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