jshargo/medical-interview-conversations2 huggingface dataset:
user: Uh no everyone is really healthy. 

assistant: OK, and. And are there and who does he live with and where does he live?
user: Um he lives with just me and my husband, and he has a little sister, like this in town here. 

assistant: OK and, is she healthy? 

user: Yeah, I think she, yeah she's healthy. 

assistant: OK um? Any concerns for old carpets, mold, asbestos or any environmental issues like that in the home that you're in?
user: No. 

assistant: No, OK. Has he been around any sick contacts recently? 

user: Not, not like outside of school. I like we know for sure, not outside of school, um but he goes to school right now so. Kinda hard to say. 

assistant: OK.
user: But they haven't. They haven't like contacted us about anything. 

assistant: OK, sure. And has he traveled anywhere recently? 

user: No. 

assistant: No OK. OK, well those are all the questions I had for you today. Were, was there anything that I missed that you wanted to chat about today?
user: I don't think so. Um, like I, I realized that I can often times like you don't really do much for kids when you know when it's just like a virus or something. But we do, I guess need to have a covid test to go back to the school, even if you know either way 'cause they want us to be able to say. It's like the other kids have had an exposure. 

assistant: Yeah for
user: yeah, like. Sorry, go ahead, 

assistant: No go ahead. 

user: I’m just basically wanted to see if it was bad. I mean he doesn't receive your so scared. That's kind of what makes him in like it's gonna be a little bit. 

assistant: Right, yeah, OK, so first thing is, first we need to do a covid swab just to make sure that he either has it or it doesn't have it and those results will come back in 24 to 48 hours. Um we do suggest because his symptoms are allowed with symptoms of covid that he isolate for 14 days and that includes from his his younger sister possible. And then if the swab comes back negative, there is a chance for false negatives. But also it could be another viral illness that's going around nowadays, and if his symptoms get worse, so if he has a really high temperature, if he has any neurological symptoms, like seizures or. If he's feeling weak, dizzy if he has any fainting spells, please do take him to the ER and. And so for now I'll just wait for those covid swaps to come back. How does that sound?
user: Yeah, sounds good. 

assistant: OK great yeah, yeah no worries and. I I should have mentioned if it was just the cough or if he was just short of breath or something like that and he didn't have the fever, we would add other things like asthma to the list of things he could be worked up for, but um right now it sounds like it sounds like an infection. 

user: OK yeah, that's good to know. 

assistant: Alright, sounds great. Have a good day.
user: Uh, yesterday, right after leaving work I started to not feel well and this morning I woke up with fever, ah, this like bad headache and just feeling really really sore all over. 

assistant: I'm sorry that's doesn't sound good. So all this started yesterday or I guess yesterday was just with you were, not feeling too good and then just noticed all these symptoms this morning. Did you measure your temperature? 

user: Yeah, I checked it this morning and it was 38.5. 

assistant: And uh, did you, can you tell me about your headache?
user: Yeah, so I I started to get a little bit of a headache last night, so I tried some Tylenol. It helped relieve the pain a little bit so I can sleep then. And this morning I woke up but I uh, didn't have a headache at first, but it came on maybe an hour after waking up and it feels like a there's a band around squeezing my head. 

assistant: Is it on both sides or only one side?
user: It's on both sides. Kind of feel that real wrapping around. 

assistant: And if you had to give it a number from 1 to 10, with 10 being the worst pain ever, what would you say?
user: About a five. 

assistant: OK. Uhm and do you have any other symptoms, such as a runny nose or a stuffy nose? 

user: Yeah, my nose has been, been runny. I started noticing, noticing that a little bit yesterday too actually, now that you mention it. 

assistant: And what was the discharge? Or what was the discharge like?
user: It's pretty runny in in. Yeah, it's pretty running clear. 

assistant: OK. Uhm, and do you have a cough? 

user: No.  OK. 

assistant: Any sore throat?
user: No. 

assistant: Uhm, have you had any difficulties with breathing? 

user: No. 

assistant: OK, any chest pain?
user: No. 

assistant: OK, uhm, uh any, I guess itchy eyes or itchy nose or any sneezing?
user: Yeah well, well my nose has been itchy and I, I have been I have been sneezing. 

assistant: Alright, and have you had any diarrhea or constipation?
user: No. 

assistant: OK, any belly pain?
user: No. 

assistant: OK. Have you been around anyone who could have been sick? 

user: Uhm, maybe. I, there was a, one of my colleagues at work was off last week. I think he was sick, with something. 

assistant: Did you get tested? Do you know if you went to see a doctor? Or was he tested for Covid?
user: Uhm, I'm not sure, I just don't like well he wasn't there on Thursday and Friday last week and he hasn't been there, been here, this week and I, I just heard that that he was sick. 

assistant: OK, alright. Uhm, and have you have you had any medical conditions that you've been diagnosed with? 

user: Yeah, I've been told I have high high high cholesterol and high BMI. Uh, yeah and so I I take a statin medication for for that and yeah I've been told I have pre-diabetes as well so I've been trying to work on diet. 

assistant: Are you taking any other medications?
user: I take vitamin D and a multivitamin. 

assistant: And do you have any allergies?
user: No. 

assistant: OK. Uhm, and you do you live alone or do you live with other people? 

user: Yeah, I I live with my, with my wife. 

assistant: OK, and since you've been feeling sick, have you, been maintaining social distance, maintaining some distance from her?
user: Yeah, yeah we have. We we have separate, ah rooms that we've been able to distance for the last few days. 

assistant: OK, that's good. And do you ah, have you traveled anywhere recently, outside the province?
user: No travel. 

assistant: OK, and do you smoke or have you ever smoked? 

user: No. I I don't. 

assistant: And marijuana?
user: No. 

assistant: Any recreational drugs. 

user: No. 

assistant: Have you ever had or do you currently consume alcohol?
user: Yeah, have a few beers on the weekend, but I've been trying to cut down after I was told I have, uh, pre diabetes. 

assistant: Ok, that's really good. Umm, and, and OK, let's see, do you have any family history of any heart problems or any lung issues or any cancers?
user: My grandfather had lung cancer. He smoked his whole life and yeah, I know my dad had you had a heart attack when he was in his 70s. 

assistant: OK. Alright, well those are all the questions I had for you. We will do a Covid test today simply because your symptoms overlap with some of the symptoms of Covid. It's also possible that you just have a, just the common cold and that would get better over time. You might have caught something from your colleague who was sick last week, so it's great that you've been, instead of isolating yourself and staying away from your wife, I would also recommend, if you haven't already done so to not, I know that the you have symptoms started yesterday evening, but just to try to work from home or take some time off of work for the next couple of days at least until you recover, test results are back in the next 24 to 48 hours and then from there on, follow the advice that you'll be getting from public health.
user: Yeah, I'm just bringing in my old daughter who's really been complaining about having a runny nose and has been sneezing a lot over this past over this past week. I think the symptoms maybe started three or four days ago. 

assistant: OK, and what symptoms started first?
user: I think the runny nose is what, what started first. And like kind of the nasal congestion. She was telling you that she felt that there was like pressure or congestion in her nose. 

assistant: OK, and then this, when did this sneezing start?
user: Surely after that probably maybe the same day or or the next day. 

assistant: OK, does she have any coughing at all? 

user: Yeah, so she she did start to cough actually after that so that the cough has been there for the last, for the last maybe two to three days. It's a dry cough. 

assistant: OK, for the last two to three days. OK, is she at all, coughing up any green or yellow material or any blood at all?
user: No, nothing like that. 

assistant: OK. So, and are her symptoms constant? Or do they come and go? 

user: They've been pretty constant, and they've gotten a little bit worse since they started. Three or four days ago, I I think now yeah, her symptoms are at her, at the worst right now. Just not feeling very well. 

assistant: OK, and have you been in contact with anyone at home or at school? If she's going to school versus at home for the pandemic right now, but any ill contacts at all?
user: Well, she has been going to school. There hasn't been any Covid cases where she goes and they've been cautious, but she is going to school right now. 

assistant: OK. Any, anything that you've tried that has helped her like any over the counter cold medications? 

user: Uhm, uh, no. 

assistant: OK. Any other symptoms like fevers, chills, shortness of breath, um, anything like that?
user: Uh, she did feel a bit warm to touch and has looked a bit flushed in her face. Just doesn't look like herself. 

assistant: Does she behave like herself Like is she more tired at all? More irritable, anything like that?
user: Yeah, she's been a, maybe a bit more, maybe a bit more tired and and a bit more irritable, but not not too bad. She, she missed school today but went yesterday. 

assistant: OK. Any recent travel at all? 

user: No, we've been at home. 

assistant: Any headaches, nausea or vomiting?
user: Uhm, no. 

assistant: OK, any chest pain that she's described? 

user: No chest pain. 

assistant: OK. Any changes in her bowel movement, constipation, diarrhea?
user: No, that's been normal. 

assistant: OK. Any urinary problems? 

user: No, she had a urinary tract infection when she was like little but hasn't had any since. 

assistant: OK, any issues with their sleep or appetite?
user: She has been a bit a bit fussy, but she's been sleeping OK. 

assistant: OK. Uhm, has she lost any weight recently? 

user: No, no no. She's been gaining weight well. 

assistant: OK, any exposure to any allergens or like fumes, dust animals?
user: No, I can't think of anything like that. We don't have any pets at Home and she's she's been hasn't been going anywhere else. 

assistant: OK, has she been diagnosed with any medical conditions in the past? 

user: No, she just said, ah, just yeah had a urinary tract infection when she was younger and that's about it. 

assistant: OK. Any allergies to medications that you know of?
user: Not that I'm aware of. 

assistant: Is she on any medications? 

user: No. 

assistant: OK, any hospitalizations or surgeries in the past?
user: No. 

assistant: OK, any family history of any lung or heart conditions or anything else?
user: Uhm, I I have high cholesterol but, and ah, and I'm taking a, a medication for it, but no, nothing else. 

assistant: OK, does, has she lost a sense of taste or smell at all?
user: No, she hasn't said any anything like that, just the nasal congestion. 

assistant: OK. Did you feel any pressure in around her face at all?
user: Uh, yeah, well yeah, I think so. She doesn't say, well, no pain but does feel like a bit of pressure with the congestion, I think. 

assistant: OK, uhm any issues developmentally as she was growing up like to meet are all our milestones at an appropriate age?
user: She did yeah, she has met she was walking at the appropriate times and able to talk and does work really well in school and is social with with her classmates and peers. 

assistant: So no, no issues or no complaints at all? 

user: No, there hasn't been any concerns. I feel that she's been developing normally. 

assistant: OK. In our immunizations up to date?
user: They are, yeah. 

assistant: OK and were there any complications at all during your pregnancy with her or after the pregnancy? 

user: No, it was a vaginal delivery at 38 weeks and she was a normal weight. We were able to go home right away with with no complications. So yeah, things were good. 

assistant: OK, and currently who does she live with?
user: So myself and my, and my husband. 

assistant: OK, and does anyone smoke in the house? 

user: Uhm, my husband does smoke, but uh, I mean he smokes outside usually and and he smokes, I don't know, maybe a half a pack a day. 

assistant: And I think that's all all the questions I have. Do you have any questions or concerns?
user: Nothing else right now. 

assistant: OK. So yeah, based on her symptoms, she does seem to have some just a cold like symptoms, viral symptoms. And it's been, it's been you said three or four days in total, right? 

user: Yeah yeah. 

assistant: Yeah, and so most likely it's just caused by a viral infection like common cold perhaps, it she doesn't have any worrying signs of any systemic things going on right now, so and no signs of like a bacterial infection that I would be concerned about that I would give antibiotics for right now. But definitely if her symptoms get worse at home and if she starts having any kind of shortness of breath, increased coughing with producing, more yellow or green material and if she gets more feverish, so will also do a physical exam and take her temperature today as well. But yeah, some of these things you just look out for, but yeah, so that that we'll do the physical examination and go from there.
user: Hi, I'm here with my 3 year old daughter and she's been holding her elbow awkwardly and um she seems like she's in pain and so I was just wondering if like something happened to her elbow and if you can fix it. 

assistant: Yeah for sure. OK so. Is she holding her arm, like any particular position, like with her elbow, kind of flexed or is her arm extended?
user: It's it seems kind of flex is holding it awkwardly and she can't she she's not, she's not stretching it. 

assistant: OK, uhm. And when did this start, when did you first notice?
user: I notice this yesterday. 

assistant: OK. And and I, had she been holding her, her arm, kind of like this the whole time? 

user: Yeah, there's just like a slight bend to it. It's not fully straightened. It's not fully like fully flexed. It's just kind of hanging out her side. 

assistant: OK, um and. Has there been anything that's made the pain worse?
user: Uhm no, I don't think so, I think. No, I think she she's just been holding it awkwardly like that I I'm assuming so it doesn't cause more pain. 

assistant: OK, and is the pain sharp, burning or achy? 

user: I think it's it's. It's sharp. 

assistant: A sharp pain, OK and does the pain radiate anywhere else like pain in the hand or wrist, or pain up into the arm or shoulder?
user: I don't think so. 

assistant: OK, and has there been like was there anything that happened around the time that you first noticed her holding her arm like this, such as a fall, or maybe like somebody pulling on on her hand like swinging her from her arm or anything like that? 

user: Um I know her father was swinging her arms yesterday, They were playing in the park, so maybe. 

assistant: OK, so just uh, she's swinging from arms yesterday, OK and. Has she talked about having any numbness or tingling?
user: No. 

assistant: OK. And any muscle weakness that you've noticed?
user: Ah no, no muscle weakness. 

assistant: OK. And has she had any?
user: No. 

assistant: OK, and it has she had any headaches? 

user: No. 

assistant: Has she had any sensory changes like any issues with vision or hearing?
user: Uhm no. 

assistant: any issues with sense of smell or taste? 

user: No. 

assistant: How she had a cough or sore throat.
user: No. 

assistant: OK, has she had any night sweats? 

user: No. 

assistant: And has she had any weight loss?
user: No. 

assistant: OK.  And you has she had a runny nose or sore throat? 

user: No. 

assistant: How about a cough or shortness of breath?
user: No. 

assistant: Has she had any wheezing or chest pain? 

user: No. 

assistant: Alright, and any abdominal pain?
user: No. 

assistant: any diarrhea, constipation, or blood in the stool?
user: No. 

assistant: Any changes to her urinary patterns?
user: Um no. 

assistant: OK, and as you had any appetite loss? 

user: No. 

assistant: How is your energy been?
user: It's been the same she's just not doing as much because her arm is in pain. 

assistant: OK, but no fatigue?
user: No. 

assistant: I see OK. And how about any memory loss or confusion?
user: No, nothing like that. 

assistant: Does she have any muscle aches or body pains or or any joint pains anywhere else?
user: No. 

assistant: OK, and how about skin changes such as rashes or any changes to her hair or nails? 

user: No, nothing like that. 

assistant: OK. And in the past, has she had any medical problems or has she been diagnosed with any medical conditions before?
user: No, she's been pretty healthy otherwise. 

assistant: OK, does she take any medications?
user: No. 

assistant: Did she have any allergies? 

user: No 

assistant: And has she been hospitalized for any reason or has she had any surgeries?
user: No. 

assistant: OK, any concerns for reaching developmental milestones such as walking, talking and like social interactions. 

user: No. No issues there. 

assistant: No problems?
user: Yeah. 

assistant: OK and then how about like just growth and and development? Is she getting taller and I'm gaining weight? 

user: Yeah like that's been pretty good. 

assistant: OK, well that's good and were there any concerns with the pregnancy with her? Any like gestational diabetes, high blood pressure or infections?
user: No everything went smoothly. 

assistant: OK, was she at term or where she pre term?
user: She was at term. She was like a 37 1/2 weeks or something like that. 

assistant: OK, And was it vaginal delivery or c-section?
user: It was vaginal. 

assistant: OK, and was there any reason for her to stay in hospital afterwards?
user: No. 

assistant: OK. And can you tell me a little bit about the living situation currently like who is the primary caregiver for her and like who she who she's living with then whereabouts? 

user: And she's living with both her parents and myself as well as her dad. And she has a 7 year old brother and we live in a house just outside of London. 

assistant: I see OK and is she going to daycare right now or anything like that?
user: Umm no she's she's at home with me. 

assistant: OK, she been around anybody who's been sick,
user: No. 

assistant: And have you traveled anywhere? 

user: No. 

assistant: OK, an any concern for like physical or emotional violence in the home?
user: No nothing like that. 

assistant: OK, and is there anybody who smokes in the home? 

user: Uhm no, no one smokes at home. 

assistant: OK. And are there any musculoskeletal or neurological conditions that run in the family?
user: Uhm no. 

assistant: How about any heart or lung conditions? 

user: No. 

assistant: OK, so I ask you to just have a look at her elbow now and.
user: Sure. 

assistant: Let me know the if you're seeing any swelling or redness? 

user: OK. And so the elbows look fine, neither elbow appears red or swollen. 

assistant: OK, and. Are you seeing any muscle atrophy or any joint deformity or or malalignment?
user: No, I don't see that. I also actually it might be slightly. It looks a little bit awkward the way she's holding it, so I can't tell if it's misaligned. 

assistant: OK, and any skin changes over the elbow?
user: No. 

assistant: Alright Ann. If you were to press over various portions of the elbow, are there any areas that cause pain like the lateral side, medial side, or anterior posterior? 

user: It hurts she's in pain whenever I touch anywhere near the elbow area. 

assistant: OK, and um is there any pain with with movement?
user: Yes. Whenever I tried to bend it or straighten it out all the way she she complaints of pain. 

assistant: OK, how about moving the rest or shoulder?
user: No, that's fine. 

assistant: OK, so that that was everything that I wanted to ask about and and look for on the physical today. Did you have anything else that perhaps I forgot to mention that might be important?
user: Uhm no that was kind of it, I just was wondering how we can fix her elbow. 

assistant: I yeah certainly so. It will be so when I get an elbow X Ray. And. But typically to fix this type of injury, so currently I'm thinking this could be a like a radial head subluxation, and possibly a radial head fracture, but most likely I radial head subluxation, where there's a mechanism of pulling on a child's arm. And it's just that the what could happen is the part of the radius, which is that a forearm bone can pull out of the ligament that's holding it down. 

user: OK. 

assistant: An just because of the structures there, not yet fully matured and strong, and somebody who's that young. And so it will cause pain reduced range of motion at the elbow and you won't really see much swelling or redness, and with just the physical exam maneuver you can reduce it and then put the head of the radius back into place and things will be usually back to back to normal. But if there is a fracture which will look for an X-Ray then there the pain might be last a little bit longer, but immobilization of the arm is not required and most kids will regain full mobility in in a short time after the reduction.
user: I'm doing OK, I just had this cough that's really started to bug me. 

assistant: OK, thanks for coming into the emergency Department today. We will really try to get this sorted out for you. How long is this cough been going on for?
user: Um about five days 5 days. 

assistant: Ok 5 days, and has anything else come on during that time? Are you having any other symptoms?
user: Yeah, I've been feeling pretty pretty hot and just haven't been really feeling very good. Overall, I've been just exhausted. 

assistant: Oh Im sad to hear that. Have you ever had anything like this before? 

user: Yeah, maybe when I was younger, I don't know when I had the flu or something like that. 

assistant: OK. OK, so I'll ask you few more questions about your cough. So it started 5 days ago, has it gotten any worse or better since then?
user: It's been getting worse for sure. It's like going all all throughout the day, and it's been even interrupting sleep. 

assistant: Oh, geez. That's too bad. Do you find that it, does it feel really dry or are you bringing up like gunky stuff? 

user: It it's really dry. 

assistant: OK. And he is there anything that seems to make it worse or better?
user: Not really, it's pretty consistent throughout the day. 

assistant: OK. OK, um have you had any chest pain? 

user: Yeah, after coughing it can, it's it's starting to hurt, it didn't at first, but now that I've I think I've coughed so much it's starting to feel pain there. 

assistant: OK, what what part specifically in your chest are you feeling pain in?
user: Uh actually now that I think about of it, it's more more in my throat actually with the cough.. I would say with the cough. Yeah yeah, more of the throat. 

assistant: Would you say you have you've had a sore throat? 

user: Yeah I guess so yeah I would, like now with the cough that's really kind of what I mean by what's been bugging me. 

assistant: OK OK, thanks for sharing that with me. Um and, along with this, have you noticed any change in your sense of smell or taste?
user: Um yeah, my smell is definitely been off ahh, which is kind of weird. My taste has been fine though. 

assistant: OK. OK, um and when did that start? 

user: Yeah, now that you say it, I mean, well I guess this morning. 

assistant: OK mmm, have you had any nausea or vomiting?
user: Uh, no, nothing like that. 

assistant: OK. Um and you said you felt really hot. Have you taken your temperature at all?
user: No, I haven't, that's why, but I've been feeling pretty sweaty so that that's where I I feel like I have a fever, so I wanted to come in. 

assistant: OK, OK. Have you lost any weight recently, like unintentionally? 

user: No, I've actually put on probably 5 or 10 pounds. 

assistant: OK. OK um. Have you had felt any any chills, or shakes?
user: Mmmm nothing like that. 

assistant: OK. Have you had any night sweats?
user: Um yeah, actually like yeah last night my shirt was was soaked through when I when I got up. 

assistant: Oh no. OK, and was that just last night? 

user: Yeah yeah that was just last night. 

assistant: OK. OK um. So I'm just going to ask you some questions or sorry few more questions on this and then we'll move on to just your health in general. Have you traveled anywhere recently?
user: Um, no. I've been been well, just going to work an an home. 

assistant: OK. Um, have you been in contact with anyone that might be sick?
user: Um it's well, it's hard to say at the grocery store. I guess I see a lot of customers that come through, but um. I generally things are wiped down pretty frequently so. 

assistant: So you work at the grocery store?
user: Yeah. 

assistant: OK, and do you live alone or with family? 

user: Alright, yeah, I live with family I I live with my wife and two children. 

assistant: Oh nice, yeah, do they work out of the home? Have they been in contact with anyone that's been sick?
user: Well, they're in high school um, and they've actually been doing a lot of their coursework on online, so. Yeah, I haven't really been around to any other other people. 

assistant: And your wife?
user: Yeah, she's been she's been home as well. 

assistant: OK. So in terms your overall health do you, are there any conditions that you see your family doctor for regularly? 

user: Yeah, so I have a high blood pressure and type 2 diabetes. 

assistant: OK.
user: And so I I take a Ramipril and Metformin. 

assistant: OK, Ramipril and Metformin, any other medications? 

user: Umm vitamin D. 

assistant: OK, and have you ever had any surgeries?
user: Um, yeah I had my Gallbladder taken out about 10 years ago or so. 

assistant: OK. OK um. So do you have any allergies? 

user: Ahh just too like environmental stuff like um pollen I think. 

assistant: OK. OK, so not any allergies to any medications?
user: No. 

assistant: OK um. OK, do you have any family history of respiratory problems? 

user: Um, I think, um, my brother has asthma. And I think my mom has asthma too. 

assistant: OK. Um OK, and in terms of your lifestyle, that sounds like you live with your wife and kids, you work at a grocery store. On a weekly basis, do you do you drink alcohol?
user: Maybe I'll have like 3 or 4 beers on the weekend. 

assistant: OK, so three to four drinks per week? 

user: Yeah, about that. 

assistant: Do you smoke?
user: No, I do not. 

assistant: Do you use cannabis or any other substances?
user: No, I don't use anything like that. 

assistant: OK, OK, well I think that just about covers the things that I wanted to ask you today so. Based on the symptoms you're experiencing. It sounds like it could be some kind of infective process, like maybe some kind of viral infection that we're concerned about, particularly this year. I'd really like to get a swab done on you. It's not necessarily covid, but it potentially could be. So what we're going to have to ask you to do is to self isolate you and your family for 14 days and hopefully will get the results back shortly and you'll know whether your COVID test is positive or not.
user: OK. 

assistant: Does that sound like a good plan to you? 

user: Yeah, that sounds good. 

assistant: OK well thanks for chatting with me. We will get that swab done right away.
user: Well, I thought I should start by saying I was recently hospitalised for pneumonia. I left five days ago, but as soon as I left that evening, I started coughing again and now I have all the same symptoms. I have a cough, I'm feeling short of breath and I have a feeling like I have a fever. 

assistant: OK, and before you were discharged the day, can you let me know what you had and what kind of things were you treated with? 

user: I was treated with some antibiotics, I don't know exactly which ones. They said I had some sort of bacterial pneumonia. 

assistant: OK. But then it got resolved and they sent you home?
user: Yeah, that's right. 

assistant: So are your symptoms similar to when you got admitted?
user: They are similar, but I feel like they are also worse now. 

assistant: OK, worse, OK, so you're having a cough, shortness of breath and fever, and did that all start together? Or did one come before another?
user: Um, so the cough came first, then the shortness of breath, and then the fever. 

assistant: OK, and the cough, how would you describe the cough?
user: Um, it's harsh, it's persistent. 

assistant: Are you producing any sputum? 

user: Um, I guess a little bit, yeah. Yeah, I guess a little bit and it's yellow. 

assistant: It's yellow, OK, do you notice any kind of blood in your sputum?
user: No, no blood. 

assistant: OK, so just yellow sputum and how much would you say you're producing an average day?
user: Um, maybe like, 10 to 15 times in a day I produce enough to fill like the inside of my palm. 

assistant: OK. And with the fever, did you get a chance to measure, take a temperature at all?
user: Umm, no, I haven't actually taken my temperature. 

assistant: OK, but you've been having chills and are you having any other symptoms? 

user: Yeah, chills. I've been feeling kind of hot during the day. 

assistant: Yeah, OK. And how about the shortness of breath, is that just during activity or you can have that when you're sleeping or resting as well?
user: The shortness of breath is more with like activity when I'm walking around. 

assistant: OK. And have all these symptoms been getting worse at all?
user: Yeah, I'd say they're getting worse now. It's like this everyday and it's definitely getting worse. 

assistant: OK, do you feel dizzy or lightheaded at all? 

user: Um, no. 

assistant: Do you have any muscle aches?
user: Um, a little bit. 

assistant: OK, and where on your muscles would you say are aching?
user: I would say my lower limbs and just generally all over, but just yeah like the big muscles like my thighs, my shoulders. 

assistant: OK. And have you been having any kind of swelling in your limbs at all? 

user: No, no swelling. 

assistant: OK and any kind of swelling of your neck region or lymph nodes?
user: No, not that I noticed. 

assistant: OK. And do you feel any kind of chest pain with shortness of breath?
user: Um, no nothing like that. 

assistant: OK, and since you've been out of the hospital, have you been in contact with anyone who's sick?
user: No, I went straight home. 

assistant: And any recent travel?
user: No, no recent travel. 

assistant: OK, any headaches?
user: No headaches. 

assistant: Any nausea or vomiting? 

user: No. 

assistant: Any kind of fatigue or increased tiredness?
user: I feel fatigued, yes. 

assistant: OK, and do you feel at all that your heart is racing?
user: No. 

assistant: OK, and do you have any symptoms like a loss of taste, sense of taste or smell? 

user: No. 

assistant: So, OK, any kind of bowel movement issues? Any constipation or diarrhea?
user: No. 

assistant: And any urinary trouble?
user: Um, nothing like that. 

assistant: OK, have you lost any weight recently? 

user: No. 

assistant: Have you been able to sleep throughout the night or does the cough  wake you up or the chills wake you up?
user: Um, no,  they don't wake me up. I wouldn't say that. 

assistant: OK. Are you having any other symptoms like a sore throat, runny nose, congestion, anything like that?
user: No. 

assistant: OK, and anything in your house like dust or an old carpet or pets? Anything that triggers some of these symptoms?
user: No. 

assistant: OK. OK, and in terms of your past medical history, any conditions that you've been diagnosed with like asthma, COPD, anything like that? 

user: Um, no, nothing like that. 

assistant: OK, do you take any medications?
user: I do, I take some multivitamins particularly calcium and vitamin D, and I'm also on Synthroid. 

assistant: OK, so do you have hyperthyroidism? 

user: Yeah, sorry I forgot to mention that. 

assistant: No worries. Then when you went home and you were discharged, did they give you any antibiotics to finish at home?
user: Ah yes, they did. So I only had one days worth left. I was switched from IV antibiotic  to the oral kind and so I'd finish the remaining pills that day, then went home. 

assistant: OK, so you finished the course, OK. Great and do you have any past history when you were admitted, any other hospitalizations or surgeries at all?
user: Um, no. 

assistant: Do you have any family history of asthma, COPD or any lung conditions? 

user: No. 

assistant: Any other conditions that run in the family?
user: No. 

assistant: OK. And currently, where do you live? 

user: I live in a house with my daughter and her husband. 

assistant: OK, and any one of them have similar symptoms or have been sick recently?
user: No. 

assistant: OK, and have you had a COVID test done at all?
user: Um, no, no COVID tests have been done. I had one in the hospital before I was admitted, but none today. 

assistant: OK. And do you smoke at all? 

user: I used to smoke. I don't smoke anymore. 

assistant: OK, and when did you quit?
user: About seven years ago. 

assistant: OK congratulations.
user: Yeah. 

assistant: And how much would you say you smoked before that, and for how many years?
user: Before that, I would say it's like gosh, 20 years and then about a pack a day. 

assistant: OK. Do you drink alcohol?
user: I drink like a glass of wine a week. 

assistant: OK. Any other recreational drugs like marijuana? 

user: No. 

assistant: OK. Yeah, so is there anything else? Any other questions that you have for me today?
user: No, what do you think I have? 

assistant: Yeah, so there's definitely multiple things that can be going on. Since you were just recently admitted, maybe you might have another bacterial r espiratory infection, like a pneumonia or it could be viral as well. So the first thing we want to do is for sure get COVID swab done and then we will also get, since you were admitted, as well recently, we want to get an X Ray on you just to see if there's any pneumonia. OK, and so we'll be keeping you here for a bit until everything comes back. We'll get some blood work done for you as well to see if there's any infection in your body. And then yeah, so just sit tight, we'll get all those things done. Is that OK with you?
user: Hi there, I've been having this uhm, cough that's been ongoing for the past two days, and I've started to become short of breath as well. Even with just a little bit of exertion. I've also been feeling feverish and I checked my temperature and it was 38 point, uh, point 5. 

assistant: OK, Well that's definitely a fever. Can you tell me a little bit about when the coughing started?
user: Yeah, I first noticed it two days ago and it's been kind of just getting a little bit worse over these last two days to the point now where I'm I'm short of breath as well. 

assistant: OK, so that's sort of two days ago and then when do the shortness of breath start? 

user: Uh, the shortness of breath has been within the last day within the last day. 

assistant: Within the last day, OK. And the coughing is that I dry cough or is it a wet cough?
user: It's a dry cough. 

assistant: OK. Uhm so no sputum or blood.
user: No sputum or blood in the coughing. 

assistant: OK, that's good. And alright any chest pain? 

user: No, I haven't had any chest pain. 

assistant: OK. Any palpitations of your heart?
user: No, no heart palpitations. 

assistant: OK. And any have you noticed, like a runny nose or a stuffy nose? 

user: No, I haven't really had a runny nose, no runny nose. 

assistant: OK, no runny nose. That's good, and then any changes in your vision or hearing?
user: No changes to vision or hearing. 

assistant: How about changes to your smell or taste?
user: No changes to smell or taste. That's been been normal. 

assistant: Been normal, OK, that's good. And how about of, how about weight loss?
user: No, I haven't had any, uh, any weight loss. 

assistant: OK, that's good, any rashes? 

user: Uh, no rashes. 

assistant: Changes to your bowel movements?
user: No, I I haven't had any. No diarrhea. I have had a little bit of uh like belly pain though. 

assistant: OK, OK. When did the belly pain start? 

user: That's just been uh, yeah, within the last day, uh, as well. It just feels a bit uncomfortable kind of all over. 

assistant: OK yeah alright uhm and you don't feel gassy or, or bloated?
user: No. 

assistant: OK. Uhm, and no nausea or vomiting?
user: No, I haven't had any. Ah, actually I have been a bit, I've had some nausea as well like that's what I feel like with that with the abdominal pain. 

assistant: Mhmm. OK, And any changes in your smell or taste? 

user: Uhm, so I, actually yeah, with the sense of smell like I haven't been able to smell as well. Now that you ask again, yeah, sorry. 

assistant: OK, no worries and any appetite changes?
user: Yeah, I haven't. I've had a loss of appetite. 

assistant: OK. Alright. Alright, and are you still eating the same or a little bit less?
user: A bit less. So I guess I haven't been is hungry. I say similar amount of time just really these last two days. 

assistant: Yeah. Have you had any dizziness or fainting spells?
user: No, I haven't. 

assistant: No. Any memory loss or confusion?
user: No. 

assistant: No. Joint aches or muscle aches? 

user: Yeah, I've had like muscle aches. I guess I feel like we've been getting older, but no yeah, I've had muscle aches these last couple of days as well. Kind of generally achy. 

assistant: OK. And are you otherwise healthy or do you have any longstanding medical conditions?
user: I have diabetes, type 2 diabetes, and I have high blood pressure as well. 

assistant: OK. 

user: Yeah, my weights a bit a bit high. 

assistant: OK, uhm and do you take any medications for these things?
user: Yeah, so I take metformin and I also take an ACE inhibitor, and that's it. 

assistant: OK. Alright, and are you up to date with your immunizations? 

user: I believe so yes. 

assistant: Yeah. OK. And how about allergies? Do you have any?
user: No, I don't think no, no allergies. 

assistant: OK, any family history of heart or lung conditions?
user: Uh, no, nothing like that. 

assistant: OK, uhm, alright, any history of like cancers in the family? 

user: No history of cancer in the family. 

assistant: OK. Do you smoke at all?
user: No, not I don't smoke. 

assistant: You don't smoke, OK. How about recreational drugs?
user: No, I don't use anything like that. 

assistant: No. OK. Do you drink alcohol?
user: Yeah, I'll have like one beer each day so yeah, about yeah, one beer a day. 

assistant: One beer a day, OK. And where do you live right now?
user: Umm, so I live in a house with with my wife and ah, and our son. 

assistant: OK, and anyone at home sick?
user: Uh, nobody's been sick at home. 

assistant: OK, have you been in contact with anyone who has been sick? 

user: Uh, I don't think so. I mean, I've been going out to do the essentials and uhm, I I do work out at a factory ah and so I mean, there might have been somebody there, but I'm not sure. 

assistant: OK, OK, and have you traveled anywhere recently?
user: Uh no travel, just been going to work and doing the essentials and home. 

assistant: OK, that's good. And any reasons to believe you have old carpet, mold, asbestos, pets, anything at home that could be making your condition worse?
user: I don't believe so. No, we yeah, it's a new a newer home and we've done some renovations. 

assistant: OK, that's good. Uhm those are all the questions that I had for you today. Did you have any questions of your own for myself? 

user: No, I was just worried that maybe I could have Covid. 

assistant: Yeah, for sure, so that's kind of top on my list right now to rule out, so we will do a Covid swab and you should hear back in about 24 to 48 hours with those results. In the meantime, you should isolate for for about 14 days and if your symptoms get worse, go to the ER and if you're experiencing things like weakness, seizures like, and you're not getting any better in a couple of weeks, or you feel dehydrated. Otherwise, supportive care at home, keeping yourself hydrated, eating well, sleeping well, all of those will definitely help as well. Does that sound OK?
user: Yeah, so like a couple months ago I was in the office and they told me that I have asthma like I had it when I was a little kid and I thought I grew out of it, but apparently not, or like it came back or something so. Yeah, so they just told me to come back today. I don't really have like any issues. 

assistant: OK, So what what brought on the appointment in the summer time or a couple of months ago?
user: Uh. So like I have gym class at school and my teacher justalways thought that like should be able to run faster like I'm looking good athlete but I just couldn't go much faster and I was like saying I can't really breathe when I'm running that fast. And then you know my mom was like you should probably go. We should probably make an appointment. 

assistant: OK, and uh, when you're exercising or in gym class, do you get short of breath or do you find that you have difficulty breathing? 

user: Yeah, yeah, like I will if I if I try to run fast. Like I, kinda can't breathe anymore. So I kind of stop or go slower. 

assistant: OK, and how long does it take for the breathing difficulty to go away?
user: If I stop doing like the thing I'm doing it, I I don't know not very long like couple of minutes. 

assistant: OK, and uh, does this happen in any other settings?
user: Oh, like sometimes when it's really cold outside, I'll go out and like it. My chest feels tight and just feel like I can't breathe and kind of sucks like my girlfriend wanted to build a snowman and do snow Angels and stuff and I couldn't do it. Oh, another time, like I went to my friends house and they had like a bunch of cats I I felt like I got wheezy sound and I felt like that time it took longer for for the breathing to get easier like I had to leave. 

assistant: OK, so you've noticed changes to to your breathing sounds? Like you've had noisy breathing before?
user: Yeah, mostly just with the cat. 

assistant: OK.
user: We don't have a cat at my house, so I didn't really think anything of it. And then I went to my friends house who had a bunch of cats and. Then at that time, I could actually hear it. 

assistant: OK, and have you had a cough? 

user: Uh, no, I don't think so. 

assistant: OK, And. Were there anything, was there anything that you tried besides the rest to make those symptoms go away?
user: Like I have the, uh um inhaler that the doctor gave me last time. So yeah, like I've been using it in gym class now. 

assistant: OK, how many days per week are you using that?
user: Well, I'm a little confused now because. I the 1 supposed to use, like every day a couple times, and then there was a different one that I thought it was only supposed to be used if the other one didn't work. But now the nurse just told me that I'm supposed to use them both, so I only got the one at the pharmacy so I don't really I don't really know. I feel like a bit confused now, but I always use the 1 supposed to be like 2 times a day, the one that starts with an "s", um but sometimes I just do it once a day if I forget the second one. 

assistant: OK, well um we can definitely clarify the confusion about the medications today. Sometimes, for steroid medications, those ones are required to be used daily in order to get the maximal benefit, and so will take a look at your medications and see if one of those has a steroid component in it and say and how often you're needing it. Have you been having any episodes of shortness of breath at night time?
user: Oh no. No, mostly like gym class like I said. 

assistant: OK. And have you had any other associated symptoms?
user: Uh. I don't think so. Like what do you mean? 

assistant: Um, so anything like like allergies like runny nose or really itchy eyes with maybe some like um tearing?
user: When I was around the cats, yeah. But not the other times. 

assistant: OK. And do you ever have any rashes on your skin or or really itchy skin? 

user: When I was a kid but not really now. 

assistant: OK, and how about any nausea or vomiting?
user: No. 

assistant: OK. Any infectious symptoms overall?
user: Ahh, I don't I don't think so. 

assistant: OK, any urinary problems? 

user: Uh, like. No, no. 

assistant: OK. Bowel problems?
user: uh no, no. No, that's all good. 

assistant: OK um. And, uh, any fevers or chills?
user: No. 

assistant: OK, and then how about, uh, have you been having any night sweats?
user: What's that? 

assistant: So, uh, overnight when you're sleeping you wake up with either your like pajamas drenched, or your your sheets drenched drenched from sweating. 

user: Oh no. 

assistant: OK.
user: Um not that. 

assistant: OK. So I just wanted to ask a few questions about your past health. Have you been, so you mentioned asthma. Have you been diagnosed with any other medical conditions? 

user: No, no that's it. 

assistant: OK, um, and any recent hospitalizations?
user: Like I broke my leg years ago but like that was just like really fast. 

assistant: OK, and any surgeries?
user: Uh. Just like my wisdom teeth. 

assistant: OK, and any medications besides it like that, including the inhalers? 

user: Nothing else, just. Just those things and my mom makes me take a vitamin. 

assistant: OK, and any allergies?
user: What I don't know like not that I thought, but maybe like cats. 

assistant: OK, and do you have any like seasonal allergies? Do you find like in the spring or fall time or even summer that you get um like dry eyes or really itchy
user: Yeah, I just thought like I had a cold, but I guess like I usually feel like that in the springtime. 

assistant: OK. And, uh, are immunizations up to date?
user: I think so, like I've had all the stuff that I'm supposed to. I think I don't know the names of everything. 

assistant: OK, and so I actually wanted to ask a few questions about personal and kind of lifestyle habits. But first I was wondering if you could tell me a little bit about your living situation? 

user: You know, like I live with my mom and Dad and I like my little brother. 

assistant: OK.
user: Yeah. 

assistant: OK, and um, where do you go to school? 

user: Um to to the. The school, um like high school down the road. 

assistant: OK and in what grade now?
user: And, I'm in Grade 11. 

assistant: OK, and what types of like hobbies or kind of activities are you interested in?
user: I like I like playing video games, I was really wanting to join the Marines and I was really trying to get into that stuff, but then I heard like you can't when you have asthma. Oh so I I kinda wanna know bout that like is that gonna stop me from doing that? 

assistant: Yeah, so it's something that we will look into today. I'm. I'm not too sure what the details are regarding that information, but thank you for bringing that up and we'll be for sure to look into that together. And that reminded me of a question I wanted to ask earlier and so have you had pulmonary function tests done before? 

user: Uh, what is that? 

assistant: So essentially they'll have you kind of breathing into a tube where you'll have periods where you'll maximally inhale and then maximally exhale as quickly as you can, and you'll do different types of breathing movements so that it gets measured on a on a device.
user: Is that like when you breathe in that the tube? 

assistant: Yeah, exactly.
user: Yeah, like the last time I was here like couple months ago I did that and it said that, she said that my asthma was back. 

assistant: OK. Right, thank you for clarifying. And so, so for the last few questions about. And your personal habits. I was wondering. I understand that people in your age group might experience with smoking or or alcohol. Do any of your friends do that?