diff --git "a/test.txt" "b/test.txt"
new file mode 100644--- /dev/null
+++ "b/test.txt"
@@ -0,0 +1,2369 @@
+CAR0005-000 IT SOUNDS LIKE THAT YOU'RE EXPERIENCING SOME CHEST PAIN
+CAR0005-001 SO THIS CHEST PAIN HAS JUST BEEN COMING ON FOR THE LAST COUPLE OF WEEKS NOW
+CAR0005-002 OK SO TWO WEEKS AND CAN YOU TELL ME KIND OF WHERE YOU'RE FEELING THAT PAIN
+CAR0005-003 I'M I'M JUST FEELING THIS CHEST DISCOMFORT SORT OF OVER ON THE LEFT SIDE
+CAR0005-004 THE LEFT SIDE OK DOES DOES IT STAY JUST IN ONE SPOT OR DOES IT KIND OF SPREAD ANYWHERE ELSE
+CAR0005-005 NO I DON'T REALLY FEEL IT ANYWHERE ELSE I JUST FEEL IT IN THAT ONE SPOT ON THE LEFT SIDE
+CAR0005-006 OK DOES IT FEEL DULL AND ACHY OR DOES IT FEEL MORE SHARP
+CAR0005-007 IT FEELS PRETTY SHARP
+CAR0005-008 OK AND IS IT CONSTANT LIKE ON ALL THE TIME OR DO YOU FEEL LIKE IT KIND OF COMES AND GOES
+CAR0005-009 IT COMES AND GOES I WOULD SAY I IT MIGHT LAST FOR TWENTY THIRTY MINUTES AT A TIME AND THEN IT GOES AWAY
+CAR0005-010 OK AND OVER THE LAST TWO WEEKS SINCE YOU SAID IT STARTED HAS IT GOTTEN ANY WORSE
+CAR0005-011 NO IT'S BEEN ABOUT THE SAME
+CAR0005-012 OK AND HAS IT GOTTEN MORE FREQUENT THESE LIKE TWENTY TO THIRTY MINUTE EPISODES
+CAR0005-013 NO IT'S HAPPENED ABOUT TWO OR THREE TIMES DURING THE TWO WEEKS
+CAR0005-014 AND IF YOU WERE TO RATE IT ON A SCALE OF ZERO TO TEN ZERO BEING NO PAIN AND TEN BEING LIKE THE WORST PAIN YOU'VE EVER FELT WHERE WOULD IT FALL
+CAR0005-015 I WOULD SAY A A FOUR OUT OF TEN
+CAR0005-016 OK CAN YOU THINK OF ANYTHING THAT THAT YOU'VE DONE DIFFERENTLY RECENTLY THAT COULD HAVE BROUGHT IT ON OR IS THERE ANY KIND OF COMMON FACTOR BETWEEN THE TIMES THAT YOU HAD THE PAIN
+CAR0005-017 I DON'T KNOW I'VE SEPARATED FROM MY HUSBAND TWO TWO YEARS AGO WHICH HAS BEEN REALLY STRESSFUL BUT OTHER THAN THAT I MEAN I CAN'T REALLY THINK OF ANY CHANGES TO MY HEALTH OR ANYTHING LIKE THAT RECENTLY
+CAR0005-018 OK BUT DO YOU FEEL LIKE YOU HAVE BEEN MORE STRESSED OUT IN GENERAL
+CAR0005-019 THE LAST COUPLE OF YEARS HAVE BEEN A LOT MORE STRESSFUL BECAUSE OF THOSE ISSUES IN MY PERSONAL LIFE
+CAR0005-020-1 OK I'M SORRY TO HEAR THAT BUT I'M GLAD THAT YOU'RE COMING IN AND WE CAN HOPEFULLY GET TO THE BOTTOM OF THIS NOT THAT I THINK THAT'S NECESSARILY THE SOURCE OF YOUR PAIN AND WE DEFINITELY WANT TO LOOK INTO EVERYTHING BUT IT IS REALLY HELPFUL TO KNOW THAT
+CAR0005-020-2 SO WHEN YOU'VE HAD THESE EPISODES HAVE YOU TAKEN ANYTHING TO HELP WITH THE PAIN OR DONE ANYTHING THAT'S THAT YOU FELT IT MADE IT GO AWAY
+CAR0005-021 I'VE TRIED SOME ADVIL SOME TYLENOL AND ACTUALLY SOME TUMS AS WELL AND IT HASN'T REALLY HELPED
+CAR0005-022 OK DO YOU THINK IT'S WORSE WHEN YOU'RE MOVING AROUND IF YOU'RE IF YOU'RE KIND OF DOING MORE EXERCISE OR IS IT KIND OF JUST THE SAME NO MATTER WHAT YOU'RE DOING WHEN YOU GET THE EPISODES
+CAR0005-023 OH IT ACTUALLY I I FEEL LIKE IT HAPPENS MOST OF THE TIME WHEN I'M EITHER AT WORK OR OR DRIVING
+CAR0005-024 OK OK AND BEFORE THIS TWO WEEK PERIOD HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
+CAR0005-025 NO I HAVEN'T HAD ANYTHING LIKE THIS HAPPEN BEFORE
+CAR0005-026 DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR
+CAR0005-027 NO PREVIOUSLY HEALTHY
+CAR0005-028 AND JUST JUMPING BACK TO THESE PAIN EPISODES WHEN YOU HAVE THEM DO YOU EXPERIENCE ANYTHING ELSE DO YOU GET ANY NAUSEA OR VOMITING
+CAR0005-030 NO OK DO YOU GET ANY DO YOU HAVE ANY DIFFICULTY BREATHING DURING THESE TIMES
+CAR0005-031 NO I HAVEN'T
+CAR0005-032 OK AND HAVE YOU NOTICED ANY FEVERS
+CAR0005-033 NO NO FEVERS
+CAR0005-034 OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK RECENTLY
+CAR0005-035 NO I HAVEN'T
+CAR0005-036 AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF CANADA
+CAR0005-037 NO I'VE BEEN HOME
+CAR0005-038 OK SO YOU HAVE YOU SAID YOU HAVE BEEN PREVIOUSLY HEALTHY NOTHING THAT YOU'VE BEEN SEEING YOUR FAMILY DOCTOR FOR ON A REGULAR BASIS DO YOU TAKE ANY MEDICATIONS
+CAR0005-039 I DO NOT NO MEDICATIONS JUST THE TYLENOL AND ADVIL I TRIED FOR THE PAIN
+CAR0005-040 OK DO YOU HAVE ANY ALLERGIES
+CAR0005-041 NO ALLERGIES
+CAR0005-042 AND IS THERE ANY HISTORY OF HEART PROBLEMS IN YOUR FAMILY
+CAR0005-043 MY FATHER HAD A HEART ATTACK WHEN HE WAS SIXTY JUST LAST YEAR AND IT'S ACTUALLY ONE OF THE REASONS WHAT CONCERNS ME ABOUT THE CHEST PAIN THAT I THOUGHT I WAS HAVING
+CAR0005-044-1 FOR SURE IT ALWAYS FEELS VERY CONCERNING WHEN WHEN YOU HAVE THESE THESE SYMPTOMS AND THAT AND YOU KNOW PEOPLE IN YOUR LIFE THAT HAVE HAD ISSUES LIKE SIMILAR ISSUES IN THE PAST I DON'T KNOW THAT THIS IS
+CAR0005-044-2 RELATED TO THAT I I PERSONALLY DON'T THINK SO AT THIS POINT BUT WE'RE DEFINITELY GOING TO DO EVERYTHING TO LOOK INTO IT AND AND RULE OUT SOMETHING THAT WOULD BE SCARY LIKE THAT I'M GOING TO ASK YOU FEW MORE QUESTIONS ABOUT YOUR LIFESTYLE IN GENERAL DO YOU SMOKE CIGARETTES
+CAR0005-045 I SMOKE ABOUT HALF A PACK TO A PACK PER DAY I'VE BEEN TRYING TO QUIT AND I WAS SMOKING MORE ONE PACK PER DAY BUT SO IT IS DOWN A LITTLE BIT BUT IT'S STILL SOMETHING I'M TRYING TO WORK ON
+CAR0005-046 CONGRATULATIONS THAT'S A REALLY TOUGH THING TO DO SO GOOD FOR YOU THAT'S THAT'S REALLY EXCITING STEP IN THE RIGHT DIRECTION RIGHT DO YOU DRINK ALCOHOL
+CAR0005-047 I DO BUT I'LL HAVE MAYBE ONE OR TWO GLASSES OF WINE ON THE WEEKEND
+CAR0005-048 DO YOU USE ANY OTHER SUBSTANCES
+CAR0005-049 NO
+CAR0005-050 I KNOW THAT YOU SAID YOU DON'T SEE YOUR FAMILY DOCTOR FOR ANYTHING REGULARLY BUT I JUST WANT TO CHECK A COUPLE OF SPECIFIC THINGS LIKE HAVE YOU EVER BEEN TOLD YOU HAVE HIGH BLOOD PRESSURE
+CAR0005-051 NO I'VE NEVER BEEN TOLD I'VE I'VE HAD HIGH BLOOD PRESSURE
+CAR0005-052 AND HAVE YOU EVER BEEN TOLD YOU HAVE LIKE HIGH CHOLESTEROL
+CAR0005-053 I HAVEN'T BUT I'VE ACTUALLY NEVER BEEN TESTED EITHER
+CAR0005-054 OK AND DO YOU EXERCISE REGULARLY
+CAR0005-055 ACTUALLY I'LL EITHER DO SOME RUNNING OR CYCLING PROBABLY THREE OR FOUR DAYS PER WEEK AND I HAVEN'T HAD ANY CHEST PAIN OR OR PROBLEMS EXERCISING
+CAR0005-056 OK THAT'S GOOD TO HEAR AND HAVE YOU EVER HAD PROBLEMS WITH HEARTBURN
+CAR0005-057 I DON'T THINK SO NO
+CAR0005-058 OK OK SO JUST TO KIND OF SUMMARIZE WHAT WE'VE TALKED ABOUT OVER THE LAST TWO WEEKS YOU STARTED HAVING THESE TWENTY TO THIRTY MINUTE EPISODES OF CHEST PAIN THAT'S ON THE LEFT SIDE IT FEELS MORE SHARP IS THAT CORRECT
+CAR0005-059 AND IT'S KIND OF CONSTANT WHEN IT COMES ON THERE'S NOTHING REALLY THAT MAKES IT BETTER OR WORSE IT JUST KIND OF GOES AWAY ON ITS OWN AFTER HALF AN HOUR OR SO IT HAS KIND OF STAYED THE SAME OVER OVER THE LAST TWO WEEKS HASN'T REALLY GOTTEN WORSE OR BETTER IT HASN'T GONE AWAY EITHER
+CAR0005-060 RIGHT
+CAR0005-061 YOU NEVER HAD ANYTHING LIKE THAT BEFORE AND YOU HAVE BEEN IT SOUNDS LIKE EXPERIENCING SOME STRESS IN YOUR LIFE IT DEFINITELY CAN PLAY INTO THAT AS WELL OK IS THERE ANYTHING ELSE THAT YOU WANTED TO TO TELL ME ABOUT THAT I DIDN'T ASK YOU TODAY
+CAR0005-062 NO I THINK THAT'S I THINK THAT'S ALL THAT I WANTED TO TALK ABOUT TODAY
+CAR0005-063 OK SO WHAT I'M GOING TO DO IS BRING ALL THIS INFORMATION TO YOUR FAMILY DOCTOR AND WE CAN COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS
+CAR0005-064 AWESOME THANK YOU
+CAR0005-065 THANKS FOR COMING IN
+GAS0007-000 SO I UNDERSTAND YOU HAVE BEEN EXPERIENCING SOME ABDOMINAL PAIN
+GAS0007-001 STOMACH HURT STARTED HURTING MORE LAST COUPLE OF DAYS MAYBE THREE DAYS AGO I THINK
+GAS0007-002 OK SO FOR THREE DAYS AGO FOR THE LAST THREE DAYS YOU SAID IT'S BEEN HURTING MORE DID YOU HAVE PAIN BEFORE THAT
+GAS0007-003 IT FELT WEIRD LIKE CRAMPY I JUST I JUST THOUGHT I WAS CONSTIPATED CAUSE I'VE HAVEN'T BEEN ABLE TO BE ABLE TO GO TO THE BATHROOM AS WELL I JUST THOUGHT I WAS KIND OF BLOATED A BIT BUT ABOUT ABOUT THAT TIME STARTED TO FEEL A LITTLE BIT MORE PAINFUL
+GAS0007-004 CAN YOU TELL ME KIND OF WHERE YOU'RE FEELING THE PAIN THE MOST
+GAS0007-005 KIND OF LIKE NEAR MY RIGHT HIP LIKE LOWER WHERE MY STOMACH IS THAT KIND OF RIGHT AND BELOW MY BELLY BUTTON SOMETIMES A LITTLE BIT ON THE TOP JUST BELOW MY BELLY BUTTON BUT MAINLY JUST IN THAT RIGHT LOWER SIDE
+GAS0007-006 OK HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST
+GAS0007-007 NO NEVER
+GAS0007-008 OK AND FOR THE LAST THREE DAYS HAS IT BEEN PRETTY CONSTANT HAS IT BEEN ON AND OFF
+GAS0007-009 I FEEL IT'S BEEN GETTING WORSE TO BE HONEST
+GAS0007-010 OK IS THERE ANYTHING THAT YOU CAN THINK OF THIS MADE IT FEEL BETTER
+GAS0007-011 HONESTLY JUST RESTING FLAT MAKES IT FEEL A LITTLE BIT BETTER BUT NOTHING MUCH NO
+GAS0007-012 OK IS THERE ANYTHING THAT MAKES IT WORSE
+GAS0007-013 TOUCHING IT ALSO I PUKED THE THE OTHER DAY AND THAT MADE IT DEFINITELY FEEL WORSE JUST THAT WHOLE CONTRACTION IN MY BODY WAS NASTY
+GAS0007-014 OK WAS IT JUST THE ONE TIME
+GAS0007-016 DID THE PAIN STAY IN THAT SAME SPOT OR DOES IT MOVE ANYWHERE ELSE
+GAS0007-017 IT HAS PRETTY MUCH STAYED IN THAT ONE SPOT
+GAS0007-018 HAVE YOU NOTICED ANY FEVERS LATELY
+GAS0007-019 FELT A BIT HOT THE OTHER DAY DIDN'T TAKE A TEMPERATURE THOUGH
+GAS0007-020 OK OK AND WHAT SPECIFICALLY PROMPTED YOU TO COME IN TODAY TO THE EMERGENCY DEPARTMENT
+GAS0007-021 I THOUGHT IT WAS JUST GOING TO GET BETTER WHEN IT FIRST STARTED MAYBE JUST A BIT OF GAS BUT HERE WE ARE KIND OF THURSDAY NOW AND IT'S STILL PRETTY BAD
+GAS0007-022 OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK LATELY
+GAS0007-023 OFF THE TOP OF MY HEAD NO
+GAS0007-024 AND HAVE YOU TRAVELED ANYWHERE RECENTLY
+GAS0007-026 AND I FORGOT TO ASK DID YOU NOTICE ANY CHANGES TO YOUR BOWEL HABITS
+GAS0007-027 BEFORE IT WAS FAIRLY REGULAR ABOUT ONCE A DAY FIVE DAYS AGO I STARTED GETTING CONSTIPATED IT BACKED UP AND PRETTY MUCH THE PICTURE I THINK LAST TIME I WENT TO THE BATHROOM WAS TWO DAYS AGO I THINK
+GAS0007-028 OK I'M JUST GONNA ASK YOU SOME QUESTIONS ABOUT YOUR OVERALL HEALTH DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR OR ANY OTHER DOCTOR
+GAS0007-029 I GOT DIABETES TYPE TWO
+GAS0007-030 AND HAS THAT GENERALLY HAS THAT BEEN WELL CONTROLLED FOR YOU LATELY
+GAS0007-031 MOST PART DOCTOR CHECKS MY SUGARS I'M NOT TOO REGULAR ON THEM MYSELF BUT LAST TIME HE CHANGED MEDICATIONS WAS A COUPLE YEARS BACK AND I'VE JUST BEEN ON THE SAME ONES EVER SINCE
+GAS0007-032 WHAT MEDICATION ARE YOU CURRENTLY TAKING
+GAS0007-033 METFORMIN METFORMIN
+GAS0007-034 AND HAVE YOU EVER HAD ANY SURGERIES IN THE PAST
+GAS0007-035 I HAD MY TEETH PULLED AS A KID NO
+GAS0007-036 OK STILL HAVE YOUR APPENDIX MAYBE
+GAS0007-037 I NEVER HAD THAT PROBLEM AS A KID
+GAS0007-038 AND DO YOU HAVE ANY ALLERGIES
+GAS0007-039 NO SOMETIMES GET A LITTLE BIT CONGESTED DURING THE FALL BUT THAT'S IT
+GAS0007-040 DO YOU HAVE ANY FAMILY HISTORY OF GASTROINTESTINAL PROBLEMS
+GAS0007-041 GAS LIKE NO I THINK MY GRANDMA DIED OF BREAST CANCER FAIRLY EARLY BUT NO NOT NOT THAT NOT THAT I CAN THINK OF
+GAS0007-042 OK AND JUST IN TERMS OF YOUR LIFESTYLE DO YOU LIVE HERE IN TOWN
+GAS0007-044 LIVING ALONE OR WITH FAMILY
+GAS0007-045 NO NO I GOT FAMILY ME THE WIFE GOT TWO KIDS ONE OF THEM IS COLLEGE BOUND NOW BUT
+GAS0007-046 NICE AND WHAT DO YOU DO FOR WORK OR ARE YOU RETIRED
+GAS0007-047 I'M STILL WORKING I AM A PRODUCTION OVERSEER PRODUCTION MANAGER OVER AT FAIRBANKS
+GAS0007-048 OK YOU'RE A BIG BOSS
+GAS0007-049 IT TOOK A WHILE TO GET HERE
+GAS0007-050 I'M SURE IT WAS VERY HARD WORK IN GENERAL DO YOU DRINK ALCOHOL
+GAS0007-051 WELL PLAN ON DRINKING ON THE TWO FOUR BUT NOT REGULAR SPECIAL OCCASIONS MAINLY HOT DAYS SOMETIMES I'LL HAVE A BEER OR TWO
+GAS0007-052 AND DO YOU SMOKE CIGARETTES
+GAS0007-054 HAVE YOU EVER SMOKED IN THE PAST
+GAS0007-056 DO YOU CANNABIS
+GAS0007-058 ANY OTHER SUBSTANCES
+GAS0007-059 NO
+GAS0007-060 OK IS THERE ANYTHING ELSE YOU WANTED TO BRING UP TODAY THAT I DIDN'T ASK YOU ABOUT OR ANY OTHER QUESTIONS THAT YOU HAVE
+GAS0007-061 NO JUST HOPING TO GET AN ANSWER TO WHATEVER IS GOING ON OK
+GAS0007-062 OK WELL AT THIS POINT I WILL DO A QUICK PHYSICAL EXAM WE MAY WANT TO HAVE BLOOD WORK DONE MAYBE SOME OTHER TESTS BASED ON WHAT WE FIND OUT FROM THERE AND THEN WE CAN KIND OF LET YOU KNOW AFTER THAT WHAT THE NEXT STEPS WILL BE SO I'M JUST GOING TO TAKE THIS AND GO OVER IT WITH THE PHYSICIAN THAT I'M WORKING WITH AND WILL GET BACK TO YOU SHORTLY THANKS FOR CHATTING WITH ME
+GAS0007-063 THANKS DOC
+MSK0045-000 WHAT BRINGS YOU HERE TODAY
+MSK0045-001 SO I'M HERE BECAUSE MY SHOULDER HAS BEEN REALLY PAINFUL FOR THE PAST WEEK AND ANY MOVEMENT OF THAT SHOULDER OF MY RIGHT SHOULDER CAUSES A LOT OF PAIN
+MSK0045-002 OK AND HOW LONG HAVE YOU BEEN HAVING THIS PAIN FOR
+MSK0045-003 FOR THE PAST WEEK
+MSK0045-004 PAST WEEK OK AND DID YOU INJURE YOUR SHOULDER AT ALL RECENTLY ANY TRAUMA TO THE AREA OR ANYTHING LIKE THAT
+MSK0045-005-1 SO ABOUT LIKE A COUPLE OF MONTHS AGO I WAS DO I I WORK IN CONSTRUCTION SO I I WAS MOVING AROUND SOME HEAVY OBJECTS AND
+MSK0045-005-2 I GUESS LIKE THE REPETITIVE MOTIONS CAUSED SOME SORT OF ROTATOR CUFF INJURY BUT I HAD THAT LIKE I GOT THAT TREATED AND EVERYTHING WAS FINE FOR A COUPLE OF MONTHS BUT THIS PAIN JUST STARTED A WEEK AGO
+MSK0045-006 OK AND WHERE IS THIS PAIN LOCATED EXACTLY
+MSK0045-007 IT'S IT'S JUST LIKE IN MY SHOULDER LIKE AT THE JOINT BETWEEN MY UPPER ARM AND SHOULDER
+MSK0045-008 OK AND IS IT AN ACHING PAIN OR IS IT A SHARP STABBING PAIN
+MSK0045-009 SO AT REST IT SEEMS TO BE LIKE ACHY AND STIFF BUT BUT WHEN I MOVE MY SHOULDER WHEN I TRY TO MOVE IT IT IT CAUSES MORE OF A SHARP PAIN
+MSK0045-010 OK AND WHAT KIND OF MOVEMENTS CAUSE THE SHARP PAIN OR IS IT JUST ANY MOVEMENT ANY MOVEMENT
+MSK0045-012 OK ARE THERE ANY MOVEMENTS THAT ARE WORSE IN PARTICULAR
+MSK0045-013 I THINK LIKE NO ANYTHING HURTS
+MSK0045-014 OK AND HOW MUCH WOULD YOU RATE THIS PAIN OUT ON A SCALE OF ZERO TO TEN TEN BEING THE WORST PAIN YOU FELT IN YOUR LIFE
+MSK0045-015 I'D GIVE IT ABOUT A SEVEN
+MSK0045-016 SEVEN OK
+MSK0045-017 AND ARE YOU HAVING IS THIS PAIN MOVING TO ANY OTHER JOINTS OR ANY OTHER PART OF YOUR BODY
+MSK0045-018 NO
+MSK0045-019 SO JUST JUST IN THE AREA THAT YOU DESCRIBED
+MSK0045-020 YES
+MSK0045-021 OK AND DO YOU NOTICE ANY KIND OF JUST LOOKING AT YOUR SHOULDER OUTSIDE FROM THE OUTSIDE ANY SWELLING REDNESS ANY MASSES OR DEFORMITIES
+MSK0045-022 NO I DON'T SEE ANYTHING LIKE THAT
+MSK0045-023 OK ALRIGHT AND IS THERE ANYTHING THAT YOU'VE TRIED THAT HAS HELPED WITH YOUR PAIN
+MSK0045-024 I'VE TRIED SOME IBUPROFEN SOME ICE IT SEEMS TO HELP TEMPORARILY
+MSK0045-025 OK AND EARLIER WHEN YOU HAD THE ROTATOR CUFF INJURY DID YOU GET PHYSIOTHERAPY
+MSK0045-026 I DID BUT NOT BUT I DIDN'T FINISH THE FULL COURSE I JUST WENT FOR A WEEK OR SO AND THEN I I HAD TO GO BACK TO WORK SO I STOPPED DOING THAT
+MSK0045-027 YES SO THAT'S SOMETHING DEFINITELY IT'S VERY IMPORTANT AND WE'LL NEED TO CONSIDER GOING FORWARD AS WELL OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF ANY FEVERS OR CHILLS
+MSK0045-028 NO NOTHING LIKE THAT
+MSK0045-029 AND HAVE YOU BEEN SICK RECENTLY AT ALL OR MET WITH SOMEONE WHO WAS SICK
+MSK0045-030 NO
+MSK0045-031 ANY ANY WEIGHT LOSS OR LOSS OF APPETITE ANYTHING LIKE THAT
+MSK0045-032 NO NOTHING LIKE THAT
+MSK0045-033 OK ANY NUMBNESS OR TINGLING
+MSK0045-034 NO
+MSK0045-035 ANY WEAKNESS IN YOUR EXTREMITIES
+MSK0045-037 ANY ANY JUST SYMPTOMS OR ANYTHING ELSE LIKE DIARRHEA CONSTIPATION URINARY CHANGES ANYTHING ELSE IS GOING ON
+MSK0045-038 NO
+MSK0045-039 NO OK SO IT'S MAINLY JUST THE SHOULDER PAIN
+MSK0045-040 YES
+MSK0045-041 ALRIGHT AND DOES REST HELP AT ALL LIKE WHEN YOU'RE LYING DOWN JUST NOT MOVING YOUR SHOULDER DOES THAT HELP WITH YOUR PAIN
+MSK0045-042 I WOULD SAY SO
+MSK0045-043 AND IS IS THIS STIFFNESS THERE JUST THROUGHOUT THE DAY OR IS IT THERE IN THE MORNING AND THEN GETS BETTER DURING THE DAY
+MSK0045-044 IT'S PRETTY MUCH THERE ALL DAY
+MSK0045-045 OK ALRIGHT AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
+MSK0045-046 I HAVE I HAVE DIABETES BUT THAT'S ABOUT IT
+MSK0045-047 OK AND DO YOU TAKE ANY MEDICATIONS
+MSK0045-048 I'M ON METFORMIN
+MSK0045-049 AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS
+MSK0045-050 NO NO ALLERGIES TO MEDICATIONS
+MSK0045-051 HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST
+MSK0045-052 NO
+MSK0045-053 OK ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGICAL CONDITIONS
+MSK0045-054 NO
+MSK0045-055 OK AND CURRENTLY RIGHT NOW SO YOU SAID YOU WORK AS A CONSTRUCTION WORKER RIGHT
+MSK0045-056 YES
+MSK0045-057 AND ARE YOU OFF OF WORK RIGHT NOW OR HAVE YOU BEEN OFF WORK DUE TO YOUR PREVIOUS INJURY AND PAIN OR ARE YOU STILL WORKING
+MSK0045-058 I'M STILL WORKING BUT MODIFIED SO I AM NOT LIFTING ANY HEAVY OBJECTS OR ANYTHING LIKE THAT I'M JUST DOING SOME LIKE GROUNDWORK
+MSK0045-059 OK THAT'S GOOD I MEAN WE MIGHT ALSO NEED TO IF YOU'RE DOING ANY KIND OF OVERHEAD LIKE WORK WHERE YOU'RE RAISING YOUR ARMS ABOVE YOUR SHOULDERS THAT MIGHT CAUSE FURTHER PROBLEMS AS WELL SO WE'LL LOOK INTO SOME OF THOSE MODIFIED DUTIES AS WELL
+MSK0045-061 AND WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW WHO DO YOU LIVE WITH
+MSK0045-062 I LIVE BY MYSELF RIGHT NOW
+MSK0045-063 DO YOU LIVE IN A HOUSE OR APARTMENT
+MSK0045-064 I LIVE IN AN APARTMENT
+MSK0045-065 AND IN TERMS OF YOUR DAILY LIFE DO YOU SMOKE AT ALL
+MSK0045-066 I DON'T SMOKE I USED TO SMOKE BEFORE BUT THAT WAS LIKE TWENTY YEARS AGO
+MSK0045-067 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANY OTHER DRUGS
+MSK0045-068 NO NO
+MSK0045-069 HOW ABOUT SMOKING YOU SMOKE CIGARETTES SORRY YOU SAID YOU YOU QUIT DO YOU DRINK ALCOHOL
+MSK0045-070 I'LL DRINK LIKE A GLASS OF WINE HERE AND THERE
+MSK0045-071 OK ALRIGHT AND THOSE WERE SOME OF THE QUESTIONS I HAD FOR YOU IN TERMS OF JUST A PHYSICAL EXAMINATION WHEN YOU PRESS ON THE AREA THAT YOU DESCRIBE WHEN YOU PRESS AROUND THE AREA DOES IT HURT
+MSK0045-072 I HAVE TO PRESS PRETTY HARD FOR IT TO HURT
+MSK0045-073 OK BUT OTHERWISE IT'S NOT TENDER
+MSK0045-074 NO
+MSK0045-075 OK AND AGAIN NO SWELLING REDNESS OR ANYTHING LIKE THAT JUST IT'S MAINLY JUST ON THE INSIDE
+MSK0045-076 OK AND AND ANY KIND OF MOVEMENT HURTS RIGHT THERE'S NO PARTICULAR MOVEMENT THAT LIKE IF YOU WERE INSTEAD OF TRYING TO RAISE THAT SHOULDER BY ITSELF IF YOU WERE TO JUST MOVE IT WITH THE OTHER ARM DOES IT HURT
+MSK0045-077 THE OTHER ARM THE OTHER ARM DOESN'T HURT AT ALL
+MSK0045-078 OR LIKE IF YOU WERE TO USE YOUR LEFT ARM TO TO PASSIVELY MOVE YOUR RIGHT ARM AND SHOULDER DOES THAT HURT OR IS IT WHEN YOU JUST TRY TO MOVE THE RIGHT ARM BY ITSELF
+MSK0045-079 IT'S OH IT STILL HURTS ANY ANY MOVING OF THE SHOULDER HURTS
+MSK0045-080-1 OK ALRIGHT SO SO BASED ON WHAT YOU'VE TOLD ME SO FAR IN YOUR RECENT SHOULDER CUFF INJURY WHAT CAN SOMETIMES HAPPEN IS WITH THOSE INJURIES YOU MIGHT GET SOME INFLAMMATION AND
+MSK0045-080-2 WHAT MIGHT HAPPEN IS SOMETHING CALLED ADHESIVE CAPSULITIS OR JUST COMMONLY KNOWS AS KNOWN AS A FROZEN SHOULDER AND THERE'S DIFFERENT STAGES SO THAT MIGHT HAPPEN SO
+MSK0045-080-3 IN THE INITIAL STAGES LIKE FREEZING AND THEN THERE'S STIFFENING IN STAGE TWO AND THEN USUALLY AFTER SIX TO TWELVE MONTHS IT STARTS GETTING BETTER
+MSK0045-082-1 AND IT MIGHT ALSO AFFECT YOUR OTHER SHOULDER AS WELL SO WHAT WE'LL END UP DOING TODAY IS SEE IF WE CAN GET
+MSK0045-082-2 SOME IMAGING DONE SO WE CAN DO AN X RAY OF YOUR SHOULDER I'M SURE YOU'VE HAD X RAYS BEFORE SO WE'LL KIND OF COMPARE THEM TO YOUR SHOULDER X RAYS FROM BEFORE
+MSK0045-082-3 WE IF WE NEED TO WE CAN ALSO GET AN ULTRASOUND IF WE DON'T WE CAN'T REALLY TELL FROM THE X RAYS
+MSK0045-082-4 AND THEN FROM THERE WE CAN GET SOME BLOOD WORK AS WELL JUST YOUR NORMAL BLOOD WORK AS WELL AS INFLAMMATION MARKERS
+MSK0045-082-5 AND THEN FROM THERE WE'LL NEED TO REALLY DISCUSS SOME MANAGEMENT STRATEGIES SO YOU'VE ALREADY TRIED SOME PHYSIOTHERAPY BUT NOW WE NEED TO MAKE SURE THAT'S
+MSK0045-082-6 IT'S IT'S CONSISTENT BECAUSE THIS IS SOMETHING THAT HAS A HIGH RECURRENCE RATE AND WE WILL DEFINITELY NEED TO FINISH THE FULL COURSE OF PHYSIOTHERAPY
+MSK0045-082-7 WHATEVER IT MAY BE BECAUSE IF PHYSIOTHERAPY DOESN'T WORK WE MAY HAVE TO CONSIDER LIKE OTHER OPTIONS LIKE CORTICOSTEROID INJECTIONS RIGHT INTO YOUR SHOULDER
+MSK0045-084 FOR SOME RELIEF BUT SO FIRST WE'LL JUST TRY SOME CONSERVATIVE METHODS LIKE PHYSIOTHERAPY PAIN MANAGEMENT AND THEN GO FROM THERE HOW DOES THAT SOUND
+MSK0045-085 THAT SOUNDS PRETTY GOOD THANK YOU
+MSK0045-086 WELCOME ALRIGHT SO WE'LL CALL YOU FOR THE X RAYS AND THEN WE'LL GO FROM THERE
+MSK0045-087 OK SOUNDS GOOD
+MSK0046-000 WHAT BRINGS YOU HERE TODAY
+MSK0046-001 I'M I'M HERE BECAUSE MY LEFT HAND KIND OF JUST LIKE AT THE BASE OF MY THUMB HAS BEEN HURTING FOR THE PAST TWO DAYS AND IT SEEMS TO BE GETTING WORSE AND I'M LEFT HANDED SO IT'S REALLY HARD FOR ME TO WRITE OR DO ANYTHING WHERE I HAVE TO LIKE CLENCH OR GRIP THINGS
+MSK0046-002 OK AND HOW LONG HAS THIS BEEN GOING ON FOR
+MSK0046-003 SO FOR THE PAST TWO DAYS BUT IT'S GOT IT GOT BAD YESTERDAY
+MSK0046-004 OK AND HAVE YOU HAD ANY IF YOU WERE TO DESCRIBE THE PAIN WHERE IS IT LOCATED EXACTLY
+MSK0046-005 IT'S JUST AT THE BASE OF MY THUMB YOU KNOW WHERE THE FLESHY PART OF YOUR HAND IS
+MSK0046-006 OK
+MSK0046-007 SO JUST JUST OVER THERE
+MSK0046-008 OK AND WHAT KIND OF PAIN IS IT IS IT SHARP OR IS IT ACHING
+MSK0046-009 IT'S IT'S LIKE A AT BASELINE IT'S AN ACHY PAIN BUT IF I TRY TO MOVE IT OR TRY TO WRITE OR YOU KNOW USE A COMPUTER OR ANYTHING LIKE THAT IT IT BECOMES SHARP
+MSK0046-010 OK AND ON A SCALE OF ZERO TO TEN TEN BEING THE WORST PAIN YOU'VE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE IT
+MSK0046-011 I'D SAY LIKE A SIX
+MSK0046-012 OK AND DOES THIS PAIN MOVE ANYWHERE ELSE IN YOUR HAND OR DOES IT JUST STAY WHERE YOU DESCRIBED IT'S
+MSK0046-013 IT JUST STAYS THERE
+MSK0046-014 AND WHAT KIND OF MOTIONS CAUSE THE MOST PAIN
+MSK0046-015 I'D SAY LIKE YOU KNOW TRYING TO TOUCH MY PINKY WITH MY THUMB THAT THAT HURTS JUST LIKE TRYING TO ROTATE IT HURTS
+MSK0046-016 AND HAVE YOU TRIED ANYTHING FOR THE PAIN THAT HAS HELPED
+MSK0046-017 NO I HAVEN'T REALLY TRIED TOO MUCH I'VE JUST I'VE JUST TRIED NOT TO USE IT AS MUCH
+MSK0046-018 I SEE OK AND HAS THIS EVER LIKE HAVE YOU EVER HAD ANY INJURIES TO THIS HAND ANY TRAUMA EITHER RECENTLY OR IN THE PAST
+MSK0046-019 NO NO NOTHING LIKE THAT
+MSK0046-020 OK ALRIGHT AND IS THERE ANY DO YOU DO ANY KIND OF REPETITIVE WORK THAT REQUIRES GRIPPING OR LIFTING WITH THAT HAND ANYTHING REPETITIVE
+MSK0046-021 SO I DO A LOT OF WORK AT THE COMPUTER AND I GUESS I TEND TO TYPE A LOT WITH MY LEFT HAND SO MAYBE THAT
+MSK0046-022 OK
+MSK0046-023 AND SORRY I ALSO TAKE LOTS OF NOTES LIKE HANDWRITTEN NOTES WITH MY LEFT HAND
+MSK0046-024 OK SO ARE YOU LEFT HANDED
+MSK0046-025 YES
+MSK0046-026 OK ALRIGHT HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
+MSK0046-027 NO
+MSK0046-028 NO SO YOU'RE HEALTHY
+MSK0046-029 YES
+MSK0046-030 DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS
+MSK0046-032 NO OK ANY ALLERGIES TO ANY MEDICATIONS
+MSK0046-033 NO ALLERGIES
+MSK0046-034 ANY PREVIOUS SURGERIES OR HOSPITALIZATIONS
+MSK0046-035 NO
+MSK0046-036 ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS WHETHER IT'S MUSCULOSKELETAL RHEUMATOLOGICAL ANY CONDITIONS
+MSK0046-037 NO NOTHING LIKE THAT
+MSK0046-038 OK ANY CANCERS IN THE FAMILY
+MSK0046-039 I KNOW THERE'S THERE'S A LOT OF CANCER IN THE FAMILY THERE'S COLON CANCER BREAST CANCER OVARIAN CANCER
+MSK0046-040 AND ARE THEY FIRST DEGREE RELATIVES WHO HAD THOSE CANCERS
+MSK0046-041 NO FIRST DEGREE RELATIVES JUST LIKE AUNTS AND UNCLES
+MSK0046-042 OK ALRIGHT AND CURRENTLY ARE YOU WORKING RIGHT NOW OR HAVE YOU HAD ANY TIME OFF WORK OR ANY MODIFIED DUTIES
+MSK0046-043 SO I'M STILL WORKING ONLINE I'VE JUST HAVEN'T BEEN TAKING NOTES BY HAND ANYMORE
+MSK0046-044 I SEE AND DOES THAT HELP THOUGH
+MSK0046-045 IT IT HAS HELPED A LITTLE BIT BECAUSE I'M NOT MOVING MY HAND AS MUCH SO IT HELPS WITH THE PAIN
+MSK0046-046 OK HAVE YOU TAKEN ANY TYLENOL ADVIL ANYTHING FOR THE PAIN
+MSK0046-047 NO I HAVEN'T
+MSK0046-048 ALRIGHT AND CURRENTLY RIGHT NOW WHAT IS YOUR LIVING SITUATION LIKE
+MSK0046-049 I LIVE IN AN APARTMENT BY MYSELF
+MSK0046-050 AND DO YOU CURRENTLY SMOKE CIGARETTES
+MSK0046-051 I SMOKE I USED TO SMOKE LIKE FIVE YEARS AGO AND I ONLY DID THAT FOR LIKE A YEAR OR TWO AND IT WASN'T VERY MUCH BUT I DON'T SMOKE ANYMORE
+MSK0046-052 OK THAT'S GOOD ANY ALCOHOL
+MSK0046-053 I'LL HAVE LIKE A BEER ON THE WEEKEND
+MSK0046-054 OK ANY RECREATIONAL DRUGS LIKE MARIJUANA
+MSK0046-055 I WILL TAKE AN EDIBLE LIKE ONCE A MONTH
+MSK0046-056 OK AND THOSE WERE JUST SOME OF THE QUESTIONS I HAD AND WE'RE JUST GOING TO DO A FEW THINGS FOR EXAMINING EXAMINING THAT AREA SO ARE YOU ABLE TO MAKE A FIST I
+MSK0046-057 CAN BUT IT HURTS
+MSK0046-058 OK IT HURTS IN THAT LOCATION THAT YOU MENTIONED
+MSK0046-059 YES
+MSK0046-060 HOW ABOUT IF YOU MAKE A FIST WITHOUT YOUR THUMB DOES IT STILL HURT OR IS IT JUST WHEN YOU ARE MOVING THE THUMB
+MSK0046-061 IT'S JUST WHEN I'M MOVING THE THUMB
+MSK0046-062 OK AND IF YOU WERE ABLE TO ARE YOU ABLE TO ROTATE YOUR WRIST
+MSK0046-063 YES I CAN ROTATE MY WRIST
+MSK0046-064 DOES THAT HURT AT ALL
+MSK0046-065 NO
+MSK0046-066 NOW I JUST WANT YOU TO DO THIS ONE TEST IT'S CALLED A FINKELSTEIN TEST OK SO I WANT YOU TO FLEX YOUR THUMB PRESS IT UP DOWN AGAINST YOUR PALM
+MSK0046-067 OK
+MSK0046-068 AND THEN HOLD YOUR HAND SORRY
+MSK0046-069 NO GO AHEAD
+MSK0046-070 AND THEN AFTER YOU DO THAT BRING YOUR FINGERS ABOVE YOUR THUMB SO JUST COVER YOUR THUMB
+MSK0046-071 OK
+MSK0046-072 KIND OF LIKE A FIST BUT YOUR THUMB IS ON THE INSIDE OF YOUR FINGERS
+MSK0046-074 THEN BRING YOUR ARM OUT
+MSK0046-076 AND WITH YOUR OTHER HAND CAN YOU FROM ABOVE PUSH YOUR WRIST DOWNWARDS SO YOUR PINKY FINGER IS POINTING TO THE POINTING TO THE GROUND
+MSK0046-077 OK
+MSK0046-078 DID THAT HURT AT ALL LIKE WHEN YOU SO THIS IS JUST CALLED ULNAR DEVIATION OR YOUR OF YOUR WRIST DOES THAT HURT AT ALL
+MSK0046-079 YES THAT IS VERY PAINFUL
+MSK0046-080-1 THAT'S VERY PAINFUL OK ALRIGHT AND THEN YOU'RE ALSO HAVING PAIN WITH GRIPPING AND OK SO THOSE ARE KIND OF ALL THE THINGS I WANTED TO ASK
+MSK0046-080-2 IT SEEMS THAT YOU MAY BE HAVING SOMETHING CALLED DE QUERVAIN'S TENOSYNOVITIS IT'S CAUSED BY SOME REPETITIVE MOTIONS IT CAN BE DUE TO GRIPPING
+MSK0046-080-3 SOMETIMES IT HAPPENS TO NEW MOTHERS WHO ARE LIFTING THEIR CHILDREN AS WELL AS DAYCARE WORKERS IT CAN ALSO HAPPEN IN OTHER WORK ENVIRONMENTS AND
+MSK0046-080-4 SO WHAT WE WILL FIRST JUST NEED TO DO IS MAINLY TO JUST
+MSK0046-080-5 RULE OUT SOMETHING LIKE OSTEOARTHRITIS YOU ARE FAIRLY YOUNG BUT IF THERE WAS EVER AN INJURY IN THE PAST IT YOU CAN HAVE EARLY OSTEOARTHRITIS IN THE AREA SO WE JUST WANT TO GET AN X RAY
+MSK0046-080-6 OK OTHER THAN THAT THE WAY WE KIND OF DEAL WITH THIS ISSUE IS USUALLY CONSERVATIVELY AND WITH A SPLINT
+MSK0046-081 OK
+MSK0046-082-1 AND A SLING FOR YOUR THUMB THAT HELPS RELIEVE SOME OF THESE SYMPTOMS RESTRICTS SOME OF YOUR MOVEMENTS REDUCES SOME OF THE SWELLING AND IF IT DOES GET REALLY BAD AND IT'S AFFECTING YOUR WORK AND
+MSK0046-082-2 CONSERVATIVE MANAGEMENT WITH PAIN AND THE SPLINT DON'T WORK AND WITH PHYSIOTHERAPY WE DO OFFER INJECTING CORTICOSTEROIDS INTO JUST RIGHT LIKE IN THE AREA THAT YOU MENTIONED RIGHT BELOW THE THUMB
+MSK0046-084 AND THAT OFTEN HAS SOME EFFECT AS WELL BUT AT FIRST LET'S JUST DO SOME CONSERVATIVE MANAGEMENT AND SEE IF THAT HELPS IT'S ONLY BEEN A FEW DAYS SO HOPEFULLY WHAT WE TRY FIRST HELPS AND THEN WE CAN GO ON FROM THERE
+MSK0046-085 OK THAT SOUNDS GREAT THANK YOU
+MSK0046-086 WELCOME TAKE CARE
+MSK0046-087 YOU TOO
+MSK0049-000 HOW MAY I HELP YOU
+MSK0049-001-1 I'M HERE BECAUSE I'VE BEEN HAVING SOME PAIN IN MY LEFT KNEE FOR THE PAST TWO MONTHS AND IT'S NOT GETTING BETTER IT FEELS STIFF AND
+MSK0049-001-2 I JUST HAVEN'T BEEN ABLE TO YOU KNOW USE IT AS WELL AS WELL AS I WAS USING IT BEFORE AND IT'S JUST LIMITED SOME OF MY DAILY ACTIVITIES
+MSK0049-002 OK AND WHERE SO IT'S THE PAIN IS IN YOUR LEFT KNEE WHERE ARE YOU FEELING THIS PAIN SPECIFICALLY IS IT AT THE FRONT OF THE KNEE THE SIDES OR OR THE THE BACK COULD YOU POINT TO IT
+MSK0049-003 IT FEELS LIKE IT'S MOSTLY ON THE FRONT
+MSK0049-004 OK
+MSK0049-005 LIKE DEEP WITHIN THAT KNEECAP
+MSK0049-006 OK AND YOU SAID THE PAIN STARTED TWO MONTHS AGO
+MSK0049-007 YES WELL IT'S ALWAYS BEEN A LITTLE LIKE TENDER BUT NOW IT'S IT'S MORE
+MSK0049-008 PAINFUL OK AND SO
+MSK0049-009 SO HAS IT BEEN GETTING WORSE I WOULD SAY SO SLOWLY GETTING WORSE
+MSK0049-010 OK AND WHEN YOU GET PAIN IN THE LEFT KNEE HOW LONG DOES IT TYPICALLY LAST FOR
+MSK0049-011-1 IT USUALLY HURTS WHILE I'M DOING WHILE I'M MOVING IT OR JUST AFTER BUT IF I IF I REST THE PAIN EVENTUALLY GOES AWAY
+MSK0049-011-2 BUT WHEN I FIRST WAKE UP IN THE MORNING THAT JOINT FEELS STIFF AND THEN WHEN I START USING IT USING IT MORE IT'S LESS STIFF BUT IT BECOMES PAINFUL
+MSK0049-012 OK SO YOU HAVE SOME STIFFNESS IN THE MORNING
+MSK0049-013 I DO
+MSK0049-014 OK AND HOW LONG DOES IT LAST FOR LIKE THIRTY MINUTES SIXTY MINUTES OR OR LONGER
+MSK0049-015 THE STIFFNESS OR PAIN
+MSK0049-016 THE THE STIFFNESS
+MSK0049-017 THE STIFFNESS GOES AWAY IN LIKE FIFTEEN TO THIRTY MINUTES
+MSK0049-018 OK AND HOW WOULD YOU DESCRIBE THE PAIN IN TERMS OF ITS CHARACTER
+MSK0049-019 IT FEELS IT FEELS I GUESS MOST OF THE TIME IT'S LIKE IT'S LIKE A DULL
+MSK0049-020 KIND OF PAIN BUT IT CAN BE SHARP
+MSK0049-021 OK AND IS THERE ANYTHING THAT MAKES THE PAIN WORSE JUST WITH A LOT OF ACTIVITY IT GETS WORSE
+MSK0049-022 AND YOU FEEL IT RADIATE ANYWHERE ELSE
+MSK0049-023 NO
+MSK0049-024 OK AND HOW WOULD YOU DESCRIBE THE SEVERITY OF YOUR PAIN ON A SCALE OF TEN BEING THE WORST PAIN YOU'VE EVER FELT AND ONE BEING KIND OF VERY MINIMAL PAIN
+MSK0049-025 I WOULD GIVE IT MAYBE SEVEN
+MSK0049-026 OK AND HAVE YOU HAD ANY INJURIES TO YOUR KNEE BEFORE
+MSK0049-027 NO NOT THAT I CAN THINK OF
+MSK0049-028 NO OK AND HAVE YOU BEEN HAVING ANY ANY WEIGHT
+MSK0049-029 LOSS RECENTLY
+MSK0049-030 NO WEIGHT GAIN WEIGHT GAIN OK HOW MUCH WEIGHT HAVE YOU GAINED OVER THE LAST
+MSK0049-031 MONTH OVER THE PAST SIX MONTHS I'D SAY I'VE GAINED ABOUT TWENTY POUNDS
+MSK0049-032 OK HAVE YOU HAD CHANGES IN YOUR DIET AND OR EXERCISE
+MSK0049-033 I GUESS I'VE BEEN EATING A LITTLE BIT MORE BUT NO CHANGES IN EXERCISE
+MSK0049-034 OK HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
+MSK0049-035 NO
+MSK0049-036 OK HOW ABOUT ANY NIGHT SWEATS
+MSK0049-037 NO NIGHT SWEATS
+MSK0049-038 OK AND HAVE YOU HAD ANY CHANGES TO YOUR VISION OR HEARING
+MSK0049-039 NO
+MSK0049-040 OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE
+MSK0049-041 NO
+MSK0049-042 OK HAVE YOU HAD A RUNNY NOSE OR OR A SORE THROAT
+MSK0049-043 NO
+MSK0049-044 HAVE YOU HAD A COUGH OR OR ANY SHORTNESS OF BREATH
+MSK0049-045 NO NOTHING LIKE THAT
+MSK0049-046 OK HOW ABOUT ANY
+MSK0049-047 WHEEZING
+MSK0049-048 NO WHEEZING ALRIGHT ANY CHEST PAIN OR
+MSK0049-050 HEART PALPITATIONS NO ALRIGHT HAVE YOU HAD ANY
+MSK0049-052 LIGHTHEADEDNESS OR DIZZINESS NO
+MSK0049-054 ALRIGHT AND ANY CONFUSION OR MEMORY LOSS
+MSK0049-055 ALRIGHT AND HAVE YOU HAD ANY CHANGES IN APPETITE LIKE A LOSS OF APPETITE NO
+MSK0049-056 I IF ANYTHING HAD A GAIN IN APPETITE ALRIGHT
+MSK0049-058 HAVE YOU HAD ANY NAUSEA
+MSK0049-060 OR VOMITING NO HOW ABOUT ANY ABDOMINAL PAIN
+RES0010-000 HOW MAY I HELP YOU TODAY
+RES0010-001 SO I HAVE LIKE A REALLY SORE THROAT STARTED LAST NIGHT
+RES0010-002 OH I'M SORRY CAN YOU CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT SO YOU YOU'VE ONLY HAD THIS SORE THROAT FOR ONE NIGHT
+RES0010-003 I JUST I THINK IT'S GETTING WORSE IT'S AT THE BACK OF MY THROAT AND IT'S KIND OF BURNING
+RES0010-004 <hesitation> OK DO YOU HAVE DO YOU HAVE ANY OTHER SYMPTOMS
+RES0010-005 LIKE I THINK MY VOICE IS KIND OF LIKE RASPY I FEEL LIKE I MIGHT BE LOSING MY VOICE
+RES0010-006 OK DO YOU DO YOU HAVE A RUNNY NOSE
+RES0010-007 NO NOT THAT I'VE NOTICED I SAID IT HURTS WHEN I SWALLOW RIGHT I DON'T HAVE A RUNNY NOSE
+RES0010-008 NO OK AND DO YOU HAVE ANY PAIN IN YOUR EARS
+RES0010-009 I HAVEN'T NOTICED NO
+RES0010-010 ANY ANY SINUS HEADACHES ANY SORT OF PAIN IN AND AROUND YOUR CHEEKS OR PAIN IN YOUR FOREHEAD AS YOU'RE TRYING TO BEND OVER
+RES0010-011 NO NO HEADACHE
+RES0010-012 NOTHING LIKE THAT OK HAVE YOU HAD ANY PAIN IN YOUR CHEST
+RES0010-019 I DEFINITELY FEEL LIKE REALLY TIRED I THINK I HAD I THINK I HAD CHILLS LIKE YESTERDAY AND I THINK WHEN I FIRST GOT HERE THEY TOOK MY TEMPERATURE AND SAID IT WAS LIKE IT WAS LIKE PRETTY HIGH THE NURSE
+RES0020-000 COULD YOU TELL ME WHAT BROUGHT YOU IN TODAY
+RES0020-001 SURE YOU KNOW I'VE BEEN HAVING THIS CHEST PAIN FOR THE SINCE LAST NIGHT AND I'M ALSO HAVING A HARD TIME BREATHING SO THOUGHT I SHOULD CHECK IT OUT
+RES0020-002 OK AND SO THE CHEST PAIN CAME ON LAST NIGHT WERE YOU DOING ANYTHING BEFORE BEFORE IT COMING ON
+RES0020-003 NO I WAS JUST ABOUT TO HEAD TO BED AND SUDDENLY I FELT THIS CRAMPY PAIN IN MY CHEST
+RES0020-004 OK AND WHERE IS THIS PAIN LOCATED
+RES0020-005 I'D SAY LIKE THE CENTER OF MY CHEST
+RES0020-006 OK HAS THE PAIN BEEN GOING ON CONSTANTLY SINCE LAST NIGHT
+RES0020-007 I WOULD SAY SO
+RES0020-008 OK HAS IT CHANGED IN CHARACTER AT ALL YOU SAID IT WAS CRAMPY BUT HAS IT FELT LIKE ANYTHING ELSE
+RES0020-009 NO JUST JUST
+RES0020-010 CRAMPY I SEE DID YOU FEEL THE PAIN ANYWHERE ELSE OR DO YOU FEEL IT JUST IN THE CENTER OF YOUR CHEST
+RES0020-011 <hesitation> YES CENTER OF MY CHEST GOING UP TO AROUND MY THROAT AREA MAYBE
+RES0020-012 OK I SEE AND ANYTHING THAT YOU'VE DONE
+RES0020-013 THAT'S MADE THE PAIN WORSE I GUESS TAKING
+RES0020-014 IN A DEEP BREATH OK AND HOW ABOUT CHANGING POSITIONS DOES THE PAIN GET WORSE IF YOU LIE FLAT OR OR IF YOU LEAN FORWARD
+RES0020-015 NO
+RES0020-016 OK AND HAVE YOU EVER HAD A PAIN LIKE THIS IN YOUR CHEST BEFORE
+RES0020-017 NO
+RES0020-018 OK AND AND HAS THE PAIN GET BEEN GETTING WORSE GETTING BETTER STAYING THE SAME
+RES0020-019 IT'S BEEN THE SAME
+RES0020-020 OK HAVE YOU TAKEN ANYTHING FOR IT TO HELP WITH THE PAIN
+RES0020-021 NO
+RES0020-022 OK AND THE SHORTNESS OF BREATH YOU MENTIONED WHEN DID THAT START
+RES0020-023 AROUND THE SAME TIME
+RES0020-024 OK AND IS THIS TROUBLE BREATHING LIKE AFTER WALKING A CERTAIN DISTANCE OR EXERTING YOURSELF
+RES0020-025 NO IT IT IT IT'S JUST ALWAYS THERE
+RES0020-026 OK AND HAVE YOU NOTICED ANY CHANGES TO THE SOUNDS OF YOUR BREATHING LIKE A WHEEZE OR
+RES0020-028 MAYBE MAYBE A SLIGHT WHEEZE OK
+RES0020-030 DO YOU THINK THAT YOU'RE BREATHING
+RES0020-089 SOUNDS LIKE A GREAT A GREAT
+RES0020-090 PLAN DO YOU TAKE ANY OTHER MEDICATIONS I TAKE SOME
+RES0020-092 VITAMINS AND YOU KNOW LIKE VITAMIN D AND CALCIUM BUT THAT'S IT OK
+RES0020-093 ANY ALLERGIES I'M ALLERGIC TO PENICILLIN OK HAVE YOU HAD ANTIBIOTICS RECENTLY FOR ANY REASON NO OK AND ARE YOUR IMMUNIZATIONS
+RES0020-094 UP TO DATE I THINK SO I THINK THE ONLY THING IS I HAVE TO SEE IF I'M UP TO DATE WITH MY PNEUMOVAX OK GREAT I WAS WONDERING ABOUT THAT ONE SO WE CAN LOOK INTO THAT CERTAINLY AND DO YOU KNOW IF YOU'VE HAD
+RES0020-095 THE ZOSTER OR THE
+RES0020-096 SHINGLES VACCINE YES I HAD THAT ONE OK GREAT AND NEXT COULD YOU I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
+RES0020-097 SURE I LIVE WITH MY HUSBAND WE LIVE IN A THREE BEDROOM TOWNHOUSE
+RES0020-098 IT'S A FAIRLY NEW HOME OK REALLY DID YOU
+RES0020-100 THERE YES WE DID OK COOL AND SO THERE'S NO CONCERNS WITH LIKE OLD CARPETS OR BEING EXPOSED TO KIND OF LIKE DUST OR OR MOLDS OR ANYTHING LIKE THAT IN THE HOME
+RES0020-101 NO NOTHING LIKE THAT
+RES0020-102 OK AND HAS YOUR HUSBAND BEEN SICK AT ALL
+RES0020-103 NO HE'S BEEN FINE
+RES0020-104 OK AND DO YOU HAVE ANY PETS IN THE HOME
+RES0020-105 WE HAVE A CAT
+RES0020-106 OK AND DO YOU HAVE ANY ALLERGIES TO PETS
+RES0020-107 NO
+RES0020-108 ALRIGHT AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY RIGHT NOW
+RES0020-109 WE'RE BOTH RETIRED BUT WE HAVE OUR RESP SAVINGS
+RES0020-110 OH EXCELLENT OK AND FOR YOUR PREVIOUS OCCUPATION WERE YOU EXPOSED TO ANY CHEMICALS OR LIKE ASBESTOS OR INHALANTS THAT YOU'RE AWARE OF
+RES0020-111 NO NO NOTHING LIKE THAT
+RES0020-112 OK AND YOU SMOKE CIGARETTES
+RES0020-113 I DON'T
+RES0020-114 DO YOU DRINK ALCOHOL
+RES0020-115 I HAVE MAYBE A GLASS OR TWO GLASSES OF WINE OVER THE WEEKENDS
+RES0020-116 OK AND DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS
+RES0020-117 NO I DON'T
+RES0020-118 OK AND HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS
+RES0020-119 NO NO NOTHING LIKE THAT
+RES0020-120 OK AND AND HAS ANYBODY IN YOUR FAMILY HAD A HEART CONDITION BEFORE
+RES0020-121 MY MOTHER PASSED AWAY WHEN SHE WAS EIGHTY SHE HAD SOME VALVULAR ISSUES
+RES0020-122 OK OK AND HAS ANYBODY IN THE FAMILY HAD A HEART ATTACK BEFORE
+RES0020-123 NO NOT THAT I KNOW OF
+RES0020-124 ALRIGHT AND ANYBODY HAVE ANY LUNG CONDITIONS
+RES0020-125 NO
+RES0020-126 ALRIGHT AND THEN ANY CANCER THAT RUNS IN THE FAMILY
+RES0020-127 CANCER NO NO
+RES0020-128 OK I THINK THAT'S ALL I WANTED TO COVER ON THE THE HISTORY TODAY WAS THERE ANYTHING ELSE YOU'D LIKE TO TELL ME THAT I WAS THAT I MAYBE DIDN'T ASK ABOUT
+RES0020-129 NO I THINK YOU ASKED ME ALL THOSE OTHER QUESTIONS I'M JUST WONDERING WHAT DO YOU LIKE WHAT DO YOU THINK I HAVE
+RES0020-130-1 YEAH CERTAINLY SO IT COULD POSSIBLY BE SOMETHING RELATED TO THE HEART I DON'T AND SOMETIMES ESPECIALLY PEOPLE IN YOUR AGE GROUP WHO HAVE DIABETES CAN HAVE CHEST PAIN AND SYMPTOMS THAT
+RES0020-130-2 COULD BE NONSPECIFIC AND SO WE WILL WE WILL CHECK THAT FOR SURE WE'LL GET AN ECG AND SOME LAB WORK WITH THE TROPONIN AND ALSO A CHEST X RAY SO THAT WE CAN
+RES0020-130-3 INVESTIGATE FOR THAT AND ALSO THE CHEST X RAY COULD HELP US LOOK TO SEE IF YOU HAVE SOMETHING GOING ON IN YOUR LUNGS LIKE A POSSIBLE PNEUMONIA OR <hesitation>
+RES0020-130-4 MAYBE A VIRAL INFECTION AS WELL WHICH COULD INCLUDE SOMETHING LIKE COVID NINETEEN SO WE'LL BE ORDERING A PCR NASAL SWAB AS WELL TO TEST FOR THAT
+RES0020-130-5 AND SO IN THE MEANTIME BECAUSE WE'LL BE DOING THAT TEST IT REQUIRES SELF QUARANTINE FOR FOURTEEN DAYS SO IF POSSIBLE THAT WOULD MEAN
+RES0020-130-6 DISTANCING FROM YOUR HUSBAND IN THE HOME AS WELL FOR THAT FOURTEEN DAY PERIOD BUT THE RESULTS SHOULD COME BACK FROM THAT TEST WITHIN THE NEXT SEVERAL DAYS
+RES0020-130-7 AND AND SORRY ALSO IF IT IS POSITIVE WE WILL HAVE TO NOTIFY PUBLIC HEALTH AS WELL SO THAT THE APPROPRIATE
+RES0020-131 CONTACT TRACING CAN BE DONE OK OK WELL
+RES0020-132 THANK YOU VERY MUCH NOW YOU'RE VERY WELCOME WE'LL GET THE INVESTIGATIONS STARTED NOW
+RES0020-133 SURE SOUNDS GOOD
+RES0029-000 I WAS WONDERING IF YOU COULD START BY TELLING ME WHAT BROUGHT YOU INTO THE EMERGENCY DEPARTMENT
+RES0029-001 SO I CAME TO THE EMERGENCY DEPARTMENT BECAUSE I'VE BEEN HAVING PAIN IN MY CHEST
+RES0029-002 OK WHERE IS THE PAIN LOCATED
+RES0029-003 I WOULD SAY IT'S LIKE THE WHOLE PRETTY MUCH THE LEFT SIDE OF MY CHEST
+RES0029-004 OK AND WHEN DID THIS PAIN START
+RES0029-005 SO I THINK IT STARTED JUST AROUND TWO HOURS AGO I ACTUALLY WAS RIDING MY BICYCLE AND JUST FELL OFF ON KIND OF JUST SLIPPED AND I THINK I FELL ON THAT SIDE LIKE WHEN I THE IMPACT WAS RIGHT ON MY CHEST AND SINCE THEN IT'S BEEN REALLY PAINFUL
+RES0029-006 OK I AM HOW WOULD YOU DESCRIBE THE PAIN SOMETIMES PEOPLE WILL USE WORDS LIKE BURNING DULL ACHY
+RES0029-007 I THINK IT'S MORE LIKE SOMEONE IS JUST STABBING ME AND THEN WHOLE LEFT SIDE AREA
+RES0029-008 OK AND ANYTHING THAT YOU'VE BEEN DOING THAT'S THAT'S MADE THE PAIN WORSE
+RES0029-009 IF I THINK I HAVE TO TAKE REALLY REALLY SLOW AND SHALLOW BREATHS IF I TRY TO TAKE A DEEP BREATH IT JUST REALLY HURTS LIKE TAKING THOSE SMALL SMALLER BREATHS HELPS
+RES0029-010 OK AND DO YOU FEEL THE PAIN ANYWHERE ELSE OR IS IT JUST ON THE LEFT SIDE OF YOUR CHEST
+RES0029-011 NO I WOULD SAY JUST ON THE LEFT SIDE
+RES0029-012 OK AND HAS THE PAIN BEEN GETTING WORSE STAYING THE SAME OR GETTING BETTER
+RES0029-013 I'D SAY OVER THE LAST TWO HOURS IT'S BEEN GETTING WORSE
+RES0029-014 OK AND DO YOU HAVE ANY OTHER ASSOCIATED SYMPTOMS
+RES0029-015 LIKE I THINK I I'M HAVING ALSO MAYBE IT'S JUST BECAUSE I'M TRYING TO BREATHE SLOWLY BUT I FEEL LIKE I CAN'T CATCH MY BREATH
+RES0029-016 OK HAS ANYTHING LIKE THIS EVER HAPPENED TO YOU BEFORE
+RES0029-017 NO NO I MEAN I'VE NEVER HAD ANY PAIN IN MY CHEST BEFORE
+RES0029-018 OK ARE YOU DID YOU HAVE A LOSS OF CONSCIOUSNESS WHEN YOU FELL OFF YOUR BIKE
+RES0029-019 NO I GOT RIGHT BACK UP I JUST JUST HAD THE PAIN
+RES0029-020 OK SO ANY INJURIES TO THE HEAD
+RES0029-021 NO
+RES0029-022 OK
+RES0029-023 THAT'S FINE I WAS WEARING A HELMET
+RES0029-024 OK EXCELLENT AND ANY HEADACHE RIGHT NOW
+RES0029-025 NO
+RES0029-026 OK HOW ABOUT ANY FEVER CHILLS
+RES0029-027 NO I FEEL I'M FINE
+RES0029-028 ANY NAUSEA OR VOMITING
+RES0029-029 NOPE
+RES0029-030 DO YOU FEEL AS THOUGH YOUR HEART'S RACING
+RES0029-031 I WOULD SAY LIKE IN THE LAST HOUR A LITTLE BIT MORE SO THAN USUAL
+RES0029-032 OK ANY SKIN CHANGES OR OR RASHES
+RES0029-033 YOU'VE NOTICED BESIDES JUST I GOT SOME SCRAPES HERE AND THERE ON MY HANDS BUT
+RES0029-034 NOTHING ELSE OK AND
+RES0029-036 COUGH NOPE OK AND ANY RECENT
+RES0029-037 INFECTIONS NO I'VE BEEN PRETTY PRETTY HEALTHY RECENTLY NO NO COUGH OR NO INFECTIONS
+RES0029-038 OK AND
+RES0029-040 ANY DIZZINESS NO ALRIGHT AND I KNOW YOU MENTIONED THE FEW SCRATCHES ON YOUR HANDS
+RES0029-041 BUT ANY OTHER INJURIES OH NO
+RES0029-042 I I THINK I GOT A PRETTY LUCKY OH OK AND ANY ALCOHOL OR DRUG INTAKE PRIOR TO FALLING OFF YOUR BIKE
+RES0029-043 OH NO NO I WAS COMPLETELY SOBER NO NO DRUGS OR ALCOHOL
+RES0029-044 OK AND ANY WEAKNESS OR NUMBNESS OR TINGLING
+RES0029-046 NOTICED NO NOTHING LIKE THAT ALRIGHT AND WHEN WAS THE LAST TIME YOU HAD ANYTHING TO EAT OR DRINK
+RES0029-047 I JUST HAD SOME CEREAL AND JUST SOME CHOCOLATE MILK AROUND BREAKFAST TIME BUT NOTHING ELSE
+RES0029-048 OK AND HOW MANY HOURS AGO WAS THAT
+RES0029-049 I WOULD SAY AROUND THREE HOURS AGO
+RES0029-050 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
+RES0029-051 NOT OTHER THAN JUST A HAY FEVER BUT NOTHING NOTHING ELSE I HAVE LIKE A LOT OF ALLERGIES
+RES0029-052 ANY ALLERGIES TO MEDICATIONS
+RES0029-053 OH JUST SOMETIMES WHEN I TAKE LIKE A NASAL SPRAY I THINK I MIGHT HAVE AN ALLERGY TO THE STEROIDS THAT THEY GIVE ME AND SOMETIMES ALSO SOME OF THE ANTIHISTAMINES I THINK I GET SOME ALLERGIES FROM THEM
+RES0029-054 OK AND
+RES0029-056 ANY HOSPITALIZATIONS
+RES0029-057 NO
+RES0029-058 NEVER ANY SURGERIES NOPE OK ANYBODY IN THE FAMILY WHO HAVE
+RES0029-059 ANY ILLNESSES JUST MY FATHER HE HAS TYPE TWO DIABETES BUT NOTHING ELSE
+RES0029-060 OK AND HOW DO YOU SUPPORT YOURSELF CURRENTLY FINANCIALLY
+RES0029-061 OH SO I WORK JUST AS LIKE A MECHANIC JUST IN THE CITY AND CURRENTLY I JUST HAVE MYSELF TO SUPPORT I LIVE ALONE IN AN APARTMENT SO I'M DOING FAIRLY WELL
+RES0029-062 OK AND DO YOU SMOKE
+RES0029-063 I SMOKE AROUND LIKE I'D SAY TWO AND A HALF TO THREE PACKS PER DAY I KNOW IT'S I HAVE TRIED QUITTING BEFORE BUT I WOULD SAY I'VE BEEN SMOKING SINCE I WAS EIGHTEEN
+RES0029-064 OK AND DO YOU SMOKE MARIJUANA
+RES0029-065 NO NO NO MARIJUANA NO OTHER DRUGS
+RES0029-066 OK AND DO YOU DRINK ALCOHOL
+RES0029-067 IT'S JUST LIKE SOMETIMES ON THE WEEKEND I'LL JUST HAVE A BEER OR TWO WHILE WATCHING THE GAME BUT NOT NOTHING REGULAR
+RES0029-068 OK THANK YOU
+RES0030-000 CAN YOU JUST TELL ME A LITTLE BIT ABOUT WHAT BRINGS YOU IN HERE TODAY
+RES0030-001 I I HAVE A COUGH
+RES0030-002 OK AND WHAT KIND OF COUGH IS IT LIKE A DRY COUGH OR IS IT MORE LIKE PRODUCTIVE COUGH
+RES0030-003 I ALWAYS SEEM TO BRING UP SOME GUNK ON MY WHEN I COUGH
+RES0030-004 OK AND WHAT WHAT COLOUR IS THIS GUNK
+RES0030-005 IT'S GREEN SOMETIMES YELLOWISH
+RES0030-006 OK AND HAVE YOU NOTICED AT ALL ANY KIND OF BLOOD IN THE COUGH
+RES0030-007 WELL NO BLOOD
+RES0030-008 NO OK AND HOW MUCH OF THE GUNK OR THE SPUTUM WOULD YOU SAY YOU BRING UP EVERY DAY
+RES0030-009 A COUPLE OF KLEENEXES I'LL USE BUT
+RES0030-010 SO NOT THAT MUCH OK AN AND WHEN DID THIS START
+RES0030-011 IT'S REALLY HARD TO SAY I'VE HAD A COUGH FOR THE PAST FEW YEARS NOW BUT I FEEL LIKE IT'S GETTING WORSE
+RES0030-012 OK AND IS YOUR COUGH JUST CONSTANT OR DOES IT COME AND GO
+RES0030-013 I DO COUGH THROUGHOUT THE DAY BUT I FIND IT'S WORSE IN THE MORNING
+RES0030-014 OK AND IS THERE ANYTHING THAT BRINGS ON YOUR COUGH
+RES0030-015 I CAN'T THINK OF ANYTHING THAT TRIGGERS THE COUGH JUST WORSE WHEN I GET UP IN THE MORNING
+RES0030-016 OK AND YOU MENTIONED YOU'VE BEEN HAVING THIS COUGH OVER THE PAST FEW YEARS HAS IT BEEN GETTING WORSE AT ALL
+RES0030-017 I WOULD SAY THE COUGHS WERE GETTING WORSE THE LAST FEW YEARS SLOWLY THOUGH
+RES0030-018 OK AND HAVE YOU HAD ANY PREVIOUS EPISODES OF THIS COUGH WITH SPUTUM LIKE GUNK GUNKY MATERIAL BEFORE
+RES0030-019 I'VE BEEN HAVING THIS ONGOING FOR THE LAST
+RES0030-020 FEW YEARS OK AND IS THERE ANYTHING THAT YOU DO OR HAVE TRIED THAT'S MADE YOUR COUGHING GET EITHER BETTER OR WORSE
+RES0030-021 IF I TAKE A DEEP BREATH THEN IT SEEMS TO MAKE THE COUGH WORSE AND NOTHING REALLY HELPS THE COUGH GO AWAY THOUGH
+RES0030-022 OK AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS LIKE A RUNNY NOSE SORE THROAT DIFFICULTY BREATHING ANYTHING LIKE THAT
+RES0030-023 NO
+RES0030-024 OK AND HAVE YOU RECENTLY TRAVELED OUTSIDE OF THE COUNTRY
+RES0030-025 I HAVEN'T TRAVELED ANYWHERE
+RES0030-026 OK AND HAVE YOU NOTICED ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS
+RES0030-027 NO FEVER
+RES0030-028 AND NO CHILLS OK
+RES0030-029 ANY NIGHT SWEATS
+RES0030-030 NO NIGHT SWEATS OK ANY INCREASED FATIGUE OR JUST FEELING TIRED OVERALL
+RES0030-031 THESE LAST FEW MONTHS BY ENERGY HAS BEEN LOW I I'VE BEEN FEELING A LOT MORE TIRED THAN USUAL
+RES0030-032 OK AND HAVE YOU NOTICED AT ALL ANY KIND OF SWELLING IN YOUR HANDS FEET ANKLES
+RES0030-033 I THINK THEY'RE ALWAYS A LITTLE SWOLLEN BUT I MIGHT HAVE JUST GAINED A FEW POUNDS OVER THE YEARS
+RES0030-034 OK AND HAVE YOU BEEN HAVING ANY PALPITATIONS LIKE A RACING HEART OR ANY CHEST PAIN AT ALL
+RES0030-035 NO CHEST PAIN
+RES0030-036 OK AND HOW ABOUT SHORTNESS OF BREATH
+RES0030-037 I ONLY HAVE TROUBLE BREATHING IF I WALK A FEW BLOCKS OR GO UP A FEW FLIGHTS OF STAIRS INTO MY APARTMENT
+RES0030-038 OK HAVE YOU BEEN HAVING ANY KIND OF URINARY ISSUES
+RES0030-039 UMMM ONLY AT NIGHT TIME I SEEM TO HAVE TO GET UP A LOT TO USE THE BATHROOM
+RES0030-040 OK AND HOW ABOUT YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA
+RES0030-041 NO BOWEL ISSUES
+RES0030-042 OK AND HAVE YOU BEEN GETTING ENOUGH SLEEP
+RES0030-043 I WOULD SAY OR SORRY NO MY SLEEP HAS BEEN HAS BEEN POOR
+RES0030-044 OK AND DO YOU FIND THAT YOU WAKE UP DURING THE NIGHT TO TAKE A BREATH OR ANYTHING LIKE THAT
+RES0030-045 NO I HAVEN'T HAD TO WAKE UP IN THE MIDDLE OF THE NIGHT SHORT OF BREATH OR ANYTHING LIKE THAT
+RES0030-046 OK AND DO YOU EVER HAVE TO USE A MULTIPLE PILLOWS
+RES0030-047 NO I JUST USED ONE PILLOW
+RES0030-048 OK AND HAVE YOU NOTICED YOU'VE HAD ANY SIGNIFICANT WEIGHT LOSS OR WEIGHT GAIN IN THE LAST FEW FEW MONTHS
+RES0030-049 I MAYBE LOST FIVE POUNDS IN THE LAST FEW MONTHS I WASN'T EVEN I HAVEN'T BEEN TRYING TO LOSE WEIGHT BUT DOESN'T HURT THOUGH AS I'VE I'VE GAINED A FEW POUNDS OVER THE YEARS SO I DON'T MIND
+RES0030-050 AND HOW IS YOUR APPETITE BEEN LIKE
+RES0030-051 APPETITE'S BEEN GOOD I FEEL LIKE I'VE BEEN EATING NORMALLY
+RES0030-052 OK AND HAVE YOU HAD ANY RECENT INFECTIONS AT ALL
+RES0030-053 NO RECENT INFECTIONS
+RES0030-054 OK AND I THINK I MENTIONED THIS BEFORE BUT ANY KNOW ANY RUNNY NOSE SORE THROAT ANY OF THOSE VIRAL SYMPTOMS
+RES0030-055 NO RUNNY NOSE NO SORE THROAT BEEN FEELING GOOD
+RES0030-056 AWESOME AND HAVE YOU HAD HAVE YOU BEEN EXPOSED TO ANYONE WITH TUBERCULOSIS IN THE PAST
+RES0030-057 NO I ACTUALLY HAD A TUBERCULOSIS TEST FOR WORK AND IT WAS NORMAL
+RES0030-058 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS AT ALL LIKE HIGH BLOOD PRESSURE DIABETES
+RES0030-059 MY BLOOD PRESSURE HAS BEEN HIGH AND THAT WAS DIAGNOSED IN THE LAST FEW YEARS
+RES0030-060 OK AND DO YOU TAKE ANY MEDICATIONS FOR YOUR BLOOD PRESSURE
+RES0030-061 YES I TAKE LISINOPRIL
+RES0030-062 OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL
+RES0030-063 NOTHING I CAN THINK OF
+RES0030-064 OK AND HAVE YOU BEEN HOSPITALIZED AT ALL BEFORE
+RES0030-066 NO AND DO YOU HAVE ANY ILL CONTACTS NEAR ANYONE THAT HAS BEEN SICK AROUND YOU RECENTLY
+RES0030-067 NO ILL CONTACTS AND SORRY I FOR HOSPITALIZATIONS I I DID HAVE A C SECTION FOR THE BIRTH OF MY DAUGHTER AND I WAS IN THE HOSPITAL FOR A FEW DAYS FOR THAT
+RES0030-068 OK BUT NOTHING ELSE
+RES0030-069 NO
+RES0030-070 OK AND HAVE YOU HAD ANY OTHER SURGERIES OTHER THAN YOUR C SECTION
+RES0030-071 NO JUST THE C SECTION
+RES0030-072 OK IN TERMS OF YOUR FAMILY HISTORY HAS ANYONE HAD ANY CARDIOVASCULAR ISSUES OR ANY CANCERS
+RES0030-073 MY FATHER HAD A HEART ATTACK WHEN HE WAS SEVENTY EIGHT AND HE UNFORTUNATELY PASSED AWAY FROM IT BUT HAD
+RES0030-074 NO CANCER IN THE FAMILY OK ANY LIKE ASTHMA
+RES0030-076 NOT THAT I CAN THINK OF OK AND CURRENTLY WHERE DO YOU LIVE DO YOU LIVE IN APARTMENT IN A HOUSE
+RES0030-077 I LIVE IN AN APARTMENT WITH MY HUSBAND AND OUR DAUGHTER
+RES0030-078 OK AND DO YOU CURRENTLY WORK
+RES0030-079 I I WORK AT THE LOCAL GROCERY STORE
+RES0030-080 OK AND JUST IN YOUR DAILY ROUTINE HOW WOULD YOU SAY HOW IS YOUR DIET AND EXERCISE LIKE
+RES0030-081 DIET I'LL USUALLY EAT ONE OR TWO MEALS A DAY AND SOMETIMES SNACK THROUGHOUT THE DAY AS WELL BUT WE EAT A VARIETY OF MEATS AND VEGETABLES AND SO I THINK OUR DIET IS PRETTY GOOD BUT EXERCISE DON'T HAVE TIME FOR
+RES0030-082 FOR THAT CURRENTLY OK AND DO YOU USE ANY
+RES0030-083 RECREATIONAL DRUGS LIKE MARIJUANA
+RES0030-084 NO I WOULD NEVER USE THAT
+RES0030-085 OK HOW ABOUT ALCOHOL A GLASS OF
+RES0030-086 WINE I HAVE THREE OR FOUR NIGHTS A WEEK OK AND IS IT LIKE A FULL GLASS OF WINE OR LIKE JUST
+RES0030-087 HOW MUCH WOULD YOU SAY GLASS OF WINE IS FOR ME I WOULD SAY IS LIKE FIVE OR SIX OUNCES LIKE A TYPICAL GLASS OF WINE
+RES0030-088 DO YOU SMOKE AT ALL
+RES0030-089 I DO SMOKE CIGARETTES YES
+RES0030-090 OK AND HOW MUCH ARE YOU SMOKING AN AVERAGE DAY
+RES0030-091 OVER A PACK ONE TO TWO PACKS OF CIGARETTES PER DAY FOR THE LAST NEARLY FORTY YEARS
+RES0049-000 WHAT BRINGS YOU IN
+RES0049-001 NICE TO MEET YOU I I'VE BEEN HAVING JUST OVER THE LAST WEEK MY COUGH THAT'S BEEN GETTING WORSE AND I HAD A FEVER A COUPLE OF NIGHTS AND JUST YESTERDAY I NOTICED THAT I STARTED HAVING A LOSS OF TASTE AND SMELL SO THAT GOT ME REALLY WORRIED
+RES0049-002 OK SO LET'S REWIND A LITTLE BIT THE COUGH YOU SAID STARTED A COUPLE OF WEEKS AGO SO WOULD THAT BE ABOUT TWO WEEKS THREE WEEKS
+RES0049-003 I WOULD SAY LAST WEEK SO LIKE SEVEN SEVEN DAYS AGO
+RES0049-004 SEVEN DAYS AGO OK SO THAT STARTED SEVEN DAYS AGO AND THEN WHEN DID THE FEVER START
+RES0049-005 THE FEVER I HASN'T BEEN CONSTANT BUT I'VE LIKE HAD SOME NIGHTS WHERE I JUST FEEL REALLY CHILLY AND THEN DURING THE DAY SOMETIMES EVEN GETTING THESE CHILLS I'VE BEEN RECORDED AT A TEMPERATURE BUT I THINK I'VE HAD A FEVER AT LEAST THREE TIMES IN THE LAST WEEK
+RES0049-006 OK SO YOU HAVEN'T ACTUALLY TAKEN YOUR TEMPERATURE BUT IT YOU JUST FEEL LIKE YOU HAVE CHILLS
+RES0049-007 OK WE COULD TAKE YOUR TEMPERATURE TODAY AND THEN THE LOSS OF SMELL AND TASTE DO THEY BOTH HAPPEN AT THE SAME TIME
+RES0049-008 I THINK THE TASTE HAPPENED LIKE BEFORE BUT THAT WAS JUST YESTERDAY AND THEN YESTERDAY MORNING LIKE AT BREAKFAST I COULDN'T REALLY TASTE ANYTHING AND THEN CONTINUED DURING LUNCH AND DINNER BUT SMELL I KIND OF LOST AROUND THE EVENING
+RES0049-009 OK
+RES0049-010 ALL JUST STARTED YESTERDAY
+RES0049-011 OK ALRIGHT SO LET'S GO BACK TO THE COUGH AND HAS IT BEEN CONSTANT SINCE IT STARTED
+RES0049-012 IT'S BEEN PRETTY CONSTANT IT'S BEEN GETTING WORSE ESPECIALLY LIKE IN THE LAST FEW DAYS I'M MAINLY COUGHING LIKE BEFORE I WAS COUGHING MAINLY AT NIGHT BUT NOW I'M COUGHING THROUGHOUT THE DAY
+RES0049-013 OK SO YOU MENTIONED POSSIBLY A TRIGGER WOULD BE LIKE TIME OF DAY AT NIGHT OR DID YOU NOTICE ANY OTHER TRIGGERS LIKE YOU KNOW THE COLD AIR OR DUST OR ANYTHING AT HOME THAT COULD BE POTENTIALLY TRIGGERING YOUR COUGH
+RES0049-014 NO NOT REALLY LIKE I'VE LIVED IN THE SAME PLACE FOR AWHILE NO NEW CHANGES AND I'VE BEEN BARELY GOING OUTSIDE SO I DON'T THINK THERE ARE ANY TRIGGERS
+RES0049-015 OK AND IN TERMS OF THE QUALITY OF YOUR COUGH IS THAT WOULD YOU SAY IT'S HARSH BARKY
+RES0049-016 I WOULD JUST SAY IT'S LIKE KIND OF HARSH AT TIMES BUT MAINLY IT'S A DRY COUGH LIKE I'M NOT BRINGING ANYTHING UP
+RES0049-017 OK OK AND THEN YOU SAID DRY COUGH SO NO SPUTUM OR BLOOD RIGHT
+RES0049-018 NO
+RES0049-019 OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
+RES0049-020 NOT THE LOSS OF TASTE AND SMELL BUT LIKE THE OTHER STUFF WHEN I JUST HAD A COLD OR FLU LIKE SYMPTOMS PREVIOUSLY BUT THE TASTE AND SMELL IS SOMETHING COMPLETELY NEW
+RES0049-021 OK AND THEN HAVE YOU EXPERIENCED ANY SHORTNESS OF BREATH
+RES0049-022 NOT REALLY NO
+RES0049-023 NO OK HOW ABOUT WE WHEEZINESS
+RES0049-024 NO
+RES0049-025 CHEST PAIN
+RES0049-026 NO CHEST PAIN
+RES0049-027 OK EXPERIENCED ANY WEIGHT LOSS RECENTLY
+RES0049-028 NO NOT THAT I KNOW
+RES0049-029 OK HOW ABOUT FATIGUE
+RES0049-030 I HAVE BEEN A BIT TIRED IN THE LAST FEW DAYS THE FEVERS AT NIGHT AND MORNING JUST FEELING A LITTLE BIT CRUMMY JUST NOT REALLY ENERGETIC ENERGETIC TO DO ANYTHING
+RES0049-031 FOR SURE
+RES0049-032 JUST BEEN PLANNER JUST SITTING ON THE COUCH
+RES0049-033 OK ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES
+RES0049-034 NO I HAVEN'T NOTICED ANYTHING LIKE THAT
+RES0049-035 OK YOU MENTIONED LOSS OF SMELL DO YOU HAVE A RUNNY NOSE OR A STUFFY NOSE
+RES0049-036 I DID HAVE A RUNNY NOSE EARLIER THIS WEEK BUT THAT'S KIND OF SUBSIDED OTHER THAN THAT I DON'T REALLY FEEL TOO MUCH CONGESTION I'VE BEEN TAKING TYLENOL THE TYLENOL COLD SO I DON'T KNOW IF THAT HELPED
+RES0049-037 OK HOW OFTEN ARE YOU TAKING THE TYLENOL COLD
+RES0049-038 I JUST TOOK IT LIKE FOR FOUR DAYS JUST BEFORE GOING TO SLEEP IN THE LAST WEEK
+RES0049-039 OH I SEE OK OK AND THEN ANY I DO HAVE A SORE THROAT
+RES0049-040 NO
+RES0049-041 NO OK HOW ABOUT ANY CHANGES TO YOUR VISION OR HEARING
+RES0049-042 NO NOTHING LIKE THAT
+RES0049-043 ANY PAIN OR DISCHARGE IN THE EYES OR EARS
+RES0049-044 NO
+RES0049-045 OK DO YOU EVER FEEL LIKE YOUR HEART'S RACING
+RES0049-046 NO NOT REALLY
+RES0049-047 NO OK AND ANY SWELLING IN YOUR LIMBS
+RES0049-048 NO I DON'T THINK SO
+RES0049-049 OK ANY DIZZINESS OR FAINTING SPELLS
+RES0049-050 NO
+RES0049-051 OK CONFUSION OR MEMORY LOSS
+RES0049-052 NO NOT THAT I CAN TELL
+RES0049-053 OK ANY CHANGES IN YOUR BOWEL HABITS LIKE CONSTANT CONSTIPATION OR DIARRHEA
+RES0049-054 OH NO NOT REALLY
+RES0049-055 NO NO BLOOD IN THE STOOL RIGHT
+RES0049-056 NO
+RES0049-057 OK ANY CHANGES TO YOUR APPETITE
+RES0049-058 JUST MAYBE IN LIKE A LITTLE BIT WITH THE LOSS OF SMELL AND TASTE THE FOOD IS NOT REALLY THE SAME IN THE LAST DAY LAST FEW DAYS
+RES0049-059 THAT MAKES SENSE ANY NAUSEA OR VOMITING
+RES0049-060 NO
+RES0049-061 NO OK AND ANY CHANGES IN TERMS OF URINE
+RES0049-062 NO I'VE BEEN PEEING ALRIGHT
+RES0049-063 OK GOOD ANY MAJOR OR A LONGSTANDING MEDICAL CONDITIONS OR ARE YOU OTHERWISE HEALTHY
+RES0049-064 NO I'VE BEEN FORTUNATE OTHERWISE HEALTHY I HAD ASTHMA AS A KID BUT LIKE I HAVEN'T HAD TO USE THE PUFFERS FOR MORE THAN A DECADE
+RES0049-065 OH OK OK AND WHAT TRIGGERS YOUR ASTHMA
+RES0049-066 I THINK BACK THEN IT WAS JUST WHEN I DID SPORTS AND I WAS RUNNING AROUND A LOT I'VE BEEN FINE FOR THE LAST TEN YEARS AT LEAST
+RES0049-067 OK OK THAT'S GOOD AND ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST
+RES0049-068 NO
+RES0049-069 NO OK ANY ARE YOU ON ANY MEDICATIONS
+RES0049-070 CURRENTLY JUST THE OTHER THING TYLENOL COLD BUT OTHER THAN THAT NO OTHER MEDICATIONS
+RES0049-071 OK NOT EVEN OTHER OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS
+RES0049-072 NO NOTHING LIKE THAT
+RES0049-073 OK DO YOU HAVE ANY ALLERGIES
+RES0049-074 SOMETIMES IN THE FALL LIKE I GET A BIT SNIFFLY AND BUT OTHER THAN THAT I DON'T KNOW OF ANY ALLERGIES TO ANY FOODS OR MEDICATIONS
+RES0049-075 OK AND HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE
+RES0049-076 THEY'RE ALL UP TO DATE
+RES0049-077 ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY
+RES0049-078 MY FATHER DID RECENTLY HAVE A HEART ATTACK AT AGE OF FIFTY EIGHT I THINK HE WAS HE HE'S FINE THOUGH BUT THAT'S THAT'S ABOUT IT
+RES0049-079 OK ANY CANCERS THAT RUN IN THE FAMILY
+RES0049-080 NO I DON'T THINK SO
+RES0049-081 OK AND AND DO YOU SMOKE
+RES0049-082 I DO
+RES0049-083 OK HOW MUCH DO YOU SMOKE
+RES0049-084 PROBABLY I WOULD SAY A PACK A DAY
+RES0049-085 PACK A DAY OK FOR HOW LONG
+RES0049-086 <hesitation> PROBABLY SINCE IN MY TWENTIES SO AT LEAST TEN YEARS NOW
+RES0049-087 OK HAVE YOU EVER THOUGHT ABOUT CUTTING DOWN
+RES0049-088 ESPECIALLY WITH THIS PANDEMIC GOING ON IT'S BEEN I'VE BEEN TRYING TO CUT DOWN JUST BECAUSE LIKE I DON'T WANT TO GET THE GET COVID AND THEN YOU KNOW MY LUNGS ARE PROBABLY ALREADY WEAKER BECAUSE OF THE SMOKING SO I'VE BEEN TRYING TO CUT DOWN
+RES0049-089 FOR SURE IT'S GOOD THAT YOU'RE TRYING TO CUT DOWN WE HAVE RESOURCES TO HELP YOU IF YOU EVER NEED THEM
+RES0049-090 FOR SURE DO YOU
+RES0049-091 DO MARIJUANA
+RES0049-092 NO NO I'VE NEVER TRIED MARIJUANA
+RES0049-093 OK HOW ABOUT OTHER RECREATIONAL DRUGS
+RES0049-094 NO BESIDES ALCOHOL NOTHING ELSE
+RES0049-095 OK AND THEN I GUESS I'LL ASK YOU ABOUT THE ALCOHOL HOW MUCH DO YOU DRINK
+RES0049-096 NOT THAT MUCH I'D PROBABLY SAY LIKE A FEW TIMES A WEEK WHEN THERE'S A GAME ON I JUST GRAB A COUPLE OF BEERS BUT THAT'S ABOUT IT
+RES0049-097 OK AND WHERE DO YOU LIVE RIGHT NOW
+RES0049-098 YES I JUST LIVE JUST OUTSIDE OF LONDON WITH MY WIFE AND DAUGHTER IN A SMALL TOWNHOUSE
+RES0049-099 OK AND ANYONE ELSE AT HOME SICK
+RES0049-100 NO I I'VE KIND OF STAYED AWAY ONCE I NOTICED SOME SYMPTOMS I'M JUST KIND OF JUST STAYING IN MY ROOM NOT GETTING OUT I DON'T WANNA MAKE ANY OF MY FAMILIES LIKE
+RES0049-101 THAT MAKES SENSE AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY
+RES0049-102 NO I HAVEN'T REALLY TRAVELED I DO I DO GO TO WORK THOUGH I HAVEN'T IN THE LAST LAST WEEK I'VE TOLD THEM THAT I'VE BEEN HAVING THESE SYMPTOMS BUT OTHER THAN THAT NO TRAVELING
+RES0049-103 OK OK THAT'S GOOD THOSE WERE ALL THE QUESTIONS I HAD FOR YOU TODAY WAS THERE ANYTHING THAT YOU WANTED TO ASK ME OR ANYTHING ELSE THAT YOU WANTED TO DISCUSS THAT I MAY HAVE MISSED
+RES0049-104 I I THAT I'M JUST WONDERING LIKE I COULD IT BE COVID I I DON'T KNOW I DON'T KNOW IF SOMEONE IN THE OFFICE HAD IT OR IT WAS JUST BASICALLY WORRIED ABOUT IF I HAD COVID
+RES0049-105-1 YEAH FOR SURE THAT'S DEFINITELY SOMETHING THAT WE NEED TO RULE OUT SO WE WILL BE DOING A COVID SWAB ON YOU AND AND YOU WILL HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS WITH THE RESULTS BUT REGARDLESS BECAUSE YOUR SYMPTOMS OVERLAP WITH SYMPTOMS OF COVID ESPECIALLY
+RES0049-105-2 THE LOSS OF SMELL AND TASTE WE DO RECOMMEND THAT YOU ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM FAMILY MEMBERS AS WELL SO WE'LL THAT'S WHERE WE'LL START IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND AT THIS TIME OF YEAR
+RES0049-105-3 BUT WE'LL START WITH WE'LL START WITH THESE COVID SWABS HOW DOES THAT SOUND
+RES0049-106 THAT SOUNDS GOOD I'LL I'LL LET MY WORK KNOW AND HOPEFULLY IT COMES BACK NEGATIVE BUT I'LL STAY AWAY FROM EVERYONE TILL THEN
+RES0049-107 OK SOUNDS GREAT THANK YOU
+RES0049-108 ALRIGHT THANK YOU SO MUCH
+RES0050-000 I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN
+RES0050-001 SURE I HAVE BEEN COUGHING A LOT I'VE BEEN FEELING SHORT OF BREATH AND I JUST FEEL REALLY WHEEZY SO I THOUGHT I SHOULD COME CHECK IT OUT
+RES0050-002 OK WHEN DID THE COUGH START
+RES0050-003 I'VE ALWAYS HAD A COUGH WELL I GUESS I'VE HAD A COUGH FOR THE PAST FIVE YEARS BUT OVER THE PAST THREE DAYS IT'S GOTTEN A LOT WORSE
+RES0050-004 OK DID ANYTHING HAPPEN THREE DAYS AGO THAT HAS BROUGHT THE COUGH ON
+RES0050-005 NO I WAS I DID GROCERIES I CAME HOME AND THEN I STARTED COUGHING A LITTLE BIT MORE AND I HAVEN'T BEEN ABLE TO STOP SINCE
+RES0050-006 OK IS THERE ANY PARTICULAR TIME OF DAY THAT THE COUGH IS WORSE LIKE MORNING NIGHT
+RES0050-007 IT SEEMS TO BE WORSE IN THE MORNING
+RES0050-008 OK AND ARE YOU BRINGING UP ANY SPUTUM
+RES0050-009 I AM AND IT LOOKS YELLOW AND SOMETIMES EVEN GREEN
+RES0050-010 OK WITH YOUR COUGH PRIOR TO THREE DAYS AGO WERE YOU BRINGING UP SPUTUM WITH THAT
+RES0050-011 I GUESS SOME BUT IT WAS CLEAR
+RES0050-012 OK AND ARE YOU BRINGING UP MORE SPUTUM NOW THE SAME OR LESS
+RES0050-013 MORE SPUTUM AND SPUTUM JUST LOOKS DIFFERENT
+RES0050-014 OK HAVE YOU NOTICED ANY BLOOD
+RES0050-015 NO BLOOD
+RES0050-016 OK AND YOU MENTIONED YOU'VE BEEN YOU'VE HAD A WHEEZE WHEN YOU DO YOU NOTICE THAT
+RES0050-017 I ALSO I GUESS I NOTICE THAT MOSTLY LAST NIGHT
+RES0050-018 OK AND WHAT TYPES OF ACTIVITIES HAVE YOU HAD SHORTNESS OF BREATH
+RES0050-019 I GUESS WALKING DOING DAY TO DAY THINGS HAS MADE ME FEEL A LITTLE BIT MORE SHORT OF BREATH THAN I USED TO FEEL
+RES0050-020 OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE COUGH WHEEZE AND SHORTNESS OF BREATH
+RES0050-021 I FEEL A LITTLE BIT MORE TIRED BUT OTHER THAN THAT NO
+RES0050-022 OK SO A BIT MORE TIRED HOW HAS YOUR SLEEP BEEN
+RES0050-023 MY SLEEP HAS BEEN PRETTY NORMAL IT'S BEEN IT'S BEEN THE SAME I GUESS IT'S THE COUGHING THAT'S MAKING ME TIRED
+RES0050-024 OK HAVE YOU HAD ANY EAR PAIN OR EYE PAIN
+RES0050-025 EAR PAIN OR EYE PAIN NO
+RES0050-026 ANY DISCHARGE FROM EITHER EITHER YOUR EARS OR EYES
+RES0050-027 NO
+RES0050-028 OK HAVE YOU HAD A RUNNY NOSE
+RES0050-029 NO
+RES0050-030 OR FELT CONGESTED
+RES0050-031 NO
+RES0050-032 OK HAVE YOU HAD A SORE THROAT
+RES0050-033 NO
+RES0050-034 OR ANY DIFFICULTY SWALLOWING
+RES0050-035 NO
+RES0050-036 OK ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE
+RES0050-037 NO
+RES0050-038 OK HAVE YOU HAD ANY CHANGES IN APPETITE
+RES0050-039 NO I DON'T THINK SO
+RES0050-040 ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS
+RES0050-041 WEIGHT LOSS NO
+RES0050-042 OK HOW ABOUT HAVE YOU HAD ANY FEVERS OR CHILLS
+RES0050-043 FEVERS OR CHILLS <hesitation> NO NO NOTHING LIKE THAT
+RES0050-044 NIGHTS HOW ABOUT NIGHT SWEATS NO
+RES0050-046 HAVE YOU HAD ANY CHEST PAIN
+RES0050-047 <hesitation> NO NO CHEST WELL MY CHEST FEELS I GUESS SOMETIMES I IT FEELS PAINFUL BECAUSE I'M COUGHING SO MUCH BUT NOTHING MORE THAN THAT
+RES0050-048 OK DO YOU GET CHEST PAIN WHEN YOU EXERT YOURSELF PHYSICALLY
+RES0050-050 NO OK SO IT'S JUST AFTER THE COUGHING
+RES0050-051 OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OF THE CHEST PAIN SOME PEOPLE WILL SAY SHARP DULL ACHY
+RES0050-052 I WOULD SAY DULL
+RES0050-053 OK AND HAVE YOU HAD ANY LIKE HEART PALPITATIONS FEELING LIKE YOUR HEART'S RACING
+RES0050-054 NO
+RES0050-055 AND HOW ABOUT ANY EPISODES WHERE YOU FELT LIKE YOU WERE GOING TO FAINT OR
+RES0050-057 PASS OUT OK AND HAVE YOU HAD ANY SWELLING IN YOUR
+RES0050-059 ANKLES HANDS NO NOTHING LIKE THAT OK AND THEN HAVE YOU HAD ANY
+RES0050-061 URINARY PROBLEMS
+RES0050-062 NO
+RES0050-063 ANY BOWEL PROBLEMS NO OK AND THEN ANY
+RES0050-064 JOINT PAINS OR MUSCLE
+RES0050-065 ACHES NO NOTHING LIKE THAT AND
+RES0050-067 HOW ABOUT ANY RASHES ANYWHERE NO OK AND THEN
+RES0050-069 HAVE YOU HAD ANY NAUSEA OR VOMITING NO OK IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN
+RES0050-070 DIAGNOSED WITH ANY CONDITIONS BEFORE
+RES0050-071 I HAVE HIGH BLOOD PRESSURE AND DIABETES I SEE ARE YOU ON ANY MEDICATIONS FOR THOSE
+RES0050-072 FOR THE BLOOD PRESSURE THE HIGH BLOOD PRESSURE I'M ON A BETA BLOCKER AND THEN FOR MY DIABETES I'M ON METFORMIN
+RES0050-073 OK DO YOU ARE YOU TAKING ANY OTHER MEDICATIONS
+RES0050-074 JUST SOME CALCIUM AND VITAMIN D
+RES0050-075 ANY SURGERIES IN THE PAST
+RES0050-076 NOPE
+RES0050-077 ANY ALLERGIES TO MEDICATIONS
+RES0050-078 NO
+RES0050-080 IMMUNIZATIONS UP TO DATE I BELIEVE SO BUT I RECENTLY LEARNED THAT I SHOULD GET SOMETHING CALLED THE PNEUMOCOCCAL VACCINE
+RES0050-081-1 I HAVEN'T GOTTEN THAT YET
+RES0050-081-2 YOU'RE YOU'RE RIGHT SO FOR IN CANADA OR ANYBODY OR IN ONTARIO AT LEAST ANYBODY WHO'S OLDER THAN SIXTY FIVE IT'S RECOMMENDED TO GET THIS VACCINE TO PROTECT AGAINST
+RES0050-081-3 CERTAIN TYPES OF BACTERIAL INFECTIONS TYPE WHICH CAN CAUSE PNEUMONIA SO IT WOULD BE GOOD SOMETHING THAT YOU CAN SET UP WITH YOUR FAMILY DOCTOR
+RES0050-083 OK AND SO
+RES0050-085 SO DO YOU SMOKE CIGARETTES I USED TO OK
+RES0050-086 AND HOW MUCH DO YOU SMOKE OR HOW MUCH DID YOU USE TO SMOKE I SMOKED A PACK A DAY AND I SMOKED
+RES0050-087 FOR FORTY FIVE YEARS BUT I STOPPED TWO YEARS AGO OK THAT'S GREAT THAT YOU WERE ABLE TO
+RES0050-089 DRINK ALCOHOL OCCASIONALLY LIKE ONCE EVERY TWO WEEKS OK AND ANY TRIGGERS THAT YOU CAN THINK OF YOU WERE EXPOSED TO EITHER AT WORK OR HOME LIKE CHEMICALS OR
+RES0050-090 THINGS THAT YOU
+RES0050-091 WERE EXPOSED TO THAT YOU
+RES0050-100 ALL I WANTED TO ASK ON HISTORY WAS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME TODAY NO JUST WHAT DO YOU THINK THE PROBLEM IS I'VE NEVER
+RES0050-101-1 FELT THIS BAD WITH MY SHORTNESS OF BREATH BEFORE
+RES0050-101-2 CERTAINLY SO IT IT SOUNDS LIKE IT COULD BE MAYBE A VIRAL INFECTION THAT I BROUGHT ON THIS COUGH AND
+RES0050-101-3 WORSEN THE SPUTUM THIS COULD BE A BACTERIAL INFECTION IT COULD BE A COPD EXACERBATION AND ALSO ONE OF THE OTHER THINGS THAT <hesitation>
+RES0050-101-4 WE WOULD HAVE TO CONSIDER RIGHT NOW IS COVID AS WELL AND SO WE WILL DO A PCR NASAL SWAB FOR COVID AND A CHEST XX RAY AND SOME OTHER
+RES0050-102 INVESTIGATIONS AS WELL AND WE WILL
+RES0060-000 WHAT BRINGS YOU IN
+RES0060-001 SO I'VE HAD A FEVER THAT I MEASURED THIS MORNING AND I HAD A COUGH I'VE HAD A COUGH THESE LAST SEVERAL DAYS TODAY IS FRIDAY SO IT STARTED MONDAY SO I GUESS LIKE
+RES0060-002 THE COUGH STARTED FOUR DAYS AGO OK
+RES0060-003 AND THE FEVER STARTED FOUR DAYS AGO AS WELL WELL I'VE BEEN FEELING HOT THIS WEEK BUT I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS
+RES0060-004 THE FIRST TIME I CHECKED IT AND IT WAS THIRTY EIGHT POINT FIVE OK SO THAT'S DEFINITELY A FEVER SO WE CAN TAKE YOUR TEMPERATURE TODAY AS WELL SO HAVE YOUR SYMPTOMS BEEN THE SAME OR GETTING WORSE OR BE GETTING
+RES0060-005 BETTER OVER THE PAST FEW DAYS THEY ARE GETTING WORSE I'VE BEEN STARTING TO FEEL REALLY FATIGUED AND TIRED AS WELL AND THE COUGH HAS GOTTEN WORSE TOO
+RES0060-006 OK HAVE YOU EVER FELT LIKE THIS BEFORE
+RES0060-007 I MEAN MAYBE A REALLY LONG TIME AGO WHEN I WAS A KID OR SOMETHING LIKE THAT MAYBE I HAD THE FLU BUT NOTHING RECENTLY
+RES0060-008 OK AND DO YOU HAVE A SORE THROAT AT ALL
+RES0060-009 NO SORE THROAT IT DOES GET A LITTLE SCRATCHY WITH MY COUGH BUT HASN'T BEEN SORE
+RES0060-010 OK AND DO YOU HAVE ANY ISSUES SWALLOWING FOOD
+RES0060-011 NO BUT I HAVEN'T BEEN AS HUNGRY
+RES0060-012 OK YOU HAVEN'T BEEN AS HUNGRY HAVE YOU HAD ANY CHANGES TO YOUR TASTE
+RES0060-013 NO I FEEL LIKE I'VE BEEN TASTING MY FOOD OK
+RES0060-014 OK HOW ABOUT SMELL
+RES0060-015 I FEEL LIKE I'VE BEEN ABLE TO SMELL
+RES0060-016 OK DO YOU HAVE A RUNNY NOSE OR A BLOCKED NOSE DO YOU FEEL CONGESTED
+RES0060-017 MAYBE A LITTLE RUNNY BUT NOT TOO BAD
+RES0060-018 OK HOW ABOUT YOUR HEARING OR VISION ANY CHANGES THERE
+RES0060-019 NO I HAVEN'T NOTICED ANYTHING
+RES0060-020 OK ANY PAIN OR DISCHARGE FROM EITHER YOUR EARS OR EYES
+RES0060-021 NO NOTHING LIKE THAT
+RES0060-022 OK SO LET'S GO BACK TO THE COUGH ARE YOU PRODUCING ANY SPUTUM
+RES0060-023 NO SPUTUM
+RES0060-024 OK SO IT'S A DRY COUGH
+RES0060-025 IT IS
+RES0060-026 OK ANY BLOOD ASSOCIATED WITH THE COUGH
+RES0060-027 I HAVEN'T SEEN ANY BLOOD
+RES0060-028 OK DO YOU FEEL WHEEZY AT ALL
+RES0060-029 I HAVEN'T NOTICED ANY WHEEZING
+RES0060-030 OK HOW ABOUT SHORTNESS OF BREATH
+RES0060-031 USUALLY WELL AFTER SOME OF MY COUGHING FITS I CAN BE A LITTLE BIT SHORTER IN BREATH BUT OTHERWISE THEY'VE BEEN
+RES0060-032 OK ANY CHEST PAIN
+RES0060-033 NO I HAVEN'T HAD ANY CHEST PAIN
+RES0060-034 DO YOU EVER FEEL LIKE YOUR HEART'S RACING
+RES0060-035 NO I DON'T
+RES0060-036 OK AND ANY NIGHT SWEATS OR CHILLS
+RES0060-037 I HAVE FELT A LITTLE CHILLY AT NIGHT BUT I HAVEN'T HAD ANY NIGHT SWEATS
+RES0060-038 OK AND HOW ABOUT WEIGHT LOSS HAVE YOU HAD ANY WEIGHT LOSS OVER THE PAST FEW MONTHS
+RES0060-039 NO IT'S BEEN ABOUT THE SAME MAYBE DOWN A FEW POUNDS OVER THIS WEEK AS I JUST HAVEN'T BEEN EATING AS MUCH
+RES0060-040 OK DOES ANYTHING MAKE THE COUGH BETTER OR WORSE
+RES0060-041 NO I CAN'T THINK OF ANYTHING
+RES0060-042 OK AND HOW HAVE YOUR BOWEL MOVEMENTS BEEN
+RES0060-043 THEY'VE I WOULD SAY THEY'VE BEEN NORMAL
+RES0060-044 OK AND ANY ABDOMINAL PAIN
+RES0060-045 NO PAIN BUT I HAVE BEEN A LITTLE NAUSEOUS
+RES0060-046 NAUSEOUS OK HAVE YOU THROWN UP
+RES0060-047 NO I HAVEN'T VOMITED BUT I'VE CERTAINLY FELT LIKE IT A FEW TIMES
+RES0060-048 OK AND ANY TRIGGERS FOR YOUR NAUSEA
+RES0060-049 OH I CAN'T THINK OF ANYTHING IT JUST SORT OF CAME ON AND IT REALLY WENT AWAY ON ITS OWN PRETTY QUICKLY BUT I DON'T KNOW MAYBE IT WAS WHEN I
+RES0060-050 HAD MY HEADACHE OK WHEN WHEN DID YOUR HEADACHE START
+RES0060-068 BEEN HOME OK I JUST WANT TO ASK YOU A FEW MORE QUESTIONS ANY MEMORY LOSS OR CONFUSION
+RES0060-070 NO ANY DIZZINESS OR FAINTING SPELLS
+RES0060-071 NOTHING LIKE THAT NO
+RES0060-072 OK ARE YOU OTHERWISE HEALTHY
+RES0060-073 I'VE WELL I'VE BEEN TOLD I HAD HIGH CHOLESTEROL SO I'VE BEEN TAKING ROSUVASTATIN FOR THAT THE PAST FEW YEARS
+RES0060-074 OK AND IS IT HELPING WITH THE CHOLESTEROL LEVELS
+RES0060-075 THE LAST TIME I WAS AT THE FAMILY DOCTOR I WAS TOLD THEY WERE AT A GOOD LEVEL O
+RES0060-076 OK GOOD
+RES0060-077 I'M SORRY I'M PRE DIABETIC AS WELL
+RES0060-078 OK WHEN WAS THE LAST TIME YOU HAD BLOOD WORK DONE
+RES0060-079 I THINK SIX MONTHS AGO
+RES0060-080 OK AND THAT'S WHEN YOU WERE TOLD YOU WERE PRE DIABETIC
+RES0060-081 I THINK MY A ONE C WAS LIKE SIX POINT TWO PERCENT SO ON THE CUSP
+RES0060-082 OK THAT'S UNDERSTANDABLE HAVE YOU MADE ANY SORT OF LIFESTYLE CHANGES TO GET YOUR BLOOD GLUCOSE UNDER CONTROL
+RES0060-092 MULTI VITAMIN OK
+RES0060-093 DO YOU HAVE ANY ALLERGIESPENICILLIN
+RES0060-094 I BREAK OUT IN HIVES OK AND DID YOU NEED TO BE TREATED WITH ANY SORT OF ANTIBIOTICS RECENTLY
+RES0060-095 NO NO I HAVEN'T HAD ANY ANTIBIOTICS FOR A LONG TIME
+RES0060-096 OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
+RES0060-097 I AM I GET THE FLU SHOT EVERY YEAR
+RES0060-098 OK GOOD AN THAT'S REALLY GOOD DO YOU KNOW IF YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS OR HEART CONDITIONS
+RES0060-099 NO I DON'T THINK SO
+RES0060-100 OK HOW ABOUT CANCERS IN THE FAMILY
+RES0060-101 I THINK MY GRANDFATHER
+RES0069-000 WOULD YOU MIND BY STARTING TO TELL ME WHAT BROUGHT YOU IN
+RES0069-001 ABSOLUTELY I DON'T KNOW I'VE JUST BEEN FEELING A LITTLE FEVERISH AND I ALSO HAVE A A BIT OF A SORE THROAT
+RES0069-002 OK WHEN
+RES0069-003 I JUST CAME IN I JUST CAME IN TO SEE WHAT'S GOING ON CAUSE I WAS WORRIED YOU KNOW WITH COVID GOING ON GOING EVERYWHERE
+RES0069-004 CERTAINLY WHEN DID THE THE SORE THROAT START
+RES0069-005 LAST NIGHT ACTUALLY
+RES0069-006 OK
+RES0069-007 AND HAVE YOU HAD ANY PROBLEMS WITH SWALLOWING LIKE FOOD OR LIQUIDS
+RES0069-008 NO I DON'T THINK SO I JUST HAD BREAKFAST THIS MORNING AND NO PROBLEMS THERE
+RES0069-009 OK ANY LIKE CHANGES THAT OTHER SYMPTOMS THAT YOU'VE BEEN HAVING WITH THE SORE THROAT
+RES0069-010 I'M JUST FEELING A LITTLE FEVERISH
+RES0069-011 OK AND WHEN DID THAT START
+RES0069-012 THIS MORNING
+RES0069-013 OK DID YOU TAKE YOUR TEMPERATURE
+RES0069-014 NO I DON'T HAVE A THERMOMETER AT HOME
+RES0069-015 OK AND HAVE YOU HAD ANY ANY
+RES0069-017 ANY COUGH NO OK HOW ABOUT
+RES0069-018 ANY LIKE RED
+RES0069-019 EYES OR RUNNY NOSE
+RES0069-020 NO
+RES0069-021 NO NEITHER OF THOSE OK HAVE YOU HAD A HEADACHE NO OK AND
+RES0069-023 ANY SHORTNESS OF BREATH I DON'T THINK SO OK AND HOW ABOUT ANY LOSS OF TASTE OR LOSS OF SMELL
+RES0069-024 LOSS OF SMELL I DON'T YES I SAID I WAS EATING BREAKFAST THIS MORNING BUT IT JUST TASTED REALLY BLAND
+RES0069-025 OK SO MAYBE LOSS OF TASTE SO YOU FEEL LIKE YOUR NOSE IS REALLY OR THAT YOU'RE REALLY CONGESTED
+RES0069-026 I GUESS NOW THAT I THINK ABOUT IT
+RES0069-027 OK AND HOW HAS YOUR APPETITE BEEN
+RES0069-028 IT'S ALRIGHT
+RES0069-029 OK AND SO YOU HAVEN'T HAD ANY COUGH OR SHORTNESS OF BREATH BUT HAVE YOU NOTICED ANY WHEEZING
+RES0069-030 NO
+RES0069-031 OK AND HAVE YOU HAD ANY CHEST PAIN
+RES0069-032 NO
+RES0069-033 HAVE YOU FELT AS THOUGH YOUR HEARTS'S BEEN RACING AT ALL OR OR BEATING OUT OF YOUR CHEST
+RES0069-034 NO
+RES0069-035 OK HAVE YOU BEEN DIZZY OR LIGHTHEADED
+RES0069-036 NO
+RES0069-037 OK HAVE YOU HAD ANY NAUSEA OR VOMITING
+RES0069-038 NO
+RES0069-039 ANY ABDOMINAL PAIN
+RES0069-040 NO
+RES0069-041 HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION
+RES0069-042 I'M OFTEN CONSTIPATED BUT NOTHING NEW THERE
+RES0069-043 OK HAVE YOU HAD ANY URINARY PROBLEMS
+RES0069-044 NO
+RES0069-045 ALRIGHT AND THEN HOW ABOUT ANY MUSCLE ACHES OR OR BODY ACHES
+RES0069-046 SORT OF LIKE I JUST I FOUND IT REALLY HARD TO GET OUT OF BED THIS MORNING
+RES0069-047 OK HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN LIKE REALLY FATIGUED
+RES0069-048 OK AND WHEN DID YOU SAID THE MUSCLE ACHE STARTED THIS MORNING HOW WHEN DID THE FATIGUE START
+RES0069-049 I'D SAY THIS MORNING AS WELL YESTERDAY WAS JUST LIKE A LITTLE TICKLE IN MY THROAT AND I THOUGHT IT WOULD JUST GO AWAY YOU KNOW AND I WOKE UP THIS MORNING AND I JUST FELT HORRIBLE AND THE SORE THROAT WAS JUST WORSE AND I FELT FEVERISH AND TIRED AND I FELT REALLY CRAPPY
+RES0069-050 OK AND HAVE YOU HAD ANY SYMPTOMS LIKE THIS BEFORE
+RES0069-051 WELL I USUALLY GET A COLD ONCE A YEAR IN THE FALL IT DOES FEEL SIMILAR TO THAT
+RES0069-052 OK
+RES0069-053 BUT I STILL WANTED TO BE CAREFUL AND COME IN JUST IN CASE
+RES0069-054 CERTAINLY HAVE YOU HAD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
+RES0069-055 I HAVE MIGRAINES
+RES0069-056 OK AND ARE YOU TAKING ANY MEDICATIONS REGULARLY
+RES0069-057 NO NO I'M NOT IT'S NOT BAD I SOMETIMES JUST TAKE LIKE ADVIL WHENEVER MY HEADACHE'S COMING ON
+RES0069-058 OK ANY ALLERGIES
+RES0069-059 NOPE
+RES0069-060 OK AND DO YOU SMOKE CIGARETTES
+RES0069-061 I SMOKE TWO OR THREE A DAY
+RES0069-062 OK AND HAVE YOU TRIED TO QUIT
+RES0069-063 NO
+RES0069-064 OK IF AT ANY POINT THIS IS SOMETHING THAT YOU WANTED TO TALK ABOUT WE WE CERTAINLY COULD LATER
+RES0069-065 SURE
+RES0069-066 DO YOU DRINK ALCOHOL
+RES0069-067 A GLASS AT NIGHT WITH DINNER
+RES0069-068 OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS
+RES0069-069 NO NO NO NOTHING LIKE THAT
+RES0069-070 OK HAVE YOU IN THE PAST
+RES0069-071 NO
+RES0069-072 OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY
+RES0069-073 OH MY LIKE MY LITTLE GRANDDAUGHTER HAD YOU KNOW THEY'RE ALWAYS HAVING A RUNNY NOSE RIGHT THE LITTLE ONES
+RES0069-074 BUT NO NOTHING NOTHING ELSE I'VE JUST BEEN AT HOME FOR THE MOST PART
+RES0069-075 OK HAVE YOU TRAVELED TRAVELED ANYWHERE
+RES0069-076 NO
+RES0069-077 OK AND DOES YOUR GRANDDAUGHTER GO TO DAYCARE OR IS SHE IN SCHOOL
+RES0069-078 SHE SHE DOES GO TO DAYCARE
+RES0069-079 OK AND HAS THERE BEEN ANYBODY ELSE AROUND THAT THAT'S BEEN SICK THAT YOU'RE LIVING WITH OR YOU SEE OFTEN
+RES0069-081 OK I I THINK I DON'T THINK I ASKED THIS BUT HAVE YOU HAD ANY SURGERIES BEFORE
+RES0069-082 I HAD CATARACT SURGERY DONE
+RES0069-083 OK AND THE LEFT RIGHT EYE OR RIGHT EYE
+RES0069-084 BOTH ACTUALLY IT RUNS IN MY FAMILY WE GET IT PRETTY EARLY ON
+RES0069-085 OK AND ARE THERE ANY OTHER CONDITIONS THAT RUN IN YOUR FAMILY LIKE HEART CONDITIONS OR CANCER
+RES0069-086 DIABETES
+RES0069-087 DIABETES OK AND WHO HAD DIABETES
+RES0069-088 LETS SEE MY MOM MY SISTER MY BROTHER
+RES0069-089 OK AND JUST TO GET TO KNOW YOU A LITTLE BIT BETTER AS WELL I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
+RES0069-090 SURE I LIVE WITH I LIVE WITH MY SON AND DAUGHTER AND MY GRANDSON
+RES0069-091 OK AND OK I THINK THAT'S ALL I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME OR MAYBE THAT I FORGOT TO ASK ABOUT
+RES0069-092 NO I DON'T THINK SO DO YOU THINK I HAVE COVID
+RES0069-093 IT'S IT'S CERTAINLY POSSIBLE IT WILL BE SOMETHING WE TEST FOR
+RES0069-095-1 <hesitation> ALTHOUGH THE SYMPTOMS THAT YOU'RE EXPERIENCING WITH FEELING OR HAVING A FEVER SORE THROAT AND NOT FEELING WELL WITH THE MUSCLE ACHES AND FATIGUE ITS RELATIVELY NONE SPECIFIC SO
+RES0069-095-2 AS YOU MENTIONED IT COULD BE SOMETHING LIKE THE COMMON COLD THAT YOU'VE EXPERIENCED IN THE PAST SO WE CAN'T RULE THAT OUT EITHER AT THIS TIME BUT WE WILL DO SOME INVESTIGATIONS <hesitation>
+RES0069-095-3 INCLUDING A NASAL SWAB FOR COVID AND KIND OF GO FROM THERE
+RES0069-096 OK SOUNDS GOOD
+RES0069-097 ALL RIGHT WE'LL GET THAT STARTED
+RES0069-098 GREAT
+RES0070-000 I WAS WONDERING IF WE CAN START
+RES0070-001 COULD YOU TELL US WHAT BROUGHT YOU IN TODAY ABSOLUTELY I HAVE HAD THIS AWFUL AWFUL HEADACHE FOR THE
+RES0070-002 PAST TWO DAYS I WANNA SAY ITS HORRIBLE OK HAS THE HEADACHE
+RES0070-003 STAYED THE SAME GOTTEN WORSE GOTTEN ANY BETTER IT'S ONLY
+RES0070-004 GOTTEN WORSE OVER THE PAST TWO DAYS OK AND WHEN THE HEADACHE STARTED WAS IT LIKE A THUNDER CLAP KIND OF WORST HEADACHE
+RES0070-005 OF YOUR LIFE
+RES0070-006 WHEN IT CAME ON NO NO NO OK WAS THERE ANYTHING GOING ON TWO DAYS AGO AROUND THE TIME OF THE HEADACHE LIKE DID YOU HIT YOUR HEAD OR ANYTHING LIKE THAT
+RES0070-007 NO I JUST I JUST WENT OUT FOR DINNER THE NIGHT BEFORE AND I KNOW THAT THERE ARE CERTAIN FOODS THAT CAN TRIGGER MY MIGRAINES BUT THIS REALLY FEELS DIFFERENT IT DOESN'T FEEL LIKE MY MIGRAINE
+RES0070-008 OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS WITH THE HEADACHE
+RES0070-009 I'VE BEEN FEELING REALLY TIRED I TOOK THE DAY OFF YESTERDAY AND TODAY I'M WORKING FROM HOME BUT I STILL DECIDED NOT TO GET ANY WORK DONE TODAY OR YESTERDAY
+RES0070-010 OK AND THE FATIGUE WHEN DID THAT START
+RES0070-011 I THINK THAT STARTED YESTERDAY MORNING
+RES0070-012 OK AND SORRY BACK TO THE HEADACHE HAVE YOU TRIED ANYTHING FOR IT
+RES0070-013 I TOOK TYLENOL AND ADVIL BUT I GUESS IT DID GET BETTER FOR ABOUT AN HOUR A LITTLE BIT BUT IT WAS BACK ON AGAIN
+RES0070-014 OK AND COULD YOU DESCRIBE LIKE WHERE YOU FEEL THE HEADACHE
+RES0070-015 SURE SO IT'S LIKE RIGHT IN THE FRONT JUST KIND OF FEELS LIKE A BAND JUST LIKE THIS PRESSURE IN THE FRONT OF MY HEAD
+RES0070-016 OK AND HAS THERE BEEN ANYTHING THAT'S MADE THE HEADACHE WORSE LIKE LIGHTS OR OR SOUNDS
+RES0070-017 NO NO LIKE I SAID IT'S LIKE NOTHING LIKE MY USUAL MIGRAINE HEADACHES
+RES0070-018 OK AND I MEAN THE ADVIL OR TYLENOL IT HELPS THE SYMPTOMS FOR A BRIEF PERIOD BUT HAS THERE BEEN ANYTHING ELSE THAT'S HELPED YOUR HEADACHE
+RES0070-019 NO NOT REALLY
+RES0070-020 OK AND IS THERE ANY PARTICULAR TIME OF THE DAY THAT THE HEADACHE'S WORSE LIKE IS IN THE MORNING TIME WHEN YOU'RE FIRST WAKING UP OR LATER IN THE DAY
+RES0070-021 I DON'T THINK SO
+RES0070-022 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING
+RES0070-023 NO
+RES0070-024 OK AND HAVE YOU HAD ANY LIKE VISUAL CHANGES
+RES0070-025 NO
+RES0070-026 OK AND HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT
+RES0070-027 I'VE HAD A BIT OF A SORE THROAT
+RES0070-028 OK HAVE YOU HAVE YOU HAD A COUGH
+RES0070-029 BUT HONESTLY THE HEADACHE'S BEEN BOTHERING ME THE MOST
+RES0070-030 OK AND WHEN DID THE COUGH START
+RES0070-031 ABOUT THE SAME TIME
+RES0070-032 OK
+RES0070-033 MAYBE TWO DAYS AGO
+RES0070-034 OK AND HAVE YOU HAD ANY NECK STIFFNESS DOES IT HURT IF YOU IF YOU MOVE YOUR NECK AROUND
+RES0070-035 NO NOTHING LIKE THAT OK
+RES0070-036 AND WITH THE WITH THE COUGH HAVE YOU HAD ANY DIFFICULTIES BREATHING OR SHORTNESS OF BREATH
+RES0070-038 MAYBE A LITTLE BIT OK
+RES0070-039 HOW ABOUT
+RES0070-040 ANY WHEEZING NO OK HAVE YOU BEEN BRINGING UP ANY
+RES0070-041 SPUTUM
+RES0070-042 WITH THE COUGH NO OK HOW ABOUT ANY ANY BLOOD
+RES0070-043 NO
+RES0070-044 OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL
+RES0070-045 NO
+RES0070-046 ANY CHANGES TO YOUR SENSE OF TASTE
+RES0070-047 NO
+RES0070-048 OK AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY OVER THE LAST SEVERAL MONTHS
+RES0070-049 I DON'T THINK SO
+RES0070-050 ALRIGHT AND HOW IS YOUR APPETITE BEEN
+RES0070-051 IT'S FINE
+RES0070-052 ANY CHEST PAIN
+RES0070-053 NO
+RES0070-054 OK ANY LIGHTHEADEDNESS OR OR FEELING DIZZY
+RES0070-055 NO NO
+RES0070-056 ALRIGHT ANY NAUSEA OR VOMITING
+RES0070-060 DIARRHEA NO ANY URINARY
+RES0070-061 PROBLEMS
+RES0070-062 HOW ABOUT HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS
+RES0070-063 A LITTLE BIT
+RES0070-064 OK AND ANY RASHES ANYWHERE
+RES0070-065 NO NO NO
+RES0070-066 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
+RES0070-067 I HAVE I HAVE MIGRAINES AND I ALSO HAVE POLYMYALGIA RHEUMATICA
+RES0070-068 OK ARE YOU TAKING ANY MEDICATIONS CURRENTLY FOR EITHER OF THOSE
+RES0070-070 NO OK AND HAVE YOU HAD ANY HOSPITALIZATIONS
+RES0070-071 NO
+RES0070-072 OK ANY SURGERIES
+RES0070-073 NO
+RES0070-074 OK AND DO YOU SMOKE CIGARETTES
+RES0070-075 NO
+RES0070-076 DRINK ALCOHOL
+RES0070-077 NO
+RES0070-078 OK AND DO YOU USE ANY OTHER USE ANY RECREATIONAL DRUGS
+RES0070-079 NO
+RES0070-080 OK AND ANY FAMILY HISTORY OF SIMILAR SYMPTOMS LIKE LIKE UNUSUAL HEADACHES
+RES0070-081 OR ANYTHING LIKE THAT WELL MIGRAINES KINDA RUN IN THE FAMILY
+RES0070-082 MIGRAINES OK
+RES0070-083 AND ANY HEART CONDITIONS OR CANCERS OR ANYTHING LIKE THAT IN THE FAMILY
+RES0070-084 NO NO NO
+RES0070-085 OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY YOU WENT OUT FOR DINNER A COUPLE DAYS AGO
+RES0070-086 I DON'T THINK ANYONE WAS SICK
+RES0070-087 OK AND YOU DIDN'T FEEL THAT YOU HAD ANY TRIGGERS TO YOUR MIGRAINES AT THAT TIME
+RES0070-088 NO I DIDN'T I DID YES I I DID MEET UP WITH MY FRIENDS AND WE WENT OUT FOR DINNER I KNOW WE'RE NOT SUPPOSED TO BUT IT'S BEEN SUCH A LONG TIME
+RES0070-089 I DON'T THINK THEY WERE SICK AT THE TIME BUT I HAVEN'T REALLY TALKED TO THEM AFTER
+RES0070-090 OK HAVE YOU TRAVELED ANYWHERE
+RES0070-091 NO
+RES0070-092 ALRIGHT AND SO I DON'T THINK I ASKED DID YOU HAVE A FEVER OR CHILLS
+RES0070-093 NO NOT REALLY
+RES0070-094-1 OK SO THE SYMPTOMS YOU'VE BEEN EXPERIENCING YOU'VE HAD A HEADACHE THAT'S BEEN THE MOST BOTHERSOME THESE THESE LAST COUPLE OF DAYS WHICH FEELS DIFFERENT THAN YOUR MIGRAINES BUT YOU'VE ALSO HAD A SORE THROAT
+RES0070-094-2 <hesitation> A COUGH SHORTNESS OF BREATH AS WELL AS A LITTLE BIT OF MUSCLE ACHES AND FATIGUE OVER THESE LAST COUPLE OF DAYS
+RES0070-098 SO I'M GOING TO GET THE ATTENDING AND WE'LL GO THROUGH A PHYSICAL EXAM AND GET SOME INVESTIGATIONS ORDERED SO THAT WE CAN TRY TO FIGURE OUT
+RES0070-099 WHAT'S WHAT'S GOING ON
+RES0080-000 WHAT TOOK BROUGHT YOU IN TODAY
+RES0080-001-1 <hesitation> YEAH I'M JUST FEELING SO I DO HAVE COPD BUT I JUST FEEL SO MUCH WORSE I DO HAVE SHORTNESS OF BREATH BUT I THINK IT'S JUST BEEN WORSE OVER THE PAST THREE DAYS
+RES0080-001-2 I'M HAVING MORE DIFFICULTY CLIMBING STAIRS OR EVEN JUST GOING TO THE BATHROOM
+RES0080-002 OK AND YOU SAID THIS STARTED
+RES0080-003 THREE DAYS AGO THREE OR FOUR DAYS AGO
+RES0080-004 AND SINCE THAT TIME HAS THE SHORTNESS OF BREATH BEEN GETTING WORSE OR STAYING THE SAME
+RES0080-005 YEAH SO INITIALLY IT WAS JUST IT WAS JUST CLIMBING STAIRS YOU KNOW BUT THEN AFTER THAT I MEAN THIS MORNING I WAS JUST SHORT OF BREATH GOING TO THE BATHROOM
+RES0080-006 OK AND <hesitation> HAVE YOU HAD SHORTNESS OF BREATH ON EXERTION LIKE THIS BEFORE
+RES0080-007 <hesitation> YOU KNOW SOMETIMES
+RES0080-008 OK
+RES0080-009 I DON'T I DON'T DO MUCH ANYWAY BECAUSE MY CPD YOU KNOW JUST MAKES THINGS A LITTLE BIT DIFFICULT I YEAH I USE MY PUFFERS
+RES0080-010 OK AND HAVE YOU HAD ANY EPISODES WHERE YOU'VE WOKEN UP IN THE MIDDLE OF THE NIGHT AND WERE REALLY SHORT OF BREATH YOU HAD TO SIT UP SIT UP
+RES0080-011 NO NO NO
+RES0080-012 OK AND ARE YOU ABLE TO LIE FLAT
+RES0080-013 YES
+RES0080-014 OK AND YOU MENTIONED YOU WERE BRINGING UP SPUTUM COULD YOU DESCRIBE THE COLOR
+RES0080-015 YEAH I DON'T KNOW IT'S KINDA YELLOW GREEN
+RES0080-016 HAS THAT CHANGED FROM FROM BEFORE
+RES0080-017 YEAH SO USUALLY IT'S JUST SORT OF WHITEISH AND FOAMY AND IT'S DIFFERENT AND IT'S MORE YOU KNOW IT'S ALOT MORE EVERY TIME I'M COUGHING IT'S JUST LIKE LIKE SPOONFULS IT'S A LOT MORE THAN USUAL
+RES0080-018 OK IT SOUNDS LIKE A LOT MORE AND HAVE YOU NOTICED ANY BLOOD
+RES0080-019 NO NO NO
+RES0080-020 OK AND SO HAVE YOU HAD A COUGH THEN
+RES0080-021 OH YEAH I'VE HAD A COUGH FOR THE PAST TWENTY YEARS
+RES0080-022 OK AND IS YOUR COUGH WORSE AT ANY PARTICULAR TIME OF THE DAY OR DOES IT HAPPEN THROUGHOUT THE DAY
+RES0080-023 WELL IT'S A BIT WORSE WHEN I'M SMOKING BUT OTHERWISE IT'S THE SAME
+RES0080-024 OK AND HAS YOUR COUGH BEEN WORSE THESE PAST COUPLE OF DAYS AS WELL
+RES0080-025 NO
+RES0080-026 OK AND HAVE YOU HAD ANY ANY HEADACHES
+RES0080-027 NO
+RES0080-028 HOW ABOUT ANY EAR PAIN OR OR EYE PAIN
+RES0080-029 NO
+RES0080-030 ANY SORE THROAT
+RES0080-031 NO
+RES0080-032 OK HAVE YOU HAD A LOSS OF SMELL OR A LOSS OF TASTE
+RES0080-033 NO I DON'T THINK SO
+RES0080-034 OK AND HAVE YOU HAD ANY ANY WHEEZING
+RES0080-035 A LITTLE BIT IT'S BEEN THERE FOR A WHILE THOUGH
+RES0080-036 OK HAVE YOU NOTICED ANY CHANGES TO THE WHEEZE
+RES0080-037 NO I DON'T THINK SO I DON'T KNOW I CAN'T TELL
+RES0080-038 I SEE OK AND HAVE YOU HAD ANY CHEST PAIN
+RES0080-039 NO
+RES0080-040 HAVE YOU HAD ANY LIGHTHEADEDNESS OR OR DIZZINESS
+RES0080-041 NO
+RES0080-042 OK AND HAVE YOU HAD ANY HEART PALPITATIONS
+RES0080-043 NO
+RES0080-044 ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN NAUSEA OR VOMITING
+RES0080-045 NO
+RES0080-046 ALRIGHT AND ANY URINARY PROBLEMS
+RES0080-047 <hesitation> NO
+RES0080-048 ANY BOWEL PROBLEMS
+RES0080-049 NO
+RES0080-050 OK AND HAVE YOU HAD ANY CHANGES TO YOUR SKIN OR ANY RASHES
+RES0080-051 NO NOT REALLY
+RES0080-052 OK AND HAVE YOU HAD ANY FEVERS OR CHILLS
+RES0080-053 <hesitation> I I THINK I WAS FEELING VERY CHILLY LAST NIGHT MY WIFE HAD TO BRING AN EXTRA BLANKET FOR ME
+RES0080-054 OK HAVE YOU HAD ANY NIGHT SWEATS
+RES0080-055 NO I DON'T THINK SO
+RES0080-056 OK AND HAVE YOU CHECKED YOUR TEMPERATURE
+RES0080-057 NO I DIDN'T
+RES0080-058 OK WE'LL CERTAINLY CHECK THAT TODAY AND HAVE YOU HAD ANY WEIGHT LOSS IN THE IN THE LAST SEVERAL SEVERAL MONTHS
+RES0080-059 <hesitation> I DON'T CHECK MY WEIGHT VERY OFTEN BUT NO MY CLOTHES STILL FIT THEY'RE ALL THEY'RE FINE
+RES0080-060 OK FAIR ENOUGH AND HAVE YOU NOTICED ANY LIKE LEG SWELLING OR ANY SWELLING IN YOUR IN YOUR BELLY
+RES0080-061 NO
+RES0080-062 OK <hesitation> AND IN REGARDS TO YOUR PAST HEALTH YOU MENTIONED COPD BUT HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS
+RES0080-063 YEAH I I HAVE A HIGH BLOOD PRESSURE AND MY CHOLESTEROL IS ALSO A LITTLE BIT ON THE HIGH SIDE
+RES0080-064 I SEE OK AND YOU USE PUFFERS DO YOU USE ANY OTHER MEDICATIONS
+RES0080-065 I THINK MY DOC PRESCRIBED SOME PILLS I DON'T KNOW I DON'T REMEMBER WHAT THEY ARE I JUST TAKE THEM EVERY DAY
+RES0080-066 OK WE CAN GET THAT INFORMATION <hesitation> HAVE YOU HAD ANY HOSPITALIZATIONS
+RES0080-067 <hesitation> I'VE BEEN I'VE BEEN TO THE ER A COUPLE OF TIMES AND THIS ONE TIME IT WAS SIMILAR TO THIS TIME WHEN I WAS HAVING DIFFICULTIES BREATHING AND HAD TO STAY FOR ABOUT FIVE DAYS OR SO I THINK THAT WAS TWO YEARS AGO
+RES0080-068 OK AND HOW ARE YOUR SYMPTOMS FEELING NOW WHEN COMPARED TO THAT THAT TIME
+RES0080-069 I WASN'T PRODUCING THIS GREEN YELLOW THING THAT'S COMING OUT OF MY MOUTH RIGHT NOW IT WAS NOT THAT BAD IT'S JUST LAST TIME I WAS HAVING DIFFICULTIES BREATHING SO I DECIDED TO COME IN BUT THIS TIME I JUST HAVE THIS WEIRD THING I DON'T EVEN FEEL LIKE LOOKING AT IT
+RES0080-070 OK <hesitation> YEAH FOR SURE IT SOUNDS LIKE THERE'S SOMETHING CERTAINLY GOING ON HERE AND HAVE YOU HAD ANY PAST SURGERIES
+RES0080-071 I HAD I HAD A KNEE REPLACEMENT
+RES0080-072 OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHO DO YOU LIVE WITH AND WHEREABOUTS
+RES0080-073 YEAH I LIVE I LIVE WITH MY WIFE ABOUT TEN MINUTES AWAY FROM HERE WE LIVE IN AN APARTMENT <hesitation> YEAH
+RES0080-074 OK ARE YOU WORKING ARE YOU RETIRED
+RES0080-075 I RETIRED TWO YEARS AGO <hesitation> I USED TO WORK AT CHRYSLER AS A MECHANIC
+RES0080-076 OK AND HAVE YOU BEEN AROUND ANYBODY WHO MIGHT BE SICK
+RES0080-077 NO NO
+RES0080-078 ALRIGHT HOW ABOUT HAVE YOU TRAVELED ANYWHERE
+RES0080-079 NO I'VE JUST BEEN STAYING INDOORS MY WIFE'S BEEN STAYING WITH ME WE'RE BOTH PRETTY CAREFUL WE'RE WORRIED ABOUT CATCHING COVID SO WE DON'T EVEN GO OUT FOR GROCERIES WE JUST HAVE THOSE DELIVERY GUYS COME AND BRING US OUR GROCERIES
+RES0080-080 OK AND YOU SMOKE CIGARETTES YOU MENTIONED HOW MUCH DO YOU SMOKE PER DAY
+RES0080-081 I SMOKE ABOUT A PACK A DAY
+RES0080-082 OK AND HOW LONG HAVE YOU SMOKED FOR
+RES0080-083 LET'S SEE ABOUT FORTY FIVE YEARS
+RES0080-084 OK HAVE YOU THOUGHT ABOUT QUITTING
+RES0080-085 YEAH YEAH MULTIPLE DOCS DOCTORS HAVE TOLD ME TO QUIT AND IT'S JUST I DON'T THINK I CAN QUIT IT'S NOT GONNA HAPPEN I CAN'T LIVE WITHOUT MY CIGARETTES
+RES0080-086 OK THE DOOR IS ALWAYS OPEN AND CERTAINLY SOMETHING WE CAN TALK ABOUT AT ANYTIME IF YOU'D LIKE TO BUT IN THE MEANTIME WE'LL LEAVE IT ALONE FOR NOW I WAS WONDERING IF YOU DRINK ALCOHOL
+RES0080-087 I DRINK A GLASS OR TWO EVERY WEEKEND
+RES0080-088 OK AND DO USE ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE
+RES0080-089 NO
+RES0080-090 OK AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS
+RES0080-091 <hesitation> HIGH BLOOD PRESSURE
+RES0080-092 OK HAS ANYBODY IN THE FAMILY HAD LUNG CANCER
+RES0080-093 NO
+RES0080-094-1 ALRIGHT AND SO YOU'VE BEEN EXPERIENCING WORSENING SPUTUM PRODUCTION THAT NOW HAS A GREEN COLOR TO IT AND NOW HAVING A BIT MORE MORE SHORT OF BREATH
+RES0080-094-2 WHICH SOUNDS LIKE COPD EXACERBATION ESPECIALLY SINCE IT'S A SIMILAR TYPE OF PRESENTATION AS BEFORE <hesitation>
+RES0080-094-3 AND SO WE'LL ORDER A CHEST X RAY SOME BLOOD GASES AND DO A SPUTUM CULTURE AND <hesitation>
+RES0080-094-4 POSSIBLY START ANTIBIOTICS BUT DEPENDING ON THE SEVERITY WE MAY NOT NOT NEED TO JUST YET <hesitation>
+RES0080-094-5 AND THEN WE'LL ALSO USE SOME INHALERS AS WELL AS INHALED STEROID TO HELP WITH THE INFLAMMATION IN THE AIRWAYS
+RES0080-095 SURE
+RES0080-096 ALRIGHT WE'LL GET THAT STARTED
+RES0080-097 THANK YOU
+RES0089-000 CAN YOU TELL ME WHAT BROUGHT YOU IN HERE TODAY
+RES0089-001 SURE I'VE BEEN FEELING VERY SHORT OF BREATH FOR THE PAST TWO WEEKS BUT EVEN BEFORE THAT I STARTED FEELING A LITTLE BIT SHORT OF BREATH AND I CAN'T STOP COUGHING AND IT JUST FEELS LIKE IT'S REALLY HARD FOR ME TO BREATHE
+RES0089-002 OK SO THIS STARTED TWO WEEKS AGO
+RES0089-003 IT STARTED TWO WEEKS AGO
+RES0089-004 OK AND YOU'RE ALSO COUGHING
+RES0089-005 OK AND HOW LONG HAVE YOU BEEN COUGHING FOR
+RES0089-006 THE SAME AMOUNT OF TIME IT STARTED ABOUT MAYBE THREE WEEKS AGO I STARTED COUGHING MORE BUT NOW IT'S WORSE
+RES0089-007 OK AND WHAT KIND OF COUGH ARE YOU HAVING IS IT A WET COUGH OR A DRY COUGH
+RES0089-008 IT'S DEFINITELY WET MY PHLEGM LOOKS GREEN
+RES0089-009 OK AND HOW LONG HAVE YOU NOTICED IT BEING GREEN
+RES0089-010 IT'S BEEN LIKE THAT FOR THE PAST TWO WEEKS
+RES0089-011 OK AND BEFORE THAT WERE YOU HAVING COUGHING
+RES0089-012 AS WELL BEFORE THAT I WAS STILL COUGHING BUT NOT AS MUCH
+RES0089-013 OK AND WAS THERE ANYTHING THAT HAPPENED DID YOU GET SICK AT ALL RECENTLY OR WERE YOU IN CONTACT WITH ANYONE WHO WAS SICK
+RES0089-014 NO
+RES0089-015 NO NOT THAT I KNOW OF OK
+RES0089-016 ANY KIND OF FEVERS
+RES0089-017 AT ALL NO NO FEVERS OK AND HAVE YOU NOTICED ANY KIND OF COUGHING UP BLOOD OR BLOOD TINGED SPUTUM AT ALL
+RES0089-018 NO NOT THAT NO BLOOD
+RES0089-019 OK AND HOW MUCH SPUTUM ARE YOU BRINGING UP IN AN AVERAGE DAY NOW
+RES0089-020 I'M BRINGING UP ABOUT I'D SAY IT WOULD FILL LIKE TWO TWO OF MY PALMS LIKE THE INSIDE OF MY PALM
+RES0089-021 OK ALRIGHT AND IS YOUR COUGHING LIKE CONSTANT OR DOES IT COME AND GO
+RES0089-022 IT'S PRETTY CONSTANT NOW
+RES0089-023 OK AND HAVE YOU HAD AT ALL ANY KIND OF FEVERS OR ANYTHING LIKE THAT
+RES0089-024 NO FEVERS
+RES0089-025 OK AND HOW ABOUT YOUR SHORTNESS OF BREATH IS THAT WHEN DOES THAT HAPPEN IS IT MAINLY WITH EXERCISE AND EXERTION OR CAN IT HAPPEN EVEN WHEN YOU'RE JUST GOING ON ABOUT YOUR DAY
+RES0089-026 ITS OK ITS MORE WITH EXERTION BUT RIGHT NOW EVEN AT REST I'M COUGHING AND FEELING SHORT OF BREATH
+RES0089-027 OK AND ARE YOU FEELING AT ALL ANY KIND OF CHEST TIGHTNESS OR PAIN
+RES0089-028 SOME CHEST TIGHTNESS
+RES0089-029 AND IS THAT MAINLY WHEN YOU'RE COUGHING AND SHORT OF BREATH OR AT OTHER TIMES AS WELL
+RES0089-030 OTHER
+RES0089-031 TIMES AS WELL OK ARE YOU HAVING ANY OTHER ANY OTHER LIKE CAN YOU DESCRIBE YOUR CHEST PAIN A LITTLE BIT IS IT KIND OF A PRESSURE PAIN OR IS IT A SHARP PAIN ACHING PAIN HOW WOULD YOU DESCRIBE IT
+RES0089-032 I WOULD SAY IT'S A IT'S A TIGHTNESS IN MY CHEST AND IT FEELS I GUESS THROBBING OR ACHY
+RES0089-033 OK AND DOES THIS PAIN MOVE TO ANYWHERE ELSE OR DOES IT JUST STAY IN YOUR CHEST
+RES0089-034 IT JUST STAYS IN MY CHEST
+RES0089-035 OK HAVE YOU BEEN FEELING DIZZY OR HAVE YOU FAINTED AT ALL
+RES0089-036 NO
+RES0089-037 HAVE YOU BEEN FEELING INCREASED SWEATING AND CONFUSION ANYTHING LIKE THAT
+RES0089-038 NO
+RES0089-039 OK HAVE YOU FELT YOUR HEART RACING AND ANYTHING LIKE THAT
+RES0089-040 NO
+RES0089-041 OK ALRIGHT AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE
+RES0089-042 I GUESS ACTIVITY MAKES IT WORSE AND LIKE COLD AIR THINGS LIKE THAT
+RES0089-043 OK AND OTHER THAN THAT HAVE YOU RECENTLY AT ALL TRAVELED OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE
+RES0089-044 NO NO NOT RECENTLY
+RES0089-045 OK NOW ARE YOU HAVING ANY WHEEZING AT ALL
+RES0089-046 SOME WHEEZING
+RES0089-047 OK AND ANY KIND OF HEADACHES OR NAUSEA OR VOMITING
+RES0089-048 NO NOTHING LIKE THAT
+RES0089-049 OK AND ANY FEVERS OR CHILLS
+RES0089-050 <hesitation> NOPE NOTHING LIKE THAT
+RES0089-051 ANY NIGHT SWEATS
+RES0089-052 <hesitation> SOMETIMES I FEEL SWEATY BUT THAT'S JUST WITH THE SHORTNESS OF BREATH
+RES0089-053 OK AND HOW LONG DOES YOUR SHORTNESS OF BREATH USUALLY LAST
+RES0089-054 IT LASTS ABOUT I DON'T KNOW I KIND OF FEEL SHORT OF BREATH ALL THE TIME BUT WHEN IT'S REALLY BAD IT LASTS ABOUT FIVE TEN MINUTES AND THEN IT GOES BACK TO LIKE MY NORMAL SHORTNESS OF BREATH
+RES0089-055 OK AND HAS THIS HAPPENED TO YOU BEFORE
+RES0089-056 NO I DON'T THINK SO
+RES0089-057 OK
+RES0089-058 LIKE NOT NOT THIS BAD I'VE ALWAYS HAD SOME SHORTNESS OF BREATH BUT NOTHING LIKE THIS
+RES0089-059 OK AND DO YOU HAVE ANY KIND OF DIARRHEA OR CONSTIPATION
+RES0089-060 NO NOTHING LIKE
+RES0089-061 THAT OK HOW ABOUT FATIGUE
+RES0089-062 I FEEL FATIGUED
+RES0089-063 OK AND IS THAT JUST ABOUT TODAY OR IS IT DO YOU THINK IT'S BECAUSE OF YOUR SHORTNESS OF BREATH
+RES0089-064 IT'S PROBABLY CAUSE OF MY SHORTNESS OF BREATH
+RES0089-065 ARE YOU HAVING ANY OF THESE SYMPTOMS WHEN YOU'RE TRYING TO SLEEP
+RES0089-066 <hesitation> I THINK ITS WHEN I'M LAYING DOWN SOMETIMES I FEEL MORE SHORT OF BREATH THAN USUAL BUT ONCE I SHIFT POSITIONS IT GOES BACK TO IT'S NORMAL
+RES0089-067 OK IS IT DO YOU EVER HAVE TO WAKE UP AT NIGHT TO CATCH A BREATH OR ANYTHING LIKE THAT
+RES0089-068 <hesitation> NO IT DOESN'T WAKE ME UP
+RES0089-069 AND HAVE YOU NOTICED ANY KIND OF SIGNIFICANT WEIGHT LOSS OR ANYTHING LIKE THAT RECENTLY
+RES0089-071 NO OK AND HAVE YOU AT ALL HAD ANY CHANGES IN YOUR APPETITE OR ANYTHING LIKE THAT
+RES0089-072 NO NO CHANGE IN APPETITE
+RES0089-073 OK ANY EXPOSURES TO ANY LIKE DUST FUMES OR ANY IRRITANTS RECENTLY
+RES0089-074 NO
+RES0089-075 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
+RES0089-076 JUST COPD AND I ALSO HAVE SOME CONGESTIVE HEART FAILURE
+RES0089-077 OK AND WHEN WERE YOU DIAGNOSED WITH BOTH OF THEM
+RES0089-078 COPD I'VE BEEN I GOT DIAGNOSED ABOUT SEVEN YEARS AGO CHF ABOUT TWO YEARS AGO
+RES0089-079 OK AND RIGHT NOW DO YOU HAVE ANY SYMPTOMS OF ANY SWELLING IN YOUR EXTREMITIES LIKE LEGS HANDS OR ANYTHING LIKE THAT
+RES0089-080 SOME SWELLING SOME SWELLING IN SOME SWELLING IN MY LEGS
+RES0089-081 OK AND DO YOU HAVE ANY KIND OF SHORTNESS OF BREATH WHEN YOU'RE LYING DOWN AT ALL
+RES0089-082 A LITTLE BIT A LITTLE BIT I WOULD SAY
+RES0089-083 OK AND ANY OTHER MEDICAL CONDITIONS
+RES0089-084 NOPE NO OTHERS
+RES0089-085 ANY ALLERGIES
+RES0089-086 NO
+RES0089-087 ANY MEDICATIONS YOU'RE ON RIGHT NOW
+RES0089-088-1 I'M ON AN ACE INHIBITOR I'M ON SPIRONOLACTONE I'M ON
+RES0089-088-2 SO I HAVE SOME PUFFERS FOR MY COPD I BELIEVE WHAT DO I HAVE I HAVE I HAVE A LONG ACTING BETA AGONIST
+RES0089-089 AND I GUESS I HAVE A SHORT ACTING AS WELL FOR WHEN I NEED IT OK
+RES0089-090 AND DO YOU HAVE SO IS IT JUST THE TWO TWO PUFFERS OK AND ARE YOU USING LIKE THE BLUE ONE THE BLUE ONE MORE AT ALL
+RES0089-091 ARE YOU HAVING TO USE THE SHORT ACTING ONE MORE I'M DEFINITELY USING THE SHORT ACTING MORE LIKE
+RES0089-092 I'M USING IT ALMOST EVERYDAY EVERYDAY AND DOES IT HELP AT ALL
+RES0089-093 I THINK SO
+RES0089-094 OK SO OTHER THAN THAT ARE YOU ON ANY OTHER MEDICATIONS
+RES0089-095 NO
+RES0089-096 NO OK AND HAVE YOU BEEN TAKING YOUR SPIRONOLACTONE
+RES0089-097 I'VE BEEN TAKING ALL MY MEDICATIONS
+RES0089-098 OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
+RES0089-099 I WAS HOSPITALISED TWO YEARS AGO FOR SHORTNESS OF BREATH AND SOME LOW OXYGEN THAT'S WHEN THEY DIAGNOSED ME WITH CHF
+RES0089-100 I SEE OK AND DID THEY SAY AT ALL IT WAS CAUSED BY LIKE YOUR COPD OR WHAT WAS IT CAUSED BY DO YOU REMEMBER
+RES0089-101 I GUESS JUST I'M NOT REALLY TOO SURE THEY SAID I HAD SOME HEART CONDITION AND MY HEART ISN'T FUNCTIONING AS WELL AS IT SHOULD BE
+RES0089-102 THEY DID AN ECHO ON ME OK AND
+RES0089-104 YOU AT ALL HAD ANY KIND OF HEART ATTACKS OR ANYTHING LIKE THAT NO NO OK AND DID THEY WHEN YOU WERE HAVING SHORTNESS OF BREATH DID YOU HAVE A LIKE A PNEUMONIA OR INFECTION THAT YOU HAD TO GET ANTI
+RES0089-105 BIOTICS FOR ANY OR ANYTHING LIKE THAT NO ACTUALLY I MIGHT HAVE GOTTEN SOME ANTIBIOTICS AT ONE POINT BUT NOT DURING THAT VISIT
+RES0089-106 OK OK AND CURRENTLY RIGHT NOW DO YOU SMOKE
+RES0089-107 NO I STOPPED SMOKING TWO YEARS AGO
+RES0089-108 NO THAT'S REALLY GOOD AND DEFINITELY WITH THESE SYMPTOMS AND YOUR CONDITION THAT DEFINITELY HELPS TO QUIT SMOKING WHENEVER YOU CAN SO CONGRATULATIONS FOR THAT ANY ALCOHOL AT ALL
+RES0089-109 I DRINK SOME ALCOHOL I DRINK MAYBE ONCE A WEEK
+RES0089-110 OK AND ANY RECREATIONAL DRUGS LIKE MARIJUANA
+RES0089-111 I SMOKE ONCE IN A WHILE
+RES0089-112 OK HOW OFTEN WOULD YOU SAY YOU SMOKE MARIJUANA
+RES0089-113 I SMOKE ABOUT A JOINT A WEEK
+RES0089-114 OK AND DO YOU USE A LIKE THE PROVINCIAL MARIJUANA OR DO YOU HAVE ANY OTHER SOURCE WHAT WOULD YOU SAY YOU USE
+RES0089-115 I USE PARDON ME WHAT WAS THAT DO I USE
+RES0089-116 LIKE DO YOU GET IT FROM A STORE THAT SELLS THE JOINT
+RES0089-117 I GET IT FROM LIKE A MEDICAL DISPENSARY
+RES0089-118 OK OK I SEE I JUST WANT TO MAKE SURE BECAUSE SOME IF YOU GET IT FROM OTHER SOURCES THERE MIGHT BE MORE IRRITANTS IN THERE THAT CAN CAUSE SOME OF YOUR SYMPTOMS AND FOR THEM TO GET WORSE AS WELL SO
+RES0089-119 OH I SEE I SEE OK
+RES0089-120 AND OTHER THAN THAT DO YOU HAVE ANY QUESTIONS OR CONCERNS AT ALL
+RES0089-121 NO WHAT DO YOU THINK I SHOULD DO FROM FOR NOW
+RES0089-122-1 YEAH SO RIGHT NOW WHAT WE'RE GOING TO DO IS BECAUSE YOU'RE HAVING THE COUGHING SHORTNESS OF BREATH AND YOU HAVE A HISTORY OF COPD AND CHF WE DEFINITELY WANT TO MAKE SURE THAT YOU'RE NOT HAVING WHAT I THINK YOU MIGHT BE HAVING ISN'T JUST AN EXACERBATION OF YOUR COPD
+RES0089-122-2 AND ESPECIALLY WITH THE GREEN SPUTUM IT MIGHT BE LIKE A BACTERIAL INFECTION THAT'S CAUSING YOUR SYMPTOMS TO GET WORSE SO WE'LL DO ALL THE APPROPRIATE TESTING WE'LL DO A CHEST X RAY WE'LL GET SOME BLOOD WORK DONE AS WELL WE'LL GIVE YOU SOME
+RES0089-122-3 VENTOLIN AS WELL WHILE YOU'RE HERE AND WE MIGHT GIVE YOU LIKE A STEROID MEDICATION AS WELL
+RES0089-122-4 SO WE'LL DO SOME OF THOSE THINGS RIGHT NOW FOR YOU TO KIND OF HELP YOU RIGHT NOW AS WELL AS DO SOME OF THOSE TESTS THAT I MENTIONED DEPENDING ON WHAT COMES BACK YOU MIGHT REQUIRE AN ADMISSION TO THE HOSPITAL
+RES0089-122-5 JUST BECAUSE WE WANT TO MAKE SURE YOU DON'T GO HOME WITH AN EXACERBATION ESPECIALLY WITH THE CHF AS WELL WE NEED TO WE WILL NEED TO GET THAT UNDER CONTROL BECAUSE THAT CAN GET WORSE WITH YOUR COPD EXACERBATION AS WELL
+RES0089-122-6 SO WE NEED TO MAKE SURE SOME OF THAT SWELLING GOES DOWN IF WE NEED TO ADJUST YOUR MEDICATIONS WHILE YOU'RE HERE SO LET'S JUST I'LL GET BACK TO YOU WE'LL DO SOME OF THOSE TESTING AND THEN SEE WHERE TO GO FROM THERE IS THAT OK
+RES0089-123 THAT SOUNDS GREAT THANK YOU
+RES0089-124 YOU'RE WELCOME
+RES0090-000 WHAT BRINGS YOU IN HERE TODAY
+RES0090-001 SO I HAVE BEEN I HAVE THIS COUGH I'M COUGHING UP BLOOD SO THAT'S MADE ME A LITTLE BIT WORRIED SO I THOUGHT I SHOULD COME AND GET GET IT INVESTIGATED
+RES0090-002 OK NO DEFINITELY THAT THAT'S DEFINITELY CONCERNING IS SO WHEN DID THIS START
+RES0090-003 IT THE COUGHING UP BLOOD STARTED ABOUT A WEEK AND A HALF AGO
+RES0090-004 BUT IT'S NOT GETTING ANY BETTER AND IT'S NOT STOPPING
+RES0090-005 OK AND DID IT START DID THE COUGH JUST START WITH THE BLOOD IN THE COUGH OR WHAT DID IT JUST START AS A NORMAL COUGH FIRST
+RES0090-006 IT STARTED OFF AS A NORMAL COUGH FIRST
+RES0090-007 OK AND DID YOU HAVE ANY KIND OF PRODUCTION OF SPUTUM WITH YELLOW OR GREENISH MATERIAL AT ALL
+RES0090-008 NOT REALLY I MEAN THERE IT'S IT WAS A LITTLE BIT YELLOW BUT NOW IT'S JUST MOSTLY BLOOD
+RES0090-009 OK AND DID YOU HAVE ANY DID YOU WERE YOU IN CONTACT WITH ANYONE THAT WAS SICK RECENTLY OR DID YOU HAVE ANY TRAVEL
+RES0090-010 I RECENTLY IMMIGRATED TO CANADA FROM INDIA
+RES0090-011 OK AND WERE YOU IN CONTACT AT ALL WHEN YOU WERE IN INDIA WITH ANYONE WHO MIGHT HAVE HAD TUBERCULOSIS OR WAS SICK AT ALL AROUND YOU
+RES0090-012 I MEAN IT'S POSSIBLE LIKE PEOPLE GET SICK IN MY FAMILY ALL THE TIME IN INDIA SO IT'S POSSIBLE
+RES0090-013 AND WERE YOU AT ALL IN INDIA WHEN WERE YOU WERE YOU LIVING IN LIKE CLOSE QUARTERS LIKE IN A SMALLER SPACE WITH OTHER PEOPLE AT ALL
+RES0090-014 I HAVE A BIG FAMILY SO WE ALL LIVE TOGETHER
+RES0090-016 OK SO IT'S SO THERE ARE ABOUT
+RES0090-017 LIKE TEN OF US OK GREAT SO IT STARTED ONE YOU SAID AROUND ONE AND A HALF WEEKS AGO
+RES0090-018 THAT'S RIGHT
+RES0090-019 OK AND IS IT LIKE A CONSTANT COUGH OR DOES IT COME AND GO
+RES0090-020 IT'S IT'S PRETTY CONSTANT WELL I GUESS IT COMES AND GOES IT'S IT'S NOT THERE ALL THE TIME
+RES0090-021 OK AND HAVE YOU HAD THIS HAPPEN BEFORE AT ALL
+RES0090-022 NO NEVER
+RES0090-023 OK RIGHT IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE
+RES0090-024 I DON'T THINK SO NOTHING THAT NOTHING I'VE TRIED HAS WORKED
+RES0090-025 OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE A FEVER OR SHORTNESS OF BREATH ANYTHING LIKE THAT
+RES0090-026 I HAVE BEEN FEELING CHILLS AND I HAVEN'T ACTUALLY TAKEN MY TEMPERATURE BUT I FEEL HOT SO IT'S POSSIBLE THAT I HAVE A FEVER
+RES0090-027 OK AND DO YOU DO YOU HAVE ANY SIGNIFICANT WEIGHT LOSS AT ALL IN THE PAST FEW WEEKS
+RES0090-028 NOW THAT YOU MENTION IT I THINK I'VE LOST ABOUT TEN POUNDS IN THE PAST MONTH
+RES0090-029 OK AND HOW MUCH DO YOU WEIGH
+RES0090-030 RIGHT NOW I WEIGH A HUNDRED AND TEN
+RES0090-031 OK SO DEFINITELY THAT'S MORE THAN LIKE THE TEN PERCENT YES THAT IS PRETTY SIGNIFICANT HAVE YOU BEEN EXPERIENCING ANY NIGHT SWEATS
+RES0090-032 YES I'VE BEEN HAVING NIGHT SWEATS I THOUGHT THAT WAS JUST ME BEING HOT BUT I GUESS I FEEL CHILLY AND THEN I HAVE NIGHT SWEATS SO I PROBABLY DO HAVE A FEVER
+RES0090-033 OK AND HOW ABOUT FATIGUE ARE YOU DO YOU FEEL MORE TIRED THROUGHOUT THE DAY
+RES0090-034 I WOULD SAY SO
+RES0090-035 OK AND DO YOU HAVE ANY SYMPTOMS LIKE CHEST PAIN OR RACING HEART OR ANYTHING LIKE THAT
+RES0090-036 NO NOTHING LIKE THAT
+RES0090-037 OK ANY HEADACHES NAUSEA VOMITING
+RES0090-038 NO
+RES0090-039 ANY CHANGES IN YOUR BOWEL MOVEMENTS
+RES0090-040 <hesitation> NOPE
+RES0090-041 OK ANY ISSUES WITH YOUR SLEEP OR APPETITE
+RES0090-042 NO
+RES0090-043 OK AND ANY EXPOSURES TO FUMES OR DUST OR ANIMALS OR PETS
+RES0090-044 NO
+RES0090-045 OK AND CURRENTLY RIGHT NOW HAVE YOU BEEN IN CONTACT WITH ANYONE ELSE DO YOU GO TO WORK OR ANYONE LIVING WITH YOU RIGHT NOW
+RES0090-046 SO I GO TO WORK I'M WORKING FOR AN ASSEMBLY LINE SO THERE ARE A LOT OF PEOPLE AROUND ME AND I LIVE WITH TWO HOUSEMATES
+RES0090-047 OK AND ANYONE AT WORK OR YOUR HOUSEMATES ANYONE SHOWING ANY SIMILAR SYMPTOMS AT ALL
+RES0090-048 NO I DON'T THINK SO I HAVEN'T ASKED THEM BUT NOTHING I'VE SEEN
+RES0090-049 OK AND PREVIOUSLY DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU WERE DIAGNOSED WITH
+RES0090-050 NOPE I'M HEALTHY OTHERWISE
+RES0090-051 OK ANY ALLERGIES
+RES0090-052 NO NO ALLERGIES
+RES0090-053 OK ANY KIND OF LOSS OF TASTE OR SMELL
+RES0090-054 NO NOTHING LIKE THAT
+RES0090-055 OK ARE YOU ON ANY MEDICATIONS AT ALL
+RES0090-056 NO JUST SOME VITAMINS
+RES0090-057 OK AND ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
+RES0090-058 NO
+RES0090-059 OK OTHER THAN THAT HAVE YOU HAD ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS
+RES0090-060 NOPE NOTHING LIKE THAT
+RES0090-061 OK CURRENTLY RIGHT NOW SO YOU LIVE WITH ROOMMATES IS IT LIKE AN APARTMENT IS IT A HOME LIKE A HOUSE
+RES0090-062 I LIVE IN AN APARTMENT
+RES0090-063 OK DO YOU CURRENTLY SMOKE
+RES0090-064 NO
+RES0090-065 OK DO YOU DRINK ALCOHOL
+RES0090-066 NO
+RES0090-067 ANY RECREATIONAL DRUGS LIKE MARIJUANA
+RES0090-068 NO
+RES0090-069 NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS WE HAD DO YOU HAVE ANY QUESTIONS OR CONCERNS
+RES0090-070 NO WHAT DO YOU THINK I HAVE AND IS THERE ANYTHING I NEED TO DO RIGHT NOW
+RES0090-071-1 SO WHAT SOME OF YOUR SYMPTOMS ARE CONCERNING ESPECIALLY THE COUGHING UP BLOOD WHICH IS SOMETHING THAT WE ALWAYS THINK OF WITH TUBERCULOSIS YOU DON'T HAVE ANY HISTORY OF FAMILY HISTORY OF LUNG CANCER OR ANYTHING LIKE THAT SO
+RES0090-071-2 RIGHT NOW ESPECIALLY SINCE YOU JUST MOVED FROM INDIA WHERE TUBERCLOSIS IS ENDEMIC WE NEED TO MAKE SURE THAT WE TEST YOU FOR TUBERCULOSIS IN THE MEANTIME THOUGH YOU WILL NEED TO
+RES0090-071-3 STAY IN THE HOSPITAL AND BE IN AN ISOLATED ROOM WHERE WE CAN FILTER SOME OF THE AIR AND MAKE SURE IT'S A VERY INFECTIVE CONDITION IF YOU DO HAVE IT SO WHILE YOU'RE
+RES0090-071-4 GETTING ALL THE TESTS DONE YOU WILL NEED TO STAY HERE IN AN ISOLATED ROOM ALSO WE WILL GET SOME SPUTUM SMEARS AND CULTURES TO TEST FOR TB
+RES0090-071-5 AND WE WILL ALSO I WILL NEED TO IF THE TEST COMES BACK POSITIVE WE WILL NEED TO CONTACT PUBLIC HEALTH AND LET YOUR CONTACTS KNOW AS WELL
+RES0090-071-6 LASTLY WE WILL ALSO BE GETTING SINCE YOU'RE HAVING THE HEMOPTYSIS LIKE COUGHING UP BLOOD WE WILL WE MIGHT ALSO
+RES0090-072 CHEST X RAY TO SEE IF YOU
+RES0090-074 ACTIVE TB OK SO THOSE ARE THOSE ARE SOME OF THE THINGS THAT WE'LL GET STARTED WITH IS THAT OK WITH YOU ANY QUESTIONS OR CONCERNS
+RES0090-075 NO NOTHING LIKE THAT DO I NEED TO ISOLATE
+RES0090-076-1 YEAH SO WE WILL KEEP YOU IN AN ISOLATED ROOM RIGHT NOW WHEN YOU'RE GETTING ALL THOSE TESTS AND IF YOU DO HAVE TB YOU WILL NEED TO ISOLATE AND STAY AWAY FROM CONTACTS NOT BE AT WORK
+RES0090-076-2 WE WILL IF YOU DO IN FACT HAVE TB WHICH IT SEEMS LIKELY RIGHT NOW YOU WILL BE STARTED IN HOSPITAL ON A LIKE ANTIBIOTIC THERAPY
+RES0090-076-3 OK <hesitation> WHICH CONSISTS OF LIKE FOUR DIFFERENT MEDICATIONS AND PEOPLE WITH THE ACTIVE TB WILL DO HAVE TO ISOLATE DURING THAT TIME PERIOD SO
+RES0090-076-4 YEAH WE'LL GET SOME OF THOSE TESTS DONE AND WE'LL GET BACK TO YOU AS SOON AS POSSIBLE
+RES0090-077 OK GREAT THANK YOU
+RES0090-078 YOU'RE WELCOME
+RES0100-000 HOW MAY I HELP YOU TODAY
+RES0100-001-1 YEAH SO I JUST CAME IN TODAY WITH I'VE BEEN HAVING A FEW SYMPTOMS FOR THE LAST I WOULD SAY FIVE DAYS SO I'VE HAD IT STARTED WITH A SORE THROAT JUST FIVE DAYS AGO KIND OF JUST VERY IRRITATING SORE THROAT SENSATION THAT'S KIND OF GOTTEN WORSE OVER THE LAST FEW DAYS
+RES0100-001-2 AND THEN I STARTED GETTING A FEVER FOUR DAYS AGO AND IT HAS BEEN GOING ON FOR THE LAST COUPLE OF DAYS AS WELL AND THE HIGHEST TEMPERATURE I MEASURED ON MYSELF
+RES0100-001-3 WAS THIRTY EIGHT POINT EIGHT DEGREES CELSIUS AND SO THAT THAT'S THAT'S MY MAIN CONCERN <hesitation>
+RES0100-002 RIGHT NOW OK AND SINCE THE SORE THROAT STARTED FIVE DAYS AGO HAS IT BEEN GETTING BETTER WORSE OR STAYING THE SAME
+RES0100-003 I WOULD SAY IT'S GETTING WORSE I HAVE SOME PAIN WITH SWALLOWING FOOD AS WELL AS LIKE NOW EVEN WHEN I'M TALKING A LITTLE I'M GETTING SOME PAIN AS WELL
+RES0100-004 OK HAVE YOU BEEN ABLE TO MAINTAIN YOUR APPETITE
+RES0100-005 I I DO FEEL LIKE I'VE LOST A BIT OF MY APPETITE OVER THE LAST THREE TO FOUR DAYS
+RES0100-006 OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE
+RES0100-007 I DON'T THINK SO NOT YET I BUT I THINK LIKE THE WAY IT'S HURTING RIGHT NOW I FEEL LIKE IT'S COMING
+RES0100-008 ALRIGHT SO HAVE YOU NOTICE ANY LIKE NECK SWELLING
+RES0100-009 NOW THAT YOU MENTION IT I I DO HAVE LIKE THESE TWO LUMPS ON THE RIGHT SIDE OF MY NECK LIKE KIND OF RIGHT BELOW
+RES0100-010 <hesitation> THE JAW
+RES0100-011 OK ARE THEY PAINFUL NOT NOT REALLY LIKE WHEN I'M PRESSING ON THEM THEY DON'T REALLY HURT BUT
+RES0100-012 I DEFINITELY HAVE TWO LUMPS I SEE OK WE'LL CERTAINLY LOOK INTO THAT ON THE PHYSICAL EXAM OK AND AND YOU MENTIONED THAT YOU'VE ALSO BEEN REALLY TIRED OVER THESE LAST FEW DAYS
+RES0100-013 I'VE I HAVEN'T REALLY HAD MUCH OF AN APPETITE KIND OF JUST I'VE SKIPPED WORK JUST TRYING TO TAKE IT EASY LIKE JUST NAPPING THE WHOLE DAY AS MUCH AS I CAN
+RES0100-014 OK AND <hesitation> SO YOU'VE BEEN EXPERIENCING FATIGUE HAVE YOU HAD ANY
+RES0100-015 ANY HEADACHES <hesitation> NO
+RES0100-016 HEADACHES NO ALRIGHT HOW ABOUT ANY EYE REDNESS OR RUNNY NOSE OR
+RES0100-017 NO NO RUNNY NOSE OR SO I I DON'T HAVE HEADACHES BUT I I I THINK I WAS HAVING SOME BODY ACHES JUST YESTERDAY
+RES0100-018 OK SO ANY PARTICULAR AREA THAT THAT'S ACHING
+RES0100-019 NOT REALLY IT'S KIND OF JUST LIKE A GENERAL LIKE I DON'T KNOW IF IT WAS IT WAS BECAUSE I WAS LYING AROUND THE WHOLE DAY BUT JUST KIND OF A GENERAL PAIN THROUGHOUT THE BODY
+RES0100-020 OK AND HAVE YOU BEEN EXPERIENCING ANY DIFFICULTIES OR SORRY
+RES0100-026  OK HAVE YOU HAD ANY WHEEZING
+RES0100-027 NO WHEEZING ALRIGHT AND HOW ABOUT ANY CHEST PAIN
+RES0100-028 NO NO NO CHEST PAIN HAVE YOU HAD ANY HEART PALPITATIONS OR OR FEELING LIKE YOUR HEART'S RACING
+RES0100-029 NO
+RES0100-030 OK AND MAYBE YOU HAD ANY LIGHTHEADEDNESS OR OR DIZZINESS
+RES0100-031 NO NOT REALLY
+RES0100-032 HAVE YOU HAD ANY ABDOMINAL PAIN
+RES0100-033 ACTUALLY YESTERDAY WHEN I WAS LIKE WHEN I WAS HAVING THE BODY PAIN I ALSO NOTICED A LITTLE BIT OF ABDOMINAL PAIN JUST LIKE ON THE UPPER I WOULD SAY UPPER LEFT SIDE
+RES0100-034 OK AND AND HOW WOULD YOU DESCRIBE THIS PAIN AND HOW LONG HAS IT BEEN GOING ON FOR
+RES0100-035 JUST SINCE YESTERDAY IT'S IT'S NOT REALLY LIKE I WOULD SAY IT'S MORE OF A DISCOMFORT THAN A PAIN BUT I DEFINITELY DO FEEL LIKE LIKE SOMETHING'S JUST NOT RIGHT IN THAT AREA
+RES0100-036 I SEE IS THERE ANYTHING THAT YOU DO THAT THAT MAKES THAT THAT FEELING WORSE OR MAKE THAT MAKE IT BETTER
+RES0100-037 LIKE I I TRY NOT TO LIE ON THAT SIDE I HAVE TO GO ON TO THE OTHER SIDE
+RES0100-038 ALRIGHT DID YOU NOTICE THIS IN THE LAST COUPLE OF DAYS AS WELL
+RES0100-039 THAT THAT JUST STARTED YESTERDAY
+RES0100-040 OK HAVE YOU HAD ANY NAUSEA OR VOMITING
+RES0100-041 NO
+RES0100-042 HOW ABOUT ANY DIARRHEA
+RES0100-043 NO
+RES0100-044 ALRIGHT AND HAVE YOU HAD ANY FEVERS OR OR SORRY YOU MENTIONED YOU HAD A FEVER OF THIRTY EIGHT POINT TWO AND HAVE YOU HAD ANY CHILLS
+RES0100-045 NO CHILLS WELL I WOULD SAY A COUPLE NIGHTS AGO I MIGHT HAVE HAD SOME CHILLS BUT MAINLY IT'S JUST BEEN I'VE BEEN FEELING MORE HOT AND I HAVE BEEN KIND OF GETTING LIKE NIGHT SWEATS
+RES0100-046 OK YOU'VE BEEN HAVING NIGHT SWEATS THIS WEEK OR HAVE THEY BEEN GOING ON LONGER
+RES0100-047 NO JUST JUST THIS WEEK
+RES0100-048 ALRIGHT HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT OVER THE LAST SEVERAL MONTHS
+RES0100-049 NO IT'S BEEN PRETTY STEADY
+RES0100-050 ALRIGHT AND THE FEVER THIS WEEK HAS IT BEEN THERE THE WHOLE TIME OR HAS IT COME AND GONE
+RES0100-051-1 IT KIND OF COMES AND GOES I'VE PROBABLY TAKEN TEMPERATURES LIKE EVERY DAY BUT I WOULD SAY IT'S DEFINITELY
+RES0100-051-2 FOR THE LAST FEW DAYS IT'S BEEN MORE OF A FEVER LIKE THE NIGHTSWEATS SENSATION BEFORE IT WAS A BIT FINE LIKE BUT THE HIGHEST TEMPERATURES HAVE BEEN IN THE LAST FEW DAYS
+RES0100-052 OK HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES
+RES0100-053 JUST LIKE I I DON'T KNOW LIKE I DON'T THINK THERE ARE ANY CHANGES BUT I DID NOTICE SOME LIKE KIND OF JUST PINK PINK SPOTS ON MY ARM THE OTHER DAY
+RES0100-054 OK WELL WERE THEY ITCHY
+RES0100-055 NO THEY WEREN'T REALLY ITCHY JUST LIKE A COUPLE I WOULD SAY LIKE RAISED NOT RAISED SPOTS JUST LIKE FLAT KIND OF PINKISH SPOTS
+RES0100-056 OK AND HAS THAT HAS THAT SPREAD ANYWHERE OR HAS IT GONE AWAY
+RES0100-057 NO HASN'T REALLY STARTED SPREADING YET I JUST NOTICED IT ON ON MY ARM AND I I DON'T THINK IT HAS REALLY SPREAD
+RES0100-058 AT ALL OK THIS IS ON ON ONE ARM
+RES0100-059 OK AND YOU'VE HAD SOME BODY ACHES HAVE YOU HAD ANY
+RES0100-063 SEXUALLY ACTIVE YES ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNERS OR OR PARTNER AND I AND I WAS WONDERING IF YOU USE CONDOMS
+RES0100-064-1 <hesitation> YEAH YES SO I I JUST HAVE ONE PARTNER RIGHT NOW MY FIANCE AND WE I ACTUALLY LIKE HAVE IN AN IUD SO LIKE WE
+RES0100-064-2 WE DON'T USE CONDOMS BUT LIKE WE'RE PRETTY HONEST AND SAFE WITH EACH OTHER I FULLY TRUST HIM LIKE HE DOESN'T HAVE ANY PARTNERS OR ANYTHING LIKE THAT AND I ONLY HAVE I DON'T HAVE ANY OTHER PARTNERS AS WELL
+RES0100-065 OK HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE
+RES0100-066 NO NEVER
+RES0100-067 OK ANY CONCERNS CURRENTLY ANY VAGINAL DISCHARGE OR ITCHINESS OR OR PAIN
+RES0100-068 NO NOTHING LIKE THAT
+RES0100-069 OK AND HAVE YOU BEEN PREGNANT BEFORE
+RES0100-070 NO
+RES0100-073 OK DO YOU TAKE ANY MEDICATIONS REGULARLY
+RES0100-074 CURRENTLY NO NO
+RES0100-075 ANY ALLERGIES TO MEDICATIONS
+RES0100-077 ALRIGHT AND ANY HOSPITALIZATIONS OR SURGERIES
+RES0100-079 IN THE PAST NO OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY
+RES0100-080 LIKE WHO YOU LIVE WITH AND AND WHERE SO I'M JUST LIVING WITH MY FIANCE AND THAT'S WE'RE LIVING IN LIKE A SMALL APARTMENT AND RIGHT NOW WE'RE NOT REALLY SEEING ANYONE ELSE REALLY DURING THE
+RES0100-081 OK SO HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK
+RES0100-082 I JUST HAD TO GO INTO WORK LIKE ONE DAY LAST WEEK JUST TO GRAB SOME OF MY STUFF BUT DIDN'T REALLY COME INTO CONTACT WITH ANYONE MY FIANCE DOES GO TO HIS WORK LIKE A COUPLE LIKE THREE OR FOUR TIMES DURING THE WEEK SO I DON'T KNOW IF HE GOT INTO CONTACT WITH ANYONE IT'S IT'S HARD TO SAY
+RES0100-083 HAS HE BEEN SICK AT ALL LIKE ANY ANY COUGH SORE THROAT ANYTHING LIKE THAT
+RES0100-084 HE DID HAVE A SORE THROAT LAST WEEK BUT IT KIND OF JUST WENT AWAY ON ITS OWN IN A COUPLE OF DAYS AND COMPARED TO ME LIKE HIS WAS NOTHING REALLY
+RES0100-089 CIGARETTES NO HOW ABOUT DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS
+RES0100-090 <hesitation> PROBABLY SMOKE MARIJUANA JUST MAYBE ONCE OR TWICE A MONTH
+RES0100-091 OK SO IT SOUNDS LIKE SOCIALLY
+RES0100-092 DO YOU USE ANY OTHER RECREATIONAL DRUGS
+RES0100-093 NO NOTHING ELSE
+RES0100-094 OK AND DO YOU DRINK ALCOHOL
+RES0100-095 I PROBABLY HAVE SOME RED WINE EVERY
+RES0100-096 OTHER DAY I WOULD SAY OK AND THIS IS LIKE ONE GLASS OR TWO
+RES0100-097 NO IT'S JUST LIKE A NORMAL GLASS OF WINE MAYBE LIKE WE PROBABLY GO THROUGH LIKE A BOTTLE BETWEEN BOTH OF US LIKE EVERY TWO WEEKS MAYBE
+RES0100-098 OK AND IN THE FAMILY HAS THERE BEEN ANYBODY WHO'S HAD ANY CANCERS
+RES0100-099 NO NO NO CANCER IS IN THE FAMILY
+RES0100-100 OK HOW ABOUT ANY GENETIC DISEASES OR ANYTHING CONGENITAL THAT RUNS IN THE FAMILY
+RES0100-101 NOT THAT I KNOW OF
+RES0100-102 OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY AND SO NEXT WE'LL GO AHEAD AND GET VITALS AND DO A PHYSICAL EXAM BUT DID YOU HAVE ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT OR ANY OTHER SYMPTOMS MAYBE
+RES0100-103 NO I DON'T THINK SO DO YOU THINK IT CAN BE COVID AT ALL
+RES0100-104-1 <hesitation> SO COVID DOES PRESENT IN A VARIETY OF NON SPECIFIC WAYS AND SO IT IT CERTAINLY COULD BE ON THE DIFFERENTIAL FOR CAUSING A SORE THROAT AND ABDOMINAL PAIN AND AS WELL AS A FEVER <hesitation>
+RES0100-104-2 HOWEVER IT COULD BE CAUSED BY OTHER THINGS AS WELL CURRENTLY YOUR CONSTELLATION OF SYMPTOMS WITH THE ENLARGED LYMPH NODES IN THE NECK SORE THROAT IT SOUNDS LIKE YOU MAY HAVE
+RES0100-104-3 AN INFLAMED SPLEEN AS WELL WHICH COULD ALL BE SIGNS AND SYMPTOMS OF SOMETHING CALLED EBV OR OR MONO AND IT SOUNDS LIKE YOU MIGHT HAVE HAD AN EXPOSURE LIKE YOUR HUSBAND OR FIANCE RATHER
+RES0100-104-4 MAY HAVE HAD THIS LAST WEEK WITH THE SORE THROAT ALL THAT BEING SAID TODAY WE'LL DO THE MONOSPOT TEST TO CHECK FOR THAT AS WELL AS SOME BLOOD WORK AND WE WILL DO A COVID SWAB AS
+RES0100-105 WELL JUST IN CASE OK THAT SOUNDS GOOD
+RES0100-106 THANK YOU
+RES0110-000 HOW MAY I HELP YOU TODAY
+RES0110-001-1 HI SO FOR THE PAST WEEK OR SO I'VE I'VE HAD THIS COUGH AND SOME SHORTNESS OF BREATH I FEEL HOT AND I JUST FEEL KIND OF
+RES0110-001-2 <hesitation> FUZZY LIKE I JUST I CAN'T CONCENTRATE ON THINGS VERY WELL I GET CONFUSED SOMETIMES SO I THOUGHT I'LL COME TO YOU TO GET IT CHECKED OUT
+RES0110-002 YEAH IT'S THAT WAS A REALLY GOOD IDEA TO COME IN TO GET CHECKED OUT SO CAN YOU I'LL TALK I'LL ASK ABOUT EACH SYMPTOM A LITTLE BIT SO STARTING WITH THE SHORTNESS OF BREATH CAN YOU TELL ME HOW BAD THE SHORTNESS OF BREATH
+RES0110-003-1 HAS BEEN
+RES0110-003-2 <hesitation> IT'S BEEN SOMETIMES IT'S NOT SO BAD SOME OTHER TIMES IT'S REALLY BAD AT FIRST IT WASN'T THAT BAD BUT NOW LIKE I'M HAVING A HARD TIME TAKING A DEEP BREATH IN
+RES0110-003-3 <hesitation> IT HURTS AND I JUST FEEL LIKE I CAN'T WALK LIKE TWO BLOCKS EVEN BEFORE GETTING SHORT OF BREATH
+RES0110-004 AND BEFORE THIS WEEK HOW MUCH DID DID YOU EVER FEEL SHORT OF BREATH BEFORE THIS
+RES0110-005 NO NOTHING LIKE THIS BEFORE
+RES0110-006 NO OK DO YOU FEEL THAT THE SHORTNESS OF BREATH HAS GOTTEN KIND OF WORSE OVER TIME
+RES0110-007 I THINK SO
+RES0110-008 AND WHAT ABOUT THE COUGH DID THAT START AT THE SAME TIME AS THE AS THE DIFFICULTY WITH BREATHING
+RES0110-009 <hesitation> IT STARTED BEFORE THE DIFFICULTY WITH BREATHING
+RES0110-010 YOU IS IT A DRY COUGH OR A WET COUGH
+RES0110-011 IT WAS IT WAS A DRY COUGH AT FIRST BUT NOW I'M SEEING SOME PHLEGM AND IT LOOKS KIND OF YELLOW
+RES0110-012 HAVE YOU SEEN ANY BLOOD IN THE PHLEGM
+RES0110-013 NO
+RES0110-014 AND ARE YOU HEARING ANY WHEEZING SOUNDS
+RES0110-015 A LITTLE BIT
+RES0110-016 OK HOW HAS THE COUGH SORT OF IMPROVED OR GOTTEN WORSE OVER TIME
+RES0110-017 IT'S IT'S GOTTEN WORSE
+RES0110-018 OK AND YOU MENTIONED YOU ALSO YOU ALSO HAVE A FEVER DID YOU CHECK YOUR TEMPERATURE
+RES0110-019 I DID I IT WAS LIKE THIRTY EIGHT POINT FIVE THIS MORNING
+RES0110-020 AND HAVE YOU BEEN CHECKING YOUR FEVER THIS PAST WEEK OR WAS THAT THE FIRST TIME YOU CHECKED IT
+RES0110-021 IT'S THE FIRST TIME I CHECKED IT I I I'VE FELT HOT THOUGH IN THE PAST AND I'VE FELT LIKE I HAD CHILLS
+RES0110-022 YOU'RE ALSO FEELING A LITTLE BIT FUZZY WHEN DID THAT START AND CAN YOU EXPLAIN THAT A LITTLE BIT
+RES0110-023-1 THAT STARTED ABOUT I THINK LIKE YESTERDAY MORNING I JUST FEEL FUZZY LIKE I CAN'T CONCENTRATE ON THINGS AS MUCH AS I USED TO BE ABLE TO AND
+RES0110-023-2 THE OTHER DAY I WAS COOKING SOMETHING AND THEN I FORGOT I WAS COOKING IT JUST A LITTLE BIT CONFUSED
+RES0110-024 DID YOU LEAVE THE STOVE ON
+RES0110-025 NO NO I HAD TURNED IT OFF I JUST FORGOT I LEFT LIKE THE POT ON THE STOVE AND MADE DINNER
+RES0110-026 OK OK AND YOU FEEL LIKE THIS IS VERY NEW THAT THIS HAS NOT BEEN GOING ON FOR WEEKS OR MONTHS WHERE YOU FORGET THINGS OR HAVING DIFFICULTIES WITH CONCENTRATION
+RES0110-027 NO THIS HAS NEVER HAPPENED BEFORE
+RES0110-028 OK I'M GONNA ASK YOU ABOUT A COUPLE OF OTHER SYMPTOMS JUST TO MAKE SURE THAT YOU DON'T HAVE ANY OTHER JUST TO GET A FULL PICTURE SO DO YOU HAVE A HEADACHE AT ALL
+RES0110-030 NO NO HEADACHE OK ANY CHANGES IN YOUR VISION OR YOUR HEARING THAT HAS THAT HAS BEEN VERY SUDDEN OR THAT HAS HAPPENED OVER THE PAST WEEK
+RES0110-031 NO
+RES0110-032 NOTHING LIKE THAT OK ANY CHANGE IN YOUR TASTE CHANGE SENSE OF SMELL
+RES0110-033 NO
+RES0110-034 SENSE OF TASTE
+RES0110-035 NO
+RES0110-036 OK AND ANY RUNNY NOSE OR CONGESTION
+RES0110-037 A LITTLE BIT OF A RUNNY NOSE
+RES0110-038 AND WHAT'S THAT DISCHARGE LIKE WHAT COLOUR
+RES0110-045 THAT START THAT STARTED ABOUT THE SAME TIME AS MY SHORTNESS OF BREATH
+RES0110-046 OK <hesitation> AND ANY <hesitation> DO YOU FEEL LIKE YOUR HEART IS RACING
+RES0110-047 NO NOT REALLY NO
+RES0110-048 OK DO YOU GET ANY CHEST PAIN OTHERWISE IN THIS WEEK WHEN YOU'RE NOT TRYING TO TAKE A DEEP BREATH
+RES0110-049 NO THERE'S NO CHEST PAIN AT REST
+RES0110-050 WHERE IS YOUR CHEST PAIN
+RES0110-051 IT KIND OF FEELS LIKE CENTRAL TO MY CHEST JUST IN THE CHEST AREA IT DOESN'T RADIATE TO ANYWHERE ELSE
+RES0110-052 OK OK DOES IT GET BETTER RIGHT AWAY AFTER YOU SORT OF STOP TAKING THAT DEEP STOP DOING DEEP BREATHING
+RES0110-053 NO OTHERWISE IT DOESN'T HURT
+RES0110-054 IT DOESN'T HURT OK GOOD ALRIGHT AND
+RES0110-056 ANY BELLY PAIN <hesitation> NO
+RES0110-058 ANY NAUSEA OR VOMITING NO ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE DIARRHEA OR CONSTIPATION THAT IS NEW IN THE PAST WEEK OR TWO WEEKS OR SO
+RES0110-059 NO
+RES0110-060 OK <hesitation> ANY <hesitation> DIFFICULTIES WITH PEEING DO YOU HAVE <hesitation> ANY PAIN OR ANY INCREASE IN HOW OFTEN YOU'RE GOING TO THE BATHROOM OR HOW <hesitation> URGENTLY YOU NEED TO GET TO THE BATHROOM ANYTHING LIKE THAT
+RES0110-061 NO
+RES0110-062 NO OK ANY PAINS IN YOUR JOINTS OR MUSCLES
+RES0110-063 NO
+RES0110-064 ANY FATIGUE IN THE PAST WEEK
+RES0110-065 I'VE BEEN FEELING TIRED
+RES0110-066 ANY <hesitation> ANY WEIGHT LOSS RECENTLY
+RES0110-072 BELLY OR YOUR IN YOUR FEET IN YOUR LEGS NO NO OK OK CAN YOU TELL ME ABOUT ANY MEDICAL CONDITIONS THAT YOU MIGHT HAVE
+RES0110-073 SURE I HAD A DVT TWO YEARS AGO I HAVE DIABETES FOR WHICH I AM ON INSULIN
+RES0110-074 AND I HAVE HYPOTHYROID OK I'VE GOT TO SAY IT'S QUITE IMPRESSIVE THAT YOU KNOW THE WORD DVT MOST PATIENTS DON'T KNOW THAT
+RES0110-075 I'VE HAD A BLOOD CLOT
+RES0110-076 ANY SO ARE YOU ON ANY MEDICATIONS OTHER THAN THE INSULIN
+RES0110-077 SO I'M ON INSULIN AND I'M ON SYNTHROID I'M ON ASPIRIN AS WELL LIKE BABY ASPIRIN
+RES0110-078 HAVE YOU EVER HAD ANY COPD
+RES0110-079 NO
+RES0110-080 EVER BEEN DIAGNOSED WITH ASTHMA
+RES0110-081 NO
+RES0110-082 HEART ATTACK OR ANY HEART RELATED PROBLEMS
+RES0110-083 NO
+RES0110-087 NO NO SURGERIES
+RES0110-088 OK WHAT WHAT CAUSED YOUR DVT DO YOU REMEMBER OR DO YOU KNOW
+RES0110-089 I WAS I WAS FLYING SOMEWHERE I WAS WELL I WAS FLYING BACK FROM SOMEWHERE AND I GOT OFF THE PLANE AND I GUESS THEY FOUND BLOOD CLOTS
+RES0110-090 I SEE I SEE OK ANY ALLERGIES TO MEDICATIONS ENVIRONMENTAL ALLERGIES FOOD ALLERGIES ANYTHING
+RES0110-091 NO I DON'T THINK SO
+RES0110-092 OK AND I FORGOT TO ASK IN TERMS OF MEDICATIONS ARE YOU TAKING ANYTHING OVER THE COUNTER ANY HERBAL PILLS ANY VITAMINS ETC
+RES0110-093 JUST SOME CALCIUM VITAMIN D
+RES0110-094 THAT'S GREAT
+RES0110-095 THAT'S VERY IMPORTANT THAT YOU KNOW FOR WOMEN <hesitation> ABOVE THE AGE OF SIXTY FIVE I THINK FIFTY OK SO IN TERMS OF YOUR LIVING SITUATION ARE YOU LIVING WITH SOMEONE ARE YOU LIVING ALONE
+RES0110-096 I LIVE WITH MY HUSBAND
+RES0110-097 OK AND ARE YOU IS THERE ANYBODY ELSE IN THE HOUSE ANY PETS ANIMALS
+RES0110-098 NO WE DON'T HAVE ANY PETS OR ANIMALS
+RES0110-099 AND ARE YOU ABLE TO TAKE CARE OF THINGS LIKE DRESSING CHANGING GOING TO THE BATHROOM ON YOUR OWN DO YOU NEED HELP
+RES0110-100 NO I AM PRETTY INDEPENDENT
+RES0110-101 WHAT ABOUT THINGS LIKE GROCERIES OR TAKING CARE OF FINANCES
+RES0110-102 NO I'M PRETTY INDEPENDENT IN IN THAT ASPECT AS WELL
+RES0110-103 OK THAT'S WONDERFUL HAVE YOU HAD ANY RECENT TRAVELS
+RES0110-104 NO I'VE BEEN TRYING TO STAY AT HOME BECAUSE OF COVID
+RES0110-105 THAT'S GOOD AND ANY DO YOU THINK ANY EXPOSURES TO ANYONE WHO COULD POSSIBLY BE SICK FOR YOU OR YOUR HUSBAND
+RES0110-106 I MEAN WE WE DO LAUNDRY AT A LAUNDROMAT BUT OTHER THAN THAT NO
+RES0110-107-1 OK <hesitation> OK ALRIGHT WELL I THINK I HAVE ALL THE INFORMATION I NEED TODAY LET ME GO TALK TO MY MY PRECEPTOR AND WE'LL COME AND DO PHYSICAL EXAMS AND LISTEN TO YOUR CHEST AND DO A FEW LAB TESTS TO DRAW YOUR BLOOD
+RES0110-107-2 AND DO A CHEST X RAY LIKELY AND THEN GO FROM THERE YOU IT SOUNDS LIKE <hesitation>
+RES0110-107-3 SOUNDS LIKE WITH THE WITH THE FUZZY FEELING THE FEVERS THE DIFFICULTIES BREATHING I THINK IT WOULD BE A GOOD IDEA FOR YOU TO STAY HERE FOR A COUPLE OF DAYS MAYBE BUT WE'LL WE'LL LET YOU KNOW WHAT HAPPENS AND WHAT THE RESULTS SHOW I'M REALLY GLAD THAT YOU DECIDED TO COME IN TODAY DO YOU HAVE ANY QUESTIONS FOR ME
+RES0110-108 NO THANK YOU SO MUCH
+RES0110-109 WELCOME SO THE LIKELY DIAGNOSIS IS A PNEUMONIA EITHER BACTERIAL OR VIRAL BUT GIVEN COULD BE EITHER OK
+RES0110-110 DO I STILL NEED TO ISOLATE IN THIS CASE
+RES0110-111 OH THAT'S VERY TRUE SO
+RES0110-112 OK
+RES0110-113-1 WELL YOU WILL BE IN THE HOSPITAL SO YES YOU DO WE WILL BE WE WILL BE DOING A COVID TEST BUT THAT'S A REALLY GOOD POINT BECAUSE YOUR SYMPTOMS DO OVERLAP WITH COVID SYMPTOMS WE WILL ALSO <hesitation>
+RES0110-113-2 HAVE YOU IN AN ISOLATED ROOM AWAY FROM OTHER PATIENTS UNTIL YOUR COVID SWABS ARE BACK AND WE KNOW WHETHER WE'LL FOLLOW THE GUIDELINES PUT FORTH BY THE PUBLIC HEALTH
+RES0110-114 OK SURE
+RES0120-000 SO WHAT BRINGS YOU IN HERE TODAY
+RES0120-001 HI SO I'VE BEEN VERY I'VE BEEN I HAVEN'T BEEN FEELING VERY WELL FOR THE PAST FOUR DAYS I'VE I'VE BEEN HAVING CHILLS I AM FEELING SHORT OF BREATH AND NOW MY CHEST HURTS
+RES0120-002 OKAY I'M SORRY SO HOW LONG LIKE CAN YOU JUST TELL ME WHAT STARTED FIRST AND WHEN DID THIS ALL KIND OF START
+RES0120-003 SO WHAT STARTED FIRST SO I WOULD SAY THE SHORTNESS OF BREATH STARTED FIRST AND THEN I STARTED HAVING THESE CHILLS AND NOW IT HURTS LIKE MY CHEST HURTS EVERY TIME I TRY TO TAKE TRY TO TAKE A DEEP BREATH IN
+RES0120-004 AND HOW LONG IS THIS BEEN GOING ON FOR
+RES0120-005 IT'S BEEN GOING ON FOR THE PAST FOUR DAYS
+RES0120-006 FOUR DAYS OKAY AND DO YOU HAVE ANY KIND OF COUGH AT ALL
+RES0120-007 NO COUGH
+RES0120-008 OKAY SO JUST SHORTNESS OF BREATH AND CAN YOU DESCRIBE YOUR SHORTNESS OF BREATH A LITTLE BIT IS IT ARE YOU HAVING CATCHING YOUR BREATH OR WOULD YOU SAY YOU'RE HAVING TROUBLE TAKING DEEP BREATHS OR HOW WOULD YOU DESCRIBE IT
+RES0120-009 IT'S MOSTLY WHEN I'M TRYING TO TAKE A DEEP BREATH IN
+RES0120-010 OKAY AND WHERE WOULD YOU SAY YOU'RE GETTING THE CHEST PAIN
+RES0120-011 IT'S MOSTLY LIKE CENTRE OF MY CHEST LIKE CLOSE TO MY LIKE I'D SAY IT'S LIKE IT FEELS LIKE IT'S NOT MY LIKE IT DOESN'T FEEL LIKE IT'S INSIDE IT FEELS MORE LIKE IT'S PUSHING UP ON ON MY CHEST WALL
+RES0120-012 OKAY I SEE AND IS IT RELATED TO YOU TAKING DEEP BREATHS AT ALL
+RES0120-013 YES IT'S DEFINITELY WHEN I TAKE A DEEP BREATH IN
+RES0120-014 OKAY AND WHAT KIND OF PAIN IS IT IS IT LIKE A SHARP PAIN STABBING PAIN ACHING PAIN HOW WOULD YOU DESCRIBE IT
+RES0120-015 IT'S A IT'S IT'S LIKE A I DON'T KNOW I I GUESS IT'S A SHARP PAIN WHEN I TRY TO TAKE A DEEP BREATH IN
+RES0120-016 OKAY AND DOES IT GET RELIEVED WITH WHEN YOU WHEN YOU EXPIRE
+RES0120-017 OKAY AND HAVE YOU HAD ANY OF THESE SYMPTOMS BEFORE IN THE PAST
+RES0120-018 NOTHING LIKE THIS
+RES0120-019 OKAY WOULD YOU SAY LIKE YOUR SYMPTOMS ARE CONSTANT OR DO THEY KIND OF COME AND GO
+RES0120-020 THEY'RE PRETTY CONSTANT
+RES0120-021 OKAY AND ARE THEY GETTING WORSE AT ALL
+RES0120-022 NO IT'S NOT GETTING WORSE IT WAS JUST BAD TO START WITH AND IT'S STILL BAD
+RES0120-023 OKAY AND IS THERE ANYTHING THAT YOU'VE TRIED THAT HELPS YOU WITH YOUR BREATHING OR RELIEVES YOUR CHEST PAIN ANYTHING THAT WORKS FOR YOU
+RES0120-024 I GUESS SITTING FORWARD HELPS TIME NOW TO TAKE A SUPER DEEP BREATH IN
+RES0120-025 OKAY AND HAVE YOU HAD ANY KIND OF FEVERS OR CHILLS
+RES0120-026 I'VE I'VE HAD CHILLS FOR SURE I FELT HOT I HAVEN'T ACTUALLY TAKEN MY TEMPERATURE SO I'M NOT TOO SURE ABOUT IF I ACTUALLY HAVE A FEVER
+RES0120-027 OKAY AND WHEN DID YOU FEEL THESE CHILLS
+RES0120-028 THEY'VE BEEN GOING ON FOR THE PAST THREE DAYS
+RES0120-029 OKAY AND DO YOU HAVE ANY KIND OF OTHER SYMPTOMS LIKE RUNNY NOSE SORE THROAT ANYTHING LIKE THAT
+RES0120-030 MAYBE LIKE A SLIGHT RUNNY NOSE
+RES0120-031 OKAY AND DO YOU GET SHORT OF BREATH WHEN LAYING DOWN AT ALL
+RES0120-032 I NO NOT NO I WOULDN'T SAY SO
+RES0120-033 OKAY AND DO YOU HAVE TO WAKE UP AT NIGHT TO CATCH YOUR BREATH AT ALL
+RES0120-034 NO NOTHING LIKE THAT
+RES0120-035 OKAY AND DO YOU HAVE ANY KIND OF SWELLING IN YOUR LEGS HANDS ANYWHERE
+RES0120-036 NO
+RES0120-037 OKAY HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING EPISODES
+RES0120-038 NO
+RES0120-039 OKAY DO YOU GET ANY KIND OF CHEST PAIN WITH ANY ACTIVITIES
+RES0120-040 NO NOT REALLY I GUESS IT'S I GET TIRED WITH THE SHORTNESS OF BREATH
+RES0120-041 AND DO YOU FIND THAT YOUR HEART IS RACING AT ALL
+RES0120-042 NO NOTHING LIKE THAT
+RES0120-043 ARE YOU HAVING ANY NIGHT SWEATS
+RES0120-044 NO
+RES0120-045 HAVE YOU HAD ANY SICK CONTACTS
+RES0120-046 RECENTLY <hesitation> I GUESS WHEN I WENT <hesitation> TO THE GROCERY STORE THE OTHER DAY AND THERE WERE PEOPLE COUGHING AROUND ME
+RES0120-047 OKAY AND WERE THEY WEARING MASKS OR WERE YOU WEARING A MASK
+RES0120-048 EVERYONE WAS WEARING A MASK
+RES0120-049 OKAY ARE YOU HAVING ANY KIND OF CHANGES IN YOUR BOWEL MOVEMENTS AT ALL ANY CONSTIPATION OR DIARRHEA
+RES0120-050 NO
+RES0120-051 NO OKAY ANY CHANGES IN YOUR APPETITE AT ALL
+RES0120-055 ANY NAUSEA OR VOMITING NO OKAY ANY CHANGES IN YOUR URINARY PATTERN
+RES0120-056 NO
+RES0120-057 OKAY ANY CHANGES IN YOUR WEIGHT RECENTLY HAVE YOU LOST ANY SIGNIFICANT WEIGHT
+RES0120-058 NO
+RES0120-059 NO OKAY HAVE YOU RECENTLY HAD A COLD LIKE COLD LIKE SYMPTOMS AT ALL WITHIN THE LAST FEW WEEKS
+RES0120-060 <hesitation> I GUESS THE RUNNY NOSE <hesitation> I'VE HAD ON AND OFF FOR THE PAST LIKE SEVEN DAYS
+RES0120-061 OKAY NOW IT HASN'T GONE AWAY
+RES0120-062 NO IT'S NOT THAT BOTHERSOME THOUGH IT'S MORE THE CHILLS AND THE SHORTNESS OF BREATH AND THIS CHEST PAIN NOW THAT IS WORRYING ME
+RES0120-063 OKAY AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS OR DIAGNOSES
+RES0120-064 I WAS DIAGNOSED WITH DIABETES HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL
+RES0120-065 OKAY AND WHEN WERE YOU DIAGNOSED WITH DIABETES
+RES0120-066 I WAS DIAGNOSED ABOUT TEN YEARS AGO
+RES0120-067 OKAY I'M SORRY I FORGOT TO ASK YOU THIS SPECIFICALLY HAVE YOU EXPERIENCED ANY KIND OF LOSS OF YOUR SENSE OF TASTE OR SMELL
+RES0120-068 NO
+RES0120-069 NO OKAY DO YOU TAKE ANY MEDICATIONS FOR YOUR MEDICAL CONDITIONS
+RES0120-070 MEDICATIONS SO I TAKE SO FOR THE DIABETES I TAKE INSULIN FOR THE HIGH BLOOD PRESSURE I TAKE RAMIPRIL FOR THE HIGH CHOLESTEROL I TAKE ROSUVASTATIN
+RES0120-071 OKAY AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL
+RES0120-072 NO
+RES0120-073 OKAY ANY RECENT SURGERIES OR HOSPITALIZATIONS OR ANY REASON FOR WHY IF LIKE IF YOU WERE IMMOBILIZED AT ALL
+RES0120-074 NO I DON'T THINK SO
+RES0120-075 ANY <hesitation> HISTORY OF HOSPITALIZATIONS OR SURGERIES AT ALL
+RES0120-076 I HAD A CHOLECYSTECTOMY ABOUT OH GOSH IT'S LIKE TWELVE YEARS AGO
+RES0120-077 OKAY AND WERE THERE ANY COMPLICATIONS AT ALL
+RES0120-078 NO
+RES0120-079 OKAY ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS OR CANCERS
+RES0120-080 <hesitation> NO
+RES0120-081 <hesitation> CURRENTLY DO YOU WORK AT ALL
+RES0120-082 NO I NO I'M RETIRED
+RES0120-083 OKAY AND WHAT'S YOUR LIVING SITUATION LIKE
+RES0120-084 I LIVE WITH MY HUSBAND <hesitation>
+RES0120-085 IN A CONDO OKAY AND ARE YOU IS YOUR HUSBAND WELL DOES HE HAVE ANY SYMPTOMS
+RES0120-086 HE'S HE'S BEEN OKAY
+RES0120-087 OKAY THAT'S GOOD ANY KIND OF DUST OR MOLD ASBESTOS OR ANY PETS IN YOUR IN YOUR HOME
+RES0120-088 NO NOTHING LIKE THAT
+RES0120-089 OKAY DO YOU SMOKE AT ALL
+RES0120-090 <hesitation> I USED TO BUT NOT ANYMORE
+RES0120-091 OKAY AND HOW LONG DID YOU SMOKE FOR AND HOW MUCH WOULD YOU SMOKE EVERYDAY
+RES0120-092 SO I STOPPED ABOUT TWENTY YEARS BACK I SMOKED FOR ABOUT TWENTY FIVE YEARS I SMOKED ABOUT A PACK A DAY
+RES0120-093 I SEE AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
+RES0120-094 I DON'T NO
+RES0120-095 AND DO YOU DRINK ALCOHOL AT ALL I
+RES0120-096 I'LL HAVE A GLASS OF WINE HERE AND THERE
+RES0120-097 OKAY AND SO THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD TODAY DO YOU HAVE ANY CONCERNS OR QUESTIONS
+RES0120-099-1 THINK I HAVE COVID
+RES0120-099-2 YEAH SO RIGHT NOW IT'S DEFINITELY SOMETHING THAT'S ON EVERYONE'S MIND SOME OF THESE SYMPTOMS THE SHORTNESS OF BREATH AND FEVER DEFINITELY CAN BE COVID AND THAT'S SOMETHING THAT WE ARE GOING TO TEST YOU WITH AND THAT'S SOMETHING WE TEST EVERYONE WITH
+RES0120-099-3 <hesitation> BECAUSE BUT BECAUSE YOU'RE HAVING SHORTNESS OF BREATH WE DO NEED TO MAKE SURE NOTHING ELSE IS GOING ON AS WELL YOU CAN POTENTIALLY HAVE
+RES0120-099-4 PNEUMONIA THAT'S NOT COVID IT CAN BE ANY OTHER VIRUS OR BACTERIA SO WE WILL GET SOME BLOOD WORK DONE WE'LL GET YOUR TEMPERATURE AND ALL YOUR VITALS TAKEN AS WELL AND THEN GET A CHEST X RAY AS WELL
+RES0120-100 OKAY
+RES0120-101 AND IF IT TURNS OUT AT ALL THAT YOU HAVE PNEUMONIA WE'LL JUST REASSESS AND SEE IF YOU NEED TO STAY IN THE HOSPITAL FOR LONGER IF YOU NEED ANY ANTIBIOTICS WITHIN THE HOSPITAL OR YOU CAN TAKE THEM AT HOME SO WE'LL DO A FULL PHYSICAL EXAMINATION AND DO ALL THOSE TESTS AND THEN GO FROM THERE
+RES0120-102 OKAY THAT SOUNDS GREAT THANK YOU
+RES0120-103 YOU'RE WELCOME <hesitation> WE'LL BE THERE WITH YOU SHORTLY
+RES0120-104 OKAY GREAT
+RES0130-000 WHAT BRINGS YOU IN
+RES0130-001 I'VE HAD A COUGH THAT'S BEEN BUGGING ME FOR THE LAST SEVERAL MONTHS NOW AND MORE RECENTLY I'VE NOTICED THAT I'VE STARTED TO BRING UP A BIT MORE OR A LITTLE BIT OF BLOOD AS WELL
+RES0130-002 OKAY WELL THAT'S NOT GOOD SO YOU SAID THE COUGH STARTED SEVERAL MONTHS AGO HOW MANY MONTHS AGO DO YOU THINK LIKE THREE FOUR FIVE
+RES0130-003 I WOULD SAY MAYBE LIKE LIKE FIVE OR SIX AND IT KIND OF STARTED IT WAS REALLY INFREQUENT AND SO IT DIDN'T REALLY WELL I THOUGHT IT WAS JUST THE USUAL SMOKING BUT IT'S BEEN GETTING WORSE OVER THESE LAST OVER THESE PAST SIX MONTHS
+RES0130-004 OKAY AND THE BLOOD IN THE COUGH WHEN DID THAT START
+RES0130-005 SO THAT STARTED ABOUT <hesitation> ABOUT TWO WEEKS AGO
+RES0130-006 TWO WEEKS AGO OKAY HOW MUCH BLOOD ARE YOU COUGHING UP LIKE IF LIKE IS IT THE SIZE OF YOUR PALM IS IT MORE THAN THAT LESS THAN THAT
+RES0130-007 I WOULD SAY LESS THAN THAT LIKE EACH TIME THERE'S MAYBE TO ABOUT THE SIZE OF I DON'T KNOW LIKE A LOONEY SO LIKE INSIDE OF THE PALM
+RES0130-008 OKAY SURE AND ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH ALONG WITH YOUR COUGH
+RES0130-009-1 YEAH NOW THAT YOU MENTION IT I HAVE BEEN IT'S YOU KNOW I THOUGHT THAT WAS JUST KIND OF ME GETTING OLDER AND THE SMOKING BUT I'VE CERTAINLY BEEN ABLE I HAVEN'T BEEN ABLE TO WALK AS FAR
+RES0130-009-2 AND EVEN TO THE END OF THE DRIVEWAY GETTING THE MAIL NOW IS IS PRETTY I'LL GET SHORT OF BREATH BEFORE I USED TO BE ABLE TO WALK A LOT FURTHER THAN THAT JUST A COUPLE OF YEARS AGO
+RES0130-010 FOR SURE <hesitation> AND SORRY YOU SAID YOU MENTIONED YOU MENTIONED YOU HAD SOME WHEEZING AS WELL RIGHT
+RES0130-011 I HAVEN'T REALLY HAD ANY NOTICED ANY WHEEZING
+RES0130-012 NO OKAY AND HAVE YOU HAD A FEVER RECENTLY
+RES0130-013 NO
+RES0130-014 WEIGHT LOSS
+RES0130-015 <hesitation> NOW THAT YOU MENTION IT MAYBE MAYBE A LITTLE BIT LIKE FIVE TO TEN POUNDS OVER THE LAST THE LAST MONTH
+RES0130-016 LAST MONTH OKAY ANY CHILLS FEVER SORRY CHILLS OR NIGHT SWEATS
+RES0130-017 NO NO I HAVEN'T HAD ANYTHING LIKE THAT
+RES0130-018 OKAY ANY RASHES
+RES0130-019 NO
+RES0130-020 CHANGES IN YOUR VISION OR HEARING
+RES0130-021 NO
+RES0130-022 HOW ABOUT A STUFFY OR RUNNY NOSE
+RES0130-023 NO I HAVEN'T HAD ANY SYMPTOMS LIKE THAT
+RES0130-024 OKAY AND THEN CHANGE IN YOUR SMELL OR TASTE
+RES0130-025 NO THAT'S BEEN NORMAL
+RES0130-026 OKAY AND HOW ABOUT CHEST PAIN
+RES0130-027 NO I HAVEN'T HAD ANY CHEST PAIN
+RES0130-028 OKAY AND DO YOU EVER FEEL LIKE YOUR HEART'S RACING
+RES0130-029 NO I HAVEN'T HAD ANYTHING LIKE THAT
+RES0130-030 OKAY HOW ABOUT CALF PAIN WHEN YOU WALK LIKE MORE THAN A BLOCK OR TWO
+RES0130-031 NO I HAVEN'T HAD ANY SYMPTOMS LIKE THAT
+RES0130-032 OKAY ANY CHANGES TO YOUR BOWEL MOVEMENTS
+RES0130-033 NO THINGS HAVE BEEN NORMAL THERE
+RES0130-034 OKAY ANY NAUSEA OR VOMITING
+RES0130-035 NO
+RES0130-036 CHANGES TO YOUR URINE
+RES0130-037 NO
+RES0130-038 NO HEADACHES
+RES0130-039 EVERY ONCE IN A WHILE I'LL GET A HEADACHE BUT IT'S THEY'RE PRETTY MILD USUALLY I'LL TAKE AN ADVIL AND THEY GO AWAY
+RES0130-040 SURE <hesitation> HOW ABOUT DIZZINESS OR FAINTING SPELLS
+RES0130-041 NO I HAVEN'T HAD ANYTHING LIKE THAT OKAY ANY
+RES0130-042 CONFUSION OR MEMORY LOSS I GUESS I <hesitation> FORGET THINGS A LITTLE MORE EASILY
+RES0130-043 NOW BUT THAT'S JUST PART OF GETTING OLDER OKAY SURE AND THEN OTHER QUESTIONS I HAVE
+RES0130-044 FOR YOU ARE ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MAJOR MEDICAL MEDICAL CONDITIONS I HAVE ARTHRITIS IN MY KNEES AND
+RES0130-045 <hesitation> HANDS <hesitation> SO I HAVE A LOT OF PAIN FROM THAT SOMETIMES AND <hesitation> I ALSO HAVE HIGH BLOOD PRESSURE AND <hesitation> GERD
+RES0130-046 OKAY
+RES0130-047 OR ACID REFLUX
+RES0130-048 SURE DO YOU TAKE ANY MEDICATIONS FOR THESE THINGS
+RES0130-049 I'LL TAKE TYLENOL FOR THE ARTHRITIS AND SOMETIMES USE SOME LIKE TOPICAL CREAMS FOR MY KNEES AND I
+RES0130-050 I TAKE AMLODIPINE AS WELL I THINK FOR THE BLOOD PRESSURE
+RES0130-051 OKAY OKAY AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS I REMEMBER GETTING ONE NOT TOO LONG AGO ACTUALLY WELL SEVEN YEARS AGO I GUESS NOW BUT I DIDN'T REALIZE THAT WE HAD TO GET ANYMORE
+RES0130-052 SO AFTER YOU TURN SIXTY FIVE THEY SHOULD'VE GIVEN YOU THE SHINGRIX FOR SHINGLES AND PNEUMOCOCCAL VACCINE DOES THAT SOUND FAMILIAR
+RES0130-053 IT DOES I JUST DIDN'T KNOW ABOUT THEM UNTIL THAT TIME
+RES0130-054 OKAY SURE ANY ALLERGIES THAT YOU HAVE
+RES0130-055 I DON'T THINK SO
+RES0130-056 NO HOW ABOUT FAMILY HISTORY OF LUNG OR HEART CONDITIONS
+RES0130-057 MY GRANDFATHER HAD HAD LUNG CANCER AND HE WAS IN HIS SEVENTIES WHEN HE WHEN HE PASSED AWAY I REMEMBER
+RES0130-058 OKAY OKAY AND DO YOU CURRENTLY SMOKE
+RES0130-059 I DO YES I I SMOKE I DON'T KNOW MAYBE HALF A PACK A DAY NOW WHICH IS IT'S A LOT LESS THAN I USED TO I WAS SMOKING TWO PACKS A DAY AT ONE POINT
+RES0130-060 OKAY WELL CONGRATULATIONS ON CUTTING DOWN <hesitation> IF YOU NEED HELP CUTTING THAT DOWN EVEN MORE LET US KNOW WE HAVE RESOURCES THAT YOU MAY BE ABLE TO USE
+RES0130-061 ABSOLUTELY THANK YOU
+RES0130-062 NO PROBLEM DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING LIKE THAT
+RES0130-063 SINCE I OH CBD DROPS I AT NIGHT I FIND THAT HELPS WITH SLEEP AND AND THE PAIN IN MY KNEES
+RES0130-064 OH OKAY ARE THOSE PRESCRIBED DROPS
+RES0130-065 <hesitation> WELL I DO BUY I GET THEM FROM <hesitation> LIKE THE
+RES0130-066 THE OCS STORE I THINK THEY'RE CALLED OKAY YUP OKAY THAT'S GOOD THAT YOU'RE GETTING THEM FROM
+RES0130-067 LIKE AN OFFICIAL STORE THEY'RE FOR THEY WERE MY FRIEND SAID THAT THEY WORKED FOR HER AND SO I JUST GAVE THEM A TRY AND I I FOUND THAT THEY'VE HELPED
+RES0130-068 OKAY GOOD AND WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH
+RES0130-069 SO I LIVE IN IN AN APARTMENT WITH MY WITH MY HUSBAND
+RES0130-070 OKAY AND ANY LIKE OLD CARPETS DUST MOLD OR ASBESTOS IN THIS APARTMENT
+RES0130-071 NO I DON'T BELIEVE SO IT'S RELATIVELY NEW WE JUST MOVED OUT OF OUR HOUSE JUST TO MAKE IT A LITTLE EASIER ON US
+RES0130-072 OKAY FOR SURE HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
+RES0130-073 NO I DON'T THINK SO I'VE BEEN SPENDING A LOT OF TIME AT AT HOME WITH MY HUSBAND AND HE'S BEEN OKAY
+RES0130-074 OKAY GOOD HOW ABOUT TRAVEL
+RES0130-075 NO WE'VE BEEN PRETTY SCARED WITH COVID AND ALL THAT SO WE'VE BEEN STAYING STAYING HOME FOR THE MOST PART
+RES0130-076 OKAY OKAY GOOD THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME
+RES0130-077 NO I WAS JUST REALLY CONCERNED WHEN I STARTED TO SEE THE BLOOD COMING UP MORE RECENTLY AND SO I WAS JUST HOPING TO GET THIS FIGURED OUT
+RES0130-078-1 FOR SURE SO THEY'RE A COUPLE OF THINGS WE'RE GONNA WORK YOU UP FOR BECAUSE SOME OF YOUR SYMPTOMS OVERLAP WITH COVID WE'LL START BY GETTING A COVID SWAB AND YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS
+RES0130-078-2 <hesitation> WE WILL ALSO DO A CHEST X RAY TO LOOK FOR ANY SIGNS OF LUNG CANCER AND THEN IF WE SEE CONSOLIDATION OR ANYTHING THAT WOULD INDICATE
+RES0130-078-3 LIKE A MASS IN YOUR LUNGS WE WILL DISCUSS OPTIONS FOR LIKE BIOPSIES WHICH IS THE GOLD STANDARD FOR DIAGNOSING LUNG CANCERS ALSO I KNOW YOU HAVEN'T
+RES0130-078-4 HAD ANY RECENT TRAVEL OR ANYTHING LIKE THAT AND YOUR SYMPTOMS HAVE BEEN GOING ON FOR A LONG TIME BUT IT MAY ALSO BE WORTHWHILE TO ALSO CHECK FOR THINGS LIKE TB
+RES0130-078-5 WHICH COULD ALSO CAUSE YOU TO COUGH UP BLOOD SO WE'LL START WE'LL START FROM THERE AND THEN IF THOSE COME BACK NEGATIVE THEN WE'LL WORK YOU UP FURTHER FOR OTHER THINGS THAT YOU MAY HAVE BUT ARE LIKE MORE RARE HOW DOES THAT SOUND
+RES0130-079 THAT SOUNDS LIKE A GOOD PLAN THANK YOU
+RES0130-080 OKAY GREAT NO PROBLEM
+RES0140-000 WHAT BRINGS YOU IN TODAY
+RES0140-001 HI I JUST CAME IN I JUST HAD THIS SUDDEN JUST THIS MORNING AFTER I WOKE UP THIS SUDDEN SHORTNESS OF BREATH AND LIKE EACH TIME I TAKE A DEEP BREATH I'M GETTING THIS CHEST PAIN
+RES0140-002 OKAY AND THIS JUST STARTED THIS MORNING YOU SAID
+RES0140-003 WERE YOU ABSOLUTELY FINE LAST NIGHT
+RES0140-004 I DIDN'T HAVE ANY TROUBLE LAST NIGHT
+RES0140-005 I SEE I SEE OKAY <hesitation> ANY OTHER DOES THE CHEST PAIN ONLY OCCUR WHEN YOU'RE TAKING A DEEP BREATH IN
+RES0140-006 MAINLY IT'S DURING THAT TIME
+RES0140-007 OKAY HAVE YOU HAD ANY OTHER SYMPTOMS SUCH AS A HEADACHE OR COUGH OR RUNNY NOSE CONGESTION SORE THROAT
+RES0140-008 NO NO NOTHING LIKE THAT
+RES0140-009 AND CHANGES IN YOUR BOWEL MOVEMENT ANY PAIN IN YOUR BELLY
+RES0140-011 ANY URINARY SYMPTOMS
+RES0140-013 <hesitation> ANY ANY PAIN IN YOUR LEGS
+RES0140-014 I DID NOTICE LAST LAST NIGHT AND FOR THE LAST FEW DAYS THAT MY RIGHT CALF LIKE JUST FEELS PAINFUL AND IT SEEMS A BIT MORE SWOLLEN
+RES0140-015 WAS THERE ANYTHING THAT YOU WERE DOING A COUPLE OF DAYS AGO ANY SAY ANY FLIGHTS OR PERIODS WHERE YOU MIGHT BE SITTING STILL OR LYING STILL FOR AWHILE ANY SURGERIES ANYTHING LIKE THAT
+RES0140-016 I WAS I WAS JUST DISCHARGED FROM THE HOSPITAL LAST WEEK AFTER A HIP SURGERY
+RES0140-017 OKAY WERE YOU MOVING AROUND AT HOME AFTER THE HIP SURGERY
+RES0140-018 NOT NOT REALLY LIKE I WAS I WAS TOLD I SHOULD MOVE AROUND A BIT BUT IT'S BEEN QUITE HARD
+RES0140-019 ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH
+RES0140-020 YES I HAVE HIGH BLOOD PRESSURE AND I ALSO HAVE THIS THING LIKE LIKE VARICOSE VEINS
+RES0140-021 DO YOU TAKE ANY MEDICATIONS
+RES0140-022 I I TAKE THIS MEDICATION CALLED LISINOPRIL
+RES0140-023 AND ANY NEW MEDICATIONS THAT WERE STARTED AFTER YOUR HOSPITAL STAY
+RES0140-024 NO THEY GAVE ME LIKE SOME PAIN MEDICATIONS I SEEM TO I GOT HYDROMORPHONE MEDICATION I'VE BEEN TRYING TO STAY AWAY FROM IT THOUGH JUST TAKING TYLENOL INSTEAD
+RES0140-025 IS YOUR PAIN CONTROLLED WELL WITH TYLENOL
+RES0140-026 I TRIED TO SUCK IT UP I JUST DON'T WANNA GO ON THOSE OTHER MEDICATIONS I'VE HEARD LIKE YOU CAN GET ADDICTED TO THEM
+RES0140-027-1 THAT'S FAIR THAT'S A FAIR POINT BUT IT'S ALSO I GUESS IT'S IMPORTANT THAT YOU MOVE AROUND AT HOME SO MAYBE TRY TO MAYBE WE CAN INCREASE YOUR TYLENOL DOSE OR MAYBE
+RES0140-027-2 <hesitation> SEE IF THERE'S ANOTHER PAIN MED THAT YOU CAN BE STARTED ON IF YOU'RE NOT INTERESTED IN OPIOIDS JUST TO MAKE SURE THAT YOU'RE MOVING AROUND CAUSE THAT'S VERY IMPORTANT AT THE HOSPITAL DID YOU RECEIVE AN INJECTION IN YOUR IN YOUR TUMMY
+RES0140-028 AN INJECTION IN MY TUMMY
+RES0140-029 EVERY DAY ONCE A DAY
+RES0140-030 I THINK SO I DID
+RES0140-031 OKAY OKAY ALRIGHT AND DO YOU HAVE ANY ALLERGIES
+RES0140-032 NO ALLERGIES
+RES0140-033 OKAY AND WHO DO YOU LIVE WITH
+RES0140-034 I LIVE ALONE RIGHT NOW I LIVE ALONE IN AN APARTMENT
+RES0140-035 WERE YOU DISCHARGED WITH ANY SUPPORT
+RES0140-036 I DO HAVE A NURSE COMING IN LIKE EVERY EVERYDAY BUT I DON'T THEY THEY DIDN'T COME LIKE YESTERDAY
+RES0140-037 OKAY OKAY AND DO YOU SMOKE OR DID YOU EVER SMOKE IN THE PAST
+RES0140-038 I USED TO SMOKE IN PROBABLY IN MY TWENTIES AND THIRTIES BUT THEN I STOPPED WHEN I HAD KIDS AND STUFF
+RES0140-039 DO YOU DRINK ALCOHOL
+RES0140-040 <hesitation> PROBABLY A A GLASS ONCE OR TWICE EVERY COUPLE DAYS
+RES0140-041 AND SORRY JUST GOING BACK HOW MUCH DID YOU SMOKE IN YOUR TWENTIES AND THIRTIES AND FOR HOW MANY YEARS
+RES0140-042 PROBABLY SMOKED FOR PROBABLY FIFTEEN FIFTEEN YEARS PROBABLY LIKE LIKE HALF A PACK A DAY
+RES0140-043 ALRIGHT AND DO YOU CONSUME ANY MARIJUANA OR ANY RECREATIONAL DRUGS
+RES0140-045-1 OKAY ALRIGHT WELL GIVEN YOUR SYMPTOMS WITH THE WITH THE SWELLING AND THE PAIN IN THE RIGHT CALF AND THE DIFFICULTIES BREATHING IT'S VERY LIKELY THAT YOU HAVE <hesitation> AND YOUR RECENT
+RES0140-045-2 HOSPITALIZATION AND HIP INJURY IT SOUNDS LIKE YOU MIGHT HAVE SOMETHING CALLED OR PULMONARY EMBOLISM BASICALLY WHICH IS A BLOOD CLOT INSIDE YOUR LUNGS AND SO WE'LL DO A SCAN OF YOUR LUNGS TO SEE
+RES0140-045-3 <hesitation> WHAT'S GOING ON WE'LL ALSO DO AN ULTRASOUND OF YOUR LEG AND THEN WE MIGHT HAVE TO TREAT THIS WITH BLOOD THINNERS AND WE DEFINITELY HAVE TO HOSPITALIZE YOU AND WE'LL BE MEASURING YOUR VITALS AND SEEING IF YOU NEED ANY OXYGEN TO HELP YOU OUT
+RES0140-046 OKAY I'LL BE I'LL BE HERE FOR A WHILE THEN
+RES0140-047 WELL WE'LL KEEP YOU FOR A BIT AT LEAST THE NEXT COUPLE OF DAYS UNTIL YOUR YOUR BREATHING GETS BETTER AND YOU'VE YOU'VE BEEN STARTED ON ANTI ON BLOOD THINNERS
+RES0140-049-1 AND WE CAN BE SURE THAT YOU'RE YOU'RE DOING OKAY WE'LL ALSO CONTINUOUSLY MONITOR YOUR VITAL SIGNS TO MAKE SURE THAT YOU'RE DOING WELL AND THEN WE'LL MAKE SURE THAT YOU'RE DISCHARGED
+RES0140-049-2 <hesitation> WE WILL ALSO GET YOU SOME PHYSIOTHERAPY HERE WHILE IN THE HOSPITAL TO HELP YOU MOBILIZE BETTER WHEN YOU GET HOME
+RES0140-049-3 <hesitation> AND WE'LL ALSO DO A COVID SWAB JUST IN CASE DID YOU HAVE ANY EXPOSURES TO ANYONE IN THE PAST COUPLE OF DAYS BEFORE YOU CAME AT HOME AFTER YOU CAME HOME
+RES0140-050 NO I'VE BEEN JUST AT HOME JUST THE NURSE
+RES0140-051 I SEE I SEE OKAY WELL WE'LL DO A COVID SWAB JUST IN CASE AND GO FROM THERE DO YOU HAVE ANY QUESTIONS
+RES0140-052 NO THAT THAT SOUNDS GOOD
+RES0140-053 OKAY GREAT
+RES0150-000 HOW MAY I HELP YOU
+RES0150-001 HI MY SON HAS JUST BEEN SICK OVER THE PAST COUPLE OF DAYS HE'S JUST HAD THIS COUGH AND STUFFY NOSE AND HE'S ALSO HAD THIS RASH THAT JUST STARTED
+RES0150-002 OK AND SO CAN YOU TELL ME A BIT MORE ABOUT THE COUGH SO IT STARTED
+RES0150-003-1 YEAH SO THE COUGH STARTED ABOUT A WEEK AGO AND HIS STUFFY NOSE HE'S SORT OF HAD A STUFFY NOSE SINCE AROUND THE SAME TIME AND THEN THOSE SYMPTOMS SO IT CONTINUED AND <hesitation>
+RES0150-003-2 GOT A LITTLE BIT BETTER OVER THE PAST FEW DAYS AND THEN HE STARTED HAVING THIS RASH ON HIS FACE THAT THEN KIND OF WENT DOWN TO HIS NECK
+RES0150-004 OK AND IS THE RASH STILL THERE RIGHT NOW
+RES0150-005 YEAH OK AND IS THE COUGH PRODUCTIVE IS HE BRINGING UP SPUTUM
+RES0150-006 NO
+RES0150-007 OK HAS HE BROUGHT UP ANY BLOOD
+RES0150-008 NO
+RES0150-009 OK AND YOU TOLD ME ABOUT THE THE RUNNY NOSE WHAT CAN YOU DESCRIBE THE DISCHARGE
+RES0150-010 IT'S JUST IT'S JUST WATERY DISCHARGE HIS EYES ARE ALSO RED AND KIND OF HE'S BEEN TEARY OR I GUESS JUST IT'S JUST BEEN LIKE VERY WATERY AND RED AND IT'S CLEAR DISCHARGE
+RES0150-011 OK HAS HE HAD A SORE THROAT
+RES0150-012 NO
+RES0150-013 ALRIGHT HOW ABOUT ANY CHANGES TO HIS SENSE OF SMELL OR OR TASTE
+RES0150-014 HE HE HASN'T REALLY HE HASN'T SAID ANYTHING ABOUT THAT
+RES0150-015 ALRIGHT AND HAS HE HAD ANY PROBLEMS WITH BREATHING
+RES0150-016 NO
+RES0150-017 OK HAS HE MENTIONED ANYTHING ABOUT CHEST PAIN
+RES0150-018 NO
+RES0150-019 ALRIGHT HAS HE HAD ANY FEVERS OR CHILLS
+RES0150-020 HE DOES HAVE A FEVER THIRTY NINE POINT FIVE I CHECKED YESTERDAY
+RES0150-021 OK IS THAT IS THAT THE FIRST TIME THAT HE WAS NOTED TO HAVE A FEVER YESTERDAY
+RES0150-022 HE HAS HAD A FEVER FOR THE PAST FEW DAYS IT WAS AROUND IT WAS LESS BETWEEN THIRTY SEVEN POINT FIVE TO THIRTY EIGHT POINT FIVE BUT THEN YESTERDAY WAS JUST IT JUST KEPT GOING UP SO I GOT CONCERNED AND THOUGHT I SHOULD BRING HIM IN
+RES0150-023 OK I SEE WELL IT'S GOOD THAT YOU BROUGHT HIM IN HAS HE BEEN HAVING ANY NIGHT SWEATS
+RES0150-024 NO
+RES0150-025 AND HOW HAS HIS WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAS HE BEEN GAINING WEIGHT OK STILL
+RES0150-026 OH YEAH
+RES0150-027 ALRIGHT THAT'S GREAT AND HAS HE HAD ANY ANY ANY WHEEZING
+RES0150-028 NO
+RES0150-029 HOW ABOUT ANY LIKE CHANGES TO HIS APPETITE
+RES0150-030 HE'S JUST BEEN EATING LESS SINCE HE'S BEEN FEELING UNWELL
+RES0150-031 OK
+RES0150-032 BUT HE STILL HE STILL HE MANAGES TO EAT ABOUT HALF THE PLATE SO I GUESS IT'S NOT TOO BAD
+RES0150-033 AND THAT'S BEEN THE LAST FEW DAYS
+RES0150-034 YEAH YEAH OK AND HAS HE HAD ANY MUSCLE ACHES OR BODY PAINS
+RES0150-035 NO NOT REALLY
+RES0150-036-1 OK AND IS ARE THERE ANY EXPOSURES THAT COULD'VE POSSIBLY CAUSED A SKIN RASH LIKE CHANGES IN LIKE LAUNDRY DETERGENT OR
+RES0150-036-2 <hesitation> LIKE COMING INTO CONTACT WITH WITH ANYTHING ON HIS SKIN OR OR TAKING OR ANY ANYTHING THAT HE WAS ALLERGIC TO THAT HE'S BEEN AROUND
+RES0150-037 I DON'T THINK SO HE WAS PLAYING OUTSIDE WITH THE NEIGHBOURS WITH THE NEIGHBOUR'S KIDS BUT I DON'T THINK HE CAME INTO CONTACT I'M NOT SURE
+RES0150-038 OK HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
+RES0150-039 NO HE'S PRETTY HEALTHY
+RES0150-040 OK AND SORRY JUST TO TO GO BACK TO THE SYMPTOMS I MISSED A FEW QUESTIONS HERE DID HE HAVE DOES HE HAVE ANY NAUSEA OR VOMITING
+RES0150-041 NO
+RES0150-042 HOW ABOUT ANY DIARRHEA
+RES0150-043 NO
+RES0150-044 OK AND ANY ABDOMINAL PAIN
+RES0150-045 <hesitation> NOPE
+RES0150-046 OR OR ANY URINARY PROBLEMS
+RES0150-047 NO NO
+RES0150-048 OK AND AND SO HE HASN'T BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE DOES HE TAKE ANY MEDICATIONS REGULARLY LIKE PRESCRIBED OR OVER THE COUNTER
+RES0150-049 NO HE DOESN'T
+RES0150-050 ALRIGHT AND ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENT THAT YOU'RE AWARE OF
+RES0150-051 <hesitation> NO
+RES0150-052 OK AND ARE HIS IMMUNIZATIONS UP TO DATE
+RES0150-053 WELL NO I DON'T I DON'T I DON'T VACCINATE MY KIDS I'M JUST I'M I'M WORRIED THAT THEY'LL GET AUTISM
+RES0150-054-1 OK THAT'S WELL IT'S IMPORTANT TO KNOW TODAY THAT HE'S NOT VACCINATED BECAUSE CERTAINLY THAT WILL INFLUENCE WHAT WE'RE THINKING ABOUT IN TERMS OF WHAT COULD BE CAUSING
+RES0150-054-2 THE SYMPTOMS AND WE CAN DISCUSS THE I GUESS MORE ABOUT THE VACCINATION PROCEDURES AND WHAT NOT LATER <hesitation>
+RES0150-054-3 BUT OK SO HE'S NOT CURRENTLY VACCINATED AND HAVE THERE BEEN ANY CONCERNS WITH HIS GROWTH AND OR DEVELOPMENT
+RES0150-055 NO
+RES0150-056 HE'S MEETING ALL OF THE THE MILESTONES AND DOING WELL AT SCHOOL
+RES0150-057 OK AND IN TERMS OF THE PREGNANCY WERE THERE ANY COMPLICATIONS DURING THE PREGNANCY LIKE GESTATIONAL DIABETES OR OR HIGH BLOOD PRESSURE
+RES0150-058 I DID HAVE GESTATIONAL DIABETES
+RES0150-059 SORRY DID THAT REQUIRE INSULIN OR
+RES0150-060 I DID HAVE TO TAKE INSULIN HE WAS HE WAS ALSO A PRETTY BIG BABY WHEN HE WAS BORN WE HAD TO I HAD TO GIVE GET A C SECTION DONE
+RES0150-061 OK WERE THERE ANY COMPLICATIONS WITH THE WITH THE PROCEDURE WITH THE SURGERY
+RES0150-062 NO NO NO COMPLICATIONS AT ALL
+RES0150-063 OK DID HE HAVE ANY LIKE BREATHING PROBLEMS OR JAUNDICE OR ANY REASONS TO STAY IN THE HOSPITAL WHEN WHEN HE WAS BORN
+RES0150-064 NO HE DIDN'T
+RES0150-065 OK THAT'S GOOD AND WHO'S HE LIVING WITH AND WHO'S THE PRIMARY CAREGIVER CURRENTLY
+RES0150-066 I'M THE PRIMARY CAREGIVER HE'S GOT AN OLDER BROTHER WHO'S SEVEN YEARS OLD AND HIS DAD IT'S THE FOUR OF US AND WE ALSO HAVE A DOG
+RES0150-067 OK ANY ALLERGIES TO THE DOG OR TO PETS AT ALL
+RES0150-068 NO
+RES0150-069 OK AND ANY REASONS OR CONCERNS FOR PHYSICAL OR EMOTIONAL ABUSE IN THE HOME
+RES0150-070 NO
+RES0150-071 OK AND ANY FAMILY HISTORY OF ANY HEART OR OR LUNG PROBLEMS
+RES0150-072 NO
+RES0150-073 HOW ABOUT A FAMILY HISTORY OF ANY BLEEDING DISORDERS OR OR CLOTTING DISORDERS OR CANCERS
+RES0150-074 <hesitation> NO
+RES0150-075-1 OK SO THAT WAS EVERYTHING THAT I THINK I WANTED TO ASK ABOUT ON HISTORY SO IT SOUNDS LIKE HE'S HAD A COUGH A RUNNY NOSE
+RES0150-075-2 <hesitation> SOME RED EYE RED EYES THAT WITH SOME TEARING AS WELL AS A RASH THAT THAT STARTED AND AND A FEVER WAS THERE ANY OTHER SYMPTOMS
+RES0150-076 NO
+RES0150-077-1 ALRIGHT <hesitation> SO NEXT WE'LL GO ON TO THE THE PHYSICAL EXAM WE'LL WANT TO HAVE A LOOK <hesitation> AT THE RASH AND GET THE VITALS BUT THERE IS A CONCERN THAT THIS IS COULD BE <hesitation>
+RES0150-077-2 <hesitation> MEASLES AND SO IT'LL BE IMPORTANT TO SUPPORTIVE MANAGEMENT AND ENSURE THAT <hesitation>
+RES0150-077-3 IT'S NOT PASSED ON TO ANYBODY ELSE THAT REMINDS ME HE WAS OUT PLAYING WITH OTHER CHILDREN WERE ANY OTHER KIDS EXPERIENCING SIMILAR SYMPTOMS
+RES0150-078 I'M NOT SURE I I GUESS I NEED TO TALK TO THEIR THEIR PARENTS NOW
+RES0150-079 IT WOULD BE A GOOD IDEA TO CONTACT AND SEE JUST TO MAKE SURE THAT WE'RE TREATING EVERYBODY
+RES0150-080 SURE
+RES0150-081 APPROPRIATELY AND THEN WE COULD TALK MORE ABOUT THE VACCINATION LATER
+RES0150-082 SURE
+RES0160-000 WHAT CAN I DO FOR YOU TODAY
+RES0160-001 HI YES THANK YOU FOR SEEING ME I JUST CAME IN TODAY BECAUSE I'VE BEEN HAVING FOR THE LAST WEEK THIS COUGH AND RECENTLY ALSO STARTED NOTICING THAT I'VE BEEN HAVING SOME DIARRHEA AS WELL
+RES0160-002 WHEN DID THE COUGH START
+RES0160-003 THE COUGH STARTED AROUND FIVE DAYS AGO AND IT'S IT GOT WORSE BUT NOW I THINK IT'S A LITTLE BIT BETTER
+RES0160-004 WHAT ABOUT THE DIARRHEA
+RES0160-005 THE DIARRHEA STARTED JUST TWO DAYS AGO AND I'M HAVING TO GO LIKE ALMOST EIGHT TO TEN TIMES IN THE LAST TWO DAYS
+RES0160-006 AND WHAT IS WHAT DOES YOUR STOOL LOOK LIKE IS IT COMPLETELY WATERY
+RES0160-007 IT'S MOSTLY WATERY
+RES0160-008 AND WHAT COLOUR IS IT
+RES0160-009 JUST NORMAL COLOUR NO IT'S NOT DARK OR ANYTHING LIKE THAT
+RES0160-010 OK ANY BLOOD THAT YOU'VE NOTICED ANYTHING RED
+RES0160-011 NO BLOOD
+RES0160-012 AND YOU'VE HAD THIS COUGH BUT YOUR COUGH IS GETTING BETTER WHAT'S THE COUGH LIKE IS IT A DRY COUGH OR WET COUGH
+RES0160-013 IT'S IT'S MORE OF A DRY COUGH
+RES0160-014 HAVE YOU COUGHED UP ANYTHING AT ALL LIKE BLOOD OR ANY ANY MUCUS
+RES0160-015 NO NO I HAVEN'T COUGHED UP ANYTHING
+RES0160-016 OK AND OTHER THAN THE COUGH HAVE YOU HAD ANY OTHER LIKE FLU LIKE SYMPTOMS HAVE YOU HAD LIKE A RUNNY NOSE OR STUFFY NOSE SORE THROAT ANY OF THOSE SYMPTOMS
+RES0160-017 NO NONE OF THOSE BUT I I HAVE ALSO BEEN HAVING LIKE A LITTLE BIT OF A HEADACHE AS WELL IN THE LAST FEW DAYS
+RES0160-018 WHERE IS WHERE IS YOUR HEADACHE
+RES0160-019 JUST IN THE LIKE ON MY FOREHEAD ON BOTH SIDES
+RES0160-021 ACHING SENSATION
+RES0160-022 AND HOW BAD IS YOUR HEADACHE FROM ONE TO TEN WITH TEN BEING THE WORST HEADACHE EVER
+RES0160-023 RIGHT NOW PROBABLY A FIVE BUT IT WAS PROBABLY LIKE A SEVEN YESTERDAY
+RES0160-024 SO DO YOU FEEL LIKE YOUR HEADACHES GETTING BETTER
+RES0160-025 RIGHT NOW LIKE TODAY I TOOK TYLENOL SO I DON'T KNOW IF IT'S JUST BETTER BECAUSE OF THAT
+RES0160-026 I SEE AND HAVE YOU TAKEN ANY OTHER MEDICATIONS TO HELP WITH YOUR SYMPTOMS
+RES0160-027 NO
+RES0160-028 OK HAVE YOU HAD A FEVER OR CHILLS
+RES0160-029 I KNOW I HAVEN'T FELT ANY FEVER CHILLS
+RES0160-030 OK AND HAVE YOU HAD ANY CHEST PAIN OR ANY DIFFICULTIES BREATHING
+RES0160-031 NO
+RES0160-032 OK HAVE YOU HAD ANY NAUSEA OR VOMITING
+RES0160-033 NO NOTHING LIKE THAT
+RES0160-034 OK ANY PAIN IN YOUR BELLY
+RES0160-035 JUST LIKE A LITTLE DISCOMFORT WITH GOING TO THE WASHROOM SO MUCH
+RES0160-036 AND ANY MUSCLE ACHES IN YOUR BODY
+RES0160-037 NO
+RES0160-038 OK ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FEET
+RES0160-039 NO NOTHING LIKE THAT
+RES0160-040 ANY CHANGE IN YOUR SENSE OF SMELL
+RES0160-041 MAYBE A LITTLE BIT I HAVEN'T REALLY I WOULD SAY IN THE LAST FEW DAYS MAYBE A LITTLE LIKE I'VE BEEN ABLE TO SMELL LESS
+RES0160-042 ANY CHANGE IN YOUR SENSE OF TASTE
+RES0160-043 NO
+RES0160-044 OK HAVE YOU HAVE YOU BEEN IN CONTACT WITH SOMEONE WHO YOU THINK COULD POTENTIALLY BE SICK
+RES0160-045 <hesitation> NO NOT THAT I KNOW OF I DO I DO GO TO WORK IN LIKE IN PERSON UNFORTUNATELY I'M I CAN'T WORK FROM HOME BUT I'VE BEEN NOTICING ANYONE SICK AROUND ME THOUGH
+RES0160-046 AND WHAT DO YOU DO FOR WORK
+RES0160-047 SO I WORK AT LIKE A CAR SHOP
+RES0160-048 OK AND DO YOU WEAR A MASK AND MAINTAIN SOCIAL DISTANCING
+RES0160-049 MOST OF THE TIMES I WOULD SAY WE'RE PRETTY STRICT STRICT WITH THAT SOMETIMES WHEN WE'RE IN OUR OFFICE I TAKE OFF MY MASK BUT USUALLY WHEN WE'RE SEEING OTHER PEOPLE OR WITHIN CLOSE PROXIMITY WE KEEP THE MASKS ON
+RES0160-050 <hesitation> DO YOU <hesitation> I I GUESS WHO DO YOU LIVE WITH AT HOME
+RES0160-051 I JUST LIVE WITH MY WIFE
+RES0160-052 DO YOU THINK SHE MIGHT HAVE HAD ANY EXPOSURES
+RES0160-053 NO SHE'S BEEN FINE AND SHE DOESN'T HAVE ANY SYMPTOMS AND SHE'S SHE'S A SCHOOL TEACHER RIGHT NOW THAT SHE IS WORKING FROM CANADA
+RES0160-054 OK AND DO YOU SMOKE AT ALL OR HAVE YOU SMOKED IN THE PAST
+RES0160-055 OH I DO OR I USED TO SMOKE IN MY TWENTIES AND THIRTIES BUT I QUIT SMOKING
+RES0160-056 HOW MUCH DID YOU SMOKE BACK THEN
+RES0160-057 PROBABLY HALF A PACK A DAY
+RES0160-058 AND FOR HOW MANY YEARS
+RES0160-059 ONLY LIKE FIFTEEN FIFTEEN YEARS
+RES0160-060 OK DO YOU DO YOU SMOKE MARIJUANA OR HAVE YOU SMOKED IN THE PAST
+RES0160-061 I'VE TRIED IT A COUPLE TIMES I DON'T REALLY LIKE IT SO NO
+RES0160-062 ANY RECREATIONAL DRUGS
+RES0160-063 NO
+RES0160-064 ALCOHOL
+RES0160-065 I PROBABLY HAVE A BEER EVERY DAY
+RES0160-066 DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH
+RES0160-067 I I TAKE MEDICATIONS FOR BLOOD PRESSURE AND HIGH CHOLESTEROL
+RES0160-068 WHAT DO YOU TAKE
+RES0160-069 I TAKE THIS MEDICATION CALLED I THINK IT'S IT'S LIKE A LIPITOR AND THEN I TAKE RAMIPRIL FOR THE BLOOD PRESSURE
+RES0160-070 ANY ALLERGIES TO FOOD ENVIRONMENTAL ALLERGIES OR ANY <hesitation> MEDICATION ALLERGIES TO MEDICATIONS
+RES0160-071 NOT THAT I KNOW OF NO
+RES0160-072 ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY
+RES0160-073 SO I THINK DIABETES AND FOR MY FAMILY BUT I I I DON'T HAVE IT SO AND I THINK THAT'S PRETTY MUCH ABOUT IT ON MY DAD'S SIDE ON MY MOM'S SIDE AND THERE WAS SOMEONE LIKE MY AUNT DID HAVE OVARIAN CANCER
+RES0160-074 OK AND HAVE YOU I GUESS HAVE YOU I FORGOT TO ASK EARLIER HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS
+RES0160-075 I HAD A SURGERY TO REMOVE MY APPENDIX IN MY TWENTIES AND SINCE THEN NO NO SURGERIES OR HOSPITALIZATIONS
+RES0160-076 OK ALRIGHT AND I GUESS THAT'S ALL THE QUESTIONS I HAVE FOR YOU YOU HAVEN'T HAD ANY DIFFICULTIES BREATHING RIGHT
+RES0160-077 NO
+RES0160-078 NO OK DO YOU OK AND YOU'VE HAD DIARRHEA FOR TWO DAYS HOW'S YOUR APPETITE AND HAVE YOU BEEN EATING AND DRINKING OK
+RES0160-079 APPETITES PRETTY OK LIKE I FEEL LIKE I'VE BEEN MORE HUNGRY WITH THE CARRY I FEEL LIKE I NEED TO EAT MORE
+RES0160-080-1 IT'S ALSO IMPORTANT WITH THE DIARRHEA TO DRINK LOTS OF FLUIDS AND TO MAKE SURE THAT YOU'RE NOT LOSING IMPORTANT MINERALS AND
+RES0160-080-2 <hesitation> SO YOU'RE NOT LOSING LIKE SODIUM OR POTASSIUM IN DIARRHEA AND OTHER THINGS LIKE CALCIUM THAT COULD CREATE PROBLEMS SO CONTINUE TO EAT WELL AND CONTINUE TO DRINK LOTS OF WATER <hesitation>
+RES0160-080-3 I GUESS SO WHAT WE'LL DO IS WE'LL DO A COVID SWAB JUST TO JUST TO CHECK IF YOU HAVE COVID OR NOT WE'LL ALSO DO A FEW LABS TO SEE
+RES0160-080-4 HOW YOUR ELECTROLYTES ARE DO YOUR VITALS TO SEE IF YOU HAVE FEVER MEASURE YOUR HEART RATE AND DO A PHYSICAL EXAM AND THEN <hesitation> GO FROM THERE
+RES0160-080-5 AND I'LL OFF I'LL TALK TO MY ATTENDING AS WELL AND WE'LL COME BACK AND DISCUSS THE MANAGEMENT PLAN WITH YOU
+RES0160-081 OK SOUNDS GOOD THANK YOU SO MUCH
+RES0170-000 HOW MAY I HELP YOU TODAY
+RES0170-015 I SEE OK <hesitation> ANY HEADACHES
+RES0170-016 NO HE HASN'T SAID ANYTHING LIKE THAT
+RES0170-017 OK AND HOW HAS HE HAD ANY OTHER SYMPTOMS SO ANYTHING LIKE RACING HEART OR BELLY PAIN OR MUSCLE ACHES OR ANY CHANGES IN HIS BOWEL MOVEMENTS OR URINARY SYMPTOMS
+RES0170-018 NO I HAVEN'T HEARD HIM I COMPLAIN ABOUT ANYTHING LIKE THAT I THINK I'LL EVERYTHING LIKE THAT'S BEEN NORMAL
+RES0170-019 OK SO WHEN HE HAS THESE EPISODES HOW LIKE HOW SEVERE ARE THEY SO HOW DIFFICULT IS IT FOR HIM TO BREATHE
+RES0170-020-1 <hesitation> WELL YOU CERTAINLY WHEN IT FIRST STARTS I MEAN FOR THE FIRST MINUTE OR TWO HE THAT WHEN I THINK PARTICULARLY AT SOCCER PRACTICE SCHOOL HAVE A REALLY HARD TIME CATCHING HIS BREATH BUT <hesitation>
+RES0170-020-2 LIKE HE WOULD HE STOPS PLAYING AND RESTS AND REALLY TRIES TO MAKE SURE THAT HE IS I DON'T KNOW JUST TRYING TO TO BREATHE AND IT KIND OF GOES AWAY HE'S BEEN ABLE TO MANAGE IT OK
+RES0170-021 OK ALRIGHT AND I HAVE THESE SYMPTOMS THAT HAVE INTERFERED WITH HIS DAILY ACTIVITIES DOES HE FOR INSTANCE TRY TO AVOID SOCCER PRACTICE OR DOES HE HAVE DIFFICULTIES FALLING ASLEEP AT NIGHT
+RES0170-022 DEFINITELY WAKES HIM UP A FEW AND EVERY ONCE IN AWHILE AT NIGHT AND HE DOES HAVE TO TAKE IT A LITTLE EASIER AT SOCCER FOR SURE SO I AM THINKING IT IS AFFECTING HIM
+RES0170-023 OK AND OTHERWISE HAS HE BEEN HAS HE HAD ANY MEDICAL CONDITIONS THAT HE'S BEEN DIAGNOSED WITH
+RES0170-024 NO WELL HE HAD SOME RASHES WHEN HE WAS YOUNGER THAT HE WOULD GET SOME SOME CREAMS FOR
+RES0170-036-1 IS HE GOING TO SCHOOL
+RES0170-036-2 <hesitation> YEAH YEAH HE'S BEEN GOING TO SCHOOL HE HASN'T REALLY BEEN HE HASN'T MISSED WELL HE'S MISSED ONE OR TWO DAYS ACTUALLY BECAUSE OF THE COUGH
+RES0170-036-3 LIKE ON NIGHTS THAT HE JUST DIDN'T SLEEP WELL SO IN THE MORNING HE'S JUST WELL NOT NOT FEELING GOOD FOR SCHOOL SO HE HAS MISSED A COUPLE OF DAYS OVER THE LAST FEW MONTHS
+RES0170-037 <hesitation> AND DOES HE IS THERE ANY OTHER ANY CONDITIONS THAT RUN IN THE FAMILY INCLUDING THINGS LIKE ASTHMA OR ECZEMA OR ALLERGIC RHINITIS OR ALLERGIES
+RES0170-038 SISTER DOES HAVE SOME BAD ALLERGIES HER NOSE RUNS ALL THE TIME AND SHE ALSO HAS THAT ASTHMA HIS SISTER USES AND A DAILY INHALER AND THEN ALSO WONE
+RES0170-039 I SEE <hesitation> OK AND HOW ARE THINGS AT HOME IS HE IS HE DOING WELL OTHERWISE LIKE AT SCHOOL AND THINGS LIKE THAT ANY STRESSORS IN HIS LIFE
+RES0170-040 NO HE'S BEEN DOING <hesitation> HE'S BEEN DOING WELL AT SCHOOL HE LIKES MATH AND THAT THAT'S BEEN GOING WELL
+RES0170-041 OK GREAT HAS HE EVER TRIED ANY PUFFERS
+RES0170-042 NO HE HASN'T ACTUALLY
+RES0170-043 HAS HE BEEN ON ANY MEDICATIONS
+RES0170-046-1 NOT ANY ALLERGIES THAT HE HAS
+RES0170-046-2 NOT THAT I'M AWARE OF BUT I I THINK HE MIGHT I MEAN SO LIKE ENVIRONMENTAL OR I DON'T KNOW SOMETHING HE DOES GET SYMPTOMS LIKE A RUNNY NOSE AND
+RES0170-046-3 LIKE ITCHY EYES SOMETIMES BUT USUALLY GO AWAY PRETTY PRETTY QUICKLY AND HE DOESN'T FUSS ABOUT IT TOO MUCH SO
+RES0170-047-1 <hesitation> YEAH SO FROM THE SYMPTOMS THAT YOU'VE DESCRIBED SO FAR IT SOUNDS LIKE HE MIGHT ALSO HAVE ASTHMA BUT WE WILL OBVIOUSLY HAVE TO DO SOME TESTING AND CONFIRM THAT AND ALSO
+RES0170-047-2 <hesitation> IT'S GIVEN SORT OF THE RESULTS OR EVEN JUST LIKE GIVING HIS SYMPTOMS PRESCRIBE SOME BUFFERS TO HELP WITH THOSE SYMPTOMS CLEARLY IT'S AFFECTING HIS LIFE
+RES0170-047-3 <hesitation> HE CAN'T GO TO SCHOOL OR CAN'T PARTICIPATE IN SOCCER OR SOMETIMES WAKES UP IN THE MIDDLE OF THE NIGHT AND THAT'S NOT GOOD SO <hesitation>
+RES0170-047-4 WE'LL WE CAN BE PRESCRIBED SOME PUFFERS AND SEE IF THOSE HELP AND ALSO GET SOME TESTING DONE DO YOU HAVE ANY OTHER QUESTIONS FOR ME
+RES0170-048 <hesitation> NO I WAS JUST WONDERING ABOUT <hesitation> SO LIKE THE WHEEZING AND ALL OF THAT COULD BE WITH FROM ASTHMA TOO
+RES0170-049 <hesitation> I WOULD THINK SO BUT AGAIN WE'LL GET THE TESTING DONE AND SEE IF THERE ARE ANY OTHER <hesitation> ANY OTHER CAUSES
+RES0170-050 OK
+RES0170-051 YOU SAID THE WHEEZING SORT OF LASTS ONLY THIRTY TO THIRTY MINUTES TO AN HOUR AND THEN GETS BETTER
+RES0170-052 I DON'T NOTICE THAT ANY OTHER TIMES
+RES0170-053 YES IT'S POSSIBLY I MEAN I WOULD THINK IT'S ASTHMA BUT THEN WE'LL GET THE TESTING DONE AND SEE
+RES0170-054 OK GREAT THANK YOU
+RES0180-000 WHAT BRINGS YOU IN
+RES0180-001 HI I SO I STARTED TO HAVE THIS COUGH THAT STARTED LIKE TWO DAYS AGO AND ALSO THESE LAST COUPLE OF DAYS I'VE JUST HAD THIS HEADACHE AND FEELING REALLY ACHY ALL OVER
+RES0180-002 OK I'M SORRY YOU SAID IT STARTED A DAY TWO DAYS AGO
+RES0180-003 IT'S MORE LIKE ONE TO TWO DAYS ALL OF THIS IS KIND OF STARTED I THINK THE THE COUGH STARTED ONEST AND THEN THE HEADACHE AND ACHINESS HAS COME AFTER I FELT A BIT FEVERISH AS WELL I HAVEN'T CHECKED MY TEMPERATURE BUT I I FELT FEVERISH
+RES0180-004 OK THE COUGH IS IT DRY OR ARE YOU BRINGING UP ANY PHLEGM
+RES0180-005 IT'S PRETTY DRY
+RES0180-006 DRY OK SO NO BLOOD AND NO SPUTUM
+RES0180-007 NO BLOOD OR SPUTUM
+RES0180-008 OK DO YOU FEEL SHORT OF BREATH
+RES0180-009 NO THATS I HAVEN'T BEEN SHORT OF BREATH
+RES0180-010 OK HOW ABOUT WHEEZING
+RES0180-011 NO WHEEZING
+RES0180-012 OK AND ANY CHEST PAIN
+RES0180-013 NO I HAVEN'T HAD ANY CHEST PAINS
+RES0180-014 OK ALRIGHT AND THE HEADACHE ONE TO TEN TEN BEING THE WORST HEAD WORST PAIN YOU'VE EVER BEEN IN HOW BAD WAS IT
+RES0180-015 I'D SAY A FOUR IT'S JUST BEEN KIND OF THERE THE WHOLE SO IT'S REALLY ANNOYING I'VE TRIED SOME TYLENOL AND IT'S TAKEN A LITTLE BIT OFF THE THE I MEAN THE EDGE OFF A LITTLE BIT BUT IT'S JUST BEEN KINDA THERE STILL
+RES0180-016 OK AND IS IT A THROBBING KIND OF PAIN OR IS IT A DULL ACHY PAIN
+RES0180-017 IT'S A KIND OF A DULL ACHY PAIN
+RES0180-024 NO I HAVEN'T HAD ANYTHING LIKE THAT CONFUSION OR MEMORY LOSS
+RES0180-025 NO NOTHING LIKE THAT
+RES0180-026 OK AND ANY NECK PAIN OR STIFFNESS
+RES0180-027 NO NOTHING LIKE THAT
+RES0180-028 OK RUNNING OR STUFFY NOSE
+RES0180-029 NO MY I HAVEN'T HAD ANYTHING LIKE THAT
+RES0180-030 SORE THROAT
+RES0180-031 NO
+RES0180-032 NO OK HOW ABOUT THAT LOSS OF SMELL OR TASTE
+RES0180-033 I HAVE ACTUALLY I HAVE
+RES0180-035 BOTH BOTH IT'S I'VE ACTUALLY I NOTICE THAT IN THE LAST DAY IT'S KIND OF WEIRD I DIDN'T EVEN THINK OF IT UNTIL YOU UNTIL YOU ASKED THERE
+RES0180-036 OK
+RES0180-037 BUT I HAVE HAVEN'T REALLY NOTICED BEING ABLE TO SMELL OR TASTE
+RES0180-038 OK ANY CHANGES IN YOUR VISION OR HEARING
+RES0180-039 NO
+RES0180-040 OK WEIGHT LOSS
+RES0180-041 NO WEIGHT LOSS I'VE BEEN THAT'S BEEN STABLE I WISH
+RES0180-042 OK AND YOU MENTIONED YOU MIGHT HAVE HAD A FEVER SO WE'LL CHECK YOUR TEMPERATURE TODAY AS WELL ANY FATIGUE
+RES0180-043 NOT REALLY THAT'S BEEN OK BUT BEEN ACHEY SO CERTAINLY DOING LESS
+RES0180-044 OK ANY RASHES
+RES0180-045 NO RASHES
+RES0180-046 OK ANY CHANGES TO YOUR BOWEL MOVEMENTS
+RES0180-047 NO THAT EVERYTHING HAS BEEN NORMAL THERE I HAVEN'T HAD ANY DIARRHEA OR NO BLOOD IN THE STOOL
+RES0180-048 OK ANY NAUSEA OR VOMITING
+RES0180-049 NO NAUSEA OR VOMITING
+RES0180-050 OK <hesitation> CHANGES TO YOUR APPETITE
+RES0180-051 I'VE BEEN LESS INTERESTED IN FOOD FOR SURE I THINK I'VE BEEN BEEN BEEN HAD A DECREASED APPETITE
+RES0180-052 OK CHANGES IN YOUR URINE
+RES0180-053 NO I HAVEN'T HAD ANY ANY PAIN OR ANY ANYTHING CHANGING TO MY URINARY HABITS
+RES0180-054 OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
+RES0180-055 <hesitation> I I DO HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL AND I TAKE A STATIN AS WELL AS A <hesitation> WHAT IS IT AN ACE INHIBITOR I THINK
+RES0180-056 FOR THE BLOOD PRESSURE OK <hesitation>
+RES0180-076 NO NOTHING LIKE THAT NO OK ALRIGHT I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF
+RES0180-077 <hesitation> I WAS JUST WELL WORRIED ABOUT COVID AND WAS JUST WONDERING WHAT I SHOULD DO
+RES0180-078-1 YEAH FOR SURE SO WE ARE YOU'RE A LOT OF YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID SO WE ARE GOING TO TAKE A SWAB TODAY AND
+RES0180-078-2 YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS BUT YOU SHOULD ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES FROM FAMILY FAMILY MEMBERS IF POSSIBLE
+RES0180-078-3 <hesitation> AND BASICALLY JUST KEEP AN EYE ON YOUR SYMPTOMS IF THEY GET WORSE OR YOU'RE HAVING LIKE NEUROLOGICAL SYMPTOMS YOU SHOULD SEEK HELP FROM THE ER
+RES0180-078-4 BUT OTHERWISE KEEP YOURSELF HYDRATED EAT WELL IF YOU HAVE A HUMIDIFIER IN THE BASEMENT USE IT AND FOR YOUR FEVERS YOU CAN TAKE ANTIPYRETICS LIKE TYLENOL
+RES0180-078-5 <hesitation> AND JUST IT'S IT'S JUST A LOT OF SUPPORTIVE CARE HOW DOES THAT SOUND AND OBVIOUSLY LIKE IF YOUR SYMPTOMS AREN'T GOING AWAY AFTER LIKE
+RES0180-078-6 A FEW WEEKS CALL US BACK AND IT COULD BE SOMETHING LIKE BACTERIAL IN WHICH CASE WE CAN GIVE YOU SOME ANTIBIOTICS
+RES0180-079 OK THAT SOUNDS GREAT THANK YOU
+RES0180-080 NO PROBLEM
+RES0190-000 HOW MAY I HELP YOU
+RES0190-001 YES I JUST CAME IN HERE TODAY I I'VE JUST BEEN REALLY GETTING LIKE THE SORENESS IN MY THROAT FOR THE PAST I WOULD SAY FOUR DAYS AND I ALSO HAD A FEVER FOR THE LAST TWO DAYS AS WELL
+RES0190-002 OK SO THE SORE THROAT HAVE YOU BEEN HAVING PAIN WITH SWALLOWING FOODS OR LIQUIDS
+RES0190-003 MAYBE A LITTLE BIT WITH SOLIDS NOT SO MUCH WITH LIQUIDS BUT I DEFINITELY BEEN FEELING MORE SORE
+RES0190-004 OK HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE
+RES0190-005 <hesitation> NO NOT REALLY NOT I HAVEN'T REALLY NOTICE ANY CHANGES
+RES0190-006 OK HAVE YOU NOTICED ANY REDNESS <hesitation> IN THE BACK OF YOUR MOUTH
+RES0190-007 YEAH I'VE NOTICED SOME REDNESS AND THEN I ALSO FEEL LIKE THERE'S LIKE SOME MATERIAL LIKE WHITISH MATERIAL COMING UP FROM THE BACK OF MY THROAT
+RES0190-008 OK THIS COULD BE <hesitation> A WHAT THEY CALL A TONSILLAR EXUDATE POSSIBLY WE'LL LOOK ON PHYSICAL EXAM
+RES0190-009 DOES IT LOOK LIKE
+RES0190-010 THERE'S SWELLING IN THE BACK OF YOUR MOUTH YEAH IT DEFINITELY LOOKS ANGRY OK HAVE YOU NOTICED ANY SWELLING IN YOUR NECK AS WELL LIKE EITHER ON
+RES0190-011 THE SIDES LIKE OR ANY LUMPS THERE DEFINITELY LIKE MORE ON THE FRONT SIDE OF MY NECK ON BOTH SIDES I FEEL
+RES0190-012 KIND OF LIKE SOME SWELLING AND LUMPS OK AND YOU'VE HAD A FEVER AS WELL THESE LAST COUPLE OF DAYS SO
+RES0190-013 HAVE YOU HAD ANY CHILLS YEAH I'VE HAD CHILLS AND THEN ALSO BEEN FEELING WARM DURING THE DAY I THINK YESTERDAY I TOOK A TEMPERATURE AT NIGHT AND IT WAS THIRTY EIGHT POINT FOUR DEGREES CELSIUS
+RES0190-014 OK SO CERTAINLY A FEVER HAVE YOU HAD ANY NIGHT SWEATS
+RES0190-015 NO
+RES0190-016 OK AND HAVE YOU HAD ANY HEADACHES
+RES0190-017 NO HEADACHES
+RES0190-018 HAVE YOU HAD ANY EYE REDNESS OR EYE DISCHARGE
+RES0190-019 NO
+RES0190-020 ANY CHANGES TO YOUR VISION OR HEARING
+RES0190-021 NO
+RES0190-022 OK ANY EAR PAIN
+RES0190-023 NO
+RES0190-024 HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED
+RES0190-025 <hesitation> LAST WEEK I DID HAVE A LITTLE BIT OF A RUNNY NOSE AND A LITTLE BIT OF A COUGH AS WELL BUT THIS WEEK I'M NOT REALLY HAVING ANY COUGH OR RUNNY NOSE IT'S JUST A SORE THROAT
+RES0190-026 OK SO THE RUNNING NOSE AND COUGH HAVE GONE AWAY COMPLETELY
+RES0190-027 OK AND HOW LONG DID THOSE LAST FOR
+RES0190-028 PROBABLY LIKE FIVE DAYS SO IT'S I THINK IT STARTED TWO WEEKS AGO
+RES0190-029 OK AND YOU'RE AN ARE YOU HAVING A COUGH NOW
+RES0190-030 NO NO COUGH RIGHT NOW
+RES0190-031 OK AND OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE
+RES0190-032 NO THEY'VE BOTH BEEN THE SAME
+RES0190-033 OK AND HAVE YOU HAD ANY LOSS OF APPETITE
+RES0190-034 NO MY APPETITE'S BEEN PRETTY MUCH THE SAME I I STILL TRY AND I I DO GET HUNGRY AND I TRY TO MAKE SURE EVEN THOUGH IT HURTS A LITTLE BIT TO KEEP EATING
+RES0190-035 OK <hesitation> AND WHEN YOU DID HAVE A COUGH OR DURING THIS TIME AS WELL HAVE YOU COUGHED UP ANY SPUTUM OR ANY BLOOD
+RES0190-036 NO NOTHING LIKE THAT
+RES0190-037 OK HAVE YOU HAD ANY WHEEZING
+RES0190-038 NO WHEEZING
+RES0190-039 OK NOW HAVE YOU HAD ANY SHORTNESS OF BREATH
+RES0190-040 NO NO SHORTNESS OF BREATH
+RES0190-041 OK AND THEN HOW ABOUT ANY CHEST PAIN
+RES0190-042 NO NO CHEST PAIN
+RES0190-043 ALRIGHT SO HAVE YOU HAD ANY DIZZINESS OR <hesitation>
+RES0190-047 OK HAVE YOU HAD ANY HEART PALPITATIONS <hesitation>
+RES0190-064 LIKE ANY FATIGUE OR MALAISE <hesitation> NO I DON'T THINK SO
+RES0190-065 I'M STILL I STILL FEEL LIKE PRETTY ENERGETIC OK IN THE PAST HAVE YOU BEEN
+RES0190-066 DIAGNOSED WITH ANY MEDICAL
+RES0190-067 CONDITIONS <hesitation> NO I'VE BEEN PRETTY HEALTHY ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED
+RES0190-068 NO
+RES0190-069 OK AND DO YOU HAVE ANY ALLERGIES
+RES0190-070 NO NOT THAT I KNOW OF
+RES0190-071 OK AND DO YOU HAVE ANY ARE YOUR IMMUNIZATIONS UP TO DATE
+RES0190-072 AS FAR AS I KNOW
+RES0190-073 OK AND CAN YOU TELL ME A LITTLE ABOUT YOUR LIVING SITUATION SO LIKE WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH
+RES0190-074 I I LIVE WITH MY PARENTS RIGHT NOW IN A IN A HOUSE JUST IN THE CITY AND I ALSO LIVE WITH MY OLDER BROTHER
+RES0190-075 OK HAVE YOU BEEN GOING TO SCHOOL
+RES0190-076 RIGHT NOW IT'S ONLINE SCHOOL RIGHT NOW DUE TO THE PANDEMIC
+RES0190-077 OK AND HAS ANYBODY AT HOME BEEN SICK OR HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK
+RES0190-078 MY BROTHER DID HAVE LIKE SIMILAR SORE THROAT SYMPTOMS I THINK MAYBE TWO WEEKS AGO AND HE DID GET SOME MEDICATIONS FROM THE DOCTOR
+RES0190-080 ANTIBIOTICS I THINK SO I THINK HE GOT SOME ANTI
+RES0190-081 BIOTICS OK <hesitation> AND HAVE YOU
+RES0190-097 TIME AND ADJUSTING TO THE NEW ONLINE CURRICULUM BUT IT'S GOING PRETTY WELL NOW OK WELL THAT'S GOOD I'M GLAD THAT YOU BEEN ABLE TO ADJUST SO I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT ON HISTORY TODAY DID YOU HAVE ANYTHING ELSE THAT YOU MAYBE WANTED TO ADD OR
+RES0190-098 THAT I MAYBE FORGOT TO ASK ABOUT NO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAD
+RES0190-099-1 OK SO WITH YOUR CURRENT SYMPTOMS RIGHT NOW WITH NO COUGH TONSILLAR EXUDATE A FEVER ALSO YOUR AGE AND THE
+RES0190-099-2 LIKE SWELLING AND REDNESS THAT YOU NOTICE IN THE BACK OF YOUR THROAT IS LIKELY A GROUP A STREP PHARYNGITIS THAT'S CAUSING THIS AND WITH YOUR EXPOSURE TO YOUR BROTHER WHO ALSO RECEIVED ANTIBIOTICS
+RES0190-099-3 COULD BE POTENTIALLY BE A SICK CONTACT FOR YOU THAT YOU WERE AROUND SO THIS WOULD REQUIRE ANTIBIOTICS AS WELL FOR YOURSELF AND WE'LL DO A RAPID STREP ANTIGEN TEST TO CHECK FOR THIS
+RES0190-099-4 AND WAIT ON THE RESULT FOR THAT BECAUSE IT IT STILL COULD POSSIBLY BE A VIRAL ILLNESS AND SO THAT PASSES NEGATIVE AND WE'RE THINKING IT'S A VIRAL ILLNESS THEN WE MIGHT
+RES0190-099-5 HOLD OFF ON ANTIBIOTICS FOR NOW AND MONITOR SYMPTOMS AND IF AT ANY POINT THINGS GET WORSE LIKE YOU START TO GET SHORTNESS OF BREATH OR YOUR FEVER'S GETTING WORSE AND IT'S NOT NOT BEING CONTROLLED THEN WE'LL REASSESS THE
+RES0200-000 WHAT CAN I DO FOR YOU
+RES0200-001-1 HEY I I CAME IN HERE TODAY I I JUST WAS FEELING JUST A BIT SHORT OF BREATH OVER THE LAST FEW DAYS AND I'VE HAD A SO I NORMALLY HAVE A COUGH BUT I'VE JUST BEEN COUGHING A LOT MORE
+RES0200-001-2 OVER THE LAST WEEK AND I DON'T KNOW IF IT'S IF IT'S SOMETHING ELSE I I DO HAVE A COPD DIAGNOSIS WHICH I WAS DIAGNOSED WITH LIKE A COUPLE YEARS AGO BUT THIS IS THIS SEEMS TO BE MUCH WORSE
+RES0200-002 OK YOU SAID YOU WERE DIAGNOSED WITH COPD COUPLE YEARS AGO WAS THAT TWO YEARS AGO THREE YEARS AGO
+RES0200-003 IT WAS ALMOST PROBABLY FIVE YEARS AGO
+RES0200-004 FIVE YEARS AGO OK AND HAVE YOU ALWAYS HAD THIS COUGH SINCE THEN
+RES0200-005 I'VE PROBABLY HAD A COUGH FOR THE LAST TEN YEARS I THINK
+RES0200-007 AND YOU YOU'VE MENTIONED THAT THIS COUGH HAS GOTTEN WORSE OVER THE LAST WEEK
+RES0200-008 I'VE BEEN COUGHING A LOT MORE EVEN JUST WALKING DOWN THE STAIRS FROM MY BEDROOM TO EVEN THE KITCHEN I JUST HAVE TO TAKE A LITTLE BIT OF A BREATHER JUST START COUGHING
+RES0200-009 OK AND IS IT A DRY COUGH OR ARE YOU BRINGING UP ANY PHLEM
+RES0200-010 NO I'M BRINGING UP LIKE THIS IT'S USUALLY BEFORE THIS WEEK IT WAS LIKE KIND OF A CLEAR TO YELLOW SORRY CLEAR TO WHITE MATERIAL BUT THIS PAST WEEK IT'S BEEN MORE YELLOW IN COLOR
+RES0200-011 OK ANY BLOOD IN THERE
+RES0200-012 NO I MEAN NOTICE ANY BLOOD
+RES0200-013 OK AND YOU SAID YOU WERE ALSO SHORT OF BREATH WHEN DID THAT START
+RES0200-014 SO THAT'S JUST IN THE LAST FEW DAYS BUT JUST TO CLARIFY I DO GET SHORT OF BREATH HERE AND THERE SOMETIMES I HAVE TO USE PUFFERS BUT THE LAST FEW DAYS I'VE JUST BEEN REALLY SHORT OF BREATH EVEN EVEN IF I WALK A LITTLE BIT AFTER LIKE SIT DOWN AND CAN'T REALLY CATCH MY BREATH
+RES0200-015 OK ALRIGHT AND DO YOU GET SHORT OF BREATH WHEN YOU'RE LAYING DOWN
+RES0200-016 NO NOT REALLY IT'S MAINLY JUST WHEN I'M MOVING AROUND AND DOING STUFF
+RES0200-017 OK HOW ABOUT WHEN YOU'RE ASLEEP DOES IT WAKE YOU UP AND KIND OF MAKE YOU GASP FOR AIR
+RES0200-018 NO
+RES0200-019 NO OK SO NO ORTHOPNEA OR PND ALRIGHT AND THE PUFFERS THAT YOU'RE ON CAN YOU REMIND ME WHICH ONES YOU'RE ON AGAIN
+RES0200-020 SO I'M ON THIS ONE CALLED VENTILIN FOR THE WHICH I'VE BEEN USING A LOT MORE RECENTLY JUST FOR RELIEF AND THEN I'M ON THIS OTHER PUFFER THING IT'S CALLED SPIRIVA
+RES0200-021 OK HOW OFTEN HOW HOW MANY TIMES THIS WEEK HAVE YOU HAD TO USE YOUR VENTILIN
+RES0200-022 VENTILIN ARE PROBABLY USED PROBABLY ALMOST LIKE TEN TIMES THIS PAST WEEK
+RES0200-023 OK ALRIGHT ANY CHEST PAIN
+RES0200-024 JUST WHEN I'M HAVING LIKE THOSE COUGHING FITS IN WITH THE BREATHING I FEEL SOME DISCOMFORT BUT THAT'S IT
+RES0200-025 OK OK ALRIGHT AND THEN ANY PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING
+RES0200-026 NO
+RES0200-027 OK ALRIGHT AND DO YOU EVER FEEL LIKE YOUR CALVES HURT AFTER YOU WALK AWHILE
+RES0200-028 NO NOT REALLY
+RES0200-029 NO OK ANY DIZZINESS OR FAINTING SPELLS
+RES0200-030 NO NO NOT THAT I KNOW
+RES0200-031 OK NUMBNESS OR TINGLING
+RES0200-032 NO
+RES0200-033 CONFUSION OR MEMORY LOSS
+RES0200-034 NO
+RES0200-035 HEADACHES
+RES0200-036 NO
+RES0200-037 CHANGES IN YOUR BOWEL MOVEMENTS
+RES0200-038 NO
+RES0200-039 NAUSEA OR VOMITING
+RES0200-040 NO
+RES0200-041 CHANGES IN YOUR APPETITE
+RES0200-042 NO NOT REALLY EATING ABOUT THE SAME
+RES0200-043 OK CHANGES IN YOUR URINE
+RES0200-044 NO
+RES0200-045 RUNNY NOSE OR STUFFY NOSE
+RES0200-046 NO I DON'T HAVE THAT
+RES0200-047 OK SORE THROAT
+RES0200-048 NO
+RES0200-049 ANY CHANGES IN YOUR VISION OR HEARING
+RES0200-050 NO
+RES0200-051 CHANGES IN YOUR SMELL OR TASTE
+RES0200-052 NO NOT REALLY
+RES0200-053 OK HOW ABOUT WEIGHT LOSS
+RES0200-054 NO MY WEIGHTS BEEN PRETTY STEADY
+RES0200-055 OK CHILLS
+RES0200-056 MAYBE A FEW TIMES THIS LIKE FROM THAT LAST COUPLE DAYS I'VE BEEN FEELING A BIT CHILLY BUT I I DON'T KNOW IF I HAVE A FEVER OR ANYTHING LIKE THAT
+RES0200-057 OK SO YOU HAVEN'T ACTUALLY MEASURED YOUR TEMPERATURE RIGHT
+RES0200-058 NO
+RES0200-059 OK WE CAN DO THAT TODAY ANY RASHES
+RES0200-060 NO
+RES0200-061 FATIGUE
+RES0200-062 NO
+RES0200-063 OK AND BESIDES THE COPD DO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS
+RES0200-064 I I HAVE A LIKE HIGH CHOLESTEROL
+RES0200-065 OK
+RES0200-066 AND JUST I I USED TO TAKE BLOOD PRESSURE MEDICATIONS BUT I DON'T RIGHT NOW
+RES0200-067 OK AND WHAT KIND OF BLOOD PRESSURE MEDICATIONS DID YOU USE TO TAKE AND HOW COME YOU STOPPED
+RES0200-068 I WAS ON LIKE A DIURETIC THEN THE DOCTOR SAID LIKE MY BLOOD PRESSURE WAS REALLY WELL UNDER CONTROL SO I JUST STOPPED TAKING IT
+RES0200-069 OK OK AND THE DOCTOR WAS OK WITH THAT
+RES0200-070 NO I JUST STOPPED TAKING IT I DIDN'T REALLY LIKE ASK THE DOCTOR
+RES0200-071 OK WELL WE'LL KEEP CHECKING YOUR BLOOD PRESSURE AND THAT'S SOMETHING YOU SHOULD KEEP AN EYE ON AS WELL JUST IN CASE HAVE COMPLICATIONS WITH YOUR KIDNEYS DOES THAT SOUND OK
+RES0200-072 OK AND ARE YOU ON ANY MEDICATIONS OTHER THAN THE PUFFERS
+RES0200-073 JUST ATORVASTATIN
+RES0200-074 FOR YOUR CHOLESTEROL OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS
+RES0200-075 NOT EVEN A VACCINE
+RES0200-076 PARDON ME
+RES0200-077 I EVEN GOT THE CORONAVIRUS VACCINE
+RES0200-078 OK GOOD CONGRATS DID YOU ALSO GET THE SHINGLES VACCINE AND THE PNEUMOCOCCAL VACCINE
+RES0200-080 OK OK GOOD ANY ALLERGIES
+RES0200-081 NO NOT THAT I KNOW
+RES0200-082 HOW ABOUT A FAMILY HISTORY OF LUNG OR HEART CONDITIONS
+RES0200-083 MY FATHER HAD LUNG CANCER BUT HE SMOKED A LOT I ALSO SMOKE SO I SOMETIMES WORRY ABOUT THAT BUT HE HAD CANCER AND MY MOTHER SHE WAS PERFECTLY HEALTHY SO JUST MY FATHER
+RES0200-084 JUST YOUR FATHER OK HOW MUCH DO YOU SMOKE
+RES0200-085 PROBABLY HALF A PACK A DAY IT USED TO BE ONE PACK EVEN TWO PACKS AT ONE POINT IN TIME BUT RIGHT NOW IT'S HALF THE PACKAGING
+RES0200-086 OK ALRIGHT WELL IT'S GOOD THAT YOU'RE CUTTING DOWN AND IF YOU NEED MORE RESOURCES TO HELP YOU DO THAT WE HAVE SOME AVAILABLE THAT WE CAN REFER YOU TO DO YOU TAKE ANY OTHER RECREATIONAL DRUGS LIKE CANNABIS HEROIN COCAINE
+RES0200-087 NO NOTHING LIKE THAT NO
+RES0200-088 OK AND DO YOU DRINK ALCOHOL
+RES0200-089 JUST PROBABLY MAYBE LIKE A COUPLE TIMES A MONTH
+RES0200-090 COUPLE TIMES A MONTH OK AND ARE YOU CURRENTLY MARRIED
+RES0200-091 I CURRENTLY LIVE WITH MY SORRY WIFE IN AN APARTMENT
+RES0200-092 OK AND ANY REASON FOR YOU TO BELIEVE YOU HAVE OLD CARPETS MOLD DUST ASBESTOS PETS ANYTHING THAT COULD BE TRIGGERING YOUR SYMPTOMS
+RES0200-093 NO NOTHING LIKE THAT WE LIVE IN LIKE A FAIRLY NEW APARTMENT
+RES0200-094 OK OK GOOD AND HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY
+RES0200-095 NO NOT NOT REALLY WE'VE BEEN JUST TO OURSELVES
+RES0200-096 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
+RES0200-097 NO JUST BEEN ON OUR HOUSE
+RES0200-098 OK ALRIGHT WELL THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS OF YOUR OWN
+RES0200-099 I WAS JUST WONDERING WHAT THIS CAN BE
+RES0200-100 YOU KNOW IT SOUNDS LIKE YOU HAVE A COUGH AND SHORTNESS OF BREATH AND BOTH OF THESE THINGS YOU'VE HAD FOR A WHILE BUT NOW THEY'RE GETTING WORSE AND BASED ON YOUR PAST HISTORY OF COPD I WOULD SAY THIS SOUNDS LIKE A COPD EXACERBATION
+RES0200-101-1 SO FOR THAT WE WILL START OFF WITH SOME BASIC BLOOD WORK LIKE CBC ELECTROLYTES YOUR KIDNEY FUNCTION ABGS AS WELL AS LIKE A CHEST X RAY
+RES0200-101-2 AND BASICALLY WE SHOULD TREAT IT WE'RE GOING TO TAKE YOUR OXYGEN SATURATION AN GIVE YOU SOME EXTRA OXYGEN IF YOU NEED IT
+RES0200-102 WE'LL CONTINUE TO USE YOUR BRONCHODILATORS AN AND IN ADDITION TO BOTH OF THAT WILL ALSO GIVE YOU SOME STEROIDS AS WELL AS ANTIBIOTICS
+RES0200-103 AND JUST TO PREVENT ANY INFECTIONS OR IF YOU ALREADY HAVE IT THEN IT CAN HELP WITH THAT AS WELL AND BECAUSE YOUR SYMPTOMS SOMEWHAT OVERLAP WITH THOSE OF COVID WILL ALSO DO A COVID SWAB JUST TO MAKE SURE IT'S NOT THAT AND YOU SHOULD HEAR BACK ABOUT THOSE RESULTS IN TWENTY FOUR TO FORTY EIGHT HOURS HOW DOES THAT SOUND
+RES0200-104 THAT SOUNDS GOOD THANK YOU
+RES0200-105 OK NO PROBLEM
+RES0210-000 SO CAN YOU TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN HERE TODAY
+RES0210-001 I'VE NOTICED I'VE HAD THIS PRETTY BAD COUGH FOR LIKE THE LAST COUPLE OF DAYS A LITTLE BIT WORRIED WANNA TALK TO SOMEONE
+RES0210-002 OK SO STARTED TWO DAYS AGO
+RES0210-003 NO ABOUT WHAT DAY IS IT TODAY TODAY IS WEDNESDAY IT STARTED ON SUNDAY SUNDAY I NOTICED IT GETTING REALLY BAD
+RES0210-004 OK SO IT GOT REALLY BAD THEN IT WAS IT WAS IT STILL PRESENT BUT NOT AS BAD BEFORE THAT
+RES0210-005 I THINK I HAD LIKE A BIT OF LIKE A RASPY COUGH ON LIKE FRIDAY BUT SUNDAY IT WAS WHEN I STARTED GETTING NERVOUS ABOUT IT OK SO ALMOST A WEEK IT SOUNDS LIKE
+RES0210-006 AND WHAT EXACTLY CHANGED ON SUNDAY THAT YOU MADE IT WORSE IN YOUR OPINION
+RES0210-007 SO SUNDAY I STARTED BRINGING I NOTICED LIKE LITTLE SPOTS OF RED KIND OF THE THE GUNK I WAS BRINGING UP
+RES0210-009 AND I KIND OF IGNORED IT BUT THE NEXT DAY THEY WERE STILL THERE I STARTED GETTING FEVER JUST IN I FELT OFF YOU KNOW
+RES0210-010 OK OK SO THAT YOU FIRST NOTICE THAT ON SUNDAY WERE YOU BRINGING UP SPUTUM BEFORE THAT AND IT JUST DIDN'T HAVE THESE SPOTS OR DID IT DID THAT PART JUST START ON SUNDAY
+RES0210-011 SPUTUM IS KIND OF LIKE THE GUNK UP AND BRING IT UP IT WAS IT'S LIKE THIS YELLOW CUSTARD IT'S GOT LIKE WELL SPOTS ARE RED ON IT ON SUNDAY
+RES0210-012 OK AND BEFORE THAT DID YOU HAVE LIKE THE YELLOW CUSTARD WITHOUT RED OR IT ALL STARTED AT ONCE ALL KIND OF STARTED
+RES0210-013 IT ALL STARTED AT ONCE TO BE HONEST
+RES0210-014 SORRY I KNOW THESE ARE TRICKY QUESTIONS AND YOU SAID THAT YOU'VE HAD SOME FEVERS CAN YOU TELL ME A LITTLE BIT ABOUT THAT WHEN DID THAT START
+RES0210-015 SO THAT STARTED THE MONDAY REALLY IS WHEN I FIRST STARTED I NEVER TOOK MY TEMPERATURE I JUST FELT HOT YOU KNOW THAT'S BEEN GOING ON PRETTY MUCH UNTIL TODAY
+RES0210-016 OK DID YOU EVER FEEL LIKE YOU WERE REALLY SHAKY
+RES0210-017 I'VE BEEN GETTING THE CHILLS ESPECIALLY LAST TWO DAYS
+RES0210-018 OK SO OVER THIS TIME YOU'VE HAD THIS COUGH HAVE YOU FELT LIKE YOU'VE HAD DIFFICULTY BREATHING
+RES0210-019 NOT REALLY I FEEL A LITTLE BIT WINDED DOING THINGS I USED TO DO LIKE I TAKE THE STAIRS UP TO MY APARTMENT
+RES0210-020 BUT I HAVE JUST HAPPENED REALLY TRYING TO EXERT MYSELF THAT'S BEEN TAKING IT EASY SO I HAVEN'T REALLY NOTICED BEING OUT OF BREATH
+RES0210-021 OK SO PROBABLY IF YOU WERE TO GET UP AND DO A LOT OF PHYSICAL ACTIVITY YOU WOULD FEEL WORSE
+RES0210-022 I COULD PROBABLY I CAN STILL TAKE THE TWO STAIRS UP TO MY APARTMENT BUT AFTER THAT I STARTED TO FEEL PRETTY CRUMMY
+RES0210-023 OK IS THERE ANYTHING ELSE THAT YOU CAN THINK OF THAT MAKES IT FEEL WORSE
+RES0210-024 NO
+RES0210-025 HAS ANYTHING HELPED IT TO FEEL BETTER AT ALL
+RES0210-026 BRINGING UP GUNK MAKES IT FEEL BETTER FOR A LITTLE WHILE
+RES0210-027 SO YOU KIND OF JUST CLEAR IT UP AND THAT FEELS A LITTLE BIT BETTER
+RES0210-028 I HAVEN'T TAKEN SOME TYLENOL AT HOME AND THAT HELPS A LITTLE BIT
+RES0210-029 OK HAVE YOU FELT A SORE THROAT AT THE SAME TIME
+RES0210-030 AFTER AN AWFUL LOT OF COUGHING IT STARTS TO FEEL A LITTLE RAW
+RES0210-031 HAVE YOU HAD A RUNNY NOSE
+RES0210-032 BIT OF ONE BACK IN THE DAY MAYBE A WEEK AGO BUT THAT KIND OF GONE AWAY BY NOW
+RES0210-033 HAVE YOU FELT ANY CHEST PAIN
+RES0210-034 I GOT PAIN KINDA ON THE RIGHT
+RES0210-035 OK HAVE YOU EVER HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
+RES0210-036 NO NEVER ACTUALLY DOC YOU'RE SAYING SOMETHING THAT MAKES IT FEEL WORSE TAKING A DEEP BREATH MAKES IT FEEL PRETTY BAD
+RES0210-037 OK AND I'M JUST GOING TO CIRCLE BACK TO THIS CHEST PAIN YOU SAID YOU FEEL IT ON THE RIGHT SIDE IS IT ALWAYS THERE OR IS IT JUST WHEN YOU TAKE A DEEP BREATH OR IS IT KIND OF ON AND OFF
+RES0210-038 IT'S KIND OF ALWAYS THERE IT GETS A LITTLE BIT WORSE WITH COUGHING AND WHEN I TAKE A PRETTY BIG DEEP BREATH
+RES0210-039 OK BUT IF YOU WERE JUST LAYING DOWN NOT COUGHING IS THAT PAIN THERE
+RES0210-040 SPECIALLY NOTICE OVER THE LAST DAY
+RES0210-043 OK AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY
+RES0210-044 NO NOT REALLY
+RES0210-045 OK HAVE YOU TRAVELED ANYWHERE RECENTLY
+RES0210-046 WENT TO SARNIA ABOUT A WEEK BACK FOR WORK BUT
+RES0210-047 OK WERE YOU IN CONTACT WITH ANYONE THAT THAT WAS SICK
+RES0210-048 NOPE JUST BEEN KEEPING TO MYSELF MOSTLY
+RES0210-049 OK SO IN TERMS OF YOUR OWN MEDICAL HISTORY DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY
+RES0210-050 HE'S GIVEN ME A PILL FOR A CHOLESTEROL
+RES0210-051 OK AND DO YOU KNOW THE NAMES OF ANY MEDICATIONS THAT YOU TAKE
+RES0210-052 LIPITOR
+RES0210-053 OK IS THAT THE ONLY ONE
+RES0210-054 OK HAVE YOU EVER HAD ANY SURGERIES
+RES0210-055 MY WISDOM TEETH OUT AS A AS A KID FIFTEEN OR SO I THINK
+RES0210-056 OK DO YOU HAVE ANY ALLERGIES
+RES0210-057 NO
+RES0210-058 I'M JUST GOING TO ASK YOU A FEW QUESTIONS ABOUT YOUR LIFESTYLE AND LIKE DO YOU LIVE HERE IN TOWN
+RES0210-059 I LIVE HERE IN TOWN GOT A GIRLFRIEND LIVING IN APARTMENT
+RES0210-060 OK YOU LIVE WITH YOUR GIRLFRIEND
+RES0210-061 DO YOU HAVE ANY PETS
+RES0210-062 CAT
+RES0210-063 DO YOU DO ANYTHING FOR WORK OR ARE YOU RETIRED
+RES0210-064 I STILL WORK A CONSULTANT FOR THE CHEMICAL PLANT SO WEST MAINLY IN SARNIA
+RES0210-065 SO HAVE YOU HAD A LOT OF EXPOSURE TO CHEMICALS THROUGHOUT YOUR CAREER
+RES0210-066 NOW THEY'VE ALWAYS BEEN PRETTY GOOD FOR KEEPING US SAFE I'M ON THE ENGINEERING SIDE OF THINGS SO I DON'T REALLY WORK TOO MUCH IN THE PLANT DIRECTLY YOU KNOW
+RES0210-067 OK HERE WELL DO YOU DRINK ALCOHOL
+RES0210-068 ONCE IN A BLUE MOON
+RES0210-070 HOW MUCH WOULD YOU SAY THAT YOU SMOKE
+RES0210-071 GOT A PACK A DAY
+RES0210-072 LONG IS THAT BEEN GOING ON FOR
+RES0210-073 GEEZ MUST HAVE PICKED IT UP WHEN I WAS FIFTEEN
+RES0210-074 OK DO YOU USE ANY OTHER SUBSTANCES
+RES0210-075 LIKE DRUGS
+RES0210-076 CANNABIS OR ANY OTHER RECREATIONAL DRUGS
+RES0210-077 SMOKE THE ODD JOINT FROM TIME TO TIME BUT HAVEN'T IN YEARS NOW
+RES0210-078 DO YOU HAVE ANY FAMILY HISTORY OF ANY RESPIRATORY ILLNESSES
+RES0210-079 RESPIRATORY ILLNESS LIKE LUNGS
+RES0210-080 EXACTLY
+RES0210-081 THINK MY GRANDPA DIED OF LUNG CANCER ACTUALLY HE WAS A PRETTY BIG SMOKER TOO THOUGH
+RES0210-082 OK OK WELL THANK YOU FOR SHARING ALL OF THAT WITH ME SO I'M GOING TO GO OVER THIS WITH THE PHYSICIAN I'M WORKING WITH AND WE SHOULD BE BACK SHORTLY TOGETHER TO TALK TO YOU ABOUT THE NEXT STEPS
+RES0210-083 THANK YOU KINDLY
+RES0210-084 OK THANKS