CAR0001-000 WHAT BROUGHT YOU IN TODAY CAR0001-001 SURE I'M I'M JUST HAVING A LOT OF CHEST PAIN AND AND SO I THOUGHT I SHOULD GET IT CHECKED OUT CAR0001-002 OK BEFORE WE START COULD YOU REMIND ME OF YOUR CAR0001-003 GENDER AND AGE SURE I'M THIRTY NINE CAR0001-004 I'M A MALE OK AND SO WHEN DID THIS CHEST PAIN START CAR0001-005 IT STARTED LAST NIGHT BUT IT'S BECOMING SHARPER CAR0001-006 OK AND WHERE IS THIS PAIN LOCATED CAR0001-007 IT'S LOCATED ON THE LEFT SIDE OF MY CHEST CAR0001-008 OK AND SO HOW LONG HAS IT BEEN GOING ON FOR THEN IF IT STARTED LAST NIGHT CAR0001-009 SO I GUESS IT WOULD BE A COUPLE OF HOURS NOW MAYBE LIKE EIGHT CAR0001-010 OK HAS IT BEEN CONSTANT THROUGHOUT THAT TIME OR OR CHANGING CAR0001-011 I WOULD SAY IT'S BEEN PRETTY CONSTANT CAR0001-012 OK AND HOW WOULD YOU DESCRIBE THE PAIN PEOPLE WILL USE WORDS SOMETIMES LIKE SHARP BURNING ACHY CAR0001-013 I'D SAY IT'S PRETTY SHARP CAR0001-014 SHARP OK ANYTHING THAT YOU HAVE DONE TRIED SINCE LAST NIGHT THAT'S MADE THE PAIN CAR0001-015 BETTER NOT LAYING DOWN HELPS CAR0001-016 OK SO DO YOU FIND LAYING DOWN MAKES THE PAIN WORSE CAR0001-017 YES DEFINITELY CAR0001-021 LAYING DOWN NOT THAT I'VE NOTICED NO CAR0001-022 OK SO NOT LIKE TAKING A DEEP BREATH OR ANYTHING LIKE THAT CAR0001-023 MAYBE TAKING A DEEP BREATH CAR0001-024 OK AND WHEN THE PAIN STARTED COULD YOU TELL ME COULD YOU THINK OF ANYTHING THAT YOU WERE DOING AT THE TIME CAR0001-025 I MEAN I WAS MOVING SOME FURNITURE AROUND BUT THAT I'VE DONE THAT BEFORE CAR0001-026 OK SO YOU DIDN'T FEEL LIKE YOU HURT YOURSELF WHEN YOU WERE DOING THAT CAR0001-027 NO CAR0001-028 OK AND IN REGARDS TO HOW SEVERE THE PAIN IS ON A SCALE OF ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW SEVERE WOULD YOU SAY THE PAIN IS CAR0001-029 I'D SAY IT'S LIKE A SEVEN OR EIGHT IT'S PRETTY BAD CAR0001-030 OK AND WITH THE PAIN DO YOU HAVE ANY OTHER ASSOCIATED SYMPTOMS CAR0001-031 I FEEL A LITTLE LIGHTHEADED AND I'M HAVING SOME TROUBLE BREATHING CAR0001-032 OK HAVE YOU HAD ANY LOSS OF CONSCIOUSNESS CAR0001-033 NO CAR0001-034 OK HAVE YOU BEEN EXPERIENCING ANY LIKE RACING OF THE HEART CAR0001-035 A LITTLE BIT CAR0002-000 WHAT BRINGS YOU IN HERE TODAY CAR0002-001 I HAVE THIS PAIN IN MY CHEST CAR0002-002 OK AND WHERE IS THE PAIN EXACTLY CAR0002-003 IT'S JUST RIGHT OVER ON THE ON THE LEFT SIDE CAR0002-004 OK AND WHEN DID THIS PAIN START CAR0002-005 IT STARTED JUST THIRTY MINUTES AGO CAR0002-006 OK AND DID IT JUST COME ON RANDOMLY OR WERE YOU DOING SOMETHING STRENUOUS CAR0002-007 I WAS JUST SHOVELLING THE DRIVEWAY AND IT CAME ON CAR0002-008 OK AND HAS THAT PAIN BEEN GETTING WORSE AT ALL OVER THE LAST HALF AN HOUR CAR0002-009 NO IT JUST CAME ON SUDDENLY AND IT'S I'M SORRY THE PAIN HAS BEEN THERE THIS WHOLE TIME AND IT'S GOTTEN WORSE EVER SINCE IT STARTED CAR0002-010 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT KIND OF LIKE AN ACHING PAIN OR IS IT A SHARP OR TIGHT TIGHTNESS KIND OF PAIN HOW WOULD YOU DESCRIBE IT CAR0002-011 IT FEELS DULL I FEEL LIKE THERE'S A LOT OF PRESSURE ON MY CHEST CAR0002-012 AND HOW DO YOU RATE THE PAIN RIGHT NOW ON A SCALE OF ZERO TO TEN ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE TEN BEING THE WORST CAR0002-014 SEVEN SEVEN OK HAVE YOU HAD NY SIMILAR EPISODES BEFORE CAR0002-015 NO I'VE NEVER HAD ANY CHEST PAIN BEFORE CAR0002-016 OK AND IS THE PAIN JUST STAYING IN THE REGION OF THE LEFT CHEST AREA THAT YOU MENTIONED OR IS IT TRAVELING TO ANY OTHER PART OF YOUR BODY CAR0002-017 NO I'M KIND OF JUST FEELING IT RIGHT HERE ON THE LEFT SIDE CAR0002-018 OK IS THERE ANYTHING THAT YOU DO THAT MAKES THE PAIN EITHER GET WORSE OR GO AWAY OR LIKE GET BETTER CAR0002-019 I THINK IT'S A BIT BIT WORSE IF I'M MOVING AROUND OR WHEN I WAS WALKING IN HERE I THINK IT IT MADE IT A BIT WORSE BUT NOTHING HAS SEEMED TO MAKE IT ANY BETTER SINCE IT STARTING CAR0002-020 OK AND DOES IT CHANGE AT ALL FROM YOU CHANGING POSITIONS LIKE IF YOU'RE STANDING UP VERSUS SITTING DOWN OR LAYING DOWN CAR0002-021 I THINK IT'S A LITTLE BIT WORSE WHEN I WHEN I'M LAYING DOWN CAR0002-022 OK AND OTHER THAN THE PAIN THAT YOU'VE BEEN HAVING HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS LIKE A COUGH OR DIFFICULTY BREATHING OR ANY PAIN WHEN YOU'RE BREATHING IN OR OUT CAR0002-023 I'VE FELT A LITTLE BIT SHORT OF BREATH OR HAVING DIFFICULTY BREATHING SINCE YESTERDAY WHEN THE SORRY SINCE THE PAIN STARTED CAR0002-024 BUT JUST THE DIFFICULTY BREATHING OK AND HAVE YOU RECENTLY INJURED YOUR CHEST OR SURROUNDING AREA AT ALL LIKE FROM A FALL CAR0002-025 OR ANYTHING LIKE THAT I DO I PLAY RUGBY AND WAS TACKLED BY ANOTHER PLAYER YESTERDAY BUT BUT CAR0002-026 MY CHEST FELT FINE AFTER THAT OK SO BUT THE PAIN JUST STARTED HALF AN HOUR AGO CAR0002-027 OK HAVE YOU HAVE YOU BEEN TRAVELING AT ALL RECENTLY CAR0002-028 NO BEEN AT HOME CAR0002-029 OK HAS ANYONE AROUND YOU BEEN SICK AT ALL CAR0002-031 NO OK HAVE YOU BEEN HAVING ANY SYMPTOMS LIKE NAUSEA OR VOMITING OR ANY FEVERS OR CHILLS CAR0002-032 NO NAUSEA OR VOMITING BUT I DO FEEL A LITTLE BIT HOT TODAY CAR0002-033 OK BUT HAVE YOU MEASURED YOUR TEMPERATURE AT ALL CAR0002-034 I I DID AND IT WAS CAR0002-035 THIRTY EIGHT DEGREES OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LEGS OR FEET CAR0002-037 SWELLING IN IN MY LEGS OK HAVE YOU BEEN FEELING TIRED CAR0002-039 NO MY ENERGY HAS BEEN GOOD OK HAVE YOU BEEN HAVING ANY KIND OF THUMPING OR PALPITATIONS OR FEEL LIKE YOUR HEART HAS BEEN RACING AT ALL CAR0002-040 IT IT DOES FEEL LIKE IT'S BEATING FASTER RIGHT NOW IT USUALLY ONLY CAR0002-041 FEELS LIKE THIS WHEN I'M PLAYING SPORTS OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR SKIN AT ALL ANY RASHES CAR0002-042 NO RASHES CAR0002-043 OK HAVE YOU HAD ANY COUGH OR RUNNY NOSE OR SORE THROAT ANY KIND OF THOSE SYMPTOMS AND IN THE PAST MONTH CAR0002-044 FEW WEEKS AGO I WAS A LITTLE RUNNY BUT THAT WENT AWAY ON ITS OWN I HAVEN'T HAD ANY COUGH CAR0002-045 OK AND HAVE YOU BEEN FEELING DIZZY AT ALL OR HAVE YOU FAINTED CAR0002-046 NO DIZZINESS AND NO CAR0002-047 I HAVEN'T FAINTED AT ALL OK JUST A FEW MORE QUESTIONS HAVE YOU HAD ANY DIAGNOSIS MADE BY ANY PHYSICIAN OR ANY ANYTHING LIKE DIABETES OR HIGH BLOOD PRESSURE CAR0002-048 I'VE BEEN TOLD I HAVE HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE CAR0002-049 OK AND DO YOU TAKE ANY MEDICATIONS FOR THE THESE THINGS CAR0002-050 I DO TAKE MEDICATIONS FOR BOTH BLOOD PRESSURE AND CHOLESTEROL ROSUVASTATIN CAR0002-051 AND LISINOPRIL AND I TAKE A CAR0002-052 MULTI VITAMIN CAR0002-053 OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL NO ALLERGIES OK HAVE YOU AT ALL CAR0002-054 IN THE PAST BEEN HOSPITALIZED FOR ANY REASON CAR0002-055 NO HOSPITALIZATIONS ANY PREVIOUS SURGERIES CAR0002-056 NO CAR0002-057 OK AND WITHIN YOUR FAMILY HAS ANYONE PASSED AWAY FROM A HEART ATTACK OR ANY CANCERS THAT RUN IN THE FAMILY CAR0002-058 NO CAR0002-059 OK AND CURRENTLY RIGHT NOW DO YOU LIVE ALONE DO YOU LIVE WITH SOMEONE AND WHERE DO YOU LIVE LIKE AN APARTMENT OR HOUSE CAR0002-060 I I LIVE IN A HOUSE WITH CAR0002-061 MY PARENTS OK CAR0002-062 AND DO YOU CURRENTLY WORK I I DRIVE A BUS FOR THE CITY CAR0002-063 OK AND IN YOUR DAILY ROUTINE WOULD YOU SAY YOU GET ENOUGH EXERCISE THROUGHOUT THE WEEK CAR0002-064 USUALLY ON SUNDAYS I'LL GO FOR A RUN CAR0002-065 OK AND HOW ABOUT YOUR DIET WELL HOW'S YOUR DIET LIKE JUST REGULARLY CAR0002-066 USUALLY I FEEL LIKE IT'S FAIRLY BALANCED OVERALL I MIGHT I EAT OUT A LITTLE BIT TOO OFTEN BUT TRY TO EAT AS MANY VEGETABLES AS I CAN CAR0002-067 OK AND DO YOU SMOKE CIGARETTES AT ALL CAR0002-068 I DO YES BEEN SMOKING FOR THE LAST TWENTY YEARS ROUGHLY CAR0002-069 OK HOW MUCH DO YOU SMOKE ON AN AVERAGE DAY CAR0002-070 ABOUT A HALF A PACK TO A PACK A DAY CAR0002-071 OK AND DO YOU DRINK CAR0002-072 NO ALCOHOL CAR0002-073 OK AND ANY RECREATIONAL DRUGS LIKE MARIJUANA CAR0002-074 NO MARIJUANA BUT I HAVE USED CRYSTAL CAR0002-075 METH IN THE PAST OK AND WHEN WAS THE LAST TIME THAT YOU USED CRYSTAL METH CAR0002-077 SIX DAYS AGO SIX DAYS AGO OK AND HOW OFTEN DO YOU USE CRYSTAL METH CAR0002-078 I WOULD SAY A COUPLE OF TIMES A MONTH CAR0002-079 A COUPLE OF TIMES A MONTH OK ALRIGHT AND FOR HOW LONG HAVE YOU BEEN USING CRYSTAL METH CAR0002-080 FOR THE LAST SEVEN YEARS CAR0002-081 SEVEN YEARS OK CAR0003-000 WHAT BRINGS YOU IN HERE TODAY CAR0003-001 I'VE JUST BEEN FEELING BREATHLESS AND IT'S GETTING WORSE SO I WANTED TO CHECK IT OUT CAR0003-002 OK AND WHEN DID YOU FIRST START FEELING BREATHLESS CAR0003-003 ABOUT TWO MONTHS AGO CAR0003-004 OK AND DID IT COME ON ABOUT LIKE GRADUALLY THROUGH TIME OR SUDDENLY JUST HAPPENED CAR0003-005 I I GUESS GRADUALLY CAR0003-006 OK AND DO YOU FEEL HOW OFTEN DO YOU FEEL BREATHLESS CAR0003-007 I'D SAY IT'S WORSE WHEN I WHEN I WALK MORE THAN FIFTY METERS THAT'S KIND OF THE MAIN LIKE THAT'S KIND OF THE MAIN TRIGGER JUST EXERTION CAR0003-008 OK AND WERE YOU ABLE TO WALK NORMALLY MORE THAN FIFTY METERS BEFORE TWO MONTHS CAR0003-009 THREE MONTHS AGO I WAS FINE CAR0003-010 OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE COUGH OR CHEST PAIN CAR0003-011 I HAVE A COUGH SOMETIMES CAR0003-012 OK BUT NOTHING LIKE CAR0003-014 CONSTANT NO OK AND DO YOU HAVE ANY WET COUGH OR ANY PRODUCTIVE COUGH OR ARE YOU CAR0003-015 PRODUCING LIKE SPUTUM OR PHLEGM CAR0003-016 I GUESS I'D SAY I HAVE THIS FROTHY SPUTUM OK AND HAS YOUR BREATHLESSNESS BEEN CAR0003-017 ANY WORSE AT ALL OVER THE LAST TWO CAR0003-018 MONTHS I WOULD SAY SO YES OK AND YOU MENTIONED LIKE EXERTION MAKES IT WORSE BUT ANYTHING ELSE LIKE GOING OUTSIDE OR EXPOSURE TO ANY CHEMICALS THAT MAKES IT WORSE CAR0003-020 I DON'T THINK SO OK AND HOW ABOUT A POSITIONAL CHANGES DOES LYING FLAT AT ALL MAKE IT WORSE CAR0003-021 I WOULD SAY SO YES I'M BASICALLY GASPING FOR AIR WHEN I LAY DOWN CAR0003-022 OK AND DO YOU EVER FIND YOURSELF WAKING UP AT NIGHT IN THE MIDDLE OF THE NIGHT TO CATCH YOUR BREATH CAR0003-023 NO CAR0003-024 NO OK AND WHEN DO YOU FEEL THE BREATHLESSNESS THE MOST IS IT MORE SO DURING THE DAY OR AT NIGHT CAR0003-025 I GUESS IT'S WORSE AT NIGHT BECAUSE I'M LAYING DOWN CAR0003-026 OK GREAT AND IN TERMS OF HOW MANY FLIGHTS OF STAIRS YOU CAN CLIMB BEFORE YOU START FEELING BREATHLESS DO YOU HAVE A NUMBER CAR0003-027 I WOULD SAY LIKE THREE FOUR CAR0003-028 THREE OR FOUR STEPS OK AND WAS THERE ANYTHING NEW THAT HAPPENED IN YOUR LIFE RECENTLY ANY NEW MEDICAL DIAGNOSIS RECENTLY OR ANY TRAVEL THAT HAPPENED BEFORE YOU STARTED HAVING THESE SYMPTOMS CAR0003-029 NO NOTHING LIKE THAT CAR0003-030 OK AND PRIOR TO TWO MONTHS HAVE YOU EVER HAD ANY SIMILAR EXPERIENCES CAR0003-031 PRIOR TO TWO MONTHS NO CAR0003-032 OK AND DOES ANYTHING MAKE IT BETTER LIKE ANY POSITIONAL CHANGES MAKES THE BREATHLESSNESS GO AWAY CAR0003-033 I GUESS WHEN I I'M NOT LAYING DOWN OR WHEN I'M LAYING DOWN I TRY TO ADD PILLOWS STACK PILLOWS SO THAT IT GETS BETTER CAR0003-034 OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE CHEST PAIN DIZZINESS ANYTHING LIKE THAT CAR0003-036 NO NO OK HAVE YOU RECENTLY TRAVELED OUTSIDE OF THE COUNTRY CAR0003-037 NO CAR0003-038 HAVE YOU RECENTLY HAD ANY SURGERIES CAR0003-039 NO RECENT SURGERIES NO CAR0003-040 OK ANY HEADACHE NAUSEA OR VOMITING CAR0003-042 NO OK ANY FEVERS OR CHILLS OR NIGHT SWEATS CAR0003-043 NO CAR0003-044 OK DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY CAR0003-046 YES I WORLD SAY SO OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL CAR0003-047 NO CAR0003-048 OK AND ANY CHEST PAIN AT ALL WITHIN THE LAST TWO MONTHS CAR0003-049 NO NO CHEST PAIN CAR0003-050 OK ANY SWELLING IN YOUR IN YOUR LEGS ANKLES OR IN YOUR HANDS AND ARMS CAR0003-051 THERE IS SOME SWELLING CAR0003-052 OK AND WHERE DO YOU WHERE ARE YOU GETTING THIS SWELLING CAR0003-053 AROUND MY LEGS CAR0003-054 OK AND HOW WHEN DID YOU FIRST NOTICE THIS CAR0003-055 AROUND THE SAME TIME ACTUALLY TWO MONTHS AGO CAR0003-056 OK HAVE YOU NOTICED ANY KIND OF FEVERS AT ALL CAR0003-058 NO NO OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT HAS BEEN ILL RECENTLY CAR0003-059 NO NO CAR0003-060 OK AND HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL CAR0003-061 NO CAR0003-062 ANY WEIGHT LOSS CAR0003-063 NO CAR0003-064 ANY NIGHT SWEATS OR CHILLS CAR0003-065 NO CAR0003-066 OK ANY APART FROM THE BREATHLESSNESS WHEN LAYING DOWN ANY OTHER ISSUES WITH YOUR SLEEP CAR0003-068 NO ANY CHANGES IN YOUR APPETITE CAR0003-070 OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD AT ALL CAR0003-071 NO CAR0003-072 OK ANY EXPOSURE TO TUBERCULOSIS IN THE PAST CAR0003-073 NOT THAT I KNOW OF CAR0003-074 OK ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR HOME OR WORK ENVIRONMENT CAR0003-075 NO CAR0003-076 OK ANY ANIMALS OR PETS IN THE HOUSE CAR0003-077 NO CAR0003-078 OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY HAS ANYONE TOLD YOU THAT YOU HAVE ANYTHING LIKE COPD OR ANY CARDIOVASCULAR ISSUES LIKE HIGH BLOOD PRESSURE CHOLESTEROL CAR0003-079 SO SO I HAVE HIGH BLOOD PRESSURE DIABETES CAR0003-080 AND HIGH CHOLESTEROL OK AND DO YOU TAKE ANY MEDICATIONS FOR THIS CAR0003-081 SO I TAKE ASPIRIN RAMIPRIL AND SIMVASTATIN CAR0003-082 OK AND HAVE YOU EVER HAD ANY CHEST PAIN OR HEART ATTACK IN THE PAST CAR0003-083 ACTUALLY I HAD A HEART ATTACK FOUR YEARS AGO CAR0003-084 OK AND DO YOU REMEMBER WHAT THEY DID FOR YOUR HEART ATTACK CAR0003-085 SOMETHING LIKE A STENT OR SOMETHING CAR0003-086 OK AND SINCE THEN YOU'VE BEEN ON THESE MEDICATIONS CAR0003-087 YES CAR0003-088 OK AND AFTER THEY MANAGED YOUR HEART ATTACK HAVE YOU EVER HAD SIMILAR SYMPTOMS TO WHEN YOU HAD YOUR HEART ATTACK CAR0003-090 NO NOTHING LIKE THAT OK DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS CAR0003-091 NO CAR0003-092 ANY ENVIRONMENTAL ALLERGIES CAR0003-093 NO CAR0003-094 OK AND HAVE YOU PREVIOUSLY HAD ANY SURGERIES IN THE PAST CAR0003-095 I GUESS THE STENTING CAR0003-096 JUST THE STENTING AND APART FROM THAT HAVE YOU HAD ANY OTHER PREVIOUS HOSPITALIZATIONS CAR0003-097 NO CAR0003-098 OK AND ANY FAMILY HISTORY OF ANY CANCERS OR HEART ATTACKS CAR0003-099 MY FATHER DIED OF A HEART ATTACK WHEN HE WAS SIXTY CAR0003-100 OK AND CURRENTLY DO YOU WORK AT ALL CAR0003-101 I DO I WORK AS CAR0003-102 A CASHIER OK AND HAS THE SHORTNESS OF BREATH BEEN AFFECTING YOUR DAILY ROUTINE AT HOME OR AT WORK AT ALL CAR0003-103 I WOULD SAY SO IT'S BEEN HARD TO MAKE IT TO WORK AND THEN STANDING AROUND ALL DAY OR IF I HAVE TO GO HELP OUT WITH SOMETHING AND EXERT MYSELF TOO MUCH I GET SHORT OF BREATH CAR0003-104 OK AND AT HOME DO YOU CURRENTLY LIVE WITH ANYONE OR DO YOU LIVE BY YOURSELF CAR0003-105 I LIVE BY MYSELF CAR0003-106 OK AND DO YOU LIVE IN AN APARTMENT OR HOUSE CAR0003-107 I LIVE IN AN APARTMENT CAR0003-108 OK AND ARE THERE ANY EXPOSURES LIKE DUST OR MOLD OR ASBESTOS IN YOUR HOME ENVIRONMENT CAR0003-109 NO CAR0003-110 OK AND CURRENTLY DO YOU SMOKE CAR0003-111 NOT RIGHT NOW I USED TO SMOKE I USED TO SMOKE TEN A DAY FOR LIKE FORTY YEARS CAR0003-112 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA CAR0003-113 NO CAR0003-114 ANY ALCOHOL CAR0003-115 NO CAR0003-116 AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET THREE MEALS A DAY CAR0003-117 A WELL BALANCED DIET I WOULDN'T SAY WELL BALANCED I'M TRYING TO EAT HEALTHIER CAR0003-118 BUT DOESN'T ALWAYS HAPPEN OK AND HOW ABOUT EXERCISE DO YOU FIND THAT YOUR EXERCISE LEVELS OR ACTIVITY LEVELS HAVE GONE DOWN IN THE LAST TWO MONTHS CAR0003-119 YES CAR0003-120 OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAVE OR SOMETHING I MAY HAVE MISSED TO ASK YOU TODAY CAR0003-121 NO I DON'T THINK SO CAR0003-122-1 OK SO BASED ON WHAT WE TALKED ABOUT FROM YOUR SWELLING AS WELL AS BREATHLESSNESS WHILE LAYING DOWN AND YOUR PAST HISTORY OF A HEART ATTACK CAR0003-122-2 AND HIGH CHOLESTEROL IT MAY BE LIKELY WITH THE MEDICATIONS YOU ARE ON AS WELL AS YOUR HISTORY THAT YOU MIGHT BE HAVING WHAT'S CALLED CONGESTIVE HEART FAILURE CAR0003-122-3 SO WE WILL NEED TO DO FURTHER INVESTIGATIONS TO DETERMINE IF THAT IS WHAT IT IS AND IF WE NEED TO GET YOU ON SOMETHING LIKE CAR0003-122-4 LASIX OR A DIURETIC TO GET RID OF SOME OF THE FLUID THAT'S BUILDING UP IN YOUR BODY WHICH MAY BE CAUSED BY HEART FAILURE CAR0003-122-5 SO WE'LL DO SOME INVESTIGATIONS AND THEN GO FROM THERE GAS0001-000 WHAT BRINGS YOU IN TODAY GAS0001-001 I'VE JUST BEEN FEELING LIKE VERY NAUSEATED FOR IT FEELS LIKE ALL THE TIME RIGHT NOW GAS0001-002 WHEN DID THIS START GAS0001-003 IT'S BEEN OVER A WEEK MAYBE NOT QUITE TWO WEEKS BUT LIKE AROUND THEN MAYBE LIKE NINE DAYS GAS0001-004 AND IS IT DO YOU ALWAYS HAVE THE SENSATION OF NAUSEA OR IS IT RELATED OR DOES IT COME AND GO GAS0001-005 I THINK IT'S LIKE WORSE WHEN I AM SMELLING SOMETHING REALLY BAD AND IT'S WORSE IN THE MORNING BUT I FEEL LIKE IT'S ALWAYS KIND OF THERE GAS0001-006 I SEE OK HAVE YOU HAD ANY VOMITING GAS0001-007 LIKE LIKE A LOT OF DAYS I'LL THROW UP LIKE ONCE OR TWICE GAS0001-008 AND THIS HAS ALL BEEN OVER THE PAST WEEK WEEK TWO WEEKS OR SO GAS0001-009 OK ANY OTHER SYMPTOMS THAT YOU HAVE GAS0001-010 NO JUST WELL LIKE I FEEL LIKE I'VE I'VE HAD TO PEE A LOT MORE BUT I DON'T I DON'T THINK THAT'S LIKE RELATED I THINK MAYBE I HAVE JUST BEEN DRINKING A LOT OF WATER SO GAS0001-011 HOW OFTEN DO YOU HAVE TO PEE GAS0001-012 LIKE I FEEL LIKE EVERY COUPLE HOURS RIGHT NOW GAS0001-013 OK SO SAY EVERY TWO HOURS EVERY HOUR EVERY FIVE HOURS GAS0001-014 PROBABLY EVERY PROBABLY EVERY LIKE TWO MAYBE MAYBE EVERY HOUR I GET CERTAIN TIMES IN A DAY GAS0001-015 DO YOU WAKE UP AT NIGHT TO PEE GAS0001-016 LIKE IT DOESN'T WAKE ME UP BUT IT'S LIKE I WAKE UP BECAUSE I HEAR SOMETHING THEN I'LL BE LIKE OH I THINK I SHOULD PROBABLY GO TO THE BATHROOM GAS0001-017 DO YOU FEEL LIKE YOU HAVE CONTROL OVER WHEN YOU ARE GOING TO BATHROOM OR IS IT DIFFICULT FOR YOU TO HOLD IT IN GAS0001-018 I I I CAN CONTROL IT IT'S JUST LIKE UNCOMFORTABLE RIGHT GAS0001-019 I SEE I SEE SO YOU HAVE URINARY FREQUENCY BUT DO YOU DO YOU FEEL LIKE SO YOU SAID THAT YOU CAN CONTROL IT YOU DON'T YOU DON'T FEEL LIKE YOU NEED TO RUN TO THE BATHROOM OR YOU'LL PEE IN YOUR PANTS GAS0001-020 NO I DON'T FEEL LIKE THAT GAS0001-021 OK DO YOU HAVE ANY PAIN WHEN YOU'RE PEEING GAS0001-022 NO GAS0001-023 NO OK ALRIGHT DO YOU FEEL LIKE YOU'VE BEEN MORE THIRSTY RECENTLY WHY DO YOU FEEL YOU'VE BEEN DRINKING MORE MORE WATER GAS0001-024 I THINK I THINK JUST CAUSE LIKE I WAS GETTING I WAS LIKE THROWING UP LIKE SO LIKE I FEEL LIKE I WAS A LITTLE DEHYDRATED GAS0001-025 WELL I SEE OK HAVE YOU OTHER THAN THE NAUSEA AND VOMITING HAVE YOU HAD ANY OTHER STOMACH RELATED ISSUES GAS0001-026 ANY BELLY PAIN OR CHANGES IN YOUR BOWEL MOVEMENTS NO I DON'T THINK SO WELL MY STOMACH HAS BEEN LIKE IT FEELS LIKE A LITTLE CRAMPY I THOUGHT THAT MAYBE IT COULD BE MY PERIOD BUT LIKE I'M NOT ON MY PERIOD GAS0001-027 WHEN DID YOU LAST HAVE YOUR PERIOD GAS0001-028 WELL LET ME THINK LIKE SIX WEEKS AGO I GUESS THAT WOULD BE I DON'T KNOW I DON'T REALLY LIKE KEEP TRACK GAS0001-029 OK OK DO YOU KNOW IF YOU GET YOUR PERIODS REGULARLY OR ARE YOUR PERIODS IRREGULAR GAS0001-030 I THINK THEY'RE I THINK THEY'RE USUALLY PRETTY REGULAR BUT I DON'T I DON'T LIKE I DON'T GAS0001-031 CALCULATE IT LIKE TO THE DAY GAS0001-032 TRUE IS IT IS IT NORMAL FOR YOU TO GO SIX WEEKS WITHOUT A PERIOD GAS0001-033 COME TO THINK OF IT I DON'T I DON'T THINK SO GAS0001-034-1 ALRIGHT OK HAVE YOU I'LL JUST ASK YOU A COUPLE MORE QUESTIONS ABOUT YOUR SYMPTOMS SO I KNOW THAT YOU'VE BEEN NAUSEOUS AND HAVE VOMITED A COUPLE OF TIMES IN THE PAST TWO WEEKS GAS0001-034-2 AND YOU HAVE HAD SOME CRAMPS IN YOUR BELLY HAVE YOU HAD ANY FLU LIKE SYMPTOMS GAS0001-035 NO GAS0001-036 NOTHING LIKE THAT GAS0001-037 I DON'T THINK SO GAS0001-038 ANY HEADACHES GAS0001-039 NO GAS0001-040 ANY FEVERS GAS0001-041 NO GAS0001-042 MUSCLE ACHES GAS0001-043 NO GAS0001-044 OK HAVE YOU HAVE YOU HAD A COUGH AT ALL GAS0001-045 NO GAS0001-046 OK AND HAVE YOU NOTICED ANY BLOOD IN YOUR STOOLS GAS0001-047 NO GAS0001-048 HAVE YOU YOU HAVEN'T HAD ANY PALPITATIONS OR CHEST PAIN OR ANYTHING OF THAT SORT GAS0001-049 NO GAS0001-050 ALRIGHT CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL ISSUES MEDICAL CONDITIONS THAT YOU HAVE GAS0001-051 NOTHING NOTHING REALLY GAS0001-052 OK HAVE YOU BEEN TAKING ANY MEDICATIONS GAS0001-053 NO I MEAN I'VE BEEN TAKING LIKE LIKE I'VE BEEN CHEWING LIKE THOSE GINGER THINGS THAT ARE SUPPOSED TO HELP WITH NAUSEA BUT THEY WEREN'T REALLY HELPFUL GAS0001-054 I SEE ANY ALLERGIES GAS0001-055 SO JUST LIKE NICKEL LIKE IN JEWELRY IF I WEAR NOT REAL JEWELLERY IT'LL GIVE ME A RASH BUT IT'S NOT FOOD OR LIKE OR MEDICATIONS OR ANYTHING GAS0001-056 AND A COUPLE OF QUESTIONS ABOUT YOUR SOCIAL HISTORY WHO DO YOU CURRENTLY LIVE WITH GAS0001-057 LIKE I I JUST I LIVE WITH ONE ROOMMATE GAS0001-058 AND DO YOU CURRENTLY SMOKE GAS0001-059 NO GAS0001-060 DO YOU DON'T SMOKE OK HAVE YOU DO YOU CONSUME ALCOHOL GAS0001-061 NO VERY RARELY BECAUSE I ALWAYS GET A HEADACHE GAS0001-062 OK WHEN WAS THE LAST DRINK THAT YOU HAD GAS0001-063 GOSH LIKE LIKE A MONTH AGO PROBABLY GAS0001-064 OK AND YOU CONSUME ANY ILLICIT DRUGS GAS0001-065 NO NO GAS0001-066 ALRIGHT ARE YOU CURRENTLY SEXUALLY ACTIVE GAS0001-067 JUST LIKE WITH MY BOYFRIEND GAS0001-068 AND DO YOU USE PROTECTION WHILE HAVING SEX GAS0001-069 WE WE JUST USE CONDOMS I USED TO BE ON BIRTH CONTROL BUT IT ALWAYS MADE ME GAS0001-070 FEEL LIKE LIKE KIND OF SICK SO I DON'T USE THAT ANYMORE GAS0001-071 I SEE OK AND LET'S SEE FAMILY HISTORY DO YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY GAS0001-072 LIKE I DON'T I DON'T THINK SO I GUESS MY DAD MY DAD HAS LIKE HIGH BLOOD PRESSURE I DON'T THINK THERE'S ANYTHING ELSE GAS0001-073 ALRIGHT ALRIGHT WELL THANK YOU SO MUCH FOR SPENDING TIME WITH ME TODAY I THINK I HAVE GATHERED ALL THE INFORMATION THAT I WOULD HAVE LIKED I WILL GO TALK TO MY ATTENDING WE'LL COME BACK AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN SHARE THE PLAN WITH YOU GAS0001-074 OK THANK YOU GAS0001-075 YOU'RE WELCOME GAS0002-000 I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN TO THE EMERGENCY DEPARTMENT TODAY GAS0002-001 SO NICE TO MEET YOU I'VE BEEN HAVING THIS PAIN RIGHT IN MY ABDOMEN IT'S KIND OF LIKE IN THE UPPER RIGHT AREA GAS0002-002 OK AND SO WHEN WHERE IS THIS PAINTING LOCATED EXACTLY GAS0002-003 SO IT'S JUST IN THE UPPER RIGHT CORNER OF MY ABDOMEN RIGHT BELOW WHERE THE LUNGS ARE AND IT IT'S JUST I HAVE THIS SEVERE PAIN THAT'S GOING ON GAS0002-004 OK AND HOW LONG IS IT BEEN GOING ON FOR GAS0002-005 SO IT'S BEEN GOING ON FOR THE LAST FEW DAYS AND IT GOT WORSE TODAY GAS0002-006 OK AND HOW LONG IS IT BEEN SINCE IT'S LIKE GOT GOT WORSE HAS THIS BEEN A FEW HOURS OR OR HOW LONG IS THAT BEEN GAS0002-007 SO I WOULD SAY IT GOT WORSE JUST THREE OR FOUR HOURS AGO BEFORE I CAME TO THE EMERGENCY DEPARTMENT GAS0002-008 OK AND DOES THE PAIN RADIATE ANYWHERE GAS0002-009 NO IT STAYS RIGHT IN THE IN THE SPOT THAT I TOLD YOU RIGHT IN THE RIGHT UPPER CORNER GAS0002-010 OK AND WHEN DID THE PAIN START OR IF YOU COULD TELL ME WHAT WERE YOU DOING RIGHT PRIOR TO THE PAIN STARTING GAS0002-011 SO I THINK IT STARTED AFTER JUST THREE DAYS AGO AFTER I HAD A MEAL LIKE I I THINK IT WAS AFTER LUNCH AROUND HALF AN HOUR OR AN HOUR AFTER LUNCH GAS0002-012 I SEE OK HAS THE PAIN GOTTEN WORSE STAYED THE SAME OR GOTTEN BETTER SINCE SINCE YESTERDAY GAS0002-013 I THINK IT'S GOTTEN IT WAS IT'S THE WORST TODAY LIKE ESPECIALLY LIKE A FEW HOURS AGO LIKE THREE HOURS AGO IT WAS MUCH WORSE THAN THE OTHER TWO DAYS GAS0002-014 OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN GAS0002-015 SO IT'S LIKE A SHARP I WOULD DESCRIBE IT AS LIKE A SHARP PAIN GAS0002-016 OK AND ON A SCALE OF ONE TO TEN TEN BEING THE MOST SEVERE PAIN WHAT WOULD YOU RATE IT AS GAS0002-017 I WOULD RATE IT AS RIGHT NOW I WOULD RATE IT AS AN EIGHT GAS0002-018 OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE GAS0002-019 I THINK IT HAPPENED TO ME A FEW YEARS BACK WHERE I HAD THIS PAIN AND THEN IT JUST KIND OF WENT AWAY ON ITS OWN I DIDN'T GO TO THE EMERGENCY DEPARTMENT THEN THOUGH GAS0002-020 OK AND HAS THERE BEEN ANYTHING THAT YOU'VE TRIED TO MAKE THIS PAIN ANY BETTER GAS0002-021 I TRIED TAKING JUST LIKE ADVIL AND TYLENOL BUT IT DIDN'T REALLY SEEM TO HELP THE PAIN TOO MUCH GAS0002-022 OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS SUCH AS NAUSEA GAS0002-023 OR OR VOMITING I'VE I'VE HAD SOME NAUSEA OVER THE PAST FEW DAYS BUT I HAVEN'T VOMITED ANYTHING GAS0002-024 OK SO NO BLOOD IN YOUR EMESIS OR OR GAS0002-025 OR NO VOMITING AT ALL OK AND HAVE YOU TRAVELED GAS0002-026 ANYWHERE RECENTLY NO LIKE WE HAVEN'T TRAVELED ANYWHERE RECENTLY GAS0002-027 OK AND HOW HAS YOUR ENERGY LEVELS BEEN GAS0002-028 ENERGY WHEN IT'S HURTING A LOT LIKE TODAY I'VE BEEN IT'S BEEN DIFFICULT TO MOVE AROUND I'VE BEEN PRETTY DRAINED FROM THE PAIN BUT OTHERWISE OVER THE LAST FEW DAYS IT HASN'T AFFECTED ME TOO MUCH BUT TODAY I WOULD SAY MY ENERGY LEVELS ARE DOWN GAS0002-029 OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR ANY RASHES GAS0002-030 I DON'T THINK SO I MEAN I DON'T THINK I'VE NOTICED ANY KIND OF SKIN CHANGES GAS0002-031 OK AND HOW ABOUT ANY CHANGES TO URINARY HABITS LIKE PAINFUL URINATION OR THE COLOR OF YOUR URINE GAS0002-032 NO NO NO CHANGES GAS0002-033 OK AND HAVE YOU HAD ANY CHANGES TO BOWEL PATTERNS SUCH AS DIARRHEA OR CHANGES IN COLOR OF YOUR STOOL GAS0002-034 NO I DON'T THINK SO NO CHANGES THAT I'VE NOTICED GAS0002-035 OK SO NOTICE ANY BLOOD IN THE STOOL GAS0002-036 NO NO BLOOD GAS0002-037 OK AND HOW HAS YOUR APPETITE BEEN GAS0002-038 IT'S IT WAS AROUND THE SAME BEFORE THE PAIN ACTUALLY STARTED GETTING WORSE SO TODAY I DIDN'T REALLY FEEL LIKE EATING I DID HAVE NAUSEA OVER THE PAST FEW DAYS BUT MY APPETITE I WOULD SAY IS THE WORST TODAY GAS0002-039 OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR WEIGHT RECENTLY GAS0002-040 NO I DON'T THINK SO GAS0002-041 OK AND HAVE YOU HAD ANY RECENT INFECTIONS GAS0002-042 NO NOT NOT THAT I KNOW OF GAS0002-043 OK SO NEXT JUST TO ASK SOME QUESTIONS ABOUT YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST GAS0002-044 SO I THINK THE ONLY THING IS MY DOCTOR TOLD ME THAT I SHOULD LOSE SOME WEIGHT BUT OTHER THAN THAT NO MEDICAL HISTORY GAS0002-045 OK AND ANY ALLERGIES TO MEDICATIONS GAS0002-046 NO NO ALLERGIES GAS0002-047 AND ARE THERE ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS EITHER PRESCRIBED OR OVER THE COUNTER GAS0002-048 NOT PRESCRIBED SOMETIMES I TAKE LIKE SOME ANTACIDS WHEN I GET HEARTBURN BUT THIS IS JUST LIKE A COUPLE TIMES A MONTH AFTER DINNER SOMETIMES AT NIGHT BUT THAT'S ABOUT IT GAS0002-049 OK AND ANY GAS0002-050 HOSPITALIZATIONS JUST FOR JUST WHEN I HAD MY CHILDREN AT GAS0002-051 THE TIME OF THEIR BIRTH BUT THAT'S IT OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK GAS0002-052 NO GAS0002-053 OK AND HAVE YOU HAD ANY PRIOR SURGERIES GAS0002-054 NOPE NO PRIOR SURGERIES GAS0002-055 OK AND ANY FAMILY HISTORY OF GALLBLADDER DISEASE OR CARDIOVASCULAR DISEASE IN THE FAMILY GAS0002-056 SO MY FATHER DIED OF A STROKE WHEN HE WAS IN HIS SIXTIES MY MOTHER DOES HAVE GALLSTONES GAS0002-057 OK AND WHAT DO YOU DO FOR WORK GAS0002-058 SO I WORK IN AT THE BANK OK AS A GAS0002-059 CONSULTANT OK GAS0002-060 AND DO YOU DRINK ALCOHOL YES SOMETIMES OK LIKE MAYBE GAS0002-061 ONE OR TWO GLASSES OF WINE EVERY NIGHT OK AND DO YOU FEEL GAS0002-063 CUT DOWN ON YOUR DRINKING NO NOT REALLY OK HAVE YOU EVER FELT ANNOYED GAS0002-065 BY PEOPLE CRITICIZING YOUR DRINKING NO OK GAS0002-066 HAVE YOU FELT GUILTY GAS0002-067-1 ABOUT YOUR DRINKING NO SO SHOULD I BE NO AT THE AT THIS TIME JUST WANTING TO GAUGE A SENSE OF HOW YOU FEEL ABOUT YOUR DRINKING LEVELS AT THIS TIME GAS0002-067-2 AND THE FOLLOW UP QUESTION TO THAT WOULD BE GAS0002-068 HAVE YOU EVER FELT THE NEED TO HAVE A DRINK EARLY IN THE MORNING GAS0002-069 NO NO I'VE NEVER DRANK I DON'T GAS0002-070 DRINK IN THE MORNING GAS0002-071 OK AND DO YOU USE RECREATION GAS0002-073 DRUGS NO NEVER OK AND DO YOU SMOKE CIGARETTES GAS0002-076 LIVING WITH MY TWO CHILDREN AND MY PARTNER AND CAN YOU TELL ME A LITTLE BIT ABOUT THE HOME SITUATION THE HOME SITUATION IS FINE LIKE KIDS ARE DOING GREAT AND MY PARTNER IS VERY SUPPORTIVE NO NO ISSUES THAT I CAN THINK OF AT HOME GAS0002-077 OK EXCELLENT GAS0003-000 WHAT BRINGS YOU IN HERE TODAY GAS0003-001 HI I'M I I HAVE A PAIN IN MY BELLY IT STARTED A COUPLE HOURS AGO GAS0003-002 OK AND WHERE EXACTLY IN YOUR BELLY DO YOU HAVE THIS PAIN GAS0003-003 IT'S MOSTLY UP HERE ON THE RIGHT SIDE GAS0003-004 THE RIGHT SIDE OK AND CAN YOU DESCRIBE WHAT KIND OF PAIN IS IT IS IT LIKE A DULL PAIN OR SHARP PAIN AN ACHING PAIN GAS0003-005 I I GUESS IT'S A IT'S AN ACHING PAIN I'D SAY IT KIND OF JUST IT WOULD INITIALLY JUST COME AND GO BUT NOW IT'S JUST IT'S STAYING IT'S NOT GOING AWAY GAS0003-006 OK AND SO IT'S IN THE RIGHT AREA AND DOES IT TRAVEL ANYWHERE ELSEWHERE BESIDES ON FROM THE RIGHT SIDE GAS0003-007 NO GAS0003-008 OK AND ON A SCALE OF ONE TO TEN ONE BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND TEN BEING THE WORST HOW MUCH WOULD YOU RATE IT RIGHT NOW GAS0003-009 IT'S ABOUT TO A TEN AN EIGHT MAYBE GAS0003-010 AN EIGHT OK AND SO JUST TO CLARIFY WHEN DID IT START GAS0003-011 ABOUT EIGHT HOURS AGO GAS0003-012 EIGHT HOURS AGO OK AND WERE YOU DOING ANYTHING BEFORE LIKE DID YOU HAVE A MEAL OR HOW WERE YOU SLEEPING BEFORE IT WOKE YOU UP WHAT WAS GOING ON BEFORE YOU HAD THE PAIN GAS0003-013 I WAS JUST ABOUT TO GO TO SLEEP I WASN'T DOING ANYTHING IN PARTICULAR AT THE TIME GAS0003-014 OK AND HAS IT BEEN GETTING WORSE SINCE IT FIRST STARTED GAS0003-015 OH DEFINITELY IT WOULD COME AND GO BUT NOW FOR THE PAST I'D SAY FIVE TO SIX HOURS IT'S BEEN CONSTANT JUST THERE ALL THE TIME GAS0003-016 OK AND HAVE YOU HAD ANY SIMILAR PAIN LIKE THIS IN THE PAST GAS0003-017-1 I I I HAVE THE SAME PAIN THAT SORT OF COMES AND GOES AFTER I EAT GAS0003-017-2 USUALLY AFTER I'VE HAD SOMETHING LIKE A SOMETHING FATTY SOMETHING FROM OUTDOORS MAYBE LIKE A BURGER OR FRIES OR SOMETHING I INITIALLY THOUGHT IT WAS INDIGESTION BUT I DON'T I DON'T KNOW WHAT'S GOING ON NOW GAS0003-018 OK AND DOES IT DOES ANYTHING MAKE IT BETTER OR WORSE OR ANYTHING THAT YOU'VE TRIED GAS0003-019 WELL I GUESS EATING SOMETIMES MAKES IT WORSE BUT I DON'T I DON'T THINK THERE'S ANYTHING THAT'S MAKING IT BETTER GAS0003-020 OK HAVE YOU TRIED ANY MEDICATIONS AT ALL GAS0003-021 I TRIED TYLENOL BUT THAT DIDN'T DO ANYTHING GAS0003-022 OK AND BESIDES THE PAIN THAT YOU'RE HAVING DO YOU HAVE ANY NAUSEA AND VOMITING GAS0003-023 I AM A LITTLE NAUSEOUS BUT NO I DIDN'T HAVEN'T HAD I HAVEN'T VOMITED YET NO GAS0003-024 OK AND HAVE YOU BEEN HAVING ANY FEVERS GAS0003-025 I DON'T THINK SO I HAVEN'T CHECKED I DON'T FEEL FEVERISH GAS0003-026 ANY SWEATS OR LIKE CHILLS GAS0003-027 NO I DON'T THINK SO GAS0003-028 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA GAS0003-029 NO GAS0003-030 OK HAVE YOU TRAVELED ANYWHERE RECENTLY GAS0003-031 NO I HAVEN'T GAS0003-032 HAVE YOU BEEN FEELING AT ALL VERY TIRED NOT YOUR USUAL SELF FATIGUED GAS0003-033 WELL THE PAIN IS MAKING IT DIFFICULT FOR ME TO DO THINGS BUT I I GUESS I'M NOT A LITTLE FATIGUED MAYBE GAS0003-034 OK HAVE YOU BEEN HAVING ANY CHANGES IN YOUR URINARY PATTERNS GAS0003-035 NO GAS0003-036 NO ANY CHANGES IN YOUR SKIN AND YOU RASHES ANY YELLOWING OF YOUR SKIN GAS0003-037 NOTHING THAT I'VE NOTICED NO I DON'T THINK SO GAS0003-038 OK ANY CHANGES IN YOUR URINE COLOR GAS0003-039 NO GAS0003-040 OK HAVE YOU NOTICED BLOOD IN YOUR STOOLS AT ALL GAS0003-041 I HAVE NOT NO GAS0003-042 OK AND HOW ABOUT YOUR APPETITE HAS THIS CHANGED AT ALL GAS0003-043 WELL I GUESS BECAUSE IT'S THIS THING HAPPENS USUALLY HAPPENS AFTER I EAT I THINK I'VE BEEN EATING LESS THAN USUAL JUST BECAUSE I DON'T I DON'T WANT TO YOU KNOW I DON'T LIKE THE PAIN GAS0003-044 ANY SIGNIFICANT WEIGHT LOSS RECENTLY GAS0003-045 I DON'T THINK SO GAS0003-046 OK ANY RECENT INFECTIONS RECENTLY AT ALL GAS0003-047 NO GAS0003-048 AND OTHERWISE ARE YOU DO YOU HAVE ANY OTHER MEDICAL CONDITIONS LIKE DIABETES HIGH BLOOD PRESSURE OR ANYTHING ELSE GAS0003-049 I DO HAVE DIABETES BUT THAT'S ABOUT IT I THINK GAS0003-050 AND YOU TAKE ANYTHING FOR YOUR DIABETES GAS0003-051 I TAKE METFORMIN GAS0003-052 OK DO YOU TAKE ANY OTHER MEDICATIONS AT ALL GAS0003-053 NO I DON'T SORRY NO GAS0003-054 NO WORRIES DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS NO ANY ENVIRONMENTAL ALLERGIES GAS0003-055 NO NO I DON'T GAS0003-056 OK AND HAVE YOU BEEN HOSPITALIZED IN THE PAST GAS0003-057 NO NO I HAVEN'T EVER I'VE BEEN VERY HEALTHY NO HOSPITALIZATIONS GAS0003-058 ANY PAST SURGERIES GAS0003-059 I GOT MY WISDOM TEETH REMOVED WHEN I WAS A TEENAGER GAS0003-060 OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY GAS0003-061 NO I DON'T THINK SO GAS0003-062 OK AND IN TERMS OF YOUR FAMILY HISTORY HAS ANYONE HAD ANY CANCERS OR ANY ERR IBD LIKE CROHN'S DISEASE OR ULCERATIVE COLITIS GAS0003-063 NO NOT THAT I KNOW OF GAS0003-064 OK AND ANYTHING THAT RUNS IN THE FAMILY AT ALL GAS0003-065 MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS SIXTIES BUT THAT'S IT GAS0003-066 OK AND CURRENTLY RIGHT NOW DO YOU WORK GAS0003-067 NO I'M I'M LAID OFF BECAUSE OF COVID GAS0003-068 OK AND CURRENTLY WHAT IS YOUR HOME SITUATION LIKE GAS0003-069 WHAT DO YOU MEAN GAS0003-070 SO DO YOU LIVE IN AN APARTMENT HOUSE AND DO YOU LIVE WITH ANYONE GAS0003-071 I I I LIVE IN AN APARTMENT I LIVE ALONE GAS0003-072 OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET ENOUGH EXERCISE DO YOU GO OUTSIDE FOR WALKS OR RUNS OR ANYTHING LIKE THAT GAS0003-073 I USUALLY GO OUT FOR A RUN ESPECIALLY WHEN IT'S A LITTLE BIT WARMER WHICH IT NOW IS GAS0003-074 AND DO YOU DO YOU DRINK ALCOHOL GAS0003-075 SOMETIMES GAS0003-076 HOW MUCH WOULD YOU SAY YOU DRINK IN AN AVERAGE WEEK GAS0003-077 ONE TO TWO DRINKS A A GAS0003-078 A DAY OK AND WHAT DO YOU USUALLY DRINK GAS0003-079 I'LL JUST DRINK A GLASS OF WINE AT NIGHT JUST HELPS ME RELAX GAS0003-080 OK AND DO YOU SMOKE CIGARETTES GAS0003-081 I DON'T NO GAS0003-082 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA GAS0003-083 NO I DON'T GAS0003-084 OK ALRIGHT SO THAT'S ALL THE QUESTIONS I HAVE AND JUST TO CLARIFY DOES YOUR PAIN COME AND GO OR IS IT CONSTANT GAS0003-085 YES SO INITIALLY IT WOULD COME AND GO BUT NOW SO FOR THE FIRST TWO HOURS IT WOULD COME AND GO AND WHEN I WOULD HAVE THIS PAIN WHEN I WAS EATING IT WOULD COME AND GO BUT OVER THE PAST SIX HOURS IT'S JUST BEEN CONSTANT GAS0003-086 OK ALRIGHT GAS0004-000 I UNDERSTAND THAT YOU'VE BEEN HAVING SOME DIARRHEA CAN YOU TELL ME A LITTLE BIT ABOUT THAT GAS0004-001 SURE I HAD I'VE BEEN HAVING DIARRHEA FOR THE PAST THREE TO FOUR DAYS AND IT'S BEEN PRETTY BAD I COULDN'T GO I COULDN'T GO TO MY CLASSES HAD TO SKIP BECAUSE IT WAS JUST IT WAS JUST EMBARRASSING GAS0004-002 OK I'M SORRY TO HEAR THAT HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE GAS0004-003 HAVE I EXPERIENCED SOMETHING LIKE THIS BEFORE NO I DON'T THINK SO GAS0004-004 OK AND OVER THE THREE OR FOUR DAYS HAVE YOUR STOOLS ALL BEEN LOOSE OR HAVE YOU HAD SOME SOLID ONES IN BETWEEN GAS0004-005 I THINK THEY'VE MOSTLY BEEN LOOSE I THINK THEY'VE ALL BEEN LOOSE ACTUALLY IF I THINK ABOUT IT GAS0004-006 OK AND HOW MANY TIMES A DAY HAVE YOU BEEN HAVING EPISODES OF DIARRHEA GAS0004-007 OH MY GOD I HAVE I'VE LOST COUNT I'M GOING EVERY EVERY HOUR GAS0004-008 OK EVERY HOUR OK AND THEN YOU NOTICE ANY CHANGES IN THE COLOR OF YOUR STOOL GAS0004-009 NO IT'S BROWN GAS0004-010 OK ANY BLOOD IN YOUR STOOL THAT YOU'VE NOTICED GAS0004-011 NOT REALLY I DON'T THINK SO I DON'T LOOK THAT MUCH TO BE HONEST GAS0004-012 OK HAVE YOU NOTICED ANY ANY PAIN ASSOCIATED WITH IT GAS0004-013 WELL I DIDN'T START OFF WITH PAIN BUT I I I DO HAVE A BIT OF A CRAMP NOW SINCE YESTERDAY IT'S JUST IT HURTS IT HURTS SOMETIMES IT COMES AND GOES GAS0004-014 OK AND DO YOU FEEL THAT WHEN IT DO YOU FEEL THAT YOU STILL HAVE CONTROL OVER LIKE RELEASING IT TO LIKE DOES IT COME ON AND YOU DON'T EVEN NOTICE THAT IT HAS HAPPENED OR YOU STILL ARE ABLE TO KIND OF HAVE A WARNING BEFORE YOU GET TO THE TOILET GAS0004-015 NO I DO GET A WARNING BUT IT'S JUST I I DO NEED TO GET TO THE TOILET REALLY FAST GAS0004-016 OK AND BEFORE THIS HAPPENED HAVE YOU NOTICED HAVE YOU IS THERE ANYTHING THAT YOU'VE DONE DIFFERENTLY THAT YOU'VE BEEN EATING DIFFERENTLY OR ANY OTHER CHANGES THAT HAVE HAPPENED IN YOUR LIFE RECENTLY GAS0004-017 I I I DID GO TO I DID GO TO A NEW RESTAURANT FIVE DAYS AGO GAS0004-018 OK WHAT DID YOU HAVE THERE GAS0004-019 I I JUST GOT SOME RICE WITH CHICKEN MANCHURIAN IT WAS A NICE LITTLE CHINESE RESTAURANT AND GAS0004-020 DID ANYONE ELSE HAVE THE SAME THING THAT YOU DID THAT YOU WERE WITH GAS0004-021 NO NOT REALLY I WENT WITH MY FRIEND AND I HAVEN'T REALLY HAVEN'T TALKED TO HER ABOUT THIS I NEVER REALLY THOUGHT THAT THESE WERE RELATED THAT THIS WAS RELATED TO THAT GAS0004-022-1 AND THEN IT'S YOU KNOW ABSOLUTELY POTENTIALLY NOT LIKE MAYBE NOT IT COULD POSSIBLY BE GAS0004-022-2 SO NOT TO NOT TO WORRY YOU ABOUT THAT WE JUST LIKE TO GET AN IDEA OF KIND OF THE WHOLE PICTURE OF WHAT YOU'RE COMING IN WITH GAS0004-022-3 SO IN TERMS OF THE LAST THREE TO FOUR DAYS HAVE YOU EXPERIENCED ANY NAUSEA OR VOMITING GAS0004-023 I HAVE ACTUALLY BUT IT'S NOT BEEN AS BAD AS THE DIARRHEA I DIDN'T EVEN I DIDN'T I WASN'T EVEN THINKING ABOUT THAT I I DID VOMIT I THINK TWICE YESTERDAY GAS0004-024 OK HAVE YOU NOTICED ANY BLOOD IN THE VOMIT GAS0004-025 NO IT'S JUST WATERY GAS0004-026 AND ARE YOU NAUSEATED ALL THE TIME OR IS IT KIND OF ON AND OFF GAS0004-027 IT'S ON AND OFF GAS0004-028 OK HAVE YOU TAKEN ANY ANY OVER THE COUNTER MEDICINE OR ANYTHING TO HELP GAS0004-029 NOT REALLY I WAS JUST TRYING TO DRINK A LOT OF WATER CAUSE I I KNOW THAT I CAN GET DEHYDRATED SO JUST DRINKING LOTS OF WATER GAS0004-030 OK WELL THAT'S GOOD TO HEAR HAVE YOU HAVE YOU BEEN EATING NORMALLY OR HAVE YOU NOT BEEN EATING AS MUCH AS YOU REGULARLY DO GAS0004-031 I HAVE BEEN EATING LESS SPECIALLY SINCE YESTERDAY WHEN I HAD MY THESE ABDOMINAL CRAMPS STARTED I JUST DON'T FEEL LIKE EATING GAS0004-032 OK IS THERE ANYTHING THAT HAS BEEN MAKING IT WORSE GAS0004-033 MAKING WHAT WORSE GAS0004-034 JUST IN GENERAL LIKE IS THERE ANYTHING THAT YOU'RE FINDING MAKES YOUR NAUSEA OR YOUR DIARRHEA COME ON GAS0004-035 NOT REALLY I DON'T THINK SO GAS0004-036 DO YOU NOTICE ANY CHANGES TO YOUR URINE OR ANY DISCOMFORT WHEN GOING TO THE BATHROOM GAS0004-037 NO GAS0004-038 HAVE YOU TRAVELED ANYWHERE RECENTLY GAS0004-039 NO GAS0004-040 OK AND HAVE YOU NOTICED ANY FEVER OR CHILLS IN THE LAST FEW DAYS GAS0004-041 I'VE JUST BEEN FEELING REALLY TIRED AND AND I DON'T KNOW MAYBE I HAVEN'T CHECKED MY CHECKED MY TEMPERATURE GAS0004-042 OK HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN GAS0004-043 NO GAS0004-044 OK HAVE YOU NOTICED ANY MAJOR CHANGES TO YOUR WEIGHT I KNOW THAT YOU MIGHT NOT WEIGH YOURSELF EVERYDAY BUT ANYTHING THAT JUMPS OUT TO YOU GAS0004-045 I ACTUALLY HAVEN'T WEIGHED MYSELF IN THE PAST FIVE DAYS SO I DON'T I DON'T KNOW GAS0004-046 OK OK I'M I'M JUST GONNA JUMP TO YOU AND YOUR GENERAL HISTORY DO YOU HAVE ANY HISTORY OF PROBLEMS WITH YOUR DIGESTIVE SYSTEM GAS0004-047 NO GAS0004-048 OK DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE A FAMILY DOCTOR FOR REGULARLY GAS0004-049 I HAVE ASTHMA GAS0004-050 OK DO YOU TAKE ANY MEDICATION GAS0004-051 I'VE GOT SOME PUFFERS THAT MY FAMILY DOC GAVE ME GAS0004-052 OK NOTHING ELSE GAS0004-053 NO THAT'S IT GAS0004-054 DO YOU HAVE ANY ALLERGIES GAS0004-057 I'M SORRY CAN YOU SAY THAT AGAIN GAS0004-058 HAVE YOU EVER BEEN HOSPITALIZED IN THE PAST GAS0004-059 I HAD MY WISDOM TEETH REMOVED BUT NO I LIKE I WASN'T HOSPITALIZED NO GAS0004-060 HAVE YOU BEEN IN CONTACT WITH ANYONE RECENTLY THAT'S BEEN SICK GAS0004-061 NOPE I DON'T THINK SO GAS0004-062 OK WHAT IS YOUR LIVING SITUATION RIGHT NOW YOU SAID YOU'RE A STUDENT GAS0004-063 I AM GAS0004-064 OK AND DO YOU LIVE DO YOU LIVE ON YOUR OWN WITH FAMILY WITH ROOMMATES GAS0004-065 I LIVE WITH TWO ROOMMATES GAS0004-066 DO YOU DRINK ALCOHOL GAS0004-067 SOMETIMES GAS0004-068 OK HOW HOW MANY DRINKS PER WEEK WOULD YOU SAY GAS0004-069 I MIGHT HAVE LIKE A GLASS OR TWO ON THE WEEKENDS GAS0004-070 OK DO YOU SMOKE GAS0004-071 NO GAS0004-072 OK DO YOU USE ANY OTHER SUBSTANCES GAS0004-073 NO GAS0004-074 OK AND WHAT WOULD YOU EAT ON A REGULAR DAY TYPICALLY WHAT WOULD YOUR TYPICAL DIET BE GAS0004-075-1 OH GOSH WELL I LIKE TO HAVE OATMEAL FOR BREAKFAST I USUALLY MAKE SOMETHING QUICK FOR LUNCH MAYBE LIKE A SALAD GAS0004-075-2 AND THEN I MIGHT HAVE MY I'LL PROBABLY JUST LIKE EAT OUT AT NIGHT MAYBE GET LIKE A BURGER OR FRIES OR SOMETHING GAS0004-076 OK AND I JUST WANTED TO JUMP OVER TO ASK YOU ABOUT YOUR FAMILY HISTORY DOES ANYONE IN YOUR FAMILY HAVE ANY HISTORY OF DIGESTIVE PROBLEMS OR ABDOMINAL PROBLEMS ABDOMINAL SURGERY GAS0004-077-1 MY MY BROTHER HAD APPENDICITIS OK WHEN HE WAS YOUNG GAS0004-077-2 MY MOM HAS HAD A HYSTERECTOMY IF THAT COUNTS OK NOTHING ELSE GAS0004-078 OK OK THANK YOU FOR SHARING THAT WITH ME SO I THINK THAT'S EVERYTHING THAT I WANTED TO ASK YOU FOR TODAY GAS0005-000 WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN TODAY GAS0005-001-1 SO I'M JUST COMING IN WITH MY SON HE'S SIX YEARS OLD AND JUST OVER THE LAST FEW DAYS HE'S NOT BEEN HIMSELF GAS0005-001-2 AND HE'S BEEN HAVING THIS STOMACH ACHE SO IT STARTED AROUND LIKE I WOULD SAY THREE DAYS AGO GAS0005-001-3 AND THEN HE'S ALSO HAVING VOMITING FOR THE LAST TWO DAYS HE'S VOMITED IN TOTAL SIX TIMES OVER THE LAST TWO DAYS GAS0005-001-4 AND THEN YESTERDAY HE ALSO DEVELOPED A FEVER AS WELL I MANAGED TO MEASURE IT AND IT WAS THIRTY EIGHT GAS0005-002-1 THREE DEGREES CELSIUS GAS0005-002-2 OK I SEE SO I JUST SO THAT I UNDERSTAND THE TIMELINE SO HE STARTED TO HAVE ABDOMINAL PAIN ABOUT THREE DAYS AGO GAS0005-002-3 STARTED WITH HAVING VOMITING AND DIARRHEA TWO DAYS AGO AND YOU CHECKED HIS TEMPERATURE HE HAD A FEVER AS OF YESTERDAY GAS0005-003 OK AND WAS THERE ANYTHING THAT THAT HE ATE THAT WAS DIFFERENT OVER OVER THESE LAST FEW DAYS GAS0005-004 NO WE'VE BEEN STRICTLY HOME FOOD DURING LIKE A PANDEMIC LIKE NO NO REAL CHANGES GAS0005-005 OK AND WHAT'S HIS KIND OF BEHAVIOR BEEN LIKE OVER THESE LAST COUPLE OF DAYS GAS0005-006 SO AT FIRST WITH THE STOMACH PAIN HE WAS A BIT JUST IRRITABLE AND JUST NOT HIMSELF BUT ESPECIALLY YESTERDAY WITH THE FEVER JUST BEEN VERY QUIET AND JUST KIND OF SLEEPING PRETTY MUCH THE WHOLE DAY GAS0005-007 OK I SEE AND COULD YOU DESCRIBE THE GAS0005-008-1 VOMIT YES SO VOMIT LIKE IT STARTED TWO DAYS AGO THE FIRST DAY IT WAS JUST LIKE HE PUKED UP THE THINGS THAT HE HAD EATEN GAS0005-008-2 BUT YESTERDAY IT WAS IT WAS MAINLY JUST LIKE JUST YELLOWISH MATERIAL I COULDN'T REALLY TELL IF IT WAS FOOD OR NOT GAS0005-009 OK HAVE YOU NOTICED ANY BILE OR BLOOD IN THE VOMIT GAS0005-010 NO I DIDN'T NOTICE ANY BLOOD AND I DIDN'T NOTICE ANY GREEN MATERIAL IT WAS MAINLY JUST LIKE LIKE NORMAL VOMIT LIKE YELLOWISH COLOR GAS0005-011 OK I SEE AND HAS THE WHAT WAS THE VOMITING TRIGGERED BY ANYTHING THAT YOU'RE AWARE OF LIKE EATING OR DRINKING GAS0005-012 TWO DAYS AGO IT WAS IT WAS AFTER AFTER LUNCH WHEN HE FIRST VOMITED BUT AFTER THAT IT'S JUST BEEN KIND OF RANDOM GAS0005-013 I SEE OK AND AND WITH REGARDS TO HIS DIARRHEA HAS THERE BEEN ANY ANY BLOOD OR OR ANY COLOR CHANGES GAS0005-014 NO NO I DIDN'T NOTICE ANY BLOOD AT ALL IT'S DEFINITELY JUST VERY VERY WATERY AND HE'S HAD TO GO PROBABLY EVEN JUST IN THE LAST DAY PROBABLY AROUND LIKE SIX OR SEVEN TIMES GAS0005-016 VOMITED HOW MANY TIMES SO IN GAS0005-017 TOTAL I CAN COUNT SIX TIMES OK AND GAS0005-018 HAS HE BEEN GAS0005-019 COMPLAINING OF ANY HEADACHES AT ALL NO NOT THAT I KNOW OF NO OK GAS0005-020 AND HOW ABOUT ANY EAR PAIN OR OR EYE PAIN NO NOT THAT HE'S MENTIONED TO ME GAS0005-021 OK AND ANY EYE REDNESS GAS0005-022 NOPE GAS0005-023 OK AND AS HE HAD A RUNNY NOSE GAS0005-024 NO NOT REALLY GAS0005-025 OK AND HAS HE HAD A SORE THROAT OR ANY PAIN WITH GAS0005-027 NO OK HAVE YOU HAD ANY LOSS OF TASTE OR LOSS OF SMELL GAS0005-028 NO NOT THAT HE HAS MENTIONED TO ME NOW GAS0005-029 OK AND HAS HE HAD A COUGH GAS0005-030 NO NOT REALLY GAS0005-031 OK AND HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING GAS0005-032 NO GAS0005-033 OK AND HAS HE HAD ANY ANY PAIN ANYWHERE ANY CHEST PAIN GAS0005-034 HE DID HE DID POINT TO HIS STOMACH LIKE IT SEEMS LIKE HE WAS HAVING WITH ALL THE VOMITING LIKE HE WAS HAVING SOME STOMACH PAIN AS WELL GAS0005-035 OK IS THERE ANY SPECIFIC LOCATION THAT THAT HE'S FEELING THE PAIN GAS0005-036 WELL IT'S HARD TO SAY HE WAS JUST POINTING AT THE CENTER OF HIS BELLY LIKE I DON'T KNOW IF IT'S LIKE I TRIED PRESSING ON IT AND HE DIDN'T FEEL ANY PAIN THEN BUT I THINK IT'S JUST KIND OF ALL OVER HIS STOMACH GAS0005-037 OK AND HAS HE HAD ANY URINARY PROBLEMS LIKE PAINFUL VOIDING OR BEEN PEEING GAS0005-038 MORE OFTEN NO GAS0005-039 THAT'S BEEN OK HAVE YOU NOTICED ANY RASHES OR OR SKIN CHANGES GAS0005-040 NO NOT NOT NOT REALLY NO GAS0005-041 OK AND HAS HE HAD ANY MUSCLE ACHES OR OR JOINT PAINS THAT THAT HE'S MENTIONED GAS0005-042 NO NO HE HASN'T MENTIONED ANYTHING LIKE THAT GAS0005-043 AND AND HE'S HAD A FEVER HAS HE HAD THE CHILLS GAS0005-044 SO THAT'S THAT'S WHAT I THAT PROMPTED ME TO TAKE HIS TEMPERATURE YESTERDAY AROUND THE AFTERNOON LIKE WE HAD TO WRAP HIM UP WITH LIKE MORE THAN TWO BLANKETS AND HE WAS STILL FEELING COLD SO DEFINITELY WAS HAVING CHILLS GAS0005-045 OK AND AND HAS THERE BEEN ANY CONCERNS WITH HIS GROWTH EITHER WEIGHT OR OR HEIGHT GAS0005-046 SO HE'S BEEN GOING ALONG THE CHARTS PRETTY WELL LIKE NO CONCERNS DURING HIS GROWTH OTHERWISE HE'S A VERY HEALTHY CHILD GAS0005-047 OK SO NO MEDICAL DIAGNOSIS PREVIOUSLY GAS0005-048 NO NOTHING LIKE THAT GAS0005-049 OK AND IS HE MEETING ALL DEVELOPMENTAL MILESTONES OK LIKE GROSS MOTOR FINE MOTOR DOING WELL AT SCHOOL GAS0005-050 HE DIDN'T HAVE ANY ISSUES WITH WALKING RUNNING HE'S PRETTY SOCIAL WITH ALL GAS0005-051 HIS PEERS HE'S DOING WELL AT SCHOOL NO COMPLAINTS OK EXCELLENT AND YOU KNOW NO MEDICAL CONDITIONS GAS0005-052 BUT HAS THERE BEEN ANY REASONS FOR BEING IN THE HOSPITAL BEFORE NO NOT AT ALL WE WE HAVEN'T REALLY GONE TO THE DOCTOR WITH HIM AFTER LIKE ALL THOSE VACCINATIONS THAT HE HAD TO DO SO HE'S BEEN GOOD GAS0005-053 OK GREAT SO IMMUNIZATIONS GAS0005-054 ARE UP TO DATE GAS0005-055 IMMUNIZATIONS ALL UP TO DATE EXCELLENT GAS0005-056 AND DOES HE HAVE ANY ALLERGIES NO NOT NOT ANYTHING THAT WE KNOW OF YET GAS0005-057 OK AND I JUST WANTED TO ASK ABOUT HIS BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT THROUGHOUT PREGNANCY EITHER MOM BEING SICK OR HAVING ANY ANY ISSUES HERSELF GAS0005-058 NO SO IT WAS A NORMAL VAGINAL DELIVERY NO ISSUES HE WAS BORN AT THIRTY NINE WEEKS DIDN'T NEED TO STAY IN THE HOSPITAL AT ALL IT WAS A PRETTY SMOOTH PREGNANCY COMPARED TO SOME OF THE OTHER ONES GAS0005-059 OK OH THAT'S THAT'S GREAT DO YOU REMEMBER THE APGAR SCORE OR HIS BIRTH WEIGHT GAS0005-060 I DON'T EXACTLY REMEMBER HIS APGAR SCORES I THINK THEY WERE LIKE JUST JUST THEY THEY WERE NORMAL LIKE THERE WAS NOTHING CONCERNING ABOUT THEM AND BIRTH WEIGHT I THINK HE WAS PROBABLY AROUND GAS0005-061 THREE KILOGRAMS OK GREAT SO HEALTHY BIRTH WEIGHT AT TERM IT SOUNDS LIKE AND SO HEALTHY DOES HE TAKE ANY GAS0005-062 MEDICATIONS GAS0005-063 REGULARLY NO NO MEDICATIONS OK AND COULD YOU TELL ME ABOUT WHO IS LIVING WITH CURRENTLY AND GAS0005-064 THEN WHO'S LOOKING AFTER HIM YES SO HE'S LIVING WITH MYSELF HIS MOTHER AND AND THEN MY HUSBAND AND HE HAS TWO OLDER SIBLINGS ONE IS A BOY SEVEN YEARS OLD AND ANOTHER GAS0005-065 ONE LIKE A TEN YEAR OLD GIRL OK AND HAS ANY GAS0005-066 BODY IN THE HOUSE BEEN SICK NO NO ONE HAS BEEN SICK RECENTLY HOWEVER HE DOES THEY DID LET THEM GO BACK INTO SCHOOL AT ONE POINT SO I DON'T KNOW I DON'T KNOW SO THAT WAS JUST LAST WEEK SO I DON'T KNOW IF HE CAUGHT SOMETHING FROM SCHOOL GAS0005-067 OK BUT NOBODY THAT YOU KNOW THAT'S HAD SIMILAR SYMPTOMS GAS0005-068 NO GAS0005-069 OK AND HAVE YOU TRAVELED ANYWHERE GAS0005-070 NO WE'VE BEEN WE'VE BEEN AT HOME GAS0005-071 OK AND THEN YOU KNOW RECENT CHANGES TO ANYTHING IN THE DIET YOU'VE MENTIONED GAS0005-072 NO THAT'S BEEN GAS0005-075 OR VERBAL ABUSE NO NO CONCERNS LIKE THAT OK A QUESTION THAT WE HAVE TO ASK EVERYBODY GAS0005-076 AND IS THERE ANY GAS0005-077 SMOKING IN THE HOME NO NO WE DON'T SMOKE OK GAS0005-078 GREAT THEN GAS0005-079 ARE THERE ANY PETS NOPE NO PETS ALRIGHT AND AND IN THE FAMILY HAS THERE BEEN ANYBODY GAS0005-080 WHO'S HAD ANY HEART PROBLEMS OR ANY LUNG PROBLEMS GAS0005-082 WE ARE GETTING THE TEN YEAR GAS0005-083 OLD TESTED FOR JUST ASTHMA BUT NOTHING DIAGNOSED YET NO OK ANYBODY IN THE FAMILY HAVE ANY CONGENITAL DISEASES GAS0005-084 OR ANY GENETIC DISEASES NO NOT THAT I KNOW OF GAS0005-085 OK ANYBODY IN THE FAMILY HAVE CELIAC DISEASE OR CROHN'S DISEASE GAS0005-086 NO NO NO HISTORY OF ANY KIND OF BOWEL DISEASES GAS0005-087 OK SO I THINK THAT'S EVERYTHING I WANT I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING THAT MAYBE I I FORGOT TO ASK OR OR THAT I MISSED THAT YOU WANTED TO TELL ME GAS0005-088 NO IT'S IT'S ALSO JUST LIKE I WAS JUST READING UP LIKE CAN IT BE LIKE I DON'T KNOW IF IT CAN BE COVID AS WELL IF IT CAN IT CAN DO THIS AS WELL GAS0005-089-1 IT IS POSSIBLE IT'S ESPECIALLY WITH NONSPECIFIC SYMPTOMS COVID CAN CAUSE A VARIETY OF DIFFERENT PRESENTATIONS AND GAS0005-089-2 THERE FOR SOME PEOPLE IT CAN BE MORE GASTROINTESTINAL ISSUES LIKE LIKE YOUR SON HAS WITH VOMITING AND DIARRHEA AND BELLY PAIN BUT IT ALSO COULD BE GAS0005-089-3 WELL ANOTHER TYPE OF GASTROINTESTINAL VIRUS ITSELF OR OR A VIRAL ILLNESS LIKE THE COMMON COLD WHICH CAN ALSO END UP CAUSING SYMPTOMS LIKE THIS AS WELL GAS0005-089-4 SO WE WILL I WILL GO AHEAD AND DO A COVID TEST TODAY ALONG WITH SOME OTHER BLOOD WORK AND MAYBE INCREASE THE HYDRATION AS WELL BECAUSE IT SOUNDS LIKE GAS0005-089-5 HE HAS LOST A LOT OF FLUID OVER THESE LAST COUPLE OF DAYS SO WE WILL CHECK ELECTROLYTES AND GO FROM THERE ON THE GAS0005-090 THE TEST RESULTS ALRIGHT SOUNDS GOOD THANK YOU SO MUCH MSK0001-000 AND WHAT BRINGS YOU TO THE EMERGENCY DEPARTMENT TODAY MSK0001-001 LOW BACK PAIN MSK0001-002 OK AND WHERE EXACTLY IS IS THE BACK PAIN MSK0001-003 SO THE PAIN'S JUST RIGHT IN THE IN THE LOWER BACK MSK0001-004 JUST IN THE LOWER BACK OK AND WHEN WHEN DID THIS PAIN START MSK0001-005 IT STARTED YESTERDAY I WAS UNLOADING GROCERIES FROM MY PICKUP TRUCK WHEN IT SUDDENLY STARTED MSK0001-006 OK SO AND DID YOU KIND OF MAKE ANY KIND OF MOVEMENT OR DID YOU PICK UP SOMETHING REALLY HEAVY MSK0001-007 I'M NOT SURE I JUST NOTICED THE PAIN AFTER AFTER THAT MSK0001-008 OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A DULL CRAMPING PAIN OR IS IT MORE LIKE A SHARP OR STABBING PAIN MSK0001-009 IT FEELS LIKE IT'S STABBING JUST RIGHT IN MY LOWER BACK MSK0001-010 OK AND ON A SCALE OF ONE TO TEN ONE BEING LIKE THE LEAST PAIN THAT YOU FELT IN YOUR LIFE TEN BEING THE WORST HOW MUCH WOULD YOU RATE THIS PAIN MSK0001-011 IF I'M SITTING COMPLETELY STILL LIKE LIKE I AM RIGHT NOW IT'S A TWO OUT OF TEN MSK0001-012 OK AND WHEN DID IT GET WORSE MSK0001-013 ANYTIME I I I MOVE OR BEND MY BACK OR EVEN COUGH MSK0001-014 IT WORSENS THE PAIN SIGNIFICANTLY OK AND HAS THIS PAIN MSK0001-015 CHANGED AT ALL SINCE YESTERDAY NO IT'S BEEN MSK0001-016 THIS SAME AWFUL PAIN THIS WHOLE TIME OK AND HAVE MSK0001-017 HAVE YOU EVER HAD THIS KIND OF PAIN BEFORE I'VE HAD BACK PAIN MSK0001-018 OVER THE YEARS BUT NOTHING LIKE THIS BEFORE OK AND DOES IT DOES THE PAIN GO ANYWHERE OR DOES IT JUST MSK0001-019 STAY IN THE LOWER BACK I ALSO FEEL THE PAIN INTO MSK0001-020 MY RIGHT LEG OK AND IS IT THE SAME KIND OF ACHING OR LIKE STABBING PAIN THAT GOES INTO YOUR RIGHT LEG OR IS IT JUST LIKE AN ACHING PAIN MSK0001-021 IT'S IT'S A AN ACHING PAIN MSK0001-022 OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ARE YOU EXPERIENCING ANY KIND OF WEAKNESS OR ANY KIND OF ANY OTHER CHANGES IN YOUR HEALTH MSK0001-023 NO IT'S JUST THE THE LOW BACK PAIN MSK0001-024 OK AND HAVE YOU EVER EXPERIENCED ANY KIND OF TRAUMA TO YOUR BACK LIKE SOMETHING HAS HIT YOU OR YOU'VE FALL DOWN ANYTHING LIKE THAT MSK0001-025 NO I CAN'T REMEMBER ANY INJURIES LIKE THAT IN THE PAST MSK0001-026 OK ANY FEVERS OR CHILLS OR NIGHT SWEATS MSK0001-027 NO FEVER NO MSK0001-028 CHILLS NO NIGHT SWEATS OK ANY SYMPTOMS OF FEELING VERY TIRED FATIGUED ANYTHING LIKE THAT MSK0001-029 NO I'VE BEEN BEEN MSK0001-030 OK RECENTLY OK ANY CHANGES TO YOUR SKIN AT ALL I MEAN ANY RASHES MSK0001-031 NO MSK0001-032 OK ANY PAIN IN YOUR JOINTS AT ALL MSK0001-034 THE BACK PAIN OK ANY NEW COUGHS OR ANY SYMPTOMS AND RUNNY NOSE OR ANYTHING LIKE THAT MSK0001-036 NO ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL LIKE DIARRHEA CONSTIPATION OR ANYTHING MSK0001-037 NOTHING LIKE THAT BEEN REGULAR MSK0001-038 OK HOW ABOUT ANY URINARY PROBLEMS MSK0001-039 NO NOTHING TO REPORT THERE MSK0001-040 OK AND HOW HAS YOUR APPETITE BEEN MSK0001-041 APPETITE'S BEEN NORMAL MSK0001-042 ANY SIGNIFICANT WEIGHT LOSS OR WEIGHT GAIN RECENTLY MSK0001-043 NO THE WEIGHT'S BEEN ABOUT THE SAME MSK0001-044 OK ANY RECENT INFECTIONS THAT YOU KNOW OF MSK0001-045 NO I'VE BEEN FEELING WELL OTHERWISE MSK0001-046 OK ANY TINGLING SENSATION OR NUMBNESS IN YOUR BACK OR LOWER LIMBS IN YOUR LEGS MSK0001-047 NO NUMBNESS OR TINGLING MSK0001-048 OK ANY MUSCLE WEAKNESS AT ALL MSK0001-049 NO MUSCLE WEAKNESS MSK0001-050 HAVE YOU BEEN HAVING ANY KIND OF ERECTILE DYSFUNCTION MSK0001-051 NO CONCERNS WITH ERECTILE DYSFUNCTION MSK0001-052 OK AND ANY ISSUES WITH INCONTINENCE LIKE HAVING ACCIDENTS AT ALL AT NIGHT OR DURING THE DAY MSK0001-053 NO I HAVEN'T HAD ANY PROBLEMS WITH BOWEL OR BLADDER INCONTINENCE MSK0001-054 OK ALRIGHT AND IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES MSK0001-055 TYPE TWO DIABETES MSK0001-056 OK AND DO YOU TAKE ANY MEDICATIONS FOR IT MSK0001-058 FOR DIABETES OK AND ANY OTHER MEDICATIONS AT ALL MSK0001-059 JUST BEEN TAKING TYLENOL FOR THE THE BACK PAIN MSK0001-060 AND HAS THAT WORKED FOR YOU AT ALL OR HAS IT NOT MADE A DIFFERENCE MSK0001-061 MAYBE IT'S TAKING THE EDGE OFF A LITTLE BIT BUT IT HASN'T DONE TOO MUCH TO MSK0001-062 HELP THE PAIN OK ANY ALLERGIES MSK0001-064 NOPE OK ANY PREVIOUS SURGERIES MSK0001-065 I HAD HEMORRHOIDS REMOVED THREE YEARS AGO MSK0001-066 OK ANY HOSPITALIZATIONS BEFORE MSK0001-067 NO IT WAS JUST DAY SURGERY MSK0001-068 OK ANY FAMILY HISTORY OF ANY CONDITIONS OR LIKE ANY CANCERS MSK0001-069 MY FATHER HAD PROSTATE CANCER MSK0001-070 OK AND CURRENTLY RIGHT NOW DO YOU WORK MSK0001-071 I'M A RETIRED SCHOOL TEACHER MSK0001-072 OK AND WHERE DO YOU LIVE MSK0001-073 I LIVE ALONE IN A IN A HOUSE NOT TOO FAR FROM HERE ACTUALLY MSK0001-074 OK AND DO YOU DO YOU DRINK AT ALL MSK0001-075 OCCASIONALLY MAYBE I'LL HAVE A GLASS OF RED WINE ON THE WEEKEND OR SOMETHING LIKE THAT BUT NOT TOO OFTEN MSK0001-076 OK AND DO YOU SMOKE MSK0001-077 I'VE SMOKED I SMOKE A PACK OF CIGARETTES PER DAY MSK0001-078 OK AND FOR HOW LONG HAVE YOU SMOKED CIGARETTES FOR MSK0001-079 ABOUT FORTY YEARS MSK0001-080 FORTY YEARS OK AND DO YOU USE ANY KIND OF RECREATIONAL DRUGS MSK0001-082 NEVER OK AND HOW IS YOUR DIET LIKE ON LIKE A REGULAR BASIS MSK0001-083 I FEEL LIKE IT'S PRETTY NORMAL MOSTLY HOME COOKED MEALS WITH SOME VARIETY VEGETABLE VEGETABLES OTHER MEATS AND FISH I WOULD SAY IT'S PRETTY BALANCED MSK0001-084 OK ALRIGHT I JUST HAVE A FEW MORE QUESTIONS FOR YOU ARE YOU CURRENTLY SEXUALLY ACTIVE MSK0001-085 YES I AM MSK0001-086 OK AND WHO ARE YOU SEXUALLY ACTIVE WITH ANY NEW PARTNERS AT ALL MSK0001-087 NO NEW PARTNERS JUST MY MSK0001-088 GIRLFRIEND AND HOW MANY I'M SORRY GO AHEAD MSK0001-089 JUST MY MY MY GIRLFRIEND RECENTLY MSK0001-090 OK AND HAVE YOU BEEN SEXUALLY ACTIVE WITH MORE THAN ONE PARTNER IN THE PAST PAST YEAR MSK0001-091 YES I HAVE TWO WOMEN OVER THE PAST YEAR MSK0001-092 OK AND DO YOU USE ANY KIND OF PROTECTION MSK0001-093 YES ALWAYS USE CONDOMS MSK0001-094 OK ALRIGHT SO NOW I'M JUST GOING TO GET THE PATIENT'S VITALS MSK0003-000 MY BACK IT JUST REALLY HURTS I FEEL REALLY STIFF IN THE MORNING AND IT'S JUST BEEN GOING ON FOR A FEW MONTHS NOW MSK0003-001 OK SO FOR A FEW MONTHS STIFFNESS IN THE MORNING SO YOUR BACK HURTS WHERE EXACTLY WOULD YOU SAY IT HURTS MSK0003-002 IT KINDA HURTS ALL OVER I CAN'T REALLY PINPOINT ANY SPECIFIC LOCATIONS THAT HURTS MOST KIND OF HURTS LIKE ALL DOWN MY MY BACK MSK0003-003 OK ALL THE WAY UP TO I GUESS YOUR NECK AND ALL THE WAY DOWN TO YOUR LOWER BACK MSK0003-004 SO I WOULDN'T REALLY SAY THE NECK AND I GUESS MORE OF THE THE LOWER PARTS MAYBE LIKE THE MIDDLE OF MY BACK AND MSK0003-005 I SEE MSK0003-007 AND DOWN OK AND WHAT KIND OF PAIN WOULD YOU SAY IT IS IS IT LIKE A DULL ACHING PAIN IS IT A SHARP STABBING PAIN HOW WOULD YOU DESCRIBE IT MSK0003-008 IT'S A DULL PAIN MSK0003-009 DULL PAIN OK OK AND ON A SCALE OF ZERO TO TEN WITH ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND TEN BEING THE WORST HOW MUCH WOULD YOU RATE IT MSK0003-010 IT'S ABOUT A FOUR OR FIVE I MEAN SOME DAYS IT CAN BE BETTER BUT SOME DAYS MSK0003-011 IT CAN BE WORSE OK MSK0003-012 AND WHEN DID THIS START I THINK THIS STARTED ABOUT LIKE FOUR OR FIVE MONTHS AGO IT'S BEEN GOING ON FOR PROBABLY MSK0003-013 ABOUT HALF A YEAR NOW OK AND WHEN IT FIRST STARTED UP WAS THERE ANYTHING THAT CAUSED THE BACK PAIN LIKE ANY KIND OF TRAUMA OR INJURY ANYTHING THAT YOU CAN THINK OF THAT MIGHT HAVE LED TO THIS MSK0003-014 NO NOTHING THAT IT'S I I CAN THINK OF IT'S SORT OF IT'S COME ON SO SLOWLY LIKE WHEN I FIRST STARTED NOTICING THE BACK PAIN IT IT WAS MAYBE LIKE A ZERO TO A ONE I DIDN'T REALLY NOTICE IT TOO MUCH BUT OVER THESE LAST FIVE SIX MONTHS IT HAS GOTTEN HAS GOTTEN A BIT WORSE MSK0003-015 OK SO IT KIND OF CAME ON PROGRESSIVELY DIDN'T JUST COME ON SUDDENLY AT SOME POINT MSK0003-016 RIGHT IT'S BEEN GETTING WORSE MSK0003-017 OK AND HAVE YOU EVER HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO THIS MSK0003-018 NOT NOT NOT IN MY BACK PAIN I DO GET PAIN IN MY RIGHT KNEE AND IN MY HANDS SOMETIMES BUT THOSE PAINS JUST KIND OF COME AND GO MSK0003-019 OK AND WHEN DID THOSE PAINS START MSK0003-020 THOSE ONES STARTED PROBABLY SIMILAR TIMELINE MSK0003-021 AROUND SIX MONTHS AGO OK OK AND IN THE BACK PAIN THAT YOU'RE HAVING DOES IT RADIATE OR MOVE TO ANY OTHER PART OF YOUR BODY MSK0003-022 NO I DON'T FEEL IT ANYWHERE ELSE MSK0003-023 OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED RELIEVE SOME OF THE PAIN ANY MEDICATIONS OR ANYTHING MSK0003-024 I'VE TRIED SOME TYLENOL AND ADVIL AND THAT THE ADVIL IS ACTUALLY HELPED TAKING THE EDGE OFF A LITTLE BIT BUT THE NEXT MORNING I I HAVE THE STIFFNESS AND AND PAIN AGAIN MSK0003-025 OK AND FOR YOUR PAIN ARE THERE ANY KIND OF FACTORS THAT MAKE THE PAIN WORSE LIKE BENDING DOWN OR STANDING STRAIGHT UP OR LAYING DOWN ANYTHING THAT MAKES YOUR PAIN WORSE MSK0003-026 NO NOTHING THAT I CAN THINK OF THAT REALLY MAKES IT ANY WORSE MSK0003-027 OK AND IS YOUR PAIN WORSE WHEN YOU WAKE UP IN THE MORNING OR IS IT WORSE AS THE DAY PROGRESSES MSK0003-028 IT'S WORSE IN THE MORNING IT GETS A BIT BETTER AS THE DAY GOES ON I ASKED ABOUT IT AN HOUR INTO THE DAY I FEEL MY BEST IT TAKES A LITTLE BIT OF TIME TO TO MOVE AROUND A LITTLE BIT FIRST MSK0003-029 OK APPROXIMATELY HOW MUCH TIME WOULD YOU SAY AFTER YOU WAKE UP THE STIFFNESS AND PAIN GOES AWAY MSK0003-030 I WOULD SAY MAYBE THIRTY TO SIXTY MINUTES MSK0003-031 OK ALRIGHT AND NO YOU HAVEN'T HAD ANY TRAUMA INJURIES IN RECENTLY RIGHT MSK0003-032 NO TRAUMA OR INJURIES MSK0003-033 OK AND NO FEVERS OR CHILLS MSK0003-034 NO MSK0003-035 OK ANY NIGHT SWEATS MSK0003-036 NO MSK0003-037 ANY FATIGUE OR MALAISE MSK0003-038 I HAVE BEEN A BIT MORE FATIGUED THAN USUAL AND I I'VE HAD SOME MALAISE AS WELL MSK0003-039 OK AND FOR HOW LONG HAVE YOU HAD THIS MSK0003-040 IT'S BEEN SIMILARLY GETTING A LITTLE BIT MORE PROGRESSIVE I MEAN SOME DAYS I'M JUST FEELING LIKE I JUST WANT TO LAY AROUND AND REST CAUSE I'M FEELING JUST SO BURNT OUT AND OTHER DAYS I'M OK BUT I'M CERTAINLY MSK0003-041 MORE TIRED THAN USUAL OK I SEE OTHER THAN THAT HAVE YOU NOTICED ANY KIND OF RASHES OR SKIN CHANGES OR CHANGES IN YOUR NAILS AT ALL MSK0003-042 NO I HAVEN'T NOTICED ANY ANY RASHES OR ANY NAIL CHANGES MSK0003-043 OK ANY SHORTNESS OF BREATH MSK0003-044 NO MSK0003-045 ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS MSK0003-046 NO I HAVEN'T HAD ANY DIARRHEA OR ANY ANY URINARY PROBLEMS MSK0003-047 OK HAVE YOU NOTICED ANY CHANGES IN YOUR APPETITE OR YOUR WEIGHT MSK0003-048 NO MY APPETITE'S BEEN NORMAL AND MY WEIGHT'S BEEN STABLE MSK0003-049 OK AND HAVE YOU NOTICED ANY DIFFICULTIES OR CHANGES WITH YOUR VISION OR ANY EYE PROBLEMS MSK0003-050 NO I HAVEN'T NOTICED ANYTHING LIKE THAT MSK0003-051 OK HAVE YOU NOTICED ANY KIND OF NUMBNESS OR TINGLING SENSATION IN YOUR LIMBS SPECIFICALLY LIKE YOUR BACK AND YOUR LEGS MSK0003-052 NO NO TINGLING OR NUMBNESS MSK0003-053 OK ANY MUSCLE WEAKNESS AT ALL MSK0003-054 NOPE I HAVEN'T NOTICED ANY MUSCLE WEAKNESS MSK0003-055 OK AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH ANY VIRAL OR BACTERIAL INFECTIONS MSK0003-056 I HAD A AND THEN I WAS DIARRHEA LIKE SEVERAL MONTHS AGO AND I HAD SOME ANTIBIOTICS BUT THAT WAS A SO A FEW MONTHS AGO MSK0003-057 OK AND OTHER THAN THAT CURRENTLY ARE YOU SEXUALLY ACTIVE MSK0003-058 YES I AM I I HAVE A GIRLFRIEND THEN WE'VE WE STARTED DATING ABOUT ABOUT MSK0003-059 SIX MONTHS AGO OK AND DO EITHER OF YOU MSK0003-060 DO HAVE ANY HISTORY OF ANY STI'S AT ALL MSK0003-061 NO HISTORY OF STIS OK ALRIGHT AND IS YOUR PARTNER FINE OR IS SHE HAVING ANY SYMPTOMS AT ALL MSK0003-062 NO SHE SHE HASN'T BEEN HAVING ANY SYMPTOMS THEN WE WE'VE BEEN USING A CONDOM MOSTLY MSK0003-063 OK ALRIGHT AND OTHERWISE ARE YOU GENERALLY HEALTHY OR DO YOU HAVE ANY MEDICAL CONDITIONS MSK0003-064-1 I'M YEAH I'M GENERALLY ALRIGHT I DO HAVE ASTHMA ACTUALLY AND JUST I HAD DIARRHEA A FEW MONTHS AGO AFTER EATING AT A BUFFET MSK0003-064-2 SO I THINK MAYBE IT IT WAS FOOD POISONING OR MAYBE SOMETHING LIKE THAT MSK0003-067 SO ASTHMA AND THAT'S IT OK AND DO YOU USE ANY MEDICATIONS FOR YOUR ASTHMA MSK0003-068 I USE THAT BLUE INHALER SOMETIMES I GUESS THAT JUST WHEN I WHEN I NEED IT BUT THAT HASN'T BEEN VERY OFTEN MSK0003-069 OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL FACTORS I DO HAVE ENVIRONMENTAL ALLERGIES I I'M MSK0003-070 NOT SURE IF IT'S LIKE RAGWEED OR OR POLLEN BUT SOMETHING LIKE THAT OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES MSK0003-071 NEVER OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS ANY AUTOIMMUNE CONDITIONS OR ANY MUSCULOSKEL MSK0003-073 CONDITIONS MY MOTHER HAS A A PSORIASIS OK MSK0003-076 USE LIKE LIKE CREAMS AND STUFF LIKE THAT FOR HER SKIN OK AND MSK0003-077 CURRENTLY RIGHT NOW DO YOU WORK MSK0003-078 I DO I WORK MSK0003-079 AT A BANK OK AND YOUR MOTHER SO SHE HAD PSORIASIS DID SHE EVER HAVE ANY JOINT PAINS ALONGSIDE THE PSORIASIS MSK0003-080 I I DON'T BELIEVE SO I THINK SHE HAD JUST MORE ISSUES WITH HER WITH HER SKIN MSK0003-081 OK AND SO YOU WORK AND THEN WHAT'S YOUR LIVING SITUATION LIKE MSK0003-082 SO I LIVE WITH MY GIRLFRIEND IN A CONDO IN THE CITY HERE MSK0003-083 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA MSK0003-084 YES SOMETIMES I'LL SMOKE LIKE ONCE OR TWICE PER WEEK WITH THAT MSK0003-086 LIKE THAT OK MSK0003-087 AND DO YOU SMOKE MSK0003-088 NO CIGARETTES NO NEVER OK AND YOU DRINK ALCOHOL SOMETIMES I'LL HAVE A BEER OR TWO MSK0003-089-1 ON WEEKENDS OR OR A COCKTAIL WITH FRIENDS MSK0003-089-2 OK ALRIGHT SO THOSE WERE JUST SOME OF THE QUESTIONS I HAD NOW I'M JUST GOING TO QUICKLY ASK SOME SPECIFIC QUESTIONS MSK0003-089-3 SO HAVE YOU NOTICED ANY KIND OF SWELLING IN THE AREAS THAT YOU ARE HAVING PAIN OR REDNESS OR ANYTHING LIKE THAT MSK0003-090 NO I HAVEN'T NOTICED REALLY ANY ANY REDNESS OR OR SWELLING MSK0003-091 OK AND NO SO ARE YOU ABLE TO BEND DOWN AND STAND UP STRAIGHT OR EXTEND BACKWARDS SO WITHOUT PAIN OR ARE YOU IN ANY PAIN MSK0003-092-1 I DO GET IT IT'S A BIT STIFF I MSK0003-092-2 YEAH I'M NOT REALLY TOO SURE IT'S LIKE NOT REALLY IT'S MORE MORE MSK0003-093 OK AND YEAH OTHER THAN THAT DO YOU HAVE ANY QUESTIONS OR CONCERNS MSK0003-094 I WAS JUST WONDERING LIKE LIKE WHAT WHAT MSK0003-095 THIS COULD BE POSSIBLY SO DEFINITELY WHAT SO THIS THIS SEEMS LIKE IT STARTED OFF LIKE THREE MONTHS OR SIX MONTHS AGO AND IT'S BEEN GOING ON AND IT'S HAPPENING IN THE MORNING AND HOW OLD DID YOU SAY YOU WERE MSK0003-097-1 TWENTY TWENTY SIX MSK0003-097-10 WILL TEST FOR DIFFERENT KIND OF RHEUMATOLOGICAL ISSUES AND TO SEE IF YOU HAVE ANY ARTHRITIS MSK0003-097-11 SO THOSE ARE AND THEN WILL ALSO GET AN X RAY OF YOUR HANDS AND KNEES SINCE YOU'RE HAVING PAIN THERE AS WELL SO THOSE ARE SOME STEPS THAT WE'LL TAKE DO YOU HAVE ANY QUESTIONS OR CONCERNS MSK0003-097-2 OK SO IT SEEMS PROGRESSIVE AND YOU'RE GETTING SOME PAIN IN YOUR OTHER JOINTS AS WELL AND IT'S MAINLY FROM YOUR MIDDLE TO LOWER BACK MSK0003-097-3 IT CAN BE MULTIPLE THINGS THAT WE WOULD HAVE TO RULE OUT SO YOU FIRST YOU HAVE A FAMILY HISTORY OF PSORIASIS SO IT CAN BE PSORIATIC ARTHRITIS MSK0003-097-4 YOU DON'T HAVE ANY OTHER SKINS CHANGES OR ANY OTHER SYMPTOMS IT CAN ALSO BE SINCE YOU HAVE HAD A YOU WERE SICK FOR MONTHS AGO WITH A WHAT MIGHT BE GASTROENTERITIS MSK0003-097-5 IT CAN BE SOMETIMES A FEW MONTHS AFTERWARDS YOU CAN GET SOMETHING CALLED REACTIVE ARTHRITIS WHERE YOU GET THIS PROGRESSIVE PAIN IN YOUR JOINTS AND STIFFNESS MSK0003-097-6 AND OTHERWISE IT CAN ALSO BE SOMETHING CALLED ANKYLOSING SPONDYLITIS WHICH CAN PRESENT IN MEN YOUR AGE AND IT'S KIND OF LIKE A PROGRESSIVE DULL BACK PAIN AND THAT HAS SOME MORNING STIFFNESS AS WELL MSK0003-097-7 SO THERE'S DEFINITELY MULTIPLE THINGS THAT IT CAN BE SO FIRST WE WOULD NEED TO DO A FULL PHYSICAL EXAMINATION AND BOOK AN APPOINTMENT OR FOR THAT IN PERSON MSK0003-097-8 AND WE WILL GET SOME LAB WORK DONE AS WELL AS WELL AS A X RAY OF THE OF THE SPINE AND YOUR SACROILIAC JOINTS MSK0003-097-9 AND WE'LL ALSO GET SOME BLOOD WORK WITH CBC CRP AND ESR SO THOSE ARE JUST INFLAMMATORY MARKERS AS WELL AS THE RHEUMATOID FACTOR ANTINUCLEAR ANTIBODIES THOSE ARE JUST SOME THINGS THAT MSK0003-098 NO THAT THAT SOUNDS THAT SOUNDS GREAT THANK YOU MSK0003-099 ALRIGHT SO I WILL GET IN TOUCH WITH YOU SHORTLY MSK0003-100 SOUNDS GREAT THANK YOU MSK0003-101 TAKE CARE MSK0004-000 WHAT BRINGS IN HERE TODAY MSK0004-001 HI THERE I'VE JUST LAST NIGHT I WAS I WENT FOR A RUN AND I TWISTED MY ANKLE I THINK I STEPPED ON SOMETHING AND IT MSK0004-002 IT REALLY HURTS OK AND SO MSK0004-003 WHEN DID YOU HAVE THE MSK0004-005 IT IT WAS JUST YESTERDAY MSK0004-006 IT WAS JUST JUST YESTERDAY THAT IT HAPPENED OK AND DO YOU REMEMBER IF YOU TWISTED IT SO YOU TWISTED YOUR ANKLE LIKE DID DID IT TWIST INWARDS MSK0004-007 OR OUTWARDS INWARDS I FEEL LIKE I INVERTED MY ANKLE MSK0004-008 OK AND SO SINCE THEN WERE YOU ABLE TO STAND UP AND OR WERE YOU NOT ABLE TO BEAR ANY WEIGHT MSK0004-009-1 NO I WAS ABLE TO KIND OF FINISH THE I I I JUST FINISHED THE WALK I WAS ABLE TO WALK HOME CAUSE IT DIDN'T HURT MSK0004-009-2 THAT BAD IMMEDIATELY IT WAS A BIT PAINFUL BUT THE PAIN REALLY STARTED A FEW HOURS LATER AND HAS BEEN PRETTY MUCH MSK0004-009-3 CONSTANT EVER SINCE MSK0004-010 OK OK SO IT KIND OF GOT WORSE OVER TIME OVER THE LAST DAY MSK0004-011 AND DO YOU NOTICE ANY KIND OF BRUISING REDNESS SWELLING ANY SKIN CHANGES MSK0004-012 NO I HAVEN'T REALLY NOTICED I REALLY ANY SWELLING OR I OR OR SKIN CHANGES NO SKIN CHANGES AND NO SWELLING MSK0004-013 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE A DULL ACHING PAIN OR SHARP STABBING PAIN MSK0004-014 DULL AND ACHY MSK0004-015 OK OK AND HAS THIS HAPPENED TO YOU IN YOUR ANKLE BEFORE MSK0004-016 I'M I I FEEL LIKE I'VE MAYBE I I'VE DONE SOMETHING LIKE THIS WHEN I WAS YOUNGER MAYBE PLAYING BASKETBALL OR SOMETHING LIKE THIS WHEN I WAS A KID I TWISTED MY ANKLE BEFORE MSK0004-017 OK AND DOES THIS PAIN JUST STAY WHERE'S THE PAIN EXACTLY ON THE RIGHT SIDE OF YOUR ANKLE OR ON YOUR LEFT LIKE INTERIOR SIDE MSK0004-018 IT'S ON THE RIGHT KIND OF OUTSIDE OF THE ANKLE MSK0004-019 OK AND WHICH ANKLE IS THIS JUST TO CLARIFY MSK0004-021 RIGHT ANKLE OK SO SO IT HURTS ON THE RIGHT SIDE OF THE RIGHT ANKLE MSK0004-023 OK AND DOES THE PAIN RADIATE OR MOVE ANYWHERE MSK0004-024 IN YOUR FEET I CAN KIND OF FEEL IT AROUND ON THE THE SOLE OF MY FOOT AS WELL BUT MOSTLY ON THE OUTSIDE THOUGH MSK0004-025 OK AND IS THERE ANYTHING THAT MAKES THE PAIN BETTER MSK0004-026 OR WORSE IT GETS WORSE REALLY TO IF IF I MOVE MY ANKLE OR IF I'M STANDING ON IT MSK0004-027 OK AND ANYTHING THAT MAKES IT BETTER MSK0004-028 ALRIGHT JUST IF I REST AND AVOID MOVING IT MSK0004-029 OK HAVE YOU NOTICE ANY FEVERS OR MSK0004-031 CHILLS NO OK ANY PAIN IN ANY OTHER JOINTS BESIDES YOUR ANKLE MSK0004-032 NO JUST MY MY RIGHT ANKLE MSK0004-033 OK ANY APPETITE OR WEIGHT CHANGES MSK0004-034 NO I'VE BEEN I'VE BEEN JUST TRAINING FOR THIS RACE COMING UP SO I MEAN I'VE BEEN JUST TRYING TO WORK ON MY FITNESS A LITTLE BIT BUT MY WEIGHT HAS BEEN RELATIVELY STABLE MSK0004-035 OK ANY WEAKNESS IN YOUR RIGHT RIGHT EXTREMITIES OR ANY KIND OF NUMBNESS OR TINGLING SENSATION MSK0004-036 NO NUMBNESS OR TINGLING AND NO MUSCLE WEAKNESS EITHER MSK0004-037 OK RIGHT HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST MSK0004-038 I'M I HAD DIARRHEA A FEW MONTHS AGO AND I WAS GIVEN A FLUOROQUINOLONE AS AN ANTIBIOTIC MSK0004-039 OK THAT'S TWO MONTHS AGO OK AND ANY MEDICATIONS THAT YOU'RE ON CURRENTLY MSK0004-040 I I TAKE A VITAMIN D AND SOME OTHER VITAMINS VITAMIN A AS WELL I GUESS THAT JUST HELPS MY MY SKIN AND AND THEN THE MSK0004-041 VITAMIN D FOR MY MY BONES OK ANY ALLERGIES TO MEDICATIONS MSK0004-043 ENVIRONMENTAL ISSUES NO ALLERGIES NO OK ANY HOSPITALIZATIONS MSK0004-045 OR PREVIOUS SURGERIES NO OK ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS ANY RHEUMATOLOGICAL CONDITIONS ANYTHING THAT YOU KNOW OF MSK0004-046 MY GRANDPARENTS HAVE ARTHRITIS SO AND MY LIKE MY DAD HAD HAD MSK0004-047 GOUT BEFORE OK AND DO YOUR GRANDPARENTS HAVE RHEUMATOID ARTHRITIS OR OSTEOARTHRITIS DO YOU KNOW MSK0004-048 I THINK OSTEO OSTEOARTHRITIS MSK0004-049 OK AND DO YOU CURRENTLY WORK MSK0004-050 I DO I WORK AS A SOFTWARE ENGINEER MSK0004-051 OK AND WHAT'S YOUR LIVING SITUATION LIKE CURRENTLY MSK0004-052 RIGHT NOW I'M ACTUALLY JUST LIVING ALONE IN A IN AN APARTMENT MSK0004-053 OK AND DO YOU SMOKE AT ALL MSK0004-054 NO NEVER I CAN'T WITH THE WITH ALL THIS LIKE TRAINING FOR AT THE RACE AND MSK0004-055 STUFF LIKE THAT OK THAT'S GOOD ANY RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING LIKE THAT BEFORE MSK0004-056 NO I'VE NEVER USED ANYTHING LIKE THAT IN THE PAST MSK0004-057 OK AND HOW ABOUT ALCOHOL MSK0004-058 RARELY I'LL HAVE MAYBE A GLASS OF WINE LIKE ONCE EVERY COUPLE OF MONTHS BUT IT'S PRETTY INFREQUENT MSK0004-059 OK ALRIGHT SO I JUST HAVE A FEW QUESTIONS RIGHT NOW OVER YOUR RIGHT ANKLE DO YOU HAVE SO YOU MENTIONED YOU DON'T HAVE ANY SWELLING BUT DO YOU NOTICE ANY KIND OF REDNESS OR WARMTH AT ALL MSK0004-060 NO NOTHING LIKE THAT MSK0004-061 OK AND IF YOU PRESS DOWN ON YOUR ANKLE DOES IT HURT A LOT MSK0004-062 A LITTLE BIT OF PAIN NOW THAT RIGHT LIKE OUTSIDE BUT IT'S NOT IT DOESN'T HURT THAT BAD MSK0004-063 OK I'LL SAY NO OK AND IF YOU KIND OF MSK0004-064 ARE YOU ABLE TO MOVE YOUR ANKLE AT ALL I CAN I CAN MOVE IT AROUND A LITTLE BIT I'M TRYING TO AVOID THAT THOUGH JUST BECAUSE IT IT DOES HURT MSK0004-065 BUT I CAN MOVE IT AROUND OK AND ARE YOU ABLE TO STAND UP AND WALK OR ARE YOU NOT ABLE TO DO THAT RIGHT NOW MSK0004-066 I CAN JUST FOR SHORT PERIODS OF TIME CAUSE IT'S JUST CAUSE OF THE PAIN BUT I CAN WALK ON IT MSK0004-067-1 OK YEAH SO DEFINITELY WHAT WE'LL DO IS WE MIGHT NEED TO GET LIKE A PROPER PHYSICAL EXAMINATION DONE TO MAKE SURE THERE IS NO FRACTURE MSK0004-067-2 MOST LIKELY THOUGH IT SEEMS THAT THIS MAY JUST BE AN ANKLE SPRAIN DUE TO YOU INVERTING YOUR ANKLE THE OTHER DAY MSK0004-067-3 WHAT WE CAN DO IS USUALLY WE JUST IMMOBILIZE THE ANKLE AND THEN RECOMMEND APPLYING ICE MSK0004-067-4 YOU CAN TAKE SOME NSAIDS LIKE ADVIL FOR PAIN TO HELP YOU AND IT SHOULD MSK0004-067-5 IT SHOULD GET BETTER ON ITS OWN WITH SOME PHYSIOTHERAPY LATER ON AS WELL HOWEVER MSK0004-067-6 IF WE FIND THAT ON PHYSICAL EXAMINATION YOU ARE HAVING SIGNIFICANT PAIN ON PALPATION MSK0004-067-7 OR ANY KIND OF BONY PAIN WE MIGHT ALSO REQUIRE YOU TO GET AN X RAY OF THE RIGHT FOOT AND ANKLE AS WELL AS JUST YOUR LOWER LEG MSK0004-067-8 SO WE'LL HAVE YOU COME COME MSK0004-068 IN IN PERSON AND THEN MSK0004-069 GO FROM THERE AND SEE IF YOU NEED AN X RAY MSK0005-000 WHAT BRINGS YOU IN MSK0005-001 HI I'VE I'VE HAD THIS PAIN ON THE OUTSIDE OF MY RIGHT ELBOW NOW IT'S IT I FIRST STARTED KNOWING NOTICING IT SEVERAL MONTHS AGO BUT RECENTLY IT'S JUST BEEN MORE PAINFUL MSK0005-002 OK SO YOU SAID SEVERAL MONTHS AGO DID ANYTHING HAPPEN SEVERAL MONTHS AGO WAS THERE ANY SORT OF TRIGGER TRAUMA ANYTHING LIKE THAT TO THAT AREA MSK0005-003 NO THERE WASN'T ANY ANY TRAUMA OR ANY TRIGGERS THAT THAT I NOTICED I WAS JUST FEELING IT A BIT MORE AT THE END OF OF WORK I WAS JUST HAVING IT FEELING THE PAIN A BIT MORE AT MSK0005-004 THE END OF WORK OK DOES ANYTHING MAKE IT BETTER OR WORSE THE PAIN MSK0005-005-1 YEAH IF I REALLY IF I'M JUST RESTING THE ELBOW MSK0005-005-2 IT MAKES IT BETTER AND I'VE TRIED THINGS LIKE IBUPROFEN MSK0005-005-3 WHICH HAS HELPED WITH THE PAIN I'LL I'LL DO THAT FOR HOPING I I MSK0005-006 GET THROUGH WORK SOMETIMES IF THE PAIN IS BAD ENOUGH RIGHT OK AND IF YOU WERE MSK0005-007 TO DESCRIBE THE QUALITY OF THE PAIN IS IT SHARP THROB BY ACHY IT'S KIND OF WELL MSK0005-008 IT'S ACHY AND THEN SOMETIMES DEPENDING ON THE MOVEMENT IT CAN GET MSK0005-009-1 IT CAN BE SHARP AS WELL MSK0005-009-2 IT CAN BE SHARP OK OK AND WHAT SORTS OF MOVEMENTS MAKE IT WORSE MSK0005-009-3 SO LIKE REALLY IT'S MOSTLY THE MOVEMENTS AT MY WRIST IF I'M BENDING MY WRIST DOWN MSK0005-009-4 I CAN I CAN FEEL IT OR IF I'M MSK0005-010 HAVING TO PICK THINGS UP OR HOLD HEAVY OBJECTS AT WORK I DO A LOT OF REPETITIVE THINGS AT AT WORK I WORK ON A LINE OK OK MSK0005-011 AND ONE TO TEN TEN BEING THE WORST PAIN MSK0005-012 YOU'VE EVER FELT HOW BAD IS THIS PAIN IT IT'S IT'S ABOUT A FOUR MSK0005-013 ABOUT A FOUR MSK0005-014 OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE NO I HAVEN'T NO OK AND DO YOU FEEL LIKE YOUR PAIN IS GETTING WORSE MSK0005-015 WORSE OVER THE PAST MSK0005-016 SEVERAL MONTHS OR IS IT THE SAME GETTING BETTER IT'S BEEN GETTING WORSE IT'S BEEN GETTING WORSE OK MSK0005-017 OK HAVE YOU TRIED ANY LIKE TOPICAL OINTMENTS OR ANYTHING LIKE THAT FOR IT I DID I I TRIED SOME MSK0005-018 SOME STUFF THAT YOU CAN GET AT THE DRUGSTORE AND MSK0005-019 IT DID HELP TAKE THE EDGE OFF A LITTLE BIT OK MSK0005-020 ALRIGHT AND ARE YOU STILL ABLE TO MOVE THAT ARM YOUR RIGHT ARM MSK0005-021 AS WELL AS YOUR HAND I AM I I HAVE FULL RANGE OF MOTION OF BOTH THE ELBOW AND HAND OK AND IT'S NOT LIKE PREVENTING MSK0005-022 PREVENTING YOU FROM DOING EVERYDAY TASKS NO I I'VE BEEN BEEN ABLE TO MANAGE SO FAR AT WORK BUT IT IS STARTING TO MSK0005-023 BECOME AN ISSUE WITH MY JOB OK ALRIGHT AND THEN DO YOU HAVE ANY SORTS OF ACHES OR PAINS IN ANY OTHER JOINT OR MUSCLE GROUPS NO IT'S JUST MSK0005-024 RIGHT THERE ON THE OUTSIDE OF MY RIGHT ELBOW AND OK IT'S MSK0005-025 REALLY ANNOYING CAUSE I'M RIGHT HANDED AS WELL SO IT'S CAUSING MSK0005-026 PROBLEMS THERE RIGHT AND IS THE PAIN RADIATING UPWARDS OR DOWNWARDS MSK0005-027 NO I KINDA JUST FEEL IT RIGHT OVER THAT THAT ONE MSK0005-028 SPOT OK ANY NUMBNESS OR TINGLING IN THAT ARM NO MSK0005-029 NO NO NUMBNESS OR TINGLING MSK0005-030 OK AND THEN HOW ABOUT LIKE YOUR ARM FEELING MSK0005-031 LIKE IT'S COLD NO I HAVEN'T HAD ANYTHING LIKE THAT OK ALRIGHT MSK0005-033 OTHERWISE DO YOU HAVE ANY OTHER SYMPTOMS MSK0006-000 WHAT BRINGS YOU IN MSK0006-001 I I'VE HAD THIS PAIN IN THE RIGHT BUTTOCK AREA IT'S BEEN REALLY INTENSE AND MORE RECENTLY I'M FEELING IT LIKE RADIATE JUST DOWN MY RIGHT LEG AS WELL MSK0006-002 OK AND SORRY WHEN DID YOU SAY IT STARTED MSK0006-003 SO IT'S BEEN GOING ON FOR WELL IT'S IT'S GOTTEN REALLY INTENSE IN THE LAST LIKE TWO DAYS MSK0006-004 OK AND BEFORE THAT DID YOU HAVE ANY PAIN AT ALL OR WAS IT JUST LIKE SUDDEN MSK0006-005 I DO HAVE A BIT OF PAIN DOWN IN MY IN IN MY BUTTOCK AREA BUT IT'S JUST MSK0006-006 GOTTEN REALLY IT'S GOTTEN MORE PAINFUL OVER THESE LAST COUPLE OF DAYS OK AND IS IT A PERSISTENT KIND OF PAIN OR DOES IT COME AND GO MSK0006-007 IT'S PERSISTENT IT'S IT IT DOES GET WORSE THOUGH DEPENDING ON WHAT MSK0006-008 WHAT I'M DOING OK MSK0006-009 WHAT WHEN DOES IT GET WORSE WELL IT IT GETS IT GETS WORSE WITH WALKING WITH SITTING REALLY ANY LIKE ANY KINDS OF MOVEMENTS LIKE IF I JUST GOTTA KIND OF STAY STILL AND THAT'S THE ONLY THING THAT REALLY HELPS IT MSK0006-010 OK HAVE YOU TRIED ANYTHING FOR IT MSK0006-011 I'M JUST TAKING SOME PAIN MEDIC MEDICATIONS OVER THE COUNTER FOR THESE LAST COUPLE OF DAYS LIKE ADVIL AND MSK0006-012 TYLENOL BUT THAT'S IT OK MSK0006-013 AND DOES IS IT HELPING IT DOES MSK0006-014 I MEAN NOT REALLY IT HASN'T REALLY HELPED MUCH OK ALRIGHT AND IF YOU WERE TO DESCRIBE THE QUALITY OF THE PAIN WOULD YOU SAY IT'S SHARP DULL MSK0006-015 ACHY THROBBY IT KIND OF LIKE A SHARP PAIN IN THE IN THE BUTTOCK AND IT IT MSK0006-016 IT'S KIND OF LIKE BURNING DOWN THE LEG OK OK SO A RADICULAR KIND OF PAIN THEN OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR PAIN ONE TO TEN TEN BEING THE WORST PAIN MSK0006-017 YOU'VE EVER FELT MSK0006-018 WHAT WOULD YOU RATE IT EIGHT OK AND DOES THIS PAIN RADIATE ELSEWHERE I KNOW YOU SAID IT STARTS ON YOUR BUTTOCKS KIND OF GOES DOWN YOUR LEGS DOES IT GO UP YOUR BACK OR DOWN INTO THE OTHER LEG AT ALL MSK0006-019 NO I FEEL IT JUST JUST IN THE BUTTOCK AND DOWN THE LEG MSK0006-020 OK HAVE YOU EVER EXPERIENCED THIS KIND OF PAIN BEFORE MSK0006-021 I HAVE I'M A A TRUCK DRIVER AND SO I DO A LOT OF A LOT OF MSK0006-022 SITTING AND I'VE HAD KIND OF SCIATIC PAIN IN THE PAST OK AND HAVE YOU EVER HAD ANY LIKE MSK0006-023 TRAUMA OR ANYTHING THAT COULD HAVE TRIGGERED THIS INITIALLY IN THE PAST NO I DON'T THINK SO I DON'T I HAVEN'T REALLY DONE MUCH JUST KIND OF WORK AND MSK0006-024 I HAVEN'T HAD ANY TRAUMA TO THE BACK OR ANYTHING LIKE THAT OK AND ARE YOU EXPERIENCING ANY MSK0006-025 SORT OF WEAKNESS WITH YOUR LEGS NO NO WEAKNESS JUST WELL MAYBE I GUESS MAYBE MAYBE A LITTLE BIT MSK0006-026 OF LEG WEAKNESS I'VE HAD I'VE HAD MSK0006-027 A LITTLE BIT OF DIFFICULTY WALKING BEEN LIMPING I SEE OK MSK0006-029 OK AND JUST IN YOUR RIGHT LEG RIGHT MSK0006-030 ANY URINARY OR STOOL INCONTINENCE NO MSK0006-031 OK ANY SEXUAL DYSFUNCTION MSK0006-032 NO I HAVEN'T HAD ANYTHING LIKE THAT OK ANY NUMBNESS OR TINGLING MSK0006-034 NO IT'S JUST KIND OF DOWN THE BACK OF MY LEG MSK0006-036 ALRIGHT AND OTHERWISE DO YOU HAVE OTHER SYMPTOMS MSK0006-038 NO MSK0006-039 NO WEIGHT LOSS MSK0006-040 NO WEIGHT LOSS MSK0006-041 FEVERS OR CHILLS MSK0006-042 NO FEVERS OR CHILLS MSK0006-043 RASHES MSK0006-044 NO RASHES MSK0006-045 CHANGES TO YOUR VISION HEARING SMELL OR TASTE MSK0006-046 NO MSK0006-047 ARE YOU COUGHING HAVING SHORTNESS OF BREATH OR WHEEZING MSK0006-048 NO I HAVEN'T BEEN ANY HAVING ANY SYMPTOMS LIKE THAT MSK0006-049 OK ANY CHEST PAIN PALPITATIONS OR DIZZINESS OR FAINTING SPELLS MSK0006-050 NO NOTHING LIKE THAT MSK0006-051 ANY CHANGES TO YOUR BOWEL MOVEMENTS MSK0006-052 NO DIARRHEA OR CONSTIPATION MSK0006-053 AND NO BLEEDING IN THE STOOL MSK0006-054 NO BLOOD IN THE STOOL MSK0006-055 OK AND THEN HOW ABOUT NAUSEA OR VOMITING MSK0006-056 NO I HAVEN'T HAD ANY NAUSEA OR VOMITING MSK0006-057 OK CHANGES TO YOUR URINE MSK0006-058 NO NO CHANGES TO THE URINE MSK0006-059 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS MSK0006-060 I DO HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL AND I TAKE MEDICATIONS FOR THOSE I TAKE AMLODIPINE MSK0006-061 AMLODIPINE AND A STATIN OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS ARE ARE YOU ON ANY OTHER MEDICATIONS BESIDES THOSE MSK0006-062 JUST A MULTIVITAMIN MSK0006-063 OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS MSK0006-064 I AM YES MSK0006-065 OK ANY ALLERGIES MSK0006-066 NO I DON'T BELIEVE SO MSK0006-067 NO FAMILY HISTORY OF MUSCULOSKELETAL OR NEUROLOGICAL ISSUES MSK0006-068 NO NOTHING LIKE THAT MSK0006-069 AUTOIMMUNE CONDITIONS MSK0006-070 NO NOTHING LIKE THAT MSK0006-071 CANCERS MSK0006-072 NO MSK0006-073 NO OK AND DO YOU SMOKE MSK0006-074 I SMOKE ABOUT HALF A PACK OF CIGARETTES PER DAY MSK0006-075 OK FOR HOW LONG HAVE YOU BEEN DOING THAT MSK0006-077 ABOUT FORTY YEARS FORTY YEARS OK MSK0006-078 HAVE YOU EVER THOUGHT OF QUITTING I HAVE I'VE CUT DOWN OVER THE YEARS I USED TO SMOKE MORE IT'S JUST THE CULTURE WITH I DON'T KNOW EVERYBODY'S DRIVING A TRUCK AND SMOKING MSK0006-079 OK THAT'S HARD IF YOU EVER NEED ANY RESOURCES WE HAVE SOME THAT WE CAN REFER YOU TO MSK0006-080 THANK YOU MSK0006-081 NO WORRIES AND DO YOU CONSUME MARIJUANA MSK0006-082 NO I DON'T MSK0006-083 OK HOW ABOUT OTHER RECREATIONAL DRUGS MSK0006-084 NOPE NOTHING LIKE THAT BEFORE MSK0006-085 OK DO YOU DRINK ALCOHOL MSK0006-086 I'LL HAVE A BEER OR TWO ON THE WEEKEND SO MAYBE A COUPLE OF DRINKS PER WEEK MSK0006-087 OK AND HOW ABOUT DO SICK CONTACTS HAVE YOU BEEN IN TOUCH WITH ANY RECENTLY MSK0006-088 NO I HAVEN'T BEEN AROUND ANYBODY WHO'S BEEN SICK MSK0006-089 OK ANY TRAVEL RECENTLY MSK0006-090 JUST FOR THE DROP OFFS THAT I THAT I MAKE DRIVING I DO HAVE TO MAKE SOME PRETTY LONG HAULS BACK AND FORTH THE MSK0006-091 OK AND WHERE DO YOU MSK0006-092 CURRENTLY LIVE SO I LIVE IN A HOUSE WITH MY MSK0006-093-1 WITH MY WIFE AND AND SON MSK0006-093-2 OK ALRIGHT AND OK SO NOW I'M JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART OF THIS AND I'M GOING TO ASK YOU TO DO A FEW THINGS OK SO MSK0006-093-3 WELL JUST BY LOOKING AT YOUR LEGS OR IF YOU HAVE A MIRROR AND YOU CAN LOOK AT YOUR RIGHT BUTTOCK AREA MSK0006-093-4 DO YOU SEE ANY SWELLING OR REDNESS MSK0006-094 NO I DON'T SEE ANYTHING LIKE THAT MSK0006-095 OK AND DOES IT FEEL HOT MSK0006-096 NO IT DOESN'T FEEL HOT MSK0006-097 OK AND DO YOU SEE ANY SKIN CHANGES MSK0006-098 NO SKIN CHANGES MSK0006-099 ANY ATROPHY OR DEFORMITY IN THE AREA MSK0006-100 NO MSK0006-101 NO HAS YOUR GAIT CHANGED LIKE DOES IT ARE YOU LIMPING HOBBLING ANYTHING LIKE THAT MSK0006-102 I FEEL LIKE I'VE BEEN LIMPING A LITTLE BIT MSK0006-103 ARE YOU PUTTING MORE PRESSURE ON THE LEFT FOOT THEN MSK0006-104 I AM I GUESS THERE'S LIKE AN ANTALGIC GAIT MSK0006-105 OK ALRIGHT AND THEN IF YOU PRESS DOWN ON YOUR HIPBONE MSK0006-106 DO YOU FEEL MSK0006-107 FEEL ANY PAIN THERE ON YOUR RIGHT HIP BONE NO I DON'T OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BUTTOCKS ITSELF MSK0006-108 THERE IS A LITTLE BIT OF TENDERNESS OVER THE BUTTOCK AREA MSK0006-109 OK HOW ABOUT THE BACK OF YOUR LEGS MSK0006-110 NO MSK0006-112 NO MSK0006-113 NO OK ALRIGHT AND THEN I'M GONNA JUST GET YOU TO DO A FEW MOVEMENTS WITH ME AS WELL WOULD YOU MSK0006-114 OK SO ARE YOU SITTING DOWN RIGHT NOW OK WOULD YOU MIND MSK0006-115 STANDING UP FROM A SITTING POSITION MSK0006-116 YES FOR SURE MSK0006-117 DOES THAT HURT IT THAT THAT THAT MSK0006-118-1 CAUSES PAIN MSK0006-118-2 OK SO THAT CAUSES SO HIP HIP EXTENSION THAT CAUSES SOME PAIN AND MSK0006-118-3 AS WELL AS KNEE EXTENSION SO WOULD YOU MIND KICKING YOUR RIGHT LEG UP IN FRONT OF YOU ALL THE MSK0006-119 WAY UP MSK0006-120 AS FAR AS MSK0006-121 YOU CAN GO MSK0006-122 DOES THAT HURT IT DOES OK SO RIGHT HIP FLEXION ALSO CAUSES PAIN AND THEN WOULD YOU MIND FOLDING YOUR KNEES BACKWARDS AND AND JUST SORT OF FLEXING IT DOES THAT HURT MSK0006-123 NO MSK0006-124 OK SO NO PAIN AT KNEE FLEXION AND HOW ABOUT WHEN YOU POINT YOUR FEET AND TOES UP TOWARDS THE CEILING MSK0006-125 I I DO GET SOME PAIN WITH MY WHEN THAT'S MSK0006-126 ALL STRAIGHTENED OUT OK SO SOME PAIN ON PLANTER FLEXION OF THE RIGHT FOOT AND HOW ABOUT IF YOU POINT YOUR FEET AND TOES TOWARDS THE GROUND MSK0006-127 NO PAIN THERE MSK0006-128 OK ALRIGHT AND HOW ABOUT WHEN YOU KICK YOUR LEGS MSK0006-129 TO THE SIDE AND UPWARDS MSK0006-130 NO PAIN WITH ABDUCTION OK SO NO PAIN ON RIGHT HIP ABDUCTION MSK0006-132 AND THEN HOW ABOUT WHEN YOU BRING IT BACK DOWN OK AND NO PAIN ON HIP ADDUCTION OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR MYSELF MSK0006-133 JUST WONDERING ABOUT POSSIBLY LIKE WHAT IT COULD BE MSK0006-134-1 YEAH SO IT SOUNDS RIGHT NOW LIKE YOU MAY HAVE SOME SORT OF SACRAL NERVE RADICULOPATHY MSK0006-134-10 AND AS WELL I'M GOING TO GIVE YOU A REFERRAL FOR PHYSICAL THERAPY AND THEY'LL DO SOME EXERCISES WITH YOU AND SLOWLY INCREASE THOSE EXERCISES MSK0006-134-11 AND IF THOSE STILL DON'T WORK WE CAN TRY STEROIDS STEROID INJECTIONS AS WELL WE TALKED ABOUT THE IMAGING IF IT DOESN'T GO AWAY IN ABOUT SIX TO EIGHT WEEKS DOES THAT SOUND OK MSK0006-134-2 OR OR LIKE A LOWER LUMBAR LUMBAR RADICULOPATHY BASICALLY MSK0006-134-3 THAT'S KNOWN AS SCIATICA WHERE YOUR NERVE ROOTS CAN BE COMPRESSED CAUSING SOME OF THESE SYMPTOMS MSK0006-134-4 AND TO DIAGNOSE THESE THINGS USUALLY IT'S JUST DONE BY HISTORY AND PHYSICAL EXAM BUT MSK0006-134-5 IF AFTER WE TRY OUT SOME MANAGEMENT THINGS IT DOESN'T GO AWAY OR YOU'RE HAVING SOME RED FLAGS INCLUDING NUMBNESS IN THE GROIN AREA BOWEL OR BLADDER INCONTINENCE MSK0006-134-6 THEN WE CAN LOOK AT SOME IMAGING FOR THE FOR THE SPINE INCLUDING MRI MSK0006-134-7 AND SO IN TERMS OF MANAGEMENT OF THIS WE CAN TRY A COUPLE COUPLE OF LIKE CONSERVATIVE APPROACHES FIRST SO THAT INCLUDES TAKING NSAIDS FOR THE PAIN MSK0006-134-8 AND THEN LIKE ACTIVITY MODIFICATION SO IF YOU'RE SITTING DOWN MSK0006-134-9 ALL THE TIME PERHAPS LIKE TAKING LITTLE BREAKS STRETCHING OUT YOUR LEGS DOING SOME PHYSIO AS WELL DURING THOSE BREAKS CAN HELP MSK0006-135 THAT SOUNDS GOOD THANK YOU MSK0006-136 OK NO PROBLEM MSK0007-000 HOW MAY I HELP YOU MSK0007-001 HI YES I'VE HAD THIS PAIN IN MY LEFT ELBOW FOR A COUPLE OF WEEKS NOW AND IT'S NOT GETTING ANY BETTER SO I'M JUST HERE TO KIND OF FIGURE OUT WHAT IT IS MSK0007-002 OK ALRIGHT ARE YOU FEELING THIS PAIN ON THE LATERAL SIDE OF THE ELBOW ON THE OR ON THE MEDIAL SIDE OF THE ELBOW MSK0007-003 IT'S ON THE MEDIAL SIDE MSK0007-004 OK AND SORRY WHEN DID THIS PAIN EXACTLY START MSK0007-005 SO IT'S BEEN ON GOING FOR LIKE THE PAST THREE MONTHS BUT IT'S GOTTEN WORSE OVER THE LAST I'D SAY THREE WEEKS MSK0007-006 OK AND HAS THE PAIN BEEN GETTING WORSE MSK0007-007 WORSE ANY BETTER THE PAINS BEEN GETTING WORSE MSK0007-008 OK WAS THERE ANY TRIGGERS OR PRECIPITATING EVENTS TO THE PAIN SUCH AS LIKE A FALL OR ANY TYPES OF TRAUMA TO THE ELBOW MSK0007-009 NO NO NOT THAT I CAN THINK MSK0007-010 OF HAVE YOU HAD ANY PAIN OR INJURY TO THE ELBOW IN THE PAST MSK0007-011 NO MSK0007-012 COULD YOU DESCRIBE THE CHARACTER OF THE PAIN IS IT SHARP ACHEY OR OR DULL MSK0007-013 IT'S USUALLY ACHEY BUT IT CAN BE SHARP MSK0007-014 OK DOES THE PAIN RADIATE ANYWHERE MSK0007-015 NO IT'S PRETTY IT'S PRETTY MUCH IN THAT ONE AREA MSK0007-016 OK JUST ON THE MEDIAL SIDE OF THE LEFT ELBOW MSK0007-017 OK AND IS THERE ANYTHING THAT YOU'VE DONE TO HELP MAKE THE PAIN GO AWAY OR ANY ALLEVIATING FACTORS MSK0007-018 I'M TAKING SOME NSAIDS THAT HELPS WITH THE PAIN TEMPORARILY MSK0007-019 OK AND ARE THERE ANY FACTORS THAT MAKE THE PAIN WORSE MSK0007-020 WHEN I I I GUESS WHEN I LIKE EXTEND MY ELBOW OUT IT GETS WORSE MSK0007-021 OK SO IT'S A MOVEMENT OK AND STRAIGHTENING THE ELBOW MSK0007-022 OK I MEAN WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF ONE TO TEN WITH TEN BEING THE WORST PAIN YOU'VE EVER FELT MSK0007-023 I'D SAY ABOUT FIVE MSK0007-024 OK AND SO DID YOU HAVE ANY OTHER SYMPTOMS ASSOCIATED WITH THE ELBOW PAIN MSK0007-025 NO NOT REALLY I I'M OTHERWISE PRETTY HEALTHY MSK0007-026 OK SO HAVE YOU HAD ANY FEVERS OR CHILLS MSK0007-027 NO MSK0007-028 HAVE YOU HAD ANY NIGHT SWEATS MSK0007-029 NO MSK0007-030 OR ANY ANY WEIGHT LOSS MSK0007-031 NO MSK0007-032 OK HAVE YOU HAD ANY ANY HEADACHES MSK0007-033 NO MSK0007-034 ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR OR HEARING OR EVEN YOUR SMELL OR TASTE MSK0007-035 NO MSK0007-036 OK HAVE YOU HAD ANY EYE REDNESS OR EYE DISCHARGE OR YOUR EAR PAIN MSK0007-037 NO MSK0007-038 OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT MSK0007-039 NO MSK0007-040 HAVE YOU HAD A COUGH OR SHORTNESS OF BREATH MSK0007-041 NO MSK0007-042 HAVE YOU HAD ANY WHEEZING MSK0007-043 NO MSK0007-044 OK HAVE YOU HAD ANY CHEST PAIN MSK0007-045 NO MSK0007-046 ANY LIGHTHEADEDNESS OR DIZZINESS MSK0007-047 NO MSK0007-048 HAVE YOU HAD ANY HEART PALPITATIONS MSK0007-049 NO MSK0007-050 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING MSK0007-051 NO MSK0007-052 HAVE YOU HAD ANY ABDOMINAL PAIN MSK0007-053 NO MSK0007-054 ANY DIARRHEA OR CONSTIPATION MSK0007-055 NO MSK0007-056 HAVE YOU HAD ANY URINARY PROBLEMS MSK0007-057 NO MSK0007-058 OK HAVE YOU HAD ANY SKIN RASHES MSK0007-059 NO NO MSK0007-060 OK HAVE YOU HAD ANY NUMBNESS MSK0007-062 NO AND HOW ABOUT ANY MUSCLE WEAKNESS MSK0007-063 NO MSK0007-064 OK AND ANY JOINT PAINS ANYWHERE ELSE MSK0007-065 NO MSK0007-066 OK AND ANY CHANGES TO YOUR MEMORY OR OR ANY CONFUSION MSK0007-067 NO MSK0007-068 OK AND HAVE YOU HAD ANY FATIGUE MSK0007-069 NO MSK0007-070 OK AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE MSK0007-071 NO MSK0007-072 OK ARE AN HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST MSK0007-073 NO MSK0007-074 OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER MSK0007-075 NO I JUST TAKE SOME MULTIVITAMINS MSK0007-076 OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS MSK0007-078 NO OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES MSK0007-079 I I HAD A FRACTURE WHEN I WAS YOUNGER IT WAS IN MY HUMERUS MSK0007-080 BONE ON THE RIGHT SIDE OK SO IT'S THE TO THE FRACTURE WAS ON THE OTHER ARM MSK0007-081 YES MSK0007-082 OK AND DID THAT HEAL OK MSK0007-083 YES MSK0007-084 ALRIGHT THEN CAN YOU TELL ME ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHEREABOUTS AND WHO YOU'RE LIVING WITH MSK0007-085 I LIVE WITH MY PARTNER OF FIVE YEARS WE LIVE IN AN APARTMENT TOGETHER MSK0007-086 OK AND ARE YOU WORKING CURRENTLY MSK0007-087 I AM MSK0007-088 AND WHAT DO YOU DO MSK0007-089 I WORK ON THE ASSEMBLY LINE FOR CHRYSLER MSK0007-090 OK AND DO YOU DO REPETITIVE TASKS AT WORK MSK0007-091 I DO MSK0007-092 OK DO YOU NOTICE THIS PAIN AFTER MORE SO AFTER A SHIFT OR AFTER AFTER A LONG DAY MSK0007-093 YES DEFINITELY MSK0007-094 OK AND WHAT TYPES OF HOBBIES DO YOU HAVE LIKE DO YOU PLAY GOLF OR TENNIS OR OR ANY KIND OF LIKE SPORTS I GUESS MSK0007-095 I USED TO PLAY GOLF BEFORE THIS PAIN IN MY ARM AND MY ELBOW SO I HAVEN'T PLAYED IT IN THE PAST LIKE SIX MONTHS MSK0007-098 DO YOU SMOKE CIGARETTES I DON'T MSK0007-099 AND DO YOU DRINK ALCOHOL I'LL HAVE A GLASS OF WINE EVERY OTHER DAY MSK0007-100 OK AND HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS LIKE CANNABIS OR OR ANYTHING ELSE MSK0007-101 I'LL SMOKE A JOINT ONCE A WEEK MSK0007-102 OK ALRIGHT AND IS THERE ANY FAMILY HISTORY OF ANY HEART OR LUNG MSK0007-104 PROBLEMS NO ANY MUSCULOSKELETAL OR NEUROLOGICAL DISEASES MSK0007-105 NO MSK0007-106 OK I GOT ANY AUTOIMMUNE DISEASES LIKE THYROID DISEASE OR DIABETES MSK0007-107 NO MSK0007-108 OK AND SO NEXT I WANTED TO WALK THROUGH A PHYSICAL EXAM SO WHEN YOU LOOK AT THE ELBOW YOURSELF DO YOU SEE ANY SWELLING OR REDNESS MSK0007-109 NO MSK0007-110 OK DOES IT LOOK LIKE THERE IS ANY MUSCLE ATROPHY EITHER IN THE FOREARM OR THE BICEPS OR TRICEPS MSK0007-111 NO MSK0007-112 OK AND HOW ABOUT ANY MISALIGNMENT OR JOINT DEFORMITY MSK0007-113 NO I DON'T SEE ANY OF THAT MSK0007-114 OK AND ARE THERE ANY SCARS MSK0007-115 NO MSK0007-116 OK AND WHEN YOU PRESS ON THE MEDIAL PART OF THE THE ELBOW DO YOU FEEL PAIN MSK0007-117 I DO MSK0007-118 HOW ABOUT OVER THE OLECRANON OR THE YEA ANY PAIN OVER THE OLECRANON MSK0007-119 A LITTLE BIT MSK0007-120 OK AND IS THERE ANY PAIN OVER THE LATERAL PART OF THE ELBOW MSK0007-121 NO MSK0007-122 OK AN ANY PAIN OVER THE FOREARM OR BICEPS OR TRICEPS MUSCLES MSK0007-123 NO MSK0007-124 OK AND DOES THE JOINT FEEL LIKE MSK0007-126 HOT NO OK AND ANY PAIN WITH MSK0007-129 MOVEMENTS NO OK ACTUALLY SORRY WITH THE ELBOW WHEN I STRAIGHTEN IT OUT ALL THE WAY IT HURTS A LITTLE BIT MSK0007-130 OK WHEN ARE YOU STRAIGHTENING IT OUT ALL THE WAY OK BUT NO PAIN WITH SHOULDER MOVEMENTS AND FULL RANGE OF MOTION MSK0007-131 NO NO PAIN WITH SHOULDER MSK0007-132 OK AND HOW ABOUT PAIN MSK0007-133 WITH PRONATION AND MSK0007-134 SUPINATION WITH PRO MSK0007-136 IT HURTS OK AT THE MEDIAL SIDE YES MSK0007-137 OK AND HOW ABOUT WITH MSK0007-139 WRIST FLEXION THAT HURTS TOO MSK0007-140 OK AND THEN HOW ABOUT IF YOU PASSIVELY EXTEND YOUR YOUR WRIST MSK0007-143 NO NO NO NUMBNESS OR TINGLING OK OK MSK0007-144-1 SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION MSK0007-144-2 NO THAT WAS THAT WHAT DO YOU THINK I HAVE AND HOW CAN I FIX IT MSK0007-144-3 YEAH SO IT IT'S CERTAINLY IT IT SOUNDS LIKE WITH THE MEDIAL ASPECT OF YOUR ELBOW HAVING PAIN THERE OVER THE LAST SEVERAL MONTHS AND SOME OF THE PHYSICAL EXAM MANEUVERS SUCH AS LIKE MSK0007-144-4 PASSIVE WRIST EXTENSION RESISTED WRIST FLEXION AS WELL AS PRONATION AND THE POINT TENDERNESS OVER THE MEDIAL ELBOW THIS COULD BE A MSK0007-144-5 MEDIAL EPICONDYLITIS OR A TENDINOPATHY IN THAT AREA AND SO THIS IS TYPICALLY TREATED WITH MSK0007-144-6 ACTIVITY MODIFICATION SO THIS COULD BE TRYING TO AVOID REPETITIVE MOVEMENTS THAT THAT CAUSE PAIN MSK0007-144-7 AND USING MEDICATIONS SUCH AS ADVIL AND TYLENOL AND DOING STRENGTHENING AND STRETCHING EXERCISES WHICH YOU CAN LEARN FROM A PHYSIOTHERAPIST OR OR ON YOUR OWN AS WELL MSK0007-144-8 AND ALSO OTHER THINGS THAT THAT THE MEDIAL SIDE OF THE ELBOW THAT IT COULD BE IS AN ULNAR LIGAMENT INJURY OR OR THE OTHER THING TO BE CONSIDERING IS AND ULNAR LIGAMENT INJURY MSK0007-144-9 AND SO IF THE PAIN ISN'T GOING AWAY THEN WE MIGHT CONSIDER AN ULTRASOUND OR SOMETHING TO LOOK AT THE STRUCTURES THERE MSK0007-145 OK THAT SOUNDS GREAT THANK YOU MSK0008-000 HOW MAY I HELP YOU MSK0008-001-1 HI CHRIS SO I WAS PLAYING SOCCER THE OTHER DAY AND MSK0008-001-2 I GOT KICKED IN THE KNEE AND SINCE THEN MY KNEE HAS BEEN HURTING MSK0008-001-3 AND IT LOOKS A LITTLE BIT RED AND A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT OF MY RIGHT KNEE MSK0008-002 OK AND AND THIS STARTED RIGHT AFTER THE KICK AT SOCCER MSK0008-003 YES MSK0008-004 OK AND HOW MANY DAYS AGO WAS THIS MSK0008-005 THIS WAS TWO DAYS AGO MSK0008-006 OK SINCE THEN HAS THE PAIN BEGIN GETTING ANY BETTER OR WORSE OR STAYING THE SAME MSK0008-007 NO IT'S STAYING THE SAME OR A LITTLE BIT WORSE MSK0008-008 OK COULD YOU DESCRIBE THE PAIN IS IT SHARP ACHY MSK0008-009 I'D SAY IT'S PRETTY SHARP MSK0008-010 OK AND DO YOU FEEL THE PAIN RADIATE ANYWHERE LIKE DOWN THE LEG OR OR UP INTO THE THIGH MSK0008-011 NO MSK0008-012 OK ANY PAIN IN THE POSTERIOR ASPECT OF THE KNEE OR THE LATERAL ASPECT MSK0008-013 NO MSK0008-014 OK AND IS THERE ANYTHING THAT MAKES THE PAIN WORSE MSK0008-015 I GUESS IF I PRESS ON THAT AREA OR I TRY TO AND I DON'T KNOW FLEX OR EXTEND MY KNEE TOO MUCH MSK0008-016 OK AN ANYTHING THAT YOU'VE TRIED TO MAKE THE PAIN BETTER MSK0008-017 SOME MSK0008-018 ICE HELPS OK AND HAVE MSK0008-019 YOU NOTICED MSK0008-020 SWELLING OVER THE AREA JUST A LITTLE MSK0008-021 BIT MSK0008-022 OK AND REDNESS AS WELL YES OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS A TEN BEING THE WORST PAIN THAT YOU'VE EVER FELT AND ONE BEING LOW INTENSITY PAIN MSK0008-023 I'D GIVE IT ABOUT A FIVE MSK0008-024 OK AND HAVE YOU HAD ANY INJURIES OR ANY KNEE PAIN BEFORE MSK0008-026 NO OK AT THE TIME OF THE INJURY DID YOU HEAR A POP SOUND OR OR ANY KIND OF SOUNDS LIKE THAT MSK0008-027 I DON'T RECALL MSK0008-028 OK AND HOW ABOUT ANY DIFFICULTIES WALKING OR HAVING ANY KNEE INSTABILITY MSK0008-029 A LITTLE BIT ONLY WHEN I LIKE TRY TO EXTEND OR FLEX MY KNEE TOO MUCH MSK0008-030 OK AND ALRIGHT SO HAVE YOU BEEN EXPERIENCING ANY MSK0008-032 OTHER SYMPTOMS NO ALRIGHT SO JUST TO BE COMPREHENSIVE SO I'LL RUN THROUGH A REVIEW SO HAVE YOU BEEN HAVING MSK0008-034 ANY ANY HEADACHES NO ANY SENSORY CHANGES LIKE CHANGES TO VISION HEARING SMELL OR TASTE MSK0008-035 NO MSK0008-036 OK ANY EYE SYMPTOMS OR YOUR SYMPTOMS MSK0008-037 NO MSK0008-038 HAVE YOU HAD A RUNNY NOSE OR SORE THROAT MSK0008-039 NO MSK0008-040 HAVE YOU HAD A COUGH MSK0008-041 NO MSK0008-042 ANY SHORTNESS OF BREATH MSK0008-043 NO MSK0008-044 HAVE YOU HAD ANY MSK0008-046 WHEEZING NO HAVE YOU HAD ANY CHEST PAIN MSK0008-047 NO MSK0008-048 ANY HEART PALPITATIONS OR HEART RACING MSK0008-049 NO MSK0008-050 OK HAVE YOU HAD ANY FAINTING OR DIZZINESS MSK0008-051 NO MSK0008-052 ALRIGHT HAVE YOU HAD ANY MSK0008-053 NAUSEA OR VOMITING MSK0008-054 NO HAVE YOU HAD ANY CHANGES TO YOUR APPETITE LIKE LOSS OF APPETITE MSK0008-055 NO MSK0008-056 HAVE YOU HAD ANY WEIGHT LOSS UNEXPECTEDLY MSK0008-057 NO MSK0008-058 OK HAVE YOU HAD ANY ABDOMINAL PAIN MSK0008-060 NO ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA CONSTIPATION MSK0008-061 NO MSK0008-062 OK HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY MSK0008-063 NO MSK0008-064 ALRIGHT AND HAVE YOU HAD ANY SKIN CHANGES SUCH AS RA RASHES OR ANYTHING LIKE THAT MSK0008-065 NO MSK0008-066 OK ANY JOINT PAINS ANYWHERE ELSE MSK0008-067 NO MSK0008-068 OK AND MSK0008-070 ANY FATIGUE NO OK AND IN THE PAST HAVE YOU HAD OR HAVE YOU BEEN DIAGNOSED WITH MSK0008-072 MEDICAL CONDITIONS NO OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS MSK0008-073 NO NO NOT THAT I KNOW OF MSK0008-074 ARE YOU CURRENTLY TAKING ANY MEDICATIONS MSK0008-075 NO MSK0008-076 ALRIGHT AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE MSK0008-077 NO MSK0008-078 OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE YOU YOU'RE LIVING WITH AND WHEREABOUTS MSK0008-079 SURE I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS MSK0008-080 OK AND ARE YOU GOING TO SCHOOL MSK0008-081 I AM I'M IN MY LAST YEAR OF GRADE TWELVE MSK0008-082 OK WELL THAT'S GOOD HOW IS THAT BEEN GOING MSK0008-083 IT'S BEEN GOING OK WE'VE BEEN DOING PART ONLINE PART IN PERSON MSK0008-084 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK MSK0008-085 NO MSK0008-086 ALRIGHT THEN AND YOU PLAY SOCCER DO YOU PLAY ANY OTHER SPORTS MSK0008-087 AND I PLAY FOOTBALL MSK0008-088 OK COOL AND ANY INJURIES BEFORE TO YOUR KNEE OR ANYTHING LIKE THAT MSK0008-089 NOT THAT IN THE PAST MSK0008-090 ALRIGHT AND DO YOU SMOKE CIGARETTES MSK0008-091 NO MSK0008-092 DO YOU DRINK ALCOHOL MSK0008-093 NO MSK0008-094 OK DID YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING ELSE MSK0008-095 NO MSK0008-096 OK ARE YOU CURRENTLY SEXUALLY ACTIVE MSK0008-097 I AM MSK0008-098 OK ARE YOU IN A RELATIONSHIP MSK0008-099 I AM WE'VE BEEN TOGETHER FOR A YEAR MSK0008-100 OK IS THERE ANY CONCERN FOR A SEXUALLY TRANSMITTED INFECTION MSK0008-101 NO WE WERE BOTH TESTED MSK0008-102 OK GREAT AND ANY CHANCE THAT YOU COULD BE PREGNANT MSK0008-103 NO MSK0008-104 OK AND IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS MSK0008-105 NO MSK0008-106-1 OK AND SO THAT I THAT WAS EVERYTHING I WANTED TO ASK ON HISTORY SO MSK0008-106-2 FOR THE PHYSICAL EXAM WHEN INSPECTING THE KNEE ARE YOU SEEING ANY JOINT EFFUSIONS OR JOINT SWELLING OR ECCHYMOSIS OR BRUISING MSK0008-107 IT LOOKS OR IS THAT A BRUISE IT LOOKS RED AND I WOULD SAY IT'S A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT ONLY MSK0008-108 OK IS THERE ANY MUSCLE ATROPHY MSK0008-110 NO OK AND IS THERE ANY MISALIGNMENT MSK0008-111 OR JOINT DEFORMITIES MSK0008-112 NO NOT THAT I NOTICE OK AND ALRIGHT ON GAIT OR WALKING IS THERE ANY MSK0008-114 LIMP OR MSK0008-115 ANTALGIA NO YOU'RE ABLE TO WALK NORMALLY I AM ABLE TO WALK NORMALLY MSK0008-116 AND IT HURTS BUT I THINK I'M WALKING OK OK AND MSK0008-118 NEXT IS THERE ANY CHANGES TO TEMPERATURE LIKE THE JOINT ITSELF FEEL HOT MSK0008-119 NO OK AND ARE THERE ANY AREAS OF THE JOINT LINE ITSELF OF THE KNEE THAT IS PAIN MSK0008-120 TO PALPATION AT JUST THE MEDIAL PART OF IT LIKE THE I GUESS WHERE MSK0008-122 THE LIGAMENT WOULD BE OK SO JUST LET ME OK AND ANY PAIN OVER THE PATELLA ANY PAIN OVER THE TIBIAL TUBEROSITY OR PATELLAR TENDON MSK0008-124 ANY PAIN OVER THE TIBIAL TUBEROSITY OR PATELLAR TENDON NO ANY PAIN MSK0008-126 OVER YOUR OVER THE FIBULAR HEAD OR THE LATERAL PART OF THE KNEE NO MSK0008-128 ANY PAIN IN THE CALF OR THE THIGH MUSCLES MSK0008-129 NO MSK0008-130 NO ANY PAIN IN THE HAMSTRING MUSCLES NO MSK0008-131 OK AND IS THERE ANY PAIN TO A LIKE VARUS STRESS OF THE KNEE TO THE VARUS STRESS MSK0008-132 I GUESS IT WOULD BE THERE WILL BE PAIN IF I PRESS DOWN IN THAT AREA OK AND IS THERE ANY MSK0008-133 JOINT THE JOINT LAXITY OR PAIN TOO LIKE A VALGUS STRESS OF THE KNEE SO WHEN I PRESS MSK0008-134 WHEN I DO THAT IT HURTS ON THE MEDIAL ASPECT BUT NOT THE LATERAL ASPECT OK AND DOES IT FEEL IS AS THOUGH THERE'S SOME MSK0008-135 LIKE THE JOINTS MSK0008-136 OPENING MORE WHEN YOU PUT THE VALGUS STRESS A LITTLE BIT YES OK AND IS THERE ANY INSTABILITY MSK0008-138 MOVING THE TIBIA ANTERIORLY MSK0008-139 NO MSK0008-140 OUTWARDS NO AND HOW ABOUT IF YOU PULL THE TIBIA POSTERIORLY ANY MSK0008-142 INSTABILITY NO OK AND THE MSK0008-144 IS THEIR FULL RANGE OF MOTION OF THE KNEE YES AND FULL RANGE OF MOTION OF THE MSK0008-146 HIP AND ANKLE YES OK AND DO YOU HAVE ANY LIKE MSK0008-148 TINGLING OR MUSCLE WEAKNESS NO MSK0008-149 OK AND ANY SENSORY CHANGES TO THE SKIN NO NO OK AND REFLEXES ARE NORMAL OK SO I THINK THAT WAS EVERYTHING I WANTED TO ASK AND AND MSK0008-150 KIND OF GO THROUGH ON THE PHYSICAL EXAM DID YOU HAVE ANY OTHER QUESTIONS MSK0008-151-1 OR ANYTHING THAT MAYBE I FORGOT TO MENTION TODAY MSK0008-151-2 NO THAT WAS IT JUST WHAT CAN I DO ABOUT MY MY KNEE MSK0008-151-3 YEAH SO RIGHT NOW IT'S SOUNDING LIKE THIS COULD BE AN MCL OR MEDIAL COLLATERAL LIGAMENT STRAIN OR INJURY AND SO MSK0008-151-4 THESE TYPES OF INJURIES ARE USUALLY TREATED CONSERVATIVELY LIKE WITH THINGS LIKE NSAIDS OR MSK0008-151-5 ANTI INFLAMMATORIES TO HELP THAT PAIN AND SWELLING IF THE PAIN DEPENDING ON HOW SEVERE IT IS IT MIGHT BE USEFUL TO USE MAYBE MSK0008-151-6 CRUTCHES FOR A DAY OR TWO TO TRY TO HELP LET THE PAIN TO SUBSIDE AND ALLOW YOU TO BE ABLE TO DO SOME PHYSICAL MSK0008-153-1 THERAPY EXERCISES LIKE STRENGTHENING THE QUADRICEPS AND HAMSTRING MUSCLES OK BUT TYPICALLY INJURIES THAT ARE LOWER GRADE WILL HEAL WITHIN TWO WEEKS AND MSK0008-153-2 SO IF IT'S MORE MORE SEVERE IT COULD TAKE A BIT LONGER AND ALTHOUGH THAT IT'S MOST LIKELY AN MCL INJURY THAT YOU'RE DESCRIBING IT COULD BE A MEDIAL MENISCAL INJURY AS WELL MSK0008-153-3 OR POSSIBLY EVEN A BURSITIS AT THE MEDIAL ASPECT OF THE KNEE MSK0008-153-4 BUT THE TREATMENT TO START MSK0008-154 WITH WOULD BE THE SAME AND MSK0010-000 HOW MAY I HELP YOU MSK0010-001 I JUST CAME IN HERE TODAY I'VE BEEN HAVING A LOT OF SHOULDER PAIN THAT'S JUST KIND OF LEFT ME NOT DOING ANY OF MY ACTIVITIES RECENTLY JUST IN MY LEFT SHOULDER MSK0010-002 OK AND WHEN WHEN DID THIS PAIN START MSK0010-003 IT STARTED FIVE DAYS AGO BUT IT BECAME PRETTY BAD AND I'VE BEEN KIND OF HAVING LIKE A SOMEWHAT OF A PAIN FOR THE LAST COUPLE WEEKS BUT IT GOT REALLY BAD JUST THIS WEEK MSK0010-004 OK DID YOU HAVE ANY TRAUMA TO THE SHOULDER LIKE ANY ANY INJURIES OR TRIGGERS THAT COULD HAVE CAUSED THE PAIN MSK0010-005 I HAVE BEEN JUST GOING TO THE GYM MORE FREQUENTLY OVER THE LAST FEW MONTHS AND LIFTING WEIGHTS AND THINGS LIKE THAT BUT JUST THIS WEEK I WASN'T EVEN REALLY ABLE TO DO THAT EITHER MSK0010-006 OK WHEN YOU WERE LIFTING WEIGHTS LIKE A FEW DAYS AGO LIKE WAS THERE AN EPISODE WHERE THERE WAS AN ACUTE ONSET OF THE PAIN WHERE IT GOT WORSE KIND OF LIKE RIGHT AWAY MSK0010-007 I THINK IT WAS MORE PROGRESSIVE BUT FIVE DAYS AGO I DO FEEL THAT THERE WAS LIKE JUST I WAS HAVING SOME PAIN BEFORE THAT BUT THEN I JUST NOTICED WHILE WORKING ON I I STARTED HAVING MORE PAIN BUT I DON'T THINK THERE WAS ANYTHING LIKE SUDDEN THAT HAPPENED THOUGH MSK0010-008 OH OK BUT IT IT WAS PROGRESSING AND THEN IT GOT ACUTELY WORSE WITH THE WEIGHT LIFTING IT SOUNDS LIKE MSK0010-009 MAYBE LIKE I DID INCREASE MY WEIGHT LIKE IN THE LAST TWO WEEKS SO I DID FEEL LIKE A LITTLE BIT MORE PAIN WITH THE INCREASE LAST WEEK MSK0010-010 OK I SEE AN IN THE LEFT SHOULDER DO YOU FEEL THE PAIN AT THE FRONT AT THE SIDES OR OR BACK MSK0010-011 IT HURTS PARTICULARLY LIKE IN THE FRONT PART OF THE SHOULDER MSK0010-012 OK DO YOU FEEL THAT IT'S RADIATING ANYWHERE ELSE MSK0010-013 JUST MY WHOLE LEFT SHOULDER NOTHING ELSE REALLY MSK0010-014 OK AND COULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN IS IT SHARP OR IS IT A KEY MSK0010-015 IT'S MORE ACHY MSK0010-016 OK MSK0010-017 BUT BUT CERTAIN LIKE SOME MOVEMENTS SO IT CAN GET LIKE KIND OF SHARP MSK0010-018 OK AND HAS THERE BEEN ANYTHING THAT HAS MADE THE PAIN WORSE MSK0010-019 IF I JUST IF I CARRY ANYTHING WITH MY LEFT ARM OR IF I HAVE TO LIFT ANYTHING OR PLACE IT ON MY SHOULDER LIKE IT REALLY HURTS MSK0010-020 OK AND HAVE YOU DONE ANYTHING THAT'S MADE IT BETTER MSK0010-021 I JUST LIKE RESTING IT NOT CARRYING ANYTHING AND TRYING NOT TO LIE ON MY SHOULDER MSK0010-022 OK SO YOU'RE SLEEPING ON THE OTHERS ON THE RIGHT SIDE THEN MSK0010-023 OK ALRIGHT HOW WOULD WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS ON A SCALE OF ONE TO TEN MSK0010-024 IF I'M NOT DOING IT DOING ANYTHING OR NOT DOING MUCH IT'S PROBABLY LIKE A TWO OR THREE BUT IF I TRY TO CARRY ANYTHING IT GOES UP TO LIKE PROBABLY LIKE A SEVEN MSK0010-025 OK AND DO YOU DO ANY REPETITIVE KIND OF LIKE OVERHEAD ACTIVITIES THINGS LIKE PLAYING BASKETBALL OR JUST LIFTING THINGS LIKE ABOVE YOUR HEAD AT THE GYM MSK0010-026-1 NOT RECENTLY JUST JUST LIKE NORMAL WEIGHT EXERCISE MAYBE WITH THE BANDS I DO SOME OVERHEAD EXERCISES BUT MSK0010-026-2 IN TERMS OF SPORTS I I PLAY OR I USED TO PLAY A LOT OF TENNIS I DID HAVE SOME ISSUES WITH THE SAME SHOULDER WHICH IS WHY I KIND OF STOPPED PLAYING TENNIS MSK0010-026-3 MY DOCTOR SAID IT I MIGHT HAVE OVERUSED THAT SHOULDER BUT THAT'S THAT WAS LIKE A COUPLE OF YEARS BACK SO I THOUGHT IT MUST HAVE HEALED BY NOW MSK0010-027 OK SO PREVIOUS OVERUSE INJURY OF THE LEFT SHOULDER MSK0010-028 OK AND I'M HAVE YOU HAD ANY TRAUMA TO THE SHOULDER MSK0010-029 NO NOT THAT I KNOW OF MSK0010-030 OK HAVE YOU HAD ANY FEVERS OR CHILLS MSK0010-031 NO MSK0010-032 HAVE YOU HAD ANY NIGHT SWEATS MSK0010-033 NO MSK0010-034 OK HAVE YOU HAD ANY SKIN RASHES OR OR SKIN CHANGES MSK0010-035 NO MSK0010-036 OK SO EVEN OVER THE AREA YOU HAVEN'T NOTICED ANY REDNESS OR LIKE SOFT TISSUE SWELLING MSK0010-037 NO MSK0010-038 OK HAVE YOU HAD ANY CHEST PAIN MSK0010-039 NOPE MSK0010-040 OK HOW ABOUT ANY SHORTNESS OF BREATH MSK0010-041 NO NOT THAT I'VE NOTICED MSK0010-042 OK HAVE YOU HAD PAINS AND ANY OTHER JOINTS MSK0010-043 NO JUST MY SHOULDER MSK0010-044 OK AND HAVE YOU HAD ANY RECENT INFECTIONS OR OR SYMPTOMS SUCH AS LIKE A RUNNY NOSE OR SORE THROAT OR EVEN A COUGH MSK0010-045 NO NOTHING LIKE THAT MSK0010-046 OK AND HOW ABOUT ANY NAUSEA OR VOMITING MSK0010-047 NOPE MSK0010-048 OK AND HOW HAS YOUR SLEEP BEEN THESE PAST COUPLE OF NIGHTS SO YOU MENTIONED YOU HAVEN'T BEEN ABLE TO LAY ON YOUR LEFT SIDE MSK0010-049 IT'S BEEN PRETTY PAINFUL LIKE I KIND OF WAKE UP EVERY TIME I ACCIDENTALLY GO ON TO MY LEFT SIDE MSK0010-050 OK SO YOU'RE GETTING WORSE THING A PAIN AT NIGHT MSK0010-052 OK HAVE YOU HAD ANY WEAKNESS DO YOU FEEL LIKE YOU HAVE LESS STRENGTH IN YOUR ARM MSK0010-053 I DO YOU FEEL THAT THERE MIGHT BE SOME LESS STRENGTH IN MY LEFT ARM BUT IT'S I'M NOT REALLY USING IT MUCH SO IT'S HARD TO TELL MSK0010-054 OK AND HOW ABOUT A RANGE OF MOTION DO YOU FEEL AS THOUGH YOU COULD LIFT YOUR LEFT ARM UP TO LIKE SCRATCH YOUR HEAD AND BACK MSK0010-055 IT DOES HURT LIKE WHEN I TRY TO LIFT MY ARM UP MSK0010-056 OK SO IT SOUNDS LIKE A RANGE OF MOTION IS DECREASED MSK0010-058 OK AND HAVE YOU HAD ANY ALTERED SENSATION OF YOUR ARMS BEING LIKE NUMBNESS OR TINGLING MSK0010-059 NO I HAVEN'T FELT ANY OF THAT MSK0010-060 OK AND HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE CONSTIPATION OR DIARRHEA MSK0010-061 NOPE NOTHING LIKE THAT MSK0010-062 HAVE YOU HAD ANY ABDOMINAL PAIN MSK0010-063 NOPE MSK0010-064 AND HAVE YOU HAD ANY URINARY PROBLEMS MSK0010-065 NO MSK0010-066 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS MSK0010-067 NO I'VE BEEN A PRETTY HEALTHY ACTUALLY JUST JUST THAT OVERUSE INJURY LIKE TWO YEARS AGO MSK0010-068 OK GREAT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS MSK0010-069 NO MSK0010-070 OK DO YOU TAKE ANY MEDICATIONS REGULARLY MSK0010-071 JUST RECENTLY I'VE BEEN TAKING A LOT MORE OF THE ADVIL BUT THAT'S ABOUT IT MSK0010-072 OK I AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES MSK0010-073 NO NO PRIOR SURGERIES OR HOSPITALIZATIONS MSK0010-074 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU'RE LIVING WITH AND WHEREABOUTS MSK0010-075 SO I'M LIVING WITH WITH MY WIFE IN A SMALL CONDOMINIUM IN DOWNTOWN MSK0010-076 OK AND ARE YOU WORKING CURRENTLY MSK0010-077 I'M WORKING AS A REAL ESTATE AGENT MSK0010-078 OK AND DO YOU DRINK ALCOHOL MSK0010-079 RARELY JUST ON SOME OCCASIONS BUT NOT REGULARLY MSK0010-080 NO OK HOW ABOUT SMOKING CIGARETTES OR CANNABIS MSK0010-081 NO I'VE NEVER SMOKED MSK0010-082 DO YOU USE ANY RECREATIONAL DRUGS OR HAVE YOU IN THE PAST MSK0010-083 NOPE MSK0010-084 OK AND SO SO THE NEXT PART JUST FOR THE PHYSICAL EXAM SO DO YOU HAVE PAIN WITH SHOULDER AB DUCTION MSK0010-085 YES SO JUST TO I DO HAVE SOME PAIN ESPECIALLY FROM PAIN THROUGHOUT AB DUCTION MSK0010-086 OK IS THERE ANY LIKE PAIN THAT'S LIKE PARTS OF THAT THAT RANGE OF MOTION THAT ARE MORE PAINFUL FOR YOU MSK0010-087 SO PROBABLY FROM SIXTY DEGREES TO ONE HUNDRED AND TWENTY DEGREES IS MORE PAINFUL MSK0010-088 OK AND IF YOUR ARM IS OUTSTRETCHED AND YOUR THUMB POINTING DOWN SO YOUR ARM IS INTERNALLY ROTATED DOES THAT GIVE YOU PAIN MSK0010-089 IF NOT NOT JUST LIKE THAT BUT IF YOU WERE TO LIKE PRESS DOWN ON IT IT THE INTERNAL ROTATION DOES CAUSE A LITTLE BIT OF PAIN MSK0010-090 OK OK SO IT SOUNDS LIKE A POSITIVE JOBES TEST AND A POSITIVE NEER'S TEST AS WELL AS A PAINFUL ARC FOR YOUR SHOULDER AND IS THERE PAIN TO PALPATION MSK0010-091 JUST TO DEFINITELY JUST AT THE FRONT OF THE SHOULDER THERE IS SOME SOME PAIN OVER WITH PALPATION MSK0010-092-1 OK THAT SENSATION IS NORMAL REFLEXES ARE NORMAL AND STRENGTH IS SLIGHTLY REDUCED AS WELL MSK0010-092-2 OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY AND CHECK ON THE PHYSICAL EXAM AS WELL WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION TODAY THAT I MAYBE FORGOT MSK0010-093 NO I THINK THAT'S IT MSK0010-094-1 OK SO BASED ON I KNOW THAT THE SYMPTOMS TODAY ALONG WITH YOUR AGE AND PRIOR HISTORY OF AN OVERUSE INJURY OF THE LEFT SHOULDER IT CERTAINLY RAISES CONCERN OF HAVING A ROTATOR CUFF TEAR MSK0010-094-2 OR A ROTATOR CUFF IMPINGEMENT SYNDROME AND WHERE THERE IS INFLAMMATION THERE NOT NECESSARILY ACTUALLY A FULL TEAR OF THE MUSCLE THAT'S CAUSING THE PAIN MSK0010-094-3 SO THOSE WOULD BE THE TWO MOST LIKELY THINGS THEIR ROTATOR CUFF TEAR OR SUBACROMIAL IMPINGEMENT SYNDROME MSK0010-094-4 AND SO WE WERE GOING TO GET AN ULTRASOUND OF THE LEFT SHOULDER TO EVALUATE THE STRUCTURES AND POSSIBLY SOME MSK0010-094-5 OTHER IMAGING SUCH AS AN X RAY OR MRI TO DETERMINE THE EXTENT OF THE INJURY IN THE LEFT SHOULDER MSK0010-095 OK SOUNDS GOOD THANK YOU MSK0011-000 WHAT BRINGS YOU HERE TODAY MSK0011-001-1 I HAD LAST NIGHT SO I'M HAVING THIS PAIN IN MY RIGHT WRIST BUT LAST NIGHT MSK0011-001-2 I I TRIPPED OVER SOMETHING AND I I ENDED UP LIKE LANDING ON MY HAND TO HELP BREAK THE FALL AND MSK0011-001-3 THIS MORNING I WOKE UP AND I HAVE SOME LIKE BRUISING ON MY HAND AND IT'S IT'S REALLY SORE TO TOUCH IT MSK0011-002 OK AND WHICH RIGHT WHICH HAND IS THIS MSK0011-003 IT'S MY RIGHT HAND MSK0011-004 OK AND WHEN YOU HAD YOUR FALL WHEN WAS YOUR FALL MSK0011-005 SO IT WAS LAST NIGHT PROBABLY LIKE AT ONE HUNDRED AND ZERO PM SOMETHING LIKE THAT WENT OUT WITH A FEW FRIENDS FOR DINNER AND DRINKS MSK0011-006 OK AND DO YOU REMEMBER HOW HIGH YOU FELL FROM OR WHAT WHAT YOU FELL ONTO MSK0011-007 I WAS STANDING HEIGHT WE WERE JUST KIND OF WALKING DOWN THE STREET AND I TRIPPED OVER SOMETHING ON THE CURB I THINK THERE IS THAT MAYBE LIKE A POTHOLE OR SOMETHING LIKE THAT AND SO I FELT RIGHT ONTO THE CONCRETE WITH MY HAND MSK0011-008 OK DID YOU HIT YOUR HEAD AT ALL OR LOSE CONSCIOUSNESS MSK0011-009 NO NOTHING LIKE THAT MSK0011-010 OK SO IT WAS IT WAS MAINLY YOUR HAND THAT GOT INJURED MSK0011-011 IT WAS JUST IT MOSTLY RIGHT MY HAND MSK0011-012 OK AND ARE YOU HAVING ANY PAIN ON MOVEMENT OR IF YOU PRESS ON IT MSK0011-013 I DO GET SOME PAIN PAIN IF I'M TRYING TO MOVE THE WRIST AROUND AND IT HURTS HER TO PRESS ON IT AS WELL MSK0011-014 OK AND DO YOU NOTICE ANY KIND OF SWELLING OR BRUISING MSK0011-015 I DO YES THERE'S SOME SWELLING AND BRUISING MSK0011-016 OK AND IF YOU HAD TO DESCRIBE WHERE THE SWELLING AND BRUISING IN THE PAIN ARE HOW WOULD YOU DESCRIBE IT MSK0011-017-1 SO I HAVE A SHARP PAIN RIGHT AT MY WRIST I KIND OF I FEEL IT MOSTLY AT THE BASE OF MY MSK0011-017-2 THUMB KIND OF RIGHT AT THE WRIST AND THAT'S WHERE THE SWELLING AND BRUISING IS AS WELL MSK0011-018 OK AND IS IT RIGHT UNDER YOUR PALM OR AT THE BACK OF YOUR HAND ON THE WRIST MSK0011-019 AT THE BACK OF THE HAND AT THE WRIST AND BASE OF THE THUMB MSK0011-020 OK OK ALRIGHT AND WHAT KIND OF PAIN ARE YOU FEELING IS THIS SHARP IS IT A DULL ACHING MSK0011-021 OH IT'S REALLY SHARP IT FEELS LIKE SORRY JUST STABBING ME IN THE HAND MSK0011-022 OK AND HOW HOW MUCH WOULD YOU RATE THE PAIN ON A SCALE OF ZERO TO ONE HUNDRED AND TEN BEING THE WORST PAIN YOU FELT IN YOUR LIFE MSK0011-023 IF I'M NOT MOVING IT AROUND IT'S A THREE BUT IF I MOVE IT IT GOES UP TO LIKE A NINE OUT OF TEN MSK0011-024 OK AND IS IT RADIATING OR MOVING ANYWHERE ELSE ONTO YOUR HAND MSK0011-025 NO I DON'T FEEL IT ANYWHERE ELSE MSK0011-026 OK AND DO YOU HAVE ANY KIND OF PINS AND NEEDLES SENSATION TINGLING OR NUMBNESS ANYWHERE IN YOUR HANDS MSK0011-027 NO NOTHING LIKE THAT MSK0011-028 OK ANYTHING THAT MAKES THE PAIN WORSE OR BETTER MSK0011-029 I TRIED SOME ANTI INFLAMMATORIES THAT DID HELP WITH TAKING THE EDGE OFF A LITTLE BIT AND BUT THE PAIN JUST CAME RIGHT BACK AND THEN ALSO LIKE JUST MOVING IT AT ALL HURTS EVEN TEXTING ON MY PHONE WAS REALLY BUGGING ME MSK0011-030 OK SO WE DEFINITELY YOU WENT SO YOU HAD THE FALL YESTERDAY OR MSK0011-031 IT WAS YESTERDAY MSK0011-032 OK OK ALRIGHT SO WHEN DID IT START HURTING DID IT START HURTING RIGHT AWAY OR HAS IT GOTTEN WORSE AT ALL MSK0011-033 IT STARTED HURTING RIGHT AWAY AND IT'S WELL THIS MORNING IT'S A A BIT WORSE MSK0011-034 OK DO YOU HAVE ANY OTHER SYMPTOMS AT ALL LIKE FEVER CHILLS HEADACHE ANYTHING LIKE THAT MSK0011-035 NO MSK0011-036 ANY DIZZINESS OR FAINTING MSK0011-037 NO MSK0011-038 OK ANY DIARRHEA CONSTIPATION MSK0011-039 NO MSK0011-040 ANY CHANGES IN YOUR VISION HEARING A BALANCE MSK0011-041 NOPE NOTHING LIKE THAT MSK0011-042 OK BUT SO YOUR MAIN CONCERN TODAY IS THIS PAIN IN YOUR WRIST MSK0011-043 EXACTLY MSK0011-044 OK ALRIGHT AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU'VE BEEN DIAGNOSED WITH MSK0011-045 I DO I HAVE A ASTHMA AND I USE AN ORANGE INHALER DAILY IT'S BEEN WELL CONTROLLED I'LL USE I HAVEN'T USED THE BLUE ONE IN AWHILE MSK0011-046 OK SO IT'S PRETTY WELL CONTROLLED AND DO YOU TAKE ANY OTHER MEDICATIONS AT ALL MSK0011-047 JUST A MULTI VITAMIN MSK0011-048 OK MSK0011-049 AND VITAMIN D AS WELL MSK0011-050 OK ALRIGHT AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES MSK0011-051 I HAD MY MY TONSILS OUT AND MY WISDOM TEETH OUT WHEN I WAS A TEENAGER AND OR TONSILS WHEN I WAS A KID ACTUALLY AND A C SECOND FOR MY SON MSK0011-052 OK ANY COMPLICATIONS AT ALL WITH THAT AT ALL MSK0011-053 NO NO EVERY EVERY THAT WAS OK MSK0011-054 OK OK AND HAVE YOU INJURED YOUR RIGHT HAND OR BROKEN ANY BONES BEFORE MSK0011-055 NO I HAVEN'T MSK0011-056 OK SO THIS IS THE FIRST INJURY ON YOUR RIGHT HAND MSK0011-058 AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS AT ALL MSK0011-059-1 YEAH MY MY UNCLE DIED OF A HEART ATTACK WHEN HE WAS IN HIS SIXTIES AND MSK0011-059-2 I THINK MY GRANDFATHER ALSO HAD HAD A HEART ATTACK AS WELL MSK0011-059-3 YEAH THAT'S ABOUT IT MSK0011-060 OK AND IN TERMS OF YOUR WORK DO YOU WORK CURRENTLY MSK0011-061-1 YEAH I DO I I WORK IN A RESTAURANT AND SO AND THIS WILL BE MSK0011-061-2 A DIFFICULT FOR MY JOB COMING UP WITH AN INJURED WRIST I AND HAND I I JUST RESTARTED AND I'LL HAVE TO BE CARRYING A LOT OF DIFFERENT THINGS AND SO I JUST HOPE IT'S NOT BROKEN MSK0011-062-1 OH I SEE IT MIGHT DEFINITELY THAT'S THAT MIGHT BE CONCERNING IF YOU KNOW WELL WE'LL GET THAT CHECK THOUGH ON X RAY AND EVERYTHING MSK0011-062-2 BUT WE JUST NEED TO DO A FEW FEW MORE QUESTIONS AND SOME EXAMINATION AS WELL HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW MSK0011-063 OH SO I'M LIVING ON ON MY OWN ACTUALLY IN AN APARTMENT MSK0011-064 OK AND DO YOU CURRENTLY SMOKE MSK0011-065 NO I'VE I I'VE NEVER SMOKED I COULDN'T WITH HAVING ASTHMA SO I JUST STAYED AWAY FROM ALL OF THAT MSK0011-066 OK OK AND DO YOU DRINK ALCOHOL MSK0011-067 I DO I I HAVE A COUPLE OF BOTTLES OF WINE PER WEEK MSK0011-068 OK ALRIGHT A COUPLE OF BOTTLES A WEEK SO HOW MUCH WOULD YOU HAVE IN AN AVERAGE DAY MSK0011-069 I'LL PROBABLY I GUESS PROBABLY LIKE TWO OR THREE GLASSES OF WINE A DAY MSK0011-070-1 OK SO WE DEFINITELY RECOMMEND FOR WOMEN TO LIMIT THEMSELVES TO MSK0011-070-2 AN MAYBE ONE TO TWO MAX TWO GLASSES OF WINE A DAY AS IT CAN HAVE HEALTH EFFECTS IN THE FUTURE IN TERMS OF MSK0011-070-3 DRINKING AND ON YOUR LIVER OK AND OTHER THAN THAT I JUST HAD A FEW QUESTIONS DO ANY RECREATIONAL DRUGS LIKE MARIJUANA MSK0011-071 NO STAYED AWAY FROM THAT AS WELL MSK0011-072 OK OK SO I'M JUST GOING TO ASK YOU QUESTIONS ABOUT SPECIFICALLY TO EXAMINE YOUR WRIST SO YOU NOTICE SO CAN YOU ARE YOU ABLE TO MOVE YOUR WRIST AROUND ARE YOU ABLE TO MAKE A FIST MSK0011-073 I I CAN BUT IT I CAN'T REALLY BAD MY THUMB AND IT IT IT HURTS A LOT SO I CAN BEND MY FINGERS BUT MY THUMB IS KINDA OUT MSK0011-074 OK DUE TO THE JOINTS IN YOUR THUMB HURT AT ALL MSK0011-076 OK AN ANY PAIN ANYWHERE ELSE LIKE ON YOUR FINGERS OR YOUR ELBOW MSK0011-077 NO MSK0011-078 OK AND WHAT MOVEMENT WOULD YOU SAY HURTS THE MOST MSK0011-079 I I PROBABLY JUST MOVING THE THE WRIST LIKE FLEXING AND EXTENDING THE WRIST MSK0011-080 OK AND WHERE THE SWELLING YOU SAID IS AT THE BASE OF THE THUMB RIGHT MSK0011-081 EXACTLY AT THE BASE OF THE THUMB ON THE ON THE BACK OF THE HAND THERE ARE SOME BAD BRUISING AND SWELLING THERE MSK0011-082 OK IS IT WARM AT ALL TO TOUCH MSK0011-083 NO IT DOESN'T FEEL WARM MSK0011-084 OK OK AND IF YOU PRESS ON ARE YOU GETTING ANY BONY PAIN IN THAT AREA LIKE IF YOU PRESS ON A BONE MSK0011-085 LIKE I MEAN IF I THERE'S ONE SPOT THAT IF I PRESS DOWN ON IT IT'S LIKE TEN OF THE TEN PAIN IT HURTS REALLY BAD IF I PRESS AT THE BASE OF MY THUMB THERE MSK0011-086-1 OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WE DEFINITELY NEED TO SINCE YOU'RE HAVING PAIN ON JUST TELL PALPATE PALPATING THE AREA THERE SWELLING REDNESS AND YOU DID HAVE A FALL AND YOU LANDED ON YOUR MSK0011-086-2 YOU CAUGHT YOURSELF WITH YOUR HAND THERE IS A COMMON FRACTURE THAT CAN HAPPEN IN THOSE CIRCUMSTANCES TO YOUR WRIST AND SO WE NEED TO DO AN X RAY MSK0011-086-3 AND WE WILL SEE IF YOU HAVE A FRACTURE OR NOT BUT WE ALSO NEED TO SEE IF WE NEED TO GET A CAST FOR YOU OR IF IF WE CAN MANAGE YOUR MSK0011-086-4 INJURY WITH A SPLINT OR AND THEN BASED ON WHAT WE SEE AND IF YOUR PHYSICAL EXAMINATION WE WILL DETERMINE HOW LONG YOU NEED TO BE IN A CAST OR SPLINT AND THEN WE'LL GO FROM THERE MSK0011-087 OK THAT SOUNDS GOOD THANK YOU MSK0012-000 WHAT BRINGS YOU IN HERE TODAY MSK0012-001-1 I'VE HAD THIS PAIN IN MY BACK THATS KIND OF LIKE IN MY LOWER BACK AND MY BUTTOCKS AND IT'S NOW RADIATING DOWN TO MY MSK0012-001-2 RIGHT LEG I'VE HAD THIS FOR AWHILE NOW BUT IT'S GETTING WORSE AND I JUST WANT TO COME GET IT CHECKED OUT MSK0012-002 OK AND HOW LONG HAVE YOU HAD THIS PAIN FOR MSK0012-003 IT'S ABOUT A MONTH MSK0012-004 OK AND HAS GONE WORSE AT ALL LIKE DID YOU HAVE THE IT RADIATING THROUGH YOUR LEG BEFORE OR IS THAT SOMETHING THAT HAPPENED AFTER MSK0012-005 THAT'S SOMETHING THAT HAPPENED AFTER THAT HAPPENS THAT THAT'S BEEN GOING ON FOR THE PAST WEEK MSK0012-006 OK AND IS THIS PAIN CONSTANT OR DOES IT COME AND GO MSK0012-007 AND IT'S PRETTY MUCH ALWAYS THERE BUT CERTAIN THINGS CAN MAKE IT WORSE LIKE IF I'M WALKING OR DOING CERTAIN ACTIVITIES IT CAN IT CAN MAKE IT WORSE MSK0012-008 OK AND DID YOU HAVE ANY BACK PAIN BEFORE THIS MONTH MSK0012-009 NO NOT I MEAN NO NOT REALLY MSK0012-010 OK AN WHAT KIND OF PAIN WOULD YOU SAY IT IS IS IT LIKE A SHARP STABBING PAIN OR IS IT MORE SO A DULL ACHING PAIN MSK0012-011 USUALLY OR WELL BEFORE IT WAS LIKE A MILD ACHY PAIN BUT NOW IT CAN BE IT'S SHARP AND IT FEELS LIKE A BURNING SENSATION MSK0012-012 OK A BURNING SENSATION WHERE WOULD YOU SAY THAT BURNING SENSATION IS MSK0012-013 IT'S LIKE DOWN MY BUTTOCKS TO THE RIGHT LEG MSK0012-014 OK AND DO YOU FEEL ANY KIND OF NUMBNESS OR TINGLING WITH IT MSK0012-015 A LITTLE A LITTLE BIT OF TINGLING MSK0012-016 A LITTLE BIT OF TINGLING OK AND HOW WOULD YOU RATE THE PAIN FROM A SCALE OF ZERO TO TEN TEN BEING THE WORST PAIN YOU'VE HAD IN YOUR LIFE MSK0012-017 SO USUALLY IT'S ABOUT LIKE A FIVE TO SIX OUT OF TEN BUT WHEN IT GETS BAD AND SHARP I'D GIVE IT AN EIGHT OUT OF TEN MSK0012-018 OK AND ARE THERE ANY KIND OF MOTIONS OR POSITIONS THAT CAUSE YOU MORE PAIN MSK0012-019 SO I'D SAY LIKE JUST ANY SORT OF PHYSICAL ACTIVITY LIKE IF I'M ON MY FEET A LOT IT HURTS MSK0012-021 THAT'S PRETTY MUCH THE ONLY THING THAT I CAN THINK OF RIGHT NOW MSK0012-022 OK DID ANYTHING HAPPEN ONE MONTH AGO OR BEFORE THIS PAIN STARTED LIKE ANY INJURIES OR FALLS THAT MIGHT HAVE CAUSED THIS PAIN MSK0012-023 NO LIKE A LONG TIME AGO LIKE SIX SEVEN YEARS AGO I INJURED MY BACK AT WORK BUT I JUST DID SOME CONSERVATIVE TREATMENTS FOR THAT AND IT WENT AWAY MSK0012-024 OK WAS IT YOUR LOWER BACK MSK0012-025 YES MSK0012-026 OK AND WHAT DO YOU DO FOR WORK MSK0012-027 I USED TO WORK ON AN ASSEMBLY LINE SO I USED TO LIKE CARRY HEAVY OBJECTS AND THINGS LIKE THAT LIKE CAR PARTS MSK0012-028 OK AND DO YOU STILL WORK THERE MSK0012-029 NO I DON'T MSK0012-030 OK WHEN DID YOU STOP WORKING THERE MSK0012-031 ABOUT THREE YEARS BACK MSK0012-032 OK AND IS THERE ANY OTHER WORK YOU DO CURRENTLY MSK0012-033 I WORK FROM HOME NOW I DO DAYCARE AT HOME MSK0012-034 OK OK AND JUST GETTING BACK TO THE PAIN SO IT'S KIND OF IN YOUR LOWER BACK YOUR BUTTOCKS AND THEN IT GOES TO YOUR RIGHT UPPER LEG MSK0012-035 DOES IT MOVE ANYWHERE ELSE BESIDES THAT MSK0012-036 OR THOSE ARE THE REGIONS THAT IT STAYS IN NO THOSE ARE KIND OF THE ONLY REGIONS THAT I'M EXPERIENCING IT RIGHT NOW MSK0012-037 OK AND DO YOU GET MORE PAIN LEANING BENDING FORWARD OR WOULD YOU SAY EXTENDING YOUR BACK MSK0012-038 I WOULD SAY EXT EXTENDING MY BACK HURTS MORE MSK0012-039 OK AND YOU GET PAIN WITH SITTING DOWN MSK0012-040 SOMETIMES MSK0012-041 OK HOW ABOUT LYING DOWN MSK0012-042 LYING DOWN I GUESS IT DEPENDS ON THE POSITION IF I AM STRAIGHT ON MY BACK IT'S IT'S NOT TOO BAD BUT IF I LIKE I'M HUNCHED OVER OR SOMETHING LIKE THAT IT HURTS MSK0012-043 OK I SEE OK AND HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER AND PAINKILLERS THAT HAVE HELPED MSK0012-044 I TRIED SOME IBUPROFEN AND SOME LIKE TOPICAL LIKE OINTMENTS BUT IT HELPS TEMPORARILY AND THEN THE PAIN COMES BACK MSK0012-045 OK LET'S SEE AND OTHER THAN THAT SO OTHER THAN THIS PAIN THAT'S BEEN GOING ON DO YOU HAVE ANY FEVERS OR CHILLS MSK0012-046 NO NO FEVERS OR CHILLS MSK0012-047 OK NO NIGHT SWEATS MSK0012-048 NO MSK0012-049 ANY INCREASED FATIGUE MSK0012-050 NO NO MSK0012-051 ANY RASHES OR SKIN CHANGES MSK0012-052 NO MSK0012-053 ANY ANY COUGH MSK0012-054 OR COLD SYMPTOMS RECENTLY MSK0012-055 NO NOTHING LIKE THAT OK AND APART FROM YOUR BACK ANY KIND OF JOINT OR MUSCLE PAIN ANYWHERE ELSE IN YOUR BODY MSK0012-056 NO MSK0012-057 ANY CHANGES IN YOUR BOWEL MOVEMENTS MSK0012-058 NO MSK0012-059 OK ANY URINARY PROBLEMS MSK0012-060 NOPE MSK0012-061 ANY STOOL INCONTINENCE FOR YOUR URINARY INCONTINENCE NO OK AND ANY KIND OF NUMBNESS MSK0012-063 PARESTHESIA LIKE AROUND JUST YOUR LOWER BACK AND BUTTOCKS NO MSK0012-064 NO NUMBNESS JUST LIKE THAT TINGLING BURNING FEELING MSK0012-065 OK OK ANY RECENT WEIGHT CHANGES MSK0012-067 LIKE ANY SIGNIFICANT WEIGHT LOSS NO MSK0012-068 NO OK ANY MUSCLE WEAKNESS AT ALL IN MSK0012-069 THAT AREA I'M FINDING IT HARD TO WALK HARDER TO WALK MSK0012-070 OK ARE YOU LIMPING AT ALL I'M PUTTING MORE WEIGHT ON MY LEFT LEG MSK0012-071 OK AND DO YOU FEEL SO YOU MENTION YOU FEEL TINGLING GOING DOWN YOUR RIGHT LEG DO YOU FEEL ANY KIND OF NUMBNESS AT ALL MSK0012-072 NO MSK0012-073 NO OK ALRIGHT DO YOU HAVE ANY KIND OF URINARY OR FECAL RETENTION LIKE AT ALL MSK0012-074 NO I'M GOING I'M USING THE WASHROOM OK MSK0012-075 OK DO YOU HAVE ANY HISTORY OF ANY CANCERS AT ALL MSK0012-076 NO MSK0012-077 NO OK ARE YOU ON ANY SO DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU'VE BEEN DIAGNOSED WITH MSK0012-078 NO MSK0012-079 NO DO YOU TAKE ANY MEDICATIONS REGULARLY MSK0012-080 NO I DON'T I JUST TAKE CALCIUM AND VITAMIN D AND OTHER BUT MULTI VITAMINS MSK0012-081 OK ANY ALLERGIES TO ANY MEDICATIONS MSK0012-082 NO MSK0012-083 HAVE YOU HAD ANY PREVIOUS SURGERIES OR HAVE YOU BEEN HOSPITALIZED FOR ANY REASON MSK0012-084 NO MSK0012-085 NO OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS ANY HEART OR LUNG CONDITIONS MSK0012-086 NO NOT THAT I KNOW OF MSK0012-087 OK AN AND CURRENTLY YOU SAID YOU WORK FROM HOME HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION LIKE MSK0012-088 I WOULD SAY I IT'S IT'S OK I LIVE IN AN APARTMENT WITH MY HUSBAND MSK0012-089 OK AND CURRENTLY DO YOU SMOKE MSK0012-090 NO MSK0012-091 OK AND DO YOU DRINK ALCOHOL MSK0012-092 I'LL HAVE A GLASS OF WINE LIKE ONCE A WEEK MSK0012-093 OK AND DO YOU USE ANY RECREATIONAL DRUGS MSK0012-094 SO I'VE I'VE BEEN USING CANNABIS OIL FOR THE PAST MONTH JUST TO SEE IF IT HELPS WITH THE PAIN MSK0012-095 OK AND HAS THAT BEEN WORKING FOR YOU AT ALL MSK0012-096 A LITTLE BIT I THINK MSK0012-097-1 OK OK SO THOSE ARE SOME OF THE QUESTIONS I HAD AND I'M JUST GONNA ASK A FEW QUESTIONS ABOUT JUST EXAMINING THE AREAS THAT ARE GIVING YOU TROUBLE MSK0012-097-2 SO ALONG YOUR BACK IF YOU IF YOU WERE TO PRESS MSK0012-097-3 DOWN ON FROM THE MIDDLE TO YOUR LOWER BACK ANY KIND OF PAIN WHEN YOU PRESS DOWN MSK0012-099 LOWER BACK YES OK SO WHAT KIND OF PAIN IS IT LIKE SHARP OR IS IT KIND OF A DULL ACHING PAIN MSK0012-100 WHEN I PRESS DOWN IT FEELS SHARP MSK0012-101 OK AND DO YOU HAVE YOU NOTICE ANY KIND OF SWELLING IN YOUR LEGS OR NEAR THE AREAS WHERE YOU HAVE PAIN SWELLING OR REDNESS OR ANY WARMTH MSK0012-102 IT SEEMS TO ACTUALLY NO IT'S NOT IT'S NOT WARM MSK0012-103 OK AND IN TERMS OF JUST MOVEMENT ARE YOU ABLE TO BEND DOWN MSK0012-104 I CAN BEND DOWN IT'S JUST HARD FOR ME TO GET BACK UP MSK0012-105 OK SEE AND HOW ABOUT LIKE BEND SIDEWAYS MSK0012-106 I CAN DO THAT MSK0012-107 OK AND HOW ABOUT IF YOU'RE LAYING FLAT ARE YOU ABLE TO RAISE YOUR LEGS WITHOUT BENDING YOUR KNEES MSK0012-108 I CAN DO THAT ACTUALLY MSK0012-109 NO I CAN'T SORRY IT'S THAT MSK0012-110 THAT HURTS SO YOUR RIGHT LEG HURTS WHEN YOU DO THAT OK GREAT AND OTHER THAN THAT LIKE WHEN YOU WHEN YOU DO MSK0012-112 CAN YOU DO YOU GET LIKE THAT TINGLING AGAIN IT DOES OK MSK0012-113 ALRIGHT AND WHEN YOU STAND UP AND WALK HOW WOULD YOU DESCRIBE MSK0012-114 ARE YOU HAVING ANY KIND OF LIMPING AT ALL A LITTLE BIT OF LIMP I'M PUTTING MORE WEIGHT ON THE LEFT LEG OK ALRIGHT SO THOSE ARE JUST SOME OF THE QUESTIONS I MSK0012-115 I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL NO WHAT CAN I DO MSK0012-116-1 ABOUT THIS BACK PAIN AND HOW LONG DO YOU THINK I'LL HAVE IT FOR MSK0012-116-2 SO IT'S BEEN HAPPENING FOR ONE MONTH RIGHT AND YOU'RE GETTING SOME SYMPTOMS IN IN YOUR LOWER LEG SO NORMALLY WE WOULD WAIT MSK0012-116-3 BEFORE WE DO ANY KIND OF DIAGNOSTIC IMAGING BUT SINCE YOU'RE ALSO HAVING THESE OTHER SYMPTOMS WE WE WERE WORRYING ABOUT SOMETIMES LOWER BACK PAIN MSK0012-116-4 CAN LEAD TO SOMETHING CALLED SCIATICA IT'S JUST WHEN ONE OF THE NERVES GET PINCHED AND THEN THAT'S WHY YOU'RE GETTING THE TINGLING AROUND YOUR RIGHT UPPER LEG SO WHAT WE CAN DO IS MSK0012-116-5 WE CAN DO IF YOU HAVEN'T HAD AN X RAY WE CAN DO AN X RAY OF YOUR LOWER BACK AND THEN WE CAN ALSO DO AN MRI MSK0012-117 OK MSK0012-118-1 AND BASED ON WHAT RESULTS COME BACK AT THE SAME TIME WE WILL I WILL GIVE YOU SOME INFORMATION ABOUT SOME ANTI INFLAMMATORY MEDICATIONS YOU COULD TAKE TO HELP RELIEVE SOME OF YOUR PAIN MSK0012-118-2 BUT OTHER THAN THAT I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL HELP YOU DO SOME EXERCISES AT HOME JUST WAYS TO PROTECT YOUR BACK AS WELL AS MSK0012-118-3 STRENGTHEN SOME OF YOUR MUSCLES TO HELP DEAL WITH SOME OF THAT PAIN SO WE'LL GET THE RESULTS BACK AND THEN WE'LL MSK0012-119 GO FROM THERE OK SOUNDS GOOD THANK YOU MSK0012-120 YOU'RE WELCOME TAKE CARE MSK0013-000 HOW MAY I HELP YOU MSK0013-001 HI I'M HERE BECAUSE I'VE HAD THIS NUMBNESS AND TINGLING IN MY FEET FOR AWHILE NOW AND I STARTED TO NOTICE THESE OPEN WOUNDS ON MY FEET AS WELL AND MSK0013-002 I'M NOT FEELING IT BUT IT'S THERE OK AND WHEN DID YOU FIRST NOTICE THE NUMBNESS MSK0013-003 AND TINGLING IT'S BEEN ON GOING FOR THE PAST LIKE TWO YEARS BUT RECENTLY I'VE SEEN THE PAST LIKE THREE MONTHS IT'S GOTTEN WORSE MSK0013-004 OK AND DO YOU FEEL IT IN IN BOTH FEET MSK0013-005 YES MSK0013-006 OK AND WHERE ABOUT DO YOU FEEL THE NUMBNESS AND TINGLING TINGLING DO YOU FEEL LIKE ALL THE WAY UP YOUR UP YOUR LEG OR IS IT ONLY PART WAY MSK0013-007 IT GOES RIGHT UP UNTIL MY ANKLES MSK0013-008 OK AND DO YOU HAVE WOUNDS ON YOUR FEET THAT LIKE YOU YOU DON'T NOTICE THEM BECAUSE YOU CAN'T FEEL IT MSK0013-009 I DON'T NOTICE IT BECAUSE I CAN'T FEEL IT BUT THEN I'LL SEE THEM AND THEY LOOK BAD MSK0013-010 OK DO YOU RECALL HITTING YOUR FOOT OR OFF OF ANYTHING OR STEPPING ON ANY OBJECTS THAT COULD HAVE CAUSED TRAUMA TO YOUR FEET MSK0013-011-1 I MEAN IT'S POSSIBLE BUT I DIDN'T FEEL ANYTHING SO MSK0013-011-2 I'M NOT TOO SURE ABOUT THAT IT IS THE SUMMER SO I'VE BEEN LIKE GOING TO THE BEACH AND WHEN I'M AT THE PARK LIKE I'LL TAKE OFF MY FLIP FLOPS MSK0013-012 OK HAVE YOU HAD ANY LIKE MUSCLE WEAKNESS TO YOUR MSK0013-013 LEGS OR FEET MAYBE A LITTLE BIT OF MUSCLE WEAKNESS IN MY LEGS MSK0013-014 OK HAVE YOU HAD ANY PROBLEMS WITH BALANCE OR HAVE IT YOU HAD ANY FALLS MSK0013-015 NO MSK0013-016 OK AND OK HAVE YOU HAD ANY FEVERS OR CHILLS MSK0013-017 NO MSK0013-018 HAVE YOU HAD ANY NIGHT SWEATS MSK0013-019 NO MSK0013-020 AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS MSK0013-021 NO MSK0013-022 OK HAVE YOU HAD ANY HEADACHES MSK0013-023 NO MSK0013-024 ALRIGHT HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING OR SENSE OF SMELL OR TASTE MSK0013-025 NO MSK0013-026 HAVE YOU HAD ANY ANY SORE THROAT OR COUGH MSK0013-027 NOPE MSK0013-028 HOW ABOUT ANY SHORTNESS OF BREATH MSK0013-029 NO MSK0013-030 OK HAVE YOU HAD ANY WHEEZING MSK0013-031 NO MSK0013-032 HAVE YOU HAD ANY CHEST PAIN MSK0013-033 NO MSK0013-034 ANY HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS MSK0013-035 NOPE MSK0013-036 HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING MSK0013-037 NO MSK0013-038 HAVE YOU HAD ANY NAUSEA OR VOMITING MSK0013-039 NO MSK0013-040 HOW ABOUT ANY ABDOMINAL PAIN MSK0013-041 NO MSK0013-042 HAVE YOU HAD ANY CHANGES TO BOWEL MOVEMENTS LIKE DIARRHEA OR CONSTIPATION MSK0013-043 NOPE MSK0013-044 OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE FREQUENCY OR PAINFUL URINATION MSK0013-045 NO MSK0013-046 OK AND HAVE YOU HAD ANY RASHES ON YOUR SKIN MSK0013-047 NO MSK0013-048 OK AND ANY MUSCLE ACHES OR JOINT PAINS MSK0013-049 NO NOTHING LIKE THAT MSK0013-050 OK AND DO YOU HAVE ANY NUMBNESS OR TINGLING TO ANY OTHER PARTS OF YOUR BODY MSK0013-051 MAYBE A LITTLE BIT IN MY FINGERTIPS AS WELL MSK0013-052 OK AND WHEN DID YOU FIRST START NOTICING THAT MSK0013-053 IN THE PAST YEAR MSK0013-054 OK AND HAVE YOU HAD ANY LIKE LIKE CLUMSINESS OR LIKE DROPPING OBJECTS MSK0013-055 DEFINITELY SOME OF THAT LIKE I'LL FIND IT HARD TO LIKE OPEN CANS AND BOTTLES MSK0013-056 OK ANY WEAKNESS IN THE HANDS MSK0013-057 ONLY WHEN ONLY SOMETIMES WHEN I'M TRYING TO GRIP THINGS PRETTY HARD MSK0013-058 OK AND HAVE YOU HAD ANY MEMORY CHANGES OR ANY CONFUSION MSK0013-059 NO MSK0013-060 OK AND HAVE YOU HAD ANY ANY MSK0013-062 BACK PAIN NO OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OR SORRY MSK0013-063 BEFORE MSK0013-064 THAT AND HAVE YOU HAD ANY NECK PAIN NO NO NECK PAIN OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED MSK0013-065 WITH ANY MEDICAL CONDITIONS SO I'VE BEEN DIAGNOSED WITH DIABETES HYPERTENSION HYPERCHOLE MSK0013-066 STEROLEMIA OBESITY AND AND I THINK I THINK THAT'S THAT'S ABOUT IT OK AND ARE YOU CURRENTLY ON ANY MSK0013-067 MEDICATIONS LIKE DO YOU HAVE DO YOU USE INSULIN I DO SO I'M ON INSULIN SHORT ACT MSK0013-068 AND LONG ACTING I'M ON RAMIPRIL I'M ON ATORVASTATIN OK AN AND DO YOU MSK0013-069-1 RECALL ANY LIKE WHAT YOUR AONEC HAS BEEN IN THE PAST OR AN HAVE YOU HAD YOUR EYES CHECKED AND KIDNEYS CHECKED MSK0013-069-2 AONEC HAS BEEN PRETTY HIGH ESPECIALLY RECENTLY I THINK IT WAS EIGHT POINT EIGHT ONE OR SOMETHING THE LAST TIME MSK0013-069-3 I GOT IT CHECKED I HAVEN'T HAD MY EYES CHECKED IN AWHILE AND IN TERM MSK0013-070 MY KIDNEYS I THINK I DID A URINALYSIS RECENTLY AND EVERYTHING MSK0013-072 NORMAL OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS MSK0013-073 NO ALRIGHT AND MSK0013-074 HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS NO I DON'T BELIEVE SO MSK0013-076 OK AND ARE YOUR IMMUNIZATIONS UP TO DATE YES OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT MSK0013-077 WHERE YOU'RE LIVING CURRENTLY AND WHO YOU'RE LIVING WITH I LIVE IN A HOUSE DOWNTOWN WITH MY MSK0013-078 OK AND ARE YOU WORKING CURRENTLY MSK0013-079 I AM I WORK FROM HOME THOUGH MSK0013-080 OK SO AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK MSK0013-081 OH NO I DON'T THINK SO MSK0013-082 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY MSK0013-083 NO NOT OUTSIDE THE PROVINCE MSK0013-084 ALRIGHT AND DO YOU DRINK ALCOHOL MSK0013-085 I'LL HAVE SOME ALCOHOL EVERY DAY MSK0013-086 OK OK HOW MANY DRINKS PER DAY WOULD YOU HAVE FOR AND HOW MANY DRINKS PER WEEK MSK0013-087 I'LL HAVE ABOUT FIVE BEERS A DAY MSK0013-088 OK DO YOU FEEL AS THOUGH THAT'S A LOT MSK0013-089 I I'M HOPING TO CUT DOWN MSK0013-090 OK THAT'S GOOD AND IF AT ANY POINT YOU NEED HELP OR I WOULD LIKE TO DISCUSS THAT JUST PLEASE LET ME KNOW OK AND MSK0013-091 DO YOU SMOKE CIGARETTES MSK0013-092 I DO MSK0013-093 OK HOW MUCH DO YOU SMOKE MSK0013-094 I SMOKE ABOUT HALF A PACK A DAY AND FOR MSK0013-095 HOW LONG HAVE YOU BEEN SMOKING FOR FOR THE PAST ALMOST TWENTY YEARS MSK0013-096 OK HAVE YOU THOUGHT ABOUT CUTTING DOWN MSK0013-097 AGAIN THAT'S SOMETHING THAT I'M HOPING TO QUIT DOING IN THE FUTURE AS WELL MSK0013-098 CERTAINLY OK AND ARE YOU CURRENTLY SEXUALLY MSK0013-099 ACTIVE MSK0013-100 I AM OK AND COULD YOU TELL ME ABOUT YOUR PARTNERS MSK0013-101 OR PARTNER JUST MY WIFE WE'VE BEEN TOGETHER FOR THE PAST FIVE YEARS MSK0013-102 OK ANY CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME MSK0013-103 NO MSK0013-104 OK AND ANY A MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY MSK0013-105 NO MSK0013-106 OK AND HOW ABOUT ANY CANCERS THAT RUN IN THE FAMILY MSK0013-107 NO CANCERS THAT I KNOW OF MSK0013-108 OK AND HOW ABOUT HEART CONDITIONS OR OR LUNG CONDITIONS MSK0013-109 NO NOTHING LIKE THAT MSK0013-110-1 OK SO NEXT JUST WANTED TO MOVE ON TO THEIR PHYSICAL EXAM PIECE OF THE APPOINTMENT TODAY SO MSK0013-110-2 JUST LOOKING AT YOUR THE AT YOUR FEET AND AT THE THE JOINTS OF THE ANKLE AND TOES ARE YOU SEEING ANY SWELLING REDNESS OR MSK0013-111 ANY SWELLING OR OR REDNESS MSK0013-112 NO NO SWELLING OR REDNESS ALL RIGHT ARE THERE IS THERE A TEMPERATURE CHANGE TO YOUR FEET OR ANY OF THE JOINTS ARE THEY FEELING HOT OR COLD MSK0013-113 NO MSK0013-114 OK AND IS THERE ANY DEFORMITIES OR MISALIGNMENT OF ANY OF THE JOINTS MSK0013-115 NO MSK0013-116 OK AND ANY SCARRING FROM ANY OF THE TRAUMA MSK0013-117 THERE ARE LIKE THERE'S SOME MSK0013-118 SCARRING FROM LIKE ULCERS FROM PREVIOUS ONES THAT HAVE THAT HAVE HEALED MSK0013-119 HEALED THAT'S RIGHT MSK0013-120 OK AND AND IS THERE ANY PAIN TO PALPATION OVER THE ANKLE JOINT MSK0013-121 OVER MSK0013-122 THE ANKLE JOINT NO OK THEN HOW ABOUT OVER ANY OF THE JOINTS OF YOUR TOES MSK0013-123 NO NOT NOTHING LIKE THAT NO PAIN JUST I CAN'T FEEL IT MSK0013-124 OK AND HOW IS THE RANGE OF MOTION MSK0013-125 OF YOUR FEET AND TOES MSK0013-126 PRETTY GOOD I CAN MSK0013-127 MOVE THEM ALL MSK0013-128 OK AND THEN HOW ABOUT YOUR KNEES MY KNEES ARE ALSO THE MSK0013-129 SAME MSK0013-130 OK AND ANY ANKLE LIKE INSTABILITY WITH ANY SPECIAL TESTS NO OK AND AND ON WALKING MSK0013-131 IS THERE ANY LIMP OR DOES IT APPEAR MSK0013-132-1 HOW DOES THE WALK APPEAR MSK0013-132-2 PRETTY NORMAL I'M NOT LIMPING MSK0013-132-3 OK AND OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK AND AND MSK0013-133 CHECK TODAY DID YOU HAVE ANY QUESTIONS JUST WHAT DO YOU THINK IS GOING ON WITH MY FEET AND MSK0013-134-1 HOW DO I GET SOME SENSATION BACK MSK0013-134-2 SO IT DOES SOUND LIKE IT COULD BE RELATED TO DIABETES WHERE WHAT HAPPENS IS YOU GET MSK0013-134-3 LIKE A PERIPHERAL NEUROPATHY OVERTIME AND YOU CAN LOSE SENSATION TO YOUR FEET IN A GLOVE AND STOCKING DISTRIBUTION WHICH SOUNDS LIKE THE HISTORY HISTORY YOU'RE SAYING TODAY WITH HAVING SENSATION REDUCED ON YOUR MSK0013-135-1 FEET AND ALSO YOUR FINGERTIPS AS WELL WHERE YOU LOSE SENSATION AND YOU CAN'T FEEL PAIN AND SO MSK0013-135-2 BUT OTHER THINGS TO CONSIDER COULD BE POSSIBLY LIKE VITAMIN DEFICIENCIES OR THINGS LIKE THAT BUT I WOULD BE MUCH MUCH LOWER DOWN ON THE DIFFERENTIAL MSK0013-135-3 AND SO TO REGAIN SENSATION I THINK REALLY THE ONLY THING THAT CAN BE DONE NOW IS TO HELP PREVENT FURTHER DAMAGE TO THE NERVES AND THAT WOULD BE TO MAKE SURE THAT THE DIABETES IS UNDER GOOD CONTROL AND MSK0013-135-4 TRYING TO MONITOR YOUR FEET AS REGULARLY AS YOU CAN MAKING SURE THAT THE THERE AREN'T ANY KIND OF OPEN WOUNDS OR SORES THAT ARE ARE NOT HEALING IF THINGS ARE NOT HEALING IT WILL BE IMPORTANT TO MSK0013-135-5 CHECK TO SEE IF THERE IS AN UNDERLYING INFECTION SUCH AS OSTEOMYELITIS WHICH WILL PREVENT WOUND HEALING AND SO IF THERE ARE ANY IS ANYTHING LIKE THAT IT WOULD BE IMPORTANT TO HAVE THAT CHECKED OUT SO MSK0013-135-6 FEET HYGIENE IS EXTREMELY IMPORTANT AS WE'RE WORKING ON IMPROVING THE DIABETES CONTROL MSK0013-136 AS WELL AS THINGS LIKE CUTTING DOWN ALCOHOL MSK0014-000 HOW MAY I HELP YOU MSK0014-001-1 I JUST CAME IN HERE TODAY I USUALLY DON'T COME TO THE DOCTOR THAT MUCH UNLESS I ABSOLUTELY NEED IT FIVE DAYS AGO I STARTED HAVING THIS PAIN AND SWELLING IN MY RIGHT KNEE MSK0014-001-2 SO AND AT FIRST I THOUGHT IT WAS JUST LIKE MY ARTHRITIS ACTING UP BUT IT'S BEEN GETTING MORE SWOLLEN AND PAINFUL THAN USUAL SO I JUST WANTED TO COME IN AND CHECK IT OUT MSK0014-002 OK SO WHEN DID YOU FIRST NOTICE THAT THIS PAIN LIKE WHEN DID IT GET MORE SWOLLEN AND PAINFUL THAN USUAL MSK0014-003 SO LIKE I WOULD SAY AROUND FIVE DAYS AGO IT STARTED GETTING MORE AND USUALLY I DO GET PAIN IN SOME OF MY JOINTS BUT I I DON'T REALLY GET SWELLING SO THAT WAS A BIT DIFFERENT MSK0014-004 OK AND IS THE JOINT HOT AS WELL OR IS THERE A TEMPERATURE MSK0014-005 CHANGE IT IS IT DOES FEEL LIKE IF I TOUCH THE JOINT IT DOES FEEL A BIT WARMER THAN THE SURROUNDING AREAS MSK0014-006 OK DOES IT LOOK RED MSK0014-007 IT IT DEFINITELY IT DEFINITELY LOOKS MORE RED THAN MY OTHER KNEE MSK0014-008 OK AND SO WHAT KNEE IS IT THAT THAT'S BOTHERING YOU RIGHT NOW MSK0014-009 IT'S THE RIGHT KNEE MSK0014-010 OK AND SO THIS PAIN HAS BEEN GOING ON FOR THE LAST FIVE DAYS HAS IT BEEN GETTING BETTER WORSE OR STAYING THE SAME MSK0014-011 I THINK IT'S GETTING A IT'S GETTING IT WAS GETTING WORSE BUT IT'S LIKE A BIT BETTER RIGHT NOW MSK0014-012 OK MSK0014-013 IT COMES AND GOES MSK0014-014 IN SEVERITY THOUGH OK AND HOW WOULD YOU DESCRIBE THE THE PAIN THE CHARACTER OF IT IS IT SHARP DULL OR ACHY MSK0014-015 IT'S IT'S LIKE SOMEONE IS STABBING ME IN THE KNEE AND IT HURTS THE MOST WHEN I'M MOVING THE KNEE MSK0014-016 OK AND DOES THE PAIN RADIATE ANYWHERE MSK0014-017 I DON'T MSK0014-018 THINK SO NO OK SO YOU'RE FEELING IT JUST IN THE KNEE AND YOU SAID MOVING THE KNEES IS PAINFUL IS MSK0014-019 THERE ANYTHING ELSE THAT MAKES THE PAIN WORSE NOT REALLY LIKE RESTING IT DEFINITELY HELPS BUT I JUST MSK0014-020 HAVE TO KEEP IT A BIT IMMOBILIZED OK AND IS THERE ANYTHING THAT THAT MAKES THE PAIN BETTER THAT YOU'VE TRIED LIKE MAYBE MEDICATIONS OR ANY ICE PACKS MSK0014-021 OR ANYTHING LIKE THAT NOT REALLY I DO TAKE SOME PAINKILLERS SO JUST SOME ADVIL WHICH SEEMS TO HELP A LITTLE BIT MSK0014-022 OK AND AND OK IS THE PAIN WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE DO YOU HAVE MORNING STIFFNESS MSK0014-023 USUALLY WITH MY NORMAL THIS ARTHRITIS I DO GET SOME MORNING STIFFNESS BUT THIS IS COMPLETELY DIFFERENT IT'S THROUGHOUT THE DAY PRETTY MUCH MSK0014-024 OK AND DID YOU HAVE ANY TRAUMA OR ANY INJURY TO THE KNEE MSK0014-025 NO I DIDN'T MSK0014-026 OK MSK0014-027 I I DID HAVE LIKE A STEROID INJECTION TO THE SAME KNEE JUST A WEEK AGO BUT NO I I HAVEN'T FALLEN ON IT I HAVEN'T HAD ANY OPERATIONS MSK0014-028 OK AND HAVE YOU HAD ANY FEVERS OR CHILLS MSK0014-029 NO MSK0014-030 OK HAVE YOU HAD ANY CHANGES TO ANY OF YOUR SENSES LIKE VISION HEARING OR YOUR SENSE OF SMELL OR TASTE MSK0014-031 NO NOTHING LIKE THAT MSK0014-032 HAVE YOU HAD A RUNNY NOSE OR SORE THROAT MSK0014-033 NO MSK0014-034 HAVE YOU HAD ANY COUGH OR SHORTNESS OF BREATH MSK0014-035 NO MSK0014-036 HOW ABOUT ANY WHEEZING MSK0014-037 NOPE MSK0014-038 HAVE YOU HAD ANY CHEST PAIN OR HAVE YOU HAD ANY CHEST PAIN MSK0014-039 NO MSK0014-040 HOW ABOUT ANY LIGHTHEADEDNESS OR DIZZINESS MSK0014-041 NO MSK0014-042 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING MSK0014-043 NOPE MSK0014-044 ALRIGHT HAVE YOU HAD ANY LOSS OF APPETITE MSK0014-045 NO MSK0014-048 PAIN HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION INCONTINENCE MSK0014-049 NO MSK0014-050 ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY MSK0014-051 NO NOT REALLY MSK0014-052 HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES ANYWHERE MSK0014-054 NO OK AND ANY OTHER PAINFUL JOINTS OR MUSCLE ACHES OR MSK0014-055-1 BODY PAINS MSK0014-055-2 YEAH I JUST GOT MY GENERAL LIKE I HAVEE OSTEOARTHRITIS SO I LIKE IT'S BEEN A PRETTY LONG TIME THOUGH BUT I GET SOME PAIN IN MY HIPS MSK0014-055-3 SOMETIMES MY KNEES SO IT'S IT'S THAT'S BEEN GOING ON FOR AWHILE BUT THIS IS SOMETHING I'VE NEVER EXPERIENCED THOUGH LIKE THIS SIGNIFICANT PAIN AND SWELLING AND REDNESS MSK0014-055-4 OK AND HAVE YOU HAD ANY MSK0014-056 CHANGES TO YOUR MEMORY OR ANY CONFUSION NOPE OK AND MSK0014-058 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS MSK0014-060 NO AND HOW ABOUT ANY NIGHT SWEATS MSK0014-061 NO MSK0014-062 OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS MSK0014-063-1 I DO HAVE SO I HAVE A COUPLE CONDITIONS I HAVE OSTEOARTHRITIS IN BOTH MY KNEES AND HIPS MSK0014-063-2 I HAVE HIGH BLOOD PRESSURE I DID HAVE A HEART ATTACK FOUR YEARS AGO AND I ALSO HAVE HAD MSK0014-064 HEART FAILURE AND ALSO I'M JUST A BIT ON THE OVERWEIGHT SIDE MSK0014-065 OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS SO I AM TAKING JUST FUROSEMIDE THEN MSK0014-066 RAMIPRIL FOR MY BLOOD PRESSURE BUT THAT'S THAT'S ABOUT IT RIGHT NOW MSK0014-067 AND LIKE JUST PAINKILLERS OVER THE COUNTER MSK0014-068 OK AND ANY ALLERGIES TO MEDICATIONS JUST TO HAVE A PEN MSK0014-069 ICILLIN ALLERGY OK AND WHAT'S THE RASH OR SORRY WHAT'S THE REACTION I DON'T REALLY REMEMBER I WAS A CHILD AT THAT TIME MSK0014-070 I DON'T REMEMBER WHAT REACTION I REALLY GOT I SEE OK MSK0014-071 AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES SURGERIES I DID HAVE MY APPENDIX REMOVED WHEN I WAS YOUNG AND ALSO MSK0014-072 I WAS HOSPITALIZED AFTER MY HEART ATTACK A COUPLE YEARS AGO OK DID YOU HAVE ANY SURGERIES ON YOUR ON YOUR HEART MSK0014-073 LIKE A CABBAGE OR I HAD A COUPLE MSK0014-074 A COUPLE OF STENTS PUT IN OK MSK0014-075 AND YOU TAKE ASPIRIN FOR THAT OK ALRIGHT AND MSK0014-076 COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH I LIVE WITH MY WIFE AND DAUGHTER MSK0014-077 AND KIND OF LIVE IN A SMALL LITTLE MSK0014-078-1 TOWNHOUSE JUST IN THE CITY MSK0014-078-2 OK ARE YOU CURRENTLY WORKING OR ARE YOU RETIRED MSK0014-078-3 I I KIND OF HAD TO RETIRE AFTER JUST MY PAST MEDICAL HISTORY LIKE THE HEART ATTACK AND THEN MSK0014-078-4 THERE WAS JUST TOO MUCH STRESS AT WORK IT WAS TOO MUCH MSK0014-079 FOR ME BUT I'M JUST AT HOME RIGHT NOW MY WIFE STILL WORKS I'M TAKING IT MORE EASY NOW OK AND MSK0014-080 WITH BEING AT HOME ARE YOU ABLE TO MANAGE THE MAJORITY OF ACTIVITIES OF DAILY LIVING ON YOUR OWN OR ARE YOU RECEIVING HELP MSK0014-081 NOT RECEIVING ANY OUTSIDE HELP I CAN DO MOST MSK0014-082 THINGS MYSELF MY WIFE DOES MOST OF OUR SHOPPING AND COOKING THOUGH OK AND DO YOU DRINK ALCOHOL I I DO I DO DRINK MSK0014-083 PROBABLY DRINK LIKE THREE OR MSK0014-084 FOUR BEERS A NIGHT OK AND DO YOU SMOKE CIGARETTES MSK0014-085 I USED TO I I FORCED MYSELF TO QUIT AFTER MY HEART ATTACK OK WELL THAT'S GOOD I'M MSK0014-086 PROBABLY SMOKED FOR MORE THAN THIRTY YEARS AND I WAS SMOKING ONLY ONE TO TWO PACKS A DAY AT MOST MSK0014-087 GLAD THAT YOU QUIT AND HOW LONG DID YOU SPOKE FOR AND HOW MUCH WERE YOU SMOKING DURING THAT TIME MSK0015-000 HOW MAY I HELP YOU MSK0015-001-1 SO I'M I'M GEORGE THE FATHER MY DAUGHTER IS FIVE YEARS OLD AND I NOTICED JUST A FEW DAYS AGO THAT SHE WAS WALKING A LITTLE BIT FUNNY AND KIND OF HAVING A LIMP WHEN SHE CAME BACK FROM SCHOOL MSK0015-001-2 AND SINCE SINCE THAT THEN SHE'S BEEN SAYING THAT IT JUST HURTS TOO MUCH TO PUT ANY WEIGHT ON ON THAT LEG ON THE RIGHT LEG MSK0015-001-3 AND SINCE THEN I'VE BEEN LIKE CARRYING HER AROUND IT'S BEEN VERY PAINFUL FOR HER SO I JUST WANTED TO COME IN AND CHECK WHAT MIGHT BE GOING ON MSK0015-002 OK AND SO SO AND THIS WHEN DID THIS MSK0015-003 EXACTLY START MSK0015-004 SO JUST TWO DAYS AGO OK AN DID SHE HAVE ANY TRAUMA TO TO HER RIGHT HIP OR OR TO HURT YOUR RIGHT LEG LIKE A FALL OR ANY INJURIES MSK0015-005 SORRY NO NOT THAT I KNOW OF AT LEAST AND SHE HASN'T TOLD ME ANYTHING LIKE THAT SHE DOES DO SOME ACTIVITIES SOME SPORTS BUT I HAVEN'T SEEN HER FALL ANYWHERE MSK0015-006 OK ALRIGHT AND HAS SHE HAS SHE NOT NOT BEEN ABLE MSK0015-007-1 TO WALK THEN MSK0015-007-2 YEAH SO I'VE I'VE BEEN CARRYING AROUND FOR AT LEAST LIKE SHE'S MISSED SCHOOL TOO BUT BEEN CARRYING HER AROUND FOR THE LAST ONE ONE TWO TO TWO DAYS AS SOON AS I HAD LIKE ASK HER TO WALK MSK0015-007-3 SHE STARTS KIND OF A HOPPING AND SAYING THAT THERE'S A LOT OF PAIN NEAR THE TOP OF HER LEG AND BY YOUR HIPS WHENEVER SHE PUTS HER FOOT LIKE A FOOT DOWN MSK0015-007-4 SO SHE'S IN PAIN CRYING SO I KIND OF HAVE TO CARRY HER MSK0015-008 OK AND HOW HAS HER BEHAVIOUR BEEN RECENTLY LIKE HER MOOD AND THINGS LIKE THAT MSK0015-009-1 SHE'S DEFINITELY BEEN MORE JUST A BIT ANXIOUS ABOUT THE PAIN VERY SCARED ABOUT PUTTING HER FOOT DOWN AND MSK0015-009-2 JUST OVERALL I THINK ALSO MORE IRRITABLE CRYING MORE BECAUSE OF THE PAIN SO BUT I I GUESS I UNDERSTAND IF THERE'S SOMETHING GOING ON IT MUST BE VERY PAINFUL MSK0015-010 OK AND ALRIGHT HAS SHE HAD ANY FEVERS OR CHILLS MSK0015-011-1 I DID NOTICE A COUPLE OF DAYS AGO SHE FELT A BIT WARM BUT WE DIDN'T REALLY MEASURE HER TEMPERATURE MSK0015-011-2 OVER THE LAST FEW WEEKS THOUGH SHE HAS HAD A KIND OF A RUNNY NOSE AND A COUGH AND I THINK SHE MIGHT HAVE HAD A FEVER LAST WEEK AS WELL SO MSK0015-011-3 SHE HAS BEEN SICK RECENTLY MSK0015-012 OK SO IT SOUNDS LIKE SHE MIGHT HAVE HAD A COLD LAST WEEK AND DID LIKE THE RUNNY NOSE AND COUGH GO AWAY MSK0015-013 THE RUNNY NOSE AND COUGH ARE GONE FEVER WAS GONE TOO BUT SHE DID FEEL A LITTLE BIT WARM YESTERDAY SO I'M NOT SURE ABOUT THAT MSK0015-014 OK SO SHE'S AT A A BIT WARM NOW STILL OK MSK0015-015 YUP MSK0015-016 HAS SHE HAD ANY ANY HEADACHES MSK0015-017 NO NO HEADACHES MSK0015-018 ANY SENSORY CHANGES LIKE THINGS TO HER VISION OR HEARING OR TASTE OR SMELL MSK0015-019 NO MSK0015-022 THROAT OR COUGH NO ALRIGHT ANY SHORTNESS OF BREATH MSK0015-023 NO MSK0015-024 ANY CHEST PAIN MSK0015-025 NO MSK0015-026 HAS SHE HAD A LOSS OF APPETITE MSK0015-027 NO MSK0015-028 OK AND HAS SHE HAD ANY UNEXPECTED WEIGHT LOSS MSK0015-029 OH NO NOTHING LIKE THAT MSK0015-030 ANY NIGHT MSK0015-031 SWEATS MSK0015-032 NO ANY MSK0015-035 ANY ABDOMINAL PAIN MSK0015-036 NO ABDOMINAL PAIN OK ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL MSK0015-037 NO NOTHING LIKE THAT MSK0015-038 ALRIGHT AND ANY PROBLEMS WITH URINATION LIKE PAIN OR FREQUENCY MSK0015-039 NO NOT THAT SHE'S MENTIONED NO MSK0015-040 OK AND ANY SKIN RASHES OR CHANGES MSK0015-041 NO MSK0015-042 OK AND ANY MUSCLE ACHES OR BODY PAINS OR ANY OTHER PAINS ANYWHERE ELSE MSK0015-043 NO IT'S MAINLY JUST HER UPPER RIGHT LEG AND HIP MSK0015-044 OK I HAVE SHE HAD ANY NUMBNESS OR TINGLING MSK0015-045 NO NOT THAT SHE'S MENTIONED NO MSK0015-046 OK AND AND HOW ABOUT A MUSCLE WEAKNESS MSK0015-047 NO MSK0015-048 NO OK AND ANY CONFUSION OR OR MEMORY LOSS MSK0015-049 NO MSK0015-050 OK I'M AND IN THE PAST HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS MSK0015-051-1 SHE DID HAVE THIS CONDITION WITH HER HIPS DYSPLASIA LIKE DEVELOPMENTAL DYSPLASIA OF THE HIP SO WHEN SHE WAS BORN SHE MSK0015-051-2 SHE WAS GETTING LIKE THIS CLICKING NOISE AND HER IN HER HIPS AND SO SHE WAS IN THIS SPLINT FOR PROBABLY ALMOST TWO MONTHS MSK0015-051-3 AT THE START LIKE MSK0015-052 SHE WAS BORN OK AND DID HER HIPS DID LIKE WAS SHE ABLE TO MSK0015-053 WALK AFTERWARDS AND WE WERE SEEING A SPECIALIST AN ORTHOPEDIC SURGEON AND THEY WERE MANAGING HER AND AFTER ONE YEAR THEY STOPPED FOLLOWING HER SHE WAS WELL LIKE SHE WAS WALKING NO ISSUES MSK0015-054 OK SO SHE'S WALKING AROUND MSK0015-055 ONE YEAR MSK0015-056 AND HAVE YOU HAD ANY OTHER CONCERNS ABOUT HER EITHER EITHER SOCIAL OR PHYSICAL DEVELOPMENT MSK0015-057 NO SHE'S BEEN REALLY GREAT SHE'S GOOD WITH PEOPLE SHE'S HAS GREAT SOCIAL SKILLS SHE HAS GROWN WELL MET ALL HER MILESTONES SHE'S DOING REALLY WELL AT SCHOOL AND GETS ALONG WELL WITH HER PEERS AS WELL MSK0015-058 OK EXCELLENT AND WERE THERE ANY CONCERNS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HYPERTENSION OR ANY EXPOSURES TO INFECTIONS MSK0015-059-1 NO HER MOM'S PREGNANCY WAS PERFECTLY NORMAL SHE WAS BORN LIKE SHE WAS DELIVERED VAGINALLY AT THIRTY NINE WEEKS MSK0015-059-2 SHE WAS BREECH AT THAT TIME WHICH THE DOCTOR SAID MIGHT HAVE TO DO WITH HER CLICKING HIPS MSK0015-059-3 BUT BUT SINCE THEN OR DURING PREGNANCY NO OTHER COMPLICATIONS MSK0015-060 OK THAT'S GREAT AND IN REGARDS TO YOU MENTIONED HER HURT HIP ANY OTHER PAST MSK0015-061 MEDICAL HISTORY NO MSK0015-062 OTHER THAN THAT SHE'S BEEN HEALTHY OK AND DOES SHE TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED MSK0015-063 NO NO NO MEDICATIONS MSK0015-064 OK ANY ALLERGIES TO MEDICATIONS MSK0015-065 NO NOT THAT I KNOW MSK0015-066 AND SORRY HAS SHE TAKING ANYTHING FOR THE THE PAIN MSK0015-067 NO I HAVEN'T REALLY GIVEN HER ANYTHING I DIDN'T KNOW WHAT TO GIVE MSK0015-068 OK ALL RIGHT WE'LL TALK MORE ABOUT THAT HAS SHE HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS NO MSK0015-070 CAN YOU TELL ME ABOUT WHO SHE'S LIVING WITH AND WHEREABOUTS SHE'S LIVING MSK0015-071 SO SHE'S CURRENTLY LIVING AT HOME WITH ME MY WIFE AND SHE HAS AN OLDER BROTHER WE LIVE IN A SMALL HOUSE JUST NEAR NEAR THE CITY MSK0015-073 WHAT DO YOU GUYS DO FOR WORK SO I'M A LAWYER AND MY WIFE IS A MUSIC TEACHER OK IS THERE ANYBODY MSK0015-074 WHO SMOKES IN THE HOME NO NONE OF US SMOKE OK MSK0015-076 AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS MSK0015-077 NO NO FAMILY HISTORY OUR FAMILY IS PRETTY HEALTHY MSK0015-078 OK HOW ABOUT ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM NO NOTHING LIKE THAT MSK0015-082 JUST THE EXAM WHEN YOU'RE LOOKING AT THE RIGHT HIP ARE YOU SEEING ANY SWELLING REDNESS MSK0015-083 NO NOT THAT I SEE ANYTHING MSK0015-084 NO OK AND IS THERE ANY LIKE MUSCLE ATROPHY AROUND THE HIP MSK0015-085 NO NOT THAT I SEE AT ALL MSK0015-086 OK AND THEN IS THERE ANY MISALIGNMENT OR DEFORMITY OF THE JOINTS THAT YOU CAN SEE NO I CAN'T I DON'T SEE ANYTHING IN THE HIPS OR LEGS THAT REALLY POINTS OUT TO ME MSK0015-087 OK AND IS THERE ANY PAIN TO PALPATION OVER THE HIP OR OR KNEE MSK0015-088 IF I IF I PRESS ON IT I DON'T THINK SHE'S IN THAT MUCH PAIN IT'S MAINLY JUST WHEN SHE'S TRYING TO WALK OR PUT MSK0015-089 PUT WEIGHT ON IT OK AND IS SHE ABLE TO MOVE THE HIP IN A FULL RANGE OF MOTION OF LIKE FLEXION AND MSK0015-090 EXTENSION ABDUCTION ADDUCTION SO SHE DOES SHE IS ABLE TO MOVE IT IF SHE REALLY TRIES BUT IT'S MAINLY MSK0015-091 JUST THE PUTTING HER WEIGHT ON IT AND ANYTIME SHE PUTS HER WEIGHT ON IT IS IS WHEN IT REALLY HURTS OK SO MORE ABOUT THE WEIGHT ON IT AND IS SHE ABLE TO MOVE THAT HER KNEE WITH A FULL RANGE OF MOTION MSK0015-092 OK AND ANY ANY MUSCLE WEAKNESS WHEN TESTING AROUND THE JOINT MSK0015-093 NO OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY AND MSK0015-095 CHECK WAS THERE ANYTHING I MAYBE FORGOT ABOUT YOU THOUGHT WOULD BE MORE IMPORTANT TODAY NO I THINK THAT'S ALL JUST JUST WAS WONDERING WHAT MIGHT BE GOING ON MSK0015-096 THAT IT COULD BE ONE IS THAT IT CAN BE COMMON IN THIS MSK0015-097-1 AGE GROUP IS SOMETHING CALLED TRANSIENT SYNOVITIS WHERE WHICH CAN HAPPEN IN THE HIP WHERE THERE'S SOME INFLAMMATION AND IT CAUSES SOME PAIN MSK0015-097-2 FOLLOWING A VIRAL INFECTION AND IT SOUNDS LIKE SHE HAD A VIRAL INFECTION LAST WEEK WITH THE COUGH FEVER AND AND RUNNY NOSE AND HER SHE WAS FEELING A BIT WARM AND MAYBE FEVERISH TODAY AS WELL WHICH MSK0015-097-3 COULD BE A SIGN WITH THE LOWER KIND OF SLIGHTLY ELEVATED TEMPERATURE POINTING TOWARDS TRANSIENT SYNOVITIS WHICH IS A CONDITION THAT WILL BE SELF LIMITING MSK0015-097-4 AND CAN USE ANTI INFLAMMATORIES TO HELP WITH THE PAIN SUCH AS IBUPROFEN BUT ALSO SOMETHING THAT WOULD BE MSK0015-097-5 IMPORTANT TO RULE OUT WOULD BE IS SEPTIC ARTHRITIS BECAUSE IT COULD COULD LEAD TO DAMAGE OF THE JOINT BUT THIS WILL BE MSK0015-097-6 LOWER ON THE DIFFERENTIAL AND THEN FINALLY SOMETHING TO CONSIDER IS LEGG CALVE PERTHES DISEASE AND MSK0015-097-7 BUT THIS WOULD BE MORE OF PROGRESSIVE ONSET BUT IF SHE'S NOT GETTING ANY BETTER AND OR IF SHE BECOMES MORE SICK LIKE DEVELOPS A REALLY HIGH FEVER OR A RED HOT SWOLLEN JOINT MSK0015-097-8 THEN WE'D BE THINKING MORE ALONG THE LINES OF SEPTIC ARTHRITIS AND MSK0015-098 WE WANT TO REASSESS OK SOUNDS GOOD THANK YOU SO MUCH MSK0016-000 WHAT BRINGS YOU IN MSK0016-001 I'VE I'VE BEEN HAVING THIS NUMBNESS AND TINGLING AND I GUESS KIND OF BURNING SENSATION THAT WELL IT'S BEEN HAPPENING MSK0016-002 MORE OFTEN IN MY LEFT HAND ON YOUR LEFT HAND OK AND SORRY WHEN MSK0016-003 DID YOU SAY THIS STARTED IT'S BEEN GOING ON FOR PROBABLY MSK0016-005 FOUR OR FIVE MONTHS OK IT FIRST IT WOULD ONLY BUG ME FOR A COUPLE OF MINUTES AT A TIME AND I COULD KIND OF SHAKE MY HAND OUT LIKE FLICK LIKE FLICK MY WRIST AND AND IT WOULD GO AWAY AFTER A FEW MINUTES BUT NOW I'M STARTING TO GET MSK0016-006 LIKE SYMPTOMS AT NIGHT SOMETIMES AS WELL OK SO MSK0016-007 IT'S GOTTEN WORSE MSK0016-008 THEN YOU SAID OVER THE PAST FEW WEEKS IT HAS OK AND IS IT ALWAYS THERE MSK0016-009 IS IT PERSISTENT OR DOES MSK0016-010 IT COME AND GO IT COMES AND GOES MSK0016-011-1 OK AND WHAT MAKES IT BETTER OR WORSE MSK0016-011-2 BETTER I'VE TRIED SOME ADVIL AND TYLENOL AND IT'S KIND OF THE HASN'T DONE MUCH FOR THE PAIN REALLY MSK0016-011-3 I THINK ONLY THE THING THAT KIND OF MSK0016-012 HELPS IT IS JUST NOT USING IT AS MUCH ALRIGHT HAVE YOU TRIED ANY LIKE MSK0016-014 COLD COMPRESSES TOPICAL CREAMS ANYTHING LIKE THAT NO OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF HOW IT FEELS LIKE DOES IT DOES IT IS IT PAINFUL IS IT TENDER OR MSK0016-015 IS IT JUST NUMB AND TINGLING KIND OF LIKE WHEN YOUR FOOT GOES TO SLEEP I GUESS I HAVE IT IS A BIT MSK0016-016 PAINFUL AS WELL I HAVE LIKE A BURNING KIND OF PAIN OK AND ONE TO TEN MSK0016-017 TEN BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN WHEN IT GETS TO ITS WORST MSK0016-018 I WOULD SAY ABOUT A SIX OK OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE OR IS THIS KIND OF LIKE THE FIRST TIME YOU'RE EXPERIENCING THIS MSK0016-019 THIS IS THE FIRST REALLY LIKE OVER THESE LAST THREE MONTHS THE FIRST TIME I'VE BEEN EXPERIENCING IT I THINK THE FIRST TIME THAT IT STARTED IT STARTED TO WAKE ME UP AT NIGHT THOUGH HAS BEEN LIKE ABOUT A COUPLE OF WEEKS AGO MSK0016-020 OH I SEE OK ALRIGHT AND DO YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE OVER THE PAST FEW WEEKS OR IS IT KIND OF THE SAME MSK0016-021 OVER THESE PAST COUPLE OF WEEKS ABOUT THE SAME IT'S WOKEN ME UP LIKE TWO OR THREE TIMES AT NIGHT MSK0016-022 OK ALRIGHT AND DO YOU HAVE ANY NUMBNESS OR TINGLING ELSEWHERE ON YOUR BODY MSK0016-023 NO IT'S JUST JUST KIND OF THE THE OUTSIDE OF MY HAND HERE IT'S REALLY ONLY THE FIRST LIKE THREE FINGERS MSK0016-024 OK FIRST THREE FINGERS SO YOUR THUMB INDEX FINGER AND MIDDLE FINGER OR MSK0016-025 YOUR PINKY TO MIDDLE FINGER IT'S JUST THE MSK0016-027 INDEX FINGER AND RING FINGER AND RING FINGER OK AND MAYBE JUST LIKE A LITTLE BIT OF THE LIKE OF THE RING FINGER MSK0016-028 TOO BUT NOT ALL OF IT OK ALRIGHT SO ANY WEAKNESS IN YOUR ARMS MSK0016-029-1 OR DO YOU FEEL LIKE YOU CAN STILL USE YOUR ARMS MSK0016-029-2 YEAH I HAVEN'T HAD ANY ANY MUSCLE WEAKNESS I GUESS I MAY BE A BIT MORE CLUMSY WITH WITH MY LEFT HAND LIKE I'VE DROPPED A FEW THINGS I'VE HAD IT MSK0016-029-3 A LITTLE BIT MORE DIFFICULT TIME LIKE OPENING JARS MSK0016-030 OR LIKE CAR DOORS AND STUFF LIKE THAT MSK0016-034 OK AND ANY CONFUSION OR MEMORY LOSS MSK0016-044 NO I HAVEN'T HAD A COUGH OK WHEEZING OR SHORTNESS OF BREATH MSK0016-045 NOPE NEITHER OF THOSE MSK0016-046 OK CHEST PAIN OR HEART PALPITATIONS MSK0016-047 NOPE I HAVEN'T HAD THAT MSK0016-048 OK HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS MSK0016-049 NOPE I HAVEN'T HAD ANY DIARRHEA AND NO NO CONSTIPATION AND NO BLOOD EITHER MSK0016-050 OK GOOD ANY NAUSEA OR VOMITING MSK0016-051 NO I HAVEN'T HAD ANY OF THAT MSK0016-052 OK ANY CHANGES IN YOUR VOIDING MSK0016-053 NO I I HAVEN'T HAD ANY PROBLEMS WITH URINATION MSK0016-054 OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS MSK0016-055 I HAVE HYPOTHYROIDISM SO I TAKE LIKE THYROXINE FOR THAT AND I MSK0016-056 AM OVERWEIGHT AS WELL OR IN OBESITY CLASS MSK0016-057 ONE I THINK OK AND DO YOU TAKE ANY MEDICATIONS FOR THE HYPOTHYROID I DO MSK0016-058 I TAKE I TAKE SYNTHROID I THINK OK ALRIGHT AND MSK0016-059 ARE YOU ON ANY WEIGHT LOSS MEDICATIONS NO I'VE JUST BEEN TRYING TO CHANGE DIET AROUND WHEN I CAN AND AND TRYING TO EXERCISE A BIT MORE BUT IT'S BEEN MSK0016-060 IT'S BEEN TOUGH ESPECIALLY NOW WITH MY WRIST OR MY HAND BUGGING ME FOR SURE MSK0016-061 ALRIGHT AND THEN ARE YOU UP MSK0016-062 TO DATE WITH YOUR IMMUNIZATIONS I AM AND I GET THE FLU SHOT EVERY YEAR OK THAT'S MSK0016-063 AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES MSK0016-064 IN THE PAST MSK0016-065 I I NO I HAVEN'T HAD ANYTHING MSK0016-066 LIKE THAT NO OK ANY ALLERGIES NO ALLERGIES OK FAMILY HISTORY MSK0016-067 OF LUNG OR HEART CONDITIONS MY GRANDFATHER HAD A STROKE WHEN HE WAS IN HIS SEVENTIES MSK0016-068 AND MY DAD HAS HIGH CHOLESTEROL HAVE YOU BEEN WORKED UP FOR ALL OF THAT MSK0016-069 LIKE HIGH BLOOD PRESSURE DIABETES CHOLESTEROL I THINK MY FAMILY DOCTOR CHECKED A FEW YEARS AGO BUT I'VE BEEN HEALTHY BESIDES THIS THIS THIS PAIN SO MSK0016-070 MAYBE THAT MAYBE THAT COULD BE INVESTIGATED AS WELL OK ANY NEURAL MSK0016-071 NEUROLOGICAL OR MUSCULOSKELETAL ISSUES IN THE FAMILY MSK0016-072 I THINK OSTEOARTHRITIS MSK0016-073 A FEW FEW PEOPLE HAVE THAT MSK0016-074 OK HOW ABOUT AUTOIMMUNE MSK0016-076 NO I THINK I'M THE ONLY ONE MSK0016-077 THYROID OK HOW ABOUT CANCERS MSK0016-078 NO CANCER NO CANCERS OK ALRIGHT AND MSK0016-079 THEN DO YOU SMOKE I DO I SMOKE ABOUT FIVE TO TEN CIGARETTES PER DAY OK AND FOR HOW LONG MSK0016-087 ANYTHING LIKE THAT OK HOW ABOUT ALCOHOL DO YOU DRINK I'LL HAVE WINE EVERY ONCE IN AWHILE ON THE WEEKENDS MAYBE MAYBE A DRINK PER WEEK SOMETHING LIKE THAT MSK0016-088 OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY MSK0016-089 NO I DON'T BELIEVE SO MSK0016-090 OK HOW ABOUT TRAVEL MSK0016-091 NO I'VE BEEN I'VE BEEN AT HOME AND AND JUST GOING TO WORK MSK0016-092 OK AND AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH MSK0016-093 SO I LIVE WITH MY HUSBAND AND OUR TWO DAUGHTERS AND WE LIVE AND WE LIVE IN A HOUSE MSK0016-094 OK ANY CONCERNS FOR STI'S MSK0016-095 NO I'M JUST I'VE BEEN MONOGAMOUS WITH MY PARTNER NOW FOR OVER TEN YEARS AND NO CONCERNS FOR AN STI AT THIS TIME MSK0016-096-1 OK ALRIGHT GOOD SO NOW WE'RE JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW MSK0016-096-2 SO I'M GOING TO GET YOU TO LOOK AT BOTH YOUR ARMS HANDS AND WRISTS SIDE BY SIDE MSK0016-096-3 DOES YOUR LEFT ONE SEEM AT ALL MORE RED SWOLLEN OR HOT MSK0016-097 NO NO SYMPTOMS LIKE THAT MSK0016-098 NO OK AND DO YOU DOES THAT ONE SEEM TO BE MORE ATROPHIED OR ARE THERE ANY DEFORMITIES OR SKIN CHANGES ON THAT ONE MSK0016-099 MAYBE A LITTLE LESS MUSCLE BULK ON THE LIKE WHERE MY THUMB IS MSK0016-100-1 OK OK AND THEN I'M GONNA GET YOU TO PALPATE CERTAIN AREAS OF THAT ARM SO LET'S START AT THE TOP WHEN YOU MSK0016-100-2 WHEN YOU PRESS DOWN ON YOUR SHOULDER BLADES OR JUST AT THE VERY TOP OF YOUR ARM WHERE YOUR OR AT THE VERY TOP WHERE YOUR ARM CONNECTS TO YOUR SHOULDER DOES IT HURT OVER THERE MSK0016-101 NO NO PAIN THERE MSK0016-102 OK SO NO PAIN ON THE ACROMION PROCESS OR THE SCAPULA ANY PAIN WHERE YOUR BICEPS ARE MSK0016-103 NO MSK0016-104 NO OK HOW ABOUT AT YOUR ELBOWS MSK0016-105 NO PAIN AT THE ELBOWS AND FULL I CAN MOVE MY ELBOWS AND SHOULDERS NO PROBLEM EITHER AND MY NECK DOESN'T HURT AT ALL EITHER I CAN MOVE MY NECK AROUND MSK0016-106 HOW ABOUT WHEN YOU PALPATE YOUR WRISTS BOTH SIDES MEDIAL AND LATERAL MSK0016-107 NO NO PAIN IF I'M JUST MSK0016-108 PRESSING OR PALPATING THE WRIST OK AND I'M GOING TO GET YOU TO STRAIGHTEN OUT YOUR ARM AND FLEX AT YOUR SHOULDER MSK0016-110 AND EXTEND AT YOUR SHOULDER DOES THAT HURT NO HOW ABOUT WHEN YOU FLEX YOUR ELBOW AND EXTEND YOUR ELBOW MSK0016-111 NO MSK0016-112 HOW ABOUT WHEN YOU FLEX YOUR WRIST AND EXTEND YOUR WRIST MSK0016-113 NO MSK0016-114-1 OK SO I'M GOING TO DO A SPECIAL TEST FOR SOMETHING CALLED CARPAL TUNNEL SYNDROME SO I'M GONNA GET YOU TO STRAIGHTEN OUT YOUR LEFT ARM AGAIN MSK0016-114-2 AND RIGHT WHERE ALRIGHT HOW DO WE DO THIS OK SO WITH YOUR RIGHT HAND OR WITH YOUR WITH YOUR RIGHT INDEX FINGER AND MIDDLE FINGER YOU'RE GOING TO TAP MSK0016-114-3 JUST BELOW WHERE THE BULK OF YOUR THUMB MUSCLES ARE CONNECTING TO YOUR WRIST I'M JUST GOING TO GET YOU TO TAP THAT AREA MSK0016-114-4 DO YOU FEEL TINGLING LIKE AN ELECTRIC SHOCK SENSATION IN YOUR HAND OR ANYTHING LIKE THAT MSK0016-115 I DO MSK0016-116-1 YEAH YOU DO OK SO THAT'S A POSITIVE TINEL'S SIGN AND THEN WE'RE GOING TO DO ONE MORE TEST SO MSK0016-116-2 I'M GOING TO OK SO MAKE LIKE A PRAYER MOTION WITH YOUR HANDS LIKE PUTTING YOUR TWO PALMS TOGETHER MSK0016-116-3 AND THEN AND THEN INSTEAD INVERT YOUR HAND SO THAT THE OUTER PARTS ARE TOUCHING AND YOUR FINGERS ARE POINTING TOWARDS THE GROUND MSK0016-117 OK MSK0016-118-1 SO KIND OF LIKE UPSIDE DOWN BUT WITH YOUR OUTER PARTS OF YOUR HANDS TOUCHING AND THEN I'M GOING TO GET YOU TO JUST HOLD YOUR ARMS LIKE THAT MSK0016-118-2 FOR ABOUT SIXTY SECONDS DO YOU FEEL ANY TINGLING NUMBNESS OR PAIN IN THOSE FINGERS MSK0016-119 I GET A BIT OF NUMBNESS AND TINGLING WHEN WHEN I DO THAT MSK0016-120 OK SO THAT'S A POSITIVE PHALEN'S SIGN TEST ALRIGHT SO THAT BRINGS ME TO THE END OF THIS INTERVIEW DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING THAT YOU WANTED TO BRING UP MSK0016-121 JUST WONDERING ABOUT WHAT THIS COULD BE MSK0016-122-1 OH YEAH SO IT SEEMS LIKE YOU HAVE SOMETHING CALLED CARPAL TUNNEL SYNDROME AND THAT IS IT'S PRETTY COMMON MSK0016-122-10 AND IF THAT DOESN'T WORK THEN WE CAN ALSO DISCUSS SURGERY SOMETIME DOWN THE LINE DOES THAT SOUND OK MSK0016-122-2 SO IT CAN BE CAUSED BY A LOT OF THINGS BUT BASICALLY YOUR MEDIAN NERVE RUNS THROUGH YOUR FOREARM INTO YOUR WRIST MSK0016-122-3 AND ANYTHING THAT SQUEEZES OR IRRITATES THAT MEDIAN NERVE CAN LEAD TO CARPAL TUNNEL SYNDROME AND SOME THINGS INCLUDE LIKE REPETITIVE MOVEMENTS AT WORK OBESITY MSK0016-122-4 ANY NERVE DAMAGING CONDITIONS LIKE DIABETES INFLAMMATORY CONDITIONS BUT MOSTLY JUST LIKE WORKPLACE FACTORS CAN MSK0016-122-5 CAN DO IT ESPECIALLY IF YOU'RE WORKING WITH LIKE VIBRATING TOOLS OR ON AN ASSEMBLY LINE THAT REQUIRES LIKE REPETITIVE AND PROLONGED FLEXING OF THE WRIST MSK0016-122-6 SO DIAGNOSIS WE JUST DO THAT THROUGH LIKE SYMPTOMS PHYSICAL EXAM WE DON'T REALLY NEED TO DO ANY IMAGING AT THIS AT THIS POINT MSK0016-122-7 AND TO TREAT IT BASICALLY WORK MODIFICATION SO TAKING FREQUENT BREAKS NOT DOING THOSE REPETITIVE MOVEMENTS AS OFTEN AND THEN YOU CAN DO THINGS AT HOME LIKE APPLY COLD PACKS MSK0016-122-8 AND THEN WE ALSO HAVE SOME LIKE NON SURGICAL TREATMENTS WHERE WE CAN SPLINT WE CAN PUT LIKE A WRIST SPLINT MSK0016-122-9 WHILE YOU SLEEP TO RELIEVE THOSE NIGHTTIME SYMPTOMS YOU CAN TAKE SOME NSAIDS TO RELIEVE PAIN AND IF THOSE DON'T WORK WE CAN TRY CORTICOSTEROIDS MSK0016-123 IT DOES THANK YOU MSK0017-000 WHAT BRINGS YOU IN MSK0017-001 HI SO I'VE HAD THIS BACK PAIN THAT'S BEEN GOING ON NOW FOR THE LAST TWO WEEKS IT'S JUST KIND OF RIGHT IN THE LOWER BACK AND IT JUST HASN'T GONE AWAY MSK0017-002 OK LAST TWO WEEKS YOU SAID IS IT GETTING WORSE MSK0017-003 NO IT'S NOT REALLY GETTING ANY WORSE IT'S JUST BEEN MSK0017-004 LIMITING MY ABILITIES AT WORK MSK0017-005 RIGHT OK AND WHAT DO YOU DO FOR WORK SO I WORK MSK0017-007 AT A BUTCHER SHOP OK AND WE'RE LIKE ALWAYS LIKE CARRYING HEAVY THINGS AND MSK0017-008 IT'S A LOT A LOT OF LIKE LIFTING AND STANDING OK DID ANYTHING TRIGGER THIS BACK PAIN TWO WEEKS AGO DID YOU HAVE SOME SORT OF INJURY MSK0017-009-1 OR TRAUMA TO THE AREA MSK0017-009-2 NO I CAN'T THINK OF ANYTHING LIKE SPECIFIC THAT HAPPENED BUT THERE WAS ONE NIGHT WHERE MSK0017-009-3 LIKE AFTER WORK I WAS SITTING DOWN AFTER DINNER AND I GOT PRETTY STIFF THAT NIGHT IT WAS PRETTY SORE AND KIND OF EVER SINCE MSK0017-010 SINCE THEN IT'S BEEN BEEN SORE OK OK AND IS THIS A PERSISTENT KIND OF BACK PAIN OR DOES IT COME AND GO MSK0017-011 IT'S I CAN KIND OF ALWAYS FEEL IT BUT IT CERTAINLY GETS WORSE IF I AM MOVING SO IF I'M JUST KIND OF SITTING AT REST I DON'T REALLY I DON'T REALLY FEEL IT THAT MUCH MSK0017-012 OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY IT'S SHARP THROBBING ACHY MSK0017-013 CRAMPY I'D SAY I GET KIND OF IT'S A A MSK0017-014 SHARP PAIN SHARP PAIN OK DOES ANYTHING MAKE IT BETTER OR WORSE MSK0017-015 BETTER WOULD JUST BE MSK0017-016 RESTING MSK0017-017-1 OK KIND OF JUST LYING DOWN OR JUST JUST TRYING TO REST BUT MAKING IT WORSE IF I'M LIKE MSK0017-017-2 REALLY ANY MOVEMENT IF I'M LIKE BENDING FORWARD OR KIND OF LIKE LEANING TO THE SIDE I START TO GET GET SOME MSK0017-018 PAIN IN THE LOWER BACK OK OK AND THEN ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW BAD OR HOW SEVERE WOULD YOU RATE IT MSK0017-019 I WOULD SAY SEVEN MSK0017-020 A SEVEN OK AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST MSK0017-021 I'VE I'VE HURT MY LOWER BACK BEFORE LIKE MANY YEARS AGO MSK0017-022 BUT IT'S BEEN OK SINCE THEN OK DID YOU GET MSK0017-023 ANY SORT OF TREATMENT OR MANAGEMENT FOR THAT PAIN BACK IN THE DAY AT THAT TIME IT WAS JUST REST AND LIKE DID SOME MSK0017-024 STRETCHING AND I TOOK SOME ANTI INFLAMMATORIES AND IT WENT AWAY AFTER MSK0017-025 A COUPLE OF MONTHS OK MSK0017-026 OK AND ARE YOU MSK0018-000 WHAT BRINGS YOU IN MSK0018-001-1 I JUST CAME IN BECAUSE OF I JUST GOT INTO LIKE THIS INCIDENT WHILE I WAS PLAYING RUGBY I MSK0018-001-2 KIND OF GOT TACKLED AND THEN FELL ONTO MY RIGHT SHOULDER AND AFTER I GOT UP I HAVEN'T I'VE JUST BEEN THIS JUST HAPPENED A COUPLE HOURS AGO ACTUALLY AND MSK0018-001-3 I'VE JUST BEEN IN INTENSE PAIN IN MY RIGHT SHOULDER AND I CAN'T SEEM TO MOVE IT AT ALL MSK0018-002 OKAY AND SORRY WHEN WAS THIS EXACTLY MSK0018-003 PROBABLY TWO HOURS AGO MSK0018-004 TWO HOURS AGO OKAY AND IS THIS PAIN PERSISTENT OR IS IT LIKE ON AND OFF MSK0018-005 IT'S IT'S CONSTANT IT HASN'T GONE AWAY AT ALL MSK0018-006 OKAY ONE TO TEN TEN BEING THE WORST HOW BAD IS THIS PAIN MSK0018-007 I DON'T KNOW LIKE PROBABLY LIKE EIGHT OR EIGHT OR NINE MSK0018-008 EIGHT OR NINE OKAY AND IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHING MSK0018-009 IT'S IT'S SHARP LIKE IF I TRY TO MOVE IT AT ALL IT'S LIKE A SHARP PAIN MSK0018-010 OKAY AND HAVE YOU EVER HAD ANYTHING LIKE THIS IN THE PAST MSK0018-011 NO NEVER MSK0018-012 NEVER OKAY AND ARE YOU ABLE TO MOVE YOUR ARM AT ALL OR YOU CAN'T MOVE IT MSK0018-013 I COULD MOVE MY FINGERS AND HAND AND ELBOW BUT ELBOW A LITTLE BIT BUT LIKE I CAN'T MOVE MY SHOULDER WHATSOEVER MSK0018-014 OKAY AND DO YOU ARE YOU EXPERIENCING ANY TINGLING OR NUMBNESS MSK0018-016 NO I DON'T THINK SO NO OKAY HOW ABOUT ANY MSK0018-017 MUSCLE WEAKNESS IN THAT AREA I DON'T KNOW IF IT'S WEAKNESS OR PAIN BUT I JUST CAN'T MOVE IT UP AND I I I DO FEEL SOME LIKE NUMBNESS JUST ABOVE MY SHOULDER NO TINGLING THOUGH MSK0018-018 OKAY ANY PAIN ELSEWHERE IN YOUR BODY MSK0018-019 NO MSK0018-020 NO OKAY ANY HEADACHES MSK0018-022 NO CONFUSION OR MEMORY LOSS MSK0018-023 NO MSK0018-024 WEIGHT LOSS MSK0018-026 NO FEVERS OR CHILLS MSK0018-027 NO MSK0018-028 RASHES MSK0018-029 NO MSK0018-030 CHANGES IN YOUR VISION HEARING SMELL OR TASTE MSK0018-032 NO COUGHING SHORTNESS OF BREATH OR WHEEZING MSK0018-033 NO MSK0018-034 CHEST PAIN OR HEART PALPITATIONS MSK0018-036 CHANGES IN YOUR BOWEL MOVEMENTS MSK0018-038 CHANGES IN VOIDING MSK0018-039 NO MSK0018-040 OKAY AND THEN WITH REGARDS TO THIS PAIN DOES ANYTHING MAKE IT BETTER OR WORSE MSK0018-041 NOT ANYTHING THAT I'VE TRIED THAT'S MADE IT BETTER WORSE IS PROBABLY JUST IF I TRY TO MOVE IT AT ALL MSK0018-042 OKAY AND THE PAINS IN YOUR SHOULDER DOES IT RADIATE DOWN OR UP ELSEWHERE MSK0018-043 MOSTLY TOWARDS MY SHOULDER KIND OF DOWN TOWARDS MY UPPER ARM AS WELL MSK0018-044 OKAY I SEE ALRIGHT AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS MSK0018-045 NO OTHERWISE I'M HEALTHY I'VE NEVER BEEN TO THE DOCTOR MUCH MSK0018-046 OKAY ALRIGHT AND ARE YOU ON ANY MEDICATIONS MSK0018-047 NO MSK0018-048 NO OKAY AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS MSK0018-049 YES MSK0018-050 OKAY AND DO YOU HAVE ANY ALLERGIES MSK0018-052 NO ANY FAMILY HISTORY OF MUSCULOSKELETAL DISEASES MSK0018-053 NO NOT THAT I KNOW OF MSK0018-054 OKAY AND ANY FAMILY HISTORY OF AUTOIMMUNE CONDITIONS MSK0018-056 NO OKAY DO YOU SMOKE AT ALL MSK0018-057 NO MSK0018-058 NO DO YOU CONSUME MARIJUANA MSK0018-059 NO MSK0018-060 DO YOU DRINK ALCOHOL MSK0018-061 NO JUST JUST WITH FRIENDS SOMETIMES ON THE WEEKENDS BUT NOT REALLY MSK0018-062 OKAY AND THEN WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH MSK0018-063 I LIVE JUST OUTSIDE OF TOWN WITH MY PARENTS IN A HOUSE MSK0018-064 OKAY AND HAVE YOU TRAVELED ANYWHERE RECENTLY MSK0018-065 NO I'VE BEEN AT HOME MSK0018-066 OKAY ANY SICK CONTACTS MSK0018-067 NO MSK0018-068 NO OKAY SO NOW WE'RE JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART OF THIS SO CAN YOU TAKE A LOOK AT BOTH YOUR SHOULDERS AND LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING MSK0018-069 I DON'T THINK I SEE ANY REDNESS OR SWELLING BUT MY RIGHT SHOULDER AND MY ARM JUST SEEMS A LITTLE BIT LOWER THAN MY LEFT ONE MSK0018-070 OKAY OKAY ANY WARMTH ON ON THAT SHOULDER MSK0018-071 NO NOT THAT I CAN FEEL MSK0018-072 OKAY ANY ATROPHY DEFORMITIES OR SKIN CHANGES MSK0018-073 DEFORMITY I I DO FEEL LIKE KIND OF LIKE MY SHOULDER'S DROPPED AND LIKE THERE'S JUST KIND OF THIS LITTLE LIKE DIVOTS WHERE LIKE THE SHOULDER SHOULD BE MSK0018-074 OKAY OKAY AND CAN YOU PALPATE THAT AREA FOR ME JUST THE BONES IN THAT AREA SO LIKE RIGHT WHERE YOUR ARM WOULD CONNECT TO YOUR SHOULDER AND THEN KIND OF ON YOUR SHOULDER BLADE DOES THAT HURT WHEN YOU PRESS DOWN MSK0018-075 IT HURTS A LOT MSK0018-076 OKAY SO SOME TENDERNESS AND PAIN IN THE ACROMION PROCESS AND SCAPULA AND IF YOU PRESS DOWN ON YOUR BICEPS TRICEPS DOES THAT HURT MSK0018-077 NOT AS MUCH NO MSK0018-078 NO OKAY AND THEN CAN I GET YOU TO CAN YOU LIFT YOUR SHOULDER UP AT ALL LIKE TO WHERE TO THE POINT WHERE YOUR FINGERS ARE TOUCH LIKE REACHING THE CEILING MSK0018-079 NO I I CAN'T I CAN'T MOVE IT AT ALL MSK0018-080-1 ALRIGHT SO IT SOUNDS LIKE YOU HAVE A SHOULDER DISLOCATION SO WE ARE GOING TO DO AN X RAY OF YOUR SHOULDER JOINT FIRST TO MSK0018-080-2 MAKE SURE THAT IT'S IT'S JUST A DISLOCATION AND THERE AREN'T ANY BROKEN BONES OR FRACTURES AND THEN MSK0018-080-3 WE CAN RESOLVE THIS BY DOING SOMETHING CALLED A CLOSED REDUCTION TO TRY TO PUT THE JOINT BACK IN ITS PLACE MSK0018-081 OKAY MSK0018-082-1 AND IF THAT CLOSED REDUCTION DOESN'T WORK THEN YOU MAY NEED SURGERY FOR LIKE A A WEAK SHOULDER JOINT OR IF LIKE LIGAMENTS MSK0018-082-2 AREN'T LIKE STRONG ENOUGH AND IT'S IT CONTINUES TO HAPPEN MSK0018-083 OKAY MSK0018-084-1 OTHERWISE WE CAN KEEP IT IMMOBILIZED FOR A FEW DAYS TO A FEW WEEKS DEPENDING ON HOW BAD THE DISLOCATION IS MSK0018-084-2 AND THEN ONCE THAT'S REMOVED YOU CAN DO SOME REHAB AS WELL TO RESTORE SOME RANGE OF MOTION DOES THAT SOUND LIKE A GOOD PLAN DO YOU HAVE ANY QUESTIONS OR CONCERNS IN THE MEANTIME MSK0018-085 NO I THINK THAT'S THAT'S GREAT MSK0018-086 OKAY MSK0019-000 WHAT BRINGS YOU IN MSK0019-001-1 I'VE JUST BEEN HAVING THIS PAIN IN MY RIGHT RIGHT ELBOW AND IT'S JUST BEEN GETTING WORSE OVER THE LAST FEW DAYS I STARTED HAVING IT AROUND THREE DAYS AGO MSK0019-001-2 AND IT'S JUST BEEN GETTING WORSE WITH ANY KIND OF GRIPPING MOTION OR SO IT'S IT'S BEEN GETTING WORSE MSK0019-002 OKAY SO YOU SAID IT STARTED THREE DAYS AGO HAS IT BEEN PERSISTENT SINCE OR HAS IT BEEN LIKE ON AND OFF MSK0019-003 IT'S BEEN PRETTY PERSISTENT BUT IT'S MAINLY WHEN I'M DOING SOME ACTIVITIES OR LIFTING ANYTHING AND YES I'VE JUST BEEN TRYING TO REST IT MOSTLY MSK0019-004 OKAY OKAY THAT'S GOOD AND YOU SAID IT'S WORSE WITH ACTIVITY AND BETTER WITH REST HAVE YOU TRIED ANYTHING ELSE FOR IT MSK0019-005 I'VE TRIED SOME ADVIL IT IT SEEMED TO HELP A LITTLE BIT BUT IT JUST COMES BACK MSK0019-006 OKAY AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY IT'S SHARP BURNING THROBBING ACHY MSK0019-007 IT'S MORE LIKE IF I DON'T EXTEND MY WRIST IT'S KIND OF LIKE ACHY BUT THEN IF I EXTEND MY WRIST I FEEL LIKE A SHARP PAIN AT ON THE JUST ON THE OUTSIDE OF MY ELBOW MSK0019-008 OKAY ALRIGHT ALRIGHT AND THEN IN TERMS OF SEVERITY ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW BAD IS THE PAIN MSK0019-009 PROBABLY LIKE A SIX OR SEVEN MSK0019-010 OKAY ALRIGHT AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE MSK0019-011 NO I I I'VE NEVER EXPERIENCED ANY KIND OF PAIN THERE AT LEAST MSK0019-012 OKAY HOW ABOUT IN TERMS OF LIKE TIMELINE IS IT GETTING WORSE MSK0019-013-1 JUST OVER THE PAST THREE DAYS I FEEL LIKE IT'S I HAVE TRIED NOT TO USE IT THAT MUCH LIKE WHEN I WAS AT WORK I HAVE TO USE LIKE TOOLS A LOT MSK0019-013-2 AND I NOTICED THAT WHEN I WAS USING A SCREWDRIVER LIKE IT IT HURT A LOT SO IT HASN'T BEEN GETTING WORSE BUT IF I TRY TO DO ANYTHING AT WORK IT DEFINITELY HURTS A LOT MORE MSK0019-014 OKAY ALRIGHT AND THEN HAVE YOU NOTICED ANY NUMBNESS OR TINGLING MSK0019-015 NO NO NOTHING LIKE THAT MSK0019-016 NO OKAY HOW ABOUT PAIN ELSEWHERE ON YOUR BODY MSK0019-017 SORRY WHAT WAS THAT MSK0019-018 PAIN ELSEWHERE ON YOUR BODY MSK0019-019 OH NO NO PAIN ELSEWHERE MSK0019-020 OKAY AND HAVE YOU NOTICED ANY MUSCLE WEAKNESS MSK0019-021 NO MSK0019-022 NO ANY HEADACHES MSK0019-023 NO MSK0019-024 DIZZINESS MSK0019-025 NO MSK0019-026 WEIGHT LOSS MSK0019-027 NO MSK0019-028 FEVERS OR CHILLS MSK0019-029 NO MSK0019-030 RASHES MSK0019-031 NO MSK0019-032 CHANGES IN YOUR VISION HEARING SMELL OR TASTE MSK0019-033 NO MSK0019-034 COUGHING SHORTNESS OF BREATH OR WHEEZING MSK0019-035 NO MSK0019-036 CHEST PAIN OR HEART PALPITATIONS MSK0019-037 NO MSK0019-038 CHANGES IN YOUR BOWEL MOVEMENTS MSK0019-039 NO MSK0019-040 NAUSEA OR VOMITING MSK0019-041 NO MSK0019-042 CHANGES IN YOUR VOIDING MSK0019-043 NO MSK0019-044 OKAY AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS MSK0019-045 NO I'VE BEEN HEALTHY NO OTHER ISSUES IN MY LIFE MSK0019-046 OKAY THAT'S GOOD HOW ABOUT MEDICATIONS ARE YOU ON ANY MSK0019-047 NO NO MEDICATIONS I'VE JUST BEEN TAKING SOME ADVIL FOR THIS PAIN MSK0019-048 OKAY I SEE AND HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE MSK0019-049 DO YOU HAVE ANY ALLERGIES MSK0019-050 NO MSK0019-051 FAMILY HISTORY OF ANY MUSCULOSKELETAL ISSUES MSK0019-052 NO JUST I GUESS MY DAD HE'S HE'S GETTING SOME KNEE PAIN AND HIP PAIN NOW STARTING NOW BUT LIKE THAT'S ABOUT IT MSK0019-053 HOW OLD IS HE MSK0019-054 MY DAD HE'S SIXTY MSK0019-055 OKAY AND ANY LUNG OR HEART CONDITIONS MSK0019-056 NO MSK0019-057 AUTOIMMMUNE CONDITION MSK0019-058 NOT THAT I KNOW OF MSK0019-059 OKAY AND HOW ABOUT CANCERS MSK0019-060 I THINK MY AUNT ON MY MOTHER'S SIDE SHE SHE HAD UTERINE CANCER MSK0019-061 OKAY I SEE ALRIGHT ANY ALLERGIES OR SORRY YOU ANSWERED THAT DO YOU DO YOU SMOKE MSK0019-062 NO MSK0019-063 NO DO YOU CONSUME ANY MARIJUANA MSK0019-064 NO MSK0019-065 DO YOU DRINK ALCOHOL MSK0019-066 JUST LIKE MAYBE SOME WINE ON WINE BEER EVERY COUPLE DAYS MSK0019-067 OKAY AND WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH MSK0019-068 I LIVE WITH MY WIFE AND FOUR YEAR OLD DAUGHTER MSK0019-069 OKAY ANY CONCERNS FOR STIS MSK0019-070 NO MSK0019-071 ANY SICK CONTACTS RECENTLY MSK0019-072 NO MSK0019-073 HAVE YOU TRAVELED ANYWHERE RECENTLY MSK0019-074 NO MSK0019-075-1 OKAY WELL LET'S MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW THEN SO I'M GOING TO GET YOU TO LOOK AT BOTH YOUR MSK0019-075-2 ARMS AND HANDS AND YOU LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING IN YOUR RIGHT ARM COMPARED TO YOUR LEFT MSK0019-076 OKAY SO LIKE WITH MOVEMENT MSK0019-077 NO JUST ON INSPECTION DO YOU SEE ANY REDNESS OR SWELLING MSK0019-078 NO I DON'T REALLY SEE ANYTHING THAT'S TOO DIFFERENT NO MSK0019-079 NO OKAY DO YOU SEE ANY DEFORMITIES ATROPHY OR SKIN CHANGES IN YOUR RIGHT COMPARED TO YOUR LEFT ARM OR HAND MSK0019-080 NO THEY LOOK PRETTY SIMILAR TO ME MSK0019-081 OKAY ALRIGHT AND THEN I'M GONNA GET YOU TO PRESS DOWN ON CERTAIN AREAS OF YOUR RIGHT ARM SO YOU CAN START WITH THE BACK OF YOUR ELBOW DOES THAT HURT MSK0019-082 JUST LIKE RIGHT ON THE ELBOW IT DOESN'T HURT BUT WHEN I GO ON THE OUTSIDE PART IT DOES HURT ON THE BACK MSK0019-083 OKAY SO LIKE THE LATERAL ASPECT OF YOUR ELBOW MSK0019-084 IT'S LIKE SORE IF I PRESS DOWN MSK0019-085 OKAY HOW ABOUT THE MEDIAL ASPECT OF YOUR ELBOW MSK0019-086 SO ON THE INSIDE NOT SO MUCH MAYBE A LITTLE BIT NOT NOT THAT MUCH MSK0019-087 OKAY HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BICEPS OR TRICEPS MSK0019-088 NOTHING MSK0019-089 NOTHING HOW ABOUT WHEN YOU PRESS DOWN ON YOUR LIKE FOREARM EXTENSOR MUSCLE GROUP MSK0019-090 JUST SO JUST ON THE OUTSIDE OF MY FOREARM CLOSE TO WHERE THE ELBOW PAIN IS IF I GO DOWN A LITTLE BIT AND PRESS DOWN IT DOES DEFINITELY FEEL SORE MSK0019-091 OKAY AND THEN HOW ABOUT WITH YOUR FOREARM FLEXOR FLEXORS MSK0019-092 SO ON THE INSIDE NOT SO MUCH NO MSK0019-093-1 NO OKAY AND NOW I'M GONNA GET YOU TO WALK THROUGH SOME MOVEMENTS WITH ME CAN YOU MSK0019-093-2 GET A PIECE OF PAPER AND ACTUALLY CAN YOU GET A PENCIL AND GRIP IT AS TIGHT AS YOU CAN DO YOU FIND THAT YOU FEEL WEAK WHEN YOU DO THAT MSK0019-094 NOT WEAK BUT IT DOES DEFINITELY LIKE WHEN I PICKED UP THE PENCIL AND MOVED MY WRIST UP IT DID IT DID CAUSE SOME SOME PAIN MSK0019-095 OKAY ALRIGHT SO WOULD YOU MIND EXTENDING OR LIKE STRAIGHTENING OUT YOUR ELBOW ALL THE WAY AND THEN ALSO STRAIGHTENING OUT YOUR WRISTS DOES THAT HURT MSK0019-096 STRAIGHTENING OUT NO IT DOESN'T HURT MSK0019-097 EVEN WITH LIKE THE WRIST STRAIGHTENED OUT MSK0019-098 IF I IF I COMPLETELY STRAIGHTEN OUT MY WRIST THEN LIKE I JUST FEEL A BIT OF SORENESS BUT NOT AS MUCH PAIN AS WHEN I AM LIFTING SOMETHING WITH MY WRIST OR JUST RAISING MY WRIST UPWARDS MSK0019-099 OKAY OKAY HOW ABOUT WHEN YOU FLEX YOUR WRIST ALL THE WAY MSK0019-100 THAT HURTS A LITTLE BIT BUT NOT NEARLY AS MUCH AS WHEN I EXTEND IT MSK0019-101 OKAY OKAY THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY AND DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF MSK0019-102 I WAS JUST WONDERING WHAT THIS THIS MIGHT BE MSK0019-103-1 SO IT SOUNDS LIKE YOU HAVE SOMETHING CALLED TENNIS ELBOW OR LATERAL EPICONDYLITIS AND IT'S USUALLY RELATED TO SOME OVERUSE INJURY SO MSK0019-103-2 WHETHER AT WORK OR IF YOU PLAY A LOT OF TENNIS OR SOME SORT OF SPORT THAT OVERUSES A CERTAIN MUSCLE GROUP PARTICULARLY LIKE THE FOREARM EXTENSORS MSK0019-103-3 AND SO BASICALLY FOR THIS WE SUGGEST A FEW THINGS WE'LL START WITH LIKE SOME CONSERVATIVE MANAGEMENT LIKE MSK0019-103-4 ACTIVITY MODIFICATION SO AT WORK IF YOU'RE DOING REPETITIVE MOVEMENTS MAYBE NOT DO THEM SO MUCH AND TAKE FREQUENT BREAKS YOU CAN TRY SOME LIKE IBUPROFEN WE'LL REFER YOU TO SOME MSK0019-103-5 PHYSIOTHERAPY TO HELP BUILD THOSE MUSCLES AROUND THAT THAT AREA AND IF THOSE STILL DO DON'T WORK WE CAN TRY SOME MSK0019-103-6 OTHER THINGS LIKE OPERATIVE OPERATIVE MANAGEMENT BUT WE'LL WE'LL COME BACK TO THAT IN ABOUT SIX TO TWELVE MONTHS ONCE WE WE TRY ALL OF THE OTHER STUFF DOES THAT SOUND OKAY MSK0019-104 THAT SOUNDS GOOD THANK YOU MSK0019-105 NO WORRIES MSK0020-000 WHAT BRINGS YOU IN MSK0020-001-1 I'VE JUST COME IN TODAY BECAUSE I'VE BEEN HAVING SOME ISSUES WITH MY HIPS AS WELL AS MY KNEES JUST OVER THE LAST MSK0020-001-2 PROBABLY A MONTH OR TWO I'VE BEEN JUST GETTING THIS STIFFNESS AND PAIN ESPECIALLY THROUGHOUT THE DAY AS THE DAY GOES ALONG AND I ALSO EXPERIENCE SOME STIFFNESS WHEN I WAKE UP IN THE MORNING MSK0020-001-3 IN MY HIPS AND KNEES SO I JUST WANTED TO COME AND CHECK OUT WHAT THAT MIGHT BE MSK0020-002 OK AND YOU SAID IT STARTED IN THE PAST MONTH MSK0020-003 MAYBE UP TO TWO MONTHS ACTUALLY I WOULD SAY TWO MONTHS MSK0020-004 OK AND IS THE PAIN AND STIFFNESS ALWAYS THERE OR DOES IT COME AND GO MSK0020-005 IT'S IT COMES AND GOES IT'S WORSE IN THE SO IT'S STIFF MORE STIFF IN THE MORNING FIRST BUT LIKE AS THE DAY GOES ON PROBABLY NEAR THE AFTERNOON IT GETS WORSE SO I'VE HAD TO STOP SOME OF MY ACTIVITIES LIKE GARDENING AND BEING OUTDOORS AND THINGS LIKE THAT MSK0020-006 OK AND YOU SAID IT'S IT GETS WORSE WITH ACTIVITY IS THERE ANYTHING ELSE THAT MAKES IT BETTER OR WORSE MSK0020-007 IT PROBABLY IF I'M JUST EXERTING MYSELF TOO MUCH IN TERMS OF BETTER I I THINK I'VE TAKEN SOME ADVIL THAT DOES HELP WITH THE PAIN MSK0020-008 OK OK AND THEN IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY IT'S ACHY THROBBING DULL OR SHARP MSK0020-009 IT'S KIND OF LIKE THIS ACHY PAIN KIND OF DEEP WITHIN THE JOINTS THEMSELVES MSK0020-010 OK MSK0020-011 IT JUST GETS WORSE I AS I WALK MORE AND DO MORE ACTIVITIES MSK0020-012 OK AND DOES THE PAIN RADIATE ALSO OR DOES IT OR IS IT PRETTY LOCALIZED TO YOUR HIPS AND KNEES MSK0020-013 IT'S MAINLY IN THOSE AREAS MSK0020-014 OK AND SEVERITY WISE ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW BAD IS THIS PAIN MSK0020-015 PROBABLY LIKE A SEVEN MSK0020-016 SEVEN OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE MSK0020-017 NO NOT REALLY MSK0020-018 AND DO YOU THINK YOUR PAIN IS GETTING WORSE MSK0020-019 I THINK SO LIKE OVER THE LAST TWO MONTHS I FEEL LIKE MY PAIN THERE'S MORE STIFFNESS THERE'S MORE PAIN THROUGHOUT THE DAY MSK0020-020 OK OK AND SO DO YOU ARE YOU EXPERIENCING ANY SORT OF NUMBNESS OR TINGLING IN THE AREAS MSK0020-021 NO NOT REALLY MSK0020-022 NO OK ANY MUSCLE WEAKNESS MSK0020-023 NOPE MSK0020-024 NO ARE YOU STILL ABLE TO WALK AND DO THE THINGS THAT YOU USED TO ENJOY DOING I KNOW YOU SAID GARDENING WAS HARD FOR YOU HOW ABOUT LIKE OTHER ACTIVITIES OF LIKE DAILY LIVING LIKE COOKING USING THE WASHROOM THINGS LIKE THAT MSK0020-025 THOSE THINGS I DON'T REALLY HAVE TOO MUCH TROUBLE WITH MSK0020-033 ABOUT JOINT PAINS OR MUSCLE ACHES ELSEWHERE NO I HAVEN'T REALLY FELT ANY OTHER MSK0020-034 PAIN IN ANY OTHER JOINT SO MSK0020-036 OK AND ANY WEIGHT LOSS MSK0020-038 NO OK HOW ABOUT AND FEVERS OR CHILLS NO FEVERS OR CHILLS MSK0020-040 FEVERS OR CHILLS OK HOW ABOUT RASHES MSK0020-042 AND CHANGES IN YOUR VISION HEARING SMELL OR TASTE NOPE HOW ABOUT MSK0020-044 SHORTNESS OF BREATH NOPE CHEST PAIN HEART MSK0020-050 BOWEL MOVEMENTS NOPE CHANGES IN YOUR URINATING NO OK AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY PAST MEDICAL CONDITIONS MSK0020-051 SO I DO HAVE A PRIOR HISTORY OF HYPERTENSION AS WELL AS HIGH CHOLESTEROL DIABETES TYPE TWO DIABETES AND ALSO MSK0020-052 A BIT MORE ON THE OVERWEIGHT SIDE OK ARE YOU TAKING ANY MEDICATIONS FOR ALL OF THIS MSK0020-053 SO BLOOD PRESSURE I'M TAKING THIS MEDICATION CALLED TELMISARTAN AND THEN FOR BLOOD PRESSURE I'M TAKING METFORMIN SORRY NOT BLOOD PRESSURE FOR DIABETES I'M TAKING METFORMIN MSK0020-054 OK MSK0020-055 AND THEN FOR THE CHOLESTEROL I'M TAKING AND THIS MEDICATION CALLED ATORVASTATIN MSK0020-056 OK ALRIGHT AND DO YOU MSK0020-057 HAVE ANY MSK0020-058 ALLERGIES NO ALLERGIES NO ALLERGIES AND MSK0020-059 HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE WITH MSK0020-060 THEM AS FAR AS I KNOW OK THAT'S GOOD HOW ABOUT FAMILY HISTORY OF MUSCULOSKELETAL ISSUES MSK0020-061 NOT THAT I KNOW OF NO MSK0020-062 NO OK THEN HOW ABOUT LUNG OR HEART CONDITIONS MSK0020-063 NO I I THINK MY FATHER MAYBE HE HAD SOME HEART ISSUES HE DID HAVE A HEART ATTACK IN HIS LET'S SEE LIKE IN THE SEVENTIES MSK0020-064 IN HIS SEVENTIES OK OK AND THEN ALRIGHT AND HOW ABOUT AUTOIMMUNE CONDITIONS MSK0020-065 I DON'T THINK SO I CAN'T I CAN'T RECALL ANY AUTOIMMUNE CONDITION MSK0020-066 OK AN AND DO YOU SMOKE MSK0020-067 I USED TO SMOKE A PROBABLY UP UNTIL WHEN I WAS LIKE SIXTY FIVE OR SOMETHING SO PROBABLY FOR FORTY YEARS OF MY LIFE MSK0020-068 OK HOW MUCH DID YOU USED TO SMOKE MSK0020-069 PROBABLY A PACK A DAY PACK A DAY MSK0020-070 OK WELL CONGRATS FOR QUITTING I'M SURE THAT WASN'T HARD I MEAN SORRY I'M SURE THAT WAS HARD SO THAT'S GOOD AND HAVE YOU DO YOU CONSUME MARIJUANA MSK0020-071 NO MSK0020-072 GO TO OTHER RECREATIONAL DRUGS MSK0020-073 NO NO OTHER RECREATIONAL DRUGS MSK0020-074 OK THAT'S GOOD DO YOU DRINK ALCOHOL MSK0020-075 NOPE NOT ANYMORE I USED TO PROBABLY DRINK SOME WINE HERE AND THERE BUT I'VE STOPPED DRINKING ALCOHOL TOO MSK0020-076 OK AND WHO DO YOU LIVE WITH RIGHT NOW AND WHERE DO YOU LIVE MSK0020-077 RIGHT NOW I LIVE WITH MY WIFE MSK0020-078 AND WE LIVE IN A SMALL CONDOMINIUM OK MSK0020-080 ALRIGHT AND THEN ANY MSK0020-082 RECENT SICK CONTACTS NO NO OK HOW ABOUT TRAVEL ANYWHERE NO NO OK THAT'S GOOD AND NOW I'M JUST GOING TO GET YOU MSK0020-083 TO DO THE PHYSICAL EXAM PART OF THIS INTERVIEW WITH ME IS THAT OK OK SO WE'LL TAKE A LOOK AT IF YOU CAN IF YOU HAVE A MIRROR WE'LL TAKE A LOOK AT BOTH HIPS FIRST NOTICE ANY REDNESS OR SWELLING ON THOSE HIPS MSK0020-085 NOTICE ANY REDNESS OR SWELLING ON THOSE HIPS NO NOT REALLY MSK0020-087 NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES NO NO OK MSK0020-088 AND THEN HOW ABOUT ON YOUR KNEES DO YOU MSK0020-089 ANY REDNESS OR SWELLING THERE NOT REALLY NO NO ANY ATROPHY DEFORMITY MSK0020-092 DOES THAT HURT MSK0020-093 NO NOT REALLY OK HOW ABOUT WHEN YOU DO THAT TO YOUR KNEES MSK0020-094 THE KNEE I CAN FEEL A LITTLE BIT OF I WOULD SAY IT'S MORE OF A DISCOMFORT THEN TENDERNESS MSK0020-095-1 OK SO SOME DISCOMFORT ON THE PATELLA PALPATION ALRIGHT AND THEN MSK0020-095-2 WHEN YOU PALPATE THOSE AREAS DO YOU FEEL LIKE THERE IS A GRADING SENSATION HOW DOES IT FEEL WARM MSK0020-096 NO MSK0020-097 NO OK AND THEN I'M GONNA GET YOU TO CAN YOU FLEX YOUR HIPS ALL THE WAY SO BEND SO FROM A SITTING POSITION STAND UP FIRST DOES IT HURT WHEN YOU EXTEND YOUR HIPS LIKE THAT MSK0020-098 NOT RIGHT NOW I THINK I'M PRETTY SURE MY HIPS ARE PRETTY WELL RESTED RIGHT NOW BUT THERE IS STILL A LITTLE BIT OF STIFFNESS MSK0020-099 OK OK SO SOME STIFFNESS ON HIP EXTENSION HOW ABOUT WHEN YOU BEND YOUR HIPS ALL THE WAY MSK0020-100 THAT'S A I CAN'T REALLY GO DOWN THAT FAR BUT EVEN BENDING AS MUCH AS I CAN THERE IS MSK0020-101 SOME DISCOMFORT THERE OK SO SOME DISCOMFORT AND SOME PAIN ON HIP FLEXION AS WELL AS MSK0020-102 LIMITED RANGE OF MOTION OK ALRIGHT AND WHEN YOU DO BOTH OF THOSE DO YOU HEAR ANY LIKE WHAT'S CALLED A CREPITUS OR LIKE A GRATING MSK0020-103 SENSATION WHERE YOU FEEL LIKE MSK0020-104 BONE MAYBE HITTING BONE NO NOT REALLY NO OK ALRIGHT AND I'M I'M GOING TO GET YOU TO EXTEND YOUR KNEE SO STRAIGHTEN IT OUT MSK0020-105 DOES THAT HURT A LITTLE STIFFNESS IN MY KNEES I MSK0020-106 FEEL LIKE I FEEL MORE OF THE GRATING SOUND IN MY KNEES OK OK AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES MSK0020-107 ALL THE WAY BACKWARDS YOU CAN DO ONE AT A TIME MSK0020-108 I I DEFINITELY FEEL SOME DISCOMFORT THERE AS WELL OK MSK0020-109 ALRIGHT AND MSK0020-110 HOW ABOUT WHEN YOU POINT YOUR TOES TO THE CEILING MSK0020-112-1 THAT'S FINE I CAN DO THAT MSK0020-112-2 AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TO THE GROUND NO ISSUES OK SO NO PAIN OR LIMITED RANGE OF MOTION WITH PLANTAR FLEXION OR DORSIFLEXION MSK0020-112-3 OK SO THOSE WERE ALL THE TEST THAT I WANT TO DO WITH YOU TODAY DID YOU HAVE ANY QUESTIONS OR CONCERNS MSK0020-113 NO MSK0020-114-1 NOT REALLY MSK0020-114-2 NO OK SO IT SOUNDS LIKE WHAT YOU MAY HAVE IS SOMETHING CALLED ARTHRITIS WHICH BASICALLY HAPPENS MSK0020-114-3 WHEN THE CUSHIONS AT THE ENDS OF YOUR BONES AND YOUR JOINTS KIND OF DEGENERATE OVER THE YEARS AND SO BONE CAN EVENTUALLY RUB ON BONE WHICH CAUSES LIKE THE MSK0020-114-4 THE GRADING SENSATION AND CAUSES THE PAIN AND IT'S IT HAPPENS IN OLD AGE IT HAPPENS WITH WEAR AND TEAR MSK0020-114-5 SO TO DIAGNOSE IT WE WE'LL WE DID THE PHYSICAL EXAM WE CAN ALSO GET AN X RAY OF YOUR HIPS AND KNEES WHICH CAN HAVE SOME FINDINGS THAT ALIGN WITH OSTEOARTHRITIS MSK0020-114-6 AND BASICALLY FOR NOW WE'LL TRY TO MANAGE IT CONSERVATIVELY SO YOU CAN TAKE AND SETS LIKE IBUPROFEN MSK0020-114-7 FOR THE PAIN OR ACETAMINOPHEN FOR THE PAIN WE'LL ALSO REFER YOU TO PHYSIOTHERAPY TO STRENGTHEN THOSE MUSCLES AROUND YOUR JOINT AND TO INCREASE FLEXIBILITY AND REDUCE THAT PAIN AND MSK0020-114-8 ANOTHER THING THAT MAY BE WORTH CONSIDERING IS OCCUPATIONAL THERAPY BECAUSE THEY CAN HELP YOU FIND WAYS TO DO EVERYDAY TASKS WITHOUT PUTTING TOO MUCH STRESS ON AN ALREADY PAINFUL JOINT AND IF THESE MSK0020-114-9 THINGS DON'T WORK IN THE FUTURE WE CAN ALSO DISCUSS THINGS LIKE STEROID INJECTIONS OR JOINT REPLACEMENT DOES THAT SOUND LIKE A GOOD PLAN MSK0020-115 THAT SOUNDS GREAT THANK YOU SO MUCH MSK0020-116 OK NO WORRIES MSK0021-000 I DO FOR YOU MSK0021-001-1 HI THERE I'VE HAD THIS PAIN IN MY KNEE THAT'S BEEN GOING ON FOR A FEW WEEKS NOW AND MSK0021-001-2 IT HASN'T GONE AWAY AND AND SO I THOUGHT I WOULD GET CHECKED OUT IT'S BEEN REALLY IMPACTING MY RUNNING I JUST HAVEN'T BEEN ABLE TO RUN AS OFTEN AS I WOULD LIKE TO AND SO THAT'S WHY I WANTED TO GET THIS LOOKED AT MSK0021-002 FOR SURE YOU SAID IT STARTED A COUPLE OF WEEKS AGO WAS THAT TWO WEEKS AGO THREE WEEKS AGO OR MORE THAN THAT MSK0021-003 I WOULD SAY MAYBE IT'S BEEN GOING ON FOR THE PAST FOUR WEEKS FOR THE PAST MONTH MSK0021-004 PAST MONTH OK AND IS IT A CONSTANT TYPE OF PAIN OR DOES IT COME AND GO MSK0021-005 IT COMES AND GOES AND IT DEPENDS ON WHAT I'M DOING MSK0021-006 OK ALRIGHT AND WHAT KIND OF MAKES IT WORSE OR BETTER MSK0021-007-1 SO IF I'M OUT WHILE RUNNING WHAT WILL BUG IT BUT I THINK LIKE THAT THE MAIN THINGS THAT HURT ARE IF I'M WALKING DOWN STAIRS OR MSK0021-007-2 IF IF I'M SQUATTING I LIKE TO LIFT WEIGHTS AS WELL AND MSK0021-007-3 I COULD BARELY EVEN DO BODY WEIGHT NOW CAUSE IF I I'M SQUATTING DOWN IT CAUSES A LOT OF PAIN IT'S A SHARP PAIN MSK0021-008 OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR PAIN WOULD YOU SAY IT'S ACHY THROBBING DULL SHARP BURNING MSK0021-009 IT'S A SHARP PAIN MSK0021-010 SHARP PAIN OK AND ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER HAD HOW BAD IS THIS PAIN MSK0021-011 IT'S ABOUT A SEVEN MSK0021-012 SEVEN OK AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST MSK0021-013 NO I HAVEN'T MSK0021-014 OK AND DO YOU FEEL LIKE YOUR PAINS GETTING WORSE OVER THE PAST FOUR WEEKS MSK0021-015 IT HAS GOTTEN HAS GOTTEN A BIT WORSE MSK0021-016 OK ALRIGHT AND DO YOU ARE YOU EXPERIENCING ANY SORT OF MUSCLE WEAKNESS MSK0021-017 NO MUSCLE WEAKNESS MSK0021-018 NO OK HOW ABOUT NUMBNESS OR TINGLING MSK0021-019 NO NUMBNESS OR TINGLING MSK0021-020 HEADACHES MSK0021-021 NO MSK0021-022 CONFUSION OR MEMORY LOSS MSK0021-023 NOPE MSK0021-024 ANY JOINT PAINS OR MUSCLE ACHES OUTSIDE OF THE AREA OF THIS LEFT KNEE MSK0021-025 NO JUST JUST THE LEFT KNEE MSK0021-026 AND WHEREABOUTS ON THE LEFT KNEE IS IT MSK0021-027 IT'S ON THE ANTERIOR ASPECT LIKE ON THE FRONT OF IT BUT I I COULD IT FEELS LIKE THE PAIN IS RIGHT BEHIND MY LIKE RIGHT UNDERNEATH THE KNEECAP MSK0021-028 RIGHT UNDERNEATH THE KNEE OK MSK0021-029 OK ALRIGHT AND OTHERWISE LIKE HAVE YOU HAD ANY WEIGHT LOSS MSK0021-030 NO MY WAY IT'S BEEN THE SAME MSK0021-031 OK HOW ABOUT FEVERS OR CHILLS MSK0021-032 NO FEVERS OR CHILLS MSK0021-033 OK HOW ABOUT FATIGUE MSK0021-034 NO FATIGUE ENERGY'S BEEN GOOD MSK0021-035 OK CHANGES IN YOUR HAIR OR NAILS LIKE RASHES MSK0021-036 NO NOTHING NOTHING LIKE THAT MSK0021-037 OK CHANGES IN YOUR VISION HEARING SMELL OR TASTE MSK0021-038 NOPE THAT'S ALL BEEN NORMAL MSK0021-039 OK ALRIGHT HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING MSK0021-040 NO NOT NOT NOTHING LIKE THAT MSK0021-041 OK CHEST PAIN OR HEART PALPITATIONS MSK0021-042 NOPE NO CHEST PAIN OR OR ANYTHING LIKE THAT MSK0021-043 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS MSK0021-044 NOPE I HAVEN'T HAD ANY DIARRHEA OR ANY BLOOD MSK0021-045 OK ANY CHANGES IN YOUR URINATION MSK0021-046 NO MSK0021-047 NO OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS MSK0021-048-1 I DO HAVE ASTHMA SO I I DO TAKE A AN INHALER I HAVE A DAILY A DAILY ONE THAT I'LL USE AND THEN MSK0021-048-2 JUST A LIKE RESCUE ONE SO LIKE THE BLUE ONE THAT I'LL USE SOMETIMES BUT I HAVEN'T NEEDED THAT ONE FOR FOR AWHILE I'VE BEEN PRETTY GOOD I DON'T EVEN NEED IT WHEN I'M GOING OR RUNS ANYMORE MSK0021-049 OK OK THAT'S GOOD AND ARE YOU ON ANY MEDICATIONS MSK0021-050 JUST THE JUST THE INHALERS AND THEN I TOOK BIRTH CONTROL AS WELL I'VE BEEN TAKING THAT SINCE I WAS SIXTEEN SO SO FOR LIKE SIX YEARS SEVEN YEARS MSK0021-051 OK ALRIGHT AND ARE YOU HAVE YOU BEEN HOSPITALIZED OR HAD SURGERIES IN THE PAST MSK0021-052 NO I HAVEN'T HAD ANY MSK0021-053 OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE MSK0021-054 I AM YES MSK0021-055 OK HOW ABOUT ALLERGIES DO YOU HAVE ANY MSK0021-056 I I DON'T NO MSK0021-057 NO ALLERGIES OK GOOD AND ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES MSK0021-058 NO WELL I THINK MY GRANDPARENTS HAVE LIKE OSTEOARTHRITIS OR SOMETHING LIKE THAT THEY BUT THAT'S IT MSK0021-059 OK HOW ABOUT LONGER HEART CONDITIONS MSK0021-060 NO NOTHING LIKE THAT MSK0021-061 OK AND ANY AUTOIMMUNE CONDITIONS MSK0021-062 NO I DON'T BELIEVE SO MSK0021-063 NO OK HOW ABOUT CANCERS MSK0021-064 NO NO CANCERS IN THE FAMILY MSK0021-065 OK AND AND DO YOU SMOKE MSK0021-066 NO I I TRY TO STAY AWAY FROM THAT WITH ALL THE RUNNING AND STUFF THAT I'M DOING I'M I WANT TO MAKE SURE THAT I'M ABLE TO TO IMPROVE MSK0021-067 FOR SURE AND HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM MSK0021-068 NO I DON'T MSK0021-069 NO OK AND HOW ABOUT RECREATIONAL DRUGS MSK0021-070 NO I STAY AWAY FROM THAT STUFF TOO MSK0021-071 OK OK GOOD AND WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE RIGHT NOW MSK0021-072 SO I LIVE WITH A COUPLE OF ROOMMATES AT SCHOOL JUST FINISHING UP MY UNDERGRADUATE DEGREE MSK0021-073 OK OK HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY MSK0021-074 NO I DON'T I DON'T THINK SO EVERYBODY'S BEEN BEEN HEALTHY MSK0021-075 OK OK AND TRAVEL ANYWHERE MSK0021-076 NO WE'VE BEEN AT BEEN AT HOME MSK0021-077-1 OK OK ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU LET'S MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW IF THAT'S OK WITH YOU SO I'M GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR KNEES MSK0021-077-2 AND LET ME KNOW IF YOU SEE MORE REDNESS OR SWELLING IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT MSK0021-078 NO I'M NOT NOTICING ANY SWELLING MSK0021-079 DO YOU SEE ANY REDNESS MSK0021-080 NO NO REDNESS MSK0021-081 NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT KNEE MSK0021-082 NO NOTHING LIKE THAT MSK0021-083 NO OK I'M GONNA GET YOU TO PRESS DOWN AND PALPATE ON YOUR QUADRICEPS ON BOTH KNEE SORRY ON BOTH THIGHS DO YOU FEEL ANY PAIN THERE MSK0021-084 NO PAIN THERE MSK0021-085 OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR KNEE CAPS MSK0021-086 I DO GET SOME PAIN WHEN I PUSH ON THE ON THE KNEECAP ON MY LEFT KNEE MSK0021-087 OK HOW ABOUT JUST BELOW THAT WHERE YOUR SHINS START MSK0021-088 NO PAIN THERE MSK0021-089 NO PAIN THERE AND THEN HOW ABOUT ON THE LATERAL ASPECTS OF YOUR KNEE MSK0021-090 NO PAIN THERE MSK0021-091 AND THEN THE MEDIAL ASPECTS OF YOUR KNEE MSK0021-092 NO PAIN THERE MSK0021-093 NO PAIN THERE OK GOOD WHEN YOU ARE PALPATING WAS THERE A DIFFERENCE IN TEMPERATURE BETWEEN THE LEFT AND RIGHT KNEE WAS THE LEFT KNEE A LITTLE BIT MORE WARM THAN THE RIGHT KNEE MSK0021-094 NO THE TEMPERATURE FEELS THE SAME MSK0021-095 OK OK GOOD SO NOW I'M GOING TO ARE YOU SITTING DOWN MSK0021-096 I AM YES MSK0021-097 OK SO FROM A SITTING POSITION I'M GOING TO GET YOU TO STAND UP AND YOU LET ME KNOW IF THAT IS PAINFUL MSK0021-098 IT IS MSK0021-099 OK AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES MSK0021-100 NO NO PAIN WITH JUST BENDING MSK0021-101 OK HOW ABOUT WHEN YOU WHEN YOU FLEX YOUR HIPS SO YOU CAN DO ONE LEG AT A TIME DOES THAT HURT MSK0021-102 OH NO THAT DOESN'T HURT MSK0021-103 OK AND HOW ABOUT SQUATTING DOWN MSK0021-104 THAT DOES HURT SQUATTING HURTS MSK0021-105 SQUATTING HURTS OK OK AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE CEILING MSK0021-106 NO PAIN MSK0021-107 OK HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE GROUND MSK0021-108 NO PAIN MSK0021-109 NO PAIN SO NO PAIN ON DORSIFLEXION OR PLANTER FLEXION OK DO YOU HEAR ANY LIKE POPPING OR CRACKLING SOUNDS IN YOUR KNEES WHEN YOU CLIMB STAIRS OR WHEN YOU'RE STANDING UP AFTER SITTING DOWN FOR A LONG TIME MSK0021-110 SOMETIMES I WILL HEAR SOME SOME LIKE CRACKLING SOUNDS MSK0021-111 OK ALRIGHT AND YOU MENTIONED THAT YOU DO A LOT OF RUNNING DO YOU DO ANY OTHER SORTS OF EXERCISES MSK0021-112 I'LL DO SOME WEIGHT LIFTING AND LIKE CYCLING AS WELL I MEAN ALL KINDS OF DIFFERENT STUFF WE JUST LIKE STAYING AS ACTIVE AS I CAN MSK0021-113-1 OK ALRIGHT GIVEN YOUR YOUNG AGE AND THE FACT THAT YOU DO A LOT OF RUNNING AND A LOT OF PHYSICAL ACTIVITY LIKE CYCLING AND LIFTING WEIGHTS WHAT YOU HAVE IS MOST LIKELY MSK0021-113-10 YEAH SO WE CAN START THERE IF IT DOESN'T GET BETTER WE CAN ALSO ORDER AN X RAY JUST TO RULE OUT OTHER THINGS MSK0021-113-11 THAT COULD HAVE CAUSED THIS PAIN IN YOUR KNEE AND IF NONE OF THOSE NONSURGICAL TREATMENTS WORK OH SORRY I ALSO FORGOT TO MENTION WILL ALSO REFER YOU TO PHYSIOTHERAPY TO HELP YOU WITH THE RANGE OF MOTION AND STRENGTH AND ENDURANCE MSK0021-113-12 BUT OF THOSE NON SURGICAL TREATMENTS WORK WE'LL ALSO REFER YOU TO LIKE AM ARTHROSCOPY OR SOME SORT OF SURGERY THAT MAY BE ABLE TO FIX THE ISSUE MORE PERMANENTLY DOES THAT SOUND OK MSK0021-113-2 SOMETHING CALLED A PATELLOFEMORAL SYNDROME AND THAT IS BASICALLY A NERVE MSK0021-113-3 KIND OF PAIN AND THEN IN THE IN THE SOFT TISSUES AND BONE AROUND YOUR KNEECAP AND MSK0021-113-4 IT'S BASICALLY HAPPENS BECAUSE OF OVERUSE SO VIGOROUS PHYSICAL ACTIVITIES THAT PUT REPEATED STRESS ON YOUR KNEES LIKE RUNNING AND CYCLING CAN CAUSE THAT OR JUST LIKE IMPROPER SPORTS TRAINING TECHNIQUES MSK0021-113-5 AND WE CAN DO A FEW THINGS THAT THAT'LL HELP WITH THE PAIN SO FOR A LITTLE BIT MSK0021-113-6 IF YOU COULD HOLD OFF ON THE RUNNING THAT WOULD BE GOOD SO IN THE MEANTIME WHILE YOU WHILE YOU SWITCH TO LIKE LOW IMPACT MSK0021-113-7 ACTIVITIES WHETHER THAT'S LIKE RIDING A STATIONARY BIKE OR SWIMMING YOU CAN ALSO TRY SOMETHING CALLED THE RICE METHOD AND SO THAT STANDS FOR RESTING MSK0021-113-8 SO AVOIDING PUTTING ANY STRAIN ON THAT KNEE USING ICE PACKS FOR SEVERAL DAYS COMPRESSION SO WRAPPING YOUR KNEE IN LIKE AN ELASTIC BANDAGE MSK0021-113-9 AS WELL AS ELEVATING YOUR KNEES HIGHER THAN YOUR THEN THE LEVEL OF YOUR CHEST CAN HELP AND THEN WITH THE SHARP PAIN YOU COULD ALSO ALSO TAKE IBUPROFEN FOR PAIN MANAGEMENT MSK0021-114 IT DOES THANK YOU MSK0021-115 OK NO WORRIES MSK0022-000 WHAT BRINGS YOU HERE TODAY MSK0022-001 I HAVE BEEN HAVING THIS PAINS IN MY IN MY JOINTS THAT'S BEEN ONGOING NOW FOR THE LAST SEVERAL MONTHS AND IT'S BEEN GETTING WORSE OVER THIS PERIOD OF TIME MSK0022-002 OK SO SEVERAL MONTHS IS THE PAIN SO WHERE WHERE EXACTLY IS THE PAIN MSK0022-003 SO I GET IT IN SOME OF THE JOINTS IN MY HANDS AND THEN ALSO MY FEET AS WELL SO MSK0022-004 MY REALLY IN MY FEET AND MY HANDS OK AND WHAT KIND OF PAIN MSK0022-005 IS IT IS IT LIKE AN ACHING PAIN IS IT SHARP PAIN IT'LL BE A BIT AT ACHEY WHEN IT'S THERE BUT I IF I MOVE THE JOINTS AT ALL WHEN MSK0022-006 IT'S REALLY SORE I CAN GET A SHARP PAIN AS WELL OK AND MSK0022-007-1 IS THIS PAIN WORSE AT ALL AT ANY PARTICULAR TIME OF THE DAY MSK0022-007-2 I WOULD SAY IN THE MORNING TIME OR IF THERE'S ANY PERIOD OF TIME WHERE I I'M LIKE SITTING AND RESTING FOR AWHILE MSK0022-007-3 AND I GET UP TO MOVE I HAVE A LOT OF STIFFNESS AND IT TAKES ME OVER AN HOUR SOMETIMES TO JUST GET MOVING MSK0022-008 OK SO SO IF I UNDERSTAND IT CLEARLY IT'S YOU GET DO YOU GET LIKE MORNING YOU GET MORNING STIFFNESS AND THEN WHEN YOU'RE NOT VERY ACTIVE OR NOT DOING THINGS BUT THEN IT GETS BETTER WITH MOVEMENT MSK0022-009 EXACTLY THERE'S MORNING STIFFNESS AND IT DOES GET A LITTLE BIT BETTER WITH WITH MOVEMENT MSK0022-010 OK DO YOU HAVE ANY OF THIS PAIN OR STIFFNESS IN THE BIGGER JOINTS IN YOUR BODY LIKE THE HIPS OR THE KNEES OR YOUR SHOULDERS MSK0022-011 NO NOTHING NO JUST REALLY THE SMALL JOINTS MSK0022-012 OK IN THE MORNING STIFFNESS LASTS MORE THAN THIRTY MINUTES YOU SAID MSK0022-013 IT DOES MSK0022-014 YES OK IS IS IT SYMMETRICAL LIKE IS THE PAIN SYMMETRICAL AS IN IS IT HAPPENING IN BOTH HANDS IN THE SAME AREAS AND BOTH FEET IN THE SAME AREAS MSK0022-015 IT IS ACTUALLY NOW THAT YOU MENTIONED THAT IT IS SYMMETRICAL I'M NOTICING THAT IT'S THE SAME IT'S THE SAME JOINTS ON BOTH SIDES OF MY BODY THAT I'M SEEING THAT ARE AFFECTED MSK0022-016-1 OK NOW I I JUST HAVE THIS ONE PARTICULAR QUESTION IT'S PRETTY SPECIFIC SO WHEN YOU LOOK AT YOUR HANDS IN WHICH JOINTS ARE PAINFUL MSK0022-016-2 IN YOUR FINGERS IS DO YOU DO YOU HAVE ANY PAIN OR SWELLING IN THE LAST JOINTS LIKE SO JUST JUST BELOW THE TIP OF YOUR FINGERS MSK0022-017 NO ACTUALLY LIKE THE THOSE JOINTS ARE ALL HAVE BEEN FINE I CAN MOVE THE TIPS OF MY FINGERS NO PROBLEM AND I HAVEN'T HAD ANY JOINT SWELLING OR PAIN IN THE TIPS OF MY FINGERS MSK0022-018 OK AND HOW ABOUT HAVE YOU HAD ANY PAIN AT ALL IN THE I GUESS THE FIRST JOINTS OF THE FINGER SO WHEN YOU MAKE A FIST LIKE THE FIRST JOINT THAT BENDS MSK0022-019 OH LIKE MY KNUCKLES YOU MEAN MSK0022-020 THAT YOUR KNUCKLES MSK0022-021 THOSE ACTUALLY THOSE ARE THE WORST I CAN NOTICE THOSE KIND OF ON THE LIKE ON MY INDEX FINGER MIDDLE FINGER AND AND RING FINGER ON BOTH SIDES THEY THEY ALL LOOK LIKE THEY'RE SWOLLEN AND AND THOSE HURT HURT REALLY BAD MSK0022-022 OK AND IN YOUR FEET WHICH JOINTS WOULD YOU SAY ARE HURTING THE MOST MSK0022-023 I I WOULD SAY THE LIKE THE BIG TOE JOINT ON BOTH OF MY FEET THOSE BOTHER ME BUT MY BIG MY BIG TOE ON ON BOTH FEET BUT MY RIGHT FOOT'S WORSE THAN THE OTHER MSK0022-024 OK I SEE OK AND ARE YOU GETTING ANY PAIN IN ANY OTHER JOINTS MSK0022-025 ACTUALLY MY MY RIGHT ANKLE BUGS ME A LITTLE BIT I'M SORRY IF THAT'S CONSIDERED A LARGE JOINT BUT MY ANKLE HURTS AND THEN ALSO MY IN MY HANDS I HAVE LIKE THE MIDDLE ONE NOT PROXIMAL INTERPHALANGEAL JOINT THOSE ONES HURT TOO MSK0022-026 OK MSK0022-027 I THINK I HAVE LIKE MORE THAN TEN JOINTS THAT ARE SWOLLEN AND PAINFUL MSK0022-028 OK I SEE AND HAS THIS PAIN BEEN PRETTY CONSTANT OR HAVE THERE BEEN DAYS THAT YOU DON'T HAVE THE PAIN MSK0022-029 THERE ARE DAYS THAT ARE BETTER THAN OTHERS FOR SURE IT JUST I'M NOT REALLY TOO SURE WHAT THE REASON IT IS LIKE MAYBE I'M JUST MORE RESTED OR SOMETHING LIKE THAT BUT THERE ARE DAYS THAT THAT ARE BETTER BUT OVER THE LAST SEVERAL MONTHS IT'S BEEN GETTING GETTING WORSE MSK0022-030 OK AND HOW MUCH WOULD YOU RATE THE PAIN FROM ZERO TO TEN TEN BEING THE WORST PAIN YOU FELT IN YOUR LIFE MSK0022-031 I WOULD SAY IT'S PROBABLY A SIX MSK0022-032 OK HAVE YOU TRIED ANY MEDICATIONS AT ALL TO HELP WITH YOUR HELP RELIEVE YOUR SYMPTOMS MSK0022-033 I'VE BEEN TRYING ACETAMINOPHEN AND DIFFERENT TYPES OF ANTI INFLAMMATORIES LIKE IBUPROFEN OR ADVIL AND I'VE TRIED CREAMS AND STUFF TOO BUT IT IT DOESN'T SEEM TO HELP MSK0022-034 OK ARE YOU FEELING ANY OTHER SYMPTOMS AT ALL LIKE FEVERS OR CHILLS MSK0022-035 I DO I HAVE FELT A BIT WARM MSK0022-036 A BIT WARM OK AND HOW LONG HAS THAT BEEN GOING ON FOR MSK0022-037 SO IT THAT VARIES AS WELL LIKE SOME DAYS I'LL GET I'LL FEEL LIKE FEVERISH FOR A LITTLE BIT AND IT WILL KIND OF GO AWAY I HAVEN'T CHECKED MY TEMPERATURE BUT IT I HAVE FELT WARM AT TIMES MSK0022-038 OK AND HAVE YOU LOST ANY MOVEMENT IN ANY OF THESE JOINTS AT ALL MSK0022-039 IT IS HARDER TO TO MAKE A FIST I CAN'T FULLY CLOSE MY MY FINGERS ALL THE WAY DOWN TO MAKE A FIST MSK0022-040 I SEE OK ANY KIND OF A NIGHT SWEATS AT ALL MSK0022-041 NO MSK0022-042 ANY WEIGHT LOSS MSK0022-043 WELL I THINK A FEW POUNDS I JUST HAVEN'T REALLY BEEN AS AS HUNGRY NOW MY APPETITE HASN'T BEEN BEEN AS GOOD RECENTLY MSK0022-044 OK ANY SKIN CHANGES OR RASHES MSK0022-045 I OVER A COUPLE OF THE JOINTS I DO NOTICE SOME SOME REDNESS BUT JUST OVER THE THE JOINTS ON MY HAND I CAN HAVE SOME REDNESS MSK0022-046 OK BUT YOU DON'T NOTICE ANY CHANGES ANYWHERE ELSE MSK0022-047 NO NOWHERE ELSE MSK0022-048 OK ANY CHANGES IN YOUR VISION OR HEARING MSK0022-049 NO CHANGES TO VISION OR HEARING MSK0022-050 OK ANY SHORTNESS OF BREATH CHEST PAIN MSK0022-051 NO MSK0022-052 ANY CHANGES IN YOUR BOWEL MOVEMENTS MSK0022-053 NO THAT'S BEEN NORMAL MSK0022-054 OK ANY CHANGES IN YOUR URINARY PATTERNS MSK0022-055 NOPE I HAVEN'T HAD ANY PAIN OR ANYTHING LIKE THAT MSK0022-056 OK ANY NUMBNESS OR TINGLING SENSATION ANYWHERE ANYWHERE IN YOUR BODY MSK0022-057 NOPE I HAVEN'T HAD ANYTHING LIKE THAT MSK0022-058 OK HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH LIKE COLD SYMPTOMS OF ANY VIRAL SYMPTOMS MSK0022-059 NO I FELT OK MSK0022-060 OK AND ANY MUSCLE WEAKNESS MSK0022-061 I I DON'T THINK SO I'VE JUST I I HAVE HAD TROUBLE LIKE OPENING JARS AND VARIOUS THINGS BUT I THINK THAT'S PART OF THE LIKE PAIN THAT I'M HAVING IN MY IN MY HANDS IT MAKES IT HARD TO GRIP MSK0022-062 OK AND IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS MSK0022-063 I HAVE A LOW THYROID AND OR OR HYPOTHYROIDISM I THINK IT'S CALLED I AND I ALSO HAVE HIGH BLOOD PRESSURE SO I TAKE MY MSK0022-064 MEDICATION FOR HIGH BLOOD PRESSURE AND AND SOME MSK0022-065 THING FOR THE THYROID AS WELL OK AND MSK0022-066 WHEN WERE YOU DIAGNOSED WITH THE HYPOTHYROIDISM MSK0022-067 THIS WAS ABOUT I LIKE FOUR YEARS AGO OK TODAY MSK0022-068 TELL YOU WHAT IT WAS CAUSED BY IT AT ALL OH I THINK I WAS I THINK THEY SAID HASHIMOTO'S OK MSK0022-069 OK OK AND SINCE THEN YOU'VE BEEN ON THE THYROID MEDICATION I THINK IT'S MSK0022-070 SYNTHROID OR OR SOMETHING LIKE THAT I THINK SYNTHROID ALRIGHT ANY OTHER MEDICATIONS AT ALL THAT YOU MSK0022-071 TAKE REGULARLY I THINK IT I'M TAKING AN ACE INHIBITOR FOR THE BLOOD PRESSURE MSK0022-072 OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW MSK0022-073 NO MSK0022-074 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST MSK0022-075 NO MSK0022-076 OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS MSK0022-077 MY MOM HAD HYPOTHYROIDISM AS WELL AND AND THAT'S IT MSK0022-078 OK SO ANYTHING ELSE LIKE RHEUMATOID ARTHRITIS ULCERTAIVE COLITIS CROHN'S DISEASE TYPE ONE DIABETES ANYTHING LIKE THAT MSK0022-079 I I THINK MY COUSIN ACTUALLY HAS TYPE ONE DIABETES HE'S A LIKE HE'S MUCH YOUNGER THAN ME BUT I THINK HE I HAVE A COUSIN WITH TYPE ONE DIABETES AS WELL MSK0022-080 OK ALRIGHT AND CURRENTLY DO YOU WORK MSK0022-081 I'VE BEEN WORKING AS A ADMINISTRATOR SO IT'S BEEN TOUGH ON THE COMPUTER WITH WITH HOW MY HANDS HAVE BEEN CAUSING ME PAIN MSK0022-082 OH SO FROM THE TYPING ALSO GIVES YOU SOME PAIN MSK0022-083 I CAN IT CAN GIVE ME A LITTLE BIT OF PAIN BUT ONCE MY HANDS START MOVING IT'S IT'S OK IT'S JUST I'M A BIT SLOWER AT MY JOB WITH WITH HOW IT IS ESPECIALLY STARTING IN THE MORNING MSK0022-084 OK I SEE OK AND CURRENTLY WHAT'S YOUR LIVING SITUATION LIKE MSK0022-085 SO I LIVE WITH MY HUSBAND AS WELL AS OUR OUR DAUGHTER SHE'S FOUR MSK0022-086 OK AND ARE YOU CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL MSK0022-087 I I DON'T I QUIT SMOKING FOUR YEARS AGO WHEN MY DAUGHTER WAS BORN AND BEFORE THAT I DIDN'T SMOKE MUCH TO ME ANYWAY IT WAS I WAS ONLY SMOKING LIKE YOU LIKE MAYBE FOUR OR FIVE CIGARETTES A DAY SO I JUST STOPPED THEN MSK0022-088 OK THAT'S REALLY GOOD CONGRATULATIONS MSK0022-089 THANK YOU MSK0022-090 AND OTHER THAN THAT DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA MSK0022-091 NO I DON'T OK HOW ABOUT ALCOHOL MSK0022-092 I'LL HAVE A GLASS OF WINE SOMETIMES BUT VERY RARELY MSK0022-093 OK SO THOSE ARE JUST SOME OF THE QUESTIONS I HAD FOR YOU NOW I JUST WANTED TO ASK A FEW QUESTIONS REGARDING JUST PHYSICALLY EXAMINING THE JOINTS THAT HURT SO WHEN YOU LOOK AT THOSE JOINTS DO YOU NOTICE ANY KIND OF SWELLING REDNESS OR WHEN YOU FEEL ANY WARMTH TO THEM MSK0022-094 YES I I DO I FEEL SWELLING WARMTH AND REDNESS MSK0022-095 OK AND DO YOU NOTICE ANY KIND OF DEFORMITIES FOR EXAMPLE LIKE YOU'RE NOT ABLE TO BEND YOUR FINGER OR ANY KIND OF DEFORMITIES THAT YOU DIDN'T SEE BEFORE OR LIKE FOR EXAMPLE YOUR WRIST IS TURNED OUTWARDS A LITTLE BIT ANYTHING LIKE THAT MSK0022-096 NO NOTHING LIKE THAT NO DEFORMITY MSK0022-097 NO DEFORMITIES OK WHEN YOU GO OVER YOUR JOINTS DO YOU NOTICE ANY KIND OF LIKE NODULES OR HARDER MATERIALS THAT DON'T SEEM TO BE YOUR BONES MSK0022-098 NOT REALLY NO NO I DON'T NOTICE ANYTHING LIKE THAT THEY JUST SHARE A BIT LARGER FROM THE SWELLING IT FEELS LIKE MSK0022-099 OK I SEE ARE YOU ABLE TO MAKE A FIST WITH BOTH BOTH HANDS MSK0022-100 NOT COMPLETELY I CAN CLOSE MY HANDS PART OF THE WAY BUT I CAN'T MAKE A FULL FIST MSK0022-101 I SEE OK AND ARE YOU ABLE TO COMPLETELY EXTEND YOUR FINGERS AND SHOW YOUR PALMS MSK0022-102 I CAN DO I MSK0022-103 CAN DO THAT OK AND ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING LIKE THAT MSK0022-104 YES I CAN MSK0022-105 OK ALRIGHT SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS MSK0022-106 NO I'M JUST WONDERING WHAT WHAT THIS MSK0022-107-1 COULD BE MSK0022-107-10 JUST MARKERS TO RULE OUT ANYTHING ELSE BESIDES RHEUMATOID ARTHRITIS AND THEN WE WILL ALSO GET JUST X RAYS OF YOUR HANDS AND FEET AS WELL SO DOES THAT SOUND GOOD MSK0022-107-2 SO FROM WHAT YOU'RE DESCRIBING TO ME YOU DO FIT INTO THE AGE RANGE AND ALL THE SYMPTOMS ARE KIND OF POINT TOWARDS ARTHRITIS AND IN THIS CASE IT SOUNDS MORE MSK0022-107-3 LIKE RHEUMATOID ARTHRITIS DDEFINITELY IT CAN BE DIFFERENT TYPES OF ARTHRITIS THAT WE WILL INVESTIGATE JUST IN CASE AS WELL MSK0022-107-4 BUT GIVEN THAT IT'S SYMMETRICAL YOU HAVE THE MORNING STIFFNESS THAT DOESN'T GO AWAY FOR MORE THAN THIRTY MINUTES AND JUST THE PATTERN OF WHERE MSK0022-107-5 THOSE WHERE THE STIFFNESS AND PAIN IS OCCURRING ITT SOUNDS MORE LIKELY TO BE RHEUMATOID ARTHRITIS ESPECIALLY SINCE YOU'VE ALSO YOU ALSO HAVE ANOTHER AUTOIMMUNE CONDITION MSK0022-107-6 WITH HYPOTHYROIDISM IT'S MORE LIKELY TO BE ANOTHER AUTOIMMUNE CONDITION MSK0022-107-7 SO WHAT WE WILL DO IS GET A FEW TESTS DONE THIS WILL INVOLVE SOME BLOOD WORK MSK0022-107-8 AS WELL AND WE WILL ALSO GET SOME IMAGING DONE SO WE WILL GET LIKE THE CRP AND ESR FOR INFLAMMATORY MARKERS WE WILL GET LIKE YOUR FULL CBC BLOOD COUNT MSK0022-107-9 WE WILL GET RHEUMATOID FACTOR TEST DONE AS WELL AS ANTINUCLEAR ANTIBODY AND A LOT OF OTHER DIFFERENT MSK0022-108 IT DOES THANK YOU MSK0022-109 YOU'RE WELCOME AND THEN IF IT DOES COME OUT TO BE RHEUMATOID ARTHRITIS ARTHRITIS WHICH SEEMS LIKELY YOU WILL NEED A REFERRAL TO A RHEUMATOLOGIST TO MANAGE AND TREAT YOUR TREAT YOU WITH MEDICATIONS MSK0022-110 OK THANK YOU ALRIGHT YOU'RE WELCOME TAKE CARE MSK0023-000 WHAT BRINGS YOU IN HERE TODAY MSK0023-001-1 HI HI THERE I'VE BEEN HAVING THIS KNEE PAIN IT STARTED ALMOST IMMEDIATELY AFTER I WAS I WAS PLAYING BASKETBALL ON THE HIGH SCHOOL TEAM AND MSK0023-001-2 IT WAS DURING PRACTICE I JUMPED UP FOR A REBOUND AND I WHEN I LANDED I HEARD A POP OF MY MY LEFT KNEE AND I IMMEDIATELY FELT PAIN I JUST WENT OFF TO THE OFF TO THE SIDELINE MSK0023-002 OK AND WHEN DID THIS HAPPEN MSK0023-003 THIS HAPPENED ABOUT PROBABLY LIKE SIX HOURS AGO MAYBE LIKE A FEW HOURS AGO MSK0023-004 OK OK I SEE AND SINCE THEN HAVE YOU BEEN ABLE TO WALK AT ALL OR HAVE YOU BEEN JUST HAS IT BEEN VERY DIFFICULT MSK0023-005 AT FIRST I WAS ABLE TO KIND OF LIMP OFF THE COURT BUT SINCE THEN I I HAVEN'T REALLY BEEN ABLE TO WALK IT'S GOTTEN PRETTY SWOLLEN SINCE THEN AND IT LOOKS BRUISED AS WELL MSK0023-006 OK IT'S SWOLLEN AND BRUISED IN WHAT KIND OF PAIN ARE YOU HAVING IS IT LIKE SHARP OR IS IT ACHING MSK0023-007 IT'S PRETTY SHARP IT FEELS LIKE THERE'S PEOPLE JUST STABBING ME IN THE KNEE MSK0023-008 OK AND DO YOU HAVE ANY SO YOU'RE HAVING PAIN IN YOUR KNEE HAS IT GONE WORSE THAN WHEN IT STARTED MSK0023-009 IT'S IT FEELS A BIT MORE PAINFUL THAN IT DID EARLIER I THINK MAYBE THE ADRENALINE WAS PUMPING A LITTLE BIT BUT NOW IT'S IT'S PRETTY PRETTY PAINFUL MSK0023-010 OK OK AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF TEN TEN BEING THE WORST PAIN YOU'VE FELT IN YOUR LIFE MSK0023-011 OH I'D SAY THIS IS LIKE A NINE OR A TEN THIS IS IT'S REALLY PAINFUL MSK0023-012 OK ARE YOU HAVING PAIN ANYWHERE ELSE OR IS IT JUST YOUR LEFT KNEE MSK0023-013 JUST MY LEFT KNEE MSK0023-014 OK ALRIGHT ARE YOU HAVING OTHER SYMPTOMS LIKE FAINTING DIZZINESS MSK0023-015 NO I I HAVEN'T HAD ANYTHING LIKE THAT MSK0023-016 OK AND ARE YOU HAVING ANY FEVERS CHILLS OR ANYTHING LIKE THAT MSK0023-017 NO FEVERS OR CHILLS MSK0023-018 OK ANY KIND OF NUMBNESS OR TINGLING AT ALL MSK0023-019 NO NO MR TINGLING MSK0023-020 OK IS THE PAIN MOVING ANYWHERE ELSE FROM YOUR KNEES MSK0023-021 NO I JUST FEEL LIKE PRETTY LIKE JUST RIGHT IN MY IN MY KNEE MSK0023-022 OK AND WHAT KIND OF MOTIONS ARE HURTING YOU RIGHT NOW THE MOST MSK0023-023-1 I WOULD SAY JUST LIKE BENDING MY KNEE LIKE FLEXING MY KNEE UP AS WELL AS MSK0023-023-2 LIKE IF I TRY TO PUT ANY WEIGHT ON IT LIKE I CAN'T WALK ON IT RIGHT NOW I CAN'T PUT ANY WEIGHT ON MY KNEE RIGHT NOW AND ALSO EVEN STRAIGHTENING IT OUT MSK0023-023-3 HURTS AS WELL IF I'M REALLY FLEXING THE MUSCLE SO JUST TRYING TO STAY PRETTY MSK0023-024 IMMOBILE RIGHT NOW OK I SEE OK AND IN TERMS OF OTHER SYMPTOMS ANY KIND OF CHEST PAIN SHORTNESS OF BREATH MSK0023-025 NO NOTHING LIKE THAT MSK0023-026 OK ANY RASHES OR SKIN CHANGES MSK0023-027 NO THE ONLY SKIN CHANGE THAT I THAT I HAVE IS THE LIKE BRUISING OR LOOKS LIKE YOU LIKE BLOOD AROUND MY KNEE MSK0023-028 OK YOU SEE IS IT WARM TO TOUCH MSK0023-029 NO NO IT'S NOT WARM MSK0023-030 OK IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS YOU'VE BEEN DIAGNOSED WITH IN THE PAST MSK0023-031 NO I'VE BEEN MSK0023-032 HEALTHY OK ANY MEDICATIONS THAT YOU TAKE REGULARLY MSK0023-033 NO I DON'T I DON'T THINK ANYTHING REGULARLY MSK0023-034 OK ANY ALLERGIES TO ANY MEDICATIONS MSK0023-035 NO I DON'T MSK0023-036 OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES MSK0023-037 NO NOTHING LIKE THAT MSK0023-038 OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS MSK0023-039 NO NO NOTHING LIKE THAT I I I MEAN I THINK MY DAD I HAD A ROTATOR CUFF INJURY OR SOMETHING LIKE THAT BUT I MEAN HE'S IN HIS FIFTIES NOW SO I THINK THAT HAPPENED AT WORK OR SOMETHING I DON'T KNOW MSK0023-040 OK OK AND OTHER THAN THAT DO YOU SO ARE YOU AT SCHOOL RIGHT NOW MSK0023-041 I AM I'M IN GRADE GRADE TEN AND PLAYING WELL PLAYING ON THE THE HIGH SCHOOL BASKETBALL TEAM AND THAT'S HOW I GOT THIS INJURY HERE MSK0023-042 AND HAVE YOU HAD A SIMILAR INJURY AT ALL IN THE PAST MSK0023-043 NO I MEAN I'M I'VE I'VE SPRAINED MY ANKLES IN THE PAST WHICH WOULD GO WOULD HEAL WITH SOME REST AFTER A FEW DAYS I NEVER GOT THOSE CHECKED OUT BECAUSE THEY'RE THEY WEREN'T SO BAD BUT I'VE NEVER INJURED MY KNEE BEFORE MSK0023-044 OK AND CURRENTLY RIGHT NOW WHAT'S YOUR LIVING SITUATION LIKE MSK0023-045 SO I LIVE WITH BOTH OF MY PARENTS AND I ALSO HAVE A YOUNGER SIBLING A SISTER SHE'S EIGHT YEARS OLD AND WE HAVE A DOG AS WELL MSK0023-046 OK ALRIGHT AND HAVE YOU EXPERIMENTED AT ALL WITH ANY RECREATIONAL DRUGS ALCOHOL OR SMOKING CIGARETTES MSK0023-047 NO NOTHING LIKE THAT I SEE KIDS AT SCHOOL SMOKING AND STUFF BUT YOU KNOW AS AN ATHLETE I TRY TO STAY AWAY FROM THAT KIND OF STUFF AS MUCH AS POSSIBLE MSK0023-048 OK NO THAT'S REALLY THAT'S REALLY GOOD THAT YOU'RE THINKING LIKE THAT ANY ISSUES AT SCHOOL LIKE BULLYING OR DO YOU FEEL UNSAFE EITHER AT HOME AROUND YOUR HOME ENVIRONMENT OR AT SCHOOL MSK0023-049 NO I DON'T FEEL UNSAFE I MEAN I KNOW THERE'S ALWAYS THOSE KIDS AT SCHOOL WHO ARE MEAN TO OTHERS BUT I MEAN I I MSK0023-050 GENERALLY FEEL SAFE OK ALRIGHT SO I'M JUST GOING TO ASK A FEW QUESTIONS ABOUT JUST THE EXAMINATION PART OF PART OF THIS DO YOU SO YOU MENTIONED YOU CAN'T FLEX YOUR KNEES AT ALL CAN YOU EXTEND THEM MSK0023-051 IT IT CAN STRAIGHTEN IT OUT ALL LIKE MOST OF THE WAY IT SEEMS LIKE IT'S BENT A LITTLE STILL MAYBE FROM LIKE THE SWELLING AND ONLY I CAN'T STRAIGHTEN IT OUT THE FULL WAY MSK0023-052 OK AND THEN YOU SAID YOU NOTICED LIKE BRUISING AND KIND OF LIKE THERE'S BLOOD ACCUMULATING IN THAT AREA MSK0023-053 EXACTLY IT LOOKS LIKE IT CAUSE IT'S A BIT LIKE BROWN I GUESS I CAN LIKE SEE OR ON MY KNEE I GUESS LIKE THE LIKE A BIG BRUISE MSK0023-054-1 OK I SEE OK AND YEAH SO THOSE ARE KIND OF LIKE ALL THE QUESTIONS I HAD FOR YOU IT SEEMS THAT BASED ON THE DESCRIPTION OF HOW THE INJURY HAPPENED AN THE MECHANISM AND WHAT MSK0023-054-2 YOU'RE FEELING RIGHT NOW AND IN TERMS OF THE EXAMINATION IT'S POSSIBLE THAT YOU HAD KNEE LIGAMENT INJURY MOST LIKELY IN THIS CASE THE ANTERIOR CRUCIATE LIGAMENT MSK0023-054-3 BUT JUST TO MAKE SURE WE WILL NEED TO DO AN MRI OF YOUR KNEE AND SEE WHICH LIGAMENT IS AFFECTED AND TO WHAT EXTENT AND USUALLY WITH THE MSK0023-054-4 WITH THE DEPENDING ON WHAT WE FIND ON THE MRI SOMETIMES IT CAN BE JUST CONSERVATIVE MANAGEMENT BUT HOWEVER OFTENTIMES YOU DO REQUIRE SURGERY SO IT WOULD BE MSK0023-054-5 JUST A SURGERY WHERE WE PUT KIND OF LIKE A SCOPE IN INTO YOUR KNEE AND THROUGH THE SCOPE WE MSK0023-054-6 TRY TO FIX THE LIGAMENT SO FIRST WE'LL JUST DO THE MRI AND SEE TO WHAT EXTENT YOUR KNEE INJURY MSK0023-054-7 IS AND HOW HOW AFFECTED THE LIGAMENTS ARE AND THEN WE'LL GO FROM THERE DOES THAT SOUND OK MSK0023-055 IT DOES MSK0023-056 THANK YOU WELCOME ALRIGHT TAKE CARE MSK0024-000 WHAT BRINGS YOU HERE TODAY MSK0024-001 HI I'VE BEEN HAVING THIS BACK PAIN FOR THE PAST MONTH SO I'D JUST LIKE SOMETHING FOR IT AN AND YOU KNOW IMAGE IT IF POSSIBLE JUST TO FIGURE OUT WHAT IT IS MSK0024-002 YOU'VE BEEN HAVING IT FOR THE LAST MONTH IS THIS THE FIRST TIME YOU'RE HAVING THIS BACK PAIN MSK0024-003 YES MSK0024-004 OK AND WHERE EXACTLY ARE YOU HAVING THE BACK PAIN MSK0024-005 IT'S IN MY LOWER BACK MSK0024-006 OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A SHARP STABBING PAIN OR IS THAT A DULL ACHING PAIN MSK0024-007 IT'S KIND OF DULL AND ACHY BUT SOMETIMES I FEEL LIKE I HAVE LITTLE SPASMS IN MY BACK MSK0024-008 OK AND HOW OFTEN ARE YOU GETTING THESE SPASMS MSK0024-009 I'D SAY LIKE TWO TO THREE TIMES A WEEK MSK0024-010 OK AND IT IS THIS BACK PAIN CONSTANT OR DOES IT COME COME AND GO MSK0024-011 IT'S PRETTY CONSTANT BUT IT GETS WORSE WITH CERTAIN THINGS MSK0024-012 SO ONE MONTH AGO WHEN IT STARTED BEFORE THEN DID YOU INJURE YOURSELF AT ALL OR WERE YOU DOING ANYTHING THAT BROUGHT ON THE PAIN OR DID THE PAIN COME ON GRADUALLY MSK0024-013 SO I WORK IN THIS FACTORY WHERE I MOVE A LOT OF BOXES AND I THINK I MAY HAVE LIKE LIFTED A REALLY HEAVY BOX OR LIFTED IT IN AN IMPROPER POSITION BECAUSE THAT'S WHEN THAT NIGHT IS WHEN MY BACK STARTED HURTING MSK0024-014 OK I SEE AND HOW LONG HAVE YOU WORKED IN THIS ROLE MSK0024-015 FOR THE PAST THIRTY YEARS MSK0024-016 OK ALRIGHT AND HAS THE PAIN BECOME WORSE AT ALL OR HAS IT STAYED THE SAME SINCE IT STARTED MSK0024-017 I'D SAY IT'S PRETTY IT'S BEEN PRETTY SIMILAR TO THE MSK0024-018 START OK AND DOES THE BACK PAIN MOVE ANYWHERE LIKE FOR EXAMPLE DOES IT SHOOT DOWN YOUR LEGS AT ALL MSK0024-019 NO OK HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU MSK0024-020 I'VE TRIED SOME TOPICAL ANALGESICS AND YOU KNOW THOSE FIRE AND ICE GELS AND I THINK SOMETIMES THAT HELPS BUT IT'S ALWAYS TEMPORARY MSK0024-021 OK AND WHAT KIND OF THINGS MAKE YOUR PAIN WORSE LIKE BENDING DOWN AS OPPOSED TO STRETCHING BACKWARDS MSK0024-022 BENDING DOWN LIKE IT WHEN I FLEX MY BACK THAT HURTS MORE THAN IF I STRAIGHTEN IT OUT MSK0024-023 OK IS A BENDING HURTS MORE AND WHAT ABOUT BENDING TOWARDS THE SIDES MSK0024-024 A LITTLE BIT MORE TOWARDS MY RIGHT SIDE MSK0024-025 OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE NUMBNESS OR TINGLING IN YOUR EXTREMITIES OR BACK AT ALL MSK0024-026 NO MSK0024-027 AND ANY KIND OF NUMBNESS OR LOSS OF SENSATION IN YOUR BUTTOCKS AREA OR JUST BELOW YOUR LOWER BACK MSK0024-028 NO MSK0024-029 OK AND ANY FEVERS OR CHILLS MSK0024-030 NOPE MSK0024-031 ANY NIGHT SWEATS MSK0024-032 NO MSK0024-033 ANY SKIN CHANGES OR RASHES MSK0024-034 NO MSK0024-035 ANY HAVE YOU BEEN ILL RECENTLY AT ALL WITH COUGH COLD MSK0024-037 SYMPTOMS AT ALL NO DO YOU FEEL PAIN IN ANYWHERE ELSE IN ANY OTHER MUSCLES OR JOINTS AT ALL MSK0024-038 NO MSK0024-039 NO HAVE YOU RECENTLY HAD ANY CHANGES TO YOUR WEIGHT MSK0024-040 NO MSK0024-041 OK AND ANY KIND OF CHANGES TO YOUR BOWEL MOVEMENTS MSK0024-042 NO MSK0024-043 OK ANY KIND OF ISSUES WITH URINATION AT ALL MSK0024-044 NO MSK0024-045 AND ANY URINARY OR FECAL RETENTION OR INCONTINENCE MSK0024-046 NO MSK0024-047 RIGHT SO IT'S JUST THIS PAIN THAT'S BEEN THERE FOR THE LAST MONTH STAYED AROUND THE SAME IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH THE HAVE ANY MEDICAL CONDITIONS IN THE PAST MSK0024-048 I HAVE A HIGH BLOOD PRESSURE WHICH I TAKE SOME RAMIPRIL MSK0024-049 FOR OK ANY ALLERGIES TO ANY MSK0024-051 MEDICATIONS OK AND HAVE YOU ARE USING ANY OTHER MEDICATIONS AT ALL MSK0024-052 NO MSK0024-053 HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST MSK0024-054 NO MSK0024-055 OK DO YOU HAVE ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITION MSK0024-056 NO MSK0024-057 ANY CANCERS IN THE FAMILY MSK0024-059 SO CURRENTLY ARE YOU WORKING OR DID YOU HAVE TO TAKE TIME OFF WORK MSK0024-060 I'M TAKING SOME TIME OFF WORK UNTIL I FIGURE OUT WHAT THIS BACK PAIN IS MSK0024-061 OK AND CURRENTLY WHAT'S YOUR LIVING SITUATION LIKE MSK0024-062 I LIVE IN AN APARTMENT WITH MY WIFE AND OUR TEENAGE SON MSK0024-063 OK AND DO YOU SMOKE AT ALL MSK0024-064 I USED TO SMOKE I HAVEN'T SMOKED IN OVER TEN YEARS MSK0024-065 OK AND DO YOU DRINK ALCOHOL AT ALL MSK0024-066 I DRINK OCCASIONALLY I'LL HAVE LIKE A BEER ON THE WEEKEND MSK0024-067 ANY RECREATIONAL DRUGS LIKE MARIJUANA MSK0024-068 NO MSK0024-069 OK ALRIGHT SO I'M JUST GONNA ASK A FEW QUESTIONS MAYBE GET YOU TO DO SOME MOVEMENTS AND SEE WHAT HURTS THE MOST MSK0024-070 OK MSK0024-071 SO WHEN YOU PRESS YOUR HAND DOWN DOWN YOUR SPINE IS IT HURT AT ALL IN THE LOWER BACK WITH PALPATION MSK0024-072 IT KINDA HURTS RIGHT IN THE MIDDLE JUST ABOVE THE BUTTOCKS AREA AN WHERE LIKE MY TAILBONE ALMOST IS MSK0024-073 I SEE AND ANY KIND OF PAIN WITH LYING DOWN AND THEN RAISING YOUR LEGS STRAIGHT UP WITHOUT BENDING THE KNEES MSK0024-074 I CAN TRY THAT THAT HURTS A LITTLE BIT MSK0024-075 AND DOES IT HURT IN THE LOWER BACK OR NEAR THE FRONT OF YOUR HIPS MSK0024-076 THAT HURTS IN MY LOWER BACK MSK0024-077 AND ANY KIND OF REDNESS OR SWELLING THAT YOU'VE NOTICED AT ALL I KNOW IT'S IN THE BACK SO IT MIGHT BE MORE DIFFICULT TO SEE MSK0024-078 NO I DON'T SEE ANYTHING LIKE THAT MSK0024-079 OK AND ARE YOU HAS YOUR GAIT CHANGED AT ALL OR IS IT ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING MSK0024-080 I'M ABLE TO WALK WITHOUT A LIMP MSK0024-081 OK ALRIGHT SO AND THEN BENDING DOWN YOU SAID HURTS MORE THAN STANDING UP OR EXTENDING YOUR BACK RIGHT MSK0024-082 YES MSK0024-083 OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME MSK0024-084 NO JUST LIKE HOW CAN I TREAT THIS MSK0024-085-1 OK YEAH FOR SURE SO THIS HAS BEEN GOING ON FOR THE LAST MONTH IT SOUNDS MORE LIKE WHAT'S CALLED MECHANICAL BACK PAIN AND MSK0024-085-2 THE DUE TO THE NATURE OF YOUR WORK HAVING BEEN LIFTING HEAVY OBJECTS FOR THE LAST THIRTY OR SO YEARS MSK0024-085-3 IT'S USUALLY SOMETHING THAT OCCURS WITH REPETITIVE REPETITIVE WORK AND STRENUOUS WORK LIKE THAT THAT AFFECTS YOUR BACK MSK0024-085-4 AND WHAT YOU'RE DESCRIBING WITH THE FLEXION SEEMS MORE PAIN COMING FROM THE DISCS THEMSELVES INSTEAD OF THE MSK0024-085-5 FACETS AT THE BACK SO EVERY TIME YOU FLEX YOU HAVE SOME COMPRESSION OF YOUR DISCS SO WHAT WE WHAT WE NEED TO DO RIGHT NOW IS IT'S BEEN ONE MONTH ALMOST AND THEN MSK0024-085-6 USUALLY WE GET IMAGING IF THE PAIN DOES NOT IMPROVE AFTER SIX WEEKS OF CONSERVATIVE MANAGEMENT SO WHAT WE CAN TRY IS TO GIVE YOU MSK0024-085-7 SOME PAIN MANAGEMENT FIRST AND SOME ANTI INFLAMMATORY MEDICATION AND THEN AS WELL AS TRY SOME PHYSIOTHERAPY MSK0024-085-8 SOME EXERCISES TO HELP YOU WITH THE BACK PAIN AND THEN IF THE PAIN DOES NOT IMPROVE AND SINCE THERE IS NO RED FLAGS THAT WERE TOO WORRIED ABOUT MSK0024-085-9 RIGHT NOW WITH YOUR BACK PAIN WE CAN WAIT TO GET SOME IMAGING BUT FIRST WE WOULD JUST LIKE TO TRY SOME OF THE CONSERVATIVE MANAGEMENT IS THAT OK WITH YOU MSK0024-086 THAT SOUNDS GREAT THANK YOU MSK0024-087 YOU'RE WELCOME ALRIGHT TAKE CARE MSK0025-000 WHAT BRINGS YOU IN HERE TODAY MSK0025-001-1 SO MY BACK HAS BEEN KILLING ME IT'S BEEN HURTING FOR THE PAST TWO MONTHS BUT RECENTLY IT'S GOTTEN WORSE I'D SAY OVER THE PAST WEEK OR TWO WEEKS IT'S GOTTEN REALLY BAD AND NO OVER THE COUNTER MEDICATION IS HELPING WITH THE PAIN MSK0025-001-2 IT'S I'M FINDING IT HARD TO WALK I CAN'T FEEL ANYTHING IN THE GROIN AREA AND I'M HAVING SO MANY BLADDER ACCIDENTS MSK0025-002 OK AND SO THIS PAIN STARTED TWO MONTHS AGO BUT IT'S PROGRESSED TO LIKE THESE OTHER SYMPTOMS AS WELL MSK0025-003 YES THAT'S RIGHT MSK0025-004 WHERE DID THE PAIN START MSK0025-005 IT STARTED IN MY LOWER BACK MSK0025-006 STARTED YOUR LOWER BACK OK AND DOES THE PAIN HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE ACHING SHARP MSK0025-007 IT'S SHARP MSK0025-008 OK AND DID ANYTHING HAPPENED PRIOR TO THE PAIN ANY INJURIES AT ALL THAT YOU EXPERIENCED MSK0025-009-1 TWO MONTHS AGO I WAS IN A MOTOR VEHICLE ACCIDENT AN I THINK MY BACK STARTED HURTING THEN BUT THEY DID MSK0025-009-2 SOME IMAGING IT'S AND TURNED OUT LIKE ONE OF THE DISCS THERE WAS A SLIP IN A DISC OR SOMETHING BUT AT THAT POINT THE PAIN WAS JUST ACHEY MSK0025-009-3 AND I DON'T REALLY HAVE ANY IN ANY OF THESE OTHER ISSUES BUT OVER THE PAST TWO WEEKS IT'S GOTTEN SHARP AND I'M HAVING ALL THESE OTHER SYMPTOMS MSK0025-010 OK AND SO YOU'RE HAVING THE SET LIKE WHAT'S CALLED SOME NUMBNESS IN YOUR GROIN IS THAT UNILATERAL LIKE ON ONE SIDE OR BOTH SIDES MSK0025-011 IT SEEMS LIKE IT'S BOTH SIDES MSK0025-012 OK AND SO AND THEN YOU'RE ALSO HAVING THE URINARY INCONTINENCE HOW LONG IS THAT BEEN GOING ON FOR MSK0025-013 THE PAST WEEK MSK0025-014 OK AND WHAT ABOUT THE NUMBNESS IN YOUR GROIN AREA MSK0025-015 THAT'S BEEN GOING ON FOR THE PAST WEEK AS WELL MSK0025-016 OK AND OK AND HOW WOULD YOU DESCRIBE YOUR PAIN RIGHT NOW ON A SCALE OF ONE TO TEN TEN BEING THE WORST PAIN YOU'VE FELT MSK0025-017 I WOULD SAY IT'S LIKE AN EIGHT OR NINE MSK0025-018 EIGHT OR NINE OK AND DOES IT GET WORSE WITH ANY ANY MOTIONS AT ALL MSK0025-019 I THINK IT'S WORSE WITH I DON'T KNOW LIKE IT'S WORSE WITH ANYTHING ANYTIME ANYTIME I TRIED TO MOVE IT IT HURTS MSK0025-020 OK SO YOU JUST IMPROVED WITH REST COMPLETE REST MSK0025-021 OK DOES IT TRAVEL IN DOES THE PAIN TRAVEL ANYWHERE ELSE DOES IT SHOOT DOWN YOUR LEGS AT ALL MSK0025-022 SO IT DOES SHOOT DOWN MY LEGS AND I'M HAVING A HARD TIME WALKING BECAUSE OF THAT MSK0025-023 IS IT BOTH LEGS OR JUST ONE MSK0025-024 IT'S MOSTLY ON MY RIGHT BUT THE LEFT ONE ISN'T THE SAME AS IT USED TO BE EITHER MSK0025-025 OK MSK0025-026 I'M HAVING A HARD TIME LIKE GETTING UP FROM A CHAIR AND THINGS LIKE THAT MSK0025-027 OK AND ANYTHING THAT YOU'VE TRIED THAT HAS HELPED RELIEVE SOME OF YOUR SYMPTOMS MSK0025-028 I'VE TRIED LIKE OVER THE COUNTER COUNTER AND IBUPROFEN I'VE TRIED SOME TOPICAL ANALGESICS AND NOTHING SEEMS TO BE WORKING MSK0025-029 OK AND HAVE YOU EXPERIENCED ANY TRAUMA SO YOU MENTIONED YOU HAD A CAR ACCIDENT RATE TWO MONTHS AGO MSK0025-030 YES THAT WAS THAT WAS TWO MONTHS AGO MSK0025-031 OK AND THEN WERE YOU IN THE HOSPITAL ADMITTED TO THE HOSPITAL FOR FOR A WHILE OR HOW WHAT HAPPENED IN YOUR TREATMENT MSK0025-032-1 YEAH I WAS I WAS TAKEN TO THE ER THEY DID LIKE A FULL WORK UP ON ME THE ONLY THING ON MY BACK THAT THEY FOUND WAS A SLIPPED DISC MSK0025-032-2 AND THEN THEY SAID THAT SHOULD THAT SHOULDN'T CAUSE ME TOO MUCH PAIN BUT IF I WAS HAVING ANY OF THESE SYMPTOMS THAT I'M HAVING NOW I SHOULD GO BACK OR SEE A DOCTOR AT LEAST MSK0025-032-3 AND OTHERWISE I WAS FINE LIKE I DIDN'T LOSE A LOT OF BLOOD OR I DIDN'T NEED ANY SURGICAL INTERVENTIONS AT THAT POINT MSK0025-033 OK I SEE AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS OR ANY ANY PAIN IN ANY OTHER JOINTS OR MUSCLES MSK0025-034 NO NO NOTHING LIKE THAT MSK0025-035 OK ANY FEVERS OR CHILLS MSK0025-036 NO MSK0025-037 ANY NIGHT SWEATS MSK0025-038 NO RASHES OR SKIN CHANGES MSK0025-039 NO MSK0025-040 ANY KIND OF CHEST PAIN SHORT OF SORRY SHORTNESS OF BREATH MSK0025-042 NO ANY COUGH OR COLD LIKE SYMPTOMS MSK0025-043 NO MSK0025-044 ANY SO YOU HAVE SOME URINARY INCONTINENCE ANY MSK0025-046 INCONTINENCE NO OK HOW'S AN ANY RECENT CHANGES IN YOUR WEIGHT MSK0025-048 NO HAVE YOU BEEN SICK AT ALL RECENTLY MSK0025-049 NO MSK0025-050 OK ANY TINGLING SENSATION EITHER IN YOUR BACK OR SHOOTING DOWN YOUR LEGS MSK0025-051 NO MSK0025-052 ANY BURNING SENSATION MSK0025-053 LITTLE BIT OF BURNING SENSATION MSK0025-054 OK DO YOU HAVE ANY NUMBNESS IN YOUR LOWER LIMBS OR JUST NUMBNESS AROUND THE GROIN MSK0025-055 JUST NUMBNESS AROUND THE GROIN AREA BUT MY LOWER LIMBS DO SEEM WEAK MSK0025-056 OK SO YOU HAVE MUSCLE WEAKNESS IS IT JUST ONE LIKE THAT'S WEAK OR BOTH LEGS MSK0025-057 SO BOTH LIKE SEEM WEAK BUT THE RIGHT MORE THAN THE LEFT MSK0025-058 OK I SEE AND DOES THIS WEAKNESS SEEM TO GET WORSE OR IS IT AROUND THE SAME AS IT WAS WHEN IT STARTED MSK0025-059 IT'S IT'S IT FEELS LIKE IT'S GETTING WORSE MSK0025-060 OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU HAVE BEEN DIAGNOSED WITH MSK0025-061 I HAD HYPOTHYROID SO I'VE BEEN TAKING SYNTHROID FOR THAT MSK0025-062 OK ANY OTHER MEDICATIONS MSK0025-063 NO MSK0025-064 OK ANY ALLERGIES TO ANY MEDICATIONS MSK0025-065 NO MSK0025-066 OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES MSK0025-067 NO MSK0025-068 ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS MSK0025-069 NO MSK0025-070 OK CURRENTLY DO YOU WORK MSK0025-071 I DO I WORK FROM HOME RIGHT NOW I'M A TEACHER MSK0025-072 OK AND DO YOU DID YOU DO ANY WORK PREVIOUSLY THAT REQUIRED HEAVY LIFTING OR STRENUOUS ACTIVITIES REGARDING YOUR BACK AT ALL MSK0025-073 NO NO NOTHING LIKE THAT MSK0025-074 AND WHAT'S YOUR HOME AND LIVING SITUATION LIKE RIGHT NOW MSK0025-075 I LIVE AT HOME WITH TWO OF MY CHILDREN MSK0025-076 OK AND ARE YOU ABLE TO DO THINGS AT HOME THAT YOU WERE BEFORE LOOK LIKE OR DO YOU NEED SOME EXTRA HELP FROM IT YOUR FAMILY MEMBERS OR EXTRA HELP FROM OTHER WORKERS ANYTHING LIKE THAT MSK0025-077 MY FAMILY'S DEFINITELY BEEN HELPING ME OUT A LOT OVER THESE PAST FEW WEEKS BECAUSE LIKE I SAID LIKE I'M HAVING SOME WEAKNESS IN MY LEGS I CAN'T MOVE AROUND AS MUCH BECAUSE I'M IN SO MUCH PAIN AND THEN LIKE THERE ARE ALL THESE LIKE BLADDER ACCIDENTS SO THEY'VE BEEN HELPING ME OUT WITH EVERYDAY THINGS MSK0025-078 OK I SEE AND CURRENTLY DO YOU SMOKE MSK0025-079 NO MSK0025-080 OK DO YOU DRINK ALCOHOL MSK0025-081 NO MSK0025-082 AND ANY RECREATIONAL DRUGS LIKE MARIJUANA MSK0025-083 NO MSK0025-084 OK I'M JUST GETTING AT YOU TO DO A FEW THINGS ON JUST JUST AS PART OF THE PHYSICAL EXAMINATION MSK0025-085 SURE MSK0025-086 ARE YOU ABLE TO BEND DOWN OR EXTEND YOUR BACK AT ALL OR IS IT TOO PAINFUL MSK0025-087 I CAN'T DO THAT IT'S TOO PAINFUL MSK0025-088 DO YOU NOTICE ANY KIND OF REDNESS SWELLING IN AND AROUND YOUR BACK MSK0025-089 NOT THAT I CAN TELL MSK0025-090 OK AND HOW ABOUT IF YOU PRESS DOWN ON THE YOUR LOWER BACK DOES IT HURT MSK0025-091 THAT HURTS MSK0025-092 OK AND ARE YOU EXPERIENCING THE NUMBNESS RIGHT NOW AND IN YOUR GROIN AREA MSK0025-093 I AM MSK0025-094 ARE YOU ABLE TO RAISE YOUR LEGS WHEN IN A LYING POSITION WITH STRAIGHT LEGS KNEES NOT BENDING AT ALL THEY ARE ABLE TO RAISE WITHOUT ANY PAIN MSK0025-095 NO I CAN'T DO THAT IT'S IT'S TOO PAINFUL MSK0025-096 I SEE ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SEEMS IT'S GREAT IT'S GOOD THAT YOU CAME TO THE EMERGENCY DEPARTMENT DO YOU HAVE ANY QUESTIONS AT ALL MSK0025-097 NO JUST LIKE HOW CAN I FIX THIS MSK0025-098-1 YEAH SO BASED ON YOUR SYMPTOMS IT'S SOMETHING THAT'S PRETTY URGENT IT'S SEEMS LIKE YOU MAY BE HAVING SOMETHING CALLED CAUDA EQUINA SYNDROME THAT MAY BE CAUSED BY MSK0025-098-2 YOUR BACK PAIN AND THAT'S WHY YOU'RE FEELING THAT GROIN WOULD BE CALLED SADDLE ANESTHESIA AND THEN THE URINARY INCONTINENCE MSK0025-098-3 SO THIS MAY BE FROM THE INJURY THAT YOU HAD WITH THE CAR ACCIDENT AND IT MAY BE DUE TO SOME COMPRESSION OF WHAT WE CALL MSK0025-098-4 LIKE COMPRESSION OF THE NERVES IN THE AREA WHICH MIGHT BE GIVING YOU SOME OF THESE SYMPTOMS SO THE FIRST THING WE DO NEED TO DO IS GET AN MRI OF YOUR LOWER BACK MSK0025-098-5 JUST TO MAKE SURE THERE'S NOTHING GOING ON LIKE FOR EXAMPLE LIKE ANY MASSES IN THE AREA OR ANY KIND OF ABSCESSES THAT MIGHT BE WE MAY BE WORRIED ABOUT JUST TO MAKE SURE MSK0025-098-6 WELL JUST TO SEE WHAT'S GOING ON IN THERE THAT'S CAUSING THESE SYMPTOMS AND THEN BASED ON WHAT WE FIND WE WILL MSK0025-098-7 WE WILL TARGET LIKE THE CAUSE OF THE SYMPTOMS LIKE FOR EXAMPLE IF IT'S AN INFECT INFECTION THAT'S CAUSING THIS YOU MIGHT NEED MSK0025-098-8 TO BE ADMITTED AND REQUIRE ANTIBIOTICS IF THERE IS ANY MASSES CAUSING IT YOU MAY REQUIRE SURGERY FOR EXAMPLE IF IT'S MAINLY RELATED TO YOUR MSK0025-098-9 BACK IT IS SOMETHING THAT WE WILL HAVE TO TREAT WITH WITH AN ADMISSION SO IT'S GOOD THAT YOU CAME IN HERE TODAY DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS MSK0025-099 NO THAT WAS IT THANK YOU SO MUCH FOR YOUR HELP MSK0025-100 YOU'RE WELCOME AND WILL GET BACK TO YOU SHORTLY MSK0026-000 HOW MAY I HELP YOU MSK0026-001 I'M I'M HERE BECAUSE MY RIGHT KNEE IS VERY PAINFUL IT LOOKS KIND OF SWOLLEN AND IT'S IT'S ALSO A LITTLE BIT WARM SO I'M JUST WORRIED I'M WORRIED ABOUT IT AND I WAS WONDERING IF YOU COULD LOOK AT IT MSK0026-002 CERTAINLY SO WHERE ARE YOU FEELING THE MSK0026-003 THE PAIN EXACTLY SO IT'S WHERE SO RIGHT IN THE MIDDLE OF MY KNEE MSK0026-004 SO JUST BELOW THE BONE THAT THE BIG KNEE BONE OK MSK0026-005 SO LIKE UNDERNEATH THE MSK0026-006 KNEECAP LIKE BELOW THAT JUST JUST A LITTLE BIT BELOW OK SO SLIGHTLY BELOW THE PATELLA SOUNDS LIKE MSK0026-008 SOMEWHERE IN THE REGION OF MSK0026-009 THE TIBIAL THROUGH TUBEROSITY MSK0026-010 OK AND WHEN DID THIS PAIN START IT STARTED ABOUT TWO WEEKS AGO OK TWO WEEKS AGO WHEN THE PAIN MSK0026-011-1 STARTED WAS THERE ANY TRAUMA OR COULD YOU REMEMBER ANY MOVEMENT THAT THAT CAUSED THE PAIN MSK0026-011-2 NOTHING LIKE THAT BUT I RECENTLY FOUND OUT THAT I HAD SOME OSTEOARTHRITIS ON MY LEFT KNEE SO I WAS TRYING TO PUT MORE PRESSURE ON MY RIGHT KNEE ONE WHENEVER I WAS DOING LIKE GARDENING WORK MSK0026-011-3 AND I THINK SOMETHING SOMETHING MAY HAVE HAPPENED WHEN I WAS DOING THAT SOMETHING MAYBE MAYBE I PUT TOO MUCH STRAIN ON IT MSK0026-012 OK I SEE AN ALRIGHT LIKE ARE YOU DOING A LOT OF KNEELING ON ON OR DURING THE GARDENING WORK MSK0026-013 I AM MSK0026-014 OK AND HOW LONG HAS THE PAIN BEEN GOING ON FOR HAS IT BEEN CONSTANT OVER THESE TWO WEEKS MSK0026-015 YES IT HAS BEEN MSK0026-016 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT SHARP BURNING ACHY MSK0026-017 I WOULD SAY MOSTLY ACHY BUT IT CAN BE SHARP MSK0026-018 OK AND DO YOU FEEL THE PAIN RADIATE ANYWHERE ELSE MSK0026-019 NO JUST IT'S PRETTY LOCAL MSK0026-020 OK HAVE YOU TRIED ANYTHING TO MAKE THE PAIN BETTER MSK0026-021 I TRIED SOME TOPICAL LIKE WHAT ARE THOSE LIKE ICE AND FIRE GELS THOSE SEEM TO HELP TEMPORARILY BUT THE PAIN COMES BACK MSK0026-022 OK AND HAVE YOU TRIED HAS ANYTHING MADE THE PAIN WORSE MSK0026-023-1 I GUESS LIKE WHEN I KNEEL DOWN ON IT IT GETS PAINFUL OR IF I TOUCH IT OR PALPATE IT I GUESS PAINFUL IF I'M I'M MSK0026-023-2 FLEXING MY KNEE TOO MUCH THAT HURTS AS WELL KIND OF KEEPING IT STRAIGHT AND NOT TOUCHING IT MAKES IT FEEL BETTER MSK0026-024 OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS WITH TEN BEING THE WORST PAIN YOU'VE EVER FELT AND ONE BEING THE LEAST PAIN MSK0026-025 I GIVE IT ABOUT A SIX MSK0026-026 OK AND HAVE YOU HAD A PAIN LIKE THIS IN YOUR RIGHT KNEE BEFORE MSK0026-027 NO NOTHING LIKE THIS AND I HAVE OSTEOARTHRITIS IN MY LEFT KNEE BUT IT FEELS DIFFERENT MSK0026-028 OK AND OK AND HAVE YOU HAD ANY FEVERS OR CHILLS MSK0026-030 NO OK AND HOW ABOUT MSK0026-032 ANY NIGHT SWEATS NO OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS MSK0026-034 NO HAVE YOU HAD ANY HEADACHES MSK0026-035 NO MSK0026-036 HAVE YOU HAD ANY CHANGES TO YOUR SENSES LIKE VISION OR HEARING MSK0026-037 NO MSK0026-038 ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE MSK0026-039 NO MSK0026-040 OK HAVE YOU HAD ANY SORE THROAT OR COUGH MSK0026-041 NO MSK0026-042 ALRIGHT HAVE YOU HAD ANY SHORTNESS OF BREATH MSK0026-043 NO MSK0026-044 HAVE YOU HAD ANY WHEEZING MSK0026-045 NO MSK0026-046 HAVE YOU HAD ANY CHEST PAIN MSK0026-047 NO MSK0026-048 HAD ANY LIGHTHEADEDNESS OR DIZZINESS MSK0026-049 NO MSK0026-050 HAVE YOU HAD ANY HEART PALPITATIONS MSK0026-051 NO MSK0026-052 OK AN HAVE YOU HAD ANY NAUSEA OR VOMITING MSK0026-053 NO MSK0026-054 HAVE YOU HAD ANY ABDOMINAL PAIN MSK0026-055 NO MSK0026-056 HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL MSK0026-057 NO MSK0026-058 HAVE YOU HAD ANY PAIN WITH URINATION OR FREQUENCY WITH URINATION MSK0026-059 NO MSK0026-060 OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR JOINT PAINS ANYWHERE ELSE MSK0026-061 NO MSK0026-062 OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR OR TINGLING OR REDUCED SENSATION MSK0026-064 NO OK AND HOW IS YOUR ENERGY BEEN RECENTLY HAVE YOU HAD ANY FATIGUE MSK0026-065 NO NOT REALLY IT'S BEEN THE SAME MSK0026-066 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH MSK0026-067 ANY MEDICAL CONDITIONS I HAVE CLASS TWO OBESITY AND THEN MSK0026-068 ALSO ARTHRITIS IN MY LEFT KNEE AS MSK0026-069 WELL AS HIGH BLOOD PRESSURE I SEE AND DO YOU TAKE ANY MEDICATIONS CURRENTLY I'M ON RAMIPRIL AND I TAKE MSK0026-070 SOME IBUPROFEN SOMETIMES FOR THE OSTEOARTHRITIS IN MY LEFT KNEE MSK0026-072 OK AND DO YOU HAVE MSK0026-074 ANY ALLERGIES TO MEDICATIONS NO HAVE YOU HAD ANY SURGERIES BEFORE MSK0026-076 OR HAVE YOU HAD ANY HOSPITALIZATIONS FOR ANY REASON NO OK MSK0026-077 AND HAVE YOU BEEN PREGNANT IN THE MSK0026-085 CURRENTLY LIKE WHO YOU'RE LIVING WITH AN WHEREABOUTS I LIVE IN DOWNTOWN LONDON I LIVE IN A HOUSE WITH MY HUSBAND MSK0026-086 AND MY DAUGHTER OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY MSK0026-088 NO AND HAVE YOU TRAVELED ANYWHERE RECENTLY MSK0026-089 NO MSK0026-090 OK ARE YOU CURRENTLY WORKING RIGHT NOW MSK0026-091 I YES I AM MSK0026-092 OK WELL THEN WHAT WHAT DO YOU DO MSK0026-093 I WORK AS A FULL TIME GARDENER FOR A LANDSCAPING COMPANY MSK0026-094 OK I SEE SO YOU'RE SPENDING A LOT OF TIME DOING KIND OF LIKE REPETITIVE KNEELING TYPE MOVEMENTS TO DO YOUR JOB MSK0026-095 YES THAT'S RIGHT MSK0026-096 OK AND DO YOU SMOKE CIGARETTES MSK0026-097 I DON'T MSK0026-098 ALRIGHT AND DO YOU DRINK ALCOHOL MSK0026-099 I'LL HAVE A GLASS OF WINE EVERY OTHER NIGHT MSK0026-100 OK AND DO YOU USE ANY RECREATIONAL DRUGS MSK0026-101 NO I DON'T MSK0026-102 HAVE YOU USED ANYTHING LIKE THAT IN THE IN THE PAST MSK0026-103 NO MSK0026-104 LIKE IV DRUGS NO OK AND IN THE FAMILY OR IS THERE A HISTORY OF ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS MSK0026-105 NO MSK0026-106 OK SO NEXT I JUST WANTED TO DO THE PHYSICAL EXAM PORTION AND ASK YOU TO HAVE A LOOK AT THE KNEE FIRST AND LET ME KNOW IF THE IF YOU'RE HAVING ANY SWELLING REDNESS MSK0026-108 OR WARMTH TO THE KNEE COMPARED TO THE OTHER SIDE SURE SORRY SO YOU ARE HAVING HAVING MSK0026-110 SWELLING WARMTH AND REDNESS TO THE RIGHT KNEE OK AND ARE YOU HAVING PAIN TO LIKE PALPATION IS THERE A SPECIFIC SPOT YOU CAN PRESS ON THAT MSK0026-111 CAUSES A SHARP PAIN SO JUST BELOW THAT KNEECAP AREA THERE IS SOME SWELLING THERE AND WHEN I PRESS DOWN ON THAT SWOLLEN AREA IT CAUSES A BIT OF PAIN MSK0026-112 OK AND ARE YOU ABLE TO FULLY BEND BEND AND STRAIGHTEN THE KNEE MSK0026-113 I CAN DO THAT BUT WHEN I BEND MY KNEE IT REALLY HURTS MSK0026-114 OK AND ARE YOU ABLE TO WALK NORMALLY OR DO YOU HAVE A LIMP MSK0026-115 I CAN WALK NORMALLY IT JUST HURTS MSK0026-116 OK SO THAT WAS A EVERYTHING THAT I WANTED TO ASK TODAY ON THE HISTORY AND AND PHYSICAL WAS THERE ANYTHING THAT YOU MAYBE I FORGOT ABOUT YOU WANTED TO ADD MSK0026-117 NO MSK0026-118-1 I DON'T THINK SO MSK0026-118-2 OK SO RIGHT NOW IT'S SOUNDING LIKE THIS COULD POSSIBLY BE A KNEE BURSITIS OR PREPATELLAR OR SORRY INFRA PATELLAR MSK0026-118-3 BURSITIS OR A PREPATELLAR BURSISTIS WHICH ARE THE KIND OF THE MORE COMMON TYPES ONE THING TO MAKE SURE THAT WE MSK0026-118-4 RULE OUT WOULD BE A SEPTIC BURSITIS ALTHOUGH YOU'RE NOT HAVING ANY FEVERS OR CHILLS SO THAT MAKES IT MSK0026-119-1 A LITTLE BIT LESS LIKELY BUT IF YOUR SYMPTOMS ARE GETTING WORSE AND YOU'RE DEVELOPING A FEVER IT'S BECOMING EVEN MORE PAINFUL THEN CERTAINLY WILL HAVE TO RULE OUT INFECTION MSK0026-119-2 AND AS WELL IF THINGS ARE NOT IMPROVING POTENTIALLY A STRUCTURAL DISEASE AND ANY SUCH AS A MENISCAL INJURY OR MSK0026-119-3 LIKE A LIGAMENTAL INJURY FROM ALL OF THE LIKE KNEELING AND AND REPETITIVE MOVEMENTS BUT MSK0026-121 NOW I THINK IT'S MOSTLY SOUNDING LIKE A KNEE BURSITIS OK OK AND TREATMENT FOR THAT WILL BE ACTIVITY MODIFICATION MSK0026-122 AS WELL AS USING THINGS LIKE MSK0027-000 HOW MAY I HELP YOU MSK0027-001 HI I'M HERE WITH MY THREE YEAR OLD DAUGHTER AND SHE'S BEEN HOLDING HER ELBOW AWKWARDLY AND SHE SEEMS LIKE SHE'S IN PAIN AND SO I WAS JUST WONDERING IF LIKE SOMETHING HAPPENED TO HER ELBOW AND IF YOU CAN FIX IT MSK0027-002 FOR SURE OK SO IS SHE HOLDING HER ARM LIKE ANY PARTICULAR POSITION LIKE WITH HER ELBOW KIND OF FLEXED OR IS HER ARM EXTENDED MSK0027-003 IT'S IT SEEMS KIND OF FLEX IS HOLDING IT AWKWARDLY AND SHE CAN'T SHE SHE'S NOT SHE'S NOT STRETCHING IT MSK0027-004 OK AND WHEN DID THIS START WHEN DID YOU FIRST NOTICE MSK0027-005 I NOTICE THIS YESTERDAY MSK0027-006 OK AND AND I HAD SHE BEEN HOLDING HER HER ARM KIND OF LIKE THIS THE WHOLE TIME MSK0027-007 THERE'S JUST LIKE A SLIGHT BEND TO IT IT'S NOT FULLY STRAIGHTENED IT'S NOT FULLY LIKE FULLY FLEXED IT'S JUST KIND OF HANGING OUT HER SIDE MSK0027-008 OK AND HAS THERE BEEN ANYTHING THAT'S MSK0027-009 MADE THE PAIN WORSE NO I DON'T THINK SO I THINK NO I THINK SHE SHE'S JUST BEEN HOLDING IT AWKWARDLY LIKE THAT I I'M ASSUMING SO IT DOESN'T CAUSE MORE PAIN MSK0027-010 OK AND IS THE PAIN SHARP BURNING OR ACHY MSK0027-011 I THINK IT'S IT'S IT'S MSK0027-012 SHARP A SHARP PAIN OK AND DOES THE PAIN RADIATE ANYWHERE ELSE LIKE PAIN IN THE HAND OR WRIST OR PAIN UP INTO THE ARM OR SHOULDER MSK0027-013 I DON'T THINK SO MSK0027-014 OK AND HAS THERE BEEN LIKE WAS THERE ANYTHING THAT HAPPENED AROUND THE TIME THAT YOU FIRST NOTICED HER HOLDING HER ARM LIKE THIS SUCH AS A FALL OR MAYBE LIKE SOMEBODY PULLING ON ON HER HAND LIKE SWINGING HER FROM HER ARM OR ANYTHING LIKE THAT MSK0027-015 I KNOW HER FATHER WAS SWINGING HER ARMS YESTERDAY THEY WERE PLAYING IN THE PARK SO MAYBE MSK0027-016 OK SO JUST SHE'S SWINGING FROM ARMS YESTERDAY OK AND HAS SHE TALKED ABOUT HAVING ANY NUMBNESS OR TINGLING MSK0027-017 NO MSK0027-018 OK AND ANY MUSCLE WEAKNESS THAT YOU'VE NOTICED MSK0027-019 NO NO MUSCLE WEAKNESS MSK0027-023 FEVERS OR CHILLS NO OK MSK0027-025 AND IT HAS SHE HAD ANY HEADACHES NO HAS SHE HAD ANY SENSORY CHANGES LIKE ANY ISSUES WITH VISION OR HEARING MSK0027-027 NO ANY ISSUES WITH SENSE OF SMELL OR TASTE MSK0027-028 NO MSK0027-029 HOW SHE HAD A COUGH OR SORE THROAT MSK0027-030 NO MSK0027-031 OK HAS SHE HAD ANY NIGHT SWEATS MSK0027-032 NO MSK0027-033 AND HAS SHE HAD ANY WEIGHT LOSS MSK0027-034 NO MSK0027-035 OK AND YOU HAS SHE HAD A RUNNY NOSE OR SORE THROAT MSK0027-036 NO MSK0027-037 HOW ABOUT A COUGH OR SHORTNESS OF BREATH MSK0027-038 NO MSK0027-039 HAS SHE HAD ANY WHEEZING OR CHEST PAIN MSK0027-040 NO MSK0027-041 ALRIGHT AND ANY ABDOMINAL PAIN MSK0027-042 NO MSK0027-043 ANY NAUSEA OR VOMITING MSK0027-044 NO MSK0027-045 ANY DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL MSK0027-046 NO MSK0027-047 ANY CHANGES TO HER URINARY PATTERNS MSK0027-048 NO MSK0027-049 OK AND AS YOU HAD ANY APPETITE LOSS MSK0027-050 NO MSK0027-051 HOW IS YOUR ENERGY BEEN MSK0027-052 IT'S BEEN THE SAME SHE'S JUST NOT DOING AS MUCH BECAUSE HER ARM IS IN PAIN MSK0027-053 OK BUT MSK0027-055 FATIGUE NO I SEE OK AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION MSK0027-056 NO NOTHING LIKE THAT MSK0027-057 DOES SHE HAVE ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE MSK0027-058 NO MSK0027-059 OK AND HOW ABOUT SKIN CHANGES SUCH AS RASHES OR ANY CHANGES TO HER HAIR OR NAILS MSK0027-060 NO NOTHING LIKE THAT MSK0027-061 OK AND IN THE PAST HAS SHE HAD ANY MEDICAL PROBLEMS OR HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE MSK0027-062 NO SHE'S BEEN PRETTY HEALTHY OTHERWISE MSK0027-063 OK DOES SHE TAKE ANY MEDICATIONS MSK0027-064 NO MSK0027-065 DID SHE HAVE ANY ALLERGIES MSK0027-066 NO MSK0027-067 AND HAS SHE BEEN HOSPITALIZED FOR ANY REASON OR HAS SHE HAD ANY SURGERIES MSK0027-068 NO MSK0027-069 OK ANY CONCERNS FOR REACHING DEVELOPMENTAL MILESTONES SUCH AS WALKING TALKING AND LIKE SOCIAL INTERACTIONS MSK0027-070 NO NO ISSUES THERE MSK0027-071 NO PROBLEMS MSK0027-072 OK AND THEN HOW ABOUT LIKE JUST GROWTH AND AND DEVELOPMENT IS SHE GETTING TALLER AND I'M GAINING WEIGHT MSK0027-073 LIKE THAT'S BEEN PRETTY GOOD MSK0027-074 OK WELL THAT'S GOOD AND WERE THERE ANY CONCERNS WITH THE PREGNANCY WITH HER ANY LIKE GESTATIONAL DIABETES HIGH BLOOD PRESSURE OR INFECTIONS MSK0027-075 NO EVERYTHING WENT SMOOTHLY MSK0027-076 OK WAS SHE AT TERM OR WHERE SHE PRE TERM MSK0027-077 SHE WAS AT TERM SHE WAS LIKE A THIRTY SEVEN POINT ONE TWO WEEKS OR SOMETHING LIKE THAT MSK0027-078 OK AND WAS IT VAGINAL DELIVERY OR C SECTION MSK0027-079 IT WAS VAGINAL MSK0027-080 OK AND WAS THERE ANY REASON FOR HER TO STAY IN HOSPITAL AFTERWARDS MSK0027-081 NO MSK0027-082 OK AND CAN YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION CURRENTLY LIKE WHO IS THE PRIMARY CAREGIVER FOR HER AND LIKE WHO SHE WHO SHE'S LIVING WITH THEN WHEREABOUTS MSK0027-083 AND SHE'S LIVING WITH BOTH HER PARENTS AND MYSELF AS WELL AS HER DAD AND SHE HAS A SEVEN YEAR OLD BROTHER AND WE LIVE IN A HOUSE JUST OUTSIDE OF LONDON MSK0027-084 I SEE OK AND IS SHE GOING TO DAYCARE RIGHT NOW OR ANYTHING LIKE THAT MSK0027-085 NO SHE'S SHE'S AT HOME WITH ME MSK0027-086 OK SHE BEEN AROUND ANYBODY WHO'S BEEN SICK MSK0027-087 NO MSK0027-088 AND HAVE YOU TRAVELED ANYWHERE MSK0027-089 NO MSK0027-090 OK AN ANY CONCERN FOR LIKE PHYSICAL OR EMOTIONAL VIOLENCE IN THE HOME MSK0027-091 NO NOTHING LIKE THAT MSK0027-092 OK AND IS THERE ANYBODY WHO SMOKES IN THE HOME MSK0027-093 NO NO ONE SMOKES AT HOME MSK0027-094 OK AND ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY MSK0027-095 NO MSK0027-096 HOW ABOUT ANY HEART OR LUNG CONDITIONS MSK0027-097 NO MSK0027-098 OK SO I ASK YOU TO JUST HAVE A LOOK AT HER ELBOW NOW AND MSK0027-099 SURE MSK0027-100 LET ME KNOW THE IF YOU'RE SEEING ANY SWELLING OR REDNESS MSK0027-101 OK AND SO THE ELBOWS LOOK FINE NEITHER ELBOW APPEARS RED OR SWOLLEN MSK0027-102 OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY JOINT DEFORMITY OR OR MALALIGNMENT MSK0027-103 NO I DON'T SEE THAT I ALSO ACTUALLY IT MIGHT BE SLIGHTLY IT LOOKS A LITTLE BIT AWKWARD THE WAY SHE'S HOLDING IT SO I CAN'T TELL IF IT'S MISALIGNED MSK0027-104 OK AND ANY SKIN CHANGES OVER THE ELBOW MSK0027-105 NO MSK0027-106 ALRIGHT IF YOU WERE TO PRESS OVER VARIOUS PORTIONS OF THE ELBOW ARE THERE ANY AREAS THAT CAUSE PAIN LIKE THE LATERAL SIDE MEDIAL SIDE OR ANTERIOR POSTERIOR MSK0027-107 IT HURTS SHE'S IN PAIN WHENEVER I TOUCH ANYWHERE NEAR THE ELBOW AREA MSK0027-108 OK AND IS THERE ANY PAIN WITH WITH MSK0027-109 MOVEMENT YES WHENEVER I TRIED TO BEND IT OR STRAIGHTEN IT OUT ALL THE WAY SHE SHE COMPLAINTS OF PAIN MSK0027-110 OK HOW ABOUT MOVING THE REST OR SHOULDER MSK0027-111 NO THAT'S FINE MSK0027-112 OK SO THAT THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT AND AND LOOK FOR ON THE PHYSICAL TODAY DID YOU HAVE ANYTHING ELSE THAT PERHAPS I FORGOT TO MENTION THAT MIGHT BE IMPORTANT MSK0027-113 NO THAT WAS KIND OF IT I JUST WAS WONDERING HOW WE CAN FIX HER ELBOW MSK0027-114-1 I YEAH CERTAINLY SO IT WILL BE SO WHEN I GET AN ELBOW X RAY AND MSK0027-114-2 BUT TYPICALLY TO FIX THIS TYPE OF INJURY SO CURRENTLY I'M THINKING THIS COULD BE A LIKE A RADIAL HEAD SUBLUXATION AND POSSIBLY A RADIAL HEAD MSK0027-114-3 FRACTURE BUT MOST LIKELY I RADIAL HEAD SUBLUXATION WHERE THERE'S A MECHANISM OF PULLING ON A CHILD'S ARM AND IT'S JUST THAT THE WHAT COULD HAPPEN IS THE MSK0027-114-4 PART OF THE RADIUS WHICH IS THAT A FOREARM BONE CAN PULL OUT OF THE LIGAMENT THAT'S HOLDING IT DOWN MSK0027-115 OK MSK0027-116-1 JUST BECAUSE OF THE STRUCTURES THERE NOT YET FULLY MATURED AND STRONG AND SOMEBODY WHO'S THAT YOUNG AND SO IT WILL CAUSE PAIN REDUCED RANGE OF MOTION AT THE ELBOW MSK0027-116-2 AND YOU WON'T REALLY SEE MUCH SWELLING OR REDNESS AND WITH JUST THE PHYSICAL EXAM MANEUVER YOU CAN REDUCE IT MSK0027-116-3 AND AND THEN PUT THE HEAD OF THE RADIUS BACK INTO PLACE AND THINGS WILL BE USUALLY BACK TO BACK TO NORMAL BUT IF THERE IS A FRACTURE WHICH WILL LOOK FOR AN X RAY THEN MSK0027-116-4 THERE THE PAIN MIGHT BE LAST A LITTLE BIT LONGER BUT IMMOBILIZATION OF THE ARM IS NOT REQUIRED AND MOST KIDS WILL REGAIN FULL MOBILITY IN IN A SHORT TIME AFTER THE MSK0027-117 OK THAT SOUNDS GOOD THANK YOU MSK0028-000 HOW MAY I HELP YOU MSK0028-001-1 I JUST CAME IN BECAUSE I'VE BEEN HAVING THIS JUST JUST YESTERDAY IT STARTED THIS SUDDEN JUST PAIN OVER THE FRONT OF MY KIND OF LIKE A SHOULDER AN ALSO ELBOW MSK0028-001-2 AND IT WAS RIGHT AFTER DOING I WAS JUST DOING SOME WORKOUT AND THIS PAIN JUST STARTED AND IT'S JUST LIKE A STABBING SHARP PAIN THAT HASN'T REALLY GONE AWAY SINCE THEN MSK0028-002 OK AND SO WHAT ACTIVITY WERE YOU DOING SPECIFICALLY MSK0028-003-1 SO I WAS DOING SO I WAS JUST DOING WEIGHT TRAINING AND I WAS KIND OF FLEXING MY ELBOWS AND I WAS WORKING ON MY BICEPS MSK0028-003-2 I WAS ON THAT MACHINE WHERE YOU SO KNOW I WASN'T USING WEIGHTS OR DOING CURLS BUT I WAS WORKING ON MY BICEPS MSK0028-003-3 AND I THINK I DID HEAR I DON'T THINK I HEARD LIKE ANY POP OR ANYTHING BUT RIGHT AFTER THAT I JUST HAD THIS SUDDEN SHARP PAIN IN MY SHOULDER AS WELL AS MY ELBOW MSK0028-004 OK SO YOU YOU YOU THINK YOU HEARD A POP AT THAT TIME MSK0028-005 I'M NOT SURE IF I HEARD A POP ACTUALLY I THINK I MIGHT HAVE THOUGH MSK0028-006 OK AND DID THE PAIN START IMMEDIATELY OR OR A BIT LATER ON MSK0028-007 THE PAIN I THINK IT STARTED PRETTY SOON AFTER LIKE PROBABLY WITHIN LIKE HALF AN HOUR OF THAT HAPPENING MSK0028-008 OK AND WHERE IS THE PAIN LOCATED NOW MSK0028-009 THE PAIN RIGHT NOW IS A JUST KIND OF RIGHT AT THE FRONT OF MY RIGHT ELBOW AS WELL AS NEAR MY SHOULDER AS WELL MSK0028-010 OK AND I THINK YOU MENTIONED THE PAIN AS AS BEING SHARP IS THAT HOW YOU WOULD DESCRIBE THE CHARACTER OF THE PAIN MSK0028-011 IT'S SHARP I JUST FEEL LIKE SOMETHING STABBING IN THERE MSK0028-012 OK AND DOES THE PAIN RADIATE ANYWHERE ELSE MSK0028-013 NO IT'S KIND OF IN THE SAME AREA AS THEY DESCRIBED MSK0028-014 OK HAS THERE BEEN ANYTHING YOU'VE TRIED TO MAKE THE PAIN BETTER MSK0028-015 NO NOTHINGS I TRIED LIKE ADVIL NOTHINGS REALLY WORKED MSK0028-016 OK AND SORRY HOW LONG IS HOW MANY DAYS IS THE PAIN BEEN ON GOING ON FOR JUST JUST STARTED YESTERDAY MSK0028-017 YESTERDAY MSK0028-018 OK AND SINCE THEN HAS THE PAIN GETTING ANY BETTER OR ANY WORSE MSK0028-019 I THINK IT'S THE SAME PROBABLY A BIT WORSE THAN SO IT JUST HAPPENED LAST EVENING AND I I DIDN'T END UP COMING LAST NIGHT BUT I WANTED TO MAKE SURE I'M JUST COMING THIS MORNING SINCE IT'S JUST BEEN A REALLY PAINFUL NIGHT MSK0028-020 OK HAVE YOU DONE ANYTHING THAT'S MADE THE PAIN WORSE SINCE LAST NIGHT MSK0028-021 NO I JUST TRIED TO JUST REST AND I TRIED TO USE SOME ICE BUT NOTHING NOTHING'S BEEN WORKING AND I KIND OF ALSO HAVE LIKE THIS IT IT'S WEIRD IT'S JUST LIKE THIS MASS RIGHT WHERE MY BICEPS IS IT KIND OF JUST MAKES MY BICEPS LOOK REALLY BIG MSK0028-022 OK ALRIGHT WELL I SKIP LOOK AT THAT DURING THE PHYSICAL EXAM COMPONENT THANK YOU AND SO LIKE ARE YOU SEEING SWELL IS THERE LIKE SWELLING THERE IS AS WELL OR IS IS THAT PART PAINFUL MSK0028-023 IT'S PAINFUL THERE SWELLING THERE AS WELL MSK0028-024 OK AND WELL HOW SEVERE IS THE PAIN ON A SCALE OF TEN TO ONE TEN BEING THE WORST PAIN THAT YOU'VE EVER EXPERIENCED AND ONE BEING THE LEAST MSK0028-025 PROBABLY AT LEAST AN EIGHT MAYBE A NINE MSK0028-026 OK SO THE PAIN IS PRETTY SEVERE THEN IT SOUNDS LIKE OK HAVE YOU HAD ANY FEVERS OR CHILLS MSK0028-027 NO MSK0028-028 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS MSK0028-029 NO MSK0028-030 OK AND HAVE YOU HAD ANY APPETITE LOSS MSK0028-031 NO MSK0028-032 OK AND HAVE YOU HAD ANY HEADACHES MSK0028-033 NO MSK0028-034 HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO VISION OR HEARING MSK0028-035 NO NOTHING LIKE THAT MSK0028-036 ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE MSK0028-037 NOPE MSK0028-038 HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT MSK0028-039 NO NOTHING LIKE THAT MSK0028-040 OK HAVE YOU HAD A COUGH MSK0028-041 NO MSK0028-042 ANY SHORTNESS OF BREATH MSK0028-043 NO MSK0028-044 OK ANY WHEEZING MSK0028-045 NO MSK0028-046 HAVE YOU HAD ANY CHEST PAIN MSK0028-047 NO MSK0028-048 HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING MSK0028-050 NO ANY LIGHTHEADEDNESS OR DIZZINESS MSK0028-052 OK AND HAVE YOU HAD ANY ABDOMINAL PAIN MSK0028-053 NO MSK0028-054 ANY NAUSEA OR VOMITING MSK0028-055 NO MSK0028-056 ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION OR EVEN BLOOD IN THE STOOL MSK0028-057 NO NOTHING LIKE THAT MSK0028-058 OK ANY URINATION PROBLEMS SUCH AS PAIN OR FREQUENCY MSK0028-059 NOPE MSK0028-060 OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR SKIN LIKE RASHES OR CHANGES TO YOUR NAILS OR HAIR MSK0028-061 NO MSK0028-062 ALRIGHT AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR TINGLING MSK0028-063 NO I DON'T THINK SO MSK0028-064 OK AND HAVE YOU HAD ANY MSK0028-065 MUSCLE WEAKNESS JUST JUST IN THE IN THAT AREA I CAN'T REALLY LIKE I CAN'T REALLY FLEX AN REALLY MOVE MY UPPER UPPER ARM IN MY ELBOW MSK0028-066 OK DO YOU HAVE ANY PAINS IN ANY OTHER JOINTS MSK0028-067 NO THAT'S IT'S ONLY MY RIGHT UPPER ARM MSK0028-068 OK AND HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS MSK0028-069 NO OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS MSK0028-070 NO I'VE BEEN PRETTY HEALTHY I THEY THINK I DO HAVE LIKE PRE DIABETES BUT I'M NOT ON ANY MEDICATION MSK0028-071 OK AND HAVE YOU HAD ANY ISSUES WITH YOUR SHOULDER BEFORE LIKE LIKE A SUBACROMIAL LIKE IMPINGEMENT SYNDROME OR LIKE A ROTATOR CUFF PAINS OR PROBLEMS IN THE PAST MSK0028-072 A FEW YEARS AGO I DID HAVE SOME PAIN WITH LIKE SOME THEY THEY TOLD ME NOT TO DO LIKE OVERHEAD WORK LIKE JUST THINGS THAT REQUIRE LIKE WITH PHYSIO I NEED TO DO SOME STRENGTHENING AS WELL AND IT WAS IT WASN'T THE SAME SAME SHOULDER MSK0028-073 OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY MSK0028-075 NO OK AND DO YOU HAVE ANY ALLERGIES MSK0028-076 NO MSK0028-077 HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES MSK0028-078 I HAD MY TONSILS REMOVED WHEN I WAS PROBABLY LIKE TEN OR SOMETHING BUT THAT'S ABOUT IT MSK0028-079 OK AND FOR THE SHOULDER IN THE PAST DID YOU HAVE ANY IMAGING DONE LIKE AN ULTRASOUND OR OR MRI MAYBE TO LOOK AT THE STRUCTURES MSK0028-080 NO IT WAS JUST A IT KIND OF WENT AWAY I JUST DID SOME PHYSIO THEY DIDN'T REALLY DO ANY IMAGING MSK0028-081 I SEE OK AND CAN YOU TELL ME A LITTLE ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE YOU'RE LIVING WITH AND WHERE MSK0028-082 SO I'M LIVING WITH MY WIFE AND DAUGHTER AND I'M LIVING JUST MSK0028-083 IN A CONDOMINIUM IN THE CITY MSK0028-084 OK AND ARE YOU WORKING RIGHT NOW SO I'M AN ACCOUNTANT I'M WORKING FROM HOME SO IT'S NOT THAT BAD BUT I I MIGHT JUST TAKE A FEW DAYS OFF MSK0028-085 DEPENDING ON WHAT I HAVE TO DO WITH THIS INJURY OK AND DO YOU AND HOBBY WISE YOU MENTIONED LIKE WEIGHT LIFTING ARE YOU AN ACTIVE PERSON LIKE BODYBUILDING AND THAT SORT OF THING REGULARLY MSK0028-086 I I JUST ACTUALLY PROBABLY STARTED THIS PAST YEAR I USED TO I USED TO WORKOUT A LOT IN UNIVERSITY AND IN MY EARLY THIRTIES BUT THEN I STOPPED AND THIS YEAR I'VE KIND OF GONE BACK INTO IT MSK0028-087 OK WELL IT'S GOOD THAT YOU'RE STAYING ACTIVE AND MSK0028-088 DO YOU SMOKE CIGARETTES NO I PROBABLY TRIED A COUPLE TIMES AND HIGH SCHOOL AND UNIVERSITY MSK0028-089 BUT JUST IT WAS NEVER MY THING OK AND HOW ABOUT CANNABIS LIKE SMOKING MARIJUANA OR USING ANY OF THOSE TYPES OF PRODUCTS MSK0028-090 NO I I TRY TO STAY AWAY FROM ANY DRUGS MSK0028-091 OK INCLUDING RECREATIONAL DRUGS MSK0028-092 OK AND ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL PROBLEMS THAT THAT RUN IN THE FAMILY MSK0028-093 NOT THAT I KNOW OF NO MSK0028-094 OK NOW HOW ABOUT ANY AUTOIMMUNE DISEASES MSK0028-095 NO I DON'T THINK SO MSK0028-096 OK SO NEXT I JUST WANTED TO ASK YOU TO HAVE A LOOK AT THE AT THE ARM COMPARED TO THE OTHER SIDE ARE YOU NOTICING MSK0028-097-1 ANY SWELLING REDNESS OR YEAH ANY SWELLING OR REDNESS MSK0028-097-2 I DO SEE SOME JUST LIKE KIND OF LIKE IN THE MIDDLE OF THIS AREA SOME REDNESS KIND OF LOOKS LIKE SOME BRUISING IN IN THAT IN THAT REGION I ALSO FEEL LIKE MSK0028-097-3 WHEN I LIKE TRY TO FLEX MY MSK0028-098 BICEPS KIND OF HAVE MOVED UPWARDS OK IS THIS THE MASS OR LUMP THAT I YOU WERE MENTIONING EARLIER THAT YOU KINDA CAN NOTICE IN THE IN YOUR RIGHT ARM MSK0028-099 OK IS THERE ANY TEMPERATURE CHANGE LIKE DOES IT FEEL WARM ON THAT SIDE MSK0028-100 I CAN'T REALLY TELL IF IT'S WARM OR NOT MSK0028-101 OK AND YOU SO YOU MENTIONED ARE YOU ABLE TO BEND YOUR ELBOW ALL THE WAY UP SO TO FLEX IT ALL THE WAY UP OR IS A RANGE OF MOTION LIMITED MSK0028-102 IT'S PRETTY LIMITED IT'S PRETTY TOUGH TO FLEX IT'S REALLY PAINFUL AND THAT I ALSO CAN'T LIKE I CAN'T TURN MY ARM I CAN'T SUPINATE MSK0028-103 OK SO SO IS THAT SO YOU HAVE REDUCED SUPINATION AS WELL MSK0028-104 AND HOW ARE YOUR SHOULDER MOVEMENT ARE YOU ABLE TO LIKE IF YOU'RE LIFTING YOUR ARMS STRAIGHT OUT IN FRONT OF YOU ARE YOU ABLE TO TO LIFT THEM ALL THE WAY UP ABOVE YOUR HEAD MSK0028-105 OUT LIKE AT THE SIDES OR IN FRONT OF ME MSK0028-106 IN FRONT OF YOU MSK0028-107 THE SHOULDER SEEMS TO BE OK I AM ABLE TO LIFT UP BUT IT'S JUST IF I TRY TO MOVE MY UPPER ARMS AT ALL IT HURTS A LOT MSK0028-108 OK ALRIGHT SO YOU'LL GET SOME PAIN AT THE AT THE SHOULDER WITH THE MOVEMENT MSK0028-109 THERE THERE IS DISCOMFORT IN THE AFFECTED SIDE BUT I CAN I CAN MOVE IT MUCH MORE THAN I CAN MOVE MY ELBOWS OR ANYTHING LIKE THAT MSK0028-110 OK I SEE SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT AND AND I LOOK FOR ON ON THE PHYSICAL TODAY WAS THERE ANYTHING I MAY BE MISSED OR ANYTHING LIKE THAT MSK0028-111 NO I THINK I DON'T HAVE ANY OTHER QUESTIONS MSK0028-112-1 OK SO BASED ON THE HISTORY AND WHAT YOU'RE TELLING ME FOR THE PHYSICAL AS WELL OF HAVING A HISTORY OF EXERCISING AND ALSO SHOULDER PAIN WITH OVERHEAD HEAD MOVEMENTS MSK0028-112-2 WHICH ARE RISK FACTORS FOR DEVELOPING A BICEPS TENDON TEAR OR BICEPS TENDON INJURY MSK0028-112-3 AND HAVING THE SWELLING AND BRUISING AS WELL AS REDUCED FUNCTION OF BICEPS OR ELBOW FLEXION THEY ALL SUGGESTS THAT THERE IS A BICEPS TENDON TEAR OR INJURY THERE MSK0028-112-4 AND SO WILL WANT TO GET AN ULTRASOUND OR MRI TO LOOK AT WILL START WITH THE ULTRASOUND BUT THEN POSSIBLY GET AN MRI AS WELL TO LOOK AT THE EXTENT OF THE TISSUE DAMAGE MSK0028-112-5 BUT IF THERE IS JUST A LONG HEAD OF BICEPS TEAR IT WILL USUALLY BE TREATED CONSERVATIVELY AND SO WE'LL JUST NEED TO LOOK TO SEE WHAT THE EXTENT OF THE INJURY MSK0029-000 WHAT BRINGS YOU IN MSK0029-001-1 HI YESTERDAY I I WAS GROCERY SHOPPING AND JUST IN THE PARKING LOT SOMEBODY BUMPED INTO MY CAR AND MSK0029-001-2 THIS MORNING I WOKE UP AND MY NECK IS JUST REALLY PAINFUL IT HURT YESTERDAY A LITTLE BIT BUT I MEAN IT WAS SO MILD I DIDN'T THINK MUCH OF IT BUT MSK0029-002 TODAY IT'S IT'S QUITE A BIT WORSE OK SO CAN YOU TELL ME HOW THIS ACCIDENT HAPPENED WERE YOU SITTING IN THE PASSENGER SEAT AND THE DRIVER AND WAS THE IMPACT FROM LIKE BEHIND AT THE BACK OF YOUR CAR OR AT THE FRONT MSK0029-003-1 IT WAS AT THE BACK SO I WAS THE DRIVER AND WAS JUST GOING OVER A SPEED BUMP IN THE PARKING LOT SO SLOWED DOWN QUITE A BIT AND THE PERSON BEHIND ME MSK0029-003-2 MUST NOT HAVE AND THEY BUMPED INTO ME THERE'S JUST SOME SCRATCHES ON THE BUMPER THEY DIDN'T HIT TOO HARD BUT I I GUESS MAYBE HARD ENOUGH MSK0029-004 OK AND DID THE NECK PAIN START IMMEDIATELY AFTER MSK0029-005 NO IT'S I LIKE NOT IMMEDIATELY I THINK IT STARTED A BIT LATER ON AND THEN WORSE A BIT A BIT TODAY MSK0029-006 OK ALRIGHT AND IS THERE PAIN ANYWHERE ELSE ON YOUR BODY MSK0029-007 REALLY LIKE MY NO JUST JUST REALLY MY NECK MSK0029-008 OK OK AND DOES ANYTHING FEEL BROKEN DO ARE THERE BRUISES ANYWHERE ANY OBVIOUS SIGNS OF TRAUMA MSK0029-009 NO I CAN'T I DIDN'T NOTICE ANYTHING LIKE THAT AND I CAN MOVE MY NECK AROUND SO I DON'T THINK ANY I DON'T I DON'T THINK ANYTHING IS BROKEN JUST HURTS A LOT MSK0029-010 ALRIGHT AND IS A PAIN CONSTANTLY THERE OR DOES IT COME AND GO MSK0029-011 IT KIND OF COMES AND GOES IT JUST IT'S WORSE WITH MOVEMENT IF I JUST KINDA SIT STILL I DON'T NOTICE MUCH PAIN BUT IF I'M BETTING MY HEAD FORWARD OR MOSTLY BACKWARDS SO I'LL GET I'LL GET PAIN MSK0029-012 OK AND YOU SAID THIS HAPPENED MSK0029-013 YESTERDAY RIGHT MSK0029-014 THIS HAPPENED YESTERDAY AFTERNOON OK AND DOES ANYTHING MAKE THIS BETTER LIKE HAVE YOU TRIED ICE SAY ANY TOPICALS ANY POSITIONS THAT MSK0029-015 THAT HELPS WITH THE PAIN I DID TRY SOME LIKE ADVIL LAST NIGHT BUT LIKE WHEN I WHEN THE PAIN WAS COMING ON AND IT MUST'VE HELPED ME SLEEP I GUESS BUT I HAVEN'T TRIED ANY ICE OR ANYTHING LIKE THAT JUST MOSTLY MSK0029-016 I GUESS RESTING OK SO YOU SAID THE PAIN IS AT THE BACK OF THE NECK DOES IT RADIATE ANYWHERE UP INTO YOUR HEAD OR DOWN INTO YOUR SHOULDERS OR LOWER OR UPPER BACK MSK0029-017 MAYBE A LITTLE BIT TO THE UPPER BACK LIKE WHEN I LIKE TRAP TRAPEZIUS MUSCLE AREA OR THE TRAPS LIKE IT IF I PUSH ON THOSE MUSCLES AROUND THAT AREA I DO GET A LITTLE BIT OF TENDERNESS MSK0029-018 OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY IT'S SHARP DULL ACHY THROBBING HOW WOULD YOU DESCRIBE IT MSK0029-019 I WOULD SAY IT'S SHARP ESPECIALLY IF I DO ANY MOVEMENTS LIKE IT'LL BE FEELS LIKE I MEAN IT STABBED IN THE NECK MSK0029-020 OK ALRIGHT AND HAVE YOU EVER HAD IT HAD PAIN LIKE THIS IN THE PAST MSK0029-021 NO THIS IS THE FIRST TIME MSK0029-022 OK AND DO YOU FEEL LIKE IT'S GETTING WORSE THE PAIN SINCE IT STARTED YESTERDAY MSK0029-023 IT COULD BE THAT AT FIRST I DIDN'T EVEN HAVE ANY PAIN AT ALL MAYBE IT WAS JUST THE ADRENALINE PUMPING OR WHATEVER BUT NOW I CAN NOTICE THE PAIN MSK0029-024 OK OK AND ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW BAD IS THIS PAIN MSK0029-025 IT WOULD BE I WOULD SAY PROBABLY A SIX OR A SEVEN MSK0029-026 OK OK AND HAVE YOU HAD ANY TINGLING OR NUMBNESS MSK0029-027 NO I HAVEN'T HAD ANYTHING LIKE THAT MSK0029-028 OK ANY DIZZINESS OR FAINTING SPELLS MSK0029-029 NO MSK0029-030 CONFUSION OR MEMORY LOSS MSK0029-031 NO MSK0029-032 ANY HEADACHES MSK0029-034 I NO NO OK AND MSK0029-035-1 IS THIS AFFECTING YOUR SLEEP AT ALL MSK0029-035-2 OH NO I GUESS LIKE LAST NIGHT IT WAS A LITTLE BIT MORE DIFFICULT BECAUSE I WAS JUST I SLEPT MSK0029-035-3 I I JUST ON MY BACK SO THAT I WASN'T MOVING AROUND AS MUCH SO THAT WAS A LITTLE BIT AWKWARD BUT I WAS ABLE TO SLEEP THOUGH MSK0029-036 OK I KNOW YOU SAID YOU HAVE SOME PAIN WITH CERTAIN MOVEMENTS BUT DO YOU FIND IT'S HARD TO MOVE YOUR NECK AT ALL MSK0029-037 OH IT FEELS A BIT STIFF BUT LIKE I'M ABLE TO MOVE IT BUT I FEEL STIFF MSK0029-038 OK ANY ISSUES WITH VISION LIKE IS IT BLURRY MSK0029-039 NO MSK0029-040 NO HOW ABOUT RINGING IN YOUR EARS MSK0029-041 NO MSK0029-042 NO ANY SORRY YES THAT ANY ISSUES CONCENTRATING ON ON TASKS MSK0029-043 THIS MORNING I I GUESS IT'S BEEN A LITTLE BIT MORE DIFFICULT TO FOCUS ON THINGS BUT MAYBE I WAS JUST WORRIED LIKE FOCUSING ON THE PAIN IN MY NECK MSK0029-044 FOR SURE ANY FEVERS OR CHILLS MSK0029-045 NO MSK0029-046 ANY CHANGES IN YOUR WEIGHT MSK0029-047 NO MY WEIGHT IT'S BEEN BEEN THE SAME MSK0029-048 ANY CHANGES TO YOUR HEARING MSK0029-049 NO THAT'S BEEN BEEN NORMAL MSK0029-050 SMELL OR TASTE MSK0029-051 THAT'S BEEN NORMAL MSK0029-052 CHEST PAIN OR HEART PALPITATIONS MSK0029-053 NO NOTHING LIKE THAT MSK0029-054 OK NO COUGH SHORTNESS OR BREATH SHORTNESS OF BREATH OR WHEEZING MSK0029-055 NO NONE OF THAT MSK0029-056 HOW ABOUT ISSUES WITH THEIR BOWEL MOVEMENTS MSK0029-057 NO I HAVEN'T HAD ANY DIARRHEA OR ANY ANY ANY CONSTIPATION NOTHING LIKE THAT MSK0029-058 OK ANY NAUSEA VOMITING MSK0029-059 NO NAUSEA OR VOMITING MSK0029-060 CHANGES IN YOUR APPETITE MSK0029-061 NO THAT MY APPETITE'S BEEN GOOD MSK0029-062 OK HOW ABOUT CHANGES IN URINE MSK0029-063 NO I HAVEN'T HAD ANY ANY CHANGES TO OR ANY URINARY SYMPTOMS AT ALL MSK0029-064 OK OK THAT'S GOOD AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS MSK0029-065 NO I AM OTHERWISE HEALTHY I JUST I'D TAKE BIRTH CONTROL AND I AM A MULTI VITAMIN BUT THAT'S IT SO NO MEDICAL CONDITIONS MSK0029-066 OK ALRIGHT THAT'S GOOD AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST MSK0029-068 NO I HAVEN'T NO OK MSK0029-069 HOW ABOUT MEDICATIONS ARE YOU ON ANY JUST THE THE THE BIRTH CONTROL THAT I'M I'M TAKING I'VE BEEN MSK0029-070 TAKING THAT FOR ABOUT FIVE YEARS NOW FIVE YEARS OK ANY SIDE EFFECTS MSK0029-071 OR ANY ISSUES WITH THAT NO IT'S BEEN GOOD DAY I I'VE BEEN REALLY HAPPY WITH IT OVERALL TOO THEY MSK0029-072 HELP REGULATE MY CYCLES OK OK GOOD AND THEN ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS MSK0029-073 I AM YES I'LL GET THE FLU SHOT EVERY YEAR MSK0029-074 OK THAT'S GOOD DO YOU HAVE ANY ALLERGIES MSK0029-075 I DO BUT IT'S I THINK THEY'RE JUST ALL ENVIRONMENTAL CAUSE I'LL TYPICALLY GET ISSUES WITH SEASONAL CHANGES AND THEN THEN IT GOES AWAY MSK0029-076 OH I SEE OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS MSK0029-077 I THINK MY DAD HAS HIGH BLOOD PRESSURE AND DIABETES BUT NO HEART OR OR LUNG CONDITIONS MSK0029-078 OK HOW ABOUT A MUSCULOSKELETAL ISSUES MSK0029-079 I THINK MAYBE OSTEOARTHRITIS AND MY GRANDPA GRANDPARENTS BUT MSK0029-080 OK MSK0029-081 BUT MSK0029-082 HOW ABOUT AN AUTOIMMUNE CONDITIONS MSK0029-083 NO NOTHING LIKE THAT MSK0029-084 NO OK HOW ABOUT CANCERS MSK0029-085 NO CANCERS MSK0029-086 OK AND THEN DO YOU SMOKE MSK0029-087 NO I DON'T NO I'VE NEVER SMOKED BEFORE MSK0029-088 OK HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM MSK0029-089 NO I DON'T MSK0029-090 OK AND THEN DO YOU DRINK ALCOHOL MSK0029-091 EVERY ONCE IN A WHILE I'LL HAVE A GLASS OF WINE BUT IT'S USUALLY A SOCIAL THING OR OR AT CHRISTMAS MSK0029-092 OK COME HAVE OUT IN TERMS OF SICK CONTACTS HAVE YOU HAD ANY RECENTLY MSK0029-093 I DON'T BELIEVE SO I'VE BEEN GOING TO WORK I WORK AS A BANK TELLER BUT EVERYBODY AT WORK HASN'T BEEN SICK AND WE'VE BEEN USING MASKS AND MSK0029-094 CLEANING OUR HANDS AND ALL OF THAT SORT OF THING OK OK THAT'S GOOD AND HOW ABOUT TRAVEL MSK0029-095 HAVE YOU HAD ANY RECENTLY NO I'VE BEEN PUT AT HOME BUT LOOKING MSK0029-096 FORWARD TO A VACATION THOUGH FOR SURE AND THEN WHERE DO YOU WORK AND WHO DO YOU LIVE MSK0029-097 WITH AND WHERE DO YOU LIVE YES I I WORK AT A BANK AND I LIVE WITH MY HUSBAND AND OUR TIME AND OUR SON HE'S MSK0029-098 HE'S SIX OK OK OK THOSE ARE ALL THE QUESTIONS I HAVE FOR HISTORY WE CAN MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW DID YOU HAVE ANY QUESTIONS BEFORE WE DID THAT MSK0029-099 NO NO THAT SOUNDS GOOD MSK0029-100 OK SO IF YOU HAVE SOMEONE THERE WITH YOU OR IF YOU HAVE A MIRROR OR IF THERE'S ANY WAY YOU CAN TAKE A LOOK AT THE BACK OF YOUR NECK AS WELL AS THE FRONT OF YOUR NECK DO YOU SEE ANY REDNESS OR SWELLING IN THAT AREA MSK0029-101 NO I DON'T MSK0029-102 NO OK DO YOU SEE ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES MSK0029-103 NO NOTHING LIKE THAT MSK0029-104 OK AND THEN WHEN YOU KIND OF JUST WITH THE BACK OF YOUR HAND PLACE IT ON YOUR NECK IN THE FRONT AS WELL AS THE BACK DOES IT FEEL WARM AT ALL MSK0029-105 NO MSK0029-106 NO OK AND THEN I'M GONNA GET YOU TO PALPATE CERTAIN AREAS SO WE'LL START WITH THE CHIN DOES THAT HURT WHEN YOU PRESS DOWN MSK0029-107 NO MSK0029-108 NO OK HOW ABOUT JUST WHERE THE THYROID WOULD BE MSK0029-109 NO PAIN OR NO PAIN THERE MSK0029-110 NO PAIN THERE OK HOW ABOUT TO THE SIDES KIND OF WHERE YOUR STERNOCLEIDOMASTOID MUSCLES ARE MSK0029-111 I THINK LIKE A LITTLE BIT OF TENDERNESS IN THE THE FRONT OF THE NECK MUSCLES THERE MSK0029-112 OK AND THEN HOW ABOUT WHEN YOU MOVE TOWARDS THE BACK AND THEN ON YOUR C SPINE CERVICAL SPINE JUST LIKE AT THE VERY BACK OF YOUR NECK MSK0029-113 SO THERE'S THERE'S NO PAIN WHEN I PUSH ON THE LIKE BONES I CAN FEEL LIKE SO ACTUALLY ON THAT THAT LIKE C SPINE ITSELF THERE'S NO PAIN BUT LIKE OH OFF TO THE SIDE SO ON THE MUSCLES TO THE SIDES OR THERE'S A BIT OF TENDERNESS MSK0029-114 OK SO KIND OF LIKE WHERE SO THERE'S PAIN ON THEIR TRAPEZIUS AND DELTOID MUSCLES MSK0029-115 MORE TRAPEZIUS NOT SO NOT SO MUCH DELTOID AND THEN ALSO MSK0029-116-1 LIKE THE THE PERISPINAL MUSCLES MSK0029-116-2 OK I SEE ALRIGHT OK AND THEN LET'S MOVE ON TO SOME RANGE OF MOTION MSK0029-116-3 EXAM SO I'M GONNA GET YOU TO FLEX YOUR NECK SO MSK0029-118 AT THE GROUND ALL THE WAY AS MUCH AS YOU CAN DOES THAT HURT MSK0029-119 IT DOES IT DOES OK BUT YOU'RE ABLE TO FULLY FLEX YOUR NECK I CAN TOUCH MY CHIN TO MY CHEST ALL ALMOST MSK0029-120 BUT I'LL GET PAIN AT THE BACK OF MY NECK WHEN I DO THAT AND THE FRONT AND THE FRONT OK AND THEN HOW ABOUT WHEN YOU EXTEND YOUR HEAD ALL THE WAY BACK SO THAT YOU'RE MSK0029-121 LOOKING AT THE CEILING I'M ABLE TO DO IT STILL IS A BIT STIFF AND IT'S SLOW TO GET THERE BUT AGAIN I I GET PAIN AT THE BACK IN THE FRONT OF MY NECK WHEN I'M DOING THIS MSK0029-122 OK OK HOW ABOUT WHEN YOU FLEX YOUR NECK TO THE SIDE SO THAT YOUR RIGHT EAR IS TOUCHING YOUR RIGHT SHOULDER MSK0029-123 I GET THERE'S A LITTLE BIT OF A PAIN IN THE MUSCLES ON THE LEFT SIDE WHEN I'M DOING THAT MSK0029-124 OK AND THEN HOW ABOUT WHEN YOU DO THE OPPOSITE TOUCH YOUR LEFT EAR TO YOUR LEFT SHOULDER SO THAT YOU'RE LATERALLY FLEXING YOUR NECK ON THE LEFT SIDE MSK0029-125 A LITTLE BIT OF PAIN THERE TOO BUT I'M ABLE TO DO IT THOUGH MSK0029-126 OK SO YOU'RE ABLE TO DO ALL OF THESE IT'S JUST THAT YOU HAVE SOME PAIN WHEN YOU DO THAT MSK0029-127 EXACTLY I COULD DO ALL OF THE MOVEMENTS BUT IT'S PAIN AND STIFFNESS MSK0029-128 OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN MSK0029-129 NO THAT I JUST WAS WONDERING IF I IF YOU THINK I I DON'T NEEDED AN X RAY OR LIKE YOU THINK THAT ANYTHING IS BROKEN KIND OF LIKE CONCERNED ABOUT TODAY MSK0029-130-1 BECAUSE OF THIS PAIN MSK0029-130-2 FOR SURE SO RIGHT NOW IT JUST TO ME IT SOUNDS LIKE A WHIPLASH INJURY AND SO KIND OF LIKE LOW IMPACT MSK0029-130-3 BUT JUST TO BE CERTAIN WE CAN ORDER AN X RAY TO RULE OUT ANY FRACTURES OR DISLOCATIONS MSK0029-130-4 AND IN TERMS OF LIKE THE MANAGEMENT PLAN FOR PAIN MANAGEMENT YOU CAN REST YOU CAN EITHER APPLY HEAT OR COLD PACKS TO YOUR NECK FOR FIFTEEN MINUTES EVERY MSK0029-130-5 COUPLE OF HOURS OR SO YOU CAN TRY SOME OVER THE COUNTER PAIN MEDICATIONS LIKE IBUPROFEN OR TYLENOL AND IF IT STILL DOESN'T GET BETTER WE CAN TRY LIKE MSK0029-130-6 WE CAN TRY INJECTIONS TO THE AREA TO RELIEVE SOME OF THAT PAIN BUT SOMETHING ELSE IN CONJUNCTION WE CAN TRY AS PHYSIOTHERAPY AND THEY'LL BASICALLY HELP YOU WITH MSK0029-130-7 RANGE OF MOTION EXERCISES AND TRY TO STRENGTHEN THE MUSCLES IN THAT AREA AND TO IMPROVE YOUR POSTURE AND NORMAL MOVEMENT MSK0029-130-8 THAT'S KIND OF WHERE WE CAN START FOR NOW AND IF IT DOESN'T GET ANY BETTER WE CAN TALK ABOUT ALTERNATIVE MANAGEMENT PLANS DOES THAT SOUND OK MSK0029-131 IT DOES THAT THAT MAKES SENSE THANK YOU MSK0029-132 OK NO WORRIES MSK0031-000 HOW CAN I HELP YOU MSK0031-001 HI I JUST WAS BROUGHT IN HERE TODAY I HAD A FALL JUST WAKING UP COMING DOWN THE STAIRS I FELL OFF THE LAST FEW STAIRS AND JUST FELL ONTO THE RIGHT SIDE AND ON RIGHT ONTO MY HEAD AND NOW I COULDN'T EVEN I COULD BARELY STAND UP AND PUT ANY WEIGHT ON MY HIP IT'S THE RIGHT HIP MSK0031-002 OK SO WHAT CAUSED YOU TO FALL IN THE ONEST PLACE DID YOU JUST LOSE BALANCE WERE YOU DIZZY MSK0031-003 I THINK I JUST I MISSED I WASN'T DIZZY OR ANYTHING I JUST MISSED ONE OF THE STEPS AND JUST SLIPPED SLIPPED DOWN THE STAIRS MSK0031-004 OK MSK0031-005 BUT IT WAS JUST THE LAST FEW STAIRS I DIDN'T HAVE LIKE I DIDN'T HIT MY HEAD OR ANYTHING LIKE THAT MSK0031-006 OK AND WHEN WAS THIS MSK0031-007 THIS WAS A SO I GUESS NOW TWO HOURS AGO MSK0031-008 TWO HOURS AGO OK HAS A PAIN BEEN CONSTANT SINCE MSK0031-010 IT'S REALLY EXCRUCIATING OK DOES ANYTHING MAKE IT BETTER OR WORSE MSK0031-011 NO IT'S I'M JUST IN EXTREME PAIN LIKE I I I CAN'T EVEN PUT ANY WEIGHT ON IT MSK0031-012 OK SO YOU CAN'T OK SO YOU CAN'T WEIGHT BEAR AND YOU CAN'T WALK ON ON THAT LEG I GUESS MSK0031-013 OK IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHY MSK0031-014 IT'S IT'S PRETTY SHARP LIKE IF I'M NOT PUTTING ANY WEIGHT ON IT RIGHT NOW IT'S LIKE REALLY ACHY BUT IF I PUT MSK0031-015 ANY WEIGHT ON IT'S REALLY SHARP OK AND WHERE IS THIS PAIN EXACTLY IS IT JUST IN YOUR RIGHT HIP OR IS IT RADIATING UP MSK0031-016 INTO YOUR UPPER ANTERIOR LOWER BACK OR DOWN TO YOUR LEG IT'S IN THE RIGHT HIP MOSTLY JUST ON THE SIDE BUT THE PAIN IS KIND OF LIKE ALL OVER THE RIGHT SIDE OF MY GROIN AND I FEEL LIKE THERE'S SOME SWELLING THERE AS WELL MSK0031-017 OK AND ONE TO TEN TEN BEING THE WORST PAIN EVER HOW BAD IS YOUR PAIN MSK0031-018 I WOULD SAY TEN LIKE I'VE NEVER EXPERIENCED PAIN LIKE THIS MSK0031-019 TEN OK AND DO YOU HAVE YOU EVER HAD PAIN LIKE THIS BEFORE LIKE HAVE YOU EVER HAD A FALL IN THE PAST MSK0031-020 NO THIS ISN'T THIS IS THE FIRST TIME I'VE HAD A FALL MSK0031-021 OK ANY NUMBNESS OR TINGLING MSK0031-022 NO NOT THAT I CAN TELL NO MSK0031-023 DIZZINESS OR FAINTING SPELLS MSK0031-024 AFTER THE FALL OUT LIKE THIS I I DON'T KNOW IF IT'S DUE TO THE PAIN BUT EVEN IN THE AMBULANCE COMING OUT OF THE AMBULANCE I WAS FEELING A LITTLE BIT DIZZY BUT I DON'T KNOW IF THAT'S JUST CAUSE OF THE PAIN MSK0031-025 OK ANY HEADACHES MSK0031-026 NO MSK0031-027 CONFUSION OR MEMORY LOSS MSK0031-028 NO MSK0031-029 JOINT PAINS OR MUSCLE ACHES ELSEWHERE MSK0031-030 NO MSK0031-031 WEIGHT LOSS RECENTLY MSK0031-032 NO MSK0031-033 FEVERS OR CHILLS MSK0031-034 NOPE MSK0031-037 AND RASHES NO ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE MSK0031-038 NO MSK0031-039 ANY YOU EXPERIENCING ANY COUGH SHORTNESS OF BREATH OR WHEEZING MSK0031-040 NO MSK0031-041 OK HOW ABOUT CHEST PAIN OR HEART PALPITATIONS MSK0031-042 NO NOT THAT I HAVE EXPERIENCED MSK0031-043 OK AND HOW ABOUT CHANGES YOUR BOWEL MOVEMENTS MSK0031-044 NOPE MSK0031-045 OK HOW ABOUT CHANGES TO URINE MSK0031-046 NO NOTHING MSK0031-047 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS MSK0031-048 SO I JUST HAVE A I DO HAVE SOME OSTEOARTHRITIS AND THEN I HAVE I TAKE THIS MEDICATION FOR BLOOD PRESSURE IT'S CALLED RAMIPRIL MSK0031-049 OK OK AND IS THAT THE ONLY MEDICATION THAT YOU'RE ON MSK0031-050 AND THEN I'M JUST ON VITAMINS LIKE VITAMIN D CALCIUM AND JUST MULTIVITAMINS MSK0031-051 OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS MSK0031-052 YES MSK0031-053 OK ANY ALLERGIES MSK0031-054 NO NOT THAT I KNOW OF MSK0031-055 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS MSK0031-056 I THINK MY FATHER HE DIED OF A HEART ATTACK IN HIS SIXTIES MSK0031-057 OK OK ANY MUSCULOSKELETAL ISSUES MSK0031-059 I DON'T THINK SO NO MSK0031-060 HOW ABOUT AUTO MSK0031-061 IMMUNE CONDITIONS MSK0031-062 NO NOT THAT I KNOW OF ANY CANCERS I THINK MY MY MOTHER HAD SOME SKIN CANCER BUT THE ONES THAT SHE MSK0031-063 DIDN'T NEED ANY SURGERY MSK0031-064 THEY JUST ZAPPED MSK0031-065 OK AND DO YOU SMOKE MSK0031-066 NO I'VE NEVER SMOKED OK AND DO YOU DRINK ALCOHOL JUST MAYBE LIKE A WINE WHAT EVERY OTHER DAY MSK0031-067 A GLASS OF OF WINE OK AND THEN DO YOU CONSUME MARIJUANA IN ANY FORM MSK0031-068 NO MSK0031-069 OK AND HOW ABOUT IN TERMS OF WHERE YOU LIVE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE MSK0031-070 I LIVE WITH JUST MY HUSBAND AND AND WE JUST LIVE IN A SMALL APARTMENT MSK0031-071 OK AND HAVE YOU BEEN IN TOUCH WITH ANY ANYONE SICK RECENTLY MSK0031-072 NO I'VE I'VE BEEN LIKE AT HOME WITH MY HUSBAND WE HAVEN'T REALLY LEFT MSK0031-073 OK AND HAVE YOU DONE ANY TRAVEL RECENTLY MSK0031-074 NO I'VE JUST STAYED AT HOME MSK0031-075 OK ALRIGHT SO LET'S MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW SO IF YOU CAN I'M GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR HIPS AS WELL AS YOUR LEGS DO YOU NOTICE ANY REDNESS OR SWELLING IN THE AREA MSK0031-076 I DO NOTICE SOME SWELLING IT'S A LITTLE BIT RED I CAN'T REALLY SEE TOO MUCH RED MSK0031-077 OK OK ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES LIKE BRUISES MSK0031-078 MAYBE SOME BRUISING BUT I I DON'T NOTICE ANYTHING ELSE MSK0031-079 OK ALRIGHT AND THEN WHEN YOU PLACE THE BACK OF YOUR HAND ON BOTH HIPS DO YOU NOTICE ANY TEMPERATURE CHANGES IS ONE SIDE WARMER THAN THE OTHER MSK0031-080 IT'S A LITTLE BIT WARMER THE RIGHT SIDE THAN THE LEFT MSK0031-081 OK AND DOES ONE LIKE APPEAR TO BE SHORTER OR DOES DOES IT APPEAR TO BE MISALIGNED OR IN ANY SORT OF LIKE STRANGE POSITIONS LIKE OUTWARD TURNING OF YOUR LEG ONE COMPARED TO THE OTHER MSK0031-082 I THINK IT'S A BIT BUT LOOK AT IT A BIT LIKE OUTWARD TURNING AND THEN MSK0031-083 I WOULD SAY IT'S MORE OUTWARD TURNS OK MSK0031-084 AND IF ARE YOU SITTING DOWN RIGHT NOW OK ARE YOU ABLE TO STAND UP FROM MSK0031-085 A SITTING POSITION I CAN MSK0031-087 VERY PAINFUL OK YES SHOULD I GO AHEAD AND TRY MSK0031-088 YES PLEASE MSK0031-089 SO I I CAN BARELY STAND UP I CAN'T IT'S KIND OF JUST I'M JUST SUPPORTING MYSELF WITH MY LEFT LIKE MSK0031-090 OK AND SO I I GUESS YOU CAN'T DO ANY OF THE LIKE HIP FLEXION OR HIP EXTENSION HIP ABDUCTION OR ADDDUCTION CORRECT MSK0031-091 NO I CAN BARELY MOVE IT MSK0031-092 OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS OF YOUR OWN MSK0031-093 NO I THINK I I JUST DON'T KNOW IF I NEED SURGERY OR SOMETHING MSK0031-094-1 YEAH SO IT SOUNDS LIKE YOU HAVE A HIP FRACTURE FROM YOUR FALL SO MSK0031-094-2 THE WAY TO TREAT THIS IS A COMBINATION OF SURGERIES AND REHAB AND MEDICATION SO WE WILL DEFINITELY LOOK INTO THE SURGICAL OPTION FIRST WHICH IS DONE USING SOME INTERNAL MSK0031-094-3 REPAIR WITH SCREWS OR YOU CAN DO A TOTAL HIP REPLACEMENT OR A PARTIAL HIP REPLACEMENT THE ORTHOPAEDIC SURGEON WILL MSK0031-094-4 DECIDE LIKE WHICH OPTION IS BEST FOR YOU AFTER WE REFER YOU FOR A CONSULT WITH THEM AND THEN AFTER THAT SURGERY MSK0031-094-5 THEY'LL LIKELY REFER YOU TO SOME REHAB SO PHYSIOTHERAPY WILL FOCUS ON IMPROVING YOUR RANGE OF MOTION AND STRENGTHENING THE MUSCLES IN THAT AREA MSK0031-094-6 AND FOR MANAGEMENT OF PAIN YOU CAN TAKE IBUPROFEN OR ANY OVER THE COUNTER PAIN MEDICATIONS FOR NOW DOES THAT SOUND OK MSK0031-095 THAT SOUNDS GOOD THANK YOU SO MUCH MSK0031-096 OK GREAT NO PROBLEM MSK0032-000 WHAT BRINGS YOU IN MSK0032-001-1 HI I'M HERE WITH MY DAUGHTER WE NOTICED THAT SINCE YESTERDAY SHE'S BEEN HAVING THIS PAIN JUST IN HER ELBOW AND LIKE TODAY WE'VE NOTICED RIGHT AFTER SHE WOKE UP SHE'S BEEN MSK0032-001-2 IN PAIN AND ALSO JUST KEEPING HER ELBOW LIKE PROTECTED KIND OF LIKE JUST FLEXING IT AND JUST HOLDING ON TO IT SO I THINK IT'S GIVING HER A LOT OF DISCOMFORT AND SHE'S BEEN CRYING AS WELL MSK0032-002 OH FOR SURE WHEN DID THIS START MSK0032-003 I THINK IT STARTED AFTER WE WENT FOR A WALK LAST EVENING AND WE JUST WENT TO THE PARK AND SINCE THEN LIKE SHE'S BEEN HAVING THAT PAIN MSK0032-004 OKAY OKAY AND DID ANYTHING HAPPEN TO TRIGGER THIS DID SHE FALL ON THAT ARM OR LIKE MSK0032-005-1 INJURIES I THINK LIKE JUST SHE WAS PLAYING AND THEN SHE WAS ABOUT TO FALL LIKE RIGHT LIKE RIGHT ON TO THE PLAYGROUND PAVEMENT MSK0032-005-2 SO I REMEMBER LIKE BUT LIKE I CAUGHT HER RIGHT AWAY SO TO PROTECT HER AND THEN SINCE THEN I DON'T KNOW IF LIKE THERE WAS LIKE A JERK MOVEMENT AS LIKE I KIND OF PULLED HER BACK UP OR MSK0032-005-3 WHEN I WAS STOPPING HER FROM FALLING LIKE IF THAT CAUSED IT BUT SHE DIDN'T HIT HERSELF OR ANYTHING LIKE THAT MSK0032-006 OKAY ALRIGHT AND IN TERMS OF THE TYPE OF PAIN SHE'S HAVING RIGHT NOW DID SHE SAY IF IT WAS A DULL ACHY KIND OF PAIN OR IS IT SHARP MSK0032-007 SHE SAYS IT'S ACHING A LOT MSK0032-008 OKAY AND HAS IT BEEN CONSTANT SINCE SHE STARTED EXPERIENCING THIS OR DOES IT COME AND GO MSK0032-009 IT'S IT'S BEEN PRETTY CONSTANT SINCE THEN AND SHE JUST KIND OF KEEP KEEPING SHE'S KIND OF KEEP JUST KEEPING IT LIKE HER ARMS EXTENDED AND THEN JUST HOLDING ON TO IT MSK0032-010 OKAY AND THEN IS THE PAIN JUST IN THE ELBOW OR DOES IT RADIATE DOWN INTO HER HANDS OR UP TO HER SHOULDERS MSK0032-011 IT KIND OF GOES INTO HER UPPER ARM LIKE FROM HER ELBOWS TO HER UPPER UPPER ARM MSK0032-012 OKAY HAVE YOU TRIED ANYTHING FOR THIS PAIN MSK0032-013 NO I HAVEN'T TRIED ANY MEDICATIONS OR ANYTHING I JUST WANTED TO COME IN BEFORE I TRIED ANYTHING MSK0032-014 ONE TO TEN TEN BEING THE WORST TYPE OF PAIN HOW BAD IS THIS PAIN FOR HER MSK0032-015 I WOULD SAY IT'S PROBABLY AT LEAST A SEVEN MSK0032-016 OKAY AND THEN HAS SHE EVER EXPERIENCED PAIN LIKE THIS IN THE PAST MSK0032-017 NO THIS IS THE FIRST TIME MSK0032-018 OKAY AND THEN DOES SHE HAVE ANY NUMBNESS OR TINGLING IN THE AREA MSK0032-019 NO NOT THAT I KNOW OF MSK0032-020 OKAY HOW ABOUT MEMORY LOSS OR CONFUSION MSK0032-021 NO MSK0032-022 ANY HEADACHES MSK0032-023 NOPE MSK0032-024 DIZZINESS OR FAINTING SPELLS MSK0032-025 NO MSK0032-026 ANY WEIGHT LOSS RECENTLY MSK0032-027 NO MSK0032-028 FEVERS OR CHILLS MSK0032-029 NOPE MSK0032-032 RASHES NO CHANGES IN VISION HEARING SMELL OR TASTE MSK0032-033 NO MSK0032-034 ANY COUGHING SHORTNESS OF BREATH OR WHEEZING MSK0032-035 NO MSK0032-036 ANY CHEST PAIN OR HEART PALPITATIONS MSK0032-037 NO MSK0032-038 ANY CHANGES IN BOWEL MOVEMENTS MSK0032-039 NO MSK0032-040 HOW ABOUT CHANGES IN URINE MSK0032-041 NO NO NO CHANGES MSK0032-042 OKAY AND IS SHE OTHERWISE HEALTHY DOES SHE HAVE ANY LONGSTANDING MEDICAL CONDITIONS MSK0032-043 SHE'S BEEN HEALTHY SO FAR NO CONCERNS AT ALL MSK0032-044 OKAY AND WITH HER MOTHER'S PREGNANCY WITH HER WERE THERE ANY COMPLICATIONS AT THAT POINT MSK0032-045 NO IT WAS LIKE A NORMAL PREGNANCY NO COMPLICATIONS SHE WAS BORN AT THIRTY NINE WEEKS LIKE WITH VAGINAL DELIVERY DIDN'T HAVE TO STAY IN THE HOSPITAL OR ANYTHING LIKE THAT MSK0032-046 OKAY AND NO ISSUES AS A NEONATE MSK0032-047 NO SHE WE WERE ABLE TO BRING HER HOME PRETTY QUICK MSK0032-048 OKAY THAT'S GOOD AND THEN SHE HASN'T HAD ANY HOSPITALIZATIONS OR SURGERY SINCE THEN MSK0032-049 NO NO SURGERIES OR HOSPITALIZATIONS MSK0032-050 ALRIGHT HIS SHE ON ANY MEDICATIONS MSK0032-051 NO NO MEDICATIONS MSK0032-052 OKAY IS SHE UP TO DATE WITH HER IMMUNIZATIONS MSK0032-053 WE'VE HAD WE'VE GOT ALL THE IMMUNIZATION MSK0032-054 OKAY HOW ABOUT ALLERGIES DOES SHE HAVE ANY MSK0032-055 NO ALLERGIES MSK0032-056 OKAY ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES MSK0032-057 NOPE MSK0032-058 LUNG OR HEART CONDITIONS MSK0032-059 NOPE MSK0032-060 AUTOIMMUNE CONDITIONS MSK0032-061 NO MSK0032-062 CANCERS MSK0032-063 NOPE MSK0032-064 IS SHE LIKE ON PAR WITH HER PEERS IN TERMS OF DEVELOPMENTS AND REACHING MILESTONES MSK0032-065 NO LIKE SHE'S BEEN MEETING ALL HER MILESTONES HAVE BEEN ON PAR WITH HER SIBLINGS AND OTHER CHILDREN NO CONCERNS FROM THE DOCTOR WHATSOEVER MSK0032-066 OKAY AND WHO DOES SHE LIVE WITH AT HOME MSK0032-067 SHE LIVES WITH ME HER HER DAD AND WE SHE HAS TWO SIBLINGS TWO OLDER BROTHERS MSK0032-068 OKAY AND DOES ANYONE AT HOME SMOKE MSK0032-069 NOPE MSK0032-070 ANY CONCERNS FOR HER SAFETY AT HOME MSK0032-071 NO LIKE WE'RE LIKE NO I DON'T THINK SO MSK0032-072 NO OKAY AND HOW ARE THINGS AT SCHOOL FOR HER MSK0032-073 SCHOOLS BEEN WELL LIKE IT'S BEEN DIFFICULT WITH THE PANDEMIC BUT SHE'S DOING WELL MSK0032-074 OKAY THAT'S GOOD HAS SHE COME IN CONTACT WITH ANYONE SICK RECENTLY MSK0032-075 NO MSK0032-076 HAVE YOU DONE ANY TRAVEL RECENTLY MSK0032-077 NOPE MSK0032-078-1 OKAY ALRIGHT AND THOSE ARE ALL THE QUESTIONS I HAD FOR HISTORY TAKING LET'S MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW I'M JUST GOING TO GET YOU TO TAKE A LOOK AT BOTH HER ELBOWS MSK0032-078-2 AND ARMS DO YOU SEE ANY REDNESS OR SWELLING IN THE RIGHT ELBOW COMPARED TO THE LEFT MSK0032-078-3 NO I DON'T SEE THAT NO MSK0032-079 I DON'T SEE ANY CHANGES OKAY HOW ABOUT ANY MUSCLE ATROPHY MSK0032-080 DEFORMITIES OR SKIN CHANGES LIKE BRUISES MSK0032-081 NO I DON'T SEE ANYTHING LIKE THAT MSK0032-082 OKAY HOW ABOUT WHEN YOU PALPATE HER ELBOWS DOES IS SHE IN PAIN MSK0032-083 SHE DOESN'T REALLY LET ME BUT IF I TRY TO I THINK THAT DOES CAUSE HER SOME PAIN MSK0032-084 OKAY HOW ABOUT WHEN YOU PALPATE HER LIKE FOREARM MUSCLES MSK0032-085 NO NOT AS MUCH MSK0032-086 OKAY HOW ABOUT HER BICEPS AND TRICEPS MSK0032-087 NO NOT REALLY MSK0032-088 NO OKAY ALRIGHT AND THOSE ARE ALL THE QUESTIONS THAT I KIND OF HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF MSK0032-089 NO I JUST WANTED TO FIND OUT IF SHE BROKE SOMETHING OR LIKE I DIDN'T KNOW WHAT WAS GOING ON MSK0032-090-1 OKAY IT SEEMS LIKE SOMEONE OF HER AGE AND JUST THE KIND OF HISTORY THAT YOU'RE GIVING ME IT SOUNDS LIKE SHE HAS SOMETHING CALLED A RADIAL HEAD SUBLUXATION MSK0032-090-2 AND THAT'S USUALLY CAUSED IN YOUNG CHILDREN WHEN THEY'RE LIKE PULLED OR LIFTED BY THE HAND OR WRIST WHILE THEIR ARM IS HELD STRAIGHT MSK0032-090-3 WHICH CAN KIND OF PULL THE BONE OUT OF ITS SOCKET A LITTLE BIT SO MSK0032-090-4 IN TERMS OF LIKE A MANAGEMENT PLAN YOU CAN TRY CONSERVATIVE THINGS LIKE ICE PACKS OVER THE COUNTER PAINKILLERS MSK0032-090-5 OTHERWISE WE CAN TRY TO PUT THE RADIUS BACK INTO ITS NORMAL POSITION HERE WHICH WILL JUST TAKE LIKE A FEW MINUTES AND MSK0032-090-6 AND THEN AFTER WE REDUCE IT BACK INTO ITS PLACE SHE SHOULD HAVE NORMAL FUNCTION OF HER ARM AGAIN IF SHE'S STILL EXPERIENCING PAIN WE CAN CONTINUE KEEPING IT ON A SPLINT MSK0032-090-7 BUT OTHERWISE I DON'T THINK WE NEED ANY IMAGING FOR THIS AT THIS AT THIS TIME SO DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ABOUT THAT MSK0032-091 NO I THINK THAT'S THAT'S A GOOD PLAN MSK0032-092 OKAY GREAT THANK YOU MSK0032-093 THANK YOU MSK0033-000 WHAT BRINGS YOU IN HERE TODAY MSK0033-001-1 I'VE BEEN HAVING THIS PAIN IN MY KNEE AND IT'S BEEN GOING ON NOW FOR A FEW WEEKS IT'S KIND OF RIGHT AT THE I COULD FEEL IT RIGHT BELOW MY KNEECAP AND MSK0033-001-2 AT FIRST IT IT WAS REALLY ONLY BOTHERING ME AFTER ACTIVITY BUT NOW IT'S STARTING TO HURT DURING AS WELL AND SO IT'S IT'S TRYING TO LIMIT MY ABILITY TO PLAY BASKETBALL MSK0033-002 OK AND SO YOU SAID THIS STARTED JUST TWO WEEKS AGO MSK0033-003 ABOUT ABOUT A FEW FEW WEEKS AGO MSK0033-004 OK AND HAS THE PAIN SO IT'S BEEN GETTING A BIT WORSE AND WITH ACTIVITY AND IT'S RIGHT BELOW YOUR KNEECAP IS IT THE RIGHT WAY OR THE LEFT LEG MSK0033-005 IT'S ON THE RIGHT SIDE IT'S MY RIGHT RIGHT SIDE MSK0033-006 OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT KIND OF A SHARP PAIN OR IS IT A DULL ACHING PAIN MSK0033-007 IT'S IT'S PRETTY ACHY MSK0033-008 IT TAKE YOU OK AND DOES THE PAIN TRAVEL ANYWHERE ELSE OR DOES IT IT'S JUST RIGHT BELOW YOUR KNEECAP MSK0033-009 IT'S RIGHT BELOW MY KNEECAP I FEEL LIKE IT'S JUST OVER A KIND OF A SMALL AREA IT'S A PRETTY SPECIFIC SPOT AND IF I PRESS ON THAT AREA AT ALL IT GIVES ME A PRETTY IT'S A SHARP PAIN IF I IF I PRESS ON IT SHARP PAIN MSK0033-010 OK AND ON A SCALE OF ZERO TO ONE HUNDRED AND TEN BEING THE WORST PAIN YOU FELT IN YOUR LIFE HOW MUCH WOULD YOU RANK THE RATE THIS PAIN MSK0033-011 I IT'S ABOUT ABOUT A SIX OR SEVEN MSK0033-012 SIX OR SEVEN OK AND IS IT A CONSTANT PAIN OR LIKE DO YOU GET THE PAIN WHEN YOU'RE NOT PLAYING BASKETBALL OR DOING OTHER ACTIVITIES MSK0033-013-1 I'LL GET IT IF I'M LIKE SOMETIMES I'LL FEEL IT IF I'M GOING UPSTAIRS LIKE WALKING UPSTAIRS OR LIKE IF I'M SITTING FOR A LONG LONG TIME AND I I GET UP IT'LL FEEL A BIT MSK0033-013-2 SORE BUT IT'S MOSTLY IF I'M LIKE DOING ACTIVITIES LIKE RUNNING OR JUMPING DOING LIKE STRENUOUS STUFF LIKE THAT MSK0033-014 OK I SEE AN HAS THIS EVER HAPPENED BEFORE MSK0033-015 NO I HAVEN'T HAD ANY ANY ISSUES WITH MY KNEE BEFORE MSK0033-016 OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ANY NUMBNESS TINGLING MSK0033-017 NO NOTHING LIKE THAT IT'S JUST THE PAIN MSK0033-018 OK AND ANY WEAKNESS IN YOUR LEGS MSK0033-019 NO NO WEAKNESS MSK0033-020 OK AND HAVE YOU TRIED ANYTHING THAT IMPROVES THE PAIN AT ALL OR ANYTHING THAT MAKES IT WORSE MSK0033-021 I I HAVE TRIED TAKING SOME LIKE TYLENOL AND ADVIL AND THAT OR OR AND NSAIDS THAT AND IT HAS HELPED WITH THE PAIN I'VE TRIED ICING IT TOO LIKE AFTER PRACTICE AND STUFF LIKE THAT WHICH DOES SEEM TO HELP A LITTLE BIT BUT THAT'S ABOUT IT MSK0033-022 OK OK AND OTHER THAN THAT DID YOU LIKE HAVE A FALL OR DID YOU HAVE ANY INJURIES RECENTLY BEFORE YOU STARTED HAVING THIS PAIN MSK0033-023 NO IT'S KIND OF COME ON ON ITS OWN NO FALLS OR LIKE TRAUMA TO THE KNEE MSK0033-024 OK AND OTHER THAN THAT ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL MSK0033-025 I DON'T HAVE ANYTHING I AM HEALTHY MSK0033-026 OK ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS MSK0033-027 NO NOT NOT NOTHING I DON'T TAKE ANYTHING MSK0033-028 OK ANY ALLERGIES MSK0033-029 NO ALLERGIES MSK0033-030 OK AND HAVE YOU BEEN SICK RECENTLY AT ALL WITH FEVERS CHILLS ANY COLD OR VIRAL SYMPTOMS MSK0033-031 NO I HAVEN'T HAD ANYTHING LIKE THAT I'VE BEEN FEELING WELL MSK0033-032 OK ANY CHANGES IN YOUR SKIN LIKE ANY RASHES MSK0033-033 NO I HAVEN'T HAD ANY ANY RASHES MSK0033-034 OK AND ANY KIND OF SHORTNESS OF BREATH CHEST PAIN MSK0033-035 NOPE NOTHING LIKE THAT MSK0033-036 OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS MSK0033-037 NO I HAVEN'T HAD ANY CHANGES THERE MSK0033-038 OK OK AND DO YOU HAVE ANY RECENT OR LIKE PAST HISTORY OF ANY HOSPITALIZATIONS OR SURGERIES MSK0033-039 NO I I HAVEN'T HAD ANYTHING LIKE THAT MSK0033-040 OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS OR ANY ANYTHING THAT RUNS IN THE FAMILY MSK0033-041 NO NOT NOTHING LIKE THAT NO MSK0033-042 OK OK AND CURRENTLY RIGHT NOW DO YOU DO YOU GO TO SCHOOL OR DO YOU WORK AT ALL MSK0033-043 I GO TO SCHOOL AND I PLAY ON THE SOCCER TEAM AND THE BASKETBALL TEAM IT'S BASKETBALL SEASON RIGHT NOW AND IN GRADE TEN MSK0033-044 OK IN GRADE TEN OK AND SCHOOL GOING WELL ANY ISSUES AT ALL WITH BULLYING OR ANYTHING LIKE THAT MSK0033-045 NO SCHOOL'S BEEN BEEN GOING WELL I HAVE BEEN DOING WELL IN MY COURSES AND HAVE A GOOD GROUP OF FRIENDS SO I ENJOY IT IT'S FUN MSK0033-046 OK AND WHAT'S YOUR HOME SITUATION LIKE DO YOU WHO DO YOU LIVE WITH MSK0033-047 SO I LIVE WITH BOTH OF MY PARENTS AND I HAVE A A YOUNGER SISTER AS WELL SHE'S IN GRADE GRADE SEVEN AND WE HAVE A DOG AS WELL MSK0033-048 OK AND DO YOU GENERALLY FEEL SAFE AT HOME AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT MSK0033-049 I DO MY I GET ALONG WELL WITH MY PARENTS AND WE BUT MY PARENTS ARE GREAT MSK0033-050-1 THAT'S GOOD AND AND THIS IS JUST WANTED TO LET YOU KNOW THAT ANYTHING THAT YOU TALK ABOUT IN HERE WITH US STAYS CONFIDENTIAL AND WON'T LEAVE THIS ROOM UNLESS THERE IS POTENTIAL HARM TO YOURSELF OR OTHERS MSK0033-050-2 SO HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA HAVE YOU TRIED SMOKING OR ALCOHOL AT ALL MSK0033-051 NO I'VE BEEN TRYING I STAY AWAY FROM THAT THAT SORT OF THING I'VE I KNOW ABOUT OTHER PEOPLE IN MY CLASS WHO HAVE AND STUFF BUT I ALWAYS JUST I'M JUST TRYING TO STAY AS READY AS I CAN FOR THE SPORTS MSK0033-052 OK THAT'S GOOD AND SO AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS MSK0033-053 MY MOM MADE SURE THAT I GOT ALL OF THAT STUFF DONE MSK0033-054 OK ALRIGHT SO THOSE ARE SOME QUESTIONS I HAD I JUST HAVE A FEW MORE QUESTIONS WITH REGARDS TO JUST EXAMINING YOUR KNEE ARE YOU ABLE TO WALK OR DO YOU HAVE ANY KIND OF A LIMP MSK0033-055 NO LIMP I CAN I CAN WALK OK MSK0033-056 OK AND ARE YOU ABLE TO RUN MSK0033-057 I CAN I CAN RUN BUT WHEN I DO IT IT CAUSES SOME PAIN I'M ABLE TO STILL RUN BUT IT IT HURTS MSK0033-058 OK AND SO WHEN YOU PALPATE YOUR LOWER KNEE JUST UNDER THE PATELLA YOU SAID IT'S A SHARP PAIN RIGHT MSK0033-059 EXACTLY AND THEN WHEN I IT'S AND IT FEELS KIND OF ACHEY OR WHEN WHEN LIKE AFTER PRACTICE OR SOMETHING LIKE THAT BUT IF YOU PRESS ON IT IT IT'S SHARP MSK0033-060 AND ANY ANY KIND OF LIKE ARE YOU ABLE TO FLEX AND EXTEND YOUR KNEE RIGHT NOW IF YOU TRIED MSK0033-061 I CAN MSK0033-062 OK AND HAVE YOU NOTICED ANY KIND OF ROTATION OF YOUR KNEE AT ALL MSK0033-063 NO NOTHING LIKE THAT MSK0033-064 NO OK OK AND NO WEAKNESS BELOW YOUR KNEE RIGHT MSK0033-065 NO WEAKNESS I JUST FEEL LIKE MY MUSCLES ARE REALLY TIGHT LIKE MY FLY AND MY HAMSTRING MUSCLES THINK I NEED TO STRETCH THEM OUT SOME MORE THEY DO JUST FEEL TIGHT MSK0033-066 OK AND DO YOU NOTICE ANY KIND OF SWELLING OR REDNESS OR BRUISING IN THE AREA MSK0033-067 NO MSK0033-068 NO OK AND YOUR ANKLE AND HIPS YOU DON'T HAVE ANY PAIN OR ISSUES WITH MOVEMENT RIGHT MSK0033-069 NO NOT AT ALL NO NO PROBLEMS WITH MY ANKLE OR HIP MSK0033-070 OK ALRIGHT SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS MSK0033-071 I WAS JUST WONDERING WHAT I CAN DO TO MAKE THIS GO AWAY MSK0033-072-1 SO DEFINITELY THIS IS SOMETHING THAT IS WHAT WE CALL JUMPERS KNEE IT'S FAIRLY COMMON AMONGST MSK0033-072-10 IN YOUR PATELLAR TENDON RIGHT BELOW YOUR PATELLA SO WE NEED TO STRENGTHEN THE MUSCLES AROUND IT SO WE'LL DO SOME REFERRAL TO PHYSIOTHERAPY AND THEN WE'LL SEE HOW YOU MSK0033-072-11 YOU DO BASED ON ALL THOSE TREATMENT OPTIONS AND THEN IF IT GETS WORSE AND IF OR IF IT DOESN'T GET BETTER WE MIGHT NEED TO DO SOME IMAGING EITHER ULTRASOUND OR AN MRI AND THEN SEE WHERE TO GO FROM THERE BUT FOR NOW DOES THAT SOUND OK WITH YOU MSK0033-072-2 YOUNGER ATHLETES ESPECIALLY THOSE THAT PLAY SPORTS LIKE VOLLEYBALL OR BASKETBALL MSK0033-072-3 BUT RIGHT NOW WE DON'T REALLY NEED TO DO ANY KIND OF IMAGING OR ANYTHING LIKE THAT IT SEEMS LIKE YOU'RE IN THE EARLIER PHASES AND IT'S GOOD THAT YOU CAME IN MSK0033-072-4 WE DEFINITELY DO NEED TO MANAGE IT WITH SOME CONSERVATIVE MANAGEMENT WHERE WE'RE GOING TO MSK0033-072-5 KEEP HAVING TAKING A LOOK AT IT AS WELL AS I WOULD RECOMMEND ICING IT EVERY MSK0033-072-6 LIKE FOR HALF AN HOUR LIKE AROUND FOUR TO SIX TIMES A DAY ESPECIALLY AFTER YOU'RE DOING YOUR ACTIVITIES THEN YOU CAN YOU CAN TAKE THE CONTINUE TAKING THE TYLENOL AND ADVIL MSK0033-072-7 AS WELL AS LONG AS YOU'RE FOLLOWING THE MAXIMUM AMOUNT PER DAY DEPENDING ON IF YOU'RE TAKING EXTRA STRENGTH TYLENOL FOR EXAMPLE VERSUS THE REGULAR STRENGTH MSK0033-072-8 AND THEN I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL KIND OF A TEACH YOU SOME STRENGTHENING AND STRETCHING MSK0033-072-9 EXERCISES THAT YOU CAN DO TO HELP WHAT WE CALL LIKE THAT YOU WILL YOU MIGHT BE HAVING IS JUST SOME INFLAMMATION MSK0033-073 IT DOES THANK YOU SO YOU SAID THAT YOU THINK IT'S LIKE A PATELLAR TENDONITIS OR SOMETHING LIKE THAT MSK0033-074 IT'S PATELLAR TENDONITIS IS COMMONLY CALLED THE JUMPERS KNEE AND IT SHOULD RESOLVE WITH THE STEPS THAT WE ESPECIALLY SINCE IT SEEMS LIKE YOU'RE IN THE EARLIER STAGES SO IT SEEMS LIKE IT SHOULD BE PRETTY RESPONSIVE BUT IF IT ISN'T THERE ARE OTHER STEPS WE CAN DISCUSS IN THE FUTURE MSK0033-075 OK THAT SOUNDS GREAT THANK YOU MSK0034-000 WHAT BRINGS YOU HERE TODAY MSK0034-001-1 YEAH SO I'M HERE WITH MY MOM BECAUSE I AM HAVING THIS PAIN IN MY RIGHT HIP AND GROIN AREA MSK0034-001-2 I WAS PLAYING WITH MY FRIENDS TOO MAYBE YESTERDAY AND I FELL DOWN I DIDN'T FALL DOWN HARD BUT I HAD A SMALL FALL AND SINCE THEN MY HIP HAS BEEN HURTING AND IT'S PAINFUL FOR ME MSK0034-002 TO BEAR ANY WEIGHT ON MY RIGHT LEG OK AND DID YOU HAVE THIS PAIN AT ALL BEFORE YOUR FALL OR IS THIS SOMETHING THAT JUST STARTED AFTER THE FALL MSK0034-003 IT JUST STARTED AFTER MSK0034-004 OK AND WHEN DID YOU HAVE THE FALL MSK0034-005 YESTERDAY MSK0034-006 OK AND CAN YOU DESCRIBE WHAT YOU WERE DOING AND FROM HOW HIGH DID YOU FALL AND IF LIKE ON WHAT SURFACE YOU FELL ON MSK0034-007 SURE WE WERE PLAYING SOCCER ON LIKE A FIELD AND I AND I JUST FELL ON THE GRASS LIKE IT WAS A FLAT SURFACE MSK0034-008 OK AND SO DID YOU SAY IT WAS THE RIGHT HIP THAT'S GIVING YOU PAIN MSK0034-009 YES THAT'S RIGHT MSK0034-010 OK DID YOU FALL ON THE RIGHT HIP MSK0034-011 I DID MSK0034-012 OK AN AFTER YOU FELL WERE YOU ABLE TO WEIGHT BEAR LIKE GET UP GET BACK UP ON YOUR FEET OR WAS IT DIFFICULT MSK0034-013 IT WAS DIFFICULT AN I'M STILL LIMPING MSK0034-014 OK AND YOU'RE STILL LIMPING ON HAVE YOU NOTICED SO ANY PAIN ANYWHERE ELSE OR IS IT JUST YOUR HIP MSK0034-015 JUST MY HIP MSK0034-016 OK AND WHERE EXACTLY IS YOUR PAIN ON THE HIP MSK0034-017 IT'S LIKE ON THE SIDE OF MY HIP AS WELL AS LIKE IN THE GROIN AREA MSK0034-018 OK I SEE AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT A SHARP PAIN OR IS IT A DULL ACHING PAIN MSK0034-019 IT'S PRETTY SHARP MSK0034-020 IT'S SHARP OK AND DO YOU EXPERIENCE ANY OTHER SYMPTOMS LIKE MSK0034-022 ANY DIZZINESS OR FAINTING SPELLS NO AND ARE YOU ABLE TO MOVE YOUR HIP AT ALL LIKE ARE YOU ABLE TO FLEX IT OR EXTEND IT ROTATE IT MSK0034-023 I CAN MOVE IT BUT IT COMES WITH A LOT OF PAIN MSK0034-024 OK AND DO YOU FIND THAT YOUR HIP IS AT ALL ROTATED OUTWARDS MSK0034-025 IT LOOKS IT LOOKS LIKE IT IS MSK0034-026 OK ALRIGHT HAVE YOU TAKEN ANY MEDICATIONS FOR YOUR PAIN MSK0034-027 I JUST TOOK SOME IBUPROFEN MSK0034-028 OK AND OTHER THAN THAT HAVE YOU RECENTLY BEEN SICK AT ALL MSK0034-030 NO I HAVEN'T OK AND ON A SCALE OF ZERO TO TEN TEN BEING THE WORST PAIN YOU'VE FOUND IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS MSK0034-031 HOW WOULD SAY LIKE AN EIGHT MSK0034-032 AN EIGHT AND AS THE PAIN TRAVEL ANYWHERE TO OTHER PARTS OF YOUR BODY MSK0034-033 NO JUST STAYS IN THAT AREA MSK0034-034 OK ANY NUMBNESS OR TINGLING MSK0034-035 NO MSK0034-038 ANY FEVERS OR CHILLS MSK0034-063 COMPLICATIONS AFTER BIRTH ANY STAY IN THE HOSPITAL FOR ANY REASON NO AND WAS IT A VAGINAL DELIVERY OR A C SECTION MSK0034-064 IT WAS A VAGINAL DELIVERY MSK0034-065 OK AND WAS THERE THE USE OF ANY KIND OF INSTRUMENTS LIKE FORCEPS OR VACUUM FOR ANY REASON MSK0034-066 NO MSK0034-067 NO OK SO IT WAS LIKE A FAIRLY NORMAL PREGNANCY AND WERE YOU AT TERM OR PREMATURE MSK0034-068 AT TERM MSK0034-069 ALRIGHT AND ANY COMPLICATIONS DIFFICULTIES WHILE YOU WERE GROWING UP AT ALL WITH YOUR GROWTH LIKE HEIGHT OR WEIGHT OR ANY KIND OF DEVELOPMENTAL ISSUES THAT YOU KNOW MSK0034-070 NO I HIT ALL MY MILESTONES AND OTHERWISE DOING PRETTY WELL ON PAR WITH MY PEERS IN TERMS OF MILESTONES MSK0034-071 OK AND SCHOOLS GOING WELL MSK0034-072 SCHOOLS GOING WELL MSK0034-073 OK AND IN TERMS OF YOUR FAMILY HISTORY ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS MSK0034-074 NO NOTHING LIKE THAT IN MY MSK0034-075 FAMILY OK AND CURRENTLY RIGHT NOW MSK0034-076 WHO DO YOU LIVE WITH I LIVE WITH BOTH MY PARENTS AS WELL AS MY SEVEN YEAR OLD SISTER MSK0034-077 OK ALRIGHT AND IF I CAN JUST IS IT OK IF I JUST TALK TO YOU ALONE FOR A LITTLE BIT MSK0034-078 SURE MSK0034-079 ALRIGHT SO ANYTHING THAT WE TALKED ABOUT HERE TODAY WILL STAY CONFIDENTIAL AS LONG AS THERE IS NO HARM TO YOURSELF OR OTHERS OR RISK OF HARM TO YOURSELF OR OTHERS SO I'M JUST GOING TO ASK YOU A FEW QUESTIONS PERTAINING TO YOUR HEALTH MSK0034-080 SURE THAT SOUNDS GOOD MSK0034-081 SO AT HOME DO YOU FIND THAT YOU'RE IN A SAFE ENVIRONMENT EVEN OUTSIDE OF YOUR HOME IN YOUR NEIGHBORHOOD DO YOU FEEL SAFE MSK0034-082 I DO MSK0034-083 OK AND HOW ABOUT AT SCHOOL DO YOU FEEL SAFE HAVE YOU EXPERIENCED ANY KIND OF BULLYING OR ANYTHING LIKE THAT MSK0034-084 NO MSK0034-085 OK HAVE YOU TRIED ANY ALCOHOL RECREA RECREATIONAL DRUGS OR CIGARETTES OR DO YOU KNOW ANY FRIENDS THAT HAVE TRIED MSK0034-086 I KNOW I KNOW OLDER KIDS THAT HAVE TRIED IN THE SCHOOL BUT WE HAVEN'T MSK0034-087 OK AND ARE YOU SEXUALLY ACTIVE MSK0034-088 NO MSK0034-089 NO OK ALRIGHT SO THOSE ARE JUST A FEW QUESTIONS I HAD I'LL CALL YOUR MOM BACK IN OK SO WE'RE JUST GONNA TRY AND DO A COUPLE OF EXAMINATIONS SO ARE YOU ABLE TO STAND MSK0034-090 UP BY YOURSELF I CAN BUT I NEED A LOT OF ASSISTANCE LIKE I HAVE TO HOLD ON TO THE DESK OR HAVE A CRUTCH OR SOMETHING LIKE THAT MSK0034-091 OK NO WORRIES AND THEN WHILE LAYING DOWN ARE YOU ABLE TO LIFT YOUR RIGHT MSK0034-092 LEG WITH YOUR KNEES STRAIGHT I DON'T KNOW ABOUT STRAIGHTENING MY KNEES MY LEG SEEMS TO HAVE PERMANENTLY TURNED OUTWARD MSK0034-093 AND LOOK SHORTER THAN MY OTHER LEG OK AND I FORGOT TO ASK YOU THIS EARLIER I DON'T I DON'T THINK WE WEIGHED YOU WHEN YOU WERE COMING IN BUT APPROXIMATELY HOW MUCH WOULD YOU SAY YOU WEIGH MSK0034-094 I WEIGH ABOUT ONE HUNDRED AND THIRTY POUNDS MSK0034-095 OK AND DO YOU KNOW HOW TALL YOU ARE MSK0034-097-1 ABOUT FOUR EIGHT MSK0034-097-2 OK OK ALRIGHT SO THOSE WERE JUST SOME OF THE QUESTIONS I HAD TODAY WE'LL DO A FULL PHYSICAL EXAMINATION AND HAVE YOU COME IN MSK0034-097-3 ALRIGHT SORRY AND LIKE WELL WILL CONTINUE WITH THE FULL EXAMINATION TODAY AND WHAT CURRENTLY IT SEEMS LIKE IT CAN DEFINITELY BE FROM THE FALL YOU MAY HAVE INJURED YOURSELF AND WE JUST WANT TO MAKE SURE THERE'S NO FRACTURES LIKE A HIP FRACTURE MSK0034-098 OK MSK0034-099-1 ONE THING THAT'S ALSO SOMETHING THAT WE HAVE TO INVESTIGATE IS SOMETHING CALLED SLIPPED CAPITAL FEMORAL EPIPHYSIS SO THIS IS MSK0034-099-2 THIS IS A COMMON HIP ISSUE IN ADOLESCENTS ESPECIALLY FROM BOYS AGED TEN TO SIXTEEN MSK0034-099-3 AND USUALLY IT'S THE LEFT HIP THAT'S AFFECTED BUT IT IT CAN BE THE RIGHT AND AS ADOLESCENTS ARE IN A PHASE WHERE THEY WERE GROWING THERE IS IF THEY HAVE SOME PREDISPOSED DISPOSITION TOO MSK0034-099-4 SLIPPING OF THE CAPITAL FEMORAL IF EPIPHYSIS WHICH IS RIGHT BETWEEN YOUR HIPS YOU CAN GET SOME SLIPPING MSK0034-099-5 IT CAN BE AFTER A FALL OR IT CAN HAPPEN JUST AS THE CHILD IS GROWING AND IT CAN ALSO IT IS ALSO ASSOCIATED WITH THE INCREASING WEIGHT THAT A CHILD MAY HAVE MSK0034-099-6 SO WHAT WE CAN DO IS JUST GET FIRST AN X RAY OF BOTH THE HIPS MSK0034-100 OK MSK0034-101 AND SEE LIKE WHAT WE CAN FIND ON THE X RAY AND THEN WILL ALSO DO A FULL EXAMINATION AND IT IF IT DOES TURN OUT THAT THERE IS A FRACTURE OR THERE'S A SLIPPED CAPITAL FEMORAL EPIPHYSIS WE WILL NEED TO SEND OUT A REFERRAL TO PEDIATRIC ORTHOPEDIC SURGERY MSK0034-102 OK MSK0034-103 SO FIRST WE'LL JUST GET THE IMAGE NG DONE AND SEE WHAT'S GOING ON IN THERE AND THEN WE'LL GET BACK TO YOU SHORTLY MSK0034-104 OK THAT SOUNDS GREAT THANK YOU SO MUCH MSK0034-105 WELCOME TAKE CARE MSK0035-000 HOW MAY I HELP YOU MSK0035-001 I'M SO I WAS SKIING YESTERDAY AND I FELL ON MY ARM AND NOW AND IT'S IT'S MY HANDS VERY PAINFUL AND IT LOOKS SWOLLEN AND BRUISED SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT MSK0035-002 CERTAINLY ALRIGHT AND SO YOU FELL WHILE WHILE YOU'RE SKIING SO DID YOU USE YOUR HAND TO BRACE THE FALL LIKE WITH YOUR HAND KIND OF WITH YOUR WRIST EXTENDED BACKWARDS MSK0035-003 YEA SO I KIND OF HAD MY ARM STRETCHED OUT AND I FELL RIGHT ON IT MSK0035-004 OK AND DID YOU FEEL PAIN RIGHT AWAY MSK0035-005 YES MSK0035-006 OK AND DURING THE FALL DID YOU INJURE ANY OTHER PARTS OF YOUR BODY LIKE YOUR ELBOW OR SHOULDER OR EVEN YOUR HEAD MSK0035-007 NO I DON'T THINK SO I DIDN'T HAVE I DON'T HAVE ANY PAIN ANYWHERE ELSE MSK0035-008 OK AND LIKE ARE YOU ABLE TO MOVE YOUR WRIST CURRENTLY MSK0035-009 I CAN BUT IT'S VERY PAINFUL MSK0035-010 OK AND SO WHEN DID THIS HAPPEN WAS IT YESTERDAY MSK0035-011 YES IT WAS YESTERDAY MSK0035-012 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT'S A SHARP PAIN DULL PAIN ACHY MSK0035-013 IT'S PRETTY SHARP MSK0035-014 SHARP OK AND ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE LIKE DOWN INTO YOUR HAND OR UP INTO YOUR ARM MSK0035-015 NO IT'S PRETTY LOCAL THE PAIN IT'S PRETTY IT'S RIGHT BELOW THE THUMB AREA AND JUST KIND OF ON MY WRIST AN ON THE RIGHT SIDE MSK0035-016 OK IS THERE ANYTHING YOU'VE DONE THAT'S MADE IT THAT MADE IT BETTER LIKE HAVE YOU TRIED ANY MEDICATIONS OR ANY ICE OR TOPICAL CREAMS MSK0035-017 I'VE BEEN TAKING IBUPROFEN FOR THE PAIN AND TRY NOT TO MOVE IT TOO MUCH AND THAT'S BEEN HELPING A LITTLE BIT MSK0035-018 OK AND IS THE PAIN CONSTANT OR INTERMITTENT MSK0035-019 IT'S CONSTANT MSK0035-020 OK AND HAVE YOU DONE ANYTHING THAT'S THAT'S MADE THE PAIN WORSE MSK0035-021 I GUESS MOVING IT MSK0035-022 OK AND WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF ONE TO TEN WITH TEN BEING THE WORST PAIN YOU'VE EVER FELT MSK0035-023 I GIVE IT LIKE A FIVE OR SIX MSK0035-024 OK HAVE YOU HAD AN INJURY LIKE THIS TO YOUR WRIST OR YOUR HAND BEFORE MSK0035-025 NO MSK0035-026 ALRIGHT AND ARE YOU HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS TINGLING OR OR SENSORY LOSS OVER ANY AREAS MSK0035-027 NO MSK0035-028 OK AND HOW ABOUT MUSCLE WEAKNESS MSK0035-029 NO MSK0035-030 ALRIGHT AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS MSK0035-031 NOTHING LIKE THAT MSK0035-032 HAVE YOU BEEN HAVING ANY HEADACHES MSK0035-033 NO MSK0035-034 HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR HEARING OR LOSS OF SMELL OR LOSS OF TASTE MSK0035-035 NO NOTHING LIKE THAT MSK0035-036 OK HAVE YOU HAD A RUNNY NOSE OR OR FELT CONGESTED MSK0035-038 NO HAVE YOU HAD A SORE THROAT OR A COUGH MSK0035-040 NO HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING MSK0035-041 NO MSK0035-042 HAVE YOU HAD ANY CHEST PAIN MSK0035-043 NO MSK0035-044 HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING MSK0035-045 NOPE MSK0035-046 HAVE YOU HAD ANY DIZZINESS OR FAINTING MSK0035-047 NO MSK0035-048 OK AND SO DID YOU LOSE CONSCIOUSNESS AT ALL DURING THE FALL MSK0035-049 NO MSK0035-050 OK AND AND HAVE YOU HAD ANY NAUSEA OR VOMITING MSK0035-051 NO MSK0035-052 ANY ABDOMINAL PAIN MSK0035-053 NO MSK0035-054 ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL MSK0035-055 NOPE MSK0035-056 OK AND HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY MSK0035-057 NO NOTHING LIKE THAT MSK0035-058 ALRIGHT AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR LIKE ANY OTHER MUSCULOSKELETAL PAINS BESIDES THE WRIST MSK0035-059 NO MSK0035-060 OK AND HAVE YOU HAD ANY APPETITE LOSS OR OR FATIGUE MSK0035-061 NO MSK0035-062 ALRIGHT AND HAVE YOU HAD ANY NIGHT SWEATS MSK0035-063 NO MSK0035-064 AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS MSK0035-065 NO MSK0035-066 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR DO YOU SEE A PHYSICIAN REGULARLY FOR ANY REASON MSK0035-067 NO MSK0035-068 OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY PRESCRIBED OR OVER THE COUNTER MSK0035-069 NOPE MSK0035-070 ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST MSK0035-071 NO MSK0035-072 OK AND YOU HAVE ANY ALLERGIES MSK0035-073 NO MSK0035-074 ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE MSK0035-075 I THINK SO I THINK I JUST NEED TO GET THE GARDASIL MSK0035-076 OK HAVE YOU GOTTEN LIKE THE FIRST DOSE OF THAT YET OR ARE YOU STILL STILL WAITING TO GET THAT MSK0035-077 I'M STILL WAITING TO GET THAT OK MSK0035-078 AND COULD YOU TELL ME JUST A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU'RE LIVING WITH AND AND WHEREABOUTS MSK0035-079 I LIVE BY MYSELF IN AN APARTMENT DOWNTOWN MSK0035-080 OK I'M AN ARE YOU IN SCHOOL OR ARE YOU WORKING RIGHT NOW MSK0035-081 I'M IN SCHOOL MSK0035-082 OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK MSK0035-083 NO NO ONE'S BEEN SICK AROUND ME I HAVEN'T REALLY BEEN LEAVING MY HOME MSK0035-084 I SEE OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY MSK0035-085 NOPE MSK0035-086 ALRIGHT AND JUST STAYING ACTIVE WHICH IS GOOD DO YOU DO ANY OTHER ACTIVITIES BESIDES THE SKIING MSK0035-087 I DO I LIKE I GO SNOWBOARDING IN THE WINTER I GO CAMPING I LIKE PLAYING TENNIS AND VOLLEYBALL MSK0035-088 OK COOL IT SOUNDS FUN AND LIKE DO YOU SMOKE CIGARETTES MSK0035-089 NO I DON'T MSK0035-090 OK DO YOU DRINK ALCOHOL MSK0035-091 I'LL HAVE A BEER ONCE IN AWHILE MSK0035-092 OK HOW OFTEN IS ONCE IN AWHILE LIKE HOW MANY DRINKS PER WEEK MSK0035-093 OH NOT THAT MANY I'LL MAYBE HAVE LIKE TWO EVERY OTHER WEEK MSK0035-094 I SEE OK AND YOU USE CANNABIS OR OR ANY CANNABIS PRODUCTS MSK0035-095 I'LL TAKE AN EDIBLE ONCE IN AWHILE AS WELL LIKE MAYBE ONCE A MONTH MSK0035-096 OK AND HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS MSK0035-097 NO MSK0035-098 ALRIGHT AND IN THE FAMILY ARE THERE ANY HISTORY OF NEUROLOGICAL OR MUSCULOSKELETAL PROBLEMS MSK0035-099 NO MSK0035-100 HOW ABOUT ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM MSK0035-101 NO MSK0035-102 OK SO NEXT I WILL ASK YOU TO JUST HAVE A LOOK AT THE WRIST FOR THE PHYSICAL EXAM PORTION ARE YOU SEEING ANY SWELLING OR REDNESS MSK0035-103 NO I DON'T SEE ANYTHING LIKE THAT MSK0035-104 OK AND IF YOU TOUCH THE JOINTS AROUND THE WRIST ON BOTH SIDES IS THE RIGHT WRIST DOES IT FEEL HOT MSK0035-105 NO ACTUALLY YES IT DOES MSK0035-106 OK ALRIGHT AND BUT THERE'S NO SWELLING THERE MSK0035-107 THERE'S MAYBE A LITTLE BIT OF SWELLING COMPARED TO MY LEFT MSK0035-108 OK AND ARE YOU NOTICING ANY MUSCLE ATROPHY OR OR ANY DEFORMITY AT THE WRIST MSK0035-109 I GUESS THERE'S LIKE A SLIGHT BRUISE MSK0035-110 OK AND ARE THERE ANY LIKE RAISED BUMPS IF YOU PUT YOUR FINGER OVER IT OVER THE BONY EDGES MSK0035-111 NO BUMPS BUT JUST A GENERAL KIND OF SWELLING IN THE AREA THAT MAKES IT LOOK RAISED MSK0035-112 ALRIGHT AND AND IF YOU PALPATE OR PRESS ON SOME AREAS OF THE WRIST ARE THERE ANY AREAS THAT YOU'RE FEELING PAIN LIKE AT THE DISTAL RADIAL HEAD THE DISTAL ULNA OR ANY AREAS OF THE WRIST MSK0035-113 THERE'S SOME PAIN AT THE DISTAL RADIUS FOR SURE MSK0035-114 OK ALRIGHT AND IS THIS ON THE BACK OF THE HAND OR THE THAT THE PALM SIDE MSK0035-115 IT'S ON THE PALM SIDE MSK0035-116 OK DO YOU FEEL ANY PAIN IF YOU PUSH IN THE WHAT'S CALLED THE ANATOMICAL STUFF BOX SO IT'S AT THE BASE OF THE THUMB ON THE BASE OF THE THUMB ON THE BACK OF YOUR HAND MSK0035-117 BASE OF THE THUMB NO I DON'T FEEL ANY PAIN THERE MSK0035-118 OK AND OK SO NO PAIN AT THE THE DORSAL ANATOMICAL SNUFFBOX AND IN TERMS OF RANGE OF MOTION ARE YOU ABLE TO FLEX AND EXTEND YOUR WRIST MSK0035-119 I AM MSK0035-120 OK AND THEN HOW ABOUT MOVE IT LIKE SIDE TO SIDE KIND OF DEVIATING IT MSK0035-121 I CAN DO ALL OF THESE THINGS IT JUST HURTS A LOT MSK0035-122 OK ARE YOU ABLE TO MAKE A FIST MSK0035-123 YES MSK0035-124 ALRIGHT AND DO YOU HAVE ANY PROBLEMS AT THE ELBOW OR ARE YOU ABLE TO FLEX AND EXTEND THE ELBOW OK MSK0035-125 I CAN FLEX AND EXTEND OK MSK0035-126 OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO CHECK TODAY DID YOU HAVE ANY QUESTIONS OR CONCERNS MSK0035-127 NO JUST DO I NEED ANY SORT OF SURGERY FOR THIS AND DO I NEED AN X RAY HOW DO I GO ABOUT TRYING TO TREAT THIS MSK0035-128-1 SO I THINK I IT X RAY WOULD BE THE FIRST STEP HERE BECAUSE FROM WHAT YOU'RE DESCRIBING AND PARTICULARLY WITH THE MECHANISM OF THE INJURY AND WHERE YOU'RE FEELING PAIN MSK0035-128-2 CAN BE A COMMON CAUSE OF A DISTAL RADIAL RADIAL FRACTURE WHICH IS ONE OF THE FOREARM BONES AND SO WE WILL NEED AN X RAY TO LOOK TO SEE IF THERE IS A DISTAL RADIAL FRACTURE MSK0035-128-3 AND IT'S NOT SOUNDING LIKE THIS RIGHT NOW BUT ANOTHER THING THAT WILL LOOK FOR ON ON THE X RAY OF THE HANDS TOO IS A SCAPHOID FRACTURE TO MAKE SURE THAT THAT'S OK BUT YOU DIDN'T HAVE ANY PAIN MSK0035-128-4 IN THE AREA OF THE SCAPHOID WHICH IS REASSURING BUT WE STILL WANT TO IMAGE AND MAKE SURE ALTHOUGH THAT MOST LIKELY THING WOULD BE THE MSK0035-128-5 DISTAL RADIAL FRACTURE AN IF THAT'S THE CASE THEN THERE WILL BE LIKE WE WILL HAVE TO GO INTO A CAST FOR A PERIOD OF TIME AND DEPENDING ON HOW MUCH JOINT INVOLVEMENT THERE IS THERE MSK0035-128-6 MIGHT BE THE POSSIBILITY OF SURGERY BUT CANNOT COMMENT TOO MUCH ON ON THAT JUST YET WE WILL NEED TO GET THE IMAGING FIRST MSK0035-129 OK OK THAT SOUNDS GOOD THANK YOU MSK0036-000 HOW MAY I HELP YOU MSK0036-001 I'VE JUST BEEN EXPERIENCING A SOME PAIN AND NUMBNESS AND TINGLING IN IN JUST MY WRIST AREA AND THUMB MIDDLE FINGER AND INDEX FINGER MSK0036-002 OK AND WHEN DID THIS PAIN START AND IS IT THE RIGHT HAND OR OR LEFT HAND MSK0036-003-1 UUM IT'S THE RIGHT IT'S A THE RIGHT HAND BUT I ALSO FIND IT SO STARTING TO HAPPEN IN THE LEFT HAND AS WELL BUT MORE SO ON THE RIGHT HAND I FEEL THIS KIND OF MSK0036-003-2 SENSATION OVER MY PALMS AND FINGERS IT STARTED I WOULD SAY PROBABLY TWO WEEKS AGO AND IT'S BEEN I THINK IT'S GRADUALLY BEEN GETTING WORSE MSK0036-003-3 I'M HAVING MORE DIFFICULTY AT NIGHTTIME ESPECIALLY IT'S ALSO WAKING ME UP FROM SLEEP AND IT'S JUST AFFECTING MY DAILY ROUTINE MY WORK SO I JUST WANTED TO UNDERSTAND WHAT WAS GOING ON MSK0036-004 OK I SEE AND DID YOU HAVE ANY TRAUMA TO THE WRIST OR OR ANY INJURY OR HAVE YOU HAD AN INJURY IN THE PAST MSK0036-005 NO I HAVEN'T HAD ANY FALLS NO ACCIDENTS NOTHING LIKE THAT MSK0036-006 OK AND ARE YOU RIGHT OR LEFT HANDED MSK0036-007 I'M RIGHT HANDED MSK0036-008 OK AND YOU MENTIONED IT WAS THE RIGHT HAND THAT STARTED TO HURT FIRST AND THEN THE LEFT ONE HAS STARTED SINCE THEN MSK0036-009 AND I DON'T KNOW IF IT'S JUST CAUSE I USE MY RIGHT HAND MORE THAT I FEEL MORE PAIN AND THE SYMPTOMS BUT I DEFINITELY WOULD SAY IT'S WORSE MSK0036-010 OK AND WHERE ARE YOU FINDING THAT THE PAIN IS SPECIFICALLY LOCATED MSK0036-011-1 SO THE PAIN I FEEL LIKE IT'S MORE LIKE A DISCOMFORT JUST OVER THE LIKE PALM LIKE NEAR THE WRIST AND THE LOWER PALM AREA MSK0036-011-2 IS WHERE THE DISCOMFORT IS AND THEN THE NUMBNESS AND TINGLING IS JUST LIKE IN THUMB AN THE ONEST TWO DIGITS MSK0036-012 OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OF THIS SENSATION IS IT BURNING IS IT SHARP ACHY OR OR STABBY MSK0036-013 I WOULD SAY IT'S MORE OF KIND OF LIKE AN ACHING ACHING PAIN IT DOES SOMETIMES TURN INTO KIND OF LIKE A BURNING SENSATION WITH THE TINGLING BUT MORE SO ON THE PALMER LIKE ON THE PALM SIDE OF THINGS IT'S MORE LIKE AN ACHING PAIN MSK0036-014 OK AND YOU HAVE SOME BURNING AS WELL MSK0036-015 OK AND IS THE DOES IT RADIATE ANYWHERE ARE YOU FEELING THIS IN IN YOUR NECK SHOULDER OR DOWN YOUR ARM AT ALL MSK0036-016-1 IT KIND OF GOES FROM THE PALM ALONG SO IT GOES FROM THE PALM IT GOES UPWARDS LIKE TO MY FINGERS BUT ALSO BACKWARDS LIKE MSK0036-016-2 TO MY LOWER ARM AS WELL LIKE MY FOREARM MSK0036-017 OK AND DO YOU HAVE ANY PAIN MSK0036-020 IN IN MY NECK NO OK AN ANYTHING THAT YOU'VE DONE THAT MAKES THE PAIN WORSE MSK0036-021-1 I I JUST HAVE TO LIKE I WORK AS AN ACCOUNTANT THERE'S A LOT OF WORK I DO ON THE COMPUTER WITH A KEYBOARD MOUSE SO MSK0036-021-2 I FEEL LIKE IT'S HARD TO REALLY DO THAT ALL DAY RIGHT NOW SO I THINK IF I DO THAT I'LL MAKE IT WORSE BUT IF I TAKE A REST AND KIND OF JUST SHAKE MY HANDS A LITTLE BIT THEN IT GETS BETTER MSK0036-022 OK SO KIND OF LIKE FLICKING YOUR WRIST SORT OF THING SO KIND OF SHAKE OUT THE MSK0036-023 OK AN ANYTHING THAT YOU DO THAT MAKES IT BETTER BESIDES THOSE MOVES LIKE HAVE YOU TAKEN ANY MEDICATIONS OR TRIED ANY LIKE WRIST SPLINTS OR ANYTHING LIKE THAT MSK0036-024 NO I HAVEN'T TRIED ANY MEDICATIONS OR SPLINTS MSK0036-025 OK AND WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF ONE TO TEN TEN BEING THE WORST YOU'VE EVER FELT AND DO YOU FEEL THIS PAIN AT ANY PARTICULAR TIME OF DAY MORE THAN THAN OTHERS MSK0036-026 THE PAIN IS PROBABLY LIKE A A FIVE AND I FEEL IT MORE DURING THE NIGHT AS WELL AS LIKE WHEN I'M WORKING I FEEL IT'S DEFINITELY MORE AS I CONTINUE TO DO MORE WORK MSK0036-027 I SEE OK AND HAVE YOU HAD ANY LIKE NUMBNESS AND AND THAT TINGLING IN THE HAND OR ANYWHERE ELSE MSK0036-028 NO JUST IN THE AREAS THAT I DESCRIBED NOWHERE ELSE MSK0036-029 OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS MSK0036-030 NO I DON'T THINK SO MSK0036-031 OK AND HOW ABOUT ANY ISSUES WITH LIKE GRIPPING OBJECTS DROPPING OBJECTS OR LIKE OPENING JARS MSK0036-032 I I DO I DO HAVE LIKE WHEN I'M LIFTING THINGS AND OPENING JARS OPENING LIDS LIKE I DO HAVE THE SIMILAR DISCOMFORT PAIN AS WELL AS THE NUMBNESS AND TINGLING MSK0036-033 OK ALRIGHT AND HAVE YOU HAD ANY FEVERS OR CHILLS MSK0036-034 NO MSK0036-035 HAVE YOU HAD ANY NIGHT SWEATS MSK0036-036 NO MSK0036-037 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS MSK0036-038 NO MSK0036-039 OK HAVE YOU HAD ANY HEADACHES MSK0036-040 NO MSK0036-041 HOW ABOUT ANY LIKE SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION OR HEARING MSK0036-042 NO NO NOTHING LIKE THAT MSK0036-043 HOW ABOUT A LOSS OF YOUR SENSE OF TASTE OR SENSE OF SMELL MSK0036-044 NO MSK0036-045 HAVE YOU HAD ANY RUNNY NOSE OR FEELING CONGESTED MSK0036-046 NO NOTHING LIKE THAT MSK0036-047 HOW ABOUT A SORE THROAT OR A COUGH MSK0036-048 NO OK MSK0036-049 HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING MSK0036-050 NO NOTHING LIKE THAT MSK0036-051 HAVE YOU HAD ANY CHEST PAIN OR FEELING AS THOUGH YOUR HEART'S RACING MSK0036-053 NO OK HAVE YOU HAD ANY DIZZINESS OR MSK0036-055 OR LIGHTHEADEDNESS ALRIGHT AND HAVE YOU MSK0036-057 ANY OF NAUSEA OR VOMITING MSK0036-058 NO MSK0036-059 ANY ABDOMINAL PAIN NO OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION MSK0036-061 OR BLOOD IN THE STOOL NO ALRIGHT HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY MSK0036-062 NO MSK0036-063 ALRIGHT HAVE YOU NOTICED ANY SKIN CHANGES OR LIKE RASHES OR ANYTHING LIKE THAT MSK0036-064 NO MSK0036-065 OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR OR BODY PAINS MSK0036-066 NO MSK0036-067 OK AND ANY CONFUSION OR MEMORY LOSS MSK0036-068 NO MSK0036-069 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST MSK0036-070 NO I'VE BEEN FAIRLY HEALTHY MSK0036-071 OK AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER MSK0036-072 NO I I'VE BEEN PRETTY HEALTHY SOMETIMES I TAKE SOME ADVIL FOR HEADACHES AND STUFF OR TYLENOL BUT THAT'S IT MSK0036-073 OK AND DO YOU HAVE MSK0036-075 ANY ALLERGIES NOPE AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES MSK0036-077 NO I HAVEN'T ALRIGHT AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE MSK0036-078 YOU'RE LIVING AND AND WHO YOU'RE LIVING WITH I'M LIVING WITH MY HUSBAND AND TWO KIDS IN A MSK0036-079 SMALL TOWNHOUS I SEE AND YOU MENTIONED YOU'RE AN ACCOUNTANT ARE YOU WORKING RIGHT NOW MSK0036-080 I I AM IN I'M AN ACCOUNTING TIME OFF AND JUST TAKING A LITTLE BIT EASY BEFORE I FIND OUT LIKE WHAT THIS IS AND HOW THIS WILL REALLY IMPACT MY WORK MSK0036-081 I SEE OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY MSK0036-082 NO MSK0036-083 HAVE YOU TRAVELED ANYWHERE MSK0036-084 NO MSK0036-085 DO YOU SMOKE CIGARETTES MSK0036-086 NO MSK0036-087 OK AND HOW ABOUT MSK0036-088 SMOKING MARIJUANA NO NO NO MSK0036-089 DRUGS OK OK SO NO RECREATIONAL MSK0036-091 DRUGS OK AND ARE YOU CURRENTLY MSK0036-092 SEXUALLY ACTIVE YES MSK0036-093 JUST JUST WITH MY HUSBAND OK AND ANY CONCERN FOR MSK0036-095 SEXUALLY TRANSMITTED INFECTION MSK0036-096 NO OK AND DO YOU DRINK MSK0036-097 ALCOHOL JUST MAYBE SOME WINE EVERY OTHER DAY OK AND IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR LIKE NEUROLOGICAL CONDITIONS MSK0036-099 NO OK AND HOW ABOUT AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR LIKE HYPOTHYROIDISM OR TYPE ONE DIABETES MSK0036-100 IN IN MY FAMILY HISTORY I THINK MSK0036-101 THERE IS SOME THERE'S DEFINITELY SOME DIABETES ON MY FATHER'S SIDE BUT OTHER THAN THAT I THINK ONE OF MY AUNTS ON MY MOTHER SIDE HAD A MSK0036-102 HYSTERECTOMY FOR CANCER MSK0036-103 OK ALRIGHT AND WAS IT ENDOMETRIAL CANCER MSK0036-104 I'M NOT SURE ACTUALLY BUT SHE I JUST KNOW THAT SHE HAD HER UTERUS REMOVED I SEE ALRIGHT AND SO NEXT I WANTED TO JUST MOVE TO THE PHYSICAL EXAM PORTION AND SO JUST FIRST INSPECTING THE HAND AND WRIST DO YOU SEE MSK0036-106 ANY SWELLING OR REDNESS HOW ABOUT ANY CHANGES TO TEMPERATURE DO ANY OF THE JOINTS MSK0036-108 NO AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY DEFORMITIES OF ANY OF THE JOINTS IN THE HAND MSK0036-109 MAYBE LIKE JUST A LITTLE BIT LIKE I FEEL LIKE I'VE LOST SOME OF LIKE THE FAT PAD JUST RIGHT NEAR MY THUMB MSK0036-110 I SEE OK AND IS THERE ANY AREAS OF YOUR HANDS OVER LIKE ANY OF THE JOINTS OR OVER THE REST THAT IF YOU PRESS YOU MSK0036-112 FEEL PAIN NO OK AND ARE YOU ABLE TO TO MOVE YOUR WRIST OR THE FULL RANGE OF MOTION MSK0036-114-1 I CAN MOVE IT MSK0036-114-2 OK AND IS THERE ANY SO THAT THEN THE NEXT TEST I'LL JUST ASK YOU TO JUST TAP ON THE THE KIND OF BASE OF YOUR PALM THERE MSK0036-114-3 WITH YOUR INDEX FINGER AND MIDDLE FINGER OF YOUR LEFT HAND AND WHEN YOU DO THAT DO YOU FEEL ANY BURNING OR TINGLING MSK0036-115 I DEFINITELY DO MSK0036-116 OK SO THAT WOULD BE POSITIVE TINEL SIGN AND DO YOU GET ANY SO IF YOU FLEX BOTH OF YOUR WRISTS SO THAT THE BACK OF YOUR HANDS ARE PRESSING AGAINST EACH OTHER AND IF YOU HOLD THAT POSITION DO YOU START TO GET SYMPTOMS OF THE BURNING AND TINGLING MSK0036-117 I DO FEEL IT AS WELL THERE MSK0036-118 OK ALRIGHT SO THAT WAS EVERYTHING I WANTED TO ASK ABOUT AND CHECK TODAY DID YOU HAVE ANY QUESTIONS MSK0036-119 NO I JUST WANTED TO KNOW HOW I CAN FIX THIS MSK0036-120-1 YEAH CERTAINLY SO IT'S SOUNDING LIKE A CARPAL TUNNEL SYNDROME WHICH THAT THE DIFFERENTIAL WOULD BE SOMETHING LIKE RADICULOPATHY COMING UP UP FROM THE NECK WHICH YOU'RE NOT HAVING ANY NECK SYMPTOMS AND MSK0036-120-2 THE POSITIVE TENEL SIGN AND POSITIVE PHALEN SIGN ARE HIGHLY SUGGESTIVE OF CARPAL TUNNEL SYNDROME ALONG WITH THE NIGHTTIME SYMPTOMS AND MSK0036-120-3 THE BURNING AND TINGLING SENSATION YOU'RE EXPERIENCING AND SO TO HELP WITH THIS ONE OF THE FIRST THINGS THAT THAT CAN BE DONE IS TRYING TO USE LIKE WRIST SPLINTS AT NIGHT TO TRY TO KEEP YOUR HAND IN A NEUTRAL POSITION BUT MSK0036-120-4 ALSO DEPENDING ON LIKE IF THERE IS INFLAMMATION THERE NSAIDS MIGHT HELP A LITTLE BIT LIKE IBUPROFEN OR OR THINGS LIKE THAT MSK0036-120-5 BUT THE MAJORITY OF THE THERAPY WILL BE KIND OF AN ACTIVITY MODIFICATION AND IF SYMPTOMS DON'T IMPROVE OVER A PERIOD OF TIME THEN SURGERY COULD BE A POTENTIAL OPTION AS WELL MSK0036-121 OK SOUNDS GOOD MSK0037-000 HOW MAY I HELP YOU MSK0037-001-1 YEAH I JUST CAME IN HERE TODAY I'VE BEEN EXPERIENCING SOME DIFFICULTIES WITH MY RIGHT HAND ESPECIALLY AT THE BASES OF THE FOURTH AND FIVETH DIGITS I NOTICE THIS HAPPENING OVER THE LAST MSK0037-001-2 I'D SAY PROBABLY LAST FEW MONTHS IT'S BEEN GETTING WORSE I'VE BEEN HAVING TROUBLE JUST KIND OF EXTENDING THOSE TWO FINGERS AND I KIND OF SEE LIKE THIS LITTLE BUMP AT THE BASE OF THOSE TWO FINGERS SO OVERALL IT'S JUST MSK0037-001-3 BEEN DIFFICULT WORKING I'M A CONSTRUCTION WORKER AND I DON'T KNOW IF THIS JUST KEEPS GETTING WORSE MSK0037-002 OK AND YOU NOTICED AND SORRY WHEN EXACTLY MSK0037-003 DID IT START PROBABLY MSK0037-004 TWO MONTHS AGO MONTHS AGO ABOUT TWO MONTHS AGO AND IT'S THE FOURTH AND FIVETH DIGITS OR ANY OTHER FINGERS INVOLVED OR ANY MSK0037-006 OF YOUR HAND NO IT'S JUST THOSE TWO OK AND HOW WOULD YOU DESCRIBE THE THE PAIN THAT YOU'RE FEELING IS IT A SHARP PAIN AND AN MSK0037-007-1 ACHY PAIN OR A BURNING PAIN MSK0037-007-2 IT'S MORE A KIND OF LIKE A ACHING ACHING PAIN WHICH GETS WORSE WITH IF I TRY TO EXTEND THOSE FINGERS MSK0037-007-3 AND LIKE THAT I DO FEEL LIKE THE LITTLE NODULES BUT LIKE PRESSING ON THEM DOESN'T HURT OR ANYTHING LIKE THAT MSK0037-008 OK AND DO YOU FEEL ANY RADIATION OF PAIN LIKE IN INTO YOUR HAND OR FOREARM MSK0037-010 NO NOT REALLY OK AND ALRIGHT IS THERE ANYTHING THAT IS AGGRAVATING OR MAKING THE MSK0037-011-1 PAIN WORSE MSK0037-011-2 I THINK JUST A EXTENDING IT'S IT'S I WOULD SAY MORE THAN THE PAIN IT'S JUST LIKE DISCOMFORT AND JUST NOT BEING ABLE TO EXTEND THAT IS MSK0037-011-3 IS FRUSTRATING LIKE THE PAIN ISN'T THAT BAD LIKE THERE'S LIKE MINIMAL PAIN MSK0037-012 OK AND IS THERE ANY LIKE LIKE CLICKING OR ANY ANY CLICKING OR CATCHING WHEN YOU'RE TRYING TO LIKE EXTEND THE FINGER MSK0037-013 I WOULD SAY THERE IS A THERE'S SOME LIKE CATCHING I WOULD SAY IF WHEN I'M TRYING TO EXTEND MSK0037-014 OK AND HAS THERE BEEN ANYTHING THAT THAT YOU'VE TRIED RECENTLY THAT'S IMPROVED THE DISCOMFORT OR OR HELPED WITH THE RANGE OF MOTION MSK0037-015 NO NOTHING THAT I'VE TRIED THAT HAS REALLY HELPED AND I'M JUST AFRAID IF I STOP KIND OF EXERCISING AND MSK0037-016 IT'LL JUST KEEP GETTING WORSE OK CERTAINLY OK AND WHAT HAVE YOU HAD ANY PROBLEMS WITH YOUR HAND BEFORE LIKE MSK0037-017-1 ANY TRAUMA THERE OR ANYTHING LIKE THAT MSK0037-017-2 MY MY CONSTRUCTION WORKER SO THERE'S ALWAYS LIKE A LOT OF I HAVEN'T HAD ANY FALLS OR INJURIES ON MY HANDS LUCKILY BUT THERE IS ALWAYS JUST CONSTANT LIFTING THERE'S MSK0037-017-3 I USED TO DRILL A LOT TOO SO THERE'S LIKE ALWAYS CONSTANT AND I'M RIGHT HANDED AS WELL SO THERE'S ALWAYS LIKE THE VIBRATION SO BUT NO NO DIRECT LIKE TRAUMAS OR FALLS MSK0037-018 HAVE YOU BEEN HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING OR LOSS OF SENSATION TO ANY PARTS OF YOUR HAND OR UPPER EXTREMITY MSK0037-019 NO NUMBNESS OR TINGLING AND NO WEAKNESS OR ANYTHING LIKE THAT MSK0037-020 OK SO NO MUSCLE WEAKNESS MSK0037-021 NO MSK0037-022 OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS MSK0037-026 ANY NIGHT SWEATS NO AND HAVE YOU BEEN HAVING ANY UNEXPECTED HAVE YOU HAD MSK0037-028 ANY UNEXPECTED WEIGHT LOSS NO MSK0037-030 OK AND HAVE YOU HAD ANY HEADACHES NOPE ANY SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION HEARING LOSS OF TASTE OR SENSE OF SMELL MSK0037-031 NO NOTHING LIKE THAT MSK0037-032 HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED MSK0037-033 NOPE MSK0037-034 HAVE YOU HAD ANY EYE REDNESS OR OR ITCHY EYES MSK0037-035 NOPE MSK0037-036 ALRIGHT AND HAVE YOU HAD A SORE THROAT OR COUGH MSK0037-037 NO NOTHING LIKE THAT MSK0037-038 HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING MSK0037-039 NOPE MSK0037-040 HAVE YOU HAD ANY CHEST PAIN MSK0037-041 NOPE MSK0037-042 ANY LIGHTHEADEDNESS DIZZINESS OR FEELING AS THOUGH YOU MIGHT FAINT MSK0037-043 NO MSK0037-044 YOU GOT ANY FEELINGS OF THOUGH YOUR HEART IS RACING MSK0037-045 NOPE MSK0037-046 OK HAVE YOU HAD ANY NAUSEA OR VOMITING MSK0037-047 NO MSK0037-048 ANY ABDOMINAL PAIN MSK0037-049 NOPE MSK0037-050 HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION MSK0037-051 NOPE MSK0037-052 ALRIGHT AND HAVE YOU HAD LIKE ANY BLOOD IN THE STOOL MSK0037-053 NO MSK0037-054 ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY MSK0037-055 NO MSK0037-056 AN ANY SKIN CHANGES LIKE RASHES MSK0037-057 NO NOTHING LIKE THAT MSK0037-058 OK OR ANY CHANGES TO YOUR NAILS OR HAIR LIKE YOU'LL NOTICE LIKE PLAQUES ON THE NAILS OR OR HAIR LOSS MSK0037-060 NO OK AND HAVE YOU BEEN HAVING ANY MUSCLE ACHES OR JOINT PAINS OR BODY PAINS ANYWHERE ELSE MSK0037-061 NO NOT REALLY MSK0037-062 ALRIGHT AND HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION MSK0037-063 NO NOTHING LIKE THAT MSK0037-064 OK AND HAVE YOU HAD ANY APPETITE LOSS OR FATIGUE MSK0037-066 NO ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS MSK0037-067 THEY SAY I HAVE LIKE SOME HIGH CHOLESTEROL I'M TAKING THIS MEDICATION LIKE A STATIN AND BUT OTHER THAN THAT NO MSK0037-068 OK SO DO YOU TAKE ANY OTHER MEDICATIONS OR IS IT JUST THE STATIN MSK0037-069 IT'S JUST A STATIN MSK0037-070 OK AND HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS MSK0037-071 I DID A HAVE A ACL REPAIR JUST WHEN I WAS PROBABLY EIGHTEEN MSK0037-072 OK DO YOU HAVE ANY ALLERGIES MSK0037-073 NO NOT THAT I KNOW MSK0037-074 ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE MSK0037-075 COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH MSK0037-076 SO I JUST LIVED WITH MY WIFE WE LIVE IN SMALL APARTMENT MSK0037-077 OK AND ARE YOU WORKING RIGHT NOW MSK0037-078 JUST AS A CONSTRUCTION WORKER BEEN DOING THAT FOR THE LAST PROBABLY TEN YEARS MSK0037-079 OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK MSK0037-080 NO MSK0037-081 OK AND SORRY AS A CONSTRUCTION WORKER I HAVE YOU HAD ANY LIKE ANY PUNCTURE WOUNDS TO YOUR HANDS OR ANYTHING THAT LIKE ANY LIKE SLIVERS OR THINGS THAT HAVE GONE INTO THE SKIN MSK0037-082 NOT ANY PUNCTURE WOUNDS LIKE I SOMETIMES GET SPLINTERS HERE AND THERE BUT NOTHING LIKE NOTHING RECENTLY THAT I CAN THINK OF THAT HAS BEEN ANYTHING WORRYING OR SIGNIFICANT MSK0037-083 ALRIGHT OK AND HAVE YOU EVER TRAVELED ANYWHERE RECENTLY MSK0037-084 NOPE MSK0037-085 BEEN AROUND ANYBODY WHO'S BEEN SICK MSK0037-086 NOPE MSK0037-087 DO YOU SMOKE CIGARETTES MSK0037-088 I SMOKE PROBABLY A PACK A DAY FOR THE LAST I DON'T KNOW LIKE TEN YEARS MSK0037-089 OK AND YOU SMOKE MARIJUANA MSK0037-090 NOT THAT MUCH PROBABLY JUST A COUPLE TIMES A MONTH MSK0037-091 OK AND DO YOU DRINK ALCOHOL MSK0037-092 PROBABLY A COUPLE OF YEARS A DAY MSK0037-093 OK LIKE ONE OR TWO A DAY MSK0037-094 PROBABLY ONE OR TWO SOMETIMES THREE MSK0037-095 OK AND YOU USE ANY REC OTHER RECREATIONAL DRUGS AT AND OR ANY IV DRUGS AND HAVE YOU IN THE PAST MSK0037-096 NO I HAVEN'T TRIED ANYTHING BEYOND WEED I DON'T WANNA TRY ANY OTHER STUFF MSK0037-097 OK I I SEE AND THAT'S GOOD THEN ANYBODY IN THE FAMILY HAVE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY MSK0037-098 NOT THAT I KNOW MSK0037-099 OK AND HOW ABOUT ANY AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR HYPOTHYROIDISM MSK0037-100 NOPE MSK0037-101 OK AND AS ANYBODY IN THE FAMILY HAD A DUPUYTREN'S CONTRACTURE BEFORE MSK0037-102 NO I HAVEN'T I HAVEN'T HEARD IT NOW MSK0037-103 OK AND SO NEXT I JUST WANTED TO GO ON TO THE PHYSICAL EXAM PORTION SO JUST A COUPLE MORE QUESTIONS SO WHEN YOU'RE LOOKING AT YOUR HAND ARE YOU SEEING ANY SWELLING REDNESS MSK0037-104 NOT SWELLING I JUST JUST THOSE NODULES AND I GET LIKE A LITTLE BIT OF WHITENESS AROUND THOSE MSK0037-105 NODULES WHEN I EXTEND MSK0037-107 MY FINGERS OK BUT NO REDNESS NO OK AND ARE YOU ARE YOU SEEING ANY LIKE MUSCLE ATROPHY OR ANY DEFORMITIES MSK0037-109 OF ANY OF YOUR JOINTS IN THE FINGERS OR THE WRIST NO OK AND MSK0037-110-1 ARE THERE ANY AREAS THAT THAT YOU CAN PALPATE OVER YOUR HAND THAT CAUSES PAIN MSK0037-110-2 THERE'S JUST SOME DISCOMFORT LIKE WHEN I AT THE BASES OF THOSE TWO FINGERS LIKE IF I PRESS ON THE NODULES LIKE IT'S SOMETIMES A LITTLE BIT LIKE UNCOMFORTABLE MSK0037-110-3 BUT IT'S NOT TOO BAD LIKE I I DON'T BUT I DON'T KNOW MSK0037-111 PRETTY HIGH PAIN THRESHOLD TOO SO IT'S HARD TO SAY OK I SEE AN WHEN YOU'RE EXTENDING YOUR FINGERS WITH LIKE PASSIVE EXTENSION TO DO WITH YOUR OTHER HAND DO YOU GET A LOT OF PAIN LIKE ALONG THE TENDONS OR THE PASSIVE EXTENSION MSK0037-112 DEFINITELY I WOULD SAY MORE PAINFUL THAN IF I TRY TO EXTEND IT MYSELF LIKE JUST FORCING IT BACK BUT BUT NOT NOT ANYTHING TOO LIKE I LIKE IT'S NOT SHARP OR ANYTHING LIKE THAT MSK0037-113 OK AND WITH THE ON THE NODULES AND STUFF DO YOU FEEL ANY LIKE CREPITATIONS OR LIKE CRACKLING OR RUBBING OVER THOSE THOSE AREAS OR YOUR PALM MSK0037-114 CRACKLING OH NO NOT THAT I HAVE NOTICED MSK0037-115 OK AND ANY ISSUES WITH YOUR LIKE WRIST OR OR ELBOW MSK0037-116 NO NOT THAT I KNOW OF MSK0037-117 OK SO I THINK THAT'S EVERYTHING THAT I WANTED TO ASK ABOUT TODAY DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD OR OR DID YOU HAVE ANY QUESTIONS MSK0037-118 NO I THINK THAT'S ALL MSK0037-119-1 OK I'M SO RIGHT NOW IT'S SOUNDING LIKE IT'S MOST LIKELY SOMETHING CALLED DUPUYTREN'S CONTRACTURE BUT ALSO WE CAN'T RULE OUT LIKE FLEXOR TENOSYNOVITIS JUST YET OR OR TRIGGER FINGER MSK0037-119-2 BASED ON THE THE SYMPTOMS BUT THE FACT THAT YOU'RE NOT HAVING A FEVER YOU DON'T HAVE PAIN KIND OF ALONG THE THE TENDON YOU'RE NOT MSK0037-119-3 SEEING ANY SWELLING OR REDNESS THAT'S ALL POINTING AWAY FROM THE TENOSYNOVITIS MSK0037-120-1 BUT IT'LL BE IMPORTANT TO GET SOME BLOOD WORK AND THINGS TO MAKE SURE THAT WE'RE NOT MISSING THAT BUT FOR DUPUYTREN'S CONTRACTURE MSK0037-120-2 IT'LL BE A DO DOING WHAT WE CAN WITH THERAPY TO TRY IT LIKE PHYSIOTHERAPY AND ACTIVITY MODIFICATION TO TRY AND MSK0038-000 WHAT BRINGS YOU IN MSK0038-001-1 HI I'VE I'VE HAD THIS PAIN IN MY LEFT KNEE THAT'S BEEN GOING ON NOW FOR THE LAST THREE OR FOUR MONTHS MSK0038-001-2 BUT IT'S IT'S GOTTEN A BIT A BIT WORSE IT USED TO ONLY REALLY BUG ME WHILE I WAS DOING ACTIVITY AND NOW ITS STARTED TO MSK0038-001-3 HURT EVEN MORE AFTERWARDS AS WELL SO I'M GETTING THE PAIN AT AT REST AND SO I WANTED TO COME AND GET THAT CHECKED OUT MSK0038-002 OK FOR SURE AND YOU SAID IT STARTED A FEW WEEKS AGO MSK0038-003 WELL I THINK IT FIRST STARTED A FEW MONTHS AGO BUT IN THE PAST COUPLE OF WEEKS IT HAS STARTED TO KINDA LIKE LAST LONGER AND AND HAPPEN AT REST AS WELL MSK0038-004 AND SO DOES ANYTHING MAKE IT WORSE OR BETTER I ASSUME DOING ANY SORT OF PHYSICAL ACTIVITY MAKES IT WORSE AND REST MAKES IT BETTER BUT HOW ABOUT ANYTHING OTHER THAN THAT MSK0038-005 NOT REALLY IT'S MOSTLY JUST THE THE ACTIVITY IF I'M GOING UPSTAIRS OR DOWNSTAIRS OR DURING RUNNING IS REALLY WHERE IT HURTS THE MOST AND THAT'S WHAT'S BUGGED ME THE THE MOST RUNNING MSK0038-006 OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY SHARP DULL ACHY CRAMPY MSK0038-007 IT'S A SHARP PAIN ALMOST LIKE EVERY TIME MY FOOT HITS THE GROUND I GET LIKE A SHARP STABBING PAIN AND WHILE I'M AT AT REST IT FEELS A BIT MORE DULL WHILE WHILE I'M AT REST MSK0038-008 OK OK AND ONE TO TEN TEN BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN MSK0038-009 A SIX MSK0038-010 OK ALRIGHT AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE MSK0038-011-1 I DID HAVE SOMETHING SIMILAR LIKE MANY YEARS AGO I USED TO BE A ROWER IN UNDERGRAD AND I GOT SOME SIMILAR PAINS BEFORE AND MSK0038-011-2 I MEAN WITH SOME STRETCHING AND OTHER I DON'T KNOW KIND OF STRENGTHENING STUFF IT IT KIND OF HELPED BUT I DIDN'T GO SEE ANYBODY FOR IT AT THAT TIME BECAUSE IT IT KIND OF WENT AWAY AFTER A LITTLE WHILE MSK0038-012 OK OK AND YOU SAID YOU WERE ARE YOU STILL ROWING MSK0038-013 NO NO THE ONLY ACTIVITY THAT I'M DOING NOW IS IS RUNNING MSK0038-014 RUNNING OK AND FROM WHEN IT STARTED TO NOW IN THE PAST COUPLE OF WEEKS HAS IT CHANGED LIKE DRAMATICALLY IS IT AFFECTING YOUR DAY TO DAY LIFE MSK0038-015 A LITTLE BIT LIKE EVEN NOW JUST WALKING I CAN I CAN FEEL IT THE PAIN'S NOT AS SEVERE BUT LIKE AS WHEN I'M RUNNING BUT I CAN I'M STARTING TO NOTICE IT DAILY MSK0038-016 OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY SYMPTOMS LIKE FEVERS OR CHILLS MSK0038-017 NO NOTHING LIKE THAT MSK0038-018 NO ANY WEIGHT LOSS MSK0038-019 NO WEIGHT LOSS MSK0038-020 NO ANY RASHES MSK0038-021 NO RASHES MSK0038-022 NO CHANGES TO YOUR VISION HEARING TASTE OR SMELL MSK0038-024 NO CHANGES THERE OK HOW ABOUT A COUGH SHORTNESS OF BREATH OR WHEEZING MSK0038-025 NOTHING LIKE THAT MSK0038-026 OK HOW ABOUT CHEST PAIN HEART PALPITATIONS MSK0038-027 NO I HAVEN'T HAD ANYTHING LIKE THAT MSK0038-028 OK ANY CHANGES TO YOUR BOWEL MOVEMENTS MSK0038-029 NO I HAVEN'T HAD ANY DIARRHEA OR EVERYTHING'S BEEN NORMAL THERE MSK0038-030 OK NAUSEA OR VOMITING MSK0038-031 NOPE MSK0038-032 NO HOW ABOUT MSK0038-033 ABDOMINAL PAIN NO I HAVEN'T HAD ANY ANY ABDOMINAL PAIN NOTHING LIKE MSK0038-034 OK ANY CHANGES TO YOUR URINE MSK0038-035 NO NO I HAVEN'T HAD ANY ISSUES WITH THAT MSK0038-036 OK HOW ABOUT HEADACHES MSK0038-037 NO I HAVEN'T HAD ANY HEADACHES MSK0038-038 OK ANY PAIN ELSEWHERE ON YOUR BODY MSK0038-039 NOPE I'VE IT'S JUST MY JUST MY KNEE MSK0038-040 OK ANY NUMBNESS OR TINGLING IN THE AREA MSK0038-041 NO I HAVEN'T HAD ANYTHING LIKE THAT IT'S JUST THE MSK0038-042 SHARP PAIN OK HOW ABOUT CONFUSION OR MEMORY LOSS MSK0038-043 NO I HAVEN'T HAD THAT MSK0038-044 OK ANY MUSCLE ACHES AROUND THE KNEE LIKE SO JUST ABOVE YOUR KNEE WHERE YOUR QUADS ARE OR JUST BELOW MSK0038-046 NOTHING LIKE THAT OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS MSK0038-047 I'M OTHERWISE HEALTHY I IT'S NOTHING THAT I SEE THE DOCTOR FOR I'VE NEVER BEEN DIAGNOSED WITH ANYTHING MSK0038-048 OK HOW ABOUT HOSPITALIZATIONS OR SURGERIES IN THE PAST MSK0038-049 NOTHING LIKE THAT NO MSK0038-050 NO OK ANY MEDICATIONS THAT YOU'RE ON MSK0038-051 NOPE I I DON'T TAKE ANYTHING JUST WELL NO MEDICATIONS BUT I DO TAKE A LIKE A MULTIVITAMIN MSK0038-052 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS MSK0038-053 I AM I'LL GET THE FLU SHOT EACH YEAR MSK0038-054 OK HOW ABOUT ALLERGIES DO YOU HAVE ANY MSK0038-056 NO I I DON'T NO OK ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES MSK0038-057 NOPE I DON'T THINK SO MSK0038-058 HOW ABOUT HEART OR LUNG CONDITIONS MSK0038-059 I THINK MY DAD HAS LIKE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL BUT NOBODY'S HAD A HEART MSK0038-060 ATTACK OR AND NO CANCER MSK0038-061 OK HOW ABOUT AUTOIMMUNE CONDITIONS MSK0038-062 NO I DON'T THINK SO MSK0038-063 NO OK ANY DO YOU DO YOU DO ANY SMOKING NO I'VE TRIED LIKE SMOKING MARIJUANA IN THE MSK0038-064 PAST BUT DIDN'T REALLY LIKE IT MSK0038-065 SO I'VE STAYED AWAY FROM THAT OK HOW ABOUT OTHER RECREATIONAL MSK0038-066 DRUGS NO NO I I I HAVEN'T USED ANYTHING LIKE THAT BEFORE OK AND THEN WHERE DO YOU LIVE MSK0038-067 RIGHT NOW AND WHO DO YOU LIVE WITH SO RIGHT NOW I JUST LIVE ON MY OWN ACTUALLY I'M JUST FINISHING UP MY MY MY MASTERS MSK0038-068 AND JUST LIVE IN A SMALL APARTMENT OK ALRIGHT MSK0038-069 AND HAVE YOU BEEN MSK0038-072-1 OK HOW ABOUT TRAVEL MSK0038-072-2 NO I'VE JUST BEEN FINISHING UP THE THE THESIS AND RUNNING MSK0038-072-3 OK ALRIGHT THOSE WERE ALL THE QUESTIONS I HAD FOR YOU WE'LL MOVE ON TO THE PHYSICAL EXAM COMPONENT OF THIS MSK0038-081 ANY PAIN THERE NO PAIN OVER THE KNEECAP THAT FEELS FINE MSK0038-082 OK HOW ABOUT WHEN YOU PALPATE KIND OF LIKE THE MEDIAL LIGAMENTS OF YOUR KNEECAP DO YOU FEEL ANY PAIN THERE MSK0038-083 NO EVERYTHING ON THE MEDIAL SIDE FEELS FEELS NORMAL AND FINE MSK0038-084 HOW ABOUT WHEN YOU PALPATE THE LATERAL LIGAMENTS OF YOUR KNEECAP MSK0038-085 THE LIGAMENTS FEEL FEEL OK ON THE LATERAL SIDE THOUGH I I DO GET SOME PAIN ALONG THE LIKE ABOVE THE JOINT LINE MSK0038-086 ABOVE THE JOINT LINE MSK0038-087 OK OK AND HOW ABOUT WHEN YOU PALPATE THAT BIG MUSCLE GROUP ON YOUR THIGHS LIKE THE QUADRICEPS MSK0038-088 THAT FEELS OK NO PAIN IN THE MUSCLES MSK0038-089 OK HOW ABOUT LIKE THE PATELLAR TENDON MSK0038-090 NO PAIN THERE MSK0038-091 OK AND THEN WHEN YOU GO LOWER BELOW YOUR KNEECAP WHEN YOU PALPATE LIKE THE TOP PART WHERE THE PROXIMAL PARTS OF YOUR TIBIA AND FIBULA ARE DO YOU FEEL ANY PAIN THERE MSK0038-093 NO PAIN THERE OK AND NOW LET'S DO SOME MOVEMENTS WITH YOUR MSK0038-094 LEG MSK0038-095 ARE YOU SITTING DOWN I AM OK I'M GONNA GET YOU TO STAND UP FROM A SITTING POSITION DOES THAT IS THAT PAINFUL MSK0038-096 IT IS IT'S I GET A SHARP PAIN IF WHEN DOING THAT MSK0038-097 OK HOW ABOUT WHEN YOU SIT MSK0038-099 DOES THAT HURT THAT HURTS TOO THAT HURTS TOO OK AND THEN HOW ABOUT WHEN YOU FLEX YOUR KNEE INWARDS MSK0038-100 SO THAT YOUR HEEL IS TOUCHING YOUR BUM LIKE DOES THAT HURT LIKE I I'LL MSK0038-101 GET UP NO THAT DOESN'T HURT THAT FEELS OK OK HOW ABOUT WHEN YOU MSK0038-102 EXTEND YOUR KNEE BACK OUT STRAIGHTEN IT ALL THE WAY THAT FEELS OK TOO IF I'M JUST SITTING AND DOING THAT I CAN I CAN DO MSK0038-103-1 THAT OK OK HOW ABOUT WHEN YOU SO YOU'RE STANDING AND THEN YOU YOU ABDUCT YOUR HIP SO YOU BASICALLY MSK0038-103-2 YOU FLEX YOUR HIP BUT LATERALLY AND YOU KIND OF BRING IT UPWARDS SO THAT IT'S ALMOST SO THAT YOUR YOUR THE ACTION IS LIKE YOU'RE TRYING TO TOUCH THE CEILING MSK0038-104 OK I IT IF IT DOES FEEL IT FEELS LIKE IT'S KIND OF PULLING LIKE IT FEELS TIGHT WHEN I DO THAT LIKE ON THAT SIDE IT'S I DON'T GET THE SAME SHARP PAIN BUT IT'S UNCOMFORTABLE MSK0038-105 OK SO I'M GONNA TRY A SPECIAL TEST IT'S CALLED THE OBER TEST SO CAN I GET YOU TO LIE ON THE SIDE MSK0038-106-1 WITH THE INJURED KNEE MSK0038-106-2 OK AND THEN I'M GONNA GET YOU TO FLEX YOUR KNEE AT NINETY DEGREES AND ABDUCT AND EXTEND THE HIP MSK0038-106-3 WHILE YOUR THIGHS MAINTAIN IN LINE WITH YOUR TRUNK SO I'M GONNA GET YOU TO ADDUCT YOUR THIGH SO BRING IT BACK TOWARDS YOU THE THE MEDIAN AS FAR AS POSSIBLE MSK0038-107 OH I CAN'T REALLY IT'S KIND OF LIKE STUCK OUT THERE IT FEELS REALLY TIGHT IF I'M TRYING TO LIKE BRING IT BRING IT BACK DOWN MY LEG ALMOST LIKE FLOATS UP IF I JUST LEAVE IT THERE MSK0038-108-1 OK SO THAT IS A POSITIVE OBER TEST OK SO WHAT IT SOUNDS LIKE IS YOU IT SOUNDS LIKE YOU HAVE SOMETHING CALLED MSK0038-108-10 INCREASE YOUR RANGE OF MOTION SO WE CAN DO WE CAN PUT IN A REFERRAL FOR THAT AND IF NONE OF THOSE WORK WE CAN ALSO DISCUSS MSK0038-108-11 SOME OTHER THINGS LIKE ULTRASOUND THERAPY OR LIKE MUSCLE STIMULATION SHOCKWAVE THERAPY AND THEN EVENTUALLY IF NONE OF THOSE OTHER THINGS WORK WE CAN MSK0038-108-12 DISCUSS SURGICAL MANAGEMENT BUT IT'S RARE THAT IT EVER GETS TO THAT POINT DOES THAT SOUND OK MSK0038-108-2 ILIOTIBIAL BAND SYNDROME SO ITB SYNDROME AND BASICALLY THAT HAPPENS AND MSK0038-108-3 ATHLETES SO DEPENDING ON YOUR LIKE POSITION LIKE HOW MUCH YOU'RE USING THOSE JOINTS MSK0038-108-4 AND LIKE REPETITIVE ACTIONS OF LIKE KNEE FLEXION EXTENSION KIND OF TRIGGERS THAT MSK0038-108-5 AND TO TREAT IT WE CAN TRY SOME CONSERVATIVE THINGS FIRST SO THE FIRST THING WOULD BE FOR YOU TO MSK0038-108-6 HAVE SOME SORT OF ACTIVITY MODIFICATION TO PREVENT AGGRAVATING THAT JOINT EVEN MORE SO YOU'RE DOING A LOT OF RUNNING SO MAYBE SWITCHING TO THINGS LIKE SWIMMING FOR THE TIME BEING MSK0038-108-7 CAN HELP WITH THAT AND THEN OTHER THINGS INCLUDE ICE OR HEATING PADS TAPING AND STRETCHING MSK0038-108-8 AND THEN IF THE PAIN IS IF THE PAIN PERSISTS YOU CAN TRY SOME LIKE IBUPROFEN FOR TEMPORARY RELIEF WE CAN TALK ABOUT OTHER MSK0038-108-9 TREATMENTS AS WELL LIKE PHYSIOTHERAPY BECAUSE IT'LL BE IMPORTANT TO KIND OF STRENGTHEN THOSE MUSCLES AROUND THAT JOINT AS WELL AS MSK0038-109 IT DOES THANK YOU SO MUCH MSK0038-110 OK AND NO WORRIES MSK0039-000 WHAT BRINGS YOU IN MSK0039-001-1 I JUST CAME IN TODAY I THINK I BROKE MY LEG OR SOMETHING IT'S SOMETHING THAT WAS I HEARD A SNAP I WAS IN JUST A DANCE CLASS AND WE HAVE LIKE THESE LONG DRESSES IT IT WAS A TRADITIONAL DANCE CLASS MSK0039-001-2 AND MY FOOT SLIPPED RIGHT ONTO IT GOT CAUGHT IN MY DRESS AND IT JUST KIND OF SLIPPED AND I I FELT RIGHT ON MY MY LEG KIND OF TWISTED AND I FELL DOWN AND I JUST STAYED DOWN I KNEW SOMETHING WAS NOT RIGHT AND SOMETHING WAS BROKEN MSK0039-002 WHEN DID THIS HAPPEN MSK0039-003 JUST I WOULD SAY LIKE AN HOUR AGO MSK0039-004 HOUR AGO OK ARE YOU ABLE TO BEAR ANY WEIGHT ON IT AT ALL MSK0039-005 NO NOT REALLY I I HAD TO COME IN THE AMBULANCE MSK0039-006 OK OK AND IF YOU WERE TO LOCALIZE THIS PAIN WHERE EXACTLY IS IT MSK0039-007 IT'S PRETTY MUCH MY WHOLE LOWER LEG IS PAINFUL BUT I THINK WHERE IT LOOKS LIKE IT BROKE IS LIKE THE MIDDLE PART OF MY LOWER LEG MSK0039-008 THE MIDDLE PART OK MIDDLE PART OF YOUR LOWER LEG SO KIND OF WHERE YOUR SHINS ARE MSK0039-009 OK SO IN THE SHIN AREA OK HAVE YOU TRIED ANYTHING FOR IT I KNOW IT'S ONLY BEEN AN HOUR MSK0039-010 NO NOTHING I JUST LIKE I JUST WANT TO MAKE SURE I KEEP IT AS STILL AS POSSIBLE I DIDN'T WANNA EVEN TRY ANYTHING MSK0039-011 OK THAT MAKES SENSE IF YOU WERE TO DESCRIBE THIS PAIN WOULD YOU SAY IT'S SHARP DULL MSK0039-012 ACHY THROBBING IT'S LIKE SHARP AND THROBBING IT'S LIKE PROBABLY ONE OF THE WORST PAINS THAT I'VE FELT IN MY LIFE MSK0039-013 OK OK AND ONE TO TEN TEN BEING THE WORST PAIN EVER HOW BAD IS IT MSK0039-014 AT TEN FOR SURE MSK0039-015 TEN OK HAVE YOU SO YOU SAID YOU'VE NEVER EXPERIENCED THIS BEFORE DO YOU FEEL LIKE IT'S GETTING WORSE THE PAIN OR HAS IT BEEN PRETTY MUCH THE SAME SINCE IT STARTED OR IS IT GETTING BETTER MSK0039-016 I WOULD SAY IT'S THE SAME IT'S LIKE I'M IN AS MUCH PAIN AS I WAS EARLIER MSK0039-017-1 OK OK AND SO OK DO YOU KNOW HOW YOU FELT LIKE ON THE FLOOR LIKE DID YOU MSK0039-017-2 GO LIKE LEG FIRST OR WAS IT DID YOUR KIND OF LIKE THE MECHANISM OF YOUR FALL DID YOU BREAK THE FALL AT ALL WITH YOUR ARMS MSK0039-018-1 NO I DIDN'T BREAK IT KIND OF SO I WAS KIND OF I FEEL LIKE WHEN I WAS SLIPPING IT WAS AT FIRST MY LEG WAS HYPER EXTENDED BUT IT KIND OF JUST MSK0039-018-2 FELT LIKE IT SNAPPED AND IT WENT STRAIGHT DOWN SO THERE WAS SOME KIND OF TWISTING AS WELL AS SOME HYPEREXTENSION BUT IT JUST KIND OF SLIPPING ON MY DRESS AND THEN JUST STRAIGHT DOWN MSK0039-019 OK OK OTHERWISE DO YOU HAVE ANY PAIN ELSEWHERE IN YOUR BODY MSK0039-020 NO MSK0039-021 HOW ABOUT ANY NUMBNESS OR TINGLING IN THE AREA MSK0039-022 I DO FEEL SOME NUMBNESS TINGLING JUST BELOW WHERE IT HAPPENED MSK0039-023 BUT IT LIKE COMES AND GOES OK AND THEN HOW ABOUT HOW ABOUT ANY LIKE FEELINGS OF LIKE LOSING SENSATION MSK0039-024 OR FEELING COLD IN THAT AREA MSK0039-029 ANY FAINTING OR DIZZINESS MSK0039-030 NO MSK0039-031 CONFUSION OR MEMORY LOSS MSK0039-035 WEIGHT LOSS RECENTLY MSK0039-037 NO FEVERS OR CHILLS NO CHANGES TO MSK0039-038 YOUR HAIR NAILS OR SKIN MSK0039-039 LIKE RASHES NO NOTHING THAT I'VE NOTICED NO ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE MSK0039-040 NO MSK0039-041 HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING MSK0039-042 NO NO NOTHING LIKE THAT MSK0039-043 NO OK HOW ABOUT CHEST PAIN OR PALPITATIONS MSK0039-044 NO MSK0039-045 NO ANY CHANGES TO YOUR BOWEL MOVEMENTS MSK0039-046 NO NOT THAT I'VE NOTICED MSK0039-047 NAUSEA OR VOMITING MSK0039-048 NOPE MSK0039-049 ABDOMINAL PAIN MSK0039-050 NO MSK0039-051 CHANGES TO URINARY HABITS MSK0039-052 NO NOTHING LIKE THAT MSK0039-053 NO OK AND ARE YOU OTHERWISE HEALTHY MSK0039-054 I'VE BEEN PRETTY HEALTHY I DON'T TAKE ANY MEDICATIONS REGULARLY I DON'T HAVE ANY MEDICAL CONDITIONS MSK0039-055 OK THAT'S GOOD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST MSK0039-056 NO JUST JUST FOR LIKE MY PREGNANCIES I HAD TWO PREGNANCIES BOTH OF THEM DELIVERED VAGINALLY BUT NO ISSUES WITH THAT JUST AFTER THAT NO HOSPITALIZATIONS OR SURGERIES MSK0039-057 OK OK AND THEN ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS MSK0039-058 OK THAT'S GOOD DO YOU HAVE ANY ALLERGIES MSK0039-059 NO NOT THAT I KNOW OF MSK0039-060 OK AND THEN IS THERE ANY FAMILY HISTORY OF LIKE MUSCULOSKELETAL ISSUES MSK0039-061 SO MY MOTHER HAS SOMETHING CALLED OSTEOPOROSIS MSK0039-062 OK MSK0039-063 BUT THAT'S THAT'S ALL THAT I CAN THINK OF MSK0039-064 HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT MSK0039-065 PROBABLY IN HER FIFTIES MSK0039-066 IN HER FIFTIES OK MSK0039-067 LATE FIFTIES I WOULD SAY MSK0039-068 HAVE YOU BEEN HAVE YOU EVER LIKE BEEN TESTED FOR THAT MSK0039-069 NO I'VE NEVER I'VE NEVER HAD TESTING MSK0039-070 OK ALL RIGHT AND THEN ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS MSK0039-071 NO MSK0039-072 HOW ABOUT AUTOIMMUNE CONDITIONS MSK0039-073 NO NOT THAT I KNOW OF MSK0039-074 ANY CANCERS MSK0039-075 I THINK ONE OF MY AUNTS HAS OVARIAN CANCER MSK0039-076 OK OK HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT MSK0039-077 LIKE PRETTY RECENTLY SO PROBABLY LIKE IN HER SIXTIES MSK0039-078 OK OK AND THEN HAVE YOU BEEN IN TOUCH WITH ANYONE SICK RECENTLY MSK0039-079 NO MSK0039-080 NO OK HAVE YOU DONE ANY TRAVEL RECENTLY MSK0039-081 NO MSK0039-082 OK THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING YOU WANTED TO ADD BEFORE WE MOVE TO THE PHYSICAL EXAM COMPONENT MSK0039-083 NO I JUST WANT TO GET THIS FIXED AS SOON AS POSSIBLE MSK0039-084 OK THAT SOUNDS GOOD WE'LL WE'LL TRY OUR BEST MSK0039-085 THANK YOU MSK0039-086 OK SO NOW LOOKING AT YOUR LEGS LIKE SIDE BY SIDE DO YOU NOTICE ANY REDNESS OR SWELLING IN YOUR RIGHT LEG MSK0039-087 COMPARED TO YOUR LEFT IT'S ALL IT'S ALL SWOLLEN AND RED AND JUST LOOKS SO MUCH DIFFERENT THAN MY OTHER LEG MSK0039-088 OK DO YOU NOTICE ANY OBVIOUS LIKE BREAKS IN THE SKIN MSK0039-089 NO THERE'S NO BREAKS IN THE SKIN BUT LIKE WHEN I FELL LIKE I I CAN DEFINITELY SEE LIKE THE BEND THERE IS LIKE A BEND IN THE BONE SO I DEFINITELY DO THINK IT'S BROKEN MSK0039-090 OK AND DO YOU NOTICE ANY LIKE BONY PIECES THAT ARE PUSHING ON THE SKIN MSK0039-091 NO MSK0039-092 NO OK ANY BRUISES IN THE AREA MSK0039-093 THE WHOLE AREA SEEMS BRUISED UP AND ANGRY MSK0039-094 OK DOES BESIDES THE BRUISING AND THE MISALIGNMENT DO YOU NOTICE ANY OTHER OBVIOUS DEFORMITIES ANY MUSCLE ATROPHY IN THE AREA MSK0039-095 NO MSK0039-096 NO OK AND THEN PLACING YOUR HAND ON ONE LEG COMPARED TO THE OTHER DOES IT SEEM WARMER MSK0039-097 I FEEL LIKE IT'S IT'S WARMER MSK0039-098 OK AND THEN I'M GONNA TRY TO GET YOU TO DO SOME MOVEMENTS CAN YOU MOVE YOUR RIGHT LEG AT ALL LIKE CAN YOU FLEX AND EXTEND YOUR KNEES MSK0039-099 NO NOT NOT AT ALL LIKE I I'M I'M TOO SCARED TO TRY MSK0039-100 OK AND HOW ABOUT WEIGHT BEARING ARE YOU ABLE TO STAND UP AT ALL ON THAT LEG MSK0039-101 NO I JUST I JUST GOT TIME TO CALL THE AMBULANCE I KNEW I KNEW IT WAS JUST NOT POSSIBLE MSK0039-102-1 OK ALRIGHT I GUESS THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU I THINK YOU MAY HAVE A TIBIAL FRACTURE SO WE'LL START WITH SOME X RAYS TO BE SURE AND TO TRY TO TAKE A LOOK AT LIKE WHERE MSK0039-102-2 THE FRACTURE IS AND HOW WE CAN APPROACH THAT BECAUSE EVERYTHING IS SWOLLEN AND ANGRY DOWN THERE WE'LL PROBABLY TRY AND APPLY A SPLINT MSK0039-102-3 UNTIL THE SWELLING GOES DOWN AND THEN WE CAN REFER YOU TO AN ORTHOPAEDIC SURGEON FOR A SURGIC FOR THE SURGERY ITSELF MSK0039-102-4 SO THAT COULD INVOLVE LIKE YOU KNOW THEM DOING LIKE AND INTRAMEDULLARY NAIL PLATES AND SCREWS AND LIKE SOME SORT OF FIXATION MSK0039-102-5 BUT AFTER THE SURGERY YOUR FRACTURE WILL PROBABLY TAKE ABOUT FOUR TO SIX MONTHS TO HEAL COMPLETELY SO IN THAT PERIOD WE CAN TALK ABOUT LIKE PAIN MANAGEMENT AND PHYSIOTHERAPY AS WELL JUST TO KEEP THE MUSCLES IN THAT AREA STRONG MSK0039-103 AND TO INCREASE YOUR RANGE OF MOTION MSK0039-104 DOES THAT SOUND OK THAT SOUNDS GOOD I THINK MSK0040-000 HOW MAY I HELP YOU MSK0040-001 SO I'VE HAD THIS ANKLE PAIN FOR THE PAST DAY AND AND IT DOESN'T SEEM TO BE GETTING BETTER MY RIGHT ANKLE LOOKS SWOLLEN AND IT'S BRUISED AND IS PRETTY PAINFUL SO I JUST WANTED TO COME HERE TO CHECK CHECK IT OUT SEE IF I NEED ANY THING DONE TO IT MSK0040-002 ABSOLUTELY OK SO YOU SAID THAT THIS STARTED YESTERDAY WAS THERE ANY LIKE TRAUMA TO THE ANKLE OR LEG OR DID YOU HAVE A FALL OR OR SOME SORT OF INJURY MSK0040-003-1 YEAH SO I PLAY RUGBY AND I MIGHT HAVE SO I FELL DURING A TACKLE MOTION TYPE THING AND I FELL ON THAT LEG AND MY LEG MY FOOT KIND OF IN POINTED INWARDS AS I FELL AN I KIND OF FELL ON MSK0040-003-2 ON MY ANKLE KIND OF JUST ABOVE ABOVE MY LATERAL SIDE OF THE FOOT SO WHERE THAT BONY PROMINENCE IS MSK0040-004 OK I SEE AND AND YOUR FOOT KIND OF IT TURNED INWARDS WHEN YOU FELL MSK0040-005 YES THAT'S RIGHT MSK0040-006 OK AND WAS THERE PAIN IMMEDIATELY MSK0040-007 AFTER MSK0040-008 THE THIS INCIDENTOK YES WERE YOU ABLE TO LIKE WALK OFF THE FIELD AT ALL OR DID YOU NEED TO BE CARRIED OR WERE YOU ABLE TO WALK AT ANY POINT AFTER MSK0040-009 SO I CAN WALK BUT IT IS VERY PAINFUL AND I'M PUTTING A LOT OF WEIGHT ON MY LEFT FOOT SO IT'S ALMOST LIKE I'M HOPPING ON MY LEFT FOOT MSK0040-010 OK AND AND IS THE PAIN ACTUALLY SO WHERE IS THE PAIN SPECIFICALLY LOCATED ON YOUR FOOT OR ANKLE MSK0040-011 SO IT'S SPECIFICALLY IT'S ON THE LIKE LATERAL MSK0040-012 MALLEOLUS AREA OK AND HOW WOULD YOU DESCRIBE THE PAIN IN TERMS OF ITS CHARACTER OR QUALITY MSK0040-013 LIKE IS IT SHARP MSK0040-014 BURNING STINGING IT FEELS SHARP OK AND DO YOU MSK0040-015 FEEL THE PAIN RADIATING ANYWHERE ELSE OH NO IT'S PRETTY MUCH IN THAT AREA JUST IN THE ANKLE AREA MSK0040-016 OK AND HAS THERE BEEN ANYTHING YOU'VE TRIED TO MAKE THE PAIN BETTER MSK0040-017 I'VE TRIED SOME IBUPROFEN AND SOME ICE THAT SEEMS TO HELP TEMPORARILY BUT IT DOESN'T HELP WITH LIKE LIKE IT'S NOT PERMANENT MSK0040-018 OK AND HAS THERE BEEN ANYTHING THAT'S MADE IT WORSE MSK0040-019 JUST PUTTING WEIGHT OR LIKE TRYING TO BEAR ANY WEIGHT ON THAT ANKLE HAS MADE IT WORSE MSK0040-020 OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS ON A SCALE OF TEN TO ONE WITH TEN BEING THE WORST PAIN YOU'VE EVER FELT MSK0040-021 I WOULD SAY IT'S LIKE A SEVEN OR EIGHT MSK0040-022 OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE TO THE ANKLE OR EVER INJURED YOUR FOOT BEFORE MSK0040-023 NO NOTHING LIKE THIS MSK0040-024 OK AND HAVE YOU HAD ANY MSK0040-025 ANY HEADACHES MSK0040-026 NO HEADACHES MSK0040-028 HAD ANY MSK0040-029 FEVERS MSK0040-030 OR CHILLS NO HOW ABOUT NIGHT SWEATS NO MSK0040-032 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS NO OK AND HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES YOUR VISION HEARING OR EVEN YOUR SENSE OF MSK0040-033 SMELL OR SENSE OF TASTE MSK0040-034 NO NOTHING LIKE THAT OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING MSK0040-035 NO MSK0040-036 OK NOW HAVE YOU NOTICED ANY SENSORY LOSS OVER YOUR LEG OR ANKLE MSK0040-037 NO NO NO NO SENSORY LOSS MSK0040-038 OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS MSK0040-039 NO MSK0040-040 OK AND AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE HAVING LIKE A RUNNY NOSE OR FEELING CONGESTED OR MAYBE EVEN A SORE THROAT MSK0040-041 NO MSK0040-042 ALRIGHT AND HAVE YOU HAD A COUGH MSK0040-043 NO COUGH MSK0040-044 HOW ABOUT SHORTNESS OF BREATH MSK0040-045 NO MSK0040-046 ALRIGHT HAVE YOU HAD ANY CHEST PAIN OR FEELING LIKE YOUR HEART'S RACING MSK0040-047 NO MSK0040-048 HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS MSK0040-049 NO MSK0040-050 ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING MSK0040-051 NO MSK0040-052 HOW ABOUT ANY LOSS OF APPETITE MSK0040-053 NO MSK0040-054 HAVE YOU HAD ANY ABDOMINAL PAIN MSK0040-055 NO MSK0040-056 HAVE YOU ANY DIARRHEA CONSTIPATION OR OR BLOOD IN THE STOOL MSK0040-057 NO MSK0040-058 OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS MSK0040-059 NO MSK0040-060 OK AND HAVE YOU HAD ANY CHANGES TO YOUR ENERGY RECENTLY MSK0040-061 NO NO CHANGES TO MY ENERGY MSK0040-062 ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS OR ANY REASON TO SEE A DOCTOR REGULARLY MSK0040-063 NO I'VE BEEN PRETTY HEALTHY OTHERWISE MSK0040-064 OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED MSK0040-065 NO MSK0040-066 ALRIGHT THEN DO YOU HAVE ANY ALLERGIES MSK0040-067 NO MSK0040-068 OK AND ARE YOUR IMMUNIZATIONS UP TO DATE MSK0040-069 I THINK SO I GAVE THEM THE MOST RECENT ONES I'VE RECEIVED IN HIGH SCHOOL MSK0040-070 OK OK THAT'S GOOD AND HAVE YOU HAD ANY SURGERIES BEFORE OR ANY REASONS FOR HOSPITALIZATIONS MSK0040-071 NO I'VE NEVER I'VE NEVER BEEN HOSPITALIZED MSK0040-072 OK AND ALRIGHT COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE WHO YOU'RE LIVING WITH AND WHEREABOUTS MSK0040-073 I LIVE WITH BOTH MY PARENTS AS WELL AS TWO OF MY SIBLINGS THEY ARE YOUNGER WE LIVE IN A HOUSE DOWNTOWN MSK0040-074 OK AND ARE YOU CURRENTLY MSK0040-075 IN SCHOOL I AM I'M IN GRADE ELEVEN MSK0040-076 OK AWESOME AND THEN HOW'S THAT BEEN GOING SO FAR MSK0040-077 GOING PRETTY WELL MSK0040-078 OK AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY MSK0040-079 NO NO ONE'S BEEN SICK MSK0040-080 OK AND HOW ABOUT HAVE YOU TRAVELING ANYWHERE MSK0040-081 NO WE HAVEN'T BEEN DOING ANY OF THAT SO SINCE COVID MSK0040-082 OK AND AND I KNOW SOMETIMES PEOPLE AT LIKE IN HIGH SCHOOL AND CERTAINLY IN YOUR AGE GROUP MAY EXPERIENCE WITH THINGS LIKE SMOKING SMOKING TOBACCO OR CIGARETTES DRINKING ALCOHOL OR USING MARIJUANA HAVE YOU USED ANY OF THOSE THOSE SUBSTANCES MSK0040-086 ARE YOU CURRENTLY SEXUALLY ACTIVE I AM OK AND MSK0040-087 COULD YOU TELL ME ABOUT YOUR PARTNERS OR OR PARTNER SHE'S BEEN MY GIRLFRIEND FOR THE MSK0040-088 PAST TWO YEARS AND WE USE PROTECTION OK GREAT AND ANY MSK0040-090 CONCERNS FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME NO OK AND IN THE FAMILY HAS THERE BEEN ANY HISTORY OF MUSCULOSKELETAL MSK0040-091 OR NEUROLOGICAL PROBLEMS MSK0040-092 NO NOTHING LIKE THAT OK AND HOW MSK0040-094 ABOUT ANY AUTOIMMUNE CONDITIONS NO OK AND SO I NEXT WANTED TO MOVE TO THE PHYSICAL EXAM COMPONENT AND ASK YOU TO HAVE A LOOK AT YOUR ANKLES MSK0040-095 AND ARE YOU SEEING ANY SWELLING OR REDNESS OR DISCOLOURATION SO I THERE'S A MSK0040-096 LIKE THERE'S A BRUISE ABOUT FOUR CENTIMETERS WIDE AND IT APPEAR SWOLLEN BUT JUST MSK0040-097 BY RIGHT ANKLE MSK0040-098 JUST YOUR RIGHT ANKLE OK AND IS THERE ANY TEMPERATURE CHANGES LIKE WARMTH WHEN YOU MSK0040-100 TOUCH IT SLIGHTLY WARM OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR DEFORMITIES OF THE MSK0040-116-1 TOES NO MSK0040-116-2 OK AND THEN YOU MENTIONED THAT WITH WALKING YOU'RE HAVING A LIMP CURRENTLY YES OK SO WE HAVE AN ANTALGIC GATES WITH AN INABILITY TO BEAR WEIGHT AS WELL MSK0040-116-3 OK SO THE THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY AND BASED ON THESE FEATURES IT IS STARTING LIKE IT COULD BE EITHER AN ANKLE FRACTURE OR AN ANKLE SPRAIN BUT BECAUSE OF THE MSK0040-116-4 PIN POINT TENDERNESS OR THAT YOU'RE FINDING ON THE LATERAL SIDE AS WELL AS SOME OF THE THE INABILITY TO BEAR WEIGHT AS YOU'RE DESCRIBING IT'LL BE IMPORTANT TO GET AN X RAY TO MAKE SURE THAT THERE'S NOT A FRACTURE MSK0040-116-5 AND AND IF THERE IS THEN IT WILL BE IMPORTANT TO HAVE SOME SORT OF AIR BOOT OR CASTING SO THAT TO MAKE SURE THAT WE'RE OFFLOADING THE AREA FOR THE BONES TO HEAL BUT WE'LL SEE WHAT THE X RAY SHOWS MSK0040-117 OK THAT SOUNDS GREAT THANK YOU MSK0040-118 THANK YOU MSK0041-000 HOW MAY I HELP YOU MSK0041-001 I'M I AM HERE BECAUSE I'VE HAD THIS INTENSE PAIN IN MY RIGHT FOOT FOR THE PAST SIX HOURS OR SO OR SO AND I THOUGHT IT WAS IMPORTANT TO COME GET IT CHECKED OUT BY YOU GUYS MSK0041-002 OK SO YOU SAY IT STARTED SIX HOURS AGO HAS THE PAIN BEEN GETTING BETTER OR GETTING WORSE MSK0041-003 IT'S BEEN IT'S BEEN THE SAME SINCE IT STARTED MSK0041-004 OK AND WAS THERE ANY TRAUMA TO THE FOOT OR ANYTHING HAPPEN WITHIN THE LAST DAY OR IN THE LAST SIX HOURS MSK0041-005 NO NOT NO MSK0041-006 TRAUMA OK AND WHERE IS THE PAIN LOCATED IF YOU HAD TO TRY TO PINPOINT IT WITH ONE FINGER MSK0041-007 IT'S JUST BELOW MY BIG TOE KIND OF LIKE ON THE MEDIAL SIDE MSK0041-008 OK DO YOU FEEL THE PAIN RADIATING ANYWHERE ELSE OR YOU JUST FEELING IT AT THAT ONE SPOT MSK0041-009 I'M FEELING IT JUST IN THAT ONE SPOT MSK0041-010 OK AND HOW WOULD YOU DESCRIBE THE PAIN MSK0041-012 INTENSE IT'S SHARP OK AND AND HAS THERE BEEN ANYTHING THAT MSK0041-013 YOU'VE TRIED THAT'S MADE THE PAIN BETTER NO I HAVEN'T REALLY TRIED ANYTHING I'VE I CAN'T SEEM TO MOVE IT SO EVERY TIME I MOVE IT IT HURTS I'M TRYING TO KEEP IT PRETTY STILL AND STATIONARY I TOOK AN MSK0041-014 IBUPROFEN THAT'S NOT THAT DOESN'T SEEM TO HELP OK AND SO LIKE ANY MOVEMENT MAKES IT IT WORSE IS THERE ANYTHING ELSE THAT MAKES IT WORSE LIKE PUTTING SOCKS ON OR EVEN HAVING I DON'T KNOW CLOTHING TOUCH IT OR YOUR SHOES TOUCH IT MSK0041-015 I GUESS MY SHOES MY SHOES TOUCHING IT HURTS MSK0041-016 OK AND ARE YOU ABLE TO WALK MSK0041-017 I'M ABLE TO WALK ON IT IT'S JUST VERY PAINFUL AND I CAN'T YOU KNOW I CAN'T BEND THAT TOE I CAN'T FLEX IT OR EXTEND IT BUT MY OTHER TOES ARE OK MSK0041-018 ALRIGHT AND HOW WOULD YOU DESCRIBE THE SEVERITY OF THIS PAIN ONE BEING THE LEAST PAIN AND TEN BEING THE WORST PAIN YOU'VE EVER FELT MSK0041-019 I SAY IT'S LIKE AN EIGHT MSK0041-020 OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE AND IN YOUR TOES OR OR ANY OF YOUR OTHER JOINTS MSK0041-022 NO NEVER OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS MSK0041-024 OR TINGLING OR SENSORY LOSS NO OK MSK0041-025 HOW ABOUT ANY MUSCLE MSK0041-026 WEAKNESS NO NOTHING LIKE THAT ALRIGHT MSK0041-028 HAVE YOU HAD ANY ANY HEADACHES NO NO HEADACHES HAVE YOU HAD ANY MEMORY LOSS OR OR OR CONFUSION MSK0041-029 NO MSK0041-030 OK HAVE YOU HAD ANY FEVERS OR CHILLS MSK0041-031 NO MSK0041-032 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS MSK0041-033 NO MSK0041-034 AND HAVE YOU HAD ANY ANY NIGHT SWEATS MSK0041-035 NO MSK0041-036 OK AND HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SENSE OF SMELL OR SENSE OF TASTE MSK0041-037 NO CHANGES THERE MSK0041-038 ALRIGHT AND HAVE YOU HAD A SORE THROAT OR RUNNY NOSE MSK0041-039 NO MSK0041-040 AND HOW ABOUT HAVING A COUGH OR SHORTNESS OF BREATH MSK0041-041 NO NOTHING LIKE THAT MSK0041-042 OK AND HAVE YOU HAD ANY CHEST PAIN MSK0041-043 NO MSK0041-044 AND HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART IS RACING MSK0041-045 NO MSK0041-046 OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS MSK0041-047 NO MSK0041-048 OK AND HOW ABOUT ANY NAUSEA OR VOMITING MSK0041-049 NO MSK0041-050 ALRIGHT HAVE ANY ABDOMINAL PAIN MSK0041-051 NOPE MSK0041-052 ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION MSK0041-053 NO I DON'T THINK SO MSK0041-054 OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS LIKE PAIN FREQUENCY OR INCONTINENCE MSK0041-055 NO MSK0041-056 OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANY CHANGES TO YOUR NAILS OR HAIR MSK0041-057 NO MSK0041-058 OK AND HOW ABOUT YOUR ENERGY HAVE YOU HAD A FATIGUE OR MALAISE RECENTLY MSK0041-060 LIKE THAT ALRIGHT AND ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE MSK0041-061 NO MSK0041-062 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST MSK0041-063 NO I AM ACTUALLY SORRY I HAVE HIGH BLOOD PRESSURE AS WELL AS DIABETES AND I AM A LITTLE OVERWEIGHT BUT OTHER THAN THAT NOTHING ELSE MSK0041-064 OK DO YOU TAKE MEDICATIONS FOR ANY OF THOSE THINGS MSK0041-065 I TAKE RAMIPRIL FOR HIGH BLOOD PRESSURE AND I'M ON INSULIN FOR THE DIABETES MSK0041-066 OK HAVE YOU HAD ANY MEDICATION CHANGES RECENTLY MSK0041-067 NO NO MEDICATION CHANGES MSK0041-068 OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS MSK0041-069 OR SURGERIES I WAS RECENTLY HOSPITALISED FOR KIDNEY STONES MSK0041-090 NO ALRIGHT AND HAVE YOU TRAVELED ANYWHERE RECENTLY NO NO TRAVEL RECENTLY OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET AN AND LIKE DO MSK0041-091 YOU EAT A LOT OF RED MEAT AND OR A LOT OF SEAFOOD MSK0041-092-1 LIKE LIKE SHELL SHELLFISH MSK0041-092-2 I EAT A LOT OF RED MEATS BUT NOT A LOT OF SEAFOOD MSK0041-092-3 OK AND OK AND ANYBODY IN THE FAMILY HAVE A HISTORY OF MUSCULOSKELETAL MSK0041-093-1 OR OR NEUROLOGICAL CONDITIONS MSK0041-093-2 SO WHO OK SO MY MY FATHER HAD LIKE ARTHRITIS MSK0041-093-3 AND I DON'T REMEMBER WHAT KIND OF ARTHRITIS HE HAD BUT HE HAD SEVERE ARTHRITIS HE ALSO HAD HIGH BLOOD PRESSURE AND DIABETES MSK0041-093-4 AND ON MY MOTHER'S SIDE THERE IS SOME MSK0041-094 ARTHRITIS THERE AS WELL AND AS WELL AS GOUT AND KIDNEY STONES OK SO THAT THAT WAS EVERYTHING I WANTED TO ASK ALL THE HISTORY AND SO NEXT TO ASK YOU TO HAVE A LOOK AT YOUR FEET AND ARE YOU SEEING ANY SWELLING MSK0041-095 REDNESS OR DISCOLOURATION I MSK0041-096 SEE SOME REDNESS AND SOME SWELLING IN THAT AREA MSK0041-097 OK AND ARE YOU FEELING ANY TEMPERATURE CHANGES YES AND THE RIGHT ONE IS DEFINITELY WARMER THAN THE LEFT MSK0041-098 OK THEN HOW ABOUT ANY MUSCLE ATROPHY IN THE FOOT OR OR LOWER LEG OR ANY JOINT MALALIGNMENT OR DEFORMITIES MSK0041-099 SO IN TERMS OF DEFORMITY IS LIKE IT JUST LOOKS SWOLLEN AND SO THERE'S LIKE A BIG BUMP ON THE RIGHT SIDE OF MY FOOT WHEREAS IT'S COMPLETELY STRAIGHT ON MY LEFT BUT OTHER THAN THAT NO DEFORMITIES MSK0041-100 OK AND IF YOU WERE TO A PALPATE OR PRESS ON AREAS OF YOUR FOOT OR JOINTS OF YOUR TOES ARE YOU FEELING ANY ANY PAINS ALONG THE TOP OF YOUR FOOT OR OR IN ANY OF YOUR OTHER TOES MSK0041-101 NONE OF MY OTHER TOES MSK0041-102 OK AND HOW ABOUT ANY PAINS AT THE ANKLE MSK0041-103 NO PAIN AT THE ANKLE MSK0041-104-1 OK SO THE METATARSALS ARE NOT HAVING ANY PAIN AND THEN THE JOINTS OF THE TWO AND FIVETH DIGITS ARE PAIN FREE ALONG WITH THE ANKLE AS WELL MSK0041-104-2 AND WHEN IT COMES TO RANGE OF MOTION ARE YOU ABLE TO FLEX YOUR TOES DOWNWARDS AND EXTEND THEM UPWARDS TOWARDS YOUR NOSE MSK0041-105 YES I CAN DO THAT MSK0041-106 OK AND HOW ABOUT YOUR ANKLE ARE YOU ABLE TO MOVE YOUR ANKLE ON A FULL RANGE OF MOTION MSK0041-107 I CAN MSK0041-108 OK AND ARE YOU HAVING A LIMPING WITH WALKING OR OTHERWISE CALLED AN ANTALGIC GAIT MSK0041-109 SOMEWHAT BECAUSE I'M TRYING NOT TO PUT TOO MUCH WEIGHT ON MY RIGHT BIG TOE MSK0041-110 OK ALRIGHT AND SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY SO DID YOU HAVE ANY OTHER QUESTIONS OR ANYTHING THAT I MAYBE FORGOT TO ASK ABOUT YOU WANTED TO MENTION TODAY MSK0041-111 NO JUST WHAT CAN I DO FOR MY FOOT HOW DO I MAKE THE SWELLING GO DOWN MSK0041-112-1 YEAH FOR SURE IT'S SO RIGHT NOW WITH HAVING A LIKE A RED WARM AND SWOLLEN JOINT THAT THAT'S EXTREMELY TENDER AND HAS LIMITED RANGE OF MOTION MSK0041-112-2 IT'S IMPORTANT TO RULE OUT A SEPTIC ARTHRITIS HOWEVER BASED ON SEVERAL OF THE RISK FACTORS SUCH AS DIABETES AND MSK0041-112-3 OBESITY AS WELL AS YOUR FAMILY HISTORY OF ARTHRITIS AND GOUT TAKING THE MOST LIKELY THING IS THAT THIS IS A GOUT FLARE AND IN PARTICULAR IN THE MSK0041-112-4 TOE LIKE THAT IT COULD BE CALLED PODAGRA AND SO WE WILL NEED TO GET A ASPIRATION OF THE JOINT FLUID JUST TO SEND IT OFF AND MAKE SURE THAT IT'S NOT MSK0041-112-5 NOT AN INFECTION AND THAT WE'RE TREATING THE RIGHT THING IF THIS IS GOUT AND IT COMES BACK THAT THIS WAY IT'S TREATED WITH THAT MSK0041-112-6 HIGH DOSE HIGH DOSES OF ANTI INFLAMMATORIES I WILL START WITH MSK0041-112-7 MEDICATION CALLED COLCHICINE TO HELP WITH THIS FLARE AND IN THE MEANTIME IMPORTANT THINGS FOR PREVENTING THIS IN THE FUTURE ARE DIET AND MSK0041-112-8 KIND OF LIFESTYLE RELATED WITH REDUCING THINGS LIKE RED MEATS ALCOHOL MSK0041-113 WEIGHT LOSS AND JUST TRYING TO MSK0041-114 IMPROVE THE DIABETES MANAGE MSK0042-000 HOW MAY I HELP YOU MSK0042-001-1 I I'M JUST COMING INTO THE CLINIC TODAY MY PARENTS TOLD ME TO COME TODAY I DON'T KNOW WHAT THIS THING IS MSK0042-001-2 JUST MASS RIGHT BELOW OR KIND OF LIKE A LUMP OR MASS BELOW MY RIGHT KNEE AND IT'S NOT PAINFUL OR ANYTHING IT'S A LITTLE BIT UNCOMFORTABLE BUT I JUST WANT TO CHECK OUT AND SEE WHAT IT MIGHT BE MSK0042-002 CERTAINLY OKAY WHEN WHEN DID YOU FIRST NOTICE THIS MASS MSK0042-003 SO I THINK I NOTICED IT FOR THE FIRST TIME PROBABLY A COUPLE WEEKS AGO I WOULD SAY LIKE TWO WEEKS AGO I I NOTICED IT MSK0042-004 OKAY AND WHERE SPECIFICALLY IS IT IS IT LOCATED MSK0042-005 SO IT'S IT'S BELOW MY KNEE RIGHT ON LIKE I FEEL IT ON THE BIG BIG BONE RIGHT BELOW THE KNEE IT'S I JUST FEEL LIKE LIKE A HARD MSK0042-006 LUMP OKAY AND OKAY AND MSK0042-007 IS IT IS IT ASSOCIATED WITH ANY PAIN NO IT'S NOT REALLY THAT PAINFUL IT'S IT'S MSK0042-008 IF I PRESS ON IT IT'S A LITTLE BIT UNCOMFORTABLE BUT IT'S NOT LIKE I WOULDN'T CALL IT PAIN OKAY AND HAVE YOU HAD ANY MSK0042-009-1 TRAUMA TO THE TO THE KNEE OR AREA OR ANY INJURIES THERE MSK0042-009-2 NO NOT THAT I CAN REMEMBER I DON'T THINK I'VE HAD ANY INJURIES THERE AND THIS LUMP IS LIKE PROBABLY LIKE TWO TO THREE CENTIMETRES IT'S MSK0042-009-3 I DON'T EVEN KNOW LIKE WHEN IT APPEARED OR WHY IT APPEARED I HAVEN'T REALLY INJURED MYSELF OR ANYTHING MSK0042-010 OKAY AND HAVE YOU HAD ANY ANY FEVERS OR CHILLS MSK0042-011 NO MSK0042-012 OKAY HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS MSK0042-013 NO NOT THAT I CAN REMEMBER MSK0042-014 OKAY AND HOW ABOUT ANY NEUROLOGICAL SYMPTOMS LIKE NUMBNESS TINGLING SENSORY LOSS MSK0042-015 NO I HAVEN'T FELT ANY OF THOSE MSK0042-016 OKAY AND HOW ABOUT ANY MUSCLE WEAKNESS IN THE LOWER EXTREMITY OR UPPER EXTREMITY MSK0042-017 NO NO WEAKNESS MSK0042-018 OKAY HAVE YOU HAD ANY MSK0042-022 HOW ABOUT NIGHT SWEATS NO NIGHT SWEATS OKAY AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE LIKE A RUNNY NOSE OR A SORE THROAT MSK0042-023 NO MSK0042-024 OKAY HAVE YOU HAD HAD A COUGH OR SHORTNESS OF BREATH MSK0042-025 NO I'VE BEEN PRETTY WELL RECENTLY MSK0042-026 OKAY THAT'S GOOD AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION MSK0042-027 NO NOTHING LIKE THAT MSK0042-028 OKAY AND ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SMELL OR TASTE MSK0042-029 NO NOTHING LIKE THAT MSK0042-030 OKAY HAVE YOU HAD ANY CHEST PAIN MSK0042-031 NO MSK0042-032 HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING MSK0042-033 NO MSK0042-034 OKAY HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS MSK0042-035 NO NOTHING LIKE THAT MSK0042-036 OKAY AND HAVE YOU HAD ANY MSK0042-037 NAUSEA OR VOMITING MSK0042-038 NO NO NAUSEA OR VOMITING OKAY HAVE YOU HAD ANY CHANGES OR LOSS TO APPETITE MSK0042-039 NOPE MSK0042-040 HOW ABOUT ANY ABDOMINAL PAIN MSK0042-041 NO NO ABDOMINAL PAIN MSK0042-042 ALRIGHT HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL MSK0042-044 NO OKAY AND HOW ABOUT ANY CHANGES TO YOUR URINARY PATTERNS LIKE PAIN OR OR FREQUENCY MSK0042-045 NO NO CHANGES AT ALL MSK0042-046 OKAY AND HAVE YOU HAD ANY CHANGES TO YOUR SKIN LIKE SUCH AS RASHES OR OR ANY CHANGES TO YOUR HAIR OR NAILS MSK0042-047 NO NOT ANYTHING THAT I'VE NOTICED MSK0042-048 ALRIGHT SO THEN HOW ABOUT YOUR ENERGY HAVE YOU HAD ANY MSK0042-049 FATIGUE MSK0042-050 NO MY ENERGY'S BEEN FINE OKAY AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR ANY JOINT PAINS MSK0042-051 NO I MEAN LIKE ALL THE OTHER JOINTS AND OTHER LIKE BONES AND MUSCLES HAVE BEEN FINE IT'S JUST EVEN I WOULDN'T DESCRIBE THIS AS PAIN IT'S JUST I THINK MY PARENTS GOT A BIT CONCERNED SINCE THERE WAS LIKE A LUMP THEY WERE SCARED AND I WAS A LITTLE BIT SCARED TOO SO I JUST CAME IN TO CHECK IT OUT MSK0042-052 CERTAINLY OKAY AND HAVE YOU HAD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR SEE A DOCTOR FOR ANY REASON MSK0042-053 NO I'VE BEEN PRETTY HEALTHY UP UNTIL NOW MSK0042-054 OKAY AND DO YOU TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED MSK0042-055 NO NO MEDICATIONS MSK0042-056 OKAY AND DO YOU HAVE ANY ALLERGIES MSK0042-057 NO MSK0042-058 ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE MSK0042-059 ALL MY IMMUNIZATIONS ARE UP TO DATE MSK0042-060 OKAY AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES MSK0042-061 NO I HAVEN'T HAD ANY HOSPITALIZATIONS OR SURGERIES MSK0042-062 OKAY AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU'RE LIVING WITH AND WHERE MSK0042-063 SO I'M LIVING WITH MY PARENTS AND OLDER BROTHER AND WE LIVE IN A JUST A HOUSE RIGHT OUTSIDE OF THE CITY MSK0042-064 OKAY AND ARE YOU CURRENTLY IN SCHOOL AND WORKING OR OR WORKING MSK0042-065 NO I I DON'T WORK I'M CURRENTLY IN SCHOOL RIGHT NOW SO TOO BUSY WITH SCHOOL AND THEN JUST EXTRACURRICULAR ACTIVITIES MSK0042-066 ABSOLUTELY OKAY AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK MSK0042-067 NO MSK0042-068 OKAY AND HAVE YOU TRAVELED ANYWHERE RECENTLY MSK0042-069 NO WE'VE ALL JUST BEEN AT HOME MSK0042-070 OKAY AND AND DO YOU SMOKE CIGARETTES OR OR USE ANY CANNABIS PRODUCTS MSK0042-071 NO I HAVEN'T TRIED ANY DRUGS OR ANYTHING LIKE THAT MSK0042-072 OKAY WELL THAT'S GOOD AND ARE YOU CURRENTLY SEXUALLY ACTIVE MSK0042-073 NO MSK0042-074 NO OKAY HAVE YOU BEEN SEXUALLY ACTIVE IN THE PAST MSK0042-075 NO I HAVEN'T MSK0042-076 OKAY AND ANY CONCERNS FOR SAFETY AT HOME WITH EITHER PHYSICAL VIOLENCE OR VERBAL ABUSE EITHER TO YOURSELF OR ANYBODY IN THE HOME MSK0042-077 NO WE LIKE ME AND MY BROTHER FEEL SAFE AT HOME SCHOOL IS GOING WELL TOO I'M PRETTY PRETTY ATHLETIC AT SCHOOL LIKE I HAVE GOOD FRIENDS SO NO BULLYING OR ANYTHING LIKE THAT FEELS PRETTY SAFE OVERALL MSK0042-078 OKAY NOW THAT'S GOOD I'M HAPPY TO HEAR THAT AND IS THERE ANY CONDITIONS IN THE IN THE FAMILY EITHER LIKE MUSCULOSKELETAL OR NEUROLOGICAL THINGS THAT YOU CAN THINK OF MSK0042-079 I DON'T THINK ANYTHING RELATED TO THIS BUT I KNOW MY MY DAD HAS DIABETES AND MY MOM HAS SOME MSK0042-080 ANXIETY OKAY AND ANYBODY IN THE FAMILY EVER HAVE ANY CANCERS OR OR ANY BONE TUMOURS MSK0042-081 OR SOFT TISSUE TUMOURS OR GROWTHS I DON'T THINK ANYONE'S HAD LIKE A BONE TUMOUR OR ANYTHING LIKE THAT I I KNOW MY UNCLE HE HE DOES HAVE A HE HAD LIKE MELANOMA MSK0042-082 WHICH HE HAD TO GET SURGICALLY REMOVED OKAY AND ANY GENETIC DISEASES IN THE MSK0042-083 FAMILY OR OR CONGENITAL MSK0042-084 DISEASES NOT THAT I'VE BEEN TOLD NO OKAY SO NEXT I JUST WANTED TO MOVE ON TO THE PHYSICAL EXAM COMPONENT AND FIRSTLY ARE YOU HAVING ANY ISSUES MSK0042-085 WITH WALKING NO I'VE BEEN LIKE NO NO PAIN NO I CAN MSK0042-086 WALK JUST FINE NO ISSUES THERE OKAY EXCELLENT SO NO ANTALGIC GAIT AND WHEN LOOKING AT THE AREA ARE YOU SEEING ANY SWELLING OR OR REDNESS MSK0042-087 OR SKIN DISCOLOURATION NO NO NOTHING LIKE THAT IT'S JUST I CAN TELL THERE'S LIKE A LUMP THERE AND IF I PRESS IT I CAN FEEL LIKE THE HARD LUMP MSK0042-088 BUT NO CHANGES IN THE SKIN ABOVE IT OKAY AND ARE YOU SEEING ANY MSK0042-089 MUSCLE ATROPHY MSK0042-090 AROUND THE AREA NO NOTHING LIKE THAT OKAY AND ARE YOU SEEING ANY LIKE JOINT MSK0042-091 DEFORMITIES OR OR ANY MSK0042-092 THING LIKE THAT NO NOT THAT I CAN TELL OKAY AND YOU DON'T HAVE ANY ANY PAIN SO IF YOU PRESS ON THE AREA OR ON THE THE KNEE JOINT YOU CAN JUST FEEL THE MASS AND NO PAIN THERE MSK0042-093 IT JUST FEELS WEIRD I DON'T I'M NOT IN ANY PAIN OR ANYTHING BUT IT'S LIKE IT'S WEIRD TO LOOK AT AND THEN WEIRD TO FEEL AS WELL OKAY AND OKAY THEN NO LIMITATIONS WITH MSK0042-094 WITH LIKE RANGE OF MOTION OF ANY OF YOUR JOINTS INCLUDING LIKE KNEE AND ANKLE NO I CAN MOVE EVERYTHING JUST FINE OKAY MSK0042-095 AWESOME AND SO MSK0042-096 THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY AND CHECK ON THE PHYSICAL AS WELL SO WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR ANYTHING YOU WANTED TO ADD NO I NOTHING ELSE I WANTED TO ADD BUT I I THINK MSK0042-097-1 MY PARENTS AND I WERE JUST SCARED ABOUT IT BEING LIKE CANCER OR LIKE A TUMOUR MSK0042-097-2 SO I JUST DON'T KNOW WHAT I SHOULD DO IF I NEED TO GET ANY TESTS DONE OR X RAYS OR ANYTHING LIKE THAT MSK0042-097-3 OKAY WE SO THE FIRST THING WE WILL WANT TO GET AN X RAY MSK0043-000 WHAT BRINGS YOU HERE TODAY MSK0043-001 I'VE HAD THIS LIKE PAIN IN MY KNEE IT STARTED WITHIN THE LAST FEW HOURS AND MY KNEE'S SWOLLEN IT'S PAINFUL I CAN BARELY MOVE IT MSK0043-002 OKAY WERE YOU DID YOU INJURE YOURSELF AT ALL BEFORE THE LAST FEW HOURS OR ANYTHING ANY TRAUMA TO IS IT THE RIGHT KNEE OR THE LEFT KNEE MSK0043-003 IT'S THE LEFT KNEE AN NO NO TRAUMA OR ANYTHING LIKE THAT I'VE NEVER HURT THIS KNEE BEFORE IN MY LIFE MSK0043-004 OKAY AND HAS THIS EVER HAPPENED TO YOU BEFORE MSK0043-005 NO NOTHING IN MY JOINTS I'VE HAD OTHER INFECTIONS BEFORE LIKE IN MY SKIN LIKE CELLULITIS BUT I I'VE NEVER HAD A KNEE KNEE PROBLEM LIKE THIS BEFORE MSK0043-006 OKAY I SEE AND HAVE YOU EVER HAD CELLULITIS IN THAT AREA MSK0043-007 I I HAD IT OVER KIND OF MY LIKE OVER MY FOOT BEFORE MSK0043-008 OKAY AND WHERE WOULD YOU DESCRIBE THE PAIN IS IS IT LIKE ON THE KNEECAP IS IT ABOVE THE KNEECAP BELOW WHERE WOULD YOU DESCRIBE IT MSK0043-009 I WOULD SAY IT'S LIKE MY WHOLE KNEE IT'S LIKE I DON'T KNOW IT LOOKS LIKE IT'S GOING TO EXPLODE MSK0043-010 OKAY IS IT LIKE SO IT'S SWOLLEN IS IT RED AND WARM MSK0043-011 IT IS IT'S MSK0043-013 REALLY RED MSK0043-014 OK AND WARM AS WELL OKAY AND HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE A SHARP STABBING PAIN OR IS IT AN ACHING PAIN MSK0043-015 IT'S A A STABBING PAIN MSK0043-016 OKAY AND ARE YOU MAINLY HAVING THE PAIN WITH MOVEMENT OF YOUR KNEE OR WHEN YOU'RE PRESSING ON IT MSK0043-017 I WOULD SAY BOTH I CAN'T I CAN'T REALLY MOVE IT IT'LL GIVE ME PAIN AND EVEN PRESSING ON IT IT'S IT'S QUITE PAINFUL MSK0043-018 OKAY AND ON A SCALE OF ONE TO TEN SORRY ZERO TO TEN WITH TEN BEING THE WORST PAIN YOU'VE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS PAIN MSK0043-019 IT'S A NINE MSK0043-020 A NINE OKAY SO IT JUST STARTED A FEW HOURS AGO IS THERE ANYTHING THAT MAKES THE PAIN BETTER OR WORSE MSK0043-021 I MEAN I MEAN JUST TRYING TO STAY AS STILL AS POSSIBLE IS ALL I'VE BEEN BEEN DOING SO FAR BECAUSE LIKE ANY TYPE OF MSK0043-022 MOVEMENT IS REALLY BAD OKAY AND ARE YOU ABLE TO MSK0043-023 WEIGHT BEAR ARE YOU ABLE TO STAND AND WALK BY YOURSELF I I WAS PRETTY MUCH LIKE HOPPING ON ONE LEG TO TO GET IN HERE AND AS SOON AS I COULD I GOT IN A MSK0043-024 WHEELCHAIR JUST BECAUSE IT HURTS SO BAD OKAY AND DO YOU HAVE ANY PAIN OR SYMPTOMS IN ANY OTHER JOINTS OR MUSCLES OF YOUR BODY MSK0043-025 NO JUST IT'S JUST MY LEFT KNEE MSK0043-026 JUST YOUR LEFT KNEE OKAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE FEVERS CHILLS NAUSEA OR VOMITING MSK0043-027 I I HAVE FELT FEVERISH BUT THEN I I FELT FEVERISH MSK0043-028 AND BUT I HAVEN'T HAD ANY CHILLS THOUGH MSK0043-029 OKAY WHEN WERE YOU FEELING FEVERS JUST LIKE TODAY MSK0043-030 IT'S KIND OF IT STARTED WITHIN THE LAST DAY OKAY AND DID YOU GET A CHANCE TO MEASURE YOUR TEMPERATURE AT ALL IF NOT WE CAN DO THAT HERE MSK0043-031 NO NO I DIDN'T GET TO I I DIDN'T CHECK IT MSK0043-032 OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH ANY COLD LIKE SYMPTOMS OR ANY GI SYMPTOMS LIKE DIARRHEA CONSTIPATION ANYTHING LIKE THAT MSK0043-033 NO I HAVEN'T HAD ANY ANYTHING LIKE THAT MSK0043-034 OKAY AND HAVE YOU RECENTLY HAD ANY SEXUALLY TRANSMITTED DISEASES OR EXPOSURES TO TICKS OR LYME DISEASE MSK0043-035 I DON'T THINK SO I'VE BEEN JUST IN WELL IN THE CITY I HAVEN'T TRAVELED ANYWHERE AND I I HAVEN'T BEEN SEXUALLY ACTIVE FOR FOR QUITE A WHILE NOW SO MSK0043-036 OKAY OKAY HAVE YOU RECENTLY AT ALL HAD ANY PROCEDURES DONE ON YOUR KNEE LIKE ANY SURGERIES OR ANY JOINT LIKE INJECTIONS OR ASPIRATIONS MSK0043-037 NO NOTHING DONE TO MY KNEE MSK0043-038 OKAY OKAY SO WE'LL TAKE A TEMPERATURE OF YOUR FEVER AND SO ARE YOU ABLE TO FLEX OR EXTEND YOUR KNEE AT ALL OR IS IT VERY PAINFUL MSK0043-039 IT'S REALLY PAINFUL I THE MOVEMENT'S MSK0043-040 REALLY LIMITED OKAY AND HAS THE PAIN BEEN CONSTANT SINCE IT STARTED A FEW HOURS AGO MSK0043-041 IT'S GOTTEN LIKE IT'S IT'S MSK0043-042 GOTTEN SLIGHTLY WORSE OKAY I SEE OKAY ANY SKIN CHANGES OR RASHES ANYWHERE ON YOUR BODY MSK0043-043 NO IT'S JUST THE RED KNEE MSK0043-044 OKAY ANY CHANGES IN YOUR WEIGHT OR APPETITE MSK0043-045 NO NO I HAVEN'T HAD ANY CHANGES THERE MSK0043-046 OKAY AND OTHERWISE ARE YOU HAVING ANY SYMPTOMS OF DIZZINESS FAINTING MSK0043-047 NO I HAVEN'T HAD ANY OF THOSE SYMPTOMS MSK0043-048 OKAY ANY WEAKNESS IN YOUR EXTREMITIES MSK0043-049 NO NO WEAKNESS MSK0043-050 OKAY DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH ANY DIABETES HIGH BLOOD PRESSURE MSK0043-051 I'VE BEEN TOLD MY MY BLOOD SUGAR HAS BEEN LIKE IT HASN'T BEEN CONTROLLED SO I THINK I HAVE DIABETES BUT THAT'S THAT'S IT MSK0043-052 OKAY DO YOU TAKE ANYTHING FOR MEDICATE MEDICATION FOR YOUR DIABETES MSK0043-053 I I TAKE METFORMIN AND AND THAT THAT'S ALL I'VE BEEN TAKING BUT I MEAN IT'S REALLY HARD FOR ME TO LIKE GET MY MEDICATION SOME MSK0043-054 TIMES AND SO I DON'T ALWAYS TAKE IT OKAY I SEE MSK0043-055 AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS NOT THAT I NOT THAT I CAN THINK OF AND SO SOMETHING THAT I FORGOT TO MENTION IS LIKE MSK0043-056 I'VE HAD HEPATITIS IN THE MSK0043-057 PAST AS WELL AND AND DO YOU DO YOU MSK0043-058 KNOW HEPATITIS YOU'VE HAD I'VE HAD IT WAS MSK0043-059 HEPATITIS C MSK0043-063 AND WHAT DO YOU USUALLY USE WELL LIKE ANY ANYTHING THAT I THAT I CAN USUALLY BUT I I GUESS LIKE VARIOUS TYPES OF OPIOIDS ARE KIND OF THE THE THE MAIN THING THAT I'LL THAT I'LL USE MSK0043-064 OKAY AND HAVE YOU INJECTED DRUGS RECENTLY AT ALL MSK0043-065 I ABOUT ABOUT TWO DAYS AGO WAS THE LAST TIME MSK0043-066 OKAY OKAY AND DO YOU USE ANY OTHER DRUGS ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANY DO YOU INJECT ANY OTHER DRUGS AT ALL MSK0043-067 I'LL SMOKE SMOKE MARIJUANA AS WELL AND LIKE I'LL SOMETIMES LIKE I'LL TAKE PILLS TOO LIKE DILAUDID IS IS SOMETHING THAT I'LL I'LL GET MY HANDS ON BUT IT CAN BE EXPENSIVE SO JUST JUST WHATEVER IS AVAILABLE MSK0043-068 OKAY HAVE YOU HAD WHEN WAS THE LAST TIME YOU HAD CELLULITIS MSK0043-069 THE LAST TIME WAS ABOUT SIX MONTHS AGO MSK0043-070 OKAY AND WERE YOU ADMITTED AT ALL OR WERE YOU TREATED AS AN OUTPATIENT MSK0043-071 I WAS TREATED AS AN OUTPATIENT FOR THAT AND IT DID CLEAR UP IT WASN'T THE FIRST TIME THAT I'VE I'VE HAD CELLULITIS AND MSK0043-090 ANY SYMPTOMS AT ALL IN YOUR HIPS OR ANKLE MSK0043-091 NO THOSE FEEL FINE I CAN MOVE MY HIP AND ANKLE OKAY AND NO PAIN MSK0043-092-1 OKAY ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE'LL DO LIKE A FULL PHYSICAL EXAMINATION TAKE A LOOK AT YOUR KNEE AND MOST LIKELY WHAT THIS SOUNDS LIKE IS SOMETHING CALLED SEPTIC ARTHRITIS MSK0043-092-2 IT'S IT'S WHEN THERE'S LIKE AN INFECTION THAT CAN GO INTO YOUR JOINTS AND IT IS A PRETTY SERIOUS ISSUE THAT WE NEED TO ASSESS AND TREAT AS SOON AS POSSIBLE MSK0043-092-3 SO THE FIRST THING THAT WE WILL NEED TO DO WE'LL NEED TO DO SOME BLOOD WORK JUST TO GET SOME INFLAMMATION MARKERS AND JUST YOUR CBC MSK0043-092-4 AND SEE IF YOU HAVE AN INFECTION HOWEVER WE'LL ALSO NEED TO DO A JOINT ASPIRATION OF YOUR OF YOUR GO YOUR KNEE AND WE'LL BE TAKING SOME FLUID WITHIN YOUR JOINT CALLED THE SYNOVIAL MSK0043-092-5 FLUID AND ASSESS FOR WE'LL SEND IN FOR CULTURE AND LOOK FOR LIKE THESE CRYSTALS AND COUNT AND THEN BASED ON THAT WE'LL UNDERSTAND THE INFECTION YOU HAVE AND WHAT KIND OF INFECTION YOU HAVE WE WILL START YOU ON ANTIBIOTICS MSK0043-092-6 RIGHT AWAY TODAY AND SO YOU WILL BE HERE FOR A WHILE UNTIL WE GET ALL THOSE RESULTS BACK AND YOU MAY ALSO REQUIRE AN ADMISSION TODAY AS WELL MSK0043-093 OKAY THANK YOU THAT THAT SOUNDS GOOD MSK0043-094 ALRIGHT SO WE'LL GET ALL THAT DONE FOR YOU SHORTLY AND WE'LL GO FROM THERE MSK0043-095 RIGHT THANK YOU MSK0043-096 AND WE MIGHT ALSO NEED AN X RAY SO JUST SIT TIGHT WE'LL WE'LL COME CALL YOU MSK0043-097 OKAY THANK YOU MSK0043-098 ALRIGHT YOU'RE WELCOME RES0001-000 WHAT BRINGS YOU IN TODAY RES0001-001 I SO I'VE JUST HAD THIS PAIN IN MY CHEST FOR JUST OVER A WEEK NOW AND IT'S CAUSED ME TO HAVE TROUBLE BREATHING RES0001-002 OK HOW OLD ARE YOU JEN RES0001-003 FIFTY TWO RES0001-004 OK WHEN DID THIS PAIN START YOU SAID A WEEK BACK RES0001-005 JUST ABOUT THAT I I THINK MAYBE EIGHT DAYS AGO RES0001-006 OK AND IS IT A CONSTANT PAIN IS IT ALWAYS THERE RES0001-007 AHH IT IT IS BUT IT'S DEFINITELY WORSE THAT IT'S THE BREATHING THAT'S BEEN BOTHERING ME A LOT MORE WHEN I TAKE A DEEP BREATH THAT THE PAIN IS A LOT WORSE RES0001-008 OK OK AND WHEN YOU DO GET THAT GET THAT PAIN HOW LONG DOES IT LAST RES0001-009 I WOULD SAY AROUND FIFTEEN TWENTY MINUTES IT'S IT GOES AWAY OVER OVERTIME RES0001-010 OK AND THE SHORTNESS OF BREATH DO YOU HAVE THAT AT REST AS WELL RES0001-011 NO IF I IF I TAKE A BREAK OR SIT DOWN TO REST THEN I CAN USUALLY CATCH MY BREATH BUT IF EVEN IF I'M DOING A LITTLE BIT OF EXERTION LIKE WALKING A FEW A FEW BLOCKS OR SOMETHING LIKE THAT I'M FINDING IT I'M I'M SHORT OF BREATH RES0001-012 OK DO DID ANYTHING TRIGGER THIS A WEEK BACK ANY TRAUMA TO THE CHEST AREA ANYTHING LIKE THAT RES0001-013 NO NO ONE ELSE HAS BEEN SICK I I HAD A COUGH ABOUT A WEEK AGO SO I THOUGHT IT MIGHT BE A RES0001-014 CHEST INFECTION BUT I'M NOT FEVERISH SO I'M NOT SURE RES0001-015 OK THE COUGH IS IT STILL THERE RES0001-016 IT'S I STILL HAVE A COUGH RES0001-017 OK AND ARE YOU COUGHING UP ANY BLOOD RES0001-018 NO I HAVEN'T I HAVEN'T NOTICED ANY ANY BLOOD RES0001-019 OK HOW ABOUT SPUTUM RES0001-020 NO SPUTUM RES0001-021 NO OK AND DO YOU FEEL LIKE YOU'RE WHEEZING RES0001-022 OH NO WHEEZING RES0001-023 NO WHEEZING OK THE SHORTNESS OF BREATH ONE TO TEN TEN BEING THE WORST THE MOST SEVERE HOW BAD IS YOUR SHORTNESS OF BREATH RES0001-024 I WOULD SAY WHEN I'M EXERTING MYSELF IT COULD GET UP TO LIKE A SEVEN OR EIGHT RES0001-025 OK AND YOU MENTIONED HOW HOW FAR CAN YOU WALK BEFORE YOU NEED TO REST RES0001-026 I I WOULD SAY MAYBE ONE HUNDRED METERS BUT BEFORE I WAS ABLE TO RUN LIKE I WAS RUNNING A FEW DAYS PER WEEK SO SO THIS IS NOT LIKE ME RES0001-027 OK AND THE CHEST PAIN IS IT SHARP OR IS A DULL CRAMPY WHAT DOES IT FEEL LIKE RES0001-028 I SAY IT'S SHARP RES0001-029 OK HAVE YOU EVER EXPERIENCED THIS BEFORE RES0001-030 NO NOTHING LIKE LIKE THIS BEFORE AT ALL I I HAVE NEVER HAD ANY ANY PROBLEMS LIKE THIS BEFORE RES0001-031 OK AND HAS IT CHANGED SINCE IT STARTED A WEEK BACK OR HAS HAVE YOUR SYMPTOMS BEEN PRETTY MUCH THE SAME RES0001-032 THEY'VE BEEN PRETTY MUCH THE THE THE SAME RES0001-033 OK OK DO YOU HAVE ANYTHING LIKE COPD CONGESTIVE HEART FAILURE ANYTHING LIKE THAT RES0001-034 NO I'VE NEVER HAD ANY HEART PROBLEMS IN THE PAST I'VE BEEN HEALTHY UP TO THIS POINT THOUGH NOTHING I SEE A DOCTOR REGULARLY FOR RES0001-035 OK OK THIS YOU MENTIONED NO FEVERS NO CHILLS AND NO NIGHT SWEATS TOO I GUESS RES0001-036 NO NIGHT SWEATS RES0001-037 OK AND HOW ABOUT WEIGHT LOSS ANY WEIGHT LOSS RES0001-038 NO WEIGHT LOSS RES0001-039 NO OK HAVE YOU EXPERIENCED ANY CHANGES IN YOUR VISION RES0001-040 NO MY VISIONS BEEN BEEN BEEN FINE RES0001-041 OK HEARING RES0001-042 HEARING HAS BEEN OK RES0001-043 OK HOW ABOUT SMELL RES0001-044 NO CHANGES IN SMELL RES0001-045 NO HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE IN THE PAST WEEK OR SO RES0001-046 NO IT'S JUST THAT THE DRY COUGH RES0001-047 OK DRY COUGH ANY CHANGES IN YOUR SKIN LIKE RASHES RES0001-048 NO RASHES RES0001-049 OK AND YOU MENTIONED SOME CHEST PAIN ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEARTS RACING RES0001-050 ACTUALLY I DID FEEL LIKE THAT A LITTLE BIT ESPECIALLY WHEN I WAS MOVING A LITTLE BIT MORE I FELT LIKE MY HEART WAS RACING RES0001-051 OK ANY CALF PAIN RES0001-052 MY LEFT MY LEFT LEG'S ACTUALLY A LITTLE BIT SORE RES0001-053 OK ANY SWELLING IN THE AREA RES0001-054 NOPE I DON'T SEE ANY SWELLING THERE RES0001-055 OK NO RES0001-056 WE'LL SAY THAT THERE IS SWELLING RES0001-057 OH OK AND AND YOU MENTIONED SHORTNESS SOME SHORTNESS OF BREATH ON EXERTION HOW ABOUT WHEN YOU'RE LAYING DOWN RES0001-058 NOT WHEN I'M LAYING DOWN RES0001-059 NO OK AND NOT WHEN YOU'RE OK NOT WHEN YOU'RE LAYING DOWN OK ALRIGHT AND IN TERMS OF LIKE RES0001-060 YOUR STOOL SO BOWEL MOVEMENTS AND URINATION LIKE ALL OF THAT'S NORMAL RES0001-061 ALL THAT'S BEEN NORMAL RES0001-062 OK ANY HEADACHES RES0001-063 NO HEADACHES RES0001-064 NO NO CONFUSION RES0001-065 NO CONFUSION RES0001-066 OK HOW ABOUT DIZZINESS OR FAINTING SPELLS RES0001-067 NO FAINTING SPELLS RES0001-068 OK OK AND HAVE YOU ALREADY RECEIVED ANY SORT OF IMAGING OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT FOR THIS RECENTLY RES0001-069 OH NO I I I HAVEN'T RES0001-070 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY PAST MEDICAL HISTORY OF ANY CONDITIONS REALLY RES0001-071 NO LIKE I'VE BEEN PREVIOUSLY HEALTHY BUT I I GUESS I DID HAVE A HYSTERECTOMY A FEW WEEKS AGO I KNOW IT WAS I I DIDN'T BRING IT UP BEFORE CAUSE IT'S JUST A DAY PROCEDURE BUT I WAS DEFINITELY RES0001-072 SPENDING A LOT MORE TIME RELAXING AT HOME AFTER THAT A FEW WEEKS AGO RES0001-073 OK OK SO YOU HAVEN'T BEEN MOVING AROUND AS MUCH I GUESS SINCE THE HYSTERECTOMY RES0001-074 EXACTLY IT'S STARTING TO IT WAS STARTING TO GET THE PAIN WAS STARTING TO IMPROVE BUT IT WAS KEEPING ME ON THE COUCH A LOT OF DAYS RES0001-075 OK ARE YOU ON ANY MEDICATIONS RES0001-076 NO I TRY I'VE TRIED SOME TYLENOL AND ADVIL FOR THE PAIN THROUGHOUT THIS WEEK AND IT DIDN'T REALLY HELP MUCH BUT OTHER THAN THAT DON'T TAKE ANY ANY MEDICATIONS NOTHING FOR BLOOD PRESSURE OR ANYTHING LIKE THAT RES0001-077 OK AND SORRY WHAT WAS THE HYSTERECTOMY FOR RES0001-078 I I WAS HAVING A LOT OF BLEEDING RES0001-079 OK SO WERE THEY THINKING IT WAS LIKE A CANCER OR SOMETHING RES0001-080 I THINK IT WAS IT WAS FROM FIBROIDS RES0001-081 OK OK AND THEN SO YOU MENTIONED NO MEDICATIONS ANY ALLERGIES RES0001-082 NO ALLERGIES TO MEDICATIONS RES0001-083 AND ARE YOU UP TO DATE WITH ANY WITH ALL YOUR IMMUNIZATIONS RES0001-084 I AM RES0001-085 YOU ARE OK ANY FAMILY HISTORY OF LUNG CONDITIONS RES0001-086 NO LUNG CONDITIONS RES0001-087 BUT HOW ABOUT HEART RES0001-088 IT'S JUST MY MOM HAD A HEART ATTACK WHEN SHE WAS FIFTY SIX RES0001-089 OK OK I'M SORRY TO HEAR THAT AND ANY HISTORY OF FAMILY HISTORY OF SOMETHING CALLED PULMONARY EMBOLISM OR DVTS RES0001-090 NO I HAVEN'T HEARD OF A HEARD OF PULMONARY EMBOLISM BEFORE RES0001-091 OK SO IT'S BASICALLY BLOOD CLOTS IN YOUR LUNG AND THEN DVT'S ARE DEEP VEIN THROMBOSIS SO ALSO BLOOD CLOTS BUT IN DIFFERENT PARTS OF YOUR BODY RES0001-092 OK RES0001-093 ANYTHING LIKE THAT THAT YOU KNOW OF RES0001-094 NO I I HAVE MIGHT HAVE HEARD OF SOMETHING LIKE THAT HAPPENING IN MY MOM ACTUALLY IT MIGHT HAVE BEEN RELATED TO HER HEART ATTACK BUT I'M NOT SPECIFICALLY SURE RES0001-095 OK SURE AN THEN DO YOU SMOKE RES0001-096 I I SMOKE I MAY BE ABOUT HALF A PACK OF CIGARETTES PER DAY I'VE SMOKED EVER SINCE I WAS A TEENAGER I'VE TRIED TO QUIT MULTIPLE TIMES I I WAS SMOKING ABOUT A PACK PER DAY BEFORE SO I HAVE RES0001-097 CUT IT DOWN BUT STILL SOMETHING THAT I'M WORKING ON RES0001-098 OK GOOD I'M GLAD YOU'RE TRYING TO CUT DOWN WE HAVE RESOURCES AVAILABLE IF YOU'RE INTERESTED RES0001-099 IN SOME MORE HELP AND YOU SMOKE MARIJUANA RES0001-100 NO I DON'T RES0001-101 OK ANY USE OF OTHER RECREATIONAL DRUGS RES0001-102 NO NO RES0001-103 OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL RES0001-104 MAY BE A GLASS OF WINE ON THE WEEKENDS BUT OTHER THAN THAT NO RES0001-105 OK I MEAN HAVE YOU HAD ANY SICK CONTACTS RECENTLY PEOPLE AROUND YOU PEOPLE YOU LIVE WITH AT WORK RES0001-106 I CAN'T THINK OF ANY ANYBODY WHO'S BEEN SICK NO RES0001-107 OK OK AND AND WHAT DO YOU DO FOR WORK JENN RES0001-108 I WORK AS AN ADMINISTRATOR AT AT A BANK RES0001-109 OK I'M AND I HAVE YOU TRAVELED ANYWHERE RECENTLY RES0001-110 NO I I CAN'T REMEMBER THE LAST VACATION RES0001-111 OK ALRIGHT AND SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD ANYTHING THAT I HADN'T TOUCHED ON RES0001-112 NO I THINK YOU COVERED EVERYTHING THANK YOU RES0001-113 OK AND NO WORRIES SO I GUESS AT THIS POINT WE WOULD DO A PHYSICAL EXAM JUST TAKE A LISTEN TO YOUR LUNGS AND YOUR CHEST AFTER THAT SO RIGHT NOW IT SOUNDS LIKE IT COULD BE SOMETHING VASCULAR YOU KNOW LIKE A PULMONARY EMBOLISM LIKE WE TALKED ABOUT THAT'S KIND OF HIGH ON MY LIST OF THINGS TO RES0001-114 WORK UP FOR BUT ALSO WE DON'T WANT TO MISS OTHER THINGS YOU KNOW LIKE RES0001-115 CANCER INFECTION AUTOIMMUNE THINGS THAT COULD AFFECT YOUR LUNGS SO WE'LL JUST DO A RES0001-116 WORK UP FOR ALL OF THAT HOW DOES THAT SOUND RES0001-117 WHATEVER WHATEVER YOU THINK WE NEED TO DO RES0001-118 OK SOUNDS GOOD THANK YOU FOR YOUR TIME RES0002-000 COULD YOU TELL ME WHAT BROUGHT YOU IN TODAY RES0002-001 SURE SO MY MY SON HE'S TWO AND A HALF MONTHS OLD AN WERE WE'RE IN THE ER BECAUSE HE'S HAD THIS COUGH FEVER AN SEEMS LIKE HE'S BREATHING TOO FAST IT'S BEEN HAPPENING FOR THE PAST TWO DAYS AND WE WEREN'T SURE WHAT ELSE TO DO FOR HIM RES0002-002 OK SO THE FIRST THING HERE WOULD BE LIKE VITAL SIGNS AND ASSESSING KIND OF STABILITY SO IS THERE DO WE HAVE THIS INFORMATION RES0002-003 WE'RE GOING TO SAY VITALS STABLE HE IS ON TWO LITRES OF RES0002-004 OXYGEN RIGHT NOW OK SO WHEN DID RES0002-005 THE SYMPTOMS RES0002-007-1 SPECIFICALLY START RES0002-007-2 TWO DAYS AGO OK AND WHAT STARTED FIRST RES0002-007-3 SO I GUESS HE WAS COUGHING FIRST AND THEN WE TOOK HIS TEMPERATURE AND IT SEEMED LIKE HE HAD A FEVER IT WAS OVER THIRTY EIGHT RES0002-007-4 AND THEN OVER THE PAST COUPLE OF HOURS IT SEEMS LIKE HE'S HAVING A HARD TIME BREATHING HE'S BREATHING TOO FAST RES0002-008 OK SO WITH THIS COUGH HAS THERE HAS THERE BEEN ANY SPUTUM COME UP RES0002-009 YES YELLOW SPUTUM RES0002-010 OK ANY BLOOD THAT YOU NOTICE IN THE SPUTUM RES0002-011 NO RES0002-012 OK AND HOW WAS THE FEVER CHECKED RES0002-013 WE DID WE DID A RECTAL RES0002-014 OK AND IT HAS THE TEMPERATURE LIKE HAS IT HAS THERE BEEN A FEVER THE ENTIRE TIME RES0002-015 WE CHECKED TWICE WE CHECKED ON THE FIRST DAY AND THEN AGAIN LAST NIGHT RES0002-016 OK AND IN REGARDS TO THE DIFFICULTIES BREATHING AS THERE BEEN ANY LIKE CHANGES TO LIKE IS THERE BEEN ANY NOISY BREATHING RES0002-017 I WOULD SAY HE SOUNDS SLIGHTLY WHEEZY RES0002-018 OK HAVE YOU BEEN HEARING ANY LIKE WHISTLING SOUNDS WHEN WHEN HE'S BREATHING IN RES0002-019 I WOULDN'T SAY WHISTLING NO NO RES0002-020 OK AND HAS HAS HE BEEN EXPERIENCING RES0002-021 ANY OTHER SYMPTOMS NO HE ACTUALLY HE HASN'T GONE RES0002-022 THROUGH AS MANY WET DIAPERS AS HE RES0002-024 OK HAS HE BEEN LIKE WELL HOW'S THIS APPETITE BEEN NOT RES0002-025 GREATEST NO OK SO NOT NOT RES0002-026 EATING EATING AS MUCH RES0003-000 IT'S NICE TO MEET YOU WHAT'S YOUR NAME RES0003-001 IT'S NICE TO MEET YOU AS WELL MY NAME IS JENN AND I'M HERE WITH MY SON JOEY HERE WHO HE'S HAD A SORE THROAT NOW FOR THE LAST COUPLE OF DAYS RES0003-002 OK HOW OLD IS HE JOEY RES0003-003 HE IS THREE YEARS OLD RES0003-004 HE'S THREE YEARS OLD OK AND YOU SAID FOR THE PAST COUPLE DAYS SO ABOUT TWO THREE DAYS RES0003-005 PROBABLY ABOUT THREE DAYS AGO HE HE DIDN'T GO TO SCHOOL FOR THE LAST TWO DAYS BECAUSE OR I MEAN DAYCARE I SHOULD SAY BECAUSE THE PAINS BUT WAS BUGGING HIM SO BAD RES0003-006 OK SO HOW LONG HAS HE BEEN GOING TO DAYCARE FOR RES0003-007 HE HE STARTED THIS YEAR SO HE'S BEEN GOING RES0003-008 FOR ABOUT SIX MONTHS OK IS HE HAVING ISSUES SWALLOWING FOOD RES0003-009 DOES IT HURT WHEN HE SWALLOWS FOOD HE'S HE'S DEFINITELY THE LAST COUPLE OF DAYS HASN'T BEEN EATING AS MUCH LIKE SOLID FOOD HE'S DRINKING COLD LIQUIDS OKAY BUT RES0003-011 HASN'T BEEN EATING AS MUCH OK OK HE SAYS IT'S HARD TO HE DOES SAY IT HURTS TO SWALLOW AS WELL RES0003-012 OK AND DOES DOES HE EVER CLUTCH TO HIS NECK LIKE HIS NECK HURTS RES0003-013 NO HE HASN'T SAID ANYTHING LIKE THAT I MEAN NOTHING ABOUT HIS NECK RES0003-014 OK HAVE YOU TAKEN HIS TEMPERATURE AT ALL RES0003-015 WE DID AND IT'S IT'S PRETTY HIGH ACTUALLY IT WAS LIKE THIRTY NINE POINT RES0003-016 FOUR OK WOW THAT'S PRETTY HIGH HAVE YOU NOTICED ANY SWOLLEN AREAS ON HIS NECK RES0003-017 NO NOT I HAVEN'T NOTICED ANYTHING ON HIS NECK RES0003-018 OK ANY RASHES THAT YOU'VE NOTICED RES0003-019 NO RASHES RES0003-020 NO OK AND HAS HE BEEN HAVING CHILLS OR NIGHT SWEATS RES0003-021 NOTHING LIKE THAT THAT WE'VE NOTICED NO SHAKING OR OR SWEATY BED RES0003-022 OK AND HOW ABOUT LIKE A STUFFY NOSE OR RUNNY NOSE RES0003-023 NO NOTHING LIKE THAT RES0003-024 OK AND COUGHING RES0003-025 NO COUGH RES0003-026 NO AND HOW ABOUT IS HE COMPLAINING OF ANY BODY ACHES RES0003-027 NO IT'S MOSTLY JUST BEEN IS HIS THROAT HIS THROAT THAT HE'S COMPLAINING ABOUT OK HOW ABOUT HEADACHES HE HASN'T RES0003-028 ANYTHING WITH HIS HEAD RES0003-029 OK AND HAS HE BEEN AROUND ANYONE WHO'S BEEN SICK RES0003-030 MAYBE AT HIS DAYCARE I I MEAN HIS SISTER HAS HAD HAD RES0003-031 SOME COLDS SHE'S ALSO IN HIS DAYCARE SO I MEAN MAYBE HER OK HOW OLD IS SHE SHE'S RES0003-033 SHE'S TWO RES0003-034 OK SO SHE'S YOUNGER RES0003-035 OK ANY NAUSEA OR VOMITING RES0003-036 NO VOMITING RES0003-037 OK HOW ABOUT DIARRHEA RES0003-038 CONSTIPATION HAVEN'T NOTICED ANYTHING LIKE THAT HIS HIS BOWEL RES0003-039 MOVEMENTS HAVE BEEN NORMAL HOW ABOUT URINATING HAS THAT BEEN NORMAL RES0003-040 HIS USUAL AMOUNT IS AS AS FAR AS I KNOW RES0003-041 OK AND OK ANY ISSUES WITH HIS EYES ANY LIKE PUS OR BLEEDING OR REDNESS RES0003-042 NO HIS EYES OF HAVE LOOKED NORMAL TO ME RES0003-043 OK HOW ABOUT HIS EARS RES0003-044 THOSE HAVE ALSO BEEN NORMAL RES0003-045 OK ANY SORES ON HIS MOUTH OR INSIDE RES0003-046 NO IT DOES KINDA LOOK LIKE THERE IT'S PRETTY RED IN THE BACK OF HIS THROAT WHEN I WAS ABLE TO LOOK BUT RES0003-047 OK AND HAS HE EVER EXPERIENCED ANY OF THESE SYMPTOMS BEFORE RES0003-048 HE'S HAD SORE THROATS BEFORE BUT I THINK THIS ONE IS A BIT MORE SEVERE HE HASN'T COMPLAINED THIS BAD BEFORE RES0003-049 OK OK HAS HE TRIED ANYTHING FOR IT HAVE YOU GIVEN HIM ANY OVER THE COUNTER MEDICATIONS RES0003-050 WE WE DID USE SOME TYLENOL AND IT BROUGHT THE FEVER DOWN SO THAT WAS PART OF THE REASON WHY WE WE DIDN'T COME IN CAUSE HE'S HAD SORE THROATS BEFORE BUT THE FEVER BOUNCED BACK AND AND THE PAIN SEEMS TO HAVE CONTINUED SO WE CAME IN RES0003-051 OK OK AND IS HE OTHERWISE HEALTHY DOES HE HAVE ANY MEDICAL CONDITIONS RES0003-052 HE'S OTHERWISE HEALTHY NO MEDICAL CONDITIONS HASN'T BEEN HAD A REASON TO SEE A DOCTOR BEFORE RES0003-053 NO OK AND THEN JUST HOW WAS PREGNANCY WITH HIM WAS IT NORMAL ANY COMPLICATIONS RES0003-054 THERE SO HAD GESTATIONAL DIABETES BUT IT WAS TREATED IT WAS TREATED WITH DIET AND BLOOD SUGARS HAVE BEEN FINE NOW BUT NO COMPLICATIONS TO THE PREGNANCY FROM RES0003-055 THAT REGARD AS FAR AS I KNOW OK ANY ALCOHOL OR RECREATIONAL DRUGS USED DURING THE PREGNANCY RES0003-056 NO NOTHING LIKE THAT NO NO SMOKING EITHER RES0003-057 OK OK GOOD AND HOW FAR ALONG WERE YOU WHEN WHEN YOU DELIVERED HIM RES0003-058 IT WAS A VAGINAL DELIVERY JUST AFTER THIRTY EIGHT WEEKS OK SO HE WAS FULL TERM RES0003-059 AND YOU SAID VAGINAL DELIVERY DID THEY HAVE TO INDUCE YOU AT ALL RES0003-060 NO NO RES0003-061 OK AND WAS HE A NORMAL BIRTH WEIGHT RES0003-062 HE WAS I THINK HE WAS LIKE RES0003-063 JUST OVER THREE KILOGRAMS OK GOOD AND WAS HE HEALTHY AFTER BIRTH DID HE HAVE ANY BREATHING ISSUES JAUNDICE ANYTHING RES0003-064 LIKE THAT NO BREATHING ISSUES OR OR JAUNDICE HE CAME HOME WITH US RIGHT AWAY RES0003-065 OK OK AND THEN AFTER THAT POINT TO NOW HAS HE BEEN NORMAL IN TERMS OF HIS WEIGHT HEIGHT HEAD CIRCUMFERENCE RES0003-066 HE'S BEEN GROWING NORMALLY AND EATING WELL UP UP TO THIS POINT RES0003-067 OK AND I SHOULD ASK HAS HE BEEN HITTING ALL HIS MILESTONES LIKE IS HE DOING THE THINGS THAT HIS PEERS ARE DOING RES0003-068 I WOULD SAY HE'S KEEPING UP WITH HIS HIS PEERS IN DAYCARE AND NO CONCERNS WITH HIS DEVELOPMENT RES0003-069 OK GOOD IS HE ON ANY MEDICATIONS RES0003-070 NO MEDICATIONS RES0003-071 NO OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0003-072 HE IS YES RES0003-073 OK AND ANY ALLERGIES RES0003-074 NOT THAT WE'RE AWARE OF RES0003-075 OK ANY FAMILY HISTORY OF LUNG CONDITIONS RES0003-076 NO NO FAMILY HISTORY OF ANY LUNG CONDITIONS RES0003-077 OK AND SO WHO DOES WHO DOES HE LIVE WITH AT HOME RES0003-078 SO HE LIVES WITH MY MYSELF AND HIS FATHER AND THEN SISTER SO THERE'S JUST THE FOUR OF US AT HOME RES0003-079 OK AND WHAT'S THE RELATIONSHIP LIKE BETWEEN ALL OF YOU ANY DOMESTIC ISSUES OR ARE THINGS OK RES0003-080 OH THINGS ARE ARE GREAT AT HOME IT'S A REALLY SUPPORTIVE ENVIRONMENT RES0003-081 OK GOOD AND DOES ANYONE SMOKE AT HOME RES0003-082 NO ONE SMOKES AT HOME RES0003-083 NO OK ANY CARPETS AT HOME OLD CARPETS RES0003-084 I THINK THERE'S THERE'S A FEW AREA RUGS AROUND BUT MOST OF THE CARPETS ARE GONE RES0003-085 OK OK ALRIGHT SO IT SOUNDS LIKE GROM WHAT YOU'RE TELLING ME HE OHH SORRY I SHOULD HAVE ASKED YOU THIS EARLIER HAS HE HAD ANY ISSUES BREATHING RES0003-086 NO PROBLEMS BREATHING BUT HIS VOICE DOES SOUND A BIT A LITTLE BIT OFF RES0003-087 A BIT HUSKY A BIT HUSKY OK ALRIGHT AND NOTHING LIKE A SEIZURE LIKE A FEBRILE SEIZURE RIGHT RES0003-088 NO I HAVEN'T SEEN ANY LIKE LIMB JERKING OR ANYTHING LIKE THAT RES0003-089-1 OK SO JUST ROUGHLY DOING FROM THE SOUNDS OF IT IT SOUNDS LIKE HE HAS A SORE THROAT THAT'S BEEN PERSISTENT AND WE DO THIS THING CALLED THE CENTOR SCORE SO IT SOUNDS LIKE HE'S RES0003-089-2 HAD A FEVER NO COUGH A SORE THROAT SO THE FIRST THING THAT WE WANT TO CHECK TO SEE OR TO RULE OUT WOULD BE A STREP THROAT AND THEN WELL IF THAT COMES BACK NEGATIVE WE WILL GO FROM THERE AND THINK ABOUT OTHER VIRAL CAUSES VERSUS STREP THROAT AS WELL RES0003-090 DID YOU HAVE ANY QUESTIONS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY RES0003-091 NO WE WERE THINKING THAT IT COULD BE MAYBE STREP THROAT SO RES0003-092 THANK YOU OK GREAT THANK YOU RES0004-000 IT'S NICE TO MEET YOU WHAT'S YOUR NAME RES0004-001 IT MY NAME IS SCOTT IT'S NICE TO MEET YOU TOO RES0004-002 ALRIGHT SO SCOTT HOW OLD ARE YOU RES0004-003 FIFTEEN RES0004-004 OK WHAT BRINGS YOU IN TODAY RES0004-005 I'VE HAD A SORE THROAT NOW FOR A COUPLE OF WEEKS AND IT'S JUST NOT GOING AWAY RES0004-006 COUPLE OF WEEKS OK SO ABOUT TWO WEEKS THREE WEEKS RES0004-007 ABOUT TWO TO THREE WEEKS RES0004-008 OK WHAT DOES IT FEEL LIKE IS IT IS IT KIND OF LIKE A BURNING FEELING IS IT MORE LIKE AN ITCHY FEELING WHAT DOES IT FEEL LIKE RES0004-009 I WOULD SAY IT'S KINDA LIKE BURNIN OR BURNING OR RES0004-010 SCRATCHY OK AND RES0004-011 DOES IT HURT WHEN YOU SWALLOW IT DOES IF MY THROAT HURTS WHEN I'M EATING OR OR SWALLOWING LIKE LIQUID'S AS WELL BUT COLD STUFF SEEMS TO MAKE IT FEEL A LITTLE BIT BETTER RES0004-012 OK GOOD AND DOES YOUR NECK HURT TOO RES0004-013 A LITTLE TENDER I'VE NOTICED THE SOME LUMPS AT THE FRONT OF FRONT OF MY NECK THAT HAVE BEEN A BIT SORE RES0004-014 OK AND IS IT MOSTLY SORE KIND OF LIKE MIDLINE OR IS IT MORE SORTA ONE SIDE VERSUS THE OTHER RES0004-015 I'D SAY MAYBE THE THE RIGHT SIDE IS A LITTLE BIT MORE SORE BUT I THINK I CAN FEEL IT ON BOTH SIDES OF MY NECK RES0004-016 OK AND HOW BAD WOULD YOU SAY YOUR DISCOMFORT IS ONE TO TEN TEN BEING THE WORST RES0004-017 I WOULD SAY MAYBE A TWO OR THREE IF I MOVE MY NECK I I CAN FEEL IT MORE BUT OTHERWISE I CAN JUST BARELY NOTICE THAT IT'S THERE RES0004-018 OK SO IT'S NOT PREVENTING YOU FROM SLEEPING GOING TO SCHOOL PLAYING THINGS LIKE THAT RES0004-019 NO IT'S MORE SO THE SORE THROAT WHEN SWALLOWING RES0004-020 OK OK HAVE YOU NOTICED A FEVER AT ALL RES0004-021 I HAVE I FELT HOT AND I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS THIRTY EIGHT POINT SEVEN I THINK IT WAS IS THAT A FEVER RES0004-022 I'D SAY THAT'S A FEVER WE CAN ALSO DO ANOTHER TEMPERATURE CHECK TODAY RES0004-023 OK RES0004-024 BUT THAT DEFINITELY SOUNDS LIKE A FEVER HAVE YOU NOTICED RASHES ANYWHERE RES0004-025 I'VE HAD THIS THIS LIKE RED I GUESS PINK RASH THAT I HAVE NOTICED IT'S COME OVER MY RES0004-026 CHEST AND AND BELLY AREA OK RES0004-027 HOW BIG IS IT IS IT MORE THAN A CENTIMETER IT'S PRETTY WELL I MEAN IT'S KIND OF SPREAD OUT OVER OVER AN AREA LIKE IT'S NOT ALL RES0004-028 CONTINUOUS RES0004-029 I GUESS YOU CAN KIND OF SEE RES0004-030 PATCHES OR BLOTCHES OK AND RES0004-031 IS IT RAISED RES0004-034 NOT RAISED OK OK IS IT ITCHY NO IT'S NOT ITCHY OK PAINFUL RES0004-035 NO NOT PAINFUL AND IS IT BLEEDING OR OOZING ANYTHING LIKE PUS NO IT'S NOT NOTHING LIKE THAT IT'S JUST PINK AND RED AND IT'S JUST KIND OF RES0004-036 SHOWN UP OVER THE LAST LITTLE WHILE I'VE NOTICED IT ON MY LIKE HANDS A LITTLE BIT TOO RES0004-037 OK AND YOU SAID THIS STARTED WHEN LIKE WAS THIS BEFORE THE SORE THROAT OR AFTER OH I CAN'T LIKE REMEMBER THE ONSET I I THINK THAT THE SORE THROAT STARTED RES0004-038 FIRST AND MAYBE A RASH CAME A LITTLE BIT LATER OK OK AND RES0004-039 HAVE YOU NOTICED THAT YOUR THAT YOUR GLANDS ARE SWOLLEN I THINK SO RES0004-049 OR DO YOU HAVE ANY HEADACHES RES0004-050 NO I HAVEN'T REALLY HAD ANY HEADACHES NO OK AND HOW'S YOUR APPETITE ARE YOU STILL EATING WELL RES0004-051 IT MIGHT BE A LITTLE MIGHT HAVE BEEN A LITTLE BIT DOWN I JUST KIND OF HAVEN'T BEEN FEELING SO GREAT SO I'M I'VE PROBABLY EATING LESS THE LAST RES0004-052 FEW WEEKS HAVE YOU BEEN AROUND ANYONE WHO MAY HAVE BEEN SICK RECENTLY RES0004-053 ACTUALLY I THINK A FEW OF MY FRIENDS OR THERE WAS SOMEBODY IN MY GYM CLASS KNEW THAT I SOUNDED LIKE THEY HAD SIMILAR SYMPTOMS RES0004-054 OK OK AND WHEN WAS THIS RES0004-055 NOW THAT I THINK ABOUT IT PROBABLY ABOUT THREE OR FOUR RES0004-056 WEEKS AGO OK AND WERE THEY EVER TREATED FOR THAT DID THEY SEE A DOCTOR RES0004-057 I'M NOT SURE RES0004-058 NO OK NO WORRIES RES0004-059 I JUST REMEMBER THEM BEING OFF FOR SCHOOL CAUSE THEY WERE THEY WERE SICK RES0004-060 OK ANY ISSUES WITH YOUR EYES RES0004-062 NO NO NOTHING LIKE CRUSTING OR PUS COMING OUT OF YOUR EYES RED EYE RES0004-063 ANYTHING LIKE THAT NO THAT WELL DID THEY MIGHT HAVE LOOKED MAYBE A LITTLE BIT MORE MORE RED RED THEN USUAL BUT I HAVEN'T NOTICED ANY ANYTHING IN TERMS OF ITCHINESS OR RES0004-064 DISCHARGE OK ANY RES0004-065 NAUSEA OR VOMITING RES0004-066 NO NO NAUSEA OR VOMITING OK HOW HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL HAVE YOU HAD DIARRHEA CONSTIPATION ANYTHING LIKE THAT RES0004-067 NO CHANGES TO BOWEL HABITS RES0004-068 OK HOW ABOUT URINE RES0004-069 THAT'S BEEN OK RES0004-070 OK OK HAVE YOU EVER HAD THESE SYMPTOMS BEFORE RES0004-071 I MEAN I'VE HAD SORE THROATS IN THE PAST BUT NOT WHILE FEELING LIKE THIS THOUGH RES0004-072 OK WHEN WAS THE LAST TIME YOU HAD A SORE THROAT RES0004-073 I DON'T KNOW MAYBE WHEN I WAS A KID RES0004-074 OK RES0004-075 IT'S BEEN AWHILE RES0004-076 LIKE A STREP THROAT KIND OF THING OR OR MORE VIRAL RES0004-077 I DO REMEMBER GETTING ANTIBIOTICS WHEN I WAS YOUNGER RES0004-078 OK OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS RES0004-079 I WAS DIAGNOSED WITH RES0004-080 WITH ASTHMA OK AND ARE YOU ON ANY MEDICATIONS FOR THAT RES0004-081 SO I I JUST USE VENTOLIN RES0004-117 WELL SHE SHE WAS WASN'T FEELING WELL FOR AWHILE BACK BUT I DON'T THINK IT WAS THIS BAD FOR HER RES0004-118 OK ACTUALLY AND SHE'S BETTER NOW RES0004-119 SHE'S BETTER NOW RES0004-120 OK ALRIGHT SO YOU MENTIONED YOU'RE NOT SEXUALLY ACTIVE IF YOU WERE TO BE MAKE SURE YOU USE PROTECTION AND OK SO EVERYTHING AT HOME IS OK THEN NO ONES NO ONES SICK AT HOME YOU MENTIONED RIGHT RES0004-121 NO ONES NO ONES SICK AT HOME RES0004-122 OK AND SCHOOL IS GOING OK RES0004-123 SCHOOLS BEEN BEEN GOING OK FOR THE MOST PART IT'S BEEN TOUGH THESE LAST FEW WEEKS FEELING LIKE THIS THOUGH RES0004-124 FOR SURE AND ARE YOU AND YOUR GIRLFRIEND IN AN EXCLUSIVE RELATIONSHIP RES0004-125 I I THINK SO RES0004-126 OK I ASK BECAUSE THERE'S SOMETHING CALLED WHAT YOU MAY BE FAMILIAR WITH IT'S CALLED THE KISSING DISEASE IN MEDICAL TERMINOLOGY IT'S CALLED MONO AS CAUSED BY A VIRUS CALLED EBV AND SO IT COULD BE THAT SO WE'RE COVERING ALL OUR BASES RES0004-127 OH I'VE HEARD OF MONO BEFORE RES0004-128 OK RES0004-129 IT'S IT'S LIKELY IT COULD BE UP THERE IN TERMS OF WHAT YOU HAVE SO I THINK THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME ANYTHING YOU WANTED TO ADD RES0004-130 NO I THINK THAT'S YOU COVERED EVERYTHING RES0004-131-1 OK ALRIGHT SO I WILL WILL GO OFF A FEW WE'LL TRY TO COVER OUR BASIS AND GET YOU TESTED FOR MONO WHICH I WOULD HAVE TO DO LIKE A MONOSPOT TEST AND WE CAN DO RES0004-131-2 A RAPID STREP TEST AS WELL TO SEE IF HE HAS SOMETHING CALLED STREP THROAT BUT WE'LL SEE WHAT THOSE RESULTS COME BACK AS AND WE'LL GO FROM THERE DOES THAT SOUND GOOD RES0004-132 NO THAT SOUNDS GOOD RES0005-000 I WAS WONDERING IF YOU COULD TELL US WHAT BROUGHT YOU IN TO SEE US RES0005-001-1 SO I JUST CAME IN I WAS A BIT WORRIED BECAUSE I'VE BEEN HAVING THIS COUGH FOR AROUND TWO YEARS WHICH HAS BEEN GETTING WORSE BUT RECENTLY I'VE NOTICED THAT I SEE STREAKS OF BLOOD IN THE SPUTUM THAT I'M PRODUCING RES0005-001-2 BEFORE IT JUST USED TO BE LIKE WHITE BUT NOW I'M SEEING OVER THE LAST I WOULD SAY TWO MONTHS OCCASIONALLY SOME STREAKS OF BLOOD RES0005-002 OK AND THE COUGH STARTED TWO YEARS AGO RES0005-003 OK AND IT'S BEEN GRADUALLY GETTING WORSE OVER THAT TIME RES0005-004 I WOULD SAY SO IT'S GETTING MORE FREQUENT AND WORSE IN NATURE RES0005-005 OK AND HOW MUCH SPUTUM ARE YOU BRINGING UP AN IN A DAY RES0005-006 PROBABLY LIKE A A COUPLE TEASPOONS RES0005-007 OK AND IS ARE YOU SEEING LIKE BRIGHT RED BLOOD WHEN YOU'RE WHEN YOU'RE COUGHING IT UP RES0005-008 IN THIS IT'S KIND OF MIXED INTO THE SPUTUM I WOULD SAY LIKE BUT IT DEFINITELY IS RED RES0005-009 OK AND HOW MUCH BLOOD WOULD YOU SAY THAT YOU'RE YOU'RE BRINGING UP WOULD BE TEASPOONS OR A CUP OR RES0005-010 NO IT'S JUST LIKE A LITTLE STREAKS IT'S NOT REALLY SIGNIFICANT IT DOESN'T FEEL LIKE THE WHOLE PRODUCTION OF THE SPUTUM BUT JUST LIKE LITTLE STREAKS THAT I'VE NOTICED RES0005-011 OK AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY RES0005-012 IT DEFINITELY GETS WORSE WHEN I'M DOING MORE ACTIVITIES AND THEN ALSO WHEN I GET LIKE SOME VIRAL INFECTIONS BUT OTHER THAN THAT IT'S PRETTY MUCH ALWAYS THERE RES0005-013 OK ANYTHING THAT THAT MAKES IT WORSE YOU SAID SOME VIRAL INFECTIONS HAVE YOU HAD A VIRAL INFECTION RECENTLY RES0005-014 LIKE IN THE LAST TWO YEARS I'VE PROBABLY HAD TWO OR THREE VIRAL INFECTIONS JUST JUST JUST COLD COLD SYMPTOMS RES0005-015 HAS THERE BEEN ANYTHING THAT YOU'VE TRIED TO MAKE THE COUGH BETTER RES0005-016 I'VE TRIED THE TYLENOL COLD HASN'T REALLY WORKED TRIED JUST OTHER OVER THE COUNTER MEDICATIONS HAVEN'T REALLY WORKED RES0005-017 OK AND PRIOR TO TWO YEARS AGO WERE YOU EXPERIENCING ANY SIMILAR SYMPTOMS LIKE LIKE THIS COUGH OR BRINGING UP BLOOD BEFORE RES0005-018 IN THE PAST I'VE ALWAYS HAD A SOMEWHAT OF A COUGH LIKE I HAVE COPD SO I'VE ALWAYS HAD A LITTLE BIT OF A COUGH HERE AND THERE BUT OVER THE LAST TWO YEARS I FEEL THAT IT'S BEEN GETTING MUCH WORSE RES0005-019 OK HAVE YOU BEEN DIAGNOSED WITH CHRONIC BRONCHITIS BEFORE RES0005-020 I THINK SO RES0005-021 OK AND SO WITH WITH THIS COUGH AND NOW BLOOD TINGED SPUTUM HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS RES0005-022 I DO FEEL SOMETIMES I GET LIKE MORE TIRED THAN I USED TO THROUGHOUT THE DAY RES0005-023 OK RES0005-024 SOMETIMES I ALSO FEEL MORE BREATHLESS ON WHEN I'M EXERTING MYSELF MORE RES0005-025 OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS RES0005-026 NO NO I HAVEN'T RES0005-027 HOW ABOUT ANY NIGHT SWEATS RES0005-028 NO RES0005-029 HAVE YOU LOST ANY WEIGHT RES0005-030 I'VE ACTUALLY LOST A SIGNIFICANT AMOUNT OF WEIGHT I WOULD SAY WITHIN THE LAST ONE AND A ONE TWO MONTHS PROBABLY LOST LIKE EIGHT TO TEN POUNDS RES0005-031 OK HAVE YOU BEEN TRYING TO LOSE WEIGHT RES0005-032 NO NOT REALLY I'VE JUST BEEN SITTING AROUND LIKE I CAN BARELY WALK THAT MUCH ANYMORE TOO I USED TO BE ABLE TO WALK AT LEAST FOUR HUNDRED METERS AROUND THE BLOCK BUT NOW I CAN BARELY EVEN GO TO THE KITCHEN RES0005-033 OK IS THIS BECAUSE OF THE SHORTNESS OF BREATH WHEN YOU ARE ARE RES0005-034 EXERTING THAT AND I JUST START COUGHING SO MUCH THAT I JUST HAVE TO SIT DOWN RES0005-035 OK AND HAVE YOU BEEN HAVING ANY RES0005-036 HEADACHES RES0005-037 NO HEADACHES ALRIGHT AND HOW ABOUT AND HOW IS YOUR APPETITE BEEN RES0005-038 I THINK IT'S BEEN PRETTY MUCH THE SAME SOMETIMES WHEN I'M COUGHING A LOT I DON'T FEEL LIKE EATING BUT OTHER THAN THAT IT'S BEEN AROUND THE SAME RES0005-039 OK ANY NAUSEA OR VOMITING RES0005-040 NO RES0005-041 ANY RUNNY NOSE OR SORE THROAT RES0005-042 NO RES0005-043 OK AND THEN HOW ABOUT A LOSS OF SMELL OR A LOSS OF TASTE RES0005-044 NO NOTHING LIKE THAT RES0005-045 OK HAVE YOU BEEN HAVING ANY CHEST PAIN RES0005-046 NO RES0005-047 ANY HEART PALPITATIONS RES0005-048 NOPE RES0005-049 ANY WHEEZING WHEN YOU'RE BREATHING RES0005-050 SOMETIMES I WOULD SAY LIKE WHEN WHEN IT GETS WORSE WHEN I'M EXERTING MYSELF MORE I I CAN GET SOME WHEEZING RES0005-051 OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES RES0005-052 NO NOTHING LIKE THAT RES0005-053 ALRIGHT AND HAVE YOU WOKEN UP AT NIGHT EXTREMELY SHORT OF BREATH RES0005-054 NO I'M PRETTY FINE DURING THE NIGHT RES0005-055 ALRIGHT AND HAVE YOU BEEN HAVING ANY ABDOMINAL PAIN RES0005-056 NO RES0005-057 ANY URINARY PROBLEMS RES0005-058 NO RES0005-059 ANY BOWEL PROBLEMS LIKE DIARRHEA OR CONSTIPATION RES0005-060 NO NOTHING LIKE THAT RES0005-061 ALRIGHT ANY SKIN RASHES RES0005-062 NOPE RES0005-063 ANY JOINT PAINS OR OR MUSCLE PAINS RES0005-064 NO RES0005-065 ANY WEAKNESS RES0005-066 NOT WEAKNESS I'LL JUST SAY MORE FATIGUE RES0005-067 ALRIGHT SO I KNOW YOU TOLD ME A COPD BUT DO YOU HAVE ANY OTHER MEDICAL DIAGNOSIS RES0005-068 I HAVE HIGH BLOOD PRESSURE AS WELL RES0005-069 ALRIGHT RES0005-070 I THINK I HAVE HIGH RES0005-071 CHOLESTEROL TOO I SEE OK DO YOU TAKE ANY MEDICATIONS RES0005-072 REGULARLY SO FOR THE CHOLESTEROL TAKING ROSUVASTATIN AND I FORGET WHAT I'M TAKING FOR THE BLOOD PRESSURE BUT IT'S PRETTY WELL UNDER CONTROL RES0005-073 OK DO YOU USE ANY INHALERS FOR COPD RES0005-074 I USED TO I USED TO HAVE I THINK LIKE THREE DIFFERENT INHALERS BUT HAVEN'T HAD TO USE THEM FOR MORE THAN TEN YEARS NOW RES0005-075 OK AND WHAT WAS THE REASON FOR NOT NEEDING THEM ANYMORE RES0005-076 I JUST DIDN'T HAVE ANY SYMPTOMS FOR A PRETTY LONG TIME AND MY DOC SAID LIKE IF I DON'T REALLY NEED THEM THEN I COULD JUST STOP RES0005-077 OK AND HAVE YOU HAD ANY RECENT HOSPITALIZATIONS RES0005-078 NO RES0005-079 ANY ALLERGIES TO MEDICATIONS RES0005-080 NOPE RES0005-081 ANY SURGERIES THAT YOU HAD IN THE PAST RES0005-082 NO SURGERIES RES0005-083 OK AND ARE YOUR VACCINATIONS UP TO DATE RES0005-084 YUP RES0005-085 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR SOCIAL SITUATION OR LIVING SITUATION RES0005-086 SO CURRENTLY I'M JUST LIVING BY MYSELF IN AN APARTMENT I'VE BEEN THERE FOR MORE THAN TEN YEARS NOW I AM RETIRED SO I'M NOT WORKING ANYMORE BUT THAT'S THAT'S ME RES0005-087 OK GREAT WHAT DID YOU DO PREVIOUSLY FOR FOR WORK DID YOU HAVE ANY EXPOSURES FOR TWO CHEMICALS OR DUSTS OR ASBESTOS THINGS LIKE RES0005-088-1 OF THAT NATURE RES0005-088-2 OH YES I WORKED IN THE STEEL FACTORY FOR MOST OF MY WORKING LIFE I THINK THERE MIGHT HAVE BEEN SOME EXPOSURES TO CHEMICALS AND RES0005-088-3 DUST PARTICLES ASBESTOS I DON'T THINK THERE WAS EXPOSURE BUT DEFINITELY I MAY HAVE LIVED IN PLACES THAT HAD ASBESTOS RES0005-089 OK HOW LONG HAVE YOU BEEN LIVING WHERE YOU YOU'VE BEEN NOW RES0005-090 SO THIS THIS IS LIKE THE ONE I'M LIVING IN IS A NEW PLACE BUT BEFORE THAT I LIVED IN ANOTHER APARTMENT FOR AROUND FIVE YEARS AND THAT WAS A PRETTY OLD BUILDING RES0005-092 DO YOU HAVE ANY PETS NO PETS N RES0005-093 NO PETS NO OK RES0005-094 AND DO YOU SMOKE CIGARETTES I SMOKE I'D SAY AROUND RES0005-095 TWENTY CIGARETTES A DAY RIGHT NOW ALRIGHT RES0005-096 AND DID YOU SMOKE MORE PREVIOUSLY I THINK I'VE BEEN SMOKING FOR ALMOST LIKE FORTY YEARS NOW AND I USED TO SMOKE RES0005-097 UP TO THIRTY CIGARETTES A DAY OK RES0005-098 DO YOU SMOKE RES0005-099 CANNABIS NO ALRIGHT RES0005-100 DO YOU DRINK ALCOHOL JUST MAYBE A COUPLE TIMES A MONTH NOTHING RES0005-101 NOTHING THROUGHOUT THE WEEK OK SO DO YOU USE ANY RECREATIONAL DRUGS LIKE IV DRUGS OR OPIOIDS OR COCAINE RES0005-102 NO NOTHING LIKE THAT RES0005-103 ALRIGHT AND ANYBODY IN THE FAMILY HAVE ANY SIMILAR SYMPTOMS BEFORE LIKE COUGHING UP BLOOD OR RES0005-104 NO NOT THAT I KNOW OF MY FATHER PASSED AWAY FROM A HEART ATTACK WHEN HE WAS IN HIS SIXTIES AND I THINK MY MOTHER HAD A LIKE I THINK ONE OF THE LIKE AN ARTHRITIS BUT LIKE BUT I THINK THAT WAS JUST LIKE THE ONE THAT YOU GET WITH OLD AGE RES0005-105 OK LIKE OSTEOARTHRITIS RES0005-106 THAT THAT WAS THE ONE RES0005-107 OK ANY CANCERS IN THE FAMILY RES0005-108 NOT THAT ONE OF MY UNCLES HAD LIKE BLADDER CANCER BUT THAT'S THAT'S THAT'S ABOUT IT RES0005-109 OK AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY OR BEEN AROUND ANY SICK CONTACTS POSSIBLY PEOPLE ANYBODY WHO'S HAD TUBERCULOSIS OR ANY INFECTIONS RES0005-110 NO I'VE BEEN PRETTY MUCH TO MYSELF OVER THE LAST FEW MONTHS SO NOT REALLY RES0005-111 OK WAS THERE ANYTHING THAT YOU'RE WORRIED THAT THIS COULD BE RES0005-112 JUST THE BLOOD I KIND OF GOT SCARED MAYBE I THOUGHT LIKE YOU KNOW WHAT IF IT'S A CANCER ONE OF MY FRIENDS HAD LUNG CANCER AND I I KNOW I'VE BEEN SMOKING FOR MOST OF MY LIFE SO THAT'S SOMETHING I WAS WORRIED ABOUT RES0005-113-1 I CAN CERTAINLY SEE THAT THE CONCERN AND I UNDERSTAND WHERE YOU'RE COMING FROM I THINK IT WOULD BE VERY REASONABLE TO INVESTIGATE THAT TODAY SO WE'LL START WITH RES0005-113-2 A CHEST CT ALONG WITH SOME LAB WORK AND WE WILL GET A CBC AND SOME ELECTROLYTES ALSO GET AN ECG AS WELL TO JUST CHECK YOUR HEART RES0005-115-1 WE WILL SEE WHAT WHAT THE INVESTIGATIONS SHOW RES0005-115-2 SOUNDS GOOD RES0005-115-3 OK AND OTHER THINGS THAT TO THINK ABOUT THIS COULD BE ALSO LIKE TO COPD RES0005-115-4 I KNOW IT'S BEEN GOING ON A LONG TIME BUT POSSIBLY COULD HAVE A PNEUMONIA THAT'S BEEN LINGERING ON PARTICULARLY IF IT'S A FUNGAL TYPE OF INFECTION AND AS WELL AS RES0005-115-5 THINGS LIKE YOU MENTIONED YOU POSSIBLY UNSURE IF YOU'VE HAD AN ASBESTOS EXPOSURE IN THE PAST AND STUFF LIKE THAT CAN POSSIBLY LEAD TO SCARRING OF THE LUNG AND SO RES0005-116 ALL OF THESE FACTORS WILL BE RES0005-117 LOOKED INTO OK SOUNDS GOOD THANK YOU SO MUCH RES0006-000 WHAT BRINGS YOU IN TO SEE US RES0006-001 SO I'VE JUST BEEN HAVING THIS COUGH THAT I FEEL HAS JUST BEEN GETTING WORSE AND I'VE ALSO BEEN FEELING A BIT SHORT OF BREATH FOR THE LAST FEW MONTHS RES0006-002 OK COULD YOU TELL ME WHEN THE COUGH STARTED RES0006-003 SO I WOULD SAY IT STARTED AROUND TWO MONTHS AGO RES0006-004 OK AND HAS THE COUGH BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM RES0006-005 IT'S USUALLY ALWAYS PRODUCES LIKE THE SPUTUM AND IT'S USUALLY RES0006-006 WHITE OR YELLOWISH IN COLOUR OK AND HOW MUCH SPUTUM ARE YOU PRODUCING EACH DAY SOME SOMETIMES IT'S USEFUL TO THINK ABOUT RES0006-007 LIKE TEASPOONS OR TABLESPOONS I WOULD SAY EVERY TIME I COUGH LIKE A TEASPOON I PROBABLY HAVE LIKE I DON'T KNOW MAYBE FIVE TO TEN RES0006-008 TEASPOONS A DAY OK AND IS THERE ANY PARTICULAR TIME OF DAY THAT THE RES0006-009 COUGH IS WORSE NOT REALLY IT'S PRETTY PRETTY MUCH THE SAME SOMETIMES IT IS WORSE IN THE MORNING AND SOMETIMES IT GETS BETTER WHEN I GO OUT FOR A SMOKE RES0006-010 OK AND HAVE YOU NOTICED ANY BLOOD RES0006-011 NO I HAVEN'T NOTICED ANY BLOOD RES0006-012 OK AND HAVE YOU HAD SO YOU HAD SHORTNESS OF BREATH WHEN DID THAT START RES0006-013 IT'S AROUND TWO MONTHS AGO AROUND THE SAME TIME RES0006-014 OK AND IS THIS DO YOU HAVE SHORTNESS OF BREATH AT REST OR IS IT WHEN YOU EXERT YOURSELF RES0006-015 IT'S IT CAN HAPPEN LIKE AT ANYTIME BUT WORSE WHEN RES0006-016 I AM EXERTING MYSELF RES0006-017 OK AND THEN HAVE YOU HAD A COUGH BEFORE NOT AS FREQUENTLY I WOULD SAY NOT REALLY IT JUST STARTED RES0006-018 IN THE LAST TWO TO THREE MONTHS OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE RES0006-019 JUST THROUGHOUT MY LIFE I'VE HAD ASTHMA SO WHEN I AM EXERCISING TOO MUCH OR GET EXPOSED TO LIKE DUST SOMETIMES GET SHORTNESS OF BREATH RES0006-020 OK HAS THERE BEEN ANYTHING BESIDES EXERTING YOURSELF THAT'S MADE THAT EITHER THE COUGH OR OR SHORTNESS OF BREATH WORSE RES0006-021 OVER THE LAST YEAR LIKE I'VE HAD A COUPLE OF CHEST INFECTIONS AFTER GOING TO THE ER THEY GAVE ME SOME ANTIBIOTICS BUT WHEN THAT HAPPENS IT USUALLY GETS WORSE THE SHORTNESS OF BREATH AND THE COUGH RES0006-022 OK AND DO YOUR SYMPTOMS FEEL LIKE ANY OF THOSE TIMES RIGHT NOW RES0006-023 NO I I DON'T FEEL LIKE I HAVE A FEVER AND NO OTHER SYMPTOMS JUST THE SHORTNESS OF BREATH AND COUGH RES0006-024 OK AND HAVE YOU BEEN DOING ANYTHING THAT'S MADE IT BETTER RES0006-025 I'VE BEEN TAKING SOME TYLENOL COLD HASN'T REALLY HELPED TOO MUCH I'VE TRIED MY INHALERS THEY SOMETIMES HELP BUT I'VE NEVER HAD HAVE THIS FREQUENT OF COUGHING AND SHORTNESS OF BREATH BEFORE RES0006-026 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING FATIGUE RES0006-027 WHEN IT GETS REALLY BAD THEN I CAN'T REALLY STEP OUT OF THE HOUSE BUT OTHER THAN THAT I FEEL LIKE MY ENERGY'S STILL THERE RES0006-028 OK AND YOU HAVE IT HAVE YOU HAD ANY FEVERS OR CHILLS RES0006-029 NO RES0006-030 OK HOW ABOUT AT A LOSS OF SMELL RES0006-031 NO RES0006-032 A LOSS OF TASTE RES0006-033 NOPE RES0006-034 OK AND HAVE YOU HAD ANY CHEST PAIN RES0006-035 NO JUST SOMETIMES WHEN I'M LIKE COUGHING A LOT IT GETS A LITTLE BIT UNCOMFORTABLE BUT OTHER THAN THAT NO RES0006-036 OK HAVE YOU HAD ANY INSTANCES WHERE YOU FELT LIKE YOUR HEART WAS RACING RES0006-037 NO RES0006-038 OK HOW ABOUT BEING LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT RES0006-039 NO RES0006-040 OK HAVE YOU HAD A RUNNY NOSE OR OR A SORE THROAT RES0006-041 NOPE RES0006-042 OK AND HOW ABOUT HEADACHES RES0006-043 NO HEADACHES RES0006-044 ALRIGHT AND HAVE YOU HAD ANY WHEEZING RES0006-045 SOMETIMES I'VE NOTICED IT BUT I HAD IT BEFORE LIKE WITH ASTHMA AS WELL BUT NOT NOT THAT MUCH RES0006-046 OK AND HOW ABOUT ABDOMINAL PAIN RES0006-047 NO ABDOMINAL PAIN RES0006-048 ALRIGHT THEN ANY URINARY PROBLEMS RES0006-049 NOPE RES0006-050 ANY BOWEL PROBLEMS RES0006-051 NO RES0006-052 ANY RASHES RES0006-053 NOPE RES0006-054 OK AND THEN HOW ABOUT ANY MUSCLE ACHES OR OR JOINT ACHES OR OR BODY ACHES RES0006-055 NO NOTHING LIKE THAT RES0006-056 ALRIGHT AND YOU MENTIONED ASTHMA BUT HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS RES0006-057 NO JUST ASTHMA RES0006-058 OK AND DO YOU USE INHALERS ARE THERE ANY OTHER MEDICATIONS YOU'RE CURRENTLY USING RES0006-059 OH NO JUST THE SALBUTAMOL AND LIKE THE STEROID INHALER RES0006-060 OK AND HOW OFTEN ARE YOU USING BOTH OF THOSE RES0006-061 SO THE STEROID ONE I AM USING PRETTY MUCH EVERY DAY BUT THE SALBUTAMOL I FOUND I'VE BEEN USING A LOT MORE RECENTLY I WOULD SAY PROBABLY AT LEAST SIX TO TEN TIMES IN A WEEK RES0006-062 OK THAT REMINDED ME I I FORGOT TO ASK HAVE YOU NOTICE ANY CHANGES TO YOUR VOICE RES0006-063 NO NOT REALLY RES0006-064 OK AND I WAS WONDERING IF YOU HAD ANY ALLERGIES TO MEDICATIONS RES0006-065 NO NOT THAT I KNOW OF RES0006-066 ALRIGHT AND HAVE YOU BEEN IN THE HOSPITAL RECENTLY RES0006-067 NO RES0006-068 ALRIGHT SO WHEN WAS THE LAST TIME THAT YOU HAD ANTIBIOTICS RES0006-069 I WOULD SAY LIKE SIX MONTHS AGO RES0006-070 OK AND ANY SURGERIES RES0006-071 NOPE RES0006-072 OK AND DID YOU GET THE FLU SHOT THIS YEAR RES0006-073 OK GREAT AND I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RES0006-074 SO I LIVE IN LONDON IN A SMALL APARTMENT WITH MY WIFE RES0006-075 OK DO YOU HAVE ANY PETS AROUND RES0006-076 NO NO PETS RES0006-077 ALRIGHT AND ANY EXPOSURES AT WORK TOO LIKE DUST OR ANY TYPES OF LIKE CHEMICALS LIKE THAT RES0006-078 NO NOT REALLY MY WORK IS PRETTY MUCH A DESK JOB SO NOTHING LIKE THAT RES0006-079 OK AND DO YOU SMOKE CIGARETTES RES0006-080 I SMOKE A LOT OF CIGARETTES JUST LIKE I WOULD SAY THIRTY CIGARETTES A DAY RES0006-081 OK AND HOW LONG HAVE YOU SMOKED FOR RES0006-082 I'D SAY PROBABLY AT LEAST TWENTY FIVE YEARS RES0006-083 OK AND SORRY COULD YOU REMIND ME OF YOUR YOUR AGE AGAIN RES0006-084 SO I AM SIXTY YEARS OLD NOW RES0006-085 OK SO YOU STARTED SMOKING AROUND THIRTY FIVE RES0006-086 OK HAVE YOU RES0006-087 TRIED TO QUIT TRIED TO QUIT I'VE EVEN QUITE A COUPLE TIMES BUT THEN JUST GOT BACK ONTO IT NOT NOT REALLY READY TO QUIT RES0006-088 OK THAT'S FAIR ENOUGH IF THERE'S SOMETHING THAT YOU WANTED TO TALK ABOUT QUITTING SMOKING AT ANOTHER APPOINTMENT WE CAN ARRANGE FOLLOW UP FOR THAT RES0006-089 ALRIGHT RES0006-090 DO YOU DRINK ALCOHOL RES0006-091 NOT MUCH JUST OUT SAY ONE OR TWO BEERS ON THE WEEKEND RES0006-092 ALRIGHT AND YOU USE ANY RECREATIONAL DRUGS LIKE COCAINE CRYSTAL METH OR IV DRUGS RES0006-093 NO NOTHING LIKE THAT RES0006-094 ALRIGHT AND HAS ANYTHING SIMILAR LIKE THIS HAPPENED RES0006-095 IN YOUR FAMILY BEFORE I THINK MY SISTER HAS A COPD LIKE SHE SMOKES A LOT TOO BUT THAT'S THAT'S ABOUT I DON'T KNOW IF THAT'S GENETIC RES0006-096 OH OK I SO I MEAN ANYBODY IN THE FAMILY HAVE CANCERS RES0006-097 NO NOT THAT I KNOW OF RES0006-098 ALRIGHT SO THAT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON HISTORY WAS THERE ANY ANY OTHER QUESTIONS THAT YOU HAD RES0006-099 NO NOT REALLY JUST WANTED TO GET TO THE BOTTOM OF THIS OK FOR SURE RES0006-100-1 SO WE WILL RUN SOME INVESTIGATIONS AND LIKELY GET A CHEST X RAY BECAUSE IT'S BEEN A COUPLE OF MONTHS THAT THESE SYMPTOMS HAVE BEEN GOING ON FOR RES0006-100-2 BUT I THINK IT COULD BE RELATED TO YOUR SMOKING AND MOST LIKELY BRONC CHRONIC BRONCHITIS BUT WE CAN DEFINITELY WILL BE LOOKING INTO THIS AND THEN ALSO WITH RES0007-000 I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN RES0007-001-1 YEAH SO LIKE A COUPLE MONTHS AGO I WAS IN THE OFFICE AND THEY TOLD ME THAT I HAVE ASTHMA LIKE I HAD IT WHEN I WAS A LITTLE KID AND I THOUGHT I GREW OUT OF IT BUT APPARENTLY RES0007-001-2 NOT OR LIKE IT CAME BACK OR SOMETHING SO SO THEY JUST TOLD ME TO COME BACK TODAY I DON'T REALLY HAVE LIKE ANY ISSUES RES0007-002 OK SO WHAT WHAT BROUGHT ON THE APPOINTMENT IN THE SUMMER TIME OR A COUPLE OF MONTHS AGO RES0007-003-1 SO LIKE I HAVE GYM CLASS AT SCHOOL AND MY TEACHER JUSTALWAYS THOUGHT THAT LIKE SHOULD BE ABLE TO RUN FASTER LIKE I'M LOOKING GOOD ATHLETE BUT RES0007-003-2 I JUST COULDN'T GO MUCH FASTER AND I WAS LIKE SAYING I CAN'T REALLY BREATHE WHEN I'M RUNNING THAT FAST AND THEN YOU KNOW MY MOM WAS LIKE YOU SHOULD PROBABLY GO WE SHOULD PROBABLY MAKE AN APPOINTMENT RES0007-004 OK AND WHEN YOU'RE EXERCISING OR IN GYM CLASS DO YOU GET SHORT OF BREATH OR DO YOU FIND THAT YOU HAVE DIFFICULTY BREATHING RES0007-005 LIKE I WILL IF I IF I TRY TO RUN FAST LIKE I KINDA CAN'T BREATHE ANYMORE SO I KIND OF STOP OR GO SLOWER RES0007-006 OK AND HOW LONG DOES IT TAKE FOR THE BREATHING DIFFICULTY TO GO AWAY RES0007-007 IF I STOP DOING LIKE THE THING I'M DOING IT I I DON'T KNOW NOT VERY LONG LIKE COUPLE OF MINUTES RES0007-008 OK AND DOES THIS HAPPEN RES0007-009-1 IN ANY OTHER SETTINGS RES0007-009-2 OH LIKE SOMETIMES WHEN IT'S REALLY COLD OUTSIDE I'LL GO OUT AND LIKE IT MY CHEST FEELS TIGHT AND JUST FEEL LIKE I CAN'T BREATHE AND KIND OF SUCKS LIKE MY GIRLFRIEND WANTED TO BUILD A SNOWMAN AND DO SNOW ANGELS AND STUFF AND I COULDN'T DO IT RES0007-009-3 OH ANOTHER TIME LIKE I WENT TO MY FRIENDS HOUSE AND THEY HAD LIKE A BUNCH OF CATS I I FELT LIKE I GOT WHEEZY SOUND AND I FELT LIKE THAT TIME IT TOOK LONGER FOR FOR THE BREATHING TO GET EASIER LIKE I HAD TO LEAVE RES0007-010 OK SO YOU'VE NOTICED CHANGES TO TO YOUR BREATHING SOUNDS LIKE YOU'VE HAD NOISY BREATHING BEFORE RES0007-011 MOSTLY JUST WITH THE CAT RES0007-012 OK RES0007-013 WE DON'T HAVE A CAT AT MY HOUSE SO I DIDN'T REALLY THINK ANYTHING OF IT AND THEN I WENT TO MY FRIENDS HOUSE WHO HAD A BUNCH OF CATS AND THEN AT THAT TIME I COULD ACTUALLY HEAR IT RES0007-014 OK AND HAVE YOU HAD A COUGH RES0007-015 NO I DON'T THINK SO RES0007-016 OK AND WERE THERE ANYTHING WAS THERE ANYTHING THAT YOU TRIED BESIDES THE REST TO MAKE THOSE SYMPTOMS GO AWAY RES0007-017 LIKE I HAVE THE INHALER THAT THE DOCTOR GAVE ME LAST TIME SO LIKE I'VE BEEN USING IT IN GYM CLASS NOW RES0007-018 OK HOW MANY DAYS PER WEEK ARE YOU USING THAT RES0007-019-1 WELL I'M A LITTLE CONFUSED NOW BECAUSE I THE ONE SUPPOSED TO USE LIKE EVERY DAY A COUPLE TIMES AND THEN THERE WAS A DIFFERENT ONE THAT I THOUGHT IT WAS ONLY SUPPOSED TO BE USED IF THE OTHER ONE DIDN'T WORK BUT RES0007-019-2 NOW THE NURSE JUST TOLD ME THAT I'M SUPPOSED TO USE THEM BOTH SO I ONLY GOT THE ONE AT THE PHARMACY SO I DON'T REALLY I DON'T REALLY KNOW I FEEL LIKE A BIT CONFUSED NOW BUT I ALWAYS USE THE ONE SUPPOSED TO BE LIKE TWO TIMES A DAY RES0007-019-3 THE ONE THAT STARTS WITH AN S BUT SOMETIMES I JUST DO IT ONCE A DAY IF I FORGET THE SECOND ONE RES0007-020-1 OK WELL WE CAN DEFINITELY CLARIFY THE CONFUSION ABOUT THE MEDICATIONS TODAY SOMETIMES FOR STEROID MEDICATIONS RES0007-020-2 THOSE ONES ARE REQUIRED TO BE USED DAILY IN ORDER TO GET THE MAXIMAL BENEFIT AND SO WILL TAKE A LOOK AT YOUR MEDICATIONS AND SEE IF ONE OF THOSE HAS A STEROID COMPONENT IN IT AND SAY RES0007-020-3 AND HOW OFTEN YOU'RE NEEDING IT HAVE YOU BEEN HAVING ANY EPISODES OF SHORTNESS OF BREATH AT NIGHT TIME RES0007-021 OH NO NO MOSTLY LIKE GYM CLASS LIKE I SAID RES0007-022 OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS RES0007-023 I DON'T THINK SO LIKE WHAT DO YOU MEAN RES0007-024 SO ANYTHING LIKE LIKE ALLERGIES LIKE RUNNY NOSE OR REALLY ITCHY RES0007-025 EYES WITH MAYBE SOME LIKE TEARING WHEN I WAS AROUND THE CATS RES0007-026 BUT NOT THE OTHER TIMES OK AND DO YOU EVER RES0007-028 ON YOUR SKIN OR OR REALLY ITCHY SKIN WHEN I WAS RES0007-030 A KID BUT NOT REALLY NOW OK AND RES0007-031 AND HOW ABOUT RES0007-032 ANY NAUSEA OR VOMITING RES0008-000 I HEARD THAT YOU'VE BEEN HAVING SOME DIFFICULTY BREATHING AND YOU'VE BEEN COUGHING CAN YOU TELL A LITTLE TELL ME A LITTLE BIT MORE ABOUT THAT RES0008-001 SO A COUPLE OF DAYS AGO I JUST STARTED TO NOT FEEL SO WELL AND I'VE BEEN HAVING THIS COUGH AND TROUBLE BREATHING RES0008-002 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE RES0008-003 I DO HAVE A COUGH REGULARLY BUT I MEAN I I THINK THAT'S RELATED TO MAYBE SMOKING IT'S SOMETHING THAT WAS GOING ON FOR A FEW YEARS THIS COUGHS A LITTLE BIT DIFFERENT RES0008-004 OK IN WHAT WAY IS THIS DIFFERENT RES0008-005 IT'S BEEN HAPPENING MORE OFTEN THROUGHOUT THE DAY AND AND BRINGING UP MORE MORE MUCUS IT SEEMS LIKE RES0008-006 OK AND THEN YOU SAID IT START STARTED A COUPLE DAYS AGO IS THAT CORRECT RES0008-007 I THINK LIKE MONDAY SO I GUESS LIKE THREE DAYS AGO THEN RES0008-008 OK AND SINCE YOU NOTICED IT HAS IT GOTTEN WORSE OVER THOSE THREE DAYS RES0008-009 I WOULD SAY TODAY'S THE WORST DAY I'VE CONTINUALLY FELT SICK RES0008-010 OK AND HOW FREQUENTLY ARE YOU COUGHING RES0008-011 I WOULD SAY MAYBE A COUPLE OF TIMES PER HOUR I'M I'M FILLING UP A SOME TISSUES WITH SPUTUM RES0008-012 AND WHAT DOES THAT WHAT DOES THAT SPUTUM LOOK LIKE RES0008-013 IT'S LIKE A DARK GREENISH YELLOW COLOUR RES0008-014 OK OK AND IS THERE ANYTHING THAT YOU'VE CHANGED RECENTLY IN YOUR LIFE OR ANY KIND OF THINGS THAT HAVE PROVOKED YOUR COUGH THAT YOU KNOW OF RES0008-015 NO I CAN'T THINK OF ANYTHING I'VE BEEN KIND OF STICKING TO MY REGULAR ROUTINES RES0008-016 OK AND IS THERE ANYTHING THAT MAKES MAKES IT WORSE SAY ANY POSITION OR ANYTHING THAT YOU DO IN YOUR DAY TO DAY ROUTINE YOU FIND MAKES YOU COUGH MORE RES0008-017 AND NOT REALLY I CAN'T I CAN'T THINK OF ANYTHING RES0008-018 OK AND HAVE YOU TAKEN ANY ANY MEDICINE OR ANYTHING TO TRY TO HELP WITH US RES0008-019 NO I I'VE I I DO HAVE A LITTLE BIT OF PAIN SO I WAS I DID TAKE SOME TYLENOL AND SOME ADVIL OVER THE LAST FEW DAYS BUT THAT'S ABOUT IT RES0008-020 OK OK DID YOU FIND THAT THEY HELPED AT ALL RES0008-021 A LITTLE BIT BUT IT WOULD JUST KIND OF TAKE THE EDGE OFF OF THE PAIN FOR A LITTLE BIT AND IT CAME BACK RES0008-022 AND WHAT KIND OF PAIN IS IT THAT YOU'RE EXPERIENCING IT'S RES0008-023 KIND OF A A SHARP PAIN OVER ON THE LIKE THE RIGHT SIDE OF MY CHEST LIKE MAYBE BELLY AREA RES0008-024 OK OK THE RIGHT SIDE OF YOUR CHEST AND BELLY AREA OK SO IS THAT PAIN IS IT DID IT START AROUND THE SAME TIME AS THE COUGH RES0008-025 I THINK IT IT MIGHT HAVE STARTED A LITTLE BIT AFTER RES0008-026 OK AND IS THIS A PAIN THAT YOU'VE EVER HAD BEFORE RES0008-027 NO I HAVEN'T HAD ANYTHING LIKE THIS HAPPEN BEFORE RES0008-028 OK IS THE PAIN PRIMARILY THERE WHEN YOU COUGH OR IS IT PRESENT AT ALL TIMES RES0008-029 I WOULD SAY MORE SO WHEN I COUGH OR IF I'M LIKE TAKING A BIG BREATH KIND OF AFTER AFTER I HAVE A COUGHING EPISODE I TAKE A DEEP BREATH AND I REALLY WILL FEEL THE PAIN THEN RES0008-030 OK AND AND YOU SAID THAT IT'S A SHARP PAIN RES0008-031 MORE OF A SHARP PAIN RES0008-032 OK OK AND IS IT ANY WORSE WHEN YOU'RE DOING ACTIVITY LIKE WHEN YOU'RE UP AND WALKING AROUND RES0008-033 NO DON'T NOTICE IT WITH ANY ANY ACTIVITY RES0008-034 OK OK AN SINCE SINCE THIS COUGHING AND THIS THIS RIGHT SIDED PAIN THAT YOU'RE TALKING ABOUT BEGAN HAVE YOU NOTICED ANY FEVERS RES0008-035 I THINK I'VE BEEN HOT THE LAST FEW DAYS AND I I CHECKED MY TEMPERATURE EARLIER TODAY AND IT WAS LIKE THIRTY EIGHT POINT SIX SO THAT WAS ONE OF THE REASONS WHY I WANTED TO COME IN ACTUALLY RES0008-036 OK OK WELL I'M GLAD THAT I'M REALLY GLAD THAT YOU CAME IN BECAUSE WE REALLY WANT TO GET THIS LOOKED INTO HAVE YOU BEEN AROUND ANYONE THAT'S BEEN SICK RECENTLY RES0008-037 NO BUT I I DO SOME VOLUNTEER WORK AT ONE OF THE HOMELESS SHELTERS AT A FEW TIMES A WEEK SO I AM AROUND A LOT OF PEOPLE RES0008-038 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0008-039 NO I'VE BEEN AT HOME AND AND DOING THE VOLUNTEER WORK RES0008-040 OK OK AND CAN YOU JUST GIVE ME AN IDEA OF ANY DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY OR ANYTHING YOU TAKE MEDICATION FOR RES0008-041-1 YEAH I HAVE TYPE TWO DIABETES AND I I TAKE METFORMIN I THINK AN SGLT TWO INHIBITOR AND THEN I USE INSULIN FOR THAT AS WELL RES0008-041-2 AND I HAVE SOME IT HAS AFFECTED MY KIDNEYS AS WELL THE DIABETES I MEAN RES0008-042 OK DO YOU HAVE A HISTORY OF HIGH BLOOD PRESSURE RES0008-043 I DO YES RES0008-044 OK DO YOU TAKE MEDICATION FOR THAT RES0008-045 OH I DO IT STARTS WITH AN A I THINK AMLODIPINE RES0008-046 OK OK AND DO YOU HAVE ANY HISTORY OF HEART PROBLEMS RES0008-047 NO NOT THAT I KNOW NO I HAVEN'T REALLY HAD ANY CHEST PAIN ON THE LEFT SIDE ANYWAY RES0008-048 SO YOU SAID THAT YOU HAVE HAD A COUGH FOR A REALLY LONG TIME A DRYER COUGH THEN YOU'RE HAVING SPUTUM NOW BUT IS THAT SOMETHING YOU'VE SEEN THE DOCTOR FOR RES0008-049 OH I THINK I WAS CALLED LIKE BRONCHITIS IN THE PAST OR SOMETHING SOMETHING LIKE THAT ONE OF THE DOCTORS MY FAMILY DOCTOR TOLD ME IT WAS BECAUSE I WAS A SMOKER RES0008-050 OK SO JUST TO MAKE SURE I HAVE YOUR LIST OF MEDICATIONS YOU TAKE AMLODIPINE INSULIN METFORMIN AND AN SG LTTWO INHIBITOR YOU THINK ANYTHING ELSE RES0008-051 AND THEN AMLODIPINE I THINK THAT THAT THAT'S EVERYTHING OH A MULTIVITAMIN TOO RES0008-052 OK COOL I JUST WANTED TO ASK YOU A FEW QUESTIONS QUESTIONS ABOUT YOUR LIFESTYLE IN GENERAL DO YOU LIVE HERE IN TOWN RES0008-053 I DO I LIVE WITH MY WIFE AND AT A HOUSE NEARBY RES0008-054 OK COOL AND YOU MENTIONED THAT YOU'RE A SMOKER RES0008-055 SO I'VE SMOKED FOR THE LAST THIRTY YEARS OR SO ABOUT A PACK PER DAY RES0008-056 OK DO YOU DRINK ALCOHOL RES0008-057 NO I DON'T RES0008-058 DO YOU USE ANY OTHER SUBSTANCE RES0008-059 I DON'T NO RES0008-060 OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY OR HEART PROBLEMS RES0008-061 MY DAD ACTUALLY HAD A HEART ATTACK HE WAS IN HIS SEVENTIES I THINK MY MOM HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT NO RES0008-062 OK AND DO YOU HAVE ANY ALLERGIES RES0008-063 I THINK JUST ENVIRONMENTAL STUFF NO MEDICATIONS I AM AWARE OF RES0008-064 OK OK WELL THANK YOU FOR SHARING ALL OF THAT WITH ME I'M GOING TO GO OVER IT WITH THE PHYSICIAN THAT I'M WORKING WITH AND WILL KIND OF COME BACK AND LET YOU KNOW ABOUT THE NEXT STEPS RES0008-065 OK THANK YOU THAT SOUNDS GOOD RES0011-000 COULD YOU START WITH TELLING ME WHAT BROUGHT YOU IN TODAY RES0011-001-1 HI I'VE JUST BEEN BEEN SO LIKE WEAK AND SO TIRED I JUST I CAN'T I CAN'T SEEM TO LIKE GET OFF RES0011-001-2 THE COUCH LIKE I'LL GET UP FROM MY BED AND GO LAY ON THE COUCH AND THEN YOU KNOW I MIGHT BE ABLE TO GET SOMETHING TO EAT BUT I JUST I GET SO TIRED SO FAST AND I DON'T KNOW I DON'T KNOW WHAT'S WRONG RES0011-002 OK WHEN DID THESE SYMPTOMS START RES0011-003 LIKE I'VE BEEN FEELING PRETTY TIRED FOR LIKE A WEEK BUT LIKE THIS BAD FOR LIKE MAYBE FOUR DAYS RES0011-004 OK AND SO IT SOUNDS LIKE YOU HAVEN'T BEEN GOING TO WORK OR LIKE ANYTHING LIKE THAT BECAUSE YOU HAVE BEEN SO KIND OF TIRED AND WEAK RES0011-005 I MEAN AT FIRST I WAS ALREADY KIND OF WORKING I'M I'M A TRUCK DRIVER SO YOU KNOW ONCE YOU START THE JOB YOU KIND OF HAVE TO FINISH THAT I WAS SUPPOSED TO GO ON ANOTHER ANOTHER TRIP LIKE FOUR DAYS AGO AND I JUST COULDN'T I HAD TO CALL MY BOSS AND SAY THAT I CAN'T RES0011-006 OK HAVE YOU HAD ANY LIKE SPECIFIC MUSCLE WEAKNESS LIKE IN YOUR LEGS OR OR IN YOUR ARMS OR WOULD YOU SAY IT'S OVERALL LIKE A GENERAL WEAKNESS RES0011-007 IT'S JUST EVERYWHERE IT'S IT'S NOT LIKE I CAN'T MOVE I'M JUST REALLY REALLY TIRED RES0011-008 OK AND HOW HOW HAVE YOU BEEN SLEEPING RES0011-009 I MEAN I'VE JUST BEEN SLEEPING LIKE ALL THE TIME I HAVE BEEN SLEEPING ALL NIGHT AND THEN LIKE I SAID I GET UP AND I GO TO THE COUCH AND LIKE JUST FALL BACK ASLEEP RES0011-010 OK HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS RES0011-011 I MEAN MY MY THROAT IS MAYBE A LITTLE SORE BUT NOTHING NOTHING ELSE RES0011-012 OK WHEN WHEN DID THE SORE THROAT FIRST START RES0011-013 PROBABLY PROBABLY ABOUT A WEEK AGO IT'S NOT REALLY BAD IT'S JUST KINDA THERE RES0011-014 OK SO IT'S IT STARTED JUST BEFORE THE WEAKNESS AND FATIGUE RES0011-015 AROUND THE SAME TIME RES0011-016 OK AND HAVE YOU BEEN HAVING ANY PAIN WITH SWALLOWING RES0011-017 I MEAN MAYBE A LITTLE BIT RES0011-018 OK LIKE WITH LIKE SOLID FOODS OR LIQUIDS OR BOTH RES0011-019 IT IT'S JUST LIKE IT'S JUST LIKE IT'S A LITTLE A LITTLE TENDER IT'S NOT LIKE REALLY IT'S NOT LIKE HARD TO SWALLOW OR ANYTHING IT JUST FEELS LIKE IT'S LIKE MY THROAT'S KINDA TIRED RES0011-020 OK HAVE YOU HAD ANY CHANGES TO YOUR VOICE RES0011-021 NO I DON'T THINK SO I MEAN I LIVE I LIVE ALONE SO I CAN'T REALLY ASK SOMEONE ELSE IF I HAVE RES0011-022 OK BUT YOUR VOICE SOUNDS THE SAME TO YOU RES0011-023 I THINK SO RES0011-024 ALRIGHT AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS RES0011-025 I'VE BEEN I'VE BEEN FEELING REALLY COLD RES0011-026 OK HAVE YOU HAD ANY RES0011-027 SHAKES OR OR RIGORS I'VE BEEN LIKE RES0011-028 KIND OF KIND OF SHIVERING OK RES0011-029-1 HOW ABOUT ANY NIGHT SWEATS RES0011-029-2 YEAH COME TO THINK OF IT LIKE I WAS I WAS WHEN I WAS LAST TRAVELING WITH WHEN I WAS LAST ON IT BECAUSE I'M A TRUCK DRIVER RES0011-029-3 I I WAS IN THE STATES I I HAD TO BRING SOMETHING TO OHIO AND I HAD TO CHANGE MY CLOTHES IN THE NIGHT THEY WERE JUST LIKE SO DRENCHED IN SWEAT RES0011-030 OK HAS THAT HAPPENED MORE THAN THAT THAT ONE TIME RES0011-031 MAYBE A COUPLE TIMES THAT IT WASN'T AS BAD THAT ONE TIME WAS REALLY BAD BUT HERE AND THERE LIKE I I'VE BEEN FEELING PRETTY SWEATY AT NIGHT IN GENERAL RES0011-032 OK AND HAVE YOU HAD ANY LIKE DIFFICULTIES BREATHING OR SHORTNESS OF BREATH RES0011-033 NOT REALLY JUST LIKE KIND OF TIRED BUT IT'S NOT LIKE HARD TO BREATHE RES0011-034 OK HAVE YOU HAD A COUGH RES0011-036 NO OK HOW ABOUT A RUNNY NOSE RES0011-037 MAYBE MAYBE A LITTLE BIT BUT NOT LIKE TOO NOTICEABLE RES0011-038 OK AND WHEN DID THE RUNNY NOSE START RES0011-039 OH IT'S ALL LIKE AROUND THE SAME TIME RES0011-040 OK AND HAVE YOU BEEN HAVING ANY HEADACHES RES0011-041 A LITTLE RES0011-042 OK AND THEN HOW ABOUT ANY CHEST PAIN RES0011-043 NO NO NO CHEST PAIN RES0011-044 ALRIGHT AND HOW ABOUT ANY WHEEZING RES0011-045 NO NO I DON'T THINK SO RES0011-046 ALRIGHT THEN ANY HEART PALPITATIONS RES0011-047 NO RES0011-048 OK HAVE YOU FELT LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT OR FAINT RES0011-049 NOT LIKE I'VE BEEN FEELING REALLY TIRED BUT IT'S NOT BEEN LIKE I DON'T THINK IT'S BEEN LIKE FAINTING RES0011-050 OK SO KIND OF LIKE YOU ARE FATIGUED THAT YOU'VE BEEN EXPERIENCING HAVE YOU HAD ANY ABDOMINAL PAIN RES0011-051 I MEAN I'M NOT REALLY EATING A LOT SO IT'S KIND OF LIKE GURGLING RES0011-052 OK HAVE YOU HAD ANY NAUSEA OR VOMITING RES0011-053 NO RES0011-054 OK AND HAVE YOU HAD ANY URINARY PROBLEMS RES0011-055 NO RES0011-056 ANY BOWEL PROBLEMS RES0011-057 NO I MEAN YOU KNOW I HAVEN'T BEEN EATING THAT MUCH SO I HAVEN'T BEEN GOING AS MUCH AS NORMAL BUT IT'S I DON'T THINK THERE'S PROBLEMS RES0011-058 OK SO YOU HAVEN'T HAD ANY DIARRHEA RES0011-060 NO OK AND HAVE YOU HAD ANY RES0011-061 SKIN RASHES NO RES0011-062 NOT THAT I'VE NOTICED OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES RES0011-063 OR OR JOINT ACHES I MEAN I FEEL KIND OF ACHY ALL OVER BUT NOT IN LIKE ONE PARTICULAR SPOT RES0011-064 OK AND IN TERMS OF YOUR PAST HEALTH HAVE YOU BEEN IS THERE ANY REASON YOU YOU SEE A DOCTOR REGULARLY RES0011-065 OH OH LIKE I HAVE I HAVE HIGH BLOOD PRESSURE AND DIABETES THAT'S THAT'S PRETTY WELL IT BUT THOSE TWO THINGS OH AND I TAKE A MEDICATION FOR MY PROSTATE RES0011-066 OH OK AND DO YOU TAKE MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES RES0011-067-1 I I OH GEEZ WHAT'S IT CALLED I TAKE RAMIPRIL AND I TAKE METFORMIN RES0011-067-2 I WAS ON INSULIN BUT I PRETTY WELL I JUST HAVE BEEN ABLE TO EAT WELL SO I'M NOT TAKING IT NOW RES0011-067-3 AND THEN I CAN'T REMEMBER THE THE PROSTATE ONE LIKE TAM TAM SOMETHING RES0011-068 OK MAYBE TAMSULOSIN RES0011-069 THAT SOUNDS RIGHT RES0011-070 OK I CAN CHECK ON THE CHART AS WELL TO CONFIRM DO YOU HAVE ANY ALLERGIES TO MEDICATIONS RES0011-071 NO RES0011-072 ALRIGHT AND ANY RECENT HOSPITALIZATIONS RES0011-073 NO NO I'VE BEEN PRETTY GOOD RES0011-074 OK AND ANY SURGERIES RES0011-075 NOT FOR A REALLY LONG TIME I I HAD MY GALLBLADDER OUT LIKE TWENTY YEARS AGO THAT'S IT RES0011-076 OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU OR ANY OF YOUR FAMILY MEMBERS BEFORE SUDDENLY THEY START STARTED TO FEEL FATIGUE LIKE THIS RES0011-077 I DON'T THINK SO I MEAN WE'VE ALL LIKE YOU KNOW CAUGHT COLDS AND YOU KNOW STUFF LIKE BUGS AND STUFF BUT NOT NOT QUITE LIKE THIS LIKE I CAN BARELY GET UP RES0011-078 OK ANYBODY IN THE FAMILY HAVE A HISTORY OF HEART DISEASE OR CARDIOVASCULAR DISEASE RES0011-079 MY DAD HAD HIGH BLOOD PRESSURE RES0011-080 THAT'S IT OK ANYBODY IN THE FAMILY HAVE CANCER RES0011-081 MY MOM MY MOM HAD BREAST CANCER RES0011-082 OK AND YOU TOLD ME THAT THAT YOU WORK AS A TRUCKER SO YOU WERE OVER IN THE STATES IT SOUNDS LIKE HOW RECENTLY WERE YOU IN THE UNITED STATES RES0011-083 THAT WAS LIKE ABOUT A WEEK AGO I PROBABLY GOT BACK FIVE OR SIX DAYS AGO RES0011-084 OK DO YOU TRAVEL THERE OFTEN RES0011-085 OH I MEAN THAT'S YOU KNOW THE ROUTE THAT I USUALLY TAKE RES0011-086 OK ANY ANYBODY YOU INTERACTED WITH THAT WAS SICK DO YOU BELIEVE RES0011-087-1 I DON'T I DON'T REALLY INTERACT WITH WITH MANY PEOPLE I KIND OF JUST GO THERE AND AND THEN YOU KNOW I STAYED IN A HOTEL RES0011-087-2 BUT YOU KNOW I DIDN'T REALLY SEE ANYONE BESIDES LIKE THE LADY THAT WORKS THERE AND MAYBE YOU KNOW THE PEOPLE AT THE MCDONALD'S RES0011-087-3 LIKE COUNTER I DIDN'T I DIDN'T LIKE SEE ANYONE THAT I KNOW THAT I SAT WITH FOR A LONG TIME OR ANYTHING RES0011-088 OK BUT YOU GOT HOME ABOUT FIVE OR SIX DAYS AGO AND WHO ARE YOU LIVING WITH CURRENTLY RES0011-089 JUST ME RES0011-090 OK AND DO YOU DRINK ALCOHOL RES0011-091 OH NO NO I USED TO A LITTLE BIT BUT NOT NOT ANYMORE RES0011-092 OK AND HOW ABOUT CIGARETTES DO YOU SMOKE CIGARETTES RES0011-093 I QUIT TEN YEARS AGO RES0011-094 OK RES0011-095 I SMOKED I SMOKED PROBABLY LIKE ONE TWO A PACK A DAY FOR FOR A WHILE MAYBE TWENTY YEARS RES0011-096 OK BUT YOU QUIT OVER TEN YEARS AGO RES0011-098 TEN YEARS AGO OK RES0011-100 SMOKE MARIJUANA NO ALRIGHT AND HOW ABOUT ANY OTHER RECREATIONAL DRUG USE INCLUDING THE USE OF IV DRUGS RES0011-101 NO NOTHING LIKE THAT RES0011-102 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE RES0011-103 NO NO RES0011-104 OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE RES0011-105 NO NO RES0011-106 OK AND ARE YOU CURRENTLY IN A IN A RELATIONSHIP RES0011-107 NO LIKE I HAVE I HAVE A FRIEND THAT I SEE AND WE BOTH WE BOTH LOST OUR SPOUSES SEVERAL YEARS AGO AND I RES0011-108 MEAN WE WE SEE EACH OTHER AND LIKE WE LIVE IN THE SAME APARTMENT BUILDING AND OFTEN HAVE MEALS TOGETHER BUT WE'RE JUST LIKE FRIENDS RES0011-109 OK RES0011-110 BUT THAT'S THE PERSON THAT WOULD CHECK ON ME IF I NEEDED IT RES0011-111-1 OK THAT'S GREAT IT SOUNDS LIKE YOU HAVE SOME GOOD SUPPORT NEARBY I'M SORRY TO HEAR ABOUT YOUR WIFE BUT I THINK THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO RES0011-111-2 ASK ON THE THE HISTORY TODAY SO NEXT I WE'RE GONNA ORDER SOME SOME LAB WORK FOR SURE TO START WITH THEN AND MAYBE WE'LL GO FROM THERE SO RES0011-112 WE'LL GIVE YOU SOME FLUIDS RES0012-000 WHAT BRINGS YOU IN TODAY RES0012-001 I CAN'T I CAN BARELY BREATHE FOR LIKE TWO DAYS NOW AND I'VE BEEN COUGHING AND BEEN HAVING LIKE A LITTLE BIT OF PAIN IN MY CHEST RES0012-002 OK THE PAIN IN YOUR CHEST CAN YOU POINT POINT OUT OR CAN YOU DESCRIBE THE PAIN TO ME IS THAT SHARP OR IS IT DULL RES0012-003 IT'S HARD TO SAY I HAVEN'T REALLY HAD THIS BEFORE IT'S MORE LIKE IT JUST KIND OF HURTS JUST IN THE MIDDLE AND IT GETS WORSE LIKE WHEN I COUGH AND WHEN I IF I TAKE LIKE A REALLY DEEP BREATH IT WILL HURT DOES THAT MAKE SENSE RES0012-004 SO THE SHORTNESS OF BREATH AND CHEST PAIN THEY OCCURRED SIMULTANEOUSLY RIGHT ON THE SAME DAY LIKE TWO DAYS AGO RES0012-005 I MEAN NOW THAT I THINK OF IT I MAYBE STARTED COUGHING A LITTLE BIT EARLIER THAN THAT BUT WHEN IT GOT HARDER TO BREATHE IS PRETTY WELL AROUND THE SAME TIME THAT I STARTED FEELING MORE THE PAIN RES0012-006 OK ALRIGHT SO LET'S FOCUS ON THE COUGHING FIRST ARE YOU COUGHING UP ANY BLOOD AT ALL RES0012-007 NO I HAVEN'T NOTICED ANY BLOOD RES0012-008 OK AND HOW ABOUT SPUTUM RES0012-009 I GUESS I GUESS IT FEELS LIKE THERE'S SOME LIKE MUCUS I DON'T KNOW KIND KIND OF LIKE SPIT LOOKING BUT MAYBE LIKE THICKER THAN THAT RES0012-010 OK IS IT YELLOW RES0012-011 WELL IT'S CREAMY YELLOW RES0012-012 OK SURE AND ARE YOU WHEEZING WITH THE COUGH RES0012-013 I I DON'T THINK SO RES0012-014 NO OK AND IS IT IS YOUR SHORTNESS OF BREATH WORSE WITH EXERTION RES0012-015 I HAVEN'T BEEN DOING MUCH REALLY CAUSE I'VE JUST BEEN SO WIPED OUT TILL PROBABLY I GUESS IT'S KIND OF I'M REALLY YOU KNOW HAVEN'T BEEN GETTING UP VERY MUCH I'M NORMALLY REALLY ACTIVE LIKE I I TRAIN FOR TRIATHLONS AND I I'M NOT LIKE A COUCH POTATO RIGHT AND I FEEL LIKE I'VE BEEN JUST KIND OF SITTING DOWN RES0012-016 OK DO YOU HAVE THE CHEST PAIN AT REST AS WELL OR IS IT JUST WITH THE COUGHING RES0012-017 LIKE IF I TAKE A DEEP BREATH I'LL HAVE IT BUT NO I DON'T THINK NOT NOT LIKE RIGHT NOW NOT LIKE JUST SITTING HERE RES0012-018 OK AND THE COUGHING HOW OFTEN ARE YOU COUGHING RES0012-019 OH LIKE IT KIND OF VARIES I FEEL LIKE I GET UP IN THE NIGHT KIND OF SWEATY AND I'LL COUGH FOR FOR A WHILE AND IT IT'LL KEEP ME UP AND THEN DURING THE DAY IT'S LIKE I MIGHT GO RES0012-020 OK OK AND HOW FAR CAN YOU WALK BEFORE YOU START FEELING SHORTNESS OF BREATH RES0012-021 I MEAN I HAVEN'T BEEN WALKING VERY FAR LIKE I I WALKED IN HERE FROM THE PARKING LOT AND THAT WAS FINE BUT I'M TIRED RES0012-022 OK OK AND I JUST WANT TO ASK YOU SOME OTHER QUESTIONS JESSICA SO HAVE YOU HAD ANY FEVERS RACE RECENTLY RES0012-023 I DON'T ACTUALLY HAVE A THERMOMETER AT HOME THAT WORKS BUT I LIKE I SAID WHEN I'VE BEEN GETTING UP IN THE NIGHT COUGHING I'VE BEEN LIKE REALLY HOT AND SWEATY KINDA GROSS LIKE FEEL LIKE I JUST I FEEL LIKE SOAKED AND BUT I DON'T HAVE A THERMOMETER RES0012-024 OK SO THESE NIGHT EVENTS THAT YOU'RE DESCRIBING ARE THEY MORE CHILLS OR NIGHT SWEATS RES0012-025 WELL I DON'T KNOW IT JUST FEELS LIKE WHEN YOU KNOW WHEN YOU'RE I DON'T LIKE WHEN YOU'RE A KID AND YOU GET REALLY SICK AND YOUR PARENT TELLS YOU HAVE FEVER LIKE I DON'T HAVE AN ACTUAL TEMPERATURE RES0012-026 BUT DO YOU FEEL HOT RES0012-027 I FEEL HOT RES0012-028 OK OK AND HAVE YOU LOST ANY WEIGHT RECENTLY RES0012-029 NO I MEAN I'D LIKE TO BUT NO NO RES0012-030 OK AND ANY CHANGES IN YOUR VISION RES0012-031 NO RES0012-032 HEARING RES0012-033 NO RES0012-034 SMELL RES0012-035 NO RES0012-036 ANY DO YOU HAVE LIKE A STUFFY NOSE RUNNY NOSE RES0012-037 MAYBE A LITTLE LITTLE BIT IT'S BEEN MORE THE COUGHING THAT'S THAT'S BOTHERED ME SO I HAVEN'T THOUGHT THAT MUCH ABOUT IT RES0012-038 OK SORRY YOU SAID YOUR NOSE WAS STUFFY OR RUNNY RES0012-039 SO IT'S A LITTLE STUFFY MAYBE A LITTLE RES0012-040 OK OK AND HAVE YOU HAD ANY LIKE PRESSURE BEHIND YOUR EYES IN YOUR HEAD RES0012-041 NO NO NO RES0012-042 OK NO HEADACHES RES0012-043 NO NO RES0012-044 NO DIZZINESS OR FAINTING SPELLS RES0012-045 LIKE I FEEL TIRED BUT I HAVEN'T I DON'T KNOW I HAVEN'T LIKE FAINTED RES0012-046 OK SO YOU'RE TIRED DO YOU FEEL WEAK AT ALL LIKE YOU CAN'T MOVE A CERTAIN LIMB RES0012-047 OH NO THAT THAT'S ALL FINE RES0012-048 THAT'S ALL FINE OK RES0012-049 I HAVEN'T LIKE WIPED OUT LIKE I SAID RES0012-050 OK BUT DO YOU GET THIS SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN YOU'RE LAYING DOWN RES0012-051 I MEAN I'VE MOSTLY BEEN LAYING DOWN LATELY SO LIKE I KINDA HAVE IT ALL THE TIME RES0012-052 ALL THE TIME OK BUT IT'S NOT WORSE WHEN YOU'RE LAYING DOWN OR STANDING UP RES0012-053 DON'T THINK IT'S WORSE NO RES0012-054 OK AND HAVE YOU NOTICED ANY SWELLING RES0012-055 I DON'T THINK SO NO RES0012-056 OK ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEART'S RACING RES0012-057 NO RES0012-058 NO AND THEN HOW ABOUT IN TERMS OF LIKE YOUR ABDOMINAL SYSTEM ANY PAIN THERE RES0012-059 OH NO NOTHING I MEAN IT'S LIKE A LITTLE SORE JUST CAUSE I'M COUGHING ALL THE TIME BUT BUT NOT NOT LIKE NOT ANYTHING LIKE NOTICEABLE RES0012-060 OK AND THEN HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL RES0012-061 AND THEN HOW ABOUT YOUR URINE IS THAT HAS EVERYTHING BEEN NORMAL FROM THAT STANDPOINT RES0012-062 OK OK AND THEN HAVE YOU HAD ANY ISSUES WITH BREATHING OR COUGHING IN THE PAST RES0012-063 NO I MEAN I LIKE I SAID I'M REALLY ACTIVE I DO A LOT OF LIKE RIGHT I'VE BEEN LIKE TRAINING FOR A TRIATHLON LIKE I HAVEN'T HAD ANY PROBLEMS BEFORE RES0012-064 OK OK ANY ANY PAST MEDICAL CONDITIONS THAT YOU KNOW OF RES0012-065 I GOT LIKE I AM A TYPE ONE DIABETIC RES0012-066 OK OK HAVE YOU EVER OK HAVE YOU EVER HAD A PULMONARY FUNCTION TEST IN THE PAST RES0012-067 WELL MAYBE WHEN I WAS LIKE KID OR LIKE A TEENAGER RES0012-068 AND ANY RECENT CHEST X RAYS ECG'S ANY OTHER INVESTIGATIONS YOU'VE DONE SO FAR RES0012-069 NO LIKE I HAVE BEEN I'VE BEEN REALLY HEALTHY RES0012-070 OK GOOD AND ARE YOU ON ANY MEDICATIONS RES0012-071 LIKE I TAKE A MY INSULIN RES0012-072 AND LIKE I TAKE I TAKE A STATIN IS THAT WHAT IT'S CALLED RES0012-073 OK IS THAT BECAUSE YOU HAVE HIGH TRIGLYCERIDES OR LIKE CHOLESTEROL RES0012-074 I THEY JUST SAID CAUSE I LIKE HAD DIABETES THAT I SHOULD PROBABLY START TAKING IT RES0012-075 OK ALRIGHT RES0012-076 THERE'S NO LIKE A BIG PROBLEM IT WAS JUST YOU KNOW MY FAMILY DOCTOR I THINK MY MY DAD HAS DIABETES AND HE HE HE HAD HEART PROBLEMS SO LIKE SHE ALSO MY FAMILY DOCTOR KNOWS MY DAD TOO SO I DON'T KNOW IF THAT HAS SOMETHING TO DO WITH IT RES0012-077 OK OK AND THEN I GUESS I WILL TALK ABOUT FAMILY HISTORY SINCE YOU BROUGHT IT UP ANY LUNG ISSUES IN THE FAMILY RES0012-078 NOT THAT I KNOW OF LIKE RES0012-079 OK RES0012-080 JUST I MEAN THE HEART LIKE MY DAD HAD A HEART ATTACK I DON'T KNOW IF THAT COUNTS AS LIKE IT'S CLOSE TO THE LUNGS RES0012-081 HOW OLD WAS HE RES0012-082 IT WASN'T THAT LONG AGO HE WAS LIKE IN HIS SIXTIES RES0012-083 OK RES0012-084 OK I'M GONNA NAME A FEW THINGS AND YOU LET ME KNOW IF THIS IS IN YOUR HISTORY OK IN YOUR RES0012-085 FAMILY HISTORY ASTHMA RES0012-086 MAYBE LIKE MY COUSIN BUT NOT LIKE MY MOM OR DAD RES0012-087 OK CYSTIC FIBROSIS RES0012-088 NO RES0012-089 OK ALPHA ONE ANTITRYPSIN DEFICIENCY RES0012-090 I DON'T THINK SO NO RES0012-091 PULMONARY FIBROSIS RES0012-092 NO NO RES0012-093 OK OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0012-094-1 LIKE I I ALWAYS I ALWAYS GOT LIKE THE ONES I WAS SUPPOSED TO I NORMALLY RES0012-094-2 LIKE NORMALLY WHERE I GO INTO WORK THERE'S LIKE A PHARMACY OUTSIDE AND I WOULD GET MY FLU SHOT BUT THIS YEAR IT'S LIKE I'M WORKING FROM HOME I HAVEN'T EVEN BEEN AROUND THERE RES0012-094-3 SO I DIDN'T GET IT THIS YEAR BUT I HAVE ALL THE NORMAL ONES RES0012-095 OK AND THEN DO YOU SMOKE JESSICA RES0012-096 NO RES0012-097 NO DO YOU SMOKE MARIJUANA RES0012-098 NO NO RES0012-099 ANY OTHER RECREATIONAL DRUGS RES0012-100 WHAT LIKE ALCOHOL RES0012-101 NO OTHER THAN ALCOHOL LIKE COCAINE OR METH ANYTHING LIKE THAT RES0012-102 NO RES0012-103 OK NO OK AND DO YOU DRINK ALCOHOL RES0012-104 OH LIKE IF I'M LIKE WITH FRIENDS MAYBE ON A WEEKEND RES0012-105 OK OK RES0012-106 COUPLE DRINKS OR SOMETHING RES0012-107 OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK AROUND YOU RES0012-108-1 LIKE I SAID I WORK I WORK FROM HOME SO I'VE BEEN SEEING VERY MANY PEOPLE I LIKE I GEEZ RES0012-108-2 I MY MY SISTER I SAW MY SISTER AND LIKE SHE I GUESS SHE WORKS SHE WORKS IN LIKE A RETIREMENT HOME RES0012-109 OK RES0012-110 LIKE SHE I DON'T THINK SHE WAS SICK RES0012-111 OK OK IS IT POSSIBLE THAT SHE WAS IN CONTACT WITH SOMEONE WHO MAY HAVE BEEN SICK RES0012-112 I THINK IT'S I MEAN IT'S POSSIBLE LIKE THAT'S WHAT SHE DOES FOR HER WORK RIGHT SHE WORKS AT LIKE A RETIREMENT HOME SO POSSIBLE RES0012-113 OK AND WHAT WHAT KIND OF WORK DO YOU DO JESSICA RES0012-114 I'M AN ACCOUNTANT RES0012-115 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY I KNOW WITH COVID OBVIOUSLY THAT'S HARD RES0012-116 I WISH I WISH BUT YOU KNOW I HAVEN'T BEEN ANYWHERE LIKE I SAID I'VE JUST BEEN AT HOME RES0012-117 OK IN PARTICULAR HAVE YOU BEEN IN A COUNTRY WHERE TB IS ENDEMIC AND HAVE YOU BEEN IN ANY OF THOSE COUNTRIES IN THE PAST LIKE FIVE TO TEN YEARS RES0012-118 I DON'T KNOW LIKE I'VE BEEN TO THE LIKE THE STATES BEFORE COVID I I DON'T I DIDN'T REALLY HAVEN'T TRAVELED ANYWHERE COOL IN A LONG TIME RES0012-119 OK OK SO JUST KIND OF GOING THROUGH WHAT IT COULD BE THAT YOU HAVE RIGHT NOW I'M THINKING RES0012-120-1 A FEW THINGS AND WE KIND OF LIKE TO GO THROUGH AND MAKE SURE WE'RE NOT MISSING ANYTHING SO IN TERMS OF LIKE VASCULAR STUFF IT COULD BE SOMETHING LIKE RES0012-120-2 LIKE CHF OR PULMONARY EMBOLISM AND THAT STANDS FOR CONGESTIVE HEART FAILURE BUT YOU'RE VERY YOUNG YOU SEEM LIKE YOU'RE VERY HEALTHY SO THAT'S PROBABLY LOWER ON OUR DIFFERENTIAL OBVIOUSLY RES0012-121 OK HOPEFULLY RES0012-122-1 YEAH AN INFECTION WOULD BE THE BIGGEST ONE RIGHT NOW WITH THE COUGH WITH IT SEEMS LIKE YOU HAVE CHILLS AND NIGHT SWEATS RES0012-122-2 YEAH SO WOULD HAVE TO DO MORE IN TERMS OF TAKING YOUR TEMPERATURE AND SEE IF YOU CAN DO LIKE MORE RES0012-123 WORK UP LIKE A CHEST X RAY TO SEE WHAT'S HAPPENING IN THERE AUTOIMMUNE STUFF COULD BE LIKE SARCOIDOSIS BUT UNLIKELY CAUSE IT SEEMS LIKE THIS IS AN ACUTE ISSUE FOR YOU RES0012-124 SEE I NEVER COME IN BESIDES LIKE BECAUSE I YOU KNOW NEED MY INSULIN I NEVER EVEN GO TO THE I DIDN'T EVEN WANT TO COME IN AND JUST LIKE IT WASN'T GOING AWAY RES0012-125 AND THEN OTHER THINGS LIKE COPD PULMONARY FIBROSIS AND LIKE LIKE CANCER STUFF IS SUPER RES0012-126-1 LOW ON THE DIFFERENTIAL RIGHT NOW SO YEAH SO RES0012-126-2 SO YEAH SO FOR RIGHT NOW WE'LL START WE CAN START BY DOING SOME BLOOD WORK FIRST I DO A PHYSICAL EXAM OF COURSE RES0012-126-3 AND THEN FROM THERE WE WOULD KIND OF DO SOME BLOOD WORK TO SEE IF YOUR WHITE BLOOD CELL COUNT IS HIGH AND THEN WE CAN DO A CHEST X RAY TO SEE IF THERE IS LIKE A CONSOLIDATION IF THERE'S PNEUMONIA OR YOU KNOW RES0012-126-4 OR OR ANYTHING VIRAL DO YOU HAVE ANY QUESTIONS ANYTHING THAT YOU WANTED TO ADD THAT I MISSED RES0012-127 I DON'T THINK I DON'T THINK SO I JUST HOPE I CAN GET FEELING BETTER HOPE IT'S NOT ANYTHING SERIOUS LIKE I I THINK I JUST HOPE IT'S LIKE I HOPE LIKE YOU SAID IT'S LIKE I GOT LIKE AN INFECTION OR SOMETHING AND IT WILL JUST BE GONE SOON RES0012-128 IT DOES SOUND LIKE IT FROM THE TIMELINE LIKE YOU STARTED COUGHING TWO DAYS AGO AND THEN THE DIFFICULTY BREATHING OR SHORTNESS OF BREATH ALSO TWO DAYS AGO AND THEN THE CHEST PAIN JUST SEEMS LIKE IT'S FROM YOU COUGHING A LOT RES0012-129 IT CAN DO THAT RES0012-131 OK SO I GUESS WE WILL SEE YOU AT OUR FOLLOW UP AND AFTER ALL OF THESE INVESTIGATIONS ARE DONE RES0013-000 HI I'M ROB AND I JUST FEEL LIKE I CAN'T CATCH MY BREATH RES0013-001 OK HOW OLD ARE YOU ROB RES0013-002 I'M I'M FIFTY I'M GONNA BE FIFTY SOON RES0013-003 OK OK WHEN DID THIS START RES0013-004-1 WELL LIKE LAST NIGHT I KINDA HAD LIKE AN ACHE ON MY CHEST KIND OF LIKE HERE LIKE ON THE LEFT I JUST I DIDN'T DO ANYTHING REALLY LAST NIGHT AND YOU KNOW I JUST WENT TO SLEEP AND I GOT TO SLEEP FINE LIKE I JUST THOUGHT MAYBE I PULLED A MUSCLE RES0013-004-2 ON THIS SIDE BUT THEN I WOKE UP AND I WAS LIKE WALKING UP THE STAIRS AND I LIKE WAS KINDA HAVING A HARD TIME BREATHING AND I TOOK SOME TYLENOL IT DIDN'T REALLY DO ANYTHING RES0013-004-3 AND THEN IT JUST GOT WORSE AND THEN A FEW HOURS AGO IS LIKE I COULD BARELY WALK AND IF I'M BREATHING DEEP IT'S LIKE IT JUST HURTS AND I FEEL LIKE I CAN'T LIKE CATCH MY BREATH LIKE I CAN'T GET A GOOD LIKE A GOOD BREATH IN RES0013-005-1 OK SO I JUST WANT TO STATE AT THIS POINT I WOULD DO ABC'S LIKE I WOULD DO THE VITALS AND MAKE SURE YOU'RE STABLE AND THEN DO AIRWAY BREATHING CIRCULATION IF YOU WEREN'T BEFORE I CONTINUE WITH THE HISTORY RES0013-005-2 OK SO OK SO THAT'S HOW IT STARTED ARE YOU HAVING ANY CHEST PAIN AT ALL ASSOCIATED WITH THAT RES0013-006 LIKE WHEN I BREATHE IN I GET LIKE AND IT'S LIKE AN ACHE AND THEN IF I BREATHE REALLY DEEP IT FEELS LIKE A LITTLE SHARP RES0013-007 OK RES0013-008 I HAVE NEVER HAD ANYTHING LIKE THIS BEFORE RES0013-009 NO OK THAT WAS GOING TO BE MY NEXT QUESTION ON A SCALE OF ONE TO TEN HOW SEVERE IS YOUR SHORTNESS OF BREATH TEN BEING THE WORST RES0013-010 I DON'T I DON'T KNOW LIKE I CAN BREATHE RIGHT NOW I CAN'T GET LIKE A DEEP BREATH LIKE RES0013-011 DOES IT OH SORRY GO AHEAD RES0013-012 MAYBE LIKE YOU KNOW FIVE OR SIX RES0013-013 OK OK DOES IT HURT WHEN YOU TAKE A DEEP BREATH IN RES0013-014 IT'S LIKE IT'S LIKE SHARP RES0013-015 OK SORRY SOUNDS LIKE YOU'RE HAVING SOME PLEURITIC CHEST PAIN DO YOU HAVE ANY COUGHING ASSOCIATED WITH THAT RES0013-016 NO NO RES0013-017 NO YOU'RE NOT COUGHING UP ANY BLOOD RES0013-018 NO RES0013-019 ANY SWELLING IN YOUR LEGS RES0013-020 I I DON'T THINK SO RES0013-021 NO OK HOW ABOUT ON EXERTION LIKE WHEN YOU WALK OR RUN OR YOU KNOW DOES IT HURT MORE OR DOES I MEAN SORRY DOES YOUR SHORTNESS OF BREATH GET WORSE RES0013-022 OH IT WAS LIKE GOING UP THE STAIRS CAN'T REALLY BREATHE IN AFTER RES0013-023 OK HOW ABOUT WHEN YOU'RE LAYING DOWN RES0013-024 I DON'T KNOW I DON'T THINK THAT'S ANY DIFFERENT NO I SLEPT FINE LAST NIGHT I GOT UP AND WHEN I WENT UP THE STAIRS I WAS LIKE HOLY RES0013-025 OK HOW ABOUT WHEEZING ARE YOU EXPERIENCING ANY WHEEZING RES0013-026 I DON'T THINK SO RES0013-027 OK HOW ABOUT FEVERS OR CHILLS RES0013-028 NO NOT THAT I'VE NOTICED NO RES0013-029 OK ANY ABDOMINAL PAIN RES0013-030 NO NO IT'S LIKE IT ACHES KIND OF IT BUT IT'S ALL UP HERE AND LIKE KIND OF IN MY BACK A LITTLE BIT RES0013-031 OK AND DO YOU THINK ANYTHING TRIGGERED THIS RES0013-032 I DON'T KNOW RES0013-033 NO OK AND YOU SAID THIS HAS NEVER HAPPENED TO YOU BEFORE RIGHT RES0013-034 RIGHT RES0013-035 DOES IT GET BETTER WITH YOU SITTING FORWARD RES0013-036 I DON'T KNOW LIKE I I FEEL LIKE THAT IT'S STILL KIND OF ACHING LIKE IT DOESN'T IT'S NOT REALLY LIKE CHANGING VERY MUCH RES0013-037 OK OK OK ANY CHANGES IN YOUR VISION HEARING OR SMELL RES0013-038 NO RES0013-039 NO ANY RASHES RES0013-040 NO RES0013-041 NO WEIGHT LOSS RES0013-042 I I MEAN I'VE BEEN TRYING TO TO LOSE WEIGHT RES0013-043 OK RES0013-044 THEY TOLD ME A YEAR AGO I HAVE LIKE HIGH BLOOD PRESSURE SO I'VE BEEN CUTTING OUT LIKE SALT AND TRYING TO WALK MORE RES0013-045 OK OK GOOD RES0013-046 SO I'VE LOST LIKE FIFTEEN POUNDS BUT LIKE NOT LIKE I'VE BEEN TRYING TO RES0013-047 OK OK FIFTEEN POUNDS THAT'S GOOD ARE YOU EXPERIENCING ANY DIZZINESS OR YOU FEELING FAINT RES0013-048 NO JUST LIKE A I CAN'T GET LIKE A GOOD BREATH RES0013-049 OK AND ARE YOU OTHERWISE HEALTHY YOU MENTIONED YOU HAVE HIGH BLOOD PRESSURE ANYTHING ELSE RES0013-050 NO THAT'S THAT'S LIKE IT I'VE NEVER HAD ANY LIKE CHEST PROBLEMS RES0013-051 OK HAVE YOU HAD ANY INVESTIGATIONS DONE FOR YOUR CHEST LIKE PULMONARY FUNCTION TESTS ECG'S CHEST X RAYS RES0013-052 NO NO THEY JUST THEY JUST PUT THE THING ON MY ARM BUT MY DOCTORS OFFICE AND SAID THAT IT WAS HIGH SO THEY SAID TO YOU KNOW EAT BETTER AND I DON'T I DON'T WANNA START ANY DRUGS SO I DIDN'T DO ANYTHING I'VE BEEN FINE EVER SINCE RES0013-053 OK SO YOU'RE NOT ON ANY MEDICATIONS RES0013-054 NO JUST NO THAT'S IT I MEAN I YOU KNOW SOMETIMES TAKE LIKE A TYLENOL IF I'M RES0013-055 NOT FEELING WELL BUT RES0013-056 AND DO YOU SMOKE RES0013-057 I LIKE I SMOKE A LITTLE BIT MAYBE LIKE A PACK A WEEK RES0013-058 A PACK A WEEK OK FOR HOW LONG RES0013-059 OH LIKE SINCE COLLEGE RES0013-060 OK OK DO YOU SMOKE MARIJUANA RES0013-061 NO NO AND I I SMOKE I'M TRYING TO SMOKE LESS YOU KNOW SINCE THEY TOLD ME I HAVE THE HIGH BLOOD PRESSURE SO I USED TO SMOKE A LITTLE MORE BUT THIS IS THIS IS LESS BUT NOT SINCE I'VE BEEN HAVING TROUBLE BREATHING IS IT RES0013-062 OK ANY OTHER RECREATIONAL DRUGS RES0013-063 NO NO RES0013-064 NO OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL RES0013-065 OH LIKE MAYBE YOU KNOW A BEER ON THE WEEKEND RES0013-066 OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0013-067 LIKE I DON'T I THINK I GOT ALL THE ONES WHEN I WAS LIKE A KID WHAT ELSE SHOULD I HAVE RES0013-068 OK SO LIKE THE FLU VACCINE EVERY YEAR RES0013-069 OH I GET THAT LIKE MY WIFE MY WIFE MAKES ME GET THAT RES0013-070 OK THAT'S GOOD ANY FAMILY HISTORY OF LUNG OR HEART DISEASE RES0013-071 OH LIKE MY MY MOM AND DAD HAVE HIGH BLOOD PRESSURE TOO SO I WASN'T SURPRISED WHEN I HEARD THAT I DID RES0013-072 OK OK OK SO ROB IS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I HAVEN'T ASKED YOU ALREADY TODAY RES0013-073 I AM REALLY LIKE NERVOUS CAUSE I HAVEN'T FELT ANYTHING LIKE THIS BEFORE LIKE IT'S SCARY LIKE DO YOU THINK IT'S LIKE CANCER OR SOMETHING LIKE I DON'T I DON'T REALLY KNOW RES0013-074 I MEAN IT'S HARD TO TELL RIGHT NOW WHAT IT IS IT SOUNDS LIKE IT'S IT STARTED PRETTY SUDDENLY LIKE IT STARTED A DAY AGO CORRECT RES0013-075-1 SO IT'S UNLIKELY THAT CANCER WOULD PRESENT ITSELF LIKE THIS SO ACUTELY YOU KNOW AND BUT IT COULD IT COULD BE A NUMBER OF THINGS LIKE RES0013-075-2 IT COULD BE SOMETHING LIKE A PULMONARY EMBOLISM BUT YOU SAID YOU DON'T HAVE ANY SWELLING BUT YOU DID SAY YOU HAVE SOME CHEST PAIN WHEN YOU'RE BREATHING PRETTY WHEN YOU TAKE A DEEP BREATH IN SO I MEAN THAT'S A POSSIBILITY RES0013-075-3 IT DOESN'T SOUND LIKE IT'S AN INFECTION BECAUSE YOU DON'T HAVE A FEVER OR CHILLS OR ANY ANY OTHER SYMPTOM REALLY AND YOU MENTIONED THERE WEREN'T ANY TRIGGERS LIKE NO TRAUMA TO THE AREA RES0013-075-4 AND THEN OTHER THINGS COULD BE LIKE COPD BECAUSE YOU WHICH IS A CHRONIC OBSTRUCTIVE PULMONARY DISEASE BECAUSE YOU HAVE BEEN SMOKING SINCE COLLEGE AND THAT'S BASICALLY JUST RES0013-075-5 INFLAMMATION IN YOUR LUNGS THAT CAUSES YOUR AIRWAYS TO NARROW AND SO YOU MAY HAVE A HARD TIME BREATHING RES0013-075-6 SO FOR ALL OF THESE THINGS WE FIRST START BY DOING SOME BLOOD WORK AND THEN WE'LL DO SOME IMAGING LIKE A CHEST X RAY AND A PULMONARY FUNCTION TEST IF INDICATED RES0013-075-7 AND SO THAT WILL GIVE US A BETTER IDEA OF WHAT YOU HAVE AND HOW WE CAN BEST HELP YOU SOUNDS GOOD RES0013-076 I JUST REALLY WANT TO GET A GOOD BREATH SO WHATEVER WE CAN DO RES0013-077 FOR SURE AND THEN IN THE MEANTIME WE'LL KEEP MONITORING YOU TO MAKE SURE YOUR VITALS ARE OK AND IF WE NEED TO GIVE YOU OXYGEN WE WILL RES0013-078 THAT'D BE GREAT RES0013-079 OK THANK YOU RES0014-000 WHAT BRINGS YOU IN TODAY RES0014-001 THIS AFTERNOON I'M JUST HERE BECAUSE I'VE BEEN EXPERIENCING SOME BREATHLESSNESS AS WELL AS A BIT OF COUGH RES0014-002 OK WHEN DID IT START RES0014-003 SO I THINK IT'S A IT STARTED AROUND THREE MONTHS AGO AND I BELIEVE IT'S JUST BEEN GETTING WORSE RES0014-004 OK HOW OFTEN ARE YOU EXPERIENCING THE SHORTNESS OF BREATH RES0014-005 I FEEL IT LIKE A LOT OF THE TIME ESPECIALLY OUTSIDE WHEN I'M IN THE COLD OR AT AT NIGHT WHEN I GO OUTSIDE AT NIGHT MY CHEST FEELS A LITTLE TIGHT TOO AT THE SAME TIME RES0014-006 OK AND HOW LONG DOES IT LAST RES0014-007 I WOULD SAY IT LASTS UP TO AN HOUR EVERY TIME I'M OUT IN THE COLD AND THEN ONCE I COME BACK IN SO I'D SAY IT LASTS AT LEAST ONE HOUR RES0014-008 OK DOES ANYTHING ELSE MAKE IT WORSE LIKE DUST YOU KNOW LAYING DOWN ANYTHING LIKE THAT RES0014-009 SOMETIMES WHEN I'M NEAR DUST SOMETIMES WHEN I'M RUNNING DURING GYM CLASS RES0014-010 INCREASED ACTIVITY DOES MAKE IT WORSE OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHING DIFFICULTIES IS IT MORE LIKE A BURNING KIND OF FEELING IS IT LIKE RES0014-011 YOU CAN'T CATCH YOUR BREATH WHAT DOES IT FEEL LIKE I THINK IT'S MORE JUST A I CAN'T CATCH MY BREATH AND IT FEELS LIKE MY MY THROAT RES0014-012 IS JUST KIND OF LIKE CLOSING OFF AND I CAN'T TAKE DEEP BREATHS OK THAT'S SCARY AND ONE RES0014-013 TO TEN TEN BEING THE WORST HOW BAD IS YOUR SHORTNESS OF BREATH IT CAN GET UP TO I WOULD SAY LIKE AN EIGHT AT TIMES IT CAN GET PRETTY SCARY AND SOMETIMES LIKE I FEEL LIKE HEAVINESS IN RES0014-014 MY CHEST TOO WHEN IT HAPPENS AND THE COUGHING HAS IT BEEN GOING ON FOR AS LONG AS YOUR BREATHLESSNESS RES0014-015 I WOULD SAY AROUND THE SAME SAME TIME FRAME LIKE THREE MONTHS BUT I'M NOT ALWAYS COUGHING IT COMES AND GOES RES0014-016 OK AND FOR YOUR COUGHING IS IT KIND OF LIKE THE SAME TRIGGERS THE COLD DUST THINGS LIKE THAT RES0014-017 I WOULD SAY SO RES0014-018 AND DO YOU EVER HAVE DO YOU EVER COUGH UP BLOOD RES0014-019 NO I DON'T IT'S MOSTLY JUST A DRY COUGH I DON'T COUGH UP ANYTHING RES0014-020 OK SO NO SPUTUM OR PHLEGM NO OK DO YOU EVER FEEL WHEEZY RES0014-021 I I I DO HEAR LIKE A LIKE A WEIRD SOUND WHEN I BREATHE OUT SOMETIMES I RES0014-027 ANY CHANGES IN YOUR SMELL NO RES0014-028 NO CHANGES IN MY SMELL NO OK RES0014-029 HOW ABOUT HEARING RES0014-030 NO HEARING IS FINE OK AND LIKE NO PUS OR LIQUID'S COMING OUT OF YOUR EAR OR ANYTHING LIKE THAT RIGHT RES0014-031 NO RES0014-032 NO EAR PAIN RES0014-033 NO RES0014-034 OK AND HOW ABOUT YOUR VISION EVERYTHING OK THERE RES0014-035 EVERYTHING IS OK RES0014-036 OK ANY FEVERS RES0014-037 I DON'T KNOW ABOUT A FEVER I HAVEN'T CHECKED BUT SOME NIGHTS I DO ESPECIALLY IN THE LAST WEEK I HAVE WOKEN UP FEELING A BIT CHILLY I HAVEN'T REALLY CHECKED RES0014-038 OK SO YOU WOKE UP FEELING CHILLY ANY NIGHT SWEATS RES0014-039 NO RES0014-040 OK ANY WEIGHT LOSS RES0014-041 NO NO RES0014-042 HOW ABOUT CHANGES IN YOUR SKIN LIKE HAVE YOU NOTICED A RASH ANYWHERE RES0014-043 NOT THAT I'VE REALLY NOTICED NO NO RASHES RES0014-044 OK AND ANY CHEST PAIN AT ALL RES0014-045 NO JUST SOMETIMES WHEN I I'M COUGHING A LOT I FEEL A LITTLE BIT OF JUST TENSION AND HEAVINESS IN THERE BUT THAT'S JUST WHEN I'M LIKE REALLY COUGHING A LOT RES0014-046 OK AND ANY ANY FEELINGS LIKE YOUR HEART'S RACING RES0014-047 NOPE RES0014-048 NO OK AND HOW ABOUT SWELLING HAVE YOU NOTICED SWELLING ANYWHERE IN YOUR BODY RES0014-049 NO NOTHING LIKE THAT RES0014-050 NO OK OK HOW ABOUT DOES YOUR SHORTNESS OF BREATH GET WORSE WHEN YOU'RE FALLING ASLEEP RES0014-051 NO NOTHING LIKE THAT I THINK IT'S MAINLY JUST WORSE IF I GO OUT IN THE COLD OR I'M LIKE RUNNING AROUND DOING MORE ACTIVITIES RES0014-052 DOES IT EVER WAKE YOU UP AT NIGHT RES0014-053 NO NEVER RES0014-054 OK AND ANY NAUSEA OR VOMITING RES0014-055 NO NO NAUSEA OR VOMITTING RES0014-056 OK HOW ABOUT CHANGES IN YOUR IN YOUR BOWEL MOVEMENT RES0014-057 NO BOWEL MOVEMENTS ARE NORMAL RES0014-058 HOW ABOUT IN TERMS OF URINATING ANY CHANGES THERE RES0014-059 NO NO RES0014-060 OK ANY HEADACHES RES0014-061 NO RES0014-062 NO ANY DIZZINESS OR FAINTING SPELLS RES0014-063 NO RES0014-064 CONFUSION MEMORY LOSS RES0014-065 NO NOTHING LIKE THAT RES0014-066 OK GOOD ARE YOU OTHERWISE HEALTHY RES0014-067 I DON'T HAVE ANY OTHER CONDITION I I DO REMEMBER MY DOCTORS SAYING I HAVE HAY FEVER BEFORE BUT THAT'S ABOUT IT RES0014-068 WHEN WAS THAT RES0014-069 I THINK THAT WAS LIKE MORE THAN THREE YEARS AGO RES0014-070 OK ANY RECENT SURGERIES RES0014-071 NO RES0014-072 NO ARE YOU ON ANY MEDICATIONS RES0014-073 I JUST TAKE SOME TYLENOL SOMETIMES FOR THE LIKE TYLENOL COLD SOMETIMES FOR THE SYMPTOMS I DON'T THINK IT HAS REALLY HELPED RES0014-074 NO OK DO YOU HAVE ANY ALLERGIES NOT JUST TO MEDICATIONS BUT TO ANYTHING ELSE RES0014-075 JUST LIKE HAY FEVER BUT NOTHING NOTHING ELSE THAT I CAN THINK OF NO RES0014-076 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0014-077 AS FAR AS I KNOW EVERYTHING'S UP TO DATE RES0014-078 OK ANY FAMILY HISTORY OF LUNG CONDITIONS RES0014-079 DON'T THINK SO MY SISTER I THINK SHE THEY WERE SAYING SHE MIGHT HAVE ASTHMA AND SHE ALSO HAS ECZEMA NO ONE ELSE IN THE FAMILY HAS ANY OTHER CONDITIONS RES0014-080 NOT NOT EVEN LIKE HEART CONDITIONS CANCER RES0014-081 NO NO NOT THAT I KNOW RES0014-082 OK OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY RES0014-084 NO NO OK AND ANY RES0014-087 ONTARIO OK AND WHERE DO YOU LIVE SO I CURRENTLY LIVE IN LONDON BUT I RES0014-088 JUST RECENTLY MOVED INTO A NEW FLAT AROUND TWO MONTHS AGO TWO MONTHS RES0014-089-1 AGO OK IS IT MORE IS IT AN OLDER FLAT RES0014-089-2 NO IT'S FAIRLY NEW BUT ONE THING I DID NOTICE I DON'T KNOW IF THIS HAS ANYTHING TO DO WITH IT BUT MY FLATMATE ACTUALLY SMOKES RES0014-089-3 SOMETIMES THAT CAN REALLY IRRITATE AND MAKE ME COUGH MORE SOMETIMES AT NIGHT RES0014-090 ANY ANY RES0014-091 OH NO I DON'T HAVE ANY PETS RES0014-092 OK AND AND DO YOU SMOKE RES0014-093 NO I DON'T SMOKE NO RES0014-094 OK AND DO YOU SMOKE MARIJUANA RES0014-095 NOPE NEVER TRIED MARIJUANA RES0014-096 OK ANY RECREATIONAL DRUGS RES0014-097 NO I DON'T SMOKE MARIJUANA OR CIGARETTES RES0014-098 OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL RES0014-099 JUST LIKE MAYBE SOMETIMES AT PARTIES BUT VERY RARELY MAYBE I WOULD SAY ONCE A MONTH RES0014-100 OK OK AND IS THERE ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED RES0014-101 SO NO I THINK THAT THAT WAS ALL LIKE JUST THE SHORTNESS OF BREATH WAS SCARING ME A LOT BUT JUST THE COUGHING BUT OTHER THAN THAT I JUST WANT TO KNOW WHAT'S GOING ON RES0014-102 OK AND YOU MENTIONED YOU ARE OTHERWISE HEALTHY SO YOU DON'T HAVE ANY HISTORY OF ASTHMA OR ANYTHING LIKE THAT RIGHT RES0014-103 NO NO ONES EVER TOLD ME THAT BUT MY SISTER HAS ASTHMA SO I WAS WONDERING MAYBE RES0014-104 HAVE YOU EVER EXPERIENCED SHORTNESS OF BREATH WHEN YOU WERE YOUNGER WITH LIKE EXERCISE RES0014-105 NOT REALLY JUST MAYBE LIKE THE NORMAL AMOUNT LIKE IF I'M RUNNING AROUND TOO MUCH I FEEL SHORTNESS OF BREATH BUT I THINK IT JUST GOT WORSE OVER THE LAST FEW MONTHS RES0014-106 OK AND THEN HAVE YOU EVER HAD ANY IMAGING DONE IN THE PAST LIKE A CHEST X RAY OR INVESTIGATIONS LIKE A PULMONARY FUNCTION TEST RES0014-107 NO I DON'T RECALL HAVING ANY OF THAT DONE RES0014-108-1 OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU IF YOU DIDN'T HAVE ANYTHING ELSE TO ADD I GUESS WE WILL CONCLUDE BY SAYING THAT WHAT YOU HAVE RES0014-108-2 WE HAVE A DIFFERENTIAL DIAGNOSIS FOR THIS IT SOUNDS LIKE WHAT YOU HAVE IS ASTHMA RES0014-108-3 SINCE YOUR SYMPTOMS STARTED THREE MONTHS AGO WHEN YOU MOVED INTO A FLAT WITH YOUR FRIENDS AND IT SEEMS LIKE THIS SMOKING AND COLD IS TRIGGERING THAT RES0014-108-4 AND SO WE'LL WORK YOU UP WITH A PULMONARY FUNCTION TEST TO START AND WE'LL SEE IF BRONCHODILATORS WILL HELP RES0014-108-5 WITH YOUR SYMPTOMS AND IF IT DOESN'T WE'LL ALSO RULE OUT OTHER THINGS LIKE PNEUMONIA OR LIKE ALLERGIC RHINITIS HOW DOES THAT SOUND RES0014-109 THAT SOUNDS GOOD RES0014-110 OK SOUNDS GREAT WELL WE'LL SEE YOU SOON THEN RES0014-111 ALRIGHT THANK YOU RES0014-112 TAKE CARE RES0015-000 WHAT BRINGS YOU IN TODAY RES0015-001 SO I'VE BEEN HAVING JUST A WORSENING BREATHLESSNESS I'VE BEEN ALSO HAVING A COUGH AND I THINK I MIGHT HAVE ALSO HAD A FEVER IN THE LAST COUPLE WEEKS RES0015-002 OK SO THE BREATHLESSNESS STARTED SIX WEEKS AGO CORRECT RES0015-003 OK AND THEN WHEN DID THE COUGH START RES0015-004 I'D SAY AROUND THE SAME TIME THE BREATHLESSNESS STARTED SO AROUND SIX WEEKS RES0015-005 OK AND THEN THE FEVER RES0015-006 THE FEVER I'VE KIND OF HAD ON AND OFF IN THE LAST COUPLE WEEKS I WOULD SAY TWO TO THREE WEEKS RES0015-007 OK OK AND DO YOU HOW OFTEN ARE YOU HAVING THIS BREATHLESSNESS RES0015-008 I WOULD SAY IT'S PRETTY MUCH THERE MOST OF THE TIME IT SOMETIMES GETS WORSE WHEN I'M EXERTING MYSELF BUT I THINK JUST BASELINE I FEEL LIKE I'VE BEEN ABLE TO BREATHE LESS HEAVILY THAN BEFORE RES0015-009 OK SO ALRIGHT AND HOW LONG DOES IT LAST WHEN YOU DO GET IT OR IS IT JUST ALWAYS THERE RES0015-010 IT'S KIND OF JUST THERE BUT THEN WHEN IT'S GETTING WORSE LIKE IT LASTS A COUPLE MINUTES TO I WOULD SAY LIKE TEN TO FIFTEEN MINUTES AND THEN IT GOES BACK TO LIKE JUST THE NORMAL BREATHLESSNESS RES0015-011 OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHLESSNESS WOULD YOU SAY THAT IT FEELS LIKE A KIND OF LIKE A BURNING FEELING LIKE YOU'RE HAVING A HARD TIME CATCHING YOUR BREATH OR DOES IT FEEL LIKE YOU'RE BREATHING TOO FAST RES0015-012 I THINK IT'S MORE I JUST CAN'T SEEM TO TAKE LIKE DEEP BREATHS AND THEN WHEN I GET BREATHLESS I I REALLY TRY TO TAKE A DEEP BREATH BUT I JUST CAN'T FIND MYSELF CATCHING MY BREATH AT THAT TIME SO IT'S JUST MORE NOT BEING ABLE TO CATCH MY BREATH RES0015-013 OK SURE AND ARE THERE THINGS THAT MAKE MAKE IT BETTER OR WORSE RES0015-014 NOT REALLY I THINK IT'S SOMETIMES MOVING AROUND TOO MUCH BUT LIKE NOTHING NOTHING REALLY CAUSES IT RES0015-015 OK AND WAS THERE ANY SORT OF TRIGGER SIX WEEKS AGO THAT YOU THINK MAY HAVE LIKE CAUSED ALL OF YOUR SYMPTOMS RES0015-016 OH I'M NOT SURE I I DON'T THINK THERE WAS ANY TRIGGERS RES0015-017 OK HAS ANYONE AROUND YOU BEEN SICK RES0015-018 SO THERE THERE ARE SOME PEOPLE LIVING IN MY HOUSE THAT HAVE A BAD COUGH OVER THE LAST FEW WEEKS RES0015-021 SO THEY HAVE SIMILAR SYMPTOMS TO YOU AS WELL THEN RES0015-022 SOME OF THEM LIKE DON'T REALLY HAVE THE SHORTNESS OF BREATH AND IT'S JUST LIKE A COUGH RES0015-023 OK RES0015-024 BUT THERE ARE SOME OF THEM ALSO HAVE SOME SHORTNESS OF BREATH RES0015-025 OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0015-026 SO I ACTUALLY CAME TO CANADA ONE YEAR AGO I'M ORIGINALLY FROM INDIA AND I I'M I CAME HERE TO STUDY RES0015-027 OK OK ALRIGHT IF YOU WERE TO RATE YOUR BREATHLESSNESS FROM ONE TO TEN TEN BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS RES0015-028 IT CAN GET PRETTY BAD LIKE I I WOULD SAY UP TO AN EIGHT SOMETIMES MAYBE A COUPLE TIMES A WEEK RES0015-029 OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE RES0015-030 NO THIS IS LIKE THE FIRST TIME I'M HAVING THIS ISSUE RES0015-031 OK AND DO YOU FEEL LIKE IT'S GETTING WORSE BETTER HAS IT CHANGED SINCE YOU STARTED HAVING THESE SYMPTOMS RES0015-032 I THINK IT'S GETTING WORSE AND THAT'S WHY I WAS GETTING A BIT SCARED AND I CAME HERE RES0015-033 OK THAT WAS A GOOD CALL AND HAVE YOU HAD ANY CHANGES TO YOUR SMELL RECENTLY RES0015-034 NO NO CHANGES TO SMELL RES0015-035 ANY ANYTHING LIKE A RUNNY NOSE OR STUFFY NOSE RES0015-036 NO NOT REALLY NO RES0015-037 NO OK HOW ABOUT A SORE THROAT RES0015-038 NO NO SORE THROAT RES0015-039 NO SORE THROAT ANY CHANGES TO YOUR TASTE RES0015-040 NOPE RES0015-041 ANY CHANGES IN HEARING RES0015-042 NOPE RES0015-043 EAR PAIN OR DISCHARGE FROM YOUR EARS RES0015-044 NO NOTHING LIKE THAT RES0015-045 OK ANY EYE PAIN RES0015-046 NO RES0015-047 CHANGES IN YOUR VISION RES0015-048 NOPE RES0015-049 ANY DISCHARGE FROM YOUR EYES RES0015-051 OK AND YOU MENTIONED FEVER AND SOME NIGHT SWEATS HOW OFTEN ARE YOU GETTING THESE NIGHT SWEATS AND DO THEY FEEL RES0015-052-1 LIKE CHILLS RES0015-052-2 I THINK IN THE LAST TWO WEEKS I'VE BEEN GETTING IT MORE FREQUENTLY LIKE I WOULD SAY EVERY OTHER NIGHT I I FEEL I WOULD FEEL CHILLY AT ONE POINT AND THEN I'LL BREAK OUT INTO NIGHT SWEATS OR HAVE TO TAKE OFF MY BLANKET RES0015-052-3 I THINK I MEASURED IT ONCE OR TWICE OVER THE WEEK AND IT DID SHOW LIKE A FEVER OF ONE HUNDRED AND TWO RES0015-053 OK OK OK AND ANY CHANGES TO YOUR SKIN LIKE RASHES RES0015-054 NO NOTHING LIKE THAT RES0015-055 ANY WEIGHT LOSS RES0015-056 I WOULD SAY I THINK I'M LOSING A LITTLE BIT OF WEIGHT OVER THE LAST COUPLE WEEKS I HAVEN'T REALLY WEIGHED MYSELF BUT I FEEL THAT I HAVE LOST SOME WEIGHT RES0015-057 OK AND THE COUGHING ARE YOU COUGHING UP ANY BLOOD RES0015-058 I DON'T THINK SO SOMETIMES LIKE WHEN I COUGH UP LIKE SPUTUM THERE IS LIKE A LITTLE BIT OF PINK PINK TINGED SPUTUM AS WELL SOMETIMES IT'S LIKE BROWNISH IN COLOR AND SOMETIMES IT'S GREEN BUT I HAVEN'T ACTUALLY COUGHED UP ANY BLOOD RES0015-059 OK AND YOU SAID THERE'S SOME SPUTUM LIKE PINK TINGED SPUTUM HOW MUCH SPUTUM WOULD YOU SAY YOU COUGH UP EVERY TIME YOU COUGH RES0015-060 MAYBE LIKE A LIKE A SPOONFUL I WOULD SAY RES0015-061 OK AND DO YOU EVER FEEL LIKE YOU'RE WHEEZING RES0015-062 NO I I DON'T THINK SO I I DON'T REALLY NOTICE ANY NOISES WHEN I'M BREATHING RES0015-063 OK AND ALRIGHT SO ANY CHEST PAIN RES0015-064 NO NO CHEST PAIN AT ALL RES0015-065 OK HOW ABOUT SWELLING IN YOUR LEGS RES0015-066 OR IN YOUR LIMBS NO RES0015-067 NO SWELL LEG SWELLING NO LEG SWELLING OK HOW ABOUT RES0015-069 LIKE YOUR HEART'S RACING NO NO OK RES0015-070 OK AND ANY NAUSEA OR VOMITING RES0015-071 NO NO NAUSEA OR VOMITTING HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS RES0015-072 NO RES0015-073 OK HOW ABOUT CHANGES IN URINATING RES0015-074 NO IT'S BEEN FINE RES0015-075 ALRIGHT ANY HEADACHES RES0015-076 NO HEADACHES RES0015-077 ANY DIZZINESS OR FAINTING SPELLS RES0015-078 NO NOTHING LIKE THAT RES0015-079 OK NO CONFUSION OR MEMORY LOSS RES0015-080 NO RES0015-081 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS RES0015-082 I THINK WHEN I WAS BACK IN INDIA A COUPLE YEARS AGO THEY DID GIVE ME SOME ANTIBIOTICS FOR LIKE A CHEST INFECTION BUT I COULDN'T REALLY AFFORD THE MEDICATIONS AND DIDN'T TAKE THEM I DIDN'T FINISH THE COURSE BUT OTHER THAN THAT NOTHING ELSE RES0015-083 OK DID THEY MENTION WHAT TYPE OF CHEST INFECTION IT COULD'VE BEEN RES0015-084 NO I DON'T REALLY REMEMBER I THINK IT WAS SOME KIND OF PNEUMONIA RES0015-085 OK OK ARE YOU ON ANY MEDICATIONS RES0015-086 JUST I TAKE TYLENOL SOMETIMES LIKE RES0015-087 IT HASN'T REALLY BEEN HELPING RES0015-089 ARE YOU ALLERGIC TO ANYTHING NO NOT THAT I KNOW OF RES0015-090 ARE YOU UP TO DATE WITH ALL YOUR RES0015-091 IMMUNIZATIONS AS FAR AS I KNOW OK AND AND IS THERE ANY FAMILY HISTORY OF LUNG CONDITIONS RES0015-093 CONDITIONS NOPE NO OK HOW ABOUT RES0015-094 CANCERS NO RES0015-095 CANCERS THAT RUN IN THE FAMILY NO OK OK SO YOU MENTIONED YOU MOVED TO CANADA FROM INDIA ABOUT A YEAR BACK RES0015-096 WHERE DO YOU LIVE NOW SO I LIVE IN IT'S WE HAVE LIKE A STUDENT HOUSE WITH SOME OF THE STUDENTS WHO CAME FROM INDIA AS WELL AND THERE'S SIX OF US LIVING TOGETHER IN IN A HOUSE RES0015-097 OK OK AND ARE THEY SICK AS WELL OR NO RES0015-098 SO THREE OF THEM ACTUALLY HAVE LIKE TWO OF THEM HAVE A COUGH AND ONE OF THEM HAS SOME SHORTNESS OF BREATH AS WELL RES0015-099 OK AND HAVE THEY BEEN TO A DOCTOR HAVE THEY BEEN INVESTIGATED WERE THEY EVER GIVEN A DIAGNOSIS RES0015-100 NO NOT THAT I KNOW OF I THINK I MIGHT BE THE FIRST ONE WHO ACTUALLY WENT TO A DOCTOR RES0015-101 OK OK DO YOU SMOKE RES0015-102 I SMOKE LIKE I WOULD SAY LIKE FIVE CIGARETTES A DAY RES0015-103 OK HOW LONG HAVE YOU BEEN SMOKING FOR RES0015-104 AROUND TEN YEARS RES0015-105 OK THAT'S IT'S BEEN A WHILE THEN AND DO YOU DO YOU DRINK ALCOHOL RES0015-106 NO I I DON'T DRINK AND I DON'T DO ANY DRUGS EITHER RES0015-107 OK OK ARE YOU SEXUALLY ACTIVE RES0015-108 NOT CURRENTLY NO RES0015-109 NO OK HAVE YOU EVER HAD UNPROTECTED SEX RES0015-110 NO RES0015-111 NO OK OK DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING YOU WANTED TO DISCUSS THAT I HADN'T ASKED YOU ABOUT RES0015-112 SO THIS IS JUST LIKE MY FIRST TIME VISITING A DOCTOR IN THIS COUNTRY AND LIKE I WAS JUST VERY SCARED THAT IT MIGHT BE SOMETHING SERIOUS SO JUST WANTED TO KNOW WHAT IT CAN BE RES0015-113-1 FOR SURE SO THE FIRST THING WE WANT TO RULE OUT IS TB BECAUSE YOU HAVE RECENTLY MOVED TO CANADA FROM A COUNTRY WHERE IT IS I BELIEVE IT IS ENDEMIC SO AND SOME OF YOUR MOST OF YOUR SYMPTOMS FIT WITH TB RES0015-113-2 AND HOW IT PRESENTS SO WE JUST WANT TO MAKE SURE IT'S NOT THAT BECAUSE IT IS HIGHLY INFECTIOUS AND AND WE DON'T WANT IT TO SPREAD SO RES0015-113-3 WE CAN DO LIKE A AFB SMEAR OR I THINK THEY HAVE OTHER DIAGNOSTIC WORK UP FOR THAT TOO SO WE'LL DO THAT FIRST IF NOT WE CAN CHECK TO SEE IF IT'S RES0015-113-4 LIKE ANOTHER ANOTHER TYPICAL PNEUMONIA WE CAN DO A CHEST X RAY FOR THAT AS WELL IF BOTH OF THOSE TURN OUT TO BE NEGATIVES THEN WE'LL HAVE TO WORK YOU UP FURTHER FOR OTHER THINGS LIKE COPD OR LUNG CANCER HOW DOES THAT SOUND RES0015-114 THAT SOUNDS GOOD THANK YOU RES0016-000 HOW ARE YOU DOING RES0016-001 NOT SO WELL I I FEEL LIKE I'VE BEEN HAVING JUST WORSENING BREATHLESSNESS AND A COUGH FOR IT'S BEEN GOING ON FOR TWO YEARS NOW AND I JUST CAN'T SEEM TO GET RID OF IT RES0016-002 OK THE COUGH AND BREATHLESSNESS BOTH STARTED TWO YEARS AGO RES0016-003 I WOULD SAY APPROXIMATELY AROUND THE SAME TIME RES0016-004 OK OK DO YOU ALWAYS HAVE THE BREATHLESSNESS OR DOES IT COME AND GO RES0016-005 I THINK IT'S I FEEL SHORT OF BREATH MOST OF THE TIMES BUT IT'S MAINLY JUST GETS WORSE WHEN I'M EXERTING MYSELF WHEN I'M WALKING MORE THAN USUAL OR JUST WORKING IN THE GARDEN RES0016-006 OK OK AND SAME THING WITH THE COUGH IT GETS WORSE WHEN YOU'RE WALKING AROUND RES0016-007 I WOULD SAY SO RES0016-008 OK AND WAS THERE ANY SORT OF TRIGGER FOR THIS TWO YEARS AGO ANYTHING THAT YOU REMEMBER RES0016-009 NO IT KIND OF JUST STARTED GRADUALLY ON ITS OWN NO NO REAL TRIGGERS THAT I CAN REMEMBER RES0016-010 OK AND DOES ANYTHING MAKE IT WORSE OR BETTER BESIDES THE EXERTION RES0016-011 NO I THINK THAT'S PRETTY MUCH THE ONLY THING THAT REALLY MAKES IT WORSE RES0016-012 OK AND HOW WOULD YOU DESCRIBE YOUR BREATHLESSNESS IS IT THAT YOU'RE BREATHING TOO FAST OR YOU CAN'T CATCH YOUR BREATH RES0016-013 IT'S I THINK IT'S MORE SO JUST I CAN'T CATCH MY BREATH AND SOMETIMES I JUST HAVE TROUBLE BEING ABLE TO TAKE LIKE A FULL BREATH RES0016-014 OK OK AND OUT OF ONE TO TEN TEN BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS RES0016-015 IT CAN GET UP TO I WOULD SAY LIKE AN EIGHT SOMETIMES WHEN I'M DOING A LOT OF WORK RES0016-016 OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE RES0016-017 NOT BEFORE THE TWO YEARS BEFORE I I NEVER FELT ANYTHING LIKE THAT RES0016-018 OK AND YOU MENTIONED IT'S GRADUALLY BEEN GETTING WORSE RIGHT RES0016-019 I WOULD SAY SO RES0016-020 OK AND THE COUGH DO YOU EVER COUGH UP ANY BLOOD RES0016-021 NO IT'S IT'S USUALLY JUST A DRY COUGH NO NO I DON'T PRODUCE ANY MUCUS OR BLOOD RES0016-022 OK OK AND DO YOU FEEL LIKE YOU'RE WHEEZY RES0016-023 NO I HAVEN'T HEARD ANY KIND OF WHEEZINESS AT ALL RES0016-024 OK ANY ISSUES WITH YOUR BREATHLESSNESS WHEN YOU'RE LAYING DOWN RES0016-025 NO I'M COMPLETELY FINE LAYING DOWN RES0016-026 OK AND IT'S NOT WAKING YOU UP AT NIGHT RIGHT RES0016-027 NO RES0016-028 OK HAVE THERE BEEN ANY CHANGES TO YOUR TASTE RECENTLY RES0016-029 NO NOT THAT I KNOW RES0016-030 ANY CHANGES TO YOUR SMELL RES0016-031 NO RES0016-032 HAVE YOU EXPERIENCED A SORE THROAT RES0016-033 NOPE RES0016-034 RUNNY NOSE OR STUFFY NOSE RES0016-035 NOPE NOT THAT I KNOW OF RES0016-036 OK CHANGES IN YOUR HEARING OR EAR PAIN RES0016-037 NO RES0016-038 CHANGES IN YOUR VISION OR EYE PAIN RES0016-039 NO NOTHING LIKE THAT RES0016-040 OK AND HAVE YOU NOTICED ANY FEVERS RES0016-041 MAYBE SOME CHILLS HERE AND THERE BUT NOT NOT REALLY A FEVER NO RES0016-042 OK AND YOU MENTIONED CHILLS HOW ABOUT NIGHT SWEATS RES0016-043 JUST A FEW TIMES PER WEEK I WOULD MAYBE HAVE TO TAKE OFF MY BLANKET SOMETIMES I NOTICE A LOT OF MY SWEAT COVERING THE BED SHEETS THAT'S BEEN GOING ON FOR ABOUT SAY A COUPLE MONTHS NOW RES0016-044 OK OK ANY WEIGHT LOSS RES0016-045 I THINK OVER THE LAST FEW MONTHS I MAY HAVE LOST LIKE AROUND THREE THREE KILOGRAMS RES0016-046 OK OK ANY RASHES ON YOUR BODY RES0016-047 NOT THAT I KNOW NO RES0016-048 OK HOW ABOUT LIKE FEELING YOU'RE LIKE YOU'RE TIRED RES0016-049 I FEEL PRETTY TIRED SOMETIMES BUT I JUST THOUGHT IT WAS BECAUSE I'M GETTING OLDER RES0016-050 OK FAIR ENOUGH HOW ABOUT CHEST PAIN RES0016-051 NO CHEST PAIN NO NO RES0016-052 ANY SWELLING IN YOUR ARMS OR LEGS RES0016-053 NO NOT THAT I'VE NOTICED RES0016-054 OK AND HOW ABOUT FEELING LIKE YOUR HEART'S RACING RES0016-055 NO HEART HAS BEEN FINE RES0016-056 OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS RES0016-057 NO I GO PRETTY REGULARLY RES0016-058 OK AND URINE ANY CHANGES THERE RES0016-059 NOPE RES0016-060 OK HOW ABOUT NAUSEA AND VOMITING RES0016-061 NO RES0016-062 HEADACHES RES0016-063 NO RES0016-064 OK ANY DIZZINESS OR FAINTING SPELLS RES0016-065 NO RES0016-066 NO OK HOW ABOUT CONFUSION OR MEMORY LOSS RES0016-067 NOT THAT I KNOW OF NO RES0016-068 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS RES0016-069 I DO HAVE HIGH BLOOD PRESSURE AND I THINK THEY SAID LIKE MY PROSTATE IS LARGER THAN NORMAL BUT NOTHING ELSE RES0016-070 OK AND HAVE YOU BEEN SICK IN THE PAST RES0016-071 IN TERMS OF LIKE BREATHING I THINK MAYBE AS A CHILD LIKE I MAY HAVE HAD LIKE A PNEUMONIA BUT NOTHING ELSE RES0016-072 OK AND ARE YOU ON ANY MEDICATIONS RES0016-073 JUST RAMIPRIL FOR MY HIGH BLOOD PRESSURE RES0016-074 OK HOW LONG HAVE YOU BEEN ON THAT MEDICATION FOR RES0016-075 FOR A PRETTY LONG TIME I WOULD SAY MORE THAN TEN YEARS RES0016-076 OK AND NO ISSUES SIDE EFFECTS WITH THAT RIGHT RES0016-077 NO AND MY BLOOD PRESSURE IS PRETTY WELL CONTROLLED ON THAT MEDICATION RES0016-078 OK GOOD ANY ALLERGIES RES0016-079 NO NO ALLERGIES RES0016-080 ARE YOU UP TO DATE WITH ALL OF YOUR IMMUNIZATIONS RES0016-081 I GOT MY SHINGLES AND MY PNEUMONIA VACCINATION EVERYTHING LIKE THAT RES0016-082 OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY RES0016-083 SO MY DAD HAD QUITE A FEW PROBLEMS HE HAD TYPE TWO DIABETES THEN HE SUFFERED FROM TWO STROKES AND THEN HE ALSO HAD A HEART ATTACK IN I THINK WHEN HE WAS LIKE FIFTY SIX BUT THEN HE ACTUALLY ENDED UP DYING OF BOWEL CANCER IN HIS SEVENTIES RES0016-084 OK HOW ABOUT YOUR MOTHER IS SHE ALIVE IS SHE HEALTHY RES0016-085 MY MOM IS ALIVE BUT SHE SUFFERED FROM TYPE TWO DIABETES AND HIGH BLOOD PRESSURE AS WELL AND SHE ALSO HAD LIKE HYPOTHYROIDISM AND SHE ALSO SUFFERED FROM DEPRESSION AS WELL RES0016-086 OK OK SO DO YOU LIVE BY YOURSELF AND WHERE DO YOU LIVE RES0016-087 I LIVE ON AN APARTMENT AND IN APARTMENT BY MYSELF RIGHT NOW I DO FIND IT DIFFICULT GETTING OUT OF THE HOUSE RECENTLY JUST BECAUSE OF MY SHORTNESS OF BREATH BUT OTHER THAN THAT I FEEL THAT I'M PRETTY INDEPENDENT RES0016-088 OK AND DO YOU SMOKE RES0016-089 NO I'VE NEVER SMOKED IN MY LIFE RES0016-090 NO HOW ABOUT OTHER RECREATIONAL DRUGS RES0016-091 NO NO MARIJUANA NO COCAINE NOTHING LIKE THAT RES0016-092 OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL RES0016-093 NO RES0016-094 OK AND DO YOU STILL WORK RES0016-095 NO I ACTUALLY WORKED AT JUST THE HOSPITAL I USED TO VOLUNTEER BUT NOW I JUST CAN'T GET OUT OF THE HOUSE I FEEL JUST TIRED AND SHORT OF BREATH ALL THE TIME SO JUST STAYING IN MY HOUSE MOST OF THE TIME RES0016-096 OK AND HAS ANYONE AROUND YOU BEEN SICK RES0016-097 NO NOT THAT I KNOW RES0016-098 NO AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0016-099 NO NO RES0016-100 OK HAVE YOU BEEN WORKED UP FOR THIS IN THE PAST TWO YEARS LIKE HAVE YOU HAD ANY CHEST X RAYS OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT RES0016-101 NO I'VE NEVER REALLY HAD THIS ISSUE BEFORE SO NO INVESTIGATIONS RES0016-102 OK OK WELL THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD THAT I MAYBE MISSED RES0016-103 NO I JUST IT'S BEEN GOING ON FOR TWO YEARS AND I FEEL LIKE IT'S GETTING WORSE AND WORSE AND I'M JUST SCARED OF HAVING TO YOU KNOW GO ON OXYGEN OR LIKE JUST NOT BEING ABLE TO BREATHE AT ONE POINT RES0016-104-1 YEAH FOR SURE SO WE WILL TRY TO DO A GOOD JOB WORKING YOU UP FOR EVERYTHING THAT WE THINK IT MAY BE AND RIGHT NOW IT SOUNDS LIKE IT COULD BE PULMONARY FIBROSIS EITHER LIKE YOU KNOW AN AUTOIMMUNE PROCESS RES0016-104-2 OR TRIGGERED AFTER LIKE AN INFECTION THAT YOU MAY HAVE HAD IN THE PAST WE WILL DEFINITELY ALSO LOOK INTO SEE IF IT'S PERHAPS A LUNG CANCER RES0016-104-3 ASTHMA AND YOU MENTIONED YOU DON'T SMOKE SO WE DON'T THINK IT COULD BE COPD BUT WE'LL ALSO TEST FOR THAT IN CASE ALL EVERYTHING ELSE COMES BACK NEGATIVE RES0016-105 OK SOUNDS GOOD THANK YOU SO MUCH RES0016-106 THANK YOU TAKE CARE YOU TOO RES0017-000 I'VE BEEN HAVING THIS COUGH FOR AROUND I WOULD SAY HALF A YEAR NOW AND I JUST CAN'T SEEM TO GET RID OF IT RES0017-001 OK AND DOES THIS COUGH HAVE ANY PHLEGM THAT YOU BRING UP RES0017-002 NO IT'S COMPLETELY DRY I CAN'T BRING ANYTHING UP RES0017-003 OK AND SINCE THE COUGH STARTED HAS IT BEEN GETTING GETTING WORSE STAYING THE SAME GETTING ANY BETTER RES0017-004 IT WAS PRETTY MUCH THE SAME FOR I WOULD SAY LIKE THREE OR FOUR MONTHS BUT THEN I'VE NOTICED IT GETTING MORE FREQUENT OVER THE LAST COUPLE OF MONTHS RES0017-005 OK AND SIX MONTHS AGO CAN YOU THINK OF ANYTHING THAT THAT CHANGED INCLUDING LIKE TRAVELING ANYWHERE OR CHANGING IN IN YOUR WORK OR OR LIVING ENVIRONMENT RES0017-006 NOT REALLY I'M LIKE ALMOST SEVENTY FIVE YEARS OLD NOW SO I JUST THOUGHT IT WAS PROBABLY JUST DUE TO MY AGE RES0017-007 OK HAVE YOU BEEN HAVE YOU BROUGHT UP ANY BLOOD WITH THE COUGH RES0017-008 NO I'VE NEVER BROUGHT UP ANY BLOOD RES0017-009 OK AND HAVE YOU HAVE HAD ANY SHORTNESS OF BREATH RES0017-010 NOT THAT I'VE NOTICED BUT I DO FIND THAT I GET A LITTLE BIT MORE TIRED WITH EXERCISE THAN I USED TO BUT NOT REALLY ANY SHORTNESS OF BREATH RES0017-011 OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS RES0017-012 I DON'T KNOW IF THIS IS JUST DUE TO OLD AGE BUT LIKE I'VE NOTICED SOME JOINT PAIN AS WELL LIKE IN MY HANDS AND FEET I JUST ASSUMED THAT WAS CAUSE I'M GETTING OLD RES0017-013 OK AND HAS THERE BEEN ANYTHING THAT'S MADE THE COUGH WORSE RES0017-014 SOMETIMES WHEN I'M EXERCISING A LOT MORE BUT NOT NOT TOO MUCH IT'S KIND OF JUST ALWAYS BEEN THERE HASN'T REALLY CHANGED TOO MUCH BUT IT'S GOTTEN MORE FREQUENT OVER THE LAST COUPLE OF MONTHS RES0017-015 OK AND ANYTHING THAT'S MADE THE COUGH BETTER THAT YOU'VE TRIED RES0017-016 NO NOTHING I'VE TRIED LIKE EVERYTHING I'VE TRIED TYLENOL COLD I'VE TRIED OTHER HOME REMEDIES BUT LIKE LIKE STEAMING AND EVERYTHING LIKE THAT BUT NOTHING HAS REALLY HELPED RES0017-017 OK AND IS THE COUGH WORSE IN THE MORNING THROUGHOUT THE DAY OR OR AT NIGHT RES0017-018 IT'S PRETTY MUCH ALWAYS THERE IT DOESN'T REALLY CHANGE WITH ANY TIME OF THE DAY RES0017-019 OK AND IS THE COUGH INTERFERING WITH SLEEP RES0017-020 I SOMETIMES I I DO HAVE COUGHING FITS AT NIGHT THAT WAKE ME UP I DO HAVE RES0017-021 DISRUPTED SLEEP OVER THE LAST FEW MONTHS RES0017-022 OK AND YOU MENTIONED SOME JOINT PAINS AS WELL AND THEN WHEN DID THAT THOSE START RES0017-023 I WOULD SAY OVER THE LAST YEAR IS WHEN I STARTED NOTICING IT A LOT MORE THAN BEFORE RES0017-024 OK HAVE YOU BEEN HAVING JOINT STIFFNESS OR OR MUSCLE STIFFNESS EARLY IN THE MORNING RES0017-025 IT DOES GET A LITTLE BIT MORE STIFF IN THE MORNING BUT IT'S KIND OF JUST THERE THROUGHOUT THE DAY RES0017-026 OK HAVE YOU NOTICED ANY RED HOT OR OR KIND OF SWOLLEN JOINTS RES0017-027 NO NOTHING LIKE THAT RES0017-028 OK ANY INJURIES TO ANY OF YOUR LIMBS OR OR JOINTS THAT COULD EXPLAIN SOME OF THE PAINS RES0017-029 THERE RES0017-030 NO NOT THAT I KNOW OF NOPE RES0017-031 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING A LOT OF FATIGUE RES0017-032 I DEFINITELY HAVE BEEN MORE TIRED I CAN'T REALLY EVEN GO OUTSIDE FOR A WALK SOMETIMES OR I GET REALLY TIRED WORKING IN THE GARDEN SO IT'S BEEN TOUGH RES0017-033 OK AND WHEN DID THAT WHEN DID YOU NOTICE THAT CHANGE AND AND HOW WERE YOU DIFFERENT BEFORE RES0017-034 LIKE BEFORE LIKE BEFORE SIX MONTHS AGO I REMEMBER I USED TO BE ABLE TO GO FOR LONG WALKS AROUND THE BLOCK THEN WHEN I WAS GARDENING I CAN GO ON FOR HOURS BUT NOW I'M PRETTY IT'S PRETTY LIMITED TO LIKE MAYBE FIFTEEN TWENTY MINUTES AND THEN I HAVE TO GO BACK INTO THE HOUSE RES0017-035 I SEE OK SO PRETTY BIG DIFFERENCE OVER THE LAST SIX MONTHS TO A YEAR FOR YOU RES0017-036 HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS RES0017-037 NOT REALLY NOT THAT I KNOW OF RES0017-038 OK HOW ABOUT EXCESSIVE SWEATING AT NIGHT RES0017-039 NOPE RES0017-040 ALRIGHT AND HOW HAS YOUR APPETITE BEEN RES0017-041 MY APPETITE HAS BEEN AROUND THE SAME NO CHANGES THERE RES0017-042 OK HAVE YOU EXPERIENCED ANY WEIGHT LOSS RES0017-043 I'VE ACTUALLY I THINK LOST A COUPLE POUNDS BUT NOT NOT TOO MUCH RES0017-044 OK WOULD THAT BE OVER THE LAST SIX MONTHS OR SO RES0017-045 AROUND THE LAST I WOULD SAY THREE TO FOUR MONTHS RES0017-046 OK HAVE YOU NOTICED ANY SWOLLEN GLANDS ANYWHERE LIKE IN YOUR NECK OR ANYTHING LIKE THAT YOU MIGHT FEEL LIKE A LUMP RES0017-047 NO NOT REALLY RES0017-048 OK HAVE YOU HAD A SORE THROAT OR OR RUNNY NOSE RES0017-049 NO I HAVEN'T HAD A COLD FOR MORE THAN TWO OR THREE YEARS I THINK RES0017-050 OK ABOUT A LOSS OF SMELL RES0017-052 LOSS OF TASTE RES0017-054 ALRIGHT HAVE YOU BEEN EXPERIENCING ANY CHEST PAINS RES0017-055 WHEN THE COUGHING GETS PRETTY BAD LIKE I GET SOME STRAIN IN MY CHEST BUT NOTHING OTHER THAN THAT RES0017-056 ALRIGHT AND ANY HEART RACING RES0017-058 ALRIGHT AND HOW ABOUT WHEEZING RES0017-059 NO NOT REALLY RES0017-060 OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS LIKE IN YOUR HANDS AND YOUR FEET OR ANKLES RES0017-062 ALRIGHT AT NIGHT HAVE YOU HAD ANY PERIODS WHERE YOU WOKE UP EXTREMELY SHORT OF BREATH AND YOU HAD TO SIT ON THE EDGE OF THE BED WITH YOUR FEET OVER RES0017-063 NO NOT THAT I REMEMBER RES0017-064 OK AND HOW MANY PILLOWS DO YOU SLEEP WITH RES0017-065 JUST ONE SAME AS BEFORE RES0017-066 OK AND ANY ABDOMINAL PAIN RES0017-067 NO NO PAIN IS JUST IN MY JOINTS AND SOMETIMES IN MY MUSCLES BUT OTHER THAN THAT NO RES0017-068 OK ANY URINARY PROBLEMS LIKE PAIN OR OR GOING REALLY OFTEN RES0017-069 NOPE RES0017-070 ALRIGHT AND THEN ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION RES0017-071 NO NOT THAT I KNOW OF RES0017-072 OK AND HAVE YOU NOTICED ANY SKIN RASHES RES0017-074 NOPE OK AND ARE THERE ANY JOINTS IN PARTICULAR THAT ARE MOST AFFECTED RES0017-075 I WOULD SAY LIKE MY LEGS AND ARMS IT'S IT'S PRETTY MUCH LOT OF THE JOINTS NOT REALLY AFFECTING MY HIP BUT LIKE EVERYTHING ELSE SEEMS A BIT SORE RES0017-076 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0017-077 NO NEVER I'VE BEEN PRETTY FORTUNATE RES0017-078 OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIPTION OR OVER THE COUNTER RES0017-079 NO JUST VITAMINS BUT NOTHING ELSE RES0017-080 ALRIGHT DO YOU HAVE ANY ALLERGIES RES0017-081 NO NOT THAT I KNOW OF RES0017-082 HAVE YOU BEEN SO YOU SAID YOU'VE BEEN PRETTY HEALTHY BUT HAVE YOU BEEN IN THE HOSPITAL FOR ANY REASON RECENTLY RES0017-083 NO RES0017-085 IMMUNIZATIONS UP TO DATE I I GOT A SHINGLES VACCINE RES0017-086 THE ONE FOR PNEUMONIA AS WELL OK AND HAVE YOU TRAVELED ANY RES0017-087 WHERE RECENTLY RES0017-088 NO I'VE BEEN AT HOME OK AND IN THE FAMILY HAVE YOU HEARD OF ANYTHING LIKE THIS HAPPENING IN THE FAMILY SORT OF WAY ONSET OF THIS KIND OF SHORTNESS OF RES0017-089 BREATH AND COUGH THAT YOU'VE BEEN EXPERIENCING NOT REALLY I I DON'T REALLY HAVE SHORTNESS OF BREATH LIKE IT'S IT'S LIKE A DRY COUGH SOMETIMES I DO FIND MYSELF BREATHING MORE SHALLOW MOSTLY IT'S JUST A DRY COUGH THAT'S BEEN GOING ON RES0017-090 OK AND MORE OF THE FATIGUE RES0017-091 OK AND ANYBODY IN THE FAMILY HAVE LIKE AUTOIMMUNE DISEASES LIKE RHEUMATOID ARTHRITIS OR OR LUPUS RES0017-092 I DON'T REALLY I CAN'T REALLY THINK OF NOTHING MY MOM AND DAD WERE COMPLETELY HEALTHY SO I KNOW AND I DON'T HAVE ANY SIBLINGS SO NOT NOTHING THAT I KNOW OF RES0017-093 OK ANY CANCERS IN THE FAMILY LIKE COLON CANCER OR ANYTHING LIKE THAT RES0017-094 NO NO CANCERS RES0017-095 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RES0017-096 SO RIGHT NOW I LIVE ALONE IN A SMALL TOWNHOUSE AND THAT'S I HAVE A PET DOG BUT THAT'S THAT'S ABOUT IT RES0017-097 OK AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY RES0017-098 SO I'M RETIRED BUT GETTING A PRETTY GOOD PENSION AS WELL AS FOR MY A HUSBAND'S PENSION AS WELL BUT HE UNFORTUNATELY PASSED AWAY A COUPLE YEARS AGO RES0017-099 I'M SORRY TO HEAR THAT WHAT DID YOU SAY YOU RETIRED WHAT DID YOU DO FOR WORK PREVIOUSLY DID YOU HAVE ANY EXPOSURES TO CHEMICALS OR ASBESTOS PRODUCTS WHILE WHILE AT WORK RES0017-100 NOT THAT I REMEMBER NO IT WAS IT WAS A PRETTY PRETTY MUCH LIKE A DESK JOB I WOULD SAY RES0017-101 OK SO NO REASONS THAT YOU WERE VISITING FARMS AND LIKE BEING AROUND BIRDS OR ANYTHING LIKE THAT RES0017-102 NOT REALLY BUT I I DO THINK LIKE THE OLD BUILDING THAT WE LIVED IN MIGHT HAVE HAD ASBESTOS DOES THAT DOES THAT LIKE COUNT AT ALL RES0017-103 LIKE A IT COULD BE IMPORTANT BECAUSE WELL HOW LONG HOW LONG DID YOU LIVE THERE FOR RES0017-104 I WOULD SAY ALMOST TWENTY YEARS RES0017-105-1 OK SO YES THAT DEFINITELY WOULD BE IS IS IMPORTANT FOR THE HISTORY TODAY BECAUSE UNFORTUNATELY LONG TERM EXPOSURE TO ASBESTOS WHEN BREATHING IT IN CAN RES0017-105-2 CAUSE SOME OF THE SYMPTOMS THAT YOU'VE BEEN DESCRIBING ALONG WITH COUGH AND RESPIRATORY SYMPTOMS SO IT'LL BE SOMETHING THAT WE'LL BE SURE TO INVESTIGATE TODAY OK RES0017-105-3 BUT I JUST HAD A COUPLE MORE QUESTIONS FIRST RES0017-106 DO YOU SMOKE CIGARETTES I QUIT LONG TIME AGO MORE THAN LIKE TEN YEARS AGO BUT I USED TO SMOKE LIKE FIVE TO TEN CIGARETTES FOR AROUND TWENTY YEARS RES0017-107 OK AND DO YOU SMOKE CANNABIS RES0017-108 NO RES0017-109 ALRIGHT DO YOU DRINK ALCOHOL RES0017-110 NO NOT ANYMORE RES0017-111 OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS RES0017-112 NO RES0017-113 ALRIGHT AND ARE YOU CURRENTLY SEXUALLY ACTIVE RES0017-114 NO RES0017-115 ALRIGHT AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE RES0017-116 NO RES0017-117 OK SO THOSE ARE THE QUESTIONS THAT I WANTED TO GO OVER TO MAKE SURE I ASKED ON HISTORY WAS THERE ANYTHING THAT ELSE YOU WANTED TO TELL ME RES0017-118 NO I THINK THAT'S ALL RES0017-119-1 OK SO NEXT WE'LL DO YOUR PHYSICAL EXAM AND ORDER SOME INVESTIGATIONS BUT CURRENTLY THINKING THAT IT COULD BE RELATED TO ASBESTOS EXPOSURE AS WELL AS RES0017-119-2 SOMETHING CALLED WELL IT COULD CAUSE PULMONARY FIBROSIS AND THEN ALSO THE JOINT PAINS THAT YOU'VE BEEN EXPERIENCING MIGHT BE ANOTHER SYMPTOM THAT IS SUGGESTIVE OF A CONNECTIVE TISSUE DISEASE AND RES0017-119-3 IT DOESN'T SOUND LIKE YOU HAVE A FAMILY HISTORY OF THOSE BUT WE WILL DO SOME LAB WORK AND INVESTIGATIONS FOR FOR THOSE INCLUDING A CHEST X RAY AND A CHEST CT RES0017-120 SOUNDS GOOD RES0018-000 I'VE JUST BEEN HAVING THIS THIS COUGH OVER THE LAST FEW DAYS AND I ALSO NOTICE THAT I'M GETTING LIKE THESE HEADACHES AND CHILLS AS WELL AT NIGHT SO I WAS JUST A BIT CONCERNED RES0018-001 OK SO THE COUGH STARTED A FEW DAYS AGO HAVE YOU BEEN BRINGING UP ANY PHLEGM RES0018-002 NO NOT REALLY IT'S BEEN PRETTY MUCH LIKE A DRY COUGH I DID FEEL LIKE A TICKLE IN MY THROAT BEFORE IT STARTED BUT NO I'M NOT PRODUCING ANY PHLEGM RES0018-003 OK IS THE COUGH ANY WORSE AT ANY PARTICULAR TIME OF DAY LIKE WHEN YOU FIRST GET UP OR OR AT NIGHT WHEN GOING TO BED RES0018-004 NO IT'S PRETTY MUCH JUST BEEN THERE OVER THE LAST AT LEAST LIKE TWO DAYS IT'S BEEN GETTING WORSE MORE FREQUENT RES0018-005 OK SO AND ARE YOU COUGHING ALL THROUGHOUT THE DAY RES0018-006 PRETTY MUCH AT LEAST FOR THE LAST FEW DAYS JUST IT'S BEEN PRETTY NONSTOP RES0018-007 OK ANYTHING THAT'S MADE THE COUGH WORSE RES0018-008 NO NOT REALLY IT'S PRETTY MUCH BEEN THE SAME FOR THE LAST FEW DAYS RES0018-009 ANYTHING YOU'VE TRIED TO MAKE THE COUGH GO AWAY RES0018-010 JUST LIKE TYLENOL COLD AND THEN I THINK THERE WAS ANOTHER OVER THE COUNTER MEDICATION THAT I TOOK BUT NOTHING REALLY HELPING RES0018-011 OK AND THE COUGH HAS BEEN BEEN GETTING WORSE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS RES0018-012 I DID JUST JUST LAST NIGHT ACTUALLY I THOUGHT THAT I HAD SOME SHORTNESS OF BREATH AS WELL I DON'T KNOW IF THAT'S BEING CAUSED BY ALL THE COUGHING BUT I GOT PRETTY SCARED SO THAT'S WHY I'M HERE TODAY RES0018-013 OK HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE RES0018-014 NO LIKE I'VE BEEN PRETTY HEALTHY OTHERWISE COMPLETELY SO THIS IS THIS IS COMPLETELY NEW FOR ME RES0018-015 OK AND YOU MENTIONED YOU HAD A FEVER BUT DID HAVE YOU CHECKED YOUR TEMPERATURE RES0018-016 NO I HAVEN'T I I JUST HAD LIKE CHILLS OVER THE LAST TWO NIGHTS JUST HAD TO PUT ON LIKE THREE THREE BLANKETS JUST TO GET TO SLEEP BUT I HAVEN'T REALLY CHECKED MY TEMPERATURE RES0018-017 OK I HAVE YOU HAD NIGHT SWEATS RES0018-018 NO NOT REALLY JUST MOSTLY CHILLS RES0018-019 OK AND HOW HAS YOUR ENERGY BEEN THE LAST FEW DAYS HAVE YOU HAVE YOU HAD A LOT OF FATIGUE RES0018-020 I JUST FEEL COMPLETELY JUST SICK LIKE WHAT IT FEELS LIKE I HAVE THE FLU OR SOMETHING AND I JUST FEEL REALLY TIRED TOO RES0018-021 OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT RES0018-022 NO NOT REALLY I DID HAVE LIKE A I DON'T KNOW IF IT WAS SORENESS BUT JUST LIKE A TICKLE IN MY THROAT JUST A FEW DAYS BACK BEFORE THE COUGHING STARTED RES0018-023 OK AND HAVE YOU HAD ANY LOSS OF SMELL OR OR LOSS OF TASTE RES0018-024 NOW THAT I THINK OF IT I I I I CAN'T I CAN BARELY TASTE TASTE THE FOOD THAT I'M EATING I DON'T KNOW ABOUT SMELL I I'M PRETTY STUFF STUFF STUFFY RIGHT NOW SO THAT MIGHT JUST BE BECAUSE OF THAT I DEFINITELY NOTICE I CAN'T REALLY TASTE MY FOOD RES0018-025 ALRIGHT AND HAVE YOU BEEN HAVING ANY WHEEZING RES0018-026 NO NO WHEEZING RES0018-027 ALRIGHT AND SHORTNESS OF BREATH WERE YOU AT REST WHEN THAT THAT HAPPENED OR WERE YOU EXERCISING OR EXERTING YOURSELF WHAT HOW DID THE SHORTNESS OF BREATH COME ON RES0018-028 I WAS ACTUALLY JUST LAYING DOWN AND I WAS SLEEPING AND I JUST NOTICED THAT I COULDN'T REALLY TAKE DEEP BREATHS SO I KIND OF JUST GOT BACK UP AND IT WAS JUST DURING LAST NIGHT IT HASN'T HAPPENED AFTER THAT BUT I'M SCARED IT WILL HAPPEN AGAIN RES0018-029 OK AND HAVE YOU HOW MANY PILLOWS DO YOU USUALLY SLEEP WITH RES0018-030 JUST ONE RES0018-031 HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES RES0018-032 NO NOTHING LIKE THAT RES0018-033 ALRIGHT HAVE YOU HAD ANY CHEST PAIN RES0018-034 NO NO CHEST PAIN RES0018-035 ANY FEELING ANY EPISODES WHERE YOU FEEL LIKE YOU WERE GONNA FAINT RES0018-036 NO RES0018-037 FEELING LIKE YOUR HEART'S RACING RES0018-038 NO RES0018-039 ALRIGHT HAVE YOU BEEN HAVING ANY ABDOMINAL PAINS RES0018-040 NO ABDOMINAL PAINS RES0018-041 ALRIGHT HOW ABOUT URINARY PROBLEMS RES0018-042 NO NOTHING LIKE THAT RES0018-043 ANY BOWEL PROBLEMS LIKE DIARRHEA RES0018-044 NO IT'S PRETTY REGULAR RES0018-045 OK HAVE YOU NOTICED ANY RASHES ANYWHERE RES0018-046 NO RES0018-047 ALRIGHT AND THEN HOW ABOUT LIKE MUSCLE ACHES OR OR JOINT ACHES RES0018-048 NO NOTHING LIKE THAT JUST FEELING TIRED RES0018-049 OK AND THEN HAVE YOU HAD ANY CHANGES TO YOUR VISION RES0018-050 NO RES0018-051 LIKE BLURRED VISION OR THINGS LIKE THAT RES0018-052 NO NOTHING LIKE THAT RES0018-053 ANY CHANGES TO YOUR VOICE LIKE IT SOUNDS MORE HOARSE TO YOU OR RES0018-054 NO NOT REALLY RES0018-055 OH OK AND ANY NAUSEA OR VOMITING RES0018-056 I DID FEEL A BIT NAUSEOUS OVER THE LAST TWO DAYS BUT I HAVEN'T VOMITED RES0018-057 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0018-058 NO I'VE BEEN PRETTY LUCKY NO MEDICAL CONDITIONS I DON'T EVEN TAKE ANY MEDICATIONS EITHER RES0018-059 OK ANYTHING OVER THE COUNTER LIKE SUPPLEMENTS RES0018-060 OR HERBAL NO JUST JUST THE COLD MEDICATIONS OVER THE COUNTER NOTHING ELSE RES0018-061 OK ANY ALLERGIES TO MEDICATIONS RES0018-062 NOT THAT I KNOW RES0018-063 ANY HOSPITALIZATIONS RES0018-064 NO RES0018-065 HAVE YOU HAD ANY PRIOR SURGERIES RES0018-066 NOPE RES0018-067 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION NOW RES0018-068 OH SO I JUST LIVE IN A TOWNHOUSE WITH MY WIFE AND TWO CHILDREN AND CURRENTLY WORKING AS AN ENGINEER PRETTY EVERYTHING ELSE IS PRETTY GOOD RES0018-069 OK HAVE YOU HAD TO MISS WORK OVER THE LAST FEW DAYS RES0018-070 I ACTUALLY DIDN'T GO TO WORK YESTERDAY JUST FELT TERRIBLE YESTERDAY RES0018-071 OK HOW HAVE THE WIFE AND KIDS BEEN FEELING AT HOME RES0018-072 THEY'RE ACTUALLY COMPLETELY FINE NOW THEY DON'T SEEM TO HAVE ANY ANY SYMPTOMS OF LIKE COUGHING OR ANYTHING LIKE THAT RES0018-073 ANYBODY AT WORK THAT'S BEEN SICK RES0018-074 THERE WAS ACTUALLY LIKE JUST WE WORK IN THE SAME KIND OF OFFICE SETTING ONE OF MY COWORKERS WAS COUGHING JUST LAST WEEK AND LIKE YOU KNOW MY BOSS TOLD US TOLD HIM TO LIKE GO HOME AND GET SOME REST AND HE WAS AWAY FOR A COUPLE DAYS RES0018-075 OK DO YOU KNOW WHAT WHAT HE HAD OR ANYTHING LIKE THAT RES0018-076 NO I'M NOT REALLY SURE NOW THAT I THINK OF IT LIKE I I DON'T I HAVEN'T SEEN HIM SINCE SO I HAVEN'T REALLY ASKED HIM I'M NOT REALLY SURE RES0018-077 OK HAS HAVE YOU TRAVELED ANYWHERE OR HAS ANYBODY IN YOUR OFFICE BEEN BEEN TRAVELING ANYWHERE RES0018-078 NO NOT REALLY NOT THAT I KNOW EVERYTHING IS PRETTY STRICT RIGHT NOW WITH WITH THE PANDEMIC GOING ON RES0018-079 OK AND DO YOU SMOKE CIGARETTES RES0018-080 NO RES0018-081 DO YOU DRINK ALCOHOL RES0018-082 JUST RARELY MAYBE A COUPLE TIMES A MONTH RES0018-083 OK DO YOU USE RECREATIONAL DRUGS LIKE IV DRUG USE OR OPIOIDS OR CRYSTAL METH ANYTHING LIKE THAT RES0018-084 NO NOTHING LIKE THAT RES0018-085 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE RES0018-086 OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR YOUR PARTNER OR PARTNERS RES0018-087 JUST MY WIFE NO OTHER SEXUAL PARTNERS RES0018-088 OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE RES0018-089 NOPE RES0018-090 OK AND SO IN REGARDS TO YOUR FAMILY HISTORY HAS ANYBODY HAD SIMILAR SYMPTOMS RES0018-091 BEFORE NO NOT REALLY NOT RES0018-092 NOTHING LIKE THIS OK ANY HEART ATTACKS OR OR RES0018-094 IN THE FAMILY NO OK AND THEN HOW ABOUT SO ANY RES0018-095 CANCERS IN THE FAMILY I THINK I'VE HAD AN AUNT WHO HAD BREAST CANCER RES0018-096-1 BUT NOTHING ELSE RES0018-096-2 OK SO THOSE ARE ALL THE QUESTIONS I WANTED TO GO GO THROUGH ON HISTORY RES0018-096-3 I AM CONCERNED THAT YOU MIGHT MIGHT HAVE COVID NINETEEN OR CORONAVIRUS AND SO IT COULD BE COVID OR THIS COULD BE RES0018-096-4 ANOTHER VIRAL INFECTION OR POSSIBLY PNEUMONIA GOING ON BUT IT DOES SOUND LIKE RES0018-096-5 YOU HAVE AN INFECTION AND SO WE'LL CHECK SOME SPUTUM CULTURES AND AND WE'LL ALSO DO A PCR NASAL RES0018-097 SWAB TESTING FOR RES0021-000 I WAS WONDERING IF YOU COULD START BY TELLING ME WHAT BROUGHT YOU IN RES0021-001 SURE YOU KNOW I'VE BEEN FEELING A LITTLE HOT FOR THE PAST TWO DAYS I'VE HAD THIS AWFUL COUGH AND I JUST FEEL SO TIRED RES0021-002 OK AND THIS STARTED TWO DAYS AGO RES0021-003 YES TWO DAYS AGO RES0021-004 OK YOU'VE BEEN FEELING HOT HAVE YOU CHECKED YOUR TEMPERATURE RES0021-005 NO I HAVEN'T ACTUALLY CHECKED MY TEMPERATURE I JUST KIND OF PUT MY HAND ON MY FOREHEAD AND I JUST FEEL REALLY REALLY HOT RES0021-006-1 OK SO WE'LL WE'LL CHECK IT RIGHT NOW AND RES0021-006-2 OK SO WE'RE SEEING THAT IT'S YOUR TEMPERATURE IS ELEVATED AT THIRTY EIGHT POINT THREE RIGHT NOW SO IT DOES SOUND LIKE YOU YOU HAVE A FEVER RES0021-006-3 OK AND YOU MENTIONED THAT YOU HAD YOU HAVE A COUGH RES0021-007 YEAH I DO IT'S IT'S A DRY COUGH AND IT'S AWFUL I'VE BEEN HACKING FOR THE PAST TWO DAYS RES0021-008 OH NO THAT DOESN'T SOUND VERY NICE HAS IT BEEN ANY BLOOD OR ANY SPUTUM RES0021-009 NO BLOOD AND NO DEFINITELY NO SPUTUM OK RES0021-010 ANYTHING THAT'S LIKE TRIGGERED THE COUGH RES0021-011 I DON'T I DON'T THINK SO NO I DON'T THINK SO NO RES0021-012 OK HAVE YOU HAD A COUGH LIKE THIS BEFORE RES0021-013 MAYBE LIKE TEN YEARS AGO WHEN I HAD SOME SORT OF VIRAL INFECTION THEY SAID I HAD A DRY COUGH BUT NOTHING TO THIS EXTENT RES0021-014 OK HAVE YOU HAD ANY INFECTIONS RECENTLY LIKE IN THE LAST MONTH OR SO LIKE A VIRAL ILLNESS LIKE WHERE YOU HAD MAYBE LIKE A RUNNY NOSE SORE THROAT AND AND A COUGH RES0021-015 NO NO NOT NOT RECENTLY RES0021-016 OK SO YOU'VE BEEN FEELING WELL RECENTLY RES0021-017 OK AND YOU'VE YOU BEEN FATIGUED CAN YOU TELL ME A LITTLE BIT ABOUT ABOUT HOW YOU BEEN FEELING RES0021-018 LIKE YOU MEAN IN TERMS OF MY FEVER OR COUGH RES0021-019 OH SORRY I MEAN IN TERMS OF YOUR ENERGY RES0021-020 OH MY ENERGY I'VE JUST BEEN FEELING SO TIRED IT SEEMS LIKE I CAN'T DO DAY TO DAY THINGS THAT I NORMALLY WOULD BE I WOULD NORMALLY HAVE NO ISSUES DOING RES0021-021 I SEE OK AND ANY CHANGES TO SLEEP OR ANY KIND OF STRESSFUL EVENTS HAPPEN IN THE LAST FEW DAYS THAT MIGHT BE CAUSING YOU TO BE MORE TIRED RES0021-022 I DON'T THINK SO NOTHING NOTHING BIG HAS HAPPENED IN MY LIFE NO BIG CHANGES RES0021-023 OK AND SO YOU'VE HAD A FEVER COUGH AND BEING TIRED HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS THESE LAST FEW DAYS RES0021-024 FEVER COUGH FATIGUE BUT I DON'T HAVE ANYTHING ANY OTHER SYMPTOMS BESIDES THOSE RES0021-025 OK SO YOU YOU DO YOU HAVE ANY HEADACHES RES0021-026 OH HEADACHES NO NO RES0021-027 OK HOW ABOUT ANY EYE OR OR EAR SYMPTOMS LIKE DISCHARGE OR OR PAIN RES0021-028 NO NOTHING LIKE THAT RES0021-029 OK HAVE YOU HAD A LOSS OF TASTE OR A LOSS OF SMELL RES0021-030 NO RES0021-031 ALRIGHT AND HAVE YOU HAD A RUNNY NOSE OR SORE THROAT RES0021-032 NO RES0021-033 OK HAVE YOU HAD ANY CHEST PAIN RES0021-034 NOPE NO CHEST PAIN RES0021-035 AND HOW ABOUT DIFFICULTY BREATHING OR SHORTNESS OF BREATH RES0021-036 NOPE NO RES0021-037 OK AND ANY WHEEZING OR WHISTLING NOISES WHILE YOU'RE BREATHING RES0021-038 NO RES0021-039 OK AND HAVE YOU FELT LIKE YOUR HEART'S RACING AT ALL RES0021-040 NO RES0021-041 HAVE YOU HAD ANY LIKE FAINTING SPELLS OR FEELING AS THOUGH YOU MIGHT PASS OUT RES0021-042 NOPE NO RES0021-043 ALRIGHT AND HOW ABOUT ANY DIZZINESS RES0021-044 OH NO NO DIZZINESS EITHER RES0021-045 ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING RES0021-046 NO RES0021-047 ALRIGHT AND HOW ABOUT ANY DIARRHEA OR CONSTIPATION RES0021-048 NO RES0021-049 ALRIGHT ANY ABDOMINAL PAIN RES0021-050 NO RES0021-051 AND ANY LIKE PAINFUL URINATION OR OR LIKE GOING TO THE BATHROOM FREQUENTLY RES0021-052 NO RES0021-053 ALRIGHT ANY NIGHT SWEATS RES0021-054 NO RES0021-055 AND HOW ABOUT ANY CHILLS OR RIGORS RES0021-056 NO RES0021-057 HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS RES0021-058 NONE RES0021-059 ALRIGHT NOTICED ANY RASHES OR SKIN CHANGES OVER THIS PAST WEEK RES0021-060 NO NO RES0021-061 ALRIGHT AND HOW ABOUT ANY MUSCLE ACHES OR OR JOINT PAINS RES0021-062 NO RES0021-063 ALRIGHT SO IS THERE ANY REASON THAT YOU SEE A PHYSICIAN REGULARLY FOR OR BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0021-064 I HAVE RHEUMATOID ARTHRITIS RES0021-065 OK ARE YOU TAKING MEDICATIONS FOR THAT RES0021-066 YOU KNOW THEY PUT ME ON SOME SORT OF DMARD RES0021-067 OK SO YOU'RE YOU'RE SEEING A RHEUMATOLOGIST FOR THAT RES0021-068 I AM RES0021-069 OK GREAT ANY OTHER DIAGNOSES RES0021-070 NO RES0021-071 OK AND SO ARE THERE ANY OTHER MEDICATIONS THAT YOU THAT YOU TAKE EITHER OVER THE COUNTER OR PRESCRIPTION BESIDES THE DMARD RES0021-072 I TAKE IRON AND VITAMIN D AS WELL AS BIOTIN RES0021-073 OK WHAT'S THE REASON FOR TAKING IRON RES0021-074 AT ONE POINT OR ANOTHER THEY SAID MY IRON LEVELS WERE LOW BUT IT WENT BACK TO BEING NORMAL BUT I JUST TAKE IT NOW TO MAINTAIN THOSE LEVELS RES0021-075 OK DO YOU HAVE LIKE HEAVY MENSTRUAL PERIODS RES0021-076 NO RES0021-077 OK AND HAVE YOU NOTICED ANY BLOOD IN THE STOOL EITHER EITHER BEING RED OR OR YOUR STOOL BEING REALLY DARK KIND OF LIKE A BLACK COLOUR RES0021-078 NOPE RES0021-079 OK AND DO YOU HAVE ANY ALLERGIES RES0021-080 NO ALLERGIES RES0021-081 ALRIGHT AND THEN CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RES0021-082 I LIVE WITH TWO OF MY CHILDREN THEY ARE FIVE AND THREE AS WELL AS MY NEW BOYFRIEND RES0021-083 OK GREAT AND FOR EITHER OF YOUR PREGNANCIES WERE THERE ANY COMPLICATIONS RES0021-084 NO RES0021-085 OK GREAT AND ARE THERE ANY CONCERNS FOR SAFETY IN THE HOME RES0021-086 NO RES0021-087 OK EXCELLENT AND WHAT DO YOU DO FOR WORK RES0021-088 I WORK AS A SECRETARY FOR AN ACCOUNTING FIRM RES0021-089 OK THAT SOUNDS LIKE A GREAT JOB AND DO YOU SMOKE CIGARETTES RES0021-090 I USED TO I QUIT FIVE YEARS AGO RES0021-091 ALRIGHT AND DO YOU SMOKE MARIJUANA RES0021-092 NO RES0021-093 OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS RES0021-094 NO RES0021-095 OK AND HAS ANYBODY IN THE HOUSE BEEN SICK EITHER YOUR BOYFRIEND OR OR YOUR CHILDREN RES0021-096 NO RES0021-097 OK ARE THEY GOING TO LIKE DAYCARE RIGHT NOW OR IN SCHOOL RES0021-098 THEY ARE IN DAYCARE RES0021-099 OK ANY KIDS IN THEIR DAYCARE THAT HAVE BEEN SICK RES0021-100 NO I CHECKED NO ONE'S BEEN SICK RES0021-101 ALRIGHT EXCELLENT IS THAT ANYBODY IN THE OFFICE WHERE YOU WORK BEEN SICK RES0021-102 NO RES0021-103 AND HAVE YOU TRAVELED ANYWHERE RES0021-104 NO RES0021-105 OK AND THEN ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR OR LUNG CONDITION RES0021-106 NO RES0021-107 OK NO AN ANY CANCER THAT THAT'S RUNS IN THE FAMILY RES0021-108 ONE OF MY AUNTS HAD PANCREATIC CANCER RES0021-109 OK ANY RELATIVES HAVE BREAST CANCER RES0021-110 NO RES0021-111 HOW ABOUT ANY RELATIVES WITH OVARIAN OR COLON CANCER RES0021-112 NO RES0021-113 OK AND SO I THINK THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK ACTUALLY I JUST REMEMBERED ONE HAVE YOU HAD ANY PRIOR SURGERIES RES0021-114 NO NO PRIORS RES0021-115 OK SORRY SO THAT WAS THE LAST QUESTION THAT I WANTED TO ASK ABOUT ON ON HISTORY WAS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I MAYBE I DIDN'T ASK ABOUT RES0021-116 NO I THINK YOU COVERED IT ALL RES0021-117 OK EXCELLENT SO WITH YOUR SYMPTOMS OF HAVING A KIND OF A FEVER COUGH AND BEING TIRED RES0021-118 DEFINITELY CONCERNED OF VIRAL INFECTION AND POSSIBLY COVID NINETEEN OR SOMETHING MORE COMMON LIKE THE COMMON COLD RES0021-119 LIKE AN ADENOVIRUS AND SO WILL DO SOME TESTING FOR FOR COVID NINETEEN WITH A NASAL PCR SWAB RES0021-120 AS WELL AS RUN SOME BLOOD WORK BECAUSE THERE IS A POSSIBILITY RES0021-121 THAT THERE'S A BACTERIAL INFECTION SUCH AS LIKE A PNEUMONIA OR LOWER RESPIRATORY TRACT INFECTION RES0021-122 THAT WOULD BE TREATED WITH ANTIBIOTICS SO WE RES0021-123 WE'LL ORDER THOSE INVESTIGATIONS ALONG WITH A CHEST X RAY AND WE WILL GO FROM THERE RES0021-124 OK THAT SOUNDS GREAT THANK YOU SO MUCH RES0021-125 YOU'RE WELCOME RES0022-000 WOULD YOU MIND BY START STARTING TO TELL ME ABOUT WHAT BROUGHT YOU IN TODAY RES0022-001-1 I I IT'S JUST OVER THE LAST WEEK I CAN'T LIKE DO ANYTHING WITHOUT JUST FEELING REALLY LIKE SHORT OF BREATH I'M HAVING A REALLY HARD TIME BREATHING LIKE KIND OF DO ANYWAYS RES0022-001-2 BECAUSE I HAVE COPD SO I FEEL LIKE OVER A FEW YEARS IT'S BEEN GETTING WORSE BUT THIS WEEK IT JUST GOT REALLY BAD IN PARTICULAR RES0022-002 OK I SEE SO HOW MUCH ACTIVITY WERE YOU DOING THAT WAS BRINGING ON THE SHORTNESS OF BREATH RES0022-003 LIKE I I USUALLY I WILL WALK MY DOG AROUND THE BLOCK AND I HAVEN'T BEEN ABLE TO DO THAT LIKE MY HUSBAND'S BEEN DOING IT AND THEN I WAS JUST GOING TO TRY TO GET THE MAIL JUST LIKE I DON'T KNOW IT'S PROBABLY LIKE TWO HUNDRED FEET DOWN THE ROAD AND I COULD I WAS SO TIRED WHEN I GOT BACK AND I FELT LIKE I COULD BARELY BREATHE RES0022-004 OK AND DID YOU HAVE ANY CHEST PAIN WITH THIS RES0022-005 NO NO NOTHING LIKE THAT OK RES0022-006 AND WHEN DID THE SHORTNESS OF BREATH SYMPTOMS START COMING ON RES0022-007 LIKE IT I'VE BEEN I FEEL LIKE IT'S BEEN SORT OF GETTING WORSE OVER THE PAST FEW YEARS BUT JUST LIKE A WEEK AGO IT JUST GOT REALLY BAD LIKE VERY SUDDENLY RES0022-008 OK AND HAS IT BEEN GETTING WORSE OVER THIS PAST WEEK OR HAS IT STAYED THE SAME RES0022-009 IT MAYBE GETTING A BIT WORSE LIKE IT'S BEEN PRETTY BAD THE WHOLE TIME RES0022-010 NO OK I SEE AND HAVE YOU HAD A COUGH RES0022-011 LIKE I AGAIN LIKE I DO NORMALLY BECAUSE OF MY COPD BUT IT'S JUST BEEN REALLY IT'S BEEN EVEN WORSE THIS WEEK AND USUALLY WHEN I GET SICK IT'S MORE LIKE I'M LIKE BRINGING UP A LOT OF LIKE YELLOWISH GUNK BUT THIS TIME IT'S NOT BEEN QUITE AS LIKE GUNKIE IT'S BEEN PRETTY DRY RES0022-012 OK SO YOU'RE NOT BRINGING UP ANY SPUTUM WITH YOUR COUGH RES0022-013 NO MAYBE MAYBE A TINY BIT BUT I KINDA DO THAT LIKE ANYWAYS RES0022-014 OK AND HAVE YOU COUGHED UP ANY BLOOD RES0022-015 NO RES0022-016 OK AND HAVE YOU HAD ANY OTHER SYMPTOMS THAT HAVE WENT ALONG WITH THIS DIFFICULTY BREATHING AND COUGH RES0022-017 I MEAN I'VE BEEN I DON'T HAVE A THERMOMETER AT HOME BUT I HAVE FELT LIKE REALLY HOT AND JUST THIS MORNING LIKE MY HUSBAND YOU KNOW HE WAS TRYING TO MAKE SURE I WAS STILL EATING AND DRINKING A LOT AND I DON'T REALLY FEEL LIKE I AM TASTING MY FOOD ALL THAT WELL RES0022-018 OK SO WOULD YOU SAY THAT YOU HAVE A LOSS OF TASTE RIGHT NOW RES0022-019 PRETTY I'M PRETTY SURE I COULDN'T REALLY TASTE MY BREAKFAST RES0022-020 OK AND HOW ABOUT YOUR SENSE OF SMELL RES0022-021 ACTUALLY COME TO THINK OF IT I DON'T I DON'T THINK I'VE REALLY BEEN SMELLING MUCH RES0022-022 OK SO YOU'RE NOT ABLE TO SMELL EITHER DO YOU FEEL LIKE YOUR NOSE IS CONGESTED OR ARE REALLY RUNNY RES0022-023 IT'S NOT IT'S NOT PARTICULARLY CONGESTED OR ANYTHING RES0022-024 OK BUT STILL HAVE HAD THESE CHANGES IN TASTE AND SMELL RES0022-025 OK AND WE WILL CHECK YOUR TEMPERATURE AS WELL TO SEE IF WE CAN IF THERE IS A DOCUMENTED FEVER HAVE YOU HAD ANY NIGHT SWEATS RES0022-026 WHATS THAT RES0022-027 SO GENERALLY PATIENTS WOULD WILL SAY THAT THEIR SHEETS ARE SOAKED AND IT WILL WAKE THEM UP SOMETIMES BECAUSE IT'S UNCOMFORTABLE RES0022-028 OH NO I HAVEN'T HAD THAT RES0022-029 OK HOW ABOUT ANY CHILLS SO IT COULD BE LIKE WHEN YOU KIND OF SHAKING IN YOUR IN YOUR BED RES0022-030 NO NOT REALLY JUST JUST LIKE THERE REALLY I THINK LIKE FEVER I THINK FEVERS RES0022-031 OK AND HAVE OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS RES0022-032 NO I THINK I'VE BEEN PRETTY WELL THE SAME RES0022-033 OK AN WITH THE CHANGE IN TASTE HOW HAS YOUR APPETITE BEEN RES0022-034 WELL I MEAN THAT WAS JUST THIS MORNING THAT I NOTICED THAT BEFORE THAT I THINK I WAS EATING LIKE PRETTY OK RES0022-035 OK AND HAVE YOU FELT AS THOUGH YOUR HEART WAS RACING AT ANY POINT RES0022-036 NO RES0022-037 OK ANY DIZZINESS OR FEELING LIGHTHEADED RES0022-038 OH NO I DON'T THINK SO RES0022-039 OK AND ANY ABDOMINAL PAIN RES0022-040 NO RES0022-041 HOW ABOUT ANY NAUSEA OR VOMITING RES0022-042 NO RES0022-043 OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION RES0022-044 MAYBE MAYBE A LITTLE DIARRHEA OH BUT I DIDN'T KNOW IF THAT WAS JUST SOMETHING I ATE OR WHAT RES0022-045 OK SO WHEN DID THE DIARRHEA START RES0022-046 LIKE YESTERDAY YESTERDAY RES0022-047 OK AND AND APPROXIMATELY HOW MANY TIMES DID YOU GO TO THE BATHROOM WOULD YOU SAY RES0022-048 SO PROBABLY LIKE TWICE WHERE IT WAS REALLY LOOSE RES0022-049 OK AND DID YOU NOTICE ANY BLOOD RES0022-050 NO RES0022-051 OK HAS THAT HAPPENED AGAIN TODAY RES0022-052 OH NO I DIDN'T GO TODAY RES0022-053 OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR NEEDING TO GO REALLY OFTEN RES0022-054 NO RES0022-055 OK AND THEN HAVE YOU HAD ANY HEADACHES RES0022-056 COME TO THINK OF IT A LITTLE BIT I JUST THOUGHT I WAS LIKE IT WAS MAYBE BECAUSE I WAS TIRED BUT I'VE HAD HEADACHES RES0022-057 OK HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST RES0022-058 I MEAN ONLY WHEN THERE IS LIKE REASONS FOR IT LIKE BEING REALLY OVERTIRED OR RES0022-059 OK DOES THIS FEEL SIMILAR TO ANY OF THOSE TIMES RES0022-060 LET ME KNOW IT'S HARD TO SAY LIKE I AM TIRED SO I THINK SO RES0022-061 OK WOULD YOU SAY THIS WAS THE WORST HEADACHE OF YOUR LIFE OR A KIND OF LIKE A THUNDER CLAP SENSATION RES0022-062 NO NOTHING LIKE THAT RES0022-063 OK AND HAVE YOU GOT ANY PHOTO SENSITIVITY OR KIND OF SENSITIVITY OF YOUR LIGHT OR SENSITIVITY TO SOUND RES0022-064 NO RES0022-065 OK AND NEXT QUESTION WOULD BE HAVE YOU HAVE ANY ANY JOINT ACHES OR MUSCLE ACHES OR GENERAL BODY ACHES RES0022-066 I MEAN I'M A LITTLE I FEEL LIKE I HAVEN'T BEEN MOVING AS MUCH FEEL A LITTLE SORE I THOUGHT IT WAS MAYBE JUST CAUSE I YOU KNOW WASN'T GOING FOR MY LONG WALKS AND MY BODY WAS LIKE GETTING TIRED AND STIFF BUT I FEEL A BIT ACHEY WHEN I COME TO THINK OF IT RES0022-067 OK AND HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN RES0022-068 NO RES0022-069 OK AND THEN I'M NOT SURE IF I ASKED BUT DID YOU HAVE A SORE THROAT RES0022-070 NO RES0022-071 OK AND NEXT JUST WANTED TO ASK ABOUT YOUR PAST HEALTH IS THERE ANYTHING YOU SEE A PHYSICIAN FOR REGULARLY RES0022-072 JUST LIKE THE COPD RES0022-073 OK RES0022-074 MY FAMILY DOCTOR RES0022-075 OK AND DO YOU USE INHALERS FOR THAT RES0022-076 OH GEEZ I HAVEN'T SEEN MY FAMILY DOCTOR IN AWHILE BECAUSE OF THE COVID STUFF BUT I HAVE AN INHALER THAT WAS PROBABLY LIKE BEFORE COVID THAT IT WAS PRESCRIBED AND THEN I RAN OUT AT SOME POINT AND I HAVEN'T GOT IT RENEWED RES0022-077 OK SO WHEN WAS THE LAST TIME YOU USED AN INHALER A A WEEK AGO A MONTH AGO RES0022-078 I PROBABLY RAN OUT LIKE TWO MONTHS AGO BUT I WASN'T USING IT EVERY DAY IT WAS LIKE ONE OF THOSE ONES FOR LIKE WHEN YOU NEED IT AND NOW NOW THIS WEEK I WISH I WOULD HAVE HAD IT RES0022-079 OK I SEE SO BEFORE LIKE TWO MONTHS AGO HOW OFTEN WOULD YOU SAY YOU WERE USING IT RES0022-080 OH MAYBE ONCE YOU'RE ONCE A WEEK RES0022-081 OK AND WHEN WHAT TYPES OF SITUATIONS WHERE YOU FINDING YOURSELF NEEDING TO USE IT MORE OFTEN OR RATHER WHERE THERE ANY KIND OF TRIGGERS TO THOSE EVENTS RES0022-082 LIKE IF I IF I SAY I TOOK MY DOG FOR A WALK AND THEY KIND OF GOT AWAY AND I HAD TO RUN A LITTLE LIKE RUN A LITTLE BIT USUALLY I WALK LIKE PRETTY FAST BUT IF I HAVE TO RUN THAT WOULD THAT WOULD MAKE IT WOULD MAKE ME HAVE TO USE IT RES0022-083 OK SO A LOT MORE EXERTION THAN WHAT YOU'RE ABLE TO DO NOW IT SOUNDS LIKE RES0022-084 LIKE HEAVIER EXERCISE RES0022-085 I SEE AND ANY OTHER MEDICATIONS LIKE PRESCRIBED OR OVER THE COUNTER THAT YOU TAKE RES0022-086 NO THAT WAS IT RES0022-087 ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE RES0022-088 I HAD MY APPENDIX OUT WHEN I WAS IN MY TWENTIES RES0022-089 OK AND ANY ALLERGIES RES0022-090 NO RES0022-091 OK AND HAVE YOU BEEN ANYBODY SORRY HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RECENTLY RES0022-092-1 WELL WE HAVEN'T REALLY SEEN ANYONE BECAUSE OF THE COVID STUFF SO IT'S JUST MY MY HUSBAND HAS SOMEONE LIKE HAS RES0022-092-2 A FRIEND THAT COMES OVER FOR THEM TO THE THEY WATCH LIKE THE SPORTS GAMES TOGETHER LIKE OUR FRIEND LIVES ALONE SO THAT'S REALLY THE ONLY PERSON THAT'S BEEN COMING INTO OUR HOUSE AND I DON'T RES0022-092-3 I DON'T KNOW THAT I DON'T THINK HE'S BEEN SICK BUT HE HE MIGHT HAVE BEEN AROUND PEOPLE THAT WERE SICK RES0022-093 OK I SEE SO HE HASN'T HAD ANY SYMPTOMS THOUGH RES0022-094 NOT THAT I KNOW OF WE HAVEN'T HEARD FROM HIM IN A FEW DAYS THOUGH RES0022-095 OK AND HOW WAS YOUR HUSBAND BEEN RES0022-096 OH HE'S BEEN WELL HE SAID HE LIKE HE HAD A BIT OF A SCRATCHY THROAT BUT I DON'T THINK HE'S HE HASN'T REALLY FELT SICK I DON'T THINK RES0022-097 OK AND DO YOU LIVE WITH ANYBODY ELSE OR IS IT JUST YOU AND YOUR HUSBAND RES0022-098 JUST THE TWO OF US AND OUR DOG RES0022-099 OK AND DO YOU SMOKE CIGARETTES RES0022-100 I'VE TRIED TO STOP BUT I I SMOKE LIKE A PACK A DAY RES0022-101 OK WE CAN TALK MAYBE ABOUT QUITTING IF YOU'RE INTERESTED LATER ON IN THE APPOINTMENT OR AT ANOTHER TIME AT A FOLLOW UP RES0022-102 SURE SURE RES0022-103 OK AND DO YOU DRINK ALCOHOL RES0022-104 LIKE MAYBE LIKE A GLASS OF WINE ON A FRIDAY RES0022-105 OK SO VERY IT SOUNDS OCCASIONALLY MAYBE A DRINK A WEEK RES0022-106 SOMETHING LIKE THAT RES0022-107 ALRIGHT AND DO YOU SMOKE MARIJUANA RES0022-108 NO RES0022-109 OK ALRIGHT HOW ABOUT THAT USE LIKE ANY LIKE EDIBLES OR ANYTHING LIKE THAT RES0022-110 NO NOTHING LIKE THAT RES0022-111 OK AND THEN HOW ABOUT ANY RECREATIONAL DRUGS RES0022-112 LIKE WHAT RES0022-113 LIKE THINGS LIKE COCAINE CRYSTAL METH ECSTASY RES0022-114 NO NO RES0022-115 I SEE OK AND IS ANYBODY IN YOUR FAMILY HAD ANY HEART CONDITIONS BEFORE RES0022-116 MY DAD HAD LIKE HIGH BLOOD PRESSURE RES0022-117 OK ANYBODY EVER HEARD ATTACK RES0022-118 NO NOT THAT I KNOW OF RES0022-119 OK AND ANYBODY IN THE FAMILY HAVE LUNG CONDITIONS IN THE PAST RES0022-120 NO RES0022-121 OK AT ANY CANCERS THAT RUN IN THE FAMILY RES0022-122 NO RES0022-123 ALRIGHT SO WAS THERE ANYTHING ELSE THAT YOU THINK I SHOULD KNOW TODAY THAT MAYBE I DIDN'T ASK ABOUT RES0022-124 I JUST FEEL TIRED I JUST FEEL LIKE REALLY TIRED RES0022-125 OK CERTAINLY THAT CAN BE PART OF A KIND OF WHAT HOW YOU'RE FEELING AND RIGHT NOW WITH THE SITUATION WITH THE PANDEMIC COVID NINETEEN IS DEFINITELY PNE THING THAT WILL BE TESTING FOR TODAY RES0022-126 DO YOU THINK I HAVE COVID RES0022-127-1 IT'S VERY POSSIBLE BECAUSE OF HOW GENERAL THE SYMPTOMS ARE FOR COVID AND SO IT'S SOMETHING THAT WE WANT TO TEST FOR THAT BEING SAID YOU COULD HAVE RES0022-127-2 ANOTHER VIRAL ILLNESS SUCH AS THE COMMON COLD LIKE ADENOVIRUS OR YOU COULD HAVE A BACTERIAL INFECTION THAT'S NOT RES0022-127-3 COVID REALLY RELATED AT ALL OR THIS COULD BE AN EXACERBATION OF YOUR COPD AND MAYBE RES0022-127-4 WE NEED WE NEED TO JUST TITRATE YOUR INHALER SO WE'LL NEED TO JUST RUN SOME LAB WORK AND DO THE PCR NASAL SWAB RES0022-127-5 AS PART OF THE WORK UP AN WE WILL SEE WHAT SOME OF THOSE INVESTIGATIONS SHOW RES0022-128 OH GEEZ OK RES0022-129 OK IT'S ALL IN THE MEANTIME YOU'LL NEED TO QUARANTINE FOR FOURTEEN DAYS AND IF THE RESULTS ARE POSITIVE WELL AFTER NOTE NOTIFIED PUBLIC HEALTH SO THAT THE APPROPRIATE CONTACT TRACING CAN BE MADE BUT WE'LL GET THE INVESTIGATION STARTED NOW RES0022-130 OK THANKS DOC RES0023-000 HOW ARE YOU DOING TODAY RES0023-001 I'M DOING OK I JUST HAD THIS COUGH THAT'S REALLY STARTED TO BUG ME RES0023-002 OK THANKS FOR COMING INTO THE EMERGENCY DEPARTMENT TODAY WE WILL REALLY TRY TO GET THIS SORTED OUT FOR YOU HOW LONG IS THIS COUGH BEEN GOING ON FOR RES0023-003 ABOUT FIVE DAYS FIVE DAYS RES0023-004 OK FIVE DAYS AND HAS ANYTHING ELSE COME ON DURING THAT TIME ARE YOU HAVING ANY OTHER SYMPTOMS RES0023-005 I'VE BEEN FEELING PRETTY PRETTY HOT AND JUST HAVEN'T BEEN REALLY FEELING VERY GOOD OVERALL I'VE BEEN JUST EXHAUSTED RES0023-006 OH IM SAD TO HEAR THAT HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE RES0023-007 MAYBE WHEN I WAS YOUNGER I DON'T KNOW WHEN I HAD THE FLU OR SOMETHING LIKE THAT RES0023-008 OK OK SO I'LL ASK YOU FEW MORE QUESTIONS ABOUT YOUR COUGH SO IT STARTED FIVE DAYS AGO HAS IT GOTTEN ANY WORSE OR BETTER SINCE THEN RES0023-009 IT'S BEEN GETTING WORSE FOR SURE IT'S LIKE GOING ALL ALL THROUGHOUT THE DAY AND IT'S BEEN EVEN INTERRUPTING SLEEP RES0023-010 OH GEEZ THAT'S TOO BAD DO YOU FIND THAT IT DOES IT FEEL REALLY DRY OR ARE YOU BRINGING UP LIKE GUNKY STUFF RES0023-011 IT IT'S REALLY DRY RES0023-012 OK AND HE IS THERE ANYTHING THAT SEEMS TO MAKE IT WORSE OR BETTER RES0023-013 NOT REALLY IT'S PRETTY CONSISTENT THROUGHOUT THE DAY RES0023-014 OK OK HAVE YOU HAD ANY CHEST PAIN RES0023-015 AFTER COUGHING IT CAN IT'S IT'S STARTING TO HURT IT DIDN'T AT FIRST BUT NOW THAT I'VE I THINK I'VE COUGHED SO MUCH IT'S STARTING TO FEEL PAIN THERE RES0023-016 OK WHAT WHAT PART SPECIFICALLY IN YOUR CHEST ARE YOU FEELING PAIN IN RES0023-017 ACTUALLY NOW THAT I THINK ABOUT OF IT IT'S MORE MORE IN MY THROAT ACTUALLY WITH THE COUGH I WOULD SAY WITH THE COUGH MORE OF THE THROAT RES0023-018 WOULD YOU SAY YOU HAVE YOU'VE HAD A SORE THROAT RES0023-019 I GUESS SO I WOULD LIKE NOW WITH THE COUGH THAT'S REALLY KIND OF WHAT I MEAN BY WHAT'S BEEN BUGGING ME RES0023-020 OK OK THANKS FOR SHARING THAT WITH ME AND ALONG WITH THIS HAVE YOU NOTICED ANY CHANGE IN YOUR SENSE OF SMELL OR TASTE RES0023-021 MY SMELL IS DEFINITELY BEEN OFF AHH WHICH IS KIND OF WEIRD MY TASTE HAS BEEN FINE THOUGH RES0023-022 OK OK AND WHEN DID THAT START RES0023-023 NOW THAT YOU SAY IT I MEAN WELL I GUESS THIS MORNING RES0023-024 OK HAVE YOU HAD ANY NAUSEA OR VOMITING RES0023-025 NO NOTHING LIKE THAT RES0023-026 OK AND YOU SAID YOU FELT REALLY HOT HAVE YOU TAKEN YOUR TEMPERATURE AT ALL RES0023-027 NO I HAVEN'T THAT'S WHY BUT I'VE BEEN FEELING PRETTY SWEATY SO THAT THAT'S WHERE I I FEEL LIKE I HAVE A FEVER SO I WANTED TO COME IN RES0023-028 OK OK HAVE YOU LOST ANY WEIGHT RECENTLY LIKE UNINTENTIONALLY RES0023-029 NO I'VE ACTUALLY PUT ON PROBABLY FIVE OR TEN POUNDS RES0023-030 OK OK HAVE YOU HAD FELT ANY ANY CHILLS OR SHAKES RES0023-031 NOTHING LIKE THAT RES0023-032 OK HAVE YOU HAD ANY NIGHT SWEATS RES0023-033 ACTUALLY LIKE LAST NIGHT MY SHIRT WAS WAS SOAKED THROUGH WHEN I WHEN I GOT UP RES0023-034 OH NO OK AND WAS THAT JUST LAST NIGHT RES0023-035 THAT WAS JUST LAST NIGHT RES0023-036 OK OK SO I'M JUST GOING TO ASK YOU SOME QUESTIONS OR SORRY FEW MORE QUESTIONS ON THIS AND THEN WE'LL MOVE ON TO JUST YOUR HEALTH IN GENERAL HAVE YOU TRAVELED ANYWHERE RECENTLY RES0023-037 NO I'VE BEEN BEEN WELL JUST GOING TO WORK AN AN HOME RES0023-038 OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT MIGHT BE SICK RES0023-039 IT'S WELL IT'S HARD TO SAY AT THE GROCERY STORE I GUESS I SEE A LOT OF CUSTOMERS THAT COME THROUGH BUT I GENERALLY THINGS ARE WIPED DOWN PRETTY FREQUENTLY SO RES0023-040 SO YOU WORK AT THE GROCERY STORE RES0023-041 OK AND DO YOU LIVE ALONE OR WITH FAMILY RES0023-042 ALRIGHT I LIVE WITH FAMILY I I LIVE WITH MY WIFE AND TWO CHILDREN RES0023-043 OH NICE DO THEY WORK OUT OF THE HOME HAVE THEY BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK RES0023-044 WELL THEY'RE IN HIGH SCHOOL AND THEY'VE ACTUALLY BEEN DOING A LOT OF THEIR COURSEWORK ON ONLINE SO I HAVEN'T REALLY BEEN AROUND TO ANY OTHER OTHER PEOPLE RES0023-045 AND YOUR WIFE RES0023-046 SHE'S BEEN SHE'S BEEN HOME AS WELL RES0023-047 OK SO IN TERMS YOUR OVERALL HEALTH DO YOU ARE THERE ANY CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY RES0023-048 SO I HAVE A HIGH BLOOD PRESSURE AND TYPE TWO DIABETES RES0023-049 OK RES0023-050 AND SO I I TAKE A RAMIPRIL AND METFORMIN RES0023-051 OK RAMIPRIL AND METFORMIN ANY OTHER MEDICATIONS RES0023-052 VITAMIN D RES0023-053 OK AND HAVE YOU EVER HAD ANY SURGERIES RES0023-054 I HAD MY GALLBLADDER TAKEN OUT ABOUT TEN YEARS AGO OR SO RES0023-055 OK OK SO DO YOU HAVE ANY ALLERGIES RES0023-056 AHH JUST TOO LIKE ENVIRONMENTAL STUFF LIKE POLLEN I THINK RES0023-057 OK OK SO NOT ANY ALLERGIES TO ANY MEDICATIONS RES0023-058 NO RES0023-059 OK OK DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS RES0023-060 I THINK MY BROTHER HAS ASTHMA AND I THINK MY MOM HAS ASTHMA TOO RES0023-061 OK OK AND IN TERMS OF YOUR LIFESTYLE THAT SOUNDS LIKE YOU LIVE WITH YOUR WIFE AND KIDS YOU WORK AT A GROCERY STORE ON A WEEKLY BASIS DO YOU DO YOU DRINK ALCOHOL RES0023-062 MAYBE I'LL HAVE LIKE THREE OR FOUR BEERS ON THE WEEKEND RES0023-063 OK SO THREE TO FOUR DRINKS PER WEEK RES0023-064 ABOUT THAT RES0023-065 DO YOU SMOKE RES0023-066 NO I DO NOT RES0023-067 DO YOU USE CANNABIS OR ANY OTHER SUBSTANCES RES0023-068 NO I DON'T USE ANYTHING LIKE THAT RES0023-069-1 OK OK WELL I THINK THAT JUST ABOUT COVERS THE THINGS THAT I WANTED TO ASK YOU TODAY SO BASED ON THE SYMPTOMS YOU'RE EXPERIENCING IT SOUNDS LIKE IT COULD BE SOME KIND OF INFECTIVE PROCESS LIKE MAYBE SOME KIND OF VIRAL INFECTION RES0023-069-2 BECAUSE OF THE COVID NINETEEN IS SOMETHING THAT WE'RE CONCERNED ABOUT PARTICULARLY THIS YEAR I'D REALLY LIKE TO GET A SWAB DONE ON YOU IT'S NOT NECESSARILY COVID BUT IT POTENTIALLY COULD BE SO WHAT WE'RE GOING TO HAVE TO ASK YOU TO DO IS TO SELF ISOLATE YOU AND YOUR FAMILY FOR FOURTEEN DAYS RES0023-069-3 AND HOPEFULLY WILL GET THE RESULTS BACK SHORTLY AND YOU'LL KNOW WHETHER YOUR COVID TEST IS POSITIVE OR NOT RES0023-071 DOES THAT SOUND LIKE A GOOD PLAN TO YOU RES0023-072 THAT SOUNDS GOOD RES0023-073 OK WELL THANKS FOR CHATTING WITH ME WE WILL GET THAT SWAB DONE RIGHT AWAY RES0023-074 THANK YOU RES0024-000 COULD YOU START BY TELLING ME WHAT BROUGHT YOU IN RES0024-001-1 SO LIKE I DON'T REALLY FEEL SICK I JUST I LOST I CAN'T I FOR THE PAST TWO DAYS I CAN'T SMELL ANYTHING I CAN'T TASTE ANY OF MY FOOD IT'S SUPER WEIRD I LIKE LIVE WITH MY BOYFRIEND AND RES0024-001-2 HE WAS LIKE HERE TAKE A BITE OF THIS ONION AND I LIKE BIT INTO IT AND I LITERALLY DIDN'T TASTE ANYTHING OTHERWISE LIKE I FEEL TOTALLY FINE I JUST HEARD THAT THIS HAPPENS SOMETIMES LIKE WITH COVID AND I'M JUST KIND OF WORRIED THAT I HAVE COVID RES0024-002-1 OK FOR SURE I WILL WE WILL DEFINITELY LOOK INTO THAT TODAY AND YOU ARE RIGHT IT IS A SYMPTOM THAT CAN OCCUR WITH WITH COVID RES0024-002-2 BUT WE WILL WANT TO MAKE SURE THAT IT ISN'T SOMETHING ELSE AND SO I WANTED TO JUST ASK YOU A FEW MORE QUESTIONS ABOUT HOW YOU'VE BEEN FEELING RES0024-002-3 SO YOU SAID YOU HAVEN'T FELT SICK SO HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS RES0024-003 I MEAN I MAY BE EVEN A BIT TIRED BUT REALLY OTHERWISE NO I GUESS MAYBE I FELT LIKE A LITTLE DRY BUT I HAVEN'T ACTUALLY BEEN COUGHING RES0024-004 OK SO NO COUGH HAVE YOU FELT A LIKE SHORT OF BREATH AT ALL RES0024-005 NO RES0024-006 OK AND HAVE YOU BROUGHT UP ANY LIKE SPUTUM OR ANY BLOOD RES0024-007 NO RES0024-008 OK AND HAVE YOU HAD ANY CHEST PAIN RES0024-009 NO RES0024-010 OK ANY FEELING LIKE YOUR HEART IS READY RACING RES0024-011 NO RES0024-012 ALRIGHT ANY NAUSEA OR VOMITING RES0024-013 NO RES0024-014 ANY DIARRHEA OR CONSTIPATION RES0024-015 NO RES0024-016 OK ANY CHANGES TO URINARY HABITS ANY PAINFUL URINATION OR NEEDING TO GO MORE OFTEN RES0024-017 NO RES0024-018 ALRIGHT AND HAVE YOU HAD ANY HEADACHES RES0024-019 NO RES0024-020 HOW ABOUT ANY FEVERS RES0024-021 I DON'T LIKE I DON'T HAVE A THERMOMETER I LIKE MAYBE FELT A LITTLE HOT BUT LIKE LIKE I DON'T REALLY KNOW RES0024-022 OK AND HAVE YOU HAD ANY CHILLS RES0024-023 NO RES0024-024 ALRIGHT OR HOW ABOUT ANY NIGHT SWEATS RES0024-025 NO RES0024-026 AND RECENTLY OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RES0024-027 NO RES0024-028 OK AND IN THE LAST SEVERAL DAYS HAVE YOU HAD A SORE THROAT RES0024-029 LIKE I SAID IT FELT LIKE DRY BUT I DON'T THINK IT'S BEEN SORE RES0024-030 OK AND HAVE YOU HAD A RUNNY NOSE RES0024-031 NO RES0024-032 OR FELT CONGESTED AT ALL RES0024-033 NO RES0024-034 OK AND THEN ANY EYE PAIN OR EAR PAIN RES0024-035 NO RES0024-036 OK AND THEN ANY RASHES ON YOUR SKIN RES0024-037 LIKE I HAVE ECZEMA BUT NOTHING NEW RES0024-038 OK AND IN REGARDS TO YOUR PAST HEALTH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'RE FOLLOWED FOR RES0024-039 LIKE THE ECZEMA LIKE I HAVE LIKE A PEANUT ALLERGY THAT'S IT RES0024-040 I SEE OK DO YOU HAVE AN EPIPEN RES0024-041 OK DO YOU KEEP THAT WITH YOU REGULARLY RES0024-042 ALWAYS RES0024-043 OK EXCELLENT AND DO YOU TAKE ANY OTHER MEDICATIONS OR RES0024-044 I TAKE BIRTH CONTROL AN LIKE SOMETIMES LIKE I HAD I HAD LIKE ECZEMA CREAM LIKE THE THE STEROID ONE FOR WHEN IT'S REALLY BAD RES0024-045 OK AND WHEN DID YOU START BIRTH CONTROL RES0024-046 MAYBE LIKE THREE YEARS RES0024-047 OK AND HOW OFTEN ARE YOU USING THE CREAM RES0024-048 IT'S KIND OF LIKE GOES IN LIKE FLARES SO LIKE THIS CAUSE IT'S WINTER I'VE BEEN USING IT LIKE MAYBE A COUPLE TIMES A WEEK RES0024-049 OK AND ANY ALLERGIES TO MEDICATIONS RES0024-050 NO RES0024-051 AND HAVE YOU HAD ANY SURGERIES IN THE PAST RES0024-052 NOPE RES0024-053 OK ANY REASON REASON FOR HOSPITALIZATION RES0024-054 NOPE RES0024-055 OK RES0024-056 SORRY I WENT TO THE EMERGENCY DEPARTMENT LIKE WHEN I HAD MY PEANUT LIKE THE FIRST TIME I REALIZED I WAS ALLERGIC TO PEANUTS BUT THAT WAS IT RES0024-057 OH DID YOU HAVE AN ANAPHYLACTIC REACTION RES0024-058 LIKE I WAS A KID SO I DON'T REALLY REMEMBER THAT MUCH BUT THAT'S WHEN THEY TOLD ME I WAS ALLERGIC RES0024-059 I SEE OK SO IMPORTANT TO HAVE THE EPIPEN THEN FOR SURE RES0024-060 AND SO YOU MENTIONED THAT YOU'RE LIVING WITH YOUR BOYFRIEND RES0024-061 OK ANYBODY ELSE RES0024-062 NO JUST US RES0024-063 OK AND AS YOUR BOYFRIEND BEEN SICK AT ALL RES0024-064 NO RES0024-065 OK AND AT LIKE HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK AT WORK OR SCHOOL RES0024-066 NO LIKE ALL MY CLASSES ARE ONLINE SO I DON'T REALLY SEE ANYONE BESIDES HIM RIGHT NOW LIKE WE DON'T EVEN OFFICIALLY LIKE TOGETHER HE'S JUST BEEN ESSENTIALLY STAYING AT MY APARTMENT CAUSE LIKE WE DON'T SEE ANYONE ELSE RES0024-067 OK AND DO YOU SMOKE CIGARETTES RES0024-068 NO RES0024-069 DO YOU SMOKE MARIJUANA RES0024-070 LIKE OCCASIONALLY WE WILL LIKE DO AN EDIBLE OR SOMETHING BUT I DON'T SMOKE IT RES0024-071 OK AND ANY OTHER RECREATIONAL DRUGS LIKE COCAINE MDMA RES0024-072 NO RES0024-073 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE RES0024-074 JUST LIKE WITH MY BOYFRIEND OK AND RES0024-075 ANY SEXUALLY TRANSMITTED INFECTIONS IN THE PAST RES0024-076 NO RES0024-077 OK AND THEN DO YOU DRINK ALCOHOL RES0024-078 LIKE MAYBE A COUPLE OF BEERS ON THE WEEKEND RES0024-079 OK AND IN YOUR FAMILY HAS ANYBODY EVER LOST THEIR SMELL BEFORE RES0024-080 I DON'T THINK SO RES0024-081 OK ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR A LUNG CONDITION RES0024-082 NO RES0024-083 ALRIGHT AND THEN I HAVE ANYBODY IN THE FAMILY HAD CANCER BEFORE RES0024-084 LIKE MY LIKE MY UNCLE HAD LIKE PROSTATE CANCER RES0024-085 OK DO YOU KNOW BREAST CANCER OVARIAN CANCER RES0024-086 NO RES0024-087 OK SO THAT THAT WAS ALL I WANTED TO ASK ABOUT ON THE HISTORY TODAY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT RES0024-088 I DON'T KNOW THAT'S IT RES0024-089-1 SO WITH THE SYMPTOMS OF LOSING YOUR SMELL OVER THE LAST DAY OR SO WE WILL CERTAINLY LOOK INTO WHETHER OR NOT THIS IS CAUSED BY COVID AND SO RES0024-089-2 THAT WILL REQUIRE A NASAL SWAB TEST FOR THAT USUALLY THE RESULTS ARE COMING BACK NOW WITHIN FORTY EIGHT HOURS HOPEFULLY BUT STILL WILL BE REQUIRED TO SELF ISOLATE NOW FOR THE NEXT FOURTEEN DAYS RES0024-089-3 AFTER YOUR SYMPTOMS ARE GONE SO WE WILL LET YOU KNOW WHEN THE RESULTS COME BACK FROM THIS TEST THOUGH RES0024-090 OK OK GEEZ OK THANK YOU RES0024-091 ALRIGHT YOU'RE WELCOME RES0025-000 SO I HEAR YOU'VE BEEN HAVING SOME SOME NAUSEA VOMITING DIARRHEA CAN YOU TELL ME A LITTLE MORE ABOUT THAT RES0025-001 SO LIKE AROUND THREE OR FOUR DAYS AGO I STARTED TO GET REALLY NAUSEOUS AND SINCE THEN I'VE BEEN VOMITING EVERY FEW HOURS AND REALLY I DON'T KNOW JUST YESTERDAY STARTED TO STARTED TO HAVE SOME DIARRHEA AS WELL RES0025-002 OK SO THAT'S THREE OR FOUR DAYS AGO FOR THE NAUSEA AND VOMITING IS THAT CORRECT RES0025-003 THE NAUSEA START KIND OF STARTED THREE OR FOUR DAYS AGO AND THEN AFTER THAT THAT THE VOMITING CAME SO MAYBE THE VOMITING WAS MORE LIKE TWO DAYS AGO IT STARTED AND THEN DIARRHEA KIND OF THE LAST DAY RES0025-004 OK OK OK AND BEFORE THAT YOU WERE FEELING WELL RES0025-005 WELL I WAS FEELING MAYBE LIKE A LITTLE TIRED FOR A DAY OR TWO BEFORE BUT I DON'T KNOW SOMETIMES YOU JUST FEEL LIKE THAT SO I DIDN'T REALLY THINK MUCH OF IT BUT RES0025-006 SURE OK AND SINCE IT STARTED HAVE I KNOW THESE ALL KIND OF STARTED AT DIFFERENT TIMES BUT HAS HAVE YOUR SYMPTOMS GOTTEN WORSE OVERTIME RES0025-007 THEY THEY THEY'VE GOTTEN WORSE AT FIRST THEY WERE KINDA REALLY SPREAD IT LIKE FAR ENOUGH APART THAT I WOULD THOUGHT IT WAS JUST GOING TO GO AWAY ON ITS OWN AND THEN IT IT HASN'T SO HAS ME CONCERNED RES0025-008 OK I'M JUST GOING TO ASK YOU A FEW MORE QUESTIONS ABOUT THE VOMITING HAVE YOU NOTICED ANY BLOOD IN YOUR VOMIT RES0025-009 NO IT'S BEEN KIND OF YELLOWISH RES0025-010 OK AND JUST IF YOU NOTICE LIKE A LIKE A REALLY BRIGHT KIND OF YELLOW GREEN SUBSTANCE IN YOUR VOMIT RES0025-011 NOT REALLY BRIGHT BUT I MEAN MAYBE MORE LIKE DARK GREEN OR NOTHING BRIGHT RES0025-012 OK AND YOU SAID NOW IT'S IT'S HAPPENING EVERY COUPLE HOURS FOR YOU RES0025-013 EVERY FEW EVERY FEW HOURS IT'S BEEN IT SEEMS TO BE WHAT I'M LIKE LIKE AFTER EATING IT IS JUST MAKING ME MAKING ME NAUSEOUS RES0025-014 OK OK SO HAVE YOU BEEN ABLE TO EAT ANYTHING WHEN'S THE LAST TIME YOU ACTUALLY HAD SOMETHING TO EAT RES0025-015 YESTERDAY I DID I HAD SOME SOUP AND WAS ABLE TO TO KEEP MOST OF IT DOWN BUT BUT IT'S BEEN MOSTLY LIQUID'S I'VE BEEN DRINKING RES0025-016 OK RES0025-017 MY APPETITE REALLY HASN'T BEEN THERE RES0025-018 OK IN TERMS OF DIARRHEA SO THAT STARTED A COUPLE DAYS AGO IF YOU ONLY HAD DIARRHEA SINCE THEN OR HAVE YOU HAD LIKE ANY FORM STOOLS RES0025-019 NO IT'S IT IT WAS STARTED MORE LIKE YESTERDAY AND IT'S REALLY ONLY BEEN DIARRHEA SINCE SO LIKE TWICE LAST NIGHT AND THEN LIKE THREE TO THREE TIMES THIS MORNING RES0025-020 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE RES0025-021 NO I HAVEN'T BEEN SICK LIKE THIS BEFORE RES0025-022 OK HAVE YOU TRAVELED ANYWHERE RECENTLY RES0025-023 I JUST GOT BACK FROM A TRIP IN THE US WAS THERE FOR WORK RES0025-024 OK AND HOW DID YOU TRAVEL THERE RES0025-025 I I TRAVELED BY A TRAIN RES0025-026 OK AND HOW LONG WERE YOU THERE FOR AND WHEN DID YOU GET BACK RES0025-027 I WAS THERE FOR ONE NIGHT AND GOT BACK FIVE DAYS AGO RES0025-028 OK OK FIVE DAYS AGO AND WHEN YOU WERE THERE WERE YOU IN CONTACT WITH ANYONE RES0025-029 I WELL I STAYED IN A HOTEL SO I I GUESS THAT THE PEOPLE THAT THE PEOPLE THAT WERE STAYING AT THE HOTEL RES0025-030 OK HAVE YOU BEEN IN CONTACT WITH ANYONE SINCE COMING BACK THAT'S BEEN SICK RES0025-031 NO I I I HAVEN'T BEEN IN CONTACT WITH ANYBODY ANYBODY WHO'S BEEN SICK RES0025-032 OK IN ADDITION TO THE SYMPTOMS THAT YOU'RE DESCRIBING TO ME HAVE YOU HAD ANY FEVERS RES0025-033 I'VE I STARTED TO FEEL HOT THIS MORNING RES0025-034 OK HAVE YOU HAD ANY CHILLS RES0025-035 NOTHING LIKE THAT RES0025-036 ANY SHAKES RES0025-037 NO RES0025-038 K NIGHT SWEATS RES0025-039 NO NIGHT SWEATS RES0025-040 HAVE YOU HAD ANY COUGH RES0025-041 NO I HAVEN'T REALLY HAD A COUGH BY MY THROAT'S FELT A LITTLE LIKE SCRATCHY THOUGH RES0025-042 OK SCRATCHY THROAT OK HAVE YOU HAD ANY SORE THROAT RES0025-043 NO I WOULDN'T REALLY SAY IT'S SORE BUT I MEAN WE JUST KINDA LIKE LIKE ITCHY RES0025-044 OK OK HAVE YOU NOTICED ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE RES0025-045 NO I HAVEN'T NOTICED ANY CHANGES TO THOSE RES0025-046 OK AND YOU LIVE DO YOU LIVE ALONE OR WITH FAMILY RES0025-047 I I LIVE WITH FAMILY I LIVE WITH MY WIFE AND TWO CHILDREN RES0025-048 OK THERE HOW ARE THEY FEELING RIGHT NOW RES0025-049 THEY WERE THEY'VE BEEN FEELING RES0025-050 FINE OK OK SO JUST IN TERMS OF YOUR GENERAL HEALTH ARE THERE ANY CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY RES0025-051 I HAVE ANXIETY AND BACK PAIN SO I DO GET SOME HYDROMORPHONE FOR FOR THAT RES0025-052 OK RES0025-053 FOR THE BACK PAIN ANYWAY RES0025-054 OK AND WHAT MEDICATIONS DO YOU TAKE BESIDES THE HYDROMORPHONE RES0025-055 ESCITALOPRAM RES0025-056 OK RES0025-057 AND THAT WE'VE BEEN WORKING ON TRYING ON DECREASING THE HYDROMORPHONE NOW OVER THE LAST YEAR SO IT'S A WORK IN PROGRESS THOUGH RES0025-058 OK AND HAVE YOU EVER HAD ANY SURGERIES RES0025-059 ON MY ON MY BACK I WAS IN AN ACCIDENT A FEW YEARS BACK SO WELL THAT'S WHERE THE PAIN IS FROM RES0025-060 OK SAD TO HEAR THAT DO YOU HAVE ANY ALLERGIES RES0025-061 TO PENICILLIN I HAD A HIVES WHEN I WAS A KID RES0025-062 OK OK LET ME SEE SO IN TERMS OF YOUR FAMILY HISTORY DO YOU HAVE ANY FAMILY HISTORY OF YOUR DIGESTIVE SYSTEM PROBLEMS OR RESPIRATORY PROBLEMS RES0025-063 NO ONE IN MY FAMILIES HAD ANY PROBLEMS WITH THEIR STOMACH OR I HAVEN'T HEARD OF ANY LIKE COLON CANCER I MEAN MY MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS LATE SIXTIES BUT THAT'S KIND OF THE ONLY THING THAT I CAN THINK HAPPENED IN MY FAMILY IN TERMS OF HEALTH RES0025-064 OK AND IT SOUNDS SO IT SOUNDS LIKE YOU LIVE AT HOME WITH YOUR FAMILY DO YOU WHAT DO YOU DO FOR WORK RES0025-065 I I WORK FOR A TECH COMPANY SO I WAS GOING DOWN TO MEET A POTENTIAL BUYER FOR ONE OF OUR PRODUCTS RES0025-066 OK OK AND JUST IN TERMS OF YOUR LIFESTYLE DO YOU DRINK ALCOHOL RES0025-067 I WILL HAVE WINE MAYBE ONE OR TWO GLASSES ON ON THE WEEKEND RES0025-068 OK DO YOU SMOKE CIGARETTES RES0025-069 NO BUT I I USED TO I I QUIT ABOUT SEVEN YEARS AGO SO I QUIT ABOUT SEVEN YEARS AGO RES0025-070 OK SO DO YOU USE ANY OTHER SUBSTANCES LIKE CANNABIS RES0025-071 I WILL HAVE A JOINT EVERY ONCE IN AWHILE IF I WITH FRIENDS BUT THAT'S BEEN IT'S BEEN AWHILE CAUSE OF THE PANDEMIC HAVEN'T REALLY BEEN HANGING OUT WITH ANYBODY RES0025-072-1 SURE OK I THINK THAT'S ALL THE QUESTIONS THAT I HAD FOR YOU TODAY SO IT SOUNDS LIKE THERE'S PROBABLY SOME KIND OF INFECTION GOING ON WHAT IT IS EXACTLY IT'S HARD TO SAY RES0025-072-2 THERE ARE SOME CASES OF COVID NINETEEN THAT THAT ARE MORE LIKE GI SYMPTOMS THEN RES0025-072-3 THAN SIMPLY RESPIRATORY SYMPTOMS SO I THINK WE SHOULD PROBABLY GIVE YOU A COVID SWAB AND THEN WE ASK THAT YOU AND EVERYONE IN YOUR HOUSE SELF ISOLATES FOR A FEW DAYS UNTIL YOU'VE GOT IT IN A NEGATIVE RESULT AND IN A FEW DAYS WITHOUT SYMPTOMS RES0025-073 OK THAT SOUNDS GOOD RES0025-074-1 SO WE'LL GET THAT STARTED FOR YOU AND OTHERWISE REALLY WE WANT TO KNOW IF IT'S COVID IS JUST FOR INFECTION CONTROL PURPOSES BUT I THINK THAT ESSENTIALLY YOU SHOULD BE DRINKING LOTS OF FLUIDS AND GETTING A LOT OF REST RES0025-074-2 AND IT'S SOMETHING THAT LIKELY SHOULD GO AWAY ON ITS OWN I MEAN IF THINGS START TO BECOME A LOT WORSE AND YOU GET REALLY DEHYDRATED AND YOU HAVE FEVERS THAT YOU CAN'T CONTROL WITH TYLENOL RES0025-074-3 THEN PLEASE COME BACK TO THE EMERGENCY DEPARTMENT BUT I THINK IN GENERAL IT WILL JUST BE KIND OF SUPPORTIVE TREATMENTS FOR WHAT YOU'RE EXPERIENCING RES0025-075 OK THAT SOUNDS GOOD I'LL GET SOME GATORADE ON THE WAY HOME RES0025-076 PERFECT ACTUALLY DON'T GO INTO THE STORE HAVE SOMEONE ELSE GET IT FOR YOU BUT RES0025-077 OK WILL DO RES0025-078 THANK YOU HAVE A GOOD HAVE A GOOD DAY THANKS FOR CHATTING WITH ME RES0025-079 THANK YOU RES0026-000 I WAS WONDERING IF WE COULD START WITH YOU TELLING US WHAT BROUGHT YOU IN RES0026-001 SURE I'VE HAD THIS TERRIBLE HEADACHE FOR THE PAST FOUR DAYS DOESN'T SEEM TO BE GETTING ANY BETTER AND I FEEL HOT LIKE I HAVE A FEVER I'VE BEEN COUGHING A LOT SO I AM I'M WORRIED I HAVE COVID SO I'M HERE RES0026-002 OK SO I'LL START WITH THE HEADACHES WHEN DID WHEN DID THAT EXACTLY STARTED RES0026-003 THE HEADACHE STARTED OK SO THE COUGHING STARTED FOUR DAYS AGO THE HEADACHE STARTED SHORTLY AFTER SO I WOULD SAY LATER ON DURING THAT DAY AND THEN THE FEVER I'VE HAD FOR FEVER I THINK I'VE HAD FOR THE PAST TWO DAYS I HAVEN'T ACTUALLY TAKEN MY TEMPERATURE THOUGH RES0026-004 OK SO THE COUGH IS STARTED FOUR DAYS AGO HAS THE COUGH GOTTEN BETTER WORSE OR STAYED THE SAME RES0026-005 THE COUGH HAS STAYED THE SAME RES0026-006 OK ARE YOU BRINGING UP ANY PHLEGM OR SPUTUM WITH THE COUGH RES0026-007 IT'S NOT REALLY PHLEGM BUT SOMETIMES I COUGH UP LIKE BITS OF LIKE YOU KNOW LITTLE BITS THAT LOOK LIKE BLOOD OR SOMETHING RES0026-008 OK SO YOU'RE SEEING SOME LIKE RED WHEN WHEN YOU'RE COUGHING UP RES0026-009 OK AND HOW MUCH OF THIS ARE YOU SEEING LIKE IS IT RES0026-010 LIKE A TEASPOON AMOUNT OR OR MORE OH IT'S IT'S VERY LITTLE IT'S LIKE MAYBE A LITTLE BIT BIGGER THAN RES0026-011 LIKE THE TIP OF A PENCIL OH OK ARE YOU OK ARE YOU SEEING THIS ON LIKE KIND OF TISSUES AFTERWARDS SORT OF THING RES0026-012 OK AND ANY TRIGGERS FOR THE COUGH YOU CAN THINK OF RES0026-013 NO IT JUST SEEMS TO BE THERE ALL DAY DOESN'T REALLY GET BETTER WITH ME TRYING TO REST OR NOT RES0026-014 OK AND IS THE COUGH THERE AT NIGHT TIME TOO RES0026-015 YES IT IS DEFINITELY THERE AT NIGHT RES0026-016 OK IS IT INTERFERING WITH SLEEP RES0026-017 YES I HAVEN'T BEEN SLEEPING WELL RES0026-018 OK AND WITH YOUR COUGH HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING RES0026-020 NO ALRIGHT RES0026-021 AND HOW ABOUT ANY WHEEZING RES0026-022 NO WHEEZING OK AND WITH THIS HEADACHE WHEN IT FIRST CAME ON DID YOU EXPERIENCE A LIKE WORST HEADACHE OF RES0026-023 YOUR LIFE OR A THUNDER CLAP SENSATION NO IT'S IT'S NOT RES0026-024 THAT BAD BUT IT JUST SEEMS TO BE THERE RES0026-025 ALL DAY LONG OK HAVE YOU HAD HEADACHES RES0026-026 LIKE THIS BEFORE NO I'VE NEVER GOTTEN HEADACHES IN THE PAST OK RES0026-028 IS THE HEADACHE ASSOCIATED WITH ANY NAUSEA OR VOMITING NO OK AND RES0026-030 IS THE HEADACHE WORSE IN THE MORNING WHEN YOU FIRST WAKE UP RES0026-031 NO RES0026-032 OK AND DOES IT HAVE TO GET WORSE IF YOU LIE FLAT NO OK AND HAS THIS HEAD RES0026-033 BEEN GETTING WORSE STAYING RES0026-034 THE SAME GETTING BETTER IT'S IT'S ABOUT THE SAME OK RES0026-036 AND AND YOU HAVEN'T CHECKED THE TEMPERATURE YET RES0026-037 SAID BUT YOU FELT HOT RES0026-038 YES THAT'S RIGHT OK ANY OTHER SYMPTOMS THAT YOU'VE BEEN EXPERIENCING NOT THAT I CAN THINK OF OK THERE'S JUST A FEW OTHERS THAT I WANTED TO ASK ABOUT TO BE COMPREHENSIVE HAVE YOU HAD ANY RES0026-040 EYE PAIN OR EAR PAIN RES0026-041 NO HOW ABOUT ANY DISCHARGE RES0026-042 FROM EITHER YOUR EYES OR EARS NO NOTHING LIKE THAT ALRIGHT HAVE YOU HAD ANY CHANGES TO EITHER YOUR SENSE OF SMELL OR YOUR SENSE OF TASTE RES0026-043 NO RES0026-044 ALRIGHT AND HAVE YOU HAD A RUNNY NOSE AT ALL RES0026-046 NO AND HOW ABOUT A SORE THROAT RES0026-048 NO OK AND RES0026-049 HAVE YOU HAD ANY RES0026-050 CHILLS NO CHILLS RES0026-051 HOW ABOUT RES0026-052 NIGHT SWEATS NO NOTHING LIKE THAT I SEE OK AND RES0026-053 OVER THE LAST FEW MONTHS HAS YOUR WEIGHT RES0026-054 CHANGED NO NOT THAT I NOTICED OK RES0026-056 HAVE YOU BEEN FEELING TIRED OR FATIGUED RES0026-058 OK AND HAVE YOU HAD ANY CHEST RES0026-060 NO ALRIGHT AND HOW ABOUT ANY HEART PALPITATIONS RES0026-062 ALRIGHT IN ANY EPISODES OF FEELING REALLY DIZZY OR LIGHTHEADED RES0026-064 AND HOW ABOUT ANY FAINTING SPELLS OR FEELING RES0026-065 LIKE YOU MIGHT FAINT RES0026-066 NO NOTHING LIKE THAT OK AND RES0026-068 HAVE YOU HAD ANY ABDOMINAL PAIN NO NO ABDOMINAL PAIN ANY DIARRHEA OR CONSTIPATION RES0026-069 NO HOW ABOUT ANY PAINFUL RES0026-070 URINATION OR FEELING AS THOUGH YOU NEED TO URINATE REALLY FREQUENTLY RES0026-072 NOTHING LIKE THAT OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANY RES0026-073 THING LIKE THAT NO OK AND HOW ABOUT ANY MUSCLE ACHES OR RES0026-074 JOINT ACHES OR JUST OVERALL LIKE BODY PAINS NO NOT THAT I THAT RES0026-075 NOT NOT THAT I'VE NOTICED NO OK IS THERE ANYTHING IN REGARDS TO YOUR PAST HEALTH THAT YOU SEE A PHYSICIAN REGULARLY FOR NO ACTUALLY I I THINK AT ONE POINT I WAS RES0026-076 WORKED UP FOR SOMETHING CALLED FAMILIAL HYPERCHOLESTEROLEMIA BECAUSE IT RAN IN THE RES0026-077 FAMILY BUT I THINK THOSE RESULTS WERE NORMAL RES0026-078 OK SO DO YOU DO YOU TAKE A RES0026-079 STATIN MEDICATION THEN RES0026-080 I TAKE A I TAKE A LOW DOSE STATIN OK AND WHEN WAS YOUR LAST RES0026-081 LIPID PANEL CHECKED I THINK IT WAS TWO YEARS AGO I SEE AND RES0026-082-1 DO YOU REMEMBER IF THE LDL WAS NORMAL AT THAT TIME RES0026-082-2 YES IT WAS NORMAL RES0026-082-3 OK BUT SINCE THE IT WAS ABOUT TWO YEARS AGO IT MIGHT BE WORTHWHILE TODAY JUST TO ALSO CHECK A LIPID PANEL JUST TO BE SAFE BUT THAT'LL RES0026-084 ABOUT THAT MORE SO AT THE END IF THAT'S OK RES0026-086 THAT WOULD BE GREAT OK AND RES0026-088 ANY OTHER MEDICAL CONDITIONS RES0026-089 NO OK HAVE YOU HAD ANY SURGERIES BEFORE RES0026-090 OK AND HOW MANY CHILDREN DO YOU HAVE JUST RES0026-091 ONE OK AND RES0026-092 WERE THERE ANY COMPLICATIONS WITH THE C SECTION RES0026-094 COMPLICATIONS OK ANY REASONS FOR HOSPITALIZATIONS RES0026-096 OK ANY ALLERGIES TO MEDICATIONS NO ALRIGHT ANY MEDICATIONS BESIDES THE STATIN THAT YOU TAKE RES0026-097 NOPE RES0026-098 OK AND IN REGARDS TO YOUR FAMILY HISTORY HAVE THERE BEEN PEOPLE WHO'VE HAD EARLY HEART ATTACKS OR OR STROKES IN THE FAMILY RES0026-099 NO RES0026-100 OK BUT YOU DO HAVE FAMILIAL HYPERCHOLESTEROLEMIA DO YOU HAVE FAMILY MEMBERS WHO HAVE THAT RES0026-101 YES OK SO MY AUNTS HAD IT AS WELL AS MY MOTHER RES0026-102 OK AND HAS THERE BEEN ANY LUNG CONDITIONS THAT RUN IN THE FAMILY RES0026-103 NO LUNG CONDITIONS RES0026-104 HOW ABOUT ANY MALIGNANCY'S OR OR CANCERS RES0026-105 THERE WAS COLON CANCER ON MY DAD SIDE OF THE FAMILY BUT I'M NOT TOO SURE WHO HAD IT RES0026-106 OK HAVE YOU HEARD OF ANYBODY HAVING BREAST CANCER RES0026-107 BREAST CANCER NO RES0026-108 ALRIGHT AND HOW ABOUT OVARIAN CANCER RES0026-109 NO OVARIAN CANCER RES0026-110 OK AND NEXT I ACTUALLY WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PERSONAL AND LIFESTYLE HABITS BUT FIRST COULD YOU JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW RES0026-111 I LIVE WITH MY HUSBAND AND MY ONE SON RES0026-112 OK AND SORRY HOW OLD IS RES0026-113 YOUR SON RES0026-114 HE IS TEN OK IS ANY RES0026-116 IN THE HOME BEEN SICK RECENTLY RES0026-117 NO OK AND RES0026-118 HOW ABOUT IS THERE ANYBODY AT WORK AT WORK RES0026-119-1 NO NO ONE'S BEEN SICK RES0026-119-2 OK HAVE YOU TRAVELED ANYWHERE RECENTLY RES0026-119-3 WE WENT UP TO WE JUST WENT TO LIKE A WE WENT ON A HIKING TRAIL THAT WAS OUTSIDE THE CITY RES0026-119-4 RECENTLY AND THERE WERE A LOT OF PEOPLE THERE AND AND WE WEREN'T WEARING MASKS BUT WE IT SEEMED LIKE WE WERE KEEPING A GOOD DISTANCE BETWEEN EACH OTHER SO THAT RES0026-120 THAT WOULD BE MY ONLY CONCERN OK FOR SURE WERE PEOPLE PRETTY CLOSE TO EACH OTHER ON THE PATHS RES0026-121 WHEN WALKING BY ON THE HIKE AHH NOT LIKE THE WHOLE TIME BUT THERE WOULD BE TIMES WHEN YOU KNOW PEOPLE JUST KIND OF BRUSHED BY YOU TO TRY TO GET AHEAD OF YOU OR SOMETHING LIKE THAT RES0026-122 I SEE OK AND DO YOU RES0026-124 CIGARETTES NO RES0026-126 DO YOU SMOKE MARIJUANA NO RES0026-128 OK AND DO YOU DRINK ALCOHOL I DONT'T DO YOU USE ANY OTHER RECREATIONAL RES0026-130 DRUGS NO OK SO THAT WAS ALL I WANTED TO ASK ABOUT OH ACTUALLY ONE THING THAT I I DID WANT TO RES0026-131 I FORGOT TO ASK WAS RES0026-132 DO YOU HAVE ANY NECK STIFFNESS NO NOT THAT I NOTICED OK SO THAT WAS THE LAST QUESTION THAT I WANTED TO ASK ABOUT RES0026-133 WAS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I I MAYBE FORGOT NO I THINK YOU COVERED IT ALL I'M JUST RES0026-134-1 WONDERING DO YOU DO YOU THINK IT'S COVID OR SOMETHING ELSE RES0026-134-2 WELL IT'S DEFINITELY A POSSIBILITY WITH THE SYMPTOMS THAT YOU'RE HAVING SINCE THEY CAN BE SO NON SPECIFIC FOR COVID IT CAN BE A LOT OF SYMPTOMS THAT OVERLAP RES0026-134-3 SO WITH HAVING HEADACHE WHAT SOUNDS LIKE YOU MIGHT HAVE A FEVER AND AND THIS COUGH THAT SOUNDS LIKE IT'S PRETTY BAD IF YOU'RE BRINGING UP SOME BLOOD IT SOUNDS LIKE YOU MIGHT HAVE IRRITATED RES0026-134-4 SOME OF THE BRONCHIOLES WITH THE THE COUGHING SO WE WILL TEST FOR THAT AND CHECK A PCR NASAL SWAB FOR COVID RES0026-134-5 I'M NOT BUT WE WILL ALSO TEST FOR OTHER VIRAL ILLNESSES AND BACTERIAL ILLNESSES AS WELL IT DOESN'T SOUND LIKE YOU HAVE RES0026-134-6 MENINGITIS RIGHT NOW JUST BASED ON THE SYMPTOMS WHERE YOU DON'T HAVE NECK STIFFNESS BUT IT'LL BE CERTAINLY SOMETHING THAT WE KEEP KEEP IN MIND WHILE WE ARE DOING OUR INVESTIGATIONS RES0026-135 OK GREAT THANK YOU RES0026-136 ALRIGHT YOU'RE WELCOME WE'LL GET THOSE STARTED RES0026-137 OK SOUNDS GREAT RES0027-000 I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN RES0027-001 SURE I'VE BEEN COUGHING FOR THE PAST THREE DAYS AND IT I CAN'T SEEM TO STOP IT'S AFFECTING MY SLEEP SO I JUST REALLY LIKE TO GET THIS FIXED RES0027-002 OK IS THE COUGH WITH THE COUGH HAVE YOU BEEN BRINGING UP ANY SPUTUM RES0027-003 NO IT'S IT'S DRY IT'S VERY DRY RES0027-004 OK HAVE YOU BROUGHT UP ANY BLOOD RES0027-005 NO NO BLOOD RES0027-006 OK AND THE COUGH STARTED THREE DAYS AGO HAS IT GOTTEN WORSE GOTTEN BETTER STAYED THE SAME RES0027-007 YOU KNOW IT SEEMS TO BE GETTING WORSE AND NOW I EVEN FEEL HOT LIKE I HAVE A FEVER OR SOMETHING RES0027-008 I SEE IS THERE ANY TRIGGERS ASSOCIATED WITH THE COUGH LIKE GOING OUTSIDE INTO THE COLD SMOKE INHALATION OR OR DUST OR PETS RES0027-009 NO NOT THAT I NOTICED RES0027-010 OK HAVE YOU TRIED ANYTHING TO YOU HELP WITH THE COUGH RES0027-011 I TRIED OVER THE COUNTER COUGH SYRUP BUT IT'S IT'S NOT HELPING RES0027-012 OK AND YOU MENTIONED THE COUGHS INTERRUPTING YOUR SLEEP HAS IS THE COUGH CONSTANT ALL DAY OR ARE THERE PARTICULAR TIMES OF THE DAY THAT IT'S WORSE RES0027-013 IT'S JUST ALL DAY RES0027-014 LET'S SEE OK AND YOU MENTIONED THAT YOU STARTED TO FEEL HOT WHEN WHEN DID YOU NOTICE THAT RES0027-015 THAT WAS JUST TODAY RES0027-016 JUST TODAY HAVE YOU TAKEN YOUR TEMPERATURE RES0027-017 NO I HAVEN'T RES0027-018 OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS RES0027-019 I'VE BEEN REALLY TIRED BUT I DON'T KNOW IF THAT'S BECAUSE I CAN'T GET ANY SEEM TO GET ANY SLEEP RES0027-020 WELL BECAUSE THE COUGHS BEEN KEEPING YOU UP OK SO HAVE YOU HAD ANY HEADACHES RES0027-021 MAYBE A SLIGHT HEADACHE BUT ALSO I'M NOT TOO SURE IF THAT'S BECAUSE I'VE BEEN COUGHING AND IT'S PUTTING STRAIN ON MY HEAD RES0027-022 OK HOW ABOUT ANY DISCHARGE LIKE MUCUS OR TEARS FROM YOUR EYES OR EARS RES0027-023 NO NOTHING LIKE THAT RES0027-024 OK HOW ABOUT ANY PAIN AROUND YOUR EYES OR EARS RES0027-025 NO RES0027-026 OK HAVE YOU HAD A RUNNY NOSE RES0027-027 NO NO RES0027-028 ALRIGHT AND WITHIN THE LAST MONTH OR SO HAVE YOU HAD ANY COLD LIKE SYMPTOMS WITH A RUNNY NOSE HEADACHE SORE THROAT AND OR A COUGH RES0027-029 NO RES0027-030 OK SO IT'S JUST BEEN THESE LAST FEW DAYS RES0027-031 YES RES0027-032 ALRIGHT AND DO YOU HAVE A SORE THROAT NOW RES0027-033 NO RES0027-034 OK AND AND HOW IS YOUR APPETITE BEEN RES0027-035 MY APPETITE'S BEEN OK I ALSO IT'S JUST HARD TO EAT BECAUSE I'M COUGHING SO MUCH RES0027-036 OK HAVE YOU HAD ANY TROUBLES WITH SWALLOWING LIKE BEING PAINFUL RES0027-037 NO WELL NO NO I WOULD SAY NO RES0027-038 OK AN IN THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS RES0027-039 NO WEIGHT LOSS RES0027-040 ALRIGHT AND HAVE YOU HAD ANY CHILLS RES0027-041 MAYBE A LITTLE BIT LAST NIGHT NOW THAT I THINK ABOUT IT RES0027-042 OK AND HOW ABOUT ANY NIGHT SWEATS RES0027-043 A LITTLE BIT LAST NIGHT RES0027-044 OK SO YOU WERE A BIT CHILLY AND AND THEN SWEATY LATE LAST NIGHT RES0027-045 YES A LITTLE BIT RES0027-046 OK AND FEELING HOT TODAY RES0027-047 HAVE YOU HAD ANY CHEST PAIN RES0027-048 NO NO CHEST PAIN NO RES0027-049 ALRIGHT AND HOW ABOUT SHORTNESS OF BREATH RES0027-050 NO RES0027-051 ALRIGHT ANY WHEEZING RES0027-052 NO RES0027-053 ALRIGHT AND HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOUR HEART WAS RACING OR BEATING OUT OF YOUR CHEST RES0027-054 NO RES0027-055 ALRIGHT AND ANY INSTANCES WHERE YOU FELT LIKE YOU WERE GONNA FAINT OR MAYBE BLACKOUT RES0027-056 NO RES0027-057 OK AND HAVE YOU FELT DIZZY AT ALL RES0027-058 NO NO DIZZINESS RES0027-059 ALRIGHT AND HAVE YOU HAD ANY LOSS OR OF YOUR SENSE OF TASTE OR LOSS OF YOUR SENSE OF SMELL RES0027-060 NO RES0027-061 OK AND HAVE YOU HAD ANY DIARRHEA RES0027-062 NO DIARRHEA RES0027-063 ALRIGHT AND THEN HOW ABOUT ANY NAUSEA OR VOMITING RES0027-064 NO RES0027-065 OK AND SO YOU HAVE BEEN FATIGUED HAVE YOU HAD ANY MUSCLE ACHES OR OR BODY ACHES RES0027-066 A LITTLE BIT OF BOTH YEAH RES0027-067 I SEE OK AND HAVE YOU HAD ANY PAINFUL URINATION OR FEELING THE NEED TO URINATE FREQUENTLY RES0027-068 NO RES0027-069 OK AND ANY SKIN RASHES OR OR SKIN CHANGES RES0027-070 NO RES0027-071 ALRIGHT IN REGARDS TO YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE RES0027-072 I HAVE HYPOTHYROIDISM RES0027-073 I SEE OK AND ARE YOU TAKING ANY MEDICATIONS FOR THAT RES0027-074 I'M ON SYNTHROID RES0027-075 OK GREAT WHEN WAS YOUR LAST TSH CHECKED RES0027-076 I BELIEVE I DID IT SIX MONTHS AGO RES0027-077 OK AND WERE THERE ANY CONCERNS WITH THE RANGE AT THAT TIME RES0027-078 NO I THINK IT WAS NORMAL RES0027-079 ALRIGHT EXCELLENT DO YOU TAKE ANY OTHER MEDICATIONS OR OVER THE COUNTER RES0027-080 I I TAKE THIS MULTI VITAMIN I CAN'T REMEMBER THE NAME OF IT BUT IT'S JUST SOMETHING THAT I TAKE EVERY DAY RES0027-081 OK ANY ANY ALLERGIES TO MEDICATIONS RES0027-082 NO RES0027-083 ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE RES0027-084 I HAD MY APPENDIX REMOVED WHEN I WAS A TEENAGER RES0027-085 OK AND ANY COMPLICATIONS WITH THAT SURGERY RES0027-086 NO RES0027-087 ALRIGHT SO NEXT I WAS WONDERING IF YOU COULD JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RES0027-088 SURE I LIVE WITH MY HUSBAND AND TWO CHILDREN WHO ARE BOTH TEENAGERS I WE LIVE IN A IN A TOWNHOUSE AND WE MOVED RECENTLY RES0027-089 OK AND ANYBODY IN THE HOME BEEN SICK RES0027-090 MY HUSBAND HAS BEEN THROWING UP FOR THE PAST TWO DAYS AND I THINK HE WAS FEELING A LITTLE HOT TOO RES0027-091 OK HAS HE BEEN ASSESSED BY A PHYSICIAN RES0027-092 NO I TRIED TO BRING HIM TODAY BUT HE REFUSED RES0027-093 I SEE OK AND HAS HE BEEN AROUND ANYBODY WHO'S BEEN SICK THAT YOU'RE AWARE OF LIKE AT WORK OR ANYTHING RES0027-094 HE WORKS AT THIS IT COMPANY THERE AREN'T A LOT OF THEM AND THEY ALL HAVE THEIR OWN CUBICLES SO YOU KNOW MAYBE IN THE LUNCH ROOM OR SOMETHING BUT OTHER THAN THAT I DON'T THINK SO RES0027-095 OK AND HOW ABOUT YOURSELF ANY OTHER EXPOSURES OR SICK CONTACTS OR MAYBE AT WORK OR SOMETHING LIKE THAT RES0027-096 SO I DO MARKETING STUFF ONLINE BUT I I WORK FROM HOME RES0027-097 OK AND YOUR KIDS HAVE BEEN WELL RES0027-098 OH THEY'VE BEEN THEY'VE BEEN HEALTHY RES0027-099 ALRIGHT AND DO YOU SMOKE CIGARETTES RES0027-100 NO RES0027-101 AND DO YOU DRINK ALCOHOL RES0027-102 I'LL HAVE A GLASS OF WINE WITH DINNER ONCE IN AWHILE RES0027-103 OK DO YOU AND WHAT'S ONCE IN AWHILE RES0027-104 MAYBE EVERY THREE OR FOUR DAYS RES0027-105 OK SO A COUPLE OF DRINKS PER WEEK RES0027-106 ALRIGHT AND DO YOU SMOKE MARIJUANA RES0027-107 I HAVE HAVE SMOKED MARIJUANA I DON'T REGULARLY DO IT RES0027-108 NO OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS RES0027-109 NO RES0027-110 OK AND HAS ANYBODY IN THE FAMILY HAD A LUNG CONDITION OR OR A HEART CONDITION BEFORE RES0027-111 MY SISTER WHO'S FIFTEEN YEARS OLDER THAN I AM SHE HAD A HEART ATTACK QUITE RECENTLY RES0027-112 OH I'M SORRY TO HEAR THAT DO YOU KNOW WHAT HAPPENED RES0027-113 YOU KNOW I'M NOT TOO SURE SHE DOESN'T ALWAYS EAT THE HEALTHIEST AND SHE DOESN'T DO A LOT OF EXERCISE SO I THINK MAYBE THAT HAD SOMETHING TO DO WITH IT RES0027-114 OK AND DID YOUR PARENTS HAVE ANY HEART PROBLEMS RES0027-115 NO THEY WERE BOTH HEALTHY AND THEY PASSED AWAY A FEW YEARS AGO BUT THEY DIED OF OLD AGE I GUESS YOU CAN SAY RES0027-116 OK ANY CANCERS IN THE FAMILY RES0027-117 NO RES0027-118 ALRIGHT SO I THINK THAT'S ALL I WANTED TO COVER ON THE HISTORY TODAY WAS THERE ANYTHING THAT YOU WANTED TO TELL ME I MAYBE DIDN'T ASK RES0027-119 NO I WAS JUST CURIOUS IF YOU THINK I HAD COVID RES0027-120-1 CERTAINLY ONE OF THE TOP THINGS THAT I'M CONSIDERING AFTER HEARING ABOUT YOUR SYMPTOMS OF HAVING THIS COUGH AND FEVER AND BEING TIRED THESE LAST FEW DAYS RES0027-120-2 ESPECIALLY WITH YOUR HUSBAND BEING SICK WITH NAUSEA VOMITING AND NOT FEELING WELL THAT BEING SAID IT COULD BE ANOTHER TYPE OF VIRAL ILLNESS OR POSSIBLY RES0027-120-3 A BACTERIAL INFECTION BUT CERTAINLY WE WILL ORDER SOME INVESTIGATIONS SOME BLOOD WORK A PCR NASAL SWAB THAT WILL ACTUALLY RES0027-120-4 TEST FOR COVID AS WELL AS A CHEST X RAY TO START WITH AND WE WILL WAIT FOR SOME OF THOSE RESULTS TO COME BACK RES0027-121 OK YEAH THAT SOUNDS GOOD RES0027-122 ALRIGHT SO WE'LL GET THAT STARTED RES0027-123 OK THANK YOU RES0031-000 I WAS WONDERING IF WE COULD START BY YOU TELLING ME WHAT BROUGHT YOU IN TODAY RES0031-001 SO I JUST CAME IN TODAY BECAUSE I'VE BEEN HAVING A SORE THROAT RES0031-002 OK COULD YOU TELL ME SPECIFICALLY WHERE YOU'RE FEELING THE PAIN RES0031-003 I WOULD SAY IT'S MOSTLY AT THE BACK OF MY THROAT RES0031-004 OK AND HOW LONG HAS THIS BEEN GOING ON FOR RES0031-005 I THINK IT STARTED LAST NIGHT RES0031-006 OK AND HOW WOULD YOU DESCRIBE THE PAIN IS SHARP BURNING STINGING DULL RES0031-007 I WOULD DESCRIBE IT AS LIKE A BURNING PAIN RES0031-008 OK AND HAS ANYTHING HAS THE PAIN BEEN GETTING ANY BETTER ANY WORSE RES0031-009 I THINK IT'S GETTING WORSE SINCE LAST NIGHT RES0031-010 OK AND ANY PRIOR EPISODES LIKE THIS WHERE YOU HAD SIMILAR SYMPTOMS RES0031-011 NOTHING NOTHING RECENTLY THAT I CAN RECALL NO RES0031-012 OK ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE RES0031-013 I THINK IT'S JUST STAYING AT THE BACK OF MY THROAT RES0031-014 OK AND CAN YOU THINK OF ANYTHING THAT TRIGGERED THE THE SORE THROAT THAT YOU DID JUST PRIOR TO THE SYMPTOMS COMING ON RES0031-015 NO NOT THAT I CAN THINK OF I HAVEN'T REALLY CHANGED WHAT I DRINK OR WHAT I EAT NOTHING REALLY CHANGED RES0031-016 OK AND ANYTHING THAT'S BEEN MAKING THE PAIN WORSE RES0031-017 I WOULD SAY WHEN I ESPECIALLY WHEN I'M EATING WHEN I'M SWALLOWING IT HURTS A LOT BUT THAT'S ABOUT IT RES0031-018 OK ANYTHING THAT MAKES IT BETTER RES0031-019 I I THINK WHEN I DRINK LIKE COLDER LIQUIDS OR ICE CREAM IT JUST SOOTHES HE PAIN A LITTLE BIT RES0031-020 OK ANY OTHER SYMPTOMS THAT YOU BEEN EXPERIENCING RES0031-021 SO I I DO FIND THAT LIKE MY MOM TOLD ME THAT I HAVE MY VOICE IS KIND OF ROUGH AND LIKE JUST A LITTLE BIT HOARSE BUT OTHER THAN THAT BESIDES THE SWALLOWING NOTHING ELSE REALLY I'M STILL ABLE TO SWALLOW LIQUIDS BUT IT'S JUST THE SOLIDS THAT CAUSES SOME PAIN RES0031-022 OK HAVE YOU HAD ANYTHING TO EAT TODAY OR WHEN WAS THE LAST TIME YOU HAD ANYTHING TO EAT RES0031-023 I THINK I DID HAVE LUNCH TODAY I WASN'T ABLE TO EAT TOO TOO MUCH JUST BECAUSE OF THE PAIN BUT JUST A COUPLE HOURS AGO I HAD I DID HAVE A LUNCH RES0031-024 OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE YOURSELF RES0031-025 SORRY WHAT WAS THAT RES0031-026 HAVE YOU NOTICED ANY CHANGES TO YOUR LIKE DO YOU THINK YOUR VOICE SOUNDS DIFFERENT TOO RES0031-027 I DEFINITELY THINK LIKE WHEN I WOKE UP THIS MORNING MY VOICE WAS DEFINITELY MORE LIKE HOARSE AND MORE LIKE RASPY ALMOST BUT I WOULD SAY MY VOICE HAS CHANGED RES0031-028 OK AND HAVE YOU BEEN HAVING ANY FEVERS OR OR CHILLS RES0031-029 I DEFINITELY FELT A BIT CHILLY YESTERDAY IN THE MORNING I I DIDN'T TAKE ANY TEMPERATURES I THINK YOU GUYS DID TAKE A TEMPERATURE WHEN I CAME IN TODAY I I DON'T KNOW WHAT IT WAS RES0031-030 OK YOU DID HAVE A FEVER TODAY WHEN COMING IN RES0031-031 OK RES0031-032 OK HAVE YOU HAD ANY HEADACHES RES0031-033 NO NO HEADACHES RES0031-034 OK HOW ABOUT ANY NAUSEA OR VOMITING RES0031-035 SOMETIMES I FEEL LIKE WITH THE PAIN AND I THINK THERE'S A LOT OF JUST SWELLING BACK BACK IN MY THROAT THAT WHEN I TALK TOO MUCH I ALMOST FEEL LIKE I'M ABOUT TO GAG BUT I HAVEN'T REALLY THROWN UP AT ALL THOUGH RES0031-036 OK BUT YOU DO FEEL LIKE YOUR THROAT IS SWOLLEN RES0031-037 ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING ANY FATIGUE RES0031-038 I WOULD SAY DEFINITELY THE LAST FEW DAYS ESPECIALLY YESTERDAY I JUST FELT EXHAUSTED DIDN'T REALLY WANT TO DO ANYTHING RES0031-039 OK NOTICE ANY SKIN RASHES OR OR CHANGES RES0031-040 NO NO SKIN SKIN RASHES RES0031-041 OK AND HAVE YOU HAD A COUGH RES0031-042 NO I HAVEN'T HAD ANY COFFEE RES0031-043 HOW ABOUT ANY DIFFICULTY BREATHING OR SHORTNESS OF BREATH RES0031-044 NO I THINK MY BREATHING HAS BEEN FINE RES0031-045 OK AND HOW IS YOUR APPETITE RES0031-046 OVER THE LAST FEW DAYS ESPECIALLY TODAY I JUST FEEL LIKE WITH THE PAIN I DON'T REALLY FEEL LIKE EATING AT ALL RES0031-047 OK AND ANY RECENT CHANGES TO YOUR WEIGHT RES0031-048 NO I I I WEIGH AROUND ONE HUNDRED AND FIFTY AND THAT HASN'T REALLY CHANGED AT ALL RES0031-049 ALRIGHT AND HAVE YOU HAD ANY INFECTIONS RECENTLY RES0031-050 I THINK A COUPLE OF WEEKS AGO I I DID HAVE A I WOULD SAY LIKE A BIT OF A RUNNY NOSE MAYBE A LITTLE BIT OF SORENESS OF MY THROAT BUT IT JUST WENT AWAY BY ITSELF RES0031-051 OK SO YOU DIDN'T HAVE ANY TREATMENT FOR THAT RES0031-052 NO I DIDN'T HAVE ANY MEDICATIONS OR ANYTHING I DIDN'T EVEN GO TO THE DOCTOR THEN RES0031-053 OK AND HAVE YOU NOTICED ANY LUMPS IN YOUR IN YOUR NECK OR UNDER YOUR CHIN RES0031-054 NO NOT THAT I KNOW I HAVEN'T REALLY CHECKED BUT I HAVEN'T NOTICED ANYTHING LIKE REMARKABLE RES0031-055 OK ANY CHANGES TO THE SMELL OF YOUR BREATH RES0031-056 I I DON'T KNOW ABOUT A SMELL BUT I DO FEEL LIKE I HAVE LIKE THIS GROSS TASTE IN MY MOUTH MAYBE I DON'T KNOW I THINK IT MIGHT SMELL A LITTLE BIT BUT I DEFINITELY HAVE THAT REALLY GROSS TASTE RES0031-057 OK AND DO YOU HAVE ANY ABDOMINAL PAIN RES0031-058 I DO FEEL THAT LIKE MY STOMACH IS A BIT SORE ESPECIALLY TODAY BUT NOTHING I'M TOO WORRIED ABOUT RES0031-059 OK AND HAVE YOU BEEN DIAGNOSED OR TREATED FOR ANY MEDICAL CONDITIONS IN THE PAST RES0031-060 NO I'VE BEEN FORTUNATE I'M COMPLETELY HEALTHY RES0031-061 ANY ALLERGIES RES0031-062 NO ALLERGIES RES0031-063 ANY MEDICATIONS RES0031-064 NO RES0031-065 ANY HOSPITALIZATIONS RES0031-066 NOPE NEVER RES0031-067 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RES0031-068 SO JUST A COUPLE OF WEEKS AGO AROUND THE TIME WHEN I HAD SOME COLD SYMPTOMS MY GIRLFRIEND ALSO HAD A SORE THROAT AND IT LASTED FOR AROUND A WEEK SO I WOULD SAY JUST MY GIRLFRIEND RES0031-069 OK DOES YOUR GIRLFRIEND HAVE A SORE THROAT NOW RES0031-070 NO IT IT STARTED I THINK AROUND TWO WEEKS AGO AND IT STOPPED LAST WEEK RES0031-071 OK ANY SURGERIES BEFORE RES0031-072 NO NO SURGERIES RES0031-073 ALRIGHT IN THE FAMILY ANY HISTORY OF CANCER OR CANCER EARLY CARDIOVASCULAR DISEASE OR CHRONIC DISEASES RES0031-074 I DON'T KNOW ABOUT THE REST BUT I I MY DAD DOES HAVE TYPE TWO DIABETES BUT NO CANCERS OR NO LIKE HEART ATTACKS OR ANYTHING LIKE THAT RES0031-075 OK AND RIGHT NOW HOW ARE YOU SUPPORTING YOURSELF FINANCIALLY RES0031-076 SO I AM CURRENTLY NOT WORKING I'M GOING TO COLLEGE RIGHT NOW MAJORING IN THE ARTS RIGHT NOW I'M LIVING IN DORM I'VE BEEN FORTUNATE MY PARENTS SUPPORT ME FINANCIALLY SO I'M CURRENTLY NOT WORKING JUST A STUDENT RES0031-077 I SEE OK AND DO YOU DRINK ALCOHOL RES0031-078 JUST JUST ON THE WEEKENDS WHEN THERE'S A LIKE GET TOGETHERS AND PARTIES BUT THROUGHOUT THE WEEK I I DON'T DRINK ANYTHING RES0031-079 OK AND DO YOU SMOKE CIGARETTES RES0031-080 NO I'VE NEVER TRIED CIGARETTES RES0031-081 OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA RES0031-082 NO NO I TRY TO STAY AWAY FROM ALL DRUGS BECAUSE I I'M ALSO AN ATHLETE SO I NEED TO MAKE SURE THAT MY BODY IS COMPLETELY HEALTHY RES0031-083 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE RES0031-084 YES RES0031-085 OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS RES0031-086 SO I JUST HAVE ONE PARTNER FOR THE LAST COUPLE MONTHS MY GIRLFRIEND BEFORE THAT THROUGHOUT THE YEAR I THINK I'VE HAD TWO OTHER PARTNERS BUT CURRENTLY RIGHT NOW JUST MY GIRLFRIEND RES0031-087 OK AND MEN OR WOMEN OR BOTH RES0031-088 OH NO I'M I'M STRAIGHT LIKE I I'VE ONLY BEEN WITH WOMEN RES0031-089 OK AND HOW MANY PARTNERS HAVE HAVE YOU BEEN WITH OVER THE LAST SIX MONTHS OR THE LAST YEAR RES0031-090 I WOULD SAY FOR MY GIRLFRIEND TWO OTHER GIRLS SO THREE IN TOTAL IN THE LAST YEAR RES0031-091 OK AND DO YOU USE A CONDOM RES0031-092 I I ALWAYS TRY TO USE A CONDOM LIKE THE LAST THING MY PARENTS WOULD PROBABLY KICK ME OUT IF I EVER GOT A GIRL PREGNANT SO I ALWAYS ALWAYS USE A CONDOM RES0031-093 OK RES0032-000 WHAT BRINGS YOU IN HERE TODAY RES0032-001 I'VE HAD THIS COUGH AND IT'S JUST NOT GOING AWAY RES0032-002 OK AND HOW LONG HAVE YOU BEEN HAVING THIS COUGH FOR RES0032-003 I THINK IT STARTED ABOUT A MONTH AGO RES0032-004 OK AND IS IT A DRY COUGH OR IS IT A WET COUGH RES0032-005 I I'M BRINGING UP SOME PHLEGM IF THAT'S WHAT YOU MEAN RES0032-006 SO YOU'RE BRINGING UP PHLEGM WHEN YOU COUGH RES0032-007 AND IS IT WHAT COLOR IS IT RES0032-008 I IT LOOKS PRETTY DARK AND AND SOMETIMES RED RES0032-009 OK SO DO YOU THINK THERE'S BLOOD IN YOUR PHLEGM RES0032-010 THE DARK IT DOES KIND OF LOOK LIKE BLOOD SO THAT'S WHAT SCARED ME AND WANTED ME TO COME IN TODAY RES0032-011 OK AND HOW MUCH PHLEGM WOULD YOU SAY YOU'RE PUTTING OUT LIKE PER EVERY TIME YOU COUGH RES0032-012 I'D SAY EVERY TIME I COUGH I'M BRINGING UP AT LEAST A TEASPOON OF OF THE DARK SPUTUM RES0032-013 OK AND SO THIS STARTED FOUR WEEKS AGO IT HAS IT BEEN A CONSTANT LIKE YOU'VE BEEN CONSTANTLY COUGHING OR DOES IT COME AND GO RES0032-014 I IT IT'S THERE PRETTY MUCH ALL THE TIME BUT ESPECIALLY BAD IN THE MORNING RES0032-015 OK AND DO YOU REMEMBER IF ANYTHING CHANGED OR YOU DID SOMETHING DIFFERENTLY OR ANYTHING THAT HAPPENED BEFORE YOU STARTED HAVING THIS COUGH RES0032-016 I HAD A COLD A FEW WEEKS BACK BUT IT WAS JUST A RUNNY NOSE AND IT SEEMS THAT THE COUGH HAS BEEN KIND OF LINGERING AROUND RES0032-017 OK AND DO YOU FIND THAT IT'S BEEN GETTING WORSE AT ALL RES0032-018 THE COUGH HAS BEEN GETTING WORSE RES0032-019 AND HAVE YOU HAD ANY PREVIOUS EPISODES OF THIS RES0032-020 I I'VE HAD A SMOKERS COUGH NOW FOR SEVERAL FOR SEVERAL YEARS BUT IT'S REALLY JUST THIS PAST MONTH THAT THAT IT'S GOTTEN REALLY BAD AND I HAVE IT ALL DAY LONG RES0032-021 OK AND ARE YOU COUGHING EVERY DAY OR EVERY OTHER DAY LIKE HOW OFTEN WOULD YOU SAY YOU'RE COUGHING RES0032-022 DAILY RES0032-023 DAILY OK IS THERE ANYTHING THAT MAKES YOUR COUGH GO AWAY OR GET WORSE RES0032-024 NOTHING THAT SEEMS TO REALLY MAKE IT ANY WORSE OR BETTER RES0032-025 OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR RUNNY NOSE SORE THROAT ANYTHING LIKE THAT RES0032-026 NOTHING I CAN THINK OF JUST JUST THIS COUGH THAT'S BEEN BUGGING ME RES0032-027 OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY RES0032-028 YES I'VE BEEN WORKING IN THE PHILIPPINES FOR THE LAST THREE YEARS RES0032-029 AND HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS OR NIGHT SWEATS RES0032-030 I FELT LIKE A LITTLE BIT HOT I MIGHT HAVE A FEVER NOW SO YES NO CHILLS THOUGH RES0032-031 HOW ABOUT NIGHT SWEATS RES0032-032 I HAVE BEEN SWEATING MORE AT NIGHT TOO I HAVE TO GET UP AND CHANGE MY PAJAMAS SOMETIMES RES0032-033 OK AND HOW OFTEN HAS THIS BEEN HAPPENING RES0032-034 I'M CHANGING MY PAJAMAS AND IT'S SOMETIMES THE SHEETS MAYBE A COUPLE OF TIMES PER WEEK RES0032-035 OK AND HAVE YOU BEEN FEELING MORE MORE TIRED MORE FATIGUED AT ALL RECENTLY RES0032-036 MY ENERGY HAS JUST BEEN REALLY DOWN I'VE BEEN REALLY FATIGUED RES0032-037 AND DO YOU FIND THAT YOU EVER HAVE ANY CHEST PAIN OR SHORTNESS OF BREATH RES0032-038 I SOMETIMES I DO HAVE SOME PAIN OVER ON THE RIGHT SIDE OF MY CHEST RES0032-039 IS THIS PAIN WHAT KIND OF PAIN IS IT RES0032-040 I'D SAY IT'S KIND OF LIKE A IT'S A STABBING KIND OF PAIN AND I ONLY REALLY NOTICE IT WHEN I TAKE A DEEP BREATH RES0032-041 OK AND HOW ABOUT SHORTNESS OF BREATH HAVE YOU BEEN EXPERIENCING ANYTHING LIKE THAT RES0032-042 I ONLY REALLY GET SHORT OF BREATH WHEN I'M GOING FOR A HIKE OR UP TO MY FOURTH FLOOR APARTMENT RES0032-043 ANY CHANGES IN YOUR SKIN THAT YOU'VE NOTICED LIKE ANY RASHES AT ALL RES0032-044 NO RASHES RES0032-045 AND HOW ABOUT YOUR SLEEP HAVE YOU BEEN GETTING ENOUGH SLEEP ON A DAILY BASIS RES0032-046 JUST THE SWEATING AT NIGHT HAS BEEN ANNOYING BECAUSE IT WAKES ME UP SOMETIMES BUT OTHER THAN THAT SLEEP HAS BEEN OK RES0032-047 OK AND HOW ABOUT YOUR APPETITE RES0032-048 I FEEL LIKE I'VE BEEN EATING OK REGULAR DIET RES0032-049 AND HAVE YOU HAD ANY SIGNIFICANT WEIGHT CHANGES RECENTLY RES0032-050 I'M DOWN LIKE FIFTEEN POUNDS OVER THE LAST FEW MONTHS AND I HAVEN'T REALLY MADE ANY CHANGES TO MY DIET OR EXERCISE SO I HAVEN'T REALLY BEEN TRYING RES0032-051 OK ANY RECENT INFECTIONS AT ALL RES0032-052 JUST THE COLD THAT I WAS TALKING ABOUT IT A FEW WEEKS AGO AND THAT'S WHERE THE RUNNY NOSE KINDA WENT AWAY RES0032-053 OK AND HAVE YOU AT ALL EITHER HERE OR WHEN YOU WERE WORKING IN THE PHILIPPINES HAVE BEEN EXPOSED TO SOMEONE WITH TUBERCULOSIS RES0032-054 I BELIEVE SOME OF THE PEOPLE I WAS HELPING OVER THERE DID IN FACT HAVE TUBERCULOSIS RES0032-055 OK AND HAVE YOU HAD A TB SKIN TEST DONE AT ALL RES0032-056 I'VE HAD ONE IN THE PAST BUT I CAN'T REALLY REMEMBER THE LAST TIME AND IT WAS NORMAL THOUGH WHEN WHEN I HAD IT A FEW YEARS AGO RES0032-057 OK BUT NOTHING SINCE YOU'VE BEEN BACK AT ALL RES0032-058 NO THE LAST TEST MUST BE AT LEAST A FEW YEARS AGO RES0032-059 OK AND IN TERMS OF JUST IN YOUR ENVIRONMENT AT WORK AND AT HOME ARE YOU EXPOSED TO ANY MOLD OR ANY PETS RES0032-060 NO PETS AT HOME AND I DON'T THINK THERE'S ANY MOLD IN THE HOME EITHER RES0032-061 DO YOU NOTICE ANY KIND OF TINGLING OR NUMBNESS IN YOUR LIMBS OR ANY MUSCULAR WEAKNESS RES0032-062 I I I MEAN I'M REALLY TIRED ALL THE TIME AND KIND OF FEEL WEAK THAT WAY BUT NO MUSCULAR WEAKNESS RES0032-063 AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING ELSE RES0032-064 JUST A CHRONIC BRONCHITIS WITH A SMOKERS COUGH RES0032-065 OK AND DO YOU TAKE ANY MEDICATIONS RES0032-066 I TAKE A BETA AGONIST INHALER AN INHALED CORTICOSTEROID AND ANOTHER TYPE OF ANTI MUSCARINIC INHALER RES0032-067 OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS RES0032-068 NO ALLERGIES RES0032-069 ANY ALLERGIES AT ALL TO ANY ENVIRONMENTAL EXPOSURES RES0032-070 I DON'T THINK SO NO RES0032-071 ANY HOSPITALIZATION IN THE PAST RES0032-072 NO RES0032-073 AND ANY SURGERIES IN THE PAST RES0032-074 NO SURGERIES RES0032-075 AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO IS ILL I KNOW YOU MENTIONED IN THE PHILIPPINES YOU WERE EXPOSED TO SOME PEOPLE WITH TB BUT ANYTHING SINCE THEN RES0032-076 NOT THAT I CAN THINK EVERYBODY'S BEEN HEALTHY RES0032-077 OK AND AND IN YOUR FAMILY HAS THERE BEEN ANY HISTORY OF ANY CANCERS OR HEART ATTACKS ANY ANY MEDICAL CONDITIONS RES0032-078 NO HEART ATTACKS BUT MY FATHER DIED OF LUNG CANCER WHEN HE WAS SIXTY SEVEN RES0032-079 AND CURRENTLY DO YOU LIVE IN AN APARTMENT BUILDING IS THERE ANYONE YOU LIVE WITH RES0032-080 I LIVE WITH MY GIRLFRIEND IN AN APARTMENT RES0032-081 OK AND DO YOU WORK CURRENTLY RES0032-082 I'VE BEEN DOING SOME HOUSING WORK IN THE PHILIPPINES THE LAST SEVEN SEVERAL YEARS RES0032-083 OK AND DO YOU CURRENTLY DRINK RES0032-084 NO I DON'T DRINK ALCOHOL RES0032-085 ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0032-086 NO RES0032-087 ANY AND YOU SMOKE CIGARETTES AT ALL RES0032-088 YES I I DO SMOKE CIGARETTES I I'VE SMOKED MOST OF MY LIFE SIMILAR TO MY MY FATHER PROBABLY ONE TO TWO PACKS PER DAY RES0033-000 I'VE BEEN HAVING ISSUES WITH JUST A COUGH THAT'S JUST BEEN CONSTANTLY LIKE BOTHERING ME FOR THE PAST FEW BIT RES0033-001 OK WHEN DID THIS WHAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH ITSELF ANY ANY SPUTUM RES0033-002 SO IT IT DOES HAVE SOME LIKE DARK YELLOW GREENISH MUCUS MATERIAL EVERY TIME I COUGH THAT'S NOT DOESN'T ALWAYS HAPPEN BUT IT'S BEEN WORSE LIKE THAT KEEPS HAPPENING OVER THE LAST FEW DAYS RES0033-003 OK AND ANY BLOOD IN THE SPUTUM RES0033-004 NO RES0033-005 OK AND HOW MUCH HAVE YOU BEEN BRINGING UP WOULD YOU SAY RES0033-006 I WOULD SAY EVERY TIME I BRING IT UP IT'S AROUND LIKE ONE TEASPOON USUALLY ONE TEASPOON IN THE DAY RES0033-007 OK AND WHEN DID THIS COUGH START RES0033-008 SO I THINK IT STARTED AROUND LIKE I WOULD SAY SIX MONTHS AGO AND IT'S KIND OF JUST COMING IT JUST KEEPS COMING AND GOING HERE AND THERE BUT IT'S RECENTLY JUST STARTING TO GET VERY IRRITATING RES0033-009 OK AND ANY TRIGGERS OR PRECIPITATING EVENTS FOR FOR THE COUGH RES0033-010 SO LIKE SIX MONTHS AGO I REMEMBER I WAS IN JUST IN PHYS ED AND WE WERE JUST DOING SOME LAPS AND THAT'S WHEN I JUST REALLY STARTED COUGHING AND NOTHING ELSE WAS REALLY GOING ON I JUST FEEL LIKE WHEN I STARTED RUNNING SOMETIMES I START TO COUGH RES0033-011 OK AND HAS THE COUGH BEEN GETTING WORSE OR STAYING THE SAME GETTING BETTER RES0033-012 I THINK IT WAS PRETTY IT WAS PRETTY MUCH THE SAME OVER THE LAST FEW MONTHS BUT THEN OVER THE LAST WEEK I WOULD SAY JUST GOT REALLY BAD AND OVER THE LAST FEW DAYS IT'S JUST BEEN GETTING WORSE AND WORSE RES0033-013 OK SO IT'S BEEN THE COUGH HAS BEEN HAPPENING ON AND OFF UP UNTIL FOUR DAYS AGO IT RES0033-014 SOUNDS LIKE IS THE COUGH HAPPENING DAILY NOW OH I WOULD SAY LIKE I'M COUGHING ESPECIALLY THE LAST FEW DAYS COUGHING RES0033-015 SEVERAL TIMES A DAY IT'S PRETTY RANDOM BUT LIKE I WOULD SAY THROUGHOUT THE DAY RES0033-016 OK ANYTHING YOU'VE TRIED TO MAKE THE OFFER BETTER I MEAN REALLY RES0033-017 I I DIDN'T REALLY KNOW WHAT TO TRY SO NO I HAVEN'T TRIED ANYTHING OK AND RES0033-018-1 ANYTHING YOU'VE NOTICED THAT THAT SO I GUESS ANYTHING YOU NOTICE THAT MAKES IT WORSE RES0033-018-2 SO JUST LIKE WHEN I'M DOING MORE ACTIVITIES ESPECIALLY RUNNING I FIND I JUST GET LIKE THESE COUGHING FITS AND IT JUST GETS WORSE WHEN I'M RUNNING RES0033-018-3 IT'S PRETTY ANNOYING BECAUSE EVEN SOMETIMES WHEN I'M JUST IN CLASS I JUST START COUGHING RANDOMLY BUT I WOULD SAY IT'S THE WORST WHEN I'M DOING ACTIVITIES RES0033-019 OK SO EXERCISING BRINGS OUT THE COUGH ANY OTHER SYMPTOMS YOU'VE BEEN EXPERIENCING BESIDES THE COUGH RES0033-020 THE ONLY THING THAT SOMETIMES LIKE I PANIC SOMETIMES WHEN WHEN I HAVE LIKE A REALLY BAD COUGHING FIT ESPECIALLY IN GYM CLASS IT ALMOST FEELS LIKE I CAN'T BREATHE AND THAT'S WHEN I GET REALLY SCARED RES0033-021 OK HAVE YOU BEEN HAVING ANY RES0033-022 NAUSEA OR VOMITING RES0033-023 OH NO NO NAUSEA OR VOMITING OK RES0033-024 HOW ABOUT ANY HEADACHES RES0033-025 NO NO HEADACHES RES0033-026 OK AND HAVE YOU HAD A FEVER I THINK I FELT LIKE A LITTLE BIT WARMER IN THE PAST FEW DAYS BUT I DIDN'T I DIDN'T REALLY CHECK RES0033-027 OK AND HAVE YOU HAD ANY CHILLS RES0033-028 I DON'T RES0033-029 THINK SO NO OK AND HAVE YOU TRAVELED ANY RES0033-030 WHERE RECENTLY NO NOTHING I'M RES0033-031 I'VE BEEN HOME RES0033-034 NIGHT SWEATS NO RES0033-035 OK HAVE YOU HAD ANY RACING OF RES0033-036 YOUR HEART NO NOTHING LIKE THAT OK RES0033-037 AND HAVE YOU HAD ANY SYMPTOMS RES0033-038 OF FATIGUE NO I I THINK MY ENERGY LEVELS ARE FINE OK DO YOU HAVE ANY CHEST PAIN SOMETIMES WHEN I COUGH LIKE WHEN IT'S REALLY BAD I SOMETIMES FEEL LIKE I GET SOME PAIN IN MY CHEST WHEN I'M COUGHING BUT THAT'S RES0033-039 ONLY BEEN THE CASE FOR THE LAST RES0033-040 FEW FEW DAYS I WOULD SAY OK ANY URINARY RES0033-041 PROBLEMS NO RES0033-043 I'VE BEEN PEEING ALRIGHT NO ISSUES THERE OK RES0033-044 ANY BOWEL PROBLEMS NO OK ANY ISSUES WITH YOUR RES0033-045 APPETITE NO I THINK I'VE BEEN EATING RES0033-046 THE SAME AMOUNT RES0033-047 OK ANY CHANGES TO YOUR WEIGHT NO STILL THE SAME OK RES0033-048 AND ANY PROBLEMS WITH SORRY ANY RECENT INFECTIONS LIKE I FEEL LIKE I MIGHT HAVE A COLD RES0033-049 BUT I THINK I MAYBE A WEEK AGO I HAD LIKE A LITTLE BIT OF A RUNNY NOSE SO I DON'T KNOW I MIGHT HAVE A COLD OK RES0033-051 SYMPTOMS COLD SYMPTOMS YOU'VE BEEN RES0033-052 FEELING FOR THE LAST FEW DAYS IT'S ALMOST UP TO A WEEK NOW OK AND ANY PROBLEMS WITH SLEEP I FEEL LIKE SOMETIMES JUST IN THE PAST FEW WEEKS RES0033-053 LIKE I STARTED COUGHING AT NIGHT AND WOKE MYSELF UP SO SLEEP RES0033-054 HAS BEEN A LITTLE BIT DISTURBED OVER RES0033-055 THE PAST FEW WEEKS OK ANY EXPOSURES RES0033-056 TO TUBERCULOSIS OH NO NO NOT THAT I KNOW ANY EXPOSURES TO INHALANTS LIKE SMOKE OR RES0033-057 OR DUST OR FUMES NO I DON'T HAVE ANY PETS LIKE RES0034-000 HI THERE I WAS JUST HOPING TO ASK YOU A FEW QUESTIONS TODAY BUT I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN TODAY RES0034-001 I AM JUST CALLING ABOUT MY DAUGHTER SHE'S BEEN SICK OVER THE LAST FEW DAYS SHE HAS FEVER AND A COUGH RES0034-002 I SEE OK WHEN DID THE FEVER AND COUGH START RES0034-003 SO THEY STARTED AROUND THREE TO FOUR DAYS AGO AND AROUND THE SAME TIME SHE WAS ALSO HAVING LIKE A RUNNY NOSE RES0034-004 OK AND HAS THE FEVER AND COUGH BEEN PRESENT THE WHOLE TIME RES0034-005 I WOULD SAY THEY STARTED AROUND THE SAME TIME AND THEY HAVE BEEN GOING ON FOR THE LAST THREE AND A HALF TO FOUR DAYS RES0034-006 OK SO HAS THERE BEEN A PERIOD WHEN SHE HASN'T HAD A FEVER OR A COUGH RES0034-007 NO EVERY TIME I'VE MEASURED IT SHE HAS HAD A FEVER AND SHE'S BEEN COUGHING FOR THE LAST FEW DAYS HASN'T REALLY CHANGED RES0034-008 OK CAN YOU THINK OF ANYTHING LEADING UP TO THESE SYMPTOMS RES0034-009 NO SHE WAS SHE WAS FINE JUST THREE TO FOUR DAYS AGO LIKE BEFORE THAT SHE WAS HER PLAYFUL SELF NO ISSUES BUT IT'S FOR THE LAST COUPLE OF DAYS JUST THIS NONSTOP COUGH AND THE FEVERS IS WHAT'S REALLY WORRYING ME RES0034-010 OK HAVE THE SYMPTOMS HAVE GOTTEN WORSE OR STAYED THE SAME RES0034-011 I WOULD SAY THE FEVER HAS BEEN GETTING A LITTLE BIT WORSE OVER THE LAST LIKE ESPECIALLY TODAY BUT THE COUGH COUGHING IS ABOUT THE SAME AS WHAT IT WAS WHEN IT FIRST STARTED THREE DAYS AGO RES0034-012 OK HAS SHE BEEN SICK LIKE THIS BEFORE RES0034-013 SHE'S SHE OFTEN GETS SICK LIKE HER BROTHER GOES TO DAYCARE AND HE BRINGS A LOT OF BUGS FROM THERE AND EVERY TIME HE GETS SICK SHE ALSO GETS SICK THE LAST TIME SHE HAD LIKE A SIMILAR COUGH WAS RES0034-014 AROUND TWO MONTHS AGO BUT AT THAT TIME I WASN'T THAT WORRIED BECAUSE SHE DIDN'T HAVE ANY FEVERS RES0034-015 OK HAVE YOU HAS THERE BEEN ANYTHING THAT YOU'VE TRIED TO HELP WITH THE COUGH OR FEVER RES0034-016 TYLENOL I GAVE HER TYLENOL IT DID HELP HER A LITTLE BIT BUT THEN THE FEVER CAME RIGHT BACK SAY LIKE A FEW HOURS LATER RES0034-017 OK AND ANYTHING YOU NOTICE THAT'S MADE THE COUGH OR FEVER WORSE OVER THE LAST THREE OR FOUR DAYS RES0034-018 NOT ANYTHING THAT I KNOW OF HER FEVERS BEEN GETTING WORSE BUT I DON'T REALLY KNOW WHY THAT IS RES0034-019 OK HAS SHE BEEN HAVING ANY OTHER SYMPTOMS RES0034-020 OTHER THAN LIKE SHE HAD THAT RUNNY NOSE WHEN IT FIRST STARTED AND THEN SHE'S ALSO BEEN HAVING SOME DIARRHEA RES0034-021 OK AND WHEN DID THE DIARRHEA START RES0034-022 I THINK I WOULD SAY IT STARTED AROUND TWO DAYS AGO SHE'S LIKE EVERY TIME I CHANGE HER DIAPER SHE WOULD HAVE LIKE FOUR FIVE DIFFERENT DIAPER CHANGES THROUGHOUT THE DAY AND THEY THEY SEEM PRETTY LIQUID SO I RES0034-023 THINK SHE'S BEEN HAVING DIARRHEA FOR THE LAST TWO DAYS RES0034-024 OK YOU MENTIONED LIQUID APPEARING STOOL WHAT WOULD YOU SAY SAY SO I GUESS COULD YOU COMMENT ON THE RES0034-025 CONSISTENCY AND COLOUR CONSISTENCY I'D SAY IT'S PRETTY WATERY LIKE DIARRHEA AND COLOUR I DIDN'T REALLY THINK THERE'S RES0034-026 ANY CHANGES IN IN THE COLOUR OK SO YOU RES0034-027 THINK THERE WAS ANY BLOOD RES0034-028 IN THE STOOL NO NO NO I DIDN'T SEE ANY BLOOD OK AS FOR THE FEVER RES0034-029 WHAT WAS THE MAXIMUM TEMPERATURE THAT YOU NOTED AND HOW DID YOU CHECK IT SO I USED WE HAVE JUST A REGULAR NON DIGITAL THERMOMETER IN HER EAR AND RES0034-030 NOTICE ANY TUGGING OR RES0034-034 REGURGITATION NO SHE'S BEEN KEEPING FOOD DOWN RES0034-036 NO ISSUES THERE OK AND NOTICE RES0034-037 ANY DISCHARGE FROM EITHER EYE RES0034-038 HOW ABOUT ANY DISCHARGE RES0034-040 THAT I'VE NOTICED NO NOTICE ANY RASHES NO I DIDN'T NOT KNOW LIKE NEW RASHES NO RES0034-041 OK AND HOW IS SHE BEEN IN TERMS OF MOOD OR OR BEHAVIOUR OH SHE'S BEEN PRETTY LIKE SHE'S NOT HERSELF OVER THE LAST FEW DAYS SHE'S BEEN CRYING A LOT MORE JUST VERY IRRITABLE RES0034-042 OK WOULD YOU SAY INCONSOLABLE AT TIMES RES0034-043 SOMETIMES LIKE YESTERDAY LIKE SHE I COULDN'T GET HER TO STOP CRYING RES0034-044 OK AND I KNOW YOU SAID NO VOMITING BUT HAS SHE BEEN COUGHING UP ANY SPUTUM RES0034-045 I WOULD SAY THIS GREEN SLIMY CONTENT IT'S LIKE GREEN AND SLIMY RES0034-046 OK HOW MUCH WOULD YOU SAY LIKE A CUP OR MORE RES0034-047 I WOULD SAY PROBABLY LIKE AT LEAST AT LEAST A COUPLE SPOONFULS AT A TIME SHE WOULD COUGH UP RES0034-048 OK AND DID YOU NOTICE ANY BLOOD IN IT RES0034-049 NO I DIDN'T NOTICE ANY BLOOD AT ALL RES0034-050 OK AND WITH THE COUGH HAVE YOU NOTICED ANY DIFFICULTIES BREATHING RES0034-051 I DON'T KNOW IF IT'S DIFFICULTY BREATHING BUT I HAVE NOTICED SOMETIMES SHE'S LIKE BREATHING FASTER THAN NORMAL LIKE TAKING A LOT MORE BREATHS RES0034-052 I SEE OK IS SHE HAVING TROUBLES WITH DROOLING OR YOUR RES0034-054 NO I HAVEN'T NOTICED THAT OK RES0034-055 AND DOES HER VOICE SOUND NORMAL TO YOU I THINK HER NOTE RES0034-056 HER VOICE HASN'T REALLY CHANGED THAT MUCH OK WITH THE NOTICING THE FASTER RES0034-057 RATE OF BREATHING IS THE RES0034-058 BREATHING NOISY AT ALL NO LIKE SHE'S NOT WHEEZING OR ANYTHING OK AND DO YOU NOTICE ANY RES0034-059 LIKE RETRACTION OF THE SKIN BETWEEN RES0034-060 HER RIBS WHEN BREATHING SO LIKE LIKE WHAT DO YOU MEAN BY THAT LIKE JUST SO WHEN SHE'S BREATHING IN AND OUT IS SHE GENERATING A LOT OF FORCE AND EFFORT TO REALLY KIND OF SUCK IN AND RES0034-061 BLOW OUT SO YOU CAN KIND OF SEE RES0034-062 IMPRESSIONS OVER THE RIBS NO I I DON'T THINK I'VE NOTICED THAT NO OK AND AND HAVE YOU NOTICED ANY BLUEISH DISCOLOURATION RES0034-064 AROUND HER LIPS OR RES0034-065 MOUTH NO RES0034-066 OK AND ANY URINARY PROBLEMS NO SHE'S PEEING FINE OK RES0034-067 AND HOW HAS SHE BEEN SLEEPING THE LAST FEW DAYS SHE HASN'T REALLY BEEN SLEEPING IN BETWEEN THE CRYING AND LIKE JUST BEING SO IRRITABLE I THINK SHE'S JUST VERY UNCOMFORTABLE WHEN SHE'S TRYING TO GET TO SLEEP SO RES0034-068 I WOULD SAY NOT LIKE MAYBE A COUPLE HOURS FOR THE LAST FEW NIGHTS RES0034-069 OK ANY EVIDENCE OF SEIZURE OR LIMB JERKING RES0034-070 NO NOT THAT I'VE NOTICED RES0034-071 NO OK AND AND HAVE YOU NOTICE AN HER BEING LIKE REALLY LETHARGIC AT ALL RES0034-072 SHE'S NOT HERSELF AND SHE'S STILL LIKE PRETTY ACTIVE LIKE SHE'S SHE JUST SEEMS REALLY UNHAPPY AND IRRITATED BUT NO SHE STILL HAS ENERGY RES0034-073 OK AND IS SHE DRINKING A LOT MORE FLUIDS OR OR A LOT LESS HOW IS SHE TOLERATING ORAL INTAKE RES0034-074 I WOULD SAY I THINK SHE'S MORE ON THE DRYER SIDE LIKE SHE HER MOUTH IS VERY DRY HER LIPS ARE LIKE ALL CRACKED AND SHE IT SEEMS THAT SHE'S DRINKING RES0034-075 LESS WATER TOO RES0034-076 I SEE OK AND HOW MANY WET DIAPERS WOULD YOU SAY IN THE LAST TWENTY FOUR HOURS RES0034-077 IT'S DIFFICULT TO SAY I THINK I LIKE YESTERDAY CHANGED FOUR TO FIVE TIMES THEY WERE ALL DIARRHEA SO NOT REALLY SURE BUT MAYBE AROUND FIVE RES0034-078 OK AND HAVE YOU GUYS TRAVELED ANYWHERE RECENTLY RES0034-079 NO NO WE'VE BEEN HERE RES0034-080 OK SO NEXT JUST SOME QUESTIONS ABOUT PAST MEDICAL HISTORY HAS SHE HAD ANY MEDICAL PROBLEMS IN THE PAST RES0034-081 THE ONLY THING I COULD THINK OF WAS AFTER SHE WAS BORN SHE HAD TO BE GIVEN THE LIGHT TREATMENT FOR LIKE JAUNDICE BUT AFTER THAT NO OTHER PROBLEMS RES0034-082 OK AND ANY PRIOR SURGERIES RES0034-083 NO RES0034-084 ANY PREVIOUS HOSPITALIZATIONS RES0034-085 NO JUST THE LIGHT TREATMENT BUT OTHER THAN THAT NOTHING RES0034-086 OK AND THROUGHOUT PREGNANCY WERE THERE ANY COMPLICATIONS RES0034-087 NO MY PREGNANCY WAS COMPLETELY NORMAL NO COMPLICATIONS DURING THE PREGNANCY RES0034-088 OK SO NO GESTATIONAL DIABETES OR HYPERTENSION RES0034-089 NO RES0034-090 OK AND WERE YOU SICK AT ALL AT ANY POINT WITH INFECTIOUS SYMPTOMS RES0034-091 NO EVERYTHING CAME BACK CLEAR ALL THE TESTS WERE NORMAL RES0034-092 OK AND ANY ALLERGIES TO MEDICATIONS RES0034-093 NO ALLERGIES RES0034-094 OK AND IS SHE CURRENTLY TAKING ANY MEDICATIONS RES0034-095 NO JUST TRIED THE TYLENOL BUT IT DIDN'T REALLY SEEM TO WORK RES0034-096 OK AND HAS SHE BEEN AROUND ANYBODY SICK RECENTLY RES0034-097 JUST HER BIG BROTHER WHO GOES TO DAYCARE WAS ALSO LIKE A BIT SICK WITH A COUGH AND SOME RUNNY NOSE FOR THE LAST FOUR DAYS BUT HE DIDN'T HAVE A FEVER AND HE SEEMED TO RECOVER PRETTY FAST BUT SEEMS SHE MAY HAVE CAUGHT IT FROM HIM RES0034-098 OK AND ANYBODY IN THE FAMILY HAVE ANY SIMILAR SYMPTOMS RIGHT NOW I GUESS BESIDES HER BROTHER RES0034-099 NO JUST JUST HER AND HER BROTHER RES0034-100 OK AND AND IN REGARDS TO BIRTH BIRTH HISTORY WAS IT A VAGINAL DELIVERY OR C SECTION RES0034-101 IT WAS A NORMAL VAGINAL DELIVERY AT THIRTY EIGHT WEEKS THERE WERE NO PROBLEMS AFTER THE DELIVERY OR BEFORE THE DELIVERY RES0034-102 OK AND ARE HER IMMUNIZATIONS UP TO DATE RES0034-103 ALL OUR IMMUNIZATIONS ARE UP TO DATE RES0034-104 OK AND IN REGARDS TO GROWTH AND DEVELOPMENT HAVE YOU RES0034-105 HAD ANY CONCERNS NO WE'VE BEEN GETTING HER CHECKED REGULARLY IT SEEMS THAT SHE'S BEEN RES0034-106 GROWING WELL AND DEVELOPING WELL OK AND WHO IS THE PRIMARY CAREGIVER FOR AT HOME RES0034-107 PRIMARY CAREGIVER RIGHT NOW I'M STAYING HOME WITH HER AND HER BROTHER GOES TO DAYCARE SO IT WOULD BE ME RES0034-108 OK AND COULD YOU TELL ME ABOUT HER EATING HABITS AND TYPICAL APPETITE RES0034-109 SO NOW LIKE SHE IS ABLE TO EAT LIKE EVERYTHING LIKE VEGETABLES FRUITS BREADS AND MEAT BUT OVER THE LAST FEW DAYS SHE HAS BEEN JUST IRRITABLE WITH EVERYTHING SO EVEN EATING FOOD HAS JUST NOT BEEN GREAT FOR THE LAST FEW DAYS RES0034-110 OK AND WHEN WAS HER LAST CHECKUP RES0034-111 SO IT WAS AROUND ONE MONTH AGO AND EVERYTHING WAS FINE THEN NO CONCERNS FROM THE DOCTOR RES0034-112 OK THANK YOU RES0035-000 MAY I JUST BEGIN WITH ASKING YOU WHAT BROUGHT YOU IN HERE TODAY RES0035-001 SURE I'VE BEEN EXPERIENCING SOME ISSUES BREATHING AND JUST A LOT OF COUGHING OVER THE PAST YEAR OR SO RES0035-002 OK AND IS YOUR COUGH HAS IT BEEN A WET COUGH OR A DRY COUGH RES0035-003 BUT IT'S BEEN A WET COUGH RES0035-004 OK YOU MENTIONED IT STARTED OVER A YEAR RES0035-005 WELL ABOUT ABOUT EIGHT MONTHS RES0035-006 EIGHT MONTHS AND HAS IT BEEN GETTING WORSE AT ALL RES0035-007 I THINK IT'S BEEN GETTING WORSE RES0035-008 OK AND SO IT'S BEEN A WET COUGH DO YOU RELEASE ANY KIND OF LIKE PHLEGM OR SPUTUM RES0035-009 IT'S USUALLY CLEAR BUT SOMETIMES IT CAN LOOK YELLOW OR GREEN RES0035-010 OK AND HOW HOW MUCH WOULD YOU SAY YOU PRODUCE RES0035-013 EVERY TIME YOU COUGH EVERY TIME I COUGH MAYBE LIKE RES0035-014 THE SIZE OF MY THUMBPRINT OK AND HAVE YOU NOTICE AT ALL COUGHING UP RES0035-016 ANY BLOOD IS THE BLOOD EVER MIXED IN RES0035-018 THE PHLEGM NO OK AND HAS IT BEEN CONSTANT COUGHING OR DOES IT COME AND GO OVER THE LAST RES0035-019 EIGHT MONTHS IT IT COMES AND GOES BUT THERE THERE IT'S ALWAYS LIKE I HAVE A TICKLE IN MY THROAT OR SOMETHING RES0035-020 OK AND WHEN IT FIRST STARTED HAD ANYTHING CHANGED IN YOUR LIFE HAD YOU MOVE TO A NEW PLACE OR STARTED SMOKING OR ANYTHING LIKE THAT RES0035-021 NO RES0035-022 NO OK IS THERE ANYTHING YOU DO THAT MAKES THE COUGHING OR SHORTNESS OF BREATH WORSE RES0035-023 I GUESS WALKING RES0035-024 WALKING IS THERE ANYTHING THAT MAKES IT BETTER AT ALL RES0035-025 JUST RES0035-026 RESTING JUST RESTING OK HOW MUCH CAN YOU WALK OR RUN UNTIL YOU FEEL THE COUGHING OR SHORTNESS OF BREATH RES0035-027 ABOUT LIKE TWO HUNDRED METERS RES0035-028 OK AND HAS THIS EVER HAPPENED TO YOU BEFORE THE EIGHT MONTHS RES0035-029 NO ACTUALLY I GET WHEEZY BECAUSE I HAVE ASTHMA BUT IT DOESN'T IT'S NOT AS BAD AS THIS RES0035-030 OK AND HOW OFTEN ARE YOU COUGHING ARE YOU COUGHING THROUGHOUT THE DAY OR IS IT MORE SO DURING THE DAY AND THEN OR MORE AT NIGHT RES0035-031 IT'S JUST KIND OF ALWAYS THERE THROUGHOUT THE DAY RES0035-032 OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE DIFFICULTY BREATHING AND THE COUGH DO YOU HAVE A SORE THROAT RUNNY NOSE DIZZINESS ANYTHING LIKE THAT RES0035-033 NO RES0035-034 OK SO JUST THE DIFFICULTY BREATHING AND THE COUGH RES0035-035 DO YOU GET ANY CHEST PAIN AT ALL RES0035-036 NO CHEST PAIN RES0035-037 GREAT HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE COUNTRY RECENTLY RES0035-038 NO NO RES0035-039 ANY HEADACHES NAUSEA OR VOMITING RES0035-040 NO RES0035-041 ANY FEVER CHILLS OR NIGHT SWEATS RES0035-042 NO RES0035-043 DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY RES0035-044 I GUESS COUGHING A LOT MAKES ME TIRED RES0035-045 OK DO YOU EVER FEEL THAT YOUR HEART IS RACING OR YOU HAVE ANY KIND OF CHEST PAIN RES0035-046 NO RES0035-047 HAVE YOU NOTICED ANY RES0035-049 ISSUES URINATING NO ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA RES0035-050 NO RES0035-051 ANY ISSUES WITH YOUR SLEEP OR APPETITE RES0035-052 NO RES0035-053 ANY SIGNIFICANT CHANGES IN YOUR WEIGHT RES0035-054 NO RES0035-055 HAVE YOU HAD ANY RECENT INFECTIONS THAT YOU KNOW OF RES0035-056 NOT THAT I KNOW OF RES0035-057 ANY ANTIBIOTICS THAT YOU'VE HAD TO USE FOR ANY INFECTIONS RES0035-058 NO RES0035-059 DO YOU THINK YOU HAVE HAD ANY EXPOSURE TO TUBERCULOSIS IN THE PAST RES0035-060 NO RES0035-061 AND DO YOU HAVE EXPOSURE TO FUMES OR DUST OR ANIMALS OR PETS IN YOUR WORK OR HOME ENVIRONMENT RES0035-062 I HAVE A BIRD RES0035-063 A BIRD AND WHEN DID YOU GET THE BIRD RES0035-064 LIKE FIVE YEARS AGO RES0035-065 OK BUT NO ISSUES BEFORE THE EIGHT MONTHS RES0035-066 NO RES0035-067 OK IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU MENTIONED ASTHMA BUT ANYTHING ELSE LIKE DIABETES HIGH BLOOD PRESSURE RES0035-068 I HAVE TYPE TWO DIABETES AND HIGH BLOOD PRESSURE RES0035-069 OK AND OR DO YOU TAKE ANY MEDICATIONS FOR THOSE CONDITIONS RES0035-070 NO IT'S JUST BEING CONTROLLED BY DIET RES0035-071 OK ANY MEDICATIONS FOR ANY OTHER REASONS RES0035-072 I TAKE SOME VITAMIN D TABLETS RES0035-073 OK ANY ALLERGIES ENVIRONMENTAL OR TO MEDICATIONS RES0035-074 NO RES0035-075 OK HAVE YOU EVER BEEN HOSPITALIZED RES0035-076 NO RES0035-077 ANY ILL CONTACTS NEAR YOU AT HOME OR WORK RES0035-078 NO RES0035-079 ANY PREVIOUS SURGERIES RES0035-080 NO PREVIOUS SURGERIES RES0035-081 OK DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA OR ANY OTHER LUNG CONDITION OR ANY CANCERS RES0035-082 NO LUNG CONDITIONS OR CANCERS RES0035-083 OK AND CURRENTLY DO YOU WORK RES0035-084 I DO RES0035-085 AND WHERE DO YOU WORK RES0035-086 I WORK AS AN ACCOUNTANT RES0035-087 OK AND DO YOU CURRENTLY LIVE IN AN APARTMENT OR A HOUSE RES0035-088 IN AN APARTMENT RES0035-089 OK AND DO YOU LIVE BY YOURSELF OR DO YOU LIVE WITH ANYONE ELSE RES0035-090 JUST BY MYSELF RES0035-091 OK ANY NEW CHANGES TO YOUR HOUSE ANY NEW CARPETS OR ANYTHING LIKE THAT OR HAVE YOU MOVED INTO A NEW NEW PLACE RECENTLY RES0035-092 NO RES0035-093 OK DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0035-094 NO I SMOKED WHEN I WAS YOUNGER BUT NOT ANYMORE RES0035-095 OK AND DO YOU SMOKE CIGARETTES RES0035-096 I DO RES0035-097 OK AND HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY RES0035-098 ABOUT HALF A PACK A DAY RES0035-099 OK AND HOW LONG HAVE YOU BEEN SMOKING FOR RES0035-100 SINCE I WAS EIGHTEEN RES0035-101 OK AND YOU DRINK ALCOHOL RES0035-102 SOMETIMES RES0035-103 AND HOW OFTEN WOULD YOU SAY ON AN AVERAGE WEEK HOW MANY DRINKS OF ALCOHOL WOULD YOU SAY YOU HAVE RES0035-104 MAYBE TWO GLASSES OF WINE A WEEK RES0035-105 OK AND IN TERMS OF YOUR DIET AND EXERCISE WOULD YOU SAY YOU GET THREE MEALS A DAY WELL BALANCE WELL BALANCED DIET RES0035-106 I'D SAY SO RES0035-107 OK AND LASTLY IN TERMS OF EXERCISE WOULD YOU SAY YOU'RE FAIRLY ACTIVE THROUGHOUT THE WEEK RES0035-108 AND WHAT KIND OF THINGS DO YOU RES0035-109 DO FOR ACTIVITY I TAKE WALKS WHEN I CAN BEFORE THIS WHOLE SHORTNESS OF BREATH RES0036-000 CAN WE JUST BEGIN WITH WHAT BRINGS YOU IN HERE TODAY RES0036-001 SO I'VE BEEN PRETTY BREATHLESS FOR THE PAST SIX DAYS AND IT'S IT'S JUST WORSE I HAVE TO STOP FROM I HAD TO STOP SO MANY TIMES WALKING HERE FROM MY CAR RES0036-002 OK AND WHEN DID THIS FIRST START RES0036-003 SIX DAYS AGO RES0036-004 AND DID IT START LIKE GRADUALLY OR WAS IT ALL OF A SUDDEN RES0036-005 PRETTY SUDDEN ACTUALLY RES0036-006 OK AND WERE YOU DOING ANYTHING BEFORE IT FIRST HAPPENED RES0036-007 NO JUST WORK AND SPENDING SOME TIME AT HOME RES0036-008 OK AND SO YOU'RE HAVING THE SHORTNESS OF BREATH BUT ARE YOU HAVING ANY LIKE COUGHING AT ALL RES0036-009 OH A LOT OF COUGHING TOO RES0036-010 OK AND IS IT A DRY COUGH OR A WET COUGH RES0036-011 SO I'VE NOTICED THIS WEIRD RUSTY COLORED SPUTUM AND I'VE NOTICED THAT LIKE A COUPLE TIMES A DAY RES0036-012 AND DID YOUR COUGH STARTED AROUND THE SAME TIME AS WHEN YOUR SHORTNESS OF BREATH STARTED RES0036-013 I'D SAY SO RES0036-014 OK SO AROUND SIX DAYS RES0036-015 AROUND THERE RES0036-016 AND HAS IT BEEN CONSTANT LIKE I'VE BEEN CONSTANTLY HAVING A SHORTNESS OF BREATH EVERY DAY WITH THE COUGHING OR DOES IT COME AND GO RES0036-017 IT'S PRETTY CONSTANT NOW RES0036-018 OK AND DO YOU FIND THAT IT'S BEEN GETTING WORSE AT ALL RES0036-019 I'D SAY IT'S GETTING I'D SAY IT'S GETTING WORSE RES0036-020 OK AND IS THAT BOTH THE COUGHING AND THE SHORTNESS OF BREATH OR ONE OR THE OTHER RES0036-021 IT'S IT'S BOTH RES0036-022 IT'S BOTH OK RES0036-023 AND DO YOU REMEMBER IF YOU WERE DOING SOMETHING AT THE TIME WHEN THE SHORTNESS OF BREATH FIRST STARTED HAVE YOU RECENTLY HAD ANY INFECTIONS OR ANYTHING LIKE THAT PREVIOUSLY RES0036-024 I DON'T KNOW BOUT AN INFECTION BUT I GUESS I HAVE BEEN FEELING A LITTLE FEVERISH I HAVEN'T TAKEN MY TEMPERATURE BUT I'VE BEEN FEELING YOU KNOW KIND OF COLD RES0036-025 OK AND WHEN YOU FEEL THE BREATHLESSNESS HOW LONG DOES IT USUALLY LAST FOR RES0036-026 IT'S KIND OF HARD TO SAY IT'S IT'S ALWAYS THEIR BASELINE BUT IT GETS WORSE WHEN I WHEN I WALK OR WHEN I EXERT MYSELF RES0036-027 OK AND BESIDES LIKE THE EXERTION DOES IT GET WORSE WITH ANY WHEN YOU'RE NEAR POLLEN WHEN YOU'RE OUTSIDE IN THE COLD ANYTHING LIKE THAT RES0036-028 IT GETS WORSE WHEN WHEN NO NO I WOULDN'T SAY THAT NO NO RES0036-029 OK AND IS IT WORSE IN THE MORNING OR AT NIGHT RES0036-030 IT IT DOESN'T MATTER RES0036-031 IT IS THERE ALL THE TIME RES0036-032 OK AND IS THERE ANYTHING THAT MAKES IT GO AWAY OR I MEAN OR ANYTHING YOU'VE TRIED THAT MAKES IT BETTER RES0036-033 WELL I GUESS I'VE TRIED SOME TAKING SOME TYLENOL AND THAT'S HELPING MY LIKE REGULATING MY TEMPERATURE RES0036-034 OK AND HAVE YOU EVER NOTICED ANY BLOOD IN THE COUGH RES0036-035 IT'S RUSTY COLORED BUT I DON'T KNOW IF THAT'S BLOOD RES0036-036 OK BUT YOU'VE NEVER ACTUALLY COUGHED UP RED BLOOD RES0036-037 NO RES0036-038 OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE BESIDES EXERTION RES0036-039 NO RES0036-040 OK AND DO YOU NOTICE HAVING ANY WHEEZING OR ANY OTHER BREATHING SOUNDS RES0036-041 I NOTICE SOME WHEEZING IT'S IT'S IT'S NOT THAT MUCH THOUGH RES0036-042 OK BEFORE THIS BEFORE THE SIX DAYS HAVE YOU EVER EXPERIENCED ANYTHING SIMILAR RES0036-043 NO RES0036-044 NO OK HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY RES0036-045 NO RES0036-046 OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CHEST PAIN ANYTHING LIKE THAT RES0036-047 I DO HAVE THIS SHARP CHEST PAIN THAT GETS WORSE WITH COUGHING RES0036-048 OK AND IS IS THAT ALWAYS THERE OR IS IT JUST WHEN YOU'RE COUGHING A LOT RES0036-049 I GUESS WHEN I'M COUGHING A LOT RES0036-050 AND THAT STARTS SIX DAYS AGO TOO AS WELL OR IS THAT RES0036-051 OK AND DO YOU EVER FEEL ANY KIND OF IS IT SO YOU SAID MENTION IT WAS SHARP BUT DO YOU EVER FEEL LIKE INCREASED PRESSURE IN YOUR CHEST ANYTHING LIKE THAT RES0036-052 NO RES0036-053 AND HOW WOULD YOU RATE THIS PAIN WHEN IT OCCURS FROM A SCALE OF ONE BEING THE LEAST AMOUNT OF PAIN YOU'VE FELT IN YOUR LIFE AND TEN BEING THE WORST RES0036-054 THE SHARP CHEST PAIN I'D SAY MAYBE LIKE A SEVEN RES0036-055 OK AND DOES IT GO AWAY ON ITS OWN OR DOES IT SPREAD TO DIFFERENT AREAS OF YOUR BODY AT ALL RES0036-056 IT JUST STARTS GRADUALLY GOING AWAY AT WHEN I STOP COUGHING RES0036-057 OK HAVE YOU EXPERIENCED ANY KIND OF HEADACHES WITH NAUSEA OR VOMITING RES0036-058 NO RES0036-059 OK SO YOU MENTIONED YOU HAD SOME CHILLS BUT YOU DON'T KNOW IF YOU HAD A FEVER RES0036-060 OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS RES0036-061 NO RES0036-062 OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY RES0036-063 NOT THAT I KNOW OF NO RES0036-064 OK HAVE YOU EXPERIENCED ANY NIGHT SWEATS RES0036-065 I FEEL CHILLY AT NIGHT BUT I DON'T MAYBE RES0036-066 OK ANY SIGNIFICANT WEIGHT LOSS RECENTLY RES0036-067 NO RES0036-068 AND HAVE YOU NOTICED ANY KIND OF SYMPTOMS LIKE YOUR HEART IS RACING OR ANYTHING LIKE THAT RES0036-069 NO RES0036-070 OK HAVE YOU EXPERIENCED ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL LIKE IN CONSTIPATION OR DIARRHEA RES0036-071 NO RES0036-072 ANY CHANGES IN YOUR URINARY PATTERNS RES0036-073 NO RES0036-074 ANY ISSUES WITH YOUR SLEEP OR APPETITE AT ALL RES0036-075 NO RES0036-076 OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD OR ANYTHING LIKE THAT RECENTLY RES0036-077 I GUESS I HAD A RUNNY NOSE A FEW DAYS BEFORE RES0036-078 OK RES0036-079 HAVE YOU AT ALL BEEN EXPOSED TO ANYONE WITH TUBERCULOSIS IN THE PAST RES0036-080 NO RES0036-081 ANY EXPOSURE AT YOUR WORKPLACE OR AT HOME TO ANY FUMES OR DUST IN PETS OR ANIMALS RES0036-082 WELL I HAVE BIRDS BUT I'VE HAD THEM FOR AWHILE RES0036-083 OK HOW LONG HAVE YOU HAD THE BIRDS FOR RES0036-084 ABOUT THREE YEARS RES0036-085 OK AND NO THEY HAVEN'T CAUSED YOU ANY ISSUES BEFORE RES0036-086 NO RES0036-087 OK AND DO YOU HAVE ANY ALLERGIES THAT YOU KNOW OF RES0036-088 NO ALLERGIES RES0036-089 OK ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ASTHMA RES0036-090 NO RES0036-091 ANY PREVIOUS SURGERIES RES0036-092 NO NONE RES0036-093 OK ANY HOSPITALIZATIONS FOR ANY REASON RES0036-094 NO RES0036-095 OK ARE YOU ON ANY MEDICATIONS CURRENTLY RES0036-096 NO RES0036-097 AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE CANCERS OR HEART ATTACKS OR ANY LUNG ISSUES RES0036-098 NO RES0036-099 OK AND CURRENTLY DO YOU WORK RES0036-100 I DO THE PLACE I WORK IS VERY CROWDED AND IT'S NOT THE BEST CONDITIONS TO WORK IN AND THERE'S AN AIR CONDITIONER WHICH I THINK IS BROKEN IT'S QUITE HUMID IT'S NEVER BEEN CHECKED RES0036-101 AND HOW LONG HAVE YOU BEEN WORKING THERE RES0036-102 FOR THE PAST YEAR RES0036-103 OK AND WHERE DO YOU LIVE CURRENTLY DO YOU LIVE IN A HOUSE OR AN APARTMENT RES0036-104 I HAVE A SMALL APARTMENT ALSO NOT IN THE GREATEST LOCATION RES0036-105 OK DO YOU HAVE ANY EXPOSURE TO MOLD OR EXCESSIVE DUST IN YOUR HOUSEHOLD RES0036-106 MAYBE IT'S A VERY BADLY KEPT APARTMENT SO IT'S POSSIBLE RES0036-107 OK DO YOU HAVE ANY POTENTIAL EXPOSURE TO ASBESTOS IN YOUR HOUSE OR AT WORK RES0036-108 I MEAN PROBABLY BOTH BUILDINGS ARE VERY VERY OLD I DOUBT THEY'RE BEING MAINTAINED RES0036-109 OK AND DO YOU CURRENTLY SMOKE AT ALL RES0036-110 I SMOKE TEN CIGARETTES A DAY RES0036-111 OK AND HOW LONG HAVE YOU BEEN SMOKING FOR RES0036-112 SINCE I WAS TWENTY RES0036-113 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0036-114 I SMOKE A LITTLE CANNABIS SOMETIMES RES0036-115 AND HOW OFTEN WOULD YOU SAY YOU SMOKE IN AN AVERAGE WEEK RES0036-116 MAYBE ABOUT FIVE MILLIGRAMS RES0036-117 OK AND DO YOU DRINK ALCOHOL RES0036-118 I DO BUT NOT A LOT RES0036-119 HOW MUCH WOULD YOU SAY YOU DRINK IN A WEEK RES0036-120 MAYBE FIVE DRINKS RES0036-121 OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU THINK YOU GET ENOUGH EXERCISE RES0036-122 PROBABLY NOT RES0036-123 OK AND HOW ABOUT YOUR DIET DO YOU GET THREE MEALS A DAY OR IS IT WELL BALANCED RES0036-124 I EAT A LOT OF FAST FOOD AND JUNK FOOD RES0036-125 OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAD FOR US TODAY RES0036-126 NO RES0036-127-1 OK SO BASED ON WHAT WE DISCUSSED TODAY IT SEEMS THAT YOU MAY HAVE AN UPPER RESPIRATORY TRACT INFECTION THE OTHER THINGS ON DIFFERENTIAL WOULD BE A COPD EXACERBATION RES0036-127-2 DUE TO YOUR SIGNIFICANT SMOKING HISTORY SO WE WILL DO SOME INVESTIGATIONS TI FIGURE OUT WHAT THIS IS AND THEN PERHAPS CAN GIVE YOU ANTIBIOTICS OR OTHER MEDICATIONS TO HELP YOU UNLESS IT'S A VIRAL INFECTION RES0037-000 I WOULD JUST LIKE TO START WITH WHAT BROUGHT YOU IN HERE TODAY TO THE FAMILY CLINIC RES0037-001 SO I'VE BEEN COUGHING FOR A FEW MONTHS NOW AND SO THAT'S THE PROBLEM RES0037-002 OK AND HOW MANY MONTHS HAVE YOU BEEN COUGHING FOR RES0037-003 JUST OVER TWO I WOULD SAY AND IT'S BEEN I'VE BEEN BRINGING UP THIS YELLOW GREENISH SPUTUM IT'S KIND OF GROSS RES0037-004 OK AND HOW HOW MUCH OF THE SPUTUM WOULD YOU SAY YOU'RE BRINGING UP IN AN AVERAGE DAY LIKE A TEASPOON TABLESPOON RES0037-005 OH I SEE OK I DON'T KNOW MAYBE A FEW TEASPOONS THROUGHOUT THE DAY RES0037-006 OK RES0037-007 AT FIRST I THOUGHT I I I HAD A A CHEST INFECTION BUT EVEN AFTER ANTIBIOTICS FROM MY GP OR OR MY FAMILY DOCTOR RES0037-008 IT NEVER CLEARED UP OK AND SO RES0037-009 WHEN DID YOU GO ON THE ANTIBIOTICS SO RES0037-010 THIS IS ABOUT ABOUT A MONTH AGO AND SO I WENT TO SEE MY FAMILY DOCTOR ABOUT THE COUGH THEN AND DAD WAS PRESCRIBED SOME ANTIBIOTICS I THINK AZITHROMYCIN AND IT IT STILL DIDN'T IT DIDN'T DO ANYTHING RES0037-011 OK I SEE AND DO YOU FIND THAT YOUR COUGH HAS BEEN GETTING WORSE SINCE THEN RES0037-012 I WOULD SAY THE COUGH HAS BEEN ABOUT THE SAME RES0037-013 OK BUT HOW ABOUT THE SPUTUM THAT YOU'RE BRINGING UP HAS THAT INCREASED RES0037-014 IT'S ABOUT THE SAME BUT IT DEFINITELY I WOULD SAY THERE'S A PINK TINGE IN THE SPUTUM NOW EVERY ONCE IN AWHILE I'VE NOTICED MORE THAN THAN BEFORE RES0037-015 OK AND DID THIS ALL START AFTER THE CHEST INFECTION OR DID YOU HAVE SOMETHING LIKE THIS OCCUR BEFORE RES0037-016 THIS ALL STARTED AFTER RES0037-017 OK I SEE WAS THERE ANYTHING THAT HAPPENED AROUND THAT TIME ANY NEW ENVIRONMENT THAT YOU WERE EXPOSED TO RES0037-018 WELL I DID GO TO INDIA A FEW MONTHS AGO RES0037-019 OK AND HOW MANY MONTHS WAS THAT WAS THAT ALSO LIKE TWO MONTHS AGO RES0037-020 ABOUT THAT PROBABLY CLOSER TO THREE OR FOUR BUT RIGHT AROUND THE TIME THAT THAT I THINK THIS COUGH STARTED OR RES0037-021 JUST BEFORE I GOT BACK OK I SEE AND RES0037-022 HOW OFTEN ARE YOU COUGHING RES0037-023 IN A DAY A FEW TIMES AN HOUR OK ANYTHING THAT MAKES RES0037-024 YOUR COUGH GO AWAY NOW YOU'VE TRIED NO NOTHINGS RES0037-025 REALLY HELPED IT GO AWAY OK AND IS IT BETTER OR WORSE DURING GOOD MORNING AS OPPOSED TO NIGHT RES0037-026 IT'S PRETTY IT'S PRETTY BAD ALL DAY ACTUALLY AND IT'S BEEN IMPACTING MY SLEEP BECAUSE I'VE BEEN COUGHING AT NIGHT TOO RES0037-027 I SEE AND IN TERMS OF THINGS THAT MAKE IT WORSE ANYTHING YOU DO AROUND THE HOUSE OR AT WORK THAT MAKES THE COUGHING WORSE RES0037-028 I GUESS IF I'M JUST MOVING AROUND A LITTLE BIT MORE IT MIGHT BRING IT ON A LITTLE BIT MORE BUT IT'S PRETTY BAD ALL DAY RES0037-029 I SEE AND IN TERMS OF ANY OTHER SYMPTOMS YOU MIGHT BE HAVING DO YOU HAVE ANY SHORTNESS OF BREATH RUNNY NOSE ANY CHEST PAIN RES0037-031 NO NOT REALLY OK BESIDES THE PAIN TINGED SPUTUM HAVE YOU EVER COUGHED UP BLOOD LIKE RED BLOOD RES0037-032 NOT ANYTHING THAT WAS REALLY BRIGHT RED MORE PINK RES0037-033 MORE PINK OK SO YOU TRAVELED TO INDIA JUST TWO MONTHS AGO DO YOU REMEMBER WHAT KIND OF PLACE YOU STAYED IN INDIA WAS IT A A IN A CROWDED PLACE OR WERE YOU BY YOURSELF RES0037-034 WELL I MEAN THERE IS A LOT OF PEOPLE AROUND THERE WAS NOT A LOT OF ROOM WHERE I WAS WAS STAYING SO IT WAS PRETTY CROWDED RES0037-035 OK AND WAS THERE ANYONE THAT WAS ILL AROUND YOU OR ANY EXPOSURE TO TUBERCULOSIS RES0037-036 NOT THAT I'M NOT AWARE OF I WAS AROUND MY FAMILY BUT I GUESS IT'S POSSIBLE RES0037-037 OK AND ONCE YOU CAME BACK DID ANYONE ELSE IN YOUR FAMILY GET SICK OR WAS IT JUST YOU RES0037-038 OH I SPOKE TO MY RELATIVE WENT WHEN I GOT BACK AND THEY THEY DIDN'T TELL ME ABOUT ONE OF MY COUSINS THERE THAT WAS FEELING SICK RES0037-039 OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS RES0037-040 I FEEL I FEEL LIKE I'VE BEEN PRETTY PRETTY HOT SOMETIMES RES0037-041 OK AND HOW ABOUT NIGHT SWEATS RES0037-042 THE COUGHS BEEN MESSING WITH MY SLEEP AND I'VE BEEN WAKING UP WITH NIGHT SWEATS RES0037-043 OK AND HAVE YOU BEEN HAVING ANY HEADACHES RES0037-044 NO HEADACHES RES0037-045 ANY DO YOU FEEL THAT YOU'VE LOST ANY RES0037-046 WEIGHT RECENTLY MAYBE RES0037-047 A FEW POUNDS BUT HAVE YOU TRIED TO LOSE WEIGHT OR RES0037-048 WAS THAT UNINTENTIONAL NO I I WAS KIND OF SURPRISED I THOUGHT I WOULD HAVE GAINED WEIGHT CAUSE I'VE BEEN A BIT MORE LAZY RECENTLY RES0037-049 BUT THE WEIGHT SEEMS TO BE DOWN ANYWAY I SEE OK HAVE YOU NOTICED ANY RES0037-050 WHEEZING RES0037-051 SOUNDS WHEN YOU BREATHE OUT OR BREATHE IN NO WHEEZING RES0037-053 NO CHEST PAIN RIGHT NO CHEST PAIN OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS OR HANDS OR ANYWHERE ELSE IN YOUR BODY RES0037-054 NO SWELLING RES0037-055 OK ANY BOWEL MOVEMENT CHANGES ANY CONSTIPATION OR DIARRHEA NEITHER OF THOSE RES0037-056 NO RES0037-057 OK ANY URINARY PROBLEMS RES0037-058 NO RES0037-059 OK ANY CHANGES IN YOUR APPETITE AT ALL DO YOU FEEL THAT YOU'VE LOST ANY APPETITE RES0037-061 MAYBE EATING A LITTLE BIT LESS OK AND IN YOUR CURRENT ENVIRONMENT RIGHT NOW ARE YOU EXPOSED TO ANY FUMES OR DUST OR ANY ANIMALS RES0037-062 WE HAVE A DOG BUT NO FUMES OR ANYTHING LIKE ANYTHING LIKE THAT RES0037-063 OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS RES0037-064 NO RES0037-065 OK IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0037-066 I MEANT HIGH BLOOD PRESSURE TYPE TWO DIABETES AND HIGH CHOLESTEROL RES0037-067 I SEE AND ARE YOU TAKING ANY MEDICATIONS FOR ANY OF THOSE RES0037-068 I'M TAKING A FEW MEDICATIONS FOR BLOOD PRESSURE AND AND AND DIABETES RIGHT NOW AND I THINK I ROSUVASTATIN FOR FOR THE CHOLESTEROL I'M NOT SURE OF THE OTHER ONES THOUGH RES0037-069 OK NO WORRIES AND DO YOU KNOW IF YOU'RE ALLERGIC TO ANY MEDICATIONS OR DO YOU HAVE ANY ENVIRONMENTAL ALLERGIES RES0037-070 I THINK I I GOT A RASH TO PENICILLIN WHEN I WAS WHEN I WAS YOUNGER BUT THAT'S IT RES0037-071 OK ANY PREVIOUS HOSPITALIZATIONS RES0037-072 NOPE RES0037-073 OK ANY SURGERIES RES0037-074 NO SURGERIES RES0037-075 OK AND IN YOUR FAMILY HAS ANYONE EVER HAD ANY CANCERS OR DIED OF A HEART ATTACK RES0037-076 MY MOTHER OUT A HEART ATTACK WHEN SHE WAS FORTY EIGHT RES0037-077 OK AND HAS ANYONE EVER HAD ANYTHING LIKE PULMONARY FIBROSIS OR ANY AUTOIMMUNE CONDITIONS RES0037-078 WHAT ARE THOSE RES0037-079 SO PULMONARY FIBROSIS IS A CONDITION IN YOUR LUNG WHERE YOU START GETTING LIKE THESE RES0037-081-1 NODULES AND IT CAN RUN IN THE FAMILY I SEE AND THAT CAN CAUSE SOME OF THE SYMPTOMS LIKE A CHRONIC COUGH IT CAN CAUSE SOMETIMES SHORTNESS OF BREATH RES0037-081-2 AND IT CAN SOMETIMES BE ASSOCIATED WITH THE LIKE SOME CONNECTIVE TISSUE DISORDERS THAT CAN RUN IN THE FAMILY ANY OF THOSE RING A BELL RES0037-082 NO I HAVEN'T HEARD OF ANYTHING LIKE THAT IN MY FAMILY RES0037-083 OK AND OTHER THAN THAT WHERE DO YOU CURRENTLY LIVE DO YOU LIVE BY YOURSELF OR WITH ANYONE ELSE RES0037-084 I LIVE WITH MY HUSBAND AND THREE SONS JUST OUTSIDE RES0037-085 OF TOWN HERE OK AND RES0037-086 HAVE ANY OF THEM BEEN SICK NO EVERYBODY'S BEEN RES0037-087 FEELING WELL AT HOME OK RES0037-088 AND DO YOU WORK CURRENTLY RES0037-089 NO I'M I RETIRED OK RES0037-090 AND CURRENTLY DO YOU SMOKE CIGARETTES I SMOKE ABOUT A HALF A PACK OF CIGARETTES RES0037-091 PER DAY AND I'VE BEEN TRYING TO CUT DOWN RES0037-092 OK AND HOW LONG HAVE YOU BEEN RES0037-093 SMOKING FOR PROBABLY LIKE THIRTY YEARS I SEE AND DO YOU USE ANY RECREATIONAL RES0037-094 DRUGS LIKE MARIJUANA OR COCAINE NO I'VE NEVER USED RES0037-095 ANYTHING LIKE THAT OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL RES0037-097 NO NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME OR ANY QUESTIONS OR CONCERNS RES0037-099-1 RIGHT NOW RES0037-099-2 OK SO WE'LL BE DOING SOME INVESTIGATIONS SINCE YOU RECENTLY TRAVELED TO INDIA WE NEED TO MAKE SURE THAT YOU DON'T HAVE TUBERCULOSIS AS THAT'S PREVALENT IN SOME PARTS OF INDIA RES0037-099-3 SO WE WILL DO SOME WE MIGHT GET LIKE A CHEST X RAY FOR THAT YOU MAY HAVE A PNEUMONIA AS WELL AND THEN WE'LL GO FROM THERE DOES THAT SOUND GOOD RES0037-101 FOR SURE OK ALRIGHT WELL WELL AFTER THOSE TESTS HAVE COME BACK WE'LL SEE YOU IN THE NEXT APPOINTMENT FOR FOLLOW UP RES0038-000 SO WHAT BRINGS YOU HERE TODAY AT THE FAMILY CLINIC RES0038-001 I HAVEN'T BEEN COUGHING THESE LAST TWO WEEKS SINCE I GOT BACK FROM MEXICO I THINK I GOT SICK THERE RES0038-002 OK SO JUST THE LAST COUPLE WEEKS YOU'VE BEEN COUGHING RES0038-003 EVER SINCE I GOT BACK FROM MEXICO IT'S BEEN SO ABOUT ABOUT TWO WEEKS RES0038-004 OK AND IS YOUR COUGH FOR A WET COUGH OR DRY COUGH RES0038-005 IT'S DRY AND I'M NOT BRINGING UP ANY ANY SPUTUM RES0038-006 OK AND ARE YOU COUGHING UP ANY BLOOD AT ALL RES0038-007 NO BLOOD RES0038-008 NO OK AND IS THE COUGH CONSTANT OR DOES IT COME AND GO RES0038-009 IT IT COMES AND GOES I WOULD SAY SOMETIMES IT CAN BE WORSE DEPENDING ON ON WHAT I'M WHAT I'M DOING I GUESS IF I'M EXERCISING OR IF IT'S IF IT'S REALLY RES0038-010 COLD OUTSIDE IT MIGHT GET WORSE OK AND RES0038-011 DO YOU FEEL THAT IT'S BEEN GETTING WORSE AT ALL YOUR COUGH RES0038-012 NOT REALLY I THINK IT'S ABOUT THE SAME OK AND ANYTHING THAT YOU DID WHEN YOU WERE IN MEXICO THAT MIGHT YOU THINK MIGHT HAVE CAUSED YOUR COUGH RES0038-013 I DON'T KNOW MAYBE I I WAS DRINKING A LITTLE BIT TOO MUCH AND PARTYING A LITTLE BIT TOO MUCH SO MIGHT HAVE GOT SICK WHILE I WAS THERE RES0038-014 I SEE DID YOU HAVE ANY COLD SYMPTOMS LIKE RUNNY NOSE SORE THROAT ANY ANYTHING LIKE THAT WHEN YOU WERE THERE OR AFTER YOU CAME BACK RES0038-015 NO SOMETIMES MY EYES CAN GET A LITTLE ITCHY BUT NO RUNNY NOSE OR SORE THROAT RES0038-016 OK HAVE YOU HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO HOW YOU'RE FEELING NOW RES0038-017 MAYBE YEARS AGO WHEN I LIKE WHEN I WAS IN ELEMENTARY SCHOOL BUT NOTHING FOR THE LAST FEW YEARS RES0038-018 OK AND HOW OFTEN ARE YOU COUGHING LET'S SAY IN AN AVERAGE DAY RES0038-019 IT'S IT'S PRETTY VARIABLE I WOULD SAY SO IF I'M EXERCISING IT WILL IT'LL THROW ME INTO A COUGHING FIT AND AND SOMETIMES IT'S REALLY BUGGING ME AT NIGHT TOO IT'LL AFFECT ME IT'S IMPAIRING MY SLEEP RES0038-020 OK AND SO EXERCISE MAKES IT WORSE ANYTHING THAT YOU DO THAT HELPS YOU RELIEVE THE COUGH RES0038-021 I ACTUALLY I TRIED MY SONS INHALER AND IT SEEMED TO ACTUALLY HELP BUT ONE OF THE DAYS I JUST COULDN'T SEEM TO STOP THE COUGH AND I WANTED TO SLEEP SO I GAVE IT A TRY AND IT IT SEEMED TO ACTUALLY HELP WITH THE COUGH RES0038-022 OK AND SO YOUR SON HAS INHALERS DOES HE HAVE ASTHMA RES0038-023 HE DOES HE WAS DIAGNOSED WITH ASTHMA A COUPLE OF YEARS AGO RES0038-024 OK AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ASTHMA RES0038-025 I THINK IF THEY'VE SAID IT BEFORE WHEN I WAS YOUNG BUT I HAVEN'T HAD ANY SYMPTOMS FOR FOR FOR YEARS RES0038-026 OK AND BESIDES THE COUGH DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY COLD SYMPTOMS OF RUNNY NOSE SORE THROAT RIGHT NOW OR EVEN LIKE ANY CHEST PAIN RES0038-027 NO NOTHING LIKE THAT RES0038-028 OK AND DO YOU HAVE ANY SYMPTOMS LIKE A HEADACHE OR NAUSEA OR VOMITING RES0038-029 NOPE NO HEADACHE NAUSEA OR VOMITING RES0038-030 OK IS YOUR COUGH AT ALL WORSE DURING THE DAY OR AT NIGHT OR DOES IT JUST IS AT AROUND THE SAME THROUGHOUT THE DAY RES0038-031 I THINK THE COUGHS WORSE AT NIGHT RES0038-032 OK AND DO YOU EVER FEEL THAT YOU'RE SHORT OF BREATH AT ALL RES0038-033 WELL SO IT AFFECTS ME IF I'M OUTSIDE AND THAT THAT'S ACTUALLY USUALLY WHEN RES0038-034 MY EYES WILL GET ITCHY TOO OK AND HAVE YOU HAD ANY RES0038-035 ECZEMA IN THE PAST I HAD I HAD ECZEMA WHEN I WAS I WAS YOUNGER I THINK THAT WAS IN IT WHEN I WAS IN ELEMENTARY SCHOOL AS WELL RES0038-036 OK HAVE YOU HAD ANY FEVERS OR CHILLS RECENTLY RES0038-037 NO RES0038-038 ANY NIGHT SWEATS RES0038-039 NO RES0038-040 HAVE YOU BEEN FEELING INCREASINGLY TIRED THROUGHOUT THE DAY RES0038-041 NO MY ENERGY'S BEEN BEEN GOOD I JUST GET SHORT OF BREATH OR OR HAVE THESE COUGHING FITS IF I IF I EXERT MYSELF RES0038-042 OK HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR HANDS RES0038-043 NO RES0038-044 ANY DIZZINESS RES0038-045 NO DIZZINESS RES0038-046 DO YOU EVER FEEL YOUR HEART IS RACING WHEN YOU GET LIKE THESE THUMPING LIKE HEART PALPITATIONS RES0038-047 NOTHING LIKE THAT RES0038-048 OK AND YOU SAID NO CHEST PAIN RIGHT RES0038-049 NO CHEST PAIN RES0038-050 OK HAVE YOU NOTICED ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA RES0038-051 NO DIARRHEA RES0038-052 OK ANY CHANGES IN YOUR URINARY PATTERNS RES0038-053 NO EVERYTHING'S BEEN NORMAL RES0038-054 OK SO YOU MENTIONED LIKE THE COUGHS BEEN KEEPING YOU UP AT NIGHT HOW HOW OFTEN ARE YOU WAKING UP AT NIGHT IS IT PRETTY FREQUENT RES0038-055 I WOULD SAY ABOUT TWO OR THREE NIGHTS A WEEK OVER THESE LAST TWO WEEKS IT'S BEEN IT'S BEEN GETTING WORSE RES0038-056 OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR WEIGHT AT ALL RES0038-057 MY WEIGHT'S BEEN ABOUT THE SAME RES0038-058 OK ANY CHANGES IN YOUR APPETITE RES0038-059 NO BEEN EATING WELL RES0038-060 OK ANY RECENT EXPOSURES TO ANYONE WITH TUBERCULOSIS THAT YOU KNOW OF RES0038-061 NO RES0038-062 NO OK HAVE YOU LOST YOUR SENSE OF TASTE OR SMELL RECENTLY RES0038-063 NEITHER OF THOSE RES0038-064 OK AND HAVE YOU BEEN EXPOSED TO ANY FUMES OR DUST IN YOUR SURROUNDING AREA OR DO YOU HAVE ANY PETS OR ANIMALS AT HOME RES0038-065 WE HAVE A RES0038-066 TWO CATS AND BUT NOTHING AT WORK RES0038-067 OK AND HOW LONG YOU'VE HAD THOSE CATS FOR WE'VE HAD THEM FOR FOR RES0038-068 ALMOST A YEAR OK AND OTHER THAN ECZEMA AND REMOTE HISTORY OF PERHAPS ASTHMA WHEN YOU WERE YOUNGER ANY OTHER MEDICAL CONDITIONS LIKE DIABETES OR HIGH BLOOD PRESSURE THAT YOU'VE BEEN DIAGNOSED WITH RES0038-069 NO I'VE BEEN HEALTHY THAT WAY RES0038-070 OK ANY MEDICATIONS THAT YOU ARE ON CURRENTLY RES0038-071 NO MEDICATIONS RES0038-072 OK DO YOU KNOW OF ANY ALLERGIES TO ANY ENVIRONMENTAL EXPOSURES OR ANY MEDICATIONS AT ALL RES0038-073 I THINK I HAVE I'M ALLERGIC TO POLLEN AND SOME OTHER ENVIRONMENTAL AND ALLERGIES AS WELL RES0038-074 OK AND WHEN YOU COUGH HAVE YOU EVER NOTICED LIKE WHEEZING NOISES AT ALL RES0038-075 OCCASIONALLY THERE THOUGH I DO NOTICE A WHEEZE RES0038-076 OK AND HAVE YOU EVER BEEN HOSPITALIZED BEFORE RES0038-077 NO I HAVEN'T RES0038-078 OK ANY PREVIOUS SURGERIES RES0038-079 NO SURGERIES RES0038-080 OK AND HAS ANYONE AROUND YOU BEEN ILL RECENTLY RES0038-081 EVERYBODY'S BEEN HEALTHY RES0038-082 OK AND DO YOU HAVE ANY FAMILY HISTORY OF CANCERS OR ANYTHING RELATED TO THE LUNGS AT ALL RES0038-083 NO I MEAN MY SISTER HAD ECZEMA AS WELL BUT THAT'S IT RES0038-084 OK THAT'S IT OK ANY HEART ATTACKS IN YOUR FAMILY ANY OTHER MEDICAL CONDITIONS RES0038-085 NO EVERYONE'S HEALTHY RES0038-086 OK AND CURRENTLY WHAT IS YOUR LIVING SITUATION LIKE RES0038-087 SO I LIVE IN AN APARTMENT NEARBY RES0038-088 WITH MY BOYFRIEND OK AND HAS THERE BEEN ANY HAVE YOU MOVED THERE RES0038-089 RECENTLY OR HOW LONG HAVE YOU LIVED THERE FOR RES0038-090 WE'VE LIVED THERE FOR ABOUT FOUR YEARS NOW FOUR YEARS OK AND HAS ANYTHING CHANGED RECENTLY HAS THERE BEEN ANY MOLD OR NEW CARPETS THAT YOU GUYS GOT ANYTHING NEW IN THE HOUSE RES0038-091 I DON'T I DON'T THINK SO RES0038-092 OK AND DO YOU CURRENTLY WORK RES0038-093 I WORK AS A A SCHOOL TEACHER RES0038-094 OK AND DO YOU SMOKE AT ALL RES0038-095 NO I DON'T RES0038-096 HAVE YOU EVER SMOKED RES0038-097 I DID I I SMOKED A PACK A DAY UP UNTIL JUST ABOUT A MONTH AGO I MADE IT WAS A NEW YEAR'S RESOLUTION TO QUIT RES0038-098 OH WOW WELL CONGRATULATIONS THAT'S IT'S DEFINITELY VERY DIFFICULT TO QUIT AND IF YOU NEED AT ALL ANY HELP AT ALL WITH YOUR TRANSITION AT ALL WE CAN ALWAYS BRING IT UP IN ANY APPOINTMENT RES0038-099 OK THANK YOU RES0038-100 AND IN TERMS OF RECREATIONAL DRUGS DO YOU USE MARIJUANA OR COCAINE OR ANY OTHER RECREATIONAL DRUGS RES0038-101 MAYBE I'LL I'LL SMOKE LIKE ONE OR TWO JOINTS A WEEK RES0038-102 OK AND DO YOU DRINK ALCOHOL RES0038-103 MAYBE A BOTTLE OF WINE ON THE WEEKENDS RES0038-104 OK SO YOU GO THROUGH LIKE AROUND A BOTTLE EVERY WEEK RES0038-105 I WOULD SAY ABOUT A BOTTLE OF WINE ON THROUGHOUT THE WEEK BUT USUALLY DON'T REALLY HAVE ANY DURING THE WEEK I'LL USUALLY I GUESS SPLIT THE BOTTLE BETWEEN BETWEEN FRIDAY TO SUNDAY SORT OF THING RES0038-106 OK AND IN TERMS OF EXERCISE DO YOU FIND THAT YOU'RE GETTING ADEQUATE EXERCISE THROUGHOUT THE WEEK RES0038-107 I TRIED TO I TRIED TO RUN AND GO FOR WALKS BUT ALWAYS TRYING TO BE A LITTLE BIT MORE ACTIVE RES0038-108 OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY OTHER QUESTIONS FOR ME RES0038-109 NOPE THAT WAS IT RES0038-110-1 OK SO BASED ON WHAT WE TALKED ABOUT IT SEEMS THAT BASED ON YOUR PAST HISTORY AND THE COUGHING THAT YOU'RE HAVING RIGHT NOW ONE OF THE THINGS THAT WE DEFINITELY WANT TO LOOK AT IS IF YOU DO IN FACT HAVE ASTHMA RES0038-110-2 IT CAN ALSO BE LIKE VIRAL UPPER RESPIRATORY TRACT INFECTION BUT WE WILL DO SOME PULMONARY FUNCTION TESTS FOR YOU AND RES0038-110-3 SEE IF THE BRONCHODILATORS JUST LIKE YOU USE THE INHALER FROM YOUR SON IF THAT HELPS HELPS YOU WITH YOUR SYMPTOMS AND THEN WE CAN GO FROM THERE RES0038-111 THAT SOUNDS GREAT THANK YOU RES0038-112 YOU'RE WELCOME WELL TAKE CARE RES0042-000 WHAT BRINGS YOU IN TODAY RES0042-001-1 SO JUST FOR THE PAST LIKE THREE DAYS I'VE BEEN COUGHING IT'S I I DON'T FEEL PARTICULARLY SICK I'M JUST KIND OF DRY LIKE ANNOYING CALL THAT WON'T GO AWAY AND THEN TODAY I TOOK MY TEMP IN IT RES0042-001-2 IT'S PRETTY HIGH IT WAS LIKE NINETY NINE POINT LIKE NINE I DIDN'T REALLY TAKE IT THE OTHER DAYS SO I GUESS SO I JUST THOUGHT I'D BETTER COME GET IT CHECKED OUT BECAUSE I RES0042-001-3 I AM ON LIKE A BIOLOGIC MEDICATION SO FOR MY CROHN'S DISEASE RES0042-002 OK THANK YOU FOR COMING IN I THINK IT'S GOOD THAT YOU ARE GETTING THIS CHECKED OUT AS EARLY AS POSSIBLE SO JUST TO REWIND A LITTLE BIT WHEN DID YOUR DRY COUGH START RES0042-003 LIKE THREE DAYS AGO THREE DAYS AGO RES0042-004 THREE DAYS AGO OK AND WHEN DID YOUR FEVER START SO I DIDN'T TAKE MY TEMP BUT RES0042-005 LIKE THE OTHER DAYS BUT LIKE FOR SURE THIS MORNING OK OK RES0042-022 SORE THROAT OK ANY ISSUES WITH TASTE OR SMELL NO DO YOU HAVE A RUNNY NOSE OR A STUFFY NOSE RES0042-023 MAYBE A BIT OF A RUNNY NOSE RES0042-024 OK AND ANY ISSUES WITH VISION OR HEARING RES0042-025 NO RES0042-026 OK HOW ABOUT FEVERS OR CHILLS RES0042-027 NO NO FEVER I MEAN I I TOOK MY TEMP WAS HIGH I GUESS I FELT HOT BUT I DIDN'T THERE WERE NO CHILLS RES0042-028 OK OK HOW ABOUT WEIGHT LOSS OH THAT'S OK HOW ABOUT WEIGHT LOSS RES0042-029 WEIGHT LOSS NO NO NOTHING NOTHING NEW RES0042-030 OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES RES0042-031 NO RES0042-032 OK ANY ISSUES SWALLOWING FOOD RES0042-033 NO RES0042-034 NAUSEA OR VOMITING RES0042-035 NO RES0042-036 CHANGES IN YOUR BOWEL HABITS RES0042-037 WELL LIKE I SAID I HAVE CROHN'S DISEASE I'M NOT LIKE IN A FLARE RIGHT NOW OR ANYTHING SO I'LL SAY NO BUT LIKE MY BASELINE IS NOT LIKE TOTALLY NORMAL RES0042-038 OK THAT MAKES SENSE ALRIGHT DO RES0042-040 ANY CHANGES IN YOUR URINE RES0042-041 NO CHANGES IN URINE HOW ABOUT DIZZINESS RES0042-043 OR FAINTING SPELLS NO RES0042-045 ANY CONFUSION OR MEMORY LOSS NO OK AND ARE YOU OTHERWISE HEALTHY I KNOW YOU MENTIONED YOU HAVE CROHN'S DISEASE DO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS RES0042-046 OH NOT REALLY JUST THAT AND ECZEMA RES0042-047 ECZEMA OK RES0042-048 TENDS TO GET PRETTY BAD LIKE I DON'T REALLY HAVE ANY RIGHT NOW BUT I REALLY STAY ON TOP OF IT WITH LIKE MY MOISTURIZERS AND LIKE I ALWAYS HAVE LIKE A HYDROCORTISONE CREAM ON HAND JUST IN CASE RES0042-049 FOR SURE HOW LONG HAVE YOU HAD ECZEMA FOR RES0042-050 OH LIKE WHEN I WAS STARTED WHEN I WAS LIKE A KID AND THEN I FEEL LIKE WHEN I WAS A TEENAGER I DIDN'T REALLY AND THEN PART OF IT AS AN ADULT I REALLY HAVE TO TAKE CARE OF IT OR ELSE IT GETS BAD RES0042-051 OK OK HAVE YOU EVER BEEN HOSPITALIZED OR HAVE YOU HAD ANY SURGERIES IN THE PAST RES0042-052 LIKE WHEN I WAS FIRST DIAGNOSED WITH CROHN'S MAYBE TWENTY YEARS AGO WHEN I WAS LIKE TWENTY I WAS IN THE HOSPITAL FOR A LITTLE BIT CAUSE I WAS REALLY DEHYDRATED AND I COULDN'T REALLY LIKE I JUST COULDN'T I WASN'T FEELING WELL AT THAT TIME BUT SINCE THEN I'VE BEEN PRETTY ON TOP OF IT RES0042-053 OK THAT'S GOOD TO HEAR YOU MENTIONED YOU'RE ON BIOLOGICS FOR CROHN'S DISEASE ARE THERE ANY OTHER MEDICATIONS THAT YOU'RE ON RES0042-054 JUST LIKE THE HYDROCORTISONE CREAM RES0042-055 ON OCCASION RIGHT OK RES0042-056 OK AND DO YOU HAVE ANY ALLERGIES LIKE I HAVE SOME SEASONAL ALLERGIES LIKE ITS RAGWEED WHICH IS NOT LIKE RIGHT NOW IS NOT THE RES0042-057 TIME FOR IT AND LIKE RES0042-058 DOGS OK OK IT'S JUST LIKE THIS ENVIRONMENTAL IT'S NOT LIKE NOT LIKE THE REALLY DANGEROUS ALLERGIES YOU KNOW RES0042-059 RIGHT OK HOW ABOUT IMMUNIZATIONS RES0042-060 ARE YOU UP TO DATE RES0042-061 I THINK SO ALRIGHT AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS RES0042-062 OH LIKE MY DAD HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT I DON'T THINK THERE IS ANYTHING THAT STOOD OUT RES0042-063 OK AND HOW ABOUT YOUR SMOKING HISTORY DO YOU SMOKE AT ALL RES0042-064 LIKE I DID FOR A COUPLE YEARS WHEN I WAS LIKE EIGHTEEN AND THEN I HAVEN'T EVER SINCE RES0042-065 OK HOW ABOUT MARIJUANA RES0042-067 NO NO MARIJUANA OK HOW ABOUT RES0042-069 RECREATIONAL DRUGS RES0042-070 NO OK ALCOHOL I LIKE I MIGHT HAVE LIKE A COUPLE RES0042-071 BEERS ON THE WEEKEND BUT RES0042-072 NOT A LOT SURE AND WHERE DO YOU LIVE RIGHT NOW SO I LIVE IN A TOWNHOUSE IN LONDON HERE I LIVE ALONE BUT MY I HAVE MY KIDS EVERY I HAVE MY KIDS RES0042-073 LIKE WEDNESDAYS AND THURSDAYS AND THEN EVERY OTHER WEEKEND OK ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS ANYTHING LIKE THAT IN THE HOME RES0042-074 NO IT'S LIKE A PRETTY NEW BUILD RES0042-075 OK AND HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY RES0042-076 I MEAN MY KIDS JUST LEFT THIS WEEKEND THERE'S REALLY ONLY PEOPLE I'VE BEEN AROUND I CAN I MAYBE I SHOULD HAVE ASKED HIM BEFORE COMING HERE IF THEY LIKE KNEW THEY HAD SEEN ANYONE BUT THEY WERE FINE OVER THE WEEKEND RES0042-077 OK AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY RES0042-078 NO RES0042-079 NO OK THOSE WERE ALL THE QUESTIONS THAT I HAD TODAY WERE THERE WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD ANYTHING THAT I MISSED PERHAPS RES0042-080 I DON'T THINK SO I THINK THAT'S IT RES0042-081 OK RES0042-082 YOU KNOW I HOPE I HOPE I JUST WANTED TO COME IN IN CASE IT WAS SOMETHING BAD BECAUSE I YOU KNOW I HAVE THOSE OTHER HEALTH PROBLEMS I JUST WANT TO MAKE SURE RES0042-083-1 YEAH YEAH FOR SURE AND I THINK IT'S A GOOD THING THAT YOU CAME IN SO THANK YOU RIGHT NOW I GUESS TOP ON THE LIST OF THINGS THAT YOU COULD POSSIBLY HAVE IS COVID RES0042-083-2 SO WE'LL GET YOU TESTED FOR THAT AND WE'LL GET YOU A SWAB AND YOU SHOULD HAVE THE RESULTS OF THE THAT SWAB IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS RES0042-083-3 YOU SHOULD ISOLATE FOR FOURTEEN DAYS REGARDLESS THOUGH BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVID AND AND THAT INCLUDES ISOLATING FROM YOUR YOUR CHILDREN AS WELL RES0042-084 OH OK RES0042-085-1 AND YEAH AND IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND AT THIS TIME OF YEAR JUST SO JUST MAKE SURE YOU'RE STAYING HYDRATED YOU'RE RES0042-085-2 EATING NUTRITIOUS FOODS AND GETTING GOOD SLEEP IF YOUR SYMPTOMS DO BECOME WORSE AND IF THEY BECOME SEVERE LIKE YOU HAVE A REALLY HIGH TEMPERATURE YOU HAVE TROUBLE BREATHING RES0042-085-3 OR YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR FAINTING SPELLS PLEASE DO GO TO THE ER AND SEEK HELP HOW DOES THAT SOUND RES0042-086 I GUESS THAT SOUNDS GOOD THIS IS HOW IT'S GOTTA BE RIGHT RES0042-087 UNFORTUNATELY OR WELL THANK YOU AGAIN RES0042-088 NO THANK YOU HAVE A GOOD DAY RES0043-000 WHAT BRINGS YOU ALL IN TODAY RES0043-001-1 ESSENTIALLY WHEN HE SO TODAY IS FRIDAY WHEN HE GOT HOME FROM SCHOOL ON WEDNESDAY HE SEEMED FINE BUT HE I DON'T KNOW THAT NIGHT HE STARTED TO RES0043-001-2 HAVE A BIT OF LIKE A COUGH IT JUST SEEMED LIKE A LITTLE DRY COUGH BUT OBVIOUSLY I JUST WANTED TO KEEP HIM HOME KEEP HIM SAFE AND NOT LIKE SPREAD ANYTHING IF HE WAS SICK SO HE STAYED AT HOME RES0043-001-3 ON THURSDAY AND HE WAS LIKE HAVING A BIT OF A COUGH AND THEN YESTERDAY IT SEEMED TO GET A LITTLE BIT WORSE AND HE WAS REALLY TIRED OR SORRY RES0043-001-4 IT'S TODAY TODAY IS FRIDAY HE WAS LIKE HIS COUGH IS LIKE GETTING A BIT WORSE AND I'VE BEEN TAKING HIS TEMP THE WHOLE TIME AND IT GOT LIKE A LITTLE HIGH TODAY WHAT WAS IT RES0043-001-5 MY THERMOMETER SAYS IT WAS HIGH I'M JUST LIKE TRYING TO REMEMBER IT WAS IT WAS IT WAS LIKE OVER ONE HUNDRED THOUGH RES0043-002 OH OK RES0043-003 ONE HUNDRED AND ONE OR SOMETHING OR MAYBE ONE HUNDRED ONE BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW THOUGHT HE COULD HAVE MAYBE GOT COVID AND GET SCHOOL OR SOMETHING RES0043-004 FOR SURE OK SO JUST TO CLARIFY HE'S HAD THIS COUGH AND FEVER FOR THE PAST FIVE FIVE DAYS RES0043-005 OK OK SO LET'S FOCUS ON THE COUGH RES0043-006 SORRY IT'S BEEN MORE LIKE THREE THREE DAYS LIKE WEDNESDAY IS WHEN HE CAME HOME AND THEN AND THEN TODAY'S FRIDAY SO SORRY RES0043-007 TODAY IS FRIDAY OK OK SURE SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH RES0043-008 I THINK IT'S DRY I HAVEN'T NOTICED HIM LIKE SPITTING UP ANYTHING HE IT'S JUST BEEN LIKE LITTLE COUGHS RES0043-009 OK AND HE IS HE HE'S NOT BRINGING UP ANY SPUTUM OR BLOOD RES0043-010 NO RES0043-011 NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU RES0043-012 NO NO NOT THAT I'VE NOTICED RES0043-013 OK HOW ABOUT SHORT OF BREATH RES0043-014 I DON'T THINK SO LIKE HE USUALLY HE'S A REALLY ACTIVE KID AND HE HAS HE HASN'T BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HE'S JUST BEEN TIRED IN GENERAL RES0043-015 OK OK AND IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING RES0043-016 I THINK IT KINDA JUST THERE THE WHOLE DAY RES0043-017 OK AND DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS RES0043-018 I JUST SOUNDS KIND OF DRY IT'S NOT LIKE SUPER LOUD RES0043-019 OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST RES0043-020 I DON'T LIKE HE'S HAD COLDS BEFORE BUT I HAVEN'T LIKE I HAVEN'T LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD RES0043-021 OK AND ARE HIS SYMPTOMS GETTING WORSE RES0043-022 I THINK SO BECAUSE HE FIRST DAY HE JUST SEEMED LIKE LITTLE DRY AND THEN YESTERDAY IS COUGHING AND TODAY HE ACTUALLY HAS A FEVER RES0043-023 OK AND IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEART'S RACING RES0043-024 NO I DON'T THINK SO RES0043-025 NO OK DOES HE HAVE A SORE THROAT RES0043-026 I DON'T THINK SO RES0043-027 OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS RES0043-028 I DON'T KNOW IF HE'S HAVING TROUBLE SWALLOWING BUT HE DOESN'T SEEM TO HAVE A BIG APPETITE RIGHT NOW RES0043-029 OK AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE RES0043-030 MAYBE A BIT OF LIKE A RUNNY NOSE RES0043-031 OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE RES0043-032 THIS MORNING HE REALLY SEEMED LIKE HE WASN'T LIKE INTO HIS BREAKFAST AND I WONDER IF HE'S LOSING HIS SENSE OF TASTE A LITTLE BIT RES0043-033 OK HOW ABOUT VISION OR HEARING RES0043-034 I THINK THOSE ARE FINE RES0043-035 OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS RES0043-036 NO RES0043-037 OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES RES0043-038 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0043-039 OK ANY CHANGES IN HIS BOWEL MOVEMENTS RES0043-042 PARDON I'M SORRY NO RES0043-043 CHANGES OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL RES0043-044 NO RES0043-045 OK ANY NAUSEA OR VOMITING RES0043-046 NO RES0043-047 OK ANY CHANGES IN HIS URINE RES0043-048 REALLY BEEN LOOKING BUT I DON'T THINK SO RES0043-049 ANY DIZZINESS OR FAINTING SPELLS RES0043-050 NO JUST LIKE FATIGUE RES0043-051 OK ANY CONFUSION OR MEMORY LOSS RES0043-052 NO RES0043-053 AND IS HE AN IS HE AN OTHERWISE HEALTHY CHILD RES0043-054 ABSOLUTELY HE HASN'T LIKE DECIDE TO LIKE VACCINES HE HASN'T HAD TO GO TO THE DOCTOR LIKE EVER I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT RES0043-055 OK SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM RES0043-056 EXACTLY LIKE NOTHING RES0043-057 OK AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM RES0043-058 TOTALLY RES0043-059 OK AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH RES0043-060 NO NO LIKE EVERYTHING WAS THINGS REALLY GOOD RES0043-061 OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW RES0043-062 TOTALLY RES0043-063 OK AND DOES HE HAVE ANY ALLERGIES RES0043-064 NO NO I DON'T THINK SO I MEAN LIKE HE HASN'T REALLY TAKEN A LOT OF MEDICINE SO IT'S HARD TO SAY BUT LIKE NOTHING SO FAR RES0043-065 IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0043-066 OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS RES0043-067 NO EVERYONE IS REALLY HEALTHY RES0043-068 OK AND ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE RES0043-069 HE LIVES WITH ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE JUST IN TOWN HERE RES0043-070 OK AND IS SHE HEALTHY RES0043-071 I LIKE SHE SHE'S HEALTHY RES0043-072 OK AN ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOU'RE IN RES0043-073 NO RES0043-074 NO OK HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY RES0043-075 NOT NOT LIKE OUTSIDE OF SCHOOL I LIKE WE KNOW FOR SURE NOT OUTSIDE OF SCHOOL BUT HE GOES TO SCHOOL RIGHT NOW SO KIND OF HARD TO SAY THEY HAVEN'T LIKE CONTACTED US ABOUT ANYTHING RES0043-076 OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY RES0043-077 NO RES0043-078 NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WERE WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO CHAT ABOUT TODAY RES0043-079-1 I DON'T THINK SO LIKE I REALIZED THAT I CAN OFTEN TIMES LIKE WE DON'T REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN IT'S JUST LIKE A VIRUS OR SOMETHING BUT RES0043-079-2 WE DO I GUESS NEED TO HAVE A COVID TEST TO GO BACK TO SCHOOL EVEN IF YOU KNOW EITHER WAY CAUSE THEY WANT US TO BE ABLE TO SAY IT'S LIKE THE OTHER KIDS HAVE HAD AN EXPOSURE RES0043-081 NO GO AHEAD RES0043-082 SO I JUST WANTED TO BASICALLY SEE IF IT WAS THAT AND I MEAN HE DOES RECEIVE YOU'RE SO SCARED THAT'S KIND OF WHAT MADE ME COME IN LIKE IT'S SCARING ME A LITTLE BIT RES0043-083-1 RIGHT OK SO FIRST THING IS FIRST WE NEED TO DO A COVID SWAB JUST TO MAKE SURE THAT HE EITHER HAS IT OR IT DOESN'T HAVE IT AND THOSE RESULTS WILL COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS RES0043-083-2 WE DO SUGGEST BECAUSE HIS SYMPTOMS OVERLAP WITH SYMPTOMS OF COVID THAT HE ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES FROM HIS HIS YOUNGER SISTER IF POSSIBLE RES0043-083-3 AND THEN IF THE SWAP COMES BACK NEGATIVE THERE IS A CHANCE FOR FALSE NEGATIVES BUT ALSO IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND NOWADAYS RES0043-083-4 IF HIS SYMPTOMS GET WORSE SO IF HE HAS A REALLY HIGH TEMPERATURE IF HE HAS ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR RES0043-083-5 IF HE'S FEELING WEAK DIZZY IF HE HAS ANY FAINTING SPELLS PLEASE DO TAKE HIM TO THE ER AND RES0043-083-6 SO FOR NOW I'LL JUST WAIT FOR THOSE COVID SWABS TO COME BACK HOW DOES THAT SOUND RES0043-084 SOUNDS GOOD RES0043-085 OK GREAT RES0043-086 THANK YOU RES0043-087 NO WORRIES AND I SHOULD HAVE MENTIONED IF IT WAS JUST THE COUGH OR IF HE WAS JUST SHORT OF BREATH OR SOMETHING LIKE THAT AND HE DIDN'T HAVE THE FEVER WE WOULD ADD EVERYTHING'S LIKE ASTHMA TO THE LIST OF THINGS RES0043-088 HE COULD BE WORKED UP FOR BUT RIGHT NOW IT SOUNDS LIKE A IT SOUNDS LIKE AN INFECTION RES0043-089 OK THAT'S GOOD TO KNOW RES0043-090 ALRIGHT SOUNDS GREAT HAVE A GOOD DAY RES0043-091 YOU TOO THANKS RES0044-000 WHAT BRINGS YOU IN RES0044-001 I JUST I HAVE I HAVE A COUGH THAT I'VE HAD FOR A COUPLE OF DAYS AND LIKE NORMALLY IF I HAD A COUGH OR COLD I WOULD JUST LIKE STAY HOME AND REST BUT JUST BECAUSE YOU KNOW THERE'S LIKE COVID I I WANTED TO MAKE SURE LIKE I WANTED TO GET CHECKED OUT RES0044-002 OF COURSE THAT THAT WAS A GREAT IDEA THANKS FOR COMING IN HOW LONG HAVE YOU HAD THIS COUGH FOR RES0044-003 IT'S LIKE TWO DAYS LIKE MAYBE THREE DAYS AGO I STARTED TO FEEL LIKE MY THROAT WAS DRY AND I WAS LIKE OH MAYBE I NEED TO DRINK MORE WATER OR SOMETHING AND THEN THE NEXT DAY I STARTED LIKE ACTUALLY COUGHING RES0044-004 OK IS IT A DRY COUGH OR A WET COUGH RES0044-005 IT'S REALLY DRY RES0044-006 REALLY DRY OK SO NO SPUTUM NO BLOOD THAT YOU'RE BRINGING UP RES0044-007 NO NOTHING LIKE THAT IT'S JUST KIND OF ANNOYING RES0044-008 DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH YOUR COUGHING RES0044-009 I DON'T THINK SO RES0044-010 NO OK NO SHORTNESS OF BREATH RES0044-011 NO NO I'VE BEEN I FEEL LIKE I'VE BEEN TIRED BUT I DON'T THINK IT'S BEEN ACTUALLY HARD TO BREATHE I JUST FEEL OVERALL LIKE REALLY TIRED RES0044-012 OK OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH LIKE OVER THE COUNTER COUGH SYRUP OR ANYTHING LIKE THAT RES0044-013 LIKE I HAVE I'VE JUST BEEN DRINKING TEA AND JUST LIKE TEA WITH HONEY JUST TO LIKE MAKE IT FEEL BETTER I I DIDN'T LIKE TAKE ANY MEDICINE RES0044-014 OK AND DO YOU HAVE YOU NOTICED THAT THERE ARE ANY TRIGGERS FOR YOUR COUGH LIKE THE COLD OR DUST OR ANY LIKE ENVIRONMENTAL TRIGGERS RES0044-015 I MEAN I'VE BEEN JUST BECAUSE OF COVID AND STUFF I'VE BEEN STAYING HOME EVER SINCE I HAD IT RES0044-016 SO I DON'T I CAN'T THINK OF ANYTHING BUT I DON'T THINK SO RES0044-017 OK AND DO YOU FIND THAT IT'S CONSTANTLY THERE OR IS IT WORSE DURING A PARTICULAR TIME OF DAY LIKE MORNING AFTERNOON OR EVENING RES0044-018 IT'S KIND OF JUST BEEN THERE RES0044-019 ALL THE TIME RIGHT NOW RES0044-020 OK AND IS IT GETTING WORSE DO YOU THINK RES0044-021 I THINK SO I THINK LIKE TODAY IS WORSE THAN YESTERDAY AND THE DAY BEFORE THAT IT JUST FELT LIKE DRY AND THEN AND THEN LIKE THE NEXT DAY I STARTED COUGHING SO RES0044-022 OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST RES0044-023 I MEAN I'VE HAD COUGHS BEFORE THIS ONE FEELS LIKE PARTICULARLY DRY BUT LIKE IT IT'S NOT TOO DIFFERENT THAN LIKE WHEN I'M JUST LIKE LIKE HAD A COUGH IN OTHER YEARS RES0044-024 OK OK AND YOU MENTIONED THAT YOUR THROAT WAS ALSO DRY DO YOU HAVE A SORE THROAT RES0044-025 MAYBE A LITTLE BIT THIS MORNING LIKE AT FIRST IT JUST FELT DRY LIKE I WAS THINKING LIKE OH IT'S LIKE YOU KNOW I NEED TO TAKE A SIP OF WATER OR SOMETHING AND NOW IT JUST FEELS NOW IT'S STARTING TO THINK I FEEL A LITTLE BIT SORE I THINK RES0044-026 OK IS IT HARD FOR YOU TO SWALLOW FOODS OR FLUIDS RES0044-027 OH SORRY COULD YOU REPEAT THAT I JUST MISSED THE LAST PART RES0044-028 OH NO WORRIES IS IT HARD FOR YOU TO SWALLOW FOOD OR FLUIDS RES0044-029 NO IT'S NOT HARD IT'S NOT HARD TO SWALLOW THINGS RES0044-030 OK AND AND THEN HAVE YOU HAD A RUNNY NOSE OR A STUFFY NOSE RES0044-031 NO NOT PARTICULARLY RES0044-032 NO OK HOW ABOUT ANY CHANGES TO YOUR HEARING OR VISION RES0044-033 NO RES0044-034 NO HOW ABOUT CHANGES IN SMELL OR TASTE RES0044-035 NO THAT'S LIKE A COVID THING RIGHT LIKE I WAS HOPING BECAUSE I COULD STILL I COULD STILL LIKE TASTE MY COFFEE THIS MORNING I WAS HOPING THAT THAT MEANS I DON'T HAVE COVID BUT I DON'T REALLY KNOW RES0044-036 I MEAN SOME PEOPLE HAVE IT SOME PEOPLE DON'T I GUESS PEOPLE WITH COVID PRESENT IN DIFFERENT WAYS DO YOU HAVE A FEVER AT ALL RES0044-037 LIKE WHEN I CAME IN HERE WHEN THE NURSE TOOK MY TEMPERATURE SHE SAID I HAD LIKE SHE SAID I HAD A FEVER I DON'T HAVE A THERMOMETER AT HOME BUT LIKE I'VE BEEN FEELING REALLY HOT SO WOULD PROBABLY I'VE PROBABLY BEEN HAVING IT FOR A COUPLE OF DAYS RES0044-038 OK OK WE CAN TAKE WE CAN TAKE YOUR TEMPERATURE SORRY DID YOU SAY YOU ALREADY TOOK YOUR TEMPERATURE TODAY AND RES0044-039 THE NURSE TOOK IT I DON'T KNOW WHAT IT WAS BUT THE NURSE KEPT COMING IN AND SHE SAID IT WAS A RES0044-040 LITTLE HIGH LIKE I DON'T KNOW IF IT WAS LIKE A FEVER BUT I'VE BEEN FEELING HOT SO RES0044-041 OK OK SO WE'LL DOUBLE CHECK TO MAKE SURE THAT YOU EITHER DO OR DON'T HAVE A FEVER HAVE YOU EXPERIENCED ANY CHILLS OR NIGHT SWEATS OVER THE PAST FEW DAYS RES0044-042 NO RES0044-043 NO OK OK HOW ABOUT ANY WEIGHT LOSS RES0044-044 NO LIKE I DON'T WEIGH MYSELF REGULARLY BUT I DON'T THINK SO RES0044-045 OK ANY CHANGES TO YOUR HAIR OR NAILS OR SKIN LIKE RASHES RES0044-046 NO RES0044-047 NO OK HOW ABOUT CHEST PAIN RES0044-048 NO RES0044-049 NO CHEST PAIN OK SWELLING IN YOUR LIMBS RES0044-050 NO RES0044-051 NO DO YOU EVER FEEL LIKE YOUR HEART'S RACING RES0044-052 NO RES0044-053 NO OK HOW ABOUT HOW ABOUT ANY DIZZINESS OR OR FAINTING SPELLS RES0044-054 NO LIKE I'VE BEEN JUST TIRED RES0044-055 JUST TIRED OK RES0044-056 I DON'T I DON'T I HAVEN'T FAINTED OR ANYTHING RES0044-057 OK ANY HEADACHES RES0044-058 NO RES0044-059 NO OK HOW ABOUT CONFUSION OR MEMORY LOSS RES0044-060 NO I DON'T THINK SO RES0044-061 OK ANY CHANGES TO YOUR BOWEL HABITS RES0044-062 NO RES0044-063 NO OK SO NO CONSTIPATION OR DIARRHEA OR BLOOD IN YOUR STOOL RES0044-064 EXACTLY RES0044-065 OK ANY CHANGES TO YOUR URINE RES0044-066 NO RES0044-067 OK ANY NAUSEA OR VOMITING RES0044-068 NO RES0044-069 NO OK AND NO ABDOMINAL ACHES RES0044-070 NO RES0044-071 NO OK ARE YOU OTHERWISE HEALTHY RES0044-072 LIKE I HAVE I HAVE LIKE SOME LIKE DIGESTIVE PROBLEMS GENERALLY LIKE I HAVEN'T HAD ANY CHANGES TO THAT BUT THEY THINK IT MIGHT BE LIKE CROHN'S OR SOMETHING BUT OTHER THAN THAT NO RES0044-073 YOU SAID YOU HAD DIGESTIVE PROBLEMS DID YOU SAY IT MIGHT BE CROHN'S RES0044-074 LIKE I I'VE BEEN SEEING MY FAMILY DOCTOR AND THEY THEY SAID THEY THOUGHT IT MIGHT BE BUT WE DON'T REALLY KNOW JUST LIKE IN GENERAL I GUESS THEY'VE BEEN CALLING IT IBS RES0044-075 OH I SEE OK OK RES0044-076 I WISH I KNEW EXACTLY BUT THEY JUST SAID THEY DON'T REALLY KNOW RES0044-077 OK RES0044-078 BUT THERE HAVEN'T BEEN ANY CHANGES RIGHT NOW RES0044-079 OH I SEE OK HAVE YOU EVER HAD ANY HOSPITALIZATIONS OR SURGERIES RES0044-080 NO RES0044-081 NO OK ARE YOU ON ANY MEDICATIONS RES0044-082 NO RES0044-083 OK AND HOW ABOUT ANY ALLERGIES RES0044-084 JUST PINEAPPLE LIKE NOT ANY MEDICATIONS OR ANYTHING RES0044-085 PINEAPPLE OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0044-086 OK ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0044-087 LIKE MY MY UNCLE HAD A HEART ATTACK RES0044-088 OK RES0044-089 I DON'T LIKE NOT MY PARENTS RES0044-090 OK I SEE ANY CANCERS IN THE FAMILY RES0044-091 NO RES0044-092 OK AND DO YOU SMOKE RES0044-093 NO RES0044-094 NO OK HOW ABOUT MARIJUANA RES0044-095 NO RES0044-096 NO OK ANY OTHER RECREATIONAL DRUGS RES0044-097 NO NO RES0044-098 OK HOW ABOUT ALCOHOL RES0044-099 LIKE I DRINK I DON'T KNOW MAYBE I'LL DRINK LIKE A BOTTLE OF WINE ON LIKE A WEEKEND LIKE OVER A WHOLE WEEKEND OR SOMETHING SO LIKE I DON'T KNOW MAYBE LIKE THREE OR FOUR DRINKS OVER THE WEEKEND RES0044-100 THREE OR FOUR DRINKS A WEEKEND OK RES0044-101 SOMETHING LIKE THAT RES0044-102 SURE OK RES0044-103 I'M NOT AT ALL LIKE RES0044-104 OK SO OCCASIONALLY RES0044-105 OK AND WHERE DO YOU LIVE RES0044-106 I LIVE IN TOWN HERE RES0044-107 OK DO YOU LIVE IN A HOUSE IN AN APARTMENT RES0044-108 MY FIANCÉ AND I LIVE IN A TOWNHOUSE RES0044-109 IN A TOWNHOUSE OK ANY CONCERNS FOR LIKE OLD CARPETS OR MOLD OR ASBESTOS ANYTHING LIKE THAT RES0044-110 NO IT'S LIKE A NEW A NEW BUILDING RES0044-111 OK OK AND DO YOU THINK YOU MAY HAVE BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY RES0044-112-1 WELL SO I WORK IN LIKE I WORK IN AN OFFICE THAT'S ATTACHED TO A FACTORY AND I SO LIKE I HAVE TO ACTUALLY BE THERE I HAVEN'T BEEN ABLE TO WORK FROM HOME RES0044-112-2 AND THERE WAS SOMEONE ELSE IN MY OFFICE THAT I THINK WAS COUGHING IN THAT LIKE LAST WEEK AND I I DON'T KNOW I QUESTIONED IT BUT I I DIDN'T ACTUALLY GET TO TALK TO THEM AND ASK THEM OR LIKE I DON'T KNOW IF THEY WERE ACTUALLY RES0044-112-3 SICK OR SOMETHING SO I MIGHT HAVE BEEN AND WE WEAR MASKS AND EVERYTHING LIKE WE'RE REALLY GOOD BUT I DON'T KNOW I FEEL LIKE THE OFFICES AREN'T LIKE SUPER LIKE THE AIR FLOW'S NOT THAT GREAT RES0044-113 SO I THINK THAT'S ANOTHER REASON I WAS CONCERNED THAT I I FEEL LIKE SOME PEOPLE MIGHT HAVE BEEN SICK AND I DIDN'T REALLY KNOW THE WHOLE STORY RES0044-114 RIGHT OK SO POTENTIALLY FROM FROM THE WORKPLACE THEN OK RES0044-115 AND OK HAVE YOU TRAVELED ANYWHERE RECENTLY RES0044-116 NO RES0044-117 NO OK WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY RES0044-118 NOT THAT I CAN THINK OF RES0044-119-1 NO OK SO RIGHT NOW IT SEEMS LIKE IF I'M GOING THROUGH MY DIFFERENTIAL DIAGNOSIS LIST FOR YOU AT THE TOP IS THE THING THAT WE HAVE TO RULE OUT IS COVID SO WE'LL TAKE A SWAB RES0044-119-2 AND SEND IT OFF FOR THOSE PCR RESULTS AND YOU'LL HEAR BACK EITHER TOMORROW OR THE DAY AFTER ABOUT THE RESULTS BUT IN THE MEAN TIME AND I GUESS EVEN IF THE TEST IS NEGATIVE AND YOU'RE STILL HAVING SYMPTOMS PLEASE DO ISOLATE FOR FOURTEEN DAYS RES0044-119-3 AND IF YOUR SYMPTOMS GET WORSE LIKE YOU KNOW YOU'RE HAVING TROUBLE BREATHING YOUR FEVER YOUR TEMPERATURE IS OFF THE CHARTS OR YOU'RE HAVING ANY SORT OF NEUROLOGICAL SYMPTOM PLEASE DO RES0044-119-4 GO TO THE ER AND SEEK OUT HELP IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND AT DURING THIS TIME OF YEAR AND USUALLY THE TREATMENT FOR THAT KIND OF STUFF IS SUPPORTIVE SO MAKE SURE YOU'RE STAYING WELL HYDRATED YOU'RE RES0044-119-5 EATING NUTRITIOUS FOODS YOU'RE GETTING GOOD SLEEP AND IF NOT AND YOUR SYMPTOMS YOU KNOW YOU'RE HAVING A PRODUCTIVE COUGH YOU'RE REALLY SHORT OF BREATH RES0044-119-6 WE CAN TEST YOU TO SEE IF YOU HAVE SOME SORT OF BACTERIAL PNEUMONIA AND THOSE ARE USUALLY TREATED WITH ANTIBIOTICS SO THAT'S KIND OF THE PLAN RIGHT NOW SO WE'LL JUST START WITH THAT COVID SWAB FOR NOW HOW DOES THAT SOUND RES0044-120 THAT THAT SOUNDS GREAT THAT'S REALLY WHAT IT LIKE I I DON'T FEEL SUPER SICK I JUST REALLY WANNA KNOW IF I HAVE COVID OR NOT RES0044-121 FOR SURE AND I AND I THINK IT'S GOOD THAT YOU CAME IN RES0044-122 AWESOME RES0044-123 ALRIGHT THANK YOU RES0044-124 OK THANKS RES0045-000 WHAT BRINGS YOU IN RES0045-001 I'VE HAD A COUGH THAT STARTED LIKE FOUR DAYS AGO AND IT'S JUST BEEN GETTING WORSE SO I I WANTED TO COME IN RES0045-002 OK IT'S GOOD THAT YOU'VE COME IN SO THE COUGH STARTED FOUR DAYS AGO HAS IT BEEN CONSTANT SINCE RES0045-003 YES IT HAS RES0045-004 OK AND HOW OFTEN ARE YOU COUGHING RES0045-005 I I'D SAY A FEW TIMES AN HOUR NOW WHEN IT FIRST STARTED IT WAS A BIT MORE INTERMITTENT BUT NOW IT'S HAPPENING ALL DAY LONG AND THROUGHOUT THE NIGHT AS WELL IT INTERRUPTED MY SLEEP LAST NIGHT RES0045-006 OH OK IS IT A DRY COUGH OR ARE YOU PRODUCING SPUTUM RES0045-007 IT'S IT'S MOSTLY DRY RES0045-008 OK SO NO SPUTUM NO BLOOD RES0045-009 NO BLOOD RES0045-010 OK DO YOU FIND THAT THERE ARE ANY TRIGGERS TO YOUR TO THIS COUGH LIKE ENVIRONMENTAL TRIGGERS LIKE THE COLD WEATHER ANY OLD CARPETS AT HOME OR YOU KNOW A PARTICULAR TIME OF THE DAY OR EXERTION ANYTHING LIKE THAT RES0045-011 NO INTERESTINGLY NOTHING LIKE THAT SEEMS TO REALLY MAKE IT WORSE IT'S JUST BEEN KINDA COUGHING ALL DAY RES0045-012 OK AND HAS ANYTHING MADE IT BETTER HAVE YOU TRIED ANYTHING FOR THIS COUGH RES0045-013 I TRIED DRINKING SOME LIKE TEA AND SOME OTHER COUGH SYRUPS AND IT DIDN'T DIDN'T HELP RES0045-014 OK HOW ABOUT OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY IT'S IT'S IT SOUNDS BARKY IT SOUNDS HARSH HOW WOULD YOU DESCRIBE IT RES0045-015 HARSH RES0045-016 HARSH OK AND IF YOU WERE TO RATE YOUR SYMPTOMS ONE TO TEN TEN BEING THE WORST HOW BAD IS IT RES0045-017 SIX RES0045-018 SIX OK AND AND HAVE YOU FOUND THAT YOUR SYMPTOMS ARE GETTING WORSE STAYING THE SAME OR GETTING BETTER OVER THE PAST FOUR DAYS RES0045-019 GETTING WORSE RES0045-020 GETTING WORSE OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST RES0045-021 NO RES0045-022 NO DO YOU FEEL WHEEZY AT ALL RES0045-023 NO I HAVEN'T HEARD ANY ANY WHEEZES RES0045-024 OK HOW ABOUT SHORTNESS OF BREATH RES0045-025 I'VE DEFINITELY NOTICED SOME DIFFICULTY BREATHING RES0045-026 OK AND WHEN WHEN DID WHEN DID YOUR SHORTNESS OF BREATH START RES0045-027 RIGHT AROUND THE SAME TIME AS THE COUGH OR MAYBE SHORTLY AFTER SHORTLY AFTER RES0045-028 SHORTLY AFTER OK DO YOU FIND THAT THERE ARE ANY TRIGGERS FOR SHORTNESS OF BREATH LIKE EXERTION RES0045-029 EXERTION AS WELL AS LIKE THE COUGH ITSELF I'M FINDING THAT I'M COUGHING SO MUCH THROUGHOUT THE DAY THAT I'M HAVING A HARD TIME CATCHING UP AND CATCHING MY BREATH AFTERWARDS RES0045-030 FOR SURE OK AND ANY CHEST PAIN RES0045-031 NO CHEST PAIN RES0045-032 OK HOW ABOUT FEELING LIKE YOUR HEART'S RACING RES0045-033 NO NOTHING LIKE THAT RES0045-034 NO ANY SWELLING IN YOUR LEGS OR ARMS RES0045-035 NO RES0045-036 OK DO YOU EVER FEEL LIKE YOU HAVE PAIN IN YOUR CALVES AFTER WALKING A FEW BLOCKS RES0045-037 NO RES0045-038 NO ANY FAINTING SPELLS OR DIZZINESS RES0045-039 NO RES0045-040 NO HAVE YOU HAD A SORE THROAT RES0045-041 NO RES0045-042 NO ANY CHANGES IN YOUR VISION OR HEARING RES0045-043 NO RES0045-044 RUNNY NOSE OR STUFFY NOSE RES0045-045 NOT NO BUT I'VE DEFINITELY I FEEL LIKE I'VE MAYBE NOTICED A CHANGE IN MY SMELL RES0045-046 OK HOW SO RES0045-047 I JUST I FEEL LIKE I HAVEN'T BEEN ABLE TO SMELL AS WELL RES0045-048 WHEN DID YOU NOTICE THAT RES0045-049 THE REALLY THESE LAST LIKE TWO DAYS RES0045-050 OK AND ANY CHANGES IN YOUR TASTE RES0045-051 I HAVEN'T REALLY I I THOUGHT WELL I WASN'T REALLY ABLE TO TASTE MY FOOD BUT I THOUGHT THAT WAS BECAUSE I COULDN'T I WASN'T SMELLING SO I THOUGHT THAT WAS JUST GOING TO GO AWAY BUT THE SYMPTOMS HAVE GOTTEN WORSE RES0045-052 AND HAVE YOU HAD A FEVER OR CHILLS IN THE PAST FEW DAYS RES0045-053 I'VE HAD A FEVER OR I FELT HOT ANYWAY RES0045-054 DID YOU TAKE YOUR TEMPERATURE RES0045-055 I HAVEN'T CHECKED IT BUT LIKE I'VE BEEN FEELING PRETTY SWEATY FROM HOW HOT I'VE BEEN RES0045-056 OK SO WE'LL TAKE YOUR TEMPERATURE TODAY AND WE'LL LET YOU KNOW HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS RES0045-057 NO RES0045-058 NO WEIGHT LOSS HOW ABOUT FATIGUE OR MUSCLE ACHES RES0045-059 MAYBE THESE PAST COUPLE OF DAYS RES0045-060 OK ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES RES0045-061 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0045-062 OK ANY CHANGES TO YOUR BOWEL HABITS RES0045-063 NO RES0045-064 NO ANY NAUSEA OR VOMITING RES0045-066 NO NO NO OK ANY RES0045-068 PAINS NO ANY CHANGES TO YOUR URINE RES0045-069 NO RES0045-070 CONFUSION OR MEMORY LOSS RES0045-071 NO RES0045-072 OK AND WOULD YOU SAY THAT YOU ARE AN OTHERWISE HEALTHY PERSON RES0045-073 THAT'S WHY THESE SYMPTOMS REALLY SURPRISED ME RES0045-074 SO YOU'VE NEVER BEEN HOSPITALIZED OR NEEDED SURGERY IN THE PAST RES0045-075 NO I HAVEN'T NEEDED TO I HAVEN'T SEEN A DOCTOR IN A FEW YEARS RES0045-076 OK ARE YOU ON ANY MEDICATIONS RES0045-077 NOPE JUST TAKE A MULTI RES0045-078 VITAMIN AND RES0045-079 AND THAT'S ABOUT IT OK RES0045-080 OK ANY ALLERGIES I'M ALLERGIC TO RES0045-082 CATS CATS OK AND HAVE YOU BEEN AROUND ANY CATS RECENTLY NO OK HOW RES0045-083 ABOUT RES0045-084 IMMUNIZATIONS ARE YOU UP TO DATE I AM OK RES0045-086 FAMILY HISTORY RES0045-087 CONDITIONS OR HEART RES0045-088 CONDITIONS RES0045-090 HOW ABOUT CANCERS NOTHING LIKE THAT RES0045-091 OK AND DO YOU SMOKE NO AND HOW ABOUT MARIJUANA SOMETIMES I'LL HAVE A JOINT WITH FRIENDS OR SOMETHING LIKE THAT ON THE WEEKEND BUT SO MAYBE RES0045-092 ONCE A WEEK ONCE A WEEK OK HOW ABOUT ALCOHOL DO YOU DRINK ANY ALCOHOL RES0045-093 NO RES0045-094 NO OK AND WHERE DO YOU LIVE RIGHT NOW RES0045-095 I LIVE IN A HOUSE WITH MY WIFE AND THREE KIDS RES0045-096 OK IS ANYONE ELSE SICK AT HOME RES0045-097 EVERYBODY'S BEEN WELL RES0045-098 OK ANY REASON TO BELIEVE THAT YOU'VE BEEN AROUND ANY SICK CONTACTS RECENTLY RES0045-099 POSSIBLY I MEAN I'M IN SALES SO MEETING WITH CLIENTS ALL DAY RES0045-100 MAYBE ONE OF THEM WERE SICK OK RES0045-101 FOR SURE ANY TRAVEL RECENTLY RES0045-102 NO TRAVEL ALL THE MEETINGS HAVE BEEN IN THE CITY OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED RES0045-103 NO THAT I WAS JUST WORRIED ABOUT RES0045-104-1 SO THAT'S DEFINITELY TOP ON THE LIST RIGHT NOW FOR THINGS THAT WE HAVE TO RULE YOU OUT FOR SO WE'LL TAKE A SWAB TODAY WE'LL SEND IT OFF FOR THOSE PCR RESULTS YOU SHOULD HEAR BACK IN RES0045-104-2 TWENTY FOUR TO FORTY EIGHT HOURS IN THE MEANTIME YOU SHOULD ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES FROM FAMILY MEMBERS WHEN POSSIBLE RES0045-104-3 AND PUBLIC HEALTH WILL GET IN TOUCH WITH YOU IF THOSE RESULTS ARE POSITIVE AND SO THEY CAN THEY CAN DO SOME CONTACT TRACING RES0045-104-4 IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND AND I GUESS THE BEST THERAPY FOR THAT IS STAYING HYDRATED GETTING GOOD SLEEP AND RES0045-104-5 EATING NUTRITIOUS FOODS BUT IF YOUR SYMPTOMS GET WORSE LIKE YOU'RE RUNNING A REALLY HIGH FEVER YOU'RE HAVING NEUROLOGICAL SYMPTOMS LIKE YOU KNOW SEIZURES OR FAINTING SPELLS RES0045-104-6 OR IF YOU'RE HAVING DIFFICULTY BREATHING YOU SHOULD COME BACK TO THE ER SO HOW DOES THAT SOUND RES0045-105 IT'S REALLY INFORMATIVE THANK YOU RES0045-106 ALRIGHT TAKE CARE RES0046-000 WHAT BRINGS YOU IN RES0046-001 I'VE HAD THIS COUGH THAT STARTED FOUR DAYS AGO THAT THAT'S BEEN GETTING WORSE AND JUST STARTED HAVING SOME SOME DIARRHEA YESTERDAY AS WELL RES0046-002 OK SORRY HOW LONG DID YOU SAY YOUR COUGH HAS BEEN GOING ON FOR RES0046-003 LAST FOUR DAYS RES0046-004 LAST FOUR DAYS OK AND DO YOU FEEL THAT IT'S GETTING WORSE BETTER OR STAYING THE SAME RES0046-005 IT'S GETTING GETTING WORSE RES0046-006 GETTING WORSE OK AND HOW OFTEN ARE YOU COUGHING RES0046-007 OH NOW IT'S WELL AT LEAST THE LAST TWO DAYS IT'S BEEN HAPPENING ALL DAY AT LEAST EVERY HOUR I'VE BEEN COUGHING RES0046-008 OK HAVE YOU NOTICED ANY TRIGGERS FOR YOUR COUGHING LIKE ENVIRONMENTAL CAUSES LIKE THE COLD TIME OF DAY WHETHER THAT'S MORNING OR NIGHT OLD CARPETS ANYTHING LIKE THAT RES0046-009 SMOKING DEFINITELY MAKES IT WORSE I I HAVEN'T SMOKED THE LAST FEW DAYS CAUSE EACH TIME I LIT A CIGARETTE IT IT BROUGHT IT ON RES0046-010 OK WELL THAT'S GOOD THAT YOU'RE TAKING A LITTLE BREAK FROM SMOKING HOW WOULD YOU DESCRIBE THE QUALITY OF YOUR COUGH IS IT DOES IT SOUND HARSH RES0046-011 THE COUGH'S LIKE HARSH RES0046-012 HARSH OK AND IN TERMS OF SEVERITY ONE TO TEN TEN BEING THE WORST HOW BAD IS IT RES0046-013 I'D SAY IT'S A SEVEN I JUST CAN'T STOP COUGHING RES0046-014 HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST RES0046-015 NOTHING LIKE THIS RES0046-016 REALLY BEFORE OK IS THE COUGH A DRY COUGH OR IS IT OR DO YOU HAVE SPUTUM COMING UP AS WELL RES0046-017 IT'S IT'S DRY RES0046-018 DRY OK SO NO BLOOD RES0046-019 NO NO BLOOD JUST IT'S BEEN MOSTLY RES0046-020 DRY OK AND ANY SHORTNESS OF BREATH RES0046-021 NOT REALLY I MEAN I WELL I GUESS I'VE BEEN SHORT OF BREATH AFTER I COUGH SO RES0046-022 OK ANY WHEEZINESS RES0046-023 NO RES0046-024 HOW ABOUT CHEST PAIN RES0046-025 NO CHEST PAIN RES0046-026 OK ANY FEELINGS OF FEELING LIKE YOUR HEART'S RACING RES0046-027 NO NOTHING LIKE THAT RES0046-028 SWELLING IN YOUR LIMBS RES0046-029 NO RES0046-030 NO HOW ABOUT PAIN IN YOUR CALVES WHEN YOU WALK A FEW BLOCKS RES0046-031 NO RES0046-032 DIZZINESS OR FAINTING SPELLS RES0046-033 THIS MORNING I HAD IT I FELT DIZZY WHEN I WHEN I GOT WHEN I WHEN I GOT UP RES0046-034 OK BUT NO FAINTING RIGHT RES0046-035 NO RES0046-036 NO FAINTING OK ANY PAIN IN YOUR THROAT RES0046-037 NO MY THROAT'S FELT OK RES0046-038 OK ANY CHANGES IN YOUR VISION OR HEARING RES0046-039 NO RES0046-040 OK HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE RES0046-041 NOTHING LIKE THAT RES0046-042 CHANGES IN YOUR TASTE OR SMELL RES0046-043 I FEEL LIKE I'VE HAD PROBLEMS WITH BOTH RES0046-044 TASTE AND SMELL OK RES0046-045 WHEN DID THAT START I THINK THIS MORNING I REALLY NOTICED THAT WHEN I WAS I WAS TRYING TO HAVE SOME BREAKFAST BUT I THOUGHT IT WAS MY LACK OF APPETITE THAT WAS THAT WAS CAUSING ISSUES BUT I HAVEN'T REALLY BEEN ABLE RES0046-046 TO SMELL OR TASTE FOOD THAT'S UNFORTUNATE HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS RES0046-047 NO WEIGHT'S BEEN STABLE RES0046-048 OK HOW ABOUT FEVERS OR CHILLS RES0046-049 I I FELT HOT BUT NO RES0046-050 CHILLS NO CHILLS OK HAVE YOU TAKEN YOUR TEMPERATURE RES0046-051 NO I HAVEN'T RES0046-052 OK WELL WE CAN DO THAT TODAY IN THE CLINIC AND WE'LL LET YOU KNOW AND CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES RES0046-053 NO RES0046-054 NO OK HOW ABOUT FATIGUE OR MUSCLE ACHES RES0046-055 I MEAN MAYBE I'VE HAD A BIT OF RES0046-056 MUSCLE ACHES AND FATIGUE OK AND YOU MENTIONED YOU'VE BEEN HAVING DIARRHEA HOW LONG HAS THAT BEEN RES0046-057 GOING ON FOR MAYBE THE LAST LIKE RES0046-058 TWO DAYS TWO DAYS OK AND HOW OFTEN ARE YOU HAVING A BOWEL MOVEMENT RES0046-059 EVERY WELL IT KIND OF CHANGES SO MAYBE EVERY FEW HOURS RES0046-060 OK AND IS IT MOSTLY FLUID OR IS IT SEMISOLID RES0046-061 I MOSTLY FLUID IT IT'S BEEN PRETTY PRETTY LOOSE RES0046-062 PRETTY LOOSE OK AND HOW MUCH HOW HOW MUCH STOOL ARE YOU PRODUCING EVERY TIME YOU GO IS IT FILLING THE TOILET BOWL OR IS IT RES0046-063 RELATIVELY LITTLE AT FIRST IT WAS A LOT BUT NOW IT IT JUST HASN'T BEEN MUCH IT'S RES0046-064 RELATIVELY LITTLE MY STOMACH'S JUST BEEN KILLING ME OK SO YOU HAVE SOME ABDOMINAL RES0046-065 PAIN ASSOCIATED WITH THAT TOO RES0046-067 AND THEN ANY BLOOD IN YOUR STOOL NO NO BLOOD OK HAVE YOU NOTICED RES0046-068 ANY MALODOURS WELL I GUESS OUT OF RES0046-070 ORDINARY NO I HAVEN'T NOTICED ANYTHING LIKE RES0046-071 THAT OK BUT I HAVEN'T BEEN ABLE TO SMELL SO WHO KNOWS RIGHT OK TRUE IN TERMS OF YOUR ABDOMINAL PAIN WHEN DID THAT START RES0046-072 I I THINK AROUND THE SAME TIME AS THE DIARRHEA SO THE LAST TWO DAYS RES0046-073 OK ANY NAUSEA OR VOMITING RES0046-074 NO VOMITING BUT I'VE I FELT NAUSEOUS RES0046-075 OK THE ABDOMINAL PAIN IS IT WHERE IS IT LOCATED IS IT PRETTY CENTRAL IS IT GENERAL RES0046-076 IT'S PRETTY LIKE CENTRAL OR GENERAL I GUESS YOU COULD SAY THERE ISN'T REALLY ONE SPECIFIC SPOT THAT I FEEL IT RES0046-077 OK AND WHAT MAKES IT WORSE WHAT MAKES IT BETTER RES0046-078 NOTHING I'M NOT REALLY TOO SURE NOTHING REALLY MAKES IT BETTER OR WORSE RES0046-079 OK AND IF YOU WERE TO DESCRIBE THE PAIN IS IT SHARP DULL OR ACHY RES0046-080 I'D SAY IT'S PRETTY ACHY RES0046-081 OK AND OUT OF ONE TO TEN TEN BEING THE WORST HOW BAD IS THE ABDOMINAL PAIN RES0046-083 LIKE FOUR OK AND IS YOUR ABDOMINAL PAIN GETTING WORSE RES0046-084 STAYING THE SAME RES0046-085 OR GETTING BETTER ABOUT THE SAME OK RES0046-087 DO ANY MEMORY LOSS OR CONFUSION RES0046-089 NO OK ARE THINGS NORMAL WITH YOUR URINE YES OK SO ARE YOU AN RES0046-090 OTHERWISE HEALTHY PERSON I HAVEN'T HAD ANYTHING ANY REASON RES0046-091 TO SEE A DOCTOR FOR A WHILE OK WELL THAT'S GOOD YOU DON'T HAVE ANY LONGSTANDING MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT RES0046-093 LIKE THAT OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0046-094 I DID HAVE A SURGERY I HAD MY MENISCUS REPAIRED BUT THAT WAS IT RES0046-095 OK AND WHEN WAS THAT RES0046-096 OH ABOUT TEN YEARS AGO RES0046-097-1 OK SO I JUST WANNA BEFORE WE MOVE ON I'M JUST GONNA RECAP KIND OF THE SYMPTOMS THAT YOU HAVE YOU'VE HAD FOR THE PAST FOUR DAYS MORE OR LESS YOU'VE HAD A POSSIBLE FEVER RES0046-097-2 THIS COUGH LOSS OF SMELL AND TASTE DIARRHEA ABDOMINAL PAIN AND NAUSEA IS THAT CORRECT RES0046-098 THAT'S CORRECT RES0046-099 OK RES0046-100 THE COUGH STARTED FIRST AND THEN STARTED TO GET SOME MORE OF THE ABDOMINAL PAIN AND NAUSEA AND THE DIARRHEA THE LAST FEW DAYS RES0046-101 OK OK ARE YOU ON ANY MEDICATIONS RES0046-102 NO I DON'T TAKE ANYTHING RES0046-103 OK NOT EVEN OVER THE COUNTER MEDICATIONS OR VITAMINS OR HERBAL SUPPLEMENTS RES0046-104 NO NOTHING LIKE THAT RES0046-105 OK ANY ALLERGIES RES0046-106 NO ALLERGIES RES0046-107 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0046-108 I AM RES0046-109 ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0046-110 NO NOTHING RES0046-111 LIKE THAT OK HOW ABOUT GI CONDITIONS LIKE STOMACH ISSUES COLON RES0046-112 ISSUES LIVER NO I HAVEN'T HEARD OF ANY ISSUES LIKE THAT IN MY FAMILY RES0046-113 OK ANY CANCERS THAT RUN IN THE FAMILY RES0046-114 NO NO CANCERS RES0046-115 OK ANY OK WELL I'M GOING TO ASK YOU DO YOU SMOKE YOU MENTIONED YOU DID RES0046-116 I I I DO I SMOKE MAYBE ABOUT A HALF A PACK OF CIGARETTES PER DAY PROBABLY LESS RES0046-117 OK HOW LONG HAVE YOU BEEN DOING THAT RES0046-118 FOR THE LAST TEN YEARS RES0046-119 OK HAVE YOU EVER THOUGHT OF QUITTING RES0046-120 I'VE I'VE BEEN SLOWLY CUTTING IT DOWN I WAS SMOKING A PACK A DAY BEFORE AND NOW UNDER HALF A PACK SO I'M TRYING RES0046-121 OK WELL CONGRATS THAT'S A BIG FEAT IF YOU NEED ADDITIONAL RESOURCES TO TRY AND HELP YOU QUIT PLEASE DO LET US KNOW I WILL ASK YOU MY NEXT QUESTION THEN DO YOU DO MARIJUANA AT ALL RES0046-122 NO RES0046-123 NO OK HOW ABOUT OTHER RECREATIONAL DRUGS RES0046-124 NOPE NOTHING LIKE THAT RES0046-125 DO YOU DRINK ALCOHOL RES0046-126 I'LL HAVE A GLASS OF WINE ON SUNDAYS BUT THAT'S ABOUT IT RES0046-127 OK HOW ABOUT WHERE DO YOU LIVE RES0046-128 SO I LIVE IN A TOWNHOUSE WITH MY WIFE AND DAUGHTER RES0046-129 OK ARE ANY OF THEM SICK RES0046-130 MY MY WIFE WAS TALKING ABOUT BEING REALLY FATIGUED AND SHE DID MENTION A COUGH COMING ON RES0046-131 OK HAVE YOU BEEN AROUND ANYONE ELSE WHO'S BEEN SICK RECENTLY RES0046-133 NO NO OK HAVE YOU TRAVELED TO ANYWHERE RECENTLY RES0046-135 NO I HAVEN'T OK THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY CONCERNS ANY QUESTIONS ANYTHING THAT YOU WANTED TO DISCUSS THAT I POSSIBLY MISSED TODAY RES0046-136 NOPE THAT WAS THAT WAS EVERY RES0046-137-1 THING THEN THANK YOU RES0046-137-2 OK NO PROBLEM SO WE'LL WHAT WE'LL DO IS WE'LL GET A COVID SWAB ON YOU JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID SO WE WANT TO MAKE SURE THAT THAT'S NOT WHAT YOU HAVE SO WE'LL TAKE A SWAB YOU WILL HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS RES0046-137-3 BUT IN THE MEANTIME YOU STILL SHOULD ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM YOUR FAMILY MEMBERS AS WELL WHEN WHEN POSSIBLE RES0046-137-4 AND PUBLIC HEALTH WILL BE IN TOUCH TO LET YOU KNOW TO DO SOME CONTACT TRACING IF IT'S NOT COVID YOU RES0046-137-5 YOU COULD POSSIBLY HAVE SOME SORT OF OTHER VIRAL INFECTION THAT'S GOING AROUND THESE DAYS HOW DOES THAT SOUND RES0046-138 IT SOUNDS GREAT THANK YOU RES0046-139 ALRIGHT NO WORRIES RES0047-000 WHAT BRINGS YOU IN RES0047-001 SO I'VE HAD THIS CHEST TIGHTNESS AND AND BEEN SHORT OF BREATH AND BRINGING UP SPUTUM WITH THIS COUGH RES0047-002 OK SO LETS START WITH THE COUGH WHEN DID THAT START RES0047-003 SO I'VE HAD A COUGH NOW FOR A FEW YEARS BUT OVER THIS PAST THREE DAYS IT'S GOTTEN QUITE A BIT WORSE RES0047-004 OK FOR THE PAST THREE DAYS THREE THREE YEARS OK RES0047-005 ARE THERE ANY TRIGGERS FOR YOUR COUGH RES0047-006 IF I'M DOING LIKE IF I'M REALLY ACTIVE LIKE IF I RUN TO CATCH THE BUS OR OR IF I'M SHOVELLING SNOW MAYBE I CAN MAKE BECOME SHORT OF BREATH BUT NOT IF I'M JUST WALKING AROUND THE BLOCK OR ANYTHING LIKE THAT RES0047-007 OK AND WHAT CAUSED THIS COUGH INITIALLY THREE YEARS AGO DO YOU KNOW RES0047-008 I THINK I THINK IT'S JUST A SMOKERS COUGH I THINK THAT MY FAMILY DOCTOR TOLD ME I HAD LIKE CHRONIC BRONCHITIS BEFORE RES0047-009 OK OK HOW OFTEN WERE YOU COUGHING BEFORE IT GOT WORSE RECENTLY RES0047-010 I WOULD USUALLY COUGH EVERY DAY BUT THE COUGH WOULD BE USUALLY JUST IN THE MORNING I I'D GET UP THERE I WOULD COUGH UP SOME SPUTUM AND AND THEN MAYBE AND THEN I'D USUALLY BE OK RES0047-011 OK AND DOES ANYTHING MAKE YOUR COUGH BETTER LIKE DO YOU TAKE ANY OVER THE COUNTER COUGH SYRUP RES0047-012 I'VE TRIED SOME OVER THE COUNTER COUGH SYRUPS IN THE PAST BUT IT HASN'T HELPED RES0047-013 OK OK AND IF YOU WERE TO TALK ABOUT THE QUALITY OF YOUR COUGH IS IT IS IT BARKY DOES IT SOUND HARSH WHAT DOES IT SOUND LIKE RES0047-014 I WOULD SAY IT SOUNDS PRETTY HARSH YOU CAN KIND OF IT SOUNDS LIKE THERE'S MUCUS MOVING AROUND I GUESS WITH WITH THE COUGH IN MY CHEST I CAN I CAN KIND OF FEEL IT RES0047-015 OK OK AND YOU MENTIONED THAT YOU'RE PRODUCING A LOT OF SPUTUM WITH YOUR COUGH WHAT COLOUR IS THAT SPUTUM RES0047-016 GREENISH RES0047-017 GREEN OK ANY BLOOD RES0047-018 NO BLOOD RES0047-019 NO BLOOD OK AND YOU MENTIONED YOU'VE NEVER PRODUCED SPUTUM WITH THE COUGH ESPECIALLY NOT GREEN SPUTUM IN THE PAST THREE YEARS RIGHT RES0047-020 I WOULD BRING UP SPUTUM BUT IT'S USUALLY CLEAR AND WHITE RES0047-021 OK OK AND DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH THIS COUGH RES0047-022 YES I DO RES0047-023 YES OK AND YOU MENTIONED YOU WERE SHORT OF BREATH WERE YOU SHORT OF BREATH PRIOR TO YOUR COUGH OR DID THAT START WHEN WHEN THIS COUGH GOT WORSE RES0047-024 I THINK THE SHORTNESS OF BREATH HAS GOTTEN A BIT WORSE OVER THE LAST FEW DAYS AS THE COUGH HAS GOTTEN WORSE RES0047-025 OK OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR SYMPTOMS OF HOW YOU'RE FEELING ONE TO TEN TEN BEING THE WORST WHERE WOULD YOU PUT YOURSELF AT RES0047-026 I WOULD SAY AN EIGHT IT'S BEEN REALLY TOUGH IT'S BEEN GETTING REALLY DIFFICULT TO BREATHE RES0047-027 OK AND HAVE YOU EVER EXPERIENCED ANYTHING TO THIS SEVERITY IN THE PAST RES0047-028 NO I HAVEN'T HAD THIS DIFFICULTY BREATHING BEFORE RES0047-029 OK OK DO YOU HAVE ANY CHEST PAIN RES0047-030 MY CHEST IS IT FEELS TIGHT RES0047-031 OK IT FEELS TIGHT OK DOES THAT DOES IT HURT THOUGH RES0047-032 NO NO IT DOESN'T REALLY HURT IT'S JUST UNCOMFORTABLE RES0047-033 OK AND DO YOU THINK IT'S TIGHT BECAUSE OF THE COUGHING OR THE SHORTNESS OF BREATH RES0047-034 I KIND OF FEEL IT WITH THE COUGHING RES0047-035 OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS RES0047-036 MAYBE A LITTLE BIT IN MY IN MY FEET MORE THAN USUAL RES0047-037 OK AND DO YOU FEEL LIKE YOUR HEART'S RACING RES0047-038 NO RES0047-039 NO OK ANY DIZZINESS OR FAINTING SPELLS RES0047-040 I HAVEN'T HAD ANYTHING LIKE THAT RES0047-041 OK ANY CHANGES TO YOUR VISION OR HEARING RES0047-042 NO RES0047-043 NO DO YOU HAVE A STUFFY NOSE OR RUNNY NOSE RES0047-044 NO RES0047-045 HOW ABOUT A SORE THROAT RES0047-046 NO RES0047-047 NO ANY CHANGES TO YOUR SMELL OR TASTE RES0047-048 NO RES0047-049 ANY FEVERS OR CHILLS RES0047-050 NO I'VE FELT OK RES0047-051 OK ANY WEIGHT LOSS RES0047-052 MAYBE I MEAN OVER THE LAST FEW YEARS I'VE LOST A FEW POUNDS BUT MAYBE MAYBE TEN POUNDS OVER THE LAST LAST COUPLE OF YEARS RES0047-053 LAST COUPLE OF YEARS OK WAS IT INTENTIONAL WEIGHT LOSS OR UNINTENTIONAL RES0047-054 UNINTENTIONAL RES0047-055 OK ALRIGHT AND ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES RES0047-056 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0047-057 OK AND HOW ARE YOUR BOWEL MOVEMENTS EVERYTHING NORMAL THERE RES0047-058 THAT'S BEEN NORMAL RES0047-059 OK EVERYTHING NORMAL WITH REGARDS TO YOUR URINE RES0047-060 THAT'S BEEN NORMAL RES0047-061 OK ANY CONFUSION OR MEMORY LOSS RES0047-062 NO RES0047-063 NO OK ANY FATIGUE RES0047-064 I'VE BEEN FEELING WELL REALLY TIRED THESE LAST THREE DAYS RES0047-065 OK ANY JOINT PAINS OR MUSCLE ACHES RES0047-066 NO RES0047-067 NO OK AND ARE YOU OTHERWISE HEALTHY RES0047-068 WELL I USE THESE INHALERS AND I THINK I'VE BEEN TOLD I HAVE COPD BEFORE RES0047-069 OK OTHER THAN YOUR COPD DO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT RES0047-070 I HAVE HIGH BLOOD PRESSURE AND I HAD MY GALLBLADDER TAKEN OUT A FEW YEARS AGO RES0047-071 OK OK ANY OTHER SURGERIES OR HOSPITALIZATIONS RES0047-072 I HAD AN ACL REPAIR LIKE WHEN I WAS A TEENAGER RES0047-073 OK AND BESIDES THE INHALERS ARE YOU ON ANY OTHER MEDICATION RES0047-074 THERE'S ONE FOR BLOOD PRESSURE AND RES0047-075 I TAKE VITAMIN D AND THAT'S IT OK WHICH ONE RES0047-076 WHICH MEDICATION ARE YOU ON FOR THE BLOOD PRESSURE RES0047-077 AMLODIPINE AMLODIPINE OK WHEN DID YOU START TAKING THAT RES0047-078 ABOUT SEVEN YEARS AGO RES0047-079 OK AND THEN FOR YOUR COPD WHICH INHALERS ARE YOU ON RES0047-080 THERE'S ONE THAT'S FOR LIKE SHORT ACTING AND THEN THERE'S ONE THAT I USE EVERYDAY SPIRIVA I THINK RES0047-081 OK AND HOW LONG HAVE YOU BEEN ON THESE INHALERS RES0047-082 IT'S BEEN A COUPLE OF YEARS FOR WELL FOR THE THE SHORT ONE THAT I I USE FOR RESCUE THERAPIES BEEN FOR LIKE A LONG TIME BUT SPIRIVA'S BEEN THE LAST SEVERAL YEARS RES0047-083 OK OK AND DO YOU FIND THAT YOUR INHALERS ARE HELPING RES0047-084 THEY I DEFINITELY NOTICE A DIFFERENCE WHEN I IF I MISS A DOSE OR SOMETHING RES0047-085 OK AND DO YOU HAVE ANY ALLERGIES RES0047-086 NO I DON'T THINK SO RES0047-087 NO OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE RES0047-088 I BELIEVE SO RES0047-089 OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY RES0047-091 NO NO OK DO YOU CURRENTLY SMOKE RES0047-092 I DO YES I'VE BEEN TRYING TO QUIT I I SMOKE ABOUT A PACK OF CIGARETTES PER DAY NOW I USED TO SMOKE LIKE TWO PACKS PER DAY RES0047-093 OK WELL IT'S IT'S GOOD THAT YOU'VE CUT DOWN IF YOU NEED ANY ADDITIONAL HELP CUTTING DOWN WE HAVE RESOURCES THAT WE CAN REFER YOU TO RES0047-094 THAT WOULD BE GREAT RES0047-095 HOW MUCH FOR HOW LONG HAVE YOU BEEN SMOKING LIKE HOW MANY YEARS RES0047-096 WELL I STARTED WHEN I WAS A TEENAGER SO PROBABLY LIKE THIRTY FIVE RES0047-097 OK AND DO YOU DO ANY MARIJUANA RES0047-098 NO RES0047-099 NO OK OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL RES0047-100 A FEW BEERS ON THE WEEKEND RES0047-101 OK AND THEN WHERE DO YOU LIVE CURRENTLY RES0047-102 I LIVE IN AN APARTMENT BY MYSELF RES0047-103 OK AND ANY REASONS TO THINK THAT THERE ARE ANY OLD CARPETS MOLD OR ASBESTOS OR ANYTHING LIKE THAT THAT COULD BE EXACERBATING YOUR SYMPTOMS RES0047-104 I MEAN I DO HAVE A CARPET IN THE BEDROOM SO BUT I MEAN THAT THAT'S THE ONLY CARPET IN THE APARTMENT RES0047-105 OK AND DO YOU LIVE WITH ANYONE RES0047-106 NO IT'S IT'S JUST ME AND MY DOG RES0047-107 OK HAVE YOU HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY RES0047-108 MAYBE I MEAN I I USUALLY WILL SEE A COUPLE OF FRIENDS WE'LL MEET UP TO GRAB SOME COFFEE IN THE MORNING IN THE MORNING BUT I FEEL LIKE THEY HAVE BEEN OK RES0047-109 OK HOW ABOUT TRAVEL HAVE YOU TRAVELED ANYWHERE RECENTLY RES0047-110 NO RES0047-111 NO OK OK WELL I THINK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS RES0047-112 NO I JUST WANTED TO COME IN BECAUSE IT'S BEEN REALLY DIFFICULT TO BREATHE RES0047-113 SO OK WELL WE'LL DO A PHYSICAL EXAM ON YOU TO TRY TO UNDERSTAND HOW BAD YOUR COPD EXACERBATION IS WE'LL ALSO TRY TO GET AN OXYGEN SATURATION ON YOU AND WE DO WANT THAT READING TO BE BETWEEN EIGHTY EIGHT TO NINETY TWO PERCENT RES0047-114 IF IT IS LESS THAN THAT AND WE THINK YOU HAVE A MILD EXACERBATION WE'LL JUST SUGGEST THAT YOU USE YOUR SHORT ACTING BETA AGONIST PUFFER MORE OFTEN AND THEN IF YOU RES0047-115 IF WE THINK YOU HAVE MODERATE MODERATE EXACERBATION WE'LL ALSO PRESCRIBE ANTIBIOTICS AND OR STEROIDS TO GO ALONG WITH THE SHORT ACTING BETA AGONIST RES0047-116-1 AND IF IT IS SEVERE OR IF IT BECOMES SEVERE PLEASE DO SEEK OUT AID IN THE ER AND THEY'LL TRY THEY'LL PROBABLY PUT YOU ON RES0047-116-2 SOME SORT OF OXY LIKE SOME SORT OF SUPPLEMENTAL OXYGEN WHETHER IT'S BIPAP OR CPAP AND AGAIN THEY'LL RES0047-116-3 CONTINUE GIVING YOU YOUR BRONCHODILATORS AND STEROIDS AS WELL AS ANTIBIOTICS TO MAKE SURE THAT YOU DON'T HAVE ANY BAD COMPLICATIONS OF PNEUMONIA RES0047-117-1 AND IT DOES SOUND LIKE IT IS A COPD EXACERBATION AT THIS POINT BUT IF YOU DEVELOP ANY OTHER SYMPTOMS LIKE FEVERS OR ANY SYMPTOMS THAT OVERLAP WITH VIRAL VIRAL ILLNESSES WE'LL RES0047-117-2 WE'LL WE'LL WORK YOU UP FOR THAT WE'LL DO I THINK WE WILL STILL DO A COVID SWAB ON YOU JUST TO MAKE SURE YOU DON'T HAVE THAT BUT WE'LL START WITH WORKING YOU UP FOR COPD HOW DOES THAT SOUND RES0047-118 THAT SOUNDS GREAT THANK YOU RES0047-119 ALRIGHT TAKE CARE RES0051-000 WOULD YOU MIND STARTING WITH TELLING ME WHAT BROUGHT YOU IN RES0051-001 SURE I HAVE HAD THIS COUGH FOR THE PAST FIVE DAYS AND IT DOESN'T SEEM TO BE GETTING ANY BETTER SO I'M JUST HERE TO ASK YOU WHAT IT WHAT IT POSSIBLY COULD BE RES0051-002 HAS THE COUGH BEEN GETTING ANY BETTER STAYING THE SAME OR GETTING WORSE OVER THESE LAST FIVE DAYS RES0051-003 I THINK IT'S GETTING WORSE RES0051-004 OK ARE YOU BRINGING RES0051-006 UP ANY ANY PHLEGM RES0051-007 NO RES0051-008 OKAY ARE YOU BRINGING UP ANY BLOOD NO OK HAVE YOU BEEN COUGHING AT NIGHT TIME AS WELL IS IT INTERFERING WITH YOUR SLEEP OR IS THE COUGH JUST DURING THE DAY RES0051-009 IT IS MOSTLY DURING THE DAY AND IN THE EVENINGS IT DOESN'T WAKE ME UP FROM SLEEP RES0051-010 OK AND ANY TRIGGERS THAT YOU'VE NOTICE FIVE DAYS AGO OR ANYTHING THAT CHANGED AT THAT TIME TO BRING ON THE COUGH RES0051-011 NO NOTHING RES0051-012 OK AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS WITH THE COUGH RES0051-013 I HAVE A SORE THROAT AND I FEEL LIKE I CAN'T TASTE THINGS THE SAME RES0051-014 OK ARE YOU HAVING ANY PAIN WITH SWALLOWING EITHER LIQUIDS OR FOOD RES0051-016 MOSTLY WITH FOODS OK AND WHEN DID THE SORE THROAT START RES0051-017 IT STARTED UP AROUND THE SAME TIME AS MY COUGH RES0051-018 OK AND YOU CAN'T TASTE YOUR FOOD AS WELL AND WHEN DID YOU NOTICE THAT RES0051-019 THAT WAS TWO DAYS AGO RES0051-020 OK HAVE YOU NOTICED ANY ANY LOSS OF SMELL RES0051-021 NO NO I DON'T THINK SO RES0051-022 OK AND HAVE YOU HAD ANY DIFFICULTIES BREATHING OR SHORT OF BREATH RES0051-023 NO RES0051-024 OK AND HAVE YOU HAD ANY SYMPTOMS LIKE THIS BEFORE RES0051-026 NO NOTHING LIKE THIS OK AND HOW HAS YOUR ENERGY LEVEL BEEN RES0051-027 HAVE YOU BEEN FATIGUED RES0051-028 A LITTLE BIT YES OK HAVE YOU HAD ANY CHANGES TO YOUR VISION OR OR HEARING RES0051-029 NO RES0051-030 ANY MUCOUS OR PAIN OR DISCHARGE FROM EITHER YOUR EARS OR NOSE RES0051-031 NO RES0051-032 OK SO YOUR NOSE HASN'T BEEN RUNNY BUT HAS IT FELT CONGESTED RES0051-033 NO RES0051-034 OK HAVE YOU HAD ANY RES0051-035 FEVERS OR CHILLS I DON'T KNOW ABOUT FEVERS I I GUESS I WAS FEELING A LITTLE BIT HOT LAST NIGHT BUT I DIDN'T TAKE MY TEMPERATURE RES0051-036 OK SO POSSIBLY A FEVER I WILL CERTAINLY CHECK YOUR TEMPERATURE TODAY TO INVESTIGATE THAT HAVE YOU HAD ANY NIGHT SWEATS RES0051-037 NO NIGHT SWEATS RES0051-038 ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS IN THE LAST RES0051-040 MONTHS NO OK AND HAVE YOU HAD ANY CHEST PAIN RES0051-041 NO CHEST PAIN RES0051-042 HAVE YOU NOTICED ANY HEART PALPITATIONS OR HEART RACING RES0051-043 NO RES0051-044 RIGHT OK HAVE YOU HAD ANY WHEEZING RES0051-045 NO RES0051-046 ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN RES0051-047 NO RES0051-048 ANY NAUSEA OR VOMITING RES0051-050 NO OK HOW ABOUT ANY URINARY PROBLEMS RES0051-051 NO RES0051-052 ANY BOWEL PROBLEMS LIKE DIARRHEA RES0051-054 OR CONSTIPATION NO OK AND ANY RES0051-056 MUSCLE ACHES OR OR BODY PAINS RES0052-000 WOULD YOU MIND BY STARTING TO TELL ME WHAT BROUGHT YOU IN RES0052-001 SURE MY FIVE YEAR OLD DAUGHTER I NOTICED THAT SHE'S BEEN COUGHING A LOT OVER THE PAST TWO DAYS SHE SOUNDS LIKE SHE HAS A STUFFY NOSE AND NOW SHE'S GOT THIS PINK EYE SO I JUST WANTED TO GET IT CHECKED OUT BY YOU RES0052-002 YEAH FOR SURE SO THE COUGH STARTED FIVE DAYS AGO RES0052-003 TWO DAYS AGO RES0052-004 TWO TWO DAYS OK AND IS THE COUGH BARKY OR OR HARSH SOUNDING RES0052-005 YES IT SOUNDS HARSH RES0052-006 OK ALRIGHT WAS THERE ANYTHING THAT CHANGED TWO DAYS AGO THAT MIGHT HAVE TRIGGERED THE COUGH RES0052-007 I DON'T THINK SO ALTHOUGH SHE DOES GO TO DAYCARE RES0052-008 OK AND SO HAS SHE BEEN BRINGING UP ANY SPUTUM WITH THE COUGH RES0052-009 NO NO SPUTUM THAT I'VE NOTICED RES0052-010 OK NOTICE ANY BLOOD RES0052-011 NO RES0052-012 ALRIGHT AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY RES0052-013 NO RES0052-014 OK AND HAS THERE BEEN ANY WHEEZING RES0052-015 NO NOT THAT I NOTICED RES0052-016 OK AND YOU MENTIONED THE RED EYES WHEN DID THOSE WHEN DID YOU NOTICE THAT RES0052-017 THAT WAS JUST YESTERDAY RES0052-018 OK ANY DISCHARGE FROM THE EYES RES0052-019 NO RES0052-020 OK LIKE NO TEARING OR ANYTHING LIKE THAT RES0052-021 NO RES0052-022 OK AND HAS SHE COMPLAINED ABOUT ANY LIKE CHANGES TO VISION RES0052-023 NO NO OK OR ANY EYE PAIN NOT REALLY JUST THE PAIN RES0052-024 NO OK AND HOW ABOUT ANY ITCHINESS IN THE EYES RES0052-025 I GUESS SHE'S BEEN RUBBING IT AND SO IT'S POSSIBLY ITCHY RES0052-026 OK AND RUNNY NOSE HAVE YOU NOTICED MUCUS COMING OUT RES0052-027 NO IT'S ACTUALLY STUFFY RES0052-028 OK RES0052-029 YEAH OK NOT SO MUCH MUCOUS RES0052-030 OK HAS SHE MENTIONED ANYTHING ABOUT LOSING SMELL RES0052-031 NO NO RES0052-032 OK AND HAS SHE MENTIONED ANYTHING ABOUT BEING CONGESTED RES0052-033 SHE JUST SOUNDS LIKE SHE'S CONGESTED RES0052-034 OK AND ANY SORE THROAT RES0052-035 POSSIBLY RES0052-036 OK HOW HAS SHE BEEN EATING RES0052-037 SHE'S BEEN EATING OK I GUESS SHE'S BEEN EATING A LITTLE LESS THAN USUAL RES0052-038 OK WOULD YOU SAY THAT SHE'S BEEN GOING TO THE BATHROOM AS AS OFTEN AS AS NORMAL RES0052-039 YEP I WOULD SAY SO NO CHANGES THERE RES0052-040 OK AND HAS SHE HAD ANY LOSS OF TASTE RES0052-041 POSSIBLY SINCE SHE'S NOT EATING AS MUCH RES0052-042 OK ANY FEVERS OR CHILLS RES0052-043 SHE DID FEEL A LITTLE BIT HOT BUT I DIDN'T TAKE HER TEMPERATURE RES0052-044 OK SO HOT WE WILL DEFINITELY CHECK FOR FEVER ANY NIGHT SWEATS RES0052-045 NO RES0052-046 OK AND HAS SHE BEEN GAINING WEIGHT OK RES0052-047 YEP YEP NO CHANGE NOTHING ABNORMAL THERE RES0052-048 OK AND HAS SHE BEEN COMPLAINING ABOUT HAVING ANY STOMACH PAINS RES0052-049 NO RES0052-050 OK AND HAS SHE HAD ANY NAUSEA OR VOMITING RES0052-051 NO NO RES0052-052 OK AND HOW ABOUT ANY PAINFUL URINATION RES0052-053 NO RES0052-054 OK AND ANY DIARRHEA RES0052-055 NO RES0052-056 OK AND HAS SHE MENTIONED ANYTHING ABOUT HEADACHES RES0052-057 NO RES0052-058 OK AND HOW ABOUT ANY ACHES OR PAINS ANYWHERE RES0052-059 NO I DON'T THINK SO RES0052-060 HAVE YOU NOTICED ANY RASHES RES0052-061 NO RES0052-062 OK AND HAS SHE BEEN DIAGNOSED WITH ANY CONDITIONS BEFORE RES0052-063 NOPE RES0052-064 OK AND ANY REASON FOR HER TO BE HOSPITALIZED RES0052-065 NO RES0052-066 OK DOES SHE TAKE ANY MEDICATIONS REGULARLY RES0052-067 NO RES0052-068 OK DOES SHE HAVE ANY ALLERGIES TO MEDICATIONS RES0052-069 NO RES0052-070 ALRIGHT ANY SURGERIES BEFORE RES0052-071 NOPE RES0052-072 ANY CONCERNS WITH HER GROWTH OR DEVELOPMENT RES0052-073 NO EVERYTHING'S BEEN PRETTY NORMAL RES0052-074 OK AND ANY CONCERNS ABOUT HER VISION OR HEARING RES0052-075 NO RES0052-076 OK AND CAN TELL YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION CURRENTLY ARE YOU THE PRIMARY CAREGIVER RES0052-077 I AM RES0052-078 OK AND WHO ELSE IS IN THE HOME RES0052-079 HER HER FATHER RES0052-080 OK ARE THERE ANY PETS AROUND RES0052-081 NO RES0052-082 ALRIGHT AND DOES ANYBODY IN THE HOUSE SMOKE RES0052-083 NO NO ONE SMOKES RES0052-084 OK ANY EXPOSURES IN THE HOUSE TO LIKE CARPETS OR DUST OR INHALANTS THAT MIGHT BRING ON A COUGH RES0052-085 NO RES0052-086 OK AND ANYBODY IN THE IN THE FAMILY BEEN SICK RES0052-087 NO RES0052-088 OK AND HOW ABOUT ANYBODY YOU MENTIONED AT THE DAYCARE WAS ANYBODY BEEN SICK THERE RES0052-089 NO I DON'T THINK SO I CONTACTED THEM AND CHECKED BUT IT SEEMS LIKE NO ONE'S BEEN SICK RES0052-090 OK AND YOU SAY YOU HAVEN'T TRAVELED ANYWHERE RES0052-091 OH NO NO NOT RECENTLY RES0052-092 OK AND ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY RES0052-093 NO RES0052-094 OK AND HOW ABOUT ANY GENETIC CONDITIONS OR CONGENITAL CONDITIONS IN THE FAMILY RES0052-095 NO NONE NONE THAT I KNOW OF RES0052-096 OK SO THE MAIN SYMPTOMS ARE THE COUGH THAT STARTED TWO DAYS AGO AND ALSO YOU'VE NOTICED SHE'S BEEN CONGESTED AND SORRY WHAT WAS THE LAST SYMPTOM RES0052-097 SHE'S BEEN CONGESTED SHE HAS THIS PINK EYE AND SHE HAS A COUGH RES0052-098 RIGHT THAT COULD BE CONJUNCTIVITIS OK SO AT THIS POINT WE WILL CERTAINLY RUN SOME INVESTIGATIONS TO LOOK INTO WHAT THIS COULD BE RES0052-099-1 IT SOUNDS LIKE A VIRAL INFECTIOUS TYPE OF PROCESS ESPECIALLY IF IT'S INVOLVING THE EYES NOSE AND AND WITH A COUGH AND SO WE WILL TEST WITH A SWAB FOR COVID FOR SURE BUT RES0052-099-2 IT COULD BE SOMETHING MORE COMMON LIKE THE COMMON COLD WE JUST NEED TO MAKE SURE THAT WE'RE COMPREHENSIVE IN THAT WITH THE TESTING RES0052-100 THAT SOUNDS GREAT THANK YOU RES0053-000 I WAS JUST BRINGING MY SON AND HE'S JUST HAD COUGH FOR THE LAST COUPLE OF DAYS I THOUGHT ABOUT A DAY AND A HALF AGO IT DOESN'T FEEL LIKE A COLD HE HASN'T BEEN TOO SICK BUT I WAS A LITTLE BIT WORRIED AND I WANTED TO GET HIM SEEN TO SEE IF THERE'S ANYTHING WE COULD DO RES0053-001 FOR SURE IT'S A GOOD THING THAT YOU BROUGHT HIM IN SO THE COUGH IS IT CONSISTENT OR DOES IT COME AND GO RES0053-002 IT SEEMS TO BE A LITTLE BIT WORSE AT NIGHT HE'LL HAVE THIS COUGH DURING THE DAY SOMETIMES I'LL NOTICE WHEN HE'S PLAYING HE'S HAD THESE COUGHING FITS THAT LAST FOR UP TO A MINUTE BUT USUALLY RECOVERS FROM HE HASN'T BEEN TOO ACTIVE TO BE HONEST HE'S BEEN A LITTLE BIT SLOWED DOWN THESE LAST COUPLE OF DAYS BUT IN REGARDS TO CONSISTENCY I'D SAY IT'S A LITTLE BIT WORSE AT NIGHT RES0053-003 OK ANY OTHER TRIGGERS LIKE DUST OR THE COLD AIR ANYTHING LIKE THAT RES0053-004 I HAVEN'T REALLY NOTICED ANYTHING WE'VE BEEN MAINLY KEEPING INSIDE DUE TO COVID RIGHT I THINK MY WIFE LEFT A WINDOW OPEN THE OTHER NIGHT AND MAYBE THE COUGH WAS A LITTLE BIT BETTER I'M NOT SURE IT'S KIND OF HARD TO TELL WHEN WE SLEEP RES0053-005 HAVE YOU TRIED ANYTHING FOR IT LIKE HAVE YOU GIVEN HIM ANY OVER THE COUNTER COUGH MEDICATIONS RES0053-006 NO WE'RE A LITTLE SCARED TO GIVE HIM ANYTHING HE'S SO YOUNG HE'S TWO ONE TWO WE HAVEN'T BEEN REALLY GIVING HIM ANY MEDICATIONS TO BE HONEST RES0053-007 OK GOOD AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY IT'S BARKY IS IT HARSH RES0053-008 BARKY MIGHT BE A GOOD WORD TO DESCRIBE IT LIKE HE'S HAD COLDS BEFORE HIS COUGHS WERE QUIET BUT THIS SOUNDS HARSH IT SOUNDS LIKE HE'S REALLY TRYING TO COUGH HARD THERE VERY VIOLENT SOMETIMES RES0053-009 OK OK AND HAS HE EVER HAD A COUGH LIKE THIS IN THE PAST RES0053-010 NO NEVER RES0053-011 OK AND THEN IN TERMS OF THE TIMELINE IS IT GETTING WORSE HIS COUGH RES0053-012-1 I THINK IT HAS BEEN TO BE HONEST HE WAS A LITTLE ILL LIKE HE HAD A RUNNY NOSE A COUPLE OF DAYS AGO MAYBE TWO DAYS AGO AND THEN THE COUGH STARTED BUT IT ONLY REALLY STARTED GETTING NOTICEABLY DIFFERENT RES0053-012-2 YEAH ABOUT THE NIGHT OF THE FIRST DAY ABOUT TWO DAYS AGO SO NOW IT'S BEEN MORE PRESENT I SUPPOSE THAN IT WAS WHEN HE JUST FIRST HAD IT RES0053-013 OK AND IS IT A DRY COUGH OR DOES HE BRING UP SPUTUM RES0053-014 SPUTUM LIKE PHLEGM NO HE DOESN'T BRING ANYTHING UP REALLY SO DRY RES0053-015 OK SO NO BLOOD AS WELL RIGHT RES0053-016 NO BLOOD RES0053-017 OK DOES HE HAVE ANY SHORTNESS OF BREATH WITH HIS COUGH RES0053-018 I FEEL LIKE WHEN HE HAS THE COUGHING FITS HE'S WINDED HE'S WEAK AFTER THEM SOMETIMES HE CRIES AFTER THEM OR BEFORE THE MIDDLE CAN BE A TRIGGER FOR IT BUT JUST RESTING NORMALLY HE DOESN'T SEEM THAT OUT OF BREATH NO RES0053-019 OK ANY WHEEZINESS RES0053-020 NO NOT REALLY HE'S ABLE TO BREATHE I CAN'T REALLY HEAR HIM BREATHING THAT MUCH SOMETIMES AT NIGHT AFTER A BAD COUGH HE'LL BE REALLY WINDED AND IT DOES SOUND LIKE A LITTLE DIFFERENT WHEN HE'S BREATHING BUT JUST RIGHT NOW HE SOUNDS NORMAL RES0053-021 OK AND ANY REASON FOR YOU TO THINK HE HAS CHEST PAIN RES0053-022 HE HASN'T ANY SORT OF CHEST PAIN HE SAYS HIS THROAT HURTS BUT I DON'T THINK IT'S HIS CHEST RES0053-023 HAS HE HAD ANY FEVERS RES0053-024 NO RES0053-025 ANY CHANGE IN HIS HAIR NAILS OR SKIN LIKE RASHES RES0053-026 NO NO RASHES RES0053-027 HOW ABOUT WEIGHT LOSS RES0053-028 NO WEIGHT LOSS HE'S A FAIRLY HEALTHY KID RES0053-029 AND HIS VISION AND HEARING ARE NORMAL RES0053-030 YOU KNOW I HAVEN'T GOTTEN HIM FORMALLY ASSESSED YET BUT SEEMS TO BE ABLE TO READ PRETTY WELL FROM A DISTANCE HE'S NOT IN SCHOOL YET BUT I HAVEN'T NOTICED ANYTHING AND HE CAN HEAR FINE I THINK HE RESPONDS WHEN I CALL RES0053-031 OK HAS HE HAD A STUFFY OR RUNNY NOSE RES0053-032 THAT'S KIND OF HOW IT FIRST STARTED THREE DAYS AGO MAYBE HAD A RUNNY NOSE OK RES0053-033 DOES HE STILL HAVE A RUNNY NOSE RES0053-034 A LITTLE BIT LESS NOW NO NOT AS MUCH NOW RES0053-035 OK AND HIS TASTE ANY REASON TO BELIEVE THERE ARE ANY CHANGES THERE RES0053-036 WELL WE'VE BEEN KIND OF SPOILING HIM A BIT JUST GIVING HIM ICE CREAM HIS THROAT HURTS A LITTLE BIT AND HE SEEMS TO STILL LIKE IT SO IT'S HARD TO TELL RES0053-037 OK SO HE HAS A LITTLE BIT OF A SORE THROAT AS WELL RES0053-038 OK OK AND THEN ANY DIZZINESS OR FAINTING SPELLS THAT YOU'VE NOTICED RES0053-039 NO FAINTING OR DIZZY SPELLS BUT HE'S REALLY GASSED AFTER HE HAS LIKE A COUGHING FIT AND HE DOESN'T WANT TO STAND UP HE'LL JUST BE SITTING DOWN OR HE WANTS TO BE HELD RES0053-040 OK IS HE MORE IRRITABLE THAN USUAL RES0053-041 AFTER HE HAS A BAD COUGHING FIT HE WANTS TO BE SOOTHED AND HE'LL BE CRYING BUT IT'S JUST MORE OF BECAUSE HE'S WORN OUT I BELIEVE HE'S TIRED RES0053-042 OK AND THEN ANY CONFUSION OR MEMORY LOSS RES0053-043 NO RES0053-044 OK AND THEN IN TERMS OF HIS BOWEL MOVEMENTS HAVE THINGS BEEN NORMAL FROM THAT STANDPOINT RES0053-045 OH PROCESS OF POTTY TRAINING HIM BUT NO NO REAL CHANGES RES0053-046 OK SO NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL RES0053-047 NO RES0053-048 OK AND HE'S PASSING GAS RES0053-049 OK I'D SAY SO RES0053-050 ANY NAUSEA OR VOMITING RES0053-051 NO WE HAVEN'T BEEN REALLY FEEDING HIM SOLID MEALS IT'S BECAUSE HE'S BEEN SICK WE'VE BEEN TRYING TO GIVE HIM SOUP AND LIQUIDS FOR THE MOST PART BECAUSE HIS THROAT HURTS BUT HE'S ABLE TO KEEP THEM DOWN SO NO NO NAUSEA NO VOMITING RES0053-052 OK AND THEN HOW ABOUT CHANGES IN HIS APPETITE RES0053-053 HE'S NOT EATING AS MUCH BUT STILL WE'RE TRYING TO FORCE FOOD INTO HIM TO KEEP HIS ENERGY UP MOST OF TIME HE ALWAYS WILL BE ASKING FOR SNACKS IN THE AFTERNOON BUT NOW NOT SO MUCH RES0053-054 OK ALRIGHT AND ANY ANYTHING ELSE THAT I MISSED THAT HE'S BEEN EXPERIENCING OVER THE PAST FEW DAYS RES0053-055 NO JUST THE COUGH RES0053-056 OK AND THEN HE OTHERWISE HEALTHY DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0053-057 NO LONGSTANDING MEDICAL CONDITIONS NOTHING REALLY WE HAD A LITTLE BIT OF STAY IN THE NICU JUST BECAUSE HE WAS A LITTLE BIT UNDERWEIGHT BUT NO NOTHING REALLY RES0053-058 OK AND THEN HIS MOTHER'S PREGNANCY WITH HIM ANY COMPLICATIONS AT THAT POINT RES0053-059 HE'S A LITTLE PRE TERM THIRTY FOUR WEEKS I THINK RES0053-060 OK WAS HE ALSO UNDERWEIGHT TOO YOU MENTIONED JUST A LITTLE BIT RES0053-061 OK AND ANY COMPLICATIONS DURING THE ACTUAL DELIVERY RES0053-062 NOT THAT I REMEMBER LIKE SHE STARTED GOING TO LABOR EARLY LIKE EARLIER THAN WE EXPECTED WE THOUGHT IT WAS JUST A REGULAR CONTRACTION AND THAT IT WILL JUST RESOLVE BUT SHE WOUND UP PROCEEDING WHEN WE SHOWED UP AT THE HOSPITAL RES0053-063 OK AND THEN IN TERMS OF GROWTH WEIGHT AND HEAD CIRCUMFERENCE HAS HE BEEN HITTING ALL THOSE MILESTONES FOR THE PAST TWO ONE TWO YEARS RES0053-064 WE WE BRING HIM TO THE FAMILY DOCTOR EVERY COUPLE OF MONTH FOR HIS REGULAR CHECKUPS AND NOTHING HAS BEEN BROUGHT UP TO BE CONCERNING FOR HIS VACCINES HE HAS BEEN DOING WELL RES0053-065 OK AND THEN HOW ABOUT OTHER MILESTONES LIKE SPEECH MOVEMENT FINE MOVEMENT ALL OF THAT LIKE HAVE THOSE BEEN NORMAL IS HE ON PAR WITH HIS PEERS RES0053-066 THIS IS OUR FIRST KID BUT COMPARED TO HIS COUSINS HE SEEMS TO BE DOING WELL HE'S SPEAKING HE'S GOT LITTLE SENTENCES NOW HE HAS GOOD EYE CONTACT HE'S A GOOD KID RES0053-067 OK GOOD GOOD ANY HOSPITALIZATIONS OR SURGERIES ASIDE FROM WHEN HE WAS BORN RES0053-068 NO NO RES0053-069 OK GOOD AND IS HE ON ANY MEDICATIONS RES0053-070 NO OK WE GIVE HIM LIKE A FLINTSTONE GUMMY RES0053-071 OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0053-072 ANY ALLERGIES RES0053-073 NOT THAT WE KNOW OF RES0053-074 ANY FAMILY HISTORY OF LUNG CONDITIONS RES0053-075 SO HIS MY GRANDFATHER SO HIS GREATGRANDFATHER I SUPPOSE PASSED AWAY FROM LUNG CANCER HE WAS A HEAVY SMOKER THOUGH ON MY MOM'S SIDE THERE'S SOME BREAST CANCER NO NOTHING REALLY THAT COMES TO MIND FOR LUNGS RES0053-076 AND ANY HEART CONDITIONS RES0053-077 NO NOT THAT WE KNOW OF RES0053-078 AND HOW ABOUT OTHER CANCERS RES0053-079 NO NOT THAT I KNOW OF RES0053-080 OK HOW ABOUT ASTHMA ECZEMA OR ALLERGIES IN THE FAMILY RES0053-081 YOU KNOW I THINK MY SISTER IS ALLERGIC TO PEAS BUT SHE WAS NEVER SICK FROM THEM LIKE GO TO THE HOSPITAL I DON'T THINK THERE ARE ANY ALLERGIES IN THE FAMILY RES0053-082 OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY RES0053-083 YOU KNOW LIKE FIVE DAYS AGO WE HAD A PLAYDATE WITH HIS COUSIN AND WE KIND OF THOUGHT THAT THAT'S WHERE HE GOT THE COLD FROM LIKE THE RUNNY NOSE BUT IT JUST TURNED WEIRD YOU KNOW RES0053-084 OK AND HOW'S THIS COUSIN DOING RES0053-085 LAST TIME I TALKED TO CHARLOTTE HANK SEEMS TO BE DOING WELL SO RES0053-086 ALRIGHT AND HAS HE TRAVELED TO ANYWHERE RECENTLY HAVE YOU ANY OF YOU TRAVELED ANYWHERE RECENTLY RES0053-087 NO WITH COVID AND EVERYTHING WE HAVE JUST BEEN KEEPING TO OURSELVES RES0053-088 AND WITH WHO AND WHERE DOES HE LIVE RES0053-089 HE LIVES WITH ME AND HIS MOTHER IN A HOUSE RES0053-090 OK ANY OLD CARPETS OR MOLD OR CONCERNS FOR ASBESTOS ANYTHING LIKE THAT AT HOME RES0053-091 I DON'T KNOW WHEN THIS HOUSE IS BUILT I DON'T THINK THERE'S ANY ASBESTOS IN IT AND IT'S ALL HARDWOOD SO NO RES0053-092 OK GOOD ANYONE AT HOME SMOKE RES0053-093 NO NO RES0053-094 OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD DO YOU HAVE ANY QUESTIONS FOR ME RES0053-095 NO NO THAT'S IT NO RES0053-096-1 OK WELL FROM THE SOUNDS OF IT HE MOST LIKELY HAS SOME SORT OF VIRAL INFECTION WE WILL DO A COVID SWAP TO RULE THAT OUT BECAUSE SOME SYMPTOMS DO SEEM TO OVERLAP RES0053-096-2 WITH COVID AND WE WANT TO MAKE SURE TO RULE THAT OUT SO WE'LL TAKE A SWAB THOSE PCR RESULTS SHOULD COME BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS RES0053-096-3 IN THE MEANTIME HE SHOULD ISOLATE FOR FOURTEEN DAYS AT HOME AND IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL INFECTION LIKE RES0053-096-4 PARAINFLUENZA ALSO KNOWN AS CROUP SO FOR THAT FOR ANY OF THESE VIRAL INFECTIONS ACTUALLY THE BEST TREATMENT IS TO STAY AT HOME AND MAKE SURE THAT HE'S RES0053-096-5 VERY WELL HYDRATED AND EATING WELL IF HIS SYMPTOMS PERSIST FOR THREE TO FIVE DAYS OR MORE OR IF HIS SYMPTOMS WORSEN RES0053-096-6 ESPECIALLY IF HE HAS LIKE A SEIZURE OR UROLOGICAL ISSUES HE SHOULD GO TO THE ER AND RES0053-096-7 IF HIS SYMPTOMS DO BECOME WORSE WE CAN ALSO PRESCRIBE HIM SOME STEROIDS OR EPINEPHRINE JUST TO OPEN UP HIS AIRWAYS AND IF IT'S REALLY REALLY BAD RES0053-096-8 HE MIGHT BE HOSPITALISED AS WELL SO JUST KEEP AN EYE ON ON THAT FOR NOW AND IF YOU HAVE ANY RES0053-097 QUESTIONS OR CONCERNS JUST GIVE US A CALL HOW DOES THAT SOUND RES0053-098 A LITTLE SCARY SOUNDS GOOD OK I'LL JUST KEEP AN EYE ON HIM FOR THE NEXT FIVE DAYS RES0053-099-1 THERE SO AND THEN GIVE US A CALL IF HIS SYMPTOMS ARE BECOMING WORSE OR IF THEY'RE NOT RESOLVING AND WE WILL TRY TO DO AN ASSESSMENT ON HIM OF COURSE WE WILL DO A PHYSICAL EXAM TODAY AND WILL LET YOU KNOW RES0053-099-2 LIKE HOW SEVERE HIS SYMPTOMS ARE MOST CHILDREN WILL GET OVER THEIR INFECTION ON THEIR OWN AND HE LIKELY WON'T NEED ANY ADDITIONAL TREATMENTS RES0053-100 OK SOUNDS GOOD RES0053-101 ALRIGHT TAKE CARE RES0053-102 THANK YOU RES0054-000 WHAT BRINGS YOU IN RES0054-001-1 HI I'VE JUST BEEN A LITTLE BIT WORRIED THAT LAST THE COUPLE OF MONTHS I'VE NOTICED THAT I'VE BEEN GETTING MORE AND MORE OUT OF BREATH WHEN I'VE BEEN DOING EXERCISE RES0054-001-2 AND I KNOW I GOT A BROTHER WHO HAD A HEART ISSUE AND I'M JUST REALLY CONCERNED THAT I HAVE SOMETHING WRONG WITH MY TICKER JUST WANTED TO GET IT CHECKED OUT YOU KNOW RES0054-002 WHEN DID THE SHORTNESS OF BREATH START RES0054-003-1 SO THIS WINTER SPECIFICALLY LIKE WE HAVEN'T BEEN TOO ACTIVE BECAUSE OF COVID THIS YEAR WE'VE JUST BEEN STAYING IN THE HOUSE ALL LAST YEAR BUT WITH THE SNOW I'D BE SHOVELLING SNOW WHENEVER IT FELL AND RES0054-003-2 BEFORE I COULD BE ABLE TO LIKE TWO YEARS AGO BE ABLE TO CLEAR THE DRIVEWAY NO PROBLEM BUT NOW EVEN AFTER HALF THE DRIVEWAY I'VE NOTICED I'M GETTING CONSISNTELY OUT OF BREATH I'VE GOT THIS NASTY COUGH AND RES0054-003-3 IT'S PROMPTED MY WIFE TO GET ME TO CALL IN SHE'S A LITTLE BIT WORRIED RES0054-004 SO IT'S MOSTLY ON EXERTION IT DOESN'T HAPPEN AT REST IS THAT CORRECT RES0054-005 BEING OUT OF BREATH NO NO RES0054-006 NO OK OK AND HAS THIS EVER HAPPENED TO YOU BEFORE RES0054-007-1 ABOUT A YEAR AND A HALF AGO WE WENT DOWN TO TORONTO IN ORDER TO SEE THE CN TOWER AND YOU KNOW DO TOURIST STUFF AND WE TRIED WE TRIED TO CLIMB A COUPLE FLIGHTS OF STAIRS TO DO A LITTLE BIT AND RES0054-007-2 I COULD NOT I ALWAYS THOUGHT I'M PRETTY HEALTHY PRETTY ACTIVE BUT IT REALLY TOOK THE WIND OUT OF MY SAILS SO HAD TO STOP STOOP OVER JUST COULDN'T DO IT RES0054-008 AND HOW DID YOU MANAGE LIKE HOW HOW WAS THAT TREATED AT THAT TIME AND HOW DID YOU GET BETTER RES0054-009 OH I DIDN'T DO ANY I JUST ATTRIBUTED TO BEING I DON'T KNOW OUT OF SHAPE A LITTLE BIT AND I WORKED AS A MECHANIC WHEN I WAS YOUNGER I WAS PRETTY ACTIVE BUT EVER SINCE RETIRING THOUGHT I'D KEEP UP AT LEAST MY STAMINA WON'T GO AWAY THAT QUICKLY BUT CHALKED IT UP TO BEING OUT OF SHAPE AND WENT HOME RES0054-010 OK SO YOUR SYMPTOM YOUR SHORTNESS OF BREATH SEEMS TO BE GETTING WORSE RIGHT RES0054-011 OK ANY COUGHING WITH THAT RES0054-012 AND NOT NECESSARILY WHEN I NOTICED IT WHEN I WAS SHOVELLING THE DRIVEWAY BUT I'VE HAD A CALL FOR THE LAST COUPLE OF YEARS AND USUALLY IN THE MORNING I JUST BRING UP A LITTLE BIT OF GUNK BUT MOST OF MY BUDDIES HAVE THAT JUST LIKE A MORNING COUGH YOU KNOW RES0054-013 AND THE GUNK THAT YOU BRING UP WHAT COLOR IS IT RES0054-014 YELLOW SOMETIMES A LITTLE BROWN RES0054-015 OK AND WHEN DID THAT START RES0054-016 OH IT'S BEEN GOING ON LAST TEN YEARS WELL TO BE HONEST SINCE I'VE BEEN LIKE THIRTY BUT IT'S BEEN FAIRLY CONSISTENT LAST TEN YEARS I'D SAY RES0054-017 OK ANY BLOOD THAT YOU BRING UP RES0054-018 NOT THAT I'VE NOTICED LIKE BRIGHT RED NO NOTHING LIKE THAT RES0054-019 OK ANY WHEEZINESS RES0054-020 I NOTICED THAT WHEN I WAS SHOWING WHEN I WAS OUT OF BREATH IT SOUND SOUNDED DIFFERENT SOUND DIFFERENT THAN BEING USUALLY OUT OF BREATH BUT IT HAD TO IT SOUNDED WHEEZY RES0054-021 OK ANY CHEST PAIN RES0054-022 A LITTLE BIT ACTUALLY RES0054-023 AT REST OR RES0054-024 NOTHING NOTHING WHEN I'M NOT MOVING RES0054-025 OK SO THE CHEST PAIN WHEN DID THAT START RES0054-026 FIRST NOTICED IT THIS WINTER ON THE DRIVEWAY BUT IT WASN'T LIKE I KNOW WHAT THEY SAY ABOUT A HEART ATTACK SUPPOSED TO LIKE THE CRUSHING PAIN IN YOUR CHEST THAT MOVES UP YOUR NECK NOTHING LIKE THAT IT'S LIKE MY LUNGS MY THROAT LIKE YOU'RE REALLY REALLY OUT OF BREATH YOU KNOW RES0054-027 OK SO YOU'RE ATTRIBUTING IT MOSTLY TO YOUR SHORTNESS OF BREATH THEN RES0054-028 I THINK SO I REALLY HOPE THIS IS MY HEART I'VE NEVER HAD A HEART ATTACK RES0054-029 WHERE IN YOUR CHEST IS THIS CHEST PAIN HAPPENING LIKE IS IT CENTRAL IS IT MORE TOWARDS THE LEFT TOWARDS THE RIGHT RES0054-030 IT WAS KIND OF BOTH SIDES RES0054-031 OK RES0054-032 IT WAS WAS WE ALL ACROSS MY CHEST TO BE HONEST IT WAS ONLY THE ONE TIME THAT WAS REALLY STRUGGLING AND I COUGHED UP A BIT BUT RES0054-033 OK ANY PAIN IN YOUR CALVES OR LEGS WELL AFTER YOU WALK A CERTAIN DISTANCE RES0054-035 NO NO NO DO YOU EVER FEEL LIKE YOUR HEART'S RACING RES0054-036 FELT LIKE MY HEART WAS RACING AFTER THAT MUCH ACTIVITY BUT NO NOT USUALLY RES0054-037 OK HOW ABOUT SWELLING IN YOUR LIMBS RES0054-038 NO NOTHING LIKE THAT RES0054-039 OK ANY FAINTING SPELLS OR DIZZINESS RES0054-040 NO NEVER FAINTED IN MY LIFE RES0054-041 OK ANY CONFUSION MEMORY LOSS RES0054-042 NO NOTHING LIKE THAT RES0054-043 HEADACHES RES0054-044 HEADACHES YOU KNOW I DO GET HEADACHES FROM TIME TO TIME I ASSOCIATE THEM WITH STRESS BUT I HAVEN'T BEEN TOO STRESSED OUT RECENTLY SO NOTHING IN THE LAST COUPLE OF YEARS RES0054-045 OK ANY NECK STIFFNESS RES0054-046 NO RES0054-047 NO OK ANY SENSITIVITY TO LIGHT OR LOUD SOUNDS ASSOCIATED WITH THAT HEADACHE RES0054-048 NO NOTHING LIKE THAT RES0054-049 OK ANY WEIGHT LOSS RES0054-050 NO I WISH RES0054-051 OK FEVERS RES0054-052 NO RES0054-053 RASHES RES0054-054 YOU KNOW I GOT THESE WEIRD THINGS ON MY HEAD I THINK MAINLY BECAUSE OF THE SUN LIKE THESE BROWN PATCHES BUT THAT WOULDN'T BE A RASH WOULD IT RES0054-055 I'D HAVE TO EXAMINE THAT CLOSER IF YOU THINK IT'S ASSOCIATED WITH THE SUN IT COULD BE SOMETHING LIKE SEBORRHEIC KERATOSIS BUT I'D HAVE TO SEE WHAT THEY LOOK LIKE SO WE CAN TAKE A LOOK AT THAT LATER IF THAT'S OK AND SO ANY CHANGES IN YOUR VISION OR HEARING RES0054-056 NO RES0054-057 NO STUFFY NOSE RUNNY NOSE RES0054-058 HAD A BIT OF A COLD COUPLE MONTHS AGO BUT NO NOTHING RECENT RES0054-059 SORE THROAT RES0054-060 A LITTLE BIT AFTER THE COUGH I HAD A LITTLE BIT OF A SORE THROAT BUT WENT AWAY PRETTY QUICKLY RES0054-061 OK CHANGE IN SMELL OR TASTE RES0054-062 I HAVEN'T BEEN ABLE TO SMELL OR TASTE TOO WELL FOR AWHILE RES0054-063 WHAT'S AWHILE RES0054-064 TEN YEARS SEVEN YEARS IT'S BEEN MORE SALT MORE SPICES ON MY FOOD YOU KNOW RES0054-065 OK OK ANY CHANGES TO YOUR BOWEL HABITS RES0054-066 NOPE BEEN REGULAR ALL MY LIFE RES0054-067 NAUSEA VOMITING RES0054-068 NO RES0054-069 OK JOINT PAIN MUSCLE ACHES RES0054-070 YOU KNOW MY KNEES BEEN GIVING ME TROUBLE FOR AWHILE BUT NOTHING RECENT NO RES0054-071 OK AND ARE YOU OTHERWISE HEALTHY RES0054-072 NO GOT HIGH BLOOD PRESSURE SEE THE DOC ABOUT THAT HIGH CHOLESTEROL SEE THE DOC ABOUT THAT AND I DON'T KNOW GOT INTO A CAR CRASH MY FORTIES BROKE MY ARM ONE TIME NOTHING ELSE REALLY RES0054-073 OK ANY SURGERIES RES0054-074 I THINK I HAD MY APPENDIX OUT WHEN I WAS I HAD MY APPENDIX OUT WHEN I WAS LIKE TWELVE RES0054-075 OK RES0054-076 NEVER BEEN UNDER THE KNIFE SINCE THEN RES0054-077 OK GREAT HAVE YOU BEEN TAKING ANY MEDICATIONS FOR THAT HIGH BLOOD PRESSURE RES0054-078 DOC'S GOT ME ON TWO BLOOD PRESSURE MEDICATIONS AND ONE CHOLESTEROL MEDICATION RES0054-079 OK AND DO YOU TAKE THOSE FREQUENTLY RES0054-080 EVERYDAY RES0054-081 OK GOOD ANY OTHER MEDICATIONS RES0054-082 NO RES0054-083 ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0054-084 JEEZ BEEN A WHILE SINCE I'VE GOTTEN IMMUNIZATION THINK I THINK SO RES0054-085 OK ONCE YOU TURN SIXTY FIVE THEY USUALLY GIVE YOU SHING SHINGREX FOR TO PREVENT SHINGLES AND A PNEUMOVAX VACCINE TO PREVENT PNEUMOCOCCAL INFECTIONS HAVE YOU HAD THOSE ONES RES0054-086 NOPE RES0054-087 NO OK SO IF YOU'RE INTERESTED IN GETTING THOSE WE CAN DISCUSS THAT AT SOME POINT TODAY AS WELL RES0054-088 OK RES0054-089 DO YOU HAVE ANY ALLERGIES RES0054-090 NO RES0054-091 NO OK ANY OK SO YOU MENTIONED A FAMILY HISTORY OF YOUR BROTHER HAVING CONGENITAL HEART DISEASE ANY OTHER HEART DISEASES THAT RUN IN THE FAMILY RES0054-092 CONGENITAL WHAT'S THAT MEAN RES0054-093 LIKE SOMETHING THAT YOU'RE BORN WITH RES0054-094 NO I DON'T THINK HE'S EVER BORN THING HE HAD A COUPLE OF HEART ATTACKS RES0054-095 OH HEART ATTACKS OK SORRY I MUST HAVE MISINTERPRETED THAT HOW OLD WAS HE WHEN HE HAD HIS FIRST HEART ATTACK RES0054-096 HE'S OLDER ME BY FIVE YEARS BUT HE HAD THE FIRST ONE WHEN HE WAS YOUNGER THAN I AM NOW LIKE SIXTY TWO WAS THE FIRST ONE ANOTHER ONE AT SIXTY FIVE RES0054-097 OK DID IS HE DID THEY EVER FIND A CAUSE FOR HIS HEART ATTACK IS HE A HEALTHY PERSON RES0054-098 HEALTHY HE'S HEALTHY I YOU KNOW I WOULDN'T CALL HIM TOO HEALTHY OF A GUY EITHER HE'S A HARD LIVER LET'S CALL HIM THAT I HAVE WHY IT HAPPENED I THINK OBVIOUSLY IT'S HIS DIET MAN HE'S LIKE A HOG STEAKS BUTTER BACON I'M ASSUMING THAT'S WHAT DID HIM IN RES0054-099 OH YIKES OK OK ANY OTHER HEART CONDITIONS THAT RUN IN THE FAMILY OR OTHER MEMBERS OF THE FAMILY EXPERIENCING HEART ATTACKS RES0054-100 DAD DIED YOUNG FROM A HIGH HEART ATTACK HE WAS HE DIED YOUNGER THAN I AM NOW HE PASSED AWAY AT SIXTY SIX RES0054-101 OH I'M SORRY TO HEAR THAT RES0054-102 OH IT'S BEEN YEARS NOW IT IS WHAT IT IS HIS GRANDMOTHER HAD A STROKE HIGH BLOOD PRESSURE ON MY MOM SIDE HIGH CHOLESTEROL ON MY MOM SIDE TOO BUT AWFUL HEART ATTACKS ON MY FATHER SIDE OF THE FAMILY RES0054-103 OK ANY OTHER LUNG ANY LUNG CONDITIONS THAT RUN IN THE FAMILY RES0054-104 NONE THAT COME TO MIND RES0054-105 OK AND DO YOU SMOKE RES0054-106 I SMOKE RES0054-107 OK HOW MUCH DO YOU SMOKE RES0054-108 I CUT IT BACK ABOUT HALF A PACK A DAY FOR THE LAST TWO YEARS NOW RES0054-109 OK AND BEFORE THAT RES0054-110 I WAS PRETTY MUCH A PACK A DAY MAYBE WELL WHEN IT WAS BAD TWO PACKS A DAY BUT I'VE BEEN SMOKING SINCE ABOUT WHEN DO THEY START WORKING AT THE SHOP LIKE SEVENTEEN EVERYONE THERE SMOKES RES0054-111 OH OK WOW WELL THEN BUT IT'S GOOD THAT YOU CUT DOWN THAT'S GOOD DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING RES0054-112 I'LL SMOKE WEED AT THE SHOP EVERY FRIDAY BUT I'M NOT HUGE FAN OF IT TO BE HONEST RES0054-113 OK AND HOW MUCH DO YOU SMOKE EVERY FRIDAY RES0054-114 BOTH ARE ABOUT FOUR JOINTS SEVEN PEOPLE SO I DON'T KNOW WHAT THAT IS HALF A GRAM RES0054-115 HALF A JOINT OK OK AND DO YOU DRINK RES0054-117 HOW MUCH DO YOU DRINK RES0054-118 SEE CHRISTMAS WAS ABOUT THE LAST TIME I WENT OUT LIKE A BEER OR TWO WEEKENDS BUT WHEN FAMILIES IN TOWN WILL WE'LL GO WHOLE HOG I'LL DRINK MAYBE TWENTY BEER RES0054-119 OH OK OK AND YOU SHOULD HAVE YOU THOUGHT ABOUT CUTTING THAT DOWN RES0054-120 YOU GOTTA KEEP UP WITH THE FAMILY YOU KNOW YOU CAN'T LET THEM EMBARRASS YOU LIKE THAT RES0054-121 LET'S I UNDERSTAND THAT BUT ALSO YOU KNOW IT'S IMPORTANT TO TAKE CARE OF YOUR HEALTH AND SLOW AND STEADY WINS THE RACE RIGHT RES0054-122 I'LL KEEP THAT IN MIND DOC I'LL KEEP THAT IN MIND RES0054-123 AND HOW'S YOUR DIET RES0054-124 BEEN PRETTY GOOD THE WIFE'S BEEN ON A ON A HEALTH FOOD CRAZE LAST FIVE YEARS VEGETABLES I DON'T KNOW I EAT WHATEVER SHE COOKS BASICALLY RES0054-125 OK THAT'S GOOD AND IN TERMS OF EXERCISE DO YOU GET TO MOVE AROUND RES0054-126 I USED TO BE PRETTY ACTIVE I USED TO BIKE AROUND BUT CAUSE OF COVID I'VE JUST BEEN INDOORS ALL THIS TIME SO NO NOT MUCH RES0054-127 OK OK WELL IT'S GOOD TO GO OUT FOR A WALK ONCE IN AWHILE I THINK THAT'S ALLOWED DURING COVID AS LONG AS YOU'RE BEING SAFE AND WHO DO YOU LIVE WITH AT HOME RES0054-128 I LIVE WITH MY WIFE RES0054-129 OK ANY CHILDREN RES0054-130 I'VE GOT THREE KIDS ONE FOR MY FIRST MARRIAGE TWO WITH THE MRS RIGHT NOW RES0054-131 OK AND DO YOU GET TO SEE THEM OFTEN RES0054-132 DAUGHTER LIVES IN TOWN AND GET TO SEE HER AND GRAND KID A BIT THE OTHER BOY WORKS IN FORT MAC AND MY OLDEST SON HE'S OUT EAST RES0054-133 OK OK AND HAVE YOU HAD ANY CONTACT WITH PEOPLE WHO'VE BEEN SICK RECENTLY RES0054-134 NO WE'VE BEEN KEEPING ENTIRELY TO OURSELVES YOU CAN GET OUR GROCERIES ORDERED TO THE HOUSE RES0054-135 OK AND HOW ABOUT TRAVEL ANY RECENT TRAVEL RES0054-136 NO RES0054-137 NO OK AND THEN LASTLY JUST WANTED TO ASK YOU BECAUSE YOU HAVE BEEN SMOKING FOR A LONG TIME HAVE YOU EVER BEEN DIAGNOSED WITH SOMETHING CALLED COPD RES0054-138 DOESN'T RING A BELL RES0054-139 NO OK HAVE YOU EVER HAD ANY PULMONARY FUNCTION TESTS OR CHEST X RAYS DONE IN THE PAST RES0054-140 CHEST X RAY I THINK THEY DID A CHEST X RAY AFTER THE CAR CRASH RES0054-141 OK RES0054-142 BUT I CAN'T THINK OF GETTING ONE RECENTLY NO RES0054-143 OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME RES0054-144 SO THIS IS A HARD LIKE SHOULD I BE WORRIED RES0054-145-1 YOU KNOW WHAT IT SOUNDS FROM WHAT YOU'RE TELLING ME IT SOUNDS LIKE YOU HAVE SHORTNESS OF BREATH ON EXERTION AND IT SOUNDS LIKE YOU HAVE A COUGH WITH STILL PRODUCING SOME PHLEGM IT DOESN'T SEEM LIKE YOU HAVE ANY SYSTEMIC SYMPTOMS OF INFECTION SO I'M NOT RES0054-145-2 TOO WORRIED ABOUT THAT AND THEN IN TERMS OF YOUR HEART YOU MENTIONED YOU HAD THAT CHEST PAIN ONCE BUT IT REALLY DOES SOUND MORE LIKE A LUNG PROBLEM TO ME THAN A HEART PROBLEM TO ME RIGHT NOW BUT RES0054-145-3 OF COURSE WE'LL DO ALL THE NECESSARY INVESTIGATIONS TO RULE OUT ANY HEART STUFF BUT RIGHT NOW I'M THINKING IT COULD BE SOMETHING CALLED COPD CHRONIC OBSTRUCTIVE PULMONARY DISORDER RES0054-145-4 BECAUSE OF YOUR SMOKING HISTORY SO WE'LL START WITH DOING A PULMONARY FUNCTION TEST AND CHEST X RAY AND I WE'LL TRY TO GO FROM THERE IF IT IS RES0054-145-5 COPD WE'LL LIKELY PUT YOU ON A LIKE A PUFFER FOR THAT A LIKE A LOT A SHORT OR LONG ACTING BETA AGONIST RES0054-145-6 THAT'S WHAT IT'S CALLED SO IF YOUR SYMPTOMS DON'T GET BETTER WITH THAT WE'LL DO OTHER INVESTIGATIONS TO TRY TO FIGURE OUT WHAT THIS IS HOW DOES THAT SOUND RES0054-146 SOUNDS GREAT DOC THANKS A MILLION RES0054-147 ALRIGHT GREAT THANK YOU RES0055-000 WHAT BRINGS YOU IN RES0055-001 HI YES I JUST CAME IN TODAY BECAUSE I'VE BEEN A BIT CONCERNED ABOUT SOME BREATHING DIFFICULTIES OVER THE LAST FEW DAYS IT ALL STARTED OUT WITH LIKE A COUGH OVER THE LAST WEEK BUT NOW I'M HAVING TROUBLE BREATHING AS WELL RES0055-002 OH OK WELL I'M SORRY TO HEAR THAT SO YOU SAID A COUGH AS WELL SO THE COUGH AT LEAST A WEEK BACK AND THE SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN DID THAT START RES0055-003-1 SO THE COUGH I USUALLY HAVE A COUGH I'VE HAD COPD FOR A LONG TIME BUT THIS PAST WEEK THE COUGHING HAS BEEN MUCH WORSE WITH A LOT OF MORE SPUTUM RES0055-003-2 AND OTHER THAN THAT IT STARTED I WOULD SAY TWO TO THREE DAYS AGO THE COUGH GOT WORSE AND THEN EVERY TIME I'M MOVING AROUND I LIKE HAVE TO SIT DOWN AND CATCH MY BREATH WHICH IS PRETTY RES0055-004 ABNORMAL FOR ME OK YEAH SO ALRIGHT SO LET'S FOCUS ON THE COUGH FIRST YOU SAID IT'S A WET COUGH RES0055-005 YES I AM PRODUCING A LOT OF SPUTUM RES0055-006 OK WHAT COLOR IS YOUR SPUTUM RES0055-007 IT'S MAINLY LIKE CLEAR WHITE RES0055-008 OK SO YOU DON'T SEE YELLOW PUS OR ANYTHING GREEN OR BLOODY IN THERE RES0055-009 NO I DON'T THINK SO BUT THERE'S DEFINITELY LIKE A LOT MORE THAN WHAT I USUALLY PRODUCE RES0055-010 OK THIS COUGH DOES IT SOUND HARSH BARKY OR DOES IT SOUND MUFFLED RES0055-011 I WOULD SAY IT'S A BIT HARSH AT TIMES I WOULDN'T SAY IT'S BARKY OR MUFFLED I DO FIND MYSELF WHEEZING A LITTLE OVER THE LAST FEW DAYS AS WELL RES0055-012 OK DO YOU FIND YOU HAVE ANY CHEST PAIN ASSOCIATED WITH THE SHORTNESS OF BREATH RES0055-013 OH NO I DON'T REALLY HAVE ANY PAINS RES0055-014 OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS BEFORE RES0055-015 I DID HAVE A COUPLE OF YEARS AGO I HAD TO BE ADMITTED BECAUSE I HAD SOME SHORTNESS OF BREATH RES0055-016 OK RES0055-017 BUT THAT WAS I THINK TWO YEARS AGO RES0055-018 OK AND WHEN YOU WERE ADMITTED TWO YEARS AGO DID THEY TELL YOU WHAT YOU HAD RES0055-019 THEY SAID I HAD SOME KIND OF LUNG INFECTION AT THAT TIME SO THEY GAVE ME SOME ANTIBIOTICS WHILE I WAS IN THE HOSPITAL RES0055-020 OK DID THEY EVER SAY YOU HAD ANYTHING ELSE LIKE ASTHMA COPD ANY LONGSTANDING CONDITIONS RES0055-021 SO I'VE HAD COPD FOR MORE THAN I GUESS MORE THAN TEN YEARS NOW SO I THINK IT JUST GOT A LOT WORSE WITH THE INFECTION RES0055-022 OK ALRIGHT SO THIS TIME AROUND HAVE YOU HAD ANY FEVERS RES0055-023 I'VE BEEN HAVING A COUPLE OF CHILLS BUT LIKE THEY WOULD COME AND GO I DIDN'T REALLY THINK IT WAS A FEVER RES0055-024 OK ANY WEIGHT LOSS RES0055-025 NO RES0055-026 OK HOW ABOUT CHANGES IN YOUR HAIR OR NAILS LIKE OR OR SKIN LIKE RASHES RES0055-027 NO RES0055-028 ANY CHANGES IN YOUR VISION OR HEARING RES0055-029 NOPE RES0055-030 AND HOW ABOUT SMELL OR TASTE RES0055-031 NO I THINK THEY'RE THE SAME RES0055-032 OK HAVE A STUFFY NOSE OR RUNNY NOSE RES0055-033 I DO FEEL A BIT STUFFY BUT IT'S NOT TOO BAD RES0055-034 OK AND ANY SWELLING IN YOUR IN YOUR LEGS OR UPPER LIMBS RES0055-035 NO NOT THAT I KNOW RES0055-036 HOW ABOUT CALF PAIN RES0055-037 NOPE RES0055-038 DIZZINESS OR FAINTING SPELLS RES0055-039 NO RES0055-040 HEADACHES RES0055-041 NO HEADACHES RES0055-042 MEMORY LOSS OR CONFUSION RES0055-043 NOPE RES0055-044 CHANGES IN YOUR BOWEL MOVEMENT OR ABDOMINAL PAIN RES0055-045 NOPE RES0055-046 CHANGES TO URINATING RES0055-047 NO THAT'S ALL FINE RES0055-048 OK SO BESIDES THE COPD DO YOU HAVE ANY OTHER LONGSTANDING CONDITIONS RES0055-049 I DO HAVE SOME HIGH BLOOD PRESSURE WHICH I TAKE I THINK I TAKE ONE OF THESE MEDICATIONS CALLED METOPROLOL RES0055-050 OK AND WHEN WAS THE LAST TIME YOU HAD YOUR BLOOD PRESSURE CHECKED RES0055-051 PROBABLY LIKE A MONTH AGO AND IT WAS PRETTY GOOD I'VE BEEN CHECKING BY MYSELF AT HOME TOO AND IT HASN'T BEEN CHANGING TOO MUCH I THINK THE LAST ONE I TOOK WAS PROBABLY LIKE ONE HUNDRED AND THIRTY FIVE EIGHTY RES0055-052 OH I SEE OK ANY HOSPITALIZATIONS BESIDES THE ONE THAT YOU HAD FOR COPD A YEAR BACK RES0055-053 BACK WHEN I WAS A KID I HAD MY TONSILS REMOVED RES0055-054 OK ARE YOU ON ANY MEDICATIONS BESIDES THE METOPROLOL RES0055-055 I SO I DO HAVE I DO TAKE MULTIVITAMINS RES0055-086 I LIVE IN A SMALL BUNGALOW IN LONDON OK ANY REASONS TO BELIEVE THERE ARE CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING YOUR COPD RES0055-087 I DON'T THINK SO EVERYTHING IS PRETTY UP TO DATE RES0055-088 OK HAVE YOU HAD ANY CONTACT WITH ANYONE THAT'S BEEN SICK RECENTLY RES0055-089 NO I'VE BEEN MOSTLY TRYING TO ISOLATE AND LIKE JUST BE IN MY OWN HOME RES0055-090 OK HOW ABOUT TRAVEL TO ANYWHERE RES0055-091 NOPE I'VE BEEN IN ONTARIO SINCE THE BEGINNING OF THE PANDEMIC RES0055-092 OK THAT MAKES SENSE WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN RES0055-093 I WAS JUST WORRIED IF IT CAN BE COVID OR IF IT'S JUST LIKE ANOTHER INFECTION THAT I HAD LIKE BEFORE RES0055-094-1 SO WE'RE DEFINITELY GOING TO DO A COVID SWAB ON YOU AND THOSE RESULTS SHOULD TAKE ABOUT TWENTY FOUR TO FORTY EIGHT HOURS TO COME BACK TO YOU AND IN THE MEANTIME BECAUSE YOUR SYMPTOMS DO OVERLAP WITH COVID YOU SHOULD ISOLATE FOR FOURTEEN DAYS RES0055-094-2 PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF IT'S POSITIVE TO DO SOME CONTACT TRACING IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL INFECTION THAT'S BEEN GOING AROUND DURING THIS TIME OF YEAR WHICH IS LIKELY BECAUSE YOU HAVE COPD RES0055-094-3 IF YOU SO SINCE YOU'RE ALREADY COUGHING MORE THAN YOU USUALLY ARE AND SEEING MORE SPUTUM WE WILL REASSESS TO SEE WHETHER YOUR PUFFERS ARE WORKING IF WE NEED TO ADD ANY ADDITIONAL THINGS LIKE RES0055-094-4 INHALED CORTICOSTEROIDS AS WELL AS ANTIBIOTICS AND SO JUST KEEP AN EYE ON YOUR SYMPTOMS FOR NOW AND WILL ALSO WANT TO DO PROBABLY A CHEST X RAY AND RES0055-096 PULMONARY FUNCTION TEST HOW DOES THAT SOUND SOUNDS GOOD THANK YOU RES0056-000 WHAT BRINGS YOU IN RES0056-001 SO I'VE JUST BEEN HAVING A COUGH FOR THE LAST WEEK AND I THINK I HAD A LITTLE BIT OF A FEVER IN THE LAST FEW DAYS RES0056-002 OK SO YOU SAID THE COUGH STARTED A WEEK AGO RES0056-003 AROUND A WEEK AGO OK AND THE FEVER STARTED TWO TO THREE DAYS AGO I HAVEN'T REALLY MEASURED IT BUT LIKE I DEFINITELY HAVE BEEN FEELING CHILLS I'VE BEEN WEARING LIKE MULTIPLE BLANKETS OVER THE LAST FEW DAYS RES0056-004 OK HAVE YOU TAKEN YOUR TEMPERATURE YOU SAID YOU HAVEN'T TAKEN YOUR TEMPERATURE RIGHT RES0056-005 NO RES0056-006 OK SO LET'S FOCUS ON THE COUGH IS IT PERSISTENT OR DOES IT COME AND GO RES0056-007 I THINK THE COUGH IS PRETTY PERSISTENT OVER THE LAST WEEK RES0056-008 OK AND DOES IT GET WORSE WITH LIKE COLD AIR OR DUST LIKE MAYBE PETS OR ANYTHING LIKE THAT RES0056-009 NO I THINK IT STAYS RES0056-010 AROUND THE SAME OK DOES IT GET BETTER WITH ANYTHING HAVE YOU TRIED ANY OVER THE COUNTER COUGH SYRUP RES0056-011 YES I TRIED TYLENOL COLD AND LIKED IT I THINK IT MADE IT A BIT BETTER LIKE IT HELPED ME SLEEP OTHER THAN THAT DURING THE DAY IT'S STILL AROUND THE SAME RES0056-012 OK AND HOW WOULD YOU DESCRIBE THIS COUGH IS IT BARKY IS IT HARSH DOES IT SOUND MUFFLED RES0056-013 HOW I WOULD SAY IS THAT IT'S KIND OF LIKE IT'S NOT TOO HARSH IT'S MORE LIKE A WET COUGH I'M DEFINITELY BRINGING UP SOME SOME SPUTUM RES0056-014 OK WHAT COLOR IS THE SPUTUM RES0056-015 IT'S USUALLY LIKE A LIKE A WHITE AND SOMETIMES LIKE A LITTLE BIT YELLOW AS WELL RES0056-016 OK IS IT EVER GREEN OR DO YOU EVER SEE BLOOD IN THERE RES0056-017 NO I HAVEN'T SEEN ANY OF THAT RES0056-018 OK AND HAVE YOU EVER HAD A COUGH LIKE THIS BEFORE RES0056-019 PROBABLY LIKE IN THE LAST YEAR MAYBE I HAVE GOTTEN SICK LIKE ONCE AND HAD RES0056-020 A SIMILAR COUGH OK RES0056-021 HAVE DO YOU HAVE A SORE THROAT RES0056-022 NO I DON'T HAVE A SORE THROAT IS THIS COUGH GETTING WORSE RES0056-023 IT'S I THINK NOT REALLY IT STAYED AROUND THE SAME AND I DEFINITELY FEEL A BIT BETTER WITH THE TYLENOL COLD RES0056-024 OK GOOD ANY CHANGES IN YOUR TASTE OR SMELL RES0056-025 NO NO CHANGES RES0056-026 OK ANY CHANGES IN HEARING OR VISION RES0056-027 NOPE RES0056-028 AND HAVE YOU DID YOU HAVE IN THE PAST WEEK A RUNNY OR STUFFY NOSE RES0056-029 NO RES0056-030 OK ANY WEIGHT LOSS OVER THE PAST MONTH RES0056-031 NO NOT REALLY RES0056-032 HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES RES0056-033 NO NO CHANGES TO THE SKIN RES0056-034 OK ANY SHORTNESS OF BREATH RES0056-035 NO RES0056-036 HOW ABOUT WHEEZING RES0056-037 NO I DON'T THINK I'VE RECENTLY RES0056-038 DOK CHEST PAIN RES0056-039 NO CHEST PAIN RES0056-040 HOW ABOUT SWELLING HAVE YOU NOTICED ANY SWELLING IN LIKE YOUR LEGS OR ARMS OR YOUR RES0056-041 BELLY AREA NO I RES0056-042 DON'T THINK SO OK HOW ABOUT YOU FEELING LIKE YOUR HEART'S RACING RES0056-043 NO NO NOTHING LIKE THAT OK HOW ABOUT RES0056-044 CALF PAIN NO RES0056-046 DIZZINESS OR FAINTING SPELLS RES0056-047 NO NOTHING LIKE THAT RES0056-048 HEADACHES RES0056-049 NO RES0056-050 CONFUSION OR MEMORY LOSS RES0056-051 I DON'T THINK SO RES0056-052 HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL RES0056-053 I LIKE GO THREE TIMES A DAY AND I DON'T HAVE ANY DIARRHEA OR ANYTHING RES0056-054 OK HOW ABOUT URINATING WISE RES0056-055 EVERYTHING NORMAL THERE NO TROUBLE RES0056-056 OK NAUSEA OR VOMITING RES0056-057 NO RES0056-058 JOINT PAIN OR MUSCLE ACHE RES0056-059 NO I DON'T THINK SO RES0056-060 OK ANY CONTACTS WITH SICK PEOPLE AROUND YOU RECENTLY RES0056-061 MY WIFE WAS ACTUALLY JUST SICK LAST WEEK BUT SHE RECOVERED SHE DID HAVE A FEVER FOR ONE OF THE DAYS AND SHE ALSO HAD A COUGH RES0056-062 OK DID SHE GET IT CHECKED OUT IN A CLINIC RES0056-063 NO I DON'T THINK SO SHE DID GET THAT COVID TEST DONE BUT IT CAME BACK NEGATIVE AND SHE DIDN'T GO TO THE DOCTOR OR ANYTHING IT KIND OF JUST WENT AWAY ON ITS OWN OK ANY TRAVEL RECENTLY RES0056-066 ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0056-067 JUST AS A CHILD I HAD PROBABLY IN MY TEENS HAD MY APPENDIX REMOVED BUT NOTHING OTHER THAN THAT RES0056-068 OK OK NO HOSPITALIZATIONS OTHER THAN THAT TOO RIGHT RES0056-069 NO NO RES0056-070 ARE YOU ON ANY MEDICATIONS RES0056-071 NO I JUST TAKE SOME MULTI VITAMINS RES0056-072 OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0056-073 AS FAR AS I KNOW RES0056-074 OK HOW ABOUT ALLERGIES RES0056-075 I DO HAVE LIKE SOME I GET SOME RUNNY NOSE AROUND SPRING TIME PROBABLY I THINK I'M ALLERGIC TO POLLEN RES0056-076 OK AND ANY FAMILY HISTORY OF LUNG CONDITIONS RES0056-077 NO NOT THAT I KNOW RES0056-078 HOW ABOUT HEART CONDITIONS RES0056-079 NO I THINK MY FATHER HAS HIGH BLOOD PRESSURE IF THAT'S LIKE A HEART CONDITION RES0056-080 OK SURE AND HOW OLD WAS HE WHEN HE GOT THAT RES0056-081 HE'S AROUND LIKE SIXTIES RIGHT NOW SO PROBABLY LIKE IN HIS FORTIES RES0056-082 OK ANY CANCERS IN THE FAMILY RES0056-083 I DO HAVE AN AUNT ON MY MOTHER'S SIDE WHO HAD OVARIAN CANCER RES0056-084 OK HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH OVARIAN CANCER RES0056-085 I THINK PROBABLY IN HER FIFTIES RES0056-086 OK AND DO YOU SMOKE RES0056-087 NO I DON'T SMOKE RES0056-088 HOW ABOUT MARIJUANA RES0056-089 MARIJUANA JUST MAYBE LIKE ONE OR TWO JOINTS IN A MONTH JUST WHEN I'M FEELING THAT I NEED TO RELAX A LITTLE RES0056-090 OK SURE AND BY JOINT YOU SAID ONCE A MONTH RIGHT RES0056-091 ONCE PER MONTH RES0056-092 OK ANY OTHER DRUGS RES0056-093 NO NO OTHER DRUGS RES0056-094 AND WHERE DO YOU LIVE RIGHT NOW RES0056-095 I LIVE IN LONDON RIGHT NOW I LIVE WITH MY WIFE IN AN APARTMENT RES0056-096 OK ANY REASONS TO THINK YOU HAVE OLD CARPET MOLD OR ASBESTOS RES0056-097 NO IT'S A FAIRLY NEW APARTMENT RES0056-098 OK AND WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS FOR ME RES0056-099 YOU DON'T THINK IT COULD BE COVID RIGHT LIKE MY WIFE GOT TESTED AND IT WAS NEGATIVE RES0056-102-1 FOR SURE HONESTLY SOME OF YOUR SYMPTOMS DO SEEM TO BE OVERLAPPING WITH THAT OF COVID ESPECIALLY THE COUGH AND FEVER SO WE ARE GOING TO DO A COVID SWAB JUST TO RULE THAT OUT SO YOU WILL GET THOSE RESULTS IN TWENTY FOUR TO FORTY EIGHT HOURS RES0056-102-2 AND YOU SHOULD ISOLATE FOR FOURTEEN DAYS BECAUSE YOUR SYMPTOMS OVERLAP PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF IT'S POSITIVE JUST TO DO SOME CONTACT TRACING RES0056-102-3 BUT IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL INFECTION THAT'S GOING AROUND AT THIS TIME OF YEAR SO KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR IF YOU'RE EXPERIENCING SYMPTOMS LIKE NEUROLOGICAL DEFICITS RES0056-102-4 OR WEAK YOU KNOW LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT GET HELP FROM THE ER RIGHT AWAY AND IF YOUR SYMPTOMS ARE PERSISTING BEYOND RES0056-102-5 LIKE SEVEN DAYS TO TEN DAYS ALSO YOU SHOULD GIVE US A CALL BACK TO SEE WHAT'S GOING ON BECAUSE IT COULD BE SOMETHING LIKE A BACTERIAL INFECTION IN WHICH CASE WE CAN GIVE YOU SOME ANTIBIOTICS DOES THAT SOUND OK RES0057-000 HOW MAY I HELP YOU RES0057-001 HI YES IT'S NICE TO MEET YOU I'VE BEEN HAVING THIS COUGH THAT'S BEEN GOING ON FOR THE LAST FEW DAYS AND I HAVE HAD DIFFICULTY BREATHING RES0057-002 OH I'M SO SORRY TO HEAR THAT WHEN DID THIS START RES0057-003 OH SO THE COUGH STARTED ABOUT THREE DAYS AGO THE SHORTNESS OF BREATH HAS COME ON SINCE THEN RES0057-004 OK WELL LET'S FOCUS ON THE SHORTNESS OF BREATH FIRST AND THEN WE'LL TALK ABOUT YOUR COUGH AS WELL SO YOU NOTICED THAT YOU HAD DIFFICULTIES WITH BREATHING SOMETIME WITHIN THE PAST THREE DAYS WHEN DO YOU FIND THAT IT'S DIFFICULT FOR YOU TO BREATHE IS THERE ANYTHING THAT MAKES BREATHING MORE DIFFICULT FOR YOU RES0057-005 NOT REALLY ACTUALLY IT'S BEEN WELL BUT JUST BAD AFTER I COUGH RES0057-006 SO SAY WALKING UP THE STAIRS OR DOING ANY EXERCISE DOESN'T MAKE IT WORSE RES0057-007 NOT REALLY I'VE BEEN ABLE TO DO THE SAME AMOUNTS OF OF ACTIVITY I GUESS RES0057-008-1 OK SO THERE'S REALLY NO RELATIONSHIP WITH ACTIVITY WITH YOUR SHORTNESS OF BREATH OK AND RES0057-008-2 I CAN SEE THAT YOU'RE ABLE TO SORT OF TALK IN FULL SENTENCES OK HOW IS IT MAKING IT DIFFICULT FOR YOU TO DO THINGS AT HOME YOUR DIFFICULTY BREATHING RES0057-009 I AM A LITTLE BIT I MEAN I FEEL I JUST HAVEN'T BEEN FEELING VERY GOOD OVERALL SO I'VE BEEN RESTING THESE LAST COUPLE OF DAYS MOSTLY RES0057-010 OK AND YOUR COUGH YOU SAID THAT STARTED THREE DAYS AGO IS IT A DRY COUGH OR WET COUGH RES0057-011 IT'S DRY IT'S A DRY COUGH RES0057-012 OK AND THERE'S NO SPUTUM PRODUCTION WITH IT ANYTHING COMING UP AT ALL RES0057-013 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0057-014 OK AND IS THERE ANYTHING THAT'S MAKING THE COUGH BETTER DID YOU TAKE ANYTHING ANY MEDICATIONS FOR IT RES0057-015 I TRIED SOME OVER THE COUNTER STUFF BUT IT DIDN'T HELP RES0057-016 OK ALRIGHT OTHER THAN THE DIFFICULTY BREATHING AND THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS RES0057-017 I'VE BEEN REALLY TIRED I GUESS I'VE JUST SORT OF BEEN RESTING THE THESE LAST FEW DAYS AND I'VE HAD A HEADACHE AS WELL RES0057-018 OK CAN YOU TELL ME A BIT MORE ABOUT YOUR HEADACHE RES0057-019 IT FEELS LIKE SOMEBODY IS JUST SQUEEZING THE TOP OF OR JUST SQUEEZING THE SIDES OF MY HEAD RES0057-020 HAVE YOU HAD A HEADACHE LIKE THIS BEFORE RES0057-021-1 I HAVE I USUALLY GET THEM WHEN I'M DEHYDRATED OR MAYBE I HAVEN'T SLEPT WELL RES0057-021-2 AND THAT'S ALSO BEEN THE CASE FOR THE PAST TWO TO THREE DAYS RES0057-021-3 YEAH IT'S BEEN KIND OF OFF AND ON THERE ARE SOME TIMES THAT ARE WORSE THAN OTHERS BUT I'VE NOTICED THAT I HAD IT FOR THE MOST PART FOR THE LAST FEW DAYS RES0057-022 HAVE YOU TAKEN ANYTHING FOR YOUR HEADACHE ANY PAIN MEDS RES0057-023 I'VE BEEN TAKING SOME ADVIL IT'S HELPED RES0057-024 AND SO YOU TALKED ABOUT BEING TIRED HAVING A HEADACHE DIFFICULTIES BREATHING AND COUGHING OVER THE PAST THREE DAYS HAVE ANY OF THESE SYMPTOMS GOTTEN WORSE OVERTIME RES0057-025 YES I WOULD SAY BUT BOTH THE COUGH AND THE SHORTNESS OF BREATH HAS BEEN GETTING WORSE OVER THESE LAST FEW DAYS RES0057-026 OK AND HAVE YOU HAD ANY CHILLS OR HAVE YOU CHECKED YOUR TEMPERATURE RES0057-027 I HAVEN'T CHECKED MY TEMPERATURE BUT I FELT LIKE I'VE HAD A FEVER OR MIGHT BE GETTING A FEVER RES0057-028 WE CAN CHECK YOUR TEMPERATURE HERE AND HAVE YOU HAD ANY MUSCLE ACHES RES0057-029 I GUESS I FELT A BIT ACHY RES0057-030 ANY REDNESS IN THE EYES OR ANY RUNNY NOSE OR SORE THROAT LIKE FLU LIKE SYMPTOMS RES0057-031 I HAVE I DON'T KNOW MAYBE MY NOSE IS A LITTLE BIT CONGESTED BUT NOT REALLY RUNNING RES0057-032 OK AND HAVE YOU HAD ANY CHANGE IN YOUR SENSE OF SMELL RES0057-033 NO I HAVEN'T NOTICED THAT RES0057-034 WHAT ABOUT YOUR SENSE OF TASTE ARE YOU ABLE TO TASTE THINGS RES0057-035 I THINK SO RES0057-036 HAVE YOU NOTICED ANY RASH ANYWHERE ON YOUR BODY RES0057-037 NO I HAVEN'T RES0057-038 OK ANY CHANGES IN YOUR BOWEL MOVEMENT DIARRHEA OR CONSTIPATION RES0057-039 NO NO NOTHING LIKE THAT RES0057-040 ANY CHEST PAIN RES0057-041 NO I HAVEN'T HAD ANY RES0057-042-1 OK ALRIGHT WELL IT SOUNDS LIKE YOU HAVE MULTIPLE SYMPTOMS RIGHT NOW THAT STARTED ABOUT THREE DAYS AGO RES0057-042-2 YOU'RE FEELING TIRED YOU HAVE A HEADACHE DIFFICULTIES BREATHING SOME MUSCLE ACHES AND YOU'VE BEEN FEELING FEVERISH YOU'VE ALSO HAD THIS COUGH AND YOUR NOSE IS FEELING CONGESTED IS THERE ANYTHING ELSE THAT THAT YOU'VE BEEN EXPERIENCING OVER THE PAST THREE DAYS THAT I HAVEN'T TALKED ABOUT YET RES0057-043 NO AS YOU MENTIONED THE HEADACHE'S THERE TOO THEN THAT'S EVERYTHING RES0057-044 OK ALRIGHT CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS RES0057-045 I HAVE ASTHMA AND GERD I THINK RES0057-046 DOES THE SHORTNESS OF BREATH THAT YOU'RE EXPERIENCING FEEL SIMILAR TO THE ASTHMA ATTACKS IN ANY WAY RES0057-047 NO I HAVEN'T HAD ANY ISSUES WITH LIKE ASTHMA ATTACKS IN A LONG TIME RES0057-048 DO YOU HAVE AN INHALER RES0057-049 I DO BUT I DON'T USE IT VERY OFTEN RES0057-050 I SEE DID YOU USE IT OVER THE PAST THREE DAYS AT ALL RES0057-051 I DID TRY IT AND IT DIDN'T REALLY SEEM TO HELP THAT MUCH RES0057-052 AND OTHER THAN THAT HAVE YOU HAD ANY ANY SURGERIES IN THE PAST RES0057-053 I HAD A COLONOSCOPY TWO YEARS AGO RES0057-054 ANY REASON FOR THAT RES0057-055 MY FATHER HAD COLON CANCER WHEN HE WAS IN HIS SIXTIES RES0057-056 I SEE OK AND ANY HOSPITALIZATIONS RES0057-057 NO RES0057-058 OK DO YOU TAKE ANY MEDICATIONS I KNOW YOU HAVE PUFFERS ANY MEDICATIONS INCLUDING OVER THE COUNTER PILLS RES0057-059 I'LL TAKE LIKE A ZANTAC OR LIKE TUMS SOMETIMES FOR REFLUX RES0057-060 AND ANY ALLERGIES TO FOOD MEDICATIONS OR ENVIRONMENTAL ALLERGIES RES0057-061 I HAVE ENVIRONMENTAL ALLERGIES I THINK LIKE USUALLY THEY COME ON IN THE SPRINGTIME RES0057-062 IN TERMS OF FAMILY HISTORIES YOU DID MENTION THAT YOUR DAD HAD COLON CANCER ANY OTHER MEDICAL PROBLEMS THAT THAT RUN IN YOUR FAMILY RES0057-063 NO RES0057-064 OK AND DO YOU CURRENTLY SMOKE RES0057-065 NO I DON'T AND HAVE NEVER SMOKED IN THE PAST RES0057-066 OK WHAT ABOUT MARIJUANA RES0057-067 NO RES0057-068 OK DO YOU OR HAVE YOU EVER HAD ALCOHOL RES0057-069 I WILL HAVE SOME WINE ON THE WEEKENDS MAYBE A GLASS OR TWO WITH DINNER RES0057-070 OK SOUNDS GOOD AND HAVE YOU EVER HAD ANY STREET DRUGS RES0057-071 LIKE A LONG TIME AGO MAYBE WHEN I WAS IN COLLEGE ONCE OR TWICE RES0057-072 ALRIGHT SOUNDS GOOD AND HAVE YOU HAD ANY CONTACT WITH ANY SICK PEOPLE ANYONE WHO'S SICK RECENTLY RES0057-073-1 NOT THAT I KNOW OF I MEAN I WENT TO A FEW STORES HERE AND THERE THAT I HAD BEEN GOING TO I'VE BEEN WORKING FROM HOME SO MAYBE AT ONE OF THE STORES RES0057-073-2 AND I WOULD IMAGINE I WERE WEARING A MASK AND OF COURSE TRYING TO MAINTAIN SOCIAL DISTANCING AS MUCH AS POSSIBLE BUT YOU NEVER REALLY KNOW RES0057-074 WHAT ABOUT ANY OTHER TRAVELS OR ANY TRAVELS AT ALL OUTSIDE THE CITY OR THE COUNTRY RECENTLY RES0057-075 NO RES0057-076-1 I HAD BEEN AT HOME RES0057-076-2 ALRIGHT ALRIGHT OK SO I GUESS THAT'S ALL I WANTED TO KNOW IF THE RES0057-076-3 I'LL I'LL GO TALK TO THE ATTENDING AND WE'LL COME BACK AND DO A PHYSICAL EXAM AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN DISCUSS THE THE MANAGEMENT WITH YOU DOES THAT SOUND GOOD TO YOU RES0057-077 THAT SOUNDS GREAT RES0057-078 THANK YOU OK ALRIGHT RES0058-000 HOW ARE YOU RES0058-001 I'M DOING OK THANK YOU HOW ARE YOU RES0058-002 I'M WELL THANKS WHAT BRINGS YOU IN TODAY RES0058-003 SO USUALLY WE GO TO MY FAVORITE PIZZA SPOT FOR LUNCH AND THESE LAST COUPLE OF DAYS I'VE NOTICED I JUST CAN'T TASTE IT RES0058-004 OK WHEN YOU SAY THE PAST COUPLE OF DAYS DO YOU MEAN TWO DAYS THREE DAYS FOUR DAYS RES0058-005 I WOULD SAY THE LAST TWO DAYS JUST YESTERDAY AND TODAY RES0058-006 OK SO LOSS OF TASTE SO YOU CAN'T TASTE ANYTHING OR YOU CAN ONLY TASTE SOME THINGS OR YOU'RE JUST NOT GETTING THE FULL DEPTH RES0058-007 OF YOUR TASTE I REALLY NOTICED IT WITH THE PIZZA BUT WITH LIKE OTHER THINGS TOO IT'S JUST A REALLY PLAIN IT DOESN'T REALLY HAVE ANY FLAVOR WITH THE FOOD THAT RES0058-008 I'M EATING OK SO IT KIND OF TASTES RES0058-009 LIKE CARDBOARD KIND OF AND I THINK LIKE I MEAN PART OF THAT IS THAT I MAYBE NOT RES0058-010 SMELLING IT AS WELL EITHER OK DID YOU HAVE ANY TRAUMA TO THE AREA LIKE THE MOUTH AREA OR THE NOSE AREA IN THE PAST COUPLE OF DAYS OR DAYS LEADING UP TO THAT RES0058-011 NO NOT AT ALL NO RES0058-012 OK AND DO YOU HAVE A FEVER AT ALL RES0058-013 I DON'T THINK SO NO RES0058-014 OK YOU HAVE A COUGH RES0058-015 I'VE HAD A COUGH RES0058-016 OK A SIMILAR TIMELINE RES0058-017 THAT'S WHEN THE COUGH STARTED MAYBE THREE OR FOUR DAYS AGO RES0058-018 OK AND IS IT A DRY COUGH OR A WET COUGH RES0058-019 IT'S A DRY COUGH RES0058-020 OK SO NO SPUTUM NO BLOOD RES0058-021 NO SPUTUM AND AND NO BLOOD RES0058-022 AND DO YOU FEEL WHEEZY AT ALL RES0058-023 NO WHEEZINESS RES0058-024 HOW ABOUT SHORTNESS OF BREATH RES0058-025 MAYBE AFTER COUGHING I'VE HAD A HARD TIME CATCHING MY BREATH RES0058-026 OK SURE AND HOW ABOUT ANY FATIGUE DO YOU FEEL LIKE YOU'RE MORE TIRED THAN USUAL RES0058-027 THESE PAST FEW DAYS I HAVE DEFINITELY I FELT MORE TIRED I'VE BEEN SLEEPING A LOT MORE THROUGHOUT THE DAY AND JUST I DON'T KNOW KIND OF LAZY RES0058-028 AND I KNOW YOU MENTIONED YOU'RE HAVING A HARD TIME TASTING HOW ABOUT YOUR APPETITE THOUGH DO YOU FEEL LIKE YOU'VE LOST APPETITE RES0058-029 I THINK APPETITE'S BEEN OK I'VE BEEN HUNGRY RES0058-030 OK HOW ABOUT MUSCLE ACHES RES0058-031 NO JUST TIRED RES0058-032 OK AND CHEST PAIN RES0058-033 NO CHEST PAIN RES0058-034 ALRIGHT DO YOU HAVE A FEELING LIKE YOUR HEART'S RACING RES0058-035 NO NOTHING LIKE THAT RES0058-036 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS RES0058-037 WELL I HAD DIARRHEA THIS MORNING ACTUALLY RES0058-038 OK SO SOME DIARRHEA THIS MORNING RES0058-039 NONE BEFORE THAT THOUGH IT WAS JUST THE ONE OR KIND OF TWO TIMES BUT IT HASN'T HAPPENED SINCE THEN RES0058-040 OK NO CONSTIPATION RES0058-041 NO RES0058-042 NO BLOOD IN YOUR STOOL RES0058-043 I KNOW I DIDN'T SEE ANYTHING RED RES0058-044 OK HOW ABOUT YOUR STOOL SEEMING LIKE IT'S VERY DARK ALMOST TO THE POINT WHERE IT LOOKS BLACK RES0058-045 OH NO IT IT WASN'T DARK LIKE THAT RES0058-046 OK OK GOOD ANY RES0058-048 ABDOMINAL PAIN NO RES0058-049 ANY ISSUES SWALLOWING FOOD NO ISSUES SWALLOWING FOOD MY THROAT HAS FELT A BIT ITCHY BUT RES0058-050 I MEAN I'VE BEEN COUGHING ALOT DOES RES0058-051 IT FEEL SORE AS WELL NOT REALLY OR JUST KIND OF KIND OF RES0058-052 KIND OF SCRATCHY OK HAVE YOU HAD A RUNNY NOSE RES0058-053 OR A BLOCKED NOSE RES0058-055 NOT REALLY NO OK ANY RASHES RES0058-056 NO I HAVEN'T NOTICED ANY RASHES RES0058-058 AND ARE THINGS NORMAL WITH YOUR URINE RES0058-059 THEY ARE HOW ABOUT DIZZINESS OR FAINTING SPELLS A LITTLE BIT DIZZY I WHEN I GOT OUT OF BED THIS MORNING BUT WE SAT BACK DOWN FOR A RES0058-060 COUPLE OF MINUTES I I FELT BETTER OK GOOD GOOD DO YOU THINK THAT THIS MORNING YOU WERE DIZZY BECAUSE YOU WERE DEHYDRATED RES0058-061 OR IS THIS LIKE A NORMAL THING FOR YOU I MEAN I GUESS I COULD HAVE BEEN DEHYDRATED I DIDN'T EVEN THINK OF THAT BUT I MEAN SINCE THE FOOD DIDN'T TASTE SO GREAT I DON'T KNOW I PROBABLY DIDN'T EAT AS MUCH YESTERDAY OR THE LAST COUPLE OF DAYS MAYBE I HAVEN'T EATEN AS MUCH RES0058-063 DO YOU FEEL WEAK I DON'T KNOW MAYBE MAYBE A LITTLE WEAK BUT JUST WAY RES0058-064 MORE TIRED OK ANY CONFUSION OR MEMORY LOSS RES0058-065 NO I HAVE BEEN ABLE TO DO SOME OF MY SCHOOL WORK RES0058-066 OK GOOD AND YOU MENTIONED NO RASHES RIGHT RES0058-067 NO RASH RES0058-068 OK ANY WEIGHT LOSS OVER THE PAST COUPLE OF MONTHS RES0058-069 NOTHING LIKE THAT NO WEIGHT CHANGE IT'S BEEN THE SAME RES0058-070 OK HOW ABOUT NIGHT SWEATS OR CHILLS RES0058-071 CHILLS I FELT A BIT HOT RES0058-072 BUT NOT SWEATY BUT HOT RES0058-077 THERE IS THIS GUY IN MY CLASS WHO WAS SICK IN CLASS LAST WEEK RES0058-078 WHAT KIND OF SYMPTOMS DID HE HAVE RES0058-079 WELL HE HAD A COUGH AND FEVER I THINK HE HAD A COUGH AND A FEVER AND SOMEBODY SAID THAT MAYBE A SORE THROAT OR SOMETHING LIKE THAT RES0058-080 OK SO SOME SYMPTOMS OVERLAP WITH YOURS I GUESS HAVE YOU TRAVELED ANYWHERE RECENTLY RES0058-081 OH NO I'VE BEEN AT HOME WE JUST STARTED BACK AT GOING IN RES0058-082 PERSON TO SCHOOL AGAIN OK OK RES0058-095 NO I'M NOT RES0058-096 OK AND DO YOU SMOKE RES0058-097 I DON'T RES0058-098 OK HOW ABOUT MARIJUANA RES0058-099 NO OH BUT I GUESS I USE A VAPE EVERY ONCE IN A WHILE RES0058-100 WITH LIKE MARIJUANA RES0058-101 NO IT'S LIKE THOSE FLAVORED ONES RES0058-102 OH OK HOW OFTEN DO YOU USE THAT RES0058-103 IT'S LIKE A FEW TIMES A DAY RES0058-104 OK AND IS THERE ANY TOBACCO IN THERE OR NICOTINE RES0058-105 I THINK THERE MIGHT BE BUT I DON'T KNOW I USUALLY JUST BUY THE FLAVORED ONES RES0058-106 OK WELL YOU SHOULD PROBABLY LOOK INTO IF IT HAS TOBACCO OR NICOTINE BECAUSE NEITHER OF THOSE ARE GOOD FOR YOUR HEALTH AND SO WE CAN YOU KNOW HAVE A DISCUSSION LATER ON TRYING TO CUT DOWN OR QUITTING COMPLETELY IF YOU ARE OPEN TO THAT RES0058-107 SURE RES0058-116 FAR FROM HERE OH THAT'S NICE AND ANY CONCERNS WITH THE LIVING ARRANGEMENTS IN TERMS OF YOU KNOW LIKE IT BEING AN OLD BUILDING OLD CARPETS MOLD ANYTHING LIKE RES0058-117 THAT NO I LIVE IN A NICE PLACE RES0058-118 IT'S USUALLY LIKE REALLY CLEAN OK GOOD ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS THAT YOU WANTED TO BRING UP RES0058-119 I I GUESS THE ONLY THING THAT I WAS CONCERNED ABOUT WAS POSSIBLY HAVING COVID RES0058-120-1 YEAH YOU KNOW THAT'S PROBABLY TOP ON MY LIST OF THINGS TO INVESTIGATE YOU FOR SO I WOULD SAY COVID OR OTHER VIRAL ILLNESSES THAT COULD BE GOING AROUND THIS TIME OF YEAR RES0058-120-2 THAT WOULD HAVE LESS OF A SIMILAR PRESENTATION AND SO WE WILL DO A COVID SWAB FOR YOU AND IN THE MEANTIME IF YOU COULD ISOLATE FOR FOURTEEN DAYS RES0058-120-3 REGARDLESS OF WHETHER THE SWAB COMES BACK POSITIVE OR NEGATIVE AND THAT WOULD BE GREAT IF THE SWAB COMES BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEY'LL TRY TO TRACE WHERE YOU COULD HAVE CAUGHT THIS FROM RES0058-120-4 AND IF IT TURNS OUT IT'S NOT A VIRAL ILLNESS WE WILL TRY TO WORK YOU UP FOR ANY BACTERIAL INFECTIONS WHICH CAN BE TREATED WITH ANTIBIOTICS SO THAT'S WHERE WE WILL START DOES THAT SOUND GOOD RES0058-121 THAT MAKES SENSE RES0058-122 OK GREAT WELL HAVE A GREAT DAY RES0058-123 THANK YOU RES0061-000 HOW ARE YOU RES0061-001 I'M NOT SO GOOD THESE LAST FEW DAYS I HAVEN'T BENN ABLE TO REALLYKEEP ANYTHING DOWN AND NOT FEELING SO GOOD RES0061-002 OK I'M SORRY TO HEAR THAT WHEN YOU SAY LAST FEW DAYS DID YOU MEAN THE PAST TWO DAYS THREE DAYS RES0061-003 WELL I FEEL LIKE MAYBE THE LAST FIVE DAYS I JUST HAVEN'T BEEN FEELING SO GOOD AND I HAVEN'T REALLY FELT LIKE EATING BUT THESE LAST TWO DAYS I'VE BEEN REALLY NAUSEOUS AND I'VE THROWN UP A FEW TIMES RES0061-004 OK WHEN YOU SAY YOU HAVEN'T BEEN FEELING GOOD FOR THE PAST FIVE DAYS IS IT THAT YOU FEEL ACHY DO YOU FEEL HOT LIKE YOU HAVE A FEVER RES0061-005 OR DO YOU FEEL WEAK I DO FEEL HOT AND RES0061-006 MAYBE A BIT TIRED TIRED OK AND NAUSEA AND VOMITING ARE YOU RES0061-007 THROWING UP OR JUST FEELING NAUSEOUS MOSTLY NAUSEOUS BUT YESTERDAY I THREW UP LIKE THREE OR FOUR TIMES RES0061-008 AND THEN AGAIN TODAY I THREW UP RES0061-009 LIKE TWO OR THREE TIMES OK ARE YOU THROWING UP ANY BLOOD NO I DIDN'T SEE ANY RED IT WAS MOSTLY LIKE YELLOW AND LIQUIDY BEACUSE I HAVEN'T BEEN EATING MUCH SOLIDS OR LIKE JUST LIKE FOOD I'VE BEEN MOSTLY RES0061-010 JUST HAVING DRINKS OK AND AND SO RES0061-011 MOSTLY FLUID YOU SAID OK AND WHAT COLOR IS IT RES0061-012 USUALLY USUALLY KIND OF LIKE YELLOWISH CLEAR RES0061-013 OK ARE YOU HAVING ANY ABDOMINAL PAIN RES0061-014 MAYBE LIKE AFTER I VOMIT IT KIND OF FEELS LIKE SQUEEZING A LITTLE BIT BUT I THINK I THINK THAT'S JUST REALLY JUST WITH WHEN I'M HEAVING RES0061-015 RIGHT ARE YOU DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS RES0061-016 NO I HAVEN'T NOTICED ANYTHING THERE RES0061-017 OK AND SO NO DIARRHEA NO CONSTIPATION RES0061-018 NO NOTHING LIKE THAT RES0061-019 OK NO BLOOD IN YOUR STOOL RES0061-020 NO BLOOD I HAVEN'T SEEN ANY RED RES0061-021 OK AND HOW ABOUT ISSUES SWALLOWING FOOD RES0061-022 OH NO PROBLEM SWALLOWING JUST HAVEN'T FELT HUNGRY RES0061-023 OK SO YOU DON'T HAVE MUCH OF AN APPETITE THEN RES0061-024 NO NOT NOT REALLY RES0061-025 OK ALRIGHT SO ANY CHANGES IN IN TASTE RES0061-026 MAYBE I MEAN I THINK I MIGHT NOT BE REALLY TASTING THINGS THE SAME RES0061-027 OK HOW ABOUT SMELL RES0061-028 NOW THAT YOU SAY IT I MIGHT I THINK MY SMELL HAS BEEN IMPACTED AS WELL I CAN'T REALLY SMELL ANYTHING RES0061-030 OK I THOUGHT THAT WAS KIND OF WEIRD BUT DIDN'T THINK ANYTHING OF IT ACTUALLY UNTIL YOU JUST ASKED ME RES0061-031 FOR SURE AND HOW ABOUT ANY CHANGES IN YOUR VISION OR HEARING RES0061-032 NO CHANGES TO VISION OR HEARING RES0061-033 OK ANY DISCHARGE RES0061-034 NOTHING LIKE THAT THAT BUT I MEAN MY EYES WERE A BIT THEY'VE BEEN A BIT RED THESE LAST TWO DAYS RES0061-035 OK HAVE THEY BEEN IN ANY PAIN RES0061-036 NOPE NO PAIN AND I'VE BEEN ABLE TO SEE EVERYTHING OK IT'S JUST I JUST NOTICED THEY WERE A LITTLE BIT MORE RED I JUST THOUGHT MAYBE I DON'T KNOW I WAS I'VE JUST BEEN TIRED RES0061-037 FOR SURE ANY COUGHING RES0061-038 I HAVEN'T HAD A COUGH BUT I'VE HAD A COUGH FOR A FEW YEARS NOW SO THAT'S NOT REALLY A CHANGE FOR ME RES0061-039 ALRIGHT SO NO CHANGE IN YOUR COUGH IS IT A DRY COUGH OR A WET COUGH RES0061-040 IT'S OH A DRY RES0061-041 COUGH USUALLY DRY COUGH OK RES0061-042 ANY BLOOD THAT RES0061-043 YOU PRODUCE NO BLOOD NO BLOOD OK ANY SHORTNESS OF BREATH RES0061-044 I'M NOT REALLY ABLE TO EXERCISE AND STUFF LIKE THAT RES0061-046 HOW ABOUT WHEEZE RES0061-047 NO I HAVEN'T HAD A A WHEEZE OK HOW ABOUT RES0061-048 ANY FATIGUE OR TIREDNESS I'VE DEFINITELY FELT A LITTLE BIT MORE KIND OF RES0061-049 GROGGY AND TIRED THIS LAST WEEK REALLY RES0061-050 OK AND MUSCLE ACHES TO GO ALONG WITH THAT BIT RES0061-051 IN MY LIKE KIND OF UPPER ARMS AND LEGS A LITTLE BIT OK YOU SAID RES0061-052 YOU'VE BEEN FEELING GROGGY DO YOU FEEL DIZZY AT ALL NOT DIZZY JUST MAYBE THAT I'M LIKE RES0061-053 MOVING IN SLOW MOTION OK ANY CONFUSION OR MEMORY LOSS RES0061-054 NO I THINK I'VE BEEN RES0061-055 OK OK ANY RASHES RES0061-056 NO I HAVEN'T NOTICED ANY RASHES RES0061-057 OK HOW ABOUT HEADACHES RES0061-058 THESE LAST FEW DAYS I'VE HAD A BIT OF A HEADACHE AS WELL IT HASN'T BEEN VERY INTENSE SO I'M NOT WORRIED ABOUT IT TOO MUCH RES0061-059 RIGHT OK IT HASN'T BEEN INTENSE YOU SAID SO HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST RES0061-060 I HAD SIMILAR HEADACHES BEFORE I THINK THEY COME LIKE THIS LIKE IF I DIDN'T GET A GOOD SLEEP OR FROM NOT DRINKING ENOUGH WATER OR SOMETHING I'LL KIND OF GET A HEADACHE LIKE THIS KIND OF FEELS LIKE IT'S SQUEEZING RES0061-061 THAT'S UNDERSTANDABLE BUT IT'S NOT LIKE THE WORST HEADACHE YOU'VE EVER HAD RES0061-062 NO NO IT'S PRETTY SIMILAR TO HEADACHES THAT I'VE HAD BEFORE RES0061-063 OK OK GOOD AND ARE YOU OTHERWISE HEALTHY RES0061-064 WELL I HAVE HIGH BLOOD PRESSURE AND ALSO HIGH CHOLESTEROL SO I DO TAKE MEDICATIONS FOR BOTH OF THOSE SO I TAKE A STATIN AND RES0061-065 AMLODIPINE I THINK OK OK GOOD IT'S GOOD THAT YOU'RE ON BOTH OF THOSE DO YOU TAKE ANY OTHER MEDICATIONS LIKE OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS RES0061-066 I'VE BEEN TAKING VITAMIN D AND ALSO A MULTIVITAMIN I HEARD THAT THAT WE DON'T GET ENOUGH VITAMIN D THROUGHOUT THE WINTER RES0061-067-1 IT'S A GREAT IDEA TO TAKE THAT ESPECIALLY AS WE GET OLDER AND IF WE LIVE IN A COUNTRY WHERE WE DON'T GET A LOT OF SUN EXPOSURE LIKE CANADA RES0061-067-2 SO THAT'S GOOD AND SORRY BEFORE I MOVE ON I FORGOT TO ASK YOU EARLIER IF YOU HAVE EXPERIENCED ANY WEIGHT LOSS OR NIGHT SWEATS RECENTLY RES0061-068 NO MY WEIGHT'S BEEN ABOUT THE SAME UNFORTUNATELY AND I HAVEN'T HAD ANY NIGHT SWEATS BUT I MEAN NOW THAT YOU ASKED IF I FELT MORE HOT THAN THAN USUAL MAYBE RES0061-069 OK AND DID YOU TAKE YOUR TEMPERATURE RES0061-070 I DID AND THE LAST TIME I CHECKED IT WAS A FEW DAYS AGO AND AT THAT TIME I DIDN'T HAVE A FEVER BUT I MEAN I'M STILL FEELING HOT SO I'M NOT SURE RES0061-071 OK ALRIGHT SO I'LL GO BACK TO YOUR PAST MEDICAL HISTORY HAVE YOU BEEN HOSPITALIZED OR HAVE YOU EVER NEEDED SURGERIES IN THE PAST RES0061-072 NO LIKE THE LAST TIME I WAS IN THE HOSPITAL WITH IT WAS FOR A COLONOSCOPY A FEW YEARS AGO WHICH CAME BACK NORMAL RES0061-073 OK THAT'S GOOD ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0061-074 ACTUALLY GOT THE SHINGLES VACCINE A FEW MONTHS AGO RES0061-075 OK RES0061-076 PROBABLY CLOSER TO A YEAR AGO NOW ACTUALLY RES0061-077 OH GREAT OK THAT'S AWESOME AND ARE YOU ALLERGIC TO ANYTHING RES0061-078 JUST PEANUTS RES0061-079 PEANUTS OK DO YOU KNOW IF YOU HAVE A FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS RES0061-080 MY SON HAS ASTHMA BUT NOBODY IN MY FAMILY'S RES0061-081 HAD A HEART PROBLEM THOUGH OK HOW ABOUT ANY STOMACH PROBLEMS OR LIVER PROBLEMS RES0061-082 COLON PROBLEMS MY DAD ACTUALLY HAD COLON CANCER HE WAS SEVENTY AND SO THAT'S WHY WE WENT AND DECIDED TO RES0061-083 GET A COLONOSCOPY INSTEAD OF JUST DOING THE IMMUNOHISTOCHEMISTRY TEST OK THAT'S A GOOD IDEA SO RES0061-084 IT SOUNDS LIKE YOU'RE YOU KNOW PREEMPTIVE RES0061-085 WITH YOUR HEALTH WHICH IS GOOD RES0061-086 ANY OTHER RES0061-087 CANCERS THAT RUN IN THE FAMILY RES0061-088 NO JUST MY DAD HAD RES0061-089 COLON CANCER OK AND DO YOU SMOKE RES0061-090 I MEAN I BRIEFLY LIKE DABBLED IN THE PAST AT PARTIES AND STUFF LIKE THAT BUT THAT WAS WHEN I WAS WAY YOUNGER LIKE IN IN MY COLLEGE YEARS RES0061-091 AT PARTIES AND STUFF LIKE THAT BUT THAT WAS WHEN I WAS WAY YOUNGER LIKE RES0061-110 WELL I'M JUST HOPING TO TO GET THIS SORTED OUT AND FEEL BETTER RES0061-111-1 YEAH FOR SURE SO YOU KNOW RIGHT NOW WE'RE THINKING IT COULD BE A VIRAL GI VIRAL INFECTION BECAUSE OF YOUR COMPLAINTS OF NAUSEA VOMITING LOSS OF APPETITE AND FEVER RES0061-111-2 BUT IT COULD ALSO BE COVID AND WE ARE GOING TO HAVE TO DO A SWAB FOR YOU AND RUN THAT TEST BECAUSE YOU HAVE A LOT OF SYMPTOMS THAT OVERLAP WITH THOSE SYMPTOMS RES0061-111-3 AND THEN SO JUST GOING OFF OF THAT WE'LL WAIT FOR THE SWABS TO COME BACK IF THEY COME BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEY'LL DO A TRACE TO SEE WHERE YOU COULD HAVE GOTTEN THIS INFECTION FROM RES0061-111-4 AND THEN MEANWHILE WE DO SUGGEST THAT YOU ISOLATE FOR TWO WEEKS SO THAT YOU DON'T SPREAD THE ILLNESS AND EVEN IF THE SWAB COMES BACK NEGATIVE THERE IS STILL A CHANCE THAT YOU MAY HAVE COVID AND IT'S A FALSE NEGATIVE TEST RES0061-111-5 SO WE'LL START THERE IF IT TURNS OUT YOU DON'T HAVE ANY OF THOSE VIRAL ILLNESSES AND RES0061-111-6 YOU HAVE MORE OF A YOU KNOW BACTERIAL PICTURE WE CAN WORK YOU UP FOR THAT AND PRESCRIBE ANTIBIOTICS SO THAT'S WHERE WE WILL START HOW DOES THAT SOUND RES0061-112 THAT SOUNDS LIKE A GREAT START THANK YOU RES0061-113 ALRIGHT GREAT RES0062-000 WHAT BRINGS YOU IN RES0062-001 WELL I'VE HAD THIS COUGH BUT THE BIGGEST ISSUE IS THAT I'VE BEEN REALLY SHORT OF BREATH RES0062-002 OK WHEN DID THE COUGH START RES0062-003 I WOULD SAY ABOUT THREE DAYS AGO RES0062-004 THREE DAYS AGO OK AND AROUND THAT TIME DID YOU ALSO START FEELING SHORT OF BREATH RES0062-005 THE SHORTNESS OF BREATH HAS COME ON I DON'T KNOW WITHIN THE LAST DAY OR SO IT'S COME ON AFTER THAT THE COUGH STARTED FIRST OK AND RES0062-006 THE COUGH ARE YOU IS IT A DRY COUGH OR IS IT A WET COUGH RES0062-007 WELL I'VE BEEN BRINGING UP SOME YELLOWISH GREEN KIND OF LIKE PHLEGM SO I GUESS A WET COUGH RES0062-008 OK SO YELLOWISH GREEN YOU SAID RES0062-009 OK ANY BLOOD IN THE SPUTUM RES0062-010 I HAVEN'T NOTICED ANY BLOOD RES0062-011 OK AND HOW MUCH SPUTUM ARE YOU COUGHING UP EACH TIME LIKE IS IT KIND OF THE SIZE OF YOUR FINGERTIP OR DOES IT FILL YOUR WHOLE PALM RES0062-012 PROBABLY MORE LIKE THE SIZE OF LIKE A THUMB TIP RES0062-013 OK OK AND DO YOU NOTICE ANY LIKE PUS OR FROTH RES0062-014 IN THE SPUTUM NOTHING LIKE RES0062-015 THAT I NOTICED OK AND IF YOU WERE TO DESCRIBE THE SOUND OF YOUR COUGH DOES IT SOUND LIKE IT'S BARKY OR LIKE A RES0062-016 HACKING COUGH RES0062-017 I DON'T KNOW I GUESS HACKING OK AND ALRIGHT RES0062-018 DO YOU HEAR ANY WHEEZING AT ALL NO WELL MAYBE I GUESS WHEN I'M RES0062-019 REALLY SHORT OF BREATH WHEEZING OK AND THE SHORTNESS OF BREATH HOW RES0062-020 SEVERE IS IT ONE TO TEN TEN BEING THE WORST MAYBE RES0062-021 A SEVEN AT SEVEN OK ARE YOU HAVING ISSUES SLEEPING BECAUSE OF YOUR SHORTNESS OF BREATH RES0062-022 WELL I CAN'T TELL IF IT'S THAT OR THE COUGH I MEAN BETWEEN THOSE TWO THINGS IT'S BEEN DEFINITELY INTERRUPTING MY SLEEP RES0062-023 OK AND DO YOU FIND THERE ARE ANY TRIGGERS TO YOUR COUGHING LIKE LIKE A PARTICULAR TIME OF THE DAY TRIGGERS LIKE YOU KNOW POLLEN OR THINGS IN YOUR ENVIRONMENT LIKE PETS RES0062-024 NO THE COUGH HAS BEEN KIND OF GOING ON ALL DAY RIGHT WHEN I GET UP IN THE MORNING AND GOES ON ALL NIGHT IT'S BEEN GETTING WORSE TO THESE LAST FEW DAYS RES0062-025 OK THAT DOESN'T SOUND GREAT IN TERMS OF YOUR SHORTNESS OF BREATH DO YOU FIND THAT CERTAIN POSITIONS MAKE IT WORSE OR LIKE EXERTING YOURSELF MAKES IT WORSE RES0062-026 NOT REALLY RES0062-027 OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST RES0062-028 NO I HAVEN'T RES0062-029 OK AND ANY OTHER SYMPTOMS THAT YOU HAVE ALONG WITH YOUR COUGHING AND SPUTUM RES0062-030 AS SOON AS I BREATH WELL I JUST HAVEN'T FELT GOOD LIKE TIRED KIND OF WEAKISH RES0062-031 OK ALONG WITH YOUR FATIGUE AND FEELING WEAK HAVE YOU EXPERIENCED ANY DIZZINESS OR FAINTING SPELLS RES0062-032 NO DIZZINESS AND I HAVEN'T FAINTED OR ANYTHING LIKE THAT RES0062-033 OK ANY CONFUSION OR MEMORY LOSS RES0062-034 NO CONCERNS WITH MY MEMORY RES0062-035 OK AND HOW ABOUT MUSCLE ACHES OR ANY SORT OF BODY ACHES RES0062-036 ALRIGHT MAYBE A BIT KIND OF AND RES0062-037 WEAK ALRIGHT SO LET'S GO BACK TO YOUR SHORTNESS OF BREATH DO YOU HAVE RES0062-039 CHEST PAIN ASSOCIATED WITH THAT NO OK AND RES0062-040 FEEL LIKE YOUR HEART'S RES0062-041 RACING NO NOTHING LIKE THAT OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS RES0062-042 NO THOSE HAVE BEEN NORMAL I HAVEN'T HAD ANY DIARRHEA OR CONSTIPATION RES0062-043 OK AND NO BLOOD IN YOUR STOOL RES0062-044 I HAVEN'T NOTICED ANY BLOOD NO RES0062-045 OK HOW ABOUT ABDOMINAL PAINS RES0062-046 OH I DON'T KNOW WHY MY BELLY'S BEEN A BIT ACHY MAYBE RES0062-047 OK AND HOW ABOUT A SORE THROAT RES0062-048 NO MY THROAT FELT OK RES0062-049 OK GOOD AND HAVE YOU EXPERIENCED ANY LOSS OF TASTE RES0062-050 NO LOSS OF TASTE BUT I'VE NOTICED MY SMELL HAS BEEN KIND OF FUNNY RES0062-051 YOUR SMELL HAS BEEN KIND OF FUNNY LIKE YOU CAN'T SMELL OR DO THINGS SMELL DIFFERENTLY THAN YOU EXPECT THEM TO RES0062-052 THERE WAS A CANDLE ON EARLIER TODAY AND I GUESS I COULDN'T REALLY SMELL IT SO I GUESS I HAVEN'T BEEN ABLE TO SMELL RES0062-053 OK DO YOU HAVE A RUNNY NOSE OR A BLOCKED NOSE RES0062-054 NO I HAVEN'T HAD TO BLOW MY NOSE OR ANYTHING RES0062-055 OK ANY CHANGES IN YOUR VISION OR HEARING RES0062-056 NO THAT'S BEEN NORMAL RES0062-057 OK ANY DISCHARGE OR PAIN IN YOUR EYES OR EARS RES0062-058 NO THAT'S BEEN OK RES0062-059 OK AND THEN ANY CHANGES TO YOUR URINE RES0062-060 NO I HAVEN'T HAD ANY PAIN OR ANYTHING LIKE THAT RES0062-061 OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS RES0062-062 YEAH I HAVE ATRIAL FIBRILLATION AND I DO RES0062-063 TAKE METOPROLOL FOR THAT OK RES0062-064-1 HOW LONG HAVE YOU HAD A FIB RES0062-064-2 IT WAS LIKE FOUR YEARS AGO I THINK IT WAS IT WAS HAVING THAT LIKE FELT LIKE MY HEART WAS RACING YOU WERE ASKING ABOUT EARLIER AND RES0062-064-3 THEY DID AN ECG AND I WAS TOLD I HAD ATRIAL FIBRILLATION SO I'VE BEEN ON A BETA BLOCKER FOR THREE YEARS NOW RES0062-065 OK FOUR YEARS I THINK AND WHEN WAS THE LAST TIME YOU HAD AN ECG RES0062-066 MAYBE JUST A COUPLE OF MONTHS AGO I THINK EVERY TIME THAT I COME IN TO SEE MY FAMILY DOCTOR THEY THEY DO ONE RES0062-067 OK AND THE LAST TIME THAT IT WAS DONE WAS IT NORMAL RES0062-068 P THEY SAID MY HEART RATE'S BEEN AROUND EIGHTY BEATS PER MINUTE WHICH IS GOOD AND I HAVEN'T HAD ANY SYMPTOMS SO THINGS HAVE BEEN STABLE RES0062-069 OK GOOD AND THEN HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0062-070 I HAD AN INGUINAL HERNIA REPAIR ABOUT FIFTEEN YEARS AGO RES0062-071 OK ANY COMPLICATIONS FROM THAT RES0062-072 NO RES0062-073 OK AND THEN BESIDES THE METOPROLOL ARE YOU ON ANY OTHER MEDICATIONS RES0062-074 OH I TAKE A STATIN AND RES0062-075 BABY ASPIRIN OK AND IS THAT FOR THE A FIB AS WELL THE ASPIRIN OR IS THAT JUST FOR OTHER CARDIOVASCULAR ISSUES OR SOME SORT OF PREVENTATIVE MEASURE RES0062-076 I HEARD IT WAS GOOD FOR PEOPLE WHO HAVE ATRIAL FIBRILLATION SO I STARTED TAKING IT RES0062-077 OK AND LET'S REVISIT YOUR MEDICATIONS AT THE END OF TODAY'S SESSION I JUST WANT TO MAKE SURE THAT YOU'RE ON THE MEDICATIONS AND I JUST WANT TO MAKE SURE YOU'RE ON THE RIGHT DOSE DOES THAT SOUND GOOD RES0062-078 CERTAINLY RES0062-079 DOK GREAT AND OK SO WE TALKED ABOUT YOUR PAST MEDICAL HISTORY AND MEDICATIONS WE WILL TALK A LITTLE BIT ABOUT ANY ALLERGIES THAT YOU HAVE IF YOU HAVE ANY RES0062-080 I THINK IT'S LIKE A SULFA ALLERGY I RECEIVED AN ANTIBIOTIC LIKE THAT MANY YEARS AGO AND HAD A RASH RES0062-081 OK OK AND HAVE YOU HAD ANY REASON TO SUSPECT THAT YOU MAY HAVE TAKEN ANY SULFAS RECENTLY RES0062-082 NO I HAVEN'T HAD ANY ANTIBIOTICS SO NO REALLY NO CHANGES RES0062-083 OK OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0062-084 I AM I'VE RECEIVED THE ZOSTER VACCINE FOR SHINGLES AND ALSO RES0062-085 THE ONE FOR PNEUMONIA OK GOOD GOOD THOSE TWO WE DEFINITELY RECOMMEND IF YOU'RE OVER SIXTY FIVE OK AND DO YOU KNOW OF ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0062-086 NO I THINK MY AUNT HAD LUNG CANCER BUT SHE SMOKED HER ENTIRE LIFE RES0062-087 OK OK AND HOW ABOUT OTHER CANCERS RES0062-088 NO OTHER CANCERS RES0062-089 AND HAVE YOU BEEN IN TOUCH OR DO YOU THINK YOU'VE BEEN IN CONTACT WITH ANY ANYONE SICK RECENTLY RES0062-090 WELL I VISITED MY MOTHER AT A LONG TERM CARE FACILITY JUST THIS PAST WEEKEND SO I GUESS ABOUT JUST OVER A WEEK AGO RES0062-091 I VISITED THERE OK AND HAVE THERE BEEN ANY COVID OUTBREAKS RES0062-092 AT THE LONG TERM CARE THERE HAS BEEN I THOUGHT I WAS RES0062-093 AWAY FROM THOSE AREAS RES0062-094 BUT I HAVE HEARD ABOUT OUT RES0062-095 BREAKS THERE OK OK RES0062-096 AND ANY TRAVEL HISTORY NO TRAVEL AND DO YOU SMOKE I USED TO SMOKE A PACK OF CIGARETTES A DAY BUT I QUIT ABOUT ABOUT FIVE YEARS AGO I KNOW RES0062-097 FOUR YEARS AGO IT WAS WHEN I FOUND OUT I HAD ATRIAL FIBRILLATION I QUIT RES0062-098 OK OK WELL THAT'S GOOD GOOD FOR YOU FOR QUITTING HOW ABOUT MARIJUANA NO I DON'T SMOKE IT BUT I'LL USE SOME EDIBLES I BUY FROM THE ONTARIO STORES RES0062-099 A COUPLE OF TIMES PER WEEK JUST THE CBD STUFF THE CBD STUFF OK AND HOW MANY MILLIGRAMS RES0062-100 I'M NOT SURE RES0062-101 I KNOW IT'S THEIR LOWEST DOSE THOUGH OK OK IF IT'S LOWEST DOSE IT MIGHT BE TWO POINT FIVE MILLIGRAMS RES0062-103 SOUNDS FAMILIAR OK GOOD IS THERE A PARTICULAR REASON YOU TAKE THESE CBD EDIBLES RES0062-104 IT HELPS ME SLEEP RES0062-105-1 OK IF IT'S SPECIFICALLY TO HELP YOU SLEEP WE CAN ACTUALLY TRY AND SEE IF THERE ARE OTHER OPTIONS FOR YOU YOU KNOW THERE ARE PILLS LIKE RES0062-105-2 THEY ARE SLEEP AIDS OR EVEN THINGS LIKE MELATONIN THAT CAN HELP REGULATE YOUR SLEEP SO WE CAN REVISIT OTHER OPTIONS FOR YOU IF YOU'RE OPEN TO THAT AS WELL RES0062-106 OK FOR SURE I WILL WE CAN TALK ABOUT THAT LATER RES0062-107 OK THAT SOUNDS GOOD AND DO YOU DO ANY OTHER RECREATIONAL DRUGS RES0062-108 I DO NOT RES0062-109 OK HOW ABOUT ALCOHOL RES0062-110 NO I DON'T DRINK ANYMORE RES0062-111 OK AND DID YOU USED TO DRINK BEFORE RES0062-112 YES I JUST STOPPED A FEW YEARS AGO RES0062-113 OK AND WHAT'S YOUR LIVING SITUATION LIKE RIGHT NOW RES0062-114 I LIVE IN A HOUSE WITH WITH RES0062-115 MY WIFE IN A HOUSE OK ANY CONCERNS FOR LIKE OLD CARPETS MOLD OR ASBESTOS IN YOUR HOUSE RES0062-116 NO WE'VE RENOVATED IT OVER THE YEARS RES0062-117 OK GOOD AND I APOLOGIZE BUT I WOULD LIKE TO CLARIFY THREE MORE SYMPTOMS WITH YOU DID YOU SAY YOU FELT LIKE YOU HAD A FEVER EARLIER RES0062-118 MAYBE I'VE BEEN FEELING A LITTLE HOT BUT IT'S BEEN REALLY MORE THE COUGH AND SHORTNESS OF BREATH THAT'S BEEN BUGGING ME RES0062-119 OK WELL WE CAN TAKE A TEMPERATURE TODAY JUST TO MAKE SURE HAVE YOU BEEN FEELING LIKE YOU HAVE NIGHT SWEATS OR CHILLS RES0062-120 NOT REALLY NO I HAVEN'T NOTICED THAT RES0062-121 OK AND HOW ABOUT ANY WEIGHT LOSS OVER THE PAST FEW MONTHS RES0062-122 NO IT'S BEEN BEEN STABLE RES0062-123 OK ALRIGHT GOOD SO THAT BRINGS US TO THE END DO YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WOULD LIKE TO CLARIFY BEFORE WE END THE INTERVIEW RES0062-124 NO NOTHING TODAY I WAS JUST REALLY HOPING TO GET WHATEVER THIS IS SORTED OUT RES0062-125-1 YEAH YOU KNOW RIGHT NOW IT LOOKS LIKE IT SOUNDS LIKE IT COULD BE AN UPPER RESPIRATORY VIRAL ILLNESS SO THAT INCLUDES COVID SO WE WILL DO A SWAB FOR YOU AND THEN SEND IT OFF RES0062-125-2 TO THE LAB FOR PCR RESULTS IN THE MEANTIME BECAUSE YOU HAVE SYMPTOMS THAT OVERLAP WITH COVID SYMPTOMS WE DO ENCOURAGE ISOLATION FOR FOURTEEN DAYS UNTIL YOUR SYMPTOMS ARE GONE SORRY RES0062-125-3 UNTIL YOUR SYMPTOMS ARE GONE EVEN IF THEY'RE GONE WE DO SUGGEST ISOLATING FOR FOURTEEN DAYS JUST TO MAKE SURE YOU'RE NOT A CARRIER OR COULD SPREAD COVID SO WE DO ENCOURAGE THAT AND THAT INCLUDES FROM YOUR HUSBAND RES0062-125-4 IF POSSIBLE WE WILL GET THOSE RESULTS IN A DAY OR TWO IF THEY ARE POSITIVE WE WILL SEND YOUR RESULTS TO PUBLIC HEALTH WHO WILL BE IN TOUCH WITH YOU TO RES0062-125-5 DO SOME CONTACT TRACING TO SEE WHERE YOU MAY HAVE GOTTEN IT FROM IF IT'S NOT COVID IT COULD BE OTHER VIRAL ILLNESSES THAT ARE GOING AROUND THIS TIME OF YEAR AND IF YOUR SYMPTOMS AREN'T GETTING BETTER ON THEIR OWN RES0062-125-6 AND THERE'S REASON TO SUSPECT YOU MAY HAVE A BACTERIAL INFECTION OR BACTERIAL PNEUMONIA WE WILL FOLLOW UP WITH YOU AND POSSIBLY PRESCRIBE ANTIBIOTICS HOW DOES RES0062-126 THAT SOUND THAT SOUNDS LIKE A GREAT PLAN RES0062-127 OK GREAT SO I WILL SEE YOU AT THE NEXT APPOINTMENT RES0062-128 THANK YOU RES0063-000 WHAT BRINGS YOU IN RES0063-001-1 SO I'VE BEEN FEELING JUST REALLY DOWN RECENTLY IN THE LAST WEEK I STARTED OFF BY HAVING THIS SORE THROAT WHICH STARTED AROUND FIVE DAYS AGO AND THEN RES0063-001-2 I ALSO NOTICED I'VE BEEN GETTING SOME CHILLS OVER THE LAST FEW DAY AND ON TOP OF ALL OF THAT WITHIN THE LAST THREE TO FOUR DAYS I'VE BEEN GETTING MUSCLE ACHES ALL OVER MY BODY RES0063-002 OK ALRIGHT SO THE SORE THROAT STARTED FIVE DAYS AGO AND THEN THE FEVER STARTED WHEN RES0063-003 SO THE FEVER I THINK I HAVEN'T MEASURED IT BUT I STARTED HAVING CHILLS LIKE THREE DAYS AGO RES0063-004 THREE DAYS AGO OK AND THE MUSCLE ACHES STARTED TWO DAYS AGO RES0063-005 I WOULD SAY THREE DAYS AGO AS WELL RES0063-006 THREE DAYS AGO OK OK ARE YOU HAVING ANY TROUBLE SWALLOWING FOODS OR FLUIDS RES0063-007 A LITTLE BIT WITH SOLIDS WITH A SORE THROAT BUT LIQUIDS I'M DOING OK RIGHT NOW RES0063-008 OK AND IS IT HARD FOR YOU TO LIKE ARE YOU HAVING ISSUES VOCALISING AT ALL RES0063-009 NO I THINK MY VOICE HAS BEEN THE SAME IT'S JUST WHEN I'M NOT TALKING ESPECIALLY IF I'M SWALLOWING MY OWN LIKE SPIT IT STILL HURTS SOMETIMES BUT MAINLY WITH SOLID FOOD RES0063-010 OK OK AND THEN ARE YOU HAVING ANY ISSUES WITH TASTE OR SMELL RES0063-011 NO I DON'T THINK SO RES0063-012 OK HOW ABOUT HEARING OR VISION RES0063-013 NO NO CHANGES RES0063-014 ANY WEIGHT LOSS OVER THE PAST FEW WEEKS RES0063-015 NO I PROBABLY HAVE GAINED WEIGHT RES0063-016 OK ANY FATIGUE OR EXHAUSTION RES0063-017 NOW THAT YOU MENTION IT I DO FEEL PRETTY TIRED OVER THE LAST FEW DAYS I DON'T KNOW IF IT'S JUST BECAUSE OF MY MUSCLES ACHING ALL THE TIME OR I DON'T KNOW I HAVE DEFINITELY FELT VERY TIRED RES0063-018 OK HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES RES0063-019 NO NOTHING LIKE THAT RES0063-020 DO YOU HAVE A COUGH AT ALL RES0063-021 NO I HAVEN'T REALLY NOTICED THE COUGH RES0063-022 HOW ABOUT SHORTNESS OF BREATH OR WHEEZING RES0063-023 NO NO SHORTNESS OF BREATH OR WHEEZING RES0063-024 OK CHEST PAIN OR YOU FEELING LIKE YOUR HEART'S RACING RES0063-025 NO RES0063-026 NO AND HOW ABOUT DIZZINESS OR FAINTING SPELLS RES0063-027 NO I HAVEN'T HAD ANY OF THOSE RES0063-028 OK HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS RES0063-029 NO I DON'T THINK SO I GO REGULARLY ONCE A DAY AND I HAVEN'T NOTICED ANY WATERY STOOL OR DIARRHEA RES0063-030 OK THAT'S GOOD ANY CHANGES IN YOUR APPETITE RES0063-031 WITH A SORE THROAT I TEND TO LIKE EAT SOFTER FOODS RIGHT NOW I CAN'T REALLY I DON'T REALLY FEEL LIKE EATING RES0063-032 OK HOW ABOUT NAUSEA OR VOMITING RES0063-033 NO NO NOTHING LIKE THAT RES0063-034 OK OK AND ANY ISSUES WITH JOINT PAIN YOU SAID YOUR MUSCLE ACHES BUT HOW ABOUT JOINTS RES0063-035-1 NO I DON'T THINK IT'S SPECIFICALLY MY JOINTS I THINK MORE SO I WOULD SAY LIKE AROUND IN MY THIGHS THEN I WOULD SAY JUST MY UPPER ARMS HURT A LOT RES0063-035-2 AND EVEN MY UPPER BACK AREA HURTS A LOT AS WELL SO IT'S KIND OF JUST EVERYWHERE BUT THOSE ARE SOME AREAS THAT HURT THE MOST RES0063-036 OK OK ARE YOU OTHERWISE HEALTHY RES0063-037 I DO HAVE A COUPLE OF THINGS ON MY LIST I DO HAVE HIGH BLOOD PRESSURE I HAVE DIABETES AND OTHER THAN THAT I ALSO HAVE LIKE HIGH CHOLESTEROL RES0063-038 OK RES0063-039 THAT'S JUST SOME OF THE THINGS THAT I'VE BEEN DIAGNOSED WITH RES0063-040 OK AND DO YOU TAKE MEDICATION FOR ANY OF THESE THINGS RES0063-041 SO I TAKE FOR THE BLOOD PRESSURE I TAKE THIS MEDICATION CALLED THE RAMIPRIL RES0063-042 OK RES0063-043 AND THEN FOR DIABETES I'M TAKING METFORMIN AND THEN FOR THE CHOLESTEROL I'M TAKING THIS MEDICATION CALLED CRESTOR BUT OTHER THAN THAT JUST LIKE VITAMIN D AND MULTI VITAMINS THOSE ARE SOME OF THE MEDICATIONS THAT I'M TAKING RES0063-044 SURE ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0063-045 YUP RES0063-046 OK DO YOU KNOW IF YOU GOT A VACCINE CALLED SHINGRIX FOR SHINGLES AND PNEUMOVAX FOR PNEUMOCOCCAL INFECTIONS RES0063-047 I ACTUALLY THINK I GOT THEM JUST THIS PAST SEASON WITH ALL THIS COVID GOING ON I JUST WANTED TO MAKE SURE I GOT ALL THOSE VACCINES AS WELL SO I RECENTLY JUST GOT THEM RES0063-048 OK GOOD AND AND HOW ABOUT ANY ALLERGIES RES0063-049 NO I DON'T HAVE ANY ALLERGIES RES0063-050 OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0063-051 NO LUNG CONDITIONS AND HEART CONDITIONS BOTH MY MOM AND DAD SUFFERED FROM LIKE HIGH BLOOD PRESSURE MY DAD ALSO HAD A HEART ATTACK WHEN IN HIS SIXTIES NOW THERE IS SOME HEART CONDITIONS THAT RUN IN THE FAMILY RES0063-052 OK OK AND THEN ANY CANCERS IN THE FAMILY RES0063-053 M SON ACTUALLY GOT DIAGNOSED WITH COLORECTAL CANCER JUST A FEW YEARS AGO RES0063-054 OH I'M SORRY TO HEAR THAT RES0063-055 HE'S HE'S HE'S DOING OK THOUGH LIKE IT WAS PRETTY SCARY AT THE TIME RES0063-056 HOW OLD WAS HE WHEN HE WAS DIAGNOSED RES0063-057 I THINK HE WAS IN HIS FORTIES FORTY SIX RES0063-058 OK WELL HE'S THAT'S YOUNG HAVE YOU HAD A COLONOSCOPY RES0063-059 I HAD IT DONE EVERYTHING CAME BACK NORMAL SO I'M NOT SURE WHERE HE GOT IT FROM RES0063-060 OK HAVE YOU HAD ANY SICK CONTACTS RECENTLY RES0063-061 NO NO SICK CONTACTS THAT I KNOW OF I'VE BEEN MAINLY IN MY HOUSE I DO GO OUTSIDE FOR GROCERIES AND SOME THINGS LIKE THAT BUT OTHER THAN THAT I'M RETIRED I DON'T REALLY GO OUT TOO MUCH RES0063-062 OK AND YOU SAID YOU'RE RETIRED DO YOU LIVE ALONE DO YOU LIVE WITH ANYONE RES0063-063 NO I LIVE ALONE NOW AND I LIVE IN LONDON IN AN APARTMENT RES0063-064 OK ANY OLD CARPETS MOLD DUST ASBESTOS RES0063-065 NO IT'S NOTHING NOTHING LIKE THAT IT'S A PRETTY SAFE BUILDING RES0063-066 OK GOOD AND DO YOU SMOKE RES0063-067 I USED TO I USED TO SMOKE PROBABLY IN MY TWENTIES TO LATE FORTIES BUT THEN I QUIT RES0063-068 OK GOOD GOOD FOR YOU HOW MUCH DID YOU SMOKE BEFORE YOU QUIT RES0063-069 PROBABLY ONE TO TWO PACKS A DAY I WOULD SAY RES0063-070 OK THAT'S GOOD THAT'S GOOD THAT YOU QUIT DO YOU DRINK ANY ALCOHOL RES0063-071 I JUST STICK TO SOME RED WINE MAYBE A COUPLE TIMES A WEEK RES0063-072 OK COUPLE TIMES A WEEK SO TWO TO THREE TIMES RES0063-073 I WOULD SAY TWO TO THREE TIMES AND I PROBABLY GO THROUGH MAYBE ONE BOTTLE EVERY TWO WEEKS RES0063-074 OK OK AND THEN ANY MARIJUANA RES0063-075 NO NO I'VE NEVER HAD ANY MARIJUANA OR ANY RECREATIONAL DRUGS NO NOTHING ELSE RES0063-076 OK GOOD WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME RES0063-077 WITH ALL THIS COVID AND THE PANDEMIC GOING ON I DON'T KNOW I LIKE I'VE BEEN MAINLY AT MY HOUSE BUT LIKE I SAID I DO GO TO DO MY OWN GROCERIES OF COURSE I WEAR A MASK BUT I DON'T KNOW IF I MIGHT HAVE CAUGHT COVID SO THAT'S SOMETHING I WAS WORRIED ABOUT RES0063-078-1 YEAH FOR SURE I THINK JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID WE WILL BE DOING A COVID SWAB TODAY AND YOU SHOULD HEAR BACK ABOUT YOUR RESULTS IN TWENTY FOUR TO FORTY EIGHT HOURS RES0063-078-2 BUT YOU SHOULD STILL SELF ISOLATE FOR FOURTEEN DAYS BECAUSE YOU DO HAVE SIMILAR SYMPTOMS AND IF IT'S NOT COVID IT'S PROBABLY ANOTHER VIRAL ILLNESS THAT'S GOING AROUND THESE DAYS AND FOR THAT YOU DON'T WE CAN FIT YOU THEN YOU RES0063-078-3 MEDICATION LIKE PRESCRIBED MEDICATIONS BUT JUST KEEP AN EYE ON THAT ON YOUR SYMPTOMS STAY HYDRATED EAT WELL IF YOU NEED TO LOWER YOUR FEVE YOU CAN USE TYLENOL RES0063-078-4 AND IF YOUR SYMPTOMS WORSEN OR YOU START GETTING NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND RES0063-079 SOUNDS GOOD I JUST HAD ANOTHER QUICK QUESTION I DID GET THE SHINGLES AND THE PNEUMOCOCCAL VACCINE BACK THEN BUT I DIDN'T GET THE FLU VACCINE LIKE SHOULD I GET IT IS IT RECOMMENDED RES0063-080 YES IT'S DEFINITELY RECOMMENDED SO WE WON'T GIVE YOU THE VACCINE RIGHT NOW BECAUSE YOU HAVE SYMPTOMS BUT ONCE YOU ARE HEALTHY AGAIN YOU SHOULD DEFINITELY GET THE GET THE FLU VACCINE AND YOU SHOULD GET IT ONCE A YEAR RES0063-081 OK I JUST NEVER TOOK THOSE VACCINES BUT I'LL DO THAT FROM NOW ON RES0063-082 IT'S A GOOD IDEA AND EVEN IF YOU GET THE FLU YOUR SYMPTOMS WON'T BE AS SEVERE IF YOU HAVE THE VACCINE SO IT'S DEFINITELY SOMETHING TO CONSIDER RES0063-083 OK ALRIGHT SOUNDS GOOD RES0063-084 ALRIGHT TAKE CARE RES0064-000 WHAT BRINGS YOU IN RES0064-001 MY CHILD HAS BEEN HAVING A SORE THROAT AND CHILLS YESTERDAY AS WELL RES0064-002 OK SO YOU MENTIONED THE SORE THROAT STARTED THREE TO FOUR DAYS AGO AND THE CHILLS STARTED YESTERDAY AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS RES0064-003 IT SEEMS LIKE APPETITE'S GONE DOWN LIKE A LOT OF PAIN IN HIS THROAT ESPECIALLY WHEN SWALLOWING SOLID FOODS RES0064-004 HAVE YOU TAKEN A LOOK INTO HIS THROAT IS IT RED DO YOU SEE ANY YELLOW STREAKING WHITE STUFF ANYTHING LIKE THAT RES0064-005 I DEFINITELY DID TAKE A LOOK YESTERDAY AND DEFINITELY SAW A LOT OF REDNESS I DON'T KNOW IF I SAW ANY WHITE OR YELLOW STREAKS BUT DEFINITELY LOOKS VERY RED IN THERE RES0064-006 OK DO HIS TONSILS LOOK ENLARGED RES0064-007 EVERYTHING LOOKS SWOLLEN IN THERE I DON'T KNOW WHAT'S WHAT BUT IT DOES LOOK VERY ANGRY IN THERE RES0064-008 OK OK AND HAS HE HAD A STUFFY NOSE OR RUNNY NOSE RES0064-009 NO NOT REALLY NO RES0064-010 ANY LOSS OF TASTE OR SMELL RES0064-011 NO NOTHING LIKE THAT RES0064-012 OK HOW ABOUT CHANGES IN VISION OR HEARING ANY CHANGES IN HER NAILS OR SKIN LIKE RASHES RES0064-013 NO NO RASHES RES0064-014 OK HAVE YOU TAKEN HIS TEMPERATURE AT HOME RES0064-015 NO WE HE I THINK HE MIGHT HAVE HAD A FEVER YESTERDAY BUT WE DIDN'T REALLY TAKE A TEMPERATURE RES0064-016 OK AND ANY FATIGUE OR EXHAUSTION RES0064-017 ENERGY'S PRETTY MUCH THE SAME JUST REALLY COMPLAINING A LOT ABOUT THE THROAT RES0064-018 OK OK HAVE YOU NOTICED ANY SWELLING IN IN THE NECK AREA RES0064-019 I THINK THERE MIGHT BE LIKE A FEW LUMPS NEAR HIS NECK SO I DON'T KNOW IF THAT'S SWELLING BUT DEFINITELY THERE IS THERE'S A FEW THAT I FELT OVER THE LAST FEW DAYS RES0064-020 OK COUGHING RES0064-021 NO HASN'T BEEN COUGHING AT ALL RES0064-022 OK AND HOW ABOUT SHORTNESS OF BREATH OR WHEEZING RES0064-023 NO NOTHING LIKE THAT RES0064-024 CHEST PAIN RES0064-026 FEELING LIKE HIS HEART IS RACING RES0064-027 NO RES0064-028 SWELLING IN HIS LIMBS RES0064-029 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0064-030 OK DIZZINESS OR FAINTING SPELLS RES0064-031 NO RES0064-032 HEADACHES RES0064-033 HE WAS COMPLAINING OF A HEADACHE A FEW DAYS AGO BUT IT KIND OF WENT AWAY ON ITS OWN RES0064-035 HAS GONE COMPLETELY NOW RES0064-036 HOW ABOUT CONFUSION OR MEMORY RES0064-037 LOSS NO NOT THAT I KNOW RES0064-039 JOINT PAIN OR MUSCLE ACHES NO OK HOW ABOUT HIS BOWEL RES0064-040 HAVE THOSE BEEN NORMAL THEY'VE BEEN NORMAL NO DIARRHEA OR CONSTIPATION RES0064-041 OK HOW ABOUT IN NAUSEA OR VOMITING RES0064-042 NO NO HE HASN'T TOLD ME ANYTHING ABOUT THAT RES0064-043 APPETITE CHANGES RES0064-045 TOLERATE LIKE SOLID FOODS AT ALL HOW ABOUT A WEIGHT RES0064-046 LOSS OVER THE PAST FEW WEEKS NO NOT REALLY IT'S JUST BEEN OVER THE LAST FEW DAYS RES0064-047 THAT HE HASN'T BEEN EATING LIKE HIMSELF OK ALRIGHT AND RES0064-048 HAS HE BEEN HEALTHY OTHERWISE OTHERWISE HE'S A VERY HEALTHY CHILD WE HAVE RARELY GONE TO A DOCTOR FOR HIM BEFORE RES0064-049 SO NOTHING NOTHING ELSE WITH HIM OK HAVE YOU TRIED ANYTHING FOR HIS SORE THROAT ANYTHING RES0064-050 OVER THE COUNTER WE DID TRY LIKE TYLENOL TYLENOL COLD IT HELPED WITH THIS HEADACHE RES0064-051 BUT IT DIDN'T REALLY HELP WITH HIS SORE THROAT OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST RES0064-052 NO NOT THAT I KNOW OF RES0064-053 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0064-054 NO RES0064-055 ANY MEDICATIONS THAT HE'S ON RES0064-056 NO NO MEDICATION RES0064-057 OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0064-058 ALL HIS IMMUNIZATIONS ARE UP TO DATE RES0064-059 OK ANY ALLERGIES RES0064-060 NO NOT THAT I KNOW RES0064-061 OK FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0064-062 NO NO LUNG OR HEART CONDITIONS HIS FATHER DOES HAVE DIABETES THOUGH RES0064-063 OK HOW OLD WAS HE WHEN HE WAS DIAGNOSED WITH DIABETES RES0064-064 I THINK PROBABLY IN HIS LATE THIRTIES WITH TYPE TWO DIABETES RES0064-065 TYPE TWO OK AND THEN ANY SICK CONTACTS RECENTLY THAT HE MAY HAVE HAD RES0064-066 I DON'T THINK AT HOME AT LEAST BUT MAYBE AT SCHOOL LIKE YOU NEVER KNOW WHO THEY ARE IN CONTACT WITH SO I'M WONDERING IF HE JUST PICKED IT UP SOMEWHERE FROM SCHOOL RES0064-067 OK RES0064-068 THEY'RE ALL WEARING MASKS RIGHT NOW BUT I DON'T KNOW IF HE PICKED SOMETHING SOMETHING UP FROM HIS CLASSMATES RES0064-069 FOR SURE OK AND THEN ANY TRAVEL TO ANYWHERE RECENTLY RES0064-070 NO WE'VE BEEN AT HOME HAVEN'T LEFT EVEN TO GO TO LIKE A DIFFERENT CITY HAVE BEEN IN LONDON THE WHOLE TIME RES0064-071 OK AND WHO DOES HE LIVE WITH AT HOME RES0064-072 SO HE LIVES WITH MYSELF AND HIS DAD RES0064-073 ANY SIBLINGS RES0064-074 NO HE'S AN ONLY CHILD RES0064-075 OK ANY REASON TO BELIEVE YOU HAVE OLD CARPETS MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING HIS SYMPTOMS RES0064-076 YOU KNOW WE DON'T HAVE ANY PETS WE DON'T HAVE ANY LIKE OLD CARPETS IT'S A FAIRLY NEW APARTMENT SO I DON'T THINK ANY OF THAT SHOULD BE AN ISSUE RES0064-077 OKAY WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR HIM ANYTHING THAT YOU WANTED TO ADD OR ANYTHING THAT I MISSED TODAY RES0064-078 NO I THINK THOSE ARE EVERYTHING I WANTED TO TALK ABOUT BUT I JUST WAS WONDERING IF HE NEEDS TO GET TESTED OR LIKE IF THERE'S ANYTHING WE CAN DO TODAY FOR HIM RES0064-079-1 SO HE DOES SEEM TO BE CHECKING OFF SOME OF THE CRITERIA FOR STREP THROAT SO JUST TO MAKE SURE BECAUSE HE DOES HAVE A SCORE OF RIGHT NOW AT LEAST RES0064-079-2 THREE OR FOUR OR MAYBE EVEN FIVE DEFINITELY OVER FOUR WE CAN PRESCRIBE HIM SOME ANTIBIOTICS BUT WE WILL DO A RAPID STREP RES0064-079-3 TEST FIRST IN THE CLINIC HERE TODAY JUST TO RULE OUT IN OR RULE THAT OUT IF IT COMES BACK POSITIVE AND I GUESS EVEN IF IT ISN'T POSITIVE BECAUSE HE CHECKED OFF A LOT OF THE BOXES FOR RES0064-079-4 STREP THROAT WE WILL GIVE HIM A PRESCRIPTION FOR PENICILLIN OR AMOXICILLIN FOR TEN DAYS AND THEN YOU CAN TAKE THAT IF HIS SYMPTOMS DON'T GO AWAY IN A DAY OR TWO RES0064-079-5 BECAUSE HIS SYMPTOMS ALSO OVERLAP WITH COVID WE WILL DO A SWAB FOR THAT AS WELL AND YOU SHOULD HEAR BACK WITHIN TWENTY FOUR TO FORTY EIGHT HOURS AND THEN YOU SHOULD ISOLATE FOR FOURTEEN DAYS DOES THAT SOUND RES0064-080 THAT SOUNDS GOOD RES0064-081 OK GREAT THANK YOU RES0064-082 THANK YOU RES0065-000 SO WHAT BRINGS YOU INTO THE FAMILY CLINIC TODAY RES0065-001 I'VE HAD THIS SORE THROAT FOR THE PAST THREE DAYS AND IT DOESN'T SEEM TO BE GETTING ANY BETTER AT ALL I FEEL SORT OF FEVERISH SO I JUST THOUGHT I SHOULD COME IN AND GET THIS CHECKED OUT RES0065-002 OK AND WHEN DID YOU START HAVING THIS SORE THROAT RES0065-003 THREE DAYS AGO RES0065-004 OK AND HOW ABOUT THE FEVER RES0065-005 THE FEVER I NOTICED MAYBE A DAY BACK RES0065-006 OK AND DID YOU GET ANY TEMPERATURE MEASUREMENTS RES0065-007 I DIDN'T TAKE ANY MYSELF BUT I FELT HOT AND I FELT CHILLS RES0065-008 OK AND HAVE YOUR SORE THROAT OR FEVER GONE WORSE AT ALL RES0065-009 I THINK IT'S GETTING WORSE RES0065-010 AND DOES IT USUALLY HAPPEN DURING THE DAY THROUGHOUT THE NIGHT OR DOES IT HAVE ANY SORT OF PATTERN RES0065-011 I WOULD SAY THAT IT DOESN'T REALLY HAVE A PATTERN THE SORE THROAT IS ALWAYS THERE AND THE FEVER STARTED A DAY BACK AND IT SEEMS TO BREAK SOMETIMES BUT RIGHT NOW THERE IS NO REAL PATTERN TO IT RES0065-012 OK AND BESIDES THAT DO YOU HAVE ANY COUGH RES0065-013 NO NO COUGH RES0065-014 OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU AT ALL RES0065-015 I TRIED JUST LIKE THOSE LOZENGES AND SEEMS TO BE HELPING JUST SOOTHE MY THROAT BUT IT'S A TEMPORARY RELIEF RES0065-016 OK AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE RES0065-017 NO NOTHING LIKE THIS RES0065-018 AND IS THE SORE THROAT CONSTANT OR DOES IT COME AND GO RES0065-019 I WOULD SAY IT'S PRETTY CONSTANT NOW RES0065-020 OK AND HAVE YOU BEEN AROUND ANYONE THAT HAS BEEN SICK RECENTLY RES0065-021 NOT THAT I KNOW OF RES0065-022 ANYTHING THAT MAKES YOUR SORE THROAT WORSE RES0065-023 I GUESS SWALLOWING FOODS MAKES IT WORSE OR AT LEAST IT'S PAINFUL RES0065-024 OK AND HAVE YOU AT ALL NOTICED ANY LIKE SWELLING AROUND YOUR NECK REGION LIKE SWELLING OF YOUR LYMPH NODES RES0065-025 SO NOT SWELLING OF MY ENTIRE NECK BUT I HAVE FELT SOME LUMPS IN MY NECK RES0065-026 OK AND HOW ABOUT ANY SWELLING ANYWHERE ELSE ON YOUR BODY RES0065-027 NOWHERE ELSE RES0065-028 OK HAVE YOU NOTICED ANY KIND OF SKIN CHANGES LIKE RASHES OR ANYTHING LIKE THAT RES0065-029 NO RES0065-030 OK AND HAVE YOU TRAVELED AT ALL RECENTLY RES0065-031 NO NOWHERE RES0065-032 OK DO YOU HAVE ANY HEADACHES OR NAUSEA OR VOMITING RES0065-033 NO NOTHING LIKE THAT RES0065-034 OK AND ANY NIGHT SWEATS RES0065-035 NO RES0065-036 AND DO YOU FEEL FATIGUED LIKE INCREASED TIREDNESS AT ALL RES0065-037 I'VE BEEN FEELING REALLY TIRED RES0065-038 OK ANY CHEST PAIN OR FEELING THAT YOUR HEART IS RACING RES0065-039 NO NOTHING LIKE THAT RES0065-040 OK ANY ISSUES WITH BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION RES0065-041 P NO NO THAT'S BEEN NORMAL RES0065-042 OK ANY CHANGES IN YOUR URINATION RES0065-043 NO NO CHANGES RES0065-044 HAVE YOU BEEN GETTING SLEEP AT NIGHT OR DO YOU HAVE TO KEEP WAKING UP RES0065-045 I'VE BEEN GETTING OK I SLEEP LIKE I'VE BEEN SLEEPING ABOUT SEVEN TO EIGHT HOURS RES0065-046 OK AND HOW ABOUT YOUR APPETITE RES0065-047 I WOULD SAY THAT'S BEEN OK AS WELL IT'S JUST HARD TO EAT A LOT OF FOOD BECAUSE OF THIS SORE THROAT RES0065-048 AND IS IT JUST WITH SOLIDS OR DO YOU GET THE SORENESS WITH LIQUIDS TOO RES0065-049 I WOULD SAY MOSTLY WITH SOLIDS SOMETIMES WITH LIQUID IF IT'S LIKE REALLY COLD OR SOMETHING RES0065-050 OK DO YOU HAVE ANY KIND OF ALLERGIES TO ANYTHING IN YOUR HOUSE LIKE CARPETS PETS OR ANYTHING LIKE THAT RES0065-051 NO RES0065-052 OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD RES0065-053 NO RES0065-054 NO OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS RES0065-055 I HAVE CROHN'S CROHN'S DISEASE RES0065-056 AND WHEN DID YOU GET DIAGNOSED WITH CROHN'S RES0065-057 THAT WOULD HAVE BEEN LAST YEAR RES0065-058 LAST YEAR OK AND ARE YOU TAKING ANY MEDICATIONS FOR YOUR CROHN'S DISEASE RES0065-059 I AM ON SOMETHING FOR IT I THINK IT'S SULFASALAZINE OR SOMETHING LIKE THAT RES0065-060 OK AND ANY OTHER MEDICATIONS BESIDES THAT RES0065-061 NO I DON'T THINK SO RES0065-062 ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES RES0065-063 I HAD A COLONOSCOPY DONE I JUST NEEDED HOSPITALIZATION FOR JUST THE DAY I GUESS RES0065-064 OK AND WHEN WAS THAT RES0065-065 THAT WAS ALSO LAST YEAR RES0065-066 LAST YEAR OK AND DO YOU HAVE ANY FAMILY HISTORY OF ANY CONDITIONS THAT RUN IN THE FAMILY LIKE DO YOU HAVE ANY CROHN'S DISEASE OR ULCERATIVE COLITIS THAT RUN IN THE FAMILY RES0065-067 BOTH DO RES0065-068 BOTH DO OK ANY ANYTHING ELSE THAT RUNS IN THE FAMILY RES0065-069 I KNOW THERE'S SOME ASTHMA AND ECZEMA THAT RUN IN THE FAMILY TOO RES0065-070 OK AND YOU MENTIONED YOU HAVEN'T BEEN AROUND ANYONE THAT WAS SICK OR RECENTLY GOT SICK RES0065-071 NO RES0065-072 OK AND WHERE DO YOU CURRENTLY LIVE RES0065-073 I LIVE IN AN APARTMENT BY MYSELF SORRY NOT BY MYSELF WITH MY PARENTS AND MY YOUNGER BROTHER RES0065-074 AND DO YOU AT ALL DRINK ALCOHOL RES0065-075 NO I DRANK ONCE OR TWICE IN THE PAST BUT I DIDN'T LIKE IT IT MAKES MY CROHN'S WORSE SO I STAY AWAY FROM IT RES0065-076 OK AND DO YOU SMOKE CIGARETTES RES0065-077 NO RES0065-078 AND HOW ABOUT ANY OTHER DRUGS LIKE MARIJUANA RES0065-079 NO RES0065-080 OK ALRIGHT SO DO YOU PARTAKE IN ANY LIKE SPORTS OR ACTIVITIES OR ANYTHING LIKE THAT RES0065-081 I SWIM RES0065-082 OK ANY CONTACT SPORTS RES0065-083 NO RES0065-084 OK ALRIGHT SO OVERALL IT SEEMS THAT YOU HAD THIS SORE THROAT WHICH IS CONSTANT GETTING WORSE AND A BIT OF A FEVER IN TH LAST ONE OR TWO DAYS AND YOU'VE ALSO HAD SWELLING IN YOUR NECK AND SO DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS RES0065-085 NO LIKE WHAT DO YOU THINK I HAVE DO YOU THINK IT'S COVID RES0065-086-1 SO DEFINITELY AT THIS TIME YOU KNOW WHENEVER PEOPLE HAVE ANY RESPIRATORY SYMPTOMS WE ALWAYS WANT TO RULE OUT COVID SO WILL DEFINITELY GET A SWAB FOR COVID TESTING DONE FOR YOU TODAY WHICH SHOULD COME BACK WITHIN TWENTY FOUR TO FORTY EIGHT HOURS RES0065-086-2 AND IN THE MEANTIME YOU SHOULD SELF ISOLATE AND OTHER THAN THAT IT CAN ALSO BE DUE TO THIS SWELLING IN YOUR LYMPH NODES AND ALSO JUST THE OTHER SYMPTOMS IT CAN BE OTHER VIRAL INFECTIONS IT CAN BE RES0065-086-3 MONO SO WE DEFINITELY HAVE TO DO A COUPLE OF TESTS AND THERE'S ONE TEST THAT WILL DO FOR MONO AS WELL WHICH IS CALLED EBV ANTIBODY TESTING SO WE'LL DO A COUPLE OF THESE TESTS TODAY AND THEN RES0065-086-4 SEE WHAT WHAT COMES BACK AND IN THE MEANTIME YOU SHOULD DEFINITELY SELF ISOLATE IF YOU HAVEN'T BEEN DOING SO ALREADY RES0065-087 OK SURE I CAN DO THAT RES0065-088 DO YOU HAVE ANY QUESTIONS RES0065-089 NO THAT SOUNDS GOOD THANK YOU SO MUCH RES0065-090 YOU'RE WELCOME TAKE CARE RES0065-091 YOU TOO RES0066-000 SO WHAT BRINGS YOU IN HERE TO THE ER RES0066-001-1 WELL I THOUGHT I SHOULD START BY SAYING I WAS RECENTLY HOSPITALISED FOR PNEUMONIA I LEFT FIVE DAYS AGO BUT AS SOON AS I LEFT THAT EVENING I STARTED COUGHING AGAIN RES0066-001-2 AND NOW I HAVE ALL THE SAME SYMPTOMS I HAVE A COUGH I'M FEELING SHORT OF BREATH AND I HAVE A FEELING LIKE I HAVE A FEVER RES0066-002 OK AND BEFORE YOU WERE DISCHARGED THE DAY CAN YOU LET ME KNOW WHAT YOU HAD AND WHAT KIND OF THINGS WERE YOU TREATED WITH RES0066-003 I WAS TREATED WITH SOME ANTIBIOTICS I DON'T KNOW EXACTLY WHICH ONES THEY SAID I HAD SOME SORT OF BACTERIAL PNEUMONIA RES0066-004 OK BUT THEN IT GOT RESOLVED AND THEY SENT YOU HOME RES0066-005 THAT'S RIGHT RES0066-006 SO ARE YOUR SYMPTOMS SIMILAR TO WHEN YOU GOT ADMITTED RES0066-007 THEY ARE SIMILAR BUT I FEEL LIKE THEY ARE ALSO WORSE NOW RES0066-008 OK WORSE OK SO YOU'RE HAVING A COUGH SHORTNESS OF BREATH AND FEVER AND DID THAT ALL START TOGETHER OR DID ONE COME BEFORE ANOTHER RES0066-009 SO THE COUGH CAME FIRST THEN THE SHORTNESS OF BREATH AND THEN THE FEVER RES0066-010 OK AND THE COUGH HOW WOULD YOU DESCRIBE THE COUGH RES0066-011 IT'S HARSH IT'S PERSISTENT RES0066-012 ARE YOU PRODUCING ANY SPUTUM RES0066-013 I GUESS A LITTLE BIT I GUESS A LITTLE BIT AND IT'S YELLOW RES0066-014 IT'S YELLOW OK DO YOU NOTICE ANY KIND OF BLOOD IN YOUR SPUTUM RES0066-015 NO NO BLOOD RES0066-016 OK SO JUST YELLOW SPUTUM AND HOW MUCH WOULD YOU SAY YOU'RE PRODUCING AN AVERAGE DAY RES0066-017 MAYBE LIKE TEN TO FIFTEEN TIMES IN A DAY I PRODUCE ENOUGH TO FILL LIKE THE INSIDE OF MY PALM RES0066-018 OK AND WITH THE FEVER DID YOU GET A CHANCE TO MEASURE TAKE A TEMPERATURE AT ALL RES0066-019 NO I HAVEN'T ACTUALLY TAKEN MY TEMPERATURE RES0066-020 OK BUT YOU'VE BEEN HAVING CHILLS AND ARE YOU HAVING ANY OTHER SYMPTOMS RES0066-021 CHILLS I'VE BEEN FEELING KIND OF HOT DURING THE DAY RES0066-022 OK AND HOW ABOUT THE SHORTNESS OF BREATH IS THAT JUST DURING ACTIVITY OR YOU CAN HAVE THAT WHEN YOU'RE SLEEPING OR RESTING AS WELL RES0066-023 THE SHORTNESS OF BREATH IS MORE WITH LIKE ACTIVITY WHEN I'M WALKING AROUND RES0066-024 OK AND HAVE ALL THESE SYMPTOMS BEEN GETTING WORSE AT ALL RES0066-025 I'D SAY THEY'RE GETTING WORSE NOW IT'S LIKE THIS EVERYDAY AND IT'S DEFINITELY GETTING WORSE RES0066-026 OK DO YOU FEEL DIZZY OR LIGHTHEADED AT ALL RES0066-027 NO RES0066-028 DO YOU HAVE ANY MUSCLE ACHES RES0066-029 A LITTLE BIT RES0066-030 OK AND WHERE ON YOUR MUSCLES WOULD YOU SAY ARE ACHING RES0066-031 I WOULD SAY MY LOWER LIMBS AND JUST GENERALLY ALL OVER BUT JUST LIKE THE BIG MUSCLES LIKE MY THIGHS MY SHOULDERS RES0066-032 OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LIMBS AT ALL RES0066-033 NO NO SWELLING RES0066-034 OK AND ANY KIND OF SWELLING OF YOUR NECK REGION OR LYMPH NODES RES0066-035 NO NOT THAT I NOTICED RES0066-036 OK AND DO YOU FEEL ANY KIND OF CHEST PAIN WITH SHORTNESS OF BREATH RES0066-037 NO NOTHING LIKE THAT RES0066-038 OK AND SINCE YOU'VE BEEN OUT OF THE HOSPITAL HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S SICK RES0066-039 NO I WENT STRAIGHT HOME RES0066-040 AND ANY RECENT TRAVEL RES0066-041 NO NO RECENT TRAVEL RES0066-042 OK ANY HEADACHES RES0066-043 NO HEADACHES RES0066-044 ANY NAUSEA OR VOMITING RES0066-045 NO RES0066-046 ANY KIND OF FATIGUE OR INCREASED TIREDNESS RES0066-047 I FEEL FATIGUED YES RES0066-048 OK AND DO YOU FEEL AT ALL THAT YOUR HEART IS RACING RES0066-049 NO RES0066-050 OK AND DO YOU HAVE ANY SYMPTOMS LIKE A LOSS OF TASTE SENSE OF TASTE OR SMELL RES0066-051 NO RES0066-052 SO OK ANY KIND OF BOWEL MOVEMENT ISSUES ANY CONSTIPATION OR DIARRHEA RES0066-053 NO RES0066-054 AND ANY URINARY TROUBLE RES0066-055 NO NOTHING LIKE THAT RES0066-056 OK HAVE YOU LOST ANY WEIGHT RECENTLY RES0066-057 NO RES0066-058 HAVE YOU BEEN ABLE TO SLEEP THROUGHOUT THE NIGHT OR DOES THE COUGH WAKE YOU UP OR THE CHILLS WAKE YOU UP RES0066-059 NO THEY DON'T WAKE ME UP I WOULDN'T SAY THAT RES0066-060 OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CONGESTION ANYTHING LIKE THAT RES0066-061 NO RES0066-062 OK AND ANYTHING IN YOUR HOUSE LIKE DUST OR AN OLD CARPET OR PETS ANYTHING THAT TRIGGERS SOME OF THESE SYMPTOMS RES0066-063 NO RES0066-064 OK OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH LIKE ASTHMA COPD ANYTHING LIKE THAT RES0066-065 NO NOTHING LIKE THAT RES0066-066 OK DO YOU TAKE ANY MEDICATIONS RES0066-067 I DO I TAKE SOME MULTIVITAMINS PARTICULARLY CALCIUM AND VITAMIN D AND I'M ALSO ON SYNTHROID RES0066-068 OK SO DO YOU HAVE HYPERTHYROIDISM RES0066-069 SORRY I FORGOT TO MENTION THAT RES0066-070 NO WORRIES THEN WHEN YOU WENT HOME AND YOU WERE DISCHARGED DID THEY GIVE YOU ANY ANTIBIOTICS TO FINISH AT HOME RES0066-071 YES THEY DID SO I ONLY HAD ONE DAYS WORTH LEFT I WAS SWITCHED FROM IV ANTIBIOTIC TO THE ORAL KIND AND SO I'D FINISH THE REMAINING PILLS THAT DAY THEN WENT HOME RES0066-072 OK SO YOU FINISHED THE COURSE OK GREAT AND DO YOU HAVE ANY PAST HISTORY WHEN YOU WERE ADMITTED ANY OTHER HOSPITALIZATIONS OR SURGERIES AT ALL RES0066-073 NO RES0066-074 DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA COPD OR ANY LUNG CONDITIONS RES0066-075 NO RES0066-076 ANY OTHER CONDITIONS THAT RUN IN THE FAMILY RES0066-077 NO RES0066-078 OK AND CURRENTLY WHERE DO YOU LIVE RES0066-079 I LIVE IN A HOUSE WITH MY DAUGHTER AND HER HUSBAND RES0066-080 OK AND ANY ONE OF THEM HAVE SIMILAR SYMPTOMS OR HAVE BEEN SICK RECENTLY RES0066-081 NO RES0066-082 OK AND HAVE YOU HAD A COVID TEST DONE AT ALL RES0066-083 NO NO COVID TESTS HAVE BEEN DONE I HAD ONE IN THE HOSPITAL BEFORE I WAS ADMITTED BUT NONE TODAY RES0066-084 OK AND DO YOU SMOKE AT ALL RES0066-085 I USED TO SMOKE I DON'T SMOKE ANYMORE RES0066-086 OK AND WHEN DID YOU QUIT RES0066-087 ABOUT SEVEN YEARS AGO RES0066-088 OK CONGRATULATIONS RES0066-089 AND HOW MUCH WOULD YOU SAY YOU SMOKED BEFORE THAT AND FOR HOW MANY YEARS RES0066-090 BEFORE THAT I WOULD SAY IT'S LIKE GOSH TWENTY YEARS AND THEN ABOUT A PACK A DAY RES0066-091 OK DO YOU DRINK ALCOHOL RES0066-092 I DRINK LIKE A GLASS OF WINE A WEEK RES0066-093 OK ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA RES0066-094 NO RES0066-095 OK SO IS THERE ANYTHING ELSE ANY OTHER QUESTIONS THAT YOU HAVE FOR ME TODAY RES0066-096 NO WHAT DO YOU THINK I HAVE RES0066-097-1 SO THERE'S DEFINITELY MULTIPLE THINGS THAT CAN BE GOING ON SINCE YOU WERE JUST RECENTLY ADMITTED MAYBE YOU MIGHT HAVE ANOTHER BACTERIAL R ESPIRATORY INFECTION LIKE A PNEUMONIA OR IT COULD BE VIRAL AS WELL RES0066-097-2 SO THE FIRST THING WE WANT TO DO IS FOR SURE GET COVID SWAB DONE AND THEN WE WILL ALSO GET SINCE YOU WERE ADMITTED AS WELL RECENTLY WE WANT TO RES0066-097-3 GET AN X RAY ON YOU JUST TO SEE IF THERE'S ANY PNEUMONIA OK AND SO WE'LL BE KEEPING YOU HERE FOR A BIT UNTIL EVERYTHING COMES BACK WE'LL GET SOME BLOOD WORK DONE FOR YOU AS WELL TO SEE IF THERE'S ANY INFECTION IN YOUR BODY RES0066-097-4 AND THEN SO JUST SIT TIGHT WE'LL GET ALL THOSE THINGS DONE IS THAT OK WITH YOU RES0066-098 THAT'S GREAT THANK YOU RES0066-099 YOU'RE WELCOME SO WELL WILL BE UPDATING YOU SHORTLY RES0066-100 OK GREAT THANK YOU RES0067-000 SO WHAT BRINGS YOU HERE TODAY RES0067-001-1 YEAH I HAVE MY TWO YEAR OLD DAUGHTER HERE WITH ME I DON'T KNOW WHAT'S HAPPENING WITH HER BUT SHE SEEMS TO BE GETTING REALLY SICK SO I'LL GIVE YOU THAT KIND OF TIMELINE SO TWO DAYS AGO SHE WAS FEELING HOT RES0067-001-2 AND HER FEVER HASN'T BROKEN WE'VE BEEN GIVING HER TYLENOL BUT SHE STILL SEEMS TO HAVE A FEVER THE LAST TIME I CHECKED HER TEMPERATURE WAS THIRTY EIGHT POINT FIVE RES0067-001-3 SHE SEEMS TO HAVE ISSUES SWALLOWING FOOD SHE'S DROOLING AND SHE SEEMS SHORT OF BREATH RES0067-002 OK AND WHEN DID SHE START GETTING SHORT OF BREATH RES0067-003 THAT STARTED YESTERDAY RES0067-004 HAS HER FEVER BEEN GETTING WORSE OR HAS IT STAYED AROUND THE SAME RES0067-005 SO I JUST SO CHECKED THE FIRST DAY IT WAS LIKE THIRTY EIGHT THIRTY EIGHT POINT FIVE RES0067-006 OK AND WHEN DID THE TROUBLE SWALLOWING START RES0067-007 THAT STARTED YESTERDAY AS WELL RES0067-008 OK AND HAS IT BEEN GETTING WORSE AT ALL RES0067-009 I THINK SO NOW SHE'S BARELY EVEN DRINKING FLUIDS RES0067-010 OK SO IT'S BOTH SOLIDS AND FLUIDS OK HAVE YOU NOTICED ANY SWELLING IN HER NECK AREA OR REDNESS OR SWELLING IN HER THROAT RES0067-011 I'VE NOTICED SOME OF THAT RES0067-012 OK YOU SEE A LOT OF REDNESS IN THERE RES0067-013 I SEE I SEE QUITE A BIT OF REDNESS IN THERE RES0067-014 AND HAS SHE BEEN DROOLING AT ALL RES0067-016 A LITTLE BIT RES0067-017 OK ALRIGHT RES0067-018 ANY COUGHING NOT THAT I NOTICED NO COUGHING OK AND DO YOU NOTICE THAT SHE'S RES0067-019 INCREASINGLY FATIGUED OR RES0067-020 JUST NOT HERSELF OR IS SHE IRRITABLE SHE'S VERY IRRITABLE OK DO YOU NOTICE ANY KIND OF PALENESS RES0067-021 OR BLUENESS IN HER SKIN ANYTHING LIKE THAT SHE'S NOT BLUE RES0067-022 SHE'S LOOKING A LITTLE PALE THOUGH OK AND SORRY WHEN DID THE SHORTNESS OF BREATH START IS IT GETTING WORSE AT ALL RES0067-023 SHORTNESS OF BREATH STARTED YESTERDAY AS WELL MORESO TODAY WHICH IS WHY I BROUGHT HER IN RES0067-024 OK ANY OTHER SYMPTOMS LIKE NAUSEA OR VOMITING OR DIARRHEA OR CONSTIPATION RES0067-025 NO NOTHING LIKE THAT RES0067-026 OK AND HOW'S HER APPETITE AND SLEEP RES0067-027 IT'S BEEN IT'S BEEN NOT GREAT SHE'S NOT EATING WELL I GUESS BECAUSE SHE'S IN A LOT OF PAIN AND SHE DIDN'T SLEEP WELL FOR THE PAST RES0067-028 TWO NIGHTS EITHER OK HAS SHE HAD ANY RECENT INFECTIONS AT ALL LIKE A COLD OR ANYTHING LIKE THAT RES0067-029 SHE DID HAVE A COUGH RES0067-030 TWO WEEKS AGO OK AND DID IT JUST GO AWAY ON IT'S OWN OR DID SHE NEED ANY ANTIBIOTICS OR ANY OTHER MEDICATIONS RES0067-031 I THINK NO SHE DIDN'T NEED ANY ANTIBIOTICS IT KIND OF WENT AWAY ON ITS OWN RES0067-032 OK ANY SICK CONTACTS WITHIN THE LAST WEEK OR TWO WEEKS RES0067-033 I MEAN SHE GOES TO DAYCARE SO SHE MIGHT HAVE PICKED SOMETHING UP FROM THERE LAST I CHECKED NO ONE AT DAYCARE WAS SICK LIKE RIGHT NOW BUT THREE WEEKS AGO THERE WAS SOMEONE WHO WAS SICK RES0067-034 OK ANY PAST MEDICAL HISTORY RES0067-035 NO SHE'S BEEN PRETTY HEALTHY OTHERWISE RES0067-036 ANY ISSUES DURING PREGNANCY OR AFTER BIRTH AT ALL RES0067-037 NO RES0067-038 ARE HER IMMUNIZATIONS ARE UP TO DATE RES0067-039 YES SHE DIDN'T GET THE H FLU VACCINE THOUGH RES0067-040 OK OK ANY HOSPITALIZATIONS OR ANYTHING LIKE THAT IN THE PAST RES0067-041 NO RES0067-042 OK AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RES0067-043 NO RES0067-044 AND CURRENTLY WHO DOES SHE LIVE WITH AT HOME RES0067-045 I'M SHE LIVES WITH MYSELF AS WELL AS HER RES0067-046 OLDER BROTHER OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS THAT I HAVE RES0067-047 I I DO THINK THIS IS LIKE RES0067-048-1 AN URGENT MATTER BECAUSE SHE HAS NOT BEEN VACCINATED WITH THE H FLU VACCINE RES0067-048-2 AND SOME OF THE SYMPTOMS THAT SHE'S DISPLAYING LIKE THE DROOLING AND TROUBLE SWALLOWING AND NOW ESPECIALLY THE SHORTNESS OF BREATH ARE VERY CONCERNING I REALLY THINK WE SHOULD GO TO THE EMERGENCY DEPARTMENT I'LL GIVE THEM A CALL TO LE THEM KNOW THAT YOU'RE COMING RES0067-048-3 AND WHAT THEY WILL MOST LIKELY DO THERE IS GET A TEST DONE TO SEE IF SHE HAS H FLU AND ALSO THEY MIGHT DO PERHAPS LIKE A COVID SWAB AS WELL RES0067-048-4 AND THEY MIGHT GET AN X RAY OF HER NECK AS WELL TO SEE IT SO WHAT I THINK MIGHT BE GOING ON IS WITH H FLU YOU CAN GET RES0067-048-5 SWELLING OF YOUR EPIGLOTTIS AND IT CAN KIND OF OBSTRUCT YOUR THROAT IT'S VERY URGENT MATTER SO THAT'S WHY WE WILL MAKE SURE YOU GET TO THE ER AND RES0067-048-6 YOU KNOW WE'LL GO FROM THERE DOES THAT SOUND I KNOW IT MAY BE VERY WORRYING RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL RES0067-049 DO YOU KNOW HOW LONG WILL SHE HAVE TO BE IN THE HOSPITAL RES0067-050-1 SO RIGHT NOW WE JUST NEED TO MAKE SURE THAT SHE'S STABLE LIKE ALL HER VITALS YOU KNOW WHEN SHE GETS TO THE ER THEY CAN GIVE HER THE APPROPRIATE ANTIBIOTICS AS WELL AND BASED ON THAT WE NEED TO MAKE SURE HER BREATHING GET STABILIZED RES0067-050-2 SO SHE MIGHT BE IN THE ER FOR ONE DAY IF THEY THINK SHE NEEDS TO BE ON IV ANTIBIOTICS IN THE HOSPITAL SHE MIGHT BE IN THE HOSPITAL FOR A FEW MORE DAYS OR EVEN A WEEK SO IT'S REALLY HARD TO SAY RIGHT NOW BUT OUR PRIORITY RIGHT NOW IS TO MAKE SURE SHE'S STABILIZED IN THE ER RES0067-051 OK OK THAT SOUNDS GOOD RES0067-052 SO I'LL GIVE THEM A CALL RIGHT NOW AND YOU CAN HEAD OVER TO THE ER OR IF YOU NEED A RIDE WE CAN ARRANGE TO DO THAT FOR YOU TOO RES0067-053 OK GREAT THAT SOUNDS GREAT RES0067-054 THANK YOU RES0067-055 YOU TOO RES0071-000 WHAT BRINGS YOU IN HERE RES0071-001 I'VE HAD THIS COUGH FOR OVER A WEEK NOW AND IT JUST HASN'T GONE AWAY RES0071-002 OK AND SO THIS COUGH HAS BEEN GOING ON FOR A WEEK CAN YOU DESCRIBE THE COUGH A LITTLE BIT FOR ME RES0071-003 SO I MEAN SOMETIMES I PRODUCE SPUTUM AND SOMETIMES I DON'T IT'S RES0071-004 WHITE AND WHITEISH CLEAR IN COLOR OK AND IT'S BEEN GOING ON FOR RES0071-005 MORE THAN A WEEK HAS IT BEEN GETTING WORSE IT GOT A LITTLE BIT WORSE AT FIRST BUT THEN IT'S BEEN KIND OF THE SAME RES0071-006 SINCE OK HAVE YOU NOTICED AT ALL LIKE GREEN OR YELLOW COLOR OF YOUR SPUTUM OR ANY BLOOD TINGED SPUTUM RES0071-007 NO BLOOD AND MAYBE A LITTLE YELLOWISH RES0071-008 OK LITTLE YELLOWISH OK AND HOW MUCH WOULD YOU SAY YOU BRING UP ON AN AVERAGE DAY RES0071-009 A COUPLE OF TEASPOONS RES0071-010 COUPLE OF TEASPOONS OK OK HAS THERE BEEN ANYTHING THAT MAKES IT WORSE OR BETTER RES0071-011 NOTHING THAT I CAN THINK OF RES0071-012 OK AND HAVE YOU HAD THIS HAPPEN TO YOU PREVIOUSLY IN THE PAST RES0071-014 NO AND IS THE COUGH RES0071-015 CONSTANT OR DOES IT COME AND GO IT COMES AND GOES THROUGHOUT THE DAY NO RES0071-016 PARTICULAR TIME OF THE DAY IT'S WORSE OK AND ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE COUGH LIKE SHORTNESS OF BREATH SORE THROAT RUNNY NOSE CONGESTION ANYTHING LIKE THAT RES0071-017 I'VE HAD A SORE THROAT AND A HEADACHE AS WELL RES0071-018 OK AND WHEN DID THE SORE THROAT START RES0071-019 THAT STARTED ABOUT RES0071-020 FIVE DAYS AGO FIVE DAYS AGO AND HAS IT BEEN GETTING WORSE RES0071-021 NO THAT'S BEEN ABOUT THE SAME RES0071-022 AND DO YOU HAVE ANY DIFFICULTY SWALLOWING AT ALL RES0071-023 IT'S A LITTLE SORE BUT IT'S BEEN OK TO EAT AND DRINK RES0071-024 OK AND HAVE YOU NOTICED ANY KIND OF REDNESS IN YOUR THROAT OR ANY SWELLING AROUND YOUR NECK RES0071-025 NO I TOOK A LOOK IN THE MIRROR AS BEST I COULD WITH MY PHONE AND I COULDN'T REALLY NOTICE ANYTHING THAT LOOKED RED RES0071-026 OK AND HOW ABOUT THE HEADACHE WHEN DID THAT START RES0071-027 SO IT'S BEEN KIND OF OFF AND ON OVER THE PAST WEEK OR SO FEELS LIKE A LIKE A PRESSURE SENSATION AND MY HEAD IS JUST REALLY SQUEEZING RES0071-028 OK AND SO IS IT ON ONE SIDE OF YOUR HEAD OR BOTH SIDES RES0071-029 BOTH SIDES RES0071-030 AND IT'S KIND OF LIKE A PRESSURE AND SQUEEZING IS IT AT ALL PULSATING RES0071-031 NO RES0071-032 NO OK IS IT CONSTANT OR DOES IT COME AND GO RES0071-033 IT COMES AND GOES RES0071-034 OK AND HAVE YOU TAKEN ANY MEDICATIONS TO MAKE ANY OF THESE SYMPTOMS BETTER RES0071-035 I HAVE USED SOME ADVIL FOR THE HEADACHES AND OVER THE COUNTER MEDICINE AT NIGHT TIME TO HELP SLEEP RES0071-036 OK AND DO YOU RECALL DOING ANYTHING IN THE LAST FEW WEEKS WHICH YOU MIGHT BELIEVE THAT CAUSED SOME OF THESE SYMPTOMS LIKE FOR EXAMPLE WERE YOU IN CONTACT WITH ANYONE THAT WAS SICK AT ALL RES0071-037 WELL I'M A NURSING STUDENT AND I'VE BEEN ON ROTATIONS IN THE HOSPITAL RECENTLY RES0071-038 AND ANYONE THAT YOU PROBABLY SAW IN THE HOSPITAL ANYONE SICK THAT YOU WERE IN CONTACT WITH RES0071-039 I DID SEE SOME PEOPLE WHO HAD LIKE RES0071-040 INFECTIOUS SYMPTOMS OK AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS RES0071-041 I'VE FELT CHILLS RES0071-042 OK CHILLS AND WHEN DID YOU FEEL THEM RES0071-043 I'VE BEEN FEELING CHILLS THROUGHOUT THE DAY AND AT NIGHT I JUST FEEL LIKE I CAN'T GET WARM EVEN WITH A BLANKET ON RES0071-044 OK AND HAVE YOU TAKEN YOUR TEMPERATURE AT ALL RES0071-045 NO RES0071-046 OK WE CAN DO THAT FOR YOU TODAY OTHER THAN THAT ANY RECENT TRAVEL OUTSIDE OF THE PROVINCE RES0071-047 NO BEEN JUST AT SCHOOL RES0071-048 OK AND ANY LOSS OF SENSE OF TASTE OR SMELL RES0071-049 NO RES0071-050 ANY NAUSEA OR VOMITING RES0071-051 NO RES0071-052 ANY NIGHT SWEATS RES0071-053 NO RES0071-054 OK ANY FATIGUE RES0071-055 YES RES0071-056 OK AND HOW WHEN DID THAT START RES0071-057 JUST OVER THIS PAST WEEK I'VE BEEN REALLY TIRED I'VE BEEN BEEN NEEDING NAPS AND NOT FEELING RESTED IN THE MORNING RES0071-058 OK ANY CHEST PAIN AT ALL RES0071-059 I DO IT DOES FEEL SORE KIND OF RES0071-060 THE CENTER OF MY OF MY CHEST RES0071-061 OK SO ANY COUGHING AT ALL I FEEL IT LIKE MORE LIKE IT DOES HURT WHEN WHEN I'M COUGHING THAT'S KIND OF WHAT I'M FEELING IT I THINK IT'S BEING CAUSED BY HOW MUCH I'M COUGHING I KIND OF FEEL IT THERE IN THE CENTER RES0071-062 AND BESIDES WHEN YOU'RE COUGHING DO YOU HAVE ANY PAIN IN YOUR CHEST WHEN YOU'RE BREATHING IN OR OUT RES0071-063 NO RES0071-064 NO OK ALRIGHT ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA RES0071-065 NO RES0071-066 ANY URINARY ISSUES RES0071-067 NO RES0071-068 OK ANY CHANGES WITH YOUR SLEEPING OR YOUR APPETITE RES0071-069 NO RES0071-070 NO HAVE YOU NOTICED ANY SIGNIFICANT WEIGHT LOSS IN THE LAST FEW WEEKS RES0071-071 NO IT'S BEEN THE SAME RES0071-072 OK AND HAVE YOU RECENTLY PRIOR TO YOUR COUGHING HAVE YOU HAD ANY INFECTIONS LIKE A VIRAL ILLNESS OR LIKE A COLD FOR EXAMPLE ANYTHING LIKE THAT RES0071-073 NOW THAT I THINK ABOUT IT I MEAN MAYBE LIKE A MONTH AGO I HAD LIKE A RUNNY NOSE FOR A COUPLE OF DAYS AND IT JUST WENT AWAY RES0071-074 OK WERE YOU ON ANY KIND OF MEDICATIONS OR ANTIBIOTICS AT ALL RES0071-075 NO JUST WENT AWAY ON ITS OWN PRETTY QUICKLY RES0071-076 ALRIGHT DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT RES0071-077 NO I DON'T I'M HEALTHY RES0071-078 OK DO YOU HAVE ANY ALLERGIES RES0071-080 NO DO YOU TAKE ANY MEDICATIONS REGULARLY RES0071-081 NO RES0071-082 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0071-083 NO RES0071-084 AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANY CANCERS RES0071-085 I THINK MY MOM HAS HIGH BLOOD PRESSURE RES0072-000 SO WHAT BRINGS YOU IN HERE RES0072-001 YEAH I'VE HAD THIS SORE THROAT IT STARTED REALLY YESTERDAY AND I'VE BEEN HAVING PROBLEMS WITH EATING AND DRINKING RES0072-002 OK SO IT JUST STARTED YESTERDAY HAS IT HAS IT OCCURRED BEFORE RES0072-003 NOT THIS PAINFUL BEFORE RES0072-004 OK SO AND YOU'RE HAVING ARE YOU HAVING ANY TROUBLE SWALLOWING JUST SOLIDS OR LIQUIDS AS WELL RES0072-005 IT HURTS TO SWALLOW BOTH WHEN I HAVE SOMETHING REALLY COLD IT HELPS I MEAN IT'S EASIER TO DRINK BUT IT STILL HURTS RES0072-006 OK AND ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT RES0072-007 YEAH I'VE BEEN NAUSEOUS AND I VOMITED A COUPLE OF TIMES RES0072-008 OK JUST WITHIN THE LAST DAY RES0072-009 THIS IS OVER THE LAST DAY I VOMITED THREE TIMES YESTERDAY AND ONCE ONCE TODAY RES0072-010 OK AND WHAT WAS THE COLOR OF THE VOMIT WAS IT JUST FOOD THAT YOU HAD EATEN OR WAS IT GREEN CAN YOU DESCRIBE IT A LITTLE BIT RES0072-011 YEAH SO THE FIRST TWO TIMES IT WAS MORE OF WHAT LIKE THE FOOD THAT I HAD EATEN AND THEN THE LAST TWO TIMES IT'S BEEN MORE YELLOWISH GREEN CAUSE I HAVEN'T REALLY EATEN MUCH SINCE YESTERDAY AFTERNOON RES0072-012 OK AND DID YOU NOTICE ANY BLOOD IN IT AT ALL RES0072-013 NO BLOOD RES0072-014 OK AND DO YOU HAVE ANY IDEA WHAT CAUSED THE NAUSEA OR VOMITING WAS IT AFTER EATING OR LIKE WERE THERE ANY TRIGGERS RES0072-015 I I THINK THE FIRST TIME WAS ASSOCIATED WITH LIKE AFTER EATING BUT I'M NOT SURE ABOUT THE OTHER ONES RES0072-016 OK AND WITH YOUR SORE THROAT ARE YOU HAVING ANY KIND OF LIKE A GAG REFLEX OR ANYTHING LIKE THAT RES0072-017 YEAH MAYBE A LITTLE BIT MAYBE THAT'S WHAT KIND OF MAYBE THAT'S PROMPTED IT RES0072-018 OK AND ARE YOU HAVING ANY SO IS YOUR HAS YOUR SORE THROAT BEEN JUST CONSTANT OR DOES IT COME COME AND GO RES0072-019 IT'S BEEN PRETTY CONSTANT RES0072-020 AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF ONE TO TEN ONE BEING THE LEAST PAIN YOU'VE FELT IN YOUR LIFE TEN BEING THE WORST RES0072-021 I WOULD SAY A A SIX IT'S PRETTY PAINFUL RES0072-022 OK HAVE YOU NOTICED ANY KIND OF LIKE SWELLING AROUND YOUR NECK OR ANY REDNESS IN YOUR THROAT RES0072-023 YEAH MY LEG I FELT MY NECK THIS MORNING IN THE FRONT OF IT IT DOES FEEL SWOLLEN RES0072-024 OK AND ARE YOU COUGHING AT ALL RES0072-025 NO I HAVEN'T HAD A COUGH RES0072-026 OK SO NO COUGH BUT ARE YOU PRODUCING ANY SPUTUM OR YELLOW MATERIAL RES0072-027 NO NOTHING LIKE THAT RES0072-028 OK ARE YOU COUGHING UP ANY BLOOD AT ALL RES0072-029 NO RES0072-030 ARE THERE IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE THAT YOU HAVE TRIED RES0072-031 JUST COLD DRINKS RES0072-032 OK AND SO YOU'VE ALSO YOU HAD NAUSEA AND VOMITING ARE YOU HAVING ANY KIND OF DIARRHEA OR CONSTIPATION RES0072-033 NO BUT I I'VE HAD A SORE STOMACH RES0072-034 OK AND DID THAT ALSO START YESTERDAY RES0072-035 YEAH IT'S JUST BEEN LIKE FAIRLY GENERALIZED FEELS SORE RES0072-036 OK SO NOT IN ANY PARTICULAR AREA JUST KIND OF ALL OVER YOUR STOMACH RES0072-037 YEAH LIKE I MEAN I GUESS SORT OF LIKE IN THE CENTER MORE SO BUT I CAN'T REALLY PUT ONE FINGER ON THE SPOT RES0072-038 OK AND IS IT CONSTANT OR DOES IT COME AND GO RES0072-039 IT KIND OF COMES AND GOES RES0072-040 OK AND IS IT ASSOCIATED WITH EATING FOOD AT ALL OR DOES IT GET BETTER WHEN YOU DEFECATE RES0072-041 I HAVEN'T NOTICED ANYTHING LIKE THAT MAYBE IT IT IT IS WORSE AFTER AFTER VOMITING THOSE FEW TIMES RES0072-042 I SEE OK YEAH SO SOMETIMES WITH THE VOMITING YOU CAN ALSO GET SOME SOME DISCOMFORT ANY CHANGES LIKE SO NO DIARRHEA OR CONSTIPATION THOUGH RIGHT RES0072-043 NO RES0072-044 SO ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR OR CHEST PAIN OR LIKE A RUNNY NOSE ANY ANY OF THOSE SYMPTOMS RES0072-045 NO NOTHING LIKE THAT I'VE JUST HAD A HEADACHE AS WELL BUT IT'S BEEN IT'S PRETTY MILD RES0072-046 OK HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER RES0072-047 I YEAH I TOOK A TYLENOL CAUSE I STARTED FEELING A LITTLE BIT HOT AS WELL TO HELP ME SLEEP LAST NIGHT RES0072-048 OK HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS RES0072-049 I FELT HOT BUT NO NO CHILLS RES0072-050 AND DID YOU MANAGE TO GET LIKE A TEMPERATURE AT ALL RES0072-051 NO RES0072-052 OK WE CAN DO THAT HERE TODAY SO YOU JUST FELT LIKE A BIT HOT LAST NIGHT RES0072-053 YEAH YEAH LAST NIGHT I FELT PRETTY HOT OK WITH SWEATY OK RES0072-054 ANY HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK OR ANY RECENT TRAVEL AT ALL RES0072-055 I MEAN NOT NOT THAT I CAN THINK OF RES0072-056 OK ANY OTHER SO I'M JUST GOING TO LIST A FEW SYMPTOMS JUST LET ME KNOW IF YOU HAVE ANY OF THEM DO YOU DO YOU FEEL FATIGUED RES0072-057 NO RES0072-058 OK DO YOU FEEL ANT KIND OF THAT YOU HAVE ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANY RASHES OR SKIN CHANGES RES0072-059 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0072-060 OK ANY CHANGES IN YOUR URINARY PATTERN RES0072-061 NO RES0072-062 OK ANY CHANGES IN YOUR SLEEP OR APPETITE RES0072-063 NO RES0072-064 OK ANY SIGNIFICANT WEIGHT LOSS OVER THE LAST MONTH RES0072-065 NO MY WEIGHT HAS BEEN THE SAME RES0072-066 OK AND HAVE YOU BEFORE THIS ALL STARTED HAVE YOU HAD ANY LIKE CONGESTION RUNNY NOSE OR ANY OTHER COLD LIKE SYMPTOMS RES0072-067 NO I'VE I'VE FELT WELL OTHERWISE RES0072-068 OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE ASTHMA OR ANYTHING ELSE RES0072-069 NO WHAT YEAH I KNOW RES0072-070 OK SO YOU'RE HEALTHY RES0072-071 YES RES0072-072 OK DO YOU HAVE ANY ALLERGIES RES0072-073 NO I DON'T RES0072-074 OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS REGULARLY RES0072-075 NO RES0072-076 ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES RES0072-077 NO RES0072-078 ANY FAMILY HISTORY OF ANY LUNG CONDITIONS OR HEART CONDITIONS OR ANY CANCERS RES0072-079 NO NOTHING LIKE THAT RES0072-080 OK AND CURRENTLY DO YOU WORK RES0072-081 NO I'M BEEN JUST GOING TO SCHOOL RES0072-082 OK AND DO YOU SO CURRENTLY WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH RES0072-083 SO WE LIVE IN A A HOUSE WITH WITH MY PARENTS AND YOUNGER BROTHER AND WE'VE BEEN BOTH BACK AT SCHOOL NOW PART TIME AND DOING SOME OF IT AT HOME ONLINE AS WELL RES0072-084 OK SO ANYONE AT ALL THAT YOU NOTICE AT SCHOOL THAT WAS SICK AROUND YOU RES0072-085 NO NOT THAT I AM AWARE OF RES0072-086 OK SO THIS IS JUST A QUESTION THAT WE ASK EVERYONE DO YOU DRINK ALCOHOL OR SMOKE CIGARETTES OR USE ANY RECREATIONAL DRUGS RES0072-087 NO RES0072-088 OK YEAH SO THOSE ARE ALL THE QUESTIONS I HAD TO ASK YOU ANY ANYTHING THAT I MAY HAVE MISSED OR ANYTHING YOU WANT TO TELL ME RES0072-089 NO THAT'S THAT'S EVERYTHING THAT'S BEEN HAPPENING OVER THE LAST COUPLE OF DAYS RES0072-090-1 OK ALRIGHT SO IT SEEMS THAT FROM YOUR AGE AND SOME OF YOUR SYMPTOMS WE WILL DEFINITELY DO A TESTING FOR STREP THROAT RES0072-090-2 IT SEEMS THAT YOU MEET THAT CRITERIA AND WE ALSO WANT TO MAKE SURE THAT SINCE YOU'RE HAVING OTHER SYMPTOMS AS WELL JUST TO DO A COVID TEST JUST IN CASE RES0072-090-3 AND IT'S JUST HAPPENING FOR ONE DAY IT DOESN'T SEEM THAT YOU'RE WE'LL TAKE YOUR TEMPERATURE AS WELL RES0072-090-4 AND WE MIGHT GIVE YOU SOME ANTIBIOTICS AS WELL TO TREAT YOU AND RELIEVE SOME OF THOSE SYMPTOMS RES0072-090-5 SO JUST HANG TIGHT WE'LL GET THE SWAB DONE FOR YOU FOR THE COVID TEST AS WELL AS STREP THROAT AND THEN WE'LL GO FROM THERE RES0072-091 GREAT THANK YOU RES0072-092 YOU'RE WELCOME TAKE CARE RES0072-093 TAKE CARE RES0073-000 WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN RES0073-001-1 SO OVER THE LAST WEEK I'VE JUST BEEN FEELING SOME SYMPTOMS IT KIND OF FIRST STARTED WITH LIKE A RUNNY NOSE THAT WAS AROUND LIKE FIVE DAYS AGO AND THEN IT RES0073-001-2 TURNED INTO JUST A LOT OF CONGESTION LIKE AROUND MY NOSE AND LIKE MY THROAT RES0073-001-3 AND NOW OVER THE LAST TWO DAYS I'VE BEEN JUST FEELING SO MUCH PRESSURE AROUND MY NOSE AND AROUND MY JAW SO I'VE BEEN GETTING A LOT OF PAIN THERE AS WELL RES0073-002 OK IS YOUR NOSE STILL RUNNING RES0073-003 I'M STILL GETTING SOME DISCHARGE AND I ALSO FEEL LIKE I'M GETTING SOME DRIPPING AT THE BACK OF MY THROAT TOO ESPECIALLY WHEN I WAKE UP RES0073-004 OK AND COULD YOU DESCRIBE THE DISCHARGE IS IT CLEAR YELLOW GREENISH RES0073-005 IT'S FAIRLY CLEAR AND SOMETIMES LIKE A BIT WHITE BUT LIKE IT'S NOT LIKE GREEN OR YELLOW RES0073-006 OK AND HAVE YOU FELT THAT IT'S DIFFICULT TO BREATHE IN THROUGH EITHER OF YOUR NOSTRILS LIKE IT'S OBSTRUCTED RES0073-007 SO AT NIGHT SOMETIMES I HAVE TO LIKE TURN BECAUSE ONE SIDE OF MY NOSE GETS DIFFICULT TO BREATHE FROM AND THEN IT KIND OF BALANCES OUT ON THE OTHER SIDE SO I DO HAVE SOME OBSTRUCTION RES0073-008 OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL RES0073-009 SO JUST IN THE LAST THREE DAYS WHEN THE CONGESTION GOT REALLY BAD I STARTED LOSING THE ABILITY TO SMELL RES0073-010 OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE RES0073-011 NO TASTE IS FINE RES0073-012 OK AND HAVE YOU HAD ANY COUGH OR SORE THROAT RES0073-013 NO NO COUGH OR SORE THROAT RES0073-014 OK AND THE SYMPTOMS HAVE GONE ON FOR FIVE DAYS HAVE YOU HAD A PERIOD OF TIME WHERE YOU GOT BETTER RES0073-015 AND THEN GOT SICK AGAIN I DID KIND OF HAVE A RUNNY NOSE LAST WEEK AS WELL SO PROBABLY LIKE EIGHT DAYS AGO BUT THEN THE RUNNY NOSE DISCONTINUED A LITTLE BIT BUT REALLY GOT WORSE FIVE DAYS AGO BUT ALL THESE OTHER SYMPTOMS JUST HAPPENED IN THE LAST FEW DAYS RES0073-016 OK AND YOU HAVE PAIN DO YOU FEEL IT IN YOUR JAW OR DO YOU FEEL IT IN THE IN THE FRONT OF YOUR NOSE RES0073-017 YES I WOULD SAY MAINLY OVER THE CHEEKS IT CAN KIND OF GO NEAR THE FRONT OF MY TEETH AS WELL SO LIKE I WOULD SAY LIKE MOSTLY AROUND THE CHEEKS JAWS AND UP TO THE FRONT OF MY TEETH RES0073-018 OK AND DO YOU GRIND YOUR TEETH AT ALL AT NIGHT OR HAVE YOU HAD TMJ ISSUES BEFORE RES0073-019 NO NOTHING LIKE THAT I THINK IT'S NOT SO MUCH ON AND AROUND MY TEETH IT'S MORE SO JUST TO RIGHT BELOW MY NOSE ABOVE MY TEETH AND JUST AROUND MY CHEEKS RES0073-020 OK SO NO PAIN IN YOUR MOUTH OR ANYTHING LIKE THAT RES0073-021 NO NOT INSIDE MY MOUTH RES0073-022 OK HAVE YOU HAD ANY FEVERS OR CHILLS RES0073-023 I DON'T THINK I'VE HAD A FEVER I DID FEEL SOME CHILLS OVER THE LAST FEW DAYS BUT JUST VERY BRIEF EPISODES RES0073-024 OK AND OVER THE LAST FEW WEEKS HAVE YOU HAD ANY WEIGHT LOSS RES0073-025 NO RES0073-026 OK AND YOU SAID YOU DIDN'T HAVE A COUGH OR A SORE THROAT BUT HAVE YOU HAD ANY WHEEZING RES0073-027 NO WHEEZING RES0073-028 HOW ABOUT ANY SHORTNESS OF BREATH RES0073-029 NOT SHORTNESS OF BREATH JUST SOMETIMES WHEN MY NOSE GETS LIKE REALLY CONGESTED I JUST TURN INTO LIKE A MOUTH BREATHER BUT THAT'S ABOUT IT RES0073-030 I SEE OK AND HAVE YOU HAD ANY CHEST PAIN RES0073-031 NO NO CHEST PAIN RES0073-032 ALRIGHT AND ANY LIGHTHEADEDNESS OR FEELING DIZZY RES0073-033 NO RES0073-034 OK HAVE YOU HAD ANY NAUSEA OR VOMITING RES0073-035 NOPE RES0073-036 ANY ABDOMINAL PAIN RES0073-037 NO RES0073-038 HAVE YOU HAD ANY DIARRHEA RES0073-039 SORRY WHAT WAS THAT RES0073-040 HAVE YOU HAD ANY DIARRHEA RES0073-041 NO DIARRHEA RES0073-042 OK AND HAVE YOU HAD ANY URINARY PROBLEMS RES0073-043 NO RES0073-044 AND HAVE YOU HAD ANY RASHES OR SKIN CHANGES RES0073-045 NO NOT THAT I KNOW RES0073-046 OK THEN HOW ABOUT ANY MUSCLE ACHES OR JOINT ACHES RES0073-048 NO OK AND RES0073-050 HAVE YOU HAD ANY MUSCLE WEAKNESS RES0073-051 NO AND HOW HAS YOUR ENERGY BEEN ANY FATIGUE IT'S BEEN MAINLY OK JUST MAYBE SOMETIMES DIFFICULT TO GET TO SLEEP WITH ALL THE ALL THE CONGESTION BUT I DON'T THINK MY ENERGY HAS BEEN AFFECTED TOO MUCH NO RES0073-052 OK AND SORRY TO GO BACK TO THIS I DON'T THINK I ASKED DID YOU NOTICE ANY DISCHARGE FROM YOUR EYES OR ANY EYE REDNESS RES0073-053 NOT DISCHARGE BUT MAYBE A LITTLE BIT OF REDNESS RES0073-054 OK HAVE YOUR EYES BEEN ITCHY RES0073-055 A LITTLE BIT I WOULD SAY THEY HAVE BEEN A BIT ITCHY RES0073-056 OK ALRIGHT THEN DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU SEE A PHYSICIAN FOR REGULARLY RES0073-058 I I HAVE A ITS CALLED DYSLIPIDEMIA OK RES0073-059 I SEE AND ANY MEDICATIONS RES0073-060 YOU TAKE FOR THAT JUST LIKE A STATIN MEDICATION RES0073-061 OK DO YOU TAKE ANY OTHER MEDICATIONS OVER THE COUNTER PRESCRIBED RES0073-062 NO JUST OTHER THAN THAT I TAKE MULTIVITAMINS OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR LIKE ENVIRONMENTAL ALLERGIES THAT MIGHT BE GETTING WORSE RES0073-063 NO NOT THAT I KNOW RES0073-064 OK SO YOU DON'T EXPERIENCE ANY SYMPTOMS LIKE THIS WHEN THE SEASONS CHANGE RES0073-065 I DON'T THINK SO I HAVE HAD THIS HAPPEN TO ME I WOULD SAY LIKE ONCE BEFORE IT HAPPENED LIKE TWO YEARS AGO IT WAS PRETTY SIMILAR RES0073-066 OK AND WHAT WAS DONE AT THAT TIME RES0073-067 AT THAT TIME IT KIND OF JUST WENT AWAY ON IT'S OWN IT GOT BETTER I FEEL IT'S DEFINITELY WORSE THIS TIME BUT AT THAT TIME I DIDN'T EVEN GO TO THE DOCTOR IT KIND OF JUST WENT AWAY RES0073-068 OK I SEE ANY RECENT HOSPITALIZATIONS RES0073-069 NO HOSPITALIZATIONS RES0073-070 ANY SURGERIES RES0073-071 NOPE RES0073-072 ALRIGHT AND COULD YOU TELL ME WHERE ABOUTS YOU'RE LIVING CURRENTLY AND WHO YOU'RE LIVING WITH RES0073-073 SO I'M CURRENTLY LIVING IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON RES0073-074 OK AND ANYBODY THAT YOU'VE BEEN AROUND WHO'S HAD ANY SYMPTOMS RES0073-075 NO NOT THAT I KNOW OF RES0073-076 OK SO NO SICK CONTACTS AND HAVE YOU TRAVELED ANYWHERE OUT OF THE CITY OR PROVINCE RES0073-077 NO I'VE TRIED TO STAY HOME BESIDES GOING TO WORK I JUST WORK AT THE GROCERY STORE BESIDES THAT NO NOWHERE ELSE RES0073-078 OK AND ANYBODY ANY OF YOUR COWORKERS HAVE ANY SYMPTOMS OR ANY COWORKERS BEING OFF SICK RES0073-079 NO WE'RE PRETTY CAREFUL RIGHT NOW WITH THE PANDEMIC RES0073-080 I SEE I KNOW THAT'S GREAT OK AND RES0073-081 DO YOU SMOKE CIGARETTES NO I RES0073-082 QUIT JUST A COUPLE OF YEARS AGO OH THAT'S GREAT IT'S NOT EASY TO QUIT SO THAT'S AWESOME RES0073-083 AND DO YOU DRINK ALCOHOL JUST MAYBE RES0073-084 LIKE RED WINE A COUPLE OF TIMES A WEEK I SEE OK AND RES0073-085 DO YOU USE ANY RECREATIONAL DRUGS JUST RES0073-086 IN A MONTH MAYBE ONCE OR TWICE I SMOKE A JOINT OK AND ANYBODY RES0073-087 IN THE FAMILY HAVE ANY LUNG OR HEART CONDITIONS RES0073-088 NO NOT THAT I KNOW OF ALRIGHT AND HOW ABOUT ANY CANCER IN THE RES0073-089 FAMILY NO RES0073-090 OK I THINK I THAT WAS EVERYTHING I WANTED TO ASK ABOUT TODAY WAS THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT YOU WANTED TO MAKE SURE I KNEW ABOUT TODAY RES0073-091 NO I THINK THAT'S ALL I JUST DIDN'T KNOW IF I NEEDED ANY LIKE MEDICATIONS OR IF I NEEDED TO GET TESTED I JUST WANTED TO MAKE SURE RES0073-092-1 YEAH SO WE'LL CERTAINLY CHECK YOUR TEMPERATURE TO SEE IF YOU HAVE A FEVER AND IF YOU DO RES0073-092-2 AND AND IT'S HIGH ENOUGH THAT WILL INCREASE THE CHANCE THAT YOU HAVE A BACTERIAL SINUSITIS AND IF SO WITH SOME OF YOUR SYMPTOMS INCLUDING THE DISCHARGE OBSTRUCTION RES0073-092-3 LOSS OF SMELL AND FACIAL PAIN THAT ALL FITS THE PICTURE FOR IT AND ALSO YOU HAD A PERIOD WHERE YOU FELT A LITTLE BIT BETTER AND THEN WORSE AGAIN SO THAT MIGHT RES0073-093 REQUIRE ANTIBIOTICS BUT WE WILL RES0073-094 CHECK YOUR TEMPERATURE AND RES0074-000 WHAT BROUGHT YOU IN TODAY RES0074-001-1 YEAH SO I'VE I'VE JUST BEEN FEELING A BIT OFF OVER THE LAST WEEK FIRST I STARTED HAVING LIKE JUST A SCRATCHY THROAT AND THAT WAS PROBABLY I THINK RES0074-001-2 FIVE DAYS AGO THAT HAPPENED AND THEN OVER THE LAST THREE DAYS I'VE BEEN HAVING DIARRHEA AND ALSO MY MY WHOLE BODY IS JUST HURTING RES0074-002 OK AND SO WHEN DID THE SORE THROAT START RES0074-003 I'D SAY LIKE FIVE DAYS AGO IT STARTED AND IT FIRST BEGAN LIKE KIND OF A TICKLE BUT THEN NOW IT'S MORE LIKE EVEN SWALLOWING FOOD HURTS A LOT RES0074-004 OK HAVE YOU BEEN EATING OR DRINKING LESS THAN USUAL RES0074-005 MY APPETITE'S BEEN A BIT LESS OVER THE LAST FEW DAYS JUST BECAUSE OF HOW MUCH IT HURTS RES0074-006 OK HAVE YOU NOTICED ANY NECK SWELLING RES0074-007 NO NOT NOT REALLY RES0074-008 OK HOW ABOUT ANY REDNESS IN THE BACK OF YOUR THROAT RES0074-009 I CHECKED I DIDN'T I DIDN'T SEE TOO MUCH RES0074-010 OK AND HAVE THERE BEEN ANY CHANGES TO YOUR VOICE RES0074-011 A LITTLE BIT I WOULDN'T SAY TOO SIGNIFICANT RES0074-012 OK AND MUSCLE ACHES LIKE WHEN DID THOSE START RES0074-013 SO THAT STARTED JUST THREE DAYS AGO AND I REMEMBER WAKING UP AND MY THIGHS WERE HURTING THEN MY UPPER ARMS AND THEN IT KIND OF WENT INTO MY UPPER BACK AND NOW IT'S KIND OF JUST GENERAL PAIN IN ALL OF THE MUSCLES RES0074-014 OK ARE YOU DO YOU HAVING ANY MUSCLE WEAKNESS RES0074-015 I WOULD SAY IT'S MAINLY PAIN I DON'T REALLY FEEL WEAKNESS RES0074-016 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN HAVING FATIGUE RES0074-017 I WOULD SAY I DON'T KNOW IF IT'S BECAUSE OF THE PAIN BUT I DEFINITELY FEEL A LOT MORE TIRED RES0074-018 OK AND YOU MENTIONED DIARRHEA AS WELL WHEN DID THAT START RES0074-019 DIARRHEA ALSO STARTED AROUND THREE DAYS AGO I NORMALLY GO ONE OR TWO TIMES A DAY BUT NOW I'M GOING LIKE SIX OR SEVEN TIMES A DAY AND IT'S ALL USUALLY PRETTY WATERY RES0074-020 OK HAVE YOU NOTICED ANY BLOOD IN THE STOOL RES0074-021 NO I DON'T THINK I NOTICED BLOOD RES0074-022 OK AND HAVE YOU NOTICED ANY REALLY LIKE DARK OR TARRY LOOKING STOOL RES0074-023 NO IT'S USUALLY JUST BEEN LOOSE WATERY STOOLS RES0074-024 OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT MUSCLE ACHES FATIGUE AND DIARRHEA RES0074-025 I NO I DON'T THINK SO THOSE ARE PROBABLY ALL OF THE SYMPTOMS RES0074-026 OK SO QUICKLY TO RUN THROUGH A REVIEW HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS RES0074-027 NO NOT THAT I'VE NOTICED RES0074-028 OK HOW ABOUT ANY HEADACHES RES0074-029 NO RES0074-030 OK AND HAVE YOU HAD A RUNNY NOSE RES0074-031 NO RES0074-032 HAVE YOU HAD A LOSS OF SMELL OR TASTE RES0074-033 I DON'T THINK SO I HAVEN'T BEEN REALLY EATING TOO MUCH RECENTLY BUT I DON'T THINK SO NO RES0074-034 OK HAVE YOU HAD A COUGH RES0074-035 NO RES0074-036 SHORTNESS OF BREATH RES0074-037 NO RES0074-038 A WHEEZE RES0074-039 NO WHEEZING RES0074-040 OK AND HAVE YOU HAVE YOU YOU SAID YOU HAVEN'T HAD A COUGH BUT HAVE YOU BROUGHT UP ANY SPUTUM RES0074-041 NO RES0074-042 OK AND HAVE YOU HAD ANY CHEST PAIN RES0074-043 NO CHEST PAIN RES0074-044 ALRIGHT ANY DIZZINESS OR OR LIGHTHEADEDNESS RES0074-045 NOPE RES0074-046 ANY FEELING AS THOUGH YOUR HEART IS RACING RES0074-047 NO RES0074-048 OK HAVE YOU HAD ANY ABDOMINAL PAIN RES0074-049 MAYBE JUST A LITTLE BIT WITH ALL THE DIARRHEA I FEEL LIKE I DO HAVE SOME JUST TENDERNESS IN MY ABDOMEN RES0074-050 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING RES0074-051 NO NOT REALLY RES0074-052 OK HAVE YOU HAD ANY URINARY PROBLEMS RES0074-053 NO RES0074-054 OK AND ANY RASHES ANYWHERE RES0074-055 NO NOT THAT I'VE NOTICED RES0074-056 OK AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY OR OVER THE LAST SEVERAL MONTHS RES0074-057 NO MY WEIGHT HAS BEEN AROUND THE SAME RES0074-058 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE RES0074-059 YEAH SO I I HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL RES0074-060 OK DO YOU TAKE ANY MEDICATIONS FOR EITHER OF THOSE RES0074-061 SO FOR THE CHOLESTEROL I'M TAKING THIS MEDICATION CALLED CRESTOR FOR THE HIGH BLOOD PRESSURE I'M TAKING THIS MEDICATION CALLED RAMIPRIL RES0074-062 OK AND DO YOU TAKE ANY OTHER MEDICATIONS LIKE OVER THE COUNTER OR SUPPLEMENTS OR PRESCRIBED RES0074-063 JUST MULTI VITAMINS RES0074-064 OK HAVE YOU BEEN HOSPITALIZED BEFORE RES0074-065 JUST LIKE IN MY TEENS I HAD MY APPENDIX REMOVED BUT THAT'S THAT'S IT I HAVE BEEN PRETTY GOOD OTHERWISE RES0074-066 OK HAVE YOU HAD ANY OTHER SURGERIES BESIDES THE APPENDIX REMOVED RES0074-067 NO THAT'S THE ONLY SURGERY RES0074-068 OK AND ANY ALLERGIES TO MEDICATIONS RES0074-069 NO NOT THAT I KNOW OF RES0074-070 OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RES0074-071 YEAH SO I CURRENTLY LIVE WITH MY WIFE AND SON WE LIVE IN A HOUSE JUST IN LONDON AND LIKE I MADE SURE TO JUST ISOLATE MYSELF TO ONE ROOM AND I WEAR A MASK AROUND THEM JUST IN CASE RES0074-072 OK WELL THAT'S GOOD IT'S IMPORTANT TO BE SOCIALLY DISTANCING ESPECIALLY WHEN HAVING SYMPTOMS HAS ANYBODY ELSE IN THAT HOUSE BEEN SICK RES0074-073-1 NO NO ONE HAS BEEN SICK RECENTLY AT LEAST IN MY HOUSE BUT I I DO JUST TWO WEEKS AGO I DID ATTEND A FAMILY EVENT RES0074-073-2 AND JUST LAST WEEK I FOUND OUT SOMEONE WAS HAVING SYMPTOMS THEY JUST GOT TESTED TWO DAYS AGO AND THEIR TEST RESULT HASN'T COME BACK RES0074-074 OK I SEE AND HAVE YOU TRAVELED ANYWHERE KIND LIKE OUTSIDE OF THE PROVINCE OR OUTSIDE OF THE COUNTRY RES0074-075 NO IT WAS IT WAS JUST HERE IN LONDON SO NOTHING OTHER THAN THAT I HAVEN'T LEFT THE PROVINCE RES0074-076 OK AND WHAT WAS THE APPROXIMATE NUMBER OF PEOPLE RES0074-077 IT WAS JUST FIVE FIVE PEOPLE SO WE STAYED WITHIN THE LIMITS STATED FOR THE CITY AND THEY WERE PEOPLE IN LIKE MY CIRCLE AS WELL SO I DON'T THINK I WAS DOING ANYTHING WRONG RES0074-078 OK JUST TO GIVE AN IDEA OF LIKE RISK AND CONTACT TRACING AS WELL IF WE NEED TO AND DO YOU SMOKE CIGARETTES RES0074-079 NO I DON'T SMOKE RES0074-080 OK AND DO YOU DRINK ALCOHOL RES0074-081 MAYBE A ONE OR TWO BEERS A WEEK RES0074-082 OK AND DO YOU USE ANY RECREATIONAL DRUGS RES0074-083 NO NEVER RES0074-084 OK AND IN TERMS OF FAMILY HISTORY DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS RES0074-085 NO NO NOT THAT I KNOW OF I DO YOU THINK MY BROTHER MY OLDER BROTHER HAS HIGH BLOOD PRESSURE RES0074-086 OK NOBODY'S HAD A HEART ATTACK OR A STROKE RES0074-087 NO RES0074-088 OR ANY CANCER IN THE IN THE FAMILY RES0074-089 OH YEAH CANCER SO MY FATHER HAS IT'S NOT IT'S NOT THE BAD SKIN CANCER IT'S THE ONE WHERE THEY CAN JUST ZAP IT OFF RES0074-090 OK OK AND YEAH SO HE HASN'T NEEDED SURGERY FOR IT RES0074-091 NO RES0074-092 OK AND I THINK THAT'S ALL THE QUESTIONS THAT I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE THAT THAT MAYBE I FORGOT TO TELL YOU OR FORGOT TO ASK ABOUT RES0074-093 YEAH I KNOW I WAS JUST WONDERING I DON'T KNOW THE RESULTS OF THE CONTACT THAT I HAD SO SHOULD I ALSO GET TESTED TODAY RES0074-094-1 YEAH CERTAINLY WITH NONSPECIFIC SYMPTOMS SUCH AS WHAT YOU'VE BEEN EXPERIENCING WE WILL DO A TEST FOR COVID TODAY HOWEVER RES0074-094-2 WE WILL DO SOME LAB INVESTIGATIONS AS WELL BECAUSE IT COULD BE RES0074-094-3 SOMETHING ELSE SO WE'LL WAIT FOR SOME OF THOSE RESULTS TO COME BACK AND IT'S GREAT THAT YOU'VE ALREADY TAKEN THE INITIATIVE TO ISOLATE FROM FAMILY MEMBERS AND WHATNOT AND SO RES0074-094-4 I ASK YOU TO CONTINUE DOING SO AND WE WILL GET BACK TO YOU WHEN THE RESULTS ARE IN RES0074-095 OK THAT SOUNDS GOOD THANK YOU SO MUCH RES0075-000 WHAT BROUGHT YOU IN TODAY RES0075-001 SO JUST RANDOMLY LIKE TWO DAYS AGO I JUST STARTED HAVING THIS CHEST PAIN WHEN I'M BREATHING AND IT'S JUST BEEN GETTING WORSE AND THEN BECAUSE OF THAT I'M FINDING THAT I'M VERY SHORT OF BREATH AS WELL SO I JUST GOT REALLY CONCERNED RES0075-002 OK I SEE WHEN DID THE CHEST PAIN START RES0075-003 SO THERE WAS SOME DISCOMFORT LIKE JUST TWO DAYS AGO BUT THEN JUST YESTERDAY IT STARTED GETTING VERY PAINFUL WHEN I WAS BREATHING SO I WOULD SAY ONE DAY AGO RES0075-004 OK AND WERE YOU DOING ANYTHING AT THE TIME WHEN THE CHEST PAIN STARTED LIKE DID YOU GET IN A CAR ACCIDENT MAYBE OR ANY TRAUMA TO THE CHEST OR ANYTHING YOU CAN THINK OF RES0075-005 NO NOT REALLY I WAS JUST AT HOME AND THEN I NOTICED THAT WHEN I LIKE TAKE A DEEP BREATH IN IT'S JUST LIKE A VERY SHARP PAIN IT'S KIND OF LIKE IN MY RIGHT SIDE OF THE CHEST AND IT FEELS LIKE A STABBING PAIN RES0075-006 OK AND SO THE PAIN COMES ON WHEN YOU BREATHE IN OR WHEN YOU TAKE A DEEP BREATH DOES THE PAIN COME ON AT ANY OTHER POINTS OR DOES IT GO AWAY RES0075-007 IT'S MOSTLY I FEEL THE SHARP PAIN WHEN I BREATHE IN RES0075-008 OK SO THE PAIN IS INTERMITTENT THEN IT SOUNDS LIKE AND HAS THERE BEEN ANYTHING YOU'VE TRIED THAT'S MADE THE PAIN BETTER RES0075-009 NOT REALLY JUST MORE SHALLOW BREATHING AND IT HURTS LESS WITH THAT BUT THAT'S ABOUT IT RES0075-010 OK AND ARE THERE ANY POSITIONS THAT HELP MAKE THE PAIN ANY BETTER LIKE LEANING FORWARD OR LAYING DOWN RES0075-011 NOT REALLY IT'S IT'S PRETTY MUCH THE SAME I THINK RES0075-012 OK AND YOU MENTIONED YOU HAD SHORTNESS OF BREATH AS WELL WHEN DOES THIS COME ON RES0075-013 IT'S BEEN PRETTY LIKE SINCE YESTERDAY IT'S BEEN PRETTY CONSTANT AND IT'S MORE LIKE JUST I'M REALLY HAVING TROUBLE GETTING ANY DEEP BREATHS IN SO RES0075-014 I FEEL LIKE I'M HAVING TO JUST BREATHE FASTER AND MORE SHALLOW I SEE RES0075-016 OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE NO NEVER OK RES0075-018 AND HAVE YOU BEEN EXPERIENCING ANY HEADACHES NO HOW ABOUT ANY RES0075-019 VIRAL SYMPTOMS LIKE EYE REDNESS NASAL DISCHARGE OR NASAL CONGESTION OR OR COUGH I HAVE BEEN HAVING A LITTLE RES0075-020 BIT OF A COUGH BUT THAT'S IT LIKE IT KIND OF STARTED TODAY BUT IT'S NOTHING TOO SIGNIFICANT RES0076-000 WHAT BRINGS YOU IN HERE TODAY RES0076-001 I'VE HAD THIS COUGH ONGOING FOR A COUPLE OF MONTHS NOW AND RECENTLY I'VE STARTED TO NOTICE SOME BLOOD RES0076-002 OK SO THIS COUGH HAS BEEN GOING ON FOR HOW MANY MONTHS RES0076-003 I WOULD SAY MAYBE SIX MONTHS RES0076-004 SIX MONTHS AND HAVE YOU HAD THIS COUGH BEFORE THEN RES0076-005 I'VE HAD A COUGH BEFORE AND KIND OF FOR A LONG TIME CAUSE I'VE SMOKED FOR A WHILE RES0076-006 OK I SEE WHAT KIND OF COUGH DO YOU HAVE IS IT PRODUCTIVE LIKE IS IT A WET COUGH OR IS IT A DRY COUGH RES0076-007 IT'S USUALLY A DRY COUGH BUT RECENTLY I'VE BEEN BRINGING UP A LITTLE BIT OF BLOOD RES0076-008 OK AND IS THE BLOOD MIXED IN WITH LIKE SPUTUM THAT YOU'RE BRINGING OUT OR IS IT THAT YOU'RE JUST COUGHING UP BLOOD RES0076-009 IT'S MOSTLY RED MOSTLY BLOOD RES0076-010 OK I SEE AND IS YOUR COUGHING CONSTANT OR DOES IT COME AND GO RES0076-011 IT'S KIND OF LIKE CONSTANT THROUGHOUT THE DAY RES0076-012 OK AND HAVE YOU NOTICED ANY KIND OF GREENISH OR YELLOWISH COLOR OF YOUR SPUTUM RES0076-013 NOT REALLY NO RES0076-014 HOW MUCH BLOOD WOULD YOU SAY YOU'RE COUGHING UP NOW IN AN AVERAGE DAY RES0076-015 I WOULD SAY MAYBE TWO OR THREE TEASPOONS RES0076-016 OK I SEE HAS YOUR COUGHING GOTTEN WORSE OR HAS IT STAYED ABOUT THE SAME RES0076-017 IT'S BEEN ABOUT THE SAME RES0076-018 OK IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE RES0076-019 NOT REALLY IT'S JUST KIND OF BEEN THERE MOST DAYS RES0076-020 AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR CHEST PAIN RUNNY NOSE ANYTHING LIKE THAT RES0076-021 NO NO I HAVEN'T REALLY HAD ANYTHING LIKE THAT RES0076-022 OK SO WITH YOUR COUGHING YOU DON'T FEEL LIKE YOU HAVE ANY DIFFICULTY BREATHING RES0076-023 NO I MEAN I HAVEN'T HAD ANY SHORTNESS OF BREATH I'VE JUST HAD WELL ACTUALLY SORRY I HAVE HAD DIFFICULTIES BREATHING AS WELL RES0076-024 OK AND WHEN DID THAT START RES0076-025 WELL THAT'S BEEN AN ONGOING PROBLEM FOR THE LAST SEVERAL YEARS NOW I THOUGHT IT WAS RELATED TO SMOKING BUT IT'S GOTTEN WORSE RES0076-026 I SEE OK AND DO YOU HAVE ANY CHEST PAIN WITH INSPIRATION OR EXPIRATION RES0076-027 NO NO CHEST PAIN RES0076-028 OK ANY DIZZINESS ANY FAINTING EPISODES RES0076-029 NOTHING LIKE THAT RES0076-030 OK ANY RECENT TRAVEL OUTSIDE OF THE COUNTRY RES0076-031 NO I'VE BEEN AT HOME RES0076-032 OK ANY HEADACHES FEVERS OR CHILLS RES0076-033 NO NO FEVERS OR CHILLS AND I HAVEN'T HAD ANY HEADACHES EITHER RES0076-034 OK ANY LOSSES IN SENSE OF TASTE OR SMELL RES0076-035 NO RES0076-036 ANY NAUSEA OR VOMITING RES0076-037 I HAVE BEEN A BIT MORE NAUSEOUS RECENTLY BUT I HAVEN'T HAD ANY VOMITING RES0076-038 OK AND WHEN DID YOU START FEELING NAUSEOUS RES0076-039 IT KINDA COMES AND GOES I'VE HAD THAT PROBLEM FOR THE LAST TWO MONTHS OR SO RES0076-040 OK AND DO YOU FEEL NAUSEOUS AT ANYTIME PARTICULARLY IN THE DAY LIKE AFTER EATING OR DOES IT JUST COME ON RANDOMLY RES0076-041 RANDOMLY RES0076-042 OK AND HAVE YOU BEEN HAVING ANY KIND OF DIARRHEA OR CONSTIPATION CHANGES IN YOUR BOWEL MOVEMENT RES0076-043 NO RES0076-044 OK ANY BLOOD IN YOUR STOOLS AT ALL RES0076-045 NO RES0076-046 OK HAVE YOU BEEN FEELING FATIGUED AT ALL RES0076-047 A LITTLE BIT MORE TIRED RECENTLY RES0076-048 AND HOW RECENTLY WOULD YOU SAY RES0076-049 I THOUGHT IT WAS RELATED TO LIKE JUST BEING SHORT OF BREATH SO MAYBE IN THE LAST COUPLE OF MONTHS AS WELL RES0076-050 OK AND WHEN DO YOU GET SHORT OF BREATH IS IT WHEN YOU DO ANY ACTIVITIES IS IT WHEN YOU'RE LAYING DOWN IS THERE ANYTHING RELATED TO IT RES0076-051 IF I EXERT MYSELF OR IF I'M DOING MORE ACTIVITY IT IT DOES GET HARDER TO TO KEEP UP WITH IT BUT RES0076-052 AND DO YOU NOTICE YOU HAVE TO LIKE GET UP AT NIGHT TO TAKE A BREATH OR WHEN YOU'RE LAYING DOWN DO YOU HAVE ANY TROUBLE BREATHING RES0076-053 NO RES0076-054 OK AND HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANYTHING LIKE THAT RES0076-055 NO SWELLING RES0076-056 OK HAVE YOU HAD ANY NIGHT SWEATS RES0076-057 NO RES0076-058 OK AND HOW ABOUT YOUR SLEEP AND APPETITE HAVE THEY CHANGED IT ALL RES0076-059 OH MY APPETITE'S BEEN LESS I'VE LOST SOME WEIGHT OVER THE LAST FEW MONTHS RES0076-060 OK AND HOW MUCH WEIGHT WOULD YOU SAY YOU'VE LOST RES0076-061 MAYBE TEN TO FIFTEEN POUNDS RES0076-062 OK AND HOW MUCH DO YOU WEIGH RES0076-063 I THINK NOW I WEIGH ABOUT ONE HUNDRED AND SIXTY POUNDS RES0076-064 OK SO TEN TO FIFTEEN POUNDS IN THE LAST HOW MANY MONTHS WOULD YOU SAY RES0076-065 MAYBE MAYBE TWO MONTHS RES0076-066 TWO MONTHS OK HAVE YOU RECENTLY HAD ANY INFECTIONS LIKE VIRAL SYMPTOMS LIKE RUNNY NOSE FEVER OR ANY COLD LIKE SYMPTOMS RES0076-067 NO RES0076-068 OK AND ANY EXPOSURE TO ANYONE THAT YOU KNOW OF THAT MIGHT HAVE TUBERCULOSIS RES0076-069 NO I'VE BEEN BEEN MOSTLY AT HOME I HAVEN'T REALLY BEEN SEEING MANY PEOPLE LATELY RES0076-070 OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY OR ANY DIAGNOSIS LIKE COPD ASTHMA HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT RES0076-071 I HAD A CATARACT SURGERY BUT THAT'S ABOUT IT RES0076-072 OK AND ARE THERE ANY MEDICATIONS THAT YOU TAKE ON A DAILY BASIS RES0076-073 MULTI VITAMINS RES0076-074 MULTI VITAMINS OK ANY ALLERGIES THAT YOU KNOW OF TO MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES RES0076-075 I THINK SULFA BUT THAT'S IT RES0076-076 OK AND WHAT KIND OF REACTION DO YOU GET RES0076-077 I GET A RASH RES0076-078 RASH OK ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST RES0076-079 I JUST HAD CATARACT REMOVED FROM MY RIGHT EYE AND THAT'S ABOUT IT RES0076-080 OK ANY CONTACTS OF YOURS THAT HAVE BEEN SICK RECENTLY RES0076-081 NO RES0076-082 NO OK AND IN TERMS OF YOUR FAMILY HISTORY ARE THERE ANY CANCERS LIKE LUNG CANCER IN YOUR FAMILY OR ANY HEART CONDITIONS ANYTHING LIKE THAT RES0076-083 I THINK MY GREAT UNCLE HAD LUNG CANCER MY MOM HAD TYPE TWO DIABETES BUT THAT'S IT RES0076-084 OK AND CURRENTLY RIGHT NOW DO YOU WORK RES0076-085 I'M I'M RETIRING SOON I WORK AS A BUS DRIVER RES0076-086 OK AND IN THE PAST HAVE YOU WORKED IN ANY ENVIRONMENT WHERE YOU WERE EXPOSED TO ANY METALS TOXINS ANY ASBESTOS OR ANYTHING LIKE THAT RES0076-087 I DON'T THINK SO RES0076-088 OK RES0076-089 I WORKED AS A BUS DRIVER FOR QUITE A NUMBER OF YEARS NOW RES0076-090 AND WHERE DO YOU LIVE RIGHT NOW IN AN APARTMENT IN A HOME AND WHO DO YOU LIVE WITH RES0076-091 I LIVE IN A HOME WITH MY WIFE AND IT'S JUST US TWO RES0076-092 AND DO YOU KNOW IF THERE'S ANY LIKE ASBESTOS EXPOSURE IN YOUR HOME AT ALL RES0076-093 I DON'T THINK SO NO RES0076-094 OK AND CURRENTLY DO YOU SMOKE RES0076-095 I'VE BEEN CUTTING DOWN BUT I DO SMOKE YES I SMOKE ABOUT A HALF A PACK PER DAY NOW THERE WAS A TIME I WAS SMOKING TWO PACKS PER DAY FOR A NUMBER OF YEARS AND I STARTED SMOKING WHEN I WAS PROBABLY FIFTEEN RES0076-096 SO IT'S BEEN ABOUT FORTY FORTY ISH YEARS AT LEAST RES0076-097 AND HAVE YOU THOUGHT OF QUITTING AT ALL RES0076-098 I'VE BEEN TRYING I WAS THINKING OF MAYBE TALKING ABOUT A PRESCRIPTION FOR HELPING QUIT OR SOMETHING LIKE THAT TODAY I WAS FEELING LIKE THIS IS CAUSING SOME OF MY SYMPTOMS LIKE MY COUGH SHORTNESS OF BREATH RES0076-099 WELL IT'S REALLY GREAT THAT YOU'RE THINKING ABOUT QUITTING WE CAN DEFINITELY HELP YOU WITH SOME RESOURCES AND SOME MEDICATIONS HAVE YOU TRIED ANYTHING BEFORE THAT I SHOULD KNOW OF TO HELP YOU QUIT RES0076-100 I'VE TRIED NICOTINE PATCHES AND GUM BUT THAT'S IT RES0076-101 OK SO THERE'S LIKE OTHER OPTIONS AS WELL THAT YOU CAN TAKE HAVE YOU HEARD OF CHAMPIX RES0076-102 I DID HEAR OF IT ACTUALLY SO ONE OF MY FRIENDS TRIED IT AND IT WORKED WELL FOR THEM SO RES0076-103 OK SO WE CAN IF YOU'RE WONDERING ABOUT THAT I CAN GIVE YOU SOME INFORMATION ON THAT MEDICATION LIKE A WHOLE PACKAGE FOR YOU AND THEN WE CAN DISCUSS IF THAT COULD WORK FOR YOU RES0076-104 THAT SOUNDS GREAT RES0076-105 OK SWEET AND OTHER THAN SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0076-106 NO I DON'T RES0076-107 OK AND DO YOU DRINK ALCOHOL RES0076-108 WELL I'LL HAVE ONE OR TWO BEERS ON THE WEEKEND RES0076-109-1 OK ALRIGHT SO THAT'S PRETTY MUCH ALL THE QUESTIONS I HAD RIGHT NOW IT SEEMS THAT YOUR SYMPTOMS YOU DO HAVE THAT COUGH AND THE SHORTNESS OF BREATH AND IT'S BEEN CHRONIC BUT NOW YOU'RE COUGHING UP SOME BLOOD AS WELL SO THAT IS DEFINITELY RES0076-109-2 SOMETHING THAT'S CONCERNING AND WE WANT TO MAKE SURE THERE IS NOTHING GOING ON SO WE WILL GET A CHEST X RAY FOR YOU AND SEE IF WE CAN FIND ANYTHING THERE ARE STILL PRODUCING THE BLOODY SPUTUM RES0076-110 THAT'S BEEN COMING UP A DAILY STILL RES0076-111-1 OK SO IF IF IF YOU THINK YOU CAN PRODUCE THAT WE CAN EVEN TAKE A SAMPLE OF THAT AS WELL AND SEE IF THERE IS ANY PRESENCE THE ONE THING THAT WE ARE CONCERNED ABOUT WITH SOME OF YOUR SYMPTOMS AND A LONG HISTORY OF SMOKING AS WELL AS LUNG CANCER RES0076-111-2 SO WE WILL DO A CHEST X RAY GET SOME CYTOLOGY DONE AS WELL AND THEN ONCE WE HAVE THAT IN THE FUTURE WE MAY NEED TO MAYBE DO A BIOPSY BUT RIGHT NOW WE'LL DO A FEW OF THE FIRST THINGS THAT I MENTIONED AND THEN GO FROM THERE RES0076-112 THAT SOUNDS GOOD THANK YOU RES0076-113 YOU'RE WELCOME TAKE CARE RES0076-114 BYE RES0077-000 SO WHAT BRINGS YOU HERE TODAY RES0077-001 SO I'VE HAD THIS COUGH ONGOING NOW FOR THE LAST THREE DAYS AND I FOUND I'VE HAD A MORE DIFFICULT TIME BREATHING AS WELL RES0077-002 OK AND SO WHAT CAME FIRST DID THE COUGH COME FIRST RES0077-003 THE COUGH STARTED FIRST RES0077-004 OK AND SO IT STARTED THREE DAYS AGO RES0077-005 WHEN DID THE SHORTNESS OF BREATH START RES0077-006 THAT STARTED PROBABLY ABOUT TWO DAYS AGO RES0077-007 OK AND THE COUGH CAN YOU DESCRIBE IT A LITTLE BIT IS IT LIKE A WET COUGH A DRY COUGH HOW WOULD YOU DESCRIBE IT RES0077-008-1 YEAH I I BROUGHT UP A LITTLE BIT OF SPUTUM IT'S BEEN CLEAR MOSTLY CLEAR AND RES0077-008-2 SOMETIMES DRY AS WELL THE COUGH'S BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS AS WELL AND HASN'T REALLY STOPPED EITHER RES0077-009 AND IT'S JUST KIND OF ONGOING ALL RES0077-011 PRETTY CONSTANT IT'S BEEN CONSTANT RES0077-012 OK AND HOW MUCH SPUTUM WOULD YOU SAY YOU'RE BRINGING UP I WOULD SAY MAYBE LIKE TWO TEASPOONS A DAY IT'S ONLY LIKE A LITTLE BIT IN THE TISSUES AND I'M NOT BRINGING UP SPUTUM EVERY TIME RES0077-013 OK AND IS YOUR SPUTUM AT ALL YELLOW GREEN OR DOES IT HAVE ANY BLOOD TINGE CONTENT IN IT RES0077-014 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0077-015 OK SO IT'S MAINLY JUST WHITE OR CLEAR RES0077-016 IT'S MOSTLY LIKE WHITEISH OR CLEAR RES0077-017 OK AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE RES0077-018 NO I HAVEN'T RES0077-019 OK AND HOW WOULD YOU DESCRIBE THE SHORTNESS OF BREATH ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU HAVING TROUBLE BREATHING WHEN EXERTING YOURSELF LIKE HOW WOULD YOU DESCRIBE IT RES0077-020 I HAVE LIKE A CHEST TIGHTNESS I FIND WHEN I EXERT MYSELF IT GETS WORSE AND AFTER I COUGH I HAVE A LITTLE BIT OF TROUBLE CATCHING MY BREATH AS WELL RES0077-021 OK SO YOU ALSO HAVE A WHEN DO YOU HAVE THE CHEST TIGHTNESS WHEN DID THAT START RES0077-022 THAT'S STARTED WITHIN THE LAST TWO DAYS AS WELL WITH THE COUGH RES0077-023 OK SO IS IT JUST THE TIGHTNESS WHEN YOU COUGH OR IS IT THERE JUST THROUGHOUT RES0077-025 TIGHT LIKE I CAN'T GET A DEEP BREATH OK AND HAVE YOU HAD ANY KIND OF LIKE SWELLING IN YOUR CALVES OR RES0077-026 PAIN IN YOUR CALVES AT ALL NO I HAVEN'T HAD ANYTHING LIKE THAT RES0077-027 OK AND HAVE YOU HAD ANY SURGERIES RECENTLY OR HAVE YOU BEEN IMMOBILIZED FOR A LONG TIME OR ADMITTED TO A HOSPITAL OR ANYTHING LIKE THAT RES0077-028 NO I HAVEN'T HAD ANYTHING LIKE THAT I'VE BEEN HEALTHY RES0077-029 OK AND HAVE YOU HAD ANYTHING LIKE A BLOOD CLOT EITHER IN YOUR LEGS OR TRAVELING UP TO YOUR LUNGS IN THE PAST BEFORE RES0077-030 NO I HAVEN'T HAD ANYTHING LIKE THAT RES0077-031 OK AND HAVE YOU BEEN DIAGNOSED WITH CANCER OR ANY OTHER MEDICAL CONDITIONS RES0077-032 NO I HAVEN'T RES0077-033 OK SO WOULD YOU SAY THE COUGHING AND THE SHORTNESS OF BREATH IS GETTING WORSE OR IT'S ABOUT THE SAME RES0077-034 I'D SAY IT'S GOTTEN A LITTLE BIT WORSE OVER THESE LAST COUPLE OF DAYS RES0077-035 OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE RES0077-036 IF I EXERT MYSELF IT DOES MAKE IT A BIT WORSE IT'LL BRING ON THE COUGH MORE AND SHORTNESS OF BREATH RES0077-037 OK AND HOW ABOUT ANY POSITIONAL CHANGES LIKE DOES LYING DOWN HELP DOES RESTING HELP RELIEVE SOME OF THAT TIGHTNESS COUGH AND SHORTNESS OF BREATH RES0077-038 NO NOTHING LIKE THAT HAS HELPED RES0077-039 OK AND HAVE YOU TRIED ANY KIND OF MEDICATIONS AT ALL OVER THE COUNTER RES0077-040 NO I HAVEN'T TRIED ANYTHING RES0077-041 OK ALRIGHT SO IT SEEMS THAT YOUR SHORTNESS OF BREATH IS IT MAINLY WHEN YOU'RE BREATHING IN OR BREATHING OUT OR ARE YOU HAVING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT RES0077-042 I WOULD SAY IT I KIND OF GO BACK TO THE CHEST TIGHTNESS IT JUST FEELS LIKE I'M NOT ABLE TO LIKE BREATH IN ALL THE WAY AND CATCH MY BREATH AFTER I EXERT MYSELF OR COUGHING IT'S EASY LIKE IF I REST RES0077-043 I'M NOT SHORT OF BREATH OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE SORE THROAT RES0077-044 ANYTHING LIKE THAT RES0077-046 OK AND ANY HEADACHES I HAVE HAD A LITTLE BIT OF A HEADACHE OVER THE LAST OVER THE LAST DAY USUALLY I GET HEADACHES LIKE THIS RES0077-047 WHEN I HAVEN'T SLEPT WELL OK AND IS IT IS IT LIKE A DIFFERENT TYPE OF RES0077-048 HEADACHE AND IS IT ON ONE SIDE OF YOUR HEAD OR RES0077-049 I FEEL IT ON BOTH KINDA LIKE RIGHT UP INTO MY FOREHEAD THERE OK AND IS IT KIND OF LIKE A PRESSURE LIKE PAIN IS IT RES0077-050 PULSATING PAIN HOW WOULD YOU DESCRIBE IT I WOULD SAY IT'S RES0077-051 MORE OF A PRESSURE OK HAVE YOU TRIED ANY MEDICATIONS FOR IT RES0077-052 I TOOK AN ADVIL THIS MORNING IT'S TAKEN THE EDGE OFF A LITTLE BIT I WILL USE THAT SOMETIMES WHEN I GET HEADACHES RES0077-053 ARE YOU HAVING ANY NAUSEA OR VOMITING RES0077-054 NO I HAVEN'T HAD ANYTHING LIKE THAT RES0077-055 OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE AT ALL RES0077-056 NO I HAVEN'T RES0077-057 HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK RECENTLY RES0077-058 I DON'T THINK SO I WORK AT THE TOYOTA FACTORY AND THERE HAVE BEEN A FEW PEOPLE THAT HAVE BEEN SICK WHO WORKED THERE BUT I DON'T THINK I'VE BEEN IN CONTACT WITH THEM RES0077-059 OK AND ARE YOU HAVING ANY FEVERS OR CHILLS AT ALL RES0077-060 I HAVE FELT PRETTY HOT I WAS SWEATY LAST NIGHT I DIDN'T CHECK A TEMPERATURE BUT I FELT FEVERISH RES0077-061 OK WERE YOU HAVING NIGHT SWEATS RES0077-062 MY BED WASN'T DRENCHED OR ANYTHING BUT I WAS SWEATING RES0077-063 OK ARE YOU FEELING LIKE YOU HAVE LOST ANY SENSE OF TASTE OR SMELL AT ALL RES0077-064 I HAVEN'T BEEN ABLE TO SMELL VERY WELL RES0077-065 OK WELL AND WHEN DID THAT START RES0077-066 THAT MAY BE WITHIN THE LAST TWO DAYS AS WELL RES0077-067 OK AND ARE YOU CONGESTED AT ALL LIKE DO YOU HAVE A RUNNY NOSE OR ANYTHING LIKE THAT RES0077-068 NO I DON'T HAVE ANYTHING LIKE THAT RES0077-069 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA RES0077-070 NO I HAVEN'T HAD ANYTHING LIKE THAT RES0077-071 OK ANY MUSCLE ACHES RES0077-072 I HAVE FELT A BIT SORE RES0077-073 WHERE WOULD YOU SAY YOU FEEL SORE RES0077-074 JUST KIND OF ALL OVER MY WHOLE BODY JUST KIND OF FEELS A BIT ACHY RES0077-075 OK AND WHEN DID THIS START RES0077-076 PROBABLY LIKE LAST NIGHT THIS MORNING WHEN I WAS LAYING DOWN AND JUST FELT A BIT TIRED AND ACHY RES0077-078 ACHY OK HAS YOUR SLEEP OR APPETITE CHANGED AT ALL NO I DIDN'T SLEEP VERY GOOD LAST NIGHT I JUST DON'T FEEL VERY RESTED THIS RES0077-079 MORNING BUT AND I HAVEN'T FELT VERY HUNGRY EITHER OK ALRIGHT RES0077-080 DO YOU HAVE ANY LIKE MEDICAL CONDITIONS RES0077-081 THAT YOU TAKE ANY MEDICATIONS FOR NO I DON'T TAKE ANY MEDICATIONS OK AND HAVE YOU HAD ANY SURGERIES OR RES0077-082 HAVE BEEN HOSPITALIZED BEFORE I DID MY RES0077-083 HAVE TUBES IN MY EARS WHEN I WAS LITTLE BUT THAT'S RES0077-084 IT THOUGH OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS MY DAD HAD RES0077-085 HAD A TRIPLE BYPASS SURGERY DONE LAST LAST RES0078-000 HOW MAY I HELP YOU RES0078-001 I'VE BEEN HAVING DIFFICULTIES BREATHING OVER THESE LAST FEW DAYS RES0078-002 WHEN DID IT START RES0078-003 IT STARTED ABOUT LIKE THREE OR FOUR DAYS AGO RES0078-004 OK AND SINCE THEN HAS IT GOTTEN ANY BETTER OR WORSE RES0078-005 IT HAS MAYBE GOTTEN A LITTLE BIT WORSE BUT NOT MAYBE A LITTLE WORSE RES0078-006 AND ARE THERE CERTAIN TIMES WHEN YOU FEEL THAT YOU'RE MORE SHORT OF BREATH THAN OTHER TIMES ANYTHING IN PARTICULAR THAT YOU'RE DOING THAT MAKES IT WORSE RES0078-007 NOT REALLY IT'S KIND OF I JUST FEEL LIKE IT'S JUST MORE DIFFICULT TO BREATHE MOST OF THE TIME RES0078-008 AND HAS THIS HAPPENED TO YOU BEFORE RES0078-009 NOT LIKE NO NOTHING LIKE THIS HAS HAPPENED BEFORE RES0078-010 OK DO YOU HAVE A HISTORY OF ANY LUNG PROBLEMS RES0078-011 NO I DON'T I'VE BEEN HEALTHY RES0078-012 SO NO COPD NO ASTHMA NOTHING LIKE THAT RIGHT RES0078-013 NO NOTHING LIKE THAT RES0078-014 OK SO YOU'RE JUST HAVING DIFFICULTIES BREATHING FOR THE PAST THREE FOUR DAYS DO YOU HAVE ANY DO YOU HAVE A COUGH RES0078-015 I DID HAVE A I'VE HAD A COUGH AS WELL OVER THESE LAST FEW DAYS RES0078-016 AND HAS IT BEEN A DRY COUGH OR WET COUGH RES0078-017 I'VE BEEN BRINGING UP SOME LIKE WHITISH SPUTUM IT'S LIKE WHITISH OR CLEAR RES0078-018 AND YOU HAVEN'T SEEN BLOOD ANYTIME RIGHT IN YOUR SPUTUM RES0078-019 NO RES0078-020 OK AND HAS THE COUGH GOTTEN ANY WORSE OVERTIME RES0078-021 IT'S BEEN ABOUT THE SAME RES0078-022 AND HAVE YOU HAD FEVERS OR CHILLS RES0078-023 I HAVE FELT HOT BUT NO CHILLS RES0078-024 OK WHAT ABOUT ANY REDNESS IN YOUR EYES OR ANY CONGESTION IN YOUR NOSE RES0078-025 I HAVEN'T NOTICED ANYTHING LIKE THAT RES0078-026 OK HAVE YOU HAD A SORE THROAT RES0078-027 IT'S FELT A LITTLE ITCHY I GUESS BUT NO PAIN WITH SWALLOWING RES0078-028 AND DO YOU HAVE ANY CHEST PAIN OR CHEST PRESSURE RES0078-029 WHEN I LIKE TAKE A DEEP BREATH OR AFTER AFTER I COUGH I'VE BEEN HAVING SOME CHEST PAIN RES0078-030 TO GIVE IT A NUMBER FROM ONE TO TEN WHAT WOULD YOU SAY IN TERMS OF HOW SEVERE IT IS WITH TEN BEING THE WORST PAIN EVER RES0078-031 I WOULD SAY MAYBE SIX IT FEELS PRETTY SHARP WHEN IT HAPPENS AND IT GOES AWAY AFTER A FEW MINUTES RES0078-032 OK AND WHERE EXACTLY IS IT IS THE PAIN RES0078-033 I KIND OF FEEL IT JUST OVER ON THE RIGHT SIDE OF THE STERNUM RES0078-034 OK ALRIGHT AND DOES IT RADIATE ANYWHERE DOES IT GO ANYWHERE OTHER THAN THAT ONE LOCATION RES0078-035 NO I FEEL IT JUST IN THE ONE SPOT RES0078-036 OK AND HAS THAT PAIN GOTTEN WORSE OVERTIME RES0078-037 NO THAT PAIN STARTED I GUESS LIKE TWO DAYS AGO MORE RECENT THAN THE COUGH OR SHORTNESS OF BREATH RES0078-038 I SEE I SEE OK AND SO YOU SAID THAT COUGHING MAKES IT WORSE AND SOMETIMES BREATHING IN SO IS IT JUST NORMAL BREATHING OR WHEN YOU'RE DOING LIKE DEEP BREATHING RES0078-039 DEEP BREATHING RES0078-040 DEEP BREATHING HURTS OK ALRIGHT AND YOU'VE NEVER EXPERIENCED THIS BEFORE RIGHT RES0078-041 NO I HAVEN'T HAD A PAIN LIKE THIS BEFORE RES0078-042 OK WHEN YOU SORT OF TOUCH THAT AREA OVER YOUR CHEST DOES TOUCHING IT MAKE IT WORSE RES0078-043 NO I HAVEN'T NOTICED THAT TOUCHING IT DOESN'T MAKE IT WORSE RES0078-044 OK ALRIGHT HAVE YOU HAD A HEADACHE RES0078-045 NO RES0078-046 NO OK WHAT ABOUT FATIGUE OR MUSCLE ACHES RES0078-047 I'VE BEEN FATIGUED NO MUSCLE ACHES RES0078-048 OK ANY PAIN IN YOUR BELLY RES0078-049 NO RES0078-050 ANY DIARRHEA RES0078-051 NO RES0078-052 CONSTIPATION RES0078-053 NO RES0078-054 ANY CHANGES IN YOUR ANY CHANGES WHEN YOU PEE RES0078-055 NOTHING THERE RES0078-056 NO OK ANY RASH THAT YOU'VE NOTICED ON YOUR SKIN RES0078-057 NO RES0078-058 OK ANY CHANGES IN YOUR SENSE OF TASTE RES0078-059 NO RES0078-060 CHANGES IN YOUR SENSE OF SMELL RES0078-061 NO RES0078-062 OK ALRIGHT SO SOUNDS LIKE FOR THE PAST THREE FOUR DAYS YOU'VE HAD DIFFICULTIES BREATHING AND A COUGH WITH THIS WHITISH SPUTUM WHITISH OR CLEAR SPUTUM YOU'VE ALSO BEEN FEELING A LITTLE BIT FEVERISH HAVE YOU CHECKED YOUR TEMPERATURE RES0078-063 NO I HAVEN'T I DON'T HAVE A THERMOMETER AT HOME RES0078-064 NO PROBLEM AND YOUR THROAT'S BEEN A LITTLE BIT ITCHY AND THEN TWO DAYS AGO YOU ALSO STARTED HAVING THIS PAIN IN YOUR CHEST IS THERE ANY OTHER SYMPTOM THAT I HAVE NOT MENTIONED THAT YOU HAVE BEEN EXPERIENCING OVER THE PAST COUPLE OF DAYS RES0078-065 NO THAT'S EVERYTHING RES0078-066 OK AND YOU MENTIONED THAT YOU DON'T HAVE A HISTORY OF ASTHMA OR COPD DO YOU HAVE ANY OTHER MEDICAL CONDITIONS RES0078-067 I HAVE HIGH BLOOD PRESSURE AND I TAKE AMLODIPINE FOR THAT RES0078-068 OK ANY OTHER OVER THE COUNTER MEDICATIONS OR ANY OTHER MEDICATION THAT YOU'RE ON RES0078-069 NO RES0078-070 ANY ALLERGIES RES0078-071 NO ALLERGIES RES0078-072 OK AND WHERE DO YOU CURRENTLY LIVE RES0078-073 IN A TOWNHOUSE JUST OUTSIDE OF THE CITY HERE RES0078-074 I SEE DO YOU LIVE ALONE RES0078-075 NO I LIVE WITH MY WIFE AND DAUGHTER RES0078-076 AND HAVE YOUR WIFE AND DAUGHTER BEEN SICK RECENTLY OR HAVE EITHER OF YOU HAD CONTACT WITH SOMEONE WHO'S BEEN SICK RES0078-077 I'VE BEEN WORKING FROM HOME BUT MY DAUGHTER HAS RECENTLY STARTED GOING BACK TO HIGH SCHOOL AND SHE'S HAD A RUNNY NOSE RECENTLY AND A SORE THROAT BUT THAT'S ABOUT IT RES0078-078 AND WHAT ABOUT YOUR WIFE RES0078-079 SHE'S BEEN FINE SHE'S BEEN HEALTHY RES0078-080 OK GOOD OTHER THAN YOUR DAUGHTER HAVE YOU BEEN IN CONTACT WITH ANYONE ELSE WHO MIGHT HAVE WHO MIGHT BE SICK OR MIGHT HAVE SYMPTOMS SIMILAR TO WHAT YOUR DAUGHTER HAS RES0078-081 I DON'T THINK SO RES0078-082 OK ALRIGHT AND DO YOU HAVE YOU TRAVELED ANYWHERE RECENTLY RES0078-083 NO I'VE BEEN JUST WORKING FROM HOME RES0078-084 OK AND DO YOU SMOKE RES0078-085 NO RES0078-086 EVER SMOKED IN THE PAST RES0078-087 NO I'VE NEVER SMOKED BEFORE RES0078-088 MARIJUANA RES0078-089 I MEAN I'LL HAVE A JOINT SOMETIMES WITH FRIENDS AT A PARTY OR SOMETHING BUT THAT'S MAYBE ONCE A MONTH RES0078-090 SURE AND ANY STREET DRUGS RES0078-091 NOPE NOTHING LIKE THAT RES0078-092 OK AND DO YOU DRINK ALCOHOL RES0078-093 I HAVE A BEER A COUPLE OF TIMES PER WEEK RES0078-094 ALRIGHT AND YOU TOLD ME ABOUT YOUR MEDICAL HISTORY BUT DO YOU HAVE HAVE YOU EVER HAD ANY SURGERIES OR ANY HOSPITALIZATIONS IN THE PAST RES0078-095 I'VE HAD A HERNIA REPAIR ABOUT SEVEN YEARS AGO I HAVEN'T HAD ANY ISSUES SINCE RES0078-096 ALRIGHT OK AND ARE THERE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY RES0078-097 MY GRAND FATHER HAD A HEART ATTACK IN HIS SEVENTIES AND I THINK MY DAD HAS HIGH BLOOD PRESSURE AS WELL BUT I THINK THAT'S IT RES0078-098 ALRIGHT WELL SO I THINK THAT'S ALL THAT I WANTED TO KNOW I CAN SEE THAT YOU HAVEN'T BEEN FEELING WELL OVER THE PAST COUPLE OF DAYS AND I'LL GO BACK TO MY ATTENDING AND WE WILL COME BACK AND CHAT WITH YOU LITTLE BIT MORE AND DO A PHYSICAL EXAM AND GO FROM THERE RES0078-099 SOUNDS GOOD THANK YOU RES0081-000 HOW CAN I HELP YOU RES0081-001 HI MY SON DAVE WHO'S FIVE YEARS OLD WHO COMES TO THE CLINIC QUITE OFTEN HAS HIS ASTHMA HAS BEEN REALLY BAD OVER THE PAST FEW DAYS I'VE TRIED HIS PUFFERS BUT THEY'RE NOT REALLY HELPING MUCH AND I'M JUST WORRIED ABOUT HIM RES0081-002 WHAT SYMPTOM IS HE EXPERIENCING NOW RES0081-003-1 SO HE'S JUST HAVING THIS WHEEZING THAT JUST DOESN'T GO AWAY LIKE I CAN ACTUALLY HEAR IT IT'S FRIGHTENING HE'S HAVING LIKE HE'S HAVING DIFFICULTIES FALLING ASLEEP HE'S JUST BEEN VERY IRRITABLE RES0081-003-2 HE DIDN'T GO TO SCHOOL YESTERDAY IT'S JUST IT'S JUST IT SEEMS LIKE IT'S JUST HE'S NOT EATING WELL EITHER RES0081-004 OK SO IT'S BEEN AFFECTING SLEEP APPETITE HIS MOOD RES0081-005 HAS HE BEEN SHORT OF BREATH IF HE WAS LIKE HE SAID THAT HE WAS HAVING SOME DIFFICULTY RES0081-006 BREATHING THAT'S OK HAS HE ABLE TO TALK LIKE IN RES0081-007 FULL SENTENCES LIKE HOW IS HE RIGHT NOW HE'S ABLE TO TALK IN FULL SENTENCES BUT HE JUST GETS A LITTLE BIT BREATHLESS WHEN HE'S EATING WHICH I THINK IS PROBABLY WHY HE'S NOT EATING MUCH BUT HE'S ABLE TO TALK HE'S NOT TALKING MUCH EITHER JUST BEEN LIKE JUST BEEN IN A MOOD YOU KNOW HE GETS A LITTLE BIT BREATHLESS WHEN HE'S CRYING RES0081-008 OK I SEE AND HAS HE HAD A COUGH RES0081-009 HE DOES HE DOES HAVE A COUGH RES0081-010 OK AND WHEN DID THE COUGH START RES0081-011 I WANT TO SAY ABOUT TWO DAYS AGO RES0081-012 OK AND HAS HE BEEN BRINGING UP ANY SPUTUM RES0081-013 NO RES0081-014 OR ANY BLOOD RES0081-015 NO NO NO RES0081-016 OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE RES0081-017 IT'S BEEN THE SAME RES0081-018 OK AND HAS HE COMPLAINED OF HAVING A SORE THROAT OR PAINFUL EARS RES0081-019 NO HE HASN'T COMPLAINED OF THOSE RES0081-020 OK AND HAVE YOU NOTICED ANY EYE REDNESS OR OR ANY DISCHARGE FROM HIS EYES OR NOSE RES0081-021 NO RES0081-022 OK AND HAS HE BEEN HAVING ANY RES0081-032 NO HE HASN'T COMPLAINED OF ANYTHING LIKE THAT I SEE OK AND HAS HE HAD ANY DIARRHEA OR CONSTIPATION RES0081-033 NO RES0081-034 OK HAS HE HAD ANY SKIN CHANGES OR OR RASHES RES0081-035 NO NO I CHECKED FOR THOSE VERY CAREFULLY HE HAD HE USED TO GET RASHES WHEN HE WAS A CHILD BUT NO HE DOESN'T HE DOESN'T HAVE ANYTHING RIGHT NOW RES0081-036 ALRIGHT AND HAS HE HAD ANY MUSCLE ACHES OR JOINT PAINS RES0081-037 HE'S JUST BEEN HE'S JUST BEEN NOT HE'S NOT BEEN AS ACTIVE AS HE USUALLY IS SO I DON'T HE HASN'T SAID THAT ANY ANYTHING IN PARTICULAR ABOUT MUSCLE PAINS BUT I DON'T KNOW IF HE KNOWS HOW TO YOU KNOW HE'S JUST BEEN RES0081-038 OK AND TWO DAYS AGO CAN YOU THINK OF ANY TRIGGERS LIKE WAS THERE ANY EXPOSURE TO DUST OR SMOKE OR MAYBE EVEN PETS THAT COULD HAVE BROUGHT THIS ON RES0081-039 YOU KNOW IF I THINK ABOUT IT HE DID GO OUTSIDE TO PLAY WITH HIS BROTHER AND I DON'T KNOW HE MIGHT HAVE GOT SOMETHING OUT THERE MAYBE RES0081-040 CERTAINLY POSSIBLE AND WAS IT RES0081-073 AWESOME OK AND COULD YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION LIKE WHO'S THE MAIN CAREGIVER AND WHO HE'S LIVING WITH RES0081-074-1 SO HE LIVES WITH ME HIS DAD AND HIS BROTHER WHO IS TWO YEARS OLDER AND HE'S HE'S NOT GOING TO SCHOOL RIGHT NOW RES0081-074-2 WE'RE JUST KEEPING HIM AT HOME DUE TO COVID AND TRYING TO DO SOME HOME SCHOOLING I'M A HOMEMAKER SO I DO HAVE ENOUGH TIME TO SPEND TIME WITH HIM AND HIS OLDER BROTHER AND RES0081-075 OK HAS ANYBODY IN THE HOME BEEN SICK EITHER HIS BROTHER YOURSELF OR FATHER RES0081-076 NO RES0081-077 OK AND ANYBODY AT AT AT WORK OR ANY OTHER PLACES THAT YOU MAYBE TRAVELED TO THAT BEEN AROUND ANYBODY WHO'S BEEN SICK RES0081-078 NO I DON'T THINK SO I DON'T THINK THERE WAS ANYONE THAT WAS SICK RES0081-079 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0081-080 NO NO WE'RE JUST STAYING AT HOME RES0081-081 OK AND ARE THERE ANY PETS IN THE HOME RES0081-082 NO RES0081-083 ALRIGHT ANY CARPETS OR LIKE CURTAINS OR ANYTHING LIKE THAT COVERING THE WINDOWS RES0081-084 NO WE GOT ALL THOSE REMOVED WHEN HE HAD HIS BIG EXACERBATION LAST YEAR RES0081-085 I SEE OK AND DOES ANYBODY SMOKE IN THE HOME EITHER CIGARETTES OR MARIJUANA RES0081-086 MY HUSBAND SMOKES BUT HE SMOKES OUTSIDE HE NEVER SMOKES IN FRONT OF THE KIDS RES0081-087 OK I SEE AND DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS RES0081-088 NO I HAVE SOME I HAVE HIGH BLOOD PRESSURE BUT THAT'S IT RES0081-089 OK ANY LIKE CONGENITAL DISEASES THAT RUN IN THE FAMILY RES0081-090 NO RES0081-091 OR HOW ABOUT ANY GENETIC DISEASES RES0081-092 NO RES0081-093 CYSTIC FIBROSIS OR ANYTHING LIKE THAT RES0081-094 NO NO NO RES0081-095 OK SO WAS THERE ANY OTHER ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT OR I'M MISSING THAT YOU'D LIKE TO RES0081-096 ADD TODAY NO I'M JUST WORRIED THAT HE'S GOING TO HAVE A BIG ASTHMA ATTACK LIKE LAST YEAR I JUST ALSO WANT TO MAKE SURE NOTHING ELSE IS GOING ON AND IF HE CAN BE TAKEN CARE OF AND HE'S JUST HE'S FEELING AWFUL RES0081-097-1 FOR SURE WE'LL CHECK HIS HIS VITAL SIGNS AND DO A PHYSICAL EXAM AND IT DOES SOUND LIKE IT COULD BE AN ASTHMA EXACERBATION AND SO WE CAN TRIAL SOME RES0081-097-2 INHALER MEDICATIONS A LITTLE BIT DIFFERENT THAN WHAT YOU USE AT HOME BUT ALSO USING VENTOLIN AS WELL AND RES0081-097-3 WE'LL ASSESS THE NEED FOR POTENTIAL ANTIBIOTICS AND ALSO STEROID IF NECESSARY AND IF HIS BREATHING GETS WORSE RES0081-097-4 OR YOU'RE STARTING TO HEAR THAT THE WHEEZING IS GETTING WORSE OR HIS WORK OF BREATHING IS BECOMING MORE INTENSE RES0081-098 THEN CERTAINLY WE'LL RES0081-099 NEED TO TRY ADD ON SOME RES0082-000 HOW MAY I HELP YOU TODAY RES0082-001 I'VE BEEN HAVING LIKE NASAL CONGESTION AND I'VE BEEN SNEEZING A LOT OVER THESE LAST COUPLE OF DAYS AND I'VE ALSO BEEN HAVING A SORE THROAT RES0082-002 OH NO WHEN DID THAT START RES0082-003 SO THE STORE THROAT STARTED LIKE TWO DAYS AGO RES0082-004 OK AND SINCE THEN YOU'VE DEVELOPED THIS NASAL CONGESTION AND SNEEZING AS WELL RES0082-005 EXACTLY IT STARTED A BIT AFTERWARDS OR AROUND THE SAME TIME RES0082-006 ALRIGHT AND HAVE YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A FEVER RES0082-007 NO I DON'T THINK SO RES0082-008 OK DO YOU HAVE ANY DIFFICULTIES SWALLOWING RES0082-009 IT HAS BEEN A BIT SORE WHEN EATING FOOD BUT IT HASN'T BEEN SO PAINFUL TO PREVENT ME FROM EATING RES0082-010 OK DO YOU HAVE A COUGH RES0082-011 NO I HAVEN'T HAD A COUGH RES0082-012 OK AND DO YOU HAVE A RUNNY NOSE ANY DISCHARGE RES0082-013 THERE'S BEEN A LITTLE BIT OF A LIKE WATERY DISCHARGE MY NOSE RES0082-014 HAS BEEN RUNNING ANY EAR PAIN OR ANY PAIN IN YOUR CHEEKS OR YOUR HEAD WHEN YOU'RE BENDING RES0082-015 OVER ANYTHING LIKE THAT NOW THAT YOU SAY IT WHEN I WAS BENDING OVER TO PUT MY SHOES ON I FELT JUST A BIT OF PRESSURE ON THE FRONT OF MY FACE RES0082-016 OK AND YOU HAVEN'T BEEN FEELING FEVERISH OR HAVING HAVING ANY CHILLS RIGHT RES0082-017 NO RES0082-018 OK ANY FATIGUE MALAISE ANY ACHES OR PAINS RES0082-024 HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS I HAVE YES ALRIGHT AND JUST HAVE A COUPLE MORE QUESTIONS JUST TO SEE IF ANYTHING ELSE IS GOING ON DO YOU HAVE A HEADACHE AT ALL RES0082-025 I'VE HAD A HEADACHE SINCE THIS MORNING IT'S PRETTY MILD IT FEELS LIKE MY HEAD IS SQUEEZING I THINK I'VE HAD HEADACHES LIKE THIS BEFORE IF I DON'T SLEEP WELL OR DEHYDRATED RES0082-026 ARE YOU MORE STRESSED OUT THAN USUAL DO YOU HAVE EXAMS OR ANYTHING GOING ON RIGHT NOW RES0082-027 NO SCHOOLS BEEN PRETTY GOOD WE'VE BEEN DOING A LOT OF STUFF ONLINE SO THAT'S BEEN GOOD RES0082-028 OK ANY DO YOU FIND THAT YOUR EYES ARE RUNNY OR RED OR ANYTHING LIKE THAT RES0082-029 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0082-030 OK ALRIGHT AND ANY DIFFICULTIES BREATHING RES0082-031 NO RES0082-032 ANY CHEST PAIN RES0082-033 NO CHEST PAIN RES0082-034 OK ANY PAIN IN YOUR BELLY OR ANY PROBLEMS WITH YOUR BOWEL MOVEMENTS RES0082-035 NO RES0082-036 OK ANY URINARY SYMPTOMS RES0082-037 NO RES0082-038 OK ALRIGHT GOOD SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS RES0082-039 NO I HAD DERMATITIS WHEN I WAS A KID BUT I HAVEN'T HAD ANY ISSUES SINCE I USED REMEMBER USING SOME CREAMS RES0082-040 THAT BUT I HAVEN'T NEEDED TO USE THEM RECENTLY OK AND ANY MEDICATIONS THAT YOU'RE TAKING CURRENTLY INCLUDING OVER THE COUNTER PILLS RES0082-041 I DON'T TAKE ANYTHING CURRENTLY RES0082-042 OK DID YOU TAKE ANY MEDICATIONS TO REDUCE THE SYMPTOMS THAT YOU'RE HAVING THE HEADACHE OR THE SORE THROAT RES0082-043 OH SORRY I USED SOME ADVIL THIS MORNING I THINK IT WAS FOUR HUNDRED MILLIGRAMS RES0082-044 OK AND DO YOU HAVE ANY ALLERGIES RES0082-049 SOMETIMES IN THE SPRING OR OR FALL I CAN GET LIKE ITCHY EYES AND A RUNNY NOSE SO THAT'S WHY I DIDN'T THINK MUCH ABOUT THE RUNNY NOSE AT FIRST BUT WITH A SORE THROAT AND BEEN SNEEZING MORE I THOUGHT TO COME IN RES0082-050 OK SO IN TERMS OF YOUR SO GENERAL INFORMATION DO YOU LIVE ALONE OR DO YOU LIVE WITH YOUR PARENTS OR ANY ANYONE ELSE RES0082-051 I LIVE WITH MY MOM DAD AND A YOUNGER BROTHER RES0082-052 ALRIGHT AND ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL RES0082-053 I'M FINISHING UP GRADE EIGHT AND WE'RE DOING THE COURSES ONLINE RES0082-054 OK GREAT SO HAVE YOU SPENT ANY TIME OUTDOORS OR SPENT ANY TIME WITH PEOPLE WHO YOU THINK MIGHT BE SICK RES0082-055 WELL I'VE PLAYED SOME LIKE BASKETBALL OUTSIDE WITH ONE OF THE NEIGHBORS BUT RES0082-056 I DON'T THINK HE'S BEEN SICK RES0083-000 WHAT CAN I DO FOR YOU RES0083-001 I'VE BEEN FEELING REALLY JUST BAD THESE LAST COUPLE OF DAYS I'VE HAD THESE MUSCLE ACHES AND HEADACHE AND COUGH THAT HAVE BEEN REALLY BOTHERING ME RES0083-002 WHEN DID ALL THIS START RES0083-003 SO ABOUT THREE DAYS AGO I WOKE UP IN THE MORNING WITH AND I STARTED HAVING THESE LIKE MUSCLE ACHES AND A COUGH STARTED KIND OF THAT DAY RES0083-004 OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH IS IT A DRY COUGH OR WET COUGH RES0083-005 IT'S A DRY COUGH I HAVEN'T BROUGHT UP ANY ANY SPUTUM AND NO BLOOD RES0083-006 AND THE MUSCLE ACHES IS IT ALL OVER IS IT SPECIFIC PART OF YOUR BODY RES0083-007 YEAH IT'S JUST KINDA ALL OVER JUST FEELS ICKY RES0083-008 OK AND HAS THE COUGH GOTTEN BETTER OR WORSE OVER THE PAST THREE DAYS RES0083-009 IT'S GOT A LITTLE WORSE I THINK I WOULD SAY IT'S A BIT MORE FREQUENT BUT THE COUGH ISN'T THAT BAD BUT IT'S GOTTEN WORSE RES0083-010 OK AND YOU MENTIONED HEADACHES WHEN DID THOSE START RES0083-011 SO WITHIN THE LAST COUPLE OF DAYS I'VE HAD A HEADACHE WANT TO SAY MOST OF THE TIME AND I'VE BEEN USING TYLENOL OR ACETAMINOPHEN TO TO HELP WITH THOSE ITS TAKEN THE EDGE OFF OF THE HEADACHES FOR SURE RES0083-012 DO YOU USUALLY GET HEADACHES RES0083-013 EVERY ONCE IN A WHILE MAYBE ONCE OR TWICE A MONTH MAYBE EVEN LESS THAN THAT RES0083-014 ARE THEY IS YOUR CURRENT HEADACHE SIMILAR TO THE HEADACHES THAT YOU USUALLY GET RES0083-015 IT IS YEAH IT'S YEAH IT FEELS LIKE MY HEAD IS BEING SQUEEZED AND I KIND OF HAVE A PRESSURE WHERE THAT KIND OF SQUEEZING SENSATION ON MY ON MY FOREHEAD RES0083-016 THAT FRONT PART BOTH SIDES LEFT AND RIGHT RES0083-017 YEAH KIND OF BOTH SIDES RES0083-018 OK IS IT ACCOMPANIED WITH ANY SO IS THE HEADACHE WORSE WHEN YOU'RE IN BRIGHT LIGHT RES0083-019 NO RES0083-020 NO OK IS IT WORSE WHEN ARE YOU TRYING TO STAY IN A DARK ROOM WITH NO SOUND IS IT WORSE WHEN YOU'RE WHEN PEOPLE ARE TALKING OR OR THERE'S LOUD NOISES AROUND YOU RES0083-021 NO RES0083-022 NO ANY NAUSEA OR VOMITING RES0083-023 NO RES0083-024 ANY ANY STIFFNESS IN YOUR NECK ANY DIFFICULTIES MOVING YOUR NECK RES0083-025 NO THAT'S OK I MEAN A BIT LIKE I DON'T KNOW LIKE KIND OF ACHY I GUESS WITH MY UPPER BACK AND SHOULDERS FEEL A BIT SORE INTEND SORE BUT I CAN MOVE MY MY HEAD AROUND OK RES0083-026 ALRIGHT OK AND LET'S SEE SO HAVE YOU HAD ANY FEVERS OR CHILLS RES0083-027 I DON'T THINK SO RES0083-028 OK AND ANY SORE THROAT RES0083-029 NO RES0083-030 RUNNY NOSE CONGESTION RES0083-031 NO RES0083-032 OK ANY OTHER I GUESS ANY DIFFICULTIES BREATHING RES0083-033 NO RES0083-034 NO OK ANY CHEST PAIN RES0083-035 NO RES0083-036 ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEART'S RACING RES0083-037 NO RES0083-038 ANY PAIN YOUR BELLY RES0083-039 NO RES0083-040 CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY FUNCTION RES0083-041 NO I HAVEN'T HAD ANY DIARRHEA THINGS HAVE BEEN NORMAL RES0083-042 OK GOOD OK I SUPPOSE OK SO YOU'VE HAD THIS COUGH AND YOU'VE HAD MUSCLE ACHES AND THIS HEADACHE HOW HAS SO YOU'VE TRIED TYLENOL HAVE YOU TRIED ANYTHING ELSE RES0083-043 NO I JUST USE THE TYLENOL AND I TOOK A TYLENOL COLD AND SINUS AT NIGHT WHICH HELPED WITH THE SLEEPING RES0083-044 OK CAN YOU TELL ME IF YOU HAVE ANY MEDICAL PROBLEMS ANY MEDICAL CONDITIONS RES0083-045 YEAH I HAVE HIGH CHOLESTEROL AND YEAH I JUST HAVE HIGH CHOLESTEROL RES0083-046 ANY MEDICATIONS THAT YOU'RE ON RES0083-047 YEAH I TAKE A A STATIN RES0083-048 ALRIGHT AND ANY ALLERGIES RES0083-049 MAYBE PENICILLIN I I THINK I GOT HIVES WHEN I WAS A KID OR SOME SORT OF RASH RES0083-050 I SEE OK AND ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY RES0083-051 I KNOW MY DAD HAS HAD A STROKE WHEN HE WAS IN HIS LATE SEVENTIES AND MY MOM HAD HIGH CHOLESTEROL AS WELL RES0083-052 OK OK AND DO YOU CURRENTLY SMOKE OR HAVE YOU EVER SMOKED RES0083-053 NO I QUIT SMOKING WHEN I HAD MY FIRST KID SO THAT WAS ABOUT YEAH THAT WAS SEVENTEEN YEARS AGO RES0083-054 OK AND HOW MUCH DID YOU SMOKE BEFORE THAT RES0083-055 I SMOKED ABOUT A HALF A PACK PER DAY RES0083-056 FOR HOW MANY YEARS RES0083-057 FOR ABOUT TWELVE YEARS I GUESS RES0083-058 OK AND DO YOU CONSUME ALCOHOL RES0083-059 I'LL HAVE THREE OR FOUR GLASSES OF WINE OVER THE WEEKEND RES0083-060 ALRIGHT AND WHAT ABOUT ANY MARIJUANA RES0083-061 NO RES0083-062 ANY OTHER ANY RECREATIONAL DRUGS RES0083-063 NO RES0083-064 OK DO YOU TAKE ANY HERBAL MEDICATIONS OR ANY VITAMINS OR ANYTHING ELSE OVER THE COUNTER RES0083-065 I DO TAKE MAGNESIUM AND LIKE VITAMIN D AND AND A MULTI VITAMIN RES0083-066 AND DO YOU HAVE YOU HAD ANY CONTACT WITH ANYONE WHO IS SICK OR YOU THINK MIGHT BE SICK RES0083-067 I DON'T THINK SO EVERYBODY IN MY FAMILY HAS BEEN BEEN OK RES0083-068 HAVE YOU HAVE YOU HAD EXPOSURE TO ANYONE OR MET ANYONE WHO YOU THINK MIGHT HAVE HAD COVID RES0083-069 WELL I DID GO TO A FAMILY PARTY JUST LAST WEEKEND IT WAS OUTSIDE AND WE WERE MAINTAINING DISTANCING BUT RES0083-071 ARE YOU VACCINATED RES0083-072 NO NOT YET RES0083-073-1 NO OK ALRIGHT OK SO YOU'VE HAD THIS DRY COUGH AND MUSCLE ACHES AND HEADACHE FOR THE PAST THREE DAYS OR SO AND YOUR SYMPTOMS ARE GETTING A LITTLE BIT WORSE OR YOUR COUGH'S GETTING WORSE FOR THE PAST THREE DAYS RES0083-073-2 WE'RE GONNA IT COULD BE THAT YOU HAVE SOME SORT OF A VIRAL INFECTION LIKE AN UPPER RESPIRATORY INFECTION RES0083-073-3 BUT YOU MIGHT ALSO OR YOU COULD POSSIBLY HAVE COVID SO WE'LL DO A COVID TEST AND I JUST RECOMMEND THAT YOU STAY HYDRATED AND CONTINUE TO EAT AND DRINK WELL AND AND MONITOR YOUR SYMPTOMS RES0083-073-4 TAKE TYLENOL IT SOUNDS LIKE TYLENOL HAS BEEN HELPING A LITTLE BIT CONTINUE TO TAKE TYLENOL GET LOTS OF REST AND IF YOU HAVE ANY SHORTNESS OF BREATH OR IF YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE RES0083-073-5 CALL NINE HUNDRED AND ELEVEN FOR HELP IF YOUR CONCERNED ABOUT YOUR HEALTH AT ALL AND WE'LL GET A COVID TEST SET UP FOR YOU RES0083-074 OK THANK YOU RES0084-000 WHAT BRINGS YOU IN RES0084-001-1 I'VE BEEN VERY CONCERNED LATELY THIS PAST WEEK I FIRST JUST STARTED HAVING THIS REALLY BAD HEADACHE AND THEN MY BODY JUST COMPLETELY ALL STARTED HURTING AFTER COMPLETELY REST AND THEN RES0084-001-2 THREE DAYS AGO I JUST STARTED HAVING A LOT OF CHILLS AND I HAD A PRETTY HIGH FEVER JUST TWO DAYS AGO OF ALMOST LIKE I THINK IT WAS LIKE THIRTY EIGHT OR THIRTY NINE I WAS JUST VERY CONCERNED AND I CAME HERE TODAY RES0084-002 OK YEAH IT'S GOOD THAT YOU CAME IN LETS REWIND A LITTLE BIT AND GET A FULL HISTORY SO YOU SAID THE WHAT STARTED FIRST THE FEVER OR THE HEADACHE RES0084-003 SO THE HEADACHE STARTED FIRST SO THAT WAS AROUND FOUR DAYS AGO RES0084-004 OK RES0084-005 AND THREE DAYS AGO LIKE MY BODY JUST STARTED ACHING ALL OVER THE PLACE AND THEN JUST TWO DAYS AGO I NOTICED THAT I HAD A FEVER AND I'VE BEEN GETTING A FEVER SINCE THEN AS WELL LIKE EVEN TODAY I WAS HAVING CHILLS RES0084-006 OK OK AND YOU SAID YOUR HIGHEST RECORDED TEMPERATURE WAS THIRTY NINE RES0084-007 THIRTY EIGHT NINE LIKE THIRTY EIGHT POINT RES0084-008 OK WHERE OK SO HEADACHE STARTED FOUR DAYS AGO IS IT PERSISTENT OR CONSTANT OR DOES IT COME AND GO RES0084-009 IT WAS PRETTY CONSTANT THE HEADACHE KIND OF GOT BETTER YESTERDAY BUT LAST FEW DAYS IT'S JUST BEEN CONSTANT HEADACHE PRETTY MUCH EVERY DAY RES0084-010 OK OK DOES ANYTHING MAKE IT BETTER OR WORSE RES0084-011 JUST SOME REST AND I TRIED TO TAKE SOME TYLENOL TO GET RID OF IT TOOK SOME ADVIL AS WELL IT DID HELP A LITTLE BIT BUT IT JUST KIND OF CAME BACK AFTER THE MEDICATION WORE OUT RES0084-012 HOW LONG DOES THE HEADACHE LAST WHEN YOU GET IT RES0084-013 IF I DON'T TAKE MEDICATIONS IT CAN LAST HONESTLY THE WHOLE DAY RES0084-014 OK YEAH AND IF YOU WERE TO DESCRIBE IT IS IT SHARP DULL ACHY RES0084-015 IT'S JUST ACHY AND IT'S KIND OF ALL OVER THE FRONT OF MY FOREHEAD RES0084-016 OK RES0084-017 I SOMETIMES IT'S JUST LIKE A THROBBING PAIN RES0084-018 OK AND ALRIGHT AND YOU SAID IT'S MOSTLY AT THE FRONT OF YOUR HEAD HOW ABOUT NEAR THE CROWN OF YOUR HEAD TEMPLES RES0084-019 IT CAN GO TO THE TEMPLES SOMETIMES BUT MOSTLY IT'S MY FOREHEAD RES0084-020 OK OK AND SEVERITY WISE ONE TO TEN TEN BEING THE WORST HEADACHE YOU'VE EVER WORST PAIN YOU'VE EVER FELT HOW BAD IS IT RES0084-021 RIGHT NOW IT'S NOT THAT BAD PROBABLY LIKE A TWO OR THREE BUT WHEN IT WAS JUST A FEW DAYS AGO IT WAS LIKE PROBABLY AN EIGHT OR NINE RES0084-022 YEAH AND THEN HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE RES0084-023 NO I'M NOT USUALLY ONE TO GET HEADACHES MY WIFE SHE GETS MIGRAINES BUT LIKE I RARELY EVER HAVE HEADACHES RES0084-024 YEAH OK AND THEN YOU MENTIONED THE HEADACHE IS GETTING A LITTLE BIT BETTER NOW RES0084-025 YEAH THE HEADACHE HAS IMPROVED A BIT THE BODY ACHES ARE STILL THERE AND THE FEVER IS STILL THERE BUT LIKE THE HEADACHES I FEEL HAVE GONE DOWN RES0084-026 OK ALRIGHT AND HAVE YOU HAD ANY FAINTING SPELLS OR DIZZINESS RES0084-027 NO NOTHING LIKE THAT RES0084-028 OK ANY CONFUSION OR MEMORY LOSS RES0084-029 NO RES0084-030 ANY NECK PAIN RES0084-031 NOT NECK PAIN BUT LIKE JUST BELOW MY NECK LIKE MY BACK UPPER BACK HURTS AS WELL RES0084-032 OK OK AND DO ANY WEIGHT LOSS RECENTLY RES0084-033 NO I DON'T I DON'T THINK SO RES0084-034 ANY EXCESSIVE FATIGUE RES0084-035 YEAH I HAVE BEEN FEELING PRETTY TIRED AND JUST I HAVEN'T EVEN GONE TO WORK THIS WHOLE WEEK JUST KIND OF LAYING IN BED HONESTLY WITH ALL THE PAIN AND THE FEVER AND HEADACHES JUST IT'S EXHAUSTING RES0084-036 OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES RES0084-037 NO NOTHING THAT I'VE NOTICED RES0084-038 OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING RES0084-039 NO RES0084-040 NO OK HOW ABOUT A STUFFY NOSE OR RUNNY NOSE RES0084-041 I DO FEEL A BIT MORE STUFFY LIKE TODAY BUT THERE'S NO LIKE RUNNY NOSE OR ANYTHING LIKE THAT BUT I DO FEEL A BIT MORE PRESSURE AND STUFFINESS IN MY FACE TODAY RES0084-042 OK OK HOW ABOUT CHANGES IN SMELL OR TASTE RES0084-043 I THINK JUST LAST NIGHT DINNER IT WAS JUST KIND OF A FUNKY LIKE DIFFERENT TASTE I COULDN'T REALLY TELL EVERYTHING WAS KIND OF A BIT BLAND I THINK MY TASTE BUDS ARE ACTING ALL WEIRD TOO RES0084-044 OK ANY COUGHING OR SHORTNESS OF BREATH RES0084-045 NO NO I HAVEN'T BEEN COUGHING OR NO SHORTNESS OF BREATH AT ALL RES0084-046 OK AND HOW ABOUT WHEEZING RES0084-047 NO NO WHEEZING RES0084-048 OK ANY CHEST PAIN RES0084-049 NO RES0084-050 OK HOW ABOUT FEELING LIKE YOUR HEART'S RACING RES0084-051 NO NOTHING LIKE THAT RES0084-052 NO OK ANY SWELLING THAT YOU'VE NOTICED IN YOUR LIMBS RES0084-053 NO RES0084-054 NO OK ANY ISSUES WITH YOUR BOWEL MOVEMENTS OR URINE RES0084-055 NO NOTHING RES0084-056 OK HOW ABOUT NAUSEA OR VOMITING RES0084-057 NO NO NAUSEA OR VOMITING RES0084-058 OK AND THOSE WERE ALL THE QUESTIONS I HAD ABOUT YOUR SYMPTOMS ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0084-059-1 YEAH I HAVE A COUPLE CONDITIONS THAT I SEE MY FAMILY DOCTOR FOR I DO HAVE DIABETES THEN I HAVE HIGH CHOLESTEROL RES0084-059-2 I ALSO HAVE THIS THING CALLED FATTY LIVER BUT THAT'S THAT'S ABOUT IT AND A HIGH BLOOD PRESSURE RES0084-060 OK WHEN WERE YOU DIAGNOSED WITH ALL OF THESE THINGS RES0084-061 YEAH I PROBABLY LIKE IT ALL KIND OF WENT DOWN IN MY FORTIES I DID GAIN A LOT OF WEIGHT AT SOME POINT DURING MY FORTIES AND THAT'S WHEN ALL THESE THINGS STARTED HAPPENING RES0084-062 OK SO YOU SAID DIABETES HIGH BLOOD PRESSURE FATTY LIVER AND SORRY WHAT WAS THE OTHER ONE RES0084-063 HIGH CHOLESTEROL RES0084-064 HIGH CHOLESTEROL OK ARE YOU ON MEDICATIONS FOR ALL OF THESE THINGS RES0084-065 SO I AM ON A STATIN MEDICATION FOR THE CHOLESTEROL THEN I'M ON METFORMIN AND THEN I'M ON A BLOOD PRESSURE MEDICATION AS WELL I CAN'T RECALL THE NAME SO THOSE ARE THE MEDICATIONS THAT I'M ON RES0084-066 OK AND DO YOU TAKE YOUR MEDICATIONS REGULARLY AS PRESCRIBED RES0084-067 YEAH I DON'T MISS ANY DOSES RES0084-068 OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0084-069 YEAH I YEAH YEAH I THINK SO RES0084-070 OK GOOD ARE YOU DO YOU HAVE ANY ALLERGIES RES0084-071 NO NO ALLERGIES RES0084-072 OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0084-073 YES I HAVE A PRETTY SIGNIFICANT FAMILY HISTORY FOR HEART CONDITIONS MY FATHER PASSED AWAY FROM A HEART ATTACK IN HIS FIFTIES MY MOM HAS HIGH BLOOD PRESSURE DIABETES IS ALSO PRETTY BIG IN MY FAMILY AS WELL RES0084-074 OK WELL I'M SORRY TO HEAR THAT ANY CANCERS IN THE FAMILY RES0084-075 NO NO CANCERS RES0084-076 OK DO YOU SMOKE RES0084-077 I USED TO WHEN I WAS IN MY THIRTIES I QUIT A PRETTY LONG TIME AGO RES0084-078 OK HOW MUCH DID YOU SMOKE BEFORE THAT RES0084-079 I PROBABLY SMOKED UP UNTIL I WAS THIRTY FIVE SO FOR PROBABLY LIKE TEN YEARS FROM TWENTY FIVE TO THIRTY FIVE AND PROBABLY SMOKED A PACK A DAY AT THAT TIME RES0084-080 OK YEAH AND DO YOU DRINK ALCOHOL RES0084-081 I'VE BEEN TOLD LIKE NOT TO FOR MY LIVER BUT I I SOMETIMES MAYBE HAVE THE RARE RED WINE MAYBE ONCE A MONTH RES0084-082 ONCE A MONTH OK ANY OTHER RECREATIONAL DRUGS RES0084-083 NO NO RECREATIONAL DRUGS RES0084-084 OK NO RECREATIONAL DRUGS AND WHERE DO YOU LIVE RIGHT NOW RES0084-085 I I JUST LIVE WITH MY WIFE IN AN APARTMENT IN THE CITY AND YEAH RES0084-086 OK ANY OLD CARPET DUST MOLD ANYTHING THAT IS CONCERNING FROM THAT STANDPOINT RES0084-087 NOPE RES0084-088 NO AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY RES0084-089 NOT THAT I KNOW OF RES0084-090 I I STILL DO GO TO WORK RES0084-091 I JUST HAVE LIKE A DESK JOB I HAVE MY OWN ROOM IT'S NOT LIKE I DON'T SEE TOO MANY PEOPLE AND LIKE WHEN I DO I'M WEARING A MASK SO I DON'T THINK SO RES0084-092 OK RES0084-093 I HAVE STOPPED GOING TO WORK THOUGH LIKE JUST JUST IN CASE RES0084-094 OK GOOD OK AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY RES0084-095 NO WE'VE BEEN PRETTY HOMEBOUND RES0084-096 PRETTY HOMEBOUND OK ALRIGHT WELL THAT'S GOOD AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR MYSELF RES0084-097 YEAH I DON'T KNOW WHAT DO YOU THINK IS CAUSING ALL OF THIS RES0084-098-1 YEAH IT SOUNDS LIKE YOU HAVE SOME SORT OF INFECTION SO THE FIRST THING WE NEED TO RULE OUT IS COVID OF COURSE SO WE'LL DO A SWAB AND THOSE SWABS SHOULD COME BACK TO YOU IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS RES0084-098-2 AND UNTIL THEN IT'S IMPORTANT THAT YOU DO ISOLATE AND YOU ISOLATE FOR FOURTEEN DAYS AT LEAST AND THAT INCLUDES FROM OTHER PEOPLE AT HOME AND RES0084-098-3 IF THOSE SWABS COME BACK NEGATIVE YOU COULD POSSIBLY HAVE LIKE ANOTHER INFECTION BUT IF YOUR SYMPTOMS WORSEN LIKE YOU START GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT RES0084-098-4 YOU SHOULD COME BACK TO THE ER AND WE'LL GET THAT CHECKED OUT AND SO THAT'S WHERE WE'LL START FOR NOW BECAUSE YOUR PRESENTATION IS ACUTE WE THINK IT'S LIKELY INFECTION RELATED RES0084-099 OK THAT SOUNDS GOOD TO ME AND SHOULD I BE STAYING IN MY OWN ROOM OR ANYTHING LIKE THAT AT HOME RES0084-100 YEAH IF YOU CAN LIKE IT'S RECOMMENDED THAT YOU TRY TO ISOLATE IN YOUR OWN ROOM FOR THE NEXT FOURTEEN DAYS BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID YEAH RES0084-101 OK SOUNDS GOOD THANK YOU RES0084-102 YEAH NO WORRIES TAKE CARE RES0084-103 YOU TOO RES0085-000 WHAT BRINGS YOU IN RES0085-001-1 YEAH SO I JUST BROUGHT MY SON WENT TO THE HOSPITAL I'VE JUST BEEN GETTING VERY CONCERNED BECAUSE HE'S MAKING LIKE THESE LIKE GRUNTING NOISES FOR THE LAST DAY AND RES0085-001-2 LIKE IT'S IT'S REALLY WORRYING ME I DON'T KNOW IF HE'S LIKE NOT BREATHING AND I ALSO JUST DID LIKE A TEMPERATURE ON HIM JUST THIS MORNING AND IT CAME UP TO LIKE LIKE A HIGH THIRTY EIGHT RES0085-001-3 SO I DON'T KNOW WHAT'S GOING ON AND THEN HE'S JUST VERY LIKE IRRITABLE AND JUST NOT HIMSELF I THINK RES0085-002 OK SO ALL OF THIS STARTED A DAY AGO YOU MENTIONED RES0085-003 IT STARTED YESTERDAY BUT THE GRUNTING STARTED TODAY LIKE I THINK HE WAS A BIT ON THE WARMER SIDE LAST NIGHT AS WELL MORE IRRITABLE LAST NIGHT BUT THE GRUNTING STARTED THIS MORNING RES0085-004 OK AND YOU MENTIONED HIS FEVER WAS THIRTY EIGHT CORRECT RES0085-005 YEAH I THINK IT WAS LIKE THIRTY EIGHT SEVEN OR SOMETHING LIKE THAT RES0085-006 OK IS HE COUGHING AT ALL RES0085-007 YEAH I WOULD SAY WITH THE GRUNTING THERE IS SOME COUGHING IN BETWEEN AS WELL RES0085-008 OK AND IS HE BRINGING UP ANY PHLEGM RES0085-009 HE'S BEEN HAVING SOME SPIT UPS AS WELL THEY'RE MAINLY LIKE CLEAR AND WHITISH BUT I DON'T KNOW IF HE'S BRINGING ANYTHING ELSE UP THERE'S NO GREEN OR YELLOW MATERIAL THOUGH RES0085-010 OK ANY BLOOD IN THERE RES0085-011 NO I HAVEN'T NOTICE ANY BLOOD RES0085-012 DOES HE SOUND WHEEZY RES0085-013 NO IT'S MAINLY JUST THE GRUNTING RES0085-014 OK OK DOES HE LOOK SWOLLEN TO YOU RES0085-015 SWOLLEN AS IN JUST LIKE IN HIS LIKE RES0085-016 IN HIS LIKE LEGS ARMS OR BELLY AREA RES0085-017 NO I DON'T THINK SO RES0085-018 NO OK AND ANY DOES HE HAVE A RUNNY NOSE OR A STUFFY NOSE RES0085-019 NO I DON'T THINK SO RES0085-020 NO OK HOW HOW IS HIS FEEDING RES0085-021 YEAH IT'S BEEN DIFFICULT SO RIGHT NOW LIKE HIS MOM IS AT HOME BUT SHE WAS HAVING DIFFICULTY FEEDING HE'S MAINLY BREASTFED RIGHT NOW RES0085-022 OK RES0085-023 AND HE'S NOT REALLY BEEN FEEDING TOO MUCH EITHER RES0085-024 OK AND HOW ABOUT LIKE THE NUMBER OF WET DIAPERS HE HAS RES0085-025 JUST THE NORMAL LIKE THAT HASN'T CHANGED HE HAS LIKE THREE OR FOUR IN A DAY RES0085-026 OK OK GOOD HAVE YOU NOTICED ANY CHANGES TO HIS BOWEL MOVEMENTS OR URINE RES0085-027 NO PRETTY MUCH BEEN THE SAME RES0085-028 OK IS HE THROWING UP AT ALL RES0085-029 NOPE JUST SOME SPIT UPS I DON'T KNOW IF THAT'S JUST BECAUSE OF THE COUGHING OR IF THEY'RE JUST SPIT UPS LIKE BUT NOTHING AFTER EATING RES0085-030 OK OK HAVE YOU NOTICED ANY RASHES ON HIM RES0085-031 NO NO RASHES RES0085-032 OK HAS HE HAD ANY FAINTING SPELLS OR SEIZURES RES0085-033 NO I'VE BEEN REALLY TRYING TO MAKE SURE LIKE I WAS WORRIED IF HE GETS BLUE OR SOMETHING THAT WE WOULD RUSH TO THE EMERGENCY DEPARTMENT BUT I HAVEN'T NOTICED ANYTHING LIKE THAT RES0085-034 OK OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY RES0085-035 NO I DON'T THINK SO WE'VE BEEN TRYING TO BE VERY CAREFUL WITH THE PANDEMIC AND EVERYTHING GOING ON RES0085-036 FOR SURE ANY TRAVEL TO ANYWHERE RECENTLY RES0085-037 NO RES0085-038 OK AND IS HE AN OTHER WISE HEALTHY BABY RES0085-039 SO HEALTHY BUT HE WAS BORN PREMATURE AT THIRTY SIX WEEKS RES0085-040 OK RES0085-041 AND NO NO COMPLICATIONS REALLY WITH THE PREGNANCY OR AFTER HE WAS BORN BUT YEAH HE WAS PREMATURE RES0085-042 OK AND SO HE DIDN'T NEED ANY HOSPITALIZATIONS RIGHT AFTER BIRTH RIGHT RES0085-043 NO NO HE WAS FINE AFTER BIRTH RES0085-044 OK AND NO LONGSTANDING MEDICAL CONDITIONS AFTER BIRTH RES0085-045 NO RES0085-046 HAS HE NEEDED HOSPITALIZATIONS FOR ANYTHING IN THE PAST OR SURGERIES RES0085-047 NO NOTHING LIKE THAT RES0085-048 OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0085-049 YEAH THE TWO MONTHS VACCINATIONS ARE ALL UP TO DATE RES0085-050 OK GOOD MEDICATION WISE IS HE IS HE ON ANYTHING RES0085-051 NO NO MEDICATIONS RES0085-052 OK ANY ALLERGIES RES0085-053 NO RES0085-054 ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0085-055 NO NOT THAT WE KNOW OF RES0085-056 OK ANY CANCERS IN THE FAMILY RES0085-057 NOPE RES0085-058 AND WHO DOES HE LIVE WITH AT HOME RES0085-059 JUST ME AND MY WIFE RES0085-060 OK IN A HOUSE APARTMENT RES0085-061 IN A IN A HOUSE RES0085-062 OK ANY OLD CARPETS MOLD DUST ASBESTOS PETS ANYTHING LIKE THAT AT HOME RES0085-063 NO NOTHING LIKE THAT RES0085-064 OK AND DOES ANYONE AT HOME SMOKE RES0085-065 NOPE RES0085-066 OK WELL THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN RES0085-067 YEAH NO I WAS JUST REALLY WORRIED LIKE LIKE THE GRUNTING IS JUST REALLY SCARING US SO DO YOU DO YOU DO YOU I WAS JUST WONDERING IF YOU KNOW WHAT IT COULD BE RES0085-068-1 YEAH SO THE GRUNTING IS WORRISOME HE COULD HAVE ANYTHING FROM BRONCHIOLITIS TO PNEUMONIA RES0085-068-2 SO WHAT WE'LL DO IS WE'LL FIRST GET HIS TEMPERATURE WE'LL GET HIS OTWO SAT AND RES0085-068-3 WE WILL GET SOME IMAGING DONE AS WELL TO SEE IF IT'S MORE IN LINE WITH BRONCHIOLITIS OR PNEUMONIA IF IT'S BRONCHIOLITIS IT WILL BE SUPPORTIVE TREATMENT SO WE CAN KEEP HIM RES0085-068-4 HERE AT THE HOSPITAL BECAUSE HE IS IN SOME DISTRESS AND WE'LL KEEP HIM HYDRATED AND GIVE HIM SOME OXYGEN AND IF IT'S PNEUMONIA WE'LL PRESCRIBE HIM SOME ANTIBIOTICS HOW DOES THAT SOUND RES0085-069 AND WILL HE NEED TO STAY IN THE HOSPITAL AT ALL RES0085-070-1 YEAH SO FOR NOW BECAUSE IF HE IS IN ANY DISTRESS AND IF HE NEEDS OXYGEN AND IV HYDRATION HE'LL NEED TO STAY IN THE HOSPITAL UNTIL HE'S BETTER FROM THAT STANDPOINT RES0085-070-2 I SHOULD ALSO MENTION WE SHOULD DO A COVID SWAB ON HIM AS WELL BECAUSE HIS SYMPTOMS ARE IN LINE WITH COVID AS WELL SO WE'LL HAVE TO DO THAT TO RULE IT OUT RES0085-071 OK YEAH THAT SOUNDS GOOD YEAH THANK YOU SO MUCH RES0085-072 YEAH NO WORRIES RES0086-000 WHAT BRINGS YOU IN RES0086-001-1 YEAH SO I JUST CAME IN TODAY I ACTUALLY HAD ASTHMA AS A KID AND I USED TO BE ON THE PUFFERS AND RES0086-001-2 IT PRETTY MUCH RESOLVED BY THE TIME I WAS AROUND LIKE EIGHTEEN YEARS OLD AND I'VE BEEN PRETTY GOOD SINCE THEN I HAVEN'T EVEN BEEN REALLY USING THE PUFFERS FOR THE LAST FIVE YEARS RES0086-001-3 BUT JUST RECENTLY JUST DURING THE WINTER I STARTED NOTICING SOME OF MY SYMPTOMS COMING BACK AND NOW ESPECIALLY OVER THE LAST FEW MONTHS WHENEVER I'M DOING SOMETHING LIKE GOING TO THE GYM OR EXERCISING I RES0086-001-4 I DO GET THAT SHORTNESS OF BREATH AND I FEEL MY THROAT CLOSING IN AGAIN AND RECENTLY FOR THE LAST I WOULD SAY A WEEK I'VE ALSO BEEN HAVING SOME WHEEZING AS WELL SO I JUST WANTED TO COME BACK AND MAKE SURE EVERYTHING IS ALRIGHT RES0086-002 OK SURE SO JUST TO REWIND A LITTLE BIT WHEN WERE YOU FIRST DIAGNOSED WITH ASTHMA RES0086-003 SO I WAS DIAGNOSED WHEN I WAS I THINK IT WAS LIKE WHEN I WAS THIRTEEN YEARS OLD RES0086-004 THIRTEEN OK AND YOU'VE BEEN USING PUFFERS SINCE RES0086-005-1 YEAH SO FROM THEN TO LIKE MAYBE WHEN I WAS EIGHTEEN I WAS USING PUFFERS BUT RES0086-005-2 AND THEN I CONTINUED USING THEM ON AND OFF LIKE JUST THE BLUE ONE WHENEVER I NEEDED IT BUT FOR THE LAST FIVE YEARS I HAVEN'T EVEN HAD TO USE ANY PUFFERS AT ALL RES0086-006 OK OK SO CAN YOU TELL ME A LITTLE BIT ABOUT THE SYMPTOMS THAT YOU'RE EXPERIENCING RIGHT NOW OK SO YOU SAID SOME SHORTNESS OF BREATH WHEN DID THAT START RES0086-007-1 SO IN THE LAST I WOULD SAY TWO MONTHS I'VE NOTICED IT SIMILARLY TO WHEN I WAS YOUNGER ESPECIALLY WHEN I'M ON THE TREADMILL OR RUNNING I GET SHORT OF BREATH VERY EASILY RES0086-007-2 BUT AT REST I'M FINE I DON'T HAVE ANY TROUBLE BUT I'VE NOTICED IT FOR THE LAST FEW MONTHS RES0086-008 OK SO IT'S MOSTLY WHEN YOU'RE EXERCISING OR WITH ACTIVITIES RES0086-009 OK AND DO YOU FEEL WHEEZY AS WELL RES0086-010 YEAH IN THE LAST ONE TO TWO WEEKS I WOULD SAY I'M ALSO WHEEZING AS WELL MAYBE MAINLY DURING LIKE IF I'M RUNNING OR STILL WITH EXERCISE I FEEL MYSELF WHEEZING SO THAT'S BEEN AN ISSUE FOR THE LAST COUPLE OF WEEKS RES0086-011 SO ONCE YOU STOP ACTIVITY DOES YOUR SHORTNESS OF BREATH AND WHEEZING EVENTUALLY RESOLVE RES0086-012 YEAH YEAH SO IF I I JUST HAVE TO KIND OF SIT DOWN AND RELAX FOR A BIT AND THEN IT GOES AWAY ON ITS OWN RES0086-013 OK HOW LONG DOES IT LAST BEFORE IT GOES AWAY RES0086-014 PROBABLY AT LEAST LIKE I WOULD SAY TEN TEN TO FIFTEEN MINUTES RES0086-015 OK OK RES0086-016 UNTIL I'M FULLY KIND OF RECOVERED RES0086-017 ARE YOU COUGHING AS WELL RES0086-018 YEAH WHEN WHEN I'M EXERCISING THAT'S WHEN ALL OF THAT HAPPENS THE WHEEZING THE COUGHING BUT THROUGHOUT THE DAY OTHERWISE I'M NOT COUGHING RES0086-019 OK AND WHEN YOU COUGH DO YOU BRING UP PHLEGM OR IS IT MORE LIKE A DRY COUGH RES0086-020 IT'S MOSTLY A DRY COUGH SOMETIMES I DO BRING UP SOME CLEAR WHITISH MATERIAL BUT USUALLY IT'S IT'S DRY RES0086-021 OK ALRIGHT AND DO YOU FEEL LIKE YOUR HEART'S RACING RES0086-022 NO NO NOTHING LIKE THAT RES0086-023 NO YOU DON'T FEEL LIKE YOU'RE BREATHING A LOT MORE THAN USUAL RES0086-024 NO I DON'T THINK SO RES0086-025 OK DO YOU STILL HAVE PUFFERS AT HOME RES0086-026 I ACTUALLY LIKE I HAVEN'T USED THEM FOR A WHILE SO NO I DON'T HAVE ANY PUFFERS RES0086-027 OK OK ANY WEIGHT LOSS RECENTLY RES0086-028 NO RES0086-029 NO FEVERS OR CHILLS RES0086-030 NO NOTHING LIKE THAT RES0086-031 OK ANY RASHES OR CHANGES IN YOUR HAIR OR SKIN OR NAILS RES0086-032 I DO I HAVE JUST ECZEME I'VE HAD IT FOR MOST OF MY LIFE NOW SO ESPECIALLY DURING THE WINTER I DO GET SOME IRRITATION ESPECIALLY ON MY HANDS SO SOME RASHES BUT THAT'S ABOUT IT RES0086-033 OK ANY CHANGES IN YOUR VISION OR HEARING RES0086-034 NO NO CHANGES RES0086-035 OK STUFFY NOSE RUNNY NOSE CHANGES IN YOUR TASTE RES0086-036 NO RES0086-037 OK CHANGES IN SMELL RES0086-038 NO RES0086-039 NO OK CHEST PAIN RES0086-040 NO CHEST PAIN RES0086-041 DO YOU FIND YOU GET SHORT OF BREATH WHEN YOU'RE LAYING DOWN OR IT WAKES YOU UP AT NIGHT RES0086-042 NO JUST JUST WHEN I'M EXERCISING ESPECIALLY RUNNING RES0086-043 OK SURE ANY DIZZINESS OR FAINTING SPELLS RES0086-044 NO RES0086-045 NO ANY HEADACHES RES0086-046 NO HEADACHES RES0086-047 ANY LIKE REFLUX HEARTBURN RES0086-048 NO RES0086-049 NO OK NAUSEA VOMITING RES0086-050 NO RES0086-051 CHANGES TO YOUR BOWEL MOVEMENTS RES0086-052 NOPE RES0086-053 OK SO YOU MENTIONED YOU HAVE YOU WERE DIAGNOSED WITH ASTHMA AND ECZEMA IN THE PAST ANY OTHER LONGSTANDING MEDICAL CONDITIONS THAT YOU HAVE RES0086-054 NO THOSE THOSE ARE THE ONLY ONES RES0086-055 OK ANY ALLERGIES RES0086-056-1 I I DO HAVE I THINK LIKE JUST SEASONAL ALLERGIES I DON'T KNOW IF I'M ALLERGIC TO POLLEN BUT DURING THE SPRING TIME RES0086-056-2 I GET ALLERGIES AND THEN DURING THE WINTER NOW I'M GETTING SOME OF THESE SYMPTOMS THAT I'M TALKING ABOUT SO BUT NONE TO ANY MEDICATIONS THAT I KNOW OF RES0086-057 OK SO YOU'RE NOT GETTING ANY NIGHT TIME SYMPTOMS AND YOU'RE ONLY GETTING DAY TIME SYMPTOMS WITH ACTIVITY RIGHT RES0086-058 YEP HAS THIS PREVENTED YOU FROM GOING TO WORK OR SCHOOL RES0086-059-1 OH SO I JUST THIS PAST WEEK I USUALLY DO MY RUNNING LIKE MORNING WORKOUT RIGHT BEFORE WORK AND JUST ONE OF THE DAYS AFTER I WORKED OUT I I RES0086-059-2 I FELT JUST TERRIBLE WITH THIS COUGHING AND SHORT OF BREATH SO I JUST DECIDED TO TAKE A DAY OFF WORK THAT DAY BUT THEN I REALIZED IT KIND OF GOES AWAY ON ITS OWN SO FOR THE OTHER DAYS I HAVE BEEN GOING TO WORK RES0086-060 OK OK GOOD ALRIGHT AND THEN ANY MEDICATIONS THAT YOU'RE ON RES0086-061 JUST I'M I'M ON A JUST ONE OF THOSE STEROID CREAMS FOR MY ECZEMA RES0086-062 OK OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0086-063 YEP OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0086-064 NO HEART CONDITIONS BUT ASTHMA IS PRETTY BIG IN MY FAMILY AS WELL AS ECZEMA LIKE MY MOM HAS IT MY SISTER HAS IT SO ASTHMA IS PRETTY BIG RES0086-065 OK HOW ABOUT CANCERS RES0086-066 NO I DON'T THINK ANYONE IN THE FAMILY HAS ANY CANCERS RES0086-067 OK AND DO YOU SMOKE RES0086-068 NO I'VE NEVER SMOKED I'M PRETTY HEALTH FOCUSED AND I CAN'T EVEN TAKE IF SOMEONE ELSE IS SMOKING SO NO RES0086-069 NO OK DO YOU DRINK ALCOHOL RES0086-070 NO I I DON'T DRINK ALCOHOL NO DRUGS I'M PRETTY I LIKE TO STAY VERY FIT AND HEALTHY SO NOTHING LIKE THAT RES0086-071 OK OK AND HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY RES0086-072 NO NOT THAT I KNOW OF I LIVE BY MYSELF IN MY APARTMENT I'VE BEEN WORKING FROM HOME I WORK AS A PROGRAMMER AND SO I ONLY GO OUTSIDE FOR RUNS AND STUFF FOR GROCERIES SO I HAVEN'T REALLY SEEN ANYONE SICK AROUND ME RES0086-073 AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0086-074 NO I'VE MAINLY BEEN AT HOME RES0086-075 OK GOOD AND WHERE'S HOME RES0086-076 HOME IS IN HAMILTON ONTARIO AND I'VE JUST BEEN YEAH WORKING FROM HOME RES0086-077 OK DO YOU LIVE IN A HOUSE APARTMENT WHO DO YOU LIVE WITH RES0086-078 I JUST LIVE IN A IN AN APARTMENT BY MYSELF I DID HAVE A ROOMMATE LIKE THAT MOVED OUT JUST A COUPLE OF MONTHS AGO BUT YEAH RIGHT NOW I'M JUST BY MYSELF RES0086-079 OK OK ANY OLD CARPETS PETS MOLD OR ASBESTOS IN THE HOUSE RES0086-080 NO NOTHING LIKE THAT RES0086-081 OK OK GOOD SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF RES0086-082 YEAH I WAS JUST WONDERING IF I SHOULD GO BACK ON THE PUFFERS I DON'T HAVE ANY RIGHT NOW I JUST DON'T KNOW IF MY ASTHMA HAS JUST COME BACK RES0086-083-1 YEAH SO WHAT WE'RE GONNA DO IS WE'RE GOING TO DO A PFT SO PULMONARY FUNCTION TEST ON YOU CAUSE IT'S BEEN A WHILE SINCE YOU'VE HAD ONE OF THOSE DONE RES0086-083-2 AND THAT'S JUST TO CHECK HOW WELL YOUR LUNG IS FUNCTIONING SO WE'LL DO THAT WE'LL ALSO MAYBE GET A CHEST X RAY AS WELL RES0086-083-3 FOR BASELINE AND DEPENDING ON WHAT THOSE TWO COME BACK AS WE'LL PROBABLY GET YOU TO USE YOUR SHORT ACTING BETA AGONIST PUFFER AGAIN AND WE'LL ALSO GIVE YOU A LONG ACTING RES0086-084 OK RES0086-085-1 AS WELL AS AN INHALED CORTICO STEROID SO ACTUALLY YOU KNOW WHAT WE'LL GIVE YOU AN INHALED CORTICO STEROID AND A SHORT ACTING BETA AGONIST BECAUSE YOU CAN'T USE BOTH THE STEROID AND THE LONG SO WE'LL WE'LL START WITH THE RES0086-085-2 WE'LL START WITH THOSE TWO WE'LL START WITH THE SHORT ACTING AS WELL AS INHALED CORTICO STEROID AND IF WE FIND THAT YOUR ASTHMA IS JUST BASED ON LIKE EXERTION OR LIKE RES0086-085-3 SOMETHING CALLED ATHLETIC ASTHMA WE CAN ALSO TRY SOMETHING CALLED CROMOLYN INSTEAD BUT WE'LL DISCUSS THAT MORE RIGHT NOW OUR PRIORITY IS TO GET YOUR SYMPTOMS UNDER CONTROL SO WE'LL START WITH THE SHORT ACTING AS WELL AS THE INHALED CORTICO STEROID HOW DOES THAT SOUND RES0086-086 YEAH THAT SOUNDS GOOD THANK YOU SO MUCH RES0086-087 YEAH NO PROBLEM RES0087-000 WHAT BRINGS YOU IN RES0087-001 YES SO I'M JUST COMING IN WITH MY SON HE'S BEEN HAVING HE'S BEEN COMPLAINING OF JUST SEEMS LIKE PAIN IN HIS RIGHT EAR FOR THE LAST I WOULD SAY THREE TO FOUR DAYS AND IT SEEMS LIKE HE'S RES0087-002 JUST MORE IRRITABLE JUST NOT HIMSELF RIGHT NOW RES0087-004 DID YOU SAY HE'S HAD THIS EAR PAIN I WOULD SAY FOUR DAYS NOW RES0087-005 FOUR DAYS OK HAVE YOU NOTICED ANY HEARING LOSS NO HE STILL RES0087-006 RESPONDS WHEN I CALL HIS NAME OK AND HAVE YOU NOTICED ANY FLUID COMING OUT OF HIS EARS RES0087-007 NO I DON'T THINK SO RES0087-008 IS IT MORE LIKE ONE SIDE OF HIS EARS OR IS IT BOTH EARS RES0087-009 IT'S JUST HIS RIGHT EAR RES0087-010 JUST HIS RIGHT EAR OK AND HAVE YOU NOTICED THAT IT'S LIKE SWOLLEN RED OR WARM RES0087-011 NO I DON'T SEE ANY SWELLING OR REDNESS AT ALL RES0087-012 OK OK GOOD AND HAVE YOU TAKEN A LOOK INSIDE HIS EARS RES0087-013 I TRIED TO TAKE A LOOK WITH A FLASHLIGHT I COULDN'T REALLY SEE TOO MUCH RES0087-014 OK THAT'S FAIR AND YOU MENTIONED HE'S HAD A RUNNY NOSE TOO WHEN DID THAT START RES0087-015 SO THAT KIND OF LIKE LAST WEEK HE WAS RECOVERING FROM I THINK IT WAS JUST A COLD AND HE HAD A RUNNY NOSE AND JUST WAS A BIT CONGESTED BUT THEN OVER THE LAST WEEK IT KIND OF JUST RESOLVED BUT THEN THIS WEEK HE STARTED HAVING JUST THIS EAR PAIN RES0087-016 OK ANY FEVERS RES0087-017 NO NOT THAT I I HAVEN'T MEASURED ANYTHING AND HE HASN'T MENTIONED ANY LIKE HE HASN'T FELT COLD OR ANYTHING LIKE THAT RES0087-018 OK ANY WEIGHT LOSS OVER THE PAST MONTH OR SO RES0087-019 NO RES0087-020 NO ANY CHANGE IN HIS HAIR OR NAILS LIKE RASHES OR SORRY OR SKIN RES0087-021 NO I HAVEN'T SEEN ANY CHANGES IN THE SKIN RES0087-022 OK ANY CHANGES IN HIS VISION OR SMELL OR TASTE RES0087-023 NO RES0087-024 NO OK HIS RUNNY NOSE WHAT COLOR IS IT RES0087-025 IT WAS MAINLY IT SEEMED TO ME LIKE IT WAS MAINLY CLEAR WHEN IT WAS HAPPENING LIKE HE WASN'T BRINGING UP ANY YELLOW OR GREEN MATERIAL RES0087-026 OK GOOD DOES HE HAVE A SORE THROAT AT ALL RES0087-027 NO NOT THAT HE'S TOLD ME HE'S STILL EATING THINGS AND I DON'T THINK HE'S HAVING ANY TROUBLE WITH EATING ANYTHING SO I DON'T THINK SO RES0087-028 OK THAT'S GOOD HAS HE HAD A COUGH RES0087-029 ACTUALLY HE DID HE DID START COUGHING LIKE YESTERDAY BUT JUST A FEW TIMES A DAY I DON'T KNOW IF IT'S BECAUSE OF THIS OR LIKE WHAT ELSE MIGHT BE GOING ON RES0087-030 OK AND YOU SAID FOR THE PAST FEW DAYS HE'S HAD THE COUGH RES0087-031 I THINK JUST MAYBE STARTED YESTERDAY RES0087-032 STARTED YESTERDAY OK IS IT A DRY COUGH OR IS IT IS HE BRINGING UP ANY PHLEGM RES0087-033 NO IT SEEMS TO BE JUST DRY I THINK I JUST NOTICED IT LIKE THREE OR FOUR TIMES DURING THE DAY YESTERDAY RES0087-034 OK SO NO BLOOD THAT HE'S BRINGING UP RIGHT RES0087-035 NO NO RES0087-036 OK AND DOES HE HAVE ANY SHORTNESS OF BREATH RES0087-037 NO NO RES0087-038 NO OK ANY WHEEZING RES0087-039 NO NO WHEEZING RES0087-040 NO CHEST PAIN RES0087-041 NO RES0087-042 OK ANY NAUSEA OR VOMITING RES0087-043 NO NAUSEA OR VOMITING RES0087-044 ANY CHANGES TO HIS BOWEL MOVEMENTS RES0087-045 NO RES0087-046 NO OK AND HOW ABOUT URINE IS THAT NORMAL RES0087-047 NO CHANGES AT ALL RES0087-048 ANY HEADACHES RES0087-049 NOT THAT HE'S TOLD ME ABOUT RES0087-050 OK DIZZINESS OR FAINTING SPELLS RES0087-051 NO RES0087-052 FEELING LIKE HE'S OFF BALANCE OR LOST COORDINATION RES0087-053 NO I DON'T THINK SO RES0087-054 NO OK NO NUMBNESS NO TINGLING RES0087-055 NO RES0087-056 HAS HE HAD ANY CONTACTS WITH SICK PEOPLE RECENTLY RES0087-057 NO I DON'T THINK RES0087-058 ANYONE'S BEEN SICK AROUND HIM OK AND HAS HE RES0087-059 TRAVELED TO ANYWHERE RECENTLY NO LIKE RES0087-060 HE'S MAINLY JUST BEEN INSIDE HIS HOME OK RES0087-061 HAS HE EVER HAD EAR PAIN BEFORE HE DID HAVE A SIMILAR PAIN I THINK WHEN HE WAS LIKE AROUND RES0087-062 THREE YEARS OLD BUT IT HAPPENED WITH HIS LEFT LEFT EAR NOT THE RIGHT ONE OK WAS HE PRESCRIBED ANY MEDICATIONS RES0087-063 FOR THAT HE WAS GIVEN A LIKE A COURSE OF ANTIBIOTICS AT THAT TIME I FORGOT WHAT IT WAS CALLED BUT I THINK AT THAT TIME IT WAS MUCH WORSE LIKE HE I DON'T KNOW IF HE WAS JUST YOUNGER AND COULDN'T TOLERATE IT BUT I THINK HE ALSO HAD A FEVER AT THAT TIME RES0087-064 OK OK AND THEN ANY OTHER EAR INFECTIONS OUTSIDE OF THAT ONE TIME RES0087-065 NO I THINK THAT ONLY THAT ONE I CAN RECALL RES0087-066 OK ALRIGHT IS HE OTHERWISE HEALTHY RES0087-067 OTHERWISE HE'S HEALTHY NO OTHER CONDITIONS OR ANYTHING LIKE THAT RES0087-068 NO HOSPITALIZATIONS OR SURGERIES RES0087-069 NO RES0087-070 AND IS HE ON ANY MEDICATIONS RES0087-071 NO MEDICATIONS RES0087-072 OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0087-073 ALL HIS IMMUNIZATIONS ARE GOOD RES0087-074 OK ANY ALLERGIES RES0087-075 NOT THAT WE KNOW OF SO FAR RES0087-076 AND ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0087-077 NO LUNG OR HEART CONDITIONS JUST HIS FATHER DOES HAVE LIKE CELIAC DISEASE SO I DON'T KNOW IF THAT'S RELATED AT ALL RES0087-078 OK HOW OLD WAS HE WHEN WAS DIAGNOSED WITH CELIAC RES0087-079 FAIRLY YOUNG I WOULD SAY RES0087-080-1 IN HIS TWENTIES RES0087-080-2 OK OK ALRIGHT WE'LL KEEP AN EYE ON IT IN HIM LIKE IF HE HAS ANY CHANGES IN HIS RES0087-080-3 BOWEL MOVEMENTS OR IF HE'S GETTING SEVERE ABDOMINAL PAIN AFTER EATING CERTAIN FOODS WITH GLUTEN YOU CAN GET HIM CHECKED UP FOR THAT AS WELL RES0087-081 OK RES0087-082 AND THEN IN TERMS OF WHERE HE LIVES DOES HE LIVE WITH YOU AND YOUR PARTNER RES0087-083 SO IT'S JUST HE'S AN ONLY CHILD LIVES WITH ME AND MY HUSBAND AND ALSO RES0087-084 WE HAVE LIKE A PET DOG OK RES0087-085 LIVE IN AN APARTMENT OR IN A HOUSE WE RES0087-086 LIVE IN A IT'S LIKE A CONDOMINIUM OK OK ANY OLD RES0087-087 MOLD OR ASBESTOS IN THE BUILDING NO RES0087-088 NO NOTHING LIKE THAT IT'S FAIRLY WELL KEPT OK AND IS HE OTHERWISE LIKE DEVELOPMENTAL WISE HE'S OK RES0087-093 I DON'T KNOW IF LIKE LAST TIME WE DID GET SOME ANTIBIOTICS I DON'T KNOW IF HE NEEDS THEM RIGHT NOW OR WHAT WOULD YOU RECOMMEND RES0087-094-1 YEAH SO I'M GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE I CAN COME UP WITH LIKE A MANAGEMENT PLAN FOR HIM SO ONCE I DO IF I SEE RES0087-094-2 IF HIS TYMPANIC MEMBRANE HAS BEEN PERFORATED OR I SEE PUS IN THERE WE'LL PRESCRIBE HIM LIKE TEN DAYS OF ANTIBIOTICS WE CAN GIVE HIM EITHER AMOXICILLIN RES0087-094-3 OR IF HE HAS BAD REACTIONS TO PENICILLINS WE CAN GIVE HIM CEFUROXIME AND THEN IF RES0087-094-4 IT DOESN'T SEEM TO HAVE ANY SYSTEMIC SYMPTOMS SO IF HE HAS SYSTEMIC SYMPTOMS LIKE FEVER WHICH WE'LL CHECK FOR TODAY AND IF HE'S LIKE BEEN REALLY ILL AND HE HAS LIKE A MIDDLE EAR EFFUSION OR BULGING TYMPANIC MEMBRANE AGAIN WE'LL GIVE HIM ANTIBIOTICS FOR TEN DAYS RES0087-094-5 BUT IF HIS TYMPANIC MEMBRANE IS JUST BULGING A LITTLE BIT OR IF HE HAS SOME MIDDLE EAR EFFUSION BUT NO SYSTEMIC SYMPTOMS LIKE NO FEVERS AND HE SEEMS TO BE FINE OTHERWISE WE'LL RES0087-094-6 REASSESS HIM IN TWENTY FOUR TO FORTY EIGHT HOURS TO SEE IF HE'S BETTER AND IF HE'S NOT AGAIN WILL PRESCRIBE HIM ANTIBIOTICS HOW DOES THAT SOUND RES0087-095 THAT SOUNDS GOOD THANK YOU RES0087-096 OK NO WORRIES RES0091-000 WHAT BRINGS YOU IN HERE TODAY RES0091-001 SO I'VE HAD THIS RUNNY NOSE WELL FIRST IT WAS A STUFFY NOSE BUT NOW I'VE HAD THIS RUNNY NOSE FOR THE PAST WEEK AND A HALF AND IT DOESN'T SEEM TO BE GETTING ANY BETTER SO I WAS JUST WONDERING IF YOU COULD GIVE ME SOMETHING FOR THAT RES0091-002 SO LET'S JUST TRY TO FIRST SEE WHAT'S GOING ON SO YOU'VE BEEN HAVING THIS SO WHEN DID IT START GETTING STUFFY RES0091-003 IT STARTED GETTING STUFFY ABOUT TWO WEEKS AGO RES0091-004 TWO WEEKS AGO AND WHEN DID IT START GETTING LIKE JUST A RUNNY NOSE RES0091-005 THAT STARTED A WEEK AND A HALF AGO RES0091-006 OK AND HAVE YOUR SYMPTOMS HAVE THESE SYMPTOMS GOTTEN WORSE AT ALL RES0091-007 NO IT STAYED ABOUT THE SAME RES0091-008 OK AND DO YOU HAVE ANY COUGHING RES0091-009 NO NO COUGHING RES0091-010 NO COUGHING ANY FEVERS OR CHILLS RES0091-011 NO RES0091-012 NO AND THE FROM THE RUNNY NOSE ARE YOU HAVING ANY YELLOW OR GREEN DISCHARGE RES0091-013 NO IT'S CLEAR RES0091-014 IT'S CLEAR OK HAVE YOU AT ALL COUGHED UP ANY BLOOD AT ALL RES0091-015 NO NOTHING LIKE THAT RES0091-016 OK AND DO THESE SYMPTOMS COME AND GO OR ARE THEY PRETTY CONSTANT RES0091-017 THEY ARE PRETTY CONSTANT RES0091-018 OK AND IS THERE ANYTHING THAT YOU HAVE TRIED THAT HAS HELPED YOU WITH THESE SYMPTOMS ANY OVER THE COUNTER MEDICATIONS RES0091-019 NO I HAVEN'T TRIED ANYTHING I'VE BEEN THINKING ABOUT USING SOME NASAL DECONGESTION BUT I DON'T WANT TO MAKE MY RUNNY NOSE ANY WORSE RES0091-020 NO THAT'S A THAT'S A FAIR POINT AND THERE'S MULTIPLE THINGS THAT YOU CAN TRY OVER THE COUNTER BUT WE CAN GET INTO THAT MORE LATER ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL LIKE ANY SHORTNESS OF BREATH CHEST PAIN ANY KIND OF DIZZINESS ANYTHING LIKE THAT RES0091-021 NO DIZZINESS I FEEL LIKE SOMETIMES I HAVE A HEADACHE THOUGH BECAUSE I FEEL LIKE THERE'S A LOT OF FLUID OR SOMETHING BACKED UP INTO MY SINUSES RES0091-022 OK SO DO YOU ARE YOU FEELING THAT PRESSURE IN YOUR FACE AT ALL RES0091-023 A LITTLE BIT RES0091-024 OK HAVE YOU AT ALL IN THE PAST COUPLE WEEKS TO A MONTH HAD CONTACT WITH ANYONE THAT WAS SICK RES0091-025 NO NOTHING LIKE THAT THAT I CAN THINK OF RES0091-026 OK AND ANY TRAVEL RES0091-027 NO RES0091-028 OK AND ANY SYMPTOMS OF A LOSS OF TASTE OF SORRY LOSS OF SENSE OF TASTE OR SMELL RES0091-029 NO RES0091-030 ANY NAUSEA OR VOMITING RES0091-031 NOPE RES0091-032 ANY NIGHT SWEATS RES0091-033 NO RES0091-034 HOW ABOUT FATIGUE OR DO YOU FEEL TIRED RES0091-035 A LITTLE BIT RES0091-036 OK ARE YOU DO YOU WORK AT ALL RES0091-037 I WORK FROM HOME RIGHT NOW RES0091-038 OK AND HAS THIS AFFECTED YOUR WORK IN ANY WAY RES0091-039 NO RES0091-040 OK WHERE WHERE DO YOU LIVE DO YOU LIVE IN AN APARTMENT A HOUSE RES0091-041 I LIVE IN AN APARTMENT RES0091-042 AND DO YOU LIVE WITH ANYONE RES0091-043 NO JUST BY MYSELF RES0091-044 OK AND ANY MOLD OR DUST OR FUMES ANYTHING IN YOUR HOUSEHOLD RES0091-045 I HAVE SOME OLD CARPETS BUT THAT'S ABOUT IT RES0091-046 OK HAVE YOU FELT ANY CHANGES IN YOUR SLEEP OR APPETITE RES0091-047 NO NOTHING LIKE THAT RES0091-048 OK ANY CHANGES IN YOUR BOWEL MOVEMENT LIKE DIARRHEA OR CONSTIPATION RES0091-049 NO RES0091-050 ANY URINARY TROUBLE RES0091-051 NO RES0091-052 ANY WEIGHT LOSS RES0091-053 NO RES0091-054 OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH LIKE ASTHMA OR ANYTHING ELSE RES0091-055 NO I'M HEALTHY OTHERWISE RES0091-056 OK ANY ALLERGIES THAT YOU KNOW OF RES0091-057 NOPE NO ALLERGIES EITHER RES0091-058 OK DO YOU TAKE ANY REGULAR MEDICATIONS RES0091-059 NO I DON'T EVEN TAKE VITAMINS RES0091-060 OK ANY HOSPITALIZATIONS OR RES0091-061 SURGERIES IN THE PAST I HAD AN ARM FRACTURE WHEN I WAS YOUNGER BUT THAT'S IT RES0091-062 OK BUT OTHER THAN THAT NOTHING ELSE RES0091-063 NO RES0091-064 OK AND CURRENTLY RIGHT NOW DO YOU SMOKE CIGARETTES AT ALL RES0091-065 NO RES0091-066 HAVE YOU SMOKED IN THE PAST RES0091-067 NO RES0091-068 ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0091-069 NO RES0091-070 AND DO YOU DRINK ALCOHOL RES0091-071 ONCE IN A WHILE I'LL HAVE LIKE A GLASS OF WINE EVERY WEEK RES0091-072 OK AND THOSE ARE PRETTY MUCH ALL THE QUESTIONS I HAVE RIGHT NOW DO YOU HAVE ANY QUESTIONS RES0091-073 NO WHAT CAN I DO ABOUT THIS RUNNY NOSE RES0091-074-1 YEAH SO IT SEEMS LIKE IT'S BEEN GOING ON FOR MORE THAN ONE AND A HALF WEEK WHAT WHAT IS REASSURING IS THAT YOU'RE NOT HAVING ANY OTHER SYMPTOMS THAT ARE CONCERNING LIKE YOU'RE NOT HAVING ANY COUGH YOU'RE NOT HAVING ANY GREEN OR YELLOW SPUTUM YOU'RE NOT HAVING ANY FEVERS SO RES0091-074-2 IT SEEMS THAT YOU MIGHT JUST BE HAVING A COLD WHICH CAN BE CAUSED BY JUST A VIRAL INFECTION BUT IT SHOULD GO AWAY ON ITS OWN JUST MAKE SURE THAT YOU'RE GETTING SOME REST YOU'RE HYDRATING WELL RES0091-074-3 YOU CAN GET SOME OVER THE COUNTER MEDICATIONS LIKE TYLENOL COLD FOR EXAMPLE BUT FOR NOW I WOULD SAY WE SHOULD JUST WAIT AND WATCH BUT JUST IN CASE ALSO SINCE IT IS ONE OF THE RES0091-074-4 SYMPTOMS THAT'S FOR COVID AS WELL IN THIS TIME PERIOD WE WILL JUST GET A COVID SWAB JUST IN CASE BUT MOST LIKELY IT'S NOTHING TO BE WORRIED ABOUT RES0091-074-5 UNTIL YOU GET YOUR TEST I WOULD RECOMMEND STAYING ISOLATED AND THEN WE CAN GO ON FROM THERE IS THAT DOES THAT SOUND GOOD TO YOU RES0091-075 THAT SOUNDS GREAT THANK YOU SO MUCH RES0091-076 YOU'RE WELCOME TAKE CARE RES0091-077 YOU TOO RES0092-000 I UNDERSTAND THAT YOU'VE HAD A COUGH CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT RES0092-001 SO I'VE HAD THIS COUGH NOW IT'S BEEN GOING ON FOR ABOUT TWO WEEKS JUST JUST HASN'T GONE AWAY RES0092-002 OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THIS COUGH IS IT DRY OR WET RES0092-003 IT'S BEEN MIX IT'S BEEN DRY SOMETIMES AND I HAVE HAD A LITTLE BIT OF SPUTUM PRODUCTION RECENTLY IT'S BEEN MOSTLY CLEAR THOUGH RES0092-004 HAS THE COUGH GOTTEN WORSE OVER THE PAST TWO WEEKS RES0092-005 NO IT'S BEEN ABOUT THE SAME RES0092-006 AND HAVE YOU HAD ANY BLOOD THAT CAME UP WITH THE SPUTUM RES0092-007 NO I HAVEN'T NOTICED ANY BLOOD RES0092-008 ALRIGHT WHAT ABOUT ANY OTHER SYMPTOMS OVER THE PAST TWO WEEKS HAVE YOU HAD HAVE YOU HAD ANY FEVERS OR CHILLS RES0092-009 NOT NO RES0092-010 NO OK AND ANY I GUESS ANY RUNNY NOSE RES0092-011 MY NOSE WAS A BIT RUNNY LAST WEEK BUT IT'S THAT'S BETTER NOW RES0092-012 OK OK IT'S JUST OK LAST WEEK WHAT ELSE WHAT OTHER SYMPTOMS DID YOU HAVE LAST WEEK RES0092-013 I HAD A SORE THROAT AND A LITTLE BIT OF A HEADACHE AS WELL AND AND SOME ACHES AND FATIGUE THOSE WERE THAT WAS LAST WEEK FOR ABOUT THREE DAYS AND THEN I STARTED TO FEEL BETTER BUT I STILL HAVE THIS COUGH THAT IT'S STILL GOING ON RES0092-014 SO THOSE OTHER SYMPTOMS THAT YOU HAD LAST WEEK THAT LASTED ABOUT THREE DAYS ARE THEY ALL GONE ARE YOU STILL FEELING FATIGUED OR HAVING A HEADACHE RES0092-015 THOSE ARE BOTH THEY'RE GONE RES0092-016 IT'S ONLY THE COUGH RES0092-017 I JUST HAVE THE COUGH RES0092-018 IS THERE ANY TIME ANY SPECIFIC TIME OF THE DAY THAT IT'S WORSE OR BETTER ANYTHING THAT TRIGGERS IT RES0092-019 MAYBE LIKE MAYBE WHEN I WENT OUT INTO THE COLD OR LIKE WHEN I WENT FOR A RUN WHERE I REALLY KIND OF EXERTED MYSELF IT BROUGHT IT ON BUT OTHER THAN THOSE THINGS RES0092-021 BUT YOU'RE OTHERWISE FEELING BETTER FOR THE MOST PART FEELING BETTER BUT I STILL HAVE A COUGH RES0092-022 OK HAVE YOU HAD ANY CHEST PAIN RES0092-023 NO RES0092-024 ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEART'S RACING RES0092-026 NOTHING LIKE THAT ANY OTHER SYMPTOMS SUCH AS BELLY PAIN OR DIARRHEA OR CONSTIPATION OR CHANGES IN YOUR URINE ARE HAVING ANY URINARY SYMPTOMS RES0092-027 NO I HAVEN'T HAD ANYTHING LIKE LIKE THAT RES0092-028 OK OK AND CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL CONDITIONS YOU HAVE RES0092-029 I I'M HEALTHY I HAVEN'T BEEN DIAGNOSED WITH WITH ANYTHING RES0092-030 OK ALRIGHT ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER PILLS OR ANY HERBAL PILLS OR MULTI VITAMINS ETCETERA RES0092-031 I'M TAKING A BIRTH CONTROL RES0092-032 I SEE OK ANY ALLERGIES RES0092-033 NO ALLERGIES RES0092-034 OK DO YOU HAVE ANY YOU DON'T HAVE ANY LUNGS RELATED DISEASES RIGHT LIKE ASTHMA OR COPD OR ANYTHING OF THAT SORT RES0092-036 NOTHING LIKE THAT ALRIGHT ALRIGHT THAT'S GOOD AND WHO DO YOU CURRENTLY LIVE RES0092-037 WITH AND WHERE DO YOU LIVE ALRIGHT SO I LIVE WITH A FEW ROOMMATES I'M RES0092-038 JUST FINISHING UP MY UNDERGRADUATE DEGREE THAT'S GREAT RES0092-039 HAVE YOU HAD ANY CONTACT WITH ANYONE WHO WAS SICK RECENTLY NO NOT THAT I COULD THINK OF I MEAN WE WENT OUT ONE NIGHT LAST WEEK AND THAT'S KIND OF WHEN I RES0092-040 OK OK AND HAVE YOU TRAVELED OUTSIDE THE CITY OR COUNTRY RES0092-041 HAD THOSE OTHER SYMPTOMS FOR A FEW DAYS AFTER THAT OK RES0092-042 HAVE YOU TRAVELLED OUTSIDE THE CITY OR COUNTRY NO I HAVEN'T RES0092-043 OK DO YOU DRINK ALCOHOL SOMETIMES I RES0092-044 I WILL WITH FRIENDS RES0092-045 KIND OF SOCIALLY RES0092-049 WHAT ABOUT SMOKING NO MARIJUANA SOMETIMES WITH LIKE SOCIALLY WITH FRIENDS BUT THAT MIGHT RES0092-050 BE ONCE A MONTH OR RES0092-052 EVEN LESS ANY RECREATIONAL DRUGS NO OK ALRIGHT AND ANY LUNG CONDITIONS THAT RUN IN THE FAMILY RES0092-054 NO OK OK ALRIGHT SO THAT'S ALL THAT I I WANTED TO KNOW IT SOUNDS LIKE YOU HAD A YOU HAD A COLD LAST WEEK AND YOU JUST HAVE THIS RESIDUAL COUGH THAT'S STILL THERE AND IT'S BEEN TWO WEEKS AND YOU'RE JUST WORRIED ABOUT IT RES0092-055-1 BUT OTHERWISE YOU'RE FEELING WELL YOU DON'T HAVE ANY OTHER SYMPTOMS OFTEN TIMES WHEN WE GET SICK OR WE HAVE AN INFECTION OR INFLAMMATION OF THE OF THE RES0092-055-2 THE AIRWAY WE CAN GET A COUGH THAT LASTS A LONG TIME AND IT MIGHT JUST TAKE YOU A COUPLE MORE WEEKS FOR THE COUGH TO GO AWAY RES0092-056 BUT IF YOU FEEL THAT IT'S GETTING ANY WORSE OR YOU'RE YOU HAVE THOSE SYMPTOMS COME BACK AGAIN OR YOU DEVELOP A FEVER WE CAN YOU CAN DEFINITELY WE CAN DO SOMETHING MORE ABOUT THAT I'LL ALSO DO A PHYSICAL EXAM AND AND SEE HOW YOU'RE DOING AND THEN WE CAN GO FROM THERE RES0092-057 OK GREAT THANK YOU RES0093-000 WHAT BRINGS YOU IN TODAY RES0093-001 YEAH SO I'VE HAD THIS COUGH THAT STARTED WITHIN THE LAST DAY AND I'VE ALSO BEEN PARTICULARLY SHORT OF BREATH AS WELL RES0093-002 CAN YOU TELL ME ABOUT THE THE COUGH HOW IS IT DRY COUGH OR WET COUGH RES0093-003 IT'S WET I'VE BEEN BRINGING UP SPUTUM THAT'S IT'S JUST IT LEAVES A REALLY BAD TASTE IN MY MOUTH WHEN WHEN BRINGING IT UP RES0093-004 WHAT COLOR IS THE SPUTUM RES0093-005 IT'S KIND OF LIKE YELLOWISH GREEN TYPE COLOR RES0093-006 YOU NOTICED ANY BLOOD RES0093-007 NO I HAVEN'T SEEN ANY BLOOD RES0093-008 AND IT ONLY STARTED YESTERDAY WHAT ABOUT THE THE DIFFICULTIES BREATHING WHEN DID THAT START RES0093-009 THAT STARTED REALLY WITHIN THE LAST TWELVE HOURS OR SO RES0093-010 AND CAN YOU TELL ME IF IT'S GOTTEN BETTER OR WORSE SINCE THEN RES0093-011 IT'S BEEN IT'S BEEN GETTING WORSE AND THE PHLEGM ALSO SMELLS REALLY BAD RES0093-012 OK WHEN DO YOU HAVE DIFFICULT LIKE IS THERE ANYTHING THAT MAKES THE SHORTNESS OF BREATH WORSE RES0093-013 IF I WHEN I WAS HAVING A CIGARETTE EARLIER TODAY IT GOT A BIT WORSE AND WHEN I WENT OUT TO GET THE MAIL TODAY I I JUST COULDN'T DO IT I I HAD TO JUST SIT DOWN RES0093-014 AND THAT WHAT HAPPENED TO YOU BEFORE RIGHT RES0093-015 NO I USUALLY AM ABLE TO TO GO OUT AND GET THE MAIL NO PROBLEM YEAH RES0093-016 OK AND SAY TWO DAYS AGO WERE YOU FEELING PERFECTLY FINE RES0093-017 I WAS I WASN'T SICK AT ALL RES0093-018 OK SO YOU'VE HAD THIS BAD COUGH AND YOU'VE HAD SOME DIFFICULTIES BREATHING SINCE YESTERDAY HAVE YOU HAD A HEADACHE AT ALL RES0093-019 NO NO HEADACHE RES0093-020 ANY RUNNY NOSE RES0093-021 NO IT'S REALLY NO RES0093-022 ANY CONGESTION RES0093-023 NO RES0093-024 NO OK HAVE YOU HAD ANY PAIN IN YOUR CHEST RES0093-025 NO PAIN RES0093-026 WHEN YOU'RE BREATHING IN OR BREATHING OUT ANY PAIN AT THAT TIME OR DEEP BREATHING RES0093-027 NO I HAVEN'T HAD ANY PAIN RES0093-028 OK HAVE YOU HAD ANY PALPITATIONS OR YOU FEEL LIKE YOUR HEART'S RACING RES0093-029 YEAH I DO I FEEL LIKE MY HEART HAS BEEN BEATING A LITTLE BIT FASTER RES0093-030 OK AND ANY PAIN IN YOUR BELLY RES0093-031 NO RES0093-032 NAUSEA OR VOMITING RES0093-033 NO BUT WELL I GUESS I HAVE FELT A LITTLE NAUSEOUS WITH THE BAD TASTE IN MY MOUTH RES0093-034 YEAH OK AND ANY DIARRHEA OR CONSTIPATION RES0093-035 NO I HAVEN'T ANYTHING LIKE THAT RES0093-036 OK ANY SORE THROAT RES0093-037 NO RES0093-038 OK ALRIGHT ANY OTHER SYMPTOMS THAT I HAVEN'T TALKED ABOUT THAT YOU EXPERIENCED OVER THE PAST DAY RES0093-039 NO IT'S REALLY BEEN THIS COUGH AND BRINGING UP THIS THIS SPUTUM AND BEING SHORT OF BREATH RES0093-040 OK CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS RES0093-041 YEAH I HAVE HIGH BLOOD PRESSURE RES0093-042 I ALSO HAVE ACID REFLUX SO GERD I THINK THINK IT'S CALLED RES0093-043 AND HIGH CHOLESTEROL AS WELL RES0093-044 OK OK RES0093-045 AND I'VE ALSO BEEN HAD ISSUES WITH ANXIETY IN THE PAST AS WELL RES0093-046 IN TERMS OF MEDICATIONS ARE YOU TAKING ANY RES0093-047 YEAH I TAKE AN ACE INHIBITOR STATIN AND MEDICATION FOR MY STOMACH I THINK LIKE PANTOPRAZOLE RES0093-048 OK AND HOW WELL HAS YOUR GERD BEEN CONTROLLED RES0093-049 IT KIND OF IT BUGS ME MOST DAYS ITS NOT SO BAD I MEAN SOMETIMES I'LL GET A LITTLE BIT OF HEARTBURN AND ACID IN THE IN MY MOUTH BUT IT DEPENDS ON WHAT I EAT SO I REALLY TRY TO STAY AWAY FROM SOME SOME FOODS RES0093-050 SO THE PPI HASN'T COMPLETELY CURBED THE THE ACID REFLUX YOU STILL GET IT RES0093-051 I STILL GET IT IT'S DEFINITELY HELPED THOUGH IT WAS A LOT WORSE BEFORE STARTING IT I'VE BEEN ON BEEN ON IT NOW FOR A FEW YEARS RES0093-052 OK AND AS FOR YOUR ANXIETY DO YOU EVER GET PANIC ATTACKS RES0093-053 NO I HAVEN'T HAD ANY ANY PANIC ATTACKS RES0093-054 OK ALRIGHT DO YOU HAVE ANY ALLERGIES RES0093-055 NO RES0093-056 OK SO YOU SAID THAT THESE SYMPTOMS STARTED YESTERDAY AND THEY WERE QUITE SUDDEN WAS THERE ANYTHING THAT YOU WERE DOING YESTERDAY OR THE DAY BEFORE THAT WAS DIFFERENT OR UNUSUAL RES0093-057-1 WELL YEAH I MEAN YESTERDAY I OR I HAD A BIT MORE TO DRINK THAN USUAL RES0093-057-2 MORE ALCOHOL I MEAN SO I MEAN COULD THAT HAVE SOMETHING TO DO WITH IT I'M NOT SURE RES0093-058 IT COULD POTENTIALLY DID YOU WERE YOU WERE YOU DRUNK AND DID YOU PASS OUT RES0093-059 I THINK SO MY MY FRIENDS THAT'S WHAT MY FRIENDS WERE WERE SAYING ANYWAY RES0093-060 OK AND TALKING ABOUT ALCOHOL HOW MUCH DO YOU USUALLY DRINK RES0093-061 I USUALLY LIKE LIKE FOUR TO SIX BEERS A DAY BUT YESTERDAY WAS CERTAINLY MORE THAN THAT RES0093-062 HAVE YOU CONSIDERED REDUCING THE AMOUNT OF ALCOHOL YOU DRINK HAS IT AFFECTED YOU IN ANY WAY RES0093-063 I MEAN I I'M RETIRED NOW SO I DON'T KNOW I I FEEL LIKE IT'S BEEN FINE MAYBE I FEEL LIKE IT'S BEEN FINE RES0093-064 OK OK I SUPPOSE WE COULD TALK A LITTLE BIT MORE ABOUT THAT LATER IF YOU WANT AS FOUR TO SIX BEERS IS QUITE A LOT ACTUALLY AND IT CAN AFFECT YOUR HEALTH IN CERTAIN WAYS BUT WE CAN WE CAN CHAT MORE ABOUT THAT LATER RES0093-065 OK RES0093-066 AND DO YOU SMOKE RES0093-067 I SMOKE A HALF A PACK OF CIGARETTES PER DAY IT WAS WELL OVER A PACK BEFORE SO I'VE CUT DOWN A LITTLE BIT RES0093-068 NO THAT'S GREAT OK DO YOU PLAN ON CUTTING IT DOWN FURTHER OR DO YOU WANNA STAY RIGHT THERE RES0093-069 I HAVE BEEN HAVE BEEN TRYING JUST TOO TOO DARN EXPENSIVE THESE DAYS SO BEEN TRYING TO CUT BACK RES0093-070 THAT'S FAIR ALRIGHT WHAT ABOUT MARIJUANA DO YOU CONSUME MARIJUANA RES0093-071 NO I DON'T RES0093-072 ANY RECREATIONAL DRUGS RES0093-073 NOPE RES0093-074 ALRIGHT DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL PROBLEMS RES0093-075 MY MY FATHER HAD HE ENDED UP HAVING LIVER DISEASE ACTUALLY HE PASSED AWAY FROM THAT I THINK AND HE HAD HEART PROBLEMS TOO HE WAS A LIFELONG SMOKER AND DIDN'T REALLY DIDN'T REALLY TAKE CARE OF HIMSELF RES0093-076 I SEE DO YOU DO YOU HAVE A FAMILY DOCTOR RES0093-077 I DO I HAVEN'T SEEN MY FAMILY DOCTOR IN A NUMBER OF YEARS NOW THOUGH RES0093-078-1 YEAH WELL YOU KNOW IT'S IT'S A GOOD IDEA TO SEE YOUR FAMILY DOCTOR ON A REGULAR BASIS SPECIALLY WHEN YOU'RE GETTING OLDER BECAUSE SOMETIMES YOU MIGHT NEED CHANGES IN YOUR MEDICATIONS OR THERE MIGHT BE CHECKUPS OR SCREENINGS THAT THEY MIGHT WANT TO DO RES0093-078-2 IT'S FOR YOUR OWN BENEFIT YOU KNOW MAYBE EVEN JUST SEEING THEM ONCE A YEAR WOULD BE A GOOD IDEA I WOULD DEFINITELY RECOMMEND THAT YOU BOOK AN APPOINTMENT WITH THEM JUST FOR A CHECKUP RES0093-078-3 IN THE NEXT COUPLE OF WEEKS IS THERE A REASON WHY YOU DON'T SEE YOUR FAMILY DOCTOR TOO OFTEN RES0093-079 I JUST HAVEN'T BEEN SICK AND I'VE BEEN ABLE TO TO REFILL MY PRESCRIPTIONS MOSTLY FROM JUST CALLING IN SO RES0093-080 OK OK I SEE ALRIGHT AND DO YOU LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE RES0093-081 I LIVE WITH MY WIFE RES0093-082 OK ALRIGHT AND ARE YOU ABLE TO TAKE CARE OF THINGS LIKE GROCERIES OR FINANCES OR SHOVELING SNOW OR CLEANING THE HOUSE OR DO YOU NEED ANY ASSISTANCE WITH THOSE SORT OF HOUSEHOLD ACTIVITIES RES0093-083-1 YEAH WE MOVED ACTUALLY INTO AN APARTMENT LAST YEAR IT'S MADE IT A LOT EASIER IN TERMS OF THE HOUSEWORK AND THAT SORT OF THING BUT I'VE BEEN ABLE TO I DO THE THE GROCERY SHOPPING AND RES0093-083-2 SHARE THE THE CHORES AROUND AROUND THE HOUSE I DO I'LL USE A CANE SOMETIMES I I INJURED MY KNEE A NUMBER OF YEARS AGO BUT OTHER THAN THAT THINGS ARE ARE OK RES0093-084 OK OK GOOD TO HEAR THAT REMINDS ME HAVE YOU HAD ANY SURGERIES IN THE PAST RES0093-085 JUST ON MY MY LEFT KNEE I HAD A LEFT KNEE REPLACEMENT A FEW YEARS AGO RES0093-086 OK ALRIGHT AND HAVE YOU ANY HAD HAD ANY HOSPITALIZATIONS RES0093-087 NO RES0093-088-1 OK ALRIGHT SO SOUNDS LIKE YOU'VE HAD A DAY OF THIS WET COUGH WITH THE THIS A BAD SMELLING SORT OF SPUTUM THAT'S RES0093-088-2 THAT'S YELLOWISH GREEN IN COLOR AND YOU'VE ALSO HAD DIFFICULTIES BREATHING FOR THE PAST TWELVE HOURS SO MUCH SO THAT YOU CAN'T EVEN GO OUT TO GET MAIL AND YOUR HEARTS BEEN RACING RES0093-088-3 IT'S POSSIBLE THAT WHILE YOU WERE DRUNK THAT YOU MIGHT HAVE AND GIVEN THAT YOU HAVE ACID REFLUX THAT YOU MIGHT HAVE ACCIDENTALLY HAVE SOMETHING GO INSIDE YOUR BREATHING TUBE RES0093-088-4 FROM FROM YOUR MOUTH OR SOMETHING THAT CAME UP FROM YOUR STOMACH AND SOMETIMES WHEN THAT HAPPENS FOOD ITEMS CAN OR OTHER THINGS CAN GET LODGED IN YOUR LUNGS AND CAN BECOME CAN ATTRACT BACTERIA TO RES0093-088-5 TO TO REPLICATE AND CAUSE A BACTERIAL INFECTION SO IT'S POSSIBLE THAT THAT'S WHAT HAPPENED BUT IT COULD ALSO BE A VIRAL PNEUMONIA RES0093-088-6 OR A VIRAL INFECTION IN YOUR CHEST WE'LL GET A CHEST X RAY DONE WE'LL HAVE SOME LABS DONE AS WELL AND WE'LL LIKELY START SOME ANTIBIOTICS HAVE YOU RECENTLY BEEN ON ANY ANTIBIOTICS RES0093-089 NO I HAVEN'T RES0093-090 AND YOU DON'T HAVE ANY ALLERGIES TO ANY CORRECT RES0093-091 CORRECT RES0093-092 ALRIGHT OK WE'LL ALSO DO A PHYSICAL EXAM JUST TO GIVE A LISTEN TO YOUR TO YOUR LUNGS AND SEE HOW THEY'RE DOING AND THEN GO FROM THERE DO YOU HAVE ANY QUESTIONS FOR ME RES0093-093 NO THAT SOUNDS GOOD THANK YOU RES0094-000 HOW MAY I HELP YOU RES0094-001 I'VE HAD A RUNNY NOSE OVER THE LAST FEW DAYS AND I'VE STARTED TO HAVE A SORE THROAT AS WELL RES0094-002 WHEN DID THIS START RES0094-003 I WOULD SO THE RUNNY NOSE STARTED ABOUT FIVE DAYS AGO AND AND THE SORE THROAT ABOUT THE SAME RES0094-004 OK HAVE YOU WITH THE THE RUNNY NOSE DO YOU HAVE ANY WHAT'S THE DISCHARGE LIKE RES0094-005 IT'S BEEN KIND OF WATERY RES0094-006 IT'S CLEAR OK ALRIGHT AND HAS YOUR SORE THROAT GOTTEN BETTER OR WORSE OVER THE PAST FIVE DAYS RES0094-007 IT DID GET A LITTLE BIT WORSE INITIALLY AND SINCE THEN IT'S BEEN KIND OF STABLE RES0094-008 HAVE YOU HAD ANY DIFFICULTIES SWALLOWING RES0094-009 NO IT IT IS A BIT SORE TO SWALLOW SO IT TAKES ME A LITTLE BIT LONGER TO EAT BUT I'VE BEEN ABLE TO STILL RES0094-010 STILL EAT HAVE YOU CHANGED NOTICED ANY CHANGES IN YOUR VOICE ANY HOARSENESS IN YOUR VOICE RES0094-011 NO RES0094-012 NO OK AND DO YOU HAVE ANY NASAL CONGESTION DOES YOUR NOSE FEEL STUFFY RES0094-013 IT DOES YES RES0094-014 OK ANY FEVERS OR CHILLS RES0094-015 NO I DON'T THINK SO RES0094-016 OK ANY DIFFICULTIES BREATHING RES0094-017 NO RES0094-018 ANY COUGH RES0094-019 NO RES0094-020 OK ANY PAIN IN YOUR CHEST RES0094-021 NO RES0094-022 ANY OTHER SYMPTOMS ANYTHING RELATED TO YOUR BELLY SAY DIARRHEA OR CONSTIPATION OR ANY CHANGES IN YOUR URINARY ANY URINARY SYMPTOMS RES0094-023 NO NOTHING LIKE THAT RES0094-024 OK OK ARE YOU FEELING FATIGUED TIRED HAVE ANY MUSCLE ACHES RES0094-025 I I HAVE FELT A LITTLE BIT MORE DROWSY THESE LAST FEW DAYS AND MY I HAVE HAD SOME MUSCLE ACHES AS WELL RES0094-026 HAVE YOU TAKEN ANYTHING TO HELP YOURSELF ANYTHING OVER THE COUNTER OR ANY PILLS RES0094-027 I DID USE SOME LIKE COLD MEDICATION TO HELP BECAUSE I WAS HAVING A HEADACHE AS WELL AND A LOT OF I GUESS JUST LIKE PRESSURE FROM THE NOSE STUFFINESS RES0094-028 DID THE COLD MEDS HELP RES0094-029 IT DID HELP A LITTLE BIT IT DID HELP MY NOSE CLEAR UP BUT IT CAME RIGHT BACK AFTER A FEW HOURS RES0094-030 AND HOW'S YOUR HEADACHE NOW RES0094-031 IT'S NOT TOO BAD IT'S PRETTY MILD BUT IT'S THERE RES0094-032 DO YOU USUALLY GET HEADACHES OF THIS SORT OR IS THIS VERY DIFFERENT FROM WHAT YOU GENERALLY EXPERIENCE IF YOU USUALLY HAVE HEADACHES RES0094-033 I DON'T USUALLY GET HEADACHES BUT I HAVE FELT A HEADACHE LIKE THIS BEFORE THOUGH RES0094-034 OH OK WHEN WAS THAT RES0094-035 MAYBE THE LAST TIME I WAS I WAS SICK RES0094-036 SURE RES0094-037 OR IF I DON'T GET A GOOD NIGHT'S SLEEP SCHOOL'S PRETTY EARLY IN THE MORNING SO SOMETIMES IF I'M NOT SLEEPING WELL RES0094-038 I SEE OK ALRIGHT ANY OTHER SYMPTOMS THAT YOU'VE EXPERIENCED OVER THE PAST FIVE DAYS THAT I DIDN'T ASK YOU ABOUT RES0094-039 NO IT'S BEEN MOSTLY THE RUNNY NOSE AND SORE THROAT AND HEADACHE RES0094-040 I SEE OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS RES0094-041 NO I'VE BEEN HEALTHY RES0094-042 ALL RIGHT GOOD ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS RES0094-043 I'LL USE LIKE REACTINE OR CLARITIN SOMETIMES FOR ALLERGIES BUT THAT'S IT RES0094-044 WHAT ALLERGIES DO YOU HAVE RES0094-045 I HAVE ALLERGIES TO DUST AND SOME ENVIRONMENTAL THINGS LIKE POLLEN OR RAGWEED I THINK MAYBE RES0094-046 I SEE ALRIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RES0094-047 I THINK MY DAD HAS HIGH BLOOD PRESSURE HE TAKES A MEDICATION FOR THAT NOTHING SERIOUS THOUGH RES0094-048 THAT I KNOW OF OK ALRIGHT AND WHO DO YOU RES0094-049 CURRENTLY LIVE WITH SO I LIVE WITH BOTH MY PARENTS AND RES0094-050 I HAVE AN OLDER SISTER AS WELL RES0094-051 GOOD OK AND DO YOU SMOKE I DID TRY A VAPE ONCE OR TWICE BUT DIDN'T REALLY RES0094-052 LIKE IT SO RES0094-054 NO I HAVEN'T TRIED RES0094-056 ANY RECREATIONAL DRUGS RES0094-057 NO RES0094-058 DO YOU DRINK ALCOHOL NO OK AND HAVE YOU RECENTLY TRAVELED RES0094-059 NO WE'VE BEEN DOING CLASSES RES0094-060 VIRTUALLY AND ANY CONTACT WITH ANYONE WHO YOU THINK MIGHT BE SICK RES0094-062-1 NO RES0094-062-2 OK ALRIGHT WELL SOUNDS LIKE YOU HAVE A SORE THROAT AND RUNNY NOSE YOU'VE BEEN A LITTLE BIT DROWSY HAD SOME HEADACHES IN THE PAST FIVE DAYS THINGS WERE GETTING A LITTLE BIT WORSE EARLY ON BUT IT'S BEEN A LITTLE BIT IT'S BEEN MORE STABLE NOW RES0094-062-3 WE'LL DO A PHYSICAL EXAM SEE JUST LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH AND CHECK YOUR TEMPERATURE RES0094-062-4 AND GO FROM THERE IT SOUNDS LIKE YOU PROBABLY HAVE A VIRAL INFECTION OF SOME SORT THAT SHOULD GET HOPEFULLY GET BETTER OVER TIME WE WILL ALSO GET A COVID SWAB DONE JUST IN CASE AND IF THINGS SEEM TO GET WORSE WE CAN YOU CAN DEFINITELY COME BACK RES0094-063 OK GREAT THANK YOU RES0095-000 HOW CAN I HELP YOU RES0095-001 I'VE HAD WORSENING SHORTNESS OF BREATH FOR THE PAST COUPLE OF DAYS RES0095-002 OK AND THIS HAS JUST BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS RES0095-003 OK HOW FAR ARE YOU ABLE TO WALK BEFORE GETTING SHORTER BREATH RES0095-004 A COUPLE OF STAIRS TWO TO THREE STAIRS RES0095-005 OK AND HOW FAR WERE YOU ABLE TO TO TO WALK BEFORE THAT RES0095-006 I'D SAY ABOUT TEN OR ELEVEN STAIRS RES0095-007 OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE RES0095-008 SIX MONTHS AGO RES0095-009 OK COULD YOU TELL ME ABOUT WHAT HAPPENED SIX MONTHS AGO RES0095-010 I WAS FEELING ALL I WAS FEELING JUST LIKE THIS WAS FEELING AWFUL I WENT TO THE HOSPITAL THEY STARTED ME ON A WATER PILL KEPT ME FOR A COUPLE OF DAYS AND THEN SENT ME BACK HOME THEY CHANGED SOME OF MY MEDS I THINK INCREASED THE DOSE OF SOMETHING AND THAT'S WHAT HAPPENED RES0095-011 OK I SEE AND HAVE YOU BEEN HAVING ANY SWELLING RES0095-012 OH MY GOODNESS IT'S SO BAD I COULDN'T WEAR MY SHOES THIS MORNING IT'S GOTTEN WORSE OVER THE PAST ONE MONTH RES0095-013 HAVE YOU HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RES0095-014 GAINED FIVE POUNDS IN THE PAST TWO MONTHS RES0095-015 AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE OR OR DIET OR EXERCISE RES0095-016 I CAN BARELY EXERCISE I FEEL SO SHORT OF BREATH MY DAD'S THE SAME RES0095-017 OK AND HAVE YOU HAD ANY INSTANCES WHERE YOU'VE WOKE UP IN THE MIDDLE OF THE NIGHT EXTREMELY SHORT OF BREATH RES0095-018 THAT HAPPENED LAST NIGHT COULDN'T FALL ASLEEP RES0095-019 DID IT HELP SITTING UP RES0095-020 I JUST WENT AND SAT ON MY CHAIR AND SLEPT ON THE CHAIR RES0095-021 OK AND DO YOU TYPICALLY HAVE PROBLEMS WITH SHORTNESS OF BREATH IF YOU LIE FLAT RES0095-022 I DO I HAVE TO STARTED USING TWO PILLOWS RES0095-023 IS THIS A NIGHTLY THING RES0095-024 IT'S IT'S FINE WITH THE TWO PILLOWS NOW RES0095-029 HOW ABOUT ANY ANY CHEST PAIN NO HAVE YOU BEEN HAVING ANY INSTANCES FEELING AS THOUGH YOUR HEART'S RACING OR BEATING OUT OF YOUR CHEST RES0095-030 NO RES0095-031 ALRIGHT HAVE YOU HAD ANY FAINTING OR DIZZINESS RES0095-032 NO RES0095-033 ALRIGHT HAVE YOU HAD ANY WHEEZING RES0095-034 NO RES0095-035 OK HAVE YOU HAD ANY INFECTIOUS SYMPTOMS SUCH AS EYE REDNESS EYE DISCHARGE NASAL DISCHARGE OR OR SORE THROAT RES0095-036 NOT RECENTLY I HAD THAT ABOUT TWO MONTHS AGO BUT THAT GOT BETTER RES0095-037 OK DID YOU NEED ANTIBIOTICS TWO MONTHS AGO RES0095-038 NO NO JUST LASTED A COUPLE DAYS AND GOT BETTER ON ITS OWN RES0095-039 I SEE OK AND HAVE YOU BEEN HAVING ANY RES0095-041 ABDOMINAL PAIN NO HOW ABOUT ANY CHANGES TO BOWEL HABITS SUCH AS RES0095-043 DIARRHEA OR CONSTIPATION RES0095-044 NO ANY URINARY PROBLEMS I DO RES0095-045 I I I LEAK URINE SOMETIMES ACTUALLY RES0095-046 OK AND DO YOU USE ANY MEDICATIONS NO I I WELL I DO I USE A LOT OF MEDICATIONS BUT I DON'T REMEMBER THEIR NAMES I HAVE THIS BLISTER PACK AND I JUST TAKE EVERYTHING IN IT I ALSO I BROUGHT THE LIST OF PRESCRIPTIONS I CAN GIVE THAT TO YOU RES0095-047 FOR SURE I COULD GO THROUGH GO THROUGH THAT HERE SO BUT FIRST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0095-048 I HAVE HEART HEART FAILURE AND HAD TWO HEART ATTACKS AND HAVE HIGH CHOLESTEROL HIGH BLOOD PRESSURE AND I'M ALSO OVERWEIGHT RES0095-049 OK DO YOU KNOW WHAT YOUR BMI IS CURRENTLY RES0095-050 WHAT'S THAT RES0095-060 SURGERIES TO YOUR TO YOUR HEART DO YOU HAVE A STENT PLACED I HAD TO STENT PUT IN AFTER THE FIRST HEART ATTACK ABOUT FIVE YEARS AGO RES0095-061 AND THEN ANOTHER ONE THREE YEARS AGO OK AND HAVE YOU HAVE YOU BEEN RES0095-062-1 STABLE IN REGARDS TO YOUR LIKE CHEST PAIN HAVE YOU HAD ANY RES0095-062-2 NO I HAVEN'T HAD CHEST PAIN I HAVE A A HEART DOCTOR WHO I WENT TO SEE AFTER THE LAST HOSPITALIZATION SIX MONTHS AGO THINGS WERE LOOKING OK AT THE TIME HE ORDERED A BUNCH OF TESTS I HAVEN'T DONE ALL OF THEM YET RES0095-063 OK DO YOU KNOW BY ANY CHANCE WHAT THE LAST EJECTION FRACTION WAS ON YOUR ECHOCARDIOGRAM RES0095-064 I DON'T KNOW I I DON'T KNOW ALL OF THAT I DON'T KNOW YOU HAVE TO ASK MY DAUGHTER SHE KNOWS MUCH MORE ABOUT ME RES0095-065 NO PROBLEM WELL WE COULD LOOK INTO SOME OF THOSE OLD OLDER TESTS THAT YOU'VE DONE OK AND SO CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY YOU MENTIONED YOUR YOUR DAUGHTER ARE YOU LIVING WITH YOUR DAUGHTER RES0095-066 I LIVE WITH MY DAUGHTER MY HUSBAND PASSED AWAY THREE YEARS AGO AND SO I'VE JUST BEEN STAYING WITH MY DAUGHTER IT'S JUST THE TWO OF US NOW RES0095-067 I SEE I'M SORRY TO HEAR THAT ABOUT YOUR HUSBAND ARE YOU CURRENTLY LIKE FUNCTIONING INDEPENDENTLY AROUND THE HOME OR DOES YOUR DAUGHTER HELP WITH A LOT OF THE TASKS RES0095-068-1 OH SHE SHE SHE HAS TO HELP ME OUT SHE HAS TO HELP ME OUT I I SOMETIMES NEED HELP WITH THE SHOWERING RES0095-068-2 SIMPLY BECAUSE I GET REALLY SHORT OF BREATH AND THEN SO I HAVE TO STOP AND IT'S JUST SHE'S JUST WORRIED THAT IT'S UNSAFE SO SHE HELPS ME OUT WITH THAT SHE GETS MOST OF THE THINGS DONE AT HOME SHE DOES THE GROCERIES AND EVERYTHING RES0095-069 OK I SEE AND DO YOU DO YOU SMOKE CIGARETTES RES0095-070 I I DON'T RES0095-071 AND DO YOU DRINK ALCOHOL RES0095-072 NOT ANYMORE RES0095-073 OK DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS RES0095-074 NO NO NO NO NOTHING LIKE THAT RES0095-075 ALRIGHT THEN DO YOU USE ANY OTHER RECREATIONAL DRUGS RES0095-076 NO NO I DON'T RES0095-077 ALRIGHT HAVE YOU BEEN AROUND ANYBODY WHO YOU THINK MIGHT HAVE BEEN SICK RES0095-078 NO I'VE JUST BEEN STAYING AT HOME MY DAUGHTER'S BEEN WORKING FROM HOME TOO RES0095-079 OK SO YOU HAVEN'T HAD MUCH CONTACT WITH RES0095-080 NO RES0095-081 WITH OTHERS RECENTLY OK HAVE YOU SO YOU HAVEN'T TRAVELED ANYWHERE RES0095-082 NO RES0095-083 ALRIGHT AND AND IN TERMS OF FAMILY HISTORY HAS ANYBODY HAD ANY HEART OR LUNG CONDITIONS RES0095-084 OH EVERYONE IN MY FAMILY HAS HIGH BLOOD PRESSURE MY MOM HAD A HEART ATTACK MY BROTHER HAD A HEART ATTACK MY SISTER HAD A HEART ATTACK EVERYONE EVERYONE HAS HEART PROBLEMS RES0095-085 OK CERTAINLY SOUNDS LIKE SOMETHING COMMON IN THE FAMILY HAS THERE BEEN ANY OTHER CONDITIONS RES0095-091 ANY NIGHT SWEATS NO OK AND I MIGHT HAVE ASKED BUT JUST TO TO BE COMPLETE DID YOU HAVE ANY NAUSEA OR VOMITING RES0095-092 NO RES0095-093 OK SO WERE THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT THAT I MAY HAVE FORGOT TO ASK ABOUT RES0095-094 NO I DON'T THINK SO IT'S JUST THE THE DIFFICULTIES WITH BREATHING AND THE SWELLING RES0095-095-1 SO THE FIRST THING I'LL SPEAK TO YOUR DAUGHTER AND WE WILL GET A LOOK AT SOME OF THE OLD OR SOME OF THE REPORTS FROM OVER THE LAST SEVERAL MONTHS FROM AND FROM THE CARDIOLOGIST YOU SEE RES0095-095-2 BUT IT'S AND THEN ALSO WE'LL GET SOME BLOOD WORK AND A CHEST X RAY BUT IT IS SOUNDING LIKE THIS COULD BE A HEART FAILURE EXACERBATION RES0095-095-3 WHICH SO SOME OF THE SHORTNESS OF BREATH IT COULD BE COMING FROM FLUID THAT HAS ACCUMULATED IN YOUR LUNGS AND SO WE'LL A RES0095-095-4 OH ANOTHER TYPE OF WATER PILL NOW FUROSEMIDE TO TRY AND HELP GET RID OF SOME OF THAT FLUID SO IT WILL HELP WITH THE BREATHING AND IN THE MEANTIME WE'LL WAIT FOR THE INVESTIGATIONS TO COME BACK RES0095-096 SURE THANK YOU RES0096-000 HOW CAN I HELP YOU RES0096-001 I HAVE JUST BEEN FEELING VERY SHORT OF BREATH RECENTLY RES0096-002 OK RES0096-003 AND I THOUGHT I SHOULD COME IN I'VE ALSO HAD A I'VE ALSO HAD A COUGH RES0096-004 I SEE OK AND WHEN DOES THIS SHORTNESS OF BREATH COME ON HOW HOW MUCH ACTIVITY ARE YOU ABLE TO DO RES0096-005 I CAN WALK A BLOCK RES0096-006 OK RES0096-007 WITHOUT BEING SHORT OF BREATH RES0096-008 AND PRIOR TO THIS CHANGE HOW HOW FAR WERE YOU ABLE TO WALK AND AND HOW LONG AGO DID YOU DID YOU RES0096-009-1 NOTICE THIS CHANGE RES0096-009-2 I I GUESS I COULD WALK I DON'T KNOW IT'S BEEN VERY I GUESS IT'S IT'S BEEN A GRADUAL CHANGE MAYBE A MONTH A MONTH AGO I FELT THAT I COULDN'T REALLY RES0096-009-3 WALK AS MUCH AS I USED TO AND THEN IT'S ONLY GOTTEN WORSE TWO OR THREE MONTHS AGO I COULD I COULD WALK A KILOMETRE OR TWO RES0096-010 OK SO QUITE A SIGNIFICANT CHANGE OVER THE LAST LITTLE WHILE HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT WITH WITH SHORTNESS OF BREATH AND YOU NEED TO SIT UP RES0096-011 NO RES0096-012 OK AND HOW MANY PILLOWS DO YOU SLEEP WITH RES0096-013 ONE RES0096-014 OK AND HAVE YOU NOTICED ANY LIKE ANKLE SWELLING OR OR LEG SWELLING RES0096-015 NO RES0096-016 OK AND YOU MENTIONED COUGH RES0096-017-1 WHEN DID THAT START RES0096-017-2 I'VE HAD A COUGH FOR A WHILE THE PAST FIVE TEN YEARS BUT I FEEL THAT IT'S BEEN A LITTLE BIT MORE FREQUENT NOW IT'S JUST I JUST GET INTO THIS COUGHING FIT RES0096-017-3 AND I THINK THERE WAS A TIME WHEN I HAD A LITTLE BIT OF BLOOD COME OUT AS WELL ONCE OR TWICE THE COUGHING ALSO MAKES IT DIFFICULT FOR ME TO BREATHE YOU KNOW I FEEL VERY SHORT OF BREATH AFTER THAT RES0096-018 CERTAINLY HOW MUCH RES0096-019 BLOOD HAVE YOU COUGHED UP RES0096-020 I THINK IT WAS IT WAS A LITTLE BIT DID IT HAPPEN EACH TIME RES0096-021 OR HAS IT ONLY BEEN A COUPLE OF TIMES I THINK MAYBE TWO OR THREE TIMES BUT THEN THERE HAVE ALSO BEEN TIMES WHEN I COUGH UP THIS THIS STUFF THAT I COUGH UP IS A LITTLE BIT PINK IN COLOR IT'S NOT EXACTLY BLOOD BUT IT'S IT'S YOU KNOW PINKISH RES0096-022 OK AND ARE YOU PRODUCING SPUTUM EACH TIME YOU'RE COUGHING UP RES0096-023 MOST OF THE TIMES YES RES0096-024 OK IS THIS A CHANGE FROM PREVIOUSLY DID YOU HAVE A DRY COUGH BEFORE RES0096-025 A BIT MORE OF A DRY COUGH BEFORE BUT I MEAN SO SOMETIMES IT WILL BE A DRY COUGH SOMETIMES IT WAS MORE OF A WET COUGH BUT IT WAS IT WAS USUALLY JUST THIS WHITE THING COMING UP IT WASN'T LIKE THERE WAS NEVER BLOOD BEFORE RES0096-026 OK AND YOU'RE COUGHING MORE OFTEN AS WELL OVER THIS LAST MONTH OK RES0096-028 OK HAVE YOU BEEN EXPERIENCING ANY RES0096-030 ANY HEADACHES NO OK HOW ABOUT ANY RES0096-038 LITTLE BIT THIRTY I THINK IT WAS THIRTY RES0096-039 OK SO THAT WOULD BE A FEVER THAT WAS I THINK TWO RES0096-040 OK DO YOU FEEL HOT NOW RES0096-041 NOT REALLY NO RES0096-042 OK HAVE YOU HAD ANY NIGHT SWEATS RES0096-043 NO RES0096-044 AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS RES0096-046 HOW MUCH WEIGHT RES0096-047 ABOUT TWENTY POUNDS RES0096-048 OK AND SO HOW HOW LONG WAS THAT WEIGHT LOSS OVER RES0096-049 I'D SAY ABOUT ABOUT THREE THREE FOUR MONTHS RES0096-050 OK AND SORRY WHAT WAS YOUR STARTING WEIGHT ROUGHLY RES0096-051 I WAS TWO HUNDRED AND TEN POUNDS RES0096-052 OK SO ABOUT A TEN PERCENT REDUCTION IN YOUR WEIGHT OVER THE LAST COUPLE OF MONTHS IT SOUNDS LIKE OK HOW IS YOUR APPETITE BEEN RES0096-053 IT'S OK RES0096-054 ALRIGHT AND HAVE YOU BEEN HAVING ANY RES0096-089 SMOKING OK HOW MUCH DO YOU SMOKE PER DAY I'VE GOT IT DOWN QUITE A BIT I ONLY HAVE TWO CIGARETTES A DAY I USED TO HAVE A PACK AND A HALF BUT I'VE GOT IT DOWN A LOT I'M TRYING TO I'M TRYING TO QUIT BUT IT'S HARD RES0096-090 FOR SURE IT'S GREAT THAT YOU'RE WORKING TOWARDS QUITTING WE CAN DISCUSS THAT FURTHER AND THERE ARE SEVERAL OPTIONS THAT MIGHT BE AVAILABLE TO HELP IF IT'S SOMETHING YOU'RE INTERESTED IN BECAUSE IT'S DEFINITELY REALLY HARD ARE YOU DO YOU DRINK ALCOHOL RES0096-091 ONCE IN A WHILE ON CHRISTMAS RES0096-092 OK AND DO YOU USE ANY RECREATIONAL DRUGS RES0096-093 NO RES0096-094 YOU SMOKE MARIJUANA OR USE MARIJUANA PRODUCTS RES0096-095 NO RES0096-096 ALRIGHT AND WHO ARE YOU LIVING WITH CURRENTLY RES0096-097 I LIVE WITH MY WIFE RES0096-098 OK AND ARE YOU DO YOU HELP LOOKING AFTER THE HOME AND LIKE FUNCTIONALLY INDEPENDENT RIGHT NOW RES0096-101 CANE OK AND MY MY SON COMES OVER AND HELPS OUT WITH GROCERIES AND MY WIFE COOKS BUT I I HELP HER WITH CLEANING SOMETIMES RES0096-102 OK GREAT AND SO ARE YOU RETIRED RES0096-103 OK AND HAS ANYBODY IN THE FAMILY HAD ANY HEART OR LUNG CONDITIONS RES0096-104 MY DAD DIED OF LUNG CANCER HE WAS A HE WAS A BIG SMOKER AS WELL AND MY MOM HAD A HEART ATTACK RES0096-105 OK AND HOW OLD WERE YOUR PARENTS APPROXIMATELY RES0096-106 MY DAD WAS SIXTY FIVE AND MY MOM WAS WAS VERY YOUNG SHE WAS FIFTY RES0096-107 I SEE DID YOUR MOM SURVIVE THE HEART ATTACK RES0096-108 NO NO SHE DID NOT RES0096-109 OH I'M SORRY TO HEAR THAT AND THE LUNG CANCER YOU MENTION ANY OTHER CANCERS THAT RUN IN THE FAMILY RES0096-110 NO RES0096-111-1 OK SO THAT WAS ALL THE QUESTIONS I WANTED TO ASK ON ON HISTORY CERTAINLY IT SOUNDS LIKE YOU'RE BRINGING UP SOME BLOOD WITH WITH WITH THE INCREASED COUGH AND WITH DIFFICULTIES BREATHING SO WE WILL GET RES0096-111-2 A A CHEST X RAY AND POSSIBLY A CT IMAGE OF YOUR CHEST AS WELL TO SEE IF THERE'S ANYTHING GOING ON RES0096-111-3 IN YOUR LUNGS AND WE MIGHT DO SOME BLOOD WORK AS WELL TO CHECK A FEW THINGS SO RES0096-112 WE'LL GET THOSE ORDERED AND AND SEE WHAT RES0097-000 HOW CAN I HELP YOU TODAY RES0097-001-1 HI I'M I'M THE MOM OF THE PATIENT AND I JUST WANTED TO TALK TO YOU ABOUT THE JUST ABOUT THOMAS HERE HE'S JUST BEEN NOT HE'S JUST NOT BEEN FEELING WELL HE'S HAD THIS COUGH FOR THE PAST RES0097-001-2 THREE OR FOUR DAYS AND HE'S ALSO HAD THIS STUFFY NOSE AND THIS THIS WATERY DISCHARGE YEAH HE'S JUST NOT FEELING GOOD RES0097-002 OK I SEE AND SO THE THE COUGH YOU SAID STARTED THREE OR FOUR DAYS AGO HAS THE COUGH GOTTEN ANY BETTER OR ANY STAYED THE SAME OR GOTTEN WORSE RES0097-003 GOTTEN A BIT WORSE I WOULD SAY RES0097-004 IS HE BRINGING UP ANY SPUTUM RES0097-005 NO RES0097-006 SO HAS THERE BEEN ANY BLOOD RES0097-007 NO NO RES0097-008 OK AND HAS THE COUGH INTERFERED WITH SLEEP RES0097-009 HIS COUGH IS USUALLY WORSE AT NIGHT RES0097-010 OK AND YOU SAY THAT HE'S ALSO HAD A RUNNY NOSE WHAT RES0097-011 DOES THE DISCHARGE LOOK LIKE RES0097-015 HE FEELS ONE OF THE LIKE THE NOSTRILS OBSTRUCTED HE HASN'T WELL HE'S JUST BEEN BREATHING WITH HIS MOUTH OPEN SO THAT'S WHAT HE DOES AT NIGHT AS WELL HE ALSO HAS THIS NASAL VOICE RIGHT NOW PROBABLY BECAUSE IT'S IT'S YOU KNOW HE HAS THIS STUFFY NOSE BUT HE HASN'T REALLY COMPLAINED ABOUT IT RES0097-016 HAS HE HAD ANY PAIN LIKE RES0097-018 OK HOW ABOUT ANY CHANGES TO SMELL OR LOSS OF SMELL RES0097-019 I DON'T THINK HE CAN SMELL MUCH RIGHT NOW RES0097-020 OK AND DID THOSE DID THAT START A FEW DAYS AGO AS WELL RES0097-021 SINCE HE'S BEEN COMPLAINING OF HIS STUFFY NOSE RES0097-022 OK AND HAS HE HAD ANY HEADACHES RES0097-023 NO BUT HE HAS HAD A FEVER RES0097-024 OK HOW DID YOU CHECK IT RES0097-025 I DID I DID IT WAS THIRTY NINE LAST NIGHT RES0097-026 ALRIGHT IT'S CERTAINLY A FEVER HAS HE HAD ANY CHILLS OR NIGHT SWEATS RES0097-027 HE'S BUT HE'S BEEN FEELING PRETTY CHILLY RES0097-028 OK RES0097-029 HE'S WEARING A COUPLE A COUPLE OF LAYERS AT HOME STILL FEELS CHILLY AND HE HAS ALOT OF CHILLS AND DEFINITELY HAS A FEVER RES0097-030 ALRIGHT AND HAS THE FEVER BEEN THERE THE WHOLE WHOLE TIME IF YOU'RE AWARE OR HAS THAT KIND OF COME AND GONE RES0097-031 YOU KNOW WHAT I ACTUALLY JUST CHECKED YESTERDAY SO I DON'T KNOW RES0097-032 ALRIGHT HAS HE HAD A SORE THROAT RES0097-033 IT'S USUALLY WORSE IN THE MORNING I THINK IT'S MORE OF A I GUESS THE POST NASAL DRIP YOU KNOW WITH THE WITH A RUNNY NOSE IT'S JUST IT'S PRETTY BAD IN THE MORNING RES0097-034 OK HAS HE HAD ANY RED EYES OR OR EYE DISCHARGE OR EYE PAIN RES0097-035 NO NO NO RES0097-036 OK AND HAS HE HAD ANY SHORTNESS OF BREATH RES0097-037 NO RES0097-038 HOW ABOUT ANY WHEEZING RES0097-052 CONSTIPATION NO HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR OR FREQUENCY RES0097-053 NO NOTHING LIKE THAT HE HASN'T COMPLAINED OF ANYTHING LIKE THAT RES0097-054 HAS HE HAD ANY SKIN CHANGES OR RASHES RES0097-055 NO RES0097-056 AND HOW ABOUT ANY MUSCLE ACHES OR JOINT PAINS RES0097-057 HE DEFINITELY HAS THAT HE'S COMPLAINING A LOT ABOUT MUSCLE ACHES RES0097-058 OK AND HOW HAS HIS ENERGY BEEN HAS HE BEEN FATIGUED RES0097-059 OH HE HASN'T GONE OUT TO PLAY HE HASN'T DONE ANYTHING HE'S JUST BEEN LYING IN BED RES0097-060 OK AND OVER THE LAST SEVERAL MONTHS HAS HE HAD ANY WEIGHT LOSS RES0097-061 NO HE'S BEEN GAINING WEIGHT ACTUALLY RES0097-062 OK NO THAT'S GOOD CERTAINLY AT THE AGE OF ELEVEN SHOULD BE STILL GAINING WEIGHT SO THAT'S RES0097-063 GOOD AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST HE WAS DIAGNOSED WITH RES0097-070 RESPIROLOGIST CURRENTLY YES YES YES OK AND HAS THERE BEEN LIKE AN INCREASE IN THE SPUTUM PRODUCTION OR LIKE WORSENING SHORTNESS OF BREATH OVER THESE LAST FEW DAYS RES0097-071 NO NOT REALLY RES0097-072 OK AND HAS HE HAD ANY RES0097-074 NO DOES HE HAVE ANY ALLERGIES TO MEDICATIONS RES0097-075 SULFA DRUGS RES0097-076 AND THE REACTION IS RES0097-077 HE JUST GETS A RASH RES0097-078 OK IS IT ARE IMMUNIZATIONS UP TO DATE RES0097-079 OH WE'RE VERY CAREFUL ABOUT THAT GIVEN HIS DIAGNOSIS HE'S GOT ALL THE ALL THE VACCINES RES0097-080 THAT'S GREAT THAT'S REALLY IMPORTANT FOR SURE AND SO I I JUST WANTED TO ASK ABOUT LIFE AT HOME A LITTLE BIT SO WHO'S IN THE HOUSE AND WHO'S THE PRIMARY CAREGIVER FOR HIM RES0097-081 I'M THE PRIMARY CAREGIVER ITS JUST ME HIM AND RES0097-085 SCHOOL GOING SCHOOLS GOING WELL IT'S JUST THE THE HOSPITALIZATIONS CAN SOMETIMES BE DISRUPTIVE BUT IT'S GOING WELL HE'S HE'S GETTING B'S IN HIS CLASS HE'S DOING WELL HE'S GOT A GOOD GROUP OF FRIENDS RES0097-086 EXCELLENT AND HAVE YOU HAD ANY CONCERNS ABOUT ABOUT DEVELOPMENT OR OR HIS GROWTH RES0097-087 NO RES0097-088 OK SO MEETING ALL MILESTONES AND RES0097-089 OK AND IN REGARDS TO BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY OR OR AT BIRTH RES0097-090 NO NOTHING AT BIRTH OR DURING PREGNANCY BUT HE DID START HAVING LOTS OF RESPIRATORY INFECTIONS WHICH IS WHEN THE PEDIATRICIAN DID THAT TEST I FORGET THE NAME FOR THE TEST AND THEN THEY WERE THE HE WAS FOUND TO HAVE CF RES0097-091 OK AND DOES ANYBODY IN THE HOME SMOKE RES0097-092 NO RES0097-093 OR DRINK ALCOHOL RES0097-094 NO RES0097-095 OK AND ARE THERE ANY PETS RES0097-096 IN THE HOME RES0097-097 OK HAS HE BEEN AROUND ANYBODY WHO'S BEEN SICK RES0097-098 I DON'T I DON'T THINK SO RES0097-099 OK AND HAVE YOU GUYS TRAVELED ANYWHERE RES0097-100 NO JUST BEEN AT HOME RES0097-101 OK AND HAS ANYBODY IN THE ELSE IN THE FAMILY HAVE CYSTIC RES0097-102 FIBROSIS NO NO NO NO ONE ELSE DOES BUT WE GOT TESTED AND WE WERE BOTH FOUND MY MY HUSBAND AND I WERE FOUND OUT HAVE THE GENE FOR IT WE WERE CARRIERS RES0097-103 OK I SEE AND ANY ANY HEART CONDITIONS OR OR OTHER LUNG CONDITIONS RES0097-105 FAMILY NO NOTHING ELSE OK AND WERE THERE ANY OTHER SYMPTOMS THAT OR ANYTHING ELSE THAT RES0097-106 YOU WANTED TO TELL ME THAT MAYBE I FORGOT TO ASK ABOUT NO I WAS JUST I'M JUST WORRIED ABOUT HIM ABOUT HIS FEVER SPECIFICALLY IT'S BEEN HIGH AND I KNOW THAT USUALLY WHEN HE HAS THESE HOSPITALIZATIONS HE PRESENTS PRETTY SIMILARLY SO JUST WONDERING IF HE WOULD NEED TO BE HOSPITALIZED AGAIN AND IF HE NEEDS ANTIBIOTICS RES0097-107-1 YEAH FOR SURE IT'S IT'S BEEN SO IT'S BEEN THREE OR FOUR DAYS BUT WITH A FEVER THIS HIGH AND HIS SYMPTOMS WITH HAVING OBSTRUCTION DISCHARGE RES0097-107-2 CHANGES TO SMELL OR LOSS OF SMELL IT DOES SOUND LIKE IT COULD BE BACTERIAL AND SO I THINK IT WOULD BE REASONABLE TO POSSIBLY TO START ANTIBIOTICS IN THIS CASE RES0097-108 BUT WE'LL GO THROUGH THROUGH A PHYSICAL EXAM CHECK SOME VITALS RES0098-000 HOW MAY I HELP YOU RES0098-001-1 SO I JUST CAME IN HERE BECAUSE FOR THE LAST DAY I'VE BEEN JUST GETTING SHORTNESS OF BREATH I RECENTLY YESTERDAY ACTUALLY WAS JUST BUSY AT HOME CLEANING OUT MY BASEMENT RES0098-001-2 AND LIKE THAT WAS YESTERDAY AFTERNOON I DID THAT FOR A COUPLE HOURS AND THEN AT NIGHT I JUST STARTED TO GET THE SHORTNESS OF BREATH IT'S CONTINUED UNTIL TODAY RES0098-001-3 I'M ALSO GETTING SOME WHEEZING AND TIGHTNESS IN MY CHEST AS WELL AS SOME COUGH SO THAT'S ALL JUST BEEN HAPPENING OVER THE LAST DAY RES0098-002 OK AND IS THE SHORTNESS OF BREATH HERE NOW IS IT IS AT REST OR ARE YOU HAVING THAT WHEN YOU'RE EXERTING YOURSELF RES0098-003 MORE SO WHEN I'M LIKE EXERTING MYSELF IF I'M SITTING DOWN IT'S BETTER BUT I STILL HAVE I WOULD SAY LIKE MY BREATHING IS NOT NORMAL RIGHT NOW LIKE IT'S I STILL HAVE TO TAKE DEEPER BREATHS AND I DO HAVE THAT CHEST TIGHTNESS WHEN I TAKE THOSE DEEP BREATHS RES0098-004 OK DO YOU HAVE ANY CHEST PAIN RES0098-005 NO IT'S MORE SO JUST THE TIGHTNESS I WOULDN'T CALL IT PAIN BUT I I DO STILL HAVE A LITTLE BIT OF WHEEZING RES0098-006 OK RES0098-007 SO THAT'S THAT'S THAT RES0098-008 AND YOU MENTIONED A COUGH AS WELL WITH THE COUGH IS IT HAS IT BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM RES0098-009 IT WAS IT WAS MAINLY DRY YESTERDAY LIKE LIKE THE COUGH HAS KIND OF GONE AWAY BUT YESTERDAY NIGHT I WAS COUGHING A LOT AND IT WAS MOSTLY DRY RES0098-010 OK HAVE YOU BROUGHT UP ANY BLOOD RES0098-011 NO RES0098-012 OK AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE EYE TEARING OR RED EYES MAYBE A RUNNY NOSE OR SORE THROAT RES0098-013-1 THROAT NOT A SORE THROAT BUT IT DOES FEEL LIKE IT IT'S KIND OF LIKE JUST CONSTRICTED IN THERE LIKE I DON'T KNOW IF IT'S RELEVANT BUT I I DO HAVE ASTHMA RES0098-013-2 LIKE I WAS DIAGNOSED TEN YEARS AGO BUT IT'S BEEN PRETTY STABLE LIKE IT'S LIKE JUST RIGHT NOW I HAVEN'T HAD SHORTNESS OF BREATH FOR A PRETTY LONG TIME RES0098-014-1 OK AND WE'LL WE'LL GET BACK TO THE PAST MEDICAL HISTORY SHORTLY I JUST WANTED TO ASK A FEW MORE SYMPTOMS RES0098-014-2 BUT CERTAINLY COULD BE RELEVANT TODAY SO RES0098-014-3 SO YOU MENTIONED THAT YOU HAVE HAD SOME THROAT TIGHTNESS HAVE YOU HAD ANY LOSS OF SMELL OR OR LOSS OF TASTE RES0098-015 NO NOTHING LIKE THAT RES0098-016 OK AND HAVE YOU HAD ANY FEVERS OR CHILLS RES0098-017 NO RES0098-018 OK HAVE YOU HAD ANY NAUSEA OR VOMITING RES0098-019 NO NO NAUSEA OR VOMITTING RES0098-020 HOW ABOUT ANY DIARRHEA OR CONSTIPATION RES0098-021 NO RES0098-022 AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL OR FREQUENCY RES0098-023 NO RES0098-024 OK AND HAVE YOU HAD ANY NIGHT SWEATS OVER THE LAST SEVERAL WEEKS TO MONTHS RES0098-025 NO NOTHING LIKE THAT RES0098-026 AND HAVE YOU HAD ANY WEIGHT CHANGES OVER THE LAST LITTLE WHILE RES0098-027 NO RES0098-028 OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES RES0098-029 NO I I DO HAVE JUST LIKE THE GENERAL LIKE ECZEMA THAT I USE A CREAM FOR BUT THAT'S JUST NORMAL FOR ME RES0098-030 OK AND ANY MUSCLE ACHES OR OR JOINT PAINS RES0098-031 NO RES0098-032 HAVE YOU HAD ANY FATIGUE RES0098-033 NO RES0098-034 OK ALRIGHT YOU MENTIONED ASTHMA AS PART OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY OTHER CONDITIONS RES0098-035 NO IT'S JUST ASTHMA AND IT WAS DIAGNOSED I THINK WHEN I WAS LIKE PROBABLY ELEVEN OR TWELVE YEARS OLD RES0098-036 OK AND DO YOU USE INHALERS FOR THAT RES0098-037-1 I HAVE TWO INHALERS LIKE ONE ONE IS LIKE A BLUE ONE ONE IS LIKE AN LIKE AN ORANGE ONE IT'S SO I THINK IT'S ONE OF THEM IS JUST LIKE I TAKE WHENEVER I REALLY NEED TO AND THE OTHER ONE I TAKE EVERYDAY RES0098-037-2 AND I HAVEN'T BEEN TAKING THE ONE I THINK IT'S CALLED VENTOLIN BUT I TOOK IT LIKE HAD TO TAKE IT LIKE THREE OR FOUR TIMES LAST NIGHT RES0098-037-3 AND LIKE THROUGHOUT THE DAY YESTERDAY AND IT IT DID HELP BUT IT DIDN'T REALLY RELIEVE SOME OF MY SYMPTOMS RES0098-038 OK AND PRIOR TO THAT HOW OFTEN HAVE YOU BEEN USING THE BLUE ONE RES0098-039 THE BLUE ONE BEFORE YESTERDAY PROBABLY THE LAST TIME I USED IT WAS PROBABLY LIKE A MONTH AGO RES0098-040 OK SO YOU DON'T NEED IT THAT THAT OFTEN THEN RES0098-041 NO RES0098-042 DO YOU HAVE ANY TRIGGERS FOR ASTHMA THAT YOU'RE AWARE OF LIKE EXERCISING OR GOING OUT INTO THE COLD OR EVEN LIKE ALLERGIES LIKE DUST OR OR OR POLLEN RES0098-043 I DO HAVE ALLERGIES IN THE SPRING I THINK IT'S TO POLLEN AND IN THE WINTER IT DOES LIKE MY SYMPTOMS DO GET A BIT WORSE AND I HAVE TO USE THE VENTIL MORE BUT RECENTLY FOR THE LAST FEW MONTHS AT LEAST IT'S BEEN PRETTY STABLE I HAVEN'T REALLY HAD TO USE USE IT TOO MUCH RES0098-044 OK AND AND DO YOU USE ANY OTHER MEDICATIONS RES0098-045 JUST WHEN I HAVE ALLERGIES I I JUST USE OVER THE COUNTER ALLERGY MEDS RES0098-046 OK AND YOU USE A CREAM FOR FOR YOUR SKIN TOO LIKE RES0098-047 I USE LIKE IT'S IT'S I THINK IT'S LIKE A MIXTURE OF LIKE A STEROID CREAM RES0098-048 OK AND DO YOU HAVE ANY ALLERGIES RES0098-049 TO MEDICATIONS NOT RES0098-050 THAT I KNOW OF OK AND RES0098-051 ARE YOUR IMMUNIZATIONS UP TO DATE ALRIGHT AND RIGHT NOW WHO ARE YOU LIVING RES0098-052 WITH AND WHEREABOUTS ARE YOU LIVING YES SO I'M JUST LIVING WITH A COUPLE ROOMMATES I JUST GO TO RES0098-056 TRAVELED ANYWHERE I DECIDED LIKE I YESTERDAY I WENT HOME LIKE TO MY PARENTS HOUSE AND HELPED MY DAD THAT'S WHERE I WAS CLEANING THE BASEMENT BUT RES0098-057 THAT THAT WAS THAT WAS THAT WAS IT OK AND SORRY JUST HAD TO BACKTRACK A LITTLE BIT HAVE YOU HAD ANY HOSPITALIZATIONS EITHER DUE TO ASTHMA OR FOR ANY OTHER REASON RES0098-058 I THINK WHEN I WAS FIFTEEN I I HAD TO GO TO THE EMERGENCY DEPARTMENT BUT I I WASN'T HOSPITALIZED RES0098-059 OK AND WAS THIS DID YOU HAVE SIMILAR SYMPTOMS AT THAT TIME RES0098-060 IT WAS IT WAS FOR ASTHMA AND LIKE THAT TIME IT WAS DEFINITELY MUCH MUCH WORSE AND I REMEMBER LIKE I WAS BREATHING A LOT THE SHORTNESS OF BREATH WAS REALLY BAD AND THE VENTOLIN LIKE PUFFERS WEREN'T EVEN HELPING ME AT THAT TIME OK OK AND RES0098-061 HAVE YOU HAD ANY SURGERIES BEFORE NO RES0098-063 ALRIGHT SO YOU MENTIONED THAT YOU'RE YOU'RE CLEANING UP THE BASEMENT YESTERDAY WAS THERE A LOT OF DUST DOWN THERE OR ANYTHING LIKE THAT THAT MIGHT HAVE TRIGGERED IT RES0098-064 WE WERE LIKE JUST MOVING BOXES THERE WERE BOOKS HERE AND THERE THAT DEFINITELY THERE WOULD HAVE BEEN DUST I SHOULD HAVE BEEN MORE CAREFUL LIKE WORE A MASK BUT I DIDN'T THINK ABOUT IT AT THAT TIME RES0098-065 OK FOR SURE AND DO YOU RES0098-066 SMOKE CIGARETTES NO LIKE I CAN'T EVEN STAND CIGARETTE SMOKE RES0098-067 OK THAT'S GOOD AND DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS RES0098-068 NO IF I IF I REALLY WANT MARIJUANA I WOULD HAVE TO GO WITH EDIBLES I I CAN'T TAKE THE SMOKE RES0098-069 OK I SEE AND DO YOU DRINK ALCOHOL RES0098-070 JUST I WOULD SAY PROBABLY ON THE WEEKENDS I MIGHT HAVE FOUR OR FIVE BEERS RES0098-071 OK AND ANYBODY ELSE IN THE FAMILY HAVE ASTHMA OR SKIN IRRITATION LIKE LIKE YOU HAVE RES0098-072 SO MY MY OLDER SISTER ACTUALLY ALSO WAS DIAGNOSED WITH ASTHMA SHE ALSO HAS THE ECZEMA THAT I HAVE AND MY MOM WAS ALSO DIAGNOSED WITH ASTHMA WHEN SHE WAS A CHILD BUT SHE'S BEEN COMPLETELY FINE SINCE THEN RES0098-073 OK WELL THAT'S GOOD THAT THAT SHE'S BEEN OK DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR OR LUNG CONDITIONS OR ANY CANCERS THAT RUN IN THE FAMILY RES0098-074 MY GRANDFATHER DIED OF LUNG CANCER BUT HE WAS JUST JUST SMOKED ALL THROUGHOUT HIS LIFE RES0098-075 OK ALRIGHT SO THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK TODAY SO THE NEXT PART WE'LL GO ON TO DO A PHYSICAL EXAM BUT DID YOU HAVE ANY THING ELSE THAT MAYBE I FORGOT TO ASK ABOUT TODAY RES0098-076 NO I I I THINK I KNOW WHAT THIS WAS CAUSED BY BUT LET'S LET'S SEE THANKS FOR YOUR HELP RES0098-077 OH YOU'RE WELCOME SO WE'LL WE'LL TRIAL SOME MORE PUFFERS AND SEE WHAT WE COULD DO CAUSE CERTAINLY IT'S SOUNDING LIKE AN ASTHMA EXACERBATION AND SO DEFINITELY LET SOMEBODY KNOW IF YOUR YOUR BREATHING IS GETTING MORE DIFFICULT RES0098-078 SOUNDS GOOD RES0101-000 HOW MAY I HELP YOU RES0101-001-1 HI CRIS SO YEAH I I'M REALLY WORRIED I STARTED COUGHING UP BLOOD THIS MORNING AND FOR THE LAST TWO DAYS I'VE BEEN HAVING SOME LIKE ON MY RIGHT CALF JUST A LOT OF SWELLING AND TENDERNESS RES0101-001-2 I JUST ACTUALLY GOT OUT OF THE HOSPITAL JUST LAST WEEK I HAD A KNEE REPLACEMENT SURGERY ON MY RIGHT LEG SO I WAS JUST REALLY CONCERNED ABOUT THIS BLOOD THAT I'M COUGHING UP RES0101-002 CERTAINLY SO WHEN SO YOU HAD A KNEE SURGERY LAST WEEK WERE YOU LIKE IMMOBILIZED AFTERWARDS FOR PERIODS OF TIME RES0101-003 I'VE BEEN JUST TAKING SOME REST NOT REALLY DOING TOO MUCH AND EVEN IN THE HOSPITAL LIKE I WAS THERE FOR A DAY AND WAS PRETTY IMMOBILIZED RES0101-004 OK AND HAVE YOU HAD ANY PAIN IN IN RES0101-005 YOUR CALF AND IF SO WHICH WHICH ONE IT'S JUST THE RIGHT CALF AND IT'S IT'S PRETTY RES0101-006 SWOLLEN RIGHT NOW AND I WAS HAVING A LOT OF PAIN OVER IT FOR THE LAST TWO DAYS OK IS IT CAN YOU FEEL THE PAIN AT REST OR OR IS IT RES0101-007-1 WITH LIKE WITH MOVEMENT OR IF YOU PRESS ON IT RES0101-007-2 IT'S YEAH IT'S PRETTY TENDER WHEN I PRESS ON IT I HAVEN'T REALLY BEEN MOVING AROUND AND IT'S STILL RES0101-007-3 LIKE PAINFUL RIGHT NOW BUT IT DOESN'T REALLY HURT WHEN I'M LIKE LIKE I'VE BEEN TRYING TO KEEP MYSELF RESTED JUST BECAUSE OF THE SURGERY BUT WHEN I PRESS ON IT IT IS PRETTY TENDER RES0101-008 OK AND IS THE IS THE SWELLING IN KIND OF ONE SPOT OF YOUR LEG OR IS IT MOST OF THE OF THE LEG RES0101-009 IT'S JUST THE CALF I WOULD SAY MORE LIKE JUST THE LOWER LEG AREA RES0101-010 OK HAVE YOU NOTICED ANY SKIN CHANGES LIKE REDNESS OR OR OR TEMPERATURE LIKE IT FEELS HOT TO TOUCH RES0101-011 MAYBE A LITTLE BIT I HAVEN'T REALLY NOTICED IT TOO MUCH RES0101-012 OK AND DO YOU HAVE A HISTORY OF LIKE VARICOSE VEINS OR ANYTHING LIKE THAT RES0101-013 NO NOTHING LIKE THAT RES0101-014 OK SO WHEN DID THE RES0101-015 COUGHING UP BLOOD START JUST THIS MORNING ACTUALLY SO JUST LIKE I WOULD SAY A COUPLE HOURS AGO RES0101-016 OK AND HOW MUCH BLOOD ARE YOU COUGHING UP RES0101-017 JUST SOME ON LIKE I JUST NOTICE ON THE TISSUE LIKE JUST SOME SPOTS THAT I NOTICED EVERY TIME THAT I'M LIKE I WOULD HAVE TO COUGH IT UP MAYBE LIKE IN THE LAST COUPLE HOURS I'VE HAD THREE EPISODES OF THAT WHERE I'VE NOTICED BLOOD ON THE TISSUE RES0101-018 I SEE AND DID YOU EVER COUGH PRIOR TO THIS RES0101-019 NO NOT REALLY RES0101-020 OK AND HAVE YOU BEEN EXPERIENCING ANY INFECTIOUS SYMPTOMS LIKE RED OR RUNNY EYES RUNNY RES0101-022 SORE THROAT NO NOTHING LIKE THAT HAVE YOU BEEN RES0101-023 HAVING ANY CHEST PAIN OR OR SHORTNESS OF BREATH NO CHEST PAIN BUT I DO FEEL LIKE I DO HAVE TO TAKE LIKE A DEEPER BREATH LIKE I'VE RES0101-024 JUST BEEN FEELING IT THIS MORNING A LITTLE BIT IT'S JUST KIND OF A BIT OF UNEASY BREATHING OK SO IT HAS BEEN MORE DIFFICULT TO BREATHE AND IS THAT IS THAT AT REST AS WELL RES0101-025 DO YOU FEEL THAT KIND OF SENSATION EVEN RIGHT NOW JUST A LITTLE BIT LIKE IT'S IT'S NOT ANYTHING THAT I'M TOO WORRIED ABOUT BUT IT IS THERE RES0101-026 OK DO YOU HAVE ANY PAIN IF YOU HAVE IF IF YOU TAKE A DEEP BREATH IN RES0101-027 NO I DON'T NO I DON'T REALLY HAVE ANY PAIN RES0101-028 OK AND DO YOU FEEL LIKE YOUR YOUR HEART'S RACING OR RES0101-029 BEATING REALLY FAST I I DO FEEL LIKE MY HEART IS BEATING LIKE FASTER ESPECIALLY RES0101-030 TODAY BUT I DON'T KNOW ALRIGHT AND HOW ABOUT YOUR BREATHING DO YOU FEEL LIKE YOU'RE RES0101-031 BREATHING FASTER NO BREATHING I FEEL RES0101-032 LIKE IT'S AROUND THE SAME OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS OR OR FEELING LIKE YOU'RE GOING TO PASS OUT RES0101-033 NO RES0101-034 OK AND HAVE YOU HAD ANY ANY WHEEZING RES0101-035 NO WHEEZING RES0101-036 ALRIGHT HAVE YOU HAD ANY ABDOMINAL PAIN RES0101-037 NO NO ABDOMINAL PAIN RES0101-038 ANY NAUSEA OR VOMITING RES0101-039 NOPE RES0101-040 HAVE YOU HAD ANY DIARRHEA RES0101-041 NO DIARRHEA NO RES0101-042 HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY RES0101-043 NO RES0101-044 HAVE YOU HAD ANY SKIN CHANGES OR OR RASHES RES0101-046 NO OK AND HOW ABOUT ANY OTHER LIKE JOINT PAINS RES0101-047 MUSCLE ACHES NO RES0101-048 NO NOTHING LIKE THAT ALRIGHT AND RES0101-049 HAVE YOU EVER HAD A A DVT BEFORE RES0101-050 NO I'VE NEVER HAD ANYTHING LIKE THAT OK OR OR LIKE LIKE A DEEP VEIN THROMBOSIS OR HAVE YOU HAD A PULMONARY EMBOLISM BEFORE RES0101-051 NO I'VE NEVER HAD ANYTHING LIKE THAT BEFORE RES0101-052 OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0101-053 I DO HAVE SO WITH MY WITH MY KNEE AND THEN I DO HAVE HIGH BLOOD PRESSURE I HAVE DIABETES RES0101-054 OK THEN WAS IT A KNEE REPLACEMENT YOU HAD DONE RES0101-055 OK AND DO YOU TAKE ANY MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES RES0101-056 SO FOR THE BLOOD PRESSURE I'M TAKING MEDICATION CALLED RAMIPRIL AND THEN FOR DIABETES I'M TAKING METFORMIN RES0101-057 OK HAVE YOU NEEDED LIKE INSULIN FOR DIABETES BEFORE RES0101-058 NO I'VE NEVER HAD TO USE INSULIN RES0101-059 OK AND AND DO YOU TAKE ANY OTHER MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER RES0101-060 NO NOTHING ELSE I ACTUALLY I DO TAKE SOME MULTIVITAMINS BUT BESIDES THAT NOTHING RES0101-061 ALRIGHT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS RES0101-062 NOT THAT I KNOW OF RES0101-063 OK AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST BESIDES THE THE KNEE SURGERY LAST WEEK RES0101-064 NO RES0101-065 ALRIGHT SO YOU'VE BEEN HEALTHY OTHERWISE I I'M NOT SURE I I ASK THIS I'M WONDERING IF YOU HAD ANY FEVERS OR OR CHILLS RES0101-066 NO NOT REALLY RES0101-067 OK AND HOW ABOUT ANY NIGHT SWEATS RES0101-068 NO RES0101-069 ALRIGHT AND HAS YOUR WEIGHT BEEN STABLE OVER THE LAST SEVERAL MONTHS OR HAVE YOU HAD ANY CHANGES RES0101-070 IT'S BEEN PRETTY STABLE RES0101-071 OK THANK YOU JUST WANTED TO CLARIFY A FEW THINGS THERE AND CURRENTLY CAN YOU TELL ME ABOUT WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH RES0101-072 SO I'M LIVING WITH MY WIFE IN A HOUSE I DO HAVE TWO KIDS BUT THEY'RE OFF TO COLLEGE RIGHT NOW SO IT'S JUST US TWO RES0101-073 OK AND AND WHAT WHAT DO YOU DO FOR FOR WORK RES0101-074 YES SO I ACTUALLY WORK AS A MECHANIC AND RIGHT NOW I'M KIND OF OFF OF WORK WITH I JUST NEED TO RECOVER AND KIND OF GET THAT PHYSIOTHERAPY DONE AND THEN I CAN RETURN HOPEFULLY IN A MONTH OR TWO RES0101-075 OK WE NEED TO RECOVER AFTER THE KNEE SURGERY OK AND RES0101-076 DO YOU SMOKE CIGARETTES I USED TO BUT I QUIT WHEN I WAS IN MY THIRTIES I USED TO SMOKE LIKE PROBABLY A PACK A DAY BETWEEN MY TWENTIES AND THIRTIES RES0101-077 OK BUT IT SOUNDS LIKE YOU QUIT ABOUT TWENTY YEARS AGO THEN RES0101-078 OK AND DO YOU DRINK ALCOHOL RES0101-079 NO RES0101-080 OK HOW ABOUT USING ANY OTHER RECREATIONAL DRUGS RES0101-081 NO OTHER DRUGS RES0101-082 OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR OR LUNG CONDITIONS RES0101-083 NO NOT THAT I KNOW OF RES0101-084 OK AND ANYBODY IN THE FAMILY HAVE A BLEEDING DISORDER OR OR A CLOTTING DISORDER RES0101-085 NO NOT NOT THAT I'M AWARE OF RES0101-086 OK HAVE YOU HEARD OF ANYBODY IN THE FAMILY HAVING I KNOW YOU SAID YOU HAVEN'T HAD HAD THIS BEFORE BUT ANYBODY IN THE FAMILY HAVING A DEEP VEIN THROMBOSIS OR OR PE RES0101-087 NOT THAT I KNOW NOT REALLY RES0101-088-1 OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY WE'LL DO PHYSICAL EXAM AND I'LL LISTEN TO YOUR CHEST AND HAVE A LOOK AT YOUR LEG RES0101-088-2 WE'LL ALSO ORDER SOME IMAGING STUDIES WITH A CTPA IT'S CALLED BUT BEFORE WE GO AHEAD WITH THAT WAS THERE ANYTHING ELSE THAT THAT YOU WANTED TO ADD RES0101-089 NO I THINK THAT'S THAT'S ALL RES0101-090-1 OK SO WE'LL GET THE LAB WORK STARTED AS WELL AS THE IMAGING ORDERED IT WILL LOOK FOR TO SEE IF THERE IS ANY PULMONARY EMBOLISM PRESENT BECAUSE WITH THE SURGERY LAST WEEK AND BEING IMMOBILIZED FOR A PERIOD OF TIME IT IS A RISK FACTOR FOR IT AND RES0101-090-2 LEG SWELLING WITH COUGHING UP BLOOD CAN BE SYMPTOMS OF THIS SO WE'LL WANNA MAKE SURE TO TO DO TO INVESTIGATE FOR A PULMONARY EMBOLISM RES0101-091 OK SOUNDS GOOD THANK YOU SO MUCH RES0101-092 SOUNDS GOOD THANK YOU RES0102-000 WHAT BRINGS YOU IN HERE TODAY RES0102-001 I I'VE HAD THIS COUGH THAT'S BEEN ONGOING AND AND GETTING WORSE AND AND NOW I'VE BEEN HAVING THIS RES0102-002 LIKE SHARP PAIN IN MY IN MY CHEST OK RES0102-003 WHEN DID THE COUGH FIRST START SO LIKE THE COUGH RES0102-004 STARTED MAYBE A COUPLE OF WEEKS AGO A COUPLE WEEKS AGO OK AND HAS IT GOTTEN WORSE RES0102-005 SINCE THEN OR HAS IT STAYED ABOUT THE SAME IT IT GOT WORSE INITIALLY BUT IT'S BEEN ABOUT THE WELL ACTUALLY IT'S BEEN GETTING WORSE CAUSE RES0102-006 NOW I'VE I'VE STARTED TO NOTICE BLOOD IN THE RES0102-007-1 THAT WASN'T THERE AT FIRST RES0102-007-2 OK AND WHEN DID YOU FIRST NOTICE THAT RES0102-007-3 SO I I FIRST SAW SOME BLOOD TWO DAYS AGO IT WAS A REALLY SMALL AMOUNT SO I DIDN'T WORRY TOO MUCH BUT I I BROUGHT UP BLOOD RES0102-007-4 YESTERDAY AND AGAIN THIS MORNING IT'S BEEN JUST ABOUT ENOUGH TO COVER A TISSUE SO IT'S NOT A LOT OF BLOOD EACH TIME BUT IT'S PRETTY RED RES0102-008 OK AND BEFORE THAT WERE YOU GETTING ANY PRODUCTION THROUGHOUT YOUR COUGHS FOR THE LAST FEW WEEKS LIKE WERE YOU PRODUCING ANY SPUTUM RES0102-010 NO NO OK CAN YOU JUST DESCRIBE YOUR COUGH CURRENTLY IS IT MORE OF A WET COUGH OR DRY COUGH RES0102-011 IT IT'S IT'S DRY MOSTLY WITH THE EXCEPTION OF BRINGING UP SOME OF THE BLOOD RES0102-012 AND IS THE BLOOD JUST IN LIKE SPUTUM THAT YOU'RE BRINGING UP OR ARE YOU COUGHING UP BLOOD INTO THE TISSUE FOR EXAMPLE RES0102-013 BLOOD IS I'M COUGHING THAT UP INTO THE TISSUE RES0102-014 OK AND DO YOU REMEMBER TWO WEEKS AGO PRIOR TO THAT WERE THERE ANY FACTORS THAT MIGHT HAVE CAUSED THIS LIKE FOR EXAMPLE DID YOU TRAVEL ANYWHERE OR SEE OR WAS IN CONTACT WITH ANYONE THAT WAS SICK RES0102-015 NO I HAVEN'T TRAVELED ANYWHERE I HAVE BEEN DOING VOLUNTEERING AND AND THINGS AT THE HOMELESS SHELTER RES0102-016 VOLUNTEERING HERE IN IN TOWN IT'S BEEN REALLY COLD OUT OK AND RES0102-017 HOW LONG HAVE YOU BEEN VOLUNTEERING THERE I STARTED THIS WINTER SO THE LAST RES0102-018 THREE THREE OR FOUR MONTHS OK AND WERE YOU IN CONTACT WITH ANYONE THERE THAT WAS SICK OR WAS HAVING SIMILAR RES0102-019-1 SYMPTOMS AT ALL RES0102-019-2 THERE ARE CERTAINLY SOME PEOPLE AROUND THAT THAT HAD SOME THAT WOULD HAVE A COUGH OR WERE NOT FEELING VERY WELL BUT RES0102-019-3 AND AND SOMETIMES I WOULD SEE PEOPLE WHO WOULD EVEN HAVE A HOSPITAL GOWN ON THAT THAT THAT CAME FROM THE HOSPITAL SO THERE WERE DEFINITELY SOME PEOPLE WHO WEREN'T FEELING WELL RES0102-020 OK AND DO YOU KNOW IF ANYONE AT THE HOMELESS SHELTER OR ANYWHERE ELSE AROUND YOUR SURROUNDING HAS HAD TUBERCULOSIS RES0102-021 NOT THAT I'M AWARE OF I HAVEN'T HEARD OF THAT RES0102-022 OK ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL BESIDES THE THE COUGHING AND THE BLOOD LIKE COUGHING UP BLOOD AS WELL RES0103-000 WHAT BRINGS YOU IN HERE TODAY RES0103-001 I'M JUST BRINGING IN MY OLD DAUGHTER WHO'S REALLY BEEN COMPLAINING ABOUT HAVING A RUNNY NOSE AND HAS BEEN SNEEZING A LOT OVER THIS PAST OVER THIS PAST WEEK I THINK THE SYMPTOMS MAYBE STARTED THREE OR FOUR DAYS AGO RES0103-002 OK AND WHAT SYMPTOMS STARTED FIRST RES0103-003 I THINK THE RUNNY NOSE IS WHAT WHAT STARTED FIRST AND LIKE KIND OF THE NASAL CONGESTION SHE WAS TELLING YOU THAT SHE FELT THAT THERE WAS LIKE PRESSURE OR CONGESTION IN HER NOSE RES0103-004 OK AND THEN THIS WHEN DID THIS SNEEZING START RES0103-005 SURELY AFTER THAT PROBABLY MAYBE THE SAME DAY OR OR THE NEXT DAY RES0103-006 OK DOES SHE HAVE ANY COUGHING AT ALL RES0103-007 SO SHE SHE DID START TO COUGH ACTUALLY AFTER THAT SO THAT THE COUGH HAS BEEN THERE FOR THE LAST FOR THE LAST MAYBE TWO TO THREE DAYS IT'S A DRY COUGH RES0103-008 OK FOR THE LAST TWO TO THREE DAYS OK IS SHE AT ALL COUGHING UP ANY GREEN OR YELLOW MATERIAL OR ANY BLOOD AT ALL RES0103-009 NO NOTHING LIKE THAT RES0103-010 OK SO AND ARE HER SYMPTOMS CONSTANT OR DO THEY COME AND GO RES0103-011 THEY'VE BEEN PRETTY CONSTANT AND THEY'VE GOTTEN A LITTLE BIT WORSE SINCE THEY STARTED THREE OR FOUR DAYS AGO I I THINK NOW HER SYMPTOMS ARE AT HER AT THE WORST RIGHT NOW JUST NOT FEELING VERY WELL RES0103-012 OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE AT HOME OR AT SCHOOL IF SHE'S GOING TO SCHOOL VERSUS AT HOME FOR THE PANDEMIC RIGHT NOW BUT ANY ILL CONTACTS AT ALL RES0103-013 WELL SHE HAS BEEN GOING TO SCHOOL THERE HASN'T BEEN ANY COVID CASES WHERE SHE GOES AND THEY'VE BEEN CAUTIOUS BUT SHE IS GOING TO SCHOOL RIGHT NOW RES0103-014 OK ANY ANYTHING THAT YOU'VE TRIED THAT HAS HELPED HER LIKE ANY OVER THE COUNTER COLD MEDICATIONS RES0103-016 NO OK ANY OTHER SYMPTOMS LIKE FEVERS CHILLS SHORTNESS OF BREATH ANYTHING LIKE THAT RES0103-017 SHE DID FEEL A BIT WARM TO TOUCH AND HAS LOOKED A BIT FLUSHED IN HER FACE JUST DOESN'T LOOK LIKE HERSELF RES0103-018 DOES SHE BEHAVE LIKE HERSELF LIKE IS SHE MORE TIRED AT ALL MORE IRRITABLE ANYTHING LIKE THAT RES0103-019 SHE'S BEEN A MAYBE A BIT MORE MAYBE A BIT MORE TIRED AND AND A BIT MORE IRRITABLE BUT NOT NOT TOO BAD SHE SHE MISSED SCHOOL TODAY BUT WENT YESTERDAY RES0103-020 OK ANY RECENT TRAVEL AT ALL RES0103-021 NO WE'VE BEEN AT HOME RES0103-022 ANY HEADACHES NAUSEA OR VOMITING RES0103-023 NO RES0103-024 OK ANY CHEST PAIN THAT SHE'S DESCRIBED RES0103-025 NO CHEST PAIN RES0103-026 OK ANY CHANGES IN HER BOWEL MOVEMENT CONSTIPATION DIARRHEA RES0103-027 NO THAT'S BEEN NORMAL RES0103-028 OK ANY URINARY PROBLEMS RES0103-029 NO SHE HAD A URINARY TRACT INFECTION WHEN SHE WAS LIKE LITTLE BUT HASN'T HAD ANY SINCE RES0103-030 OK ANY ISSUES WITH THEIR SLEEP OR APPETITE RES0103-031 SHE HAS BEEN A BIT A BIT FUSSY BUT SHE'S BEEN SLEEPING OK RES0103-032 OK HAS SHE LOST ANY WEIGHT RECENTLY RES0103-033 NO NO NO SHE'S BEEN GAINING WEIGHT WELL RES0103-034 OK ANY EXPOSURE TO ANY ALLERGENS OR LIKE FUMES DUST ANIMALS RES0103-035 NO I CAN'T THINK OF ANYTHING LIKE THAT WE DON'T HAVE ANY PETS AT HOME AND SHE'S SHE'S BEEN HASN'T BEEN GOING ANYWHERE ELSE RES0103-036 OK HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0103-037 NO SHE JUST SAID JUST HAD A URINARY TRACT INFECTION WHEN SHE WAS YOUNGER AND THAT'S ABOUT IT RES0103-038 OK ANY ALLERGIES TO MEDICATIONS THAT YOU KNOW OF RES0103-039 NOT THAT I'M AWARE OF RES0103-040 IS SHE ON ANY MEDICATIONS RES0103-041 NO RES0103-042 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0103-043 NO RES0103-044 OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANYTHING ELSE RES0103-045 I I HAVE HIGH CHOLESTEROL BUT AND AND I'M TAKING A A MEDICATION FOR IT BUT NO NOTHING ELSE RES0103-046 OK DOES HAS SHE LOST A SENSE OF TASTE OR SMELL AT ALL RES0103-047 NO SHE HASN'T SAID ANY ANYTHING LIKE THAT JUST THE NASAL CONGESTION RES0103-048 OK DID YOU FEEL ANY PRESSURE IN AROUND HER FACE AT ALL RES0103-049 WELL I THINK SO SHE DOESN'T SAY WELL NO PAIN BUT DOES FEEL LIKE A BIT OF PRESSURE WITH THE CONGESTION I THINK RES0103-050 OK ANY ISSUES DEVELOPMENTALLY AS SHE WAS GROWING UP LIKE TO MEET ARE ALL OUR MILESTONES AT AN APPROPRIATE AGE RES0103-051 SHE DID SHE HAS MET SHE WAS WALKING AT THE APPROPRIATE TIMES AND ABLE TO TALK AND DOES WORK REALLY WELL IN SCHOOL AND IS SOCIAL WITH WITH HER CLASSMATES AND PEERS RES0103-052 SO NO NO ISSUES OR NO COMPLAINTS AT ALL RES0103-053 NO THERE HASN'T BEEN ANY CONCERNS I FEEL THAT SHE'S BEEN DEVELOPING NORMALLY RES0103-054 OK IN OUR IMMUNIZATIONS UP TO DATE RES0103-055 THEY ARE RES0103-056 OK AND WERE THERE ANY COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER OR AFTER THE PREGNANCY RES0103-057 NO IT WAS A VAGINAL DELIVERY AT THIRTY EIGHT WEEKS AND SHE WAS A NORMAL WEIGHT WE WERE ABLE TO GO HOME RIGHT AWAY WITH WITH NO COMPLICATIONS SO THINGS WERE GOOD RES0103-058 OK AND CURRENTLY WHO DOES SHE LIVE WITH RES0103-059 SO MYSELF AND MY AND MY HUSBAND RES0103-060 OK AND DOES ANYONE SMOKE IN THE HOUSE RES0103-061 MY HUSBAND DOES SMOKE BUT I MEAN HE SMOKES OUTSIDE USUALLY AND AND HE SMOKES I DON'T KNOW MAYBE A HALF A PACK A DAY RES0103-062 AND I THINK THAT'S ALL ALL THE QUESTIONS I HAVE DO YOU HAVE ANY QUESTIONS OR CONCERNS RES0103-063 NOTHING ELSE RIGHT NOW RES0103-064 OK SO BASED ON HER SYMPTOMS SHE DOES SEEM TO HAVE SOME JUST A COLD LIKE SYMPTOMS VIRAL SYMPTOMS AND IT'S BEEN IT'S BEEN YOU SAID THREE OR FOUR DAYS IN TOTAL RIGHT RES0103-065-1 YEAH AND SO MOST LIKELY IT'S JUST CAUSED BY A VIRAL INFECTION LIKE COMMON COLD PERHAPS IT SHE DOESN'T HAVE ANY WORRYING SIGNS OF RES0103-065-2 ANY SYSTEMIC THINGS GOING ON RIGHT NOW SO AND NO SIGNS OF LIKE A BACTERIAL INFECTION THAT I WOULD BE CONCERNED ABOUT THAT I WOULD GIVE ANTIBIOTICS FOR RIGHT NOW RES0103-065-3 BUT DEFINITELY IF HER SYMPTOMS GET WORSE AT HOME AND IF SHE STARTS HAVING ANY KIND OF SHORTNESS OF BREATH INCREASED COUGHING WITH PRODUCING MORE YELLOW OR GREEN MATERIAL AND IF SHE GETS MORE FEVERISH RES0103-065-4 SO WE'LL ALSO DO A PHYSICAL EXAM AND TAKE HER TEMPERATURE TODAY AS WELL BUT SOME OF THESE THINGS YOU JUST LOOK OUT FOR BUT SO THAT THAT WE'LL DO THE PHYSICAL EXAMINATION AND GO FROM THERE RES0103-066 ALRIGHT THANK YOU RES0103-067 HEY YOU'RE WELCOME TAKE CARE RES0104-000 CAN YOU TELL ME WHAT BRINGS YOU IN HERE TODAY RES0104-001 SO I'VE HAD THIS THIS COUGH THAT IT STARTED TWO DAYS AGO AND IT'S BEEN GETTING WORSE I'VE BEEN BRINGING UP THIS RUST COLORED SPUTUM RES0104-002 RUST COLORED SPUTUM OK AND SO RES0104-003 SO THAT'S BEEN GOING ON FOR A FEW DAYS RES0104-004 ABOUT TWO DAYS OK RES0104-005 AND HOW OFTEN ARE YOU COUGHING IT'S IT'S HAPPENING ALL DAY REALLY THROUGHOUT THE DAY AND REALLY ANY TYPE OF EXERTION OR OR MOVEMENT I'M GETTING SHORT RES0104-006 OF BREATH AND IT'S IT'S TRIGGERING A COUGH OK AND THE SHORTNESS OF BREATH IS IT JUST WITH THE EXERTION OR IT CAN IS IT HAPPENING AT REST HOW ARE YOU FEELING RIGHT NOW RES0104-007 EVEN RIGHT NOW IT FEELS LIKE I'M NOT ABLE TO GET I DON'T KNOW A FULL BREATH IT JUST FEELS LIKE IT'S MORE DIFFICULT TO TO BREATHE RES0104-008 OK HAVE YOU FELT ANY KIND OF DIZZINESS OR FAINTING EPISODES RES0104-009 NO I HAVEN'T RES0104-010 OK HAVE YOU BEEN FEELING ANY CHEST PAIN AT ALL RES0104-011 NO I I I HAVEN'T HAD ANY CHEST PAIN RES0104-012 OK AND SO WITH YOUR COUGHING YOU'RE PRODUCING THE RUST COLORED SPUTUM BUT HOW MUCH WOULD YOU SAY YOU'RE PRODUCING RES0104-013 I WOULD SAY MAYBE THREE OR FOUR TEASPOONS EVERY EVERY COUPLE HOURS RES0104-014 OK ARE YOU PRODUCING ANY BLOOD LIKE IN YOUR COUGH OR SPUTUM AT ALL RES0104-015 NO IT WASN'T REALLY RED IT'S KINDA ORANGE RES0104-016 ORANGE OK ANY GREENISH OR YELLOW MATERIAL RES0104-017 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0104-018 OK ANY FEVERS OR CHILLS RES0104-019 I HAVE HAD I'VE HAD BOTH OF THOSE I'VE HAD A I I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS THIRTY EIGHT POINT TWO AND I WAS PRETTY CHILLY LAST NIGHT RES0104-020 OK AND BEFORE THESE SYMPTOMS STARTED WERE YOU HAVING ANY SIMILAR SYMPTOMS AT ALL BEFORE RES0104-021 NO I MEAN A FEW WEEKS AGO PROBABLY LIKE A A COUPLE OF WEEKS AGO I HAD A RUNNY NOSE AND AND SORE THROAT FOR A COUPLE OF DAYS IT WENT AWAY ON ITS OWN THOUGH RES0104-022 OK ANY ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE THAT YOU'VE TRIED RES0104-023 I DID TRY SOME OVER THE COUNTER COLD MEDICINE IT I THINK IT MIGHT HAVE HELPED ME SLEEP LAST NIGHT BUT DIDN'T REALLY DO A WHOLE LOT RES0104-024 OK DOES YOUR SHORTNESS OF BREATH IMPROVE WITH ANY POSITIONS OR DOES IT IMPROVE WHEN YOU'RE NOT EXERTING YOURSELF RES0104-025 NOT REALLY IT'S KIND OF ALWAYS THERE RES0104-026 IT'S OK DO YOU HAVE TO WAKE UP AT NIGHT TO TAKE A DEEP BREATH OR DO YOU FEEL ANY KIND OF SHORTNESS OF BREATH WITH LAYING DOWN AT ALL RES0104-027 NO I HAVEN'T HAD ANY ISSUES LIKE THAT RES0104-028 OK AND DO YOU NOTICE ANY KIND OF SWELLING IN YOUR FEET ANKLES ARMS LEGS ANYTHING LIKE THAT RES0104-029 NO I HAVEN'T RES0104-030 OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S SICK RECENTLY RES0104-031 I DON'T I I MEAN I SEE MY GRANDDAUGHTER AND I MIGHT HAVE GOT A COLD FROM HER A FEW WEEKS AGO BUT RECENTLY I HAVEN'T SEEN ANYBODY RES0104-032 OK ARE YOU HAVING ANY NIGHT SWEATS RES0104-033 NO JUST A CHILLS LAST NIGHT RES0104-034 OK ARE YOU BREATHING FASTER RES0104-035 I HAVE FELT LIKE I'VE BEEN BEEN BREATHING A BIT FASTER RES0104-036 YOU HAVE ANY MUSCLE ACHES OR ANYTHING LIKE THAT RES0104-037 NO NOT REALLY RES0104-038 OK AND GIVE ANY OTHER SYMPTOMS LIKE CHEST PAIN RUNNY NOSE SORE THROAT ANYTHING LIKE THAT RES0104-039 NO JUST BEEN REALLY TIRED THESE LAST COUPLE OF DAYS AND I'VE JUST FELT LIKE SLEEPING ALL DAY HAVEN'T FELT LIKE EATING EITHER MY APPETITE HAS BEEN REALLY POOR RES0104-040 OK AND OTHER THAN THAT HAVE YOU EXPERIENCED ANY KIND OF HEADACHES NAUSEA OR VOMITING RES0104-041 NO I HAVEN'T RES0104-042 OK ANY FEVERS OR YOU SAID YOU HAVE HAD SOME CHILLS RIGHT RES0104-043 I HAVE RES0104-044 OK AND THEN A FEVER TOO KIND OF A SENSATION OF YOUR HEART RACING AT ALL RES0104-045 RIGHT IT DOESN'T FEEL LIKE IT'S WELL IT DOES FEEL LIKE IT'S BEATING A BIT FASTER THAN USUAL RES0104-046 JUST NOT FEELING TOO WELL SO WE'LL DO A PHYSICAL EXAMINATION AND GET ALL YOUR VITAL SIGNS AS WELL RIGHT AFTER ANY SO YOU SAID YOU HAVEN'T BEEN ABLE TO EAT AVE YOU NOTICED ANY SIGNIFICANT WEIGHT CHANGES RECENTLY RES0104-047 NO MY WEIGHT'S BEEN ABOUT THE SAME RES0104-048 OK ANY EXPOSURE TO ANY DUSTS OR ANIMALS FUMES ANYTHING THAT MIGHT HAVE TRIGGERED SOME OF THESE SYMPTOMS RES0104-049 NO I DON'T THINK SO MY HUSBAND AND I WE MOVED INTO A NEW KIND OF APARTMENT HERE AND IT IT'S BRAND NEW RES0104-050 OK ANY KIND OF LOSS OF SENSE OF TASTE OR SMELL RES0104-051 NO THAT'S BEEN NORMAL RES0104-052 OK ANY EXPOSURE OR ANY TRAVEL OUTSIDE OF THE COUNTRY AT ALL RES0104-053 NO NOTHING LIKE THAT RES0104-054 OK SO JUST MAINLY THE COUGHING WITH THE RUSTY MATERIAL AS WELL AS JUST THE SHORTNESS OF BREATH AND DO YOU GET ANY PAIN AT ALL IN YOUR CHEST WHEN YOU BREATHE IN OR OUT RES0104-055 NO I HAVEN'T HAD ANY HAD ANYTHING LIKE THAT RES0104-056 OK ANY PAST MEDICAL CONDITIONS THAT I SHOULD KNOW OF RES0104-057 I I HAD A STROKE LIKE THAT LIKE SIX YEARS AGO AND I HAVE TYPE TWO DIABETES AS WELL AS GERD RES0104-058 OK AND I'M SORRY YOU HAD YOU HAD A STROKE SIX YEARS AGO OR HOW ARE YOU AFTER THAT WERE THERE ANY KIND OF LIKE DID AFTER REHABILITATION DO YOU HAVE ANY SYMPTOMS STILL GOING ON AT ALL RES0104-059 MY MY LEFT HAND STILL STILL GIVES ME SOME SOME PROBLEMS I GET BOTULINUM TOXIN INJECTIONS FOR RES0104-060 FOR THE TIGHTNESS IN MY HAND OK OK AND ARE YOU TAKING ANY OTHER MEDICATIONS AT ALL RES0104-061 I USE METFORMIN EMPAGLIFLOZIN OR AN SGLT RES0104-062 TWO INSULIN AND AND ASPIRIN I THINK RES0104-072 WAS FOR REHAB AFTER MY STROKE OK AND SO BUT AFTER THAT NO OTHER HOSPITALIZATIONS OR SURGERIES RES0104-073 NO RES0104-074 OK ANY SURGERIES IN THE PAST RES0104-075 WELL I DID HAVE A C SECTION FOR MY SON BUT THAT WAS MANY YEARS AGO NOW AND EVERYTHING FOR RES0104-076 THAT WAS WAS OK OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS ANY CANCERS RES0104-077 MY DAD HAD HAD A HEART ATTACK ACTUALLY BUT HE WAS IN HIS EIGHTIES WHEN THAT WHEN THAT HAPPENED RES0104-078 OK AND CURRENTLY RIGHT NOW ARE YOU WORKING AT ALL RES0104-079 NO I'M RETIRED I USED TO BE A TEACHER FOR GRADE THREE BUT BUT SINCE RETIRED AND MY HUSBAND AND I JUST MOVED INTO A SMALLER APARTMENT TO MAKE IT A BIT EASIER ON US IT WAS A LOT TRYING TO LOOK AFTER THE HOUSE RES0104-080 OK WELL CONGRATULATIONS ON YOUR NEW HOME ARE YOU AT ALL YOU OR YOUR HUSBAND REQUIRING ANY KIND OF SUPPORTS OUTSIDE OF THE HOME AT ALL RES0104-081 NO BETWEEN US TWO WE MANAGED TO GET THE SHOPPING DONE THE COOKING AND AND ALL THE CLEANING AND THAT SORT OF THING I USE A WALKER TO GET AROUND WHEN WE'RE GOING LONGER DISTANCES RES0104-082 OK AND CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL RES0104-083 YES I I SPOKE ABOUT HALF A PACK PER DAY OR MAYBE EVEN LESS RES0104-084 OK AND HOW HOW LONG HAVE YOU HAVE SMOKED FOR RES0104-085 SINCE I WAS FIFTEEN MAYBE RES0104-086 OK RES0104-087 SO FOR LIKE FORTY FIVE YEARS RES0104-088 AND HAVE YOU AT ALL BEEN DIAGNOSED WITH COPD OR ANYTHING LIKE THAT RES0104-089 NO I WAS TESTED ACTUALLY A COUPLE OF YEARS AGO AND THAT THE RESULTS WERE NORMAL RES0104-090 OK ALRIGHT AND HAVE YOU THOUGHT OF QUITTING AT ALL I KNOW YOU'VE BEEN SMOKING LIKE FOR A VERY LONG TIME BUT HAVE YOU AT ALL TRIED TO QUIT BEFORE RES0104-091 LIKE I'VE CONSIDERED IT BUT I I JUST DON'T THINK IT IT'LL BE POSSIBLE AT THIS TIME RES0104-092 OK WELL IF YOU AT ALL ARE WANTING ANY INFORMATION OR WANT TO TALK ABOUT QUITTING AT ALL WE CAN PROVIDE MORE RESOURCES DO YOU BESIDES SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0104-093 NO RES0104-094 NO ANY ALCOHOL AT ALL RES0104-095 NO RES0104-096-1 OK YEAH SO THOSE ARE SOME OF THE QUESTIONS I HAD A I WILL BE DOING A PHYSICAL EXAMINATION WITH YOUR SHORTNESS OF BREATH I JUST WANT TO GET A GOOD LISTEN TO YOUR LUNGS AND TAKE ALL YOUR VITALS AS WELL HOWEVER SO AFTER THAT SINCE YOU'RE HAVING RES0104-096-2 SOME SYMPTOMS OF WHAT MIGHT BE A PNEUMONIA IT CAN BE A BACTERIAL INFECTION A VIRAL INFECTION WE WILL HAVE TO GET SOME BLOOD WORK DONE AS WELL AS A CHEST X RAY RES0104-096-3 AND RIGHT NOW WITH THE PANDEMIC GOING ON WE WILL ALSO DO COVID SWAB TEST FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD RES0104-097 THAT MAKES SENSE THANK YOU RES0104-098 ALRIGHT AND IF IF YOU'RE WHILE YOU'RE HERE IF YOUR SHORTNESS OF BREATH GETS ANY WORSE AT ALL JUST LET US KNOW AND WE'LL HELP YOU OUT RES0104-100 THANK YOU WILL DO RES0104-101 BYE RES0105-000 SO WHAT BRINGS YOU IN TODAY RES0105-001 I'VE HAD I'VE HAD A COUGH FOR A NUMBER OF YEARS NOW BUT STORE THESE PAST LIKE DAY IT'S GOTTEN A LOT QUITE A BIT WORSE AND I'VE BEEN REALLY SHORT OF BREATH RES0105-002 OK AND SO HOW MANY DAYS WOULD YOU SAY YOU'VE BEEN SHORT OF BREATH RES0105-003 LESS THAN A DAY MAYBE JUST REALLY KIND OF STARTED LAST NIGHT AND HAS CARRIED OUT THROUGHOUT THIS MORNING I I CALLED THIS MORNING TO GET AN APPOINTMENT RES0105-004 OK AND IT WAS IT BROUGHT ON BY ANY ACTIVITIES OR WERE YOU DOING ANYTHING AT THAT TIME BEFORE IT STARTED RES0105-005 NO LAST LAST NIGHT I WAS WELL I WAS JUST DOING MY REGULAR KIND OF ROUTINE AFTER DINNER CLEANING UP AND JUST THE COUGH STARTED FIRST AND OVER OVER THE OVER THE NIGHT IT GOT WORSE I COULD JUST COULDN'T CATCH MY BREATH AND THAT WAS SIMILAR THIS MORNING RES0105-006 OK SO YOU'VE ALSO HAD A COUGH RES0105-007 I HAVE I'VE HAD A COUGH FOR A LONG TIME NOW BUT IT'S BEEN WORSE OVER THIS LAST DAY RES0105-008 IS IT LIKE A WET COUGH OR DRY COUGH RES0105-009 IT'S WET I I'M BRING UP SPUTUM MOST OF THE TIME BUT IT'S BEEN IT'S USUALLY LIKE WHITE OR CLEAR AND IT'S A LOT MORE LIKE IT'S A LOT MORE GREENISH YELLOW AND RES0105-010 OK AND ARE YOU HAVING ANY KIND OF FEVERS OR CHILLS ANYTHING LIKE THAT RES0105-011 I I DID HAVE SOME CHILLS LAST NIGHT SO I'M NOT SURE ABOUT A FEVER THOUGH RES0105-012 OK AND ARE YOUR SYMPTOMS AT ALL SO YOU DO HAVE A SHORTNESS OF BREATH BUT ANY KIND OF CHEST PAIN AT ALL RES0105-013 I DO HAVE SOME CHEST PRESSURE FOR SURE I JUST FEELS LIKE I CAN'T CAN'T CATCH MY BREATH RES0105-014 OK SO IS IT MOSTLY RELATED TO YOUR BREATHING OR DO YOU HAVE IT AT REST OR DO YOU HAVE IT WITH ANY EXERTION RES0105-015 I THINK IT IT'S THERE KIND OF MOST OF THE TIME LIKE THE CHEST PRESSURE I KIND OF FEEL IT THROUGHOUT MY CHEST WHEN WHEN I'M BREATHING BUT BUT ALSO JUST KIND OF SITTING HERE I CAN KIND OF FEEL IT RES0105-016 OK I SEE AND ARE ALL OF YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO RES0105-017 THEY'VE BEEN CONSTANT AND THEY'VE GOT BEEN GETTING WORSE SINCE SINCE LAST NIGHT RES0105-018 OK AND HAVE YOU HAD THIS HAPPEN TO YOU BEFORE RES0105-019 IT HAS I ACTUALLY LAST LAST WINTER I WAS HOSPITALIZED FOR A COPD EXACERBATION FOR FOR A FEW DAYS I I KNOW I GOT SOME ANTIBIOTICS AND I NEEDED SOME OXYGEN RES0105-020 I SEE AND DID YOU GO HOME ON HOME OXYGEN AT ALL LIKE DO YOU USE OXYGEN AT HOME RES0105-021 NO I WAS TOLD I DIDN'T NEED ANY ANY YET BUT IF I DIDN'T QUIT SMOKING I MIGHT IN THE FUTURE RES0105-022 OK AND ARE YOU USING ANY KIND OF PUFFERS AT ALL RES0105-023 I I DO I I USE I THINK IT'S CALLED LIKE SPIRIVA OR SOMETHING LIKE THAT I USE THAT EVERY DAY AND THERE'S ANOTHER ONE THAT I'LL USE LIKE IF MY SYMPTOMS ARE GETTING BAD MY BLUE ONE I DID TRY THAT ACTUALLY LAST NIGHT AND IT DIDN'T IT HELPED A LITTLE BIT BUT NOT NOT ENOUGH RES0105-024 OK SO HAVE YOU JUST TRIED LIKE TRIED IT ONE TIME LAST NIGHT HAVE YOU TRIED IT AFTER THAT RES0105-025 WE JUST TRIED IT LAST LAST NIGHT RES0105-026 OK SO NOTHING TODAY RIGHT RES0105-027 NO NOTHING TODAY RES0105-028 OK OTHER THAN THAT SO YOU DID HAVE AN ADMISSION BEFORE FOR THIS AND YOU HAVE COPD DO YOU HAVE ANY OTHER SYMPTOMS RIGHT NOW LIKE RUNNY NOSE SORE THROAT ANY COLD LIKE SYMPTOMS RES0105-029 NO NO I I RES0105-030 I DON'T DID YOU HAVE IT BEFORE THESE SYMPTOMS STARTED RES0105-031 NO I'VE BEEN FEELING I'VE BEEN FEELING OK RES0105-032 OK AND HAVE YOU TRAVELED AT ALL RECENTLY RES0105-033 WELL I DID I JUST GO UP TO THE TRAILER NOT TOO LONG AGO TO VISIT SOME FAMILY BUT THAT'S JUST AN HOUR AWAY RES0105-034 OK ANYONE SICK AROUND YOU RECENTLY RES0105-035 NO I DON'T I DON'T THINK SO RES0105-036 AND IS THERE ARE YOU HAVING ANY HEADACHE OR NAUSEA OR VOMITING RES0105-037 NO I HAVEN'T HAD ANYTHING LIKE THAT RES0105-038 OK AND BESIDES THE TIME YOU GOT HOSPITALIZED HAVE YOU HAD ANY EXACERBATIONS AFTER THAT RES0105-039 NO I JUST HAD THAT HAD THAT HAPPEN THE ONE TIME LAST YEAR RES0105-040 OK AND DO YOU FEEL THAT YOUR SYMPTOMS ARE SIMILAR WORSE OR HOW DO THEY COMPARE TO LAST TIME IF YOU REMEMBER RES0105-041 PRETTY SIMILAR I THINK LAST TIME I WAS WORSE BUT I WAITED LONGER LAST TIME AND SO THAT'S WHY I WAS CONCERNED AND AND WANTED TO COME IN EARLY RES0105-042 OK OK ALRIGHT SO HAVE YOU HAD ANY FEVERS AT ALL OR CHILLS RES0105-043 I'VE I'VE HAD SOME CHILLS LAST NIGHT LIKE I JUST COULDN'T GET WARM I WAS LOADING UP ON BLANKETS AND IT DIDN'T SEEM TO HELP RES0105-044 OK SO WE'LL GET A TEMPERATURE ON YOU TODAY AS WELL DO YOU FEEL THAT YOU'RE BREATHING FASTER AT ALL RES0105-045 NOT NECESSARILY IT JUST IT JUST HARDER TO TO FEEL LIKE I CAN'T CATCH MY BREATH RES0105-046 OK DO YOU FEEL FATIGUED AT ALL RES0105-047 I I HAVE A I MEAN I HAVE BEEN FEELING JUST TIRED THIS MORNING BUT I THINK THAT'S MORE TO DO WITH THE FACT THAT I JUST CAN'T REALLY DO A WHOLE LOT OF EXERTION BECAUSE AS SOON AS I MOVE AROUND I'M I CAN'T BREATHE RES0105-048 I SEE OK AND ARE YOU HAVING ANY KIND OF DIARRHEA CONSTIPATION OR ANY URINARY TROUBLES AT ALL RES0105-049 NO I'M NOT RES0105-050 OK ANY CHANGES IN YOUR SLEEP OR APPETITE RES0105-051 THAT'S BEEN THAT'S BEEN NORMAL BEEN EATING WELL RES0105-052 OK ANY KIND OF CONFUSION OR ANY DO YOU FEEL LIKE YOURSELF RES0105-053 I DO RES0105-054 OK ANY CONFUSION AT ALL THAT ANYONE'S NOTICED RES0105-055 NO I DON'T THINK SO I FEEL LIKE THAT'S BEEN OK RES0105-056 ANY WHEEZING RES0105-057 I I HAVE NOTICED SOME WHEEZING IT'S USUALLY I USUALLY WELL I'VE BEEN TOLD I HAVE A WHEEZE BUT I CAN ACTUALLY HEAR IT RIGHT NOW RES0105-058 OK WE'LL DO LIKE A FULL PHYSICAL EXAMINATION AS WELL AND WE'LL GET LIKE YOUR OXYGENATION LEVEL AND EVERYTHING LIKE THAT DO YOU HAVE ANY BESIDES COPD SO WHEN WERE YOU DIAGNOSED WITH YOU PLEASE RES0105-059 ABOUT TEN YEARS AGO RES0105-060 OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS RES0105-061 I DO I HAVE A HIGH BLOOD PRESSURE TYPE TWO DIABETES AND LIKE AND THERE'S SOMETHING WRONG WITH MY WITH MY KIDNEYS AS WELL I THINK MY EGFR IS LOW OR SOMETHING LIKE THAT RES0105-062 OH I SEE OK AND DO YOU TAKE ANY MEDICATIONS BESIDES YOUR PUFFERS RES0105-063 I I DO I I TAKE ON AN ACE INHIBITOR METFORMIN SGLTTWO INHIBITOR AND I'M ALSO TAKING A A WATER PILL AS WELL CAUSE I OVER THESE LAST COUPLE OF YEARS I'VE HAD SOME MORE SWELLING IN MY IN MY FEET RES0105-064 OK I SEE DO YOU HAVE ANY SWELLING INCREASED SWELLING RIGHT NOW RES0105-065 NO I THAT'S BEEN ABOUT THIS BEEN PRETTY CONSTANT RES0105-066 OK AND DO YOU FEEL RECENTLY AT ALL THAT YOU'RE SHORT OF BREATH WHEN LYING DOWN OR DO YOU HAVE TO WAKE UP TO TAKE A DEEP BREATH ANYTHING LIKE THAT RES0105-067 NO I HAVEN'T ONLY BROUGHT ISSUES LIKE THAT RES0105-068 OK ANY ANY KIND OF DIZZINESS OR FAINTING EPISODES RES0105-069 NO I HAVEN'T HAD ANYTHING LIKE THAT RES0105-070 OK ANY INCREASED SWEATING ASSOCIATED WITH YOUR CHEST TIGHT OR PRESSURE OR ANYTHING LIKE THAT RES0105-071 NO NO I HAVEN'T BEEN SWEATY RES0105-072 OK AND OTHER THAN THAT ANY PREVIOUS SURGERIES IN THE PAST RES0105-073 I I HAD A UTERINE PROLAPSE SO I HAD SURGERY FOR THAT I HAVE FIVE KIDS RES0105-074 OK ANY ANY COMPLICATIONS AFTER THAT SURGERY AT ALL RES0105-075 NO IT HELPED IT ACTUALLY FIXED THE LEAKING AT THE TIME I WAS HAVING SO WAS HAPPY WITH THAT RES0105-076 THAT'S GOOD CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR ARE YOU RETIRED RES0105-077 I AM RETIRED RES0105-078 OK AND WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW RES0105-079 YES WE LIVE IN A HOUSE JUST OUTSIDE OF THE CITY WITH MY WITH MY HUSBAND RES0105-080 OK ANY EXPOSURES TO ANY DUST FUMES ASBESTOS OR ANYTHING LIKE THAT IN YOUR HOME RES0105-081 NO I DON'T BELIEVE SO RES0105-082 OK AND DO YOU CURRENTLY SMOKE RES0105-083 I DO CURRENTLY MAYBE HALF A PACK TO A PACK PER DAY RES0105-084 OK AND HOW LONG HAVE YOU SMOKED FOR RES0105-085 OH I STARTED IN MY TEENS SO MOST OF MY LIFE I'VE I'VE SMOKED I GREW UP AROUND IT IT'S JUST WHAT MY PARENTS DID AND EVERYBODY SMOKED RES0105-086 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0105-087 NO I DON'T RES0105-088 OK AND DO YOU DRINK ALCOHOL AT ALL RES0105-089 VERY RARELY DON'T REALLY DRINK IT ANYMORE RES0105-090 OK ALRIGHT SO THOSE ARE SOME OF THE QUESTIONS I HAD FOR YOU TODAY WE'LL DO A FULL PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION DONE RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL RES0105-091 NO THAT THAT MAKES SENSE THANK YOU RES0105-092-1 YOU'RE WELCOME AND SO WE'LL WE'LL ALSO DO SOME LAB WORK AS WELL WE'LL GET SOME BLOOD WORK DONE WANT TO MAKE SURE WE DON'T MISS ANY KIND OF INFECTION YOU'RE IN LIKE YOUR YOU CAN BE HAVING ANOTHER COPD EXACERBATION RES0105-092-2 BUT WE ALSO WANT TO MAKE SURE YOU DON'T HAVE LIKE PNEUMONIA OR ANYTHING LIKE THAT SO WE MIGHT HAVE TO DO A CHEST X RAY AS WELL BUT FOR NOW I WOULD SAY JUST SIT TIGHT WE'LL GET ALL YOUR VITALS DONE AND THEN GO ON FROM THERE DOES THAT SOUND GOOD RES0105-093 THAT SOUNDS GOOD THANK YOU RES0105-094 ALRIGHT AND IF YOU FEEL AT ALL YOU'RE VERY SHORT OF BREATH AND WE CAN GIVE YOU SOME VENTIL IN HERE AS WELL AND THEN IF YOU NEED LIKE WE CAN GIVE YOU LIKE SYSTEMIC CORE STEROIDS AS WELL TO HELP SOME OF YOUR SYMPTOMS BUT LET'S LET'S DO SOME OF THAT PHYSICAL EXAMINATIONS FIRST RES0105-095 OK THAT SOUNDS GOOD THANK YOU RES0105-096 WELCOME TAKE CARE RES0105-097 BYE RES0106-000 WHAT BRINGS YOU IN RES0106-001 I'VE HAD I'VE HAD THIS COUGH FOR THE PAST TWO WEEKS I WAS JUST WORRIED ABOUT IT RES0106-002 OK PAST TWO WEEKS HAVE IS IT A DRY COUGH OR IS IT ARE YOU BRINGING UP PHLEGM RES0106-003 I'M IT'S MOSTLY DRY BUT JUST SOMETIMES THERE'S LIKE A LITTLE BIT I GUESS THE FLAT LITTLE BIT OF PHLEGM RES0106-004 OK WHAT COLOUR IS THE PHLEGM RES0106-005 IT'S LIKE WHITISH SOMETIMES IT'S CLEAR RES0106-006 OK IS IT EVER GREEN OR BLOODY RES0106-007 NO RES0106-008 NO OK DO YOU HAVE ANY SHORTNESS OF BREATH RES0106-009 NO RES0106-010 ANY WHEEZING RES0106-011 SOMETIMES RES0106-012 SOMETIMES OK WITH THE COUGH OR OUTSIDE THE COUGH AS WELL RES0106-013 WITH THE COUGH RES0106-014 ANY CHEST PAIN RES0106-015 NO NOT INITIALLY BUT LIKE SINCE THE PAST FEW DAYS ESPECIALLY AFTER I'VE LIKE COUGHED A LOT IT JUST KIND OF HURTS ME A LITTLE BIT RES0106-016 OK OK ANY DO YOU EVER FEEL SO IT JUST HURTS AFTER COUGHING RES0106-017 SO IS IT KIND OF LIKE A SHARP PAIN OR LIKE A DULL ACHY PAIN RES0106-018 I DON'T KNOW IT JUST FEELS LIKE LIKE MY MUSCLES ARE HURTING LIKE I'M JUST LIKE COUGHING SO MUCH IT'S JUST RES0106-019 OK RES0106-020 DULL PAIN OK IN THE MIDDLE OF MY CHEST THEN IT GOES AWAY RES0106-021 OK OK AND DO YOU EVER FEEL LIKE YOUR HEART'S RACING RES0106-022 NO NO RES0106-023 OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LEGS ARMS OR ABDOMEN RES0106-024 NO RES0106-025 ANY DIZZINESS OR FAINTING SPELLS RES0106-026 NO RES0106-027 NO OK ANY HEADACHES RES0106-028 NO RES0106-029 CONFUSION OR MEMORY LOSS RES0106-030 NO RES0106-031 HAVE YOU NOTICED ANY FEVERS RES0106-032 NO RES0106-033 ANY WEIGHT LOSS RES0106-034 NO RES0106-035 NO EXCESSIVE FATIGUE OR TIREDNESS RES0106-036 NO NOT REALLY I'VE HAVEN'T BEEN FATIGUED I THINK I'M I'M FINE AND FEEL NORMAL OTHER THAN THE COUGH OF COURSE RES0106-037 OK SURE ANY RASHES RES0106-038 NO RES0106-039 HOW ABOUT CHANGES IN YOUR VISION OR HEARING RES0106-040 NO NO CONCERNS THERE RES0106-041 HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE RES0106-042 NO RES0106-043 NO A SORE THROAT RES0106-044 NO RES0106-045 OK CHANGES TO YOUR SMELL OR TASTE RES0106-046 NO RES0106-047 NO HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL RES0106-048 HOW ABOUT URINE RES0106-049 THEY'VE BEEN NO CONCERNS RES0106-050 ANY NAUSEA OR VOMITING RES0106-051 NO RES0106-052 NO OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST RES0106-053 I KIND OF HAD THIS ABOUT I DON'T KNOW THREE OR FOUR YEARS AGO I JUST HAD THIS COUGH BUT THEN IT KIND OF WENT AWAY ON ITS OWN IN ABOUT A WEEK BUT NOW IT'S BEEN LIKE TWO WEEKS SO I DON'T KNOW WHAT'S HAPPENING IF IT'S SOMETHING I JUST WANT TO MAKE SURE IT'S NOTHING SERIOUS RES0106-054 FOR SURE WHEN YOU HAD THIS IN THE PAST WERE YOU EVER DONE GIVEN A DIAGNOSIS RES0106-055 NO I DIDN'T GO TO SEE A DOCTOR I JUST KIND OF STAY AT HOME RES0106-056 OK RES0106-057 I THOUGHT IT WAS JUST LIKE A MILD INFECTION OR SOMETHING RES0106-058 HAVE YOU TRIED ANYTHING FOR THE COUGH THIS TIME AROUND RES0106-059 I HAD SOME LIKE LOZENGES AND I HAVEN'T AND THOSE HAVE BEEN HELPING ME RES0106-060 OK GOOD RES0106-061 IF YOU WERE TO DESCRIBE YOUR COUGH IS IT BARKY HARSH MUFFLED LIKE WHAT WHAT WOULD YOU SAY THE SOUND OF IT IS RES0106-062 I DON'T KNOW IT'S KIND OF LIKE LIKE A NORMAL COUGH YOU KNOW LIKE WHEN YOU'RE CLEARING YOUR THROAT OR SOMETHING OR WHEN YOU'RE LIKE WHEN SOMETHING GETS STUCK IN YOUR THROAT JUST LIKE LIKE A NORMAL COUGH I DON'T THINK IT'S BARKY RES0106-063 OK OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0106-064 NO I DON'T I DON'T RES0106-065 NO OK HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0106-066 I HAVE MY WISDOM TEETH REMOVED RES0106-067 OK WHEN WAS THAT RES0106-068 ABOUT EIGHT NINE YEARS AGO WHEN I WAS SEVENTEEN YEARS OF SIXTEEN YEARS OLD SEVENTEEN YEARS OLD RES0106-069 OK OK AND ARE YOU ON ANY MEDICATIONS RES0106-070 I'M JUST TAKING THIS BIRTH CONTROL PILL RES0106-071 OK WHICH ONE RES0106-072 IT'S CALLED I FORGET THE NAME RES0106-073 NO WORRIES AND WHEN DID YOU START IT RES0106-074 I STARTED THREE YEARS AGO RES0106-075 THREE YEARS AGO OK AND NO SIDE EFFECTS NO ISSUES WITH IT RES0106-076 NO NO IT'S ALL GOOD RES0106-077 AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0106-078 I THINK SO RES0106-079 OK DID YOU GET THE FLU SHOT THIS YEAR RES0106-080 NO I DIDN'T RES0106-081 NO OK WE RECOMMEND GETTING IT OUT ONCE A YEAR JUST FOR YOUR SAFETY AND FOR EVERYONE ELSE'S AND EVEN IF YOU GET THE FLU MAYBE YOUR SYMPTOMS WON'T BE AS SEVERE AND THEN DO YOU HAVE ANY ALLERGIES RES0106-082 I DON'T NO RES0106-083 NO OK ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS RES0106-084 MY MOM HAS DIABETES RES0106-085 OK RES0106-086 AND MY DAD HAS HIGH BLOOD PRESSURE RES0106-087 OK AND THEN ANY CANCERS IN THE FAMILY RES0106-088 NO RES0106-089 NO OK AND HAVE YOU BEEN IN CONTACT WITH ANY ANY SICK PEOPLE RECENTLY RES0106-090 NO I'VE JUST BEEN STAYING AT HOME RES0106-091 OK ANY TRAVEL RECENTLY RES0106-092 NO RES0106-093 NO OK HOW ABOUT SMOKING DO YOU SMOKE RES0106-094 ONCE IN AWHILE RES0106-095 OK WHAT'S ONCE IN AWHILE RES0106-096 MAYBE WHEN I'M OUT WITH MY FRIENDS I MIGHT SOMETIMES HAVE A CIGARETTE OR TWO I USED TO SMOKE A LOT MORE BUT I'M TRYING TO CUT IT DOWN RES0106-097 OK HOW LONG HAVE YOU BEEN SMOKING FOR RES0106-098 I STARTED SMOKING IN HIGH SCHOOL SO WHEN I WAS EIGHTEEN YEARS OLD RES0106-099 AND AT THAT TIME I WOULD HAVE ABOUT SIX CIGARETTES A DAY BUT THEN I LIKE I I KNEW THAT SMOKING WASN'T GOOD FOR ME SO I'M TRYING TO CUT IT DOWN BUT MY FRIENDS STILL SMOKE SO SOMETIMES WHEN I GO OUT WITH THEM I'LL JUST HAVE A CIGARETTE OR TWO MAYBE LIKE ONCE A MONTH I WOULD SAY RES0106-100 ONCE A MONTH OK OK AND THEN ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA OR COCAINE OR ANYTHING LIKE THAT RES0106-101 I TRIED A FEW IN HIGH SCHOOL BUT NOT SINCE THEN I HAD I HAD COCAINE ONCE RES0106-102 OK AND DO YOU DRINK ALCOHOL RES0106-103 I HAVE A GLASS AT NIGHT RES0106-106 AND AND WHERE DO YOU LIVE RIGHT NOW RES0106-107 I LIVE I LIVE IN AN APARTMENT WITH MY BOYFRIEND ABOUT TWENTY MINUTES FROM HERE RES0106-108 OK ANY OLD CARPETS AT HOME DUST MOLD ASBESTOS ANYTHING THAT WOULD BE TRIGGERING YOUR COUGH RES0106-109 I DON'T KNOW I HAVE NOT REALLY HAD A PROBLEM BUT BEEN HERE AT THIS PLACE FOR ABOUT A YEAR AND A HALF RES0106-111 IT IS AN OLD BUILDING BUT IT'S BEEN OK SO FAR NO RECENT CHANGES RES0106-112 OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN RES0106-113 NO I WAS JUST WORRIED THIS COUGH ISN'T ISN'T SERIOUS RIGHT YOU DON'T THINK I HAVE COVID RES0106-114-1 SO BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID WE'RE GOING TO GET A SWAB ON YOU DONE AND YOU SHOULD GET THOSE RESULTS IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS AND IF IT'S POSITIVE PUBLIC HEALTH WILL BE IN TOUCH RES0106-114-2 TO DO SOME CONTACT TRACING IN THE MEANTIME BECAUSE YOU HAVE A COUGH IT IS RECOMMENDED THAT YOU ISOLATE FOR FOURTEEN DAYS AND IF IT'S NOT COVID BUT IT'S PROBABLY SOMETHING LIKE RES0106-114-3 ACUTE BRONCHITIS OR SOME OTHER VIRAL INFECTION THAT'S GOING AROUND AT THIS TIME OF YEAR SO FOR THAT WE CAN YOU CAN JUST RES0106-114-4 TREAT IT WITH LIKE SUPPORTIVE TREATMENTS YOU KNOW LIKE STAYING HYDRATED GOOD NUTRITION GOOD SLEEP RES0106-114-5 AND JUST KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR REALLY SEVERE LIKE YOU'RE HAVING NEUROLOGICAL SYMPTOMS AND JUST SEEK HELP FROM THE ER RES0106-115 FOR SURE THANK YOU RES0106-116 TAKE CARE RES0107-000 WHAT BRINGS YOU IN HI I'M RES0107-001 HERE WITH MY SON AND HE'S JUST BEEN FEELING AWFUL HE JUST HAS THIS RUNNY NOSE AND HE'S BEEN SNEEZING ALL THE TIME AND I DON'T KNOW MAYBE HE HAS ALLERGIES OR SOMETHING I JUST CAME IN CAUSE I WANTED TO GET HIM CHECKED OUT AND MAYBE GET SOME MEDICATIONS HE'S JUST FEELING HORRIBLE RES0107-002 FOR SURE WHEN DID WHEN DID THE SNEEZING AND RUNNY NOSE START RES0107-003 HE HE'S HAD IT FOR HE'S JUST ALWAYS KIND OF YOU KNOW HE'S ALWAYS HAVING THAT RUNNY NOSE YOU KNOW KIDS ALWAYS DO BUT IT'S JUST BEEN PRETTY BAD OVER THE PAST TWO WEEKS RES0107-004 PAST TWO WEEKS OK WHAT STARTED FIRST THE SNEEZING OR RUNNY NOSE RES0107-005 THE RUNNY NOSE KIND OF JUST GOT WORSE A LITTLE BIT OVER THE PAST TWO WEEKS AND THEN THE SNEEZING KIND OF STARTED AT ABOUT THE SAME TIME RES0107-006 OK AND AND THE RUNNY NOSE IS HE HAVING LIKE WHAT COLOUR IS IT RES0107-007 IT'S JUST CLEAR LIKE RES0107-008 CLEAR OK DOES HE EVER FEEL LIKE HE'S DO YOU EVER FEEL LIKE HE'S STUFFY RES0107-009 KIND OF HE'S JUST BEEN SNORTING AND SNIFFING AND I DON'T THINK HE KNOWS HOW TO BLOW HIS NOSE YET BUT HE'S LIKE CLEARING HIS THROAT SO I THINK HE'S HE'S A LITTLE BIT STUFFY RES0107-011 BUT HE HASN'T COMPLAINED ABOUT DIFFICULTY WITH BREATHING OR LIKE HE'S BEEN LIKE HE SLEEPS WITH HIS MOUTH CLOSED SO I THINK HE HE SHOULD BE ABLE TO BREATHE OK RES0107-012 OK GOOD SO YOU SAID NO SHORTNESS OF BREATH OR TROUBLE BREATHING HAS HE HAD ANY COUGHS RES0107-013 KIND OF IN THE MORNING SO I I SEE THAT WHENEVER HE WAKES UP IN THE MORNING HE JUST HAS TO LIKE CLEAR HIS THROAT A LOT AND LIKE COUGH AND THEN GETS BETTER RES0107-014 OK OK IS HE BRINGING UP PHLEGM WHEN HE COUGHS RES0107-015 A LITTLE BIT RES0107-016 WHAT COLOUR IS IT RES0107-017 IT'S THE SAME STUFF THAT COMES OUT OF HIS NOSE RES0107-018 OK SO NO BLOOD OR PUS RES0107-019 NO NO RES0107-020 NO OK HAVE YOU DO YOU THINK HE'S LOST HIS LIKE SENSE OF SMELL OR TASTE RES0107-021 NO RES0107-022 NO OK ANY CHANGES IN HIS VISION OR HEARING RES0107-023 I DON'T THINK SO RES0107-024 NO DID LIKE HAVE YOU NOTICED ANY DISCHARGE FROM HIS EYES RES0107-025 NO NO SOMETIMES HE DOES HAVE THAT BUT NO NOT IN THE PAST TWO WEEKS RES0107-026 OK SO HIS LIKE EYELIDS AREN'T SWOLLEN OR HIS EYES AREN'T RED RES0107-027 NO NO NO RES0107-028 NO OK AND DOES HE HAVE YOU NOTICED ANY SWELLING IN HIS EITHER LIKE FACE NECK LIKE BELLY AREA OR HIS LIMBS RES0107-029 NO NO I HAVEN'T IT'S JUST HIS NOSE IS LIKE A LITTLE BIT RED RES0107-030 OK RES0107-031 AND HE'S JUST HE'S JUST ITCHING ALL THE TIME JUST ITCHING HIS NOSE ITCHING HIS EARS BUT NO NO SWELLING RES0107-032 NO SWELLING HAVE YOU NOTICED ANY RASHES ON HIM RES0107-033 NO I CHECKED YESTERDAY NIGHT VERY CAREFULLY RES0107-034 OK GOOD ANY WEIGHT LOSS RES0107-035 NO HE'S BEEN GAINING WEIGHT SO GOOD THAT HE'S BEEN EATING WELL RES0107-036 THAT'S GOOD ANY FEVERS OR CHILLS RES0107-037 NO RES0107-038 NO DOES HE LOOK LIKE HE'S LIKE EXCESSIVELY TIRED RES0107-039 HE'S A LITTLE BIT FATIGUED BECAUSE OF THE SNEEZING AND THE AND THE RUNNY NOSE YOU KNOW HE'S NOT GOING OUT TO PLAY AS MUCH RES0107-040 BUT IT'S NOT YOU KNOW HE'S STILL HE'S STILL CHEERFUL HE'S NOT IRRITABLE OR ANYTHING RES0107-041 OK OK AND THEN HAVE YOU NOTICED THAT HE'S LIKE TAKING IN LIKE RAPID BREATHS RES0107-042 NO NO HIS BREATHING HAS BEEN GOOD RES0107-043 OK HOW ABOUT HIS BOWEL MOVEMENTS HAVE THOSE BEEN NORMAL RES0107-044 OK ANY NAUSEA OR VOMITING RES0107-045 NO RES0107-046 HOW ABOUT HIS URINE RES0107-047 NO NO PROBLEMS THERE RES0107-048 OK HOW ABOUT LIKE DIZZINESS OR FAINTING SPELLS RES0107-049 NO NO NO I DIDN'T NOTICE ANYTHING LIKE THAT RES0107-050 NO ANY CONFUSION THAT YOU NOTICED RES0107-052 HEADACHES RES0107-053 NO RES0107-054 NO OK HAS HE BEEN LIKE EXCESSIVELY ITCHING ANYWHERE RES0107-055 JUST HIS JUST HIS NOSE AND I THINK HIS LIKE I THINK HIS MOUTH IS ITCHY TOO CAUSE HE KEEPS DOING THIS THING WITH HIS TONGUE JUST KIND OF I DON'T KNOW JUST KIND OF LIKE RES0107-056 ITCHING THE TOP OF HIS MOUTH WITH HIS TONGUE OR SOMETHING RES0107-057 OK RES0107-058 JUST LIKE HIS FACE IS ITCHY RES0107-059 OK HAS HE COME INTO ANY CONTACT WITH SICK PEOPLE RECENTLY RES0107-060 I DON'T MAYBE SO TWO WEEKS AGO HE WAS PLAYING OUTSIDE AND I KNOW THAT HE HE DOES HIS SYMPTOMS DO GET WORSE WHEN HE'S OUTSIDE SO I DON'T KNOW MAYBE RES0107-062 HE WAS PLAYING WITH WITH HIS BROTHER BUT THEN THIS OTHER KID FROM THE NEIGHBOURHOOD ALSO CAME AROUND RES0107-063 OK OK HOW ABOUT TRAVEL TO ANYWHERE RES0107-064 NO WE'VE JUST BEEN STAYING AT HOME RES0107-065 OK GOOD IS HE AN OTHERWISE HEALTHY KID AT THE MOMENT RES0107-066 HE'S AN HE'S A HEALTHY KID RES0107-067 OK ANY COMPLICATIONS WHEN YOU WERE PREGNANT WITH HIM RES0107-068 NO RES0107-069 NO HOW ABOUT AT BIRTH RES0107-070 NO NO COMPLICATIONS RES0107-071 OK DID HE NEED TO BE HOSPITALIZED AFTER BIRTH FOR ANY REASON RES0107-072 NO RES0107-073 ANY SURGERIES RES0107-074 NO RES0107-075 ANY ALLERGIES RES0107-076 I DON'T THINK SO I KNOW HE'S NOT RES0107-077 NO HE'S NEVER BEEN DIAGNOSED WITH LIKE ECZEMA OR ASTHMA RES0107-078 OH HE'S HE'S HAD ECZEMA HE HAD IT RES0107-079 OK RES0107-080 COMES AND GOES RES0107-081 HIS ECZEMA COMES AND GOES RES0107-082 OK IS HE ON ANY MEDICATIONS RES0107-083 NO RES0107-084 NO EVEN FOR HIS ECZEMA RES0107-085 IT'S PRETTY MILD RES0107-086 OK HAS HAVE YOU EVER LIKE GIVEN HIM REACTINE OR LIKE ANY OF THE THOSE ANTI ALLERGY MEDICATIONS IN THE PAST RES0107-087 I'VE TRIED THE THE ONES OVER THE COUNTER THEY DO HELP I TRIED IT THIS TIME BUT IT DIDN'T DO MUCH RES0107-088 OK OK AND I WAS GONNA ASK YOU SOMETHING ELSE HIS SYMPTOMS LIKE THE SNEEZING AND THE AND THE RUNNY NOSE LIKE HAS HE EXPERIENCED THIS BEFORE RES0107-090 OK RES0107-091 IT USUALLY GETS WORSE I GUESS LIKE AROUND THIS TIME I CAN TELL WHEN SPRING IS COMING UP IT GETS PRETTY BAD BUT HE ALWAYS HAS A RUNNY NOSE AND HE SNEEZES SOMETIMES HERE AND THERE RES0107-092 OK AND YOU MENTIONED THIS HAS BEEN GOING ON FOR MORE THAN FOUR DAYS THIS TIME AROUND RES0107-093 IT'S BEEN IT'S BEEN GOING ON FOR THE PAST TWO WEEKS RES0107-094 OK OK AND IS IT LIKE IMPAIRING HIS LIKE DAILY ACTIVITIES OR LIKE HIS ABILITY TO LIKE SLEEP RES0107-095 IT DOES AFFECT HIS SLEEP SOMETIMES HE DOESN'T LIKE JUST THE ITCHING REALLY BOTHERS HIM RES0107-096 SO HE CAN'T HE FINDS IT HARD TO FALL ASLEEP THAT'S LIKE I USUALLY THAT'S WHEN I GIVE HIM THE THE MEDICATIONS TO HELP HIM FALL ASLEEP RES0107-097 OK OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0107-098 OK ANY FAMILY HISTORY OF ASTHMA ECZEMA OR SOMETHING CALLED ALLERGIC RHINITIS RES0107-099 I HAVE ASTHMA RES0107-100 OK AND AND IS YOUR ASTHMA SEVERE RES0107-101 NO IT'S IT'S PRETTY WELL CONTROLLED I USED TO ACTUALLY I USED TO HAVE ASTHMA AS A CHILD RES0107-102 OK I SEE RES0107-103 IT'S PRETTY WELL CONTROLLED RIGHT NOW I DON'T EVEN NEED MEDICATIONS RES0107-104 OK OK RES0107-105 I REMEMBER I USED TO I USED TO GET ALLERGIES AS WELL AS A CHILD RES0107-106 OH I SEE RES0107-107 BUT VERY SIMILAR LOTS OF SNEEZING AND RES0107-108 ALRIGHT WERE YOU EVER DID YOU EVER TAKE LIKE AN ALLERGY TEST RES0107-109 NO I DIDN'T THINK ABOUT IT I JUST NEVER LIKE MY MY MY PARENTS DIDN'T TAKE ME TO GET THAT TESTING DONE RES0107-110 OK HOW ABOUT YOUR SON HAS HE BEEN ALLERGY TESTED RES0107-111 NO BUT I FEEL LIKE HE PROBABLY SHOULD RES0107-112 OK AND THEN DOES ANYONE AT HOME SMOKE RES0107-113 NO RES0107-114 NO OK DO YOU HAVE ANY LIKE OLD CARPETS DUST MOLD OR ASBESTOS AT YOUR PLACE RES0107-115 WE'VE GOT ALL OF WE GOT OUR CARPETS REMOVED TWO YEARS AGO THAT'S ACTUALLY HELPED WITH HIS SYMPTOMS AND I KNOW WE TRIED IT WE REMOVED THE CURTAINS AS WELL AND WE'VE USED BLINDS SO RES0107-116 OK RES0107-117 AND I DON'T THINK SO I DON'T THINK THERE'S ANY SPORES OR THINGS LIKE THAT RES0107-118 OK GOOD IS HE AN OTHERWISE HEALTHY CHILD LIKE DEVELOPMENTAL WISE LIKE HE'S GROWING GAINING WEIGHT OK LIKE HE'S HIS MOTOR SKILLS AND LIKE SOCIAL BEHAVIOURS ARE ALL UP TO PAR WITH HIS PEERS RES0107-119 OH HE'S DOING GREAT RES0107-120 OK OK GOOD THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN RES0107-121 NO RES0107-122-1 NO OK SO FOR HIM IT SOUNDS MORE IN KEEPING WITH SOMETHING CALLED ALLERGIC RHINITIS THAN AN INFECTION BUT BECAUSE HIS SYMPTOMS DO OVERLAP WITH THAT OF COVID WE'LL PROBABLY RES0107-122-2 GET HIM A SWAB ANYWAYS AND THOSE RESULTS SHOULD COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS IN THE MEANTIME RHINITIS IS ALLERGIC RHINITIS IS CAUSED BY RES0107-122-3 ALLERGIES TO CERTAIN THINGS SO WE CAN GET HIM ALLERGY TESTED AND THAT WILL GIVE US A BETTER UNDERSTANDING OF LIKE WHAT RES0107-122-4 HIS TRIGGERS ARE AND THE WAY TO TREAT THAT IS TO AVOID THOSE TRIGGERS THOSE ALLERGENS AND IF HIS SYMPTOMS ARE PERSISTENT RES0107-122-5 WE WILL PRESCRIBE HIM ALSO LIKE AN INTRANASAL CORTICOSTEROID AND THERE ARE LIKE THERE ARE LIKE SECOND LINE TREATMENTS AS WELL LIKE ANTIHISTAMINES AND RES0107-122-6 LEUKOTRIENE LIKE LEUKOTRIENE RECEPTOR ANTAGONISTS BUT THOSE ARE LIKE SECOND LINE WE'LL WE'LL SEE HOW HE DOES WITH THE INHALED CORTICOSTEROIDS AT FIRST HOW DOES THAT SOUND RES0107-123 SOUNDS GREAT RES0107-124 OK GREAT RES0107-125 THANK YOU RES0107-126 NO PROBLEM RES0111-000 HOW CAN I HELP YOU TODAY RES0111-001 HI I'M HERE BECAUSE I'VE HAD THIS AWFUL SORE THROAT FOR THE PAST FOUR DAYS DOESN'T SEEM TO BE GETTING ANY BETTER AND I THINK I'M DEVELOPING A FEVER NOW RES0111-002 HAVE YOU CHECKED YOUR TEMPERATURE RES0111-003 NO I HAVEN'T CHECKED MY TEMPERATURE I'M JUST REALLY HOT RES0111-004 WE'LL CHECK THAT HERE THEN AND DO YOU OK SO YOU'VE HAD THIS SORE THROAT FOR FOUR DAYS AND A FEVER HAVE YOU HAD ANY DIFFICULTY SWALLOWING RES0111-005 NOT LIKE I CAN DRINK OK BUT IT'S REALLY HARD FOR ME TO EAT SOLID FOODS RIGHT NOW RES0111-006 WHY IS THAT RES0111-007 OH IT JUST HURTS RES0111-008 OK BUT IT'S NOT THAT YOU CAN'T YOU CAN'T SORT OF LIKE YOU DON'T FEEL LIKE IT'S GETTING STUCK RES0111-009 NO NO NOTHING LIKE THAT RES0111-010 AND HAVE YOU NOTICED ANY CHANGES IN YOUR VOICE DO YOU FIND THAT YOUR VOICE IS MORE HOARSE RES0111-011 A LITTLE BIT BUT I THINK THAT'S JUST BECAUSE I TRY NOT TO TALK AS MUCH SINCE MY THROAT IS SO SORE RES0111-012 OK OK AND HAVE YOU HAD A RUNNY NOSE RES0111-013 NO NO RUNNY NOSE RES0111-014 A COUGH RES0111-015 NO RES0111-016 OK HAVE YOU HAD ANY DIFFICULTIES BREATHING RES0111-017 NO RES0111-018 ANY CHEST PAIN RES0111-019 NO RES0111-020 ANY SORT OF CONGESTION DO YOU FEEL LIKE YOUR NOSE IS STUFFY OR HURTS YOUR IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN RES0111-021 NO RES0111-022 NO OK SO ALL YOU HAVE IS A SORE THROAT AND THIS FEVER OK AND OK YOU HAVE A HEADACHE RES0111-023 NO HEADACHES RES0111-024 DO YOU FEEL LIKE YOU'VE BEEN CONFUSED OR JUST FEELING NOT YOURSELF RES0111-025 NO NOTHING LIKE THAT RES0111-026 OK ANY CHANGES IN YOUR HEARING OR YOUR VISION RES0111-027 NO RES0111-028 OK ANY AND DO YOU FEEL LIKE YOUR HEART'S BEATING VERY FAST RES0111-030 NO DO YOU FEEL SHORT OF BREATH RES0111-031 NOPE RES0111-032 ANY BELLY PAIN RES0111-033 NO RES0111-034 ANY NAUSEA OR VOMITING RES0111-035 NO RES0111-036 OK ANY DIARRHEA OR CONSTIPATION RES0111-037 NO RES0111-038 ANY FATIGUE RES0111-039 NO RES0111-040 WEIGHT LOSS UNINTENTIONAL RES0111-041 NO WEIGHT LOSS NO RES0111-042 AND DO YOU HAVE ANY MEDICAL CONDITIONS RES0111-043 NO I DON'T THINK SO RES0111-044 OK ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS RES0111-045 THE ONLY ONE THAT I HAVEN'T GOTTEN IS THAT HPV VACCINE RES0111-046 OK OK OK ANY DID YOU GET THE FLU SHOT RES0111-047 OH I DIDN'T GET THAT THIS YEAR RES0111-048-1 OK WELL WE RECOMMEND THAT YOU YOU GET YOUR VACCINES AND ALSO THE HPV VACCINE IT'S IT'S BEST TO GET THE HPV VACCINE EARLIER ON IT'S A LITTLE BIT LESS EFFECTIVE AS YOU RES0111-048-2 GO PAST A CERTAIN AGE YOU ARE STILL OBVIOUSLY NOWHERE CLOSE TO THAT BUT IT'S I I DON'T BELIEVE IT'S COVERED AFTER THE AGE OF TWENTY SIX EITHER SO IT'S BEST IF YOU GET IT DONE EARLIER AND LET'S GO BACK TO YOUR SYMPTOMS THEN HAVE YOU HAD ANY SURGERIES RES0111-049 I GOT MY APPENDIX REMOVED WHEN I WAS THIRTEEN RES0111-050 ANYTHING ELSE RES0111-051 NO RES0111-052 OK ARE YOU TAKING ANY MEDICATIONS INCLUDING OVER THE COUNTER RES0111-053 NO I JUST TAKE MY MULTIVITAMINS RES0111-054 AND ARE YOU ARE YOU CURRENTLY LIVING ALONE OR DO YOU LIVE WITH SOMEONE RES0111-055 I LIVE WITH MY PARENTS AND MY TWO SIBLINGS RES0111-056 AND DO YOU FEEL SAFE AT HOME RES0111-057 YES RES0111-058 OK ARE YOU CURRENTLY SEXUALLY ACTIVE RES0111-059 NO RES0111-060 OK DO YOU PLAN ON BEING SEXUALLY ACTIVE IN THE NEAR FUTURE RES0111-061 NO NOT BEFORE I FINISH HIGH SCHOOL RES0111-062 OK ALRIGHT AND ARE YOU DO YOU DRINK ALCOHOL RES0111-063 NO RES0111-064 OK DO YOU SMOKE RES0111-065 NO RES0111-066 HAVE YOU TRIED MARIJUANA OR ANY RECREATIONAL DRUGS RES0111-067 I HAVEN'T RES0111-068 OK ARE THINGS GOING WELL AT ARE YOU IN SCHOOL RIGHT NOW RES0111-069 I'M IN GRADE TEN RES0111-070 OK ARE THINGS GOING WELL RES0111-071 YES I WOULD SAY SO RES0111-072 ANY BULLYING AT SCHOOL RES0111-073 NO RES0111-074 OK ANY ANY ANY CONCERNS ABOUT DEPRESSION OR ANXIETY RES0111-075 NO RES0111-076 OK OK ALRIGHT AND YOU TRAVELED ANYWHERE RECENTLY RES0111-077 NO I'VE BEEN JUST AT SCHOOL AND HOME RES0111-078 SO IT'S NOT IT'S NOT VIRTUAL IT'S IN PERSON RES0111-079 SO HALF THE DAY IS IN PERSON AND THE OTHER HALF IS VIRTUAL RES0111-080 OK AND ARE YOU MAINTAINING SOCIAL DISTANCING AT SCHOOL WEARING A MASK RES0111-081 WE DO EXCEPT SOMETIMES I GUESS LIKE I DON'T KNOW IF YOU HAVE TO DRINK WATER OR SOMETHING WE TAKE IT OFF RES0111-082 SURE OK AND I SUPPOSE JUST OK WHAT WAS I GONNA ASK DO YOU SO NO TRAVELS OK DO YOU FEEL LIKE YOU'VE BEEN IN CONTACT WITH SOMEONE WHO MIGHT BE SICK OR MIGHT HAVE COVID RES0111-083 I DON'T THINK SO RES0111-084 NO OK ALRIGHT AND HAVE YOU LOOKED AT YOUR THROAT DOES IT LOOK SWOLLEN OR RED RES0111-085 IT LOOKS PRETTY SWOLLEN AND RED RES0111-086 WELL THAT'S ALL THE QUESTIONS OH ONE MORE QUESTION ACTUALLY DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY RES0111-087 NO I DON'T THINK SO MAYBE LIKE HIGH BLOOD PRESSURE RES0111-088-1 ALL RIGHT WELL THAT'S ALL THE QUESTIONS I HAD WE'LL DO A PHYSICAL EXAM HAVE A LOOK INSIDE YOUR THROAT GIVEN THE SYMPTOMS THAT YOU HAVE IT SOUNDS LIKE YOU HAVE AN AN INFLAMMATION OR SWELLING OF YOUR THROAT RES0111-088-2 WHICH COULD BE CAUSED BY BACTERIA OR VIRUSES IT COULD BE SOMETHING LIKE MONO OR IT COULD BE STREP THROAT IT COULD BE OTHER THINGS AS WELL SEEING THAT YOUR SYMPTOMS ARE SOMEWHAT RES0111-088-3 OVERLAPPING WITH THE SYMPTOMS FOR COVID WE WOULD ALSO LIKE TO DO A COVID TEST WE'LL DO A RAPID STREP TEST HERE AS WELL JUST TO RULE IT OUT AND THEN RES0111-088-4 WE'LL ASK YOU TO QUARANTINE FOR THE NEXT FOURTEEN DAYS UNTIL OR AT LEAST UNTIL YOUR COVID SWABS ARE BACK OR YOUR SYMPTOMS IMPROVE RES0111-088-5 AND WE'LL LET YOU KNOW ABOUT THE MANAGEMENT BASED ON THE STREP TEST RESULT DO YOU HAVE ANY QUESTIONS RES0111-089 NO THAT SOUNDS GREAT THANK YOU RES0111-090 OK SOUNDS GOOD RES0112-000 WHAT BRINGS YOU IN TODAY RES0112-001-1 YEAH I BROUGHT MY SON HERE I'M A LITTLE BIT WORRIED ABOUT HIM BECAUSE LIKE YESTERDAY HE HAD HE HAD THIS TEMPERATURE OF LIKE THIRTY EIGHT POINT FIVE SO HE'S BEEN FEELING A LITTLE BIT HOT AND RES0112-001-2 HE'S NOT SWALLOWING HIS FOOD LIKE WE'VE BEEN FEEDING HIM SOME MASHED UP FOOD BUT HE'S NOT SWALLOWING IT HE'S JUST KIND OF THROWING THROWING IT BACK OUT THERE RES0112-001-3 HE'S DROOLING NOW AND HE SOUNDS KIND OF MUFFLED AND HE'S BEEN VERY SHORT OF BREATH RES0112-002 THAT DOESN'T SOUND GOOD I'M I'M CURRENTLY LOOKING AT HIM AND HE DOESN'T LOOK GREAT WHILE THE WHILE THE DOCTOR'S TAKING HIS VITALS AND EXAMINING THE BABY I'LL JUST ASK YOU A COUPLE OF QUESTIONS RES0112-003 SURE RES0112-004 SO YOU SAID THAT ALL OF THIS STARTED ABOUT A DAY AGO HOW WAS HE DOING BEFORE THAT RES0112-005 HE WAS FINE BEFORE THAT HE HAD LIKE A AN INFECTION LIKE SOME SORT OF VIRAL INFECTION RECENTLY LIKE ABOUT A WEEK BACK HE HAD LIKE A RUNNY NOSE AND A COUGH BUT THAT WENT AWAY RES0112-006 OK SO HE HAD THESE SYMPTOMS ABOUT A WEEK AGO DID HE SEE ANY DID YOU TAKE HIM TO THE HOSPITAL OR TO A CLINIC RES0112-007 I TOOK HIM TO OUR FAMILY DOCTOR AND THEY JUST SUGGESTED SOME SUPPORTIVE TREATMENTS WHICH WE'VE BEEN DOING AT HOME LIKE WE TRY TO KEEP HIM WELL HYDRATED AND WE'VE BEEN KEEPING AN EYE ON HIS LIKE DIAPERS AND THINGS LIKE THAT RES0112-008 OK HAS HE BEEN HAS HE BEEN HOW MANY DIAPERS IS HE ARE YOU CHANGING A DAY RES0112-009 USUALLY LIKE ABOUT FIVE SIX BUT YESTERDAY IT WAS LIKE TWO RES0112-010 OK AND HAS HE BEEN IRRITABLE OR AGITATED RES0112-011 HE HAS BEEN VERY IRRITABLE AND FUSSY RES0112-012 HAS HE BEEN SLEEPING OK RES0112-013 I NO YOU KNOW WHAT LAST NIGHT HE DIDN'T SLEEP WELL AT ALL HE WAS CRYING THE WHOLE NIGHT RES0112-014 AND IN TERMS OF SO HOW MUCH HAS HE HAS HE HAD TO EAT OR DRINK IN THE PAST DAY OR TWO RES0112-015 HE'S HAD ABOUT LIKE MAYBE A BOTTLE OF HIS MILK LIKE OF THAT RES0112-016 OK RES0112-017 THAT'S IT RES0112-018 HE'S NOT TAKING HE'S NOT HE'S NOT TAKING ANYTHING ELSE LIKE HE'S BEEN SO FUSSY AND SO LIKE HE'S UNWILLING TO TRY ANYTHING RES0112-019 OK AND OK DO YOU FEEL LIKE HE'S BEEN DROWSY AND AND RES0112-020 LETHARGIC I FEEL LIKE HE'S BEEN A LITTLE BIT LETHARGIC LIKE TODAY HE'S MORE LETHARGIC ALL OF YESTERDAY HE WAS VERY FUSSY AND IRRITABLE BUT TODAY SEEMS LIKE HE'S VERY SLOW RES0112-021 OK AND JUST A COUPLE OF QUESTIONS ABOUT HIS PAST MEDICAL HISTORY DOES HE HAVE ANY MEDICAL CONDITIONS THAT HE WAS DIAGNOSED WITH RES0112-022 NO HE'S BEEN HEALTHY OTHERWISE RES0112-023 HOW WAS YOUR PREGNANCY WITH HIM RES0112-024 NORMAL NO COMPLICATIONS THERE RES0112-025 DID DID YOU HAVE GBS OR GESTATIONAL DIABETES RES0112-026 NO RES0112-027 NO OK DID YOU HAVE ANY VIRAL INFECTIONS DURING THAT TIME DURING PREGNANCY RES0112-028 NO NO RES0112-029 WAS HE BORN VIA CAESAREAN SECTION OR C SECTION OR A VAGINAL BIRTH RES0112-030 VAGINAL RES0112-031 OK ANY COMPLICATIONS DURING BIRTH RES0112-032 NO RES0112-033 WAS HE KEPT IN THE HOSPITAL FOR A COUPLE DAYS IN THE NICU AFTER HE WAS BORN RES0112-034 NO RES0112-035 DID HE DEVELOP JAUNDICE RES0112-036 NO RES0112-037 OK AND AND HE'S BEEN OK FOR THE PAST TWO YEARS ANY CONCERNS ABOUT HIS GROWTH HIS HEIGHT AND WEIGHT AND HIS HEAD CIRCUMFERENCE HAS YOUR FAMILY DOCTOR SAID ANYTHING ABOUT THAT RES0112-038 NO HE'S BEEN PRETTY GOOD HE'S BEEN GROWING AND GAINING WEIGHT OK RES0112-039 ANY DEVELOPMENTAL ISSUES RES0112-040 NO RES0112-041 OK ALRIGHT AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY RES0112-051 THEY'RE ALL UP TO DATE SO FAR OK ALRIGHT THAT'S THAT'S GOOD OK AND DOES HE HAVE ANY ALLERGIES THAT YOU'RE AWARE OF RES0112-052 PARDON ME RES0112-053 ANY ALLERGIES RES0112-054 OH NO ALLERGIES RES0112-055-1 OK ALRIGHT WELL IT LOOKS LIKE I IT'S GREAT THAT YOU BROUGHT HIM INTO THE EMERGENCY ROOM IF HE HASN'T BEEN EATING DRINKING WELL HASN'T SLEPT WELL HAS BEEN FUSSY AND AND HAS BEEN LETHARGIC AND TIRED RES0112-055-2 AND IS HAVING DIFFICULTY SWALLOWING FOOD THAT'S DEFINITELY VERY SERIOUS WE'LL HAVE A LOOK INSIDE HIS MOUTH AND SEE WHAT'S GOING ON IT COULD BE THAT HE HAS AN INFECTION OR AN INFLAMMATION OF SOME SORT RES0112-055-3 GIVEN HIS FEVER HE PROBABLY HAS AN INFECTION AND WE'LL LIKELY START HIM ON ANTIBIOTICS AND PUT IN AN IV DRIP JUST TO GET IN GET SOME FLUIDS INSIDE HIM RES0112-055-4 JUST TO GET HIM HYDRATED AND MONITOR HIM VERY CLOSELY WE'LL ALSO CHECK HIS VITALS AND WE'LL DO WE'LL GO FROM THERE DO YOU HAVE ANY QUESTIONS RES0112-056 NO THANK YOU RES0112-057 OK RES0113-000 WHAT CAN I DO FOR YOU TODAY RES0113-001 SO I'M HERE BECAUSE I'VE HAD THIS FEVER THIS COUGH AND NOW MY HEAD HURTS THAT'S BEEN GOING ON FOR ABOUT THE PAST FOUR DAYS AND I JUST WANT TO MAKE SURE IT'S NOTHING TOO SERIOUS RES0113-002 THAT'S GREAT SO CAN YOU TELL ME HAVE YOU DID YOU MEASURE YOUR TEMPERATURE RES0113-003 NO I HAVEN'T ACTUALLY MEASURED IT I JUST FEEL HOT AND FEEL CHILLS RES0113-004 OK BUT WE CAN TAKE YOUR VITALS HERE AND YOU YOU SAID THAT YOU'VE HAD A COUGH FOR THE PAST FOUR DAYS DRY COUGH OR WET COUGH RES0113-005 IT'S BEEN PRETTY DRY RES0113-006 ANY NO BLOOD OR ANY SPUTUM COMING UP RIGHT RES0113-007 NO NO RES0113-008 OK AND HAS THE THE COUGH GOTTEN WORSE OR BETTER OR THE SAME HAS IT BEEN THE SAME SINCE THE PAST FOUR DAYS RES0113-009 IT'S IT'S ACTUALLY GETTING WORSE RES0113-010 IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE RES0113-011 NO I DON'T THINK SO RES0113-012 OK HAVE YOU TRIED ANYTHING FOR YOUR COUGH RES0113-013 I'VE TRIED LIKE DECONGEST LIKE COUGH SUPPRESSANTS BUT IT DOESN'T SEEM TO HAVE HELPED RES0113-014 OK OK AND THEN TELL ME ABOUT YOUR HEADACHE THAT STARTED FOUR DAYS AGO AS WELL RES0113-015 AND WHERE EXACTLY IS IT RES0113-016 SO IT'S LIKE JUST ON THE FRONT PART OF MY HEAD RES0113-017 AND DOES IT FEEL LIKE WHAT DOES IT FEEL LIKE IS IT LIKE A THROBBING SENSATION A BAND LIKE SENSATION IS IT SHARP IS IT DULL RES0113-018 IT FEELS PRETTY THROBBING RIGHT NOW RES0113-019 IS IT BOTH SIDES OR ON THE LEFT OR RIGHT RES0113-020 IT'S IT SEEMS LIKE IT'S BOTH SIDES RES0113-021 IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO TEN WITH TEN BEING THE MOST SEVERE PAIN EVER WHAT NUMBER WOULD YOU GIVE IT RES0113-022 I WOULD GIVE IT ABOUT LIKE A SEVEN RES0113-023 OH WOW OK AND HOW'S IT CHANGED OVER THE PAST FOUR DAYS RES0113-024 IT'S JUST GOTTEN A LITTLE BIT WORSE RES0113-025 IS IT IS IT WHAT WAS I GONNA SAY IS IT CONSTANT OR DOES IT COME AND GO RES0113-026 IT SEEMS PRETTY IT SEEMS PRETTY CONSTANT RES0113-027 HAVE YOU TAKEN ANYTHING FOR IT RES0113-028 I TRIED LIKE SOME TYLENOL FOR IT AND IT SEEMS TO HELP A LITTLE BIT RES0113-029 DOES IT IS THERE A CERTAIN TIME OF THE DAY WHEN IT'S WORSE BEFORE GOING TO BED AT THE END OF THE DAY WAKING UP ANYTHING LIKE THAT RES0113-030 NO NOTHING LIKE THAT RES0113-031 HAVE YOU HAD A SIMILAR HEADACHE IN THE PAST RES0113-032 I GUESS I HAVE A LITTLE BIT IN THE PAST BUT THAT WAS ALSO WHEN I WAS LIKE SICK RES0113-033 SURE DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT RES0113-034 NO IT HASN'T WOKEN ME UP RES0113-035 OK I GUESS OTHER THAN THE HEADACHE I'LL ASK YOU ABOUT AND THE COUGH AND FEVER I'LL ASK YOU IF YOU'VE HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD ANY CONFUSION RES0113-036 NO NO CONFUSION RES0113-037 ANY CHANGES IN YOUR VISION OR YOUR HEARING RES0113-038 NO RES0113-039 ANY REDNESS IN YOUR EYES RES0113-040 NO RES0113-041 ANY LOSS OF TASTE OR LOSS OF SMELL RES0113-042 NO RES0113-043 ANY RUNNY NOSE OR STUFFY NOSE RES0113-044 NOPE RES0113-045 OK ANY SORE THROAT RES0113-046 NO RES0113-047 OK ANY CHEST PAIN OR DIFFICULTIES BREATHING RES0113-048 NO RES0113-049 ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEART'S RACING RES0113-050 NO RES0113-051 OK ANY BELLY PAIN RES0113-052 NO BELLY PAIN RES0113-053 DIARRHEA RES0113-054 NO RES0113-055 OK ANY ACHES OR PAINS IN YOUR BODY RES0113-056 NO RES0113-057 ANY RASHES THAT YOU'VE NOTICED RES0113-058 NO NO RASHES RES0113-059 ANY DISCOLOURATION OF YOUR FINGERS OR TOES RES0113-060 I DON'T THINK SO RES0113-061 OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS RES0113-062 NO I THINK I'M HEALTHY OTHERWISE RES0113-063 OK ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES RES0113-065 NO OK WHAT ABOUT MEDICATIONS ARE YOU TAKING ANY OVER THE COUNTER OR OTHERWISE RES0113-066 I TAKE SOME MULTIVITAMINS THAT'S IT THOUGH RES0113-067 OK ANY FAMILY HISTORY OF LUNG OR HEART PROBLEMS OR ANYTHING ELSE OR CANCERS RES0113-068 NO RES0113-069 AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH SOMEONE ELSE OR WITH OTHER PEOPLE RES0113-070 I LIVE WITH MY HUSBAND AND OUR OUR DAUGHTER RES0113-071 OK HAVE YOU HAD ANY HAVE YOU TRAVELED ANYWHERE RES0113-072 NO NOT RECENTLY RES0113-073 HAVE YOU WHAT DO YOU MEAN BY RECENTLY RES0113-074 LIKE I HAVE TRAVELED IN THE PAST TWO YEARS RES0113-075 OK THAT'S FINE THAT'S FINE HAVE YOU HAD ANY CONTACT WITH ANYONE WHO MIGHT BE SICK EITHER YOU OR YOUR HUSBAND OR YOUR DAUGHTER RES0113-076 NO I DON'T THINK SO RES0113-077 HAVE YOU GONE OUT OF THE HOME AT ALL RES0113-078 JUST TO DO LIKE ESSENTIAL THINGS LIKE GROCERIES AND THE BANK AND THINGS LIKE THAT RES0113-079 DO YOU WEAR A MASK AND MAINTAIN SOCIAL DISTANCING RES0113-080 YES RES0113-081 OK ALRIGHT DO YOU DRINK ALCOHOL RES0113-082 I DRINK LIKE ONCE ONCE IN A WHILE HAVE A GLASS OF WINE RES0113-083 OK HOW I GUESS HOW OFTEN WOULD YOU SAY RES0113-084 ONCE A WEEK RES0113-085 OK AND DO YOU SMOKE RES0113-086 NO NOT ANYMORE RES0113-087 HOW MUCH DID YOU SMOKE IN THE PAST RES0113-088 I I'D HAVE LIKE HALF A PACK BUT I ONLY SMOKED BETWEEN LIKE THE AGE OF TWENTY TO LIKE TWENTY FIVE RES0113-089 OK DO YOU SMOKE MARIJUANA OR HAVE ANY EDIBLES WITH MARIJUANA IN IT RES0113-090 NO RES0113-091 ANY RECREATIONAL DRUGS RES0113-092 NO RES0113-093 OK ALRIGHT WELL AND YOU SAID THAT YOU DON'T HAVE A FAMILY HISTORY OF ANY PROBLEM RES0113-094 NO RES0113-095-1 OK ALRIGHT I THINK THAT'S ALL THE QUESTIONS I HAD FOR YOU SO LOOKS LIKE YOU'VE HAD A FEVER COUGH AND A AND A HEADACHE THAT'S GOTTEN WORSE IN THE PAST FOUR DAYS AND YOUR HEADACHE'S PRETTY BAD A SEVEN OUT OF TEN AND RES0113-095-2 IT COULD BE THAT YOU HAVE SOME SORT OF AN INFECTION INCLUDING WITH COVID BEING ONE OF THE POSSIBILITIES AND SO CONTINUE TO TAKE TYLENOL AND AND RES0113-095-3 MONITOR YOUR FEVER IF IT CONTINUES TO GET WORSE OR YOU NOTICE THAT YOUR SYMPTOMS ARE JUST NOT GETTING BETTER RES0113-095-4 YOU SHOULD COME BACK YOU SHOULD WE'LL ALSO DO A COVID WE'LL ALSO SEND IN A REQUEST FOR A COVID SWAB AND WE'LL ASK YOU TO QUARANTINE FOR THE FOR THE NEXT FOURTEEN DAYS AND TRY TO STAY AWAY FROM YOUR HUSBAND AND DAUGHTER AS WELL IF YOU CAN AT HOME RES0113-095-5 AND I GUESS A COUPLE OF OTHER QUESTIONS THAT I WANTED TO ASK AND I SHOULD HAVE ASKED EARLIER DO YOU HAVE ANY ANY STIFFNESS IN YOUR NECK OR ANY DIFFICULTIES MOVING YOUR NECK RES0113-096 NO NOTHING LIKE THAT RES0113-097 OK ALRIGHT AND DO YOU HAVE ANY QUESTIONS RES0113-098 NO THAT'S IT THANK YOU SO MUCH RES0116-000 WHAT BRINGS YOU IN RES0116-001-1 SO I'M JUST BRINGING MY SON HERE TO THE CLINIC HE'S BEEN HAVING JUST I THINK HE'S BEEN COMPLAINING OF EAR ACHE IN HIS I THINK IT'S MAINLY IN HIS LEFT EAR FOR THE LAST I'D SAY AT LEAST A WEEK HE'S BEEN KIND OF JUST HAVING DISCOMFORT RES0116-001-2 AND OVER THE LAST FEW DAYS HE ALSO STARTED CRYING BECAUSE OF HOW MUCH PAIN HE IS HAVING AND THEN WE ALSO NOTICED THAT HE HAD LIKE WAS JUST FEELING WARM SO WE TOOK HIS TEMPERATURE AND HE ACTUALLY HAD A FEVER JUST YESTERDAY OF LIKE THIRTY NINE DEGREES CELSIUS RES0116-002 OK ALRIGHT SO LET'S BACK UP JUST A LITTLE BIT THE EAR PAIN WHEN DID THAT START YOU SAID A COUPLE OF DAYS AGO SO WAS THAT TWO THREE FOUR DAYS RES0116-003 I THINK THE DISCOMFORT LIKE WE SAW HIM SCRATCHING HIS EAR FOR THE WHOLE LAST WEEK BUT THE CRYING ACTUALLY STARTED JUST I WOULD SAY FOUR DAYS AGO RES0116-004 OK RES0116-005 SO I THINK THE LAST FEW DAYS HAVE BEEN REALLY TOUGH FOR HIM RES0116-006 SO THREE FOUR DAYS OK HAVE YOU TAKEN A LOOK INTO HIS EAR LIKE DOES DOES IT SEEM RED IS THERE DISCHARGE RES0116-007 I THINK WE DID SEE SOME JUST LIKE IT WASN'T RED OR ANYTHING BUT I THINK WE DID SEE SOME JUST KIND OF CLEAR TO ALMOST CLEAR TO YELLOWISH FLUID FROM HIS AFFECTED EAR RES0116-008 OK CLEAR TO YOU SAID WHITE ISH RES0116-009 LIKE IT WAS A BIT OF A YELLOW TINGE TO TO IT AS WELL RES0116-010 YELLOW OK OK AND WHICH EAR WAS IT SORRY THE RIGHT OR LEFT RES0116-011 LEFT EAR RES0116-012 LEFT EAR OK AND THE RIGHT EAR LOOKS NORMAL RES0116-013 RIGHT EAR HE HASN'T BEEN COMPLAINING AT ALL I HAVEN'T EVEN LOOKED AT THE RIGHT EAR YET RES0116-014 OK IS HE ITCHING HIS EARS AT ALL RES0116-015 HE WAS HE WAS ITCHING LIKE PRETTY MUCH THIS WHOLE WEEK BUT I THINK RIGHT NOW HE'S HESITANT TO EVEN TOUCH HIS EARS RES0116-016 OK AND DOES IT LOOK LIKE IT'S ANGRY ON THE OUTSIDE OR ON THE INSIDE OF HIS EARS RES0116-017 I CAN'T REALLY SEE ANYTHING ON THE OUTSIDE RES0116-018 OK OK AND HAVE YOU NOTICED THAT HIS HEARING HAS CHANGED AT ALL RES0116-019 HE STILL LIKE ANSWERS TO US AND LIKE I DON'T THINK HIS EAR HEARING IS AFFECTED RES0116-020 OK HAS HE HAD ANY PAST ISSUES WITH HIS EARS LIKE EAR INFECTIONS OR LIKE HEARING ISSUES IN THE PAST RES0116-021 NO HEARING ISSUES BUT HE DID HAVE LIKE HE USED TO PROBABLY WHEN HE WAS LIKE TWO YEARS OLD HE DID HAVE A COUPLE EAR INFECTIONS RES0116-022 OK OK WERE THEY WERE THEY TREATED WITH ANTIBIOTICS RES0116-023 I THINK ONE TIME THEY WERE BUT I I'M PRETTY SURE THAT WAS ON IN HIS RIGHT EAR RES0116-024 OK OK HE'S NEVER HAD TO GET LIKE TUBES INSERTED OR ANYTHING LIKE THAT RES0116-025 NO NO NOTHING LIKE THAT RES0116-026 NO OK ALRIGHT HAS HE HAD A STUFFY NOSE OR RUNNY NOSE RES0116-027 NOT THIS WEEK BUT HE HE WAS A BIT LIKE STUFFY LIKE LAST WEEK I WOULD SAY RES0116-028 OK HE WAS A BIT STUFFY YOU SAID RES0116-029 MAYBE EVEN MAYBE TWO WEEKS AGO RES0116-030 OK AND THAT STOPPED DID HE HAVE ANYTHING ELSE ALONG WITH HIS STUFFY NOSE AT THAT POINT RES0116-031 NO NOTHING ELSE RES0116-032 RIGHT NOW HAVE YOU NOTICED ANY CHANGES IN HIS VISION IN HIS SMELL OR TASTE RES0116-033 MO NOT THAT I KNOW OF RES0116-034 OK HOW ABOUT WEIGHT LOSS RES0116-035 NO HE'S BEEN GROWING PRETTY WELL RES0116-036 OK AND YOU SAID YOU HAD TAKEN HIS TEMPERATURE WHEN DID YOU TAKE HIS TEMPERATURE RES0116-037 I JUST TOOK IT YESTERDAY BUT HE WAS FEELING A BIT WARM YESTERDAY SO WE JUST TOOK IT AND IT WAS LIKE THIRTY NINE DEGREES CELSIUS RES0116-038 OK OK SWEET SO THIRTY NINE DEGREES SO HE DOES HAVE A FEVER FOR SURE WE'LL TAKE HIS TEMPERATURE AGAIN TODAY JUST TO MAKE SURE HAVE YOU BEEN GIVING HIM ANYTHING FOR HIS HIGH TEMPERATURE LIKE TYLENOL RES0116-039 NO WE HAVEN'T GIVEN HIM ANYTHING RES0116-040 OK HAVE YOU NOTICED ANY RASHES ON HIM RES0116-041 NO RES0116-042 NO HOW ABOUT COUGHING RES0116-043 NO HE HASN'T BEEN REALLY COUGHING RES0116-044 NO COUGHING HOW ABOUT WHEEZING OR SHORTNESS OF BREATH RES0116-045 NO RES0116-046 LIKE ANYTHING THAT WOULD INDICATE HE HAS CHEST PAIN OR PALPITATIONS OF HIS HEART RES0116-047 NO OK RES0116-048 ANY DIZZINESS OR FAINTING SPELLS RES0116-049 NO RES0116-050 CONFUSION RES0116-051 NO I DON'T THINK SO RES0116-052 HEADACHES RES0116-053 NOT THAT I KNOW OF RES0116-054 OK AND HOW HOW HAVE HIS BOWEL MOVEMENTS BEEN RES0116-055 HIS BOWEL MOVEMENTS HAVE BEEN PRETTY MUCH THE SAME HE'S THERE'S BEEN NO REAL CHANGES RES0116-056 NO OK ALRIGHT AND HOW ABOUT NAUSEA OR VOMITING RES0116-057 NO NO NO NAUSEA OR VOMITING RES0116-058 ANY APPETITE CHANGE RES0116-059 NO MAYBE A LITTLE BIT MORE FUSSY JUST BUT I DON'T KNOW IF THAT'S PROBABLY DUE TO THE PAIN RES0116-060 OK AND HOW ABOUT HIS URINE RES0116-061 HIS URINE HAS BEEN THE SAME LIKE NO CHANGES RES0116-062 NO CHANGES OK GOOD IS HE AN OTHERWISE HEALTHY KID OR DOES HE HAVE ANY LONGSTANDING CONDITIONS RES0116-063 HE'S PRETTY HEALTHY THERE HAVE BEEN NO CONCERNS AT ALL THAT WE'VE HAD FOR THE DOCTOR HE'S BEEN GROWING WELL MEETING ALL OF HIS MILESTONES NO NOTHING THAT'S CONCERNING RES0116-064 OK DO YOU KNOW IF HIS MOTHER'S PREGNANCY WITH HIM WAS NORMAL DID SHE HAVE ANY COMPLICATIONS RES0116-065 SHE DIDN'T HAVE ANY LIKE COMPLICATIONS DURING THE PREGNANCY THEY DID HAVE TO I FORGOT WHAT IT'S CALLED BUT HE WAS LIKE A DIFFICULT BABY COMING OUT AND HE WAS AT TERM THOUGH HE WASN'T PREMATURE BUT THEY HAD TO USE JUST SOME TOOLS TO GET HIM OUT RES0116-066 OK OK SO IT WAS A VAGINAL DELIVERY BUT THEY USED SOME TOOLS LIKE FORCEPS MAYBE OR VACUUM RES0116-067 IT WAS FORCEPS RES0116-068 OK OK AND HE'S YOU MENTIONED HE WAS FULL TERM RES0116-069 HE WAS BORN AT FORTY WEEKS RES0116-070 OK PERFECT DID HE NEED TO BE HOSPITALIZED FOR ANY REASON AFTER THAT RES0116-071 NO HE WASN'T HOSPITALIZED WE STAYED THERE MAYBE ONE DAY EXTRA JUST BECAUSE THERE WAS SOME JUST KIND OF MISSHAPING OF HIS HEAD RES0116-072 OK RES0116-073 THAT KIND OF WENT AWAY RES0116-074 OK OK GOOD AND IS HE ON ANY MEDICATIONS RES0116-075 NO NO MEDICATIONS RES0116-076 NO MEDICATIONS UP TO DATE WITH HIS IMMUNIZATIONS RES0116-077 HE'S ALL UP TO DATE RES0116-078 OK ANY ALLERGIES RES0116-079 NOT THAT WE KNOW OF RES0116-080 OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS HEART CONDITIONS RES0116-081 NO WE'VE BEEN PRETTY HEALTHY AS PARENTS AND I THINK MY MY FATHER HAS LIKE HIGH BLOOD PRESSURE DIABETES AND ALL THOSE TYPES OF THINGS RES0116-082 OK OK ANY EAR ISSUES LIKE CONGENITAL EAR SORRY GENETIC HEARING ISSUES OR EAR ISSUES RES0116-083 NO NOTHING LIKE THAT RES0116-084 OK DOES ANYONE AT HOME SMOKE RES0116-085 NO NO ONE SMOKES RES0116-086 OK AND WHO DOES HE LIVE WITH RES0116-087 SO HE LIVES WITH ME HIS FATHER AND HIS MOTHER AS WELL RES0116-088 OK ANY SIBLINGS RES0116-089 NO SIBLINGS HE'S AN ONLY CHILD RES0116-090 OK AND HOW ARE THINGS AT HOME IS LIKE ARE THINGS FINANCIALLY STABLE ANY RELATIONSHIP ISSUES RES0116-091 NO WE'VE BEEN PRETTY FORTUNATE LIKE IT IT'S NO FINANCIAL ISSUES AND WE HAVE A LOT OF SUPPORT FROM OUR PARENTS AS WELL THE RELATIONSHIP IS GREAT SO NO NO ISSUES RES0116-092 OK GOOD GOOD HAS HE HAD ANY SICK CONTACTS RECENTLY RES0116-093 I DON'T THINK SO HE'S WE'VE BEEN AT HOME SO I DON'T KNOW WE WE DID HAVE LIKE WITH OUR WITH MY BROTHER'S KIDS LIKE THEY CAME TO SEE US ONCE BUT THAT WAS LIKE THAT WAS I THINK AT LIKE THREE WEEKS AGO RES0116-094 OK OK THREE WEEKS AGO ALRIGHT TRAVEL TO ANYWHERE RECENTLY RES0116-095 NO RES0116-096 NO OK ALRIGHT THOSE WERE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS THAT YOU WANTED TO ASK ME TODAY BEFORE WE END THE INTERVIEW RES0116-097 NO NOT REALLY JUST WANTED TO KNOW IF LIKE I REMEMBER HE DID NEED ANTIBIOTICS BEFORE SO I WAS JUST WONDERING IF HE NEEDS THEM NOW RES0116-098-1 SO WELL FIRST BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH COVID LIKE THE FEVER ESPECIALLY WE'LL DO A SWAB ON HIM ANYWAYS AND YOU SHOULD HEAR THOSE RESULTS IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS AND THEN IT THIS PICTURE SOUNDS LIKE ACUTE OTITIS MEDIA SO LIKE AN EAR INFECTION RES0116-098-2 AND IT'S ESPECIALLY LIKELY BECAUSE HE'S HAD THEM IN THE PAST SO I'M GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE LIKE COMING UP WITH A MANAGEMENT PLAN BUT I'LL KIND OF WALK YOU THROUGH WHAT WE LOOK AT RES0116-098-3 SO IF I TAKE A LOOK AND I SEE LIKE A PERFORATED TYMPANIC MEMBRANE WITH LIKE PUS WE'D PRESCRIBE LIKE TEN DAYS OF ANTIBIOTICS RES0116-098-4 IF HE HAS SOME LIKE MIDDLE EAR EFFUSION SO LIKE SOME FLUIDS WITH LIKE A BULGING TYMPANIC MEMBRANE AND HE APPEARS TO BE REALLY ILL WHICH FROM THE SOUNDS OF IT HE SOUNDS ILL HE'S HAD THIS FEVER FOR MORE THAN TWO DAYS WE'LL ALSO PRESCRIBE ANTIBIOTICS FOR TEN DAYS RES0116-098-5 AND THEN IF IT'S JUST SOME MIDDLE EAR EFFUSION SO JUST THAT CLEAR FLUID OR JUST THE BULGING TYMPANIC MEMBRANE WE CAN JUST REASSESS HIM IN TWENTY FOUR TO FORTY EIGHT HOURS TO SEE HOW HE'S DOING AND IF HE'S WORSE AGAIN WE'LL PRESCRIBING PRESCRIBE HIM SOME ANTIBIOTICS RES0116-098-6 THE ANTIBIOTICS THAT WE USUALLY PRESCRIBE ARE AMOXICILLIN AND BECAUSE HE DOESN'T HAVE A PENICILLIN ALLERGY THAT SHOULD WORK RES0116-099 OK RES0116-100 HOW DOES THAT SOUND RES0116-101 THAT SOUNDS GOOD THANK YOU SO MUCH RES0116-102 OK GREAT THANK YOU RES0117-000 WHAT BRINGS YOU IN RES0117-001 SO I JUST CAME IN TODAY A BIT CONCERNED I'VE BEEN JUST HAVING THIS NASTY COUGH FOR LIKE THE LAST WEEK AND THEN TODAY MORNING LIKE I THOUGHT THE COUGH WOULD JUST GO AWAY BUT TODAY MORNING I ALSO NOTICED I'M COUGHING UP SOME BLOOD RES0117-002 OH OK RES0117-003 SO WHEN DID YOU FIRST START COUGHING RES0117-004 SO LET ME THINK I JUST RETURNED FROM A MISSION TRIP TO THE PHILIPPINES TWO WEEKS AGO THIS COUGH STARTED JUST LAST WEEK SO I WOULD SAY AROUND SIX TO SEVEN DAYS RES0117-005 OK AND THAT AND THE BLOOD IN YOUR COUGH THAT WAS ABOUT YESTERDAY YOU SAID OR RES0117-006 TODAY RES0117-007 TODAY OK OK ARE YOU BRINGING UP ANY PHLEGM AT ALL BESIDES THE BLOOD RES0117-008 NO IT'S JUST LIKE I SAW IT ON MY HAND LIKE THERE WASN'T ANYTHING LIKE MY COUGH IS LIKE PRETTY DRY RES0117-009 OK ARE YOU SHORT OF BREATH AT ALL RES0117-010 NO I'M NOT SHORT OF BREATH JUST IT'S JUST THE COUGH RES0117-011 OK AND ARE YOU HAVING ANY WHEEZINESS RES0117-012 NO WHEEZINESS RES0117-013 OK ANY RUNNY NOSE OR STUFFY NOSE RES0117-014 NO NO RUNNY OR STUFFY NOSE RES0117-015 CHANGES IN VISION HEARING SMELL OR TASTE RES0117-016 NOPE RES0117-017 WEIGHT LOSS RES0117-018-1 I HAVE NOTICED WEIGHT LOSS OVER THE LAST I WOULD SAY FEW MONTHS SO I'VE BEEN I'VE BEEN DOING LIKE LIKE I I CAME BACK FROM PHILIPPINES LAST WEEK BUT RES0117-018-2 I HAD GONE EARLIER LIKE DURING THIS YEAR OR TWO AND I'VE KIND OF NOTICED THIS WEIGHT CHANGE PROBABLY LOST AROUND FIFTEEN POUNDS WITHIN THE LAST FEW MONTHS RES0117-019 FIFTEEN POUNDS OK WOW THAT'S A LOT ANY NIGHT SWEATS RES0117-020 NO I DON'T RES0117-021 THINK SO NO RES0117-022 ANY FEVERS OR CHILLS I DID HAVE A I DID HAVE SOME CHILLS OVER THE LAST WEEK BUT I DIDN'T REALLY THINK TOO MUCH OF IT RES0117-023 OK WE'LL TAKE YOUR TEMPERATURE TODAY JUST TO MAKE SURE ANY RASHES RES0117-024 NO RES0117-025 ANY CHEST PAIN RES0117-026 NO CHEST PAIN RES0117-027 SWELLING IN YOUR LIMBS RES0117-028 NO RES0117-029 FAINTING SPELLS OR DIZZINESS RES0117-030 NO NOTHING LIKE THAT RES0117-031 CONFUSION OR MEMORY LOSS RES0117-032 NO RES0117-033 HEADACHES RES0117-034 NO HEADACHES RES0117-035 JOINT PAIN RES0117-036 NO RES0117-039 FATIGUE NO RES0117-047 PAIN NO NOTHING LIKE THAT OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0117-048 NO I'M OTHERWISE I I DON'T I'M REALLY HEALTHY I DON'T TAKE ANY MEDICATIONS SO THIS WAS SOMETHING THAT HAPPENED OUT OF THE BLUE RES0117-049 OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0117-050 NO RES0117-051 NO MEDICATIONS ARE YOU ON ANY RES0117-052 NO I HAVEN'T TRIED ANY MEDICATIONS RES0117-053 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0117-054 I I'VE BEEN PRETTY UP TO DATE WITH ALL MY IMMUNIZATIONS RES0117-055 OK ALLERGIES DO YOU HAVE ANY RES0117-056 NO RES0117-057 SORRY FORGOT TO ASK IMMUNIZATIONS DID YOU GET THE FLU SHOT THIS YEAR RES0117-058 I DID RES0117-059 OK GOOD ANY FAMILY HISTORY OF LUNG CONDITIONS RES0117-060 NO NOT AT ALL RES0117-061 NO ANY LUNG CANCERS RES0117-062 NO RES0117-063 NO OK DO YOU SMOKE RES0117-064 NO I HAVE NEVER SMOKED A DAY IN MY LIFE RES0117-065 OK RECREATIONAL DRUGS RES0117-066 NO I WOULD NEVER TAKE DRUGS RES0117-067 OK DO YOU DRINK ALCOHOL RES0117-068 NO NO NOT AT ALL RES0117-069 OK WHERE DO YOU LIVE RIGHT NOW RES0117-070 SO I I JUST LIVE IN A SMALL APARTMENT BY MYSELF JUST BEEN MOVING AROUND A LOT RES0117-071 OK FOR SURE ANY LIKE ASBESTOS MOLD OR LIKE OLD CARPETS DUST ANYTHING LIKE THAT AT YOUR APARTMENT RES0117-072 NO I DON'T THINK SO RES0117-073 NO ANY SICK CONTACTS RECENTLY RES0117-074 NOT I DON'T THINK SO LIKE WE MAYBE IN THE PHILIPPINES WE DO PROVIDE A SO I GO ON LIKE THESE MISSION TRIPS WITH THE CHURCH AND WE DO SOMETIMES GO TO THE HOSPITAL AS WELL RES0117-075 OK RES0117-076 SOMETIMES WE WE DO SEE SOME SICK PEOPLE RES0117-077 OK RES0117-078 BUT OTHER THAN THAT NOT SINCE I'VE BEEN HERE NO RES0117-079 ANY TRAVEL OUTSIDE THE PHILIPPINES RECENTLY RES0117-080 SO I THINK SO THIS YEAR HAS JUST BEEN THE PHILIPPINES BEFORE I USED TO GO TO INDIA AS WELL BUT RECENTLY NOTHING OUTSIDE OF THE PHILIPPINES RES0117-081 OK OK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DO YOU HAVE ANY QUESTIONS FOR ME RES0117-082 I I WAS VERY WORRIED ABOUT THE BLOOD I WAS JUST READING SOME THINGS UP AND ABOUT TUBERCULOSIS SO I WAS REALLY STRESSED OUT TODAY RES0117-083-1 YEAH SO THAT'S DEFINITELY HIGH ON OUR DIFFERENTIAL SO WE'LL DO A COUPLE OF THINGS WE'LL DO A COVID SWAB ON YOU JUST TO RULE THAT IN OR OUT YOU SHOULD HEAR BACK FOR ABOUT THOSE RESULTS IN TWENTY FOUR TO FORTY EIGHT HOURS RES0117-083-2 WHILE YOU'RE HERE IN THE HOSPITAL WE'RE ALSO GOING TO DO A CHEST X RAY AND OR LIKE AN AFB SMEAR TO SEE IF YOU HAVE ACTIVE TB OR LATENT TB RES0117-083-3 IF THOSE COME BACK POSITIVE WE WILL REQUIRE YOU TO ISOLATE BECAUSE THIS BECAUSE TB IS HIGHLY INFECTIOUS AND IT'S AIRBORNE RES0117-083-4 SO WE HAVE A COUPLE OF WE HAVE LIKE A REGIMEN THAT WE'D PUT YOU ON IT'S CALLED THE RIPE MEDICATIONS THAT WE KEEP YOU ON FOR TWO MONTHS AND THEN WE CONTINUE A COUPLE OF THOSE FOR ANOTHER FOUR MONTHS RES0117-083-5 BUT WE WILL KEEP YOU HERE UNTIL WE HAVE MORE ANSWERS ON LIKE FROM THIS TB STANDPOINT RES0117-084 HOW DOES THAT SOUND YEAH THAT SOUNDS GOOD I'M REALLY WORRIED BUT HOPEFULLY IT'S NOT TB RES0117-085 HOPEFULLY IT'S NOT BUT IF IT IS IT'S IT'S OK LIKE WE'LL GET INFECTIOUS DISEASE INVOLVED WE'LL GET THE ISOLATION GOING AND WE'LL GET YOU ON THE CORRECT TREATMENT RES0117-086 OK THANK YOU SO MUCH RES0117-087 NO PROBLEM RES0118-000 WHAT BRINGS YOU IN HERE TODAY RES0118-001 HI I'M COMING IN BECAUSE I'VE HAD THIS LIKE ON AND OFF RUNNY NOSE AND STUFFY NOSE FOR THE PAST WEEK AND I JUST CAME TO MAKE SURE IT'S NOT SOMETHING SERIOUS LIKE COVID RES0118-002 OK NO I COMPLETELY UNDERSTAND WHY YOU MIGHT BE WORRIED WITH EVERYTHING GOING ON SO JUST TO GET AN IDEA OF THE TIMELINE SO WHEN DID THIS START RES0118-003 SO IT STARTED ABOUT I'D SAY SEVEN DAYS AGO RES0118-004 SEVEN DAYS AGO OK AND WAS IT JUST A RUNNY NOSE THAT STARTED OR DID YOU HAVE ANY OTHER SYMPTOMS RES0118-005 SO AT FIRST I FELT KIND OF STUFFY AND THEN NOW IT'S MORE RUNNY AND NO OTHER SYMPTOMS RES0118-006 AND ARE YOU COUGHING AT ALL RES0118-007 NO RES0118-008 ARE YOU BRINGING UP ANY DISCHARGE FROM LIKE YOUR NOSE OR ARE YOU COUGHING ANY MATERIAL UP RES0118-009 NO NO I MEAN THERE'S SOME DISCHARGE FROM MY NOSE LIKE IT'S RUNNY BUT IT'S IT'S NOT YELLOW OR ANYTHING IT'S CLEAR RES0118-010 OK AND DO YOU THINK THIS ISSUE HAS GONE WORSE OVER THE LAST SEVEN DAYS OR IS IT IMPROVING AT ALL RES0118-011 I DON'T THINK IT'S IMPROVING IT'S CHANGED CAUSE IT USED TO BE STUFFY NOW IT'S MORE OF A RUNNY NOSE BUT IT SEEMS TO BE RUNNY LIKE IT'S THE SAME AMOUNT OF RUNNINESS FOR THE PAST COUPLE OF DAYS RES0118-012 AND ARE YOU HAVING ANY SYMPTOMS OF LOSS OF SMELL AT ALL RES0118-013 NO NO LOSS OF SMELL RES0118-014 HOW ABOUT LOSS OF TASTE RES0118-015 NO RES0118-016 WERE YOU WITH ANYONE AROUND YOU SICK AT ALL BEFORE THOSE SEVEN DAYS RES0118-017 I DON'T THINK SO I VISITED MY SISTER AND SHE HAS A NEPHEW WHO GOES TO DAYCARE BUT MY NEPHEW'S BEEN OK NO NO RUNNY NOSE OR STUFFY NOSE RES0118-018 AND IS IT JUST A CONSTANT ISSUE THAT GOES ON THROUGHOUT THE DAY OR IS IT WORSE AT NIGHT DURING THE DAY HOW WOULD YOU DESCRIBE IT RES0118-019 IT'S IT'S PRETTY CONSTANT THROUGHOUT THE DAY IT'S JUST IT JUST FEELS BAD AT NIGHT BECAUSE IT MAKES IT HARD FOR ME TO FALL ASLEEP RES0118-020 OK HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER THAT WOULD HELP RES0118-021 I TRIED SOME ANTIHISTAMINES BECAUSE I DO HAVE SEASONAL ALLERGIES BUT THEY DON'T SEEM TO BE HELPING RES0118-022 ANY ANYTHING THAT MAKES YOUR SYMPTOMS WORSE AT ALL LIKE ANY EXERTION OR ANY KIND OF POSITION RES0118-023 NO RES0118-024 DO YOU HAVE ANY SHORTNESS OF BREATH OR CHEST PAIN AT ALL RES0118-025 NO RES0118-026 ANY SORE THROAT OR MUSCLE ACHES RES0118-027 NO RES0118-028 ANY HEADACHES RES0118-029 NOPE RES0118-030 HAVE YOU TRAVELED AT ALL RECENTLY RES0118-031 NO RES0118-032 HAVE YOU HAD ANY NAUSEA OR VOMITING RES0118-033 NO RES0118-034 ANY FEVERS OR CHILLS RES0118-035 NO RES0118-036 ANY NIGHT SWEATS OR FATIGUE RES0118-037 NO RES0118-038 OK ANY KIND OF SENSATION THAT YOUR HEART IS RACING RES0118-039 NO NOTHING LIKE THAT RES0118-040 ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA RES0118-041 NO RES0118-042 ANY CHANGES IN YOUR URINARY PATTERN RES0118-043 NO RES0118-044 ANY ISSUES WITH YOUR SLEEP OR APPETITE RES0118-045 NO RES0118-046 HAVE YOU LOST ANY WEIGHT SIGNIFICANT WEIGHT RECENTLY IN THE LAST FEW MONTHS RES0118-047 NO RES0118-048 AND DO YOU HAVE ANY EXPOSURE TO LIKE FUMES DUST OR LIKE CARPET PETS OR ANIMALS ANYTHING THAT YOU MIGHT HAVE AN ALLERGIC REACTION TO RES0118-049 NO NOTHING LIKE THAT RES0118-050 OK AND CURRENTLY ARE YOU SEXUALLY ACTIVE RES0118-051 I AM RES0118-052 AND CAN YOU JUST TELL ME A LITTLE A LITTLE BIT OF A DETAIL LIKE ABOUT LIKE A PARTNER AND IF YOU'VE HAD ANY NEW PARTNERS RECENTLY AT ALL RES0118-053 NO I'VE BEEN WITH THE SAME PARTNER FOR THE PAST FIVE YEARS RES0118-054 OK AND DO YOU HAVE ANY HISTORY OF ANY STI'S RES0118-055 NO RES0118-056 OK NICE IN TERMS OF YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY DIAGNOSES OR ANYTHING ANY MEDICAL CONDITIONS AT ALL RES0118-057 NO NO NOTHING NOTHING LONG STANDING RES0118-058 ANYTHING YOU TAKE MEDICATIONS RES0118-059 NO RES0118-060 ARE YOU ARE YOU ALLERGIC TO ANY MEDICATIONS RES0118-061 NOT MEDICATIONS RES0118-062 ANY ENVIRONMENTAL ALLERGIES RES0118-063 JUST SOME SEASONAL ALLERGIES RES0118-064 OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES RES0118-065 I WAS HOSPITALIZED FOR LIKE AN APPENDECTOMY WHEN I WAS YOUNGER BUT THAT'S ABOUT IT RES0118-066 AND WHEN WAS THAT RES0118-067 THAT WAS WHEN I WAS EIGHTEEN RES0118-068 AND ANY COMPLICATIONS AFTER THAT RES0118-069 NO RES0118-070 AND IN TERMS OF YOUR FAMILY HISTORY DOES ANYONE HAVE ANY LUNG CONDITIONS HEART CONDITIONS OR ANY CANCERS RES0118-071 NOPE NOTHING LIKE THAT RES0118-072 AND CURRENTLY DO YOU WORK RES0118-073 I DO I WORK FROM HOME THOUGH RES0118-074 OK AND HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW RES0118-075 I LIVE IN AN APARTMENT WITH MY PARTNER AND WE HAVE A DOG RES0118-076 AND CURRENTLY DO YOU SMOKE AT ALL RES0118-077 NO RES0118-078 DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0118-079 NO RES0118-080 HOW ABOUT ANY ALCOHOL RES0118-081 I DRINK LIKE A GLASS OF WINE EVERY OTHER RES0118-082-1 DAY RES0118-082-2 OK SO THOSE WERE SOME OF THE QUESTIONS I HAD FOR YOU I KNOW IT'S A BIT CONCERNING BECAUSE OF THE PANDEMIC GOING ON AND A RUNNY NOSE CAN BE A SYMPTOM OF RES0118-082-3 COVID AS WELL BUT IT CAN ALSO BE A SYMPTOM OF JUST THE COMMON COLD OR ANY OTHER VIRUS RES0118-082-4 BUT SINCE YOU'RE HAVING YOU'RE SYMPTOMATIC RIGHT NOW WE WILL DEFINITELY GET LIKE A COVID SWAB TEST DONE FOR YOU RES0118-084-1 AND IF YOU START HAVING ANY JUST MONITOR FOR YOUR SYMPTOMS YOU SHOULD HAVE THE TEST BACK WITHIN FORTY EIGHT HOURS UNTIL THEN RES0118-084-2 AT LEAST FOR FOURTEEN DAYS YOU SHOULD TRY TO ISOLATE IN YOUR OWN ROOM WEAR A MASK AROUND YOUR PARTNER AND NOT GO OUTSIDE SO JUST SELF ISOLATE RES0118-086 AND OK AND THEN YOU WILL GET THE TEST RESULTS BACK IN A HOPEFULLY IN A FEW DAYS SO DO YOU HAVE ANY QUESTIONS AT ALL RES0118-087 NO THANK YOU THAT WAS GOOD RES0118-088 TAKE CARE BYE RES0118-089 YOU TOO RES0121-000 WHAT BRINGS YOU HERE TODAY RES0121-001 HI I'VE HAD THIS COUGH FOR THE PAST FOUR DAYS AND IT JUST CAN'T IT WON'T GO AWAY SO I WAS JUST WONDERING IF YOU KNOW I CAN GET SOMETHING FOR IT RES0121-002 OKAY SO SO YOU'VE BEEN HAVING THE COUGH FOR FOUR DAYS CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT LIKE A DRY COUGH OR WET COUGH RES0121-003 IT'S DRY RES0121-004 IT'S DRY OKAY ARE YOU COUGHING UP BLOOD AT ALL RES0121-005 NO NO BLOOD RES0121-006 OKAY ARE YOU BRINGING UP ANY ALTHOUGH YOU'RE NOT COUGHING ARE YOU BRINGING UP ANY KIND OF SPUTUM RES0121-007 NO NO IT'S IT'S PRETTY IT'S PRETTY DRY RES0121-008 OKAY AND ANY OTHER SYMPTOMS AT ALL BESIDES THE COUGH RES0121-009 NO NOTHING ELSE RES0121-010 OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS RUNNY NOSE ANY COLD LIKE SYMPTOMS RES0121-011 YOU KNOW A WEEK BACK I HAD A RUNNY NOSE AND SOMETIMES LIKE A STUFFY NOSE BUT THAT WENT AWAY RES0121-012 OKAY AND AFTER THAT DID YOU HAVE ANY FEVERS AT ALL RES0121-013 NO RES0121-014 OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL LIKE A COUGH LASTING MORE THAN FOUR DAYS RES0121-015 IT'S HAPPENED TO ME IN THE PAST IT IT HAS BUT IT'S JUST MORE BOTHERSOME THIS TIME CAUSE I'M COUGHING A LOT MORE RES0121-016 OKAY AND IS THERE ANYTHING THAT YOU'VE TRIED THAT HAS HELPED YOU RELIEVE THE COUGH AT ALL RES0121-017 I TRIED SOME OVER THE COUNTER COUGH SUPPRESSANTS THEY DON'T SEEM TO BE WORKING TOO WELL RES0121-018 I SEE AND ANYTHING THAT'S MAKING YOUR COUGH WORSE AT ALL NO RES0121-020 NO DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE HEADACHE ANYTHING LIKE THAT RES0121-021 NO NOTHING LIKE THAT RES0121-022 OKAY HAVE YOU BEEN AROUND ANYONE THAT'S SICK RECENTLY RES0121-023 NO RES0121-024 NO HAVE YOU HAD ANY HAVE YOU TRAVELED AT ALL OUTSIDE OF THE PROVINCE OR COUNTRY AT ALL RECENTLY RES0121-025 NOPE NOT OUTSIDE THE PROVINCE RES0121-026 OKAY AND OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF KIND OF MUSCLE ACHES OR ANYTHING LIKE THAT RES0121-027 NO NO MUSCLE ACHES NOTHING ELSE THAT I CAN THINK OF RES0121-028 OKAY ANY SHORTNESS OF BREATH RES0121-029 NO NO SHORTNESS OF BREATH RES0121-030 IS THE COUGH LIKE CONSTANT GOES ON THROUGHOUT THE DAY OR IS THERE A TIME THAT IT'S WORSE RES0121-031 IT'S PRETTY IT'S PRETTY CONSTANT RES0121-032 OKAY AND DO YOU HAVE ANY KIND OF INCREASED TIRED LIKE GETTING MORE TIRED OR FATIGUED RES0121-033 NO RES0121-034 ANY KIND OF CHEST PAIN OR FEELING THAT YOUR HEART IS RACING RES0121-035 NO NOTHING LIKE THAT RES0121-036 OKAY ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA RES0121-037 NO RES0121-038 ANY NAUSEA OR VOMITING RES0121-040 NOTHING LIKE THAT OKAY ANY KIND OF CHANGES IN YOUR SLEEP OR APPETITE RES0121-041 NO RES0121-042 AND HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY RES0121-043 NO RES0121-044 NO OKAY OTHERWISE ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL RES0121-045 NO I DON'T I'M I'M OTHERWISE HEALTHY RES0121-046 OTHERWISE HEALTHY OKAY ANY ALLERGIES TO ANY MEDICATIONS RES0121-047 NO RES0121-048 ANY ALLERGIES TO ANY ENVIRONMENTAL OR ANY ENVIRONMENTAL FACTORS RES0121-049 NO RES0121-050 ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RELATED TO THE HEART LUNGS ANY CANCERS AT ALL RES0121-051 NO NOTHING LIKE THAT RES0121-052 OKAY ALRIGHT ARE YOU SO WHAT WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW RES0121-053 I LIVE IN AN APARTMENT BY MYSELF I'M A STUDENT RES0121-054 OKAY AND ARE YOU WORKING AT ALL OR ARE YOU A STUDENT SEEMING RES0121-055 I WORK PART TIME I WORK AS A BARISTA RES0121-056 OKAY AND ANYONE ANYONE IN YOUR WORK ENVIRONMENT OR IN YOUR HOME ENVIRONMENT OR AT SCHOOL THAT HAS BEEN SICK AROUND YOU RES0121-057 NOT THAT I'VE HEARD OF NO RES0121-058 OKAY AND OTHER THAN THAT DO YOU SMOKE AT ALL RES0121-059 NO I WELL I USED TO SMOKE BEFORE I STOPPED LAST YEAR RES0121-060 LAST YEAR OKAY AND HOW LONG DID YOU SMOKE FOR RES0121-061 I SMOKED JUST A COUPLE LIKE TWO YEARS RES0121-062 OKAY SO CONGRATULATIONS THAT'S A REALLY GREAT THING TO DO ESPECIALLY LIKE RIGHT NOW WITH THE PANDEMIC GOING ON AND EVERYTHING IT'S EARLIER YOU STOP IT'S REALLY GOOD RES0121-063 THANK YOU RES0121-064 BESIDES LIKE SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0121-065 NO RES0121-066 NO OKAY AND HOW ABOUT ALCOHOL RES0121-067 NOPE I DON'T DRINK TOO MUCH ALCOHOL I DRINK LIKE OVER THE HOLIDAYS RES0121-068 OKAY AND I FORGOT TO ASK YOU THIS EARLIER BUT ANY HOSPITALIZATION OR SURGERIES IN THE PAST RES0121-069 NO NOTHING LIKE THAT RES0121-070 NOTHING LIKE THAT OKAY THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERNS RES0121-071 WHAT SHOULD I DO ABOUT THIS COUGH RES0121-072-1 SO THIS COUGH IT'S BEEN GOING ON FOR THE LAST FOUR DAYS SINCE YOU DO HAVE A COUGH AND RIGHT NOW THAT LIKE IS CONSIDERED A SYMPTOM LIKE LIKE A POTENTIAL SYMPTOM FOR COVID WE DEFINITELY WANT TO DO A COVID SWAB TEST FOR YOU WHICH WILL COME BACK IN TWENTY FOUR HOURS TO FORTY EIGHT HOURS RES0121-072-2 YOU SHOULD STILL TRY AND ISOLATE AS MUCH AS YOU CAN AWAY FROM ANY ROOMMATES OR FAMILY MEMBERS FOR THE NEXT SO FOURTEEN DAYS SINCE YOU FIRST EXPERIENCED THE THE COUGH RES0121-073 OKAY RES0121-074-1 AND BASED ON LIKE PUBLIC HEALTH WILL CALL YOU AS WELL SO YOU CAN FOLLOW THEIR INSTRUCTIONS AND IF IT CAN BE ANYTHING ELSE TOO LIKE WITH A COUGH THERE CAN BE MULTIPLE THINGS GOING ON YOU CAN HAVE LIKE AN UPPER RESPIRATORY VIRAL OR BACTERIAL RES0121-074-2 INFECTION BUT SINCE YOU'RE NOT HAVING TOO MANY OTHER SYMPTOMS RIGHT NOW IT CAN JUST BE BRONCHITIS THIS IS SOMETHING THAT WE'LL RES0121-074-3 TRY AND KEEP AN EYE ON AND MAKE SURE IT'S NOTHING ELSE LIKE PNEUMONIA FOR EXAMPLE BUT RIGHT NOW WE'LL GET THAT TESTING DONE AND THEN JUST KIND OF WAIT AND WATCH RES0121-075 YOU'RE WELCOME RES0121-076 TAKE CARE RES0121-077 YOU TOO RES0122-000 WHAT BRINGS YOU IN TODAY RES0122-001 SO I I JUST CAME IN BECAUSE I'VE BEEN HAVING FOR THE LAST I WOULD SAY TWO WEEKS JUST A LOT OF CONGESTION IN MY NOSE AND THEN I'VE ALSO BEEN FEELING A LOT OF PRESSURE IN MY HEAD AS WELL AS JUST AROUND MY JAWS AND MY FACE OVERALL RES0122-002 OKAY AND YOU SAID IT STARTED TWO WEEKS AGO HAS IT GOTTEN BETTER OR WORSE OR BEEN THE SAME SINCE THEN RES0122-003 I'D SAY IT'S PRETTY MUCH BEEN THE SAME EXCEPT LIKE THE PRESSURE'S GETTING WORSE RES0122-004 OKAY AND DO YOU FIND THAT THE PRESSURE IS WORSE WHEN YOU'RE BENDING DOWN OR WHEN YOU'RE LIKE SQUATTING OR SITTING DOWN RES0122-005 WHEN I'M SITTING DOWN I DON'T THINK SO BUT LIKE SOMETIMES I DO FEEL LIKE FOR EXAMPLE WHEN I'M LYING ON ONE SIDE IT GETS REALLY BAD ON THAT ONE SIDE AND I HAVE TO KIND OF SWITCH OVER TO THE OTHER SIDE RES0122-006 OKAY ALRIGHT AND WHEN DID YOUR HEADACHES START RES0122-007 IT'S I GUESS IT'S NOT SO MUCH AS A HEADACHE AS JUST KIND OF JUST PAIN IN AND AROUND THE CHEEKS AND JUST GOING UP TO MY HEAD AND IT STARTED ABOUT I WOULD SAY AROUND TWO WEEKS AGO RES0122-008 AND DO YOU HAVE A STUFFY NOSE RES0122-009 I DEFINITELY HAVE A STUFFY NOSE AND IT STARTED IT SOMETIMES GETS LIKE LIKE A RUNNY NOSE AS WELL RES0122-010 OKAY AND WHAT'S THE DISCHARGE LIKE RES0122-011 IT'S USUALLY CLEAR RES0122-012 OKAY AND DO YOU HAVE A COUGH RES0122-013 NO NO COUGHS RES0122-014 SORE THROAT RES0122-016 AND DO YOU HAVE ANY DIFFICULTIES BREATHING RES0122-017 NO NOT THAT I'VE NOTICED SOMETIMES WHEN IT GETS REALLY STUFFY I HAVE TO BREATHE THROUGH MY MOUTH RES0122-018 I SEE DO YOU HAVE ANY DIFFICULTY SWALLOWING RES0122-019 NO RES0122-020 ANY CHEST PAIN OR ANY HEART RES0122-022 PALPITATIONS NOPE RES0122-024 ANY PAIN IN YOUR BELLY NO RES0122-026 NAUSEA OR VOMITING NO CHANGES IN YOUR BOWEL MOVEMENT RES0122-027 NOPE RES0122-028 ANY URINARY SYMPTOMS RES0122-029 NO RES0122-030 ANY MUSCLE ACHES RES0122-031 NOPE RES0122-032 ANY FEVERS OR CHILLS RES0122-033 NO NOT THAT I'VE NOTICED RES0122-034 ANY WEIGHT CHANGES IN YOUR WEIGHT RECENTLY RES0122-035 NO NO CHANGES RES0122-036 ANY NIGHT SWEATS RES0122-037 NO RES0122-038 OKAY ALRIGHT SO HAVE YOU HAD ANY CONTACT WITH ANYONE WHO COULD HAVE BEEN SICK IN THE PAST TWO WEEKS OR BEFORE THAT RES0122-039 NO NO I'M VERY LIKE CAREFUL I BARELY GO OUT RES0122-040 GOOD THAT'S VERY GOOD ARE YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE RES0122-041 NO RES0122-042 OKAY AND DO YOU CURRENTLY WORK RES0122-043 I WORK FROM HOME RIGHT NOW I'M AN ACCOUNTANT RES0122-044 OKAY AND DO YOU LIVE WITH ANYONE ELSE OR DO YOU LIVE ALONE RES0122-045 SO I LIVE WITH MY FAMILY I LIVE WITH MY HUSBAND RES0122-046 AND TWO DAUGHTERS HAVE ANY OF THEM BEEN SICK RECENTLY RES0122-047 NO THEY'VE BEEN FINE RES0122-048 OKAY GOOD AND DO YOU SMOKE RES0122-049 NO NOT AT ALL RES0122-050 DO YOU SMOKE MARIJUANA OR CONSUME ANY RECREATIONAL DRUGS RES0122-051 PROBABLY THE LAST TIME WAS IN COLLEGE FOR MARIJUANA RES0122-052 I SEE WHAT ABOUT ALCOHOL RES0122-053 ALCOHOL I'LL PROBABLY HAVE A GLASS OF RED WINE A DAY RES0122-054 ALRIGHT OKAY AND HAVE YOU DO YOU HAVE ANY I GUESS CARPETS OR OR CURTAINS OR ANY SORT OF ANIMALS AROUND ANYTHING THAT MIGHT CAUSE ANY KIND OF ENVIRONMENTAL ALLERGIES RES0122-055 NO NOTHING LIKE THAT RES0122-056 OKAY ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0122-057 NO I'VE BEEN COMPLETELY HEALTHY RES0122-058 ANY HOSPITALIZATIONS OR SURGERIES RES0122-059 I DID HAVE A C SECTION WITH BOTH MY BOTH MY CHILDREN RES0122-060 I SEE ANY COMPLICATIONS AFTER RES0122-061 NO COMPLICATIONS AFTER THEY WERE BOTH HEALTHY I I DIDN'T HAVE TO STAY IN THE HOSPITAL RES0122-062 GREAT GREAT AND ANY ALLERGIES TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES RES0122-063 NOPE NOT THAT I KNOW OF RES0122-064 ANY MEDICATIONS INCLUDING OVER THE COUNTER HERBAL MEDICATIONS RES0122-065 I HAVE I DO TAKE TYLENOL COLD IN BED SOMETIMES TO RELIEVE SOME OF THE PAIN AND PRESSURE RES0122-066 THAT'S GOOD THAT'S GOOD IS THERE ANYTHING ELSE THAT MAKES THE THE PRESSURE AND THE PAIN BETTER RES0122-067 I HAVE DONE THOSE LIKE KIND OF THOSE STEAM THERAPIES THAT SOMETIMES HELPS RES0122-068 OKAY GOOD GOOD GOOD ANY ANYTHING THAT MAKES THE THAT MAKES IT WORSE I KNOW THAT LYING ON ONE SIDE YOU SAID MAKES THINGS WORSE FOR YOU ANYTHING ELSE THAT'S MADE THE PRESSURE WORSE RES0122-069 NO I WOULD SAY THAT'S THAT'S ABOUT IT RES0122-070 OKAY ANY CHANGES IN YOUR SENSE OF SMELL RES0122-071 DEFINITELY WHEN I GET REALLY STUFF STUFFY LIKE I DON'T REALLY SMELL ANYTHING RES0122-072 WHAT ABOUT SENSE OF TASTE RES0122-073 TASTE I GUESS LIKE WITH THE SMELL GONE SOMETIMES LIKE THE TASTE FEELS WEIRD TOO BUT LIKE NOT NOT REALLY RES0122-074 I SEE OKAY AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RES0122-075 MY MY FATHER DID HAVE A HEART ATTACK IN HIS I THINK IT WAS LATE FIFTIES BUT HE'S WELL AND ALIVE RIGHT NOW SO HE'S FINE RES0122-076-1 GOOD ALRIGHT WELL THAT'S ALL THE QUESTIONS I HAD FOR YOU GIVEN THE SYMPTOMS THAT YOU'VE SHARED WITH ME IT SOUNDS LIKE YOU MIGHT HAVE SOMETHING CALLED RHINOSINUSITIS WHICH IS BASICALLY INFLAMMATION OF THE SINUSES AND RES0122-076-2 OF THE OF THE NASAL CAVITY OR THE AREA INSIDE YOUR NOSE AND OFTEN IT'S JUST TREATED WITH CONSERVATIVE MANAGEMENT SO JUST CONTINUE TO TAKE RES0122-076-3 TYLENOL IF THAT SEEMS TO HELP YOU AND DO THE STEAM THERAPY IT WILL TAKE TIME TO GET BETTER BUT IF YOU FEEL THAT IT'S IT'S NOT GETTING BETTER RES0122-076-4 IN THE NEXT WEEK OR SO GIVE US A CALL AGAIN AND WE CAN MAYBE SEE IF IT'S A BACTERIAL INFECTION AND SEE IF RES0122-076-5 IF ANTIBIOTICS MIGHT BE NEEDED BUT OFTENTIMES IT'S USUALLY A VIRAL INFECTION AND ANTIBIOTICS ARE NOT NEEDED AND SORT OF JUST RESTING AND TAKING CARE OF YOURSELF AND TRYING TO MANAGE THE SYMPTOMS THAT WAY CAN HELP BUT ALSO CHECK YOUR TEMPERATURE HERE TO SEE IF YOU HAVE ANY RES0122-076-6 FEVERS AND GO FROM THERE WE'LL ALSO I GUESS WE'LL ALSO DO A COVID SWAB BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SOME OF THOSE SYMPTOMS AND WE'D RECOMMEND THAT YOU QUARANTINE UNTIL AT LEAST SWABS SWAB RESULTS ARE OUT AND THEN PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO RES0122-079 NO THAT'S ALL THANK YOU SO MUCH RES0122-080 YOU'RE WELCOME RES0123-000 WHAT CAN I DO FOR YOU RES0123-001-1 SO I'VE BEEN JUST OVER THE LAST WEEK I'VE BEEN FEELING PRETTY SICK I HAVE THIS PRETTY BAD HEADACHE THAT STARTED LIKE PROBABLY A WEEK AGO AND THEN FOR THE LAST FEW DAYS I'VE BEEN HAVING THESE CHILLS RES0123-001-2 AND I DIDN'T GET A CHANCE TO MEASURE MY TEMPERATURE AT ALL BUT THE WORST THING HAS BEEN JUST THESE MUSCLE ACHES ALL OVER MY BODY AND THAT'S BEEN GOING ON FOR THE LAST THREE TO FOUR DAYS RES0123-002 SORRY TO HEAR THAT YOU'RE FEELING SO HORRIBLE OVER THE PAST WEEK LET'S LET'S TRY TO UNDERSTAND THIS A LITTLE BIT BETTER SO YOU'VE HAD THIS HEADACHE FOR THE PAST WEEK OR SO WHERE EXACTLY IS IT RES0123-003 IT'S KIND OF JUST ALL ACROSS MY FOREHEAD IT'S BEEN GOING TO THE SIDES LIKE INTO MY TEMPLES AS WELL RES0123-004 OKAY AND WHAT DOES IT FEEL LIKE HOW WOULD YOU DESCRIBE IT RES0123-005 IT FEELS LIKE KIND OF LIKE ACHING I I HAVE HAD HEADACHES WITH THROBBING BEFORE BUT IT'S NOT SO MUCH THROBBING IT'S MORE JUST CONSTANT ACHING PAIN RES0123-006 IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO TEN WITH TEN BEING THE WORST PAIN EVER WHAT NUMBER WOULD YOU GIVE IT RES0123-007 PROBABLY LIKE A SEVEN RES0123-008 OH WOW THAT SOUNDS SEVERE HOW LONG HAVE YOU HOW LONG HAS IT BEEN A SEVEN FOR RES0123-009 IT'S ACTUALLY A BIT BETTER NOW BUT LIKE OVER THE LAST WEEK IT'S BEEN A SEVEN I WOULD SAY NOW IT'S PROBABLY AROUND FIVE RES0123-010 OKAY ANYTHING THAT MAKES THE HEADACHE BETTER RES0123-011 I I TAKE LIKE TYLENOL THEN LIKE IT GETS RELIEVED FOR A BIT FOR LIKE A FEW HOURS AND THEN COMES BACK RES0123-012 ANYTHING THAT YOU FEEL MAKES THE HEADACHES WORSE ANY POSTURES OR POSITIONS OR ACTIVITY OR ANY KIND OF EXPOSURE TO LIGHT OR SOUNDS RES0123-013 NO IT'S IT'S JUST KIND OF THERE NOTHING MAKES IT WORSE RES0123-014 DO YOU HAVE NAUSEA OR VOMITING RES0123-015 NO NO NAUSEA OR VOMITING RES0123-016 NO ANY SENSITIVITY TO LIGHT OR SOUNDS RES0123-017 NO RES0123-018 OKAY AND IS IT ONLY IS IT ONLY ON ONE ON ONE SIDE OF YOUR HEAD OR FOREHEAD OR IS IT ON BOTH SIDES RES0123-019 IT IT SEEMS LIKE IT'S ON BOTH SIDES RES0123-020 AND HAVE YOU NOTICED ANY VISUAL CHANGES ANY BLURRY VISION WITH THE HEADACHES RES0123-021 NO RES0123-022 ANY OTHER VISUAL CHANGES NO OKAY AND YOU'VE ALSO HAD CHILLS BUT YOU SAID YOU HAVEN'T CHECKED YOUR TEMPERATURE RIGHT RES0123-023 NO I HAVEN'T I'VE BEEN HAVING CHILLS FOR THE LAST FEW NIGHTS RES0123-024 WE CAN DEFINITELY CHECK YOUR TEMPERATURE HERE IN THE HERE AND YOU MENTIONED THAT THE MUSCLE ACHES HAVE BEEN QUITE BOTHERSOME FOR YOU IS IT ALL OVER YOUR BODY OR ANYONE IN ANY ONE MUSCLE GROUP RES0123-025 IT SEEMS LIKE IT'S ALL OVER RES0123-026 OKAY OKAY AND I'LL ASK YOU ABOUT A COUPLE OTHER SYMPTOMS JUST TO RULE OUT ANY OTHER ISSUES THAT YOU MIGHT BE HAVING SO HAVE YOU NOTICED THAT YOU'VE BEEN CONFUSED AT ALL OVER THE PAST FEW DAYS RES0123-027 NO I DON'T THINK SO RES0123-028 HAVE YOU HAD ANY LIKE STIFFNESS OR RIGIDITY IN YOUR NECK RES0123-029 MAYBE A LITTLE BIT OF A STIFFNESS IN IN MY NECK RES0123-031 THEN LIKE I I DON'T KNOW IF THAT'S JUST THE MUSCLE PAIN IT'S LIKE KIND OF ON MY UPPER BACK LOWER NECK AREA RES0123-032 WE CAN DEFINITELY EXAMINE THAT WHEN I'M DOING PHYSICAL EXAMINE AND AND SEE HOW THAT IS OKAY AND HAVE YOU HAD ANY RES0123-035 HEADACHES COME AND GO OR IS IT ALWAYS THERE THEY'RE PRETTY MUCH LIKE CONSTANT THROUGHOUT THE DAY RES0123-036 AND DO YOU HAVE A RUNNY NOSE OR STUFFY NOSE RES0123-037 NO NO I DON'T I I THINK I'M KIND OF I'M DEVELOPING A LITTLE COUGH THOUGH RES0123-038 OKAY WHEN DID THAT START RES0123-039 PROBABLY JUST YESTERDAY I NOTICED MYSELF COUGHING RES0123-040 IS IT LIKE A DRY COUGH OR WET COUGH RES0123-041 A DRY COUGH RES0123-042 ANY SPUTUM OR ANY BLOOD COME OUT RES0123-043 NO RES0123-044 ANY SORE THROAT RES0123-045 NO RES0123-046 ANY CHEST PAIN RES0123-047 NO RES0123-048 ANY DIFFICULTIES WITH BREATHING RES0123-050 NO ANY PALPITATIONS OR FEEL LIKE YOUR HEART'S BEATING VERY FAST RES0123-051 NO RES0123-052 OKAY ANY BELLY PAIN RES0123-053 NO RES0123-054 ANY NAUSEA OR VOMITING RES0123-055 NOPE RES0123-056 ANY DIARRHEA OR CONSTIPATION RES0123-057 NO NOT THAT I'VE NOTICED RES0123-058 ANY WEAKNESS IN ANY ONE SIDE OF YOUR BODY RES0123-059 NOPE RES0123-060 ANY NUMBNESS OR TINGLING RES0123-061 NOPE RES0123-062 NO OKAY ANY EXPOSURES TO ANYONE WHO COULD BE SICK RES0123-063 I HAVEN'T NOTICED BUT I I DO GO TO WORK AND WE RECENTLY SWITCHED TO LIKE IN PERSON INSTEAD OF I I USED TO DO HOME WORK BUT FOR THE LAST MONTH I'VE BEEN GOING INTO THE OFFICE RES0123-064 I SEE AND HAVE YOU BEEN WEARING A MASK RES0123-065 WELL I TRY TO WEAR THE MASK SOMETIMES LIKE IN THE IN THE STOCK LIKE LOUNGE WE LIKE TAKE TAKE OFF THE MASK TO EAT AND STUFF BUT THAT'S ABOUT IT RES0123-066 ARE YOU MAINTAINING SOCIAL DISTANCING WHEN YOU'RE TAKING YOUR MASK OFF RES0123-067 IT'S MOST OF THE TIMES WE'RE PRETTY SOCIALLY DISTANCED WHEN WE'RE EATING BUT SOMETIMES IT'S LIKE HARD TO CONTROL WHEN YOU KNOW WHEN YOU'RE GOING NEAR THE MICROWAVE TO HEAT UP YOUR FOOD AND SOMETIMES IT GETS HARD IT'S A IT'S A FAIRLY SMALL ROOM SO RES0123-068-1 YEAH WELL I WOULD I WOULD RECOMMEND THAT YOU TRY TO EAT WHEN PEOPLE ARE NOT IN THE ROOM IF POSSIBLE BECAUSE YOU ARE PUTTING YOURSELF AT RISK LIKE IF IT'S A SMALL ROOM I THINK RES0123-068-2 YOU SHOULD ALSO TALK TO MANAGEMENT OR TRY TO LIMIT THE NUMBER OF PEOPLE WHO CAN BE IN THE ROOM AT A TIME FOR YOUR OWN SAFETY YOU KNOW AND FOR THE SAFETY OF OTHERS WORKING WITH YOU OKAY AND HAVE YOU TRAVELED ANY RES0123-073 ANYONE WHO IS SICK NO THEY'VE BEEN COMPLETELY FINE MY DAUGHTER IS LIKE IS DOING SCHOOL FROM HOME RIGHT NOW SO SHE'S NOT REALLY SEEING ANYONE RES0123-074 OKAY THAT'S GOOD AND DO YOU CURRENTLY SMOKE RES0123-075 I DO I DO SMOKE PROBABLY HALF A PACK A DAY RES0123-076 FOR HOW LONG RES0123-077 FOR PROBABLY THE LAST TWENTY YEARS RES0123-078 OKAY AND DO YOU CONSUME MARIJUANA RES0123-079 JUST MAYBE ONCE OR TWICE A MONTH RES0123-081 OK JUST SOMETIMES IT HELPS ME SLEEP SOMETIMES RES0123-082 SURE DO YOU TAKE ANY RECREATIONAL DRUGS LIKE COCAINE AMPHETAMINE LSD ECSTASY ETC RES0123-083 NO NOTHING LIKE THAT RES0123-084 ANY ALCOHOL RES0123-085 I DRINK PROBABLY A BEER OR TWO EVERY COUPLE DAYS RES0123-086 ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0123-087 SO I DO THEY'RE SAYING I MIGHT HAVE HIGH BLOOD PRESSURE THEY LIKE IT IT'S STILL ONGOING THEY'RE TESTING TESTING ME FOR THINGS RES0123-088 SURE AND HAVE YOU TAKEN ANY MEDICATIONS FOR IT RES0123-089 NO NOT YET I HAVEN'T BEEN PUT ON ANY MEDICATIONS RES0123-090 HAVE YOU DO YOU TAKE ANYTHING OVER THE COUNTER ANY HERBAL PILLS VITAMINS MINERALS ETC RES0123-091 NO RES0123-092 OKAY AND DO YOU HAVE ANY ALLERGIES RES0123-093 NO ALLERGIES RES0123-094 OKAY GOOD AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR ANY HOSPITALIZATIONS RES0123-095 I WAS PRETTY YOUNG I HAD MY TONSILS REMOVED BUT OTHER THAN THAT NO NO OTHER SURGERIES OR HOSPITALIZATIONS RES0123-096 GOOD ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RES0123-097 SO I THINK MY MOTHER SHE SHE HAS RES0123-099 LIKE TYPE TWO DIABETES OK AND MY FATHER RES0123-101 PAST SOMETIMES I WHEN I'M LIKE STRESSED AT WORK AND LIKE I IT'S NOT LIKE ANYTHING REGULAR THAT HAPPENS TO ME I PROBABLY HAVE HAD MIGRAINES IN THE PAST RES0123-102 OKAY OKAY AND HAVE YOU EVER BEEN DIAGNOSED WITH ASTHMA OR WITH COPD RES0123-103 NO RES0123-104 OKAY ALRIGHT SO IT SOUNDS LIKE YOU'VE HAD A HEADACHE FOR THE PAST WEEK WHICH HAS BEEN KIND OF CONSTANT ABOUT SEVEN OUT OF TEN AND THEN YOU'VE ALSO DEVELOPED A FEVER BUT YOU HAVEN'T OR I GUESS YOU'VE BEEN FEELING YOU'VE BEEN HAVING CHILLS AND WE CAN MEASURE TEMPERATURE HERE AND YOU ALSO HAD A COUGH THAT STARTED YESTERDAY WHAT ABOUT SENSE OF TASTE HAVE YOU NOTICED ANY CHANGES THERE RES0123-105 NO NOT THAT I'VE REALLY NOTICED RES0123-106 WHAT ABOUT YOUR SENSE OF SMELL RES0123-107 MY SMELL I DON'T THINK SO BUT LIKE SOMETIMES I DO FEEL A BIT LIKE STUFFY AS WELL LIKE NOT NOT RIGHT NOW BUT BEFORE WHEN I FELT STUFFY I LOST MY SENSE OF SMELL RES0123-108 SURE OKAY OKAY WELL THAT'S ALL THE QUESTIONS I HAVE FOR YOU WE'LL DO A PHYSICAL EXAM GET A CHEST X RAY DONE ALSO EXAMINE YOUR NECK AS WELL A LITTLE BIT JUST TO MAKE SURE THERE'S NO STIFFNESS OR RIGIDITY HAVE A LOOK INSIDE YOUR MOUTH LISTEN TO YOUR CHEST RES0123-109 OKAY RES0123-110-1 WE WILL ALSO GET A COVID SWAB DONE SIMPLY BECAUSE YOUR SYMPTOMS SOUND VERY SIMILAR TO OR I GUESS A LOT OF THESE SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVID SO WE'LL DO THAT AND I WOULD REQUIRE WOULD REQUEST THAT YOU RES0123-110-2 CONTINUE TO STAY AT HOME IF YOU HAVEN'T BEEN DOING SO SO FAR TAKE A LEAVE FROM WORK TRY TO DO WORK FROM HOME RES0123-110-3 AND QUARANTINE AT HOME AS MUCH AS POSSIBLE AND STAY AWAY FROM YOUR WIFE AND YOUR DAUGHTER AS WELL AT LEAST UNTIL THE SWAB IS BACK AND YOU GET SOME MORE GUIDANCE FROM PUBLIC HEALTH IF IT IS POSITIVE THEY WILL GIVE YOU A CALL THERE ARE LOTS OF GUIDELINES ON HOW TO SELF ISOLATE AND I I CAN SHARE THAT WITH YOU RES0123-110-4 IT'S BEST THAT YOU DO THAT FOR NOW WE WILL RUN A COUPLE OF TESTS DO LABS AND BASED ON THOSE RESULTS WE'LL DECIDE IF YOU NEED TO STAY IN THE ER OR IF WE CAN IF YOU CAN BE DISCHARGED LATER TODAY DO YOU HAVE ANY QUESTIONS FOR ME RES0123-111 NO THAT THAT ALL SOUNDS GREAT THANKS FOR EXPLAINING IT TO ME RES0123-112 YOU'RE WELCOME RES0123-113 OKAY RES0124-000 WHAT BRINGS YOU IN TODAY RES0124-001 HI I JUST CAME IN HERE TODAY CAUSE LATELY FOR THE LAST COUPLE OF MONTHS I'VE BEEN GETTING THESE COUGHING FITS THEY DON'T REALLY SEEM TO BE GOING AWAY AND I WAS A BIT CONCERNED RES0124-002 SO YOU'VE HAD THIS WHEN DID THIS START RES0124-003 I WOULD SAY PROBABLY DURING THE WINTER IT IT KIND OF STARTED WHERE I STARTED HAVING JUST COUGHING FITS WHEN I'M WALKING TO SCHOOL AND THEN ALSO DURING LIKE GYM CLASS I STARTED HAVING THESE COUGHING FITS AND SOMETIMES I ALSO FELT LIKE I COULDN'T BREATHE RES0124-004 OKAY OKAY WHAT DID YOU IS THERE ANYTHING SO IT'S BASICALLY WORSE WHEN YOU'RE DOING SOME SORT OF AN EXERCISE SUCH AS WALKING OR BEING IN THE GYM CLASS AND IT'S ALSO WORSE IN THE COLD RES0124-005 AND THEN ALSO LIKE I REMEMBER WHEN I WAS WALKING DOWN THE STREET AND SOMEONE WAS SMOKING AND THEN I JUST COMPLETELY JUST STARTED HAVING THAT EPISODE RIGHT AFTER I WALKED PAST THEM RES0124-006 OKAY ALRIGHT OKAY SORRY ONE MOMENT OKAY SO IS THERE ANYTHING THAT MAKES YOUR COUGH BETTER WHAT DO YOU DO TO MAKE IT GO AWAY RES0124-007 I JUST BASICALLY HAVE TO IF I IF I'M DOING ANY KIND OF ACTIVITIES JUST TAKE A MOMENT SIT DOWN FOR LIKE TEN TO FIFTEEN MINUTES AND THEN IT SEEMS LIKE IT GOES AWAY ON ITS OWN RES0124-008 AND YOU SAID THAT SOMETIMES YOU ALSO HAVE DIFFICULTIES BREATHING WITH IT RES0124-009 LIKE A COUPLE OF TIMES IT GOT REALLY BAD WHERE I HAD TO LIKE IT WAS DIFFICULT GET IT WAS IT WAS LIKE I WAS TRYING TO TAKE DEEP BREATHS FOR AIR BUT IT WAS IT JUST FELT LIKE I COULDN'T RES0124-010 I SEE SO THIS STARTED A COUPLE OF MONTHS AGO HAS THIS EVER HAPPENED TO YOU BEFORE THAT RES0124-011 NO BEFORE THAT I'VE BEEN FINE RES0124-012 OKAY AND SO I'M GOING TO ASK YOU ABOUT A COUPLE OTHER SYMPTOMS LET ME KNOW IF YOU'VE EXPERIENCED ANY OF THESE IN THE PAST COUPLE OF MONTHS SO HAVE YOU HAD A HEADACHE THAT ACCOMPANIES THE COUGH RES0124-013 NO RES0124-014 ANY CHANGES IN YOUR VISION OR YOUR HEARING RES0124-015 NO RES0124-016 ANY CONFUSION RES0124-017 NO RES0124-018 ANY RUNNY NOSE OR STUFFY NOSE OR SINUS CONGESTION RES0124-019 NO NOT REALLY RES0124-020 OKAY ANY SORE THROAT RES0124-021 NO RES0124-022 ANY CHEST PAIN RES0124-023 SOMETIMES WHEN I GET LIKE REALLY BAD COUGHING FITS LIKE IT SOMETIMES STARTS HURTING IN MY CHEST AS WELL RES0124-024 DOES IT GO AWAY WHEN YOU STOP COUGHING RES0124-025 IT GOES AWAY AFTER I JUST TAKE SOME REST RES0124-026 HAVE YOU HAD ANY BELLY PAIN RES0124-027 NO NOT AT ALL RES0124-028 DO YOU FEEL LIKE YOUR HEART'S RACING RES0124-030 NO ANY CHANGES IN YOUR ANY NAUSEA OR VOMITING RES0124-031 NO RES0124-032 ANY CHANGES IN YOUR BOWEL MOVEMENTS RES0124-034 NO ANY ACID REFLUX RES0124-035 NO RES0124-036 OKAY AND ANY CERTAIN MUSCLE ACHES OR JOINT PAINS RES0124-037 NO NOTHING LIKE THAT RES0124-038 ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS RES0124-039 NO RES0124-040 OKAY LET'S GET BACK OKAY GREAT IT SOUNDS LIKE THAT THE THE COUGH IS SORT OF THE MAIN SYMPTOM HERE THAT YOU HAVE IS THE COUGH DRY OR WET RES0124-041 IT'S USUALLY IT'S USUALLY DRY RES0124-042 SORRY CAN YOU SAY THAT AGAIN RES0124-043 IT'S USUALLY DRY RES0124-044 OKAY HAVE YOU EVER BROUGHT UP ANY SPUTUM OR ANY BLOOD RES0124-045 NEVER ANY BLOOD I HAVE LIKE ON OCCASION LIKE SOMETIMES BROUGHT UP SOME SPUTUM RES0124-046 OKAY ALRIGHT OKAY AND HAVE YOU BEEN VACCINATED RES0124-047 ALL MY IMMUNIZATIONS ARE UP TO DATE RES0124-048 OKAY GOOD GOOD GOOD DOES THE COUGH SOUND LIKE A BARKY COUGH OR A MUFFLED COUGH OR DOES IT HAVE A SPECIFIC CHARACTERISTIC DOES IT SOUND DIFFERENT THAN WHEN YOU'RE SORT OF COUGHING TO CLEAR YOUR THROAT FOR INSTANCE RES0124-049 IT'S LIKE PRETTY IT CAN GET PRETTY HARSH I ALSO NOTICED LIKE THERE'S LIKE THIS WEIRD NOISE I STARTED MAKING LIKE RIGHT AFTER WHEN I'M TRYING TO TAKE DEEP BREATHS IN RES0124-050 OKAY OKAY OKAY SO YOU'RE WHEEZING OKAY DO YOU EVER COUGH SO MUCH THAT YOU END UP VOMITING RES0124-051 NO NO THAT HASN'T HAPPEN YET RES0124-052-1 RES0124-052-2 AND DO YOU SO YOU MENTIONED THAT IT'S WORSE WHEN YOU'RE IN THE COLD OR EXERCISING AND SMOKING MAKES IT WORSE WHAT ABOUT THINGS LIKE DUST OR POLLEN RES0124-052-3 SAY WHEN YOU'RE CLEANING THE HOUSE AND THERE'S ALSO DUST DOES THAT MAKE THINGS WORSE OR IS IT WORSE IN A SPECIFIC TIME OF THE YEAR WHEN YOU'RE OUTDOORS RES0124-053 NOW THAT YOU MENTION IT LIKE IF WE'RE EVER IN THE BASEMENT OR ANYTHING LIKE THAT I I DO START GETTING LIKE KIND OF IRRITATION IN MY THROAT AND THAT KIND OF SOMETIMES I HAVE ALSO COUGHED AT THOSE TIMES RES0124-054 ALRIGHT CAN YOU TELL ME OKAY SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN RES0124-055 DIAGNOSED WITH NO NOTHING ELSE RES0124-056 I'VE BEEN PRETTY HEALTHY OKAY HAD DID WHEN YOU WERE A CHILD DID YOU HAVE ANY SORT OF RASH RES0124-057 DID YOU HAVE ECZEMA OH I SO I DID I AT ONE POINT I WAS USING LIKE THIS CREAM RES0124-058-1 PROBABLY WHEN I WAS TEN JUST FOR SOME ECZEMA ON MY HANDS RES0124-058-2 OKAY AND HAVE YOU EVER HAD ALLERGIC RHINITIS WHICH IS BASICALLY SORT OF HAVING RED OR TEARY EYES ITCHINESS ON THE FACE A RUNNY NOSE AT CERTAIN TIMES OF THE YEAR RES0124-058-3 OR IN AREAS WITH MOLD OR DUST OR TERMITES AND THINGS LIKE THAT HAVE YOU HAD ANYTHING LIKE THAT AS A CHILD OR RIGHT NOW RES0124-059 NOT THAT I KNOW OF NO RES0124-060 OKAY ALRIGHT DO YOU HAVE ANY I GUESS GOING BACK WERE YOU A HEALTHY CHILD GROWING UP RES0124-061 AS FAR AS I KNOW I I DIDN'T REALLY HAVE ANY CONCERNS FROM LIKE THE SCHOOL OR HOME AT ALL RES0124-062 OKAY THAT'S GREAT DO YOU DID YOU EVER HAVE ANY HOSPITALIZATIONS RES0124-063 NO RES0124-064 ANY SURGERIES RES0124-065 NO RES0124-066 ARE YOU TAKING ANY MEDICATIONS RES0124-067 NO MEDICATIONS RES0124-068 ARE YOU STILL USING THE ECZEMA CREAM RES0124-069 NO NO THAT KIND OF JUST WENT AWAY ON ITS OWN OR LIKE RIGHT AFTER I USED THE CREAM LIKE IT'S GOOD NOW RES0124-070 OKAY GOOD ARE YOU ALLERGIC TO ANYTHING RES0124-071 NO I DON'T THINK SO MAYBE JUST LIKE ENVIRONMENTAL ALLERGIES SOMETIMES IN THE SPRINGTIME RES0124-072 WHAT HAPPENS THEN RES0124-073 JUST SOMETIMES LIKE I DON'T KNOW IF IT'S LIKE A POLLEN ALLERGY LIKE I I DO GET SOME I GUESS I DO GET LIKE SOME NASAL CONGESTION AND THINGS LIKE THAT RES0124-074 HAVE YOU EVER SEEN AN ALLERGIST RES0124-075 NO I HAVEN'T RES0124-076 NO WHO PRESCRIBED THE CREAM FOR THE ECZEMA RES0124-077 JUST A IT WAS LIKE AT A WALK IN CLINIC RES0124-078 OKAY OKAY ALRIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG RELATED PROBLEMS OR ANY OTHER PROBLEMS RES0124-079 MY OLDER SISTER HAS ASTHMA AND I DON'T KNOW IF ANYONE ELSE IN THE FAMILY HAS ASTHMA I THINK MY FATHER HAS HIGH BLOOD PRESSURE RES0124-080 ALRIGHT AND YOU MENTIONED THAT THINGS ARE GOING WELL AT SCHOOL WHO DO YOU LIVE WITH AT HOME RES0124-081 SO I LIVE WITH MY OLDER SISTER AND MY MOM AND DAD RES0124-082 OKAY OKAY AND THINGS ARE GOOD AT HOME DO YOU FEEL SAFE RES0124-083 I FEEL COMPLETELY SAFE RES0124-084 ANY CONCERNS ABOUT BULLYING AT SCHOOL RES0124-085 NO NO NOT AT ALL RES0124-086 OKAY ARE YOU ARE YOU TAKING ANY MARIJUANA OR ANY STREET DRUGS RES0124-087 NO NO MY PARENTS WOULD KILL ME RES0124-088 WHAT ABOUT ALCOHOL RES0124-089 I'LL COME I'VE I HAVEN'T TRIED IT YET AT ALL RES0124-090 OKAY OKAY JUST WANTED TO MENTION THAT THE CONVERSATION THAT WE'RE HAVING RIGHT NOW IS CONFIDENTIAL BETWEEN YOU AND ME UNLESS YOU MENTIONED ANYTHING THAT HARMS YOU OR HARMS ANYONE ELSE SO SO FEEL FREE TO DISCUSS WHATEVER OR TALK OPENLY ABOUT ANY ISSUES THAT YOU HAVE OKAY AND RES0124-092-1 ARE YOU SEXUALLY ACTIVE RES0124-092-2 NO NO RES0124-092-3 ALRIGHT OKAY SO THAT'S ALL THE INFORMATION I NEEDED GIVEN THAT YOU'VE HAD THESE COUGHING FITS FOR THE PAST COUPLE OF MONTHS RES0124-092-4 THAT ARE THAT HAVE CERTAIN TRIGGERS AND ALSO GIVEN THAT YOU'VE HAD A HISTORY OF ECZEMA AND YOUR SISTER HAS ASTHMA SO KIND OF SORT OF RUNS IN YOUR FAMILY IN A WAY RES0124-092-5 YOU MIGHT ALSO HAVE A DIAGNOSIS OF ASTHMA POTENTIALLY AND SO WHAT I WOULD RECOMMEND IS THAT YOU GET TESTING DONE AND RES0124-092-6 I GUESS BEFORE BEFORE I SORT OF TALK A LITTLE MORE ABOUT THIS I JUST WANT TO GET A SENSE OF HOW SEVERE YOUR ASTHMA IF IT'S ASTHMA AT ALL IF DOES IT DOES IT AFFECT YOUR ABILITY TO YOU SAID SCHOOL WAS GOING OKAY DOES IT AFFECT YOUR ABILITY TO DO WELL AT SCHOOL AT ALL RES0124-093 DEFINITELY IN IN GYM CLASS BUT OTHER THAN THAT IT HASN'T REALLY AFFECTED ME RES0124-094 DOES IT WAKE YOU UP AT NIGHT RES0124-095 NO SO FAR NO I I LIKE I GET PRETTY GOOD SLEEP RES0124-096 OKAY OKAY AND HOW OFTEN I GUESS IS DO THESE EPISODES OCCUR HOW MANY TIMES A WEEK OR HOW MANY TIMES A MONTH RES0124-097 SO THEY JUST STARTED LIKE TWO MONTHS AGO AND I'VE HAD LIKE MAYBE FOUR OR FIVE OF THEM IN TOTAL RES0124-098 OKAY OKAY AND THEY KIND OF GET BETTER ON THEIR OWN OKAY SO WE CAN SORT OF TALK ABOUT THESE SORRY PUFFERS THAT YOU MIGHT NEED TO TO USE AS NEEDED YOUR SISTER MIGHT HAVE SOME OF THOSE SO YOU MIGHT BE FAMILIAR WITH WHAT I'M TALKING ABOUT RES0124-099-1 SO WE CAN TALK ABOUT THAT GIVEN THAT YOUR SYMPTOMS ARE YES THEY'VE BEEN OCCURRING FOR THE PAST COUPLE OF MONTHS BUT BECAUSE YOU HAVE HAD A COUGH IT MIGHT BE A GOOD IDEA JUST TO HAVE A COVID TEST DONE ONCE RES0124-099-2 I DON'T THINK THAT'S WHAT YOU HAVE SEEING THAT THIS THESE SYMPTOMS HAVE BEEN LASTING FOR HAVE BEEN OCCURRING FOR THE PAST TWO MONTHS SO WE'LL JUST KIND OF DO THAT TEST TO RULE IT OUT RES0124-099-3 IN THE MEANTIME I WOULD RECOMMEND THAT YOU TRY THIS INHALED CORTICOSTEROID PUFFER RES0124-099-4 THAT YOU CAN USE THAT YOU SHOULD USE ON A DAILY BASIS AND TRY TO AVOID THE TRIGGERS SO THE THINGS THAT YOU THAT CAUSE THESE SYMPTOMS RES0124-099-5 WE CAN GO OVER HOW TO USE A PUFFER PROPERLY AND I WILL ALSO GIVE YOU A SPACER WHICH WILL HELP DELIVER MOST OF THAT MEDICATION IN THE TO YOUR LUNGS DO YOU HAVE ANY QUESTIONS RES0124-100 NO I DON'T HAVE ANY QUESTIONS AT ALL THANK YOU SO MUCH RES0125-000 WHAT BRINGS YOU IN HERE TODAY RES0125-001 HI I'M I'M JUST SO I AM HERE BECAUSE I HAVE THIS COUGH THAT I'VE HAD FOR THE PAST WEEK AND A HALF AND I'M JUST I USUALLY DON'T COME IN WITH SYMPTOMS THIS MINOR BUT BECAUSE IT'S BECAUSE WE'RE IN THE MIDDLE OF A PANDEMIC I THOUGHT I SHOULD COME IN AND GET CHECKED OUT RES0125-002 OKAY SO IT'S BEEN GOING ON FOR LIKE MORE THAN A WEEK CAN YOU DESCRIBE TO ME WHAT KIND OF COUGH YOU'RE HAVING IS IT LIKE A WET COUGH OR A DRY COUGH RES0125-003 IT'S A DRY COUGH RES0125-004 OKAY AND HAS IT BEEN GETTING WORSE OVER THE OVER THE TIME PERIOD YOU DESCRIBED RES0125-005 IT'S KIND OF THE SAME RES0125-006 IT'S THE SAME HAVE YOU NOTICED ALTHOUGH IT'S LIKE DRY HAVE YOU BROUGHT UP ANY KIND OF SPUTUM OR PHLEGM AT ALL RES0125-007 NO NOT NOT NOT RECENTLY BUT IN THE FIRST COUPLE OF DAYS THE FIRST TWO THREE DAYS RES0125-008 OKAY AND HAVE YOU NOTICED ANY KIND OF YELLOWISH TO GREENISH TINGE TO IT RES0125-009 NO IT WAS WATERY RES0125-010 WATERY OKAY HAVE YOU NOTICED AT ALL ANY BLOOD HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL NO RES0125-012 OKAY AND IS YOUR COUGH LIKE CONSTANT OR DOES IT COME AND GO RES0125-013 KIND OF COMES AND GOES THERE'S JUST TIMES WHEN I'M COUGHING A LOT AND THEN IT JUST GOES AWAY RES0125-014 OKAY AND IS THERE A PATTERN TO IT LIKE DO YOU COUGH MORE WHEN YOU'RE EXERTING YOURSELF OR ANY TIME A CERTAIN TIME OF THE DAY RES0125-015 IT'S WORSE WHEN I'M SMOKING RES0125-016 WHEN YOU'RE SMOKING OKAY AND HOW LONG DO THOSE EPISODES LAST RES0125-017 COUPLE OF SECONDS MAYBE RES0125-018 OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL RES0125-019 I THINK I USUALLY DON'T PAY MUCH ATTENTION TO IT YOU KNOW I THINK MUST HAVE HAPPENED LAST YEAR OR THE YEAR BEFORE IT JUST KIND OF GOES AWAY ON ITS OWN RES0125-020 OKAY AND IS THERE ANY ANYTHING THAT MAKES IT BETTER OR WORSE RES0125-021 I I TAKE THIS COUGH SYRUP OVER THE COUNTER SYRUP THAT HELPS RES0125-022 OKAY AND HAVE YOU FOUND THAT IT'S BEEN HELPING OVER LIKE TO HELP IMPROVE YOUR COUGH OVER THE LAST FEW DAYS RES0125-023 IT GOES AWAY FOR A COUPLE HOURS AND THEN IT COMES BACK RES0125-024 I SEE DOES IT KEEP KEEP YOU UP AT NIGHT AT ALL RES0125-026 NO NO OKAY ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH SORE THROAT RUNNY NOSE ANYTHING LIKE THAT RES0125-027 I KIND OF HAD THOSE SYMPTOMS IN THOSE FIRST TWO THREE DAYS BUT THEN IT WENT AWAY AND THEN I ONLY HAD THIS COUGH THAT STAYED RES0125-028 OKAY OKAY AND HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK AROUND YOU AT ALL RES0125-029 MY DAUGHTER HAD THE SNIFFLES RES0125-030 WHEN WAS THAT RES0125-031 LAST TWO WEEKS AGO RES0125-032 TWO WEEKS AGO OKAY AND HOW IS SHE NOW LIKE DID IT JUST GO AWAY ON ITS OWN OR DID SHE HAVE TO GO TO THE DOCTOR RES0125-033 NO IT KIND OF WENT AWAY ON ITS OWN RES0125-034 OKAY HAVE YOU TRAVELED AT ALL RECENTLY OUTSIDE OF THE PROVINCE OR THE COUNTRY RES0125-035 NO RES0125-036 NO OKAY AND BESIDES THE COUGH ARE YOU HAVING ANY HEADACHES AT ALL RES0125-037 NO RES0125-038 ANY NAUSEA OR VOMITING RES0125-039 NO RES0125-040 ANY FEVERS OR CHILLS RES0125-041 NOT ANYMORE RES0125-042 NOT ANYMORE WHEN WAS THE LAST TIME THAT YOU HAD FEVERS OR CHILLS RES0125-043 I THINK I HAD LIKE A VERY IT MUST HAVE BEEN THIRTY SEVEN POINT FOUR IN THE FIRST TWO THREE DAYS BUT IT GOT BETTER REALLY QUICKLY RES0125-044 OKAY I SEE ANY NIGHT SWEATS RES0125-045 NO RES0125-046 NO OKAY ANY DO YOU FEEL TIRED THROUGHOUT THE DAY RES0125-047 NOT ANYMORE RES0125-048 NOT ANYMORE OKAY SO ANY KIND OF CHEST PAIN OR SENSATION THAT YOUR HEART IS RACING RES0125-049 NO RES0125-050 NO ANY DIZZINESS OR FAINTING SPELL RES0125-051 NO RES0125-052 ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL RES0125-053 NO RES0125-054 NO SO NO CONSTIPATION DIARRHEA RES0125-056 ANY CHANGES IN YOUR URINATION RES0125-057 NO RES0125-058 NO OKAY HAVE YOU HAD TO MISS WORK AT ALL OR DO YOU CURRENTLY WORK RES0125-059 BUT I'VE BEEN WORKING FROM HOME RES0125-060 OKAY RES0125-061 I DIDN'T HAVE TO MISS WORK SO RES0125-062 OKAY AND ANY CHANGES IN YOUR SLEEP OR APPETITE RES0125-063 NO RES0125-064 OKAY ANY LOSS OF SENSE OF TASTE OR SMELL AT ALL RES0125-065 INITIALLY I GUESS THE COUGH'S FIRST FEW DAYS MY NOSE WAS A LITTLE STUFFY SO I COULDN'T SMELL VERY WELL BUT SINCE THEN IT'S BEEN FINE RES0125-066 OKAY BUT NO LOSS OF TASTE RES0125-067 NO LOSS OF TASTE NO RES0125-068 OKAY ANY RECENT SIGNIFICANT CHANGES TO YOUR WEIGHT AT ALL OVER THE LAST FEW MONTHS RES0125-070 OKAY AND ANY EXPOSURE IN YOUR HOME ENVIRONMENT TO DUST FUMES ANY ANIMALS IN THE HOUSEHOLD RES0125-072 OKAY AND OTHERWISE DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH IN THE PAST RES0125-073 NO I'M PRETTY HEALTHY RES0125-074 PRETTY HEALTHY OKAY ANY ALLERGIES EITHER TO MEDICATIONS OR ENVIRONMENTAL RES0125-075 I'M ALLERGIC RES0125-076 TO PENICILLIN TO PENICILLIN OKAY AND WHAT KIND OF REACTION DO YOU GET TO PENICILLIN RES0125-077 I WAS TOLD THAT I GOT A RASH WHEN I WAS A CHILD I DON'T REALLY REMEMBER RES0125-078 OKAY AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS RES0125-079 NO RES0125-080 NO OKAY AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES RES0125-081 I HAD MY APPENDIX REMOVED ABOUT FIVE YEARS AGO RES0125-082 FIVE YEARS AGO OKAY ANY COMPLICATIONS AT ALL AFTER THAT RES0125-083 NO RES0125-084 OKAY ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS AT ALL RES0125-085 COLON CANCER RES0125-086 COLON CANCER RES0125-087 MY DAD AND MY GRANDFATHER HAD IT RES0125-088 OKAY AND HAVE YOU HAVE YOU HAD ANY SCOPES DONE RECENTLY AT ALL RES0125-089 OH I HAD MINE DONE SEVEN YEARS AGO RES0125-090 SEVEN YEARS AGO OKAY AND WERE THERE ANY FINDINGS AT ALL RES0125-091 NO RES0125-092 NO OKAY CURRENTLY SO YOU WORK FROM HOME SO WHAT'S YOUR HOME AND LIVING SITUATION LIKE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE IN LIKE A HOUSE APPARTMENT RES0125-093 I LIVE IN AN APARTMENT WITH MY WIFE AND MY DAUGHTER RES0125-094 OKAY AND DO THEY HAVE ANY SYMPTOMS AT ALL OR ARE THEY ARE THEY FINE RES0125-095 WELL MY DAUGHTER DOESN'T HAVE ANY SYMPTOMS ANYMORE SHE DID AS I MENTIONED HAVE SOME FLU LIKE SYMPTOMS TWO WEEKS AGO MY WIFE'S BEEN HEALTHY RES0125-096 OKAY AND DOES YOUR DAUGHTER GO TO SCHOOL RIGHT NOW OR IS SHE DOING SCHOOL FROM HOME RES0125-097 SCHOOL FROM HOME RES0125-098 SCHOOL FROM HOME OKAY AND DO YOU AT ALL SMOKE SO YOU MENTIONED YOUR SYMPTOMS GET WORSE WITH SMOKING RES0125-099 HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY RES0125-100 I DON'T I TRY I'VE BEEN TRYING TO CUT DOWN SO I I SMOKE ABOUT THREE OR FOUR CIGARETTES A WEEK I USED TO SMOKE A LOT MORE BEFORE RES0125-101 WOW THAT'S REALLY GOOD THAT'S REALLY GREAT PROGRESS IT'S REALLY DIFFICULT TO QUIT BUT IT'S GREAT TO SEE THAT YOU'RE TRYING TO QUIT SO HOW MUCH WOULD YOU SAY YOU USED TO SMOKE RES0125-102 WELL HALF A PACK HALF A PACK A DAY BUT THEN OVER THE PAST THREE YEARS I'VE BEEN TRYING TO CUT IT DOWN I STARTED SMOKING WHEN I WAS TWENTY SO IT'S BEEN THIRTY YEARS NOW RES0125-103 OKAY SO THIRTY YEARS OKAY AND ARE YOU JUST ARE YOU USING ANYTHING TO HELP YOU QUIT SMOKING OR ARE YOU DOING IT WITHOUT ANY MEDICATIONS OR LIKE HAVE YOU USED ANYTHING IN THE PAST THAT HAS WORKED FOR YOU RES0125-104 NO I I WENT TO MY DOC AND HE SAID TO TRY ON MY OWN FIRST AND IF I'M STRUGGLING WITH IT TO COME BACK BUT I'VE BEEN DOING IT VERY GRADUALLY SO IT'S IT'S GOING WELL RES0125-105 OKAY AND THAT'S REALLY GOOD AND IF YOU AT ALL NEED ANY RESOURCES TO HELP YOU QUIT SMOKING IT'S GREAT THAT YOU'RE DOING REALLY WELL BUT IF YOU NEED TO TALK MORE ABOUT IT OR NEED ANY MORE RESOURCES WE CAN PROVIDE THAT FOR YOU OTHER THAN SMOKING CIGARETTES DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA AT ALL RES0125-106 NO RES0125-107 HOW ABOUT ALCOHOL RES0125-108 I JUST DRINK ON THE WEEKENDS MAYBE A GLASS OR TWO OF WINE RES0125-109 OKAY AND SO THOSE WERE KIND OF ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS RES0125-110 NO RES0125-112 I WAS I GUESS I WAS JUST WORRIED ABOUT THE COUGH IT'S JUST I WAS WORRIED THAT IT COULD BE COVID RES0125-113-1 YEAH SO DEFINITELY RIGHT NOW ANY OF THESE SYMPTOMS LIKE COVID CAN HAVE A LOT OF DIFFERENT SYMPTOMS SO WE SHOULD DEFINITELY MAKE SURE THAT WE TO CHECK IF YOU HAVE COVID OR NOT AND WE'LL GET A COVID SWAB TEST DONE FOR YOU TODAY RES0125-113-2 AND THE RESULTS WILL COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS AND IN THAT TIME YOU WILL NEED TO ISOLATE EVEN IN YOUR OWN HOME TRY TO WEAR A MASK AROUND YOUR FAMILY MEMBERS RES0125-113-3 TRYING TO EAT SEPARATELY AND USE ALL THOSE METHODS AND AND THEN AFTER THE TEST COMES BACK YOU MAY YOU'LL BE CONTACTED BY PUBLIC HEALTH IF IT'S POSITIVE AND KIND OF GIVEN MORE INSTRUCTION ON WHAT TO DO RES0125-113-4 AND IT DOESN'T NECESSARILY HAVE TO BE COVID EITHER IT CAN BE JUST ANOTHER VIRUS LIKE IT CAN BE JUST YOUR COMMON COLD THAT'S BEEN GOING ON SO IT DOES SEEM THAT YOUR SYMPTOMS HAVE GOTTEN BETTER RES0125-113-5 OFTENTIMES A COUGH CAN BE THE LAST THING TO GO IT CAN TAKE UP TO TWO WEEKS OR MORE FOR THE COUGH TO GET RELIEVED BUT IT SEEMS THAT YOU'RE NOT HAVING ANY SYSTEMIC SYMPTOMS LIKE NO FEVERS OR ANYTHING ELSE RIGHT NOW SO IT'S IT'S THAT'S THAT'S PRETTY GOOD RES0125-114 GREAT I'M GLAD RES0125-115 ALRIGHT RES0125-116 THANK YOU RES0125-117 YOU'RE WELCOME TAKE CARE RES0126-000 WHAT BRINGS YOU HERE TODAY RES0126-001 HI I AM HAVING DIFFICULTIES BREATHING AND I'VE JUST HAD THIS COUGH AND IT'S IT'S BEEN TWO MONTHS NOW RES0126-002 TWO MONTHS SO DID THE TWO MONTHS OF THE DIFFICULTY BREATHING OR THE COUGH RES0126-003 TWO MONTHS OF DIFFICULTY BREATHING AND THE COUGH IS GOTTEN WORSE I'VE HAD A COUGH FOR A COUPLE YEARS NOW I'M A SMOKER RES0126-004 OK AND IS IS THIS COUGH DIFFERENT AT ALL RES0126-005 IT'S JUST IT JUST DOESN'T GO AWAY RES0126-006 OK AND WHEN DID THE SHORTNESS OF BREATH START RES0126-007 ABOUT TWO MONTHS AGO RES0126-008 OK AND IS IT GETTING WORSE RES0126-010 OK ARE YOU BRINGING UP ANY SPUTUM AT ALL WITH YOUR COUGH RES0126-011 I SOMETIMES I DO RES0126-012 OK AND IS IS THERE ANY COLOR TO IT OR IS IT CLEAR RES0126-013 IT'S PINK IN COLOR RES0126-014 IT'S PINK IN COLOR RES0126-015 OK HAVE YOU COUGHED UP ANY BLOOD AT ALL RES0126-016 SOMETIMES RES0126-017 SOMETIMES RES0126-018 STREAKS OF BLOOD HERE AND THERE RES0126-019 LITTLE STREAKS OF BLOOD OK AND HAVE YOU EVER COUGHED UP ANY JUST WITHOUT WITHOUT IT BEING IN THE SPUTUM JUST ONTO A TISSUE OR ANYTHING LIKE THAT JUST COUGHING UP ANY BLOOD RES0126-021 OK SO AN ARE YOUR SYMPTOMS JUST CONSTANT OVER THE LAST TWO MONTHS OR DO THEY COME AND GO RES0126-022 SHORTNESS OF BREATH JUST KIND OF STAYS RES0126-023 OK AND IS THERE ANYTHING THAT HELPS WITH YOUR SHORTNESS OF BREATH LIKE TAKING A REST OR ANY POSITIONS IN PARTICULAR RES0126-024 SOMETIMES RESTING DOES HELP I FIND THAT IT'S WORSE WHEN I'M MOVING AROUND I'M HUFFING AND PUFFING MORE RES0126-025 AND IS IT WORSE AT ALL WHEN YOU LAY DOWN RES0126-026 NO RES0126-027 NO AND DO YOU FIND YOURSELF EVER HAVING TO WAKE UP AT NIGHT AND GASP GASPING FOR AIR RES0126-028 NO IT HASN'T GOTTEN THAT FAR BUT SEEING HOW BAD IT'S BEEN OVER THE PAST TWO MONTHS AND HOW FAST IS PROGRESSING I WON'T BE SURPRISED IF I CAN'T EVEN SLEEP IT'S BEEN QUITE DIFFICULT I I DON'T EVEN KNOW WHY I WAITED SO LONG I SHOULD HAVE COME IN EARLIER RES0126-029 WELL I'M GLAD YOU CAME IN TODAY WE CAN DEFINITELY TRY AND HELP YOU WITH WHAT'S GOING ON DO YOU AT ALL USE ANY KIND OF MEDICATIONS TO HELP YOU WITH YOUR SYMPTOMS RES0126-030 I'VE JUST BEEN USING MY INHALERS A BIT MORE BUT THEY DON'T ALWAYS HELP RES0126-031 OK AND WHAT ARE YOU USING THE INHALERS FOR RES0126-032 OH I HAVE COPD RES0126-033 COPD OK AND WHEN WERE YOU DIAGNOSED RES0126-034 IT'S BEEN FIFTEEN YEARS NOW RES0126-035 FIFTEEN YEARS AND DO YOU KNOW THE HOW MANY PUFFERS ARE YOU TAKING RES0126-036 I'M TAKING I'M TAKING TWO PUFFERS RES0126-037 OK AND DO YOU HAVE ONE THAT THAT YOU TAKE WHEN YOU WHEN YOU ABSOLUTELY NEED IT RES0126-038 I DO THAT'S THE ONE THAT I'VE BEEN TRYING TO USE BUT RES0126-039 HAS IT BEEN LESS EFFECTIVE AT ALL RECENTLY RES0126-040 IT HASN'T BEEN HELPING THE BLUE ONE I TRIED TO KEEP TAKING THE BLUE ONE AND IT'S JUST YOU KNOW IT'S NOT HELPING RES0126-041 HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS LIKE RUNNY NOSE ANY COLD LIKE SYMPTOMS RES0126-042 NO RES0126-043 NO NOTHING LIKE THAT HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK RES0126-044 OH NO I'VE BEEN STAYING AT HOME I'VE BEEN VERY CAREFUL THESE DAYS RES0126-045 FOR SURE ANY SO THIS STARTED TWO MONTHS AGO ARE YOU HAVING SO YOU HAVE NOT TRAVELED THEN I'M ASSUMING RES0126-046 NO RES0126-047 OK ARE YOU HAVING ANY KIND OF DIZZINESS OR FAINTING SPELLS RES0126-048 OH NO NO NO RES0126-049 NO OK ANY KIND OF SWELLING IN YOUR LEGS OR HANDS THAT YOU'VE NOTICE RES0126-050 NO RES0126-051 OK ANY HEADACHES AT ALL RES0126-052 NO WELL SOMETIMES I DO BUT IT'S NOT BEEN SEVERE IT'S BEEN THERE FOR THE PAST ALWAYS WHEN I'M STRESSED OUT I GET THESE HEADACHES IT'S NOTHING NEW RES0126-053 OK ANY NAUSEA OR VOMITING RES0126-055 NO NO ANY DIARRHEA OR CONSTIPATION RES0126-056 NO RES0126-057 NO OK ANY FEVERS OR CHILLS RECENTLY RES0126-058 I HAVE A MILD FEVER IT JUST IT'S BEEN THERE RES0126-059 WHEN DID YOU NOTICE RES0126-060 I WAS JUST CHECKING MY TEMPERATURE ABOUT A MONTH AGO AND NOTICED THAT I HAD A FEVER RES0126-061 OK THIS WAS A MONTH AGO RES0126-062 HAVE YOU HAD IT RECENTLY AT ALL RES0126-063 I HAVEN'T CHECKED IT RECENTLY BUT I DO FEEL A LITTLE HOT RES0126-064 OK ARE YOU GETTING NIGHT SWEATS AT ALL RES0126-065 SOMETIMES RES0126-066 SOMETIMES OK AND ARE YOU GETTING ANY KIND OF SIGNIFICANT WEIGHT LOSS RES0126-067 NO RES0126-068 NO THEN YOUR WEIGHT'S BEEN FINE RES0126-069 IT'S BEEN THE SAME ALTHOUGH I HAVE BEEN EATING QUITE A LOT MORE NOW WITH THE PANDEMIC AND BEING HOME YOU KNOW THAT MIGHT BE STILL IN THE SAME RES0126-070 AND SO ARE YOU HAVING DO YOU FEEL LIKE TIRED THROUGHOUT THE DAY OR INCREASED FATIGUE RES0126-071 OH MY GOD SO TIRED I CAN YOU KNOW WITH THE DIFFICULTY BREATHING I FEEL LIKE ALL MY ENERGY SPENT JUST TRYING TO TRYING TO GET TO THE BATHROOM RES0126-072 OK AND HOW IS THERE LIKE HOW MUCH DO YOU WALK OR MOVE AROUND THAT YOU GET SHORT OF BREATH OR ARE YOU SHORT OF BREATH AT REST AS WELL RES0126-073 I'M SHORT OF BREATH ALL THE TIME IT'S JUST IT'S IT'S WORSE WHEN I AM MOVING RES0126-074 AND SO YOU'VE BEEN DIAGNOSED WITH COPD HAVE YOU HAD TO USE OXYGEN AT HOME AT ALL RES0126-075 NO RES0126-076 NO OK HOW ABOUT HAVE YOU HAD ANY HOSPITALIZATIONS IN THE PAST FOR YOUR COPD RES0126-077 I HAD A HAD A COUPLE LAST YEAR RES0126-078 A COUPLE OF HOSPITALIZATIONS RES0126-079 ABOUT FOUR HOSPITALIZATIONS LAST YEAR RES0126-080 OH I SEE AND AND DID YOU HAVE TO USE ANY OXYGEN IN THE HOSPITAL RES0126-081 I DID I DID RES0126-082 THEY NEVER SENT YOU HOME WITH ANY LIKE OXYGEN TANK OR ANYTHING LIKE THAT OK RES0126-083 ALTHOUGH THEY TOLD ME MY COPD WAS PRETTY BAD THAT I MIGHT NEED TO GET OXYGEN AT SOME POINT RES0126-084 I SEE AND HAVE YOU WHEN YOU IN HOSPITAL DID THEY GIVE YOU ANTIBIOTICS OR WHEN YOU WENT HOME RES0126-085 THEY DID THEY DID RES0126-086 DID THEY TELL YOU YOU HAD PNEUMONIA AT ALL AT ANY POINT RES0126-087 I DON'T THINK SO RES0126-088 NO OK OK ANY ANY CHANGES OR DO YOU GET ANY CHEST PAIN AT ALL RES0126-089 SOMETIMES WHEN I BREATHE IN VERY DEEP RES0126-090 I SEE ANY ANY KIND OF SENSATION THAT YOUR HEART IS RACING RES0126-091 NO RES0126-092 NO OK ANY KIND OF ISSUES WITH YOUR SLEEP OR APPETITE RES0126-093 WELL NO NOT REALLY IT'S JUST THE DIFFICULTY BREATHING SOMETIMES IT'S BEEN HARD TO SLEEP RES0126-094 OK ANY ANY EXPOSURE TO ANY FUMES OR ALLERGENS IN YOUR HOUSEHOLD ANY ANIMALS PETS RES0126-095 NO RES0126-096 OK AND OTHER THAN COPD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0126-097 NO I'M PRETTY HEALTHY OTHERWISE RES0126-098 OK DO YOU HAVE ANY ALLERGIES AT ALL TO MEDICATIONS OR ENVIRONMENTAL ALLERGIES RES0126-099 I'M ALLERGIC TO CATS RES0126-100 TO CATS OK DO YOU HAVE A CAT RES0126-101 NO RES0126-102 NO OK HAVE YOU BEEN AROUND ANY CATS RECENTLY RES0126-103 NOPE RES0126-104 NO OK ARE YOU ON ANY MEDICATIONS BESIDES THE PUFFERS RES0126-105 NOPE RES0126-106 OK AND SO YOU USE THE VENTOLIN AND THEN WHAT'S THE OTHER PUFFER THAT YOU USE RES0126-107 I DON'T REMEMBER THE NAME RES0126-108 DO YOU KNOW THE COLOR AT ALL RES0126-109 IT'S ORANGE RES0126-110 ORANGE OK SO YOU'VE HAD FOUR HOSPITALIZATIONS IN THE PAST YEAR ANY SURGERIES IN THE PAST RES0126-111 I HAD A KNEE REPLACEMENT ON MY RIGHT SIDE RES0126-112 OK AND WHEN WAS THAT RES0126-113 TEN YEARS AGO RES0126-114 OK DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS RES0126-115 MY DAD HAD COPD AS WELL RES0126-116 OK AND ANY LUNG CANCERS IN THE FAMILY RES0126-117 NO RES0126-118 NO SO CURRENTLY DO YOU WORK AT ALL RES0126-119 I'M RETIRED RES0126-120 OK AND WHAT DID YOU DO BEFORE YOU RETIRED RES0126-121 I WAS I WAS A MECHANIC AT CHRYSLER'S RES0126-122 OK AND DURING YOUR WORK WERE YOU EVER EXPOSED TO ANY CHEMICALS OR ANY KIND OF IN YOUR WORKPLACE OR HOME EXPOSED TO ANY ASBESTOS OR ANYTHING LIKE THAT RES0126-123 NOT THAT I'M AWARE OF RES0126-124 OK AND HOW LONG HAVE YOU BEEN SMOKING FOR RES0126-125 OH I WAS A TEENAGER WHEN I STARTED RES0126-126 OK AND HOW MUCH DO YOU SMOKE ON A ON A DAILY BASIS RES0126-127 I SMOKE I SMOKE A PACK A DAY RES0126-128 OK HAVE YOU AT ALL TRIED TO QUIT BEFORE RES0126-129 I CAN'T QUIT IT'S NOT GONNA HAPPEN A LOT OF PEOPLE HAVE TOLD ME TRY TO QUIT BUT I I JUST CAN'T LIVE WITHOUT IT AND I'M SEVENTY FIVE NOW YOU KNOW LIKE I'M NOT GONNA LIVE A LOT LONGER ANYWAY RES0126-130-1 YEAH BUT ALSO EVEN IF YOU TRY TO CUT DOWN SOME OF YOUR SYMPTOMS MIGHT GET BETTER LIKE EVEN THOUGH YOU'RE SEVENTY FIVE YOU CAN DEFINITELY HAVE IMPROVEMENT IN SOME OF YOUR SYMPTOMS THAT YOU'RE HAVING RES0126-130-2 LIKE THE SHORTNESS OF BREATH AND COUGHING SO IF AT ALL THAT YOU YOU WANT TO CONSIDER CUTTING DOWN AND GRADUALLY WE CAN TALK ABOUT THAT MORE AS WELL RES0126-132 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0126-133 NO RES0126-134 DO YOU DRINK RES0126-135 NO RES0126-136 NO OK SO THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR ME RES0126-137 NO I JUST I GUESS I NEED TO BE ADMITTED RIGHT JUST LIKE THOSE OTHER COPD EXACERBATIONS I'M THINKING THIS IS EXACTLY THAT AND I'LL HAVE TO STAY IN THE HOSPITAL RIGHT FOR A COUPLE OF DAYS RES0126-138-1 SO WE DEFINITELY BEFORE DECIDING ON WHETHER OR NOT YOU SHOULD BE ADMITTED SINCE YOU SAID THE VENTOLIN IS NOT WORKING FOR YOU WE WILL DEFINITELY GIVE YOU SOME SOME VENTILATION AND PERHAPS STEROID FOR JUST TO GET RID OF SOME OF YOUR SYMPTOMS RIGHT NOW RES0126-138-2 AND WE WANT TO ALSO MAKE SURE SINCE YOU'RE HAVING LIKE COUGH AS WELL AS SHORTNESS OF BREATH TO DO A COVID SWAB ON YOU JUST IN CASE I KNOW YOU'VE BEEN LIKE ISOLATING AND EVERYTHING BUT JUST IN CASE I WILL DO THAT AND RES0126-138-3 WE'LL GET LIKE A CHEST X RAY ON YOU AS WELL JUST TO SEE IF THERE'S ANY KIND OF PNEUMONIA GOING ON AND THEN FROM THERE WE'LL ALSO GET YOUR BLOOD WORK AND THEN FROM THERE WE'LL SEE WHETHER OR NOT YOU WILL REQUIRE ANOTHER ADMISSION RES0126-139 SURE RES0126-140 OK AND THERE YOU MIGHT I'M NOT ONE HUNDRED PERCENT SURE BUT YOU MIGHT REQUIRE HOME OXYGEN IF LIKE WE TAKE YOUR VITALS AND EVERYTHING AND YOUR OXYGENATION IS VERY LOW HAVE YOU HAVE YOU BEEN TALKED ABOUT THAT AT ALL IN THE PAST RES0126-141 THEY TALKED ABOUT IT LAST TIME I'VE BEEN TRYING TO AVOID IT BUT IF IT HAS TO HAPPEN IT HAS TO HAPPEN RES0126-142 AND IT MIGHT JUST SOMETIMES JUST YOU KNOW YOU'VE HAD FOUR ADMISSIONS IN THE PAST AND IT MIGHT ACTUALLY JUST HELP YOU STAY AT HOME IF YOU ARE ON OXYGEN ANYWAYS WE CAN TALK ABOUT THAT WE'LL DO LIKE A FULL PHYSICAL EXAMINATION EVERYTHING AND GO FROM THERE RES0126-143 SURE RES0126-144 GREAT I'LL BE WITH YOU SHORTLY RES0127-000 WHAT BRINGS YOU IN HERE TODAY RES0127-001-1 HI I'VE I'VE JUST BEEN I'VE BEEN SNEEZING A LOT AND I HAVE THIS RUNNY NOSE IT'S JUST BEEN VERY IRRITATING I KIND OF WANT TO DO SOMETHING ABOUT IT I'VE HAD IT FOR AWHILE BUT IT'S JUST RES0127-001-2 YOU KNOW I DECIDED TO LIKE COME IN TO FIND OUT WHAT'S WHAT'S WRONG WITH ME WHY DO I LIKE WHY DOES THIS HAPPEN TO ME ALL MY FRIENDS ARE OK RES0127-002 OH I KNOW IT MUST BE VERY VERY IRRITATING HOW LONG HAS IT BEEN GOING ON FOR RES0127-003 IT'S BEEN YEARS I DON'T EVEN REMEMBER RES0127-004 OH YEARS OK AND YEARS LIKE JUST SNEEZING AND THE RUNNY NOSE HAS BEEN GOING ON FOR THE LAST FEW YEARS RES0127-005 IT KIND OF KIND OF COMES ON LIKE AROUND THE SPRING TIME IT JUST GETS REALLY BAD AT THAT TIME RES0127-006 OK AND ARE THERE ANY BESIDES DURING THE SPRING TIME ANY KIND OF ALLERGENS OR ANY ANYTHING IN THE HOUSE OR AROUND YOU THAT TRIGGERS IT LIKE DUST OR ANYTHING LIKE THAT RES0127-007 DUST MAKES IT A LOT WORSE LIKE WHEN I HAVE TO VACUUM THE HOUSE I JUST FEEL AWFUL FOR THE NEXT TWO DAYS RES0127-008 I SEE DO YOU GET ANY OTHER SYMPTOMS BESIDES THE SNEEZING AND RUNNY NOSE RES0127-009 LET MY NOSE SO STUFFY AND SOMETIMES IT'S JUST LIKE MY EYES AND MY NOSE ARE JUST ITCHY AND MY EYES GET LIKE RED AND TEARY SOMETIMES IT'S SO EMBARRASSING WHEN I'M GOING TO SCHOOL I ALSO WAKE UP IN THE MORNING WITH THIS LIKE SORE THROAT AND HAVE JUST COUGH AND CLEAR OUT MY YOU KNOW CLEAR MY THROAT RES0127-010 OK AND DOES THAT HAPPEN LIKE EVERY MORNING RES0127-011 IT'S USUALLY WORSE AROUND SPRINGTIME RES0127-012 OK AND ARE YOU COUGHING AT ALL RES0127-013 WELL I HAVE TO LIKE COUGH TO CLEAR MY THROAT BUT THEN NOT OTHERWISE RES0127-014 OK AND ARE YOU BRINGING UP ANY SPUTUM RES0127-016 LIKE HOW MUCH WOULD YOU SAY DO YOU JUST BRING IT UP IN THE MORNING OR LIKE THROUGHOUT THE DAY RES0127-017 JUST IN THE MORNING RES0127-018 JUST IN THE MORNING RES0127-019 DO YOU HAVE A SENSATION OF LIKE ANYTHING KIND OF DRIPPING DOWN YOUR THROAT LIKE AFTER YOU WAKE UP LIKE JUST A BUILD UP RES0127-021 I DO OK AND BESIDES THAT HAVE YOU BEEN HAVING ANY SYMPTOMS OF FEVERS CHILLS SORE THROAT RES0127-022 I GET A BIT OF A SORE THROAT I GUESS IN THE MORNING BUT IT JUST GOES AWAY AFTER RES0127-023 OK RES0127-024 BUT NO FEVERS RES0127-025 OK AND IS THERE ANYTHING THAT YOU'VE TRIED AT ALL LIKE MEDICATIONS OR ANYTHING THAT HAS HELPED YOU WITH THESE SYMPTOMS RES0127-035 ANY HEADACHES NO ANY NAUSEA OR VOMITING RES0127-036 NO RES0127-037 ANY FEVERS OR CHILLS RES0127-038 NO RES0127-039 ANY KIND OF FATIGUE OR TIREDNESS THROUGHOUT THE DAY RES0127-040 I DO FEEL MORE FATIGUED WHEN I HAVE THESE SYMPTOMS RES0127-041 OK ANY NIGHT SWEATS FEVERS OR CHILLS RES0127-042 NO RES0127-043 ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL RES0127-044 NO RES0127-045 ANY TROUBLE URINATING RES0127-046 NO RES0127-047 ANY CHANGES TO YOUR APPETITE OR WEIGHT RES0127-048 I'VE BEEN LOSING WEIGHT BUT I'VE BEEN DIETING AND WORKING OUT MORE RES0127-049 OK AND HOW MUCH WEIGHT WOULD YOU SAY YOU'VE LOST OVER THE LAST FEW MONTHS RES0127-050 I'VE LOST ABOUT FOUR POUNDS IN THE PAST FOUR FIVE MONTHS IT'S BEEN HARD TO LOSE WEIGHT RES0127-051 AND SO NO NO SUDDEN LIKE LOSS OF WEIGHT OR ANYTHING LIKE THAT RIGHT NOW RES0127-052 NO NO NO RES0127-053 WELL IT'S REALLY GREAT THAT YOU'RE YOU KNOW TRYING TO LOSE WEIGHT AND DIETING AND AND HAVING LIKE A HEALTHIER LIFESTYLE IT IS DEFINITELY HARDER WITH THE PANDEMIC GOING ON RIGHT NOW TO TO GET IN THE ACTIVITIES AND IT'S HARD LIKE BEING AT HOME AND SOMETIMES IT'S REALLY DIFFICULT TO LIKE NOT EAT RIGHT RES0127-054 TRUE RES0127-055 SO BESIDES BESIDES THAT ANY KIND OF RECENT EXPOSURES TO ANY FUMES DUST ANIMALS PETS LIKE ANYTHING LIKE THAT RES0127-056 IT WAS KIND OF LIKE VACUUMING A COUPLE OF DAYS AGO WHEN IT GOT REALLY BAD BUT NOTHING NOT NOT I DON'T THINK THERE'S NOT BEEN ANY OTHER EXPOSURES RES0127-057 OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU HAVE BEEN DIAGNOSED WITH LIKE ASTHMA ECZEMA ANYTHING LIKE THAT RES0127-058 I HAVEN'T BEEN DIAGNOSED WITH ANYTHING NO I DID HAVE LIKE I KNOW THAT I WOULD SOMETIMES GET KIND OF SHORT OF BREATH AS A CHILD BUT MY MOM DOESN'T REALLY TRUST DOCTORS SO SHE WOULDN'T TAKE ME TO ONE RES0127-059 OK HAVE YOU HAD SHORTNESS OF BREATH AFTER THAT LIKE WHEN LIKE AS A CHILD HOW OLD WERE YOU RES0127-060 I MUST HAVE BEEN LIKE EIGHT YEARS OLD OR NINE YEARS OLD THAT I REMEMBER BUT I THINK I'VE HAD IT BEFORE THAT AS WELL AS MY MOM TELLS ME RES0127-061 OH OK DO YOU HAVE THAT AT ALL NOW RES0127-062 NO NO I DON'T RES0127-063 OK OK HAVE YOU EVER SEEN AN ALLERGIST BEFORE RES0127-064 NO NO RES0127-065 NO OK DO YOU HAVE ANY KNOWN ALLERGIES TO ANY MEDICATIONS OR ANY ANY MEDICATION RES0127-066 NO RES0127-067 NO DO YOU TAKE ANY MEDICATIONS AT ALL ON A REGULAR BASIS RES0127-068 NO RES0127-069 NO OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST RES0127-070 NO RES0127-071 ANY FAMILY HISTORY OF ANY ASTHMA ECZEMA ALLERGIC RHINITIS RES0127-072-1 ANYTHING LIKE THAT RES0127-072-2 YEAH I THINK IT KIND OF RUNS IN MY FAMILY LIKE EVERYONE IN MY FAMILY IS JUST KIND OF ALWAYS HAVING THIS RUNNY NOSE AND SNEEZING MY MOM HAS IT MY YOUNGER BROTHER HAS IT RES0127-072-3 BUT LIKE WE HAVEN'T REALLY BEEN DIAGNOSED WITH ANYTHING LIKE WE WE RARELY GO TO THE DOCTOR RES0127-073 OK AND CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR SORRY DO YOU GO TO SCHOOL RES0127-074 I DO I DO I'VE BEEN DOING IT VIRTUALLY RES0127-075 VIRTUALLY OK SO HAVE YOU NOTICED ANYONE SICK AROUND YOU RES0127-076 NO RES0127-077 NO OK AND WHAT AT HOME WHAT'S YOUR LIVING SITUATION LIKE WHO DO YOU LIVE WITH RES0127-078 I LIVE WITH MY MOM DAD AND MY YOUNGER BROTHER RES0127-079 AND I JUST WANT TO LET YOU KNOW THAT ANY QUESTIONS I ASK YOU TODAY AND ANYTHING WE TALKED ABOUT IT'S COMPLETELY CONFIDENTIAL AND UNLESS LIKE THERE IS ANY POTENTIAL HARM TO YOURSELF OR ANYONE ANYONE ELSE SO I'M JUST GONNA ASK YOU A FEW QUESTIONS DO YOU FEEL SAFE AT HOME RES0127-081 AND DO YOU DRINK ALCOHOL AT ALL OR HAVE YOU TRIED ALCOHOL RES0127-082 NO NOT AT ALL RES0127-083 HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0127-084 NO NO RES0127-085 HOW ABOUT SMOKING RES0127-086 NO RES0127-087 NO OK AND ARE YOU SEXUALLY ACTIVE RES0127-088 NO RES0127-089 NO OK AND SO OVERALL DO YOU FEEL SAFE IN YOUR HOME AND AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT ANY KIND OF BULLYING OR ANYTHING LIKE THAT GOING ON RES0127-090 NO NOT AT ALL RES0127-091 OK ALRIGHT SO THOSE ARE KIND OF ALL THE QUESTIONS THAT I HAD FOR YOU SORRY JUST ONE MORE QUESTION ANY LOSS OF SENSE OF TASTE OR SMELL RES0127-092 IT'S HARD TO SMELL AND MY NOSE IS STUFFY BUT NO LOSS OF TASTE RES0127-093 OK OK SO DO YOU HAVE ANY QUESTIONS AT ALL FOR ME RES0127-094 NO I JUST I I JUST WANNA GET SOME MEDICATIONS TO HELP WITH THIS I'M JUST SICK AND TIRED OF MY RUNNY NOSE RES0127-095 IT MUST BE VERY FRUSTRATING SO YOU'VE TRIED REACTIN BEFORE RIGHT RES0127-096 SO ONE METHOD IS TO DEFINITELY LIKE STAY AWAY FROM SOME OF THOSE ALLERGENS THAT ARE POTENTIALLY CAUSING YOUR SYMPTOMS BUT I I DO REALLY THINK SO YOU MIGHT HAVE SOMETHING CALLED LIKE ALLERGIC RHINITIS RES0127-098-1 AND I THINK IT MIGHT BE BENEFICIAL TO FOR YOU TO SEE LIKE AN ALLERGIST RES0127-098-2 SURE AND SO I CAN REFER YOU TO SOMEONE AS WELL JUST HAVE A SENSE OF WHAT KIND OF THINGS ALLERGIC TO YOU AND LIKE WHAT MEDICATIONS YOU WOULD REQUIRE IN THE MEANTIME DEFINITELY RES0127-098-3 LIKE ANY ANTIHISTAMINE MEDICATIONS WOULD HELP WITH YOUR SYMPTOMS BUT SINCE YOU'RE ALSO HAVING CONGESTION AND SNEEZING JUST JUST IN CASE WE WILL JUST DO A COVID SWAB TEST FOR YOU TODAY RES0127-098-4 AND IT TAKES AROUND TWENTY FOUR TO FORTY EIGHT HOURS TO COME BACK AND IN THE MEANTIME YOU SHOULD JUST ISOLATE AS MUCH AS YOU CAN IN YOUR OWN HOME AND THEN BASED ON THE RESULT THEY WOULD GIVE YOU MORE INSTRUCTION RES0127-099 SURE RES0127-100 ALRIGHT THANK YOU TAKE CARE RES0128-000 HOW CAN I HELP YOU RES0128-001 HI SO I BROUGHT MY SIX YEAR OLD SON IN TODAY BECAUSE YESTERDAY DURING SOCCER PRACTICE HE HE DEVELOPED THIS PRETTY SEVERE COUGH AND HE COULDN'T CATCH HIS BREATH RES0128-002 OK SO THIS HAPPENED YESTERDAY YOU MENTIONED RES0128-003 IT HAPPENED YESTERDAY AFTERNOON RES0128-004 OK SO YOU MENTIONED A COUGH IS IT A HARSH BARKY COUGH OR IS IT MORE LIKE A MUFFLED COUGH RES0128-005 I WOULD SAY IT'S MORE MUFFLED RES0128-006 OK AND IS IT A DRY COUGH OR IS IT BRINGING UP ANY PHLEGM RES0128-007 DRY RES0128-008 DRY OK SO NO BLOOD IN THE WITH THE COUGHING RES0128-009 NO BLOOD RES0128-010 AND DOES HE SOUND WHEEZY TO YOU RES0128-011 HE DOES HE'S STILL SOUNDING A LITTLE BIT WHEEZY NOW IT'S IT'S BETTER THAN LAST NIGHT HE WAS A BIT MORE WHEEZY LAST NIGHT RES0128-012 OK HOW ABOUT SHORTER BREATH DOES HE SOUND SHORT OF BREATH AT ALL RES0128-013 NO THAT THAT'S GOTTEN A BIT BETTER THAT RESOLVED ABOUT AN HOUR LIKE AFTER HE STOPPED PLAYING BUT HE WAS HE WAS SHORT OF BREATH YESTERDAY RES0128-014 OK AND HAVE YOU TRIED ANYTHING FOR HIS COUGH FOR HIS SHORTNESS OF BREATH OR WHEEZING RES0128-016 NO WE HAVEN'T NO OK DOES HE HAVE RES0128-017 A FEVER AT ALL NO HE DOESN'T MENTION ANYTHING ABOUT FEELING HOT OR OR OR HAVING CHILLS RES0128-018 EITHER NO OK AND ANY RASHES RES0128-020 YOU'VE NOTICED NO NO WEIGHT LOSS OVER THE PAST FEW WEEKS RES0128-021 NO HE'S BEEN GAINING WEIGHT WELL RES0128-022 OK GOOD HAS HE HAD A STUFFY NOSE OR RUNNY NOSE RES0128-023 WELL SOMETIMES HE WILL GET A RUNNY NOSE HE TAKES LIKE REACTIN OR CLARITIN OR SOME SORT OF ALLERGY PILL FOR THAT SOMETIMES BUT THAT'S USUALLY LIKE THE CHANGING OF SEASONS THAT WILL HAPPEN MORE OFTEN RES0128-024 OK OK DOES HE HAVE ANY ALLERGIES RES0128-025 TO MOSTLY ENVIRONMENTAL TRIGGERS I'M NOT SURE IF THE SPECIFIC THINGS ARE BUT I JUST KNOW IT GETS WORSE MAYBE IN THE SPRING SPRINGTIME RES0128-026 OK AND DOES HE HAVE ASTHMA RES0128-027 HE'S NEVER BEEN DIAGNOSED BUT HE HAS HAD OR HIS SISTER HAS ASTHMA RES0128-028 OK OK AND HAS HE HAVE YOU NOTICED ANY CHANGES IN HIS VISION OR HEARING RES0128-029 NO RES0128-030 NO OK HOW ABOUT CHANGE IN HIS SMELL OR TASTE RES0128-031 NO RES0128-032 NO HOW ABOUT LIKE DOES HE SEEM LIKE HE HAS ANY CHEST PAIN RES0128-033 NO HE HASN'T MENTIONED ANYTHING LIKE THAT RES0128-034 ANY DIZZINESS OR FAINTING SPELLS RES0128-035 NO RES0128-036 NO CONFUSION OR MEMORY LOSS RES0128-037 NO RES0128-038 OK HOW ABOUT CONFUSION OR SORRY YOU SAID NO HEADACHES RES0128-039 NO HEADACHES RES0128-040 NO OK ANY JOINT PAINS MUSCLE ACHES RES0128-041 NO RES0128-042 OK AND HOW ABOUT CHANGES TO HIS BOWEL MOVEMENTS RES0128-043 NO EVERYTHING'S BEEN NORMAL THERE RES0128-044 OK HOW ABOUT NAUSEA OR VOMITING RES0128-045 NOTHING RES0128-046 LIKE THAT OK OK SO YOU MENTIONED HE HAS ASTHMA HE MIGHT HAVE ASTHMA HE WAS NEVER FORMALLY DIAGNOSED DOES IS HE OTHERWISE HEALTHY OR DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0128-047 HE'S BEEN HEALTHY I KNOW HE DID HAVE LIKE HE WOULD GET SOME ITCHY SKIN WHEN HE WAS A BIT WHEN HE WAS LIKE A BABY BUT HE HASN'T NEEDED ANY CREAMS FOR THAT FOR A LONG TIME RES0128-048 OK SO HE MIGHT HAVE SOMETHING LIKE ECZEMA YOU THINK RES0128-052 HE DOESN'T TAKE ANYTHING RIGHT NOW OK DURING HIS MOM'S PREGNANCY WITH HIM WERE THERE ANY RES0128-053 NO SHE WAS HEALTHY AND HE WAS BORN AT TERM WITH A NORMAL WEIGHT AND ABLE TO GO HOME RELATIVELY QUICKLY SO RES0128-054 THERE WEREN'T ANY CONCERNS OK THAT'S GOOD AND WAS HE RES0128-055 HEALTHY LIKE AFTER BIRTH SO HE'S HE'S DONE WELL THERE WEREN'T REALLY ANY CONCERNS WITH DEVELOPMENT OR OR GROWTH AND HE'S DOING WELL IN SCHOOL RES0128-056 OK OK GOOD HOW ABOUT SO WAS HE A FULL TERM BABY AND WAS IT A VAGINAL DELIVERY RES0128-057 YES YES FOR BOTH RES0128-058 OK ANY COMPLICATIONS DURING THE DELIVERY RES0128-059 NO RES0128-060 OK AND HE DIDN'T NEED ANY HOSPITALIZATIONS LIKE RIGHT AFTER BIRTH AS AN AS A NEWBORN RES0128-061 NO RES0128-062 NO OK GOOD IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0128-063 HE IS RES0128-064 OK AND YOU MENTIONED THAT HE MAY HAVE SOME SEASONAL ALLERGIES ANY OTHER ALLERGIES THAT YOU KNOW OF RES0128-065 NOT THAT I KNOW OF RES0128-066 NO OK YOU MENTIONED THAT HIS SISTER HAS ASTHMA ANY OTHER LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY RES0128-067 NO NOTHING LIKE THAT RES0128-068 NO OK OK AND DOES ANYONE AT HOME SMOKE RES0128-069 NO RES0128-070 NO OK ANY OLD CARPETS DOES MOLD ASBESTOS ANYTHING LIKE THAT AT HOME RES0128-071 WE WE TOOK OUT THE CARPETS AND STUFF WHEN HIS SISTER WAS DIAGNOSED WITH ASTHMA SO IT'S GOOD FROM THAT PERSPECTIVE RES0128-072 OK GOOD AND WHO LIVES AT HOME WITH HIM RES0128-073 SO IT'S MYSELF HIS MOM RES0128-076 HE'S GOT A FISH A FISH OK AND HAS HE HAS COME INTO CONTACT WITH ANYONE SICK RECENTLY RES0128-077 NO I DON'T THINK SO I MEAN WHEN AT SCHOOL THEY'VE BEEN PRETTY DILIGENT WITH I MEAN COVID AND EVERYTHING RIGHT NOW SO I THINK HE'S BEEN OK RES0128-078 OK HAS HE TRAVELED ANYWHERE RECENTLY RES0128-079 NO RES0128-080 NO OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME RES0128-081 I WAS JUST WONDERING IF IF MY SON HAD ASTHMA AS WELL AND IF LIKE YOU NEED A PRESCRIPTION FOR INHALERS RES0128-082-1 YEAH SO WE'RE GONNA SINCE HE'S NEVER BEEN DIAGNOSED BEFORE WE'RE GONNA DO SOME INVESTIGATIONS FOR HIM JUST TO START SO WE CAN DO WE CAN START BY DOING A PULMONARY FUNCTION TEST FOR HIM TO SEE WHAT HIS LUNG ACTIVITY IS LIKE RES0128-082-2 SO WE'LL START THERE AND THEN WE'LL ALSO BECAUSE YOU'RE SAYING HE'S SHORT OF BREATH WE'LL TAKE HIS OXYGEN SATURATION AS WELL AND MAYBE EVEN DO SOME LIKE RES0128-082-3 SOME BASIC BLOOD WORK FOR HIM AND IF IT TURNS OUT HE HAS ASTHMA WHICH IN THIS CASE I DO STRONGLY SUSPECT WE'LL PRESCRIBE HIM SOME BRONCHODILATORS LIKE A SHORT ACTING BETA AGONIST RES0128-082-4 AS WELL AS AN INHALED CORTICOSTEROID BECAUSE HIS SYMPTOMS DO SEEM SOMEWHAT SEVERE THIS TIME AROUND AND THEN I SHOULD ALSO MENTION BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THAT OF COVID HE WILL ALSO RES0128-082-5 GET A COVID SWAB AND YOU SHOULD HEAR BACK ABOUT THAT IN TWENTY FOUR TO FORTY EIGHT HOURS HOW DOES THAT SOUND RES0128-083 THAT SOUNDS GOOD THANK YOU RES0128-084 ALRIGHT GREAT THANK YOU RES0131-000 WHAT BRINGS YOU IN RES0131-001 HI THERE I I'VE HAD THIS COUGH THAT STARTED THREE DAYS AGO AND OVER THESE PAST COUPLE OF DAYS I'VE JUST BEEN REALLY ACHY ALL OVER AND SO I'VE HAD A HEADACHE AS WELL RES0131-002 OKAY WELL I'M SORRY TO HEAR THAT YOU'RE NOT FEELING WELL THE COUGH WHEN DID THAT START RES0131-003 SO THAT ABOUT THREE OR FOUR DAYS AGO IT STARTED TO COME ON RES0131-004 OKAY AND THEN HOW ABOUT THE HEADACHE RES0131-005 THAT'S BEEN MORE IN THE LAST TWO DAYS RES0131-006 TWO DAYS OKAY AND THEN THE MUSCLE ACHE RES0131-007 IT'S BEEN THERE FOR ABOUT TWO ABOUT TWO OR THREE DAYS I WAKE UP IN THE MORNING AND I'VE BEEN FEELING LIKE REALLY FATIGUED AND ACHY RES0131-008 THE COUGH IS IT DRY OR YOU'RE BRINGING UP PHLEGM RES0131-009 IT'S IT'S DRY BUT IT'S GOTTEN A LITTLE BIT WORSE SINCE IT STARTED IT'S JUST BEEN HAPPENING MORE OFTEN RES0131-010 OKAY AND DOES IT SOUND HARSH RES0131-011 MAYBE A LITTLE BIT RES0131-012 OKAY IS IT GETTING WORSE DO YOU THINK RES0131-013 I THINK SO RES0131-014 OKAY ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH ALONG WITH THE COUGH RES0131-015 A LITTLE BIT AFTER IF I HAVE LIKE A COUGHING FIT THAT'S BAD ENOUGH BUT FOR THE MOST PART I'VE BEEN OKAY RES0131-016 OKAY ANY WHEEZINESS RES0131-017 NO RES0131-018 NO CHEST PAIN RES0131-019 NO RES0131-020 OKAY DO YOU EVER FEEL LIKE YOUR HEART'S RACING RES0131-021 NO I HAVEN'T FELT LIKE THAT RES0131-022 OKAY ANY DIZZINESS OR FAINTING SPELLS RES0131-023 NO RES0131-024 NUMBNESS OR TINGLING RES0131-025 NO RES0131-026 CONFUSION OR MEMORY LOSS RES0131-027 NO RES0131-028 THIS HEADACHE IS IT ALWAYS THERE RES0131-029 THESE PAST COUPLE OF DAYS IT'S KIND OF IT IT'S BEEN THERE IT'S BEEN A LITTLE BIT MORE MILD AFTER USING SOME TYLENOL OR ADVIL TO HELP SETTLE IT DOWN BUT I JUST HAVE THIS ACHINESS IN THE FRONT FRONT OF MY FOREHEAD AND KIND OF SIDES OF MY HEAD RES0131-030 SIDES OF YOUR HEAD OKAY AND ONE TO TEN TEN BEING THE WORST PAIN YOU'VE EVER FELT HOW HOW WOULD YOU RATE IT RES0131-031 A FOUR RES0131-032 A FOUR OKAY SO IT'S NOT THE WORST HEADACHE YOU'VE EVER HAD IN YOUR LIFE RES0131-033 NO IT'S NOT THAT BAD IT'S JUST BEEN PRETTY ANNOYING RES0131-034 OKAY AND HAVE YOU LIKE DO YOU USUALLY GET HEADACHES RES0131-035 NOT REALLY IT I DON'T GET THEM THAT OFTEN I GUESS THEY COME WHEN I I WELL GET SICK RES0131-036 OKAY THAT MAKES SENSE HAVE YOU HAD ANY FEVERS RECENTLY RES0131-037 I HAVE FELT A BIT HOT AND BUT I I DIDN'T CHECK MY TEMPERATURE AND RES0131-038 OKAY HOW ABOUT WEIGHT LOSS HAVE YOU EXPERIENCED ANY WEIGHT RES0131-039 LOSS RECENTLY NO I'VE BEEN MY WEIGHT'S BEEN PRETTY RES0131-041 NO I HAVEN'T NOTICED ANY RASHES RES0131-042 OKAY AND ANY CHANGES IN YOUR HEARING OR VISION RES0131-043 NO RES0131-044 RUNNY NOSE OR STUFFY NOSE RES0131-045 NO RES0131-046 SORE THROAT RES0131-047 NOW THAT YOU MENTION IT I HAVE HAD A LITTLE BIT OF A SORE THROAT AS WELL HASN'T BEEN TOO PAINFUL WITH LIKE SWALLOWING FOODS OR ANYTHING LIKE THAT IT'S KIND OF WORSE IN THE MORNING AND IT'S NOT SO BAD LATER ON RES0131-048 OKAY ALRIGHT HOW ABOUT CHANGES IN YOUR SMELL OR TASTE RES0131-049 NO NOTHING LIKE THAT RES0131-050 CHANGES IN YOUR BOWEL MOVEMENTS RES0131-051 NO I'VE BEEN REGULAR RES0131-052 OKAY AND THEN NAUSEA OR VOMITING RES0131-053 NOPE I HAVEN'T HAD ANYTHING LIKE THAT RES0131-054 OKAY CHANGES IN YOUR URINE RES0131-055 NO I'VE HAD UTIS LIKE ONE OR TWO IN THE PAST SO I KNOW WHAT THAT'S LIKE SO EVERYTHING'S BEEN NORMAL RES0131-056 OKAY GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0131-057 I HAVE ASTHMA WHICH I WILL LIKE ASTHMA AND ALLERGIES AND I'LL USE JUST VENTOLIN FOR THAT EVERY LIKE ONCE IN AWHILE BUT IT HASN'T BUGGED ME TOO FREQUENTLY RES0131-058 OKAY DO YOU ALSO TAKE ANYTHING ELSE FOR THAT ASTHMA OR IS IT JUST THE VENTOLIN THAT USE RES0131-059 JUST VENTOLIN RES0131-060 OKAY HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0131-061 NO WELL I I'VE HAD MY MY WISDOM TEETH TAKEN OUT AND ACTUALLY I HAD MY TONSILS OUT AS WELL WHEN I WAS TWELVE RES0131-062 OKAY ARE YOU ON ANY MEDICATIONS BESIDES VENTOLIN RES0131-063 I I CURRENTLY I THINK A BIRTH CONTROL RES0131-064 OKAY HOW LONG HAVE YOU BEEN ON THAT FOR RES0131-065 SINCE HIGH SCHOOL SO I SINCE I WAS EIGHTEEN SO EIGHT YEARS RES0131-066 OKAY AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0131-067 I AM I GET THE FLU SHOT EVERY YEAR RES0131-068 OKAY OKAY GOOD ANY ALLERGIES RES0131-070 ENVIRONMENTAL TRIGGERS NO MEDICINES NO MEDICINES OKAY ANY FAMILY HISTORY OF LUNG OR HEART DISEASES RES0131-071 MY GRANDFATHER HAD HAD A STROKE WHEN HE WAS IN HIS SEVENTIES AND BUT HE WAS LIKE A SMOKER AND A DRINKER AND DIDN'T REALLY LOOK AFTER HIMSELF VERY WELL UNFORTUNATELY AND BUT THAT'S ABOUT IT RES0131-072 OKAY AND DO YOU SMOKE RES0131-073 NO I DON'T RES0131-074 NO OKAY ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN OR ANYTHING LIKE THAT RES0131-075 NO I DON'T USE ANYTHING LIKE THAT RES0131-076 OKAY HOW ABOUT ALCOHOL DO YOU DRINK RES0131-077 SOMETIMES I'LL HAVE A OR MAYBE A COCKTAIL ON THE WEEKEND OR A GLASS OF WINE WITH DINNERS RES0131-078 OKAY ARE YOU CURRENTLY SEXUALLY ACTIVE RES0131-079 I AM WITH WITH MY BOYFRIEND RES0131-080 WE USE CONDOMS AS WELL OKAY SO YOU USE BOTH CONDOMS AND YOU'RE ON BIRTH CONTROL SO OKAY GOOD THAT'S A LOT OF PROTECTION HOW LONG HAVE YOU TWO BEEN TOGETHER RES0131-081 SIX MONTHS RES0131-082 OKAY OKAY GOOD AND ANY SICK CONTACTS RECENTLY RES0131-083 NOT THAT I'M AWARE OF RES0131-084 NO OKAY ANY TRAVEL RECENTLY RES0131-085 NOPE JUST BEEN GOING TO OR JUST BEEN DOING ONLINE CLASSES I'M FINISHING UP MY RES0131-086 MASTERS RIGHT NOW OKAY RES0131-088 THANK YOU AND WHERE DO YOU LIVE AND WHO DO YOU LIVE RES0131-093 NO THAT'S IT I WAS JUST I MEAN CONCERNED ABOUT COVID I'VE BEEN HEARING ABOUT THIS NEW VARIANT AND STUFF ON THE NEWS SO A LITTLE BIT WORRIED RES0131-094-1 YEAH FOR SURE WE WILL DEFINITELY TAKE A SWAB FROM YOU TODAY AND WE'LL SEE WHAT THE RESULTS ARE YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS BUT IN THE MEANTIME YOU SHOULD SELF ISOLATE FOR FOURTEEN DAYS RES0131-094-2 AND IF IT'S NOT COVID IF THAT COMES BACK NEGATIVE AND SOME OF YOUR SYMPTOMS ALSO SOUND LIKE OTHER TYPICAL VIRAL SYMPTOMS SO YOU COULD HAVE ONE OF THE COMMON STRAINS THAT'S GOING AROUND THIS TIME OF YEAR SO FOR THAT JUST RES0131-094-3 IT'S YOU SHOULD JUST DO SOME SUPPORTIVE CARE YOU KNOW STAYING HYDRATED EATING WELL RES0131-094-4 AND IF YOUR SYMPTOMS BECOME WORSE YOU'RE RUNNING A REALLY HIGH FEVER YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES THEN YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND RES0131-095 THAT SOUNDS GOOD THANK YOU RES0131-096 OKAY GREAT THANK YOU RES0132-000 I WAS WONDERING WHAT I COULD HELP YOU WITH TODAY RES0132-001 HI I HAVE BEEN COUGHING NONSTOP FOR THE PAST THREE DAYS AND TODAY I HAVE BEEN FEELING VERY SHORT OF BREATH SO I JUST WANTED TO GET IT ALL CHECKED OUT RES0132-002 FOR SURE AND SO YOU SAID THE COUGH STARTED THREE DAYS AGO WERE THERE ANY TRIGGERS TO THE COUGH OR ANYTHING THAT THAT CHANGED THREE DAYS AGO RES0132-003 NO NOTHING THAT I CAN THINK OF I HAVE LIKE THE ONLY THING THAT I'VE BEEN DOING IS GOING TO THE GROCERY STORES THE BANK AND LAUNDROMAT AND ONCE I RAN ALL THESE ERRANDS LIKE I JUST STARTED HAVING THIS COUGHING FIT THAT HASN'T STOPPED RES0132-004 OKAY HAS THE COUGH GOTTEN ANY BETTER OR STAYED THE SAME OR GOTTEN WORSE THESE PAST THREE DAYS RES0132-005 IT SEEMS LIKE IT'S GETTING WORSE RES0132-006 OKAY ARE YOU BRINGING UP ANY SPUTUM OR PHLEGM RES0132-007 YES IT'S YELLOW RES0132-008 OKAY IS THIS ANY DIFFERENT FROM BEFORE LIKE HAVE YOU HAD A COUGH IN THE PAST AND AND BROUGHT UP PHLEGM OR IS THIS ENTIRELY NEW FOR YOU RES0132-009 NO THIS HAS HAPPENED TO ME BEFORE LIKE I DON'T KNOW LIKE MAYBE A YEAR OR TWO YEARS BACK AND IT KIND OF FEELS THE SAME BUT JUST A LITTLE BIT WORSE RES0132-010 OKAY AND HAVE YOU SEEN ANY BLOOD IN THE SPUTUM RES0132-011 NO NO BLOOD RES0132-012 OKAY AND YOU MENTIONED YOU'VE BEEN SHORT OF BREATH AS WELL HOW HAS THAT COME ON RES0132-013 IT WAS I I DON'T KNOW IF IT'S BECAUSE OF ALL THE COUGHING THAT I'VE BEEN DOING BUT IT JUST STARTED THIS MORNING RES0132-014 OKAY AND HAVE YOU BEEN EXPERIENCING SHORTNESS OF BREATH ON ON EXERTION OTHERWISE RES0132-016 PRIOR TO THIS NO NO OKAY AND HAVE YOU HAD ANY SHORTNESS OF RES0132-017 BREATH AFTER LIKE IF YOU RES0132-018 LIE DOWN FLAT RES0132-019 NO NOT THAT I'VE NOTICED ALL RIGHT RES0132-020 AND HAVE YOU HAD A WHEEZE A LITTLE BIT OKAY AND HAVE YOU HAD ANY INFECTIOUS LIKE RES0132-048 NO THAT'S PRETTY MUCH IT OKAY AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0132-049 I HAVE DIABETES I HAVE HIGH BLOOD PRESSURE AND I HAVE HIGH CHOLESTEROL RES0132-050 I SEE ALRIGHT AND DO YOU TAKE MEDICATIONS FOR THOSE THINGS RES0132-051 YES SO I AM ON RAMIPRIL FOR THE HIGH BLOOD PRESSURE ROSUVASTATIN FOR THE CHOLESTEROL AND INSULIN FOR THE DIABETES RES0132-052 OKAY THANK YOU AND YOU MENTIONED YOU HAD A SIMILAR EPISODE IN THE PAST WHAT WERE YOU DIAGNOSED WITH COPD BEFORE RES0132-053 I WAS I WAS DIAGNOSED WITH COPD ABOUT FIVE YEARS BACK RES0132-054 OKAY DID YOU HAVE PULMONARY FUNCTION TESTS FOR THIS THE TEST WHERE YOU HAD TO BREATHE INTO A TUBE RES0132-055 I HAD THAT DONE RES0132-056 LIKE FIVE YEARS AGO OKAY ALRIGHT JUST WANTED TO SEE IF IT WAS LIKE FORMALLY DIAGNOSED SOMETIMES PEOPLE IT'S IMPORTANT RES0133-000 HOW MAY I HELP YOU RES0133-001 HI I'M HERE BECAUSE I I HAD THIS COUGH FOR A COUPLE DAYS AND NOW MY VOICE STILL HASN'T RECOVERED IT SOUNDS REALLY HOARSE AND I CAN'T SPEAK AS WELL SO I WAS JUST WONDERING IF YOU CAN GIVE ME SOMETHING FOR THAT RES0133-002 POSSIBLY WE WILL SEE JUST GOTTA ASK A FEW QUESTIONS FIRST AND WE'LL WE'LL DO A PHYSICAL EXAM AS WELL AFTERWARDS BUT CERTAINLY WE'LL LOOK INTO WHAT IS CAUSING YOUR SYMPTOMS SO YOU MENTIONED A COUGH WHEN DID THAT EXACTLY START RES0133-003 THAT STARTED THREE DAYS AGO RES0133-004 OKAY AND HAVE YOU HAD A COUGH BEFORE RES0133-005 LIKE BEFORE THE THREE DAYS YOU MEAN RES0133-006 NO I WAS PRETTY HEALTHY BEFORE THEN RES0133-007 I SEE AND WITH THE COUGH ARE YOU PRODUCING ANY PHLEGM OR SPUTUM RES0133-008 NO IT'S PRETTY DRY RES0133-009 OKAY HAVE YOU NOTICED ANY BLOOD RES0133-010 NO RES0133-011 ALRIGHT AND HAVE YOU HAD A WHEEZE RES0133-012 NO NO NOTHING LIKE THAT RES0133-013 ALRIGHT AND HAVE YOU HAD ANY CHEST PAIN WITH THE COUGH RES0133-014 NO RES0133-015 ALRIGHT AND YOU NOTICED THAT YOUR VOICE IS VOICE CHANGED AND THAT WAS ABOUT THREE DAYS AGO AS WELL RES0133-016 THAT SO WELL NO ACTUALLY THAT STARTED ABOUT YESTERDAY YESTERDAY IN THE AFTERNOON RES0133-017 OKAY AND ANY TRIGGERS FOR THIS LIKE WERE YOU AT ANY EVENTS THAT YOU HAD TO BE KIND OF SPEAKING LOUDLY OR TALKING A LOT OR ANYTHING WHERE YOU'RE STRAINING YOUR VOICE RES0133-018 NO NO I WASN'T I WAS LIKE I HAD SCHOOL I CAME HOME I DIDN'T DO RES0133-019 ANYTHING LIKE THAT OKAY SO IT SOUNDS JUST SORT OF CAME ON ON ITS OWN ALRIGHT AND HAVE YOU HAD ANY LIKE RES0133-020 EYE REDNESS OR DISCHARGE OR A RUNNY NOSE I HAVE HAD I'VE HAD A RUNNY NOSE RES0133-021 BEFORE BUT NO EYE DISCHARGE OKAY WITH THE RUNNY NOSE WHAT WHAT WHAT COULD YOU RES0133-022 DESCRIBE THE RES0133-023 MUCUS THAT WAS COMING OUT IT WAS IT WAS CLEAR AND HAS THAT GONE AWAY NOW AND RES0133-024 THEN WHEN WAS THE RUNNY NOSE THAT'S GONE THAT'S GONE THAT WENT AWAY BUT LIKE RES0133-025 TWO DAYS AGO MAYBE I SEE AND HAVE YOU HAD A SORE THROAT OR RES0133-026 DO YOU HAVE A SORE THROAT I HAVE SO IT HURTS BECAUSE I'M COUGHING RES0133-027 BUT IT DOESN'T SEEM LIKE IT'S MY ACTUAL THROAT ALRIGHT RES0133-035 WEIGHT GAIN OVER THE PAST LIKE SIX MONTHS OKAY WELL THAT'S GREAT AND ABOUT HOW MUCH RES0133-036 JUST MAYBE LIKE FIVE TEN POUNDS FIVE TO TEN POUNDS SOMEWHERE AROUND THERE RES0133-037 OKAY WELL THAT'S GOOD AND HAVE YOU HAD ANY NAUSEA OR VOMITING RES0133-038 NO RES0133-039 AND HOW ABOUT ANY ABDOMINAL PAIN RES0133-040 NO RES0133-047 PAINS NO OKAY AND HAVE YOU HAD ANY LOSS OF YOUR TASTE OR SENSE OF SMELL RES0133-048 NO RES0133-049 OKAY AND ANY SKIN CHANGES OR RASHES RES0133-050 NOPE NOTHING LIKE THAT RES0133-051 OKAY AND SO YOU'VE BEEN EXPERIENCING SO YOU HAD A RUNNY NOSE THAT'S GONE AWAY AND NOW YOU'VE BEEN HAVING THIS COUGH FOR THE PAST DRY COUGH PAST THREE DAYS AND LOST YOUR VOICE YESTERDAY HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS RES0133-052 NO NO OTHER SYMPTOMS RES0133-053 ALRIGHT IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0133-054 NO I'VE BEEN PRETTY HEALTHY RES0133-055 THAT'S GREAT AND HAVE YOU BEEN HAVE YOU HAD ANY ALLERGIES BEFORE RES0133-056 NO RES0133-057 OKAY AND DO YOU TAKE ANY MEDICATIONS REGULARLY RES0133-058 I JUST TAKE SOME MULTIVITAMINS RES0133-059 OKAY AND ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE RES0133-060 SO I HAVE EVERYTHING EXCEPT FOR THAT HPV VACCINE RES0133-061 OKAY IS IT DO YOU HAVE A PLAN TO RES0133-062 GET THAT ONE OR I THINK SO I'M JUST WAITING TO RES0133-063-1 FOLLOW UP WITH MY FAMILY DOCTOR ABOUT THAT RES0133-063-2 OKAY WELL THAT THAT'S A GOOD IDEA FOR SURE SO IT'S GREAT THAT YOU HAVE A PLAN FOR THAT FOR THAT RES0133-063-3 IT CAN BE REALLY HELPFUL FOR PREVENTING CERVICAL CANCER AS AS I'M SURE YOU'LL TALK TO THE WITH THE FAMILY DOCTOR ABOUT RES0133-065 AND HAVE YOU HAD ANY HOSPITALIZATIONS RES0133-066 OR ANY SURGERIES NO OKAY WHERE ABOUT ARE YOU LIVING RIGHT NOW AND WHO ARE LIVING WITH RES0133-067 I LIVE WITH MY PARENTS AND RES0134-000 WOULD YOU MIND STARTING WITH TELLING ME WHAT I CAN HELP YOU WITH TODAY RES0134-001 I HAVEN'T BEEN FEELING VERY WELL OVER THE PAST TWO DAYS I HAVE HAD THIS COUGH I'M FEELING VERY SHORT OF BREATH AND I'M FEELING VERY FEVERISH AS WELL RES0134-002 OKAY HAVE YOU CHECKED YOUR TEMPERATURE RES0134-003 NO I HAVEN'T ACTUALLY CHECKED IT BUT I'M JUST FEELING HOT AND I'M HAVING CHILLS RES0134-004 OKAY WERE YOU HAVING LIKE NIGHT SWEATS AS WELL RES0134-005 LAST NIGHT I DID GET SWEATY RES0134-006 OKAY AND WHEN WHEN DID YOU START FEELING FEVERISH RES0134-007 FEVERISH MAYBE AROUND THE SAME TIME LIKE RIGHT AFTER THE COUGH AND SHORTNESS OF BREATH STARTED MAYBE LIKE A DAY AND A HALF AGO RES0134-008 OKAY IT'S SO THE COUGH STARTED ABOUT A DAY AND A HALF AGO AS WELL RES0134-009 YES RES0134-010 OKAY DID YOU HAVE A COUGH PRIOR TO THIS OR IS IT NEW RES0134-011 IT'S NEW RES0134-012 OKAY IS IT A DRY COUGH OR ARE YOU BRINGING UP SPUTUM OR PHLEGM RES0134-013 IT'S IT'S IT'S DRY MOST OF THE TIME BUT ONCE IN A WHILE I'LL SEE SOME LIKE YELLOW PHLEGM RES0134-014 OKAY HAVE YOU NOTICED ANY BLOOD RES0134-015 NO NO BLOOD RES0134-016 ALL RIGHT AND HAVE YOU HAD ANY CHEST PAIN RES0134-017 NO CHEST WELL ACTUALLY WHEN I TRY TO TAKE A REALLY DEEP BREATH IN IT IT HURTS MY CHEST HURTS RES0134-018 OKAY WHERE DO YOU FEEL THE PAIN RES0134-019 IT SEEMS TO BE CENTRAL ON MY CHEST RES0134-020 DO YOU FEEL IT RADIATING ANYWHERE LIKE TO YOUR BACK OR TO EITHER SIDE RES0134-021 NO RES0134-022 OKAY HOW WOULD YOU DESCRIBE THE PAIN LIKE SHARP DULL RES0134-023 IT'S PRETTY SHARP WHEN I TAKE A DEEP BREATH IN RES0134-024 HOW LONG DOES THE PAIN LAST FOR AND IS THERE ANYTHING THAT YOU DO THAT MAKES IT GO AWAY RES0134-025 IT WAS LIKE LESS THAN A MINUTE AND AND IT GOES AWAY WHEN I LIKE IF I TRY NOT TO TAKE A DEEP BREATH IN RES0134-026 OKAY SO IT SOUNDS LIKE THAT IT THE THE BREATHING IS A TRIGGER THERE WHEN YOU'RE BREATHING IN DEEPLY RES0134-027 ALRIGHT AND HAVE YOU HAD ANY WHEEZE RES0134-028 A LITTLE BIT YES RES0134-029 ALRIGHT AND IS THE WHEEZE NEW AS WELL RES0134-030 YES THAT ALSO STARTED AFTER THE COUGHING AND THE SHORTNESS OF BREATH RES0134-031 ALRIGHT AND HAVE YOU HAD ANY EPISODES OF FEELING LIKE YOUR HEART'S RACING OR IS IT SPEEDING REALLY FAST RES0134-032 NO RES0134-033 OKAY AND YOU SAID IT YOU'VE BEEN SHORT OF BREATH AS WELL ARE YOU REALLY SHORT OF BREATH NOW AND WHAT SORTS OF THINGS HAVE BEEN REALLY BRINGING IT ON FOR YOU RES0134-034 IT'S I'M STILL A LITTLE BIT SHORT OF BREATH AND I I GUESS THE SHORTNESS OF BREATH GETS WORSE WHEN I'M WALKING OR DOING SOMETHING PHYSICAL RES0134-035 OKAY AND DID IS THIS NEW OR DID YOU HAVE THIS BEFORE RES0134-036 IT'S NEW RES0134-037 OKAY HAVE YOU NOTICED ANY SWELLING IN YOUR IN YOUR LEGS OR EXTREMITIES RES0134-038 NO NOTHING LIKE THAT RES0134-039 AND DO YOU GET SHORT OF BREATH IF YOU LIE DOWN FLAT RES0134-040 NO NOT THAT I'VE NOTICED RES0134-041 AND HOW MANY PILLOWS DO YOU SLEEP WITH RES0134-042 JUST THE ONE RES0134-043 OKAY AND HAVE YOU HAD ANY HEADACHES RES0134-044 NO RES0134-045 AND HOW ABOUT ANY EYE REDNESS OR OR DISCHARGE RES0134-046 NO RES0134-047 HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED RES0134-048 A LITTLE BIT I'VE BEEN I'VE BEEN FEELING A LITTLE CONGESTED RES0134-049 AND WHEN DID THAT START RES0134-050 THAT STARTED A LITTLE BIT BEFORE THE COUGH ACTUALLY RES0134-051 OKAY AND YOU'RE STILL FEELING THAT NOW RES0134-052 OKAY HAVE YOU HAD A SORE THROAT RES0134-053 NO SORE THROAT RES0134-054 OKAY AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS RES0134-055 I GUESS MY MUSCLE ACHES A LITTLE BIT IT'S IT'S VERY DULL THOUGH IT'S NOT SHARP RES0134-056 OKAY AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN FATIGUED RES0134-057 MY ENERGY'S BEEN PRETTY LOW I'VE BEEN FEELING VERY TIRED RES0134-058 OKAY AND HOW LONG HAS THAT BEEN GOING ON FOR RES0134-059 FOR ABOUT THE SAME AMOUNT OF TIME LIKE THREE DAYS RES0134-060 ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN RES0134-061 NO RES0134-062 HOW ABOUT NAUSEA OR VOMITING RES0134-063 NO RES0134-064 AND ANY CHANGES TO YOUR URINARY HABITS LIKE PAIN OR RES0134-065 NO NOTHING LIKE THAT RES0134-066 OKAY AND HOW HAS YOUR APPETITE BEEN RES0134-067 IT HASN'T BEEN THE GREATEST BECAUSE I HAVEN'T BEEN FEELING WELL BUT I'VE STILL BEEN EATING RES0134-068 OKAY HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS RES0134-069 NO NOT THAT I'VE NOTICED RES0134-070 AND HOW ABOUT ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE RES0134-071 SENSE OF SMELL OR TASTE NO NO CHANGES THERE RES0134-072 OKAY AND THEN ANY SKIN CHANGES OR RASHES RES0134-073 NO RES0134-074 ALRIGHT SO YOU'VE BEEN EXPERIENCING THIS COUGH STARTED A COUPLE OF DAYS AGO WITH SHORTNESS OF BREATH AND YOU'RE BRINGING UP SPUTUM SOMETIMES AND AND A FEVER THAT'S STARTED A BIT MORE RECENTLY AS WELL AS HAVING SOME NIGHT SWEATS RES0134-075 HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS RES0134-076 NO OTHER THAN THAT NO SYMPTOMS RES0134-077 I SEE AND HAVE YOU TRIED ANYTHING TO MAKE MAKE THE SYMPTOMS BETTER RES0134-078 I'VE TRIED SOME TYLENOL I'VE TRIED SOME LIKE COUGH SUPPRESSANTS BUT NOTHING SEEMS TO BE HELPING RES0134-079 OKAY AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE RES0134-080 NO NOT WELL ACTUALLY I HAVE I HAD I HAVE OSTEOPOROSIS FOR WHICH I'M TAKING CALCIUM AND VITAMIN D AS WELL AS LIKE ALENDRONATE ALENDRONATE SOME SORT OF BISPHOSPHONATE RES0134-081 OKAY HAVE YOU HAD ANY LIKE BONE FRACTURES RES0134-082 I HAD A HIP FRACTURE RES0134-088 I HAD MY WISDOM TEETH TAKEN OUT I'VE HAD MY GALLBLADDER TAKEN OUT AND I I HAD LIKE I HAD A RES0134-089 PE A LONG TIME AGO OKAY AND WHAT HAPPENED AROUND THAT TIME WITH THE PULMONARY EMBOLISM DID YOU WAS THERE A TRIGGER LIKE A SURGERY AROUND THAT TIME OR WERE YOU IMMOBILIZED OR ANYTHING RES0134-090 THEY THINK IT HAPPENED RIGHT AFTER MY GALLBLADDER REMOVAL CAUSE I WAS IN THE HOSPITAL FOR A WHILE RES0134-091 OKAY AND SO WERE YOU ON ANY MEDICATION FOR A PERIOD OF TIME AFTER THAT RES0134-092 I WAS BUT NOT ANYMORE RES0134-093 OKAY OKAY AND ARE YOU TAKING ANY OTHER MEDICATIONS BESIDES THE ONES FOR YOUR BONES RES0134-094 NO NO OTHER MEDICATIONS RES0134-095 AND DO YOU HAVE ANY ALLERGIES RES0134-096 NO RES0134-097 OKAY AND THEN COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW ARE YOU LIVING WITH ANYBODY AND WHEREABOUTS RES0134-098 I LIVE IN AN APARTMENT BY MYSELF AND IT'S IN LONDON RES0134-099 OKAY GREAT AND DO YOU HAVE ANY SUPPORTS IN THE HOME THAT THAT HELP YOU WITH ANY ACTIVITIES OF DAILY LIVING LIKE EITHER DRESSING OR BATHING OR MAKING FOOD OR EVEN DOING SOME OF THE SHOPPING RES0134-100 SO I AM PRETTY INDEPENDENT FOR MOST THINGS THERE WILL BE LIKE A CCAC CARE WORKER WHO COMES IN ONCE IN A WHILE JUST TO HELP ME CLEAN THE HOUSE RES0134-101 OKAY SO ONCE IN A WHILE IS THIS LIKE ONCE A WEEK OR ONCE HOW OFTEN RES0134-102 ONCE EVERY TWO WEEKS RES0134-103 OKAY WELL THAT'S GREAT IT SOUNDS LIKE YOU'RE MANAGING REALLY WELL ON YOUR OWN DO YOU HAVE ANY OTHER SUPPORTS NEARBY LIKE FAMILY OR OR FRIENDS RES0134-104 I HAVE SOME FAMILY CLOSE BY MY SON LIVES CLOSE BY AND MY DAUGHTER LIVES ABOUT TWO HOURS AWAY I'LL SEE THEM ABOUT ONCE A MONTH RES0134-105 OKAY AND DO YOU SMOKE CIGARETTES RES0134-106 I USED TO SMOKE BUT I STOPPED ABOUT FIVE YEARS BACK RES0134-107 OH CONGRATULATIONS ON QUITTING RES0134-108 THANK YOU RES0134-109 SO YOU QUIT FIVE YEARS AGO AND HOW LONG DID YOU SMOKE FOR AND HOW MUCH DID YOU SMOKE RES0134-110 I USED TO SMOKE NOT A LOT JUST LIKE ONE OR TWO A DAY AND I DID THAT FOR ABOUT TWENTY FIVE YEARS RES0134-111 OKAY AND DO YOU DRINK ALCOHOL RES0134-112 I'LL HAVE LIKE A GLASS OF WINE ONCE IN A WHILE RES0134-113 AND HOW OFTEN IS ONCE IN A WHILE IS THIS OR HOW MANY DRINKS PER WEEK WOULD YOU SAY RES0134-114 PER WEEK MAYBE LIKE THREE RES0134-115 OKAY AND ANY HEART OR LUNG CONDITIONS RES0134-116 THAT RUN IN THE FAMILY SO THERE IS LIKE LUNG CANCER THERE'S ASTHMA THERE'S COPD ALL OF THAT RES0134-117 SOMEONE LIKE MY BOTH SIDES OF MY FAMILY HAD OKAY AND RES0134-126 WAS THERE ANYTHING THAT THAT YOU WANTED TO ADD NO THOSE ARE ALL QUESTIONS THAT I HAD DO YOU THINK I NEED TO BE HOSPITALIZED BECAUSE I'M VERY SHORT OF BREATH OR DO YOU THINK I CAN JUST STAY AT HOME DO YOU THINK I NEED ANTIBIOTICS RES0134-127-1 YEAH SO WE'LL WE'LL CHECK YOUR TEMPERATURE AND AND CONFIRM THE FEVER AND CHECK YOUR OXYGEN LEVELS AS WELL YOU MIGHT NEED OXYGEN YOU'RE MENTIONING WITH YOUR SHORTNESS OF BREATH RES0134-127-2 AND WE WILL GET A CHEST X RAY AND IF WE'RE SEEING CONSOLIDATION THERE SUGGESTIVE OF PNEUMONIA YOU MAY NEED ANTIBIOTICS RES0134-127-3 THAT WILL COVER COVER THOSE THOSE BUGS HOWEVER YOUR SYMPTOMS DO OVERLAP WITH COVID AS WELL AND SO IT WILL BE IMPORTANT TO GET A RES0134-127-4 COVID SWAB BUT TO ANSWER IF YOU WILL NEED A HOSPITAL STAY I THINK WE'LL NEED TO AT LEAST WAIT UNTIL SOME OF THE INVESTIGATIONS COME BACK AND RES0134-127-5 THAT WILL HELP DETERMINE HOW SEVERE THE SYMPTOMS ARE AND WE'LL OBSERVE YOU OVER THE NEXT FEW HOURS AND IF YOU ARE GETTING ANY WORSE OR ANYTHING RES0134-128 LIKE THAT THEN IT MIGHT BE A GOOD IDEA RES0135-000 HOW CAN I HELP YOU TODAY RES0135-001 HI I'M BRINGING MY ONE YEAR OLD DAUGHTER IN BECAUSE SHE'S HAD THIS FEVER THIS RUNNY NOSE AND THIS COUGH FOR THE PAST THREE FOUR DAYS AND NOW SHE SOUNDS PRETTY WHEEZY RES0135-002 OKAY AND AS SHE HAD A FEVER THE ENTIRE TIME OVER THE PAST THREE OR FOUR DAYS RES0135-003 I WOULD SAY SO LIKE IT'S COME AND GONE BUT EVERY TIME I CHECKED HER TEMPERATURE I TRIED TO CHECK HER TWICE A DAY IT WOULD BE PRETTY HIGH LIKE THIRTY EIGHT OR THIRTY NINE RES0135-004 OKAY SO IT WAS BETWEEN THIRTY EIGHT AND THIRTY NINE EACH TIME YOU CHECKED IT RES0135-005 AND NOW I SHOULD MENTION LIKE I CHECKED TODAY AND SHE DIDN'T HAVE A FEVER TODAY BUT SHE SOUNDS REALLY WHEEZY NOW RES0135-006 OKAY IS THE WHEEZE NEW TODAY RES0135-007 OKAY AND THE COUGH THAT STARTED ABOUT THREE OR FOUR DAYS AGO AS WELL RES0135-008 THAT'S RIGHT RES0135-009 AND HOW HOW DOES THE COUGH SOUND DOES IT SOUND LIKE BARKY OR LIKE A SEAL LIKE RES0135-010 COUGH IT SOUNDS PRETTY HARSH I DON'T KNOW IF IT SOUNDS BARKY RES0135-011 OKAY AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE MORNING OR NIGHT RES0135-012 NO IT'S IT'S JUST ALWAYS THERE RES0135-013 OKAY IS SHE BRINGING UP ANY ANY PHLEGM OR SPUTUM RES0135-014 SHE'S BRINGING UP SOME SHE'S SHE ACTUALLY SHE USED TO BRING UP SOME PHLEGM BUT NOW IT'S IT'S PRETTY DRY RES0135-015 OKAY SO SHE WAS BRINGING UP PHLEGM INITIALLY AND IS NO LONGER WHAT COLOUR WAS IT RES0135-016 IT WAS CLEAR RES0135-017 OKAY ANY BLOOD THAT YOU RES0135-018 NOTICED THERE RES0135-019 NO NO BLOOD OKAY AND SHE'S SHE'S HAD HAD A WHEEZE AS WELL HAVE YOU NOTICED ANY CHEST PAIN IF SHE'S LIKE POINTING RES0135-020 TO HER CHEST OR ANYTHING RES0135-021 NO NOTHING LIKE THAT OKAY AND HAS SHE HAD ANY ANY LIKE FAINTING SPELLS RES0135-022 NO RES0135-023 OKAY AND SO SHE'S HAD A FEVER HAS SHE HAD ANY LIKE CHILLS OR NIGHT SWEATS LIKE WHERE SHE'S SHAKING RES0135-024 OH NO NO RES0135-025 AND HOW HAS HER MOOD BEEN RES0135-026 SHE'S BEEN PRETTY FUSSY SHE'S BEEN PRETTY FUSSY OVER THE PAST FEW DAYS BUT I JUST THOUGHT IT WAS BECAUSE OF HOW SHE WAS FEELING LIKE HER SYMPTOMS RES0135-027 CERTAINLY HAS SHE BEEN EATING AND DRINKING OKAY RES0135-028 WE'VE MANAGED TO GET HER TO DRINK AND EAT OKAY SO IN THAT SENSE NO CHANGES THERE RES0135-029 OKAY HOW MANY DIAPERS IS SHE HOW MANY WET DIAPERS PER DAY RES0135-030 ABOUT FIVE RES0135-031 OKAY SO STILL BEEN TO MAINTAIN HYDRATION IT SOUNDS LIKE OKAY AND HAS SHE HAD ANY LIKE EYE REDNESS RES0135-036 AND HAS SHE HAD A RUNNY NOSE NOW THAT YOU MENTION IT SHE DID HAVE A RUNNY NOSE IT SEEMS TO BE LESS NOW BUT SHE DID HAVE A LOT A FEW DAYS AGO RES0135-037 OKAY AND DID THAT START AROUND THE SAME TIME AS THE COUGH AND AND FEVER RES0135-038 OKAY IT'S STILL GOING ON BUT BUT JUST LESS RES0136-000 WHAT BRINGS YOU IN HERE TODAY RES0136-001 I JUST STARTED HAVING DIFFICULTY WITH BREATHING STARTING YESTERDAY AND I ALSO DEVELOPED THIS COUGH YESTERDAY MORNING RES0136-002 OKAY SO DID DID THE COUGH COME FIRST OR THE BREATHING DIFFICULTY BREATHING RES0136-003 KIND OF AROUND THE SAME TIME WHEN I WOKE UP IN THE MORNING RES0136-004 AND DID IT WAKE YOU UP FROM SLEEP AT ALL LIKE DID YOU WAKE UP TRYING TO CATCH A BREATH OR ANYTHING RES0136-005 NO RES0136-006 OKAY SO IT HAPPENED AFTER YOU HAD WOKEN UP AND GOTTEN OUT OF BED AND SO CAN YOU DESCRIBE YOUR COUGH A LITTLE BIT IS IT WET OR IS IT DRY RES0136-007 IT'S JUST IT'S JUST A DRY COUGH RES0136-008 OKAY YOU'RE NOT BRINGING UP ANY SPUTUM OR ANY OTHER MATERIAL RES0136-009 NO RES0136-010 AND ARE YOU COUGHING UP ANY BLOOD BY ANY CHANCE RES0136-011 NO RES0136-012 FOR THE SHORTNESS OF BREATH CAN YOU DESCRIBE IT A LITTLE BIT IS IT ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU BREATHING FASTER CAN YOU DESCRIBE IT RES0136-013 I JUST FEEL LIKE I'M GETTING OUT OF BREATH REALLY EASILY JUST LIKE WALKING EVEN WALKING TO THE KITCHEN FROM MY BEDROOM I'M GETTING SHORT OF BREATH AND IT IT JUST STARTED YESTERDAY MORNING IT'S SO ODD RES0136-014 OKAY AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE TO YOU RES0136-015 NO RES0136-016 WERE YOU DOING ANYTHING BEFORE IT STARTED LIKE WERE YOU DOING ANY ANY ACTIVITIES OR ANY ARE WERE YOU DOING ANY EXERTIONS AT ALL RES0136-017-1 NO I WAS JUST I I SLEPT IN I SLEPT IN A BIT MORE THAN USUAL AND I WAS FEELING QUITE DROWSY MY MY DOC INCREASED MY PAIN MEDS RES0136-017-2 AND I TOOK THE FIRST DOSE YESTERDAY NIGHT I ACTUALLY TOOK AN EXTRA PILL OF THE MORPHINE AND I DON'T KNOW MAYBE IT IT'S AN ALLERGIC REACTION TO THE MORPHINE RES0136-018 HAVE YOU HAD ANY ALLERGIC REACTIONS BEFORE RES0136-019 NO RES0136-020 AND SO YOU TOOK AN EXTRA MORPHINE LAST NIGHT AND THEN WENT TO SLEEP DID YOU WAKE UP COUGHING OR CATCHING YOUR BREATH OR ANYTHING LIKE THAT RES0136-021 NO I ACTUALLY I ENDED UP WAKING UP AT ONE HUNDRED PM OR TWO HUNDRED PM I WAS JUST VERY DROWSY AND I THINK I I THINK I MIGHT HAVE TAKEN A BIT TOO MUCH I DON'T KNOW THE THE ARTHRITIS PAIN WAS JUST KILLING ME LAST NIGHT AND I THOUGHT TAKING AN EXTRA PILL WOULD HELP RES0136-022 AND IS THIS ARE YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO RES0136-023 THEY'RE CONSTANT FOR THE PAST TWO DAYS I'VE ALSO NOTICED THAT I HAVE MY BREATH JUST SMELLS REALLY BAD I DON'T KNOW WHY RES0136-024 IS THAT SOMETHING YOU NOTICED RECENTLY OR IN THE LAST TWO DAYS RES0136-025 SINCE YESTERDAY ACTUALLY NOT EVEN YESTERDAY THIS MORNING I WOULD SAY RES0136-026 THIS MORNING OKAY AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE LIKE DOES LYING DOWN MAKE YOUR SYMPTOMS WORSE RES0136-027 NOT REALLY RES0136-028 NO HOW ABOUT EXERTING YOURSELF DOES IT MAKE YOUR SYMPTOMS WORSE RES0136-029 OKAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY FEVERS OR CHILLS RES0136-030 I CHECKED MY FEVER LAST NIGHT IT WAS THIRTY SEVEN POINT TWO RES0136-031 OKAY SO YOU DIDN'T HAVE A FEVER LAST NIGHT OKAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE DIZZINESS ANY FAINTING SPELLS RES0136-032 NO RES0136-033 OKAY HOW ABOUT SORE THROAT HEADACHES MUSCLE PAIN ANYTHING LIKE THAT RES0136-034 NO RES0136-035 OKAY ANY CHEST PAIN RES0136-036 NO I DON'T RES0136-037 AND HAVE YOU BEEN TRAVELING AT ALL RECENTLY RES0136-038 NO RES0136-039 ANY CONTACT WITH ANYONE WHO HAS BEEN SICK RECENTLY RES0136-040 NO RES0136-041 NO ANY NAUSEA OR VOMITING RES0136-042 NO RES0136-043 OKAY ANY NIGHT SWEATS RES0136-044 NO RES0136-045 OKAY ANY SWELLING IN YOUR LEGS OR ARMS HANDS RES0136-046 NO NO I HAVEN'T NOTICED ANY OF THAT RES0136-047 ANY FATIGUE JUST FEELING MORE TIRED TODAY RES0136-048 MAYBE A LITTLE BIT RES0136-049 OKAY HAVE YOU BEEN HAVING ANY COLD LIKE SYMPTOMS BEFORE THE TWO DAYS LIKE IN THE LAST WEEK LIKE RUNNY NOSE SORE THROAT RES0136-050 NO I WAS LIKE I WAS ABSOLUTELY FINE RES0136-051 OKAY HOW ABOUT DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA RES0136-052 NO RES0136-053 NO ANY TROUBLE WITH URINATING RES0136-054 NO RES0136-055 OKAY ANY SLEEP OR APPETITE ISSUES RES0136-056 NO RES0136-057 OKAY HAVE YOU LOST SIGNIFICANT WEIGHT IN THE LAST FEW MONTHS RES0136-058 NO RES0136-059 OKAY HAVE YOU BEEN EXPOSED TO ANYONE WHO MAY HAVE HAD TUBERCULOSIS RES0136-060 I DON'T THINK SO RES0136-061 NO AND DO YOU HAVE ANY PETS OR ANIMALS AT HOME RES0136-062 I HAVE A DOG RES0136-063 HAVE YOU EVER HAD ANY ALLERGIES TO ANY PETS OR ANIMALS RES0136-064 NO RES0136-065 ANY EXPOSURE TO FUMES OR DUST WITH WHERE YOU LIVE RES0136-066 NO RES0136-067 OKAY AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY DIAGNOSES RES0136-068 I I JUST HAVE THE OSTEOARTHRITIS RES0136-069 OSTEOARTHRITIS OKAY IS THAT WHY YOU'RE TAKING THE RES0136-070 AND ARE YOU TAKING ANY OTHER MEDICATIONS RES0136-071 I TAKE ADVIL RES0136-072 ADVIL OKAY ANY ALLERGIES THAT YOU KNOW OF RES0136-073 NO RES0136-074 OKAY ANY PREVIOUS HOSPITALIZATIONS RES0136-075 I HAD MY WISDOM TEETH REMOVED BUT NO I WASN'T I WASN'T HOSPITALIZED RES0136-076 OKAY IS THAT THE ONLY SURGERY THAT YOU'VE HAD OR HAVE YOU HAD ANYTHING ELSE RES0136-077 NO THAT'S IT RES0136-078 ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS RES0136-079 NO RES0136-080 ANY CANCERS RES0136-081 BREAST CANCER MY GRANDMA HAD IT RES0136-082 ANY AND CURRENTLY WHAT'S YOUR LIVING SITUATION LIKE DO YOU LIVE WITH SOMEONE RES0136-083 I LIVE WITH MY HUSBAND RES0136-084 OKAY RES0136-086 AND YOUR DOG OKAY AND DID YOUR HUSBAND TELL YOU ANYTHING LIKE THAT HAS CHANGED IN YOUR BEHAVIOUR AT ALL RECENTLY RES0136-087 HE JUST SAID THAT I WAS I WAS JUST EXTREMELY DROWSY YESTERDAY AND I WAS VERY HARD TO WAKE UP RES0136-088 OKAY OKAY DO YOU SMOKE CURRENTLY RES0136-089 NO RES0136-090 HAVE YOU SMOKED IN THE PAST RES0136-091 NO RES0136-092 OKAY AND DO YOU WORK CURRENTLY RES0136-093 I I DO RES0136-094 AND HOW WOULD YOU SORRY DIS YOU SAY YOU DON'T WORK OR DO YOU WORK RES0136-095 I'M A BANKER BUT I'M WORKING VIRTUALLY REMOTELY RIGHT NOW RES0136-096 OKAY AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0136-097 I NO WELL SOMETIMES I'LL USE MARIJUANA FOR THE PAIN BUT I HAVEN'T BEEN DOING THAT RECENTLY FOR THE PAST TWO MONTHS RES0136-098 OKAY HOW HOW OFTEN WOULD YOU SAY YOU USE IT RES0136-099 ONLY WHEN THE PAIN GETS TOO BAD SO MAYBE THREE OR FOUR TIMES A MONTH RES0136-100 OKAY AND DO YOU USE ANY ALCOHOL RES0136-101 I'LL I'LL DRINK ONCE A WEEK TWO GLASSES TWO OR THREE GLASSES OF WINE RES0136-102 ANY ALRIGHT SO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS FOR ME RES0136-103 NO RES0136-104-1 OKAY SO YEAH DEFINITELY WITH THE COUGHING AND SHORTNESS OF BREATH WE WILL DEFINITELY GET A COVID SWAB TEST DONE THAT SHOULD COME BACK IN THE NEXT TWENTY FOUR TO FORTY EIGHT HOURS AND THEN PUBLIC HEALTH WILL CONTACT YOU RES0136-104-2 YEAH BASED ON WHAT YOU'RE TELLING ME SO FAR WE WILL DEFINITELY DO A PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION AND EVERYTHING DONE BUT I ALSO THINK SINCE YOU WERE VERY DROWSY AND WERE HAD FALLEN ASLEEP AND WERE REALLY DIFFICULT TO WAKE UP SOMETIMES RES0136-104-3 YOU CAN GET WHAT'S CALLED ASPIRATION PNEUMONIA AND THAT'S THAT CAN ALSO BE A POSSIBILITY AND WHAT WE WILL DO IS GET A CHEST X RAY GET SOME BLOOD WORK DONE AS WELL TODAY RES0136-104-4 NOW WE MAY REQUIRE ANTIBIOTICS AND IF YOUR VITALS UNSTABLE WE MIGHT ACTUALLY ADMIT YOU AS WELL DOES THAT SOUND GOOD RES0136-105 WE'LL GET THOSE TESTS DONE AND WE'LL BE THERE WITH YOU SHORTLY WE'LL ALSO GET LIKE AN EKG DONE AS WELL RES0136-106 SURE RES0136-107 ALRIGHT OKAY RES0137-000 SO WHAT BRINGS YOU HERE TODAY RES0137-001 I AM HERE WITH WITH MY DAUGHTER WHO HAS JUST BEEN HAVING A COUGH FOR THE PAST TWO WEEKS RES0137-002 OKAY AND CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT A DRY COUGH OR IS SHE BRINGING ANYTHING UP RES0137-003-1 IT IS A IT IS A DRY COUGH BUT SHE JUST KEEPS COUGHING AND COUGHING AND AND THEN SHE JUST YOU KNOW ONCE SHE'LL START COUGHING SHE JUST DOESN'T STOP RES0137-003-2 AND THEN THERE'S BEEN TIMES WHEN SHE JUST TURNS BLUE SHE'S COUGHING SO MUCH AND THEN IT JUST GETS GETS BETTER ON ITS OWN BUT IT'S A DRY COUGH RES0137-004 OKAY AND WHAT DOES THE COUGH SOUND LIKE IS IT LIKE A HARSH COUGH A BARKY COUGH RES0137-005 IT'S JUST SHE JUST MAKES THIS NOISE WHEN SHE'S LIKE BREATHE TRYING TO TAKE A BREATH IN IT'S IT'S RES0137-006 OKAY IS IT KIND OF A WHEEZE RES0137-007 SURE RES0137-008 OKAY AND SO THERE'S EPISODES WHERE SHE ALSO TURNS BLUE RES0137-009 WHEN SHE'S COUGHING A LOT SHE RES0137-011 SHE'S ALSO VOMITED ONCE OR TWICE RES0137-012 OH I SEE OKAY ANY BLOOD IN THE VOMIT OR IS SHE COUGHING UP ANY BLOOD RES0137-013 NO RES0137-014 NO OKAY ANY SO THIS STARTED TWO WEEKS AGO ANY KIND OF SYMPTOMS OF RUNNY NOSE OR COLD LIKE SYMPTOMS BEFORE THEN RES0137-015-1 SHE DID HAVE A BIT OF A RUNNY NOSE IT WAS JUST WATERY SINCE DISCHARGE AND AT THAT TIME HER COUGH SHE HAD A COUGH AS WELL RES0137-015-2 BUT I THOUGHT IT WAS YOU KNOW IT'S NOTHING IT WAS JUST LIKE ANOTHER FLU AND IT WOULD GET BETTER BUT THEN SHE JUST THE RUNNY NOSE GOT BETTER WITHOUT IN A COUPLE OF DAYS BUT THE COUGH STAYED AND IT GOT GOT PRETTY WORSE IT GOT WORSE RES0137-016 OKAY OTHER THAN THE COUGH ANY ANY FEVERS OR CHILLS RES0137-017 NO I DON'T THINK SHE'S HAD FEVERS I HAVEN'T CHECKED THOUGH RES0137-018 OKAY AND THE COUGH IS PRETTY CONSTANT OR IS IT DOES IT COME AND GO RES0137-019 SHE JUST HAS THESE EPISODES WHERE SHE JUST COUGHS AND COUGHS AND COUGHS AND THEN SHE'LL EITHER VOMIT OR JUST TURN BLUE OR JUST GET BETTER IN A COUPLE COUPLE MINUTES THIS KIND OF COMES AND GOES LIKE THAT RES0137-020 OKAY AND IS THERE ANYTHING THAT HAS HELPED HER AT ALL LIKE ANY OVER THE COUNTER MEDICATIONS OR ANYTHING LIKE THAT RES0137-021 I HAVEN'T TRIED ANYTHING I'M JUST WORRIED ABOUT YOU KNOW SHE'S MY FIRST CHILD AND I DON'T KNOW WHAT TO GIVE HER AND WHAT NOT TO GIVE HER AT THIS AGE SO I JUST DECIDED TO COME IN AND NOT TRY ANYTHING OVER THE COUNTER RES0137-022 OKAY AND SO HAS THIS HAPPENED BEFORE AT ALL RES0137-023 NO RES0137-024 NO THIS IS THE FIRST TIME OKAY ANY SO SHE SHE IS VOMITING IS THE VOMIT LIKE GREEN IN COLOUR OR IS SHE JUST VOMITING UP WHAT SHE HAS EATEN WHAT'S THE CONTENT OF THE MOMENT RES0137-025 IT'S USUALLY JUST WHAT SHE'S EATEN RES0137-026 OKAY ANY SICK CONTACTS RECENTLY OR ANY TRAVEL RES0137-027 NO I DON'T THINK SO NOT NOTHING REALLY RES0137-028 AND HOW ABOUT HER BEHAVIOUR DOES SHE SEEM LIKE VERY TIRED OR FATIGUED OR MORE IRRITABLE RES0137-029 SHE DOES GET TIRED ESPECIALLY AFTER AND THEN SHE'S IRRITABLE AND CRYING AFTER YOU KNOW SHE HAS THESE FITS OF COUGHS RES0137-031 OKAY ANY SYMPTOMS OF DIARRHEA OR CONSTIPATION RES0137-032 NO RES0137-033 OKAY ANY ANY TROUBLE WITH URINATING AT ALL RES0137-034 NO RES0137-035 AND HOW'S HER SLEEP BEEN LIKE RES0137-036 NOT GREAT IT'S JUST THE COUGH KEEPS WAKING HER UP AND SHE JUST DOESN'T CAN'T FALL ASLEEP RES0137-037 OKAY ANY EXPOSURE TO DUST OR FUMES OR ANIMALS OR PETS AT HOME RES0137-038 WE WE DID GET A CAT ABOUT A MONTH AGO RES0137-039 OKAY AND ANY HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0137-041 AND ANY ALLERGIES THAT YOU KNOW OF RES0137-042 NO RES0137-043 AND ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES RES0137-044 NO RES0137-045 AND HOW WAS YOUR PREGNANCY YOUR PREGNANCY WITH HER LIKE ANY COMPLICATIONS AT ALL RES0137-046 NO NO COMPLICATIONS IT WAS IT WAS VERY IT WENT WELL RES0137-047 AND WAS SHE AT TERM OR PREMATURE RES0137-048 SHE WAS AT TERM SHE WAS BORN AT TERM RES0137-049 WAS IT A VAGINAL DELIVERY OR A C SECTION RES0137-050 VAGINAL RES0137-051 AND DID SHE HAVE TO STAY IN THE NICU AT ALL AT THE HOSPITAL AFTERWARDS RES0137-052 NO RES0137-053 OKAY AND IS SHE FEEDING WELL LIKE WHAT DOES SHE USUALLY EAT RES0137-054 SHE'S FEEDING WELL SHE'S DOING SHE EATS EVERYTHING RES0137-055 AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RES0137-056 NO RES0137-057 AND DOES ANYONE SMOKE IN THE HOUSE RES0137-058 HER DAD BUT HE HE DOESN'T SMOKE IN FRONT OF HER RES0137-059 AND WHAT'S HER LIVING SITUATION LIKE WHO DOES SHE LIVE WITH AND DO YOU LIVE IN A HOUSE APARTMENT RES0137-060 OH WE LIVE IN AN APARTMENT IT'S ME MY PARTNER HER AND THE CAT OKAY RES0137-061 AND ANY DIFFICULTIES OR COMPLICATIONS WITH HER GROWTH LIKE IN TERMS OF HER WEIGHT OR HER HEIGHT RES0137-062 NO NO COMPLICATIONS SHE'S DOING OKAY RES0137-063 OKAY AND IN TERMS OF HER MILESTONES HAS SHE BEEN MEETING ALL OF THEM ON TIME RES0137-064 YES RES0137-065 OKAY ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS RES0137-066 NO RES0137-067 SO BASED ON THE SYMPTOMS OH SORRY I FORGOT TO ASK ONE OTHER QUESTION HAS SHE ARE HER IMMUNIZATIONS ALL UP TO DATE RES0137-068 OH NO NO I DON'T I DON'T GET THOSE MY FRIEND'S MY FRIEND'S DAUGHTER DEVELOPED AUTISM AND I'M JUST I DON'T WANT THAT YOU KNOW SO NO I DON'T VACCINATE MY KIDS OR I DON'T VACCINATE MY DAUGHTER AND I HAVEN'T BEEN NO I WON'T BE DOING THAT RES0137-069 AND HAVE YOU BEEN VACCINATED THROUGHOUT YOUR LIFE RES0137-070 MAYBE WHEN I WAS YOUNG BUT I I DON'T I JUST DON'T BELIEVE IN VACCINATIONS I NO I DON'T I DON'T GET THOSE RES0137-071-1 SO THERE IS DEFINITELY THERE'S A LOT OF RESEARCH DONE BESIDE BEHIND VACCINATIONS AND A LOT OF PREVENTION GOES INTO THEM BUT DEFINITELY THERE IS SOME ANECDOTAL EVIDENCE OF VERY LOOSE ASSOCIATIONS TO RES0137-071-2 AUTISM THAT HAVE BEEN FOUND TO BE INVALID AND LIKE THEY HAVE BEEN INVALIDATED BY THE RESEARCH SO DEFINITELY IT'S VERY IMPORTANT TO GET YOUR CHILD VACCINATED IN FACT THE SUM OF THE SYMPTOMS THAT YOUR CHILD MAY BE HAVING RIGHT NOW RES0137-071-3 CAN BE CAUSED BY SOMETHING CALLED PERTUSSIS AND THERE'S USUALLY A VACCINATION FOR THAT LIKE AFTER PREGNANCY AS WELL SO THAT'S SOMETHING THAT IS DEFINITELY ON THE DIFFERENTIAL RES0137-071-4 AND AT THIS TIME WE DEFINITELY NEED TO MAKE SURE SHE'S OKAY AND GET HER VITALS DONE SEE HER OXYGENATION SATURATION AND JUST DO SUPPORTIVE CARE WHILE SHE'S IN THE HOSPITAL AND WE MAY NEED TO ADMIT HER RES0137-071-5 BUT WE'LL DO THE FULL PHYSICAL EXAMINATION TODAY GET A COVID SWAB DONE AS WELL AND USUALLY IT SHE'S CURRENTLY IN THE IT SEEMS TO BE THE SECOND PHASE WHERE SHE'S VOMITING AND COUGHING A LOT RES0137-071-6 AND THEN IT USUALLY AFTER THAT PHASE TWO OR THREE MORE WEEKS OF JUST COUGHING AND SO WE'RE GOING TO DO SOME SUPPORTIVE CARE FOR HER RIGHT NOW BUT DEFINITELY YOU SHOULD CONSIDER VACCINATING RES0137-071-7 YOUR CHILD WE RECOMMEND THAT TO EVERY PARENT AS THERE'S A LOT OF DISEASES OUT THERE THAT CAN BE COMPLETELY PREVENTED IF YOU VACCINATE YOUR CHILD RES0137-072 OKAY I'LL THINK ABOUT IT RES0137-073 ALRIGHT SO SO FOR NOW WE'RE GONNA JUST MAKE SURE THAT SHE'S DOING WELL OKAY RES0137-074 SURE RES0137-075 ALRIGHT TAKE CARE RES0138-000 WHAT BRINGS YOU IN HERE TODAY RES0138-001 I'VE JUST HAD DIFFICULTIES WITH BREATHING FOR THE PAST I WANT TO SAY EIGHT NINE MONTHS AND MY WIFE JUST TOLD ME TO COME IN IT'S JUST SHE WAS WORRIED ABOUT IT AND I THOUGHT I'D JUST COME IN AND HAVE IT CHECKED OUT RES0138-002 OKAY SO IT'S BEEN GOING ON FOR THE LAST EIGHT TO NINE MONTHS HAS IT BEEN GETTING WORSE AT ALL RES0138-003 I WOULD THINK SO I WOULD SAY SO SO RES0138-004 SORRY GO ON RES0138-005 SO IT WAS JUST I FEEL LIKE I JUST GET SHORT OF BREATH MORE EASILY NOW RES0138-006 OKAY AND IS IT SHORT OF BREATH WITH ACTIVITIES OR ARE YOU GETTING SHORT OF BREATH WITH SITTING OR RESTING AS WELL RES0138-007 SO WHEN I'M WHEN I'M WITH ACTIVITY RES0138-008 WITH ACTIVITY OKAY AND THE COUGH THAT YOU'RE GETTING IS IT A WET COUGH OR A DRY COUGH RES0138-009 IT'S A DRY COUGH RES0138-010 OKAY AND ARE YOU BRINGING UP ANY MATERIAL AT ALL LIKE ANY YELLOW OR GREEN SPUTUM RES0138-012 ANY BLOOD RES0138-013 NO NO BLOOD RES0138-014 NO BLOOD OKAY AND WITH YOUR SHORTNESS OF BREATH IS IT ARE YOU HAVING DIFFICULTY TAKING DEEP BREATHS OR DO YOU FIND THAT YOU'RE TAKING MORE FAST SHALLOW BREATHS RES0138-015 JUST I GUESS JUST SHALLOW BREATHS RES0138-016 OKAY OKAY AND SO THIS IS OVER THE LAST EIGHT OR NINE MONTHS HAVE YOU NOTICED ANY OTHER SYMPTOMS AT ALL LIKE CHEST PAIN DIZZINESS OR FAINTING NO RES0138-017 NO RES0138-018 OKAY AND DO YOUR SYMPTOMS GET GET WORSE AT ALL WHEN YOU'RE LYING FLAT LIKE WHEN YOU'RE SLEEPING RES0138-019 NO RES0138-020 NO AND DO YOU EVER WAKE UP GASPING FOR AIR RES0138-021 NO RES0138-022 OKAY AND HAVE YOU TRIED ANYTHING THAT'S HELPED YOU RELIEVE SOME OF THESE SYMPTOMS RES0138-023 SORRY COULD YOU SAY THAT AGAIN RES0138-024 HAVE YOU TRIED ANYTHING LIKE OVER THE COUNTER TO HELP YOU RELIEVE THESE SYMPTOMS RES0138-025 NO NO I HAVEN'T RES0138-026 HAVE YOU TRAVELED AT ALL RECENTLY RES0138-027 NO RES0138-028 HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK RES0138-029 NO NOT REALLY I I DID GO OUT TO THE PHARMACY TO GET MY MEDICATIONS BUT THAT'S THAT'S THE ONLY TIME I ACTUALLY INTERACT WITH ANYONE OUTSIDE OF MY HOME RES0138-030 AND WHAT WHAT MEDICATIONS DO YOU TAKE RES0138-031 I JUST TAKE ASPIRIN RES0138-032 ASPIRIN OKAY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0138-033 I HAD A HEART ATTACK RES0138-034 OH OKAY WELL WHEN WAS THAT RES0138-035 LAST YEAR RES0138-036 LAST YEAR WELL I'M SO SORRY AND DID THEY GIVE YOU ANY MEDICATIONS TO GO ON AFTER THAT RES0138-037 THERE THERE WERE A COUPLE OF OTHER MEDICATIONS AS WELL SOMETHING SOMETHING SOMETHING PRIL AND I THINK THERE'S ROSUVASTATIN RES0138-038 OKAY AND DO YOU STILL TAKE THOSE RES0138-039 I TAKE THOSE SOMETIMES I FORGET THAT I DO I TRY TO TAKE THEM AS MUCH AS I CAN RES0138-040 OKAY AND YOU ALSO TAKE THE ASPIRIN ALRIGHT HAVE YOU NOTICED ANY FEVERS OR CHILLS RES0138-041 NO RES0138-042 NAUSEA OR VOMITING RES0138-043 NOPE RES0138-044 AND ANY CHEST PAIN RES0138-046 NO NO OKAY ANY INCREASED FATIGUE RES0138-047 NO RES0138-048 ANY DIARRHEA OR CONSTIPATION RES0138-049 NO RES0138-050 ANY NUMBNESS OR TINGLING ANYWHERE RES0138-051 NO RES0138-052 ANY CONFUSION OR MEMORY LIKE MEMORY LOSS RES0138-053 NO I DON'T THINK SO RES0138-054 ANY TROUBLE URINATING RES0138-056 OKAY HAVE YOU NOTICED ANY SWELLING IN YOUR FEET ANKLES LEGS AT ALL RES0138-057 NO RES0138-058 OKAY AND HOW'S YOUR APPETITE BEEN LIKE RES0138-059 IT'S BEEN IT'S BEEN THE SAME RES0138-060 OKAY AND ANY SIGNIFICANT WEIGHT CHANGES HAVE YOU LOST ANY WEIGHT RES0138-061 NO RES0138-062 NO ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR ENVIRONMENT RES0138-063 NOT RIGHT NOW WHEN I WAS YOUNG RES0138-064 OKAY NOW DID YOU SO DID YOU HAVE EXPOSURE TO FUMES OR DUST RES0138-065 I USED TO WORK IN A MINE SO RES0138-066 A MINE RES0138-067 LOTS OF CHEMICALS AND THINGS LIKE THAT RES0138-068 OKAY AND ANY EXPOSURE TO ANY PETS OR ANIMALS RES0138-069 NO RES0138-070 BESIDES YOUR MEDICAL HISTORY OF HAVING A HEART ATTACK AND SOME BLOOD PRESSURE ANY OTHER MEDICAL CONDITIONS RES0138-071 I JUST HAVE HIGH BLOOD PRESSURE RES0138-072 OKAY ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES RES0138-073 NO RES0138-074 OKAY ANY HOSPITALIZATIONS BESIDES WHEN YOU HAD A HEART ATTACK PREVIOUSLY RES0138-075 NO RES0138-076 ANY SURGERIES RES0138-077 NO RES0138-078 OKAY DID THEY TELL YOU AT ALL WHAT THE CAUSE OF YOUR HEART ATTACK WAS RES0138-079 THEY JUST THEY SAID IT WAS MY MY DIET RES0138-081 SOMETHING ABOUT CHOLESTEROL RES0138-082 DID YOU REQUIRE ANY STENTS OR DID YOU HAVE TO GET A BYPASS SURGERY OR ANYTHING LIKE THAT RES0138-083 THEY PUT IN I THINK THEY PUT IN STENTS RES0138-084 STENTS OKAY ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS RES0138-085 MY MOM HAD HEART FAILURE RES0138-086 OKAY AND HOW OLD WAS SHE WHEN SHE HAD HER HEART FAILURE RES0138-087 SHE WAS YOUNG SHE WAS FIFTY FIVE RES0138-088 FIFTY FIVE OKAY AND CURRENTLY RIGHT NOW OR SORRY DO YOU HAVE ANY FAMILY HISTORY OF ANY CANCERS ANY LUNG CANCER OR ANYTHING LIKE THAT RES0138-089 NO RES0138-090 AND CURRENTLY DO YOU WORK OR ARE YOU RETIRED RES0138-091 I'M RETIRED RES0138-092 OKAY AND WHAT'S YOUR LIVING SITUATION LIKE RIGHT NOW DO YOU LIVE WITH ANYONE RES0138-093 I LIVE WITH MY WIFE RES0138-094 OKAY AND DO YOU SMOKE RES0138-095 NO RES0138-096 HAVE YOU EVER SMOKED RES0138-097 I DID WHEN I WAS YOUNG RES0138-098 HOW LONG WOULD YOU SAY YOU SMOKED FOR RES0138-099 I'D SAY FORTY FIVE YEARS RES0138-100 AND HOW MUCH WOULD YOU SMOKE IN AN AVERAGE DAY RES0138-101 ABOUT A PACK A DAY RES0138-102 ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0138-103 NO RES0138-104 AND DO YOU DRINK ALCOHOL RES0138-105 I DO I'LL I'LL DRINK A GLASS AT NIGHT EVERY NIGHT RES0138-106 AND A GLASS OF WHAT WOULD YOU DRINK RES0138-107 OH JUST A A GLASS OF WINE WHITE WINE RES0138-108 OKAY SO THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY ANY QUESTIONS FOR ME RES0138-109 NO RES0138-110 OKAY SO THERE'S DEFINITELY LIKE THE COUGHING AND SHORTNESS OF BREATH ARE DEFINITELY CONCERNING AND THEY'VE BEEN GOING ON FOR A PRETTY LONG TIME DO YOU EVER HAVE ANY NIGHT SWEATS OR ANYTHING LIKE THAT RES0138-111 NO RES0138-112-1 OKAY SO THERE'S A FEW THINGS THAT WE THINK ABOUT WITH THE CHRONIC SHORTNESS OF BREATH AND A COUGH ONE COULD BE JUST A COPD DIAGNOSIS WITH YOUR LONG HISTORY OF SMOKING RES0138-112-2 AND THIS PULMONARY FUNCTION TEST GET AN X RAY CHEST X RAY AS WELL ANOTHER THING THAT WE NEED TO LOOK OUT FOR IS LUNG CANCER AND SINCE YOU HAVE BEEN SMOKING FOR A PRETTY LONG TIME RES0138-112-3 EVEN THOUGH YOU MAY HAVE QUIT WHICH IS REALLY GREAT BUT THAT LONG HISTORY OF SMOKING ESPECIALLY ALSO WITH YOU WORKING IN A MINE RES0138-112-4 THOSE ARE SOME THINGS THAT MEANS WE CAN TEST AS WELL AND SO WE MAY REQUIRE LIKE A CHEST X RAY AND EVEN A CT SCAN OF YOUR LUNGS AS WELL SO FIRST WE'LL JUST DO A COUPLE TESTS DO A PHYSICAL EXAMINATION GET RES0138-112-5 YOUR VITALS DO SOME BLOOD WORK AND DO SOME OF THOSE TESTS AND THEN WE'LL ALSO GET A COVID SWAB TEST DONE FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD RES0138-113 ALRIGHT SO WE'LL BE WITH YOU SHORTLY RES0141-000 HOW CAN I HELP YOU TODAY RES0141-001-1 HI SO I JUST CAME IN TODAY BECAUSE I'VE BEEN JUST BEEN FEELING LIKE MY HEAD'S JUST BEEN HURTING FOR THE PAST THREE OR FOUR DAYS AND I ALSO FELT REALLY COLD THROUGHOUT THE DAY FOR THE LAST FEW DAYS AS WELL SO RES0141-001-2 I DID END UP CHECKING MY TEMPERATURE JUST YESTERDAY AFTERNOON AND IT WAS THIRTY EIGHT POINT SEVEN DEGREES CELSIUS RES0141-002 OKAY TELL ME ABOUT THE HEADACHE WHERE EXACTLY IS IT RES0141-003 SO IT'S KIND OF JUST THROUGHOUT LIKE THE FRONT OF MY FOREHEAD AND IT KIND OF GOES TO THE SIDE INTO MY TEMPLE RES0141-004 AND WHAT DOES IT FEEL LIKE RES0141-005 IT FEELS LIKE A CONSTANT ACHING I'VE HAD MIGRAINES BEFORE BUT THEY LIKE IT'S NOT LIKE THE PULSATING SENSATION THAT I USUALLY GET WITH THEM RES0141-006 I SEE OKAY AND HOW SEVERE IS THE PAIN IF YOU HAD TO RATE IT FROM ONE TO TEN RES0141-007 MORE THAN LIKE SEVERE IT'S DEFINITELY LESS SEVERE THAN MY MIGRAINES BUT IT IT'S JUST CONSTANT IT'S IT'S JUST BEEN THERE FOR THE LAST FOUR DAYS AND I WOULD SAY PROBABLY A SIX OUT OF TEN RES0141-008 DID YOU DO ANYTHING FOR THE PAIN DID YOU TAKE ANY MEDICATIONS ANYTHING THAT MAKES IT BETTER RES0141-009 I TOOK A TYLENOL I TOOK ADVIL IT HELPS FOR LIKE A FEW HOURS AND THEN IT JUST COMES BACK RES0141-010 AND ANYTHING THAT MAKES THE PAIN WORSE RES0141-011 I DEFINITELY THINK JUST IF I REST IT'S BETTER IF BUT IF I'M LIKE LIKE I CAN'T I CAN'T CONCENTRATE ON WORK OR LIKE ANYTHING RES0141-012 OKAY AND OTHER THAN THE THE FEVER AND HEADACHES RES0141-016 RUNNY NOSE OR CONGESTION RES0141-017 NO SORE THROAT RES0141-018 CHANGES IN YOUR SENSE OF SMELL RES0141-019 I DO ACTUALLY FEEL LIKE I LIKE I AM LOSING MY SMELL TODAY RES0141-021 SENSE OF TASTE I JUST HAD BREAKFAST TODAY SO BREAKFAST WAS OKAY I DIDN'T UMMBUT DEFINITELY SENSE OF SMELL RES0141-022 OKAY AND ANY DIFFICULTIES BREATHING RES0141-023 NO RES0141-024 OKAY ANY CHEST PAIN RES0141-025 NO RES0141-026 DO YOU FEEL LIKE YOUR HEART IS RACING RES0141-027 NO RES0141-028 ANY DIARRHEA OR CONSTIPATION RES0141-029 NO RES0141-030 NAUSEA OR VOMITING RES0141-031 NO RES0141-032 PAIN IN YOUR BELLY RES0141-033 NO RES0141-034 ANY MUSCLE ACHES OR JOINT PAINS RES0141-035 NO NOTHING LIKE THAT RES0141-036 OKAY DO YOU FEEL LIKE YOUR NECK IS STIFF RES0141-037 NO RES0141-038 ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FINGERS OR TOES RES0141-039 NO RES0141-040 ANY NIGHT SWEATS OR WEIGHT LOSS UNINTENTIONAL RES0141-041 NO I'VE ONLY BEEN GAINING WEIGHT RES0141-042 OKAY ANY FLUID IN YOUR ANY SORT OF SWELLING IN YOUR LEGS RES0141-043 NO NOTHING LIKE THAT REALLY RES0141-044 OKAY ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0141-045 YES SO I HAVE TYPE TWO DIABETES I WAS JUST RECENTLY STARTED ON METFORMIN MEDICATION RES0141-046 WHEN WERE YOU STARTED ON METFORMIN RES0141-047 SO I THINK AROUND IT'S BEEN AROUND TWO MONTHS RES0141-048 OKAY HOW IS THAT GOING FOR YOU ARE YOU TOLERATING IT OKAY RES0141-049 I'VE I'VE BEEN TOLERATING IT WELL IT'S JUST THEY THEY SAID LIKE I'M KIND OF JUST ON THE EDGE OF THE DIABETES LIKE MY LEVEL SO THEY JUST WANT TO ACT PROACTIVELY RES0141-050 THAT'S GOOD ANY OTHER MEDICAL CONDITIONS RES0141-051 NO THAT'S THAT'S ALL RES0141-052 ANY MEDICATIONS OTHER THAN METFORMIN THAT YOU TAKE ANYTHING OVER THE COUNTER RES0141-053 SO I DO TAKE WHEN MY MIGRAINES GET BAD LIKE I DO TAKE I HAVE TAKEN NAPROXEN BEFORE RES0141-054 OKAY SURGERIES RES0141-055 NO SURGERIES RES0141-056 HOSPITALIZATIONS RES0141-057 NO RES0141-058 OKAY ANY ALLERGIES TO MEDICATIONS FOODS OR ANY ENVIRONMENTAL ALLERGIES RES0141-059 NOT TO ANY MEDICATIONS BUT I DO HAVE AN ALLERGY TO PEANUTS RES0141-060 OKAY WHAT HAPPENS RES0141-061 I DO GET LIKE A AN ANAPHYLACTIC REACTION RES0141-062 OKAY OKAY AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RES0141-063 SO ON MY DAD'S SIDE THEY LIKE ALL LIKE ALL THE MEN SEEM TO HAVE DIABETES SO IT'S GOOD THAT I'M STARTING ON THE MEDICATION ON MY MOM'S SIDE THEY'RE PRETTY HEALTHY I DON'T THINK MY MOM HAS ANY MEDICAL CONDITIONS RES0141-064 OKAY GOOD AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE RES0141-065 SO I LIVE WITH MY WIFE I LIVE WITH MY TWO KIDS A SON AND DAUGHTER RES0141-066 AND HAVE YOU OR ANY OF THEM HAD ANY EXPOSURES TO ANYONE WHO COULD POSSIBLY BE SICK RES0141-067 JUST SO MY WIFE IS A SCHOOL TEACHER AND THEY DID HAVE IN PERSON JUST SHE'S A HIGH SCHOOL TEACHER AND THEY HAD SOME THEY HAVE IN PERSON CLASSES SO I DON'T KNOW BUT SHE'S BEEN FEELING WELL MY KIDS ARE FEELING WELL TOO RES0141-068 OKAY AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE RES0141-069 NO RES0141-070 AND DO YOU CURRENTLY SMOKE OR DID YOU EVER SMOKE IN THE PAST RES0141-071 NO I'VE NEVER SMOKED I DO SMOKE MARIJUANA JUST MAYBE ONCE OR TWICE A MONTH WITH SOME FRIENDS RES0141-072 OKAY ANY RECREATIONAL DRUGS RES0141-073 SORRY NO RES0141-074 ANY ALCOHOL RES0141-075 I PROBABLY DRINK A COUPLE OF BEERS DURING THE WEEKEND RES0141-076-1 OKAY GOT IT ALRIGHT WELL GIVEN YOUR SYMPTOMS WE WOULD LIKE TO DO A COVID SWAB JUST IN RES0141-076-2 OR REQUEST A COVID SWAB TO BE DONE THROUGH PUBLIC HEALTH JUST TO JUST TO RULE IT OUT YOUR SYMPTOMS DO SOUND LIKE OR OVERLAP WITH SOME OF THE SYMPTOMS THAT ARE SEEN RES0141-076-3 IN PATIENTS WHO DO HAVE COVID IT COULD BE THAT YOU HAVE JUST JUST I GUESS LIKE RES0141-076-4 YOUR HEADACHE AND FEVER I'LL ALSO LIKE DO A PHYSICAL EXAM TO SEE THERE'S NOTHING ELSE GOING ON RES0141-076-5 BUT IN THE MEANTIME I I'D LIKE YOU TO SELF ISOLATE AND STAY AWAY FROM THE REST OF YOUR FAMILY MEMBERS AS WELL AT LEAST UNTIL THE RESULTS ARE OUT AND THEN WHEN THE RESULTS ARE OUT IF IT'S POSITIVE YOU'LL RECEIVE MORE GUIDELINES FROM PUBLIC HEALTH AS TO WHAT YOU NEED TO DO RES0141-077 OKAY SOUNDS GOOD AND I WORK FROM HOME SO I DON'T NEED TO RES0141-081 THANK YOU RES0142-000 WHAT CAN I DO FOR YOU RES0142-001 HI SO I I JUST CAME HERE TODAY BECAUSE I'VE JUST BEEN FEELING LIKE I HAVE THIS REALLY SORE THROAT FOR THE LAST WEEK AND I'VE ALSO BEEN GETTING SOME CHILLS OVER THE LAST FEW NIGHTS AS WELL SO I JUST CAME TO CHECK IT OUT RES0142-002 OKAY AND WHEN DID SO YOUR SORE THROAT STARTED A WEEK AGO WHAT ABOUT THE CHILLS RES0142-003 CHILLS I'VE BEEN FEELING THEM OVER THE LAST FEW NIGHTS AND I'VE ALSO JUST BEEN FEELING VERY TIRED AND OVER THE LAST WHOLE WEEK AS WELL RES0142-004 OKAY HAVE YOU HAD ANY DIFFICULTIES SWALLOWING RES0142-005 I DEFINITELY FEEL LIKE I DO GET SOME PAIN ONES FOLLOWING BUT IT MAY BE JUST WITH THE SORE THROAT RES0142-006 AND HAVE YOU HAD HAVE YOU HAD ANY HEADACHES RES0142-007 NO HEADACHES RES0142-008 ANY STUFFY NOSE OR RUNNY NOSE RES0142-009 NO NOTHING LIKE THAT RES0142-010 NO SINUS CONGESTION RES0142-011 NO RES0142-012 OKAY WHAT ABOUT COUGH RES0142-013 NO NOT NOT NO COUGH REALLY I'VE ALSO NOTICED ALSO LIKE THE BACK OF MY THROAT WHEN I LOOK IN THE MIRROR IS LIKE JUST VERY RED AND LIKE ANGRY LOOKING RES0142-014 AND ANY DIFFICULTIES BREATHING RES0142-015 NO RES0142-016 ANY PAIN IN YOUR CHEST RES0142-017 NO RES0142-018 DO YOU FEEL LIKE YOUR HEART IS RACING RES0142-019 NO NOTHING LIKE THAT RES0142-020 ANY CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY OR ANY URINARY CONCERNS RES0142-021 NO RES0142-022 NO BELLY PAIN OR MUSCLE ACHES RES0142-023 NO NOTHING LIKE THAT RES0142-024 ALRIGHT SO ARE YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0142-025 NO I'VE BEEN PRETTY HEALTHY ALL MY LIFE RES0142-026 ANY MEDICATIONS THAT YOU'VE BEEN ON RES0142-029 ALLERGIES RES0142-030 NO ALLERGIES OKAY AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY RES0142-031 I THINK MY MOM HAS DIABETES BUT THAT'S ABOUT IT RES0142-032 OKAY AND WHO DO YOU CURRENTLY LIVE WITH OR DO YOU LIVE ALONE RES0142-033 I LIVE WITH MY MOM RES0142-034 ANYONE ELSE AT THE HOUSE RES0142-035 NO IT'S JUST US TWO RES0142-036 ALRIGHT AND ANY RECENT EXPOSURES TO ANYONE WHO MIGHT BE SICK RES0142-037 MY MY BOYFRIEND HE KIND OF HAD SIMILAR SYMPTOMS I WOULD SAY A FEW WEEKS AGO RES0142-038 AND DID HE DID HE GET DID HE SEE A DOCTOR RES0142-039 NO HE DIDN'T WANT TO GO TO THE DOCTOR AND IT KIND OF JUST RESOLVED LIKE HE IT WENT AWAY ON ITS OWN RES0142-040 OKAY ALRIGHT AND DO YOU DO YOU DRINK RES0142-041 JUST ON THE WEEKENDS MAYBE SOME WINE RES0142-042 AND WHAT ABOUT MARIJUANA RES0142-043 JUST SOCIALLY LIKE RIGHT NOW THERE'S NO PARTIES BUT LIKE WHEN I'M AT PARTIES RES0142-044 WHAT ABOUT ALCOHOL RES0142-045 SO JUST SOCIALLY AGAIN RES0142-047 RIGHT NOW WITH MY MOM DRINKING EVERY NOW AND THEN RES0142-048 I SEE OKAY ALRIGHT WELL THAT'S ALL THE QUESTIONS I HAD AND SORRY ONE MORE HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS SO FAR RES0142-049 I'VE BEEN HAVING ALL MY IMMUNIZATIONS I ALSO FEEL LIKE SO WITH A SORE THROAT I ALSO HAVE SOME PAIN ON THE SIDES LIKE ON MY ON MY NECK LIKE I ALMOST FEEL LIKE SOME LUMPS ON BOTH SIDES RES0142-050-1 OH I SEE I SEE OKAY OKAY SO I GUESS I AT THIS POINT I WOULD LIKE TO MAYBE HAVE IT EXAMINE YOU JUST HAVE A LOOK INSIDE YOUR THROAT MAYBE FEEL YOUR NECK FOR THOSE LUMPS AND THEN DECIDE WHAT TO DO FROM THERE RES0142-050-2 GIVEN YOUR SYMPTOMS THIS COULD BE A VIRAL INFECTION OR IT COULD BE A BACTERIAL INFECTION CAUSED BY BACTERIA CALLED OR I GUESS STREP STREP THROAT IT COULD ALSO BE MONO RES0142-050-3 BUT I'LL I'LL HAVE A LOOK WE'LL DO THE RAPID STREP TEST AND BASED ON THOSE RESULTS WE'LL DECIDE WHAT TO DO IF IT IS STREP YOU MIGHT REQUIRE ANTIBIOTICS IF NOT IF IT'S MONO AND IF WE CAN DO MAYBE A BLOOD TEST FOR THAT RES0142-050-4 YOU MIGHT HAVE TO NOT ENGAGE IN IN PHYSICAL ACTIVITY OR EXERCISE VIGOROUS ACTIVITY OR LIKE SPORTS FOR THE NEXT COUPLE OF WEEKS OR MONTHS AS AS THAT CAN BE RES0142-050-5 AS THAT CAN CAUSE PROBLEMS IF YOU GET HIT IN THE IN YOUR BELLY IT COULD CAUSE YOUR SPLEEN TO RUPTURE AND SOMETIMES YOUR SPLEEN BECOME VERY BIG IF YOU DO HAVE MONO BUT WE'LL DISCUSS ALL OF THAT A LITTLE BIT MORE AFTER WE DO RES0142-050-6 THE THE STREP TEST WE'LL ALSO CHECK YOUR TEMPERATURE AND SEE HOW YOU'RE DOING HAVE YOU BEEN TAKING ANYTHING TO HELP YOURSELF TO HELP SOOTHE YOUR SORE THROAT RES0142-051 JUST SOME LOZENGES RES0142-052 SO JUST CONTINUE JUST DRINKING WATER AND TAKING LOZENGES JUST TO PROVIDE SOME COMFORT FOR YOURSELF AND WE'LL DO THE TEST THEN WE CAN CHAT A BIT MORE AFTER RES0142-053 OKAY SOUNDS GOOD THANK YOU SO MUCH RES0143-000 WHAT CAN I DO FOR YOU TODAY RES0143-001 HI SO I JUST CAME HERE TODAY I'VE BEEN HAVING THIS COUGH FOR THE LAST TWO WEEKS AND IT JUST IS NOT GOING AWAY I'VE ALSO BEEN GETTING LIKE JUST A RUNNY NOSE FOR THE LAST COUPLE I WOULD TAKE THE WHOLE WEEK ALL OF LAST WEEK RES0143-002 OKAY SO CAN YOU TELL ME ABOUT YOUR COUGH RES0143-003 GO ON SORRY RES0143-004 SO IT'S MORE OF JUST LIKE A DRY COUGH I'M NOT REALLY BRINGING ANYTHING UP RES0143-005 NO BLOOD RES0143-006 NO RES0143-007 OKAY AND THE RUNNY NOSE WHAT WHAT'S THE DISCHARGE LIKE RES0143-008 IT'S IT'S PRETTY CLEAR IT MIGHT BE LIGHT BUT IT'S NOT LIKE GREEN OR YELLOW OR ANYTHING LIKE THAT RES0143-009 AND SO YOU'VE HAD THIS COUGH FOR TWO WEEKS AND THE RUNNY NOSE JUST STARTED LAST WEEK HAS THE COUGH IMPROVED OVER THE PAST TWO WEEKS RES0143-010 IT HAS LIKE IT WAS MUCH WORSE LAST WEEK BUT I I JUST CAN'T GET LIKE IT'S BETTER NOW BUT IT'S STILL LASTING MUCH LONGER THAN I'VE HAD A COUGH BEFORE RES0143-011 OKAY AND HAVE YOU HAD A HEADACHE AT ALL IN THESE PAST TWO WEEKS RES0143-012 NO I DIDN'T HAVE A HEADACHE BUT SOMETIMES I FEEL A BIT CONGESTED RES0143-013 AND HAVE YOU HAD ANY CHANGES IN YOUR VISION OR YOUR LIKE BLURRY VISION OR ANY REDNESS IN YOUR EYES OR TEARING RES0143-014 NO NOTHING LIKE THAT RES0143-015 OKAY ANY CHANGES IN SMELL RES0143-016 NOPE RES0143-017 OKAY ANY CHANGE IN TASTE RES0143-018 NO BUT SORRY FOR SMELL LIKE WHEN I WAS A BIT CONGESTED I I COULD SMELL LESS I WASN'T ABLE TO SMELL TOO MUCH BUT TASTE HAS BEEN FINE RES0143-019 ALRIGHT AND WHAT ABOUT SORE THROAT RES0143-020 NO NO NO SORE THROAT RES0143-021 OKAY WHAT ABOUT ANY DIFFICULTIES WITH BREATHING RES0143-022 NO NOTHING LIKE THAT RES0143-023 ANY CHEST PAIN RES0143-025 PALPITATIONS OR RACING OF YOUR HEART RES0143-026 NO RES0143-027 ANY PAIN IN YOUR BELLY RES0143-028 NO RES0143-029 NAUSEA OR VOMITING RES0143-031 DIARRHEA OR CONSTIPATION RES0143-032 NO RES0143-033 ANY ACHES IN YOUR ANY MUSCLE ACHES RES0143-034 NO RES0143-035 ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FEET RES0143-036 NOPE RES0143-037 OKAY ANY FEVERS OR CHILLS RES0143-038 NO NOT REALLY LAST WEEK I MAYBE HAD A TWO NIGHTS I WAS A BIT CHILLY BUT SINCE THEN I'VE BEEN FINE RES0143-039 OKAY AND ANY NIGHT SWEATS RES0143-041 NO UNINTENTIONAL WEIGHT LOSS RES0143-042 NO MY WEIGHT'S BEEN THE SAME RES0143-043 OKAY ALRIGHT AND SO IT SOUNDS LIKE YOU HAVE A COUGH THAT STARTED TWO WEEKS AGO AND THEN YOU ONLY AND THEN YOU HAD TWO NIGHTS OF TWO NIGHTS WHERE YOU FELT SORT OF COLD AND YOU HAD THE CHILLS LAST WEEK BUT YOU STARTED YOU DEVELOPED A RUNNY NOSE A WEEK AGO RES0143-044 THE RUNNY NOSE HAS BEEN MORE THIS WEEK IT KIND OF LIKE STARTED WITH A COUGH LAST WEEK RES0143-045 IT IT SORRY SO IT STARTED WITH THE COUGH LAST WEEK RES0143-046 SO LATE LAST WEEK I WOULD SAY THE RUNNY NOSE STARTED RES0143-047 I SEE I SEE OKAY ALRIGHT I AND ARE YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0143-048 NO I'VE BEEN COMPLETELY HEALTHY OTHERWISE RES0143-049 ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER OR HERBAL MEDICATIONS OR VITAMINS OR MINERALS RES0143-050 NO NO I DON'T TAKE ANY MEDICATION RES0143-051 ALLERGIES INCLUDING ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES AND ALLERGIES TO MEDICATIONS RES0143-052 NO RES0143-053 AND ANY CONDITIONS MEDICAL CONDITIONS THAT RUN IN THE RES0143-055 MY DAD HAS HIGH CHOLESTEROL AND IN TERMS OF YOUR LIVING SITUATION DO YOU LIVE ALONE RES0143-056 RIGHT NOW I'M I USUALLY LIVE IN A DORM GOING TO UNIVERSITY BUT RIGHT NOW I'M HOME WITH MY PARENTS JUST DOING VIRTUAL LEARNING RES0143-057 OKAY OKAY AND HAVE YOU IS THERE ANYONE ELSE AROUND IN THE HOME OR JUST YOUR PARENTS AND YOU RES0143-058 JUST MY PARENTS AND ME RES0143-059 ALRIGHT HAVE YOU HAVE YOU BEEN AROUND SOMEONE WHO MIGHT BE SICK OR HAVE YOUR PARENTS BEEN AROUND SOMEONE WHO COULD BE SICK RES0143-060 MY MOM HAD THE SNIFFLES LIKE LAST WEEK BUT SHE PRETTY MUCH GOT OVER IT RES0143-061 DID SHE GET TESTED FOR COVID RES0143-062 NO SHE SHE DIDN'T BUT IT'S NOT LIKE IT'S JUST MORE SHE JUST THOUGHT IT WAS A COLD OR SOMETHING SO SHE DIDN'T REALLY BOTHER RES0143-063 THAT'S FAIR OKAY AND DO YOU SO I SEE THAT YOU GO TO SCHOOL AND YOU MENTIONED YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE THE PROVINCE RES0143-064 NO NOT AT ALL MY SCHOOL IS ACTUALLY IN ONTARIO SO RES0143-065 OKAY GREAT AND DO YOU CURRENTLY OR HAVE YOU EVER SMOKED RES0143-066 MAYBE LIKE A COUPLE TIMES JUST CASUALLY I'VE TRIED IT BUT NOTHING REGULAR RES0143-067 AND WHAT ABOUT MARIJUANA RES0143-068 SAME SAME THING LIKE I'VE TRIED IT PROBABLY LIKE FOUR OR FIVE TIMES SO FAR RES0143-069 ANY RECREATIONAL DRUGS RES0143-070 NO RES0143-071 ANY ALCOHOL RES0143-072 JUST NOT NOT MUCH RIGHT NOW BUT LIKE WHEN I WHEN WE WERE AT SCHOOL LIKE WE WOULD DRINK ON THE WEEKENDS RES0143-073-1 THAT'S GOOD ALRIGHT SO IT SOUNDS LIKE YOU'VE HAD A COUGH FOR THE PAST TWO WEEKS AND YOU HAVE DEVELOPED A RUNNY NOSE LAST WEEK RES0143-073-2 AND YOUR MOM WAS ILL THE WEEK BEFORE IT'S POSSIBLE THAT YOU JUST HAVE A COMMON COLD AND THAT SYMPTOMS WILL GET BETTER OVER TIME BUT JUST IN CASE WE WOULD ALSO LIKE TO DO A COVID SWAB RES0143-073-3 TO MAKE SURE THAT YOU JUST TO RULE OUT COVID IN THE MEANTIME I WOULD REQUEST THAT YOU ISOLATE SELF ISOLATE AT HOME STAY AWAY FROM YOUR PARENTS AS WELL RES0143-073-4 THE TEST RESULTS SHOULD COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS AND PUBLIC HEALTH WILL GIVE YOU A CALL IF YOUR RESULTS ARE POSITIVE AND WE'LL LET YOU KNOW WHAT TO DO RES0143-073-5 WE WILL ALSO DO A PHYSICAL EXAM HERE AND CHECK YOUR TEMPERATURE TO SEE IF YOU HAVE A FEVER AT ALL AND YEAH DOES THAT SOUND GOOD TO YOU RES0143-074 AND WILL I NEED ANY LIKE ANTIBIOTICS FOR MY COUGH RES0143-075 OH WELL WE I GUESS YOU SAID THAT YOU DON'T HAVE A SORE THROAT AT ALL RIGHT RES0143-076 NO IT'S JUST THAT I JUST FEEL LIKE THE COUGHS BEEN JUST GOING ON LIKE IT WOULD BE NICE TO JUST GET RID OF IT RES0143-077-1 WELL I'LL DO A PHYSICAL EXAM LOOK INSIDE YOUR THROAT LOOK INSIDE YOUR MOUTH SORRY AND LISTEN TO YOUR CHEST AND ENSURE THAT NOTHING ELSE IS GOING ON THAT YOU DON'T HAVE ANYTHING LIKE SAY STREP THROAT OR MONO OR YOU DON'T HAVE PNEUMONIA BACTERIAL PNEUMONIA FOR INSTANCE OFTENTIMES RES0143-077-2 SYMPTOMS THAT YOU HAVE ARE CAUSED BY VIRUSES AND DON'T NEED TO BE TREATED WITH ANTIBIOTICS BUT I'LL DO A PHYSICAL EXAM AND MAYBE HAVE A LOOK AT YOUR LABS AS WELL AND THEN DECIDE ACCORDINGLY RES0143-078 OKAY SOUNDS GOOD THANK YOU RES0144-000 WHAT CAN I DO FOR YOU TODAY RES0144-001 HI YES I JUST BROUGHT MY SON TO THE ER WE'VE NOTICED IN THE LAST TWO DAYS HE'S BEEN JUST MAKING THESE GRUNTING NOISES AND JUST SEEMS A LITTLE BIT LIKE JUST NOT HIMSELF JUST MORE QUIET NOT REALLY CRYING RES0144-002 OK AND WHEN DID YOU YOU SAID LAST FEW DAYS WHEN WHEN EXACTLY DID YOU FIRST NOTICE THE GRUNTING HOW LONG RES0144-003 IT WAS TWO DAYS AGO RES0144-004 OK TWO DAYS AGO WAS IT WHEN DID YOU HEAR THIS SOUND WHEN YOUR BABY IS TRYING TO BREATHE RES0144-005 TODAY I WAS TRYING TO PAY MORE ATTENTION IT SEEMS LIKE THAT LIKE THIS REALLY TRYING TO BREATHE MORE AND ALSO I LIKE HE'S LIKE THE CHEST I SEE MOVING A LOT MORE RES0144-006 OK AND SO YOU'VE BEEN HEARING THIS GRUNTING SOUND AND HE'S BEEN TRYING TO BREATHE AND YOU SEE THAT HIS CHEST IS MOVING MORE THAN USUAL AND HE'S CRYING HAS HE BEEN SLEEPING WELL OR NO RES0144-007 SO LAST NIGHT IT WAS REALLY HARD TO GET HIM TO SLEEP HE DID SLEEP I WOULD SAY LIKE AROUND LIKE FOUR HOURS LAST NIGHT BUT IT WAS REALLY DIFFICULT RES0144-008 AND WHAT ABOUT FEEDING DOES HE TAKE A FORMULA OR IS HE BREASTFED RES0144-009 SO HE'S HE TAKES FORMULA AND TODAY IT LIKE YESTERDAY HE WAS FEEDING TODAY IT'S BEEN REALLY HARD TO GET HIM TO FEED MAYBE HE FED FOR LIKE ONE OR TWO TIMES BUT NOT MUCH RES0144-010 IT HAPPENS WHEN YOU TRY TO FEED HIM RES0144-011 KIND OF JUST AFTER AWHILE JUST PUSHES IT AWAY NOT REALLY NOT REALLY TOO EXCITED ABOUT FEEDING RES0144-012 OK AND WHAT ABOUT DIAPERS HOW MANY WET DIAPERS HAS HE HAD OVER THE PAST OR YESTERDAY AND TODAY RES0144-013 PROBABLY AROUND THE SAME LIKE USUALLY HAS LIKE FIVE TO SIX WEIGHT DIAPERS AND IT'S AROUND THE SAME RES0144-014 OK OK AND DID YOU TRY ANYTHING I KNOW THAT HE'S SIX MONTHS OLD DID YOU TRY FEEDING HIM ANYTHING NEW OR ANYTHING DIFFERENT RES0144-015 NO IT'S JUST BEEN THE BOTTLE FEEDS RES0144-016 NOTHING NEW RIGHT NO SOLID FOODS YET RES0144-017 NO RES0144-018 OK AND IN TERMS OF HIS ACTIVITIES YOU MENTIONED THAT HE'S NOT AS HE'S NOT MOVING AND AS ACTIVE AS HE USUALLY IS RES0144-019 TODAY I ALSO THOUGHT I FELT THAT IT WAS A BIT WARM WARMER THAN USUAL BUT I DIDN'T HAVE A THERMOMETER AT HOME RES0144-020 OK HAVE YOU NOTICED HAS HE BEEN DROOLING AT ALL RES0144-021 DROOLING RES0144-022 NO I HAVEN'T NOTICED THAT RES0144-023 OK WHAT ABOUT COUGHING RES0144-024 I HAVEN'T HEARD ANY ANY COUGHING NO RES0144-025 OK SORRY IS HE IS ABLE TO SIT UP ON HIS OWN RES0144-026 UP AGAINST LIKE A SOFA OR CHAIR BUT NOT REALLY ON HIS OWN RES0144-027 HAVE YOU EVER BEEN HAS BEEN LEFT ALONE OVER THE PAST TWO DAYS AT SOME POINT DO YOU FEEL LIKE YOU MIGHT HAVE TAKEN SOMETHING IN HIS MOUTH ACCIDENTALLY RES0144-028 NO I I TRIED CHECKING HIS MOUTH LIKE I WAS THERE WITH HIM LIKE ALL ALL THE TIME RES0144-029 NO OK NOTHING LIKE THAT OK HOW HAS HIS IMMUNIZATIONS BEEN SO FAR HAS HE AS HE RECEIVED THEM RES0144-030 HE'S RECEIVED ALL HIS IMMUNIZATIONS UP TO DATE RES0144-031 DID HE HAVE IT HAS HE WAS VACCINATED ANYTIME RECENTLY BECAUSE SOMETIMES YOU SAID HE'S WARM AND SOMETIMES SOMETIMES JUST GETTING VACCINATED CAN CAUSE A REACTION RES0144-032 NO HE WAS VACCINATED LIKE I THINK MORE THAN TWO OR THREE WEEKS AGO RES0144-033 OK ALRIGHT AND YOU SAID NO DIARRHEA OR ANYTHING LIKE THAT RIGHT RES0144-035 OK ANY IS HE DOES HE HAVE ANY NAUSEA OR NOT NAUSEA BUT IS HE VOMITING IS HE BRINGING ANYTHING UP RES0144-036 NO NOT REALLY LIKE HE WAS JUST PUSHING AWAY THE BOTTLE BUT LIKE HE DIDN'T BRING ANYTHING UP RES0144-037 OK HAS HE BEEN LIMP AND LETHARGIC RES0144-038 NO I DON'T THINK SO RES0144-039 OK HAS YOU SAID THAT HE HASN'T HAD HIS FORMULA MUCH BUT WHAT ABOUT DRINKING LIKE HAS HE HAD ANYTHING TO DRINK ANY MILK OR ANYTHING LIKE THAT OR NO RES0144-040 NO I DON'T THINK SO RES0144-041 NO SHE HASN'T HAD MUCH TO EAT AND OR DRINK OVER THE PAST OR TODAY RES0144-042 MOSTLY RES0144-043 SO HE MIGHT BE A LITTLE BIT DEHYDRATED RES0144-044-1 OK OK WELL I I OK SO THAT'S ALL I WANTED TO DO KNOW RES0144-044-2 IN TERMS OF HIS CURRENT STATUS I WOULD OBVIOUSLY WANT TO EXAMINE HIM VERY CAREFULLY AND SEE WHAT'S GOING ON HOW HAS HOW IS HE LIKE JUST GOING BACK HOW WAS YOUR PREGNANCY RES0144-045 PREGNANCY WAS OK NO COMPLICATIONS BUT HE WAS PREMATURE BY TWO WEEKS SO I THINK HE WAS BORN AT THIRTY FIVE AND FOUR DAYS RES0144-046 OK AND WERE THERE ANY COMPLICATIONS AT THAT TIME INCLUDING COMPLICATIONS RELATED TO THE LUNG SOMETHING LIKE RESPIRATORY DISTRESS SYNDROME RES0144-047 SO WHEN HE WAS BORN THERE WAS THEY NEEDED TO DO I FORGOT WHAT IT WAS BUT THEY TOLD ME THAT INITIALLY HE WASN'T BREATHING BUT THEN RIGHT AFTERWARDS AFTER LIKE WITHIN FIVE MINUTES HE WAS FINE RES0144-048 OK WAS HE KEPT IN THE HOSPITAL IN THE NICU AFTER BEING BORN RES0144-049 JUST BECAUSE OF THAT SCARE THEY KEPT HIM FOR THREE MORE DAYS BUT LIKE HE WAS GROWING WHILE THERE WERE NO MORE EPISODES OF THE BREATHING ISSUE SO THEY LET HIM GO AFTER RES0144-050 OK HAS HOW HAS HE BEEN SINCE THEN OVER THE PAST SIX MONTHS RES0144-051 SINCE THEN HE'S BEEN FINE NO WE DIDN'T HAVE TO GO TO THE HOSPITAL OR ANYTHING AND DURING OUR ROUTINE VISITS HE'S BEEN GROWING WELL NO NORMAL ISSUES RES0144-052 ANY ISSUES BECAUSE DEVELOPMENT RES0144-053 NO HE'S BEEN PRETTY LIKE HE'S BEEN MEETING HIS MILESTONES ACCORDING TO LIKE THE FAMILY DOCTOR RES0144-054 HAS HE HAD ANY SURGERIES OR ANY OR NO HOSPITALIZATIONS YOU SAID AND NO NO DIAGNOSIS RIGHT HE HASN'T BEEN DIAGNOSED WITH ANY CONDITION RES0144-055 NO RES0144-056 ALRIGHT CAN YOU TELL ME ABOUT ALLERGIES IS HE ALLERGIC TO ANYTHING THAT YOU'RE AWARE OF RES0144-057 NO NOT THAT I KNOW RES0144-058 OK IS THERE CAN YOU TELL ME ABOUT HIS FAMILY HISTORY ANYTHING THAT YOU MIGHT HAVE OR HIS DAD OR ANYONE ELSE IN THE FAMILY RES0144-059 NO HIM HIS DAD AND I ARE PRETTY HEALTHY NO MEDICAL CONDITIONS RES0144-060 ANYTHING LIKE CYSTIC FIBROSIS IN THE FAMILY RES0144-061 NO NOT THAT I KNOW OF RES0144-062-1 ALRIGHT WELL WE'LL EXAMINE THE CHILD AND LOOK AT HIS VITALS LISTEN TO HIS LUNGS LOOK LOOK INSIDE HIS MOUTH AND THAT'S THIS SOUNDS SERIOUS RES0144-062-2 SO WE'LL KEEP YOU WE'LL KEEP YOU UPDATED AND WE'LL LET YOU KNOW WHAT NEEDS TO BE DONE HE MIGHT NEED POTENTIALLY NEED ANTIBIOTICS HE MIGHT NEED POTENTIALLY TO BE RES0144-062-3 INTUBATED BUT WE WILL HAVE ALL THESE DISCUSSIONS AFTER THE BABY'S BEEN SEEN AND WE'LL DRAW SOME LABS AND GO FROM THERE RES0144-063 OK SOUNDS GOOD RES0145-000 WHAT BRINGS YOU IN TODAY RES0145-001 I'VE HAD A SORE THROAT THAT'S BEEN REALLY BUGGING ME THE PAST FOUR DAYS AND I'VE HAD A COUGH AS WELL RES0145-002 WHEN DID THE COUGH START RES0145-003 SO THE THE THE COUGH STARTED LAST WEEK ACTUALLY AND THEN AND THEN I I GOT THIS SORE THROAT AFTERWARDS RES0145-004 OK AND IS IT A DRY COUGH OR WET COUGH RES0145-005 IT'S DRY RES0145-006 OK AND HAS IT GOTTEN BETTER OR WORSE OR STAYED THE SAME SINCE LAST WEEK RES0145-007 IT'S IT'S GOTTEN A LITTLE BIT LITTLE BIT BETTER RES0145-008 OK THAT'S GOOD AND THE SORE THROAT STARTED FOUR DAYS AGO ARE YOU HAVING ANY DIFFICULTIES SWALLOWING RES0145-010 IT'S REALLY SORE OK AND I GUESS GOING BACK TO THE COUGH DOES IT MAKE IT DIFFICULT FOR YOU TO FALL ASLEEP AT RES0145-011 NIGHT OR DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT RES0145-012 NO I IT HASN'T DONE THAT OK ALRIGHT OTHER AND AND I GUESS THIS SORE THROAT HAS JUST GOTTEN WORSE OVER THE PAST FOUR DAYS OR RES0145-013 HAS BEEN KIND OF THE SAME OR BETTER IT'S GOTTEN A LITTLE IT'S GOTTEN A LITTLE BIT WORSE OVER THE LAST FEW DAYS RES0145-014 OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE HEADACHES STUFFY NOSE RUNNY NOSE ANY DISCHARGE FROM YOUR EYES RED EYES ANY PAIN IN YOUR EARS ANYTHING LIKE THAT RES0145-015 BUT THAT YOU MENTION THAT I I HAVE HAD LIKE SOME ITCHY EYES THAT AND A RUNNY NOSE I WAS SNEEZING QUITE A BIT LAST WEEK BUT THAT HAS KIND OF GONE AWAY NOW RES0145-016 OK AND WERE SNEEZING LAST WEEK AND YOU HAD ITCHY EYES HAD AND THATS GONE OK SO ALL YOU HAVE RIGHT NOW IS THAT COUGH AND SORE THROAT OK RES0145-017 AND I'VE BEEN REALLY LIKE ACHY AND AND TIRED AS WELL RES0145-018 HAVE YOU HAD ANY FEVERS OR CHILLS RES0145-019 I'VE I'VE FELT FEVERISH THESE LAST TWO DAYS RES0145-020 NO CHILLS AND HAVE YOU HAD ANY CHANGES IN YOUR SENSE OF SMELL RES0145-021 NO I HAVEN'T RES0145-022 CHANGES IN YOUR SENSE OF TASTE RES0145-023 NO RES0145-024 OK ALRIGHT AND ANY CHEST PAIN RES0145-027 NO RES0145-028 ANY I GUESS HEADACHE OR ANY PRESSURE IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN OR SQUAT DOWN RES0145-029 NO I HAVEN'T FELT ANYTHING LIKE THAT RES0145-030 OK ANY BELLY PAIN NAUSEA OR VOMITING ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS RES0145-031 NO RES0145-032 OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0145-033 I'VE HAD LIKE TONSILLITIS A FEW TIMES IN THE IN THE PAST THE LAST TIME HAPPENED ABOUT ABOUT SIX MONTHS AGO RES0145-044 OK AND ANY WHEN YOU WERE YOUNGER WOULD YOU HAVE A LOT OF INFECTIONS WHEN YOU WERE A CHILD OR WHEN YOU WERE BORN WERE YOU BORN PREMATURELY WERE THERE ANY COMPLICATIONS AT BIRTH RES0145-045 I DID HAVE A COUPLE OF EAR INFECTIONS WHEN I WAS WHEN I WAS YOUNGER BUT I HAVEN'T HAD ANY SINCE RES0145-046 OK AND NO PNEUMONIA OR ANYTHING LIKE THAT RIGHT RES0145-047 NO NOTHING LIKE THAT RES0145-048 OK ANY HISTORY OF ASTHMA OR ECZEMA OR ALLERGIC RHINITIS RES0145-049 NO I HAVEN'T HEARD OF THOSE BEFORE RES0145-050 ALRIGHT ARE YOU TAKING ANY MEDICATIONS RES0145-051 NO I'M NOT RES0145-052 WERE YOU GIVEN ANY ANTIBIOTICS SIX MONTHS AGO WHEN YOU HAD YOUR TONSILLITIS RES0145-053 I WAS I THINK I I THINK A LIKE AMOXICILLIN RES0145-054 RIGHT AND DO YOU HAVE ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES OR ALLERGIES TO ANY MEDICATIONS RES0145-055 I I HAVE ALLERGIES TO PEANUTS RES0145-056 WHAT HAPPENS RES0145-057 I DO GET ANAPHYLAXIS FROM IT I'VE OR I'LL GET LIKE HIVES AND THROAT SWELLING AND SO I DO RES0145-058 CARRY AN EPIPEN I HAVEN'T HAD TO USE IT THOUGH THAT'S GOOD THAT'S GOOD AND SO COUPLE QUESTIONS ABOUT I GUESS MORE GENERAL QUESTIONS DO YOU WHO DO YOU LIVE WITH AND WHERE RES0145-059 DO YOU LIVE IN A HOUSE OR AN APARTMENT LIVE IN A HOUSE WITH RES0145-060 WITH MY PARENTS AND OLDER SISTER OK AND ARE YOU RES0145-063 I DO YES RES0145-064 OK ARE THINGS GOING WELL AT SCHOOL ANY BULLYING ARE YOU HAPPY WITH YOUR GRADES RES0145-065 THERE EVERYTHING I I MEAN SCHOOL IS SCHOOL BUT IT'S BEEN GOOD RES0145-066 OK AND YOU SAID YOU DON'T SMOKE HAVE YOU TRIED ANY OTHER ANY RECREATIONAL DRUGS ANY MARIJUANA RES0145-067 NO I HAVEN'T RES0145-068 OK ANY ALCOHOL RES0145-069 NO RES0145-070 OK AND ARE YOU SO SEXUALLY ACTIVE RES0145-071 NO I'M NOT RES0145-072 OK ALRIGHT HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT BE SICK RES0145-073 I DON'T THINK SO I MEAN GOING TO WE BOTH I MEAN WE'VE BEEN GOING BACK TO SCHOOL RECENTLY BUT NOBODY'S BEEN OFF RES0145-074 OK SO YOU'VE BEEN DOING SCHOOLING IN PERSON THEN OK RES0145-075 ALRIGHT ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY ANYTHING RELATED TO THE LUNGS OR OTHERWISE RES0145-077-1 NO OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SOUNDS LIKE LAST WEEK YOU HAD ITCHY EYES RUNNY NOSE YOU WERE SNEEZING AND YOU HAD A DRY COUGH RES0145-077-2 AND THEN OVER TIME SOME OF THOSE SYMPTOMS RESOLVED AND YOU CONTINUED TO HAVE A COUGH THAT WAS ALSO GETTING BETTER BUT YOU THEN DEVELOPED A SORE THROAT RES0145-077-3 AND YOU HAVE BEEN FEELING FEVERISH OVER THE PAST TWO DAYS DID YOU MEASURE DID YOU CHECK YOUR TEMPERATURE LAST WEEK RES0145-081-1 SO IT'S IT SOUNDS LIKE YOU YOUR SYMPTOMS HAVE EVOLVED QUITE A BIT OVER THE PAST TWO WEEKS IT COULD HAVE IT COULD BE POTENTIALLY THAT YOU HAD A VIRAL INFECTION INITIALLY AND MIGHT YOU MIGHT HAVE LIKE A SUPERIMPOSED BACTERIAL INFECTION BUT WE DON'T KNOW THAT FOR SURE RES0145-081-2 WE WE'LL DO A PHYSICAL EXAM HAVE A LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH LOOK AT YOUR THROAT WE RES0145-081-3 I GUESS THE ORIGINAL SYMPTOMS YOU HAD LAST WEEK WERE SEEM A LITTLE BIT DIFFERENT IT COULD BE PHARYNGITIS MAYBE WHAT YOU HAVE RIGHT NOW COULD POTENTIALLY BE PHARYNGITIS WITH A SORE THROAT RES0145-081-4 AND THE FEVER THAT YOU'VE DEVELOPED OVER THE PAST THREE OR FOUR DAYS SO I'LL DEFINITELY HAVE A LOOK INSIDE YOUR THROAT AS WELL AND IF NECESSARY WE COULD DO A RAPID STREP TEST RES0145-081-5 AND WE WOULD ALSO HAVE TO DO A COVID TEST JUST IN CASE AND I WOULD RECOMMEND THAT YOU QUARANTINE AT HOME THE RESULTS SHOULD COME OUT IN THE NEXT TWELVE TO TWENTY FOR TWENTY FOUR TO FORTY EIGHT HOURS RES0145-081-6 JUST SELF ISOLATE STAY AWAY FROM OTHER FAMILY MEMBERS AND THEN YOU'LL FIND OUT THE RESULTS IF IT'S POSITIVE SOMEONE WILL CALL YOU FROM PUBLIC HEALTH AND THEN LET YOU KNOW WHAT TO DO RES0145-082 OK THAT SOUNDS GOOD RES0145-083 ALRIGHT RES0145-084 THANK YOU RES0145-085 YOU'RE WELCOME RES0146-000 WHAT BRINGS YOU IN TODAY RES0146-001 YESTERDAY RIGHT AFTER LEAVING WORK I STARTED TO NOT FEEL WELL AND THIS MORNING I WOKE UP WITH FEVER THIS LIKE BAD HEADACHE AND RES0146-002-1 JUST FEELING REALLY REALLY SORE ALL OVER RES0146-002-2 I'M SORRY THAT'S DOESN'T SOUND GOOD SO ALL THIS STARTED YESTERDAY OR I GUESS YESTERDAY WAS JUST WITH YOU WERE RES0146-002-3 NOT FEELING TOO GOOD AND THEN JUST NOTICED ALL THESE SYMPTOMS THIS MORNING DID YOU MEASURE YOUR TEMPERATURE RES0146-003 I CHECKED IT THIS MORNING AND IT WAS THIRTY EIGHT POINT FIVE RES0146-004 AND DID YOU CAN YOU TELL ME ABOUT YOUR HEADACHE RES0146-005-1 YEAH SO I I STARTED TO GET A LITTLE BIT OF A HEADACHE LAST NIGHT SO I TRIED SOME TYLENOL IT HELPED RELIEVE THE PAIN A LITTLE BIT SO I CAN SLEEP THEN RES0146-005-2 AND THIS MORNING I WOKE UP BUT I DIDN'T HAVE A HEADACHE AT FIRST BUT IT CAME ON MAYBE AN HOUR AFTER WAKING UP AND IT FEELS LIKE A THERE'S A BAND AROUND SQUEEZING MY HEAD RES0146-006 IS IT ON BOTH SIDES OR ONLY ONE SIDE RES0146-007 IT'S ON BOTH SIDES KIND OF FEEL THAT REAL WRAPPING AROUND RES0146-008 AND IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO TEN WITH TEN BEING THE WORST PAIN EVER WHAT WOULD YOU SAY RES0146-009 ABOUT A FIVE RES0146-010 OK AND DO YOU HAVE ANY OTHER SYMPTOMS SUCH AS A RUNNY NOSE OR A STUFFY NOSE RES0146-011 MY NOSE HAS BEEN BEEN RUNNY I STARTED NOTICING NOTICING THAT A LITTLE BIT YESTERDAY TOO ACTUALLY NOW THAT YOU MENTION IT RES0146-012 AND WHAT WAS THE DISCHARGE OR WHAT WAS THE DISCHARGE LIKE RES0146-013 IT'S PRETTY RUNNY IN IN IT'S PRETTY RUNNING CLEAR RES0146-014 OK AND DO YOU HAVE A COUGH RES0146-015 NO RES0146-016 OK RES0146-017 ANY SORE THROAT RES0146-018 NO RES0146-019 HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING RES0146-020 NO RES0146-021 OK ANY CHEST PAIN RES0146-022 NO RES0146-023 OK ANY I GUESS ITCHY EYES OR ITCHY NOSE RES0146-024 OR ANY SNEEZING WELL WELL MY NOSE HAS BEEN ITCHY RES0146-025 AND I I HAVE BEEN I HAVE BEEN SNEEZING ALRIGHT RES0147-000 WHAT CAN I DO FOR YOU TODAY RES0147-001 I'VE JUST HAD THIS COUGH THAT IT THAT HAS GOTTEN A LOT WORSE AND REALLY SHORT OF BREATH RES0147-002 CAN YOU TELL ME MORE ABOUT YOUR SHORTNESS OF BREATH RES0147-003 JUST OVER THE PAST LIKE TWELVE HOURS OR SO I'VE JUST BEEN FINDING IT MORE AND MORE DIFFICULT TO TO BREATHE RES0147-004 OK WHAT ARE YOU ABLE I GUESS WHEN DO YOU FEEL SHORT OF BREATH RES0147-005 IT'S JUST LIKE RIGHT NOW AT REST I CAN LIKE I'M OK BUT IT STILL IS FEELING INCREASINGLY DIFFICULT SO LIKE THROUGHOUT THE DAY IT'S JUST BEEN GETTING GETTING WORSE AND THE COUGH HAS BEEN RES0147-006 GETTING WORSE ALSO AND BEFORE THESE TWELVE HOURS WHERE DID YOU RES0147-007 HAVE ANY DIFFICULTIES WITH BREATHING NO I I I HAD A COUGH BUT NOT RES0147-008 NOT REALLY ANY SHORTNESS OF BREATH AND CAN YOU TELL ME ABOUT YOUR COUGH IS IT A DRY COUGH OR WET COUGH RES0147-009 I'VE BEEN BRINGING UP SOME SOME SPUTUM RES0147-010 OK WHAT DOES IT LOOK LIKE RES0147-011 IT'S LIKE GREENISH AND YELLOW RES0147-012 OK AND YOU SAID THAT YOU HAD A COUGH PRIOR TO THE PAST TWELVE HOURS AND THAT YOUR COUGH IS NOW WORSE HOW IS IT WORSE RES0147-013 IT'S BEEN JUST HAPPENING MORE OFTEN AND LIKE JUST LIKE THROUGHOUT THE DAY USUALLY MY COUGH IS ONLY IN THE MORNING I'LL BRING UP SOME SOME SPUTUM IN IT AND I'M OK BUT IT'S CARRIED ON THROUGHOUT THE DAY RES0147-014 OK AND WAS YOUR SPUTUM AND GREENISH YELLOW BEFORE AS WELL OR WAS IT JUST STARTING YESTERDAY OR OR COUPLE DAYS AGO RES0147-015 THAT'S NEW THAT'S JUST STARTING NEW IT WAS MORE LIKE I DON'T KNOW WHITISH OR WHITE I GUESS BEFORE RES0147-016 OK ALRIGHT AND I GUESS HAS THIS EVER HAPPENED TO YOU BEFORE RES0147-017 NO THIS IS THE FIRST TIME THAT THAT THIS HAS HAPPENED BEFORE RES0147-018 OK AND YOU HAVE ANY OTHER I GUESS SYMPTOMS ARE UNTIL I ASK YOU ABOUT A COUPLE DO YOU HAVE ANY DO YOU FEEL CONFUSED OR FUZZY RES0147-019 NO THAT THAT FEELS OK RES0147-020 ANY HEADACHES RES0147-021 NO RES0147-022 ANY STUFFY STUFFY NOSE OR RUNNY NOSE RES0147-023 NO RES0147-024 SORE THROAT RES0147-025 NO RES0147-026 ANY CHEST PAIN RES0147-027 I DID I DO HAVE A SOME WELL I GUESS I GUESS IT'S NOT REALLY PAIN IT'S MORE LIKE LIKE JUST CHEST TIGHTNESS I'M REALLY HAVING A HARD TIME WITH THAT WITH BREATHING RES0147-028 I SEE OK DO YOU FEEL LIKE YOUR HEART'S BEATING VERY FAST RES0147-029 NO RES0147-030 OK DO YOU HAVE ANY BELLY PAIN OR ANY NAUSEA OR VOMITING RES0147-031 NO RES0147-032 ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS RES0147-033 NO RES0147-034 ANY MUSCLE ACHES RES0147-035 NO RES0147-036 FEVERS OR CHILLS RES0147-037 NO RES0147-038 OK ALRIGHT AND IN TERMS OF YOUR PAST MEDICAL HISTORY ANY MEDICAL PROBLEMS THAT YOU'VE BEEN DIAGNOSED WITH RES0147-039 I WAS DIAGNOSED WITH COPD TWO YEARS AGO THIS IS AT I WENT TO MY FAMILY DOCTOR FOR THIS AND I HAD SOME RES0147-052 OK DO YOU HAVE ANY ALLERGIES TO FOOD ENVIRONMENTAL ALLERGIES OR ANY ALLERGIES TO MEDICATIONS NO OK DO YOU HAVE A OR WHAT'S YOUR CURRENT LIVING SITUATION ARE YOU LIVING IN AN APARTMENT OR HOUSE DO YOU LIVE ALONE DO YOU LIVE WITH OTHER PEOPLE RES0147-053 I LIVE ALONE IN A IN HOUSE HERE IN TOWN RES0147-054 OK AND ARE YOU CURRENTLY WORKING ARE YOU RETIRED RES0147-055 I I DO I CURRENTLY WELL I JUST DO SOME VOLUNTEERING AT THE GOLF COURSE IN THE SUMMER BUT OTHERWISE RETIRED RES0147-056 WHAT DID YOU DO FOR WORK RES0147-057 SO BEFORE I WORKED AT THE BEER FACTORY IN IN TOWN LABATT RES0147-058 OK AND HAVE YOU EVER HAD ANY EXPOSURES TO ANY CHEMICALS OR ANY ANYTHING THAT YOU ANY IRRITANTS THAT YOU THINK ANY SMOKE THAT MIGHT AFFECT YOUR LUNGS OR YOUR RES0147-059 NO I DON'T THINK SO I MEAN WORKING IN THE FACTORY ENVIRONMENT I I'M SURE THINGS YEARS AGO WEREN'T AS CLEAN AS THEY ARE NOW BUT RES0147-060 I'M NOT SURE OK ALRIGHT AND ARE YOU YOU SAID YOU LIVE ALONE ARE YOU ABLE TO TAKE YOUR THINGS LIKE GETTING GROCERIES OR COOKING OR CLEANING THE HOUSE OR DO YOU NEED HELP WITH THAT RES0147-061-1 I I DO GET SOME HELP FROM MY SON WHO LIVES WHO LIVES NEARBY AND RES0147-061-2 I I ABLE TO TO GET THEM TO TO HELP MAKE SOME MEALS AND AND BRING SOME FOOD OVER AND THEN I'LL GO VISIT THEM AS WELL RES0147-061-3 YOU CAN TAKE CARE OF THE HOUSE SO AND ALL THAT NOT OK ON MY OWN BUT IT CERTAINLY GETS RES0147-073 WE ARE LIKE I'M LIKE HELPING OUT WITH CLEANING THE CARTS AND KIND OF HELPING OUT WITH THE GROUNDS RES0147-074-1 OK ALRIGHT SO WE'LL DO A COVID SWAB HERE JUST IN CASE AND SEEING THAT YOU'RE NOT FEELING VERY WELL YOU MIGHT REQUIRE OXYGEN WE'RE GOING TO KEEP YOU HERE IN THE ER RES0147-074-2 AND WE MIGHT HAVE TO YOU MIGHT HAVE TO BE HOSPITALIZED WE'LL MEASURE YOUR VITALS DO A PHYSICAL EXAM DO A CHEST X RAY AND YOU MIGHT BE HAVING AS I MENTIONED EARLIER IN EXACERBATION UPPER COPD OR A WORSENING OF YOUR COPD RES0147-074-3 POTENTIALLY BECAUSE YOU MIGHT HAVE AN INFECTION EITHER A VIRAL INFECTION OR BACTERIAL INFECTION THAT CAN SOMETIMES WORSEN YOUR COPD SYMPTOMS YOU MIGHT BE STARTED ON AN ANTIBIOTIC RES0147-074-4 WE'LL BE PUTTING YOU IN OXYGEN AND GIVING YOU SOME STEROID SOME ARE YOU ACTUALLY ABOUT THAT ARE YOU ARE YOU USING ANY PUFFERS AT HOME RES0147-075 SO I HAVE BEEN USING SORRY I I HAVE BEEN USING VENTOLIN AND THERE WAS A DAILY INHALER SPIRIVA I BELIEVE I'VE BEEN USING THAT EACH DAY RES0147-076 OK GREAT GREAT SO WE'LL BE WE'LL BE GIVING YOU SOME PUFFERS HERE AS WELL AND WE'LL SEE HOW THINGS GO DO YOU HAVE ANY QUESTIONS RES0147-077 NO THAT THAT SOUNDS GOOD THANK YOU RES0147-078 ALRIGHT RES0148-000 HOW MAY I HELP YOU RES0148-001-1 HI I'VE HAD I'VE HAD A COUGH FOR THE PAST THREE DAYS AND I ALSO DEVELOPED A FEVER I THINK SO I CHECKED IT YESTERDAY NIGHT IT WAS RES0148-001-2 THIRTY EIGHT AND I JUST DECIDED TO COME INTO THE WALK IN CLINIC JUST TO JUST TO GET MYSELF CHECKED OUT RES0148-002 CERTAINLY IT IT SOUNDS LIKE YOU HAVE HAD A FEVER AS WELL SO WITH THE COUGH YOU SAID THAT STARTED THREE DAYS AGO HAS IT BEEN GETTING ANY BETTER OR ANY WORSE RES0148-003 IT'S GOTTEN A LITTLE BIT BETTER I'D SAY RES0148-004 OK THAT'S GOOD AND AND PRIOR TO THREE DAYS AGO DID YOU HAVE A COUGH BEFORE OR WAS IT A NEW NEW COUGH RES0148-005 IT'S A NEW COUGH RES0148-006 ALRIGHT AND ARE YOU BRINGING UP ANY SPUTUM RES0148-007 NO RES0148-008 ARE YOU BRINGING UP ANY BLOOD RES0148-009 NO RES0148-010 AND HAVE YOU HAD ANY SHORTNESS OF BREATH RES0148-011 NO I HAVEN'T RES0148-012 OK HOW ABOUT ANY WHEEZING RES0148-013 I GUESS A LITTLE BIT RES0148-043 ANY LIKE SYMPTOMS LIKE THIS BEFORE I MEAN WHEN I I GUESS I GET SICK I DO GET SIMILAR SYMPTOMS LIKE WHEN I GET THE COLD OR THE FLU BUT I USUALLY HAVE LIKE A RUNNY NOSE OR LIKE A STUFFY NOSE BUT THAT'S KIND OF DIFFERENT THIS TIME A LITTLE BIT RES0148-044 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0148-045 I HAVE FIBROMYALGIA AND I ALSO HAVE SCHIZOPHRENIA RES0148-046 OK AND ARE YOU TAKING MEDICATIONS CURRENTLY RES0148-047 I TAKE QUETIAPINE AND I JUST I TAKE ADVIL WHEN MY JOINT PAINS ARE REALLY BAD RES0148-048 OK AND DO YOU HAVE A SOMEBODY THAT FOLLOWS YOU ALONG FOR EITHER FIBROMYALGIA OR OR SCHIZOPHRENIA RES0148-049 MY FAMILY DOC AND THEN IT'S PRETTY MUCH JUST HIM HE RES0148-050 OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS RES0148-051 NO RES0148-052 ALRIGHT AND ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE RES0148-053 ALRIGHT AND COULD YOU TELL ME ALRIGHT THEN SORRY ACTUALLY HAVE YOU HAD ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES RES0148-054 WELL I I'VE BEEN HOSPITALIZED I I WAS KEPT IN THE PSYCH UNIT FOR A COUPLE OF DAYS TWO YEARS AGO BUT NOTHING OTHER THAN THAT RES0148-055 OK AND IT'S BEEN STABLE RES0148-056 SINCE THEN OK GREAT AND I I JUST WANTED TO ASK A LITTLE BIT ABOUT YOUR PERSONAL HISTORY I WAS JUST WONDERING IF YOU COULD TALK A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND AND WHO YOU'RE LIVING WITH RES0148-057 SURE SO I'M LIVING WITH MY I'M LIVING WITH MY HUSBAND RES0148-073 I DID BUT THEN I JUST DIDN'T I JUST WENT BACK TO IT BUT I'M TRYING TO CUT DOWN RES0148-074 OK IT'S GOOD THAT YOU'VE BEEN ABLE TO CUT DOWN SO CONGRATULATIONS ON THAT AND DO YOU DRINK ALCOHOL RES0148-075 I I DO I'LL DRINK SOMETIMES WITH MY FRIENDS MAYBE ONCE A MONTH OR ONCE IN TWO THREE MONTHS BUT I HAVEN'T BEEN GOING OUT WITH THEM SINCE THE PANDEMIC STARTED SO I HAVEN'T HAD MUCH TO DRINK I HAVEN'T HAD ANYTHING TO DRINK SINCE THE PAST YEAR RES0151-000 HOW MAY I HELP YOU RES0151-001 HI YES I'M JUST COMING IN OVER THE LAST WEEK I'VE BEEN HAVING LIKE A COUGH RUNNY NOSE AND A LOT OF CONGESTION AS WELL SO I JUST WANTED TO COME IN HERE TO MAKE SURE NOTHING'S WRONG RES0151-002 I SEE ALRIGHT AND WHEN DID THE COUGH START WAS IT SEVEN DAYS AGO RES0151-003 A BIT LESS THAN THAT I WOULD SAY IT'S BEEN PROBABLY LIKE FIVE OR SIX DAYS RES0151-004 OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE OR STAYING THE SAME RES0151-005 IT'S KIND OF THE SAME RES0151-006 OK AND ARE YOU BRINGING UP ANY SPUTUM WITH THE COUGH RES0151-007 NO IT'S MAINLY LIKE A DRY COUGH BUT I AM GETTING LIKE A LOT OF DRAINAGE AND JUST CONGESTION IN MY NOSE RES0151-008 OK SO YOU'RE YOU ARE ARE YOU FEELING LIKE MUCUS DRAIN FROM YOUR NOSE LIKE INTO THE BACK OF YOUR MOUTH RES0151-009 SOMETIMES I FEEL LIKE THAT OVER THE LAST WEEK RES0151-010 OK AND YOU YOU HAVEN'T CAUGHT UP ANY ANY SPUTUM BUT HAVE YOU BROUGHT UP ANY ANY BLOOD RES0151-011 NO NO BLOOD RES0151-012 OK HAVE YOU HAD ANY WHEEZING RES0151-013 NO NO WHEEZING RES0151-014 OK AND HOW ABOUT ANY CHEST PAIN RES0151-015 NO CHEST PAIN RES0151-016 OK AND YOU'VE HAD A AND DID YOU HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH RES0151-017 NO THIS IS LIKE FAIRLY NEW RES0151-018 OK AND COULD YOU IS YOUR NOSE LIKE COULD YOU DESCRIBE THE DISCHARGE FROM YOUR NOSE RES0151-019 IT'S MORE LIKE KIND OF A CLEAR TO MAYBE WHITISH DISCHARGE RES0151-020 AND THESE SYMPTOMS START ABOUT A WEEK AGO AS WELL OR ABOUT FIVE DAYS AGO RES0151-021 AROUND THE SAME TIME RES0151-022 I SEE OK AND HAVE YOU HAD ANY LIKE FACIAL PAIN LIKE OVER YOUR OVER YOUR CHEEKS OR OR FOREHEAD RES0151-023 NO NOTHING LIKE THAT RES0151-024 OK AND HAVE YOU FELT LIKE YOUR NOSE IS OBSTRUCTED LIKE YOU'RE NOT ABLE TO BREATHE IN THROUGH EITHER ONE OF YOUR NOSTRILS RES0151-025 THAT HAPPENS AND SOMETIMES THE NOSTRILS KEEP SWITCHING RES0151-026 OK AND HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF SMELL RES0151-027 JUST WHEN I'M CONGESTED LIKE I FEEL LIKE I CAN'T REALLY SMELL RES0151-028 I SEE ALRIGHT HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF TASTE RES0151-029 NO RES0151-030 OK AND HAVE YOU HAD ANY SHORTNESS OF BREATH WITH THE COUGH RES0151-031 NO RES0151-032 OK AND HAVE YOU HAD ANY EYE REDNESS OR RES0151-051 NOPE RES0151-052 OK AND THEN ANY SKIN CHANGES OR OR RASHES RES0151-053 NOPE NOTHING LIKE THAT RES0151-054 ALRIGHT ANY MUSCLE ACHES OR OR BODY PAINS RES0151-055 NO NOTHING LIKE THAT RES0151-056 ALRIGHT AND HOW HAS YOUR ENERGY BEEN OVER THIS PAST WEEK HAVE YOU HAD FATIGUE RES0151-057 NO I'VE BEEN I HAVEN'T BEEN TIRED OR LIKE IT'S JUST BEEN LIKE THESE SYMPTOMS THAT DON'T SEEM TO GO AWAY RES0151-069 I'VE JUST BEEN TAKING LIKE TYLENOL COLD BUT IT'S NOT REALLY BEEN HELPING TOO MUCH RES0151-070 OK DO YOU HAVE ANY ALLERGIES RES0152-000 HOW HOW MAY I HELP YOU RES0152-001 HI NICE TO MEET YOU I'VE JUST BEEN EXPERIENCING A COUGH FOR THE LAST FEW WEEKS AND I ALSO RECENTLY STARTED NOTICING THAT I'M COUGHING UP SOME BLOOD AS WELL LIKE IT'S MIXED INTO LIKE SPUTUM RES0152-002 I SEE ALRIGHT SO YOU SAID A FEW WEEKS FOR THE COUGH IS THIS MORE THAN THREE WEEKS MORE THAN FOUR WEEKS OR A FEW MONTHS RES0152-003 I WOULD SAY IT'S ALMOST I WOULD SAY ALMOST LIKE THREE WEEKS NOW RES0152-004 OK WHEN THE COUGH STARTED WERE YOU BRINGING UP WERE YOU BRINGING UP SPUTUM OR PHLEGM AT THAT TIME RES0152-005 INITIALLY IT WAS JUST LIKE KIND OF WHITE TOO SOMETIMES YELLOWISH PHLEGM BUT NOW OVER THE LAST WEEK I'VE BEEN ALSO NOTICING SOME BLOOD IN IT AS WELL RES0152-006 OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP JUST TRYING TO THINK IN MAYBE TEASPOON SIZES IF YOU CAN RES0152-007 I WOULD SAY MAYBE HALF A HALF A TEASPOON RES0152-008 OK AND HAVE YOU BEEN HAVING ANY SHORTNESS OF BREATH RES0152-009 NO I DON'T THINK SO BUT KIND OF LIKE I DO FEEL SOME DISCOMFORT IN MY CHEST LIKE I JUST ASSOCIATED IT WITH THE COUGH RES0152-010 I SEE HAVE YOU HAD ANY ANY CHEST PAIN RES0152-011 NO IT'S MORE OF JUST THE DISCOMFORT WITH THE COUGHING RES0152-012 OK AND HAVE YOU HAD ANY CHANGES TO YOUR BREATHING LIKE LIKE WHEEZING RES0152-013 NO NOTHING LIKE THAT RES0152-014 ALRIGHT AND HAVE YOU HAD ANY INFECTIOUS OR VIRAL TYPE SYMPTOMS LIKE ITCHY EYES OR RUNNY RUNNY NOSE SORE THROAT RES0152-015 NO NOTHING LIKE THAT OK RES0152-016 AND HOW HAS YOUR ENERGY BEEN ANY ANY FATIGUE RES0152-017 IT'S KIND OF BEEN A BIT LOW OVER THE LAST FEW WEEKS JUST I FEEL MORE TIRED I HAD TO MISS A FEW DAYS OF WORK AS WELL RES0152-018 I SEE ALRIGHT HAVE YOU HAD ANY FEVERS OR CHILLS RES0152-019 DEFINITELY I FEEL LIKE I HAVE HAD SOME CHILLS OVER THE LAST WEEK I HAVEN'T HAD A CHANCE TO MEASURE MY TEMPERATURE THOUGH RES0152-020 OK HAVE YOU FELT FEVERISH OR HAVE YOU FELT HOT AT ANY POINT RES0152-021 I WOULD SAY LIKE A FEW TIMES THIS WEEK I'VE ALSO FELT LIKE HOT RES0152-022 ALRIGHT HAVE YOU HAD ANY LIKE NIGHT SWEATS RES0152-023 NOW THAT YOU MENTION IT LIKE I I WOULD SAY TWO TWO DAYS OUT OF THE LAST WEEK I'VE HAD NIGHT SWEATS WHERE MY SHEETS WERE KIND OF JUST DRENCHED WHEN I AND THEN I WOKE UP NOTICING THAT RES0152-024 ALRIGHT AND HOW ABOUT YOUR YOUR WEIGHT HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT OVER THE LAST SEVERAL MONTHS RES0152-025 I THINK I'VE LOST MAYBE TEN POUNDS IN THE LAST COUPLE MONTHS RES0152-026 OK THAT SOUNDS LIKE SOME SOME WEIGHT LOST SIGNIFICANT WEIGHT LOSS HAVE YOU BEEN TRYING TO LOSE WEIGHT RES0152-027 NO NOT REALLY RES0152-028 OK AND HAVE YOU FELT AS THOUGH LIKE YOUR HEART'S RACING OR BEATING REALLY FAST RES0152-029 NO NOTHING LIKE THAT RES0152-030 HAVE YOU HAD ANY LIKE FAINTING OR OR DIZZINESS RES0152-031 NO NOTHING LIKE THAT RES0152-032 OK AND HOW ABOUT ANY NAUSEA OR VOMITING RES0152-033 NO NO NO NAUSEA OR VOMITING RES0152-034 HAVE YOU HAD ANY ABDOMINAL PAIN RES0152-035 NO RES0152-036 ANY DIARRHEA RES0152-037 NO RES0152-038 ANY URINARY PROBLEMS LIKE PAIN OR OR GOING OFTEN RES0152-039 NO NOTHING LIKE THAT RES0152-040 OK HAVE YOU NOTICED ANY RASHES ANYWHERE RES0152-041 NO NO RASHES RES0152-042 HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS RES0152-043 NO NOTHING LIKE THAT RES0152-044 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0152-045 NO I'VE BEEN FAIRLY HEALTHY RES0152-046 OK THAT'S GOOD AND HAVE YOU HAD ANY SURGERIES OR ANY REASONS TO BE HOSPITALIZED BEFORE RES0152-047 NO RES0152-048 DO YOU TAKE ANY MEDICATIONS OR ANY OVER THE COUNTER SUPPLEMENTS RES0152-049 NO RES0152-050 ALRIGHT ANY ALLERGIES THAT YOU'RE AWARE OF RES0152-051 NOT THAT I KNOW NO RES0152-052 OK AND ARE YOUR IMMUNIZATIONS UP TO DATE RES0152-053 IMMUNIZATIONS ARE ALL UP TO DATE RES0152-054 ALRIGHT AND CURRENTLY CAN YOU TELL ME A LITTLE BIT ABOUT WHO YOU'RE LIVING WITH AND WHERE YOU'RE LIVING RES0152-055-1 YEAH CURRENTLY I'M LIVING JUST IN IT'S KIND OF LIKE A A HOME WITH JUST A I DON'T REALLY KNOW THE PEOPLE TOO WELL JUST KIND OF LIKE A HOME WHERE RES0152-055-2 A BUNCH OF GUYS ARE JUST LIVING AND WORKING SEPARATELY I JUST ACTUALLY RECENTLY MOVED HERE FROM THE PHILIPPINES SIX MONTHS AGO RES0152-056 I SEE OK DO YOU INTERACT WITH MANY OF THE PEOPLE IN THE HOUSE AND AND HAS ANYBODY ELSE BEEN SICK RES0152-057 I DON'T KNOW IF ANYONE ELSE HAS BEEN SICK I HAVEN'T REALLY NOTICED THAT I DON'T REALLY SEE THEM TOO MUCH RES0152-058 OK AND SIX MONTHS AGO PRIOR TO COMING FROM THE PHILIPPINES WAS ANYBODY SICK THERE OR DID YOU HEAR OF ANYBODY THAT YOU SPENT TIME WITH HAVING TUBERCULOSIS RES0152-059 THERE'S BEEN NOT ANYONE THAT I KNOW OF BUT THERE'S DEFINITELY LIKE EVEN WHERE I WORKED AND THINGS LIKE THAT THERE'S DEFINITELY PEOPLE WHO HAVE HAD TUBERCULOSIS IN THE PAST RES0152-060 I SEE OK AND DO YOU SMOKE CIGARETTES RES0152-061 NO RES0152-062 AND HOW ABOUT SMOKING CANNABIS OR USING ANY PRODUCTS RES0152-063 NO NOTHING LIKE THAT RES0152-064 OK AND YOU USE ANY RECREATIONAL DRUGS RES0152-065 NO RES0152-066 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE RES0152-067 CURRENTLY NO RES0152-068 OK SO NO CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME RES0152-069 NO RES0152-070 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0152-071 NOT RECENTLY NO RES0152-072 OK BUT AND ANYBODY IN THE FAMILY HAVE HEART OR LUNG CONDITIONS RES0152-073 NO RES0152-074 OK AND ANY CANCER THAT RUN IN THE FAMILY RES0152-075 NOT THAT I KNOW OF NO OK RES0152-076-1 SO I THINK THAT'S EVERYTHING I WANTED TO ASK ON ON HISTORY TODAY SO IT SOUNDS LIKE YOU'VE BEEN HAVING THIS COUGH THAT'S BEEN GOING ON FOR JUST OVER THREE WEEKS NOW AND STARTING WITH SOME RES0152-076-2 WHITISH CLEAR SPUTUM AND MORE RECENTLY EVEN STARTED TO BE COUGHING UP SOME BLOOD AS WELL AND YOU'VE ALSO BEEN REALLY FATIGUED AND HAVE HAD SOME MALAISE OVER THE LAST SEVERAL WEEKS RES0152-076-3 AND ANY OTHER SYMPTOMS OR OH AND ALSO YOU'VE HAD SOME NIGHT SWEATS CHILLS AND BEEN FEELING FEVERISH AS WELL SO WE'LL CERTAINLY CHECK YOUR TEMPERATURE TODAY TOO OK SO ANYTHING I MISSED RES0152-077 NO I THINK THAT THAT SOUNDS GREAT THANK YOU SO MUCH RES0152-078 OK SO WE'LL GET THE TESTING STARTED FOR FOR THE INVESTIGATIONS AND IF AT ANY POINT SYMPTOMS GET WORSE WE'LL REEVALUATE RES0152-079 SOUNDS GOOD THANK YOU SO MUCH RES0153-000 HOW MAY I HELP YOU TODAY RES0153-001 HI I'VE BEEN JUST HAVING THIS JUST SORE THROAT FOR THE LAST RES0153-029 NO NO SHORTNESS OF BREATH HAVE YOU HAD ANY WHEEZE RES0153-030 NO NO WHEEZE RES0153-031 OK HAVE YOU HAD ANY ANY CHEST PAIN RES0153-032 NO CHEST PAIN RES0153-033 ALRIGHT ANY DIZZINESS OR FEELING LIKE YOU WERE GONNA FAINT RES0153-034 NOPE RES0153-035 OK DO YOU FEEL LIKE YOU'RE BREATHING FASTER OR YOUR HEART'S BEATING FASTER RES0153-036 NO I HAVEN'T REALLY FELT THAT NO RES0153-037 OK AND HAVE YOU HAD ANY ANY BELLY PAIN RES0153-038 NO RES0153-039 HOW ABOUT ANY NAUSEA OR VOMITING RES0153-040 NOT NO I HAVEN'T FELT THAT AT ALL RES0153-041 OK HAVE YOU HAVE YOU HAD ANY DIARRHEA RES0153-042 NO RES0153-043 HAVE YOU HAD ANY URINARY PROBLEMS RES0153-044 NO RES0153-045 OK HAVE YOU HAD ANY ANY SKIN CHANGES OR RASHES ANYWHERE RES0153-046 NO NOT THAT I'VE NOTICED RES0153-047 ALRIGHT HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS RES0153-048 NOPE RES0153-049 OK HAVE YOU HAD ANY ANY SYMPTOMS LIKE THIS BEFORE RES0153-050 NO NOT THAT I CAN RECALL MAYBE WHEN I WAS LIKE LIKE SEVEN YEARS OLD LIKE I MAY HAVE HAD LIKE A SORE THROAT RES0153-051 OK SO QUITE A WHILE AGO AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE RES0153-052 NO RES0153-053 OK AND SO DO YOU TAKE ANY MEDICATIONS OR ANYTHING OVER THE COUNTER RES0153-054 I'VE TRIED LIKE TYLENOL COLD BUT IT DIDN'T REALLY WORK RES0153-055 OK AND ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENT RES0153-056 NO RES0153-057 ARE YOUR IMMUNIZATIONS UP TO DATE RES0153-058 THEY'RE ALL UP TO DATE RES0153-059 OK EXCELLENT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY SURGERIES RES0153-060 NO I'VE BEEN PRETTY HEALTHY RES0153-061 ALRIGHT EXCELLENT AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0153-062 NO I I'VE MAINLY STAYED AT HOME I I'M MAINLY DOING VIRTUAL SCHOOL RES0153-063 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN BEEN SICK RES0153-064 MY MY SISTER SHE SHE JUST GOT BACK FROM COLLEGE AND SHE SHE WAS COMPLAINING OF LIKE A SORE THROAT TWO WEEKS AGO RES0153-066 CURRENTLY AND WHERE ARE YOU LIVING SO I'M LIVING WITH MY PARENTS AND MY SISTER AT IN A IN A HOUSE JUST OUTSIDE OF THE CITY RES0153-067 OK AND IS YOUR SISTER DOING BETTER NOW OR WHAT HAPPENED WITH HER RES0153-068 I'M NOT SURE I THINK SHE DID GO TO THE DOCTOR NOW SHE'S DOING BETTER SHE DID GET SOME MEDICATIONS BUT I DON'T KNOW WHAT THEY WERE RES0153-069 OK I SEE AND I KNOW SOME PEOPLE IN YOUR AGE GROUP WILL SOMETIMES EXPERIENCE WITH LIKE SMOKING OR ANYTHING LIKE THAT DO YOU DO YOU SMOKE CIGARETTES OR ANY OF YOUR FRIENDS RES0153-070 NO I HAVEN'T I HAVEN'T DONE THAT RES0153-071 OK THIS SAME TYPE OF QUESTIONING FOR CANNABIS AND ALCOHOL HAVE YOU EXPERIMENTED WITH ANY OF THOSE SUBSTANCES OR ANY RECREATIONAL DRUGS RES0153-072 NO NOT AT ALL RES0153-073 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE RES0153-074 NO RES0153-075 OK AND HOW'S SCHOOL GOING RES0153-076 SCHOOL IS GOING WELL LIKE IT WAS IT WAS WEIRD ADJUSTING TO ALL THE ONLINE STUFF BUT NOW I FEEL LIKE I KIND OF GOT THE HANG OF IT RES0154-000 HOW MAY I HELP YOU RES0154-001 HI SO I JUST CAME TO THE HOSPITAL BECAUSE I'VE JUST BEEN FEELING OVER THE LAST FEW DAYS JUST I CAN'T REALLY TAKE LIKE A DEEP BREATH AND THEN I'VE ALSO BEEN COUGHING UP THIS GREENISH YELLOWISH MATERIAL RES0154-002 OH OK AND WHEN DID THIS COUGH START SORRY RES0154-003 SO I THINK THE COUGH STARTED LIKE FOUR DAYS AGO AND THEN THE SHORTNESS OF BREATH STARTED JUST YESTERDAY RES0154-004 OK AND IT'S BEEN YELLOWISH GREEN WERE YOU COUGHING UP SPUTUM PRIOR TO THIS AND OR DID YOU HAVE A COUGH BEFORE THIS RES0154-005 NO NOT REALLY RES0154-006 OK AND HAVE YOU NOTICED ANY BLOOD RES0154-007 NO NO BLOOD RES0154-008 ALRIGHT AND THE SHORTNESS OF BREATH ARE YOU EXPERIENCING THIS AT REST OR OR WITH EXERTION RES0154-009 NO LIKE AT REST EVEN RIGHT NOW I'M LIKE HAVING TROUBLE TAKING DEEP BREATHS RES0154-010 OK ARE YOU FEELING ANY ANY CHEST PAIN RES0154-011 NOT PAIN BUT THERE'S DEFINITELY SOME STRAINING AND DISCOMFORT WHEN I TAKE A DEEP BREATH RES0154-012 OK IS IT IS THE DISCOMFORT WORSE WHEN YOU TAKE A DEEP BREATH RES0154-013 IT'S JUST LIKE I JUST HAVE TO STRAIN A LOT TO LIKE TAKE THAT DEEP BREATH RES0154-014 OK AND HAVE YOU NOTICED ANY WHEEZING RES0154-015 NO WHEEZING RES0154-016 OK AND HAVE YOU HAD ANY SHORTNESS OF BREATH OR DO YOU HAVE ANY SHORTNESS OF BREATH IF YOU LIE FLAT RES0154-017 NO NOT REALLY NOT THAT I'VE NOTICED RES0154-018 OK OR HAVE YOU HAD ANY TIMES WHERE YOU'VE WOKEN UP FROM SLEEP BECAUSE YOU WERE SHORT OF BREATH AND YOU HAD TO SIT UP RES0154-019 NO RES0154-020 ALRIGHT AND HAVE YOU HAD ANY FEVERS OR CHILLS RES0154-021 I HAVE HAD A FEVER LIKE TODAY I HAD A FEVER I MEASURED IT WAS LIKE THIRTY EIGHT POINT FIVE YESTERDAY I FELT LIKE I HAD CHILLS AND A FEVER AS WELL RES0154-022 OK CERTAINLY SOUNDS LIKE A FEVER AND HAVE YOU HAD ANY NIGHT SWEATS RES0154-023 LAST NIGHT I WOULD SAY I HAD NIGHT SWEATS MY SHEETS WERE A BIT DRENCHED RES0154-024 OK AND HAVE YOU HAD A SORE THROAT RES0154-025 NO RES0154-026 CHANGES OR LOSS OF SMELL LOSS OF TASTE RES0154-027 NO NOTHING LIKE THAT RES0154-028 OK HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED RES0154-029 NO RES0154-030 OK AND HOW ABOUT ANY EYE SYMPTOMS LIKE REDNESS OR ITCHINESS PAIN RES0154-031 NO NOTHING LIKE THAT RES0154-032 OK AND HAVE YOU HAD ANY INSTANCES OF FAINTING OR FEELING DIZZY RES0154-033 NOPE RES0154-034 ANY ABDOMINAL PAIN RES0154-035 NO RES0154-036 ANY NAUSEA OR VOMITING RES0154-037 NO RES0154-038 ANY DIARRHEA RES0154-039 NO RES0154-040 OK ANY RASHES RES0154-041 NO RASHES RES0154-042 AND THEN ANY MUSCLE ACHES OR BODY PAINS RES0154-043 NO NOT THAT I KNOW OF RES0154-044 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD ANY FATIGUE OR MALAISE THE LAST SEVERAL DAYS RES0154-045 I WOULD SAY SO I JUST FEEL LIKE I DON'T KNOW IF IT'S TO DO WITH THE SHORT OF BEING SHORT OF BREATH BUT I JUST FEEL LIKE I'VE JUST BEEN NEEDING MORE REST RES0154-046 OK OK AND HAVE YOU HAD ANY HEADACHES RES0154-047 NO RES0154-048 NO ALRIGHT SO YOU'VE HAD THIS COUGH AND YOU'VE BEEN BRINGING UP MORE SPUTUM AND SHORTNESS OF BREATH AND AND YOU'VE HAD A FEVER AS WELL HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS RES0154-049 NO I THINK THOSE ARE PRETTY MUCH ALL THE SYMPTOMS RES0154-050 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL RES0154-051 CONDITIONS BEFORE I DO HAVE I TAKE MEDICATIONS FOR HIGH BLOOD PRESSURE THEN I TAKE MEDICATIONS FOR HIGH CHOLESTEROL AS WELL RES0154-052 OK AND DO YOU TAKE ANY OTHER MEDICATIONS RES0154-053 JUST VITAMIN D CALCIUM MULTI VITAMINS RES0154-054 ALRIGHT ANY ALLERGIES TO MEDICATIONS RES0154-055 NOT THAT I KNOW OF RES0154-056 ALRIGHT ANY PRIOR SURGERIES OR HOSPITALIZATIONS RES0154-057 I'VE HAD A FEW SO I HAD A C SECTION IN MY TWENTIES THEN I HAD JUST FIVE YEARS AGO I HAD A MY GALLBLADDER REMOVED RES0154-058 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHO YOU'RE LIVING WITH AND AND WHEREABOUTS RES0154-059 SO I'M LIVING ALONE RIGHT NOW JUST RES0154-060 IN AN IN AN APARTMENT OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RES0154-070 NO OK AND DO YOU USE ANY RECREATIONAL DRUGS RES0154-071 NO RES0154-072 OK AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS RES0154-073 I DO HAVE MY FATHER PASSED AWAY FROM A HEART ATTACK IN HIS FIFTIES MY BROTHER HAS HIGH BLOOD PRESSURE DIABETES AND ON MY MOM'S SIDE SHE RES0154-074 HAD LIKE OSTEOARTHRITIS OK AND RES0155-000 WHAT BRINGS YOU IN HERE TODAY RES0155-047 NO THAT THAT'S BEEN PRETTY GOOD RES0155-048 OK ANY NIGHT SWEATS RES0155-049 NO I HAVEN'T HAD ANY NIGHT SWEATS RES0155-050 OK ANY KIND OF SIGNIFICANT WEIGHT CHANGE RECENTLY RES0155-051 I I I MIGHT HAVE NO I THINK MY WEIGHT'S BEEN ABOUT THE SAME RES0155-052 OK ANY EXPOSURE TO ANYONE SICK AROUND YOU RECENTLY RES0155-053 NO I DON'T THINK SO BUT I I'VE HAD I'VE HAD A COUPLE OF CHEST COLDS OVER THE LAST YEAR THAT I NEEDED ANTIBIOTICS FOR AND IT THEY THEY WENT AWAY AFTER THAT I GOT THAT THOSE FROM A WALK IN CLINIC RES0155-054 SORRY YOU GOT ANTIBIOTICS FROM THE WALK IN CLINIC RES0155-055 THE LAST TIME WAS PROBABLY ABOUT ABOUT FOUR MONTHS AGO RES0155-056 OK RES0155-057 SO I HAVEN'T BEEN AROUND ANYBODY SICK RECENTLY BUT BUT I MEAN I I'VE HAD SIMILAR SYMPTOMS BEFORE I FEEL LIKE THIS TIME MIGHT BE JUST A BIT WORSE THOUGH RES0155-058 OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY CONDITIONS RES0156-000 WHAT BRINGS YOU HERE TODAY RES0156-001-1 YEAH SO I'M BRINGING MY DAUGHTER BECAUSE OVER THESE LAST SEVERAL MONTHS SHE'S HAD THIS THIS COUGH THAT THAT COMES ON IT'LL BE AT NIGHT TIME OR SOMETIMES AFTER IN GYM CLASS RES0156-001-2 AND I KNOW DURING THESE EPISODES SHE'LL HAVE A REALLY HARD TIME KIND OF CATCHING HER BREATH AND AND SOMETIMES WILL HAVE A WHEEZE AS WELL AND AND IT'S JUST GONE AWAY QUICKLY IN THE PAST BUT BEEN NOTICING IT HAPPENING MORE OFTEN RECENTLY RES0156-002 OK SO IT'S BEEN GOING ON FOR THE LAST FEW MONTHS BUT IT'S KIND OF GETTING WORSE RES0156-003 EXACTLY RES0156-004 AND HOW ABOUT THE THE COUGHING AND THE WHEEZING AND THE DOES SHE HAVE ANY KIND OF SHORTNESS OF BREATH RES0156-005 SHE WILL LIKE WHEN IT COMES ON SHE SHE HAS SOME RES0156-006 OK AND DOES THIS HAPPEN AT ALL LIKE WHEN SHE'S EXPOSED TO DUST OR KIND OF AFTER RES0156-007 EXERTING HERSELF IT DOES I THINK THE LIKE THE FIRST TIME THAT THAT I WAS MADE AWARE OF IT WAS IN IN GYM CLASS SO IT WOULD'VE BEEN AFTER SOME EXERCISE AND DUST RES0156-008 I'M NOT SURE OK DOES SHE HAVE A DRY COUGH OR WET COUGH WHEN RES0156-010 DRY DRY OK DID SHE BRING UP ANY SPUTUM OR BLOOD AT ALL RES0156-011 NO RES0156-012 OK AND ARE HER SYMPTOMS AT ALL CONSTANT OR DO THEY COME AND GO BASED ON HOW MUCH SHE'S EXERTING HERSELF RES0156-013 THEY COME AND GO LIKE MOST OF THE TIME SHE'S BEEN OK BUT AND SOMETIMES SHE'LL GET A COUGH AT NIGHT TIME TOO RES0156-014 OK SO AND THEN HAS DOES ANYTHING MAKE HELP YOU WITH YOUR SYMPTOMS AT ALL OR HER SYMPTOMS RES0156-017 NO OK JUST RESTING I GUESS SORRY JUST JUST TRYING TO RELAX RES0156-018 OK AND ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS OR SORE THROAT CHEST PAIN ANYTHING LIKE THAT RES0156-019 NO NOTHING LIKE THAT JUST THE RES0156-020 WHEEZE OK ANY LOSS OF HER SENSE OF TASTE OR SMELL RES0156-021 NO RES0156-022 OK ANY RECENT TRAVEL RES0156-023 NO RES0156-024 ANY CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY RES0156-025 SHE HAS A A YOUNGER BROTHER THAT GOES TO DAYCARE AND I KNOW THOSE KIDS CAN BE SICK ALL THE TIME BUT HER BROTHER'S BEEN OK RES0156-026 OK DOES SHE COMPLAIN OF ANY KIND OF HEADACHES OR NAUSEA OR VOMITING RES0156-027 NO SHE DOESN'T RES0156-028 OK ANY HAVE YOU NOTICED ANY FEVERS OR CHILLS RES0156-029 NO RES0156-030 OK ANY NIGHT SWEATS RES0156-031 NO RES0156-032 OK ANY CHANGES IN HER BOWEL MOVEMENTS LIKE CONSTIPATION OR DIARRHEA RES0156-033 NOPE SHE HASN'T HAD ANY CHANGE CHANGES LIKE THAT RES0156-034 OK AND ANY KIND OF CHANGES IN HER SLEEP OR APPETITE NO SHE'S BEEN RES0156-035 EATING WELL AND AND GAINING WEIGHT OK RES0156-036 ANY SO SHE'S BEEN GAINING WEIGHT ANY EXPOSURE TO ANY MOLD DUST NEW RUGS OR ANIMALS AT HOME RES0156-037 WE DO HAVE TWO CATS AT HOME RES0156-038 OK RES0156-039 THERE ARE ANIMALS AT HOME RES0156-040 OK HOW LONG HAVE YOU HAD THEM RES0156-041 FOR FOR ABOUT JUST UNDER A YEAR SO JUST UNDER A YEAR RES0156-042 OK HAS SHE BEEN DIAGNOSED AT ALL WITH ANY MEDICAL CONDITIONS IN THE PAST RES0156-043 NO NO AND WHEN SHE WAS BORN SHE HAD TO GO IN THE JUST BE OBSERVED FOR A FEW A COUPLE OF DAYS FOR JAUNDICE SHE DIDN'T NEED TO HAVE ANY THERAPY FOR IT IT WENT AWAY ON ITS OWN BUT THAT'S ABOUT IT RES0156-044 OK AND ANY COMPLICATIONS DURING THE PREGNANCY WITH HER RES0156-045 NO EVERYTHING WAS WAS NORMAL AND IT WAS A VAGINAL RES0156-046 DELIVERY AT AT TERM OK ANY ISSUES WITH THE DEVELOPMENT IS SHE MEETING HER MILESTONES IN HER GROWTH MEETING HER MILESTONES ON HER GROWTH CHART AS WELL RES0156-047 ALL OF THAT HAS BEEN HAS BEEN NORMAL RES0156-048 OK ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENTAL FACTORS THAT YOU KNOW OF RES0156-049 NOT TO ANY MEDICATIONS THAT I'M AWARE OF BUT SHE HASN'T BEEN TESTED BUT SHE DOES GET SYMPTOMS THAT KIND OF CHANGE WITH SEASONS LIKE SHE'LL GET A RUNNY NOSE AND SOME ITCHY EYES AT DIFFERENT TIMES THROUGHOUT THE YEAR RES0156-050 OK ANY MEDICATIONS THAT SHE HAS BEEN ON AT ALL RES0156-051 SO WHEN THAT HAPPENS WE JUST USE LIKE SHE'LL JUST TAKE A LIKE REACTINE OR LIKE I DON'T KNOW SOMETHING LIKE THAT BUT JUST AN ALLERGY PILL BUT IT'S THAT'S IT RES0156-052 OK AND ANY HOSPITALIZATIONS OR PAST SURGERIES RES0156-053 NO LUCKILY SHE'S BEEN HEALTHY THAT WAY RES0156-054 OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS RES0156-055 I THINK HER GRANDFATHER HAS RES0156-056 DIABETES BUT THAT'S IT OK AND CURRENTLY WHAT'S RES0156-062-1 NO I JUST JUST WANTED TO FIGURE OUT WHAT'S GOING ON WITH THIS COUGH RES0156-062-2 OK SO IT SEEMS LIKE THE SYMPTOMS HAVE BEEN GOING ON FOR A FEW MONTHS NOW IT SEEMS THAT SHE GETS THEM ON EXERTION AND THEY'RE WORSENED BY EXERTION AT THIS AGE ONE THING THAT DEFINITELY WE WANT TO CHECK IS IF SHE HAS ASTHMA RES0156-062-3 SHE DOES HAVE SOME OTHER SYMPTOMS THAT ARE ASSOCIATED WITH ASTHMA LIKE IT SEEMS THAT SHE GETS SOME IRRITATION THROUGH ENVIRONMENTAL FACTORS AS WELL SO WHAT WE'LL DO FOR HER IS GET SOMETHING CALLED A PULMONARY FUNCTION TEST RES0156-062-4 FOR HER TO SEE THAT'LL TEST IF SHE IN FACT HAS ASTHMA OR NOT AND THEN BASED ON THAT WE WILL SEE IF SHE NEEDS ANY PUFFERS THAT CAN HELP RELIEVE SOME OF HER SYMPTOMS RES0156-062-5 AND LASTLY SINCE SHE'S HAVING A COUGH WE'LL ALSO DO A LIKE A COVID TEST JUST IN CASE AS WELL RES0156-063 OK THAT THAT SOUNDS GOOD THANK YOU RES0156-064 AND NO WORRIES AND THEN WE'LL ALSO DO LIKE A FULL PHYSICAL EXAMINATION RES0156-065 THAT SOUNDS GREAT RES0156-066 ALRIGHT RES0158-000 WHAT BRINGS YOU HERE TODAY RES0158-001 I'VE HAD A NEW COUGH THAT STARTED THIS WEEK IT'S BEEN GOING ON THE LAST LIKE THREE OR FOUR DAYS AND I'VE HAD A HEADACHE AND BUT YESTERDAY I JUST NOTICED THAT I HAVEN'T BEEN ABLE TO TO SMELL SO I WANTED TO COME IN THIS MORNING RES0158-002 OK SO IT'S BEEN GOING ON FOR THE LAST FOUR DAYS IS IT KIND OF LIKE A DRY COUGH OR A WET COUGH RES0158-003 IT'S DRY RES0158-004 IT'S DRY OK ARE YOU AT ALL BRINGING UP ANY KIND OF SPUTUM OR BLOOD AT ALL RES0158-005 NO I HAVEN'T BEEN RES0158-006 OK AND HAVE YOU BEEN EXPERIENCING ANY KIND OF FEVERS OR CHILLS RES0158-007 I FEEL I HAVE FELT FEVERISH AND I THINK THAT THAT'S KIND OF STARTED LIKE WITHIN THE LAST DAY RES0158-008 OK AND DID YOU GET A TEMPERATURE AT ALL RES0158-009 NO I'VE JUST BEEN REALLY FEELING FEVERISH AND FEELING REALLY HOT RES0158-010 OK AND BESIDES THE COUGH ARE YOU HAVING ANY OTHER SYMPTOMS LIKE MUSCLE ACHES OR HEADACHES RES0158-011 I'VE BEEN HAVING A HEADACHE LIKE I DONT KNOW ON AND OFF FOR THIS PAST THREE OR FOUR DAYS AS WELL AND I HAVE HAD MUSCLE ACHES MY WHOLE BODY KIND OF ACHES RES0158-012 OK AND WHEN DID THIS START RES0158-013 THAT'S BEEN OVER THE PAST LIKE THREE DAYS OR SO I WOKE UP AND I'VE JUST BEEN FEELING ACHY AND JUST NOT FEELING GOOD RES0158-014 OK SO IT ALL JUST KIND OF STARTED IN THE LAST FOUR DAYS ARE YOU HAVING ANY KIND OF FAINTING OR DIZZINESS EPISODES AT ALL RES0158-015 NO I HAVEN'T HAD ANYTHING LIKE THAT RES0158-016 OK AND ANY ARE YOUR SYMPTOMS GETTING WORSE AT ALL RES0158-017 NO THEY WELL I INITIALLY THEY DID BUT THEY'VE KIND OF STAYED THE SAME RES0158-018 OK AND HAVE YOU HAD ANY LOSS OF SENSE OF TASTE OR SMELL RES0158-019 I HAD I HAVE I'VE HAD A LOSS OF SMELL AND TASTE NOW THAT YOU MENTION IT RES0158-020 AND WHEN DID THAT HAPPEN RES0158-021 WITHIN THE LAST TWO DAYS RES0158-022 OK AND ARE YOU HAVING ANY RUNNY NOSE CONGESTION SORE THROAT ANY OF THOSE SYMPTOMS RES0158-023 NO NOT REALLY NOTHING LIKE THAT RES0158-024 OK HAVE YOU TRAVELED AT ALL RECENTLY RES0158-025 NO I I HAVEN'T TRAVELED HAVEN'T TRAVELED ANYWHERE BUT I I'VE JUST BEEN GOING TO WORK AND AND BEING AT AT HOME RES0158-026 OK AND WHERE DO YOU GO FOR WORK RES0158-027 I'M A NURSE ACTUALLY AT THE AT A A WALK IN CLINIC RES0158-028 OK AND HAVE YOU AT ALL BEEN EXPOSED TO ANYONE WHO'S BEEN SICK ANYONE WHO HAS TESTED POSITIVE FOR COVID RES0158-029 NO NOBODY THAT I'M AWARE OF THAT'S THAT'S TESTED POSITIVE BUT THERE HAS BEEN PEOPLE RECENTLY THAT WITHIN THE PAST WEEK THAT WE'VE SEEN COME IN WITH WITH COUGH AND THINGS LIKE LIKE THAT SO RES0158-030 OK ARE YOU HAVING ANY NAUSEA OR VOMITING RES0158-031 NO I HAVEN'T HAD ANYTHING LIKE THAT RES0158-032 OK ANY NIGHT SWEATS RES0158-033 NO RES0158-034 ANY CHEST PAIN OR SHORTNESS OF BREATH RES0158-035 NO RES0158-036 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY DIARRHEA CONSTIPATION RES0158-037 NO RES0158-038 ANY CHANGES IN YOUR URINATION RES0158-039 NO NOTHING LIKE THAT RES0158-040 NO BURNING SENSATION OR PAIN AT ALL RES0158-041 NO NOTHING LIKE THAT RES0158-042 OK ANY CHANGES IN YOUR SLEEP OR APPETITE RECENTLY RES0158-043 JUST THESE PAST COUPLE OF DAYS I HAVEN'T REALLY FELT LIKE EATING MUCH MY SLEEP HAS BEEN OK BUT I THINK THAT'S JUST BECAUSE I HAVEN'T BEEN FEELING WELL SO JUST HAVEN'T REALLY WANTED TO EAT RES0158-044 OK ANY WEIGHT CHANGES RECENTLY RES0158-045 NO I I WISH RES0158-046 OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST AT ALL RES0158-047 NO I'VE BEEN I'VE BEEN I'VE BEEN HEALTHY RES0158-048 OK AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS RES0158-049 JUST THE THE MULTI VITAMIN AND THEN A LIKE A GREENS SUPPLEMENT RES0158-050 A GREEN GREEN SUPPLEMENT RES0158-051 IT'S JUST SORT OF LIKE A LIKE A GREEN POWDER IT'S SUPPOSED TO REPLACE I DON'T KNOW ONE OF YOUR SERVINGS OF VEGETABLES FOR THE DAY RES0158-052 OK AND HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST RES0158-053 I I HAD LIKE A SCOPE ON MY KNEE WHEN I WAS LIKE A TEENAGER I INJURED IT PLAYING SOCCER BUT THAT'S IT RES0158-054 OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS RES0158-055 MY MY GRANDFATHER HAD HAD LUNG CANCER BUT HE SMOKED HIS WHOLE LIFE RES0158-056 OK AND CURRENTLY SO YOU WORK AS A NURSE WHAT'S YOUR LIVING SITUATION LIKE DO YOU LIVE WITH ANYONE DO YOU LIVE IN HOUSE OR APARTMENT RES0158-057 SO I LIVE IN A HOUSE WITH MY WIFE WE WE HAVE A A YOUNG A DAUGHTER RES0158-058 OK HAS ANYONE IN THE HOUSE HAD SIMILAR SYMPTOMS OR BEEN FEELING SICK LATELY RES0158-059 NO IT'S JUST BEEN ME MY WIFE AND DAUGHTER HAVE BEEN BOTH STAYING HOME I'VE BEEN THE ONE ONLY ONE REALLY KIND OF LEAVING THE HOUSE FOR WELL GOING TO WORK AND THEN GETTING MOST OF THE GROCERIES AND THAT THAT SORT OF THING SINCE I'M ALREADY OUT RES0158-060 OK OK AND CURRENTLY DO YOU SMOKE AT ALL RES0158-061 NO CIGARETTES WELL I SMOKE WEED EVERY ONCE IN AWHILE RES0158-062 OK AND HOW OFTEN WOULD YOU SAY YOU SMOKE WEED RES0158-063 PROBABLY LIKE PROBABLY ONCE A WEEK JUST JUST ON THE WEEKEND MAYBE ONCE RES0158-064 OK AND DO YOU DRINK ALCOHOL RES0158-065 I HAD SOME LIKE A COUPLE OF BEERS ON THE WEEKEND LIKE ONE OR TWO RES0158-066 OK OK SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS RES0158-067 JUST A BIT CONCERNED POSSIBLY ABOUT COVID RES0158-068-1 OK YEAH SO THAT'S DEFINITELY WITH YOU WORKING IN THE IN THE HOSPITAL CLINICAL SETTING THERE IS DEFINITELY A POSSIBILITY AND A LOT OF THE SYMPTOMS THAT YOU'RE HAVING OVERLAP WITH COVID SYMPTOMS RES0158-068-2 SO WE WILL DEFINITELY GET A COVID SWAB TEST DONE FOR YOU TODAY IT USUALLY COMES BACK IN THE NEXT TWENTY FOUR TO FORTY EIGHT HOURS AND UNTIL THEN I WOULD RECOMMEND THAT YOU ISOLATE RES0158-068-3 EITHER IN A ROOM SEPARATELY WEAR A MASK AROUND YOUR FAMILY MEMBERS ISOLATE TO THE BEST OF YOUR ABILITIES NOT GO OUTSIDE SEE IF RES0158-068-4 SOMEONE ELSE CAN GET GROCERIES FOR YOU GUYS AS WELL AND THEN DEPENDING ON THE TEST PUBLIC HEALTH WILL CONTACT YOU WITH FURTHER INSTRUCTIONS RES0158-069 OK THAT SOUNDS GOOD THANK YOU RES0158-070 YOU'RE WELCOME TAKE CARE RES0158-071 TAKE CARE RES0161-000 WHAT CAN I DO FOR YOU RES0161-001 HI SO SO I JUST CAME IN HERE TODAY AT I'VE BEEN HAVING JUST THIS CONGESTION AROUND MY NOSE AND FACE LIKE IT'S JUST SOMETHING THAT JUST STARTED AN AROUND FIVE DAYS AGO AND IT'S BEEN GETTING WORSE BUT I STARTED TO GET LIKE THESE HEADACHES AS WELL AS JUST PAIN AROUND MY CHEEKS RES0161-002 OK IT ALL STARTED ABOUT FIVE DAYS AGO OK ALRIGHT HAVE YOU CAN YOU TELL ME ABOUT YOUR HEADACHES RES0161-003 SO THERE I STARTED GETTING THESE HEADACHES JUST TWO DAYS AGO BUT LIKE IT'S MORE THAN A HEADACHE IT'S KIND OF MAINLY OVER THE CHEEKS AND THEN IT GOES AND JUST ABOVE THE NOSE RES0161-004 I SEE RES0161-005 THE LIGHT KIND OF UP INTO THE FOREHEAD RES0161-006 DO YOU FEEL LIKE IT'S WORSE WHEN YOU'RE BENDING DOWN OR SQUATTING RES0161-007 HOW I'M NOT SURE ACTUALLY RES0161-008 OK ALRIGHT AND DO YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A RUNNY NOSE OR SORE THROAT OR COUGH RES0161-009 I DON'T HAVE A COUGH I DON'T HAVE A SORE THROAT I DO SOMETIMES GET A RUNNY NOSE THOUGH LIKE EVERY EVERY NOW AND THEN RES0161-010 OK IN THE PAST FIVE DAYS RES0161-011 I PROBABLY HAD LIKE IT'S USUALLY IN THE MORNING I SOMETIMES GET A RUNNY NOSE RES0161-012 AND WHAT WHAT COMES OUT OF YOUR NOSE WHAT DO YOU SEE RES0161-013 OVER THE LAST WEEK IT'S KIND OF LIKE ALMOST LIKE A YELLOWISH DISCHARGE RES0161-014 HAVE YOU HAD ANY DIFFICULTIES BREATHING RES0161-016 NO NOTHING LIKE THAT OK HAVE YOU HAD ANY CHEST PAIN RES0161-017 NO RES0161-018 OK ANY OTHER ANY OTHER SYMPTOMS THAT YOU'VE EXPERIENCED OVER THE PAST FIVE DAYS RES0161-019 I ALSO LIKE I I DO ALSO FEEL LIKE A FULLNESS AND PRESSURE GOING INTO MY EARS AS WELL AND THEN I'M NOT SURE BUT YESTERDAY I WAS FEELING A LITTLE WARM THROUGHOUT THE DAY I DIDN'T GET A TEMPERATURE BUT I DON'T KNOW IF I HAD A FEVER OR NOT RES0161-020 HAVE YOU HAD ANY I GUESS LIKE WEIGHT LOSS OR ANY NIGHT SWEATS RES0161-021 NO RES0161-022 NO OK ANY MUSCLE ACHES RES0161-023 NO NOT THAT I KNOW RES0161-024 ANY FATIGUE OR MALAISE RES0161-025 I HAVE BEEN FEELING A BIT TIRED OVER THE LAST FEW DAYS BUT I'M I DON'T KNOW IF THAT'S BECAUSE OF THIS RES0161-026 HAVE YOU HAD CONTACT WITH ANYONE WHO COULD BE SICK IN THE PAST WEEK OR TWO RES0161-027 MY MY DAUGHTER ACTUALLY HAD A SORE THROAT JUST A HER LAST WEEK AND SHE WENT TO SEE A DOCTOR RES0161-028 DO YOU KNOW IF SHE HAD A COVID TEST DONE RES0161-029 OH SHE SHE DID HAVE A COVID TEST DONE THAT WAS NEGATIVE RES0161-030 OK AND ALRIGHT ARE YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0161-031 I JUST HAVE A HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE RES0161-032 DO YOU TAKE MEDICATIONS RES0161-033 SO I JUST TAKE IT'S LIKE A THIAZIDE DIURETIC FOR BLOOD PRESSURE AND THEN JUST ATORVASTATIN FOR CHOLESTEROL RES0161-034 ANY ALLERGIES RES0161-035 NO NO ALLERGIES RES0161-036 ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART CONDITIONS OR LUNG CONDITIONS OR CANCERS RES0161-037 SO HARD CONDITIONS BOTH MY DAD AND UNCLE HAVE HAD HEART ATTACKS IN THEIR FIFTIES BUT THAT'S THAT'S IT THAT'S ALL THAT'S ALL THAT I KNOW AND WE ALSO HAVE CANCER ON MY MOTHERS SIDE MY UNCLE FROM MY MOTHERS SIDE HAD BLADDER CANCER RES0161-038 OK OK AND DO YOU YOU MENTIONED THAT YOU HAVE A DAUGHTER DO YOU WHO DO YOU CURRENTLY LIVE WITH RES0161-039 I LIVE WITH MY TWO DAUGHTERS AND MY WIFE RES0161-040 OK AND WHAT DO YOU DO FOR DO YOU WORK RES0161-041 CURRENTLY I'M WORKING FROM HOME I'M AN ACCOUNTING CLERK RES0161-042 ALRIGHT AND DO YOU SMOKE AT ALL OR DID YOU SMOKE IN THE PAST RES0161-043 I I I DO SMOKE BUT I'VE CUT DOWN SIGNIFICANTLY IN THE PAST FEW YEARS I CURRENTLY ONLY SMOKE PROBABLY TWO OR THREE CIGARETTES A DAY I WAS I WAS SMOKING LIKE ALMOST A PACK A DAY A FEW YEARS BACK RES0161-044 OH THAT'S GREAT IT'S GREAT THAT YOU'RE TRYING TO CUT DOWN DO YOU INTEND ON GETTING THE GETTING DOWN THE SMOKING EVEN FURTHER RES0161-045 THAT'S THAT'S THE PLAN IF I CAN DO THAT HOPEFULLY BY THE END OF THIS YEAR THAT WOULD BE GREAT RES0161-046 THAT'S WONDERFUL DO YOU SMOKE MARIJUANA AT ALL RES0161-047 NO RES0161-048 DO YOU SMOKE ANY RECREATIONAL DRUGS RES0161-049 NO RES0161-050 ANY ALCOHOL RES0161-051 ALCOHOL JUST PROBABLY JUST ON THE WEEKENDS OR HAVE A COUPLE OF BEERS RES0161-052-1 OK ALRIGHT SO I GUESS FROM THE SYMPTOMS THAT YOU'VE DESCRIBED IT SOUNDS LIKE YOU LIKELY HAVE A CONDITION CALLED ACUTE RHINOSINUSITIS WHERE YOU HAVE INFLAMMATION OF THE RES0161-052-2 SINUSES IN YOUR FACE AND POTENTIALLY SOME INFLAMMATION IN YOUR NOSE AS WELL AND OFTEN IT'S CAUSED BY A VIRUS AND RES0161-052-3 IT USUALLY GETS BETTER IN A COUPLE OF WEEKS AND THE BEST THING TO DO IS JUST CONSERVATIVE MANAGEMENT TRY TO REST AND IF IF YOU KNOW TAKING ANY RES0161-052-4 MEDICATIONS OVER THE COUNTER MEDICATIONS IS HELPING YOU FEEL BETTER IF YOU FEEL LIKE TYLENOL SORT OF REDUCING SOME OF THAT PRESSURE OR IF DOING A TAKING A STEAM BATH RES0161-052-5 IS SORT OF HELPING RELIEVE THAT PRESSURE TRY THOSE DRINK A LOT OF WATER TO TRY TO SORT OF LEAR OUT ALL THAT MUCUS THAT'S THAT'S BUILDING UP RES0161-052-6 I'LL ALSO DO A PHYSICAL EXAM AND TALK TO MY ATTENDING AND CONFIRM ALL THIS INFORMATION WITH HIM AND WE CAN GO FROM THERE RES0161-053 GREAT SOUNDS GOOD THANK YOU RES0161-054-1 ALSO SORRY BEFORE FOR IN THE CALL BECAUSE THE SYMPTOMS ARE STARTED RECENTLY AND THEY DO OVERLAP WITH SOME OF THE SYMPTOMS THAT IF PATIENT WITH COVID MIGHT HAVE IT MIGHT BE A GOOD IDEA TO GET A COVID SWAB DONE AS WELL SO WE'LL DO THAT TODAY AND RES0161-054-2 YOU WOULD HAVE TO QUARANTINE AND STAY AWAY FROM THE PEOPLE AT YOUR HOME AS WELL UNTIL THE RESULTS ARE OUT AND THEN IF IT'S POSITIVE PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO RES0161-055 ALRIGHT SOUNDS GOOD THANK YOU SO MUCH RES0162-000 WHAT BRINGS YOU IN TODAY RES0162-001 HI I AM JUST COMING IN BECAUSE FOR THE LAST COUPLE OF MONTHS BUT I'VE BEEN HAVING THIS THESE COUGHING FITS ARE THERE LIKE WHEN I'M GOING TO THE GYM OR EVEN AT HOME LIKE DURING THE WEEKENDS WHEN WE'RE VACUUMING AND CLEANING THE HOUSE RES0162-002 WHEN DID THIS START RES0162-003 I WOULD SAY STARTED PROBABLY THREE MONTHS BACK BUT IT'S GOTTEN WORSE SO LIKE BEFORE I USED TO LIKE JUST HAVE SOME IRRITATION IN MY THROAT AND COUGH A LITTLE BUT NOW I WOULD SAY PROBABLY EVERY OTHER DAY I'M HAVING THESE EPISODES WHERE I CAN'T STOP COUGHING WHEN I'M EXERCISING RES0162-004 AND IS THIS COUGH A DRY COUGH OR DO YOU BRING UP SOME MUCUS RES0162-005 IT'S USUALLY IT'S USUALLY A DRY COUGH AND SOMETIMES I DO BRING UP LIKE THIS LIGHT MATERIAL BUT USUALLY IT'S MOSTLY A DRY COUGH RES0162-006 YOU NEVER NOTICE ANY BLOOD RIGHT RES0162-007 NO NO BLOOD RES0162-008-1 OK AND IT STARTED ABOUT THREE MONTHS AGO I GUESS BEFORE THAT DID YOU EVER HAVE A PROBLEM WHEN YOU WOULD EXERCISE OR WHEN YOU WERE RES0162-008-2 VACUUMING OR CLEANING HAS THIS BEEN A PROBLEM THAT HAS OCCURRED FOR YEARS AND THAT'S JUST SOMETHING THAT YOU THAT GOT WORSE AND NOW IT'S COME TO YOUR ATTENTION OR WAS IT JUST VERY NEW AND SUDDEN THREE MONTHS AGO RES0162-009-1 IT'S FAIRLY NEW I'VE NEVER REALLY HAD THIS ISSUE BEFORE ALTHOUGH I HAVE BEEN LIKE SO LIKE AFTER THE NEW YEAR IN THE WINTER I I I WASN'T MUCH OF THE PERSON WHO RAN OR EXERCISED A LOT RES0162-009-2 BUT I I KIND OF NEEDED A NEW GOAL TO BECOME MORE FIT AND ACTIVE SO I NOTICE THAT I DON'T KNOW MAYBE THAT'S WHY LIKE IT IS SOMETHING NEW THAT I'VE BEEN TRYING BUT IT'S NOT BEEN AN ISSUE BEFORE RES0162-010 OK AND OTHER THAN THE THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS LIKE A SORE THROAT OR ITCHY EYES ITCHY NOSE STUFFY NOSE OR RUNNY NOSE ANYTHING LIKE THAT RES0162-011 NO NONE OF THOSE BUT I DID IT INITIALLY I USED TO GET JUST AN IRRITATION IN MY THROAT BUT NOW IT'S JUST MORE OF A COUGH RES0162-012 OK DO YOU HAVE DO YOU GET ANY PAIN IN YOUR CHEST AT ALL RES0162-013 WHEN I'M USUALLY IT GOES AWAY IN TEN FIFTEEN MINUTES BUT WHEN I'M COUGHING A LOT I DO GET SOME TIGHTNESS RES0162-014 OK DO YOU EVER FEEL LIKE YOU'RE SHORT OF BREATH WHEN YOU'RE COUGHING OR OTHERWISE RES0162-015 I DO FIND THAT IT'S HARDER TO TAKE A BREATH AT THOSE TIMES RES0162-016 OK AND HOW LONG DO THESE LAST FOR EPISODES LAST FOR RES0162-017 PROBABLY FIFTEEN TO TWENTY MINUTES AND IT'S IT'S MAINLY JUST AFTER I LIKE OFTEN TIMES OVER THE LAST FEW WEEKS I'VE HAD TO JUST STOP DOING WHAT I'M DOING LIKE EXERCISING AND JUST COME HOME AND REST RES0162-018 DO YOU FEEL LIKE YOUR HEARTS BEATING REALLY FAST WHEN THAT HAPPENS OR YOU'RE SWEATING RES0162-019 I I FEEL LIKE IT'S USUALLY I DON'T KNOW IF IT'S BECAUSE OF THE EXERCISE BUT I HAVE LIKE A FITBIT AND IT'S MY MY HEART RATE IS MUCH FASTER RES0162-020 OK ALRIGHT HAVE YOU HAD ANY OTHER SYMPTOMS SO ANYTHING ANY PAIN IN YOUR BELLY OR ANY NAUSEA OR VOMITING RES0162-021 NO NOTHING LIKE THAT RES0162-022 ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS RES0162-023 NOPE RES0162-024 ANY HEADACHES OR FEVERS OR CHILLS RES0162-025 NO NOTHING LIKE THAT RES0162-026 UNINTENTIONAL WEIGHT LOSS RES0162-027 NO RES0162-028 ANY NIGHT SWEATS RES0162-029 NO RES0162-030 MUSCLE ACHES JOINT PAIN RES0162-031 NO RES0162-032 HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0162-033 NO I'VE I'VE BEEN VERY HEALTHY RES0162-034 YOU MENTIONED THAT YOU STARTED GOING TO THE GYM MORE OFTEN EARLIER THIS YEAR AND THAT IS WHEN YOU SORT OF NOTICE SOME OF THESE SYMPTOMS IS THERE ANYTHING ELSE THAT CHANGED IN YOUR LIFE ANY BIG CHANGES THAT YOU THINK COULD BE RELATED TO THIS RES0162-035 NO NOT REALLY I'VE I'VE BEEN REALLY I MOVED BACK TO MY PARENTS HOME JUST FOR A BIT RIGHT NOW RES0162-036 OK RES0162-037 NOW WHILE THE UNIVERSITY HAS CLOSED DOWN AND BY THAT I'VE LIVED THERE ALL MY LIFE BEFORE SO I DON'T KNOW IF THAT HAD ANYTHING TO DO WITH IT RES0162-038 DO YOU FEEL LIKE THEY MAY HAVE PUT NEW CURTAINS OR OR LIKE THERE'S OLD CARPETS OR NEW A NEW PET OR SOMETHING THAT COULD HAVE CAUSED SOME IRRITATION FOR YOU RES0162-039 NO BUT I HAVE NOTICED THAT WHEN I WHEN WE VACUUM I I DO GET SOME OF THOSE SYMPTOMS AS WELL JUST MORE OF AN IRRITATION MORES THAN THE COUGH RES0162-040 OK OK AND DO YOU FEEL THAT YOU'RE PARTICULARLY ANXIOUS WHEN THESE EPISODES ARE OCCURRING DO YOU HAVE ANY NEW STRESSORS IN LIFE RES0162-041 NO NOT REALLY RES0162-042 ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY RES0162-043 I DON'T THINK SO NOT THAT I KNOW OF RES0162-044-1 OK AND I GUESS A LITTLE BIT MORE ABOUT YOU SO HAVE YOU HAD IN THE PAST WHEN YOU WERE YOUNGER DID YOU HAVE A RASH LIKE ECZEMA OR DID YOU HAVE RES0162-044-2 ALLERGIC RHINITIS WHERE YOU WOULD SNEEZE AND TO FEEL ILL WHEN YOU WERE OUTSIDE OR AT CERTAIN TIMES OF THE YEAR ANYTHING LIKE THAT RES0162-045 I DIDN'T HAVE A I DIDN'T HAVE ANY LIKE EXAM OR RASHES BUT I DO GENERALLY HAVE GET ALLERGIES DURING THE SPRING TIME WHEN I GO OUTSIDE RES0162-046 DO YOU TAKE ANY MEDICATIONS FOR THAT RES0162-047 I JUST TAKE REACTINE USUALLY DURING THE SPRING RES0162-048 DO YOU HAVE ANY OTHER ALLERGIES TO FOOD OR MEDICATIONS RES0162-049 NO NOT THAT I KNOW RES0162-050 AND OTHER THAN REACTINE DO YOU TAKE ANY MEDICATIONS INCLUDING OVER THE COUNTER MEDS RES0162-051 NO RES0162-052 NOTHING ELSE OK AND IN YOUR FAMILY YOU SAID NO ONE HAS ASTHMA OR ALLERGIC RHINITIS OR ECZEMA OR ANYTHING LIKE THAT RIGHT RES0162-053 NOT ASTHMA MY DAD ALSO GETS THOSE ALLERGIES AND IRRITATIONS JUST LIKE ME RES0162-054 OK AND YOU MENTIONED THAT YOU'RE STAYING WITH YOUR AT YOUR PARENTS PLACE ARE YOU ARE YOU DOING THINGS FROM HOME ARE YOU LIKE DOING SCHOOL FROM HOME OR WORKING FROM HOME RES0162-055 I'M NOT CURRENTLY WORKING JUST STUDYING FROM HOME RES0162-056 OK AND HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT HAVE BEEN SICK RES0162-057 NO RES0162-058 TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY RES0162-059 NO RES0162-060 OK AND DO YOU SMOKE OR HAVE YOU EVER SMOKED RES0162-061 NO NEVER SMOKED RES0162-062 MARIJUANA RES0162-063 NO RES0162-064 ANY RECREATIONAL DRUGS RES0162-065 NOPE RES0162-066 DO YOU DRINK ALCOHOL OR HAVE YOU EVER HAD ALCOHOL IN THE PAST RES0162-067 ALCOHOL I'VE HAD LIKE AT UNIVERSITY BUT GENERALLY MAYBE JUST ON THE WEEKENDS NOT ANYTHING REGULAR RES0162-068-1 ALRIGHT OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE WILL DO A PHYSICAL EXAM NOW AND I'LL GO TALK TO MY ATTENDING RES0162-068-2 AND WE'LL COME TALK TO YOU RIGHT AFTER I GUESS BEFORE BEFORE I DO SO WHAT EXACTLY ARE YOU HOPING TO GET OUT OF TODAY'S VISIT RES0162-069 I JUST WANTED TO LIKE I REALLY DO YOU WANT TO BECOME FIT AND IT'S JUST THESE SYMPTOMS ARE STOPPING ME AND KIND OF AFFECTING MY DAILY ROUTINE SO I JUST WANTED TO KNOW WHAT I CAN DO TO STOP LIKE HAVING THESE SYMPTOMS RES0162-070 HAVE YOU EVER TRIED ANY PUFFERS RES0162-071 NO I HAVEN'T RES0162-072 OK RIGHT LET'S TALK A LITTLE BIT RES0163-000 WHAT BRINGS YOU IN HERE TODAY RES0163-001-1 HEY I JUST I JUST KIND OF CAME IN TO TALK ABOUT MY STUFFY NOSE IT'S IT'S BEEN A PROBLEM FOR I DON'T EVEN KNOW HOW MANY YEARS IT'S ALWAYS BEEN THERE RES0163-001-2 AND NOW THAT SCHOOL IS A LITTLE LESS BUSY AND THINGS ARE VIRTUAL AND HAVE MORE TIME I DECIDED I'LL GET SOMETHING DONE TO GET IT FIXED RES0163-002 OK AND HOW LONG HAS THIS BEEN GOING ON FOR RES0163-003 SINCE I WAS YOUNG LIKE MAYBE YEARS COUPLE YEARS RES0163-004 OK AND THEN DO YOU LIKE HOW OFTEN ARE YOU GETTING THE STUFFINESS IS IT LIKE EVERY DAY IS IT DURING THE DAY AT NIGHT WHEN DO YOU USUALLY GET IT RES0163-005-1 IT'S KIND OF IT'S KIND OF ALL THE TIME TO THE POINT THAT I'VE SOMEWHAT GOTTEN USED TO IT RES0163-005-2 AND IT'S JUST MY IT'S ONLY ON THE LEFT SIDE AND IT'S JUST ALWAYS KIND OF STUFFY INITIALLY I WOULD HAVE TROUBLE FALLING ASLEEP RES0163-005-3 CAUSE IT WOULD I WOULD JUST FIND IT A LITTLE BIT BOTHERSOME BUT NOW I'M KIND OF JUST USED TO IT RES0163-006 AND SO IT'S JUST ON THE LEFT SIDE IT NEVER MOVES TO THE RIGHT SIDE RES0163-007 WELL LIKE SOMETIMES WHEN I GET ILL ITS ON BOTH SIDES BUT USUALLY IT'S ON THE LEFT SIDE RES0163-008 OK AND SO YOU HAVE STUFFINESS BUT DO YOU EVER GET ANY KIND OF DISCHARGE OR DRAINAGE FROM YOUR NOSE RES0163-009 SOMETIMES I GET A LITTLE BIT BLEEDING RES0163-010 OK BLEEDING IS IT BLOOD MIXED INTO THE DISCHARGE OR DRAINAGE OR IS IT LIKE YOU GET NOSEBLEEDS RES0163-011 I GET NOSEBLEEDS LIKE MAYBE LIKE MAYBE WHEN I'M EXERCISING OR SOMETHING I'M LIKE AT THE GYM FOM DOING THE GYM CLASS WHEN PLAYING WITH MY FRIENDS RES0163-012 OK AND HOW OFTEN DO YOU GET THESE NOSE BLEEDS RES0163-013 MAYBE ONCE A MONTH OR ONCE IN TWO MONTHS RES0163-014 OK AND AND IS THERE ANY DO YOU HAVE ANY OTHER SYMPTOMS SO LIKE DO YOU HAVE ANY PRESSURE SENSATION IN YOUR FACE AROUND YOUR JAW CHEEKS FOREHEAD RES0163-015 NO RES0163-016 NO SO OK AND DO YOU FIND YOURSELF HAVING MORE CONGESTION WHEN YOU WAKE UP RES0163-017 NOT REALLY MAYBE A LITTLE BIT RES0163-018 OK SO IT'S NOT WORSE WHEN YOU'RE LYING FLAT OR ANYTHING LIKE THAT RES0163-019 NO RES0163-020 OK AND DO YOU FIND THAT YOU HAVE TO CONSTANTLY CLEAR YOUR THROAT AT ALL THROUGHOUT THE DAY RES0163-021 NO RES0163-022 OK AND DO YOU AT ALL FEEL THAT SOME STUFFINESS DRAINS BACK INTO YOUR THROAT AT ALL ANYTIME DURING THE DAY RES0163-023 I DON'T THINK SO NO RES0163-024 SO IT'S JUST THE CONGESTION THAT'S BEEN GOING ON FOR QUITE SOME TIME AND DOES IT CHANGE WITH THE SEASONS AT ALL RES0163-025 NO IT'S JUST THERE ALL THE TIME LIKE I CAN'T EVEN TELL THIS IS LIKE MY NORMAL NOW BUT MY MOM SAID I SHOULD GET IT CHECKED OUT RES0163-026 HAVE YOU TRIED ANYTHING FOR IT LIKE EITHER MEDICATIONS OR THE NETI POT OR STEAMING AND HAS ANYTHING HELPED YOU AT ALL RES0163-027 I TRIED STEAMING BUT IT DIDN'T DO MUCH IT KIND OF GOT BETTER MAYBE FOR AN HOUR MAYBE BUT THEN IT DIDN'T DO MUCH RES0163-028 OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVER CHILLS COUGH SORE THROAT ANYTHING LIKE THAT RES0163-029 NO RES0163-030 ARE YOU HAVING ANY LOSS OF SENSE OF TASTE OR SMELL RES0163-031 NO RES0163-032 ANY SHORTNESS OF BREATH AT ALL RES0163-033 NO RES0163-034 OK AND OTHERWISE ANY RECENT TRAVEL OR IN CONTACT WITH ANYONE WHO'S BEEN SICK RES0163-035 NO RES0163-036 HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0163-037 NO I'M PRETTY HEALTHY RES0163-038 AND DO YOU KNOW IF YOU HAVE ANY ALLERGIES TO ANY MEDICATION RES0163-039 NO NO ALLERGIES TO MEDICATIONS RES0163-040 OK AND ANY ALLERGIES TO ANY ENVIRONMENTAL ISSUES LIKE FACTORS THAT CAUSE MORE STUFFINESS SNEEZING ITCHING RED EYES RUNNY NOSE ANYTHING LIKE RES0163-041 I'M ALLERGIC TO CATS RES0163-042 CATS OK RES0163-043 BUT I HAVEN'T BEEN AROUND ONE FOR AWHILE RES0163-044 OK ANYTHING ELSE LIKE IN YOUR HOUSE OR ENVIRONMENT LIKE CARPETS DUST LIKE ANYTHING THAT MIGHT IRRITATE GIVE ME MORE IRRITATION RES0163-045 NO NOT REALLY RES0163-046 OK SO IT'S JUST A CAT THAT YOU KNOW BUT YOU HAVEN'T BEEN AROUND DO YOU HAVE ANY OTHER ANIMALS AT HOME RES0163-047 NO I DON'T RES0163-048 NO OK DO YOU HAVE ANY HEADACHES AT ALL RES0163-049 NO RES0163-050 ANY CHANGES IN YOUR BOWEL MOVEMENTS RES0163-051 NO RES0163-052 ANY URINARY PROBLEMS RES0163-053 NOPE RES0163-054 HAS THIS AFFECTED YOUR SLEEP OR APPETITE RES0163-055 I SNORE AT NIGHT SOMETIMES BUT THAT'S THAT'S ABOUT IT OK RES0163-056 AND DO YOU SNORE WOULD YOU SAY MOST NIGHTS OR IS THAT SOMETHING LIKE HAS SOMEONE TOLD YOU THAT RES0163-057 MY MOM TOLD ME AND SOMETIMES I I SLEEP WITH MY MOUTH OPEN RES0163-058 I SEE OK AND DO YOU KNOW HOW LONG YOU'VE BEEN DOING THIS FOR RES0163-059 AGAIN IT'S BEEN LIKE MONTHS OR YEARS RES0163-060 OK AND DO YOU EVER GET DO YOU EVER WAKE UP AT NIGHT TRYING TO TAKE A BREATH LIKE JUST GASPING FOR AIR RES0163-061 NO RES0163-062 OK HAVE YOU EVER HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE RES0163-063 NO RES0163-064 OK ON ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS RES0163-065 JUST HEART DISEASE RES0163-066 OK THEN WHO HAS IT OR WHO HAD IT RES0163-067 MY MY DAD MY DAD HAS HAD A HEART ATTACK AND MY MOM HAS HIGH BLOOD PRESSURE RES0163-068 OK AND HOW OLD WAS YOUR DAD WHEN HE HAD A HEART ATTACK RES0163-069 HE WAS FIFTY YEARS OLD RES0163-070 FIFTY YEARS OLD OK AND I'M CURRENTLY RIGHT NOW ARE YOU A STUDENT DO YOU WORK RES0163-071 I'M A STUDENT RES0163-072 AND WHAT'S YOUR LIVING SITUATION LIKE RES0163-073 I LIVE WITH MY PARENTS RES0163-074 OK AND DO YOU SMOKE AT ALL RES0163-075 NO RES0163-076 OK HAVE YOU EVER SMOKED RES0163-077 NO NO NO RES0163-078 ANY ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0163-079 OH GOD NO NEVER RES0163-080 NO OK AND DO YOU DRINK ALCOHOL RES0163-081 NO RES0163-082 OK AND HOW HOW'S YOUR HOME ENVIRONMENT DO YOU GENERALLY FEEL SAFE IN YOUR HOME ENVIRONMENT AS WELL AS OUTSIDE OF YOUR HOME RES0163-083 OH IT'S GREAT RES0163-084 OK SO SO MAINLY SO THERE'S ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERN RES0163-085 NOPE RES0163-086-1 OK SO THERE CAN BE MANY DIFFERENT REASONS FOR THIS CHRONIC CONGESTION AND WE'LL DO A FULL PHYSICAL EXAMINATION FOR YOU TODAY AND RES0163-086-2 SOME OF THE POSSIBLE THINGS THAT CAN BE HAPPENING IS YOU MIGHT BE HAVING A SINUS ISSUE LIKE A CHRONIC SINUSITIS YOU CAN BE HAVING AN ALLERGIC RHINITIS OR WITH THE SNORING RES0163-086-3 AND JUST THE CHRONIC CONGESTION YOU MAY BE ALSO HAVING SOMETHING CALLED OBSTRUCT OBSTRUCTIVE SLEEP APNEA AND THERE CAN BE STRUCTURES IN YOUR MOUTH THROATS THAT CAN CAUSE YOU TO RES0163-086-4 KIND OF OBSTRUCT AND SNORE AT NIGHT AS WELL AND THAT EVEN THE CONGESTION MIGHT CAUSE THAT AS WELL SO WE'LL DO A COUPLE TEST FIRST AND THEN IF REQUIRED RES0163-086-5 WE MIGHT NEED TO DO SOME IMAGING AND EVEN PERHAPS SEND YOU TO AN EMT SPECIALIST IF WE THINK IT'S OBSTRUCTIVE SLEEP APNEA THERE FOR NOW WE'LL JUST DO THE PHYSICAL EXAMINATION TO GO FROM THERE RES0163-087 GREAT THANK YOU RES0163-088 WELCOME TAKE CARE RES0164-000 WHAT BRINGS YOU IN HERE TODAY RES0164-001 HEY I'M I'M THE MOM OF OF THE PATIENT HE'S HE'S A KID HE HAS HAD HE JUST HAD A COUGH AND STUFFY NOSE FOR THE PAST THREE DAYS RES0164-002 OK AND SO DID THEY BOTH START AROUND THE SAME TIME OR ONE STARTED BEFORE THE OTHER RES0164-003 THEY STARTED THE SAME TIME HE'S ALSO HAD LIKE THESE THESE HIS EYES HAVE BEEN LIKE KIND OF RED AND WATERY AS WELL RES0164-004 OK AND IS HE WHAT KIND OF COUGH IS HE HAVING A DRY COUGH OR WET COUGH RES0164-005 IT'S A DRY COUGH RES0164-006 DRY COUGH OK AND AND SO WITH THE CONGESTION IS HE ALSO HAVING ANY KIND OF NASAL DRAINAGE RES0164-007 IT'S IT'S LIKE WATERY RES0164-008 WATERY OK SO NOW ARE YOU NOTICING ANY KIND OF YELLOW OR GREENISH MATERIAL RES0164-009 NO RES0164-010 AND HE HASN'T IS HE COUGHING UP ANY BLOOD AT ALL AT ANY POINT RES0164-011 NO NO NO RES0164-012 AND SO THIS STARTED JUST RECENTLY THREE DAYS AGO WAS HE IN CONTACT WITH ANYONE THAT'S BEEN SICK RECENTLY RES0164-013 I DON'T THINK SO BUT HE HAS BEEN LIKE PLAYING OUTSIDE QUITE A BIT AND SOMETIMES HE'S JUST PLAYING WITH THE NEIGHBOURS KIDS RES0164-014 OK HAS THIS HAPPENED BEFORE RES0164-015 IT HAS BUT I GUESS WHAT I'M CONCERNED ABOUT IS THE RASH THAT HE HAS NOW THAT HE'S NEVER HAD BEFORE RES0164-016 OK AND WHERE IS THE RASH EXACTLY RES0164-017 IT'S ON HIS FACE IT STARTED THIS MORNING RES0164-018 OK AND CAN YOU DESCRIBE THE RASH FOR ME LIKE IT'S COLOR SHAPES AND WHAT KIND OF LOOKS LIKE RES0164-019 SMALL REALLY SMALL DOTS LIKE KIND OF LIKE I'D SAY LIKE BROWN IN COLOR LIKE RES0164-020 BROWNISH DARK REDDISH OK LET'S JUST ARE THEY JUST LOCATED ON HIS FACE RES0164-021 LIKE IT WAS ON HIS FACE AND IT'S KIND OF A LITTLE BIT ON HIS NECK RES0164-022 OK AND IS HE SCRATCHING AT THEM AT ALL RES0164-023 OK OK AND SO THEY JUST STARTED TODAY HAVE YOU HAD THESE RASHES BEFORE AT ALL RES0164-024 NO NO HE HASN'T RES0164-025 OK ANYTHING NEW AT ALL THAT HE HAS EITHER EATEN OR ANY NEW CLOTHING OR NEW LAUNDRY DETERGENT OR SOAP SO ANYTHING AT ALL RES0164-026 NO NO RES0164-027 OK OK AND HAS HE HAD ANY FEVERS OR CHILLS ANYTHING LIKE THAT RES0164-028 HE HAS BEEN FEELING A LITTLE BIT WARM I DIDN'T REALLY CHECK HIS TEMPERATURE RES0164-029 AND AND BUSY SO IT STARTED THREE DAYS AGO ANYTHING HAPPENED BEFORE THREE DAYS AT ALL THAT MIGHT HAVE CAUSED THE SYMPTOMS RES0164-030 I DON'T THINK SO AS I SAID HE HAS BEEN PLAYING AROUND WITH OTHERS SO COULD HAVE CAUGHT SOMETHING RES0164-031 OK AND OK ANY KIND OF HAVE YOU TRIED ANYTHING THAT HAS HELPED HIM AT ALL ANY MEDICATIONS RES0164-032 I HAVEN'T TRIED ANYTHING YET NO RES0164-033 OK AND HOW OFTEN IS HE COUGHING IS HE COUGHING THROUGHOUT THE DAY OR IS IT MORE SO WITH EXERTING HIMSELF RES0164-034 IT'S JUST KIND OF ALL THROUGH THE DAY IT'S ACTUALLY GOTTEN A LITTLE BIT BETTER THE COUGH HAS GOTTEN BETTER BUT WHAT I'M CONCERNED ABOUT IS THE THE RASH RES0164-035 OK COUGH'S GOTTEN BETTER DOES HE HAVE VISIT RUSH IT SO IS IT MAINLY JUST ON HIS FOREHEAD OR ALSO ON HIS CHEEKS RES0164-036 IT'S ON HIS CHEEKS ON HIS CHIN IT'S KIND OF ON HIS NECK IT'S KIND OF LIKE THIS BLOTCHY REDDISH BROWNISH LIKE LITTLE DOTS KIND OF IT'S NOT LIKE IT'S NOT RAISED IT'S LIKE FLAT RES0164-037 OK AND IS IT KIND OF JUST A BIT LIKE A BRIGHT RED RASH THAT'S KIND OF COVERING THE CHEEKS OR LITTLE LITTLE DOTS EVERYWHERE RES0164-038 KIND OF LITTLE DOTS RES0164-039 OK ANY ANYTHING ON HIS NOSE RES0164-040 IT'S ON HIS NOSE AS WELL RES0164-041 OK OK BUT NO FEVERS RIGHT RES0164-042 HE I GUESS HE MIGHT HAVE HAD A FEVER HE WAS FEELING WARM RES0164-043 OK AND ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH SORE THROAT ANYTHING LIKE THAT RES0164-044 NO NO NOTHING LIKE THAT RES0164-045 OK AND OTHERWISE ANY OTHER SYMPTOMS LIKE JUST NOT LIKE BEHAVIOURAL CHANGES NOT BEING HIMSELF BEING MORE IRRITABLE AT ALL RES0164-046 SO HE'S JUST BEEN TIRED HE HASN'T BEEN DOING ANYTHING HE'S JUST BEEN LYING IN BED HASN'T EATEN RES0164-047 OK ANY AT ALL IS HE HAVING ANY NAUSEA OR VOMITING RES0164-048 NO RES0164-049 ANY DIARRHEA OR CONSTIPATION RES0164-051 ANY CHANGES IN HIS URINATION RES0164-052 NO RES0164-053 ANY CHANGES IN HIS SLEEP OR APPETITE RES0164-054 NO WELL HE HAS BEEN EATING LITTLE LESS BUT NOTHING LIKE NOTHING ELSE RES0164-055 AND HAS HE BEEN COMPLAINING AT ALL OF ANY ABDOMINAL PAIN OR ANYTHING LIKE THAT RES0164-056 NO RES0164-057 OK OTHERWISE THAT HAS HE BEEN HEALTHY OR IF HE HAD ANY MEDICAL CONDITIONS DIAGNOSED RES0164-058 HE'S BEEN HEALTHY RES0164-059 OK AND AND ANY PREVIOUS SURGERIES OR HOSPITALIZATIONS RES0164-060 NO RES0164-061 ANY MEDICATIONS THAT HE TAKES REGULARLY RES0164-062 NO RES0164-063 AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS RES0164-064 NO RES0164-065 CONCURRENTLY OR LIKE DURING YOUR PREGNANCY WITH HIM ANY COMPLICATIONS AT ALL RES0164-066 NO RES0164-067 AND DID WAS HE MEETING HIS MILESTONES THAT DEVELOPMENTALLY IN TERMS OF ALSO WITH GROWTH AND HEIGHT AND EVERYTHING LIKE THAT RES0164-068 HE SEEMS TO BE DOING OK COME WHEN HE'S DOING AS WELL AS HIS OTHER BROTHER HIS TWO BROTHERS RES0164-069 OK AND DOES HE GO TO SCHOOL AT ALL WHAT GRADE IS HE IN RES0164-070 WHAT GRADE IS HE IN RES0164-074 IT'S THINGS ARE GOOD SO IT'S HIM HIS TWO OLDER BROTHERS MY HUSBAND AND ME RES0164-075 OK AND HAS ANYONE BEEN SICK RECENTLY OR HAD SIMILAR SYMPTOMS RES0164-076 NO RES0164-077 OK ALRIGHT HAS ANYONE IN THE FAMILY EVER HAD ANY DIAGNOSIS OF ASTHMA ECZEMA ALLERGIC RHINITIS RES0164-078 NO RES0164-079 NO NOTHING LIKE THAT OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS RES0164-080 NO RES0164-081-1 SO YEAH SO WE'LL WE'LL BE DOING A COUPLE WE'LL DO A PHYSICAL EXAMINATION I WANT TO SEE EXAMINED WITH THE RASH LOOKS LIKE AND THERE'S MANY THINGS THAT CAN CAUSE A RASH THERE'S RES0164-081-2 VIRAL INFECTIONS THAT CAN CAUSE SOME OF THE SYMPTOMS THE SYMPTOMS HE'S HAVING MAINLY SEEN VIRAL WITH A DRY COUGH AND RUNNY NOSE AND THEN YOU CAN WE HAVE A RASH AS WELL ONE THING I FORGOT TO ASK ACTUALLY IS RES0164-081-3 IS HE FULLY IMMUNIZED RES0164-081-4 HE I GUESS HE DIDN'T GET ALL HIS IMMUNIZATIONS DONE RES0164-082 EARLIER HE DID GET THEM A LITTLE BIT LATER SO WE CAME FROM SYRIA AS REFUGEES BUT I I'M THINKING HE GOT ALL HIS IMMUNIZATIONS WHEN HE CAME TO WHEN WE MOVED TO CANADA RES0164-083 OK AND IS HE COMPLAINING OF JOINT OR MUSCLE ACHES AT ALL RES0164-084 NO RES0164-085-1 NO NOTHING LIKE THAT NO OK ALRIGHT SO WE'LL DO IT LIKE A FULL PHYSICAL EXAMINATION AND IF IT'S MORE JUST A VIRAL IT'LL BE SOMETHING THAT RES0164-085-2 WE'LL JUST HAVE TO MONITOR AND DO SUPPORTIVE CARE FOR BUT IF IT'S ANYTHING ELSE WE MIGHT NEED TO DO FURTHER INVESTIGATIONS RES0164-085-3 OK AND WE'LL JUST DO A COVID SWAB FOR HIM TODAY AS WELL AS SOME OF THE SYMPTOMS OVERLAP WITH COVID SYMPTOMS AND YOU WILL GET THE RESULTS BACK IN TWENTY FOUR HOURS TO FORTY EIGHT HOURS AND THEN FURTHER INSTRUCTION FROM PUBLIC HEALTH RES0164-086 SOUNDS GREAT RES0164-087 TAKE CARE TALK TO YOU SOON RES0165-000 WHAT BRINGS YOU IN HERE TODAY RES0165-001 I JUST I'VE HAD A COUGH AND I'VE HAD A SORE THROAT FOR THE PAST TWO DAYS AND I WAS JUST WORRIED THAT I MIGHT HAVE COVID SO I THOUGHT I'D COME IN JUST TO MAKE SURE THAT EVERYTHING'S OK RES0165-002 OK WELL THAT'S A GOOD IDEA THAT YOU CAME IN SO IT'S BEEN HAPPENING FOR THE LAST TWO DAYS DID YOU START HAVING THE COUGH FIRST OR THE SORE THROAT OR BOTH AROUND THE SAME TIME RES0165-003 IT STARTED WITH A SORE THROAT TWO NIGHTS AGO AND THEN IT GOT WORSE IN THE MORNING WHEN I WOKE UP AND THEN I DEVELOPED THE COUGH LIKE ABOUT A DAY AGO A DAY AND A HALF RES0165-004 OK AND CAN YOU DESCRIBE YOUR COUGH IS IT A WET COUGH OR A DRY COUGH RES0165-005 IT'S A DRY COUGH RES0165-006 OK ARE YOU HAVING ANY KIND OF ARE YOU BRINGING UP ANY BLOOD OR SPUTUM AT ALL RES0165-007 NO RES0165-008 NO OK AND SO THIS STARTED TWO DAYS AGO IS IT CONSTANT ARE YOUR SYMPTOMS CONSTANT OR THEY COME AND GO RES0165-009 NO THEY'RE NOT CONSTANT THEY KIND OF COME AND GO RES0165-010 OK AND DO THEY OCCUR WHEN YOU'RE EXERTING YOURSELF AT ALL OR IT CAN HAPPEN IT OR DO THEY HAPPEN AT SOME POINT DURING THE DAY IN THE MORNING OR NIGHT OR JUST RANDOMLY RES0165-011 IT'S PRETTY RANDOM RES0165-012 OKAY ARE YOU SYMPTOM GETTING ANY BETTER OR WORSE RES0165-013 MAYBE A LITTLE WORSE I KIND OF FEEL LIKE I'M ALSO I'M NOW HAVING LIKE A A RUNNY NOSE RES0165-014 A RUNNY NOSE AS WELL OK WHEN DID THAT START RES0165-015 MAYBE LIKE I DON'T KNOW JUST NOW EVEN LIKE AN HOUR OR TWO AGO RES0165-016 OK HAVE YOU HAD ANY RECENT EXPOSURE TO ANYONE THAT'S BEEN SICK RECENTLY AT ALL RES0165-017 MAYBE I I WORK AT A HOSPITAL BUT I'M ALWAYS MAINTAINING SOCIAL DISTANCING AND I TRY TO BE VERY CAREFUL RES0165-018 OK AND DO YOU HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER TO HELP WITH THESE SYMPTOMS RES0165-019 NO RES0165-020 OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH CHEST PAIN DIZZINESS OR ANYTHING LIKE THAT RES0165-021 NO RES0165-022 NO OKAY AND THE SORE THROAT ARE YOU HAVING TROUBLE OR PAIN WHILE SWALLOWING ANY FOOD RES0165-023 IT'S NOT THAT BAD RES0165-024 NOT THAT BAD RES0165-025 IT'S JUST IRRITATION IN MY THROAT RES0165-026 OK ANY HOARSENESS IN YOUR VOICE AT ALL RES0165-027 NO RES0165-028 WELL OK HAVE YOU TRAVELED AT ALL RECENTLY UTSIDE OF THE PROVINCE RES0165-029 NO RES0165-030 ANY HEADACHES RES0165-031 NO RES0165-032 ANY NAUSEA VOMITING RES0165-033 NO RES0165-034 FEVERS OR CHILLS RES0165-035 I KNOW RES0165-036 OK ANY FATIGUE OR MALAISE RES0165-037 MAYBE A LITTLE BIT IT'S NOT TOO BAD RES0165-041 MAYBE TWO DAYS AGO RES0165-042 OK AND IS IT JUST ALL OVER YOUR BODY OR IN CERTAIN LOCATIONS RES0165-043 IT'S ALL OVER RES0165-044 HAVE YOU TRIED ANY PAIN MEDICATIONS RES0165-045 NO NO I HAVEN'T OK RES0165-046 ANY CHANGES IN YOUR BOWEL MOVEMENT AT ALL LIKE CONSTIPATION OR DIARRHEA RES0165-047 NO RES0165-048 ANY CHANGES IN YOUR APPETITE RES0165-049 NO RES0165-050 OK HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY RES0165-051 NO RES0165-052 OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0165-053 NO I'M PRETTY HEALTHY RES0165-054 OK ANY ALLERGIES TO MEDICATION RES0165-055 NO RES0165-056 ANY ENVIRONMENTAL ALLERGY RES0165-057 NO RES0165-058 OK ANY PREVIOUS SO SORRY ARE YOU TAKING ANY MEDICATIONS AT ALL RIGHT NOW RES0165-059 I'M NOT NO RES0165-060 ANY PAST HOSPITALIZATIONS OR SURGERIES RES0165-061 NO RES0165-062 NO OK AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITION RES0165-063 JUST HIGH BLOOD PRESSURE MY MOM HAS IT RES0165-064 OK AND CURRENTLY ARE YOU WORKING RES0165-065 I WAS WORKING BEFORE THE SYMPTOMS STARTED RES0165-066 OK AND WHAT DO YOU DO FOR WORK RES0165-067 I WORK AS A CUSTODIAN AT THE HOSPITAL RES0165-068 OK AND SO YOU'VE BEEN ISOLATING AND HAVE YOU GOTTEN COVID SWAB TEST YET RES0165-069 NO I HAVEN'T RES0165-070 OK SO WE CAN DO THAT FOR YOU TODAY AFTER A PHYSICAL PHYSICAL EXAMINATION RES0165-071 SURE RES0165-072 CURRENTLY RIGHT NOW WHAT'S YOUR LIVING SITUATION LIKE RES0165-073 I LIVE ALONE RES0165-074 OK AND DO YOU LIVE IN LIKE AN APARTMENT OR HOUSE RES0165-075 APARTMENT RES0165-076 OK AND ANY NEW EXPOSURES AT ALL IN YOUR HOUSE TO DUST NEW CARPETS ANIMALS ANYTHING LIKE THAT RES0165-077 NO RES0165-078 NO OK AND DO YOU SMOKE RES0165-079 I USED TO I DON'T ANYMORE I I SMOKED WHEN I WAS IN HIGH SCHOOL MAYBE A COUPLE TIMES RES0165-080 AND DO YOU SMOKE MARIJUANA RES0165-081 NO RES0165-082 ANY ALCOHOL RES0165-083 ONCE ONCE A DAY MAYBE ONE CLASS OF WINE AT NIGHT RES0165-084 SO THAT'S ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS RES0165-085 NO RES0165-086-1 OK SO IT SEEMS LIKE YOU'VE BEEN HAVING THESE SYMPTOMS FOR THE LAST FEW DAYS THEY SEEM KIND OF LIKE VIRAL IN NATURE WITH YOUR DRY COUGH AND RUNNY NOSE SORE THROAT AND SOMETIMES WITH THESE VIRAL ILLNESSES IT MAY TAKE SOME TIME FOR THE SYMPTOMS TO GO AWAY RES0165-086-2 ESPECIALLY THE COUGH SO TODAY WE WILL DO A COVID SWAB TEST FOR YOU TODAY AS A LOT OF THE SYMPTOMS OVERLAP AND YOU WILL RECEIVE THE RESULT IN THE NEXT ONE TO TWO DAYS AND BE CONTACTED BY PUBLIC HEALTH RES0165-086-3 FOR FURTHER INSTRUCTIONS AS FOR MANAGEMENT I THINK YOU CAN TAKE OVER THE COUNTER MEDICATIONS LIKE TYLENOL COLD DRINK LOTS OF FLUIDS AND STAY HYDRATED AND IF THOSE IF YOUR SYMPTOMS WORSEN AT ALL YOU CAN CONTACT US AGAIN RES0165-087 SURE THANK YOU RES0165-088 WELCOME TAKE CARE RES0166-000 WHAT BRINGS YOU IN HERE TODAY RES0166-001 I'VE JUST BEEN FEELING REALLY SHORT OF BREATH SINCE THIS MORNING AND I DON'T I DON'T KNOW WHAT'S GOING ON RES0166-002 IT JUST STARTED THIS MORNING RES0166-003 AND DID YOU WAKE UP FEELING SHORT OF BREATH OR WAS IT AFTER YOU HAD WOKEN UP AND WE WERE DOING ACTIVITIES RES0166-004 IT WAS WHEN I WAS DOING ACTIVITIES RES0166-005 OK AND WHAT WERE YOU DOING BEFORE YOU HAD THE SHORTNESS OF BREATH RES0166-006 OH I WAS JUST GOING TO THE KITCHEN TO MAKE BREAKFAST RES0166-007 OK AND CAN YOU DESCRIBE THE SHORTNESS OF BREATH IS IT MORE SO THAT YOU'RE HAVING TROUBLE DEEP BREATHS OR ARE YOU TAKING SHALLOW FAST BREATHS HOW WOULD YOU DESCRIBE IT RES0166-008 I GUESS JUST SHALLOW FAST BREATHS I FEEL LIKE I'VE RUN A MARATHON AND I JUST AND ALL I'VE DONE IS JUST WALKED TO THE KITCHEN RES0166-009 OK AND HAS THIS HAPPENED TO YOU BEFORE EVER RES0166-010 NO RES0166-011 NO OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE OFF SORE THROAT CHEST PAIN ANYTHING LIKE THAT RES0166-012 NO RES0166-013 SO IT'S JUST THE SHORTNESS OF BREATH RES0166-014 THAT'S IT RES0166-017 IS IT WORSE AT ALL THAN IT WAS THIS MORNING RES0166-018 KIND OF THE SAME I'D SAY RES0166-019 OK ARE YOU GETTING ANY KIND OF CHEST DISCOMFORT OR ANYTHING AT ALL WITH BREATHING RES0166-020 MAYBE WHEN I TAKE A VERY DEEP BREATH THEN IT JUST KIND OF I FEEL LIKE THIS SHARP PAIN RES0166-021 OK HOW HAVE YOU HAVING I'VE BEEN HAVING ANY CHILLS OR FEVER OR ANYTHING LIKE THAT RES0166-022 NO RES0166-023 OK ANY DIZZINESS OR FAINTING SPELLS RES0166-024 NO RES0166-025 OK DO YOU FEEL THAT YOUR HEART IS RACING AT ALL RES0166-026 NO RES0166-027 OK AND AND HAVE YOU TRIED ANYTHING THAT'S HELPED YOU IMPROVE THOSE SYMPTOMS LIKE TAKING A REST OR LAYING DOWN FLAT ANYTHING LIKE THAT RES0166-028 NO HAVEN'T REALLY TRIED MUCH IT JUST STARTED THIS MORNING SO I I JUST DECIDED COME IN RIGHT AWAY RES0166-029 OK HAVE YOU TRAVELED AT ALL RECENTLY RES0166-030 NO RES0166-031 ANY CONTACTED SOMEONE WHO'S BEEN SICK RECENTLY RES0166-032 I DON'T THINK SO RES0166-033 OK RES0166-034 I DID JUST SAY SORRY I I DID JUST GET OUT OF THE HOSPITAL SO MAYBE I COULD HAVE HAD SOME CONTACT THERE'S SOME EXPOSURE THERE RES0166-035 AND SO SO WHEN DID YOU GET OUT OF THE HOSPITAL RES0166-036 TWO DAYS AGO RES0166-037 TWO DAYS AGO OK AND WHAT WERE YOU IN THE HOSPITAL FOR RES0166-038 I HAD I BROKE MY HIP RES0166-039 OK AND DID YOU HAVE A SURGERY FOR YOUR HIP RES0166-040 NO THEY DIDN'T THINK IT WAS SURGERY WAS NEEDED RES0166-041 OK SO HOW LONG WERE YOU IN THE HOSPITAL FOR RES0166-042 ABOUT FOUR DAYS RES0166-043 FOUR DAYS OK AND IN THOSE FOUR DAYS WHAT WERE THEY DOING FOR YOU THERE RES0166-044 JUST TRYING TO HELP ME JUST DOING PHYSIOTHERAPY AND HELPING ME SORT OF GET UP AND GET OUT OF BED RES0166-045 OK RES0166-046 AND LIKE GIVING ME PAIN MEDICATIONS RES0166-047 AND SINCE OR LIKE WHEN YOU WENT HOME TODAY SET UP ANY KIND OF HOME CARE FOR YOU OR ANYTHING LIKE THAT RES0166-048 THEY DID A NURSE COMES IN ONCE A DAY RES0166-049 OK AND HOW ABOUT PHYSIOTHERAPY RES0166-050 I DON'T KNOW THEY HAVEN'T REALLY BEEN COMING IN AND I I ASKED THE NURSE AND SHE SAID SHE'S GONNA LOOK INTO IT MAYBE SOMETHING WENT WRONG THERE RES0166-051 OK AND AFTER YOU'VE BEEN DISCHARGED HAVE YOU BEEN MOVING AROUND AT ALL OR IF YOU'VE BEEN PRETTY IMMOBILIZED RES0166-052 I TRY BUT IT'S BEEN IT'S BEEN HARD LIKE SPECIALLY THE FIRST COUPLE OF DAYS I DON'T THINK IT DID MUCH BUT SINCE THEN I'VE BEEN I'VE BEEN TRYING TO MOVE AROUND A LITTLE BIT MORE RES0166-053 OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS AT ALL RES0166-055 NO NOTHING LIKE THAT RES0166-056 NO RES0166-057 HAVE YOU PREVIOUSLY HAD ANY KIND OF CLOTS LIKE A DEEP VEIN THROMBOSIS OR PULMONARY EMBOLISM ANYTHING LIKE THAT RES0166-058 NO RES0166-059 HAVE YOU HAD ANY PREVIOUS DIAGNOSIS OF CANCER RES0166-060 I DID IN THE PAST ABOUT TEN YEARS AGO RES0166-061 I HAD LEUKAEMIA LEUKAEMIA OK AND ARE YOU STILL ON ANY KIND OF TREATMENT OR DO YOU SEE RES0166-062 AN ONCOLOGIST OR A MYTHOLOGIST RES0166-063 NO NOT ANYMORE NOT ANYMORE OK AND SO ARE YOU EXPERIENCING ANY KIND OF COUGHING UP BLOOD OR ANYTHING LIKE THAT RES0166-065 NO NO OK DO YOU FEEL ANY PAIN IN YOUR CAPS AT ALL RES0166-066 NO RES0166-067 NO OK ALRIGHT OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF NAUSEA AND VOMITING AT ALL RES0166-068 NO I DON'T RES0166-069 OK ANY FEVERS OR CHILLS RES0166-071 ANY NIGHT SWEATS OR FATIGUE RES0166-072 NO RES0166-073 OK ANY DIARRHEA OR CONSTIPATION RES0166-074 NO NONE OF THOSE RES0166-075 OK AND BESIDES THE CANCER ANY PREVIOUS MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0166-076 NO I WAS PRETTY HEALTHY BEFORE THAT RES0166-077 OK ANY HISTORY OF ANY CLOTTING OR CLOTTING DISORDERS AT ALL RES0166-078 NO RES0166-079 OK DO YOU TAKE ANY MEDICATIONS CURRENTLY RES0166-080 NO NO NOT ANYMORE RES0166-081 OK ANY ALLERGIES TO ANY MEDICATIONS RES0166-082 NO RES0166-083 OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS RES0166-084 NO LUNG OR HEART CONDITIONS NO RES0166-085 OK AND CURRENTLY RIGHT NOW RES0166-086 DO YOU WORK AT ALL I DO RES0166-087 I AM I'M A BANKER BANKER OK AND WHAT'S YOUR LIVING SITUATION LIKE WHERE DO YOU LIVE WITH ANYONE OR INWARD WHERE DO YOU LIVE RES0166-088 I LIVE AT HOME WITH MY HUSBAND AND MY TWO KIDS RES0166-089 OK AND YOU SMOKE IT ALL RES0166-090 NO I DON'T RES0166-091 OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0166-092 SOMETIMES I'LL HAVE MARIJUANA WITH MY FRIENDS BUT I HAVEN'T REALLY DONE THAT SINCE THE PANDEMIC STARTED RES0166-093 OK AND YOU DRINK ALCOHOL RES0166-094 I DO COME I'LL HAVE MAYBE TWO OR THREE GLASSES OF BEER ON THE WEEKEND RES0166-095 OK ALRIGHT SO THESE ARE ALL THIS QUESTIONS I HAD FOR YOU TODAY WE'LL DO A FULL PHYSICAL EXAMINATION NEXT DO YOU HAVE ANY QUESTIONS OR CONCERNS RES0166-096 NO RES0166-097-1 OK SO YEAH RIGHT NOW ONE OF THE MAIN THINGS WE WANT TO RULE OUT ESPECIALLY SINCE YOU HAD THE SUDDEN SHORTNESS OF BREATH TODAY AFTER A HISTORY OF JUST RECENT DISCHARGE AND THE HIP FRACTURE OR INJURY RES0166-097-2 AND YOU'RE IMMOBILIZED WE NEED TO MAKE SURE YOU HAVEN'T DEVELOPED A CLOT THAT HAS TRAVELED TO YOUR LUNGS RES0166-097-3 SO WE'LL DO A FULL PHYSICAL EXAMINATION AND GET SOME BLOOD WORK DONE INITIALLY AND THEN SEE IF YOU REQUIRE ANY RES0166-097-4 MEDICATIONS FOR IF YOU NEED THROMBOLYSIS FOR TO BREAK UP THE CLOT WE'LL WE MIGHT DO SOME IMAGING AS WELL SO WELL WE'LL JUST START WITH THAT AND THEN WE'LL GO FROM THERE RES0166-098 SURE RES0166-099 SO YOU'LL BE IN HERE FOR A FEW HOURS UNTIL WE GET ALL THOSE THINGS DONE AND SEE IF YOU NEED ANY ADMISSION AT ALL TO THE HOSPITAL RES0166-100 SURE RES0166-101 ALRIGHT RES0166-102 THANK YOU RES0166-103 WELCOME TAKE CARE RES0167-000 WHAT BRINGS YOU IN RES0167-001-1 I'VE JUST HAD A REAL LIKE A REAL BAD COUGH IT'S BEEN GOING ON FOR FOUR OR FIVE DAYS NOW RES0167-001-2 AND I'M JUST I'M HAVING SOME TROUBLE BREATHING I'M COUGHING UP LIKE GUNKY GREEN STUFF IT'S JUST REALLY BAD I HAVEN'T HAD ANYTHING LIKE THIS BEFORE RES0167-002 OK SO WHEN DID THE COUGH START RES0167-003 ABOUT FOUR OR FIVE DAYS AGO RES0167-004 FOUR OR FIVE DAYS AGO OK AND OK SO FOR FIVE DAYS DID YOU DO HAVE ANY SHORTNESS OF BREATH WITH THAT RES0167-005 IT'S I'M JUST I FEEL LIKE I CAN'T CAN'T QUITE LIKE BREATHE RES0167-006 FULLY OK YOU CAN'T QUITE BREATHE FULLY SO LIKE WHEN YOU TAKE A DEEP BREATH IN YOU CAN'T EXPAND YOUR LUNGS FULLY IS THAT WHAT YOU MEAN RES0167-007 I JUST OVERALL I JUST FEEL LIKE I'M I'M SHORT OF BREATH I GUESS THAT'S THE BEST WAY TO PUT IT RES0167-008 OK SO YOU'RE SHORT OF BREATH AND HOW ABOUT WHEEZING DO YOU HAVE ANY OF THAT RES0167-009 I DON'T THINK SO RES0167-010 OK SO WHEN DID THIS START AGAIN YOU SAID IF A COUPLE DAYS AGO OR A FEW WEEKS AGO RES0167-011 I THINK IT WAS FOUR DAYS AGO RES0167-012 FOUR DAYS AGO OK AND DID YOU HAVE LIKE A RUNNY NOSE OR STUFFY NOSE AT THAT POINT RES0167-013 MAYBE A LITTLE BIT I WASN'T REALLY THINKING ABOUT IT TOO MUCH RES0167-014 OK SORE RES0167-015 THROAT NO NOT A SORE THROAT RES0167-016 NOT A SORE THROAT OK HOW ABOUT CHANGES IN YOUR TASTE OR SMELL RES0167-017 NO NONE OF THOSE RES0167-018 OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING RES0167-019 NO RES0167-020 FEVER WEIGHT LOSS RES0167-021 I FEEL LIKE I'VE I'VE PROBABLY HAD A FEVER THE LAST COUPLE NIGHTS I'VE JUST BEEN REALLY HOT IN THE EVENINGS RES0167-022 OK RES0167-023 I FEEL LIKE I'VE HAD A FEVER I DON'T KNOW BOUT MY WEIGHT I DON'T WEIGH MYSELF ALL THE TIME RES0167-026 ANY CHEST PAIN FEELS A LITTLE LIKE IT HURTS A LITTLE BIT LIKE WHEN I RES0167-027 WHEN I BREATHE IN OK DO YOU EVER FEEL LIKE YOUR HEART'S RACING RES0167-028 NO I DON'T THINK SO RES0167-029 ALRIGHT AND ANY CHANGES IN YOUR BOWEL MOVEMENTS RES0167-030 NO NO THAT'S ALL THE SAME RES0167-031 NO BELLYACHES RES0167-032 NOPE RES0167-033 NO BELLYACHES RES0167-034 NOPE RES0167-035 OK HOW ABOUT CHANGES TO YOUR URINE RES0167-036 NO RES0167-037 NO ANY DIZZINESS OR CONFUSION RES0167-038 NO NO NOT DIZZINESS OR CONFUSION BUT I HAVE JUST BEEN FEELING VERY WEAK AND TIRED RES0167-039 WHEN YOU SAY WEAK HAVE YOU LIKE LOST ANY OF YOUR LIKE MOTOR MOVEMENTS LIKE YOUR ARMS LEGS RES0167-040 NO NO NOT LIKE THAT KIND OF WEAK I JUST HAVE FELT LIKE VERY RUNDOWN RES0167-042 OK JUST LIKE JUST FATIGUED LIKE MORE THAN USUAL RES0167-043 OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0167-044 I DON'T I DON'T HAVE TOO MUCH LUCKILY KNOCK ON WOOD I I TAKE A MEDICATION FOR MY REFLUX RES0167-048 OK ALRIGHT DO YOU HAVE SOMETHING CALLED COPD RES0167-050 NO NO OK ARE YOU ON ANY MEDICATIONS RES0167-051 JUST THAT ONE FOR THE REFLUX ITS OH IT STARTS WITH AN R RABEPRAZOLE RES0167-052 OK RES0167-053 ALRIGHT AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0167-054 INCLUDING LIKE THE PNEUMOVAX VACCINE AND THE SHINGRIX RES0167-055 I HAD THE SHINGRIX THE PNEUMO I THINK THE DOCTOR SAID WE WERE GOING TO LOOK AT THAT THE NEXT TIME I CAME IN RES0167-056 OK SURE RES0167-057 SO I I'M NOT SURE I I KNOW THAT I ALWAYS SAY YES TO THESE THINGS BUT I'M NOT SURE BECAUSE OF COVID AND STUFF IF I'VE BEEN GETTING EVERYTHING EXACTLY ON TIME RES0167-058 OK AND HOW ABOUT HOW ABOUT ALLERGIES DO YOU HAVE RES0167-059 ANY ALLERGIES OH LIKE JUST SEASONAL NOT TO ANY RES0167-060 MEDICATIONS OR ANYTHING OK HAVE YOU BEEN IN TOUCH WITH ANYONE SICK RES0167-061-1 RECENTLY AROUND YOU RES0167-061-2 NO THE ONLY PERSON I SEE IS MY HUSBAND I GUESS HIM AND SO HE HAS A PSW THAT COMES IN TO TAKE CARE OF HIM RES0167-061-3 HE HAS A COUPLE MORE PROBLEMS THAN I DO SO BASICALLY WE SEE I SEE HIM AND HER AND WE SEE WE SEE OUR KIDS BUT JUST LIKE OUTSIDE RES0167-062 OK OK AND ALRIGHT AND THEN HAVE YOU TRAVELED ANYWHERE RECENTLY RES0167-063 NO NO RES0167-064 NO OK DIETARY WISE ARE YOU LIKE EATING HEALTHY RES0167-065 I THINK SO I TRY TO YOU KNOW COOK YOU KNOW WHOLE FOODS FOR US LIKE LOTS OF VEGGIES AND YOU KNOW FISH AND GOOD MEAT ALTHOUGH IN THE PAST YOU KNOW FEW DAYS I JUST CAUSE I FELT REALLY RUNDOWN AND FATIGUED I HAVEN'T BEEN EATING AS MUCH AS I NORMALLY DO RES0167-066 OK RES0167-067 OTHERWISE I THINK WE PRETTY HEALTHY I TRY TO YOU KNOW FOLLOW HEALTHY RECIPES AND FIND THEM ONLINE RES0167-068 FOR SURE THAT'S GOOD DO YOU DO YOU SMOKE RES0167-069 NO NO RES0167-070 NO OK AND ANY OTHER RECREATIONAL DRUGS RES0167-071 NO NEVER RES0167-072 OK DO YOU DRINK ALCOHOL RES0167-073 I'LL HAVE THE OCCASIONAL GLASS OF WINE ON A SPECIAL OCCASION BUT NOT FREQUENTLY AND NOT NOT HEAVILY RES0167-074 OK AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH RIGHT NOW RES0167-075 JUST ME AND MY HUSBAND WE LIVE OUTSIDE OF TOWN WE LIVE IN THE COUNTRY ON A LITTLE FARM RES0167-076 OK ANY OLD CARPETS OR DUST OR MOLD OR ASBESTOS IN THE IN THE HOME RES0167-077 NO NO WE RENOVATED PROBABLY FIFTEEN YEARS AGO AND THERE'S NO NO MORE CARPET AND THERE WERE NEVER ANY ASBESTOS PROBLEMS OR ANYTHING RES0167-078 OK OK WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS FOR MYSELF RES0167-079 I DON'T THINK SO I JUST I HOPE YOU KNOW WE CAN GET THIS FIGURED OUT RES0167-080-1 FOR SURE SO WE'LL START WITH DOING A COVID SWAB BECAUSE YOU HAVE SOME SYMPTOMS THAT OVERLAP WITH IT SO YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS WITH THOSE RESULTS RES0167-080-2 BUT IT DOES SOUND LIKE WHAT YOU'RE TELLING ME WITH THE WET COUGH AND YOU KNOW A LITTLE BIT OF SHORTNESS OF BREATH I THINK IT'S WORTHWHILE TO GET A CHEST X RAY TO SEE RES0167-080-3 IF YOU MIGHT POSSIBLY HAVE A PNEUMONIA AND IF YOU DO IF THERE IS SOME CONSOLIDATION WE'LL PROBABLY PRESCRIBE SOME ANTIBIOTICS FOR THAT RES0167-081 SOUND TO YOU THAT'S SOUNDS GREAT TO ME I JUST YOU KNOW HOPE THERE'S NOTHING SERIOUS GOING ON RES0167-082 AND IT SHOULDN'T BE IT'S PROBABLY ONE SOMETHING THAT'S BEEN GOING AROUND IN THE COMMUNITY AND YOU HAVEN'T HAD ANY RECENT HOSPITALIZATIONS OR SURGERY SO I WOULDN'T WORRY ABOUT LIKE ANY OF THOSE ATYPICAL BUGS JUST YET RES0167-083 OK OK THAT'S GOOD TO HEAR RES0167-084 FOR SURE WELL THANK YOU RES0167-085 OK THANK YOU RES0168-000 WHAT BRINGS YOU IN RES0168-001-1 SO I'VE JUST I HAD SOME SINUS PROBLEMS IN THE PAST I'VE HAD SOME SINUS INFECTIONS AND I JUST FEEL LIKE I HAVE ONE RIGHT NOW AND I KNOW THAT LIKE I KNOW THAT YOU KNOW A LOT OF THE TIME I I'VE DONE ALL THE THINGS THAT I'VE BEEN TOLD TO DO IN THE PAST LIKE RES0168-001-2 I'VE BEEN DOING LIKE SALINE RINSES AND JUST DOESN'T FEEL LIKE IT'S HELPING VERY MUCH RIGHT NOW WHEN I RINSE I'M GETTING LIKE RES0168-001-3 THIS GREENIE GROSS KIND OF MUCUS COMING OUT AND IT'S JUST LIKE GIVING ME THIS LIKE HEADACHE IT JUST FEELS CRAPPY RES0168-002 I'M SORRY YOU'RE FEELING THAT WAY SO THIS RUNNY NOSE OK DO YOU HAVE A COUGH AT ALL RES0168-003 NO I DON'T HAVE A COUGH RES0168-004 ANY SHORTNESS OF BREATH RES0168-005 I DON'T HAVE A REAL LIKE SHORTNESS OF BREATH BUT IT DOES FEEL CONGESTED RES0168-006 OK HOW ABOUT WHEEZINESS RES0168-007 NO WHEEZINESS RES0168-008 NO WHEEZINESS OK AND HOW ABOUT HOW ABOUT LIKE SORE THROAT OR LOSS OF TASTE RES0168-009 SO MY THROAT NOT SORE IN LIKE THE WAY THAT YOU GET CATCH A SORE THROAT BUT I GET A LOT OF POST NASAL DRIP AND IT MAKES IT LIKE STINGY SO IT'S LIKE IT'S SORE IN THAT WAY BUT IT'S NOT LIKE YOU KNOW IF YOU HAVE LIKE STREP THROAT OR SOMETHING RES0168-010 OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING RES0168-011 NO NOTHING LIKE THAT RES0168-012 WEIGHT LOSS RES0168-013 NO RES0168-014 FEVERS OR CHILLS RES0168-015 I I TOOK MY TEMP LAST NIGHT IT WAS PRETTY HIGH IT WAS LIKE NINETY NINE POINT LIKE SOMETHING NINETY NINE LIKE SEVEN OR SOMETHING RES0168-016 OK RES0168-017 SO MY THERMOMETER SAID THAT'S HIGH I DON'T I DON'T REALLY KNOW BUT RES0168-018 OK AND HOW ABOUT LIKE FACIAL PAIN OR PRESSURE OR FEELING LIKE IT'S FULL RES0168-019 OH I HAVE THAT IT'S LIKE ALL ON THE FRONT PART OF MY FACE RES0168-020 OK AND THEN YOU MENTIONED SOME NASAL OBSTRUCTION SOME DISCHARGE AND YOU SAID NO LOSS OF SMELL RIGHT RES0168-021 NO I DIDN'T LOSE ANY SMELL LIKE SOMETIMES IT'S KIND OF HARD TO SMELL BECAUSE IT'S SO PLUGGED UP RES0168-022 RIGHT RES0168-023 I STILL HAVE LIKE I'M ABLE TO SMELL LIKE ESPECIALLY AFTER I DO THE RINSES IT HELPS A LITTLE BIT RES0168-024 OK HOW ABOUT LIKE A CHEST PAIN RES0168-025 NO I HAVEN'T HAD ANY CHEST PAIN RES0168-026 NO OK ANY ISSUES WITH BOWEL MOVEMENTS OR HAVE THOSE BEEN NORMAL RES0168-027 THOSE HAVE BEEN NORMAL RES0168-028 OK ANY CHANGES IN YOUR URINE RES0168-029 NO RES0168-030 ANY HEADACHES RES0168-031 LIKE I GET THAT LIKE SINUSY HEADACHE THAT YOU KNOW IT'S PRETTY COMMON FOR ME LIKE KIND OF JUST ALL IN LIKE THE FRONT OF MY FACE AND SOMETIMES IT KIND OF FEELS LIKE IT GOES ALL OVER RES0168-032 HOW ABOUT HOW ABOUT LIKE DIZZINESS OR FAINTING RES0168-033 NO RES0168-034 NO OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0168-035 NO THIS IS PRETTY WELL PRETTY WELL THE ONLY THING I HAD SOME PROBLEMS WITH MY KNEE LIKE I HAD SOME PROBLEMS WITH THE ACL SO LIKE I SEE LIKE AN ORTHOPAEDIC PERSON FOR THAT BUT OTHERWISE OTHERWISE I'M HEALTHY RES0168-036 OK OK AND ARE YOU ON ANY MEDICATIONS RES0168-037 NO LIKE I I SOMETIMES LIKE I USED THIS SALINE RINSE RES0168-038 OK RES0168-039 FOR A BIT I USED TO USE THE NASAL STEROID SPRAY AND I I HADN'T HAD AN INFECTION FOR AWHILE AND THINGS WERE FEELING OK SO I HAVEN'T BEEN USING IT RECENTLY AND THEN I OCCASIONALLY WILL USE LIKE LIKE AN ADVIL IF MY KNEES SORE RES0168-040 OK OK AND NO HOSPITALIZATIONS OR SURGERIES RES0168-041 SO I HAD AN ACL REPAIR SURGERY RES0168-042 OH RIGHT OK RES0168-043 AND LIKE I WENT TO THE EMERGENCY DEPARTMENT ONCE WHEN I HAD A BAD SINUS INFECTION BUT I DIDN'T LIKE STAY OVER AT THE HOSPITAL RES0168-044 OK OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE RES0168-045 I THINK SO I NEVER REALLY DIDN'T GET ANY RES0168-046 OK ANY ALLERGIES RES0168-047 LIKE A LITTLE BIT TO CATS BUT NOTHING ELSE RES0168-048 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS RES0168-049 NO NOT THAT I KNOW OF RES0168-050 OK HOW ABOUT SMOKING DO YOU SMOKE RES0168-051 NO NO RES0168-052 NO OK DO YOU DRINK ALCOHOL RES0168-053 I DRINK A FEW BEERS ON THE WEEKEND RES0168-054 OK RES0168-055 YOU KNOW FIVE OR SIX PER WEEKEND RES0168-056 OK AND THEN FIVE OR SIX FOR WEEKEND OK AND ANY RECREATIONAL DRUGS RES0168-057 I WILL OCCASIONALLY TAKE LIKE A CANNABIS LIKE A CAPSULE LIKE THE OIL IN THE CAPSULE RES0168-058 OK AND WHAT IS THAT FOR RES0168-059 JUST LIKE RECREATIONAL ALSO LIKE I MEAN MY KNEE MY KNEE PAIN SOMETIMES IT HELPS RES0168-061 BUT ESSENTIALLY THAT THAT MIGHT BE LIKE ONCE LIKE PER MONTH OR SOMETHING RES0168-062 OK OK ALRIGHT AND ANY SICK CONTACTS RECENTLY RES0168-063 NO NO I'VE BEEN WORKING FROM HOME RES0168-064 OK OK AND ANY TRAVEL RECENTLY RES0168-065 NO RES0168-066 NO OK AND WHERE DO YOU LIVE RES0168-067 I LIVE HERE IN TOWN WITH MY WIFE AND OUR TEENAGE SON RES0168-068 OK IS ANYONE AT HOME SICK RES0168-069 NO THEY'RE FINE RES0168-070 THEY'RE FINE OK AND WHAT ABOUT SORRY RES0168-071 THEY'RE BOTH WORKING FROM HOME LIKE DOING SCHOOL FROM HOME TOO SO WE RARELY DON'T GO ANYWHERE LIKE MY WIFE GOES TO GET GROCERIES AND THAT'S ABOUT IT RES0168-072 OK I SEE AND ANY OLD CARPETS SMOKE ASBESTOS MOLD ANYTHING LIKE THAT AT HOME RES0168-073 NO NO IT'S A PRETTY NEW HOUSE RES0168-074 OK ALRIGHT ANY PETS AT HOME RES0168-075 WE HAVE A DOG IT'S A LABRADOODLE RES0168-076 OK RES0168-077 AND THAT'S IT RES0168-078 HOW LONG HAVE YOU HAD HIM RES0168-079 OH LIKE HE'S LIKE THREE NOW LIKE MY SINUS INFECTIONS AND THAT HAVE BEEN GOING ON FOR LONGER THAN WE'VE HAD HIM RES0168-080 OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME RES0168-081 I DON'T THINK SO I JUST I HOPE YOU KNOW WE CAN DO SOMETHING ABOUT THIS BECAUSE YOU KNOW I TRIED ALL THIS STUFF THAT IS SUPPOSED TO BE LIKE YOU KNOW CONSERVATIVE LIKE THE FIRST STEPS AND IT JUST DOESN'T SEEM LIKE IT'S GETTING BETTER IT'S BEEN LIKE FEW WEEKS SO I THOUGHT IT WAS PROBABLY TIME TO COME SEE YOU RES0168-082 SORRY WHAT HAVE YOU TRIED AT HOME AGAIN RES0168-083 SO I USE THE THE RINSES THE SALINE RINSES I USED A LITTLE BIT OF NASAL DECONGESTANT BUT I KNOW LIKE I KNOW I'VE BEEN TOLD I'M NOT SUPPOSED TO DO THAT FOR MORE THAN A FEW DAYS SO I DON'T THAT'S I THINK THAT'S PRETTY WELL IT CAUSE THEY SAID THERE'S NOT MUCH WE CAN REALLY DO RES0168-084-1 OK SO YOUR SYMPTOMS OK BECAUSE SOME SOME OF THESE THINGS OVERLAP WITH COVID WE'RE GOING TO HAVE TO SWAB YOU AND THEY'LL NOTIFY YOU OF YOUR RESULTS IN LIKE TWENTY FOUR TO FORTY EIGHT HOURS BUT WHAT IT SOUNDS LIKE IS SOMETHING CALLED SINU SINUSITIS AND RES0168-084-2 IT SOUNDS LIKE ACUTE BACTERIAL RHINOSINUSITIS BECAUSE OF SOME F THE SYMPTOMS THAT YOU HAVE AND IT'S BEEN GOING ON FOR MORE THAN A WEEK AND IT'S RES0168-084-3 IT'S NOT GOING AWAY WITH THE RINSE SALINE RINSES AND THESE DECONGESTANTS SO WE WILL PRESCRIBE SOME ANTIBIOTICS FOR YOU PROBABLY AMOXICILLIN RES0168-084-4 TAKE THOSE FOR FIVE TO SEVEN DAYS AND SEE IF SOME OF YOUR SYMPTOMS CLEAR UP RES0168-084-5 IF THEY CONTINUE TO BE SEVERE ACTUALLY AT THIS WILL ALSO PRESCRIBE YOU SOME INHALED CORTICOSTEROIDS BECAUSE I THINK THOSE CAN HELP AS WELL SO WILL GIVE YOU BOTH OF THOSE FOR NOW RES0168-084-6 AND THEN JUST FOLLOW UP WITH US IN A WEEK AFTER YOU'VE TRIED BOTH THINGS AND WE'LL SEE HOW YOUR SYMPTOMS ARE HOLDING UP AT THAT POINT DOES THAT SOUND LIKE A GOOD PLAN TO YOU RES0168-085 I THINK THAT SOUNDS THAT SOUNDS FAIR THANK YOU RES0168-086 OK NO PROBLEM RES0171-000 WHAT BRINGS YOU IN TODAY RES0171-001 I'VE HAD A SHORTNESS OF BREATH AND EVEN AT AT REST REALLY FEELING LIKE IT'S DIFFICULT TO BREATHE AND WHEN I TAKE A DEEP BREATH I GET A CHEST PAIN RES0171-002 WHEN DID THIS START RES0171-003 THIS STARTED YESTERDAY RES0171-004 HOW BAD IS YOUR SHORTNESS OF BREATH RES0171-005 LIKE I DON'T KNOW I FEEL LIKE I'M OK LIKE IN TERMS OF BEING ABLE TO BREATHE BUT I MEAN IF I EXERT MYSELF AT ALL THERE'S NO WAY I WOULD BE ABLE TO IT'S I JUST FEEL LIKE EVEN AT REST IT'S HARD TO BREATHE RES0171-006 OK HAS IT GOTTEN WORSE SINCE YESTERDAY OR BETTER OR KIND OF BEEN THE SAME RES0171-007 IT'S MOSTLY BEEN THAT BEEN THE SAME OR ACTUALLY SORRY IT'S GOT GOT A LITTLE BIT WORSE AT FIRST IT WAS MORE MORE WITH EXERTION AND NOW IT'S AT REST AS WELL SO IT'S GOT WORSE RES0171-008 I SEE OK ARE YOU ABLE TO TALK IN FULL SENTENCES OR DO YOU NEED TO TAKE A DEEP LIKE STOP TO TAKE A BREATH RES0171-009 I COULD TALK IN FULL SENTENCES RES0171-010 AND THE CHEST PAIN DOES IT ONLY OCCUR WHEN YOU TAKE A DEEP BREATH OR ARE THERE OTHER TIMES AS WELL RES0171-011 I PRETTY MUCH ONLY WHEN I'M TAKING A DEEP BREATH AND SAY I MEAN MAYBE THAT'S WHY PART OF THE I CAN'T TAKE A DEEP BREATH SO IT'S MAKING ME FEEL IT'S MAKING THE BREATHING MORE DIFFICULT MAKING ME FEEL MORE SHORT OF BREATH RES0171-012 OK ANY OTHER SYMPTOMS THAT YOU'VE HAD A FEVER OR HEADACHE RES0171-013 NO NOTHING LIKE THAT RES0171-014 ANY COUGH RES0171-015 I I'VE HAD A COUGH AS WELL OVER THAT THE SAME SAME TIME PERIOD RES0171-016 IS IT A DRY COUGH ARE YOU BRINGING SOMETHING UP RES0171-017 IT'S DRY I HAVEN'T BROUGHT UP ANY SPUTUM OR ANY ANY ANY BLOOD RES0171-018 OK ANY OTHER FLU LIKE SYMPTOMS RUNNY NOSE STUFFY NOSE SORE THROAT ANYTHING LIKE THAT RES0171-019 NO I JUST HAD THE SHORTNESS OF BREATH AND CHEST PAIN RES0171-020 OK AND HAVE YOU I GUESS I JUST INVITED MORE GENERAL QUESTIONS ABOUT OTHERS POTENTIAL SYMPTOMS DO YOU FEEL LIKE YOUR HEART IS RACING OR DO YOU FEEL LIKE YOU HAVE DO YOU HAVE ANY BELLY PAIN OR ANY CHANGES IN YOUR BOWEL MOVEMENTS RES0171-021 NO BELLY PAIN OR CHANGES TO BOWEL MOVEMENTS BUT I DO FEEL LIKE MY HEART IS BEATING REALLY FAST REALLY FAST THOUGH RES0171-022 OK YOU SAID THIS STARTED YESTERDAY WERE YOU LIKE COMPLETELY FINE THE DAY BEFORE RES0171-023 I WAS RES0171-024 ANYTHING THAT'S HAPPENED RECENTLY THAT'S DIFFERENT OR NEW RES0171-025 WELL IT LIKE ABOUT TWO WEEKS AGO I HAD A HYSTERECTOMY CAUSE I FOR ABNORMAL BLEEDING I HAD SURGERY TWO WEEKS AGO RES0171-026 WHAT HAVE YOU BEEN DOING THESE PAST TWO WEEKS IN TERMS OF SORT OF PHYSICAL ACTIVITY HAVE YOU BEEN MOVING AROUND OR NO RES0171-027 IT'S IT'S CERTAINLY BEEN LESS I I'VE BEEN MOVING A LITTLE BIT BUT I'VE HAD A LOT OF PAIN SO I JUST HAVEN'T BEEN DOING AS MUCH ACTIVITY THAT'S FOR SURE RES0171-028 I I SEE AND HAVE YOU HAD ANY I GUESS ANY PAIN IN YOUR LEGS OR SWELLING IN YOUR LEG ONE OR THE OTHER RES0171-029 I HAVE HAD ACTUALLY MY RIGHT RES0171-030 MY RIGHT CALF IS PRETTY SORE DEFINITELY HAVE A LOOK AT THAT HAVE YOU NOTICED THAT IT'S BEEN BIGGER OR MORE RES0171-031 RED OR WARM NO I DON'T NOTICE ANYTHING LIKE THAT JUST RES0171-032 JUST REALLY HURTS OK ANY MEDICAL RES0171-062-1 OK IF THERE'S I'M HAPPY TO TO ASSIST YOU AND SHARE RESOURCES AND PROBLEMS LIKE MEDICATIONS AND THINGS LIKE THAT THAT COULD HELP YOU IF YOU'RE INTERESTED SO WE CAN TALK MORE ABOUT THAT RES0171-062-2 TALKING ABOUT YOUR I GUESS YOU MENTIONED THAT YOUR YOUR WEIGHT IS A LITTLE HIGHER THAN OR ITS OUTSIDE THE NORMAL RANGE IS THAT SOMETHING THAT YOU WOULD LIKE TO CUT DOWN RES0171-063 I REALLY TRY TO EAT MORE VEGETABLES AND HAVE BEEN TRYING TO DO THAT SORT OF THING I'VE LOST A FEW POUNDS RES0171-064-1 BUT NOT ENOUGH DEFINITELY WANT TO KEEP GOING RES0171-064-2 OK GOOD GOOD AS LONG AS YOU FEEL THAT YOU WHAT YOU'RE CURRENTLY DOING IS HELPING YOU AND IS HELPING YOU REDUCE WEIGHT THAT'S GREAT BUT ALSO I'M HERE FOR YOU IF YOU NEED MORE EDUCATION OR GUIDANCE ON THAT RES0171-064-3 SO GIVEN WHAT YOU'VE TOLD ME SO FAR IT SOUNDS LIKE YOU MIGHT HAVE DEVELOPED A CLOT IN YOUR LEG SOMEWHERE SIMPLY BECAUSE YOU HAD A SURGERY RES0171-064-4 AND YOU WERE NOT MOVING AROUND VERY MUCH SOMETIMES THAT CAUSES THE BLOOD TO KIND OF NOT MOVE AROUND YOUR BODY IS AS AS MUCH AS IT USUALLY DOES AND KIND OF STAYS IN ONE PLACE AND GET TURNED INTO A CLOT RES0171-064-5 AND THAT CLOT CAN SOMETIMES GET DISLODGED AND SETTLE INTO YOUR LUNGS AND THAT CAN MAKE IT DIFFICULT FOR YOU TO BREATHE SO WE'LL DO SOME TESTS THAT THAT'S WHAT MY UNDERSTANDING IS GIVEN WHAT YOU'VE TOLD ME SO FAR BUT WE DO HAVE TO CONFIRM IT USING A TEST RES0171-064-6 ALSO THE FACT THAT YOU SMOKE AND AND YOUR WEIGHT AND YOUR BMI IS HIGH INCREASES YOUR RISK OF DEVELOPING A CLOT RES0171-064-7 SO I WOULD DEFINITELY STRONGLY RECOMMEND THAT YOU CONTINUE TO TRY TO REDUCE BOTH AND TRY TO QUIT SMOKING AND SO WE'LL DO AN ULTRASOUND OF YOUR LEG AND WE'LL DO A SCAN OF YOUR CHEST RES0171-064-8 AND SEE WHAT'S GOING ON AND THEN DECIDE IF WE NEED TO GIVE YOU ANY MEDICATIONS LIKE ANY BLOOD THINNING MEDICATIONS RES0171-065 OK THAT SOUNDS REALLY GOOD THANK YOU RES0171-066 WELCOME RES0172-000 WHAT BRINGS YOU IN TODAY RES0172-001 SO TWO DAYS AGO I STARTED TO HAVE THIS COUGH CAME OUT OF NOWHERE I HAVEN'T HAD A COUGH BEFORE AND I JUST TODAY I'VE NOTICED THE FEVER AS WELL AND AND I'VE HAD A HEADACHE THE LAST FEW DAYS RES0172-002 CAN YOU TELL ME A LITTLE BIT MORE ABOUT YOUR COUGH HAS IT GOTTEN BETTER OR WORSE OVER THE PAST TWO DAYS RES0172-003 SO IT IT'S A IT'S BEEN ABOUT WELL IT GOT WORSE AT FIRST AND THEN IT'S BEEN ABOUT THE SAME SINCE THEN RES0172-004 OKAY AND IS IT DRY COUGH OR WET COUGH RES0172-005 IT'S DRY RES0172-006 OKAY AND DOES IT EVER WAKE YOU UP AT NIGHT RES0172-007 NO WELL IT KIND OF HAPPENS ALL THROUGHOUT THE DAY NO NO IT HASN'T WOKEN ME UP AT NIGHT RES0172-008 OK IS THERE ANY ARE THERE ANY TRIGGERS ANYTHING THAT MAKES YOUR COUGH WORSE RES0172-009 I CAN'T THINK OF ANYTHING REALLY IT JUST KINDA COMES ON LIKE THROUGHOUT THE DAY ON IT SPONTANEOUSLY RES0172-010 TAKE ANY MEDICATIONS TO HELP WITH YOUR SYMPTOMS RES0172-011 SOME OVER THE COUNTER COLD MEDICINES I TRIED SOME TO TAKE TYLENOL COLD AND SINUS OR SOMETHING LIKE THAT ANYWAY AND IT DID HELP ME SLEEP A LITTLE BIT WITH THAT THE HEADACHE AND JUST HAVEN'T BEEN FEELING VERY GOOD TO HELP WITH THAT RES0172-012 AND TELL ME ABOUT YOUR FEVER DID YOU CHECK IT CHECK IT CHECK YOUR TEMPERATURE RES0172-013 I DID TODAY I CHECKED IT AND IT WAS LIKE JUST OVER THIRTY EIGHT I THINK LIKE THIRTY EIGHT POINT ONE OR TWO RES0172-014 OK WHAT ABOUT YOUR HEADACHE WHERE EXACTLY IS IT RES0172-015 I KIND OF FEEL IT ALL OVER IT'S LIKE A BAND NIGHT FEELS LIKE IT'S JUST AROUND MY HEAD AND SQUEEZING RES0172-016 AND HOW LIKE IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO TEN WHAT NUMBER WOULD YOU GIVE IT WITH TEN BEING THE WORST HEADACHE EVER RES0172-017 I WOULD SAY MAYBE A FIVE RES0172-018 OK AND YOU MENTIONED THAT THE TYLENOL HELPED RES0172-019 IT DID PROBABLY TOOK IT DOWN TO A TWO OR THREE THE HEADACHE DIDN'T GO AWAY ENTIRELY IT WAS SORT OF STILL THERE BUT DID HELP RES0172-020 HAVE YOU HAD ANY OTHER SYMPTOMS HAVE YOU HAD A CONFUSION OR IS IT ANY FUZZINESS OR ANY FLU LIKE SYMPTOMS RES0172-021 I HAVE FELT JUST TIRED AND OVER THESE LAST COUPLE OF DAYS THAT AND I HAVE HAD A SORE THROAT AS WELL RES0172-022 OH YOU GET OK OK WHAT ABOUT A RUNNY NOSE OR STUFFY NOSE RES0172-023 NO NOTHING LIKE THAT RES0172-024 ANY DIFFICULTIES BREATHING RES0172-025 NO RES0172-026 ANY DIFFICULTY SWALLOWING WITH A SORE THROAT RES0172-027 IS A LITTLE BIT PAINFUL BUT I'VE BEEN ABLE TO TO EAT AND DRINK OKAY JUST REALLY TAKES A LITTLE LONGER RES0172-028 ANY DIZZINESS OR FAINTING IN THE PAST COUPLE OF DAYS RES0172-029 NO NOTHING LIKE THAT RES0172-030 OK ANY RASHES OR CHANGES IN THEIR NAILS RES0172-031 NO I HAVEN'T HAD ANYTHING LIKE THAT RES0172-032 ANY CHANGES IN YOUR I GUESS HAVE HAD ANY CHEST PAIN RES0172-033 NO HAVEN'T HAD ANY CHEST PAIN HAVEN'T HAD ANYTHING LIKE THAT BEFORE RES0172-034 ANY BELLY PAIN RES0172-035 NO RES0172-036 ANY CHANGES IN YOUR BOWEL MOVEMENT ANY DIARRHEA RES0172-037 NO NO I HAVEN'T HAD ANY DIARRHEA RES0172-038 OK ANY CHANGES IN YOUR URINATION ANY DIFFICULTIES OR ANY PAIN OR ANY INCREASE IN FREQUENCY RES0172-039 NO I'VE HAD A URINARY TRACK INFECTIONS BEFORE SO I KNOW WHAT THAT'S LIKE I HAVEN'T HAD ANY OF THOSE SYMPTOMS RES0172-040 OK ALRIGHT GOOD AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0172-041 NO I HAVEN'T I HAD SURGERY ON MY KNEE WHEN I WAS A TEENAGER I TORE MY ACL BUT IT'S BEEN GOOD SINCE THEN RES0172-042 ANY HOSPITALIZATIONS RES0172-043 NO RES0172-044 OK ANY MEDICATIONS THAT YOU'RE TAKING INCLUDING OVER THE COUNTER MEDS RES0172-045 I JUST SAY I'M ON BIRTH CONTROL RIGHT NOW I'VE BEEN TAKING IT FOR THE LAST LIKE FIVE YEARS RES0172-046 OK ANY ALLERGIES RES0172-047 OH NO I DON'T THINK SO RES0172-048 OK GOOD AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART OR LUNG CONDITIONS OR CANCERS RES0172-049 MY MY AUNT HAD HAD BREAST CANCER BUT AND MY DAD HAS HIGH BLOOD PRESSURE RES0172-050 OK OK AND DO YOU CURRENTLY SMOKE RES0172-051 NO I DON'T RES0172-052 DO YOU EVER SMOKE IN THE PAST RES0172-053 NO I I I I I'VE STAYED AWAY FROM THAT RES0172-054 GOOD ANY MARIJUANA OR RECREATIONAL DRUGS RES0172-055 SOMETIMES WELL WE'LL SMOKE WITH LIKE FRIENDS AT A PARTY I GUESS BUT I HAVEN'T HAD ANY I HAVEN'T DONE THAT IN AWHILE RES0172-056 ALRIGHT ANY ALCOHOL RES0172-057 SIMILAR LIKE SOMETIMES AT A PARTY BUT I MEAN IT'S BEEN AWHILE FOR SOMETHING LIKE THAT SO I HAVEN'T REALLY HAD ANY ALCOHOL ON IN MONTHS RES0172-058 AND ARE YOU CURRENTLY WORKING OR RES0172-059 I AM SO IT'S I WORK FOR THIS TECH COMPANY SO I'VE BEEN ABLE TO DO A LOT OF MY STUFF AT AT HOME RES0172-060 OK HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK RES0172-061 I WILL WITHOUT WELL I THERE A COUPLE OR LAST WEEKEND ACTUALLY THERE WAS A FAMILY PARTY THAT WE WENT TO IT WAS OUTSIDE BUT IT THERE'S PEOPLE AROUND THERE WAS NOBODY THAT WAS SICK THAT I'M AWARE OF RES0172-062 OK AND AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE RES0172-063 NO BEEN BESIDES THAT THE FAMILY PARTY LAST WEEKEND BUT I MEAN THAT WAS JUST HERE IN TOWN SO IT WAS CLOSE BY RES0172-064 OK I GUESS I FORGOT TO ASK ABOUT A SYMPTOM HAVE YOU FELT THAT YOU'VE LOST YOUR SENSE OF SMELL OR SENSE OF TASTE HAS IT JUST BEEN DIFFERENT RES0172-065 MY SENSE OF ACTUALLY NOW THAT YOU MENTION IT RIGHT SENSE OF SMELL HAS BEEN DIFFERENT WHICH IS KIND OF WEIRD CAUSE I I DON'T HAVE EVERYBODY KNOWS OR I DON'T FEEL CONGESTED OR ANYTHING SO BUT MY TASTE HAS BEEN OK RES0172-066-1 GOOD WELL THAT'S ALL THE QUESTIONS I HAD FOR YOU GIVEN THAT YOUR SYMPTOMS SORT OF SOUND LIKE YOU MAY HAVE A VIRAL OR BACTERIAL INFECTION AND RES0172-066-2 SEEING THAT YOU WERE YOU HAD SOME EXPOSURE TO TO OTHER PEOPLE EVEN THOUGH THEY WEREN'T SICK IT COULD IT COULD BE THAT THEY RES0172-066-3 THEY HAD SOME SORT OF AN ILLNESS THAT THEY COULD TRANSMIT THAT THEY WEREN'T JUST SHOWING SYMPTOMS AT THE TIME WE WILL GET A COVID SWAB DONE JUST TO MAKE SURE THAT THAT'S NOT RES0172-066-4 WHAT'S HAPPENING IT COULD BE THAT AND I'LL RECOMMEND THAT YOU CONTINUE TO RES0172-066-5 YOU KNOW TAKE TYLENOL AND REST AND TAKE CARE OF YOURSELF AND IF YOUR SYMPTOMS WORSEN OR STAY THE SAME FOR LONG PERIOD OF TIME DEFINITELY COME BACK RES0172-066-6 OR CALL PUBLIC HEALTH TO GET SOME GUIDANCE AND TRY TO STAY AWAY FROM OTHERS AND SELF ISOLATE FOR THE NEXT COUPLE OF DAYS OR AT LEAST RES0172-066-7 CLEAR COVID SWABS BACK OR YOUR SYMPTOMS IMPROVE OR THE NEXT FOURTEEN DAYS SO THAT'S ALL I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME RES0172-067 NO THAT SOUNDS REALLY GOOD THANK YOU RES0173-000 HOW MAY I HELP YOU HI RES0173-001 I'M I'M HERE BECAUSE I I'VE ODDLY BEEN FEELING REALLY SHORT OF BREATH AND HAVE A FEVER OR AND A COUGH RES0173-002 OK WHEN DID THE SHORTNESS OF BREATH START AND ARE YOU SHORT OF BREATH NOW RES0173-003 IT STARTED ABOUT I GUESS I COULD START YESTERDAY AND A LITTLE BIT BUT IT'S GETTING BETTER RES0173-004 STARTED YESTERDAY OK WELL I'M GLAD IT'S GETTING BETTER WHEN DID THE COUGH START RES0173-005 IT STARTED AROUND THE SAME TIME RES0173-006 OK IT IS IT A DRY COUGH OR OR WET COUGH RES0173-007 IT'S A DRY COUGH RES0173-008 OK IS IT IS THIS COUGH NEW OR IF YOU HAD A COUGH BEFORE RES0173-009 NO IT'S IT'S KIND OF NEW RES0173-010 ALRIGHT HAVE YOU BROUGHT UP ANY I KNOW YOU SAID ITS BEEN BUT HAVE YOU BROUGHT UP ANY BLOOD RES0173-011 NO RES0173-012 OK AND HAVE YOU HAD ANY WHEEZING RES0173-013 NO RES0173-014 OK AND YOU MENTIONED A FEVER AS WELL HAVE YOU CHECKED YOUR YOUR TEMPERATURE TODAY OR YESTERDAY RES0173-015 IT WAS AT THIRTY EIGHT LAST NIGHT RES0173-016 ARE YOU FEELING FEVERISH TODAY AS WELL RES0173-017 A LITTLE BIT RES0173-018 OK AND SO HAVE YOU HAD ANY ANY INFECTIOUS SYMPTOMS LIKE RUNNY OR RED EYES RES0173-019 NO RES0173-020 HOW ABOUT A RUNNY NOSE OR FEELING CONGESTED RES0173-021 NO NO IT'S JUST A COUGH RES0173-022 COUGH OK AND WHAT WHAT WERE YOU AROUND ANY TRIGGERS YESTERDAY OR LIKE AROUND ANY ANYTHING THAT WAS OUT OF THE NORMAL FOR YOU RES0173-023-1 I GOT A NOTICE THAT THIS HAPPENS TO ME EVERY TIME I GO TO MY BOYFRIEND'S PLACE SO I STARTED DATING I STARTED DATING SOMEONE NEW ABOUT SIX MONTHS AGO AND RES0173-023-2 EVERY TIME I GO TO HIS PLACE A COUPLE HOURS LATER I JUST LIKE DEVELOP THESE SYMPTOMS JUST KIND OF ODD I THOUGHT THAT I WAS JUST GETTING A COLD RES0173-023-3 BUT NOW THAT IT'S HAPPENED LIKE THREE TIMES I'M THINKING MAYBE YOU HAVE SOME SORT OF AN ALLERGY LIKE MAYBE I DON'T KNOW MAYBE IT'S LIKE I'M JUST ALLERGIC TO SOMETHING MAYBE HIS PLANTS OR SOMETHING I DON'T KNOW RES0173-024 OK AND IT DOES THIS HAPPEN EACH TIME THAT YOU GO GO TO HIS HOUSE RES0173-025 KIND OF ALMOST THAT'S LIKE YOU HAVEN'T LIKE I HAVEN'T BEEN TO HIS PLACE VERY OFTEN BECAUSE OF THE PANDEMIC BUT EVERY TIME I GO KINDA FEEL REALLY CRAPPY AFTER RES0173-026 I SEE OK AND ARE THERE ANY OTHER ENVIRONMENTS YOU CAN THINK OF WHERE THIS HAPPENS OR HAVE THESE SYMPTOMS HAPPEN AT ANY OTHER POINT RES0173-027 NO I DON'T THINK SO RES0173-028 OK AND HAVE YOU HAD A SORE THROAT RES0173-029 NO RES0173-030 HOW ABOUT ANY LOSSES OF SMELL OR OR TASTE RES0173-031 NO RES0173-032 OK AND HAVE YOU HAD ANY CHEST PAIN RES0173-033 NO NO I HAVEN'T RES0173-034 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING RES0173-035 NO RES0173-036 ALRIGHT AND ANY ABDOMINAL PAIN OR DIARRHEA RES0173-037 NO RES0173-038 ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY RES0173-039 NO RES0173-040 HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS RES0173-041 JUST ACT DIFFERENT FEELING ACHY AND KINDA TIRED THESE PAST WELL LIKE TWELVE TO FOURTEEN HOURS RES0173-042 I SEE OK SO IT HAS BEEN KIND OF LIKE ALL OVER OR THERE ARE PARTICULAR MUSCLES SORE OR OUR BODY PART RES0173-043 NO IT'S IT'S LIKE ALL OVER RES0173-044 OK AND YOU'VE BEEN FATIGUED AS WELL RES0173-046 OK HAVE YOU HAD ANY HEADACHES RES0173-047 NO RES0173-048 ANY SKIN CHANGES OR RASHES RES0173-049 NO RES0173-050 ALRIGHT AND THEN HOW ABOUT ANY NIGHT SWEATS OR OR CHILLS I KNOW YOU MENTIONED FEVERS RES0173-051 NO I'VE JUST BEEN FEELING HOT RES0173-052 OK I MEAN HOW WAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS IS IT LIKE HAVE YOU LOST WEIGHT OR GAINING WEIGHT OR IS UP IN THE SAME RES0173-053 KIND OF IN THE SAME RES0173-054 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0173-055 NO I'M PRETTY HEALTHY RES0173-056 OK YOU SEE YOU HAVEN'T HAD ASTHMA IN THE PAST OR OR ANYTHING LIKE THAT RES0173-057 NO RES0173-058 OK ANY ALLERGIES TO MEDICATIONS YOU'RE AWARE OF OR OR ENVIRONMENTAL THINGS LIKE OR DUST OR POLLEN RES0173-059 NO NO WHICH IS WHY I WAS KIND OF SURPRISED I'M USUALLY FINE AND I SPEND A LOT OF TIME OUTDOORS SO I DON'T KNOW I WAS SURPRISED WHEN THIS HAPPENED WHEN I WENT TO HIS PLACE RES0173-060 OK DID YOU EVER GET THESE KIND OF SYMPTOMS IF YOU ARE LIKE OR AROUND SMOKE OR OR ANYTHING LIKE THAT YOU COULD MAYBE BE INHALING OR OR EVEN IF YOU ARE OUTSIDE IN THE COLD RES0173-061 NO RES0173-062 OK AND YOU GET SEASONAL SYMPTOMS LIKE THROUGHOUT THE YEAR YOU GET LIKE ITCHY RUNNY EYES OR LIKE LIKE A RUNNY NOSE RES0173-063 NO NO THAT HASN'T HAPPENED TO ME RES0173-064 OK AND DO YOU TAKE ANY MEDICATIONS RES0173-065 I JUST TAKE A BIRTH CONTROL PILL RES0173-066 AND WHEN HOW LONG HAVE YOU BEEN ON THAT FOR RES0173-067 ABOUT THREE YEARS RES0173-068 OK AND ANY PRIOR SURGERIES OR HOSPITALIZATIONS RES0173-069 OH NO RES0173-070 ALRIGHT AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING CURRENTLY AND TWO YOU'RE LIVING WITH RES0173-071 I LIVE ALONE I HAVE AN APARTMENT NEXT TO THE UNIVERSITY RES0173-072 OK AND ANY POTENTIAL FOR BEING AROUND ANYBODY WHO'S BEEN SICK LIKE YOUR BOYFRIEND OR HIS FAMILY OR OR ANYWHERE ELSE RES0173-073 NO I'VE JUST BEEN VISITING HIM AND I JUST GO GROCERY SHOPPING I'VE JUST I'VE BEEN DOING SCHOOLING ONLINE I DON'T THINK SO I'M USUALLY VERY CAREFUL I'M NOT I'M NOT MAINTAINING SOCIAL DISTANCING WITH MY BOYFRIEND HE'S IN MY SOCIAL CIRCLE BUT OTHER THAN THAT NO ONE I THINK RES0173-074 OK AND HAVE YOU TRAVELED ANYWHERE RES0173-075 NO RES0173-076 ALRIGHT THEN ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL RES0173-077 I'M GOING TO SCHOOL RES0173-078 OK COOL AND AND ARE YOU CURRENTLY SEXUALLY ACTIVE RES0173-079 OK AND ARE YOU USING BIRTH CONTROL ARE YOU USING CONDOMS RES0173-080 OK ANY CONCERN FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME RES0173-081 NO NO I'M VERY CAREFUL RES0173-082 OK AND DO YOU SMOKE CIGARETTES RES0173-083 NO RES0173-084 DO YOU DRINK ALCOHOL RES0173-085 SOMETIMES IF LIKE DURING LIKE PARTIES AND STUFF BUT I HAVEN'T REALLY BEEN DRINKING MUCH CAUSE THERE'S NOTHING GOING ON RES0173-086 OK I SEE AND DO USE ANY RECREATIONAL DRUGS RES0173-087 NO RES0173-088 ALRIGHT THEN IN THE FAMILY IS THERE A HISTORY OF ANY LUNG PROBLEMS OR ANY ANY HEART PROBLEMS RES0173-089 JUST HIGH BLOOD PRESSURE MY MOM AND DAD HAVE IT RES0173-090 OK AND SO I WANTED TO ASK ABOUT THE BOYFRIEND'S HOUSE AS WELL IS THERE ANY PETS IN THE HOME THERE RES0173-091 OH HE HAS THIS CUTE LITTLE PARROT AND HE ALSO HAS A CAT RES0173-092 OK AND DO YOU HAVE ANY PETS AT YOUR HOUSE RES0173-093 NO NO I DON'T RES0173-094 OH OK SO THAT I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON ON HISTORY TODAY WAS THERE ANYTHING ELSE I FORGOT TO MENTION OR YOU WANTED TO TO BRING UP RES0173-095 I DON'T THINK SO NO RES0173-096-1 OK SO IT SOUNDS LIKE THERE'S POTENTIALLY COULD BE CAUSED BY AN ALLERGEN SUCH AS RES0173-096-2 WHICH COULD BE FROM AN ANIMAL LIKE A PARROT OR A CAT THAT IS CAUSING JUST A REACTION AND IT'S BRINGING THESE SYMPTOMS ON LIKE CALLED HYPERSENSITIVITY PNEUMONITIS BUT RES0173-096-3 ALSO WE CAN'T RULE OUT ASTHMA AS WELL AS BEING A TRIGGER OF KIND OF THE COUGH AND SHORTNESS OF BREATH IS BEING AROUND ALLERGENS AS WELL SO RES0173-096-4 WE'LL ORDER PULMONARY FUNCTION TEST AND MAYBE SOME IMAGING AND CHEST X RAY AND RES0173-097 WE WILL GO FROM THERE GREAT THANK YOU RES0174-000 HOW MAY I HELP YOU RES0174-001 HI I JUST WANT TO TALK ABOUT THESE THESE TIMES WHEN I FEEL LIKE I'M JUST I'M SUFFOCATING AND I JUST CAN'T BREATHE IT'S PRETTY SCARY AND I DON'T KNOW WHAT'S GOING ON RES0174-002 CERTAINLY FEELING SHORT OF BREATH LIKE THAT CAN BE QUITE SCARY FOR SURE WHEN WHEN DO THESE EPISODES KIND OF HAPPEN ARE THEY SPONTANEOUS OR CAN YOU THINK OF THINGS THAT YOU'RE DOING WHEN THEY WHEN THEY COME ON RES0174-003-1 I I DON'T KNOW IT'S JUST LIKE SOMETIMES LIKE BEFORE INTERVIEWS SOMETIMES JUST KIND OF RANDOM RES0174-003-2 YEAH I CAN KIND OF TELL WHEN THEY'RE ABOUT TO COME ON I THINK IT'S MOSTLY LIKE JOB INTERVIEWS RES0174-004 OK HAVE YOU HAD MANY OF THOSE RECENTLY RES0174-005 JOB INTERVIEWS RES0174-006-1 YEAH I GOT I GOT I GOT I GOT LAID OFF BECAUSE OF THE PANDEMIC AND NOW I'VE BEEN LOOKING FOR JOBS AND IT'S JUST LIKE IT'S KIND OF NERVE WRACKING RES0174-006-2 BUT ALSO LIKE I DON'T KNOW I'M JUST WORRIED IT COULD BE SOMETHING ELSE LIKE IT'S JUST IT'S LIKE I REALLY JUST CAN'T BREATHE IT'S SO WEIRD RES0174-007 OK IT'S CERTAINLY IT SOUNDS LIKE THERE'S BEEN A LOT OF STRESS RECENTLY CERTAINLY PLENTY FOR WITH THE PANDEMIC AS WELL AND SO WHEN YOU GET SHORT OF BREATH YOU YOU SAID YOU HAVE THIS YOU COULD FEEL THAT IT'S COMING ON AND HOW LONG DOES IT LAST FOR RES0174-008 LIKE FIFTEEN MINUTES FIFTEEN TWENTY MINUTES RES0174-009 IS THERE ANYTHING YOU DO TO HELP IT GO AWAY RES0174-010 I'LL JUST SAY GO AND LIE DOWN AND CLOSE MY EYES RES0174-011 OK AND DO YOU GET SHORTER BREATH IF YOU WALK FAR DISTANCES OR EXERT YOURSELF RES0174-012 OH NO NO I GO OUT FOR A RUN EVERY SINGLE DAY NOTHING HAPPENS AT THAT TIME RES0174-013 OK AND HAVE YOU HAD A COUGH RES0174-014 NO RES0174-015 ANY WHEEZING RES0174-016 NO RES0174-017 OK AND HAVE YOU HAD ANY ANY CHEST PAIN RES0174-018 I KIND OF FEEL LIKE THIS PRESSURE AT THAT TIME IS JUST LIKE SOMEONE'S LIKE PRESSING MY CHEST INWARDS KIND OF IT'S HARD TO EXPLAIN RES0174-019 I SEE DO YOU IT IS IT LIKE DO YOU FEEL IT IN ANY ONE PARTICULAR SPOT OR RES0174-020 NO RES0174-022 I JUST FEEL LIKE MY CHEST IS REALLY TIGHT AND IT'S JUST IT'S LIKE I CAN'T LIKE EXPAND MY LUNGS RES0174-023 I SEE AND DOES THIS LAST AROUND FIFTEEN MINUTES AS WELL RES0174-024 OK AND SIMILARLY YOU LIKE GOING FOR RUNS AND STUFF LIKE THAT YOU ON'T EVER GET ANY CHEST PAIN RES0174-025 NO NO NO RES0174-026 OK AND AND I KNOW YOU MENTIONED YOU DIDN'T HAVE A COUGH BUT HAVE YOU BROUGHT UP ANY PHLEGM OR BROUGHT UP ANY ANY BLOOD RES0174-027 NO NO I HAVE NOT HAD A COUGH RES0174-028 OH NO OK I'M SORRY RES0174-030 AND HAVE YOU OTHERWISE BEEN WELL OR IF YOU HAD ANY INFECTIOUS SYMPTOMS LIKE A RUNNY OR RED EYES RUNNY NOSE OR SORE THROAT RES0174-031 NO NONE OF THOSE RES0174-032 ALRIGHT HAVE YOU HAD ANY HEADACHES RES0174-033 NO RES0174-034 HOW ABOUT ANY FEVERS OR CHILLS RES0174-035 NO RES0174-036 HAVE YOU HAD ANY NIGHT SWEATS RES0174-037 NO BUT I GET REALLY SWEATY WHEN THESE EPISODES HAPPEN JUST LIKE MY FACE IS LIKE SWEATING AND MY NECK RES0174-038 OK OK AND HOW IS YOUR WEIGHT BEEN RECENTLY ANY WEIGHT GAIN OR LOSS RES0174-039 I'VE GAINED QUITE A BIT OF WEIGHT SINCE THE PANDEMIC STARTED GAINED ABOUT TEN POUNDS RES0174-040 OK ANY CHANGES TO YOUR DIET OR APPETITE RES0174-041 OH I'VE BEEN EATING QUITE A BIT BEEN BAKING A LOT AT HOME RES0174-042 OK AND AND HAVE YOU HAD ANY ABDOMINAL PAINS RES0174-043 NO RES0174-044 ANY DIARRHEA RES0174-045 NO RES0174-046 OK ANY NAUSEA OR VOMITING RES0174-047 NO RES0174-048 ALRIGHT AND ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY RES0174-049 NO RES0174-050 ANY RASHES OR SKIN CHANGES RES0174-051 NO RES0174-052 AND ANY MUSCLE ACHES BODY PAINS OR JOINT PAINS OR SWELLING RES0174-053 NOTHING LIKE THAT NO RES0174-054 OK AND HOW'S YOUR ENERGY BEEN RES0174-055 WELL I'VE BEEN FEELING A LITTLE LOW SINCE I'VE BEEN LAID OFF JUST LIKE WORRIED ABOUT MY FINANCES AND I KIND OF SLEEP ALL DAY I'M NOT FEELING VERY ENERGETIC RES0174-056 OK HOW IS YOUR INTEREST IN ACTIVITIES BEEN RES0174-057 I DON'T KNOW I JUST FEEL LIKE STAYING AT HOME AND JUST BEING IN BED ALL THE TIME RES0174-058 OK SO YOU'RE HAVE YOU HAD A LOW MOOD RES0174-059 ALRIGHT AND ARE YOU SLEEPING MORE THAN USUAL RES0174-060 OK IS THERE ANYTHING THAT YOU'RE FEELING PARTICULARLY GUILTY ABOUT RIGHT NOW RES0174-061 NO RES0174-062 OK HOW IS YOUR CONCENTRATION BEEN RES0174-063 NOT GREAT RES0174-064 OK YOU HAVEN'T BEEN ABLE TO FOCUS AND HAVE YOU FELT LIKE THINGS ARE MOVING IN SLOW MOTION RES0174-065 NO RES0174-066 ALRIGHT AND HAVE YOU HAD ANY THOUGHTS OF HURTING OR HARMING YOURSELF RES0174-067 NO RES0174-080 NO I WAS DOING PRETTY WELL I USED TO HAVE THESE EPISODES OF DEPRESSION WHEN I WAS YOUNGER AS A TEENAGER AND THEY KIND OF WENT AWAY I WAS ON MEDS AT THAT TIME BUT I THINK I THINK IT'S COMING BACK NOW OK SO YOU HAVEN'T BEEN ON MEDICATION NOW FOR FOR QUITE AWHILE RES0174-081 FOR YEARS FOR LIKE TWELVE YEARS THIRTEEN YEARS RES0174-082 OK WHAT DID YOU USE THAT IF YOU CAN REMEMBER RES0174-083 PROZAC RES0174-084 OK AND DID YOU FIND IT HELPED RES0174-085 IT WAS VERY HELPFUL WAS VERY GOOD RES0174-086 OK THAT'S GOOD ANY ALLERGIES TO MEDICATIONS RES0174-087 NO RES0174-088 ALRIGHT AND ANY HOSPITALIZATIONS OR SURGERIES RES0174-089 NO RES0174-090 OK AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH RES0174-091 I I LIVE I LIVE WITH MY GIRLFRIEND RES0174-092 OK AND HAS THERE BEEN ANYBODY AROUND THAT THAT HAS BEEN SICK THAT THEY HAVE BEEN AROUND RES0174-093 NO RES0174-094 OK HAVE YOU TRAVELED ANYWHERE RES0174-095 NO NO RES0174-096 AND DO YOU SMOKE CIGARETTES RES0174-097 OH NO I DON'T RES0174-098 OK DO YOU DRINK ALCOHOL RES0174-099 I DON'T RES0174-100 OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE RES0174-101 OK AND ANY CHANCE THAT YOU COULD BE PREGNANT CURRENTLY RES0174-102 NO RES0174-103 AND HAVE YOU BEEN PREGNANT IN THE PAST RES0174-104 NO RES0174-105 AND DO YOU SMOKE CIGARETTES RES0174-106 I DON'T RES0174-107 DO YOU DRINK ALCOHOL RES0174-108 NO RES0174-109 AND DO YOU USE ANY RECREATIONAL DRUGS RES0174-110 NO RES0174-111 OK AND ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS RES0174-112 MY GRANDFATHER HAD LUNG CANCER BUT THAT'S ABOUT IT RES0174-113 DID HE SMOKE FOR A LONG TIME RES0174-114 OH HE WAS A BIG SMOKER RES0174-115 OK AND ANYBODY IN THE FAMILY HAVE PROBLEMS WITH MENTAL ILLNESS RES0174-116 MY MOM HAS DEPRESSION TOO RES0174-117 OK ANYBODY IN IN THE FAMILY HAVE PROBLEMS WITH SUBSTANCE SUBSTANCE USE RES0174-118 NO RES0174-119-1 OK AND I THINK THAT'S EVERYTHING THAT I I WANTED TO ASK ON HISTORY TODAY SO YOU BEEN HAVING THESE EPISODES WHERE YOU GET RES0174-119-2 REALLY SHORT OF BREATH AND YOU GET CHEST PAIN YOU'LL GET SWEATY AND HAVE WHAT SOUNDS LIKE WHAT SOUNDS LIKE AN IMPENDING SENSE OF DOOM WHERE YOU KIND OF FEEL LIKE IT'S COMING ON AND IT LASTS FOR RES0174-119-3 FIFTEEN MINUTES AND NOT RELATED TO EXERCISE WERE THERE ANY OTHER SYMPTOMS OR THINGS THAT YOU'VE BEEN EXPERIENCING RECENTLY RES0174-120 IT'S ALSO I ALSO FEEL LIKE MY HEART'S LIKE BREATHING REALLY FAST RES0174-121 OH OK AND I DOES THAT HOW LONG DOES IT LAST FOR RES0174-122 SAME TIME LIKE EVERYTHING IS JUST SORT OF COMES ON AT THE SAME TIME JUST KIND OF GOES AWAY TOGETHER RES0174-123 OK WOULD YOU SAY THAT IT COMES ON LIKE KIND OF LIKE AT THE SNAP OF YOUR FINGERS SORT OF THING LIKE REALLY QUICKLY AND THEN RES0174-124 I CAN KIND OF TELL IT'S GONNA COME ON LIKE I HAVE A SENSE OF IT AND THEN IT JUST LIKE STARTS IT SUDDENLY JUST HAPPENS RES0174-125 OK SO YOU YOU HAVE THE HEART RACING ARE THERE ANY OTHER SYMPTOMS AS WELL RES0174-126 I DON'T THINK SO RES0174-127-1 OK SO WE WILL GET AN ECG AND I WILL LOOK AT THAT BUT I'VE BEEN CONCERNED RES0174-127-2 NOW THINKING THAT THIS MIGHT BE RELATED TO ANXIETY OR PANIC ATTACKS AND SO RES0174-127-3 I GUESS THAT WOULD BE SOMETHING THAT WE COULD DISCUSS MORE ABOUT IN REGARDS TO LIKE I GUESS PREVIOUS TRAUMAS AND THINGS THAT AND THE STRESSES THAT YOU MIGHT BE DEALING WITH CURRENTLY TO HELP MANAGE MANAGE STRESS BETTER RES0174-128 SURE THANK YOU RES0175-000 HOW MAY I HELP YOU RES0175-001 HEY I'VE JUST BEEN FEELING KIND OF ILL OVER THE PAST TWO DAYS AND I THOUGHT I'D JUST COME IN TO SEE WHAT'S GOING ON SO I'VE HAD I WAS FEELING VERY ACHY AND I HAD A COUGH AND THEN I THINK YESTERDAY NIGHT I DEVELOPED A FEVER RES0175-002 OK AND SO LAST NIGHT YOU DEVELOPED A FEVER WHAT DID YOU CHECK YOUR TEMPERATURE RES0175-003 I DIDN'T BUT I'M PRETTY SURE I HAVE A FEVER AND LIKE I CAN FEEL IT RES0175-004 OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS RES0175-005 I HAD CHILLS LAST NIGHT RES0175-006 OK SO YOU MENTIONED YOU'VE HAD A COUGH AS WELL AND WHEN DID THAT START RES0175-007 TWO DAYS AGO RES0175-008 AND IS THE COUGH BEEN PRODUCING ANY PHLEGM OR SPUTUM RES0175-009 NO IT'S KIND OF DRY COUGH NOTHING RES0175-010 ALRIGHT HOW ABOUT ANY ANY BLOOD RES0175-011 NO RES0175-012 OK AND YOU'VE HAD MUSCLE ACHES HAS THIS BEEN LIKE A WHOLE BODY TYPE OF FEELING OR IS IT ANY PARTICULAR MUSCLES THAT HURT RES0175-013 IT'S ALL OVER RES0175-014 OK HAVE YOU HAD ANY HEADACHES RES0175-015 NO RES0175-016 ALRIGHT AND HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH RES0175-017 IT'S A NEW COUGH RES0175-018 HAVE YOU HAD ANY WHEEZING WITH THE COUGH RES0175-019 A LITTLE BIT RES0175-020 SO YOU'VE HAD WHEEZING AS WELL ARE YOU ABLE TO TO HEAR IT RES0175-021 IT'S JUST LIKE I CAN KIND OF LIKE TELL WHEN I'M BREATHING LIKE IT JUST IT SOUNDS DIFFERENT I DON'T KNOW WHAT A WHEEZE SOUNDS LIKE BUT IT JUST SOUNDS DIFFERENT RES0175-022 OK AND HAVE YOU HAD ANY CHEST PAIN RES0175-023 SORRY CAN YOU SAY THAT AGAIN RES0175-024 SORRY DID YOU HAVE ANY CHEST PAIN RES0175-025 NO RES0175-026 NO OK HAVE YOU HAD ANY SYMPTOMS SUCH AS RED EYES OR OR ITCHY EYES OR RUNNY NOSE RES0175-027 NO RES0175-028 OK HAVE YOU HAD A SORE THROAT RES0175-029 NO RES0175-030 ANY NAUSEA RES0175-032 OR VOMITING NO OK HOW ABOUT A LOSS OF TASTE OR LOSS OF SMELL RES0175-033 I KIND OF JUST FOODS HAVE JUST BEEN TASTING LITTLE BLAND SINCE YESTERDAY RES0175-034 OK SO I LOST OF TASTE TODAY HAVE YOU HAD A RUNNY NOSE AT ALL RES0175-035 NO RES0175-036 OK ANY ABDOMINAL PAIN OR DIARRHEA RES0175-037 NO RES0175-038 ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY RES0175-039 I I I'VE HAD THAT FOR A WHILE LIKE IT'S JUST I THINK MY PROSTATE'S KIND OF LARGE SO IT'S IT'S HARD FOR ME TO LIKE I PEE VERY FREQUENTLY RES0175-040 OK AND OK AND HAVE YOU NOTICED ANY RES0175-044 I'VE BEEN FEELING A LITTLE TIRED ALRIGHT SO YOU'VE HAD THIS DRY COUGH THAT STARTED TWO DAYS AGO BEEN FEELING FEVERISH HAVE HAD SOME MUSCLE ACHES BEEN TIRED AND ALSO A LOSS OF TASTE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS RES0175-045 NO THAT'S I THINK THAT COVERS IT ALL RES0175-046 OK OH SORRY I ASKED ABOUT CHEST PAIN BUT HAVE YOU HAD ANY LIKE DIZZINESS OR FEELING LIKE YOU'RE GOING TO FAINT OR EVEN LIKE YOUR HEART'S RACING REALLY FAST RES0175-047 NO RES0175-048 OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0175-049 JUST A LARGE PROSTATE IT'S NOT CANCER OR ANYTHING IT'S JUST KIND OF LARGE RES0175-050 OK SO I HAVE YOU HEARD OF BPH BEFORE RES0175-051 I THINK THAT'S WHAT THE DOCTOR SAID RES0175-052 OK AND DO YOU TAKE ANY MEDICATIONS FOR THAT OR FOR ANY OTHER REASON RES0175-053 I DO I DO TAKE A I THINK A MEDICATION FOR THAT IT'S CALLED TAMSULOSIN RES0175-054 OK CALL ME WHAT IS LIKE FLOMAX OR OR TAMSULOSIN BUT THERE ARE THERE ARE OTHERS FOR SURE RES0175-055 I THINK I THINK IT'S CALLED FLOMAX RES0175-056 OK IT'S THE BRAND NAME FOR IT BUT LOTS OF LOTS OF DIFFERENT NAMINGS CAN BE HARD FOR THE MEDICATION SOMETIMES AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS RES0175-057 NOPE RES0175-058 DO YOU HAVE ANY ALLERGIES RES0175-060 NOPE OK AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND RES0175-061 WHO YOU'RE LIVING WITH I JUST LIVE WITH WIFE IN AN RES0175-062 APARTMENT OK AND HAS SHE HAD ANY SYMPTOMS OR BEEN SICK AT ALL RES0175-063 OH NO SHE'S FEELING GOOD RES0175-064 HAVE YOU HAD ANY SICK CONTACTS RES0175-065 I DON'T NO I HAVEN'T I DON'T THINK SO I MEAN POTENTIALLY I WAS I WAS ACTUALLY OUT WITH MY FRIENDS BUT NO ONE WAS SICK RES0175-066 OK HAVE YOU TRAVELED ANYWHERE RES0175-067 NOPE RES0175-068 OK AND DO YOU SMOKE CIGARETTES RES0175-069 I USED TO I QUIT I QUIT TEN YEARS AGO I USED TO SMOKE ABOUT TWO OR THREE CIGARETTES A DAY FOR TWENTY YEARS RES0175-070 OK WELL CONGRATULATIONS ON QUITTING THAT'S GREAT RES0175-071 THANKS RES0175-072 DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS RES0175-073 NOPE RES0175-074 DO YOU USE ANY RECREATIONAL DRUGS RES0175-075 NO RES0175-076 AND DO YOU DRINK ALCOHOL RES0175-077 MAYBE SOMETIMES ONCE OR TWICE A MONTH MAYBE A GLASS OR TWO AT A TIME RES0175-078 OK AND ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS RES0175-079 I THINK IT'S CALLED HYPERTROPHIC CARDIOMYOPATHY WHERE PEOPLE KIND OF DIE EARLY PEOPLE GET LIKE PEOPLE IN MY FAMILY GOT HEART ATTACKS VERY EARLY ON IN THEIR THIRTIES MY BROTHER DIED AND WHEN HE WAS FIFTEEN RES0175-080 OH WOW SORRY TO HEAR THAT AND HAS THAT BEEN LOOKED INTO FOR YOURSELF RES0175-081 OH I SEE A CARDIOLOGIST I GET REGULAR CHECKUPS DONE RES0175-082 OK AND OK AND SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY DID YOU HAVE ANY ANYTHING ELSE THAT YOU WANTED TO MENTION OR ANYTHING YOU WERE CONCERNED ABOUT RES0175-083 NO RES0175-084-1 OK SO WITH YOUR YOUR SYMPTOMS TODAY THEY DO OVERLAP POTENTIALLY WITH COVID AND SO WHAT WE'LL NEED TO DO OR WILL WELL IT'LL BE IMPORTANT TO DO A SWAB TO TEST FOR COVID IT COULD BE SOMETHING ELSE LIKE THE COMMON COLD RES0175-084-2 LIKE ANOTHER TYPE OF VIRAL ILLNESS BUT BECAUSE OF THE PANDEMIC IT WILL BE IMPORTANT TO SELF ISOLATE INCLUDING FROM YOUR WIFE FOR THE NEXT FOURTEEN DAYS AND WE'LL GET BACK TO YOU WITH THE RESULTS AS SOON AS WE CAN RES0175-085 SURE THANK YOU RES0176-000 HOW MAY I HELP YOU RES0176-001-1 HI CRIS I I JUST HAVEN'T BEEN FEELING VERY WELL OVER THE PAST COUPLE MONTHS AND RES0176-001-2 I HAVE DECIDED I JUST COME IN AND SEE WHAT'S HAPPENING SO I'VE JUST I'VE BEEN FEELING SHORT OF BREATH AND I KIND OF PASSED OUT SOMETIMES AND I'M REALLY WORRIED ABOUT IT RES0176-007 HAS IT BEEN GETTING WORSE OR STAYING THE SAME KIND OF THE SAME MAYBE A LITTLE BIT WORSE BUT I MAYBE THE SAME DEFINITELY NOT GETTING BETTER RES0176-008 OK HOW FAR ARE YOU ABLE TO WALK OR EXERT YOURSELF BEFORE YOU'RE SHORT OF BREATH RES0176-009 I CAN WALK QUITE A BIT BUT I I GUESS LIKE WHEN I GO FOR MY MY RUNS IN THE MORNING I START FEELING SHORT OF BREATH IT'S MAYBE LIKE TWO BLOCKS OR THREE BLOCKS RES0176-010 OK AND ANY ANY SYMPTOMS WHERE YOU GET SHORT OF BREATH AT NIGHT AND WHERE YOU HAD TO GET UP AND AND PUT YOUR FEET OVER THE BED RES0176-011 NO RES0176-012 ARE YOU ABLE TO LAY FLAT WITHOUT BEING SHORT OF BREATH RES0176-013 OR DOES IT OK AND EVERY HAD ANY SWELLING IN YOUR FEET OR ANKLES RES0176-014 NO RES0176-015 OK AND YOU MENTIONED THAT YOU YOU PASSED OUT AS WELL CAN YOU TELL ME A LITTLE BIT ABOUT A LITTLE BIT ABOUT THAT RES0176-016 IT JUST HAPPENED TWO OR THREE DAYS AGO AND I WAS JUST I WAS I WASN'T REALLY DOING MUCH I WAS I GUESS JUST LIKE GOING UP THE STAIRS AND WHEN I GOT TO THE TOP I JUST KIND OF SUDDENLY COLLAPSED AND THEN I GOT BACK UP RES0176-017 WERE YOU REALLY SHORT OF BREATH AT THE TOP OF THE STAIRS RES0176-018 I FELT LIKE MY HEART WAS LIKE BEATING KIND OF FAST AND I FELT LITTLE BIT DIZZY RES0176-020 SWEATY AT THE TIME AS WELL I DON'T REMEMBER MAYBE RES0176-021 OK DID YOU FEEL LIKE YOU WERE GOING TO PASS RES0176-029 OK AND HOW LONG DID IT LAST FOR MAYBE A COUPLE OF SECONDS IT'S I DON'T KNOW I I CAN'T REALLY TELL I WAS ALONE AT HOME AT THE TIME AND I'D LIKE I COULDN'T TELL HOW LONG IT TOOK FOR ME TO GET BACK UP RES0176-030 OK YOU PICTURE THAT YOUR HEART WAS RACING DID IT FEEL LIKE IT WAS LIKE DID YOU HAVE HEART PALPITATIONS OR IS YOUR HEART BEATING REALLY FAST RES0176-031 IT WAS RES0176-032 OK AND DID YOU HIT YOUR HEAD OR OR HURT YOURSELF WHEN YOU FELL RES0176-033 NO NO RES0176-034 OK AND RECENTLY HAVE YOU BEEN OTHERWISE FEELING WELL OR IF YOU HAD ANY VIRAL INFECTIOUS SYMPTOMS LIKE RED EYES OR ITCHY EYES OR RUNNY NOSE SORE THROAT RES0176-035 NO RES0176-036 OK NOTHING LIKE THAT AND HAVE YOU HAD A COUGH RES0176-037 NO RES0176-038 OK AND HAVE YOU HAD ANY WHEEZING RES0176-039 NO RES0176-040 AND IF YOU HAD ANY CHEST PAIN RES0176-041 NO RES0176-042 OK HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOU WERE HAVING HEART PALPITATIONS AT ANY OTHER TIMES AND NOT JUST DURING THE TIME THAT YOU HAD THE FAINTING EPISODE RES0176-043 I KIND OF DID WHEN I WAS WHEN I WAS LIKE RUNNING OUTSIDE BUT I JUST THOUGHT MAYBE MAYBE I WAS EXERTING MYSELF TOO MUCH RES0176-044 I SEE ALRIGHT AND ANY CHEST PAIN RES0176-045 NO RES0176-046 AND OK HAVE YOU HAD ANY ANY RES0176-048 NAUSEA OR VOMITING RES0176-050 ANY ABDOMINAL PAIN RES0176-052 NO ANY URINARY PROBLEMS OK ANY MUSCLE ACHES OR BODY PAINS RES0176-053 NO RES0176-054 ANY FEVERS OR CHILLS RES0176-055 NO RES0176-056 HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT IN THE LAST SEVERAL MONTHS RES0176-057 NO RES0176-058 HAVE YOU HAD ANY CHANGES TO YOUR APPETITE RES0176-059 NO RES0176-060 AND HAVE YOU NOTICE ANY SKIN CHANGES LIKE RASHES OR OR ANYTHING LIKE THAT RES0176-061 NO RES0176-062 OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0176-063 NO I'VE BEEN VERY HEALTHY RES0176-064 OK I DO YOU SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER RES0176-065 I JUST TAKE SOME PUFFERS FOR ASTHMA BUT I HAVEN'T HAD ASTHMA IN AWHILE I ACTUALLY THOUGHT MAYBE MY ASTHMA WAS GETTING WORSE OVER THE PAST TWO THREE MONTHS I DIDN'T REALLY I JUST I DIDN'T THINK TOO MUCH OF IT BUT THEN WHEN I FAINTED I WAS JUST KIND OF SCARED RES0176-066 FOR SURE CERTAINLY WOULD BE FRIGHTENING OK AND DO YOU USE THE INHALER EVERYDAY RES0176-067 NO I USED TO WHEN I WAS YOUNG I DIDN'T HAVE ASTHMA FOR A COUPLE OF YEARS FOR LIKE I'D SAY TWENTY YEARS OR SO SO THEN I STOPPED TAKING INHALERS RES0176-068 OK SO YOU HAVEN'T USED THEM RECENTLY RES0176-069 NO RES0176-070 ALRIGHT AND ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENTAL RES0176-071 NO RES0176-072 OK AND IF YOU HAD ANY HOSPITALIZATIONS OR SURGERIES RES0176-073 NO RES0176-074 OK AND HAVE YOU BEEN PREGNANT IN THE PAST RES0176-076 EIGHT YEARS AGO OK WAS THIS A VAGINAL DELIVERY OR A C SECTION RES0176-077 VAGINAL RES0176-078 AND ANY COMPLICATIONS EITHER DURING PREGNANCY OR DELIVERY OR AFTERWARDS RES0176-079 OH NO EVERYTHING WAS GOOD NO PROBLEMS RES0176-080 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOU'RE LIVING AND AND WHO YOU'RE LIVING WITH RES0176-081 I'M LIVING WITH MY HUSBAND AND MY SON WE LIVE IN A HOUSE ABOUT THIRTY MINUTES FROM HERE RES0176-082 OK HAS ANYBODY BEEN SICK IN THE HOUSE RES0176-083 NO EVERYONES BEEN WELL RES0176-084 ALRIGHT HAVE YOU TRAVELED ANYWHERE RECENTLY RES0176-085 NO RES0176-086 OK ANY EXPOSURES IN THE HOUSE LIKE CARPETS OR RUGS OR IT'S LIKE LIKE THINGS LIKE THAT RES0176-087 WE DO HAVE CARPETS BUT I MEAN I I DON'T THINK THAT'S A PROBLEM LIKE WE'VE HAD IT FOR LIKE YEARS AND WE'VE HAD THE SAME CARPETS FOR YEARS AND YEARS RES0176-088 OK I SEE AND ARE YOU WORKING CURRENTLY OR OR AT HOME RES0176-089 I'M AT HOME BUT I WORK FROM HOME I'M A WRITER RES0176-090 OK COOL DO YOU SMOKE CIGARETTES RES0176-091 NO RES0176-092 DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS RES0176-093 NO RES0176-094 OK AND DO YOU DRINK ALCOHOL RES0176-095 I DO I'LL JUST DRINK ON THE WEEKENDS RES0176-096 OK AND I LIKE HOW MANY DRINKS WOULD YOU TYPICALLY HAVE IN A WEEK RES0176-097 NOT MUCH I'D SAY ONE OR TWO GLASSES OF WINE RES0176-098 OK DO YOU USE ANY RECREATIONAL DRUGS RES0176-099 NO RES0176-100 OK AND LIKE YOU SAID YOU'RE A WRITER CURRENTLY IN THE PAST DID YOU WORK ANY JOBS WHERE YOU WERE EXPOSED TO ASBESTOS OR LIKE ANY CHEMICALS OR FUMES IN THE AIR RES0176-101 NO NO I HAVEN'T RES0176-102 OK AND IN THE FAMILY IS THERE IS THERE ANYBODY WHO HAS ANY HEART OR LUNG CONDITIONS RES0176-103 NO RES0176-104 HOW ABOUT ANY CLOTTING DISORDERS OR OR CANCERS RES0176-105 PROSTATE CANCER MY UNCLE HAD IT RES0176-106-1 I SEE OK SO IT SOUNDS LIKE OVER THE LAST LITTLE MONTH YOU'VE BEEN HAVING SOME MORE SHORT SHORTNESS OF BREATH AS WELL AS RES0176-106-2 WELL THIS FAINTING EPISODE MORE RECENTLY SO WE WILL WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD RES0176-108-1 ALRIGHT SO WE WILL DO SOME PULMONARY FUNCTION TESTING AND GET SOME IMAGING OF YOUR LUNGS TODAY AS WELL AS AN ECG AND MAYBE A MONITOR FOR YOUR HEART AS WELL TO JUST CHECK YOUR HEART RACING FOR THE NEXT FORTY EIGHT HOURS RES0176-108-2 MENTIONING THAT YOUR HEART WAS RACING AND SO TO RULE OUT THAT ANY ABNORMAL RHYTHMS OF YOUR HEART OR TO CHECK FOR THAT AND WE WILL KIND OF GO FROM THERE DID YOU HAVE ANY QUESTIONS RES0176-109 NO RES0177-000 WHAT BRINGS YOU IN RES0177-001 I BROUGHT MY SON IN TODAY BECAUSE HE HAD A FEVER THAT STARTED TWO DAYS AGO AND AND THEN SINCE THEN HE HE'S HAD A COUGH THAT STARTED AS WELL AND IT IT HE'S BEEN SHORT OF BREATH IT LOOKS LIKE HE'S LIKE BREATHING FASTER AND JUST HAVING A HARDER TIME TO BREATHE RES0177-002 OK BEFORE THE FEVER DID YOU NOTICE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE OR A STUFFY NOSE RES0177-003 NO NOTHING LIKE THAT THE FEVER KIND OF CAME ON PRETTY PRETTY SUDDENLY IT SEEMED LIKE RES0177-004 OK AND DID YOU TAKE HIS TEMPERATURE AT HOME RES0177-005 I DID IT WAS LIKE THIRTY EIGHT POINT SEVEN AND THEN LIKE TWO DAYS AGO AND THEN IT WAS HIGH AGAIN LIKE YESTERDAY AND TODAY RES0177-006 OK AND YOU MENTIONED THE COUGHING STARTED SOON AFTER THE FEVER CORRECT RES0177-033 NO NO RES0177-034 ANY CHANGES IN VISION OR HEARING RES0177-035 NO RES0177-036 SMELL OR TASTE RES0177-037 NO RES0177-038 NO WEIGHT LOSS RES0177-039 NO HE'S BEEN GAINING WEIGHT WELL RES0177-040 OK HOW ABOUT ANY RASHES RES0177-041 NOPE I HAVEN'T NOTICED ANY RES0177-049 NOPE THAT'S BEEN BEEN GETTING OUT NO DIARRHEA OR ANYTHING LIKE THAT RES0177-050 OK CHANGES IN HIS VOIDING RES0177-051 NOPE HE HASN'T HAD ANY URINARY PROBLEMS RES0177-052 OK AND IS HE AN OTHERWISE HEALTHY CHILD DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0177-053 NO HE DOESN'T THAT'S THIS WAS SO SURPRISING HE'S BEEN HEALTHY RES0177-054 OK HAS HE SO HE'S NEVER HAD ANY HOSPITALIZATIONS OR SURGERIES RES0177-055 NO HE HASN'T RES0177-056 OK HOW ABOUT HIS MOTHER'S PREGNANCY WITH HIM WERE THERE ANY COMPLICATIONS AT THAT POINT RES0177-057 NOPE EVERYTHING WENT WENT WELL NO COMPLICATIONS AND HE WAS LIKE A GOOD BIRTH WEIGHT AND WENT HOME RIGHT AWAY RES0177-058 OK OK AND HOW ABOUT THE DELIVERY ITSELF ANY COMPLICATIONS DURING THAT THAT POINT RES0177-059 OH NO NOT IT WAS A VAGINAL DELIVERY AND IT WAS NORMAL RES0177-060 OK AND HE DIDN'T NEED TO BE HOSPITALIZED AS A NEWBORN FOR ANYTHING LIKE JAUNDICE OR SHORTNESS OF BREATH RES0177-061 NOPE HE HASN'T HAD ANY ANY REASON TO BE HOSPITALIZED RES0177-062 OK ALRIGHT AND HAS HE BEEN HITTING ALL HIS DEVELOPMENTAL MILESTONES AS WELL AS LIKE HIS HEIGHT WEIGHT AND HEAD CIRCUMFERENCE MILESTONES RES0177-063 HE HAS HE'S BEEN GROWING WELL AND REACHING THE DEVELOPMENTS STONES MILESTONES RES0177-064 OK IS HE ON ANY MEDICATIONS RES0177-065 NO HE'S NOT ON ANY MEDICATIONS RES0177-066 OK ANY ALLERGIES RES0177-067 NO ALLERGIES RES0177-068 IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0177-069 HE IS RES0177-070 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS RES0177-071 NO NOTHING LIKE THAT RES0177-072 OK HAVE ABOUT CANCERS IN THE FAMILY RES0177-073 NO NO CANCERS LUCKILY RES0177-074 CAN YOU THINK OF ANYONE HE'S BEEN IN CONTACT WITH WHO'S ALSO BEEN SICK RES0177-075 MAYBE HE HAS A YOUNGER SISTER THAT GOES TO DAYCARE AND SHE WAS SICK LAST RES0177-076 WEEK WITH LIKE SHE HAD A COUGH AND STUFF AS WELL OK OK RES0177-077 AND DOES SHE HAVE A FEVER AS WELL SHE DID SHE GOT BETTER RIGHT LAST WEEK WE WE HAD TO TAKE HER TO TO SEE THE DOCTOR AND SHE GOT ANTIBIOTICS RES0177-078 FOR THAT ACTUALLY FOR FOR A FEW DAYS OK RES0177-079 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0177-080 NO WE'VE BEEN AT HOME OK DOES ANYONE AT HOME SMOKE RES0177-081 NO RES0177-082 NO OK AND WHO LIVES AT HOME WITH HIM RES0177-083 SO IT'S ME HIS MOM AND THEN HIS YOUNGER SISTER RES0177-084 OK ANY OLD CARPETS MOLD DUST ASBESTOS ANYTHING THAT COULD EXACERBATE HIS CONDITION RES0177-085 NO I DON'T THINK SO IT'S A NEWER HOME RES0177-086 OK GOOD SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN RES0177-087 NO I NO THAT WAS EVERYTHING I THINK THE ONLY I I GUESS OTHER THING THAT THAT I FORGOT TO MENTION IS THAT JUST HE DOESN'T REALLY LIKE HIS APPETITE'S BEEN A LITTLE BIT LOWER COUPLE OF DAYS AS WELL BUT RES0177-088-1 HE HASN'T HAD ANY LIKE NAUSEA OR VOMITING THOUGH RES0177-088-2 OK OK THAT'S GOOD TO KNOW SO BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A SWAB ON HIM AND YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS WITH THOSE RESULTS AND HE SHOULD ISOLATE FOR FOURTEEN DAYS RES0177-088-3 BECAUSE OF THOSE SYMPTOMS AND IT DOESN'T IT SOUNDS MORE IN KEEPING WITH THE PICTURE OF COMMUNITY ACQUIRED PNEUMONIA RES0177-088-4 SO FOR THAT WE WILL GET A CHEST X RAY WE'LL CHECK HIS OXYGEN AND HIS TEMPERATURE AND RES0177-088-5 IF THE CHEST X RAY SHOWS CONSOLIDATION OR SOME SORT OF INFILTRATE IT IS LIKELY THAT HE HAS PNEUMONIA SO WE WILL START BY GIVING HIM SOME AMOXICILLIN OR RES0177-088-6 POPULATE OR CEFUROXIME FOR FIVE DAYS AND JUST KEEP MONITORING HIS SYMPTOMS THEY SHOULD RESOLVE IN ABOUT FIVE DAYS WHEN THE COURSE OF ANTIBIOTICS IS COMPLETE RES0177-088-7 IF HIS CONDITION GETS WORSE LIKE HE'S GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES JUST TAKE HIM TO THE ER AND RES0177-088-8 IF SYMPTOMS DON'T RESOLVE IN FIVE TO SEVEN DAYS WE CAN DO FURTHER WORK UP OR THINGS LIKE FUNGAL INFECTIONS OR TB OR THINGS LIKE THAT HOW DOES THAT SOUND RES0177-089 THAT SOUNDS GREAT THANK YOU RES0177-090 OK NO PROBLEM RES0178-000 WHAT BRINGS YOU IN RES0178-001 SO I'M BRINGING IN MY YEAR OLD SON HERE WITH I BECAUSE HE'S HAD A FEVER AND AND A COUGH AND A RUNNY NOSE THESE SYMPTOMS HAVE BEEN GOING ON NOW FOR THE LAST TWO DAYS RES0178-002 LAST TWO DAYS OK ALL OF THESE SYMPTOMS HAVE BEEN GOING ON FOR THE LAST TWO DAYS OR JUST LIKE ONE OR TWO RES0178-003 I THINK I THINK THE COUGH AND RUNNY NOSE STARTED ONEST AND THEN HE THEN HE KIND OF HAD SOME FEVER AND HAD SOME CHILLS AS WELL LAST NIGHT KEPT SAYING THAT LIKE HE WAS JUST COLD EVEN THOUGH HE HAD A HAD BLANKETS ON RES0178-004 OK OK ALRIGHT SO THE COUGH IS IT A PRODUCTIVE COUGH OR IS IT A DRY COUGH RES0178-005 IT'S DRY RES0178-006 DRY OK SO NO SPUTUM NO BLOOD RES0178-007 NO NO NO SPUTUM OR BLOOD RES0178-008 ANY SHORTNESS OF BREATH WITH THAT RES0178-009 NO HIS BREATHING HAS BEEN BEEN GOOD RES0178-010 OK WHEEZINESS RES0178-011 NO RES0178-012 CHEST PAIN RES0178-013 NO NO RES0178-014 OK THE FEVER DID YOU MEASURE IT YOURSELF RES0178-015 I DID IT WAS THIRTY EIGHT POINT POINT EIGHT RES0178-016 OK AND THE RUNNY NOSE IS IT CLEAR OR DOES IT HAVE LIKE A COLOUR TO IT LIKE YELLOW OR GREEN RES0178-017 IT'S PRETTY IT'S MORE CLEAR RES0178-018 CLEAR OK ALRIGHT AND DOES HE FEEL LIKE HE ALSO HAS A STUFFY NOSE OR IS IT JUST A RUNNY NOSE RES0178-019 MORE JUST RUNNY HE DOESN'T MENTION ANYTHING ABOUT FEELING STUFFY RES0178-020 OK ANY EYE SYMPTOMS LIKE REDNESS ANY DISCHARGE RES0178-021 NO HE HASN'T HAD ANY ANY EYE SYMPTOMS RES0178-022 OK HOW ABOUT HEARING WISE RES0178-023 HEARING HAS BEEN BEEN NORMAL RES0178-024 AND VISIONS BEEN NORMAL RES0178-025 IT HAS RES0178-026 OK ANY EAR PAIN OR DISCHARGE RES0178-027 NOPE NO EAR PAIN OR OR DISCHARGE RES0178-028 OK HOW ABOUT A CHANGE IN SMELL OR TASTE RES0178-029 NO RES0178-030 NO OK WEIGHT LOSS RES0178-031 HE HE'S BEEN GAINING WEIGHT HASN'T HAD ANY WEIGHT LOSS RES0178-032 OK ANY RASHES RES0178-033 NO RES0178-034 NO SORE THROAT RES0178-035 HE'S HAD A BIT OF A SORE THROAT RES0178-036 OK RES0178-037 BUT HE HASN'T HE'S JUST KIND OF MENTIONED IT HE SAID IT WASN'T TOO BAD HE'S STILL BEEN BEEN EATING EATING IS THAT HASN'T BEEN EATING AS MUCH BUT HE'S GOT A POOR APPETITE BUT HE SO THIS SORE THROAT ISN'T BUGGING HIM THAT MUCH THAT MUCH RES0178-038 OK AND HOW ABOUT DIZZINESS OR FAINTING SPELLS RES0178-039 NO RES0178-040 NO OK NUMBNESS OR TINGLING RES0178-041 NO RES0178-042 MUSCLE ACHE OR JOINT PAINS RES0178-043 HE HAS HAD HE DID MENTION THAT HE JUST FEELS LIKE A KEY A LITTLE BIT ALL OVER RES0178-044 OK ANY CHANGES IN HIS BOWEL MOVEMENTS RES0178-046 NO DIARRHEA NO OK NATURAL VOMITING RES0178-047 NO HE HASN'T HAD ANY NAUSEA OR VOMITING RES0178-048 OK HOW ABOUT CHANGES TO HIS APPETITE RES0178-049 HIS APPETITE'S BEEN A BIT DOWN RES0178-050 IS HE STILL EATING SOLIDS RES0178-051 HE IS HE'S STILL EATING SOLIDS JUST A LITTLE BIT PROBABLY JUST JUST SMALLER PORTIONS THOUGH RES0178-052 OK AND ARE THERE ANY CHANGES TO HIS URINE RES0178-053 NO THERE THERE HASN'T BEEN ANY ANY CHANGES TO HIS HEARING RES0178-054 OK ANY PAST MEDICAL ILLNESSES OR ANY LONGSTANDING MEDICAL CONDITIONS THAT HE HAS RES0178-055 NO HE'S HE'S BEEN HE'S BEEN PRETTY HEALTHY I MEAN HE'S GOT GOT GETS A COLD EVERY ONCE IN AWHILE MAYBE IN THE WINTER BUT THAT'S ABOUT IT RES0178-056 OK ANY HOSPITALIZATIONS OR SURGERIES RES0178-057 NO HE'S BEEN HEALTHY RES0178-058 OK ANY COMPLICATIONS WITH HIS MOTHER'S PREGNANCY WITH HIM RES0178-059 NO IT'S BEEN IT WAS NORMAL PREGNANCY THROUGHOUT IT WAS TO TERM AND IT WAS A C SECTION DELIVERY BUT THAT WENT WELL AND RES0178-060 HE WAS A NORMAL WEIGHT OK AND WAS IT AN EMERGENCY C SECTION RES0178-061-1 NO I THINK IT WAS LIKE LABOR WAS TAKING IT WAS PROLONGED I MEAN SO IT THEY ENDED UP DECIDING TO JUST CONVERT RES0178-061-2 THROUGHOUT IT WASN'T AN EMERGENCY BUT LIKE THEY COULD HAVE WAITED A BIT LONGER THEY WERE SAYING BUT JUST KIND OF WHAT WENT MADE THE DECISION RES0178-062 OK OK AND IS HE ON ANY MEDICATIONS RES0178-063 NO HE'S NOT RES0178-064 NO OK AND DEVELOPMENTAL WISE HAS HE BEEN HITTING ALL HIS MILESTONES FOR LIKE MOTOR MOVEMENTS SPEECH BEHAVIOUR SOCIAL SOCIALIZATION WISE RES0178-065 HE HAS HE'S BEEN MEETING ALL OF HIS MILESTONES FOR THAT FOR THAT RES0178-066 OK GOOD IS HE UP TO DATE WITH HIS IMMUNIZATIONS RES0178-067 HE IS RES0178-068 OK DOES HE HAVE ANY ALLERGIES RES0178-069 NO NO ALLERGIES RES0178-070 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS RES0178-071 NO IT HIS GRANDFATHER HAD HIGH BLOOD PRESSURE AND LIKE HIGH CHOLESTEROL BUT THAT'S THAT'S IT RES0178-072 OK AND HAS HE BEEN IN CONTACT WITH SICK SICK PEOPLE RECENTLY RES0178-073 NO I DON'T THINK SO RES0178-075 RECENTLY NO HE HE HE'S BEEN DOING SOME SCHOOLING SOME SCHOOLING ONLINE AND SOME SOME IN PERSON AND BUT BUT OTHERWISE THEY'VE JUST BEEN AT HOME RES0178-076 OK ALRIGHT AND DOES ANYONE AT HOME SMOKE RES0178-077 NO SMOKING AT HOME RES0178-078 NO OK AND WHO DOES HE LIVE WITH RES0178-079 SO HE LIVES WITH MYSELF AS WELL AS HIS HIS MOM AND THEN HE'S GOT A YOUNGER BROTHER AND A YOUNGER SISTER AS WELL RES0178-080 OK AND AT HOME ANY REASON TO THINK THAT OLD CARPET DUST MOLD ASBESTOS ANYTHING LIKE THAT COULD BE MAKING HIS SYMPTOMS WORSE RES0178-081 I DON'T THINK SO IT'S BEEN ALL THAT'S BEEN OK RES0178-082 OK AND AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN RES0178-083 NO I I I JUST WANTED TO FIGURE OUT WHAT THIS WAS RES0178-084-1 OK YEAH SO IT SOUNDS OR ACTUALLY I SHOULD START BY SAYING WE SHOULD GET A COVID SWAB ON HIM JUST IN CASE IT IS COVID BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE SYMPTOMS OF COVID YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS WITH THE RESULTS OF THOSE SWABS RES0178-084-2 AND IN THE MEANTIME IT COULD BE ANOTHER VIRAL INFECTION THAT'S GOING AROUND AT THIS TIME OF YEAR RES0178-084-3 AND FROM THE SOUNDS OF IT YOU SAID HE HAS A FEVER HE'S COUGHING AND HE HAS A RUNNY NOSE AND HAS MUSCLE ACHES RES0178-084-4 IT COULD ALSO BE THE FLU REGARDLESS OF WHAT KIND OF VIRAL AND VIRAL INFECTION HE HAS THE BEST WAY TO MANAGE IT RIGHT NOW IS JUST SUPPORTIVE CARE SO MAKING SURE HE'S HYDRATED RES0178-084-5 EATING FOODS WITH A LOT OF NUTRITION AND JUST KEEP AN EYE ON HIS SYMPTOMS IF IT GETS WORSE OR IF IT'S VERY SEVERE RES0178-084-6 AND HE HAS FOCAL NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES TAKE HIM TO THE ER RIGHT AWAY HOW DOES THAT SOUND RES0178-085 THAT THAT SOUNDS GOOD THANK YOU RES0178-086 NO PROBLEM RES0181-000 HOW MAY I HELP YOU RES0181-001 HI SO I'VE HAD A SORE THROAT FOR THE PAST THREE DAYS AND IT DOESN'T SEEM TO BE GETTING ANY BETTER AND I'VE ALSO HAD A FEVER SO I THOUGHT I SHOULD GET IT CHECKED OUT BY YOU RES0181-002 FOR SURE SO YOU SAID THAT THE SORE THROAT STARTED THREE DAYS AGO HAS IT BEEN GETTING ANY BETTER OR ANY WORSE RES0181-003 NEITHER IT'S BEEN THE SAME RES0181-004 OK IS IT PAINFUL TO SWALLOW FOOD OR LIQUIDS RES0181-005 IT'S PAINFUL TO SWALLOW SOLIDS YEAH RES0181-006 OK AND HOW IS YOUR HAVE YOU HAD ANY VOICE CHANGES LIKE A HOT POTATO VOICE OR SOUND LIKE MUFFLED OR ANY VOICE CHANGES AT ALL RES0181-007 NO NOT REALLY NO RES0181-008 OK AND HAVE YOU NOTICED ANY LIKE NECK SWELLING RES0181-009 NO RES0181-010 OK AND HOW ABOUT YOUR APPETITE HAS THAT CHANGED RES0181-011 I'M I'M STILL HUNGRY I JUST DON'T EAT AS MUCH CAUSE MY THROAT IS SORE RES0181-012 RIGHT OK THAT MAKES SENSE AND SO YOU MENTIONED THAT YOU ALSO HAD A FEVER WHEN DID THAT START RES0181-013 THAT STARTED TWO DAYS AGO RES0181-014 OK OK AND DID DID YOU CHECK IT RES0181-015 IT WAS THIRTY EIGHT POINT EIGHT RES0181-016 OK ALRIGHT SO CERTAINLY A FEVER OK AND HAVE YOU HAD ANY LIKE ANY RUNNY NOSE RES0181-017 NO NOT THAT I'VE NOTICED RES0181-018 HOW ABOUT ANY RED EYES OR ITCHY EYES OR EYE DISCHARGE RES0181-019 NO RES0181-020 OK HOW ABOUT ANY LOSS OR CHANGES TO YOUR SENSE OF SMELL OR TASTE RES0181-021 NO RES0181-022 OK HAVE YOU HAD ANY ANY HEADACHES RES0181-023 NO HEADACHES NO RES0181-024 OK HOW ABOUT ANY COUGH RES0181-025 NO COUGH RES0181-026 NO COUGH OK AND HOW ABOUT ANY SHORTNESS OF BREATH RES0181-027 NO RES0181-028 OK HAVE YOU HAD ANY WHEEZING RES0181-029 NO RES0181-030 HOW ABOUT ANY CHEST PAIN RES0181-031 NO CHEST PAIN RES0181-032 ANY FAINTING OR DIZZINESS RES0181-033 NO RES0181-034 OK AND HAVE YOU HAD ANY HEART PALPITATIONS RES0181-035 NO RES0181-036 OK AND SO YOU DON'T YOU HAVEN'T HAD ANY COUGH BUT HAVE YOU HAD ANY INSTANCES OF BRINGING UP ANY SPUTUM OR OR ANY BLOOD RES0181-037 NO RES0181-038 OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING RES0181-039 NO RES0181-040 HAVE YOU HAD ANY ABDOMINAL PAIN RES0181-041 NO RES0181-042 YOU HAD ANY DIARRHEA OR OR CONSTIPATION RES0181-043 NO RES0181-044 OK HOW ABOUT ANY URINARY PROBLEMS RES0181-045 NO NOTHING LIKE THAT RES0181-046 I SEE OK AND ANY SKIN CHANGES OR RASHES RES0181-047 NO RES0181-048 ALRIGHT ANY MUSCLE ACHES OR BODY PAINS RES0181-049 NO RES0181-050 AND ANY AND HOW'S YOUR ENERGY BEEN HAVE YOU HAD FATIGUE RES0181-051 I HAVE BEEN I'VE BEEN TIRED RES0181-052 OK AND HAVE YOU HAD ANY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0181-053 I HAVE TYPE ONE DIABETES RES0181-054 OK AND INSULIN WISE DO YOU USE A PUMP OR IS IT LIKE HOW DO YOU MANAGE DIABETES RES0181-055 I USE AN INSULIN PUMP YEP RES0181-056 OK EXCELLENT AND DO YOU SEE AN ENDOCRINOLOGIST FOR THAT RES0181-057 I DO RES0181-058 OK WELL THAT'S GOOD AND HAVE YOU HAD ANY COMPLICATIONS OR HAVE THINGS BEEN STABLE RES0181-059 THINGS HAVE BEEN PRETTY STABLE I HAD WHEN I WAS YOUNGER I HAD A FEW EPISODES OF LIKE HYPOGLYCEMIA BUT NOW THINGS ARE PRETTY STABLE RES0181-060 OK AND YOU CAN RECOGNIZE THOSE SIGNS LIKE FEELING JITTERY AND SWEATY MIGHT MAYBE A LITTLE ANXIOUS WHEN THAT COMES ON RES0181-061 I'M AN EXPERT NOW RES0181-062 OK THAT'S GREAT THAT YOU CAN RECOGNIZE THAT THOSE SIGNS IT'S IMPORTANT AND HAVE YOU HAD ANY ALLERGIES RES0181-063 NO ALLERGIES RES0181-064 ANY AND ALL YOUR IMMUNIZATIONS UP TO DATE RES0181-065 YES RES0181-066 OK AND ANY HOSPITALIZATIONS OR SURGERIES BEFORE RES0181-067 NO RES0181-068 OK AND CURRENTLY ARE YOU IN IN SCHOOL OR WORKING RES0181-069 I'M IN SCHOOL I'M IN GRADE TEN AND WE'RE DOING HALF DAYS NOW RES0181-070 OK ERR HALF DAYS LIKE IN PERSON RES0181-071 YEAH HALF IN PERSON AND HALF ONLINE RES0181-072 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RES0181-073 NO NO ONE AT SCHOOLS BEEN SICK ACTUALLY RES0181-074 OK AND HAVE YOU TRAVELED ANYWHERE RES0181-075 NOPE NOT NOT SINCE COVID RES0181-076 OK I SEE AND ARE YOU WHO ARE YOU LIVING WITH RES0181-077 I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS RES0181-078 OK AND ANYBODY AT HOME HAVE ANY SORE THROAT OR COUGH OR OR ANYTHING LIKE THAT RES0181-079 SO MY YOUNGER SISTER HAD A SORE THROAT LIKE A WEEK BACK BUT THAT'S ALL SHE HAD SHE NEVER HAD A FEVER AND HER SORE THROAT WENT AWAY IN LIKE TWO DAYS RES0181-080 OK OK AND DOES SHE NEED ANY TREATMENT RES0181-081 NO RES0181-082 OK AND AND I I KNOW PEOPLE AROUND YOUR AGE MIGHT EXPERIMENT WITH DRUGS OR ALCOHOL HAVE YOU USED ANYTHING LIKE THAT OR YOUR FRIENDS RES0181-083 OH NO NO NOTHING LIKE THAT RES0181-084 OK AND DO YOU SMOKE CIGARETTES OR HAVE YOU TRIED RES0181-085 I TRIED ONCE BUT I DON'T EVER DO IT REGULARLY RES0181-086 OK AND AND DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS RES0181-087 NO I NEVER HAVE TRIED RES0181-088 OK AND AND IS THERE A FAMILY HISTORY OF ANY HEART OR OR LUNG CONDITIONS RES0181-089 I KNOW MY GRANDFATHER HAD LUNG CANCER BUT HE USED TO SMOKE RES0181-090 OK I SEE HOW OLD WAS HE ROUGHLY RES0181-091 HE WAS IN HIS LATE SIXTIES RES0181-092 OK I'M SORRY TO HEAR THAT AND THANK YOU AND OH SORRY I FORGOT TO ASK HER ARE YOU CURRENTLY SEXUALLY ACTIVE RES0181-093 NO RES0181-094 OK HAVE YOU BEEN SEXUALLY ACTIVE BEFORE RES0181-095 NO RES0181-096 OK SO OK SO THAT WAS ALL THE QUESTIONS THAT THAT THAT I WANTED TO ASK WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION TODAY RES0181-097 NO I DON'T THINK SO IS IT WHEN YOU ASKED ME IF MY NECK WAS SWOLLEN MY NECKS NOT SWOLLEN BUT I FEEL LIKE INSIDE THE BACK OF MY THROAT MY TONSILS FEEL A LITTLE BIT SWOLLEN RES0181-098 OK AND HAVE YOU LOOKED DOES IT LOOK LIKE YOU HAVE LIKE REDNESS IN THE BACK OF YOUR BACK OF YOUR MOUTH RES0181-099 YEAH IT LOOKS PRETTY RED AND ANGRY RES0181-100 OK AND IT'S SORE RES0181-101 YEAH OK SO IT'S JUST TO KIND OF SUMMARIZE THIS HAPPENS LIKE THIS SOMETIMES YOU BEEN HAVING SO THE SORE THROAT LIKE THE REDNESS AND SWELLING OF THE TONSILS IN THE BACK OF YOUR MOUTH AS WELL AS A FEVER AND BEING PRETTY TIRED OVER THESE LAST FEW DAYS RES0181-102 YES RES0181-103-1 OK YEAH ALRIGHT SO IT'S SOUNDING LIKE MOST LIKELY THIS WOULD BE STREP THROAT OR OR GROUP A STREP PHARYNGITIS WITH BECAUSE YOU HAVE NO COUGH AND RES0181-103-2 WITH A HIGH FEVER AND SWELLING THAT YOU'VE BEEN REDNESS THAT YOU NOTICE IN THE BACK OF YOUR MOUTH AND SO WE'LL DO A RAPID STREP ANTIGEN TEST RES0181-103-3 AND IT WILL REQUIRE JUST A THROAT SWAB TO SEE TO TO DETECT FOR THAT HOWEVER WITH RES0181-103-4 YEAH I GUESS THAT'S IT THAT'S WHAT I WELL WE'LL START WITH WITH THAT NOW AND IT COULD POTENTIALLY BE SOMETHING LIKE RES0181-103-5 A VIRAL ILLNESS BUT THAT'S LOWER ON THE ON THE DIFFERENTIAL THEN THE BACTERIAL INFECTION IS RES0181-103-6 RIGHT NOW AND BECAUSE OF COVID IT WILL BE WE'LL DO A SWAB AS WELL BECAUSE PEOPLE CAN GET FEVER AND SORE THROAT WITH WITH COVID AS WELL RES0181-104 OK RES0181-105 SO JUST TO MAKE SURE THAT WE'RE BEING COMPREHENSIVE RES0181-106 OK THAT SOUNDS GOOD THANK YOU SO MUCH RES0181-107 THANK YOU RES0182-000 HOW MAY I HELP YOU RES0182-001 HI I'M HERE BECAUSE I'M OVER THE PAST LIKE COUPLE OF MONTHS I'VE BEEN LOSING A LOT OF WEIGHT BUT I DIDN'T REALLY HAVE ANY OTHER SYMPTOMS BUT SINCE LIKE TWO WEEKS AGO I'VE BEEN COUGHING UP SOME BLOOD AND NOW I HAVE A FEVER AS WELL RES0182-002 OK SO YOU MENTIONED YOU NOTICE THE WEIGHT LOSS FIRST HOW MUCH WEIGHT HAVE YOU LOST OR ROUGHLY RES0182-003 I'VE LOST ABOUT THIRTY POUNDS IN THE PAST PAST LIKE EIGHT MONTHS RES0182-004 OK SO AND HAVE YOU BEEN TRYING TO LOSE WEIGHT RES0182-005 NO RES0182-006 OK AND ANY LIKE ANY CHANGES TO YOUR DIET OR EXERCISE RES0182-007 NO NOTHING LIKE THAT RES0182-008 OK AND MORE RECENTLY YOU STARTED TO HAVE A COUGH WHEN DID THAT START RES0182-009 THE COUGH STARTED TWO WEEKS AGO RES0182-010 OK AND PRIOR TO THIS DID YOU HAVE A COUGH RES0182-011 NO RES0182-012 NO AND ARE YOU BRINGING BRINGING UP ANY SPUTUM OR PHLEGM RES0182-013 IT'S THERE'S SPUTUM FOR SURE AND IT LOOKS BLOODY RES0182-014 OK SO YOU'RE YOU'RE YOU'RE COUGHING UP BLOOD AS WELL RES0182-015 YES THAT'S RIGHT RES0182-016 OK AND THAT'S BEEN GOING GOING ON FOR THE LAST TWO WEEKS TOO RES0182-017 YES RES0182-018 OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP ROUGHLY IF YOU CAN THINK OF IT IN LIKE TERMS OF TABLESPOONS OR OR TEASPOONS RES0182-019 LIKE EVERY TIME I COUGH IT'S ABOUT THE SIZE OF A TEASPOON RES0182-020 OK AND ARE THERE ANY TRIGGERS FOR YOUR COUGH THAT YOU CAN THINK OF OR RES0182-021 I DON'T THINK SO THEY JUST HAPPEN THROUGHOUT THE DAY RES0182-022 OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH RES0182-023 I TRIED THIS COUGH SUPPRESSANTS I TRIED LIKE SALT WATER RINSES LIKE JUST LIKE AT HOME REMEDIES AND OVER THE COUNTER PRODUCTS BUT NOTHING IS HELPING RES0182-024 OK AND SO HAVE YOU HAD ANY LIKE VIRAL INFECTIOUS TYPE SYMPTOMS SUCH AS LIKE EYE EYE DISCHARGE OR RED EYES OR RUNNY NOSE OR EVEN A SORE THROAT RES0182-025 NO NOTHING LIKE THAT RES0182-026 OK AND AND HAVE YOU HAD ANY ANY HEADACHES RES0182-027 NO NO HEADACHES RES0182-028 OK HAVE YOU HAD ANY HAVE YOU HAD A RUNNY NOSE RES0182-029 NO RES0182-030 OK HOW ABOUT ANY HAVE YOU HAD ANY LOSS OF SMELL OR OR TASTE RES0182-031 NO RES0182-032 OK HAVE YOU HAD ANY SHORTNESS OF BREATH RES0182-033 NO RES0182-034 HAVE YOU HAD ANY WHEEZING RES0182-035 NO NO WHEEZING RES0182-036 OK HAVE YOU HAD ANY CHEST PAIN RES0182-037 NO RES0182-038 OK HAVE YOU HAD ANY DIZZINESS OR FAINTING RES0182-039 NO NOTHING LIKE THAT RES0182-040 HAVE YOU HAD ANY HEART PALPITATIONS RES0182-041 NO RES0182-042 OK AND HAVE YOU HAD ANY ANY NAUSEA OR VOMITING RES0182-043 NO RES0182-044 HAVE YOU HAD ANY ABDOMINAL PAIN RES0182-045 NO RES0182-046 HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION RES0182-047 NO RES0182-048 HAVE YOU HAD ANY PAIN WITH URINATION OR OR FREQUENCY RES0182-049 NO RES0182-050 OK HAVE YOU HAD ANY RASHES RES0182-051 NO RES0182-052 HOW ABOUT MUSCLE ACHES OR BODY PAINS RES0182-053 MUSCLE ACHES YEAH THAT'S BEEN HAPPENING RES0182-054 ANY PARTICULAR MUSCLES OR IS IT MORE GENERAL RES0182-055 IT'S MORE GENERAL RES0182-056 OK HAVE YOU BEEN HAVING ANY BONE PAIN LIKE ANY IN YOUR BACK OR ANYTHING LIKE THAT RES0182-057 NO RES0182-058 OK AND HOW HAS YOUR ENERGY BEEN RES0182-059 PRETTY LOW RES0182-060 OK AND HOW IS YOUR APPETITE BEEN RES0182-061 ALSO PRETTY LOW RES0182-062 OK AND IN THE IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0182-063 NO I'VE BEEN PRETTY HEALTHY SO FAR RES0182-064 OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY FOR ANYTHING RES0182-065 NO RES0182-066 OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OR ANYTHING ENVIRONMENTAL RES0182-067 NO RES0182-068 OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR OR SURGERIES RES0182-069 NO RES0182-070 OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU'RE LIVING WITH AND WHEREABOUTS YOU'RE LIVING RES0182-071 I LIVE ALONE BY MYSELF I LIVE IN AN APARTMENT DOWNTOWN RES0182-072 OK AND ARE YOU WORKING CURRENTLY OR IN SCHOOL OR RES0182-073 I'M WORKING I'M WORKING FROM HOME RIGHT NOW RES0182-074 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RES0182-075 NO RES0182-076 HAVE YOU TRAVELED ANYWHERE RECENTLY RES0182-077 NO NOT SINCE I MOVED HERE RES0182-078 OK WHEN DID YOU MOVE HERE AND WHERE DID YOU MOVE FROM RES0182-079 I MOVED HERE A YEAR BACK FROM SRI LANKA RES0182-080 OK AND AND IN SRI LANKA WERE ANY OF YOUR FAMILY MEMBERS OR PEOPLE THAT YOU SPENT TIME AROUND EVER DIAGNOSED WITH TUBERCULOSIS RES0182-081 I MEAN IT'S PRETTY COMMON IN SRI LANKA NONE OF MY IMMEDIATE FAMILY MEMBERS WERE RES0182-082 OK AND DO YOU SMOKE CIGARETTES RES0182-083 NO RES0182-084 AND DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS RES0182-085 NO RES0182-086 OK AND DO YOU DRINK ALCOHOL RES0182-087 I DON'T RES0182-088 OK HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS RES0182-089 NO RES0182-090 OK AND ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS RES0182-091 HEART OR LUNG NO NOT THAT I KNOW OF RES0182-092 OK AND HOW ABOUT ANY CANCERS IN THE FAMILY RES0182-093 NO NO CANCERS RES0182-094 I SEE ALRIGHT DID YOU HAVE ANY OTHER QUESTIONS FOR ME TODAY I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT FOR NOW RES0182-095 NO WHAT DO YOU LIKE WHAT DO YOU THINK I HAVE AND HOW DO YOU THINK I SHOULD TREAT IT RES0182-096-1 SO IT'S SOUNDING LIKE LIKE IT COULD BE TUBERCULOSIS BASED ON THE KIND OF TIMELINE OF YOUR SYMPTOMS AND SO AND COUGH AND HEMOPTYSIS AND RES0182-096-2 SO WE'LL DO A TEST FOR THAT LIKE AN ACID FAST TEST OF THE SPUTUM GET A CHEST X RAY AND IF IT IS TUBERCULOSIS IT WILL REQUIRE RES0182-096-3 A PROLONGED COURSE OF ANTIBIOTICS SO THAT I'LL BE OVER SEVERAL MONTHS AND SO I WE'LL GET THE INFECTIOUS DISEASE RES0182-096-4 TEAM INVOLVED TO HELP KIND OF GUIDE OUR MANAGEMENT WITH THE APPROPRIATE ANTIBIOTIC CHOICE IF IT DOES COME BACK TO BE TUBERCULOSIS RES0182-097 OK THAT SOUNDS GOOD THANK YOU RES0183-000 HOW MAY I HELP YOU RES0183-001 HI THERE I BROUGHT IN MY HERE BECAUSE HE'S BEEN BARKING WELL NOT BARKING HE'S HAD THIS COUGH THAT SOUNDS LIKE A BARKING COUGH AND HE'S HAVING A REALLY HARD TIME TAKING IN A DEEP BREATH AND MONEY DOES IT SOUNDS IT SOUNDS HARSH RES0183-002 OK AND WHEN DID THE COUGH START RES0183-003 IT STARTED ABOUT TWO DAYS AGO RES0183-004 OK IS IT A DRY COUGH OR WET COUGH RES0183-005 IT SOUNDS PRETTY DRY YEAH RES0183-006 ALRIGHT SO SO THERE'S BEEN NO SPUTUM AND NO NO HEMOPTYSIS RES0183-007 NO RES0183-008 OK AND IT IT DOES THE COUGH HAPPEN AT ANY PARTICULAR TIME OF DAY RES0183-009 I MEAN NO WELL ACTUALLY MOSTLY AT NIGHT BUT ALSO IT HAPPENS THROUGHOUT THE DAY BUT MORE SO AT NIGHT RES0183-010 OK AND HAS THERE BEEN ANY SHORTNESS OF BREATH OR DIFFICULTY BREATHING RES0183-011 NO SHORTNESS OF BREATH OR DIFFICULTY BREATHING IT JUST SOUNDS HARSH WHEN HE DOES TAKE A DEEP BREATH IN RES0183-012 OK AND ANY CHANGES TO TO THE VOICE OR LIKE THIS IS SAYING DOES HE SOUND ANY DIFFERENT LIKE A HOT POTATO VOICE RES0183-013 NO IT DOESN'T SOUND LIKE THAT RES0183-014 OK AND THAT YOU MENTIONED OH SORRY HAS HE HAD ANY CHANGES TO THE SOUND OF HIS BREATHING RES0183-015 THE SOUND OF HIS BREATHING IT SOUNDS LIKE IT SOUNDS HARSH WHEN HE TAKES A DEEP BREATH IN RES0183-016 OK SO THAT SOUNDS LIKE HE'S HAVING SOME STRIDOR HAS HE BEEN HAVING ANY WHEEZING RES0183-017 YOU MEAN LIKE WHEN HE EXHALES RES0183-018 YEAH IT'S MORE WHEN HE INHALES THAT I HEAR IT RES0183-019 OK OK AND HAS HE HAD ANY EYE REDNESS OR ANY EYE DISCHARGE RES0183-020 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0183-021 IS THE OTHER A RUNNY NOSE RES0183-022 NO RES0183-023 OK HAS HE HAD A SORE THROAT RES0183-024 NO SORE THROAT RES0183-025 OK AND HAVE YOU HAD A CHANCE TO LOOK IN HIS MOUTH HAS HE HAD ANY LIKE ANY REDNESS OR ANY SWELLING IN THE BACK OF HIS MOUTH RES0183-026 I TOOK A LOOK IT DOESN'T LOOK SWOLLEN RES0183-027 OK AND NO SHORTNESS OF BREATH I THINK YOU SAID RES0183-028 NO SHORTNESS OF BREATH RES0183-029 OK AND HAS HE HAD A SORE THROAT RES0183-030 NO RES0183-031 OK AND ANY CHANGES TO HIS SENSE OF SMELL OR SENSE OF TASTE RES0183-032 NOT THAT I'VE NOTICED RES0183-033 OK AND HOW HAS HIS APPETITE BEEN RES0183-034 NOT AS GREAT AS IT USUALLY IS BUT HE'S STILL EATING RES0183-035 OK HOW IS HIS LIKE MOOD AND BEHAVIOUR BEEN RES0183-036 HE'S BEEN A LITTLE BIT MORE FUSSY THAN USUAL RES0183-037 OK AND EATING LESS AS WELL RES0183-038 HE'S BEEN EATING LESS BUT NOT LIKE MUCH LESS I STILL TRY TO GET SOMETHING IN HIM RES0183-039 OK WELL THAT'S GOOD AND HAS HE HAD ANY CHEST PAIN RES0183-040 NO I DON'T THINK SO HE HASN'T COMPLAINED OF IT OR ANYTHING TO MAKE ME THINK THAT HE HAS ANY CHEST PAIN RES0183-041 OK AND HAS HE HAD ANY FAINTING OR MENTIONED THAT HE'S DIZZY AT ALL RES0183-042 NO RES0183-043 OK DOES HE HAVE ANY HEADACHES RES0183-044 I DON'T THINK SO HE HASN'T COMPLAINED OF THAT RES0183-045 OK ANY EAR PAIN OR OR EAR DISCHARGE RES0183-046 NO RES0183-047 OK DOES HE HAVE ANY ABDOMINAL PAIN RES0183-048 NO RES0183-049 DOES HE HAVE ANY DIARRHEA OR CONSTIPATION RES0183-050 NO RES0183-051 OK ANY BLOOD IN THE STOOL RES0183-052 NO RES0183-053 OK AND ANY SKIN RASHES RES0183-054 NO NOT THAT I'VE NOTICED RES0183-055 OK HAS HE MENTIONED ANYTHING ABOUT MUSCLE ACHES OR JOINT PAINS RES0183-056 NO HE HASN'T RES0183-057 OK AND IS HE HAD ANY NAUSEA OR VOMITING RES0183-058 NO RES0183-059 OK AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0183-060 NO HE'S BEEN A PRETTY HEALTHY CHILD RES0183-061-1 OK AND SORRY JUST TO GO BACK AND JUST SUMMARIZE THE SYMPTOMS OVERALL SO HE'S HAD A BARKY COUGH THAT STARTED TWO DAYS AGO AS WELL AS RES0183-061-2 SOME STRIDOR OR SOME NOISE ON INHALATION AND AND THIS REMINDS ME HAS HE HAD ANY FEVERS OR CHILLS RES0183-062 HE HAS HAD A FEVER ACTUALLY IT WAS THIRTY EIGHT POINT SEVEN YESTERDAY RES0183-063 OK AND ANY NIGHT SWEATS RES0183-064 NO HASN'T SEEMED SWEATY AT NIGHT NO RES0183-065 OK AND HAS HE HAD ANY WEIGHT LOSS IN THE LAST SEVERAL MONTHS RES0183-066 NO RES0183-067 OK AND YOU SAID HE HASN'T BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE BUT SO HAS HE HAD ANY REASONS TO BE HOSPITALIZED OR OR ANY SURGERIES RES0183-068 NO IT'S BEEN A PRETTY HEALTHY CHILD RES0183-069 OK THAT'S GREAT AND ANY ALLERGIES THAT YOU'RE AWARE OF RES0183-070 I THINK HE'S ALLERGIC TO PENICILLIN RES0183-071 ALRIGHT WHAT'S THE REACTION RES0183-072 HE JUST GETS A RASH RES0183-073 OK AND ARE HIS IMMUNIZATIONS UP TO DATE RES0183-074 YES RES0183-075 ALRIGHT AND CURRENTLY WHO IS HE LIVING WITH RES0183-076 HE LIVES WITH HIS BOTH HIS PARENTS AND HIS OLDER SISTER RES0183-077 OK AND HAS ANYBODY IN THE FAMILY BEEN SICK OR IS HE BEEN AROUND ANYBODY WHO'S BEEN SICK RES0183-078 NO EVERYONE'S BEEN PRETTY HEALTHY RES0183-079 OK HAS THERE BEEN ANY TRAVEL RECENTLY RES0183-080 NO NO ONES TRAVELED RECENTLY RES0183-081 OK AND ANYBODY SMOKE IN THE HOME RES0183-082 NO RES0183-083 ALRIGHT THEN ANY CONCERNS FOR HIM BEING EXPOSED TO ANY FORMS OF PHYSICAL OR EMOTIONAL OR VERBAL ABUSE OR ANY VIOLENCE IN THE HOME RES0183-084 OH NO NO RES0183-085 OK AND IS HE LIKE GOING TO DAYCARE OR WHO IS THE PRIMARY CAREGIVER AT HOME RES0183-086 IT'S USUALLY HIS HIS MOM YEAH RES0183-087 OK AND WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HIGH BLOOD PRESSURE RES0183-088 NO RES0183-089 ALRIGHT AND ANY COMPLICATIONS WITH DELIVERY AND WAS IT VAGINAL OR OR C SECTION RES0183-090 IT WAS VAGINAL AND NO NO NO COMPLICATIONS RES0183-091 ALRIGHT AND UP TO THIS POINT AS YOU BETTER MEETING IS MILESTONES FOR LIKE TALKING WALKING AND AND THINGS LIKE THAT RES0183-092 THAT'S RIGHT RES0183-093 OK AND ANY CONCERNS FOR HIS VISION OR HEARING RES0183-094 NO RES0183-095 OK AND HAS HE BEEN GROWING NORMALLY RES0183-096 HE'S HAD ALL HIS MILESTONES RES0183-097 EXCELLENT OK AND ARE THERE ANY CONDITIONS IN THE FAMILY SUCH AS HEART OR LUNG DISEASE RES0183-098 OH NO RES0183-099 OK HOW ABOUT ASTHMA OR THINGS LIKE ALLERGIC RHINITIS AND ALLERGIES RES0183-100 NO NOTHING LIKE THAT RES0183-101 OK SO I I THINK THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR OR THAT YOU WANTED TO MENTION RES0183-102 NO THAT WAS KIND OF IT WHAT SHOULD I DO FOR HIM RES0183-103-1 SO IT'S IT SOUNDS LIKE THE MOST LIKELY DIAGNOSIS NOW IS SOMETHING CALLED CROUP OR LARYNGEAL TRACHEAL BRONCHITIS WHICH IS BASICALLY A VIRAL INFECTION OF THE UPPER RES0183-103-2 RESPIRATORY TRACT AREAS AND SO IT CAN CAUSE HAD A BARKY COUGH AND STRIDOR AND FEVER AND SO RES0183-103-3 IF SO IT'S REALLY SUPPORTIVE CARE AND RES0183-103-4 UNLESS HE DECOMPENSATES AND BECOMES REALLY SHORT OF BREATH AND WORSE IN WHICH CASE WE COULD THE TREATMENT WOULD BE STEROIDS AND RES0183-103-5 POSSIBLY UTILIZING OTHER OTHER THINGS AS WELL DEPENDING ON HIS SYMPTOMS BUT USUALLY IT WILL BE STEROIDS AND MAYBE SOME OXYGEN AS WELL RES0183-103-6 BUT IF HE STAYS RELATIVELY STABLE THEN IT'S MOSTLY SUPPORTIVE CARE JUST MAKING SURE HE'S HYDRATED AS MUCH AS POSSIBLE YOU COULD USE LIKE RES0183-103-7 HUMIDIFIED AIR SOMETIMES LIKE A HOT SHOWER THAT SORT OF THING CAN MAYBE HELP RELIEVE THE COUGH AT NIGHT RES0183-104 OK RES0183-105 BUT THAT'S ABOUT IT RES0183-106 OK RES0183-107 WE'LL SO WE'LL SO WE'LL JUST OBSERVE FOR NOW RES0183-108 OK THAT SOUNDS GOOD RES0183-109 THANK YOU RES0184-000 HOW MAY I HELP YOU RES0184-001 HI THERE SO I'VE HAD THIS RUNNY NOSE FOR THE PAST FIVE DAYS AND IT DOESN'T SEEM TO BE GOING AWAY SO I THOUGHT I SHOULD GET SOME HELP RES0184-002 OK AND WITH THE RUNNY NOSE COULD YOU DESCRIBE THE DISCHARGE RES0184-003 IT'S IT'S PRETTY CLEAR RES0184-004 OK AND HAVE YOU HAD ANY NASAL OBSTRUCTION OR FEELING AS THOUGH LIKE ONE OF YOUR NOSTRILS IS PLUGGED WHEN YOU'RE BREATHING IN RES0184-005 I HAVE THAT FEELING RES0184-006 OK HAVE YOU HAD ANY PAIN ON YOUR FACE RES0184-007 PAIN NO NOTHING LIKE THAT RES0184-008 OK HOW ABOUT A CHANGE TO YOUR SENSE OF SMELL LIKE LOSS OF SMELL RES0184-009 NO I HAVEN'T HAD THAT RES0184-010 OK HAVE YOU HAD ANY DISCHARGE FROM YOUR EYES OR EYE REDNESS OR ANY EYE PAIN RES0184-011 NO RES0184-012 ALRIGHT HAVE YOU HAD A SORE THROAT RES0184-013 NO SORE THROAT RES0184-014 HAVE YOU HAD A COUGH RES0184-015 NO RES0184-016 OK HAVE YOU HAD ANY HEADACHES RES0184-017 JUST A SLIGHT HEADACHE RES0184-018 OK I MEAN HAVE YOU EXPERIENCED HEADACHES LIKE THIS IN THE PAST RES0184-019 YEAH USUALLY WHEN I GET SICK I GET RES0184-020 GET A HEADACHE OK OK YOU DESCRIBE WHERE YOU FEEL THE HEADACHE THE MOST AND IS IT PULSATING OR KIND OF ALWAYS THERE RES0184-021 IT'S KIND OF ALWAYS THERE AND IT'S JUST ON THE SIDES OF MY HEAD RES0184-022 OK HAVE YOU TRIED ANYTHING FOR IT RES0184-023 JUST SOME TYLENOL WHICH SEEMS TO HAVE HELPED RES0184-027 AWAY WAS IT DRY OR DID YOU WERE BRINGING UP ANY SPUTUM OR PHLEGM RES0184-028 NO IT'S PRETTY DRY RES0184-029 OK AND DO YOU HAVE A SORE THROAT RES0184-030 NO RES0184-031 OK AND HAVE YOU HAD ANY WHEEZING OR SHORTNESS OF BREATH RES0184-032 NO RES0184-033 OK AND HAVE YOU HAD ANY CHEST PAIN RES0184-034 NO RES0184-035 HOW ABOUT ANY WE SORRY FAINTING OR DIZZINESS RES0184-036 NO NOTHING LIKE THAT RES0184-037 OK HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING RES0184-038 NO RES0184-039 OK AND HAVE YOU HAD ANY ABDOMINAL PAIN RES0184-040 I HAVE HAD SOME LIKE DIARRHEA SO I THINK PART LIKE MY STOMACH HURT A LITTLE BIT DURING THAT TIME BUT I DON'T HAVE THAT ANYMORE RES0184-041 OK WHEN DID YOU HAVE DIARRHEA RES0184-042 LAST WEEK AS WELL RES0184-043 OK WAS THERE ANY BLOOD IN THE STOOL RES0184-044 NO RES0184-045 OK HAVE YOU HAD ANY CHANGES TO YOUR URINARY HABITS LIKE ANY PAIN OR FREQUENCY RES0184-046 NO RES0184-047 ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING RES0184-048 NO RES0184-049 HOW ABOUT ANY FEVERS OR CHILLS RES0184-051 NO HAVE YOU HAD ANY NIGHT SWEATS RES0184-052 NO NOTHING LIKE THAT RES0184-053 I SEE OK AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY RES0184-054 NO RES0184-055 ALRIGHT HAVE YOU HAD ANY RASHES OR SKIN RASHES RES0184-056 NO RES0184-057 AND HOW ABOUT ANY MUSCLE ACHES OR OR BODY PAINS RES0184-058 OH NO RES0184-059 ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE RES0184-060 A LITTLE BIT RES0184-061 OK LITTLE FATIGUE AND AND HOW HAS YOUR APPETITE BEEN RES0184-062 APPETITE'S BEEN OK I'M STILL EATING RES0184-063 ALRIGHT AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE RES0184-064 NO I'VE BEEN PRETTY HEALTHY RES0184-065 OK GREAT AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED RES0184-066 NO RES0184-067 OK AND DO YOU HAVE ANY ALLERGIES RES0184-068 NO I DON'T RES0184-069 OK AND ANY RECENT HOSPITALIZATIONS IN THE PAST OR ANY PRIOR SURGERIES RES0184-070 NO ACTUALLY I HAD MY APPENDIX TAKEN OUT WHEN I WAS YOUNGER BUT THAT WAS A LONG TIME AGO RES0184-071 OK I SEE AND ARE YOU LIVING CAN YOU TELL ME ABOUT WHERE YOU'RE LIVING NOW AND WHO YOU'RE LIVING WITH RES0184-072 I'M I'M LIVING BY MYSELF I'M A STUDENT I LIVE IN AN APARTMENT RES0184-073 OK AND ARE YOU GOING TO CLASSES IN PERSON RIGHT NOW RES0184-074 NO THEY'RE ALL ONLINE RES0184-075 OK AND AND HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RES0184-076 NO NOT THAT I CAN THINK OF RES0184-077 OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0184-078 NO RES0184-079 OK AND YOU SMOKE CIGARETTES RES0184-080 I DON'T RES0184-081 AND DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS RES0184-082 OCCASIONALLY I WILL RES0184-083 OK HOW OFTEN RES0184-084 I WILL MAYBE SMOKE ONCE A WEEK RES0184-085 OK AND USE ANY RECREATIONAL DRUGS RES0184-086 LIKE COCAINE RES0184-087 OR OPIOIDS OH GOSH RES0184-089 OK AND DO YOU DRINK ALCOHOL YEAH OCCASIONALLY RES0184-090 OK HOW MANY DRINKS WOULD YOU SAY YOU HAVE PER WEEK RES0184-091 I'LL HAVE LIKE A BOTTLE OF WINE A WEEK OK AND RES0184-093 ARE THERE ANY HEART OR LUNG CONDITIONS THAT RES0184-094 THAT'S RUN IN THE FAMILY NO OK HOW ABOUT ANY RES0184-095 CANCERS I THINK LIKE COLON CANCER RUNS IN THE FAMILY OK AND ALRIGHT SO THAT WAS EVERYTHING THAT I THINK I WANTED TO ASK ABOUT ON THAT ON THE HISTORY TODAY I WAS WONDERING RES0184-096 IF THERE WAS ANYTHING ELSE THAT YOU WANTED TO MENTION THAT I I MAYBE FORGOT TO ASK ABOUT NO NOTHING ELSE I I WAS RES0184-097-1 JUST WONDERING WHAT I COULD DO TO FEEL BETTER OR MAKE THIS GO AWAY RES0184-097-2 YEAH CERTAINLY SO SO IT'S SOUNDS LIKE YOU HAVE THE COMMON COLD OR A VIRAL ILLNESS RES0184-097-3 WHICH IT COULD BE CAUSED BY SOMETHING LIKE ADENOVIRUS OR THERE ARE OTHERS AS WELL RES0184-097-4 HOWEVER THE SYMPTOMS DO OVERLAP WITH COVID AS YOU CAN BE LIKE NONSPECIFIC SYMPTOMS SUCH AS HAVING KIND OF JUST LIKE A RUNNY NOSE LIKE YOU DO HERE RES0184-097-5 AND SO WE WILL DO A COVID SWAB AND WE'LL AWAIT THOSE RESULTS BUT IN THE MEANTIME IT'S MOSTLY RES0184-097-6 SUPPORTIVE CARE SO IT MEANS JUST TRYING TO STAY HYDRATED STAY RESTED AND JUST RES0184-099 YOUR SYMPTOMS BECAUSE IF THINGS DO GET WORSE IT'LL BE RES0184-100 GO TO THE EMERGENCY RES0185-000 WHAT BRINGS YOU IN RES0185-001 I'VE I I'VE HAD A REALLY RUNNY NOSE AND KIND OF FEELING LIKE LIKE MY NOSE HAS BEEN OBSTRUCTED AND I'VE KIND OF HAD THIS LIKE SORE THROAT AS WELL OVER THE LAST SEVERAL DAYS RES0185-002 OK SO DID THE RHINO START FIRST OR THE NASAL OBSTRUCTION RES0185-003 THEY THEY KIND OF STARTED IT AROUND THE SAME TIME RES0185-004 OK AND WHEN WAS THAT RES0185-005 ABOUT FOUR DAYS AGO RES0185-006 FOUR DAYS AGO AND THEN WHEN DID THE SORE THROAT START RES0185-007 THAT STARTED ABOUT TWO DAYS AGO RES0185-008 TWO DAYS AGO OK AND AND THE DISCHARGE IS IT IS IT CLEAR OR ARE YOU SEEING COLORS RES0185-009 IT'S PRETTY CLEAR AND WATERY RES0185-010 SO YOU'RE NOT SEEING ANYTHING YELLOW GREEN OR BLOODY RES0185-011 NO NOT NOTHING LIKE THAT I HAVEN'T SEEN ANY YELLOW GREEN OR OR BLOODY RES0185-012 OK AND THEN YOUR SORE THROAT IS IT MAKING IT HARD FOR YOU TO SWALLOW SOLIDS AND FLUIDS RES0185-013 NO PAIN WITH SWALLOWING JUST CAN KIND OF FEEL IT THERE RES0185-014 ANY COUGHING RES0185-015 YEAH ACTUALLY I STARTED TO HAVE A BIT OF A COUGH JUST THIS PAST DAY RES0185-016 IT'S IT'S JUST STARTED IS IT A DRY COUGH RES0185-017 OR IS IT A WET RES0185-018 IT'S DRY IT'S DRY OK SO YOU'RE NOT BRINGING UP ANY SPUTUM OR BLOOD RES0185-019 NO SPUTUM OR OR BLOOD RES0185-020 OK GOOD AND AND THEN ANY SHORTNESS OF BREATH RES0185-021 NO RES0185-022 NO ANY WHEEZING RES0185-023 NO RES0185-024 NO WHEEZING OK ANY CHEST PAIN RES0185-025 NO RES0185-026 NO ANY FAINTING SPELLS OR DIZZINESS RES0185-027 NO RES0185-028 NO OK AND THEN ANY CHANGES IN YOUR VISION OR HEARING RES0185-029 NO RES0185-030 ANY CHANGES TO YOUR SMALLER TASTE RES0185-031 NO RES0185-032 OK AND ANY WEIGHT LOSS RES0185-033 NO IT'S BEEN STABLE RES0185-034 OK HOW ABOUT RES0185-035 FEVERS NO I DON'T THINK I'VE HAD A FEVER RES0185-036 NO OK CHILLS OR NIGHT SWEATS RES0185-037 NO RES0185-038 NO OK ANY RASHES RES0185-039 NO RES0185-040 NO OK AND THEN ANY CHANGES IN YOUR BOWEL MOVEMENTS RES0185-041 NO I HAVEN'T HAD ANY DIARRHEA OR OR CONSTIPATION NOTHING LIKE THAT RES0185-042 OK AND NAUSEA OR VOMITING RES0185-043 NO RES0185-044 NO OK AND THEN HOW ABOUT ABDOMINAL PAIN RES0185-045 NO ABDOMINAL PAIN RES0185-046 OK ANY CHANGES IN YOUR URINE RES0185-047 NO NO PAIN WITH URINATION RES0185-048 OK HOW ABOUT GASSINESS RES0185-049 OR BLOATING NO I HAVEN'T RES0185-050 FELT ANYTHING LIKE RES0185-051 THAT OK HEADACHES YEAH I HAVE HAD A BIT OF A HEADACHE IT'S KIND OF LIKE A A PRESSURE OF WELL I FELT KIND OF LIKE A PRESSURE IN MY FACE AND A HEADACHE RES0185-052 OK PRESSURE IN YOUR FACE AND A HEADACHE OK AND DO YOU NORMALLY GET THESE RES0185-053 NO I THINK I GET HEADACHES WHEN I'M SICK OR I DON'T DON'T SLEEP WELL AND I MEAN I I HAVE BEEN FEELING PRETTY FATIGUED THE LAST FEW DAYS AND RES0185-055 IS IT THE WORST HEADACHE YOU'VE EVER HAD NO THERE IT'S PRETTY MILD IT'S JUST KIND OF ANNOYING CAUSE IT'S STILL THERE RES0185-056 FOR SURE ALRIGHT AND THEN ANY MUSCLE ACHES OR JOINT PAINS RES0185-057 NO NOTHING LIKE THAT RES0185-058 NO OK GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0185-059 I'M HEALTHY I HAVEN'T HAD ANY ANY CONDITIONS RES0185-060 OK THAT'S GOOD HAVE YOU BEEN HOSPITALIZED FOR ANYTHING HAVE YOU EVER NEEDED SURGERIES RES0185-061 NO I HAVEN'T RES0185-062 OK THAT'S GOOD AND ARE YOU ON ANY MEDICATIONS RES0185-063 NO MEDICATIONS RES0185-064 ALRIGHT THAT'S GOOD AND THEN I'M ARE YOUR IMMUNIZATIONS UP TO DATE RES0185-065 THEY ARE YES RES0185-066 OK ANY ALLERGIES RES0185-067 NO ALLERGIES RES0185-068 OK ANY OF YOUR FAMILY HISTORY OF LUNG OR HEART CONDITIONS RES0185-069 NO NO EVERYONE IN THE FAMILY IS HEALTHY RES0185-070 AND DO YOU SMOKE RES0185-071 NOPE I DON'T RES0185-072 HOW ABOUT RECREATIONAL DRUGS RES0185-073 NO WELL I I USE LIKE I'LL HAVE A JOINT EVERY ONCE IN AWHILE LIKE SOCIALLY WITH FRIENDS BUT THAT'S I MEAN MAYBE A COUPLE OF TIMES PER MONTH RES0185-074 OK OK HOW ABOUT ALCOHOL DO YOU DRINK RES0185-075 YEAH I'LL HAVE LIKE I DON'T KNOW A FEW BEERS ON THE WEEKEND MAYBE SO I DON'T KNOW MAYBE LIKE FOUR OR FIVE DRINKS PER WEEK RES0185-076 OK AND THEN HAVE YOU BEEN IN CONTACT WITH ANY RES0185-077 SICK RECENTLY NO I AM I DON'T I DON'T THINK SO I LIVE IN A STUDENT HOUSE THOUGH WITH RES0185-080 FINISHING UP SOME SCHOOL HERE IN TOWN RES0185-081 SICK RECENTLY I THINK ONE OF THE GUYS LAST WEEK HAD I HAD A LITTLE BIT OF A COUGH AND I DON'T KNOW THAT SAID HE WASN'T WASN'T RES0185-082 FEELING WELL OK OK AND HAVE YOU TRAVELED RES0185-083 ANYWHERE RECENTLY NO BEEN RES0185-084 BEEN JUST AT HOME OK ALRIGHT NO TRAVEL RES0185-085 AND WHERE DO YOU LIVE RIGHT NOW SO I I JUST LIVE IN A STUDENT HOUSE RES0185-088 THAT I GUESS OH NO PROBLEM I'M TRYING TO GET AT ARE THERE ANY OLD CARPETS YOU KNOW REASONS FOR YOU TO BELIEVE THAT THERE MAY BE A LOT OF MOLD OR ASBESTOS OR ANYTHING LIKE THAT IN THE HOUSE THAT MAY BE MAKING YOUR SYMPTOMS WORSE RES0185-089 IT'S MOSTLY LIKE HARDWOOD OR LIKE KIND OF CERAMIC FLOORING SO THERE AREN'T MANY CARPETS AND THINGS LIKE THAT SO I GUESS NO RES0185-090 NO OK ALRIGHT AND THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANYTHING TO ADD OR ANYTHING YOU WANTED TO DISCUSS TODAY RES0185-091 NO I WAS JUST I WONDERING WHAT MIGHT BE GOING ON IT'S RES0185-092-1 BEEN A FEW DAYS RES0185-092-2 YEAH FOR SURE SO IT SOUNDS LIKE YOU MAY HAVE A VIRAL INFECTION AND BECAUSE YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A COVID SWAB ON YOU JUST TO RULE THAT OUT RES0185-092-3 BUT FROM THE SOUNDS OF WHAT YOUR SYMPTOMS ARE IT IT IS MOST LIKELY TO BE A COMMON COLD IN WHICH CASE RES0185-092-4 YOU CAN JUST MANAGE IT WITH A LOT OF HYDRATION NUTRITION GOOD SLEEP BUT IF YOUR SYMPTOMS GET WORSE OR RES0185-092-5 THEY'RE NOT GOING AWAY AFTER A COUPLE OF WEEKS OR YOU'RE HAVING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES YOU SHOULD GET HELP FROM THE ER DOES THAT SOUND OK RES0185-093 YEAH FOR SURE I HAVEN'T HAD ANY ANY SYMPTOMS LIKE THAT SO SO FAR SO THAT'S GOOD RES0185-094 YEAH FOR SURE RES0185-095 ALRIGHT TAKE CARE RES0186-000 WHAT BRINGS YOU IN RES0186-001-1 HI THERE I'VE BEEN HAVING THIS COUGH THAT'S BEEN ONGOING FOR THE PAST TWO DAYS AND I'VE STARTED TO BECOME SHORT OF BREATH AS WELL RES0186-001-2 EVEN WITH JUST A LITTLE BIT OF EXERTION I'VE ALSO BEEN FEELING FEVERISH AND I CHECKED MY TEMPERATURE AND IT WAS THIRTY EIGHT POINT POINT FIVE RES0186-002 OK WELL THAT'S DEFINITELY A FEVER CAN YOU TELL ME A LITTLE BIT ABOUT WHEN THE COUGHING STARTED RES0186-003 I FIRST NOTICED IT TWO DAYS AGO AND IT'S BEEN KIND OF JUST GETTING A LITTLE BIT WORSE OVER THESE LAST TWO DAYS TO THE POINT NOW WHERE I'M I'M SHORT OF BREATH AS WELL RES0186-004 OK SO THAT'S SORT OF TWO DAYS AGO AND THEN WHEN DO THE SHORTNESS OF BREATH START RES0186-005 THE SHORTNESS OF BREATH HAS BEEN WITHIN THE LAST DAY WITHIN THE LAST DAY RES0186-006 WITHIN THE LAST DAY OK AND THE COUGHING IS THAT I DRY COUGH OR IS IT A WET COUGH RES0186-007 IT'S A DRY COUGH RES0186-008 OK SO NO SPUTUM OR BLOOD RES0186-009 NO SPUTUM OR BLOOD IN THE COUGHING RES0186-010 OK THAT'S GOOD ALRIGHT ANY CHEST PAIN RES0186-011 NO I HAVEN'T HAD ANY CHEST PAIN RES0186-012 OK ANY PALPITATIONS OF YOUR HEART RES0186-013 NO NO HEART PALPITATIONS RES0186-014 OK AND ANY HAVE YOU NOTICED LIKE A RUNNY NOSE RES0186-015 OR A STUFFY NOSE NO I HAVEN'T REALLY HAD A RUNNY NOSE RES0186-016 NO RUNNY NOSE OK NO RUNNY NOSE THAT'S GOOD AND THEN ANY CHANGES IN YOUR VISION OR HEARING RES0186-017 NO CHANGES TO VISION OR HEARING RES0186-018 HOW ABOUT CHANGES TO YOUR SMELL OR TASTE RES0186-019 NO CHANGES TO SMELL OR TASTE THAT'S BEEN BEEN NORMAL RES0186-020 BEEN NORMAL OK THAT'S GOOD HOW ABOUT OF HOW ABOUT WEIGHT LOSS RES0186-021 NO I HAVEN'T HAD ANY ANY WEIGHT LOSS RES0186-022 OK THAT'S GOOD ANY RASHES RES0186-023 NO RASHES RES0186-024 CHANGES TO YOUR BOWEL MOVEMENTS RES0186-025 NO I I HAVEN'T HAD ANY NO DIARRHEA I HAVE HAD A LITTLE BIT OF LIKE BELLY PAIN THOUGH RES0186-026 OK OK WHEN DID THE BELLY PAIN START RES0186-027 THAT'S JUST BEEN WITHIN THE LAST DAY AS WELL IT JUST FEELS A BIT UNCOMFORTABLE KIND OF ALL OVER RES0186-028 OK ALRIGHT AND YOU DON'T FEEL GASSY OR OR BLOATED RES0186-029 NO RES0186-030 OK AND NO NAUSEA OR VOMITING RES0186-031 NO I HAVEN'T HAD ANY ACTUALLY I HAVE BEEN A BIT I'VE HAD SOME NAUSEA AS WELL LIKE THAT'S WHAT I FEEL LIKE WITH THAT WITH THE ABDOMINAL PAIN RES0186-032 OK AND ANY CHANGES IN YOUR SMELL OR TASTE RES0186-033 SO I ACTUALLY WITH THE SENSE OF SMELL LIKE I HAVEN'T BEEN ABLE TO SMELL AS WELL NOW THAT YOU ASK AGAIN SORRY RES0186-034 OK NO WORRIES AND ANY APPETITE CHANGES RES0186-035 YEAH I HAVEN'T I'VE HAD A LOSS OF APPETITE RES0186-036 OK ALRIGHT ALRIGHT AND ARE YOU STILL EATING THE SAME OR A LITTLE BIT LESS RES0186-037 A BIT LESS SO I GUESS I HAVEN'T BEEN IS HUNGRY I SAY SIMILAR AMOUNT OF TIME JUST REALLY THESE LAST TWO DAYS RES0186-038 HAVE YOU HAD ANY DIZZINESS OR FAINTING SPELLS RES0186-039 NO I HAVEN'T RES0186-040 NO ANY MEMORY LOSS OR CONFUSION RES0186-041 NO RES0186-042 NO JOINT ACHES OR MUSCLE ACHES RES0186-043 I'VE HAD LIKE MUSCLE ACHES I GUESS I FEEL LIKE WE'VE BEEN GETTING OLDER BUT NO I'VE HAD MUSCLE ACHES THESE LAST COUPLE OF DAYS AS WELL KIND OF GENERALLY ACHY RES0186-044 OK AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0186-045 I HAVE DIABETES TYPE TWO DIABETES AND I HAVE HIGH BLOOD PRESSURE RES0186-046 AS WELL RES0186-047 OK YEAH MY WEIGHTS RES0186-048 A BIT A BIT HIGH OK AND DO YOU TAKE ANY MEDICATIONS RES0186-049 FOR THESE THINGS SO I TAKE METFORMIN AND I ALSO TAKE AN ACE INHIBITOR AND RES0186-050 THAT'S IT OK ALRIGHT AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS RES0186-051 I BELIEVE SO YES RES0186-052 OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY RES0186-053 NO I DON'T THINK NO NO ALLERGIES RES0186-054 OK ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS RES0186-055 NO NOTHING RES0186-056 LIKE THAT OK ALRIGHT ANY HISTORY OF LIKE CANCERS IN THE FAMILY RES0186-057 NO HISTORY OF CANCER IN THE FAMILY RES0186-058 OK DO YOU SMOKE AT ALL RES0186-059 NO NOT I DON'T SMOKE RES0186-060 YOU DON'T SMOKE OK HOW ABOUT RECREATIONAL DRUGS RES0186-061 NO I DON'T USE ANYTHING LIKE THAT RES0186-062 NO OK DO YOU DRINK ALCOHOL RES0186-063 YEAH I'LL HAVE LIKE ONE BEER RES0186-064 EACH DAY SO ABOUT ONE BEER A DAY ONE BEER A DAY OK AND RES0186-065 WHERE DO YOU LIVE RIGHT NOW SO I LIVE IN A HOUSE WITH RES0186-066 WITH MY WIFE AND RES0186-067 AND OUR OUR SON OK AND RES0186-068 ANYONE AT HOME SICK NO NOBODY'S BEEN SICK AT HOME OK HAVE YOU BEEN IN RES0186-069 CONTACT WITH ANYONE WHO HAS BEEN SICK I DON'T THINK SO I MEAN I'VE BEEN GOING OUT TO DO THE ESSENTIALS AND I I I DO WORK OUT AT A FACTORY RES0186-070 AND SO I MEAN THERE MIGHT HAVE BEEN SOMEBODY RES0186-071 THERE BUT I'M NOT SURE OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY RES0186-072 NO TRAVEL JUST BEEN GOING TO WORK AND DOING THE ESSENTIALS AND HOME OK THAT'S GOOD AND ANY REASONS TO BELIEVE YOU HAVE OLD CARPET MOLD ASBESTOS RES0186-073 PETS ANYTHING AT HOME THAT COULD BE MAKING YOUR CONDITION WORSE I DON'T BELIEVE SO NO WE IT'S A RES0186-074 NEW A NEWER HOME AND WE'VE DONE SOME RENOVATIONS OK THAT'S GOOD THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF RES0186-075 NO I WAS JUST WORRIED THAT MAYBE I COULD HAVE RES0186-076-1 COVID RES0186-076-2 FOR SURE SO THAT'S KIND OF TOP ON MY LIST RIGHT NOW TO RULE OUT SO WE WILL DO A COVID SWAB AND YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS RES0186-076-3 WITH THOSE RESULTS IN THE MEANTIME YOU SHOULD ISOLATE FOR FOR ABOUT FOURTEEN DAYS AND IF YOUR SYMPTOMS GET WORSE GO TO THE ER RES0186-076-4 AND IF YOU'RE EXPERIENCING THINGS LIKE WEAKNESS SEIZURES LIKE AND YOU'RE NOT GETTING ANY BETTER IN A COUPLE OF WEEKS OR YOU FEEL DEHYDRATED RES0186-076-5 OTHERWISE SUPPORTIVE CARE AT HOME KEEPING YOURSELF HYDRATED EATING WELL SLEEPING WELL ALL OF THOSE WILL DEFINITELY HELP AS WELL DOES THAT SOUND OK RES0186-077 YEAH IT DOES THANK YOU RES0186-078 OK YEAH NO PROBLEM RES0187-000 WHAT BRINGS YOU IN RES0187-001-1 HI I'M JUST COMING IN HERE TODAY BECAUSE I'VE BEEN JUST ON WALL RECENTLY OVER THE LAST I WOULD SAY THREE TO FOUR DAYS I STARTED GETTING THESE LIKE REALLY BAD MUSCLE PAINS ALL THROUGHOUT MY BODY AND THEN RES0187-001-2 OVER THE PAST FEW DAYS I'VE ALSO BEEN FEELING CHILLY SO I WONDER IF I HAVE A FEVER AND I'VE ALSO JUST BEEN HAVING THIS COUGH FOR THE LAST FEW DAYS AS WELL RES0187-002 OK WHAT STARTED FIRST RES0187-003 I THINK THE MUSCLE PAIN STARTED FIRST AND THEN IT WAS THE COUGHING THEN SINCE YESTERDAY I THINK I MIGHT HAVE A FEVER AS WELL RES0187-004 OK THE COUGH STARTED OR THE MUSCLE ACHES STARTED FIRST WAS THAT TWO DAYS AGO THREE DAYS AGO RES0187-005 ALMOST FOUR DAYS AGO NOW RES0187-006 FOUR DAYS OK AND THE COUGH STARTED WHEN RES0187-007 COUGH STARTED THREE DAYS AGO RES0187-008 OK OK BEFORE THE MUSCLE ACHES STARTED DID YOU LIKE DO ANYTHING DIFFERENT IN YOUR LIFE LIKE YOU KNOW DO A LOT OF EXERCISE OR ANY OTHER STRENUOUS ACTIVITIES RES0187-009 NO I I HAVEN'T REALLY CHANGED MY ROUTINE AT ALL RES0187-010 OK AND WHERE SPECIFICALLY LIKE WHAT WHICH MUSCLES ACHE RES0187-011 PRETTY MUCH LIKE THROUGHOUT MY BODY BUT I WOULD SAY MORE SO LIKE UPPER BACK MY THIGHS THEN MY ARMS KIND OF JUST ALL OVER RES0187-012 OK ANY JOINT PAINS AS WELL RES0187-013 NO I DON'T THINK SO RES0187-014 OK AND IS IT HARD FOR YOU TO WALK LIKE USE YOUR ARMS DO YOU HAVE ANY SORT OF LIKE MOTOR WEAKNESS RES0187-015 IT'S NOT I I CAN WALK AND THERE'S NO ISSUES BUT I I DO FEEL LIKE JUST OVERALL GENERAL WEAKNESS I DON'T KNOW IF THAT'S TO DO WITH THE PAIN OR JUST FEELING UNWELL RES0187-016 OK SO YOU'RE ABLE TO DO THOSE THINGS YOU JUST FEEL LIKE MAYBE YOU'RE TIRED RES0187-017 OK ANY NUMBNESS OR TINGLING RES0187-018 NO RES0187-019 NO OK THE COUGH IS IT A DRY COUGH OR LIKE PRODUCTIVE COUGH ARE YOU BRINGING UP PHLEGM RES0187-020 IT'S A DRY COUGH RES0187-021 A DRY COUGH OK SO NO SPUTUM OR BLOOD RIGHT RES0187-022 NO RES0187-023 OK AND YOU HAVE A RUNNY NOSE OR STUFFY NOSE RES0187-024 NO RES0187-025 SORE THROAT RES0187-026 NO RES0187-027 SHORTNESS OF BREATH RES0187-028 NO RES0187-029 NO OK WHEEZINESS RES0187-030 NO RES0187-031 OK ANY FEVERS RES0187-032 AND I HAVE BEEN FEELING CHILLY OVER THE LAST FEW DAYS JUST I HAVE BEEN WEARING LIKE MULTIPLE LAYERS HAVING TO PUT ON AN EXTRA BLANKET SO I MIGHT HAVE BEEN HAVING A FEVER RES0187-033 OK BUT YOU HAVEN'T TAKEN YOUR TEMPERATURE RIGHT RES0187-034 NO RES0187-035 OK ANY WEIGHT LOSS RES0187-036 NO RES0187-037 CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES RES0187-038 NOT THAT I'VE NOTICED RES0187-039 OK CHANGES IN YOUR VISION OR HEARING RES0187-040 NO RES0187-041 TASTE OR SMELL RES0187-042 NO RES0187-043 CHEST PAIN RES0187-044 OH SORRY NOW THAT YOU MENTION I I THINK TASTE A LITTLE BIT TODAY I REALIZED I WAS I WASN'T REALLY ABLE TO TASTE MY BREAKFAST RES0187-045 OK SO A LITTLE BIT OF CHANGE THERE RES0187-046 OK AND ANY CHEST PAIN RES0187-047 NO RES0187-048 OK ANY FEELINGS OF LIKE FEEL LIKE FEELING LIKE YOUR HEART'S RACING RES0187-049 NO RES0187-050 OK HOW ABOUT LIKE CALF PAIN WHEN YOU DO A LOT OF WALKING RES0187-051 NO RES0187-052 FAINTING OR DIZZINESS SPELLS RES0187-053 NO RES0187-054 OK ANY CHANGES TO YOUR BOWEL MOVEMENTS RES0187-056 NO OK AND ANY NAUSEA OR VOMITING RES0187-057 NO NO NAUSEA OR VOMITING RES0187-058 OK HOW ABOUT RES0187-059 APPETITE CHANGES APPETITES BEEN RES0187-060 THE SAME OK ANY CHANGES IN YOUR URINE RES0187-061 NO RES0187-062 HEADACHES RES0187-063 NO RES0187-064 CONFUSION OR MEMORY LOSS RES0187-065 NO RES0187-066 OK ALRIGHT SO ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS RES0187-067 NO OTHERWISE I'VE BEEN PRETTY WELL HAVEN'T EVEN REALLY HAD TO GO TO THE DOCTOR MUCH IN THE PAST FEW YEARS RES0187-068 OK THAT'S GOOD AND THEN ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0187-070 NO NO OK AND HOW ABOUT MEDICATIONS ARE YOU ON ANY RES0187-071 NO MEDICATIONS RES0187-072 OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS RES0187-073 OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY RES0187-074 NO NOT THAT JUST LIKE SEASONAL ALLERGIES I SOMETIMES GET JUST ITCHY EYES AND RUNNY NOSE SNEEZING IN THE SPRINGTIME RES0187-075 OK AND DO YOUR CURRENT SYMPTOMS FEEL LIKE THAT RES0187-076 NO NO RES0187-077 NO OK RES0187-078 I FEEL COMPLETELY DIFFERENT RES0187-079 OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS RES0187-080 THINK MY UNCLE HAD A HEART ATTACK IN HIS RES0187-082 OK THINK MY FATHER HAS HIGH BLOOD PRESSURE RES0187-083 OK OK ANY CANCERS IN THE FAMILY RES0187-084 NO NOT THAT I KNOW OF RES0187-085 AND DO YOU SMOKE RES0187-086 JUST SOCIALLY SOMETIMES WHEN I'M WITH FRIENDS NOT NOTHING REGULAR RES0187-087 OK AND SO FOR THE PAST LIKE TWO MONTHS HOW OFTEN HAVE YOU BEEN SMOKING RES0187-088 PROBABLY A COUPLE CIGARETTES ON THE WEEKEND WE USUALLY SMOKE MARIJUANA SO NOT NOT TOO MUCH LIKE TOBACCO OR CIGARETTES RES0187-089 OK OK DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE RES0187-090 JUST MARIJUANA NO OTHER DRUGS RES0187-091 OK DO YOU SMOKE IT OR EDIBLES RES0187-092 SMOKE IT RES0187-093 OK AND HOW OFTEN DO YOU SMOKE CANNABIS RES0187-094 PROBABLY JUST WHEN I'M MEETING UP WITH FRIENDS SO EVERY WEEKEND I WOULD SAY RES0187-095 EVERY WEEKEND RES0187-096 OK AND THEN HOW ABOUT AN ALCOHOL DO YOU DRINK ALCOHOL RES0187-097 I DRINK ALCOHOL PROBABLY A COUPLE OF DRINKS EVERY FEW DAYS RES0187-098 OK OK AND SORRY WHAT KIND OF ALCOHOL DO YOU DRINK EVERY FEW DAYS RES0187-099 JUST MOSTLY BEERS MAYBE WHISKEY SOMETIMES RES0187-100 OK AND HOW MUCH OF THAT RES0187-101-1 SO PROBABLY A COUPLE BEERS EVERY FEW DAYS AND THEN WHISKEY MAYBE A NORMAL RES0187-101-2 GLASS EVERY FEW DAYS SO I WOULD SAY THREE OR FOUR BEERS A WEEK AND THEN MAYBE TWO GLASSES OF WHISKEY IN A IN AN AVERAGE WEEK RES0187-102 OK OK ALRIGHT AND HAVE YOU BEEN IN TOUCH WITH OR IN CONTACT WITH ANYONE SICK RECENTLY RES0187-103 NO NO ONE'S BEEN SICK I DO MEET UP WITH SOME FRIENDS ON THE WEEKENDS SOME OF THEM ARE FROM WORK SOME OF THEM ARE JUST THAT THAT I KNOW OUTSIDE OF WORK RES0187-104 OK OK AND HAVE ANY OF THEM RES0187-105-1 BEEN SICK OR HAVE THEY ALL BEEN PRETTY HEALTHY RES0187-105-2 I'VE BEEN HEARD FROM ANYONE THAT'S BEEN SICK WE WE KIND OF HAVE A RULE THAT IF YOU KNOW IF WE FEEL SICK THEN NOT TO NOT TO SHOW UP JUST BECAUSE LIKE YOU KNOW WHEN WE'RE RES0187-105-3 WHEN WE'RE DRINKING AND LIKE SMOKING WE MAY SHARE LIKE A JOINT SO IT'S NOT LIKE WE DON'T WANT TO GET EVERYONE SICK IF ONE PERSON IS SICK RES0187-106 FOR SURE THAT MAKES SENSE ALRIGHT ANY TRAVEL RECENTLY RES0187-107 NO RES0187-108 NO OK AND WHERE DO YOU LIVE RIGHT NOW RES0187-109 RIGHT NOW I JUST LIVE IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON RES0187-110 OK ANY OLD CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD MAKE YOUR CONDITION WORSE RES0187-111 NO RES0187-112 OK SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF RES0187-113 NO I DON'T THINK SO I JUST WANTED TO SEE WHAT THIS MIGHT BE RES0187-114-1 FOR SURE SO WE ARE GOING TO DO A COVID SWAB ON YOU BECAUSE A LOT OF YOUR SYMPTOMS DO ALIGN WITH THOSE OF COVID SO WE JUST WANT TO RULE THAT OUT FIRST SO YOU SHOULD HEAR BACK IN ABOUT TWENTY FOUR TO FORTY EIGHT HOURS IN THE MEANTIME YOU SHOULD RES0187-114-2 ISOLATE FOR TWO WEEKS AND IF IT'S NOT COVID IT COULD BE ANOTHER VIRAL INFECTION THAT'S BEEN GOING AROUND THIS TIME OF YEAR RES0187-114-3 EITHER WAY KIND OF MANAGEMENT PLAN IS THE SAME SO MAKE SURE YOU'RE HYDRATED EAT WELL SLEEP WELL AND IF YOUR SYMPTOMS BECOME RES0187-114-4 WORSE SEVERE OR THERE ANY RED FLAGS LIKE YOU HAVE NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR WEAKNESS WHERE YOU CAN MOVE YOUR LIMBS YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND RES0187-115 THAT SOUNDS GOOD THANK YOU RES0187-116 OK YEAH NO PROBLEM RES0188-000 WHAT BRINGS YOU IN RES0188-001-1 HI I WAS JUST REALLY WORRIED MY SON JUST YESTERDAY NIGHT I NOTICED THAT HE WAS MAKING THESE GRUNTING NOISES AND I DID NOTICE THAT HE WAS A BIT WARM YESTERDAY RES0188-001-2 AS WELL AND TODAY I HE JUST HASN'T BEEN HIMSELF JUST VERY VERY IRRITABLE CRYING A LOT I JUST GOT BIT WORRIED RES0188-002 FOR SURE WHAT STARTED FIRST RES0188-003 I WOULD SAY THE THERE WAS A LITTLE BIT OF COUGHING EARLIER LIKE YESTERDAY BUT THEN LATER ON DURING THE NIGHT IT KIND OF TURNED INTO THIS GRUNTING NOISE AND HE'S KIND OF LIKE HIS CHEST IS MOVING A LOT MORE WHEN HE'S TAKING A BREATH IN AND ALL THAT RES0188-004 OK DID YOU MEASURE HIS TEMPERATURE AT HOME RES0188-005 SO I THINK IT WAS THIRTY EIGHT POINT FIVE DEGREES CELSIUS RES0188-006 OK AND DID YOU DO THAT ORALLY OR RECTAL OR UNDER ARMPIT RES0188-007 I DID IT UNDER THE ARMPIT RES0188-008 OK OK SO YOU MENTIONED THAT HE'S HAD A FEVER HE'S BEEN GRUNTING AND HE JUST SEEMS A LITTLE BIT MORE FUSSY IS THAT RIGHT RES0188-009 OK IS HE COUGHING AT ALL RES0188-010 HE WAS YESTERDAY BUT NOT REALLY NOW RES0188-011 OK AND WAS IT A DRY COUGH RES0188-012 I THINK SO I MEAN NOT NOTHING REALLY CAME OUT RES0188-013 OK THAT'S GOOD SO NO BLOOD NO SPUTUM RES0188-014 NO RES0188-015 OK AND DID HE SEEM WHEEZY RES0188-016 NO RES0188-017 NO OK SO THERE'S NO WHEEZING WITH THE GRUNTING RES0188-018 MAYBE A LITTLE BIT LIKE THAT JUST A LITTLE BIT OF A NOISE BUT IT'S MOSTLY THE GRUNTING RES0188-019 OK HAS HE HAD ANY WEIGHT LOSS RES0188-020 NO NOT THAT I REALLY WE HAVEN'T REALLY WEIGHED HIM OK SINCE HIS LAST APPOINTMENT RES0188-021 OK DOES HE SEEM EXCESSIVELY TIRED OR FATIGUED RES0188-022 MORESO TODAY I WOULD SAY HE'S LIKE EARLIER HE WAS VERY FUSSY BUT NOW HE SEEMS A BIT MORE TIRED RES0188-023 OK ANY RASHES THAT YOU'VE NOTICED RES0188-024 NO RES0188-025 NO OK ANY CHANGES IN HIS VISION OR HEARING RES0188-026 NO NOT THAT I CAN TELL RES0188-027 NO OK SO HE'S RESPONDING TO LIKE SOUNDS AND HE'S STILL LOOKING AT YOU AND THINGS LIKE THAT RES0188-028 OK HAVE YOU NOTICED A RUNNY NOSE OR STUFFY NOSE RES0188-029 NO NOTHING LIKE THAT RES0188-030 NO OK AND HE SAID HE HASN'T HAD ANY LIKE FAINTING SPELLS RES0188-031 NO I DON'T THINK SO RES0188-032 NO OK AND HOW MANY WET DIAPERS IS HE PRODUCING IN A DAY NOW RES0188-033 PROBABLY FIVE OR SIX RES0188-034 FIVE OR SIX OK HAS THAT CHANGED FROM BEFORE RES0188-035 NO IT'S PRETTY MUCH THE SAME RES0188-036 OK AND ANY CHANGES TO HIS BOWEL MOVEMENTS RES0188-037 NO RES0188-038 NO HOW ABOUT HIS URINE RES0188-039 NO RES0188-040 NO OK OK AND YOU SAID HE WAS FUSSY IS HE STILL EATING AND DRINKING OK RES0188-041 NO TODAY HE'S NOT REALLY TAKING ANYTHING IN LIKE VERY FUSSY VERY HARD TO FEED HIM TODAY RES0188-042 OK IS HE CRYING A LOT RES0188-043 EARLIER TODAY WAS CRYING A LOT BUT NOW HAS CALM DOWN AND JUST I GUESS TIRED HIMSELF OUT RES0188-044 OK ALRIGHT AND IS HE AN OTHERWISE HEALTHY CHILD RES0188-045-1 HE WAS HE WAS PREMATURE BY THREE WEEKS SO OTHER THAN THAT LIKE I REMEMBER WHEN HE WAS BORN THEY DID HAVE RES0188-045-2 EARLIER SOME ISSUES WITH HIS OXYGEN NOT BEING HIGH ENOUGH AND THEY HAD TO LIKE KEEPING KEEP US IN THE HOSPITAL FOR A BIT LONGER RES0188-046 OK RES0188-047 BUT AFTER THAT LIKE THERE HAVEN'T REALLY BEEN TOO MANY CONCERNS RES0188-048 OK SO HE'S HITTING ALL THE DEVELOPMENTAL MILESTONES LIKE IN TERMS OF MOTOR MOVEMENTS SPEECH BEHAVIOUR ALL OF THAT RES0188-049 NO ISSUES THERE SO FAR RES0188-050 OK AND HOW ABOUT MEDICATIONS IS HE ON ANY RES0188-051 NO RES0188-052 NO MEDICATIONS OK AND IS UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0188-053 OH HE HAD ALL HIS IMMUNIZATIONS SO FAR RES0188-054 OK HOW ABOUT ALLERGIES DOES HE HAVE ANY RES0188-055 NOT THAT I KNOW OF RES0188-056 NO OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS RES0188-057 NO RES0188-058 OK AND DOES ANYONE AT HOME SMOKE RES0188-059 NO NO ONE SMOKES RES0188-060 OK HAS HE BEEN IN CONTACT WITH ANYONE SICK RECENTLY RES0188-061 NO NOT THAT I KNOW OF HIS OLDER SISTER DOES GO TO SCHOOL THOUGH BUT I DON'T KNOW IF SHE MIGHT HAVE CARRIED SOMETHING HOME RES0188-062 OK HOW OLD IS SHE RES0188-063 SHE'S SIX YEARS OLD RES0188-064 SIX OK AND IS SHE HEALTHY OR IS SHE HAVING SIMILAR SYMPTOMS RES0188-065 NO SHE'S HEALTHY NO NO SYMPTOMS RES0188-066 OK ANY TRAVEL RECENTLY RES0188-067 NO RES0188-068 NO OK AND WHO DOES HE LIVE WITH AT HOME RES0188-069 SO HIS OLDER SISTER ME AND HIS MOTHER RES0188-070 OK ANY REASONS TO BELIEVE LIKE YOU HAVE OLD CARPETS DUST MOLD ASBESTOS PETS ANYTHING LIKE THAT THAT COULD WORSEN HIS SYMPTOMS RES0188-071 NO NOTHING LIKE THAT RES0188-072 OK SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ANYTHING THAT I MISSED THAT YOU WANTED TO ADD RES0188-073 NO I THINK THAT WAS ALL RES0188-074-1 OK SO FOR HIM WE'LL DO A COVID SWAB JUST TO RULE THAT OUT BECAUSE SOME OF HIS SYMPTOMS DO OVERLAP WITH THAT BUT IT IT'S REALLY SOUNDING LIKE A PICTURE OF LIKE COMMUNITY ACQUIRED PNEUMONIA RES0188-074-2 SO WE'LL DO A COUPLE OF THINGS FOR HIM WE CAN GET HIS TEMPERATURE GET HIS OXYGEN OXYGEN SATURATION RIGHT AWAY WE'LL GET A CHEST X RAY RES0188-074-3 WE'LL DO SOME BLOOD WORK AS WELL AND HE MIGHT NEED TO BE ADMITTED DEPENDING ON THE OXYGEN OXYGEN SATURATION AND THE FACT THAT HE'S GRUNTING SO RES0188-074-4 IF HE'S ADMITTED WILL GIVE HIM SOME EXTRA OXYGEN AND KEEP MONITORING HIM AND KEEP HIM HYDRATED WE'LL ALSO GIVE HIM SOME ANTIBIOTICS IF IF IT TURNS OUT HE HAS PNEUMONIA YEAH DOES THAT SOUND OK RES0188-075 THAT SOUNDS GOOD THANK YOU RES0188-076 OK YEAH NO WORRIES RES0191-000 HOW MAY I HELP YOU RES0191-001 HI I'M I HAVE BEEN HAVING THIS NASAL OBSTRUCTION AND DISCHARGE FOR THE PAST WEEK AND IT DOESN'T SEEM TO BE GOING AWAY AND IT'S BOTHERING ME SO I THOUGHT I WOULD GET IT CHECKED OUT BY YOU RES0191-002 OK FOR SURE COULD YOU DESCRIBE THE DISCHARGE RES0191-003 IT'S A IT'S MOSTLY CLEAR IT DOESN'T IT DOESN'T HAVE A COLOR TO IT RES0191-004 OK SO NO YELLOW GREEN OR OR RED TO INDICATE ANY BLOOD RES0191-005 NO RES0191-006 OK AND YOU MENTIONED SO WITH THE OBSTRUCTION HAVE YOU HAD DIFFICULTIES BREATHING RES0191-007 A LITTLE BIT I JUST NEED TO AND IS MOSTLY AT NIGHT I JUST NEED TO SHIFT TO ONE SIDE OR THE OTHER TO LIKE UNBLOCK MY AIRWAYS RES0191-008 I SEE OK AND HAVE YOU BEEN HAVING ANY PAIN ON YOUR FACE LIKE I LIKE KIND OF OVER YOUR CHEEKS OR OVER YOUR FOREHEAD RES0191-009 NO RES0191-010 OK HOW ABOUT ANY HEADACHES RES0191-011 NO HEADACHES RES0191-012 ALL RIGHT HAVE YOU HAD ANY CHANGES OR TO YOUR SENSE OF SMELL OR ANY LOSS OF SMELL RES0191-013 NO MAYBE A LITTLE BIT BUT NO NOT REALLY I CAN STILL EAT I CAN STILL SMELL LIKE CANDLES AND THINGS LIKE THAT SO MAYBE GO WITH NO RES0191-014 OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE RES0191-015 NO RES0191-036 DIZZINESS NO HAVE YOU FELT LIKE YOUR HEARTS BEATING REALLY FAST OR RACING RES0191-037 NO RES0191-038 OK HAVE YOU HAD ANY FEVERS OR CHILLS RES0191-039 NO RES0191-040 HAVE YOU HAD A NIGHT SWEATS RES0191-041 NO RES0191-042 HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS RES0191-043 NO RES0191-044 OK HAVE YOU HAD ANY LOSS OF APPETITE RES0191-045 NOPE RES0191-046 OK HAVE YOU HAD ANY NAUSEA OR VOMITING RES0191-047 NO RES0191-048 HAVE YOU HAD ANY ABDOMINAL PAIN RES0191-049 NO RES0191-050 HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION RES0191-051 NO RES0191-052 HAVE YOU HAD ANY PAINFUL URINATION OR URINARY FREQUENCY RES0191-053 NO RES0191-054 OK HAVE YOU HAD ANY SKIN RASHES RES0191-055 NO RES0191-056 HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS RES0191-057 NO RES0191-058 HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION RES0191-059 NO RES0191-060 OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE OR MALAISE RES0191-061 NO NOTHING LIKE THAT RES0191-062 OK AND HAVE YOU HAD ANY SNEEZING RES0191-063 NO RES0191-064 OK AND ARE YOU HEALTHY OR OR HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0191-065 NO I'M ACTUALLY PRETTY HEALTHY RES0191-066 OK HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS RES0191-067 NOPE RES0191-068 OK AND ANY ALLERGIES LIKE TO ANY MEDICATIONS OR ANY SEASONAL ALLERGIES LIKE DO YOU GET SYMPTOMS LIKE THIS THAT CHANGE THROUGHOUT THE YEAR RES0191-069 NO RES0191-070 OK AND SORRY NO ALLERGIES TO MEDICATIONS AS WELL RES0191-071 NO ALLERGIES TO MEDICATIONS RES0191-072 OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER RES0191-073 NO I DON'T TAKE ANY MEDICATIONS RES0191-074 OK AND CAN YOU TELL ME ABOUT WHERE YOU'RE LIVING CURRENTLY AND WHO YOU'RE LIVING WITH RES0191-075 I LIVE BY MYSELF RIGHT NOW I LIVE IN AN APARTMENT DOWNTOWN RES0191-076 OK AND ARE YOU GOT WORKING RIGHT NOW OR ARE YOU GOING TO SCHOOL OR BOTH RES0191-077 I'M WORKING RIGHT NOW BUT I'M WORKING FROM HOME RES0191-078 OK HAVE YOU BEEN AROUND ANYBODY WHO'S BEEN SICK RES0191-079 NO ONE PERSONALLY BUT I DO GO TO THE GROCERY STORE AND THE BANK AND ALL THE ESSENTIAL THINGS RES0191-080 I SEE OK AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY RES0191-082 NO I HAVEN'T OK ARE YOU RES0191-084 IN A RELATIONSHIP I AM RES0191-086 ARE YOU SEXUALLY ACTIVE I AM OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS RES0191-087 SO WE'VE BEEN TOGETHER FOR THE PAST FIVE YEARS AND HE'S THE ONLY SEXUAL PARTNER I HAVE RES0191-088 OK AND DO YOU USE CONDOMS OR BIRTH CONTROL RES0191-090 CONTROL OK AND ANY CONCERN FOR A SEXUALLY TRANSMITTED RES0191-094 AND YOU SMOKE CIGARETTES I DON'T DO YOU SMOKE CANNABIS OR USE RES0191-096 PRODUCTS NOPE OK HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS RES0191-097 NO RES0191-098 OK DO YOU DRINK ALCOHOL RES0191-099 I DO I'LL HAVE LIKE A GLASS OF WINE EVERY DAY RES0191-100 OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR LUNG CONDITIONS THAT RUN IN THE FAMILY RES0191-101 NO RES0191-102 HOW ABOUT THINGS LIKE DIABETES OR OR HIGH BLOOD PRESSURE RES0191-103 I DON'T THINK SO RES0191-104 OK AND ARE THERE ANY CANCERS IN THE FAMILY RES0191-105 THERE'S COLON CANCER IN THE FAMILY RES0191-106 OK AND WHO WAS THAT AND HOW OLD WERE THEY RES0191-107 MY GRANDFATHER HE WAS FIFTY FIVE RES0191-108 OK ALRIGHT AND SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY ON HISTORY RES0191-110-1 THING ELSE THAT I WAS MAYBE FORGETTING RES0191-110-2 NO I THINK THAT WAS IT RES0191-110-3 OK SO WITH THE PROMINENT SYMPTOMS OF BEING NASAL DISCHARGE AND RES0191-110-4 OBSTRUCTION WITHOUT FEVER AND WITHOUT LIKE CHANGES TO SMELL AND ALSO WITHOUT PAIN IT'S RES0191-110-5 MOST LIKELY A VIRAL RHINOSINUSITIS RES0191-113 HAVE SYMPTOMS THAT OVERLAP RES0191-114 WITH WITH COVID AND RES0192-000 HOW MAY I HELP YOU RES0192-001 HI I'M I'M COMING IN BECAUSE I'VE HAD A LOT OF SHORTNESS OF BREATH AND I I'VE HAD THIS COUGH THAT WON'T SEEM TO GO AWAY RES0192-002 I SEE ALRIGHT SO WHEN DOES THE SHORTNESS OF BREATH HAPPEN IT DO YOU HAVE IT AT REST OR IS IT ON EXERTION RES0192-003 MOSTLY ON EXERTION RES0192-004 OK HOW FAR ARE YOU ABLE TO WALK BEFORE YOU GET SHORTER BREATH OR HOW MANY FLIGHTS OF STAIRS ARE YOU ABLE TO DO RES0192-005 MAYBE LIKE TWO FLIGHTS OF STAIRS RES0192-006 OK AND WHEN DID YOU NOTICE THAT THE CHANGE RES0192-007 SO I'VE HAD THIS SHORTNESS OF BREATH LIKE AT FIRST IT WAS PRETTY MILD IT STARTED ABOUT FOUR MONTHS AGO BUT OVER THE PAST MONTH OR SO IT'S BEEN IT'S BEEN WORSE RES0192-008 OK SO A BIT SO IT'S BEEN GOING ON FOR A BIT OF TIME NOW RES0192-009 OK DO YOU ARE YOU ABLE TO LIE DOWN FLAT WITHOUT EXPERIENCING SHORTER BREATH RES0192-010 YEAH I THINK SO I THINK THAT'S FINE RES0192-011 OK SO SO IT SOUNDS LIKE NO ORTHOP IS WHAT THEY CALL IT AND HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT AND YOU'RE SHORT OF BREATH AND YOU NEED TO SIT UP AN END TO RES0192-013 CATCH IT NO OK AND HAVE YOU RES0192-015 ANY LEG SWELLING NO OK ANY YOU MENTIONED THAT YOU'VE HAD A COUGH AS WELL RES0192-016 HOW LONG HAVE YOU EXPERIENCED A COUGH FOR THE COUGH ALSO AROUND THE SAME TIME IT STARTED OFF PRETTY MILD BUT NOW RES0192-017 I LIKE I HAVE IT ALL THE TIME OK ARE YOU COUGHING UP ANY RES0192-018 SPUTUM OR ANY PHLEGM RES0192-021 UP ANY BLOOD NO OK AND HAVE YOU RES0192-023 WHEEZING NO WHEEZING RES0192-024 OK HOW HOW ABOUT ANY CHEST PAIN NO CHEST PAIN I GUESS WITH THE COUGHING CAUSE I'M COUGHING SO MUCH IT HURTS BUT NOT CHEST PAIN IN THE SENSE LIKE IT'S IN THE AREA OF MY HEART OR ANYTHING LIKE THAT RES0192-025 OK SO DOES THAT LIKE HOW WOULD YOU DESCRIBE IT IS IT LIKE SHARP ACHY DULL OR PRESSURE LIKE RES0192-026 IT'S A IT'S KIND OF LIKE A TUGGING FEELING RES0192-027 OK IT DOES IT GO AWAY AFTER YOU'RE DONE COUGHING RES0192-028 I SEE OK AND HAVE YOU EXPERIENCED ANY ANY HEADACHES RES0192-029 NO NO HEADACHES RES0192-030 OK HOW ABOUT ANY LIKE EYE REDNESS OR EYE DISCHARGE RES0192-032 DISCHARGE NO ANY EAR PAIN RES0192-034 OR YOUR DISCHARGE NO HOW ABOUT ANY CHANGES TO VISION OR HEARING RES0192-035 NO RES0192-036 OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT RES0192-037 NO RES0192-038 OK HOW ABOUT ANY CHANGES TO OR HAVE YOU HAD ANY LOSS OF SMELL OR ANY LOSS OF TASTE RES0192-039 NO RES0192-040 OK AND HAVE YOU HAD A LOSS OF APPETITE RES0192-041 NO RES0192-042 OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS RES0192-043 I HAVE HAD SOME WEIGHT LOSS ACTUALLY ABOUT FIFTEEN POUNDS OVER THE PAST SIX MONTHS RES0192-044 OK AND HAVE YOU BEEN TRYING TO LOSE WEIGHT RES0192-045 NO RES0192-046 OK HAVE YOU HAD ANY FEVERS RES0192-047 NO RES0192-048 HAVE YOU HAD ANY CHILLS RES0192-049 NO RES0192-050 HAVE YOU HAD ANY NIGHT SWEATS RES0192-051 NO RES0192-052 OK AND HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART'S RACING RES0192-053 NO RES0192-054 HAVE YOU HAD ANY FAINTING OR LIGHTHEADEDNESS OR DIZZINESS RES0192-055 NO RES0192-060 NAUSEA OR VOMITING NO HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION RES0192-061 NO RES0192-062 AND HAVE YOU HAD ANY SKIN RASHES RES0192-063 NO RES0192-064 HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS RES0192-065 NO RES0192-066 AND HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS RES0192-067 NO RES0192-068 OK AND HOW IS YOUR ENERGY BEEN RECENTLY HAVE YOU HAD ANY FATIGUE OR MALAISE RES0192-069 NO RES0192-070 OK ALRIGHT SO IT SOUNDS LIKE THIS THIS DRY COUGH AND THEN AND SHORTNESS OF BREATH IT IS MOSTLY WHAT YOU BEEN EXPERIENCING AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0192-071 I HAVE A COPD RES0192-072 OK AND DO YOU USE ANY MEDICATIONS OR ANY INHALERS RES0192-073 KNOW IT'S VERY MILD I IT'S SO I HAVEN'T REALLY I WAS JUST RECENTLY DIAGNOSED SO I HAVEN'T BEEN STARTED ON ANY MEDICATIONS JUST YET RES0192-074 OK DID YOU DO I I PULMONARY FUNCTION TESTS WHERE YOU'RE BREATHING INTO A TUBE RES0192-077 DO YOU HAVE ANY ALLERGIES NO AND HAVE YOU HAD ANY RES0192-079 HOSPITALIZATIONS OR ANY PREVIOUS SURGERIES NO OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE RES0192-080 WHERE YOU'RE LIVING AND WHO YOU'RE LIVING WITH I LIVE IN A HOUSE WITH RES0192-081 MY HUSBAND OK AND HAS YOUR HUSBAND BEEN SICK RES0192-083 OR ANYBODY YOU'VE BEEN AROUND BEEN SICK RES0192-084-1 NO OK AND ARE YOU CURRENTLY WORKING RES0192-084-2 YEAH SO I I'M WORKING IN CONSTRUCTION I USED TO WORK IN SHIPYARDS BEFORE BUT RECENTLY I'VE RES0192-084-3 I'VE BEEN DOING SOME CONSTRUCTION NOTHING HEAVY JUST WORKING ON SOME RES0192-085 OLD BUILDINGS I'LL UST TAKE THE ODD JOB OR SOMETHING THAT COMES UP IT'S NOT FULL TIME OK AND RES0192-086-1 ANY CONCERNS FOR LIKE EXPOSURES WHILE YOU'RE AT WORK IN TERMS LIKE BREATHING IN ANY DUSTS OR ANY FUMES RES0192-086-2 WE'RE GIVEN A PERSONAL PROTECTIVE EQUIPMENT FOR THOSE CONCERNS BUT RES0192-086-3 WHEN I WAS YOUNGER I USED TO WORK A IN SHIPYARDS AND CONSTRUCTIONS AND LIKE OLD BUILDINGS AND STUFF AND I KNOW THERE WAS SOME CONCERN FOR NOT BEING RES0192-087 PROPERLY EQUIPPED WITH THE RIGHT EQUIPMENT FOR PROTECTION AND SAFETY AT THAT POINT SO RES0192-088 IT'S POSSIBLE I'VE BEEN EXPOSED TO SOME THINGS I SEE RES0192-089 IS THERE A CHANCE THAT THERE COULD HAVE BEEN ASBESTOS AT ANY OF THOSE PLACES THAT YOU WORKED YEAH ASBESTOS RES0192-090 OR MOLD YEAH YOU NAME IT PROBABLY EVERYTHING I SEE THIS WAS LIKE TEN YEARS AGO TWENTY YEARS AGO OR OR LONGER YEAH AND SO IT WOULD HAVE BEEN RES0192-091 ABOUT LIKE THIRTY YEARS AGO OR YEAH RES0192-092 THIRTY FORTY YEARS AGO AND I WORKED IN THOSE PLACES FOR THIRTY RES0192-093 SO AROUND THAT TIME OK RES0192-112 NO OK AND I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY TODAY WAS THERE ANYTHING ELSE THAT YOU RES0193-000 WHAT BRINGS YOU HERE TODAY RES0193-001 HI I BRING YOU MY SON TODAY BECAUSE I'VE NOTICED HE'S HAD BEEN HAVING THIS COUGH SOMETIMES HE'LL HAVE IT AT NIGHT AND AND HE'LL HAVE SOME WHEEZING RES0193-002 DIFFICULTIES BREATHING AS WELL OK RES0193-003 AND WHEN DID THIS ALL START SO I I'VE BEEN NOTICING IT OVER THE LAST SEVERAL MONTHS IT'S BEEN HAPPENING A COUPLE OF TIMES PER WEEK WHERE HE'LL GET THIS COUGH AND RES0193-004 THAT AT NIGHT TIME AND YEAH SO OVER THE LAST SEVERAL MONTHS OK AND WHAT DID IT START WITH COUGHING OR LIKE THE SHORTNESS RES0193-005-1 OF BREATH WHAT WOULD IT KIND OF START WITH RES0193-005-2 ARE MORE THE THE COUGHING HE JUST GET IT AT NIGHT TIME AND THEN SOMETIMES HE WOULD GET IT LIKE IT AT AT SCHOOL AS WELL OR EVEN IF YOU WENT OVER TO RES0193-005-3 ONE OF US HIS FRIENDS HOUSES SOMETIMES HE WOULD COME HOME AND OR AFTERWARDS HE WOULD HAVE A COUGH AND WHEEZE AND AND BE SHORT OF BREATH RES0193-006 OK AND SO IS IT USUALLY AFTER HE'S WORKED HIMSELF UP AND LIKE EXERCISE OR LIKE JUST BEEN REALLY ACTIVE RES0193-007 THAT DEFINITELY I NOTICED THAT AFTER THOSE TIMES FOR FOR SURE RES0193-008 OK AND ARE THESE LIKE THE COUGHING IS IT WET OR DRY RES0193-009 IT'S IT'S A DRY COUGH RES0193-010 DRY COUGH OK SO NO YELLOW GREEN MATERIAL OR BLOOD COUGHED UP RES0193-011 NO NOTHING LIKE THAT COUGHED UP RES0193-012 OK AND YOU'RE SAYING YOU ALSO HEAR WHEEZING RIGHT RES0193-013 YEAH I'LL HEAR A WHEEZE HE HAS THIS LIKE HIGH PITCHED RES0193-014 WHISTLING SOUND WHEN HE EXHALES OK AND HAS HE AT ALL HAD THIS HAPPEN RES0193-015 BEFORE OR IS THIS THE FIRST TIME THIS IS HAPPENING LIKE WHEN HE WAS REALLY YOUNG I THINK LIKE TWO HE HAD LIKE BRONCHIOLITIS OR SOMETHING LIKE THAT I THINK IT WAS CALLED YOU HAD A COUGH AND LIKE A WHEEZE AT THAT TIME BUT I THINK IT WAS BECAUSE OF A LIKE AN INFECTION OR VIRAL A VIRAL ILLNESS RES0193-016 I SEE HAS HE HAD ANY SORE THROAT RUNNY NOSE COLD LIKE SYMPTOMS AT ALL RECENTLY RES0193-017 NO HE HASN'T HAD ANYTHING LIKE THAT RES0193-018 OK OK SO HIS SYMPTOMS MAINLY OCCUR WHEN HE'S VERY ACTIVE SO THEY KIND OF COME AND GO AND HAVE YOU TRIED IT AT ALL ANYTHING THAT HAS HELPED WITH THE SYMPTOMS RES0193-019 NO I HAVEN'T TRIED ANYTHING RES0193-020 OK ANY KIND OF DIZZINESS CHANGES IN HIS BEHAVIOR AT ALL FROM BEING VERY IRRITABLE TO VERY FATIGUED ANYTHING LIKE THAT RES0193-021 NO NOTHING LIKE THAT RES0193-022 OK ANY FEVERS OR CHILLS RES0193-023 NO RES0193-024 OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHO'S BEEN SICK RES0193-025 NO RES0193-026 ANY NAUSEA OR VOMITING RES0193-027 NO RES0193-028 OK ANY CHANGES IN HIS BOWEL MOVEMENTS RES0193-029 NO HE HASN'T HAD ANY DIARRHEA SO NO DIARRHEA NO CONSTIPATION RES0193-030 OK AND ANY CHANGES IN HIS APPETITE AT ALL RES0193-031 NO HE'S BEEN EATING AND GROWING WELL RES0193-032 OK ANY CHANGES IN HIS WEIGHT RES0193-033 HE'S BEEN GAINING WEIGHT OVER THE LAST OVER THE LAST LITTLE WHILE I THINK HE'S BEEN GAINING WEIGHT APPROPRIATELY RES0193-034 OK DO YOU FIND THAT HIS SYMPTOMS GET WORSE IN ANY PARTICULAR SEASON LIKE THE WINTER OR ANYTHING LIKE THAT RES0193-035 I I MEAN SOMETIMES I GUESS LIKE IN THE IN THE FALL OR WHEN THE SEASONS CHANGE SHE DOES GET LIKE ITCHY EYES AND LIKE A RUNNY NOSE I THINK HE DOES HAVE MAYBE SOME ENVIRONMENTAL ALLERGIES RES0193-036 OK OK AND AT HOME OR AT SCHOOL ANY EXPOSURE TO LIKE FUMES DUST OR ANIMALS RES0193-037 NO ANIMALS AT AT HOME BUT THE FRIENDS HOUSE HE GOES OVER TO SOMETIMES THEY HAVE A CAT THERE RES0193-038 OK AND DOES DOES HE GET THOSE SYMPTOMS AT HIS FRIENDS HOUSE RES0193-039 SOMETIMES HE'LL COME HE'LL HE'LL HAVE A BIT OF A COUGH AND YOU CAN HEAR A WHEEZE SOMETIMES THAT AFTER IT GOES AWAY RELATIVELY QUICKLY WE LIKE WITHIN THIRTY TO SIXTY MINUTES AND BUT RES0193-040 OK ANY PAST MEDICAL CONDITIONS THAT HE'S RES0193-041 BEEN DIAGNOSED WITH NO HE JUST HAD THAT THE EPISODE OF I THINK BRONCHIOLITIS WHEN HE WAS YOUNG RES0193-042 BUT THAT WAS IT OK ANY MEDICATIONS THAT HE HAS TO TAKE REGULARLY RES0193-043 NO RES0193-044 NO ANY ALLERGIES TRAINING MEDICATIONS RES0193-046 NO NO OR ANY ALLERGIES TO ANY ENVIRONMENTAL OR FOOD FACTORS RES0193-048 THINK SO OK HAVE YOU HAD ANY RASHES AT ALL PREVIOUSLY RES0193-050 HAD ANY ANY RASHES RES0193-052 AND ANY HOSPITALIZATIONS OR SURGERIES NO OK AND ANY FAMILY HISTORY OF ANY HEART LUNG CONDITIONS ANY HISTORY OF ASTHMA AT ALL RES0193-053 HIS MOM HAS A HAS ASTHMA AND SHE USES A AN INHALER LIKE DAILY FOR IT RES0193-054 OK HAS WHEN DID THE MOM GET DIAGNOSED WITH ASTHMA WAS IT DURING CHILDHOOD RES0193-055 YEAH SHE WAS YOUNGER EVER SINCE I'VE KNOWN HER SHE SAID SHE'S HAD SHE'S HAD ASTHMA IT HASN'T HAD ANY LIKE REAL I GUESS EXACERBATIONS THAT THAT I'VE NOTICED OR BEEN ABLE TO CONTROL HER SYMPTOMS WITH RES0193-056 WITH INHALERS OK AND FOR HIM HOW MANY TIMES WOULD YOU SAY HE'S HAVING THESE EPISODES IN AN AVERAGE WEEK NOW RES0193-057 I WOULD SAY TWO RES0193-058 TWO AND IS HE GETTING ANY OF THESE SYMPTOMS AT NIGHT TIME LIKE HIM WAKING UP RES0193-059 HE IS IT'S IT IT IS HAPPENING AT NIGHT RES0193-060 OK AND THEN AS HE MISSED ANY DAYS OF SCHOOL DUE TO THIS RES0193-061 YEAH HE'S MISSED A COUPLE OF DAYS IN THE PAST MONTH BECAUSE HE JUST DIDN'T SLEEP WELL AND THEN NOT FEELING GOOD THE NEXT DAY SO RES0193-068 ALL OF HIS MILESTONES AND GROWING WELL OK AND ANY AT ALL ISSUES FROM THE SCHOOL IN TERMS OF LEARNING DIFFICULTIES OR ANYTHING LIKE THAT RES0193-069 NO HE'S BEEN DOING WELL IN IN SCHOOL RES0193-070 OK THAT'S GOOD DOES HE HAVE ANY SIBLINGS RES0193-071 NO HE'S A IT IT'S JUST HIM HE'S OUR ONLY CHILD RES0193-072 AND WHAT'S THE HOME SITUATION LIKE WHO DOES HE LIVE WITH RES0193-073 SO IT'S MYSELF AND MY WIFE WHICH HIS MOM AND SO IT'S JUST US THREE AND WE LIVE IN A IN A HOUSE RES0193-074 OK AND ANYONE IN THE HOUSEHOLD DOES ANYONE SMOKE AT ALL RES0193-075 NO THERE AREN'T ANY SMOKERS IN THE HOME RES0193-076 OK AND ANY NEW CARPETS OR ANY DUST RUNNING OR MOLD OR ANYTHING LIKE THAT IN THE HOUSE RES0193-077 THAT THERE IS A CARPET AND IN THE BASEMENT THAT HE USES THAT AS HIS PLAYROOM SOMETIMES RES0193-078 OK OK SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY QUESTIONS AT ALL RES0193-079 I WAS JUST WONDERING LIKE IF THIS COULD BE MAYBE ASTHMA AS WELL RES0193-080-1 SO DEFINITELY THAT'S SOMETHING THAT'S AT THE TOP OF OUR HEAD RIGHT NOW ESPECIALLY DUE TO HIS AGE AND THE SYMPTOMS THAT HE'S BEEN HAVING AFTER EXERTION IN PARTICULAR RES0193-080-2 AND THE FAMILY HISTORY OF ASTHMA AS WELL SO DEFINITELY THAT'S SOMETHING THAT WE WANT TO INVESTIGATE RES0193-080-3 SO WHAT WE'LL DO FOR HIM IS FIRST WE'LL DO LIKE A FULL PHYSICAL EXAMINATION LISTEN TO HIS LUNGS RES0193-080-4 AND JUST ASSESS HIS BREATHING AND THEN AFTERWARDS WE WILL ORDER SOME TESTS FOR HIM SO HE'S SIX YEARS OLD RIGHT RES0193-081 HE IS YES RES0193-082 OK SO WE'LL SEE IF WE CAN DO SOMETHING CALLED A PULMONARY FUNCTION TEST SOMETIMES IT DEPENDS ON THE CHILD IF THEY'RE ABLE TO FOLLOW INSTRUCTIONS AND SO THAT TEST REQUIRES A COMPLETELY BREATHING OUT AND FOLLOWING SOME INSTRUCTIONS DURING THE TEST SO SINCE HE'S SIX HE MIGHT BE ABLE TO DO THAT RES0193-083-1 WE WE CAN TRY THAT AND THEN AFTERWARDS WE'LL SEE IF HE REQUIRES ANYTHING LIKE AN ALLERGY TESTING OR WE WILL WE MIGHT NEED RES0193-083-2 TO HELP MANAGE HIS SYMPTOMS WITH A PUFFER FOR EXAMPLE LIKE VENTILIN AND AN INHALED CORTICO STEROID BUT THOSE ARE JUST SOME DISCUSSIONS WILL HAVE IN THE NEAR FUTURE AFTER WE'VE DONE ALL THESE INVESTIGATIONS RES0193-084 OK GREAT THANK YOU RES0193-085 YOU'RE WELCOME ALRIGHT TAKE CARE RES0194-000 WHAT BRINGS YOU IN HERE TODAY RES0194-001 HI I'VE COME IN TODAY BECAUSE I HAD THIS COUGH IT STARTED THREE DAYS AGO AND SINCE THAT TIME I'VE ALSO STARTED TO HAVE THESE HEADACHES AND BEEN FEELING REALLY KINDA ACHY ALL OVER RES0194-002 OK SO WHAT WHAT KIND OF STARTED FIRST TO COUGH OR THE ACHES RES0194-003 THE COUGH STARTED FIRST RES0194-004 OK AND IS IT DRY COUGH OR A WET COUGH RES0194-005 IT'S DRY RES0194-006 OK SO YOU'RE NOT BRINGING UP ANY SPUTUM OR BLOOD OR ANYTHING LIKE THAT RES0194-007 NO I'M NOT COUGHING UP ANY SPUTUM OR OR BLOOD RES0194-008 OK THAT'S GOOD AND THE MUSCLE ACHES SO WERE YOU DOING ANYTHING RECENTLY LIKE ANYTHING STRENUOUS INCREASED EXERCISE LIFTING ANYTHING OR ANY INJURIES AT ALL RECENTLY RES0194-009 NO NOT NOTHING I CAN THINK OF LIKE THAT RES0194-010 OK AND WHERE ARE YOU GETTING YOUR MUSCLE ACHES RES0194-011 IT'S LIKE KIND OF ALL OVER THE FEEL JUST GENERALLY ACHY RES0194-012 OK GENERALLY ACHE OK AND ARE YOU GETTING ANY KIND OF HEADACHES OR ANYTHING LIKE THAT RES0194-013 I'VE HAD THIS HEADACHE AS WELL IT'S KIND OF COME AND GONE A LITTLE BIT OVER THE LAST COUPLE OF DAYS BUT HAD A LITTLE BIT OF A HEADACHE EACH DAY RES0194-014 OK AND THE HEADACHE WHERE WHERE IS IT EXACTLY LOCATED RES0194-015 I FEEL IT RIGHT AT THE FRONT OF MY MY FOREHEAD KIND OF ON BOTH SIDES OF MY HEAD IT FEELS LIKE A BAND JUST SQUEEZING AROUND RES0194-016 OK AND IS IT WHAT KIND OF PAIN IS IT IS IT LIKE ACHING PAIN IS IT KIND OF LIKE A PULSATING PAIN PRESSURE LIKE PAIN HOW WOULD YOU DESCRIBE IT RES0194-017 IT'S MORE LIKE PRESSURE RES0194-018 PRESSURE OK AND HAVE YOU DO YOU ARE YOU ARE YOU SOMEONE THAT USUALLY HAS HEADACHES RES0194-019 EVERY ONCE IN AWHILE BUT I MEAN I DON'T GET THEM THAT OFTEN MAYBE WHEN I'M SICK OR DON'T SLEEP VERY WELL RES0194-020 OK HAVE YOU TRIED ANYTHING FOR YOUR PAINS OR HEADACHES RES0194-021 I DID TAKE SOME TYLENOL AND IT IT HELPS TAKE THAT THE EYE DROP A BIT I TRIED SOME ADVIL TOO IT'S SO MEAN THAT THE HEADACHES KIND OF COME AND GONE A LITTLE BIT BUT I THINK ONCE THAT WEARS OFF IT THE HEADACHES COME BACK RES0194-022 OK AND HAVE YOU TRIED ANYTHING FOR YOUR COUGH RES0194-023 NO I HAVEN'T TRIED ANYTHING FOR THE COUGH RES0194-024 OK HAVE YOU HAD ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS RES0194-025 I HAVE I I HAVE FELT A LITTLE BIT FEVERISH YEAH I HAVEN'T HAD ANY CHILLS THOUGH RES0194-026 OK AND WHEN DID YOU START FEELING FEVERISH RES0194-027 MAYBE WITHIN THE LAST COUPLE OF DAYS AS WELL RES0194-028 AND DID YOU MANAGE TO GET A TEMPERATURE AT ALL RES0194-029 NO I'VE JUST FELT REALLY HOT RES0194-030 OK ANY OTHER SYMPTOMS LIKE RUNNY NOSE SORE THROAT CHEST PAIN ANYTHING LIKE THAT RES0194-031 NO I HAVEN'T HAD ANY ANY SORE THROAT OR CHEST PAIN NO RUNNY NOSE EITHER RES0194-032 OK ANY SHORTNESS OF BREATH RES0194-033 NO RES0194-034 OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHO'S BEEN ILL RES0194-035 I DON'T I DON'T THINK SO I MEAN I I HAVEN'T TRAVELED ANYWHERE I'M IN IN MY NOBODY IN MY FAMILY'S BEEN SICK AT HOME RES0194-042 OR FATIGUE NO NO NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION RES0194-043 I HAVE HAD I ACTUALLY HAD YOU MENTIONED DIARRHEA FOR THE PAST A DAY AS WELL RES0194-044 OK A DIARRHEA FOR SO JUST FOR THE PAST DAY HAVE YOU NOTICE ANY CHANGES IN COLOR OR HAVE YOU NOTICED ANY BLOOD IN IT RES0194-045 NO BLOOD IN THE STOOL I'M JUST IT'S JUST BEEN REALLY LOOSE RES0194-046 OK HAVE YOU HAD ANY FOODS RECENTLY THAT A THAT YOU'VE TRIED MAYBE LIKE FOR THE FIRST TIME OR HAVE YOU EATEN OUTSIDE AT ALL RES0194-047 NO IT'S BEEN PRETTY STABLE SO I HAVEN'T HAD ANY CHANGES LIKE THAT RES0194-048 OK ANY CHANGES IN YOUR APPETITE OR WEIGHT RES0194-049 I'VE BEEN LESS HUNGRY FOR SURE SO I I'VE HAD A DECREASED APPETITE BUT MY WEIGHTS BEEN STABLE RECENTLY SO RES0194-050 NO CHANGES IN WEIGHT OK AND ANY EXPOSURE TO FUMES OR DUST OR ANIMALS WITHIN YOUR HOME ENVIRONMENT OR WORK ENVIRONMENT RES0194-051 NO NOTHING LIKE THAT RES0194-052 HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS RES0194-053 NO I'VE BEEN HEALTHY RES0194-054 OK DO YOU TAKE ANY MEDICATIONS RES0194-055 NO JUST I I'M A MULTI VITAMIN AND VITAMIN D RES0194-056 OK ANY ALLERGIES TO ANY MEDICATIONS AT ALL RES0194-057 NO NO ALLERGIES RES0194-058 OK ANY ALLERGIES TO ANY ENVIRONMENTAL FACTORS OR FOODS RES0194-059 I I DO HAVE AN ALLERGY TO PEANUTS AND SO I CARRY AN EPIPEN FOR THAT BUT THAT'S THE ONLY FOOD RES0194-060 OK AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0194-061 I DID HAVE SURGERY LIKE AN ACL REPAIR AND REPAIRED KNEE AND KNEE SURGERY ABOUT TEN YEARS AGO AND BUT THAT THAT'S THE ONLY SURGERY RES0194-062 OK ANY FAMILY HISTORY OF ANY LONGER HEART CONDITIONS RES0194-063 MY DAD HAD HIGH HIGH BLOOD PRESSURE AND MY MY GRANDFATHER I HAD HAD LUNG CANCER ACTUALLY WHEN HE WAS IN HIS EIGHTIES WHEN HE PASSED AWAY FROM THAT AND HE WAS A SMOKER'S WHOLE LIFE RES0194-064 OK CURRENTLY DO YOU WORK AT ALL RES0194-065 YEAH I I HAVE BEEN WORKING I WORK FOR A A PHARMACY COMPANY SO I'VE BEEN HAVING TO GO INTO THE OFFICE SOMETIMES TO HELP KIND OF PREPARE STUFF RES0194-066 OK AND IN YOUR WORKPLACE HAVE YOU NOTICE ANYONE SICK AT ALL RES0194-067 NO I DON'T THINK I DON'T HAVEN'T NOTICED ANYBODY BEEN WHO'S BEEN SICK BUT WE'VE BEEN THERE HAVE BEEN OTHER PEOPLE WHO HAVE BEEN GOING INTO THE OFFICE AS WELL RES0194-068 OK AND DO YOU USUALLY WEAR MASKS AROUND OTHER PEOPLE RES0194-069 WE'VE BEEN WEARING MASKS AND AND THERE ARE CLEANING PROTOCOLS AND DISTANCING PROTOCOLS AS WELL TRYING TO KEEP EVERYBODY SAFE RES0194-070 OK AND SINCE YOU'VE HAD THESE SYMPTOMS HAVE YOU GONE INTO WORK AT ALL RES0194-071 NO NO I'VE ACTUALLY I'VE BEEN OFF FOR THE THE LAST COUPLE OF DAYS RES0194-072 OK RES0194-073 I'VE JUST BEEN BEEN DOING WHAT I CAN FROM HOME RES0194-074 OK AND WHAT'S YOUR HOME SITUATION LIKE WHO DO YOU LIVE WITH RES0194-075 SO I LIVE WITH MY I LIVE WITH MY WIFE AND WE LIVE IN A TOWNHOUSE JUST RIGHT IN THE CITY HERE RES0194-076 OK AND HAS SHE BEEN DISPLAYING ANY SYMPTOMS AT ALL RES0194-077 NO SHE HASN'T SHE'S BEEN BEEN FEELING GOOD RES0194-078 OK THAT'S GOOD AND CURRENTLY DO YOU SMOKE RES0194-079 NO I'M NOT A SMOKER RES0194-080 OK ANY RECREATIONAL DRUGS LIKE MARIJUANA RES0194-081 I WILL SOMETIMES USE LIKE THE CBD OR LIKE THE OILS BUT THAT THAT'S IT RES0194-082 OK AND DO YOU DRINK ALCOHOL RES0194-083 I'LL HAVE A FEW BEERS ON THE WEEKEND SOMETIMES LIKE BUT THAT THAT'S THAT'S ABOUT IT MAYBE LIKE THREE OR FOUR BEERS A WEEK RES0194-084 ALRIGHT OK SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL RES0194-085 YEAH I WAS JUST WORRIED THAT IT COULD BE COVID WITH HOW EVERYTHING'S GOING ON AND THAT'S JUST SORT OF WHAT I WAS WONDERING ABOUT TODAY RES0194-086-1 YEAH SO THAT'S SOMETHING WE DEFINITELY WANT TO RULE OUT YOUR SYMPTOMS DEFINITELY OVERLAP WITH THE CLUSTER OF SYMPTOMS THAT SOMEONE MAY GET WITH COVID SO WE WILL DO A SWAB ON YOU TODAY RES0194-086-2 AND RECOMMEND THAT YOU ISOLATE FOR TWO WEEKS UNTIL YOUR SYMPTOMS HAVE GONE AND THE TEST RESULT YOU WILL GET YOU WILL GET BACK IN THE NEXT TWENTY FOUR TO FORTY EIGHT HOURS RES0194-086-3 AND ALONGSIDE YOUR TEST RESULTS SO YOU WILL ALSO GET FURTHER INSTRUCTIONS FROM PUBLIC HEALTH ABOUT WHETHER OR NOT YOU NEED ANOTHER SWAB LATER ON AND WHEN TO RETURN TO WORK RES0194-087 OK THAT THAT SOUNDS GOOD THANK YOU RES0194-088 NO WORRIES AND IT CAN DEFINITELY ALSO BE ANOTHER VIRAL INFECTION AS WELL EVEN IF IT'S NOT COVID IN WHICH CASE IT JUST YOU JUST NEED TO GET SOME REST STAY HYDRATED AND LET IT TAKE ITS COURSE RES0194-089 OK NOW THAT SOUNDS THAT SOUNDS GOOD SO IT COULD BE COVID OR LIKE ANOTHER VIRAL ILLNESS RES0194-090 OK THANK YOU RES0194-091 WELCOME TAKE CARE TAKE CARE RES0195-000 WHAT BRINGS YOU IN HERE TODAY RES0195-001-1 HI I'M SO OVER THE PAST FEW MONTHS I'VE NOTICED THAT I GET SHORT OF BREATH SOMETIMES AND MY EYES ARE SO IRRITATED RES0195-001-2 AND THEY FEEL ITCHY AND RED AND I'VE ALSO NOTICED THIS RASH BELOW MY KNEES SO I JUST WANTED TO GET EVERYTHING CHECKED OUT RES0195-002 OK AND WHEN DID THIS ALL KIND OF START RES0195-003 IT STARTED A COUPLE MONTHS AGO LIKE TWO THREE MONTHS AGO RES0195-004 OK AND WHEN DID THE SHORTNESS OF BREATH START RES0195-005 THAT'S BEEN ON AND OFF FOR THE PAST TWO MONTHS AS WELL RES0195-006 OK AND HOW ABOUT THE RASHES RES0195-007 THE RASHES STARTED LIKE A MONTH BACK BUT IT LOOKS WORSE NOW IT STARTED OFF SMALL RES0195-008 OK SO FOR THE COUGH IS IT LIKE A DRY COUGH OR A WET COUGH RES0195-009 IT'S A PRETTY DRY COUGH RES0195-010 DRY COUGH OK ARE YOU BRINGING UP ANY GREEN OR YELLOW MATERIAL OR ANY BLOOD AT ALL RES0195-011 NO RES0195-012 OK AND THIS ALSO STARTED LIKE A FEW MONTHS AGO RES0195-013 YES RES0195-014 AND IS IT CONSTANT OR DOES IT COME AND GO RES0195-015 IT'S IT'S GETTING WORSE NOW SO IT FEELS MORE CONSTANT NOW BUT AT FIRST IT IT JUST CAME IN YEAH IT CAME IN WENT RES0195-016 OK AND HAS THIS HAPPENED TO YOU BEFORE AT ALL OF THESE SYMPTOMS RES0195-017 NO RES0195-018 OK ALRIGHT SO IT STARTED A FEW MONTHS AGO AND HOW ABOUT THE RASHES ARE THEY HAVE THEY BEEN THERE LIKE THE ONES BELOW YOUR KNEE SINCE THE TWO MONTHS OR DO THEY COME AND GO RES0195-019 THAT'S BEEN THERE FOR THE PAST MONTH RES0195-020 OK AND CAN YOU DESCRIBE THE RASH A LITTLE BIT WHAT DOES IT LOOK LIKE RES0195-021-1 SURE SO IT'S NOW PRETTY DIFFUSE IT'S JUST BELOW MY KNEES LIKE ON MY SHINS IT'S ON BOTH SIDES THE ONE ON MY RIGHT SIDE IS A LITTLE BIT BIGGER IT'S ABOUT RES0195-021-2 I'D SAY MAYBE LIKE TEN CENTIMETERS AND DIAMETER IT'S IT'S RED OR LIKE A DARK PINK THERE'S NOTHING COMING OUT OF IT RES0195-022 OK IS IT PAINFUL OR ITCHY AT ALL RES0195-023 IT'S PAINFUL RES0195-024 YEAH IT'S PAINFUL OK WHAT KIND OF PAINT DO YOU FEEL THAT WHEN YOU RES0195-025 PRESS ON IT IT'S IT'S NOT THAT OK SO IT'S NOT PAINFUL PAINFUL IT'S TENDER SO IF I TOUCH IT IT WILL FEEL TUG TENDER RES0195-026 OK HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU RELIEVE THESE SYMPTOMS RES0195-027 I TOOK SOME IBUPROFEN THAT HELPED A LITTLE BIT RES0195-028 OK OK AND SO YOU'VE HAD THE COUGH BUT HAVE YOU BEEN HAVING ANY KIND OF SHORTNESS OF BREATH RES0195-029 NO WELL ACTUALLY SORRY SORRY I HAVE HAD A SHORTNESS OF BREATH I HAVEN'T HAD A COUGH RES0195-030 OK SO NO COUGH BUT YOU'VE BEEN HAVING SHORTNESS OF BREATH RES0195-031 AND WHEN YOUR SHORTNESS OF BREATH IS IT MORE SO THAT YOU'RE NOT ABLE TO TAKE DEEP BREATHS OR YOU TAKING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT RES0195-032 IT JUST FEELS LIKE I CAN TAKE IN A FULL DEEP BREATH RES0195-033 I SEE AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS RES0195-034 NO RES0195-035 OK AND HOW ABOUT THE EYE IRRITATION WHEN DID THAT START RES0195-036 THAT STARTED A MONTH AGO AS WELL RES0195-037 OK AND YOU DO YOU HAVE ANY RED EYES OR CAN YOU SEE ANY CHANGES IN YOUR VISION AT ALL RES0195-038 MY EYES DO LOOK A LITTLE BIT RED AND I DON'T KNOW IF MY VISION CHANGED A LOT BUT SOMETIMES THINGS WILL LOOK A LITTLE BIT BLURRY WHEN THEY'RE FAR AWAY RES0195-039 OK AND WITH THE SHORTNESS OF BREATH IS IT BROUGHT ON BY EXERTION OR CAN IT BE AT REST AS WELL RES0195-040 IT CAN BE AT REST AS WELL RES0195-041 OK AND THEN DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY JOINT PAINS RES0195-042 NO NO JOIN PAINS RES0195-043 OK ANY NAUSEA OR VOMITING RES0195-044 NO RES0195-045 OK ANY HEADACHES RES0195-046 NO RES0195-047 ANY MUSCLE PAIN RES0195-048 NO RES0195-049 OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHO'S BEEN SICK RES0195-050 NO RES0195-051 DO YOU SEE ANY OR DO YOU NOTICE ANY LIKE FLUID COMING OUT FROM YOUR EYES OR ANYTHING LIKE THAT RES0195-052 NO I DIDN'T NOTICE THAT RES0195-053 OK DO YOU GET ANY NIGHT SWEATS RES0195-054 NO RES0195-055 AND ANY CHEST PAIN RES0195-056 SOMETIMES THE SHORTNESS OF BREATH RES0195-057 OK IS IT JUST LIKE A DISCOMFORT OR IS IT A PRESSURE OR STABBING PAIN RES0195-058 IT JUST FEELS LIKE A DISCOMFORT RES0195-059 DO YOU FEEL YOUR HEART IS RACING RES0195-061 NO OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL RES0195-062 NO NOTHING LIKE THAT RES0195-063 ANY CHANGES IN YOUR URINARY PATTERN RES0195-064 NO RES0195-065 OK ANY SORE THROAT RUNNY NOSE ANY COLD LIKE SYMPTOMS RES0195-066 NO BUT I HAVEN BEEN FEELING A LITTLE BIT HOT SO I WONDER IF I HAVE A FEVER I HAVEN'T CHECKED IT RES0195-067 OK WE CAN CHECK HAVE YOU HAD ANY RECENT WEIGHT CHANGES RES0195-068 NOW THAT YOU MENTION IT I HAVE HAD SOME WEIGHT LOSS OVER THE PAST SIX MONTHS I'VE LOST ABOUT FIFTEEN POUNDS RES0195-069 FIFTEEN POUNDS OK HOW ABOUT YOUR APPETITE HAVE YOU BEEN EATING WELL RES0195-070 I'VE BEEN EATING THE SAME RES0195-071 OK OK AND HAVE YOU HAD ANY EXPOSURE TO ANY FUMES DUST ANIMALS OR PETS IN YOUR ENVIRONMENT RES0195-072 NO RES0195-073 HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0195-075 NO DO YOU TAKE ANY MEDICATIONS RES0195-076 NOPE RES0195-077 OK ANY ALLERGIES RES0195-078 NO ALLERGIES RES0195-079 OK HOSPITALIZATIONS OR PREVIOUS SURGERIES RES0195-080 I HAD A C SECTION FOR MY SECOND CHILD RES0195-081 OK ANY COMPLICATIONS WITH THAT RES0195-082 NO IT WAS IT WAS A PRETTY STANDARD I DIDN'T HAVE ANY EXCESSIVE BLOOD LOSS OR ANYTHING LIKE THAT RES0195-083 OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE ANY LUNG OR HEART CONDITIONS RES0195-084 NO LUNG OR HEART CONDITIONS THERE ARE SOME AUTOIMMUNE CONDITIONS IN MY FAMILY THOUGH RES0195-085 OK AND WHAT WHAT KIND OF AUTOIMMUNE CONDITIONS ARE THERE RES0195-086 THERE IS RHEUMATOID ARTHRITIS THERE IS RES0195-087 LUPUS LIKE TYPE ONE DIABETES OK OK AND THEN ARE THEY FOR ANY LIKE DIRECT RELATIVES LIKE RES0195-089 YOUR PARENTS OR OR CHILDREN YES MY PARENTS RES0195-090 AND CURRENTLY RIGHT NOW DO YOU WORK I WORK FROM HOME YEAH I TEACH I TEACH ONLINE RES0195-091 OK AND HOW'S YOUR LIVING SITUATION LIKE RIGHT NOW RES0195-092 PRETTY GOOD WE LIVE IN A HOUSE I LIVE WITH MY HUSBAND AND TWO CHILDREN RES0195-098 ALCOHOL I DRINK ONCE IN AWHILE LIKE I'LL HAVE A GLASS OF WINE ON FRIDAYS RES0195-099 OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY RES0195-100 NO LIKE WHAT WHAT DO YOU THINK I HAVE AND HOW SHOULD I TREAT IT RES0195-101-1 YEAH SO DEFINITELY ONE THING WE NEED TO RULE OUT WITH THE SHORTNESS OF BREATH IS ANY VIRAL OR VIRAL INFECTION LIKE CORONAVIRUS SO WE WILL GET A TEST DONE FOR YOU TODAY RES0195-101-2 HOWEVER SINCE THIS SEEMS TO BE KIND OF A CHRONIC ISSUE BEEN GOING ON FOR A FEW MONTHS AND YOU'RE HAVING WITH THE SHORTNESS OF BREATH SOME OTHER SYMPTOMS RES0195-101-3 THE RASH BELOW KNEES OR IS WHAT WE CALLED ERYTHEMA NODOSUM AND IRRITATION IN YOUR EYES AND YOU HAVE A FAMILY HISTORY RES0195-102-1 OF AUTO IMMUNE CONDITIONS AS WELL RES0195-102-2 SO SOMETIMES YOU CAN GET AN AUTO IMMUNE DISEASE THAT AFFECTS THE LUNGS RES0195-102-3 SO WE NEED TO RULE OUT SOMETHING LIKE SARCOIDOSIS WHICH CAN CAUSE FIBROSIS IN YOUR LUNGS AND CAUSE SHORTNESS OF BREATH RES0195-102-4 SO JUST TO WORK THAT UP WILL GET A CHEST X RAY AND ALSO DO SOME INFLAMMATORY MARKER TESTS RES0195-102-5 LIKE CRP ESR AND SOME OTHER RHEUMATOLOGICAL TESTS AS WELL AND BASED ON RES0195-102-6 WHAT COMES BACK WE MAY HAVE TO REFER YOU TO A RHEUMATOLOGIST FOR FURTHER MANAGEMENT AND TREATMENT SO LET'S JUST DO SOME OF THOSE TESTS ONEST AND THEN WE'LL GO FROM THERE YOU HAVE ANY QUESTIONS RES0195-103 NO THAT SOUNDS GREAT THANK YOU SO MUCH RES0195-104 YOU'RE WELCOME AND YOU MAY NEED DEPENDING ON WHAT WE FIND STEROID TREATMENT TODAY OR UNTIL YOU SEE THE RHEUMATOLOGIST RES0195-106 ALRIGHT THANKS TAKE CARE RES0195-107 YOU TOO RES0196-000 WHAT BRINGS IN YOU HERE TODAY RES0196-001 YES I BROUGHT IN MY DAUGHTER SHE'S EIGHT YEARS OLD SO RECENTLY SHE'S BEEN TELLING ME SHE'S HAVING A LOT OF EAR PAIN AND SHE'S HAD A FEVER FOR THE PAST TWO DAYS AS WELL WE CHECKED HER TEMPERATURE AT HOME IT WAS 3EIGHT EIGHT AND SO WE'RE JUST HERE TO SEE IF WE CAN GET SOME ANTIBIOTICS FOR IT RES0196-002 OK AND HAS THIS HAPPENED BEFORE AT ALL RES0196-003 SHE'S HAD SOME EAR INFECTIONS ON AND OFF SINCE SHE WAS LIKE TWO RES0196-004 OK THEN HAS SHE REQUIRED ANTIBIOTICS RES0196-005 YES RES0196-006 OK WHEN WAS THEIR LAST EAR INFECTION DO YOU REMEMBER RES0196-007 IT WAS ACTUALLY LAST YEAR WHEN SHE WAS SEVEN RES0196-008 OK AND SO IS IT JUST ONE EAR THAT SHE'S HAVING THE PAIN OR IS IT BOTH RES0196-009 IT'S ONE EAR RES0196-010 OK IN WHICH WHICH EAR IS IT RES0196-011 IT'S THE RIGHT EAR RES0196-012 RIGHT EAR AND WHEN DID YOU NOTICE THAT SHE STARTED HAVING THIS PAIN RES0196-013 I NOTICED IT LIKE THREE DAYS AGO RES0196-014 THREE DAYS AGO OK WAS SHE IRRITABLE LIKE OR WAS HE KIND OF TUGGING HER EARS IN PAIN OR HOW HOW WOULD YOU DESCRIBE IT RES0196-015 SHE BASICALLY WHILE SHE TOLD ME SHE'S BEEN HAVING SOME EAR PAIN AND SHE'S BEEN PULLING AT IT AND YOU KNOW SHE'S TRIED LIKE MINERAL OIL AND THINGS LIKE THAT TO SEE IF SHE CAN UNBLOCK IT BUT I I LOOKED IN THERE IT DOESN'T SEEM LIKE THERE'S A LOT OF WAX IN THERE RES0196-016 HAS IT BEEN SO PAINFUL THAT SHE HAS BEEN CRYING AT ALL RES0196-017 SHE'S CRIED A FEW TIMES RES0196-018 OK HAVE YOU NOTICED ANY KIND OF DRAINAGE COMING OUT OF HER EARS ANY FLUIDS RES0196-019 NO I DIDN'T NOTICE THAT RES0196-020 ANY FEVERS OR CHILLS RES0196-021 SHE'S HAD A FEVER FOR THE PAST TWO DAYS RES0196-022 PAST TWO DAYS OK DID YOU GET A CHANCE TO MEASURE IT AT ALL RES0196-023 THIRTY EIGHT POINT EIGHT RES0196-024 THIRTY EIGHT POINT EIGHT OK OK AND SHE HAD ANY OTHER SYMPTOMS RECENTLY LIKE A COUGH RUNNY NOSE SORE THROAT ANY VIRAL OR COLD LIKE SYMPTOMS RES0196-025 NO NOT THAT I'VE NOTICED RES0196-026 OK AND SHE HAD ANY HEADACHES RES0196-027 NO HEADACHES RES0196-028 OK ANY RECENT TRAVEL OR CONTACT WITH ANYONE WHO'S BEEN SICK RES0196-029 NO RES0196-030 NO ANY NAUSEA OR VOMITING RES0196-031 NO RES0196-032 ANY CHANGES IN HER BOWEL MOVEMENTS RES0196-033 NOPE RES0196-034 OK AND ANY FATIGUE OR JUST FEELING VERY TIRED RES0196-035 SHE'S BEEN PRETTY TIRED RES0196-036 HAS SHE HAD TO MISS ANY SCHOOL OR ANYTHING LIKE THAT RES0196-037 SHE WASN'T GOING TO SCHOOL FOR THE PAST THREE DAYS RES0196-038 OK AND ANY ISSUES THAT ARE SLEEP OR APPETITE RES0196-039 NO RES0196-040 AND ANY MEDICAL CONDITIONS THAT SHE'S BEEN DIAGNOSED WITH IN THE PAST RES0196-041 NO SHE'S BEEN PRETTY HEALTHY BESIDES THE RECURRENT EAR INFECTIONS RES0196-042 OK HAS HER HEARING BEEN AFFECTED AT ALL RES0196-043 NOT THAT I'VE NOTICED RES0196-044 OK AND YOU MENTIONED IT'S RECURRING HOW SHE EVER HAD TO SEE AN EAR NOSE AND THROAT SPECIALIST RES0196-045 SO WHEN SHE WAS YOUNGER WHEN SHE WAS LIKE FOUR SHE SAW ONE BUT THEN SHE HADN'T HAD AN EAR INFECTION BETWEEN THE AGE OF FOUR TO SEVEN SO WE DIDN'T GO BACK TO THEM RES0196-046 OK RES0196-047 AFTER RES0196-048 OK AND IF SHE EVER HAD TUBES PUT INTO YOUR EARS OR ANYTHING LIKE THAT RES0196-049 NO THEY WERE THEY WERE TALKING ABOUT IT BUT WE NEVER ENDED UP DOING THAT RES0196-050 OK OK ANY MEDICATIONS THAT SHE TAKES EVERYDAY RES0196-051 NO JUST MULTIVITAMINS RES0196-052 OK ANY ALLERGIES RES0196-053 NO RES0196-054 OK ANY CONTACTS AT ALL ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST RES0196-055 NO RES0196-056 HOW ABOUT HER BIRTH WAS IT A VAGINAL DELIVERY OR C SECTION RES0196-057 IT WAS VAGINAL RES0196-058 AND WAS SHE PREMATURE OR AT TERM CHOOSE THAT TERM SHE WAS AT TERM RES0196-060 COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER RES0196-061 NO NO RES0196-062 OK AFTER SHE WAS BORN DOES SHE HAVE TO STAY IN AN ICU OR ANY COMPLICATIONS AFTERWARDS RES0196-063 NO SHE WAS HEALTHY RES0196-064 OK THAT'S GOOD AND IN TERMS OF HER DEVELOPMENT THROUGHOUT THE YEARS ANY ISSUES WITH HER GROWTH LEARNING OR ANYTHING LIKE THAT RES0196-065 NO SHE'S BEEN PRETTY GOOD WITH HITTING ALL THOSE MILESTONES RES0196-066 OK ALRIGHT AND CURRENTLY RIGHT NOW SO IS SHE DOING ONLINE SCHOOL OR SHE DOING IN PERSON RES0196-067 SHE IS GOING IN PERSON RES0196-068 OK AND HOW ABOUT HER LIVING SITUATION CURRENTLY RES0196-069 SHOULD ALSO AT HOME WITH MYSELF FROM HER FATHER AND HER YOUNGER SIBLING RES0196-070 OK AND ANY ANYONE SMOKE RES0196-072-1 NO NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR HER TODAY SO DEFINITELY SINCE THERE IS A RES0196-072-2 RISK THAT SHE MIGHT BE HAVING ANOTHER EAR INFECTION WE WILL NEED TO DO LIKE A FULL PHYSICAL EXAMINATION I'LL HAVE TO LOOK INTO HER EAR TO SEE RES0196-072-3 IF I SEE ANY INFLAMMATION OR PERFORATION AND THEN BASED ON THAT WE'LL DISCUSS SOME MANAGEMENT RES0196-072-4 SHE MAY REQUIRE SOME ANTIBIOTICS LIKE SHE HAS HAD BEFORE BUT THAT WILL DEPEND ON WHAT I SEE ON PHYSICAL EXAMINATION SHE HAS BEEN HAVING A FEVER SO SHE MIGHT RES0196-072-5 AND IT'S ONLY BEEN THREE DAYS RIGHT SO WE MAY EVEN DO SOME CONSERVATIVE MANAGEMENT AND GET HER TO TAKE SOME MAYBE PAIN MEDICATIONS AND THEN GO FROM THERE OR EAR DROPS RES0196-074 BUT SO WE'LL DO THE EXAMINATION AND THEN GO FROM THERE SHE SAID SHE HAS BESIDES THE FEVER AND THAT YOUR PAIN SHE'S NOT REALLY HAVING ANY OTHER SYMPTOMS SO I DON'T THINK SHE NEEDS TO GET TESTED FOR COVID RIGHT NOW BUT THAT'S SOMETHING WE CAN CONSIDER AS WELL IF SHE DEVELOPS OTHER SYMPTOMS RES0196-075 OK THAT SOUNDS GREAT THANK YOU RES0196-076 YOU'RE WELCOME TAKE CARE RES0196-077 YOU TOO RES0197-000 WHAT BRINGS YOU IN HERE TODAY RES0197-001 HI I'M SO I HAVE BEEN VERY WHEEZY FOR THE PAST WEEK AND I'M ALSO LIKE CONSISTENTLY COUGHING ALL THE TIME AND IT'S NOT GETTING ANY BETTER I DO HAVE ASTHMA AND I THINK IT'S IT'S ACTING UP RES0197-002 OK AND HOW LONG HAVE YOU HAD ASTHMA FOR RES0197-003 SINCE I WAS LIKE FIVE RES0197-004 OK AND ARE YOU USING ANY PUFFERS RES0197-005 YES SO I AM ON A SHORT ACTING AS WELL AS AN INHALED CORTICO STEROID AND I ONLY TAKE THE SHORT ACTING LIKE WHEN I HAVE THE SYMPTOMS RES0197-006 OK AND SO HOW HOW LONG HAVE YOU BEEN SYMPTOMS WORSENING FOR RES0197-007 FOR THE PAST WEEK I WOULD SAY RES0197-008 OK AND HOW HOW OFTEN HAVE YOU USED THE VENTILIN RES0197-009 THE VENTILIN THAT I USE IS ALMOST EVERY DAY LIKE A COUPLE TIMES A DAY RES0197-010 OK SO WOULD YOU SAY MORE THAN TEN TIMES RES0197-011 YES RES0197-012 OK AND HAVE YOU HAD TO DO YOU HAVE Y TO MISS ANY SCHOOL OR ANYTHING LIKE THAT OVER THE PAST WEEK RES0197-013 I MISSED TWO DAYS RES0197-014 TWO DAYS OK AND ARE YOU JUST GETTING DAYTIME SYMPTOMS OR ARE YOU WAKING UP FROM SLEEP OR NOT BEING ABLE TO SLEEP BECAUSE OF YOUR SYMPTOMS RES0197-015 I WOKE UP TWICE LAST WEEK RES0197-016 OK OK SO DEFINITELY SEEMS LIKE YOUR SYMPTOMS ARE REALLY ACTING UPON AND SO YOU'RE GETTING SOME WHEEZING AND YOU SAY YOU'RE ALSO GETTING A COUGH RES0197-017 YES THAT'S RIGHT RES0197-018 OK AND WHAT KIND OF THINGS WOULD YOU BE DOING THAT YOU GET THESE SYMPTOMS IS IT MOSTLY EXERTION OR IS IT EXPOSURE TO DUST OR ANY OTHER ENVIRONMENTAL FACTORS RES0197-019 BUT IT'S MOSTLY EXERTION BUT THINGS LIKE COLD AIR CAN TRIGGER IT TOO RES0197-020 OK I SEE OK ANY HAVE YOU BEEN EXPOSED TO ANY NEW ENVIRONMENTS WHERE THERE IS YOU KNOW DUSTY CARPETS MOLD NEW ANIMALS ANYTHING LIKE THAT RES0197-021 NO NOTHING LIKE THAT RES0197-022 OK OK AND HOW WOULD YOU DESCRIBE THE COUGH IS IT WET OR DRY RES0197-023 IT'S DRY RES0197-024 OK AND AND HOW ABOUT THE WHEEZING ARE YOU GETTING IT LIKE FREQUENTLY EVERY TIME YOU HAVE AN EPISODE OR JUST SOMETIMES RES0197-025 I I'M GETTING AN ON AND OFF BUT BASICALLY EVERY TIME I COUGH AFTER THAT I'LL BE WHEEZY FOR A LITTLE BIT RES0197-026 OK OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE SHORTNESS OF BREATH ANYTHING LIKE THAT RES0197-027 NO NOTHING LIKE THAT RES0197-028 OK AND ANY BLOOD IN YOUR SPUTUM AT ALL RES0197-029 NO NO BLOOD RES0197-030 OK OK AND HAS THE VENTILIN BEEN HELPING AT ALL OR DO YOU FIND THAT IT'S LESS EFFECTIVE RES0197-031 VENTILIN IT'S BEEN HELPING TEMPORARILY BUT IT DEFINITELY DOESN'T HELP AS MUCH AS IT USED TO RES0197-032 OK AND HAVE YOU TRAVELED AT ALL RECENTLY OR BEEN IN TOUCH WITH ANYONE WHO'S BEEN SICK RES0197-034 NOTHING LIKE THAT OK AND ANY RES0197-035 ANY HEADACHES NAUSEA OR VOMITING HE RES0197-036 NO NOTHING LIKE THAT NOTHING LIKE THAT OK ANY DIZZINESS OR FAINTING RES0197-037 NO RES0197-038 NO OK ANY FEVERS OR CHILLS RES0197-039 NO RES0197-040 ANY FATIGUE RES0197-041 A LITTLE BIT BECAUSE I HAVEN'T BEEN SLEEPING TOO WELL RES0197-042 OK ANY SENSATION OF CHEST PAIN OR RACING OF YOUR HEART RES0197-043 NO RES0197-044 NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS RES0197-045 NO RES0197-046 ANY CHANGES IN YOUR APPETITE OR WEIGHT RES0197-047 NO RES0197-048 NO ANY CHANGES IN YOUR SENSE OF SMELL OR TASTE RES0197-049 NO RES0197-050 OK OK AN OTHER THAN ASTHMA SINCE YOU WERE FIVE AND DO YOU HAVE ANY OTHER MEDICAL CONDITIONS AT ALL RES0197-051 OK DO YOU TAKE SO YOU TAKE THE VENTILIN AND THEN DO YOU TAKE THE INHALED CORTICOSTEROID PUFFER AS WELL RES0197-052 I DO RES0197-053 OK AND YOU TAKE THAT DAILY RES0197-054 YES RES0197-055 ANY OTHER MEDICATIONS THAT YOU TAKE RES0197-056 NO JUST SOME MULTI VITAMINS THAT'S ABOUT IT RES0197-057 OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW RES0197-058 NOT TO MEDICATION I'M ALLERGIC TO LIKE STRAWBERRIES AND KIWIS RES0197-059 OK AND WHAT KIND OF REACTION DO YOU GET RES0197-060 I JUST BREAK OUT IN HIVES RES0197-061 OK AND HAVE YOU BEEN PREVIOUSLY HOSPITALIZED FOR ANY REASON RES0197-062 NO RES0197-063 OK ANY PAST SURGERIES RES0197-064 NOPE RES0197-065 OK AND CURRENTLY LIKE WHO RES0197-066 DO YOU LIVE WITH I LOVE WITH BOTH MY PARENTS AND TWO OF MY SIBLINGS RES0197-067 OK AND ARE ANY OF THEM SICK AT ALL RES0197-068 NO EVERYONE'S PRETTY HEALTHY RES0197-069 OK AND SO CURRENTLY RIGHT NOW YOU'RE SIXTEEN THIS IS AN AGE WHERE SOMETIMES YOUR PEERS OR YOURSELF MIGHT EXPERIMENT WITH ALCOHOL SMOKING OR RECREATIONAL DRUGS HAVE YOU HAVE YOU TRIED ANYTHING AT ALL RES0197-071 NO I HAVEN'T OK DO YOU HAVE ANY FRIENDS OR PEERS THAT HAVE TRIED ALCOHOL OR RECREATIONAL DRUGS RES0197-072 I DON'T THINK SO RES0197-073 OK AND IN TERMS OF JUST YOUR HOME ENVIRONMENT SCHOOL DO YOU FEEL SAFE OR DO YOU FIND YOURSELF FEELING UNSAFE OR HAVING BEEN BULLIED AT ALL RES0197-074 OH I'M PRETTY I FEEL PRETTY SAFE RES0197-075 OK THAT'S GOOD AND ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS AT ALL RES0197-076 NO RES0197-077 NO OK SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS RES0197-078 SO WHAT CAN I DO ABOUT THESE THESE SYMPTOMS SHOULD I CONTINUE TAKING MY PUFFERS RES0197-079 SO WHAT WE'LL HAVE TO DO IS RE ASSESS SO RIGHT NOW WE WILL NEED TO ALLEVIATE SOME OF YOUR SYMPTOMS SO WE WILL GET YOU GET YOU SOME VENTILIN AND YOU MATE WILL DO LIKE A FULL PHYSICAL EXAMINATION RES0197-080-1 AND GET YOUR OXYGEN SATURATION AND EVERYTHING AND YOU MIGHT NEED SOME CORTICO STEROIDS AS WELL AND THEN WE'LL TALK ABOUT RES0197-080-2 CHANGING YOUR REGIMENT FOR YOUR PUFFERS AS WELL AND WHETHER OR NOT WE NEED TO ADD SOMETHING ELSE INTO YOUR THERAPY SO WE'LL DO A FULL PHYSICAL EXAMINATION AND THEN GO ON FROM THERE DOES THAT SOUND GOOD RES0197-081 YEAH THAT SOUNDS GREAT THANK YOU RES0197-082 YOU'RE WELCOME RES0198-000 WHAT BRINGS YOU HERE TODAY RES0198-001 HI I'VE HAD THE STUFFY NOSE THAT'S BEEN ON AND OFF AS WELL AS A RUNNY NOSE FOR THE PAST WEEK AND IT DOESN'T SEEM TO BE GETTING ANY BETTER SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT IN CASE I HAVE COVID RES0198-002 OK I KNOW FOR SURE THAT'S A GOOD IDEA SO HOW LONG HAVE YOU HAD THIS FOR RES0198-003 A WEEK NOW RES0198-004 A WEEK AND DID SO WHAT STARTED FIRST WAS IT THE RUNNY NOSE OR LIKE THE STUFFINESS RES0198-005 IT FELT PRETTY STUFFY AT FIRST BUT NOW IT'S MOSTLY RUNNING RES0198-006 OK AND ARE YOU COUGHING AT ALL RES0198-007 NO RES0198-008 NO OK AND THE RUNNY NOSE WHAT KIND OF CONTENT ARE YOU PRODUCING OR DRAINING IS IT MAINLY LIKE CLEAR OR IS THERE ANY COLOR TO IT RES0198-009 IT'S MOSTLY CLEAR RES0198-010 OK AND IS IT MAINLY JUST CONGESTION AND DRAINAGE FROM YOUR NOSE OR ARE YOU FEELING AND GO AT THE BACK OF YOUR THROAT AS WELL RES0198-011 NO IT'S JUST MOSTLY FOR MY NOSE RES0198-012 OK ANY OTHER SYMPTOMS LIKE SORE THROAT SHORTNESS OF BREATH FEVERS OR CHILLS RES0198-013 NO RES0198-014 OK AND IS THIS LIKE SOMETHING THAT'S CONSTANT OR DOES IT COME AND GO RES0198-015 IT'S IT'S IT'S BEEN PRETTY CONSTANT FOR THE PAST WEEK RES0198-016 OK HAS THIS HAPPENED TO YOU BEFORE AT ALL RES0198-017 NO WELL ACTUALLY I'VE HAD I'VE HAD A COLD BEFORE BUT NOT NOT RECENTLY MAYBE LIKE FIVE YEARS AGO RES0198-018 OK HAVE YOU TRIED ANY OVER THE COUNTER MEDICATIONS AT ALL RES0198-019 I'VE TRIED LIKE DECONGESTANTS AND THAT'S NOT WELL I GUESS MY NOSE IS RUNNY NOW SO THAT WORKED A LITTLE BIT RES0198-020 OK OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO'S BEEN SICK RECENTLY RES0198-021 NO I DON'T THINK SO MY I HAVE A NEPHEW WHO I LIVE WITH WHO GOES TO DAYCARE RES0198-022 OK AND HAS HE BEEN SICK AT ALL RES0198-023 NO HE'S BEEN FINE RES0198-024 OK ANY RECENT TRAVEL AT ALL RES0198-026 NO NO OK ANY HEADACHES OR NAUSEA OR VOMITING RES0198-027 NOPE NOTHING LIKE THAT RES0198-028 OK ANY FATIGUE RES0198-029 A LITTLE BIT RES0198-030 OK ANY LOSS OF SENSE OF TASTE OR SMELL RES0198-031 NO NOT THAT I'VE NOTICED RES0198-032 OK ANY SORT OF LIKE CHEST PAIN OR RACING SENSATION OF RACING OF YOURBHEART OR ANYTHING LIKE THAT RES0198-033 NO RES0198-034 OK ANY CHANGES IN YOUR BOWEL MOVEMENTS RES0198-035 NO RES0198-036 HOW ABOUT YOUR ANY DIFFICULTIES IN URINATING RES0198-037 NO RES0198-038 OK HAVE YOU BEEN SLEEPING AND EATING WELL RES0198-039 YES RES0198-040 OK ANY WEIGHT CHANGES LIKE ANY SIGNIFICANT WEIGHT LOSS RECENTLY RES0198-044 EXPOSURE TO LIKE FUMES DUST OR ANIMALS NO OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST RES0198-045 I HAVE TYPE ONE DIABETES RES0198-046 OK AND WHEN WERE YOU DIAGNOSED WITH THAT RES0198-047 WHEN I WAS LIKE SEVEN RES0198-048 OK AND SO YOU HAVE YOUR INSULIN MEDICATION AND YOUR ARE YOU ALL UP TO DATE WITH THAT RES0198-049 YES RES0198-050 OK AND DO YOU SEE AN ENDOCRINOLOGIST RES0198-051 I DO RES0198-052 OK ALRIGHT ANY MEDICATIONS THAT YOU ARE ON BESIDES INSULIN RES0198-054 NO NO OK ANY ALLERGIES AT ALL RES0198-055 NO RES0198-056 OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES BEFORE RES0198-057 NO RES0198-058 OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS IN PARTICULAR WITH THE LUNGS OR THE HEART RES0198-059 NO RES0198-060 NO ANY AUTOIMMUNE DISEASES RES0198-061 NO RES0198-062 OK AND CURRENTLY RIGHT NOW DO YOU WORK OR DO YOU GO TO SCHOOL RES0198-063 I'M IN SCHOOL RIGHT NOW RES0198-064 OK AND SO ARE YOU LIVING WHERE ARE YOU LIVING RIGHT NOW RES0198-065 I LIVE IN AN APARTMENT BY MYSELF RES0198-066 AND CURRENTLY DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING RES0198-067 NO NOT OK SO NOT FREQUENTLY BUT MAYBE LIKE ONCE A MONTH I'LL HAVE AN EDIBLE RES0198-068 OK ANY OTHER RECREATIONAL DRUGS LIKE COCAINE AND HEROIN RES0198-074 AND DO YOU SMOKE TOBACCO NO NO THOSE WERE ALL THE QUESTIONS THAT I HAD RES0198-075 I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME RES0198-077 OK THAT SOUNDS GREAT THANK YOU RES0198-078 YOUR WELCOME TAKE CARE RES0198-079 YOU TOO BYE RES0201-000 I'M JUST GOING TO HAVE A CHAT WITH YOU GET AN IDEA OF WHAT'S GOING ON AND THEN I CAN GO OVER IT WITH THE DOCTOR WILL COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS HOW DOES THAT SOUND TO YOU RES0201-001 THAT'S GREAT THANK YOU RES0201-002 AWESOME OK IT SAYS HERE THAT YOU HAVE BEEN HAVING A SORE THROAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT RES0201-003 SURE THE SORE THROAT IT STARTED ABOUT FOUR DAYS AGO AND IT'S REALLY IT'S IT'S VERY SORE I CAN DRINK FLUIDS OK BUT I'M EVEN HAVING SOME ISSUES SWALLOWING FOOD RES0201-004 OK SO YOU SAID FOUR DAYS AGO RES0201-005 YES FOUR DAYS AGO RES0201-006 OK SO IT'S BEEN KIND OF SORE SOME ISSUES SWALLOWING FOOD OK AND OVER THE LAST FOUR DAYS HAS IT GOTTEN WORSE BETTER THAT IT STAYED THE SAME RES0201-007 THE SORE THROAT HAS IT'S GOT IT'S GETTING WORSE FOR SURE RES0201-008 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE RES0201-009 I I I GUESS WHEN I WAS YOUNGER I HAD MONO AND I HAD A SORE THROAT WHEN I HAD THAT RES0201-010 OK IS THERE ANYTHING THAT MAKES IT WORSE OR LIKE ANYTHING THAT MAKES IT FEEL BETTER RIGHT NOW RES0201-011 NO NOT REALLY I'VE TRIED YOU KNOW I'VE TRIED GARGLING WITH SALT WATER I'VE TRIED SOME PAINKILLERS LIKE NOTHING NOTHING SEEMS TO BE WORKING RES0201-012 OK AND YOU SAID YOU'VE ALSO HAD SOME DIFFICULTY BREATHING RES0201-014 DID THAT START AROUND THE SAME TIME RES0201-015 THAT ACTUALLY STARTED YESTERDAY AND IT'S GOTTEN ME VERY CONCERNED RES0201-016 OK I CAN UNDERSTAND HOW THAT WOULD BE CONCERNING WE'RE DEFINITELY GOING TO TRY TO GET TO THE BOTTOM OF IT TODAY OK SO STARTED YESTERDAY SAID THEN HAS IT GOTTEN ANY WORSE IS IT THE SAME WAY BETTER RES0201-017 THE WELL I GUESS IT'S GETTING WORSE RES0201-018 DO YOU FEEL LIKE IT'S ALL THE TIME OR IS IT ON AND OFF RES0201-019 IT'S IT'S JUST THERE ALL THE TIME RES0201-020 HAVE YOU EVER HAD ANY DIFFICULTY BREATHING IN THE PAST RES0201-021 NO NO NO NOT LIKE THIS RES0201-022 OK HAVE YOU HAVE YOU RECENTLY BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK RES0201-023 I HAVE NO I DON'T LEAVE THE HOUSE MUCH NOWADAYS I GO TO THE GROCERY STORE I GO TO THE BANK JUST ESSENTIAL THINGS RES0201-024 OK HAVE YOU TRAVELED RECENTLY RES0201-025 NO NO I HAVEN'T LEFT THE CITY FOR ANYTHING RES0201-026 OK DO YOU KNOW IF YOUR IMMUNIZATIONS ARE UP TO DATE RES0201-027 YES EVERYTHING'S UP TO DATE RES0201-029 NO RES0201-030 HAVE YOU HAD A RUNNY NOSE RES0201-031 NO RUNNY NOSE RES0201-032 HAVE YOU HAD ANY HEADACHES RES0201-033 NO RES0201-034 HAVE YOU HAD ANY CHEST PAIN RES0201-035 NOPE NO CHEST PAIN RES0201-036 HAVE YOU HAVE YOU LOST ANY OF YOUR SENSE OF SMELL OR TASTE RES0201-037 MAYBE TASTE A LITTLE BIT BUT NOT SMELL RES0201-038 OK OK WHEN DID THAT START RES0201-039 THE TASTE MAYBE TWO DAYS AGO RES0201-040 OK OK TASTE TWO DAYS AGO HAS IT BEEN ON AND OFF OR HAS IT BEEN KIND OF CONSTANTLY LIKE A REDUCED SENSE OF TASTE IT'S RES0201-041 IT'S IT'S BEEN PRETTY CONSTANT RES0201-042 HAVE YOU HAD ANYTHING LIKE THAT BEFORE RES0201-043 NO RES0201-044 HAVE YOU HAD ANY FEVERS RES0201-045 I DON'T THINK SO RES0201-046 OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS RES0201-047 NO RES0201-048 HAVE YOU FELT OVERALL REALLY TIRED AND WEAK RES0201-049 I I FELT TIRED MAYBE NOT WEAK BUT MY I FEEL LIKE MY MUSCLES ALL ACHE RES0201-050 OK AND WHEN DID THAT START RES0201-051 THAT STARTED LIKE IMMEDIATELY AFTER MY SORE THROAT RES0201-052 OK OK OK WELL WE MIGHT CIRCLE BACK I THINK THERE IS ANY MORE QUESTIONS YOU WANT TO ASK RES0201-053 SURE RIGHT NOW BUT JUST IN GENERAL IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU TAKE MEDICATIONS FOR OR SEE A DOCTOR FOR REGULARLY RES0201-054 I HAVE MILD COPD RES0201-055 OK AND WHAT MEDICATIONS ARE YOU CURRENTLY TAKING RES0201-056 I'M ON A LONG ACTING BETA AGONIST RES0201-058 PARDON ME RES0201-059 IS THAT THE ONLY MEDICATION THAT YOU TAKE RES0201-060 AND I ALSO TAKE A COUPLE OF VITAMINS RES0201-061 OK DO YOU HAVE ANY ALLERGIES RES0201-062 NO NO ALLERGIES RES0201-063 JUST GONNA ASK YOU FEW QUESTIONS ABOUT YOUR LIFESTYLE DO YOU LIVE HERE IN TOWN RES0201-064 I DO RES0201-065 DO YOU LIVE ALONE OR WITH FAMILY RES0201-066 I LIVE ALONE RES0201-067 AND DO YOU SMOKE RES0201-068 I QUIT TWO YEARS AGO RES0201-069 OH CONGRATULATIONS THANK YOU BEFORE THAT DID YOU DID YOU SMOKE FOR MANY YEARS RES0201-070 I DID I SMOKED FOR FORTY YEARS RES0201-071 OK DO YOU DRINK ALCOHOL RES0201-072 I DRINK OCCASIONALLY MAYBE LIKE ON THE WEEKENDS RES0201-073 OK AND DO YOU USE CANNABIS RES0201-074 NO RES0201-076 NO NO OTHER DRUGS RES0201-077 OK AND ARE YOU RETIRED DO YOU WORK RES0201-078 I'M I AM RETIRED RES0201-079 OK WHAT DID YOU DO FOR WORK BEFORE RES0201-080 I WORKED FOR GM RES0201-081 OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS HEART PROBLEMS RES0201-082 NO RES0201-083 OK OK I THINK THAT THAT ABOUT COVERS MY QUESTIONS FOR YOU RIGHT NOW IS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I DIDN'T ASK YOU ABOUT RES0201-084 NO I DON'T THINK SO RES0201-085 OK I'M GOING TO GO OVER THIS WITH THE DOCUMENT I'M WORKING WITH TODAY I'M GUESSING JUST BECAUSE SOME OF YOUR SYMPTOMS ARE IN LINE WITH COMMON SYMPTOMS OF COVID NINETEEN THAT WILL PROBABLY DO A COVID SWAB RES0201-086 AND WHAT HAPPENS WITH THAT IS SINCE WE DO HAVE SOME SYMPTOMS WILL HAVE TO ISOLATE UNTIL THE RESULT COME BACK AND POTENTIALLY AFTER THAT IF YOU STILL HAVE SYMPTOMS EVEN IF IT IS NEGATIVE RES0201-087 SO THAT'S JUST KIND OF A HEADS UP ON THAT MAYBE ONE OF THE NEXT THINGS THAT HAPPENS WE WILL PROBABLY GET YOU A CHEST XRAY CAUSE WE WANT TO GET AN IDEA OF WHAT'S GOING ON IN THERE DID YOU HAVE ANY OTHER QUESTIONS RES0201-088 NO THANK YOU VERY MUCH RES0201-089 OK WELL THANKS FOR CHATTING WITH ME WE SHOULD BE BACK SHORTLY TO KIND OF LET YOU KNOW WITH THE NEXT STEP RES0201-090 OK GREAT THANK YOU RES0202-000 WHAT BRINGS YOU ALL IN TODAY RES0202-002 OH OK RES0202-003 ONE HUNDRED AND ONE OR SOMETHING OR MAYBE ONE HUNDRED POINT ONE IF BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW SO HE COULD HAVE MAYBE GOT COVID AND LIKE AT SCHOOL OR SOMETHING RES0202-004 FOR SURE OK SO JUST TO CLARIFY HE'S HAD THIS COUGH AND FEVER FOR THE PAST FIVE FIVE DAYS RES0202-005 OK OK SO LET'S FOCUS ON THE COUGH RES0202-006 IT'S FRIDAY ITS BEEN MORE LIKE LIKE THREE DAYS WEDNESDAY IS WHEN HE CAME HOME AND THEN HE AND THEN TODAY IS FRIDAY SO SORRY RES0202-007 TODAY IS FRIDAY OK AND OK SURE SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH RES0202-008 I THINK IT'S DRY I HAVEN'T NOTICED HIM LIKE SPITTING UP ANYTHING HE ITS JUST LIKE LITTLE COUGH RES0202-009 OK AND HE IS HE HE'S NOT BRINGING UP ANY SPUTUM OR BLOOD RES0202-010 NO RES0202-011 NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU RES0202-012 NO NO NOT THAT I'VE NOTICED RES0202-013 OK HOW ABOUT SHORT OF BREATH RES0202-014 I DON'T THINK SO LIKE HE USUALLY HE'S A REALLY ACTIVE KID AND HE HAS RES0202-015 HE HASN'T BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE OF DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HE'S JUST BEEN TIRED IN GENERAL RES0202-016 OK OK IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING RES0202-018 OK AND IT DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS RES0202-019 I JUST SOUNDS KIND OF DRY IT'S NOT LIKE SUPER LOUD RES0202-020 OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST RES0202-021 LIKE HE'S HAD COLDS BEFORE BUT I HAVEN'T LIKE I HAVEN'T LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD RES0202-022 OK AND ARE HIS SYMPTOMS GETTING WORSE RES0202-023 I THINK SO CAUSE THE FIRST DAY HE JUST SEEMED LIKE A LITTLE DRY AND THEN YESTERDAY IS COUGHING AND TODAY HE ACTUALLY HAS A FEVER RES0202-024 OK AND IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEART'S RACING RES0202-025 NO I DON'T THINK SO RES0202-026 NO OK DOES HE HAVE A SORE THROAT RES0202-027 I DON'T THINK SO RES0202-028 OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS RES0202-029 I DON'T KNOW IF HE'S HAVING TROUBLE SWALLOWING BUT HE DOESN'T SEEM TO HAVE A BIG APPETITE RIGHT NOW RES0202-030 OK AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE RES0202-031 MAYBE A BIT OF LIKE A LOOK AT RUNNY NOSE RES0202-032 OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE RES0202-033 HE THIS MORNING HE REALLY SEEMED LIKE HE WASN'T LIKE INTO HIS BREAKFAST AND I WONDER IF HE'S LOSING HIS SENSE OF TASTE A LITTLE BIT RES0202-034 OK HOW ABOUT VISION OR HEARING RES0202-035 I THINK THOSE ARE FINE RES0202-036 OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS RES0202-037 NO RES0202-038 OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES RES0202-039 NO I HAVEN'T NOTICED ANYTHING LIKE THAT RES0202-040 ANY CHANGES IN HIS BOWEL MOVEMENTS PARDON RES0202-042 OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL RES0202-044 OK ANY NAUSEA OR VOMITING RES0202-046 OK ANY CHANGES IN HIS URINE RES0202-047 I HAVEN'T REALLY BEEN LOOKING BUT I DON'T THINK SO RES0202-048 ANY DIZZINESS OR FAINTING SPELLS RES0202-049 NO JUST LIKE FATIGUE RES0202-050 OK ANY CONFUSION OR MEMORY LOSS RES0202-051 NO RES0202-052 AND IS HE AND IS HE AN OTHERWISE HEALTHY CHILD RES0202-053 ACTUALLY HE HASN'T DECIDED TO LIKE A VACCINE THAT HE HASN'T HAD TO GO TO THE DOCTOR LIKE EVER LIKE I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT OK RES0202-054 SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM RES0202-055 EXACTLY LIKE NOTHING RES0202-056 AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM RES0202-057 TOTALLY RES0202-058 OK AND AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH RES0202-059 NO NO LIKE EVERYTHING IS THINGS REALLY GOOD RES0202-060 OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW RES0202-061 TOTALLY RES0202-062 OK ANY DOES HE HAVE ANY ALLERGIES RES0202-063 NO NO I DON'T THINK SO I MEAN LIKE HE HASN'T REALLY TAKEN A LOT OF MEDICINE SO IT'S HARD TO SAY BUT LIKE NOTHING RES0202-064 IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS RES0202-065 OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS RES0202-066 NO EVERYONE IS REALLY HEALTHY RES0202-067 OK AND AND ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE RES0202-068 HE LIVES WITH JUST ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE THIS IN TOWN HERE RES0202-069 OK AND IS SHE HEALTHY RES0202-070 I THINK SHE SHE'S HEALTHY RES0202-071 OK ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOU'RE IN RES0202-072 NO RES0202-073 NO OK HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY RES0202-074 NOT NOT LIKE OUTSIDE OF SCHOOL I LIKE WE KNOW FOR SURE NOT OUTSIDE OF SCHOOL BUT HE GOES TO SCHOOL RIGHT NOW SO KINDA HARD TO SAY RES0202-075 OK RES0202-076 BUT THEY HAVEN'T THEY HAVEN'T LIKE CONTACTED US ABOUT ANYTHING RES0202-077 OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY RES0202-078 NO RES0202-079 NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WERE WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO CHAT ABOUT TODAY RES0202-080 I DON'T THINK SO LIKE I I REALIZED THAT I CAN OFTEN TIMES LIKE YOU DON'T REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN IT'S JUST LIKE A VIRUS OR SOMETHING RES0202-081 BUT WE DO I GUESS NEED TO HAVE A COVID TEST TO GO BACK TO THE SCHOOL EVEN IF YOU KNOW EITHER WAY CAUSE THEY WANT US TO BE ABLE TO SAY IT'S LIKE THE OTHER KIDS HAVE HAD AN EXPOSURE RES0202-083 LIKE SORRY GO AHEAD RES0202-084 NO GO AHEAD RES0202-085 I'M JUST BASICALLY WANTED TO SEE IF IT WAS BAD I MEAN HE DOESN'T RECEIVE YOUR SO SCARED THAT'S KIND OF WHAT MAKES HIM IN LIKE IT'S GONNA BE A LITTLE BIT RES0202-086-1 RIGHT YEAH OK SO FIRST THING IS FIRST WE NEED TO DO A COVID SWAB JUST TO MAKE SURE THAT HE EITHER HAS IT OR IT DOESN'T HAVE IT AND THOSE RESULTS WILL COME BACK IN TWENTY FOUR TO FORTY EIGHT HOURS RES0202-086-2 WE DO SUGGEST BECAUSE HIS SYMPTOMS ARE ALLOWED WITH SYMPTOMS OF COVID THAT HE ISOLATE FOR FOURTEEN DAYS AND THAT INCLUDES FROM HIS HIS YOUNGER SISTER POSSIBLE RES0202-087-1 AND THEN IF THE SWAB COMES BACK NEGATIVE THERE IS A CHANCE FOR FALSE NEGATIVES BUT ALSO IT COULD BE ANOTHER VIRAL ILLNESS THAT'S GOING AROUND NOWADAYS RES0202-087-2 AND IF HIS SYMPTOMS GET WORSE SO IF HE HAS A REALLY HIGH TEMPERATURE IF HE HAS ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR RES0202-088 IF HE'S FEELING WEAK DIZZY IF HE HAS ANY FAINTING SPELLS PLEASE DO TAKE HIM TO THE ER AND RES0202-089 AND SO FOR NOW I'LL JUST WAIT FOR THOSE COVID SWAPS TO COME BACK HOW DOES THAT SOUND RES0202-090 SOUNDS GOOD RES0202-091-1 OK GREAT AND NO WORRIES AND I I SHOULD HAVE MENTIONED IF IT WAS JUST THE COUGH OR IF HE WAS JUST SHORT OF BREATH OR SOMETHING LIKE THAT AND HE DIDN'T HAVE THE FEVER WE WOULD ADD OTHER THINGS LIKE RES0202-091-2 ASTHMA TO THE LIST OF THINGS HE COULD BE WORKED UP FOR BUT RIGHT NOW IT SOUNDS LIKE IT SOUNDS LIKE AN INFECTION RES0202-092 OK THAT'S GOOD TO KNOW RES0202-093 ALRIGHT SOUNDS GREAT HAVE A GOOD DAY RES0202-094 YOU TOO THANKS RES0203-000 DO YOU WANT TO TELL ME WHAT BROUGHT YOU IN TODAY RES0203-001 SO FOR THE PAST TWO DAYS I I'VE I'VE NOTICED THAT I CAN'T SMELL THINGS AS WELL AS I USED TO BE ABLE TO SMELL THEM AND I SEEM TO HAVE LOST MY SENSE OF TASTE AS WELL AND I HAVE THIS MILD DRY COUGH I'M JUST WORRIED IT'S COVID RES0203-002 YOU SAID FOR A COUPLE DAYS RES0203-003 YES FOR TWO DAYS RES0203-004 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE RES0203-005 NO NO NOTHING LIKE THIS RES0203-006 WHEN YOU SAY YOU FEEL LIKE YOU'VE LOST SENSE OF TASTE AND SMELL IS IT TOTALLY GONE OR DO YOU TASTE A LITTLE BIT OR HOW HOW IS THAT WORKING FOR YOU RES0203-007 THE SMELL ISN'T TOTALLY GONE I CAN STILL SMELL SOMETHING IF IT SMELLS REALLY REALLY BAD AND AND THEN AND THEN I CAN TASTE REALLY REALLY SALTY FOODS BUT I CAN TASTE NORMAL THINGS LIKE I CAN'T TASTE OF BANANA RES0203-008 OK IS THAT BEEN PRETTY CONSISTENT THROUGHOUT THE LAST COUPLE OF DAYS OR IS IT ON AND OFF RES0203-009 IT'S BEEN PRETTY CONSISTENT RES0203-010 OK AND DID THIS DRY COUGH THAT START AT THE SAME TIME RES0203-011 YES RES0203-012 AND WHEN YOU SAY SORRY YOU SAID MILD COUGH AND I MY NEXT QUESTION WAS DO YOU FEEL LIKE IT'S A DRY COUGH OR YOU PRODUCING ANY SPUTUM ANY BLOOD OR IS IT TO NOT NOT BRINGING UP ANYTHING RES0203-013 IT'S DRY RES0203-014 OK HAS THAT GOTTEN WORSE OVER THE LAST COUPLE OF DAYS RES0203-015 THE DRY COUGH IT'S BEEN PRETTY CONSISTENT AS WELL RES0203-016 OK IS THERE HAVE YOU DONE ANYTHING TO TRY TO MAKE IT BETTER HAVE YOU TAKEN ANY OVER THE COUNTER MEDICATIONS OR RES0203-017 NO I HAVEN'T TRIED ANYTHING RES0203-018 OK OK HAVE YOU HAD IN ADDITION TO THESE SYMPTOMS HAVE YOU HAD ANY FEVERS RES0203-019 FEVERS NO FEVERS RES0203-020 ANY DIFFICULTY BREATHING RES0203-021 NO RES0203-022 ANY HEADACHES RES0203-023 NO NO HEADACHES RES0203-024 ANY SORE THROAT RES0203-025 NO RES0203-026 OK ANY CHILLS OR NIGHT SWEATS RES0203-027 NO RES0203-028 OK ANY MUSCLE ACHE OR GENERAL WEAKNESS RES0203-029 NO RES0203-030 OK SO GENERALLY IT SEEMS LIKE YOU'RE PRETTY WELL OTHER THAN THIS LOSS OF TASTE SLASH SMELL AND THE DRY COUGH THAT CORRECT RES0203-031 YES RES0203-032 OK AND THEN RECENTLY HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK RES0203-033 NO NOT THAT I CAN REMEMBER OR NOT THAT I CAN REMEMBER RES0203-034 OK HAVE YOU TRAVELED ANYWHERE RES0203-035 I WENT HIKING WITH MY PARTNER TWO WEEKS AGO I GUESS THERE WERE SOME PEOPLE WHO KIND OF BRUSHED BY US BUT OTHER THAN THAT I DON'T SEE WHERE ELSE I COULD HAVE GOTTEN THIS FROM RES0203-036 OK WAS THAT HIKING SOMEWHERE CLOSE BY RES0203-037 IT WAS LIKE HALF AN HOUR FROM WHERE WE ARE RES0203-038 OK ARE YOUR IMMUNIZATIONS UP TO DATE RES0203-039 YES RES0203-040 OK AND CAN YOU THINK OF ANY FOR THIS DRY COUGH JUST A CIRCLE BACK TO THAT CAN YOU THINK OF ANYTHING THAT TRIGGERS IT IT'S CALLED THE COLD OR BEING AROUND CERTAIN THINGS LIKE CATS OR DOGS OR ANY OTHER ENVIRONMENTAL THINGS RES0203-041 NO RES0203-042 OK HAVE YOU HAD ANY CHEST PAIN THAT'S THE OTHER THING I'M NOT SURE IF I ASKED YOU RES0203-043 NO NO CHEST PAIN RES0203-044 OK AND IN TERMS OF YOUR GENERAL HEALTH DO YOU DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU LIVE WITH RES0203-045 NO NO RES0203-046 DO YOU TAKE ANY MEDICATIONS RES0203-047 NO RES0203-048 OK HAVE YOU EVER HAD ANY SURGERY OR BEEN HOSPITALIZED FOR ANOTHER REASON RES0203-049 NO RES0203-050 DO YOU HAVE ANY ALLERGIES RES0203-051 NO ALLERGIES RES0203-052 DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS CANCERS OR HEART PROBLEMS RES0203-053 NO NOTHING LIKE THAT RES0203-054 OK AND JUST IN TERMS OF FREE LIFESTYLE SO DO YOU LIVE WITH FAMILY RES0203-055 NO RES0203-056 OK DO YOU READ ALONG WITH A PARTNER OR ROOMMATE RES0203-057 I LIVE WITH MY PARENTS AND MY YOUNGER SIBLING RES0203-058 OK AND IS THAT IN TOWN HERE RES0203-059 YES RES0203-060 AND IN GENERAL DO YOU EAT A HEALTHY DIET DO YOU EXERCISE I THINK SO RES0203-062 DO YOU SMOKE RES0203-063 NO RES0203-064 OK DO YOU DRINK ALCOHOL RES0203-065 I I HAVE DRANK ALCOHOL BEFORE BUT NOT NOT REGULARLY RES0203-066 OK AND I DO USE MARIJUANA RES0203-067 I HAVE TAKEN EDIBLES BEFORE BUT ALSO NOT VERY REGULARLY RES0203-068 OK ANY OTHER DRUGS RES0203-069 NO RES0203-070 OK AND ARE YOU CURRENTLY IN HIGH SCHOOL RES0203-071 YES I AM IN MY LAST YEAR OF HIGH SCHOOL RES0203-072 OK AND HOW IS THAT GOING RES0203-073 PRETTY GOOD WE'RE DOING THINGS ONLINE NOW RES0203-074 SO YOU HAVEN'T REALLY BEEN OUT OF THE HOUSE RES0203-075 NO RES0203-076-1 OK OK I THINK THAT'S ALL MY QUESTIONS FOR NOW RES0203-076-2 I DEFINITELY LIKE TO GET YOU A COVID TEST JUST BECAUSE YOUR SYMPTOMS ARE CONSISTENT WITH SOME COMMON COVID SYMPTOMS SO BASICALLY THAT MEANS THAT WE WOULD DO A SWAB IT MIGHT NOT COME BACK FOR A DAY OR TWO YOU DEFINITELY HAVE TO SELF ISOLATE RES0203-076-3 BETWEEN NOW AND WHEN YOU GET THE RESULTS BACK POTENTIALLY EVEN IF IT'S NEGATIVE LONGER IF YOU'RE STILL HAVING SYMPTOMS RES0203-077 OTHERWISE THERE PROBABLY THERE MIGHT BE A COUPLE OTHER TESTS WE WANT TO DO WE MIGHT HAVE MORE QUESTIONS WHEN WE COME BACK WE'LL GO OVER THIS WITH THE DOCTOR THAT I'M WORKING WITH TODAY BUT JUST WANTED TO GIVE YOU A HEADS UP OF WHAT TO EXPECT NEXT DID YOU HAVE ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDN'T ASK YOU ABOUT OR ANY QUESTIONS RES0203-078 NO THANK YOU SO MUCH RES0203-079 OK WELL THANKS FOR COMING IN TODAY WILL DEFINITELY GET YOU TAKEN CARE OF SHORTLY RES0203-080 THANK YOU RES0203-081 THANKS RES0204-000 I HEAR THAT YOU HAVE BEEN HAVING SOME COUGHING SO I'M JUST GOING TO CHAT WITH YOU FOR A BIT GET AN IDEA OF HOW THINGS ARE GOING WELL HAVE A LISTEN TO YOUR LUNGS IN YOUR HEART RES0204-001 AND THEN I WILL GO GRAB THE DOCTOR THAT'S WORKING TODAY AND WE'LL TALK ABOUT IT AND THEN WE'LL COME BACK AND LET YOU KNOW WHAT THE NEXT STEPS ARE GOING TO BE THAT DOES THAT SOUND GOOD TO YOU RES0204-002 THAT SOUNDS GREAT THANK YOU RES0204-003 CAN YOU TELL ME ABOUT WHAT BROUGHT YOU IN TODAY RES0204-004 I'VE HAD THIS COUGH FOR THE PAST FOUR OR FIVE DAYS AND IT DOESN'T SEEM TO BE GOING AWAY OR GETTING BETTER SO I THOUGHT I SHOULD GET IT CHECKED OUT RES0204-005 OK ARE YOU HERE WITH YOUR MOM TODAY I AM RES0204-006 HI MUM RES0204-007 OK YOU GOT A COUGH YOU SAID I'M SORRY YOU SAID FOR FIVE DAYS RES0204-008 FOR FOUR TO FIVE DAYS ISH RES0204-009 OK AND HAS IT YOU SAID IT WAS A DRY COUGH IS THAT RIGHT RES0204-010 THAT'S RIGHT RES0204-011 OK SO AT NO POINT WERE YOU BRINGING UP ON GUNK WITH YOUR COUGH RES0204-012 NO NO NOTHING LIKE THAT RES0204-013 SINCE IT STARTED DO YOU THINK IT'S GOTTEN WORSE OR HAS IT KIND OF STAYED THE SAME GOTTEN ANY BETTER RES0204-014 IT'S KIND OF STAYED THE SAME RES0204-015 OK OK ALONG WITH THE COUGH HAVE HAVE YOU BEEN HAVING ANY OTHER NEW SYMPTOMS RES0204-016 NO RES0204-017 OK HAVE YOU HAD A SORE THROAT RES0204-018 NO RES0204-019 DO YOU FEEL LIKE YOU CAN TASTE AND SMELL THINGS NORMALLY RES0204-020 I THINK SO RES0204-021 OK OK HAVE YOU BEEN HAVING A RUNNY NOSE RES0204-022 OH YES I HAVE HAD THAT FOR THE PAST COUPLE OF DAYS AS WELL RES0204-023 AND IS IT A RUNNY NOSE WITH KIND OF CLEAR STUFF IS IT WATERY OR IS IT THICK DOES IT HAVE A COLOR TO IT A YUCKY THE COLOR RES0204-024 IT'S PRETTY CLEAR RES0204-025 OK OK AND HAVE YOU HAD ANY FEVERS YOUR MOM MIGHT BE ABLE TO ANSWER THAT ONE BETTER RES0204-026 HE HAS HAD LIKE HE'S HAD FEVERS IN THE PAST BUT I I DIDN'T REALLY CHECK THIS TIME HE DIDN'T SEEM HOT HE DIDN'T HAVE ANY CHILLS RES0204-027 OK WELL THAT'S GOOD OK HAVE YOU HAD ANY BACK OR MUSCLE PAIN RES0204-028 NO RES0204-029 HAVE YOU HAD ANY CHEST PAIN RES0204-030 NO NO CHEST PAIN RES0204-031 OK ANY ANY NAUSEA OR VOMITING RES0204-032 NO NO NAUSEA OR VOMITING RES0204-033 HAVE YOU HAD ANY PAIN IN YOUR BELLY RES0204-034 NO NOPE THAT NO PAIN IN MY BELLY RES0204-035 ANY HEADACHES RES0204-036 NO NO HEADACHES RES0204-037 OK HAVE YOU BEEN AROUND ANYONE THAT'S BEEN SICK RES0204-038 NO NOT THAT NOT THAT I CAN REMEMBER RES0204-039 HAVE YOU TRAVELED ANYWHERE RECENTLY RES0204-040 NOPE RES0204-041 ARE YOU GOING TO SCHOOL RIGHT NOW OR STAYING HOME RES0204-042 I'M GOING TO SCHOOL AND THEY'RE DOING THESE HALF DAYS RES0204-043 OK OK AND HAS ANYONE IN YOUR SCHOOL BEEN SICK RES0204-044 NOPE NOT RECENTLY RES0204-045 AT LEAST NOT THAT WE KNOW OF OK RES0204-046 NO RES0204-047 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE RES0204-048 NO I'VE BEEN PRETTY HEALTHY OTHERWISE I'VE NEVER HAD LIKE I'VE NEVER HAD LIKE A DRY COUGH LIKE THIS I'VE HAD RUNNY NOSE IN THE PAST BUT THEY NEVER LASTED THIS LONG RES0204-049 OK HAVE YOU EVER BEEN IN THE HOSPITAL RES0204-050 NO RES0204-051 DID YOU SEE YOUR FAMILY DOCTOR FOR ANYTHING ANY HEALTH PROBLEMS RES0204-052 NO NO RES0204-053 DO YOU TAKE ANY MEDICINES RES0204-054 NO RES0204-055 THIS MAY BE A TRICKY ONE TO ANSWER SO MOM CAN DEFINITELY HELP US DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS RES0204-056-1 HIS GRANDPARENTS HAD ASTHMA BUT HE'S BEEN WORKED UP FOR THAT RES0204-056-2 AND HE DOESN'T GET SHORT OF BREATH OR WHEEZING OR ANYTHING LIKE THAT WITH EVEN WITH PHYSICAL ACTIVITY SO SO HE DOESN'T HAVE THAT RES0204-058 PARDON ME RES0204-059 I SAID JUST SOME SOME ASTHMA IN THE FAMILY RES0204-060 OK AND SO YOU LIVE YOU LIVE WITH YOUR MOM DO YOU LIVE WITH ANYONE ELSE IN YOUR FAMILY RES0204-061 I HAVE A FOUR YEAR OLD SISTER RES0204-062 OK DO YOU LIVE WITH YOUR DAD TOO RES0204-063 YES RES0204-064 DO YOU GUYS HAVE ANY PETS RES0204-065 NO NO PETS RES0204-066 AND DOES ANYONE SMOKE IN THE HOME RES0204-067 NOPE NO RES0204-068 OK AND WHAT DO YOU LIKE TO DO FOR FUN RES0204-069 I LIKE PLAYING WITH MY FRIENDS I LIKE PLAYING VIDEO GAMES RES0204-070 COOL SO WHAT'S YOUR FAVORITE GAME RES0204-071 I AM PLAYING ROLLERCOASTER TYCOON RES0204-072 OH COOL THAT SOUNDS LIKE FUN OK WELL HOPEFULLY WE CAN GET YOU BACK TO FEELING HEALTHY SO YOU CAN CONTINUE TO PLAY LOTS OF ROLLER COASTER TYCOON RES0204-073 SO I'M GOING TO GO GET THE DOCTOR THAT I'M WORKING WITH I'M I'M WONDERING YOU KNOW HE MIGHT WANT TO DO A CHEST X RAY AND GET A BETTER LOOK AT WHAT'S GOING ON THERE HAVE YOU EVER HAD AN X RAY BEFORE RES0204-074 I DON'T THINK SO NO RES0204-075 DO YOU KNOW WHAT AN X RAY IS RES0204-076 A LITTLE BIT RES0204-077 IT'S LIKE TAKING PICTURE OF YOUR BODY ON THE INSIDE IT'S PRETTY COOL SO IT GIVES US AN IDEA OF WHAT'S GOING ON IN THE INSIDE RES0204-078 ALSO THIS REALLY THIS PART IS KIND OF NOT SO MUCH FUN BUT I THINK WE SHOULD PROBABLY DO A COVID SWAB BECAUSE WE'RE DOING THAT WITH ANYONE THAT COMES IN WITH THESE SYMPTOMS LATELY AND THAT'S NOT A LOT OF FUN RES0204-079 WE GOTTA STICK SOMETHING UP YOUR NOSE BUT I THINK THAT YOU'RE REALLY BRAVE AND I THINK THAT YOU'LL BE JUST FINE WITH IT OK RES0204-080 OK RES0204-081 SO WE'RE GOING TO ARRANGE FOR THESE THINGS AND THEN I WILL COME BACK WITH THE DOCTOR THAT I'M WORKING WITH AND WE'LL KIND OF TALK ABOUT WHERE TO GO FROM HERE RES0204-082 OK THAT SOUNDS GOOD RES0204-083 THANK YOU GUYS FOR CHATTING WITH ME RES0205-000 I'M GOING TO BE HAVING A CHAT WITH YOU TODAY GET AN IDEA OF HOW THINGS ARE GOING AND THEN I'LL GO OVER IT WITH THE OPPOSITION THAT I'M WORKING WITH AND WE CAN COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS THAT SOUND GOOD TO YOU RES0205-001 I KNOW THAT YOU'VE BEEN HAVING EXPERIENCING A COUGH CAN YOU TELL ME A LITTLE BIT ABOUT THAT RES0205-002 I I'VE HAD THIS COUGH FOR THE PAST TWO WEEKS AND IT JUST DOESN'T GO RES0205-003 OK HAVE NEVER HAD ANYTHING LIKE THIS BEFORE RES0205-004 I'M I USUALLY GET A COLD ONCE A YEAR OR SO BUT THE COUGH DOESN'T LAST THIS LONG LIKE IT'S USUALLY OVER IN A WEEK OR WEEK AND A HALF OR SO RES0205-005 AND IT'S IT'S NOT LETTING UP RES0205-007 OK I'M GONNA ASK YOU A FEW QUESTIONS ABOUT THE COUGH ITSELF IS THIS A DRY COUGH THAT YOU'RE EXPERIENCING OR ARE YOU PRODUCING LIKE ANY ANY MUCUS OR COUGHING UP ANYTHING RES0205-008 THERE WAS SOME MUCUS EARLIER ON BUT NOW IT'S IT'S ALL IT'S A DRY COUGH RES0205-009 NOW IT'S DRY OK HOW LONG WHAT WAS THE TIMELINE FOR THAT I GUESS HOW LONG RES0205-010 SO MAYBE FOR THE FIRST FOUR OR FIVE DAYS THERE WAS THIS LIKE WHITISH CLEAR KIND OF MUCUS THAT WAS COMING UP AND THEN AFTER THAT WAS A A DRY COUGH RES0205-011 OK OK AND DO YOU FEEL LIKE THE INTENSITY OF THE COUGH GOT WORSE OVER THE LAST TWO WEEKS OR HAS IT GOTTEN ANY BETTER RES0205-012 KIND OF THE SAME I WOULD SAY RES0205-013 AND HAS THE COUGH GOTTEN MORE FREQUENT OVER THIS TIME AS WELL RES0205-014 NO RES0205-015 HOW OFTEN WOULD YOU SAY THAT YOU'RE COUGHING RES0205-016 IT'S HARD FOR ME TO QUANTIFY MAYBE A COUPLE OF TIMES AN HOUR MAYBE THREE OR FOUR TIMES AN HOUR OR SO RES0205-017 IS THERE ANYTHING YOU CAN THINK OF THAT TRIGGERS THE COUGH OR IS IT SPONTANEOUS RES0205-018 IT'S KINDA SPONTANEOUS CAN'T REALLY THINK OF ANYTHING RES0205-019 OK AND ALONG WITH THE COUGH ARE YOU EXPERIENCING ANY DIFFICULTY BREATHING RES0205-020 NO RES0205-021 HAVE YOU NOTICED ANY FEVERS RES0205-022 NO RES0205-023 HAVE YOU HAD ANY SORE THROAT RES0205-024 I DID INITIALLY FOR THE FIRST TWO OR THREE DAYS AND THEN THAT GOT BETTER RES0205-025 OK HAVE YOU HAD ANY RUNNY NOSE RES0205-026 I DID INITIALLY I HAVE LIKE HAD ALL THOSE FLU SYMPTOMS FOR THE FIRST COUPLE OF DAYS BUT THE COUGH JUST KINDA STAYED EVERYTHING ELSE RESOLVED IN THE FIRST THREE OR FOUR DAYS I WOULD SAY RES0205-027 OK THANK YOU FOR SHARING THAT HAVE YOU HAD DID YOU HAVE ANY CHEST PAIN AT ANY POINT RES0205-028 NO BUT I GUESS LIKE SOMETIMES WHEN I'M COUGHING TOO MUCH MY CHEST HURTS A LITTLE BIT RES0205-029 OK SO IT FEELS KIND OF SORE AFTER ALL THAT RES0205-030 OK OK HAVE YOU BEEN IN CONTACT I GUESS IT'S HARD TO SAY BECAUSE IT STARTED A WHILE AGO BUT BEFORE IT STARTED BRINGING CONTACT WITH ANYONE THAT'S BEEN SICK RES0205-031 I I WORK AT THE HOSPITAL BUT I'M WEARING PPE ALL THE TIME AND I'M VERY CAREFUL SO RES0205-032 OK HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE PROVINCE RES0205-033 NO RES0205-034 OK HAVE YOU HAD ANY NAUSEA OR VOMITING RES0205-035 NO RES0205-036 OK ANY BELLY PAIN RES0205-038 OK SO I'M JUST GONNA ASK YOU SOME QUESTIONS ABOUT YOUR OVERALL HEALTH HAVE YOU HAD ANY RESPIRATORY PROBLEMS IN THE PAST RES0205-039 NO RES0205-040 OK OR DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULAR THING RES0205-041 I'VE GOT ACID REFLUX AND I ALSO HAVE ANXIETY RES0205-042 ARE YOU CURRENTLY TAKING ANY MEDICATIONS RES0205-043 I I USED TO NOT ANYMORE RES0205-044 WAS THERE ANY PARTICULAR MEDICATION THAT YOU STOPPED RECENTLY RES0205-045 NO NO I USED TO TAKE I USED TO TAKE SOMETHING FOR ANXIETY TWO THREE YEARS AGO RES0205-046 OK AND WHAT DO YOU DO FOR YOUR REFLUX RES0205-047 I JUST AVOID RIGHT NOW I'M JUST TRYING TO AVOID THE FOODS THAT MAKE THINGS WORSE FOR ME AND I FEEL LIKE THAT'S HELPED ME QUITE A BIT SO I QUITE LIKE ACIDIC FOODS AND CHOCOLATES AND THINGS LIKE THAT RES0205-048 SURE THAT'S NO FUN RES0205-049 DO YOU HAVE ANY ALLERGIES RES0205-050 HAY FEVER RES0205-051 AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS OR HEART PROBLEMS RES0205-053 NO OK OK AND THIS IS IN TERMS OF YOUR LIFESTYLE DO YOU LIVE WITH FAMILY ALONE RES0205-054 I I LIVE WITH MY PARTNER RES0205-055 OK AND DO YOU HAVE ANY KIDS OR PETS LIVING WITH YOU RES0205-056 NO RES0205-057 DO YOU SMOKE RES0205-058 I DON'T NO RES0205-059 DRINK ALCOHOL RES0205-060 OCCASIONALLY ON CHRISTMAS RES0205-061 OH OK I SEE AND DO YOU USE ANY OTHER SUBSTANCES RES0205-062 NO RES0205-063 OK AND WHAT DO YOU DO FOR WORK RES0205-064 I'M A CLERK AT THE HOSPITAL RES0205-065 OK RIGHT YOU JUST SAY YOU WORKING AT THE HOSPITAL AND I CAN'T THINK I THOUGHT I HAD ANOTHER QUESTION FOR YOU BUT I CAN'T REMEMBER IT ANYTHING ELSE THAT YOU WANTED TO TELL ME ABOUT THAT I DIDN'T ASK YOU RES0205-066 NO I GUESS I WAS JUST WONDERING WHY I STILL HAVE A COUGH IT'S BEEN SUCH A LONG TIME AND I WAS WONDERING IF I COULD GET ANY MEDICATIONS JUST TO HELP WITH THAT RES0205-067 IT'S NOT REALLY IT'S EVERYONE'S LIKE SCARED AT WORK WHEN I COUGH I HAVE I HAVE HAD THE COVID TEST AND I DON'T HAVE IT SO RES0205-068 WHEN WE GOT THE LAST TEST DONE RES0205-069 I HAD THE TEST DONE WHEN I FIRST STARTED HAVING SYMPTOMS ABOUT TWO WEEKS AGO SINCE THEN I'VE BEEN AT HOME AND I'M JUST WAITING FOR MY SYMPTOMS TO GET BETTER BUT I YOU KNOW I KIND OF LIKE GET BACK AND I DON'T WANT TO BE COUGHING WHEN I GET BACK RES0205-070 OK WELL I'M GONNA HAVE A QUICK LISTEN TO YOUR HEART AND LUNGS I'LL DO A QUICK PHYSICAL EXAM AND THEN I WILL GO GET THE DOCTOR THAT I'M WORKING WITH ALL KIND OF GO OVER EVERYTHING YOU TALKED ABOUT RES0205-071 AND THEN WE'LL COME BACK AND TALK TO YOU ABOUT WHERE TO GO FROM HERE RES0205-072 SOUNDS GREAT RES0205-073 OK WELL THANKS FOR CHATTING WITH ME RES0206-000 WHAT BRINGS YOU IN TODAY RES0206-001-1 SO I SO I HAVE COPD AND IT'S USUALLY LIKE PRETTY MANAGEABLE WITH MY PUFFERS AND THAT BUT JUST IN THE LAST LIKE THREE DAYS RES0206-001-2 I FEEL LIKE IT'S GOTTEN A LOT WORSE YOU KNOW I I FEEL LIKE I'M COUGHING MORE OFTEN AND I'M NOW KIND OF PRODUCING MORE SPUTUM KIND OF LIKE A GREEN YELLOWY SPUTUM RES0206-001-3 I EVEN NOTICE THAT THERE IS LIKE A LITTLE BIT OF BLOOD A COUPLE TIMES WHEN I WAS LIKE REALLY COUGHING HARD I'VE BEEN FINDING IT LIKE HARDER TO BREATHE THAN USUAL RES0206-001-4 I DON'T HAVE HOME OXYGEN OR ANYTHING AND I'M NOT I DIDN'T THINK I WAS QUITE THERE YET BUT THIS THESE LAST FEW DAYS IT'S BEEN IT'S BEEN REALLY HARD TO BREATHE RES0206-002 I SEE OK SO THIS IS HAPPENED IN THE PAST THREE DAYS HAVE YOUR SYMPTOMS GOTTEN BETTER OR WORSE OVER THIS TIME RES0206-003 I FEEL LIKE THEY'VE BEEN GET MAYBE MAYBE GETTING A LITTLE WORSE THEY DEFINITELY HAVEN'T GOTTEN BETTER RES0206-004 OK AND HAS THIS EVER HAPPENED TO YOU BEFORE RES0206-005 I'VE HAD I HAD SOME TROUBLES LIKE WHEN I'VE BEEN SICK BEFORE WHERE THE COUGH IS GOTTEN PRETTY BAD THIS IS PROBABLY THIS IS PROBABLY THE WORST THAT I'VE HAD BUT I HAVE LIKE I HAVE HAD IN MY COPD BEEN MADE WORSE BY BEING SICK RES0206-006 I SEE OK WELL I GUESS THE FIRST THING WE'RE GOING SO HOW'S TBAD HOW BAD IS YOUR SHORTNESS OF BREATH RES0206-007 LIKE I I WALKED HERE FINE BUT I NORMALLY LIKE CAN WALK AROUND THE BLOCK AND I GO FOR A WALK USUALLY A COUPLE TIMES A DAY TO WALK MY DOG AND IT'S BEEN JUST IT'S BEEN A LITTLE BIT TRICKIER TO DO THAT RES0206-008 I SEE OK AND HAVE YOU EVER HAD ANY HOSPITALIZATIONS IN THE PAST SPECIFICALLY FOR COPD EXACERBATIONS RES0206-009 I HAVEN'T LIKE STAYED OVER IN THE HOSPITAL I LIKE COME TO EMERGE A COUPLE TIMES RES0206-010 HOW MANY TIMES RES0206-011 I THINK TWICE MAYBE OVER THE LAST LIKE THREE YEARS RES0206-012 WHEN WERE YOU DIAGNOSED WITH COPD RES0206-013 FOUR FIVE YEARS AGO RES0206-014 WAS IT FORMALLY DIAGNOSED USING THE PROPER TESTING RES0206-015 THEY REFERRED ME TO A LUNG A LUNG DOCTOR RES0206-016 I SEE OK AND HAVE YOU HAD ANY FEVERS OR CHILLS RES0206-017 I FEEL LIKE I MAY HAVE HAD A FEVER LAST NIGHT I FELT REALLY HOT RES0206-018 DID YOU CHECK YOUR TEMPERATURE RES0206-019 I I DON'T HAVE A THERMOMETER AT HOME RES0206-020 NO PROBLEM WE CAN NOW CHECK YOUR TEMPERATURE RES0206-021 HERE BY THE BED I WOULD SAY HAD A FEVER RES0206-022 AND HAVE YOU HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD LIKE A RUNNY NOSE OR STUFFY NOSE ANY PAIN IN YOUR SINUS RES0206-023 I THINK I THINK I HAVE A I'VE HAD A BIT OF A LIKE THIS PRESSURE IN THE SINUS AREA BUT IT'S BEEN THE COUGH HAS BEEN THE THING THAT'S BEEN THE MOST BOTHERSOME RES0206-024 I SEE AND HAVE YOU HAD A SORE THROAT AT ALL RES0206-025 OH NO RES0206-026 OK A HEADACHE RES0206-028 BIT OK AND ANY NAUSEA OR VOMITING RES0206-029 NO RES0206-030 DIARRHEA OR CONSTIPATION RES0206-031 NO RES0206-032 ABDOMINAL PAIN RES0206-033 NO RES0206-034 OK IN HAVE YOU RECENTLY LOST WEIGHT UNINTENTIONALLY RES0206-035 NO NO I WISH BUT NO RES0206-036 OK HAVE YOU HAD ANY NIGHT SWEATS WHERE YOU FEEL LIKE YOU'RE DRENCHED IN SWEAT AT NIGHT RES0206-037 NO NOTHING LIKE THAT RES0206-038 AND HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK RES0206-039-1 LET ME THINK I I MEET MY I MEET A COUPLE OF FRIENDS TO WALK OUR DOGS TOGETHER OUTSIDE AND RES0206-039-2 ONE OF THEM WAS A BIT SICK FOR A BIT WE TRY NOT TO GET TOO CLOSE BUT MAYBE I DON'T KNOW MAYBE SOMETIMES WE WALK A LITTLE TOO CLOSE WE FEEL TOO SAFE CAUSE WE'RE LIKE OUTSIDE RES0206-040 OK OK AND DID YOUR FRIEND GET A COVID TEST DONE RES0206-041 I DON'T KNOW RES0206-042 THAT'S OK OK AND YOU MENTIONED THAT YOU HAD COPD THAT WAS DIAGNOSED FOUR OR FIVE YEARS AGO ANY OTHER MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0206-043 I HAVE A HIGH BLOOD PRESSURE RES0206-044 OK AND ARE YOU TAKING ANY MEDICATIONS RES0206-045 I'M NOT I'M NOT I WE TALKED ABOUT IT BUT I DECIDED TO TRY TO CHANGE MY LIFESTYLE AS MUCH AS I COULD ONEST AND I'VE ALSO DONE THAT FOR THE COPD RES0206-046 IT'S GENERALLY PRETTY LIKE I'VE BEEN REALLY TRYING TO TAKE CARE OF IT BUT I FEEL LIKE I MAYBE GOT SICK OR SOMETHING THIS TIME SO MY BLOOD PRESSURE IS LIKE OK RIGHT NOW RES0206-048 MY PRESSURE AND THEN I LOST WEIGHT AND STARTED THIS WALKING MORE RES0206-049 THAT'S GREAT THAT'S REALLY REALLY GOOD THAT YOU'RE TAKING BETTER CARE OF YOURSELF SHOULD DEFINITELY CONTINUE DOING THAT RES0206-050 RIGHT RES0206-051 AND YOU'VE MENTIONED THAT YOU HAVE SOME PUFFERS HOW OFTEN DO YOU USE THOSE RES0206-052 OH LIKE I HAVE THE ONE THAT I USE EVERY DAY THAT I'M SUPPOSED TO JUST USE NO MATTER WHAT AND THEN THE ONE THAT I USE WHEN KIND OF JUST WHEN I NEED IT I PROBABLY USE IT LIKE ONCE EVERY TWO WEEKS RES0206-053 OK OK AND YOU MENTIONED THAT YOUR COPD'S ARE GETTING BETTER DO YOU FIND THAT IT'S AFFECTING YOUR LIFE IN ANY WAY AFFECTING THE WAY THAT YOU'RE DOING YOUR DAILY ACTIVITIES AT AT HOME OR AT WORK IF YOU ARE WORKING RES0206-054 I LIKE PRETTY OK EXCEPT FOR LIKE IF I GET SICK I SO IT'S BEEN RES0206-055 IT'S BEEN RES0206-056 I THINK IT'S LIKE PRETTY WELL MANAGED LIKE I STAY ON TOP OF MY LIFESTYLE NOW RES0206-059 NO NO ALLERGIES TO MEDICATIONS RES0206-060 NO RES0206-061 OK OK GOOD AND DO YOU JUST A COUPLE MORE TO GENERAL QUESTIONS HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY RES0206-062 NO RES0206-063 YOU I GUESS I SHOULD HAVE ASKED YOU EARLIER BUT HAVE YOU NOTICED ANY CHANGE IN YOUR SENSE OF SMELL RES0206-064 NO I DON'T THINK SO RES0206-065 ANY CHANGE IN YOUR SENSE OF TASTE RES0206-066 NO I DON'T THINK SO RES0206-067 ANY CONFUSION OR FUZZY FEELING RES0206-068 NOPE RES0206-069 NO OK ANY MUSCLE ACHES IN YOUR BODY RES0206-070 NO RES0206-071 OK ALRIGHT AND JUST KIND OF SOME QUESTIONS ABOUT YOUR LIVING SITUATION DO YOU CURRENTLY LIVE ALONE AND I YOU MENTIONED THAT YOU HAVE A DOG ARE THERE ANY IS THERE ANYBODY ANYONE ELSE IN THE HOUSE RES0206-072 MY HUSBAND RES0206-073 OK AND DO YOU CURRENTLY WORK RES0206-074 I LIKE I'VE BEEN WORKING FROM HOME I WORKED FOR THE MUNICIPALITY RES0206-075 I SEE DO YOU THINK YOU MIGHT HAVE HAD ANY EXPOSURES TO SAY DUST OR SMOKE OR ANYTHING LIKE THAT THAT COULD HAVE WORSENED YOUR SYMPTOMS RES0206-076 I DON'T THINK SO RES0206-077 AND DO YOU DRINK ALCOHOL RES0206-078 OH VERY RARELY RES0206-079 OK DO YOU SMOKE RES0206-080 I USED TO I QUIT ONCE THEY SAID I HAVE COPD I SMOKED HALF PACK A DAY FOR PROBABLY TWENTY YEARS RES0206-081 OK OK AND DO YOU CONSUME MARIJUANA OR ANY RECREATIONAL DRUGS RES0206-083 OK ALRIGHT WELL I GUESS ONE MORE QUESTION ARE THERE ANY LUNG DISEASES OR HEART CONDITIONS OR CANCERS THAT RUN IN THE FAMILY RES0206-084 NO NOTHING THAT I CAN THINK OF RES0206-085 ALRIGHT WELL THAT'S THOSE ARE ALL THE QUESTIONS I HAD FOR YOU I WILL NOW DO IT PHYSICAL EXAM AND LOOK AT YOUR VITALS AND LISTEN TO YOUR CHEST RES0206-086-1 IT'S LIKELY THAT WHAT YOU HAVE RIGHT NOW IS COPD EXACERBATION MAYBE JUST A LIKE AN INFECTION THAT YOU GOT WHICH WORSENED SOME OF YOUR COPD SYMPTOMS RES0206-086-2 WE WOULD ALSO HAVE TO RULE OUT COVID SO WE'LL BE DOING A COVID SWAB AND WILL DECIDE BASED ON THE ON YOUR LABS IN YOUR VITAL SIGNS RES0206-087 IT'S INSTEAD OF OTHER THINGS WHETHER YOU NEED TO STAY IN THE ER AND BE ADMITTED OR IF YOU ARE GOOD TO GO HOME I WILL ALSO TALK TO MY ATTENDING AND WILL MAKE THOSE DECISIONS TOGETHER AND COME BACK AND TALK TO YOU DOES THAT SOUND GOOD TO YOU RES0206-088 THAT SOUNDS GREAT THANK YOU RES0206-089 YOUR WELCOME RES0207-000 WELL CAN YOU TELL ME WHAT BROUGHT YOU IN TODAY RES0207-001 I WOKE UP THIS MORNING AND I WAS JUST FEELING SUDDENLY FEELING VERY SHORT OF BREATH AND I JUST WASN'T SURE WHAT WAS GOING ON SO I THOUGHT I WOULD COME IN RES0207-002 OK THIS THIS MORNING SUDDENLY FEELING SHORT OF BREATH OK AND THIS COUGH WAS NOT ALSO SOMETHING THAT HAPPENS SUDDENLY THIS MORNING RES0207-003 OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE RES0207-004 NO NOT I MEAN IF I I GET A CALL FROM TIME TO TIME WHEN I GET SICK BUT I'VE NEVER REALLY FELT SHORT OF BREATH RES0207-005 OK IS THIS COUGH A DRY COUGH OR ARE YOU BRINGING UP ANY SPUTUM RES0207-006 IT'S A DRY COUGH RES0207-007 OK OK HAVE YOU HAD ANY FEVERS RES0207-008 I CHECKED IT THIS MORNING I WAS LIKE IT WAS KIND OF MILD SO THIRTY SEVEN POINT FOUR I THINK RES0207-009 THAT WAS JUST THIS MORNING RES0207-010 OK HAVE YOU HAD ANY CHEST PAIN RES0207-011 NO RES0207-012 OK HAVE YOU FELT AT ALL LIKE YOU'RE GOING TO FAINT RES0207-013 NO NO ALTHOUGH I I SHOULD LET YOU KNOW AND MAYBE I DON'T KNOW IF IT'S RELATED BUT I HAD A SEIZURE LAST NIGHT RES0207-014 AND I WAS FINE AFTER AND THEN I WENT TO BED I DON'T KNOW IF THAT'S RELATED BUT I THOUGHT I SHOULD LET YOU KNOW I DO HAVE A SEIZURE DISORDER I HAVE EPILEPSY RES0207-015 OK OK THANK YOU FOR SHARING THAT WITH ME HAVE YOU EVER HAD ANY ISSUES LIKE THIS FOLLOWING SEIZURES IN THE PAST RES0207-016 NO I USUALLY DON'T GET SEIZURES VERY OFTEN I KIND OF FORGOT TO TAKE MY MED I THINK THAT MIGHT HAVE RES0207-017 ALRIGHT OK NO WORRIES OK IS THERE ANYTHING IN TERMS OF THIS SHORTNESS OF BREATH AND THIS COUGH IS THERE ANYTHING THAT MAKES IT FEEL WORSE RES0207-019 IN ANY POSITION RES0207-020 I I MEAN I HAVEN'T REALLY BEEN IN A LOT OF POSITIONS LIKE IT JUST STARTED THREE HOURS AGO OR SO SO I HAVEN'T REALLY RES0207-021 THAT'S A HARD QUESTION RES0207-022 I HAVEN'T DONE MUCH SINCE THEN RES0207-023 HAVE YOU HAD ANY NAUSEA OR VOMITING RES0207-024 NO RES0207-025 ANY BELLY PAIN RES0207-027 OK ANY DIARRHEA RES0207-028 NO I DON'T RES0207-029 OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT'S BEEN SICK LATELY RES0207-030 NO I HAVEN'T RES0207-031 OK HAVE YOU TRAVELED ANYWHERE RES0207-032 NO I'VE JUST BEEN AT HOME RES0207-033 OK ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDN'T ASK YOU ABOUT RES0207-034 NO NO I RES0207-035 HAVE LOST ANY OF YOUR SENSE OF TASTE OR SMELL RES0207-036 NO I HAVEN'T RES0207-037 HAVE YOU HAD ANY SORE THROAT RES0207-038 NO RES0207-039 RUNNY NOSE RES0207-040 NO RES0207-041 OK SO IN TERMS OF YOUR OVERALL HEALTH YOU SAID THAT YOU HAVE EPILEPSY ANY OTHER CHRONIC CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0207-042 NO THAT'S IT RES0207-043 YOU SAID YOU TAKE A MEDICATION WHAT MEDICATION OR MEDICATIONS ARE YOU CURRENTLY TAKING RES0207-044 I'M TAKING KEPPRA RES0207-045 OK AND NORMALLY ARE YOU HAVING ANY DIFFICULTY REMEMBERING TAKING IT OR WAS IT JUST KIND OF A BRAIN FART RES0207-046 NO IT JUST KIND OF HAPPENED IT WAS IT WAS MY DAUGHTER'S BIRTHDAY AND WE KIND OF JUST I USUALLY SORT OF HAVE IT WITH DINNER TIME RES0207-047 BUT WE DID THINGS A LITTLE BIT DIFFERENTLY AND HAD LIKE A CELEBRATION EARLIER ON AND SO I COMPLETELY FORGOT BECAUSE I DIDN'T HAVE DINNER LATER RES0207-048 OH THAT MAKES SENSE IT HAPPENS FOR SURE OK DO YOU HAVE ANY ALLERGIES RES0207-049 NO RES0207-050 DO YOU HAVE ANY FAMILY HISTORY ANY ANY DISEASES THAT RUN IN YOUR FAMILY RES0207-051 EPILEPSY RUNS IN THE FAMILY MY MOM HAD IT RES0207-052 OK AND IN TERMS OF YOUR LIFESTYLE YOU SAID THAT YOU HAVE A DAUGHTER SO DO YOU LIVE WITH YOUR FAMILY DO YOU LIVE WITH YOUR DAUGHTER RES0207-053 I LIVE WITH MY DAUGHTER AND MY WIFE RES0207-054 HOW OLD IS YOUR DAUGHTER RES0207-055 PARDON ME RES0207-056 HOW OLD IS YOUR DAUGHTER RES0207-057 SHE'S SIXTEEN YEARS OLD RES0207-058 WOW SWEET SIXTEEN RES0207-059 RIGHT OK SO ARE YOU CURRENTLY WORKING RES0207-061 I AM WHAT DO YOU DO FOR WORK RES0207-062 I'M AN ACCOUNTANT RES0207-063 OK COOL ARE YOU WORKING FROM HOME OR STILL WORKING OUT RES0207-064 I'M WORKING FROM HOME RES0207-065 NICE AND THATS SOUNDS GREAT OK AND DO YOU SMOKE RES0207-066 I DON'T NO RES0207-067 DO YOU DRINK ALCOHOL RES0207-068 ON THE WEEKENDS ONE OR TWO CLASS SAYS A WINE RES0207-069 OK AND DID YOU USE ANY OTHER SUBSTANCES RES0207-070 NO I DON'T RES0207-071 OK I THINK THAT ABOUT COVERS MY QUESTIONS FOR NOW SO I'M GONNA TAKE EVERYTHING WE TALKED ABOUT RES0207-072 I'M GOING TO GO OVER IT WITH THE DOCTOR WAS WORKING TODAY AND NOW WE'LL COME BACK SHORTLY AND TALK TO YOU ABOUT THE NEXT STEPS IF THERE'S ANY TESTS WE WANT TO DO OR HOW WE WANT TO MOVE FORWARD WITH THIS SO RES0207-073 THATS GREAT RES0207-074 OK SURE SEE YOU SHORTLY RES0208-000 WHAT BRINGS YOU IN TODAY RES0208-001 HEY SO I JUST FOR THE LAST COUPLE DAYS I'VE JUST BEEN FEELING REALLY SHORT OF BREATH REALLY RUNDOWN JUST LIKE SUPER TIRED AND YOU KNOW NORMALLY REALLY ACTIVE AND I'M JUST I'M JUST HAVING A ROUGH GO RES0208-002 IS THERE IS THE SHORTNESS OF BREATH KNEW FOR YOU RES0208-003 IT'S JUST LIKE JUST LIKE I CAN'T I DON'T KNOW LIKE I CAN'T CATCH UP I KIND OF JUST FEEL I FEEL A BIT WEAK LIKE I'VE JUST BEEN FEELING REALLY TIRED AND THEN BECAUSE OF THAT I HAVEN'T REALLY BEEN EATING A LOT SO I DON'T KNOW RES0208-004 YOU'VE JUST BEEN FEELING VERY TIRED CAN YOU I GUESS LIKE TELL ME A LITTLE BIT MORE ABOUT YOUR DIFFICULTY WITH BREATHING WHEN DOES IT HAPPEN RES0208-005 I THINK JUST LIKE OVERALL I'M FINDING IT LIKE IT'S HARD TO HARD TO GET LIKE SUPER DEEP BREATHS IT'S NOT LIKE I I CAN'T I DON'T GET THE FEELING THAT I CAN'T BREATHE IT'S JUST THAT EVERYTHING'S A LITTLE BIT MORE LIKE LABORIOUS RES0208-006 OK AND YOU SAID THAT IT STARTED A FEW DAYS AGO HAVE YOU HAD ANY OTHER SYMPTOMS OTHER THAN THE DIFFICULTY BREATHING AND THE FATIGUE RES0208-007-1 I MEAN I FELT I THINK I FELT REALLY HOT YESTERDAY I DON'T KNOW THE THERMOMETER BUT I HAD MY WIFE PUT HER PUT HER HAND ON MY FOREHEAD AND SHE GOT A I FELT PRETTY WARM RES0208-007-2 AND COME TO THINK OF IT I THIS MORNING I I REALLY I DIDN'T EAT MUCH BECAUSE I JUST HAVEN'T BEEN THAT HUNGRY BUT I DON'T REALLY FEEL LIKE I COULDN'T REALLY TASTE MY BREAKFAST RES0208-008 HAS THAT EVER HAPPENED TO YOU BEFORE RES0208-009 NO NEVER I LIKE I LIKE MY FOOD RES0208-010 ME TOO OK WHAT ABOUT YOUR SENSE OF SMELL DO YOU FEEL LIKE YOU'RE NOT YOU ARE NOT ABLE TO SMELL WELL EITHER RES0208-011 I HAVEN'T THOUGHT ABOUT IT TOO HARD BUT KIND OF RES0208-012 OK AND HAVE YOU HAD A COUGH RES0208-013 I DON'T KNOW I I FEEL LIKE I MAYBE COULD BE STARTING STARTING ONE RES0208-014 SURE RES0208-015 LIKE IT'S WHEN IT FEELS DRY LIKE IT'S ON ITS WAY HAVEN'T REALLY BEEN COUGHING MUCH RES0208-016 I SEE WHAT ABOUT A SORE THROAT RES0208-017 I'M STARTING TO FEEL A LITTLE BIT LIKE THAT LIKE I DON'T KNOW IF I'M IMAGINING IT BUT I I THINK SO RES0208-018 I SEE OK HAVE YOU HAD A RUNNY NOSE OR ANY CONGESTION RES0208-019 NO RES0208-020 ANY HEADACHES RES0208-021 GOOD QUESTION I I KIND OF I GET I GET HEADACHES FAIRLY OFTEN I DON'T THINK I'M GETTING ANY MORE THAN USUAL BUT I HAVE HAD A LITTLE BIT RES0208-022 OK IS THE HEADACHE THAT YOU'VE HAD DIFFERENT IN QUALITY FROM THE HEADACHES THAT YOU USUALLY GET RES0208-023 I MEAN I DON'T KNOW I DON'T KNOW I USUALLY GET KIND OF DIFFICULT STRESS HEADACHE YOU KNOW RES0208-024 PRETTY WELL I AM STRESSED JUST THAT I YOU KNOW MIGHT BE SICK RES0208-025 AND HAVE YOU HAD ANY CHANGES IN YOUR VISION OR HEARING RES0208-026 NO RES0208-027 IN THE PAST THREE FOUR DAYS NO OK ANY NAUSEA OR VOMITING RES0208-028 NO NO I HAVEN'T RES0208-029 HAVE YOU HAD ANY CHEST PAIN RES0208-030 LIKE IT'S NO NO NO CHEST PAIN RES0208-031 ANY DO YOU FEEL LIKE YOUR HEART'S BEATING REALLY FAST RES0208-032 NO I WOULDN'T SAY SO RES0208-033 OK HAVE YOU HAD ANY PAIN IN YOUR BELLY RES0208-035 OK ANY URINARY SYMPTOMS RES0208-037 OK AND YOU MENTIONED YOU HAVE MUSCLE ACHES IS IT SO ALL OVER YOUR BODY OR IS IT A SPECIFIC PART SPECIFIC AREA RES0208-038 I WOULD JUST SAY I FEEL KIND OF OVERALL ACHY RES0208-040 NOT ANY ONE SPOT RES0208-041 ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS RES0208-042 NO RES0208-043 OK ALL RIGHT HAVE YOU HAD ANY EXPOSURE TO ANYONE WHO COULD POTENTIALLY BE SICK RES0208-044 WELL MY GRANDKIDS VISITED LAST WEEKEND AND MY GRANDSON HAS A COLD HE GOES TO DAYCARE SO I'M NOT REALLY I'M NOT REALLY SURE LIKE HE'S BEEN STAYING HOME AND THEY DIDN'T THEY DIDN'T REALLY KNOW THAT WHEN THEY CAME TO VISIT RES0208-045 OK THAT'S OK AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE RES0208-047 OK ALRIGHT DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU'VE BEEN DIAGNOSED WITH RES0208-048-1 I'M PRETTY I'M PRETTY HEALTHY I HAVE SOME LIKE REFLUX THAT I SEE MY DOCTOR FOR RES0208-048-2 AND I'VE HAD I'VE HAD SOME DIFFICULTIES LIKE WITH LIKE URINATING A LITTLE BIT ANY RES0208-048-3 MY MY PROSTATE'S A LITTLE BIG LIKE IT'S NOT CANCER BUT SO JUST THOSE TWO THINGS THAT AREN'T THAT AREN'T THERE THAT REALLY BIG DEAL THEY DON'T AFFECT MY LIFE TOO MUCH RES0208-049 ARE YOU TAKING ANY MEDICATIONS FOR EITHER PROBLEM RES0208-050 I TAKE AVODART RES0208-052 AND FOR THE THE REFLUX I TAKE A TUMS HERE AND THERE I USED TO BE ON A MEDICATION BUT IT SEEMED LIKE I KIND OF FIGURED OUT THE FOODS THAT WERE GOING TO HELP SO I STOPPED RES0208-053 GREAT THAT'S GREAT ANY ALLERGIES TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES RES0208-054 NO RES0208-055 NO OK AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY SPECIFICALLY ANYTHING RELATED TO THE LUNGS RES0208-056 NO NOT THAT I CAN THINK OF AND RES0208-057 DO YOU YOU MENTIONED THAT YOUR GRANDKIDS HAVE CAME TO VISIT DO YOU LIVE ALONE RES0208-058 NO I LIVE WITH MY WIFE RES0208-059 AND ARE YOU CURRENTLY WORKING OR ARE YOU STAYING AT HOME RES0208-060 I'M WORKING FROM HOME I I I'VE GONE OUT A FEW TIMES TO SEE CLIENTS I WORK AS A FINANCIAL ADVISOR I'VE GONE TO SEE A COUPLE CLIENTS THAT ARE REALLY OLD AND HAVE A HARD TIME DOING STUFF OVER THE PHONE OR OVER THE COMPUTER BUT I'M LIKE NINETY FIVE PERCENT FROM HOME RES0208-061 HAVE YOU GONE TO SEE ANY CLIENTS IN THE PAST THREE OR FOUR DAYS OR IN THE PAST WEEK RES0208-062 NO NO NO IT'S PROBABLY BEEN A COUPLE WEEKS SINCE I SAW ANYONE RES0208-063 OK AND DO YOU SMOKE OR DID YOU EVER SMOKE AT THE PAST RES0208-064 NO I I MAYBE DID FOR MAYBE LIKE THREE YEARS IN MY TWENTIES IT WASN'T HEAVILY YES RES0208-065 ANY MARIJUANA OR RECREATIONAL DRUGS RES0208-067 ANY ALCOHOL RES0208-068 I USUALLY HAVE A WHISKEY OR TWO ON THE WEEKENDS RES0208-069 OK ALRIGHT SO IT SOUNDS LIKE YOU HAVE SOME SORT OF AN INFECTION WITH THE FEVERS AND FATIGUE AND MUSCLE ACHES AND THEN THE DIFFICULTY BREATHING OF COURSE RES0208-070 AND THEN YOUR SENSATION THAT SENSATION THAT YOU ARE HAVING A VERY COOL SORT OF A SORE THROAT AND COUGH THAT YOU MIGHT BE GETTING WE CAN'T NECESSARILY RULE OUT COVID JUST YET RES0208-071 AND THAT'S WHAT I WAS WORRIED ABOUT RES0208-072-1 AND GIVEN THAT YOU'RE HAVING DIFFICULTIES BREATHING WE'RE ALSO GOING TO HAVE A LOOK AT YOUR CHEST AND DO IT PHYSICAL EXAM BUT ALSO DO A CHEST X RAY JUST TO MAKE SURE RES0208-072-2 OR JUST TO SEE IF THERE'S ANYTHING A INFECTION THAT IS SETTLING IN YOUR CHEST AND A COVID SWAB AND THEN GO FROM THERE RES0208-073 WE'LL DECIDE WHETHER YOU NEED TO STAY IN THE YOU NEED TO STAY IN THE HOSPITAL AND IF YOU CAN GO HOME BASED ON THOSE RESULTS BUT IF YOU ARE TO GO HOME WE WOULD REQUEST THAT YOU STAY AWAY FROM FROM EVERYONE SO INCLUDING YOUR WIFE RES0208-074 TRY TO SELF ISOLATE AS MUCH AS POSSIBLE AND YOUR RESULTS SHOULD COME OUT IN TWENTY FOUR TO FORTY EIGHT HOURS AND THEN THE PUBLIC HEALTH NURSE SHOULD TELL YOU WHAT TO DO IF YOUR RESULTS ARE POSITIVE RES0208-075 OK OK NO THAT SOUNDS FAIR RES0208-076 ALL RIGHT WELL LET'S DO A PHYSICAL EXAM AND THEN GO FROM THERE RES0208-077 OK THANK YOU RES0208-078 YOU'RE WELCOME RES0211-000 SO WHAT BRINGS YOU TO THE CLINIC TODAY RES0211-001 HI SO I JUST LIKE FOR I DON'T KNOW LIKE THREE OR FOUR DAYS I'VE BEEN HAVING THIS REALLY DRY COUGH AND MY THROAT FEELS REALLY SCRATCHY I JUST FEEL KINDA CRAPPY OVERALL AND MY HEAD'S POUNDING RES0211-002 YOUR HEADS POUNDING YOU HAVE A HEADACHE RIGHT NOW RES0211-003 LITTLE BIT I JUST KIND OF FEEL JUST ICKY RES0211-004 OK AND YOU SAY I'VE BEEN FEELING THAT FOR THREE TO FOUR DAYS NOW RES0211-005 EXACTLY RES0211-006 WHAT DID YOU FIRST NOTICE RES0211-007 I FIRST NOTICED THAT MY THROAT WAS KIND OF SCRATCHY AND THEN I STARTED COUGHING BUT IT'S REALLY LIKE DRY RES0211-008 OK SO YOU HAVEN'T BEEN BRINGING ANYTHING UP WITH IT RES0211-009 NO RES0211-012 OK YOU HAVEN'T BEEN NOTICING BEEN RUNNING A TEMPERATURE AT HOME HAVE YOU HOT FEVERS RES0211-013 I I HAVE FELT REALLY HOT RES0211-014 YOU FELT HOT AT HOME OK RES0211-015 YOU NOTICED ANY NIGHT SWEATS BY NIGHT SWEATS I MEAN YOU WAKE UP SHEETS ARE SOAKED RES0211-016 I HONESTLY I FELT HOT LIKE ALL THE TIME LIKE NIGHT I FEEL HOT BUT DURING THE DAY TOO I'M JUST LIKE I'M I'M LIKE HEY I'M WEARING LIKE JUST SHORTS AND LIKE A TANK TOP AND I JUST STILL FEEL REALLY HOT RES0211-017 OK YOU NOTICE SKIN CHANGES ANYTHING IN YOUR ARMS OR LEGS IT LOOKS WEIRD NEW RASHES RES0211-018 I DON'T I DON'T THINK SO I HAVEN'T REALLY BEEN LOOKING BUT YOU KNOW RES0211-019 NO WORRIES AND THEN ASIDE FROM THAT ANY NAUSEA ANY VOMITING RES0211-020 NO NOT THAT NO NOTHING LIKE THAT RES0211-021 ANY DIARRHEA RES0211-022 NO NO RES0211-023 ANY ACHES IN YOUR JOINTS ANYWHERE RES0211-024 NO I MEAN I'M I'M TIRED BUT I DON'T THINK THEY'RE NOT LIKE HURTING RES0211-025 OK SO ASIDE THAT ASIDE FROM KIND OF THIS DRY COUGH FEELING HOT THAT OTHERWISE YOU'RE FEELING OK YOU DON'T HAVE ANY OTHER REAL CONCERNS ASIDE FROM THAT RES0211-026 JUST LIKE I JUST FEEL CRAPPY LIKE I REALLY I DON'T THINK I KNOW THAT'S NOT LIKE A A REAL LIKE WAY TO SAY RES0211-027 OH NO NO IT'S PERFECTLY VALID WE CALLED THAT MALAYS IN GENERAL JUST FEELING A LITTLE BIT OFF ALRIGHT SO THIS IS GOING TO TALK ABOUT YOU FOR A LITTLE BIT BUT FIRST WE'LL GET TO THAT LATER SO ANY ISSUES THAT YOU'VE SEEN A DOCTOR FOR BEFORE RES0211-028 I HAVE I HAVE ALLERGIES USUALLY IN LIKE THE SPRING IN THE FALL RES0211-029 DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS RES0211-030 NO NO NOTHING LIKE THAT IT'S JUST LIKE I GET REALLY BAD ALLERGIES LIKE I I'VE SEEN AN ALLERGIST AND SOME YEARS I'VE GOTTEN ALLERGY SHOTS BUT LIKE NOT EVERY YEAR OTHERWISE I'LL TAKE LIKE CLARITIN RES0211-031 THIS ISN'T LIKE THIS IS MAYBE AROUND LIKE THIS IS JUST BEFORE THEY NORMALLY START SO I DON'T REALLY HAVE THEM RIGHT NOW RES0211-032 OK RES0211-033 PROBABLY LIKE IN A FEW WEEKS THEY'D BE REALLY BAD RES0211-034 NOW DO ANY OF THESE ALLERGIES CAN'T MAKE IT DIFFICULT TO BREATHE OR YOU FEEL LIKE YOUR FACE IS SWELLING UP RES0211-035 LIKE IT FEELS LIKE A LITTLE BIT LIKE PLUGGED UP AN LIKE WHAT'S THAT CALLED LIKE POST NASAL DRIP BUT I DON'T REALLY FEEL LIKE I CAN'T BREATHE RES0211-036 IT'S JUST LIKE A LITTLE STUFFY RES0211-037 EXACTLY RES0211-038 AND THESE SHOTS AT THE ALLERGIST GAVE YOU HOW OFTEN WOULD YOU GET THOSE RES0211-039 THOSE ARE THE ONES THAT I'D HAVE LIKE ONCE USUALLY LIKE ONCE A WEEK FOR A LITTLE WHILE LIKE IN THE WINTER BEFORE RES0211-040 OK SO YOU DON'T CARRY AN EPIPEN WITH YOU RES0211-041 NO NO THEY SAID IT'S NOT LIKE ONE OF THOSE ALLERGIES AND IT'S JUST LIKE IT'S JUST LIKE THE SEASONAL ONES BUT THEY'RE JUST BAD RES0211-042 OK SOUNDS GOOD SO YOU'VE SEEN AN ALLERGIST ANY OTHER DOCTORS THAT YOU'VE SEEN IN YOUR LIFE RES0211-043 MY FAMILY DOCTOR I DON'T REALLY GO VERY OFTEN RES0211-044 OK HAS THERE BEEN ANY HEALTH ISSUES THAT YOU'VE HAD IN THE PAST RES0211-045 NO LIKE I'VE BEEN REALLY HEALTHY IT'S JUST LIKE THE ALLERGIES AND RES0211-046 OK ANY SURGERIES IN YOUR LIFE RES0211-047 NO RES0211-048 NO ARE YOU TAKE IN ANY MEDICATIONS RIGHT NOW RES0211-049 I TAKE CLARITIN FOR ALLERGIES BUT I HAVEN'T LIKE RIGHT NOW I JUST HAVE IT WITH ME JUST IN CASE I TAKE BIRTH CONTROL RES0211-052 OK AND YOU TAKE THAT REGULARLY RES0211-053 IT'S JUST LIKE THE PILL IT'S LIKE THE ONE THAT GOES FOR THREE MONTHS RES0211-054 OK SO YOU DON'T HAVE AN IUD NOW YOU JUST TAKE THE ORAL CONTRACEPTION RES0211-055 JUST THE PILL GOT IT RES0211-056 GOT IT OK AND THEN SO YOU NEVER HAD ASTHMA IN YOUR LIFE NO RES0211-058 ANY FAMILY HISTORY OF ASTHMA RES0211-059 LIKE MY COUSIN RES0211-060 OK WHAT ABOUT YOUR PARENTS BROTHERS SISTERS RES0211-061 NO NOTHING LIKE THAT RES0211-062 KNOW WHAT ECZEMA IS RES0211-063 I'VE HEARD OF IT RES0211-064 OK ANYONE IN THE FAMILY HAVE IT RES0211-065 NO LIKE THE ONLY THING LIKE MY DAD HAS ALLERGIES TOO SAME KIND AS ME RES0211-066 DAD HAS ALLERGIES OK MOTHER AND FATHER STILL ALIVE RES0211-067 HEALTHY RES0211-068 GOOD OK DO YOU LIVE WITH THEM RIGHT NOW RES0211-069 LIKE I'M IN HIGH SCHOOL RES0211-070 OK SO YOU LIVE IN A HOUSE WITH BOTH YOUR PARENTS OK ANY BROTHERS SISTERS RES0211-071 I HAVE A LITTLE BROTHER RES0211-072 HOW OLD'S HE RES0211-073 LIKE FOURTEEN NOW RES0211-074 HAS ANYONE IN THE FAMILY BEEN SICK RECENTLY RES0211-078 BUT LIKE WE ARE DOING OUR SCHOOL FROM HOME NOW SO RES0211-079 GOT IT RES0211-080 MY MOM WORKS FROM HOME AND MY DAD JUST WORKS LIKE ON THE FARM SO SO NO ONE'S BEEN LIKE SEEING ANYONE OR GOING ANYWHERE TO GET SICK RES0211-081 OK SO SORRY DO YOU LIVE ON A FARM RES0211-082 OK IN LONDON RES0211-083 LIKE JUST OUTSIDE RES0211-084 OK ANY TRAVEL OR ANYWHERE RECENTLY RES0211-085 NO LIKE I JUST JUST CAME HERE BUT LIKE I DON'T REALLY LEAVE THE HOUSE RES0211-086 SO LAST LAST TWO WEEKS YOU HAVEN'T LEFT THE COUNTRY RES0211-087 NO RES0211-090 DO YOU KEEP ANY ANIMALS ON THE FARM RES0211-091 WE HAVE LIKE A DOG BUT IT'S NOT LIKE AN ANIMAL FARM RES0211-092 GOT IT OK ANOTHER QUESTIONS ARE YOU SEXUALLY ACTIVE RES0211-094 BUT YOU'RE TAKING THE BIRTH CONTROL OK SO WHEN WAS YOUR LAST MENSTRUAL PERIOD RES0211-095 LIKE LIKE I JUST GOT DONE LIKE A WEEK AGO RES0211-096 A WEEK AGO AND YOU HAVEN'T BEEN SEXUALLY ACTIVE SINCE THEN RES0211-097 NO RES0211-098 OK SO CHANCES OF BEING PREGNANT VERY LOW RES0211-099 OH OH IT'S BEEN LIKE A YEAR RES0211-100 GOT IT GOT IT ALRIGHT DO YOU SMOKE CIGARETTES RES0211-101 NO RES0211-102 DO YOU DRINK ALCOHOL RES0211-103 LIKE BEFORE COVID WHEN I SAW MY FRIENDS LIKE SOMETIMES A LITTLE BIT BUT LIKE NOT REALLY ANYMORE RES0211-104 OK HOW MUCH WOULD YOU DRINK WHEN YOU WENT OUT RES0211-105 OH LIKE I MEAN OUR PARENTS WOULD SOMETIMES LET US HAVE LIKE A COUPLE COOLERS BUT LIKE THAT WAS IT RES0211-106 GOT IT ANY OTHER DRUGS MARIJUANA COCAINE RES0211-107 LIKE I TRIED MARIJUANA ONCE AT A PARTY LIKE A COUPLE YEARS AGO BUT LIKE I HAD I NEVER DID IT AGAIN RES0211-108 GOT IT SO NONE OF THE HARDER DRUGS COCAINE HEROIN RES0211-109 NO RES0211-110 AND I GOTTA ASK THIS QUESTION FOR EVERYONE HAVE YOU EVER INJECTED DRUGS OR ANYTHING INTO YOUR ARM OR YOUR BODY RES0211-111 NO RES0211-112 OK ALRIGHT THANKS JESSICA SO JUST TO SUMMARIZE YOU KIND OF HAD A THREE TO FOUR DAY DRY COUGH WITH A LITTLE BIT OF FEVER SOME HEADACHE AND JUST IN TERMS WAS QUICKLY REVIEWING THEN RES0211-113 SO YOU HAVE BEEN BRINGING ANYTHING UP NO ONE IN CONTACT WITH THESE RECENTLY BEEN SICK YOU DON'T HAVE ASTHMA YOUR NOT TAKING ANY MEDICATIONS ASIDE FROM CLARITIN RES0211-114 AND YOUR LITTLE BROTHER MIGHT HAVE BEEN SICK ABOUT TWO WEEKS AGO WITH KIND OF A COMMON COLD AND WE'RE HOPING TO GET OUT OF THIS VISIT IS JUST KIND OF NEXT STEPS AND WHERE TO GO FROM HERE CORRECT RES0211-115 LIKE I JUST WANT TO KNOW IF I HAVE TO LIKE TAKE MEDICINE OR SOMETHING RES0211-116 OK ALRIGHT PERFECT THANK YOU VERY MUCH YOU HAVE ANY MORE QUESTIONS RES0211-117 NO I DON'T KNOW I DON'T HAVE ANY MORE QUESTIONS I JUST LIKE I CAN GO HOME SOON LIKE LAY DOWN RES0211-118 SOUNDS GOOD THANKS JESSICA RES0212-000 SO WHAT BRINGS YOU IN THE CLINIC TODAY RES0212-001 HEY I JUST HAD THIS COUGH THAT'S BEEN LIKE REALLY BOTHERING ME RES0212-002 OK HOW LONG HAVE YOU HAD THAT FOR RES0212-003 LIKE IN THE PAST FEW DAYS IT'S BEEN REALLY LIKE GROSS AND I'VE BEEN COUGHING UP THIS LIKE GUNK BUT I'VE HAD IT FOR I'VE HONESTLY HAD A COUGH FOR LIKE THREE MONTHS IT'S JUST LIKE SOMETIMES IT'S LIKE THERE AND SOMETIMES IT KIND OF GOES AWAY IT FEELS LIKE IT KEEPS COMING BACK RES0212-004 OK HAVE YOU HAD ANY CHEST PAIN RES0212-005 NO LIKE IT KINDA HURTS WHEN I COUGH NOW BUT NOT NOT LIKE ON ITS OWN RES0212-006 OK HAVE YOU NOTICED ANY FEVERS AT HOME OR FEVERS AT ALL IN THE LAST COUPLE DAYS RES0212-007 I'VE BEEN FEELING LIKE HOT AT NIGHT IN THE PAST COUPLE DAYS BUT LIKE I DIDN'T ACTUALLY TAKE MY TEMP RES0212-008 OK HAVE YOU HAD ANY NIGHT SWEATS YOU WAKE UP THE SHEETS ARE SOAKED RES0212-009 NO NOT THAT RES0212-010 NOTHING LIKE THAT OK HAVE YOU NOTICED ANY UNEXPLAINED WEIGHT LOSS OVER THE LAST LITTLE WHILE RES0212-011 NO RES0212-012 SO SO YOU GO ON THE SCALE YOU LOST A FEW POUNDS BUT YOU HAVEN'T BEEN TRYING TO BASICALLY RES0212-013 NO LIKE I I DON'T REALLY WEIGH MYSELF BUT I DON'T THINK SO RES0212-014 SO YOU HAVEN'T BEEN NOTICING CLOTHES HAVE BEEN FITTING LOOSE OR ANYTHING LIKE THAT RES0212-015 NO LIKE I WISH BUT NO RES0212-016 GOT IT GOT IT NOW LET'S TALK ABOUT WHAT YOU'RE BRINGING UP WITH YOUR COUGH WHAT COLOUR IS IT RES0212-017 IT'S REALLY GROSS IT'S KIND OF LIKE GREENISH RES0212-018 GREENISH OK AND ALSO ANY RED OR ANY BLOOD WITH IT RES0212-019 NO RES0212-020 OK AND DOESN'T SMELL AT ALL SMELL FUNKY RES0212-021 I HAVEN'T NOTICED RES0212-022 OK SO YOU'VE JUST BEEN BRINGING THIS STUFF UP FOR THE LAST COUPLE OF DAYS WHEN SPECIFICALLY TWO DAYS AGO THREE DAYS AGO RES0212-023 LIKE MAYBE MAYBE THREE DAYS RES0212-024 THREE DAYS AGO AND YOU SAID BEFORE THAT YOU KIND OF HAD THIS DRY COUGH BEFORE WHEN DID YOU FIRST NOTICE THAT THREE MONTHS AGO YOU SAID RES0212-025 YEAH I WAS I I DO LIKE IT LIKE SOUNDS SILLY BUT I DO LIKE A POLE DANCING CLASS JUST FOR EXERCISE AND I WAS LIKE AT MY CLASS AND I KIND OF JUST STARTED TO LIKE FEEL LIKE I WAS LIKE A LITTLE COUGHY AND LIKE I DON'T THINK THERE'S ANYTHING SPECIAL THAT WAS JUST LIKE WHEN I NOTICED IT RES0212-026 OK ANYONE AT THE CLASS SICK AT THAT TIME RES0212-027 I DON'T THINK SO LIKE IT'S A REALLY LONG TIME AGO I DON'T REALLY REMEMBER RES0212-028 GOT IT GOT IT ANYONE SICK NEAR YOU OR AROUND YOU IN THE LAST COUPLE OF WEEKS RES0212-029 NO NO NOT THAT I CAN THINK OF RES0212-030 OK AND REGARDING OTHER ANY WE ALREADY TALKED ABOUT CHEST PAIN YOU'VE BEEN ABLE TO EAT FOOD ALRIGHT RES0212-031 LIKE IT'S LIKE PRETTY NORMAL RES0212-032 SO NO NAUSEA NO VOMITING RES0212-033 NO NONE OF THAT RES0212-034 YOU DON'T HAVE A STIFF NECK AT ALL DO YOU RES0212-035 NO NO I DON'T RES0212-036 OK BUT HOW ABOUT OTHER PARTS OF YOUR BODY ANY PAIN TENDERNESS ANYWHERE RES0212-037 I DON'T THINK SO NO LIKE I'M I'M A LITTLE TIRED NOW LIKE THE COUGH IS LIKE MAYBE FOR LIKE A MONTH IT'S BEEN KIND OF WAKING ME UP A LITTLE BIT SO MY MY SLEEP HASN'T BEEN GREAT BUT I DON'T THINK IT'S LIKE I HAVE LIKE PAIN I'M JUST LIKE TIRED RES0212-038 OK SO THE COUGH DOES WAKE YOU UP AT NIGHT RES0212-040 PRETTY WELL FOR LIKE THE LAST NOT LIKE ALL THREE MONTHS BUT PROBABLY THE LAST MONTH RES0212-041 OK ALRIGHT I'M JUST GONNA MOVE ON TALK A LITTLE BIT ABOUT YOU AND THE PAST SO ANY ISSUES THAT YOU'VE SEEN A DOCTOR FOR BEFORE RES0212-042 JUST LIKE ECZEMA RES0212-043 OK AND DO YOU TAKE ANYTHING FOR THAT RES0212-044 JUST LIKE MOISTURIZING CREAMS LIKE MY FAMILY DOCTOR BACK HOME SAID LIKE A COUPLE TIMES WHEN IT WAS REALLY BAD SHE WOULD GIVE ME ONE LIKE TO GO GET AT LIKE SHOPPERS BUT RIGHT NOW IT'S NOT BAD SO I JUST HAVE JUST LIKE A REGULAR CREAM RES0212-045 GOT IT EVER BEEN HOSPITALIZED BEFORE RES0212-046 NO RES0212-047 OK ANY SURGERIES RES0212-048 NO RES0212-049 OK SO ASIDE FROM THE ECZEMA IT SOUNDS LIKE YOU'RE PRETTY HEALTHY EH RES0212-050 OK DO YOU HAVE ANY ALLERGIES RES0212-051 I THINK MAYBE MAYBE CATS BECAUSE I I DON'T HAVE ONE BUT SOMETIMES I'VE NOTICED STUFF BUT I'VE NEVER LIKE IT'S NEVER REALLY BEEN TOO BIG OF AN ISSUE RES0212-052 OK SO YOU'VE NEVER TAKEN ANY MEDICATIONS OR GOT STUNG BY A BEE AND HAD ANY TROUBLE BREATHING OR EVEN A CERTAIN FOOD RES0212-053 NO RES0212-054 NOTHING LIKE THAT OK ARE YOU TAKING ANY MEDICATIONS RIGHT NOW RES0212-056 AND YOU JUST GO TO WESTERN RES0212-057 DO YOU LIVE NEAR CAMPUS WITH ANYONE RES0212-058 I HAVE LIKE A ROOMMATE WE I LIVE IN AN APARTMENT WITH A ROOMMATE RES0212-059 OK HAVE THEY BEEN SICK AT ALL IN THE LAST LITTLE WHILE RES0212-060 NO RES0212-061 OK AND LAST LITTLE WHILE HAVE YOU DONE ANY TRAVELING RES0212-062 NO RES0212-063 SO YOU HAVEN'T BEEN OUTSIDE THE COUNTRY OR ANY EXOTIC LOCALES IN THE LAST LITTLE WHILE RES0212-064 NO LIKE I'M PLANNING TO ON MARCH BREAK BUT I HAVEN'T GONE ANYWHERE RES0212-065 GOT IT GOT IT SO YOU LIVE IN TOWN WITH YOUR ROOMMATE AND YOU'RE CURRENTLY A FULL TIME STUDENT RES0212-066 OK AND JUST REGARDS TO ANYTHING DO YOU SMOKE RES0212-067 NO LIKE I DON'T I DON'T SMOKE CIGARETTES LIKE I SOMETIMES SOMETIMES SMOKE MARIJUANA BUT USUALLY USUALLY IT'S LIKE THE VAPE RES0212-068 OK HOW OFTEN WE SAY YOU DO THAT A WEEK RES0212-069 OH LIKE MAYBE LIKE ONCE EVERY LIKE TWO WEEKS OR SOMETHING RES0212-070 GOT IT ANY OTHER SUBSTANCES SLASH DRUGS RES0212-071 NO LIKE ALCOHOL SOMETIMES LIKE RES0212-072 OK SO NO COCAINE NO HEROIN RES0212-073 NO RES0212-074 AND HAVE YOU EVER INJECTED DRUGS INTO YOUR BODY RES0212-075 NO RES0212-076 GOT IT GOT IT JUST COMING BACK TO ALCOHOL HOW OFTEN WOULD YOU SAY YOU DRINK RES0212-077 MAYBE LIKE ONE ONE NIGHT LIKE ON THE WEEKEND RES0212-078 OK AND WHAT DO YOU DRINK HOW MUCH DO YOU DRINK RES0212-079 I DON'T KNOW MAYBE LIKE FIVE OR SIX BEERS I GUESS IT JUST DEPENDS ON THE NIGHT RES0212-080 GOT IT GOT IT AND OTHER QUESTIONS WHEN WAS YOUR LAST MENSTRUAL PERIOD RES0212-081 MAYBE LIKE TWO WEEKS AGO RES0212-082 TWO WEEKS AGO OK ARE YOU SEXUALLY ACTIVE RES0212-083 WITH MY BOYFRIEND RES0212-084 OK SO DO YOU TWO USE CONTRACEPTION BIRTH CONTROL RES0212-085 WE USE LIKE CONDOMS RES0212-086 OK ANY CHANCE YOU COULD BE PREGNANT RIGHT NOW THAT WAS A STRANGE QUESTION TO ASK IF YOU'RE SEXUALLY ACTIVE BUT ANY UNPROTECTED SEX IN THE LAST TWO WEEKS RES0212-087 NO RES0212-088-1 GOT IT ALRIGHT AND WE'RE JUST KIND OF GOING OVER THINGS SO IT SOUNDS LIKE YOU'VE HAD THIS COUGH OR A COUGH FOR A LITTLE WHILE BUT IT'S ONLY BECOME BAD IN THE LAST THREE DAYS YOU'RE WAKING UP AT NIGHT AND YOU'RE KIND OF BRINGING UP THIS FOUL OR NOT THIS FOUL BUT THIS KIND OF GREENISH RES0212-088-2 SPUTUM BUT IT'S NO BLOOD IN IT AND OTHERWISE YOU DON'T HAVE ANY CONSTITUTIONAL SYMPTOMS SO I WILL GO REVIEW YOUR STORY WITH THE DOCTORS ANYTHING ELSE YOU'D LIKE TO BRING UP WITH THEM BEFORE I GO RES0212-089 I DON'T THINK SO I JUST LIKE I LIKE I HOPE I JUST CAN FEEL BETTER CAUSE I'VE BEEN MISSING LIKE MY EXERCISE STUFF CAUSE I FEEL LIKE IT'S JUST LIKE COUGHING AND IT MAKES IT HARD TO LIKE DO WELL RES0212-090 GOT IT GOT IT WE'LL SEE WHAT WE CAN DO OK THANK YOU VERY MUCH RES0212-091 OK THANKS RES0213-000 SO YOU'RE A TWENTY SIX YEAR OLD GENERALLY HEALTHY AND WITH SORRY BACK PAIN RES0213-001 CHEST PAIN RES0213-002 CHEST PAIN OK WHEN DID THE CHEST PAIN START RES0213-003 SO I I GUESS I I DON'T KNOW IF I'D REALLY CALL IT PAIN IT'S IT'S BEEN JUST VERY UNCOMFORTABLE LIKE IT JUST FELT A LITTLE ODD FOR LIKE A WEEK AND A HALF A WEEK AND A HALF RES0213-005 KIND OF LIKE A VERY SHARP STRONG PAIN WHEN I TAKE A DEEP BREATH RES0213-007 BUT I DON'T NOTICE IT ALL THE TIME IT'S JUST IT'S OFTEN WHEN I'M SITTING AND STUDYING OR WHEN I'M WALKING WHEN I'M WALKING TO SCHOOL RES0213-008 OK DID YOU HAVE ANY ACCIDENTS OR INJURIES AROUND THAT TIME RES0213-009 NO NOTHING THAT I CAN THINK OF RES0213-010 OK DID IT COME ON SUDDENLY OR IS IT MORE GRADUAL RES0213-011 IT'S NO IT'S IT'S PRETTY IT'S PRETTY WELL IT SEEMS THE SAME EACH TIME IT KIND OF LASTS LIKE TWENTY MINUTES OR SO AND I'VE TRIED TYLENOL AND I'VE TRIED ADVIL AND I'VE EVEN TRIED LIKE A LIKE AN ALKA SELTZER AND IT HASN'T REALLY HELPED VERY MUCH RES0213-012 OK SO IT'S PRETTY IT'S NOT CONSISTENT THROUGHOUT THE DAY IT ONLY HAPPENS AT CERTAIN TIMES OF THE DAY RES0213-013 IT'LL COME ON FOR LIKE TWENTY MINUTES LIKE HERE AND THERE RES0213-014 OK ANYTHING THAT YOU THINK TRIGGERS IT RES0213-015-1 I DON'T I DON'T REALLY KNOW I WAS KIND OF WORRIED I WAS KIND OF WORRIED THAT IT COULD BE A HEART THING I I FEEL LIKE IT MIGHT IT MIGHT BE IT COULD BE STRESS RES0213-015-2 BUT I'M I'M NOT REALLY SURE MY DAD HAD A HEART ATTACK LAST YEAR HE WAS PRETTY YOUNG HE'S LIKE IN HIS FIFTIES AND IT IT JUST KIND OF SCARES ME BECAUSE NOW HE'S HAVING THESE HEART PROBLEMS RES0213-016 OK SO THESE CHEST PAINS LAST FOR ABOUT TWENTY MINUTES IT ONLY HAPPENS WHEN YOU TAKE A DEEP BREATH IN AND AFTER THE TWENTY MINUTES DO THEY COME AND GO IS IT SOMETHING THAT GRADUALLY WEANS OFF OR IS IT FAIRLY SHARP RES0213-017 IT SEEMS LIKE IT KIND OF GOES AWAY ONCE I ONCE I'M AT SCHOOL AND LIKE TALKING TO PEOPLE AND DOING OTHER THINGS IT'S KIND OF WHEN I'M I NOTICE IT WHEN I'M ON MY WALKS WHEN I'M ALONE OR LIKE WHEN I'M STUDYING ALONE MORE LIKE MAYBE I HAVE IT WHEN I'M TALKING TO OTHER PEOPLE BUT I DON'T REALLY NOTICE IT RES0213-018 OK DOES IT GET WORSE WITH EXERCISE RES0213-019 I DON'T THINK SO IT JUST KIND OF LIKE WHEN I'M WALKING TO SCHOOL IT KIND OF STAYS THE SAME I HAVEN'T DONE ANY STRENUOUS EXERCISE LATELY CAUSE I'VE JUST HAD SO MUCH SCHOOLWORK PILING UP RES0213-020 MAINLY GET IT AT SO YOU CAN GET IT AT REST I SHOULD SAY RES0213-021 EXACTLY LIKE WHEN I'M STUDYING RES0213-022 OK ANY FEVERS SICK AT ALL LAST LITTLE WHILE RES0213-023 NO NO I DON'T THINK SO RES0213-024 NO YOU'VE BEEN FEELING WELL OTHERWISE RES0213-025 I MEAN BESIDES JUST KIND OF FEELING STRESSED I LIKE I I'VE BEEN TRYING TO QUIT SMOKING AND THAT'S BEEN THAT'S BEEN KIND OF HARD AND SCHOOL'S JUST VERY VERY BUSY RIGHT NOW RES0213-026 WHEN DID YOU STOP SMOKING RES0213-027 SO LIKE I GUESS I'M TRYING TO QUIT I'M SMOKING LESS THAN I USED TO I PROBABLY SMOKED FIVE CIGARETTES A DAY BUT IT USED TO BE A LITTLE BIT MORE RES0213-028 OK COMING BACK TO THE STRESS IS THERE ANYTHING RECENTLY THAT'S CAUSING YOU MORE WORRIES RES0213-029 IT'S JUST THAT I'M I'M DOING MY MASTERS OF SOCIAL WORK AND I'M GETTING TOWARDS THE END AND IT'S JUST IT'S VERY SCARY BECAUSE I'M WORKING ON MY FINAL THESIS AND THERE'S JUST A LOT INVOLVED AND IT'S IT'S JUST MAKING ME VERY NERVOUS RES0213-030 OK IS THERE ANYTHING SPECIAL ABOUT THE LAST COUPLE OF WEEKS THAT'S MADE YOU MORE STRESSED THAN PREVIOUSLY RES0213-031 I THINK JUST THE THE TIME CRUNCH OF HAVING TO TO FINISH THIS I'VE NEVER FELT LIKE SO LIKE THERE IS SO LITTLE TIME TO DO THE WORK THAT I NEED TO DO RES0213-032 GOT IT HAVE YOU EVER FELT THIS PAIN BEFORE ANYTIME IN YOUR LIFE RES0213-033 NO NOT BEFORE THIS RES0213-034 OK SO IT COMES ON SEVERAL TIMES A DAY NOT NECESSARILY TRIGGERED BY ANYTHING AND YOU SAID YOU SMOKE WHEN DID YOU START SMOKING RES0213-035 LIKE WHEN I WAS PROBABLY EIGHTEEN I I SOMETIMES SMOKED A LITTLE AND THEN I SMOKED A LITTLE MORE MAYBE LIKE TEN CIGARETTES A DAY FOR LIKE THE LAST TWO YEARS BUT THEN A FEW MONTHS AGO I'VE BEEN I'VE BEEN CUTTING IT IN HALF RES0213-036 OK NOW WHEN YOU GET THIS THIS CHEST PAIN DO YOU EVER FEEL SHORT OF BREATH RES0213-037 I I I THINK I I MAKE MYSELF NERVOUS WITH IT AND THEN I KIND OF START BREATHING FASTER BUT I DON'T HAVE A HARD I DON'T HAVE A HARD TIME BREATHING OTHERWISE AND IT'S HARD TO GET A DEEP BREATH CAUSE I'M IT MAKES ME REALLY NERVOUS RES0213-038 DOES YOUR HEART EVER FLUTTER FEEL LIKE IT'S SKIPPING A BEAT RES0213-039 NO ONLY IF I ONLY IF I IF I IF I'M HAVING KIND OF AN ANXIETY ATTACK THAT'S FELT LIKE THAT BEFORE BUT NOT ANY OTHER TIME RES0213-040 OK DON'T GET ANY CHEST PAIN ALL RIGHT AND JUST IN TERMS OF OTHER THINGS SO ANYTHING ELSE YOU'VE SEEN A DOCTOR FOR IN THE PAST YOU MENTIONED ANXIETY ATTACKS RES0213-041 LIKE I TALKED TO MY FAMILY DOCTOR ABOUT THAT WHEN I WAS A TEENAGER BUT I REALLY HAVEN'T YOU KNOW SEEN MY DOCTOR FOR IT ANYTIME IN THE LAST LIKE EIGHT YEARS OR SO RES0213-043 OH SORRY NO NOTHING ELSE I JUST I THOUGHT I WAS KIND OF WHEN I WAS IN HIGH SCHOOL I HAD THOSE AND THEN I REALLY HAVEN'T FOR A LONG TIME BUT LATELY I FELT LIKE THIS LIKE I COULD MAYBE GET THEM AGAIN RES0213-044 SO YOU'VE NEVER HAD ASTHMA AS A CHILD RES0213-045 NO RES0213-046 AND YOU DON'T HAVE ASTHMA NOW RES0213-047 NO RES0213-048 OK DO YOU TAKE ANY MEDICATIONS RIGHT NOW RES0213-049 NO LIKE I TAKE LIKE A MULTI VITAMIN BUT THAT'S IT RES0213-050 OK AND YOU LIVE IN LONDON RES0213-051 LIKE FOR SCHOOL RES0213-052 YOU'RE DOING A MASTERS IN SOCIAL WORK ANYONE AROUND YOU BEEN SICK AT ALL LAST LITTLE WHILE RES0213-053 NO LIKE I LIVE ALONE I HAVEN'T REALLY SEEN VERY MANY PEOPLE LATELY RES0213-054 OK AND HOW DO YOU MANAGE STRESS WHEN YOU DO GET IT RES0213-055 I I TRY TO I TRY TO LIKE SET SOME TIME ASIDE JUST TO READ BOOKS THAT LIKE I LIKE TO READ INSTEAD OF LIKE SCHOOL BOOKS AT NIGHT TIME AND I DO REALLY ENJOY RUNNING IT'S I'VE BEEN A LITTLE BIT NERVOUS TO DO IT LATELY BUT USUALLY I RUN LIKE A FEW TIMES A WEEK RES0213-056 OK AND WHEN YOU'RE PRETTY PREOCCUPIED DO YOU EVER GET THE CHEST PAIN RES0213-057 LIKE WHEN I'M REALLY WHEN I'M WORK LIKE WORKING WITH CLASSMATES OR LIKE THINKING REALLY LIKE IF I'M TALKING TO SOMEONE ELSE I DON'T REALLY GET IT OR IF I IF I'M LIKE WORKING ON A TASK WITH MY HANDS BUT IT'S WHEN I'M WALKING AND I AM ALONE KIND OF WITH MY THOUGHTS OR WHEN I'M STUDYING THAT'S WHEN I WHEN I GET IT RES0213-058 UNDERSTOOD AND YOU SAID YOUR FATHER PASSED EARLY FROM A HEART ATTACK I'M SORRY BUT ANYONE ELSE IN YOUR FAMILY EITHER YOUR PARENTS OR MUM HAVE ANY HEALTH ISSUES RES0213-059 HE'S ALIVE LIKE HE HAD A HEART ATTACK AND JUST NOW HE HAS TO SEE A LOT OF HEART DOCTORS NO THERE'S NOTHING ELSE IN MY FAMILY LIKE THAT I DON'T REALLY KNOW LIKE ABOUT MY GRANDPA LIKE MY DAD'S DAD BUT LIKE HE MIGHT HAVE ALSO HE JUST KIND OF HE JUST PASSED AWAY YOUNG FROM LIKE AN ACCIDENT SO I'M NOT REALLY SURE RES0213-060 GOT IT SO NO ONE HAS DIED SUDDENLY WITH NO EXPLANATION WHEN THEY WERE YOUNG OR WHILE THEY WERE SWIMMING RES0213-061 NO RES0213-062 NO ONE'S EVER TALKED ABOUT ARRHYTHMIAS OR IS THAT A WORD FAMILIAR TO YOU RES0213-063 NO NO JUST MY DAD AND HIS HEART ATTACK THAT'S LIKE THE ONLY THING I KNOW OF RES0213-064 OK SOUNDS GOOD I THINK I'VE GOT ALL THE INFORMATION I NEED AND I'LL PASS IT ON TO THE DOCTOR WHO'LL TAKE A LOOK AT YOU OK HAVE A GOOD ONE RES0213-065 OK THANK YOU RES0214-000 WHAT BROUGHT YOU IN TODAY RES0214-001 SO I'VE HAD THIS TERRIBLE FEVER FOR THE PAST THREE DAYS AND JUST BEFORE THAT I HAD A STUFFY NOSE AND I HAD A SORE THROAT WELL I STILL DO AND IT'S JUST NOT GOING AWAY SO I THOUGHT I SHOULD JUST COME IN AND SEE IF I HAVE COVID OR WHAT IT IS RES0214-002 OK SO IF I UNDERSTAND IT STARTED WITH A STUFFY NOSE RES0214-003 YES RES0214-004 OK AND THAT KINDA PROGRESSED TO A FEVER RES0214-005 YES THAT'S RIGHT RES0214-006 OK HAVE YOU BEEN FEELING ANY OTHER SYMPTOMS ASIDE FROM THE FEVER RES0214-007 NO RES0214-008 NOTHING REALLY HAVE YOU HAD ANY NAUSEA ANY VOMITING AT ALL IN THE LAST LITTLE WHILE RES0214-009 NO RES0214-010 ANY PAIN ANYWHERE ELSE IN YOUR BODY RES0214-011 NO RES0214-012 OK DO YOU HAVE ANY NECK STIFFNESS RES0214-013 NO RES0214-014 ANY HEADACHES RES0214-015 NO NO HEADACHES RES0214-016 OK AND HAVE YOU BEEN ABLE TO EAT AND DRINK DURING THIS TIME PERIOD RES0214-017 YES RES0214-018 EXCELLENT OK YOU'VE HAD A COUGH AT ALL RES0214-019 NO COUGH RES0214-020 NO COUGH OK AND THEN HOW ABOUT ABDOMINAL PAIN ANY PAIN IN YOUR TUMMY RES0214-022 NOTHING LIKE THAT WHAT ABOUT OTHER CHANGES IN YOUR BODY HAVE YOU NOTICED ANY FEVERS OR ANY RASHES ANY SKIN CHANGES RES0214-023 NO NOTHING LIKE THAT RES0214-024 OK WHAT ABOUT ANY PAIN IN ANY OF YOUR JOINTS AND YOUR KNEES HIPS RES0214-025 OH ACTUALLY NOT IN MY JOINTS BUT I'VE JUST THERE THERE HAS BEEN SOME MUSCLE ACHE RES0214-026 OK HOW LONG HAS THAT BEEN GOING ON FOR RES0214-027 FOR THE PAST TWO THREE DAYS RES0214-028 SO AROUND THE SAME TIME THAT YOU'VE HAD THIS FEVER RES0214-030 THAT'S RIGHT RES0214-031 NOW HAVE YOU HAD ANY CONTACT WITH ANYONE WHO'S BEEN SICK IN THE LAST LITTLE WHILE RES0214-032 NO NOT THAT I CAN THINK OF RES0214-033 OK HAVE YOU HAD ANY RECENT TRAVEL ANYWHERE ELSE RES0214-034 NO I DID GO HIKING LAST WEEKEND AND IT WAS ABOUT TWO HOURS AWAY THERE WERE SOME PEOPLE ON THE HIKING TRAIL THAT I PASSED BY BUT OTHER THAN THAT NO TRAVEL OUTSIDE THE PROVINCE RES0214-035 OK DOES ANYONE AROUND YOU OR IN YOUR IMMEDIATE CIRCLE COME DOWN WITH ANYTHING SIMILAR RECENTLY RES0214-036 MY HUSBAND HAS ALSO BEEN EXPERIENCING SIMILAR SYMPTOMS FOR THE PAST WEEK RES0214-037 OK HOW'S HE DOING RES0214-038 THE SAME AS ME RES0214-039 OK AND HAVE YOU HAD ANY COVID SWABS RECENTLY RES0214-040 NO RES0214-041 OK AND ASIDE FROM THE WEEKEND HIKE HAVE YOU BEEN MAINLY SELF ISOLATING OR RES0214-042 JUST ME AND MY HUSBAND AT HOME RES0214-043 AND DO YOU LEAVE THE HOUSE FOR WORK AT ALL RES0214-044 NO I WORK FROM HOME RES0214-045 OK SOUNDS GOOD SO YOU HAVE SOME MUSCLE ACHES LITTLE BIT OF FEVER STUFFY NOSE SORE THROAT DO YOU HAVE ANY DIFFICULTY SWALLOWING RES0214-046 NO IT JUST HURTS RES0214-047 OK SO YOU'RE STILL ABLE TO SWALLOW FOOD SWALLOW LIQUIDS RES0214-048 YES THAT'S RIGHT RES0214-049 FEEL LIKE ANYTHING IS GOING DOWN THE WRONG WAY OR HAVE ANY COUGHING AFTER YOU SWALLOW RES0214-050 NO RES0214-051 OK AND JUST IN TERMS OF COMING BACK TO THIS SORE THROAT DO YOU FEEL LIKE YOU HAVE ANY SWELLING AROUND YOUR NECK DOES IT FEEL INFLAMED OR SWOLLEN RES0214-052 NO RES0214-053 NOTHING LIKE THAT NO RES0214-055 OK ALRIGHT EXCELLENT SO YOU'RE EATING WELL DOING WELL ANY CHANGES TO YOUR BOWEL MOVEMENTS RECENTLY RES0214-056 NO NO RES0214-057 OK ALRIGHT I'LL JUST KIND OF GO INTO OTHER THINGS JUST IN TERMS OF ANYTHING ELSE THAT YOU MIGHT HAVE HAD IN THE PAST HAVE YOU EVER BEEN HOSPITALIZED FOR ANY REASON IN YOUR LIFE RES0214-058 I HAD MY GALLBLADDER TAKEN OUT FIVE YEARS AGO RES0214-059 SO THAT WAS AROUND WHEN YOU WERE FIFTY YEARS OLD RES0214-060 YES RES0214-061 AND ANY OTHER SURGERIES YOU'VE HAD IN YOUR LIFE RES0214-063 NO NO ANYTHING YOU'VE HAD TO SEE A DOCTOR FOR RES0214-064 I IN THE PAST COUPLE OF YEARS JUST FOR THINGS LIKE LIKE THIS I GUESS COLDS I'M PRE DIABETIC SO I'VE BEEN CHECKING MY GLUCOSE LEVELS OTHER THAN THAT NOTHING ELSE RES0214-065 SO NO HIGH BLOOD PRESSURE RES0214-066 NO RES0214-067 NO CHOLESTEROL ISSUES RES0214-068 NO RES0214-069 OK SO IT SOUNDS LIKE YOU'VE BEEN PRETTY HEALTHY OTHERWISE RES0214-070 EXCELLENT OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OTHERWISE RES0214-071 PENICILLIN RES0214-072 PENICILLIN WHAT HAPPENS WHEN YOU TAKE PENICILLIN RES0214-073 I GET A RASH RES0214-074 OK ANY TROUBLE BREATHING RES0214-075 NO RES0214-076 AND WHAT MEDICATIONS IF ANY ARE YOU ON I'M RES0214-077 I JUST TAKE MULTIVITAMINS THAT'S IT THOUGH RES0214-078 AND YOU SAID YOU LIVED WITH YOUR HUSBAND IN A HOUSE IN LONDON RES0214-079 YES THAT'S RIGHT RES0214-080 WHAT DO YOU TWO DO FOR WORK RES0214-081 SO I WORK FROM HOME AS A DIGITAL MARKETING AGENT AND MY HUSBAND IS A COMPUTER PROGRAMMER RES0214-082 OK AND DO YOU SMOKE RES0214-083 NO RES0214-084 DO YOU DRINK ALCOHOL RES0214-085 I DRINK ONCE ONCE IN A WHILE RES0214-086 OK AND WHEN YOU DRINK HOW MANY DRINKS DO YOU HAVE RES0214-087 ABOUT ONE OR TWO GLASSES OF WINE RES0214-088 GOT IT ANY OTHER RECREATIONAL DRUGS SUBSTANCES RES0214-089 NO RES0214-090 SO NO MARIJUANA HEROIN COCAINE RES0214-091 I'VE TRIED MARIJUANA BEFORE JUST LIKE EDIBLES BUT NOT NOT REGULARLY RES0214-092 UNDERSTOOD AND HAVE YOU EVER USED IV DRUGS RES0214-093 NO RES0214-094 OK AND WHEN WAS YOUR LAST MENSTRUAL PERIOD RES0214-095 IT WAS A YEAR AGO RES0214-096 A YEAR AGO RES0214-097 OK AND THEN OTHERWISE SO WE TALKED A LITTLE BIT ABOUT RECENT TRAVEL IT SOUNDS LIKE YOU HAVE THE HIKING TRIP LAST WEEK AND YOU PASSED SOME PEOPLE BUT IT SOUNDS LIKE YOUR HUSBAND ALSO HAS KIND OF SIMILAR SYMPTOMS THAT YOU DO RIGHT NOW RES0214-098 SOUNDS GOOD NOW WE'VE ALREADY TALKED ABOUT KIND OF PAST MEDICAL ISSUES MOVING ON I THINK WHAT WE'LL DO NEXT IS MOVE ON TO A PHYSICAL EXAM BUT BEFORE I DO THAT DO YOU HAVE ANY QUESTIONS FOR ME ANYTHING ELSE YOU FEEL I SHOULD KNOW RES0214-099 NO DO YOU THINK I HAVE COVID RES0214-100-1 IT'S A POSSIBILITY IT'S ALWAYS GOOD TO RULE THESE THINGS OUT SO WE'LL BE ORDERING A COVID SWAB NO MATTER WHAT OBVIOUSLY WITH ANY PRESENTATION WHERE WE HAVE SOMEONE COME IN WITH A FEVER AND SORE THROAT WE WANT TO RULE OUT ANYTHING INFECTIOUS RES0214-100-2 SO IT SOUNDS LIKE IF YOUR HUSBAND GOT IT AND YOU HAVE IT COVID WOULD BE OUR FIRST THING THAT WE WANT TO RULE OUT SO JUST WHILE WE'RE TRYING TO INVESTIGATE WORK THIS UP FURTHER I WANT TO HAVE YOU AND YOUR HUSBAND SELF ISOLATE THE OTHER QUESTION I SUPPOSE I SHOULD ASK IS HAVE YOU GOTTEN YOUR FLU SHOT THIS YEAR RES0214-101 NO I HAVEN'T RES0214-102 SO IT'S ALSO A POSSIBILITY IT MIGHT BE INFLUENZA JUST THE SEASONAL FLU BUT UNTIL WE I SUPPOSE RULE OUT COVID IT'D BE BEST JUST TO KEEP TO YOURSELF JUST IN CASE YOU ARE INFECTIOUS FOR THE MEANWHILE RES0214-103 OK SURE RES0214-104 ALRIGHT WELL I'M GOING TO GO TALK TO THE DOCTOR AND I'LL BE COMING BACK IN TO SEE YOU OK RES0214-105 ALRIGHT GREAT THANK YOU RES0215-000 HOW CAN I HELP YOU TODAY RES0215-001 HI I BROUGHT I BROUGHT MY EIGHT YEAR OLD DAUGHTER HERE BECAUSE I'VE NOTICED THAT SHE'S BEEN QUITE WHEEZY FOR THE PAST FOUR FIVE DAYS AND NOW SHE HAS A SLIGHT COUGH SOUNDS LIKE SHE'S A LITTLE SHORT OF BREATH SO I JUST WANTED TO GET THINGS CHECKED OUT RES0215-002 OK SO FOR THE WHEN IT FIRST PRESENTED ABOUT FOUR TO FIVE DAYS AGO WHAT DID YOU NOTICE NOTICE FIRST RES0215-003 I NOTICED THAT SHE WAS WHEEZY AND IT'S IT SEEMED LIKE SHE WAS HAVING SOME DIFFICULTY TAKING IN DEEP BREATHS RES0215-004 OK NOW WAS THIS WITH ANY TYPE OF ACTIVITY OR JUST AT REST RES0215-005 SHE WAS PLAYING TAG WITH ONE OF HER COUSINS AND SHE SHE WAS QUITE OUT OF BREATH AFTER RES0215-006 OK HAS SHE EVER HAD ANYTHING LIKE THIS BEFORE RES0215-007 NO RES0215-008 NOTHING LIKE THAT OK AND HAS IT BEEN FAIRLY STEADY SINCE THEN OR HAS IT BEEN FLUCTUATING RES0215-009 IT'S BEEN FLUCTUATING RES0215-010 OK BUT IT HASN'T REALLY GONE AWAY IN THE SENSE THAT YOU'RE STILL CONCERNED COMING NOW FOUR DAYS LATER RES0215-011-1 YEAH IT'S JUST IT WOULD SHE WOULD HAVE THESE THESE EPISODES BUT IT WOULD RESOLVE ON ITS OWN AND THEN SHE WOULD YOU KNOW GO BACK TO DOING SOME SORT OF ACTIVITY AND THEN SHE WOULD HAVE ALL THESE SYMPTOMS ALL OVER AGAIN BUT WHEN SHE RESTS RES0215-011-2 THEN IT GOES AWAY SO I WASN'T REALLY SURE TOO SURE WHAT TO THINK OF IT BUT NOW I THINK IT'S IMPORTANT TO GET IT CHECKED OUT SO HERE WE ARE RES0215-012 HAS SHE HAD ANY FEVERS AT HOME RES0215-013 NO RES0215-014 HAS SHE HAD A RUNNY NOSE AT ALL AT HOME RES0215-015 NO RES0215-016 HAS SHE SEEMED WELL OTHERWISE DOES SHE LOOK SICK RES0215-017 SHE LOOKS FINE OTHERWISE RES0215-018 OK AND HAS SHE HAD ANY SICK CONTACTS RECENTLY ANYONE AROUND HER OR HER FRIENDS BEEN SICK RES0215-019 NO NOT THAT I'VE NOTICED RES0215-020 OK ANY RECENT TRAVEL ANYWHERE RES0215-021 NO NO WE DIDN'T GO ANYWHERE BECAUSE OF COVID RES0215-022 OK BUT SHE'S STILL BEEN GOING TO SCHOOL I SUPPOSE PLAYING WITH HER FRIENDS RES0215-023 YES RES0215-024 OK HAVE YOU NOTICED ANY RASHES ANY SKIN CHANGES ANYWHERE ON HER BODY RES0215-025 NOT THAT I'VE NOTICED NO RES0215-026 OK NOTHING LIKE THAT HAS SHE COMPLAINED OF ANY PAIN ANYWHERE RES0215-027 NO RES0215-028 OK AND HAS SHE HAD ANY RECENT INFECTIONS RES0215-029 SHE HAD ACTUALLY SHE HAD A COUPLE OF INFECTIONS OVER THE PAST TWO YEARS THEY WOULD COME AND GO AND WE TOOK HER TO THE DOCTOR EACH TIME AND IT JUST ENDED UP BEING SOME SORT OF VIRAL INFECTION RES0215-030 OK SO NOTHING REALLY NEEDING ANTIBIOTICS NO IN THE LAST COUPLE OF YEARS OK RES0215-032 AND IN TERMS OF HOW SHE'S BEEN DOING HAS SHE BEEN KEEPING UP WITH HER PEERS IN TERMS OF EDUCATION AND HOW SHE MOVES HOW SHE ACTS RES0215-033 SHE'S BEEN SHE'S BEEN ON PAR WITH HER PEERS RES0215-034 OK SO DOES SHE HAVE A FAMILY PHYSICIAN RES0215-035 YES RES0215-036 OK SO THEY HAVEN'T BROUGHT UP ANY CONCERNS ABOUT HOW SHE'S GROWING HOW SHE'S DEVELOPING RES0215-037 NO RES0215-038 SO HER WEIGHT HER HEIGHT THEY'VE BEEN GOOD FOR HER AGE RES0215-039 EXCELLENT AND HAS SHE GOTTEN HAS SHE BEEN KEEPING UP TO DATE FOR IMMUNIZATIONS RES0215-040 YES SHE'S FULLY UP TO DATE RES0215-041 EXCELLENT IN REGARDS TO HOW SHE'S DOING OTHERWISE HEALTH IN TERMS OF HER HEALTH HAS DID SHE SEE A FAMILY PHYSICIAN FOR ANY OTHER MEDICAL ISSUES THAT SHE MIGHT BE HAVING RES0215-042 NO SHE'S OTHERWISE PRETTY HEALTHY RES0215-043 OK HOW WAS THE BIRTH WAS THERE ANY COMPLICATIONS WHEN SHE WAS BORN RES0215-044 NO SHE WAS A VAGINAL DELIVERY FULL TERM NO COMPLICATIONS RES0215-045 OK SO NOTHING WHEN YOU WERE PREGNANT WITH HER NO TOXIC CONGESTIONS BY THAT I MEAN DID YOU DRINK ANY ALCOHOL SMOKE AT ALL WHEN YOU WERE PREGNANT WITH HER RES0215-046 NO RES0215-047 NO OK AND YOU JUST HAD ANTENATAL CARE SO YOU SAW DOCTOR FOR ULTRASOUNDS AND JUST FOR CHECKUPS RES0215-048 EVERYTHING WAS FINE RES0215-049 OK AND WHEN SHE WAS BORN SHE DIDN'T HAVE TO STAY IN THE HOSPITAL AT ALL RES0215-050 NO NO RES0215-051 AND WAS SHE BORN WHAT WEIGHT WAS SHE WHEN SHE WAS BORN RES0215-052 SHE WAS HOW MUCH WAS SHE I THINK SHE WAS ABOUT EIGHT KILOS RES0215-053 EIGHT KILOS RES0215-054 SORRY EIGHT POUNDS EIGHT EIGHT POUNDS RES0215-055 NO WORRIES AND THEN OTHERWISE SHE IS SO SHE'S BEEN HEALTHY OTHERWISE BEEN DOING WELL JUST IN TERMS OF HOW SHE'S BEEN DOING WITH OTHER SYSTEMS OF HER BODY HAVE YOU NOTICED ANY CONCERNS FOR HER BOWEL MOVEMENTS RES0215-056 NO SHE'S BEEN PRETTY REGULAR RES0215-057 OK ANY CONCERNS FOR PEEING RES0215-058 NO SHE'S BEEN GOING PRETTY FREQUENTLY AND SHE'S NO CHANGES THERE RES0215-059 AND WE ALREADY TALKED SHE HASN'T HAD ANY FEVERS WHEN SHE COUGHS DOES SHE EVER BRING ANYTHING UP RES0215-060 NO I HAVEN'T NOTICED ANY PHLEGM NO RES0215-061 OK AND WHEN SHE'S HAVING THESE WHEEZY EPISODES DO YOU EVER NOTICE THAT SHE LOOKS LIKE SHE'S REALLY STRAINING TO BREATHE REALLY STRUGGLING RES0215-062 SO SHE IT'S NOT LIKE SHE TURNS BLUE OR ANYTHING LIKE THAT SHE JUST SLIGHTLY SLIGHTLY HAS A HARD TIME CATCHING HER BREATH RES0215-063 OK SO THESE USUALLY RECOVER ON THEIR OWN RES0215-064 YOU DON'T GIVE HER ANYTHING FOR IT RES0215-065 NO RES0215-066 OK DOES SHE HAVE ANY ALLERGIES RES0215-067 NO WELL SHE HAS SOME SEASONAL ALLERGIES BUT NOTHING THAT SHE'S BEEN TESTED FOR RES0215-068 OK DO YOU GIVE HER ANYTHING FOR SEASONAL ALLERGIES RES0215-069 SOMETIMES SHE TAKES LIKE REACTINE OR LIKE OVER THE COUNTER STUFF BUT NO NO PRESCRIBED MEDICATIONS RES0215-070 OK SO SHE DOESN'T HAVE ANY ALLERGIES WHERE HER FACE SWELLS UP OR SHE HAS TROUBLE BREATHING RES0215-071 NO RES0215-072 OK AND THIS THESE EPISODES MAINLY HAPPEN WHEN SHE'S PLAYING WITH FRIENDS SO DO THEY HAPPEN IN A CERTAIN ENVIRONMENT LIKE FOR EXAMPLE IS THIS IN A FRIENDS HOUSE OR IS THIS OUTDOORS OR HAS IT BEEN ACROSS DIFFERENT SETTINGS RES0215-073 IT'S BEEN ACROSS DIFFERENT SETTINGS BUT I WILL SAY IT'S WORSE WHEN WHEN WHEN THERE'S COLDER WEATHER RES0215-074 OK RES0215-075 AND DO THESE EPISODES EVER HAPPEN IN YOUR HOME RES0215-076 AND WHAT'S THE CONTEXT FROM THEM HAPPENING IN YOUR HOME RES0215-077 USUALLY WHEN SHE IS OUT AND ABOUT RUNNING AROUND IN THE BACKYARD WITH HER FRIENDS IS WHEN I'VE MOSTLY NOTICED IT RES0215-078 OK SO SHE DOESN'T HAVE ANY SYMPTOMS AT REST RES0215-079 OH NO RES0215-080 AND SHE DOESN'T HAVE ANY SYMPTOMS AT NIGHT RES0215-081 AT NIGHT SO THERE WAS ONE ONE ONE NIGHT WHEN SHE HAD SOME ISSUES WITH LIKE WHEEZINESS BUT IT DID RESOLVE ON ITS OWN RES0215-082 OK AND DID SHE WAKE UP AT NIGHT WITH THAT OR JUST RES0215-083 JUST TROUBLE FALLING ASLEEP I THINK RES0215-084 OK ALRIGHT SO WE ALREADY TALKED ABOUT SO SHE DOESN'T REALLY HAVE ANY PAST MEDICAL ISSUES THAT SHE'S SEEN A DOCTOR FOR ANY SURGERIES RES0215-085 NO SURGERIES RES0215-086 OK IS SHE TAKING MEDICATIONS RIGHT NOW RES0215-087 NO NO MEDICATIONS RES0215-088 ASIDE FROM THE OCCASIONAL REACT RES0215-089 ASIDE FROM THAT NOTHING NO REGULAR MEDICATIONS RES0215-090 AND SHE'S IN SCHOOL RES0215-091 SHE'S SHE'S IN GRADE THIRTEEN NOW RES0215-092 OK AND DOES SHE LIVE WITH YOU RES0215-093 SHE LIVES WITH ME AND MY HUSBAND RES0215-094 OK DO YOU TWO LIVE IN A HOUSE IN TOWN RES0215-095 IN A TOWNHOUSE RES0215-096 OK AND WHAT DO YOU TWO DO FOR WORK RES0215-097 SO MY HUSBAND IS AN ULTRASOUND TECHNICIAN AND I AM A KINDERGARTEN TEACHER RES0215-098 OK EXCELLENT AND THIS IS A QUESTION WE JUST ASK EVERYONE HAS THERE EVER BEEN ANY CC CAS INVOLVEMENT IN THE FAMILY RES0215-099 NO RES0215-100 AND DOES ANYONE SMOKE IN THE HOUSEHOLD RES0215-101 NO NO RES0215-102 OK DO YOU KEEP ANY CARPETS OR PETS IN THE HOUSEHOLD RES0215-103 WE HAVE CARPETS BUT THEY'RE NEW CARPETS WE JUST GOT THEM MAYBE SIX MONTHS AGO AND NOTHING ELSE RES0215-104 SO NO PETS NO DOGS RES0215-105 NO RES0215-106 OK ANY WOOD BURNING FIREPLACES STOVES IN THE HOUSEHOLD RES0215-107 NO RES0215-108 AND CHANGED YOUR AIR FILTERS RES0215-109 ALRIGHT EXCELLENT SO I THINK I HAVE ALL THE INFORMATION I NEED WE'RE JUST GOING TO DO A PHYSICAL EXAM AND THEN I'M GOING TO GO TALK TO THE PHYSICIAN AND I'LL COME IN AND SEE YOUR DAUGHTER AND WE'LL TALK ABOUT NEXT STEPS FROM THERE DO YOU HAVE ANY QUESTIONS THAT YOU'D LIKE ME TO DIRECT TO HIM BEFORE THAT HAPPENS RES0215-110 NO THANK YOU SO MUCH RES0215-111 ALRIGHT HAVE A GOOD ONE RES0215-112 YOU TOO BYE BYE RES0216-000 SO I UNDERSTAND YOU'RE HAVING SOME CHEST TIGHTNESS RES0216-001-1 YEAH IT'S FOR THE LAST MAYBE THREE DAYS IT'S NOT REALLY PAIN NOT IN ANY SPECIFIC SPOT IT JUST FEELS A BIT TIGHT IN MY CHEST AREA WHEN I BREATHE IN ESPECIALLY RES0216-001-2 AND IT JUST GETS A BIT HARDER TO BREATHE AND IT FEELS MORE TIGHT LIKE ESPECIALLY WHEN I GO FOR MY WALKS WHICH I DO EVERYDAY I TRY TO WALK MY DOG RES0216-001-3 SO I WAS JUST YOU KNOW WORRIED THAT IT COULD BE SOMETHING SERIOUS AND I WANTED TO COME AND GET CHECKED OUT RES0216-002 OK FOR SURE SO YOU SAID IT STARTED ABOUT THREE DAYS AGO HAVE YOU NOTICED IT'S BEEN GETTING BETTER WORSE OR ABOUT STAYING THE SAME RES0216-003 I THINK IT'S STAYING THE SAME RES0216-004 OK WAS THERE ANYTHING THAT HAPPENED THREE DAYS AGO THAT YOU CAN RECALL WHERE YOU FIRST NOTICED IT RES0216-005 NO NOTHING IN PARTICULAR IT JUST KIND OF CAME ON AND NOW IT'S BEEN PRETTY STEADY RES0216-006 OK AND WHEN IT CAME ON THREE DAYS AGO WHAT WERE YOU DOING RES0216-007 I THINK I FIRST NOTICED IT WHEN I WAS GONE FOR MY WALK RES0216-008 OK NOW WHEN YOU'RE WALKING YOU SAY YOU HAVE SOME CHEST TIGHTNESS DO YOU HAVE ANY CHEST PAIN RES0216-009 NO THERE'S NOT THERE'S NOT PAIN IT JUST FEELS LIKE WHEN I BREATHE IN IT FEELS TIGHT RES0216-010 OK DID YOU FEEL ANXIOUS OR SWEATY OR THE FEELING OF IMPENDING DOOM AT ALL RES0216-011 NO I CAN'T SAY THAT I DID RES0216-012 NOTHING LIKE THAT OK AND DID YOU FEEL YOURSELF BECOMING OUT OF BREATH AT ALL RES0216-013 I I FEEL LIKE IT WAS KIND OF HARDER TO GET A WHOLE BREATH SO I GUESS RES0216-014 OK AND WAS THIS TIGHTNESS ALL ACROSS YOUR CHEST OR WAS IT IN ONE PARTICULAR AREA RES0216-015 KIND OF JUST ALL OVER RES0216-016 OK AND SINCE THEN THAT HAPPENED WHEN YOU WERE OUT FOR A WALK HOW MANY TIMES DOES IT HAPPEN A DAY WOULD YOU SAY RES0216-017 WELL I FEEL LIKE IT'S KIND OF ALWAYS THERE BUT IT GETS WORSE WHEN I GO FOR MY WALK AND WELL SOMETIMES I GO FOR MORE THAN ONE WALK RIGHT CAUSE I WALK MY DOG IT'S ALWAYS KIND OF THERE AND ESPECIALLY WHEN I'M LIKE GETTING UP OUT OF THE CHAIR I CAN FEEL IT MORE OR WHEN I TAKE A BIG LIKE A BIG BREATH IN AS I SAID RES0216-018 OK SO IT'S BEEN THERE PRETTY CONSTANTLY FOR THE PAST THREE DAYS BUT IT'S MORE NOTICEABLE IF NOT WORSE WHEN YOU'RE GOING FOR A WALK RES0216-019 EXACTLY RES0216-020 OK HAVE YOU HAD ANY COUGH AT ALL IN THE LAST LITTLE WHILE RES0216-021 NO LIKE I FEEL A LITTLE MORE HOARSE AND LIKE THERE'S MAYBE SOME MORE PHLEGM LIKE I'M CLEARING MY THROAT MORE BUT I HAVEN'T ACTUALLY BEEN COUGHING RES0216-022 OK ANY FEVERS RES0216-023 NO CAN'T SAY THAT NO RES0216-024 OK ANY NIGHT SWEATS SO WAKING UP AND THE SHEETS ARE SOAKED RES0216-025 NO RES0216-026 ANY CHILLS RES0216-027 NO RES0216-028 ANY UNEXPLAINED WEIGHT LOSS AT ALL RES0216-029 NOPE RES0216-030 OK AND HAVE YOU EVER HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE RES0216-031 I MEAN I HAVE ASTHMA SO I'VE HAD SOME TROUBLE BREATHING BEFORE IT THIS FEELS FEELS DIFFERENT THAN OTHER TIMES I I GUESS IT COULD BE RELATED BUT I DON'T KNOW THIS THIS FEELS A BIT DIFFERENT THAT'S WHY I WANTED TO COME IN AND GET IT CHECKED OUT RES0216-032 OK SO YOU HAVE ASTHMA DO YOU USE ANY PUFFERS AT THE MOMENT RES0216-033 I JUST USE THE ONE THAT I TAKE EVERY DAY I DON'T REALLY USE THE THE ONE THATS AS NEEDED BECAUSE I JUST HAVEN'T HAD TO IN A REALLY LONG TIME SO I DIDN'T REFILL MY LAST ONE RES0216-034 OK SO YOU DON'T HAVE ANY ANYMORE OF THE AS NEEDED BUT YOU HAVE USED IT IN THE PAST RES0216-035 EXACTLY LIKE IT'S BEEN A COUPLE OF YEARS SINCE I NEEDED THAT BUT I STILL I STILL TAKE THE DAILY ONE RES0216-036 OK AND YOU HAVEN'T STOPPED TAKING THE DAILY ONE IN LAST THREE DAYS EITHER RES0216-037 NO I ALWAYS TAKE IT SO I'M SUPPOSED TO ACTUALLY TAKE IT MORNING AND NIGHT FOR A WHILE THOUGH SOMETIMES I WAS SKIPPING THE NIGHT ONE BECAUSE I DIDN'T FEEL THAT I WAS NEEDING IT SO SO LATELY I'VE BEEN TAKING IT EVERYDAY BUT I'VE JUST BEEN TAKING IT IN THE MORNING RES0216-038 OK WHAT MAKES YOU SAY YOU HAVEN'T REALLY NEEDED THE ONE AT NIGHT HAVE YOU JUST BEEN DOING WELL WITHOUT IT RES0216-039 EXACTLY LIKE I HAVEN'T NEEDED THE RESCUE ONE IN A FEW YEARS AND EVEN WHEN I WAS JUST TAKING IT IN THE MORNING I I HAVEN'T HAD ANY PROBLEMS RES0216-040 OK UNDERSTOOD AND THEN HAVE YOU HAD I SHOULD HAVE ASKED DO YOU WORK CURRENTLY RES0216-041 I I I'M A FINANCIAL ADVISOR I'M LIKE SEMI RETIRED SO I DO SOME STUFF FROM HOME RES0216-042 OK GOT IT I SUPPOSE JUST HAS THIS KIND OF CHEST TIGHTNESS STOPPED YOU FROM DOING ACTIVITIES THAT YOU NORMALLY WOULD DO ANY MISSED TIME FROM WORK RES0216-043-1 I HAVEN'T MISSED ANY WORK BUT I'M NOT I'M NOT DOING A TON OF WORK RIGHT NOW I DON'T THINK IT WOULD STOP ME IT JUST WOULD MAKE ME UNCOMFORTABLE DURING WORK AND RES0216-043-2 IT KEEPS ME MAYBE THIS THE LAST FEW DAYS IT'S KEPT ME FROM I USUALLY GO ON A COUPLE OF WALKS A DAY THE LAST COUPLE DAYS I'VE JUST GONE ON ONE USUALLY SO IT'S A LITTLE BIT YEAH RES0216-044 SO IT'S REALLY NOT STOPPING TOO MUCH OF YOUR DAY TO DAY FUNCTIONING BUT IT'S NOTICEABLE RES0216-045 EXACTLY RES0216-046 OK NOW IS THERE ANY OTHER ISSUE THAT YOU SEE YOUR DOCTOR REGULARLY FOR ASIDE FROM THE ASTHMA RES0216-047 I HAVE HIGH BLOOD PRESSURE I DON'T REALLY SEE MY DOCTOR VERY MUCH I JUST AM ON MEDICATION RES0216-048 OK HOW ABOUT WE JUST TALK ABOUT YOUR MEDICATIONS A LITTLE BIT WHAT ARE YOU TAKING CURRENTLY RES0216-049 I TAKE THE SALBUTAMOL RES0216-050 THAT WE TALKED ABOUT AND I TAKE RES0216-051 RAMIPRIL AND SOMETIMES A TYLENOL IF YOU KNOW IF I HAVE A HEADACHE OR SOMETHING BUT NOT VERY OFTEN RES0216-052 OK UNDERSTOOD SO ASIDE FROM THE HIGH BLOOD PRESSURE YOU'RE REALLY NOT TAKING MEDICATIONS FOR MUCH ELSE RES0216-053 NO NO RES0216-054 OK DO YOU HAVE ANY OTHER LUNG ISSUES OR ANY TROUBLE WITH YOUR LUNGS IN THE PAST RES0216-055 NO NOTHING MAJOR JUST THE ASTHMA BUT YOU KNOW LIKE I SAID IT'S BEEN A FEW YEARS SINCE IT HAS BOTHERED ME RES0216-056 OK GOT IT AND JUST IN TERMS OF YOUR LIFE ITSELF SO DO YOU SMOKE AT ALL RES0216-057 NO NEVER RES0216-058 OK SO NO SMOKING ANY OTHER RECREATIONAL SUBSTANCES DRUGS RES0216-059 OH NO NO I MEAN I I HAVE YOU KNOW A FEW BEERS ON THE WEEKEND BUT I DON'T DO VERY I DON'T DO ANY DRUGS AND I DON'T DRINK MUCH OTHER THAN THAT RES0216-060 OK GOT IT ANY ALLERGIES THAT YOU HAVE RES0216-061 NO NO LIKE I WHEN I WAS YOUNGER I GOT SOME SEASONAL ALLERGIES SOMETIMES IN THE SPRINGTIME BUT OTHER THAN THAT I I LIKE I IT'S REALLY BEEN MANY YEARS SINCE I'VE NOTICED THAT RES0216-062 OK AND SO NOTHING NEW IN THE ENVIRONMENT YOU HAVEN'T CHANGED WHERE YOU'VE BEEN LIVING OR YOU HAVEN'T INTRODUCED A NEW PET OR A NEW DOG RES0216-063 EXACTLY RES0216-064 OK SO SOUNDS LIKE YOU'RE PRETTY MUCH STAYING THE COURSE LAST LITTLE WHILE JUST KIND OF A NEW ONSET OF THIS NEW CHEST TIGHTNESS AND ASIDE FROM THAT SEEMS THAT IT COMES ON MAINLY ON WALKS OUTDOORS BUT YOU'VE KIND OF BEEN LIMITING THE SOME OF THE MEDICATION YOU'RE TAKING FOR ASTHMA THE LAST COUPLE OF YEARS BECAUSE YOU HAVEN'T REALLY FELT THAT YOU NEEDED IT AS MUCH RES0216-065 LIKE JUST THE MORNING WAS IT WAS ENOUGH RES0216-066-1 OK ALRIGHT JOHN I THINK I'VE GOT MOST OF THE INFORMATION I NEED JUST TO GO TALK TO THE DOC AND TALK ABOUT YOUR STORY NEXT OF COURSE WE'RE GOING TO DO A QUICK PHYSICAL EXAM GOING TO TAKE A LISTEN TO YOUR LUNGS AND SEE WHAT ELSE WE MIGHT WANT TO DO IN TERMS OF INVESTIGATIONS RES0216-066-2 I HAVE A FEELING THAT THIS ACTUALLY MIGHT BE YOUR ASTHMA REOCCURRING IN SOME CAPACITY OR THAT WOULD BE ON THE TOP OF THE DIFFERENTIAL FOR NOW BARRING ANY OTHER NEW FINDINGS SO I THINK MAYBE WHAT WE WOULD LIKE TO DO IS WE'D LIKE TO TRY RES0216-066-3 HAVING THOSE RESCUE PUFFERS AVAILABLE TO SEE IF THAT HELPS AT ALL WHEN YOU ARE ON WALKS AND IF THEY DON'T HELP THEN WE'LL COME BACK TO THE TABLE AND SEE WHAT OTHER POSSIBLE DIRECTIONS WE COULD HEAD IN IN ORDER TO HELP YOU NEXT DOES THAT SOUND GOOD JOHN RES0216-067 SOUNDS GREAT I'M JUST YOU KNOW GLAD TO KNOW THAT IT'S PROBABLY NOT MY HEART RES0216-068 NO IT SOUNDS WELL I SUPPOSE YOU SAID THAT YOU DIDN'T REALLY GET OUT OF BREATH WITH EXERCISE MORE SOUNDS LIKE A CHEST TIGHTNESS AND YOU HAVEN'T HAD ANY PAIN ASSOCIATED WITH IT SO THAT PUTS MORE CARDIAC ISCHEMIC PICTURES KIND OF LOWER ON THE DIFFERENTIAL BUT OF COURSE WE'RE GOING TO TRY ONE THING AT A TIME AND THEN WE'LL COME BACK TO THE TABLE DEPENDING ON HOW YOU'RE FEELING AFTER THAT OK RES0216-069 SOUNDS GREAT THANK YOU RES0216-070 NO PROBLEM OK I'LL GO TALK TO THE DOCTOR I'LL BE BACK WITH YOU IN A MOMENT RES0216-071 THANK YOU RES0217-000 SO I UNDERSTAND YOU REMOVED INSECTS FROM YOUR LEG EARLIER TODAY RES0217-001-1 YES I DID IT WAS IT WAS BEHIND MY LEFT KNEE KIND OF IN LIKE THE JOINT BEHIND WHERE IT BENDS RES0217-001-2 IT WAS STUCK PRETTY GOOD IT'S STILL KIND OF RED AND TENDER THERE I NOTICED IT BECAUSE THE BACK OF MY KNEE WAS STARTING TO JUST FEEL A BIT SORE NOT THE JOINT ITSELF BUT JUST KIND OF THE SKIN THE WHOLE AREA BACK THERE RES0217-001-3 AND I FOUND THIS TICK I BROUGHT I BROUGHT IT IN WITH ME IF YOU WANTED TO HAVE A LOOK AT IT IT'S IN LIKE THIS LITTLE PLASTIC CONTAINER RES0217-001-4 AND I DON'T REALLY KNOW WHEN I GOT IT I WAS HIKING ON FRIDAY AND THEN SATURDAY I WAS OUT IN MY GARDEN RES0217-001-5 I HOPE THEY'RE NOT AROUND MY HOUSE I HOPE THAT IT WAS FROM HIKING AND NOT GARDENING BUT I DID SPEND A LOT OF TIME OUTSIDE ON SATURDAY AS WELL RES0217-002 OK SO SOUNDS LIKE IT'S BEEN A LITTLE BIT OF TIME SINCE YOU WERE LAST OUTDOORS TO WHEN YOU FIRST NOTICED IT RES0217-003 OK SO WHEN YOU PICKED IT OFF THE TICK OBVIOUSLY YOU HAVE IT FOR ME IS IT QUITE SWOLLEN OR ENGORGED RES0217-004-1 IT'S NOT TOO BAD I I HAVE ACTUALLY HAD A TICK IN THE PAST AND THIS IS A LONG TIME AGO AND MAYBE LIKE TEN YEARS AND I ACTUALLY HAD THAT KIND OF TARGET RASH THING THAT THEY TALK ABOUT RES0217-004-2 AND AT THAT TIME I REMEMBER I HAD TO TAKE ANTIBIOTICS FOR A BIT THIS RES0217-004-3 DIDN'T LOOK LIKE THAT IT WAS MORE IT WAS JUST KIND OF SORE IN ONE SPOT I DON'T THINK IT RES0217-004-4 IT WAS AS BAD AS THAT TIME AND THE TICK THAT TIME SORRY I'VE KIND OF GOTTEN OFF TRACK THAT TIME IT WAS QUITE SWOLLEN THIS ONE WAS MAYBE A LITTLE BIT BUT NOT AS MUCH RES0217-005 OK SO JUST IN TERMS OF THE TICK'S SIZE IT DOESN'T LOOK LIKE IT'S BEEN FEEDING FOR TOO LONG SO WHEN TICKS ARE FEEDING THEY TEND TO ENGORGE THEY TEND TO SWELL UP SO THIS LOOKS MORE LIKE A TINY LITTLE BUG OR DOES IT KIND OF LOOK LIKE A LITTLE GRAPE ALMOST LIKE IT'S BEEN SWOLLEN UP WITH BLOOD RES0217-006 NO THIS ONE THIS ONE'S PRETTY SMALL RES0217-007-1 THIS ONE'S PRETTY SMALL OK AND I SHOULD MENTION THAT WELL OBVIOUSLY YOU'VE HAD A TICK BITE IN THE PAST THE BIG CONCERN FOR US IS A DISEASE CALLED LYME DISEASE WHICH IS SPREAD BY BACTERIA BUT IN FACT ONLY ONE TYPE OF TICK RES0217-007-2 PREDOMINANTLY IS A TRANSMISSION TRANSMITORY AGENT FOR IT IT'S CALLED A DEER TICK AND ITS COLORATION IT'S GOT A LITTLE BIT OF A BROWN BUTT AND THERE'S SOME BLACK LEGS DOES IT LOOK LIKE THAT AT ALL RES0217-008-1 I DON'T THINK SO I I WAS LOOKING AT THE PICTURES ONLINE I THINK IT LOOKS LIKE THE OTHER KIND OF TICK BUT I HEARD THAT RES0217-008-2 YEAH BUT I HEARD THAT LATELY NOW THEY'VE BEEN CONSIDERING ALL TICKS IN THIS AREA AS POSSIBLY CARRIERS OF LYME BECAUSE I THINK IT'S KIND OF BECOME MORE MORE OF A PROBLEM SM SO THAT WAS MAKING ME A BIT NERVOUS RES0217-009-1 OK ABSOLUTELY WHAT WE CAN DO IS WE CAN SEND THIS TICK OFF TO THE LAB AND THEY'LL BE ABLE TO IDENTIFY THE SPECIES FOR IT BUT FOR TICK BITES IN GENERAL ONE OF THE KEY CONSIDERATIONS IS FOR HOW LONG IT'S BEEN ON YOUR BODY FOR SO UNFORTUNATELY IF YOU'RE OUT ON FRIDAY AND SATURDAY RES0217-009-2 THAT'D MEAN THAT THIS TICK HAS BEEN ON YOU FOR LONGER THAN AT LEAST SEVENTY TWO HOURS SO I THINK ONE WAY OR ANOTHER WE'RE LIKELY GOING TO HAVE TO PUT YOU ON ANTIBIOTICS JUST AS KIND OF A PROPHYLACTIC AT THE VERY LEAST JUST WANT TO MAKE SURE RES0217-009-3 THAT YOU'RE NOT AT RISK OF DEVELOPING LYME DISEASE I'M SURE YOU'VE HEARD FROM THE NEWS THAT LYME DISEASE CAN PRESENT IN A VARIETY OF WAYS BUT IT'S A DISEASE THAT WE TRY OUR BEST TO AVOID RES0217-009-4 AND JUST IN TERMS OF YOUR SYMPTOMS SO YOU SAY YOU'VE HAD A BITE IN THE PAST AND YOU YOU'VE GOT THAT RASH BEFORE THAT KIND OF BULLSEYE RASH DO YOU HAVE THAT RASH NOW RES0217-010 NO I DON'T AS FAR AS I KNOW I MEAN YOU CAN HAVE A LOOK TOO IT'S BEHIND MY KNEE SO IT'S NOT THE EASIEST PLACE TO SEE BUT IT'S IT LOOKS A LITTLE RED IT'S LIKE TENDER WHERE THE TICK WAS BUT I DON'T SEE THAT LIKE LARGER CIRCLE RASH RES0217-011 OK THAT'S REASSURING NOW ANY IT'D BE PRETTY UNLIKELY FOR YOU TO HAVE OTHER SYMPTOMS BUT JUST IN CASE DO YOU HAVE ANY OTHER JOINT PAIN RES0217-012 NO RES0217-013 HAVE YOU BEEN FEELING ILL OR HAVE BEEN FEVERISH IN THE LAST LITTLE WHILE RES0217-014 NO NO I'VE BEEN FINE RES0217-015 OK AND YOU REMOVED THAT TWIT TICK ONCE YOU FOUND IT YOU PRESENTED TO ME HAVE YOU CHECKED YOUR BODY FOR ANY OTHER POSSIBLE BITES RES0217-016 OH I LOOKED AROUND AND I LOOKED AT MY HUSBAND TOO CAUSE WE WE WERE JUST A LITTLE BIT YOU KNOW GAVE US A LITTLE BIT OF A SCARE BUT NO THERE'S BEEN NOTHING ELSE RES0217-017 THAT'S GOOD AND DID YOU BRING A PET WITH YOU AT ALL WHEN YOU WERE HIKING AND GARDENING RES0217-018 NO I DIDN'T NO RES0217-019 OK GOOD ANY OTHER FAMILY MEMBERS YOU THINK MIGHT HAVE BEEN EXPOSED RES0217-020 NO IT WAS JUST ME AND MY HUSBAND RES0217-021 OK AND WHAT GEOGRAPHIC AREA WERE YOU IN WHEN YOU WERE HIKING RES0217-022 WE WERE IN STRATHROY ALONG THE CREEK RES0217-023-1 OK I CAN DO IF I REMEMBER THERE'S A LYME DISEASE DISTRIBUTION MAP FOR ONTARIO AND WE CAN SEE EXACTLY HOW THAT LINES UP TO SEE IF WE SHOULD BE A LITTLE BIT CONCERNED OR NOT RES0217-023-2 LOOKS LIKE STRATHROY IS CLOSE ENOUGH TO BE CONSIDERED A LITTLE BIT OF A CONCERNING POINT SO I THINK THAT WE WILL BE MOVING FORWARD WITH ANTIBIOTICS BUT OF COURSE WE'LL BE TALKING TO THE PHYSICIAN WHO'LL BE HAVING A LOOK AT YOU AS WELL RES0217-023-3 SO IT SOUNDS LIKE YOU HAVEN'T BEEN HAVING TOO MUCH SYMPTOMS ASIDE FROM YOU'VE NOTICED THIS TICK THE SKIN AROUND IT IS FAIRLY SORE AND YOU'VE HAD THIS IN THE PAST BUT YOU WERE TREATED WITH ANTIBIOTICS IN THE PAST AND SINCE THEN YOU HAVEN'T HAD TOO MANY HEALTH PROBLEMS AFTER THAT RES0217-024 NO NO I'VE BEEN PRETTY HEALTHY RES0217-025 OK AND JUST ABOUT YOUR HEALTH RIGHT NOW IS THERE ANYTHING THAT YOU SEE THE FAMILY PHYSICIAN OR DOCTOR FOR IN GENERAL AND REGARDING YOUR HEALTH RES0217-026 JUST FOR MY CHOLESTEROL RES0217-027 OK ARE YOU TAKING AND MEDICATIONS FOR THAT RES0217-028 I TAKE A STATIN CAN'T REMEMBER WHICH ONE RES0217-029 OK GOT IT AND DO YOU HAVE ANY ALLERGIES RES0217-030 NO RES0217-031 SO NO DRUG ALLERGIES RES0217-032 NO RES0217-033-1 OK NOW WE'VE ALREADY TALKED ABOUT OTHER EXPOSURES SO IT DOESN'T SOUND LIKE ANYONE ELSE IN YOUR FAMILY OR ANY PETS ARE AROUND SO IT'S UNLIKELY THAT YOU HAVE TICKS COMING IN AND YOU SAID YOU MIGHT HAVE GOTTEN THIS FROM GARDENING RES0217-033-2 BUT YOU'RE HOPING THAT YOUR AREA DOESN'T HAVE TICKS MAYBE JUST TAKE A LOOK TICKS LIKE TO LIVE IN LONG GRASS KIND OF ON THE INTERSECTION BETWEEN WOODS AND FIELDS RES0217-033-3 TO SEE IF THERE'S ANY HOVERING AROUND THAT KIND OF MAKE A WAVING MOTION WITH THEIR LEGS AND THEY'RE SOMETIMES EASY TO SPOT YOU MIGHT WANNA GET SOME INSECTICIDE OUT THERE RES0217-033-4 BUT IT SOUNDS LIKE THIS IS FAIRLY RECENT UNFORTUNATELY JUST FOR THE LENGTH OF TIME THIS TICK MIGHT BE ON YOU FOR IT'S PROBABLY SAFER THAN NOT TO START YOU ON SOME MEDICATIONS BUT I'M GOING TO GO TALK TO THE DOCTOR AFTER WE DO A QUICK PHYSICAL EXAM RES0217-033-5 AND WE MIGHT ALSO SEND THE TICK OFF TO A LOCAL LABORATORY SO THEY CAN IDENTIFY THE SPECIES FOR IT DEFINITIVELY RES0217-033-6 AS WELL AS MIGHT JUST SEND SOME BLOOD WORK JUST TO SEE IF THERE'S ANY TITRES OR ANY SEROLOGY THAT WOULD MAKE US A LITTLE BIT MORE CONCERNED FOR LYME DISEASE BUT ASIDE FROM THAT YOU'VE BEEN FEELING WELL OTHERWISE RES0217-034 TOTALLY FINE IT WAS JUST A LITTLE TENDER THERE AND THAT'S THE ONLY REASON I LOOKED RES0217-035 OK SO NO HEADACHES RES0217-037 NO NOTHING LIKE THAT RES0217-039 OK EXCELLENT ALRIGHT I'M FAIRLY HAPPY WITH WHAT WE TALKED ABOUT TODAY DO YOU HAVE ANY QUESTIONS FOR ME JEAN RES0217-040 NO THIS IS PRETTY WELL WHAT I EXPECTED TODAY SO THANKS FOR HELPING ME OUT RES0217-041 NO PROBLEM OK I'LL GO TALK TO THE DOCTOR WE'LL COME BACK AND TALK TO YOU OK RES0217-042 GREAT THANKS RES0217-043 THANKS JEAN