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