jshargo/medical-interview-conversations huggingface dataset:
Patient: Um maybe taste a little bit but not smell. 

Doctor: OK, OK, when did that start? 

Patient: The taste ah. Maybe two days ago? 

Doctor: 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?
Patient: It's it's. It's been pretty constant. 

Doctor: OK. Have you had anything like that before? 

Patient: No. 

Doctor: Have you had any fevers?
Patient: I don't think so. 

Doctor: OK. Have you had any chills or night sweats?
Patient: No. 

Doctor: Have you felt overall really tired and weak? 

Patient: I. I felt tired, maybe not weak, but my I feel like my muscles all ache. 

Doctor: OK. OK, and when did that start?
Patient: That started. Like immediately after my sore throat. 

Doctor: OK. OK. OK, well we might circle back. I think there is any more questions you want to ask. 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  for regularly?
Patient: Um I have mild COPD. 

Doctor: OK. And what medications are you currently taking? 

Patient: Um I'm on a long acting beta agonist. 

Doctor: OK, is that the only medication you take?
Patient: Pardon me. 

Doctor: Is that the only medication that you take?
Patient: And I also take a couple of vitamins. 

Doctor: OK. Do you have any allergies?
Patient: Um no, no allergies. 

Doctor: Just gonna ask you few questions about your lifestyle. Do you live here in town? 

Patient: I do. 

Doctor: Do you ah live alone or with family?
Patient: I live alone. 

Doctor: OK. And do you smoke? 

Patient: I quit two years ago. 

Doctor: Oh congratulations, before that did you did you smoke for many years?
Patient: I did, I smoked for 40 years. 

Doctor: OK. Do you drink alcohol? 

Patient: I drink occasionally, maybe like on the weekends. 

Doctor: OK. Uhm, and do you use cannabis?
Patient: No. 

Doctor: OK any other drugs?
Patient: No, no other drugs. 

Doctor: OK. And are you retired? Do you work?
Patient: I am retired, yeah. 

Doctor: OK, what did you do for work before? 

Patient: I worked for GM. 

Doctor: Crock. OK. And do you have any family history of respiratory problems, heart problems and?
Patient: No. 

Doctor: OK. Uhm. 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?
Patient: Um no, I don't think so. 

Doctor: 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 19, that will probably do a covid swab, and what happens with that is since we do have some syptoms, will have to isolate until the result come back and potentially after that if you still have symptoms, even if it is negative. 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? 

Patient: No, thank you very much. 

Doctor: OK well thanks for chatting with me we should be back shortly to kind of let you know with the next step.
Patient: Yeah, 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. 

Doctor: OK, and when did you start having this sore throat?
Patient: Three days ago. 

Doctor: OK, and how about the fever? 

Patient: The fever I noticed maybe a day back. 

Doctor: OK, and did you get any temperature measurements?
Patient: I didn't take any myself. But I felt hot, and I felt chills. 

Doctor: OK, and have your sore throat or fever gone worse at all?
Patient: I think it's getting worse, yeah. 

Doctor: And does it usually happen during the day, throughout the night or does it have any sort of pattern?
Patient: 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. 

Doctor: OK. And besides that, do you have any cough? 

Patient: No, no cough. 

Doctor: OK, and have you tried anything that has helped you at all?
Patient: I tried just like those Lozenges and seems to be helping just soothe my throat, but it's a temporary relief. 

Doctor: OK. And have you had anything like this happen to you before? 

Patient: No, nothing like this. 

Doctor: And is the sore throat constant? Or does it come and go?
Patient: I would say it's pretty constant now. 

Doctor: OK. And have you been around anyone that has been sick recently? 

Patient: Not that I know of. 

Doctor: Anything that makes your sore throat worse?
Patient: I guess swallowing foods makes it worse, or at least it's painful. 

Doctor: OK. And have you at all noticed any like swelling around your neck region, like swelling of your lymph nodes? 

Patient: So yeah, not swelling of my entire neck, but I have felt some lumps in my neck. 

Doctor: OK, and how about any swelling anywhere else on your body?
Patient: Nowhere else. 

Doctor: OK, have you noticed any kind of skin changes like rashes or anything like that? 

Patient: No. 

Doctor: OK. And have you traveled at all recently?
Patient: No, nowhere. 

Doctor: OK, do you have any headaches or nausea or vomiting? 

Patient: No, nothing like that. 

Doctor: OK, and any night sweats.
Patient: No. 

Doctor: And do you feel fatigued like increased tiredness at all? 

Patient: Umm, yeah, I've been feeling really tired. 

Doctor: OK, any chest pain or feeling that your heart is racing?
Patient: No, nothing like that. 

Doctor: OK. Any issues with bowel movements, like any diarrhea or constipation?
Patient: No, no changes. 

Doctor: Have you been getting sleep at night or do you have to keep waking up?
Patient: Um, I've been getting OK, I sleep like, I've been sleeping about 7 to 8 hours. 

Doctor: OK. And how about your appetite?
Patient: I would say that's been OK as well, it's just hard to eat a lot of food because of this sore throat. 

Doctor: And is it just with solids or do you get the soreness with liquids too? 

Patient: I would say mostly with solids, sometimes with liquid. If it's like really cold or something. 

Doctor: OK. Do you have any kind of allergies to anything in your house like carpets, pets or anything like that?
Patient: No. 

Doctor: OK, have you had any recent infections like a cold? 

Patient: No. 

Doctor: No, OK. And do you have any past medical conditions?
Patient: Um, I have Crohn's disease. 

Doctor: And when did you get diagnosed with Crohn's?
Patient: That would have been last year. 

Doctor: Last year, OK. And are you taking any medications for your Crohn's disease?
Patient: I am on something for it, I think it's Sulfasalazine or something like that. 

Doctor: OK. And any other medications besides that?
Patient: Uhm, no, I don't think so. 

Doctor: Any previous hospitalizations or surgeries?
Patient: Um, I had a colonoscopy done. I just needed hospitalization for just the day I guess. 

Doctor: OK, and when was that?
Patient: That was also last year. 

Doctor: 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? 

Patient: Yeah, both do. 

Doctor: Both do, OK. Any anything else that runs in the family?
Patient: Uhm, I know there's some asthma and eczema that run in the family too. 

Doctor: OK. And you mentioned you haven't been around anyone that was sick or recently got sick?
Patient: No. 

Doctor: OK. And where do you currently live? 

Patient: I live in an apartment by myself. Sorry, not by myself, with my parents and my younger brother. 

Doctor: And do you at all drink alcohol?
Patient: 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. 

Doctor: OK, and do you smoke cigarettes? 

Patient: No. 

Doctor: And how about any other drugs like marijuana?
Patient: No. 

Doctor: OK. Alright, so do you partake in any like sports or activities or anything like that? 

Patient: Um, I swim. 

Doctor: OK, any contact sports?
Patient: No. 

Doctor: OK. Alright, so yeah, 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 yeah, do you have any other questions or concerns?
Patient: No, like what do you think I have? Do you think it's COVID? 

Doctor: Yeah, 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 24 to 48 hours 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 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 see what what comes back. And in the meantime you should definitely self isolate if you haven't been doing so already.
Patient: OK, sure I can do that. 

Doctor: Yeah, do you have any questions?
Patient: 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. 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. I'm also getting some wheezing and tightness in my chest as well as some cough. So yeah, that's all just been happening over the last day. 

Doctor: OK, and uh, is the shortness of breath here now? is it, is at rest? Or are you having that when you're exerting yourself?
Patient: 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. 

Doctor: OK, do you have any chest pain? 

Patient: No, it's more so just the tightness. I wouldn't call it pain, but I do still have a little bit of wheezing. 

Doctor: OK.
Patient: So yeah, that's, that's that. 

Doctor: And you mentioned a cough as well. With the cough is it, has it been dry, or have you been bringing up sputum?
Patient: Uhm, 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. 

Doctor: OK, have you brought up any blood?
Patient: No. 

Doctor: OK, and have you had any infectious symptoms like, eye tearing or red eyes, maybe a runny nose or sore throat? 

Patient: Uhm, not a sore throat, but it does feel like it, it's kind of like just constricted in there like, uhm, I don't know if it's relevant, but I, I do have asthma. Uh, 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. 

Doctor: OK, uh, and, uh, we'll get back to the past medical history shortly, I just wanted to ask a few more symptoms, but certainly could be relevant today. Uhm, so uhm, so you mentioned that you have had some throat tightness. Have you had any loss of smell or, or loss of taste?
Patient: No, nothing like that. 

Doctor: OK, and have you had any fevers or chills?
Patient: No. 

Doctor: OK, have you had any nausea or vomiting? 

Patient: No, no nausea or vomitting. 

Doctor: How about, any diarrhea or Constipation?
Patient: No. 

Doctor: And have you had any urinary problems like painful or frequency?
Patient: No. 

Doctor: OK and have you had any night sweats over the last several weeks to months?
Patient: No, nothing like that. 

Doctor: And, uhm, have you had any weight changes over the last little while?
Patient: No. 

Doctor: OK. And have you noticed any skin changes or rashes? 

Patient: Uh, no, I, I do have just like the general, like, eczema, that I use a cream for, but that's just normal for me. 

Doctor: OK. And any muscle aches or, or joint pains?
Patient: No. 

Doctor: Have you had any fatigue? 

Patient: No. 

Doctor: OK, alright you mentioned asthma as part of your past medical history. Have you been diagnosed with any other conditions?
Patient: No, it's just asthma and it was diagnosed, I think when I was like, probably 11 or 12 years old. 

Doctor: OK, and do you use inhalers for that?
Patient: Yeah, I have two inhalers, uh, like one, one is like a blue one, one is like an, like an orange one, uh, 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 every day. Uhm, and I haven't been taking the one, uh, I think it's called Ventolin. But I took it like, uh, had to take it like three or four times last night and like, throughout the day yesterday. And it, it did help, but it didn't really relieve some of my symptoms. 

Doctor: OK, and prior to that, how often have you been using, uhm, the blue one.
Patient: The blue one before yesterday, probably the last time I used it was probably like a month ago. 

Doctor: OK, so you don't need it that that often then? 

Patient: No. 

Doctor: 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?
Patient: Uhm, 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. 

Doctor: OK, and, and do you use any other medications?
Patient: Uh, just when I have allergies. I, I just use over the counter allergy meds. 

Doctor: OK, and you use a cream for, for your skin too like, yeah?
Patient: Yeah, I use, like it's, it's, I think it's like a mixture of like a steroid cream. 

Doctor: OK, and do you have any allergies to medications? 

Patient: Not that I know of. 

Doctor: OK, and are your immunizations up to date?
Patient: Yeah. 

Doctor: Alright, and right now, who are you living with, and whereabouts are you living?
Patient: Yeah, so I'm just living with a couple roommates. I just go to college and I'm living with three other roommates. 

Doctor: OK, and has anybody been sick? 

Patient: No, everyone's been fine. 

Doctor: And have you traveled anywhere?
Patient: Uhm, 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 besides that, that was, that was uh, that was it? 

Doctor: OK, and  sorry, just had to backtrack a little bit. Have you had any hospitalizations, either due to asthma or for any other reason? 

Patient: Uhm, I think when I was 15, I, I had to go to the emergency department, but I, I wasn't hospitalized. 

Doctor: OK, and was this, uh, did you have similar symptoms at that time?
Patient: Yeah, it was, uh, it was for asthma and like, uh, that time it was definitely much much worse and I remember like I was breathing a lot, uh, the shortness of breath was really bad and the ventolin like puffers weren't even helping me at that time. 

Doctor: OK yeah, OK, and have you had any surgeries before? 

Patient: No. 

Doctor: Alright, so yeah, 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?
Patient: Yeah, 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. 

Doctor: OK yeah for sure, uh, and do you smoke cigarettes? 

Patient: No, like I can't even stand cigarette smoke. 

Doctor: OK, that's good. And do you smoke marijuana or use any cannabis products?
Patient: Uh, no if I, if I really want marijuana, I would have to go with edibles, I, I can't take the smoke. 

Doctor: OK, I see and, do you drink alcohol? 

Patient: Uh just, I would say probably on the weekends I might have four or five beers. 

Doctor: OK, and, anybody else in the family have asthma or skin irritation like, like you have?
Patient: Yeah 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. 

Doctor: 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? 

Patient: My grandfather died of lung cancer, but he was just, just smoked all throughout his life. 

Doctor: OK, uhm, 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?