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GAS0001.txt

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+D: What brings you in today?
+
+P: I've just been feeling like very nauseated for, it feels like all the time right now.
+
+D: When did this start?
+
+P: It's been over a week. Maybe not quite two weeks, but like around then. Yeah, maybe like 9 days.
+
+D: And um, is it, do you always have the sensation of nausea or is it related, or does it come and go?
+
+P: Oh, 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.
+
+D: I see OK. Um, have you had any vomiting?
+
+P: Uh, yeah, like um, yeah, like a lot of days I'll throw up like once or twice.
+
+D: And this has all been over the past week, week two weeks or so?
+
+P: Yeah.
+
+D: OK, um, any other symptoms that you have?
+
+P: Oh no, just, well, like I feel like I've I've had to pee a lot more. Um, 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 yeah.
+
+D: How often do you have to pee?
+
+P: Oh, like, I feel like every couple hours right now.
+
+D: OK, so say every two hours, every hour, every five hours?
+
+P: Probably every probably every like 2, maybe, maybe every hour I get certain times in a day. 
+
+D: Do you wake up at night to pee? 
+
+P: Oh, 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.
+
+D: Yeah, do you feel like you have control over when you are going to bathroom or is it difficult for you to hold it in?
+
+P: Oh I I I can control it. It's just like uncomfortable right?
+
+D: I see I see so, um, you have urinary frequency, but do you do you feel like, uh 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?
+
+P: No, I don't feel like that.
+
+D: OK. Do you have any pain when you're peeing?
+
+P: No.
+
+D: No, OK alright um, do you feel like you've been more thirsty recently? Why do you feel you've been drinking more more water?
+
+P: 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.
+
+D: Um, I see OK, um, have you, other than the nausea and vomiting, have you had any other stomach related issues? Any belly pain or changes in your bowel movements?
+
+P: Ah 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.
+
+D: When did you last have your period?
+
+P: Oh well, let me think. Um, like six weeks ago. I guess that would be, I don't know. I don't really like keep track. 
+
+D: OK, OK. Do you know if you get your periods regularly or are your periods irregular?
+
+P: I think they're I think they're usually pretty regular, but I don't I don't like I don't
+calculate it like to the day. 
+
+D: True yeah, is it is it normal for you to go six weeks without a period?
+
+P: Oh, come to think of it, I don't, I don't think so. 
+
+D: Alright. Um, OK. Uh, 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. And, you have had some cramps in your belly. Have you had any flu like symptoms?
+
+P: No.
+
+D: Nothing like that?
+
+P: I don't think so.
+
+D: Any headaches?
+
+P: Uh no.
+
+D: Any fevers?
+
+P: No. 
+
+D: Muscle aches?
+
+P: Uh no.
+
+D: OK, um, have you, have you had a cough at all?
+
+P: Oh no. 
+
+D: OK, and have you noticed any blood in your stools?
+
+P: No.
+
+D: Have you, you haven't had any palpitations or chest pain or anything of that sort?
+
+P: No.
+
+D: Alright um can you tell me about your past medical history, any medical issues medical conditions that you have?
+
+P: Uh, nothing, nothing really.
+
+D: OK. Have you, um, been taking any medications?
+
+P: 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.
+
+D: I see. Any allergies?
+
+P: 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.
+
+D: Um, and, uh, a couple of questions about your social history. Who do you currently live with?
+
+P: Um, like I I just I live with one roommate.
+
+D: Um and, do you currently smoke?
+
+P: No. 
+
+D: Alright, you don't smoke, OK. Have you, do you consume alcohol?
+
+P: Uh, no, very rarely because I always get a headache.
+
+D: OK, when was the last drink that you had?
+
+P: Oh gosh, like like a month ago probably.
+
+D: OK, um, and you consume any illicit drugs?
+
+P: No, no.
+
+D: Alright, are you currently sexually active?
+
+P: Yeah just like with my boyfriend.
+
+D: And do you use protection while having sex?
+
+P: Yeah, we we just use condoms. I used to be on birth control but it always made me
+feel like like kind of sick so I don't use that anymore.
+
+D: Mhm, I see, OK. Uh and um, let's see. Family history. Do you do you have any medical conditions that run in your family?
+
+P: Uh, like I don't, I don't think so. I guess my dad my dad has like high blood pressure, yeah, I don't think there's anything else. 
+
+D: 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.
+
+P: OK, thank you.
+
+D: You're welcome.

GAS0002.txt

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+D: I was wondering if you could tell me a little bit about what brought you in to the Emergency Department today?
+
+P: Yeah, 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.
+
+D: OK, and so uh, when, where is this painting located exactly?
+
+P: So it's just in the upper right corner of my abdomen, right below where the lungs are, and it, yeah, it's just I have this severe pain that's going on.
+
+D: OK, and how long is it been going on for?
+
+P: So it's been going on for the last few days and it got worse today.
+
+D: 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?
+
+P: So I would say it got worse, just three or four hours ago before I came to the Emergency Department.
+
+D: OK, and does the pain radiate anywhere?
+
+P: Uh no, it stays right in the in the spot that I told you right in the right upper corner.
+
+D: OK, and when did the pain start? Or if you could tell me what were you doing right prior to the pain starting?
+
+P: 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.
+
+D: I see OK, has the pain gotten worse, stayed the same, or gotten better since since yesterday?
+
+P: I think it's gotten, it was, it's the worst today, like especially like a few hours ago like 3 hours ago, it was much worse than the other two days.
+
+D: OK, and how would you describe the character or the quality of the pain?
+
+P: So it's like a sharp, I would describe it as like a sharp pain.
+
+D: OK, and on a scale of 1 to 10, 10 being the most severe pain, what would you rate it as?
+
+P: I would rate it as, right now I would rate it as an 8.
+
+D: OK, and has anything like this happened to you before?
+
+P: 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. 
+
+D: OK, and has there been anything that you've tried to make this pain any better? 
+
+P: I tried taking just like Advil and Tylenol, but it didn't really seem to help the pain too much.
+
+D: OK, and have you had any other associated symptoms such as nausea or or vomiting?
+
+P: I've I've had some nausea over the past few days, but I haven't vomited anything.
+
+D: OK, so no blood in your emesis uh or no vomiting at all?
+
+P: Uh, yeah.
+
+D: OK, and have you traveled anywhere recently?
+
+P: Uh no like we haven't traveled anywhere recently. 
+
+D: OK, and, how has your energy levels been?
+
+P: Uh, energy uh 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 uh otherwise over the last few days it hasn't affected me too much, but today I would say my energy levels are down.
+
+D: OK, and have you noticed any skin changes or any rashes?
+
+P: I don't think so. I mean, I don't think I've noticed any kind of skin changes.
+
+D: OK, and how about any changes to urinary habits like painful urination or the color of your urine?
+
+P: No no, no changes.
+
+D: OK, and have you had any changes to bowel patterns such as diarrhea or changes in color of your stool?
+
+P: No, I don't think so. No changes that I've noticed. 
+
+D: OK, so  notice any blood in the stool?
+
+P: No, no blood.
+
+D: OK, and how has your appetite been?
+
+P: 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.
+
+D: OK, and have you noticed any changes to your weight recently? 
+
+P: No, no, I don't think so. 
+
+D: OK, and have you had any recent infections?
+
+P: No, not not that I know of. 
+
+D: OK, so next just to ask some questions about your past medical history, have you been diagnosed with any medical conditions in the past?
+
+P: Uh so, I think the only thing is my doctor told me that I should lose some weight, but other than that no medical history.
+
+D: OK, and any allergies to medications?
+
+P: Uh no, no allergies.
+
+D: And are there any medications that you take on a regular basis, either prescribed or over the counter?
+
+P: Uh 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.
+
+D: OK, and, uh, any, um, hospitalizations?
+
+P: Just for just when I had my children, at the time of their birth, but that's it. 
+
+D: OK, and have you been around anybody who's been sick?
+
+P: No. 
+
+D: OK, and have you had any prior surgeries?
+
+P: Nope, no prior surgeries.
+
+D: OK, and any family history of gallbladder disease or cardiovascular disease in the family?
+
+P: Um, so my father died of a stroke when he was in his 60s, my mother does have gallstones.
+
+D: OK, and what do you do for work?
+
+P: So I work in at the bank as a consultant.
+
+D: OK, and do you drink alcohol?
+
+P: Uh, yeah sometimes, maybe one or two glasses of wine every night.
+
+D: OK, and do you feel the need to cut down on your drinking?
+
+P: No, not really.
+
+D: OK, have you ever felt annoyed by people criticizing your drinking?
+
+P: Uh No.
+
+D: OK, have you felt guilty about your drinking?
+
+P: Uh no, so should I be?
+
+D: Uhm no, at the at this time, just wanting to gauge a sense of how you feel about your drinking levels at this time and the follow up question to that would be, have you ever felt the need to have a drink early in the morning? 
+
+P: Uh no, no I've never drank, I don't drink in the morning.
+
+D: OK, and do you use recreational drugs?
+
+P: Uh, no never.
+
+D: OK and do you smoke cigarettes?
+
+P: Nope.
+
+D: And um, do, oh, and then, um, who are you living with currently at home?
+
+P: And so I'm living with my two children and my partner.
+
+D: And can you tell me a little bit about the home situation?
+
+P: Yeah, 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.
+
+D: OK, excellent.

GAS0003.txt

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+D: What brings you in here today? 
+
+P: Yeah hi, I'm I I have a pain in my belly. It started a couple hours ago.
+
+D: OK, and where exactly in your belly do you have this pain?
+
+P: It's mostly up here on the right side.
+
+D: 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? 
+
+P: Oh I guess it's a, it's an aching pain I'd say. It kind of just, um, it would initially just come and go, but now it's just it's staying. It's not going away.
+
+D: OK, and so it's in the right area and does it travel anywhere elsewhere besides on from the right side?
+
+P: No. 
+
+D: OK. And on a scale of 1 to 10, one being the least amount of pain you felt in your life, and 10 being the worst, how much would you rate it right now?
+
+P: It's about to a 10, an 8 maybe.
+
+D: An 8, OK and so just to clarify, when did it start?
+
+P: About 8 hours ago.
+
+D: 8 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?
+
+P: I was just about to go to sleep. I wasn't doing anything in particular at the time.
+
+D: OK. And has it been getting worse since it first started?
+
+P: Oh yeah, 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. 
+
+D: OK. And have you had any similar pain like this in the past?
+
+P: Yeah, uh I I have the same pain that sort of comes and goes after I eat. 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.
+
+D: OK, and does it, does anything make it better or worse or anything that you've tried?
+
+P: Well, I guess eating sometimes makes it worse, um, but I don't I don't think there's anything that's making it better.
+
+D: OK, have you tried any medications at all?
+
+P: I tried Tylenol but that didn't do anything.
+
+D: OK. And besides, uh, the pain that you're having, do you have any nausea and vomiting?
+
+P: I am a little nauseous, but no, I didn't, haven't had I haven't vomited yet, no.
+
+D: OK, and have you been having any fevers?
+
+P: I don't think so. I haven't checked. I don't feel feverish.
+
+D: Any sweats or like chills?
+
+P: No,  I don't think so.
+
+D: OK, any changes in your bowel movements like constipation, diarrhea?
+
+P: No. 
+
+D: OK. Have you traveled anywhere recently?
+
+P: No, I haven't. 
+
+D: Have you been feeling at all, very tired, not your usual self, fatigued?
+
+P: Well the pain is making it difficult for me to do things, um, but I I guess I'm not, uh a little fatigued  maybe.
+
+D: OK. Um, have you been having any changes in your urinary patterns? 
+
+P: No.
+
+D: No? Any changes in your skin and you rashes, any yellowing of your skin?
+
+P: Nothing that I've noticed, no, I don't think so. 
+
+D: OK. Any changes in your urine color?
+
+P: No. 
+
+D: OK, have you noticed blood in your stools at all?
+
+P: I have not, no.
+
+D: OK, and how about your appetite, has this changed at all?
+
+P: 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.
+
+D: Any significant weight loss recently?
+
+P: I don't think so.
+
+D: OK, any recent infections recently at all?
+
+P: No. 
+
+D: Um, and otherwise are you, do you have any other medical conditions like diabetes, high blood pressure or anything else?
+
+P: I do have diabetes but that's about it I think.
+
+D: And you take anything for your diabetes?
+
+P: I take metformin.
+
+D: OK, um do you take any other medications at all? 
+
+P: No, I don't, sorry, no. 
+
+D: No worries. Do you have any allergies to any medications, any environmental allergies?
+
+P: No no, no, I don't. 
+
+D: OK. And have you been hospitalized in the past?
+
+P: No, no I haven't ever. I've been very uh healthy. No hospitalizations. 
+
+D: Any past surgeries?
+
+P: I got my wisdom teeth removed when I was a teenager. 
+
+D: OK. Have you been in contact with anyone who has been ill recently?
+
+P: No, I don't think so. 
+
+D: OK. Hmm, and in terms of your family history, has anyone had any cancers or um any err um IBD like Crohn's disease or ulcerative colitis?
+
+P: No, not that I know of. 
+
+D: OK. And anything that runs in the family at all?
+
+P: My dad had a heart attack when he was in his 60s. But that's it. 
+
+D: OK. And um, currently right now do you work?
+
+P: Oh no, I'm I'm laid off because of COVID.
+
+D: OK. And currently, what is your home situation like?
+
+P: What do you mean?
+
+D: So do you live in an apartment, house and do you live with anyone?
+
+P: I I I live in an apartment, I live alone.
+
+D: Um, 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?
+
+P: I usually go out for a run, especially when it's a little bit warmer, which it now is. 
+
+D: And do you do you drink alcohol? 
+
+P: Uh, sometimes.
+
+D: How much would you say you drink in an average week?
+
+P: One to two drinks a day.
+
+D: OK, and what do you usually drink?
+
+P: I'll just drink a glass of wine at night, just helps me relax. 
+
+D: OK. And do you smoke cigarettes?
+
+P: I don't, no. 
+
+D: OK. And do you use any recreational drugs like marijuana?
+
+P: No, I don't. 
+
+D: OK. Alright, so um, that's all the questions I have and just to clarify, does your pain come and go, or is it constant?
+
+P: Yes, so initially it would come and go, but now, so for the first 2 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. 
+
+D: OK. Alright.

GAS0004.txt

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+D: I understand that you've been having some diarrhea. Can you tell me a little bit about that?
+
+P: Yeah, 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, uh I couldn't go to my classes, had to skip because it was just it was just embarrassing.
+
+D: OK, I'm sorry to hear that. Uh, have you ever experienced something like this before? 
+
+P: Um, have I experienced something like this before? Uhm no, I don't think so.
+
+D: OK. And over the three or four days, have your stools all been loose? Or have you had some solid ones in between?
+
+P: I think they've mostly been loose. I think they've all been loose actually, if I think about it.
+
+D: OK, and how many times a day have you been having episodes of diarrhea?
+
+P: Oh my god, I have I've lost count. I'm going every every hour.
+
+D: OK, every hour. OK, and then you notice any changes in the color of your stool?
+
+P: No, it's brown.
+
+D: OK. Any blood in your stool that you've noticed?
+
+P: Um not really. I don't think so. I don't look that much to be honest.
+
+D: OK, um have you noticed any any pain associated with it?
+
+P: 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. Yeah, it hurts sometimes, it comes and goes.
+
+D: 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?
+
+P: Uh no I do get a warning, but it's just I I do need to get to the toilet really fast, yeah.
+
+D: 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?
+
+P: Um, I I did go to um, I did go to a new restaurant 5 days ago.
+
+D: OK, what did you have there?
+
+P: Um  I I just got some rice with chicken Manchurian, it was a nice little Chinese restaurant, and yeah.
+
+D: Did anyone else have the same thing that you did that you were with?
+
+P: Um, 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.
+
+D: And then it's, you know, absolutely, potentially not like, maybe not. It could possibly be 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. So in terms of the last three to four days, have you experienced any nausea or vomiting?
+
+P: Yeah yeah, I have actually, but it's not been as bad as the diarrhea. I didn't even yeah, I didn't, I wasn't even thinking about that. Yeah, I I did vomit, I think twice yesterday.
+
+D: OK, have you noticed any blood in the vomit?
+
+P: No, it's just watery.
+
+D: And are you nauseated all the time, or is it kind of on and off? 
+
+P: It's on and off.
+
+D: OK, have you taken any any over the counter medicine or anything to help?
+
+P: Uh, 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.
+
+D: 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? 
+
+P: I have been eating less specially since yesterday when I had my these abdominal cramps started. I just don't feel like eating.
+
+D: OK. Is there anything that has been making it worse?
+
+P: Making what worse?
+
+D: Just in general, like is there anything that you're finding makes your nausea or your diarrhea come on?
+
+P: Not really, I don't think so.
+
+D: Do you notice any changes to your urine or any discomfort when going to the bathroom? 
+
+P: No.
+
+D: Have you traveled anywhere recently?
+
+P: No.
+
+D: OK, and have you noticed any fever or chills in the last few days?
+
+P: Um, I've just been feeling really tired and and, I don't know, maybe I haven't checked my checked my temperature.
+
+D: OK. Have you noticed any rashes or changes in your skin? 
+
+P: No.
+
+D: 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?
+
+P: I actually haven't weighed myself in the past five days, so I don't, I don't know.
+
+D: 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?
+
+P: No.
+
+D: OK. Do you have any chronic conditions that you see a family doctor for regularly?
+
+P: I have asthma.
+
+D: OK. Do you take any medication?
+
+P: Yeah, I've got some puffers that my family doc gave me.
+
+D: OK. Nothing else?
+
+P: No, that's it.
+
+D: Do you have any allergies?
+
+P: Um, no I don't.
+
+D: Have you (unclear speech due to connection issues)?
+
+P: I'm sorry, can you say that again?
+
+D: Have you ever been hospitalized in the past?
+
+P: Um? I had my wisdom teeth removed. But no, I like I wasn't hospitalized, no.
+
+D: Have you been in contact with anyone recently that's been sick?
+
+P: Nope, I don't think so.
+
+D: OK. What is your living situation right now? You said you're a student?
+
+P: I am.
+
+D: OK, and do you live, do you live on your own, with family, with roommates? 
+
+P: I live with two roommates.
+
+D: Do you drink alcohol?
+
+P: Um, sometimes.
+
+D: OK, how how many drinks per week would you say? 
+
+P: I might have like a glass or two on the weekends.
+
+D: OK, do you smoke?
+
+P: No.
+
+D: OK, do you use any other substances? 
+
+P: No.
+
+D: OK, and what would you eat on a regular day typically, what would your typical diet be?
+
+P: Oh gosh, um well, I like to have oatmeal for breakfast. I usually make something quick for lunch, maybe like a salad, and then I might have my, I'll probably just like eat out at night, maybe get like a burger or fries or something.
+
+D: OK. Well, 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 um abdominal problems, abdominal surgery?
+
+P: My brother had appendicitis when he was young. Um, my mom has had a hysterectomy if that counts. Yeah, nothing else.
+
+D: OK. OK, thank you for sharing that with me. So I think that's everything that I wanted to ask you for today. 

GAS0005.txt

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+D: Would you mind by starting with what brought you in today?
+
+P: Yeah, so I'm just coming in with my son. He's six years old and yeah, just over the last few days he's not been himself and he's been having this stomach ache. Uh, so it started around like I would say 3 days ago and then he's also having vomiting for the last two days, he's vomited in total six times over the last two days and then yesterday he also developed a fever as well. I managed to measure it and it was 38.3 degrees Celsius. 
+
+D: OK, I see. So I just so that I understand the timeline, so he started to have abdominal pain about 3 days ago, started with having vomiting and diarrhea two days ago and you checked his temperature, he had a fever as of yesterday?
+
+P: Yeah.
+
+D: OK, and uh, was there anything that that he ate that was different over over these last few days?
+
+P: No, we've been strictly home food during like a pandemic like no, no real changes.
+
+D: OK, and what's his kind of behavior been like over these last couple of days?
+
+P: Yeah, 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.
+
+D: OK, I see and uh, could you describe the vomit?
+
+P: 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, but yesterday it was it was mainly just like uh just yellowish material, I couldn't really tell if it was food or not.
+
+D: OK, have you noticed any bile or blood in the vomit?
+
+P: Uh 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.
+
+D: OK, I see and, has the what was the vomiting triggered by anything that you're aware of, like eating or drinking? 
+
+P: Uhm? Yeah, two days ago it was it was after after lunch when he first vomited. But after that it's just been kind of random.
+
+D: I see OK, and, uh, and with regards to his diarrhea, has there been any any blood or or any color changes?
+
+P: 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.
+
+D: OK, um, and he's vomited how many times?
+
+P: So in total I can count 6 times.
+
+D: OK, and, has he been complaining of any headaches at all?
+
+P: No, not that I know. 
+
+D: No. OK, and how about any ear pain or or eye pain?
+
+P: No, not that he's mentioned to me.
+
+D: OK, and any eye redness?
+
+P: Nope.
+
+D: OK, and as he had a runny nose?
+
+P: No, not really.
+
+D: OK and has he had a sore throat or any pain with swallowing?
+
+P: No.
+
+D: OK, have you had any loss of taste or loss of smell?
+
+P: Uh no, not that he has mentioned to me now.
+
+D: OK, and has he had a cough?
+
+P: Uh, no, not really.
+
+D: OK, and how about any shortness of breath or wheezing? 
+
+P: No.
+
+D: OK, and has he had any any pain anywhere? Any chest pain?
+
+P: Um, 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.
+
+D: OK, is there any specific location that that he's feeling the pain?
+
+P: 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.
+
+D: OK, and has he had any urinary problems like painful voiding or been peeing more often?
+
+P: No, that's been OK.
+
+D: Have you noticed any rashes or skin changes?
+
+P: Uh, no, not not really, no. 
+
+D: OK. And has he had any muscle aches or uh, or joint pains that that he's mentioned?
+
+P: No, no he hasn't mentioned anything like that. 
+
+D: OK, and he's had a fever, has he had the chills?
+
+P: Yeah, 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, yeah, definitely was having chills.
+
+D: OK, and and has there been any concerns with his growth, either weight or or height?
+
+P: So he's been going along the charts pretty well, like no concerns during his growth. Otherwise, he's a very healthy child.
+
+D: OK, so no medical diagnosis previously?
+
+P: No nothing like that.
+
+D: OK, and uh, yeah, is he meeting all developmental milestones OK? Like gross motor, fine motor, doing well at school?
+
+P: Yeah yeah, he didn't have any issues with walking, running, he's pretty social with all his peers. He's doing well at school, no complaints.
+
+D: OK, excellent and you know, no medical conditions, but has there been any reasons for being in the hospital before?
+
+P: No, not at all. We, yeah, 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.
+
+D: OK, great, so immunizations are up to date?
+
+P: Yeah, immunizations all up to date.
+
+D: Excellent and does he have any allergies?
+
+P: Uh, no, uh, not not anything that we know of yet.
+
+D: 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?
+
+P: No, so it was a normal vaginal delivery, uh no issues, uh he was born at 39 weeks, didn't need to stay in the hospital at all. Yeah, it was a pretty smooth pregnancy compared to some of the other ones.
+
+D: OK, oh, that's that's great. Do you remember the Apgar score or his birth weight?
+
+P: Uhm, 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 3 kilograms. 
+
+D: OK, great so, yeah healthy birth weight at term it sounds like. And so, healthy, does he take any medications regularly?
+
+P: No, no medications.
+
+D: OK, and could you tell me about who is living with currently and then who's looking after him?
+
+P: Yeah, 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 one like a 10 year old girl.
+
+D: OK, and has anybody in the house been sick?
+
+P: Uh 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.
+
+D: OK, but nobody that you know that's had similar symptoms?
+
+P: No.
+
+D: OK, and have you traveled anywhere?
+
+P: No, we've been, we've been at home.
+
+D: OK, uh, and then you know recent changes to anything in the diet you've mentioned?
+
+P: No, that's been fine. 
+
+D: OK, and any concerns for safety in the home, whether physical or or verbal abuse?
+
+P: No, no concerns like that.
+
+D: OK, yeah a question that we have to ask everybody and is there any smoking in the home?
+
+P: No, no, we don't smoke. 
+
+D: OK, great then, are there any pets?
+
+P: Nope, no pets.
+
+D: Alright, and uh and in the family, has there been anybody who's had any heart problems or any lung problems?
+
+P: Uh, we are getting the 10 year old tested for just uh, asthma. 
+
+D: OK.
+
+P: But nothing diagnosed yet, no.
+
+D: OK, anybody in the family have any congenital diseases or any genetic diseases?
+
+P: No, not that I know of.
+
+D: OK, uh, anybody in the family have celiac disease or Crohn's disease?
+
+P: No, no, uh no history of any kind of bowel diseases. 
+
+D: OK, so I think that's, uh, everything I want I wanted to ask about today. Uh, was there anything that maybe I I forgot to ask or or that I missed that you wanted to tell me?
+
+P: Uh, yeah, 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?
+
+D: It is possible. Uh, it's uh, especially with nonspecific symptoms, COVID can cause a variety of different presentations, and 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 well, uh, 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. 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 he has lost a lot of fluid over these last couple of days. So we will check electrolytes and go from there on the test results.
+
+P: Alright, sounds good. Thank you so much.

GAS0007.txt

@@ -0,0 +1,131 @@
+D: So I understand you have been experiencing some abdominal pain?
+
+P: Yeah yeah stomach hurt, started hurting more last couple of days, maybe 3 days ago I think.
+
+D: OK, so for three days ago, for the last three days you said it's been hurting more. Did you have pain before that?
+
+P: It felt weird, like crampy. I just, I just thought I was constipated, 'cause I've been haven't been able to be able to go to the bathroom as well. I just thought I was kind of bloated a bit, but yeah, about about that time, started to feel a little bit more painful.
+
+D: Can you tell me kind of where you're feeling the pain the most?
+
+P: Yeah, kinda like near my right hip like lower where my stomach is that kind of right and below my belly button. Sometimes a little bit on the top just below my belly button, but mainly just in that right lower side yeah.
+
+D: OK, have you ever had pain like this in the past?
+
+P: No, never.
+
+D: OK. And for the last three days, has it been pretty constant? Has it been on and off?
+
+P: I feel it's been getting worse to be honest.
+
+D: Is there anything that you can think of this made it feel better?
+
+P: Honestly, just resting flat makes it feel a little bit better, but nothing much, no.
+
+D: OK, is there anything that makes it worse? 
+
+P: Touching it. Also I puked the the other day and that made it definitely feel worse, just that whole contraction in my body was nasty.
+
+D: OK, was it just the one time?
+
+P: Yeah.
+
+D: OK, you had the nausea associated with the pain?
+
+P: Mhm, mhm.
+
+D: Um, did the pain stay in that same spot or does it move anywhere else? 
+
+P: It has pretty much stayed in that one spot, yeah.
+
+D: Have you noticed any fevers lately?
+
+P: Felt a bit hot the other day, didn't take a temperature though.
+
+D: OK, OK, and what specifically prompted you to come in today to the emergency department?
+
+P: I thought it was just going to get better when it first started. Maybe just a bit of gas, but here we are kind of Thursday now and it's still pretty bad.
+
+D: OK, have you been in contact with anyone that's been sick lately?
+
+P: Not off the top of my head, no.
+
+D: And have you traveled anywhere recently?
+
+P: No.
+
+D: And I forgot to ask, did you notice any changes to your bowel habits?
+
+P: Yeah, yeah. Before it was fairly regular, about once a day. Five days ago, I started getting constipated, it backed up and pretty much the picture I think last time I went to the bathroom was two days ago I think, yeah.
+
+D: OK, I'm just gonna ask you some questions about your overall health. You have any chronic conditions that you see your family doctor for, or any other doctor?
+
+P: I got diabetes, type 2.
+
+D: And has that generally has that been well controlled for you lately?
+
+P: Most part, doctor checks my sugars. I'm not too regular on them myself, but last time he changed medications was a couple years back and I've just been on the same ones ever since.
+
+D: What medication are you currently taking?
+
+P: Metformin? Metformin.
+
+D: And have you ever had any surgeries in the past?
+
+P: No, I had my teeth pulled as a kid, but no.
+
+D: OK, still have your appendix?
+
+P: Yeah, yeah, I never had that problem as a kid.
+
+D: And do you have any allergies?
+
+P: No, sometimes get a little bit congested during the fall, but that's it.
+
+D: Do you have any family history of gastrointestinal problems?
+
+P: Gas, like no. I think my grandma died of breast cancer fairly early, but no, not not that not that I can think of.
+
+D: OK, and just in terms of your lifestyle, do you live here in town?
+
+P: Yeah yeah, I live here.
+
+D: Living alone or with family?
+
+P: No, no, I got family. Me, the wife, got two kids, one of them is college bound now but yeah.
+
+D: Nice, and what do you do for work? Or are you retired?
+
+P: I'm still working, I am a production overseer, production manager over at Fairbanks.
+
+D: OK, you're a big boss.
+
+P: It took awhile to get here.
+
+D: I'm sure it was very hard work. In general, do you drink alcohol? 
+
+P: Oh yeah, like, well, plan on drinking on the two four but not regular, special occasions mainly. Hot days, sometimes I'll have a beer or two.
+
+D: Sure, and do you smoke cigarettes?
+
+P: No.
+
+D: Have you ever smoked in the past?
+
+P: No.
+
+D: Do you cannabis?
+
+P: No. 
+
+D: Any other substances?
+
+P: No.
+
+D: OK, is there anything else you wanted to bring up today that I didn't ask you about or any other questions that you have?
+
+P: No, just hoping to get an answer to whatever is going on.
+
+D: OK, well at this point I will do a quick physical exam. We may want to have blood work done, maybe some other tests based on what we find out from there and then we can kind of let you know after that, what the next steps will be. So I'm just going to take this and go over it with the physician that I'm working with and will get back to you shortly. Thanks for chatting with me.
+
+P: Thanks doc.