jshargo/medical-interview-conversations2 huggingface dataset:
user: Uh yeah, I've been going been going to school. I know with the some of the lockdowns and what not the schools been open so we've been going. They've been pretty cautious with the covid protocols. And but my mom's been working from home. 

assistant: OK, good. Do you feel like you or your mom may have had contact with anyone who could have potentially been sick?
user: Uhm, I mean, maybe at the school or something like that, but I can't think of anybody who who's been sick. 

assistant: OK, alright, have you traveled anywhere outside the province? 

user: No. 

assistant: OK, uhm. And, uh, do you I guess a couple of other more general questions. Do you feel safe at home?
user: I do, yeah. We have a good a good relationship. 

assistant: I'm glad, I'm glad, and an anything that we discuss will see confidential between you and me, unless there's something that you could be talk about that could harm you or harm anyone else. Do you feel safe at school? 

user: Yes, I do. I enjoy school. It's been fun. 

assistant: That's good, that's good. And have you can have been consuming the drug? Tried anything?
user: No, I've heard of other people. I mean in high school doing stuff like that, but I haven't been around anything like that. 

assistant: OK, alright. Any alcohol?
user: No. 

assistant: OK, are you sexually active? 

user: No. 

assistant: Alright. And uh, let's see so.. uh, you've had a fever, a cough, and a runny nose for the past few days. And have you been going to school? In the past couple of days or no?
user: 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 um these headaches and been feeling really kinda achy all over.  D; OK, So what what kind of started first to cough or the aches?  The cough started first. 

assistant: OK and is it dry cough or a wet cough?
user: It's dry. 

assistant: OK so you're not bringing up any sputum or blood or anything like that?
user: No, I'm not coughing up any sputum or or blood. 

assistant: OK, that's good. And the muscle aches, uh, so were you doing anything recently? Like anything strenuous increased exercise? Lifting anything or any injuries at all recently.
user: No, not nothing I can think of like that. 

assistant: OK, and where are you getting your muscle aches?
user: It's like kind of all over the feel, just generally achy. 

assistant: OK, generally ache, OK. And are you getting any kind of headaches or anything like that? 

user: Yeah, 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. 

assistant: OK, and the headache where where is it exactly located?
user: 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. 

assistant: OK and um. 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? 

user: It's more like pressure, 

assistant: Pressure, OK, and have you do you are you? Are you someone that usually has headaches?
user: 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. 

assistant: OK, have you tried anything for your pains or headaches? 

user: Uh, yeah, 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. 

assistant: OK, and have you tried anything for your cough?
user: Um no, I haven't tried anything for the cough. 

assistant: OK, have you had any other symptoms like fevers or chills?
user: Um I have I I have felt a little bit feverish. Yeah, I haven't had any chills though. 

assistant: OK, and um. When did you start feeling feverish?
user: Um yeah, maybe within the last couple of days as well. 

assistant: And did you manage to get a temperature at all?
user: Uh, no. I've just felt really hot. 

assistant: OK, uh any other symptoms like runny nose, sore throat, uh chest pain, anything like that?
user: Um. No I haven’t uh had any any sore throat or chest pain, no runny nose either. 

assistant: OK, any shortness of breath? 

user: No. 

assistant: OK, any recent travel or contact with someone who's been ill?
user: Um yeah, 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. 

assistant: OK, um any nausea or vomiting? 

user: No. 

assistant: OK, any loss of taste or smell?
user: Um. Ah no. 

assistant: No. Any night sweats or fatigue? 

user: I. No no no.. 

assistant: OK um, any changes in your bowel movements, like any diarrhea or constipation?
user: Uh yeah, I have had I actually had um. You mentioned diarrhea for the past. A day as well. 

assistant: 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?
user: No blood in the stool. I'm just, it's just been really loose. 

assistant: OK. Um 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?
user: No, it's been pretty stable. So yeah, I haven't had any changes like that. 

assistant: OK. Any changes in your appetite or weight?
user: Uhm. I've been less hungry for sure. Yeah, so I I've had a decreased appetite, but my weights been stable recently, so no changes in weight. 

assistant: OK. And any exposure to fumes or dust or animals within your home environment or work environment? 

user: No, nothing like that. 

assistant: Uhm? Have you been diagnosed with any medical conditions?
user: No, I've been healthy. 

assistant: OK uh, do you take any medications? 

user: No, just I. I'm a multi vitamin and vitamin D. 

assistant: OK, any allergies to any medications at all?
user: No no allergies. 

assistant: OK any allergies to any environmental factors or foods?
user: I I do have an allergy to peanuts and so I carry an EpiPen for that, but uh that's the only food. 

assistant: OK um, and any hospitalizations or surgeries in the past?
user: Um I did have surgery like an ACL repair and repaired knee and knee surgery about 10 years ago. And but that, yeah, that's the only surgery. 

assistant: OK. Any family history of any longer heart conditions.
user: Uh. My dad had high high blood pressure and my. Yeah, my Grandfather I had had lung cancer actually when he was in his 80s when he passed away from that and he was a smoker's whole life. 

assistant: OK. Currently, do you work at all?
user: 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. 

assistant: OK, and in your workplace have you notice anyone sick at all?
user: Um. 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. 

assistant: OK, and do you usually wear masks around other people? 

user: Yeah, we've been wearing masks and and there are cleaning protocols and distancing protocols as well. Trying to keep everybody safe. 

assistant: OK, and since you've had these symptoms, have you gone into work at all?
user: No, no, I've actually. I've been off for the the last couple of days. 

assistant: OK. 

user: Yeah I've just been been doing what I can from home, 

assistant: OK. And what's your home situation like? Who do you live with?
user: Yeah, so I live with my I live with my wife and we live in a townhouse just right in the city here. 

assistant: OK, and has she been displaying any symptoms at all? 

user: Uh no she hasn't. She's been been feeling good. 

assistant: OK, that's good, and currently do you smoke?
user: No, I'm not a smoker, 

assistant: OK. Any recreational drugs like marijuana? 

user: I will sometimes use like the CBD or yeah like the oils, but that that's it. 

assistant: OK, and do you drink alcohol?
user: Yeah, I'll have a few beers on the weekend sometimes like, but that that's that's about it. Maybe like 3 or 4 beers a week. 

assistant: Alright, OK, so yeah those are all the questions I had for you today. Do you have any questions at all? 

user: 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. 

assistant: 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 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 24 to 48 hours. 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.
user: OK that yeah, that sounds good. Thank you. 

assistant: Yeah 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. 

user: OK, now that sounds that sounds good, so it could be covid or like another viral illness. 

assistant: Yeah,
user: Um so I was playing soccer the other day and I got kicked in the knee and since then my knee has been hurting and it looks a little bit red and a little bit swollen on the medial aspect of my right knee. 

assistant: OK. And. And this started right after the kick at soccer?
user: Yes. 

assistant: OK, and how many days ago was this?
user: This was two days ago. 

assistant: OK, since then, has the pain begin getting any better or worse or staying the same?
user: No, it's staying the same or a little bit worse. 

assistant: OK. Could you describe the pain? Is it sharp, achy? 

user: I'd say it's pretty sharp. 

assistant: OK. Uhm and do you feel the pain radiate anywhere like down the leg or or up into the thigh?
user: Um no. 

assistant: OK, any pain in the posterior aspect of the knee or the lateral aspect? 

user: No. 

assistant: OK. Um and is there anything that makes the pain worse?
user: I guess if I press on that area or I try to. And. I don't know, flex or extend my knee too much. 

assistant: OK. An anything that you've tried to make the pain better?
user: Um some ice helps. 

assistant: OK, uh. And have you noticed swelling over the area? 

user: Just a little bit. 

assistant: OK, and redness as well?
user: Yes. 

assistant: OK. Uhm and what would you say the severity of the pain is a 10 being the worst pain that you've ever felt and 1 being low intensity pain. 

user: Um I'd give it about a 5. 

assistant: OK, and have you had any injuries or any knee pain before?
user: No. 

assistant: OK, at the time of the injury, did you hear a pop sound or or any kind of sounds like that? 

user: I don't recall. 

assistant: OK, and how about any difficulties walking or having any knee instability?
user: Um a little bit only when I like try to extend or flex my knee too much. 

assistant: OK. Um. And. Uh, um alright. So have you been experiencing any other symptoms? 

user: No. 

assistant: Alright, so just to be comprehensive so I'll run through a review. So have you been, having any any headaches?
user: No. 

assistant: Any sensory changes like changes to vision, hearing, smell or taste? 

user: No. 

assistant: OK, any eye symptoms or your symptoms?
user: No. 

assistant: Have you had a runny nose or sore throat? 

user: No. 

assistant: Have you had a cough?
user: No. 

assistant: Have you had any wheezing? 

user: No. 

assistant: Have you had any chest pain?
user: No. 

assistant: Any heart palpitations or heart racing?
user: No. 

assistant: OK. Have you had any fainting or dizziness?
user: Um no. 

assistant: Alright, have you had any nausea or vomiting? 

user: No. 

assistant: Have you had any changes to your appetite like loss of appetite?
user: No. 

assistant: Have you had any weight loss unexpectedly.
user: No. 

assistant: OK, have you had any abdominal pain?
user: Um no. 

assistant: Any changes to bowel habits like diarrhea, constipation?
user: No. 

assistant: OK, have you had any urinary problems like pain or frequency? 

user: No. 

assistant: Alright, and have you had any skin changes such as ra' rashes or anything like that?
user: No. 

assistant: OK, any joint pains anywhere else?
user: Um no. 

assistant: OK, and any fatigue?
user: No. 

assistant: OK, and in the past, have you had or have you been diagnosed with any medical conditions?
user: Um no. 

assistant: OK, do you have any allergies to medications?
user: No, no, not that I know of. 

assistant: Are you currently taking any medications?
user: No. 

assistant: Alright, and have you had any surgeries or hospitalizations before? 

user: No. 

assistant: OK, and. Um, can you tell me a little bit about your living situation, like you you're living with and whereabouts?
user: Sure, I live with both my parents and three of my siblings. 

assistant: OK, and are you going to school?
user: I am, I'm in my last year of grade 12. 

assistant: OK. Well, that's good. How is that been going? 

user: It's been going OK. We've been doing part online, part in-person. 

assistant: OK, have you been around anybody who's been sick?
user: No. 

assistant: Alright then. And you play soccer. Do you play any other sports?
user: And I play football. 

assistant: OK, cool and any injuries before to your knee or anything like that? 

user: Um not that in the past. 

assistant: Alright. And do you smoke cigarettes?
user: No. 

assistant: Um do you drink alcohol? 

user: No. 

assistant: OK, did you use any recreational drugs like marijuana or anything else?
user: No. 

assistant: OK, are you currently sexually active? 

user: I am. 

assistant: OK, are you in a relationship?
user: I am. We've been together for a year. 

assistant: OK, is there any concern for a sexually transmitted infection? 

user: No, we were both tested. 

assistant: OK, great, um and any chance that you could be pregnant?
user: No. 

assistant: OK and uh in the family, are there any musculoskeletal or neurological conditions? 

user: Um no. 

assistant: OK, um. And so that I that was everything I wanted to ask on history. So for the physical exam, when inspecting the knee, are you seeing any joint effusions or joint swelling or ecchymosis or bruising?
user: 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. 

assistant: OK, is there any muscle atrophy?
user: Um no. 

assistant: OK, and is there any misalignment or joint deformities? 

user: No, not that I notice. 

assistant: OK. And alright on gait or walking, is there any limp or antalgia?
user: Um no. 

assistant: You're able to walk normally? 

user: I am able to walk normally and it hurts, but I think I'm walking OK. 

assistant: OK. Uhm and next is there any changes to temperature like the joint itself feel hot?
user: No. 

assistant: OK and are there any areas of the joint line itself of the knee that is painful to palpation? 

user: At just the medial part of it like the I guess where the ligament would be. 

assistant: OK, so just let me OK, and, any pain over the patella?
user: No. 

assistant: Any pain over the tibial tuberosity or patellar tendon?
user: No. 

assistant: Any pain over your over the fibular head or the lateral part of the knee?
user: No. 

assistant: Any pain in the calf or the thigh muscles? 

user: No. 

assistant: Any pain in the hamstring muscles?
user: No. 

assistant: OK, and is there any pain to a like varus stress of the knee? 

user: To the varus stress? I guess it would be, there will be pain if I press down in that area. 

assistant: OK, and is there any joint yeah, the joint laxity or pain too, like a valgus stress of the knee?
user: Yeah, so when I press when I do that it hurts on the medial aspect but not the lateral aspect. 

assistant: OK. Uhm and does it feel is as though there's some like the joints opening more when you put the valgus stress? 

user: A little bit, yes. 

assistant: OK. Uhm and is there any instability moving the tibia anteriorly, if you're like, pull it outwards?
user: Um no. 

assistant: And how about if you pull the tibia posteriorly, any instability? 

user: No. 

assistant: OK, um and the is their full range of motion of the knee?
user: Yes. 

assistant: And full range of motion of the hip and ankle?
user: Yes. 

assistant: OK, um and do you have any like numbness, tingling or muscle weakness?
user: No. 

assistant: OK, and any sensory changes to the skin?
user: No, no. 

assistant: OK and reflexes are normal. 

user: Mmmm 

assistant: OK. So I think that was everything I wanted to ask and and kind of go through on the physical exam. Did you have any other questions or anything that maybe I forgot to mention today?
user: Ah no, that was it. Just what can I do about my my knee? 

assistant: Yeah, so right now it's sounding like this could be an MCL or medial collateral ligament strain, or injury and so these types of injuries are usually treated conservatively, like with things like NSAIDs or anti-inflammatories to help that pain and swelling. If the pain depending on how severe it is, it might be useful to use maybe 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 therapy exercises like strengthening the quadriceps and hamstring muscles.
user: Sure, I've been feeling very short of breath for the past, uh, two weeks, but even before that, I started feeling a little bit short of breath and I can't stop coughing and it just feels like it's really hard for me to breathe. 

assistant: OK, so this started two weeks ago? 

user: Yeah, it started two weeks ago. 

assistant: OK, and you're also coughing?
user: Yeah. 

assistant: OK, and how long have you been coughing for?
user: The same amount of time, it started about, maybe three weeks ago, I started coughing more, um, but now it's worse. 

assistant: OK, and what kind of cough are you having? Is it a wet cough or a dry cough?
user: It's definitely wet. My phlegm looks green. 

assistant: OK, and how long have you noticed it being green? 

user: It's been like that for the past two weeks. 

assistant: OK, and before that, were you having coughing as well?
user: Yeah, before that I was still coughing but not as much. 

assistant: OK, uhm, and was there anything that happened, uh, did you get sick at all recently, or were you in contact with anyone who was sick? 

user: No, not that I know of. 

assistant: OK, any kind of fevers at all?
user: No, no fevers. 

assistant: OK. Have you noticed any kind of, uh, coughing up blood or blood tinged sputum at all?
user: Uhm no not that, no blood. 

assistant: OK, and how much sputum are you bringing up in an average day now? 

user: Uhm, I'm bringing up about, I'd say it would fill like two, two of my palms, like the inside of my palm. 

assistant: OK. Alright, and is your coughing like constant or does it come and go?
user: It's pretty constant now. 

assistant: OK. And have you had at all any kind of, uh, fevers or anything like that?
user: No fevers. 

assistant: OK, and how about your shortness of breath? Is that, when does that happen? Is it mainly with exercise and exertion, or can it happen even when you're just going on about your day?
user: Uhm, its, uh, ok, its more with exertion, but right now even at rest, I'm coughing and feeling short of breath. 

assistant: OK. And are you feeling at all any kind of, uh, chest tightness or pain? 

user: Uh, yeah, some chest tightness. 

assistant: And is that mainly when you're coughing and short of breath or, uhm, at other times as well?
user: Uhm, other times as well. 

assistant: OK. Are you having any other, any other like, can you describe your chest pain a little bit? Is it kind of a pressure pain or is it a sharp pain, aching pain? How would you describe it? 

user: Uhm, I would say it's a, uh, it's a tightness in my chest. And it feels, I guess throbbing or achy? 

assistant: OK, and does this pain, uhm, move to anywhere else or does it just stay in your chest?
user: Uh, it just stays in my chest. 

assistant: OK, have you been feeling dizzy or have you fainted at all?
user: Uh, no. 

assistant: Have you been feeling increased sweating and confusion? Anything like that? 

user: No. 

assistant: OK, have you felt your heart racing and anything like that?
user: No. 

assistant: OK. Alright, and is there anything that makes your symptoms better or worse?
user: Uhm, I guess activity makes it worse, un, and like cold air, things like that. 

assistant: OK. And other than that, have you recently at all traveled outside of the country or outside of the province? 

user: Uh, no. No, not recently. 

assistant: OK, now are you having any wheezing at all?
user: Uhm, some wheezing, yeah. 

assistant: OK. And any kind of headaches or nausea or vomiting. 

user: No, nothing like that. 

assistant: OK, and any fevers or chills.
user: Ah, nope, nothing like that. 

assistant: Any night sweats?
user: Ah, sometimes I feel sweaty, but that's just with the shortness of breath. 

assistant: OK, and how long does your shortness of breath usually last? 

user: It lasts about, uh, I don't know, I kind of feel short of breath all the time, but when it's really bad, it lasts about five-ten minutes and then it goes back to like my normal shortness of breath. 

assistant: OK. And has this happened to you before?
user: Uhm no, I don't think so. 

assistant: OK.
user: Like not, not this bad, I've always had some shortness of breath but nothing like this. 

assistant: OK. And , uh, do you have any kind of diarrhea or constipation? 

user: Uhm, no nothing like that. 

assistant: OK, how about fatigue?
user: Yeah, I feel fatigued. 

assistant: OK, and is that just about today or is it, do you think it's because of your shortness of breath? 

user: Yeah, it's probably cause of my shortness of breath. 

assistant: Are you having any of these symptoms when you're trying to sleep?
user: uh yeah, I think its, yeah when I'm laying down sometimes I feel more short of breath than usual, but once I shift positions it goes back to it's normal. 

assistant: Ok. Is it, do you ever have to wake up at night to catch a breath or anything like that?
user: Ah, no, it doesn't wake me up. 

assistant: And have you noticed any kind of, uh, significant weight loss or anything like that recently?
user: No. 

assistant: OK, and have you at all had any changes in your appetite or anything like that?
user: No, no change in appetite. 

assistant: OK. Any exposures to any like dust, fumes or any irritants recently
user: No. 

assistant: OK And, in the past, have you been diagnosed with any medical conditions? 

user: Uhm,  just COPD, uhm, and, I also have some congestive heart failure. 

assistant: OK, and when were you diagnosed with both of them?
user: COPD I've been, I got diagnosed about seven years ago, CHF about two years ago. 

assistant: OK, and uh, right now do you have any symptoms of any swelling in your extremities like legs, hands or anything like that?
user: Some swelling in, some swelling in my legs, yeah? 

assistant: OK, and do you have any kind of shortness of breath when you're lying down, at all? 

user: Uh, a little bit. Yeah, a little bit I would say. 

assistant: OK. And any other medical conditions?
user: Nope, no others. 

assistant: Any allergies? 

user: No. 

assistant: Any medications you're on right now?
user: Yeah I'm on, uh, an ACE inhibitor, I'm on, uh, Spironolactone, uhm, I'm on, I have some puffers for my COPD. I believe, what do I have, I have, um, I have a long acting beta agonist. And I guess I have a short acting as well for when I need it. 

assistant: OK. And do you have, so is it just the two, two puffers?
user: Mhm. 

assistant: OK, and are you using, like the blue one, the blue one more at all, are you having to use the short acting one more?
user: I'm definitely using the short acting more, like I'm using it almost every day. 

assistant: And does it help at all?
user: Uh I4 think so. 

assistant: OK yeah, so other than that, are you on any other medications?
user: No. 

assistant: No, OK. And have you been taking your Spironolactone? 

user: Yeah, I've been taking all my medications. 

assistant: OK, any previous hospitalizations or surgeries?
user: I was hospitalised two years ago for shortness of breath and some low oxygen, that's when they diagnosed me with CHF. 

assistant: I see OK and did they say at all, It was caused by, like your COPD or what was it caused by? Do you remember? 

user: Uhm,  I guess just, yeah, I'm not really too sure, they said I had some heart condition and my heart isn't functioning as well as it should be. They did an echo on me. 

assistant: OK, and have you at all had any kind of heart attacks or anything like that?
user: No. 

assistant: No, OK. and did they, when you were having shortness of breath, did you have a like a pneumonia or infection that you had to get antibiotics for any or anything like that?
user: Uhm, no. Actually I might have gotten some antibiotics at one point, but not during that visit. 

assistant: OK. OK, And currently right now do you smoke?
user: No, I stopped smoking two years ago. 

assistant: Yeah no, that's really good. And definitely with these symptoms and your condition that definitely helps to quit smoking whenever you can, so congratulations for that. Any alcohol at all?
user: I drink some alcohol. I drink maybe once a week. 

assistant: OK, and any recreational drugs like marijuana?
user: I smoke once in a while. 

assistant: OK, how often would you say you smoke marijuana? 

user: I smoke about a joint a week. 

assistant: OK, and uh, do you use a, like the provincial marijuana, or do you have any other source, what would you say you use?
user: I use uhm, Pardon me, what was that? Do I use? 

assistant: Like uh, do you get it from a store that sells the joint? 

user: Yeah, I get it from like a medical dispensary. 

assistant: OK, OK, I see. Yeah, I just want to make sure because some, if you get it from other sources there might be more irritants in there that can cause some of your symptoms and for them to get worse as well. So yeah.
user: Oh I see, I see, OK. 

assistant: Yeah, and other than that, do you have any questions or concerns at all? 

user: No, what do you think I should do from, For now? 

assistant: Yeah, so right now what we're going to do is because you're having the coughing, shortness of breath, and you have a history of COPD & CHF, we definitely want to make sure that you're not having, uhm, what I think you might be having isn't just an exacerbation of your COPD, and especially with the green sputum it might be like a bacterial infection that's causing your symptoms to get worse, so we'll do all the appropriate testing, we'll do, a chest X-ray, we'll get some blood work done as well, w'ell give you some uh, Ventolin as well while you're here, and we might give you like a steroid medication as well. So we'll do some of those things right now for you to kind of help you right now, as well as do some of those tests that I mentioned. Depending on what comes back, you might require an admission to the hospital just because we want to make sure you don't go home with an exacerbation, especially with the CHF as well, we need to, we will need to get that under control because that can get worse with your COPD exacerbation as well. So we need to make sure some of that, swelling goes down, if we need to adjust your medications while you're here. So yeah, let's just, I'll get back to you, we'll do some of those testing and then see where to go from there. Is that OK?
user: So I just came in today because I've been having a sore throat. 

assistant: OK, could you tell me specifically where you're feeling the pain? 

user: I would say it's mostly at the back of my throat. 

assistant: OK, and how long has this been going on for?
user: I think it started last night. 

assistant: OK. And how would you describe the pain? Is sharp, burning, stinging, dull? 

user: I would describe it as like a burning pain. 

assistant: OK, and uh, has anything, has the pain been getting any better any worse?
user: I think it's getting worse since last night. 

assistant: OK, and any prior episodes like this where you had similar symptoms? 

user: Nothing, nothing recently that I can recall, no. 

assistant: OK, are you feeling the pain radiate anywhere else?
user: Uh, I think it's just staying at the back of my throat. 

assistant: OK, and can you think of anything that triggered the the sore throat that you did just prior to the symptoms coming on? 

user: Uh, no, not that I can think of. I haven't really changed what I drink or what I eat. Nothing really changed. 

assistant: OK, and anything that's been making the pain worse?
user: Um, I would say when I, uh, especially when I'm eating when I'm swallowing, it hurts a lot, but that's about it. 

assistant: OK. Anything that makes it better? 

user: Uh, I I think when I drink like colder liquids or ice cream, it just soothes he pain a little bit. 

assistant: OK. Any other symptoms that you been experiencing?
user: Um, 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, um, nothing else really. I'm still able to swallow liquids but it's just the solids that causes some pain. 

assistant: OK, have you had anything to eat today or when was the last time you had anything to eat?
user: I think I did have lunch today. I wasn't able to eat too too much just because of the pain. But yeah, just a couple hours ago I had I did have a lunch. 

assistant: OK, and have you noticed any changes to your voice yourself? 

user: Sorry, what was that? 

assistant: Have you noticed any changes to your like do you think your voice sounds different too?
user: Yeah, I definitely think um, like when I woke up this morning, my voice was definitely more like hoarse and more like raspy, almost. But yeah, I would say my voice has changed. 

assistant: OK, and have you been having any fevers or or chills?
user: 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. 

assistant: OK, yeah um you did have a fever today when coming in. 

user: OK. 

assistant: Uh, OK. Have you had any headaches?
user: No no headaches. 

assistant: OK, how about any nausea or vomiting? 

user: 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. 

assistant: OK, but you do feel like your throat is swollen?
user: Mhm. 

assistant: Alright, and how has your energy been? Have you been experiencing any fatigue?
user: Yeah, I would say definitely the last few days, especially yesterday. I just felt exhausted, didn't really want to do anything. 

assistant: OK, notice any skin rashes or or changes? 

user: No, no skin skin rashes. 

assistant: OK, and have you had a cough?
user: No, I haven't had any coffee. 

assistant: How about any difficulty breathing or shortness of breath? 

user: No, I think my breathing has been fine. 

assistant: OK um, and how is your appetite?
user: Yeah, over the last few days, especially today, I just feel like with the pain I don't really feel like eating at all. 

assistant: OK. And any recent changes to your weight?
user: No, I I I weigh around 150 and that hasn't really changed at all. 

assistant: Alright, and uh, have you had any infections recently?
user: 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. 

assistant: OK, so you didn't have any treatment for that? 

user: No, I didn't have any medications or anything. I didn't even go to the doctor then. 

assistant: OK, and have you noticed any lumps in your in your neck or under your chin?
user: Uh no not that I know, I haven't really checked, but I haven't noticed anything like remarkable. 

assistant: OK, um any changes to the smell of your breath? 

user: 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. 

assistant: OK, and uh, do you have any abdominal pain?
user: I do feel that like my stomach is a bit sore, especially today, but nothing I'm too worried about. 

assistant: OK, and have you been diagnosed or treated for any medical conditions in the past? 

user: No. I've been fortunate. I'm completely healthy. 

assistant: Any allergies?
user: No allergies. 

assistant: Any medications? 

user: Uh, no. 

assistant: Any hospitalizations?
user: Nope. Never. 

assistant: OK, have you been around anybody who's been sick? 

user: Uh, 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. Yeah, so I would say just my girlfriend. 

assistant: OK, does your girlfriend have a sore throat now?
user: No it it started, I think around 2 weeks ago and it stopped last week. 

assistant: OK, any surgeries before? 

user: No, no surgeries. 

assistant: Alright in the family, any history of cancer or cancer, early cardiovascular disease or chronic diseases?
user: Uh, I don't know about the rest, but I I, my dad does have type 2 diabetes, but no cancers or no like heart attacks or anything like that. 

assistant: OK, and right now, how are you supporting yourself financially?
user: 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. 

assistant: I see OK, and do you drink alcohol?
user: Just just on the weekends when there's a like get togethers and parties. But throughout the week I I don't drink anything. 

assistant: OK, and do you smoke cigarettes?
user: Uh no I've never tried cigarettes. 

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

user: 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. 

assistant: OK, and are you currently sexually active?
user: Yes. 

assistant: OK, could you tell me a little bit about your partner or or partners? 

user: 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 yeah currently right now, just my girlfriend. 

assistant: OK and men or women or both?
user: Oh no, I'm I'm straight. Like I I've only been with women. 

assistant: OK, and how many partners have have you been with over the last six months or the last year?
user: I would say for my girlfriend, two other girls, so three in total in the last year. 

assistant: OK, and do you use a condom?
user: Yeah, so 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 5 days ago that happened and then over the last 3 days I've been having diarrhea and also my whole body is just hurting. 

assistant: OK, and so, when did the sore throat start? 

user: I'd say like 5 days ago it started and it first began like kind of a tickle, but now it's more like, even swallowing food hurts a lot. 

assistant: OK, have you been eating or drinking less than usual?
user: Uhm, yeah my appetite's been a bit less over the last few days just because of how much it hurts. 

assistant: OK, have you noticed any neck swelling?
user: Uh, no, not really. 

assistant: OK, how about any redness in the back of your throat?
user: I checked, I didn't see too much. 

assistant: OK, And have there been any changes to your voice?
user: Uhm, a little bit, I wouldn't say too significant. 

assistant: OK, and muscle aches, like, when did those start?
user: Yeah, so that started just 3 days ago. 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. 

assistant: OK, are you having any muscle weakness?
user: Uhm, I would say it's mainly pain, I don't really feel weakness. 

assistant: OK, and how has your energy been? Have you been having fatigue?
user: Yeah, I would say, uh, I don't know if it's because of the pain, but I definitely feel a lot more tired. 

assistant: OK, and you mentioned diarrhea as well. When did that start?
user: Yeah, diarrhea also started around 3 days ago. I normally go 1 or 2 times a day, but now I'm going like 6 or 7 times a day and it's all usually pretty watery. 

assistant: OK, have you noticed any blood in the stool?
user: No, I don't think I noticed blood. 

assistant: OK, and have you noticed any, really like, dark or tarry looking stool?
user: No, it's usually just been loose watery stools. 

assistant: OK, and have you been experiencing any other symptoms besides the sore throat, muscle aches, fatigue, and diarrhea? 

user: Uhm, no, I don't think so. Those are probably all of the symptoms. 

assistant: OK, so quickly to run through a review. Have you been having any fevers or chills?
user: No, not that I've noticed. 

assistant: OK, how about any headaches? 

user: Uh, no. 

assistant: OK, and have you had a runny nose?
user: No. 

assistant: Have you had a loss of smell or taste? 

user: I don't think so. I haven't been really eating too much recently, but I don't think so, no. 

assistant: OK, have you had a cough?
user: No. 

assistant: Shortness of breath?
user: No. 

assistant: A wheeze? 

user: No wheezing. 

assistant: OK, you said you haven't had a cough, but have you brought up any sputum?
user: No. 

assistant: OK, and have you had any chest pain?
user: No chest pain. 

assistant: Alright, any dizziness or lightheadedness? 

user: Nope. 

assistant: Any feeling as though your heart is racing.
user: Uhm, maybe just a little bit with all the diarrhea, I feel like I do have some, Just, tenderness in my abdomen. 

assistant: OK, uh and have you had any nausea or vomiting?
user: No, not really. 

assistant: OK, have you had any urinary problems? 

user: Uhm, no. 

assistant: OK, and any rashes anywhere?
user: No, not that I've noticed. 

assistant: OK, and have you had any changes to your weight recently or over the last several months? 

user: No, my weight has been around the same. 

assistant: OK, and have you been diagnosed with any medical conditions before?
user: Yeah, so I have high blood pressure and high cholesterol. 

assistant: OK, do you take any medications for either of those? 

user: Yeah, so for the cholesterol I'm taking this medication called Crestor. For the high blood pressure I'm taking this medication called Ramipril. 

assistant: OK, uhm, and do you take any other medications like over the counter or supplements or prescribed?
user: Just multi-vitamins. 

assistant: OK, have you been hospitalized before? 

user: Just, like, in my teens I had my appendix removed but that's it. I have been pretty good otherwise. 

assistant: OK, have you had any other surgeries besides the appendix removed?
user: No, that's the only surgery. 

assistant: OK, and any allergies to medications?
user: No, not that I know of. 

assistant: OK, and can you tell me a little bit about your living situation? 

user: 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. 

assistant: OK, well that's good. Yeah, it's important to be socially distancing, especially when having symptoms. Has anybody else in that house been sick?
user: No, no one has been sick recently, at least in my house, but uh, just two weeks ago I did attend a family event, and just last week I found out, uhm, someone was having symptoms. They just got tested two days ago and their test result hasn't come back. 

assistant: OK, I see. And have you traveled anywhere outside of the province or outside of the country? 

user: No, it was just here in London, so nothing other than that. I haven't left the province. 

assistant: OK, and what was the approximate number of people?
user: It was just five peaople so we satyed within the limits stated for the city and they were people, in like, my circle as well, so yeah, I don't think I was doing anything wrong. 

assistant: OK, just to give an idea of like, risk and contact tracing as well if we need to. And, uh, do you smoke cigarettes? 

user: No, I don't smoke. 

assistant: OK, and do you drink alcohol?
user: Yeah, maybe a one or two beers a week. 

assistant: OK, and uh, do you use any recreational drugs?
user: No, never. 

assistant: OK. And, uh, in terms of family history, does anybody in the family have any heart or lung conditions?
user: No, no, not that I know of. I Do you think my brother, my older brother, has high blood pressure. 

assistant: OK, nobody's had a heart attack or a stroke?
user: Uh, no. 

assistant: Or any cancer in the family? 

user: Oh yeah, cancer, uh, so my father has. It's not the bad skin cancer, it's the one where they can just zap it off. 

assistant: OK, uh, and so, he hasn't needed surgery for it?
user: No? 

assistant: 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? 

user: Yeah, I was just wondering, I don't know the results of the contact that I had, uh, so should I also get tested today? 

assistant: Yeah, certainly with nonspecific symptoms such as what you've been experiencing, we will do a test for covid today. However, we will do some lab investigations as well, because it could be 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 I ask you to continue doing so, and we will get back to you when the results are in.
user: Yeah, nice to meet you I, I've been having just over the last week my cough that's been getting worse and I had a fever a couple of nights and just yesterday I noticed that I started having a loss of taste and smell so that got me really worried. 

assistant: OK, so yeah, let's rewind a little bit. The cough you said started a couple of weeks ago, so would that be about 2 weeks? Three weeks? 

user: I would say last week, so like 7 seven days ago. 

assistant: Seven days ago, OK. So that started seven days ago and then when did the fever start?
user: The fever I hasn't been constant, but I've like had some nights where I just feel really chilly and then during the day sometimes even getting these chills I've been recorded at a temperature, but I think I've had a fever at least three times in the last week. 

assistant: OK, so you haven't actually taken your temperature, but it you just feel like you have chills? 

user: Yeah. 

assistant: OK, we could take your temperature today. And then the loss of smell and taste. Do they both happen at the same time?
user: I think the taste happened like before, but that was just yesterday and then yesterday morning like at breakfast, I couldn't really taste anything and then continued during lunch and dinner, but smell, I kind of lost around the evening. 

assistant: OK.
user: Yeah, all just started yesterday. 

assistant: OK. Um alright, so let's go back to the cough and has it been constant since it started?
user: Yeah, it's been pretty constant. It's been getting worse, especially like in the last few days. I'm mainly coughing like before I was coughing mainly at night, but now I'm coughing throughout the day. 

assistant: OK, um so yeah, you mentioned possibly a trigger would be like time of day at night? Or did you notice any other triggers like you know, the cold air or dust or anything at home that could be potentially triggering your cough?
user: Uh no, not really. Like I've lived in the same place for awhile, no new changes and I've been barely going outside, so I don't think there are any triggers. 

assistant: OK, and in terms of the quality of your cough is that, would you say it's harsh? Barky?
user: Uhm, I would just say it's like kind of harsh at times, but mainly it's a dry cough, like I'm not bringing anything up. 

assistant: OK, OK. And then you said dry cough so no sputum or blood right?
user: No. 

assistant: OK. Have you ever experienced anything like this in the past? 

user: Not the loss of taste and smell, but like the other stuff when I just had a cold or flu like symptoms previously, but the taste and smell is something completely new. 

assistant: OK. And then, um, have you experienced any shortness of breath?
user: Um, not really, no. 

assistant: No, OK. How about we wheeziness?
user: No. 

assistant: Chest pain? 

user: No chest pain. 

assistant: OK. Uh, experienced any weight loss recently?
user: No, not that I know. 

assistant: OK, how about fatigue? 

user: I have been a bit tired in the last few days. The fevers at night and morning. Just feeling a little bit crummy, just not really energetic, energetic to do anything. 

assistant: Yeah, for sure.
user: Just been planner, just sitting on the couch. 

assistant: OK. Any changes to your hair, nails, or skin, like rashes? 

user: No, I haven't noticed anything like that. 

assistant: OK, you mentioned loss of smell. Do you have a runny nose or a stuffy nose?
user: I did have a runny nose earlier this week, but that's kind of subsided. Other than that, I don't really feel too much congestion. I've been taking Tylenol, the Tylenol cold so I don't know if that helped. 

assistant: OK, how often are you taking the Tylenol cold?
user: I just took it like for four days just before going to sleep in the last week. 

assistant: Oh, I see. OK. OK and then. Any I do have a sore throat?
user: No. 

assistant: No, ok. How about any changes to your vision or hearing?
user: No, nothing like that. 

assistant: Any pain or discharge in the eyes or ears?
user: No. 

assistant: OK. Do you ever feel like your heart's racing?
user: Uh no, not really. 

assistant: No, OK. And any swelling in your limbs?
user: Uh, no, I don't think so. 

assistant: OK, any dizziness or fainting spells?
user: No. 

assistant: OK. Confusion or memory loss?
user: No, not that I can tell. 

assistant: OK, any changes in your bowel habits like constant constipation or diarrhea.
user: Oh no, not really. 

assistant: No, no blood in the stool, right? 

user: No. 

assistant: OK, any changes to your appetite?
user: Um, just maybe in like a little bit with the loss of smell and taste, the food is not really the same in the last day, last few days? 

assistant: Yeah yeah, that makes sense. Any nausea or vomiting? 

user: No. 

assistant: No, OK. And any changes in terms of urine?
user: No, I've been peeing alright. 

assistant: OK, good. Any major or a longstanding medical conditions, or are you otherwise healthy? 

user: No, I've been fortunate otherwise healthy. I had asthma as a kid, but like I haven't had to use the puffers for more than a decade. 

assistant: Oh ok. OK. And what triggers your asthma?
user: I think back then it was just when I did sports and I was running around a lot. I've been fine for the last 10 years at least. 

assistant: OK. OK, that's good. And any surgeries or hospitalizations in the past? 

user: No. 

assistant: No, OK. Any are you on any medications?
user: Currently just the other thing, Tylenol cold, but other than that no other medications. 

assistant: OK, not even other over the counter medications or herbal supplements?
user: No, nothing like that. 

assistant: OK. Do you have any allergies? 

user: Um, sometimes in the fall like I get a bit sniffly and, but other than that, I don't know of any allergies to any foods or medications. 

assistant: OK. And how about immunizations? Are you up to date?
user: Yeah, they're all up to date. 

assistant: Any lung conditions or heart conditions that run in the family? 

user: Uh, my father did recently have a heart attack at age of 58 I think he was, he, he's fine though, but that's that's about it. 

assistant: OK, um any cancers that run in the family?
user: Um, no, I don't think so. 

assistant: OK. And, and do you smoke?
user: Uh, yeah, yeah I do. 

assistant: OK, how much do you smoke?