jshargo/medical-interview-conversations2 huggingface dataset:
user: OK. 

assistant: And see like what we can find on the X-Ray and then will also do a full examination. And it, if it does turn out that there is a fracture or there's a slipped capital femoral epiphysis we will need to send out a referral to pediatric orthopedic surgery.
user: OK. 

assistant: Yeah, so yeah, first we'll just get the image Ng done and see what's going on in there and then we'll get back to you shortly.
user: So I've just been having this pain in my knee since I um just fell, uh, just three days ago slipping on the stairs. Since then I've been having a lot of pain. 

assistant: I see uh so did this pain start right after like falling on the stairs? 

user: Yeah, yeah, I've been having the pain since then. 

assistant: OK.
user: And that was three days ago. 

assistant: Three days ago, OK. And you're feeling the pain in your in your right knee? 

user: Yeah, in my right knee. 

assistant: OK, uh. And what would you say the character of the pain is, or how would you describe the pain?
user: It's kind of like a dull aching pain. 

assistant: OK. And has the pain been getting um, any better or any worse? 

user: Uhm, it's kind of getting worse actually just in my right knee as well as my whole right calf as well. 

assistant: OK, OK. Uh. What is the intensity of the pain on a scale of 1 to 10, 10 being the worst pain you've ever felt?
user: Probably around 6. 

assistant: OK. Um. And. Did your knee hurt before this at all, or did you have any trauma to the leg before? 

user: No, no before 3 days ago before my slip I was fine. 

assistant: OK, are you feeling the pain anywhere else besides your right knee?
user: In my calf I'm getting a lot of pain as well. In my right calf. 

assistant: OK, has there been anything that's made the pain worse? 

user: Yeah, if I am If I'm walking or if I'm moving that leg and putting weight on it, it's definitely worse, so it's definitely like better if I just stay seated and stay resting. 

assistant: OK. Is there anything she said resting that helps, is there anything else that's helped?
user: I did take some Advil which did help for a few hours, but then it just kind of went back to the same. 

assistant: OK. Uhm. And. Yeah, have you had any other, uh, like associated symptoms with the right knee and calf pain?
user: Yes, I also think there's some swelling in my right calf as well. Since yesterday. 

assistant: OK. OK, there's some swelling there. 

user: Mmm 

assistant: Have noticed if your calf was red or if there was a rash over it?
user: I don't see any rashes or redness, but it definitely does seem swollen and then it hurts as well when I move it or press it. 

assistant: OK, uh, OK, and when you fell did you injure any other parts of your body like your your hands or wrists? 

user: Um just a few scratches on my hands, but nothing too bad. 

assistant: And how about your head? Did you lose consciousness or or hit your head?
user: No, no, I didn't hit my head at all. I caught myself before then and no, I didn't lose any consciousness. 

assistant: OK. OK, have you had any fevers or chills? 

user: No. 

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

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

assistant: Have you have you had any shortness of breath? 

user: No. 

assistant: OK, have you had any dizziness or or lightheadedness?
user: No. 

assistant: OK, and have you had any heart palpitations or feeling like your heart is racing?
user: No, nothing like that. 

assistant: OK, uh. And. Have you had any like infectious symptoms, such as like. Like a runny nose or sore throat? 

user: No, nothing like that. 

assistant: OK. And have you had any nausea or vomiting.
user: No. 

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

assistant: OK, have you had any changes to your bowel movements like diarrhea or or constipation? 

user: No, nothing like that. 

assistant: Alright, so have you had any urinary problems?
user: Nope. 

assistant: Alright, so have you had any recent weight changes? 

user: No, nothing like that. 

assistant: OK. Uhm, And. Um, have you have you noticed any any rashes anywhere else over your whole body?
user: No, not that I've noticed. 

assistant: Alright have you noticed any muscle weakness? 

user: No. 

assistant: Have you had any numbness to the skin?
user: Not that I've noted, no. 

assistant: And have you had any tingling? 

user: No. OK. 

assistant: And. Um. So in the past, have you been diagnosed with any medical conditions?
user: I do have some high cholesterol and high blood pressure. 

assistant: I see, and do you take any medications? 

user: Yeah, so cholesterol. I'm taking a like a Crestor medication and then for high blood pressure I'm taking a Ramipril. 

assistant: OK. Have you had any hospitalizations or surgeries before?
user: Um. Just a. No, I I don't, um just besides a c-section for one of my children. I don't have any other surgeries. 

assistant: OK. I'm and. Have you had any thrombosis before, or a blood clot in the past?
user: No, I've never had anything like that. 

assistant: OK, and uh, have you been so you. You've had the birth of your you pregnant at other times in the past?
user: Um No, that was that was it. 

assistant: OK so have you had a miscarriage before? 

user: No. 

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

assistant: OK and. Uhm, could you tell me a little bit about your, uhm, living situation currently like who you're living with and whereabouts you're living? 

user: Yeah, I live with my husband and our daughter. And it's just in a small townhouse, just in the city. 

assistant: OK, and are you working currently?
user: I I do work from home, I'm actually just an accounting clerk, but I most of my work is from home right now. 

assistant: OK. And any exposures to anybody who's been sick?
user: No. 

assistant: Have you traveled anywhere recently?
user: Um nope. 

assistant: OK. Uh. And over the last couple of days with that with the leg pain, do you feel as though you've been like immobilized? 

user: Yeah, I've been trying to just like stay rested, just stay seated otherwise it hurts a lot, especially after my fall so. I've tried to stay immobilized. 

assistant: OK for the last couple of days. OK, uh, and uh, do you drink alcohol?
user: Just socially, sometimes when I'm with friends or relatives like a glass of wine. 

assistant: OK, and do you use recreational drugs like marijuana or or other things such like cocaine?
user: No, I've never tried that. 

assistant: OK. And do you smoke cigarettes?
user: Uhm, No, I don't. 

assistant: OK, I'm OK so. Oh, and uh in the family are there any history of heart or lung conditions? 

user: Um so I don't know about heart or lung conditions, but uh my Mother had a stroke in her late 60s and my Father is pretty healthy. 

assistant: OK. Has there been any blood clots in the family before?
user: I'm not sure about blood clots, but my mother had a stroke that's, is that kind of like a blood clot? 

assistant: It could be, a stroke could have had many different type of types of causes for it, and one of them could be 'cause caused by blood clot. But I wouldn't be able to say for sure. 

user: OK. 

assistant: Just because, yeah, there are so many different types or reasons for for having a stroke .
user: I see OK. 

assistant: So yeah, so you mentioned your leg has some swelling, um do you feel as though there's any any like temperature change to your calf like is it hot?
user: Uhm, I think I I don't know if it's maybe a little bit warm, but definitely swollen. 

assistant: OK, and do you feel, is there any pain to palpation? Like if you touch your calf or something like that is there pain?
user: Yeah if I touch my right calf it's painful and then if I press down on it's really painful and then just on the outside of my right knee if I touch or press down it really hurts as well. 

assistant: OK. And if you move your foot so it yeah, if you dorsiflex your ankle. Or bending your your toe up towards your nose, do you end up getting any calf pain? Doing the Homan test.
user: Yeah, yeah I'll try that. And yeah, I think it definitely hurts. When I when I move my or point my toes towards my nose. 

assistant: OK. OK, so I think that was everything that I wanted to ask today on history. Was there anything else that that maybe I missed?
user: Yeah, so my daughter, she's had this hoarse voice for the past like two or three days. It doesn't seem to be getting better. In fact, it's getting worse and she just doesn't sound like herself anymore and she's not speaking as much. 

assistant: OK, and when did this start?
user: OK, so she had a cough like four days ago, and she's still coughing a little bit, but not as much as she was before, but it's more her voice that I'm concerned about. It sounds very hoarse and harsh. 

assistant: OK, and so how many days has she had the hoarse voice for? 

user: I'd say about two or three days now. 

assistant: Two or three days, OK. And when she was coughing, you mentioned like previously was she coughing up any sputum or was it more of a dry cough?
user: It was more of a dry cough 

assistant: And the cough has pretty much resolved by now?
user: Yeah, she still gets them once in a while, but yeah, it's pretty much gone. 

assistant: OK, and when she was coughing, did she at all bring up any kind of blood or any green or yellowish material?
user: No 

assistant: No, OK. Did she have any fevers at all, recently?
user: Uh, no, no fevers. 

assistant: OK. And does she have any kind of, uh, along with a hoarse voice, does she have any pain with talking?
user: Yes, I think so. 

assistant: OK, and does she have any pain with swallowing any foods or liquids? 

user: She's eating and drinking ok, but I suspect there is some pain. 

assistant: OK, So how long has she, so she has a sore throat, how long has she had that for?
user: The sore throat? Uhm I would say for the past two or three days as well. 

assistant: OK, and was there anything that, so she had kind of like a cough previously, but anything else, anyone sick around her, or anything you think might have precipitated some of her symptoms? 

user: No, not that I know of. I don't think she's had any contacts with sick people recently. 

assistant: OK. Are there any, have you tried any medications over the counter, that has helped her?
user: Uhm, not over the counter medications, but like I tried to get her to like gargle with like salt water and all that kind of stuff, but that didn't seem to help. 

assistant: OK. And have her symptoms been just constant or do they come and go?
user: They've been pretty constant. 

assistant: OK, and you think her symptoms are getting worse?
user: Uh, no, they've been pretty consistent, but maybe the harsh voice is getting worse. 

assistant: OK. And other than the symptoms that you've mentioned, has she had any kind of shortness of breath, wheezing, chest pain or anything like that?
user: No, nothing like that. 

assistant: OK, and no fevers, right? 

user: No 

assistant: OK. Has she traveled at all recently outside of the country or outside of the province?
user: No, no, nothing like that. 

assistant: OK, and any headaches at all?
user: Uhm, no. 

assistant: No, any nausea or vomiting?
user: Uh, no, nothing like that. 

assistant: OK, any runny nose or congestion? 

user: No. 

assistant: No, OK. And have you had a chance to at all, look into her mouth and throat? And if you have, have you noticed any kind of redness, swelling?
user: I haven't looked in there too much, like, just an inspection the other day, it looked a little bit red, but I didn't see any discharge. 

assistant: OK, and have you noticed any kind of swelling around her neck, ears, like, around her lymph nodes? 

user: Uhm, I haven't actually taken a look there. 

assistant: OK, we can do that. Other than those symptoms, has she been experiencing any kind of like fatigue or have you notice her being just very tired?
user: Um, she has seemed a little bit more tired than usual. 

assistant: OK, and right now is she going to school or is right now all like virtual? Is she at home? 

user: Uhm, she's at home right now. 

assistant: OK, and does she have any symptoms of, any chest pain at all?
user: No chest pain. 

assistant: OK, any changes in her bowel movements, any Constipation, diarrhea? 

user: No. 

assistant: OK, any urinary problems?
user: No. 

assistant: OK, has she been able to sleep well or does she wake up a lot more at night?
user: Uhm, she's been able to sleep well, yeah 

assistant: OK, how about her appetite? 

user: Its been pretty normal. She's not eating as much as she used to, but she's still eating and drinking ok. 

assistant: OK, and have you noticed any kind of weight changes at all recently has she lost any weight?
user: No 

assistant: OK, and, has she had any loss of taste, of smell or sorry, loss of sense of taste or smell at all.
user: Uh, no. 

assistant: Any muscle aches or anything like that?
user: Uh, no, nothing like that. 

assistant: OK, any exposure to fumes, dust, animals or Pets at Home?
user: Uh, no, nothing like that. 

assistant: OK, has this happened at all in the past? 

user: Uhm, no. 

assistant: No, OK. Does she have any medical conditions at all that she's been diagnosed with in the past?
user: Uhm, no, nothing like that. 

assistant: Any like asthma or any other conditions?
user: No. 

assistant: OK, any allergies that you know of?
user: I know she has seasonal allergies, but that's about it. 

assistant: OK, and does she take any medications at all on a daily basis? 

user: Uh, no, she just takes multi vitamins. 

assistant: OK, and currently or previously has she had any surgeries or hospitalizations?
user: No. 

assistant: No, OK. Are there any family history of any lung or heart conditions?
user: Uh, no. 

assistant: Any cancers? 

user: There's some colon cancer on her dad side of the family. 

assistant: OK, and is there any, so do you remember who the person is and also like when they got diagnosed with the colon cancer?
user: So it was her uncle. He was diagnosed when he was forty five. 

assistant: OK, other than that, were there any developmental challenges at all while she was growing up? Did she, was she meeting her milestones? Any concerns at all?  p: No concerns, she was meeting all her milestones from what I remember.  OK, and uh, in terms of her pregnancy, were there any, or your pregnancy with her, were there any complications at all either during the pregnancy or after she was born?  P No, no complications.  And right now, where does she live, and who does she live with? 

user: she's at home with myself, my husband and she has one younger sibling. 

assistant: OK and, is everyone at home well, does anyone have any of these symptoms?
user: No, OK. 

assistant: Right, so, and in terms of the home environment, does anyone smoke in the house? 

user: No. 

assistant: No OK, alright so I think that's all the questions I had right now. Do you have any questions or concerns?
user: No, no questions, but uhm, actually, what do you think she has and how can we treat her? 

assistant: Yeah, so it seems like that the hoarseness of voice and the sore throat and her symptoms mostly align with what's called laryngitis, and this is usually caused by like just a viral respiratory infection. The hoarseness of voice will usually last more than a week and up to like ten days and it should resolve on its own. But we'll definitely take a better look and do a proper physical examination, see if I see any kind of swelling, redness, or any like white streaks or exudates around her pharynx as well. So after we take a look, we'll see what we can do. It doesn't seem like, it can also be a bacterial infection, in which case we would need to give her antibiotics, but usually it's a viral infection that should go away on its own. So we would just kind of wait and see and potentially just give her voice some rest during this period, and just go on from there. Do you have any other questions or concerns? 

user: Uh no, that sounds great, thank you. 

assistant: You're welcome and yeah, we'll, just do a full examination and then go from there.
user: Yeah, so uh, just randomly like 2 days ago I just started having this chest pain when I'm breathing and it's just been getting worse and then because of that, I'm finding that I'm very short of breath as well, so I just got really concerned. 

assistant: OK, I see. When did the chest pain start?
user: So, there was some discomfort like just 2 days ago, but then just yesterday it started getting very painful when I was breathing. So yeah, I would say 1 day ago. 

assistant: OK, and were you doing anything at the time when the chest pain started? Like did you get in a car accident maybe? Or any trauma to the chest or anything you can think of?
user: No, not really. I was just at home and then I noticed that when, I like, take a deep breath in, it's just, like, a very sharp pain. It's kind of like in my right side of the chest and it feels like a stabbing pain. 

assistant: OK, and so the pain comes on when you breathe in, or yeah, when you take a deep breath. Does the pain come on at any other points or does it go away? 

user: Uh, it's mostly, yeah, I feel the sharp pain when I breathe in. 

assistant: OK, so the pain is intermittent then, it sounds like. And has there been anything you've tried that's made the pain better?
user: Not really, just more shallow breathing, and it hurts less with that, but that's about it. 

assistant: OK, and are there any positions that help make the pain any better like leaning forward or laying down?
user: Not really, it's uh, it's pretty much the same, I think. 

assistant: OK, and uh, you mentioned you had shortness of breath as well. When does this come on?
user: Since yesterday it's been pretty constant and it's more like, Uh, just uh, I'm really having trouble getting any deep breaths in, so I feel like I'm having to just breathe faster and more shallow. 

assistant: I see, OK, and has anything like this happened to you before?
user: No, never. 

assistant: OK, and have you been experiencing any headaches? 

user: No. 

assistant: How about any viral symptoms, like eye redness, nasal discharge, or nasal congestion or cough?
user: I have been having a little bit of a cough, but that's it, like, it kind of started today, but it's nothing too significant. 

assistant: OK, alright, is the cough dry or have you brought up sputum? 

user: It is dry. 

assistant: OK, and have you had a sore throat?
user: Uh, no. 

assistant: How about a loss of taste or a loss of smell?
user: No. 

assistant: OK, how has your appetite been?
user: My appetite's been pretty good. It's like, definitely with the pain, I don't really feel like eating today, but I don't think it's changed. 

assistant: OK, so has your weight been stable over the last several months. 

user: Yeah, weight has been stable. 

assistant: OK, and have you had any fevers, chills, or night sweats?
user: Uhm, Nope. 

assistant: OK, and have you had any episodes where you feel like your heart is, like, racing or beating out of your chest?
user: No, I don't think so. 

assistant: Any dizziness or Lightheadedness? 

user: No. 

assistant: OK, and have you had any wheezing?
user: No, I don't think so. 

assistant: OK, and with the cough, have you brought up any blood? 

user: No. 

assistant: OK, and have you had any, Uh, like urinary problems?
user: No. 

assistant: Any bowel problems like diarrhea or Constipation?
user: No, nothing like that. 

assistant: And any abdominal pain? 

user: No. 

assistant: Have you had any nausea or vomiting?
user: No. 

assistant: OK, and have you had any muscle aches, joint pains or skin changes? 

user: No. 

assistant: OK, and uhm, in the past have you been diagnosed with any medical conditions?
user: No, I've been pretty healthy. 

assistant: OK, so do you take any medications regularly? 

user: No, nothing at all. 

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

assistant: Any hospitalizations in the past or any surgeries? 

user: No. 

assistant: OK, and currently, can you tell me just a little bit about your living situation?
user: Yeah, so I just live with uh, a couple of my roommates. I'm going to University. 

assistant: OK.
user: I live in like a student housing situation. 

assistant: OK, has anybody in the house been sick or anybody that you've been around been sick? 

user: No, we've been all pretty healthy. 

assistant: OK, and do you smoke cigarettes or use any like vape products or anything like that?
user: No, I haven't ever smoked. I do smoke weed like, I would say, once or twice a week. 

assistant: OK, and how much would you say? Like 1 gram or less or? 

user: 1 gram probably lasts like 2 weeks. 

assistant: OK, and do you drink alcohol?
user: Yeah, just a couple of beers maybe on the weekend. 

assistant: OK, and are you currently sexually active?
user: Yeah, just one partner, my girlfriend. 

assistant: OK, and, do you use condoms? 

user: Yeah, we use condoms, we're pretty safe. 

assistant: OK, and have you had a sexually transmitted infection before?
user: No, never. 

assistant: OK, any concerns right now or anything like that? 

user: No, uh, we've been pretty safe and we've both been tested before and everything, so I'm not really concerned. 

assistant: OK, great and has anybody in the family had like a similar presentation before, like any lung problems or heart problems?
user: No, I think my sister, she has asthma, but that's about it. 

assistant: OK, and uh, any cancers that run in the family? 

user: Not that I know of. 

assistant: OK, so it sounds like you had this uncomfortable feeling in your chest about two days ago, but the pain really came on yesterday and it's really painful when you have a deep deep breath. So, in conjunction with your symptoms of not being able to take a deep breath and being short of breath, it sounds like you possibly have what's called a pneumothorax and so we'll do a physical exam and do a chest X-ray as well to examine this and check vitals as well to make sure that you're work of breathing is OK and we can do some blood work and go from there.
user: Yeah, I I have a cough. 

assistant: OK, and uh, what kind of cough is it like a dry cough? Or is it more like productive cough?
user: I always seem to bring up some gunk on my when I cough. 

assistant: OK, and what what colour is this gunk?
user: It's green, sometimes yellowish. 

assistant: OK, and have you noticed at all any kind of blood in the cough?
user: Well, no blood. 

assistant: No, OK, and how much of the gunk or the sputum would you say you bring up every day?
user: Uh a couple of kleenexes. Um, I'll use, but so not that much. 

assistant: OK. an and when did this start? 

user: It's really hard to say I've had a cough for the past few years now, but I feel like it's getting worse. 

assistant: OK, and is your cough just constant or does it come and go?
user: I do cough throughout the day, but I find it's worse in the morning. 

assistant: OK, and is there anything that brings on your cough? 

user: I can't think of anything that triggers the cough, just worse when I get up in the morning. 

assistant: OK. And you mentioned you've been having this cough over the past few years. Has it been getting worse at all?
user: Yeah, I would say the coughs were getting worse the last few years. Slowly though. 

assistant: OK, and have you had any previous episodes of this cough with sputum like gunk, gunky material before?
user: Yeah, I've been having this ongoing for the last few years. 

assistant: OK And is there anything that you do or have tried that's made your coughing get either better or worse?
user: If I take a deep breath, then it seems to make the cough worse and uh nothing really helps the cough go away though. 

assistant: OK, um and other than that, have you been having any other symptoms, like a runny nose, sore throat, difficulty breathing, anything like that? 

user: Uh, no. 

assistant: OK, and have you recently traveled outside of the country?
user: I haven't traveled anywhere. 

assistant: OK, and have you noticed any other symptoms like fevers or chills?
user: No fever and no chills. 

assistant: OK, any night sweats?
user: No night sweats. 

assistant: OK, any increased fatigue or just feeling tired overall? 

user: Yeah, these last few months by energy has been low. I I've been feeling a lot more tired than usual. 

assistant: OK, and have you noticed at all any kind of swelling in your hands, feet, ankles?
user: Uh, I think they're always a little swollen, but I might have just gained a few pounds over the years. 

assistant: OK and, have you been having any palpitations like a racing heart or any chest pain at all?
user: Um, no chest pain. 

assistant: OK, and how about shortness of breath?
user: Um. I only have trouble breathing if I walk a few blocks or go up a few flights of stairs into my apartment. 

assistant: OK. Have you been having any kind of urinary issues?
user: Ummm only at night time I seem to have to get up a lot to use the bathroom. 

assistant: OK, and how about your bowel movements, any constipation or diarrhea? 

user: Um no bowel issues. 

assistant: OK and have you been getting enough sleep?
user: Uh yeah I would say or sorry no my sleep has been has been poor 

assistant: OK, and do you find that you wake up during the night to take a breath or anything like that? 

user: No, I haven't had to wake up in the middle of the night short of breath or anything like that. 

assistant: OK, and do you ever have to use a multiple pillows?
user: Um no I just used one pillow. 

assistant: OK. And have you noticed you've had any significant weight loss or weight gain in the last few few months? 

user: Um I maybe lost 5 pounds in the last few months. I wasn't even, I haven't been trying to lose weight but doesn't hurt though as I've I've gained a few pounds over the years so I don't mind. 

assistant: And how is your appetite been like?
user: Uh appetite's been good I feel like I've been eating normally. 

assistant: OK. And have you had any recent infections at all?
user: No recent infections. 

assistant: OK and I think I mentioned this before, but any know any runny nose sore throat, any of those viral symptoms? 

user: Um, no runny nose, no sore throat, been feeling good. 

assistant: Awesome, and have you had have you been exposed to anyone with tuberculosis in the past?
user: Um no, I actually had a tuberculosis test for work and it was normal. 

assistant: OK. And have you been diagnosed with any medical conditions at all, like high blood pressure, diabetes? 

user: Um my blood pressure has been high and that was diagnosed in the last few years. 

assistant: OK. And do you take any medications for your blood pressure?
user: Yes, I take um, Lisinopril. 

assistant: OK and do you have any allergies to any medications at all? 

user: Nothing I can think of. 

assistant: OK, and have you been hospitalized at all before?
user: Uh, no. 

assistant: And do you have any ill contacts near anyone that has been sick around you recently?
user: No ill contacts. And sorry I for hospitalizations I I did have a c-section for the birth of my daughter and I was in the hospital for a few days for that. 

assistant: OK, but nothing else?
user: No. 

assistant: OK and have you had any other surgeries other than your c-section? 

user: No just the c-section. 

assistant: OK, in terms of your family history has anyone had any cardiovascular issues or any cancers?
user: Uh, my father had a heart attack when he was 78. And um he unfortunately passed away from it, but had no cancer in the family. 

assistant: OK, any like asthma in the family? 

user: Not that I can think of. 

assistant: OK, and currently, where do you live? Do you live in apartment, in a house?
user: I live in an apartment with my husband and our daughter. 

assistant: OK, and do you currently work? 

user: Yeah, I I work at the local grocery store. 

assistant: OK. And just in your daily routine, how would you say, how is your diet and exercise like?
user: Um diet I'll usually eat one or two meals a day and sometimes snack throughout the day as well but we eat a variety of meats and vegetables, and so I think our diet is pretty good. But exercise don't have time for for that currently. 

assistant: OK, and do you use any recreational drugs like marijuana?
user: Um noo, I would never use that. 

assistant: OK, how about alcohol?
user: A glass of wine. I have three or four nights a week. 

assistant: OK, and is it like a full glass of wine or like just, how much would you say?
user: Glass of Wine is for me. I would say is like 5 or 6 ounces like a typical glass of wine. 

assistant: Do you smoke at all?
user: So I've just I had some sinus problems in the past. I've had some sinus infections and I just feel like I have one right now and I know that like I know that you know, a lot of the time I I've done all the things that I've been told to do in the past like I've been doing, like Saline rinses and just doesn't feel like it's helping very much right now. When I rinse, I'm getting like this greenie gross kind of mucus coming out. And it's just like giving me this like headache. It just feels crappy. 

assistant: Yeah, I'm sorry you're feeling that way. So this runny nose, OK, do you have a cough at all? 

user: Uh, no I don't have a cough. 

assistant: Any shortness of breath?
user: Uhm, I don't have a real like shortness of breath, but it does feel congested. 

assistant: OK, how about wheeziness? 

user: Uh, no wheeziness. 

assistant: No wheeziness, OK. And how about, how about like sore throat or loss of taste?
user: Uhm, uh so my throat not sore in like the way that you get catch a sore throat but I get a lot of post nasal drip and it makes it like stingy. So it's like it's sore in that way, but it's not like you know if you have like strep throat or something. 

assistant: OK. How about changes in your vision or hearing? 

user: No, nothing like that. 

assistant: Weight loss?
user: No. 

assistant: Fevers or chills? 

user: I, I took my temp last night. It was pretty high. It was like 99 point like something, uhm 99 like 7 or something. 

assistant: Ah, OK.
user: So my thermometer said that's high, I don't, I don't really know, but yeah. 

assistant: OK and how about like, facial pain or pressure or feeling like it's full?
user: Oh yeah, I have that. It's like yeah, all on the front part of my face. 

assistant: OK. And then you mentioned some nasal obstruction, some discharge and you said no loss of smell, right? 

user: No, I didn't lose any smell. Like sometimes it's kind of hard to smell because it's so plugged up. 

assistant: Right.
user: I still have like I'm able to smell like, especially after I do the rinses. It helps a little bit. 

assistant: OK, how about like a chest pain?
user: Uhm, no, I haven't had any chest pain. 

assistant: No, OK. Any issues with bowel movements or have those been normal? 

user: Those have been normal. 

assistant: OK. Any changes in your urine?
user: No. 

assistant: No, OK. Any headaches? 

user: Yeah, like I get that like sinusy headache that you know, it's pretty common for me, like kind of just all in like the front of my face and sometimes it kind of feels like it goes all over. 

assistant: How about umm, how about like dizziness or fainting?
user: No. 

assistant: No, OK. Are you otherwise healthy or do you have any longstanding medical conditions?
user: No, this is pretty well, pretty well the only thing. I had some problems with my knee like I had some problems with the ACL, so like I see like an orthopaedic person for that, but otherwise, otherwise I'm healthy. 

assistant: OK. OK, uhm, and are you on any medications?
user: No, like I I sometimes like I used this saline rinse. 

assistant: OK. 

user: For a bit. I used to use the nasal steroid spray and I I hadn't had an infection for awhile and things were feeling OK, so I haven't been using it recently. Umm, and then I occasionally will use like, like an Advil if my knees sore. 

assistant: OK. OK, and no hospitalizations or surgeries?
user: Uh, so I had an ACL repair surgery. 

assistant: Oh right, yeah, OK.
user: And like I went to the emergency department once when I had a bad sinus infection, but I didn't like stay over at the hospital. 

assistant: OK, OK. How about immunizations? Are you up to date? 

user: I think so. I never really didn't get any. 

assistant: OK. Any allergies?
user: Uh, like a little bit to cats but nothing else. 

assistant: OK. Any family history of lung or heart conditions? 

user: No, not that I know of. 

assistant: OK. How about smoking, do you smoke?
user: No, no. 

assistant: No, OK. Do you drink alcohol?
user: I drink a few beers on the weekend. 

assistant: OK.
user: You know five or six per weekend. 

assistant: OK. And then, five or six for weekend. OK and any recreational drugs?
user: I will occasionally take like a cannabis, like a capsule like the oil in the capsule. 

assistant: OK, and what is that for? 

user: Just like recreational. Also like I mean my knee, my knee pain. Sometimes it helps. 

assistant: Mhmm, OK.
user: But essentially that that might be like once like per month or something. 

assistant: OK. OK. Alright, and, any sick contacts recently? 

user: No, no. I've been working from home. 

assistant: OK. OK, and any travel recently?
user: No. 

assistant: No, OK. And where do you live? 

user: I live here in town with my wife and our teenage son. 

assistant: OK. Is anyone at home sick?
user: No, they're fine. 

assistant: They're fine. OK, and what about.. Sorry?
user: They're both working from home like doing school from home too. So we rarely don't go anywhere like my wife goes to get groceries and that's about it. 

assistant: OK, I see. And any old carpets, smoke, asbestos, mold anything like that at home?
user: No, no, it's a pretty new house. 

assistant: OK, alright, any pets at home? 

user: We have a dog. It's a labradoodle. 

assistant: OK, yeah.
user: And that's it, yeah. 

assistant: How long have you had him?
user: Oh, like, he's like 3 now. Like my sinus infections and that have been going on for longer than we've had him. 

assistant: OK, alright. Those are all the questions that I had for you. Did you have any questions of your own for me?
user: I don't think so. I just I hope you know, we can do something about this. Because you know, I tried all this stuff that is supposed to be like, you know, conservative like the first steps and it just doesn't seem like it's getting better. It's been like few weeks. So, I thought it was probably time to come see you. 

assistant: Yeah, sorry. What have you tried at home again?
user: Yeah hi, I'm so over the past few months I've noticed that I get short of breath sometimes. And my eyes are so irritated. And they feel itchy and red. And I've also noticed this rash below my knees, so I just wanted to get everything checked out. 

assistant: OK and when did this all kind of start?
user: Ah it started a couple months ago like 2, 3 months ago. 

assistant: OK and when did the shortness of breath start?
user: That's been on and off for the past two months as well. 

assistant: OK, and how about the rashes? 

user: The rashes started like a month back, but it looks worse now. It started off small. 

assistant: OK, um so for the cough, is it like a dry cough or a wet cough?
user: It's a pretty dry cough. 

assistant: Dry cough OK, are you bringing up any green or yellow material or any blood at all?
user: No. 

assistant: OK, and this also started like a few months ago? 

user: Yes. 

assistant: And is it constant or does it come and go?
user: Um it's it's getting worse now so it feels more constant now, but at first it it just came in. Yeah, it came in went. 

assistant: OK, and has this happened to you before at all of these symptoms?
user: No. 

assistant: OK. Alright um. So it started a few months ago and how about the rashes? Are they have they been there like the ones below your knee since the two months? Or do they come and go?
user: Um that's been there for the past month. 

assistant: OK. And can you describe the rash a little bit? What does it look like?
user: Sure, so it's now pretty diffuse. It's just below my knees like on my shins. It's on both sides. The one on my right side is a little bit bigger. It's about I'd say maybe like 10 centimeters and diameter. It's it's red or like a dark pink um. There's nothing coming out of it. 

assistant: OK. Is it painful or itchy at all?
user: It's um painful, yeah. 

assistant: OK. What kind of paint do you feel that when you press on it? 

user: It's it's not that OK, so it's not painful painful, it's tender. So if I touch it, it will feel tug tender. 

assistant: OK. Uh. Have you tried anything that has helped you relieve these symptoms?
user: Um I took some ibuprofen that helped a little bit. 

assistant: OK. OK, um and. So you've had the cough, but have you been having any kind of shortness of breath?
user: No. Well, actually sorry, sorry I have had a shortness of breath. I haven't had a cough. 

assistant: OK, so no cough, but you've been having shortness of breath. 

user: Yeah 

assistant: And. When your shortness of breath is it more so that you're not able to take deep breaths, or you taking shallow breaths, how would you describe it?
user: It just feels like, yeah, I can take in a full deep breath. 

assistant: I see. And are you having any other symptoms like fevers or chills?
user: No. 

assistant: OK, and how about the eye irritation? When did that start?
user: That started a month ago as well. 

assistant: OK, and you do you have any red eyes? Or can you see any changes in your vision at all? 

user: Yeah, my eyes do look a little bit red and. I don't know if my vision changed a lot, but sometimes things will look a little bit blurry when they're far away. 

assistant: OK. And with the shortness of breath, is it brought on by exertion, or can it be at rest as well?
user: It can be at rest as well. 

assistant: OK. And then, do you have any other symptoms? Like any joint pains? 

user: No no join pains. 

assistant: OK. Any nausea or vomiting?
user: Um no. 

assistant: OK, any headaches? 

user: No. 

assistant: Any muscle pain?
user: Uh no. 

assistant: OK. And any recent travel or contact with someone who's been sick? 

user: Um no. 

assistant: Do you see any or do you notice any like fluid coming out from your eyes or anything like that?
user: Uh no, I didn't notice that. 

assistant: OK, do you get any night sweats? 

user: No. 

assistant: And any chest pain?
user: Sometimes the shortness of breath. 

assistant: OK, is it just like a discomfort or is it a pressure or stabbing pain?
user: Ah it just feels like a discomfort. 

assistant: Do you feel your heart is racing?
user: Uh. No. 

assistant: OK, and any changes in your bowel movements at all? 

user: No, nothing like that. 

assistant: OK. Any changes in your urinary pattern?
user: No. 

assistant: OK. Any sore throat, runny nose, any cold like symptoms? 

user: Uh no, but I haven been feeling um a little bit hot, so I wonder if I have a fever. I haven't checked it. 

assistant: OK, we can check. Have you had any recent weight changes?
user: Now that you mention it, I have had some weight loss over the past um six months. I've lost about 15 pounds. 

assistant: 15 pounds OK. How about your appetite? Have you been eating well?
user: Yeah, I've been eating the same. 

assistant: OK, OK, and have you had any exposure to any fumes, dust, animals or pets in your environment?
user: No. 

assistant: Have you been diagnosed with any medical conditions in the past? 

user: Uh no. 

assistant: Do you take any medications?
user: Um nope. 

assistant: OK, any allergies? 

user: No allergies . 

assistant: OK. Hospitalizations or previous surgeries?
user: Uh I had a C-section for my second child. 

assistant: OK, any complications with that?
user: No, it was it was a pretty standard. I didn't have any excessive blood loss or anything like that. 

assistant: OK, any family history of any medical conditions like any lung or heart conditions?
user: Um no lung or heart conditions. There are some autoimmune conditions in my family though. 

assistant: OK, and what what kind of autoimmune conditions are there?
user: Uh, there is rheumatoid arthritis um . There is um uh lupus. Like type one diabetes. 

assistant: OK. OK and then. Are they for any like direct relatives like your parents or or children? 

user: Yes, my parents. 

assistant: OK. And currently right now do you work?
user: I work from home. Yeah, I teach I teach online. 

assistant: OK and how's your living situation like right now? 

user: Pretty good. We live in a house. I live with my husband and two children. 

assistant: OK, um. And do you currently smoke?
user: No. 

assistant: OK. And any recreational drug use like marijuana? 

user: No. 

assistant: OK and any um alcohol?
user: I drink once in awhile like I'll have a glass of wine on Fridays. 

assistant: OK. Alright, yeah, so those are all the questions I had. Do you have any questions for me?
user: Um no, like what what do you think I have and how should I treat it? 

assistant: Yeah, so definitely one thing we need to rule out with the shortness of breath is any viral or viral infection like coronavirus so we will get a test done for you today. However, since this seems to be kind of a chronic issue, been going on for a few months and you're having with the shortness of breath, some other symptoms, the rash below knees, or is what we called erythema nodosum and irritation in your eyes and you have a family history
user: No, that sounds great. Thank you so much. 

assistant: You're welcome, and you may need depending on what we find, steroid treatment today or until you see the rheumatologist. 

user: OK. 

assistant: Alright, take care.
user: I've just been feeling like very nauseated for, it feels like all the time right now. 

assistant: When did this start? 

user: It's been over a week. Maybe not quite two weeks, but like around then. Yeah, maybe like 9 days. 

assistant: And um, is it, do you always have the sensation of nausea or is it related, or does it come and go?
user: Oh, I think it's like worse when I am smelling something really bad, and it's worse in the morning. But I feel like it's always kind of there. 

assistant: I see OK. Um, have you had any vomiting?
user: Uh, yeah, like um, yeah, like a lot of days I'll throw up like once or twice. 

assistant: And this has all been over the past week, week two weeks or so?
user: Yeah. 

assistant: OK, um, any other symptoms that you have?
user: Oh no, just, well, like I feel like I've I've had to pee a lot more. Um, but I don't, I don't think that's like related. I think maybe I have just been drinking a lot of water, so yeah. 

assistant: How often do you have to pee? 

user: Oh, like, I feel like every couple hours right now. 

assistant: OK, so say every two hours, every hour, every five hours?
user: Probably every probably every like 2, maybe, maybe every hour I get certain times in a day. 

assistant: Do you wake up at night to pee? 

user: Oh, like it doesn't wake me up but it's like I wake up because I hear something. Then I'll be like, oh I think I should probably go to the bathroom. 

assistant: Yeah, do you feel like you have control over when you are going to bathroom or is it difficult for you to hold it in?
user: Oh I I I can control it. It's just like uncomfortable right? 

assistant: I see I see so, um, you have urinary frequency, but do you do you feel like, uh so you said that you can control it, you don't you don't feel like you need to run to the bathroom or you'll pee in your pants? 

user: No, I don't feel like that. 

assistant: OK. Do you have any pain when you're peeing?
user: No. 

assistant: No, OK alright um, do you feel like you've been more thirsty recently? Why do you feel you've been drinking more more water?
user: I think, I think just 'cause like I was getting I was like throwing up like so like I feel like I was a little dehydrated. 

assistant: Um, I see OK, um, have you, other than the nausea and vomiting, have you had any other stomach related issues? Any belly pain or changes in your bowel movements? 

user: Ah no, I don't think so, well my stomach has been like it feels like a little crampy. I thought that maybe it could be my period but like I'm not on my period. 

assistant: When did you last have your period?
user: Oh well, let me think. Um, like six weeks ago. I guess that would be, I don't know. I don't really like keep track. 

assistant: OK, OK. Do you know if you get your periods regularly or are your periods irregular? 

user: I think they're I think they're usually pretty regular, but I don't I don't like I don't calculate it like to the day. 

assistant: True yeah, is it is it normal for you to go six weeks without a period?
user: Oh, come to think of it, I don't, I don't think so. 

assistant: Alright. Um, OK. Uh, have you, I'll just ask you a couple more questions about your symptoms. So I know that you've been nauseous and have vomited a couple of times in the past two weeks. And, you have had some cramps in your belly. Have you had any flu like symptoms?
user: No. 

assistant: Nothing like that? 

user: I don't think so. 

assistant: Any headaches?
user: Uh no. 

assistant: Any fevers? 

user: No. 

assistant: Muscle aches?
user: Uh no. 

assistant: OK, um, have you, have you had a cough at all? 

user: Oh no. 

assistant: OK, and have you noticed any blood in your stools?
user: No. 

assistant: Have you, you haven't had any palpitations or chest pain or anything of that sort?
user: No. 

assistant: Alright um can you tell me about your past medical history, any medical issues medical conditions that you have?
user: Uh, nothing, nothing really. 

assistant: OK. Have you, um, been taking any medications? 

user: No, I mean, I've been taking like like I've been chewing like those ginger things that are supposed to help with nausea, but they weren't really helpful. 

assistant: I see. Any allergies?
user: So just like nickel, like in jewelry, if I wear not real jewellery, it'll give me a rash, but it's not food or like or medications or anything. 

assistant: Um, and, uh, a couple of questions about your social history. Who do you currently live with? 

user: Um, like I I just I live with one roommate. 

assistant: Um and, do you currently smoke?
user: No. 

assistant: Alright, you don't smoke, OK. Have you, do you consume alcohol? 

user: Uh, no, very rarely because I always get a headache. 

assistant: OK, when was the last drink that you had?
user: Oh gosh, like like a month ago probably. 

assistant: OK, um, and you consume any illicit drugs?
user: No, no. 

assistant: Alright, are you currently sexually active? 

user: Yeah just like with my boyfriend. 

assistant: And do you use protection while having sex?
user: Yeah, we we just use condoms. I used to be on birth control but it always made me feel like like kind of sick so I don't use that anymore. 

assistant: Mhm, I see, OK. Uh and um, let's see. Family history. Do you do you have any medical conditions that run in your family?
user: Sure I have had this cough for the past five days and it doesn't seem to be getting any better so I'm just here to ask you what it what it possibly could be. 

assistant: Has the cough been getting any better, staying the same or getting worse over these last five days? 

user: I think it's getting worse. 

assistant: Are you bringing up any any phlegm?
user: No. 

assistant: Okay, are you bringing up any blood? 

user: No. 

assistant: OK, have you been coughing at night time as well? Is it interfering with your sleep? Or is the cough just during the day?
user: Um, it is mostly during the day and in the evenings, it doesn't wake me up from sleep. 

assistant: OK, and any triggers that you've notice 5 days ago or anything that changed at that time to bring on the cough?
user: No, nothing. 

assistant: OK. And have you been having any other symptoms with the cough?
user: I have a sore throat and I feel like I can't taste things the same. 

assistant: OK, um, are you having any pain with swallowing either liquids or food? 

user: Um, mostly with foods. 

assistant: OK, and when did the sore throat start?
user: It started up around the same time as my cough. 

assistant: OK, and you can't taste your food as well, and when did you notice that?
user: That was two days ago. 

assistant: OK, have you noticed any any loss of smell?