diff --git "a/dev.txt" "b/dev.txt" new file mode 100644--- /dev/null +++ "b/dev.txt" @@ -0,0 +1,1969 @@ +MSK0044-000 WHAT BRINGS YOU HERE TODAY +MSK0044-001-1 I JUST HAD WELL IT WAS JUST I CAME FROM FOOTBALL PRACTICE I JUST FELT LIKE SOMEBODY FELL ON ME WHILE LIKE WHILE I WAS ON THE GROUND AND +MSK0044-001-2 IT'S LIKE I'VE HAD THIS SHOULDER PAIN IMMEDIATELY AFTERWARDS AND I CAN SEE A LIKE LUMP KIND OF POINTING OUT LIKE IN MY SKIN HERE ON MY ON MY CLAVICLE OR SHOULDER BONE +MSK0044-002 OK IS IT THE RIGHT SIDE OR THE LEFT SIDE +MSK0044-003 IT'S THE RIGHT SIDE +MSK0044-004 THE RIGHT SIDE OK OK AND HOW LONG AGO DID THIS HAPPEN +MSK0044-005 IT HAPPENED ABOUT JUST A COUPLE OF HOURS AGO JUST ABOUT TWO HOURS AGO +MSK0044-006 DID SOMEONE DID SOMEONE FALL ONTO YOUR SIDE OKAY SO YOUR MAIN ARE YOU HAVING MAINLY PAIN IN THAT IN THAT AREA OR IS IT GOING TO OTHER PLACES +MSK0044-007 IT'S MOSTLY JUST THE PAIN LIKE RIGHT IN THAT AREA I'M NOT FEELING IT ANYWHERE ELSE +MSK0044-008 OKAY AND WHAT KIND OF PAIN ARE YOU FEELING IS IT SHARP STABBING OR IS IT ACHING +MSK0044-009 IT'S REALLY SHARP IT FEELS LIKE I'M I'M GETTING STABBED IN THE SHOULDER +MSK0044-010 ON A SCALE OF ZERO TO TEN TEN BEING THE WORST PAIN YOU'VE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE IT +MSK0044-011 THIS IS LIKE A TEN IT HURTS REALLY BAD +MSK0044-012 OKAY AND ARE ABLE TO DO ANY MOVEMENTS OR ARE YOU JUST KIND OF HOLDING YOUR ARM UP WITH YOUR OTHER OTHER ARM +MSK0044-013 I I'VE JUST BEEN HOLDING MY ARM UP BY I KIND OF MADE A SLING OUT OF LIKE THE COACHES HELPED MAKE A SLING OUT OF ONE OF THE WHAT WE LIKE A SHIRT OR SOMETHING LIKE THAT AT THE PRACTICE AND SO I'VE BEEN JUST KIND OF HOLDING MY ARM AGAINST MY CHEST WITH MY ELBOW FLEXED I HAVEN'T REALLY MOVED IT AT ALL +MSK0044-014 I SEE OKAY AND AND IF YOU WERE TO DESCRIBE JUST WHAT IT LOOKS LIKE RIGHT NOW DOES YOUR SHOULDER KIND OF SEEM LIKE IT'S SAGGING +MSK0044-015 IT DOES +MSK0044-016 AND DO YOU NOTICE ANY POINT NEAR YOUR SHOULDER LIKE CLAVICLE AREA THAT HAS ANY BRUISING SWELLING LOOKS LIKE RED ANYTHING LIKE THAT +MSK0044-017 LIKE MAYBE A LITTLE BIT OF BRUISING AND SWELLING LIKE OVER THE AREA WHERE I CAN SEE LIKE MY MY SKIN POINTING UP BUT THAT'S THE ONLY AREA +MSK0044-018 OKAY I SEE OKAY ANY OTHER SYMPTOMS LIKE ANY PAIN IN ANY OTHER JOINTS MUSCLES +MSK0044-019 NO JUST THE PAIN RIGHT THERE +MSK0044-020 OKAY ALRIGHT AND AND OTHER THAN THAT HAVE YOU PREVIOUSLY HAD ANY POPPED JOINTS BEFORE +MSK0044-021 I I NO I HAVEN'T +MSK0044-022 OKAY AND NO OTHER TRAUMA OR ANYTHING IN THE SAME REGION +MSK0044-023 NO I HAVEN'T HAD ANY PAINS THERE BEFORE OR ANYTHING LIKE THAT +MSK0044-024 OKAY I SEE OKAY AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +MSK0044-025 NO I HAVEN'T +MSK0044-026 OKAY ALRIGHT AND DID YOU HURT YOURSELF ANYWHERE ELSE LIKE DID YOU HURT YOUR HEAD AT ALL SUFFER ANY LOSS OF CONSCIOUSNESS OR ANYTHING LIKE THAT +MSK0044-027 NO NO I I DIDN'T I WAS KIND OF JUST LIKE LAYING ON MY SIDE AND THEY FELL LIKE ON MY LEFT SHOULDER AND I I JUST GOT SQUISHED +MSK0044-028 OKAY AND DID IT HAVE ANY IMPACT ON YOUR CHEST LIKE YOU DO YOU FEEL SHORT OF BREATH OR ANYTHING LIKE THAT +MSK0044-029 NO SHORTNESS OF BREATH KIND OF KNOCKED THE WIND OUT OF ME AT AT FIRST BUT I'M OKAY NOW +MSK0044-030 OKAY I SEE THAT'S GOOD OKAY AND OTHER THAT SO NO MEDICAL CONDITIONS DO YOU TAKE ANY MEDICATIONS AT ALL +MSK0044-031 I'LL TAKE LIKE JUST SOME ALLERGY MEDICATION EVERY ONCE IN A WHILE WHEN IT'S LIKE JUST SEASONAL ALLERGIES I THINK TO JUST SOME ENVIRONMENTAL TRIGGERS IS ALL +MSK0044-032 OKAY AND AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL +MSK0044-033 NO I DON'T BELIEVE SO +MSK0044-034 OKAY ANYTHING THAT YOU'VE TRIED THAT HAS HELPED OR MADE YOUR PAIN WORSE +MSK0044-035 NO I HAVEN'T I HAVEN'T TAKEN ANYTHING YET I JUST LIKE BASICALLY CAME RIGHT FROM PRACTICE TO THE TO THE HOSPITAL +MSK0044-036 OKAY HAVE YOU HAD ANY KIND OF FEVERS OR CHILLS +MSK0044-037 NO +MSK0044-038 ANY SKIN CHANGES LIKE RASHES +MSK0044-039 NO I I HAVEN'T HAD ANY RASHES +MSK0044-040 OKAY ANY WEAKNESS IN YOUR UPPER OR LOWER EXTREMITIES BESIDES LIKE THE AREA THAT'S AFFECTED +MSK0044-041 NO +MSK0044-042 NO OKAY ANY DIZZINESS FAINTING EPISODES +MSK0044-043 NO NOTHING LIKE THAT +MSK0044-044 OKAY AND YOUR HEARING AND VISION IS ALRIGHT RIGHT NOW +MSK0044-045 IT IS I HAVEN'T HAD ANY PROBLEMS WITH THAT +MSK0044-046 OKAY AND HAVE YOU HAD ANY KIND OF CONCUSSIONS OR ANYTHING IN THE PAST +MSK0044-047 NO I HAVEN'T HAD ANY +MSK0044-048 HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +MSK0044-049 NO NOT NOT EVER +MSK0044-050 ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +MSK0044-051 NO NO NOTHING THAT I CAN THINK OF EVERYBODY'S PRETTY HEALTHY +MSK0044-052 OKAY AND WHAT'S YOUR LIVING SITUATION LIKE RIGHT NOW +MSK0044-053 SO I LIVE WITH BOTH OF MY PARENTS AND I HAVE A YOUNGER BROTHER AND A YOUNGER SISTER AS WELL WE LIVE IN A IN A HOUSE +MSK0044-054 OKAY ALRIGHT AND DO YOU WORK CURRENTLY OR ARE YOU A STUDENT +MSK0044-055 I'M IN HIGH SCHOOL AND I I WORK PART TIME AT THE GROCERY STORE AS WELL BUT IT'S NOT THAT OFTEN THOUGH BECAUSE I'VE JUST BEEN BEEN PLAYING SPORTS ON THE FOOTBALL TEAM WE HAVE A LOT OF PRACTICES AND GAMES AND STUFF +MSK0044-056 DO YOU DRINK ALCOHOL +MSK0044-057 I SOMETIMES I WITH FRIENDS WE'VE HAD A COUPLE OF BEERS HERE AND HERE AND THERE BUT I MEAN IT'S IT'S NOT SOMETHING THAT I'VE DONE VERY OFTEN WE'VE BEEN PRETTY SAFE I FEEL LIKE +MSK0044-058 AND DO YOU SMOKE CIGARETTES OR MARIJUANA OR USE ANY RECREATIONAL DRUGS +MSK0044-059 NO NOTHING LIKE THAT +MSK0044-060-1 OKAY ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WE'LL DO A FULL PHYSICAL EXAMINATION OF THE AREA WE WE WILL DEFINITELY GET AN X RAY OF THE SHOULDER AND CLAVICLE +MSK0044-060-2 TO SEE WHAT KIND OF IT SEEMS LIKE YOU HAVE A CLAVICULAR FRACTURE FROM JUST THE MECHANISM OF THE INJURY AS WELL AS EVERYTHING YOU WERE DESCRIBING +MSK0044-060-3 BUT IT IS IMPORTANT TO UNDERSTAND HOW LIKE WHAT KIND OF CLAVICLE INJURY IT IS AND WHERE IT'S AFFECTED IF IT'S IN THE MIDDLE AREA ON LIKE THE OUTER AREAS OF THE CLAVICLE +MSK0044-060-4 AND HOW MUCH IT'S DISPLACED BECAUSE THAT WILL DETERMINE IF WE JUST NEED TO REDUCE IT HERE AND THEN GIVE YOU A SLING AND THEN YOU CAN GO HOME THAT'S USUALLY THE CASE BUT SOMETIMES +MSK0044-060-5 YOU MAY REQUIRE SURGERY AS WELL AND WE WOULD NEED TO REFER YOU TO AN ORTHOPAEDIC SURGEON SO WE'LL WE'LL GET THE X RAY DONE AND IF YOU NEED ANYTHING FOR PAIN CURRENTLY WE WILL GIVE YOU SOME MEDICATIONS HERE AND THEN WE'LL GO FROM THERE +MSK0044-061 ALRIGHT THANK YOU +MSK0044-062 YOU'RE WELCOME I'LL BE HERE WITH YOU SHORTLY +MSK0044-063 THAT SOUNDS GOOD THANK YOU SO MUCH +MSK0050-000 HOW MAY I HELP YOU +MSK0050-001 I'M HERE BECAUSE I'VE HAD SOME NUMBNESS IN MY RIGHT HAND AND DOESN'T SEEM TO BE GOING GOING AWAY SO I THOUGHT I SHOULD GET IT CHECKED OUT BY YOU +MSK0050-002 CERTAINLY SO SO WHEN DID THIS EXACTLY START +MSK0050-003 SO IT'S BEEN PRETTY GRADUAL I WOULD SAY OVER THE PAST MONTH OR TWO MONTHS IS WHEN I FIRST NOTICED IT BUT THE NUMBNESS IS DEFINITELY WORSE NOW THAN IT WAS AT THE START +MSK0050-004 OK AND WHERE IS THIS THE PAIN AND NUMBNESS WHERE ARE YOU FEELING IT EXACTLY +MSK0050-005 IT'S PARTICULAR IT'S THE WORST ON MY THUMB AND INDEX FINGER +MSK0050-006 OK DO YOU FEEL IT ON YOUR RING FINGER OR OR OR SORRY OR YOUR MIDDLE FINGER +MSK0050-007 THERE IS A LITTLE BIT ON MY MIDDLE AND RING FINGER BUT IT'S LIKE IT'S VERY VERY MILD +MSK0050-008 OK AND LIKE HOW LONG IS ARE THE SYMPTOMS CONSTANT OR OR ARE THEY INTERMITTENT +MSK0050-009 I WOULD SAY IT'S SOMEWHAT CONSTANT BUT IT'S WORSE WHEN WHEN I'M TRYING TO LIKE HOLD THE STEERING WHEEL OR USING MY PHONE OR YOU KNOW READING A BOOK +MSK0050-010 OK I SEE AND IS THERE ANYTHING THAT YOU DO AT THOSE TIMES TO TRY TO HELP GET THE SYMPTOMS TO GO AWAY +MSK0050-011 I GUESS I LIKE SHAKE OUT MY HAND OR TRY TO PUT PRESSURE ON THOSE NUMB NUMB AREAS +MSK0050-012 OK DOES FLICKING THE THE WRIST OR ANYTHING LIKE THAT DOES IT HELP +MSK0050-013 MAYBE SLIGHTLY +MSK0050-014 OK AND LIKE HOW WOULD YOU DESCRIBE THE THE PAINS IN YOUR HAND LIKE +MSK0050-015 DULL ACHY SHARP I WOULD SAY THE PAIN IS MORE LIKE A TINGLING SENSATION SO I GUESS THE TINGLING IS IS LIKE A SHARP FEELING I WOULDN'T CALL IT SO MUCH PAIN AS I WOULD +MSK0050-016 JUST LIKE TINGLING AND NUMBNESS OK OK AND IS IS THERE ANYTHING SO YOU MENTIONED SORT OF THE DRIVING AND USING YOUR PHONE ARE THERE ANY OTHER ACTIVITIES THAT MAKE IT WORSE +MSK0050-017 RECENTLY I FOUND IT'S HARD FOR ME TO HOLD THINGS IN MY RIGHT HAND SO LIKE IF I'M TRYING TO OPEN UP A JAR LIKE IT'S HARD FOR ME TO HOLD IT AND SOMETIMES I FIND LIKE IT'LL JUST FALL OUT OF MY HAND +MSK0050-018 OK SO YOU'RE LIKE DROPPING ITEMS AND STUFF +MSK0050-020 YES OK AND DO YOU FEEL ANY LIKE THE NUMBNESS OR TINGLING DOES IT RADIATE ANYWHERE LIKE TO YOUR FOREARM OR UP INTO YOUR LIKE UPPER ARM OR SHOULDER +MSK0050-021 NO I DON'T THINK SO +MSK0050-022 OK AND DO YOU HAVE ANY NECK PAIN +MSK0050-023 NO +MSK0050-024 OK AND HAVE YOU HAD ANY TRAUMA OR INJURIES TO YOUR WRIST OR HAND +MSK0050-025 NO NOTHING THAT I CAN THINK OF +MSK0050-026 ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY +MSK0050-027 NO +MSK0050-028 HOW ABOUT ANY FEVERS OR CHILLS +MSK0050-029 NO +MSK0050-030 HAVE YOU HAD ANY NIGHT SWEATS +MSK0050-031 NO +MSK0050-032 OK HAVE YOU HAD ANY CHANGES TO VISION OR HEARING +MSK0050-033 NO +MSK0050-034 HOW ABOUT OTHER SENSES LIKE ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE +MSK0050-035 NO +MSK0050-036 ALRIGHT HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED +MSK0050-038 NO ALRIGHT HAVE YOU HAD A SORE THROAT OR A COUGH PERHAPS +MSK0050-039 NO +MSK0050-040 ALRIGHT HAVE YOU HAD ANY SHORTNESS OF BREATH +MSK0050-041 NO +MSK0050-042 HAVE YOU HAD ANY CHEST PAIN OR FEELING LIKE YOU'RE LIKE FEELING LIKE YOU HAVE HEART PALPITATIONS +MSK0050-043 NO +MSK0050-044 OK HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS +MSK0050-046 NO ALRIGHT AND HAVE YOU HAD ANY +MSK0050-048 NAUSEA OR VOMITING +MSK0050-049 NO +MSK0050-050 HOW ABOUT ANY ABDOMINAL PAIN +MSK0050-052 ALRIGHT HOW ABOUT ANY URINARY PROBLEMS NO HAVE YOU HAD ANY CHANGES TO YOUR +MSK0050-053 BOWEL +MSK0050-054 MOVEMENTS LIKE DIARRHEA CONSTIPATION NO +MSK0050-056 OK AND HAVE YOU HAD ANY CHANGES TO YOUR HAIR OR NAILS NO AND ANY +MSK0050-058 RASHES OR ANYTHING LIKE THAT NO ALRIGHT AND HAVE YOU HAD ANY OTHER PAINS IN YOUR JOINTS +MSK0050-060 OR ANY JOINT SWELLING NO OK AND HAVE YOU BEEN DIAGNOSED +MSK0050-061 WITH ANY MEDICAL CONDITIONS BEFORE NO NOT THAT I CAN THINK OF NO WHEN I WAS YOUNGER I HAD +MSK0050-062 LIKE CHILDHOOD ASTHMA BUT NOTHING SINCE OK DO YOU USE ANY INHALERS NOW +MSK0050-063 NO NOT FOR A LONG TIME +MSK0050-064 OK DO YOU TAKE ANY OTHER MEDICATIONS +MSK0050-065 NO +MSK0050-066 OK AND HOW ABOUT DO YOU HAVE ANY ALLERGIES +MSK0050-067 NO +MSK0050-068 OK AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS +MSK0050-069 NO +MSK0050-070 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH +MSK0050-071 SO I LIVE WITH MY BOYFRIEND AND WE LIVE IN A RENTED +MSK0050-072 BASEMENT APARTMENT DOWNTOWN OK AND +MSK0050-073 ARE YOU WORKING CURRENTLY OR ARE YOU IN +MSK0050-074 SCHOOL I AM A GRAD STUDENT OK +MSK0050-085 SO IN MY RIGHT HAND I GUESS THE YOU KNOW THE FLESHY PART OF YOUR THUMB JUST ABOVE YOUR WRIST THAT SEEMS TO BE I GUESS +MSK0050-086 ATROPHIED COMPARED TO MY LEFT HAND OK SO +MSK0050-087 OK SO THE MUSCLE BULK IS REDUCED THERE OK AND ARE YOU FEELING ANY TEMPERATURE CHANGES LIKE DOES THE ANY AREAS OF THE HAND OR WRIST FEEL WARM OR HOT +MSK0050-089 NO ALRIGHT AND ARE THERE ANY AREAS IF YOU PALPATE THAT CAUSE PAIN LIKE +MSK0050-090 OVER THE WRIST +MSK0050-100 I GUESS A LITTLE BIT OF TINGLING +MSK0050-101 OK SO THAT WOULD BE A POSITIVE PHALEN'S TEST AS WELL AND RANGE OF MOTION OF THE NECK DO YOU HAVE ANY PROBLEMS WITH THAT OR ANY PAIN THERE +MSK0050-102 NO +MSK0050-103 OK I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT AND CHECK ON THE EXAM DID YOU HAVE ANY QUESTIONS FOR ME +MSK0050-104 NO NO QUESTIONS THANK YOU SO MUCH +MSK0050-105-1 ALRIGHT YOU'RE WELCOME SO IT SOUNDS LIKE THIS COULD BE CARPAL TUNNEL SYNDROME AND SO WE WE MAY DEPENDING ON ON SENT FOR +MSK0050-105-2 KIND OF LIKE NERVE STUDIES TO CONFIRM THE DIAGNOSIS AND THINGS THAT YOU CAN DO IN THE MEANTIME WOULD BE TO USE LIKE A SPLINT OR TRY TO USE LIKE NIGHTTIME SPLINTS AND ACTIVITY MODIFICATION AS WELL +MSK0050-106 OK THAT SOUNDS GOOD +RES0009-000 TO START COULD YOU TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN TODAY +RES0009-001 REALLY I JUST DON'T I I DON'T FEEL QUITE RIGHT LIKE I'VE HAD THIS PAIN IN MY CHEST FOR FIVE DAYS NOW AND I'VE BEEN JUST FEELING KIND OF OUT OF BREATH +RES0009-002 OH OK WHERE ARE YOU FEELING THIS PAIN +RES0009-003 IT'S IT'S KIND OF ON THE LEFT SIDE OF MY CHEST AND IT'S JUST LIKE A TINY IT'S LIKE A LINGERING SHARP PAIN I DON'T REALLY FEEL IT ANYWHERE ELSE IT'S JUST KIND OF THERE ALL THE TIME RIGHT NOW I I'VE NEVER HAD ANYTHING LIKE THIS BEFORE +RES0009-004 OK SO YOU'RE NOT FEELING THE PAIN RADIATE ANY TO ANY OTHER LOCATIONS YOU'RE JUST FEELING IT SORT OF IN THE ONE SPOT ON THE LEFT SIDE +RES0009-005 EXACTLY +RES0009-006 OK AND SINCE THIS PAIN STARTED FIVE DAYS AGO HAS IT GOTTEN ANY BETTER ANY WORSE OR STAYED THE SAME +RES0009-007-1 LIKE WHEN I WHEN IT STARTED I WAS JUST I WAS JUST LIKE SITTING ON MY COUCH AND NOW IT'S HARDER IF I'M IT'S WORSE IF I'M WALKING AROUND +RES0009-007-2 LIKE IF I WALK JUST DOWN THE STREET TO GET THE MAIL BUT OTHERWISE IT'S KIND OF KIND OF JUST THERE LIKE I TOOK SOME TYLENOL AND ADVIL AND THEY MAYBE TAKE THE EDGE OFF A LITTLE BIT BUT +RES0009-007-3 IT'S ALWAYS THERE AND IT'S WORSE WHEN I WHEN I TAKE A DEEP BREATH THEN I REALLY FEEL IT +RES0009-008 OK SO IT'S WORSE IS THE PAIN WORSE WHEN YOU'RE WALKING AS WELL LIKE OUT TO GET THE MAIL +RES0009-009 IT'S I DON'T THE THE PAIN IS BUT I I'M NOT I CAN'T CATCH MY BREATH WHEN I'M DOING THAT +RES0009-010 OK AND HOW FAR COULD YOU USUALLY WALK OR +RES0009-011 OH USUALLY WALK BEFORE I GO FOR LONG WALKS LIKE EVERY DAY LIKE PROBABLY LIKE FIVE KILOMETERS OR SOMETHING +RES0009-012 OK SO PRIOR TO THIS HAPPENING YOU WERE FEELING WELL +RES0009-013 TOTALLY I'VE NOT EVER HAD ANY PROBLEMS WITH MY HEART OR LUNGS OR ANYTHING I THOUGHT IT WAS MAYBE JUST LIKE A CHEST INFECTION BUT I I DON'T KNOW ANYMORE +RES0009-014 OK SO YOU'VE HAD THAT THE DIFFICULTIES BREATHING AND THE PAIN AND HAVE YOU HAD ANY OTHER SYMPTOMS +RES0009-015 I THINK IT'S JUST THOSE THOSE THE TWO THINGS THAT I SAID +RES0009-016 OK SO HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS +RES0009-017 NO NOTHING LIKE THAT +RES0009-018 OK HOW ABOUT ANY NAUSEA OR VOMITING +RES0009-019 NO +RES0009-020 OK AND HOW IS YOUR ENERGY BEEN HAVE YOU EXPERIENCED ANY LIKE SIGNIFICANT FATIGUE +RES0009-021 NOT WELL I MEAN I'VE BEEN DOING LESS STUFF BECAUSE IT'S HARDER TO BREATHE LIKE I'M GETTING KIND OF LIKE I CAN'T CATCH MY BREATH SO I GUESS MAYBE MAYBE A LITTLE BIT LIKE FATIGUE +RES0009-022 I SEE OK BUT FEELING FINE ENERGY WISE PRIOR TO THE TWO FIVE DAYS AGO +RES0009-024 TOTALLY OK AND HAVE YOU BEEN +RES0009-025 HAVING ANY NIGHT +RES0009-026 SWEATS NO NO +RES0009-028 I HAVEN'T OK HOW ABOUT ANY ANY UNUSUAL HEADACHES NO ALRIGHT AND HAVE YOU FELT AS THOUGH +RES0009-029 YOUR HEART IS RACING OR BEATING OUT OF YOUR CHEST AT ALL NO +RES0009-030 NO IT'S JUST THAT LIKE SHARP THAT SHARP PAIN OK HAVE YOU HAD ANY EPISODES OF LIGHTHEADEDNESS OR FEELING LIKE YOU YOU MIGHT MIGHT FAINT +RES0009-031 NO NO JUST THE DIFFICULTY BREATHING THAT SCARES TO ME BUT IT HASN'T BEEN LIKE THAT +RES0009-032 OK HAVE YOU HAD A COUGH +RES0009-033 NO NO THAT'S THE THING THAT IT SEEMS WEIRD RIGHT +RES0009-034 OK SOMETIMES THINGS CAN BE ASSOCIATED WITH A COUGH SO WE'LL ABSOLUTELY LOOK INTO WHAT THE CAUSES OF YOUR SYMPTOMS ARE TODAY BUT YOU HAVEN'T BROUGHT UP ANY ANY BLOOD OR ANY SPUTUM +RES0009-035 NO NO +RES0009-036 OK AND HAVE YOU HAD ANY WHEEZING WITH YOUR WITH YOUR BREATH +RES0009-037 I DON'T KNOW I DON'T THINK SO +RES0009-038 ALRIGHT AND HOW ABOUT ANY ABDOMINAL PAIN +RES0009-039 NO I MEAN THE PAIN IS LIKE IT'S IN MY CHEST THAT'S NOT IN MY IT'S NOT IN MY BELLY AT ALL +RES0009-040 OK AND HAVE YOU HAD ANY URINARY PROBLEMS +RES0009-041-1 NO I MEAN SO I HAD I HAD A I HAD A HYSTERECTOMY WEEKS AGO MAYBE LIKE MAYBE LIKE A MONTH AGO NOW +RES0009-041-2 SO AFTER THAT IT WAS YOU KNOW FEELING A LITTLE LIKE I WAS KIND OF NOT DRINKING AS MUCH AND THAT SO I WASN'T PEEING AS MUCH THEN BUT I THINK IT'S NORMAL NOW +RES0009-042 OK AND HOW HAVE YOU RECOVERED SINCE THE HYSTERECTOMY WERE YOU LIKE BEDBOUND FOR QUITE AWHILE AFTERWARDS OR WERE YOU UP AN ACTIVE +RES0009-043 REALLY IT WAS NOT REALLY LONG THAT I MAY BE A FEW DAYS I WASN'T I WASN'T WALKING AS MUCH BUT I THOUGHT IT WAS LIKE BACK TO MY NORMAL SELF +RES0009-044 OK WELL THAT'S GOOD I'M GLAD THAT YOU RECOVERED FROM THAT SURGERY QUICKLY AND WHAT WAS THE SURGERY FOR +RES0009-045 I I MEAN I I'M DONE HAVING KIDS AND I I HAD I WAS JUST HAVING REALLY HEAVY PERIODS STILL SO AND YOU KNOW A LOT OF PAIN THERE SO HAT'S WHY I HAD HYSTERECTOMY +RES0009-046 OK AND HAVE YOU HAD ANY BOWEL PROBLEMS +RES0009-047 NO NO +RES0009-048 OK HOW ABOUT ANY SKIN CHANGES OR OR RASHES +RES0009-049 NO +RES0009-050 OK HOW ABOUT ANY JOINT PAINS OR OR LEG PAINS OR MUSCLE PAINS +RES0009-051 NO I DON'T THINK SO +RES0009-052 OK SO IN REGARDS TO PAST HEALTH ANY PREVIOUS MEDICAL DIAGNOSIS +RES0009-053 NO JUST LIKE I HAD THE HYSTERECTOMY BUT I I DON'T LIKE TAKE ANY MEDICATIONS I DON'T HAVE LIKE HIGH BLOOD PRESSURE OR ANYTHING +RES0009-054 OK SO NO PRESCRIPTION MEDICATIONS OR OVER THE COUNTER MEDICATIONS YOU TAKE REGULARLY LIKE SUPPLEMENTS OR +RES0009-055 NO JUST JUST TO THOSE LIKE THE ADVIL AND THE TYLENOL I WAS TAKING FOR THE PAIN +RES0009-056 OK AND ANY OTHER SURGERIES BESIDES THE HYSTERECTOMY +RES0009-057 LIKE I HAVE MY WISDOM TEETH OUT WHEN I WAS LIKE A TEENAGER THAT'S IT THOUGH +RES0009-058 OK THEN HOW ABOUT ANY ALLERGIES +RES0009-060 NONE OK +RES0009-061 AND ARE YOUR IMMUNIZATIONS UP TO DATE I THINK SO +RES0009-062 I DON'T I DON'T THINK I DIDN'T GET ANYTHING THAT WAS SUPPOSED TO OK WELL THAT'S GOOD AND HAS +RES0009-063 ANYBODY IN YOUR FAMILY EXPERIENCED ANYTHING LIKE THIS BEFORE MY MOM HAD A HEART ATTACK WHEN SHE WAS LIKE IN HER SEVENTIES OTHER THAN THAT I DON'T I DON'T KNOW +RES0009-064 I DON'T THINK SO OK ANY CANCERS IN THE FAMILY OR OR BLEEDING DISORDERS OR COAGULATIONS DISORDERS +RES0009-065 NO I DON'T THINK SO +RES0009-066 OK SO I HAVEN'T HEARD OF ANYBODY IN THE FAMILY HAVING LIKE A BLOOD CLOT OR OR A THROMBOSIS ANYWHERE +RES0009-067 I THINK MY MOM'S LIKE COUSIN BUT NOT NO ONE LIKE NOT LIKE MY PARENTS OR ANYTHING +RES0009-068 OK SO THE NEXT FEW QUESTIONS I JUST WANTED TO ASK ABOUT YOUR PERSONAL AND KIND OF LIFESTYLE HABITS A LITTLE BIT BUT FIRST COULD YOU TELL ME ABOUT YOUR LIVING SITUATION +RES0009-069 I LIVE LIKE I SAID LIKE I'M DONE HAVING KIDS BUT I HAVE TWO TWO KIDS THEY'RE TEENAGERS I LIVE WITH THEM AND MY HUSBAND AND WE LIVE NOT FAR FROM HERE +RES0009-070 OK AND WHAT DO YOU DO FOR WORK +RES0009-071 IM AN ACCOUNTANT +RES0009-072 OK AND DO YOU DRINK ALCOHOL +RES0009-073 MAYBE A GLASS OF WINE ON LIKE THE WEEKENDS BUT NOT OTHER THAN NO +RES0009-074 OK AND DO YOU SMOKE CIGARETTES +RES0009-075 I DO I'M TRYING TO STOP I SMOKE MAYBE LIKE I DON'T KNOW LIKE FIVE PER DAY OR SOMETHING AT THIS POINT +RES0009-076 OK BUT IT SOUNDS LIKE YOU'VE BEEN WORKING ON CUTTING DOWN WHICH IS GREAT AND HAVE YOU USED ANY OTHER RECREATIONAL DRUGS +RES0009-077 NO NO I MEAN WHEN I WAS LIKE YOUNGER I SOMETIMES LIKE WOULD USE +RES0009-078 MARIJUANA BUT I HAVEN'T REALLY RECENTLY OK AND HAVE YOU BEEN ANY +RES0009-080-1 BEEN ON ANY LIKE LONG TRIPS RECENTLY +RES0009-080-2 NO I WISH +RES0009-080-3 FAIR ENOUGH VACATION WOULD BE GREAT OK SO BUT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON ON HISTORY WERE GOING TO +RES0009-080-4 RUN SOME INVESTIGATIONS I AM CONCERNED THAT YOU MIGHT HAVE A PULMONARY EMBOLISM +RES0009-081 AND SO WE'RE GOING TO +RES0009-082 DO SOME LAB WORK AND IMAGING TO INVESTIGATE THAT OK I IS THAT SCARY IS THAT BAD IT CAN VARY FROM BEING MILD TO SEVERE AND SO THAT'S WHAT WE WANT TO +RES0009-083 GET SOME OF THE IMAGING AND +RES0009-084 LAB WORK TO SEE +RES0019-000 I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN +RES0019-001 SURE YOU KNOW I'VE BEEN FEELING KINDA HOT FOR THE PAST COUPLE OF DAYS AND I HAVE THIS TERRIBLE TERRIBLE HEADACHE AND JUST MY BRAIN FEELS FOGGY SO I THOUGHT I SHOULD COME GET IT CHECKED OUT +RES0019-002 OK I SEE WHEN DID THESE SYMPTOMS START EXACTLY +RES0019-003 SO THEY STARTED ABOUT THREE DAYS AGO BUT IT'S GETTING WORSE +RES0019-004 OK AND IN TERMS OF THE HEADACHE DOES YOUR HEAD HURT IN ANY PARTICULAR LOCATION +RES0019-005 I WOULD SAY MOSTLY THE SIDES OF MY HEAD +RES0019-006 OK AND HOW LONG HAS THE HEADACHE BEEN GOING ON FOR +RES0019-007 THE SAME AMOUNT OF TIME SO LIKE THE PAST THREE DAYS +RES0019-008 OK AND HOW WOULD YOU DESCRIBE THE HEADACHE IS IT LIKE SHARP IS IT LIKE A VICE GRIP IS IT PULSATING PRESSURE +RES0019-009 LIKE SENSATION OR NONE OF THOSE +RES0019-010 IT YOU KNOW IT FEELS CRAMPY OK AND HAS THERE BEEN ANYTHING THAT +RES0019-011 TRIGGERED THE HEADACHE OR OR MADE IT WORSE I DON'T THINK SO NOTHING IS HELPING SLEEPING IS NOT HELPING MOVING AROUND IS NOT HELPING IT'S JUST ALWAYS THERE +RES0019-012 OK DOES THE HEADACHE GET WORSE WITH LYING FLAT +RES0019-013 NO I WOULDN'T SAY SO NO +RES0019-014 OK AND ARE YOU FEELING ANY PAIN DOWN INTO YOUR NECK OR INTO YOUR SHOULDERS OR BACK +RES0019-015 NO NO +RES0019-016 OK AND WOULD YOU SAY THAT THIS HEADACHE WHICH IS WAS LIKE WORST HEADACHE OF YOUR LIFE OR THUNDER CLAP KIND OF SENSATION +RES0019-017 NO NO +RES0019-018 OK HAVE YOU HAD HEADACHES LIKE THIS BEFORE IN THE PAST +RES0019-019 NO NEVER +RES0019-020 OK AND HOW WOULD YOU RATE IT IN TERMS OF SEVERITY WITH TEN BEING THE MOST SEVERE THAT YOU COULD POSSIBLY HAVE AND ONE BEING NOT PAINFUL AT ALL HOW WOULD YOU RATE IT +RES0019-021 I WOULD SAY I WOULD GIVE IT AROUND A SIX OR SEVEN +RES0019-022 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0019-024 NO OK AND HOW ABOUT ANY SENSITIVITY TO LIGHT WHEN YOU'RE YOU'RE SEEING IT OR +RES0019-026 SENSITIVITY TO SOUND NO OK AND HAVE YOU HAD ANY EYE SYMPTOMS +RES0019-027 SUCH AS DISCHARGE +RES0019-028 TEARING OR OR ITCHINESS NO NOTHING LIKE THAT OK AND SO YOU YOU MENTIONED THAT YOU HAD +RES0019-029 YOU HAD A FEVER AS WELL DID YOU CHECK YOUR TEMPERATURE I DIDN'T ACTUALLY NO I DIDN'T +RES0019-030 CHECK MY TEMPERATURE I JUST FEEL HOT OK WE'LL BE SURE TO CHECK THAT TODAY IN CLINIC AND HAVE YOU BEEN EXPERIENCING ANY OTHER +RES0019-031 SYMPTOMS JUST LIKE THE BRAIN FOG THAT I WAS SPEAKING OF YOU KNOW I JUST DON'T REMEMBER I REMEMBER THINGS BUT IT'S IT'S LIKE I'M DOING EVERYTHING UNDERWATER +RES0019-032 OH OK HAVE YOU BEEN CONFUSED OR CONCERNS WITH YOUR MEMORY +RES0019-033 NO I HAVEN'T FORGOTTEN THINGS IT JUST FEELS LIKE I'M REALLY SLOW AT DOING THINGS +RES0019-034 I SEE OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD SIGNIFICANT +RES0019-035 FATIGUE YES I WOULD SAY I AM SIGNIFICANTLY MORE TIRED THAN I USED TO BE +RES0019-036 OK HOW HAS YOUR SLEEP BEEN +RES0019-037 MY SLEEP HAS BEEN PRETTY NORMAL I GO TO BED AROUND THE SAME TIME WAKE UP AROUND THE SAME TIME I'D SAY THAT THERE'S NO ISSUE THERE +RES0019-038 OK WITH THIS FATIGUE HAVE YOU HAD ANY ACHES AND PAINS +RES0019-039 SOME MUSCLE ACHES I WOULD SAY MOSTLY IN MY ARMS AND +RES0019-040 JUST MY LEGS +RES0019-042 AND HAVE YOU HAD A COUGH NO COUGH NO ALRIGHT +RES0019-043 HOW ABOUT SHORTNESS OF BREATH +RES0019-044 NO SHORTNESS OF BREATH EITHER OK HAVE YOU EXPERIENCED +RES0019-046 ANY CHEST PAIN NO OK HOW ABOUT ANY PERIOD WHERE YOU +RES0019-048 FELT AS THOUGH YOUR HEART WAS RACING +RES0028-000 CAN YOU JUST TELL ME WHAT BRINGS YOU IN HERE TODAY +RES0028-001 MY CHEST IS REALLY HURTING +RES0028-002 OK AND WHERE WHERE DOES IT HURT EXACTLY +RES0028-003 IT'S HARD TO SAY THE EXACT LOCATION BUT MORE ON THE LEFT SIDE OF MY CHEST +RES0028-004 OK AND IS IT LIKE WHAT KIND OF PAIN IS IT IS IT LIKE A DULL ACHING PAIN OR IS IT AS SHARP OR STABBING PAIN +RES0028-005 THE PAIN IS IT'S STABBING BUT ALSO IT FEELS REALLY REALLY TIGHT IN MY CHEST +RES0028-006 OK AND IF YOU'RE TO RATE IT ON A SCALE OF ZERO TO TEN ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND TEN BEING THE WORST HOW MUCH WOULD YOU RATE IT +RES0028-007 I THINK AT SIX +RES0028-008 SIX OK AND WHEN DID IT START +RES0028-009 IT STARTED THIS MORNING JUST RIGHT AFTER I GOT OUT OF BED +RES0028-010 OK SO YOU WEREN'T DOING ANYTHING LIKE YOU WEREN'T DOING ANY ACTIVITIES YOU JUST WOKE UP FROM SLEEP +RES0028-011 I GOT OUTTA BED I WAS JUST TRYING TO GET DRESSED AND ALL OF A SUDDEN I GOT THIS TIGHTNESS AND AND STABBING PAIN ON THE LEFT SIDE OF MY CHEST +RES0028-012 OK APPROXIMATELY HOW MANY HOURS AGO WAS THAT +RES0028-013 I I WOULD SAY ABOUT SIX HOURS AGO +RES0028-014 OK AND HAS IT BEEN AS A PAIN GETTING WORSE AT ALL +RES0028-015 IT'S IT'S GETTING WORSE +RES0028-016 IT'S GETTING WORSE OK AND HAVE YOU HAD ANY SIMILAR SORT OF PAIN IN THE PAST BEFORE +RES0028-017 NOTHING LIKE THIS BEFORE +RES0028-018 NO OK AND IS THE PAIN GOING ANYWHERE ELSE OR IS IT JUST STAYING IN YOUR CHEST +RES0028-019 THE PAIN IS JUST IN MY CHEST +RES0028-020 OK AND DOES ANYTHING THAT YOU DO MAKE IT FEEL BETTER +RES0028-021 SITTING UP TENDS TO MAKE IT FEEL A BIT BETTER +RES0028-022 OK AND DOES ANYTHING YOU DO MAKE IT GET MAKE THE PAIN GET WORSE +RES0028-023 IT GETS WORSE EVERY TIME I BREATHE IN +RES0028-024 OK AND WHAT KIND OF PAIN DO YOU GET WHEN YOU BREATHE IN +RES0028-025 IT'S A SHARP STABBING +RES0028-026 PAIN OK AND APART FROM THE PAIN ARE YOU HAVING ANY OTHER SYMPTOMS LIKE A COUGH OR SHORTNESS OF BREATH AND ANYTHING LIKE THAT +RES0028-027 WITH THE PAIN I'M HAVING A HARD TIME BREATHING +RES0028-028 OK OK I JUST HAVE A FEW OTHER QUESTIONS HAVE YOU RECENTLY HAD ANY KIND OF TRAUMA OR INJURY TO YOUR CHEST AT ALL +RES0028-029 NO +RES0028-030 OK HAVE YOU TRAVELED AT ALL RECENTLY +RES0028-031 I WAS IN IN ITALY FOR THE PAST THREE WEEKS ACTUALLY JUST GOT BACK LAST NIGHT +RES0028-032 OK AND HAVE YOU BEEN EXPERIENCING ANY KIND OF NAUSEA OR VOMITING OR FEVER OR CHILLS +RES0028-033 NO NO NAUSEA OR VOMITING I DID TAKE MY TEMPERATURE NO SORRY I DID NOT TAKE MY TEMPERATURE BUT I'VE BEEN HAVING CHILLS THE LAST FEW DAYS +RES0028-034 OK AND JUST CURIOUS HAVE YOU BEEN HAVING ANY KIND OF SWELLING AT ALL IN YOUR FEET OR ANKLES +RES0028-035 MY LEGS FELT A BIT SWOLLEN ON THE WAY BACK ON THE AIRPLANE BUT THEY TEND TO SWELL SO I DIDN'T THINK ANYTHING OF IT +RES0028-036 OK SO THEY HAVE SWOLLEN UP BEFORE BUT YOU SAW THEM SWOLLEN THIS TIME AS WELL +RES0028-037 OK AND HAVE YOU BEEN FEELING AT ALL FATIGUED AT ALL +RES0028-038 I'VE BEEN REALLY TIRED WITH ALL OF THE TRAVELING SO I THINK MAYBE I'M JUST JET LAGGED +RES0028-039 OK HAVE YOU NOTICED THAT ALL YOUR HEART RACING LIKE ANY PALPITATIONS +RES0028-040 SINCE THIS MORNING IT'S FELT LIKE MY HEART IS IS RACING +RES0028-041 OK HAVE YOU NOTICED ANY SKIN CHANGES AT ALL ANY RASHES +RES0028-042 NO RASHES +RES0028-043 OK HAVE YOU NOTICED ANY COUGH COUGHING AT ALL +RES0028-044 I'VE HAD A COUGH SINCE LAST WEEK BUT IT FEELS MUCH WORSE TODAY +RES0028-045 OK AND HAS THERE BEEN ANY KIND OF GREEN SLIMY MUCUS IN YOUR COUGH AT ALL +RES0028-046 NO IT'S BEEN A DRY COUGH +RES0028-047 DRY COUGH OK AND HAVE YOU NOTICED AT ALL COUGHING UP BLOOD +RES0028-048 NO BLOOD +RES0028-049 OK AND HAVE YOU RECENTLY HAD ANY INFECTIONS IN THE LAST MONTH +RES0028-050 A COUPLE OF WEEKS AGO I HAD A RUNNY NOSE AND SORE THROAT AND A LITTLE BIT OF A HEADACHE BUT I FEEL BETTER FROM THAT NOW +RES0028-051 OK AND TO JUST GO AWAY BY ITSELF OR DID YOU HAVE TO TAKE ANY MEDICATIONS +RES0028-052 IT JUST WENT AWAY ON ITS OWN +RES0028-053 OK HAVE YOU BEEN FEELING ANY KIND OF DIZZINESS AT ALL +RES0028-054 I HAVE A LITTLE BIT OF DIZZINESS WHEN I WHEN THE PAIN GETS REALLY BAD +RES0028-055 OK AND I KNOW YOU MENTIONED SOME SWELLING IN YOUR LEGS AND YOUR ANKLES BUT HAVE HAS ANY OF YOUR LEGS BEEN HURTING AT ALL +RES0028-056 MY LEFT LEG HURTS REALLY BAD RIGHT NOW BUT MY ENTIRE BODY HAS BEEN ACHY THESE PAST FEW DAYS +RES0028-057 OK AND THEN YOU'RE RIGHT LIKE DO YOU KNOW WHERE IT HURTS +RES0028-058 I THINK JUST LIKE IN THE CALF +RES0028-059 IN THE CALF OK OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY LIKE HYPERTENSION THAT LIKE DIABETES SO ANY CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0028-060 NO I I'M HEALTHY +RES0028-061 OK ANY ALLERGIES TO MEDICATIONS +RES0028-062 NO ALLERGIES +RES0028-063 OK DO YOU TAKE ANY BIRTH CONTROL OR MULTI VITAMINS +RES0028-064 I TAKE A DAILY BIRTH CONTROL PILL AND ALSO A DAILY MULTI VITAMIN +RES0028-065 OK AND HOW LONG HAVE YOU BEEN ON THE BIRTH CONTROL PILL +RES0028-066 FOR +RES0028-067 TWO YEARS OK ANY HOSPITAL +RES0028-069 NONE NOT I CAN THINK OF +RES0028-071 ANY ILL CONTACTS +RES0028-072 NO ANY +RES0028-073 SURGERIES IN THE PAST NO SURGERIES OK IN YOUR FAMILY HAS ANYONE HAD ANY CONDITIONS LIKE HAS ANYONE PASSED AWAY FROM A HEART ATTACK ANY CANCERS ANYTHING LIKE THAT +RES0028-074 NO CANCER BUT MY MOTHER DIED OF A HEART ATTACK WHEN SHE WAS FORTY THREE AND MY GRANDMA ALSO HAD A HEART ATTACK WHEN SHE WHEN SHE WAS YOUNGER I WANNA SAY IN HER FIFTIES BUT I DON'T EXACTLY REMEMBER HOW OLD +RES0028-075 AND CURRENTLY RIGHT NOW WHERE DO YOU LIVE DO YOU LIVE IN LIKE A HOUSE APARTMENT +RES0028-076 I LIVE IN AN APARTMENT +RES0028-077 BY MYSELF OK AND DO YOU CURRENTLY WORK +RES0028-078 I'M IN CHARGE OF A RETAIL STORE +RES0028-079 AS A MANAGER THERE +RES0028-080 OK AND DO DRINK SOMETIMES ON WEEKENDS OR IF I'M SOCIALIZING +RES0028-081 WITH FRIENDS BUT NOT VERY OFTEN OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0028-082 NEVER +RES0028-083 OK AND DO YOU SMOKE +RES0028-084 YES I SMOKE ABOUT TWO PACKS OF CIGARETTES PER DAY AND I'VE BEEN SMOKING SINCE I WAS TWELVE +RES0028-085 OK ALRIGHT AND IN TERMS OF YOUR DAILY ROUTINE LIKE DO YOU GET ANY EXERCISE +RES0028-086 NOT REALLY LIFE'S A BIT TOO BUSY AND HECTIC RIGHT NOW RIGHT NOW UNFORTUNATELY +RES0028-087 OK AND HOW ABOUT YOUR DIET LIKE WHAT IS YOUR REGULAR DIET LOOK LIKE +RES0028-088 A LOT OF FAST FOOD I KNOW I COULD WORK ON THAT BUT AGAIN WITH THE BUSY LIFESTYLE WE TEND TO EAT A LOT OF FRIED FOODS AND FATTY FOODS I KNOW I COULD DO BETTER +RES0028-089 OK GREAT THANK YOU +RES0039-000 I JUST WANTED TO START WITH WHAT BRINGS YOU HERE TODAY TO THE FAMILY CLINIC +RES0039-001 HI THIS MORNING I READ AFTER I WOKE UP BY I COUGHED UP SOME PHLEGM AND THERE WAS SOME BLOOD IN IT AND IT IT TOTALLY SCARED ME +RES0039-002 OK AND WAS THIS THE FIRST TIME THAT HAPPENED +RES0039-003 I'VE NEVER I NEVER NOTICED BLOOD IN MY SPUTUM BEFORE +RES0039-004 OK BUT HAVE YOU BEEN COUGHING RECENTLY +RES0039-005 I HAVE HAD A COUGH RECENTLY +RES0039-006 LEADING UP TO THIS OK AND HOW LONG HAVE YOU HAD THE COUGH FOR +RES0039-007 I'VE HAD IT FOR ABOUT ABOUT FOUR WEEKS +RES0039-008 WOW FOUR WEEKS OK DO YOU KNOW IF YOU DID ANYTHING PRIOR TO THAT ANY NEW EXPOSURES OR BEING AROUND SOMEONE ILL LIKE ANYTHING LIKE THAT THAT MIGHT HAVE CAUSED YOUR COUGH +RES0039-009 I WAS JUST DOWN IN A I WENT TO HAITI ON A ON A TRIP FOR A FOR A VOLUNTEER PROGRAM WITH MY SCHOOL AND I DON'T KNOW I DEFINITELY NOTICE THERE IS A LOT OF PEOPLE DOWN THERE COUGHING +RES0039-010 OK AND WERE YOU AT ALL LIVING LIKE CLOSE QUARTERS OR WERE YOU CRAMMED INTO LIKE LIKE SMALLER SPACES AT ALL WHEN YOU WERE THERE +RES0039-011 WE WERE KIND OF LIKE LIVING WITH THE LOCALS WHILE WE WHILE WE WERE THERE IT WAS PART OF THE EXPERIENCE FOR VOLUNTEERING I WAS THERE FOR ALMOST TWO MONTHS AS PART OF PART OF MY MY SUMMER BREAK THROUGH UNIVERSITY +RES0039-012 OK AND DID YOU NOTICE AT ALL ANY POTENTIAL EXPOSURES TO TUBERCULOSIS ANYONE THERE THAT HAD TUBERCULOSIS OR FOUND OUT LATER +RES0039-013 THERE WERE DEFINITELY SOME PEOPLE AROUND THAT I HEARD OF WHO WHO MENTIONED TUBERCULOSIS BUT I DON'T KNOW IF ANYBODY SPECIFICALLY WHO HAD IT +RES0039-014 OK AND THE COUGH THAT YOU'VE BEEN HAVING FOR THE LAST FOUR WEEKS AT IS IT LIKE A WET COUGH ARE YOU PRODUCING ANY SPUTUM OR PHLEGM OR IS IT MORE OF A DRY COUGH +RES0039-015 I HAVE BEEN PRODUCING SOME PHLEGM BUT IT'S BEEN JUST KIND OF WHITE YELLOWISH +RES0039-016 UP UNTIL THIS MORNING +RES0039-017 OR MORESO CLEAR ACTUALLY UP UNTIL TODAY WHERE I SAW SOME BLOOD +RES0039-018 OK AND HOW MUCH BLOOD WAS IN THE PHLEGM WAS IT LIKE A SIGNIFICANT AMOUNT IT FILLED THE WHOLE PRODUCTION OR JUST LITTLE STREAKS +RES0039-019 IT WAS PRETTY RED IT IT WAS BRIGHT RED AND IT WAS COVERING THE THE ISSUE +RES0039-020 OK AND HAVE YOU HAD ANY SIMILAR EPISODES BEFORE +RES0039-021 I'VE NEVER BROUGHT UP BLOOD BEFORE +RES0039-022 AND AFTER THIS MORNING WAS THAT THE ONLY TIME YOU HAD THAT OR DID YOU DID IT RECUR AT ALL +RES0039-023 IT WAS JUST THAT TIME JUST THIS MORNING ON THE TISSUE AND THEN A LITTLE BIT IN THE TOILET AND IT LOOKED LIKE A LOT IN THE IN THE WATER +RES0039-024 OK I SEE AND HOW OFTEN ARE YOU COUGHING IN LIKE AN AVERAGE DAY ARE YOU COUGHING THROUGHOUT THE DAY OR DOES IT COME AND GO +RES0039-025 IT'S BEEN PRETTY SEVERE THROUGH THROUGHOUT THE DAY I'VE BEEN JUST COUGHING OR COUGHING A TON +RES0039-026 OK ANYTHING THAT MAKES YOUR COUGHING GO AWAY OR MAKES IT WORSE AT ALL +RES0039-027 NOT NOTHING SEEMS TO HELP I'VE TRIED VARIOUS OVER THE COUNTER MEDICATIONS AND AND STUFF FOR FOR COUGH AND NOTHING HAS SEEMED TO HELP IT +RES0039-028 OK AND ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL LIKE SHORTNESS OF BREATH SORE THROAT RUNNY NOSE ANYTHING LIKE THAT +RES0039-029 NOTHING LIKE LIKE THAT I MEAN THE BACK OF MY THROAT MIGHT FEEL A LITTLE ITCHY FROM THE COUGHING BUT NOT REALLY SURE +RES0039-030 OK ARE YOU HAVING ANY HEADACHES OR NAUSEA OR VOMITING +RES0039-031 NOTHING LIKE WELL A LITTLE BIT OF NAUSEA MAYBE BUT NO VOMITING +RES0039-032 OK HOW OFTEN YOU GETTING NAUSEA +RES0039-033 IT'S COMING AFTER LIKE IF I'M HAVING A REALLY BIG COUGH COUGHING FIT I COULD FEEL A LITTLE NAUSEOUS AFTER BUT IT DOESN'T LAST VERY LONG +RES0039-034 OK ARE YOU HAVING ANY FEVERS OR CHILLS +RES0039-035 I'VE BEEN HAVING SO FEVERS THROUGHOUT THE DAY BUT FEELING REALLY HOT AND AND REALLY SWEATY AT NIGHT +RES0039-036 OK HOW OFTEN ARE YOU GETTING NIGHT SWEATS +RES0039-037 ALSO A FEW TIMES THIS PAST WEEK I'VE WHAT WOKE UP SOAKED +RES0039-038 OK AND HAVE YOU AT ALL MEASURED WHEN YOU FELT MEASURED YOUR TEMPERATURE WHEN YOU FELT LIKE THESE CHILLS AND NIGHT SWEATS +RES0039-039 NO I HAVEN'T MEASURED MY TEMPERATURE YET +RES0039-040 OK HAVE YOU NOTICED AT ALL ANY INCREASED FATIGUE THROUGHOUT THE DAY +RES0039-041 BUT I'VE DEFINITELY BEEN MORE MORE TIRED I HAVEN'T BEEN ABLE TO CONCENTRATE ON ON MY SCHOOLWORK +RES0039-042 OK AND HAVE YOU BEEN HAVING ANY SHORTNESS OF BREATH +RES0039-043 JUST AFTER THE LIKE COUGHING REALLY BUT OTHERWISE NO +RES0039-044 ANY CHEST PAIN +RES0039-045 NO CHEST PAIN +RES0039-046 ANY FEELING THAT YOUR HEART IS RACING +RES0039-047 NO NOTHING LIKE THAT +RES0039-048 OK ANY SWELLING IN YOUR LIMBS AT ALL +RES0039-049 NO +RES0039-050 OK ANY LOSS OF SENSE OF TASTE OR SMELL +RES0039-051 NO NOTHING LIKE THAT +RES0039-052 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +RES0039-054 NO OK ANY CHANGES IN YOUR URINATION +RES0039-055 NO +RES0039-056 OK ANY CHANGES AT ALL IN YOUR SLEEP +RES0039-057 JUST BEEN WELL I HAVEN'T BEEN SLEEPING AS WELL WAKING UP ALL SWEATY AND THE COUGH IS KEPT ME UP A LITTLE BIT TOO +RES0039-058 OK ANY CHANGES IN YOUR APPETITE +RES0039-059 NO I'VE BEEN EATING OK +RES0039-060 HAVE YOU NOTICED AT ALL ANY WEIGHT LOSS OVER THE LAST FEW MONTHS +RES0039-061 I THINK I'M DOWN LIKE FIFTEEN POUNDS SINCE THE SUMMER TIME WHICH IS GREAT +RES0039-062 OK HAVE YOU TRIED TO LOSE WEIGHT AT ALL OR IS IT JUST BEEN COMPLETELY UNINTENTIONAL +RES0039-063 WELL I I MEAN MY MY APPENDIX WAS TAKEN OUT A FEW MONTHS AGO AND SO I GUESS AFTER THAT I WELL MAYBE WASN'T EATING AND EATING AS MUCH BUT I MEAN I WASN'T REALLY TRYING TO LOSE WEIGHT +RES0039-064 OK AND HAVE YOU HAD ANY RECENT EXPOSURE TO ANY FUMES OR DUST OR ANIMALS +RES0039-065 NO MY MY PARENTS HAVE A DOG AT HOME BUT I'VE BEEN AWAY AT SCHOOL SO +RES0039-066 OK OK IN TERMS OF YOUR OVERALL HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +RES0039-068 I'M HEALTHY SO LIKE NO ASTHMA +RES0039-069 OR ANYTHING LIKE THAT +RES0039-070 NO NOTHING LIKE THAT OK ARE YOU ON ANY MEDICATIONS CURRENTLY +RES0039-071 I TAKE AN ORAL CONTRACEPTIVE PILL +RES0039-072 OK AND WHEN DID YOU START THAT +RES0039-073 PROBABLY ABOUT FIVE YEARS AGO +RES0039-074 OK DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES AT ALL +RES0039-075 I THINK SEPTRA +RES0039-076 GIVES ME A RASH OK +RES0039-077 ANY PREVIOUS HOSPITALIZATIONS +RES0039-078 NO I'VE NEVER BEEN IN THE HOSPITAL BEFORE OK ANY PREVIOUS SURGERY SO YOU SAID YOU HAD +RES0039-079 THE APPENDIX REMOVED BUT ANYTHING ELSE +RES0039-080 NO THE APPENDIX WAS THE ONLY THING OK ANY FAMILY HISTORY OF ASTHMA OR ANY LUNG CONDITIONS ANY +RES0039-081 CANCERS THAT RUN IN THE FAMILY BUT WELL MY GRANDFATHER HAD LUNG CANCER BUT HE SMOKED FOR HIS ENTIRE LIFE AND MY MOM HAS HAD +RES0039-082 DIABETES FOR QUITE SOME TIME BUT NO NO LUNG PROBLEMS OK ANY HEART ATTACKS +RES0039-084 IN THE FAMILY OR ANY AUTOIMMUNE CONDITIONS NO OK AND +RES0039-085 CURRENTLY WHAT IS YOUR LIVING SITUATION LIKE +RES0039-086 SO I LIVE WITH FOUR ROOMMATES HERE GOING TO SCHOOL OK AND +RES0039-087 SO DO YOU WORK RIGHT NOW OR YOU JUST A STUDENT +RES0039-088 JUST A STUDENT +RES0039-089 OK AND CURRENTLY DO YOU SMOKE I SMOKE MAYBE MAYBE SOCIALLY SO MAYBE A PACK OF CIGARETTES A WEEK AT THE AT THE MOST +RES0039-090 OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA +RES0039-091 I'LL SMOKE ONE OR TWO JOINTS ON ON THE WEEKEND WITH FRIENDS SOCIALLY +RES0039-092 OK SO THIS THE SMOKING MARIJUANA OR CIGARETTES MAKE YOUR SYMPTOMS WORSE AT ALL +RES0039-093 IT DEPENDS YEAH SOMETIMES I CAN IT CAN BRING ON +RES0039-094-1 SOME MORE COUGHING +RES0039-094-2 SO WE ALWAYS RECOMMEND CUTTING DOWN OR QUITTING SMOKING WHENEVER WHENEVER WE SEE PATIENTS WHO ARE SMOKING ESPECIALLY LIKE YOU'RE FAIRLY YOUNG +RES0039-094-3 AND YOU KNOW YOUR GRANDFATHER HAD HISTORY OF LUNG CANCER WITH SMOKING THROUGHOUT THE YEAR SO AS EARLY AS WE CAN QUIT SMOKING THE BETTER FOR THE LONG TERM +RES0039-094-4 HEALTH OF YOUR LUNGS BUT WHENEVER YOU'RE THINKING OF QUITTING OR IF YOU WANT ANY MORE RESOURCES ABOUT QUITTING JUST LET ME KNOW WE CAN SET UP A SEPARATE APPOINTMENT FOR THAT +RES0039-095 OK THAT THAT SOUNDS GOOD MAYBE MAYBE NEXT APPOINTMENT WE CAN TALK ABOUT THAT +RES0039-096 OK SOUNDS GOOD ANY SO NO RECREATIONAL SO JUST BESIDES MARIJUANA ANY OTHER RECREATIONAL DRUGS LIKE COCAINE OR CRYSTAL METH ANYTHING OF THAT SORT +RES0039-097 NO WELL SOMETIMES I AT PARTIES MAYBE A FEW TIMES A YEAR WITH FRIENDS WILL USE ECSTASY OR SOMETHING LIKE THAT BUT THAT'S ONLY A FEW TIMES A YEAR +RES0039-098 OK AND ANY ALCOHOL +RES0039-099 I'LL HAVE A FEW DRINKS ON THE WEEKEND WITH WITH FRIENDS USUALLY LIKE RUM OR +RES0039-100 BEER OK SO THIS IS ALL THE QUESTIONS I HAD FOR YOU TODAY ANY ANY QUESTIONS OR CONCERNS OR ANY IDEAS OF WHAT YOU THINK THIS MIGHT BE +RES0039-101 I DON'T KNOW I'M REALLY CONCERNED ABOUT THE THE BLOOD THAT I BROUGHT UP LIKE I MEAN IS THIS CANCER OR TUBERCULOSIS LIKE ONE OF THOSE TUBERCULOSIS INFECTIONS THAT I HEARD ABOUT WHILE I WAS AWAY +RES0039-102-1 SO DEFINITELY A CANCER IS PRETTY UNLIKELY BECAUSE YOU'RE FAIRLY YOUNG AND YOU'VE JUST RECENTLY STARTED SMOKING BUT ONE OF THE THINGS THAT WE'RE CONCERNED ABOUT IS YOUR RECENT TRAVEL HISTORY BEING IN CLOSE QUARTERS SO +RES0039-102-2 DEFINITELY WE NEED TO GET A CHEST X RAY AND WE CAN EVEN DO A SPUTUM CULTURE TO TEST FOR TUBERCULOSIS +RES0039-102-3 AND THEN BASED ON THE RESULTS WE MIGHT HAVE TO START YOU ON LIKE A WHOLE ANTIBIOTIC REGIMENT IF IT DOES COME BACK AS TUBERCULOSIS WE'LL WE'LL WE'LL GET THOSE INVESTIGATIONS DONE FIRST AND THEN WE'LL GO FROM THERE +RES0039-103 OK THANK YOU +RES0039-104 WE'LL ALSO GET SOME BLOOD WORK DONE AS WELL SO THAT'LL BE DONE BEFORE YOUR NEXT APPOINTMENT +RES0039-105 ALRIGHT THAT SOUNDS GOOD THANK YOU +RES0039-106 YOU'RE WELCOME +RES0048-000 WHAT BRINGS YOU IN +RES0048-001 SO I JUST CAME IN BECAUSE I'VE BEEN HAVING THIS COUGH THAT'S GETTING WORSE OVER THE LAST ONE AND A HALF WEEK AND I'VE ALSO JUST RECENTLY IN THE LAST FEW DAYS BEEN GETTING SOME SHORTNESS OF BREATH AND I ALSO NOTICED MY BOWEL MOVEMENTS HAVE CHANGED A LITTLE BIT AS WELL OVER THE LAST WEEK +RES0048-002 OK SO LET'S BREAK THIS DOWN THE COUGH WHEN DID THAT START +RES0048-003 THE COUGH I THINK IT STARTED PROBABLY LIKE AROUND TEN DAYS AGO +RES0048-004 TEN DAYS AGO OK AND HOW ABOUT THE SHORTNESS OF BREATH +RES0048-005 THAT JUST STARTED IN THE LAST I THINK THREE DAYS +RES0048-006 OK AND THEN THE THE BOWEL BOWEL CHANGES WHEN DID THAT START +RES0048-007 YES I THINK IT ALSO STARTED IN LIKE I WOULD SAY FOR THE LAST THREE DAYS I'VE BEEN GETTING DIARRHEA +RES0048-008 OK OK SO LET'S GO BACK TO THE COUGH IS IT CONSTANT OR IS IT TRIGGERED BY CERTAIN THINGS LIKE THE COLD AIR DUST YOU KNOW CERTAIN TIMES OF THE DAY LIKE MORNING EVENING +RES0048-009 I WOULD SAY IT'S PRETTY PRETTY CONSTANT SINCE THE LAST LIKE TEN DAYS IT'S THERE'S NO REAL PATTERN TO IT AND I'VE MOSTLY JUST BEEN INSIDE MY HOUSE I DON'T THINK THERE ARE ANY TRIGGERS OR I DON'T OWN ANY PETS OR ANYTHING LIKE THAT NO NEW RUGS LIKE NO NO NEW CHANGES REALLY IN MY HOUSE +RES0048-010 OK OK AND HAVE YOU TRIED ANYTHING TO MAKE IT BETTER +RES0048-011 NO NOT REALLY I I'VE DONE SOME HOME REMEDIES LIKE TRYING TO DO ONE OF THOSE STEAM STEAM MASKS AND SEE IF THAT HELPS BUT IT DIDN'T REALLY DO ANYTHING +RES0048-012 OK AND HOW ABOUT THE QUALITY OF THAT COUGH IS IT DOES IT SOUND HARSH +RES0048-013 I WOULD SAY IT'S GETTING A LITTLE BIT HARSH IT'S MORE JUST LIKE I'M NOT BRINGING ANYTHING UP IT'S MORE LIKE A DRY COUGH BUT I WOULD SAY IT'S GETTING WORSE DEFINITELY +RES0048-014 OK IS IT A DRY COUGH THEN OR ARE YOU PRODUCING A LITTLE BIT OF SPUTUM OR BLOOD OR ANYTHING LIKE THAT +RES0048-015 NO NO I HAVEN'T SEEN ANY BLOOD AT ALL AND RARELY DO I BRING LIKE UP SOME SPUTUM BUT LIKE MOST OF THE TIME IT'S JUST A DRY COUGH +RES0048-016 OK IT'S A DRY COUGH AND WOULD YOU SAY THE COUGH'S GETTING WORSE +RES0048-017 I'D DEFINITELY SAY IN THE LAST THREE TO FOUR DAYS I'VE BEEN JUST COUGHING NONSTOP IT'S VERY IRRITATING +RES0048-018 HAVE YOU EXPERIENCED ANYTHING LIKE THIS BEFORE +RES0048-019 PROBABLY A FEW YEARS AGO I THINK I CAUGHT THE FLU OR SOMETHING AND GOT REALLY SICK WITH A FEVER AND JUST A LOT OF COUGHING BUT SINCE THEN NOTHING ELSE +RES0048-020 OK THE SHORTNESS OF BREATH ONE TO TEN TEN BEING THE WORST HOW BAD IS IT +RES0048-021 PROBABLY LIKE A FIVE IT KIND OF JUST STARTED OUT WITH THREE DAYS AGO WAS KIND OF LIKE I JUST +RES0048-022 COULDN'T TAKE DEEP BREATHS LIKE I NOTICED THAT MY BREATHING WAS GETTING A LITTLE BIT MORE MORE SHALLOW AND NOW IT'S ESPECIALLY WHEN I'M COUGHING IT'S LIKE I REALLY HAVE TO SIT DOWN AND CATCH MY BREATH +RES0048-023 DOES ANYTHING MAKE THE SHORTNESS OF BREATH WORSE LIKE I GUESS YOU KNOW EXERTION LAYING DOWN ANYTHING LIKE THAT +RES0048-024 NOT REALLY MAYBE LIKE SITTING DOWN HELPS SOMETIMES BUT EVEN WHEN I'M SITTING DOWN I'M STILL COUGHING +RES0048-025 OK OK AND DO YOU HAVE ANY WHEEZINESS +RES0048-026 NO I DON'T THINK SO +RES0048-027 OK ANY CHEST PAIN +RES0048-028 MAYBE FROM ALL THE COUGHING SOMETIMES I FEEL LIKE THERE'S SOME PAIN THERE BUT IT'S NOT NOT ANYTHING THAT'S TOO PAINFUL +RES0048-029 OK DO YOU FEEL LIKE YOUR HEART'S RACING AT ALL +RES0048-030 NO NOT REALLY +RES0048-031 OK HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS +RES0048-032 NO I DIDN'T NOTICE ANYTHING LIKE THAT +RES0048-033 OK HOW ABOUT PAIN IN YOUR CALVES WHEN YOU WALK A FEW BLOCKS +RES0048-034 NO I'VE BEEN FINE THAT WAY +RES0048-035 OK DIZZINESS OR FAINTING SPELLS +RES0048-036 NO NOT REALLY I I THOUGHT MAYBE WITH THE SHORTNESS OF BREATH THAT WOULD HAPPEN BUT LIKE SO FAR THAT HASN'T HAPPENED TO ME +RES0048-037 OK ANY FEVERS OR CHILLS +RES0048-038 NO I MAYBE LIKE A FEW CHILLS LIKE I'M NOT SURE ACTUALLY IT WAS HARD TO TELL BUT I HAVEN'T HAD ANY FEVERS +RES0048-039 OK WE'LL TAKE YOUR TEMPERATURE TODAY JUST TO MAKE SURE ANY WEIGHT LOSS OVER THE PAST FEW WEEKS +RES0048-040 NO PROBABLY WEIGHT GAIN +RES0048-041 OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +RES0048-042 NO I HAVEN'T NOTICED ANYTHING LIKE THAT +RES0048-043 OK ANY CHANGES IN YOUR VISION OR HEARING +RES0048-044 NO NO THAT THAT'S ALL BEEN FINE +RES0048-045 HOW ABOUT LOSS OF SMELL OR TASTE +RES0048-046 NO I HAVEN'T HAD I THINK MY TASTE AND SMELL ARE STILL PRETTY GOOD NO NO ISSUES THERE +RES0048-047 OK HAVE YOU HAD A RUNNY NOSE OR STUFFY NOSE +RES0048-048 NO NO NO NO CONGESTION REALLY +RES0048-049 OK AND HAVE YOU HAD A SORE THROAT AT ALL +RES0048-050 NO NO SORE THROAT +RES0048-051 OK ANY ISSUES SWALLOWING FOOD +RES0048-052 NO +RES0048-053 NO CHANGES IN YOUR APPETITE +RES0048-054 MAYBE JUST A LITTLE BIT LIKE I DON'T REALLY FEEL LIKE EATING WHEN I'M COUGHING ALL THE TIME BUT OTHER THAN THAT NO NOT REALLY +RES0048-055 OK HOW ABOUT NAUSEA OR VOMITING +RES0048-056 NO NOTHING LIKE THAT +RES0048-057 OK CONSTIPATION +RES0048-058 NO DIARRHEA +RES0048-059 DIARRHEA RIGHT HOW OFTEN ARE YOU HAVING A BOWEL MOVEMENT RIGHT NOW +RES0048-060 I WOULD SAY LIKE I'VE BEEN GOING PROBABLY MORE THAN EIGHT TIMES A DAY PROBABLY IN THE LAST FEW DAYS LIKE TEN TIMES A DAY +RES0048-061 OH WOW OK AND EACH TIME ARE YOU PRODUCING A LOT OF STOOL OR IS IT JUST A LITTLE BIT EACH TIME +RES0048-062 LIKE A LITTLE BIT BUT IT'S MOSTLY LIQUIDY +RES0048-063 OK ANY SOLIDS AT ALL LIKE IS IT SEMI SOLID AT ALL +RES0048-064 MAYBE A LITTLE BIT BUT MOSTLY IT'S JUST LIQUID +RES0048-065 OK ANY BLOOD IN THE STOOL +RES0048-066 NO I'VE BEEN CHECKING NO I DIDN'T NOTICE ANY BLOOD OR CHANGE IN COLOUR IT'S MAINLY JUST LIQUID DIARRHEA +RES0048-067 OK ANY CHANGES IN YOUR URINE +RES0048-068 NO +RES0048-069 NO OK ANY CONFUSION OR MEMORY LOSS +RES0048-070 NO NOT THAT I KNOW OF +RES0048-071 OK HOW ABOUT MUSCLE ACHES OR JOINT PAINS +RES0048-072 NO NOTHING LIKE THAT +RES0048-073 OK AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONG STANDING MEDICAL CONDITIONS +RES0048-074 SO I DO HAVE DIABETES AND HIGH BLOOD PRESSURE +RES0048-075 OK DO YOU TAKE ANY MEDICATIONS FOR THOSE CONDITIONS +RES0048-076 SO FOR DIABETES I'M TAKING THIS MEDICATION CALLED LIKE I THINK METFORMIN AND THEN FOR THE BLOOD PRESSURE I THINK IT'S I FORGOT THE NAME I THINK IT'S SOMETHING LIKE RAMIPRIL OR SOMETHING LIKE THAT +RES0048-077 OK AND YOU'RE TAKING THAT AS DIRECTED RIGHT +RES0048-078 I'VE BEEN TAKING THAT REGULARLY AND MY BLOOD PRESSURE I'VE BEEN MEASURING IT'S BEEN PRETTY STEADY NO CHANGES +RES0048-079 OK THAT'S GOOD HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +RES0048-080 I DID HAVE MY APPENDIX REMOVED PROBABLY IN MY TWENTIES BUT THAT WAS THE ONLY THING +RES0048-081 OK AND DO YOU HAVE ANY ALLERGIES +RES0048-082 NO NOT NOT REALLY +RES0048-083 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0048-084 OK ARE YOU ON ANY OTHER MEDICATIONS BESIDES THE RAMIPRIL AND METFORMIN +RES0048-085 JUST LIKE MULTI VITAMINS FOR MEN OVER FIFTY +RES0048-086 OK OK ANY FAMILY HISTORY OF HEART CONDITIONS OR LUNG CONDITIONS THAT YOU KNOW OF +RES0048-087 SO MY FAMILY LIKE DIABETES IS PRETTY BIG IT RUNS IN THE FAMILY AND MY FATHER IN HIS SIXTIES LIKE DIED FROM A HEART ATTACK OTHER THAN THAT NOT ANYTHING ELSE I CAN THINK OF NO +RES0048-088 OK ANY CANCERS IN THEIR FAMILY +RES0048-089 NO I DON'T THINK SO +RES0048-090 OK DO YOU SMOKE +RES0048-091 I USED TO I I QUIT PROBABLY FIVE YEARS AGO BUT BEFORE THAT I USED TO SMOKE PROBABLY A PACK A DAY FOR MORE THAN TWENTY YEARS +RES0048-092 OH OK WELL GOOD JOB FOR CUTTING DOWN AND QUITTING +RES0048-093 DO YOU DO MARIJUANA AT ALL +RES0048-094 NO NO NO NO DRUGS +RES0048-095 ANY OTHER RECREATIONAL DRUGS YOU SAID NO RIGHT +RES0048-096 NO NO I DON'T DO ANY DRUGS +RES0048-097 OK DO YOU DRINK ALCOHOL +RES0048-098 I PROBABLY HAVE MAYBE SOME WHISKEY MAYBE A COUPLE TIMES A WEEK +RES0048-099 OK AND WHERE DO YOU LIVE RIGHT NOW +RES0048-100 SO I JUST LIVE IN THE CITY IN LONDON IN AN APARTMENT WITH MY JUST WIFE MY WIFE +RES0048-101 OK IS SHE ALSO SICK OR IS SHE OK +RES0048-102 NO SHE'S BEEN COMPLETELY FINE AND I'VE BEEN KIND OF ISOLATING MYSELF FROM HER OVER THE LAST WEEK +RES0048-103 OK WELL THAT'S GOOD AND THAT'S SMART JUST BECAUSE YOU DON'T KNOW WHAT YOU HAVE RIGHT +RES0048-104 OK DO CAN YOU THINK OF ANY OTHER SICK CONTACTS THAT YOU MAY HAVE HAD OVER THE PAST ONE OR TWO WEEKS OR EVEN THREE WEEKS +RES0048-105 I GO TO THE GROCERY STORE THEN I GO TO WORK I HAVEN'T NOTICED ANYONE BEING SICK AT WORK BUT YOU KNOW YOU NEVER KNOW LIKE WHO COMES IN ASYMPTOMATIC AND LIKE THEY MIGHT BE CARRYING IT WITH THIS +RES0048-106 VIRUS LIKE MAINLY I'M WORRIED ABOUT COVID AND YOU KNOW JUST HOW FAST THAT'S SPREADING EVERYWHERE +RES0048-107 FOR SURE FOR SURE HAVE YOU TRAVELED TO ANYWHERE RECENTLY +RES0048-108 NO WE'VE BEEN IN CANADA ONTARIO HAVEN'T LEFT TO GO ANYWHERE +RES0048-109 OK OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR DID YOU HAVE ANY CONCERNS ANYTHING THAT YOU WANTED TO DISCUSS TODAY +RES0048-110 NO I JUST WAS WONDERING IF I CAN GET THE COVID TEST THAT WOULD JUST I WANTED TO MAKE SURE I DON'T GIVE ANYONE COVID IF I DO HAVE IT +RES0048-111-1 FOR SURE I THINK THAT'S A GOOD IDEA SO AND IT'S DEFINITELY SOMETHING THAT WE NEED TO RULE OUT SO WE'LL DO A COVID SWAB TODAY AND YOU'LL HEAR BACK WITHIN TWENTY FOUR TO FORTY EIGHT HOURS BUT IN THE MEAN TIME REGARDLESS OF WHETHER YOU ACTUALLY HAVE COVID OR NOT BECAUSE YOUR SYMPTOMS OVERLAP WITH COVID +RES0048-111-2 IT'S GOOD TO ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM YOUR WIFE AS WELL IF POSSIBLE AND PUBLIC HEALTH SHOULD BE IN TOUCH IF IT'S POSITIVE TO DO CONTACT TRACING +RES0048-111-3 AND IF IT'S NOT COVID IT'S PROBABLY ANOTHER VIRAL ILLNESS THAT'S GOING AROUND AT THIS TIME OF YEAR IF YOUR SYMPTOMS GET WORSE +RES0048-111-4 YOU KNOW YOU'RE HAVING NEUROLOGICAL SYMPTOMS OR OR IF YOUR FEVER GETS REALLY HIGH OR YOU'RE HAVING A LOT OF TROUBLE BREATHING THEN YOU SHOULD GO SEE THE ER +RES0048-112 MY BREATHING GETS WORSE I'LL JUST GO TO THE EMERGENCY DEPARTMENT +RES0048-113 YES PLEASE DO +RES0048-114 OK +RES0048-115 SOUNDS GOOD ALRIGHT +RES0048-116 TAKE CARE YOU TOO +RES0059-000 HOW ARE YOU DOING +RES0059-001 OH NOT TOO GREAT I'VE HAD THIS COUGH THE LAST FEW DAYS +RES0059-002 OK HOW OLD ARE YOU +RES0059-003 I'M THIRTY SIX +RES0059-004 OK SO FOR THE PAST COUPLE OF DAYS YOU SAID SO IS THAT TWO DAYS THREE DAYS +RES0059-005 I THINK THREE THREE DAYS +RES0059-006 OK AND IS IT A DRY COUGH OR ARE YOU BRINGING UP ANYTHING +RES0059-007 IT'S DRY +RES0059-008 OK SO NO SPUTUM NO BLOOD +RES0059-009 NO BLOOD +RES0059-010 OK AND DO YOU FEEL WHEEZY AT ALL +RES0059-011 NO NO WHEEZING +RES0059-012 NO SHORTNESS OF BREATH +RES0059-013 NOW I RAN TO CATCH THE BUS YESTERDAY AND I WAS A BIT MORE SHORT OF BREATH THAN I WOULD USUALLY BE +RES0059-014 OK AND HAVE YOU HAD A FEVER +RES0059-015 I'VE FELT HOT YES +RES0059-016 OK DID YOU ACTUALLY TAKE YOUR TEMPERATURE OR DO YOU JUST FEEL HOT +RES0059-017 I JUST GOT HOT +RES0059-018 OK SO WE CAN TAKE YOUR TEMPERATURE TODAY ANY CHEST PAIN +RES0059-019 NO CHEST PAIN +RES0059-020 OK AND ANY THROAT PAIN +RES0059-021 MY THROAT'S BEEN A LITTLE SORE BUT I THOUGHT IT WAS MAYBE JUST BECAUSE I WAS COUGHING SO MUCH +RES0059-022 OK AND ANY ISSUES SWALLOWING FOOD +RES0059-023 NO PROBLEMS SWALLOWING FOOD +RES0059-024 OK ANY CHANGES IN YOUR SMELL +RES0059-025 NOW THAT YOU MENTION IT I THOUGHT IT WAS MAYBE JUST PLUGGED UP BUT I HAVEN'T REALLY BEEN ABLE TO SMELL THESE LAST FEW DAYS +RES0059-026 OK AND HOW ABOUT HEARING ANY CHANGES IN YOUR HEARING +RES0059-027 NO CHANGES THERE +RES0059-028 OK ANY EAR PAIN +RES0059-029 NO EAR PAIN NO +RES0059-030 OK ANY CHANGES IN YOUR VISION +RES0059-031 I GOT GLASSES LAST YEAR BUT NOTHING RECENTLY +RES0059-032 OK AND ANY EYE PAIN OR DISCHARGE FROM THE EYES +RES0059-033 NO +RES0059-034 OK AND HAVE YOU HAD ANY NIGHT SWEATS OR CHILLS +RES0059-035 NOTHING LIKE THAT +RES0059-036 ANY WEIGHT LOSS +RES0059-037 NO WEIGHT LOSS NO +RES0059-038 OK AND THEN HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS +RES0059-039 NO EVERYTHING'S BEEN REGULAR THERE +RES0059-040 OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN YOUR STOOL +RES0059-041 NO DIARRHEA NO CONSTIPATION AND I HAVEN'T NOTICED ANY BLOOD +RES0059-042 OK ANY CHANGES IN YOUR URINE +RES0059-043 NO +RES0059-044 NO OK HOW ABOUT MUSCLE ACHES OR PAINS +RES0059-045 I FELT PRETTY WELL I GUESS ACHY AND WEAK +RES0059-046 DID THAT START AROUND THE SAME TIME THAT YOU EXPERIENCED YOUR COUGH AND POSSIBLE FEVER +RES0059-047 I WOULD SAY IT STARTED AROUND THE SAME TIME +RES0059-048 OK ANY DIZZINESS +RES0059-049 NO +RES0059-050 ANY CONFUSION OR MEMORY LOSS +RES0059-051 NO +RES0059-052 OK ANY FAINTING SPELLS +RES0059-053 NO +RES0059-054 ANY RASHES +RES0059-055 I HAVEN'T NOTICED ANY RASHES +RES0059-056 OK SO IT'S YOUR COUGH AND JUST IN GENERAL HOW YOU FEEL DOES IT GET BETTER OR WORSE WITH ANYTHING HAVE YOU TRIED YOU KNOW TYLENOL AND ANY ANTIPYRETICS +RES0059-057 I TRIED SOME LIKE DAY AND NIGHT TIME TYLENOL AT HOME TO SLEEP BUT STILL WHEN I WOKE UP IN THE MORNING STILL NOT FEELING VERY GOOD AND THE COUGH IS STILL HERE TOO +RES0059-058 OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS BEFORE +RES0059-059 MAYBE AS A KID I MEAN I REMEMBER GETTING THE FLU I HAD A COUGH AND THAT SORT OF THING BUT I HAVEN'T BEEN SICK FOR SEVERAL YEARS NOW +RES0059-060 OK AND THEN SINCE YOU STARTED HAVING THIS COUGH TOO NOW HAS ANYTHING CHANGED HOW ARE YOU FEELING WORSE OR DO YOU FEEL KIND OF THE SAME AS WHEN IT STARTED +RES0059-061 I WOULD SAY I FEEL A BIT WORSE +RES0059-062 OK AND HAS ANYONE AROUND YOU BEEN SICK RECENTLY +RES0059-063 NO NOT THAT I KNOW OF EVERYBODY IN THE HOUSE HAS BEEN OK +RES0059-064 OK HAVE YOU TRAVELED ANYWHERE RECENTLY +RES0059-065 I WAS VISITING SOME COUSINS UP NORTH SEVERAL WEEKS AGO BUT THAT WAS JUST TRAVELING WITHIN THE PROVINCE +RES0059-066 OK AND THEY'RE FINE NO ONE IS SICK +RES0059-067 I HAVEN'T HEARD OF ANYBODY BEING SICK +RES0059-068 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS +RES0059-069 I'VE BEEN TOLD I HAD HIGH CHOLESTEROL BEFORE BUT I DON'T TAKE ANY MEDICATIONS FOR IT I'VE BEEN JUST TRYING TO LOSE SOME WEIGHT AND EXERCISE MORE +RES0059-070 SURE OK NO SURGERIES OR HOSPITALIZATIONS IN THE PAST +RES0059-071 NO +RES0059-072 OK AND NO OTHER MEDICATIONS +RES0059-073 NO I JUST TAKE A MULTIVITAMIN +RES0059-074 OK AND NO OTHER YOU KNOW OVER THE COUNTER MEDICATIONS OR HERBAL STUFF +RES0059-075 NO I'LL USE MY TYLENOL OR IBUPROFEN OR ADVIL I GUESS IF I GET THE OCCASIONAL HEADACHE AND I GUESS SOMETHING LIKE REACTINE OR CLARITIN FOR THE SEASONAL ALLERGIES BUT THAT'S ABOUT IT +RES0059-076 OK AND SO YOU SAID SEASONAL ALLERGIES ANY OTHER ALLERGIES +RES0059-077 NO JUST USUALLY LIKE IN THE SPRINGTIME +RES0059-078 OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0059-079 I AM I GET THE FLU SHOT EVERY YEAR +RES0059-080 OK GOOD AND IN TERMS OF FAMILY HISTORY DO ANY OF YOUR FAMILY MEMBERS HAVE LUNG CONDITIONS OR HEART CONDITIONS +RES0059-081 I KNOW MOM HAS HIGH BLOOD PRESSURE BUT NOBODY'S HAD A HEART ATTACK OR NO LUNG CONDITIONS EITHER +RES0059-082 OK ANY CANCERS THAT RUN IN THE FAMILY +RES0059-083 NONE I CAN'T THINK OF ANY +RES0059-084 OK AND THEN DO YOU SMOKE +RES0059-085 I JUST I SMOKE CANNABIS EVERY ONCE IN AWHILE +RES0059-086 OK HOW MUCH DO YOU SMOKE +RES0059-087 I WOULD SAY MAYBE I ENJOY IT ON THE WEEKENDS +RES0059-088 DID YOU SAY A JOINT ON THE WEEKENDS +RES0059-089 YES +RES0059-090 OK SO IS THAT LIKE ONE MILLIGRAM +RES0059-091 I WOULD SAY SOMETHING ABOUT THAT IT'S NOT MUCH +RES0059-092 OK BUT NO CIGARETTES THOUGH +RES0059-093 NO +RES0059-094 OK ANY OTHER RECREATIONAL DRUGS +RES0059-095 NO +RES0059-096 OK AND DO YOU DRINK ALCOHOL +RES0059-097 I DO I'LL HAVE LIKE TWO OR THREE BEERS ON THE WEEKEND +RES0059-098 SURE AND AND WHERE DO YOU LIVE +RES0059-099 I'M JUST LIKE TWENTY MINUTES DOWN THE ROAD IN A HOUSE HERE +RES0059-100 SURE IS IT AN APARTMENT COMPLEX OR IS IT LIKE A FULL HOUSE +RES0059-101 IT'S A SINGLE FAMILY HOME I LIVE THERE WITH MY WIFE AND THREE KIDS +RES0059-102 OK ANY CONCERNS WITH YOUR LIVING ARRANGEMENTS YOU KNOW LIKE OLD CARPETS OR ANYTHING LIKE THAT +RES0059-103 ACTUALLY LAST YEAR WE HAD MOST OF THE CARPETS TAKEN OUT SO NOT ANYMORE +RES0059-104 OK GOOD GOOD DID YOU HAVE ANY OTHER QUESTIONS OR CONCERNS ANYTHING THAT YOU WANTED TO BRING UP THAT I DIDN'T TOUCH ON TODAY +RES0059-105 I WAS JUST REALLY WORRIED THAT THIS COULD BE COVID I MEAN I HAVE A COUGH AND JUST HAVE BEEN FEELING REALLY HOT SO I WAS JUST CONCERNED ABOUT THAT +RES0059-106-1 FOR SURE AND I THINK THAT'S A VALID CONCERN SO RIGHT NOW I'M JUST GOING THROUGH YOU KNOW A LIST OF DIFFERENTIAL DIAGNOSES THAT YOU COULD POSSIBLY HAVE AND COVID IT'S DEFINITELY TOP ON MY LIST +RES0059-106-2 AND SO WE WILL LIKELY GET A SWAB AND RUN THOSE TESTS AND TRY TO GET THAT BACK TO YOU AS SOON AS WE CAN IT COULD ALSO BE OTHER RESPIRATORY INFECTIONS ESPECIALLY VIRAL INFECTIONS THIS TIME OF THE YEAR +RES0059-106-3 AND SO IF IT COMES BACK NEGATIVE FOR COVID IT'S PROBABLY YOU KNOW SOMETHING ELSE LIKE RESPIRATORY VIRUS OR EVEN THE FLU +RES0059-106-4 SO WE'LL GO FROM THERE AND IF IT TURNS OUT IT'S NOT A VIRAL INFECTION WE WILL LIKELY SEE IF IT'S SOME SORT OF BACTERIAL INFECTION IN WHICH WE CAN PRESCRIBE ANTIBIOTICS FOR THOSE +RES0059-106-5 BUT IT DEFINITELY SOUNDS LIKE THERE'S AN INFECTIOUS PICTURE GOING ON HERE BECAUSE OF THE ACUTENESS OF THE PRESENTATION AND JUST YOUR SYMPTOMS SO WE WILL DO AFOLLOW UP IN +RES0059-106-6 A WEEK OR SO UNTIL THEN WE WILL RUN ALL THESE LABS DOES THAT SOUND GOOD +RES0059-107 ALRIGHT THAT SOUNDS GOOD SO I GUESS I WILL KIND OF SELF ISOLATE UNTIL THE COVID RESULTS COME BACK +RES0059-108-1 OH YES PLEASE PLEASE DO SO THAT'S THAT'S A GREAT POINT I DO SUGGEST ISOLATING FOR TWO WEEKS +RES0059-108-2 IF YOU HAVE ANY SORT OF SYMPTOMS BECAUSE EVEN THOUGH THE PCR THAT WE DO TO TEST FOR COVID IS SUPPOSED TO BE RELIABLE AND +RES0059-108-3 IT'S SUPPOSED TO BE SPECIFIC AND SENSITIVE THERE ARE SOMETIMES FALSE NEGATIVE TESTS YOU KNOW JUST TO BE ON THE SAFE SIDE IF YOU'RE EXPERIENCING ANY OF THE SYMPTOMS THAT OVERLAP WITH COVID SYMPTOMS ISOLATE FOR TWO WEEKS +RES0059-108-4 BUT BY THE END OF THE WEEK WE SHOULD KNOW WHAT THE TEST RESULTS ARE AND THEN YOU WILL KNOW FOR SURE WHAT YOU HAVE +RES0059-109 OK AWESOME THANK YOU +RES0059-110 THANK YOU +RES0068-000 SO WHAT BRINGS YOU IN HERE TODAY +RES0068-001 SO I'VE HAD THIS STUFFY NOSE FOR THE PAST THREE DAYS I'M GETTING SOME YELLOW DISCHARGE FROM THE NOSE I CAN'T SEEM TO SMELL WELL AND I HAVE HAD THIS TERRIBLE HEADACHE FOR THE PAST TWO DAYS AS WELL +RES0068-002 OK SO JUST TO KIND OF GET A TIMELINE WHAT KIND OF STARTED FIRST +RES0068-003-1 SO FIRST MY NOSE WAS KIND OF STUFFY AND AND THEN I STARTED HAVING THIS YELLOW DISCHARGE FROM THE NOSE +RES0068-003-2 AND THEN I KIND OF LOST SOME OF MY SMELL AND THEN NOW MY HEAD HURTS IT'S NOT EVEN LIKE IT'S NOT LIKE A HEADACHE IT'S LIKE A FACIAL PRESSURE +RES0068-004 OK AND HAVE YOU HAD ANY OF THESE SYMPTOMS BEFORE +RES0068-005 NO NEVER +RES0068-006 OK ALRIGHT HAVE YOU NOTICED SO YOU SAID LIKE THE DISCHARGE IS YELLOW HOW MUCH OF THE DISCHARGE ARE YOU HAVING LIKE IN A DAY +RES0068-007 LIKE PROBABLY ENOUGH TO FILL THE INSIDE OF MY PALM +RES0068-008 OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +RES0068-009 NO NOTHING LIKE THAT I DID HAVE WHAT THEY THOUGHT WAS A VIRAL INFECTION A WEEK BACK +RES0068-010 OK AND DID YOU RECOVER FROM IT LIKE ON YOUR OWN +RES0068-011 IT WENT AWAY ON ITS OWN +RES0068-012 OK SO IT WAS JUST YOU JUST HAD SOME COLD LIKE SYMPTOMS +RES0068-013 THAT'S RIGHT +RES0068-014 OK ALRIGHT HAVE YOU BEEN COUGHING AT ALL +RES0068-016 NO +RES0068-018 ANY SORE THROAT +RES0068-019 NO +RES0068-020 ANY TROUBLE BREATHING NO ANY LOSS OF +RES0068-021 SENSE OF TASTE OR SMELL +RES0068-022 YES LOSS OF SMELL OK AND DID THAT COME AFTER THE CONGESTION OR WAS IT PRESENT BEFORE +RES0068-023 THE LOSS OF SMELL CAME AFTER THE CONGESTION +RES0068-024 OK AND WOULD YOU SAY YOU'RE STILL PRETTY CONGESTED +RES0068-025 I THINK SO +RES0068-026 OK AND HAS IT BEEN GETTING WORSE WOULD YOU SAY OR DO YOU FEEL THAT IT'S GETTING BETTER +RES0068-027 I WOULD SAY IT'S GETTING WORSE +RES0068-028 OK AND RIGHT NOW WHAT WOULD YOU SAY IS THE MOST TROUBLING SYMPTOM FOR YOU IS IT THAT PRESSURE IN YOUR FACE OR IS IT THE CONGESTION +RES0068-029 IT'S THE IT'S THE PRESSURE IN MY FACE IT HURTS +RES0068-030 HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER MEDICATIONS AT ALL +RES0068-031 I TRIED SOME NASAL SPRAYS AND LIKE DECONGESTIONS BUT IT'S NOT REALLY HELPING +RES0068-032 OK AND SO YOU'VE TRIED NASAL SPRAYS HAVE YOU TRIED ANY OF THOSE LIKE NASAL RINSES OR ANYTHING LIKE THAT +RES0068-033 AND THEY DON'T SEEM TO BE HELPING +RES0068-034 I SEE OK ANY RECENT CONTACT WITH ANYONE WHO'S BEEN ILL OR ANY RECENT TRAVEL +RES0068-036 NO OK ANY NAUSEA OR VOMITING +RES0068-037 NAUSEA OR VOMITING +RES0068-038 NO ANY FEVERS OR CHILLS +RES0068-039 NO +RES0068-040 ANY FATIGUE +RES0068-041 I'VE BEEN FEELING TIRED +RES0068-042 OK AND HOW MANY DAYS WOULD YOU SAY YOU'VE BEEN FEELING TIRED FOR +RES0068-043 I WOULD SAY FOR THE PAST THREE DAYS +RES0068-044 OK AND DO YOU FEEL THAT YOU KNOW YOU'RE HAVING SOME DISCHARGE BUT DO YOU FEEL THAT THERE IS MUCOUS BUILDING UP AND DRIPPING DOWN YOUR THROAT OR ANYTHING LIKE THAT +RES0068-045 NOW THAT YOU MENTION IT IT DOES FEEL LIKE THAT +RES0068-046 OK AND HAVE YOU NOTICED AT ALL OR HAS SOMEONE TOLD YOU THAT YOUR BREATH MIGHT SMELL BAD OR HAVE YOU NOTICED IT YOURSELF +RES0068-047 OH GOSH I HOPE NOT NO NO ONE SAID THAT +RES0068-048 OK SOMETIMES WITH LIKE MUCOUS BUILDUP IT CAN AFFECT LIKE YOUR BREATH AS WELL SO JUST WONDERING ANY +RES0068-049 ANY CHEST PAIN AT +RES0068-050 ALL NO NO CHEST PAIN OK +RES0068-052 ANY CONSTIPATION OR DIARRHEA +RES0068-053 NO ANY ISSUES WITH +RES0068-054 URINATING NO NO ISSUES THERE ANY CHANGES IN YOUR +RES0068-055 SLEEP OR APPETITE WELL I GUESS SLEEPING IS A LITTLE BIT HARDER NOW BECAUSE OF THE THE +RES0068-056 PRESSURE IN MY FACE BUT OTHER THAN THAT NO OK IS THERE ANYTHING THAT HELPS YOU AT ALL THAT YOU'VE TRIED +RES0068-057 LIKE JUST THE POSITIONS OF HOW I'M SLEEPING SOMETIMES HELPS +RES0068-058 OK SO THIS HAS BEEN GOING ON FOR JUST REMIND ME AGAIN LIKE THE LAST FOUR DAY +RES0068-059 THE LAST THREE DAYS LAST THREE DAYS +RES0068-060 OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS AT ALL THAT YOU'VE BEEN DIAGNOSED WITH IN THE PAST +RES0068-061 NO NOT THAT I CAN THINK OF +RES0068-062 OK ALRIGHT SO HAVE YOU NOTICED AT ALL ANY WEIGHT CHANGES +RES0068-063 NO +RES0068-064 OK AND HAVE YOU BEEN EXPOSED TO LIKE FUMES OR DUST OR HOW DO YOU HAVE ANY ANIMALS OR PETS AT HOME +RES0068-065 NO NOTHING LIKE THAT +RES0068-066 OK AND DO YOU TAKE ANY MEDICATIONS OR ANYTHING REGULARLY +RES0068-067 NO I JUST TAKE SOME MULTIVITAMINS +RES0068-068 OK AND DO YOU KNOW IF YOU HAVE ANY ALLERGIES +RES0068-069 I JUST HAVE SOME I JUST HAVE SOME SEASONAL ALLERGIES +RES0068-070 OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +RES0068-071 NO ACTUALLY I HAD MY APPENDIX TAKEN OUT WHEN I WAS TWELVE +RES0068-072 OK RIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY CONDITIONS LIKE ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS +RES0068-073 I KNOW THAT THERE'S SOME ASTHMA THAT RUNS IN THE FAMILY +RES0068-074 OK AND HAVE YOU EVER BEEN DIAGNOSED WITH ASTHMA +RES0068-075 NO +RES0068-076 OK WHERE CURRENTLY WHERE DO YOU LIVE +RES0068-077 I LIVE IN A HOUSE WITH MY HUSBAND AND MY THREE YEAR OLD DAUGHTER +RES0068-078 OK AND DO YOU CURRENTLY SMOKE CIGARETTES +RES0068-079 NO +RES0068-080 DO YOU DRINK ALCOHOL +RES0068-081 I DON'T +RES0068-082 ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0068-083 I'LL SMOKE A JOINT OR TWO ONCE A WEEK +RES0068-084 OK A JOINT OR TWO OK AND IS THAT IS THAT JUST RECREATIONALLY OR HAS IT BEEN HELPING AT ALL WITH YOUR SYMPTOMS +RES0068-085 THAT'S JUST RECREATIONALLY +RES0068-086 OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL FOR ME +RES0068-087 NO WHAT WAS LIKE WHAT DO YOU THINK I HAVE +RES0068-088-1 YEAH SO FROM THE SYMPTOMS THAT YOU'RE DESCRIBING IT DOES SEEM MORE LIKE SINUS ISSUES THERE'S A SINUS BEHIND YOUR FACE AND WHAT CAN HAPPEN IS IF YOU GET AN INFECTION LIKE ALL THE THE MUCOUS AND EVERYTHING CAN BUILD UP +RES0068-088-2 AND INCREASE THE PRESSURE THAT'S THE PRESSURE YOU'RE FEELING UNDERNEATH YOUR FACE IT'S BECAUSE OF A SINUS INFECTION MOST LIKELY AND USUALLY LIKE IT'S USUALLY LIKE A VIRAL INFECTION THAT CAN GO AWAY ON ITS OWN WE +RES0068-088-3 USUALLY ASK PATIENTS TO TRY THE NASAL RINSES AND THEN SOME ORAL DECONGESTENTS OR HAVE YOU TRIED ANY ANTI HISTAMINES +RES0068-089 NO I HAVEN'T +RES0068-090 OK ANY OK SO NO ANTIHISTAMINES IT SEEMS MOST LIKELY THAT YOU HAVE A SINUS INFECTION IT CAN BE BACTERIAL WITH THE YELLOW DISCHARGE THAT YOU'RE HAVING AS WELL SO WE CAN GIVE YOU SOME +RES0068-092 ANTIBIOTICS SO WILL GIVE YOU SOME AMOXICILLIN SURE SO IT'S ONLY BEEN THREE DAY SINCE YOU'RE HAVING THESE SYMPTOMS THAT'S RIGHT OK +RES0079-000 HOW MAY I HELP YOU TODAY +RES0079-001 I'VE HAD A FEVER AND A COUGH THAT STARTED JUST LIKE FOUR DAYS AGO +RES0079-002 OK WHEN DID YOU WHEN DID YOU START HAVING YOUR SO THE COUGH STARTED FOUR DAYS AGO WHAT ABOUT THE FEVER +RES0079-003 I THINK LIKE LAST NIGHT WAS WHEN I WHEN I CHECKED IT WAS HIGH LIKE OVER THIRTY EIGHT +RES0079-004 I SEE OK AND DID YOU CHECK YOUR FEVER BEFORE THAT THE NIGHT BEFORE +RES0079-005 YEAH I I JUST CHECKED IT LAST NIGHT I FELT HOT PREVIOUSLY BUT I DON'T KNOW I THOUGHT I WAS GOING TO JUST GET BETTER BUT THIS MORNING STILL WELL FEELING A BIT A LITTLE BIT WORSE +RES0079-006 OK AND THE COUGH THAT STARTED FOUR DAYS AGO HAS IT BEEN A DRY COUGH OR WET COUGH +RES0079-007 IT'S BEEN DRY +RES0079-008 OK SO THERE'S BEEN NO SPUTUM OR ANY OR OR BLOOD +RES0079-009 NO SPUTUM OR BLOOD +RES0079-010 OK HAS IT GOTTEN WORSE OVER THE PAST FOUR DAYS +RES0079-011 A LITTLE BIT YEAH ACHE YEAH +RES0079-012 AND OTHER THAN THE FEVER AND THE COUGH DO YOU HAVE ANY ANY FATIGUE +RES0079-013 YES +RES0079-014 WE DO OK ANY MUSCLE ACHES +RES0079-015 NO +RES0079-016 OK SORE THROAT +RES0079-017 NO +RES0079-018 ANY DIFFICULTIES BREATHING +RES0079-019 NO +RES0079-020 ANY WHEEZING +RES0079-021 NO +RES0079-022 ANY CHEST PAIN OR PRESSURE +RES0079-023 NO +RES0079-024 OK ANY RUNNY NOSE +RES0079-025 YEAH MY NOSE HAS BEEN A LITTLE BIT RUNNY +RES0079-026 OK THAT STARTED OVER THE PAST FOUR DAYS AS WELL +RES0079-027 YEAH OK WHAT ABOUT PAIN IN YOUR BELLY +RES0079-028 NO PAIN +RES0079-029 OK ANY DIARRHEA OR CONSTIPATION +RES0079-030 NO +RES0079-031 ANY NAUSEA OR VOMITING +RES0079-032 NO +RES0079-033 OK ANY CHANGE ANY ANY URINARY SYMPTOMS +RES0079-034 NO +RES0079-035 OK ANY RASH THAT YOU'VE NOTICED ON YOUR SKIN +RES0079-036 NO +RES0079-037 ANY CHANGES IN YOUR SENSE OF TASTE OR YOUR SENSE OF SMELL +RES0079-038 I YEAH I HAVEN'T BEEN ABLE TO SMELL AS WELL +RES0079-039 THAT'S GOOD YOU FEEL LIKE YOU HAVE A RUNNY NOSE BUT IS IT SORT OF CONGESTED +RES0079-040 NOT REALLY IT JUST KIND OF RUNNING AND I HAVEN'T BEEN ABLE TO SMELL VERY WELL +RES0079-041 OK AND DO YOU HAVE ANY PAST MEDICAL ANY CONDITIONS MEDICAL CONDITIONS +RES0079-042 DEPRESSION AND ANXIETY +RES0079-043 AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR HOSPITALIZATIONS +RES0079-044 NO +RES0079-045 OK ARE YOU TAKING ANY MEDICATIONS INCLUDING OVER THE COUNTER PILLS +RES0079-046 I DO TAKE A MULTI VITAMIN +RES0079-047 OK AND +RES0079-048 I'M SORRY I DO TAKE A SORRY I TAKE A A AN SSRI CITALOPRAM AS WELL +RES0079-049 OK THAT'S GOOD THAT'S GOOD OK ANY ALLERGIES +RES0079-050 NO ALLERGIES +RES0079-051 OK SPECIFICALLY ALLERGIES TO MEDICATIONS +RES0079-052 YEAH NO NO MEDICATIONS I DON'T THINK SO +RES0079-053 GOOD OK AND DO YOU CURRENTLY SMOKE OR HAVE YOU EVER SMOKED IN THE PAST +RES0079-054 I SMOKED WHEN I WAS IN HIGH SCHOOL VERY BRIEFLY BUT I HAVEN'T SMOKED ANY ANYTHING IN THE LAST TWENTY YEARS +RES0079-055 ALRIGHT DO YOU CONSUME MARIJUANA +RES0079-056 WE'LL USE EDIBLES EVERY ONCE IN A WHILE I BUY THEM FROM THE LIKE I GUESS GOVERNMENT STORE OCS +RES0079-057 I SEE OK ANY RECREATIONAL DRUGS +RES0079-058 NO +RES0079-059 OK AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH OTHERS +RES0079-060 I LIVE WITH OTHERS I LIVE WITH MY GIRLFRIEND AND A DOG +RES0079-061 OK AND HAS SHE BEEN SICK OR HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY +RES0079-062 SHE JUST CAME BACK ON A A WORK TRIP I'VE BEEN WORKING FROM HOME BUT SHE WAS IN SASKATCHEWAN AND AND JUST GOT BACK LAST WEEK +RES0079-063 OK AND HAS SHE HAD ANY SYMPTOMS +RES0079-064 SHE'S BEEN FATIGUED SINCE COMING BACK BUT I MEAN WE THOUGHT THAT WAS MAYBE JUST FROM THE TRAVELS BUT MAYBE NOT +RES0079-065 HAS SHE BEEN QUARANTINING OR ARE YOU BOTH SPENDING TIME TOGETHER +RES0079-066 WELL WE'VE BEEN I MEAN TRYING TO DISTANCE IN THE IN THE HOME BUT I MEAN WE'VE BEEN LIVING TOGETHER IN AN APARTMENT SO +RES0079-067 FAIR ENOUGH FAIR ENOUGH OK HAVE YOU HAD ANY TRAVELS +RES0079-068 NO I'VE BEEN WORKING FROM FROM HOME +RES0079-069 HOME OK ALRIGHT AND ANY SO YOU DON'T HAVE ANY ASTHMA OR COPD OR ANY LUNG CONDITIONS RIGHT +RES0079-070 RIGHT I DON'T I DON'T HAVE ANYTHING LIKE THAT +RES0079-071 OK AND ANY CONDITIONS THAT RUN IN YOUR FAMILY +RES0079-072 NO NOTHING NOTHING THAT RUNS IN THE FAMILY +RES0079-073 ALRIGHT OK SO IF I UNDERSTAND CORRECTLY YOU'VE HAD YOU'VE BEEN FEELING TIRED AND YOU'VE HAD A COUGH AND A RUNNY NOSE AND CHANGES IN YOUR SENSE OF SMELL FOR THE PAST THREE OR FOUR DAYS AND YOU ALSO WERE FEELING A LITTLE BIT HOT AND YESTERDAY YOU NOTICED THAT YOU HAD SPIKED A HIGH FEVER IS THERE ANYTHING THAT I'M MISSING +RES0079-074 NO I THINK TAHT'S THAT COVERS ALL THE SYMPTOMS +RES0079-075-1 AND YOU MIGHT HAVE POTENTIALLY HAD SOME EXPOSURE THROUGH YOUR GIRLFRIEND POTENTIALLY SO IT'S POSSIBLE THAT +RES0079-075-2 WELL IT'S POSSIBLE THAT YOU JUST HAVE A COLD BUT IT'S ALSO WE'LL STILL HAVE TO RULE OUT COVID AS A CAUSE AND SO WE'LL HAVE TO DO A COVID SWAB AND +RES0079-075-3 GO FROM THERE AND WE'LL WE'LL CHECK YOUR TEMPERATURE HERE AS WELL JUST I THINK SOMETHING THAT I FORGOT TO ASK HAVE YOU TAKEN ANY MEDICATIONS THAT HAS HELPED YOU WITH YOUR SYMPTOMS +RES0079-076 NO I HAVEN'T TAKEN ANYTHING +RES0079-077 OK ALRIGHT WELL THANK YOU I'LL GO TALK TO MY ATTENDING AND WE'LL COME BACK AND DISCUSS THIS FURTHER WITH YOU +RES0079-078 THAT SOUNDS GREAT THANK YOU +RES0088-000 WHAT BRINGS YOU IN HERE TODAY +RES0088-001 SO MY DAUGHTER SHE'S HAD THIS HOARSE VOICE FOR THE PAST LIKE TWO OR THREE DAYS IT DOESN'T SEEM TO BE GETTING BETTER IN FACT IT'S GETTING WORSE AND SHE JUST DOESN'T SOUND LIKE HERSELF ANYMORE AND SHE'S NOT SPEAKING AS MUCH +RES0088-002 OK AND WHEN DID THIS START +RES0088-003 OK SO SHE HAD A COUGH LIKE FOUR DAYS AGO AND SHE'S STILL COUGHING A LITTLE BIT BUT NOT AS MUCH AS SHE WAS BEFORE BUT IT'S MORE HER VOICE THAT I'M CONCERNED ABOUT IT SOUNDS VERY HOARSE AND HARSH +RES0088-004 OK AND SO HOW MANY DAYS HAS SHE HAD THE HOARSE VOICE FOR +RES0088-005 I'D SAY ABOUT TWO THREE DAYS NOW +RES0088-006 TWO OR THREE DAYS OK AND WHEN SHE WAS COUGHING YOU MENTIONED LIKE PREVIOUSLY WAS SHE COUGHING UP ANY SPUTUM OR WAS IT MORE OF A DRY COUGH +RES0088-007 IT WAS MORE OF A DRY COUGH +RES0088-008 AND THE COUGH HAS PRETTY MUCH RESOLVED BY NOW +RES0088-009 SHE STILL GETS THEM ONCE IN A WHILE BUT IT'S PRETTY MUCH GONE +RES0088-010 OK AND WHEN SHE WAS COUGHING DID SHE AT ALL BRING UP ANY KIND OF BLOOD OR ANY GREEN OR YELLOWISH MATERIAL +RES0088-011 NO +RES0088-012 NO OK DID SHE HAVE ANY FEVERS AT ALL RECENTLY +RES0088-013 NO NO FEVERS +RES0088-014 OK AND DOES SHE HAVE ANY KIND OF ALONG WITH A HOARSE VOICE DOES SHE HAVE ANY PAIN WITH TALKING +RES0088-015 YES I THINK SO +RES0088-016 OK AND DOES SHE HAVE ANY PAIN WITH SWALLOWING ANY FOODS OR LIQUIDS +RES0088-017 SHE'S EATING AND DRINKING OK BUT I SUSPECT THERE IS SOME PAIN +RES0088-018 OK SO HOW LONG HAS SHE SO SHE HAS A SORE THROAT HOW LONG HAS SHE HAD THAT FOR +RES0088-019 THE SORE THROAT I WOULD SAY FOR THE PAST TWO OR THREE DAYS AS WELL +RES0088-020 OK AND WAS THERE ANYTHING THAT SO SHE HAD KIND OF LIKE A COUGH PREVIOUSLY BUT ANYTHING ELSE ANYONE SICK AROUND HER OR ANYTHING YOU THINK MIGHT HAVE PRECIPITATED SOME OF HER SYMPTOMS +RES0088-021 NO NOT THAT I KNOW OF I DON'T THINK SHE'S HAD ANY CONTACTS WITH SICK PEOPLE RECENTLY +RES0088-022 OK ARE THERE ANY HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER THAT HAS HELPED HER +RES0088-023 NOT OVER THE COUNTER MEDICATIONS BUT LIKE I TRIED TO GET HER TO LIKE GARGLE WITH LIKE SALT WATER AND ALL THAT KIND OF STUFF BUT THAT DIDN'T SEEM TO HELP +RES0088-024 OK AND HAVE HER SYMPTOMS BEEN JUST CONSTANT OR DO THEY COME AND GO +RES0088-025 THEY'VE BEEN PRETTY CONSTANT +RES0088-026 OK AND YOU THINK HER SYMPTOMS ARE GETTING WORSE +RES0088-027 NO THEY'VE BEEN PRETTY CONSISTENT BUT MAYBE THE HARSH VOICE IS GETTING WORSE +RES0088-028 OK AND OTHER THAN THE SYMPTOMS THAT YOU'VE MENTIONED HAS SHE HAD ANY KIND OF SHORTNESS OF BREATH WHEEZING CHEST PAIN OR ANYTHING LIKE THAT +RES0088-029 NO NOTHING LIKE THAT +RES0088-030 OK AND NO FEVERS RIGHT +RES0088-031 NO +RES0088-032 OK HAS SHE TRAVELED AT ALL RECENTLY OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE +RES0088-033 NO NO NOTHING LIKE THAT +RES0088-034 OK AND ANY +RES0088-042 LOOKED A LITTLE BIT RED BUT I DIDN'T SEE ANY DISCHARGE OK AND HAVE YOU NOTICED ANY KIND OF +RES0088-043 SWELLING AROUND HER NECK EARS LIKE AROUND HER LYMPH +RES0088-044 NODES I HAVEN'T ACTUALLY TAKEN A LOOK THERE OK WE CAN DO THAT OTHER THAN THOSE SYMPTOMS HAS SHE BEEN EXPERIENCING ANY KIND OF LIKE FATIGUE OR HAVE YOU NOTICE HER BEING JUST VERY TIRED +RES0088-045 SHE HAS SEEMED A LITTLE BIT MORE TIRED THAN USUAL +RES0088-046 OK AND RIGHT NOW IS SHE GOING TO SCHOOL OR IS RIGHT NOW ALL LIKE VIRTUAL IS SHE AT HOME +RES0088-047 SHE'S AT HOME RIGHT NOW +RES0088-048 OK AND DOES SHE HAVE ANY SYMPTOMS OF ANY CHEST PAIN AT ALL +RES0088-049 NO CHEST PAIN +RES0088-050 OK ANY CHANGES IN HER BOWEL MOVEMENTS ANY CONSTIPATION DIARRHEA +RES0088-051 NO +RES0088-052 OK ANY URINARY PROBLEMS +RES0088-053 NO +RES0088-054 OK HAS SHE BEEN ABLE TO SLEEP WELL OR DOES SHE WAKE UP A LOT MORE AT NIGHT +RES0088-055 SHE'S BEEN ABLE TO SLEEP WELL +RES0088-056 OK HOW ABOUT HER APPETITE +RES0088-057 ITS BEEN PRETTY NORMAL SHE'S NOT EATING AS MUCH AS SHE USED TO BUT SHE'S STILL EATING AND DRINKING OK +RES0088-058 OK AND HAVE YOU NOTICED ANY KIND OF WEIGHT CHANGES AT ALL RECENTLY HAS SHE LOST ANY WEIGHT +RES0088-059 NO +RES0088-060 OK AND HAS SHE HAD ANY LOSS OF TASTE OF SMELL OR SORRY LOSS OF SENSE OF TASTE OR SMELL AT ALL +RES0088-061 NO +RES0088-062 ANY MUSCLE ACHES OR ANYTHING LIKE THAT +RES0088-063 NO NOTHING LIKE THAT +RES0088-064 OK ANY EXPOSURE TO FUMES DUST ANIMALS OR PETS AT HOME +RES0088-065 NO NOTHING LIKE THAT +RES0088-066 OK HAS THIS HAPPENED AT ALL IN THE PAST +RES0088-067 NO +RES0088-068 NO OK DOES SHE HAVE ANY MEDICAL CONDITIONS AT ALL THAT SHE'S BEEN DIAGNOSED WITH IN THE PAST +RES0088-069 NO NOTHING LIKE THAT +RES0088-070 ANY LIKE ASTHMA OR ANY OTHER CONDITIONS +RES0088-071 NO +RES0088-072 OK ANY ALLERGIES THAT YOU KNOW OF +RES0088-073 I KNOW SHE HAS SEASONAL ALLERGIES BUT THAT'S ABOUT IT +RES0088-074 OK AND DOES SHE TAKE ANY MEDICATIONS AT ALL ON A DAILY BASIS +RES0088-075 NO SHE JUST TAKES MULTI VITAMINS +RES0088-076 OK AND CURRENTLY OR PREVIOUSLY HAS SHE HAD ANY SURGERIES OR HOSPITALIZATIONS +RES0088-077 NO +RES0088-078 NO OK ARE THERE ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +RES0088-080 NO NO ANY CANCERS +RES0088-081 THERE'S SOME COLON CANCER ON HER DAD SIDE OF THE FAMILY +RES0088-082 OK AND IS THERE ANY SO DO YOU REMEMBER WHO THE PERSON IS AND ALSO LIKE WHEN THEY GOT DIAGNOSED WITH THE COLON CANCER +RES0088-083 SO IT WAS HER UNCLE HE WAS DIAGNOSED WHEN HE WAS FORTY FIVE +RES0088-084 OK OTHER THAN THAT WERE THERE ANY DEVELOPMENTAL CHALLENGES AT ALL WHILE SHE WAS GROWING UP DID SHE WAS SHE MEETING HER MILESTONES ANY CONCERNS AT ALL +RES0088-085 NO CONCERNS SHE WAS MEETING ALL HER MILESTONES FROM WHAT I REMEMBER +RES0088-086 OK AND IN TERMS OF HER PREGNANCY WERE THERE ANY OR YOUR PREGNANCY WITH HER WERE THERE ANY COMPLICATIONS AT ALL EITHER DURING THE PREGNANCY OR AFTER SHE WAS BORN +RES0088-087 NO NO COMPLICATIONS +RES0088-088 AND RIGHT NOW WHERE DOES SHE LIVE AND WHO DOES SHE LIVE WITH +RES0088-089 SHE'S AT HOME WITH MYSELF MY HUSBAND AND SHE HAS ONE YOUNGER SIBLING +RES0088-090 OK AND IS EVERYONE AT HOME WELL DOES ANYONE HAVE ANY OF THESE SYMPTOMS +RES0088-091 NO OK +RES0088-092 RIGHT SO AND IN TERMS OF THE HOME ENVIRONMENT DOES ANYONE SMOKE IN THE HOUSE +RES0088-093 NO +RES0088-094 NO OK ALRIGHT SO I THINK THAT'S ALL THE QUESTIONS I HAD RIGHT NOW DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0088-095 NO NO QUESTIONS BUT ACTUALLY WHAT DO YOU THINK SHE HAS AND HOW CAN WE TREAT HER +RES0088-096-1 SO IT SEEMS LIKE THAT THE HOARSENESS OF VOICE AND THE SORE THROAT AND HER SYMPTOMS MOSTLY ALIGN WITH WHAT'S CALLED LARYNGITIS AND THIS IS USUALLY CAUSED BY LIKE JUST A VIRAL RESPIRATORY INFECTION +RES0088-096-2 THE HOARSENESS OF VOICE WILL USUALLY LAST MORE THAN A WEEK AND UP TO LIKE TEN DAYS AND IT SHOULD RESOLVE ON ITS OWN +RES0088-096-3 BUT WE'LL DEFINITELY TAKE A BETTER LOOK AND DO A PROPER PHYSICAL EXAMINATION SEE IF I SEE ANY KIND OF SWELLING REDNESS OR ANY LIKE WHITE STREAKS OR EXUDATES AROUND HER PHARYNX AS WELL +RES0088-096-4 SO AFTER WE TAKE A LOOK WE'LL SEE WHAT WE CAN DO IT DOESN'T SEEM LIKE IT CAN ALSO BE A BACTERIAL INFECTION IN WHICH CASE WE WOULD NEED TO GIVE HER ANTIBIOTICS BUT USUALLY IT'S A VIRAL INFECTION THAT SHOULD GO AWAY ON ITS OWN SO WE WOULD JUST KIND OF +RES0088-096-5 WAIT AND SEE AND POTENTIALLY JUST GIVE HER VOICE SOME REST DURING THIS PERIOD AND JUST GO ON FROM THERE DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS +RES0088-097 NO THAT SOUNDS GREAT THANK YOU +RES0088-098 YOU'RE WELCOME AND WE'LL JUST DO A FULL EXAMINATION AND THEN GO FROM THERE +RES0088-099 OK SOUNDS GREAT THANKS +RES0088-100 YOU'RE WELCOME TAKE CARE +RES0088-101 YOU TOO +RES0099-000 HOW MAY I HELP YOU +RES0099-001-1 SO YEAH I'VE BEEN HAVING FOR THE LAST TWO DAYS IT JUST STARTED RANDOMLY I HAD TO MISS WORK JUST A HEADACHE STARTED AT THE BEGINNING AND THEN I NOTICED THE SAME DAY SO THIS WAS TWO DAYS AGO +RES0099-001-2 A HEADACHE STARTED AND MY BODY JUST STARTED ACHING THROUGHOUT THE DAY AND YESTERDAY I JUST DEVELOPED I THINK IT WAS A FEVER I DIDN'T REALLY GET A CHANCE TO CHECK LIKE BUT I WAS VERY CHILLY YESTERDAY AND NOW I HAVE THIS COUGH AS WELL +RES0099-002 OK SO JUST TO CONFIRM SO THE THE SYMPTOMS AT FIRST STARTED WITH A HEADACHE AND AND FATIGUE AND THAT STARTED TWO DAYS AGO +RES0099-003 LIKE WITH FATIGUE LIKE ALSO JUST THE MY MUSCLES WERE ACHING +RES0099-004 OK AND ANY PARTICULAR MUSCLES THAT WERE ACHY OR IS THIS MORE OF A GENERAL KIND OF WHOLE BODY FEELING +RES0099-005 JUST A GENERAL WHOLE BODY FEELING +RES0099-006 OK AND IN TERMS OF THE HEADACHE COULD YOU DESCRIBE COULD YOU DESCRIBE THE HEADACHE +RES0099-007 YES IT'S JUST KIND OF LIKE AT THE FRONT LIKE NEAR MY FOREHEAD ON ON KIND OF LIKE BOTH SIDES MORE IT JUST FEELS LIKE LIKE PRESSURE IN THERE +RES0099-008 OK HAVE YOU HAD HEADACHES LIKE THIS BEFORE +RES0099-009 NO NOT REALLY +RES0099-010 OK IS THE HEADACHE ON ONE SIDE OR OR THE OTHER OR ON BOTH SIDES +RES0099-011 I THINK IT'S LIKE BOTH SIDES +RES0099-012 AND IS THE HEADACHE LIKE PULSATING OR IS IT MORE CONTINUOUS KIND OF CONSTANT PAIN +RES0099-013 I THINK IT'S MORE CONTINUOUS CONSTANT +RES0099-014 ALRIGHT AND HAVE YOU HAD ANY SENSITIVITY TO LIGHT OR SOUND THAT THAT'S MADE THE HEADACHE A LOT WORSE +RES0099-015 NO IT'S IT'S KIND OF JUST THERE IT'S ABOUT THE SAME AS WHEN IT WAS WHEN IT STARTED +RES0099-016 OK HAVE YOU HAD ANY NAUSEA AND VOMITING ASSOCIATED WITH THAT THE HEADACHE OR ANYTHING ELSE +RES0099-017 NO +RES0099-018 OK AND SO AND THEN LAST QUESTION FOR THE HEADACHE PIECE DOES IT FEEL LIKE IT WAS A LIKE KIND OF SUDDEN ONSET WORST HEADACHE OF YOUR LIFE SENSATION +RES0099-019 NO IT'S STILL LIKE LIKE I CAN STILL COPE WITH IT LIKE IF I WANTED TO I WOULD HAVE GONE INTO WORK BUT IT WAS THE MUSCLE ACHES THAT REALLY STARTED BOTHERING ME +RES0099-020 OK AND SO YOU HAD A COUGH AS WELL WHEN DID THIS START AND IS IT A DRY OR WET COUGH +RES0099-021 IT'S A DRY COUGH AND IT STARTED YESTERDAY PROBABLY IN THE MORNING WHEN I WOKE UP +RES0099-022 OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR WORSE +RES0099-023 SINCE YESTERDAY I WOULD SAYIT'S PROBABLY A BIT WORSE NOW +RES0099-024 ALRIGHT AND IT'S DRY BUT HAVE YOU SEEN ANY BLOOD THAT'S COME UP +RES0099-025 NO NO NO BLOOD +RES0099-026 AND HAVE YOU HAD ANY SHORTNESS OF BREATH +RES0099-027 NO +RES0099-028 OK AND HAVE YOU HAD ANY FLU LIKE SYMPTOMS OR INFECTIOUS SYMPTOMS LIKE A RED EYES RUNNY EYES RUNNY NOSE OR A SORE THROAT +RES0099-029 NO I DON'T HAVE ANY OF THOSE SYMPTOMS +RES0099-030 OK YOU MENTIONED YOU FELT FEVERISH DO YOU FEEL HOT NOW +RES0099-031 NOT RIGHT NOW BUT I DID HAVE LAST NIGHT JUST WAS JUST VERY CHILLY AND I HAD TO JUST WRAP MYSELF UP IN A COUPLE BLANKETS +RES0099-036 NO NO CHEST PAIN ALRIGHT SO HOW ABOUT ANY DIZZINESS OR LIGHTHEADEDNESS +RES0099-037 NOPE +RES0099-038 OK AND HAVE YOU HAD ANY WHEEZE +RES0099-039 NO WHEEZING +RES0099-040 OK AND HAVE YOU NOTICED ANY SWELLING TO ANY OF YOUR EXTREMITIES LIKE YOUR ANKLES +RES0099-042 AND HAVE YOU HAD ANY BELLY PAIN +RES0099-043 NO BELLY PAIN +RES0099-044 ANY URINARY PROBLEMS LIKE PAIN OR OR FREQUENCY GOING TO THE BATHROOM +RES0099-045 NO +RES0099-046 AND ANY DIARRHEA +RES0099-047 NO DIARRHEA +RES0099-048 ALRIGHT AND HAVE YOU NOTICED ANY RASHES OR OR CHANGES TO YOUR SKIN +RES0099-049 NO NOT AT ALL +RES0099-050 ALRIGHT AND I DON'T KNOW YOU'VE HAD MUSCLE ACHES HAVE YOU HAD ANY JOINT PAINS +RES0099-051 NO NO MUSC SORRY NO JOINT PAIN IT'S MAINLY JUST LIKE IN I WOULD SAY IN AROUND MY UPPER BACK LIKE MY UPPER ARMS AND KIND OF LIKE MY THIGHS AND GLUTES AREAS +RES0099-052 OK AND HOW HAS YOUR ENERGY BEEN THESE LAST COUPLE OF DAYS +RES0099-053 YESTERDAY I FELT A BIT DRAINED I JUST KIND OF LIKE STAYED IN BED THE WHOLE DAY +RES0099-054 OK AND HAVE YOU TRIED ANY MEDICATIONS FOR THE FOR THE HEADACHE OR ANY OF YOUR SYMPTOMS SO FAR +RES0099-055 I I TOOK A TYLENOL I ACTUALLY TOOK A COUPLE TYLENOLS WHEN THE HEADACHE AND PAIN STARTED IT DID HELP A BIT FOR A COUPLE HOURS BUT IT JUST KIND OF CAME BACK +RES0099-056 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0099-057 JUST LIKE I HAD TYPE TWO DIABETES THAT'S IT +RES0099-058 OK AND ARE YOU USING MEDICATIONS FOR YOUR DIABETES +RES0099-059 I'VE BEEN ON METFORMIN +RES0099-060 OK HAVE HAVE YOU USED INSULIN BEFORE +RES0099-061 NO NO I'VE NEVER HAD TO USE INSULIN IT'S PRETTY STABLE LIKE MY FAMILY DOCTORS EVEN CONSIDERING TAKING ME OFF THE METFORMIN +RES0099-062 OK NO THAT'S GREAT AND THAT REMINDS ME ACTUALLY HOW HAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT CHANGES +RES0099-063-1 NOT REALLY LIKE I I I THINK OVER THE LAST TWO YEARS I'VE JUST BEEN VERY FOCUSED ON MY FITNESS SO I FEEL LIKE I'VE +RES0099-063-2 PROBABLY LOST AROUND THIRTY POUNDS OVER THE LAST YEAR LAST ONE TO TWO YEAR BUT LIKE I I'VE BEEN EXERCISING A LOT LIKE GYM EVERY DAY IT'S IT'S BEEN IT'S BEEN A JOURNEY +RES0099-064 NO THAT'S GREAT THOUGH GOOD FOR YOU I ENCOURAGE YOU TO KEEP THAT UP FOR SURE OK AND SO DO YOU TAKE ANY OTHER MEDICATIONS OTHER OVER THE COUNTER OR PRESCRIBED +RES0099-065 JUST A MULTI VITAMINS +RES0099-066 ALRIGHT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +RES0099-067 NO NOT THAT I KNOW OF +RES0099-068 ALL RIGHT SO HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES +RES0099-069 NO +RES0099-070 ALRIGHT AND ANYBODY IN THE FAMILY HAVE ANY LIKE LUNG CONDITIONS HEART CONDITIONS OR DISEASES THAT THAT RUN IN THE FAMILY +RES0099-071 MY MY SON ACTUALLY JUST RECENTLY WAS DIAGNOSED WITH ASTHMA BUT I THINK THAT HE GETS THAT FROM HIS MOM'S SIDE +RES0099-072 OK YOU DON'T HAVE ANY ASTHMA OR PROBLEMS BREATHING LIKE THAT +RES0099-073 NO NOTHING LIKE THAT +RES0099-074 OK AND RIGHT NOW SO YOU MENTIONED YOUR SON AND WIFE IS THAT WHO YOU'RE LIVING WITH +RES0099-075 IT'S JUST US THREE +RES0099-076 OK AND ANY EXPOSURES TO TO ANYBODY WHO'S BEEN SICK EITHER AT HOME OR AT WORK OR OR ANY OTHER ACTIVITIES +RES0099-077-1 UNFORTUNATELY I DO HAVE TO I'M ONE OF THE UNLUCKY ONES THAT STILL HAS TO GO INTO WORK AND +RES0099-077-2 YEAH IT'S IT'S HARD TO SAY LIKE AT WORK THERE ARE TIMES WHEN WE LIKE AT LUNCH WE EAT LIKE WITHOUT A MASK +RES0099-077-3 I DON'T KNOW IF I DIDN'T NOTICE ANYONE HAVING ANY SYMPTOMS BUT LIKE I DON'T KNOW IF SOMEONE YOU KNOW WHO KNOWS WHERE ANYONE HAS BEEN +RES0099-078 SO NOBODY THAT YOU'RE AWARE OF WHO'S BEEN SICK THOUGH +RES0099-079 NO +RES0099-080 AND EVERYBODY AT HOME HAS BEEN OK +RES0099-081 AT HOME EVERYONE'S GOOD I KIND OF JUST DISTANCE MYSELF INTO LIKE ONE ROOM +RES0109-000 WHAT BRINGS YOU IN +RES0109-001 HI I'VE JUST HAD A RUNNY NOSE AND A COUGH FOR THE PAST WEEK +RES0109-002 OK SO FOR THE PAST WEEK YOU SAID DID THE COUGH START FIRST OR THE RUNNY NOSE +RES0109-003 IT STARTED WITH THE COUGH I USUALLY DON'T COME IN WHEN I HAVE SYMPTOMS LIKE THIS BUT I'VE JUST BEEN I JUST HEARD OF SOMEONE WHO PASSED AWAY DUE TO COVID AND I'M JUST LIKE VERY SCARED AND I JUST DECIDED TO COME IN +RES0109-004 FOR SURE THAT'S UNDERSTANDABLE WITH THE COUGH IS IT A DRY COUGH OR ARE YOU BRINGING UP SOME PHLEGM +RES0109-005 IT'S MOSTLY A DRY COUGH +RES0109-006 DRY COUGH OK AND IS IT PERSISTENT OR DOES IT COME AND GO +RES0109-007 IT COMES AND GOES IT DOES GET BETTER WHEN I TAKE LIKE OVER THE COUNTER MEDICATIONS FOR FOR LIKE +RES0109-008 THE ANTITUSSIVE PILLS OK AND DOES ANYTHING MAKE IT WORSE LIKE THE COLD AIR OR CERTAIN TIMES OF +RES0109-009 THE DAY OR LIKE WHEN YOU'RE LAYING DOWN THE COLD +RES0109-010 AIR DOES MAKE IT A LITTLE BIT WORSE OK AND HAVE YOU EXPERIENCED SOMETHING LIKE THIS IN THE PAST +RES0109-011 I USUALLY I I DO GET A COLD COUPLE TIMES A YEAR +RES0109-012 OK THAT MAKES SENSE AND ANY SHORTNESS OF BREATH +RES0109-013 NO NO I DON'T THINK SO +RES0109-014 NO ANY WHEEZINESS +RES0109-015 NO +RES0109-016 CHEST PAIN +RES0109-017 NO +RES0109-018 HOW ABOUT A STUFFY NOSE +RES0109-019 I DO HAVE A STUFFY NOSE +RES0109-020 OK WHEN YOUR NOSE DOES RUN DO YOU NOTICE THAT IT'S LIKE YELLOW IN +RES0109-021 COLOUR OR RED +RES0109-022 NO NO OK SO IT'S CLEAR +RES0109-023 IT'S CLEAR +RES0109-024 OK ANY CHANGES IN YOUR VISION OR HEARING +RES0109-025 NO +RES0109-026 SMELL OR TASTE +RES0109-027 I I CAN'T SMELL AS AS MUCH BUT I THINK MAYBE IT'S JUST BECAUSE MY NOSE IS SO STUFFY BUT ALSO THAT MADE ME A LITTLE BIT CONCERNED ABOUT COVID BUT NO PROBLEMS WITH TASTE +RES0109-028 OK GOOD ANY WEIGHT LOSS RECENTLY +RES0109-029 I'VE BEEN TRYING TO LOSE WEIGHT BUT NOTHING UNINTENTIONAL I GUESS +RES0109-030 OK AND THEN ANY FEVERS +RES0109-031 NO +RES0109-032 NO FEVERS OK ANY LIKE EXCESSIVE FATIGUE +RES0109-033 I AM TIRED BUT NOT I GUESS IT'S NOT TOO BAD +RES0109-034 OK AND HOW ABOUT LIKE RASHES +RES0109-035 NO I HAVEN'T NOTICED ANY +RES0109-036 NO RASHES OK ANY SORRY I ASKED YOU IF YOU HAD CHEST PAIN DO YOU EVER FEEL LIKE YOUR HEART'S RACING +RES0109-037 NO +RES0109-038 NO OK ANY CHANGES TO YOUR BOWEL MOVEMENTS +RES0109-042 NAUSEA OR VOMITING +RES0109-051 LIKE SPECIFIC JOINT PAINS OK AND THEN ANY MAJOR +RES0109-052 ILLNESSES THAT ARE LONGSTANDING I DON'T KNOW DOES DEPRESSION +RES0109-053 COUNT I DO HAVE DEPRESSION OK FOR SURE HOW WHEN WERE YOU DIAGNOSED WITH DEPRESSION +RES0109-054 WHEN I WAS FIFTEEN YEARS OLD +RES0109-055 FIFTEEN OK ARE YOU ON ANY MEDICATION +RES0109-056 I'M I'M ON PROZAC +RES0109-057 PROZAC OK AND WHEN WERE YOU DIAGNOSED PRESCRIBED THAT +RES0109-058 I'VE JUST BEEN ON DIFFERENT MEDICATIONS OVER THE PAST FEW YEARS THIS ONE SEEMS TO BE WORKING WELL I STARTED THIS ABOUT A YEAR AGO +RES0109-059 OK GOOD GOOD ANY ALLERGIES +RES0109-060 NO +RES0109-061 ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +RES0109-062 ANY FAMILY HISTORY OF LUNG OR HEART DISEASE +RES0109-073 AROUND ANY SICK PEOPLE RECENTLY I WENT TO I WENT GROCERY SHOPPING AND AND SOMEONE NEAR ME WAS COUGHING I WAS STILL LIKE SIX YOU KNOW I WAS AWAY FROM THEM BUT I DON'T LIKE I DON'T KNOW +RES0109-074 FOR SURE I THINK THAT YOU'RE IT'S FAIR THAT YOU'RE CONCERNED ABOUT THAT AND HOW ABOUT TRAVEL TO ANYWHERE +RES0109-075 NO I HAVEN'T TRAVELED ANYWHERE +RES0109-076 NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN +RES0109-077 NO +RES0109-078 NO OK SO WE'LL DO A COVID SWAB ANYWAYS TODAY BECAUSE YOUR SOME OF YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID AND YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS BUT IN THE MEANTIME YOU SHOULD SELF ISOLATE FOR FOURTEEN DAYS +RES0109-079 SURE +RES0109-080-1 BUT IT I THINK IT DOES REALLY SOUND LIKE YOU HAVE A COMMON COLD SO JUST LIKE ANOTHER VIRAL ILLNESS SO JUST TREAT IT SUPPORTIVELY YOU KNOW KEEP YOURSELF HYDRATED +RES0109-080-2 IF YOU FEEL LIKE YOU'RE GETTING A FEVER TAKE LIKE TYLENOL IF YOU HAVE LIKE PAIN LIKE A HEADACHE OR LIKE SINUS PRESSURE OR SOMETHING YOU CAN TAKE AGAIN AN ADVIL OR TYLENOL +RES0109-080-3 AND IF YOUR SYMPTOMS WORSEN OR IF YOU HAVE ANY NEUROLOGICAL SYMPTOMS THEN YOU SHOULD SEE THE ER +RES0109-081 RIGHT AWAY +RES0109-082 SURE OK SOUNDS GOOD +RES0109-083 GREAT +RES0119-000 SO WHAT BRINGS YOU IN HERE TODAY +RES0119-001-1 YEAH SO I BROUGHT MY SEVEN YEAR OLD DAUGHTER HERE BECAUSE SHE'S BEEN COUGHING A LOT OVER THE PAST TWO WEEKS SHE'S SHE SOUNDS WHEEZY AND I'M NOT TOO SURE WHAT'S GOING ON WITH HER SO +RES0119-001-2 SHE'S BEEN OFF SCHOOL CAUSE THEY THINK IT'S COVID WE GOT HER SWAB BUT BECAUSE SHE STILL HAS SYMPTOMS SHE CAN'T GO BACK TO SCHOOL SO HERE SHE IS +RES0119-002 OK AND WHEN DID THE COUGH START +RES0119-003 IT STARTED TWO WEEKS AGO +RES0119-004 OK AND WHEN DID THE WHEEZING START +RES0119-005 THAT STARTED ABOUT THE SAME TIME LIKE I SHOULD I SHOULD MENTION SHE DOES HAVE LIKE EPISODES LIKE THIS SHE'S HAD EPISODES LIKE THIS FOR THE PAST LIKE TWO YEARS BUT THEY USUALLY GO AWAY IN A COUPLE OF DAYS BUT THIS TIME IT'S IT'S TAKING A LOT LIKE A LOT LONGER TO GO AWAY +RES0119-006 OK SO IT'S BEEN HAS BEEN MORE THAN A WEEK YOU SAID +RES0119-007 IT'S BEEN CLOSE TO TWO WEEKS NOW +RES0119-008 TWO WEEKS OK AND WERE THESE SYMPTOMS BROUGHT ON BY ARE THEY USUALLY BROUGHT ON BY ANY KIND OF LIKE ACTIVITIES OR CAN THEY COME UP JUST BY THEMSELVES +RES0119-009 I FIND IT'S USUALLY WORSE IN THE WINTER AND IF SHE'S LIKE DOING SOME SORT OF LIKE EXTENSIVE PHYSICAL ACTIVITY SO IF SHE'S LIKE PLAYING TAG AND SHE'S RUNNING AROUND A LOT OR IF SHE'S LIKE AT HER GYM CLASS AND THEY'RE RUNNING +RES0119-010 OK AND THE COUGH THAT SHE'S HAVING IS IT LIKE A WET COUGH OR IS IT A IS IT A DRY COUGH +RES0119-011 IT'S A DRY COUGH +RES0119-012 OK AND AT ALL IS SHE BRINGING UP ANY YELLOWISH OR WHITE OR GREEN MATERIAL OR ANY BLOOD AT ALL +RES0119-015 THEY COME AND GO HER SYMPTOMS I GUESS COME AND GO +RES0119-016 THEY COME AND GO OK AND HOW MANY DAYS OF SCHOOL HAS SHE HAD TO MISS +RES0119-017 SHE'S MISSED ALMOST TWO WEEKS NOW +RES0119-018 WOW OK AND WHEN SHE'S AT HOME IS SHE IS SHE LIKE VERY TIRED IS SHE +RES0119-019 SHE'S PRETTY TIRED OUT SHE'S PRETTY TIRED OUT SHE'S BEEN DOING A LOT OF LIKE RESTING AND YOU KNOW WATCHING TV SHE'S NOT +RES0119-020 REALLY VERY ACTIVE RIGHT NOW OK AND HAVE HER SYMPTOM SYMPTOMS BEEN GETTING WORSE OVER THE LAST TWO WEEKS OR ARE THEY GETTING BETTER AT ALL +RES0119-021 I CAN'T YOU KNOW I CAN'T TELL IT COMES AND GOES SO IN THAT SENSE IT'S BEEN PRETTY CONSTANT THERE HASN'T BEEN A DAY WHEN SHE HASN'T HAD THESE SYMPTOMS +RES0119-022 OK AND DO THEY GET WORSE AT NIGHT AT ALL OR ARE THEY THE SAME THROUGHOUT THE DAY +RES0119-023 NOW THAT I THINK ABOUT IT WHEN SHE'S LAYING DOWN SHE DOES HAVE A HARD TIME +RES0119-024 OK AND IS SHE HAVING ANY OTHER SYMPTOMS AT ALL LIKE SHORTNESS OF BREATH OR SORE THROAT ANYTHING LIKE THAT +RES0119-025 NO SORE THROAT SHE SOUNDS WHEEZY SO SHE MIGHT HAVE LIKE SOME DIFFICULTY BREATHING BUT SHE DOESN'T SOUND SHORT OF BREATH +RES0119-026 OK AND ANY KIND OF RUNNY NOSE OR ANY OTHER SYMPTOMS AT ALL +RES0119-027 NO +RES0119-028 NO OK ANYTHING THAT HELPS HER OR MAKES HER SYMPTOMS BETTER +RES0119-029 NO NOTHING THAT WE'VE TRIED +RES0119-030 ANY RECENT TRAVEL AT ALL +RES0119-031 NO +RES0119-032 NO ANY FAINTING OR DIZZINESS SPELLS +RES0119-033 NO +RES0119-034 ANY FEVERS OR CHILLS +RES0119-035 NO +RES0119-036 ANY CHANGES IN HER BOWEL MOVEMENTS LIKE ANY CONSTIPATION DIARRHEA +RES0119-037 NO +RES0119-038 ANY URINARY PROBLEMS +RES0119-039 NO +RES0119-040 AND ANY ANY KIND OF DO THESE SYMPTOMS WAKE HER UP AT NIGHT AT ALL +RES0119-041 NO NO IT DOESN'T WAKE HER UP AT NIGHT IT JUST MAKES IT HARD FOR HER TO FALL ASLEEP +RES0119-042 I SEE IS SHE GETTING ENOUGH SLEEP LIKE HOW HOW HOW MANY HOURS WOULD YOU SAY ON AVERAGE SHE'S GETTING PER DAY +RES0119-043 I'D SAY SHE'S GETTING ABOUT SIX TO SEVEN HOURS SHE USED TO SLEEP ABOUT EIGHT HOURS BEFORE +RES0119-044 OK AND IS SHE HAVING ANY CHANGES IN HER APPETITE AT ALL +RES0119-045 I DON'T THINK SO NO +RES0119-046 NO +RES0119-047 NO +RES0119-048 ANY KIND OF CHANGES IN HER WEIGHT AT ALL OVER THE PAST FEW MONTHS +RES0119-049 I HAVEN'T CHECKED OVER THE PAST MONTH BUT BEFORE THAT NO NO CHANGES +RES0119-050 NO CHANGES OK AND HAS SHE BEEN SHE HAD LIKE A COLD OR ANYTHING LIKE THAT RECENTLY +RES0119-051 NO NOT THAT I CAN THINK OF +RES0119-052 OK HAS SHE BEEN AROUND ANYONE THAT'S BEEN SICK RECENTLY +RES0119-053 NO +RES0119-054 OK DOES SHE HAVE ANY PAST HISTORY OF ANY MEDICAL CONDITIONS AT ALL +RES0119-055 NO NO NOTHING LIKE THAT +RES0119-056 OK AND DOES SHE HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES +RES0119-057 I THINK SHE MIGHT HAVE SOME ENVIRONMENTAL ALLERGIES WE HAVEN'T GOTTEN HER OFFICIALLY TESTED THOUGH +RES0119-058 OK AND HAS SHE HAD ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +RES0119-059 WHEN SHE WAS A BABY WHEN SHE WAS FIRST BORN SHE WAS HOSPITALIZED FOR SOMETHING ABOUT HAVING LIKE NOT FULLY DEVELOPED LUNGS +RES0119-060 OK AND WAS SHE PREMATURE AT ALL OR WAS SHE BORN AFTER AT TERM +RES0119-061 SHE WAS SLIGHTLY PREMATURE I BELIEVE SHE'S THIRTY FOUR WEEKS +RES0119-062 THIRTY FOUR WEEKS OK AND WAS IT A VAGINAL DELIVERY OR WAS IT A C SECTION +RES0119-063 IT WAS VAGINAL +RES0119-064 VAGINAL OK WERE THERE ANY COMPLICATIONS DURING THE PREGNANCY OR AFTER SHE WAS BORN C +RES0119-065 NO COMPLICATIONS AFTER BESIDES THE HOSPITALIZATION FOR THE SMALL LUNGS +RES0119-066 OK AND IS THERE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS OR CANCERS +RES0119-067 NOPE NOTHING LIKE THAT +RES0119-068 HAS ANYONE IN THE FAMILY HAVE HAD ANY KIND OF ASTHMA ECZEMA ANYTHING LIKE THAT +RES0119-070 NO NO OK SO AND IN TERMS OF LIKE AT SCHOOL ARE THERE ANY KIND OF COMPLAINTS AND ANY ISSUES WITH HER DEVELOPMENT OVER THE LAST LAST FEW YEARS +RES0119-071 NO NOTHING LIKE THAT +RES0119-072 OK SO SHE'S BEEN GROWING WELL +RES0119-073 SHE'S BEEN GROWING WELL SHE'S BEEN GAINING WEIGHT LIKE A NORMAL AMOUNT AND SHE'S DOING WELL SHE WAS DOING WELL AT SCHOOL +RES0119-074 OK AND AT HOME WHAT IS +RES0119-075 THE ENVIRONMENT LIKE SHE LIVES AT HOME WITH BOTH OF US LIKE HER MOM AND HER DAD AND SHE HAS A YOUNGER SIBLING WHO IS FOUR YEARS OLD +RES0119-076 OK AND DOES ANYONE SMOKE IN THE HOUSE AT ALL +RES0119-077 NO NOT ANYMORE +RES0119-078 OK HOW LONG AGO DID SOMEONE SMOKE +RES0119-079 IT WAS SO HER DAD USED TO SMOKE AND HE STOPPED +RES0119-080 WHEN SHE WAS LIKE THREE OK THAT'S GOOD ANY KIND OF DUST OR MOLD OR ANIMALS +RES0119-081 ANYTHING IN THE HOUSEHOLD NO WE DON'T HAVE ANY PETS AND THE PLACE IS JUST RENOVATED SO NOTHING LIKE THAT +RES0119-082 OK ALRIGHT SO THOSE WERE JUST SOME OF THE QUESTIONS THAT I HAD FOR HER TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +RES0119-083 SO WHAT CAN WE DO FOR HER RIGHT NOW TO MAKE THESE SYMPTOMS GO AWAY +RES0119-084 SO WHAT WE SHOULD DO FOR HER RIGHT NOW IS SHE'S SEVEN YEARS OLD WHAT I'M THINKING RIGHT NOW WITH HER SYMPTOMS ESPECIALLY COMING ON AFTER EXERTION BEING WORSE IN THE WINTER SHE MAY HAVE ASTHMA +RES0119-086-1 AND ALTHOUGH SHE DOESN'T HAVE ANY FAMILY HISTORY OF IT IT CAN HAPPEN WITHOUT FAMILY HISTORY AS WELL SO WE WOULD LIKE TO TRY AND DO WHAT'S CALLED A PULMONARY FUNCTION TEST +RES0119-086-2 THAT WILL HELP US KIND OF UNDERSTAND IF SHE HAS ASTHMA OR NOT AND THEN WE CAN TRY HER ON IT'S CALLED A SHORT ACTING BETA AGONIST SO IT'S A PUFFER +RES0119-088-1 AND USUALLY WHEN SHE GETS THESE TYPES OF SYMPTOMS SHE CAN USE THE PUFFER TO HELP HER AND IF IT HELPS HER THEN IT'S MOST LIKELY THAT SHE DOES HAVE ASTHMA AND SHE WILL NEED +RES0119-088-2 THAT PUFFER AND THEN SHE MIGHT ALSO NEED ANOTHER PUFFER WHICH IS AN INHALED CORTICOSTEROID FOR THE FUTURE TO DECREASE THE LIKELIHOOD THAT THIS ASTHMA GETS WORSE IN THE FUTURE +RES0119-089 OK OK THANK YOU +RES0119-090 NO WORRIES SO SO WE'LL GET THOSE TESTS DONE AND THEN GO FROM THERE +RES0119-091 OK SOUNDS GREAT +RES0119-092 TAKE CARE +RES0119-093 YOU TOO +RES0129-000 WHAT BRINGS YOU IN +RES0129-001 I JUST BRINGING MY SON IN TODAY BECAUSE HE'S HAD THIS COUGH THAT'S BEEN GOING ON FOR A FEW DAYS NOW AND FOR THESE PAST TWO DAYS I'VE NOTICED THAT HE'S BEEN JUST TUGGING AT HIS EAR MORE AS WELL +RES0129-002 OK SO YOU SAID THE RUNNY NOSE STARTED TWO DAYS AGO +RES0129-003 HE HAD A COUGH COUGH AND RUNNY NOSE STARTED ABOUT TWO THREE DAYS AGO +RES0129-004 OKAY THE RUNNY NOSE WHAT COLOR IS THE DISCHARGE +RES0129-005 PRETTY CLEAR AND WATERY +RES0129-006 OK AND THE COUGHING IS IT DRY OR IS IT BRINGING UP ANY PHLEGM +RES0129-007 IT'S BEEN DRY +RES0129-008 IT'S BEEN DRY OK AND DOES IT SOUND HARSH +RES0129-009 NOT REALLY +RES0129-010 NO +RES0129-011 I DON'T KNOW IT SOUNDS KINDA LIKE A TYPICAL +RES0129-012 COUGH OK HAS HE LOST HIS SENSE OF TASTE OR SMELL +RES0129-013 HE'S BEEN A BIT MORE IRRITABLE AND NOT EATING AS MUCH BUT I'M NOT SURE +RES0129-014 OK HOW ABOUT CHANGES IN HIS VISION OR HEARING +RES0129-015 NO +RES0129-016 OK ANY FEVERS +RES0129-017 I DON'T THINK SO BUT HE WE HAVEN'T CHECKED AND HE'S BEEN AS I SAID KINDA A LITTLE BIT IRRITABLE +RES0129-018 OK ANY WEIGHT LOSS RECENTLY +RES0129-019 NO HE'S BEEN GAINING WEIGHT ACTUALLY SORRY I THINK IT HE HAS HAD A FEVER THE FEVER THE FEVER STARTED LIKE YESTERDAY +RES0129-020 OH OK DID YOU TAKE HIS TEMPERATURE +RES0129-021 MY MY WIFE JUST TEXTED ME AND TOLD ME THAT SHE CHECKED IT CHECKED IT AND SAID IT WAS OVER THIRTY EIGHT +RES0129-022 OH OK WE'LL DEFINITELY TAKE A TEMPERATURE HERE AS WELL JUST TO MAKE SURE HAS HE HAD ANY RASHES +RES0129-023 NO +RES0129-024 NO RASHES OK AND HOW ABOUT SHORTNESS OF BREATH OR WHEEZING +RES0129-025 NO I HAVEN'T HEARD THAT +RES0129-026 NO OK AND THEN HAVE YOU ACTUALLY TAKEN A LOOK INTO HIS EARS +RES0129-027 NO I HAVEN'T HE HAS JUST BEEN TUGGING AT THE RIGHT ONE +RES0129-028 IS HE ITCHING IT AT ALL +RES0129-029 I GUESS JUST KIND OF LIKE REALLY RUBBING IT AROUND THE OUTSIDE AND PULLING ON THE LOBE A LITTLE BIT +RES0129-030 OK ANY DISCHARGE OH SORRY GO AHEAD +RES0129-031 SORRY I'M JUST GONNA SAY HE'S BEEN KIND OF FUSSY AND POINTING AT IT AND NO DISCHARGE FROM THE EAR +RES0129-032 NO DISCHARGE OK DOES IT LOOK SWOLLEN +RES0129-033 NO THE OUTSIDE OF THE EAR LOOKS NORMAL +RES0129-034 OK OK AND HOW HAVE HIS BOWEL MOVEMENTS BEEN +RES0129-035 THAT'S BEEN NORMAL +RES0129-036 NORMAL ANY CHANGES IN HIS URINE +RES0129-037 NO IT'S BEEN NORMAL +RES0129-038 NAUSEA OR VOMITING +RES0129-039 NOPE +RES0129-040 HEADACHES +RES0129-041 NO I DON'T THINK SO +RES0129-042 OK HOW ABOUT DIZZINESS OR FAINTING SPELLS +RES0129-043 NO +RES0129-044 NO ANY CONFUSION OR MEMORY LOSS +RES0129-045 NO I DON'T THINK SO +RES0129-046 NO OK IS HE AN OTHERWISE HEALTHY CHILD +RES0129-047 HE HE IS I MEAN HE ABOUT SIX MONTHS AGO HE HAD CROUP I THINK BUT HE RECOVERED QUICKLY FROM THAT +RES0129-048 AND HE DIDN'T NEED TO BE HOSPITALIZED OR ANYTHING OK +RES0129-049 AND HIS MOTHER'S PREGNANCY WITH HIM WAS IT COMPLICATED IN ANY WAY SHE HAD GESTATIONAL DIABETES BUT OK IT WAS DIET CONTROLLED +RES0129-050 AND SHE'S HEALTHY NOW FROM THAT +RES0129-051 PERSPECTIVE OK OK THAT'S GOOD AND +RES0129-065 DOES HE HAVE ANY ALLERGIES I DON'T THINK SO +RES0129-066 NO OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +RES0129-068 NO NO OK DOES ANYONE AT HOME SMOKE +RES0129-069 I DO BUT NOT LIKE IN THE HOUSE OR ANYTHING LIKE THAT USUALLY JUST WELL IT WILL ALWAYS BE EITHER OUTSIDE OR WHEN I'M AT WORK +RES0129-070 OK OK ANY OLD CARPET DUST MOLD ASBESTOS ANYTHING LIKE THAT IN YOUR HOME +RES0129-071 NO +RES0129-072 NO OK WHO DOES HE LIVE WITH +RES0129-073 SO HE LIVES WITH ME IT'S JUST ME AND MY WIFE +RES0129-074 OK ANY PETS AT HOME +RES0129-075 WE HAVE A +RES0129-076 A DOG OK HAS HE BEEN IN +RES0129-077 CONTACT WITH ANYONE SICK RECENTLY +RES0129-078 NOT THAT I CAN +RES0129-083 NO JUST WAS WONDERING WHAT WHAT MIGHT BE GOING ON +RES0129-084-1 YEAH FOR SURE SO RIGHT NOW IT SOUNDS LIKE A VIRAL PICTURE IT SOUNDS LIKE HE HAS A COLD AND POSSIBLY AN EAR INFECTION I'D HAVE TO TAKE A LOOK INTO HIS EAR TO BE ABLE TO TELL MORE +RES0129-084-2 BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE OF COVID WE'LL PROBABLY DO A SWAB AND YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS +RES0129-084-3 AND SO AFTER I TAKE A LOOK INTO HIS EARS WE CAN DO ONE OF A COUPLE OF THINGS SO IF HIS TYMPANIC MEMBRANE LOOKS LIKE IT'S BEEN PERFORATED OR IF THERE'S PUS IN THERE THEN WE'LL PRESCRIBE HIM A TEN DAY COURSE OF ANTIBIOTICS +RES0129-084-4 AND IF I SEE LIKE MIDDLE EAR EFFUSION OR HIS TYMPANIC MEMBRANES BULGING AND HE SEEMS REALLY SICK LIKE HE HAS A HIGH FEVER WHAT SHE DOES I WILL AGAIN PRESCRIBE HIM TEN DAYS OF ANTIBIOTICS +RES0129-084-5 AND IF HE HAS A MIDDLE EAR EFFUSION OR A BULGING TYMPANIC MEMBRANE JUST ONE OF THOSE TWO +RES0129-084-6 AND HE DOESN'T SEEM TO BE TOO SICK WE CAN REASSESS HIM IN TWENTY FOUR TO FORTY EIGHT HOURS AN ANTIBIOTIC THAT WE USUALLY PRESCRIBE IS AMOXICILLIN HOW DOES THAT SOUND +RES0129-085 THAT SOUNDS REALLY GOOD THANK YOU +RES0129-086 OK NO WORRIES TAKE CARE +RES0139-000 WHAT BRINGS YOU IN HERE TODAY +RES0139-001 I'M JUST I'M HERE BECAUSE I'VE HAD THIS COUGH FOR THE PAST TWO WEEKS AND IT'S JUST NOT GOING AWAY +RES0139-002 OKAY AND IS IT GETTING WORSE AT ALL REALLY +RES0139-003 NOT REALLY IT'S JUST BEEN THE SAME +RES0139-004 HOW WOULD YOU DESCRIBE THE COUGH IS IT A WET COUGH OR A DRY COUGH +RES0139-005 IT'S A DRY COUGH +RES0139-006 OKAY ARE YOU BRINGING UP ANY SPUTUM OR BLOOD AT ALL +RES0139-008 WOULD YOU DESCRIBE IT AS LIKE A A BARKING COUGH A HARSH COUGH OR A MUFFLED COUGH +RES0139-009 NOT REALLY +RES0139-010 NO OKAY BEFORE YOU STARTED COUGHING DID YOU HAVE ANY OTHER SYMPTOMS LIKE RUNNY NOSE CONGESTION SORE THROAT ANYTHING LIKE THAT +RES0139-011 NO +RES0139-012 OKAY SO IT'S JUST THE COUGH +RES0139-013 OKAY ANY FEVERS OR CHILLS +RES0139-014 NOPE +RES0139-015 AND IS THE COUGH CONSTANT OR DOES IT COME AND GO +RES0139-016 IT I GUESS IT'S JUST IT'S THERE THROUGHOUT THE DAY +RES0139-017 IT'S THERE THROUGHOUT THE DAY OKAY AND IS IT BROUGHT ON BY ANY ACTIVITIES OR OR DOES IT JUST COME ON BY ITSELF +RES0139-018 IT COMES ON BY ITSELF +RES0139-019 OKAY AND HAS IT GOTTEN ANY BETTER AT ALL OR STAYED AROUND THE SAME +RES0139-020 IT'S STAYED THE SAME +RES0139-021 OKAY HAS THIS HAPPENED TO YOU BEFORE WHERE YOU HAD A COUGH FOR A LONG TIME +RES0139-022 NO +RES0139-023 NO OKAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE CHEST PAIN SORE THROAT +RES0139-025 OKAY ANY RECENT TRAVEL OR CONTACT WITH ANYONE THAT'S BEEN SICK +RES0139-026 I DON'T THINK SO NO I JUST WENT TO MY I WENT TO SEE MY FAMILY DOCTOR FOR SOME PRESCRIPTIONS +RES0139-027 OKAY +RES0139-028 THREE WEEKS AGO +RES0139-029 THREE WEEKS AGO OKAY ANY HEADACHES AT ALL +RES0139-030 NO +RES0139-031 ANY NAUSEA OR VOMITING +RES0139-032 NO +RES0139-033 ANY NIGHT SWEATS +RES0139-034 NO NOTHING LIKE THAT +RES0139-035 ANY FATIGUE AT ALL +RES0139-036 NO +RES0139-037 NO ANY SHORTNESS OF BREATH +RES0139-038 NO +RES0139-039 AND NO CHEST PAIN +RES0139-040 NO +RES0139-041 ANY DIARRHEA OR CONSTIPATION +RES0139-042 NO +RES0139-043 OKAY ANY WHEEZING AT ALL +RES0139-044 NO +RES0139-045 ANY CHANGES IN YOUR WEIGHT RECENTLY +RES0139-046 NO NO I DON'T THINK SO +RES0139-047 ANY CHANGES SORRY ANY ISSUES WITH YOUR URINATION +RES0139-048 NO +RES0139-049 ARE YOU SLEEPING WELL OR DOES THE COUGH KEEP YOU UP AT NIGHT +RES0139-050 IT'S IT'S NOT SO IT HASN'T INTERRUPTED MY SLEEP +RES0139-051 OKAY AND HOW'S YOUR APPETITE BEEN LIKE +RES0139-052 NO EVERYTHING'S OKAY +RES0139-053 OKAY AND ANY LOSS OF YOUR SENSE OF TASTE OR SMELL +RES0139-055 ANY EXPOSURE TO ANY FUMES OR DUST WITHIN YOUR ENVIRONMENT OR ANIMALS OR PETS +RES0139-056 NO +RES0139-057 AND OTHERWISE DO YOU HAVE ANY MEDICAL CONDITIONS LIKE ASTHMA COPD ANYTHING LIKE THAT +RES0139-058 I WENT IN FOR I WENT IN FOR A CHECKUP THREE WEEKS AGO AND I FOUND OUT I HAD HIGH BLOOD PRESSURE YOU KNOW WHO WOULD HAVE THOUGHT AND THEN MY DOC STARTED ME ON THIS PILL CALLED RAMIPRIL AND I'VE JUST BEEN CHECKING MY BLOOD PRESSURE ON A REGULAR BASIS AND IT'S IT'S BEEN GOOD BUT OTHER THAN THAT I'M VERY HEALTHY +RES0139-059 OKAY AND NO ASTHMA +RES0139-060 NO ASTHMA +RES0139-061 OKAY AND ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES +RES0139-062 JUST PENICILLIN +RES0139-063 JUST PENICILLIN AND HAVE YOU TAKEN ANY ANTIBIOTICS OR PENICILLIN RECENTLY +RES0139-064 NO +RES0139-065 NO AND WHAT MEDICATIONS ARE YOU ON +RES0139-066 JUST JUST THAT ONE +RES0139-067 JUST THE RAMIPRIL +RES0139-068 I ALSO TAKE I ALSO TAKE A MULTIVITAMIN +RES0139-069 MULTIVITAMIN OKAY HAVE YOU BEEN HOSPITALIZED BEFORE OR HAD ANY SURGERIES +RES0139-071 ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +RES0139-072 NO NO I DON'T THINK SO +RES0139-073 OKAY ANY CANCERS +RES0139-074 PANCREATIC CANCER AND COLON CANCER RUNS IN THE FAMILY +RES0139-075 OKAY AND IS THAT ANY DIRECT RELATIVES LIKE YOUR MOM OR DAD OR KIDS +RES0139-076 MY MY GRANDPARENTS ON MY MOM'S SIDE +RES0139-077 AND CURRENTLY DO YOU WORK OR ARE YOU RETIRED +RES0139-078 I'M A LAWYER +RES0139-079 OKAY AND DO YOU WORK FROM HOME RIGHT NOW OR DO YOU GO IN PERSON +RES0139-080 I'VE BEEN WORKING FROM HOME +RES0139-081 YOU'VE BEEN WORKING FROM HOME OKAY AND WHAT'S YOUR HOME SITUATION LIKE RIGHT NOW DO YOU LIVE WITH ANYONE DO YOU LIVE IN A HOUSE OR AN APARTMENT +RES0139-082 I LIVE I LIVE IN AN APARTMENT I I LIVE ALONE I JUST GOT I HAD A DIVORCE TWO YEARS AGO AND SINCE THEN I'VE BEEN I'VE BEEN LIVING ALONE +RES0139-083 OKAY I'M SORRY AND IS IN YOUR HOME ENVIRONMENT IS THERE ANY KIND OF ALLERGENS LIKE DUST OR ANY MOLD OR ANYTHING LIKE THAT +RES0139-084 NO NOTHING LIKE THAT +RES0139-085 OKAY AND CURRENTLY DO YOU SMOKE AT ALL +RES0139-086 SOMETIMES +RES0139-087 SOMETIMES HOW OFTEN WOULD YOU SAY YOU SMOKE +RES0139-088 MAYBE TWO OR THREE CIGARETTES MAYBE THREE OR FOUR DAYS A WEEK +RES0139-089 OKAY AND HOW LONG HAVE YOU BEEN SMOKING FOR +RES0139-090 SO I I USED TO SMOKE A LOT WHEN I WAS YOUNG AND THEN I QUIT AND THEN I STARTED AGAIN TWO YEARS AGO +RES0139-091 OKAY OKAY AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +RES0139-092 NO I DON'T +RES0139-093 OKAY AND DO YOU DRINK ALCOHOL +RES0139-094 HOW MUCH WOULD YOU SAY YOU DRINK ON AN AVERAGE DAY +RES0139-095 MORE THAN I WOULD LIKE TO MENTION I I MAYBE FIVE OR SIX BEERS A DAY +RES0139-096 OKAY AND IS THIS SOMETHING THAT'S NEW FOR YOU OR HAS BEEN GOING ON FOR YEARS NOW +RES0139-097 AGAIN THAT STARTED ABOUT TWO YEARS AGO SO +RES0139-098 AND DO YOU USE SO NO OTHER RECREATIONAL DRUGS RIGHT +RES0139-099 NO NOTHING ELSE +RES0139-100 SO WE CAN DEFINITELY TALK MORE ABOUT ALCOHOL USAGE DEFINITELY ESPECIALLY WHEN THERE'S PEOPLE GOING THROUGH STRESSFUL TIMES THERE CAN BE INCREASING SUBSTANCE USE INCLUDING ALCOHOL SO WE DEFINITELY HAVE A LOT OF RESOURCES THAT WE CAN DISCUSS TODAY IF YOU WOULD LIKE +RES0139-101 I WOULD REALLY LIKE THAT THANK YOU +RES0139-102 YOU'RE WELCOME BUT THOSE ARE ALL THE QUESTIONS I HAD FOR TODAY WE'LL DEFINITELY DO LIKE A PHYSICAL EXAMINATION BUT IT SEEMS YOU'VE JUST BEEN HAVING A COUGH FOR THE LAST TWO WEEKS +RES0139-103 WITHOUT ANY OTHER SYMPTOMS OKAY SO DO YOU HAVE ANY QUESTIONS AT ALL FOR ME +RES0139-104 NO +RES0139-105 SO WHAT WE'LL DO IS SINCE YOU'VE HAD THIS COUGH FOR THE LAST TWO WEEKS WE DEFINITELY WANT TO DO A COVID SWAB JUST IN CASE YOU'VE BEEN WORKING FROM HOME BUT IF THERE WAS ANY POTENTIAL CONTACT THEY USUALLY IT COMES BACK IN TWENTY FOUR TO FORTY EIGHT HOURS +RES0139-107-1 OTHER THAN THAT SOMETIMES WITH A HISTORY OF SMOKING YOU CAN HAVE SOMETHING CALLED COPD WE CAN LIKE AFTER THE PHYSICAL EXAMINATIONS AND EVERYTHING WE CAN POTENTIALLY DISCUSS DOING PULMONARY FUNCTION TESTS AS WELL +RES0139-107-2 AND YEAH OTHER THAN THAT IT CAN ALSO JUST BE LIKE A DRY COUGH CAN BE JUST A VIRAL UPPER RESPIRATORY TRACT INFECTION THAT TAKES TWO OR MORE WEEKS TO RESOLVE IN THAT CASE WE WOULDN'T REALLY +RES0139-109 SURE SO WE'LL DO THE PHYSICAL EXAMINATION AND THEN GO FROM THERE +RES0139-110 SOUNDS GREAT +RES0139-111 TAKE CARE +RES0149-000 HOW MAY I HELP YOU +RES0149-001-1 HI I I JUST DEVELOPED OR I GUESS I JUST STARTED HAVING DIFFICULTIES WITH BREATHING STARTING THIS MORNING +RES0149-001-2 IT WAS JUST VERY ODD I WAS FINE YESTERDAY NIGHT AND THEN JUST THIS MORNING I'VE HAD A REALLY HARD TIME BREATHING AND I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT I DON'T KNOW WHAT'S GOING ON +RES0149-002 CERTAINLY AND SO LIKE DID THIS SHORTNESS OF BREATH WAKE YOU LIKE DID YOU WAKE UP LIKE JUST LIKE TO KIND OF SIT UP TO CATCH YOUR BREATH OR WHEN DID THE SHORTNESS OF BREATH START +RES0149-003 IT WAS KIND OF AFTER I WOKE UP AND I WAS SORT OF JUST WALKING AROUND THAT I I NOTICED THAT I WAS FEELING SHORT OF BREATH JUST WALKING AROUND WHICH WAS SO WEIRD YOU KNOW THAT THAT DOESN'T REALLY HAPPEN TO ME +RES0149-004 OK AND WITH THIS WITH THE SHORTNESS OF BREATH HAVE YOU HAD HAD A COUGH +RES0149-009 AND HAVE YOU BEEN HAVING ANY ANY CHEST PAIN I KIND OF I GUESS IT JUST HURTS A LITTLE BIT WHEN I TAKE A +RES0149-010 WHEN I BREATHE IN OK IS IS THIS PAIN WHEN YOU TAKE A DEEP BREATH IN +RES0149-011 I GUESS SO +RES0149-012 AND WHERE DO YOU FEEL THE PAIN +RES0149-013 IT'S KIND OF ON MY RIGHT SIDE +RES0149-014 OK DOES THE PAIN LIKE RADIATE ANYWHERE OR DO YOU FEEL IT JUST IN THAT ONE SPOT +RES0149-015-1 IT'S JUST IT'S JUST IN THAT ONE SPOT IT'S JUST THIS SUDDEN AND LIKE LIKE THIS STABBING SENSATION WHEN I'M LIKE TAKING A BREATH IN +RES0149-015-2 ACTUALLY NOW THAT I THINK ABOUT IT IT'S IT'S KIND OF THERE EVEN WHEN I'M LIKE BREATHING NORMAL BUT IT'S NOT AS BAD WHEN I TAKE A DEEP BREATH IT'S LIKE REALLY REALLY BAD OR WHEN I +RES0149-015-3 YEAH WHEN I LIKE COUGH OR LIKE I'M LAUGHING OR SOMETHING IT JUST GETS REALLY BAD +RES0149-016 AND WHEN DID YOU FIRST NOTICE THIS PAIN +RES0149-017 KIND OF LATE THIS MORNING +RES0149-018 OK HAVE YOU TRIED ANYTHING FOR A FOR THE PAIN +RES0149-019 I DON'T KNOW IT'S JUST I JUST TRY NOT TO TAKE DEEP BREATHS I'M JUST TRYING TO JUST TAKE A NORMAL BREATH AND TRY NOT TO TALK TOO MUCH AND JUST LIKE NOT DOING ANYTHING THAT WORSENS THE PAIN +RES0149-020 OK I SEE AND DID YOU HAVE ANY TRAUMA TO THAT TO THAT AREA RECENTLY LIKE A CAR ACCIDENT OR I DON'T KNOW GETTING HIT IN THE RIBS OR ANYTHING LIKE THAT +RES0149-021 NO NO I DIDN'T +RES0149-022 OK AND HAVE YOU HAD ANY EPISODES WHERE OR ACTUALLY RATHER LIKE DO YOU HAVE ANY ISSUES WITH LYING FLAT AND HAVING SHORTNESS OF BREATH +RES0149-023 NO +RES0149-024 OK AND HAVE YOU HAD ANY HEADACHES +RES0149-025 NO +RES0149-026 HAVE YOU HAD ANY FEVERS OR CHILLS +RES0149-027 NO I DON'T THINK SO +RES0149-028 OK AND HAVE YOU HAD ANY NIGHT SWEATS +RES0149-029 NO +RES0149-030 HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY I MEAN LIKE OVER THE LAST SEVERAL MONTHS +RES0149-031 NO +RES0149-032 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0149-033 NO +RES0149-034 HOW ABOUT ANY CHANGES TO YOUR SENSE OF TASTE OR YOUR SENSE OF SMELL +RES0149-035 NO THOSE ARE OK +RES0149-036 ALRIGHT AND HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT +RES0149-037 NO +RES0149-038 ALRIGHT AND HAVE YOU HAD ANY DIARRHEA +RES0149-039 NO +RES0149-040 HOW ABOUT ANY URINARY PROBLEMS +RES0149-041 NO +RES0149-042 AND HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES +RES0149-043 NO +RES0149-044 OK AND HOW ABOUT ANY MUSCLE ACHES OR BODY PAINS +RES0149-045 I KIND OF HAVE IT'S JUST MY LEFT LEG HURTS A LITTLE BIT I'M NOT QUITE SURE WHY BUT NOTHING ELSE +RES0149-046 OK WHEREABOUTS WHERE DOES IT HURT ON YOUR LEFT LEG +RES0149-047 KIND OF IN THE CALF AREA +RES0149-048 OK IS IT IS IT SWOLLEN OR HAVE YOU NOTICED ANY REDNESS OF THE SKIN THERE +RES0149-049 IT IS IT IS SWOLLEN ACTUALLY COMPARED TO MY RIGHT LEG IT'S A LITTLE BIT WARM TOO +RES0149-050 OK HAVE YOU HAD ANY LIKE PERIODS OF TIME WHERE YOU WERE BEDRIDDEN OVER THE LAST SEVERAL DAYS +RES0149-052 OR LAST SEVERAL WEEKS NO OK ANY SURGERIES RECENTLY +RES0149-053 NO +RES0149-054 ALRIGHT AND HAVE YOU TRAVELED ANYWHERE OVER ANY LONG DISTANCES RECENTLY +RES0149-055 OH I CAME BACK TWO DAYS AGO I WENT TO I WENT TO INDIA TO VISIT MY FAMILY THERE WAS A DEATH SO HAD TO TO GO I CAME BACK TWO DAYS AGO +RES0149-056 OK THAT'S QUITE A LONG FLIGHT AND I'M SORRY TO HEAR ABOUT THE LOSS OF THE FAMILY OK OH AND THAT REMINDS ME HAVE YOU COUGHED UP ANY BLOOD AT ALL +RES0149-057 NO +RES0149-058 OK AND I JUST WANTED TO SWITCH GEARS A LITTLE BIT AND ASK ABOUT YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +RES0149-059 I I'VE HAD ANXIETY AND THAT'S THAT'S ABOUT IT I HAD ASTHMA AS A CHILD BUT NOTHING SINCE THEN +RES0149-060 I SEE AND DO YOU TAKE ANY MEDICATIONS FOR ANXIETY OR HAVE YOU +RES0149-061 NO I'M JUST TRYING TO JUST TRYING TO REDUCE MY STRESS AND AND TRYING OTHER OTHER WAYS TO SORT OF HANDLE MY ANXIETY BEFORE I I'M JUST TRYING TO AVOID BUILDS ACTUALLY +RES0149-062 I SEE OK SO DO YOU TAKE ANY MEDICATIONS LIKE EITHER PRESCRIBED OR OVER THE COUNTER +RES0149-063 NO +RES0149-064 DO YOU HAVE ANY ALLERGIES TO TO MEDICATIONS OR OR ENVIRONMENTAL +RES0149-065 NO +RES0149-066 ALRIGHT AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR ANY HOSPITALIZATIONS +RES0149-067 I HAD MY APPENDIX REMOVED WHEN I WAS THIRTY YEARS OLD +RES0149-068 OK AND ANY COMPLICATIONS WITH THAT +RES0149-069 NO +RES0149-070 ALRIGHT AND CURRENTLY WHEREABOUTS ARE YOU LIVING +RES0149-071 AND WHO ARE YOU LIVING WITH I'M JUST LIVING WITH MY SISTER AND WE WE LIVE IN AN APARTMENT TOGETHER +RES0149-072 OK AND HAS SHE BEEN SICK OR HAVE YOU BEEN ANY AROUND ANYBODY WHO'S BEEN SICK +RES0149-073 NO +RES0149-074 OK AND ANY POTENTIAL EXPOSURES TO TB EITHER IN YOUR ON YOUR TRAVELS OR OR ANYBODY THAT YOU THAT YOU KNOW OF +RES0149-075 I DON'T THINK SO +RES0159-000 WHAT BRINGS YOU IN TODAY +RES0159-001 HI SO I JUST CAME IN TODAY I'VE KIND OF PUT IT OFF FOR A BIT BUT I'VE BEEN HAVING THIS COUGH FOR THE LAST FIVE TO SIX MONTHS AND IT SEEMS TO BE GETTING WORSE AND OVER THE LAST MONTH I'VE ALSO BEEN BECOMING MORE SHORT OF BREATH SO I JUST WANTED TO COME AND CHECK IF I NEED TO DO ANYTHING +RES0159-002 THAT THAT IT'S IT'S REALLY GOOD THAT YOU DECIDED TO COME IN HOW BAD IS YOUR SHORTNESS OF BREATH +RES0159-003 SO USUALLY LIKE I I WOULD BE ABLE TO WALK A FEW BLOCKS NO PROBLEM BUT NOW I HAVE TO TAKE A BREAK AND CATCH MY BREATH AND EVEN GOING UP AND DOWN STAIRS HAS BEEN TOUGH +RES0159-004 DO YOU FEEL THAT DO YOU FEEL THAT YOUR DIFFICULTY WITH BREATHING IS WORSE WHEN YOU'RE EXERTING YOURSELF +RES0159-005 IT'S DEFINITELY WORSE BUT I ALSO JUST LIKE NORMALLY EVEN WHEN I'M RESTING I FEEL LIKE I HAVE TO TAKE IN LIKE MUCH DEEPER BREATHS +RES0159-006 DO YOU EVER WAKE UP IN THE MIDDLE OF THE NIGHT GASPING FOR AIR +RES0159-007 NO NOTHING LIKE THAT +RES0159-008 DO YOU FEEL LIKE YOU HAVE TO RAISE YOUR HEAD OR HAVE MULTIPLE PILLOWS TO SLEEP AT NIGHT SO YOU DON'T FEEL SHORT OF BREATH +RES0159-009 NO NOTHING LIKE THAT +RES0159-010 OK AND THIS COUGH THAT YOU'VE HAD FOR THE PAST FIVE OR SIX MONTHS DID YOU SAY IT'S GETTING WORSE +RES0159-011 IT IT'S BOTH THE SHORTNESS OF BREATH AND THE COUGH ARE GETTING WORSE AND ALSO JUST I'VE BEEN HAVING SOME EVEN SOME DISCOMFORT AND PAIN WHEN TAKING THOSE DEEP BREATHS NOW TOO SO AND THAT'S BEEN HAPPENING FOR PROBABLY THE LAST COUPLE WEEKS +RES0159-012 I SEE IS IT A DRY COUGH THAT YOU HAVE OR OR DO YOU BRING UP ANY GUNK OR ANY MUCUS +RES0159-013 IT'S MAINLY JUST A LIKE A LIKE A DRY COUGH +RES0159-014 HAVE YOU EVER COUGHED UP ANY BLOOD OR ANYTHING LIKE THAT +RES0159-015 NO I HAVEN'T I DON'T THINK I'VE SEEN ANY BLOOD +RES0159-016 OK DO YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE ANY FEVERS OR CHILLS +RES0159-017 NOT FEVERS BUT I I HAVE BEEN GETTING NIGHT SWEATS FOR THE LAST COUPLE WEEKS TO MAYBE EVEN A MONTH OR ONCE OR TWICE A WEEK I JUST WAKE UP COMPLETELY DRENCHED +RES0159-018 AND HAVE YOU HAD ANY UNINTENTIONAL WEIGHT LOSS +RES0159-019 NOW THAT YOU MENTION IT I PROBABLY LOST FIFTEEN POUNDS IN THE LAST TWO MONTHS +RES0159-020 OK HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS ALL OVER YOUR BODY DO YOU FEEL ACHY +RES0159-021 BUT I'VE PROBABLY FELT LIKE THAT FOR THE LAST FIVE YEARS SO I HAVE OSTEOARTHRITIS +RES0159-022 OK +RES0159-023 SO I DON'T THINK THAT'S ANYTHING NEW +RES0159-024 HAVE YOU HAD ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS +RES0159-025 NO +RES0159-026 ANY ABDOMINAL PAIN +RES0159-027 NO NOT THAT I'VE NOTICED +RES0159-028 OK ANY HEADACHES +RES0159-029 NO NOTHING LIKE THAT +RES0159-030 OK HAVE YOU HAD ANY FALLS IN THE PAST OR IN THE PAST COUPLE OF MONTHS OR YEARS +RES0159-031 NO NO I'VE BEEN LUCKY +RES0159-032 GOOD ANY CONFUSION +RES0159-033 NOPE +RES0159-034 ANY TIME WHEN YOU'VE LOST CONSCIOUSNESS +RES0159-035 NOT THAT I KNOW OF NO OK +RES0159-036 AND ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0159-037 SO I HAVE OSTEOARTHRITIS AND THEN I ALSO HAVE THIS CONDITION WITH MY PROSTATE BPH AND I ALSO TAKE MEDICATIONS FOR MY BLOOD PRESSURE +RES0159-038 WHAT MEDICATIONS DO YOU TAKE +RES0159-039 I TAKE THIS MEDICATION CALLED LISINOPRIL +RES0159-041 I DO TAKE JUST PAIN MEDICATIONS LIKE ADVIL +RES0159-042 OK DO YOU TAKE ANYTHING TO PROTECT YOUR STOMACH WHEN YOU'RE TAKING THE ADVIL ANY OTHER MEDICATIONS +RES0159-043-1 YEAH I WAS GIVEN THIS OTHER MEDICATION FOR FOR TO TAKE WITH MY ADVIL LIKE BUT IT'S ONLY WHEN I'M TAKING ADVIL LIKE EVERYDAY +RES0159-043-2 AND I HAVEN'T REALLY BEEN TAKING THAT I PROBABLY TOOK THE LAST TIME I TOOK IT WAS PROBABLY A MONTH AGO +RES0159-044 OK OK THAT'S GOOD ARE YOU TAKING ANYTHING FOR YOUR BPH +RES0159-045 OH SORRY SO I'M TAKING THIS MEDICATION CALLED TAMSULOSIN +RES0159-046 OK ALRIGHT ANY ALLERGIES TO MEDICATIONS OR OTHERWISE +RES0159-047 MOT THAT I KNOW OF NO +RES0159-048 OK ANY I GUESS SOCIAL HISTORY WHO DO YOU CURRENTLY LIVE WITH +RES0159-049 I LIVE ALONE RIGHT NOW IN MY APARTMENT I BUT I HAVE PRETTY GOOD SUPPORT FROM MY KIDS THEY JUST LIVE A FEW BLOCKS AWAY AND COME VISIT ME +RES0159-050 THAT'S GOOD THAT'S REALLY GOOD AND DO YOU ARE YOU ABLE TO TAKE CARE OF YOURSELF OR DO YOU NEED HELP WITH THINGS LIKE FINANCES AND GROCERIES AND CLEANING +RES0159-051 NO I'M I'M FAIRLY INDEPENDENT IN THOSE MATTERS +RES0159-052 OK DO YOU REQUIRE ANY ASSISTANCE WITH WALKING ANY CANE OR WALKER OR WHEELCHAIR ANYTHING LIKE THAT +RES0159-053 NO NOT YET +RES0159-054 OK GOOD GOOD DO YOU SMOKE AT ALL OR DID YOU EVER SMOKE IN THE PAST +RES0159-055 I'VE BEEN SMOKING FOR MY WHOLE LIFE +RES0159-056 HOW LONG AND HOW MUCH AND FOR HOW MANY YEARS +RES0159-057-1 PROBABLY FOR ALMOST I GUESS FIFTY YEARS OR MAYBE EVEN MORE MAYBE LIKE FIFTY FIVE YEARS AND I'VE BEEN SMOKING +RES0159-057-2 AT ONE POINT I EVEN SMOKED UP TO LIKE TWO TWO PACKS A DAY BUT NOW LIKE FOR THE LAST AT LEAST TWENTY THIRTY YEARS IT'S BEEN LIKE ONE PACK A DAY +RES0159-058 OK HAVE YOU EVER BEEN DIAGNOSED WITH ANY LUNG CONDITIONS +RES0159-059 NO +RES0159-060 OK HAVE YOU HAD ANY MARIJUANA OR ANY RECREATIONAL DRUGS +RES0159-061 NO NOTHING LIKE THAT +RES0159-062 ALCOHOL +RES0159-063 NOPE +RES0159-064 OK ALRIGHT YOU MENTIONED THAT THE COUGH STARTED FIVE TO SIX MONTHS AGO HAVE YOU HAD A COUGH BEFORE THAT +RES0159-065 IT'S HERE AND THERE LIKE MAYBE JUST WHEN I WAKE UP SOMETIMES BUT THIS IS KIND OF MORE FREQUENT AND I I DO FEEL JUST KIND OF THIS DISCOMFORT IN MY CHEST WHEN I TAKE THESE DEEP BREATHS AS WELL SO I I DON'T REALLY KNOW WHAT'S GOING ON +RES0159-066 DO YOU GO TO YOUR FAMILY DOCTOR FOR YOUR HEALTH CHECKUPS +RES0159-067 I HAVEN'T BEEN FOR A WHILE FOR THE LAST FEW MONTHS BUT I GENERALLY DO GO TO MY FAMILY DOCTOR +RES0159-068 YOU DO OK HAVE YOU BEEN SOMETIMES FOR PEOPLE WHO HAVE BEEN SMOKING FOR A LONG TIME THEY DO THESE SCANS OF THE LUNGS HAVE YOU BEEN GETTING THOSE +RES0159-069 NO I DON'T REMEMBER THE LAST TIME I HAD ONE +RES0159-070 OK ALRIGHT OK THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE'LL WE'LL DO A PHYSICAL EXAM AND DO YOUR VITALS AND SEE IF YOU DO SOME LABS AND THEN GO FROM THERE +RES0159-071 OK SOUNDS GOOD +RES0159-072 YOU'RE WELCOME +RES0169-000 WHAT BRINGS YOU IN TODAY +RES0169-021 NO +RES0169-022 ANY PAIN IN YOUR CHEST +RES0169-023 NO +RES0169-024 OK ANY HEADACHES +RES0169-025 I HAVE HAD A BIT OF A HEADACHE ACTUALLY WELL JUST JUST THIS MORNING +RES0169-026 HOW HOW BAD IS IT +RES0169-027 IT'S PRETTY MILD SOMETHING PRETTY SIMPLE LIKE IT SO I'VE HAD HEADACHES LIKE LIKE THIS BEFORE IT'S NOT IT'S NOT A BIG DEAL +RES0169-028 AND DO YOU HAVE ANY FATIGUE OR MUSCLE ACHES +RES0169-029 NO MUSCLE ACHES BUT I HAVE BEEN FATIGUED LAST A COUPLE OF DAYS TWO OR THREE DAYS +RES0169-030 ANY CHANGES IN YOUR SENSE OF SMELL +RES0169-031 NO +RES0169-032 CHANGES IN YOUR SENSE OF TASTE +RES0169-033 NO +RES0169-034 ANY PAIN IN YOUR BELLY OR ANY DIARRHEA +RES0169-035 NOTHING LIKE THAT +RES0169-036 OK ALRIGHT ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH +RES0169-037 NO I I'VE BEEN I'VE BEEN HEALTHY +RES0169-038 OK ANY SURGERIES OR HOSPITALIZATIONS +RES0169-039 NO I HAVEN'T HAD ANYTHING LIKE THAT BEFORE +RES0169-041 NO I'M NOT +RES0169-042 OK AND ALLERGIES TO FOOD OR MEDICATIONS OR +RES0169-047 DO YOU HAVE ANY PETS AT HOME NO IT'S JUST US TWO WE LIVE IN A IN A TOWNHOUSE OK IN IN THE CITY +RES0169-048 NICE OK AND DO YOU DO YOU OR YOUR MOM GO OUT FOR SCHOOL OR FOR WORK +RES0169-049 I'VE BEEN GOING BEEN GOING TO SCHOOL I KNOW WITH THE SOME OF THE LOCKDOWNS AND WHAT NOT THE SCHOOLS BEEN OPEN SO WE'VE BEEN GOING THEY'VE BEEN PRETTY CAUTIOUS WITH THE COVID PROTOCOLS AND BUT MY MOM'S BEEN WORKING FROM HOME +RES0169-050 OK GOOD DO YOU FEEL LIKE YOU OR YOUR MOM MAY HAVE HAD CONTACT WITH ANYONE WHO COULD HAVE POTENTIALLY BEEN SICK +RES0169-051 I MEAN MAYBE AT THE SCHOOL OR SOMETHING LIKE THAT BUT I CAN'T THINK OF ANYBODY WHO WHO'S BEEN SICK +RES0169-052 OK ALRIGHT HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +RES0169-053 NO +RES0169-054 OK AND DO YOU I GUESS A COUPLE OF OTHER MORE GENERAL QUESTIONS DO YOU FEEL SAFE AT HOME +RES0169-055 I DO WE HAVE A GOOD A GOOD RELATIONSHIP +RES0169-056 I'M GLAD I'M GLAD AND AN ANYTHING THAT WE DISCUSS WILL SEE CONFIDENTIAL BETWEEN YOU AND ME UNLESS THERE'S SOMETHING THAT YOU COULD BE TALK ABOUT THAT COULD HARM YOU OR HARM ANYONE ELSE DO YOU FEEL SAFE AT SCHOOL +RES0169-057 YES I DO I ENJOY SCHOOL IT'S BEEN FUN +RES0169-058 THAT'S GOOD THAT'S GOOD AND HAVE YOU CAN HAVE BEEN CONSUMING THE DRUG TRIED ANYTHING +RES0169-059 NO I'VE HEARD OF OTHER PEOPLE I MEAN IN HIGH SCHOOL DOING STUFF LIKE THAT BUT I HAVEN'T BEEN AROUND ANYTHING LIKE THAT +RES0169-062 ALCOHOL NO OK ARE YOU SEXUALLY ACTIVE +RES0169-063 NO +RES0169-064 ALRIGHT AND LET'S SEE SO YOU'VE HAD A FEVER A COUGH AND A RUNNY NOSE FOR THE PAST FEW DAYS AND HAVE YOU BEEN GOING TO SCHOOL IN THE PAST COUPLE OF DAYS OR NO +RES0169-065 I KNOW I'VE TAKEN THE LAST COUPLE OF DAYS OFF JUST BEEN SO TIRED AND NOT FEELING GOOD SO WELL +RES0169-066-1 OK OK SO IT SOUNDS LIKE YOU MIGHT HAVE SOME SORT OF VIRAL INFECTION WHICH COULD POTENTIALLY BE COVID BUT COULD ALSO BE ANOTHER SORT OF ANOTHER VIRAL ILLNESS JUST LIKE THE COMMON COLD OR THE FLU +RES0169-066-2 SO I'LL REQUEST THAT WE GET A COVID SWAB DONE AND THE RESULTS SHOULD COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS AND +RES0169-066-3 JUST TRY TO SELF ISOLATE AS MUCH AS POSSIBLE DON'T GO TO SCHOOL DON'T MEET OTHER PEOPLE TRY TO STAY AWAY FROM YOUR MOM AS WELL +RES0169-066-4 AND BASED ON THE RESULTS YOU'LL GET MORE GUIDANCE FROM PUBLIC HEALTH NURSES AND YOU SHOULD +RES0169-066-5 JUST CONTINUE TO SORT OF REST AND DRINK LOTS OF WATER MAYBE TAKE TYLENOL OR ADVIL IF THAT'S MAKING YOU FEEL BETTER AND HOPEFULLY YOUR SYMPTOMS WILL GET BETTER IF NOT IF YOU FEEL LIKE YOUR SYMPTOMS ARE PERSISTING FOR +RES0169-066-6 DAYS OR WEEK OR SO OR YOU'RE HAVING WORSENING SYMPTOMS DEFINITELY COME BACK OR GIVE US A CALL +RES0169-067 OK THANK YOU +RES0179-000 WHAT BRINGS YOU IN +RES0179-001 I'VE HAD THIS COUGH IT'S BEEN GOING ON NOW FOR LIKE LAST SIX MONTHS OR SO AND BEEN LOSING SOME WEIGHT AS WELL I'VE LOST I THINK LIKE TWENTY OR THIRTY POUNDS IN THE LAST SIX MONTHS +RES0179-002 OK THAT'S A LOT OF WEIGHT SO THE WEIGHT LOSS YOU SAID TWENTY TO THIRTY POUNDS +RES0179-003 OK +RES0179-004 LIKE JUST OVER TWO HUNDRED AND I'M IN THE ONE HUNDRED AND SEVENTIES NOW +RES0179-005 OK SO THAT WAS IN THE PAST SIX MONTHS WHEN DO THE COUGH START +RES0179-006 WELL I'VE HAD A COUGH BEFORE LIKE A SMOKERS COUGH AND THAT'S BEEN LIKE A FEW COUPLE OF YEARS BUT THAT'S JUST A COUGH THAT I WOULD HAVE IN THE MORNING AND IT WOULD JUST GO AWAY BUT I MEAN AROUND SIX MONTHS AGO I STARTED HAVING THIS COUGH ALL DAY +RES0179-007 OK AND IS IT A DRY COUGH OR IS IT A PRODUCTIVE COUGH +RES0179-024 MORE KIND OF ON THE RIGHT SIDE OK DOES IT GET WORSE WITH LIKE DEEP BREATHS +RES0179-025 NOT REALLY NO +RES0179-026 NO OK HOW ABOUT WHEN YOU LEAN FORWARD +RES0179-027 NO +RES0179-028 NO OK AND HAVE YOU EVER BEEN WORKED UP FOR THE CHEST PAIN IN THE PAST LIKE TO RULE OUT HEART ATTACKS BLOCKED ARTERIES ANYTHING LIKE THAT +RES0179-029 ACTUALLY I HAD A STRESS TEST ABOUT A YEAR AGO AND IT THE RESULTS OF THAT WERE +RES0179-030 WERE NORMAL OK OK GOOD AND DO YOU EVER FEEL LIKE YOUR HEART'S RACING +RES0179-031 NO I HAVEN'T HAD ANY ANYTHING LIKE THAT I MEAN LIKE SOMETIMES I CAN GET PALPITATIONS CAUSE I HAVE A FIB OR ATRIAL FIBRILLATION BUT IT DOESN'T REALLY AFFECT ME THAT THAT MUCH +RES0179-032 OK AND HOW ABOUT SHORTNESS SORRY HOW ABOUT DIZZINESS OR FAINTING SPELLS +RES0179-033 NOTHING LIKE THAT +RES0179-034 NO ANY CALF PAIN WHEN YOU WALK A LOT +RES0179-035 NO +RES0179-036 NO OK ANY FEVERS +RES0179-037 NO +RES0179-038 NO HOW ABOUT FATIGUE +RES0179-039 NOT REALLY NO +RES0179-040 NO ANY RASHES +RES0179-041 NO +RES0179-042 CHANGES IN YOUR VISION OR HEARING +RES0179-043 NO +RES0179-044 SMELL OR TASTE +RES0179-045 THAT'S BEEN NORMAL +RES0179-046 OK RUNNY NOSE OR STUFFY NOSE +RES0179-047 NO +RES0179-048 SORE THROAT +RES0179-049 NO +RES0179-050 CHANGES IN YOUR BOWEL MOVEMENT +RES0179-051 NO DIARRHEA +RES0179-052 AND HOW ABOUT LIKE BLOOD IN YOUR STOOL OR CONSTIPATION +RES0179-053 NO CONSTIPATION AND NO BLOOD IN THE STOOL +RES0179-054 OK NAUSEA OR VOMITING +RES0179-055 NO +RES0179-056 APPETITE CHANGES +RES0179-057 NO WAY MY APPETITE'S BEEN BEEN OK THAT'S WHY I WAS LIKE REALLY SHOCKED AT THE THE WEIGHT LOSS +RES0179-058 OK HOW ABOUT CHANGES IN YOUR URINE +RES0179-059 NO I MEAN SOMETIMES I CAN HAVE A I MEAN HARDER TIME TO GO CAUSE AS AN OLD GUY HAVE LARGE PROSTATE I THINK THEY SAID BUT I MEAN THAT'S BEEN OK +RES0179-060 OK HOW ABOUT +RES0179-061 HEADACHES +RES0179-062 NO HEADACHES NUMBNESS OR TINGLING +RES0179-063 NO NUMBNESS OR TINGLING +RES0179-064 CONFUSION OR MEMORY LOSS +RES0179-066 NO OK JOINT PAINS OR MUSCLE ACHES +RES0179-067 I MEAN SOMETIMES I CAN GET SO LIKE MY KNEES WILL HURT BUT I THINK THAT'S JUST ARTHRITIS +RES0179-068 OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY YOU MENTIONED THAT YOU HAVE A FIB AND PROSTATE ISSUES ANYTHING ELSE +RES0179-069 LIKE HIGH BLOOD PRESSURE AND +RES0179-070 I JUST HAVE HIGH BLOOD PRESSURE HIGH BLOOD PRESSURE OK HAVE YOU EVER BEEN DIAGNOSED WITH SOMETHING CALLED COPD +RES0179-082 SMOKERS OH I SEE OK DO YOU KNOW WHAT TYPE OF LUNG CANCER THEY GOT +RES0179-083 NO I'M I'M NOT SURE +RES0179-084 OK NO PROBLEM AND OK SO I THINK YOU MENTIONED THAT YOU SMOKE HOW MUCH DO YOU SMOKE AND FOR HOW LONG HAVE YOU BEEN SMOKING +RES0179-085 I SMOKE ABOUT A PACK PER DAY AND I GUESS PROBABLY EVEN SMOKING NOW FOR I MEAN I I GUESS LIKE SIXTY YEARS ALMOST MAYBE LONGER +RES0179-087 OK AND BEFORE THAT I THERE WAS A POINT I WAS SMOKING TWO PACKS A DAY +RES0179-088 OH WOW OK WELL IT'S GOOD THAT YOU CUT DOWN +RES0179-089 ALRIGHT AND DO YOU DO ANY OTHER RECREATIONAL DRUGS +RES0179-090 NO +RES0179-091 NO OK AND HOW ABOUT ALCOHOL DO YOU DRINK +RES0179-092 PROBABLY ONE OR TWO BEERS EVERY DAY +RES0179-093 EVERY DAY OK AND WHAT'S YOUR LIVING SITUATION LIKE RIGHT NOW +RES0179-094 SO I LIVE WITH MY WIFE IN A IN A TOWNHOUSE +RES0179-095 OK OK ALRIGHT THAT'S GOOD ANY REASONS TO THINK YOU HAVE LIKE OLD CARPETS DUST ASBESTOS MOLD ANYTHING LIKE THAT IN THE HOUSE +RES0179-096 NO I DON'T THINK SO +RES0179-102 NO I DON'T THINK SO NO OK HOW ABOUT TRAVEL +RES0179-103 I'VE BEEN WE'VE BEEN AT BEEN AT HOME +RES0179-104 AT HOME OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +RES0179-105 NO I WAS JUST LIKE WELL REALLY WORRIED THAT I I COULD HAVE LUNG CANCER +RES0179-106-1 YEAH FOR SURE SO THAT IS QUITE HIGH ON MY DIFFERENTIAL RIGHT NOW JUST BECAUSE OF YOUR AGE YOUR SMOKING HISTORY AND JUST THE WAY YOU'RE PRESENTING +RES0179-106-2 SO WE'RE GONNA DO A COUPLE OF THINGS WE'RE GOING TO DO A COVID SWAB JUST TO RULE THAT OUT YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS +RES0179-106-3 BUT WE WILL DO INVESTIGATIONS FOR LUNG CANCER SO WE'LL START BY DOING A CHEST X RAY JUST TO LOOK FOR A MASS OR EFFUSIONS AND THEN +RES0179-106-4 FROM THERE IF WE THINK THERE ARE SIGNS OF CANCER WE CAN DO A CT AS WELL WE CAN LIKE STAGE WITH THE PET CT AFTER WE TAKE A BIOPSY AND SEND IT OFF +RES0179-106-5 FOR PATHOLOGY AND THAT SHOULD GIVE US MORE ANSWERS AS TO IF YOU HAVE CANCER AND IF YOU DO HAVE CANCER WHAT TYPE OF +RES0179-106-6 CANCER SO THAT WE CAN TALK ABOUT TREATMENT PLANS AND KIND OF WHAT THE PROGNOSIS IS WITH THOSE PARTICULAR TYPES OF CANCERS HOW DOES THAT SOUND +RES0179-107 THAT SOUNDS GREAT THANK YOU SO MUCH +RES0179-108 OK NO PROBLEM +RES0189-000 HOW MAY I HELP YOU +RES0189-001 SO I'VE BEEN HAVING A LOT OF TROUBLE IN THE LAST TWO WEEKS OF ESPECIALLY THIS PAST WEEK OF JUST A LOT OF SHORTNESS OF BREATH I'M GETTING A LOT OF COUGHING AS WELL AND PRODUCING A LOT OF MATERIAL AND ALSO I THINK I MIGHT HAVE BEEN HAVING A FEVER THIS WEEK AS WELL +RES0189-002 OK THE SHORTNESS OF BREATH IS IT HAPPENING AT REST OR EXERTION AND +RES0189-003-1 AND HOW MUCH EXERTION +RES0189-003-2 I THINK IT'S HAPPENING MOSTLY ON EXERTION USUALLY I'M ABLE TO WALK AROUND THE HOUSE NO ISSUES GO UP AND DOWN STAIRS BUT RIGHT NOW I'M PRETTY LIMITED I CAN'T REALLY GO UP AND DOWN STAIRS WITHOUT +RES0189-003-3 GETTING REALLY SHORT OF BREATH I CAN'T EVEN WALK FROM THE BEDROOM TO THE KITCHEN WITHOUT BECOMING SHORTNESS OF LIKE SHORT OF BREATH +RES0189-004 OK OK AND WHEN DID THAT +RES0189-005 CHANGE HAPPEN SO I WOULD SAY ONE WEEK AGO IS WHEN THIS ALL KIND OF STARTED +RES0189-006 OK AND HAS IT BEEN GETTING ANY BETTER WORSE OR STAYING THE SAME +RES0189-007-1 I WOULD SAY IT'S KIND OF GETTING WORSE I'M COUGHING A LOT MORE SPUTUM UP I'M GETTING MORE AND MORE SHORT OF BREATH NOW I DO HAVE A CALL FOR +RES0189-007-2 LIKE A VERY LONG TIME NOW I'VE I WAS DIAGNOSED WITH COPD IN MY SIXTIES PROBABLY LIKE TEN YEARS AGO AND BUT THIS SEEMS TO BE JUST A MUCH WORSE THAN MY COPD +RES0189-008 OK SURE IT'S BEEN A LOT WORSE IN THE LAST WEEK IT SOUNDS LIKE OK HAVE YOU ARE YOU ABLE TO LIE FLAT LIKE ON YOUR BACK WITHOUT EXPERIENCING SHORTER BREATH SHORTNESS OF BREATH +RES0189-009 AND WHEN I'M RESTING OR LYING DOWN OR TRYING TO SLEEP I DON'T GET SHORT OF BREATH +RES0189-010 OK AND HAVE YOU EVER HAD INSTANCES WHERE YOU WOKE UP IN THE MIDDLE OF THE NIGHT REALLY SHORT OF BREATH AND YOU HAD TO SIT UP TO TO CATCH YOUR BREATH +RES0189-011 NO I DON'T THINK SO +RES0189-012 OK HAVE YOU NOTICED ANY LEG +RES0189-014 NO OK AND YOU SAID THAT TO YOU SO YOU'VE HAD A COUGH FOR AWHILE NOW BUT IT'S GOTTEN WORSE THIS PAST WEEK IN YOUR +RES0189-015 ARE YOU BRINGING UP SPUTUM I'M BRINGING UP A LOT OF MATERIALS I THINK EVERY TIME I COUGH I'M BRINGING SOME SPUTUM UP AND RIGHT NOW THE LIKE USUALLY THE COLOR IS LIKE CLEAR TO WHITISH BUT RIGHT NOW IT'S A BIT MORE YELLOW +RES0189-016 OK SO A CHANGE IN THE SPUTUM COLOR AND ALSO SOUNDS LIKE YOU'RE BRINGING UP MORE SPUTUM AS WELL +RES0189-017 OK AND HAVE YOU BROUGHT UP OR COUGHED UP ANY BLOOD SO HAVE YOU HAD ANY HEMOPTYSIS +RES0189-018 NO NOTHING LIKE THAT +RES0189-019 OK AND HAVE YOU HAD ANY WHEEZING +RES0189-020 I DO BUT WHEN I GET SHORT OF BREATH I I HAVE SOME WHEEZING BUT USUALLY I DON'T +RES0189-021 OK BUT BUT YOU'VE HAD WHEEZING THIS PAST WEEK THOUGH +RES0189-022 OK AND HAVE YOU HAD ANY CHEST PAIN +RES0189-023 JUST WHEN I'M COUGHING AND GETTING SHORT OF BREATH I DO HAVE SOME DISCOMFORT IN MY CHEST +RES0189-024 OK DO YOU FEEL THAT OR COULD YOU DESCRIBE HE THE PAINS CHARACTER LIKE IS IT SHARP DULL OR ACHY +RES0189-025 IT'S MORE JUST AN ACHE AND IT'S KIND OF MORE OF A DISCOMFORT THAN A PAIN AND IT KIND OF GOES AWAY ONCE MY EPISODE OF COUGHING AND SHORTNESS OF BREATH IS RELIEVED WITH SOME REST +RES0189-026 OK AND HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS +RES0189-027 I'VE BEEN NOTICING THAT I'M GETTING A LOT MORE CHILLS THIS PAST WEEK THEY KIND OF COME AND GO BUT EVEN AT NIGHT I GET LIKE THESE CHILLS THAT AFTER WRAP MYSELF UP IN AT LEAST THREE BLANKETS +RES0189-028 OK AND HAVE YOU HAD A FEVER +RES0189-029 I DIDN'T GET A CHANCE TO MEASURE ANY OF THEM BUT I MIGHT HAVE HAD A FEVER JUST FROM THE CHILLS THAT I'M EXPECTING THAT I HAD A FEVER +RES0189-030 OK AND HAVE YOU HAD ANY NIGHT SWEATS +RES0189-031 NO +RES0189-032 OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +RES0189-033 NO I THINK MY WEIGHTS BEEN PRETTY STEADY +RES0189-034 OK HAVE YOU HAD ANY HEADACHES +RES0189-035 NO +RES0189-036 HAVE YOU HAD ANY LIKE EYE REDNESS OR EYE DISCHARGE +RES0189-037 NO NOT THAT I KNOW OF +RES0189-038 OK HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT +RES0189-039 NO +RES0189-040 OK HAVE YOU HAD A LOSS OF TASTE OR LOSS OF SMELL +RES0189-041 NO NOTHING LIKE THAT +RES0189-042 OK HAVE YOU HAD ANY NAUSEA OR VOMITING +RES0189-043 NO +RES0189-044 HAVE YOU HAD ANY ABDOMINAL PAIN +RES0189-045 NO ABDOMINAL PAIN +RES0189-046 HAVE YOU HAD ANY DIARRHEA +RES0189-047 NO +RES0189-048 HAVE YOU HAD ANY CONSTIPATION +RES0189-049 NO +RES0189-050 HAVE YOU HAD ANY SKIN RASHES +RES0189-051 NO +RES0189-052 ANY MUSCLE ACHES OR JOINT PAINS +RES0189-053 NO NOTHING LIKE THAT +RES0189-054 OK AND HAVE YOU HAD ANY ANY +RES0189-055 FATIGUE MAYBE A LITTLE BIT MORE TIRED JUST WITH THE SHORTNESS OF BREATH AND CHILLS AND EVERYTHING LIKE THAT YEAH SO A LITTLE BIT MORE FATIGUE +RES0189-056 OK AND HAVE YOU HAD ANY FAINTING OR DIZZINESS +RES0189-057 NO +RES0189-058 OR OK AND HAVE YOU HAD ANY HEART PALPITATIONS +RES0189-059 NOPE +RES0189-060 ALRIGHT AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +RES0189-061 NO OH SORRY MEDICAL CONDITIONS IN THE PAST COPD I HAVE I ALSO DO HAVE SOME HIGH BLOOD PRESSURE AND I TAKE SOME MEDICATIONS FOR CHOLESTEROL AS WELL +RES0189-062 OK SO YOU TAKE MEDICATIONS FOR CHOLESTEROL AND HIGH BLOOD PRESSURE AND YOU USE ANY INHALERS +RES0189-063 NO SORRY INHALERS I USE TWO DIFFERENT KINDS OF INHALERS SO ONE OF THEM IS JUST WHEN I LIKE NEED IT LIKE I'VE BEEN USING A LOT MORE RECENTLY LIKE THE VENTOLIN AND THEN I ALSO HAVE ANOTHER INHALER CALLED SPIRIVA THAT I'VE BEEN USING AS WELL +RES0189-065 DO YOU HAVE ANY ALLERGIES I DO +RES0189-067 TO SULFA DRUGS AND WHAT +RES0189-068 REACTION I USUALLY BREAK OUT INTO HIVES +RES0189-069-1 OK AND ANY PRIOR SURGERIES OR HOSPITALIZATIONS +RES0189-069-2 SO I'VE HAD A SURGERY TO REMOVE MY APPENDIX WHEN I WAS REALLY YOUNG THEN +RES0189-069-3 I'VE HAD ANOTHER SURGERY FOR MY HIPS AS WELL BUT +RES0189-070 OTHER THAN THAT NO OTHER ISSUES OK +RES0189-072 IMMUNIZATIONS UP TO DATE YEAH ALL OF MY IMMUNIZATIONS SHOULD BE UP TO DATE ALRIGHT EXCELLENT AND COULD YOU TELL ME A LITTLE BIT ABOUT +RES0189-073 WHERE YOU'RE LIVING CURRENTLY AND WHO YOU'RE LIVING WITH SO I I CURRENTLY LIVE ALONE IN IN AN APARTMENT JUST IN THE CITY +RES0189-074 AND YEAH I'VE BEEN LIVING ALONE FOR PROBABLY THE LAST FIVE +RES0189-075 YEARS OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK NOT RECENTLY I THINK I JUST I I JUST GO OUT TO GET GROCERIES +RES0189-076 AND STUFF I HAVEN'T REALLY BEEN +RES0189-079 HAVE YOU TRAVELED ANYWHERE NO OK +RES0189-080 DO YOU DRINK ALCOHOL MAYBE +RES0189-081 A COUPLE OF BEARS A WEEK OK AND DO YOU SMOKE CIGARETTES I STILL SMOKE CIGARETTES EVEN THOUGH I HAVE COPD I JUST I CAN'T REALLY QUIT I SMOKE +RES0189-082 PROBABLY HALF A PACK A DAY OK HOW LONG HAVE YOU SMOKED FOR APPROXIMATELY +RES0189-083 PROBABLY AT LEAST FORTY FIVE YEARS +RES0189-084 OK AND IF YOU WANTED TO TALK ABOUT QUITTING WE CAN DISCUSS THAT FURTHER AT A LATER TIME IF YOU'D LIKE AND SO DO YOU USE ANY RECREATIONAL +RES0189-085 DRUGS NO NO NO NO DRUGS AT ALL +RES0189-086 OK AND HAVE YOU HAD A FAMILY HISTORY OF HEART DISEASE OR ANY LUNG CONDITIONS +RES0189-087 NOT I MEAN LIKE NO LUNG CONDITIONS BUT I HAVE A FAMILY HISTORY LIKE MY BOTH MY GRANDFATHER AND FATHER BOTH HAD HEART ATTACKS IN THEIR SIXTIES +RES0189-088 OK AND ANY LUNG CANCER IN THE FAMILY +RES0189-089 NO NOT THAT I KNOW OF +RES0189-090 OK SO I THINK THAT WAS ALL THE QUESTIONS THAT I I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT ABOUT THAT YOU WANTED TO MENTION +RES0189-091 NO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAD AND EVERYTHING WAS COVERED +RES0189-092-1 OK SO THE NEXT STEPS FOR NOW I THINK WILL BE TO START WE'LL GET A PHYSICAL EXAM IN AND YOUR VITAL SIGNS AND GET SOME INVESTIGATIONS +RES0189-092-2 IT IS SOUNDING LIKE A COPD EXACERBATION WITH THE INCREASING AND THE CHANGE CHANGING SPUTUM THE INCREASING FREQUENCY OF COUGH AND THE EXERTIONAL SHORTNESS OF BREATH +RES0189-092-3 AS WELL ALONG WITH WHEEZING AND KIND OF THIS CHEST DISCOMFORT THAT YOU'RE EXPERIENCING AND SO THIS WILL REQUIRE +RES0189-092-4 SOME ANTIBIOTICS AS WELL AND DEPENDING ON THE SEVERITY OF SYMPTOMS POSSIBLY SOME +RES0189-093 STEROIDS AS WELL TO HELP WITH THE +RES0199-000 WHAT BRINGS YOU IN +RES0199-001 HI I JUST CAME IN TODAY I HAVE BEEN HAVING JUST BEEN FEELING REALLY SICK OVER THE LAST THREE OR FOUR DAYS IT STARTED WITH JUST LIKE A HEADACHE AND COUGH FOUR DAYS AGO AND THEN I STARTED GETTING SOME NAUSEA AND VOMITING FEW DAYS BACK AS WELL AS DIARRHEA +RES0199-002 OK SO THE HEADACHE AND COUGH STARTED FIRST YOU SAID RIGHT +RES0199-003 OK LET'S TALK ABOUT THE HEADACHE FIRST THAT CAME ON FOUR DAYS AGO HAS IT BEEN PERSISTENT OR DOES IT COME AND GO +RES0199-004 IT'S BEEN PRETTY PERSISTENT BESIDES WHEN I TAKE SOME TYLENOL +RES0199-005 OK AND DOES ANYTHING MAKE IT BETTER OR WORSE +RES0199-006 JUST A TYLENOL NOTHING REALLY IT'S PRETTY CONSTANT +RES0199-007 OK AND HAVE A AN AND SORRY WHERE EXACTLY IS IT IS IT ON IT'S LIKE AT THE TOP OF YOUR HEAD TEMPLES FOREHEAD +RES0199-008 IT'S KIND OF LIKE MY FOREHEAD IN THE TOP OF MY HEAD ON BOTH SIDES +RES0199-009 OK AND DOES IT RADIATE YOUR NECK OR ANYWHERE ELSE +RES0199-010 NO I THINK IT'S IT DOESN'T GO TO MY NECK OR ANYWHERE ELSE +RES0199-011 OK AND DO YOU HAVE NECK STIFFNESS OR NECK PAIN WITH THAT +RES0199-012 NO NOT REALLY +RES0199-013 AND ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER HAD HOW BAD IS IT +RES0199-014 THE HEADACHE PROBABLY LIKE SEVEN +RES0199-015 OK AND TIMELINE WISE HAS IT GOTTEN WORSE OVER THE PAST FOUR DAYS +RES0199-016 IT'S KIND OF STAYED AROUND THE SAME ACTUALLY +RES0199-017 OK OK AND HAVE YOU EVER HAD A HEADACHE LIKE THIS IN THE PAST +RES0199-018 NOT REALLY I DON'T REALLY GET TOO MANY HEADACHES +RES0199-019 OK SO THIS ISN'T YOU ALRIGHT AND LET'S GO ON TO THE COUGH THE COUGH STARTED AROUND THE SAME TIME YOU SAID HAS THAT GOTTEN BETTER OR WORSE OVER THE PAST FOUR DAYS +RES0199-020 IT'S THE COUGH IS AROUND THE SAME AS WELL +RES0199-021 OK AND IS IT A DRY COUGH OR ARE YOU BREAKING UP ANY FLEM +RES0199-022 IT'S MOSTLY A DRY COUGH +RES0199-023 OK SO NO SPUTUM OR BLOOD +RES0199-024 NO NO +RES0199-025 OK GOOD ALRIGHT AND ARE YOU SHORT OF BREATH AT ALL +RES0199-027 NO NOT REALLY NO OK AND HOW ABOUT WHEEZING +RES0199-028 NO NO WHEEZING +RES0199-029 OK ONLY SAYING AN AND ANY CHEST PAIN +RES0199-030 NO +RES0199-031 NO OK AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE PAST FEW MONTHS +RES0199-032 NO I HAVEN'T NO +RES0199-033 ANY FEVERS OR CHILLS +RES0199-034 NO +RES0199-035 NO OK HOW ABOUT FATIGUE +RES0199-036 I GUESS JUST A LITTLE BIT TIRED OVER THE LAST FEW DAYS BUT I DON'T KNOW THAT'S JUST JUST FROM THE DIARRHEA AND JUST BEING SICK +RES0199-037 OK AND HOW ABOUT RASHES +RES0199-038 NO +RES0199-039 OK CHANGES IN YOUR VISION OR HEARING +RES0199-040 NO +RES0199-041 ITCHY EYE EYE DISCHARGE ANYTHING LIKE THAT +RES0199-042 NO NOTHING LIKE THAT +RES0199-043 HOW ABOUT A STUFFY OR RUNNY NOSE +RES0199-044 NO NOTHING LIKE THAT +RES0199-045 OK HOW ABOUT CHANGES IN YOUR SMELL OR TASTE +RES0199-046 SMELL I FEEL LIKE A LITTLE BIT I'VE BEEN KIND OF LOSING MY SMELL OVER THE LAST I WOULD SAY ONE DAY +RES0199-047 OK OK ALRIGHT AND ANY DIZZINESS OR FAINTING SPELLS +RES0199-048 NO NOTHING LIKE THAT +RES0199-049 CONFUSION OR MEMORY LOSS +RES0199-050 NO +RES0199-051 ALRIGHT AND JOINT PAINS OR MUSCLE ACHES +RES0199-052 NO +RES0199-053 ALRIGHT YOU MENTIONED YOU ALSO HAVE HAD DIARRHEA WHEN DID THAT START +RES0199-054 SO PROBABLY LIKE TWO DAYS AGO I STARTED GETTING SOME LIQUID STOOLS AND I JUST HAD TO GO LIKE PROBABLY FIVE OR SIX TIMES A DAY +RES0199-055 OK ALRIGHT AND +RES0199-056 ARE YOU NOTICING ANY BLOOD +RES0199-057 IN THERE NO I HAVEN'T SEEN ANY BLOOD OK DO YOU FEEL DEHYDRATED +RES0199-058 NO I'VE BEEN TRYING TO KEEP HYDRATED +RES0199-059 OK GOOD ANY CHANGES IN YOUR APPETITE +RES0199-061 NO ANY NAUSEA OR VOMITING +RES0199-062 I WAS HAVING SOME I'M HAVING SOME NAUSEA TODAY BUT I HAD SOME VOMITING YESTERDAY I VOMITED TWO TIMES +RES0199-063 OK AND ARE YOU THROWING UP ANY BLOOD +RES0199-064 NO +RES0199-065 WHAT COLOR IS IT +RES0199-066 IT'S USUALLY I FEEL LIKE WHATEVER I EAT OK CONTENT +RES0199-067 CONTENTS OK DO YOU THINK ANYTHING TRIGGERED THAT EPISODE OF VOMITING +RES0199-068 NO I HAVEN'T REALLY ATE ANYTHING NEW I'M JUST IN MY HOUSE I I DON'T KNOW WHAT TRIGGERED IT +RES0199-069 OK ALRIGHT ANY FEELINGS OF LIKE FEELING LIKE YOU'RE BLOATED OR GASSY +RES0199-070 NO NOTHING LIKE THAT +RES0199-071 OK ANY CONSTIPATION +RES0199-072 NO +RES0199-073 OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +RES0199-074 NO I'M I'M PRETTY HEALTHY I DON'T REALLY I DON'T REALLY EVEN TAKE ANY MEDICATIONS +RES0199-075 OK AND ARE YOU UP TO DATE WITH HER IMMUNIZATIONS +RES0199-077 ANY ALLERGIES NO +RES0199-078 NOT THAT I KNOW NO ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +RES0199-079 NO NOT THAT I KNOW OF +RES0199-080 OK DO YOU SMOKE +RES0199-081 NO +RES0199-082 NO OK HOW ABOUT MARIJUANA OR HOW ABOUT MARIJUANA DO YOU EITHER TAKE EDIBLES OR SMOKE IT +RES0199-083 I'VE TRIED A COUPLE TIMES BUT IT WAS NOT REALLY MY THING +RES0199-084 OK AND HOW ABOUT OTHER RECREATIONAL DRUGS LIKE COCAINE HEROIN AND OPIOIDS NO NOTHING LIKE THAT OK AND +RES0199-085 WHERE DO YOU CURRENTLY LIVE +RES0199-086 I LIVE JUST IN IN AN +RES0199-087 APARTMENT JUST IN THE CITY SO JUST BY MYSELF THOUGH +RES0199-088 OK ANY LIKE OLD CARPETS DUST MOLD ASBESTOS PETS ANYTHING THAT COULD BE TRIGGERING YOUR SYMPTOMS +RES0199-089 NO NOT REALLY +RES0199-090 OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +RES0199-091 NO I'VE BEEN AND KIND OF AT HOME THE ONLY PLACES I MAYBE HAVE BEEN IN CONTACT WITH SOMEONE IS MAYBE AT WORK IN LIKE THE LUNCH ROOM AND THINGS LIKE THAT +RES0199-092 OK OK AND SORRY WHERE DO YOU WORK +RES0199-093 I WORK AT A CAR DEALERSHIP +RES0199-094 OK OK AN ANY TRAVEL RECENTLY +RES0199-095 NO +RES0199-096 OK HAS ANYONE AT YOUR WORK BEEN SICK AS WELL +RES0199-097 NO I HAVEN'T REALLY NOTICED ANYONE BEING SICK +RES0199-098 OK OK WELL THOSE WERE THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME +RES0199-099 NO I I WAS JUST WONDERING WHAT THIS +RES0199-100 CAN BE SO THE FIRST THING WE WANT TO RULE OUT AS COVID BECAUSE A LOT OF YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID SO WE'LL TAKE A SWAB AND YOU SHOULD GET THOSE RESULTS IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS +RES0199-101 IN THE MEANTIME YOU SHOULD ISOLATE FOR FOURTEEN DAYS +RES0199-102 AND IF YOUR RESULTS ARE POSITIVE PUBLIC HEALTH WILL BE IN TOUCH WITH YOU TO DO SOME CONTACT TRACING +RES0199-103 BUT IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND THIS TIME OF YEAR THAT COULD BE CAUSING SIMILAR SYMPTOMS AS WELL BUT EITHER WAY THE MANAGEMENT KIND OF IS SUPPORTIVE SO MAKING SURE YOU'RE WELL HYDRATED EATING NUTRITIOUS FOOD SLEEPING WELL TAKING ANTIPYRETICS LIKE TYLENOL FOR FEVER'S IF YOU GET ANY +RES0199-104 AND YOU CAN ALSO TAKE TYLENOL OR ANSEADS FOR MUSCLE ACHE JOINT PAINS ANYTHING LIKE THAT DOES THAT SOUND OK +RES0199-105 THAT SOUNDS GOOD THANK YOU +RES0199-106 OK GREAT NO PROBLEM +RES0209-000 SO WHAT BRINGS YOU IN +RES0209-001-1 OK SO I HAVE BEEN COUGHING A LOT OVER THE PAST WEEK OR SO AND IT'S BEEN PRETTY DRY BUT I'VE BEEN COUGHING LIKE +RES0209-001-2 ALMOST NONSTOP THROUGHOUT THE DAY AND I'M FEELING VERY SHORT OF BREATH AND MY BRONCHODILATOR HELPS BUT I FOUND I'M USING IT A LOT NOW +RES0209-002 OK HOW LONG HAVE YOU KNOW THAT YOU HAVE ASTHMA FOR +RES0209-003 I WAS DIAGNOSED WHEN I WAS EIGHT +RES0209-004 YOU'RE TEN NOW +RES0209-005 THAT'S RIGHT +RES0209-006 SO YOU'RE USING YOUR BRONCHODILATOR MORE THIS IS THE ONE THAT YOU USE KIND OF AS NEEDED +RES0209-007 OK AND THEN DO YOU HAVE ONE THAT YOU TAKE EVERY DAY NO MATTER WHAT +RES0209-008 NO I DON'T HAVE THAT ONE +RES0209-009 YOU JUST HAVE THE ONE THAT YOU TAKE IS NEEDED DO YOU TAKE ANY OTHER MEDICATIONS +RES0209-010 I NO I DON'T TAKE ANYTHING ELSE +RES0209-011 JUST THE ONE IS IT A IT'S A PUFFER +RES0209-012 YES +RES0209-013 OK AND YOU'RE USING IT MORE THAN NORMAL SO HOW OFTEN WERE YOU NORMALLY USING IT +RES0209-014 I WAS ONLY USING IT LIKE I DON'T KNOW MAYBE ONCE EVERY TWO WEEKS OR SO NOT VERY OFTEN BUT NOW I'M USING IT LIKE ALMOST EVERYDAY LIKE FIVE SIX TIMES A WEEK +RES0209-015 OK ANY ARE YOU DOES IT USUALLY TURNED OUT THAT YOU NEED IT LIKE DURING CERTAIN TIMES LIKE SAY WHEN YOU'RE EXERCISING OR WHEN IT'S COLD +RES0209-016 I FIND I USE IT MORE BOTH LIKE WHEN IT WHEN IT'S RIGHT AFTER I LIKE RUN AROUND AFTER GYM DURING RECESS AND THE COLD ALSO MAKES IT WORSE +RES0209-017 OK ANY OTHER TRIGGERS THAT YOU CAN THINK OF +RES0209-018 NO NO OTHER TRIGGERS +RES0209-019 NORMALLY GET MORE IN CERTAIN SEASONS +RES0209-020 I I GUESS NO NO BIG CHANGES THERE I FIND THE COLD AIR MAKES IT WORSE LIKE WINTER MAKES IT WORSE OR LIKE MAYBE ALSO THE SPRING SPRING WITH LIKE POLLEN AND STUFF LIKE THAT +RES0209-021 OK SO YOU HAVE ALLERGIES TOO +RES0209-022 I THINK SO I HAVEN'T EVER BEEN LIKE FORMALLY DIAGNOSED +RES0209-023 OK I SEE I SEE THAT WOULD MAKE SENSE NO OK SO YOU SAY YOU'VE HAD MORE COUGHING LATELY IS THAT RIGHT YOU SAID THE LAST TWO WEEKS +RES0209-024 OR THE LAST WEEK +RES0209-025 LAST TWO WEEKS +RES0209-026 LAST TWO WEEKS IS YOUR COUGH AND A DRY COUGH +RES0209-027 HAVE YOU BEEN BRINGING UP GUNK OK DRY COUGH HAVE YOU NOTICED ANY WHEEZING +RES0209-028 OH I'VE BEEN WHEEZING A LOT ACTUALLY +RES0209-029 OK AND THAT'S DO YOU USE YOUR BRONCHODILATOR EVERY TIME THAT YOU'RE WHEEZING +RES0209-030 WHEN IT GETS REALLY BAD LIKE WHEN I GET SO EASY THAT I FIND IT HARD TO BREATHE +RES0209-031 OK SO YOU'RE GETTING WHEEZY EVEN MORE TIMES THAN THEN YOU'RE HAVING TO USE YOUR BRONCHODILATOR +RES0209-032 YES THAT'S RIGHT +RES0209-033 ARE YOU HAVING ANY SYMPTOMS AT NIGHT TIME +RES0209-034 THEY DON'T HAPPEN AS MUCH AS MY DAYTIME SYMPTOMS BUT I BEEN HAVING IT MAYBE LIKE EVERY OTHER DAY OR LIKE YOU KNOW EVERY TWO DAYS OR SO +RES0209-035 OK AND WHEN YOU HAVE THESE SO WHEN YOU HAVE THESE EPISODES YOU'RE COPPING YOUR WHEEZY DO YOU FEEL LIKE YOU'RE HAVING A HARD TIME BREATHING +RES0209-036 THAT'S RIGHT +RES0209-037 DO YOU FEEL IT GETS TIGHT IN YOUR CHEST +RES0209-038 YES +RES0209-039 OK HAVE YOU HAD ANY ANY COLDS LATELY OR ANY INFECTIONS +RES0209-040 NO NO NOTHING LIKE THAT +RES0209-041 OK DOES ANYONE THAT LIVES WITH YOU OR ANYONE THAT YOU'RE AROUND OFTEN HAS ANYONE BEEN SICK +RES0209-042 NO +RES0209-043 OK COULD YOU HAVE BEEN IN CONTACT WITH ANYONE THAT SICK EVEN OUTSIDE OF YOUR HOUSE +RES0209-044 NO +RES0209-045 OK HAVE YOU TRAVELED ANYWHERE +RES0209-047 NO HAVE YOU LOST ANY OF YOUR SENSE OF TASTE OR SMELL +RES0209-048 NO +RES0209-049 HAVE YOU HAD ANY FEVERS +RES0209-050 NO +RES0209-051 ANY ANY NAUSEA OR VOMITING +RES0209-052 NO +RES0209-053 ANY BELLY PAIN +RES0209-054 NO +RES0209-055 WE JUST ASK THOSE QUESTIONS BECAUSE SOMETIMES THESE THINGS CAN HAPPEN WITH AN INFECTION OR AFTER AN INFECTION AND WE JUST WANT TO MAKE SURE THAT THAT'S NOT YOU KNOW WHAT'S HAPPENING RIGHT NOW +RES0209-056 WE PROBABLY WILL DO A COVID SWAB JUST BECAUSE OF THE TIMES THAT WE'RE LIVING IN RIGHT NOW BUT I JUST WANT TO ASK YOU A FEW MORE QUESTIONS BEFORE I GO TALK TO THE DOCTOR +RES0209-057 SO DO YOU HAVE BESIDES YOUR ASTHMA DO YOU HAVE ANY HEALTH PROBLEMS +RES0209-058 OH NO NO +RES0209-059 AND YOU SAID BESIDES THE BRONCHODILATOR YOU'RE NOT TAKING ANY MEDICATIONS +RES0209-060 NO +RES0209-061 AND YOU THINK YOU MIGHT HAVE ALLERGIES IN THE SPRING DO YOU HAVE ALLERGIES TO ANYTHING ELSE THAT YOU KNOW +RES0209-062 NO NOT THAT I KNOW OF +RES0209-063 OK DOES ANYONE ELSE IN YOUR FAMILY HAVE ASTHMA +RES0209-064 I THINK MY SISTER HAS ASTHMA TOO +RES0209-065 ANYONE IN YOUR FAMILY HAVE ANY OTHER BREATHING PROBLEMS +RES0209-066 NO +RES0209-067 ANYONE ELSE IN THE FAMILY HAVE ANY ALLERGIES +RES0209-068 NO I DON'T THINK SO +RES0209-069 OK OK SOUNDS GOOD AND YOU LIVE AT HOME DID YOU SAY LIVE WITH YOUR PARENTS AND YOUR SISTER +RES0209-070 THAT'S RIGHT +RES0209-071 COOL ARE YOU CURRENTLY GOING TO SCHOOL ONLINE OR IN PERSON +RES0209-072 BOTH WE DO HALF DAYS +RES0209-073 OK HOW ARE YOU FINDING THAT +RES0209-074 IT'S BEEN OK IT'S IT'S DIFFERENT BUT IT'S BEEN WORKING OUT OK SO FAR +RES0209-075 COOL NOT TO HAVE TO GET OUT OF YOUR PJS SOME DAYS +RES0209-076 YES THAT'S TRUE +RES0209-077 OK DID DO YOU GUYS HAVE ANY PETS IN THE HOME +RES0209-078 NO PETS WE HAVE JUST LIKE WELL I GUESS WE HAVE GOLDFISH +RES0209-079 OK THOSE ARE COOL PETS DOES ANYONE IN THE HOUSE SMOKE +RES0209-080 NO +RES0209-081 OK I THINK THAT'S ALL MY QUESTIONS THAT I HAD FOR YOU TODAY WHAT DO YOU LIKE TO DO FOR FUN +RES0209-082 OH I'M I LIKE PLAYING GAMES ONLINE WITH MY FRIENDS AND AND BEFORE COVID WE USED TO GET TOGETHER AND HAVE MOVIE NIGHTS AND PLAY SPORTS TOGETHER +RES0209-083 IT SOUNDS REALLY COOL HOPEFULLY WE CAN GET THIS FIGURED OUT FOR YOU SO YOU DON'T HAVE ANY YOU DON'T HAVE TO USE YOUR YOUR MEDICATIONS EVERY TIME YOU PLAY SPORTS CAUSE THAT'S NO FUN AND +RES0209-084 NO +RES0209-085 YOU SHOULD BE ABLE TO ENJOY THAT SO SO WE'RE GOING TO TRY TO GET THIS SORTED OUT FOR YOU +RES0209-086 I'M GONNA GO TALK TO THE DOCTOR AND TELL HIM EVERYTHING OR HER EVERYTHING THAT YOU SAID AND WE'LL COME BACK AND SEE YOU SHORTLY HOPEFULLY MAYBE ALL YOU NEED IS A LITTLE CHANGE TO YOUR MEDICATIONS AND MAYBE IT WILL BE BETTER BE ABLE TO BETTER CONTROL YOUR ASTHMA +RES0209-087 THAT SOUNDS GREAT THANK YOU +RES0209-088 THANKS TALKING WITH ME AND WE'LL SEE YOU SOON +RES0209-089 OK GREAT THANKS \ No newline at end of file