SandO114/Medical_Interview · Datasets at Hugging Face

text stringlengths 14 401
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

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