKE CANNABIS OR USE +RES0191-096 PRODUCTS NOPE OK HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS +RES0191-097 NO +RES0191-098 OK DO YOU DRINK ALCOHOL +RES0191-099 I DO I'LL HAVE LIKE A GLASS OF WINE EVERY DAY +RES0191-100 OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR LUNG CONDITIONS THAT RUN IN THE FAMILY +RES0191-101 NO +RES0191-102 HOW ABOUT THINGS LIKE DIABETES OR OR HIGH BLOOD PRESSURE +RES0191-103 I DON'T THINK SO +RES0191-104 OK AND ARE THERE ANY CANCERS IN THE FAMILY +RES0191-105 THERE'S COLON CANCER IN THE FAMILY +RES0191-106 OK AND WHO WAS THAT AND HOW OLD WERE THEY +RES0191-107 MY GRANDFATHER HE WAS FIFTY FIVE +RES0191-108 OK ALRIGHT AND SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY ON HISTORY +RES0191-110-1 THING ELSE THAT I WAS MAYBE FORGETTING +RES0191-110-2 NO I THINK THAT WAS IT +RES0191-110-3 OK SO WITH THE PROMINENT SYMPTOMS OF BEING NASAL DISCHARGE AND +RES0191-110-4 OBSTRUCTION WITHOUT FEVER AND WITHOUT LIKE CHANGES TO SMELL AND ALSO WITHOUT PAIN IT'S +RES0191-110-5 MOST LIKELY A VIRAL RHINOSINUSITIS +RES0191-113 HAVE SYMPTOMS THAT OVERLAP +RES0191-114 WITH WITH COVID AND +RES0192-000 HOW MAY I HELP YOU +RES0192-001 HI I'M I'M COMING IN BECAUSE I'VE HAD A LOT OF SHORTNESS OF BREATH AND I I'VE HAD THIS COUGH THAT WON'T SEEM TO GO AWAY +RES0192-002 I SEE ALRIGHT SO WHEN DOES THE SHORTNESS OF BREATH HAPPEN IT DO YOU HAVE IT AT REST OR IS IT ON EXERTION +RES0192-003 MOSTLY ON EXERTION +RES0192-004 OK HOW FAR ARE YOU ABLE TO WALK BEFORE YOU GET SHORTER BREATH OR HOW MANY FLIGHTS OF STAIRS ARE YOU ABLE TO DO +RES0192-005 MAYBE LIKE TWO FLIGHTS OF STAIRS +RES0192-006 OK AND WHEN DID YOU NOTICE THAT THE CHANGE +RES0192-007 SO I'VE HAD THIS SHORTNESS OF BREATH LIKE AT FIRST IT WAS PRETTY MILD IT STARTED ABOUT FOUR MONTHS AGO BUT OVER THE PAST MONTH OR SO IT'S BEEN IT'S BEEN WORSE +RES0192-008 OK SO A BIT SO IT'S BEEN GOING ON FOR A BIT OF TIME NOW +RES0192-009 OK DO YOU ARE YOU ABLE TO LIE DOWN FLAT WITHOUT EXPERIENCING SHORTER BREATH +RES0192-010 YEAH I THINK SO I THINK THAT'S FINE +RES0192-011 OK SO SO IT SOUNDS LIKE NO ORTHOP IS WHAT THEY CALL IT AND HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT AND YOU'RE SHORT OF BREATH AND YOU NEED TO SIT UP AN END TO +RES0192-013 CATCH IT NO OK AND HAVE YOU +RES0192-015 ANY LEG SWELLING NO OK ANY YOU MENTIONED THAT YOU'VE HAD A COUGH AS WELL +RES0192-016 HOW LONG HAVE YOU EXPERIENCED A COUGH FOR THE COUGH ALSO AROUND THE SAME TIME IT STARTED OFF PRETTY MILD BUT NOW +RES0192-017 I LIKE I HAVE IT ALL THE TIME OK ARE YOU COUGHING UP ANY +RES0192-018 SPUTUM OR ANY PHLEGM +RES0192-021 UP ANY BLOOD NO OK AND HAVE YOU +RES0192-023 WHEEZING NO WHEEZING +RES0192-024 OK HOW HOW ABOUT ANY CHEST PAIN NO CHEST PAIN I GUESS WITH THE COUGHING CAUSE I'M COUGHING SO MUCH IT HURTS BUT NOT CHEST PAIN IN THE SENSE LIKE IT'S IN THE AREA OF MY HEART OR ANYTHING LIKE THAT +RES0192-025 OK SO DOES THAT LIKE HOW WOULD YOU DESCRIBE IT IS IT LIKE SHARP ACHY DULL OR PRESSURE LIKE +RES0192-026 IT'S A IT'S KIND OF LIKE A TUGGING FEELING +RES0192-027 OK IT DOES IT GO AWAY AFTER YOU'RE DONE COUGHING +RES0192-028 I SEE OK AND HAVE YOU EXPERIENCED ANY ANY HEADACHES +RES0192-029 NO NO HEADACHES +RES0192-030 OK HOW ABOUT ANY LIKE EYE REDNESS OR EYE DISCHARGE +RES0192-032 DISCHARGE NO ANY EAR PAIN +RES0192-034 OR YOUR DISCHARGE NO HOW ABOUT ANY CHANGES TO VISION OR HEARING +RES0192-035 NO +RES0192-036 OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +RES0192-037 NO +RES0192-038 OK HOW ABOUT ANY CHANGES TO OR HAVE YOU HAD ANY LOSS OF SMELL OR ANY LOSS OF TASTE +RES0192-039 NO +RES0192-040 OK AND HAVE YOU HAD A LOSS OF APPETITE +RES0192-041 NO +RES0192-042 OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +RES0192-043 I HAVE HAD SOME WEIGHT LOSS ACTUALLY ABOUT FIFTEEN POUNDS OVER THE PAST SIX MONTHS +RES0192-044 OK AND HAVE YOU BEEN TRYING TO LOSE WEIGHT +RES0192-045 NO +RES0192-046 OK HAVE YOU HAD ANY FEVERS +RES0192-047 NO +RES0192-048 HAVE YOU HAD ANY CHILLS +RES0192-049 NO +RES0192-050 HAVE YOU HAD ANY NIGHT SWEATS +RES0192-051 NO +RES0192-052 OK AND HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING +RES0192-053 NO +RES0192-054 HAVE YOU HAD ANY FAINTING OR LIGHTHEADEDNESS OR DIZZINESS +RES0192-055 NO +RES0192-060 NAUSEA OR VOMITING NO HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +RES0192-061 NO +RES0192-062 AND HAVE YOU HAD ANY SKIN RASHES +RES0192-063 NO +RES0192-064 HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS +RES0192-065 NO +RES0192-066 AND HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS +RES0192-067 NO +RES0192-068 OK AND HOW IS YOUR ENERGY BEEN RECENTLY HAVE YOU HAD ANY FATIGUE OR MALAISE +RES0192-069 NO +RES0192-070 OK ALRIGHT SO IT SOUNDS LIKE THIS THIS DRY COUGH AND THEN AND SHORTNESS OF BREATH IT IS MOSTLY WHAT YOU BEEN EXPERIENCING AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0192-071 I HAVE A COPD +RES0192-072 OK AND DO YOU USE ANY MEDICATIONS OR ANY INHALERS +RES0192-073 KNOW IT'S VERY MILD I IT'S SO I HAVEN'T REALLY I WAS JUST RECENTLY DIAGNOSED SO I HAVEN'T BEEN STARTED ON ANY MEDICATIONS JUST YET +RES0192-074 OK DID YOU DO I I PULMONARY FUNCTION TESTS WHERE YOU'RE BREATHING INTO A TUBE +RES0192-077 DO YOU HAVE ANY ALLERGIES NO AND HAVE YOU HAD ANY +RES0192-079 HOSPITALIZATIONS OR ANY PREVIOUS SURGERIES NO OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE +RES0192-080 WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH I LIVE IN A HOUSE WITH +RES0192-081 MY HUSBAND OK AND HAS YOUR HUSBAND BEEN SICK +RES0192-083 OR ANYBODY YOU'VE BEEN AROUND BEEN SICK +RES0192-084-1 NO OK AND ARE YOU CURRENTLY WORKING +RES0192-084-2 YEAH SO I I'M WORKING IN CONSTRUCTION I USED TO WORK IN SHIPYARDS BEFORE BUT RECENTLY I'VE +RES0192-084-3 I'VE BEEN DOING SOME CONSTRUCTION NOTHING HEAVY JUST WORKING ON SOME +RES0192-085 OLD BUILDINGS I'LL UST TAKE THE ODD JOB OR SOMETHING THAT COMES UP IT'S NOT FULL TIME OK AND +RES0192-086-1 ANY CONCERNS FOR LIKE EXPOSURES WHILE YOU'RE AT WORK IN TERMS LIKE BREATHING IN ANY DUSTS OR ANY FUMES +RES0192-086-2 WE'RE GIVEN A PERSONAL PROTECTIVE EQUIPMENT FOR THOSE CONCERNS BUT +RES0192-086-3 WHEN I WAS YOUNGER I USED TO WORK A IN SHIPYARDS AND CONSTRUCTIONS AND LIKE OLD BUILDINGS AND STUFF AND I KNOW THERE WAS SOME CONCERN FOR NOT BEING +RES0192-087 PROPERLY EQUIPPED WITH THE RIGHT EQUIPMENT FOR PROTECTION AND SAFETY AT THAT POINT SO +RES0192-088 IT'S POSSIBLE I'VE BEEN EXPOSED TO SOME THINGS I SEE +RES0192-089 IS THERE A CHANCE THAT THERE COULD HAVE BEEN ASBESTOS AT ANY OF THOSE PLACES THAT YOU WORKED YEAH ASBESTOS +RES0192-090 OR MOLD YEAH YOU NAME IT PROBABLY EVERYTHING I SEE THIS WAS LIKE TEN YEARS AGO TWENTY YEARS AGO OR OR LONGER YEAH AND SO IT WOULD HAVE BEEN +RES0192-091 ABOUT LIKE THIRTY YEARS AGO OR YEAH +RES0192-092 THIRTY FORTY YEARS AGO AND I WORKED IN THOSE PLACES FOR THIRTY +RES0192-093 SO AROUND THAT TIME OK +RES0192-112 NO OK AND I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY TODAY WAS THERE ANYTHING ELSE THAT YOU +RES0193-000 WHAT BRINGS YOU HERE TODAY +RES0193-001 HI I BRING YOU MY SON TODAY BECAUSE I'VE NOTICED HE'S HAD BEEN HAVING THIS COUGH SOMETIMES HE'LL HAVE IT AT NIGHT AND AND HE'LL HAVE SOME WHEEZING +RES0193-002 DIFFICULTIES BREATHING AS WELL OK +RES0193-003 AND WHEN DID THIS ALL START SO I I'VE BEEN NOTICING IT OVER THE LAST SEVERAL MONTHS IT'S BEEN HAPPENING A COUPLE OF TIMES PER WEEK WHERE HE'LL GET THIS COUGH AND +RES0193-004 THAT AT NIGHT TIME AND YEAH SO OVER THE LAST SEVERAL MONTHS OK AND WHAT DID IT START WITH COUGHING OR LIKE THE SHORTNESS +RES0193-005-1 OF BREATH WHAT WOULD IT KIND OF START WITH +RES0193-005-2 ARE MORE THE THE COUGHING HE JUST GET IT AT NIGHT TIME AND THEN SOMETIMES HE WOULD GET IT LIKE IT AT AT SCHOOL AS WELL OR EVEN IF YOU WENT OVER TO +RES0193-005-3 ONE OF US HIS FRIENDS HOUSES SOMETIMES HE WOULD COME HOME AND OR AFTERWARDS HE WOULD HAVE A COUGH AND WHEEZE AND AND BE SHORT OF BREATH +RES0193-006 OK AND SO IS IT USUALLY AFTER HE'S WORKED HIMSELF UP AND LIKE EXERCISE OR LIKE JUST BEEN REALLY ACTIVE +RES0193-007 THAT DEFINITELY I NOTICED THAT AFTER THOSE TIMES FOR FOR SURE +RES0193-008 OK AND ARE THESE LIKE THE COUGHING IS IT WET OR DRY +RES0193-009 IT'S IT'S A DRY COUGH +RES0193-010 DRY COUGH OK SO NO YELLOW GREEN MATERIAL OR BLOOD COUGHED UP +RES0193-011 NO NOTHING LIKE THAT COUGHED UP +RES0193-012 OK AND YOU'RE SAYING YOU ALSO HEAR WHEEZING RIGHT +RES0193-013 YEAH I'LL HEAR A WHEEZE HE HAS THIS LIKE HIGH PITCHED +RES0193-014 WHISTLING SOUND WHEN HE EXHALES OK AND HAS HE AT ALL HAD THIS HAPPEN +RES0193-015 BEFORE OR IS THIS THE FIRST TIME THIS IS HAPPENING LIKE WHEN HE WAS REALLY YOUNG I THINK LIKE TWO HE HAD LIKE BRONCHIOLITIS OR SOMETHING LIKE THAT I THINK IT WAS CALLED YOU HAD A COUGH AND LIKE A WHEEZE AT THAT TIME BUT I THINK IT WAS BECAUSE OF A LIKE AN INFECTION OR VIRAL A VIRAL ILLNESS +RES0193-016 I SEE HAS HE HAD ANY SORE THROAT RUNNY NOSE COLD LIKE SYMPTOMS AT ALL RECENTLY +RES0193-017 NO HE HASN'T HAD ANYTHING LIKE THAT +RES0193-018 OK OK SO HIS SYMPTOMS MAINLY OCCUR WHEN HE'S VERY ACTIVE SO THEY KIND OF COME AND GO AND HAVE YOU TRIED IT AT ALL ANYTHING THAT HAS HELPED WITH THE SYMPTOMS +RES0193-019 NO I HAVEN'T TRIED ANYTHING +RES0193-020 OK ANY KIND OF DIZZINESS CHANGES IN HIS BEHAVIOR AT ALL FROM BEING VERY IRRITABLE TO VERY FATIGUED ANYTHING LIKE THAT +RES0193-021 NO NOTHING LIKE THAT +RES0193-022 OK ANY FEVERS OR CHILLS +RES0193-023 NO +RES0193-024 OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHO'S BEEN SICK +RES0193-025 NO +RES0193-026 ANY NAUSEA OR VOMITING +RES0193-027 NO +RES0193-028 OK ANY CHANGES IN HIS BOWEL MOVEMENTS +RES0193-029 NO HE HASN'T HAD ANY DIARRHEA SO NO DIARRHEA NO CONSTIPATION +RES0193-030 OK AND ANY CHANGES IN HIS APPETITE AT ALL +RES0193-031 NO HE'S BEEN EATING AND GROWING WELL +RES0193-032 OK ANY CHANGES IN HIS WEIGHT +RES0193-033 HE'S BEEN GAINING WEIGHT OVER THE LAST OVER THE LAST LITTLE WHILE I THINK HE'S BEEN GAINING WEIGHT APPROPRIATELY +RES0193-034 OK DO YOU FIND THAT HIS SYMPTOMS GET WORSE IN ANY PARTICULAR SEASON LIKE THE WINTER OR ANYTHING LIKE THAT +RES0193-035 I I MEAN SOMETIMES I GUESS LIKE IN THE IN THE FALL OR WHEN THE SEASONS CHANGE SHE DOES GET LIKE ITCHY EYES AND LIKE A RUNNY NOSE I THINK HE DOES HAVE MAYBE SOME ENVIRONMENTAL ALLERGIES +RES0193-036 OK OK AND AT HOME OR AT SCHOOL ANY EXPOSURE TO LIKE FUMES DUST OR ANIMALS +RES0193-037 NO ANIMALS AT AT HOME BUT THE FRIENDS HOUSE HE GOES OVER TO SOMETIMES THEY HAVE A CAT THERE +RES0193-038 OK AND DOES DOES HE GET THOSE SYMPTOMS AT HIS FRIENDS HOUSE +RES0193-039 SOMETIMES HE'LL COME HE'LL HE'LL HAVE A BIT OF A COUGH AND YOU CAN HEAR A WHEEZE SOMETIMES THAT AFTER IT GOES AWAY RELATIVELY QUICKLY WE LIKE WITHIN THIRTY TO SIXTY MINUTES AND BUT +RES0193-040 OK ANY PAST MEDICAL CONDITIONS THAT HE'S +RES0193-041 BEEN DIAGNOSED WITH NO HE JUST HAD THAT THE EPISODE OF I THINK BRONCHIOLITIS WHEN HE WAS YOUNG +RES0193-042 BUT THAT WAS IT OK ANY MEDICATIONS THAT HE HAS TO TAKE REGULARLY +RES0193-043 NO +RES0193-044 NO ANY ALLERGIES TRAINING MEDICATIONS +RES0193-046 NO NO OR ANY ALLERGIES TO ANY ENVIRONMENTAL OR FOOD FACTORS +RES0193-048 THINK SO OK HAVE YOU HAD ANY RASHES AT ALL PREVIOUSLY +RES0193-050 HAD ANY ANY RASHES +RES0193-052 AND ANY HOSPITALIZATIONS OR SURGERIES NO OK AND ANY FAMILY HISTORY OF ANY HEART LUNG CONDITIONS ANY HISTORY OF ASTHMA AT ALL +RES0193-053 HIS MOM HAS A HAS ASTHMA AND SHE USES A AN INHALER LIKE DAILY FOR IT +RES0193-054 OK HAS WHEN DID THE MOM GET DIAGNOSED WITH ASTHMA WAS IT DURING CHILDHOOD +RES0193-055 YEAH SHE WAS YOUNGER EVER SINCE I'VE KNOWN HER SHE SAID SHE'S HAD SHE'S HAD ASTHMA IT HASN'T HAD ANY LIKE REAL I GUESS EXACERBATIONS THAT THAT I'VE NOTICED OR BEEN ABLE TO CONTROL HER SYMPTOMS WITH +RES0193-056 WITH INHALERS OK AND FOR HIM HOW MANY TIMES WOULD YOU SAY HE'S HAVING THESE EPISODES IN AN AVERAGE WEEK NOW +RES0193-057 I WOULD SAY TWO +RES0193-058 TWO AND IS HE GETTING ANY OF THESE SYMPTOMS AT NIGHT TIME LIKE HIM WAKING UP +RES0193-059 HE IS IT'S IT IT IS HAPPENING AT NIGHT +RES0193-060 OK AND THEN AS HE MISSED ANY DAYS OF SCHOOL DUE TO THIS +RES0193-061 YEAH HE'S MISSED A COUPLE OF DAYS IN THE PAST MONTH BECAUSE HE JUST DIDN'T SLEEP WELL AND THEN NOT FEELING GOOD THE NEXT DAY SO +RES0193-068 ALL OF HIS MILESTONES AND GROWING WELL OK AND ANY AT ALL ISSUES FROM THE SCHOOL IN TERMS OF LEARNING DIFFICULTIES OR ANYTHING LIKE THAT +RES0193-069 NO HE'S BEEN DOING WELL IN IN SCHOOL +RES0193-070 OK THAT'S GOOD DOES HE HAVE ANY SIBLINGS +RES0193-071 NO HE'S A IT IT'S JUST HIM HE'S OUR ONLY CHILD +RES0193-072 AND WHAT'S THE HOME SITUATION LIKE WHO DOES HE LIVE WITH +RES0193-073 SO IT'S MYSELF AND MY WIFE WHICH HIS MOM AND SO IT'S JUST US THREE AND WE LIVE IN A IN A HOUSE +RES0193-074 OK AND ANYONE IN THE HOUSEHOLD DOES ANYONE SMOKE AT ALL +RES0193-075 NO THERE AREN'T ANY SMOKERS IN THE HOME +RES0193-076 OK AND ANY NEW CARPETS OR ANY DUST RUNNING OR MOLD OR ANYTHING LIKE THAT IN THE HOUSE +RES0193-077 THAT THERE IS A CARPET AND IN THE BASEMENT THAT HE USES THAT AS HIS PLAYROOM SOMETIMES +RES0193-078 OK OK SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY QUESTIONS AT ALL +RES0193-079 I WAS JUST WONDERING LIKE IF THIS COULD BE MAYBE ASTHMA AS WELL +RES0193-080-1 SO DEFINITELY THAT'S SOMETHING THAT'S AT THE TOP OF OUR HEAD RIGHT NOW ESPECIALLY DUE TO HIS AGE AND THE SYMPTOMS THAT HE'S BEEN HAVING AFTER EXERTION IN PARTICULAR +RES0193-080-2 AND THE FAMILY HISTORY OF ASTHMA AS WELL SO DEFINITELY THAT'S SOMETHING THAT WE WANT TO INVESTIGATE +RES0193-080-3 SO WHAT WE'LL DO FOR HIM IS FIRST WE'LL DO LIKE A FULL PHYSICAL EXAMINATION LISTEN TO HIS LUNGS +RES0193-080-4 AND JUST ASSESS HIS BREATHING AND THEN AFTERWARDS WE WILL ORDER SOME TESTS FOR HIM SO HE'S SIX YEARS OLD RIGHT +RES0193-081 HE IS YES +RES0193-082 OK SO WE'LL SEE IF WE CAN DO SOMETHING CALLED A PULMONARY FUNCTION TEST SOMETIMES IT DEPENDS ON THE CHILD IF THEY'RE ABLE TO FOLLOW INSTRUCTIONS AND SO THAT TEST REQUIRES A COMPLETELY BREATHING OUT AND FOLLOWING SOME INSTRUCTIONS DURING THE TEST SO SINCE HE'S SIX HE MIGHT BE ABLE TO DO THAT +RES0193-083-1 WE WE CAN TRY THAT AND THEN AFTERWARDS WE'LL SEE IF HE REQUIRES ANYTHING LIKE AN ALLERGY TESTING OR WE WILL WE MIGHT NEED +RES0193-083-2 TO HELP MANAGE HIS SYMPTOMS WITH A PUFFER FOR EXAMPLE LIKE VENTILIN AND AN INHALED CORTICO STEROID BUT THOSE ARE JUST SOME DISCUSSIONS WILL HAVE IN THE NEAR FUTURE AFTER WE'VE DONE ALL THESE INVESTIGATIONS +RES0193-084 OK GREAT THANK YOU +RES0193-085 YOU'RE WELCOME ALRIGHT TAKE CARE +RES0194-000 WHAT BRINGS YOU IN HERE TODAY +RES0194-001 HI I'VE COME IN TODAY BECAUSE I HAD THIS COUGH IT STARTED THREE DAYS AGO AND SINCE THAT TIME I'VE ALSO STARTED TO HAVE THESE HEADACHES AND BEEN FEELING REALLY KINDA ACHY ALL OVER +RES0194-002 OK SO WHAT WHAT KIND OF STARTED FIRST TO COUGH OR THE ACHES +RES0194-003 THE COUGH STARTED FIRST +RES0194-004 OK AND IS IT DRY COUGH OR A WET COUGH +RES0194-005 IT'S DRY +RES0194-006 OK SO YOU'RE NOT BRINGING UP ANY SPUTUM OR BLOOD OR ANYTHING LIKE THAT +RES0194-007 NO I'M NOT COUGHING UP ANY SPUTUM OR OR BLOOD +RES0194-008 OK THAT'S GOOD AND THE MUSCLE ACHES SO WERE YOU DOING ANYTHING RECENTLY LIKE ANYTHING STRENUOUS INCREASED EXERCISE LIFTING ANYTHING OR ANY INJURIES AT ALL RECENTLY +RES0194-009 NO NOT NOTHING I CAN THINK OF LIKE THAT +RES0194-010 OK AND WHERE ARE YOU GETTING YOUR MUSCLE ACHES +RES0194-011 IT'S LIKE KIND OF ALL OVER THE FEEL JUST GENERALLY ACHY +RES0194-012 OK GENERALLY ACHE OK AND ARE YOU GETTING ANY KIND OF HEADACHES OR ANYTHING LIKE THAT +RES0194-013 I'VE HAD THIS HEADACHE AS WELL IT'S KIND OF COME AND GONE A LITTLE BIT OVER THE LAST COUPLE OF DAYS BUT HAD A LITTLE BIT OF A HEADACHE EACH DAY +RES0194-014 OK AND THE HEADACHE WHERE WHERE IS IT EXACTLY LOCATED +RES0194-015 I FEEL IT RIGHT AT THE FRONT OF MY MY FOREHEAD KIND OF ON BOTH SIDES OF MY HEAD IT FEELS LIKE A BAND JUST SQUEEZING AROUND +RES0194-016 OK AND IS IT WHAT KIND OF PAIN IS IT IS IT LIKE ACHING PAIN IS IT KIND OF LIKE A PULSATING PAIN PRESSURE LIKE PAIN HOW WOULD YOU DESCRIBE IT +RES0194-017 IT'S MORE LIKE PRESSURE +RES0194-018 PRESSURE OK AND HAVE YOU DO YOU ARE YOU ARE YOU SOMEONE THAT USUALLY HAS HEADACHES +RES0194-019 EVERY ONCE IN AWHILE BUT I MEAN I DON'T GET THEM THAT OFTEN MAYBE WHEN I'M SICK OR DON'T SLEEP VERY WELL +RES0194-020 OK HAVE YOU TRIED ANYTHING FOR YOUR PAINS OR HEADACHES +RES0194-021 I DID TAKE SOME TYLENOL AND IT IT HELPS TAKE THAT THE EYE DROP A BIT I TRIED SOME ADVIL TOO IT'S SO MEAN THAT THE HEADACHES KIND OF COME AND GONE A LITTLE BIT BUT I THINK ONCE THAT WEARS OFF IT THE HEADACHES COME BACK +RES0194-022 OK AND HAVE YOU TRIED ANYTHING FOR YOUR COUGH +RES0194-023 NO I HAVEN'T TRIED ANYTHING FOR THE COUGH +RES0194-024 OK HAVE YOU HAD ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS +RES0194-025 I HAVE I I HAVE FELT A LITTLE BIT FEVERISH YEAH I HAVEN'T HAD ANY CHILLS THOUGH +RES0194-026 OK AND WHEN DID YOU START FEELING FEVERISH +RES0194-027 MAYBE WITHIN THE LAST COUPLE OF DAYS AS WELL +RES0194-028 AND DID YOU MANAGE TO GET A TEMPERATURE AT ALL +RES0194-029 NO I'VE JUST FELT REALLY HOT +RES0194-030 OK ANY OTHER SYMPTOMS LIKE RUNNY NOSE SORE THROAT CHEST PAIN ANYTHING LIKE THAT +RES0194-031 NO I HAVEN'T HAD ANY ANY SORE THROAT OR CHEST PAIN NO RUNNY NOSE EITHER +RES0194-032 OK ANY SHORTNESS OF BREATH +RES0194-033 NO +RES0194-034 OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHO'S BEEN ILL +RES0194-035 I DON'T I DON'T THINK SO I MEAN I I HAVEN'T TRAVELED ANYWHERE I'M IN IN MY NOBODY IN MY FAMILY'S BEEN SICK AT HOME +RES0194-042 OR FATIGUE NO NO NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION +RES0194-043 I HAVE HAD I ACTUALLY HAD YOU MENTIONED DIARRHEA FOR THE PAST A DAY AS WELL +RES0194-044 OK A DIARRHEA FOR SO JUST FOR THE PAST DAY HAVE YOU NOTICE ANY CHANGES IN COLOR OR HAVE YOU NOTICED ANY BLOOD IN IT +RES0194-045 NO BLOOD IN THE STOOL I'M JUST IT'S JUST BEEN REALLY LOOSE +RES0194-046 OK HAVE YOU HAD ANY FOODS RECENTLY THAT A THAT YOU'VE TRIED MAYBE LIKE FOR THE FIRST TIME OR HAVE YOU EATEN OUTSIDE AT ALL +RES0194-047 NO IT'S BEEN PRETTY STABLE SO I HAVEN'T HAD ANY CHANGES LIKE THAT +RES0194-048 OK ANY CHANGES IN YOUR APPETITE OR WEIGHT +RES0194-049 I'VE BEEN LESS HUNGRY FOR SURE SO I I'VE HAD A DECREASED APPETITE BUT MY WEIGHTS BEEN STABLE RECENTLY SO +RES0194-050 NO CHANGES IN WEIGHT OK AND ANY EXPOSURE TO FUMES OR DUST OR ANIMALS WITHIN YOUR HOME ENVIRONMENT OR WORK ENVIRONMENT +RES0194-051 NO NOTHING LIKE THAT +RES0194-052 HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0194-053 NO I'VE BEEN HEALTHY +RES0194-054 OK DO YOU TAKE ANY MEDICATIONS +RES0194-055 NO JUST I I'M A MULTI VITAMIN AND VITAMIN D +RES0194-056 OK ANY ALLERGIES TO ANY MEDICATIONS AT ALL +RES0194-057 NO NO ALLERGIES +RES0194-058 OK ANY ALLERGIES TO ANY ENVIRONMENTAL FACTORS OR FOODS +RES0194-059 I I DO HAVE AN ALLERGY TO PEANUTS AND SO I CARRY AN EPIPEN FOR THAT BUT THAT'S THE ONLY FOOD +RES0194-060 OK AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0194-061 I DID HAVE SURGERY LIKE AN ACL REPAIR AND REPAIRED KNEE AND KNEE SURGERY ABOUT TEN YEARS AGO AND BUT THAT THAT'S THE ONLY SURGERY +RES0194-062 OK ANY FAMILY HISTORY OF ANY LONGER HEART CONDITIONS +RES0194-063 MY DAD HAD HIGH HIGH BLOOD PRESSURE AND MY MY GRANDFATHER I HAD HAD LUNG CANCER ACTUALLY WHEN HE WAS IN HIS EIGHTIES WHEN HE PASSED AWAY FROM THAT AND HE WAS A SMOKER'S WHOLE LIFE +RES0194-064 OK CURRENTLY DO YOU WORK AT ALL +RES0194-065 YEAH I I HAVE BEEN WORKING I WORK FOR A A PHARMACY COMPANY SO I'VE BEEN HAVING TO GO INTO THE OFFICE SOMETIMES TO HELP KIND OF PREPARE STUFF +RES0194-066 OK AND IN YOUR WORKPLACE HAVE YOU NOTICE ANYONE SICK AT ALL +RES0194-067 NO I DON'T THINK I DON'T HAVEN'T NOTICED ANYBODY BEEN WHO'S BEEN SICK BUT WE'VE BEEN THERE HAVE BEEN OTHER PEOPLE WHO HAVE BEEN GOING INTO THE OFFICE AS WELL +RES0194-068 OK AND DO YOU USUALLY WEAR MASKS AROUND OTHER PEOPLE +RES0194-069 WE'VE BEEN WEARING MASKS AND AND THERE ARE CLEANING PROTOCOLS AND DISTANCING PROTOCOLS AS WELL TRYING TO KEEP EVERYBODY SAFE +RES0194-070 OK AND SINCE YOU'VE HAD THESE SYMPTOMS HAVE YOU GONE INTO WORK AT ALL +RES0194-071 NO NO I'VE ACTUALLY I'VE BEEN OFF FOR THE THE LAST COUPLE OF DAYS +RES0194-072 OK +RES0194-073 I'VE JUST BEEN BEEN DOING WHAT I CAN FROM HOME +RES0194-074 OK AND WHAT'S YOUR HOME SITUATION LIKE WHO DO YOU LIVE WITH +RES0194-075 SO I LIVE WITH MY I LIVE WITH MY WIFE AND WE LIVE IN A TOWNHOUSE JUST RIGHT IN THE CITY HERE +RES0194-076 OK AND HAS SHE BEEN DISPLAYING ANY SYMPTOMS AT ALL +RES0194-077 NO SHE HASN'T SHE'S BEEN BEEN FEELING GOOD +RES0194-078 OK THAT'S GOOD AND CURRENTLY DO YOU SMOKE +RES0194-079 NO I'M NOT A SMOKER +RES0194-080 OK ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0194-081 I WILL SOMETIMES USE LIKE THE CBD OR LIKE THE OILS BUT THAT THAT'S IT +RES0194-082 OK AND DO YOU DRINK ALCOHOL +RES0194-083 I'LL HAVE A FEW BEERS ON THE WEEKEND SOMETIMES LIKE BUT THAT THAT'S THAT'S ABOUT IT MAYBE LIKE THREE OR FOUR BEERS A WEEK +RES0194-084 ALRIGHT OK SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL +RES0194-085 YEAH I WAS JUST WORRIED THAT IT COULD BE COVID WITH HOW EVERYTHING'S GOING ON AND THAT'S JUST SORT OF WHAT I WAS WONDERING ABOUT TODAY +RES0194-086-1 YEAH SO THAT'S SOMETHING WE DEFINITELY WANT TO RULE OUT YOUR SYMPTOMS DEFINITELY OVERLAP WITH THE CLUSTER OF SYMPTOMS THAT SOMEONE MAY GET WITH COVID SO WE WILL DO A SWAB ON YOU TODAY +RES0194-086-2 AND RECOMMEND THAT YOU ISOLATE FOR TWO WEEKS UNTIL YOUR SYMPTOMS HAVE GONE AND THE TEST RESULT YOU WILL GET YOU WILL GET BACK IN THE NEXT TWENTY FOUR TO FORTY EIGHT HOURS +RES0194-086-3 AND ALONGSIDE YOUR TEST RESULTS SO YOU WILL ALSO GET FURTHER INSTRUCTIONS FROM PUBLIC HEALTH ABOUT WHETHER OR NOT YOU NEED ANOTHER SWAB LATER ON AND WHEN TO RETURN TO WORK +RES0194-087 OK THAT THAT SOUNDS GOOD THANK YOU +RES0194-088 NO WORRIES AND IT CAN DEFINITELY ALSO BE ANOTHER VIRAL INFECTION AS WELL EVEN IF IT'S NOT COVID IN WHICH CASE IT JUST YOU JUST NEED TO GET SOME REST STAY HYDRATED AND LET IT TAKE ITS COURSE +RES0194-089 OK NOW THAT SOUNDS THAT SOUNDS GOOD SO IT COULD BE COVID OR LIKE ANOTHER VIRAL ILLNESS +RES0194-090 OK THANK YOU +RES0194-091 WELCOME TAKE CARE TAKE CARE +RES0195-000 WHAT BRINGS YOU IN HERE TODAY +RES0195-001-1 HI I'M SO OVER THE PAST FEW MONTHS I'VE NOTICED THAT I GET SHORT OF BREATH SOMETIMES AND MY EYES ARE SO IRRITATED +RES0195-001-2 AND THEY FEEL ITCHY AND RED AND I'VE ALSO NOTICED THIS RASH BELOW MY KNEES SO I JUST WANTED TO GET EVERYTHING CHECKED OUT +RES0195-002 OK AND WHEN DID THIS ALL KIND OF START +RES0195-003 IT STARTED A COUPLE MONTHS AGO LIKE TWO THREE MONTHS AGO +RES0195-004 OK AND WHEN DID THE SHORTNESS OF BREATH START +RES0195-005 THAT'S BEEN ON AND OFF FOR THE PAST TWO MONTHS AS WELL +RES0195-006 OK AND HOW ABOUT THE RASHES +RES0195-007 THE RASHES STARTED LIKE A MONTH BACK BUT IT LOOKS WORSE NOW IT STARTED OFF SMALL +RES0195-008 OK SO FOR THE COUGH IS IT LIKE A DRY COUGH OR A WET COUGH +RES0195-009 IT'S A PRETTY DRY COUGH +RES0195-010 DRY COUGH OK ARE YOU BRINGING UP ANY GREEN OR YELLOW MATERIAL OR ANY BLOOD AT ALL +RES0195-011 NO +RES0195-012 OK AND THIS ALSO STARTED LIKE A FEW MONTHS AGO +RES0195-013 YES +RES0195-014 AND IS IT CONSTANT OR DOES IT COME AND GO +RES0195-015 IT'S IT'S GETTING WORSE NOW SO IT FEELS MORE CONSTANT NOW BUT AT FIRST IT IT JUST CAME IN YEAH IT CAME IN WENT +RES0195-016 OK AND HAS THIS HAPPENED TO YOU BEFORE AT ALL OF THESE SYMPTOMS +RES0195-017 NO +RES0195-018 OK ALRIGHT SO IT STARTED A FEW MONTHS AGO AND HOW ABOUT THE RASHES ARE THEY HAVE THEY BEEN THERE LIKE THE ONES BELOW YOUR KNEE SINCE THE TWO MONTHS OR DO THEY COME AND GO +RES0195-019 THAT'S BEEN THERE FOR THE PAST MONTH +RES0195-020 OK AND CAN YOU DESCRIBE THE RASH A LITTLE BIT WHAT DOES IT LOOK LIKE +RES0195-021-1 SURE SO IT'S NOW PRETTY DIFFUSE IT'S JUST BELOW MY KNEES LIKE ON MY SHINS IT'S ON BOTH SIDES THE ONE ON MY RIGHT SIDE IS A LITTLE BIT BIGGER IT'S ABOUT +RES0195-021-2 I'D SAY MAYBE LIKE TEN CENTIMETERS AND DIAMETER IT'S IT'S RED OR LIKE A DARK PINK THERE'S NOTHING COMING OUT OF IT +RES0195-022 OK IS IT PAINFUL OR ITCHY AT ALL +RES0195-023 IT'S PAINFUL +RES0195-024 YEAH IT'S PAINFUL OK WHAT KIND OF PAINT DO YOU FEEL THAT WHEN YOU +RES0195-025 PRESS ON IT IT'S IT'S NOT THAT OK SO IT'S NOT PAINFUL PAINFUL IT'S TENDER SO IF I TOUCH IT IT WILL FEEL TUG TENDER +RES0195-026 OK HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU RELIEVE THESE SYMPTOMS +RES0195-027 I TOOK SOME IBUPROFEN THAT HELPED A LITTLE BIT +RES0195-028 OK OK AND SO YOU'VE HAD THE COUGH BUT HAVE YOU BEEN HAVING ANY KIND OF SHORTNESS OF BREATH +RES0195-029 NO WELL ACTUALLY SORRY SORRY I HAVE HAD A SHORTNESS OF BREATH I HAVEN'T HAD A COUGH +RES0195-030 OK SO NO COUGH BUT YOU'VE BEEN HAVING SHORTNESS OF BREATH +RES0195-031 AND WHEN YOUR SHORTNESS OF BREATH IS IT MORE SO THAT YOU'RE NOT ABLE TO TAKE DEEP BREATHS OR YOU TAKING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT +RES0195-032 IT JUST FEELS LIKE I CAN TAKE IN A FULL DEEP BREATH +RES0195-033 I SEE AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS +RES0195-034 NO +RES0195-035 OK AND HOW ABOUT THE EYE IRRITATION WHEN DID THAT START +RES0195-036 THAT STARTED A MONTH AGO AS WELL +RES0195-037 OK AND YOU DO YOU HAVE ANY RED EYES OR CAN YOU SEE ANY CHANGES IN YOUR VISION AT ALL +RES0195-038 MY EYES DO LOOK A LITTLE BIT RED AND I DON'T KNOW IF MY VISION CHANGED A LOT BUT SOMETIMES THINGS WILL LOOK A LITTLE BIT BLURRY WHEN THEY'RE FAR AWAY +RES0195-039 OK AND WITH THE SHORTNESS OF BREATH IS IT BROUGHT ON BY EXERTION OR CAN IT BE AT REST AS WELL +RES0195-040 IT CAN BE AT REST AS WELL +RES0195-041 OK AND THEN DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY JOINT PAINS +RES0195-042 NO NO JOIN PAINS +RES0195-043 OK ANY NAUSEA OR VOMITING +RES0195-044 NO +RES0195-045 OK ANY HEADACHES +RES0195-046 NO +RES0195-047 ANY MUSCLE PAIN +RES0195-048 NO +RES0195-049 OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHO'S BEEN SICK +RES0195-050 NO +RES0195-051 DO YOU SEE ANY OR DO YOU NOTICE ANY LIKE FLUID COMING OUT FROM YOUR EYES OR ANYTHING LIKE THAT +RES0195-052 NO I DIDN'T NOTICE THAT +RES0195-053 OK DO YOU GET ANY NIGHT SWEATS +RES0195-054 NO +RES0195-055 AND ANY CHEST PAIN +RES0195-056 SOMETIMES THE SHORTNESS OF BREATH +RES0195-057 OK IS IT JUST LIKE A DISCOMFORT OR IS IT A PRESSURE OR STABBING PAIN +RES0195-058 IT JUST FEELS LIKE A DISCOMFORT +RES0195-059 DO YOU FEEL YOUR HEART IS RACING +RES0195-061 NO OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL +RES0195-062 NO NOTHING LIKE THAT +RES0195-063 ANY CHANGES IN YOUR URINARY PATTERN +RES0195-064 NO +RES0195-065 OK ANY SORE THROAT RUNNY NOSE ANY COLD LIKE SYMPTOMS +RES0195-066 NO BUT I HAVEN BEEN FEELING A LITTLE BIT HOT SO I WONDER IF I HAVE A FEVER I HAVEN'T CHECKED IT +RES0195-067 OK WE CAN CHECK HAVE YOU HAD ANY RECENT WEIGHT CHANGES +RES0195-068 NOW THAT YOU MENTION IT I HAVE HAD SOME WEIGHT LOSS OVER THE PAST SIX MONTHS I'VE LOST ABOUT FIFTEEN POUNDS +RES0195-069 FIFTEEN POUNDS OK HOW ABOUT YOUR APPETITE HAVE YOU BEEN EATING WELL +RES0195-070 I'VE BEEN EATING THE SAME +RES0195-071 OK OK AND HAVE YOU HAD ANY EXPOSURE TO ANY FUMES DUST ANIMALS OR PETS IN YOUR ENVIRONMENT +RES0195-072 NO +RES0195-073 HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0195-075 NO DO YOU TAKE ANY MEDICATIONS +RES0195-076 NOPE +RES0195-077 OK ANY ALLERGIES +RES0195-078 NO ALLERGIES +RES0195-079 OK HOSPITALIZATIONS OR PREVIOUS SURGERIES +RES0195-080 I HAD A C SECTION FOR MY SECOND CHILD +RES0195-081 OK ANY COMPLICATIONS WITH THAT +RES0195-082 NO IT WAS IT WAS A PRETTY STANDARD I DIDN'T HAVE ANY EXCESSIVE BLOOD LOSS OR ANYTHING LIKE THAT +RES0195-083 OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE ANY LUNG OR HEART CONDITIONS +RES0195-084 NO LUNG OR HEART CONDITIONS THERE ARE SOME AUTOIMMUNE CONDITIONS IN MY FAMILY THOUGH +RES0195-085 OK AND WHAT WHAT KIND OF AUTOIMMUNE CONDITIONS ARE THERE +RES0195-086 THERE IS RHEUMATOID ARTHRITIS THERE IS +RES0195-087 LUPUS LIKE TYPE ONE DIABETES OK OK AND THEN ARE THEY FOR ANY LIKE DIRECT RELATIVES LIKE +RES0195-089 YOUR PARENTS OR OR CHILDREN YES MY PARENTS +RES0195-090 AND CURRENTLY RIGHT NOW DO YOU WORK I WORK FROM HOME YEAH I TEACH I TEACH ONLINE +RES0195-091 OK AND HOW'S YOUR LIVING SITUATION LIKE RIGHT NOW +RES0195-092 PRETTY GOOD WE LIVE IN A HOUSE I LIVE WITH MY HUSBAND AND TWO CHILDREN +RES0195-098 ALCOHOL I DRINK ONCE IN AWHILE LIKE I'LL HAVE A GLASS OF WINE ON FRIDAYS +RES0195-099 OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY +RES0195-100 NO LIKE WHAT WHAT DO YOU THINK I HAVE AND HOW SHOULD I TREAT IT +RES0195-101-1 YEAH SO DEFINITELY ONE THING WE NEED TO RULE OUT WITH THE SHORTNESS OF BREATH IS ANY VIRAL OR VIRAL INFECTION LIKE CORONAVIRUS SO WE WILL GET A TEST DONE FOR YOU TODAY +RES0195-101-2 HOWEVER SINCE THIS SEEMS TO BE KIND OF A CHRONIC ISSUE BEEN GOING ON FOR A FEW MONTHS AND YOU'RE HAVING WITH THE SHORTNESS OF BREATH SOME OTHER SYMPTOMS +RES0195-101-3 THE RASH BELOW KNEES OR IS WHAT WE CALLED ERYTHEMA NODOSUM AND IRRITATION IN YOUR EYES AND YOU HAVE A FAMILY HISTORY +RES0195-102-1 OF AUTO IMMUNE CONDITIONS AS WELL +RES0195-102-2 SO SOMETIMES YOU CAN GET AN AUTO IMMUNE DISEASE THAT AFFECTS THE LUNGS +RES0195-102-3 SO WE NEED TO RULE OUT SOMETHING LIKE SARCOIDOSIS WHICH CAN CAUSE FIBROSIS IN YOUR LUNGS AND CAUSE SHORTNESS OF BREATH +RES0195-102-4 SO JUST TO WORK THAT UP WILL GET A CHEST X RAY AND ALSO DO SOME INFLAMMATORY MARKER TESTS +RES0195-102-5 LIKE CRP ESR AND SOME OTHER RHEUMATOLOGICAL TESTS AS WELL AND BASED ON +RES0195-102-6 WHAT COMES BACK WE MAY HAVE TO REFER YOU TO A RHEUMATOLOGIST FOR FURTHER MANAGEMENT AND TREATMENT SO LET'S JUST DO SOME OF THOSE TESTS ONEST AND THEN WE'LL GO FROM THERE YOU HAVE ANY QUESTIONS +RES0195-103 NO THAT SOUNDS GREAT THANK YOU SO MUCH +RES0195-104 YOU'RE WELCOME AND YOU MAY NEED DEPENDING ON WHAT WE FIND STEROID TREATMENT TODAY OR UNTIL YOU SEE THE RHEUMATOLOGIST +RES0195-106 ALRIGHT THANKS TAKE CARE +RES0195-107 YOU TOO +RES0196-000 WHAT BRINGS IN YOU HERE TODAY +RES0196-001 YES I BROUGHT IN MY DAUGHTER SHE'S EIGHT YEARS OLD SO RECENTLY SHE'S BEEN TELLING ME SHE'S HAVING A LOT OF EAR PAIN AND SHE'S HAD A FEVER FOR THE PAST TWO DAYS AS WELL WE CHECKED HER TEMPERATURE AT HOME IT WAS 3EIGHT EIGHT AND SO WE'RE JUST HERE TO SEE IF WE CAN GET SOME ANTIBIOTICS FOR IT +RES0196-002 OK AND HAS THIS HAPPENED BEFORE AT ALL +RES0196-003 SHE'S HAD SOME EAR INFECTIONS ON AND OFF SINCE SHE WAS LIKE TWO +RES0196-004 OK THEN HAS SHE REQUIRED ANTIBIOTICS +RES0196-005 YES +RES0196-006 OK WHEN WAS THEIR LAST EAR INFECTION DO YOU REMEMBER +RES0196-007 IT WAS ACTUALLY LAST YEAR WHEN SHE WAS SEVEN +RES0196-008 OK AND SO IS IT JUST ONE EAR THAT SHE'S HAVING THE PAIN OR IS IT BOTH +RES0196-009 IT'S ONE EAR +RES0196-010 OK IN WHICH WHICH EAR IS IT +RES0196-011 IT'S THE RIGHT EAR +RES0196-012 RIGHT EAR AND WHEN DID YOU NOTICE THAT SHE STARTED HAVING THIS PAIN +RES0196-013 I NOTICED IT LIKE THREE DAYS AGO +RES0196-014 THREE DAYS AGO OK WAS SHE IRRITABLE LIKE OR WAS HE KIND OF TUGGING HER EARS IN PAIN OR HOW HOW WOULD YOU DESCRIBE IT +RES0196-015 SHE BASICALLY WHILE SHE TOLD ME SHE'S BEEN HAVING SOME EAR PAIN AND SHE'S BEEN PULLING AT IT AND YOU KNOW SHE'S TRIED LIKE MINERAL OIL AND THINGS LIKE THAT TO SEE IF SHE CAN UNBLOCK IT BUT I I LOOKED IN THERE IT DOESN'T SEEM LIKE THERE'S A LOT OF WAX IN THERE +RES0196-016 HAS IT BEEN SO PAINFUL THAT SHE HAS BEEN CRYING AT ALL +RES0196-017 SHE'S CRIED A FEW TIMES +RES0196-018 OK HAVE YOU NOTICED ANY KIND OF DRAINAGE COMING OUT OF HER EARS ANY FLUIDS +RES0196-019 NO I DIDN'T NOTICE THAT +RES0196-020 ANY FEVERS OR CHILLS +RES0196-021 SHE'S HAD A FEVER FOR THE PAST TWO DAYS +RES0196-022 PAST TWO DAYS OK DID YOU GET A CHANCE TO MEASURE IT AT ALL +RES0196-023 THIRTY EIGHT POINT EIGHT +RES0196-024 THIRTY EIGHT POINT EIGHT OK OK AND SHE HAD ANY OTHER SYMPTOMS RECENTLY LIKE A COUGH RUNNY NOSE SORE THROAT ANY VIRAL OR COLD LIKE SYMPTOMS +RES0196-025 NO NOT THAT I'VE NOTICED +RES0196-026 OK AND SHE HAD ANY HEADACHES +RES0196-027 NO HEADACHES +RES0196-028 OK ANY RECENT TRAVEL OR CONTACT WITH ANYONE WHO'S BEEN SICK +RES0196-029 NO +RES0196-030 NO ANY NAUSEA OR VOMITING +RES0196-031 NO +RES0196-032 ANY CHANGES IN HER BOWEL MOVEMENTS +RES0196-033 NOPE +RES0196-034 OK AND ANY FATIGUE OR JUST FEELING VERY TIRED +RES0196-035 SHE'S BEEN PRETTY TIRED +RES0196-036 HAS SHE HAD TO MISS ANY SCHOOL OR ANYTHING LIKE THAT +RES0196-037 SHE WASN'T GOING TO SCHOOL FOR THE PAST THREE DAYS +RES0196-038 OK AND ANY ISSUES THAT ARE SLEEP OR APPETITE +RES0196-039 NO +RES0196-040 AND ANY MEDICAL CONDITIONS THAT SHE'S BEEN DIAGNOSED WITH IN THE PAST +RES0196-041 NO SHE'S BEEN PRETTY HEALTHY BESIDES THE RECURRENT EAR INFECTIONS +RES0196-042 OK HAS HER HEARING BEEN AFFECTED AT ALL +RES0196-043 NOT THAT I'VE NOTICED +RES0196-044 OK AND YOU MENTIONED IT'S RECURRING HOW SHE EVER HAD TO SEE AN EAR NOSE AND THROAT SPECIALIST +RES0196-045 SO WHEN SHE WAS YOUNGER WHEN SHE WAS LIKE FOUR SHE SAW ONE BUT THEN SHE HADN'T HAD AN EAR INFECTION BETWEEN THE AGE OF FOUR TO SEVEN SO WE DIDN'T GO BACK TO THEM +RES0196-046 OK +RES0196-047 AFTER +RES0196-048 OK AND IF SHE EVER HAD TUBES PUT INTO YOUR EARS OR ANYTHING LIKE THAT +RES0196-049 NO THEY WERE THEY WERE TALKING ABOUT IT BUT WE NEVER ENDED UP DOING THAT +RES0196-050 OK OK ANY MEDICATIONS THAT SHE TAKES EVERYDAY +RES0196-051 NO JUST MULTIVITAMINS +RES0196-052 OK ANY ALLERGIES +RES0196-053 NO +RES0196-054 OK ANY CONTACTS AT ALL ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0196-055 NO +RES0196-056 HOW ABOUT HER BIRTH WAS IT A VAGINAL DELIVERY OR C SECTION +RES0196-057 IT WAS VAGINAL +RES0196-058 AND WAS SHE PREMATURE OR AT TERM CHOOSE THAT TERM SHE WAS AT TERM +RES0196-060 COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER +RES0196-061 NO NO +RES0196-062 OK AFTER SHE WAS BORN DOES SHE HAVE TO STAY IN AN ICU OR ANY COMPLICATIONS AFTERWARDS +RES0196-063 NO SHE WAS HEALTHY +RES0196-064 OK THAT'S GOOD AND IN TERMS OF HER DEVELOPMENT THROUGHOUT THE YEARS ANY ISSUES WITH HER GROWTH LEARNING OR ANYTHING LIKE THAT +RES0196-065 NO SHE'S BEEN PRETTY GOOD WITH HITTING ALL THOSE MILESTONES +RES0196-066 OK ALRIGHT AND CURRENTLY RIGHT NOW SO IS SHE DOING ONLINE SCHOOL OR SHE DOING IN PERSON +RES0196-067 SHE IS GOING IN PERSON +RES0196-068 OK AND HOW ABOUT HER LIVING SITUATION CURRENTLY +RES0196-069 SHOULD ALSO AT HOME WITH MYSELF FROM HER FATHER AND HER YOUNGER SIBLING +RES0196-070 OK AND ANY ANYONE SMOKE +RES0196-072-1 NO NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR HER TODAY SO DEFINITELY SINCE THERE IS A +RES0196-072-2 RISK THAT SHE MIGHT BE HAVING ANOTHER EAR INFECTION WE WILL NEED TO DO LIKE A FULL PHYSICAL EXAMINATION I'LL HAVE TO LOOK INTO HER EAR TO SEE +RES0196-072-3 IF I SEE ANY INFLAMMATION OR PERFORATION AND THEN BASED ON THAT WE'LL DISCUSS SOME MANAGEMENT +RES0196-072-4 SHE MAY REQUIRE SOME ANTIBIOTICS LIKE SHE HAS HAD BEFORE BUT THAT WILL DEPEND ON WHAT I SEE ON PHYSICAL EXAMINATION SHE HAS BEEN HAVING A FEVER SO SHE MIGHT +RES0196-072-5 AND IT'S ONLY BEEN THREE DAYS RIGHT SO WE MAY EVEN DO SOME CONSERVATIVE MANAGEMENT AND GET HER TO TAKE SOME MAYBE PAIN MEDICATIONS AND THEN GO FROM THERE OR EAR DROPS +RES0196-074 BUT SO WE'LL DO THE EXAMINATION AND THEN GO FROM THERE SHE SAID SHE HAS BESIDES THE FEVER AND THAT YOUR PAIN SHE'S NOT REALLY HAVING ANY OTHER SYMPTOMS SO I DON'T THINK SHE NEEDS TO GET TESTED FOR COVID RIGHT NOW BUT THAT'S SOMETHING WE CAN CONSIDER AS WELL IF SHE DEVELOPS OTHER SYMPTOMS +RES0196-075 OK THAT SOUNDS GREAT THANK YOU +RES0196-076 YOU'RE WELCOME TAKE CARE +RES0196-077 YOU TOO +RES0197-000 WHAT BRINGS YOU IN HERE TODAY +RES0197-001 HI I'M SO I HAVE BEEN VERY WHEEZY FOR THE PAST WEEK AND I'M ALSO LIKE CONSISTENTLY COUGHING ALL THE TIME AND IT'S NOT GETTING ANY BETTER I DO HAVE ASTHMA AND I THINK IT'S IT'S ACTING UP +RES0197-002 OK AND HOW LONG HAVE YOU HAD ASTHMA FOR +RES0197-003 SINCE I WAS LIKE FIVE +RES0197-004 OK AND ARE YOU USING ANY PUFFERS +RES0197-005 YES SO I AM ON A SHORT ACTING AS WELL AS AN INHALED CORTICO STEROID AND I ONLY TAKE THE SHORT ACTING LIKE WHEN I HAVE THE SYMPTOMS +RES0197-006 OK AND SO HOW HOW LONG HAVE YOU BEEN SYMPTOMS WORSENING FOR +RES0197-007 FOR THE PAST WEEK I WOULD SAY +RES0197-008 OK AND HOW HOW OFTEN HAVE YOU USED THE VENTILIN +RES0197-009 THE VENTILIN THAT I USE IS ALMOST EVERY DAY LIKE A COUPLE TIMES A DAY +RES0197-010 OK SO WOULD YOU SAY MORE THAN TEN TIMES +RES0197-011 YES +RES0197-012 OK AND HAVE YOU HAD TO DO YOU HAVE Y TO MISS ANY SCHOOL OR ANYTHING LIKE THAT OVER THE PAST WEEK +RES0197-013 I MISSED TWO DAYS +RES0197-014 TWO DAYS OK AND ARE YOU JUST GETTING DAYTIME SYMPTOMS OR ARE YOU WAKING UP FROM SLEEP OR NOT BEING ABLE TO SLEEP BECAUSE OF YOUR SYMPTOMS +RES0197-015 I WOKE UP TWICE LAST WEEK +RES0197-016 OK OK SO DEFINITELY SEEMS LIKE YOUR SYMPTOMS ARE REALLY ACTING UPON AND SO YOU'RE GETTING SOME WHEEZING AND YOU SAY YOU'RE ALSO GETTING A COUGH +RES0197-017 YES THAT'S RIGHT +RES0197-018 OK AND WHAT KIND OF THINGS WOULD YOU BE DOING THAT YOU GET THESE SYMPTOMS IS IT MOSTLY EXERTION OR IS IT EXPOSURE TO DUST OR ANY OTHER ENVIRONMENTAL FACTORS +RES0197-019 BUT IT'S MOSTLY EXERTION BUT THINGS LIKE COLD AIR CAN TRIGGER IT TOO +RES0197-020 OK I SEE OK ANY HAVE YOU BEEN EXPOSED TO ANY NEW ENVIRONMENTS WHERE THERE IS YOU KNOW DUSTY CARPETS MOLD NEW ANIMALS ANYTHING LIKE THAT +RES0197-021 NO NOTHING LIKE THAT +RES0197-022 OK OK AND HOW WOULD YOU DESCRIBE THE COUGH IS IT WET OR DRY +RES0197-023 IT'S DRY +RES0197-024 OK AND AND HOW ABOUT THE WHEEZING ARE YOU GETTING IT LIKE FREQUENTLY EVERY TIME YOU HAVE AN EPISODE OR JUST SOMETIMES +RES0197-025 I I'M GETTING AN ON AND OFF BUT BASICALLY EVERY TIME I COUGH AFTER THAT I'LL BE WHEEZY FOR A LITTLE BIT +RES0197-026 OK OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE SHORTNESS OF BREATH ANYTHING LIKE THAT +RES0197-027 NO NOTHING LIKE THAT +RES0197-028 OK AND ANY BLOOD IN YOUR SPUTUM AT ALL +RES0197-029 NO NO BLOOD +RES0197-030 OK OK AND HAS THE VENTILIN BEEN HELPING AT ALL OR DO YOU FIND THAT IT'S LESS EFFECTIVE +RES0197-031 VENTILIN IT'S BEEN HELPING TEMPORARILY BUT IT DEFINITELY DOESN'T HELP AS MUCH AS IT USED TO +RES0197-032 OK AND HAVE YOU TRAVELED AT ALL RECENTLY OR BEEN IN TOUCH WITH ANYONE WHO'S BEEN SICK +RES0197-034 NOTHING LIKE THAT OK AND ANY +RES0197-035 ANY HEADACHES NAUSEA OR VOMITING HE +RES0197-036 NO NOTHING LIKE THAT NOTHING LIKE THAT OK ANY DIZZINESS OR FAINTING +RES0197-037 NO +RES0197-038 NO OK ANY FEVERS OR CHILLS +RES0197-039 NO +RES0197-040 ANY FATIGUE +RES0197-041 A LITTLE BIT BECAUSE I HAVEN'T BEEN SLEEPING TOO WELL +RES0197-042 OK ANY SENSATION OF CHEST PAIN OR RACING OF YOUR HEART +RES0197-043 NO +RES0197-044 NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0197-045 NO +RES0197-046 ANY CHANGES IN YOUR APPETITE OR WEIGHT +RES0197-047 NO +RES0197-048 NO ANY CHANGES IN YOUR SENSE OF SMELL OR TASTE +RES0197-049 NO +RES0197-050 OK OK AN OTHER THAN ASTHMA SINCE YOU WERE FIVE AND DO YOU HAVE ANY OTHER MEDICAL CONDITIONS AT ALL +RES0197-051 OK DO YOU TAKE SO YOU TAKE THE VENTILIN AND THEN DO YOU TAKE THE INHALED CORTICOSTEROID PUFFER AS WELL +RES0197-052 I DO +RES0197-053 OK AND YOU TAKE THAT DAILY +RES0197-054 YES +RES0197-055 ANY OTHER MEDICATIONS THAT YOU TAKE +RES0197-056 NO JUST SOME MULTI VITAMINS THAT'S ABOUT IT +RES0197-057 OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW +RES0197-058 NOT TO MEDICATION I'M ALLERGIC TO LIKE STRAWBERRIES AND KIWIS +RES0197-059 OK AND WHAT KIND OF REACTION DO YOU GET +RES0197-060 I JUST BREAK OUT IN HIVES +RES0197-061 OK AND HAVE YOU BEEN PREVIOUSLY HOSPITALIZED FOR ANY REASON +RES0197-062 NO +RES0197-063 OK ANY PAST SURGERIES +RES0197-064 NOPE +RES0197-065 OK AND CURRENTLY LIKE WHO +RES0197-066 DO YOU LIVE WITH I LOVE WITH BOTH MY PARENTS AND TWO OF MY SIBLINGS +RES0197-067 OK AND ARE ANY OF THEM SICK AT ALL +RES0197-068 NO EVERYONE'S PRETTY HEALTHY +RES0197-069 OK AND SO CURRENTLY RIGHT NOW YOU'RE SIXTEEN THIS IS AN AGE WHERE SOMETIMES YOUR PEERS OR YOURSELF MIGHT EXPERIMENT WITH ALCOHOL SMOKING OR RECREATIONAL DRUGS HAVE YOU HAVE YOU TRIED ANYTHING AT ALL +RES0197-071 NO I HAVEN'T OK DO YOU HAVE ANY FRIENDS OR PEERS THAT HAVE TRIED ALCOHOL OR RECREATIONAL DRUGS +RES0197-072 I DON'T THINK SO +RES0197-073 OK AND IN TERMS OF JUST YOUR HOME ENVIRONMENT SCHOOL DO YOU FEEL SAFE OR DO YOU FIND YOURSELF FEELING UNSAFE OR HAVING BEEN BULLIED AT ALL +RES0197-074 OH I'M PRETTY I FEEL PRETTY SAFE +RES0197-075 OK THAT'S GOOD AND ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS AT ALL +RES0197-076 NO +RES0197-077 NO OK SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS +RES0197-078 SO WHAT CAN I DO ABOUT THESE THESE SYMPTOMS SHOULD I CONTINUE TAKING MY PUFFERS +RES0197-079 SO WHAT WE'LL HAVE TO DO IS RE ASSESS SO RIGHT NOW WE WILL NEED TO ALLEVIATE SOME OF YOUR SYMPTOMS SO WE WILL GET YOU GET YOU SOME VENTILIN AND YOU MATE WILL DO LIKE A FULL PHYSICAL EXAMINATION +RES0197-080-1 AND GET YOUR OXYGEN SATURATION AND EVERYTHING AND YOU MIGHT NEED SOME CORTICO STEROIDS AS WELL AND THEN WE'LL TALK ABOUT +RES0197-080-2 CHANGING YOUR REGIMENT FOR YOUR PUFFERS AS WELL AND WHETHER OR NOT WE NEED TO ADD SOMETHING ELSE INTO YOUR THERAPY SO WE'LL DO A FULL PHYSICAL EXAMINATION AND THEN GO ON FROM THERE DOES THAT SOUND GOOD +RES0197-081 YEAH THAT SOUNDS GREAT THANK YOU +RES0197-082 YOU'RE WELCOME +RES0198-000 WHAT BRINGS YOU HERE TODAY +RES0198-001 HI I'VE HAD THE STUFFY NOSE THAT'S BEEN ON AND OFF AS WELL AS A RUNNY NOSE FOR THE PAST WEEK AND IT DOESN'T SEEM TO BE GETTING ANY BETTER SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT IN CASE I HAVE COVID +RES0198-002 OK I KNOW FOR SURE THAT'S A GOOD IDEA SO HOW LONG HAVE YOU HAD THIS FOR +RES0198-003 A WEEK NOW +RES0198-004 A WEEK AND DID SO WHAT STARTED FIRST WAS IT THE RUNNY NOSE OR LIKE THE STUFFINESS +RES0198-005 IT FELT PRETTY STUFFY AT FIRST BUT NOW IT'S MOSTLY RUNNING +RES0198-006 OK AND ARE YOU COUGHING AT ALL +RES0198-007 NO +RES0198-008 NO OK AND THE RUNNY NOSE WHAT KIND OF CONTENT ARE YOU PRODUCING OR DRAINING IS IT MAINLY LIKE CLEAR OR IS THERE ANY COLOR TO IT +RES0198-009 IT'S MOSTLY CLEAR +RES0198-010 OK AND IS IT MAINLY JUST CONGESTION AND DRAINAGE FROM YOUR NOSE OR ARE YOU FEELING AND GO AT THE BACK OF YOUR THROAT AS WELL +RES0198-011 NO IT'S JUST MOSTLY FOR MY NOSE +RES0198-012 OK ANY OTHER SYMPTOMS LIKE SORE THROAT SHORTNESS OF BREATH FEVERS OR CHILLS +RES0198-013 NO +RES0198-014 OK AND IS THIS LIKE SOMETHING THAT'S CONSTANT OR DOES IT COME AND GO +RES0198-015 IT'S IT'S IT'S BEEN PRETTY CONSTANT FOR THE PAST WEEK +RES0198-016 OK HAS THIS HAPPENED TO YOU BEFORE AT ALL +RES0198-017 NO WELL ACTUALLY I'VE HAD I'VE HAD A COLD BEFORE BUT NOT NOT RECENTLY MAYBE LIKE FIVE YEARS AGO +RES0198-018 OK HAVE YOU TRIED ANY OVER THE COUNTER MEDICATIONS AT ALL +RES0198-019 I'VE TRIED LIKE DECONGESTANTS AND THAT'S NOT WELL I GUESS MY NOSE IS RUNNY NOW SO THAT WORKED A LITTLE BIT +RES0198-020 OK OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY +RES0198-021 NO I DON'T THINK SO MY I HAVE A NEPHEW WHO I LIVE WITH WHO GOES TO DAYCARE +RES0198-022 OK AND HAS HE BEEN SICK AT ALL +RES0198-023 NO HE'S BEEN FINE +RES0198-024 OK ANY RECENT TRAVEL AT ALL +RES0198-026 NO NO OK ANY HEADACHES OR NAUSEA OR VOMITING +RES0198-027 NOPE NOTHING LIKE THAT +RES0198-028 OK ANY FATIGUE +RES0198-029 A LITTLE BIT +RES0198-030 OK ANY LOSS OF SENSE OF TASTE OR SMELL +RES0198-031 NO NOT THAT I'VE NOTICED +RES0198-032 OK ANY SORT OF LIKE CHEST PAIN OR RACING SENSATION OF RACING OF YOURBHEART OR ANYTHING LIKE THAT +RES0198-033 NO +RES0198-034 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0198-035 NO +RES0198-036 HOW ABOUT YOUR ANY DIFFICULTIES IN URINATING +RES0198-037 NO +RES0198-038 OK HAVE YOU BEEN SLEEPING AND EATING WELL +RES0198-039 YES +RES0198-040 OK ANY WEIGHT CHANGES LIKE ANY SIGNIFICANT WEIGHT LOSS RECENTLY +RES0198-044 EXPOSURE TO LIKE FUMES DUST OR ANIMALS NO OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0198-045 I HAVE TYPE ONE DIABETES +RES0198-046 OK AND WHEN WERE YOU DIAGNOSED WITH THAT +RES0198-047 WHEN I WAS LIKE SEVEN +RES0198-048 OK AND SO YOU HAVE YOUR INSULIN MEDICATION AND YOUR ARE YOU ALL UP TO DATE WITH THAT +RES0198-049 YES +RES0198-050 OK AND DO YOU SEE AN ENDOCRINOLOGIST +RES0198-051 I DO +RES0198-052 OK ALRIGHT ANY MEDICATIONS THAT YOU ARE ON BESIDES INSULIN +RES0198-054 NO NO OK ANY ALLERGIES AT ALL +RES0198-055 NO +RES0198-056 OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES BEFORE +RES0198-057 NO +RES0198-058 OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS IN PARTICULAR WITH THE LUNGS OR THE HEART +RES0198-059 NO +RES0198-060 NO ANY AUTOIMMUNE DISEASES +RES0198-061 NO +RES0198-062 OK AND CURRENTLY RIGHT NOW DO YOU WORK OR DO YOU GO TO SCHOOL +RES0198-063 I'M IN SCHOOL RIGHT NOW +RES0198-064 OK AND SO ARE YOU LIVING WHERE ARE YOU LIVING RIGHT NOW +RES0198-065 I LIVE IN AN APARTMENT BY MYSELF +RES0198-066 AND CURRENTLY DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING +RES0198-067 NO NOT OK SO NOT FREQUENTLY BUT MAYBE LIKE ONCE A MONTH I'LL HAVE AN EDIBLE +RES0198-068 OK ANY OTHER RECREATIONAL DRUGS LIKE COCAINE AND HEROIN +RES0198-074 AND DO YOU SMOKE TOBACCO NO NO THOSE WERE ALL THE QUESTIONS THAT I HAD +RES0198-075 I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME +RES0198-077 OK THAT SOUNDS GREAT THANK YOU +RES0198-078 YOUR WELCOME TAKE CARE +RES0198-079 YOU TOO BYE +RES0201-000 I'M JUST GOING TO HAVE A CHAT WITH YOU GET AN IDEA OF WHAT'S GOING ON AND THEN I CAN GO OVER IT WITH THE DOCTOR WILL COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS HOW DOES THAT SOUND TO YOU +RES0201-001 THAT'S GREAT THANK YOU +RES0201-002 AWESOME OK IT SAYS HERE THAT YOU HAVE BEEN HAVING A SORE THROAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT +RES0201-003 SURE THE SORE THROAT IT STARTED ABOUT FOUR DAYS AGO AND IT'S REALLY IT'S IT'S VERY SORE I CAN DRINK FLUIDS OK BUT I'M EVEN HAVING SOME ISSUES SWALLOWING FOOD +RES0201-004 OK SO YOU SAID FOUR DAYS AGO +RES0201-005 YES FOUR DAYS AGO +RES0201-006 OK SO IT'S BEEN KIND OF SORE SOME ISSUES SWALLOWING FOOD OK AND OVER THE LAST FOUR DAYS HAS IT GOTTEN WORSE BETTER THAT IT STAYED THE SAME +RES0201-007 THE SORE THROAT HAS IT'S GOT IT'S GETTING WORSE FOR SURE +RES0201-008 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +RES0201-009 I I I GUESS WHEN I WAS YOUNGER I HAD MONO AND I HAD A SORE THROAT WHEN I HAD THAT +RES0201-010 OK IS THERE ANYTHING THAT MAKES IT WORSE OR LIKE ANYTHING THAT MAKES IT FEEL BETTER RIGHT NOW +RES0201-011 NO NOT REALLY I'VE TRIED YOU KNOW I'VE TRIED GARGLING WITH SALT WATER I'VE TRIED SOME PAINKILLERS LIKE NOTHING NOTHING SEEMS TO BE WORKING +RES0201-012 OK AND YOU SAID YOU'VE ALSO HAD SOME DIFFICULTY BREATHING +RES0201-014 DID THAT START AROUND THE SAME TIME +RES0201-015 THAT ACTUALLY STARTED YESTERDAY AND IT'S GOTTEN ME VERY CONCERNED +RES0201-016 OK I CAN UNDERSTAND HOW THAT WOULD BE CONCERNING WE'RE DEFINITELY GOING TO TRY TO GET TO THE BOTTOM OF IT TODAY OK SO STARTED YESTERDAY SAID THEN HAS IT GOTTEN ANY WORSE IS IT THE SAME WAY BETTER +RES0201-017 THE WELL I GUESS IT'S GETTING WORSE +RES0201-018 DO YOU FEEL LIKE IT'S ALL THE TIME OR IS IT ON AND OFF +RES0201-019 IT'S IT'S JUST THERE ALL THE TIME +RES0201-020 HAVE YOU EVER HAD ANY DIFFICULTY BREATHING IN THE PAST +RES0201-021 NO NO NO NOT LIKE THIS +RES0201-022 OK HAVE YOU HAVE YOU RECENTLY BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK +RES0201-023 I HAVE NO I DON'T LEAVE THE HOUSE MUCH NOWADAYS I GO TO THE GROCERY STORE I GO TO THE BANK JUST ESSENTIAL THINGS +RES0201-024 OK HAVE YOU TRAVELED RECENTLY +RES0201-025 NO NO I HAVEN'T LEFT THE CITY FOR ANYTHING +RES0201-026 OK DO YOU KNOW IF YOUR IMMUNIZATIONS ARE UP TO DATE +RES0201-027 YES EVERYTHING'S UP TO DATE +RES0201-029 NO +RES0201-030 HAVE YOU HAD A RUNNY NOSE +RES0201-031 NO RUNNY NOSE +RES0201-032 HAVE YOU HAD ANY HEADACHES +RES0201-033 NO +RES0201-034 HAVE YOU HAD ANY CHEST PAIN +RES0201-035 NOPE NO CHEST PAIN +RES0201-036 HAVE YOU HAVE YOU LOST ANY OF YOUR SENSE OF SMELL OR TASTE +RES0201-037 MAYBE TASTE A LITTLE BIT BUT NOT SMELL +RES0201-038 OK OK WHEN DID THAT START +RES0201-039 THE TASTE MAYBE TWO DAYS AGO +RES0201-040 OK OK TASTE TWO DAYS AGO HAS IT BEEN ON AND OFF OR HAS IT BEEN KIND OF CONSTANTLY LIKE A REDUCED SENSE OF TASTE IT'S +RES0201-041 IT'S IT'S BEEN PRETTY CONSTANT +RES0201-042 HAVE YOU HAD ANYTHING LIKE THAT BEFORE +RES0201-043 NO +RES0201-044 HAVE YOU HAD ANY FEVERS +RES0201-045 I DON'T THINK SO +RES0201-046 OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS +RES0201-047 NO +RES0201-048 HAVE YOU FELT OVERALL REALLY TIRED AND WEAK +RES0201-049 I I FELT TIRED MAYBE NOT WEAK BUT MY I FEEL LIKE MY MUSCLES ALL ACHE +RES0201-050 OK AND WHEN DID THAT START +RES0201-051 THAT STARTED LIKE IMMEDIATELY AFTER MY SORE THROAT +RES0201-052 OK OK OK WELL WE MIGHT CIRCLE BACK I THINK THERE IS ANY MORE QUESTIONS YOU WANT TO ASK +RES0201-053 SURE RIGHT NOW BUT JUST IN GENERAL IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU TAKE MEDICATIONS FOR OR SEE A DOCTOR FOR REGULARLY +RES0201-054 I HAVE MILD COPD +RES0201-055 OK AND WHAT MEDICATIONS ARE YOU CURRENTLY TAKING +RES0201-056 I'M ON A LONG ACTING BETA AGONIST +RES0201-058 PARDON ME +RES0201-059 IS THAT THE ONLY MEDICATION THAT YOU TAKE +RES0201-060 AND I ALSO TAKE A COUPLE OF VITAMINS +RES0201-061 OK DO YOU HAVE ANY ALLERGIES +RES0201-062 NO NO ALLERGIES +RES0201-063 JUST GONNA ASK YOU FEW QUESTIONS ABOUT YOUR LIFESTYLE DO YOU LIVE HERE IN TOWN +RES0201-064 I DO +RES0201-065 DO YOU LIVE ALONE OR WITH FAMILY +RES0201-066 I LIVE ALONE +RES0201-067 AND DO YOU SMOKE +RES0201-068 I QUIT TWO YEARS AGO +RES0201-069 OH CONGRATULATIONS THANK YOU BEFORE THAT DID YOU DID YOU SMOKE FOR MANY YEARS +RES0201-070 I DID I SMOKED FOR FORTY YEARS +RES0201-071 OK DO YOU DRINK ALCOHOL +RES0201-072 I DRINK OCCASIONALLY MAYBE LIKE ON THE WEEKENDS +RES0201-073 OK AND DO YOU USE CANNABIS +RES0201-074 NO +RES0201-076 NO NO OTHER DRUGS +RES0201-077 OK AND ARE YOU RETIRED DO YOU WORK +RES0201-078 I'M I AM RETIRED +RES0201-079 OK WHAT DID YOU DO FOR WORK BEFORE +RES0201-080 I WORKED FOR GM +RES0201-081 OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS HEART PROBLEMS +RES0201-082 NO +RES0201-083 OK OK I THINK THAT THAT ABOUT COVERS MY QUESTIONS FOR YOU RIGHT NOW IS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I DIDN'T ASK YOU ABOUT +RES0201-084 NO I DON'T THINK SO +RES0201-085 OK I'M GOING TO GO OVER THIS WITH THE DOCUMENT I'M WORKING WITH TODAY I'M GUESSING JUST BECAUSE SOME OF YOUR SYMPTOMS ARE IN LINE WITH COMMON SYMPTOMS OF COVID NINETEEN THAT WILL PROBABLY DO A COVID SWAB +RES0201-086 AND WHAT HAPPENS WITH THAT IS SINCE WE DO HAVE SOME SYMPTOMS WILL HAVE TO ISOLATE UNTIL THE RESULT COME BACK AND POTENTIALLY AFTER THAT IF YOU STILL HAVE SYMPTOMS EVEN IF IT IS NEGATIVE +RES0201-087 SO THAT'S JUST KIND OF A HEADS UP ON THAT MAYBE ONE OF THE NEXT THINGS THAT HAPPENS WE WILL PROBABLY GET YOU A CHEST XRAY CAUSE WE WANT TO GET AN IDEA OF WHAT'S GOING ON IN THERE DID YOU HAVE ANY OTHER QUESTIONS +RES0201-088 NO THANK YOU VERY MUCH +RES0201-089 OK WELL THANKS FOR CHATTING WITH ME WE SHOULD BE BACK SHORTLY TO KIND OF LET YOU KNOW WITH THE NEXT STEP +RES0201-090 OK GREAT THANK YOU +RES0202-000 WHAT BRINGS YOU ALL IN TODAY +RES0202-002 OH OK +RES0202-003 ONE HUNDRED AND ONE OR SOMETHING OR MAYBE ONE HUNDRED POINT ONE IF BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW SO HE COULD HAVE MAYBE GOT COVID AND LIKE AT SCHOOL OR SOMETHING +RES0202-004 FOR SURE OK SO JUST TO CLARIFY HE'S HAD THIS COUGH AND FEVER FOR THE PAST FIVE FIVE DAYS +RES0202-005 OK OK SO LET'S FOCUS ON THE COUGH +RES0202-006 IT'S FRIDAY ITS BEEN MORE LIKE LIKE THREE DAYS WEDNESDAY IS WHEN HE CAME HOME AND THEN HE AND THEN TODAY IS FRIDAY SO SORRY +RES0202-007 TODAY IS FRIDAY OK AND OK SURE SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH +RES0202-008 I THINK IT'S DRY I HAVEN'T NOTICED HIM LIKE SPITTING UP ANYTHING HE ITS JUST LIKE LITTLE COUGH +RES0202-009 OK AND HE IS HE HE'S NOT BRINGING UP ANY SPUTUM OR BLOOD +RES0202-010 NO +RES0202-011 NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU +RES0202-012 NO NO NOT THAT I'VE NOTICED +RES0202-013 OK HOW ABOUT SHORT OF BREATH +RES0202-014 I DON'T THINK SO LIKE HE USUALLY HE'S A REALLY ACTIVE KID AND HE HAS +RES0202-015 HE HASN'T BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE OF DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HE'S JUST BEEN TIRED IN GENERAL +RES0202-016 OK OK IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING +RES0202-018 OK AND IT DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS +RES0202-019 I JUST SOUNDS KIND OF DRY IT'S NOT LIKE SUPER LOUD +RES0202-020 OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +RES0202-021 LIKE HE'S HAD COLDS BEFORE BUT I HAVEN'T LIKE I HAVEN'T LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD +RES0202-022 OK AND ARE HIS SYMPTOMS GETTING WORSE +RES0202-023 I THINK SO CAUSE THE FIRST DAY HE JUST SEEMED LIKE A LITTLE DRY AND THEN YESTERDAY IS COUGHING AND TODAY HE ACTUALLY HAS A FEVER +RES0202-024 OK AND IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEART'S RACING +RES0202-025 NO I DON'T THINK SO +RES0202-026 NO OK DOES HE HAVE A SORE THROAT +RES0202-027 I DON'T THINK SO +RES0202-028 OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS +RES0202-029 I DON'T KNOW IF HE'S HAVING TROUBLE SWALLOWING BUT HE DOESN'T SEEM TO HAVE A BIG APPETITE RIGHT NOW +RES0202-030 OK AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE +RES0202-031 MAYBE A BIT OF LIKE A LOOK AT RUNNY NOSE +RES0202-032 OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE +RES0202-033 HE THIS MORNING HE REALLY SEEMED LIKE HE WASN'T LIKE INTO HIS BREAKFAST AND I WONDER IF HE'S LOSING HIS SENSE OF TASTE A LITTLE BIT +RES0202-034 OK HOW ABOUT VISION OR HEARING +RES0202-035 I THINK THOSE ARE FINE +RES0202-036 OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS +RES0202-037 NO +RES0202-038 OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES +RES0202-039 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0202-040 ANY CHANGES IN HIS BOWEL MOVEMENTS PARDON +RES0202-042 OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL +RES0202-044 OK ANY NAUSEA OR VOMITING +RES0202-046 OK ANY CHANGES IN HIS URINE +RES0202-047 I HAVEN'T REALLY BEEN LOOKING BUT I DON'T THINK SO +RES0202-048 ANY DIZZINESS OR FAINTING SPELLS +RES0202-049 NO JUST LIKE FATIGUE +RES0202-050 OK ANY CONFUSION OR MEMORY LOSS +RES0202-051 NO +RES0202-052 AND IS HE AND IS HE AN OTHERWISE HEALTHY CHILD +RES0202-053 ACTUALLY HE HASN'T DECIDED TO LIKE A VACCINE THAT HE HASN'T HAD TO GO TO THE DOCTOR LIKE EVER LIKE I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT OK +RES0202-054 SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM +RES0202-055 EXACTLY LIKE NOTHING +RES0202-056 AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM +RES0202-057 TOTALLY +RES0202-058 OK AND AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH +RES0202-059 NO NO LIKE EVERYTHING IS THINGS REALLY GOOD +RES0202-060 OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW +RES0202-061 TOTALLY +RES0202-062 OK ANY DOES HE HAVE ANY ALLERGIES +RES0202-063 NO NO I DON'T THINK SO I MEAN LIKE HE HASN'T REALLY TAKEN A LOT OF MEDICINE SO IT'S HARD TO SAY BUT LIKE NOTHING +RES0202-064 IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +RES0202-065 OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS +RES0202-066 NO EVERYONE IS REALLY HEALTHY +RES0202-067 OK AND AND ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE +RES0202-068 HE LIVES WITH JUST ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE THIS IN TOWN HERE +RES0202-069 OK AND IS SHE HEALTHY +RES0202-070 I THINK SHE SHE'S HEALTHY +RES0202-071 OK ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOU'RE IN +RES0202-072 NO +RES0202-073 NO OK HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY +RES0202-074 NOT NOT LIKE OUTSIDE OF SCHOOL I LIKE WE KNOW FOR SURE NOT OUTSIDE OF SCHOOL BUT HE GOES TO SCHOOL RIGHT NOW SO KINDA HARD TO SAY +RES0202-075 OK +RES0202-076 BUT THEY HAVEN'T THEY HAVEN'T LIKE CONTACTED US ABOUT ANYTHING +RES0202-077 OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY +RES0202-078 NO +RES0202-079 NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WERE WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO CHAT ABOUT TODAY +RES0202-080 I DON'T THINK SO LIKE I I REALIZED THAT I CAN OFTEN TIMES LIKE YOU DON'T REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN IT'S JUST LIKE A VIRUS OR SOMETHING +RES0202-081 BUT WE DO I GUESS NEED TO HAVE A COVID TEST TO GO BACK TO THE SCHOOL EVEN IF YOU KNOW EITHER WAY CAUSE THEY WANT US TO BE ABLE TO SAY IT'S LIKE THE OTHER KIDS HAVE HAD AN EXPOSURE +RES0202-083 LIKE SORRY GO AHEAD +RES0202-084 NO GO AHEAD +RES0202-085 I'M JUST BASICALLY WANTED TO SEE IF IT WAS BAD I MEAN HE DOESN'T RECEIVE YOUR SO SCARED THAT'S KIND OF WHAT MAKES HIM IN LIKE IT'S GONNA BE A LITTLE BIT +RES0202-086-1 RIGHT YEAH OK SO FIRST THING IS FIRST WE NEED TO DO A COVID SWAB JUST TO MAKE SURE THAT HE EITHER HAS IT OR IT DOESN'T HAVE IT AND THOSE RESULTS WILL COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS +RES0202-086-2 WE DO SUGGEST BECAUSE HIS SYMPTOMS ARE ALLOWED WITH SYMPTOMS OF COVID THAT HE ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES FROM HIS HIS YOUNGER SISTER POSSIBLE +RES0202-087-1 AND THEN IF THE SWAB COMES BACK NEGATIVE THERE IS A CHANCE FOR FALSE NEGATIVES BUT ALSO IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND NOWADAYS +RES0202-087-2 AND IF HIS SYMPTOMS GET WORSE SO IF HE HAS A REALLY HIGH TEMPERATURE IF HE HAS ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR +RES0202-088 IF HE'S FEELING WEAK DIZZY IF HE HAS ANY FAINTING SPELLS PLEASE DO TAKE HIM TO THE ER AND +RES0202-089 AND SO FOR NOW I'LL JUST WAIT FOR THOSE COVID SWAPS TO COME BACK HOW DOES THAT SOUND +RES0202-090 SOUNDS GOOD +RES0202-091-1 OK GREAT AND NO WORRIES AND I I SHOULD HAVE MENTIONED IF IT WAS JUST THE COUGH OR IF HE WAS JUST SHORT OF BREATH OR SOMETHING LIKE THAT AND HE DIDN'T HAVE THE FEVER WE WOULD ADD OTHER THINGS LIKE +RES0202-091-2 ASTHMA TO THE LIST OF THINGS HE COULD BE WORKED UP FOR BUT RIGHT NOW IT SOUNDS LIKE IT SOUNDS LIKE AN INFECTION +RES0202-092 OK THAT'S GOOD TO KNOW +RES0202-093 ALRIGHT SOUNDS GREAT HAVE A GOOD DAY +RES0202-094 YOU TOO THANKS +RES0203-000 DO YOU WANT TO TELL ME WHAT BROUGHT YOU IN TODAY +RES0203-001 SO FOR THE PAST TWO DAYS I I'VE I'VE NOTICED THAT I CAN'T SMELL THINGS AS WELL AS I USED TO BE ABLE TO SMELL THEM AND I SEEM TO HAVE LOST MY SENSE OF TASTE AS WELL AND I HAVE THIS MILD DRY COUGH I'M JUST WORRIED IT'S COVID +RES0203-002 YOU SAID FOR A COUPLE DAYS +RES0203-003 YES FOR TWO DAYS +RES0203-004 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +RES0203-005 NO NO NOTHING LIKE THIS +RES0203-006 WHEN YOU SAY YOU FEEL LIKE YOU'VE LOST SENSE OF TASTE AND SMELL IS IT TOTALLY GONE OR DO YOU TASTE A LITTLE BIT OR HOW HOW IS THAT WORKING FOR YOU +RES0203-007 THE SMELL ISN'T TOTALLY GONE I CAN STILL SMELL SOMETHING IF IT SMELLS REALLY REALLY BAD AND AND THEN AND THEN I CAN TASTE REALLY REALLY SALTY FOODS BUT I CAN TASTE NORMAL THINGS LIKE I CAN'T TASTE OF BANANA +RES0203-008 OK IS THAT BEEN PRETTY CONSISTENT THROUGHOUT THE LAST COUPLE OF DAYS OR IS IT ON AND OFF +RES0203-009 IT'S BEEN PRETTY CONSISTENT +RES0203-010 OK AND DID THIS DRY COUGH THAT START AT THE SAME TIME +RES0203-011 YES +RES0203-012 AND WHEN YOU SAY SORRY YOU SAID MILD COUGH AND I MY NEXT QUESTION WAS DO YOU FEEL LIKE IT'S A DRY COUGH OR YOU PRODUCING ANY SPUTUM ANY BLOOD OR IS IT TO NOT NOT BRINGING UP ANYTHING +RES0203-013 IT'S DRY +RES0203-014 OK HAS THAT GOTTEN WORSE OVER THE LAST COUPLE OF DAYS +RES0203-015 THE DRY COUGH IT'S BEEN PRETTY CONSISTENT AS WELL +RES0203-016 OK IS THERE HAVE YOU DONE ANYTHING TO TRY TO MAKE IT BETTER HAVE YOU TAKEN ANY OVER THE COUNTER MEDICATIONS OR +RES0203-017 NO I HAVEN'T TRIED ANYTHING +RES0203-018 OK OK HAVE YOU HAD IN ADDITION TO THESE SYMPTOMS HAVE YOU HAD ANY FEVERS +RES0203-019 FEVERS NO FEVERS +RES0203-020 ANY DIFFICULTY BREATHING +RES0203-021 NO +RES0203-022 ANY HEADACHES +RES0203-023 NO NO HEADACHES +RES0203-024 ANY SORE THROAT +RES0203-025 NO +RES0203-026 OK ANY CHILLS OR NIGHT SWEATS +RES0203-027 NO +RES0203-028 OK ANY MUSCLE ACHE OR GENERAL WEAKNESS +RES0203-029 NO +RES0203-030 OK SO GENERALLY IT SEEMS LIKE YOU'RE PRETTY WELL OTHER THAN THIS LOSS OF TASTE SLASH SMELL AND THE DRY COUGH THAT CORRECT +RES0203-031 YES +RES0203-032 OK AND THEN RECENTLY HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK +RES0203-033 NO NOT THAT I CAN REMEMBER OR NOT THAT I CAN REMEMBER +RES0203-034 OK HAVE YOU TRAVELED ANYWHERE +RES0203-035 I WENT HIKING WITH MY PARTNER TWO WEEKS AGO I GUESS THERE WERE SOME PEOPLE WHO KIND OF BRUSHED BY US BUT OTHER THAN THAT I DON'T SEE WHERE ELSE I COULD HAVE GOTTEN THIS FROM +RES0203-036 OK WAS THAT HIKING SOMEWHERE CLOSE BY +RES0203-037 IT WAS LIKE HALF AN HOUR FROM WHERE WE ARE +RES0203-038 OK ARE YOUR IMMUNIZATIONS UP TO DATE +RES0203-039 YES +RES0203-040 OK AND CAN YOU THINK OF ANY FOR THIS DRY COUGH JUST A CIRCLE BACK TO THAT CAN YOU THINK OF ANYTHING THAT TRIGGERS IT IT'S CALLED THE COLD OR BEING AROUND CERTAIN THINGS LIKE CATS OR DOGS OR ANY OTHER ENVIRONMENTAL THINGS +RES0203-041 NO +RES0203-042 OK HAVE YOU HAD ANY CHEST PAIN THAT'S THE OTHER THING I'M NOT SURE IF I ASKED YOU +RES0203-043 NO NO CHEST PAIN +RES0203-044 OK AND IN TERMS OF YOUR GENERAL HEALTH DO YOU DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU LIVE WITH +RES0203-045 NO NO +RES0203-046 DO YOU TAKE ANY MEDICATIONS +RES0203-047 NO +RES0203-048 OK HAVE YOU EVER HAD ANY SURGERY OR BEEN HOSPITALIZED FOR ANOTHER REASON +RES0203-049 NO +RES0203-050 DO YOU HAVE ANY ALLERGIES +RES0203-051 NO ALLERGIES +RES0203-052 DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS CANCERS OR HEART PROBLEMS +RES0203-053 NO NOTHING LIKE THAT +RES0203-054 OK AND JUST IN TERMS OF FREE LIFESTYLE SO DO YOU LIVE WITH FAMILY +RES0203-055 NO +RES0203-056 OK DO YOU READ ALONG WITH A PARTNER OR ROOMMATE +RES0203-057 I LIVE WITH MY PARENTS AND MY YOUNGER SIBLING +RES0203-058 OK AND IS THAT IN TOWN HERE +RES0203-059 YES +RES0203-060 AND IN GENERAL DO YOU EAT A HEALTHY DIET DO YOU EXERCISE I THINK SO +RES0203-062 DO YOU SMOKE +RES0203-063 NO +RES0203-064 OK DO YOU DRINK ALCOHOL +RES0203-065 I I HAVE DRANK ALCOHOL BEFORE BUT NOT NOT REGULARLY +RES0203-066 OK AND I DO USE MARIJUANA +RES0203-067 I HAVE TAKEN EDIBLES BEFORE BUT ALSO NOT VERY REGULARLY +RES0203-068 OK ANY OTHER DRUGS +RES0203-069 NO +RES0203-070 OK AND ARE YOU CURRENTLY IN HIGH SCHOOL +RES0203-071 YES I AM IN MY LAST YEAR OF HIGH SCHOOL +RES0203-072 OK AND HOW IS THAT GOING +RES0203-073 PRETTY GOOD WE'RE DOING THINGS ONLINE NOW +RES0203-074 SO YOU HAVEN'T REALLY BEEN OUT OF THE HOUSE +RES0203-075 NO +RES0203-076-1 OK OK I THINK THAT'S ALL MY QUESTIONS FOR NOW +RES0203-076-2 I DEFINITELY LIKE TO GET YOU A COVID TEST JUST BECAUSE YOUR SYMPTOMS ARE CONSISTENT WITH SOME COMMON COVID SYMPTOMS SO BASICALLY THAT MEANS THAT WE WOULD DO A SWAB IT MIGHT NOT COME BACK FOR A DAY OR TWO YOU DEFINITELY HAVE TO SELF ISOLATE +RES0203-076-3 BETWEEN NOW AND WHEN YOU GET THE RESULTS BACK POTENTIALLY EVEN IF IT'S NEGATIVE LONGER IF YOU'RE STILL HAVING SYMPTOMS +RES0203-077 OTHERWISE THERE PROBABLY THERE MIGHT BE A COUPLE OTHER TESTS WE WANT TO DO WE MIGHT HAVE MORE QUESTIONS WHEN WE COME BACK WE'LL GO OVER THIS WITH THE DOCTOR THAT I'M WORKING WITH TODAY BUT JUST WANTED TO GIVE YOU A HEADS UP OF WHAT TO EXPECT NEXT DID YOU HAVE ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDN'T ASK YOU ABOUT OR ANY QUESTIONS +RES0203-078 NO THANK YOU SO MUCH +RES0203-079 OK WELL THANKS FOR COMING IN TODAY WILL DEFINITELY GET YOU TAKEN CARE OF SHORTLY +RES0203-080 THANK YOU +RES0203-081 THANKS +RES0204-000 I HEAR THAT YOU HAVE BEEN HAVING SOME COUGHING SO I'M JUST GOING TO CHAT WITH YOU FOR A BIT GET AN IDEA OF HOW THINGS ARE GOING WELL HAVE A LISTEN TO YOUR LUNGS IN YOUR HEART +RES0204-001 AND THEN I WILL GO GRAB THE DOCTOR THAT'S WORKING TODAY AND WE'LL TALK ABOUT IT AND THEN WE'LL COME BACK AND LET YOU KNOW WHAT THE NEXT STEPS ARE GOING TO BE THAT DOES THAT SOUND GOOD TO YOU +RES0204-002 THAT SOUNDS GREAT THANK YOU +RES0204-003 CAN YOU TELL ME ABOUT WHAT BROUGHT YOU IN TODAY +RES0204-004 I'VE HAD THIS COUGH FOR THE PAST FOUR OR FIVE DAYS AND IT DOESN'T SEEM TO BE GOING AWAY OR GETTING BETTER SO I THOUGHT I SHOULD GET IT CHECKED OUT +RES0204-005 OK ARE YOU HERE WITH YOUR MOM TODAY I AM +RES0204-006 HI MUM +RES0204-007 OK YOU GOT A COUGH YOU SAID I'M SORRY YOU SAID FOR FIVE DAYS +RES0204-008 FOR FOUR TO FIVE DAYS ISH +RES0204-009 OK AND HAS IT YOU SAID IT WAS A DRY COUGH IS THAT RIGHT +RES0204-010 THAT'S RIGHT +RES0204-011 OK SO AT NO POINT WERE YOU BRINGING UP ON GUNK WITH YOUR COUGH +RES0204-012 NO NO NOTHING LIKE THAT +RES0204-013 SINCE IT STARTED DO YOU THINK IT'S GOTTEN WORSE OR HAS IT KIND OF STAYED THE SAME GOTTEN ANY BETTER +RES0204-014 IT'S KIND OF STAYED THE SAME +RES0204-015 OK OK ALONG WITH THE COUGH HAVE HAVE YOU BEEN HAVING ANY OTHER NEW SYMPTOMS +RES0204-016 NO +RES0204-017 OK HAVE YOU HAD A SORE THROAT +RES0204-018 NO +RES0204-019 DO YOU FEEL LIKE YOU CAN TASTE AND SMELL THINGS NORMALLY +RES0204-020 I THINK SO +RES0204-021 OK OK HAVE YOU BEEN HAVING A RUNNY NOSE +RES0204-022 OH YES I HAVE HAD THAT FOR THE PAST COUPLE OF DAYS AS WELL +RES0204-023 AND IS IT A RUNNY NOSE WITH KIND OF CLEAR STUFF IS IT WATERY OR IS IT THICK DOES IT HAVE A COLOR TO IT A YUCKY THE COLOR +RES0204-024 IT'S PRETTY CLEAR +RES0204-025 OK OK AND HAVE YOU HAD ANY FEVERS YOUR MOM MIGHT BE ABLE TO ANSWER THAT ONE BETTER +RES0204-026 HE HAS HAD LIKE HE'S HAD FEVERS IN THE PAST BUT I I DIDN'T REALLY CHECK THIS TIME HE DIDN'T SEEM HOT HE DIDN'T HAVE ANY CHILLS +RES0204-027 OK WELL THAT'S GOOD OK HAVE YOU HAD ANY BACK OR MUSCLE PAIN +RES0204-028 NO +RES0204-029 HAVE YOU HAD ANY CHEST PAIN +RES0204-030 NO NO CHEST PAIN +RES0204-031 OK ANY ANY NAUSEA OR VOMITING +RES0204-032 NO NO NAUSEA OR VOMITING +RES0204-033 HAVE YOU HAD ANY PAIN IN YOUR BELLY +RES0204-034 NO NOPE THAT NO PAIN IN MY BELLY +RES0204-035 ANY HEADACHES +RES0204-036 NO NO HEADACHES +RES0204-037 OK HAVE YOU BEEN AROUND ANYONE THAT'S BEEN SICK +RES0204-038 NO NOT THAT NOT THAT I CAN REMEMBER +RES0204-039 HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0204-040 NOPE +RES0204-041 ARE YOU GOING TO SCHOOL RIGHT NOW OR STAYING HOME +RES0204-042 I'M GOING TO SCHOOL AND THEY'RE DOING THESE HALF DAYS +RES0204-043 OK OK AND HAS ANYONE IN YOUR SCHOOL BEEN SICK +RES0204-044 NOPE NOT RECENTLY +RES0204-045 AT LEAST NOT THAT WE KNOW OF OK +RES0204-046 NO +RES0204-047 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +RES0204-048 NO I'VE BEEN PRETTY HEALTHY OTHERWISE I'VE NEVER HAD LIKE I'VE NEVER HAD LIKE A DRY COUGH LIKE THIS I'VE HAD RUNNY NOSE IN THE PAST BUT THEY NEVER LASTED THIS LONG +RES0204-049 OK HAVE YOU EVER BEEN IN THE HOSPITAL +RES0204-050 NO +RES0204-051 DID YOU SEE YOUR FAMILY DOCTOR FOR ANYTHING ANY HEALTH PROBLEMS +RES0204-052 NO NO +RES0204-053 DO YOU TAKE ANY MEDICINES +RES0204-054 NO +RES0204-055 THIS MAY BE A TRICKY ONE TO ANSWER SO MOM CAN DEFINITELY HELP US DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS +RES0204-056-1 HIS GRANDPARENTS HAD ASTHMA BUT HE'S BEEN WORKED UP FOR THAT +RES0204-056-2 AND HE DOESN'T GET SHORT OF BREATH OR WHEEZING OR ANYTHING LIKE THAT WITH EVEN WITH PHYSICAL ACTIVITY SO SO HE DOESN'T HAVE THAT +RES0204-058 PARDON ME +RES0204-059 I SAID JUST SOME SOME ASTHMA IN THE FAMILY +RES0204-060 OK AND SO YOU LIVE YOU LIVE WITH YOUR MOM DO YOU LIVE WITH ANYONE ELSE IN YOUR FAMILY +RES0204-061 I HAVE A FOUR YEAR OLD SISTER +RES0204-062 OK DO YOU LIVE WITH YOUR DAD TOO +RES0204-063 YES +RES0204-064 DO YOU GUYS HAVE ANY PETS +RES0204-065 NO NO PETS +RES0204-066 AND DOES ANYONE SMOKE IN THE HOME +RES0204-067 NOPE NO +RES0204-068 OK AND WHAT DO YOU LIKE TO DO FOR FUN +RES0204-069 I LIKE PLAYING WITH MY FRIENDS I LIKE PLAYING VIDEO GAMES +RES0204-070 COOL SO WHAT'S YOUR FAVORITE GAME +RES0204-071 I AM PLAYING ROLLERCOASTER TYCOON +RES0204-072 OH COOL THAT SOUNDS LIKE FUN OK WELL HOPEFULLY WE CAN GET YOU BACK TO FEELING HEALTHY SO YOU CAN CONTINUE TO PLAY LOTS OF ROLLER COASTER TYCOON +RES0204-073 SO I'M GOING TO GO GET THE DOCTOR THAT I'M WORKING WITH I'M I'M WONDERING YOU KNOW HE MIGHT WANT TO DO A CHEST X RAY AND GET A BETTER LOOK AT WHAT'S GOING ON THERE HAVE YOU EVER HAD AN X RAY BEFORE +RES0204-074 I DON'T THINK SO NO +RES0204-075 DO YOU KNOW WHAT AN X RAY IS +RES0204-076 A LITTLE BIT +RES0204-077 IT'S LIKE TAKING PICTURE OF YOUR BODY ON THE INSIDE IT'S PRETTY COOL SO IT GIVES US AN IDEA OF WHAT'S GOING ON IN THE INSIDE +RES0204-078 ALSO THIS REALLY THIS PART IS KIND OF NOT SO MUCH FUN BUT I THINK WE SHOULD PROBABLY DO A COVID SWAB BECAUSE WE'RE DOING THAT WITH ANYONE THAT COMES IN WITH THESE SYMPTOMS LATELY AND THAT'S NOT A LOT OF FUN +RES0204-079 WE GOTTA STICK SOMETHING UP YOUR NOSE BUT I THINK THAT YOU'RE REALLY BRAVE AND I THINK THAT YOU'LL BE JUST FINE WITH IT OK +RES0204-080 OK +RES0204-081 SO WE'RE GOING TO ARRANGE FOR THESE THINGS AND THEN I WILL COME BACK WITH THE DOCTOR THAT I'M WORKING WITH AND WE'LL KIND OF TALK ABOUT WHERE TO GO FROM HERE +RES0204-082 OK THAT SOUNDS GOOD +RES0204-083 THANK YOU GUYS FOR CHATTING WITH ME +RES0205-000 I'M GOING TO BE HAVING A CHAT WITH YOU TODAY GET AN IDEA OF HOW THINGS ARE GOING AND THEN I'LL GO OVER IT WITH THE OPPOSITION THAT I'M WORKING WITH AND WE CAN COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS THAT SOUND GOOD TO YOU +RES0205-001 I KNOW THAT YOU'VE BEEN HAVING EXPERIENCING A COUGH CAN YOU TELL ME A LITTLE BIT ABOUT THAT +RES0205-002 I I'VE HAD THIS COUGH FOR THE PAST TWO WEEKS AND IT JUST DOESN'T GO +RES0205-003 OK HAVE NEVER HAD ANYTHING LIKE THIS BEFORE +RES0205-004 I'M I USUALLY GET A COLD ONCE A YEAR OR SO BUT THE COUGH DOESN'T LAST THIS LONG LIKE IT'S USUALLY OVER IN A WEEK OR WEEK AND A HALF OR SO +RES0205-005 AND IT'S IT'S NOT LETTING UP +RES0205-007 OK I'M GONNA ASK YOU A FEW QUESTIONS ABOUT THE COUGH ITSELF IS THIS A DRY COUGH THAT YOU'RE EXPERIENCING OR ARE YOU PRODUCING LIKE ANY ANY MUCUS OR COUGHING UP ANYTHING +RES0205-008 THERE WAS SOME MUCUS EARLIER ON BUT NOW IT'S IT'S ALL IT'S A DRY COUGH +RES0205-009 NOW IT'S DRY OK HOW LONG WHAT WAS THE TIMELINE FOR THAT I GUESS HOW LONG +RES0205-010 SO MAYBE FOR THE FIRST FOUR OR FIVE DAYS THERE WAS THIS LIKE WHITISH CLEAR KIND OF MUCUS THAT WAS COMING UP AND THEN AFTER THAT WAS A A DRY COUGH +RES0205-011 OK OK AND DO YOU FEEL LIKE THE INTENSITY OF THE COUGH GOT WORSE OVER THE LAST TWO WEEKS OR HAS IT GOTTEN ANY BETTER +RES0205-012 KIND OF THE SAME I WOULD SAY +RES0205-013 AND HAS THE COUGH GOTTEN MORE FREQUENT OVER THIS TIME AS WELL +RES0205-014 NO +RES0205-015 HOW OFTEN WOULD YOU SAY THAT YOU'RE COUGHING +RES0205-016 IT'S HARD FOR ME TO QUANTIFY MAYBE A COUPLE OF TIMES AN HOUR MAYBE THREE OR FOUR TIMES AN HOUR OR SO +RES0205-017 IS THERE ANYTHING YOU CAN THINK OF THAT TRIGGERS THE COUGH OR IS IT SPONTANEOUS +RES0205-018 IT'S KINDA SPONTANEOUS CAN'T REALLY THINK OF ANYTHING +RES0205-019 OK AND ALONG WITH THE COUGH ARE YOU EXPERIENCING ANY DIFFICULTY BREATHING +RES0205-020 NO +RES0205-021 HAVE YOU NOTICED ANY FEVERS +RES0205-022 NO +RES0205-023 HAVE YOU HAD ANY SORE THROAT +RES0205-024 I DID INITIALLY FOR THE FIRST TWO OR THREE DAYS AND THEN THAT GOT BETTER +RES0205-025 OK HAVE YOU HAD ANY RUNNY NOSE +RES0205-026 I DID INITIALLY I HAVE LIKE HAD ALL THOSE FLU SYMPTOMS FOR THE FIRST COUPLE OF DAYS BUT THE COUGH JUST KINDA STAYED EVERYTHING ELSE RESOLVED IN THE FIRST THREE OR FOUR DAYS I WOULD SAY +RES0205-027 OK THANK YOU FOR SHARING THAT HAVE YOU HAD DID YOU HAVE ANY CHEST PAIN AT ANY POINT +RES0205-028 NO BUT I GUESS LIKE SOMETIMES WHEN I'M COUGHING TOO MUCH MY CHEST HURTS A LITTLE BIT +RES0205-029 OK SO IT FEELS KIND OF SORE AFTER ALL THAT +RES0205-030 OK OK HAVE YOU BEEN IN CONTACT I GUESS IT'S HARD TO SAY BECAUSE IT STARTED A WHILE AGO BUT BEFORE IT STARTED BRINGING CONTACT WITH ANYONE THAT'S BEEN SICK +RES0205-031 I I WORK AT THE HOSPITAL BUT I'M WEARING PPE ALL THE TIME AND I'M VERY CAREFUL SO +RES0205-032 OK HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE PROVINCE +RES0205-033 NO +RES0205-034 OK HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0205-035 NO +RES0205-036 OK ANY BELLY PAIN +RES0205-038 OK SO I'M JUST GONNA ASK YOU SOME QUESTIONS ABOUT YOUR OVERALL HEALTH HAVE YOU HAD ANY RESPIRATORY PROBLEMS IN THE PAST +RES0205-039 NO +RES0205-040 OK OR DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULAR THING +RES0205-041 I'VE GOT ACID REFLUX AND I ALSO HAVE ANXIETY +RES0205-042 ARE YOU CURRENTLY TAKING ANY MEDICATIONS +RES0205-043 I I USED TO NOT ANYMORE +RES0205-044 WAS THERE ANY PARTICULAR MEDICATION THAT YOU STOPPED RECENTLY +RES0205-045 NO NO I USED TO TAKE I USED TO TAKE SOMETHING FOR ANXIETY TWO THREE YEARS AGO +RES0205-046 OK AND WHAT DO YOU DO FOR YOUR REFLUX +RES0205-047 I JUST AVOID RIGHT NOW I'M JUST TRYING TO AVOID THE FOODS THAT MAKE THINGS WORSE FOR ME AND I FEEL LIKE THAT'S HELPED ME QUITE A BIT SO I QUITE LIKE ACIDIC FOODS AND CHOCOLATES AND THINGS LIKE THAT +RES0205-048 SURE THAT'S NO FUN +RES0205-049 DO YOU HAVE ANY ALLERGIES +RES0205-050 HAY FEVER +RES0205-051 AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS OR HEART PROBLEMS +RES0205-053 NO OK OK AND THIS IS IN TERMS OF YOUR LIFESTYLE DO YOU LIVE WITH FAMILY ALONE +RES0205-054 I I LIVE WITH MY PARTNER +RES0205-055 OK AND DO YOU HAVE ANY KIDS OR PETS LIVING WITH YOU +RES0205-056 NO +RES0205-057 DO YOU SMOKE +RES0205-058 I DON'T NO +RES0205-059 DRINK ALCOHOL +RES0205-060 OCCASIONALLY ON CHRISTMAS +RES0205-061 OH OK I SEE AND DO YOU USE ANY OTHER SUBSTANCES +RES0205-062 NO +RES0205-063 OK AND WHAT DO YOU DO FOR WORK +RES0205-064 I'M A CLERK AT THE HOSPITAL +RES0205-065 OK RIGHT YOU JUST SAY YOU WORKING AT THE HOSPITAL AND I CAN'T THINK I THOUGHT I HAD ANOTHER QUESTION FOR YOU BUT I CAN'T REMEMBER IT ANYTHING ELSE THAT YOU WANTED TO TELL ME ABOUT THAT I DIDN'T ASK YOU +RES0205-066 NO I GUESS I WAS JUST WONDERING WHY I STILL HAVE A COUGH IT'S BEEN SUCH A LONG TIME AND I WAS WONDERING IF I COULD GET ANY MEDICATIONS JUST TO HELP WITH THAT +RES0205-067 IT'S NOT REALLY IT'S EVERYONE'S LIKE SCARED AT WORK WHEN I COUGH I HAVE I HAVE HAD THE COVID TEST AND I DON'T HAVE IT SO +RES0205-068 WHEN WE GOT THE LAST TEST DONE +RES0205-069 I HAD THE TEST DONE WHEN I FIRST STARTED HAVING SYMPTOMS ABOUT TWO WEEKS AGO SINCE THEN I'VE BEEN AT HOME AND I'M JUST WAITING FOR MY SYMPTOMS TO GET BETTER BUT I YOU KNOW I KIND OF LIKE GET BACK AND I DON'T WANT TO BE COUGHING WHEN I GET BACK +RES0205-070 OK WELL I'M GONNA HAVE A QUICK LISTEN TO YOUR HEART AND LUNGS I'LL DO A QUICK PHYSICAL EXAM AND THEN I WILL GO GET THE DOCTOR THAT I'M WORKING WITH ALL KIND OF GO OVER EVERYTHING YOU TALKED ABOUT +RES0205-071 AND THEN WE'LL COME BACK AND TALK TO YOU ABOUT WHERE TO GO FROM HERE +RES0205-072 SOUNDS GREAT +RES0205-073 OK WELL THANKS FOR CHATTING WITH ME +RES0206-000 WHAT BRINGS YOU IN TODAY +RES0206-001-1 SO I SO I HAVE COPD AND IT'S USUALLY LIKE PRETTY MANAGEABLE WITH MY PUFFERS AND THAT BUT JUST IN THE LAST LIKE THREE DAYS +RES0206-001-2 I FEEL LIKE IT'S GOTTEN A LOT WORSE YOU KNOW I I FEEL LIKE I'M COUGHING MORE OFTEN AND I'M NOW KIND OF PRODUCING MORE SPUTUM KIND OF LIKE A GREEN YELLOWY SPUTUM +RES0206-001-3 I EVEN NOTICE THAT THERE IS LIKE A LITTLE BIT OF BLOOD A COUPLE TIMES WHEN I WAS LIKE REALLY COUGHING HARD I'VE BEEN FINDING IT LIKE HARDER TO BREATHE THAN USUAL +RES0206-001-4 I DON'T HAVE HOME OXYGEN OR ANYTHING AND I'M NOT I DIDN'T THINK I WAS QUITE THERE YET BUT THIS THESE LAST FEW DAYS IT'S BEEN IT'S BEEN REALLY HARD TO BREATHE +RES0206-002 I SEE OK SO THIS IS HAPPENED IN THE PAST THREE DAYS HAVE YOUR SYMPTOMS GOTTEN BETTER OR WORSE OVER THIS TIME +RES0206-003 I FEEL LIKE THEY'VE BEEN GET MAYBE MAYBE GETTING A LITTLE WORSE THEY DEFINITELY HAVEN'T GOTTEN BETTER +RES0206-004 OK AND HAS THIS EVER HAPPENED TO YOU BEFORE +RES0206-005 I'VE HAD I HAD SOME TROUBLES LIKE WHEN I'VE BEEN SICK BEFORE WHERE THE COUGH IS GOTTEN PRETTY BAD THIS IS PROBABLY THIS IS PROBABLY THE WORST THAT I'VE HAD BUT I HAVE LIKE I HAVE HAD IN MY COPD BEEN MADE WORSE BY BEING SICK +RES0206-006 I SEE OK WELL I GUESS THE FIRST THING WE'RE GOING SO HOW'S TBAD HOW BAD IS YOUR SHORTNESS OF BREATH +RES0206-007 LIKE I I WALKED HERE FINE BUT I NORMALLY LIKE CAN WALK AROUND THE BLOCK AND I GO FOR A WALK USUALLY A COUPLE TIMES A DAY TO WALK MY DOG AND IT'S BEEN JUST IT'S BEEN A LITTLE BIT TRICKIER TO DO THAT +RES0206-008 I SEE OK AND HAVE YOU EVER HAD ANY HOSPITALIZATIONS IN THE PAST SPECIFICALLY FOR COPD EXACERBATIONS +RES0206-009 I HAVEN'T LIKE STAYED OVER IN THE HOSPITAL I LIKE COME TO EMERGE A COUPLE TIMES +RES0206-010 HOW MANY TIMES +RES0206-011 I THINK TWICE MAYBE OVER THE LAST LIKE THREE YEARS +RES0206-012 WHEN WERE YOU DIAGNOSED WITH COPD +RES0206-013 FOUR FIVE YEARS AGO +RES0206-014 WAS IT FORMALLY DIAGNOSED USING THE PROPER TESTING +RES0206-015 THEY REFERRED ME TO A LUNG A LUNG DOCTOR +RES0206-016 I SEE OK AND HAVE YOU HAD ANY FEVERS OR CHILLS +RES0206-017 I FEEL LIKE I MAY HAVE HAD A FEVER LAST NIGHT I FELT REALLY HOT +RES0206-018 DID YOU CHECK YOUR TEMPERATURE +RES0206-019 I I DON'T HAVE A THERMOMETER AT HOME +RES0206-020 NO PROBLEM WE CAN NOW CHECK YOUR TEMPERATURE +RES0206-021 HERE BY THE BED I WOULD SAY HAD A FEVER +RES0206-022 AND HAVE YOU HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD LIKE A RUNNY NOSE OR STUFFY NOSE ANY PAIN IN YOUR SINUS +RES0206-023 I THINK I THINK I HAVE A I'VE HAD A BIT OF A LIKE THIS PRESSURE IN THE SINUS AREA BUT IT'S BEEN THE COUGH HAS BEEN THE THING THAT'S BEEN THE MOST BOTHERSOME +RES0206-024 I SEE AND HAVE YOU HAD A SORE THROAT AT ALL +RES0206-025 OH NO +RES0206-026 OK A HEADACHE +RES0206-028 BIT OK AND ANY NAUSEA OR VOMITING +RES0206-029 NO +RES0206-030 DIARRHEA OR CONSTIPATION +RES0206-031 NO +RES0206-032 ABDOMINAL PAIN +RES0206-033 NO +RES0206-034 OK IN HAVE YOU RECENTLY LOST WEIGHT UNINTENTIONALLY +RES0206-035 NO NO I WISH BUT NO +RES0206-036 OK HAVE YOU HAD ANY NIGHT SWEATS WHERE YOU FEEL LIKE YOU'RE DRENCHED IN SWEAT AT NIGHT +RES0206-037 NO NOTHING LIKE THAT +RES0206-038 AND HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK +RES0206-039-1 LET ME THINK I I MEET MY I MEET A COUPLE OF FRIENDS TO WALK OUR DOGS TOGETHER OUTSIDE AND +RES0206-039-2 ONE OF THEM WAS A BIT SICK FOR A BIT WE TRY NOT TO GET TOO CLOSE BUT MAYBE I DON'T KNOW MAYBE SOMETIMES WE WALK A LITTLE TOO CLOSE WE FEEL TOO SAFE CAUSE WE'RE LIKE OUTSIDE +RES0206-040 OK OK AND DID YOUR FRIEND GET A COVID TEST DONE +RES0206-041 I DON'T KNOW +RES0206-042 THAT'S OK OK AND YOU MENTIONED THAT YOU HAD COPD THAT WAS DIAGNOSED FOUR OR FIVE YEARS AGO ANY OTHER MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0206-043 I HAVE A HIGH BLOOD PRESSURE +RES0206-044 OK AND ARE YOU TAKING ANY MEDICATIONS +RES0206-045 I'M NOT I'M NOT I WE TALKED ABOUT IT BUT I DECIDED TO TRY TO CHANGE MY LIFESTYLE AS MUCH AS I COULD ONEST AND I'VE ALSO DONE THAT FOR THE COPD +RES0206-046 IT'S GENERALLY PRETTY LIKE I'VE BEEN REALLY TRYING TO TAKE CARE OF IT BUT I FEEL LIKE I MAYBE GOT SICK OR SOMETHING THIS TIME SO MY BLOOD PRESSURE IS LIKE OK RIGHT NOW +RES0206-048 MY PRESSURE AND THEN I LOST WEIGHT AND STARTED THIS WALKING MORE +RES0206-049 THAT'S GREAT THAT'S REALLY REALLY GOOD THAT YOU'RE TAKING BETTER CARE OF YOURSELF SHOULD DEFINITELY CONTINUE DOING THAT +RES0206-050 RIGHT +RES0206-051 AND YOU'VE MENTIONED THAT YOU HAVE SOME PUFFERS HOW OFTEN DO YOU USE THOSE +RES0206-052 OH LIKE I HAVE THE ONE THAT I USE EVERY DAY THAT I'M SUPPOSED TO JUST USE NO MATTER WHAT AND THEN THE ONE THAT I USE WHEN KIND OF JUST WHEN I NEED IT I PROBABLY USE IT LIKE ONCE EVERY TWO WEEKS +RES0206-053 OK OK AND YOU MENTIONED THAT YOUR COPD'S ARE GETTING BETTER DO YOU FIND THAT IT'S AFFECTING YOUR LIFE IN ANY WAY AFFECTING THE WAY THAT YOU'RE DOING YOUR DAILY ACTIVITIES AT AT HOME OR AT WORK IF YOU ARE WORKING +RES0206-054 I LIKE PRETTY OK EXCEPT FOR LIKE IF I GET SICK I SO IT'S BEEN +RES0206-055 IT'S BEEN +RES0206-056 I THINK IT'S LIKE PRETTY WELL MANAGED LIKE I STAY ON TOP OF MY LIFESTYLE NOW +RES0206-059 NO NO ALLERGIES TO MEDICATIONS +RES0206-060 NO +RES0206-061 OK OK GOOD AND DO YOU JUST A COUPLE MORE TO GENERAL QUESTIONS HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY +RES0206-062 NO +RES0206-063 YOU I GUESS I SHOULD HAVE ASKED YOU EARLIER BUT HAVE YOU NOTICED ANY CHANGE IN YOUR SENSE OF SMELL +RES0206-064 NO I DON'T THINK SO +RES0206-065 ANY CHANGE IN YOUR SENSE OF TASTE +RES0206-066 NO I DON'T THINK SO +RES0206-067 ANY CONFUSION OR FUZZY FEELING +RES0206-068 NOPE +RES0206-069 NO OK ANY MUSCLE ACHES IN YOUR BODY +RES0206-070 NO +RES0206-071 OK ALRIGHT AND JUST KIND OF SOME QUESTIONS ABOUT YOUR LIVING SITUATION DO YOU CURRENTLY LIVE ALONE AND I YOU MENTIONED THAT YOU HAVE A DOG ARE THERE ANY IS THERE ANYBODY ANYONE ELSE IN THE HOUSE +RES0206-072 MY HUSBAND +RES0206-073 OK AND DO YOU CURRENTLY WORK +RES0206-074 I LIKE I'VE BEEN WORKING FROM HOME I WORKED FOR THE MUNICIPALITY +RES0206-075 I SEE DO YOU THINK YOU MIGHT HAVE HAD ANY EXPOSURES TO SAY DUST OR SMOKE OR ANYTHING LIKE THAT THAT COULD HAVE WORSENED YOUR SYMPTOMS +RES0206-076 I DON'T THINK SO +RES0206-077 AND DO YOU DRINK ALCOHOL +RES0206-078 OH VERY RARELY +RES0206-079 OK DO YOU SMOKE +RES0206-080 I USED TO I QUIT ONCE THEY SAID I HAVE COPD I SMOKED HALF PACK A DAY FOR PROBABLY TWENTY YEARS +RES0206-081 OK OK AND DO YOU CONSUME MARIJUANA OR ANY RECREATIONAL DRUGS +RES0206-083 OK ALRIGHT WELL I GUESS ONE MORE QUESTION ARE THERE ANY LUNG DISEASES OR HEART CONDITIONS OR CANCERS THAT RUN IN THE FAMILY +RES0206-084 NO NOTHING THAT I CAN THINK OF +RES0206-085 ALRIGHT WELL THAT'S THOSE ARE ALL THE QUESTIONS I HAD FOR YOU I WILL NOW DO IT PHYSICAL EXAM AND LOOK AT YOUR VITALS AND LISTEN TO YOUR CHEST +RES0206-086-1 IT'S LIKELY THAT WHAT YOU HAVE RIGHT NOW IS COPD EXACERBATION MAYBE JUST A LIKE AN INFECTION THAT YOU GOT WHICH WORSENED SOME OF YOUR COPD SYMPTOMS +RES0206-086-2 WE WOULD ALSO HAVE TO RULE OUT COVID SO WE'LL BE DOING A COVID SWAB AND WILL DECIDE BASED ON THE ON YOUR LABS IN YOUR VITAL SIGNS +RES0206-087 IT'S INSTEAD OF OTHER THINGS WHETHER YOU NEED TO STAY IN THE ER AND BE ADMITTED OR IF YOU ARE GOOD TO GO HOME I WILL ALSO TALK TO MY ATTENDING AND WILL MAKE THOSE DECISIONS TOGETHER AND COME BACK AND TALK TO YOU DOES THAT SOUND GOOD TO YOU +RES0206-088 THAT SOUNDS GREAT THANK YOU +RES0206-089 YOUR WELCOME +RES0207-000 WELL CAN YOU TELL ME WHAT BROUGHT YOU IN TODAY +RES0207-001 I WOKE UP THIS MORNING AND I WAS JUST FEELING SUDDENLY FEELING VERY SHORT OF BREATH AND I JUST WASN'T SURE WHAT WAS GOING ON SO I THOUGHT I WOULD COME IN +RES0207-002 OK THIS THIS MORNING SUDDENLY FEELING SHORT OF BREATH OK AND THIS COUGH WAS NOT ALSO SOMETHING THAT HAPPENS SUDDENLY THIS MORNING +RES0207-003 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +RES0207-004 NO NOT I MEAN IF I I GET A CALL FROM TIME TO TIME WHEN I GET SICK BUT I'VE NEVER REALLY FELT SHORT OF BREATH +RES0207-005 OK IS THIS COUGH A DRY COUGH OR ARE YOU BRINGING UP ANY SPUTUM +RES0207-006 IT'S A DRY COUGH +RES0207-007 OK OK HAVE YOU HAD ANY FEVERS +RES0207-008 I CHECKED IT THIS MORNING I WAS LIKE IT WAS KIND OF MILD SO THIRTY SEVEN POINT FOUR I THINK +RES0207-009 THAT WAS JUST THIS MORNING +RES0207-010 OK HAVE YOU HAD ANY CHEST PAIN +RES0207-011 NO +RES0207-012 OK HAVE YOU FELT AT ALL LIKE YOU'RE GOING TO FAINT +RES0207-013 NO NO ALTHOUGH I I SHOULD LET YOU KNOW AND MAYBE I DON'T KNOW IF IT'S RELATED BUT I HAD A SEIZURE LAST NIGHT +RES0207-014 AND I WAS FINE AFTER AND THEN I WENT TO BED I DON'T KNOW IF THAT'S RELATED BUT I THOUGHT I SHOULD LET YOU KNOW I DO HAVE A SEIZURE DISORDER I HAVE EPILEPSY +RES0207-015 OK OK THANK YOU FOR SHARING THAT WITH ME HAVE YOU EVER HAD ANY ISSUES LIKE THIS FOLLOWING SEIZURES IN THE PAST +RES0207-016 NO I USUALLY DON'T GET SEIZURES VERY OFTEN I KIND OF FORGOT TO TAKE MY MED I THINK THAT MIGHT HAVE +RES0207-017 ALRIGHT OK NO WORRIES OK IS THERE ANYTHING IN TERMS OF THIS SHORTNESS OF BREATH AND THIS COUGH IS THERE ANYTHING THAT MAKES IT FEEL WORSE +RES0207-019 IN ANY POSITION +RES0207-020 I I MEAN I HAVEN'T REALLY BEEN IN A LOT OF POSITIONS LIKE IT JUST STARTED THREE HOURS AGO OR SO SO I HAVEN'T REALLY +RES0207-021 THAT'S A HARD QUESTION +RES0207-022 I HAVEN'T DONE MUCH SINCE THEN +RES0207-023 HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0207-024 NO +RES0207-025 ANY BELLY PAIN +RES0207-027 OK ANY DIARRHEA +RES0207-028 NO I DON'T +RES0207-029 OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK LATELY +RES0207-030 NO I HAVEN'T +RES0207-031 OK HAVE YOU TRAVELED ANYWHERE +RES0207-032 NO I'VE JUST BEEN AT HOME +RES0207-033 OK ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDN'T ASK YOU ABOUT +RES0207-034 NO NO I +RES0207-035 HAVE LOST ANY OF YOUR SENSE OF TASTE OR SMELL +RES0207-036 NO I HAVEN'T +RES0207-037 HAVE YOU HAD ANY SORE THROAT +RES0207-038 NO +RES0207-039 RUNNY NOSE +RES0207-040 NO +RES0207-041 OK SO IN TERMS OF YOUR OVERALL HEALTH YOU SAID THAT YOU HAVE EPILEPSY ANY OTHER CHRONIC CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0207-042 NO THAT'S IT +RES0207-043 YOU SAID YOU TAKE A MEDICATION WHAT MEDICATION OR MEDICATIONS ARE YOU CURRENTLY TAKING +RES0207-044 I'M TAKING KEPPRA +RES0207-045 OK AND NORMALLY ARE YOU HAVING ANY DIFFICULTY REMEMBERING TAKING IT OR WAS IT JUST KIND OF A BRAIN FART +RES0207-046 NO IT JUST KIND OF HAPPENED IT WAS IT WAS MY DAUGHTER'S BIRTHDAY AND WE KIND OF JUST I USUALLY SORT OF HAVE IT WITH DINNER TIME +RES0207-047 BUT WE DID THINGS A LITTLE BIT DIFFERENTLY AND HAD LIKE A CELEBRATION EARLIER ON AND SO I COMPLETELY FORGOT BECAUSE I DIDN'T HAVE DINNER LATER +RES0207-048 OH THAT MAKES SENSE IT HAPPENS FOR SURE OK DO YOU HAVE ANY ALLERGIES +RES0207-049 NO +RES0207-050 DO YOU HAVE ANY FAMILY HISTORY ANY ANY DISEASES THAT RUN IN YOUR FAMILY +RES0207-051 EPILEPSY RUNS IN THE FAMILY MY MOM HAD IT +RES0207-052 OK AND IN TERMS OF YOUR LIFESTYLE YOU SAID THAT YOU HAVE A DAUGHTER SO DO YOU LIVE WITH YOUR FAMILY DO YOU LIVE WITH YOUR DAUGHTER +RES0207-053 I LIVE WITH MY DAUGHTER AND MY WIFE +RES0207-054 HOW OLD IS YOUR DAUGHTER +RES0207-055 PARDON ME +RES0207-056 HOW OLD IS YOUR DAUGHTER +RES0207-057 SHE'S SIXTEEN YEARS OLD +RES0207-058 WOW SWEET SIXTEEN +RES0207-059 RIGHT OK SO ARE YOU CURRENTLY WORKING +RES0207-061 I AM WHAT DO YOU DO FOR WORK +RES0207-062 I'M AN ACCOUNTANT +RES0207-063 OK COOL ARE YOU WORKING FROM HOME OR STILL WORKING OUT +RES0207-064 I'M WORKING FROM HOME +RES0207-065 NICE AND THATS SOUNDS GREAT OK AND DO YOU SMOKE +RES0207-066 I DON'T NO +RES0207-067 DO YOU DRINK ALCOHOL +RES0207-068 ON THE WEEKENDS ONE OR TWO CLASS SAYS A WINE +RES0207-069 OK AND DID YOU USE ANY OTHER SUBSTANCES +RES0207-070 NO I DON'T +RES0207-071 OK I THINK THAT ABOUT COVERS MY QUESTIONS FOR NOW SO I'M GONNA TAKE EVERYTHING WE TALKED ABOUT +RES0207-072 I'M GOING TO GO OVER IT WITH THE DOCTOR WAS WORKING TODAY AND NOW WE'LL COME BACK SHORTLY AND TALK TO YOU ABOUT THE NEXT STEPS IF THERE'S ANY TESTS WE WANT TO DO OR HOW WE WANT TO MOVE FORWARD WITH THIS SO +RES0207-073 THATS GREAT +RES0207-074 OK SURE SEE YOU SHORTLY +RES0208-000 WHAT BRINGS YOU IN TODAY +RES0208-001 HEY SO I JUST FOR THE LAST COUPLE DAYS I'VE JUST BEEN FEELING REALLY SHORT OF BREATH REALLY RUNDOWN JUST LIKE SUPER TIRED AND YOU KNOW NORMALLY REALLY ACTIVE AND I'M JUST I'M JUST HAVING A ROUGH GO +RES0208-002 IS THERE IS THE SHORTNESS OF BREATH KNEW FOR YOU +RES0208-003 IT'S JUST LIKE JUST LIKE I CAN'T I DON'T KNOW LIKE I CAN'T CATCH UP I KIND OF JUST FEEL I FEEL A BIT WEAK LIKE I'VE JUST BEEN FEELING REALLY TIRED AND THEN BECAUSE OF THAT I HAVEN'T REALLY BEEN EATING A LOT SO I DON'T KNOW +RES0208-004 YOU'VE JUST BEEN FEELING VERY TIRED CAN YOU I GUESS LIKE TELL ME A LITTLE BIT MORE ABOUT YOUR DIFFICULTY WITH BREATHING WHEN DOES IT HAPPEN +RES0208-005 I THINK JUST LIKE OVERALL I'M FINDING IT LIKE IT'S HARD TO HARD TO GET LIKE SUPER DEEP BREATHS IT'S NOT LIKE I I CAN'T I DON'T GET THE FEELING THAT I CAN'T BREATHE IT'S JUST THAT EVERYTHING'S A LITTLE BIT MORE LIKE LABORIOUS +RES0208-006 OK AND YOU SAID THAT IT STARTED A FEW DAYS AGO HAVE YOU HAD ANY OTHER SYMPTOMS OTHER THAN THE DIFFICULTY BREATHING AND THE FATIGUE +RES0208-007-1 I MEAN I FELT I THINK I FELT REALLY HOT YESTERDAY I DON'T KNOW THE THERMOMETER BUT I HAD MY WIFE PUT HER PUT HER HAND ON MY FOREHEAD AND SHE GOT A I FELT PRETTY WARM +RES0208-007-2 AND COME TO THINK OF IT I THIS MORNING I I REALLY I DIDN'T EAT MUCH BECAUSE I JUST HAVEN'T BEEN THAT HUNGRY BUT I DON'T REALLY FEEL LIKE I COULDN'T REALLY TASTE MY BREAKFAST +RES0208-008 HAS THAT EVER HAPPENED TO YOU BEFORE +RES0208-009 NO NEVER I LIKE I LIKE MY FOOD +RES0208-010 ME TOO OK WHAT ABOUT YOUR SENSE OF SMELL DO YOU FEEL LIKE YOU'RE NOT YOU ARE NOT ABLE TO SMELL WELL EITHER +RES0208-011 I HAVEN'T THOUGHT ABOUT IT TOO HARD BUT KIND OF +RES0208-012 OK AND HAVE YOU HAD A COUGH +RES0208-013 I DON'T KNOW I I FEEL LIKE I MAYBE COULD BE STARTING STARTING ONE +RES0208-014 SURE +RES0208-015 LIKE IT'S WHEN IT FEELS DRY LIKE IT'S ON ITS WAY HAVEN'T REALLY BEEN COUGHING MUCH +RES0208-016 I SEE WHAT ABOUT A SORE THROAT +RES0208-017 I'M STARTING TO FEEL A LITTLE BIT LIKE THAT LIKE I DON'T KNOW IF I'M IMAGINING IT BUT I I THINK SO +RES0208-018 I SEE OK HAVE YOU HAD A RUNNY NOSE OR ANY CONGESTION +RES0208-019 NO +RES0208-020 ANY HEADACHES +RES0208-021 GOOD QUESTION I I KIND OF I GET I GET HEADACHES FAIRLY OFTEN I DON'T THINK I'M GETTING ANY MORE THAN USUAL BUT I HAVE HAD A LITTLE BIT +RES0208-022 OK IS THE HEADACHE THAT YOU'VE HAD DIFFERENT IN QUALITY FROM THE HEADACHES THAT YOU USUALLY GET +RES0208-023 I MEAN I DON'T KNOW I DON'T KNOW I USUALLY GET KIND OF DIFFICULT STRESS HEADACHE YOU KNOW +RES0208-024 PRETTY WELL I AM STRESSED JUST THAT I YOU KNOW MIGHT BE SICK +RES0208-025 AND HAVE YOU HAD ANY CHANGES IN YOUR VISION OR HEARING +RES0208-026 NO +RES0208-027 IN THE PAST THREE FOUR DAYS NO OK ANY NAUSEA OR VOMITING +RES0208-028 NO NO I HAVEN'T +RES0208-029 HAVE YOU HAD ANY CHEST PAIN +RES0208-030 LIKE IT'S NO NO NO CHEST PAIN +RES0208-031 ANY DO YOU FEEL LIKE YOUR HEART'S BEATING REALLY FAST +RES0208-032 NO I WOULDN'T SAY SO +RES0208-033 OK HAVE YOU HAD ANY PAIN IN YOUR BELLY +RES0208-035 OK ANY URINARY SYMPTOMS +RES0208-037 OK AND YOU MENTIONED YOU HAVE MUSCLE ACHES IS IT SO ALL OVER YOUR BODY OR IS IT A SPECIFIC PART SPECIFIC AREA +RES0208-038 I WOULD JUST SAY I FEEL KIND OF OVERALL ACHY +RES0208-040 NOT ANY ONE SPOT +RES0208-041 ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS +RES0208-042 NO +RES0208-043 OK ALL RIGHT HAVE YOU HAD ANY EXPOSURE TO ANYONE WHO COULD POTENTIALLY BE SICK +RES0208-044 WELL MY GRANDKIDS VISITED LAST WEEKEND AND MY GRANDSON HAS A COLD HE GOES TO DAYCARE SO I'M NOT REALLY I'M NOT REALLY SURE LIKE HE'S BEEN STAYING HOME AND THEY DIDN'T THEY DIDN'T REALLY KNOW THAT WHEN THEY CAME TO VISIT +RES0208-045 OK THAT'S OK AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +RES0208-047 OK ALRIGHT DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0208-048-1 I'M PRETTY I'M PRETTY HEALTHY I HAVE SOME LIKE REFLUX THAT I SEE MY DOCTOR FOR +RES0208-048-2 AND I'VE HAD I'VE HAD SOME DIFFICULTIES LIKE WITH LIKE URINATING A LITTLE BIT ANY +RES0208-048-3 MY MY PROSTATE'S A LITTLE BIG LIKE IT'S NOT CANCER BUT SO JUST THOSE TWO THINGS THAT AREN'T THAT AREN'T THERE THAT REALLY BIG DEAL THEY DON'T AFFECT MY LIFE TOO MUCH +RES0208-049 ARE YOU TAKING ANY MEDICATIONS FOR EITHER PROBLEM +RES0208-050 I TAKE AVODART +RES0208-052 AND FOR THE THE REFLUX I TAKE A TUMS HERE AND THERE I USED TO BE ON A MEDICATION BUT IT SEEMED LIKE I KIND OF FIGURED OUT THE FOODS THAT WERE GOING TO HELP SO I STOPPED +RES0208-053 GREAT THAT'S GREAT ANY ALLERGIES TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES +RES0208-054 NO +RES0208-055 NO OK AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY SPECIFICALLY ANYTHING RELATED TO THE LUNGS +RES0208-056 NO NOT THAT I CAN THINK OF AND +RES0208-057 DO YOU YOU MENTIONED THAT YOUR GRANDKIDS HAVE CAME TO VISIT DO YOU LIVE ALONE +RES0208-058 NO I LIVE WITH MY WIFE +RES0208-059 AND ARE YOU CURRENTLY WORKING OR ARE YOU STAYING AT HOME +RES0208-060 I'M WORKING FROM HOME I I I'VE GONE OUT A FEW TIMES TO SEE CLIENTS I WORK AS A FINANCIAL ADVISOR I'VE GONE TO SEE A COUPLE CLIENTS THAT ARE REALLY OLD AND HAVE A HARD TIME DOING STUFF OVER THE PHONE OR OVER THE COMPUTER BUT I'M LIKE NINETY FIVE PERCENT FROM HOME +RES0208-061 HAVE YOU GONE TO SEE ANY CLIENTS IN THE PAST THREE OR FOUR DAYS OR IN THE PAST WEEK +RES0208-062 NO NO NO IT'S PROBABLY BEEN A COUPLE WEEKS SINCE I SAW ANYONE +RES0208-063 OK AND DO YOU SMOKE OR DID YOU EVER SMOKE AT THE PAST +RES0208-064 NO I I MAYBE DID FOR MAYBE LIKE THREE YEARS IN MY TWENTIES IT WASN'T HEAVILY YES +RES0208-065 ANY MARIJUANA OR RECREATIONAL DRUGS +RES0208-067 ANY ALCOHOL +RES0208-068 I USUALLY HAVE A WHISKEY OR TWO ON THE WEEKENDS +RES0208-069 OK ALRIGHT SO IT SOUNDS LIKE YOU HAVE SOME SORT OF AN INFECTION WITH THE FEVERS AND FATIGUE AND MUSCLE ACHES AND THEN THE DIFFICULTY BREATHING OF COURSE +RES0208-070 AND THEN YOUR SENSATION THAT SENSATION THAT YOU ARE HAVING A VERY COOL SORT OF A SORE THROAT AND COUGH THAT YOU MIGHT BE GETTING WE CAN'T NECESSARILY RULE OUT COVID JUST YET +RES0208-071 AND THAT'S WHAT I WAS WORRIED ABOUT +RES0208-072-1 AND GIVEN THAT YOU'RE HAVING DIFFICULTIES BREATHING WE'RE ALSO GOING TO HAVE A LOOK AT YOUR CHEST AND DO IT PHYSICAL EXAM BUT ALSO DO A CHEST X RAY JUST TO MAKE SURE +RES0208-072-2 OR JUST TO SEE IF THERE'S ANYTHING A INFECTION THAT IS SETTLING IN YOUR CHEST AND A COVID SWAB AND THEN GO FROM THERE +RES0208-073 WE'LL DECIDE WHETHER YOU NEED TO STAY IN THE YOU NEED TO STAY IN THE HOSPITAL AND IF YOU CAN GO HOME BASED ON THOSE RESULTS BUT IF YOU ARE TO GO HOME WE WOULD REQUEST THAT YOU STAY AWAY FROM FROM EVERYONE SO INCLUDING YOUR WIFE +RES0208-074 TRY TO SELF ISOLATE AS MUCH AS POSSIBLE AND YOUR RESULTS SHOULD COME OUT IN TWENTY FOUR TO FORTY EIGHT HOURS AND THEN THE PUBLIC HEALTH NURSE SHOULD TELL YOU WHAT TO DO IF YOUR RESULTS ARE POSITIVE +RES0208-075 OK OK NO THAT SOUNDS FAIR +RES0208-076 ALL RIGHT WELL LET'S DO A PHYSICAL EXAM AND THEN GO FROM THERE +RES0208-077 OK THANK YOU +RES0208-078 YOU'RE WELCOME +RES0211-000 SO WHAT BRINGS YOU TO THE CLINIC TODAY +RES0211-001 HI SO I JUST LIKE FOR I DON'T KNOW LIKE THREE OR FOUR DAYS I'VE BEEN HAVING THIS REALLY DRY COUGH AND MY THROAT FEELS REALLY SCRATCHY I JUST FEEL KINDA CRAPPY OVERALL AND MY HEAD'S POUNDING +RES0211-002 YOUR HEADS POUNDING YOU HAVE A HEADACHE RIGHT NOW +RES0211-003 LITTLE BIT I JUST KIND OF FEEL JUST ICKY +RES0211-004 OK AND YOU SAY I'VE BEEN FEELING THAT FOR THREE TO FOUR DAYS NOW +RES0211-005 EXACTLY +RES0211-006 WHAT DID YOU FIRST NOTICE +RES0211-007 I FIRST NOTICED THAT MY THROAT WAS KIND OF SCRATCHY AND THEN I STARTED COUGHING BUT IT'S REALLY LIKE DRY +RES0211-008 OK SO YOU HAVEN'T BEEN BRINGING ANYTHING UP WITH IT +RES0211-009 NO +RES0211-012 OK YOU HAVEN'T BEEN NOTICING BEEN RUNNING A TEMPERATURE AT HOME HAVE YOU HOT FEVERS +RES0211-013 I I HAVE FELT REALLY HOT +RES0211-014 YOU FELT HOT AT HOME OK +RES0211-015 YOU NOTICED ANY NIGHT SWEATS BY NIGHT SWEATS I MEAN YOU WAKE UP SHEETS ARE SOAKED +RES0211-016 I HONESTLY I FELT HOT LIKE ALL THE TIME LIKE NIGHT I FEEL HOT BUT DURING THE DAY TOO I'M JUST LIKE I'M I'M LIKE HEY I'M WEARING LIKE JUST SHORTS AND LIKE A TANK TOP AND I JUST STILL FEEL REALLY HOT +RES0211-017 OK YOU NOTICE SKIN CHANGES ANYTHING IN YOUR ARMS OR LEGS IT LOOKS WEIRD NEW RASHES +RES0211-018 I DON'T I DON'T THINK SO I HAVEN'T REALLY BEEN LOOKING BUT YOU KNOW +RES0211-019 NO WORRIES AND THEN ASIDE FROM THAT ANY NAUSEA ANY VOMITING +RES0211-020 NO NOT THAT NO NOTHING LIKE THAT +RES0211-021 ANY DIARRHEA +RES0211-022 NO NO +RES0211-023 ANY ACHES IN YOUR JOINTS ANYWHERE +RES0211-024 NO I MEAN I'M I'M TIRED BUT I DON'T THINK THEY'RE NOT LIKE HURTING +RES0211-025 OK SO ASIDE THAT ASIDE FROM KIND OF THIS DRY COUGH FEELING HOT THAT OTHERWISE YOU'RE FEELING OK YOU DON'T HAVE ANY OTHER REAL CONCERNS ASIDE FROM THAT +RES0211-026 JUST LIKE I JUST FEEL CRAPPY LIKE I REALLY I DON'T THINK I KNOW THAT'S NOT LIKE A A REAL LIKE WAY TO SAY +RES0211-027 OH NO NO IT'S PERFECTLY VALID WE CALLED THAT MALAYS IN GENERAL JUST FEELING A LITTLE BIT OFF ALRIGHT SO THIS IS GOING TO TALK ABOUT YOU FOR A LITTLE BIT BUT FIRST WE'LL GET TO THAT LATER SO ANY ISSUES THAT YOU'VE SEEN A DOCTOR FOR BEFORE +RES0211-028 I HAVE I HAVE ALLERGIES USUALLY IN LIKE THE SPRING IN THE FALL +RES0211-029 DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS +RES0211-030 NO NO NOTHING LIKE THAT IT'S JUST LIKE I GET REALLY BAD ALLERGIES LIKE I I'VE SEEN AN ALLERGIST AND SOME YEARS I'VE GOTTEN ALLERGY SHOTS BUT LIKE NOT EVERY YEAR OTHERWISE I'LL TAKE LIKE CLARITIN +RES0211-031 THIS ISN'T LIKE THIS IS MAYBE AROUND LIKE THIS IS JUST BEFORE THEY NORMALLY START SO I DON'T REALLY HAVE THEM RIGHT NOW +RES0211-032 OK +RES0211-033 PROBABLY LIKE IN A FEW WEEKS THEY'D BE REALLY BAD +RES0211-034 NOW DO ANY OF THESE ALLERGIES CAN'T MAKE IT DIFFICULT TO BREATHE OR YOU FEEL LIKE YOUR FACE IS SWELLING UP +RES0211-035 LIKE IT FEELS LIKE A LITTLE BIT LIKE PLUGGED UP AN LIKE WHAT'S THAT CALLED LIKE POST NASAL DRIP BUT I DON'T REALLY FEEL LIKE I CAN'T BREATHE +RES0211-036 IT'S JUST LIKE A LITTLE STUFFY +RES0211-037 EXACTLY +RES0211-038 AND THESE SHOTS AT THE ALLERGIST GAVE YOU HOW OFTEN WOULD YOU GET THOSE +RES0211-039 THOSE ARE THE ONES THAT I'D HAVE LIKE ONCE USUALLY LIKE ONCE A WEEK FOR A LITTLE WHILE LIKE IN THE WINTER BEFORE +RES0211-040 OK SO YOU DON'T CARRY AN EPIPEN WITH YOU +RES0211-041 NO NO THEY SAID IT'S NOT LIKE ONE OF THOSE ALLERGIES AND IT'S JUST LIKE IT'S JUST LIKE THE SEASONAL ONES BUT THEY'RE JUST BAD +RES0211-042 OK SOUNDS GOOD SO YOU'VE SEEN AN ALLERGIST ANY OTHER DOCTORS THAT YOU'VE SEEN IN YOUR LIFE +RES0211-043 MY FAMILY DOCTOR I DON'T REALLY GO VERY OFTEN +RES0211-044 OK HAS THERE BEEN ANY HEALTH ISSUES THAT YOU'VE HAD IN THE PAST +RES0211-045 NO LIKE I'VE BEEN REALLY HEALTHY IT'S JUST LIKE THE ALLERGIES AND +RES0211-046 OK ANY SURGERIES IN YOUR LIFE +RES0211-047 NO +RES0211-048 NO ARE YOU TAKE IN ANY MEDICATIONS RIGHT NOW +RES0211-049 I TAKE CLARITIN FOR ALLERGIES BUT I HAVEN'T LIKE RIGHT NOW I JUST HAVE IT WITH ME JUST IN CASE I TAKE BIRTH CONTROL +RES0211-052 OK AND YOU TAKE THAT REGULARLY +RES0211-053 IT'S JUST LIKE THE PILL IT'S LIKE THE ONE THAT GOES FOR THREE MONTHS +RES0211-054 OK SO YOU DON'T HAVE AN IUD NOW YOU JUST TAKE THE ORAL CONTRACEPTION +RES0211-055 JUST THE PILL GOT IT +RES0211-056 GOT IT OK AND THEN SO YOU NEVER HAD ASTHMA IN YOUR LIFE NO +RES0211-058 ANY FAMILY HISTORY OF ASTHMA +RES0211-059 LIKE MY COUSIN +RES0211-060 OK WHAT ABOUT YOUR PARENTS BROTHERS SISTERS +RES0211-061 NO NOTHING LIKE THAT +RES0211-062 KNOW WHAT ECZEMA IS +RES0211-063 I'VE HEARD OF IT +RES0211-064 OK ANYONE IN THE FAMILY HAVE IT +RES0211-065 NO LIKE THE ONLY THING LIKE MY DAD HAS ALLERGIES TOO SAME KIND AS ME +RES0211-066 DAD HAS ALLERGIES OK MOTHER AND FATHER STILL ALIVE +RES0211-067 HEALTHY +RES0211-068 GOOD OK DO YOU LIVE WITH THEM RIGHT NOW +RES0211-069 LIKE I'M IN HIGH SCHOOL +RES0211-070 OK SO YOU LIVE IN A HOUSE WITH BOTH YOUR PARENTS OK ANY BROTHERS SISTERS +RES0211-071 I HAVE A LITTLE BROTHER +RES0211-072 HOW OLD'S HE +RES0211-073 LIKE FOURTEEN NOW +RES0211-074 HAS ANYONE IN THE FAMILY BEEN SICK RECENTLY +RES0211-078 BUT LIKE WE ARE DOING OUR SCHOOL FROM HOME NOW SO +RES0211-079 GOT IT +RES0211-080 MY MOM WORKS FROM HOME AND MY DAD JUST WORKS LIKE ON THE FARM SO SO NO ONE'S BEEN LIKE SEEING ANYONE OR GOING ANYWHERE TO GET SICK +RES0211-081 OK SO SORRY DO YOU LIVE ON A FARM +RES0211-082 OK IN LONDON +RES0211-083 LIKE JUST OUTSIDE +RES0211-084 OK ANY TRAVEL OR ANYWHERE RECENTLY +RES0211-085 NO LIKE I JUST JUST CAME HERE BUT LIKE I DON'T REALLY LEAVE THE HOUSE +RES0211-086 SO LAST LAST TWO WEEKS YOU HAVEN'T LEFT THE COUNTRY +RES0211-087 NO +RES0211-090 DO YOU KEEP ANY ANIMALS ON THE FARM +RES0211-091 WE HAVE LIKE A DOG BUT IT'S NOT LIKE AN ANIMAL FARM +RES0211-092 GOT IT OK ANOTHER QUESTIONS ARE YOU SEXUALLY ACTIVE +RES0211-094 BUT YOU'RE TAKING THE BIRTH CONTROL OK SO WHEN WAS YOUR LAST MENSTRUAL PERIOD +RES0211-095 LIKE LIKE I JUST GOT DONE LIKE A WEEK AGO +RES0211-096 A WEEK AGO AND YOU HAVEN'T BEEN SEXUALLY ACTIVE SINCE THEN +RES0211-097 NO +RES0211-098 OK SO CHANCES OF BEING PREGNANT VERY LOW +RES0211-099 OH OH IT'S BEEN LIKE A YEAR +RES0211-100 GOT IT GOT IT ALRIGHT DO YOU SMOKE CIGARETTES +RES0211-101 NO +RES0211-102 DO YOU DRINK ALCOHOL +RES0211-103 LIKE BEFORE COVID WHEN I SAW MY FRIENDS LIKE SOMETIMES A LITTLE BIT BUT LIKE NOT REALLY ANYMORE +RES0211-104 OK HOW MUCH WOULD YOU DRINK WHEN YOU WENT OUT +RES0211-105 OH LIKE I MEAN OUR PARENTS WOULD SOMETIMES LET US HAVE LIKE A COUPLE COOLERS BUT LIKE THAT WAS IT +RES0211-106 GOT IT ANY OTHER DRUGS MARIJUANA COCAINE +RES0211-107 LIKE I TRIED MARIJUANA ONCE AT A PARTY LIKE A COUPLE YEARS AGO BUT LIKE I HAD I NEVER DID IT AGAIN +RES0211-108 GOT IT SO NONE OF THE HARDER DRUGS COCAINE HEROIN +RES0211-109 NO +RES0211-110 AND I GOTTA ASK THIS QUESTION FOR EVERYONE HAVE YOU EVER INJECTED DRUGS OR ANYTHING INTO YOUR ARM OR YOUR BODY +RES0211-111 NO +RES0211-112 OK ALRIGHT THANKS JESSICA SO JUST TO SUMMARIZE YOU KIND OF HAD A THREE TO FOUR DAY DRY COUGH WITH A LITTLE BIT OF FEVER SOME HEADACHE AND JUST IN TERMS WAS QUICKLY REVIEWING THEN +RES0211-113 SO YOU HAVE BEEN BRINGING ANYTHING UP NO ONE IN CONTACT WITH THESE RECENTLY BEEN SICK YOU DON'T HAVE ASTHMA YOUR NOT TAKING ANY MEDICATIONS ASIDE FROM CLARITIN +RES0211-114 AND YOUR LITTLE BROTHER MIGHT HAVE BEEN SICK ABOUT TWO WEEKS AGO WITH KIND OF A COMMON COLD AND WE'RE HOPING TO GET OUT OF THIS VISIT IS JUST KIND OF NEXT STEPS AND WHERE TO GO FROM HERE CORRECT +RES0211-115 LIKE I JUST WANT TO KNOW IF I HAVE TO LIKE TAKE MEDICINE OR SOMETHING +RES0211-116 OK ALRIGHT PERFECT THANK YOU VERY MUCH YOU HAVE ANY MORE QUESTIONS +RES0211-117 NO I DON'T KNOW I DON'T HAVE ANY MORE QUESTIONS I JUST LIKE I CAN GO HOME SOON LIKE LAY DOWN +RES0211-118 SOUNDS GOOD THANKS JESSICA +RES0212-000 SO WHAT BRINGS YOU IN THE CLINIC TODAY +RES0212-001 HEY I JUST HAD THIS COUGH THAT'S BEEN LIKE REALLY BOTHERING ME +RES0212-002 OK HOW LONG HAVE YOU HAD THAT FOR +RES0212-003 LIKE IN THE PAST FEW DAYS IT'S BEEN REALLY LIKE GROSS AND I'VE BEEN COUGHING UP THIS LIKE GUNK BUT I'VE HAD IT FOR I'VE HONESTLY HAD A COUGH FOR LIKE THREE MONTHS IT'S JUST LIKE SOMETIMES IT'S LIKE THERE AND SOMETIMES IT KIND OF GOES AWAY IT FEELS LIKE IT KEEPS COMING BACK +RES0212-004 OK HAVE YOU HAD ANY CHEST PAIN +RES0212-005 NO LIKE IT KINDA HURTS WHEN I COUGH NOW BUT NOT NOT LIKE ON ITS OWN +RES0212-006 OK HAVE YOU NOTICED ANY FEVERS AT HOME OR FEVERS AT ALL IN THE LAST COUPLE DAYS +RES0212-007 I'VE BEEN FEELING LIKE HOT AT NIGHT IN THE PAST COUPLE DAYS BUT LIKE I DIDN'T ACTUALLY TAKE MY TEMP +RES0212-008 OK HAVE YOU HAD ANY NIGHT SWEATS YOU WAKE UP THE SHEETS ARE SOAKED +RES0212-009 NO NOT THAT +RES0212-010 NOTHING LIKE THAT OK HAVE YOU NOTICED ANY UNEXPLAINED WEIGHT LOSS OVER THE LAST LITTLE WHILE +RES0212-011 NO +RES0212-012 SO SO YOU GO ON THE SCALE YOU LOST A FEW POUNDS BUT YOU HAVEN'T BEEN TRYING TO BASICALLY +RES0212-013 NO LIKE I I DON'T REALLY WEIGH MYSELF BUT I DON'T THINK SO +RES0212-014 SO YOU HAVEN'T BEEN NOTICING CLOTHES HAVE BEEN FITTING LOOSE OR ANYTHING LIKE THAT +RES0212-015 NO LIKE I WISH BUT NO +RES0212-016 GOT IT GOT IT NOW LET'S TALK ABOUT WHAT YOU'RE BRINGING UP WITH YOUR COUGH WHAT COLOUR IS IT +RES0212-017 IT'S REALLY GROSS IT'S KIND OF LIKE GREENISH +RES0212-018 GREENISH OK AND ALSO ANY RED OR ANY BLOOD WITH IT +RES0212-019 NO +RES0212-020 OK AND DOESN'T SMELL AT ALL SMELL FUNKY +RES0212-021 I HAVEN'T NOTICED +RES0212-022 OK SO YOU'VE JUST BEEN BRINGING THIS STUFF UP FOR THE LAST COUPLE OF DAYS WHEN SPECIFICALLY TWO DAYS AGO THREE DAYS AGO +RES0212-023 LIKE MAYBE MAYBE THREE DAYS +RES0212-024 THREE DAYS AGO AND YOU SAID BEFORE THAT YOU KIND OF HAD THIS DRY COUGH BEFORE WHEN DID YOU FIRST NOTICE THAT THREE MONTHS AGO YOU SAID +RES0212-025 YEAH I WAS I I DO LIKE IT LIKE SOUNDS SILLY BUT I DO LIKE A POLE DANCING CLASS JUST FOR EXERCISE AND I WAS LIKE AT MY CLASS AND I KIND OF JUST STARTED TO LIKE FEEL LIKE I WAS LIKE A LITTLE COUGHY AND LIKE I DON'T THINK THERE'S ANYTHING SPECIAL THAT WAS JUST LIKE WHEN I NOTICED IT +RES0212-026 OK ANYONE AT THE CLASS SICK AT THAT TIME +RES0212-027 I DON'T THINK SO LIKE IT'S A REALLY LONG TIME AGO I DON'T REALLY REMEMBER +RES0212-028 GOT IT GOT IT ANYONE SICK NEAR YOU OR AROUND YOU IN THE LAST COUPLE OF WEEKS +RES0212-029 NO NO NOT THAT I CAN THINK OF +RES0212-030 OK AND REGARDING OTHER ANY WE ALREADY TALKED ABOUT CHEST PAIN YOU'VE BEEN ABLE TO EAT FOOD ALRIGHT +RES0212-031 LIKE IT'S LIKE PRETTY NORMAL +RES0212-032 SO NO NAUSEA NO VOMITING +RES0212-033 NO NONE OF THAT +RES0212-034 YOU DON'T HAVE A STIFF NECK AT ALL DO YOU +RES0212-035 NO NO I DON'T +RES0212-036 OK BUT HOW ABOUT OTHER PARTS OF YOUR BODY ANY PAIN TENDERNESS ANYWHERE +RES0212-037 I DON'T THINK SO NO LIKE I'M I'M A LITTLE TIRED NOW LIKE THE COUGH IS LIKE MAYBE FOR LIKE A MONTH IT'S BEEN KIND OF WAKING ME UP A LITTLE BIT SO MY MY SLEEP HASN'T BEEN GREAT BUT I DON'T THINK IT'S LIKE I HAVE LIKE PAIN I'M JUST LIKE TIRED +RES0212-038 OK SO THE COUGH DOES WAKE YOU UP AT NIGHT +RES0212-040 PRETTY WELL FOR LIKE THE LAST NOT LIKE ALL THREE MONTHS BUT PROBABLY THE LAST MONTH +RES0212-041 OK ALRIGHT I'M JUST GONNA MOVE ON TALK A LITTLE BIT ABOUT YOU AND THE PAST SO ANY ISSUES THAT YOU'VE SEEN A DOCTOR FOR BEFORE +RES0212-042 JUST LIKE ECZEMA +RES0212-043 OK AND DO YOU TAKE ANYTHING FOR THAT +RES0212-044 JUST LIKE MOISTURIZING CREAMS LIKE MY FAMILY DOCTOR BACK HOME SAID LIKE A COUPLE TIMES WHEN IT WAS REALLY BAD SHE WOULD GIVE ME ONE LIKE TO GO GET AT LIKE SHOPPERS BUT RIGHT NOW IT'S NOT BAD SO I JUST HAVE JUST LIKE A REGULAR CREAM +RES0212-045 GOT IT EVER BEEN HOSPITALIZED BEFORE +RES0212-046 NO +RES0212-047 OK ANY SURGERIES +RES0212-048 NO +RES0212-049 OK SO ASIDE FROM THE ECZEMA IT SOUNDS LIKE YOU'RE PRETTY HEALTHY EH +RES0212-050 OK DO YOU HAVE ANY ALLERGIES +RES0212-051 I THINK MAYBE MAYBE CATS BECAUSE I I DON'T HAVE ONE BUT SOMETIMES I'VE NOTICED STUFF BUT I'VE NEVER LIKE IT'S NEVER REALLY BEEN TOO BIG OF AN ISSUE +RES0212-052 OK SO YOU'VE NEVER TAKEN ANY MEDICATIONS OR GOT STUNG BY A BEE AND HAD ANY TROUBLE BREATHING OR EVEN A CERTAIN FOOD +RES0212-053 NO +RES0212-054 NOTHING LIKE THAT OK ARE YOU TAKING ANY MEDICATIONS RIGHT NOW +RES0212-056 AND YOU JUST GO TO WESTERN +RES0212-057 DO YOU LIVE NEAR CAMPUS WITH ANYONE +RES0212-058 I HAVE LIKE A ROOMMATE WE I LIVE IN AN APARTMENT WITH A ROOMMATE +RES0212-059 OK HAVE THEY BEEN SICK AT ALL IN THE LAST LITTLE WHILE +RES0212-060 NO +RES0212-061 OK AND LAST LITTLE WHILE HAVE YOU DONE ANY TRAVELING +RES0212-062 NO +RES0212-063 SO YOU HAVEN'T BEEN OUTSIDE THE COUNTRY OR ANY EXOTIC LOCALES IN THE LAST LITTLE WHILE +RES0212-064 NO LIKE I'M PLANNING TO ON MARCH BREAK BUT I HAVEN'T GONE ANYWHERE +RES0212-065 GOT IT GOT IT SO YOU LIVE IN TOWN WITH YOUR ROOMMATE AND YOU'RE CURRENTLY A FULL TIME STUDENT +RES0212-066 OK AND JUST REGARDS TO ANYTHING DO YOU SMOKE +RES0212-067 NO LIKE I DON'T I DON'T SMOKE CIGARETTES LIKE I SOMETIMES SOMETIMES SMOKE MARIJUANA BUT USUALLY USUALLY IT'S LIKE THE VAPE +RES0212-068 OK HOW OFTEN WE SAY YOU DO THAT A WEEK +RES0212-069 OH LIKE MAYBE LIKE ONCE EVERY LIKE TWO WEEKS OR SOMETHING +RES0212-070 GOT IT ANY OTHER SUBSTANCES SLASH DRUGS +RES0212-071 NO LIKE ALCOHOL SOMETIMES LIKE +RES0212-072 OK SO NO COCAINE NO HEROIN +RES0212-073 NO +RES0212-074 AND HAVE YOU EVER INJECTED DRUGS INTO YOUR BODY +RES0212-075 NO +RES0212-076 GOT IT GOT IT JUST COMING BACK TO ALCOHOL HOW OFTEN WOULD YOU SAY YOU DRINK +RES0212-077 MAYBE LIKE ONE ONE NIGHT LIKE ON THE WEEKEND +RES0212-078 OK AND WHAT DO YOU DRINK HOW MUCH DO YOU DRINK +RES0212-079 I DON'T KNOW MAYBE LIKE FIVE OR SIX BEERS I GUESS IT JUST DEPENDS ON THE NIGHT +RES0212-080 GOT IT GOT IT AND OTHER QUESTIONS WHEN WAS YOUR LAST MENSTRUAL PERIOD +RES0212-081 MAYBE LIKE TWO WEEKS AGO +RES0212-082 TWO WEEKS AGO OK ARE YOU SEXUALLY ACTIVE +RES0212-083 WITH MY BOYFRIEND +RES0212-084 OK SO DO YOU TWO USE CONTRACEPTION BIRTH CONTROL +RES0212-085 WE USE LIKE CONDOMS +RES0212-086 OK ANY CHANCE YOU COULD BE PREGNANT RIGHT NOW THAT WAS A STRANGE QUESTION TO ASK IF YOU'RE SEXUALLY ACTIVE BUT ANY UNPROTECTED SEX IN THE LAST TWO WEEKS +RES0212-087 NO +RES0212-088-1 GOT IT ALRIGHT AND WE'RE JUST KIND OF GOING OVER THINGS SO IT SOUNDS LIKE YOU'VE HAD THIS COUGH OR A COUGH FOR A LITTLE WHILE BUT IT'S ONLY BECOME BAD IN THE LAST THREE DAYS YOU'RE WAKING UP AT NIGHT AND YOU'RE KIND OF BRINGING UP THIS FOUL OR NOT THIS FOUL BUT THIS KIND OF GREENISH +RES0212-088-2 SPUTUM BUT IT'S NO BLOOD IN IT AND OTHERWISE YOU DON'T HAVE ANY CONSTITUTIONAL SYMPTOMS SO I WILL GO REVIEW YOUR STORY WITH THE DOCTORS ANYTHING ELSE YOU'D LIKE TO BRING UP WITH THEM BEFORE I GO +RES0212-089 I DON'T THINK SO I JUST LIKE I LIKE I HOPE I JUST CAN FEEL BETTER CAUSE I'VE BEEN MISSING LIKE MY EXERCISE STUFF CAUSE I FEEL LIKE IT'S JUST LIKE COUGHING AND IT MAKES IT HARD TO LIKE DO WELL +RES0212-090 GOT IT GOT IT WE'LL SEE WHAT WE CAN DO OK THANK YOU VERY MUCH +RES0212-091 OK THANKS +RES0213-000 SO YOU'RE A TWENTY SIX YEAR OLD GENERALLY HEALTHY AND WITH SORRY BACK PAIN +RES0213-001 CHEST PAIN +RES0213-002 CHEST PAIN OK WHEN DID THE CHEST PAIN START +RES0213-003 SO I I GUESS I I DON'T KNOW IF I'D REALLY CALL IT PAIN IT'S IT'S BEEN JUST VERY UNCOMFORTABLE LIKE IT JUST FELT A LITTLE ODD FOR LIKE A WEEK AND A HALF A WEEK AND A HALF +RES0213-005 KIND OF LIKE A VERY SHARP STRONG PAIN WHEN I TAKE A DEEP BREATH +RES0213-007 BUT I DON'T NOTICE IT ALL THE TIME IT'S JUST IT'S OFTEN WHEN I'M SITTING AND STUDYING OR WHEN I'M WALKING WHEN I'M WALKING TO SCHOOL +RES0213-008 OK DID YOU HAVE ANY ACCIDENTS OR INJURIES AROUND THAT TIME +RES0213-009 NO NOTHING THAT I CAN THINK OF +RES0213-010 OK DID IT COME ON SUDDENLY OR IS IT MORE GRADUAL +RES0213-011 IT'S NO IT'S IT'S PRETTY IT'S PRETTY WELL IT SEEMS THE SAME EACH TIME IT KIND OF LASTS LIKE TWENTY MINUTES OR SO AND I'VE TRIED TYLENOL AND I'VE TRIED ADVIL AND I'VE EVEN TRIED LIKE A LIKE AN ALKA SELTZER AND IT HASN'T REALLY HELPED VERY MUCH +RES0213-012 OK SO IT'S PRETTY IT'S NOT CONSISTENT THROUGHOUT THE DAY IT ONLY HAPPENS AT CERTAIN TIMES OF THE DAY +RES0213-013 IT'LL COME ON FOR LIKE TWENTY MINUTES LIKE HERE AND THERE +RES0213-014 OK ANYTHING THAT YOU THINK TRIGGERS IT +RES0213-015-1 I DON'T I DON'T REALLY KNOW I WAS KIND OF WORRIED I WAS KIND OF WORRIED THAT IT COULD BE A HEART THING I I FEEL LIKE IT MIGHT IT MIGHT BE IT COULD BE STRESS +RES0213-015-2 BUT I'M I'M NOT REALLY SURE MY DAD HAD A HEART ATTACK LAST YEAR HE WAS PRETTY YOUNG HE'S LIKE IN HIS FIFTIES AND IT IT JUST KIND OF SCARES ME BECAUSE NOW HE'S HAVING THESE HEART PROBLEMS +RES0213-016 OK SO THESE CHEST PAINS LAST FOR ABOUT TWENTY MINUTES IT ONLY HAPPENS WHEN YOU TAKE A DEEP BREATH IN AND AFTER THE TWENTY MINUTES DO THEY COME AND GO IS IT SOMETHING THAT GRADUALLY WEANS OFF OR IS IT FAIRLY SHARP +RES0213-017 IT SEEMS LIKE IT KIND OF GOES AWAY ONCE I ONCE I'M AT SCHOOL AND LIKE TALKING TO PEOPLE AND DOING OTHER THINGS IT'S KIND OF WHEN I'M I NOTICE IT WHEN I'M ON MY WALKS WHEN I'M ALONE OR LIKE WHEN I'M STUDYING ALONE MORE LIKE MAYBE I HAVE IT WHEN I'M TALKING TO OTHER PEOPLE BUT I DON'T REALLY NOTICE IT +RES0213-018 OK DOES IT GET WORSE WITH EXERCISE +RES0213-019 I DON'T THINK SO IT JUST KIND OF LIKE WHEN I'M WALKING TO SCHOOL IT KIND OF STAYS THE SAME I HAVEN'T DONE ANY STRENUOUS EXERCISE LATELY CAUSE I'VE JUST HAD SO MUCH SCHOOLWORK PILING UP +RES0213-020 MAINLY GET IT AT SO YOU CAN GET IT AT REST I SHOULD SAY +RES0213-021 EXACTLY LIKE WHEN I'M STUDYING +RES0213-022 OK ANY FEVERS SICK AT ALL LAST LITTLE WHILE +RES0213-023 NO NO I DON'T THINK SO +RES0213-024 NO YOU'VE BEEN FEELING WELL OTHERWISE +RES0213-025 I MEAN BESIDES JUST KIND OF FEELING STRESSED I LIKE I I'VE BEEN TRYING TO QUIT SMOKING AND THAT'S BEEN THAT'S BEEN KIND OF HARD AND SCHOOL'S JUST VERY VERY BUSY RIGHT NOW +RES0213-026 WHEN DID YOU STOP SMOKING +RES0213-027 SO LIKE I GUESS I'M TRYING TO QUIT I'M SMOKING LESS THAN I USED TO I PROBABLY SMOKED FIVE CIGARETTES A DAY BUT IT USED TO BE A LITTLE BIT MORE +RES0213-028 OK COMING BACK TO THE STRESS IS THERE ANYTHING RECENTLY THAT'S CAUSING YOU MORE WORRIES +RES0213-029 IT'S JUST THAT I'M I'M DOING MY MASTERS OF SOCIAL WORK AND I'M GETTING TOWARDS THE END AND IT'S JUST IT'S VERY SCARY BECAUSE I'M WORKING ON MY FINAL THESIS AND THERE'S JUST A LOT INVOLVED AND IT'S IT'S JUST MAKING ME VERY NERVOUS +RES0213-030 OK IS THERE ANYTHING SPECIAL ABOUT THE LAST COUPLE OF WEEKS THAT'S MADE YOU MORE STRESSED THAN PREVIOUSLY +RES0213-031 I THINK JUST THE THE TIME CRUNCH OF HAVING TO TO FINISH THIS I'VE NEVER FELT LIKE SO LIKE THERE IS SO LITTLE TIME TO DO THE WORK THAT I NEED TO DO +RES0213-032 GOT IT HAVE YOU EVER FELT THIS PAIN BEFORE ANYTIME IN YOUR LIFE +RES0213-033 NO NOT BEFORE THIS +RES0213-034 OK SO IT COMES ON SEVERAL TIMES A DAY NOT NECESSARILY TRIGGERED BY ANYTHING AND YOU SAID YOU SMOKE WHEN DID YOU START SMOKING +RES0213-035 LIKE WHEN I WAS PROBABLY EIGHTEEN I I SOMETIMES SMOKED A LITTLE AND THEN I SMOKED A LITTLE MORE MAYBE LIKE TEN CIGARETTES A DAY FOR LIKE THE LAST TWO YEARS BUT THEN A FEW MONTHS AGO I'VE BEEN I'VE BEEN CUTTING IT IN HALF +RES0213-036 OK NOW WHEN YOU GET THIS THIS CHEST PAIN DO YOU EVER FEEL SHORT OF BREATH +RES0213-037 I I I THINK I I MAKE MYSELF NERVOUS WITH IT AND THEN I KIND OF START BREATHING FASTER BUT I DON'T HAVE A HARD I DON'T HAVE A HARD TIME BREATHING OTHERWISE AND IT'S HARD TO GET A DEEP BREATH CAUSE I'M IT MAKES ME REALLY NERVOUS +RES0213-038 DOES YOUR HEART EVER FLUTTER FEEL LIKE IT'S SKIPPING A BEAT +RES0213-039 NO ONLY IF I ONLY IF I IF I IF I'M HAVING KIND OF AN ANXIETY ATTACK THAT'S FELT LIKE THAT BEFORE BUT NOT ANY OTHER TIME +RES0213-040 OK DON'T GET ANY CHEST PAIN ALL RIGHT AND JUST IN TERMS OF OTHER THINGS SO ANYTHING ELSE YOU'VE SEEN A DOCTOR FOR IN THE PAST YOU MENTIONED ANXIETY ATTACKS +RES0213-041 LIKE I TALKED TO MY FAMILY DOCTOR ABOUT THAT WHEN I WAS A TEENAGER BUT I REALLY HAVEN'T YOU KNOW SEEN MY DOCTOR FOR IT ANYTIME IN THE LAST LIKE EIGHT YEARS OR SO +RES0213-043 OH SORRY NO NOTHING ELSE I JUST I THOUGHT I WAS KIND OF WHEN I WAS IN HIGH SCHOOL I HAD THOSE AND THEN I REALLY HAVEN'T FOR A LONG TIME BUT LATELY I FELT LIKE THIS LIKE I COULD MAYBE GET THEM AGAIN +RES0213-044 SO YOU'VE NEVER HAD ASTHMA AS A CHILD +RES0213-045 NO +RES0213-046 AND YOU DON'T HAVE ASTHMA NOW +RES0213-047 NO +RES0213-048 OK DO YOU TAKE ANY MEDICATIONS RIGHT NOW +RES0213-049 NO LIKE I TAKE LIKE A MULTI VITAMIN BUT THAT'S IT +RES0213-050 OK AND YOU LIVE IN LONDON +RES0213-051 LIKE FOR SCHOOL +RES0213-052 YOU'RE DOING A MASTERS IN SOCIAL WORK ANYONE AROUND YOU BEEN SICK AT ALL LAST LITTLE WHILE +RES0213-053 NO LIKE I LIVE ALONE I HAVEN'T REALLY SEEN VERY MANY PEOPLE LATELY +RES0213-054 OK AND HOW DO YOU MANAGE STRESS WHEN YOU DO GET IT +RES0213-055 I I TRY TO I TRY TO LIKE SET SOME TIME ASIDE JUST TO READ BOOKS THAT LIKE I LIKE TO READ INSTEAD OF LIKE SCHOOL BOOKS AT NIGHT TIME AND I DO REALLY ENJOY RUNNING IT'S I'VE BEEN A LITTLE BIT NERVOUS TO DO IT LATELY BUT USUALLY I RUN LIKE A FEW TIMES A WEEK +RES0213-056 OK AND WHEN YOU'RE PRETTY PREOCCUPIED DO YOU EVER GET THE CHEST PAIN +RES0213-057 LIKE WHEN I'M REALLY WHEN I'M WORK LIKE WORKING WITH CLASSMATES OR LIKE THINKING REALLY LIKE IF I'M TALKING TO SOMEONE ELSE I DON'T REALLY GET IT OR IF I IF I'M LIKE WORKING ON A TASK WITH MY HANDS BUT IT'S WHEN I'M WALKING AND I AM ALONE KIND OF WITH MY THOUGHTS OR WHEN I'M STUDYING THAT'S WHEN I WHEN I GET IT +RES0213-058 UNDERSTOOD AND YOU SAID YOUR FATHER PASSED EARLY FROM A HEART ATTACK I'M SORRY BUT ANYONE ELSE IN YOUR FAMILY EITHER YOUR PARENTS OR MUM HAVE ANY HEALTH ISSUES +RES0213-059 HE'S ALIVE LIKE HE HAD A HEART ATTACK AND JUST NOW HE HAS TO SEE A LOT OF HEART DOCTORS NO THERE'S NOTHING ELSE IN MY FAMILY LIKE THAT I DON'T REALLY KNOW LIKE ABOUT MY GRANDPA LIKE MY DAD'S DAD BUT LIKE HE MIGHT HAVE ALSO HE JUST KIND OF HE JUST PASSED AWAY YOUNG FROM LIKE AN ACCIDENT SO I'M NOT REALLY SURE +RES0213-060 GOT IT SO NO ONE HAS DIED SUDDENLY WITH NO EXPLANATION WHEN THEY WERE YOUNG OR WHILE THEY WERE SWIMMING +RES0213-061 NO +RES0213-062 NO ONE'S EVER TALKED ABOUT ARRHYTHMIAS OR IS THAT A WORD FAMILIAR TO YOU +RES0213-063 NO NO JUST MY DAD AND HIS HEART ATTACK THAT'S LIKE THE ONLY THING I KNOW OF +RES0213-064 OK SOUNDS GOOD I THINK I'VE GOT ALL THE INFORMATION I NEED AND I'LL PASS IT ON TO THE DOCTOR WHO'LL TAKE A LOOK AT YOU OK HAVE A GOOD ONE +RES0213-065 OK THANK YOU +RES0214-000 WHAT BROUGHT YOU IN TODAY +RES0214-001 SO I'VE HAD THIS TERRIBLE FEVER FOR THE PAST THREE DAYS AND JUST BEFORE THAT I HAD A STUFFY NOSE AND I HAD A SORE THROAT WELL I STILL DO AND IT'S JUST NOT GOING AWAY SO I THOUGHT I SHOULD JUST COME IN AND SEE IF I HAVE COVID OR WHAT IT IS +RES0214-002 OK SO IF I UNDERSTAND IT STARTED WITH A STUFFY NOSE +RES0214-003 YES +RES0214-004 OK AND THAT KINDA PROGRESSED TO A FEVER +RES0214-005 YES THAT'S RIGHT +RES0214-006 OK HAVE YOU BEEN FEELING ANY OTHER SYMPTOMS ASIDE FROM THE FEVER +RES0214-007 NO +RES0214-008 NOTHING REALLY HAVE YOU HAD ANY NAUSEA ANY VOMITING AT ALL IN THE LAST LITTLE WHILE +RES0214-009 NO +RES0214-010 ANY PAIN ANYWHERE ELSE IN YOUR BODY +RES0214-011 NO +RES0214-012 OK DO YOU HAVE ANY NECK STIFFNESS +RES0214-013 NO +RES0214-014 ANY HEADACHES +RES0214-015 NO NO HEADACHES +RES0214-016 OK AND HAVE YOU BEEN ABLE TO EAT AND DRINK DURING THIS TIME PERIOD +RES0214-017 YES +RES0214-018 EXCELLENT OK YOU'VE HAD A COUGH AT ALL +RES0214-019 NO COUGH +RES0214-020 NO COUGH OK AND THEN HOW ABOUT ABDOMINAL PAIN ANY PAIN IN YOUR TUMMY +RES0214-022 NOTHING LIKE THAT WHAT ABOUT OTHER CHANGES IN YOUR BODY HAVE YOU NOTICED ANY FEVERS OR ANY RASHES ANY SKIN CHANGES +RES0214-023 NO NOTHING LIKE THAT +RES0214-024 OK WHAT ABOUT ANY PAIN IN ANY OF YOUR JOINTS AND YOUR KNEES HIPS +RES0214-025 OH ACTUALLY NOT IN MY JOINTS BUT I'VE JUST THERE THERE HAS BEEN SOME MUSCLE ACHE +RES0214-026 OK HOW LONG HAS THAT BEEN GOING ON FOR +RES0214-027 FOR THE PAST TWO THREE DAYS +RES0214-028 SO AROUND THE SAME TIME THAT YOU'VE HAD THIS FEVER +RES0214-030 THAT'S RIGHT +RES0214-031 NOW HAVE YOU HAD ANY CONTACT WITH ANYONE WHO'S BEEN SICK IN THE LAST LITTLE WHILE +RES0214-032 NO NOT THAT I CAN THINK OF +RES0214-033 OK HAVE YOU HAD ANY RECENT TRAVEL ANYWHERE ELSE +RES0214-034 NO I DID GO HIKING LAST WEEKEND AND IT WAS ABOUT TWO HOURS AWAY THERE WERE SOME PEOPLE ON THE HIKING TRAIL THAT I PASSED BY BUT OTHER THAN THAT NO TRAVEL OUTSIDE THE PROVINCE +RES0214-035 OK DOES ANYONE AROUND YOU OR IN YOUR IMMEDIATE CIRCLE COME DOWN WITH ANYTHING SIMILAR RECENTLY +RES0214-036 MY HUSBAND HAS ALSO BEEN EXPERIENCING SIMILAR SYMPTOMS FOR THE PAST WEEK +RES0214-037 OK HOW'S HE DOING +RES0214-038 THE SAME AS ME +RES0214-039 OK AND HAVE YOU HAD ANY COVID SWABS RECENTLY +RES0214-040 NO +RES0214-041 OK AND ASIDE FROM THE WEEKEND HIKE HAVE YOU BEEN MAINLY SELF ISOLATING OR +RES0214-042 JUST ME AND MY HUSBAND AT HOME +RES0214-043 AND DO YOU LEAVE THE HOUSE FOR WORK AT ALL +RES0214-044 NO I WORK FROM HOME +RES0214-045 OK SOUNDS GOOD SO YOU HAVE SOME MUSCLE ACHES LITTLE BIT OF FEVER STUFFY NOSE SORE THROAT DO YOU HAVE ANY DIFFICULTY SWALLOWING +RES0214-046 NO IT JUST HURTS +RES0214-047 OK SO YOU'RE STILL ABLE TO SWALLOW FOOD SWALLOW LIQUIDS +RES0214-048 YES THAT'S RIGHT +RES0214-049 FEEL LIKE ANYTHING IS GOING DOWN THE WRONG WAY OR HAVE ANY COUGHING AFTER YOU SWALLOW +RES0214-050 NO +RES0214-051 OK AND JUST IN TERMS OF COMING BACK TO THIS SORE THROAT DO YOU FEEL LIKE YOU HAVE ANY SWELLING AROUND YOUR NECK DOES IT FEEL INFLAMED OR SWOLLEN +RES0214-052 NO +RES0214-053 NOTHING LIKE THAT NO +RES0214-055 OK ALRIGHT EXCELLENT SO YOU'RE EATING WELL DOING WELL ANY CHANGES TO YOUR BOWEL MOVEMENTS RECENTLY +RES0214-056 NO NO +RES0214-057 OK ALRIGHT I'LL JUST KIND OF GO INTO OTHER THINGS JUST IN TERMS OF ANYTHING ELSE THAT YOU MIGHT HAVE HAD IN THE PAST HAVE YOU EVER BEEN HOSPITALIZED FOR ANY REASON IN YOUR LIFE +RES0214-058 I HAD MY GALLBLADDER TAKEN OUT FIVE YEARS AGO +RES0214-059 SO THAT WAS AROUND WHEN YOU WERE FIFTY YEARS OLD +RES0214-060 YES +RES0214-061 AND ANY OTHER SURGERIES YOU'VE HAD IN YOUR LIFE +RES0214-063 NO NO ANYTHING YOU'VE HAD TO SEE A DOCTOR FOR +RES0214-064 I IN THE PAST COUPLE OF YEARS JUST FOR THINGS LIKE LIKE THIS I GUESS COLDS I'M PRE DIABETIC SO I'VE BEEN CHECKING MY GLUCOSE LEVELS OTHER THAN THAT NOTHING ELSE +RES0214-065 SO NO HIGH BLOOD PRESSURE +RES0214-066 NO +RES0214-067 NO CHOLESTEROL ISSUES +RES0214-068 NO +RES0214-069 OK SO IT SOUNDS LIKE YOU'VE BEEN PRETTY HEALTHY OTHERWISE +RES0214-070 EXCELLENT OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OTHERWISE +RES0214-071 PENICILLIN +RES0214-072 PENICILLIN WHAT HAPPENS WHEN YOU TAKE PENICILLIN +RES0214-073 I GET A RASH +RES0214-074 OK ANY TROUBLE BREATHING +RES0214-075 NO +RES0214-076 AND WHAT MEDICATIONS IF ANY ARE YOU ON I'M +RES0214-077 I JUST TAKE MULTIVITAMINS THAT'S IT THOUGH +RES0214-078 AND YOU SAID YOU LIVED WITH YOUR HUSBAND IN A HOUSE IN LONDON +RES0214-079 YES THAT'S RIGHT +RES0214-080 WHAT DO YOU TWO DO FOR WORK +RES0214-081 SO I WORK FROM HOME AS A DIGITAL MARKETING AGENT AND MY HUSBAND IS A COMPUTER PROGRAMMER +RES0214-082 OK AND DO YOU SMOKE +RES0214-083 NO +RES0214-084 DO YOU DRINK ALCOHOL +RES0214-085 I DRINK ONCE ONCE IN A WHILE +RES0214-086 OK AND WHEN YOU DRINK HOW MANY DRINKS DO YOU HAVE +RES0214-087 ABOUT ONE OR TWO GLASSES OF WINE +RES0214-088 GOT IT ANY OTHER RECREATIONAL DRUGS SUBSTANCES +RES0214-089 NO +RES0214-090 SO NO MARIJUANA HEROIN COCAINE +RES0214-091 I'VE TRIED MARIJUANA BEFORE JUST LIKE EDIBLES BUT NOT NOT REGULARLY +RES0214-092 UNDERSTOOD AND HAVE YOU EVER USED IV DRUGS +RES0214-093 NO +RES0214-094 OK AND WHEN WAS YOUR LAST MENSTRUAL PERIOD +RES0214-095 IT WAS A YEAR AGO +RES0214-096 A YEAR AGO +RES0214-097 OK AND THEN OTHERWISE SO WE TALKED A LITTLE BIT ABOUT RECENT TRAVEL IT SOUNDS LIKE YOU HAVE THE HIKING TRIP LAST WEEK AND YOU PASSED SOME PEOPLE BUT IT SOUNDS LIKE YOUR HUSBAND ALSO HAS KIND OF SIMILAR SYMPTOMS THAT YOU DO RIGHT NOW +RES0214-098 SOUNDS GOOD NOW WE'VE ALREADY TALKED ABOUT KIND OF PAST MEDICAL ISSUES MOVING ON I THINK WHAT WE'LL DO NEXT IS MOVE ON TO A PHYSICAL EXAM BUT BEFORE I DO THAT DO YOU HAVE ANY QUESTIONS FOR ME ANYTHING ELSE YOU FEEL I SHOULD KNOW +RES0214-099 NO DO YOU THINK I HAVE COVID +RES0214-100-1 IT'S A POSSIBILITY IT'S ALWAYS GOOD TO RULE THESE THINGS OUT SO WE'LL BE ORDERING A COVID SWAB NO MATTER WHAT OBVIOUSLY WITH ANY PRESENTATION WHERE WE HAVE SOMEONE COME IN WITH A FEVER AND SORE THROAT WE WANT TO RULE OUT ANYTHING INFECTIOUS +RES0214-100-2 SO IT SOUNDS LIKE IF YOUR HUSBAND GOT IT AND YOU HAVE IT COVID WOULD BE OUR FIRST THING THAT WE WANT TO RULE OUT SO JUST WHILE WE'RE TRYING TO INVESTIGATE WORK THIS UP FURTHER I WANT TO HAVE YOU AND YOUR HUSBAND SELF ISOLATE THE OTHER QUESTION I SUPPOSE I SHOULD ASK IS HAVE YOU GOTTEN YOUR FLU SHOT THIS YEAR +RES0214-101 NO I HAVEN'T +RES0214-102 SO IT'S ALSO A POSSIBILITY IT MIGHT BE INFLUENZA JUST THE SEASONAL FLU BUT UNTIL WE I SUPPOSE RULE OUT COVID IT'D BE BEST JUST TO KEEP TO YOURSELF JUST IN CASE YOU ARE INFECTIOUS FOR THE MEANWHILE +RES0214-103 OK SURE +RES0214-104 ALRIGHT WELL I'M GOING TO GO TALK TO THE DOCTOR AND I'LL BE COMING BACK IN TO SEE YOU OK +RES0214-105 ALRIGHT GREAT THANK YOU +RES0215-000 HOW CAN I HELP YOU TODAY +RES0215-001 HI I BROUGHT I BROUGHT MY EIGHT YEAR OLD DAUGHTER HERE BECAUSE I'VE NOTICED THAT SHE'S BEEN QUITE WHEEZY FOR THE PAST FOUR FIVE DAYS AND NOW SHE HAS A SLIGHT COUGH SOUNDS LIKE SHE'S A LITTLE SHORT OF BREATH SO I JUST WANTED TO GET THINGS CHECKED OUT +RES0215-002 OK SO FOR THE WHEN IT FIRST PRESENTED ABOUT FOUR TO FIVE DAYS AGO WHAT DID YOU NOTICE NOTICE FIRST +RES0215-003 I NOTICED THAT SHE WAS WHEEZY AND IT'S IT SEEMED LIKE SHE WAS HAVING SOME DIFFICULTY TAKING IN DEEP BREATHS +RES0215-004 OK NOW WAS THIS WITH ANY TYPE OF ACTIVITY OR JUST AT REST +RES0215-005 SHE WAS PLAYING TAG WITH ONE OF HER COUSINS AND SHE SHE WAS QUITE OUT OF BREATH AFTER +RES0215-006 OK HAS SHE EVER HAD ANYTHING LIKE THIS BEFORE +RES0215-007 NO +RES0215-008 NOTHING LIKE THAT OK AND HAS IT BEEN FAIRLY STEADY SINCE THEN OR HAS IT BEEN FLUCTUATING +RES0215-009 IT'S BEEN FLUCTUATING +RES0215-010 OK BUT IT HASN'T REALLY GONE AWAY IN THE SENSE THAT YOU'RE STILL CONCERNED COMING NOW FOUR DAYS LATER +RES0215-011-1 YEAH IT'S JUST IT WOULD SHE WOULD HAVE THESE THESE EPISODES BUT IT WOULD RESOLVE ON ITS OWN AND THEN SHE WOULD YOU KNOW GO BACK TO DOING SOME SORT OF ACTIVITY AND THEN SHE WOULD HAVE ALL THESE SYMPTOMS ALL OVER AGAIN BUT WHEN SHE RESTS +RES0215-011-2 THEN IT GOES AWAY SO I WASN'T REALLY SURE TOO SURE WHAT TO THINK OF IT BUT NOW I THINK IT'S IMPORTANT TO GET IT CHECKED OUT SO HERE WE ARE +RES0215-012 HAS SHE HAD ANY FEVERS AT HOME +RES0215-013 NO +RES0215-014 HAS SHE HAD A RUNNY NOSE AT ALL AT HOME +RES0215-015 NO +RES0215-016 HAS SHE SEEMED WELL OTHERWISE DOES SHE LOOK SICK +RES0215-017 SHE LOOKS FINE OTHERWISE +RES0215-018 OK AND HAS SHE HAD ANY SICK CONTACTS RECENTLY ANYONE AROUND HER OR HER FRIENDS BEEN SICK +RES0215-019 NO NOT THAT I'VE NOTICED +RES0215-020 OK ANY RECENT TRAVEL ANYWHERE +RES0215-021 NO NO WE DIDN'T GO ANYWHERE BECAUSE OF COVID +RES0215-022 OK BUT SHE'S STILL BEEN GOING TO SCHOOL I SUPPOSE PLAYING WITH HER FRIENDS +RES0215-023 YES +RES0215-024 OK HAVE YOU NOTICED ANY RASHES ANY SKIN CHANGES ANYWHERE ON HER BODY +RES0215-025 NOT THAT I'VE NOTICED NO +RES0215-026 OK NOTHING LIKE THAT HAS SHE COMPLAINED OF ANY PAIN ANYWHERE +RES0215-027 NO +RES0215-028 OK AND HAS SHE HAD ANY RECENT INFECTIONS +RES0215-029 SHE HAD ACTUALLY SHE HAD A COUPLE OF INFECTIONS OVER THE PAST TWO YEARS THEY WOULD COME AND GO AND WE TOOK HER TO THE DOCTOR EACH TIME AND IT JUST ENDED UP BEING SOME SORT OF VIRAL INFECTION +RES0215-030 OK SO NOTHING REALLY NEEDING ANTIBIOTICS NO IN THE LAST COUPLE OF YEARS OK +RES0215-032 AND IN TERMS OF HOW SHE'S BEEN DOING HAS SHE BEEN KEEPING UP WITH HER PEERS IN TERMS OF EDUCATION AND HOW SHE MOVES HOW SHE ACTS +RES0215-033 SHE'S BEEN SHE'S BEEN ON PAR WITH HER PEERS +RES0215-034 OK SO DOES SHE HAVE A FAMILY PHYSICIAN +RES0215-035 YES +RES0215-036 OK SO THEY HAVEN'T BROUGHT UP ANY CONCERNS ABOUT HOW SHE'S GROWING HOW SHE'S DEVELOPING +RES0215-037 NO +RES0215-038 SO HER WEIGHT HER HEIGHT THEY'VE BEEN GOOD FOR HER AGE +RES0215-039 EXCELLENT AND HAS SHE GOTTEN HAS SHE BEEN KEEPING UP TO DATE FOR IMMUNIZATIONS +RES0215-040 YES SHE'S FULLY UP TO DATE +RES0215-041 EXCELLENT IN REGARDS TO HOW SHE'S DOING OTHERWISE HEALTH IN TERMS OF HER HEALTH HAS DID SHE SEE A FAMILY PHYSICIAN FOR ANY OTHER MEDICAL ISSUES THAT SHE MIGHT BE HAVING +RES0215-042 NO SHE'S OTHERWISE PRETTY HEALTHY +RES0215-043 OK HOW WAS THE BIRTH WAS THERE ANY COMPLICATIONS WHEN SHE WAS BORN +RES0215-044 NO SHE WAS A VAGINAL DELIVERY FULL TERM NO COMPLICATIONS +RES0215-045 OK SO NOTHING WHEN YOU WERE PREGNANT WITH HER NO TOXIC CONGESTIONS BY THAT I MEAN DID YOU DRINK ANY ALCOHOL SMOKE AT ALL WHEN YOU WERE PREGNANT WITH HER +RES0215-046 NO +RES0215-047 NO OK AND YOU JUST HAD ANTENATAL CARE SO YOU SAW DOCTOR FOR ULTRASOUNDS AND JUST FOR CHECKUPS +RES0215-048 EVERYTHING WAS FINE +RES0215-049 OK AND WHEN SHE WAS BORN SHE DIDN'T HAVE TO STAY IN THE HOSPITAL AT ALL +RES0215-050 NO NO +RES0215-051 AND WAS SHE BORN WHAT WEIGHT WAS SHE WHEN SHE WAS BORN +RES0215-052 SHE WAS HOW MUCH WAS SHE I THINK SHE WAS ABOUT EIGHT KILOS +RES0215-053 EIGHT KILOS +RES0215-054 SORRY EIGHT POUNDS EIGHT EIGHT POUNDS +RES0215-055 NO WORRIES AND THEN OTHERWISE SHE IS SO SHE'S BEEN HEALTHY OTHERWISE BEEN DOING WELL JUST IN TERMS OF HOW SHE'S BEEN DOING WITH OTHER SYSTEMS OF HER BODY HAVE YOU NOTICED ANY CONCERNS FOR HER BOWEL MOVEMENTS +RES0215-056 NO SHE'S BEEN PRETTY REGULAR +RES0215-057 OK ANY CONCERNS FOR PEEING +RES0215-058 NO SHE'S BEEN GOING PRETTY FREQUENTLY AND SHE'S NO CHANGES THERE +RES0215-059 AND WE ALREADY TALKED SHE HASN'T HAD ANY FEVERS WHEN SHE COUGHS DOES SHE EVER BRING ANYTHING UP +RES0215-060 NO I HAVEN'T NOTICED ANY PHLEGM NO +RES0215-061 OK AND WHEN SHE'S HAVING THESE WHEEZY EPISODES DO YOU EVER NOTICE THAT SHE LOOKS LIKE SHE'S REALLY STRAINING TO BREATHE REALLY STRUGGLING +RES0215-062 SO SHE IT'S NOT LIKE SHE TURNS BLUE OR ANYTHING LIKE THAT SHE JUST SLIGHTLY SLIGHTLY HAS A HARD TIME CATCHING HER BREATH +RES0215-063 OK SO THESE USUALLY RECOVER ON THEIR OWN +RES0215-064 YOU DON'T GIVE HER ANYTHING FOR IT +RES0215-065 NO +RES0215-066 OK DOES SHE HAVE ANY ALLERGIES +RES0215-067 NO WELL SHE HAS SOME SEASONAL ALLERGIES BUT NOTHING THAT SHE'S BEEN TESTED FOR +RES0215-068 OK DO YOU GIVE HER ANYTHING FOR SEASONAL ALLERGIES +RES0215-069 SOMETIMES SHE TAKES LIKE REACTINE OR LIKE OVER THE COUNTER STUFF BUT NO NO PRESCRIBED MEDICATIONS +RES0215-070 OK SO SHE DOESN'T HAVE ANY ALLERGIES WHERE HER FACE SWELLS UP OR SHE HAS TROUBLE BREATHING +RES0215-071 NO +RES0215-072 OK AND THIS THESE EPISODES MAINLY HAPPEN WHEN SHE'S PLAYING WITH FRIENDS SO DO THEY HAPPEN IN A CERTAIN ENVIRONMENT LIKE FOR EXAMPLE IS THIS IN A FRIENDS HOUSE OR IS THIS OUTDOORS OR HAS IT BEEN ACROSS DIFFERENT SETTINGS +RES0215-073 IT'S BEEN ACROSS DIFFERENT SETTINGS BUT I WILL SAY IT'S WORSE WHEN WHEN WHEN THERE'S COLDER WEATHER +RES0215-074 OK +RES0215-075 AND DO THESE EPISODES EVER HAPPEN IN YOUR HOME +RES0215-076 AND WHAT'S THE CONTEXT FROM THEM HAPPENING IN YOUR HOME +RES0215-077 USUALLY WHEN SHE IS OUT AND ABOUT RUNNING AROUND IN THE BACKYARD WITH HER FRIENDS IS WHEN I'VE MOSTLY NOTICED IT +RES0215-078 OK SO SHE DOESN'T HAVE ANY SYMPTOMS AT REST +RES0215-079 OH NO +RES0215-080 AND SHE DOESN'T HAVE ANY SYMPTOMS AT NIGHT +RES0215-081 AT NIGHT SO THERE WAS ONE ONE ONE NIGHT WHEN SHE HAD SOME ISSUES WITH LIKE WHEEZINESS BUT IT DID RESOLVE ON ITS OWN +RES0215-082 OK AND DID SHE WAKE UP AT NIGHT WITH THAT OR JUST +RES0215-083 JUST TROUBLE FALLING ASLEEP I THINK +RES0215-084 OK ALRIGHT SO WE ALREADY TALKED ABOUT SO SHE DOESN'T REALLY HAVE ANY PAST MEDICAL ISSUES THAT SHE'S SEEN A DOCTOR FOR ANY SURGERIES +RES0215-085 NO SURGERIES +RES0215-086 OK IS SHE TAKING MEDICATIONS RIGHT NOW +RES0215-087 NO NO MEDICATIONS +RES0215-088 ASIDE FROM THE OCCASIONAL REACT +RES0215-089 ASIDE FROM THAT NOTHING NO REGULAR MEDICATIONS +RES0215-090 AND SHE'S IN SCHOOL +RES0215-091 SHE'S SHE'S IN GRADE THIRTEEN NOW +RES0215-092 OK AND DOES SHE LIVE WITH YOU +RES0215-093 SHE LIVES WITH ME AND MY HUSBAND +RES0215-094 OK DO YOU TWO LIVE IN A HOUSE IN TOWN +RES0215-095 IN A TOWNHOUSE +RES0215-096 OK AND WHAT DO YOU TWO DO FOR WORK +RES0215-097 SO MY HUSBAND IS AN ULTRASOUND TECHNICIAN AND I AM A KINDERGARTEN TEACHER +RES0215-098 OK EXCELLENT AND THIS IS A QUESTION WE JUST ASK EVERYONE HAS THERE EVER BEEN ANY CC CAS INVOLVEMENT IN THE FAMILY +RES0215-099 NO +RES0215-100 AND DOES ANYONE SMOKE IN THE HOUSEHOLD +RES0215-101 NO NO +RES0215-102 OK DO YOU KEEP ANY CARPETS OR PETS IN THE HOUSEHOLD +RES0215-103 WE HAVE CARPETS BUT THEY'RE NEW CARPETS WE JUST GOT THEM MAYBE SIX MONTHS AGO AND NOTHING ELSE +RES0215-104 SO NO PETS NO DOGS +RES0215-105 NO +RES0215-106 OK ANY WOOD BURNING FIREPLACES STOVES IN THE HOUSEHOLD +RES0215-107 NO +RES0215-108 AND CHANGED YOUR AIR FILTERS +RES0215-109 ALRIGHT EXCELLENT SO I THINK I HAVE ALL THE INFORMATION I NEED WE'RE JUST GOING TO DO A PHYSICAL EXAM AND THEN I'M GOING TO GO TALK TO THE PHYSICIAN AND I'LL COME IN AND SEE YOUR DAUGHTER AND WE'LL TALK ABOUT NEXT STEPS FROM THERE DO YOU HAVE ANY QUESTIONS THAT YOU'D LIKE ME TO DIRECT TO HIM BEFORE THAT HAPPENS +RES0215-110 NO THANK YOU SO MUCH +RES0215-111 ALRIGHT HAVE A GOOD ONE +RES0215-112 YOU TOO BYE BYE +RES0216-000 SO I UNDERSTAND YOU'RE HAVING SOME CHEST TIGHTNESS +RES0216-001-1 YEAH IT'S FOR THE LAST MAYBE THREE DAYS IT'S NOT REALLY PAIN NOT IN ANY SPECIFIC SPOT IT JUST FEELS A BIT TIGHT IN MY CHEST AREA WHEN I BREATHE IN ESPECIALLY +RES0216-001-2 AND IT JUST GETS A BIT HARDER TO BREATHE AND IT FEELS MORE TIGHT LIKE ESPECIALLY WHEN I GO FOR MY WALKS WHICH I DO EVERYDAY I TRY TO WALK MY DOG +RES0216-001-3 SO I WAS JUST YOU KNOW WORRIED THAT IT COULD BE SOMETHING SERIOUS AND I WANTED TO COME AND GET CHECKED OUT +RES0216-002 OK FOR SURE SO YOU SAID IT STARTED ABOUT THREE DAYS AGO HAVE YOU NOTICED IT'S BEEN GETTING BETTER WORSE OR ABOUT STAYING THE SAME +RES0216-003 I THINK IT'S STAYING THE SAME +RES0216-004 OK WAS THERE ANYTHING THAT HAPPENED THREE DAYS AGO THAT YOU CAN RECALL WHERE YOU FIRST NOTICED IT +RES0216-005 NO NOTHING IN PARTICULAR IT JUST KIND OF CAME ON AND NOW IT'S BEEN PRETTY STEADY +RES0216-006 OK AND WHEN IT CAME ON THREE DAYS AGO WHAT WERE YOU DOING +RES0216-007 I THINK I FIRST NOTICED IT WHEN I WAS GONE FOR MY WALK +RES0216-008 OK NOW WHEN YOU'RE WALKING YOU SAY YOU HAVE SOME CHEST TIGHTNESS DO YOU HAVE ANY CHEST PAIN +RES0216-009 NO THERE'S NOT THERE'S NOT PAIN IT JUST FEELS LIKE WHEN I BREATHE IN IT FEELS TIGHT +RES0216-010 OK DID YOU FEEL ANXIOUS OR SWEATY OR THE FEELING OF IMPENDING DOOM AT ALL +RES0216-011 NO I CAN'T SAY THAT I DID +RES0216-012 NOTHING LIKE THAT OK AND DID YOU FEEL YOURSELF BECOMING OUT OF BREATH AT ALL +RES0216-013 I I FEEL LIKE IT WAS KIND OF HARDER TO GET A WHOLE BREATH SO I GUESS +RES0216-014 OK AND WAS THIS TIGHTNESS ALL ACROSS YOUR CHEST OR WAS IT IN ONE PARTICULAR AREA +RES0216-015 KIND OF JUST ALL OVER +RES0216-016 OK AND SINCE THEN THAT HAPPENED WHEN YOU WERE OUT FOR A WALK HOW MANY TIMES DOES IT HAPPEN A DAY WOULD YOU SAY +RES0216-017 WELL I FEEL LIKE IT'S KIND OF ALWAYS THERE BUT IT GETS WORSE WHEN I GO FOR MY WALK AND WELL SOMETIMES I GO FOR MORE THAN ONE WALK RIGHT CAUSE I WALK MY DOG IT'S ALWAYS KIND OF THERE AND ESPECIALLY WHEN I'M LIKE GETTING UP OUT OF THE CHAIR I CAN FEEL IT MORE OR WHEN I TAKE A BIG LIKE A BIG BREATH IN AS I SAID +RES0216-018 OK SO IT'S BEEN THERE PRETTY CONSTANTLY FOR THE PAST THREE DAYS BUT IT'S MORE NOTICEABLE IF NOT WORSE WHEN YOU'RE GOING FOR A WALK +RES0216-019 EXACTLY +RES0216-020 OK HAVE YOU HAD ANY COUGH AT ALL IN THE LAST LITTLE WHILE +RES0216-021 NO LIKE I FEEL A LITTLE MORE HOARSE AND LIKE THERE'S MAYBE SOME MORE PHLEGM LIKE I'M CLEARING MY THROAT MORE BUT I HAVEN'T ACTUALLY BEEN COUGHING +RES0216-022 OK ANY FEVERS +RES0216-023 NO CAN'T SAY THAT NO +RES0216-024 OK ANY NIGHT SWEATS SO WAKING UP AND THE SHEETS ARE SOAKED +RES0216-025 NO +RES0216-026 ANY CHILLS +RES0216-027 NO +RES0216-028 ANY UNEXPLAINED WEIGHT LOSS AT ALL +RES0216-029 NOPE +RES0216-030 OK AND HAVE YOU EVER HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE +RES0216-031 I MEAN I HAVE ASTHMA SO I'VE HAD SOME TROUBLE BREATHING BEFORE IT THIS FEELS FEELS DIFFERENT THAN OTHER TIMES I I GUESS IT COULD BE RELATED BUT I DON'T KNOW THIS THIS FEELS A BIT DIFFERENT THAT'S WHY I WANTED TO COME IN AND GET IT CHECKED OUT +RES0216-032 OK SO YOU HAVE ASTHMA DO YOU USE ANY PUFFERS AT THE MOMENT +RES0216-033 I JUST USE THE ONE THAT I TAKE EVERY DAY I DON'T REALLY USE THE THE ONE THATS AS NEEDED BECAUSE I JUST HAVEN'T HAD TO IN A REALLY LONG TIME SO I DIDN'T REFILL MY LAST ONE +RES0216-034 OK SO YOU DON'T HAVE ANY ANYMORE OF THE AS NEEDED BUT YOU HAVE USED IT IN THE PAST +RES0216-035 EXACTLY LIKE IT'S BEEN A COUPLE OF YEARS SINCE I NEEDED THAT BUT I STILL I STILL TAKE THE DAILY ONE +RES0216-036 OK AND YOU HAVEN'T STOPPED TAKING THE DAILY ONE IN LAST THREE DAYS EITHER +RES0216-037 NO I ALWAYS TAKE IT SO I'M SUPPOSED TO ACTUALLY TAKE IT MORNING AND NIGHT FOR A WHILE THOUGH SOMETIMES I WAS SKIPPING THE NIGHT ONE BECAUSE I DIDN'T FEEL THAT I WAS NEEDING IT SO SO LATELY I'VE BEEN TAKING IT EVERYDAY BUT I'VE JUST BEEN TAKING IT IN THE MORNING +RES0216-038 OK WHAT MAKES YOU SAY YOU HAVEN'T REALLY NEEDED THE ONE AT NIGHT HAVE YOU JUST BEEN DOING WELL WITHOUT IT +RES0216-039 EXACTLY LIKE I HAVEN'T NEEDED THE RESCUE ONE IN A FEW YEARS AND EVEN WHEN I WAS JUST TAKING IT IN THE MORNING I I HAVEN'T HAD ANY PROBLEMS +RES0216-040 OK UNDERSTOOD AND THEN HAVE YOU HAD I SHOULD HAVE ASKED DO YOU WORK CURRENTLY +RES0216-041 I I I'M A FINANCIAL ADVISOR I'M LIKE SEMI RETIRED SO I DO SOME STUFF FROM HOME +RES0216-042 OK GOT IT I SUPPOSE JUST HAS THIS KIND OF CHEST TIGHTNESS STOPPED YOU FROM DOING ACTIVITIES THAT YOU NORMALLY WOULD DO ANY MISSED TIME FROM WORK +RES0216-043-1 I HAVEN'T MISSED ANY WORK BUT I'M NOT I'M NOT DOING A TON OF WORK RIGHT NOW I DON'T THINK IT WOULD STOP ME IT JUST WOULD MAKE ME UNCOMFORTABLE DURING WORK AND +RES0216-043-2 IT KEEPS ME MAYBE THIS THE LAST FEW DAYS IT'S KEPT ME FROM I USUALLY GO ON A COUPLE OF WALKS A DAY THE LAST COUPLE DAYS I'VE JUST GONE ON ONE USUALLY SO IT'S A LITTLE BIT YEAH +RES0216-044 SO IT'S REALLY NOT STOPPING TOO MUCH OF YOUR DAY TO DAY FUNCTIONING BUT IT'S NOTICEABLE +RES0216-045 EXACTLY +RES0216-046 OK NOW IS THERE ANY OTHER ISSUE THAT YOU SEE YOUR DOCTOR REGULARLY FOR ASIDE FROM THE ASTHMA +RES0216-047 I HAVE HIGH BLOOD PRESSURE I DON'T REALLY SEE MY DOCTOR VERY MUCH I JUST AM ON MEDICATION +RES0216-048 OK HOW ABOUT WE JUST TALK ABOUT YOUR MEDICATIONS A LITTLE BIT WHAT ARE YOU TAKING CURRENTLY +RES0216-049 I TAKE THE SALBUTAMOL +RES0216-050 THAT WE TALKED ABOUT AND I TAKE +RES0216-051 RAMIPRIL AND SOMETIMES A TYLENOL IF YOU KNOW IF I HAVE A HEADACHE OR SOMETHING BUT NOT VERY OFTEN +RES0216-052 OK UNDERSTOOD SO ASIDE FROM THE HIGH BLOOD PRESSURE YOU'RE REALLY NOT TAKING MEDICATIONS FOR MUCH ELSE +RES0216-053 NO NO +RES0216-054 OK DO YOU HAVE ANY OTHER LUNG ISSUES OR ANY TROUBLE WITH YOUR LUNGS IN THE PAST +RES0216-055 NO NOTHING MAJOR JUST THE ASTHMA BUT YOU KNOW LIKE I SAID IT'S BEEN A FEW YEARS SINCE IT HAS BOTHERED ME +RES0216-056 OK GOT IT AND JUST IN TERMS OF YOUR LIFE ITSELF SO DO YOU SMOKE AT ALL +RES0216-057 NO NEVER +RES0216-058 OK SO NO SMOKING ANY OTHER RECREATIONAL SUBSTANCES DRUGS +RES0216-059 OH NO NO I MEAN I I HAVE YOU KNOW A FEW BEERS ON THE WEEKEND BUT I DON'T DO VERY I DON'T DO ANY DRUGS AND I DON'T DRINK MUCH OTHER THAN THAT +RES0216-060 OK GOT IT ANY ALLERGIES THAT YOU HAVE +RES0216-061 NO NO LIKE I WHEN I WAS YOUNGER I GOT SOME SEASONAL ALLERGIES SOMETIMES IN THE SPRINGTIME BUT OTHER THAN THAT I I LIKE I IT'S REALLY BEEN MANY YEARS SINCE I'VE NOTICED THAT +RES0216-062 OK AND SO NOTHING NEW IN THE ENVIRONMENT YOU HAVEN'T CHANGED WHERE YOU'VE BEEN LIVING OR YOU HAVEN'T INTRODUCED A NEW PET OR A NEW DOG +RES0216-063 EXACTLY +RES0216-064 OK SO SOUNDS LIKE YOU'RE PRETTY MUCH STAYING THE COURSE LAST LITTLE WHILE JUST KIND OF A NEW ONSET OF THIS NEW CHEST TIGHTNESS AND ASIDE FROM THAT SEEMS THAT IT COMES ON MAINLY ON WALKS OUTDOORS BUT YOU'VE KIND OF BEEN LIMITING THE SOME OF THE MEDICATION YOU'RE TAKING FOR ASTHMA THE LAST COUPLE OF YEARS BECAUSE YOU HAVEN'T REALLY FELT THAT YOU NEEDED IT AS MUCH +RES0216-065 LIKE JUST THE MORNING WAS IT WAS ENOUGH +RES0216-066-1 OK ALRIGHT JOHN I THINK I'VE GOT MOST OF THE INFORMATION I NEED JUST TO GO TALK TO THE DOC AND TALK ABOUT YOUR STORY NEXT OF COURSE WE'RE GOING TO DO A QUICK PHYSICAL EXAM GOING TO TAKE A LISTEN TO YOUR LUNGS AND SEE WHAT ELSE WE MIGHT WANT TO DO IN TERMS OF INVESTIGATIONS +RES0216-066-2 I HAVE A FEELING THAT THIS ACTUALLY MIGHT BE YOUR ASTHMA REOCCURRING IN SOME CAPACITY OR THAT WOULD BE ON THE TOP OF THE DIFFERENTIAL FOR NOW BARRING ANY OTHER NEW FINDINGS SO I THINK MAYBE WHAT WE WOULD LIKE TO DO IS WE'D LIKE TO TRY +RES0216-066-3 HAVING THOSE RESCUE PUFFERS AVAILABLE TO SEE IF THAT HELPS AT ALL WHEN YOU ARE ON WALKS AND IF THEY DON'T HELP THEN WE'LL COME BACK TO THE TABLE AND SEE WHAT OTHER POSSIBLE DIRECTIONS WE COULD HEAD IN IN ORDER TO HELP YOU NEXT DOES THAT SOUND GOOD JOHN +RES0216-067 SOUNDS GREAT I'M JUST YOU KNOW GLAD TO KNOW THAT IT'S PROBABLY NOT MY HEART +RES0216-068 NO IT SOUNDS WELL I SUPPOSE YOU SAID THAT YOU DIDN'T REALLY GET OUT OF BREATH WITH EXERCISE MORE SOUNDS LIKE A CHEST TIGHTNESS AND YOU HAVEN'T HAD ANY PAIN ASSOCIATED WITH IT SO THAT PUTS MORE CARDIAC ISCHEMIC PICTURES KIND OF LOWER ON THE DIFFERENTIAL BUT OF COURSE WE'RE GOING TO TRY ONE THING AT A TIME AND THEN WE'LL COME BACK TO THE TABLE DEPENDING ON HOW YOU'RE FEELING AFTER THAT OK +RES0216-069 SOUNDS GREAT THANK YOU +RES0216-070 NO PROBLEM OK I'LL GO TALK TO THE DOCTOR I'LL BE BACK WITH YOU IN A MOMENT +RES0216-071 THANK YOU +RES0217-000 SO I UNDERSTAND YOU REMOVED INSECTS FROM YOUR LEG EARLIER TODAY +RES0217-001-1 YES I DID IT WAS IT WAS BEHIND MY LEFT KNEE KIND OF IN LIKE THE JOINT BEHIND WHERE IT BENDS +RES0217-001-2 IT WAS STUCK PRETTY GOOD IT'S STILL KIND OF RED AND TENDER THERE I NOTICED IT BECAUSE THE BACK OF MY KNEE WAS STARTING TO JUST FEEL A BIT SORE NOT THE JOINT ITSELF BUT JUST KIND OF THE SKIN THE WHOLE AREA BACK THERE +RES0217-001-3 AND I FOUND THIS TICK I BROUGHT I BROUGHT IT IN WITH ME IF YOU WANTED TO HAVE A LOOK AT IT IT'S IN LIKE THIS LITTLE PLASTIC CONTAINER +RES0217-001-4 AND I DON'T REALLY KNOW WHEN I GOT IT I WAS HIKING ON FRIDAY AND THEN SATURDAY I WAS OUT IN MY GARDEN +RES0217-001-5 I HOPE THEY'RE NOT AROUND MY HOUSE I HOPE THAT IT WAS FROM HIKING AND NOT GARDENING BUT I DID SPEND A LOT OF TIME OUTSIDE ON SATURDAY AS WELL +RES0217-002 OK SO SOUNDS LIKE IT'S BEEN A LITTLE BIT OF TIME SINCE YOU WERE LAST OUTDOORS TO WHEN YOU FIRST NOTICED IT +RES0217-003 OK SO WHEN YOU PICKED IT OFF THE TICK OBVIOUSLY YOU HAVE IT FOR ME IS IT QUITE SWOLLEN OR ENGORGED +RES0217-004-1 IT'S NOT TOO BAD I I HAVE ACTUALLY HAD A TICK IN THE PAST AND THIS IS A LONG TIME AGO AND MAYBE LIKE TEN YEARS AND I ACTUALLY HAD THAT KIND OF TARGET RASH THING THAT THEY TALK ABOUT +RES0217-004-2 AND AT THAT TIME I REMEMBER I HAD TO TAKE ANTIBIOTICS FOR A BIT THIS +RES0217-004-3 DIDN'T LOOK LIKE THAT IT WAS MORE IT WAS JUST KIND OF SORE IN ONE SPOT I DON'T THINK IT +RES0217-004-4 IT WAS AS BAD AS THAT TIME AND THE TICK THAT TIME SORRY I'VE KIND OF GOTTEN OFF TRACK THAT TIME IT WAS QUITE SWOLLEN THIS ONE WAS MAYBE A LITTLE BIT BUT NOT AS MUCH +RES0217-005 OK SO JUST IN TERMS OF THE TICK'S SIZE IT DOESN'T LOOK LIKE IT'S BEEN FEEDING FOR TOO LONG SO WHEN TICKS ARE FEEDING THEY TEND TO ENGORGE THEY TEND TO SWELL UP SO THIS LOOKS MORE LIKE A TINY LITTLE BUG OR DOES IT KIND OF LOOK LIKE A LITTLE GRAPE ALMOST LIKE IT'S BEEN SWOLLEN UP WITH BLOOD +RES0217-006 NO THIS ONE THIS ONE'S PRETTY SMALL +RES0217-007-1 THIS ONE'S PRETTY SMALL OK AND I SHOULD MENTION THAT WELL OBVIOUSLY YOU'VE HAD A TICK BITE IN THE PAST THE BIG CONCERN FOR US IS A DISEASE CALLED LYME DISEASE WHICH IS SPREAD BY BACTERIA BUT IN FACT ONLY ONE TYPE OF TICK +RES0217-007-2 PREDOMINANTLY IS A TRANSMISSION TRANSMITORY AGENT FOR IT IT'S CALLED A DEER TICK AND ITS COLORATION IT'S GOT A LITTLE BIT OF A BROWN BUTT AND THERE'S SOME BLACK LEGS DOES IT LOOK LIKE THAT AT ALL +RES0217-008-1 I DON'T THINK SO I I WAS LOOKING AT THE PICTURES ONLINE I THINK IT LOOKS LIKE THE OTHER KIND OF TICK BUT I HEARD THAT +RES0217-008-2 YEAH BUT I HEARD THAT LATELY NOW THEY'VE BEEN CONSIDERING ALL TICKS IN THIS AREA AS POSSIBLY CARRIERS OF LYME BECAUSE I THINK IT'S KIND OF BECOME MORE MORE OF A PROBLEM SM SO THAT WAS MAKING ME A BIT NERVOUS +RES0217-009-1 OK ABSOLUTELY WHAT WE CAN DO IS WE CAN SEND THIS TICK OFF TO THE LAB AND THEY'LL BE ABLE TO IDENTIFY THE SPECIES FOR IT BUT FOR TICK BITES IN GENERAL ONE OF THE KEY CONSIDERATIONS IS FOR HOW LONG IT'S BEEN ON YOUR BODY FOR SO UNFORTUNATELY IF YOU'RE OUT ON FRIDAY AND SATURDAY +RES0217-009-2 THAT'D MEAN THAT THIS TICK HAS BEEN ON YOU FOR LONGER THAN AT LEAST SEVENTY TWO HOURS SO I THINK ONE WAY OR ANOTHER WE'RE LIKELY GOING TO HAVE TO PUT YOU ON ANTIBIOTICS JUST AS KIND OF A PROPHYLACTIC AT THE VERY LEAST JUST WANT TO MAKE SURE +RES0217-009-3 THAT YOU'RE NOT AT RISK OF DEVELOPING LYME DISEASE I'M SURE YOU'VE HEARD FROM THE NEWS THAT LYME DISEASE CAN PRESENT IN A VARIETY OF WAYS BUT IT'S A DISEASE THAT WE TRY OUR BEST TO AVOID +RES0217-009-4 AND JUST IN TERMS OF YOUR SYMPTOMS SO YOU SAY YOU'VE HAD A BITE IN THE PAST AND YOU YOU'VE GOT THAT RASH BEFORE THAT KIND OF BULLSEYE RASH DO YOU HAVE THAT RASH NOW +RES0217-010 NO I DON'T AS FAR AS I KNOW I MEAN YOU CAN HAVE A LOOK TOO IT'S BEHIND MY KNEE SO IT'S NOT THE EASIEST PLACE TO SEE BUT IT'S IT LOOKS A LITTLE RED IT'S LIKE TENDER WHERE THE TICK WAS BUT I DON'T SEE THAT LIKE LARGER CIRCLE RASH +RES0217-011 OK THAT'S REASSURING NOW ANY IT'D BE PRETTY UNLIKELY FOR YOU TO HAVE OTHER SYMPTOMS BUT JUST IN CASE DO YOU HAVE ANY OTHER JOINT PAIN +RES0217-012 NO +RES0217-013 HAVE YOU BEEN FEELING ILL OR HAVE BEEN FEVERISH IN THE LAST LITTLE WHILE +RES0217-014 NO NO I'VE BEEN FINE +RES0217-015 OK AND YOU REMOVED THAT TWIT TICK ONCE YOU FOUND IT YOU PRESENTED TO ME HAVE YOU CHECKED YOUR BODY FOR ANY OTHER POSSIBLE BITES +RES0217-016 OH I LOOKED AROUND AND I LOOKED AT MY HUSBAND TOO CAUSE WE WE WERE JUST A LITTLE BIT YOU KNOW GAVE US A LITTLE BIT OF A SCARE BUT NO THERE'S BEEN NOTHING ELSE +RES0217-017 THAT'S GOOD AND DID YOU BRING A PET WITH YOU AT ALL WHEN YOU WERE HIKING AND GARDENING +RES0217-018 NO I DIDN'T NO +RES0217-019 OK GOOD ANY OTHER FAMILY MEMBERS YOU THINK MIGHT HAVE BEEN EXPOSED +RES0217-020 NO IT WAS JUST ME AND MY HUSBAND +RES0217-021 OK AND WHAT GEOGRAPHIC AREA WERE YOU IN WHEN YOU WERE HIKING +RES0217-022 WE WERE IN STRATHROY ALONG THE CREEK +RES0217-023-1 OK I CAN DO IF I REMEMBER THERE'S A LYME DISEASE DISTRIBUTION MAP FOR ONTARIO AND WE CAN SEE EXACTLY HOW THAT LINES UP TO SEE IF WE SHOULD BE A LITTLE BIT CONCERNED OR NOT +RES0217-023-2 LOOKS LIKE STRATHROY IS CLOSE ENOUGH TO BE CONSIDERED A LITTLE BIT OF A CONCERNING POINT SO I THINK THAT WE WILL BE MOVING FORWARD WITH ANTIBIOTICS BUT OF COURSE WE'LL BE TALKING TO THE PHYSICIAN WHO'LL BE HAVING A LOOK AT YOU AS WELL +RES0217-023-3 SO IT SOUNDS LIKE YOU HAVEN'T BEEN HAVING TOO MUCH SYMPTOMS ASIDE FROM YOU'VE NOTICED THIS TICK THE SKIN AROUND IT IS FAIRLY SORE AND YOU'VE HAD THIS IN THE PAST BUT YOU WERE TREATED WITH ANTIBIOTICS IN THE PAST AND SINCE THEN YOU HAVEN'T HAD TOO MANY HEALTH PROBLEMS AFTER THAT +RES0217-024 NO NO I'VE BEEN PRETTY HEALTHY +RES0217-025 OK AND JUST ABOUT YOUR HEALTH RIGHT NOW IS THERE ANYTHING THAT YOU SEE THE FAMILY PHYSICIAN OR DOCTOR FOR IN GENERAL AND REGARDING YOUR HEALTH +RES0217-026 JUST FOR MY CHOLESTEROL +RES0217-027 OK ARE YOU TAKING AND MEDICATIONS FOR THAT +RES0217-028 I TAKE A STATIN CAN'T REMEMBER WHICH ONE +RES0217-029 OK GOT IT AND DO YOU HAVE ANY ALLERGIES +RES0217-030 NO +RES0217-031 SO NO DRUG ALLERGIES +RES0217-032 NO +RES0217-033-1 OK NOW WE'VE ALREADY TALKED ABOUT OTHER EXPOSURES SO IT DOESN'T SOUND LIKE ANYONE ELSE IN YOUR FAMILY OR ANY PETS ARE AROUND SO IT'S UNLIKELY THAT YOU HAVE TICKS COMING IN AND YOU SAID YOU MIGHT HAVE GOTTEN THIS FROM GARDENING +RES0217-033-2 BUT YOU'RE HOPING THAT YOUR AREA DOESN'T HAVE TICKS MAYBE JUST TAKE A LOOK TICKS LIKE TO LIVE IN LONG GRASS KIND OF ON THE INTERSECTION BETWEEN WOODS AND FIELDS +RES0217-033-3 TO SEE IF THERE'S ANY HOVERING AROUND THAT KIND OF MAKE A WAVING MOTION WITH THEIR LEGS AND THEY'RE SOMETIMES EASY TO SPOT YOU MIGHT WANNA GET SOME INSECTICIDE OUT THERE +RES0217-033-4 BUT IT SOUNDS LIKE THIS IS FAIRLY RECENT UNFORTUNATELY JUST FOR THE LENGTH OF TIME THIS TICK MIGHT BE ON YOU FOR IT'S PROBABLY SAFER THAN NOT TO START YOU ON SOME MEDICATIONS BUT I'M GOING TO GO TALK TO THE DOCTOR AFTER WE DO A QUICK PHYSICAL EXAM +RES0217-033-5 AND WE MIGHT ALSO SEND THE TICK OFF TO A LOCAL LABORATORY SO THEY CAN IDENTIFY THE SPECIES FOR IT DEFINITIVELY +RES0217-033-6 AS WELL AS MIGHT JUST SEND SOME BLOOD WORK JUST TO SEE IF THERE'S ANY TITRES OR ANY SEROLOGY THAT WOULD MAKE US A LITTLE BIT MORE CONCERNED FOR LYME DISEASE BUT ASIDE FROM THAT YOU'VE BEEN FEELING WELL OTHERWISE +RES0217-034 TOTALLY FINE IT WAS JUST A LITTLE TENDER THERE AND THAT'S THE ONLY REASON I LOOKED +RES0217-035 OK SO NO HEADACHES +RES0217-037 NO NOTHING LIKE THAT +RES0217-039 OK EXCELLENT ALRIGHT I'M FAIRLY HAPPY WITH WHAT WE TALKED ABOUT TODAY DO YOU HAVE ANY QUESTIONS FOR ME JEAN +RES0217-040 NO THIS IS PRETTY WELL WHAT I EXPECTED TODAY SO THANKS FOR HELPING ME OUT +RES0217-041 NO PROBLEM OK I'LL GO TALK TO THE DOCTOR WE'LL COME BACK AND TALK TO YOU OK +RES0217-042 GREAT THANKS +RES0217-043 THANKS JEAN