TiagoAdriano/entrevistas_medicas_yap · Datasets at Hugging Face

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D: Just the stenting? And apart from that, have you had any other previous hospitalizations?

P: No.

D: OK, and any family history of any cancers or heart attacks?

P: Um, my father died of a heart attack when he was 60.

D: OK. And currently do you work at all?

P: I do, um, I work as a cashier.

D: OK. And has the shortness of breath been affecting your daily routine at home or at work at all?

P: Yeah, 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.

D: OK. And at home, do you currently live with anyone or do you live by yourself?

P: I live by myself.

D: OK, and do you live in an apartment or house?

P: I live in an apartment.

D: OK, and are there any exposures like dust or mold or asbestos in your home environment?

P: No.

D: OK. And currently do you smoke?

P: Not right now. I used to smoke. I used to smoke 10 a day for like 40 years.

D: OK, and do you use any recreational drugs like marijuana?

P: No.

D: OK. Any alcohol?

P: No.

D: OK. And in terms of your daily routine, do you feel that you get 3 meals a day, a well balanced diet?

P: I wouldn't say well balanced. I'm trying to eat healthier but doesn't always happen.

D: OK, and how about exercise? Do you find that your exercise levels or activity levels have gone down in the last two months?

P: Yes.

D: OK. Alright, is there any other questions or concerns that you have or something I may have missed to ask you today?

P: No, I don't think so.

D: 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 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. 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 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. So we'll do some investigations and then go from there.
D: What brings you here today?

P: I'm just having this really sharp pain in my chest and I'm scared. I think I'm having a heart attack.

D: Oh wow, yeah um that must be really scary. When did this, when did this pain start?

P: So about 3 days ago.

D: Three days ago, OK, and where exactly in your chest do you feel it?

P: It's kind of right here, right over my heart I think, that's where it's the worst.

D: OK, and is it, what kind of pain is it? Is it more like a dull pressure pain, or is it a sharp pain? How would you describe it?

P: I would say it's a sharp pain.

D: A sharp pain, OK. Um, so it started three days ago, has it been coming and going or has it been constant?

P: It just lasts for a few seconds and then it goes away.

D: OK, does the pain come on when you're doing any activities or When does the pain usually come on?

P: Oh, it's usually worse when I'm coughing or laying down. Yeah, yeah.

D: OK, and um, does it improve with any positional changes at all, or anything that you do that does it help?

P: When I when I lean forward, it actually does get better. I think about it, yeah.

D: OK, and has this ever happened to you before?

P: No, no it hasn't.

D: OK and on a scale of 1 to 10, one being the least amount of pain felt and 10 being the worst, how much would you rate it?

P: I would say a 6 out of 10.

D: OK, and does the pain move anywhere in your chest or does it stay in the same spot?

P: Yeah, I think it kind of goes to my neck sometimes.

D: OK, and do you have any other symptoms, like do you have any shortness of breath, dizziness, anything like that?

P: No, I don't.

D: OK any any palpitations?

P: No.

D: Just the stenting? And apart from that, have you had any other previous hospitalizations?

P: No.

D: OK, and any family history of any cancers or heart attacks?

P: Um, my father died of a heart attack when he was 60.

D: OK. And currently do you work at all?

P: I do, um, I work as a cashier.

D: OK. And has the shortness of breath been affecting your daily routine at home or at work at all?

P: Yeah, 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.

D: OK. And at home, do you currently live with anyone or do you live by yourself?

P: I live by myself.

D: OK, and do you live in an apartment or house?

P: I live in an apartment.

D: OK, and are there any exposures like dust or mold or asbestos in your home environment?

P: No.

D: OK. And currently do you smoke?

P: Not right now. I used to smoke. I used to smoke 10 a day for like 40 years.

D: OK, and do you use any recreational drugs like marijuana?

P: No.

D: OK. Any alcohol?

P: No.

D: OK. And in terms of your daily routine, do you feel that you get 3 meals a day, a well balanced diet?

P: I wouldn't say well balanced. I'm trying to eat healthier but doesn't always happen.

D: OK, and how about exercise? Do you find that your exercise levels or activity levels have gone down in the last two months?

P: Yes.

D: OK. Alright, is there any other questions or concerns that you have or something I may have missed to ask you today?

P: No, I don't think so.

D: 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 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. 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 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. So we'll do some investigations and then go from there.

D: What brings you here today?

P: I'm just having this really sharp pain in my chest and I'm scared. I think I'm having a heart attack.

D: Oh wow, yeah um that must be really scary. When did this, when did this pain start?

P: So about 3 days ago.

D: Three days ago, OK, and where exactly in your chest do you feel it?

P: It's kind of right here, right over my heart I think, that's where it's the worst.

D: OK, and is it, what kind of pain is it? Is it more like a dull pressure pain, or is it a sharp pain? How would you describe it?

P: I would say it's a sharp pain.

D: A sharp pain, OK. Um, so it started three days ago, has it been coming and going or has it been constant?

P: It just lasts for a few seconds and then it goes away.

D: OK, does the pain come on when you're doing any activities or When does the pain usually come on?

P: Oh, it's usually worse when I'm coughing or laying down. Yeah, yeah.

D: OK, and um, does it improve with any positional changes at all, or anything that you do that does it help?

P: When I when I lean forward, it actually does get better. I think about it, yeah.

D: OK, and has this ever happened to you before?

P: No, no it hasn't.

D: OK and on a scale of 1 to 10, one being the least amount of pain felt and 10 being the worst, how much would you rate it?

P: I would say a 6 out of 10.

D: OK, and does the pain move anywhere in your chest or does it stay in the same spot?

P: Yeah, I think it kind of goes to my neck sometimes.

D: OK, and do you have any other symptoms, like do you have any shortness of breath, dizziness, anything like that?

P: No, I don't.

D: OK any any palpitations?

P: No.